ANEXA 1

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

Val suportata de CNAS/UT (RON)Legea nr. 95/2006 art 213 alin.1 lit. a) si f)

Val suportata CNAS/UT (RON) pt. Adulti

1 A02BA02 RANITIDINUM ULCORAN CAPS. 150mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-6L 20 6.13 0.306500 0.306500 0.2758502 A02BA02 RANITIDINUM RANITIDIN ARENA 150mg COMPR. 150mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 6.26 0.313000 0.252000 0.2268003 A02BA02 RANITIDINUM RANITIDINA 150 mg COMPR. 150mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.52 0.326000 0.252000 0.2268004 A02BA02 RANITIDINUM RANITIDIN COMPR. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.04 0.252000 0.252000 0.2268005 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 10.02 0.501000 0.222000 0.1998006 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 4.44 0.222000 0.222000 0.1998007 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 7.18 0.359000 0.222000 0.1998008 A02BA02 RANITIDINUM RANITIDINA LAROPHARM 150 mg COMPR. FILM. 150mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 20 5.70 0.285000 0.222000 0.1998009 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 6.50 0.325000 0.222000 0.199800

10 A02BA02 RANITIDINUM RANITIDINA ATB 150 MG COMPR. FILM. 150mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 6.50 0.325000 0.222000 0.19980011 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 6.07 0.607000 0.541333 0.48719912 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 16.24 0.541333 0.541333 0.48719913 A02BA02 RANITIDINUM ARNETIN SOL. INJ. 25mg/ml MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE X 2 ML P-RF 5 11.90 2.380000 2.380000 2.14200014 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 14.02 2.804000 2.380000 2.14200015 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 8.34 0.278000 0.070000 0.06300016 A02BA03 FAMOTIDINUM FAMOTIDINA ZENTIVA 20mg COMPR. FILM. 20mg ZENTIVA S.A ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 2.10 0.070000 0.070000 0.06300017 A02BA03 FAMOTIDINUM QUAMATEL 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 28 8.88 0.317142 0.070000 0.06300018 A02BA03 FAMOTIDINUM QUAMATEL (R) 40 mg COMPR. FILM. 40mg GEDEON RICHTER PLC UNGARIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-6L 14 8.88 0.634285 0.128333 0.11549919 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 3.85 0.128333 0.128333 0.11549920 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 11.57 0.385666 0.128333 0.11549921 A02BA03 FAMOTIDINUM QUAMATEL 20 mg PULB+SOLV. PT. SOL. INJ./PERF. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFUZ. + 5 FIOLE DIN STCLA INCOLORA X 5 S/P-RF 5 23.13 4.626000 4.626000 4.16340022 A02BA04 NIZATIDINUM NIZATIDIN VIM SPECTRUM 150 mg CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 17.12 0.856000 0.856000 0.770400

SUBLISTA A - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 90% DIN PRETUL DE REFERINTA CONFORM

DENUMIRILOR COMUNE INTERNATIONALE (DCI) CORESPUNZATOARE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA DIN HG NR. 720/2008 CU COMPLETARILE SI MODIFICARILE ULTERIOARE VALABILA INCEPAND CU

