ANEXA 1 Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 1 A02BA02 RANITIDINUM DIGEN EFF 150 mg COMPR. EFF. 150mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PP X 10 COMPR. EFF. P-6L 10 4.99 0.5 0.5 0.45 2 A02BA02 RANITIDINUM GERTOCALM COMPR. FILM. 150mg FARAN LABORATORIES S.A. GRECIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 5.93 0.3 0.22 0.2 3 A02BA02 RANITIDINUM ZANTAC 150 mg COMPR. FILM. 150mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/AL X 10 COMPR. FILM. P-6L 20 30.64 1.53 0.22 0.2 4 A02BA02 RANITIDINUM RANITIDINA 150 mg COMPR. FILM. 150mg FILDAS TRADING SRL ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL-VMCH X 10 COMPR. FILM. P-6L 20 4.4 0.22 0.22 0.2 5 A02BA02 RANITIDINUM RANITIDIN 150 mg COMPR. FILM. 150mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST

. AL/PVC X 10 COMPR. FILM. P-6L 20 5.45 0.27 0.22 0.2 6 A02BA02 RANITIDINUM RANITIDINA LPH 150 mg COMPR. FILM. 150mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 60 13.55 0.23 0.22 0.2 7 A02BA02 RANITIDINUM RANITIDINA LPH 150 mg COMPR. FILM. 150mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 20 5.02 0.25 0.22 0.2 8 A02BA02 RANITIDINUM RANITIDINA 300 mg COMPR. FILM. 300mg FILDAS TRADING SRL ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL-VMCH X 10 COMPR. FILM. P-6L 10 4.25 0.43 0.38 0.34 9 A02BA02 RANITIDINUM RANITIDIN 300 mg COMPR. FILM. 300mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 10 4.62 0.46 0.38 0.34 10 A02BA02 RANITIDINUM RANITIDINA LPH 300 mg COMPR. FILM. 300mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 11.51 0.38 0.38 0.34 11 A02BA02 RANITIDINUM ARNETIN SOL. INJ. 25mg/ml MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE X 2 ML P-RF 5 9.04 1.81 1.81 1.63 12 A02BA02 RANITIDINUM ZANTAC SOLUTIE INJECTABILA SOL. INJ. 25mg/ml GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 5 FIOLE X 2 ML SOL. INJ. P-RF 5 13.84 2.77 1.81 1.63 13 A02BA03 FAMOTIDINUM FAMODAR ABR COMPR. FILM. 10mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 3.69 0.37 0.37 0.33 14 A02BA03 FAMOTIDINUM QUAMATEL (R) 20 mg COMPR. FILM. 20mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 16.49 0.59 0.21 0.19 15 A02BA03 FAMOTIDINUM FAMODIN 20 COMPR. FILM. 20mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 6.34 0.21 0.21 0.19 16 A02BA03 FAMOTIDINUM FAMOTAK COMPR. FILM. 20mg SEDICO IMPEX S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.FILM. P-6L 20 4.53 0.23 0.21 0.19 17 A02BA03 FAMOTIDINUM FAMODAR 20 COMPR. FILM. 20mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.FILM. P-6L 20 7.08 0.35 0.21 0.19 18 A02BA03 FAMOTIDINUM QUAMATEL (R) 40 mg COMPR. FILM. 40mg GEDEON RICHTER PLC UNGARIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-6L 14 16.49 1.18 0.12 0.11 19 A02BA03 FAMOTIDINUM FAMOTIDINA ZENTIVA 40 mg COMPR. FILM. 40mg ZENTIVA S.A ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 3.55 0.12 0.12 0.11 20 A02BA03 FAMOTIDINUM GASTROSIDIN COMPR. FILM. 40mg ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 8.62 0.29 0.12 0.11 21 A02BA03 FAMOTIDINUM FAMODIN 40 COMPR. FILM. 40mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 8.43 0.28 0.12 0.11 22 A02BA03 FAMOTIDINUM FAMODAR 40 COMPR. FILM. 40mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 5.53 0.55 0.12 0.11 23 A02BA03 FAMOTIDINUM FAMOTAK COMPR. FILM. 40mg SEDICO IMPEX S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR.FILM. P-6L 10 3.16 0.32 0.12 0.11 24 A02BA03 FAMOTIDINUM QUAMATEL (R) 20 mg LIOF. + SOLV. PT. SOL. INJ. 20mg GEDEON RICHTER PLC UNGARIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 5 FIOLE X 5 ML SOLV. P-RF 5 21.63 4.33 4.33 3.9 25 A02BA04 NIZATIDINUM NIZATIDIN 150 mg CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 12.14 0.61 0.5 0.45

26 A02BA04 NIZATIDINUM NIZATIDINA LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 9.94 0.5 0.5 0.45 27 A02BC01 OMEPRAZOLUM RISEK CAPS. ENTER. 20mg GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 1 FLAC. X 14 CAPS. ENTER. P-6L 14 41.31 2.95 0.49 0.44 28 A02BC01 OMEPRAZOLUM ORTANOL (R) S CAPS. GASTROREZ. 10mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 14 8.02 0.57 0.57 0.51 29 A02BC01 OMEPRAZOLUM OMEZ CAPS. GASTROREZ. 20mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 3 FOLII AL/PE-PE/AL X 10 CAPS. GASTROREZ. P-6L 30 15.5 0.52 0.49 0.44 30 A02BC01 OMEPRAZOLUM ORTANOL (R) 20 mg CAPS. GASTROREZ. 20mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. AL/AL X 14 CAPS. GASTROREZ. P-6L 14 12.54 0.9 0.49 0.44 31 A02BC01 OMEPRAZOLUM OMEPRAZOL BIOFARM 20 mg CAPS. GASTROREZ. 20mg BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. PEID X 28 CAPS. GASTROREZ. P-6L 28 13.78 0.49 0.49 0.44 32 A02BC01 OMEPRAZOLUM OMEPRAZOL BIOFARM 20 mg CAPS. GASTROREZ. 20mg BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. PEID X 14 CAPS. GASTROREZ. P-6L 14 7.41 0.53 0.49 0.44 33 A02BC01 OMEPRAZOLUM ULTOP CAPS. GASTROREZ. 20mg KRKA D.D. SLOVENIA CUTIE X 1 FLAC. PE X 14 CAPS. GASTROREZ. P-6L 14 10.4 0.74 0.49 0.44 34 A02BC01 OMEPRAZOLUM OMEPRAZOL 20 mg CAPS. GASTROREZ. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-AL-PA/AL X 7 CAPS. GASTROREZ. P-6L 14 11.56 0.83 0.49 0.44 35 A02BC01 OMEPRAZOLUM OMEPRAZOL LPH 20 mg CAPS. GASTROREZ. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L 20 15.92 0.8 0.49 0.44 36 A02BC01 OMEPRAZOLUM HELICID 20 CAPS. GASTROREZ. 20mg ZENTIVA AS CEHIA CUTIE X 1 FLAC. DIN STICLA X 28 CAPS. GASTROREZ. P-6L 28 14.94 0.53 0.49 0.44 37 A02BC01 OMEPRAZOLUM HELICID 20 CAPS. GASTROREZ. 20mg ZENTIVA AS CEHIA CUTIE X 1 FLAC. DIN STICLA X 14 CAPS. GASTROREZ. P-6L 14 7.45 0.53 0.49 0.44 38 A02BC01 OMEPRAZOLUM OMERAN 20 CAPS. GASTROREZ. 20mg EUROPHARM SA ROMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 28 21 0.75 0.49 0.44 39 A02BC01 OMEPRAZOLUM OMERAN 20 CAPS. GASTROREZ. 20mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 14 11.14 0.8 0.49 0.44 40 A02BC01 OMEPRAZOLUM OMEPRAZOL 20 mg CAPS. GASTROREZ. 20mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L 30 15.1 0.5 0.49 0.44 SUBLISTA A - MEDICAMENTE CU NIVEL DE COMPENSARE 90% DIN PRETUL DE REFERINTA LISTA DENUMIRILOR COMUNE INTERNATIONALE (DCI) CORESPUNZATOARE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA CONFOR HG NR. 720/2008 VALABILA INCEPAND CU 15 IULIE 2008 Page 1 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 41 A02BC01 OMEPRAZOLUM OMEPRAZOL TERAPIA 20 mg CAPS. GASTROREZ. 20mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L 30 15 0.5 0.49 0.44 42 A02BC01 OMEPRAZOLUM ORTANOL (R) CAPS. GASTROREZ. 40mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 7 11.75 1.68 1.36 1.22 43 A02BC01 OMEPRAZOLUM ULTOP CAPS. GASTROREZ. 40mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLAC. DIN PEID X 14 CAPS. GASTROREZ. P-6L 14 19.06 1.36 1.36 1.22 44 A02BC01 OMEPRAZOLUM OMERAN 40 CAPS. GASTROREZ. 40mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/AL X 7 CAPSULE GASTROREZ. P-6L 14 21.13 1.51 1.36 1.22 45 A02BC01 OMEPRAZOLUM LOSEC MUPS 10 mg COMPR. FILM. GASTROREZ. 10mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 14 COMPR. FILM. GASTROREZ. P-6L 14 32.4 2.31 2.31 2.08 46 A02BC01 OMEPRAZOLUM LOSEC MUPS 20 mg COMPR. FILM. GASTROREZ. 20mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 7 COMPR. FILM. GASTROREZ. P-6L 7 29.88 4.27 1.23 1.11 47 A02BC01 OMEPRAZOLUM OMEDAR (R) COMPR. FILM. GASTROREZ. 20mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLAC. DE STICLA BRUNA X 14 COMPR. FILM. GASTROREZ. P-6L 14 17.22 1.23 1.23 1.11

48 A02BC03 LANSOPRAZOLUM LEVANT 15 mg CAPS. GASTROREZ. 15mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-AL-PO/AL-PE X 7 CAPS. GASTROREZ. P-6L 14 5.04 0.36 0.36 0.32 49 A02BC03 LANSOPRAZOLUM LANZUL CAPS. GASTROREZ. 30mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 7 CAPS. GASTROREZ. P-6L 14 9.37 0.67 0.6 0.54 50 A02BC03 LANSOPRAZOLUM LEVANT 30 mg CAPS. GASTROREZ. 30mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-AL-PO/AL-PE X 7 CAPS. GASTROREZ. P-6L 14 8.38 0.6 0.6 0.54 51 A02BC03 LANSOPRAZOLUM LANZAP 30mg CAPS. GASTROREZ. 30mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 CAPS. GASTROREZ. P-6L 20 12.06 0.6 0.6 0.54 52 A03AA04 MEBEVERINUM DUSPATALIN (R) 200 mg CAPS. ELIB. PREL. 200mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 2 BLIST. X 15 CAPS. ELIB. PREL. P-6L 30 20.91 0.7 0.7 0.63 53 A03AA05 TRIMEBUTINUM COLOBUTINE (R) COMPR. 100mg LAB. FOURNIER SA FRANTA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 14.62 0.49 0.33 0.3 54 A03AA05 TRIMEBUTINUM COLOBUTINE (R) COMPR. 100mg LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 10.2 0.51 0.33 0.3 55 A03AA05 TRIMEBUTINUM PROMEBUTIN (R) 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 9.24 0.46 0.33 0.3 56 A03AA05 TRIMEBUTINUM TRIMEBUTIN 100 COMPR. 100mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9.8 0.33 0.33 0.3 57 A03AA05 TRIMEBUTINUM COLPERIN 100 MG COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 10.7 0.36 0.33 0.3 58 A03AA05 TRIMEBUTINUM DEBRIDAT 100 mg COMPR. FILM. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 12.09 0.4 0.4 0.36 59 A03AA05 TRIMEBUTINUM IBUTIN (R) 300 mg COMPR. FILM. ELIB. PREL. 300mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 26.33 1.32 1.32 1.19 60 A03AA05 TRIMEBUTINUM DEBRIDAT GRAN. PT. SUSP. ORALA 24mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 152,5 G GRANULE PT. 250ML SUSP. + MASURA DOZATOARE P-6L 1 8.71 8.71 8.71 7.84 61 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINA 100 mg COMPR. 100mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.58 0.09 0.09 0.08 62 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINA COMPR. 200mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.85 0.19 0.19 0.17 63 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 40 COMPR. P-6L 40 1.03 0.03 0.02 0.02 64 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID COMPR. 10mg SLAVIA PHARM SRL ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L 40 0.85 0.02 0.02 0.02 65 A03FA01 METOCLOPRAMIDUM N - METOCLOPRAMID COMPR. 10mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 40 COMPR. P-6L 40 1 0.03 0.02 0.02 66 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L 40 1.68 0.04 0.02 0.02 67 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID BIOFARM 1mg/5ml SIROP 1mg/5ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA X 100 ML SIROP + MASURA DOZATOARE P-RF 1 6.19 6.19 6.19 5.57

68 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID 10 mg SOL. INJ. 5mg/ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML P-RF 5 3.26 0.65 0.65 0.59 69 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID PIC. ORALE-SOL. 7mg/ml BIOFARM SA ROMANIA CUTIE X 1 FLACON DIN STICLA X 20 ML PIC. ORALE.,SOLUTIE, PREVAZUT CU PICURATOR P-RF 1 2.11 2.11 2.11 1.9 70 A03FA03 DOMPERIDONUM MOTILIUM 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 8.42 0.84 0.71 0.64 71 A03FA03 DOMPERIDONUM MOTILIUM COMPR. FILM. 10mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 10 7.14 0.71 0.71 0.64 72 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P-6L/S 100 118.24 1.18 0.88 0.79 73 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 68.55 1.37 0.88 0.79 74 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 44.2 0.88 0.88 0.79 75 A06AD11 LACTULOSUM LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML P-RF 1 13.94 13.94 5.16 4.64 76 A06AD11 LACTULOSUM LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 100 ML P-RF 1 5.16 5.16 5.16 4.64 77 A06AD11 LACTULOSUM DUPHALAC (R) LICHID ORAL 66.7% SOLVAY PHARMACEUTICALS BV OLANDA FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML P-RF 1 9.99 9.99 9.52 8.57 78 A06AD11 LACTULOSUM LACTULOSE AL SIROP SIROP 66.7% ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN TFPE BRUNA X 200 ML SIROP + MASURA GRADATA X 20 ML P-RF 1 9.52 9.52 9.52 8.57 79 A06AD11 LACTULOSUM LAEVOLAC 670mg/ml SOL. ORALA 670mg/ml FRESENIUS KABI AUSTRIA GMBH AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + DISPOZITIV DE CURGERE + MASURA CU GRADATII D P-RF 1 5.98 5.98 5.98 5.38 80 A07AA02 NYSTATINUM STAMICIN (R) 500000 U.I. COMPR. FILM. 500000ui ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. FILM. P-RF 20 3.38 0.17 0.17 0.15 81 A07AA02 NYSTATINUM NISTATINA COMPR. FILM. 500.000ui ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 3.31 0.17 0.17 0.15 82 A07EC01 SULFASALAZINUM SALAZIDIN COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 23.34 0.47 0.47 0.42 83 A07EC01 SULFASALAZINUM SULFASALAZIN EN COMPR. FILM. GASTROREZ. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 50 21.15 0.42 0.42 0.38 84 A07EC02 MESALAZINUM** PENTASA COMPR. ELIB. PREL. 500mg FERRING A/S DANEMARCA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 100 117.52 1.18 1.18 1.06 85 A07EC02 MESALAZINUM** SALOFALK 250 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L 100 81.02 0.81 0.81 0.73 86 A07EC02 MESALAZINUM** SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L 100 133.51 1.34 1.34 1.21

87 A07EC02 MESALAZINUM** SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L 50 82.9 1.66 1.34 1.21 88 A07EC02 MESALAZINUM** PENTASA SUPOZ. 1g FERRING A/S DANEMARCA CUTIE X 4 BLIST. AL X 7 SUPOZ. + CUTIE PLASTIC X 28 CAUCIURI DE PROTECTIE A DEGETULUI P-6L 28 174.58 6.24 6.24 5.62 89 A07EC02 MESALAZINUM** SALOFALK (R) 250 mg SUPOZ. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 28.95 2.9 2.9 2.61 Page 2 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 90 A07EC02 MESALAZINUM** SALOFALK (R) 500 mg SUPOZ. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 47.46 4.75 4.75 4.28 91 A07EC02 MESALAZINUM** SALOFALK 4 g/ 60 ml SUSP. RECTALA 4g/60ml DR. FALK PHARMA GMBH GERMANIA CUTIE X 7 BLIST. AL/PE CONTINAND FIECARE CATE 1 FLACON UNIDOZA X 60 ML SUSPENSIE RECTALA + APLICA P-6L 7 161.88 23.13 23.13 20.82 92 B01AA07 ACENOCUMAROLUM TROMBOSTOP 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.31 0.08 0.08 0.07 93 B01AA07 ACENOCUMAROLUM SINTROM (R) COMPR. 4mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.36 0.32 0.32 0.29 94 B01AC05 TICLOPIDINUM1 TICLID (R) 250 mg COMPR. FILM. 250mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 2 FOLII TERMOSUDATE X 10 COMPR. FILM. P-RF 20 31.39 1.57 0.52 0.47 95 B01AC05 TICLOPIDINUM1 TICLODIN COMPR. FILM. 250mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-RF 20 24.47 1.22 0.52 0.47

96 B01AC05 TICLOPIDINUM1 IPATON COMPR. FILM. 250mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/ PVC X 10 COMPR.FILM. P-RF 20 25.41 1.27 0.52 0.47 97 B01AC05 TICLOPIDINUM1 TICLOPIDIN SANDOZ COMPR. FILM. 250mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PDVC/AL X 10 COMPR. P-RF 30 15.51 0.52 0.52 0.47 98 B02BA01 PHYTOMENADIONUM FITOMENADION 10 mg/ml SOL. INJ. 10mg/ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE PREVAZUTE CU PUNCT DE RUPERE X 1 ML S/P-RF 5 4.06 0.81 0.81 0.73 99 B03AA07 FERROSI SULFAS FERROGRADUMET (R) COMPR. ELIB. PREL. 105mg TEOFARMA SRL ITALIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 30 5.37 0.18 0.18 0.16 100 B03AA07 FERROSI SULFAS FERRO - GRADUMET (R) COMPR.FILM.ELIB.PREL FARA CONCENTRATIE POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. CU ELIB. PREL. P-6L 30 6.46 0.22 0.22 0.2 101 B03AA07 FERROSI SULFAS TARDYFERON 80 mg DRAJ. ELIB. PREL. 80mg LAB. PIERRE FABRE FRANTA CUTIE X 3 BLIST. AL/PVDC-PE-PVC X 10 DRAJ. ELIB. PREL. P-6L 30 9.74 0.32 0.32 0.29 102 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT MALTOFER COMPR. MAST. 100mg VIFOR FRANCE S.A. FRANTA CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. MASTIC. P-6L 30 14.97 0.5 0.5 0.45 103 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT PHARMA-FERRUM (R) PICATURI ORALE-SOL. 5% TERAPIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 50 ML P-6L 1 9.35 9.35 8.06 7.25 104 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT PHARMA-FERRUM (R) PICATURI ORALE-SOL. 5% TERAPIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 30 ML P-6L 1 8.06 8.06 8.06 7.25 105 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT FERRUM HAUSMANN (R) PICATURI ORALE-SOL. 50mg/ml VIFOR FRANCE S.A. FRANTA CUTIE X 1 FLACON CU PICURATOR X 30 ML P-6L 1 9.2 9.2 8.06 7.25 106 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT FERRUM HAUSMANN (R) SIROP 10mg/ml VIFOR FRANCE S.A. FRANTA CUTIE X 1 FLACON X 150 ML + O MASURA DOZATOARE P-6L 1 10.47 10.47 10.47 9.42 107 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT FERGLUROM 50mg/5ml SIROP 50mg/5ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE GRADATA DE LA 2,5 - 20 ML P-6L 1 6.87 6.87 6.87 6.18 108 B03AEN1 COMBINATII (FERROSI SULFAS+ACIDUM ASCORBICUM) SORBIFER DURULES COMPR. FILM. FARA CONCENTRATIE EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. FILM. P-6L 50 10.54 0.21 0.21 0.19 109 B03BB01 ACIDUM FOLICUM ACIFOL (R) 5 mg COMPR. FILM. 5mg ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. P-6L 30 0.91 0.03 0.03 0.03 110 C01AA05 DIGOXINUM DIGOXIN 0,25 mg COMPR. 0.25mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 1.4 0.06 0.06 0.05 111 C01AA05 DIGOXINUM DIGOXIN 0,5 mg/2 ml SOL. INJ. 0.5mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. S/P-RF 5 3.23 0.65 0.65 0.59 112 C01AA05 DIGOXINUM LANOXIN SOLUTIE ORALA SOL. ORALA 0.05mg/ml THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA BRUNA X 60 ML SOL. ORALA + PIPETA X 1 ML P-RF 1 8.77 8.77 8.77 7.89 113 C01BA01 CHINIDINI SULFAS CHINIDINA SULFAT 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 20 COMPR. P-RF 20 8.47 0.42 0.17 0.15 114 C01BA01 CHINIDINI SULFAS CHINIDINA 200 mg COMPR. 200mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.42 0.17 0.17 0.15 115 C01BC03 PROPAFENONUM PROPAFENONA 150 mg COMPR. 150mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 34.38 1.72 1.72 1.55

116 C01BC03 PROPAFENONUM RYTMONORM (R) COMPR. FILM. 150mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 50 32.44 0.65 0.27 0.24 117 C01BC03 PROPAFENONUM PROPAFENON AL 150 COMPR. FILM. 150mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. X 25 COMPR. FILM. P-RF 50 23.22 0.46 0.27 0.24 118 C01BC03 PROPAFENONUM PROPAFENON AL 150 COMPR. FILM. 150mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 20 COMPR. FILM. P-RF 20 9.28 0.46 0.27 0.24 119 C01BC03 PROPAFENONUM PROPAFENON AL 150 COMPR. FILM. 150mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 4 BLIST. X 25 COMPR. FILM. P-RF 100 46.44 0.46 0.27 0.24 120 C01BC03 PROPAFENONUM PROPAFENON SANDOZ 150 mg COMPR. FILM. 150mg HEXAL AG GERMANIA CUTIE X 5 BLIST. AL/PP X 10 COMPR. FILM. P-RF 50 13.44 0.27 0.27 0.24 121 C01BC03 PROPAFENONUM RYTMONORM SOL. INJ. 70mg/20ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 20 ML SOL. INJ. P-RF 5 42.34 8.47 8.47 7.62 122 C01BD01 AMIODARONUM SEDACORON (R) COMPR. 200mg EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.79 0.49 0.26 0.23 123 C01BD01 AMIODARONUM SEDACORON (R) COMPR. 200mg EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 20.25 0.41 0.26 0.23 124 C01BD01 AMIODARONUM AMIODARONA LPH (R) 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 7.71 0.26 0.26 0.23 125 C01BD01 AMIODARONUM AMIODARONA LPH (R) 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.98 0.35 0.26 0.23 126 C01BD01 AMIODARONUM DARITMIN (R) 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 8.38 0.28 0.26 0.23 127 C01BD01 AMIODARONUM AMIODARONA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 7.72 0.26 0.26 0.23 128 C01BD01 AMIODARONUM CORDARONE 200 mg COMPR. DIVIZ. 200mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. DIVIZ. P-RF 30 16.71 0.56 0.56 0.5 129 C01DA02 NITROGLYCERINUM NITROMINT SPRAY SUBLINGUAL 0.4mg/doza EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON X 10G (180 DOZE) SPRAY SUBLINGUAL P-6L 1 12.48 12.48 12.48 11.23 130 C01DA02 NITROGLYCERINUM NITROMINT 2,6 mg COMPR. ELIB. PREL. 2.6mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 60 COMPR. ELIB. PREL. P-6L 60 9.37 0.16 0.16 0.14 131 C01DA02 NITROGLYCERINUM NITROGLICERINA 0,5 mg COMPR. SUBLING. 0.5mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. SUBLINGUALE P-6L 20 2.98 0.15 0.15 0.14 132 C01DA02 NITROGLYCERINUM NITRODERM (R) TTS 5 SIST. TERAP. TRANSDERM. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 PLICURI X 1 SIST. TERAPEUTIC TRANSDERMIC P-6L 10 33.78 3.38 3.38 3.04 133 C01DA08 ISOSORBIDI DINITRAS DINITER SR 20 mg CAPS. ELIB. PREL. 20mg TERAPIA SA ROMANIA CUTIEX 2 BLIST. X 10 CAPS. ELIB. PREL. P-6L 20 3.88 0.19 0.19 0.17 134 C01DA08 ISOSORBIDI DINITRAS DINITER SR 40 mg CAPS. ELIB. PREL. 40mg TERAPIA SA ROMANIA CUTIEX 2 BLIST. X 10 CAPS. ELIB. PREL. P-6L 20 6.45 0.32 0.32 0.29 135 C01DA08 ISOSORBIDI DINITRAS ISOSORBIDE DINITRATE 10 mg COMPR. 10mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-6L 60 1.71 0.03 0.03 0.03

136 C01DA08 ISOSORBIDI DINITRAS ISODINIT (R) RETARD COMPR. ELIB. PREL. 20mg BALKAN PHARMA DUPNITZA AD BULGARIA CUTIE X 6 BLIST. X 10 COMPR. ELIB. PREL. P-6L 60 2.99 0.05 0.05 0.05 137 C01DA14 ISOSORBIDI MONONITRAS OLICARD 40 mg RETARD CAPS. ELIB. PREL. 40mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 20 11.83 0.59 0.59 0.53 138 C01DA14 ISOSORBIDI MONONITRAS OLICARD 60 mg RETARD CAPS. ELIB. PREL. 60mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 20 16.71 0.84 0.84 0.76 Page 3 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213

alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 139 C01DA14 ISOSORBIDI MONONITRAS MONONITRON (R) EP 60 mg COMPR. FILM. ELIB. PREL. 60mg ZENTIVA S.A ROMANIA CUTIE X 4 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 40 25.05 0.63 0.63 0.57 140 C01EA01 ALPROSTADILUM ALPROSTADIL "PINT" 20 ug CONC. PT. SOL. PERF. 20µg PINT-PHARMA GMBH AUSTRIA CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF S 5 271.14 54.23 54.23 48.81 141 C01EA01 ALPROSTADILUM VASAPROSTAN 20 LIOF. PT. SOL. PERF. 20µg SCHWARZ PHARMA AG GERMANIA CUTIE X 10 FIOLE X 5 ML LIOF. PT. SOL. PERF. S 10 606.77 60.68 54.23 48.81 142 C01EB15 TRIMETAZIDINUM TRIMETAZIDIN 20 mg CAPS. 20mg VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 CAPS. P-6L 30 9.63 0.32 0.32 0.29 143 C01EB15 TRIMETAZIDINUM PREDUCTAL (R) COMPR. FILM. 20mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. X 30 COMPR. FILM. P-6L 60 28.34 0.47 0.22 0.2 144 C01EB15 TRIMETAZIDINUM TRIVEDON 20 COMPR. FILM. 20mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 6 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 60 13.2 0.22 0.22 0.2

145 C01EB15 TRIMETAZIDINUM PREDOZONE 20 mg COMPR. FILM. 20mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC-PVDC X 30 COMPR. FILM. P-6L 60 13.71 0.23 0.22 0.2 146 C01EB15 TRIMETAZIDINUM MODUXIN (R) 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 9.73 0.32 0.22 0.2 147 C01EB15 TRIMETAZIDINUM DILATAN 20 mg COMPR. FILM. 20mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 30 9.73 0.32 0.22 0.2 148 C01EB15 TRIMETAZIDINUM TRIMETAZIDINA LPH (R) 20 mg COMPR. FILM. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. FILM. P-6L 60 17.64 0.29 0.22 0.2 149 C01EB15 TRIMETAZIDINUM PREDUCTAL (R) MR COMPR. FILM. ELIB. MODIF. 35mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 30 COMPR. FILM. ELIB. MODIF. P-6L 60 43.66 0.73 0.5 0.45 150 C01EB15 TRIMETAZIDINUM TRIMETAZIDINA LPH (R) 35 mg COMPR. FILM. ELIB. MODIF. 35mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. MODIF. P-6L 60 32.62 0.54 0.5 0.45 151 C01EB15 TRIMETAZIDINUM DILATAN MR 35 mg COMPR. FILM. ELIB. MODIF. 35mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 15.13 0.5 0.5 0.45 152 C01EB15 TRIMETAZIDINUM TRIMETAZIDINA 20 mg DRAJ. 20mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-6L 30 9.63 0.32 0.32 0.29 153 C02AB01 METHYLDOPUM DOPEGYT COMPR. 250mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 9.23 0.18 0.18 0.16 154 C02AC01 CLONIDINUM CLONIDINA 0,15 mg COMPR. 0.15mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 1.68 0.03 0.03 0.03 155 C02AC01 CLONIDINUM CLONIDINA SINTOFARM 0,15 mg COMPR. 0.15mg SINTOFARM SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 1.6 0.03 0.03 0.03 156 C03AA03 HYDROCHLOROTHIAZIDUM NEFRIX 25 mg COMPR. 25mg ZENTIVA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L 25 0.77 0.03 0.03 0.03 157 C03BA11 INDAPAMIDUM IMPAMID (R) 2,5 mg COMPR. 2.5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR. P-6L 30 10.1 0.34 0.34 0.31 158 C03BA11 INDAPAMIDUM INDAPAMID MCC 1,5 MG COMPR. ELIB. PREL. 1.5mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 30 13.9 0.46 0.46 0.41 159 C03BA11 INDAPAMIDUM INDAPAMID LPH (R) 2,5 mg COMPR. FILM. 2.5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 10.04 0.33 0.13 0.12 160 C03BA11 INDAPAMIDUM INDATER (R) 2,5 mg COMPR. FILM. 2.5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 9.93 0.33 0.13 0.12 161 C03BA11 INDAPAMIDUM INDAPAMIDE 2,5 mg COMPR. FILM. 2.5mg HEMOFARM S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 3.94 0.13 0.13 0.12 162 C03BA11 INDAPAMIDUM IMPAMID SR 1,5 mg COMPR. FILM. ELIB. PREL. 1,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. FILM. ELIB. PREL. P-6L 30 9 0.3 0.3 0.27 163 C03BA11 INDAPAMIDUM INDAPAMID SR 1,5 mg LAROPHARM COMPR. FILM. ELIB. PREL. 1.5 mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 20 9.06 0.45 0.3 0.27 164 C03BA11 INDAPAMIDUM TERTENSIF (R) SR COMPR. FILM. ELIB. PREL. 1.5mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. X 15 COMPR. FILM. ELIB. PREL. P-6L 30 18.39 0.61 0.3 0.27

165 C03BA11 INDAPAMIDUM INDAPAMID LPH (R) 1,5 mg COMPR. FILM. ELIB. PREL. 1.5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 30 13.9 0.46 0.3 0.27 166 C03BA11 INDAPAMIDUM INDATER SR 1,5 mg COMPR. FILM. ELIB. PREL. 1,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.ELIB. PREL. P-6L 30 13.01 0.43 0.3 0.27 167 C03BA11 INDAPAMIDUM RAWEL SR 1,5 mg COMPR. FILM. ELIB. PREL. 1.5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 9.19 0.31 0.3 0.27 168 C03CA01 FUROSEMIDUM FUROSEMID 40 mg COMPR. 40mg MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.27 0.11 0.06 0.05 169 C03CA01 FUROSEMIDUM FUROSEMID COMPR. 40mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.68 0.08 0.06 0.05 170 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 1.43 0.07 0.06 0.05 171 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 1.19 0.06 0.06 0.05 172 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.27 0.11 0.06 0.05 173 C03CA01 FUROSEMIDUM FUROSEMID ARENA 40 mg COMPR. 40mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.19 0.06 0.06 0.05 174 C03CA01 FUROSEMIDUM FUROSEMID 20 mg/2 ml SOL. INJ. 10mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 2.47 0.49 0.49 0.44 175 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 21.63 0.72 0.72 0.65 176 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 14.46 0.48 0.48 0.43 177 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.08 0.15 0.15 0.14 178 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. 25mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 7.94 0.16 0.15 0.14 179 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 9.22 0.18 0.15 0.14 180 C03DA01 SPIRONOLACTONUM ALSPIRON 25 mg COMPR. FILM. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 3.07 0.15 0.15 0.14 181 C03DA01 SPIRONOLACTONUM ALSPIRON 50 mg COMPR. FILM. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 9.4 0.47 0.47 0.42 182 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUREX 50 CAPS. FARA CONCENTRATIE TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 10.44 0.52 0.52 0.47 183 C04AD03 PENTOXIFYLLINUM ANGIOPENT 400 mg COMPR. FILM. ELIB. PREL. 400mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 20 10.45 0.52 0.37 0.33 184 C04AD03 PENTOXIFYLLINUM PENTOXI RETARD 400 mg COMPR. FILM. ELIB. PREL. 400mg TERAPIA SA ROMANIA CUTIE X 4 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 40 14.93 0.37 0.37 0.33

185 C04AD03 PENTOXIFYLLINUM PENTOXI RETARD 400 mg COMPR. FILM. ELIB. PREL. 400mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 20 11.44 0.57 0.37 0.33 186 C04AD03 PENTOXIFYLLINUM ANGIOPENT 600 mg COMPR. FILM. ELIB. PREL. 600mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 20 10.96 0.55 0.55 0.5 187 C04AD03 PENTOXIFYLLINUM TRENTAL (R) DRAJ. ELIB. PREL. 400mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. ELIB. PREL. P-6L 20 17.92 0.9 0.9 0.81 Page 4 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 188 C07AA05 PROPRANOLOLUM PROPRANOLOL COMPR. 10mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 25 COMPR. P-6L 50 2.4 0.05 0.04 0.04 189 C07AA05 PROPRANOLOLUM N - PROPRANOLOL 10 mg COMPR. 10mg SC MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 2.38 0.05 0.04 0.04 190 C07AA05 PROPRANOLOLUM PROPRANOLOL 10 mg COMPR. 10mg SINTOFARM SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 2.15 0.04 0.04 0.04 191 C07AA05 PROPRANOLOLUM PROPRANOLOL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 2.4 0.05 0.05 0.05 192 C07AA05 PROPRANOLOLUM PROPRANOLOL 40 mg COMPR. 40mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 3.54 0.07 0.05 0.05 193 C07AA05 PROPRANOLOLUM PROPRANOLOL 40 mg COMPR. 40mg SINTOFARM SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 2.4 0.05 0.05 0.05 194 C07AA07 SOTALOLUM DAROB (R) 160 mg COMPR. 160mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. AL/PVP X 10 COMPR. P-6L 20 29.57 1.48 0.47 0.42

195 C07AA07 SOTALOLUM ALS-SOTALOL 160 mg COMPR. 160mg ALSIFCOM INTERMED SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 13.47 0.67 0.47 0.42 196 C07AA07 SOTALOLUM SOTAGAMMA 160 COMPR. 160mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 20 9.47 0.47 0.47 0.42 197 C07AA07 SOTALOLUM SOTAGAMMA 160 COMPR. 160mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 100 46.67 0.47 0.47 0.42 198 C07AA07 SOTALOLUM SOTALOL AL 160 COMPR. 160mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 11.62 0.58 0.47 0.42 199 C07AA07 SOTALOLUM SOTALOL AL 160 COMPR. 160mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 29.02 0.58 0.47 0.42 200 C07AA07 SOTALOLUM SOTALOL AL 160 COMPR. 160mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 58.05 0.58 0.47 0.42 201 C07AA07 SOTALOLUM DAROB (R) 80 mg COMPR. 80mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. AL/PVP X 10 COMPR. P-6L 20 11.69 0.58 0.29 0.26 202 C07AA07 SOTALOLUM ALS-SOTALOL 80 mg COMPR. 80mg ALSIFCOM INTERMED SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 7.73 0.39 0.29 0.26 203 C07AA07 SOTALOLUM SOTAGAMMA 80 COMPR. 80mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 50 14.49 0.29 0.29 0.26 204 C07AA07 SOTALOLUM SOTAGAMMA 80 COMPR. 80mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 100 28.75 0.29 0.29 0.26 205 C07AA07 SOTALOLUM SOTAGAMMA 80 COMPR. 80mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 20 6.51 0.33 0.29 0.26 206 C07AB02 METOPROLOLUM VASOCARDIN (R) 100 COMPR. 100mg SLOVAKOFARMA SLOVACIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 8.37 0.17 0.17 0.15 207 C07AB02 METOPROLOLUM BLOXAN COMPR. 100mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC/PVDC TRANSPARENT/AL X 10 COMPR. P-6L 30 13.09 0.44 0.17 0.15 208 C07AB02 METOPROLOLUM BETAPROL 100 mg COMPR. 100mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.5 0.25 0.17 0.15 209 C07AB02 METOPROLOLUM EGILOK 100 mg COMPR. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 8.03 0.4 0.17 0.15 210 C07AB02 METOPROLOLUM METOPROLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.36 0.25 0.17 0.15 211 C07AB02 METOPROLOLUM METOPROLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.28 0.26 0.17 0.15 212 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.26 0.26 0.17 0.15 213 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 6.69 0.22 0.17 0.15 214 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 100 21.37 0.21 0.17 0.15

215 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 50 10.69 0.21 0.17 0.15 216 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.12 0.31 0.17 0.15 217 C07AB02 METOPROLOLUM METOPRO TAD 100 COMPR. 100mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6L 50 11.55 0.23 0.17 0.15 218 C07AB02 METOPROLOLUM METOPRO TAD 100 COMPR. 100mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 COMPR. P-6L 100 22.4 0.22 0.17 0.15 219 C07AB02 METOPROLOLUM METOPRO TAD 100 COMPR. 100mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 7.75 0.26 0.17 0.15 220 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.25 0.21 0.17 0.15 221 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 100 MG COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9.23 0.31 0.17 0.15 222 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 100 mg COMPR. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.28 0.26 0.17 0.15 223 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 100 mg COMPR. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.36 0.25 0.17 0.15 224 C07AB02 METOPROLOLUM EGILOK 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 4.58 0.23 0.1 0.09 225 C07AB02 METOPROLOLUM METOPROLOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 2.15 0.11 0.1 0.09 226 C07AB02 METOPROLOLUM METOPROLOL 25 mg COMPR. 25mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.13 0.1 0.1 0.09 227 C07AB02 METOPROLOLUM METOPROLOL 25 mg COMPR. 25mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.08 0.1 0.1 0.09 228 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 25 mg COMPR. 25mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.13 0.1 0.1 0.09 229 C07AB02 METOPROLOLUM BETAPROL 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.29 0.21 0.15 0.14 230 C07AB02 METOPROLOLUM EGILOK 50 mg COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 6.24 0.31 0.15 0.14 231 C07AB02 METOPROLOLUM METOPROLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.17 0.21 0.15 0.14 232 C07AB02 METOPROLOLUM METOPROLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.03 0.2 0.15 0.14 233 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.72 0.24 0.15 0.14 234 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 5.45 0.18 0.15 0.14

235 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L 100 16.71 0.17 0.15 0.14 236 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 50 8.57 0.17 0.15 0.14 Page 5 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 237 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.75 0.16 0.15 0.14 238 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.66 0.23 0.15 0.14 239 C07AB02 METOPROLOLUM METOPRO TAD 50 COMPR. 50mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 6.06 0.2 0.15 0.14 240 C07AB02 METOPROLOLUM METOPRO TAD 50 COMPR. 50mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 COMPR. P-6L/S 100 16.98 0.17 0.15 0.14 241 C07AB02 METOPROLOLUM METOPRO TAD 50 COMPR. 50mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6L 50 9.2 0.18 0.15 0.14 242 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.58 0.15 0.15 0.14 243 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.9 0.23 0.15 0.14

244 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 50 mg COMPR. 50mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.13 0.16 0.15 0.14 245 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 50 mg COMPR. 50mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.75 0.16 0.15 0.14 246 C07AB02 METOPROLOLUM METOPROLOL RETARD 100 mg COMPR. ELIB. PREL. 100mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL. P-6L 20 9 0.45 0.45 0.41 247 C07AB02 METOPROLOLUM VASOCARDIN (R) SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 100 43.64 0.44 0.44 0.4 248 C07AB02 METOPROLOLUM VASOCARDIN (R) SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 60 26.86 0.45 0.44 0.4 249 C07AB02 METOPROLOLUM VASOCARDIN (R) SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 30 15.61 0.52 0.44 0.4 250 C07AB02 METOPROLOLUM BETALOC (R) ZOC 100 mg COMPR. FILM. ELIB. PREL. 100mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 18.14 0.6 0.6 0.54 251 C07AB02 METOPROLOLUM BETALOC (R) ZOC 50 mg COMPR. FILM. ELIB. PREL. 50mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 11.08 0.37 0.37 0.33 252 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 190 mg COMPR.FILM.ELIB.MOD. 190mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 20.36 0.68 0.68 0.61 253 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 47,5 mg COMPR.FILM.ELIB.MOD. 47.5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 7.33 0.24 0.24 0.22 254 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 95 mg COMPR.FILM.ELIB.MOD. 95mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 11.98 0.4 0.4 0.36 255 C07AB03 ATENOLOLUM ATECOR COMPR. 100mg WIN - MEDICARE LTD. INDIA CUTIE X 10 BLIST. X 10 COMPR. P-6L 100 9.37 0.09 0.09 0.08 256 C07AB03 ATENOLOLUM ATENOCOR 100 mg COMPR. 100mg AC HELCOR SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.42 0.25 0.09 0.08 257 C07AB03 ATENOLOLUM ATENOLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.02 0.25 0.09 0.08 258 C07AB03 ATENOLOLUM ATENOLOL 100 mg COMPR. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.46 0.22 0.09 0.08 259 C07AB03 ATENOLOLUM ATENOLOL 100 mg COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.46 0.22 0.09 0.08 260 C07AB03 ATENOLOLUM ATENOLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.22 0.16 0.13 0.12 261 C07AB03 ATENOLOLUM ATENOLOL 50 mg COMPR. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.22 0.16 0.13 0.12 262 C07AB03 ATENOLOLUM ATENOCOR 50 mg COMPR. 50mg AC HELCOR SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.82 0.13 0.13 0.12 263 C07AB03 ATENOLOLUM ATENOLOL 50 mg COMPR. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.22 0.16 0.13 0.12

264 C07AB03 ATENOLOLUM ATENOLOL 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 4.9 0.25 0.18 0.16 265 C07AB03 ATENOLOLUM ATENOLOL 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 7.45 0.25 0.18 0.16 266 C07AB03 ATENOLOLUM VASCOTEN COMPR. FILM. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 10 COMPR.FILM. P-6L 20 3.61 0.18 0.18 0.16 267 C07AB03 ATENOLOLUM ATENOLOL 100 mg MEDO COMPR. FILM. 100mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 3.5 0.18 0.18 0.16 268 C07AB03 ATENOLOLUM ATENOLOL 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 7.96 0.16 0.16 0.14 269 C07AB03 ATENOLOLUM ATENOLOL 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 4.75 0.16 0.16 0.14 270 C07AB05 BETAXOLOLUM LOKREN 20 mg COMPR. FILM. 20mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.FILM. P-6L 28 23.22 0.83 0.73 0.66 271 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM. P-6L 28 20.45 0.73 0.73 0.66 272 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 21.83 0.73 0.73 0.66 273 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 15.33 0.77 0.73 0.66 274 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. P-6L 14 10.69 0.76 0.73 0.66 275 C07AB07 BISOPROLOLUM BISOBLOCK 10 mg COMPR. 10mg KERI PHARMA GENERICS LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 19.1 0.64 0.64 0.58 276 C07AB07 BISOPROLOLUM BISOBLOCK 5 mg COMPR. 5mg KERI PHARMA GENERICS LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 12.22 0.41 0.41 0.37 277 C07AB07 BISOPROLOLUM CONCOR 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 28.25 0.94 0.42 0.38 278 C07AB07 BISOPROLOLUM BISOGAMMA (R) 10 COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L/S 100 42.11 0.42 0.42 0.38 279 C07AB07 BISOPROLOLUM BISOGAMMA (R) 10 COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 21.79 0.44 0.42 0.38 280 C07AB07 BISOPROLOLUM BISOGAMMA (R) 10 COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 13.53 0.45 0.42 0.38 281 C07AB07 BISOPROLOLUM BISOTENS 10 mg COMPR. FILM. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 18.01 0.6 0.42 0.38 282 C07AB07 BISOPROLOLUM CONCOR COR 2,5 mg COMPR. FILM. 2.5mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 11.83 0.39 0.39 0.35 283 C07AB07 BISOPROLOLUM CONCOR 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 23.51 0.78 0.25 0.23

284 C07AB07 BISOPROLOLUM BISOGAMMA (R) 5 COMPR. FILM. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. X 25 COMPR. FILM. P-6L 50 13.11 0.26 0.25 0.23 285 C07AB07 BISOPROLOLUM BISOGAMMA (R) 5 COMPR. FILM. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 9.15 0.31 0.25 0.23 Page 6 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 286 C07AB07 BISOPROLOLUM BISOGAMMA (R) 5 COMPR. FILM. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 4 BLIST. X 25 COMPR. FILM. P-6L 100 24.85 0.25 0.25 0.23 287 C07AB07 BISOPROLOLUM BISOTENS 5 mg COMPR. FILM. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 11.19 0.37 0.25 0.23 288 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 12,5 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.42 0.21 0.21 0.19 289 C07AG02 CARVEDILOLUM DILATREND (R) 12,5 mg COMPR. 12.5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 45.33 1.62 0.21 0.19 290 C07AG02 CARVEDILOLUM CORYOL (R) COMPR. 12.5mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 18.46 0.66 0.21 0.19 291 C07AG02 CARVEDILOLUM TALLITON (R) 12,5 mg COMPR. 12.5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 18.01 0.6 0.21 0.19 292 C07AG02 CARVEDILOLUM CARVEDILOL 12,5 mg COMPR. 12.5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 13.51 0.68 0.21 0.19

293 C07AG02 CARVEDILOLUM ATRAM 12,5 COMPR. 12.5mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L 30 14.41 0.48 0.21 0.19 294 C07AG02 CARVEDILOLUM CARVEDILOL HELCOR 12,5 mg COMPR. 12.5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 9.32 0.47 0.21 0.19 295 C07AG02 CARVEDILOLUM CARVEDILOL LPH 12,5 mg COMPR. 12.5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 15.6 0.52 0.21 0.19 296 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 12,5 mg COMPR. 12.5mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.39 0.21 0.21 0.19 297 C07AG02 CARVEDILOLUM DILATREND (R) 25 mg COMPR. 25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 61.37 2.19 0.22 0.2 298 C07AG02 CARVEDILOLUM CORYOL (R) COMPR. 25mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L 28 28.53 1.02 0.22 0.2 299 C07AG02 CARVEDILOLUM TALLITON (R) 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 28.2 0.94 0.22 0.2 300 C07AG02 CARVEDILOLUM ATRAM 25 COMPR. 25mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 24.15 0.81 0.22 0.2 301 C07AG02 CARVEDILOLUM CARVEDILOL HELCOR 25 mg COMPR. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 15.87 0.79 0.22 0.2 302 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.75 0.23 0.22 0.2 303 C07AG02 CARVEDILOLUM CARVEDILOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 23.2 0.77 0.22 0.2 304 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 25 mg COMPR. 25mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.68 0.22 0.22 0.2 305 C07AG02 CARVEDILOLUM CORYOL (R) 3,125 mg COMPR. 3.125mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 6.11 0.22 0.22 0.2 306 C07AG02 CARVEDILOLUM DILATREND (R) 6,25 mg COMPR. 6.25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 23.36 0.83 0.16 0.14 307 C07AG02 CARVEDILOLUM CORYOL (R) COMPR. 6.25mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 9.23 0.33 0.16 0.14 308 C07AG02 CARVEDILOLUM TALLITON 6,25 mg COMPR. 6.25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 9.2 0.31 0.16 0.14 309 C07AG02 CARVEDILOLUM CARVEDILOL 6,25 mg COMPR. 6.25mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.54 0.33 0.16 0.14 310 C07AG02 CARVEDILOLUM ATRAM 6,25 COMPR. 6.25mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L 30 6.01 0.2 0.16 0.14 311 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 6.25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.42 0.21 0.16 0.14 312 C07AG02 CARVEDILOLUM CARVEDILOL LPH 6,25 mg COMPR. 6.25mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 6.41 0.21 0.16 0.14

313 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 6,25 mg COMPR. 6.25mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 4.65 0.16 0.16 0.14 314 C07AG02 CARVEDILOLUM CARVEDIGAMMA 12,5 mg COMPR. FILM. 12.5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 15.47 0.52 0.52 0.47 315 C07AG02 CARVEDILOLUM CARVEDIGAMMA 25 mg COMPR. FILM. 25mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 25.18 0.84 0.84 0.76 316 C07AG02 CARVEDILOLUM CARVEDIGAMMA 6,25 mg COMPR. FILM. 6.25mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 6.59 0.22 0.22 0.2 317 C08CA01 AMLODIPINUM NORVASC 10 mg COMPR. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 46.33 1.54 0.13 0.12 318 C08CA01 AMLODIPINUM AMLOHEXAL 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR. P-6L 30 28.05 0.94 0.13 0.12 319 C08CA01 AMLODIPINUM TENOX (R) 10 COMPR. 10mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 14.93 0.5 0.13 0.12 320 C08CA01 AMLODIPINUM AMLODIPIN 10 mg COMPR. 10mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC-COC-PVDC/AL X 10 COMPR. P-6L 20 10.38 0.52 0.13 0.12 321 C08CA01 AMLODIPINUM AMLO TAD 10 mg COMPR. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L/S 100 50.69 0.51 0.13 0.12 322 C08CA01 AMLODIPINUM AMLO TAD 10 mg COMPR. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 25.7 0.51 0.13 0.12 323 C08CA01 AMLODIPINUM AMLO TAD 10 mg COMPR. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 10.28 0.51 0.13 0.12 324 C08CA01 AMLODIPINUM AMLODIPINE-TEVA 10 mg COMPR. 10mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR P-6L 30 3.94 0.13 0.13 0.12 325 C08CA01 AMLODIPINUM ALOZUR 10 mg COMPR. 10mg OZONE LABORATORIES BV OLANDA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 15.66 0.52 0.13 0.12 326 C08CA01 AMLODIPINUM STAMLO M 10 mg COMPR. 10mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 14 COMPR. P-6L 28 10.67 0.38 0.13 0.12 327 C08CA01 AMLODIPINUM VASOREX 10 mg COMPR. 10mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 14.76 0.49 0.13 0.12 328 C08CA01 AMLODIPINUM NORVASC 5 mg COMPR. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 23.17 0.77 0.07 0.06 329 C08CA01 AMLODIPINUM AMLOHEXAL 5 mg COMPR. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR. P-6L 30 14.9 0.5 0.07 0.06 330 C08CA01 AMLODIPINUM TENOX (R) 5 COMPR. 5mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 8.65 0.29 0.07 0.06 331 C08CA01 AMLODIPINUM AMLODIPIN 5 mg COMPR. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC-COC-PVDC/AL X 10 COMPR. P-6L 20 5.88 0.29 0.07 0.06 332 C08CA01 AMLODIPINUM AMLO TAD 5 mg COMPR. 5mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVCD/AL X 10 COMPR. P-6L/S 100 25.93 0.26 0.07 0.06

333 C08CA01 AMLODIPINUM AMLO TAD 5 mg COMPR. 5mg TAD PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC-PVCD/AL X 10 COMPR. P-6L 20 4.14 0.21 0.07 0.06 334 C08CA01 AMLODIPINUM AMLO TAD 5 mg COMPR. 5mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVCD/AL X 10 COMPR. P-6L 50 13.2 0.26 0.07 0.06 Page 7 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 335 C08CA01 AMLODIPINUM AMLODIPINE-TEVA 5 mg COMPR. 5mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST PVC-PVDC/AL X 10 COMPR. P-6L 30 2.04 0.07 0.07 0.06 336 C08CA01 AMLODIPINUM ALOZUR 5 mg COMPR. 5mg OZONE LABORATORIES BV OLANDA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 8.13 0.27 0.07 0.06 337 C08CA01 AMLODIPINUM STAMLO M 5 mg COMPR. 5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 14 COMPR. P-6L 28 6.55 0.23 0.07 0.06 338 C08CA01 AMLODIPINUM VASOREX 5 mg COMPR. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.82 0.26 0.07 0.06 339 C08CA02 FELODIPINUM FELODIPIN AL 10 RETARD COMPR. ELIB. MODIF. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 50 55.73 1.11 1.11 1 340 C08CA02 FELODIPINUM FELODIPIN AL 10 RETARD COMPR. ELIB. MODIF. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. ELIB. MODIF. P-6L/S 100 111.45 1.11 1.11 1 341 C08CA02 FELODIPINUM FELODIPIN AL 10 RETARD COMPR. ELIB. MODIF. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 30 33.43 1.11 1.11 1

342 C08CA02 FELODIPINUM FELODIPIN AL 10 RETARD COMPR. ELIB. MODIF. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 20 22.28 1.11 1.11 1 343 C08CA02 FELODIPINUM FELODIPIN AL 2,5 RETARD COMPR. ELIB. MODIF. 2.5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 30 14.62 0.49 0.49 0.44 344 C08CA02 FELODIPINUM FELODIPIN AL 2,5 RETARD COMPR. ELIB. MODIF. 2.5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 50 24.39 0.49 0.49 0.44 345 C08CA02 FELODIPINUM FELODIPIN AL 2,5 RETARD COMPR. ELIB. MODIF. 2.5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. ELIB. MODIF. P-6L/S 100 48.75 0.49 0.49 0.44 346 C08CA02 FELODIPINUM FELODIPIN AL 2,5 RETARD COMPR. ELIB. MODIF. 2.5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 20 9.74 0.49 0.49 0.44 347 C08CA02 FELODIPINUM FELODIPIN AL 5 RETARD COMPR. ELIB. MODIF. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 30 20.91 0.7 0.7 0.63 348 C08CA02 FELODIPINUM FELODIPIN AL 5 RETARD COMPR. ELIB. MODIF. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 20 14.39 0.72 0.7 0.63 349 C08CA02 FELODIPINUM FELODIPIN AL 5 RETARD COMPR. ELIB. MODIF. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. ELIB. MODIF. P-6L/S 100 69.65 0.7 0.7 0.63 350 C08CA02 FELODIPINUM FELODIPIN AL 5 RETARD COMPR. ELIB. MODIF. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 50 34.84 0.7 0.7 0.63 351 C08CA02 FELODIPINUM SISTAR 10 mg COMPR. FILM. ELIB. MODIF. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 20.25 0.68 0.68 0.61 352 C08CA02 FELODIPINUM SISTAR 2,5 mg COMPR. FILM. ELIB. MODIF. 2.5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 11.75 0.39 0.33 0.3 353 C08CA02 FELODIPINUM SISTAR 5 mg COMPR. FILM. ELIB. MODIF. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 15.05 0.5 0.5 0.45 354 C08CA02 FELODIPINUM AURONAL 10 mg COMPR. FILM. ELIB. PREL. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. ELIB. PREL. P-6L 30 31.25 1.04 0.68 0.61 355 C08CA02 FELODIPINUM PRESID (R) 10 mg COMPR. FILM. ELIB. PREL. 10mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 30 25.17 0.84 0.68 0.61 356 C08CA02 FELODIPINUM PRESID (R) 10 mg COMPR. FILM. ELIB. PREL. 10mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 10 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L/S 100 83.12 0.83 0.68 0.61 357 C08CA02 FELODIPINUM MIVARA 10 mg COMPR. FILM. ELIB. PREL. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L/S 100 90.56 0.91 0.68 0.61 358 C08CA02 FELODIPINUM MIVARA 10 mg COMPR. FILM. ELIB. PREL. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 27.17 0.91 0.68 0.61 359 C08CA02 FELODIPINUM MIVARA 10 mg COMPR. FILM. ELIB. PREL. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 50 45.27 0.91 0.68 0.61 360 C08CA02 FELODIPINUM AURONAL 2,5 mg COMPR. FILM. ELIB. PREL. 2.5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. ELIB. PREL. P-6L 30 13.66 0.46 0.33 0.3 361 C08CA02 FELODIPINUM PRESID (R) 2,5 mg COMPR. FILM. ELIB. PREL. 2.5mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 10 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L/S 100 33.25 0.33 0.33 0.3

362 C08CA02 FELODIPINUM PRESID (R) 2,5 mg COMPR. FILM. ELIB. PREL. 2.5mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 30 10.08 0.34 0.33 0.3 363 C08CA02 FELODIPINUM AURONAL 5 mg COMPR. FILM. ELIB. PREL. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. ELIB. PREL. P-6L 30 19.53 0.65 0.5 0.45 364 C08CA02 FELODIPINUM PRESID (R) 5 mg COMPR. FILM. ELIB. PREL. 5mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 10 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L/S 100 49.85 0.5 0.5 0.45 365 C08CA02 FELODIPINUM PRESID (R) 5 mg COMPR. FILM. ELIB. PREL. 5mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 30 15.77 0.53 0.5 0.45 366 C08CA02 FELODIPINUM MIVARA 5 mg COMPR. FILM. ELIB. PREL. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 50 28.34 0.57 0.5 0.45 367 C08CA02 FELODIPINUM MIVARA 5 mg COMPR. FILM. ELIB. PREL. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 17 0.57 0.5 0.45 368 C08CA02 FELODIPINUM MIVARA 5 mg COMPR. FILM. ELIB. PREL. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L/S 100 56.66 0.57 0.5 0.45 369 C08CA02 FELODIPINUM PLENDIL COMPR. ELIB. PREL. 10mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L 30 36.61 1.22 0.68 0.61 370 C08CA02 FELODIPINUM PLENDIL COMPR. ELIB. PREL. 2.5mg ASTRAZENECA AB SUEDIA CUTIE 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L 30 15.72 0.52 0.33 0.3 371 C08CA02 FELODIPINUM PLENDIL COMPR. ELIB. PREL. 5mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L 30 23.6 0.79 0.5 0.45 372 C08CA05 NIFEDIPINUM ADALAT CR 20 COMPR. ELIB. MODIF. 20mg BAYER HEALTHCARE AG GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. ELIB. MODIF. P-6L 28 25.4 0.91 0.91 0.82 373 C08CA05 NIFEDIPINUM ADALAT CR 30 COMPR. ELIB. MODIF. 30mg BAYER HEALTHCARE AG GERMANIA CUTIE X 2 BLIST. AL/PP X 14 COMPR. ELIB. MODIF. P-6L 28 42.25 1.51 1.51 1.36 374 C08CA05 NIFEDIPINUM ADALAT (R) RETARD COMPR. FILM. ELIB. PREL. 20mg BAYER HEALTHCARE AG GERMANIA CUTIE X 5 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L 50 34.65 0.69 0.06 0.05 375 C08CA05 NIFEDIPINUM NIFEDIPIN RETARD TERAPIA 20 mg COMPR. FILM. ELIB. PREL. 20mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 50 3.14 0.06 0.06 0.05 376 C08CA05 NIFEDIPINUM EPILAT RETARD DRAJ. 20mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 FOLII X 10 DRAJ. P-6L 20 3.73 0.19 0.19 0.17 377 C08DA01 VERAPAMILUM VERAPAMIL AL 40 COMPR. FILM. 40mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 4.75 0.1 0.09 0.08 378 C08DA01 VERAPAMILUM VERAPAMIL AL 40 COMPR. FILM. 40mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L 100 9.06 0.09 0.09 0.08 379 C08DA01 VERAPAMILUM ISOPTIN (R) 40 mg COMPR. FILM. 40mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 20 COMPR. FILM. P-6L 100 13.01 0.13 0.09 0.08 380 C08DA01 VERAPAMILUM VERAPAMIL AL 80 COMPR. FILM. 80mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L/S 100 14.86 0.15 0.15 0.14 381 C08DA01 VERAPAMILUM VERAPAMIL AL 80 COMPR. FILM. 80mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 7.62 0.15 0.15 0.14

382 C08DA01 VERAPAMILUM ISOPTIN (R) 80 mg COMPR. FILM. 80mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 10.99 0.22 0.15 0.14 383 C08DA01 VERAPAMILUM VEROGALID (R) ER 240 mg COMPR. FILM. ELIB. PREL. 240mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 10 7.96 0.8 0.55 0.5 Page 8 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 384 C08DA01 VERAPAMILUM VEROGALID (R) ER 240 mg COMPR. FILM. ELIB. PREL. 240mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLAC. X 100 COMPR. FILM. ELIB. PREL. P-6L 100 58.45 0.58 0.55 0.5 385 C08DA01 VERAPAMILUM VEROGALID (R) ER 240 mg COMPR. FILM. ELIB. PREL. 240mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 30 17.06 0.57 0.55 0.5 386 C08DA01 VERAPAMILUM VEROGALID (R) ER 240 mg COMPR. FILM. ELIB. PREL. 240mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 16.36 0.55 0.55 0.5 387 C08DA01 VERAPAMILUM ISOPTIN RR COMPR. FILM. ELIB. PREL. 240mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 20 19.52 0.98 0.55 0.5 388 C08DB01 DILTIAZEMUM DILZEM 60 mg COMPR. 60mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.98 0.3 0.21 0.19 389 C08DB01 DILTIAZEMUM DILTIAZEM COMPR. 60mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.72 0.29 0.21 0.19 390 C08DB01 DILTIAZEMUM DILTIAZEM LPH 60 mg COMPR. 60mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.83 0.24 0.21 0.19

391 C08DB01 DILTIAZEMUM DILTIAZEM ALKALOID 60 mg COMPR. 60mg ALKALOID DOO SLOVENIA CUTIE X 1 FLAC. X 30 COMPR. P-6L 30 6.31 0.21 0.21 0.19 392 C08DB01 DILTIAZEMUM DILTIAZEM ALKALOID 90 mg COMPR. 90mg ALKALOID DOO SLOVENIA CUTIE X 1 FLAC. X 30 COMPR. P-6L 30 9.09 0.3 0.3 0.27 393 C08DB01 DILTIAZEMUM DILZEM 90 mg RETARD COMPR. FILM. ELIB. PREL. 90mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 30 14.91 0.5 0.5 0.45 394 C09AA01 CAPTOPRILUM CAPTOPRIL 12,5 mg COMPR. 12.5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 2.33 0.08 0.08 0.07 395 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 12,5 mg COMPR. 12,5mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.35 0.08 0.08 0.07 396 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 2.7 0.09 0.08 0.07 397 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.54 0.08 0.08 0.07 398 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.51 0.12 0.08 0.07 399 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.68 0.08 0.08 0.07 400 C09AA01 CAPTOPRILUM CAPTOPRIL 25 EEL COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.23 0.11 0.08 0.07 401 C09AA01 CAPTOPRILUM CAPTOPRIL - AC 25 mg COMPR. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.68 0.08 0.08 0.07 402 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 25 mg COMPR. 25mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.54 0.08 0.08 0.07 403 C09AA01 CAPTOPRILUM CAPTOPRIL LPH (R) 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.14 0.1 0.08 0.07 404 C09AA01 CAPTOPRILUM CAPTOPRIL SINTOFARM 25 mg COMPR. 25mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.54 0.08 0.08 0.07 405 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50 mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.98 0.1 0.09 0.08 406 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 20 3.42 0.17 0.09 0.08 407 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.23 0.11 0.09 0.08 408 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.14 0.14 0.09 0.08 409 C09AA01 CAPTOPRILUM CAPTOPRIL 50 EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.76 0.14 0.09 0.08 410 C09AA01 CAPTOPRILUM CAPTOPRIL - AC 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.98 0.1 0.09 0.08

411 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.22 0.11 0.09 0.08 412 C09AA01 CAPTOPRILUM CAPTOPRIL LPH (R) 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.8 0.09 0.09 0.08 413 C09AA01 CAPTOPRILUM CAPTOPRIL LPH (R) 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.55 0.18 0.09 0.08 414 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 4.99 0.25 0.15 0.14 415 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 5.23 0.26 0.15 0.14 416 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 5.87 0.29 0.15 0.14 417 C09AA02 ENALAPRILUM EDNYT (R) 10 mg COMPR. 10mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 9.4 0.31 0.15 0.14 418 C09AA02 ENALAPRILUM ENALAP COMPR. 10mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 6.72 0.34 0.15 0.14 419 C09AA02 ENALAPRILUM ENALAPRIL LPH 10 mg COMPR. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 5.49 0.27 0.15 0.14 420 C09AA02 ENALAPRILUM ENAP 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 7.59 0.38 0.15 0.14 421 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 5.23 0.26 0.15 0.14 422 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.78 0.24 0.15 0.14 423 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.49 0.27 0.15 0.14 424 C09AA02 ENALAPRILUM ENALAPRIL AL 10 COMPR. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 10.69 0.36 0.15 0.14 425 C09AA02 ENALAPRILUM ENALAPRIL AL 10 COMPR. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 16.95 0.34 0.15 0.14 426 C09AA02 ENALAPRILUM ENALAPRIL AL 10 COMPR. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 32.97 0.33 0.15 0.14 427 C09AA02 ENALAPRILUM ENAHEXAL (R) 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 7.19 0.24 0.15 0.14 428 C09AA02 ENALAPRILUM RENITEC 10 mg COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 10.67 0.38 0.15 0.14 429 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 7.68 0.15 0.15 0.14 430 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.91 0.16 0.15 0.14

431 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 14.65 0.15 0.15 0.14 432 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 7.71 0.39 0.15 0.14 Page 9 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 433 C09AA02 ENALAPRILUM ENALA TAD 10 COMPR. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 24.76 0.25 0.15 0.14 434 C09AA02 ENALAPRILUM ENALA TAD 10 COMPR. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.96 0.3 0.15 0.14 435 C09AA02 ENALAPRILUM ENALA TAD 10 COMPR. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 14.15 0.28 0.15 0.14 436 C09AA02 ENALAPRILUM ENAM 10 mg COMPR. 10mg REPREZENTANTA DR. REDDY'S LABORATORIES LTD. ROMANIA CUTIE X 2 BLIST. AL-PEJD/AL X10 COMPR. P-6L 20 5.94 0.3 0.15 0.14 437 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 10 MG COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 5.2 0.26 0.15 0.14 438 C09AA02 ENALAPRILUM EDNYT (R) 2,5 mg COMPR. 2.5mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 10.12 0.34 0.34 0.31 439 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 6.54 0.33 0.25 0.23

440 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 20 mg COMPR. 20mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 8.47 0.42 0.25 0.23 441 C09AA02 ENALAPRILUM EDNYT (R) 20 mg COMPR. 20mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 18.3 0.61 0.25 0.23 442 C09AA02 ENALAPRILUM ENALAPRIL COMPR. 20mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 7.92 0.4 0.25 0.23 443 C09AA02 ENALAPRILUM ENALAPRIL LPH 20 mg COMPR. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 7.62 0.38 0.25 0.23 444 C09AA02 ENALAPRILUM ENAP 20 mg COMPR. 20mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 11.35 0.57 0.25 0.23 445 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.07 0.25 0.25 0.23 446 C09AA02 ENALAPRILUM ENALAPRIL AL 20 COMPR. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 46.44 0.46 0.25 0.23 447 C09AA02 ENALAPRILUM ENALAPRIL AL 20 COMPR. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 24.39 0.49 0.25 0.23 448 C09AA02 ENALAPRILUM ENALAPRIL AL 20 COMPR. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 15.33 0.51 0.25 0.23 449 C09AA02 ENALAPRILUM ENAHEXAL (R) 20 mg COMPR. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 13.84 0.46 0.25 0.23 450 C09AA02 ENALAPRILUM RENITEC 20 mg COMPR. 20mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 15.52 0.55 0.25 0.23 451 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 7.62 0.25 0.25 0.23 452 C09AA02 ENALAPRILUM ENALA TAD 20 COMPR. 20mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 13.39 0.45 0.25 0.23 453 C09AA02 ENALAPRILUM ENALA TAD 20 COMPR. 20mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 40.84 0.41 0.25 0.23 454 C09AA02 ENALAPRILUM ENALA TAD 20 COMPR. 20mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 21.46 0.43 0.25 0.23 455 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 20 MG COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 7.6 0.38 0.25 0.23 456 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 3.81 0.19 0.13 0.12 457 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.99 0.2 0.13 0.12 458 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.86 0.24 0.13 0.12 459 C09AA02 ENALAPRILUM EDNYT (R) 5 mg COMPR. 5mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST.X 10 COMPR. P-6L 30 7.52 0.25 0.13 0.12

460 C09AA02 ENALAPRILUM ENALAPRIL AL 5 COMPR. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 8.15 0.27 0.13 0.12 461 C09AA02 ENALAPRILUM ENALAPRIL AL 5 COMPR. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 24.61 0.25 0.13 0.12 462 C09AA02 ENALAPRILUM ENALAPRIL AL 5 COMPR. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 13.01 0.26 0.13 0.12 463 C09AA02 ENALAPRILUM ENAHEXAL (R) 5 mg COMPR. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 6.24 0.21 0.13 0.12 464 C09AA02 ENALAPRILUM ENAP 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 5.21 0.26 0.13 0.12 465 C09AA02 ENALAPRILUM RENITEC 5 mg COMPR. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 7.97 0.28 0.13 0.12 466 C09AA02 ENALAPRILUM ENALAPRIL LPH (R) 5 mg COMPR. 5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 3.98 0.2 0.13 0.12 467 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 2.7 0.14 0.13 0.12 468 C09AA02 ENALAPRILUM ENALA TAD 5 COMPR. 5mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 17.21 0.17 0.13 0.12 469 C09AA02 ENALAPRILUM ENALA TAD 5 COMPR. 5mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.26 0.21 0.13 0.12 470 C09AA02 ENALAPRILUM ENALA TAD 5 COMPR. 5mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 9.34 0.19 0.13 0.12 471 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.98 0.13 0.13 0.12 472 C09AA02 ENALAPRILUM ENAP (R) SOL. INJ. 1.25mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 10.76 2.15 2.15 1.94 473 C09AA03 LISINOPRILUM SINOPRYL (R) 10 COMPR. 10mg ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 7.94 0.4 0.22 0.2 474 C09AA03 LISINOPRILUM SINOPRYL (R) 10 COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 12.05 0.6 0.22 0.2 475 C09AA03 LISINOPRILUM TONOLYSIN 10 mg COMPR. 10mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 21.37 0.76 0.22 0.2 476 C09AA03 LISINOPRILUM RANOLIP COMPR. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 11.79 0.39 0.22 0.2 477 C09AA03 LISINOPRILUM MEDAPRIL 10 COMPR. 10mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 13.43 0.45 0.22 0.2 478 C09AA03 LISINOPRILUM LISIREN 10 mg COMPR. 10mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 7.36 0.37 0.22 0.2 479 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 10 mg COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.94 0.35 0.22 0.2

480 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 10 mg COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.5 0.35 0.22 0.2 481 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 12.63 0.42 0.22 0.2 Page 10 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/

UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 482 C09AA03 LISINOPRILUM LISIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 22.35 0.22 0.22 0.2 483 C09AA03 LISINOPRILUM LISIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 11.52 0.38 0.22 0.2 484 C09AA03 LISINOPRILUM LISINOPRIL 10 MEDO COMPR. 10mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.26 0.34 0.22 0.2 485 C09AA03 LISINOPRILUM TONOLYSIN 2,5 mg COMPR. 2.5mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 8.57 0.31 0.31 0.28 486 C09AA03 LISINOPRILUM TONOLYSIN 20 mg COMPR. 20mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 32.05 1.14 0.35 0.32 487 C09AA03 LISINOPRILUM RANOLIP COMPR. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 16.54 0.55 0.35 0.32

488 C09AA03 LISINOPRILUM MEDAPRIL 20 COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 17.12 0.86 0.35 0.32 489 C09AA03 LISINOPRILUM LISIREN 20 mg COMPR. 20mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 10.44 0.52 0.35 0.32 490 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 20 mg COMPR. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 18.96 0.63 0.35 0.32 491 C09AA03 LISINOPRILUM LISIGAMMA 20 mg COMPR. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 35.04 0.35 0.35 0.32 492 C09AA03 LISINOPRILUM LISIGAMMA 20 mg COMPR. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 20.38 0.68 0.35 0.32 493 C09AA03 LISINOPRILUM LISINOPRIL 20 MEDO COMPR. 20mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 10.26 0.51 0.35 0.32 494 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 20 mg COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 5.3 0.53 0.35 0.32 495 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 20 mg COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 15.63 0.52 0.35 0.32 496 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 40 mg COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 27.03 0.9 0.9 0.81 497 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 40 mg COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 9.17 0.92 0.9 0.81 498 C09AA03 LISINOPRILUM TONOLYSIN 5 mg COMPR. 5mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 12.08 0.43 0.15 0.14 499 C09AA03 LISINOPRILUM RANOLIP COMPR. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 7.67 0.26 0.15 0.14 500 C09AA03 LISINOPRILUM MEDAPRIL 5 COMPR. 5mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 6.9 0.23 0.15 0.14 501 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 5 mg COMPR. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.23 0.27 0.15 0.14 502 C09AA03 LISINOPRILUM LISIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 7.4 0.25 0.15 0.14 503 C09AA03 LISINOPRILUM LISIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 14.57 0.15 0.15 0.14 504 C09AA03 LISINOPRILUM LISINOPRIL 5 MEDO COMPR. 5mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.32 0.21 0.15 0.14 505 C09AA05 RAMIPRILUM EMREN 10 mg COMPR. 10 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 27 0.9 0.28 0.25 506 C09AA05 RAMIPRILUM VIVACE 10 mg COMPR. 10 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 19.24 0.69 0.28 0.25 507 C09AA05 RAMIPRILUM TRITACE (R) 10 mg COMPR. 10mg SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 47.28 1.69 0.28 0.25

508 C09AA05 RAMIPRILUM PIRAMIL 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 29.9 1.07 0.28 0.25 509 C09AA05 RAMIPRILUM RAMIPRIL-AC 10 mg COMPR. 10mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 30.79 1.03 0.28 0.25 510 C09AA05 RAMIPRILUM AMPRIL 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 60 55.34 0.92 0.28 0.25 511 C09AA05 RAMIPRILUM AMPRIL 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 30.75 1.03 0.28 0.25 512 C09AA05 RAMIPRILUM ZENRA 10 COMPR. 10mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 26.26 0.94 0.28 0.25 513 C09AA05 RAMIPRILUM RAMIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. P-6L/S 100 28.29 0.28 0.28 0.25 514 C09AA05 RAMIPRILUM RAMIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 7.75 0.39 0.28 0.25 515 C09AA05 RAMIPRILUM RAMIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. P-6L 50 14.81 0.3 0.28 0.25 516 C09AA05 RAMIPRILUM TRITACE (R) 2,5 COMPR. 2.5mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 29.13 1.04 0.26 0.23 517 C09AA05 RAMIPRILUM PIRAMIL 2,5 mg COMPR. 2.5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 10.39 0.37 0.26 0.23 518 C09AA05 RAMIPRILUM RAMIPRIL-AC 2,5 mg COMPR. 2.5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.9 0.3 0.26 0.23 519 C09AA05 RAMIPRILUM AMPRIL 2,5 mg COMPR. 2.5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 60 22.94 0.38 0.26 0.23 520 C09AA05 RAMIPRILUM AMPRIL 2,5 mg COMPR. 2.5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 9 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 90 32.53 0.36 0.26 0.23 521 C09AA05 RAMIPRILUM AMPRIL 2,5 mg COMPR. 2.5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 12.75 0.43 0.26 0.23 522 C09AA05 RAMIPRILUM ZENRA 2,5 COMPR. 2.5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 7.51 0.27 0.26 0.23 523 C09AA05 RAMIPRILUM EMREN 2,5 mg COMPR. 2,5 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 7.66 0.26 0.26 0.23 524 C09AA05 RAMIPRILUM VIVACE 2,5 mg COMPR. 2,5 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7COMPR. P-6L 28 9.43 0.34 0.26 0.23 525 C09AA05 RAMIPRILUM EMREN 5 mg COMPR. 5 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 15 0.5 0.18 0.16 526 C09AA05 RAMIPRILUM VIVACE 5 mg COMPR. 5 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 12.21 0.44 0.18 0.16 527 C09AA05 RAMIPRILUM TRITACE (R) 5 COMPR. 5mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 46.81 1.67 0.18 0.16

528 C09AA05 RAMIPRILUM PIRAMIL 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 17.21 0.61 0.18 0.16 529 C09AA05 RAMIPRILUM RAMIPRIL-AC 5 mg COMPR. 5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 24.15 0.81 0.18 0.16 530 C09AA05 RAMIPRILUM AMPRIL 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 9 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 90 50.76 0.56 0.18 0.16 Page 11 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 531 C09AA05 RAMIPRILUM AMPRIL 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 60 35.84 0.6 0.18 0.16 532 C09AA05 RAMIPRILUM AMPRIL 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 19.92 0.66 0.18 0.16 533 C09AA05 RAMIPRILUM ZENRA 5 COMPR. 5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 14.64 0.52 0.18 0.16 534 C09AA05 RAMIPRILUM RAMIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. A/AL X 10 COMPR. P-6L/S 100 18.58 0.19 0.18 0.16 535 C09AA05 RAMIPRILUM RAMIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. A/AL X 10 COMPR. P-6L 20 5.51 0.28 0.18 0.16 536 C09AA05 RAMIPRILUM RAMIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. A/AL X 10 COMPR. P-6L 50 9.2 0.18 0.18 0.16 537 C09AA05 RAMIPRILUM RAMIRAN 1,25 mg COMPR. FILM. 1.25mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 5.29 0.18 0.18 0.16