1 IANUARIE 2010

Pagina 1 din 45

23 A02BC01 OMEPRAZOLUM RISEK CAPS. ENTER. 20mg GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 1 FLAC. X 14 CAPS. ENTER. P-6L 14 13.57 0.969285 0.498000 0.44820024 A02BC01 OMEPRAZOLUM ORTANOL S 10 mg CAPS. GASTROREZ. 10mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 14 8.38 0.598571 0.598571 0.53871325 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 20.11 0.670333 0.498000 0.44820026 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 7.58 0.541428 0.498000 0.44820027 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 19.31 0.689642 0.498000 0.44820028 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 10.18 0.727142 0.498000 0.44820029 A02BC01 OMEPRAZOLUM OMEPRAZOL AL 20 CAPS. GASTROREZ. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLAC. X 15 CAPS. GASTROREZ. P-6L 15 8.46 0.564000 0.498000 0.44820030 A02BC01 OMEPRAZOLUM OMEPRAZOL AL 20 CAPS. GASTROREZ. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 FLAC. X 50 CAPS. GASTROREZ. P-6L 100 49.80 0.498000 0.498000 0.44820031 A02BC01 OMEPRAZOLUM OMEPRAZOL AL 20 CAPS. GASTROREZ. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLAC. X 60 CAPS. GASTROREZ. P-6L 60 30.91 0.515166 0.498000 0.44820032 A02BC01 OMEPRAZOLUM OMEPRAZOL AL 20 CAPS. GASTROREZ. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLAC. X 30 CAPS. GASTROREZ. P-6L 30 15.45 0.515000 0.498000 0.44820033 A02BC01 OMEPRAZOLUM ULTOP CAPS. GASTROREZ. 20mg KRKA D.D. SLOVENIA CUTIE X 1 FLAC. PE X 14 CAPS. GASTROREZ. P-6L 14 13.57 0.969285 0.498000 0.44820034 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 13.57 0.969285 0.498000 0.44820035 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 12.02 0.601000 0.498000 0.44820036 A02BC01 OMEPRAZOLUM HELICID 20 CAPS. GASTROREZ. 20mg ZENTIVA AS CEHIA CUTIE X 1 FLAC. DIN STICLA X 28 CAPS. GASTROREZ. P-6L 28 19.52 0.697142 0.498000 0.44820037 A02BC01 OMEPRAZOLUM HELICID 20 CAPS. GASTROREZ. 20mg ZENTIVA AS CEHIA CUTIE X 1 FLAC. DIN STICLA X 14 CAPS. GASTROREZ. P-6L 14 9.45 0.675000 0.498000 0.44820038 A02BC01 OMEPRAZOLUM OMERAN 20 CAPS. GASTROREZ. 20mg EUROPHARM SA ROMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 28 21.69 0.774642 0.498000 0.44820039 A02BC01 OMEPRAZOLUM OMERAN 20 CAPS. GASTROREZ. 20mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 14 13.39 0.956428 0.498000 0.44820040 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 21.31 0.710333 0.498000 0.44820041 A02BC01 OMEPRAZOLUM OMEPRAZOL TERAPIA 20 mg CAPS. GASTROREZ. 20mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L 30 21.16 0.705333 0.498000 0.44820042 A02BC01 OMEPRAZOLUM OMEPRAZOL ARENA 20 mg CAPS. GASTROREZ. 20mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L 30 20.66 0.688666 0.498000 0.44820043 A02BC01 OMEPRAZOLUM OMEPRAZOL FARMEX 20 mg CAPS. GASTROREZ. 20mg FARMEX COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ. P-6L 30 19.58 0.652666 0.498000 0.44820044 A02BC01 OMEPRAZOLUM OMEPRAZOL OZONE 20 mg CAPS. GASTROREZ. 20mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 28 CAPS. GASTROREZ. P-6L 28 17.44 0.622857 0.498000 0.44820045 A02BC01 OMEPRAZOLUM OMEPRAZOL RPH 20 mg CAPS. GASTROREZ. 20mg ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ. P-6L 30 20.80 0.693333 0.498000 0.44820046 A02BC01 OMEPRAZOLUM NOVOGAST 20 mg CAPS. GASTROREZ. 20mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 FOLII AL/PE X 10 CAPS. GASTR. P-6L 20 19.37 0.968500 0.498000 0.44820047 A02BC01 OMEPRAZOLUM OMEPRAZOL LPH 20 mg CAPS. GASTROREZ. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. PVC/AL X 10CAPS. GASTROREZ P-6L 10 6.09 0.609000 0.498000 0.44820048 A02BC01 OMEPRAZOLUM OMEPRAZOL FARMAL 20 mg CAPS. GASTROREZ. 20mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ. P-6L 14 13.57 0.969285 0.498000 0.44820049 A02BC01 OMEPRAZOLUM OMEPRAZOL FARMAL 20 mg CAPS. GASTROREZ. 20mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ. P-6L 28 27.15 0.969642 0.498000 0.44820050 A02BC01 OMEPRAZOLUM ORTANOL 40 mg CAPS. GASTROREZ. 40mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 7 7.53 1.075714 1.075714 0.96814251 A02BC01 OMEPRAZOLUM OMERAN 40 CAPS. GASTROREZ. 40mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/AL X 7 CAPSULE GASTROREZ. P-6L 14 24.56 1.754285 1.075714 0.96814252 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 31.17 2.226428 2.226428 2.00378553 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 23.44 3.348571 0.969285 0.87235654 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 13.57 0.969285 0.969285 0.87235655 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 6.16 0.440000 0.440000 0.39600056 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 12.33 0.880714 0.761428 0.68528557 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 10.66 0.761428 0.761428 0.68528558 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 15.64 0.782000 0.761428 0.68528559 A03AA04 MEBEVERINUM DUSPATALIN 200 mg CAPS. ELIB. PREL. 200mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 3 BLIST. X 10 CAPS. ELIB. PREL. P-6L 30 26.07 0.869000 0.869000 0.78210060 A03AA04 MEBEVERINUM DUSPATALIN 200 mg CAPS. ELIB. PREL. 200mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 2 BLIST. X 15 CAPS. ELIB. PREL. P-6L 30 26.07 0.869000 0.869000 0.78210061 A03AA04 MEBEVERINUM COLOSPASMIN DRAJ. 100mg E.I.P.I.CO. MED SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-6L 20 8.49 0.424500 0.424500 0.38205062 A03AA05 TRIMEBUTINUM PROMEBUTIN (R) 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 13.04 0.652000 0.348666 0.31379963 A03AA05 TRIMEBUTINUM TRIMEBUTIN 100 COMPR. 100mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.46 0.348666 0.348666 0.31379964 A03AA05 TRIMEBUTINUM COLPERIN 100 mg COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 10.46 0.348666 0.348666 0.31379965 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 16.09 0.536333 0.536333 0.48269966 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 33.82 1.691000 1.691000 1.521900