538 C09AA05 RAMIPRILUM RAMIRAN 10 mg COMPR. FILM. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 34.31 1.14 1.14 1.03 539 C09AA05 RAMIPRILUM RAMIRAN 2,5 mg COMPR. FILM. 2.5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 8.83 0.29 0.29 0.26 540 C09AA05 RAMIPRILUM RAMIRAN 5 mg COMPR. FILM. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 18.76 0.63 0.63 0.57 541 C09AA06 QUINAPRILUM QUINAPRIL SANDOZ 10 mg COMPR. FILM. 10 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 11.7 0.39 0.37 0.33 542 C09AA06 QUINAPRILUM AQUIRIL COMPR. FILM. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 12.51 0.42 0.37 0.33 543 C09AA06 QUINAPRILUM ACCUPRO 10 mg COMPR. FILM. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PVC/AL/PA X 10 COMPR. FILM. P-6L 30 13.43 0.45 0.37 0.33 544 C09AA06 QUINAPRILUM QUINARAN 10 mg COMPR. FILM. 10mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 11.08 0.37 0.37 0.33 545 C09AA06 QUINAPRILUM QUINAPRIL SANDOZ 20 mg COMPR. FILM. 20 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 23.4 0.78 0.76 0.68 546 C09AA06 QUINAPRILUM ACCUPRO (R) 20 COMPR. FILM. 20mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. FILM. P-6L 30 24.18 0.81 0.76 0.68 547 C09AA06 QUINAPRILUM QUINARAN 20 mg COMPR. FILM. 20mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 22.82 0.76 0.76 0.68 548 C09AA06 QUINAPRILUM QUINAPRIL SANDOZ 40 mg COMPR. FILM. 40 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 45.87 1.53 1.51 1.36 549 C09AA06 QUINAPRILUM QUINARAN 40 mg COMPR. FILM. 40mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 45.32 1.51 1.51 1.36 550 C09AA06 QUINAPRILUM QUINAPRIL SANDOZ 5 mg COMPR. FILM. 5 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 8.66 0.29 0.27 0.24 551 C09AA06 QUINAPRILUM ACCUPRO (R) 5 COMPR. FILM. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. FILM. P-6L 30 9.31 0.31 0.27 0.24 552 C09AA06 QUINAPRILUM QUINARAN 5 mg COMPR. FILM. 5mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 8.09 0.27 0.27 0.24 553 C09AA09 FOSINOPRILUM MONOPRIL 10 mg COMPR. 10mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR. P-6L 28 15.66 0.56 0.35 0.32 554 C09AA09 FOSINOPRILUM FOSYPRIL 10 mg COMPR. 10mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. P-6L 30 10.61 0.35 0.35 0.32 555 C09AA09 FOSINOPRILUM FOSYPRIL 10 mg COMPR. 10mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. AL-PVC-PA/AL X 15 COMPR. P-6L 30 10.61 0.35 0.35 0.32 556 C09AA09 FOSINOPRILUM FOSINOPRIL TERAPIA 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 10.3 0.52 0.35 0.32 557 C09AA09 FOSINOPRILUM MONOPRIL 20 mg COMPR. 20mg BRISTOL-MYERS SQUIBB UNGARIA CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR. P-6L 28 20.88 0.75 0.51 0.46

558 C09AA09 FOSINOPRILUM FOSINOPRIL TEVA 20 mg COMPR. 20mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 30 15.33 0.51 0.51 0.46 559 C09AA09 FOSINOPRILUM FOSYPRIL 20 MG COMPR. 20mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. P-6L 30 18.39 0.61 0.51 0.46 560 C09AA09 FOSINOPRILUM FOSYPRIL 20 MG COMPR. 20mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. AL-PVC-PA/AL X 15 COMPR. P-6L 30 18.39 0.61 0.51 0.46 561 C09AA09 FOSINOPRILUM FOSINOPRIL TERAPIA 20 mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 13.8 0.69 0.51 0.46 562 C09BA02 COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) ENALAPRIL HCT SANDOZ 10 mg/25 mg COMPR. 10mg/25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 9.2 0.31 0.31 0.28 563 C09BA02 COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) VIMAPRIL HL COMPR. FARA CONCENTRATIE VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. PVC/COC/PVDC-AL X 10 COMPR. P-6L 30 9.52 0.32 0.32 0.29 564 C09BA02 COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) ENAP HL COMPR. 10mg+12.5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 7.25 0.36 0.32 0.29 565 C09BA02 COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) ENAP H COMPR. 10mg+25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 8.96 0.45 0.31 0.28 566 C09BA02 COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) VIMAPRIL H COMPR. FARA CONCENTRATIE VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. PVC/COC/PVDC-AL X 10 COMPR. P-6L 30 11.49 0.38 0.31 0.28 567 C09BA02 COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) ENAP (R) HL 20 mg/12,5 mg COMPR. 20 mg/12.5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 8.08 0.4 0.4 0.36 568 C09BA02 COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) ENALAPRIL HCT SANDOZ 20 mg/12,5 mg COMPR. 20mg/12.5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 12.02 0.4 0.4 0.36 569 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) PIRAMIL HCT 2,5 mg/12,5 mg COMPR. 2.5mg/12.5mg HEXAL AG GERMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 6.54 0.33 0.32 0.29 570 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) HARTRIL HCT 2,5 mg/12,5mg COMPR. 2.5mg/12.5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PCTFE/AL X 14 COMPR. P-6L 28 16.79 0.6 0.32 0.29 571 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) RAMIPRIL HCT-MEDOCHEMIE COMPR. 2.5mg/12.5mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 9.53 0.32 0.32 0.29 572 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) AMPRIL HL COMPR. 2.5mg+12.5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 15.28 0.55 0.55 0.5 573 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) PIRAMIL HCT 5 mg/25 mg COMPR. 5mg/25mg HEXAL AG BELGIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 10.89 0.54 0.54 0.49 574 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) HARTRIL HCT 5 mg/25mg COMPR. 5mg/25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PCTFE/AL X 14 COMPR. P-6L 28 24 0.86 0.54 0.49 575 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) RAMIPRIL HCT-MEDOCHEMIE COMPR. 5mg/25mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 16.32 0.54 0.54 0.49 576 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) AMPRIL HD COMPR. 5mg+25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 24.18 0.86 0.86 0.77 577 C09CA01 LOSARTANUM COZAAR COMPR. FILM. 50mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPACE AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 61.01 2.18 0.46 0.41

578 C09CA01 LOSARTANUM LORISTA COMPR. FILM. 50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 4 BLIST. DIN PVC-PVDC/AL X 7 COMPR. FILM. P-6L 28 12.85 0.46 0.46 0.41 579 C09CA01 LOSARTANUM LORISTA COMPR. FILM. 50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. DIN PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 12.85 0.46 0.46 0.41 Page 12 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 580 C10AA01 SIMVASTATINUM SIMVOR 10 mg COMPR. FILM. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 9.83 0.7 0.36 0.32 581 C10AA01 SIMVASTATINUM SIMVOR 10 mg COMPR. FILM. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 20.06 0.72 0.36 0.32 582 C10AA01 SIMVASTATINUM SIMVACARD (R) 10 COMPR. FILM. 10mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. AL/PVDC-PE-PVC X 14 COMPR. FILM. P-6L 28 15.61 0.56 0.36 0.32 583 C10AA01 SIMVASTATINUM SIMGAL (R) 10 mg COMPR. FILM. 10mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 10.16 0.36 0.36 0.32 584 C10AA01 SIMVASTATINUM SIMVAHEXAL (R) 10 mg COMPR. FILM. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 18.97 0.63 0.36 0.32 585 C10AA01 SIMVASTATINUM ZEPLAN (R) 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 14 7.26 0.52 0.36 0.32 586 C10AA01 SIMVASTATINUM ZEPLAN (R) 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM P-6L 28 14.5 0.52 0.36 0.32

587 C10AA01 SIMVASTATINUM ZOCOR 10 mg COMPR. FILM. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L 14 17.73 1.27 0.36 0.32 588 C10AA01 SIMVASTATINUM ZOCOR 10 mg COMPR. FILM. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L 28 35.44 1.27 0.36 0.32 589 C10AA01 SIMVASTATINUM SINTENAL 10 mg COMPR. FILM. 10mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 11.19 0.37 0.36 0.32 590 C10AA01 SIMVASTATINUM SIMVAGAMMA 10 mg COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 11.13 0.37 0.36 0.32 591 C10AA01 SIMVASTATINUM SIMVAGAMMA 10 mg COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. FILM. P-6L 100 35.55 0.36 0.36 0.32 592 C10AA01 SIMVASTATINUM SIMVAGAMMA 10 mg COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. FILM. P-6L 50 24.9 0.5 0.36 0.32 593 C10AA01 SIMVASTATINUM VASILIP 10 mg COMPR. FILM. 10mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. DIN PVC-PE/PVDC-PE-AL X 7 COMPR. FILM. P-6L 28 12.75 0.46 0.36 0.32 594 C10AA01 SIMVASTATINUM SIMVASTATIN 10 mg COMPR. FILM. 10 mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 10.63 0.38 0.36 0.32 595 C10AA01 SIMVASTATINUM SIMVASTATIN LPH 10 mg COMPR. FILM. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 15.41 0.51 0.36 0.32 596 C10AA01 SIMVASTATINUM SIMVA TAD 10 mg COMPR. FILM. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. FILM. P-6L/S 100 44.18 0.44 0.36 0.32 597 C10AA01 SIMVASTATINUM SIMVA TAD 10 mg COMPR. FILM. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. FILM. P-6L 50 22.09 0.44 0.36 0.32 598 C10AA01 SIMVASTATINUM SIMVA TAD 10 mg COMPR. FILM. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 14.57 0.49 0.36 0.32 599 C10AA01 SIMVASTATINUM VABADIN 10 mg COMPR. FILM. 10mg MENARINI INTERNATIONAL OPERATIONS S.A. LUXEMBOURG CUTIE X 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-6L 28 16.5 0.59 0.36 0.32 600 C10AA01 SIMVASTATINUM ZAREDIL 10 MG COMPR. FILM. 10mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 14.67 0.52 0.36 0.32 601 C10AA01 SIMVASTATINUM SIMVOR 20 mg COMPR. FILM. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 34.78 1.24 0.73 0.66 602 C10AA01 SIMVASTATINUM SIMVOR 20 mg COMPR. FILM. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 19.65 1.4 0.73 0.66 603 C10AA01 SIMVASTATINUM SIMVACARD (R) 20 COMPR. FILM. 20mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. AL/PVDC-PE-PVC X 14 COMPR. FILM. P-6L 28 35.15 1.26 0.73 0.66 604 C10AA01 SIMVASTATINUM SIMGAL (R) 20 mg COMPR. FILM. 20mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 20.31 0.73 0.73 0.66 605 C10AA01 SIMVASTATINUM SIMVAHEXAL (R) 20 mg COMPR. FILM. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 38.28 1.28 0.73 0.66 606 C10AA01 SIMVASTATINUM ZEPLAN (R) 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM P-6L 28 32.99 1.18 0.73 0.66

607 C10AA01 SIMVASTATINUM ZEPLAN (R) 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 14 16.49 1.18 0.73 0.66 608 C10AA01 SIMVASTATINUM ZOCOR 20 mg COMPR. FILM. 20mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L 14 24.9 1.78 0.73 0.66 609 C10AA01 SIMVASTATINUM ZOCOR 20 mg COMPR. FILM. 20mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L 28 49.8 1.78 0.73 0.66 610 C10AA01 SIMVASTATINUM SINTENAL 20 mg COMPR. FILM. 20mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 22.39 0.75 0.73 0.66 611 C10AA01 SIMVASTATINUM SIMVAGAMMA 20 mg COMPR. FILM. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. FILM. P-6L 100 87.85 0.88 0.73 0.66 612 C10AA01 SIMVASTATINUM SIMVAGAMMA 20 mg COMPR. FILM. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. FILM. P-6L 50 56.2 1.12 0.73 0.66 613 C10AA01 SIMVASTATINUM SIMVAGAMMA 20 mg COMPR. FILM. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 29.57 0.99 0.73 0.66 614 C10AA01 SIMVASTATINUM VASILIP 20 mg COMPR. FILM. 20mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. DIN PVC-PE/PVDC-PE-AL X 7 COMPR. FILM. P-6L 28 28.53 1.02 0.73 0.66 615 C10AA01 SIMVASTATINUM SIMCOR 20 MG COMPR. FILM. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 33.93 1.13 0.73 0.66 616 C10AA01 SIMVASTATINUM SIMVASTATIN 20 mg COMPR. FILM. 20 mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 21.24 0.76 0.73 0.66 617 C10AA01 SIMVASTATINUM SIMVASTATIN LPH 20 mg COMPR. FILM. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 34.58 1.15 0.73 0.66 618 C10AA01 SIMVASTATINUM SIMVA TAD 20 mg COMPR. FILM. 20mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. FILM. P-6L/S 100 87.89 0.88 0.73 0.66 619 C10AA01 SIMVASTATINUM SIMVA TAD 20 mg COMPR. FILM. 20mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. FILM. P-6L 50 40.18 0.8 0.73 0.66 620 C10AA01 SIMVASTATINUM SIMVA TAD 20 mg COMPR. FILM. 20mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 28.21 0.94 0.73 0.66 621 C10AA01 SIMVASTATINUM VABADIN 20 mg COMPR. FILM. 20mg MENARINI INTERNATIONAL OPERATIONS S.A. LUXEMBOURG CUTIE X 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-6L 28 33.01 1.18 0.73 0.66 622 C10AA01 SIMVASTATINUM ZAREDIL 20 MG COMPR. FILM. 20mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 33.03 1.18 0.73 0.66 623 C10AA01 SIMVASTATINUM SIMVAHEXAL (R) 30 mg COMPR. FILM. 30mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 49.44 1.65 1.65 1.49 624 C10AA01 SIMVASTATINUM SIMVOR 40 mg COMPR. FILM. 40mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 19.28 1.38 1.2 1.08 625 C10AA01 SIMVASTATINUM VASILIP (R) 40 mg COMPR. FILM. 40mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 54.39 1.94 1.2 1.08 626 C10AA01 SIMVASTATINUM SIMVACARD (R) 40 COMPR. FILM. 40mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. AL/PVDC-PE-PVC X 14 COMPR. FILM. P-6L 28 46.61 1.66 1.2 1.08

627 C10AA01 SIMVASTATINUM ZOCOR FORTE COMPR. FILM. 40mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L 28 90.02 3.22 1.2 1.08 628 C10AA01 SIMVASTATINUM ZOCOR FORTE COMPR. FILM. 40mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L 14 45.02 3.22 1.2 1.08 Page 13 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 629 C10AA01 SIMVASTATINUM ZEPLAN (R) 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 28 38.01 1.36 1.2 1.08 630 C10AA01 SIMVASTATINUM ZEPLAN (R) 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 14 18.92 1.35 1.2 1.08 631 C10AA01 SIMVASTATINUM SIMGAL (R) 40 mg COMPR. FILM. 40mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 35.52 1.27 1.2 1.08 632 C10AA01 SIMVASTATINUM SINTENAL 40 mg COMPR. FILM. 40mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 36.38 1.21 1.2 1.08 633 C10AA01 SIMVASTATINUM SIMVAHEXAL (R) 40 mg COMPR. FILM. 40mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 50.98 1.7 1.2 1.08 634 C10AA01 SIMVASTATINUM SIMVAGAMMA 40 mg COMPR. FILM. 40mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. FILM. P-6L 100 124.53 1.25 1.2 1.08 635 C10AA01 SIMVASTATINUM SIMVAGAMMA 40 mg COMPR. FILM. 40mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. FILM. P-6L 50 81.1 1.62 1.2 1.08

636 C10AA01 SIMVASTATINUM SIMVAGAMMA 40 mg COMPR. FILM. 40mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 42.3 1.41 1.2 1.08 637 C10AA01 SIMVASTATINUM SIMVASTATIN 40 mg COMPR. FILM. 40 mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 37.17 1.33 1.2 1.08 638 C10AA01 SIMVASTATINUM SIMCOR 40 MG COMPR. FILM. 40mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 10 12.25 1.23 1.2 1.08 639 C10AA01 SIMVASTATINUM SIMCOR 40 MG COMPR. FILM. 40mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 36.48 1.22 1.2 1.08 640 C10AA01 SIMVASTATINUM SIMVA TAD 40 mg COMPR. FILM. 40mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. FILM. P-6L/S 100 136.31 1.36 1.2 1.08 641 C10AA01 SIMVASTATINUM SIMVA TAD 40 mg COMPR. FILM. 40mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 35.88 1.2 1.2 1.08 642 C10AA01 SIMVASTATINUM SIMVA TAD 40 mg COMPR. FILM. 40mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. FILM. P-6L 50 68.15 1.36 1.2 1.08 643 C10AA01 SIMVASTATINUM VABADIN 40 mg COMPR. FILM. 40mg MENARINI INTERNATIONAL OPERATIONS S.A. LUXEMBOURG CUTIE X 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-6L 28 51.87 1.85 1.2 1.08 644 C10AA01 SIMVASTATINUM ZAREDIL 40 MG COMPR. FILM. 40mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 43.81 1.56 1.2 1.08 645 C10AA01 SIMVASTATINUM SIMVASTATIN LPH 40 mg COMPR. FILM. 40mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 35.85 1.2 1.2 1.08 646 C10AA01 SIMVASTATINUM SIMVOR 5 mg COMPR. FILM. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 9.07 0.65 0.65 0.59 647 C10AA01 SIMVASTATINUM SIMVASTATIN LPH 80 mg COMPR. FILM. 80mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 59.45 1.98 1.98 1.78 648 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. X 10 COMPR. P-6L 100 83.94 0.84 0.84 0.76 649 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. X 10 COMPR. P-6L 10 10.08 1.01 0.84 0.76 650 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 27.86 0.93 0.84 0.76 651 C10AA03 PRAVASTATINUM PRALIP 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 15.14 0.5 0.44 0.4 652 C10AA03 PRAVASTATINUM PRAVATOR 10 mg COMPR. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L 28 12.31 0.44 0.44 0.4 653 C10AA03 PRAVASTATINUM PRALIP 20 mg COMPR. 20mg SANDOZ SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 19.8 0.66 0.57 0.51 654 C10AA03 PRAVASTATINUM PRAVATOR 20 mg COMPR. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L 28 16.08 0.57 0.57 0.51 655 C10AA03 PRAVASTATINUM PRALIP 40 mg COMPR. 40mg SANDOZ SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 37.63 1.25 1.09 0.98

656 C10AA03 PRAVASTATINUM PRAVATOR 40 mg COMPR. 40mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. PE-AL-PVC/AL X 7 COMPR. P-6L 28 30.55 1.09 1.09 0.98 657 C10AB05 FENOFIBRATUM LIPANTHYL® 100 CAPS. 100mg LAB. FOURNIER SA FRANTA CUTIE X 4 BLIST. AL/PVC X 12 CAPS. P-6L 48 19.44 0.41 0.41 0.37 658 C10AB05 FENOFIBRATUM LIPOFIB 160 mg CAPS. 160mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 34.75 1.16 1.16 1.04 659 C10AB05 FENOFIBRATUM LIPOFIB 200 mg CAPS. 200mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 18.53 0.62 0.62 0.56 660 C10AB05 FENOFIBRATUM LIPANTHYL 200 M CAPS. PULB. MICRONIZATA 200mg LAB. FOURNIER SA FRANTA CUTIE X 1 BLIST. X 10 CAPS. MICRONIZATE P-6L 10 15.73 1.57 0.62 0.56 661 C10AB05 FENOFIBRATUM LIPANTHYL 200 M CAPS. PULB. MICRONIZATA 200mg LAB. FOURNIER SA FRANTA CUTIE X 3 BLIST. X 10 CAPS. MICRONIZATE P-6L 30 45.15 1.51 0.62 0.56 662 C10AB05 FENOFIBRATUM FENOFIBRAT LPH 200 mg CAPS. PULB. MICRONIZATA 200mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 14.93 0.75 0.62 0.56 663 C10AB05 FENOFIBRATUM FENOFIBRAT LPH 200 mg CAPS. PULB. MICRONIZATA 200mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 21.08 0.7 0.62 0.56 664 C10AB05 FENOFIBRATUM LIPIVIM CAPS. PULB. MICRONIZATA 200mg VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 18.53 0.62 0.62 0.56 665 C10AB05 FENOFIBRATUM LIPANTHYL (R) SUPRA 160 mg COMPR. FILM. ELIB. MODIF. 160mg LAB. FOURNIER SA FRANTA CUTIE X 1 BLIST. AL/PVDC-PE-PVC X 10 COMPR. FILM. CU ELIB. MOD. P-6L 10 18.11 1.81 1.51 1.36 666 C10AB05 FENOFIBRATUM LIPANTHYL (R) SUPRA 160 mg COMPR. FILM. ELIB. MODIF. 160mg LAB. FOURNIER SA FRANTA CUTIE X 3 BLIST. AL/PVDC-PE-PVC X 10 COMPR. FILM. CU ELIB. MOD. P-6L 30 45.15 1.51 1.51 1.36 667 D01AC02 MICONAZOLUM MEDACTER CREMA 2% FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 30G P-RF 1 6.49 6.49 4.86 4.37 668 D01AC02 MICONAZOLUM MICONAZOL NITRAT 2% CREMA 2% SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 4.86 4.86 4.86 4.37 669 D01AC02 MICONAZOLUM MICONAL ECOBI CREMA 20mg/g FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF 1 6.91 6.91 4.86 4.37 670 D01AC02 MICONAZOLUM DERMOZOL GEL 2% PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 1 TUB X 15 G P-RF 1 2.48 2.48 2.48 2.23 671 D01AC10 BIFONAZOLUM MYCO - FLUSEMIDON CREMA 100g ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA CUTIE X 1 TUB DIN AL X 15G P-RF 1 5.26 5.26 5.26 4.73 672 D01AC10 BIFONAZOLUM BIAZOL 10 mg/g CREMA 10mg/g GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 15 G CREMA P-RF 1 6.47 6.47 5.26 4.73 673 D01AC10 BIFONAZOLUM MYCOSPOR CREMA 1% BAYER HEALTHCARE AG GERMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 13.96 13.96 5.26 4.73 674 D01AC10 BIFONAZOLUM MYCOSPOR SOL. CUT. 0,01g/ml BAYER HEALTHCARE AG GERMANIA CUTIE X 1 FLACON X 15 ML SOL. CUT. + DISP. DE PICURARE P-RF 1 13.96 13.96 13.96 12.56 675 D06BB03 ACICLOVIRUM ACICLOVIR CREMA 5% OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 TUB X 5 G P-RF 1 2.96 2.96 2.96 2.66

676 D06BB03 ACICLOVIRUM CLOVIRAL (R) 5% CREMA 5% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB AL. X 12 G P-RF 1 3.86 3.86 2.96 2.66 677 D06BB03 ACICLOVIRUM ZOVIRAX CREMA 5% THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 TUB X 5G CREMA P-RF 1 31.25 31.25 2.96 2.66 Page 14 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 678 D06BB03 ACICLOVIRUM ACICLOVIR 5% CREMA 5% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 5 G CREMA P-RF 1 3 3 2.96 2.66 679 D06BB03 ACICLOVIRUM ACICLOVIR 5% CREMA 5% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 15 G CREMA P-RF 1 4.58 4.58 2.96 2.66 680 D06BB03 ACICLOVIRUM ACIKLOVIR CREMA CREMA 50mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 5 G CREMA P-RF 1 3.55 3.55 2.96 2.66 681 D06BB03 ACICLOVIRUM ACIKLOVIR CREMA CREMA 50mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 10 G CREMA P-RF 1 5.33 5.33 2.96 2.66 682 D06BB03 ACICLOVIRUM ACICLOVIR HYPERION CREMA 50mg/g HYPERION S.A. ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 4.41 4.41 2.96 2.66 683 D07AA02 HYDROCORTISONUM* HIDROCORTIZON 1% UNGUENT 1% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 4.42 4.42 4.42 3.98 684 D07AC01 BETAMETHASONUM BETADERM CREMA 0.1% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 4.61 4.61 4.61 4.15

685 D07AC01 BETAMETHASONUM BELODERM CREMA CREMA 0,5mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 15 G CREMA P-RF 1 6.54 6.54 6.54 5.89 686 D07AC01 BETAMETHASONUM BETADERM UNGUENT 0.1% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 4.61 4.61 4.61 4.15 687 D07AC01 BETAMETHASONUM BELODERM UNGUENT UNGUENT 0,5mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 15 G UNGUENT P-RF 1 6.54 6.54 6.54 5.89 688 G01AF04 MICONAZOLUM MICONAL ECOBI CAPS. MOI VAG. 1.2g FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 1 BLIST. AL/PVC X 2 CAPS. MOI VAGINALE P-RF 2 12.58 6.29 6.29 5.66 689 G01AF04 MICONAZOLUM MEDACTER CREMA VAG. 2% FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 78 G P-RF 1 13.67 13.67 9.85 8.87 690 G01AF04 MICONAZOLUM MYCOHEAL CREMA VAG. 2% DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 TUB X 50 G + APLICATOR P-RF 1 13.43 13.43 9.85 8.87 691 G01AF04 MICONAZOLUM MICONAL ECOBI CREMA VAG. 20mg/g FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 1 TUB DIN AL X 78 G CREMA VAGINALA + CANULA P-RF 1 9.85 9.85 9.85 8.87 692 G01AF04 MICONAZOLUM MICONAL ECOBI OVULE 50mg FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 3 FOLII PREFORMATE PVC/PE X 5 OVULE P-RF 15 6.56 0.44 0.44 0.4 693 G01AF04 MICONAZOLUM MICONAL ECOBI SOL. VAGINALA 2mg/ml FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 5 FLACOANE DIN PEJD X 150 ML SOL. VAG. + 5 CANULE P-RF 5 12.72 2.54 2.54 2.29 694 G02AB03 ERGOMETRINUM MALEAT DE ERGOMETRINA 0,2 mg/ml SOL. INJ. 0.2mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ., CU INEL DE RUPERE P-RF 5 2.87 0.57 0.57 0.51 695 G03BA03 TESTOSTERONUM* UNDESTOR (R) TESTOCAPS (R) CAPS. MOI 40mg ORGANON NV OLANDA CUTIE X 6 BLIST. X 10 CAPS. MOI P-RF 60 78.02 1.3 1.3 1.17 696 G03BA03 TESTOSTERONUM* ANDROGEL 50 mg GEL 50mg LAB. BESINS INTERNATIONAL FRANTA CUTIE X 30 PLICURI DIN FOLIE PET/AL/PE X 5 G GEL P-RF 30 187.43 6.25 6.25 5.63 697 G03BA03 TESTOSTERONUM* NEBIDO 1000 mg/4 ml SOL. INJ. 1000mg/4ml SCHERING AG GERMANIA CUTIE X 1 FIOLA X 4 ML SOL. INJ. S/P-RF 1 435.72 435.72 435.72 392.15 698 G03CA03 ESTRADIOLUM* ESTROFEM 1 mg COMPR. FILM. 1mg NOVO NORDISK A/S DANEMARCA CUTIE X 1 DISC TIP CALENDAR X 28 COMPR.FILM. P-6L 1 17.46 17.46 17.46 15.71 699 G03CA03 ESTRADIOLUM* VAGIFEM COMPR. VAG. 25µg NOVO NORDISK A/S DANEMARCA CUTIE X 3 BLIST. AL/PVC X 5 APLICATOARE DIN PE/PP X 1 COMPR. VAG. P-6L 15 45.56 3.04 3.04 2.74 700 G03CA03 ESTRADIOLUM* OESTROGEL (R) GEL 0.06% LAB. BESINS INTERNATIONAL FRANTA CUTIE X 1 TUB DIN AL X 80 G P-6L 1 12.03 12.03 12.03 10.83 701 G03CA03 ESTRADIOLUM* ESTREVA (R) GEL 0.1% LAB. THERAMEX MONACO CUTIE X 1 FLACON PE, INCHIS CU POMPA DOZATOARE X 50 G P-6L 1 20.8 20.8 20.8 18.72 702 G03CA03 ESTRADIOLUM* RISELLE 25 mg IMPLANT 25mg ORGANON NV MAREA BRITANIE CUTIE X 1 TRUSA PETG X 1 FIOLA CU IMPLANT STERIL + 1 DISPOZITIV DE ADM (TROCAR) + 1 PENSA P-RF 1 147.5 147.5 147.5 132.75 703 G03CA03 ESTRADIOLUM* CLIMARA PLASTURE TRANSDERM. 50µg/24ore SCHERING AG GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM. P-6L 4 25.24 6.31 6.31 5.68 704 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi C02CA04) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 40.41 0.81 0.57 0.51

705 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi C02CA04) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 16.25 0.81 0.57 0.51 706 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi C02CA04) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 80.33 0.8 0.57 0.51 707 G04CAN1 DOXAZOSINUM MAGUROL (vezi C02CA04) COMPR. 1mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 13.77 0.98 0.57 0.51 708 G04CAN1 DOXAZOSINUM KAMIREN (vezi C02CA04) COMPR. 1mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/ALX 10 COMPR. P-6L 30 18.46 0.62 0.57 0.51 709 G04CAN1 DOXAZOSINUM DOXAZOSIN 1 MEDOCHEMIE (vezi C02CA04) COMPR. 1mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 7.97 0.57 0.57 0.51 710 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi C02CA04) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 40.41 0.81 0.57 0.51 711 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi C02CA04) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 16.25 0.81 0.57 0.51 712 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi C02CA04) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 80.33 0.8 0.57 0.51 713 G04CAN1 DOXAZOSINUM MAGUROL (vezi C02CA04) COMPR. 1mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 13.77 0.98 0.57 0.51 714 G04CAN1 DOXAZOSINUM KAMIREN (vezi C02CA04) COMPR. 1mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/ALX 10 COMPR. P-6L 30 18.46 0.62 0.57 0.51 715 G04CAN1 DOXAZOSINUM DOXAZOSIN 1 MEDOCHEMIE (vezi C02CA04) COMPR. 1mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 7.97 0.57 0.57 0.51 716 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi C02CA04) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 96.82 0.97 0.35 0.32 717 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi C02CA04) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 48.54 0.97 0.35 0.32 718 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi C02CA04) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 19.52 0.98 0.35 0.32 719 G04CAN1 DOXAZOSINUM MAGUROL (vezi C02CA04) COMPR. 2mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 16.05 1.15 0.35 0.32 720 G04CAN1 DOXAZOSINUM KAMIREN (vezi C02CA04) COMPR. 2mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L 30 21.82 0.73 0.35 0.32 721 G04CAN1 DOXAZOSINUM DOXAZOSIN SANDOZ 2 mg (vezi C02CA04) COMPR. 2mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 10.58 0.35 0.35 0.32 722 G04CAN1 DOXAZOSINUM DOXAZOSIN 2 MEDOCHEMIE (vezi C02CA04) COMPR. 2mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 9.25 0.66 0.35 0.32 723 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi C02CA04) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 96.82 0.97 0.35 0.32 724 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi C02CA04) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 48.54 0.97 0.35 0.32

725 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi C02CA04) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 19.52 0.98 0.35 0.32 726 G04CAN1 DOXAZOSINUM MAGUROL (vezi C02CA04) COMPR. 2mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 16.05 1.15 0.35 0.32 Page 15 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 727 G04CAN1 DOXAZOSINUM KAMIREN (vezi C02CA04) COMPR. 2mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L 30 21.82 0.73 0.35 0.32 728 G04CAN1 DOXAZOSINUM DOXAZOSIN SANDOZ 2 mg (vezi C02CA04) COMPR. 2mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 10.58 0.35 0.35 0.32 729 G04CAN1 DOXAZOSINUM DOXAZOSIN 2 MEDOCHEMIE (vezi C02CA04) COMPR. 2mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 9.25 0.66 0.35 0.32 730 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi C02CA04) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 119.35 1.19 0.63 0.57 731 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi C02CA04) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 24.15 1.21 0.63 0.57 732 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi C02CA04) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 59.9 1.2 0.63 0.57 733 G04CAN1 DOXAZOSINUM MAGUROL (vezi C02CA04) COMPR. 4mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 26.12 1.87 0.63 0.57

734 G04CAN1 DOXAZOSINUM KAMIREN (vezi C02CA04) COMPR. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L 30 26.86 0.9 0.63 0.57 735 G04CAN1 DOXAZOSINUM DOXAZOSIN SANDOZ 4 mg (vezi C02CA04) COMPR. 4mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-6L 30 19.03 0.63 0.63 0.57 736 G04CAN1 DOXAZOSINUM DOXAZOSIN 4 MEDOCHEMIE (vezi C02CA04) COMPR. 4mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 12.47 0.89 0.63 0.57 737 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi C02CA04) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 119.35 1.19 0.89 0.8 738 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi C02CA04) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 24.15 1.21 0.89 0.8 739 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi C02CA04) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 59.9 1.2 0.89 0.8 740 G04CAN1 DOXAZOSINUM MAGUROL (vezi C02CA04) COMPR. 4mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 26.12 1.87 0.89 0.8 741 G04CAN1 DOXAZOSINUM KAMIREN (vezi C02CA04) COMPR. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L 30 26.86 0.9 0.89 0.8 742 G04CAN1 DOXAZOSINUM DOXAZOSIN 4 MEDOCHEMIE (vezi C02CA04) COMPR. 4mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 12.47 0.89 0.89 0.8 743 G04CAN1 DOXAZOSINUM CARDURA XL 4 mg (vezi C02CA04) COMPR. ELIB. MODIF. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. PVC/PVDC-AL/PVDC X 14 COMPR. ELIB. PREL. P-6L 28 36.16 1.29 1.29 1.16 744 G04CAN1 DOXAZOSINUM CARDURA XL 4 mg (vezi C02CA04) COMPR. ELIB. MODIF. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. PVC/PVDC-AL/PVDC X 14 COMPR. ELIB. PREL. P-6L 28 36.16 1.29 1.29 1.16 745 G04CAN1 DOXAZOSINUM KAMIREN XL 4 mg (vezi C02CA04) COMPR. FILM. ELIB. PREL. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL_PVC/AL X 10 COMPR. FILM. CU ELIB. PREL. P-6L 30 27.55 0.92 0.92 0.83 746 G04CAN1 DOXAZOSINUM KAMIREN XL 4 mg (vezi C02CA04) COMPR. FILM. ELIB. PREL. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL_PVC/AL X 10 COMPR. FILM. CU ELIB. PREL. P-6L 30 27.55 0.92 0.92 0.83 747 H02AB04 METHYLPREDNISOLONUM* SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 125mg/2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. (COMPARTIMENT SUPERIOR P-RF 1 13.38 13.38 11.05 9.95 748 H02AB04 METHYLPREDNISOLONUM* LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 11.05 11.05 11.05 9.95 749 H02AB04 METHYLPREDNISOLONUM* LEMOD SOLU 20 mg LIOF. PT. SOL. INJ. 20mg HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 33.07 2.2 2.2 1.98 750 H02AB04 METHYLPREDNISOLONUM* SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 27.91 27.91 27.91 25.12 751 H02AB04 METHYLPREDNISOLONUM* SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 40mg/1ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 5.93 5.93 3.53 3.18

752 H02AB04 METHYLPREDNISOLONUM* LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 52.88 3.53 3.53 3.18 753 H02AB04 METHYLPREDNISOLONUM* SOLU - MEDROL 500 mg/7,8 ml LIOF. + SOLV. PT. SOL. INJ. 500mg/7.8ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FLAC. X 7,8 ML SOLV. P-RF 1 34.14 34.14 33.07 29.76 754 H02AB04 METHYLPREDNISOLONUM* LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 33.07 33.07 33.07 29.76 755 H02AB07 PREDNISONUM PREDNISON MAGISTRA 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.05 756 H02AB07 PREDNISONUM PREDNISON GEDEON RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.05 757 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.58 0.05 0.05 0.05 758 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 1.49 0.05 0.05 0.05 759 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.53 0.05 0.05 0.05 760 H02AB09 HYDROCORTISONUM* HYDROCORTISONE 100 mg LIOF. + SOLV. PT. SOL. INJ. 100mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. S/P-RF 1 3.67 3.67 3.13 2.82 761 H02AB09 HYDROCORTISONUM* HYDROCORTISONE SUCCINAT SODIC LIOF. + SOLV. PT. SOL. INJ. 100mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 3.13 3.13 3.13 2.82 762 H02AB09 HYDROCORTISONUM* HYDROCORTISONE 500 mg LIOF. PT. SOL. INJ. + SOLV. 500mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 4 ML SOLV. S/P-RF 1 8.86 8.86 8.86 7.97 763 H02AB09 HYDROCORTISONUM* HIDROCORTIZON HEMISUCCINAT SOL. INJ. I.V. 25mg/5ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE X 1 ML SOL. A + 5 FIOLE X 4 ML SOL. B S/P-RF 5 9.3 1.86 1.86 1.67 764 J01AA02 DOXYCYCLINUM DOXICICLINA CAPS. 100mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5 0.25 0.19 0.17 765 J01AA02 DOXYCYCLINUM DOXICICLINA 100 MG CAPS. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 1.89 0.19 0.19 0.17 766 J01AA02 DOXYCYCLINUM DOXICICLINA CAPS. 100mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. DIN AL/PVC X 10 CAPS. P-RF 10 2.6 0.26 0.19 0.17 767 J01AA02 DOXYCYCLINUM DOXICICLINA SANDOZ 100 mg CAPS. 100mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 2.65 0.27 0.19 0.17 768 J01AA02 DOXYCYCLINUM UNIDOX SOLUTAB COMPR. DISP. 100mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 BLIST. DIN AL/PVC X 10 COMPR.DISP. P-RF 10 6.97 0.7 0.7 0.63 769 J01CA04 AMOXICILLINUM AMOXICILINA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.24 0.21 0.18 0.16 770 J01CA04 AMOXICILLINUM AMOXICILINA ANTIBIOTICE 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 3.51 0.18 0.18 0.16

771 J01CA04 AMOXICILLINUM OSPAMOX 250 mg CAPS. 250mg SANDOZ GMBH AUSTRIA CUTIE X 2 BLIST. AL-PVC/PVDC X 6 CAPS. P-RF/S 12 3.38 0.28 0.18 0.16 772 J01CA04 AMOXICILLINUM AMOXICILINA CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 12 CAPS. P-RF 12 3.28 0.27 0.18 0.16 773 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 250 mg CAPSULE CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.38 0.22 0.18 0.16 774 J01CA04 AMOXICILLINUM AMOXICILINA 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 3.67 0.18 0.18 0.16 775 J01CA04 AMOXICILLINUM AMOXICILINA MEDICO UNO 250 mg CAPS. 250mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.24 0.21 0.18 0.16 Page 16 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 776 J01CA04 AMOXICILLINUM EPHAMOX CAPS. 500mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 6 CAPS. P-RF 12 4.67 0.39 0.26 0.23 777 J01CA04 AMOXICILLINUM AMOXICILINA ANTIBIOTICE 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.42 0.34 0.26 0.23 778 J01CA04 AMOXICILLINUM E - MOX CAPS. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 8 CAPS. P-RF 8 5.84 0.73 0.26 0.23 779 J01CA04 AMOXICILLINUM AMOXICILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 4.22 0.42 0.26 0.23 780 J01CA04 AMOXICILLINUM AMOXICILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 5.1 0.26 0.26 0.23 781 J01CA04 AMOXICILLINUM AMOXICILINA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 5 CAPS. P-RF 10 4.06 0.41 0.26 0.23 782 J01CA04 AMOXICILLINUM MOXILEN CAPS. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 5.37 0.34 0.26 0.23

783 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 500 mg CAPSULE CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.51 0.35 0.26 0.23 784 J01CA04 AMOXICILLINUM AMOXICILINA FORTE 500 mg CAPS. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.67 0.37 0.26 0.23 785 J01CA04 AMOXICILLINUM DUOMOX 1000 mg COMPR. PT. DISPERSIE ORALA 1000mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR. P-RF 20 17.26 0.86 0.86 0.77 786 J01CA04 AMOXICILLINUM DUOMOX 250 mg COMPR. PT. DISPERSIE ORALA 250mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR. P-RF 20 8.19 0.41 0.41 0.37 787 J01CA04 AMOXICILLINUM DUOMOX 500 mg COMPR. PT. DISPERSIE ORALA 500mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR. P-RF 20 11.89 0.59 0.59 0.53 788 J01CA04 AMOXICILLINUM DUOMOX 750 mg COMPR. PT. DISPERSIE ORALA 750mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR. P-RF 20 14.35 0.72 0.72 0.65 789 J01CA04 AMOXICILLINUM OSPAMOX 1000 mg COMPR. FILM. 1000mg SANDOZ GMBH AUSTRIA CUTIE 2 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF 12 9.34 0.78 0.78 0.7 790 J01CA04 AMOXICILLINUM OSPAMOX 500 mg COMPR. FILM. 500mg SANDOZ GMBH AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 6 COMPR.FILM. P-RF 12 4.45 0.37 0.37 0.33 791 J01CA04 AMOXICILLINUM JULPHAMOX PULB. PT. SUSP. ORALA 125mg/5ml GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 100 ML SUSP. P-RF 1 6.83 6.83 2.69 2.42 792 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 125 mg/5 ml PULBERE PENTRU SUSPENSIE ORALA PULB. PT. SUSP. ORALA 125mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA CONTINAND 20 G PULB PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 4.1 4.1 2.69 2.42 793 J01CA04 AMOXICILLINUM OSPAMOX (R) 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. X 5,1 G PULB. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE P-RF 1 3.79 3.79 2.69 2.42 794 J01CA04 AMOXICILLINUM AMOXICILINA 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. DE STICLA BRUNA CONTINAND PULB. PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 4.53 4.53 2.69 2.42 795 J01CA04 AMOXICILLINUM JULPHAMOX PULB. PT. SUSP. ORALA 250mg/5ml GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 100 ML SUSP. P-RF 1 9.34 9.34 3.97 3.57 796 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 250 mg/ 5 ml PULBERE PENTRU SUSPENSIE ORALA PULB. PT. SUSP. ORALA 250mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. X 20 G PULB. PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE PE, CU GRADATII PT. 1,25 P-RF 1 5.92 5.92 3.97 3.57 797 J01CA04 AMOXICILLINUM E - MOX PULB. PT. SUSP. ORALA 250mg/5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 60 ML SUSP. P-RF 1 5.72 5.72 3.97 3.57 798 J01CA04 AMOXICILLINUM OSPAMOX 250 mg/5 ml PULB. PT. SUSP. ORALA 250mg/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. X 6,6 G PULB. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE P-RF 1 5.53 5.53 3.97 3.57 799 J01CA04 AMOXICILLINUM AMOXICILINA 250 mg/5 ml PULB. PT. SUSP. ORALA 250mg/5ml OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. DE STICLA BRUNA CONTINAND PULB. PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 5.79 5.79 3.97 3.57 800 J01CA04 AMOXICILLINUM MOXILEN PULB. SUSP. 125mg/5ml MEDOCHEMIE LTD. CIPRU CUTIE X 1 FLAC. CU PULB. PT. 60ML SUSP. P-RF 1 2.69 2.69 2.69 2.42

801 J01CA04 AMOXICILLINUM MOXILEN FORTE PULB. SUSP. 250mg/5ml MEDOCHEMIE LTD. CIPRU CUTIE X 1 FLAC. CU PULB. PT. 60ML SUSP. P-RF 1 3.97 3.97 3.97 3.57 802 J01CE02 PHENOXYMETHYLPENICILLINUM PENICILINA V 1 000 000 U.I. COMPR. 1000000ui EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.5 0.33 0.33 0.3 803 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN (R) 1000 COMPR. FILM. 1000000ui SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF 12 2.63 0.22 0.22 0.2 804 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN (R) 1500 COMPR. FILM. 1500000ui SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF 12 4.62 0.39 0.39 0.35 805 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN (R) 500 COMPR. FILM. 500000ui SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF 12 2.06 0.17 0.17 0.15 806 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN 400 SIROP 400000ui/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLACON X 60ML P-RF 1 6.91 6.91 6.91 6.22 807 J01CE08 BENZATHINI BENZYLPENICILLINUM MOLDAMIN (R) PULB. PT. SUSP. INJ. 1200000ui ANTIBIOTICE SA ROMANIA FLACON PULB. PT. SUSP. INJ. P-RF/S 1 1.54 1.54 1.54 1.39 808 J01CE08 BENZATHINI BENZYLPENICILLINUM MOLDAMIN (R) PULB. PT. SUSP. INJ. 600000ui ANTIBIOTICE SA ROMANIA FLACON PULB. PT. SUSP. INJ. P-RF/S 1 1.03 1.03 1.03 0.93 809 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.31 0.27 0.2 0.18 810 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.81 0.24 0.2 0.18 811 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST.AL/PVC X 12 CAPS. P-RF 12 4.36 0.36 0.2 0.18 812 J01CF04 OXACILLINUM OXACILINA SANDOZ 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.49 0.27 0.2 0.18 813 J01CF04 OXACILLINUM OXACILINA CAPS. 250mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 4.06 0.2 0.2 0.18 814 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.56 0.23 0.2 0.18 815 J01CF04 OXACILLINUM OXACILINA FARMEX 250 mg CAPS. 250mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.8 0.24 0.2 0.18 816 J01CF04 OXACILLINUM OXACILINA 500 MG CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 4.42 0.44 0.38 0.34 817 J01CF04 OXACILLINUM OXACILINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 5.59 0.56 0.38 0.34 818 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.62 0.38 0.38 0.34 819 J01CF04 OXACILLINUM OXALIN 500 mg CAPS. 500mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. P-RF 12 7.5 0.63 0.38 0.34 820 J01CF04 OXACILLINUM OXACILINA SANDOZ 500 mg CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 5.02 0.5 0.38 0.34

821 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 5.87 0.59 0.38 0.34 822 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF/S 1 3.43 3.43 3.43 3.09 823 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM FORCID SOLUTAB 250/62,5 COMPR. DISP. 250/62,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 5 BLIST. PA-AL-PVC/AL X 4 COMPR. DISP. P-RF 20 17.34 0.87 0.87 0.78 824 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM FORCID SOLUTAB 500/125 COMPR. DISP. 500/125mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 5 BLIST. PA-AL-PVC/AL X 4 COMPR. DISP. P-RF 20 25.43 1.27 1.27 1.14 Page 17 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 825 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM FORCID SOLUTAB 875/125 COMPR. DISP. 875mg+125mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. DISP. P-RF 14 37.16 2.65 2.65 2.39 826 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 1000 mg COMPR. FILM. 1000mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL-PVC/AL X 7 COMPR. FILM. P-RF 14 36.04 2.57 2.57 2.31 827 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 375 mg COMPR. FILM. 250mg+125mg MEDOCHEMIE LTD. CIPRU CUTIE X 4 BLIST. X 4 COMPR. FILM. P-RF 16 15.77 0.99 0.99 0.89 828 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 625 mg COMPR. FILM. 500mg+125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLIST. AL/PVDC-PVC X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOA P-RF 14 28.42 2.03 1.45 1.31 829 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2 x 625 mg COMPR. FILM. 625mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. AL/AL X 14 COMPR. FILM. P-RF 14 32.11 2.29 1.45 1.31 830 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM BIOCLAVID 625 mg COMPR. FILM. 625mg SANDOZ GMBH AUSTRIA CUTIE X 7 FOLII AL/AL X 3 COMPR.FILM. P-RF 21 57.34 2.73 1.45 1.31

831 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM BIOCLAVID 625 mg COMPR. FILM. 625mg SANDOZ GMBH AUSTRIA CUTIE X 3 FOLII AL/AL X 4 COMPR.FILM. P-RF 12 32.74 2.73 1.45 1.31 832 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 625 mg COMPR. FILM. 500mg+125mg MEDOCHEMIE LTD. CIPRU CUTIE X 4 BLIST. X 4 COMPR. FILM. P-RF 16 23.17 1.45 1.45 1.31 833 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 1 g COMPR. FILM. 875mg+125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLIST. AL/PVDC-PVC X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOA P-RF 14 45.05 3.22 2.57 2.31 834 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN (tm) SR COMPR. FILM. ELIB. PREL. 1062.5mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 7 BLIST. AL/PVC-AL SAU AL/PP-AL X 4 COMPR. FILM. ELIB. PREL. P-RF 28 50.36 1.8 1.8 1.62 835 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 156,25 mg/5 ml PULB. PT. SUSP. ORALA 125mg+31.25/5ml MEDOCHEMIE LTD. CIPRU CUTIE X 1 FLAC. CU PULB. PT. 100ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 12.75 12.75 12.75 11.48 836 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM BIOCLAVID 156.25mg/5ml PULB. PT. SUSP. ORALA 156.25mg/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. PULB. PT. RECONSTITUIREA A 100 ML SUSP. ORALA P-RF 1 20.25 20.25 12.75 11.48 837 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 156,25mg/5ml PULB. PT. SUSP. ORALA 156.25mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA P-RF 1 14.5 14.5 12.75 11.48 838 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM BIOCLAVID 312.5mg/5ml PULB. PT. SUSP. ORALA 312.5mg/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. PULB. PT. RECONSTITUIREA A 100 ML SUSP. ORALA P-RF 1 25.3 25.3 15.44 13.9 839 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV FORTE 312,5mg/5ml PULB. PT. SUSP. ORALA 250mg+62.5mg/5ml MEDOCHEMIE LTD. CIPRU CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 100 ML SUSP. P-RF 1 15.44 15.44 15.44 13.9 840 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 312.5mg/5ml PULB. PT.SUSP. ORALA 312.5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 17.64 17.64 15.44 13.9 841 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS ( 2 - 6 ANI ) PULB. PT. SUSP. ORALA 400mg+57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. 35 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 16.72 16.72 16.72 15.05 842 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS ( 7 - 12 ANI ) PULB. PT. SUSP. ORALA 400mg+57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. 70 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 20.34 20.34 16.72 15.05 843 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS ( 2 LUNI - 2 ANI ) PULB. PT. SUSP. ORALA 400mg+57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERIGA PT. ADM. ORALA P-RF 1 18.51 18.51 16.72 15.05 844 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN (R) ES PULB. PT. SUSP. ORALA 642.90mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA CU PULB. PT. 100 ML SUSP. ORALA + 1 MASURA DOZATOARE P-RF 1 24.69 24.69 24.69 22.22 845 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 312,5 mg/5 ml PULB. PT.SUSP. ORALA 312.5mg/5ml RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID CU PULB. PT. SUSP. ORALA + MASURA DOZATOARE P-RF 1 16.26 16.26 15.44 13.9

846 J01DB01 CEFALEXINUM CEFALEXINA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 9.32 0.47 0.29 0.26 847 J01DB01 CEFALEXINUM CEFALEXINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 5.76 0.29 0.29 0.26 848 J01DB01 CEFALEXINUM OSPEXIN (R) 250 mg CAPS. 250mg SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 CAPS. P-RF 12 5.42 0.45 0.29 0.26 849 J01DB01 CEFALEXINUM CEFALEXIN 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 3.77 0.38 0.29 0.26 850 J01DB01 CEFALEXINUM CEFALEXIN SANDOZ 250 mg CAPSULE CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 5.59 0.56 0.29 0.26 851 J01DB01 CEFALEXINUM SPORIDEX 250 mg CAPS. 250mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 4.53 0.45 0.29 0.26 852 J01DB01 CEFALEXINUM CEFALEXINA MEDICO UNO 250 mg CAPS. 250mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 5.39 0.54 0.29 0.26 853 J01DB01 CEFALEXINUM CEFALEXINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 5.63 0.56 0.56 0.5 854 J01DB01 CEFALEXINUM CEFALEXINA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 6.41 0.64 0.56 0.5 855 J01DB01 CEFALEXINUM CEFALEXIN 500 mg CAPS. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 6.46 0.65 0.56 0.5 856 J01DB01 CEFALEXINUM SPORIDEX 500 mg CAPS. 500mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 7.72 0.77 0.56 0.5 857 J01DB01 CEFALEXINUM OSPEXIN 1000 mg COMPR. FILM. 1000mg SANDOZ GMBH AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 6 COMPR.FILM. P-RF 12 11.18 0.93 0.93 0.84 858 J01DB01 CEFALEXINUM OSPEXIN 500 mg COMPR. FILM. 500mg SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR.FILM. P-RF 12 8.63 0.72 0.72 0.65 859 J01DB01 CEFALEXINUM CEFALEXIN SANDOZ 500 mg COMPRIMATE FILMATE COMPR. FILM. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 9.17 0.92 0.72 0.65 860 J01DB01 CEFALEXINUM KEFLEX (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml ACTAVIS GROUP HF ISLANDA CUTIE X 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 4.68 4.68 4.68 4.21 861 J01DB01 CEFALEXINUM OSPEXIN (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. X 33 G GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA PP P-RF 1 5.78 5.78 4.68 4.21 862 J01DB01 CEFALEXINUM CEFALEXIN SANDOZ 125 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 33 G PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 4.94 4.94 4.68 4.21 863 J01DB01 CEFALEXINUM KEFLEX (R) 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml ACTAVIS GROUP HF ISLANDA CUTIE X 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 7.59 7.59 7 6.3 864 J01DB01 CEFALEXINUM CEFALEXIN SANDOZ 250 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 33 G PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 7.61 7.61 7 6.3

865 J01DB01 CEFALEXINUM OSPEXIN (R) 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. X 33G GRANULE PT. 60ML SUSP.+ LINGURITA DOZATOARE X 5ML P-RF 1 7 7 7 6.3 866 J01DB01 CEFALEXINUM CEFALEXIN 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID PT. 60 ML + MASURA DOZATOARE PP P-RF 1 4.53 4.53 4.53 4.08 867 J01DB01 CEFALEXINUM CEFALEXIN 250 mg/5 ml PULB. PT. SUSP. ORALA 250mg/5ml OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID PT. 60 ML + MASURA DOZATOARE PP P-RF 1 7.38 7.38 7.38 6.64 868 J01DB05 CEFADROXILUM CEXYL 250 mg CAPS. 250mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 12.35 1.24 1.24 1.12 869 J01DB05 CEFADROXILUM CEFORAN (R) 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 8.9 0.89 0.7 0.63 870 J01DB05 CEFADROXILUM CEXYL 500 mg CAPS. 500mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 21.05 2.11 0.7 0.63 871 J01DB05 CEFADROXILUM CEFADROXIL CAPS. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 CAPS. P-RF 10 8.38 0.84 0.7 0.63 872 J01DB05 CEFADROXILUM CEFADROXIL TERAPIA CAPS. 500mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 10 CAPS. P-RF 10 7.02 0.7 0.7 0.63 873 J01DB05 CEFADROXILUM CEXYL 1000 mg COMPR. FILM. 1000mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/PVDC X 10. COMPR. FILM. P-RF 10 17.4 1.74 1.74 1.57 Page 18 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 874 J01DB05 CEFADROXILUM CEXYL 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. CU GRAN PENTRU 60 ML SUSP. ORALA + O LINGURITA DOZATOARE P-RF 1 8.23 8.23 8.23 7.41 875 J01DB05 CEFADROXILUM CEXYL 250 mg/5 ml GRAN. SUSP. ORALA 250mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. CU GRAN. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE P-RF 1 14.93 14.93 14.93 13.44 876 J01DB05 CEFADROXILUM CEXYL 500 mg/5 ml GRAN. SUSP. ORALA 500mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. CU GRAN. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE P-RF 1 29.03 29.03 29.03 26.13 877 J01DC02 CEFUROXIMUM CEROXIM 250 mg COMPR. 250mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 10 21.15 2.12 2.12 1.91 878 J01DC02 CEFUROXIMUM CEROXIM 500 mg COMPR. 500mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 10 37.22 3.72 3.72 3.35 879 J01DC02 CEFUROXIMUM AXYCEF (R) 125 COMPR. ACOPERITE 125mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE P-RF 10 11.71 1.17 1.17 1.05 880 J01DC02 CEFUROXIMUM AXYCEF (R) 250 COMPR. ACOPERITE 250mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE P-RF 10 23.42 2.34 2.33 2.1

881 J01DC02 CEFUROXIMUM AXYCEF (R) 500 COMPR. ACOPERITE 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE P-RF 10 44.75 4.48 4.45 4.01 882 J01DC02 CEFUROXIMUM ZINNAT (R) 125 mg COMPR. FILM. 125mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 10 11.67 1.17 1.17 1.05 883 J01DC02 CEFUROXIMUM ZINNAT (R) 250 mg COMPR. FILM. 250mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. OPA-AL-PVC/AL X 10 COMPR.FILM P-RF 10 23.29 2.33 2.33 2.1 884 J01DC02 CEFUROXIMUM ZINNAT (R) 500 mg COMPR. FILM. 500mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. OPA-AL-PVC/AL X 10 COMPR.FILM P-RF 10 44.53 4.45 4.45 4.01 885 J01DC02 CEFUROXIMUM ZINNAT GRAN. PT. SUSP. ORALA 125mg/5ml GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA CU GRANULE PT 50 ML SUSP. ORALA + PAHAR MENZURA A 20 ML SI LINGURIT P-RF 1 22.98 22.98 20.32 18.29 886 J01DC02 CEFUROXIMUM CEROXIM 125mg/5ml GRAN. PT. SUSP. ORALA 125mg/5ml RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON CU GRANULE PT. SUSP. ORALA (PT. 70 ML SUSPENSIE ORALA) + LINGURITA DOZATOARE A 5 ML P-RF 1 20.32 20.32 20.32 18.29 887 J01DC02 CEFUROXIMUM CEROXIM 125mg/5ml GRAN. PT. SUSP. ORALA 125mg/5ml RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON CU GRANULE PT. SUSP. ORALA (PT. 100 ML SUSPENSIE ORALA) + LINGURITA DOZATOARE A 5 M P-RF 1 29.05 29.05 20.32 18.29 888 J01DC02 CEFUROXIMUM CEROXIM 250mg/5ml GRAN. PT. SUSP. ORALA 250mg/5ml RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON CU GRANULE PT. SUSP. ORALA (PT. 100 ML SUSPENSIE ORALA) + LINGURITA DOZATOARE A 5 M P-RF 1 43.57 43.57 30.04 27.04 889 J01DC02 CEFUROXIMUM CEROXIM 250mg/5ml GRAN. PT. SUSP. ORALA 250mg/5ml RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON CU GRANULE PT. SUSP. ORALA (PT. 70 ML SUSPENSIE ORALA) + LINGURITA DOZATOARE A 5 ML P-RF 1 30.04 30.04 30.04 27.04 890 J01DC02 CEFUROXIMUM AXYCEF (R) 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. PULB. PT. 70 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 25.74 25.74 25.74 23.17 891 J01DC04 CEFACLORUM CEFACLOR 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 15 CAPS. P-RF 15 15.12 1.01 0.97 0.87 892 J01DC04 CEFACLORUM CECLODYNE (R) 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 13.64 1.36 0.97 0.87 893 J01DC04 CEFACLORUM CEFACLOR 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 10.08 1.01 0.97 0.87 894 J01DC04 CEFACLORUM MEDOCLOR 250 CAPS. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 17.44 1.09 0.97 0.87 895 J01DC04 CEFACLORUM CLORACEF (R) 250 CAPS. 250mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 15.5 0.97 0.97 0.87 896 J01DC04 CEFACLORUM CEFACLOR 500 mg CAPS. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 15 CAPS. P-RF 15 27.39 1.83 1.29 1.16 897 J01DC04 CEFACLORUM MEDOCLOR 500 CAPS. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 33.25 2.08 1.29 1.16

898 J01DC04 CEFACLORUM CECLODYNE (R) FORTE 500 mg CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 25.78 2.58 1.29 1.16 899 J01DC04 CEFACLORUM CLORACEF (R) FORTE 500 CAPS. 500mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 20.67 1.29 1.29 1.16 900 J01DC04 CEFACLORUM CECLOR (R) MR COMPR. ELIB. PREL. 375mg ACTAVIS GROUP HF ISLANDA CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL. P-RF 10 29.54 2.95 2.44 2.2 901 J01DC04 CEFACLORUM CECLOZONE MR 375 mg COMPR. ELIB. PREL. 375mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL. P-RF 10 24.44 2.44 2.44 2.2 902 J01DC04 CEFACLORUM CECLOR (R) MR COMPR. ELIB. PREL. 500mg ACTAVIS GROUP HF ISLANDA CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL. P-RF 10 37.94 3.79 3.79 3.41 903 J01DC04 CEFACLORUM CECLOR (R) MR COMPR. ELIB. PREL. 750mg ACTAVIS GROUP HF ISLANDA CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL. P-RF 10 58.76 5.88 5.57 5.01 904 J01DC04 CEFACLORUM CECLOZONE MR 750 mg COMPR. ELIB. PREL. 750mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL. P-RF 10 55.74 5.57 5.57 5.01 905 J01DC04 CEFACLORUM CECLODYNE (R) MR 375 mg COMPR. FILM. ELIB. MODIF. 375mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PE-ACLAR/AL X 10 COMPR. FILM. ELIB. MODIF. P-RF 10 24.42 2.44 2.44 2.2 906 J01DC04 CEFACLORUM CECLODYNE (R) MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PE-ACLAR/AL X 10 COMPR. FILM. ELIB. MODIF. P-RF 10 32.25 3.23 3.23 2.91 907 J01DC04 CEFACLORUM CECLODYNE (R) MR 750 mg COMPR. FILM. ELIB. MODIF. 750mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF. P-RF 10 47.38 4.74 4.74 4.27 908 J01DC04 CEFACLORUM CECLOR (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml ACTAVIS GROUP HF ISLANDA CUTIE X 1 FLAC. PEID DE CULOARE ALBA, CU GRANULE PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 12.26 12.26 9.15 8.24 909 J01DC04 CEFACLORUM CEFACLOR 125 mg/5ml GRAN. PT. SUSP. ORALA 125mg/5ml OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 37,5 G GRAN. PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 12.88 12.88 9.15 8.24 910 J01DC04 CEFACLORUM CECLODYNE 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. X 38,1 G GRANULE PT. 60 ML SUSP. ORALA P-RF 1 12.21 12.21 9.15 8.24 911 J01DC04 CEFACLORUM VERCEF 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID CU GRAN.PT. 75 ML SUSP.ORALA P-RF 1 9.15 9.15 9.15 8.24 912 J01DC04 CEFACLORUM CECLODYNE 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. X 38,1 G GRANULE PT. 60 ML SUSP. ORALA P-RF 1 14.59 14.59 9.15 8.24 913 J01DC04 CEFACLORUM CECLOR (R) 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml ACTAVIS GROUP HF ISLANDA CUTIE X 1 FLAC. PEID DE CULOARE ALBA, CU GRANULE PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 24.18 24.18 21.43 19.29 914 J01DC04 CEFACLORUM CEFACLOR 250 mg/5ml GRAN. PT. SUSP. ORALA 250mg/5ml OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 37,5 G GRAN. PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 21.43 21.43 21.43 19.29 915 J01DC04 CEFACLORUM CECLODYNE 250 mg/ 5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. X 38,1 G GRANULE PT. 60 ML SUSP. ORALA P-RF 1 23.2 23.2 21.43 19.29 916 J01DC04 CEFACLORUM CECLODYNE 250 mg/ 5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. X 38,1 G GRANULE PT. 60 ML SUSP. ORALA P-RF 1 28.58 28.58 21.43 19.29 917 J01DC04 CEFACLORUM CEFAKLOR 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE P-RF 1 11.62 11.62 8.84 7.96

918 J01DC04 CEFACLORUM CLORACEF (R) 125 PULB. PT. SUSP. ORALA 125mg/5ml DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 75ML SUSP.+ LINGURITA DOZATOARE P-RF 1 8.84 8.84 8.84 7.96 919 J01DC04 CEFACLORUM CEFAKLOR 250 mg/5 ml PULB. PT. SUSP. ORALA 250mg/5ml HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE P-RF 1 22.06 22.06 15.5 13.95 920 J01DC04 CEFACLORUM CEC HEXAL FORTE 250MG/5ML PULB. PT. SUSP. ORALA 250mg/5ml HEXAL AG GERMANIA CUTIE X 1 FLAC. CU 37,8 G PULB. PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE + SERINGA DOZATOARE P-RF 1 22.76 22.76 15.5 13.95 921 J01DC04 CEFACLORUM CLORACEF (R) 250 PULB. PT. SUSP. ORALA 250mg/5ml DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 75ML SUSP. + LINGURITA DOZATOARE P-RF 1 15.5 15.5 15.5 13.95 922 J01DD08 CEFIXIMUM EFICEF (R) 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 19.18 1.92 1.92 1.73 Page 19 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 923 J01DD08 CEFIXIMUM SUPRAX COMPR. FILM. 200mg GEDEON RICHTER LTD. UNGARIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 46.45 4.65 4.65 4.19 924 J01DD08 CEFIXIMUM SUPRAX GRAN. PT. SUSP. ORALA 100mg/5ml GEDEON RICHTER PLC UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU GRANULE PT. 50 ML SUSP. ORALA + 1 MASURA DOZATOARE P-RF 1 25.84 25.84 25.84 23.26 925 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BISEPTRIM COMPR. 400mg/80mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 2.28 0.11 0.07 0.06 926 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM COMPR. 400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.49 0.12 0.07 0.06 927 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM CO - TRIM ELL COMPR. 400mg/80mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.02 0.1 0.07 0.06 928 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM CO - TRIM ELL COMPR. 400mg/80mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.02 0.1 0.07 0.06 929 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.33 0.07 0.07 0.06

930 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM SIROP 25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 4.95 4.95 4.95 4.46 931 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM EPITRIM SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML P-RF 1 2.97 2.97 2.97 2.67 932 J01FA01 ERYTHROMYCINUM ERITROMAGIS 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 5.06 0.25 0.25 0.23 933 J01FA01 ERYTHROMYCINUM ERITROMICINA 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.56 0.33 0.25 0.23 934 J01FA01 ERYTHROMYCINUM ERITROMICINA SANDOZ 200 mg COMPRIMATE COMPR. 200mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.03 0.3 0.25 0.23 935 J01FA01 ERYTHROMYCINUM ERITROMICINA 200 mg COMPR. 200mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.91 0.35 0.25 0.23 936 J01FA01 ERYTHROMYCINUM ERITRO 200 PULB. PT. SUSP. ORALA 200mg/5ml LEK PHARMATECH SRL ROMANIA CUTIE X 1 FLAC. X 30G + PULB. PT. 60 ML SUSP. ORALA + O LIGURITA DOZATOARE P-RF 1 7.84 7.84 7.84 7.06 937 J01FA09 CLARITHROMYCINUM KLACID (R) COMPR. FILM. 250mg ABBOTT SPA ITALIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 32.56 3.26 1.09 0.98 938 J01FA09 CLARITHROMYCINUM KLACID (R) COMPR. FILM. 250mg ABBOTT SPA ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 17.78 1.27 1.09 0.98 939 J01FA09 CLARITHROMYCINUM LEKOKLAR (R) 250 mg COMPR. FILM. 250mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 5 COMPR. FILM. P-RF 10 17.17 1.72 1.09 0.98 940 J01FA09 CLARITHROMYCINUM LEKOKLAR (R) 250 mg COMPR. FILM. 250mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 21.49 1.54 1.09 0.98 941 J01FA09 CLARITHROMYCINUM CLAR 250 COMPR. FILM. 250mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM. P-RF 20 23.7 1.19 1.09 0.98 942 J01FA09 CLARITHROMYCINUM KLERIMED (R) 250 COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 17.41 1.24 1.09 0.98 943 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 17.17 1.23 1.09 0.98 944 J01FA09 CLARITHROMYCINUM CLARITROMICINA 250 mg COMPR. FILM. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 15.23 1.09 1.09 0.98 945 J01FA09 CLARITHROMYCINUM FROMILID 250 COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 18.84 1.35 1.09 0.98 946 J01FA09 CLARITHROMYCINUM LEKOKLAR (R) 500 mg COMPR. FILM. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 40.18 2.87 1.53 1.38 947 J01FA09 CLARITHROMYCINUM KLERIMED (R) 500 COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 31.89 2.28 1.53 1.38 948 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 32.72 2.34 1.53 1.38 949 J01FA09 CLARITHROMYCINUM CLAR 500 COMPR. FILM. 500mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM. P-RF 20 30.57 1.53 1.53 1.38

950 J01FA09 CLARITHROMYCINUM CLARITROMICINA 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 28.94 2.07 1.53 1.38 951 J01FA09 CLARITHROMYCINUM FROMILID 500 COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 34.37 2.46 1.53 1.38 952 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF. P-RF 5 22.46 4.49 3.12 2.81 953 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF. P-RF 7 31.38 4.48 3.12 2.81 954 J01FA09 CLARITHROMYCINUM KLABAX MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 21.87 3.12 3.12 2.81 955 J01FA09 CLARITHROMYCINUM KLACID SR COMPR. FILM. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL. P-RF 5 23.7 4.74 3.12 2.81 956 J01FA09 CLARITHROMYCINUM FROMILID (R) UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 28 4 3.12 2.81 957 J01FA09 CLARITHROMYCINUM FROMILID (R) UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL. P-RF 5 20 4 3.12 2.81 958 J01FA09 CLARITHROMYCINUM KLACID (R) GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML P-RF 1 25.18 25.18 13.81 12.43 959 J01FA09 CLARITHROMYCINUM KLACID (R) GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML P-RF 1 15.41 15.41 13.81 12.43 960 J01FA09 CLARITHROMYCINUM FROMILID (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml KRKA D.D. SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. P-RF 1 15.41 15.41 13.81 12.43 961 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 15.81 15.81 13.81 12.43 962 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 23.92 23.92 13.81 12.43 963 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 20.92 20.92 13.81 12.43 964 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 13.81 13.81 13.81 12.43 965 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 38.37 38.37 24.47 22.02 966 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 27.96 27.96 24.47 22.02 967 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA S.A. ROMANIA CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 33.55 33.55 24.47 22.02 968 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA S.A. ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 24.47 24.47 24.47 22.02 969 J01MA01 OFLOXACINUM OFLOXACIN 200 mg COMPR. FILM. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 33.34 3.33 1.46 1.31

970 J01MA01 OFLOXACINUM OFLOXIN 200 COMPR. FILM. 200mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 14.6 1.46 1.46 1.31 971 J01MA01 OFLOXACINUM ZANOCIN COMPR. FILM. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 19.65 1.97 1.46 1.31 Page 20 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 972 J01MA01 OFLOXACINUM ZANOCIN (R) OD 400 COMPR. FILM. ELIB. PREL. 400mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 5 COMPR. FILM. ELIB. PREL. P-RF 5 19.65 3.93 3.74 3.37 973 J01MA01 OFLOXACINUM ZANOCIN (R) OD 400 COMPR. FILM. ELIB. PREL. 400mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 5 COMPR. FILM. ELIB. PREL. P-RF 10 37.37 3.74 3.74 3.37 974 J01MA02 CIPROFLOXACINUM EUCIPRIN CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. P-RF 12 4.83 0.4 0.4 0.36 975 J01MA02 CIPROFLOXACINUM CIPROCIN 250 mg COMPR. FILM. 250mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 6.67 0.67 0.3 0.27 976 J01MA02 CIPROFLOXACINUM CIPRINOL 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 10.96 1.1 0.3 0.27 977 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 250 mg COMPR. FILM. 250mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.72 0.47 0.3 0.27 978 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.8 0.48 0.3 0.27

979 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 9.69 0.48 0.3 0.27 980 J01MA02 CIPROFLOXACINUM CIPROZONE 250 mg COMPR. FILM. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 4.07 0.41 0.3 0.27 981 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 250 mg COMPR. FILM. 250mg ALKALOID D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF 10 4.74 0.47 0.3 0.27 982 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 10 5.29 0.53 0.3 0.27 983 J01MA02 CIPROFLOXACINUM CIPHIN 250 COMPR. FILM. 250mg ZENTIVA A.S. SLOVACIA CUTIE X 1 BLIST. PVDC/PVC/AL X 10 COMPR. FILM. P-RF 10 7.7 0.77 0.3 0.27 984 J01MA02 CIPROFLOXACINUM CIPROLET 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 2.96 0.3 0.3 0.27 985 J01MA02 CIPROFLOXACINUM CIPROBAY (R) 500 COMPR. FILM. 500mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. FILM. P-RF 10 63.07 6.31 0.4 0.36 986 J01MA02 CIPROFLOXACINUM CIPRINOL 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 19.26 1.93 0.4 0.36 987 J01MA02 CIPROFLOXACINUM CIPROCIN 500 mg COMPR. FILM. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 11.85 1.19 0.4 0.36 988 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 500 mg COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 8.41 0.84 0.4 0.36 989 J01MA02 CIPROFLOXACINUM CUMINOL 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 9.25 0.93 0.4 0.36 990 J01MA02 CIPROFLOXACINUM CIPROZONE FORTE 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 7.89 0.79 0.4 0.36 991 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 500 mg COMPR. FILM. 500mg ALKALOID D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF 10 9.08 0.91 0.4 0.36 992 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 500mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 10 10.22 1.02 0.4 0.36 993 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 11.15 1.12 0.4 0.36 994 J01MA02 CIPROFLOXACINUM SIFLOKS (R) COMPR. FILM. 500mg ECZACIBASI ILAC SANAYI VE TICARET AS TURCIA CUTIE X 2 BLIST. X 7 COMPR.FILM. P-RF 14 5.63 0.4 0.4 0.36 995 J01MA02 CIPROFLOXACINUM CIPHIN 500 COMPR. FILM. 500mg ZENTIVA A.S. SLOVACIA CUTIE X 1 BLIST. PVDC/PVC/AL X 10 COMPR. FILM. P-RF 10 11.85 1.19 0.4 0.36 996 J01MA02 CIPROFLOXACINUM CIPROLET 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.03 0.4 0.4 0.36 997 J01MA02 CIPROFLOXACINUM CIPRODAR COMPR. FILM. 500mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 10.37 1.04 0.4 0.36 998 J01MA02 CIPROFLOXACINUM CIPRINOL 750 mg COMPR. FILM. 750mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 24.41 2.44 2.44 2.2

999 J01MA03 PEFLOXACINUM PEFLOXACIN LAROPHARM COMPR. FILM. 400mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 32.1 3.21 3.21 2.89 1000 J01MA06 NORFLOXACINUM NORFLOXACIN 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 13.55 0.97 0.45 0.41 1001 J01MA06 NORFLOXACINUM H - NORFLOXACIN 400 mg COMPR. FILM. 400mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 14.69 0.73 0.45 0.41 1002 J01MA06 NORFLOXACINUM NORFLOXACINA LPH 400 mg COMPR. FILM. 400mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 10.47 0.52 0.45 0.41 1003 J01MA06 NORFLOXACINUM NORFLOX - 400 COMPR. FILM. 400mg LEK PHARMATECH SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 9.8 0.98 0.45 0.41 1004 J01MA06 NORFLOXACINUM NORFLOX - 400 COMPR. FILM. 400mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 4.8 0.48 0.45 0.41 1005 J01MA06 NORFLOXACINUM NOLICIN 400 mg COMPR. FILM. 400mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 12.42 0.62 0.45 0.41 1006 J01MA06 NORFLOXACINUM NORFLOXACIN 400 mg COMPR. FILM. 400mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FOLIE AL-PEJD X 10 COMPR. FILM. P-RF 10 4.95 0.5 0.45 0.41 1007 J01MA06 NORFLOXACINUM EPINOR COMPR. FILM. 400mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 11.19 0.8 0.45 0.41 1008 J01MA06 NORFLOXACINUM NORFLOXACIN OZONE 400 mg COMPR. FILM. 400mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.46 0.45 0.45 0.41 1009 J01MB02 ACIDUM NALIDIXICUM NALIXID 500 mg CAPS. 500mg ZENTIVA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 8.3 0.28 0.28 0.25 1010 J02AB02 KETOCONAZOLUM NIZORAL 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 12.35 1.24 0.45 0.41 1011 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg MAGISTRA C & C ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 4.51 0.45 0.45 0.41 1012 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 5.53 0.55 0.45 0.41 1013 J02AB02 KETOCONAZOLUM NIZORAL COMPR. 200mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. P-RF 10 15.79 1.58 0.45 0.41 1014 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 5.29 0.53 0.45 0.41 1015 J02AB02 KETOCONAZOLUM KETOSTIN 200 mg COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 7.62 0.76 0.45 0.41 1016 J02AB02 KETOCONAZOLUM KEFUNGIN COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 5.71 0.57 0.45 0.41 1017 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 169.3 6.05 2.71 2.44 1018 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 15.44 3.86 2.71 2.44

1019 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 38.72 5.53 2.71 2.44 1020 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 54.21 3.39 2.71 2.44 Page 21 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 1021 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS. P-RF 2 5.68 2.84 2.71 2.44 1022 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 18.94 2.71 2.71 2.44 1023 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 16.34 16.34 4.14 3.73 1024 J02AC01 FLUCONAZOLUM MYCOSYST® 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 68.05 17.01 4.14 3.73 1025 J02AC01 FLUCONAZOLUM MYCOSYST® 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. P-RF 2 34.02 17.01 4.14 3.73 1026 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 6 6 4.14 3.73 1027 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 18.37 18.37 4.14 3.73

1028 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 12.26 12.26 4.14 3.73 1029 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 11.22 11.22 4.14 3.73 1030 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 8.01 8.01 4.14 3.73 1031 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 5.55 5.55 4.14 3.73 1032 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. P-RF 3 42.47 14.16 4.14 3.73 1033 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 9.92 9.92 4.14 3.73 1034 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.14 4.14 4.14 3.73 1035 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.84 5.84 4.14 3.73 1036 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.45 5.45 4.14 3.73 1037 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 4.93 4.93 4.14 3.73 1038 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDICO UNO 150 mg CAPS. 150mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 5.45 5.45 4.14 3.73 1039 J02AC01 FLUCONAZOLUM DIFLAZON 200 mg CAPS. 200mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 106.93 15.28 3.5 3.15 1040 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 24.47 3.5 3.5 3.15 1041 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 39.8 5.69 1.39 1.25 1042 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 13.62 1.95 1.39 1.25 1043 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 48.65 6.95 1.39 1.25 1044 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 25.84 3.69 1.39 1.25 1045 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 25.08 3.58 1.39 1.25 1046 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 14.56 2.08 1.39 1.25 1047 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 11.46 1.43 1.39 1.25

1048 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 4 CAPS. P-RF 4 5.73 1.43 1.39 1.25 1049 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 15.4 1.54 1.39 1.25 1050 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 10.02 1.43 1.39 1.25 1051 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.88 1.7 1.39 1.25 1052 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.8 1.69 1.39 1.25 1053 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.54 1.65 1.39 1.25 1054 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 9.71 1.39 1.39 1.25 1055 J02AC01 FLUCONAZOLUM DIFLUCAN (R) 50 mg/5 ml PULB. PT. SUSP. ORALA 50mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML P-RF 1 81.52 81.52 81.52 73.37 1056 J05AB01 ACICLOVIRUM EUVIROX 200 mg CAPS. 200mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 12.79 0.64 0.61 0.55 1057 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 12.92 0.65 0.61 0.55 1058 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 12.2 0.61 0.61 0.55 1059 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 11.75 1.18 1.18 1.06 1060 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 7.83 0.39 0.39 0.35 1061 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 10.38 0.52 0.39 0.35 1062 J05AB01 ACICLOVIRUM ZOVIRAX COMPR. 200mg GLAXO WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVDC-PVC X 25 COMPR. P-RF 25 44.56 1.78 0.39 0.35 1063 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 9.91 0.5 0.39 0.35 1064 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20 8.31 0.42 0.39 0.35 1065 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 11.59 1.16 1.16 1.04 1066 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. X 5 COMPR. DISP. P-RF 20 4.53 0.23 0.23 0.21 1067 J05AB01 ACICLOVIRUM LOVIR 200 mg COMPR. DISP. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR. DISP. P-RF 10 2.25 0.23 0.23 0.21

1068 J05AB01 ACICLOVIRUM ACIKLOVIR COMPR. FILM. 400mg A & G MED TRADING S.R.L. ROMANIA CUTIE X 7 BLIST. AL/PVC X 5 COMPR. FILM. P-RF 35 35.52 1.01 1.01 0.91 1069 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 224.09 44.82 44.82 40.34 Page 22 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 1070 L02BG01 AMINOGLUTETHIMIDUM ROGLUTEN® 250 mg COMPR. 250mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 40 COMPR. P-RF 40 104.79 2.62 2.62 2.36 1071 M01AB01 INDOMETACINUM INDOMETACIN 50 mg SUPOZ. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L 6 1.36 0.23 0.15 0.14 1072 M01AB01 INDOMETACINUM INDOMETACIN 50 mg SUPOZ. 50mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 1.49 0.15 0.15 0.14 1073 M01AB01 INDOMETACINUM INDOMETACIN 50 mg SUPOZ. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 1.77 0.18 0.15 0.14 1074 M01AB05 DICLOFENACUM DICLOREUM 150 mg CAPS. ELIB. PREL. 150mg ALFA WASSERMANN SPA ITALIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 20 35.41 1.77 1.77 1.59 1075 M01AB05 DICLOFENACUM TRATUL 50 CAPS. GASTROREZ. 50mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. P-6L 30 11.45 0.38 0.38 0.34 1076 M01AB05 DICLOFENACUM DICLAC (R) 75 ID COMPR. ELIB. MODIF. 75mg HEXAL AG GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. P-6L 10 3.5 0.35 0.35 0.32

1077 M01AB05 DICLOFENACUM VOLTAREN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL. P-6L 10 14.63 1.46 0.13 0.12 1078 M01AB05 DICLOFENACUM REFEN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg HEMOFARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 6.86 0.34 0.13 0.12 1079 M01AB05 DICLOFENACUM DICLOTARD (R) 100 mg COMPR. FILM. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL P-6L 20 2.5 0.13 0.13 0.12 1080 M01AB05 DICLOFENACUM VOLTAREN (R) 25 COMPR. FILM. GASTROREZ. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ. P-6L 30 15.48 0.52 0.14 0.13 1081 M01AB05 DICLOFENACUM RHEUMAVEK COMPR. FILM. GASTROREZ. 25mg FARAN LABORATORIES S.A. GRECIA CUTIE X 3 BLIST. PVC-AL/PVDC X 10 COMPR. FILM. GASTROREZ. P-6L 30 4.3 0.14 0.14 0.13 1082 M01AB05 DICLOFENACUM VOLTAREN (R) 50 COMPR. FILM. GASTROREZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ. P-6L 20 18.03 0.9 0.08 0.07 1083 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 1.68 0.08 0.08 0.07 1084 M01AB05 DICLOFENACUM CLAFEN 50 mg COMPR. FILM. GASTROREZ. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L 20 1.81 0.09 0.08 0.07 1085 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 2.02 0.1 0.08 0.07 1086 M01AB05 DICLOFENACUM EPIFENAC COMPR. GASTROREZ. 25mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. X 10 COMPR. GASTROREZ. P-6L 30 3.5 0.12 0.12 0.11 1087 M01AB05 DICLOFENACUM VOLTAREN RAPID (R) DRAJ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ. P-6L 10 9.72 0.97 0.97 0.87 1088 M01AB05 DICLOFENACUM DICLOFENAC 25 mg DRAJ. GASTROREZ. 25mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ. P-6L 30 4.42 0.15 0.15 0.14 1089 M01AB05 DICLOFENACUM DICLOFENAC 50 mg DRAJ. GASTROREZ. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. P-6L 20 1.96 0.1 0.1 0.09 1090 M01AB05 DICLOFENACUM VOLTAREN (R) SOL. INJ. 25mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML P-RF 5 18.03 3.61 0.71 0.64 1091 M01AB05 DICLOFENACUM RHEUMAVEK SOL. INJ. 25mg/ml FARAN LABORATORIES S.A. GRECIA CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML P-RF 5 7.25 1.45 0.71 0.64 1092 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 5 7.05 1.41 0.71 0.64 1093 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 10 9.52 0.95 0.71 0.64 1094 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 30 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF/S 30 25.41 0.85 0.71 0.64 1095 M01AB05 DICLOFENACUM TRATUL (R) SOL. INJ. 30mg/ml GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ. P-RF 5 10.07 2.01 2.01 1.81 1096 M01AB05 DICLOFENACUM VURDON SOL. INJ. 75mg HELP S.A. PHARMACEUTICALS GRECIA CUTIE X 5 FIOLE X 3 ML SOL. INJ. P-RF 5 7.59 1.52 0.71 0.64

1097 M01AB05 DICLOFENACUM ALMIRAL SOL. INJ. 75mg/3ml MEDOCHEMIE LTD. CIPRU CUTIE X 10 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE, IN 2 SUPORTURI TERMOFORMATE DIN MATERIAL PLASTI P-RF 10 7.06 0.71 0.71 0.64 1098 M01AB05 DICLOFENACUM DICLOFENAC 75 mg SOL. INJ. 75mg/3ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML P-RF 5 6.98 1.4 0.71 0.64 1099 M01AB05 DICLOFENACUM DICLAC SOL. INJ. 75mg HEXAL AG GERMANIA CUTIE X 5 FIOLE X 3 ML SOL. INJ. P-RF 5 5.02 1 0.71 0.64 1100 M01AB05 DICLOFENACUM CLAFEN 100 mg SUPOZ. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L 6 2.18 0.36 0.23 0.21 1101 M01AB05 DICLOFENACUM DICLOGESIC 100 SUPOZITOARE SUPOZ. 100mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FOLIE X 5 SUPOZ. P-6L 5 4.43 0.89 0.23 0.21 1102 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L 5 7.64 1.53 0.23 0.21 1103 M01AB05 DICLOFENACUM DICLOFENAC 100 mg SUPOZ. 100mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 2.27 0.23 0.23 0.21 1104 M01AB05 DICLOFENACUM DICLOFENAC SODIC 100 mg SUPOZ. 100mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 2.35 0.24 0.23 0.21 1105 M01AB05 DICLOFENACUM EPIFENAC SUPOZ. 100mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FOLIE AL/PEJD. X 5 SUPOZ. P-6L 5 2.85 0.57 0.23 0.21 1106 M01AB05 DICLOFENACUM TRATUL 120 SUPOZ. 120mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 7.52 1.25 1.25 1.13 1107 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L 10 9.4 0.94 0.94 0.85 1108 M01AB05 DICLOFENACUM TRATUL 60 SUPOZ. 60mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 7 1.17 1.17 1.05 1109 M01AB15 KETOROLACUM TROMETHAMIN KETOROL COMPR. FILM. 10mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 20 5.25 0.26 0.26 0.23 1110 M01AB15 KETOROLACUM TROMETHAMIN KETANOV 10 mg COMPR. FILM. 10mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-6L 20 5.84 0.29 0.26 0.23 1111 M01AB15 KETOROLACUM TROMETHAMIN KETOROL SOL. INJ. 30mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. X 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. P-RF 10 14.19 1.42 1.42 1.28 1112 M01AB15 KETOROLACUM TROMETHAMIN KETANOV SOL. INJ. 30mg/ml TERAPIA S.A. ROMANIA CUTIE X 10 FIOLE X 1 ML P-RF 10 17.72 1.77 1.42 1.28 1113 M01AB16 ACECLOFENACUM AFLAMIL COMPR. FILM. 100mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 10 COMPR. P-6L 20 17.15 0.86 0.86 0.77 1114 M01AC02 TENOXICAMUM TENOXICAM LPH (R) 20 mg CAPS. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 9.27 0.46 0.46 0.41 1115 M01AC02 TENOXICAMUM TENOXICAM 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 9.4 0.47 0.47 0.42 1116 M01AC02 TENOXICAMUM NEO - ENDUSIX (R) COMPR. FILM. 20mg ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 8.76 0.88 0.88 0.79

1117 M01AC02 TENOXICAMUM TILCOTIL COMPR. FILM. 20mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 10 27.88 2.79 0.88 0.79 1118 M01AC02 TENOXICAMUM NEO - ENDUSIX (R) LIOF. + SOLV. PT. SOL. INJ. 20mg ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA CUTIE X 1 FLAC. PULB. + 1 FIOLA SOLV. P-RF 1 4.09 4.09 4.09 3.68 Page 23 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 1119 M01AC02 TENOXICAMUM TILCOTIL LIOF. SI SOLV.PT.SOL.INJ 20mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 5 FLAC DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ.+ 5 FIOLE SOLV. X 2 ML P-RF 5 29.14 5.83 4.09 3.68 1120 M01AC06 MELOXICAMUM MOVALIS (R) 15 mg COMPR. 15mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 28.01 1.4 0.39 0.35 1121 M01AC06 MELOXICAMUM MOVALIS (R) 15 mg COMPR. 15mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 10 16.49 1.65 0.39 0.35 1122 M01AC06 MELOXICAMUM MELOXICAM LPH 15 mg COMPR. 15mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 18.14 0.91 0.39 0.35 1123 M01AC06 MELOXICAMUM MELOXICAM SANDOZ 15 mg COMPR. 15mg HEXAL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 8.76 0.44 0.39 0.35 1124 M01AC06 MELOXICAMUM MELOX 15 mg COMPR. 15mg MEDOCHEMIE LTD CIPRU CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 21.54 0.72 0.39 0.35 1125 M01AC06 MELOXICAMUM MELOX 15 mg COMPR. 15mg MEDOCHEMIE LTD CIPRU CUTIE X 1 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 10 7.73 0.77 0.39 0.35

1126 M01AC06 MELOXICAMUM RECOXA 15 COMPR. 15mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 11.38 0.57 0.39 0.35 1127 M01AC06 MELOXICAMUM RECOXA 15 COMPR. 15mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 10 6.45 0.65 0.39 0.35 1128 M01AC06 MELOXICAMUM MELARTRIN 15 mg COMPR. 15mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 21.45 1.07 0.39 0.35 1129 M01AC06 MELOXICAMUM MELOXICAM 15 mg COMPR. 15mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 11.31 0.57 0.39 0.35 1130 M01AC06 MELOXICAMUM MELOXICAM MCC 15 mg COMPR. 15mg MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 11.19 0.56 0.39 0.35 1131 M01AC06 MELOXICAMUM CELOMIX COMPR. 15mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 11.6 0.39 0.39 0.35 1132 M01AC06 MELOXICAMUM MELOX 7,5 mg COMPR. 7.5 mg MEDOCHEMIE LTD CIPRU CUTIE X 1 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 10 7.03 0.7 0.42 0.38 1133 M01AC06 MELOXICAMUM MELOX 7,5 mg COMPR. 7.5 mg MEDOCHEMIE LTD CIPRU CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 18.46 0.62 0.42 0.38 1134 M01AC06 MELOXICAMUM MOVALIS (R) 7,5 mg COMPR. 7.5mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 10 11.38 1.14 0.42 0.38 1135 M01AC06 MELOXICAMUM MOVALIS (R) 7,5 mg COMPR. 7.5mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 20.3 1.02 0.42 0.38 1136 M01AC06 MELOXICAMUM MELOXICAM LPH 7,5 mg COMPR. 7.5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 13.08 0.65 0.42 0.38 1137 M01AC06 MELOXICAMUM MELOXICAM SANDOZ 7,5 mg COMPR. 7.5mg HEXAL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 8.47 0.42 0.42 0.38 1138 M01AC06 MELOXICAMUM MELOXICAM 7,5 mg COMPR. 7.5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 9.46 0.47 0.42 0.38 1139 M01AC06 MELOXICAMUM MELOXICAM MCC 7,5 mg COMPR. 7.5mg MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIAT. AL/PVC X 10 COMPR. P-6L 20 10.62 0.53 0.42 0.38 1140 M01AC06 MELOXICAMUM MOVALIS (R) SOL. INJ. 15mg/1.5ml BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1,5 ML SIL. INJ. P-RF 5 17.07 3.41 3.41 3.07 1141 M01AC06 MELOXICAMUM MOVALIS (R) 15 mg SUPOZ. 15mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FOLIE TERMOSUDATA AL/PE X 6 SUPOZ. P-6L 6 9.47 1.58 1.02 0.92 1142 M01AC06 MELOXICAMUM MELOXICAM 15 mg SUPOZ. 15mg MAGISTRA C & C ROMANIA CUTII X 2 FOLII TERMOSUDATE PVC/PE X 3 SUPOZ. P-6L 6 6.1 1.02 1.02 0.92 1143 M01AC06 MELOXICAMUM MELOXICAM 7,5 mg SUPOZ. 7.5mg MAGISTRA C & C ROMANIA CUTII X 2 FOLII TERMOSUDATE PVC/PE X 3 SUPOZ. P-6L 6 5.82 0.97 0.97 0.87 1144 M01AE03 KETOPROFENUM KETOPROFEN SR 100 mg CAPS. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL. P-6L 10 8.15 0.82 0.82 0.74 1145 M01AE03 KETOPROFENUM KETONAL (R) DUO 150 mg CAPS. ELIB. PREL. 150mg SANDOZ S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL. P-6L 30 17.64 0.59 0.59 0.53

1146 M01AE03 KETOPROFENUM KETONAL (R) DUO 150 mg CAPS. ELIB. PREL. 150mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL. P-6L 20 11.75 0.59 0.59 0.53 1147 M01AE03 KETOPROFENUM KETOPROFEN SR 200 mg CAPS. ELIB. PREL. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL. P-6L 10 10.06 1.01 0.95 0.86 1148 M01AE03 KETOPROFENUM KETALGON 200 mg CAPS. ELIB. PREL. 200mg NOVIA FARM SOLUTIONS SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 10 9.81 0.98 0.95 0.86 1149 M01AE03 KETOPROFENUM KETONAL UNO CAPS. ELIB. PREL. 200mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL. P-6L 20 18.91 0.95 0.95 0.86 1150 M01AE03 KETOPROFENUM KETONAL UNO CAPS. ELIB. PREL. 200mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL. P-6L 10 9.67 0.97 0.95 0.86 1151 M01AE03 KETOPROFENUM PROFENID (R) 100 mg COMPR. FILM. 100mg LAB. AVENTIS FRANTA CUTIE X 2 BLIST X 15 COMPR. FILM. P-6L 30 20.75 0.69 0.53 0.48 1152 M01AE03 KETOPROFENUM KETONAL FORTE 100 mg COMPR. FILM. 100mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. X 20 COMPR. FILM. P-6L 20 10.58 0.53 0.53 0.48 1153 M01AE03 KETOPROFENUM RUBIFEN 100 mg COMPR. FILM. 100 mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 10.7 0.54 0.53 0.48 1154 M01AE03 KETOPROFENUM KETOPROXIN 100 mg COMPR. FILM. 100mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 10.54 0.53 0.53 0.48 1155 M01AE03 KETOPROFENUM KETOPROXIN 50 mg COMPR. FILM. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 8.07 0.4 0.4 0.36 1156 M01AE03 KETOPROFENUM PROFENID (R) LP 200 mg COMPR. FILM. ELIB. PREL. 200mg LAB. AVENTIS FRANTA CUTIE X 1 BLIST X 14 COMPR. FILM. ELIB. PREL. P-6L 14 13.66 0.98 0.98 0.88 1157 M01AE03 KETOPROFENUM KETONAL RETARD COMPR. ELIB. PREL. 150mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. X 20 COMPR. CU ELIB. PREL. P-6L 20 11.75 0.59 0.59 0.53 1158 M01AE03 KETOPROFENUM PROFENID (R) 100 mg LIOF. + SOLV. PT. SOL. INJ. 100mg LAB. AVENTIS FRANTA CUTIE X 6 FLAC. LIOF. + 6 FIOLE X 5 ML SOLV. P-6L 6 22.56 3.76 3.76 3.38 1159 M01AE03 KETOPROFENUM KETONAL 100 mg/ 2 ml SOL. INJ. 100mg/2ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 10 FIOLE X 2 ML SOL. INJ/CONC PT.SOL. PERF. P-RF 10 15.67 1.57 1.32 1.19 1160 M01AE03 KETOPROFENUM KETOPROFEN 100mg/2ml SOL. INJ./CONC. SOL. PERF. 100mg/2ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE X 2 ML P-RF 5 6.59 1.32 1.32 1.19 1161 M01AE03 KETOPROFENUM KETONAL 100 mg SUPOZ. 100mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 FOLII AL/PE X 6 SUPOZ. P-6L 12 6.31 0.53 0.47 0.42 1162 M01AE03 KETOPROFENUM RUBIFEN (R) 100 mg SUPOZ. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE METALIZATE AL-PE X 3 SUPOZ. P-6L 6 3.03 0.51 0.47 0.42 1163 M01AE03 KETOPROFENUM KETOMAG SUPOZ. 100mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII LAMINATE PVC/PE X 5 SUPOZ. P-6L 10 4.66 0.47 0.47 0.42 1164 M03BX07 TETRAZEPAMUM MYOLASTAN (R) 50 mg COMPR. FILM. 50mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-RF 20 21.37 1.07 1.07 0.96 1165 M04AA01 ALLOPURINOLUM* MILURIT 100 mg COMPR. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 4.58 0.09 0.09 0.08

1166 M04AA01 ALLOPURINOLUM* MILURIT 300 mg COMPR. 300mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR. P-6L 30 7.62 0.25 0.25 0.23 1167 M04AC01 COLCHICINUM COLCHICINA COMPR. 1mg BIOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 COMPR. P-RF 40 4.12 0.1 0.1 0.09 Page 24 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 1168 N02AD01 PENTAZOCINUM FORTRAL 50 mg COMPR. 50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLAC. X 100 COMPR. P-RF/S 100 58.76 0.59 0.59 0.53 1169 N02AD01 PENTAZOCINUM FORTRAL 50 mg COMPR. 50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLAC X 20 COMPR. P-RF 20 13.09 0.65 0.59 0.53 1170 N02AD01 PENTAZOCINUM FORTWIN (R) SOL. INJ. 30mg/ml TERAPIA S.A. ROMANIA CUTIE X 10 FIOLE X 1 ML P-RF 10 8.49 0.85 0.75 0.68 1171 N02AD01 PENTAZOCINUM FORTWIN (R) SOL. INJ. 30mg/ml TERAPIA S.A. ROMANIA CUTIE X 100 FIOLE X 1 ML P-RF/S 100 74.73 0.75 0.75 0.68 1172 N02AD01 PENTAZOCINUM FORTRAL SOL. INJ. 30mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE X 1 ML SOL. INJ. P-RF 10 10.24 1.02 0.75 0.68 1173 N02AD01 PENTAZOCINUM FORTRAL SOL. INJ. 30mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 50 FIOLE X 1 ML SOL. INJ. P-RF/S 50 49.69 0.99 0.75 0.68 1174 N02AX02 TRAMADOLUM TRAMAL (R) CAPS. 50mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 10.92 0.55 0.32 0.29

1175 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.53 0.33 0.32 0.29 1176 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 9.39 0.47 0.32 0.29 1177 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS. P-RF 30 13.47 0.45 0.32 0.29 1178 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 CAPS. P-RF/S 50 22.06 0.44 0.32 0.29 1179 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 CAPS. P-RF/S 100 43.66 0.44 0.32 0.29 1180 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 5.73 0.57 0.32 0.29 1181 N02AX02 TRAMADOLUM MABRON 50 mg CAPS. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.86 0.39 0.32 0.29 1182 N02AX02 TRAMADOLUM K-ALMA (R) CAPS. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 10.56 0.53 0.32 0.29 1183 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 4.62 0.46 0.32 0.29 1184 N02AX02 TRAMADOLUM TRAMADOL LPH 50 mg CAPS. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 9.21 0.46 0.32 0.29 1185 N02AX02 TRAMADOLUM URGENDOL CAPS. 50mg MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 4.05 0.41 0.32 0.29 1186 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.41 0.32 0.32 0.29 1187 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.73 0.34 0.34 0.31 1188 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 8.11 0.41 0.34 0.31 1189 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.22 0.36 0.34 0.31 1190 N02AX02 TRAMADOLUM TRAMADOLOR (R) 100 ID COMPR. ELIB. MODIF. 100mg HEXAL AG GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF 10 8.57 0.86 0.64 0.58 1191 N02AX02 TRAMADOLUM TRAMADOL (R) RETARD COMPR. ELIB. PREL. 100mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL. P-RF 30 19.14 0.64 0.64 0.58 1192 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 50 35.57 0.71 0.64 0.58 1193 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 7.42 0.74 0.64 0.58 1194 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 21.34 0.71 0.64 0.58

1195 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 45.73 1.52 1.52 1.37 1196 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 15.61 1.56 1.52 1.37 1197 N02AX02 TRAMADOLUM TRALGIT SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 19.53 1.95 1.95 1.76 1198 N02AX02 TRAMADOLUM TRADOLAN 50 mg COMPR. FILM. 50mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-RF 30 10.44 0.35 0.35 0.32 1199 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL. P-RF 10 17.12 1.71 1.63 1.47 1200 N02AX02 TRAMADOLUM TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF 30 48.85 1.63 1.63 1.47 1201 N02AX02 TRAMADOLUM TRAMAL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL. P-RF 10 22.51 2.25 2.04 1.84 1202 N02AX02 TRAMADOLUM TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF 30 61.05 2.04 2.04 1.84 1203 N02AX02 TRAMADOLUM TRAMAL RETARD 100 mg COMPR. FILM. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-RF 10 12.09 1.21 1.21 1.09 1204 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 10.2 10.2 9.3 8.37 1205 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL. P-RF 1 20.45 20.45 9.3 8.37 1206 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 1 FLACON DIN STICLA BRUNA X 96 ML PIC. ORALE, SOL. P-RF 1 78.51 78.51 9.3 8.37 1207 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 9.3 9.3 9.3 8.37 1208 N02AX02 TRAMADOLUM TRAMAL (R) PICATURI ORALE-SOL. 100mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 10.92 10.92 9.3 8.37 1209 N02AX02 TRAMADOLUM TRAMAL (R) 50 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 9.75 1.95 1.22 1.1 1210 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 7.76 1.55 1.22 1.1 1211 N02AX02 TRAMADOLUM TRADOLAN 50 mg SOL. INJ. 50mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. P-RF 5 9.1 1.82 1.22 1.1 1212 N02AX02 TRAMADOLUM TRALGIT 50 SOL. INJ. 50mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S/P-RF 5 8.47 1.69 1.22 1.1 1213 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 6.08 1.22 1.22 1.1 1214 N02AX02 TRAMADOLUM TRAMAL (R) 100 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 10.57 2.11 1.07 0.96

1215 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 9.23 1.85 1.07 0.96 1216 N02AX02 TRAMADOLUM TRAMADOL (R) AL 100 Fiole SOL. INJ. 50mg/ml ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 FIOLE X 2 ML S/P-RF 10 19.52 1.95 1.07 0.96 Page 25 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 1217 N02AX02 TRAMADOLUM TRAMADOL (R) AL 100 Fiole SOL. INJ. 50mg/ml ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 9.74 1.95 1.07 0.96 1218 N02AX02 TRAMADOLUM TRADOLAN SOL. INJ. 100mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 10.54 2.11 1.07 0.96 1219 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 5 13.43 2.69 1.07 0.96 1220 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 100 107.43 1.07 1.07 0.96 1221 N02AX02 TRAMADOLUM TRALGIT 100 SOL. INJ. 100mg/2ml ZENTIVA A.S. SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 9.05 1.81 1.07 0.96 1222 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 7.96 1.59 1.07 0.96 1223 N02AX02 TRAMADOLUM TRADOLAN SOL. ORALA 100mg/ml LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 FLACON DE STICLA BRUNA X 10 ML SOL. ORALA + SISTEM DE INCHIDERE SECURIZAT P-RF 1 10.83 10.83 9.3 8.37

1224 N02AX02 TRAMADOLUM TRAMAL (R) SUPOZ. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 FOLIE PP/AL/PE X 5 SUPOZ. P-RF 5 9.75 1.95 1.26 1.13 1225 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ. P-RF 5 7.94 1.59 1.26 1.13 1226 N02AX02 TRAMADOLUM TRAMAG 100 SUPOZ. 100mg MAGISTRA C & C ROMANIA CUTIE X 1 FOLIE TERMOSUDATA DIN PVC/PE X 5 SUPOZ. P-RF 5 6.29 1.26 1.26 1.13 1227 N02AX02 TRAMADOLUM TRADOLAN SUPOZ. 100mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 BLIST. PE/PVC X 5 SUPOZ. P-RF 5 8.69 1.74 1.26 1.13 1228 N02CC01 SUMATRIPTANUM* SUMIGRA 100 mg COMPR. 100mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. AL/AL X 2 COMPR. P-RF 2 13.72 6.86 6.86 6.17 1229 N02CC01 SUMATRIPTANUM* SUMIGRA 50 mg COMPR. 50mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLISTER AL/AL X 2 COMPR. P-RF 2 13.3 6.65 6.65 5.99 1230 N02CC01 SUMATRIPTANUM* IMIGRAN (R) 100 COMPR. FILM. 100mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-AL-OPA/AL X 2 COMPR. FILM. P-RF 2 63.8 31.9 9.65 8.69 1231 N02CC01 SUMATRIPTANUM* SUMATRIPTAN COMPR. FILM. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 96.46 9.65 9.65 8.69 1232 N02CC01 SUMATRIPTANUM* SUMATRIPTAN COMPR. FILM. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF 6 58.91 9.82 9.65 8.69 1233 N02CC01 SUMATRIPTANUM* SUMACTA 100 mg COMPR. FILM. 100mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM. P-RF 2 26.26 13.13 9.65 8.69 1234 N02CC01 SUMATRIPTANUM* SUMACTA 100 mg COMPR. FILM. 100mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 6 80.16 13.36 9.65 8.69 1235 N02CC01 SUMATRIPTANUM* IMIGRAN (R) 50 COMPR. FILM. 50mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-AL-OPA/AL X 2 COMPR. FILM. P-RF 2 31.89 15.95 5.17 4.65 1236 N02CC01 SUMATRIPTANUM* SUMATRIPTAN COMPR. FILM. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 51.68 5.17 5.17 4.65 1237 N02CC01 SUMATRIPTANUM* SUMATRIPTAN COMPR. FILM. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF 6 31.19 5.2 5.17 4.65 1238 N02CC01 SUMATRIPTANUM* SUMACTA 50 mg COMPR. FILM. 50mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 6 41.54 6.92 5.17 4.65 1239 N02CC01 SUMATRIPTANUM* SUMACTA 50 mg COMPR. FILM. 50mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM. P-RF 2 14.15 7.08 5.17 4.65 1240 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA COMPR. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVCX 10 COMPR. P-6L 20 3.94 0.2 0.11 0.1 1241 N03AF01 CARBAMAZEPINUM NEUROTOP COMPR. 200mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 50 12.03 0.24 0.11 0.1 1242 N03AF01 CARBAMAZEPINUM TEGRETOL (R) 200 COMPR. 200mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 50 21.12 0.42 0.11 0.1 1243 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA LPH 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 8.34 0.17 0.11 0.1

1244 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA LPH 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.03 0.2 0.11 0.1 1245 N03AF01 CARBAMAZEPINUM CARBAVIM COMPR. 200mg VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 9.85 0.2 0.11 0.1 1246 N03AF01 CARBAMAZEPINUM CARBEPSIL 200 COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 10.73 0.21 0.11 0.1 1247 N03AF01 CARBAMAZEPINUM TAVER COMPR. 200mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 5.37 0.11 0.11 0.1 1248 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.66 0.18 0.11 0.1 1249 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN EEL COMPR. 200mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.74 0.19 0.11 0.1 1250 N03AF01 CARBAMAZEPINUM FINLEPSIN COMPR. 200mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. P-6L 50 18.26 0.37 0.11 0.1 1251 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.53 0.18 0.11 0.1 1252 N03AF01 CARBAMAZEPINUM TEGRETOL (R) 400 COMPR. 400mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 22.24 0.74 0.35 0.32 1253 N03AF01 CARBAMAZEPINUM CARBEPSIL 400 COMPR. 400mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 17.5 0.35 0.35 0.32 1254 N03AF01 CARBAMAZEPINUM NEUROTOP (R) RETARD 300 mg COMPR. ELIB. PREL. 300mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL P-6L 50 14.62 0.29 0.29 0.26 1255 N03AF01 CARBAMAZEPINUM NEUROTOP (R) RETARD 600 mg COMPR. ELIB. PREL. 600mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL. P-6L 50 26.76 0.54 0.53 0.48 1256 N03AF01 CARBAMAZEPINUM TEGRETOL CR 200 COMPR. FILM. ELIB. PREL. 200mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-6L 50 21.12 0.42 0.41 0.37 1257 N03AF01 CARBAMAZEPINUM TEGRETOL CR 400 COMPR. FILM. ELIB. PREL. 400mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-6L 30 22.24 0.74 0.74 0.67 1258 N03AF01 CARBAMAZEPINUM TIMONIL 150 RETARD COMPR. RET. 150mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 15.93 0.32 0.32 0.29 1259 N03AF01 CARBAMAZEPINUM TIMONIL 300 RETARD COMPR. RET. 300mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 14.59 0.29 0.29 0.26 1260 N03AF01 CARBAMAZEPINUM FINLEPSIN 400 RETARD COMPR. RET. 400mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL. P-6L 50 37.53 0.75 0.75 0.68 1261 N03AF01 CARBAMAZEPINUM TIMONIL 600 RETARD COMPR. RET. 600mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 26.71 0.53 0.53 0.48 1262 N03AF01 CARBAMAZEPINUM FINLEPSIN 200 RETARD COMPR.FILM.ELIB.PREL 200mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL-HARTIE/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL. P-6L 50 20.45 0.41 0.41 0.37 1263 N03AF01 CARBAMAZEPINUM TIMONIL SIROP SUSP. ORALA 100mg/5ml DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE P-6L 1 15.93 15.93 15.93 14.34

1264 N03AX12 GABAPENTINUM GABAGAMMA 100 mg CAPS. 100mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 46.34 0.46 0.42 0.38 1265 N03AX12 GABAPENTINUM GABAGAMMA 100 mg CAPS. 100mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 24.41 0.49 0.42 0.38 Page 26 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 1266 N03AX12 GABAPENTINUM GABAGAMMA 100 mg CAPS. 100mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 11.7 0.59 0.42 0.38 1267 N03AX12 GABAPENTINUM GABALEPT 100 mg CAPS. 100mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 42.44 0.42 0.42 0.38 1268 N03AX12 GABAPENTINUM GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 57.81 1.16 1.08 0.97 1269 N03AX12 GABAPENTINUM GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 24.29 1.21 1.08 0.97 1270 N03AX12 GABAPENTINUM GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 109.84 1.1 1.08 0.97 1271 N03AX12 GABAPENTINUM GABARAN 300 mg CAPS. 300mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 50 56.4 1.13 1.08 0.97 1272 N03AX12 GABAPENTINUM GABALEPT 300 mg CAPS. 300mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 107.75 1.08 1.08 0.97

1273 N03AX12 GABAPENTINUM GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 74.85 1.5 1.39 1.25 1274 N03AX12 GABAPENTINUM GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 31.45 1.57 1.39 1.25 1275 N03AX12 GABAPENTINUM GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 142.17 1.42 1.39 1.25 1276 N03AX12 GABAPENTINUM GABARAN 400 mg CAPS. 400mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 50 72.85 1.46 1.39 1.25 1277 N03AX12 GABAPENTINUM GABALEPT 400 mg CAPS. 400mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 139.44 1.39 1.39 1.25 1278 N03AX12 GABAPENTINUM GABARAN 600 mg COMPR. FILM. 600mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L 30 63 2.1 2.1 1.89 1279 N03AX12 GABAPENTINUM GABARAN 800 mg COMPR. FILM. 800mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L 30 83.98 2.8 2.8 2.52 1280 N05AD01 HALOPERIDOLUM HALDOL COMPR. 5mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 29.27 1.17 1.17 1.05 1281 N05AD01 HALOPERIDOLUM HALOPERIDOL 2 mg/ml PIC. ORALE-SOL. 2mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE P-RF 1 4.75 4.75 3.35 3.02 1282 N05AD01 HALOPERIDOLUM HALOPERIDOL PICATURI ORALE-SOL. 2mg/ml TERAPIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 3.35 3.35 3.35 3.02 1283 N05AD01 HALOPERIDOLUM HALOPERIDOL DECANOAT SOL. INJ. 50mg/ml GEDEON RICHTER LTD. UNGARIA CUTIE X 5 FIOLE X 1 ML P-RF 5 81.18 16.24 16.24 14.62 1284 N05AD01 HALOPERIDOLUM HALOPERIDOL 5 mg/ml SOL. INJ. 5mg/ml GEDEON RICHTER LTD. UNGARIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. P-RF 5 9.06 1.81 1.81 1.63 1285 N05BA01 DIAZEPAMUM DIAZEPAM 10 mg COMPR. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0.69 0.03 0.03 0.03 1286 N05BA01 DIAZEPAMUM DIAZEPAM COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.62 0.05 0.03 0.03 1287 N05BA01 DIAZEPAMUM DIAZEPAM 10 mg SOL. INJ. 10mg/2ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 3.31 0.66 0.54 0.49 1288 N05BA01 DIAZEPAMUM DIAZEPAM DESITIN (R) SOLUTIE RECTALA 10 mg SOL. RECTALA 10mg/2.5ml DESITIN GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA S/P-RF 5 19.23 3.85 3.85 3.47 1289 N05BA01 DIAZEPAMUM DIAZEPAM DESITIN (R) SOLUTIE RECTALA 5 mg SOL. RECTALA 5mg/2.5ml DESITIN GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA S/P-RF 5 15.19 3.04 3.04 2.74 1290 N05BA03 MEDAZEPAMUM* ANSILAN 10 mg CAPS. 10mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 CAPS. P-RF 25 3.54 0.14 0.14 0.13 1291 N05BA03 MEDAZEPAMUM* MEDAZEPAM COMPR. 10 mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.8 0.09 0.08 0.07 1292 N05BA03 MEDAZEPAMUM* MEDAZEPAM COMPR. 10 mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-RF 50 4 0.08 0.08 0.07

1293 N05BA03 MEDAZEPAMUM* MEDAZEPAM 10 mg COMPR. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.84 0.09 0.08 0.07 1294 N05BA03 MEDAZEPAMUM* MEDAZEPAM 10 mg COMPR. 10mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. X 20 COMPR. P-RF 20 1.73 0.09 0.08 0.07 1295 N05BA03 MEDAZEPAMUM* RUDOTEL COMPR. 10mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. P-RF 50 6.4 0.13 0.08 0.07 1296 N05BA06 LORAZEPAMUM* ANXIAR (R) 1 mg COMPR. 1 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-RF 50 4.77 0.1 0.1 0.09 1297 N05BA08 BROMAZEPAMUM* CALMEPAM (R) COMPR. 1.5mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST X 10 COMPR. P-RF 10 2.48 0.25 0.16 0.14 1298 N05BA08 BROMAZEPAMUM* BROMAZEPAM LPH (R) 1,5 mg COMPR. 1.5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.18 0.16 0.16 0.14 1299 N05BA08 BROMAZEPAMUM* CALMEPAM (R) COMPR. 3mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 3.13 0.31 0.18 0.16 1300 N05BA08 BROMAZEPAMUM* LEXOTAN COMPR. 3mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 8.53 0.28 0.18 0.16 1301 N05BA08 BROMAZEPAMUM* LEXOTANIL COMPR. 3mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 3.51 0.35 0.18 0.16 1302 N05BA08 BROMAZEPAMUM* BROMAZEPAM LPH (R) 3 mg COMPR. 3mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.67 0.18 0.18 0.16 1303 N05BA12 ALPRAZOLAMUM* XANAX 0,25 g COMPR. 0,25mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 8.62 0.29 0.22 0.2 1304 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM LPH (R) 0,25 mg COMPR. 0.25mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 5.28 0.26 0.22 0.2 1305 N05BA12 ALPRAZOLAMUM* PRAZOLEX (R) 0,25 mg COMPR. 0.25mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 6.53 0.22 0.22 0.2 1306 N05BA12 ALPRAZOLAMUM* FRONTIN 0,25 mg COMPR. 0.25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 7.8 0.26 0.22 0.2 1307 N05BA12 ALPRAZOLAMUM* XANAX 0,5 mg COMPR. 0,5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 13.43 0.45 0.26 0.23 1308 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM LPH (R) 0,5 mg COMPR. 0.5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.3 0.32 0.26 0.23 1309 N05BA12 ALPRAZOLAMUM* FRONTIN 0,5 mg COMPR. 0.5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 10.17 0.34 0.26 0.23 1310 N05BA12 ALPRAZOLAMUM* PRAZOLEX (R) 0,5 mg COMPR. 0.5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 7.91 0.26 0.26 0.23 1311 N05BA12 ALPRAZOLAMUM* XANAX 1 mg COMPR. 1mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 18.46 0.62 0.32 0.29 1312 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM LPH (R) 1 mg COMPR. 1mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 8.01 0.4 0.32 0.29

1313 N05BA12 ALPRAZOLAMUM* PRAZOLEX (R) 1 mg COMPR. 1mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 9.52 0.32 0.32 0.29 1314 N05BA12 ALPRAZOLAMUM* FRONTIN COMPR. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 14.09 0.47 0.32 0.29 Page 27 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l

maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 1315 N05BA12 ALPRAZOLAMUM* XANAX 2 mg COMPR. 2mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 21.96 0.73 0.73 0.66 1316 N05BA12 ALPRAZOLAMUM* NEUROL (R) SR 0,5 COMPR. ELIB. PREL. 0.5mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. ELIB. PREL. P-RF 30 8.52 0.28 0.28 0.25 1317 N05BA12 ALPRAZOLAMUM* NEUROL (R) SR 0,5 COMPR. ELIB. PREL. 0.5mg ZENTIVA AS CEHIA CUTIE X 1 FLAC. X 30 COMPR. ELIB. PREL. P-RF 30 8.52 0.28 0.28 0.25 1318 N05BA12 ALPRAZOLAMUM* NEUROL (R) SR 1 COMPR. ELIB. PREL. 1mg ZENTIVA AS CEHIA CUTIE X 1 FLAC. X 30 COMPR. ELIB. PREL. P-RF 30 14.73 0.49 0.49 0.44 1319 N05BA12 ALPRAZOLAMUM* NEUROL (R) SR 1 COMPR. ELIB. PREL. 1mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. ELIB. PREL. P-RF 30 14.73 0.49 0.49 0.44

1320 N05BA12 ALPRAZOLAMUM* NEUROL (R) SR 2 COMPR. ELIB. PREL. 2mg ZENTIVA AS CEHIA CUTIE X 1 FLAC. X 30 COMPR. ELIB. PREL. P-RF 30 22.28 0.74 0.74 0.67 1321 N05BA12 ALPRAZOLAMUM* NEUROL (R) SR 2 COMPR. ELIB. PREL. 2mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. ELIB. PREL. P-RF 30 22.28 0.74 0.74 0.67 1322 N05CD02 NITRAZEPAMUM NITRAZEPAM LPH (R) 2,5 mg COMPR. 2.5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.02 0.05 0.05 0.05 1323 N05CD02 NITRAZEPAMUM NITRAZEPAM LPH (R) 5 mg COMPR. 5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.16 0.06 0.06 0.05 1324 N05CD02 NITRAZEPAMUM NITRAZEPAM 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.16 0.06 0.06 0.05 1325 N05CF01 ZOPICLONUM* IMOVANE 7,5 mg COMPR. FILM. 7.5mg SANOFI AVENTIS FRANTA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. FILM. P-RF 20 10.96 0.55 0.5 0.45 1326 N05CF01 ZOPICLONUM* ALS-ZOPICLON 7,5 mg COMPR. FILM. 7.5mg ALSIFCOM INTERMED SRL ROMANIA CUTIE X 2 BLIST. PVC/PVDC/AL X 10 COMPR. FILM. P-RF 20 10.07 0.5 0.5 0.45 1327 N05CF02 ZOLPIDEMUM* HYPNOGEN? 10 mg COMPR. FILM. 10mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 15 COMPR. FILM. P-RF 15 8.14 0.54 0.49 0.44 1328 N05CF02 ZOLPIDEMUM* HYPNOGEN? 10 mg COMPR. FILM. 10mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 3.93 0.56 0.49 0.44 1329 N05CF02 ZOLPIDEMUM* SANVAL (R) 10 mg COMPR. FILM. 10mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 5.52 0.55 0.49 0.44 1330 N05CF02 ZOLPIDEMUM* SANVAL (R) 10 mg COMPR. FILM. 10mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-RF 20 9.87 0.49 0.49 0.44 1331 N05CF02 ZOLPIDEMUM* ZOLPIDEM 10 mg COMPR. FILM. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 5.28 0.53 0.49 0.44 1332 N05CF02 ZOLPIDEMUM* LADINOX COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.98 0.5 0.49 0.44 1333 N05CF02 ZOLPIDEMUM* ZOLPIDEM ANTIBIOTICE 10 mg COMPR. FILM. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 5.3 0.53 0.49 0.44 1334 N06AA04 CLOMIPRAMINUM* ANAFRANIL (R) 10 mg DRAJ. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 9.85 0.33 0.33 0.3 1335 N06AA04 CLOMIPRAMINUM* ANAFRANIL (R) 25 mg DRAJ. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 16.6 0.55 0.55 0.5 1336 N06AA09 AMITRIPTYLINUM* AMITRIPTILIN 25 R. DESITIN CAPS. RET. 25mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 CAPS.RET. P-RF 50 15.96 0.32 0.32 0.29 1337 N06AA09 AMITRIPTYLINUM* AMITRIPTILIN 50 R. DESITIN CAPS. RET. 50mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 CAPS.RET. P-RF 50 29.43 0.59 0.59 0.53 1338 N06AA09 AMITRIPTYLINUM* AMITRIPTILINA ARENA 25 mg COMPR. FILM. 25mg ARENA GROUP S.A. ROMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 50 10 0.2 0.2 0.18 1339 N06AA12 DOXEPINUM* DOXEPIN 25 mg DRAJ. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 10.14 0.34 0.34 0.31

1340 N06AB03 FLUOXETINUM* FLUOXIN CAPS. 20mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. X 7 CAPS. P-RF 14 7.71 0.55 0.39 0.35 1341 N06AB03 FLUOXETINUM* FLUOXIN CAPS. 20mg VIM SPECTRUM SRL ROMANIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 14.69 0.52 0.39 0.35 1342 N06AB03 FLUOXETINUM* FLURAN CAPS. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 15 CAPS. P-RF 30 11.79 0.39 0.39 0.35 1343 N06AB03 FLUOXETINUM* MAGRILAN 20 mg CAPS. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 26.86 0.9 0.39 0.35 1344 N06AB03 FLUOXETINUM* FLUOXETINE 20 mg CAPS. 20mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 3 BLIST. PVC/ACLAR/AL X 10 CAPS. P-RF 30 12.39 0.41 0.39 0.35 1345 N06AB03 FLUOXETINUM* PROZAC 20 mg COMPR. DISP. 20mg ELI LILLY SA SPANIA CUTIE X 2 BLIST. PVC-PE-ACLAR/AL X 14 COMPR. DISP. P-RF 28 53.82 1.92 1.92 1.73 1346 N06AB04 CITALOPRAMUM** CITALORAN 10 mg COMPR. FILM. 10mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF 28 10 0.36 0.36 0.32 1347 N06AB04 CITALOPRAMUM** LINISAN 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 28.94 0.96 0.36 0.32 1348 N06AB04 CITALOPRAMUM** CITALORAN 20mg COMPR. FILM. 20mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF 28 14.48 0.52 0.52 0.47 1349 N06AB04 CITALOPRAMUM** LINISAN 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 57.63 1.92 0.52 0.47 1350 N06AB04 CITALOPRAMUM** CITALORAN 40 mg COMPR. FILM. 40mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF 28 25.04 0.89 0.89 0.8 1351 N06AB04 CITALOPRAMUM** LINISAN 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 110.02 3.67 0.89 0.8 1352 N06AB05 PAROXETINUM* ARKETIS COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 92.88 3.1 3.1 2.79 1353 N06AB05 PAROXETINUM* SEROXAT COMPR. FILM. 20mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 30 104.02 3.47 0.88 0.79 1354 N06AB05 PAROXETINUM* ALS-PAROXETIN 20 mg COMPR. FILM. 20mg ALSIFCOM INTERMED SRL ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 73.87 2.46 0.88 0.79 1355 N06AB05 PAROXETINUM* PALUXETIL 20 mg COMPR. FILM. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 35.94 1.2 0.88 0.79 1356 N06AB05 PAROXETINUM* REXETIN COMPR. FILM. 20mg GEDEON RICHTER PLC. UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 37.72 1.26 0.88 0.79 1357 N06AB05 PAROXETINUM* PAXETEN 20 mg COMPR. FILM. 20mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-RF 30 26.31 0.88 0.88 0.79 1358 N06AB05 PAROXETINUM* PALUXETIL 40 mg COMPR. FILM. 40mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 65.32 2.18 2.18 1.96 1359 N06AB06 SERTRALINUM* SERLIFT 100 mg COMPR. FILM. 100mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-RF 28 63.92 2.28 1.18 1.06

1360 N06AB06 SERTRALINUM* ASENTRA (R) COMPR. FILM. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-RF 28 57.74 2.06 1.18 1.06 1361 N06AB06 SERTRALINUM* ALS-SERTRALINA 100 mg COMPR. FILM. 100mg ALSIFCOM INTERMED SRL ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 41.91 2.1 1.18 1.06 1362 N06AB06 SERTRALINUM* STIMULOTON (R) 100 mg COMPR. FILM. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 56.59 2.02 1.18 1.06 1363 N06AB06 SERTRALINUM* SERTRALIN SANDOZ 100 mg COMPR. FILM. 100mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 41.6 1.39 1.18 1.06 Page 28 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 1364 N06AB06 SERTRALINUM* SERTRALINA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 40.11 1.34 1.18 1.06 1365 N06AB06 SERTRALINUM* SERTRALINA DR. REDDY'S 100 mg COMPR. FILM. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 32.92 1.18 1.18 1.06 1366 N06AB06 SERTRALINUM* ZOLOFT 50 mg COMPR. FILM. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 28 60.16 2.15 0.8 0.72 1367 N06AB06 SERTRALINUM* SERLIFT 50 mg COMPR. FILM. 50mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-RF 28 39.34 1.41 0.8 0.72 1368 N06AB06 SERTRALINUM* ASENTRA (R) COMPR. FILM. 50mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-RF 28 35.26 1.26 0.8 0.72 1369 N06AB06 SERTRALINUM* STIMULOTON (R) 50 mg COMPR. FILM. 50mg EGIS PHARMACEUTICALS P.L.C. MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. FILM. P-RF 30 34.8 1.16 0.8 0.72 1370 N06AB06 SERTRALINUM* ALS-SERTRALINA 50 mg COMPR. FILM. 50mg ALSIFCOM INTERMED SRL ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 26.45 1.32 0.8 0.72

1371 N06AB06 SERTRALINUM* SERTRALIN 50 mg COMPR. FILM. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 34.46 1.23 0.8 0.72 1372 N06AB06 SERTRALINUM* SERTRALIN SANDOZ 50 mg COMPR. FILM. 50mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 27.56 0.92 0.8 0.72 1373 N06AB06 SERTRALINUM* SERTRALINA 50 mg COMPR. FILM. 50mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 26.76 0.89 0.8 0.72 1374 N06AB06 SERTRALINUM* SERTRALINA DR. REDDY'S 50 mg COMPR. FILM. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 22.52 0.8 0.8 0.72 1375 N06AB06 SERTRALINUM* ZOLOFT (R) SOL. ORALA 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 60 ML + 1 PIPETA P-RF 1 52.38 52.38 52.38 47.14 1376 N06AB08 FLUVOXAMINUM* FEVARIN (R) 100 COMPR. FILM. 100mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM. P-RF 30 75.92 2.53 0.86 0.77 1377 N06AB08 FLUVOXAMINUM* FLUVOXAMINE TEVA 100 mg COMPR. FILM. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 25.66 0.86 0.86 0.77 1378 N06AB08 FLUVOXAMINUM* FEVARIN (R) 50 COMPR. FILM. 50mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM. P-RF 30 41.56 1.39 0.55 0.5 1379 N06AB08 FLUVOXAMINUM* FLUVOXAMINE TEVA 50 mg COMPR. FILM. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 16.47 0.55 0.55 0.5 1380 N06AX03 MIANSERINUM* MIANSERIN 10 COMPR. FILM. 10mg REMEDICA LTD. CIPRU CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF/S 100 33.57 0.34 0.34 0.31 1381 N06AX03 MIANSERINUM* MIANSERIN 30 COMPR. FILM. 30mg REMEDICA LTD. CIPRU CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 18.14 0.91 0.91 0.82 1382 N06AX03 MIANSERINUM* MIANSERIN 10 mg DRAJ. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 6.17 0.21 0.21 0.19 1383 N06AX03 MIANSERINUM* MIANSERIN 30 mg DRAJ. 30mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-RF 20 14.49 0.72 0.72 0.65 1384 N06AX11 MIRTAZAPINUM* REMERON (R) SOLTAB 15 mg COMPR. DISP. 15mg ORGANON NV OLANDA CUTIE X 5 BLIST. X 6 COMPR. DISP. P-RF 30 111.45 3.72 3.71 3.34 1385 N06AX11 MIRTAZAPINUM* REMERON (R) SOLTAB 15 mg COMPR. DISP. 15mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 6 COMPR. DISP. P-RF 6 22.28 3.71 3.71 3.34 1386 N06AX11 MIRTAZAPINUM* REMERON (R) SOLTAB 30 mg COMPR. DISP. 30mg ORGANON NV OLANDA CUTIE X 5 BLIST. X 6 COMPR. DISP. P-RF 30 157.9 5.26 5.26 4.73 1387 N06AX11 MIRTAZAPINUM* REMERON (R) SOLTAB 30 mg COMPR. DISP. 30mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 6 COMPR. DISP. P-RF 6 31.6 5.27 5.26 4.73 1388 N06AX11 MIRTAZAPINUM* REMERON (R) SOLTAB 45 mg COMPR. DISP. 45mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 6 COMPR. DISP. P-RF 6 53.4 8.9 8.9 8.01 1389 N06AX11 MIRTAZAPINUM* MIRZATEN (R) 15 mg COMPR. FILM. 15mg KRKA D.D. SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 80.61 1.34 1.34 1.21 1390 N06AX11 MIRTAZAPINUM* MIRZATEN (R) 15 mg COMPR. FILM. 15mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 40.28 1.34 1.34 1.21

1391 N06AX11 MIRTAZAPINUM* MIRZATEN (R) 15 mg COMPR. FILM. 15mg KRKA D.D. SLOVENIA CUTIE X 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 90 120.89 1.34 1.34 1.21 1392 N06AX11 MIRTAZAPINUM* ESPRITAL (R) 15 COMPR. FILM. 15mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 43.64 1.45 1.34 1.21 1393 N06AX11 MIRTAZAPINUM* MIRZATEN (R) 30 mg COMPR. FILM. 30mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 60.44 2.01 0.89 0.8 1394 N06AX11 MIRTAZAPINUM* MIRZATEN (R) 30 mg COMPR. FILM. 30mg KRKA D.D. SLOVENIA CUTIE X 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 90 181.31 2.01 0.89 0.8 1395 N06AX11 MIRTAZAPINUM* MIRZATEN (R) 30 mg COMPR. FILM. 30mg KRKA D.D. SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 120.89 2.01 0.89 0.8 1396 N06AX11 MIRTAZAPINUM* ESPRITAL (R) 30 COMPR. FILM. 30mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 69.37 2.31 0.89 0.8 1397 N06AX11 MIRTAZAPINUM* MIRTAZAPINE-TEVA 30 mg COMPR. FILM. 30mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 31.59 1.05 0.89 0.8 1398 N06AX11 MIRTAZAPINUM* PHARMATAZ 30 mg COMPR. FILM. 30mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 26.74 0.89 0.89 0.8 1399 N06AX11 MIRTAZAPINUM* MIRZATEN (R) 45 mg COMPR. FILM. 45mg KRKA D.D. SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 174.58 2.91 2.91 2.62 1400 N06AX11 MIRTAZAPINUM* MIRZATEN (R) 45 mg COMPR. FILM. 45mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 87.29 2.91 2.91 2.62 1401 N06AX11 MIRTAZAPINUM* MIRZATEN (R) 45 mg COMPR. FILM. 45mg KRKA D.D. SLOVENIA CUTIE X 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 90 261.91 2.91 2.91 2.62 1402 N06AX11 MIRTAZAPINUM* ESPRITAL (R) 45 COMPR. FILM. 45mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 89.49 2.98 2.91 2.62 1403 N06AX16 VENLAFAXINUM** EFECTIN ER 150 mg CAPS. ELIB. PREL. 150mg WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. P-RF 28 174.28 6.22 4.12 3.71 1404 N06AX16 VENLAFAXINUM** VELAXIN 150 mg CAPS. ELIB. PREL. 150mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 115.34 4.12 4.12 3.71 1405 N06AX16 VENLAFAXINUM** EFECTIN ER 75 mg CAPS. ELIB. PREL. 75mg WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. P-RF 28 87.14 3.11 2.15 1.94 1406 N06AX16 VENLAFAXINUM** VELAXIN 75 mg CAPS. ELIB. PREL. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL P-RF 28 60.07 2.15 2.15 1.94 1407 N06AX16 VENLAFAXINUM** VENLAFAXINA LPH 37,5 mg COMPR. 37.5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF 60 90.23 1.5 1.15 1.04 1408 N06AX16 VENLAFAXINUM** VELAXIN 37,5 mg COMPR. 37.5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 56 64.39 1.15 1.15 1.04 1409 N06AX16 VENLAFAXINUM** VENLAFAXINA LPH 75 mg COMPR. 75mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 173.18 2.89 2.09 1.88 1410 N06AX16 VENLAFAXINUM** VELAXIN 75 mg COMPR. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 56 116.94 2.09 2.09 1.88

1411 N07AA01 NEOSTIGMINI BROMIDUM MIOSTIN 0,5 mg/ml SOL. INJ. 0.5mg/ml ZENTIVA S.A. ROMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. S/P-RF 10 1.94 0.19 0.19 0.17 1412 N07AA01 NEOSTIGMINI BROMIDUM MIOSTIN 0,5 mg/ml SOL. INJ. 0.5mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. S/P-RF 5 2.71 0.54 0.19 0.17 Page 29 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 1413 P01AB01 METRONIDAZOLUM METRONIDAZOL 250 mg (P01AB01) COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.03 0.05 0.05 0.05 1414 P01AB01 METRONIDAZOLUM METRONIDAZOL 250 mg (P01AB1) COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.47 0.05 0.05 0.05 1415 P01AB01 METRONIDAZOLUM METRONIDAZOL 250 mg (P01AB01) COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.03 0.05 0.05 0.05 1416 P01AB01 METRONIDAZOLUM METRONIDAZOL 250 mg (P01AB1) COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.47 0.05 0.05 0.05 1417 P01AB01 METRONIDAZOLUM FLAGYL ( vezi P01AB01) COMPR. FILM. 250mg LABORATOIRE AVENTIS FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 11.02 0.55 0.55 0.5 1418 P01AB01 METRONIDAZOLUM FLAGYL ( vezi P01AB01) COMPR. FILM. 250mg LABORATOIRE AVENTIS FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 11.02 0.55 0.55 0.5 1419 P01AB01 METRONIDAZOLUM FLAGYL 4% (P01AB01) SUSP. ORALA 4% LABORATOIRE AVENTIS FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML P-RF 1 13.07 13.07 13.07 11.76

1420 P01AB01 METRONIDAZOLUM FLAGYL 4% (P01AB01) SUSP. ORALA 4% LABORATOIRE AVENTIS FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML P-RF 1 13.07 13.07 13.07 11.76 1421 P01AB02 TINIDAZOLUM FASIGYN (P01AB02) COMPR. FILM. 500mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. X 4 COMPR. FILM. P-RF 4 6.11 1.53 0.66 0.59 1422 P01AB02 TINIDAZOLUM TINIZOL (R) 500 mg (P01AB02) COMPR. FILM. 500mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. X 4 COMPR. FILM. P-RF 4 2.63 0.66 0.66 0.59 1423 P01AB02 TINIDAZOLUM TIPROGYN 500 (vezi P01AB02) COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. X 4 COMPR.FILM. P-RF 4 2.63 0.66 0.66 0.59 1424 P01AB02 TINIDAZOLUM FASIGYN (P01AB02) COMPR. FILM. 500mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. X 4 COMPR. FILM. P-RF 4 6.11 1.53 0.66 0.59 1425 P01AB02 TINIDAZOLUM TINIZOL (R) 500 mg (P01AB02) COMPR. FILM. 500mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. X 4 COMPR. FILM. P-RF 4 2.63 0.66 0.66 0.59 1426 P01AB02 TINIDAZOLUM TIPROGYN 500 (vezi P01AB02) COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. X 4 COMPR.FILM. P-RF 4 2.63 0.66 0.66 0.59 1427 P02CA03 ALBENDAZOLUM ESKAZOLE COMPR. 400mg GLAXO SMITHKLINE EXPORT LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PP X 60 COMPR. P-RF 60 101.37 1.69 1.69 1.52 1428 P02CA03 ALBENDAZOLUM DUADOR 200 mg COMPR. FILM. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. X 2 COMPR. FILM. P-RF 2 6.69 3.35 3.35 3.02 1429 P02CA03 ALBENDAZOLUM ZENTEL 200 mg COMPR. FILM. 200mg GLAXOSMITHKLINE EXPORT LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVDC-PVC X 2 COMPR. FILM. P-RF 2 7.03 3.52 3.35 3.02 1430 P02CA03 ALBENDAZOLUM ALBENDAZOL COMPR.FILM 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM. P-RF 2 6.76 3.38 3.35 3.02 1431 P02CA03 ALBENDAZOLUM ZENTEL 0,4 g/10 ml SUSP. ORALA 0.4g/10ml GLAXOSMITHKLINE EXPORT LTD. MAREA BRITANIE CUTIE X 1 FLACON UNIDOZA DIN PVC X 10 ML SUSP. ORALA P-RF 1 9.54 9.54 5.41 4.87 1432 P02CA03 ALBENDAZOLUM ALBENDAZOL BIOFARM 400 mg SUSP. ORALA 400mg BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML SUSP. ORALA P-RF 1 5.41 5.41 5.41 4.87 1433 P02CE01 LEVAMISOLUM DECARIS 150 mg COMPR. 150mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 COMPR. P-RF 1 2.52 2.52 2.52 2.27 1434 P02CE01 LEVAMISOLUM DECARIS 50 mg COMPR. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. P-RF 2 2.23 1.12 1.12 1.01 1435 R03AC02 SALBUTAMOLUM VENTOLIN (R) INHALER CFC-FREE SUSP. INHAL. PRESURIZATA 100µg/doza GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT DIN AL PREVAZUT CU VALVA DOZATOARE X 200 DOZE + DISPOZITIV DE ADMINISTRA P-RF 1 7.5 7.5 6.46 5.81

1436 R03AC02 SALBUTAMOLUM VENTOLIN (R) SOL. INHAL. 5mg/ml GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FALC. DIN STICLA BRUNA X 10 ML SOL. DE INHAL. P-6L 1 9.19 9.19 9.19 8.27 1437 R03AC02 SALBUTAMOLUM VENTOLIN (R) SOL. INHAL. 5mg/ml GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FALC. DIN STICLA BRUNA X 20 ML SOL. DE INHAL. P-6L 1 10.67 10.67 9.19 8.27

1438 R03AC02 SALBUTAMOLUM ECOSAL Easi-Breath SUSP. INHAL. PRESURIZATA 100µg/doza IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE PREVAZUT CU VALVA DOZATOARE + DISPOZITIV DE ADM. ACTIONAT PRI P-6L 1 27.92 27.92 6.46 5.81 1439 R03AC02 SALBUTAMOLUM ASTHALIN INHALER SUSP. INHAL. PRESURIZATA 100µg/doza CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 FLAC. AL + VALVA DOZATOARE + DISP. ADM. X 200 DOZE SUSP. INHAL. PRESURIZATA P-6L 1 6.46 6.46 6.46 5.81 1440 R03BA01 BECLOMETASONUM* ECOBEC EASI - BREATHE 100 ug CFC FREE AEROSOL SOL. INHAL. 100µg/doza IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE + DISPOZITIV DE ADM. TIP SPACER P-RF 1 63.8 63.8 16.8 15.12 1441 R03BA01 BECLOMETASONUM* ECOBEC 100 ug CFC FREE AEROSOL SOL. INHAL. 100µg/doza IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE P-RF 1 16.8 16.8 16.8 15.12 1442 R03BA01 BECLOMETASONUM* ECOBEC EASI - BREATHE 250 ug CFC FREE AEROSOL SOL. INHAL. 250µg/doza IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE + DISPOZITIV DE ADM. DE TIP SPACER P-RF 1 100.72 100.72 14.03 12.63 1443 R03BA01 BECLOMETASONUM* ECOBEC 250 ug CFC FREE AEROSOL SOL. INHAL. 250µg/doza IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE P-RF 1 33.57 33.57 14.03 12.63 1444 R03BA01 BECLOMETASONUM* BECLOFORTE (R) CFC-Free SOL. DE INHALAT PRESURIZATA 250µg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT X 200 DOZE + VALVA DOZATOARE, INTRODUS IN DISPOZITIVUL DE ADM. PREVAZUT P-RF 1 14.03 14.03 14.03 12.63 1445 R03BA01 BECLOMETASONUM* BECOTIDE (R) CFC-Free SOL. DE INHALAT PRESURIZATA 50µg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT X 200 DOZE + VALVA DOZATOARE, INTRODUS IN DISPOZITIVUL DE ADM. PREVAZUT P-RF 1 8.38 8.38 8.38 7.54 1446 R03BA01 BECLOMETASONUM* CLENIL (R) JET 250 ag SOL. INHALAT PRESURIZATA 250µg/doza CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 FLACON PRESURIZAT DIN AL X 200 DOZE, PREVAZUT CU VALVA DOZATOARE + DISPOZITIV DE ADM., "SP P-RF 1 84.34 84.34 14.03 12.63 1447 R03BA01 BECLOMETASONUM* RINOCLENIL 100 SPRAY NAZ.,SUSP. 100µg/doza CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 FLACON DIN PET X 30 ML SPRAY NAZ.,SUSP., PREVAZUT CU POMPA DOZATOARE P-RF 1 36.03 36.03 36.03 32.43 1448 R03BA02 BUDESONIDUM* FRENOLYN 200 PULB. INHAL. 200 µg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE P-RF 1 79.7 79.7 41.58 37.42 1449 R03BA02 BUDESONIDUM* FRENOLYN 200 PULB. INHAL. 200 µg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE P-RF 1 41.58 41.58 41.58 37.42 1450 R03BA02 BUDESONIDUM* PULMICORT TURBUHALER 200 ug/doza PULB. INHAL. 200µg/doza ASTRAZENECA AB SUEDIA CUTIE X 1 FLACON MULTIDOZA DIN PEID X 100 DOZE PULB. INHAL. P-RF 1 45.6 45.6 41.58 37.42 1451 R03BA02 BUDESONIDUM* FRENOLYN 400 PULB. INHAL. 400 µg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE P-RF 1 142.07 142.07 65.84 59.26 1452 R03BA02 BUDESONIDUM* FRENOLYN 400 PULB. INHAL. 400 µg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE P-RF 1 65.84 65.84 65.84 59.26 1453 R03BB01 IPRATROPII BROMIDUM* IPRAVENT 20 - INHALER AEROSOL 20µg/doza CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 FLACON X 200 DOZE P-6L 1 9.37 9.37 9.37 8.43

1454 R03CC02 SALBUTAMOLUM SALBUTAMOL EIPICO 2mg/5ml SIROP 2mg/5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 125 ML SIROP P-6L 1 3.29 3.29 3.29 2.96 1455 R03CC02 SALBUTAMOLUM VENTOLIN (R) SIROP 2mg/5ml GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON X 150 ML + LINGURITA DOZATOARE DUBLA X 2,5 ML, RESPECTIV 5 ML P-6L 1 5.36 5.36 3.29 2.96 1456 R03CC02 SALBUTAMOLUM VENTOLIN (R) SOL. INJ. 0.5mg/ml GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 5 FIOLE DIN STICLA X 1 ML P-6L 5 11.03 2.21 2.21 1.99 1457 R03CC02 SALBUTAMOLUM SALBUTAMOL T SOL. ORALA 0.04% TIS FARMACEUTIC SA ROMANIA CUTIE X 1 FLACON X 100 ML P-6L 1 1.98 1.98 1.98 1.78 1458 R03CC02 SALBUTAMOLUM SALBUTAMOL SOL. ORALA 2mg/5ml TERAPIA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. ORALA + LINGURITA DOZATOARE P-6L 1 2.85 2.85 1.98 1.78 1459 R03DA04 THEOPHYLLINUM THEO SR 100 CAPS. ELIB. PREL. 100mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 CAPS. ELIB. PREL. P-RF 20 4.43 0.22 0.22 0.2 1460 R03DA04 THEOPHYLLINUM TEOFILINA SR 100 mg CAPS. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-RF 10 3.14 0.31 0.22 0.2 1461 R03DA04 THEOPHYLLINUM TEOTARD (R) 200 CAPS. ELIB. PREL. 200mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-RF 40 6.9 0.17 0.17 0.15 Page 30 of 31

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj Pret amanuntul maximal/am balaj (RON) Pret amanuntu l maximal/ UT (RON) Val suportata de

CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 1462 R03DA04 THEOPHYLLINUM THEO SR 200 CAPS. ELIB. PREL. 200mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 10 CAPS. ELIB. PREL. P-RF 10 3.33 0.33 0.17 0.15 1463 R03DA04 THEOPHYLLINUM TEOFILINA SR 200 mg CAPS. ELIB. PREL. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-RF 10 4.62 0.46 0.17 0.15 1464 R03DA04 THEOPHYLLINUM THEO SR 300 CAPS. ELIB. PREL. 300mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. PVC/PVDC - AL X 10 CAPS. ELIB. PREL. P-RF 10 4.61 0.46 0.46 0.41 1465 R03DA04 THEOPHYLLINUM TEOFILINA SR 300 mg CAPS. ELIB. PREL. 300mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-RF 10 6.65 0.67 0.46 0.41 1466 R03DA04 THEOPHYLLINUM TEOTARD (R) 350 CAPS. ELIB. PREL. 350mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-RF 40 9.75 0.24 0.24 0.22

1467 R03DA04 THEOPHYLLINUM TEOFILINA SR 50 mg CAPS. ELIB. PREL. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-RF 10 2.66 0.27 0.27 0.24 1468 R05DA04 CODEINUM CODEINA FOSFORICA 15 mg COMPR. 15mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 2.69 0.13 0.09 0.08 1469 R05DA04 CODEINUM FOSFAT DE CODEINA 15 mg COMPR. 15mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 3.51 0.12 0.09 0.08 1470 R05DA04 CODEINUM CODEINA FOSFORICA COMPR. 15mg BIO EEL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 3.66 0.15 0.09 0.08 1471 R05DA04 CODEINUM FOSFAT DE CODEINA 15 mg COMPR. 15mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-RF 20 1.76 0.09 0.09 0.08 1472 R05DA04 CODEINUM FARMACOD COMPR. 15mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 2.23 0.11 0.09 0.08 1473 R05DA04 CODEINUM CODEINA FOSFAT 15 mg COMPR. 15mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.32 0.12 0.09 0.08 1474 R05DA04 CODEINUM CODEINA FOSFAT COMPR. 15mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.23 0.11 0.09 0.08 1475 R05DA04 CODEINUM CODEINA FOSFORICA 15 mg COMPR. 15mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.23 0.11 0.09 0.08 1476 R06AB04 CHLORPHENAMINUM CLORFENIRAMIN COMPR. 4mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.73 0.09 0.09 0.08 1477 R06AE07 CETIRIZINUM CELERG COMPR. FILM. 10 mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 14.1 0.71 0.36 0.32 1478 R06AE07 CETIRIZINUM LETIZEN (R) 10 mg COMPR. FILM. 10mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 7.29 0.36 0.36 0.32 1479 R06AE07 CETIRIZINUM ZYRTEC (R) PICATURI ORALE-SOL. 10mg/ml U.C.B. GMBH GERMANIA CUTIE X 1 FLACON X 20 ML P-6L 1 16.25 16.25 16.25 14.63 1480 R06AE07 CETIRIZINUM LETIZEN SOL. ORALA 1mg/ml KRKA D.D. SLOVENIA FLACON X 120 ML + 1 SERINGA PT. ADM. ORALA X 5 ML P-6L 1 8.84 8.84 8.84 7.96 1481 R06AX17 KETOTIFENUM KETOF 1 mg CAPS. 1mg HEXAL AG GERMANIA CUTIE X 5 BLIST. AL/PP X 10 CAPS. P-6L 50 9.74 0.19 0.19 0.17 1482 R06AX17 KETOTIFENUM KETOF 1 mg CAPS. 1mg HEXAL AG GERMANIA CUTIE X 2 BLIST. AL/PP X 10 CAPS. P-6L 20 3.98 0.2 0.19 0.17 1483 R06AX17 KETOTIFENUM KETOTIFEN LPH (R) 1 mg COMPR. 1mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 2.43 0.12 0.12 0.11 1484 R06AX17 KETOTIFENUM H - KETOTIFEN COMPR. 1mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 2.69 0.13 0.12 0.11 1485 R06AX17 KETOTIFENUM KETOTIFEN COMPR. 1mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 2.54 0.13 0.12 0.11 1486 R06AX17 KETOTIFENUM FRENASMA SIROP 1mg/5ml FARAN LABORATORIES S.A. GRECIA CUTIE X 1 FLACON DIN PVC, DE CULOARE BRUNA X 100 ML P-6L 1 7.25 7.25 7.25 6.53

1487 R06AX17 KETOTIFENUM KETOF 1 mg/5 ml SIROP 1mg/5ml HEXAL AG GERMANIA CUTIE X 1 FLACON X 100 ML SIROP + MASURA DOZATOARE P-6L 1 8.29 8.29 7.25 6.53 1488 S01AX13 CIPROFLOXACINUM CIPLOX (vezi S01AX13) UNG. OFT. 0.3% CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 TUB DIN AL + VARF APLICATOR SI CAPAC DIN PEID X 5G UNG. OFT. P-RF 1 3.33 3.33 3 3.33 1489 S01BC03 DICLOFENACUM DICLOFENAC RPH PIC. OFT.-SOL. 1mg/ml ROMPHARM COMPANY SRL ROMANIA FLACON PICURATOR DIN PEJD X 5 ML PIC. OFT., SOL. P-6L 1 3.6 3.6 3.6 3.24 1490 S01BC03 DICLOFENACUM VURDON PIC.OFT.-SOL. 1mg/ml HELP S.A. PHARMACEUTICALS GRECIA CUTIE X 1 FLACON DIN PEJD X 5ML PIC. OFT. SOL. P-6L 1 3.61 3.61 3.6 3.24 1491 S01BC03 DICLOFENACUM VOLTAREN OPHTHA CD PICATURI OFT.-SOL. 0.1% NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PEJD X 5 ML PICATURI OFT.-SOL. + PICURATOR PEJD + CAPAC CU INEL DE SIGURANTA P-6L 1 15.65 15.65 3.6 3.24 1492 S01BC03 DICLOFENACUM UNICLOPHEN (R) 0,1% PICATURI OFT.-SOL. 0.1% UNIMED PHARMA LTD. SLOVACIA CUTIE X 1 FLACON DIN PE X 10 ML PIC. OFTALMICE, SOL., PREVAZUT CU PICURATOR P-6L 1 8.28 8.28 3.6 3.24 1493 S01BC03 DICLOFENACUM DICLOGESIC 0,1% PICATURI OFTALMICE, SOLUTIE PICATURI OFT.-SOL. 0.1% DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLACON CU PICURATOR PE X 5 ML P-6L 1 7.96 7.96 3.6 3.24 1494 S01CA05 COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM) BETABIOPTAL PICATURI OFT.SUSP. 0,2g+0,5g FARMILA FARMACEUTICI ITALIA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT.,SUSP. + APLICATOR PT. PICURARE P-RF 1 9.52 9.52 9.52 8.57 1495 S01CA05 COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM) BETABIOPTAL UNG. OFT. 0,2g+0,5g FARMILA FARMACEUTICI ITALIA CUTIE X 1 TUB AL X 5 G P-RF 1 11.02 11.02 11.02 9.92 NOTA: - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sanata .ii Publice .i cu aprobarea comisiilor de la nivelul Caselor Jude.ene de Asigurari de Sanatate; - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (1) se efectueaza pentru pacien.ii cu intoleran.a la acidum acetylsalicylicum. - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (*) se ini.iaza de medicul de specialitate in limita competen .ei .i poate fi prescris în continuare de medicul de familie pe baza scrisorii medicale emise de medicul de specialitate; - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sanata .ii Publice; Page 31 of 31

ANEXA2 Nr. crt codifatc den_internationala denumire formaF concentr atie Firma detinatoare tara forma ambalare prescriere cant/am balaj Pret amanuntul maximal/a mbalaj (RON) Pret amanuntul maximal/U T (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 1 A02BC02 PANTOPRAZOLUM CONTROLOC 20 mg COMPR. FILM. GASTROREZ. 20mg ALTANA PHARMA AG GERMANIA CUTIE X 2 BLIST. DIN AL/AL X 14 COMPR. FILM. GASTROREZ. P-6L 28 57.04 2.04 2.04 1.02 2 A02BC02 PANTOPRAZOLUM CONTROLOC 40mg COMPR. FILM. GASTROREZ. 40mg ALTANA PHARMA AG GERMANIA CUTIE X 2 BLIST. DIN AL/AL X 14 COMPR.FILM. GASTROREZ. P-6L 28 118.7 4.24 4.24 2.12 3 A02BC02 PANTOPRAZOLUM CONTROLOC 40mg COMPR. FILM. GASTROREZ. 40mg ALTANA PHARMA AG GERMANIA CUTIE X 1 BLIST. DIN AL/AL X 14 COMPR.FILM. GASTROREZ. P-6L 14 66.51 4.75 4.24 2.12 4 A02BC02 PANTOPRAZOLUM CONTROLOC 40mg LIOFILIZAT PENTRU SOLUTIE INJECTABILA LIOF. PT. SOL. INJ. 40mg ALTANA PHARMA AG GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. S/P-RF 1 26.1 26.1 26.1 13.05