Pagina 2 din 45

67 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 11.31 11.310000 11.310000 10.179000

68 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINA 100 mg COMPR. 100mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.28 0.109333 0.109333 0.09839969 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINA LAROPHARM 100 mg COMPR. 100mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.16 0.208000 0.109333 0.09839970 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINA ARENA 100 mg COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.19 0.109500 0.109333 0.09839971 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINA COMPR. 200mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.05 0.252500 0.252500 0.22725072 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID COMPR. 10mg SLAVIA PHARM SRL ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L 40 1.09 0.027250 0.027250 0.02452573 A03FA01 METOCLOPRAMIDUM N - METOCLOPRAMID COMPR. 10mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 40 COMPR. P-6L 40 1.28 0.032000 0.027250 0.02452574 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L 40 4.04 0.101000 0.027250 0.02452575 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID ARENA 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 40 COMPR. P-6L 40 1.31 0.032750 0.027250 0.02452576 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 2.68 2.680000 2.680000 2.41200077 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 8.15 8.150000 8.150000 7.33500078 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 8.17 1.634000 1.634000 1.47060079 A03FA03 DOMPERIDONUM MOTILIUM 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 11.57 1.157000 1.157000 1.041300

80 A05AA02

ACIDUM URSODEOXYCHOLICUM* URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P-6L/S 100 116.69 1.166900 1.166900 1.050210

81 A05AA02

ACIDUM URSODEOXYCHOLICUM* URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 68.32 1.366400 1.166900 1.050210

82 A05AA02

ACIDUM URSODEOXYCHOLICUM* URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 64.58 1.291600 1.166900 1.050210

83 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 10.29 10.290000 10.290000 9.26100084 A06AD11 LACTULOSUM LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML P-6L 1 9.77 9.770000 3.250000 2.92500085 A06AD11 LACTULOSUM LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 100 ML P-6L 1 3.25 3.250000 3.250000 2.92500086 A06AD11 LACTULOSUM LACTULOSE AL SIROP SIROP 66,7% ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN TFPE BRUNA X 200 ML SIROP + MASURA GRADATA X 20 ML P-RF 1 11.77 11.770000 10.290000 9.26100087 A06AD11 LACTULOSUM LACTULAK 660 mg/ml SOL. ORALA 660 mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PEID X 200 ML SOL. ORALA SI O LINGURITA DOZATOARE P-6L 1 6.66 6.660000 6.660000 5.99400088 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 3.34 3.340000 3.340000 3.00600089 A07AA02 NYSTATINUM NISTATINA COMPR. FILM. 500.000ui ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 6.39 0.319500 0.319500 0.28755090 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 26.50 0.530000 0.293400 0.26406091 A07EC01 SULFASALAZINUM SALAZOPYRIN EN COMPR. FILM. GASTROREZ. 500mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. GASTROREZ. P-6L 100 29.34 0.293400 0.293400 0.26406092 A07EC02 MESALAZINUM** PENTASA COMPR. ELIB. PREL. 500mg FERRING GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 100 131.26 1.312600 1.312600 1.18134093 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 65.31 0.653100 0.653100 0.58779094 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 100 113.56 1.135600 1.135600 1.02204095 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 70.59 1.411800 1.135600 1.02204096 A07EC02 MESALAZINUM** PENTASA SUPOZ. 1g FERRING GMBH GERMANIA CUTIE X 4 BLIST. AL X 7 SUPOZ. + CUTIE PLASTIC X 28 CAUCIURI DE PROTECTIE A DEGETULUI P-6L 28 163.19 5.828214 5.828214 5.24539297 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 30.02 3.002000 3.002000 2.70180098 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 47.89 4.789000 4.789000 4.31010099 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 + APLICAP-6L 7 159.27 22.752857 22.752857 20.477571