5 A02BC05 ESOMEPRAZOLUM NEXIUM (R) 20 mg COMPR. FILM. GASTROREZ. 20mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. X 7 COMPR. FILM. GASTROREZ. P-6L 14 39.28 2.81 2.81 1.41 6 A02BC05 ESOMEPRAZOLUM NEXIUM 40 mg COMPR. FILM. GASTROREZ. 40mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. GASTROREZ. P-6L 14 58.71 4.19 4.19 2.1 7 A02BC05 ESOMEPRAZOLUM NEXIUM (R) LIOF. PT. SOL. INJ./PERF. 40mg ASTRAZENECA AB SUEDIA CUTIE X 10 FLACOANE LIOF. PT. SOL. INJ./PERF. S/P-RF 10 271.75 27.18 27.18 13.59 8 A02BX02 SUCRALFATUM GASTROFAIT COMPR. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. P-6L 20 4.8 0.24 0.24 0.12 9 A02BX02 SUCRALFATUM SUCRALAN (R) COMPR. 1g LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. AL/PVC TRANSPARENTE, ALBASTRUI X 10 COMPR. P-6L 50 13.37 0.27 0.24 0.12 10 A02BX02 SUCRALFATUM SUCRALAN (R) COMPR. 1g LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 2 BLIST. AL/PVC TRANSPARENTE, ALBASTRUI X 10 COMPR. P-6L 20 7.52 0.38 0.24 0.12 11 A02BX02 SUCRALFATUM VENTER COMPR. 1g KRKA D.D. SLOVENIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 13.09 0.26 0.24 0.12 12 A02BX05 BISMUTHI SUBCITRAS DE - NOL COMPR. FILM. 120mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 5 BLIST. AL/AL X 8 COMPR. FILM. P-6L 40 31.63 0.79 0.79 0.4 13 A03AB06 OTILONIUM BROMIDUM SPASMOMEN (R) COMPR. FILM. 40mg A. MENARINI IND. FARM. RIUNITE SRL ITALIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 23.74 0.79 0.79 0.4 14 A06AD15 MACROGOLUM*2 FORTRANS? PULB. PT. SOL. ORALA FARA CONCENTRATIE BEAUFOUR IPSEN INT. FRANTA CUTIE X 4 PLICURI DIN HARTIE/AL/PE A CATE 74 G PULB. PT. SOL. ORALAP-RF 4 28.34 7.09 7.09 3.55 15 A07AA11 RIFAXIMINUM NORMIX 200 mg COMPR. FILM. 200mg ALFA WASSERMANN SPA ITALIA CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. P-RF 12 32.51 2.71 2.71 1.36 16 A07EA06 BUDESONIDUM** BUDENOFALK CAPS. GASTROREZ. 3mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 CAPS. CU PELETE GASTROREZ. P-RF 100 394.74 3.95 3.95 1.98 17 A07XA04 RACECADOTRILUM HIDRASEC 100 mg CAPS. 100mg LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS. P-RF 20 31.86 1.59 1.59 0.8 18 A07XA04 RACECADOTRILUM HIDRASEC 10 mg PULB. PT. SOL. ORALA 10mg LAB. FOURNIER SA FRANTA CUTIE X 16 PLICURI X 1 G P-RF 16 31.86 1.99 1.99 1 19 A07XA04 RACECADOTRILUM HIDRASEC 30 mg PULB. PT. SOL. ORALA 30mg LAB. FOURNIER SA FRANTA CUTIE X 30 PLICURI X 3 P-RF 30 31.86 1.06 1.06 0.53 20 A08AA10 SIBUTRAMINUM**** REDUCTIL 10mg CAPS. 10mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 CAPS. P-RF 28 78.95 2.82 1.95 0.98 21 A08AA10 SIBUTRAMINUM**** LINDAXA 10 CAPS. 10mg ZENTIVA A.S. CEHIA CUTIE X 3 BLIST. AL-PVDC/PVC X 10 CAPS. P-RF 30 58.57 1.95 1.95 0.98 22 A08AA10 SIBUTRAMINUM**** REDUCTIL 15 mg CAPS. 15mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 CAPS. P-RF 28 102.46 3.66 2.29 1.15 23 A08AA10 SIBUTRAMINUM**** LINDAXA 15 CAPS. 15mg ZENTIVA A.S. CEHIA CUTIE X 3 BLIST. AL-PVDC/PVC X 10 CAPS. P-RF 30 68.71 2.29 2.29 1.15 24 A08AB01 ORLISTATUM**** XENICAL (R) CAPS. 120mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 21 CAPS. TARI (BLISTER PVC/PE/PVDC) P-RF 21 76.31 3.63 3.52 1.76

25 A08AB01 ORLISTATUM**** XENICAL (R) CAPS. 120mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 84 CAPS. TARI (BLISTER PVC/PE/PVDC) P-RF 84 295.64 3.52 3.52 1.76 26 A08AX01 RIMONABANTUM**** ACOMPLIA COMPR. FILM. 20mg SANOFI AVENTIS FRANTA CUTIE X 28 COMPR. FILM.( BLIST. AL/PVC) P-RF 28 264.06 9.43 9.43 4.72 27 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 ug CAPS. MOI 0.25µg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 28.61 0.57 0.57 0.29 28 A11CC03 ALFACALCIDOLUM ALPHA D3 0.50 ug CAPS. MOI 0.50µg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PP X 30 CAPS. MOI P-RF 30 23.52 0.78 0.78 0.39 29 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 oral (vezi N07XN03) COMPR. FILM. 600mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L 100 266.99 2.67 2.67 1.34 30 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 oral (vezi N07XN03) COMPR. FILM. 600mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L 30 82.95 2.77 2.67 1.34 31 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 oral (vezi N07XN03) COMPR. FILM. 600mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 6 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L 60 160.45 2.67 2.67 1.34 32 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 INJEKT (vezi A16AX01) CONC. PT. SOL. PERF. 30mg/ml WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 20 ML CONC. PT. SOL. PERF. S/P-RF 5 133.64 26.73 24.49 12.25 33 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 INJEKT (vezi A16AX01) CONC. PT. SOL. PERF. 30mg/ml WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 20 FIOLE DIN STICLA BRUNA X 20 ML CONC. PT. SOL. PERF. S/P-RF 20 489.8 24.49 24.49 12.25 34 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 INJEKT (vezi A16AX01) CONC. PT. SOL. PERF. 30mg/ml WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 FIOLE DIN STICLA BRUNA X 20 ML CONC. PT. SOL. PERF. S/P-RF 10 256.22 25.62 24.49 12.25 35 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) TURBO-SET (vezi A16AX01) SOL. PERF. 12mg/ml WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLACON X 50 ML S/P-RF 1 28.47 28.47 25.08 12.54 36 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) TURBO-SET (vezi A16AX01) SOL. PERF. 12mg/ml WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 FLACOANE X 50 ML S/P-RF 10 250.81 25.08 25.08 12.54 37 B01AB04 DALTEPARINUM**# FRAGMIN 10000 UI/ml SOL. INJ. 10000ui/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 SUPORTURI TERMOFORMATATE X 5 FIOLE X 1 ML S/P-RF 10 235.03 23.5 23.5 11.75 38 B01AB04 DALTEPARINUM**# FRAGMIN15000 UI/0,6 ml SOL. INJ. 15000ui/0.6ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ. S/P-RF 5 151.09 30.22 30.22 15.11 39 B01AB04 DALTEPARINUM**# FRAGMIN 2500 UI/0,2 ml SOL. INJ. 2500ui/0.2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML S/P-RF 10 72.18 7.22 7.22 3.61 40 B01AB04 DALTEPARINUM**# FRAGMIN 5000 UI/0,2 ml SOL. INJ. 5000ui/0.2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML S/P-RF 10 134.31 13.43 13.43 6.72 41 B01AB04 DALTEPARINUM**# FRAGMIN 7500 UI/0,3 ml SOL. INJ. 7500ui/0.3ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,3 ML S/P-RF 10 164.51 16.45 16.45 8.23 42 B01AB05 ENOXAPARINUM**# CLEXANE 2000ui anti-Xa/0.2ml SOL. INJ. 2000ui anti-Xa/0.2ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ. S/P-RF 10 101.51 10.15 10.15 5.08

43 B01AB05 ENOXAPARINUM**# CLEXANE 4000ui anti-Xa/0.4ml SOL. INJ. 4000ui anti-Xa/0,4ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ. S/P-RF 10 174.61 17.46 17.46 8.73 44 B01AB05 ENOXAPARINUM**# CLEXANE 6000ui anti-Xa/0.6ml SOL. INJ. 6000ui anti-Xa/0.6ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. S/P-RF 10 244.69 24.47 24.47 12.24 45 B01AB05 ENOXAPARINUM**# CLEXANE 8000ui anti-Xa/0.8ml SOL. INJ. 8000ui anti-Xa/0.8ml LAB. AVENTIS FRANTA CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ. S/P-RF 2 80.91 40.46 40.46 20.23 46 B01AB06 NADROPARINUM**# FRAXODI 11400 UI anti-factor Xa/0,6ml SOL. INJ. 11400 uiAXa/0.6ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE X 0.6 ML SOL. INJ. S/P-RF 10 217.91 21.79 21.79 10.9 47 B01AB06 NADROPARINUM**# FRAXODI 15200 UI anti-factor Xa/0,8ml SOL. INJ. 15200 uiAXa/0.8ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE X 0.8 ML SOL. INJ. S/P-RF 10 295.58 29.56 29.56 14.78 48 B01AB06 NADROPARINUM**# FRAXIPARINE (R) 2850 UI anti-factor Xa/0,3 ml SOL. INJ. 2850 ui AFXa/0.3ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,3 ML S/P-RF 10 57.85 5.79 5.79 2.9 49 B01AB06 NADROPARINUM**# FRAXIPARINE (R) 3800 UI anti-factor Xa/0,4 ml SOL. INJ. 3800 ui AFXa/0.4ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,4 ML S/P-RF 10 87.54 8.75 8.75 4.38 50 B01AB06 NADROPARINUM**# FRAXIPARINE (R) 5700 UI anti-factor Xa/0,6 ml SOL. INJ. 5700 ui AFXa/0.6ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,6 ML S/P-RF 10 105.26 10.53 10.53 5.27 SUBLISTA B - MEDICAMENTE CU NIVEL DE COMPENSARE 50% DIN PRETUL DE REFERINTA LISTA DENUMIRILOR COMUNE INTERNATIONALE (DCI) ALE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA CONFOR HG NR. 720/2008 VALABILA INCEPAND CU 15 IULIE 2008 Page 1 of 12

Nr. crt codifatc den_internationala denumire formaF concentr atie Firma detinatoare tara forma ambalare prescriere cant/am balaj Pret amanuntul

maximal/a mbalaj (RON) Pret amanuntul maximal/U T (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 51 B01AB06 NADROPARINUM**# FRAXIPARINE (R) 7600 UI anti-factor Xa/0,8 ml SOL. INJ. 7600 ui AXa/0.8ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,8 ML S/P-RF 10 153.51 15.35 15.35 7.68 52 B01AB08 REVIPARINUM**# CLIVARIN (R) 1432UI/0,25 ml SOL. INJ. 1432ui/0.25ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0.25ML S/P-RF 10 92.19 9.22 9.22 4.61 53 B01AB08 REVIPARINUM**# CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ. 3436ui/0.6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF 5 81.29 16.26 16.26 8.13 54 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.35 ML SOL. INJ. (3500 U-AXA) S/P-RF 2 24.99 12.5 12.5 6.25

55 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.45 ML SOL. INJ. (4500 U-AXA) S/P-RF 2 33.48 16.74 16.74 8.37 56 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2 ML SOL. INJ. (10000 U-AXA) S/P-RF 10 518.7 51.87 51.87 25.94 57 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,50 ML SOL. IN. (10000 U-AXA) S/P-RF 2 70.73 35.37 35.37 17.69 58 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,70 ML SOL. IN. (14000 U-AXA) S/P-RF 2 90.54 45.27 45.27 22.64 59 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,90 ML SOL. IN. (18000 U-AXA) S/P-RF 2 114.58 57.29 57.29 28.65 60 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2ML SOL. INJ. (20000 U-AXA) S/P-RF 10 1042.49 104.25 104.25 52.13 61 B01AB11 SULODEXIDUM** VESSEL DUE F CAPS. MOI 250ULS ALFA WASSERMANN SPA ITALIA CUTIE X 2 BLIST. PVDC-PVC/AL-PVDC X 25 CAPS. MOI P-RF 50 102.17 2.04 2.04 1.02 62 B01AB11 SULODEXIDUM** VESSEL DUE F SOL. INJ. 600ULS/2ml ALFA WASSERMANN SPA ITALIA CUTIE X 10 FIOLE DIN STICLA GALBENA X 2 ML P-RF 10 60.38 6.04 6.04 3.02 63 B01AC04 CLOPIDOGRELUM** PLAVIX (R) COMPR. FILM. 75mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 28 COMPR. FILM. ( BLIST. PVC-PVDC/AL) P-RF 28 240.32 8.58 8.58 4.29 64 B01AC30 COMBINATII (ACID ACETYLSALICYLICUM+DIPYRIDAMOLUM)** AGGRENOX CAPS. ELIB. MODIF. 25mg/200mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLAC. DIN PP X 60 CAPS. CU ELIB.MODIF. P-6L 60 68.37 1.14 1.14 0.57 65 B01AX05 FONDAPARINUX SODIUM**# ARIXTRA 10 mg/0,8 ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/0.8ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU P-RF 10 705 70.5 70.5 35.25 66 B01AX05 FONDAPARINUX SODIUM**# ARIXTRA 2,5 mg/0,5 ml SOL. INJ. IN SERINGA PREUMPLUTA 2.5mg/0.5ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE X 0,5 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU P-RF 10 206.33 20.63 20.63 10.32 67 B01AX05 FONDAPARINUX SODIUM**# ARIXTRA 5 mg/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 5mg/0.4ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE X 0,4 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU P-RF 10 460.59 46.06 46.06 23.03 68 B01AX05 FONDAPARINUX SODIUM**# ARIXTRA 7,5 mg/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 7.5mg/0.6ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU P-RF 10 690.42 69.04 69.04 34.52 69 B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA VENOFER (R) SOL. INJ./PERF. 20mg/ml VIFOR FRANCE S.A. FRANTA CUTIE X 5 FIOLE X 5 ML S/P-RF 5 123.45 24.69 24.69 12.35 70 C01BB02 MEXILETINUM MEXITIL (R) 200 mg CAPS. 200mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-RF 100 51.96 0.52 0.52 0.26 71 C01EB17 IVABRADINUM** CORLENTOR 5 mg COMPR. FILM. 5mg LES LAB. SERVIER FRANTA CUTIE X 28COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 28 137.45 4.91 3.54 1.77

72 C01EB17 IVABRADINUM** CORLENTOR 5 mg COMPR. FILM. 5mg LES LAB. SERVIER FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 56 198.05 3.54 3.54 1.77 73 C01EB17 IVABRADINUM** CORLENTOR 7,5 mg COMPR. FILM. 7.5mg LES LAB. SERVIER FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 56 217.85 3.89 3.89 1.95 74 C01EB17 IVABRADINUM** CORLENTOR 7,5 mg COMPR. FILM. 7.5mg LES LAB. SERVIER FRANTA CUTIE X 28 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 28 137.45 4.91 3.89 1.95 75 C02AC05 MOXONIDINUM PHYSIOTENS 0,2 COMPR. FILM. 0.2mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 26.47 0.95 0.72 0.36 76 C02AC05 MOXONIDINUM MOXOGAMMA 0,2 mg COMPR. FILM. 0.2mg WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 21.55 0.72 0.72 0.36 77 C02AC05 MOXONIDINUM MOXOGAMMA 0,3 mg COMPR. FILM. 0.3mg WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 29.09 0.97 0.97 0.49 78 C02AC05 MOXONIDINUM PHYSIOTENS 0,4 COMPR. FILM. 0.4mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.FILM. P-6L 28 48.75 1.74 1.15 0.58 79 C02AC05 MOXONIDINUM MOXOGAMMA 0,4 mg COMPR. FILM. 0.4mg WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 34.47 1.15 1.15 0.58 80 C02AC06 RILMENIDINUM TENAXUM COMPR. 1mg LES LABORATOIRES SERVIER FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 35.52 1.18 1.18 0.59 81 C02CA01 PRAZOSINUM MINIPRESS (R) 1 mg COMPR. 1mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.1 0.27 0.27 0.14 82 C02CA01 PRAZOSINUM MINIPRESS (R) 2 mg COMPR. 2mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 13.09 0.44 0.44 0.22 83 C03DA04 EPLERENONUM*# INSPRA 25 mg COMPR. FILM. 25mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM. P-RF 10 282 28.2 9.4 4.7 84 C03DA04 EPLERENONUM*# INSPRA 25 mg COMPR. FILM. 25mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. PERFORAT UNIDOZA PVC/AL X 10 COMPR. FILM. P-RF 10 94 9.4 9.4 4.7 85 C03DA04 EPLERENONUM*# INSPRA 50 mg COMPR. FILM. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM. P-RF 10 282 28.2 9.4 4.7 86 C03DA04 EPLERENONUM*# INSPRA 50 mg COMPR. FILM. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. PERFORAT UNIDOZA PVC/AL X 10 COMPR. FILM. P-RF 10 94 9.4 9.4 4.7 87 C04AE02 NICERGOLINUM NICERGOLINA LPH 10 mg COMPR. FILM. 10mg LABORMED PHARMA SA ROMANIA Cutie x 2 blist. Al/PVC x 15 compr. film. P-6L 30 9.23 0.31 0.31 0.16 88 C04AE02 NICERGOLINUM NICERGOLINA LPH 5 mg COMPR. FILM. 5mg LABORMED PHARMA SA ROMANIA Cutie x 2 blist. Al/PVC x 15 compr. film. P-6L 30 6.8 0.23 0.23 0.12 89 C04AE02 NICERGOLINUM NICERIUM® 15 CAPS. ELIB. MODIF. 15mg HEXAL AG GERMANIA Cutie x 3 blist. PP/Al x 10 caps. elib. modif. P-6L 30 19.75 0.66 0.66 0.33 90 C04AE02 NICERGOLINUM NICERGOLINA LPH 30 mg COMPR. FILM. 30mg LABORMED PHARMA SA ROMANIA Cutie x 2 blist. Al/PVC x 15 compr. film. P-6L 30 28.7 0.96 0.96 0.48 91 C04AE02 NICERGOLINUM SERMION COMPR. FILM. 30mg PFIZER EUROPE MA EEIG MAREA BRITANIE Cutie x 2 blist. PVC-PVDC/Al-PVC x 15 compr. film P-6L 30 36.69 1.22 0.96 0.48

92 C04AE02 NICERGOLINUM NICERIUM® 10 DRAJ. 10mg HEXAL AG GERMANIA Cutie x 1 blist. Al/PVC x 25 draj. P-6L 25 9.99 0.40 0.32 0.16 93 C04AE02 NICERGOLINUM SINERGOLIN 10 DRAJ. 10mg SINTOFARM SA ROMANIA Cutie x 2 blist. Al/PVC x 10 draj. P-6L 20 6.46 0.32 0.32 0.16 94 C04AE02 NICERGOLINUM SINERGOLIN 30 DRAJ. 30mg SINTOFARM SA ROMANIA Cutie x 2 blist. Al/PVC x 10 draj. P-6L 20 19.12 0.96 0.96 0.48 95 C04AE02 NICERGOLINUM SINERGOLIN 30 DRAJ. 30mg SINTOFARM SA ROMANIA Cutie x 3 blist. Al/PVC x 10 draj. P-6L 30 28.68 0.96 0.96 0.48 96 C04AE02 NICERGOLINUM NICERIUM® 30 UNO CAPS. ELIB. MODIF. 30mg HEXAL AG GERMANIA Cutie x 3 blist. PP/Al x 10 caps. elib. modif. P-6L 10 38.07 3.81 3.81 1.91 97 C04AX07 VINCAMINUM OXYBRAL SR 30 mg CAPS. ELIB. PREL. 30mg GLAXOSMITHKLINE (GSK) SRL ROMANIA Cutie x 1 blist. Al/PVC-PVDC x 10 caps. cu elib. prel. P-6L 10 6.9 0.69 0.69 0.35 98 C04AX07 VINCAMINUM VINCAMIL COMPR. 20mg FARMACEUTICI ECOBI S.A.S ITALIA Cutie x 2 blist. Al/PVC x 25 compr. P-6L 50 9.9 0.20 0.2 0.10 99 C04AX07 VINCAMINUM VINCAMINA DRAJ. 10mg BIOFARM SA ROMANIA Cutie x 1 blist. Al/PVC x 20 draj. P-6L 20 4.36 0.22 0.22 0.11 100 C04AXN1 GINKGO BILOBA** BILOBIL (R) (N06DX02) CAPS. 40mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC/PVDC X 10 CAPS. P-6L 20 6.9 0.35 0.32 0.16 101 C04AXN1 GINKGO BILOBA** BILOBIL (R) (N06DX02) CAPS. 40mg KRKA D.D. SLOVENIA CUTIE X 6 BLIST. AL/PVC/PVDC X 10 CAPS. P-6L 60 19.14 0.32 0.32 0.16 102 C04AXN1 GINKGO BILOBA** BILOBIL FORTE (N06DX02) CAPS. 80mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. AL/PVC X 10 CAPS. P-6L 60 33.18 0.55 0.55 0.28 103 C04AXN1 GINKGO BILOBA** BILOBIL FORTE (N06DX02) CAPS. 80mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 11.63 0.58 0.55 0.28 104 C04AXN1 GINKGO BILOBA** GINGIUM 120mg (N06DX02) COMPR. FILM. 120mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L 30 24.95 0.83 0.83 0.42 105 C04AXN1 GINKGO BILOBA** FLAVOTAN 40 mg (N06DX02) COMPR. FILM. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 10.6 0.35 0.31 0.16 106 C04AXN1 GINKGO BILOBA** TANAKAN (EGB 761) (C04AXN1) COMPR. FILM. 40mg IPSEN BIOTECH FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 18.11 0.6 0.31 0.16 Page 2 of 12

Nr. crt codifatc den_internationala denumire formaF concentr atie Firma detinatoare tara forma ambalare prescriere cant/am balaj Pret amanuntul maximal/a mbalaj (RON) Pret amanuntul maximal/U T (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 107 C04AXN1 GINKGO BILOBA** GINGIUM 40mg (N06DX02) COMPR. FILM. 40mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L 30 9.17 0.31 0.31 0.16 108 C04AXN1 GINKGO BILOBA** TEBOKAN (vezi C04AXN1) COMPR. FILM. 40mg DR. WILLMAR SCHWABE GMBH & CO KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 16.79 0.34 0.31 0.16 109 C04AXN1 GINKGO BILOBA** TEBOKAN (vezi C04AXN1) COMPR. FILM. 40mg DR. WILLMAR SCHWABE GMBH & CO KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.88 0.34 0.31 0.16 110 C04AXN1 GINKGO BILOBA** GINGIUM 80mg (N06DX02) COMPR. FILM. 80mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L 30 16.82 0.56 0.56 0.28 111 C04AXN1 GINKGO BILOBA** TANAKAN (EGB 761) (N06DX02) PICATURI ORALE-SOL. 40mg/ml BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 1 FLACON DE STICLA BRUNA X 30 ML + 1 PIPETA DIN POLIETILENA P-6L 1 17.87 17.87 17.87 8.94

112 C05CA53 DIOSMINUM (COMBINATII)** DETRALEX (R) COMPR. FILM. 500mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 26.18 0.87 0.87 0.44 113 C07AB12 NEBIVOLOLUM NEBILET (R) COMPR. 5mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L 28 53.97 1.93 1.93 0.97 114 C07BB07 COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) LODOZ 10 mg COMPR. FILM. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L 30 22.28 0.74 0.74 0.37 115 C07BB07 COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) LODOZ 2,5 mg COMPR. FILM. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L 30 22.28 0.74 0.74 0.37 116 C07BB07 COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) LODOZ 5 mg COMPR. FILM. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L 30 22.28 0.74 0.74 0.37 117 C07EBN1 COMBINATII (METOPROLOLUL+FELODIPINUM) LOGIMAX (R) COMPR. ELIB. PREL. 50mg+5mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. PVC X 30 COMPR. ELIB. PREL. P-6L 30 35.34 1.18 1.18 0.59 118 C08CA09 LACIDIPINUM LACIPIL (R) 4 mg COMPR. FILM. 4mg GLAXO OPERATIONS UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-6L 14 18.09 1.29 1.29 0.65 119 C08CA13 LERCANIDIPINUM LERIDIP 20 COMPR. FILM. 20mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 28 56.25 2.01 2.01 1.01 120 C08CA13 LERCANIDIPINUM LERIDIP COMPR. FILM. 10mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.FILM. P-6L 28 46.76 1.67 1.67 0.84 121 C09AA04 PERINDOPRILUM PRESTARIUM (R) 4 mg COMPR. 4mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. X 30 COMPR. P-6L 30 31.81 1.06 1.06 0.53 122 C09AA04 PERINDOPRILUM PRESTARIUM (R) 8 mg COMPR. 8mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. X 15 COMPR. P-6L 30 63.62 2.12 2.12 1.06 123 C09AA04 PERINDOPRILUM PRESTARIUM 10 mg COMPR. FILM. 10 mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM. P-6L 30 62.95 2.1 2.1 1.05 124 C09AA04 PERINDOPRILUM PRESTARIUM 5 mg COMPR. FILM. 5mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM. P-6L 30 35.37 1.18 1.18 0.59 125 C09AA07 BENAZEPRILUM CIBACEN (R) 10 mg COMPR. FILM. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 36.6 1.31 0.95 0.48 126 C09AA07 BENAZEPRILUM BENAZEPRIL STADA 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 4 BLIST. DIN AL/AL X 7 COMPR. FILM. P-6L 28 26.64 0.95 0.95 0.48 127 C09AA07 BENAZEPRILUM CIBACEN (R) 20 mg COMPR. FILM. 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 40.82 1.46 1.06 0.53 128 C09AA07 BENAZEPRILUM BENAZEPRIL STADA 20 mg COMPR. FILM. 20mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 4 BLIST. DIN AL/AL X 7 COMPR. FILM. P-6L 28 29.61 1.06 1.06 0.53 129 C09AA07 BENAZEPRILUM CIBACEN (R) 5 mg COMPR. FILM. 5mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 21.12 0.75 0.55 0.28 130 C09AA07 BENAZEPRILUM BENAZEPRIL STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 4 BLIST. DIN AL/AL X 7 COMPR. FILM. P-6L 28 15.33 0.55 0.55 0.28 131 C09AA10 TRANDOLAPRILUM GOPTEN® 0,5 mg CAPS. 0.5mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 10 CAPS. P-6L 20 13.82 0.69 0.69 0.35

132 C09AA10 TRANDOLAPRILUM GOPTEN (R) 2 mg CAPS. 2mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS. P-6L 28 28.09 1 1 0.5 133 C09AA10 TRANDOLAPRILUM GOPTEN® 4 mg CAPS. 4mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS. P-6L 28 46.86 1.67 1.67 0.84 134 C09AA15 ZOFENOPRILUM ZOMEN (R) 30 mg COMPR. FILM. 30mg BERLIN CHEMIE AG GERMANIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 32.51 1.16 1.16 0.58 135 C09AA15 ZOFENOPRILUM ZOMEN (R) 7,5 mg COMPR. FILM. 7.5mg BERLIN CHEMIE AG GERMANIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 13.94 0.5 0.5 0.25 136 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) NOLIPREL (R) COMPR. 2mg+0.625mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. X 30 COMPR. P-6L 30 43.19 1.44 1.44 0.72 137 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) NOLIPREL FORTE (R) COMPR. 4mg+1.25mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. X 30 COMPR. P-6L 30 49.7 1.66 1.66 0.83 138 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) PRESTARIUM PLUS COMPR. 4mg+1.25mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 49.7 1.66 1.66 0.83 139 C09BA06 COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM) ACCUZIDE COMPR. FILM. 10mg/12.5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 COMPR. FILM. P-6L 30 15.45 0.52 0.52 0.26 140 C09BA06 COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM) ACUZIDE FORTE COMPR. FILM. 20mg/12.5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 COMPR. FILM. P-6L 30 28.1 0.94 0.94 0.47 141 C09BA09 COMBINATII (FOSINOPRILUM+HYDROCHLOROTHIAZIDUM) FOSINOZIDE 20 mg/12,5 mg COMPR. 20mg/12.5mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR. P-6L 28 21.15 0.76 0.76 0.38 142 C09BB02 COMBINATII (NITRENDIPINUM+ENALAPRILUM) ENEAS COMPR. 10mg+20mg VITA CIENTIFICA SL SPANIA CUTIE X 3 BLIST. PA-PVC-AL/AL X 10 COMPR. P-6L 30 74.31 2.48 2.35 1.18 143 C09BB02 COMBINATII (NITRENDIPINUM+ENALAPRILUM) ENEAS COMPR. 10mg+20mg VITA CIENTIFICA SL SPANIA CUTIE X 10 BLIST. PA-PVC-AL/AL X 10 COMPR. P-6L/S 100 234.54 2.35 2.35 1.18 144 C09BB02 COMBINATII (NITRENDIPINUM+ENALAPRILUM) ENEAS COMPR. 10mg+20mg VITA CIENTIFICA SL SPANIA CUTIE X 5 BLIST. PA-PVC-AL/AL X 10 COMPR. P-6L 50 123.07 2.46 2.35 1.18 145 C09BB02 COMBINATII (NITRENDIPINUM+ENALAPRILUM) ENEAS COMPR. 10mg+20mg VITA CIENTIFICA SL SPANIA CUTIE X 6 BLIST. PA-PVC-AL/AL X 10 COMPR. P-6L 60 146.27 2.44 2.35 1.18 146 C09BB02 COMBINATII (NITRENDIPINUM+ENALAPRILUM) ENEAS COMPR. 10mg+20mg VITA CIENTIFICA SL SPANIA CUTIE X 2 BLIST. PA-PVC-AL/AL X 10 COMPR. P-6L 20 50.16 2.51 2.35 1.18 147 C09BB10 COMBINATII (VERAPAMILUM+TRANDOLAPRILUM) TARKA COMPR.FILM.ELIB.MODIF. 180mg/2mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. AL/PVDC-PVC X 14 COMPR. FILM. CU ELIB. PREL. P-6L 28 47 1.68 1.68 0.84 148 C09CA03 VALSARTANUM DIOVAN 160 mg COMPR. FILM. 160mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 106.73 3.81 3.81 1.91 149 C09CA03 VALSARTANUM DIOVAN 80 mg COMPR. FILM. 80mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 92.25 3.29 3.29 1.65 150 C09CA04 IRBESARTANUM APROVEL 150 mg COMPR. FILM. 150mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC/PVDC-AL X 14 COMPR. FILM. P-6L 28 97.06 3.47 3.47 1.74 151 C09CA04 IRBESARTANUM APROVEL 300 mg COMPR. FILM. 300mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC/PVDC-AL X 14 COMPR. FILM. P-6L 28 130.97 4.68 4.68 2.34

152 C09CA06 CANDESARTANUM CILEXETIL ATACAND COMPR. 16mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. DIN PE, PREV. CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 28 COMPR. P-6L 28 50.34 1.8 1.8 0.9 153 C09CA06 CANDESARTANUM CILEXETIL ATACAND COMPR. 8mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. DIN PE, PREV. CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 28 COMPR. P-6L 28 40.9 1.46 1.46 0.73 154 C09CA07 TELMISARTANUM MICARDIS 40 mg COMPR. 40mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 28 COMPR. ( BLIST. PA/AL/PVC) P-6L 28 44.26 1.58 1.58 0.79 155 C09CA07 TELMISARTANUM PRITOR 40 mg COMPR. 40mg BAYER HEALTHCARE AG GERMANIA CUTIE X 14 COMPR. (BLIST. POLIAMIDA PA/AL/PVC) P-6L 14 28.53 2.04 1.58 0.79 156 C09CA07 TELMISARTANUM PRITOR 40 mg COMPR. 40mg BAYER HEALTHCARE AG GERMANIA CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC ) P-6L 28 48.34 1.73 1.58 0.79 157 C09CA07 TELMISARTANUM MICARDIS 80 mg COMPR. 80mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L 28 59.43 2.12 2.12 1.06 158 C09CA07 TELMISARTANUM PRITOR 80 mg COMPR. 80mg BAYER HEALTHCARE AG GERMANIA CUTIE X 14 COMPR. (BLIST. POLIAMIDA PA/AL/PVC) P-6L 14 38.08 2.72 2.12 1.06 159 C09CA07 TELMISARTANUM PRITOR 80 mg COMPR. 80mg BAYER HEALTHCARE AG GERMANIA CUTIE X 28 COMPR. (BLIST. POLIAMIDA PA/AL/PVC) P-6L 28 59.43 2.12 2.12 1.06 160 C09DA01 COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM) HYZAAR (R) 50 mg/12,5 mg COMPR. FILM. 50mg+12.5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 61.01 2.18 2.18 1.09 161 C09DA03 COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM) CO-DIOVAN 80 mg/12,5 mg COMPR. FILM. 80mg/12.5mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L 28 119.38 4.26 4.26 2.13 162 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 150/12.5 mg COMPR. 150mg/12.5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 97.06 3.47 3.47 1.74 Page 3 of 12

Nr. crt codifatc den_internationala denumire formaF concentr atie Firma detinatoare tara forma ambalare prescriere cant/am balaj Pret amanuntul maximal/a mbalaj (RON) Pret amanuntul maximal/U T (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 163 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 300/12,5 mg COMPR. 300mg/12.5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 130.97 4.68 4.68 2.34 164 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) MICARDISPLUS (R) COMPR. 80/12.5mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L 28 59.43 2.12 2.12 1.06 165 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) PRITOR PLUS COMPR. 80mg/12.5mg BAYER HEALTHCARE AG GERMANIA CUTIE X 28COMPR.( BLIST. PA/AL/PVC ) P-6L 28 59.43 2.12 2.12 1.06 166 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE COMPR. FILM. 10mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L 56 208.33 3.72 3.72 1.86 167 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE COMPR. FILM. 5mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L 56 208.33 3.72 3.72 1.86

168 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE COMPR. FILM. 5mg/80mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM.(BLIST.PVC/PVDC ) P-6L 56 179.99 3.21 3.21 1.61 169 C10AA04 FLUVASTATINUM LESCOL (R) 20 CAPS. 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. X 7 CAPS. P-6L 28 61.95 2.21 2.21 1.11 170 C10AA04 FLUVASTATINUM LESCOL (R) 40 CAPS. 40mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. X 7 CAPS. P-6L 28 65.76 2.35 2.35 1.18 171 C10AA04 FLUVASTATINUM LESCOL (R) XL COMPR. ELIB. PREL. 80mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. X 7 COMPR. ELIB. PREL. P-6L 28 74.35 2.66 2.66 1.33 172 C10AA05 ATORVASTATINUM SORTIS 10 mg COMPR. FILM. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 64.55 2.15 2.15 1.08 173 C10AA05 ATORVASTATINUM SORTIS 20 mg COMPR. FILM. 20mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 103.37 3.45 3.45 1.73 174 C10AA05 ATORVASTATINUM SORTIS 40 mg COMPR. FILM. 40mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 59.7 4.26 4.26 2.13 175 C10AA05 ATORVASTATINUM SORTIS 80 mg COMPR. FILM. 80mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 71.86 5.13 5.13 2.57 176 C10AA07 ROSUVASTATINUM CRESTOR 10 mg COMPR. FILM. 10mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 88.34 3.16 3.16 1.58 177 C10AA07 ROSUVASTATINUM CRESTOR 20 mg COMPR. FILM. 20mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 133.75 4.78 4.78 2.39 178 C10AA07 ROSUVASTATINUM CRESTOR 40 mg COMPR. FILM. 40mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 171.63 6.13 6.13 3.07 179 C10AA07 ROSUVASTATINUM CRESTOR 5 mg COMPR. FILM. 5mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/AL X 14 COMPR. FILM. P-6L 28 74.69 2.67 2.67 1.34 180 C10AB02 BEZAFIBRATUM REGADRIN (R) B DRAJ. 200mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 5 BLIST. X 10 DRAJ. P-6L 50 20.19 0.4 0.4 0.2 181 C10AB08 CIPROFIBRATUM LIPANOR (R) 100 mg CAPS. 100mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. X 10 CAPS. P-6L 30 30.77 1.03 1.03 0.52 182 C10AX06 ACID OMEGA-3-ESTERI ETILICI 90** OMACOR (R) CAPS. MOI 1000mg PRONOVA BIOPHARMA NORGE A.S. NORVEGIA FALC. DIN PEID X 28 CAPS. MOI P-RF 28 90.56 3.23 3.23 1.62 183 C10AX09 EZETIMIBUM EZETROL (R) COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF 14 72.39 5.17 5.17 2.59 184 C10AX09 EZETIMIBUM EZETROL (R) COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PCTFE/PVC/AL X 7 COMPR. P-RF 7 36.19 5.17 5.17 2.59 185 C10AX09 EZETIMIBUM EZETROL (R) COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF 28 144.78 5.17 5.17 2.59 186 C10BA02 COMBINATII (EZETIMIBUM + SIMVASTATINUM) INEGY (R) 10 mg/10 mg COMPR. 10mg/10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-AL-PA/AL X 14 COMPR. P-RF 28 157.65 5.63 5.63 2.82 187 C10BA02 COMBINATII (EZETIMIBUM + SIMVASTATINUM) INEGY (R) 10 mg/10 mg COMPR. 10mg/10mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-AL-PA/AL X 14 COMPR. P-RF 14 78.84 5.63 5.63 2.82

188 C10BA02 COMBINATII (EZETIMIBUM + SIMVASTATINUM) INEGY (R) 10 mg/20 mg COMPR. 10mg/20mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PCTFE OPACA-PVC/AL X 14 COMPR. P-RF 14 88.87 6.35 6.35 3.18 189 C10BA02 COMBINATII (EZETIMIBUM + SIMVASTATINUM) INEGY (R) 10 mg/20 mg COMPR. 10mg/20mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PCTFE OPACA-PVC/AL X14 COMPR. P-RF 28 177.75 6.35 6.35 3.18 190 C10BA02 COMBINATII (EZETIMIBUM + SIMVASTATINUM) INEGY (R) 10 mg/40 mg COMPR. 10mg/40mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PCTFE OPACA-PVC/AL X 7 COMPR. P-RF 14 103.45 7.39 7.39 3.7 191 C10BA02 COMBINATII (EZETIMIBUM + SIMVASTATINUM) INEGY (R) 10 mg/40 mg COMPR. 10mg/40mg MERCK SHARP & DOHME ROMANIA CUTIE X 4 BLIST. PCTFE OPACA-PVC/AL X 7 COMPR. P-RF 28 206.93 7.39 7.39 3.7 192 C10BA02 COMBINATII (EZETIMIBUM + SIMVASTATINUM) INEGY (R) 10 mg/80 mg COMPR. 10mg/80mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PCTFE OPACA-PVC/AL X 7 COMPR. P-RF 14 109.48 7.82 7.82 3.91 193 C10BA02 COMBINATII (EZETIMIBUM + SIMVASTATINUM) INEGY (R) 10 mg/80 mg COMPR. 10mg/80mg MERCK SHARP & DOHME ROMANIA CUTIE X 4 BLIST. PCTFE OPACA-PVC/AL X 7 COMPR. P-RF 28 218.96 7.82 7.82 3.91 194 C10BX03 COMBINATII (ATORVASTATINUM + AMLODIPINUM) CADUET 10mg/10mg COMPR. FILM. 10mg/10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/PVC-AL X 10 COMPR. FILM. P-6L 30 63.66 2.12 2.12 1.06 195 C10BX03 COMBINATII (ATORVASTATINUM + AMLODIPINUM) CADUET 5mg/10mg COMPR. FILM. 5mg/10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/PVC-AL X 10 COMPR. FILM. P-6L 30 56.59 1.89 1.89 0.95 196 D01AA02 NATAMYCINUM PIMAFUCIN CREMA 20mg/g ASTELLAS EUROPE B.V. OLANDA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF 1 9.47 9.47 9.47 4.74 197 D01BA02 TERBINAFINUM LAMISIL (R) COMPR. 250mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. X 14 COMPR. P-RF 14 125.57 8.97 3.37 1.69 198 D01BA02 TERBINAFINUM TERBISIL (R) 250 mg COMPR. 250mg GEDEON RICHTER LTD. UNGARIA CUTIE X 2 BLIST. X 14 COMPR. P-RF 28 94.31 3.37 3.37 1.69 199 D01BA02 TERBINAFINUM TERBINARAN COMPR. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-RF 30 193.66 6.46 3.37 1.69 200 D01BA02 TERBINAFINUM TERBINARAN COMPR. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-RF 28 180.74 6.46 3.37 1.69 201 D05AX02 CALCIPOTRIOLUM* DAIVONEX CREMA 50µg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 30 G CREMA P-6L 1 44.32 44.32 44.32 22.16 202 D05AX02 CALCIPOTRIOLUM* DAIVONEX SOLUTIE CUTANATA PENTRU SCALP SOL. CUT. 50µg/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 FLACON DIN PEID X 30 ML SOL. CUTANATA PENTRU SCALP P-6L 1 44.32 44.32 44.32 22.16 203 D05AX02 CALCIPOTRIOLUM* SOREL (R) unguent 0,005% UNGUENT 0.005% LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 TUB DIN AL X 100 G P-6L 1 105.73 105.73 37.75 18.88 204 D05AX02 CALCIPOTRIOLUM* SOREL (R) unguent 0,005% UNGUENT 0.005% LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 TUB DIN AL X 30 G P-6L 1 37.75 37.75 37.75 18.88 205 D05AX02 CALCIPOTRIOLUM* DAIVONEX UNGUENT UNGUENT 50µg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 30 G UNGUENT P-6L 1 44.32 44.32 37.75 18.88 206 D05AX52 COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)* DAIVOBET (R) UNGUENT UNGUENT FARA CONCENTRATIE LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB X 15 G P-RF 1 45.51 45.51 45.51 22.76 207 D06AX01 ACITRETINUM**

208 D06AX01 ACIDUM FUSIDICUM FUCIDIN (R) CREMA 2% LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB X 15 G P-RF 1 11.62 11.62 11.62 5.81 209 D06AX01 ACIDUM FUSIDICUM FUCIDIN (R) UNGUENT 2% LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB X 15 G P-RF 1 11.62 11.62 11.62 5.81 210 D06AXN1 COMBINATII BANEOCIN (R) PULB. CUT. FARA CONCENTRATIE SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. DE PUDRAT PE X 10 G P-RF 1 3.23 3.23 3.23 1.62 211 D06AXN1 COMBINATII BANEOCIN (R) UNGUENT FARA CONCENTRATIE SANDOZ GMBH AUSTRIA CUTIE X 1 TUB AL X 20 G P-RF 1 3.23 3.23 3.13 1.57 212 D06AXN1 COMBINATII NEOBACIN UNGUENT FARA CONCENTRATIE DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 TUB X 15G P-RF 1 3.13 3.13 3.13 1.57 213 D06BA01 SULFADIAZINUM DERMAZIN (R) 1% CREMA 1% LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 TUB X 50 G P-RF 1 8.27 8.27 8.27 4.14 214 D06BB04 PODOPHYLLOTOXINUM* WARTEC 15 mg/g CREMA 1,5 mg/g STIEFEL LABORATORIES IRELAND LTD. MAREA BRITANIE CUTIE X 1 TUB X 5 G CREMA P-RF 1 67.62 67.62 67.62 33.81 215 D06BB04 PODOPHYLLOTOXINUM* CONDYLINE SOL. CUT. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 FLACON DIN STICLA BRUNA X 3,5 ML SOL. CUTANATA + 15 DISPOZITIVE DE APLICARE P-RF 1 58.47 58.47 58.47 29.24 216 D06BB10 IMIQUIMODUM* 217 D07AB02 HYDROCORTISONUM BUTYRATUM LOCOID (R) crema 0,1% CREMA 0.1% ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 TUB DIN AL X 30 G P-RF 1 9.47 9.47 9.47 4.74 218 D07AB02 HYDROCORTISONUM BUTYRATUM LOCOID (R) LIPOCREAM 0,1% CREMA 0.1% ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 TUB DIN AL X 30 G P-RF 1 9.47 9.47 9.47 4.74 Page 4 of 12

Nr. crt codifatc den_internationala denumire formaF concentr atie Firma detinatoare tara forma ambalare prescriere cant/am balaj Pret amanuntul maximal/a mbalaj (RON) Pret amanuntul maximal/U T (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 219 D07AB02 HYDROCORTISONUM BUTYRATUM LOCOID CRELO (R) 0,1% EMULSIE CUT. 0.1% ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 FLACON X 30 G P-RF 1 9.47 9.47 9.47 4.74 220 D07AB02 HYDROCORTISONUM BUTYRATUM LOCOID (R) SOL. CUT. 0.1% ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 FLACON PICURATOR DIN PP X 30 ML P-RF 1 9.47 9.47 9.47 4.74 221 D07AC13 MOMETASONUM ELOCOM CREMA 1mg/g SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB DIN AL X 15 G P-RF 1 11.36 11.36 11.36 5.68 222 D07AC13 MOMETASONUM ELOCOM SOL. CUT. 1mg/g SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON DIN PEID X 20 ML SOL. CUTANATA P-RF 1 15.16 15.16 15.16 7.58 223 D07AC13 MOMETASONUM ELOCOM UNGUENT 1mg/g SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB DIN AL X 15 G P-RF 1 11.36 11.36 11.36 5.68

224 D07AC14 METHYLPREDNISOLONUM ACEPONAT ADVANTAN CREMA 1mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 12.95 12.95 12.95 6.48 225 D07AC14 METHYLPREDNISOLONUM ACEPONAT ADVANTAN (R) MILK EMULSIE CUT. 0.1% INTENDIS GMBH GERMANIA CUTIE X 1 TUB X 20 G P-RF 1 16.4 16.4 16.4 8.2 226 D07AC14 METHYLPREDNISOLONUM ACEPONAT ADVANTAN UNGUENT 1mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 12.95 12.95 12.95 6.48 227 D07AC17 FLUTICASONUM CUTIVATE CREMA 0.05% GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 8.15 8.15 8.15 4.08 228 D07AC17 FLUTICASONUM CUTIVATE UNGUENT 0.005% GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 8.15 8.15 8.15 4.08 229 D07AD01 CLOBETASOLUM* DERMOVATE CREMA 0.05% GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 TUB X 25 G P-RF 1 8.65 8.65 8.65 4.33 230 D07AD01 CLOBETASOLUM* DERMOVATE (R) SOL. CUT. 0.05% GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON CU PICURATOR DIN PP X 25 ML P-RF 1 11.08 11.08 11.08 5.54 231 D07AD01 CLOBETASOLUM* DERMOVATE UNGUENT 0.05% GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 TUB X 25 G P-RF 1 8.65 8.65 6.39 3.2 232 D07AD01 CLOBETASOLUM* DERMIONE UNGUENT 0.05% OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 TUB DIN AL X 20 G P-RF 1 6.39 6.39 6.39 3.2 233 D07CA01 COMBINATII PIMAFUCORT CREMA FARA CONCENTRATIE ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 7.67 7.67 7.67 3.84 234 D07CA01 COMBINATII PIMAFUCORT UNGUENT FARA CONCENTRATIE ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 7.67 7.67 7.67 3.84 235 D07CA01 COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM) FUCIDIN (R) H CREMA FARA CONCENTRATIE LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 15.38 15.38 15.38 7.69 236 D07CC01 COMBINATII(ACIDUM FUSIDICUM+BETAMETHASONUM) FUCICORT® CREMA FARA CONCENTRATIE LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB X 15 G P-RF 1 16.86 16.86 16.86 8.43 237 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM) ELOSALIC UNGUENT FARA CONCENTRATIE SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB X 15 G P-6L 1 15.33 15.33 15.33 7.67 238 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM) ELOSALIC UNGUENT FARA CONCENTRATIE SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB X 45 G P-6L 1 43.88 43.88 15.33 7.67 239 D10AD54 COMBINATII (ISOTRETINOINUM + ERITROMICINUM) ISOTREXIN GEL GEL 0,05%/0,2% STIEFEL LABORATORIES IRELAND LTD. MAREA BRITANIE CUTIE X 1 TUB DIN AL X 30 G GEL P-RF 1 27.54 27.54 27.54 13.77 240 D10AX03 ACIDUM AZELAICUM SKINOREN CREMA 200mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF 1 25.41 25.41 25.41 12.71 241 D10AX03 ACIDUM AZELAICUM SKINOREN (R) 15% GEL 15% INTENDIS GMBH GERMANIA CUTIE X 1 TUB AL X 30 G GEL P-RF 1 32.62 32.62 32.62 16.31 242 D10BA01 ISOTRETINOINUM** ROACCUTANE 10 mg CAPS. MOI 10mg ROCHE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. MOI P-RF 30 57.19 1.91 1.91 0.96 243 D10BA01 ISOTRETINOINUM** SOTRET 10 mg CAPS. MOI 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI P-RF 30 68.67 2.29 1.91 0.96

244 D10BA01 ISOTRETINOINUM** SOTRET 20 mg CAPS. MOI 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI P-RF 30 116.51 3.88 3.88 1.94 245 G01AA02 NATAMYCINUM PIMAFUCIN (R) OVULE 100mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 FOLIE X 3 OVULE P-RF 3 8.34 2.78 2.78 1.39 246 G01AA51 COMBINATII MACMIROR COMPLEX CAPS. MOI VAG. 500mg/200000UI POLICHEM SA LUXEMBURG CUTIE X 1 BLIST. AL/PVDC-PVC X 12 CAPS. MOI. VAG. P-RF 12 27.86 2.32 2.32 1.16 247 G01AA51 COMBINATII POLYGYNAX CAPS. MOI VAG. FARA CONCENTRATIE LAB. INNOTECH INT. FRANTA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. MOI VAG. P-RF 6 12.35 2.06 2.06 1.03 248 G01AA51 COMBINATII MACMIROR COMPLEX CREMA VAG. 10g/400000UI POLICHEM SA LUXEMBURG CUTIE X 1 TUB DIN AL CREMA VAG. X 30 G + APLICATOR P-RF 1 27.86 27.86 27.86 13.93 249 G01AF12 FENTICONAZOLUM LOMEXIN 600 mg CAPS. MOI VAG. 600mg RECORDATI SPA ITALIA CUTIE X 1 BLIST. PVC/PVDC-AL X 1 CAPS. VAG. MOALE P-RF 1 18.11 18.11 18.11 9.06 250 G01AF15 BUTOCONAZOLUM GYNOFORT 2% CREMA VAG. 2% GEDEON RICHTER PLC UNGARIA CUTIE X 1 APLICATOR PREUMPLUT UNIDOZA DIN PP CU 5 G CREMA VAG. P-RF 1 29.68 29.68 29.68 14.84 251 G01AX05 NIFURATELUM MACMIROR DRAJ. 200mg POLICHEM SA LUXEMBURG CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-RF 20 27.86 1.39 1.39 0.7 252 G02CB03 CABERGOLINUM* DOSTINEX COMPR. 0.5mg PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 2 COMPR. P-RF 2 60.44 30.22 20.98 10.49 253 G02CB03 CABERGOLINUM* DOSTINEX COMPR. 0.5mg PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 8 COMPR. P-RF 8 167.87 20.98 20.98 10.49 254 G03AC02 LYNESTRENOLUM* EXLUTON (R) COMPR. 0.5mg ORGANON NV OLANDA CUTIE X 1 BLIST. TIP CALENDAR X 28 COMPR. P-6L 1 7.57 7.57 7.19 3.6 255 G03AC02 LYNESTRENOLUM* EXLUTON (R) COMPR. 0.5mg ORGANON NV OLANDA CUTIE X 3 BLIST. TIP CALENDAR X 28 COMPR. P-6L 3 21.58 7.19 7.19 3.6 256 G03AC03 LEVONORGESTRELUM***# MIRENA 20 ug/24 h DISPOZITIV INTRAUTERIN 52mg SCHERING OY (SCHERING AG) FINLANDA CUTIE X 1 BLIST. X 1 DISP. PT. ADM. INTRAUTERINA + 1 INSERTOR P-RF 1 498.62 498.62 498.62 249.31 257 G03CA04 ESTRIOLUM* OVESTIN CREMA VAG. 0.1% ORGANON NV OLANDA CUTIE X 1 FLACON X 15 G + APLICATOR P-RF 1 10.44 10.44 10.44 5.22 258 G03CA04 ESTRIOLUM* OVESTIN OVULE 0.5mg ORGANON NV OLANDA CUTIE X 3 FOLII X 5 OVULE P-RF 15 26.65 1.78 1.78 0.89 259 G03CA09 PROMESTRIENUM* COLPOTROPHINE (R) CAPS. MOI VAG. 10mg LAB. THERAMEX MONACO CUTIE X 1 BLIST. AL/PVC X 10 CAPS. MOI VAG. P-RF 10 15.19 1.52 1.52 0.76 260 G03CA09 PROMESTRIENUM* COLPOTROPHINE (R) CREMA VAG. 1% LAB. THERAMEX MONACO CUTIE X 1 TUB X 15 G P-RF 1 15.61 15.61 15.61 7.81 261 G03DA04 PROGESTERONUM* UTROGESTAN (R) 100 mg CAPS. MOI 100mg LAB. BESINS INTERNATIONAL FRANTA CUTIE X 2 BLIST. X 15 CAPS. MOI P-6L 30 21.23 0.71 0.71 0.36 262 G03DA04 PROGESTERONUM* PROGESTOGEL GEL 1% LAB. BESINS INTERNATIONAL FRANTA CUTIE X 1 TUB X 80 G + DISPOZITIV DE MASURA P-6L 1 12.72 12.72 7.5 3.75 263 G03DA04 PROGESTERONUM* MASTOPROFEN 1% GEL 1% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB DIN AL X 40 G P-6L 1 7.5 7.5 7.5 3.75

264 G03DB01 DYDROGESTERONUM* DUPHASTON (R) COMPR. FILM. 10mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 1 BLIST. X 20 COMPR. FILM. P-6L 20 25.99 1.3 1.3 0.65 265 G03DC03 LYNESTRENOLUM* ORGAMETRIL COMPR. 5mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 30 COMPR. P-6L 30 10.31 0.34 0.34 0.17 266 G03DC05 TIBOLONUM** LADYBON COMPR. 2,5mg ZENTIVA A.S. CEHIA CUTIE X 1 BLIST. DIN AL-PVDC/PVC X 28 COMPR. P-RF 28 55.47 1.98 1.97 0.99 267 G03DC05 TIBOLONUM** LADYBON COMPR. 2,5mg ZENTIVA A.S. CEHIA CUTIE X 3 BLIST. DIN AL-PVDC/PVC X 28 COMPR. P-RF 84 165.44 1.97 1.97 0.99 268 G03DC05 TIBOLONUM** LIVIAL (R) 2,5 mg COMPR. 2.5mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 28 COMPR. P-RF 28 78.95 2.82 1.97 0.99 269 G03FA01 COMBINATII** ACTIVELLE COMPR. FILM. 1mg/0,5mg NOVO NORDISK A/S DANEMARCA CUTIE X 1 DISC TIP CALENDAR X 28 COMPR. FILM. P-RF 1 31.15 31.15 31.15 15.58 270 G03FA14 COMBINATII** FEMOSTON (R) conti 1/5 COMPR. FILM. FARA CONCENTRATIE SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 1 BLIST. X 28 COMPR. FILM. P-RF 1 25.99 25.99 25.99 13 271 G03FA15 ESTRADIOLUMVALERAT+DIENOGEST** KLIMODIEN DRAJ. FARA CONCENTRATIE SCHERING AG GERMANIA CUTIE X 1 BLIST. X 28 DRAJ. P-RF 1 30.87 30.87 30.87 15.44 272 G03FA17 COMBINATII* ANGELIQ COMPR. FILM. FARA CONCENTRATIE SCHERING AG GERMANIA CUTIE X 1 BLIST. CALENDARISTIC PVC/AL X 28 COMPR. FILM. P-RF 1 53.58 53.58 53.58 26.79 273 G03FB01 COMBINATII** CYCLO PROGINOVA (R) DRAJ. FARA CONCENTRATIE SCHERING AG GERMANIA CUTIE X 1 BLIST. TIP CALENDAR X 21 DRAJEURI P-RF 1 16.62 16.62 16.62 8.31 274 G03FB05 COMBINATII** NOVOFEM COMPR. FILM. FARA CONCENTRATIE NOVO NORDISK A/S DANEMARCA CUTIE X 1 DISC TIP CALENDAR X 28 COMPR. FILM. (12 COMPR. FILM. ALBE SI 16 COMPR. FILM. ROSII) P-6L 1 27.7 27.7 27.7 13.85 Page 5 of 12

Nr. crt codifatc den_internationala denumire formaF concentr atie Firma detinatoare tara forma ambalare prescriere cant/am balaj Pret amanuntul maximal/a mbalaj (RON) Pret amanuntul maximal/U T (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 275 G03FB08 COMBINATII** FEMOSTON 2/10 COMPR. FILM. FARA CONCENTRATIE SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 1 BLIST. TIP CALENDAR X 28 COMPR. FILM. (14 COMPR.FILM. ROSII-CARAMIZII + 14 COMPR.FILM. GAL P-RF 1 25.1 25.1 25.1 12.55 276 G03GA05 FOLLITROPINUM ALFA****# GONAL - f 150 UI (11 micrograme) PULB. + SOLV. PT. SOL. INJ. 150UI SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 FIOLA DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.+ 1 FIOLA X 1 ML SOLV. P-RF/R 1 150.07 150.07 150.07 75.04 277 G03GA05 FOLLITROPINUM ALFA****# GONAL - f 75 UI (5,5 micrograme) PULB. + SOLV. PT. SOL. INJ. 75UI SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 5 FIOLE DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 5 FIOLE X 1 ML SOLV. P-RF/R 5 375.2 75.04 75.03 37.52

278 G03GA05 FOLLITROPINUM ALFA****# GONAL - f 75 UI (5,5 micrograme) PULB. + SOLV. PT. SOL. INJ. 75UI SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 FIOLA DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FIOLA X 1 ML SOLV. P-RF/R 1 75.03 75.03 75.03 37.52 279 G03GA06 FOLLITROPINUM BETA****# PUREGON 100 ui PULB+SOLV. PT. SOL. INJ. 100UI/ml ORGANON NV OLANDA CUTIE X 1 FIOLA PULB. + 1 FIOLA X 1 ML SOLV. PT. RECONSTITUIRE P-RF 1 202.3 202.3 202.3 101.15 280 G03GA06 FOLLITROPINUM BETA****# PUREGON 50 ui PULB+SOLV. PT. SOL. INJ 50UI/ml ORGANON NV OLANDA CUTIE X 1 FIOLA PULB. + 1 FIOLA X 1 ML SOLV. PT. RECONSTITUIRE P-RF 1 101.16 101.16 101.16 50.58 281 G03GA06 FOLLITROPINUM BETA****# PUREGON 100ui/0,5ml SOL. INJ. 100UI/0.5ml N. V. ORGANON OLANDA CUTIE X 1 FLACON DIN STICLA X 0,5 ML SOL. INJ. P-RF 1 190.42 190.42 190.42 95.21 282 G03GA06 FOLLITROPINUM BETA****# PUREGON 50ui/0,5ml SOL. INJ. 50UI/0.5ml N. V. ORGANON OLANDA CUTIE X 1 FLACON DIN STICLA INCOLORA X 0,5 ML SOL. INJ. P-RF 1 101.16 101.16 101.16 50.58 283 G03GA07 FOLLITROPINUM BETA****# PUREGON 300ui/0,36ml SOL. INJ. 300ui/0,36ml N. V. ORGANON OLANDA CUTIE X 1 CARTUS SOLUTIE INJECTABILA + 6 ACE P-RF 1 467.06 467.06 467.06 233.53 284 G03GA08 FOLLITROPINUM BETA****# PUREGON 600ui/0,72ml SOL. INJ. 600ui/0,72ml N. V. ORGANON OLANDA CUTIE X 1 CARTUS SOLUTIE INJECTABILA + 6 ACE P-RF 1 935.96 935.96 935.96 467.98 285 G03GA09 FOLLITROPINUM BETA****# PUREGON 900ui/1,08ml SOL. INJ. 900ui/1,08ml N. V. ORGANON OLANDA CUTIE X 1 CARTUS SOLUTIE INJECTABILA + 9 ACE P-RF 1 1404.87 1404.87 1404.87 702.44 286 G03GA07 LUTROPINA ALFA****# 287 G03GB02 CLOMIFENUM CLOSTILBEGYT COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. P-RF 10 10.17 1.02 0.92 0.46 288 G03GB02 CLOMIFENUM OVA - MIT COMPR. 50mg REMEDICA LTD. CIPRU CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 9.23 0.92 0.92 0.46 289 G03XC01 RALOXIFENUM EVISTA (R) COMPR. FILM. 60mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR) P-RF 28 124.93 4.46 4.46 2.23 290 G04BD04 OXYBUTYNINUM DRIPTANE (R) 5 mg COMPR. 5mg LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC X 30 COMPR. P-6L 60 24.25 0.4 0.4 0.2 291 G04BD07 TOLTERODINUM**# DETRUSITOL SR 4 mg CAPS. ELIB. PREL. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 4 BLIST. X 7 CAPS. ELIB. PREL. P-6L 28 163.98 5.86 5.86 2.93 292 G04BD07 TOLTERODINUM**# DETRUSITOL SR 4 mg CAPS. ELIB. PREL. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. X 7 CAPS. ELIB. PREL. P-6L 7 41 5.86 5.86 2.93 293 G04BD08 SOLIFENACINUM SUCCINATE**# VESICARE 10 mg COMPR. FILM. 10mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 205.1 6.84 6.84 3.42 294 G04BD08 SOLIFENACINUM SUCCINATE**# VESICARE 5 mg COMPR. FILM. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 153.81 5.13 5.13 2.57 295 G04BD09 TROSPIUM INKONTAN 15 mg COMPR. FILM. 15mg PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 20.94 1.05 0.87 0.44 296 G04BD09 TROSPIUM INKONTAN 15 mg COMPR. FILM. 15mg PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 43.57 0.87 0.87 0.44 297 G04BD09 TROSPIUM INKONTAN 15 mg COMPR. FILM. 15mg PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 28.29 0.94 0.87 0.44

298 G04BD09 TROSPIUM INKONTAN 30 mg COMPR. FILM. 30mg PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 72.62 1.45 1.45 0.73 299 G04BD09 TROSPIUM INKONTAN 30 mg COMPR. FILM. 30mg PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 47.15 1.57 1.45 0.73 300 G04BD09 TROSPIUM INKONTAN 30 mg COMPR. FILM. 30mg PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 34.85 1.74 1.45 0.73 301 G04CA01 ALFUZOSINUM XATRAL SR 10 mg COMPR. ELIB. PREL. 10mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 3 BLIST. AL/PVCX 10 COMPR. ELIB. PREL. P-6L 30 91.89 3.06 2.74 1.37 302 G04CA01 ALFUZOSINUM ALFURAN MR 10 mg COMPR. ELIB. PREL. 10mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. ELIB. PREL. P-6L 30 82.25 2.74 2.74 1.37 303 G04CA01 ALFUZOSINUM XATRAL (R) LP 5 mg COMPR. FILM. ELIB. PREL. 5mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 2 BLIST. X 14 COMPR. FILM. ELIB. PREL. P-6L 28 48.75 1.74 1.74 0.87 304 G04CA02 TAMSULOSINUM TAMSOL 0,4 mg CAPS. ELIB. MODIF. 0,4mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-6L 30 25 0.83 0.33 0.17 305 G04CA02 TAMSULOSINUM FOKUSIN CAPS. ELIB. MODIF. 0.4mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. MODIF. P-6L 30 30.04 1 0.33 0.17 306 G04CA02 TAMSULOSINUM TAMSULOSIN ACTAVIS CAPS. ELIB. MODIF. 0,4mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. ELIB. MODIF. P-6L 30 9.86 0.33 0.33 0.17 307 G04CA02 TAMSULOSINUM CONTIFLO MR CAPS. ELIB. PREL. 0.4mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. PREL. P-6L 30 35.24 1.17 0.33 0.17 308 G04CA02 TAMSULOSINUM TANYZ CAPS. ELIB. PREL. 0.4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. ELIB. PREL. P-6L 30 24.39 0.81 0.33 0.17 309 G04CA02 TAMSULOSINUM OMNIC TOCAS (R) 0,4 COMPR. FILM. ELIB. PREL. 0.4mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 3 FOLII AL/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 70.2 2.34 2.34 1.17 310 G04CB01 FINASTERIDUM* FINASTERID SANDOZ 5 mg COMPR. FILM. 5 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC ALB OPAC/AL X 10 COMPR. FILM. P-6L 30 33.53 1.12 0.9 0.45 311 G04CB01 FINASTERIDUM* PROSCAR 5 mg COMPR. FILM. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM. P-6L 14 27.01 1.93 0.9 0.45 312 G04CB01 FINASTERIDUM* PROSCAR 5 mg COMPR. FILM. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM. P-6L 28 54.02 1.93 0.9 0.45 313 G04CB01 FINASTERIDUM* MOSTRAFIN COMPR. FILM. 5mg PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 47.67 1.7 0.9 0.45 314 G04CB01 FINASTERIDUM* TAREDOX 5 mg COMPR. FILM. 5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. FILM. P-6L 28 25.3 0.9 0.9 0.45 315 G04CB02 DUTASTERIDUM* AVODART (R) CAPS. MOI 0.5mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. MOI P-6L 30 72.42 2.41 2.41 1.21 316 H01AA02 TETRACOSACTIDUM SYNACHTEN DEPOT SUSP. INJ. 1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 FIOLE DIN STICLA X 1 ML SUSP. INJ. S/P-RF 10 81.66 8.17 8.17 4.09 317 H01AA02 TETRACOSACTIDUM SYNACHTEN DEPOT SUSP. INJ. 1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FIOLA DIN STICLA X 1 ML SUSP. INJ. S/P-RF 1 9.25 9.25 8.17 4.09

318 H01AC01 SOMATROPINUM***# ZOMACTON LIOF. + SOLV. PT. SOL. INJ. 4mg (12ui) FERING GMBH GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV. P-RF 1 490.4 490.4 490.4 245.2 319 H01AC01 SOMATROPINUM***# GENOTROPIN (R) 16 ui (5,3 mg) PULB. + SOLV. PT. SOL. INJ. 5.3mg/ml (16ui) PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ. P-RF 1 483.48 483.48 483.48 241.74 320 H01AC01 SOMATROPINUM***# NORDITROPIN SIMPLEX X 10mg/1,5ml SOL. INJ. 10mg/1.5ml NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA X 1,5 ML SOL. INJ. P-RF 1 1266.36 1266.36 1266.36 633.18 321 H01AC01 SOMATROPINUM***# NUTROPINAq (R) 10 mg/2 ml SOL. INJ. 10mg/2ml IPSEN LIMITED MAREA BRITANIE CUTIE X 1 CARTUS X 2 ML. SOL. INJ. P-RF/R 1 1346.75 1346.75 1346.75 673.38 322 H01AC01 SOMATROPINUM***# OMNITROPE SOL. INJ. 3,3mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R 1 419.67 419.67 419.67 209.84 323 H01AC01 SOMATROPINUM***# NORDITROPIN SIMPLEX X 5 mg/1,5 ml SOL. INJ. 5mg/1.5ml NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA X 1,5 ML SOL. INJ. P-RF 1 700.77 700.77 419.67 209.84 324 H01CC01 GANIRELIXUM***# ORGALUTRAN SOL. INJ. 0.25mg/0.5ml N. V. ORGANON OLANDA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC ATASAT P-RF/R 1 156.03 156.03 156.03 78.02 325 H01CC02 CETRORELIXUM***# CETROTIDE (R) 0,25 mg LIOF. + SOLV. PT. SOL. INJ. 0.25mg SERONO EUROPE LTD. MAREA BRITANIE CUTIE CU UN SUPORT CONTINAND: 7 FLAC. LIOF. + 7 SERINGI PRE-UMPLUTE X 1 ML SOLV. + 7 ACE PT. INJECTI P-RF 7 772.23 110.32 110.32 55.16

326 H01CC02 CETRORELIXUM***# CETROTIDE (R) 3 mg LIOF. + SOLV. PT. SOL. INJ. 3mg SERONO EUROPE LTD. MAREA BRITANIE CUTIE CU UN SUPORT CONTINAND: 1 FLAC. LIOF. + 1 SERINGA PRE-UMPLUTA X 3 ML SOLV. + 1 AC PT. INJECTII P-RF 1 772.23 772.23 772.23 386.12 327 H02AA02 FLUDROCORTISONUM ASTONIN H COMPR. 0.1mg MERCK KGAA GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. P-RF 50 34.91 0.7 0.7 0.35 328 H02AB01 BETAMETHASONUM DIPROPHOS (R) SUSP. INJ. I.M. 7mg/ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 FIOLE X 1 ML P-RF 5 25.17 5.03 5.03 2.52 329 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 250 LIOF. + SOLV. PT. SOL. INJ. 250mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV. P-RF 3 73.61 24.54 24.54 12.27 330 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 50 LIOF. + SOLV. PT. SOL. INJ. 50mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT P-RF 3 26.1 8.7 8.7 4.35 Page 6 of 12

Nr. crt codifatc den_internationala denumire formaF concentr atie Firma detinatoare tara forma ambalare prescriere cant/am balaj Pret amanuntul maximal/a mbalaj (RON) Pret amanuntul maximal/U T (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 331 H03BB01 CARBIMAZOLUM CARBIMAZOLE 5 COMPR. FILM. 5mg REMEDICA LTD. CIPRU CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 100 11.75 0.12 0.12 0.06 332 H03BB02 THIAMAZOLUM THYROZOL® 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 17.79 0.36 0.36 0.18 333 H03BB02 THIAMAZOLUM THYROZOL® 20 mg COMPR. FILM. 20mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 21.13 0.42 0.42 0.21 334 H03BB02 THIAMAZOLUM THYROZOL® 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L/S 100 21.83 0.22 0.22 0.11

335 H05BA01 CALCITONINUM (SOMON) NYLEX 100 UI/doza SPRAY NAZ.,SOL. 100UI/doza PHARMACEUTICAL IND. PROEL EPAM. G.CORONIS SA GRECIA CUTIE X 1 FLACON PREVAZUT CU POMPA DOZATOARE X 2 ML SPRAY NAZAL, SOL. P-RF 1 35.26 35.26 35.26 17.63 336 H05BA01 CALCITONINUM (SOMON) NYLEX (R) SOL. INJ. 100UI/ml PROEL E.P. CORONIS SA GRECIA CUTIE X 5 FIOLE X 1ML P-RF 5 22.84 4.57 4.57 2.29 337 H05BA01 CALCITONINUM (SOMON) TONOCALCIN 100 UI SOL. INJ. 100UI ALFA WASSERMANN SPA ITALIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. P-RF 5 65.02 13 4.57 2.29 338 H05BA01 CALCITONINUM (SOMON) MIACALCIC (R) SOL. INJ. 50ui/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML P-RF 5 69 13.8 13.8 6.9 339 H05BA01 CALCITONINUM (SOMON) MIACALCIC (R) NASAL 200 SPRAY NAZAL - SOL. 200ui/doza NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA PREVAZUT CU POMPA DOZATOARE CU SISTEM DE NUMARAREA DOZELOR, CE CONTINE SO P-RF 1 126.7 126.7 54.72 27.36 340 H05BA01 CALCITONINUM (SOMON) NYLEX (R) SPRAY NAZAL - SOL. 200UI/doza PROEL E.P. CORONIS SA GRECIA CUTIE X 1 FLACON DIN STICLA PREVAZUT CU POMPA DOZATOARE CU APLICATOR NAZAL X 2 ML P-RF 1 54.72 54.72 54.72 27.36 341 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS (R) 1,5 g PULB. PT. SOL. INJ. 1g+500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF 1 16.81 16.81 12.39 6.2 342 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS (R) 1,5 g PULB. PT. SOL. INJ. 1g+500mg ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF/S 50 619.32 12.39 12.39 6.2 343 J01CR04 SULTAMICILLINUM UNASYN COMPR. FILM. 375mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC/PVDC X 6 COMPR. P-RF 12 25.17 2.1 2.1 1.05 344 J01CR04 SULTAMICILLINUM UNASYN PULB. PT. SUSP. ORALA 250mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID CU PULBERE PT. 60 ML SUSP. ORALA P-RF 1 33.08 33.08 33.08 16.54 345 J01DC10 CEFPROZILUM CEFZIL 250 mg COMPR. FILM. 250mg BRISTOL-MYERS SQUIBB UNGARIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 18.14 1.81 1.81 0.91 346 J01DC10 CEFPROZILUM CEFZIL 500 mg COMPR. FILM. 500mg BRISTOL-MYERS SQUIBB UNGARIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 33.91 3.39 3.39 1.7 347 J01DC10 CEFPROZILUM CEFZIL 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml BRISTOL-MYERS SQUIBB UNGARIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 19.8 19.8 19.8 9.9 348 J01DC10 CEFPROZILUM CEFZIL 250 mg/5 ml PULB. PT. SUSP. ORALA 250mg/5ml BRISTOL-MYERS SQUIBB UNGARIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 25.17 25.17 25.17 12.59 349 J01DD14 CEFTIBUTENUM CEDAX CAPS. 400mg SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 BLIST. X 1 CAPS. P-RF 5 54.56 10.91 10.91 5.46 350 J01DD14 CEFTIBUTENUM CEDAX PULB. PT. SUSP. ORALA 36mg/ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLAC. PULB. PT. 30 ML SUSP. ORALA + 1 LINGURITA GRADATA PT. 45 MG, 90 MG, 135 MG + 1 CAPAC P-RF 1 32.75 32.75 32.75 16.38 351 J01FA02 SPIRAMYCINUM ROVAMYCINE (R) 1,5 Mil. UI COMPR. FILM. 1.5 M ui LAB. AVENTIS FRANTA CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM. P-RF 16 20.8 1.3 1.3 0.65 352 J01FA02 SPIRAMYCINUM ROVAMYCINE (R) 3 Mil. UI COMPR. FILM. 3M ui LAB. AVENTIS FRANTA CUTIE X 2 BLIST. AL/PVC X 5 COMPR. FILM. P-RF 10 21.96 2.2 2.2 1.1 353 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 8 CAPS. P-RF 8 34.73 4.34 4.34 2.17

354 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF 6 26.05 4.34 4.34 2.17 355 J01FA10 AZITHROMYCINUM SUMAMED 125 mg COMPR. FILM. 125mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM. P-RF 6 23.7 3.95 3.95 1.98 356 J01FA10 AZITHROMYCINUM AZITROX (R) 250 COMPR. FILM. 250mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 6 30.82 5.14 5.07 2.54 357 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM. P-RF 6 30.44 5.07 5.07 2.54 358 J01FA10 AZITHROMYCINUM SUMAMED 500 mg COMPR. FILM. 500mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 38.51 12.84 7.79 3.9 359 J01FA10 AZITHROMYCINUM AZITROX (R) 500 COMPR. FILM. 500mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 30.82 10.27 7.79 3.9 360 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM. P-RF 3 30.44 10.15 7.79 3.9 361 J01FA10 AZITHROMYCINUM AZRO (R) 500 mg COMPR. FILM. 500mg ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 23.36 7.79 7.79 3.9 362 J01FA10 AZITHROMYCINUM ZITROCIN 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. P-RF 3 23.7 7.9 7.79 3.9 363 J01FA10 AZITHROMYCINUM ZMAX 2 g GRAN. ELIB. PREL. PT. SUSP. ORALA 2g PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL. P-RF 1 39.47 39.47 39.47 19.74 364 J01FA10 AZITHROMYCINUM AZITROX 200 mg/5 ml PULB. + SOLV. SUSP. ORALA 200mg/5ml ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV. P-RF 1 11.21 11.21 11.21 5.61

365 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 100 mg/5 ml PULB. PT. SUSP. ORALA 100mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 16,5 G PULB. PT. 20 ML SUSP. ORALA + SERINGA PT. ADMINSTRARE ORALA P-RF 1 13.5 13.5 13.5 6.75 366 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 200 mg/5 ml PULB. PT. SUSP. ORALA 200 mg/5 ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 16,5 G PULB. PT. 20 ML SUSP. ORALA + SERINGA PT. ADMINISTRARE ORALA P-RF 1 21.35 21.35 11.21 5.61 367 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 20.09 20.09 11.21 5.61 368 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 32.88 32.88 11.21 5.61 369 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 41.05 41.05 11.21 5.61 370 J01FF01 CLINDAMYCINUM DALACIN C 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 8 CAPS. P-RF 16 10.33 0.65 0.65 0.33 371 J01FF01 CLINDAMYCINUM DALACIN C 300 mg CAPS. 300mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 8 CAPS. P-RF 16 17.22 1.08 1.08 0.54

372 J01MA12 LEVOFLOXACINUM TAVANIC (R) COMPR. FILM. 500mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA CUTIE X 1 BLIST. X 7 COMPR. FILM. P-RF 7 104.81 14.97 14.97 7.49 373 J01MA14 MOXIFLOXACINUM AVELOX (R) 400 mg COMPR. FILM. 400mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. P-RF 5 69.65 13.93 13.93 6.97 374 J02AC02 ITRACONAZOLUM* ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 123.93 8.26 4.78 2.39 375 J02AC02 ITRACONAZOLUM* ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 81.59 5.44 4.78 2.39 376 J02AC02 ITRACONAZOLUM* ITRACONAZOL 100 mg CAPS. 100mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 81.59 5.44 4.78 2.39 377 J02AC02 ITRACONAZOLUM* OMICRAL 100 mg CAPS. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 71.67 4.78 4.78 2.39 378 J05AB11 VALACYCLOVIRUM* VALTREX 500 mg COMPR. FILM. 500mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 76.7 7.67 7.67 3.84 379 J05ABN1 BRIVUDINUM*# BRIVAL (R) COMPR. 125mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 BLIST. X 7 COMPR. P-RF 7 287.92 41.13 41.13 20.57 380 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 25.71 0.51 0.51 0.26 381 L02AE02 LEURORELINUM***# 382 L02AE03 GOSERELINUM***# 383 L02AE04 TRIPTORELINUM***# DIPHERELINE? 11,25 mg LIOF.+ SOLV. PT. SUSP. INJ. I.M. ELIB. PREL. 11.25mg BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. + O SERINGA X 3 ML + 2 ACE PTR. INJECTIE S/P-RF 1 1289.88 1289.88 1289.88 644.94 384 L02AE04 TRIPTORELINUM***# DIPHERELINE? 3,75 mg LIOF.+ SOLV. PT. SUSP. INJ. I.M. ELIB. PREL. 3.75mg BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. + O SERINGA X 3 ML + 2 ACE PTR. INJECTIE S/P-RF 1 468.96 468.96 468.96 234.48

385 L02AE04 TRIPTORELINUM***# DIPHERELINE 0,1 mg LIOF. + SOLV. PT. SOL. INJ. 0.1mg BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV. S/P-RF 7 146.78 20.97 20.97 10.49 386 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 54.95 0.55 0.55 0.28 Page 7 of 12

Nr. crt codifatc den_internationala denumire formaF concentr atie Firma detinatoare tara forma ambalare prescriere cant/am balaj Pret amanuntul maximal/a mbalaj (RON) Pret amanuntul maximal/U T (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 387 M01AC01 PIROXICAMUM PIROXSAL COMPR. 20mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.94 0.1 0.09 0.05 388 M01AC01 PIROXICAMUM FLAMEXIN COMPR. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 3 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR. P-6L 30 27.86 0.93 0.09 0.05 389 M01AC01 PIROXICAMUM FLAMEXIN COMPR. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR. P-6L 10 14.16 1.42 0.09 0.05 390 M01AC01 PIROXICAMUM PIROXICAM LPH (R) 20 mg COMPR. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.63 0.13 0.09 0.05 391 M01AC01 PIROXICAMUM N - PIROXICAM MEDUMAN 20 mg COMPR. 20mg MEDUMAN S.A. ROMANIA CUTIE X 1 FLAC. DIN PEJD X 20 COMPR. P-6L 20 1.76 0.09 0.09 0.05

392 M01AC01 PIROXICAMUM PIROXICAM 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.82 0.09 0.09 0.05 393 M01AC01 PIROXICAMUM FLAMEXIN COMPR. EFF. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L 10 15.18 1.52 1.19 0.6 394 M01AC01 PIROXICAMUM FLAMEXIN COMPR. EFF. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 2 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L 20 29.14 1.46 1.19 0.6 395 M01AC01 PIROXICAMUM FLAMEXIN COMPR. EFF. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 3 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L 30 35.82 1.19 1.19 0.6 396 M01AC01 PIROXICAMUM FLAMEXIN (R) PULB. PT. SOL. ORALA 20mg/plic CHIESI FARMACEUTICI SPA ITALIA CUTIE X 20 PLICURI DUBLU COMPARTIMENTAT X 3 G PULB. PT. SOL. ORALA P-6L 20 29.02 1.45 1.45 0.73 397 M01AC01 PIROXICAMUM FELDENE (R) 20 mg/ml SOL. INJ. 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 6 FIOLE DIN STICLA BRUNA X 1 ML P-RF 6 23.84 3.97 2.19 1.1 398 M01AC01 PIROXICAMUM HOTEMIN SOL. INJ. 20mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 BLIST. C-PET/PE X 5 FIOLE X 1 ML SOL. INJ. P-RF 5 10.96 2.19 2.19 1.1 399 M01AC01 PIROXICAMUM PIROXICAM 20 mg SUPOZ. 20mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE X 5 SUPOZ. P-6L 10 1.88 0.19 0.19 0.1 400 M01AC01 PIROXICAMUM PIROXICAM 40 mg SUPOZ. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L 6 1.81 0.3 0.3 0.15 401 M01AC05 LORNOXICAMUM XEFO (R) 4 mg COMPR. FILM. 4mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 21.31 0.71 0.71 0.36 402 M01AC05 LORNOXICAMUM XEFO (R) 4 mg COMPR. FILM. 4mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 14.3 0.72 0.71 0.36 403 M01AC05 LORNOXICAMUM XEFO (R) 4 mg COMPR. FILM. 4mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 7.39 0.74 0.71 0.36 404 M01AC05 LORNOXICAMUM XEFO (R) 8 mg COMPR. FILM. 8mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 12.22 1.22 1.2 0.6 405 M01AC05 LORNOXICAMUM XEFO (R) 8 mg COMPR. FILM. 8mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 24.15 1.21 1.2 0.6 406 M01AC05 LORNOXICAMUM XEFO (R) 8 mg COMPR. FILM. 8mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 36.09 1.2 1.2 0.6 407 M01AC05 LORNOXICAMUM XEFO 8 mg/ 2 ml PULB. + SOLV. PT. SOL. INJ. 8mg/2ml NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ. + 10 FLAC. X 2 ML SOLV P-RF 10 111.45 11.15 11.15 5.58 408 M01AE17 DEXKETOPROFENUM TADOR COMPR. FILM. 25mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 11.12 1.11 1.11 0.56 409 M01AE17 DEXKETOPROFENUM TADOR INJECT SOL. INJ./CONC. PT. SOL. PERF. 50mg/2ml MENARINI INTERNATIONAL OPERATIONS S.A. LUXEMBOURG CUTIE X 5 FIOLE X 2 ML SOL. INJ./CONC. PT.SOL.PERF. P-RF 5 21.86 4.37 4.37 2.19 410 M01AH01 CELECOXIBUM CELEBREX 100 CAPS. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 50.34 1.68 1.68 0.84 411 M01AH01 CELECOXIBUM CELEBREX 100 CAPS. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 37.21 1.86 1.68 0.84

412 M01AH01 CELECOXIBUM CELEBREX 200 CAPS. 200mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 28.97 2.9 2.89 1.45 413 M01AH01 CELECOXIBUM CELEBREX 200 CAPS. 200mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 86.81 2.89 2.89 1.45 414 M01AH05 ETORICOXIBUM ARCOXIA (R) 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. X 7 COMPR. FILM. P-RF 7 33.29 4.76 4.72 2.36 415 M01AH05 ETORICOXIBUM ARCOXIA (R) 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X2 BLIST. X 14 COMPR. FILM. P-RF 28 132.08 4.72 4.72 2.36 416 M01AH05 ETORICOXIBUM ARCOXIA (R) 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 69.09 4.94 4.72 2.36 417 M01AH05 ETORICOXIBUM ARCOXIA (R) 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 69.09 4.94 4.72 2.36 418 M01AH05 ETORICOXIBUM ARCOXIA (R) 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. X 7 COMPR. FILM. P-RF 7 30.77 4.4 4.4 2.2 419 M01AH05 ETORICOXIBUM ARCOXIA (R) 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 61.6 4.4 4.4 2.2 420 M01AH05 ETORICOXIBUM ARCOXIA (R) 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-RF 28 123.15 4.4 4.4 2.2 421 M01AH05 ETORICOXIBUM ARCOXIA (R) 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 61.6 4.4 4.4 2.2 422 M01AH05 ETORICOXIBUM ARCOXIA (R) 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 65.33 4.67 4.67 2.34 423 M01AH05 ETORICOXIBUM ARCOXIA (R) 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. X 7 COMPR. FILM. P-RF 7 32.67 4.67 4.67 2.34 424 M01AH05 ETORICOXIBUM ARCOXIA (R) 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 65.33 4.67 4.67 2.34 425 M01AH05 ETORICOXIBUM ARCOXIA (R) 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-RF 28 130.68 4.67 4.67 2.34 426 M01AX05 GLUCOSAMINUM DONA (R) PULB. PT. SOL. ORALA 150mg/plic ROTTAPHARM SPA ITALIA CUTIE X 20 PLICURI UNIDOZA CU PULB. P-6L 20 36.92 1.85 1.85 0.93 427 M01AX17 NIMESULIDUM LEMESIL COMPR. 100mg ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 7.42 0.37 0.28 0.14 428 M01AX17 NIMESULIDUM AULIN (R) 100 mg COMPR. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 11.12 1.11 0.28 0.14 429 M01AX17 NIMESULIDUM NIMESULID 100 mg COMPR. 100mg MAGISTRA C & C ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 5.18 0.52 0.28 0.14 430 M01AX17 NIMESULIDUM NIMESULID SLAVIA COMPR. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 5.14 0.51 0.28 0.14 431 M01AX17 NIMESULIDUM COXTRAL COMPR. 100mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. P-RF 10 3.71 0.37 0.28 0.14

432 M01AX17 NIMESULIDUM COXTRAL COMPR. 100mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. P-RF 30 9.37 0.31 0.28 0.14 433 M01AX17 NIMESULIDUM NIMESULID LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 5.18 0.52 0.28 0.14 434 M01AX17 NIMESULIDUM APONIL COMPR. 100mg MEDOCHEMIE LTD CIPRU CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.28 0.31 0.28 0.14 435 M01AX17 NIMESULIDUM APONIL COMPR. 100mg MEDOCHEMIE LTD CIPRU CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 3.46 0.35 0.28 0.14 436 M01AX17 NIMESULIDUM NIMESULID ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 3.4 0.34 0.28 0.14 437 M01AX17 NIMESULIDUM NISE 100 mg COMPR. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 2.78 0.28 0.28 0.14 438 M01AX17 NIMESULIDUM AULIN (R) GRAN. PT. SUSP. ORALA 100mg/plic CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 15 PLICURI HARTIE/AL/HDPE/FOLIE SURLYN X 2 G GRAN. SUSP. ORALA P-RF 15 16.71 1.11 1.11 0.56 439 M01AX17 NIMESULIDUM NIMESIL GRAN. PT. SUSP. ORALA 100mg/plic LAB. GUIDOTTI SPA ITALIA CUTIE X 9 PLICURI X 2 G GRAN. PT. SUSP. ORALA P-RF 9 10.69 1.19 1.11 0.56 440 M01AX17 NIMESULIDUM SULIDAMOR PULB. PT. SUSP. ORALA 100mg FARMACEUTICI DAMOR SPA ITALIA CUTIE X 30 PLICURI X 2 G P-RF 30 9.57 0.32 0.32 0.16 441 M03BX01 BACLOFENUM LIORESAL (R) COMPR. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 30.96 0.62 0.62 0.31 442 M03BX01 BACLOFENUM LIORESAL (R) COMPR. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 61.95 1.24 1.24 0.62 Page 8 of 12

Nr. crt codifatc den_internationala denumire formaF concentr atie Firma detinatoare tara forma ambalare prescriere cant/am balaj Pret amanuntul maximal/a mbalaj (RON) Pret amanuntul maximal/U T (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 443 M05BA04 ACIDUM ALENDRONICUM* FOSAMAX 10 mg COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. P-6L 14 70.49 5.04 5.04 2.52 444 M05BA04 ACIDUM ALENDRONICUM* FOSAMAX 10 mg COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 141.02 5.04 5.04 2.52 445 M05BA04 ACIDUM ALENDRONICUM* FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR. P-6L 2 49.51 24.76 15.75 7.88 446 M05BA04 ACIDUM ALENDRONICUM* TEVA NAT COMPR. 70 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L 4 62.99 15.75 15.75 7.88 447 M05BA06 ACIDUM IBANDRONICUM BONVIVA 150 mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L 1 115.67 115.67 115.67 57.84

448 M05BA06 ACIDUM IBANDRONICUM* BONVIVA 150 mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 3 COMPR. FILM.( BLIST. AL/AL) P-6L 3 347 115.67 115.67 57.84 449 M05BA06 ACIDUM IBANDRONICUM* BONVIVA 3mg/3ml SOL. INJ. IN SERINGA PREUMPLUTA 3mg/3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC P-6L 1 391.13 391.13 391.13 195.57 450 M05BA07 ACIDUM RISEDRONICUM* ACTONEL (R) SAPTAMANAL COMPR. FILM. 35mg AVENTIS PHARMA AB SUEDIA CUTIE X 1 BLIST. X 2 COMPR. FILM. P-6L 2 72.39 36.2 36.19 18.1 451 M05BA07 ACIDUM RISEDRONICUM* ACTONEL (R) SAPTAMANAL COMPR. FILM. 35mg AVENTIS PHARMA AB SUEDIA CUTIE X 1 BLIST. X 4 COMPR. FILM. P-6L 4 144.75 36.19 36.19 18.1 452 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)* FOSAVANCE COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.) P-6L 4 96.19 24.05 24.05 12.03 453 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)* FOSAVANCE COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.) P-6L 2 48.1 24.05 24.05 12.03 454 M05BX03 STRONTIUM RANELATUM* OSSEOR 2 g GRAN. PT. SUSP. ORALA 2g LES LAB. SERVIER FRANTA CUTIE X 14 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA P-RF 14 81.27 5.81 5.8 2.9 455 M05BX03 STRONTIUM RANELATUM* OSSEOR 2 g GRAN. PT. SUSP. ORALA 2g LES LAB. SERVIER FRANTA CUTIE X 28 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA P-RF 28 162.53 5.8 5.8 2.9 456 N02AA05 OXYCODONUM*# OXYCONTIN (R) 10 mg COMPR. FILM. ELIB. MODIF. 10 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 122.1 2.18 2.18 1.09 457 N02AA05 OXYCODONUM*# OXYCONTIN (R) 20 mg COMPR. FILM. ELIB. MODIF. 20 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 234.8 4.19 4.19 2.1 458 N02AA05 OXYCODONUM*# OXYCONTIN (R) 40 mg COMPR. FILM. ELIB. MODIF. 40 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 438.3 7.83 7.83 3.92 459 N02AA05 OXYCODONUM*# OXYCONTIN (R) 80 mg COMPR. FILM. ELIB. MODIF. 80mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 814 14.54 14.54 7.27 460 N02AA08 DIHYDROCODEINUM* DHC CONTINUS 120 mg COMPR. ELIB. PREL. 120mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF 56 139.36 2.49 2.49 1.25 461 N02AA08 DIHYDROCODEINUM* DHC CONTINUS 60 mg COMPR. ELIB. PREL. 60mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF 56 81.99 1.46 1.46 0.73 462 N02AA08 DIHYDROCODEINUM* DHC CONTINUS 90 mg COMPR. ELIB. PREL. 90mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF 56 111.5 1.99 1.99 1 463 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 3 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF 30 25.35 0.85 0.84 0.42 464 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF 10 8.81 0.88 0.84 0.42 465 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF 20 16.94 0.85 0.84 0.42 466 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 3 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF 30 25.35 0.85 0.84 0.42 467 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF 10 8.81 0.88 0.84 0.42

468 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 5 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF 50 42.14 0.84 0.84 0.42 469 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 5 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF 50 42.14 0.84 0.84 0.42 470 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF 20 16.94 0.85 0.84 0.42 471 N03AE01 CLONAZEPAMUM RIVOTRIL COMPR. 0.5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. P-RF 50 8.23 0.16 0.16 0.08 472 N03AE01 CLONAZEPAMUM RIVOTRIL (R) COMPR. 2mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 10.14 0.34 0.34 0.17 473 N03AX16 PREGABALINUM**# LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 73.46 5.25 5.25 2.63 474 N03AX16 PREGABALINUM**# LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 293.87 5.25 5.25 2.63 475 N03AX16 PREGABALINUM**# LYRICA 300 mg CAPS. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 390.08 6.97 6.97 3.49 476 N03AX16 PREGABALINUM**# LYRICA 300 mg CAPS. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 97.53 6.97 6.97 3.49 477 N03AX16 PREGABALINUM**# LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 48.75 3.48 3.48 1.74 478 N03AX16 PREGABALINUM**# LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 195.05 3.48 3.48 1.74 479 N04AA02 BIPERIDENUM 480 N04BC05 PRAMIPEXOLUM* MIRAPEXIN? 0,18 mg COMPR. 0.18mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-RF 30 40.07 1.34 1.34 0.67 481 N04BC05 PRAMIPEXOLUM* MIRAPEXIN? 0,7 mg COMPR. 0.7mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-RF 30 150.37 5.01 5.01 2.51 482 N04BC08 PIRIBEDILUM** PRONORAN (R) 50 mg LP (N04BXN1) DRAJ. ELIB. PREL. 50mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 DRAJ. CU ELIB. PREL. P-RF 30 32.79 1.09 1.09 0.55 483 N05AL03 TIAPRIDUM TIAPRIDAL (R) 100 mg COMPR. 100mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 18.59 0.93 0.93 0.47 484 N05AL03 TIAPRIDUM TIAPRIDAL 100 mg/2 ml SOL. INJ. 100mg/2ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 2 SUPORTURI PVC X 6 FIOLE X 2 ML P-RF 12 17.65 1.47 1.47 0.74 485 N05BE01 BUSPIRONUM STRESSIGAL COMPR. 10mg ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 8.76 0.44 0.33 0.17 486 N05BE01 BUSPIRONUM SPITOMIN 10 mg COMPR. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 6 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-RF 60 19.53 0.33 0.33 0.17 487 N05BE01 BUSPIRONUM SPITOMIN 5 mg COMPR. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 6 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-RF 60 10.7 0.18 0.18 0.09

488 N06AA21 MAPROTILINUM* LUDIOMIL (R) 10 mg COMPR. FILM. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 50 18.28 0.37 0.37 0.19 489 N06AA21 MAPROTILINUM* LUDIOMIL (R) 25 mg COMPR. FILM. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 19.71 0.66 0.66 0.33 490 N06AB10 ESCITALOPRAMUM** CIPRALEX (R) 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. ALBE PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 28 83.59 2.99 2.99 1.5 491 N06AB10 ESCITALOPRAMUM** CIPRALEX (R) 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 1 BLIST. ALB PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 14 45.27 3.23 2.99 1.5 492 N06AB10 ESCITALOPRAMUM** CIPRALEX (R) 5 mg COMPR. FILM. 5mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. ALBE PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 28 41.56 1.48 1.48 0.74 493 N06AX05 TRAZODONUM** TRITTICO AC 150 mg COMPR. ELIB. PREL. 150mg ANGELINI FRANCESCO SPA ITALIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF 20 33.43 1.67 1.67 0.84 494 N06AX14 TIANEPTINUM** COAXIL (R) DRAJ. 12.5mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ. P-RF 30 28.34 0.94 0.94 0.47 495 N06AX17 MILNACIPRANUM** IXEL CAPS. 25mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF 56 54.11 0.97 0.97 0.49 496 N06AX17 MILNACIPRANUM** IXEL CAPS. 50mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF 56 96.93 1.73 1.73 0.87 497 N06AX21 DULOXETINUM** CYMBALTA 30mg CAPS. GASTROREZ. 30mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF 28 86.48 3.09 3.09 1.55 498 N06AX21 DULOXETINUM** CYMBALTA 60 mg CAPS. GASTROREZ. 60mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF 28 147.45 5.27 5.27 2.64 Page 9 of 12

Nr. crt codifatc den_internationala denumire formaF concentr atie Firma detinatoare tara forma ambalare prescriere cant/am balaj Pret amanuntul maximal/a mbalaj (RON) Pret amanuntul maximal/U T (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val

suportata CNAS/UT (RON) pt. Adulti 499 N06AXN1 BUPROPIONUM**# WELLBUTRIN SR 150 mg COMPR. FILM. ELIB. PREL. 150mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-RF 60 106.73 1.78 1.78 0.89 500 N06BX16 PRAMIRACETAMUM**# PRAMISTAR COMPR. FILM. 600mg F.I.R.M.A. S.P.A. (MENARINI GROUP) ITALIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 10 COMPR.FILM. P-6L 20 58.16 2.91 2.91 1.46 501 N06BX18 VINPOCETINUM VIMPOCETIN 5 mg CAPS. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. X 10 CAPS. P-6L 50 9.89 0.2 0.2 0.1 502 N06BX18 VINPOCETINUM CAVINTON (R) FORTE COMPR. 10mg GEDEON RICHTER LTD. UNGARIA CUTIE X 2 BLIST. X 15 COMPR. P-6L 30 10.33 0.34 0.34 0.17

503 N06BX18 VINPOCETINUM CAVINTON (R) COMPR. 5mg GEDEON RICHTER LTD. UNGARIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-6L 50 19.28 0.39 0.39 0.2 504 N07CA01 BETAHISTINUM BETASERC (R) 16 mg COMPR. 16mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 3 BLIST X 20 COMPR. P-6L 60 37.16 0.62 0.62 0.31 505 N07CA01 BETAHISTINUM BETASERC (R) 24 mg COMPR. 24mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 1 BLIST X 20 COMPR. P-6L 20 30.21 1.51 1.51 0.76 506 N07CA01 BETAHISTINUM BETASERC (R) 8 mg COMPR. 8mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 4 BLIST. X 25 COMPR. P-6L 100 38.79 0.39 0.26 0.13 507 N07CA01 BETAHISTINUM BETASERC (R) 8 mg COMPR. 8mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 14.16 0.47 0.26 0.13 508 N07CA01 BETAHISTINUM MICROSER COMPR. 8mg PRODOTTI FORMENTI ITALIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 19.04 0.38 0.26 0.13 509 N07CA01 BETAHISTINUM URUTAL 8 mg COMPR. 80mg A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 FLACON X 100 COMPR. P-6L 100 36.52 0.37 0.26 0.13 510 N07CA01 BETAHISTINUM VESTIBO 8 MG COMPR. 8mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 9.2 0.31 0.26 0.13 511 N07CA01 BETAHISTINUM VESTIBO 8 MG COMPR. 8mg ACTAVIS GROUP HF. ISLANDA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 25.56 0.26 0.26 0.13 512 N07CA52 COMBINATII (CINARIZINUM +DIMENHIDRINATUM) ARLEVERT COMPR. FARA CONCENTRATIE HENNIG ARZNEIMITTEL GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 25 COMPR. P-RF 50 22.81 0.46 0.46 0.23 513 N07XN01 HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN (R) SOL. INJ./PERF. 215.2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 10 ML P-RF 5 111.37 22.27 22.27 11.14 514 N07XN01 HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN (R) SOL. INJ./PERF. 215.2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML P-RF 10 28.7 2.87 2.87 1.44 515 N07XN01 HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN (R) SOL. INJ./PERF. 215.2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 5 ML P-RF 5 67.48 13.5 13.5 6.75 516 P01BA02 HYDROXYCHLOROQUINUM PLAQUENIL (R) COMPR. FILM. 200mg SANOFI-SYNTHELABO LTD. MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L 60 63.54 1.06 1.06 0.53 517 R01AD05 BUDESONIDUM* RHINOCORT (R) AQUA SPRAY NAZAL SUSP. 32µg/doza ASTRAZENECA AB SUEDIA CUTIE X 1 FLACON X 120 DOZE PREVAZUT CU POMPA DOZATOARE P-RF 1 17.93 17.93 17.93 8.97 518 R01AD05 BUDESONIDUM* TAFEN NASAL SPRAY NAZ.,SUSP. 50µg/doza LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLACON DIN STICLA BRUNA X 200 DOZE, PREVAZUT CU POMPA DOZATOARE P-RF 1 12.14 12.14 12.14 6.07 519 R01AD08 FLUTICASONUM* FLIXONASE (R) SPRAY NAZAL SUSP. 50µg/doza GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON X 120 DOZE, PREVAZUT CU POMPA DOZATOARE P-RF 1 37.83 37.83 37.83 18.92 520 R01AD09 MOMETASONUM* NASONEX SPRAY NAZAL SUSP. 50µg/doza SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON PP X 140 DOZE P-RF 1 44.9 44.9 44.9 22.45 521 R03AC04 FENOTEROLUM BEROTEC (R) N - 100 ag SOL. DE INHALAT PRESURIZATA 100µg/doza BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE SOL. DE INHALAT PRESURIZATA P-6L 1 11.75 11.75 11.75 5.88

522 R03AK03 COMBINATII (FENOTEROLUM + IPRATROPIUM)* BERODUAL (R) N AEROSOL SOL. INHAL. 0,020mg+0,050mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLACON PRESURIZAT DIN OTEL X 200 DOZE SOLUTIE DE INHALAT PRESURIZATA P-6L 1 30.28 30.28 30.28 15.14 523 R03AK06 COMBINATII(SALMETEROLUM+FLUTICASONUM)* SERETIDE (R) 25/125 ag INHALER CFC FREE AEROSOL SUSP. INHAL. 25mg/125mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT X 120 DOZE P-6L 1 131.19 131.19 131.19 65.6 524 R03AK06 COMBINATII(SALMETEROLUM+FLUTICASONUM)* SERETIDE (R) 25/250 ag INHALER CFC FREE AEROSOL SUSP. INHAL. 25mg/250mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT X 120 DOZE P-6L 1 186.61 186.61 186.61 93.31 525 R03AK06 COMBINATII(SALMETEROLUM+FLUTICASONUM)* SERETIDE (R) 25/50 ag INHALER CFC FREE AEROSOL SUSP. INHAL. 25mg/50mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT X 120 DOZE P-6L 1 92.83 92.83 92.83 46.42 526 R03AK06 COMBINATII(SALMETEROLUM+FLUTICASONUM)* SERETIDE DISKUS 50/100 PULB. INHAL. 50mg/100mg GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 1DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL. P-6L 1 92.83 92.83 92.83 46.42 527 R03AK06 COMBINATII(SALMETEROLUM+FLUTICASONUM)* SERETIDE DISKUS 50/250 PULB. INHAL. 50mg/250mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL. P-6L 1 131.19 131.19 131.19 65.6 528 R03AK06 COMBINATII(SALMETEROLUM+FLUTICASONUM)* SERETIDE DISKUS 50/500 PULB. INHAL. 50mg/500mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL. P-6L 1 186.61 186.61 186.61 93.31 529 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBIOCORT (R) TURBUHALER (R) 160/4,5 ag PULB. INHAL. 160/4.5µg ASTRAZENECA AB SUEDIA CUTIE X 1 RECIPIENT MULTIDOZA X 120 DOZE, PREVAZUT CU DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL N P-6L 1 199.99 199.99 106.8 53.4 530 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBIOCORT (R) TURBUHALER (R) 160/4,5 ag PULB. INHAL. 160/4.5µg ASTRAZENECA AB SUEDIA CUTIE X 1 RECIPIENT MULTIDOZA X 60 DOZE, PREVAZUT CU DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL NU P-6L 1 106.8 106.8 106.8 53.4 531 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBIOCORT (R) TURBUHALER (R) 320/9 ag PULB. INHAL. 320/9µg ASTRAZENECA AB SUEDIA CUTIE X 1 RECIPIENT MULTIDOZA X 60 DOZE, PREVAZUT CU UN DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL P-6L 1 209.45 209.45 209.45 104.73 532 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBIOCORT (R) TURBUHALER (R) 80/4,5 ag PULB. INHAL. 80/4.5µg ASTRAZENECA AB SUEDIA CUTIE X 1 RECIPIENT MULTIDOZA X 60 DOZE, PREVAZUT CU DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL NU P-6L 1 85.9 85.9 85.9 42.95 533 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBIOCORT (R) TURBUHALER (R) 80/4,5 ag PULB. INHAL. 80/4.5µg ASTRAZENECA AB SUEDIA CUTIE X 1 RECIPIENT MULTIDOZA X 120 DOZE, PREVAZUT CU DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL N P-6L 1 158.35 158.35 85.9 42.95 534 R03BA05 FLUTICASONUM* FLIXOTIDE (R) NEBULES (R) 0,5 mg/2 ml SUSP. INHAL. 0.5mg/2ml GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 2 FLACOANE X 2ML SUSP. INHAL. P-RF 10 22.39 2.24 2.24 1.12 535 R03BA05 FLUTICASONUM* FLIXOTIDE (R) NEBULES (R) 2 mg/2 ml SUSP. INHAL. 2mg/2ml GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 2 FLACOANE X 2ML SUSP. INHAL. P-RF 10 81.03 8.1 8.1 4.05

536 R03BA05 FLUTICASONUM* FLIXOTIDE (R) 125 INHALER CFC - Free SUSP. INHAL. PRESURIZATA 125µg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT DIN AL X 60 DOZE SUSP. DE INHALAT PRESURIZATA P-RF 1 35.33 35.33 35.33 17.67 537 R03BA05 FLUTICASONUM* FLIXOTIDE (R) 50 INHALER CFC - Free SUSP. INHAL. PRESURIZATA 50µg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT X 120 DOZE X 50 .G, PREVAZUT CU VALVA DOZATOARE P-RF 1 26.17 26.17 26.17 13.09 538 R03BA08 CICLESONIDUM* ALVESCO 160 INHALER SOL. DE INHALAT PRESURIZATA 160µg/doza ALTANA PHARMA AG GERMANIA CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA P-RF 1 106.7 106.7 106.7 53.35 539 R03BA08 CICLESONIDUM* ALVESCO 160 INHALER SOL. DE INHALAT PRESURIZATA 160µg/doza ALTANA PHARMA AG GERMANIA CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 120 DOZE SOL. DE INHALAT PRESURIZATA P-RF 1 213.42 213.42 106.7 53.35 540 R03BA08 CICLESONIDUM* ALVESCO 80 INHALER SOL. DE INHALAT PRESURIZATA 80µg/doza ALTANA PHARMA AG GERMANIA CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 120 DOZE SOL. DE INHALAT PRESURIZATA P-RF 1 185.54 185.54 92.52 46.26 541 R03BA08 CICLESONIDUM* ALVESCO 80 INHALER SOL. DE INHALAT PRESURIZATA 80µg/doza ALTANA PHARMA AG GERMANIA CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA P-RF 1 92.52 92.52 92.52 46.26 542 R03BB04 TIOTROPIUM* SPIRIVA (R) 18 ag CAPS. CU PULB.INHAL. 18µg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS. CU PULB. DE INHALAT + DISPOZITIV HANDIHALER P-RF 30 133.03 4.43 4.43 2.22 543 R03DA05 AMINOPHYLLINUM MIOFILIN CAPS. 100mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 1.89 0.09 0.09 0.05 544 R03DA05 AMINOPHYLLINUM AMINOFILINA COMPR. 100mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-RF 50 1.96 0.04 0.04 0.02 545 R03DA05 AMINOPHYLLINUM AMINOFILINA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.13 0.16 0.16 0.08 546 R03DA05 AMINOPHYLLINUM MIOFILIN SOL. INJ. 24mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE PREVAZUTE CU INEL DE RUPERE X 10 ML SOL.INJ. S/P-RF 5 5.34 1.07 1.07 0.54 547 R03DC03 MONTELUKASTUM* SINGULAIR (R) COMPR. FILM. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC X 14 COMPR. FILM. P-RF 14 59.28 4.23 4.23 2.12 548 R03DC03 MONTELUKASTUM* SINGULAIR (R) COMPR. FILM. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC X 14 COMPR. FILM. P-RF 28 118.55 4.23 4.23 2.12 549 R03DC03 MONTELUKASTUM* SINGULAIR COMPR. MAST. 4mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 7 COMPR. MAST. P-RF 7 31.74 4.53 4.53 2.27 550 R03DC03 MONTELUKASTUM* SINGULAIR COMPR. MAST. 4mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P-RF 28 126.92 4.53 4.53 2.27 551 R03DC03 MONTELUKASTUM* SINGULAIR COMPR. MAST. 4mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 7 COMPR. MAST. P-RF 14 63.45 4.53 4.53 2.27 552 R03DC03 MONTELUKASTUM* SINGULAIR (R) COMPR. MAST. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P-RF 14 59.1 4.22 4.22 2.11 553 R03DC03 MONTELUKASTUM* SINGULAIR (R) COMPR. MAST. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P-RF 28 118.2 4.22 4.22 2.11

554 R03DC03 MONTELUKASTUM* SINGULAIR (R) GRANULE 4mg/plic MERCK SHARP & DOHME ROMANIA CUTIE X 7 PLICURI CU GRANULE P-RF 7 31.74 4.53 4.53 2.27 Page 10 of 12

Nr. crt codifatc den_internationala denumire formaF concentr atie Firma detinatoare tara forma ambalare prescriere cant/am balaj Pret amanuntul maximal/a mbalaj (RON) Pret amanuntul maximal/U T (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti 555 R03DC03 MONTELUKASTUM* SINGULAIR (R) GRANULE 4mg/plic MERCK SHARP & DOHME ROMANIA CUTIE X 28 PLICURI CU GRANULE P-RF 28 126.92 4.53 4.53 2.27 556 R03DX03 FENSPIRIDUM EURESPAL (R) 80 mg COMPR. FILM. 80mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 19.88 0.66 0.66 0.33 557 R03DX03 FENSPIRIDUM EURESPAL (R) SIROP 0.2% LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLACON X 150 ML P-6L 1 14.16 14.16 14.16 7.08 558 R05CB15 ERDOSTEINUM ERDOMED CAPS. 300mg MEDICOM INTERNATIONAL SRO CEHIA CUTIE X 1 BLIST. X 10 CAPS. P-6L 10 11.33 1.13 1.13 0.57 559 R05CB15 ERDOSTEINUM ERDOMED (R) 175 PULB. PT. SUSP. ORALA 175mg/5ml CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 FLAC. PULB. PT. 100 ML SUSP. ORALA P-6L 1 22.28 22.28 22.28 11.14

560 R05DA09 DEXTROMETHORPHANUM TUSSIN COMPR. 10mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-RF 20 2.66 0.13 0.13 0.07 561 R05DA09 DEXTROMETHORPHANUM TUSSIN FORTE COMPR. 20mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 4.84 0.24 0.24 0.12 562 R05DA09 DEXTROMETHORPHANUM HUMEX SIROP 0.1% LAB. URGO SA FRANTA CUTIE X 1 FLACON X 125 ML SIROP P-RF 1 7.84 7.84 3.61 1.81 563 R05DA09 DEXTROMETHORPHANUM TUSSIN SIROP SIROP 0.1% GLOBAL PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLACON X 150G P-RF 1 3.61 3.61 3.61 1.81 564 R05DA09 DEXTROMETHORPHANUM HUMEX SIROP 0.13% LAB. URGO SA FRANTA CUTIE X 1 FLACON X 200 ML P-RF 1 9.81 9.81 9.81 4.91 565 R05DA09 DEXTROMETHORPHANUM ROFEDEX SIROP 15mg/5ml BIOFARM SA ROMANIA CUTIE X 1 FLACON DIN STILCA BRUNA X 100 ML + MASURA DOZATOARE P-RF 1 3.75 3.75 3.75 1.88 566 R05DA09 DEXTROMETHORPHANUM ROBITUSSIN JUNIOR SOL. ORALA 3.75mg/5ml WYETH WHITEHALL EXPORT GMBH AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA P-RF 1 6.51 6.51 6.51 3.26 567 R05DA09 DEXTROMETHORPHANUM ROBITUSSIN ANTITUSSICUM SOL. ORALA 7.5mg/5ml WYETH WHITEHALL EXPORT GMBH AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA P-RF 1 6.51 6.51 6.51 3.26 568 R06AE09 LEVOCETIRIZINUM XYZAL (R) COMPR. FILM. 5mg U.C.B. GMBH GERMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 15.33 1.53 1.53 0.77 569 R06AE09 LEVOCETIRIZINUM XYZAL PIC. ORALE, SOL. 5mg/ml U.C.B. GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL., PREVAZUT CU PICURATOR P-6L 1 30.93 30.93 30.93 15.47 570 R06AX26 FEXOFENADINUM TELFAST (R) 120 mg COMPR. FILM. 120mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR.FILM. P-6L 10 13.01 1.3 0.81 0.41 571 R06AX26 FEXOFENADINUM ALTIVA 120 mg COMPR. FILM. 120mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-6L 10 8.06 0.81 0.81 0.41 572 R06AX26 FEXOFENADINUM TELFAST (R) 180 mg COMPR. FILM. 180mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 10 19.52 1.95 1.15 0.58 573 R06AX26 FEXOFENADINUM ALTIVA 180 mg COMPR. FILM. 180mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-6L 10 11.51 1.15 1.15 0.58 574 R06AX26 FEXOFENADINUM TELFAST (R) 30 mg COMPR. FILM. 30mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 15 COMPR. FILM. P-6L 15 7.72 0.51 0.51 0.26 575 R06AX27 DESLORATADINUM AERIUS COMPR. FILM. 5mg SP EUROPE BELGIA CUTIE X 30COMPR. FILM. ( PCTFE/ PVC/AL) P-RF 30 50.77 1.69 1.69 0.85 576 R06AX27 DESLORATADINUM AERIUS COMPR. FILM. 5mg SP EUROPE BELGIA CUTIE X 10 COMPR. FILM. ( PCTFE/ PVC/AL) P-RF 10 17.63 1.76 1.69 0.85 577 R06AX27 DESLORATADINUM AERIUS COMPR. FILM. 5mg SP EUROPE BELGIA CUTIE X 7 COMPR. FILM. ( PCTFE/ PVC/AL) P-RF 7 12.5 1.79 1.69 0.85 578 R06AX27 DESLORATADINUM AERIUS SIROP 0.5mg/ml SP EUROPE BELGIA CUTIE X 1 FLACON X 60 ML + LIGURITA DOZATOARE DE 2,5 ML SI 5 ML P-RF 1 7.5 7.5 7.5 3.75 579 S01AA11 GENTAMICINUM GENTAMICIN SULPHATE PIC. OFT., SOL 0.3% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML P-RF 1 5.53 5.53 4.57 2.29

580 S01AA11 GENTAMICINUM OPHTAGRAM (R) 0,3% PICATURI OFT.-SOL. 0.3% LAB. CHAUVIN FRANTA CUTIE X 1 FLACON X 5 ML P-RF 1 4.77 4.77 4.57 2.29 581 S01AA11 GENTAMICINUM GENTICOL SOL. OFT. 0.3% S.I.F.I. SPA ITALIA CUTIE X 1 FLACON X 10ML P-RF 1 4.57 4.57 4.57 2.29 582 S01AA11 GENTAMICINUM GENTICOL UNG. OFT. 0.3% S.I.F.I. SPA ITALIA CUTIE X 1 TUB X 10G P-RF 1 4.57 4.57 4.57 2.29 583 S01AA11 GENTAMICINUM OPHTAGRAM (R) 0,3% UNG. OFT. 0.3% LAB. CHAUVIN FRANTA CUTIE X 1 TUB X 5 G

P-RF 1 5.11 5.11 4.57 2.29 584 S01AA12 TOBRAMYCINUM TOBISOL PIC. OFT., SOL. 0.3% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 5 ML PIC. OFT., SOL. P-RF 1 7.08 7.08 7.08 3.54 585 S01AA12 TOBRAMYCINUM TOBREX PIC. OFT.,SOL. 3mg/ml ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON DIN PEJD CU PICURATOR X 5 ML PIC. OFTALMICE, SOL. P-RF 1 14.67 14.67 7.08 3.54 586 S01AA12 TOBRAMYCINUM TOBREX (R) UNG. OFT. 0.3% ALCON COUVREUR NV BELGIA CUTIE X 1 TUB DIN AL X 3,5 G UNGUENT OFTALMIC P-RF 1 14.16 14.16 14.16 7.08 587 S01AA23 NETILMICINUM NETTACIN (R) PICATURI OFT.-SOL. 0.3% S.I.F.I. SPA ITALIA CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML P-RF 15 20.15 1.34 1.34 0.67 588 S01AA23 NETILMICINUM NETTACIN (R) PIC. OFT., SOL 0.3% S.I.F.I. SPA ITALIA CUTIE X 1 FLACON X 5ML P-RF 1 7.25 7.25 1.34 0.67 589 S01AA23 NETILMICINUM NETTAVISC 3mg/g UNG. OFT. 3mg/g S.I.F.I. SPA ITALIA CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU APLICATOR P-RF 1 25.12 25.12 25.12 12.56 590 S01AX11 OFLOXACINUM FLOXAL (R) PICATURI OFT.-SOL. 0.3% DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH GERMANIA CUTIE X 1 FLACON DIN PEJD X 5 ML PICATURI OFT., SOL. P-RF 1 10.2 10.2 10.2 5.1 591 S01AX11 OFLOXACINUM FLOXAL (R) UNG. OFT. 0.3% DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH GERMANIA CUTIE X 1 TUB DIN AL PREVAZUT CU APLICATOR X 3 G P-RF 1 11.62 11.62 11.62 5.81 592 S01BA01 DEXAMETHASONUM MAXIDEX (R) PICATURI OFT.-SUSP. 0.1% ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF 1 14.39 14.39 14.39 7.2 593 S01BA06 BETAMETHASONUM OPHTAMESONE SOL. OFT. 0.1% DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML P-RF 1 4.61 4.61 4.61 2.31 594 S01CA01 COMBINATII ( NETILMICINUM + DEXAMETHASONUM) NETILDEX PIC. OFT.,SOL. FARA CONCENTRATIE S.I.F.I. SPA ITALIA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT.SOL. P-RF 1 22.52 22.52 22.52 11.26 595 S01CA01 COMBINATII ( NETILMICINUM + DEXAMETHASONUM) NETILDEX PIC. OFT.SOL. UNIDOZA FARA CONCENTRATIE S.I.F.I. SPA ITALIA CUTIE X 20 FLAC. UNIDOZA DIN PEJD X 0,3 ML PIC.OFT. SOL. P-RF 20 38.12 1.91 1.91 0.96 596 S01CA01 COMBINATII (CLORAMPHENICOLUM+DEXAMETHASONUM) SPERSADEX COMP PICATURI OFT.-SOL. 5mg/ml+1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON X 5 ML SOL. OFT. + PICURATOR P-RF 1 10.7 10.7 10.7 5.35 597 S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM) TOBRADEX (R) PICATURI OFT.-SUSP. 1mg+3mg ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON PICURATOR PEJD X 5 ML P-RF 1 17.33 17.33 17.33 8.67 598 S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM) TOBRADEX (R) UNG. OFT. 1mg+3mg ALCON COUVREUR NV BELGIA CUTIE X 1 TUB AL, PREVAZUT CU APLICATOR PEID X 3,5 G P-RF 1 17.33 17.33 17.33 8.67 599 S01GX09 OLOPATADINUM OPATANOL (R) PIC. OFT., SOL. 1mg/ml ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON X 5 ML P-RF 1 30.21 30.21 30.21 15.11

600 S01XA02 RETINOLUM OCULOTECT GEL.OFT. 10mg/g NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 TUB. X 10 G GEL OFT. P-6L 1 12.67 12.67 12.67 6.34 NOTA: - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (*) se ini.iaza de medicul de specialitate in limita competen.ei .i poate fi prescris în continuare de medicul de familie pe baza scrisorii medicale emise de medicul de specialitate; - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sanata .ii Publice; Page 11 of 12

Nr. crt codifatc den_internationala denumire formaF concentr atie Firma detinatoare tara forma ambalare prescriere cant/am balaj Pret amanuntul maximal/a mbalaj (RON) Pret amanuntul maximal/U T (RON) Val suportata de CNAS/UT (RON)Leg ea nr. 95/2006 art 213 alin.1 lit. a) si f) Val suportata CNAS/UT (RON) pt. Adulti - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sanata .ii Publice .i cu aprobarea comisiilor de la nivelul Caselor Jude.ene de Asigurari de Sanatate; - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP si cu aprobarea comisiilor de la nivelul Casei Nationale de Asigurari de Sanatate; - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (2) se prescrie numai in etapa pregatitoare pentru colonoscopie; - Pentru medicamentele corespunzatoare DCI-urilor notate cu (#) regulile de prescriere sunt stabilite prin Contractul Cadru. Page 12 of 12

NR.CRT COD ATC DENUMIRE COMUNA INTERNATIONALA DENUMIRE COMERCIALA FORMA FARMACEUTICA CONCENTRATIE FIRMA DETINATOARE TARA DETINATOARE FORMA AMBALAJ PRESC CANT FL PRET AMANUNTUL MAXIMAL (RON) PRET AMANUNTUL MAXIMAL/UT (RON) VAL.SUPORTATAT CNAS/ UT(RON)-LEGEA NR. 95/2006 ART 213 alin.(1) lit. a) si f) VAL.SUPORTATAT CNAS/ UT (RON) PT. ADULTI 1 B01AA07 ACENOCUMAROLUM TROMBOSTOP 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.31 0.08 0.08 0.08 2 B01AA07 ACENOCUMAROLUM SINTROM (R) COMPR. 4mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.36 0.32 0.32 0.32 3 C01AA05 DIGOXINUM DIGOXIN 0,25 mg COMPR. 0.25mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 1.4 0.06 0.06 0.06 4 C01AA05 DIGOXINUM DIGOXIN 0,5 mg/2 ml SOL. INJ. 0.5mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. S/P-RF 5 3.23 0.65 0.65 0.65 5 C01AA05 DIGOXINUM LANOXIN SOLUTIE ORALA SOL. ORALA 0.05mg/ml THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA BRUNA X 60 ML SOL. ORALA + PIPETA X 1 ML P-RF 1 8.77 8.77 8.77 8.77 6 C03AA03 HYDROCHLOROTHIAZIDUM NEFRIX 25 mg COMPR. 25mg ZENTIVA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L 25 0.77 0.03 0.03 0.03 7 C03CA01 FUROSEMIDUM FUROSEMID 40 mg COMPR. 40mg MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.27 0.11 0.06 0.06 8 C03CA01 FUROSEMIDUM FUROSEMID COMPR. 40mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.68 0.08 0.06 0.06 9 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 1.43 0.07 0.06 0.06 10 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 1.19 0.06 0.06 0.06 11 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.27 0.11 0.06 0.06 12 C03CA01 FUROSEMIDUM FUROSEMID ARENA 40 mg COMPR. 40mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.19 0.06 0.06 0.06

13 C03CA01 FUROSEMIDUM FUROSEMID 20 mg/2 ml SOL. INJ. 10mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 2.47 0.49 0.49 0.49 14 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 21.63 0.72 0.72 0.72 15 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 14.46 0.48 0.48 0.48 16 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.08 0.15 0.15 0.15 17 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. 25mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 7.94 0.16 0.15 0.15 18 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 9.22 0.18 0.15 0.15 19 C03DA01 SPIRONOLACTONUM ALSPIRON 25 mg COMPR. FILM. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 3.07 0.15 0.15 0.15 20 C03DA01 SPIRONOLACTONUM ALSPIRON 50 mg COMPR. FILM. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 9.4 0.47 0.47 0.47 21 C07AB02 METOPROLOLUM VASOCARDIN (R) 100 COMPR. 100mg SLOVAKOFARMA SLOVACIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 8.37 0.17 0.17 0.17 22 C07AB02 METOPROLOLUM BLOXAN COMPR. 100mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC/PVDC TRANSPARENT/AL X 10 COMPR. P-6L 30 13.09 0.44 0.17 0.17 23 C07AB02 METOPROLOLUM BETAPROL 100 mg COMPR. 100mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.5 0.25 0.17 0.17 24 C07AB02 METOPROLOLUM EGILOK 100 mg COMPR. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 8.03 0.4 0.17 0.17 25 C07AB02 METOPROLOLUM METOPROLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.36 0.25 0.17 0.17 26 C07AB02 METOPROLOLUM METOPROLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.28 0.26 0.17 0.17 27 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.26 0.26 0.17 0.17 28 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 6.69 0.22 0.17 0.17 29 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 100 21.37 0.21 0.17 0.17 30 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 50 10.69 0.21 0.17 0.17 31 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.12 0.31 0.17 0.17 32 C07AB02 METOPROLOLUM METOPRO TAD 100 COMPR. 100mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6L 50 11.55 0.23 0.17 0.17

33 C07AB02 METOPROLOLUM METOPRO TAD 100 COMPR. 100mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 COMPR. P-6L 100 22.4 0.22 0.17 0.17 34 C07AB02 METOPROLOLUM METOPRO TAD 100 COMPR. 100mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 7.75 0.26 0.17 0.17 35 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.25 0.21 0.17 0.17 36 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 100 MG COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9.23 0.31 0.17 0.17 37 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 100 mg COMPR. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.28 0.26 0.17 0.17 38 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 100 mg COMPR. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.36 0.25 0.17 0.17 39 C07AB02 METOPROLOLUM EGILOK 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 4.58 0.23 0.1 0.1 40 C07AB02 METOPROLOLUM METOPROLOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 2.15 0.11 0.1 0.1 41 C07AB02 METOPROLOLUM METOPROLOL 25 mg COMPR. 25mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.13 0.1 0.1 0.1 42 C07AB02 METOPROLOLUM METOPROLOL 25 mg COMPR. 25mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.08 0.1 0.1 0.1 43 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 25 mg COMPR. 25mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.13 0.1 0.1 0.1 44 C07AB02 METOPROLOLUM BETAPROL 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.29 0.21 0.15 0.15 45 C07AB02 METOPROLOLUM EGILOK 50 mg COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 6.24 0.31 0.15 0.15 46 C07AB02 METOPROLOLUM METOPROLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.17 0.21 0.15 0.15 47 C07AB02 METOPROLOLUM METOPROLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.03 0.2 0.15 0.15 48 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.72 0.24 0.15 0.15 49 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 5.45 0.18 0.15 0.15 50 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L 100 16.71 0.17 0.15 0.15 51 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 50 8.57 0.17 0.15 0.15 52 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.75 0.16 0.15 0.15

53 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.66 0.23 0.15 0.15 54 C07AB02 METOPROLOLUM METOPRO TAD 50 COMPR. 50mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 6.06 0.2 0.15 0.15 55 C07AB02 METOPROLOLUM METOPRO TAD 50 COMPR. 50mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 COMPR. P-6L/S 100 16.98 0.17 0.15 0.15 56 C07AB02 METOPROLOLUM METOPRO TAD 50 COMPR. 50mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6L 50 9.2 0.18 0.15 0.15 57 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.58 0.15 0.15 0.15 58 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.9 0.23 0.15 0.15 59 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 50 mg COMPR. 50mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.13 0.16 0.15 0.15 1.INSUFICIENTA CARDIACA CRONICA(CLASA III SAU IV NYHA) - G 1 VALABILA ÎNCEPÂND CU 15 IULIE 2008 ANEXA 3 SECTIUNEA C1 - CU PROCENT DE COMPENSARE 100% DIN PRETUL DE REFERINTA - CUPRINDE DCI-urile UTILIZATE ÎN TRATAMENTUL AMBULATORIU AL UNOR GRUPE DE BOLI PENTRU CARE DECONTAREA SE FACE PE BAZA PROTOCOALELOR TERAPEUTICE CU MONITORIZAREA PRESCRIERII SI CONSUMULUI PRIN COMISIILE PARITARE; MEDICAMENTELE DIN ACEASTA SUBLISTA SE ELIBEREAZA PRIN FARMACII CU CIRCUIT DESCHIS PE BAZA DE PRESCRIPTIE MEDICALA CU RETINERE ÎN FARMACIE ( P-RF) CONFORM HG NR. 720/2008 Page 1 of 20

60 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 50 mg COMPR. 50mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.75 0.16 0.15 0.15 61 C07AB02 METOPROLOLUM METOPROLOL RETARD 100 mg COMPR. ELIB. PREL. 100mg TERAPIA S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL. P-6L 20 9 0.45 0.45 0.45 62 C07AB02 METOPROLOLUM VASOCARDIN (R) SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 100 43.64 0.44 0.44 0.44 63 C07AB02 METOPROLOLUM VASOCARDIN (R) SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 60 26.86 0.45 0.44 0.44 64 C07AB02 METOPROLOLUM VASOCARDIN (R) SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 30 15.61 0.52 0.44 0.44 65 C07AB02 METOPROLOLUM BETALOC (R) ZOC 100 mg COMPR. FILM. ELIB. PREL. 100mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 18.14 0.6 0.6 0.6 66 C07AB02 METOPROLOLUM BETALOC (R) ZOC 50 mg COMPR. FILM. ELIB. PREL. 50mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 11.08 0.37 0.37 0.37 67 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 190 mg COMPR.FILM.ELIB.MOD. 190mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 20.36 0.68 0.68 0.68 68 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 47,5 mg COMPR.FILM.ELIB.MOD. 47.5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 7.33 0.24 0.24 0.24 69 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 95 mg COMPR.FILM.ELIB.MOD. 95mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 11.98 0.4 0.4 0.4 70 C07AB02 METOPROLOLUM BETALOC SOL. INJ. 1mg/ml ASTRAZENECA AB SUEDIA CUTIE X 5 FIOLE X 5 ML SOL.INJ. I.V./PERF. S 5 77.22 15.44 15.44 15.44 71 C07AB07 BISOPROLOLUM CONCOR COR 2,5 mg COMPR. FILM. 2.5mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 11.83 0.39 0.39 0.39 72 C07AB12 NEBIVOLOLUM** NEBILET (R) COMPR. 5mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L 28 53.97 1.93 1.93 1.93 73 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 12,5 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.42 0.21 0.21 0.21 74 C07AG02 CARVEDILOLUM DILATREND (R) 12,5 mg COMPR. 12.5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 45.33 1.62 0.21 0.21 75 C07AG02 CARVEDILOLUM CORYOL (R) COMPR. 12.5mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 18.46 0.66 0.21 0.21 76 C07AG02 CARVEDILOLUM TALLITON (R) 12,5 mg COMPR. 12.5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 18.01 0.6 0.21 0.21 77 C07AG02 CARVEDILOLUM CARVEDILOL 12,5 mg COMPR. 12.5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 13.51 0.68 0.21 0.21 78 C07AG02 CARVEDILOLUM ATRAM 12,5 COMPR. 12.5mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L 30 14.41 0.48 0.21 0.21

79 C07AG02 CARVEDILOLUM CARVEDILOL HELCOR 12,5 mg COMPR. 12.5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 9.32 0.47 0.21 0.21 80 C07AG02 CARVEDILOLUM CARVEDILOL LPH 12,5 mg COMPR. 12.5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 15.6 0.52 0.21 0.21 81 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 12,5 mg COMPR. 12.5mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.39 0.21 0.21 0.21 82 C07AG02 CARVEDILOLUM DILATREND (R) 25 mg COMPR. 25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 61.37 2.19 0.22 0.22 83 C07AG02 CARVEDILOLUM CORYOL (R) COMPR. 25mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L 28 28.53 1.02 0.22 0.22 84 C07AG02 CARVEDILOLUM TALLITON (R) 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 28.2 0.94 0.22 0.22 85 C07AG02 CARVEDILOLUM ATRAM 25 COMPR. 25mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 24.15 0.81 0.22 0.22 86 C07AG02 CARVEDILOLUM CARVEDILOL HELCOR 25 mg COMPR. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 15.87 0.79 0.22 0.22 87 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.75 0.23 0.22 0.22 88 C07AG02 CARVEDILOLUM CARVEDILOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 23.2 0.77 0.22 0.22 89 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 25 mg COMPR. 25mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.68 0.22 0.22 0.22 90 C07AG02 CARVEDILOLUM CORYOL (R) 3,125 mg COMPR. 3.125mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 6.11 0.22 0.22 0.22 91 C07AG02 CARVEDILOLUM DILATREND (R) 6,25 mg COMPR. 6.25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 23.36 0.83 0.16 0.16 92 C07AG02 CARVEDILOLUM CORYOL (R) COMPR. 6.25mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 9.23 0.33 0.16 0.16 93 C07AG02 CARVEDILOLUM TALLITON 6,25 mg COMPR. 6.25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 9.2 0.31 0.16 0.16 94 C07AG02 CARVEDILOLUM CARVEDILOL 6,25 mg COMPR. 6.25mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.54 0.33 0.16 0.16 95 C07AG02 CARVEDILOLUM ATRAM 6,25 COMPR. 6.25mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L 30 6.01 0.2 0.16 0.16 96 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 6.25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.42 0.21 0.16 0.16 97 C07AG02 CARVEDILOLUM CARVEDILOL LPH 6,25 mg COMPR. 6.25mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 6.41 0.21 0.16 0.16 98 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 6,25 mg COMPR. 6.25mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 4.65 0.16 0.16 0.16

99 C07AG02 CARVEDILOLUM CARVEDIGAMMA 12,5 mg COMPR. FILM. 12.5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 15.47 0.52 0.52 0.52 100 C07AG02 CARVEDILOLUM CARVEDIGAMMA 25 mg COMPR. FILM. 25mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 25.18 0.84 0.84 0.84 101 C07AG02 CARVEDILOLUM CARVEDIGAMMA 6,25 mg COMPR. FILM. 6.25mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 6.59 0.22 0.22 0.22 102 C09AA01 CAPTOPRILUM CAPTOPRIL 12,5 mg COMPR. 12.5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 2.33 0.08 0.08 0.08 103 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 12,5 mg COMPR. 12,5mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.35 0.08 0.08 0.08 104 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 2.7 0.09 0.08 0.08 105 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.54 0.08 0.08 0.08 106 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.51 0.12 0.08 0.08 107 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.68 0.08 0.08 0.08 108 C09AA01 CAPTOPRILUM CAPTOPRIL 25 EEL COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.23 0.11 0.08 0.08 109 C09AA01 CAPTOPRILUM CAPTOPRIL - AC 25 mg COMPR. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.68 0.08 0.08 0.08 110 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 25 mg COMPR. 25mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.54 0.08 0.08 0.08 111 C09AA01 CAPTOPRILUM CAPTOPRIL LPH (R) 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.14 0.1 0.08 0.08 112 C09AA01 CAPTOPRILUM CAPTOPRIL SINTOFARM 25 mg COMPR. 25mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.54 0.08 0.08 0.08 113 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50 mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.98 0.1 0.09 0.09 114 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 20 3.42 0.17 0.09 0.09 115 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.23 0.11 0.09 0.09 116 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.14 0.14 0.09 0.09 117 C09AA01 CAPTOPRILUM CAPTOPRIL 50 EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.76 0.14 0.09 0.09 118 C09AA01 CAPTOPRILUM CAPTOPRIL - AC 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.98 0.1 0.09 0.09

119 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.22 0.11 0.09 0.09 120 C09AA01 CAPTOPRILUM CAPTOPRIL LPH (R) 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.8 0.09 0.09 0.09 121 C09AA01 CAPTOPRILUM CAPTOPRIL LPH (R) 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.55 0.18 0.09 0.09 122 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 4.99 0.25 0.15 0.15 123 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 5.23 0.26 0.15 0.15 124 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 5.87 0.29 0.15 0.15 125 C09AA02 ENALAPRILUM EDNYT (R) 10 mg COMPR. 10mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 9.4 0.31 0.15 0.15 126 C09AA02 ENALAPRILUM ENALAP COMPR. 10mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 6.72 0.34 0.15 0.15 127 C09AA02 ENALAPRILUM ENALAPRIL LPH 10 mg COMPR. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 5.49 0.27 0.15 0.15 128 C09AA02 ENALAPRILUM ENAP 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 7.59 0.38 0.15 0.15 129 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 5.23 0.26 0.15 0.15 130 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.78 0.24 0.15 0.15 131 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.49 0.27 0.15 0.15 132 C09AA02 ENALAPRILUM ENALAPRIL AL 10 COMPR. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 10.69 0.36 0.15 0.15 133 C09AA02 ENALAPRILUM ENALAPRIL AL 10 COMPR. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 16.95 0.34 0.15 0.15 134 C09AA02 ENALAPRILUM ENALAPRIL AL 10 COMPR. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 32.97 0.33 0.15 0.15 135 C09AA02 ENALAPRILUM ENAHEXAL (R) 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 7.19 0.24 0.15 0.15 136 C09AA02 ENALAPRILUM RENITEC 10 mg COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 10.67 0.38 0.15 0.15 137 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 7.68 0.15 0.15 0.15 Page 2 of 20

138 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.91 0.16 0.15 0.15 139 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 14.65 0.15 0.15 0.15 140 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 7.71 0.39 0.15 0.15 141 C09AA02 ENALAPRILUM ENALA TAD 10 COMPR. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 24.76 0.25 0.15 0.15 142 C09AA02 ENALAPRILUM ENALA TAD 10 COMPR. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.96 0.3 0.15 0.15 143 C09AA02 ENALAPRILUM ENALA TAD 10 COMPR. 10mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 14.15 0.28 0.15 0.15 144 C09AA02 ENALAPRILUM ENAM 10 mg COMPR. 10mg REPREZENTANTA DR. REDDY'S LABORATORIES LTD. ROMANIA CUTIE X 2 BLIST. AL-PEJD/AL X10 COMPR. P-6L 20 5.94 0.3 0.15 0.15 145 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 10 MG COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 5.2 0.26 0.15 0.15 146 C09AA02 ENALAPRILUM EDNYT (R) 2,5 mg COMPR. 2.5mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 10.12 0.34 0.34 0.34 147 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 6.54 0.33 0.25 0.25 148 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 20 mg COMPR. 20mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 8.47 0.42 0.25 0.25 149 C09AA02 ENALAPRILUM EDNYT (R) 20 mg COMPR. 20mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 18.3 0.61 0.25 0.25 150 C09AA02 ENALAPRILUM ENALAPRIL COMPR. 20mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 7.92 0.4 0.25 0.25 151 C09AA02 ENALAPRILUM ENALAPRIL LPH 20 mg COMPR. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 7.62 0.38 0.25 0.25 152 C09AA02 ENALAPRILUM ENAP 20 mg COMPR. 20mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 11.35 0.57 0.25 0.25 153 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.07 0.25 0.25 0.25 154 C09AA02 ENALAPRILUM ENALAPRIL AL 20 COMPR. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 46.44 0.46 0.25 0.25 155 C09AA02 ENALAPRILUM ENALAPRIL AL 20 COMPR. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 24.39 0.49 0.25 0.25 156 C09AA02 ENALAPRILUM ENALAPRIL AL 20 COMPR. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 15.33 0.51 0.25 0.25

157 C09AA02 ENALAPRILUM ENAHEXAL (R) 20 mg COMPR. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 13.84 0.46 0.25 0.25 158 C09AA02 ENALAPRILUM RENITEC 20 mg COMPR. 20mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 15.52 0.55 0.25 0.25 159 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 7.62 0.25 0.25 0.25 160 C09AA02 ENALAPRILUM ENALA TAD 20 COMPR. 20mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 13.39 0.45 0.25 0.25 161 C09AA02 ENALAPRILUM ENALA TAD 20 COMPR. 20mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 40.84 0.41 0.25 0.25 162 C09AA02 ENALAPRILUM ENALA TAD 20 COMPR. 20mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 21.46 0.43 0.25 0.25 163 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 20 MG COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 7.6 0.38 0.25 0.25 164 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 3.81 0.19 0.13 0.13 165 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.99 0.2 0.13 0.13 166 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.86 0.24 0.13 0.13 167 C09AA02 ENALAPRILUM EDNYT (R) 5 mg COMPR. 5mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST.X 10 COMPR. P-6L 30 7.52 0.25 0.13 0.13 168 C09AA02 ENALAPRILUM ENALAPRIL AL 5 COMPR. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 8.15 0.27 0.13 0.13 169 C09AA02 ENALAPRILUM ENALAPRIL AL 5 COMPR. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 24.61 0.25 0.13 0.13 170 C09AA02 ENALAPRILUM ENALAPRIL AL 5 COMPR. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 13.01 0.26 0.13 0.13 171 C09AA02 ENALAPRILUM ENAHEXAL (R) 5 mg COMPR. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 6.24 0.21 0.13 0.13 172 C09AA02 ENALAPRILUM ENAP 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 5.21 0.26 0.13 0.13 173 C09AA02 ENALAPRILUM RENITEC 5 mg COMPR. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 7.97 0.28 0.13 0.13 174 C09AA02 ENALAPRILUM ENALAPRIL LPH (R) 5 mg COMPR. 5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 3.98 0.2 0.13 0.13 175 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 2.7 0.14 0.13 0.13 176 C09AA02 ENALAPRILUM ENALA TAD 5 COMPR. 5mg TAD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 17.21 0.17 0.13 0.13

177 C09AA02 ENALAPRILUM ENALA TAD 5 COMPR. 5mg TAD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.26 0.21 0.13 0.13 178 C09AA02 ENALAPRILUM ENALA TAD 5 COMPR. 5mg TAD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 9.34 0.19 0.13 0.13 179 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.98 0.13 0.13 0.13 180 C09AA02 ENALAPRILUM ENAP (R) SOL. INJ. 1.25mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 10.76 2.15 2.15 2.15 181 C09AA03 LISINOPRILUM SINOPRYL (R) 10 COMPR. 10mg ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 7.94 0.4 0.22 0.22 182 C09AA03 LISINOPRILUM SINOPRYL (R) 10 COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 12.05 0.6 0.22 0.22 183 C09AA03 LISINOPRILUM TONOLYSIN 10 mg COMPR. 10mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 21.37 0.76 0.22 0.22 184 C09AA03 LISINOPRILUM RANOLIP COMPR. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 11.79 0.39 0.22 0.22 185 C09AA03 LISINOPRILUM MEDAPRIL 10 COMPR. 10mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 13.43 0.45 0.22 0.22 186 C09AA03 LISINOPRILUM LISIREN 10 mg COMPR. 10mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 7.36 0.37 0.22 0.22 187 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 10 mg COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.94 0.35 0.22 0.22 188 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 10 mg COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.5 0.35 0.22 0.22 189 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 12.63 0.42 0.22 0.22 190 C09AA03 LISINOPRILUM LISIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 22.35 0.22 0.22 0.22 191 C09AA03 LISINOPRILUM LISIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 11.52 0.38 0.22 0.22 192 C09AA03 LISINOPRILUM LISINOPRIL 10 MEDO COMPR. 10mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.26 0.34 0.22 0.22 193 C09AA03 LISINOPRILUM TONOLYSIN 2,5 mg COMPR. 2.5mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 8.57 0.31 0.31 0.31 194 C09AA03 LISINOPRILUM TONOLYSIN 20 mg COMPR. 20mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 32.05 1.14 0.35 0.35 195 C09AA03 LISINOPRILUM RANOLIP COMPR. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 16.54 0.55 0.35 0.35 196 C09AA03 LISINOPRILUM MEDAPRIL 20 COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 17.12 0.86 0.35 0.35

197 C09AA03 LISINOPRILUM LISIREN 20 mg COMPR. 20mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 10.44 0.52 0.35 0.35 198 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 20 mg COMPR. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 18.96 0.63 0.35 0.35 199 C09AA03 LISINOPRILUM LISIGAMMA 20 mg COMPR. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 35.04 0.35 0.35 0.35 200 C09AA03 LISINOPRILUM LISIGAMMA 20 mg COMPR. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 20.38 0.68 0.35 0.35 201 C09AA03 LISINOPRILUM LISINOPRIL 20 MEDO COMPR. 20mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 10.26 0.51 0.35 0.35 202 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 20 mg COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 5.3 0.53 0.35 0.35 203 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 20 mg COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 15.63 0.52 0.35 0.35 204 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 40 mg COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 27.03 0.9 0.9 0.9 205 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 40 mg COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 9.17 0.92 0.9 0.9 206 C09AA03 LISINOPRILUM TONOLYSIN 5 mg COMPR. 5mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 12.08 0.43 0.15 0.15 207 C09AA03 LISINOPRILUM RANOLIP COMPR. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 7.67 0.26 0.15 0.15 208 C09AA03 LISINOPRILUM MEDAPRIL 5 COMPR. 5mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 6.9 0.23 0.15 0.15 209 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 5 mg COMPR. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.23 0.27 0.15 0.15 210 C09AA03 LISINOPRILUM LISIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 7.4 0.25 0.15 0.15 211 C09AA03 LISINOPRILUM LISIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 14.57 0.15 0.15 0.15 212 C09AA03 LISINOPRILUM LISINOPRIL 5 MEDO COMPR. 5mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.32 0.21 0.15 0.15 213 C09AA05 RAMIPRILUM EMREN 10 mg COMPR. 10 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 27 0.9 0.28 0.28 214 C09AA05 RAMIPRILUM VIVACE 10 mg COMPR. 10 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 19.24 0.69 0.28 0.28 215 C09AA05 RAMIPRILUM TRITACE (R) 10 mg COMPR. 10mg SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 47.28 1.69 0.28 0.28 Page 3 of 20

216 C09AA05 RAMIPRILUM PIRAMIL 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 29.9 1.07 0.28 0.28 217 C09AA05 RAMIPRILUM RAMIPRIL-AC 10 mg COMPR. 10mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 30.79 1.03 0.28 0.28 218 C09AA05 RAMIPRILUM AMPRIL 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 60 55.34 0.92 0.28 0.28 219 C09AA05 RAMIPRILUM AMPRIL 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 30.75 1.03 0.28 0.28 220 C09AA05 RAMIPRILUM ZENRA 10 COMPR. 10mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 26.26 0.94 0.28 0.28 221 C09AA05 RAMIPRILUM RAMIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. P-6L/S 100 28.29 0.28 0.28 0.28 222 C09AA05 RAMIPRILUM RAMIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 7.75 0.39 0.28 0.28 223 C09AA05 RAMIPRILUM RAMIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. P-6L 50 14.81 0.3 0.28 0.28 224 C09AA05 RAMIPRILUM TRITACE (R) 2,5 COMPR. 2.5mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 29.13 1.04 0.26 0.26 225 C09AA05 RAMIPRILUM PIRAMIL 2,5 mg COMPR. 2.5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 10.39 0.37 0.26 0.26 226 C09AA05 RAMIPRILUM RAMIPRIL-AC 2,5 mg COMPR. 2.5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.9 0.3 0.26 0.26 227 C09AA05 RAMIPRILUM AMPRIL 2,5 mg COMPR. 2.5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 60 22.94 0.38 0.26 0.26 228 C09AA05 RAMIPRILUM AMPRIL 2,5 mg COMPR. 2.5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 9 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 90 32.53 0.36 0.26 0.26 229 C09AA05 RAMIPRILUM AMPRIL 2,5 mg COMPR. 2.5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 12.75 0.43 0.26 0.26 230 C09AA05 RAMIPRILUM ZENRA 2,5 COMPR. 2.5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 7.51 0.27 0.26 0.26 231 C09AA05 RAMIPRILUM EMREN 2,5 mg COMPR. 2,5 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 7.66 0.26 0.26 0.26 232 C09AA05 RAMIPRILUM VIVACE 2,5 mg COMPR. 2,5 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7COMPR. P-6L 28 9.43 0.34 0.26 0.26 233 C09AA05 RAMIPRILUM EMREN 5 mg COMPR. 5 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 15 0.5 0.18 0.18 234 C09AA05 RAMIPRILUM VIVACE 5 mg COMPR. 5 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 12.21 0.44 0.18 0.18

235 C09AA05 RAMIPRILUM TRITACE (R) 5 COMPR. 5mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 46.81 1.67 0.18 0.18 236 C09AA05 RAMIPRILUM PIRAMIL 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 17.21 0.61 0.18 0.18 237 C09AA05 RAMIPRILUM RAMIPRIL-AC 5 mg COMPR. 5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 24.15 0.81 0.18 0.18 238 C09AA05 RAMIPRILUM AMPRIL 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 9 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 90 50.76 0.56 0.18 0.18 239 C09AA05 RAMIPRILUM AMPRIL 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 60 35.84 0.6 0.18 0.18 240 C09AA05 RAMIPRILUM AMPRIL 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 19.92 0.66 0.18 0.18 241 C09AA05 RAMIPRILUM ZENRA 5 COMPR. 5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 14.64 0.52 0.18 0.18 242 C09AA05 RAMIPRILUM RAMIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. A/AL X 10 COMPR. P-6L/S 100 18.58 0.19 0.18 0.18 243 C09AA05 RAMIPRILUM RAMIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. A/AL X 10 COMPR. P-6L 20 5.51 0.28 0.18 0.18 244 C09AA05 RAMIPRILUM RAMIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. A/AL X 10 COMPR. P-6L 50 9.2 0.18 0.18 0.18 245 C09AA05 RAMIPRILUM RAMIRAN 1,25 mg COMPR. FILM. 1.25mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 5.29 0.18 0.18 0.18 246 C09AA05 RAMIPRILUM RAMIRAN 10 mg COMPR. FILM. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 34.31 1.14 1.14 1.14 247 C09AA05 RAMIPRILUM RAMIRAN 2,5 mg COMPR. FILM. 2.5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 8.83 0.29 0.29 0.29 248 C09AA05 RAMIPRILUM RAMIRAN 5 mg COMPR. FILM. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 18.76 0.63 0.63 0.63 249 C09CA03 VALSARTANUM** DIOVAN 160 mg COMPR. FILM. 160mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 106.73 3.81 3.81 3.81 250 C09CA03 VALSARTANUM** DIOVAN 80 mg COMPR. FILM. 80mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 92.25 3.29 3.29 3.29 251 C09CA06 CANDESARTANUM CILEXETIL** ATACAND COMPR. 16mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. DIN PE, PREV. CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 28 COMPR. P-6L 28 50.34 1.8 1.8 1.8 252 C09CA06 CANDESARTANUM CILEXETIL** ATACAND COMPR. 8mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. DIN PE, PREV. CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 28 COMPR. P-6L 28 40.9 1.46 1.46 1.46 1 B01AA07 ACENOCUMAROLUM* TROMBOSTOP 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.31 0.08 0.08 0.08 2 B01AA07 ACENOCUMAROLUM* SINTROM (R) COMPR. 4mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.36 0.32 0.32 0.32 Tratamentul se initiaza de catre medicul în specialitatea cardiologie si chirurgie cardiaca si a vaselor mari

1 B01AC04 CLOPIDOGRELUM*** PLAVIX (R) COMPR. FILM. 75mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 28 COMPR. FILM. ( BLIST. PVC-PVDC/AL) P-RF 28 240.32 8.58 8.58 8.58 Tratamentul se initiaza de catre medicul în specialitatea cardiologie 1 B03XA01 EPOETINUM ALFA** EPREX (R) 10000 UI SOL. INJ. 10000ui/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 1 ML S/P-RF 6 2569.3 428.22 428.22 428.22 2 B03XA01 EPOETINUM ALFA** EPOKINE 1000 UI/0,5 ml SOL. INJ. 1000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. S/P-RF 6 106.93 17.82 17.82 17.82 3 B03XA01 EPOETINUM ALFA** EPREX (R) 1000 UI SOL. INJ. 1000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 256.93 42.82 17.82 17.82 4 B03XA01 EPOETINUM ALFA** EPOPHAR 2000 U.I. SOL. INJ. 2000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 237.6 23.76 23.76 23.76 5 B03XA01 EPOETINUM ALFA** EPOKINE 2000 UI/0,5 ml SOL. INJ. 2000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. S/P-RF 6 178.19 29.7 29.7 29.7 6 B03XA01 EPOETINUM ALFA** EPOKINE 2000 UI/1 ml SOL. INJ. 2000UI/1ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 297 29.7 23.76 23.76 7 B03XA01 EPOETINUM ALFA** EPREX (R) 2000 UI SOL. INJ. 2000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 513.86 85.64 29.7 29.7 8 B03XA01 EPOETINUM ALFA** EPREX (R) 3000 UI SOL. INJ. 3000ui/0.3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML S/P-RF 6 770.79 128.47 128.47 128.47 9 B03XA01 EPOETINUM ALFA** EPREX (R) 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF 1 1384.93 1384.93 1384.93 1384.93 10 B03XA01 EPOETINUM ALFA** EPOPHAR 4000 U.I. SOL. INJ. 4000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 475.19 47.52 47.52 47.52 11 B03XA01 EPOETINUM ALFA** EPOKINE 4000 UI/0,4 ml SOL. INJ. 4000UI/0.4ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,4 ML SOL. INJ. S/P-RF 6 356.41 59.4 59.4 59.4 12 B03XA01 EPOETINUM ALFA** EPOKINE 4000 UI/1 ml SOL. INJ. 4000UI/1ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 594.01 59.4 47.52 47.52 13 B03XA01 EPOETINUM ALFA** EPREX (R) 4000 UI SOL. INJ. 4000ui/0.4ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,4 ML S/P-RF 6 1027.72 171.29 59.4 59.4 14 B03XA01 EPOETINUM BETA** NEORECORMON 500 UI SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0.3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 131.78 21.96 21.96 21.96 15 B03XA01 EPOETINUM BETA** NEORECORMON 30 000 UI SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC S/P-RF/R 1 1237.55 1237.55 1237.55 1237.55 16 B03XA01 EPOETINUM BETA** NEORECORMON 10000 UI SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE S/P-RF/R 6 2634.15 439.03 439.03 439.03 17 B03XA01 EPOETINUM BETA** NEORECORMON 1000 UI SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 263.4 43.9 43.9 43.9

18 B03XA01 EPOETINUM BETA** NEORECORMON 2000 UI SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE S/P-RF/R 6 526.83 87.81 87.81 87.81 19 B03XA01 EPOETINUM BETA** NEORECORMON 4000 UI SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 1053.67 175.61 175.61 175.61 20 B03XA01 EPOETINUM BETA** NEORECORMON 5000 UI SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 1317.08 219.51 219.51 219.51 21 J05AB04 RIBAVIRINUM**** COPEGUS (R) COMPR. FILM. 200mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 168 COMPR. FILM. P-RF 168 2834.3 16.87 16.87 16.87 22 J05AF05 LAMIVUDINUM**** ZEFFIX 100 mg COMPR. FILM. 100mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) P-RF/R 28 196.9 7.03 7.03 7.03 23 J05AF05 LAMIVUDINUM**** EPIVIR COMPR. FILM. 150mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. P-RF/R 60 284.91 4.75 4.75 4.75 24 J05AF05 LAMIVUDINUM**** EPIVIR SOL. ORALA 10mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR P-RF/R 1 75.94 75.94 75.94 75.94 25 J05AF05 LAMIVUDINUM**** ZEFFIX 5 mg/ml SOL. ORALA 5mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON HDPE X 240 ML + 1 SERINGA DOZATOARE PP + 1 ADAPTOR PE P-RF/R 1 88.1 88.1 88.1 88.1 2. BOLNAVI CU PROTEZE VALVULARE SI VASCULARE - G2 4. HEPATITELE CRONICE DE ETIOLOGIE VIRALA B, C si D - G4 3. BOLNABI CU PROCEDURI INTERVENTIONALE PERCUTANE, NUMAI DUPA IMPLANTAREA UNEI PROTEZE ENDOVASCULARE (STENT)- G3 Page 4 of 20

26 J05AF08 ADEFOVIRUM DIPIVOXILUM**** 27 J05AF10 ENTECAVIRUM**** BARACLUDE COMPR. FILM. 0,5mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R 30 1716.85 57.23 57.23 57.23 28 J05AF10 ENTECAVIRUM**** BARACLUDE COMPR. FILM. 1mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA) P-RF/R 30 2016.65 67.22 67.22 67.22 29 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 30MU/0.5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 251.45 251.45 251.45 251.45 30 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 48MU/0.5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 435.01 435.01 435.01 435.01 31 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 18Mui/0.6ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 CARTUS MULTIDOZA X 0,6 ML SOL. INJ. S/P-RF 1 295.96 295.96 295.96 295.96 32 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 3Mui/0.5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.5 ML + AC STERIL S/P-RF 1 68.53 68.53 68.53 68.53 33 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 4.5Mui/0.5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.5ML SOL. INJ. + AC STERIL S/P-RF 1 95.42 95.42 95.42 95.42 34 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 9Mui/0.5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.5 ML SOL. INJ. + AC STERIL S/P-RF 1 171.3 171.3 171.3 171.3 35 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 18 milioane U.I. SOL. INJ. PEN MULTIDOZA 18 milioane U.I. SP EUROPE BELGIA CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 371.16 371.16 371.16 371.16 36 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 30 milioane U.I. SOL. INJ. PEN MULTIDOZA 30 milioane U.I. SP EUROPE BELGIA CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 618.6 618.6 618.6 618.6 37 L03AB10 PEGINTERFERON ALFA 2B**** PEGINTRON 100 ug PULB. + SOLV. PT. SOL. INJ. 100µg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 849.86 849.86 849.86 849.86 38 L03AB10 PEGINTERFERON ALFA 2B**** PEGINTRON 120 ug PULB. + SOLV. PT. SOL. INJ. 120µg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 1045.04 1045.04 1045.04 1045.04 39 L03AB10 PEGINTERFERON ALFA 2B**** PEGINTRON 150 ug PULB. + SOLV. PT. SOL. INJ. 150µg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 1274.86 1274.86 1274.86 1274.86 40 L03AB10 PEGINTERFERON ALFA 2B**** PEGINTRON 50 ug PULB. + SOLV. PT. SOL. INJ. 50µg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 424.92 424.92 424.92 424.92 41 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS (R) 135 ag SOL. INJ. 135µg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. SOL. INJ. P-RF/R 1 778.53 778.53 778.53 778.53 42 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS (R) 180 ag SOL. INJ. IN SERINGA PREUMPLUTA 180µg/0.5ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC P-RF/R 1 900.98 900.98 900.98 900.98 43 N04BB01 AMANTADINUM** VIREGYT (R) - K CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 CAPS. P-6L 50 12.12 0.24 0.24 0.24 1 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 47.53 0.95 0.95 0.95

2 H02AB04 METHYLPREDNISOLONUM MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 35.65 1.78 1.78 1.78 3 H02AB04 METHYLPREDNISOLONUM MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF 30 11.88 0.4 0.4 0.4 4 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 125mg/2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. (COMPARTIMENT SUPERIOR P-RF 1 13.38 13.38 11.05 11.05 5 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 11.05 11.05 11.05 11.05 6 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 20 mg LIOF. PT. SOL. INJ. 20mg HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 33.07 2.2 2.2 2.2 7 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 27.91 27.91 27.91 27.91 8 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 40mg/1ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 5.93 5.93 3.53 3.53 9 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 52.88 3.53 3.53 3.53 10 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL 500 mg/7,8 ml LIOF. + SOLV. PT. SOL. INJ. 500mg/7.8ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FLAC. X 7,8 ML SOLV. P-RF 1 34.14 34.14 33.07 33.07 11 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 33.07 33.07 33.07 33.07 12 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 250 LIOF. + SOLV. PT. SOL. INJ. 250mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV. P-RF 3 73.61 24.54 24.54 24.54 13 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 50 LIOF. + SOLV. PT. SOL. INJ. 50mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT P-RF 3 26.1 8.7 8.7 8.7 14 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 54.95 0.55 0.55 0.55 Tratamentul se initiaza de catre medicul în specialitatea gastroenterologie 1 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P-6L/S 100 118.24 1.18 0.88 0.88 2 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 68.55 1.37 0.88 0.88 3 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 44.2 0.88 0.88 0.88 Tratamentul se initiaza de catre medicul în specialitatea gastroenterologie 7. CIROZA HEPATICA - G7

1 A06AD11 LACTULOSUM* LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML P-RF 1 13.94 13.94 5.16 5.16 2 A06AD11 LACTULOSUM* LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 100 ML P-RF 1 5.16 5.16 5.16 5.16 3 A06AD11 LACTULOSUM* DUPHALAC (R) LICHID ORAL 66.7% SOLVAY PHARMACEUTICALS BV OLANDA FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML P-RF 1 9.99 9.99 9.52 9.52 4 A06AD11 LACTULOSUM* LACTULOSE AL SIROP SIROP 66.7% ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN TFPE BRUNA X 200 ML SIROP + MASURA GRADATA X 20 ML P-RF 1 9.52 9.52 9.52 9.52 5 A06AD11 LACTULOSUM* LAEVOLAC 670mg/ml SOL. ORALA 670mg/ml FRESENIUS KABI AUSTRIA GMBH AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + DISPOZITIV DE CURGERE + MASURA CU GRADATII D P-RF 1 5.98 5.98 5.98 5.98 6 A07AA11 RIFAXIMINUM* NORMIX 200 mg COMPR. FILM. 200mg ALFA WASSERMANN SPA ITALIA CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. P-RF 12 32.51 2.71 2.71 2.71 7 B03XA01 EPOETINUM ALFA** EPREX (R) 10000 UI SOL. INJ. 10000ui/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 1 ML S/P-RF 6 2569.3 428.22 428.22 428.22 8 B03XA01 EPOETINUM ALFA** EPOKINE 1000 UI/0,5 ml SOL. INJ. 1000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. S/P-RF 6 106.93 17.82 17.82 17.82 9 B03XA01 EPOETINUM ALFA** EPREX (R) 1000 UI SOL. INJ. 1000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 256.93 42.82 17.82 17.82 10 B03XA01 EPOETINUM ALFA** EPOPHAR 2000 U.I. SOL. INJ. 2000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 237.6 23.76 23.76 23.76 11 B03XA01 EPOETINUM ALFA** EPOKINE 2000 UI/0,5 ml SOL. INJ. 2000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. S/P-RF 6 178.19 29.7 29.7 29.7 12 B03XA01 EPOETINUM ALFA** EPOKINE 2000 UI/1 ml SOL. INJ. 2000UI/1ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 297 29.7 23.76 23.76 13 B03XA01 EPOETINUM ALFA** EPREX (R) 2000 UI SOL. INJ. 2000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 513.86 85.64 29.7 29.7 14 B03XA01 EPOETINUM ALFA** EPREX (R) 3000 UI SOL. INJ. 3000ui/0.3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML S/P-RF 6 770.79 128.47 128.47 128.47 15 B03XA01 EPOETINUM ALFA** EPREX (R) 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF 1 1384.93 1384.93 1384.93 1384.93 16 B03XA01 EPOETINUM ALFA** EPOPHAR 4000 U.I. SOL. INJ. 4000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 475.19 47.52 47.52 47.52 17 B03XA01 EPOETINUM ALFA** EPOKINE 4000 UI/0,4 ml SOL. INJ. 4000UI/0.4ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,4 ML SOL. INJ. S/P-RF 6 356.41 59.4 59.4 59.4 18 B03XA01 EPOETINUM ALFA** EPOKINE 4000 UI/1 ml SOL. INJ. 4000UI/1ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 594.01 59.4 47.52 47.52 19 B03XA01 EPOETINUM ALFA** EPREX (R) 4000 UI SOL. INJ. 4000ui/0.4ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,4 ML S/P-RF 6 1027.72 171.29 59.4 59.4

20 B03XA01 EPOETINUM BETA** NEORECORMON 500 UI SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0.3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 131.78 21.96 21.96 21.96 21 B03XA01 EPOETINUM BETA** NEORECORMON 30 000 UI SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC S/P-RF/R 1 1237.55 1237.55 1237.55 1237.55 22 B03XA01 EPOETINUM BETA** NEORECORMON 10000 UI SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE S/P-RF/R 6 2634.15 439.03 439.03 439.03 23 B03XA01 EPOETINUM BETA** NEORECORMON 1000 UI SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 263.4 43.9 43.9 43.9 24 B03XA01 EPOETINUM BETA** NEORECORMON 2000 UI SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE S/P-RF/R 6 526.83 87.81 87.81 87.81 25 B03XA01 EPOETINUM BETA** NEORECORMON 4000 UI SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 1053.67 175.61 175.61 175.61 26 B03XA01 EPOETINUM BETA** NEORECORMON 5000 UI SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 1317.08 219.51 219.51 219.51 27 C03CA01 FUROSEMIDUM FUROSEMID 40 mg COMPR. 40mg MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.27 0.11 0.06 0.06 28 C03CA01 FUROSEMIDUM FUROSEMID COMPR. 40mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.68 0.08 0.06 0.06 Tratamentul se initiaza de catre medicul în specialitatea gastroenterologie / boli infectioase si nefrologie (doar pentru pacientii cu afectare renala consecutiva infectiei cu virusuri hepatitice) 5. HEPATITA AUTOIMUNA - G5 6. CIROZA BILIARA PRIMARA, COLANGITA SCLEROZANTA PRIMITIVA, HEPATITA CRONICA SI CIROZE DE ALTE ETIOLOGII CU COLESTAZA - G6 Page 5 of 20

29 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 1.43 0.07 0.06 0.06 30 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 1.19 0.06 0.06 0.06 31 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 OMPR. P-6L 20 2.27 0.11 0.06 0.06 32 C03CA01 FUROSEMIDUM FUROSEMID ARENA 40 mg COMPR. 40mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.19 0.06 0.06 0.06 33 C03CA01 FUROSEMIDUM FUROSEMID 20 mg/2 ml SOL. INJ. 10mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 2.47 0.49 0.49 0.49 34 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 21.63 0.72 0.72 0.72 35 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 14.46 0.48 0.48 0.48 36 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.08 0.15 0.15 0.15 37 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. 25mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 7.94 0.16 0.15 0.15 38 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 9.22 0.18 0.15 0.15 39 C03DA01 SPIRONOLACTONUM ALSPIRON 25 mg COMPR. FILM. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 3.07 0.15 0.15 0.15 40 C03DA01 SPIRONOLACTONUM ALSPIRON 50 mg COMPR. FILM. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 9.4 0.47 0.47 0.47 41 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 250 LIOF. + SOLV. PT. SOL. INJ. 250mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV. P-RF 3 73.61 24.54 24.54 24.54 42 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 50 LIOF. + SOLV. PT. SOL. INJ. 50mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT P-RF 3 26.1 8.7 8.7 8.7 43 J05AB04 RIBAVIRINUM**** COPEGUS (R) COMPR. FILM. 200mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 168 COMPR. FILM. P-RF 168 2834.3 16.87 16.87 16.87 44 J05AF05 LAMIVUDINUM**** ZEFFIX 100 mg COMPR. FILM. 100mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) P-RF/R 28 196.9 7.03 7.03 7.03 45 J05AF05 LAMIVUDINUM**** EPIVIR COMPR. FILM. 150mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. P-RF/R 60 284.91 4.75 4.75 4.75 46 J05AF05 LAMIVUDINUM**** EPIVIR SOL. ORALA 10mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR P-RF/R 1 75.94 75.94 75.94 75.94 47 J05AF05 LAMIVUDINUM**** ZEFFIX 5 mg/ml SOL. ORALA 5mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON HDPE X 240 ML + 1 SERINGA DOZATOARE PP + 1 ADAPTOR PE P-RF/R 1 88.1 88.1 88.1 88.1 48 J05AF08 ADENOVIRUM DIPIVOXILUM****

49 J05AF10 ENTECAVIRUM**** BARACLUDE COMPR. FILM. 0,5mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R 30 1716.85 57.23 57.23 57.23 50 J05AF10 ENTECAVIRUM**** BARACLUDE COMPR. FILM. 1mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA) P-RF/R 30 2016.65 67.22 67.22 67.22 51 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 30MU/0.5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 251.45 251.45 251.45 251.45 52 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 48MU/0.5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 435.01 435.01 435.01 435.01 53 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 18Mui/0.6ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 CARTUS MULTIDOZA X 0,6 ML SOL. INJ. S/P-RF 1 295.96 295.96 295.96 295.96 54 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 3Mui/0.5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.5 ML + AC STERIL S/P-RF 1 68.53 68.53 68.53 68.53 55 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 4.5Mui/0.5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.5ML SOL. INJ. + AC STERIL S/P-RF 1 95.42 95.42 95.42 95.42 56 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 9Mui/0.5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.5 ML SOL. INJ. + AC STERIL S/P-RF 1 171.3 171.3 171.3 171.3 57 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 18 milioane U.I. SOL. INJ. PEN MULTIDOZA 18 milioane U.I. SP EUROPE BELGIA CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 371.16 371.16 371.16 371.16 58 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 30 milioane U.I. SOL. INJ. PEN MULTIDOZA 30 milioane U.I. SP EUROPE BELGIA CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 618.6 618.6 618.6 618.6 59 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 100 ug PULB. + SOLV. PT. SOL. INJ. 100µg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 849.86 849.86 849.86 849.86 60 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 120 ug PULB. + SOLV. PT. SOL. INJ. 120µg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 1045.04 1045.04 1045.04 1045.04 61 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 150 ug PULB. + SOLV. PT. SOL. INJ. 150µg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 1274.86 1274.86 1274.86 1274.86 62 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 50 ug PULB. + SOLV. PT. SOL. INJ. 50µg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 424.92 424.92 424.92 424.92 63 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS (R) 135 ag SOL. INJ. 135µg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. SOL. INJ. P-RF/R 1 778.53 778.53 778.53 778.53 64 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS (R) 180 ag SOL. INJ. IN SERINGA PREUMPLUTA 180µg/0.5ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC P-RF/R 1 900.98 900.98 900.98 900.98 65 N04BB01 AMANTADINUM** VIREGYT (R) - K CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 CAPS. P-6L 50 12.12 0.24 0.24 0.24 Tratamentul se ini.iaza de catre medicul in specialitatea gastroenterologie sau boli infectioase 1 A04AA01 ONDANSETRONUM** OSETRON 4 mg COMPR. FILM. 4mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF 10 13.78 1.38 1.38 1.38 2 A04AA01 ONDANSETRONUM** ZOFRAN 4 mg COMPR. FILM. 4mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/AL X 5 COMPR. FILM. P-RF 10 127.53 12.75 1.38 1.38

3 A04AA01 ONDANSETRONUM** SETRONON 4 mg COMPR. FILM. 4mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 14.1 1.41 1.38 1.38 4 A04AA01 ONDANSETRONUM** OSETRON 8 mg COMPR. FILM. 8mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF 10 24.11 2.41 2.41 2.41 5 A04AA01 ONDANSETRONUM** SETRONON 8 mg COMPR. FILM. 8mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.FILM. P-RF 10 24.47 2.45 2.41 2.41 6 A04AA01 ONDANSETRONUM** ONDARAN MD 4mg COMPR. ORODISPERSABILE 4mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 1 FOLIE DIN POLIAMIDA/AL/PVC X 10 COMPR. ORODISPERSABILE P-RF 10 13.77 1.38 1.38 1.38 7 A04AA01 ONDANSETRONUM** ONDARAN MD 4mg COMPR. ORODISPERSABILE 4mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 1 FOLIE DIN AL/PE X 10 COMPR. ORODISPERSABILE P-RF 10 13.77 1.38 1.38 1.38 8 A04AA01 ONDANSETRONUM** ONDARAN MD 8 mg COMPR. ORODISPERSABILE 8mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FOLE PA/AL/PVC X 10 COMPR. ORODISPERSABILE P-RF 10 24.1 2.41 2.41 2.41 9 A04AA01 ONDANSETRONUM** OSETRON 4 mg SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 17.22 3.44 3.39 3.39 10 A04AA01 ONDANSETRONUM** OSETRON 8 mg SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ. S/P-RF 5 32.72 6.54 6.54 6.54 11 A04AA01 ONDANSETRONUM** EMESET 4 mg/2 ml SOL. INJ./PERF. 2mg/ml CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF. S/P-RF 5 17.22 3.44 3.39 3.39 12 A04AA01 ONDANSETRONUM** ZOFRAN 4mg/2ml SOL. INJ. 4mg/2ml GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 109.51 21.9 3.39 3.39 13 A04AA01 ONDANSETRONUM** SETRONON 4 mg/2 ml SOL. INJ./PERF. 4mg/2ml PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 2 ML SOL INJ/PERF. S/P-RF 5 16.93 3.39 3.39 3.39 14 A04AA01 ONDANSETRONUM** EMESET 8 mg/4 ml SOL. INJ./PERF. 2mg/ml CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 5 FIOLE STICLA + INEL RUPERE X 4ML SOL. INJ. / PERF. S/P-RF 5 32.72 6.54 6.54 6.54 15 A04AA01 ONDANSETRONUM** ZOFRAN (R) SOL. INJ. 8mg/4ml GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 5 FIOLE DIN STICLA INCOLORA X 4 ML SOL. INJ. S/P-RF 5 143.61 28.72 6.54 6.54 16 A04AA01 ONDANSETRONUM** SETRONON 8 mg/2 ml SOL. INJ./PERF. 8mg/4 ml PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 4 ML SOL.INJ./PERF. S/P-RF 5 32.96 6.59 6.54 6.54 17 A04AA02 GRANISETRONUM** KYTRIL (R) 1 mg COMPR. FILM. 1mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 382.93 38.29 38.29 38.29 18 A04AA02 GRANISETRONUM** KYTRIL COMPR. FILM. 2mg F. HOFFMANN LA ROCHE AG. ELVETIA CUTIE X 1 BLIST. AL/PVC X 5 COMPR. FILM. P-RF 5 295.64 59.13 59.13 59.13 19 A04AA02 GRANISETRONUM** KYTRIL SOL. INJ. 3mg/3ml ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FIOLA X 3 ML SOL. INJ. S/P-RF 1 90.09 90.09 90.09 90.09 20 A04AA05 PALONOSETRONUM** ALOXI 250 ug SOL. INJ. 250 µg/5ml HELSINN BIREX PHARMACEUTICALS LTD. IRLANDA CUTIE X 1 FLAC. DIN STICLA X 5 ML SOL. INJ. P-RF 1 327.97 327.97 327.97 327.97 21 B03XA01 EPOETINUM ALFA*** EPREX (R) 10000 UI SOL. INJ. 10000ui/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 1 ML S/P-RF 6 2569.3 428.22 428.22 428.22 22 B03XA01 EPOETINUM ALFA*** EPOKINE 1000 UI/0,5 ml SOL. INJ. 1000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. S/P-RF 6 106.93 17.82 17.82 17.82

23 B03XA01 EPOETINUM ALFA*** EPREX (R) 1000 UI SOL. INJ. 1000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 256.93 42.82 17.82 17.82 24 B03XA01 EPOETINUM ALFA*** EPOPHAR 2000 U.I. SOL. INJ. 2000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 237.6 23.76 23.76 23.76 25 B03XA01 EPOETINUM ALFA*** EPOKINE 2000 UI/0,5 ml SOL. INJ. 2000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. S/P-RF 6 178.19 29.7 29.7 29.7 26 B03XA01 EPOETINUM ALFA*** EPOKINE 2000 UI/1 ml SOL. INJ. 2000UI/1ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 297 29.7 23.76 23.76 27 B03XA01 EPOETINUM ALFA*** EPREX (R) 2000 UI SOL. INJ. 2000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 513.86 85.64 29.7 29.7 28 B03XA01 EPOETINUM ALFA*** EPREX (R) 3000 UI SOL. INJ. 3000ui/0.3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML S/P-RF 6 770.79 128.47 128.47 128.47 29 B03XA01 EPOETINUM ALFA*** EPREX (R) 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF 1 1384.93 1384.93 1384.93 1384.93 30 B03XA01 EPOETINUM ALFA*** EPOPHAR 4000 U.I. SOL. INJ. 4000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 475.19 47.52 47.52 47.52 31 B03XA01 EPOETINUM ALFA*** EPOKINE 4000 UI/0,4 ml SOL. INJ. 4000UI/0.4ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,4 ML SOL. INJ. S/P-RF 6 356.41 59.4 59.4 59.4 32 B03XA01 EPOETINUM ALFA*** EPOKINE 4000 UI/1 ml SOL. INJ. 4000UI/1ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 594.01 59.4 47.52 47.52 33 B03XA01 EPOETINUM ALFA*** EPREX (R) 4000 UI SOL. INJ. 4000ui/0.4ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,4 ML S/P-RF 6 1027.72 171.29 59.4 59.4 34 B03XA01 EPOETINUM BETA*** NEORECORMON 500 UI SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0.3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 131.78 21.96 21.96 21.96 35 B03XA01 EPOETINUM BETA*** NEORECORMON 30 000 UI SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC S/P-RF/R 1 1237.55 1237.55 1237.55 1237.55 8. Leucemii, limfoame, aplazie medulara, gamapatii monoclonale maligne, mieloproliferari cronice si tumori maligne, sindroame mielodisplazice - G10 Page 6 of 20

36 B03XA01 EPOETINUM BETA*** NEORECORMON 10000 UI SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE S/P-RF/R 6 2634.15 439.03 439.03 439.03 37 B03XA01 EPOETINUM BETA*** NEORECORMON 1000 UI SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 263.4 43.9 43.9 43.9 38 B03XA01 EPOETINUM BETA*** NEORECORMON 2000 UI SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE S/P-RF/R 6 526.83 87.81 87.81 87.81 39 B03XA01 EPOETINUM BETA*** NEORECORMON 4000 UI SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 1053.67 175.61 175.61 175.61 40 B03XA01 EPOETINUM BETA*** NEORECORMON 5000 UI SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 1317.08 219.51 219.51 219.51 41 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 100 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 100µg/0.5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 3125.89 781.47 781.47 781.47 42 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 10 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 10µg/0.4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 312.6 78.15 78.15 78.15 43 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 150 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 150µg/0.3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 4688.84 1172.21 1172.21 1172.21 44 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 15 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 15µg/0.375ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML P-RF/R 4 468.86 117.22 117.22 117.22 45 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 20 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 20µg/0.5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 625.19 156.3 156.3 156.3 46 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 300 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 300µg/0.6ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML P-RF/R 1 2344.41 2344.41 2344.41 2344.41 47 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 30 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 30µg/0.3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 937.75 234.44 234.44 234.44 48 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 40 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 40µg/0.4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 1250.35 312.59 312.59 312.59 49 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 500 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 500µg/ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML P-RF/R 1 3907.35 3907.35 3907.35 3907.35 50 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 50 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 50µg/0.5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 1562.95 390.74 390.74 390.74 51 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 60 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 60µg/0.3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 1875.54 468.89 468.89 468.89 52 B03XA02 DARBEPOETINUM ALFA*** ARANESP (R) 80 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 80µg/0.4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 2500.71 625.18 625.18 625.18

53 G03HA01 CYPROTERONUM** ANDROCUR COMPR. 50mg SCHERING AG GERMANIA CUTIE X 1 FLAC. X 50 COMPR. P-RF 50 189.73 3.79 3.79 3.79 54 H02AB02 DEXAMETHASONUM DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ. 8mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 100 103.34 1.03 0.71 0.71 55 H02AB02 DEXAMETHASONUM DEXAMED SOL. INJ. 8mg/2ml MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF/S 100 71.11 0.71 0.71 0.71 56 H02AB02 DEXAMETHASONUM DEXAMED SOL. INJ. 8mg/2ml MEDOCHEMIE LTD. CIPRU CUTIE X 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 10 7.55 0.76 0.71 0.71 57 H02AB02 DEXAMETHASONUM DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ. 8mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 5 5.91 1.18 0.71 0.71 58 J02AC02 ITRACONAZOLUM ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 123.93 8.26 4.78 4.78 59 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 81.59 5.44 4.78 4.78 60 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 81.59 5.44 4.78 4.78 61 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 71.67 4.78 4.78 4.78 62 J02AC03 VORICONAZOLUM** VFEND (R) COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3393.74 121.21 121.21 121.21 63 J02AC03 VORICONAZOLUM** VFEND (R) COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 848.23 30.29 30.29 30.29 64 J02AC03 VORICONAZOLUM** VFEND (R) PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 455.92 455.92 455.92 455.92 65 J02AC03 VORICONAZOLUM** VFEND (R) 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA P-RF 1 2252.06 2252.06 2252.06 2252.06 66 J02AC04 POSACONAZOLUM** NOXAFIL SUSP. ORALA 40mg/ml SP EUROPE BELGIA CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R 1 3065.02 3065.02 3065.02 3065.02 67 J02AX04 CASPOFUNGINUM** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S 1 1124.55 1124.55 1124.55 1124.55 68 J02AX04 CASPOFUNGINUM** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S 1 1467.71 1467.71 1467.71 1467.71 69 L01XX35 ANAGRELIDUM*** THROMBOREDUCTIN CAPS. 0.5mg ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH AUSTRIA CUTIE X 1 FLAC. DIN PE X 42 CAPS. P-RF 42 856.7 20.4 17.34 17.34 70 L01XX35 ANAGRELIDUM*** THROMBOREDUCTIN CAPS. 0.5mg ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH AUSTRIA CUTIE X 1 FLAC. DIN PE X 100 CAPS. P-RF/S 100 1733.81 17.34 17.34 17.34 71 L04AA01 CICLOSPORINUM* EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 375.72 7.51 7.51 7.51

72 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 197.84 3.96 1.63 1.63 73 L04AA01 CICLOSPORINUM* EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 81.67 1.63 1.63 1.63 74 L04AA01 CICLOSPORINUM* CICLORAL (R) HEXAL (R) 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 95.1 1.9 1.63 1.63 75 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 351.14 7.02 3.71 3.71 76 L04AA01 CICLOSPORINUM* EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 185.61 3.71 3.71 3.71 77 L04AA01 CICLOSPORINUM* CICLORAL (R) HEXAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 211.09 4.22 3.71 3.71 78 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) SOL. ORALA 100mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON X 50 ML + KIT DE ADM. S/P-RF 1 780.57 780.57 445.51 445.51 79 L04AA01 CICLOSPORINUM* EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET S/P-RF 1 445.51 445.51 445.51 445.51 80 N02AA01 MORPHYNUM SEVREDOL 10 mg COMPR. FILM. 10mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 4 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-TS 56 77.43 1.38 1.38 1.38 81 N02AA01 MORPHYNUM SEVREDOL 20 mg COMPR. FILM. 20mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 4 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-TS 56 99.94 1.78 1.78 1.78 82 N02AA01 MORPHYNUM MST CONTINUS (R) 100 mg COMPR. FILM. ELIB. MODIF. 100mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 2 BLIST. X 30 COMPR. FILM. CU ELIB. MOD. P-TS 60 193.83 3.23 3.23 3.23 83 N02AA01 MORPHYNUM MST CONTINUS (R) 10 mg COMPR. FILM. ELIB. MODIF. 10mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 2 BLIST. X 30 COMPR. FILM. CU ELIB. MOD. P-TS 60 35.36 0.59 0.59 0.59 84 N02AA01 MORPHYNUM MST CONTINUS (R) 200 mg COMPR. FILM. ELIB. MODIF. 200mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 4 BLIST. X 15 COMPR. FILM. CU ELIB. MOD. P-TS 60 363.35 6.06 6.06 6.06 85 N02AA01 MORPHYNUM MST CONTINUS (R) 30 mg COMPR. FILM. ELIB. MODIF. 30mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 2 BLIST. X 30 COMPR. FILM. CU ELIB. MOD. P-TS 60 56.66 0.94 0.94 0.94 86 N02AA01 MORPHYNUM MST CONTINUS (R) 60 mg COMPR. FILM. ELIB. MODIF. 60mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 2 BLIST. X 30 COMPR. FILM. CU ELIB. MOD. P-TS 60 120.82 2.01 2.01 2.01 87 N02AA01 MORPHYNUM VENDAL (R) RETARD 100 mg COMPR. FILM. ELIB. PREL. 100mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS 30 119 3.97 3.23 3.23 88 N02AA01 MORPHYNUM VENDAL (R) RETARD 100 mg COMPR. FILM. ELIB. PREL. 100mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS 10 54.07 5.41 3.23 3.23 89 N02AA01 MORPHYNUM VENDAL (R) RETARD 10 mg COMPR. FILM. ELIB. PREL. 10mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS 10 10.04 1 0.59 0.59 90 N02AA01 MORPHYNUM VENDAL (R) RETARD 10 mg COMPR. FILM. ELIB. PREL. 10mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS 30 21.37 0.71 0.59 0.59 91 N02AA01 MORPHYNUM VENDAL (R) RETARD 30 mg COMPR. FILM. ELIB. PREL. 30mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS 30 34.38 1.15 0.94 0.94

92 N02AA01 MORPHYNUM VENDAL (R) RETARD 30 mg COMPR. FILM. ELIB. PREL. 30mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS 10 21.27 2.13 0.94 0.94 93 N02AA01 MORPHYNUM VENDAL (R) RETARD 60 mg COMPR. FILM. ELIB. PREL. 60mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS 30 73.05 2.44 2.01 2.01 94 N02AA01 MORPHYNUM VENDAL (R) RETARD 60 mg COMPR. FILM. ELIB. PREL. 60mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS 10 35.52 3.55 2.01 2.01 95 N02AA01 MORPHYNUM MORFINA 20 mg/ml SOL. INJ. 20mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE X 1 ML P-TS 5 5.91 1.18 1.18 1.18 96 N02AA05 OXYCODONUM OXYCONTIN (R) 10 mg COMPR. FILM. ELIB. MODIF. 10 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 122.1 2.18 2.18 2.18 97 N02AA05 OXYCODONUM OXYCONTIN (R) 20 mg COMPR. FILM. ELIB. MODIF. 20 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 234.8 4.19 4.19 4.19 98 N02AA05 OXYCODONUM OXYCONTIN (R) 40 mg COMPR. FILM. ELIB. MODIF. 40 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 438.3 7.83 7.83 7.83 99 N02AA05 OXYCODONUM OXYCONTIN (R) 80 mg COMPR. FILM. ELIB. MODIF. 80mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 814 14.54 14.54 14.54 100 N02AA08 DIHYDROCODEINUM DHC CONTINUS 120 mg COMPR. ELIB. PREL. 120mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF 56 139.36 2.49 2.49 2.49 101 N02AA08 DIHYDROCODEINUM DHC CONTINUS 60 mg COMPR. ELIB. PREL. 60mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF 56 81.99 1.46 1.46 1.46 102 N02AA08 DIHYDROCODEINUM DHC CONTINUS 90 mg COMPR. ELIB. PREL. 90mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF 56 111.5 1.99 1.99 1.99 103 N02AB02 PETHIDINUM MIALGIN (R) 100 mg/2 ml SOL. INJ. 50mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML P-TS 5 5.56 1.11 0.57 0.57 104 N02AB02 PETHIDINUM MIALGIN (R) 100 mg/2 ml SOL. INJ. 50mg/ml ZENTIVA SA ROMANIA CUTIE X 10 FIOLE DIN STICLA X 2 ML P-TS 10 5.73 0.57 0.57 0.57 105 N02AB03 FENTANYLUM** DUROGESIC 100 ug/h PLASTURE TRANSDERM. 16.8mg/42.0cmp JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 5 PLICURI MULTISTRAT, SECURIZATE PT. COPII X 1 SISTEM TERAP. TRANSDERMIC P-TS 5 475.26 95.05 40.35 40.35 106 N02AB03 FENTANYLUM** FENTANYL SANDOZ 100 ug/h PLASTURE TRANSDERMIC 100µg/h SANDOZ S.R.L. ROMANIA CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR P-TS 5 201.77 40.35 40.35 40.35 107 N02AB03 FENTANYLUM** DUROGESIC 25 ug/h PLASTURE TRANSDERM. 4.2mg/10.5cmp JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 5 PLICURI MULTISTRAT, SECURIZATE PT. COPII X 1 SISTEM TERAP. TRANSDERMIC P-TS 5 158.93 31.79 12.66 12.66 108 N02AB03 FENTANYLUM** FENTANYL SANDOZ 25 ug/h PLASTURE TRANSDERMIC 25µg/h SANDOZ S.R.L. ROMANIA CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR P-TS 5 63.28 12.66 12.66 12.66 109 N02AB03 FENTANYLUM** DUROGESIC 50 ug/h PLASTURE TRANSDERM. 8.4mg/21.0cmp JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 5 PLICURI MULTISTRAT, SECURIZATE PT. COPII X 1 SISTEM TERAP. TRANSDERMIC P-TS 5 279.42 55.88 23.77 23.77 110 N02AB03 FENTANYLUM** FENTANYL SANDOZ 50 ug/h PLASTURE TRANSDERMIC 50µg/h SANDOZ S.R.L. ROMANIA CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR P-TS 5 118.83 23.77 23.77 23.77 111 N02AB03 FENTANYLUM** FENTANYL SANDOZ 75 ug/h PLASTURE TRANSDERMIC 75µg/h SANDOZ S.R.L. AUSTRIA CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR P-TS 5 160.75 32.15 32.15 32.15

112 N02AX02 TRAMADOLUM TRAMAL (R) CAPS. 50mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 10.92 0.55 0.32 0.32 113 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.53 0.33 0.32 0.32 Page 7 of 20

114 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 9.39 0.47 0.32 0.32 115 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS. P-RF 30 13.47 0.45 0.32 0.32 116 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 CAPS. P-RF/S 50 22.06 0.44 0.32 0.32 117 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 CAPS. P-RF/S 100 43.66 0.44 0.32 0.32 118 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 5.73 0.57 0.32 0.32 119 N02AX02 TRAMADOLUM MABRON 50 mg CAPS. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.86 0.39 0.32 0.32 120 N02AX02 TRAMADOLUM K-ALMA (R) CAPS. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 10.56 0.53 0.32 0.32 121 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 4.62 0.46 0.32 0.32 122 N02AX02 TRAMADOLUM TRAMADOL LPH 50 mg CAPS. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 9.21 0.46 0.32 0.32 123 N02AX02 TRAMADOLUM URGENDOL CAPS. 50mg MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 4.05 0.41 0.32 0.32 124 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.41 0.32 0.32 0.32 125 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.73 0.34 0.34 0.34 126 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 8.11 0.41 0.34 0.34 127 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.22 0.36 0.34 0.34 128 N02AX02 TRAMADOLUM TRAMADOLOR (R) 100 ID COMPR. ELIB. MODIF. 100mg HEXAL AG GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF 10 8.57 0.86 0.64 0.64 129 N02AX02 TRAMADOLUM TRAMADOL (R) RETARD COMPR. ELIB. PREL. 100mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL. P-RF 30 19.14 0.64 0.64 0.64 130 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 50 35.57 0.71 0.64 0.64 131 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 7.42 0.74 0.64 0.64 132 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 21.34 0.71 0.64 0.64

133 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 45.73 1.52 1.52 1.52 134 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 15.61 1.56 1.52 1.52 135 N02AX02 TRAMADOLUM TRALGIT SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 19.53 1.95 1.95 1.95 136 N02AX02 TRAMADOLUM TRADOLAN 50 mg COMPR. FILM. 50mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-RF 30 10.44 0.35 0.35 0.35 137 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL. P-RF 10 17.12 1.71 1.63 1.63 138 N02AX02 TRAMADOLUM TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF 30 48.85 1.63 1.63 1.63 139 N02AX02 TRAMADOLUM TRAMAL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL. P-RF 10 22.51 2.25 2.04 2.04 140 N02AX02 TRAMADOLUM TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF 30 61.05 2.04 2.04 2.04 141 N02AX02 TRAMADOLUM TRAMAL RETARD 100 mg COMPR. FILM. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-RF 10 12.09 1.21 1.21 1.21 142 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 10.2 10.2 9.3 9.3 143 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL. P-RF 1 20.45 20.45 9.3 9.3 144 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 1 FLACON DIN STICLA BRUNA X 96 ML PIC. ORALE, SOL. P-RF 1 78.51 78.51 9.3 9.3 145 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 9.3 9.3 9.3 9.3 146 N02AX02 TRAMADOLUM TRAMAL (R) PICATURI ORALE-SOL. 100mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 10.92 10.92 9.3 9.3 147 N02AX02 TRAMADOLUM TRAMAL (R) 50 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 9.75 1.95 1.22 1.22 148 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 7.76 1.55 1.22 1.22 149 N02AX02 TRAMADOLUM TRADOLAN 50 mg SOL. INJ. 50mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. P-RF 5 9.1 1.82 1.22 1.22 150 N02AX02 TRAMADOLUM TRALGIT 50 SOL. INJ. 50mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S/P-RF 5 8.47 1.69 1.22 1.22 151 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 6.08 1.22 1.22 1.22 152 N02AX02 TRAMADOLUM TRAMAL (R) 100 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 10.57 2.11 1.07 1.07

153 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 9.23 1.85 1.07 1.07 154 N02AX02 TRAMADOLUM TRAMADOL (R) AL 100 Fiole SOL. INJ. 50mg/ml ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 FIOLE X 2 ML S/P-RF 10 19.52 1.95 1.07 1.07 155 N02AX02 TRAMADOLUM TRAMADOL (R) AL 100 Fiole SOL. INJ. 50mg/ml ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 9.74 1.95 1.07 1.07 156 N02AX02 TRAMADOLUM TRADOLAN SOL. INJ. 100mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 10.54 2.11 1.07 1.07 157 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 5 13.43 2.69 1.07 1.07 158 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 100 107.43 1.07 1.07 1.07 159 N02AX02 TRAMADOLUM TRALGIT 100 SOL. INJ. 100mg/2ml ZENTIVA A.S. SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 9.05 1.81 1.07 1.07 160 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 7.96 1.59 1.07 1.07 161 N02AX02 TRAMADOLUM TRADOLAN SOL. ORALA 100mg/ml LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 FLACON DE STICLA BRUNA X 10 ML SOL. ORALA + SISTEM DE INCHIDERE SECURIZAT P-RF 1 10.83 10.83 9.3 9.3 162 N02AX02 TRAMADOLUM TRAMAL (R) SUPOZ. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 FOLIE PP/AL/PE X 5 SUPOZ. P-RF 5 9.75 1.95 1.26 1.26 163 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ. P-RF 5 7.94 1.59 1.26 1.26 164 N02AX02 TRAMADOLUM TRAMAG 100 SUPOZ. 100mg MAGISTRA C & C ROMANIA CUTIE X 1 FOLIE TERMOSUDATA DIN PVC/PE X 5 SUPOZ. P-RF 5 6.29 1.26 1.26 1.26 165 N02AX02 TRAMADOLUM TRADOLAN SUPOZ. 100mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 BLIST. PE/PVC X 5 SUPOZ. P-RF 5 8.69 1.74 1.26 1.26 166 N07BC02 METHADONUM SINTALGON (R) 2,5 mg COMPR. 2.5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-TS 50 8.95 0.18 0.18 0.18 167 R05DA04 CODEINUM CODEINA FOSFORICA 15 mg COMPR. 15mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 2.69 0.13 0.09 0.09 168 R05DA04 CODEINUM FOSFAT DE CODEINA 15 mg COMPR. 15mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 3.51 0.12 0.09 0.09 169 R05DA04 CODEINUM CODEINA FOSFORICA COMPR. 15mg BIO EEL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 3.66 0.15 0.09 0.09 170 R05DA04 CODEINUM FOSFAT DE CODEINA 15 mg COMPR. 15mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-RF 20 1.76 0.09 0.09 0.09 171 R05DA04 CODEINUM FARMACOD COMPR. 15mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 2.23 0.11 0.09 0.09 172 R05DA04 CODEINUM CODEINA FOSFAT 15 mg COMPR. 15mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.32 0.12 0.09 0.09

173 R05DA04 CODEINUM CODEINA FOSFAT COMPR. 15mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.23 0.11 0.09 0.09 174 R05DA04 CODEINUM CODEINA FOSFORICA 15 mg COMPR. 15mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.23 0.11 0.09 0.09 175 V03AC01 DEFEROXAMINUM**3 DESFERAL LIOF.PT.SOL.INJ./PERF. 500mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 FLAC. DI STICLA X 500 MG LIOF.PT.SOL.INJ./PERF. S/P-RF 10 175.68 17.57 17.57 17.57 176 V03AC03 DEFEROXAMINUM*** EXJADE COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) P-RF/R 28 824.02 29.43 29.43 29.43 177 V03AC03 DEFEROXAMINUM*** EXJADE COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 84 COMPR. DISP. (BLIST. PVC/PE/PVDC/AL) P-RF/R 84 2528.46 30.1 29.43 29.43 178 V03AC03 DEFEROXAMINUM*** EXJADE COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 84 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 84 5053.99 60.17 58.86 58.86 179 V03AC03 DEFEROXAMINUM*** EXJADE COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 28 1648.09 58.86 58.86 58.86 180 V03AC03 DEFEROXAMINUM*** EXJADE COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 84 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 84 10105.81 120.31 117.72 117.72 181 V03AC03 DEFEROXAMINUM*** EXJADE COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 28 3296.08 117.72 117.72 117.72 Tratamentul se initiaza de catre medicul in specialitatea oncologie sau hematologie 1 N03AA02 PHENOBARBITALUM FENOBARBITAL 100 mg COMPR. 100 mg ZENTIVA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 2.06 0.08 0.08 0.08 2 N03AA02 PHENOBARBITALUM FENOBARBITAL 100 mg COMPR. 100mg SC ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 10 COMPR. P-RF 10 0.85 0.09 0.08 0.08 3 N03AA02 PHENOBARBITALUM FENOBARBITAL 200 mg/ 2 ml SOL. INJ. 10% ZENTIVA S.A ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF 5 3.7 0.74 0.74 0.74 4 N03AB02 PHENYTOINUM FENITOIN 100 mg COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 0.91 0.05 0.05 0.05 5 N03AB02 PHENYTOINUM PHENHYDAN (R) SOLUTIE INJECTABILA SOL. INJ. 50mg/ml DESITIN GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 5 ML SOL. INJ. P-RF 5 37.96 7.59 7.59 7.59 6 N03AE01 CLONAZEPAMUM RIVOTRIL COMPR. 0.5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. P-RF 50 8.23 0.16 0.16 0.16 9. EPILEPSIE - G11 Page 8 of 20

7 N03AE01 CLONAZEPAMUM RIVOTRIL (R) COMPR. 2mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 10.14 0.34 0.34 0.34 8 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA COMPR. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVCX 10 COMPR. P-6L 20 3.94 0.2 0.11 0.11 9 N03AF01 CARBAMAZEPINUM NEUROTOP COMPR. 200mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 50 12.03 0.24 0.11 0.11 10 N03AF01 CARBAMAZEPINUM TEGRETOL (R) 200 COMPR. 200mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 50 21.12 0.42 0.11 0.11 11 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA LPH 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 8.34 0.17 0.11 0.11 12 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA LPH 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.03 0.2 0.11 0.11 13 N03AF01 CARBAMAZEPINUM CARBAVIM COMPR. 200mg VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 9.85 0.2 0.11 0.11 14 N03AF01 CARBAMAZEPINUM CARBEPSIL 200 COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 10.73 0.21 0.11 0.11 15 N03AF01 CARBAMAZEPINUM TAVER COMPR. 200mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 5.37 0.11 0.11 0.11 16 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.66 0.18 0.11 0.11 17 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN EEL COMPR. 200mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.74 0.19 0.11 0.11 18 N03AF01 CARBAMAZEPINUM FINLEPSIN COMPR. 200mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. P-6L 50 18.26 0.37 0.11 0.11 19 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.53 0.18 0.11 0.11 20 N03AF01 CARBAMAZEPINUM TEGRETOL (R) 400 COMPR. 400mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 22.24 0.74 0.35 0.35 21 N03AF01 CARBAMAZEPINUM CARBEPSIL 400 COMPR. 400mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 17.5 0.35 0.35 0.35 22 N03AF01 CARBAMAZEPINUM NEUROTOP (R) RETARD 300 mg COMPR. ELIB. PREL. 300mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL P-6L 50 14.62 0.29 0.29 0.29 23 N03AF01 CARBAMAZEPINUM NEUROTOP (R) RETARD 600 mg COMPR. ELIB. PREL. 600mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL. P-6L 50 26.76 0.54 0.53 0.53 24 N03AF01 CARBAMAZEPINUM TEGRETOL CR 200 COMPR. FILM. ELIB. PREL. 200mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-6L 50 21.12 0.42 0.41 0.41 25 N03AF01 CARBAMAZEPINUM TEGRETOL CR 400 COMPR. FILM. ELIB. PREL. 400mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-6L 30 22.24 0.74 0.74 0.74

26 N03AF01 CARBAMAZEPINUM TIMONIL 150 RETARD COMPR. RET. 150mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 15.93 0.32 0.32 0.32 27 N03AF01 CARBAMAZEPINUM TIMONIL 300 RETARD COMPR. RET. 300mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 14.59 0.29 0.29 0.29 28 N03AF01 CARBAMAZEPINUM FINLEPSIN 400 RETARD COMPR. RET. 400mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL. P-6L 50 37.53 0.75 0.75 0.75 29 N03AF01 CARBAMAZEPINUM TIMONIL 600 RETARD COMPR. RET. 600mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 26.71 0.53 0.53 0.53 30 N03AF01 CARBAMAZEPINUM FINLEPSIN 200 RETARD COMPR.FILM.ELIB.PREL 200mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL-HARTIE/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL. P-6L 50 20.45 0.41 0.41 0.41 31 N03AF01 CARBAMAZEPINUM TIMONIL SIROP SUSP. ORALA 100mg/5ml DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE P-6L 1 15.93 15.93 15.93 15.93 32 N03AF02 OXCARBAZEPINUM TRILEPTAL (R) 300 mg COMPR. FILM. 300mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 50 64.08 1.28 1.28 1.28 33 N03AF02 OXCARBAZEPINUM TRILEPTAL (R) 600 mg COMPR. FILM. 600mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 50 116.1 2.32 2.32 2.32 34 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 150 mg CAPS. ELIB. PREL. 150mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG. P-6L 50 19.94 0.4 0.4 0.4 35 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 300 mg CAPS. ELIB. PREL. 300mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PREL. P-6L 50 35.24 0.7 0.7 0.7 36 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) 150 mg CAPS. MOI GASTROREZ. 150mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ. P-6L 100 15.8 0.16 0.16 0.16 37 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) 300 mg CAPS. MOI GASTROREZ. 300mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ. P-6L 100 23.53 0.24 0.24 0.24 38 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) 500 mg CAPS. MOI GASTROREZ. 500mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ. P-6L 100 37.38 0.37 0.37 0.37 39 N03AG01 ACIDUM VALPROICUM + SARURI PETILIN COMPR. FILM. 200mg REMEDICA LTD. CIPRU CUTIE X 40 COMPR. FILM. P-6L 40 16.8 0.42 0.42 0.42 40 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE CHRONO 300 mg COMPR. FILM. ELIB. PREL. DIVIZ. 300mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 2 FLAC. DIN PP X 50 COMPR. FILM. ELIB. PREL., DIVIZIBILE P-6L 100 84.51 0.85 0.85 0.85 41 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE (R) CHRONO 500 mg COMPR. FILM. ELIB. PREL. DIVIZ. 500mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. DIVIZIBILEP-6L 30 42.25 1.41 1.41 1.41 42 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL 150 COMPR. FILM. GASTROREZ. 150mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 COMPR.FILM. GASTROREZ. P-6L 100 23.51 0.24 0.24 0.24 43 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE 200 mg COMPR. FILM. GASTROREZ. 200mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. DIN PP X 40 COMPR. FILM. GASTROREZ. P-6L 40 15.55 0.39 0.39 0.39 44 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL 300 COMPR. FILM. GASTROREZ. 300mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 100 COMPR. FILM. GASTROREZ. P-6L 100 40.68 0.41 0.41 0.41 45 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL 600 COMPR. FILM. GASTROREZ. 600mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. FILM. GASTROREZ. P-6L 50 35.15 0.7 0.7 0.7

46 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE (R) 400 mg/4 ml LIOFILIZAT SI SOLVENT PENTRU SOLUTIE INJECTABILA i.v. LIOF. + SOLV. PT. SOL. 400mg/4ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 4 FLAC. CU LIOF. PT. SOL. INJ. + 4 FIOLE SOLV. X 4ML S/P-RF 4 116.65 29.16 29.16 29.16 47 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 1000 mg MINICOMPR. ELIB. PREL. 1000mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG. P-6L 50 97.46 1.95 1.95 1.95 48 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 500 mg MINICOMPR. ELIB. PREL. 500mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG. P-6L 50 57.94 1.16 1.16 1.16 49 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL SIROP SIROP 300mg/5ml DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLACON X 250 ML + LINGURITA DOZATOARE PP A 5 ML P-6L 1 38.4 38.4 38.4 38.4 50 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) SIROP 50mg/ml GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 FLACON X 100 ML SIROP + 1 SERINGA PT. ADMIN. ORALA (0,5-10,0 ML) P-6L 1 13.28 13.28 13.28 13.28 51 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE SIROP 57.64mg/ml SANOFI - AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA P-6L 1 21.58 21.58 21.58 21.58 52 N03AX09 LAMOTRIGINUM** LAMICTAL 100 mg COMPR. 100mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 108.35 3.61 0.9 0.9 53 N03AX09 LAMOTRIGINUM** EPIZOL 100 mg COMPR. 100mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 45.98 1.53 0.9 0.9 54 N03AX09 LAMOTRIGINUM** LAMOTIRAN 100 mg COMPR. 100mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 39.75 1.42 0.9 0.9 55 N03AX09 LAMOTRIGINUM** LAMOTIRAN 100 mg COMPR. 100mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 45.22 1.51 0.9 0.9 56 N03AX09 LAMOTRIGINUM** LAMOTRIX 100 mg COMPR. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 43.29 1.44 0.9 0.9 57 N03AX09 LAMOTRIGINUM** LAMOLEP 100 mg COMPR. 100mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 42.91 1.43 0.9 0.9 58 N03AX09 LAMOTRIGINUM** EPIMIL 100 mg COMPR. 100mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 10 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. P-6L 100 90.3 0.9 0.9 0.9 59 N03AX09 LAMOTRIGINUM** EPIMIL 100 mg COMPR. 100mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. P-6L 30 30.18 1.01 0.9 0.9 60 N03AX09 LAMOTRIGINUM** PLEXXO (R) 100 mg COMPR. 100mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 42.82 1.43 0.9 0.9 61 N03AX09 LAMOTRIGINUM** LAMOTIRAN 200 mg COMPR. 200mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 89.59 2.99 2.57 2.57 62 N03AX09 LAMOTRIGINUM** LAMOTIRAN 200 mg COMPR. 200mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 71.96 2.57 2.57 2.57 63 N03AX09 LAMOTRIGINUM** LAMOTRIX 200 mg COMPR. 200mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 77.8 2.59 2.57 2.57 64 N03AX09 LAMOTRIGINUM** LAMICTAL 25 mg COMPR. 25mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 28.39 0.95 0.38 0.38

65 N03AX09 LAMOTRIGINUM** EPIZOL 25 mg COMPR. 25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 15.91 0.53 0.38 0.38 66 N03AX09 LAMOTRIGINUM** LAMOTIRAN 25 mg COMPR. 25mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 13.44 0.48 0.38 0.38 67 N03AX09 LAMOTRIGINUM** LAMOTIRAN 25 mg COMPR. 25mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 15.61 0.52 0.38 0.38 68 N03AX09 LAMOTRIGINUM** LAMOTRIX 25 mg COMPR. 25mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 15.09 0.5 0.38 0.38 69 N03AX09 LAMOTRIGINUM** LAMOLEP 25 mg COMPR. 25mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 14.85 0.5 0.38 0.38 70 N03AX09 LAMOTRIGINUM** EPIMIL 25mg COMPR. 25mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. PVC--PVDC/PVC-AL X 10 COMPR. P-6L 30 11.41 0.38 0.38 0.38 71 N03AX09 LAMOTRIGINUM** PLEXXO (R) 25 mg COMPR. 25mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 14.62 0.49 0.38 0.38 72 N03AX09 LAMOTRIGINUM** PLEXXO (R) 50 mg COMPR. 50mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 25.93 0.86 0.61 0.61 73 N03AX09 LAMOTRIGINUM** LAMICTAL 50 mg COMPR. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 56.78 1.89 0.61 0.61 74 N03AX09 LAMOTRIGINUM** EPIZOL 50 mg COMPR. 50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 27.87 0.93 0.61 0.61 75 N03AX09 LAMOTRIGINUM** LAMOTIRAN 50 mg COMPR. 50mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 23.53 0.84 0.61 0.61 76 N03AX09 LAMOTRIGINUM** LAMOTIRAN 50 mg COMPR. 50mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 25.27 0.84 0.61 0.61 77 N03AX09 LAMOTRIGINUM** LAMOTRIX 50 mg COMPR. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 26.41 0.88 0.61 0.61 78 N03AX09 LAMOTRIGINUM** LAMOLEP 50 mg COMPR. 50mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 25.93 0.86 0.61 0.61 79 N03AX09 LAMOTRIGINUM** EPIMIL 50 mg COMPR. 50mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. P-6L 30 18.44 0.61 0.61 0.61 80 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 100 mg COMPR. DISP. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 30 45.22 1.51 0.95 0.95 81 N03AX09 LAMOTRIGINUM** LAMOTRIN 100 mg COMPR. DISP. 100mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L 30 28.53 0.95 0.95 0.95 82 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 25 mg COMPR. DISP. 25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 30 15.61 0.52 0.1 0.1 83 N03AX09 LAMOTRIGINUM** LAMOTRIN 25 mg COMPR. DISP. 25mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L 30 2.93 0.1 0.1 0.1 84 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 50 mg COMPR. DISP. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 30 25.28 0.84 0.65 0.65

Page 9 of 20

85 N03AX09 LAMOTRIGINUM** LAMOTRIN 50 mg COMPR. DISP. 50mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L 30 19.43 0.65 0.65 0.65 86 N03AX09 LAMOTRIGINUM** LAMICTAL 25 mg COMPR. DISP./MAST. 25mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISP./MAST. P-6L 30 36.46 1.22 0.1 0.1 87 N03AX09 LAMOTRIGINUM** LAMICTAL (R) 2 mg COMPR. DISP./MAST. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PE X 30 COMPR. DISP./MAST. P-6L 30 6.52 0.22 0.22 0.22 88 N03AX09 LAMOTRIGINUM** LAMICTAL 5 mg COMPR. DISP./MAST. 5mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISP./MAST. P-6L 30 6.99 0.23 0.23 0.23 89 N03AX11 TOPIRAMATUM** TOPAMAX 100 mg COMPR. FILM. 100mg JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. P-6L 28 155.33 5.55 5.19 5.19 90 N03AX11 TOPIRAMATUM** TOPRAN 100 mg COMPR. FILM. 100mg TERAPIA S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 311.41 5.19 5.19 5.19 91 N03AX11 TOPIRAMATUM** TOPAMAX 200 mg COMPR. FILM. 200mg JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. P-6L 28 310.65 11.09 8.95 8.95 92 N03AX11 TOPIRAMATUM** TOPRAN 200 mg COMPR. FILM. 200mg TERAPIA S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 536.99 8.95 8.95 8.95 93 N03AX11 TOPIRAMATUM** TOPAMAX 25 mg COMPR. FILM. 25mg JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. P-6L 28 38.86 1.39 1.25 1.25 94 N03AX11 TOPIRAMATUM** TOPRAN 25 mg COMPR. FILM. 25mg TERAPIA S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 74.93 1.25 1.25 1.25 95 N03AX11 TOPIRAMATUM** TOPAMAX 50 mg COMPR. FILM. 50mg JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. P-6L 28 77.66 2.77 2.5 2.5 96 N03AX11 TOPIRAMATUM** TOPRAN 50 mg COMPR. FILM. 50mg TERAPIA S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 149.76 2.5 2.5 2.5 97 N03AX12 GABAPENTINUM*** GABAGAMMA 100 mg CAPS. 100mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 46.34 0.46 0.42 0.42 98 N03AX12 GABAPENTINUM*** GABAGAMMA 100 mg CAPS. 100mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 24.41 0.49 0.42 0.42 99 N03AX12 GABAPENTINUM*** GABAGAMMA 100 mg CAPS. 100mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 11.7 0.59 0.42 0.42 100 N03AX12 GABAPENTINUM*** GABALEPT 100 mg CAPS. 100mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 42.44 0.42 0.42 0.42 101 N03AX12 GABAPENTINUM*** GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 57.81 1.16 1.08 1.08 102 N03AX12 GABAPENTINUM*** GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 24.29 1.21 1.08 1.08 103 N03AX12 GABAPENTINUM*** GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 109.84 1.1 1.08 1.08

104 N03AX12 GABAPENTINUM*** GABARAN 300 mg CAPS. 300mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 50 56.4 1.13 1.08 1.08 105 N03AX12 GABAPENTINUM*** GABALEPT 300 mg CAPS. 300mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 107.75 1.08 1.08 1.08 106 N03AX12 GABAPENTINUM*** GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 74.85 1.5 1.39 1.39 107 N03AX12 GABAPENTINUM*** GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 31.45 1.57 1.39 1.39 108 N03AX12 GABAPENTINUM*** GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 142.17 1.42 1.39 1.39 109 N03AX12 GABAPENTINUM*** GABARAN 400 mg CAPS. 400mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 50 72.85 1.46 1.39 1.39 110 N03AX12 GABAPENTINUM*** GABALEPT 400 mg CAPS. 400mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 139.44 1.39 1.39 1.39 111 N03AX12 GABAPENTINUM*** GABARAN 600 mg COMPR. FILM. 600mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L 30 63 2.1 2.1 2.1 112 N03AX12 GABAPENTINUM*** GABARAN 800 mg COMPR. FILM. 800mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L 30 83.98 2.8 2.8 2.8 113 N03AX14 LEVETIRACETAMUM** KEPPRA (R) 1000 mg COMPR. FILM. 1000mg UCB PHARMA SA BELGIA CUTIE X 30 COMPR. FILM.1 (BLIST. AL/PVC) P-RF 30 339.39 11.31 11.31 11.31 114 N03AX14 LEVETIRACETAMUM** KEPPRA (R) 500 mg COMPR. FILM. 500mg UCB PHARMA LTD BELGIA CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) P-RF 30 170.66 5.69 5.69 5.69 115 N03AX14 LEVETIRACETAMUM** KEPPRA 100 mg/ml SOL. ORALA 100mg/ml UCB PHARMA SA BELGIA CUTIE X 1 FLACON X 300 ML SOL. ORALA + SERINGA PT. ADMIN. ORALA P-RF 1 288.87 288.87 288.87 288.87 116 N03AX16 PREGABALINUM*** LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 73.46 5.25 5.25 5.25 117 N03AX16 PREGABALINUM*** LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 293.87 5.25 5.25 5.25 118 N03AX16 PREGABALINUM*** LYRICA 300 mg CAPS. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 390.08 6.97 6.97 6.97 119 N03AX16 PREGABALINUM*** LYRICA 300 mg CAPS. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 97.53 6.97 6.97 6.97 120 N03AX16 PREGABALINUM*** LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 48.75 3.48 3.48 3.48 121 N03AX16 PREGABALINUM*** LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 195.05 3.48 3.48 3.48 Tratamentul se initiaza de catre medicul in specialitatea neurologie 10. BOALA PARKINSON - G12 1 N04AA01 TRIHEXYPHENIDYLUM ROMPARKIN (R) 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 9.81 0.2 0.2 0.2

2 N04BA02 COMBINATII (LEVODOPUM + CARBIDOPUM)** NAKOM COMPR. 250mg+25mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 97.9 0.98 0.98 0.98 3 N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** MADOPAR HBS CAPS. ELIB. MODIF. 100mg+25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. CU ELIB. MODIF. P-6L 30 19.42 0.65 0.56 0.56 4 N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** MADOPAR HBS CAPS. ELIB. MODIF. 100mg+25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 CAPS. CU ELIB. MODIF. P-6L 100 56.33 0.56 0.56 0.56 5 N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** MADOPAR (R) 250 COMPR. 200mg+50mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-6L 30 33.27 1.11 1.11 1.11 6 N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** MADOPAR 250 COMPR. 200mg+50mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 34.49 1.15 1.11 1.11 7 N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO (R) 100 mg/25 mg/200 mg COMPR. FILM. 100mg/25mg/200mg ORION CORPORATION FINLANDA CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF 100 468.35 4.68 4.68 4.68 8 N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO (R) 150 mg/37,5 mg/200 mg COMPR. FILM. 150mg/37.5mg/200mg ORION CORPORATION FINLANDA CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF 100 500.9 5.01 5.01 5.01 9 N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO (R) 50 mg/12,5 mg/200 mg COMPR. FILM. 50mg/12.5mg/200mg ORION CORPORATION FINLANDA CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF 100 435.78 4.36 4.36 4.36 10 N04BB01 AMANTADINUM** VIREGYT (R) - K CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 CAPS. P-6L 50 12.12 0.24 0.24 0.24 11 N04BC01 BROMOCRIPTINUM BROCRIPTIN (G02CB01) DRAJ. 2.5mg BIOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 DRAJ. P-RF 40 14.09 0.35 0.35 0.35 12 N04BC04 ROPINIROLUM** REQUIP 0,25 mg COMPR. FILM. FARA CONCENTRATIE SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 4 FOLII = 1 X 21 COMPR.FILM. + 1 X 42 COMPR.FILM. + 1 X 63 COMPR.FILM. + 1 X 84 COMPR.FILM. P-6L 210 103.29 0.49 0.49 0.49 13 N04BC04 ROPINIROLUM** REQUIP 1 mg COMPR. FILM. FARA CONCENTRATIE SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 21 COMPR.FILM. P-6L 21 29.87 1.42 1.42 1.42 14 N04BC04 ROPINIROLUM** REQUIP 2 mg COMPR. FILM. FARA CONCENTRATIE SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 21 COMPR.FILM. P-6L 21 48.01 2.29 2.29 2.29 15 N04BC04 ROPINIROLUM** REQUIP 5 mg COMPR. FILM. FARA CONCENTRATIE SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 21 COMPR.FILM. P-6L 21 99.25 4.73 4.73 4.73 16 N04BC05 PRAMIPEXOLUM** MIRAPEXIN? 0,18 mg COMPR. 0.18mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-RF 30 40.07 1.34 1.34 1.34 17 N04BC05 PRAMIPEXOLUM** MIRAPEXIN? 0,7 mg COMPR. 0.7mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-RF 30 150.37 5.01 5.01 5.01 18 N04BC09 ROTIGOTINUM*** NEUPRO PLASTURE TRANSDERMIC 2mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF 28 338.28 12.08 12.08 12.08 19 N04BC09 ROTIGOTINUM*** NEUPRO PLASTURE TRANSDERMIC 2mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF 7 84.59 12.08 12.08 12.08 20 N04BC09 ROTIGOTINUM*** NEUPRO PLASTURE TRANSDERMIC 4mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF 7 104.49 14.93 14.93 14.93

21 N04BC09 ROTIGOTINUM*** NEUPRO PLASTURE TRANSDERMIC 4mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF 28 434.29 15.51 14.93 14.93 22 N04BC09 ROTIGOTINUM*** NEUPRO PLASTURE TRANSDERMIC 6mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF 28 539.59 19.27 19.27 19.27 23 N04BC09 ROTIGOTINUM*** NEUPRO PLASTURE TRANSDERMIC 6mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF 7 134.91 19.27 19.27 19.27 24 N04BC09 ROTIGOTINUM*** NEUPRO PLASTURE TRANSDERMIC 8mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF 28 651.86 23.28 23.28 23.28 25 N04BC09 ROTIGOTINUM*** NEUPRO PLASTURE TRANSDERMIC 8mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF 7 162.97 23.28 23.28 23.28 26 N04BD01 SELEGILINUM SELEGOS COMPR. 5mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 BLIST. DIN AL/PVC X 10 COMPR. P-6L 50 26.17 0.52 0.52 0.52 27 N04BD01 SELEGILINUM SELEGOS COMPR. 5mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. DIN AL/PVC X 10 COMPR. P-6L 100 52.38 0.52 0.52 0.52 28 N04BD01 SELEGILINUM ALS-SELEGILINA 5 mg COMPR. 5mg ALSIFCOM INTERMED SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. P-6L 60 35.37 0.59 0.52 0.52 29 N04BD01 SELEGILINUM JUMEX 5 mg COMPR. 5mg CHINOIN PRIVATE CO. LTD. UNGARIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. P-6L 50 30.79 0.62 0.52 0.52 30 N04BD02 RASAGILINUM*** AZILECT 1 mg COMPR. 1mg TEVA PHARMA GMBH GERMANIA CUTIE X 30 COMPR.(BLIST. AL/AL) P-RF 30 489.45 16.32 16.32 16.32 31 N04BX02 ENTACAPONUM*** COMTAN (R) COMPR. FILM. 200mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 100 COMPR. FILM. P-RF 100 366.02 3.66 3.66 3.66 32 N04BX02 ENTACAPONUM*** COMTAN (R) COMPR. FILM. 200mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 30 COMPR. FILM. P-RF 30 109.81 3.66 3.66 3.66 33 N05AH02 CLOZAPINUM** LEPONEX (R) 100 mg COMPR. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 99.68 1.99 1.99 1.99 34 N05AH02 CLOZAPINUM** LEPONEX (R) 25 mg COMPR. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 33.65 0.67 0.67 0.67 Tratamentul se initiaza de catre medicul in specialitatea neurologie Page 10 of 20

1 H02AB07 PREDNISONUM PREDNISON MAGISTRA 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.05 2 H02AB07 PREDNISONUM PREDNISON GEDEON RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.05 3 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.58 0.05 0.05 0.05 4 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 1.49 0.05 0.05 0.05 5 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.53 0.05 0.05 0.05 6 L01BA01 METHOTREXATUM4 7 L04AX01 AZATHIOPRINUM IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 54.95 0.55 0.55 0.55 8 N07AA01 NEOSTIGMINI BROMIDUM MIOSTIN 0,5 mg/ml SOL. INJ. 0.5mg/ml ZENTIVA S.A. ROMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. S/P-RF 10 1.94 0.19 0.19 0.19 9 N07AA01 NEOSTIGMINI BROMIDUM MIOSTIN 0,5 mg/ml SOL. INJ. 0.5mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. S/P-RF 5 2.71 0.54 0.19 0.19 10 N07AA02 PYRIDOSTIGMINI BROMIDUM MESTINON 60 mg DRAJ. 60mg ICN POLFA RZESZOW S.A. POLONIA CUTIE X 1 FLAC. X 20 DRAJ. S/P-RF 20 14.38 0.72 0.72 0.72 Tratamentul se initiaza de catre medicul in specialitatea neurologie 12. SCLEROZA MULTIPLA - G14 1 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 47.53 0.95 0.95 0.95 2 H02AB04 METHYLPREDNISOLONUM MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 35.65 1.78 1.78 1.78 3 H02AB04 METHYLPREDNISOLONUM MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF 30 11.88 0.4 0.4 0.4 4 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 125mg/2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. (COMPARTIMENT SUPERIOR P-RF 1 13.38 13.38 11.05 11.05 5 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 11.05 11.05 11.05 11.05 6 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 20 mg LIOF. PT. SOL. INJ. 20mg HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 33.07 2.2 2.2 2.2 7 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 27.91 27.91 27.91 27.91

8 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 40mg/1ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 5.93 5.93 3.53 3.53 9 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 52.88 3.53 3.53 3.53 10 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL 500 mg/7,8 ml LIOF. + SOLV. PT. SOL. INJ. 500mg/7.8ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FLAC. X 7,8 ML SOLV. P-RF 1 34.14 34.14 33.07 33.07 11 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 33.07 33.07 33.07 33.07 12 H02AB07 PREDNISONUM PREDNISON MAGISTRA 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.05 13 H02AB07 PREDNISONUM PREDNISON GEDEON RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.05 14 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.58 0.05 0.05 0.05 15 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 1.49 0.05 0.05 0.05 16 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.53 0.05 0.05 0.05 17 L01BA01 METHOTREXATUM4 18 L01DB07 MITOXANTRONUM*** ONKOTRONE CONC. PT. SOL. INJ. 2mg/ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ. S 1 648.21 648.21 648.21 648.21 19 L01DB07 MITOXANTRONUM*** MITOXANTRONE TEVA 2 mg/ml CONC. PT. SOL. PERF. 2 mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLACON X 10 ML CONC.PT. SOL. PERF. S 1 509.71 509.71 509.71 509.71 20 L01DB07 MITOXANTRONUM*** NOVANTRONE SOL. PERF. 20mg/10ml WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 1 FLACON DIN STICLA X 10 ML SOL. PERF. S 1 743.05 743.05 743.05 743.05 21 L04AX01 AZATHIOPRINUM IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 54.95 0.55 0.55 0.55 Tratamentul se initiaza de catre medicul in specialitatea neurologie 1 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 150 mg CAPS. ELIB. PREL. 150mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG. P-6L 50 19.94 0.4 0.4 0.4 2 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 300 mg CAPS. ELIB. PREL. 300mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PREL. P-6L 50 35.24 0.7 0.7 0.7 3 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) 150 mg CAPS. MOI GASTROREZ. 150mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ. P-6L 100 15.8 0.16 0.16 0.16 4 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) 300 mg CAPS. MOI GASTROREZ. 300mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ. P-6L 100 23.53 0.24 0.24 0.24 5 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) 500 mg CAPS. MOI GASTROREZ. 500mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ. P-6L 100 37.38 0.37 0.37 0.37

6 N03AG01 ACIDUM VALPROICUM + SARURI PETILIN COMPR. FILM. 200mg REMEDICA LTD. CIPRU CUTIE X 40 COMPR. FILM. P-6L 40 16.8 0.42 0.42 0.42 7 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE CHRONO 300 mg COMPR. FILM. ELIB. PREL. DIVIZ. 300mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 2 FLAC. DIN PP X 50 COMPR. FILM. ELIB. PREL., DIVIZIBILE P-6L 100 84.51 0.85 0.85 0.85 8 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE (R) CHRONO 500 mg COMPR. FILM. ELIB. PREL. DIVIZ. 500mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. DIVIZIBILEP-6L 30 42.25 1.41 1.41 1.41 9 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL 150 COMPR. FILM. GASTROREZ. 150mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 COMPR.FILM. GASTROREZ. P-6L 100 23.51 0.24 0.24 0.24 10 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE 200 mg COMPR. FILM. GASTROREZ. 200mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. DIN PP X 40 COMPR. FILM. GASTROREZ. P-6L 40 15.55 0.39 0.39 0.39 11 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL 300 COMPR. FILM. GASTROREZ. 300mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 100 COMPR. FILM. GASTROREZ. P-6L 100 40.68 0.41 0.41 0.41 12 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL 600 COMPR. FILM. GASTROREZ. 600mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. FILM. GASTROREZ. P-6L 50 35.15 0.7 0.7 0.7 13 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE (R) 400 mg/4 ml LIOFILIZAT SI SOLVENT PENTRU SOLUTIE INJECTABILA i.v. LIOF. + SOLV. PT. SOL. 400mg/4ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 4 FLAC. CU LIOF. PT. SOL. INJ. + 4 FIOLE SOLV. X 4ML S/P-RF 4 116.65 29.16 29.16 29.16 14 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 1000 mg MINICOMPR. ELIB. PREL. 1000mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG. P-6L 50 97.46 1.95 1.95 1.95 15 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL LONG 500 mg MINICOMPR. ELIB. PREL. 500mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG. P-6L 50 57.94 1.16 1.16 1.16 16 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL SIROP SIROP 300mg/5ml DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLACON X 250 ML + LINGURITA DOZATOARE PP A 5 ML P-6L 1 38.4 38.4 38.4 38.4 17 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX (R) SIROP 50mg/ml GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 FLACON X 100 ML SIROP + 1 SERINGA PT. ADMIN. ORALA (0,5-10,0 ML) P-6L 1 13.28 13.28 13.28 13.28 18 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE SIROP 57.64mg/ml SANOFI - AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA P-6L 1 21.58 21.58 21.58 21.58 19 N03AX09 LAMOTRIGINUM** LAMICTAL 100 mg COMPR. 100mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 108.35 3.61 0.9 0.9 20 N03AX09 LAMOTRIGINUM** EPIZOL 100 mg COMPR. 100mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 45.98 1.53 0.9 0.9 21 N03AX09 LAMOTRIGINUM** LAMOTIRAN 100 mg COMPR. 100mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 39.75 1.42 0.9 0.9 22 N03AX09 LAMOTRIGINUM** LAMOTIRAN 100 mg COMPR. 100mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 45.22 1.51 0.9 0.9 23 N03AX09 LAMOTRIGINUM** LAMOTRIX 100 mg COMPR. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 43.29 1.44 0.9 0.9 24 N03AX09 LAMOTRIGINUM** LAMOLEP 100 mg COMPR. 100mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 42.91 1.43 0.9 0.9

25 N03AX09 LAMOTRIGINUM** EPIMIL 100 mg COMPR. 100mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 10 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. P-6L 100 90.3 0.9 0.9 0.9 26 N03AX09 LAMOTRIGINUM** EPIMIL 100 mg COMPR. 100mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. P-6L 30 30.18 1.01 0.9 0.9 27 N03AX09 LAMOTRIGINUM** PLEXXO (R) 100 mg COMPR. 100mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 42.82 1.43 0.9 0.9 28 N03AX09 LAMOTRIGINUM** LAMOTIRAN 200 mg COMPR. 200mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 89.59 2.99 2.57 2.57 29 N03AX09 LAMOTRIGINUM** LAMOTIRAN 200 mg COMPR. 200mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 71.96 2.57 2.57 2.57 30 N03AX09 LAMOTRIGINUM** LAMOTRIX 200 mg COMPR. 200mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 77.8 2.59 2.57 2.57 31 N03AX09 LAMOTRIGINUM** LAMICTAL 25 mg COMPR. 25mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 28.39 0.95 0.38 0.38 32 N03AX09 LAMOTRIGINUM** EPIZOL 25 mg COMPR. 25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 15.91 0.53 0.38 0.38 33 N03AX09 LAMOTRIGINUM** LAMOTIRAN 25 mg COMPR. 25mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 13.44 0.48 0.38 0.38 34 N03AX09 LAMOTRIGINUM** LAMOTIRAN 25 mg COMPR. 25mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 15.61 0.52 0.38 0.38 35 N03AX09 LAMOTRIGINUM** LAMOTRIX 25 mg COMPR. 25mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 15.09 0.5 0.38 0.38 11. MIASTENIA GRAVIS - G13 Medicamentele specifice se prescriu numai pentru pacientii inclusi in Programul National de boli neurologice (Subprogramul de tratament al screlozei multiple) 13. BOLI PSIHICE (SCHIZOFRENIE, TULBURARI SCHIZOTIPALE SI DELIRANTE, TULBURARI AFECTIVE MAJORE, TULBURARI PSIHOTICE ACUTE SI BOLI PSIHICE COPII, AUTISM) - G15 Page 11 of 20

36 N03AX09 LAMOTRIGINUM** LAMOLEP 25 mg COMPR. 25mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 14.85 0.5 0.38 0.38 37 N03AX09 LAMOTRIGINUM** EPIMIL 25mg COMPR. 25mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. PVC--PVDC/PVC-AL X 10 COMPR. P-6L 30 11.41 0.38 0.38 0.38 38 N03AX09 LAMOTRIGINUM** PLEXXO (R) 25 mg COMPR. 25mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 14.62 0.49 0.38 0.38 39 N03AX09 LAMOTRIGINUM** PLEXXO (R) 50 mg COMPR. 50mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 25.93 0.86 0.61 0.61 40 N03AX09 LAMOTRIGINUM** LAMICTAL 50 mg COMPR. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 56.78 1.89 0.61 0.61 41 N03AX09 LAMOTRIGINUM** EPIZOL 50 mg COMPR. 50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 27.87 0.93 0.61 0.61 42 N03AX09 LAMOTRIGINUM** LAMOTIRAN 50 mg COMPR. 50mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 23.53 0.84 0.61 0.61 43 N03AX09 LAMOTRIGINUM** LAMOTIRAN 50 mg COMPR. 50mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 25.27 0.84 0.61 0.61 44 N03AX09 LAMOTRIGINUM** LAMOTRIX 50 mg COMPR. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 26.41 0.88 0.61 0.61 45 N03AX09 LAMOTRIGINUM** LAMOLEP 50 mg COMPR. 50mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 25.93 0.86 0.61 0.61 46 N03AX09 LAMOTRIGINUM** EPIMIL 50 mg COMPR. 50mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. P-6L 30 18.44 0.61 0.61 0.61 47 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 100 mg COMPR. DISP. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 30 45.22 1.51 0.95 0.95 48 N03AX09 LAMOTRIGINUM** LAMOTRIN 100 mg COMPR. DISP. 100mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L 30 28.53 0.95 0.95 0.95 49 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 25 mg COMPR. DISP. 25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 30 15.61 0.52 0.1 0.1 50 N03AX09 LAMOTRIGINUM** LAMOTRIN 25 mg COMPR. DISP. 25mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L 30 2.93 0.1 0.1 0.1 51 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 50 mg COMPR. DISP. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 30 25.28 0.84 0.65 0.65 52 N03AX09 LAMOTRIGINUM** LAMOTRIN 50 mg COMPR. DISP. 50mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L 30 19.43 0.65 0.65 0.65 53 N03AX09 LAMOTRIGINUM** LAMICTAL 25 mg COMPR. DISP./MAST. 25mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISP./MAST. P-6L 30 36.46 1.22 0.1 0.1 54 N03AX09 LAMOTRIGINUM** LAMICTAL (R) 2 mg COMPR. DISP./MAST. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PE X 30 COMPR. DISP./MAST. P-6L 30 6.52 0.22 0.22 0.22

55 N03AX09 LAMOTRIGINUM** LAMICTAL 5 mg COMPR. DISP./MAST. 5mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISP./MAST. P-6L 30 6.99 0.23 0.23 0.23 56 N04AA01 TRIHEXYPHENIDYLUM ROMPARKIN (R) 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 9.81 0.2 0.2 0.2 57 N05AD01 HALOPERIDOLUM HALDOL COMPR. 5mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 29.27 1.17 1.17 1.17 58 N05AD01 HALOPERIDOLUM HALOPERIDOL 2 mg/ml PIC. ORALE-SOL. 2mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE P-RF 1 4.75 4.75 3.35 3.35 59 N05AD01 HALOPERIDOLUM HALOPERIDOL PICATURI ORALE-SOL. 2mg/ml TERAPIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 3.35 3.35 3.35 3.35 60 N05AD01 HALOPERIDOLUM HALOPERIDOL DECANOAT SOL. INJ. 50mg/ml GEDEON RICHTER LTD. UNGARIA CUTIE X 5 FIOLE X 1 ML P-RF 5 81.18 16.24 16.24 16.24 61 N05AD01 HALOPERIDOLUM HALOPERIDOL 5 mg/ml SOL. INJ. 5mg/ml GEDEON RICHTER LTD. UNGARIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. P-RF 5 9.06 1.81 1.81 1.81 62 N05AE03 SERTINDOL** SERDOLECT 12 mg COMPR. FILM. 12mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 318.86 11.39 11.39 11.39 63 N05AE03 SERTINDOL** SERDOLECT 16 mg COMPR. FILM. 16mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 425.14 15.18 15.18 15.18 64 N05AE03 SERTINDOL** SERDOLECT 20 mg COMPR. FILM. 20mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 471.5 16.84 16.84 16.84 65 N05AE03 SERTINDOL** SERDOLECT 4 mg COMPR. FILM. 4mg H. LUNDBECK A/S DANEMARCA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 113.88 3.8 3.8 3.8 66 N05AE04 ZIPRASIDONUM** ZELDOX (R) 40 mg CAPS. 40mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 4 BLIST. X 14 CAPS. P-RF 56 434.32 7.76 7.76 7.76 67 N05AE04 ZIPRASIDONUM** ZELDOX (R) 60 mg CAPS. 60mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 4 BLIST. X 14 CAPS. P-RF 56 470.07 8.39 8.39 8.39 68 N05AE04 ZIPRASIDONUM** ZELDOX (R) 80 mg CAPS. 80mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 4 BLIST. X 14 CAPS. P-RF 56 549.02 9.8 9.8 9.8 69 N05AE04 ZIPRASIDONUM** ZELDOX (R) 20 mg/ml LIOF. PT. SOL. INJ. + SOLV. 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 1,2 ML SOLV. S/P-RF 1 51.68 51.68 51.68 51.68 70 N05AF01 FLUPENTIXOLUM** FLUANXOL DEPOT SOL. INJ. 20mg/ml H. LUNDBECK A/S DANEMARCA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF 10 110.8 11.08 11.08 11.08 71 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL (R) 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA FLAC. X 50 COMPR. FILM. P-RF 50 22.1 0.44 0.44 0.44 72 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL (R) 25 mg COMPR. FILM. 25mg H. LUNDBECK A/S DANEMARCA FLAC. X 50 COMPR. FILM. P-RF 50 45.28 0.91 0.91 0.91 73 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL 20 mg/ml PIC. ORALE-SOL. 20mg/ml H. LUNDBECK A/S DANEMARCA CUTIE X 1 FLAC. + CAPAC SECURIZAT PT. COPII X 20 ML P-RF 1 23.95 23.95 23.95 23.95 74 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL (R) DEPOT SOL. INJ. 200mg/ml H. LUNDBECK A/S DANEMARCA CUTIE X 10 FIOLE X 1 ML P-RF 10 138.01 13.8 13.8 13.8

75 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL ACUPHASE (R) SOL. INJ. 50mg/ml H. LUNDBECK A/S DANEMARCA CUTIE X 5 FIOLE X 1 ML P-RF 5 38.61 7.72 7.72 7.72 76 N05AH02 CLOZAPINUM** LEPONEX (R) 100 mg COMPR. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 99.68 1.99 1.99 1.99 77 N05AH02 CLOZAPINUM** LEPONEX (R) 25 mg COMPR. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 33.65 0.67 0.67 0.67 78 N05AH03 OLANZAPINUM** ZYPREXA 10 mg COMPR. FILM. 10mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 7 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE) P-RF 28 435.26 15.55 15.55 15.55 79 N05AH03 OLANZAPINUM** ZYPREXA 5 mg COMPR. FILM. 5mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE) P-RF 28 217.64 7.77 7.77 7.77 80 N05AH03 OLANZAPINUM** ZYPREXA VELOTAB 15 mg COMPR. ORODISPERSABILE 15mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL ) P-RF 28 723.65 25.84 25.84 25.84 81 N05AH03 OLANZAPINUM** ZYPREXA VELOTAB 20 mg COMPR. ORODISPERSABILE 20mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL ) P-RF 28 964.87 34.46 34.46 34.46 82 N05AH03 OLANZAPINUM** ZYPREXA 10 mg pulbere pentru solutie injectabila PULB. PT. SOL. INJ. 10mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC. X 10 MG PULB.PT.SOL.INJ. P-RF 1 15.73 15.73 15.73 15.73 83 N05AH04 QUETIAPINUM** SEROQUEL 100mg COMPR. FILM. 100mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 6 BLIST. AL/ PVC X 10 COMPR. FILM. P-RF 60 208.6 3.48 3.48 3.48 84 N05AH04 QUETIAPINUM SEROQUEL 200 mg COMPR. FILM. 200mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 60 345.82 5.76 5.76 5.76 85 N05AH04 QUETIAPINUM SEROQUEL (R) 300 mg COMPR. FILM. 300mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 603.27 10.05 10.05 10.05 86 N05AH04 QUETIAPINUM SEROQUEL XR 200 mg COMPR. FILM. ELIB. PREL. 200mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 6 BLIST. OPACE AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL. P-RF 60 699.95 11.67 11.67 11.67 87 N05AH04 QUETIAPINUM SEROQUEL XR 300 mg COMPR. FILM. ELIB. PREL. 300mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 6 BLIST. OPACE AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL. P-RF 60 1060.33 17.67 17.67 17.67 88 N05AL01 SULPIRIDUM EGLONYL (R) 50 mg CAPS. 50mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 2 BLIST. X 15 CAPS. P-RF 30 13.94 0.46 0.46 0.46 89 N05AL01 SULPIRIDUM EGLONYL (R) 200 mg COMPR. 200mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 1 BLIST. X 12 COMPR. P-RF 12 10.2 0.85 0.85 0.85 90 N05AL01 SULPIRIDUM EGLONYL 100 mg/2 ml SOL. INJ. 50mg/ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 6 FIOLE X 2 ML P-RF 6 13.01 2.17 2.17 2.17 91 N05AL05 AMISULPRIDUM** SOLIAN 200 mg COMPR. DIVIZ. 200mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. DIVIZ. P-RF 30 183.43 6.11 6.11 6.11 92 N05AL05 AMISULPRIDUM** SOLIAN (R) 400 mg COMPR. FILM. 400mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 344.13 11.47 11.47 11.47 93 N05AX08 RISPERIDONUM** RISSET 1 mg COMPR. FILM. 1 mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 20 6.28 0.31 0.29 0.29 94 N05AX08 RISPERIDONUM** RISSET 1 mg COMPR. FILM. 1 mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 6 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 60 18.33 0.31 0.29 0.29

95 N05AX08 RISPERIDONUM** RISPOLEPT (R) 1 mg COMPR. FILM. 1mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 2 BLIST. PVC-LDPE-PVDC/AL X 10 COMPR. FILM. P-RF 20 46.9 2.35 0.29 0.29 96 N05AX08 RISPERIDONUM** RISPEN 1 COMPR. FILM. 1mg ZENTIVA AS CEHIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 23.78 0.48 0.29 0.29 97 N05AX08 RISPERIDONUM** RISPEN 1 COMPR. FILM. 1mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 9.52 0.48 0.29 0.29 98 N05AX08 RISPERIDONUM** RILEPTID 1 mg COMPR. FILM. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 44.32 0.74 0.29 0.29 99 N05AX08 RISPERIDONUM** TORENDO 1 mg COMPR. FILM. 1mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 10.4 0.35 0.29 0.29 100 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 6.42 0.32 0.29 0.29 101 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 17.68 0.29 0.29 0.29 102 N05AX08 RISPERIDONUM** RISPERIDONA 1 mg COMPR. FILM. 1mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. P-RF 20 6.27 0.31 0.29 0.29 103 N05AX08 RISPERIDONUM** RISPEN 2 COMPR. FILM. 2 mg ZENTIVA AS CEHIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 47.56 0.95 0.58 0.58 104 N05AX08 RISPERIDONUM** RISPEN 2 COMPR. FILM. 2 mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 19.03 0.95 0.58 0.58 105 N05AX08 RISPERIDONUM** RISSET 2 mg COMPR. FILM. 2 mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 6 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 60 34.97 0.58 0.58 0.58 106 N05AX08 RISPERIDONUM** RISSET 2 mg COMPR. FILM. 2 mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 20 11.66 0.58 0.58 0.58 107 N05AX08 RISPERIDONUM** RISPOLEPT (R) 2 mg COMPR. FILM. 2mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 2 BLIST. PVC-LDPE-PVDC/AL X 10 COMPR. FILM. P-RF 20 87.15 4.36 0.58 0.58 108 N05AX08 RISPERIDONUM** RILEPTID 2 mg COMPR. FILM. 2mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 88.18 1.47 0.58 0.58 109 N05AX08 RISPERIDONUM** TORENDO 2 mg COMPR. FILM. 2mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 19.4 0.65 0.58 0.58 110 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 2 mg COMPR. FILM. 2mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 11.55 0.58 0.58 0.58 111 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 2 mg COMPR. FILM. 2mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 34.66 0.58 0.58 0.58 112 N05AX08 RISPERIDONUM** RISON 2 mg COMPR. FILM. 2mg ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 15.98 0.8 0.58 0.58 113 N05AX08 RISPERIDONUM** RISPERIDONA 2 mg COMPR. FILM. 2mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. P-RF 20 11.65 0.58 0.58 0.58 Page 12 of 20

114 N05AX08 RISPERIDONUM** RISPOLEPT (R) 3 mg COMPR. FILM. 3mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 2 BLIST. PVC-LDPE-PVDC/AL X 10 COMPR. FILM. P-RF 20 128.11 6.41 0.92 0.92 115 N05AX08 RISPERIDONUM** RISPEN 3 COMPR. FILM. 3mg ZENTIVA AS CEHIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 71.32 1.43 0.92 0.92 116 N05AX08 RISPERIDONUM** RISPEN 3 COMPR. FILM. 3mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 28.54 1.43 0.92 0.92 117 N05AX08 RISPERIDONUM** RISSET 3 mg COMPR. FILM. 3mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 6 BLIST. PVC/PVDC-AL X 10 COMP. FILM. P-RF 60 59.22 0.99 0.92 0.92 118 N05AX08 RISPERIDONUM** RISSET 3 mg COMPR. FILM. 3mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 20 19.73 0.99 0.92 0.92 119 N05AX08 RISPERIDONUM** RILEPTID 3 mg COMPR. FILM. 3mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 140.24 2.34 0.92 0.92 120 N05AX08 RISPERIDONUM** TORENDO 3 mg COMPR. FILM. 3mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 27.72 0.92 0.92 0.92 121 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 3 mg COMPR. FILM. 3mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 19.66 0.98 0.92 0.92 122 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 3 mg COMPR. FILM. 3mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 58.99 0.98 0.92 0.92 123 N05AX08 RISPERIDONUM** RISON 3 mg COMPR. FILM. 3mg ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 24.44 1.22 0.92 0.92 124 N05AX08 RISPERIDONUM** RISPERIDONA 3 mg COMPR. FILM. 3mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. P-RF 20 19.72 0.99 0.92 0.92 125 N05AX08 RISPERIDONUM** RISPEN 4 COMPR. FILM. 4 mg ZENTIVA AS CEHIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 95.09 1.9 1.27 1.27 126 N05AX08 RISPERIDONUM** RISPEN 4 COMPR. FILM. 4 mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 38.02 1.9 1.27 1.27 127 N05AX08 RISPERIDONUM** RISPOLEPT (R) 4 mg COMPR. FILM. 4mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 2 BLIST. PVC-LDPE-PVDC/AL X 10 COMPR. FILM. P-RF 20 178.04 8.9 1.27 1.27 128 N05AX08 RISPERIDONUM** RISSET 4 mg COMPR. FILM. 4mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 20 26.32 1.32 1.27 1.27 129 N05AX08 RISPERIDONUM** RISSET 4 mg COMPR. FILM. 4mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 6 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 60 78.95 1.32 1.27 1.27 130 N05AX08 RISPERIDONUM** RILEPTID 4 mg COMPR. FILM. 4mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 181.07 3.02 1.27 1.27 131 N05AX08 RISPERIDONUM** TORENDO 4 mg COMPR. FILM. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 38.12 1.27 1.27 1.27 132 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 4 mg COMPR. FILM. 4mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 78.79 1.31 1.27 1.27

133 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 4 mg COMPR. FILM. 4mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 26.26 1.31 1.27 1.27 134 N05AX08 RISPERIDONUM** RISON 4 mg COMPR. FILM. 4mg ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 33.84 1.69 1.27 1.27 135 N05AX08 RISPERIDONUM** RISPERIDONA 4 mg COMPR. FILM. 4mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. P-RF 20 26.31 1.32 1.27 1.27 136 N05AX08 RISPERIDONUM** RISPOLEPT QUICKLET COMPR. ORODISPERSABILE 1mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 14 BLIST. PVC-AL-PCTFE/AL X 4 COMPR. ORODISPERSABILE P-RF 56 190.16 3.4 0.57 0.57 137 N05AX08 RISPERIDONUM** RISPOLEPT QUICKLET COMPR. ORODISPERSABILE 1mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 14 BLIST. PVC-AL-PA/AL X 4 COMPR. ORODISPERSABILE P-RF 56 190.16 3.4 0.57 0.57 138 N05AX08 RISPERIDONUM** TORENDO Q-TAB 1 mg COMPR. ORODISPERSABILE 1mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE P-RF 30 17.19 0.57 0.57 0.57 139 N05AX08 RISPERIDONUM** RISPOLEPT QUICKLET COMPR. ORODISPERSABILE 2mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 14 BLIST. PVC-AL-PCTFE/AL X 4 COMPR. ORODISPERSABILE P-RF 56 370.97 6.62 1.18 1.18 140 N05AX08 RISPERIDONUM** RISPOLEPT QUICKLET COMPR. ORODISPERSABILE 2mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 14 BLIST. PVC-AL-PA/AL X 4 COMPR. ORODISPERSABILE P-RF 56 370.97 6.62 1.18 1.18 141 N05AX08 RISPERIDONUM** TORENDO Q-TAB 2 mg COMPR. ORODISPERSABILE 2mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE P-RF 30 35.51 1.18 1.18 1.18 142 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA (R) 25 mg PULB. + SOLV. PT. SOL. INJ. 25mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLAC. PULB. PT. SUSP. INJ. + 1 SERINGA PREUMPLUTA X 2 ML SOLV. + 1 CUTIE X 2 ACE HYPOINT S S/P-RF 1 534.04 534.04 534.04 534.04 143 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA (R) 37,5 mg PULB. + SOLV. PT. SOL. INJ. 37.5mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLAC. PULB. PT. SUSP. INJ. + 1 SERINGA PREUMPLUTA X 2 ML SOLV. + 1 CUTIE X 2 ACE HYPOINT S S/P-RF 1 756.98 756.98 756.98 756.98 144 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA (R) 50 mg PULB. + SOLV. PT. SOL. INJ. 50mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLAC. PULB. PT. SUSP. INJ. + 1 SERINGA PREUMPLUTA X 2 ML SOLV. + 1 CUTIE X 2 ACE HYPOINT S S/P-RF 1 952.02 952.02 952.02 952.02 145 N05AX08 RISPERIDONUM** RISPOLEPT SOL. ORALA 1mg/ml JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + 1 PIPETA P-RF 1 254.27 254.27 82.73 82.73 146 N05AX08 RISPERIDONUM** RISPOLEPT SOL. ORALA 1mg/ml JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLACON DIN STICLA BRUNA X 30 ML SOL. ORALA + 1 PIPETA P-RF 1 82.73 82.73 82.73 82.73 147 N05AX12 ARIPIPRAZOLUM** ABILIFY 10 mg COMPR. 10mg OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 COMPR. P-RF 28 423.04 15.11 15.11 15.11 148 N05AX12 ARIPIPRAZOLUM** ABILIFY 15 mg COMPR. 15mg OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 COMPR. P-RF 28 423.04 15.11 15.11 15.11 149 N06AB04 CITALOPRAMUM** CITALORAN 10 mg COMPR. FILM. 10mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF 28 10 0.36 0.36 0.36 150 N06AB04 CITALOPRAMUM** LINISAN 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 28.94 0.96 0.36 0.36

151 N06AB04 CITALOPRAMUM** CITALORAN 20mg COMPR. FILM. 20mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF 28 14.48 0.52 0.52 0.52 152 N06AB04 CITALOPRAMUM** LINISAN 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 57.63 1.92 0.52 0.52 153 N06AB04 CITALOPRAMUM** CITALORAN 40 mg COMPR. FILM. 40mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF 28 25.04 0.89 0.89 0.89 154 N06AB04 CITALOPRAMUM** LINISAN 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 110.02 3.67 0.89 0.89 155 N06AB10 ESCITALOPRAMUM** CIPRALEX (R) 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. ALBE PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 28 83.59 2.99 2.99 2.99 156 N06AB10 ESCITALOPRAMUM** CIPRALEX (R) 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 1 BLIST. ALB PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 14 45.27 3.23 2.99 2.99 157 N06AB10 ESCITALOPRAMUM** CIPRALEX (R) 5 mg COMPR. FILM. 5mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. ALBE PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 28 41.56 1.48 1.48 1.48 158 N06AX05 TRAZODONUM** TRITTICO AC 150 mg COMPR. ELIB. PREL. 150mg ANGELINI FRANCESCO SPA ITALIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF 20 33.43 1.67 1.67 1.67 159 N06AX14 TIANEPTINUM** COAXIL (R) DRAJ. 12.5mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ. P-RF 30 28.34 0.94 0.94 0.94 160 N06AX16 VENLAFAXINUM** EFECTIN ER 150 mg CAPS. ELIB. PREL. 150mg WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. P-RF 28 174.28 6.22 4.12 4.12 161 N06AX16 VENLAFAXINUM** VELAXIN 150 mg CAPS. ELIB. PREL. 150mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 115.34 4.12 4.12 4.12 162 N06AX16 VENLAFAXINUM** EFECTIN ER 75 mg CAPS. ELIB. PREL. 75mg WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. P-RF 28 87.14 3.11 2.15 2.15 163 N06AX16 VENLAFAXINUM** VELAXIN 75 mg CAPS. ELIB. PREL. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL P-RF 28 60.07 2.15 2.15 2.15 164 N06AX16 VENLAFAXINUM** VENLAFAXINA LPH 37,5 mg COMPR. 37.5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF 60 90.23 1.5 1.15 1.15 165 N06AX16 VENLAFAXINUM** VELAXIN 37,5 mg COMPR. 37.5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 56 64.39 1.15 1.15 1.15 166 N06AX16 VENLAFAXINUM** VENLAFAXINA LPH 75 mg COMPR. 75mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 173.18 2.89 2.09 2.09 167 N06AX16 VENLAFAXINUM** VELAXIN 75 mg COMPR. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 56 116.94 2.09 2.09 2.09 168 N06AX17 MILNACIPRANUM** IXEL CAPS. 25mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF 56 54.11 0.97 0.97 0.97 169 N06AX17 MILNACIPRANUM** IXEL CAPS. 50mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF 56 96.93 1.73 1.73 1.73 170 N06AX21 DULOXETINUM** CYMBALTA 30mg CAPS. GASTROREZ. 30mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF 28 86.48 3.09 3.09 3.09

171 N06AX21 DULOXETINUM** CYMBALTA 60 mg CAPS. GASTROREZ. 60mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF 28 147.45 5.27 5.27 5.27 Tratamentul se initiaza de catre medicul in specialitatea psihiatrie 1 N06DA02 DONEPEZILUM*** ARICEPT (R) 10 mg COMPR. FILM. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. P-RF 28 302.18 10.79 10.79 10.79 2 N06DA02 DONEPEZILUM*** ARICEPT (R) 5 mg COMPR. FILM. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 28 302.18 10.79 10.79 10.79 3 N06DA02 DONEPEZILUM*** ARICEPT EVESS COMPR. ORODISPERSABILE 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC-PVDC-PE-PVDC-PVC X 14 COMPR. ORODISPERSABILE P-RF 28 363.09 12.97 12.97 12.97 4 N06DA02 DONEPEZILUM*** ARICEPT EVESS COMPR. ORODISPERSABILE 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC-PVDC-PE-PVDC-PVC X 14 COMPR. ORODISPERSABILE P-RF 28 334.8 11.96 11.96 11.96 5 N06DA03 RIVASTIGMINUM*** EXELON CAPS. 1.5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/AL X 14 CAPS. P-RF/R 56 309.71 5.53 5.53 5.53 6 N06DA03 RIVASTIGMINUM*** EXELON CAPS. 1.5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC/AL X 14 CAPS. P-RF/R 28 154.84 5.53 5.53 5.53 7 N06DA03 RIVASTIGMINUM*** EXELON CAPS. 3mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/AL X 14 CAPS. P-RF/R 56 309.71 5.53 5.53 5.53 8 N06DA03 RIVASTIGMINUM*** EXELON CAPS. 3mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC/AL X 14 CAPS. P-RF/R 28 154.84 5.53 5.53 5.53 9 N06DA03 RIVASTIGMINUM*** EXELON CAPS. 4.5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/AL X 14 CAPS. P-RF/R 56 309.71 5.53 5.53 5.53 10 N06DA03 RIVASTIGMINUM*** EXELON CAPS. 4.5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC/AL X 14 CAPS. P-RF/R 28 154.84 5.53 5.53 5.53 11 N06DA03 RIVASTIGMINUM*** EXELON CAPS. 6mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/AL X 14 CAPS. P-RF/R 56 309.71 5.53 5.53 5.53 12 N06DA03 RIVASTIGMINUM*** EXELON CAPS. 6mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC/AL X 14 CAPS. P-RF/R 28 154.84 5.53 5.53 5.53 13 N06DA03 RIVASTIGMINUM*** EXELON PLASTURE TRANSDERMIC 4.6mg/24h NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC P-RF/R 30 414.49 13.82 13.82 13.82 14 N06DA03 RIVASTIGMINUM*** EXELON PLASTURE TRANSDERMIC 9.5mg/24h NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC P-RF/R 30 414.49 13.82 13.82 13.82 15 N06DA04 GALANTAMINUM*** REMINYL 16 mg CAPS. ELIB. PREL. 16mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL. P-RF 28 331.31 11.83 11.83 11.83 14. DEMENTE(DEGENERATIVE, VASCULARE, MIXTE) - G 16 Page 13 of 20

16 N06DA04 GALANTAMINUM*** REMINYL 24 mg CAPS. ELIB. PREL. 24mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL. P-RF 28 363.51 12.98 12.98 12.98 17 N06DA04 GALANTAMINUM*** REMINYL 8 mg CAPS. ELIB. PREL. 8mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL. P-RF 28 222.24 7.94 7.94 7.94 18 N06DA04 GALANTAMINUM*** REMINYL (R) 12 mg COMPR. FILM. 12mg JANSSEN-PHARMACEUTICA NV BELGIA CUTIE X 4 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-RF 56 350.9 6.27 6.27 6.27 19 N06DA04 GALANTAMINUM*** REMINYL (R) 4 mg COMPR. FILM. 4mg JANSSEN-PHARMACEUTICA NV BELGIA CUTIE X 1 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-RF 14 57.19 4.09 4.09 4.09 20 N06DA04 GALANTAMINUM*** REMINYL (R) 8 mg COMPR. FILM. 8mg JANSSEN-PHARMACEUTICA NV BELGIA CUTIE X 4 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-RF 56 319.97 5.71 5.71 5.71 21 N06DA04 GALANTAMINUM*** REMINYL (R) 8 mg COMPR. FILM. 8mg JANSSEN-PHARMACEUTICA NV BELGIA CUTIE X 1 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-RF 14 85.9 6.14 5.71 5.71 22 N06DA04 GALANTAMINUM*** REMINYL (R) 4 mg/ml SOL. ORALA 4mg/ml JANSSEN-PHARMACEUTICA NV BELGIA CUTIE X 1 FLACON X 100 ML + 1 PIPETA DOZATOARE P-RF 1 237.96 237.96 237.96 237.96 23 N06DX01 MEMANTINUM*** EBIXA (R) 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 56 COMPR. FILM. (BLIST. AL/PP) P-RF/R 56 404.95 7.23 7.23 7.23 24 N06DX01 MEMANTINUM*** EBIXA (R) 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 28 COMPR. FILM. (BLIST. AL/PP) P-RF/R 28 224.76 8.03 7.23 7.23 25 N06DX01 MEMANTINUM*** EBIXA (R) 10 mg/g PIC. ORALE, SOL. 10mg/g H. LUNDBECK A/S DANEMARCA CUTIE X 1 FLACON, DIN STICLA BRUNA, PICURATOR X 50 G SOLUTIE P-RF/R 1 401.25 401.25 167.2 167.2 26 N06DX01 MEMANTINUM*** EBIXA (R) 10 mg/g PIC. ORALE, SOL. 10mg/g H. LUNDBECK A/S DANEMARCA CUTIE X 1 FLACON, DIN STICLA BRUNA, PICURATOR X 100 G SOLUTIE P-RF/R 1 802.46 802.46 167.2 167.2 27 N06DX01 MEMANTINUM*** EBIXA (R) 10 mg/g PIC. ORALE, SOL. 10mg/g H. LUNDBECK A/S DANEMARCA CUTIE X 1 FLACON, DIN STICLA BRUNA, PICURATOR X 20 G SOLUTIE P-RF/R 1 167.2 167.2 167.2 167.2 Tratamentul se initiaza de catre medicul in specialitatea psihiatrie, neurologie sau geriatrie 1 H02AB04 METHYLPREDNISOLONUM5 MEDROL A 16 COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 47.53 0.95 0.95 0.95 2 H02AB04 METHYLPREDNISOLONUM5 MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 35.65 1.78 1.78 1.78 3 H02AB04 METHYLPREDNISOLONUM5 MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF 30 11.88 0.4 0.4 0.4 4 L01AA01 CYCLOPHOSPHAMIDUM* ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 25.71 0.51 0.51 0.51 5 L01AA01 CYCLOPHOSPHAMIDUM* ENDOXAN (R) 1 g PULB. PT. SOL. INJ./PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF./INJ. S 1 32.83 32.83 32.83 32.83 6 L01AA01 CYCLOPHOSPHAMIDUM* ENDOXAN (R) 500 mg PULB. PT. SOL. INJ./PERF. 500mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF./INJ. S 1 16.41 16.41 16.41 16.41 7 L01AA01 CYCLOPHOSPHAMIDUM* ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S 1 9.58 9.58 9.58 9.58

8 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 54.95 0.55 0.55 0.55 9 P01BA02 HYDROXYCHLOROQUINUM PLAQUENIL (R) COMPR. FILM. 200mg SANOFI-SYNTHELABO LTD. MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L 60 63.54 1.06 1.06 1.06 Tratamentul se initiaza si monitorizeaza de catre medicul in specialitatea reumatologie, nefrologie si boli infectioase. 1 A07EC01 SULFASALAZINUM SALAZIDIN COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 23.34 0.47 0.47 0.47 2 A07EC01 SULFASALAZINUM SULFASALAZIN EN COMPR. FILM. GASTROREZ. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 50 21.15 0.42 0.42 0.42 3 H02AB01 BETAMETHASONUM DIPROPHOS (R) SUSP. INJ. I.M. 7mg/ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 FIOLE X 1 ML P-RF 5 25.17 5.03 5.03 5.03 4 H02AB04 METHYLPREDNISOLONUM5 MEDROL A 16 COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 47.53 0.95 0.95 0.95 5 H02AB04 METHYLPREDNISOLONUM5 MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 35.65 1.78 1.78 1.78 6 H02AB04 METHYLPREDNISOLONUM5 MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF 30 11.88 0.4 0.4 0.4 7 L01BA01 METHOTREXATUM4 8 L04AA01 CICLOSPORINUM* EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 375.72 7.51 7.51 7.51 9 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 197.84 3.96 1.63 1.63 10 L04AA01 CICLOSPORINUM* EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 81.67 1.63 1.63 1.63 11 L04AA01 CICLOSPORINUM* CICLORAL (R) HEXAL (R) 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 95.1 1.9 1.63 1.63 12 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 351.14 7.02 3.71 3.71 13 L04AA01 CICLOSPORINUM* EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 185.61 3.71 3.71 3.71 14 L04AA01 CICLOSPORINUM* CICLORAL (R) HEXAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 211.09 4.22 3.71 3.71 15 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) SOL. ORALA 100mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON X 50 ML + KIT DE ADM. S/P-RF 1 780.57 780.57 445.51 445.51 16 L04AA01 CICLOSPORINUM* EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET S/P-RF 1 445.51 445.51 445.51 445.51 17 L04AA13 LEFLUNOMIDUM** ARAVA 100 mg COMPR. FILM. 100mg SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 BLIST. AL/AL X 3 COMPR. FILM. P-RF/R 3 113.77 37.92 37.92 37.92 18 L04AA13 LEFLUNOMIDUM** ARAVA 10 mg COMPR. FILM. 10mg SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. P-RF/R 30 243.8 8.13 8.13 8.13

19 L04AA13 LEFLUNOMIDUM** ARAVA 20 mg COMPR. FILM. 20mg SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. P-RF/R 30 320.43 10.68 10.68 10.68 20 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 54.95 0.55 0.55 0.55 21 M01AB05 DICLOFENACUM DICLOREUM 150 mg CAPS. ELIB. PREL. 150mg ALFA WASSERMANN SPA ITALIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 20 35.41 1.77 1.77 1.77 22 M01AB05 DICLOFENACUM TRATUL 50 CAPS. GASTROREZ. 50mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. P-6L 30 11.45 0.38 0.38 0.38 23 M01AB05 DICLOFENACUM DICLAC (R) 75 ID COMPR. ELIB. MODIF. 75mg HEXAL AG GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. P-6L 10 3.5 0.35 0.35 0.35 24 M01AB05 DICLOFENACUM VOLTAREN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL. P-6L 10 14.63 1.46 0.13 0.13 25 M01AB05 DICLOFENACUM REFEN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg HEMOFARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 6.86 0.34 0.13 0.13 26 M01AB05 DICLOFENACUM DICLOTARD (R) 100 mg COMPR. FILM. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL P-6L 20 2.5 0.13 0.13 0.13 27 M01AB05 DICLOFENACUM VOLTAREN (R) 25 COMPR. FILM. GASTROREZ. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ. P-6L 30 15.48 0.52 0.14 0.14 28 M01AB05 DICLOFENACUM RHEUMAVEK COMPR. FILM. GASTROREZ. 25mg FARAN LABORATORIES S.A. GRECIA CUTIE X 3 BLIST. PVC-AL/PVDC X 10 COMPR. FILM. GASTROREZ. P-6L 30 4.3 0.14 0.14 0.14 29 M01AB05 DICLOFENACUM VOLTAREN (R) 50 COMPR. FILM. GASTROREZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ. P-6L 20 18.03 0.9 0.08 0.08 30 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 1.68 0.08 0.08 0.08 31 M01AB05 DICLOFENACUM CLAFEN 50 mg COMPR. FILM. GASTROREZ. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L 20 1.81 0.09 0.08 0.08 32 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 2.02 0.1 0.08 0.08 33 M01AB05 DICLOFENACUM EPIFENAC COMPR. GASTROREZ. 25mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. X 10 COMPR. GASTROREZ. P-6L 30 3.5 0.12 0.12 0.12 34 M01AB05 DICLOFENACUM VOLTAREN RAPID (R) DRAJ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ. P-6L 10 9.72 0.97 0.97 0.97 35 M01AB05 DICLOFENACUM DICLOFENAC 25 mg DRAJ. GASTROREZ. 25mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ. P-6L 30 4.42 0.15 0.15 0.15 36 M01AB05 DICLOFENACUM DICLOFENAC 50 mg DRAJ. GASTROREZ. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. P-6L 20 1.96 0.1 0.1 0.1 37 M01AB05 DICLOFENACUM VOLTAREN (R) SOL. INJ. 25mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML P-RF 5 18.03 3.61 0.71 0.71 38 M01AB05 DICLOFENACUM RHEUMAVEK SOL. INJ. 25mg/ml FARAN LABORATORIES S.A. GRECIA CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML P-RF 5 7.25 1.45 0.71 0.71

39 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 5 7.05 1.41 0.71 0.71 40 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 10 9.52 0.95 0.71 0.71 41 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 30 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF/S 30 25.41 0.85 0.71 0.71 42 M01AB05 DICLOFENACUM TRATUL (R) SOL. INJ. 30mg/ml GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ. P-RF 5 10.07 2.01 2.01 2.01 43 M01AB05 DICLOFENACUM VURDON SOL. INJ. 75mg HELP S.A. PHARMACEUTICALS GRECIA CUTIE X 5 FIOLE X 3 ML SOL. INJ. P-RF 5 7.59 1.52 0.71 0.71 44 M01AB05 DICLOFENACUM ALMIRAL SOL. INJ. 75mg/3ml MEDOCHEMIE LTD. CIPRU CUTIE X 10 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE, IN 2 SUPORTURI TERMOFORMATE DIN MATERIAL PLASTI P-RF 10 7.06 0.71 0.71 0.71 45 M01AB05 DICLOFENACUM DICLOFENAC 75 mg SOL. INJ. 75mg/3ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML P-RF 5 6.98 1.4 0.71 0.71 46 M01AB05 DICLOFENACUM DICLAC SOL. INJ. 75mg HEXAL AG GERMANIA CUTIE X 5 FIOLE X 3 ML SOL. INJ. P-RF 5 5.02 1 0.71 0.71 47 M01AB05 DICLOFENACUM CLAFEN 100 mg SUPOZ. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L 6 2.18 0.36 0.23 0.23 48 M01AB05 DICLOFENACUM DICLOGESIC 100 SUPOZITOARE SUPOZ. 100mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FOLIE X 5 SUPOZ. P-6L 5 4.43 0.89 0.23 0.23 16. POLIARTRITA REUMATOIDA , ARTROPATIA PSORIAZICA SI ARTRITA JUVENILA - G 18 15. COLAGENOZE MAJORE (LUPUS ERITEMATOS SISTEMIC, SCLERODERMIE, POLI/DERMATOMICOZA, VASCULITE SISTEMICE) - G 17 Page 14 of 20

49 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L 5 7.64 1.53 0.23 0.23 50 M01AB05 DICLOFENACUM DICLOFENAC 100 mg SUPOZ. 100mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 2.27 0.23 0.23 0.23 51 M01AB05 DICLOFENACUM DICLOFENAC SODIC 100 mg SUPOZ. 100mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 2.35 0.24 0.23 0.23 52 M01AB05 DICLOFENACUM EPIFENAC SUPOZ. 100mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FOLIE AL/PEJD. X 5 SUPOZ. P-6L 5 2.85 0.57 0.23 0.23 53 M01AB05 DICLOFENACUM TRATUL 120 SUPOZ. 120mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 7.52 1.25 1.25 1.25 54 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L 10 9.4 0.94 0.94 0.94 55 M01AB05 DICLOFENACUM TRATUL 60 SUPOZ. 60mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 7 1.17 1.17 1.17 56 P01BA02 HYDROXYCHLOROQUINUM PLAQUENIL (R) COMPR. FILM. 200mg SANOFI-SYNTHELABO LTD. MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L 60 63.54 1.06 1.06 1.06 1 A07EC01 SULFASALAZINUM SALAZIDIN COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 23.34 0.47 0.47 0.47 2 A07EC01 SULFASALAZINUM SULFASALAZIN EN COMPR. FILM. GASTROREZ. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 50 21.15 0.42 0.42 0.42 3 H02AB01 BETAMETHASONUM DIPROPHOS (R) SUSP. INJ. I.M. 7mg/ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 FIOLE X 1 ML P-RF 5 25.17 5.03 5.03 5.03 4 M01AB05 DICLOFENACUM DICLOREUM 150 mg CAPS. ELIB. PREL. 150mg ALFA WASSERMANN SPA ITALIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 20 35.41 1.77 1.77 1.77 5 M01AB05 DICLOFENACUM TRATUL 50 CAPS. GASTROREZ. 50mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. P-6L 30 11.45 0.38 0.38 0.38 6 M01AB05 DICLOFENACUM DICLAC (R) 75 ID COMPR. ELIB. MODIF. 75mg HEXAL AG GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. P-6L 10 3.5 0.35 0.35 0.35 7 M01AB05 DICLOFENACUM VOLTAREN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL. P-6L 10 14.63 1.46 0.13 0.13 8 M01AB05 DICLOFENACUM REFEN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg HEMOFARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 6.86 0.34 0.13 0.13 9 M01AB05 DICLOFENACUM DICLOTARD (R) 100 mg COMPR. FILM. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL P-6L 20 2.5 0.13 0.13 0.13 10 M01AB05 DICLOFENACUM VOLTAREN (R) 25 COMPR. FILM. GASTROREZ. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ. P-6L 30 15.48 0.52 0.14 0.14 11 M01AB05 DICLOFENACUM RHEUMAVEK COMPR. FILM. GASTROREZ. 25mg FARAN LABORATORIES S.A. GRECIA CUTIE X 3 BLIST. PVC-AL/PVDC X 10 COMPR. FILM. GASTROREZ. P-6L 30 4.3 0.14 0.14 0.14

12 M01AB05 DICLOFENACUM VOLTAREN (R) 50 COMPR. FILM. GASTROREZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ. P-6L 20 18.03 0.9 0.08 0.08 13 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 1.68 0.08 0.08 0.08 14 M01AB05 DICLOFENACUM CLAFEN 50 mg COMPR. FILM. GASTROREZ. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L 20 1.81 0.09 0.08 0.08 15 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 2.02 0.1 0.08 0.08 16 M01AB05 DICLOFENACUM EPIFENAC COMPR. GASTROREZ. 25mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. X 10 COMPR. GASTROREZ. P-6L 30 3.5 0.12 0.12 0.12 17 M01AB05 DICLOFENACUM VOLTAREN RAPID (R) DRAJ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ. P-6L 10 9.72 0.97 0.97 0.97 18 M01AB05 DICLOFENACUM DICLOFENAC 25 mg DRAJ. GASTROREZ. 25mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ. P-6L 30 4.42 0.15 0.15 0.15 19 M01AB05 DICLOFENACUM DICLOFENAC 50 mg DRAJ. GASTROREZ. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. P-6L 20 1.96 0.1 0.1 0.1 20 M01AB05 DICLOFENACUM VOLTAREN (R) SOL. INJ. 25mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML P-RF 5 18.03 3.61 0.71 0.71 21 M01AB05 DICLOFENACUM RHEUMAVEK SOL. INJ. 25mg/ml FARAN LABORATORIES S.A. GRECIA CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML P-RF 5 7.25 1.45 0.71 0.71 22 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 5 7.05 1.41 0.71 0.71 23 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 10 9.52 0.95 0.71 0.71 24 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 30 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF/S 30 25.41 0.85 0.71 0.71 25 M01AB05 DICLOFENACUM TRATUL (R) SOL. INJ. 30mg/ml GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ. P-RF 5 10.07 2.01 2.01 2.01 26 M01AB05 DICLOFENACUM VURDON SOL. INJ. 75mg HELP S.A. PHARMACEUTICALS GRECIA CUTIE X 5 FIOLE X 3 ML SOL. INJ. P-RF 5 7.59 1.52 0.71 0.71 27 M01AB05 DICLOFENACUM ALMIRAL SOL. INJ. 75mg/3ml MEDOCHEMIE LTD. CIPRU CUTIE X 10 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE, IN 2 SUPORTURI TERMOFORMATE DIN MATERIAL PLASTI P-RF 10 7.06 0.71 0.71 0.71 28 M01AB05 DICLOFENACUM DICLOFENAC 75 mg SOL. INJ. 75mg/3ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML P-RF 5 6.98 1.4 0.71 0.71 29 M01AB05 DICLOFENACUM DICLAC SOL. INJ. 75mg HEXAL AG GERMANIA CUTIE X 5 FIOLE X 3 ML SOL. INJ. P-RF 5 5.02 1 0.71 0.71 30 M01AB05 DICLOFENACUM CLAFEN 100 mg SUPOZ. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L 6 2.18 0.36 0.23 0.23 31 M01AB05 DICLOFENACUM DICLOGESIC 100 SUPOZITOARE SUPOZ. 100mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FOLIE X 5 SUPOZ. P-6L 5 4.43 0.89 0.23 0.23

32 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L 5 7.64 1.53 0.23 0.23 33 M01AB05 DICLOFENACUM DICLOFENAC 100 mg SUPOZ. 100mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 2.27 0.23 0.23 0.23 34 M01AB05 DICLOFENACUM DICLOFENAC SODIC 100 mg SUPOZ. 100mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 2.35 0.24 0.23 0.23 35 M01AB05 DICLOFENACUM EPIFENAC SUPOZ. 100mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FOLIE AL/PEJD. X 5 SUPOZ. P-6L 5 2.85 0.57 0.23 0.23 36 M01AB05 DICLOFENACUM TRATUL 120 SUPOZ. 120mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 7.52 1.25 1.25 1.25 37 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L 10 9.4 0.94 0.94 0.94 38 M01AB05 DICLOFENACUM TRATUL 60 SUPOZ. 60mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 7 1.17 1.17 1.17 1 G02CB03 CABERGOLINUM** DOSTINEX COMPR. 0.5mg PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 2 COMPR. P-RF 2 60.44 30.22 20.98 20.98 2 G02CB03 CABERGOLINUM** DOSTINEX COMPR. 0.5mg PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 8 COMPR. P-RF 8 167.87 20.98 20.98 20.98 3 H01AX01 PEGVISOMANTUM**** SOMAVERT (R) 10 mg LIOF. + SOLV. PT. SOL. INJ. 10mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 FLAC. CU PULB., INSOTITE DE 30 FLAC. X 8 ML SOLV. PT. RECONSTITUIRE P-RF/R 30 9626.34 320.88 320.88 320.88 4 H01AX01 PEGVISOMANTUM**** SOMAVERT (R) 20 mg LIOF. + SOLV. PT. SOL. INJ. 20mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 FLAC. CU LIOF., INSOTITE DE 30 FLAC. A 8 ML SOLV. PT. RECONSTITUIRE P-RF/R 30 19251.66 641.72 641.72 641.72 5 H01BA02 DESMOPRESSINUM MINIRIN 0,2 mg COMPR. 0.2mg FERRING AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF 30 162.53 5.42 5.42 5.42 6 H01CB02 OCTREOTIDUM**** SANDOSTATIN LAR 20 mg PULB. + SOLV. PT. SUSP. INJ. (I.M.) CU ELIB. PRELU 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE S/P-RF 1 4358.94 4358.94 4358.94 4358.94 7 H01CB02 OCTREOTIDUM**** SANDOSTATIN LAR 10 mg PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE S/P-RF 1 2519.19 2519.19 2519.19 2519.19 8 H01CB02 OCTREOTIDUM**** SANDOSTATIN LAR 30 mg PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG. 30mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULB. + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE S/P-RF 1 5664.02 5664.02 5664.02 5664.02 9 H01CB02 OCTREOTIDUM**** SANDOSTATIN (R) SOL. INJ. 0.1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 233.27 46.65 46.65 46.65 10 H01CB03 LANREOTIDUM**** SOMATULINE (R) PR 30 mg LIOF. PT. SOL. INJ. + SOLV. 30mg BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 1 FLACON LIOF. + 1 FIOLA X 2 ML SOLV. + 1 SERINGA X 3 ML + 2 ACE S/P-RF 1 2151.32 2151.32 2151.32 2151.32 11 H02AA02 FLUDROCORTISONUM ASTONIN H COMPR. 0.1mg MERCK KGAA GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. P-RF 50 34.91 0.7 0.7 0.7

12 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 250 LIOF. + SOLV. PT. SOL. INJ. 250mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV. P-RF 3 73.61 24.54 24.54 24.54 13 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 50 LIOF. + SOLV. PT. SOL. INJ. 50mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT P-RF 3 26.1 8.7 8.7 8.7 14 H02AB07 PREDNISONUM PREDNISON MAGISTRA 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.05 15 H02AB07 PREDNISONUM PREDNISON GEDEON RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.05 16 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.58 0.05 0.05 0.05 17 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 1.49 0.05 0.05 0.05 18 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.53 0.05 0.05 0.05 Tratamentul se initiaza si monitorizeaza de catre medicul in specialitatea reumatologie, nefrologie, medicina interna sau recuperare medicina fizica balneofizioterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice pt specialitatea recuperare, medicina fizica balneofizioterapie ) 17. SPONDILITA ANKILOZANTA - G 19 Tratamentul se initiaza si monitorizeaza de catre medicul in specialitatea reumatologie sau recuperare medicina fizica balneofizioterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice pt specialitatea recuperare, medicina fizica balneofizioterapie ) 18. BOLI ENDOCRINE (GUSA ENDEMICA, INSUFICIENTA SUPRARELNALA CRONICA, DIABETUL INSIPID, MIXEDEMUL ADULTULUI, TUMORI HIPOFIZARE CU EXPANSIUNE SUPRASELARA SI TUMORI NEUROENDOCRINE) - G 22 Page 15 of 20

19 H02AB09 HYDROCORTISONUM HYDROCORTISONE 100 mg LIOF. + SOLV. PT. SOL. INJ. 100mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. S/P-RF 1 3.67 3.67 3.13 3.13 20 H02AB09 HYDROCORTISONUM HYDROCORTISONE SUCCINAT SODIC LIOF. + SOLV. PT. SOL. INJ. 100mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 3.13 3.13 3.13 3.13 21 H02AB09 HYDROCORTISONUM HYDROCORTISONE 500 mg LIOF. PT. SOL. INJ. + SOLV. 500mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 4 ML SOLV. S/P-RF 1 8.86 8.86 8.86 8.86 22 H02AB09 HYDROCORTISONUM HIDROCORTIZON HEMISUCCINAT SOL. INJ. I.V. 25mg/5ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE X 1 ML SOL. A + 5 FIOLE X 4 ML SOL. B S/P-RF 5 9.3 1.86 1.86 1.86 23 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 100 COMPR. 100µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 8.47 0.08 0.08 0.08 24 H03AA01 LEVOTHYROXINUM L-THYROXIN 100 BERLIN - CHEMIE COMPR. 100µg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L 100 9.06 0.09 0.08 0.08 25 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 200 COMPR. 200µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-6L 100 17.07 0.17 0.17 0.17 26 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 25 COMPR. 25µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 7.14 0.07 0.07 0.07 27 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 50 COMPR. 50µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 6.29 0.06 0.06 0.06 28 H03AA01 LEVOTHYROXINUM L-THYROXIN 50 COMPR. 50µg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L/S 100 6.35 0.06 0.06 0.06 29 H03CA01 KALII IODIDUM JODID 100 COMPR. 100µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-RF 100 9.29 0.09 0.09 0.09 30 H03CA01 KALII IODIDUM JODID 100 COMPR. 100µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-RF 100 9.29 0.09 0.09 0.09 31 H03CA01 KALII IODIDUM JODID 200 COMPR. 200µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-RF 100 15.28 0.15 0.15 0.15 32 H03CA01 KALII IODIDUM JODID 200 COMPR. 200µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-RF 100 15.28 0.15 0.15 0.15 33 N04BC01 BROMOCRIPTINUM BROCRIPTIN (G02CB01) DRAJ. 2.5mg BIOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 DRAJ. P-RF 40 14.09 0.35 0.35 0.35 Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau oncologie 1 M01CC01 PENICILLAMINUM**4 Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau neurologie 1 A11CC07 PARICALCITOLUM** ZEMPLAR SOL. INJ. 5 µg/ml ABBOTT LABORATORIES LTD. SPANIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S 5 416.99 83.4 83.4 83.4 2 A11CC07 PARICALCITOLUM** ZEMPLAR SOL. INJ. 5 µg/ml ABBOTT LABORATORIES LTD. SPANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S 5 838.68 167.74 167.74 167.74 3 B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA** VENOFER (R) SOL. INJ./PERF. 20mg/ml VIFOR FRANCE S.A. FRANTA CUTIE X 5 FIOLE X 5 ML S/P-RF 5 123.45 24.69 24.69 24.69

4 B03XA01 EPOETINUM ALFA** EPREX (R) 10000 UI SOL. INJ. 10000ui/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 1 ML S/P-RF 6 2569.3 428.22 428.22 428.22 5 B03XA01 EPOETINUM ALFA** EPOKINE 1000 UI/0,5 ml SOL. INJ. 1000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. S/P-RF 6 106.93 17.82 17.82 17.82 6 B03XA01 EPOETINUM ALFA** EPREX (R) 1000 UI SOL. INJ. 1000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 256.93 42.82 17.82 17.82 7 B03XA01 EPOETINUM ALFA** EPOPHAR 2000 U.I. SOL. INJ. 2000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 237.6 23.76 23.76 23.76 8 B03XA01 EPOETINUM ALFA** EPOKINE 2000 UI/0,5 ml SOL. INJ. 2000UI/0.5ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. S/P-RF 6 178.19 29.7 29.7 29.7 9 B03XA01 EPOETINUM ALFA** EPOKINE 2000 UI/1 ml SOL. INJ. 2000UI/1ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 297 29.7 23.76 23.76 10 B03XA01 EPOETINUM ALFA** EPREX (R) 2000 UI SOL. INJ. 2000ui/0.5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 513.86 85.64 29.7 29.7 11 B03XA01 EPOETINUM ALFA** EPREX (R) 3000 UI SOL. INJ. 3000ui/0.3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML S/P-RF 6 770.79 128.47 128.47 128.47 12 B03XA01 EPOETINUM ALFA** EPREX (R) 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF 1 1384.93 1384.93 1384.93 1384.93 13 B03XA01 EPOETINUM ALFA** EPOPHAR 4000 U.I. SOL. INJ. 4000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 475.19 47.52 47.52 47.52 14 B03XA01 EPOETINUM ALFA** EPOKINE 4000 UI/0,4 ml SOL. INJ. 4000UI/0.4ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 6 BLIST. X 1 SERINGA PREUMPLUTA X 0,4 ML SOL. INJ. S/P-RF 6 356.41 59.4 59.4 59.4 15 B03XA01 EPOETINUM ALFA** EPOKINE 4000 UI/1 ml SOL. INJ. 4000UI/1ml RENAMED FARMA S.R.L. ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 594.01 59.4 47.52 47.52 16 B03XA01 EPOETINUM ALFA** EPREX (R) 4000 UI SOL. INJ. 4000ui/0.4ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,4 ML S/P-RF 6 1027.72 171.29 59.4 59.4 17 B03XA01 EPOETINUM BETA** NEORECORMON 500 UI SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0.3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 131.78 21.96 21.96 21.96 18 B03XA01 EPOETINUM BETA** NEORECORMON 30 000 UI SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC S/P-RF/R 1 1237.55 1237.55 1237.55 1237.55 19 B03XA01 EPOETINUM BETA** NEORECORMON 10000 UI SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE S/P-RF/R 6 2634.15 439.03 439.03 439.03 20 B03XA01 EPOETINUM BETA** NEORECORMON 1000 UI SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 263.4 43.9 43.9 43.9 21 B03XA01 EPOETINUM BETA** NEORECORMON 2000 UI SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE S/P-RF/R 6 526.83 87.81 87.81 87.81 22 B03XA01 EPOETINUM BETA** NEORECORMON 4000 UI SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 1053.67 175.61 175.61 175.61

23 B03XA01 EPOETINUM BETA** NEORECORMON 5000 UI SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 1317.08 219.51 219.51 219.51 24 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 100 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 100µg/0.5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 3125.89 781.47 781.47 781.47 25 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 10 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 10µg/0.4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 312.6 78.15 78.15 78.15 26 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 150 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 150µg/0.3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 4688.84 1172.21 1172.21 1172.21 27 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 15 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 15µg/0.375ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML P-RF/R 4 468.86 117.22 117.22 117.22 28 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 20 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 20µg/0.5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 625.19 156.3 156.3 156.3 29 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 300 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 300µg/0.6ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML P-RF/R 1 2344.41 2344.41 2344.41 2344.41 30 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 30 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 30µg/0.3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 937.75 234.44 234.44 234.44 31 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 40 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 40µg/0.4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 1250.35 312.59 312.59 312.59 32 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 500 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 500µg/ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML P-RF/R 1 3907.35 3907.35 3907.35 3907.35 33 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 50 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 50µg/0.5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 1562.95 390.74 390.74 390.74 34 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 60 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 60µg/0.3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 1875.54 468.89 468.89 468.89 35 B03XA02 DARBEPOETINUM ALFA** ARANESP (R) 80 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 80µg/0.4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 2500.71 625.18 625.18 625.18 36 C09CA04 IRBESARTANUM** APROVEL 150 mg COMPR. FILM. 150mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC/PVDC-AL X 14 COMPR. FILM. P-6L 28 97.06 3.47 3.47 3.47 37 C09CA04 IRBESARTANUM** APROVEL 300 mg COMPR. FILM. 300mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC/PVDC-AL X 14 COMPR. FILM. P-6L 28 130.97 4.68 4.68 4.68 38 H02AB07 PREDNISONUM PREDNISON MAGISTRA 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.05 39 H02AB07 PREDNISONUM PREDNISON GEDEON RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.05 40 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.58 0.05 0.05 0.05 41 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 1.49 0.05 0.05 0.05 42 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.53 0.05 0.05 0.05

43 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 25.71 0.51 0.51 0.51 44 L04AA01 CICLOSPORINUM* EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 375.72 7.51 7.51 7.51 45 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 197.84 3.96 1.63 1.63 46 L04AA01 CICLOSPORINUM* EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 81.67 1.63 1.63 1.63 47 L04AA01 CICLOSPORINUM* CICLORAL (R) HEXAL (R) 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 95.1 1.9 1.63 1.63 48 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 351.14 7.02 3.71 3.71 49 L04AA01 CICLOSPORINUM* EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 185.61 3.71 3.71 3.71 50 L04AA01 CICLOSPORINUM* CICLORAL (R) HEXAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 211.09 4.22 3.71 3.71 51 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) SOL. ORALA 100mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON X 50 ML + KIT DE ADM. S/P-RF 1 780.57 780.57 445.51 445.51 52 L04AA01 CICLOSPORINUM* EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET S/P-RF 1 445.51 445.51 445.51 445.51 53 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 54.95 0.55 0.55 0.55 54 V06DDN1 COMBINATII (AMINOACIZI)* KETOSTERIL (R) COMPR. FILM. FARA CONCENTRATIE FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE X 5 BLIST. X 20 COMPR. FILM. P-RF 100 189.94 1.9 1.9 1.9 20. BOALA CRONICA DE RINICHI - faza predializa - G 25 19. BOALA WILSON - G23 Page 16 of 20

1 S01EC03 DORZOLAMIDUM TRUSOPT SOL. OFT. 20mg/ml MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON TIP OCULOMETER PLUS X 5 ML SOL. OFT. P-6L 1 42.44 42.44 42.44 42.44 2 S01EC04 BRINZOLAMIDUM AZOPT 10 mg/ml PICATURI OFT.-SUSP. 10mg/ml ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON PEJD X 5 ML P-6L 1 47.61 47.61 47.61 47.61 3 S01ED01 TIMOLOLUM NYOLOL GEL GEL OFT. 1mg/g NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN PEID X 5 G GEL OFTALMIC , PREVAZUT CU PICURATOR P-6L 1 11.27 11.27 11.27 11.27 4 S01ED01 TIMOLOLUM TIMOLOL RPH 0,25% PIC. OFT., SOL. 2.5mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL. P-6L 1 3.07 3.07 3.07 3.07 5 S01ED01 TIMOLOLUM TIMABAK 2,5 mg/ml PIC. OFT.,SOL. 2.5mg/ml LABORATOIRES THEA FRANTA CUTIE X 1 FLAC. DIN PEJD X 5 ML PIC. OFTALMICE, SOL. P-6L 1 18.86 18.86 3.07 3.07 6 S01ED01 TIMOLOLUM TIMABAK 5 mg/ml PIC. OFT.,SOL. 5mg/ml LABORATORIES THEA FRANTA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT. SOL. P-6L 1 19.8 19.8 3.55 3.55 7 S01ED01 TIMOLOLUM TIMOLOL RPH 0,5% PIC. OFT.,SOL. 5mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL. P-6L 1 3.55 3.55 3.55 3.55 8 S01ED01 TIMOLOLUM TIMOPTIC PIC. OFT.-SOL. 2.5mg/ml MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON TIP OCUMETER PLUS X 5 ML PIC. OFTALMICE, SOL. P-6L 1 6.97 6.97 3.07 3.07 9 S01ED01 TIMOLOLUM TIMOPTIC PIC. OFT.-SOL. 5mg/ml MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON TIP OCUMETER PLUS X 5 ML PIC. OFTALMICE SOL. P-6L 1 7.47 7.47 3.55 3.55 10 S01ED01 TIMOLOLUM TIMOLOL 0,25% PICATURI OFT.-SOL. 0.25% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON PEID, PREVAZUT CU PICURATOR X 5 ML P-6L 1 3.1 3.1 3.07 3.07 11 S01ED01 TIMOLOLUM TIMO-COMOD (R) PICATURI OFT.-SOL. 0.25% URSAPHARM ARZNEIMITTEL GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN PE PREVAZUT CU POMPA DE VID SI PICURATOR (SISTEM COMOD) X 10 ML P-6L 1 12.27 12.27 3.07 3.07 12 S01ED01 TIMOLOLUM TIMOLOL 0,5% PICATURI OFT.-SOL. 0.5% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON CU PICURATOR X 5 ML P-6L 1 4.32 4.32 3.55 3.55 13 S01ED01 TIMOLOLUM TIMO-COMOD (R) PICATURI OFT.-SOL. 0.5% URSAPHARM ARZNEIMITTEL GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN PE PREVAZUT CU POMPA DE VID SI PICURATOR (SISTEM COMOD) X 10 ML P-6L 1 16.35 16.35 3.55 3.55 14 S01ED01 TIMOLOLUM TIMO-GAL (R) PICATURI OFT.-SOL. 0.5% TERAPIA SA ROMANIA CUTIE X 1 FLACON X 10 ML P-6L 1 3.59 3.59 3.55 3.55 15 S01ED01 TIMOLOLUM ARUTIMOL 0,25% PICATURI OFT.-SOL. 2.5mg/ml CHAUVIN ANKERPHARM GMBH GERMANIA CUTIE X 1 FLACON DIN PEJD + CAPAC DIN PP X 5 ML PIC. OFT.,SOL. P-6L 1 5.98 5.98 3.07 3.07 16 S01ED01 TIMOLOLUM ARUTIMOL 0,5% PICATURI OFT.-SOL. 5mg/ml CHAUVIN ANKERPHARM GMBH GERMANIA CUTIE X 1 FLACON DIN PEJD + CAPAC DIN PP X 5 ML PIC. OFT.,SOL. P-6L 1 6.69 6.69 3.55 3.55 17 S01ED02 BETAXOLOLUM BETAX PIC. OFT.-SOL. 5mg/ml ROMPHARM SRL ROMANIA CUTIE X 1 FLACON DIN PEJD X 10 ML PIC. OFTALMICE, SOL., PREV. CU PICURATOR DIN PEJD P-6L 1 3.79 3.79 3.79 3.79 18 S01ED02 BETAXOLOLUM BETOPTIC - S PICATURI OFT.-SUSP. 0.25% ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON DIN PEJD X 5ML PIC. OFT.SUSP. P-6L 1 22.28 22.28 22.28 22.28 19 S01ED02 BETAXOLOLUM BETOPTIC PIC.OFTALMICE,SOL. 5mg/ml ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON DIN PEJD PREV. CU PICURATOR X 5 ML PIC.OFTALMICE, SOL. P-6L 1 21.83 21.83 3.79 3.79

20 S01ED02 BETAXOLOLUM BETAXOLOL PIC. OFT., SOL. 5mg/ml TERAPIA SA ROMANIA CUTIE X 1 FLACON DIN PEJD X 10 ML PIC. OFTALMICE, SOL. P-6L 1 4.2 4.2 3.79 3.79 21 S01ED05 CARTEOLOLUM FORTINOL EP 2% PIC. OFTALMICE CU ELIB. PREL. 20mg/ml DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH GERMANIA CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFTALMICE CU ELIB. PREL. P-6L 1 9.76 9.76 9.76 9.76 22 S01ED05 CARTEOLOLUM CARTEOL 2% PICATURI OFT.-SOL. 2% S.I.F.I. SPA ITALIA CUTIE X 30 FLACOANE UNIDOZA DIN PEJD X 0,3 ML P-6L/S 1 23.51 23.51 23.51 23.51 23 S01ED05 CARTEOLOLUM CARTEOL 2% PICATURI OFT.-SOL. 20mg/ml S.I.F.I. SPA ITALIA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFTALMICE, SOL. P-6L 1 11.08 11.08 11.08 11.08 24 S01ED51 COMBINATII (BIMATOPROSTUM + TIMOLOLUM) GANFORT PIC. OFT.,SOL. 300µg/ml+5mg/ml ALLERGAN PHARMACEUTICALS IRELAND IRLANDA CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC.OFT.SOL. P-RF 1 69.18 69.18 69.18 69.18 25 S01ED51 COMBINATII (DORZOLAMIDUM+TIMOLOLUM) COSOPT PIC. OFT.-SOL. FARA CONCENTRATIE MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON DE TIP OCUMETER PLUS X 5ML PIC. OFT., SOL. P-6L 1 53.82 53.82 53.82 53.82 26 S01ED51 COMBINATII (LATANOPROSTUM+TIMOLOLUM) XALCOM (R) SOL. OFT. FARA CONCENTRATIE PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 2,5 ML P-6L 1 74.71 74.71 74.71 74.71 27 S01EE01 LATANOPROSTUM XALATAN (R) PICATURI OFT.-SOL. 0.005% PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON PICURATOR PE X 2,5 ML P-6L 1 67.16 67.16 67.16 67.16 28 S01EE03 BIMATOPROSTUM LUMIGAN PIC. OFT.,SOL. 0,3mg/ml ALLERGAN PHARMACEUTICALS IRELAND IRLANDA CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFT. SOL. P-RF 1 56.73 56.73 56.73 56.73 29 S01EE04 TRAVOPROSTUM TRAVATAN (R) PICATURI OFT.SOL. 40µg/ml ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON X 2,5 ML P-6L 1 76.63 76.63 76.63 76.63 Tratamentul se initiaza de catre medicul in specialitatea oftalmologie 1 H02AB02 DEXAMETHASONUM DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ. 8mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 100 103.34 1.03 0.71 0.71 2 H02AB02 DEXAMETHASONUM DEXAMED SOL. INJ. 8mg/2ml MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF/S 100 71.11 0.71 0.71 0.71 3 H02AB02 DEXAMETHASONUM DEXAMED SOL. INJ. 8mg/2ml MEDOCHEMIE LTD. CIPRU CUTIE X 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 10 7.55 0.76 0.71 0.71 4 H02AB02 DEXAMETHASONUM DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ. 8mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 5 5.91 1.18 0.71 0.71 5 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 47.53 0.95 0.95 0.95 6 H02AB04 METHYLPREDNISOLONUM MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 35.65 1.78 1.78 1.78 7 H02AB04 METHYLPREDNISOLONUM MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF 30 11.88 0.4 0.4 0.4 8 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 125mg/2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. (COMPARTIMENT SUPERIOR P-RF 1 13.38 13.38 11.05 11.05

9 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 11.05 11.05 11.05 11.05 10 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 20 mg LIOF. PT. SOL. INJ. 20mg HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 33.07 2.2 2.2 2.2 11 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 27.91 27.91 27.91 27.91 12 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 40mg/1ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 5.93 5.93 3.53 3.53

13 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 52.88 3.53 3.53 3.53 14 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL 500 mg/7,8 ml LIOF. + SOLV. PT. SOL. INJ. 500mg/7.8ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FLAC. X 7,8 ML SOLV. P-RF 1 34.14 34.14 33.07 33.07 15 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 33.07 33.07 33.07 33.07 16 H02AB07 PREDNISONUM PREDNISON MAGISTRA 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.05 17 H02AB07 PREDNISONUM PREDNISON GEDEON RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.05 18 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.58 0.05 0.05 0.05 19 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 1.49 0.05 0.05 0.05 20 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.53 0.05 0.05 0.05 21 J04BA02 DAPSONUM4 22 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 25.71 0.51 0.51 0.51 23 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 1 g PULB. PT. SOL. INJ./PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF./INJ. S 1 32.83 32.83 32.83 32.83 24 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 500 mg PULB. PT. SOL. INJ./PERF. 500mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF./INJ. S 1 16.41 16.41 16.41 16.41 25 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S 1 9.58 9.58 9.58 9.58 26 L01BA01 METHOTREXATUM4 27 L04AA01 CICLOSPORINUM* EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 375.72 7.51 7.51 7.51

28 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 197.84 3.96 1.63 1.63 29 L04AA01 CICLOSPORINUM* EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 81.67 1.63 1.63 1.63 30 L04AA01 CICLOSPORINUM* CICLORAL (R) HEXAL (R) 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 95.1 1.9 1.63 1.63 31 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 351.14 7.02 3.71 3.71 32 L04AA01 CICLOSPORINUM* EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 185.61 3.71 3.71 3.71 33 L04AA01 CICLOSPORINUM* CICLORAL (R) HEXAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 211.09 4.22 3.71 3.71 34 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) SOL. ORALA 100mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON X 50 ML + KIT DE ADM. S/P-RF 1 780.57 780.57 445.51 445.51 35 L04AA01 CICLOSPORINUM* EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET S/P-RF 1 445.51 445.51 445.51 445.51 36 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 54.95 0.55 0.55 0.55 Tratamentul se initiaza de catre medicul in specialitatea dermatologie 1 A16AB02 IMIGLUCERASUM**** CEREZYME 200 U PULB. PT.CONC. PT.SOL. PERF. 200U GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S 1 2753.16 2753.16 2753.16 2753.16 22. PEMFIGUS - G 27 23. BOALA GAUCHER - G 29 Tratamentul se initiaza de catre medicul in specialitatea nefrologie. Medicamentele specifice se prescriu numai pentru pacientii inclusi in Programul National de supleere a functiei renale la bolnavii cu insuficienta renala cronica. 21. GLAUCOM - G 26 Page 17 of 20

2 A16AB02 IMIGLUCERASUM**** CEREZYME 400 U PULB. PT.CONC. PT.SOL. PERF. 400U GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S 1 5506.33 5506.33 5506.33 5506.33 3 A16AX06 MIGLUSTATUM**** ZAVESCA CAPS. 100mg ACTELION REGISTRATION LTD. MAREA BRITANIE CUTIE X 4 BLIST AL/ACLAR X 21 CAPS. P-RF/R 84 28103.92 334.57 334.57 334.57 1 J01AA02 DOXYCYCLINUM DOXICICLINA CAPS. 100mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5 0.25 0.19 0.19 2 J01AA02 DOXYCYCLINUM DOXICICLINA 100 MG CAPS. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 1.89 0.19 0.19 0.19 3 J01AA02 DOXYCYCLINUM DOXICICLINA CAPS. 100mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. DIN AL/PVC X 10 CAPS. P-RF 10 2.6 0.26 0.19 0.19 4 J01AA02 DOXYCYCLINUM DOXICICLINA SANDOZ 100 mg CAPS. 100mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 2.65 0.27 0.19 0.19 5 J01AA02 DOXYCYCLINUM UNIDOX SOLUTAB COMPR. DISP. 100mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 BLIST. DIN AL/PVC X 10 COMPR.DISP. P-RF 10 6.97 0.7 0.7 0.7 6 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 2.1 0.11 0.1 0.1 7 J01AA07 TETRACYCLINUM TETRACICLINA SANDOZ 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 2.02 0.1 0.1 0.1 8 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 2.23 0.11 0.1 0.1 9 J01CE01 BENZYLPENICILLINUM PENICILINA G SODICA PULB. PT. SOL. INJ. 1 000 000ui ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF 1 1.89 1.89 1.53 1.53 10 J01CE01 BENZYLPENICILLINUM PENICILINA G POTASICA PULB. PT. SOL. INJ. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF 1 1.53 1.53 1.53 1.53 11 J01CE01 BENZYLPENICILLINUM PENICILINA G SODICA PULB. PT. SOL. INJ. 400 000ui ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF 1 1.13 1.13 1.03 1.03 12 J01CE01 BENZYLPENICILLINUM PENICILINA G POTASICA PULB. PT. SOL. INJ. 400000ui ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF 1 1.03 1.03 1.03 1.03 13 J01CE02 PHENOXYMETHYLPENICILLINUM PENICILINA V 1 000 000 U.I. COMPR. 1000000ui EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.5 0.33 0.33 0.33 14 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN (R) 1000 COMPR. FILM. 1000000ui SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF 12 2.63 0.22 0.22 0.22 15 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN (R) 1500 COMPR. FILM. 1500000ui SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF 12 4.62 0.39 0.39 0.39 16 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN (R) 500 COMPR. FILM. 500000ui SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF 12 2.06 0.17 0.17 0.17 17 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN 400 SIROP 400000ui/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLACON X 60ML P-RF 1 6.91 6.91 6.91 6.91

18 J01CE08 BENZATHINI BENZYLPENICILLINUM MOLDAMIN (R) PULB. PT. SUSP. INJ. 1200000ui ANTIBIOTICE SA ROMANIA FLACON PULB. PT. SUSP. INJ. P-RF/S 1 1.54 1.54 1.54 1.54 19 J01CE08 BENZATHINI BENZYLPENICILLINUM MOLDAMIN (R) PULB. PT. SUSP. INJ. 600000ui ANTIBIOTICE SA ROMANIA FLACON PULB. PT. SUSP. INJ. P-RF/S 1 1.03 1.03 1.03 1.03 20 J01DD08 CEFIXIMUM EFICEF (R) 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 19.18 1.92 1.92 1.92 21 J01DD08 CEFIXIMUM SUPRAX COMPR. FILM. 200mg GEDEON RICHTER LTD. UNGARIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 46.45 4.65 4.65 4.65 22 J01DD08 CEFIXIMUM SUPRAX GRAN. PT. SUSP. ORALA 100mg/5ml GEDEON RICHTER PLC UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU GRANULE PT. 50 ML SUSP. ORALA + 1 MASURA DOZATOARE P-RF 1 25.84 25.84 25.84 25.84 23 J01FA01 ERYTHROMYCINUM ERITROMAGIS 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 5.06 0.25 0.25 0.25 24 J01FA01 ERYTHROMYCINUM ERITROMICINA 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.56 0.33 0.25 0.25 25 J01FA01 ERYTHROMYCINUM ERITROMICINA SANDOZ 200 mg COMPRIMATE COMPR. 200mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.03 0.3 0.25 0.25 26 J01FA01 ERYTHROMYCINUM ERITROMICINA 200 mg COMPR. 200mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.91 0.35 0.25 0.25 27 J01FA01 ERYTHROMYCINUM ERITRO 200 PULB. PT. SUSP. ORALA 200mg/5ml LEK PHARMATECH SRL ROMANIA CUTIE X 1 FLAC. X 30G + PULB. PT. 60 ML SUSP. ORALA + O LIGURITA DOZATOARE P-RF 1 7.84 7.84 7.84 7.84 28 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 8 CAPS. P-RF 8 34.73 4.34 4.34 4.34 29 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF 6 26.05 4.34 4.34 4.34 30 J01FA10 AZITHROMYCINUM SUMAMED 125 mg COMPR. FILM. 125mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM. P-RF 6 23.7 3.95 3.95 3.95 31 J01FA10 AZITHROMYCINUM AZITROX (R) 250 COMPR. FILM. 250mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 6 30.82 5.14 5.07 5.07 32 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM. P-RF 6 30.44 5.07 5.07 5.07 33 J01FA10 AZITHROMYCINUM SUMAMED 500 mg COMPR. FILM. 500mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 38.51 12.84 7.79 7.79 34 J01FA10 AZITHROMYCINUM AZITROX (R) 500 COMPR. FILM. 500mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 30.82 10.27 7.79 7.79 35 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM. P-RF 3 30.44 10.15 7.79 7.79 36 J01FA10 AZITHROMYCINUM AZRO (R) 500 mg COMPR. FILM. 500mg ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 23.36 7.79 7.79 7.79 37 J01FA10 AZITHROMYCINUM ZITROCIN 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. P-RF 3 23.7 7.9 7.79 7.79

38 J01FA10 AZITHROMYCINUM ZMAX 2 g GRAN. ELIB. PREL. PT. SUSP. ORALA 2g PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL. P-RF 1 39.47 39.47 39.47 39.47 39 J01FA10 AZITHROMYCINUM SUMAMED (R) LIOF. PT. SOL. PERF. 500mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 5 FLAC. LIOF. PT. SOL. PERF. S/P-RF 5 115.54 23.11 23.11 23.11 40 J01FA10 AZITHROMYCINUM AZITROX 200 mg/5 ml PULB. + SOLV. SUSP. ORALA 200mg/5ml ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV. P-RF 1 11.21 11.21 11.21 11.21

41 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 100 mg/5 ml PULB. PT. SUSP. ORALA 100mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 16,5 G PULB. PT. 20 ML SUSP. ORALA + SERINGA PT. ADMINSTRARE ORALA P-RF 1 13.5 13.5 13.5 13.5 42 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 200 mg/5 ml PULB. PT. SUSP. ORALA 200 mg/5 ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 16,5 G PULB. PT. 20 ML SUSP. ORALA + SERINGA PT. ADMINISTRARE ORALA P-RF 1 21.35 21.35 11.21 11.21 43 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 20.09 20.09 11.21 11.21 44 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 32.88 32.88 11.21 11.21 45 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 41.05 41.05 11.21 11.21 46 J01MA02 CIPROFLOXACINUM EUCIPRIN CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. P-RF 12 4.83 0.4 0.4 0.4 47 J01MA02 CIPROFLOXACINUM CIPROCIN 250 mg COMPR. FILM. 250mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 6.67 0.67 0.3 0.3 48 J01MA02 CIPROFLOXACINUM CIPRINOL 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 10.96 1.1 0.3 0.3 49 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 250 mg COMPR. FILM. 250mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.72 0.47 0.3 0.3 50 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.8 0.48 0.3 0.3 51 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 9.69 0.48 0.3 0.3 52 J01MA02 CIPROFLOXACINUM CIPROZONE 250 mg COMPR. FILM. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 4.07 0.41 0.3 0.3 53 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 250 mg COMPR. FILM. 250mg ALKALOID D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF 10 4.74 0.47 0.3 0.3 54 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 10 5.29 0.53 0.3 0.3 55 J01MA02 CIPROFLOXACINUM CIPHIN 250 COMPR. FILM. 250mg ZENTIVA A.S. SLOVACIA CUTIE X 1 BLIST. PVDC/PVC/AL X 10 COMPR. FILM. P-RF 10 7.7 0.77 0.3 0.3

56 J01MA02 CIPROFLOXACINUM CIPROLET 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 2.96 0.3 0.3 0.3 57 J01MA02 CIPROFLOXACINUM CIPROBAY (R) 500 COMPR. FILM. 500mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. FILM. P-RF 10 63.07 6.31 0.4 0.4 58 J01MA02 CIPROFLOXACINUM CIPRINOL 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 19.26 1.93 0.4 0.4 59 J01MA02 CIPROFLOXACINUM CIPROCIN 500 mg COMPR. FILM. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 11.85 1.19 0.4 0.4 60 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 500 mg COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 8.41 0.84 0.4 0.4 61 J01MA02 CIPROFLOXACINUM CUMINOL 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 9.25 0.93 0.4 0.4 62 J01MA02 CIPROFLOXACINUM CIPROZONE FORTE 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 7.89 0.79 0.4 0.4 63 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 500 mg COMPR. FILM. 500mg ALKALOID D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF 10 9.08 0.91 0.4 0.4 64 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 500mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 10 10.22 1.02 0.4 0.4 65 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 11.15 1.12 0.4 0.4 66 J01MA02 CIPROFLOXACINUM SIFLOKS (R) COMPR. FILM. 500mg ECZACIBASI ILAC SANAYI VE TICARET AS TURCIA CUTIE X 2 BLIST. X 7 COMPR.FILM. P-RF 14 5.63 0.4 0.4 0.4 67 J01MA02 CIPROFLOXACINUM CIPHIN 500 COMPR. FILM. 500mg ZENTIVA A.S. SLOVACIA CUTIE X 1 BLIST. PVDC/PVC/AL X 10 COMPR. FILM. P-RF 10 11.85 1.19 0.4 0.4 68 J01MA02 CIPROFLOXACINUM CIPROLET 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.03 0.4 0.4 0.4 69 J01MA02 CIPROFLOXACINUM CIPRODAR COMPR. FILM. 500mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 10.37 1.04 0.4 0.4 70 J01MA02 CIPROFLOXACINUM CIPRINOL 750 mg COMPR. FILM. 750mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 24.41 2.44 2.44 2.44 71 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 50 FIOLE X 10 ML S 50 96.28 1.93 1.93 1.93 Dupa precizarea diagnosticului de catre laboratoarele de specialitate, va putea fi prescris de catre medicul de specialitatea gastroenterologie, hematologie, neurologie si pediatrie. 24. BOLI VENERICE (SIFILIS, GONOREE, INFECTIA CU CHLAMIDIA) - G 30 Page 18 of 20

72 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 10 ML S/P-RF 5 10.67 2.13 1.93 1.93 73 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA 100 mg/10 ml CONC. PT. SOL. PERF. 100mg/10ml SICOMED SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML S/P-RF 5 14.6 2.92 1.93 1.93 74 J01MA02 CIPROFLOXACINUM CIPROBAY (R) 200 SOL. PERF. 200mg/100ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE X 100 ML S/P-RF 5 339.03 67.81 2.96 2.96 75 J01MA02 CIPROFLOXACINUM CIPROBAY (R) 400 SOL. PERF. 2mg/ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE X 200 ML S/P-RF 5 621.7 124.34 2.96 2.96 76 J01MA02 CIPROFLOXACINUM UFEXIL SOL. PERF. 2mg/ml DEMO SA GRECIA CUTIE X 10 SACI X 100 ML S 10 116.13 11.61 2.96 2.96 77 J01MA02 CIPROFLOXACINUM CIPRINOL SOL. PERF. 100mg/50ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML SOL. PERF. S/P-RF 1 2.96 2.96 2.96 2.96 78 J01MA02 CIPROFLOXACINUM CIPRINOL SOL. PERF. 200mg/100ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. S/P-RF 1 5.93 5.93 2.96 2.96 79 J01MA02 CIPROFLOXACINUM CIPRINOL (R) SOL. PERF. 400mg/200ml KRKA D.D. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 200 ML S/P-RF 1 11.85 11.85 11.85 11.85 1 L04AA12 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 3 7519.95 2506.65 2506.65 2506.65 2 L04AA12 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 2 5122.96 2561.48 2506.65 2506.65 3 L04AA17 ADALIMUMABUM**** 1 L01XC02 RITUXIMABUM**** MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 2 FLACOANE X 10 ML S 2 2192.46 1096.23 1096.23 1096.23 2 L01XC02 RITUXIMABUM**** MABTHERA 500 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML) S 1 5481.16 5481.16 5481.16 5481.16 3 L04AA11 ETANERCEPTUM**** ENBREL PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL P-RF/R 4 2265.08 566.27 566.27 566.27 4 L04AA11 ETANERCEPTUM**** ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA P-RF/R 4 4564.53 1141.13 1141.13 1141.13 5 L04AA11 ETANERCEPTUM**** ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 2282.26 570.57 570.57 570.57 6 L04AA11 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 4564.53 1141.13 1141.13 1141.13 7 L04AA12 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 3 7519.95 2506.65 2506.65 2506.65 8 L04AA12 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 2 5122.96 2561.48 2506.65 2506.65 1 L04AA11 ETANERCEPTUM**** ENBREL PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL P-RF/R 4 2265.08 566.27 566.27 566.27

2 L04AA11 ETANERCEPTUM**** ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA P-RF/R 4 4564.53 1141.13 1141.13 1141.13 3 L04AA11 ETANERCEPTUM**** ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 2282.26 570.57 570.57 570.57 4 L04AA11 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 4564.53 1141.13 1141.13 1141.13 5 L04AA12 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 3 7519.95 2506.65 2506.65 2506.65 6 L04AA12 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 2 5122.96 2561.48 2506.65 2506.65 7 L04AA17 ADALIMUMABUM**** 1 L04AA11 ETANERCEPTUM**** ENBREL PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL P-RF/R 4 2265.08 566.27 566.27 566.27 2 L04AA11 ETANERCEPTUM**** ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA P-RF/R 4 4564.53 1141.13 1141.13 1141.13 3 L04AA11 ETANERCEPTUM**** ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 2282.26 570.57 570.57 570.57 4 L04AA11 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 4564.53 1141.13 1141.13 1141.13 5 L04AA12 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 3 7519.95 2506.65 2506.65 2506.65 6 L04AA12 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 2 5122.96 2561.48 2506.65 2506.65 1 L04AA11 ETANERCEPTUM**** ENBREL PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL P-RF/R 4 2265.08 566.27 566.27 566.27 2 L04AA11 ETANERCEPTUM**** ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA P-RF/R 4 4564.53 1141.13 1141.13 1141.13 3 L04AA11 ETANERCEPTUM**** ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 2282.26 570.57 570.57 570.57 4 L04AA11 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 4564.53 1141.13 1141.13 1141.13 1 L04AA11 ETANERCEPTUM**** ENBREL PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL P-RF/R 4 2265.08 566.27 566.27 566.27 2 L04AA11 ETANERCEPTUM**** ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA P-RF/R 4 4564.53 1141.13 1141.13 1141.13

3 L04AA11 ETANERCEPTUM**** ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 2282.26 570.57 570.57 570.57 4 L04AA11 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 4564.53 1141.13 1141.13 1141.13 5 L04AA12 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 3 7519.95 2506.65 2506.65 2506.65 6 L04AA12 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 2 5122.96 2561.48 2506.65 2506.65 7 L04AA17 ADALIMUMABUM**** 8 L04AA21 EFALIZUMABUM**** RAPTIVA (R) PULB. + SOLV. PT. SOL. INJ. 100mg/ml SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 4 FLAC. PULB. + 4 SERINGI PRE-UMPLUTA CU SOLV. + 4 ACE PT. RECONSTITUIREA SOL. INJ. + 4 ACE P-RF/R 4 4866.87 1216.72 1216.72 1216.72 9 L04AA21 EFALIZUMABUM**** RAPTIVA (R) PULB. + SOLV. PT. SOL. INJ. 100mg/ml SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 FLAC. PULB. + 1 SERINGA PRE-UMPLUTA CU SOLV. + 1 AC PT. RECONSTITUIREA SOL. INJ. + 1 AC PT P-RF/R 1 1232.52 1232.52 1216.72 1216.72 Tratamentul se initiaza de catre medicul in specialitatea dermatologie si obstetrica-ginecologie (pentru gonoree si infectia cu Chlamidia) 29. ARTRITA JUVENILA - G 31e 25. BOALA CRONICA INFLAMATORIE INTESTINALA - G31a Tratamentul se prescrie .i monitorizeaza de catre medicul în specialitatea gastro-enterologie .i medicina interna (unita.i sanitare nominalizate de catre Ministerul Sanata.ii Publice) 26. POLIARTITRITA REUMATOIDA - G31b Tratamentul se prescrie si monitorizeaza de catre medicul in specialitatea reumatologie, medicina interna, nefrologie (pentru pacientii cu afectare renala), medicina interna sau recuperare medicina fizica si balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice) 27. ARTROPATIA PSORIAZICA - G31c Tratamentul se prescrie si monitorizeaza de catre medicul in specialitatea reumatologie si recuperare medicina fizica si balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice) Tratamentul se prescrie si monitorizeaza de catre medicul in specialitatea dermatologie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice) Tratamentul se prescrie si monitorizeaza de catre medicul in specialitatea reumatologie si recuperare medicina fizica si balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice) 30. PSORIAZIS CRONIC SEVER - G 31f 28. SPONDILITA ANKILOZANTA - G 31d Tratamentul se prescrie si monitorizeaza de catre medicul in specialitatea reumatologie, medicina interna sau recuperare medicina fizica si balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice) IMUNOSUPRESOARE SELECTIVE - G31 Page 19 of 20

Medicamentul corespunzator DCI-ului notat cu (3) se livreaza impreuna cu solvent; - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu ( 5) se utilizeaza numai pentru cazurile fara raspuns terapeutic la prednisonum. NOTA: Medicamentele din aceasta sublista se elibereaza prin farmacii cu circuit deschis pe baza de prescrip.ie medicala cu re.inere în farmacie (P-RF). - Medicamentele corespunzatoare DCI-urilor notate cu (4) se importa cu avizul MSP; NOTA: - Pentru medicamentele corespunzatoare acestei sectiuni initierea tratamentului se face de catre medicul de specialitate altul decat medicul de familie, exceptie facand medicamentele din G1-INSUFICIENTA CARDIACA CRONICA (CLASA III SAU IV NYHA) pozitiile - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP; - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP si cu aprobarea comisiilor de la nivelul Caselor Judetene de Asigurari de Sanatate; - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP si cu aprobarea comisiilor de la nivelul Casei Nationale de Asigurari de Sanatate; Page 20 of 20

Nr. crt Grupa Terapeuti ca Denumire generica Denumire comerciala Forma Farmace utica Con cent ratie /U.T . Firma Tara Ambalaj al U.T. prescriere cantitate Pret cu ridicat a maxim al / ambal aj (RON) Pret cu amanun tul maxima l / ambalaj (RON) Pret cu amanun tul maximal / U.T. = Pret de

Deconta re / U.T. (RON) 1 N07BB04 NALTREXONUM REVIA COMPR. FILM. 50mg TORREX CHIESI PHARMA GMBH AUSTRIA Cutie x 2 blist. PVC-PE-Aclar/Al x 7 compr. film. P-RF 14 110.26 123.79 8.84 2 N07BB04 NALTREXONUM REVIA COMPR. FILM. 50mg TORREX CHIESI PHARMA GMBH AUSTRIA Cutie x 4 blist. PVC-PE-Aclar/Al x 7 compr. film. P-RF 28 175.17 196.67 7.02 3 N07BC02 METHADONUM SINTALGON 2,5 mg COMPR. 2.5mg ZENTIVA S.A. ROMANIA Cutie x 2 blist. Al/PVC x 25 compr. P-TS 50 6.40 7.46 0.15 4 N07BC51 COMBINATII ( BUPRENORPHINUM + NALAXONE) SUBOXONE 2mg/0,5mg COMPR. SUBLING. 2mg/0,5mg SP EUROPE BELGIA Cutie x 7 compr. subling. ( blist.Nylon/Al/PVC) P-TS; S 7 17.67 20.61 2.94 5 N07BC51 COMBINATII ( BUPRENORPHINUM + NALAXONE) SUBOXONE 8mg/2mg COMPR. SUBLING. 8mg/2mg SP EUROPE BELGIA Cutie x 7 compr. subling. ( blist.Nylon/Al/PVC) P-TS; S 7 69.16 79.16 11.31 NOTA: - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (*) se ini.iaza de medicul de specialitate in limita competen.ei .i poate fi prescris în continuare de medicul de familie pe baza scrisorii medicale emise de medicul de specialitate; Medicamentul corespunzator DCI-ului notat cu (3) se livreaza impreuna cu solvent; Medicamentele corespunzatoare DCI-urilor notate cu (4) se importa cu avizul Ministerului Sanatatii Publice; Medicamentele din aceasta sublista se elibereaza atât prin farmacii cu circuit închis cât .i prin farmacii cu circuit deschis pe baza de prescrip.ie medicala cu re.inere în farmacie (P-RF). - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP; - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP si cu aprobarea comisiilor de la nivelul Caselor Judetene de Asigurari de Sanatate; - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP si cu aprobarea comisiilor de la nivelul Casei Nationale de Asigurari de Sanatate; Pagina 57 din 57

Nr. crt cod_atc dci den_com forma_farm conc firma_det tara_det ambalaj pres cant_fl PRET AMANUNTUL MAXIMAL (RON) PRET AMANUNTU L MAXIMAL/U T (RON) VAL.SUPORTA TAT CNAS/ UT(RON)- LEGEA NR. 95/2006 ART 213 alin.(1) lit. a) si f) VAL.SUPOR TATAT CNAS/ UT (RON) PT. ADULTI 1 A03AD02 DROTAVERINUM NO - SPA 40 mg/2 ml SOL. INJ. 40mg/2ml CHINOIN PRIVATE CO. LTD. UNGARIA CUTIE X 25 FIOLE X 2ML SOL. INJ. P-RF 25 19.97 0.8 0.8 0.8 2 A03BA01 ATROPINUM SULFAT DE ATROPINA SOL. INJ. 1mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. S 5 2.2 0.44 0.44 0.44 3 A03BB01 BUTYLSCOPOLAMMONII BROMIDUM SCOBUTIL 10 mg/ml SOL. INJ. 10mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 1 ML SOL. INJ. P-RF 5 2.47 0.49 0.49 0.49 4 A03BB01 BUTYLSCOPOLAMMONII BROMIDUM FARCORELAXIN SOL. INJ. 20mg/ml PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 3 FIOLE X 1 ML P-RF 3 1.26 0.42 0.42 0.42 5 A03BB01 BUTYLSCOPOLAMMONII BROMIDUM BUSCOPAN 20 mg/ml SOL. INJ. 20mg/ml BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 FIOLE X 1 ML P-RF 5 5.72 1.14 0.42 0.42 6 A03DA02 COMBINATII PIAFEN COMPR. FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 1.8 0.09 0.09 0.09 7 A03DA02 COMBINATII ALGIFEN COMPRIMATE COMPR. FARA CONCENTRATIE ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.47 0.12 0.12 0.12 8 A03DA02 COMBINATII ALGIFEN SOLUTIE INJECTABILA SOL. INJ. FARA CONCENTRATIE ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF 5 4.64 0.93 0.93 0.93

9 A03DA02 COMBINATII PIAFEN SUPOZ. FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII X 3 SUPOZ. P-RF 6 1.64 0.27 0.27 0.27 10 A05BAN3 COMBINATII ASPATOFORT (R) SOL. INJ. FARA CONCENTRATIE TERAPIA SA ROMANIA CUTIE X 10 FIOLE X 10 ML P-RF 10 7.22 0.72 0.72 0.72 11 A06AD65 COMBINATII ENDOFALK PULB. PT. SOL. ORALA FARA CONCENTRATIE DR. FALK PHARMA GMBH GERMANIA CUTIE X 6 PLICURI DE HARTIE/AL/PEJD X 55,318 G PULB. PT. SOL. ORALA P-RF 6 37.93 6.32 6.32 6.32 12 A07AX03 NIFUROXAZIDUM ERCEFURYL (R) 200 mg CAPS. 200mg SANOFI-SYNTHELABO OTC FRANTA CUTIE X 2 BLIST. X 14 CAPS. P-RF 28 13.01 0.46 0.46 0.46 13 A11CA01 RETINOLUM VITAMINA A FORTE CAPS. MOI 50000ui BIOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 CAPS. MOI P-6L 30 3.94 0.13 0.13 0.13 14 A11CA01 RETINOLUM VITAMINA A PIC. ORALE, SOL. 20mg/ml BIOFARM SA ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-6L 1 1.4 1.4 1.4 1.4 15 A11CC02 DIHYDROTACHYSTEROLUM TACHYSTIN PICATURI ORALE-SOL. 0.1mg/ml CHAUVIN ANKERPHARM GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL., PREVAZUT CU APLICATOR PT. PICURARE P-6L 1 24.39 24.39 18.39 18.39 16 A11CC02 DIHYDROTACHYSTEROLUM A.T. 10 (R) PICATURI ORALE-SOL. 1mg/ml MERCK KGAA GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA PREVAZUT CU PICURATOR X 15 ML P-6L 1 18.39 18.39 18.39 18.39 17 A11CC04 CALCITRIOLUM ROCALTROL CAPS. MOI 0.25µg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI P-RF 100 159.51 1.6 1.6 1.6 18 A11CC05 COLECALCIFEROLUM VIGANTOLETTEN 1000 COMPR. 1000UI MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 6.35 0.21 0.21 0.21 19 A11CC05 COLECALCIFEROLUM VIGANTOLETTEN 500 COMPR. 500UI MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 5.07 0.17 0.17 0.17 20 A11CC05 COLECALCIFEROLUM VITAMINA D3 PIC. ORALE, SOL. 0,45mg/ml BIOFARM S.A. ROMANIA CUTIE X 1 FLACON X 10 ML PIC. ORALE, SOL. P-6L 1 3.6 3.6 3.6 3.6 21 A11CC05 COLECALCIFEROLUM VIGANTOL OIL PIC. ORALE, SOL. 0.5mg/ml MERCK KGAA GERMANIA CUTIE X 1 FLACON DIN STICLA X 10 ML PIC. ORALE SOLUTIE, PREVAZUT CU PICURATOR P-6L 1 5.45 5.45 5.45 5.45 22 A11CC20 COMBINATII FLUOR VIGANTOLETTEN 1000 COMPR. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 6.35 0.21 0.21 0.21 23 A11CC20 COMBINATII FLUOR VIGANTOLETTEN 500 COMPR. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 5.98 0.2 0.2 0.2 24 A11DA01 THIAMINUM SICOVIT (R) B1 10 mg COMPR. 10mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. X 40 COMPR. P-6L 40 0.83 0.02 0.02 0.02 25 A11DA01 THIAMINUM SICOVIT (R) B1 100 mg/2 ml SOL. INJ. 100mg/2ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 2.47 0.49 0.49 0.49 26 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-6L 50 20.36 0.41 0.38 0.38 27 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 20 DRAJ. P-6L 100 38.13 0.38 0.38 0.38

28 A11DBN1 COMBINATII MILGAMMA (R) N CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L 20 14.35 0.72 0.65 0.65 29 A11DBN1 COMBINATII MILGAMMA (R) N CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L 100 64.92 0.65 0.65 0.65 30 A11DBN1 COMBINATII MILGAMMA (R) N CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L 50 34.27 0.69 0.65 0.65 31 A11DBN1 COMBINATII MILGAMMA (R) N SOL. INJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 25 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML P-RF 25 65.71 2.63 2.63 2.63 32 A11DBN1 COMBINATII MILGAMMA (R) N SOL. INJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML P-RF 5 14.54 2.91 2.63 2.63 33 A11DBN2 COMBINATII NEUROMULTIVIT (R) COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. FILM. P-6L 20 8.11 0.41 0.33 0.33 34 A11DBN2 COMBINATII NEUROMULTIVIT (R) COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. AL/PVC X 20 COMPR. FILM. P-6L 100 32.51 0.33 0.33 0.33 35 A11GA01 ACIDUM ASCORBICUM VITAMINA C ARENA 750 mg SOL. INJ. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 5 ML SOL. INJ. P-RF 5 16.85 3.37 3.37 3.37 36 A11HA02 PYRIDOXINUM SICOVIT B6 250 mg COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 1.36 0.07 0.07 0.07 37 A11HA02 PYRIDOXINUM VITAMINA B6 250 mg COMPR. 250 mg ARENA GROUP SA ROMANIA CUTIE X 1 FLACON DIN PE X 20 COMPR. P-6L 20 1.36 0.07 0.07 0.07 38 A11HA02 PYRIDOXINUM SICOVIT B6 250 mg/5 ml SOL. INJ. 250mg/5ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF 5 3.8 0.76 0.76 0.76 39 A11HA02 PYRIDOXINUM SICOVIT B6 50 mg/2ml SOL. INJ. 50mg/2ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 2.47 0.49 0.49 0.49 40 A11HA03 TOCOFEROLUM VITAMIN E 200 CAPS. MOI 200mg ZENTIVA AS SLOVACIA CUTIE X 1 FLAC. STICLA X 30 CAPS. MOI P-6L 30 8.62 0.29 0.29 0.29 41 A11HA03 TOCOFEROLUM VITAMIN E 400 CAPS. MOI 400mg ZENTIVA AS SLOVACIA CUTIE X 1 FLAC. STICLA X 30 CAPS. MOI P-6L 30 11.4 0.38 0.38 0.38 42 A12AA03 CALCII GLUCONAS GLUCONAT DE CALCIU SOL. INJ. FARA CONCENTRATIE ZENTIVA SA ROMANIA CUTIE X 5 FIOLE X 10 ML SOL. INJ. P-RF 5 5.91 1.18 0.61 0.61 43 A12AA03 CALCII GLUCONAS GLUCONOLACTAT DE CALCIU 10% SOL. INJ. 10% B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FIOLE DIN PEJD X 10 ML SOL. INJ. P-RF 20 12.12 0.61 0.61 0.61 ANEXA 4 SECTIUNEA C3 - CU PROCENT DE COMPENSARE 100% - CUPRINDE DCI-URILE DIN CANAMED, ALTELE DECÂT CELE DIN SUBLISTELE A, B, C1, C2, INDICATE PENTRU COPII PÂNA LA 18 ANI, TINERI DE LA 18 LA 26 DE ANI DACA SUNT ELEVI, STUDENTI SAU UCENICI DACA NU REALIZEAZA VENITURI, PRECUM SI GRAVIDE SI LAUZE CONFORM HG NR. 720/2008 VALABILA ÎNCEPÂND CU 15 IULIE 2008 Page 1 of 6

44 A12AA03 CALCII GLUCONAS GLUCONAT DE CALCIU SOL. INJ. FARA CONCENTRATIE ZENTIVA SA ROMANIA CUTIE X 10 FIOLE X 10 ML SOL. INJ. P-RF 10 4.57 0.46 0.46 0.46 45 A14AA03 METANDIENONUM NAPOSIM 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.04 0.15 0.15 0.15 46 A16AA01 LEVOCARNITINUM CARNIL (R) SOL. ORALA 100mg/ml ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA CUTIE X 10 FLACOANE DIN STICLA BRUNA, ACOPERITE CU UN CAPAC DIN AL. X 10 ML P-6L 10 21.09 2.11 1.3 1.3 47 A16AA01 LEVOCARNITINUM MIOCOR SOL. ORALA 10% ECOBI PHARMACEUTICI ITALIA CUTIE X 10 FLACOANE X 10ML P-6L 10 12.95 1.3 1.3 1.3 48 A16AXN1 DIVERSE ACTOVEGIN (R) DRAJ. 200mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 DRAJ. P-6L 50 117.76 2.36 2.36 2.36 49 A16AXN1 DIVERSE ACTOVEGIN (R) SOL. INJ. 200mg/5ml NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 5 FIOLE PUNCT DE RUPERE X 5 ML P-RF 5 83.68 16.74 16.74 16.74

50 A16AXN1 DIVERSE ACTOVEGIN (R) SOL. INJ. 80mg/2ml NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 2 ML P-RF 5 50.3 10.06 10.06 10.06 51 B02BX01 ETAMSYLATUM ETAMSILAT SOL. INJ. 250mg/2ml ZENTIVA S.A ROMANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. P-RF 5 2.56 0.51 0.29 0.29 52 B02BX01 ETAMSYLATUM ETAMSILAT SOL. INJ. 250mg/2ml ZENTIVA S.A ROMANIA CUTIE X 10 FIOLE X 2 ML SOL INJ P-RF 10 2.94 0.29 0.29 0.29 53 B02BX02 CARBAZOCHROMI SALICYLAS ADRENOSTAZIN SOL. INJ. 0.3mg/ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE X 5 ML P-RF 5 3.45 0.69 0.69 0.69 54 B03AA02 FERROSI FUMARAS FERRONAT (R) SUSP. ORALA 3% IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON X 100 ML + MASURA DOZATOARE P-6L 1 2.74 2.74 2.74 2.74 55 B03AA03 FERROSI GLUCONAS ASCOFER COMPR. FARA CONCENTRATIE ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 20 COMPR. P-6L 20 2.85 0.14 0.14 0.14 56 B03ABN1 FERROCHOLINATUM FER-SOL SOL. ORALA IN PICATURI 24mg Fe/ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 15 ML + DISPOZITIV PT. PICURARE P-6L 1 2.67 2.67 2.67 2.67 57 B03AD02 COMBINATII FERRETAB (R) CAPS. ELIB. PREL. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. AL/PVC X 20 CAPS. ELIB. PREL. P-6L 100 19.52 0.2 0.2 0.2 58 B03AD02 COMBINATII FERRETAB (R) CAPS. ELIB. PREL. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 30 8.57 0.29 0.2 0.2 59 B03AD03 COMBINATII FERRO SANOL GYN CAPS. FARA CONCENTRATIE SCHWARZ PHARMA AG GERMANIA CUTIE X 5 BLIST. AL/PE X 10 CAPS. P-6L 50 27.63 0.55 0.55 0.55 60 B03AD03 COMBINATII TARDYFERON FOL (R) DRAJ. ELIB. PREL. FARA CONCENTRATIE LAB. PIERRE FABRE FRANTA CUTIE X 3 BLIST. AL/PVDC-PE-PVC X 10 DRAJ. ELIB. PREL. P-6L 30 12.72 0.42 0.42 0.42 61 B03AD04 COMBINATII MALTOFER FOL COMPR. MAST. FARA CONCENTRATIE VIFOR FRANCE S.A. FRANTA CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. MAST. P-6L 30 12.16 0.41 0.41 0.41

62 B03AE01 COMBINATII FERRO - FOLGAMMA (R) CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI P-6L 100 31.6 0.32 0.32 0.32 63 B03AE01 COMBINATII FERRO - FOLGAMMA (R) CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVDC-PVCX 10 CAPS. MOI P-6L 50 17.2 0.34 0.32 0.32 64 B03AE01 COMBINATII FERRO - FOLGAMMA (R) CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVDC-PVC X 10 CAPS. MOI P-6L 20 7.62 0.38 0.32 0.32 65 B03AE10 COMBINATII TOT'HEMA SOL. ORALA FARA CONCENTRATIE LAB. INNOTHERA FRANTA CUTIE X 20 FIOLE X 10 ML P-6L 20 12.54 0.63 0.63 0.63 66 B03BA01 CYANOCOBALAMINUM SICOVIT (R) B12 1000ag/ml SOL. INJ. 1000µg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL INJ. P-RF 5 1.33 0.27 0.27 0.27 67 B03BA01 CYANOCOBALAMINUM SICOVIT B12 50ug/ml SOL. INJ. 50µg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. P-RF 5 2.47 0.49 0.49 0.49 68 B03BA51 COMBINATII MILGAMMA (R) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L 100 64.92 0.65 0.65 0.65 69 B03BA51 COMBINATII MILGAMMA (R) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L 20 14.35 0.72 0.65 0.65 70 B03BA51 COMBINATII MILGAMMA (R) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L 50 34.27 0.69 0.65 0.65 71 B03BA51 COMBINATII MILGAMMA (R) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L 100 64.92 0.65 0.65 0.65 72 B03BA51 COMBINATII MILGAMMA (R) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L 20 14.35 0.72 0.65 0.65 73 B03BA51 COMBINATII MILGAMMA (R) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L 50 34.27 0.69 0.65 0.65 74 C01EA01 ALPROSTADILUM** ALPROSTADIL "PINT" 500 ug CONC. PT. SOL. PERF. 500µg PINT-PHARMA GMBH AUSTRIA CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF. S 5 1556.09 311.22 311.22 311.22 75 C02LA51 COMBINATII NEOCRYSTEPIN DRAJ. FARA CONCENTRATIE ZENTIVA AS CEHIA CUTIE X 2 BLIST. AL/PVC X 15 DRAJ. P-6L 30 6.5 0.22 0.22 0.22 76 C04AE01 CODERGOCRINUM REDERGIN 1 mg/ml PICATURI ORALE-SOL. 0.1% LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLACON X 50 ML P-6L 1 8.66 8.66 1.71 1.71 77 C04AE01 CODERGOCRINUM CO-DERGOCRIN SOL. ORALA IN PICATURI 0.1% TERAPIA SA ROMANIA CUTIE X 1 FLACON CU DOP PICATOR X 50ML P-6L 1 3.88 3.88 1.71 1.71 78 C04AE01 CODERGOCRINUM SECATOXIN SOL. ORALA IN PICATURI 1mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON X 10 ML + PICATOR P-6L 1 1.71 1.71 1.71 1.71 79 C05AA01 COMBINATII HEMORZON UNGUENT FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 18 G P-RF 1 2.94 2.94 2.94 2.94 80 C05AA08 COMBINATII ULTRAPROCT (R) SUPOZ. FARA CONCENTRATIE INTENDIS GMBH GERMANIA CUTIE X 2 FOLII X 5 SUPOZ. P-RF 10 9.4 0.94 0.94 0.94 81 C05AA08 COMBINATII ULTRAPROCT (R) UNGUENT RECTAL FARA CONCENTRATIE INTENDIS GMBH GERMANIA CUTIE X 1 TUB X 15 G + 1 CANULA RECTALA P-RF 1 10.31 10.31 10.31 10.31

82 C05AD01 COMBINATII DOXIPROCT UNGUENT RECTAL FARA CONCENTRATIE OM PORTUGUESA S.A. PORTUGALIA CUTIE X 1 TUB DIN AL X 30 G UNGUENT RECTAL + CANULA APLICATOARE P-6L 1 21.12 21.12 19.15 19.15 83 C05AD01 COMBINATII DOXIPROCT PLUS UNGUENT RECTAL FARA CONCENTRATIE OM PORTUGUESA S.A. PORTUGALIA CUTIE X 1 TUB DIN AL X 20 G UNGUENT RECTAL + CANULA APLICATOARE P-6L 1 19.15 19.15 19.15 19.15 84 C05BX01 CALCII DOBESILAS DOXILEK CAPS. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 3 BLIST. AL/PVC. X 10 CAPS. P-6L 30 17.64 0.59 0.59 0.59 85 C05BX01 CALCII DOBESILAS DOXIUM 500 CAPS. 500mg OM PORTUGUESA S.A. PORTUGALIA CUTIE X 3 BLIST. PVDC-PVC-PVDC/AL X 10 CAPS. P-6L 30 19.71 0.66 0.59 0.59 86 C05CA54 TROXERUTINUM (COMBINATII) GINKOR FORT CAPS. FARA CONCENTRATIE BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 18.48 0.62 0.62 0.62 87 C07AB08 CELIPROLOLUM CELIPRES (R) COMPR. FILM. 100mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 9.07 0.91 0.91 0.91 88 C07AB08 CELIPROLOLUM CELIPRES (R) COMPR. FILM. 200mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 14.75 1.48 1.48 1.48 89 C07NAN1 COMBINATII CALMOGEN CAPS. FARA CONCENTRATIE EUROPHARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 4.38 0.15 0.15 0.15 90 C07NAN1 COMBINATII DISTONOVAL COMPR. FARA CONCENTRATIE FABIOL S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 2.75 0.14 0.14 0.14 91 C07NAN1 COMBINATII DISTONOCALM? COMPR. FILM. FARA CONCENTRATIE ZENTIVA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 3 0.1 0.1 0.1 92 C08CA06 NIMODIPINUM NIMOTOP (R) COMPR. FILM. 30mg BAYER HEALTHCARE AG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L/S 100 132.95 1.33 1.33 1.33 93 C08CA06 NIMODIPINUM NIMOTOP (R) SOL. PERF. 10mg/50ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 CUTII X 1 FLACON DIN STICLA DE CULOARE BRUNA X 50 ML + 1 PERFUZOR DIN POLIETILENA S 5 249.34 49.87 42.97 42.97 94 C08CA06 NIMODIPINUM DILCEREN (R) SOL. PERF. 10mg/50ml SLOVAKOFARMA SLOVACIA CUTIE X 1 FLACON X 50 ML S 1 42.97 42.97 42.97 42.97 95 C10AD02 ACIDUM NICOTINICUM NIASPAN 1000 mg COMPR. ELIB. PREL. 1000mg MERCK KGAA GERMANIA CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 28 68.43 2.44 2.43 2.43 96 C10AD02 ACIDUM NICOTINICUM NIASPAN 1000 mg COMPR. ELIB. PREL. 1000mg MERCK KGAA GERMANIA CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 98 237.68 2.43 2.43 2.43 97 C10AD02 ACIDUM NICOTINICUM NIASPAN 1000 mg COMPR. ELIB. PREL. 1000mg MERCK KGAA GERMANIA CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 14 34.54 2.47 2.43 2.43 98 C10AD02 ACIDUM NICOTINICUM NIASPAN 1000 mg COMPR. ELIB. PREL. 1000mg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 56 136.26 2.43 2.43 2.43 99 C10AD02 ACIDUM NICOTINICUM NIASPAN 375 mg COMPR. ELIB. PREL. 375mg MERCK KGAA GERMANIA CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 14 15.79 1.13 1.03 1.03 100 C10AD02 ACIDUM NICOTINICUM NIASPAN 375 mg COMPR. ELIB. PREL. 375mg MERCK KGAA GERMANIA CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 28 31.29 1.12 1.03 1.03 101 C10AD02 ACIDUM NICOTINICUM NIASPAN 375 mg COMPR. ELIB. PREL. 375mg MERCK KGAA GERMANIA CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 98 101.34 1.03 1.03 1.03

102 C10AD02 ACIDUM NICOTINICUM NIASPAN 375 mg COMPR. ELIB. PREL. 375mg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 56 62.36 1.11 1.03 1.03 103 C10AD02 ACIDUM NICOTINICUM NIASPAN 500 mg COMPR. ELIB. PREL. 500mg MERCK KGAA GERMANIA CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 98 142.79 1.46 1.46 1.46 Page 2 of 6

104 C10AD02 ACIDUM NICOTINICUM NIASPAN 500 mg COMPR. ELIB. PREL. 500mg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 56 81.59 1.46 1.46 1.46 105 C10AD02 ACIDUM NICOTINICUM NIASPAN 500 mg COMPR. ELIB. PREL. 500mg MERCK KGAA GERMANIA CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 28 41.07 1.47 1.46 1.46 106 C10AD02 ACIDUM NICOTINICUM NIASPAN 500 mg COMPR. ELIB. PREL. 500mg MERCK KGAA GERMANIA CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 14 20.74 1.48 1.46 1.46 107 C10AD02 ACIDUM NICOTINICUM NIASPAN 750 mg COMPR. ELIB. PREL. 750mg MERCK KGAA GERMANIA CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 98 190.68 1.95 1.95 1.95 108 C10AD02 ACIDUM NICOTINICUM NIASPAN 750 mg COMPR. ELIB. PREL. 750mg MERCK KGAA GERMANIA CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 14 28.3 2.02 1.95 1.95 109 C10AD02 ACIDUM NICOTINICUM NIASPAN 750 mg COMPR. ELIB. PREL. 750mg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 56 108.94 1.95 1.95 1.95 110 C10AD02 ACIDUM NICOTINICUM NIASPAN 750 mg COMPR. ELIB. PREL. 750mg MERCK KGAA GERMANIA CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 28 56.31 2.01 1.95 1.95 111 D01AC05 ISOCONAZOLUM TRAVOGEN CREMA 10mg/1g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 20 G CREMA P-RF 1 12.82 12.82 12.82 12.82 112 D01AC08 KETOCONAZOLUM NIZORAL CREMA 2% JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 TUB X 15 G P-RF 1 7.62 7.62 5.66 5.66 113 D01AC08 KETOCONAZOLUM KETOCONAZOL CREMA 2% TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB PEJD X 15 G P-RF 1 5.88 5.88 5.66 5.66 114 D01AC08 KETOCONAZOLUM KETOCONAZOL CREMA CREMA 20mg/g SC HYPERION SA ROMANIA CUTIE X 1 TUB DIN AL X 20 MG CREMA P-RF 1 5.66 5.66 5.66 5.66 115 D01AC08 KETOCONAZOLUM KEFUNGIN 2mg/100mg CREMA 2mg/100mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 5.9 5.9 5.66 5.66 116 D01AC52 COMBINATII MYCOHEAL (R) HC CREMA FARA CONCENTRATIE DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 15 G P-RF 1 4.99 4.99 4.99 4.99 117 D05AC01 DITHRANOLUM PSORIANOL 0,5% UNGUENT 0.5% HYPERION SA ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 2.11 2.11 2.11 2.11 118 D05AC01 DITHRANOLUM PSORIANOL 1% UNGUENT 1% HYPERION SA ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 2.63 2.63 2.63 2.63 119 D05AXN1 COMBINATII ASORIAN SOL. CUT. FARA CONCENTRATIE BIOFARM SA ROMANIA CUTIE X 1 FLACON X 100 ML P-RF 1 6.94 6.94 6.94 6.94 120 D07AB10 ALCLOMETAZONUM AFLODERM CREMA 0.5mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB AL X 40 G P-RF 1 22.69 22.69 14.75 14.75 121 D07AB10 ALCLOMETAZONUM AFLODERM CREMA 0.5mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB AL X 20 G P-RF 1 14.75 14.75 14.75 14.75 122 D07AB10 ALCLOMETAZONUM AFLODERM UNGUENT 0.5mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB AL X 40 G P-RF 1 22.69 22.69 14.75 14.75 123 D07AB10 ALCLOMETAZONUM AFLODERM UNGUENT 0.5mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB AL X 20 G P-RF 1 14.75 14.75 14.75 14.75

124 D07AC04 FLUOCINOLONI ACETONIDUM FLUOCINOLON ACETONID 0,025% UNGUENT 0.025% LAROPHARM SRL ROMANIA CUTIE X 1 TUB AL X 20 G P-RF 1 3.08 3.08 3.08 3.08 125 D07AC05 FLUOCORTOLONUM ULTRALAN CREMA CREMA 0.25% INTENDIS GMBH GERMANIA CUTIE X 1 TUB X 15 G P-RF 1 12.72 12.72 12.72 12.72 126 D07AC05 FLUOCORTOLONUM ULTRALAN UNGUENT UNGUENT 0.25% SCHERING AG GERMANIA CUTIE X 1 TUB X 15 G UNGUENT P-RF 1 12.72 12.72 12.72 12.72 127 D07CB01 COMBINATII NIDOFLOR CREMA FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 15 G P-RF 1 2.94 2.94 2.94 2.94 128 D07CB01 COMBINATII PANDERM UNGUENT FARA CONCENTRATIE GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 1 TUB X 15 G P-RF 1 5.95 5.95 5.95 5.95 129 D07CC02 COMBINATII FLUOCINOLON N UNGUENT FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 18 G P-RF 1 2.76 2.76 2.76 2.76 130 D07XB02 COMBINATII TRIAMCINOLON S CREMA FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 15 G P-RF 1 2.94 2.94 2.94 2.94 131 D07XC01 COMBINATII DIPROSALIC SOL. CUT. FARA CONCENTRATIE SCHERING-PLOUGH EUROPE BELGIA CUTIE X 1 FLACON DIN PEID X 30 ML SOL. CUT., PREVAZUT CU PICURATOR P-RF 1 13.09 13.09 13.09 13.09 132 D07XC01 COMBINATII BELOSALIC SOL. CUT. FARA CONCENTRATIE A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 FLAC. PEID X 50 ML, PREVAZUT CU PICURATOR P-RF 1 14.99 14.99 13.09 13.09 133 D07XC01 COMBINATII DIPROSALIC UNGUENT FARA CONCENTRATIE SCHERING-PLOUGH EUROPE BELGIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 8.96 8.96 8.96 8.96 134 D07XC01 COMBINATII BELOSALIC UNGUENT FARA CONCENTRATIE A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB AL X 30 G P-RF 1 9.21 9.21 8.96 8.96 135 D07XC04 COMBINATII TRAVOCORT CREMA FARA CONCENTRATIE INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 12.82 12.82 12.82 12.82 136 D10AD01 TRETINOINUM RETIN - A (R) CREMA 0.05% JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 TUB X 30 G P-RF 1 9.85 9.85 9.85 9.85 137 D10AF02 ERYTHROMYCINUM ERYFLUID SOL. CUT. 4g PIERRE FABRE DERMATOLOGIE FRANTA CUTIE X 1 FLACON X 100 ML SOL. CUT. P-RF 1 15.09 15.09 6.12 6.12 138 D10AF02 ERYTHROMYCINUM ERYFLUID SOL. CUT. 4g PIERRE FABRE DERMATOLOGIE FRANTA CUTIE X 1 FLACON X 30 ML SOL. CUT. P-RF 1 6.12 6.12 6.12 6.12 139 D10AF52 COMBINATII ZINERYT PULB. + SOLV. SOL. CUT. 40mg/12mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 FLAC. DIN PEID PULB. PT. SOL. CUTANATA + APLICATOR DIN PP CU SOLV. PT 30 ML SOL. CUTANATA P-RF 1 23.18 23.18 23.18 23.18 140 G01AF01 METRONIDAZOLUM FLAGYL OVULE 500mg LAB. AVENTIS FRANTA CUTIE X 2 BLIST. X 5 OVULE P-RF 10 9.24 0.92 0.92 0.92 141 G01AXN1 COMBINATII COLPOSEPTINE (R) COMPR. VAG. FARA CONCENTRATIE LAB. THERAMEX MONACO CUTIE X 3 BLIST. X 6 COMPR. VAG. P-RF 18 18.39 1.02 1.02 1.02 142 G01BDN1 COMBINATII TERGYNAN COMPR. VAG. FARA CONCENTRATIE LAB. BOUCHARA-RECORDATI FRANTA CUTIE X 1 FOLIE HARTIE/PE/AL/PE X 10 COMPR. VAG. P-RF 10 15.44 1.54 1.54 1.54 143 G03AC06 MEDROXYPROGESTERONUM DEPO-PROVERA SUSP. INJ. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 1 ML SUSP. INJ. S/P-RF 1 8.18 8.18 8.18 8.18

144 G03DB04 NOMEGESTROLUM LUTENYL (R) COMPR. 5mg LAB. THERAMEX MONACO CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 23.18 2.32 2.32 2.32 145 G03GA01 GONADOTROPHINUM CHORIONICUM PREGNYL 5000 LIOF. + SOLV. PT. SOL. INJ. 5000ui/ml NV ORGANON OLANDA CUTIE X 3 FIOLE CU LIOF. PREVAZUTE CU INEL DE RUPERE + 3 FIOLE X 1 ML SOLV. PREVAZUTE CU INEL DE RUP S/P-RF 3 59.02 19.67 19.67 19.67 146 G03GA01 GONADOTROPHINUM CHORIONICUM PREGNYL 500 LIOF. + SOLV. PT. SOL. INJ. 500ui/ml ORGANON NV OLANDA CUTIE X 6 FIOLE CU LIOF. + 6 FIOLE CU SOLV. PT. SOL. INJ. S/P-RF 6 22.97 3.83 3.75 3.75 147 G03GA01 GONADOTROPHINUM CHORIONICUM PREGNYL 500 LIOF. + SOLV. PT. SOL. INJ. 500ui/ml ORGANON NV OLANDA CUTIE X 3 FIOLE CU LIOF. + 3 FIOLE CU SOLV. PT. SOL. INJ. S/P-RF 3 11.24 3.75 3.75 3.75 148 G03GA02 MENOTROPINUM MENOGON LIOF. SI SOLV.PT.SOL.INJ 75ui FSH / 75ui LH FERING GMBH GERMANIA CUTIE X 10 FIOLE LIOF. + 10 FIOLE SOLV. S/P-RF 10 325.05 32.51 32.51 32.51 149 G03GA02 MENOTROPINUM MENOPUR LIOF. + SOLV. PT. SOL. INJ. FARA CONCENTRATIE FERRING LAEGEMIDLER A/S DANEMARCA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU LIOF. + 10 FIOLE X 1 ML SOLV. PT. SOL. INJ. S/P-RF 10 820.06 82.01 32.51 32.51 150 G04BCN1 COMBINATII URALYT-U GRANULE FARA CONCENTRATIE MADAUS GMBH GERMANIA CUTIE X 1 FLAC. PP X 280 G GRANULE + 1 LINGURITA DOZATOARE + 1 CALENDAR DE CONTROL + HARTIE INDICATO P-6L 1 57.6 57.6 57.6 57.6 151 H03AA03 COMBINATII NOVOTHYRAL (R) 100 COMPR. 100µg+20µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-6L 100 26.1 0.26 0.26 0.26 152 J01CR50 COMBINATII AMPICLOX CAPS. 250mg+250 mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. P-RF 12 5.83 0.49 0.49 0.49 153 J01CR50 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULPERAZON (R) 2 g PULB. PT. SOL. INJ. 1g+1g PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC X 2 G S/P-RF 1 28.53 28.53 28.53 28.53 154 J01DB04 CEFAZOLINUM LYZOLIN PULB. PT. SOL. INJ. 1g MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 1 FLAC/. PULB. S/P-RF 1 2.78 2.78 2.78 2.78 155 J01DE02 CEFPIROMUM CEFROM (R) 1 g PULB. PT. SOL. INJ./PERF. 1g LAB. AVENTIS FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF. S/P-RF 1 58.33 58.33 58.33 58.33 156 J01DE02 CEFPIROMUM CEFROM (R) 2 g PULB. PT. SOL. INJ./PERF. 2g LAB. AVENTIS FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF. S/P-RF 1 101.49 101.49 101.49 101.49 157 J01EB05 SULFAFURAZOLUM NEOXAZOL (R) 500 mg COMPR. 500mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 3.46 0.17 0.16 0.16 158 J01EB05 SULFAFURAZOLUM SULFAFURAZOL COMPR. 500mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.23 0.16 0.16 0.16 159 J01FA06 ROXITHROMYCINUM ROXAMED (R) 150 COMPR. FILM. 150mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 11.03 1.1 1.1 1.1 160 J01GB03 GENTAMICINUM GENTAMICINA SANDOZ (R) 40 mg/ml SOL. INJ. 40mg/ml SANDOZ GMBH AUSTRIA CUTIE X 50 FIOLE DIN STICLA INCOLORA X 1 ML P-RF/S 50 32.05 0.64 0.54 0.54 161 J01GB03 GENTAMICINUM GENTAMICIN KRKA SOL. INJ. 40mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF 10 5.37 0.54 0.54 0.54 162 J01GB03 GENTAMICINUM GENTAMICIN KRKA SOL. INJ. 80mg/2ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 50 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF/S 50 29.88 0.6 0.51 0.51

163 J01GB03 GENTAMICINUM GENTAMICIN KRKA SOL. INJ. 80mg/2ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF 10 6.9 0.69 0.51 0.51 Page 3 of 6

164 J01GB03 GENTAMICINUM PAN - GENTAMICINE SOL.INJ. 80mg/2ml LAB. PANPHARMA FRANTA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF 10 5.14 0.51 0.51 0.51 165 J01GB03 GENTAMICINUM LYRAMYCIN SOL. PARENT. 40mg/ml MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 10 FLACOANE X 2 ML P-RF 10 6.28 0.63 0.51 0.51 166 J01GB07 NETILMICINUM NETROMYCINE (R) SOL. INJ. 150mg/1.5ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 1,5 ML S/P-RF 1 14.46 14.46 14.46 14.46 167 J01GB07 NETILMICINUM NETROMYCINE (R) SOL. INJ. 200mg/2ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 2 ML S/P-RF 1 17.58 17.58 17.58 17.58 168 J01GB07 NETILMICINUM NETROMYCINE (R) SOL. INJ. 50mg/2ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 2 ML S/P-RF 1 8.62 8.62 8.62 8.62 169 J02AC03 VORICONAZOLUM** VFEND (R) COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3393.74 121.21 121.21 121.21 170 J02AC03 VORICONAZOLUM** VFEND (R) COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 848.23 30.29 30.29 30.29 171 J02AC03 VORICONAZOLUM** VFEND (R) 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA P-RF 1 2252.06 2252.06 2252.06 2252.06 172 M01AA01 PHENYLBUTAZONUM FENILBUTAZONA 250 mg SUPOZ. 250mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 2.18 0.22 0.22 0.22 173 M01AB55 COMBINATII NEODOLPASSE SOL. PERF. FARA CONCENTRATIE FRESENIUS KABI AUSTRIA GMBH AUSTRIA CUTIE X 10 FLACOANE X 250 ML S 10 177.87 17.79 17.79 17.79 174 M01AB55 COMBINATII ACECLOFEN SUPOZ. FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL/PE X 3 SUPOZ. P-6L 6 2.27 0.38 0.38 0.38 175 M01AB55 DICLOFENACUM+MISOPROSTOLUM ARTHROTEC 75 COMPR. GASTROREZ. FARA CONCENTRATIE PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL X 10 COMPR. GASTROREZ. P-6L 20 20.15 1.01 1.01 1.01 176 M01AB55 DICLOFENACUM+MISOPROSTOLUM ARTHROTEC 75 COMPR. GASTROREZ. FARA CONCENTRATIE PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL X 10 COMPR. GASTROREZ. P-6L 10 11.75 1.18 1.01 1.01 177 M01AE01 IBUPROFENUM MARCOFEN (R) CAPS. 400mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 6 CAPS. P-6L 12 1.98 0.17 0.17 0.17 178 M01AE01 IBUPROFENUM PADUDEN (R) SR 300 mg CAPS. ELIB. PREL. 300mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. X 10 CAPS. ELIB. PREL. P-6L 30 14.06 0.47 0.47 0.47 179 M01AE01 IBUPROFENUM PADUDEN (R) SR 300 mg CAPS. ELIB. PREL. 300mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-6L 10 7.84 0.78 0.47 0.47 180 M01AE01 IBUPROFENUM PROFINAL COMPR. FILM. 400mg GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 2 BLIST. X 12 COMPR. FILM. P-6L 24 8.67 0.36 0.12 0.12 181 M01AE01 IBUPROFENUM REUPROFEN (R) 400 mg COMPR. FILM. 400mg AC HELCOR SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 5.42 0.18 0.12 0.12 182 M01AE01 IBUPROFENUM IBUPROFEN 400 COMPR. FILM. 400mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 2.3 0.12 0.12 0.12

183 M01AE01 IBUPROFENUM PROFINAL COMPR. FILM. 600mg GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 16.16 0.81 0.19 0.19 184 M01AE01 IBUPROFENUM IBUPROFEN 600 COMPR. FILM. 600mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 3.81 0.19 0.19 0.19 185 M01AE01 IBUPROFENUM NUROFEN FORTE DRAJ. 400mg RECKITT BENCKISER HEALTHCARE INTERNATIONAL LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 12 DRAJ. P-6L 12 8.76 0.73 0.73 0.73 186 M01AE01 IBUPROFENUM IBUGESIC (R) SUSP. ORALA 100mg/5ml DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 4.05 4.05 4.05 4.05 187 M01AE01 IBUPROFENUM NUROFEN (R) PENTRU COPII, cu aroma de portocala SUSP. ORALA 100mg/5ml RECKITT BENCKISER HEALTHCARE INTERNATIONAL LTD. MAREA BRITANIE CUTIE X 1 FLAC. PE TEREFTALAT X 100 ML + 1 SERINGA DOZATOARE PP CU PISTON DIN PE P-RF 1 5.57 5.57 4.05 4.05 188 M01AE01 IBUPROFENUM NUROFEN (R) PENTRU COPII, cu aroma de capsuni SUSP. ORALA 100mg/5ml RECKITT BENCKISER HEALTHCARE INTERNATIONAL LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN TEREFTALAT DE POLIETILENA X 100 ML SUSP. ORALA + SERINGA DOZAT. PP + PISTON PE P-RF 1 5.57 5.57 4.05 4.05 189 M01AE01 IBUPROFENUM IBALGIN BABY SUSP. ORALA 100mg/5ml ZENTIVA AS CEHIA CUTIE X 1 FLAC. DIN STICLA X 100 ML SUSP. ORALA + PIPETA DOZATOARE GRADATA P-RF 1 5.05 5.05 4.05 4.05 190 M01AE02 NAPROXENUM REUXEN 250 mg COMPR. 250mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.35 0.32 0.32 0.32 191 M01AE02 NAPROXENUM REUXEN 500 mg COMPR. 500mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 11.18 0.56 0.56 0.56 192 M01AG01 ACIDUM MEFENAMICUM VIDAN COMPR. FILM. 500mg VIANEX SA GRECIA CUTIE X 3 BLIST. AL/PVC X 8 COMPR. FILM. P-6L 24 7.25 0.3 0.3 0.3 193 M01AH04 PARECOXIBUM DYNASTAT PULB. + SOLV. PT. SOL. INJ. 40mg PFIZER LIMITED MAREA BRITANIE CUTIE X 5 FLAC. PULB. X 40 MG + 5 FIOLE X 2 ML SOLV. S/P-RF 5 122.3 24.46 24.11 24.11 194 M01AH04 PARECOXIBUM DYNASTAT PULB. PT. SOL. INJ. 40mg PFIZER LIMITED MAREA BRITANIE CUTIE X 10 FLAC. X 40 MG PULB. PT. SOL. INJ. S/P-RF 10 241.13 24.11 24.11 24.11 195 M01AX02 ACIDUM NIFLUMICUM NIFLURIL CAPS. 250mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 3 BLIST. X 10 CAPS. P-6L 30 6.62 0.22 0.22 0.22 196 M02ACN3 COMBINATII PERCUTALGINE GEL FARA CONCENTRATIE LABORATOIRES CHEMINEAU FRANTA CUTIE X 1 TUB X 30 G GEL P-RF 1 6.73 6.73 6.73 6.73 197 M03BB03 CHLORZOXAZONUM CLORZOXAZON 250 mg COMPR. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.9 0.1 0.09 0.09 198 M03BB03 CHLORZOXAZONUM CLORZOXAZONA COMPR. 250mg SINTOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.89 0.09 0.09 0.09 199 M03BB03 CHLORZOXAZONUM CLORZOXAZONA 250 mg COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.85 0.1 0.09 0.09 200 M03BX04 TOLPERISONUM MYDOCALM COMPR. FILM. 150mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 10.31 0.34 0.34 0.34 201 M03BX04 TOLPERISONUM MYDOCALM COMPR. FILM. 50mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 5.53 0.18 0.18 0.18

202 M03BX04 TOLPERISONUM TOLPERISON 50 mg DRAJ. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-6L 30 3.75 0.13 0.13 0.13 203 M03BX04 TOLPERISONUM MYDOCALM SOL. INJ. 100mg/ml GEDEON RICHTER LTD. UNGARIA CUTIE X 5 FIOLE DIN STICLA X 1 ML SOL. INJ. P-RF 5 5.23 1.05 1.05 1.05 204 M09AX01 ACIDUM HIALURONICUM HYALGAN (R) SOL. INJ. 20mg/2ml CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 2 ML P-RF 1 165.12 165.12 165.12 165.12 205 N02AA59 COMBINATII PARADOREN 500mg/30mg COMPR. 30mg+500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 8.7 0.44 0.44 0.44 206 N02AA59 COMBINATII PARADOREN 500mg/60mg COMPR. 60mg+500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 13.2 0.66 0.66 0.66 207 N02BA71 COMBINATII FASCONAL P COMPR. FARA CONCENTRATIE GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.31 0.17 0.17 0.17 208 N02BA71 COMBINATII FASCOREM COMPR. FARA CONCENTRATIE REMEDIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.31 0.17 0.17 0.17 209 N02BB02 METAMIZOLUM NATRIUM ALGOCALMIN (R) 1 g/2 ml SOL. INJ. 1g/2ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 2.81 0.56 0.29 0.29 210 N02BB02 METAMIZOLUM NATRIUM ALGOCALMIN (R) 1 g/2 ml SOL. INJ. 1g/2ml ZENTIVA S.A. ROMANIA CUTIE X 10 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SIL. INJ. P-RF 10 2.88 0.29 0.29 0.29 211 N02BB02 METAMIZOLUM NATRIUM NEVRALGIN PIC. ORALE, SOL. 500mg/ml TERAPIA S.A. ROMANIA CUTIE X 1 FLACON X 10 ML PIC. ORALE, SOL. P-RF 1 4.43 4.43 4.43 4.43 212 N05BA05 CLORAZEPAS DIKALII TRANXENE 10 mg CAPS. 10mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 CAPS. P-RF 30 9.74 0.32 0.32 0.32 213 N05BA05 CLORAZEPAS DIKALII TRANXENE 5 mg CAPS. 5mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 CAPS. P-RF 30 6.69 0.22 0.22 0.22 214 N05BA23 TOFISOPAMUM GRANDAXIN COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-RF 20 4.2 0.21 0.21 0.21 215 N05CD08 MIDAZOLAMUM DORMICUM (R) COMPR. FILM. 7.5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 10 6.36 0.64 0.64 0.64 216 N05CD08 MIDAZOLAMUM DORMICUM (R) 7,5 mg COMPR. FILM. 7.5mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 10 7.22 0.72 0.64 0.64 217 N05CD08 MIDAZOLAMUM DORMICUM (R) SOL. INJ. 1mg/ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 10 FIOLE X 5 ML S/P-RF 10 47.85 4.79 1.9 1.9 218 N05CD08 MIDAZOLAMUM MIDAZOLAM TORREX 1 mg/ml SOL. INJ. 1mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE X 2 ML SOL. INJ. S/P-RF 10 18.97 1.9 1.9 1.9 219 N05CD08 MIDAZOLAMUM MIDAZOLAM TORREX 1 mg/ml SOL. INJ. 1mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE X 5 ML SOL. INJ. S/P-RF 10 28.85 2.89 1.9 1.9 220 N05CD08 MIDAZOLAMUM FULSED 5 mg/ml SOL. INJ. 5mg/ml TERAPIA S.A. ROMANIA CUTIE X 10 FIOLE X 1 ML SOL. INJ. S/P-RF 10 23.6 2.36 2.26 2.26 221 N05CD08 MIDAZOLAMUM MIDAZOLAM 5 mg/ml SOL. INJ. 5mg/ml TERAPIA SA ROMANIA CUTIE X 10 FIOLE X 1 ML SOL. INJ. S/P-RF 10 22.6 2.26 2.26 2.26

222 N05CD08 MIDAZOLAMUM MIDAZOLAM TORREX 5 mg/ml SOL. INJ. 5mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE X 1 ML SOL. INJ. S/P-RF 10 28.85 2.89 2.26 2.26 223 N05CD08 MIDAZOLAMUM MIDAZOLAM TORREX 5 mg/ml SOL. INJ. 5mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE X 10 ML SOL. INJ. S/P-RF 10 160.56 16.06 2.26 2.26 Page 4 of 6

224 N05CD08 MIDAZOLAMUM MIDAZOLAM TORREX 5 mg/ml SOL. INJ. 5mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE X 3 ML SOL. INJ. S/P-RF 10 48.87 4.89 2.26 2.26 225 N05CD13 CINOLAZEPAMUM GERODORM (R) COMPR. 40mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVDC-PVC X 10 COMPR. P-RF 10 6.41 0.64 0.54 0.54 226 N05CD13 CINOLAZEPAMUM GERODORM (R) COMPR. 40mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-RF 30 16.31 0.54 0.54 0.54 227 N06BA04 METHYLFENIDATUM*** CONCERTA XL 18 mg COMPR. FILM. ELIB. PREL. 18mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL. P-RF/R 30 168.67 5.62 5.62 5.62 228 N06BA04 METHYLFENIDATUM*** CONCERTA XL 36 mg COMPR. FILM. ELIB. PREL. 36mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL. P-RF/R 30 234.26 7.81 7.81 7.81 229 N06BA04 METHYLFENIDATUM*** CONCERTA XL 54 mg COMPR. FILM. ELIB. PREL. 54mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL. P-RF/R 30 309.23 10.31 10.31 10.31 230 N06BA09 ATOMOXETINUM*** STRATTERA 10 mg CAPS. 10mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF 7 93.83 13.4 13.4 13.4 231 N06BA09 ATOMOXETINUM*** STRATTERA 18 mg CAPS. 18mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF 7 93.83 13.4 13.4 13.4 232 N06BA09 ATOMOXETINUM*** STRATTERA 25 mg CAPS. 25mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF 28 375.39 13.41 13.4 13.4 233 N06BA09 ATOMOXETINUM*** STRATTERA 25 mg CAPS. 25mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF 7 93.83 13.4 13.4 13.4 234 N06BA09 ATOMOXETINUM*** STRATTERA 40 mg CAPS. 40mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF 28 375.39 13.41 13.41 13.41 235 N06BA09 ATOMOXETINUM*** STRATTERA 60 mg CAPS. 60mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF 28 375.39 13.41 13.41 13.41 236 N06BX02 PYRITINOLUM ENCEPHABOL (R) 100 mg DRAJ. 100mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 DRAJ. P-6L 50 23.6 0.47 0.47 0.47 237 N06BX02 PYRITINOLUM ENCEPHABOL (R) FORTE DRAJ. 200mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 DRAJ. P-6L 50 44.36 0.89 0.89 0.89 238 N06BX02 PYRITINOLUM ENCEPHABOL (R) SUSPENSIE SUSP. ORALA 80.5mg/5ml MERCK KGAA GERMANIA CUTIE X 1 FLACON X 200 ML P-6L 1 29.68 29.68 29.68 29.68 239 N06BX03 PIRACETAMUM PIRACETAM 400 mg COMPR. 400 mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.1 0.11 0.07 0.07 240 N06BX03 PIRACETAMUM PIRACETAM 400 mg COMPR. 400mg REMEDIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.57 0.08 0.07 0.07 241 N06BX03 PIRACETAMUM PIRACETAM 400 mg COMPR. 400mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 1.96 0.1 0.07 0.07 242 N06BX03 PIRACETAMUM N - PIRACETAM COMPR. 400mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 40 COMPR. P-6L 40 2.88 0.07 0.07 0.07

243 N06BX03 PIRACETAMUM MEMOTAL 400mg COMPR. 400mg ZENTIVA S.A ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 1.58 0.08 0.07 0.07 244 N06BX03 PIRACETAMUM PIRACETAM COMPR. 400mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 FLAC. X 40 COMPR. P-6L 40 3.31 0.08 0.07 0.07 245 N06BX03 PIRACETAMUM PIRACETAM 400 mg COMPR. 400mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.43 0.07 0.07 0.07 246 N06BX03 PIRACETAMUM PIRACETAM COMPR. 400mg FARMEX COMPANY SRL ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L 40 3.18 0.08 0.07 0.07 247 N06BX03 PIRACETAMUM PIRACETAM COMPR. 400mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 1.84 0.09 0.07 0.07 248 N06BX03 PIRACETAMUM LUCETAM (R) 1200 mg COMPR. FILM. 1200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 20 COMPR. FILM. P-6L 20 8.81 0.44 0.43 0.43 249 N06BX03 PIRACETAMUM NOOTROPIL (R) 1200 mg COMPR. FILM. 1200mg U.C.B. SA BELGIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 10.65 0.53 0.43 0.43 250 N06BX03 PIRACETAMUM NOOTROPIL (R) 1200 mg COMPR. FILM. 1200mg U.C.B. SA BELGIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 15.8 0.53 0.43 0.43 251 N06BX03 PIRACETAMUM NOOTROPIL (R) 1200 mg COMPR. FILM. 1200mg U.C.B. SA BELGIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L 100 42.5 0.43 0.43 0.43 252 N06BX03 PIRACETAMUM PIRACETAM 400 mg COMPR. FILM. 400mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 1.73 0.09 0.08 0.08 253 N06BX03 PIRACETAMUM PIRACETAM LPH (R) 400 mg COMPR. FILM. 400mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 60 5.04 0.08 0.08 0.08 254 N06BX03 PIRACETAMUM LUCETAM COMPR. FILM. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 60 COMPR.FILM. P-6L 60 8.03 0.13 0.08 0.08 255 N06BX03 PIRACETAMUM NOOTROPIL (R) 800 mg COMPR. FILM. 800mg U.C.B. SA BELGIA CUTIE X 6 BLIST. X 15 COMPR. FILM. P-6L 90 32.08 0.36 0.16 0.16 256 N06BX03 PIRACETAMUM NOOTROPIL (R) 800 mg COMPR. FILM. 800mg U.C.B. SA BELGIA CUTIE X 4 BLIST. X 15 COMPR. FILM. P-6L 60 21.43 0.36 0.16 0.16 257 N06BX03 PIRACETAMUM PIRACETAM 800 mg COMPR. FILM. 800mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 3.13 0.16 0.16 0.16 258 N06BX03 PIRACETAMUM PIRACETAM LPH 800 mg COMPR. FILM. 800mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 4.76 0.16 0.16 0.16 259 N06BX03 PIRACETAMUM LUCETAM COMPR. FILM. 800mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.FILM. P-6L 30 8.03 0.27 0.16 0.16 260 N06BX03 PIRACETAMUM MEMOTAL1 g/5 ml SOL. INJ. 1g/5ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF 5 3.28 0.66 0.66 0.66 261 N06BX03 PIRACETAMUM LUCETAM (R) 1 g SOL. INJ. 1g/5ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 10 FIOLE X 5 ML P-RF 10 11.7 1.17 0.66 0.66 262 N06BX03 PIRACETAMUM NOOTROPIL SOL. INJ. 1g U.C.B. SA BELGIA CUTIE X 12 FIOLE DIN STICLA X 5 ML SOL. INJ. P-RF 12 12.07 1.01 0.66 0.66

263 N06BX03 PIRACETAMUM LUCETAM (R) 3 g SOL. INJ. 3g/15ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 FIOLE X 15 ML P-RF 4 11.7 2.93 2.93 2.93 264 N06BX03 PIRACETAMUM NOOTROPIL (R) SOL. ORALA 20% U.C.B. SA BELGIA CUTIE X 1 FLACON DIN STICLA BRUNA X 200 ML + 1 MASURA DOZATOARE P-6L 1 23.25 23.25 14.76 14.76 265 N06BX03 PIRACETAMUM NOOTROPIL (R) SOL. ORALA 20% U.C.B. SA BELGIA CUTIE X 1 FLACON DIN STICLA BRUNA X 125 ML + 1 MASURA DOZATOARE P-6L 1 14.76 14.76 14.76 14.76 266 N06BX03 PIRACETAMUM NOOTROPIL SOL. PERF. 12g U.C.B. SA BELGIA CUTIE X 1 FLACON DIN STICLA X 60 ML SOL. PERF. S 1 12.07 12.07 12.07 12.07 267 N07CA02 CINNARIZINUM STUGERON 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 4 BLIST. X 10 COMPR. P-6L 40 5.02 0.13 0.05 0.05 268 N07CA02 CINNARIZINUM CINARIZIN 25 mg COMPR. 25mg LAROPHARM SRL ROMANIA CUTIE X 3 BLIST. X 20 COMPR. P-6L 60 3.23 0.05 0.05 0.05 269 N07CA02 CINNARIZINUM N-CINARIZINA COMPR. 25mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 20 COMPR. P-6L 20 1.06 0.05 0.05 0.05 270 N07CA02 CINNARIZINUM CINARIZINA 25 mg COMPR. 25mg OZONE LABORATORIES ROMANIA CUTIE X 4 BLIST. X 10 COMPR. P-6L 40 2.66 0.07 0.05 0.05 271 P01AX08 TENONITROZOLUM ATRICAN 250 mg CAPS. MOI GASTROREZ. 250mg LAB. INNOTECH INT. FRANTA CUTIE X 1 BLIST. AL/PVC X 8 CAPS. MOI GASTROREZ. P-RF 8 10.76 1.35 1.35 1.35 272 P02CC01 PYRANTELUM HELMINTOX (R) 125 mg COMPR. FILM. 125mg LAB. INNOTECH INT. FRANTA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 6 2.63 0.44 0.44 0.44 273 P02CC01 PYRANTELUM HELMINTOX (R) 250 mg COMPR. FILM. 250mg LAB. INNOTECH INT. FRANTA CUTIE X 1 BLIST. X 3 COMPR. FILM. P-RF 3 2.63 0.88 0.88 0.88 274 P03AAN1 SULFUR UNGUENT CU SULF 8% UNGUENT 8% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB AL X 40G P-RF 1 1.41 1.41 1.41 1.41 275 P03AC04 PERMETHRINUM NIX CREMA CAPILARA 1% GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PEJD X 59 ML + PIEPTENE SPECIAL P-RF 1 9.38 9.38 9.38 9.38 276 P03AX01 BENZYLUM BENZOICUM BENZOAT DE BENZIL MK CREMA 25% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 35 G CREMA P-RF 1 3 3 3 3 277 P03AX01 BENZYLUM BENZOICUM BENZOAT DE BENZIL MK CREMA 25% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 50 G CREMA P-RF 1 4.29 4.29 3 3 278 R01AD07 TIXOCORTOLUM PIVALONE 1% SUSP. NAZALA 1% PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLACON X 10 ML + POMPA DOZATOARE + APLICATOR NAZAL P-RF 1 7.59 7.59 7.59 7.59 279 R01ADN1 COMBINATII BIORINIL SPRAY NAZ.,SUSP. FARA CONCENTRATIE FARMILA FARMACEUTICI ITALIA CUTIE X 1 FLACON X 10 ML SPRAY NAZAL, SUSP. PREVAZUT CU NEBULIZATOR P-RF 1 18.3 18.3 18.3 18.3 280 R01ADN1 COMBINATII FLUORORINIL SUSP. INHAL. FARA CONCENTRATIE FARMILA - THEA FARMACEUTICI SPA ITALIA CUTIE X 10 FIOLE DIN STICLA BRUNA X 1 ML SUSP. DE INHALAT P-RF 10 18.59 1.86 1.86 1.86 281 R01BA52 COMBINATII CLARINASE (R) COMPR. ELIB. MODIF. FARA CONCENTRATIE SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 BLIST. X 7 COMPR. ELIB. MODIF. P-6L 7 6.9 0.99 0.99 0.99

282 R02AB03 FUSAFUNGINUM BIOPAROX SPRAY BUCOFARINGIAN SI NAZAL-SOL. 50mg/10ml LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLACON PRESURIZAT DIN AL X 10 ML SOL. + 3 APLIC. DIN PE: 1 APLIC. BUCAL (ALB) + 2 APLIC. P-RF 1 14.26 14.26 14.26 14.26 283 R03CA02 EPHEDRINI HYDROCHLORIDUM EFEDRINA 10 mg/ ml SOL. INJ. 10mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE CU INEL DE RUPERE X 1ML SOL. INJ S 5 1.28 0.26 0.26 0.26 Page 5 of 6

284 R03CA02 EPHEDRINI HYDROCHLORIDUM EFEDRINA 50 mg/ ml SOL. INJ. 50mg/ml ZENTIVA S.A. ROMANIA CUTIE X 10 FIOLE CU INEL DE RUPERE X 1ML SOL. INJ S 10 1.41 0.14 0.14 0.14 285 R03CA02 EPHEDRINI HYDROCHLORIDUM EFEDRINA 50 mg/ ml SOL. INJ. 50mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE CU INEL DE RUPERE X 1ML SOL. INJ S 5 2.62 0.52 0.14 0.14 286 R03CC03 TERBUTALINUM AIRONYL SIROP 1.5mg/5ml SEDICO IMPEX S.R.L. ROMANIA CUTIE X 1 FLACON X 120 ML P-6L 1 6.12 6.12 6.12 6.12 287 R05CB01 ACETYLCYSTEINUM ACC INJECT 300mg/3ml SOL. INJ. 300mg/3ml HEXAL AG GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ. S/P-RF 5 6.68 1.34 1.34 1.34 288 R05CB03 CARBOCISTEINUM MUCOTREIS SIROP 20mg/ml ECOBI PHARMACEUTICI ITALIA CUTIE X 1 FLACON DIN STICLA BRUNA X 150 ML SIROP + MASURA DOZATOARE A 10 ML P-RF 1 6.4 6.4 6.06 6.06 289 R05CB03 CARBOCISTEINUM RHINATHIOL 2% pentru copii si sugari SIROP 2% SANOFI-AVENTIS OTC FRANTA CUTIE X 1 FLACON DIN STICLA INCOLORA X 125 ML SIROP + LINGURITA DOZATOARE P-RF 1 6.69 6.69 6.06 6.06 290 R05CB03 CARBOCISTEINUM HUMEX EXPECTORANT PENTRU COPII SI SUGARI SIROP 100mg/5ml LAB. URGO FRANTA CUTIE X 1 FLACON X 125ML SIROP + MASURA DOZATOARE A 5 ML P-RF 1 6.06 6.06 6.06 6.06 291 R05CB03 CARBOCISTEINUM FLUIDOL 100mg/5ml SOL. ORALA 100mg/5ml TIS FARMACEUTIC SA ROMANIA CUTIE X 1 FLACON DIN PVC X 100 ML SIROP + LINGURITA DUBLA GRADATA LA 2,5 SI 5 ML P-RF 1 2.6 2.6 2.6 2.6 292 R06AD02 PROMETHAZINUM PROMETAZINA ARENA 30 mg COMPR. FILM. 30mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-RF 20 10 0.5 0.5 0.5 293 R06AD07 MEQUITAZINUM PRIMALAN (R) 10 mg COMPR. 10mg LAB. PIERRE FABRE FRANTA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. P-RF 14 21.88 1.56 1.56 1.56 294 R06AE05 MECLOZINUM EMETOSTOP COMPR. 30mg SPECIFAR SA GRECIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 2.69 0.27 0.27 0.27 295 R06AX02 CYPROHEPTADINUM PERITOL COMPR. 4mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.58 0.13 0.13 0.13 296 R06AX02 CYPROHEPTADINUM PERITOL SIROP 2mg/5ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON X 100 ML + MASURA DOZATOARE PP P-6L 1 4.25 4.25 4.15 4.15 297 R06AX02 CYPROHEPTADINUM BIOHEPT SIROP 2mg/5ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE P-6L 1 4.15 4.15 4.15 4.15 298 R06AX13 LORATADINUM SYMPHORAL (R) 1 mg/ml SIROP 1mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 FLACON X 120 ML + LINGURITA DOZATOARE P-6L 1 11.44 11.44 5.06 5.06 299 R06AX13 LORATADINUM CLARITINE SIROP 1mg/ml SCHERING-PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 60 ML + LINGURITA DOZATOARE P-6L 1 6.72 6.72 5.06 5.06 300 R06AX13 LORATADINUM CLARITINE SIROP 1mg/ml SCHERING-PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 120 ML + LINGURITA DOZATOARE P-6L 1 13.09 13.09 5.06 5.06 301 R06AX13 LORATADINUM FLONIDAN SUSP. ORALA 5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLACON DIN STICLA BRUNA X 120 ML SUSP. ORALA + LINGURITA DOZATOARE P-6L 1 11.75 11.75 5.06 5.06 302 R06AX13 LORATADINUM LORATADINA BIOFARM 5mg/5ml SIROP 5mg/5ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE DIN PE CU GRADATII DE LA 2,5 LA 2 P-RF 1 5.06 5.06 5.06 5.06

303 S01AA01 CHLORAMPHENICOLUM SIFICETINA PULB. + SOLV. PT. SOL. OFT. 0.4% S.I.F.I. SPA ITALIA CUTIE X 1 FLAC. STICLA BRUNA X 5 ML SOLV. + O PUNGA X UN REZERVOR CU PULB. + UN PICURATOR P-RF 1 4.75 4.75 4.75 4.75 304 S01AA13 ACIDUM FUSIDICUM FUCITHALMIC (R) GEL OFT. 1% LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB X 5 G P-RF 1 11.62 11.62 11.62 11.62 305 S01AA24 KANAMYCINUM KANAMICINA SULFAT 1% UNG. OFT. 1% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB AL X 6 G P-RF 1 1.84 1.84 1.84 1.84 306 S01AA30 COMBINATII ANTIBIOPTAL PICATURI OFT.-SOL. FARA CONCENTRATIE FARMILA FARMACEUTICI ITALIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 9.28 9.28 9.28 9.28 307 S01AA30 COMBINATII COLBIOCIN PULB. + SOLV. PT. SOL. OFT. FARA CONCENTRATIE S.I.F.I. SPA ITALIA CUTIE X 1 FLACON X 5 ML SOLV. + PLIC REZERVOR PULBERE + DISP. PICURARE P-RF 1 5.36 5.36 5.36 5.36 308 S01AA30 COMBINATII ENBECIN UNG. OFT. FARA CONCENTRATIE POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 5 G UNG. OFT. + APLICATOR P-RF 1 2.23 2.23 2.23 2.23 309 S01BA07 FLUOROMETHOLONUM FLUMETOL S PICATURI OFT.SUSP. 2mg/ml FARMILA - THEA FARMACEUTICI SPA ITALIA CUTIE X 1 FLACON PEJD X 10ML PIC. OFT. SUSP. P-RF 1 22.66 22.66 22.66 22.66 310 S01BA07 FLUOROMETHOLONUM FLUMETOL S UNGUENT OFTALMIC UNG. OFT. 1mg/g FARMILA - THEA FARMACEUTICI SPA ITALIA CUTIE X 1 TUB X 5G P-RF 1 7.33 7.33 7.33 7.33 311 S01BA11 DESONIDUM PRENACID PICATURI OFT.-SOL. 0.25% S.I.F.I. SPA ITALIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML, PREVAZUT CU PICURATOR P-RF 1 5.04 5.04 5.04 5.04 312 S01BC01 INDOMETACINUM INDOCOLLYRE (R) 0.1% PICATURI OFT.-SOL. 0.1% LAB. CHAUVIN FRANTA CUTIE X 1 FLACON PICURATOR DIN POLIETILENA X 5 ML P-6L 1 10.76 10.76 10.76 10.76 313 S01BC06 PIROXICAMUM BRUXICAM 0,5% PIC. OFT., SOL. 0.5% BRUSCHETTINI S.R.L. ITALIA CUTIE X 1 FLAC. DIN PEJD PREVAZUT CU PICURATOR X 10 ML PIC. OFT., SOL. P-6L 1 11.83 11.83 11.83 11.83 314 S01EB01 PILOCARPINUM DROPIL (R) PICATURI OFT.-SOL. 2% BRUSCHETTINI ITALIA CUTIE X 1 FLACON CU PICURATOR DIN POLIETILENA X 10 ML P-6L 1 5.93 5.93 5.93 5.93 315 S01GX06 EMEDASTINUM EMADINE PICATURI OFT.-SOL. 0.5mg/ml ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON PICURATOR DIN PLASTIC X 5 ML P-RF 1 39.47 39.47 39.47 39.47 316 S01GX08 KETOTIFENUM ZADITEN 0,25 mg/ml PICATURI OFT.-SOL. 0.25mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON MULTIDOZA DIN PEJD X 5 ML PIC. OFTALMICE, SOL. P-RF 1 33.23 33.23 33.23 33.23 317 S01XA11 NANDROLONUM KERATYL (R) 1% PICATURI OFT.-SOL. 1% LAB. CHAUVIN FRANTA CUTIE X 1 FLACON DIN STICLA BRUNA X 5 ML + PICURATOR DIN PVC P-6L 1 9.2 9.2 9.2 9.2 318 S01XA12 DEXPANTHENOLUM CORNEREGEL (R) GEL OFT. 5% DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH GERMANIA CUTIE X 1 TUB AL, PREVAZUT CU APLICATOR X 10 G P-6L 1 7.89 7.89 7.89 7.89 319 S02CA05 COMBINATII SOLUTIE AURICULARA CU CLORAMFENICOL SI FLUOCINOLON SOL. AURICULARA FARA CONCENTRATIE BIOFARM SA ROMANIA CUTIE X 1 FLACON X 10 ML + PICURATOR P-RF 1 2.1 2.1 2.1 2.1 NOTA: Medicamentele din aceasta sublista corespund DCI-urilor din CANAMED altele decât cele din sublistele A, B si C1. Pentru categoriile de asigurati mentionate in aceasta sublista, medicamentele corespunzatoare denumirilor comune internationale din sublista A, sublista B, sectiunea C1 a sublistei C, se vor acorda in regim de compensare de 100% la pret de referinta, indiferent de indicatia pentru care sunt prevazute in aceste subliste . Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se face pe baza protocoalelor terapeutice elaborate de comisiile de

specialitate ale MSP si cu aprobarea comisiilor de la nivelul Caselor Judetene de Asigurari de Sanatate; Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP; Page 6 of 6