100 B01AA07 ACENOCUMAROLUM TROMBOSTOP 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 6.13 0.204333 0.204333 0.183899101 B01AA07 ACENOCUMAROLUM SINTROM (R) COMPR. 4mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.35 0.317500 0.317500 0.285750

102 B01AC05 TICLOPIDINUM1 TICLODIN COMPR. FILM. 250mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-RF 20 33.36 1.668000 0.448000 0.403200

103 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 32.39 1.619500 0.448000 0.403200

104 B01AC05 TICLOPIDINUM1 TICLOPIDIN SANDOZ COMPR. FILM. 250mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PDVC/AL X 10 COMPR. P-RF 30 13.44 0.448000 0.448000 0.403200

105 B01AC05 TICLOPIDINUM1 TICLID (R) 250 mg COMPR. FILM. 250mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST PVC TRANSPARENT/AL X 10 COMPR. FILM. P-RF 20 12.03 0.601500 0.448000 0.403200

Pagina 3 din 45

106 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 9.60 1.920000 1.920000 1.728000107 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 7.33 0.244333 0.244333 0.219899108 B03AA07 FERROSI SULFAS FERRO-GRADUMET COMPR.FILM.ELIB.PREL 329,724mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. CU ELIB. PREL. P-6L 30 7.33 0.244333 0.244333 0.219899109 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 11.34 0.378000 0.378000 0.340200

110 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 20.18 0.672666 0.672666 0.605399

111 B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT FERGLUROM FORTE 50 mg/ml PICATURI ORALE, SOL. 50mg/ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 ML PICATURI ORALE, SOLUTIE P-6L 1 8.26 8.260000 8.260000 7.434000

112 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 12.85 12.850000 8.260000 7.434000

113 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 11.06 11.060000 8.260000 7.434000

114 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 12.70 12.700000 8.260000 7.434000

115 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 14.44 14.440000 9.450000 8.505000

116 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 9.45 9.450000 9.450000 8.505000

117 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 13.94 0.278800 0.278800 0.250920

118 B03BB01 ACIDUM FOLICUM ACIFOL 5 mg COMPR. FILM. 5mg ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. P-6L 30 6.93 0.231000 0.231000 0.207900119 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 2.62 0.104800 0.104800 0.094320120 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 4.25 0.850000 0.850000 0.765000121 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 10.42 10.420000 10.420000 9.378000122 C01BA01 CHINIDINI SULFAS CHINIDINA LAROPHARM 200 mg COMPR. 200mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 11.56 0.578000 0.578000 0.520200

Pagina 4 din 45

123 C01BA01 CHINIDINI SULFAS CHINIDINA ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 20 COMPR. P-RF 20 11.63 0.581500 0.578000 0.520200124 C01BC03 PROPAFENONUM PROPAFENONA 150 mg COMPR. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-RF 20 46.93 2.346500 2.346500 2.111850125 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 30.08 0.601600 0.328000 0.295200126 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 17.57 0.351400 0.328000 0.295200127 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 7.03 0.351500 0.328000 0.295200128 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 32.80 0.328000 0.328000 0.295200129 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 16.98 0.339600 0.328000 0.295200130 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 34.53 6.906000 6.906000 6.215400131 C01BD01 AMIODARONUM SEDACORON (R) COMPR. 200mg EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 13.00 0.650000 0.344000 0.309600132 C01BD01 AMIODARONUM SEDACORON (R) COMPR. 200mg EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 26.87 0.537400 0.344000 0.309600133 C01BD01 AMIODARONUM AMIODARONA LPH 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 10.32 0.344000 0.344000 0.309600134 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 10.32 0.344000 0.344000 0.309600135 C01BD01 AMIODARONUM AMIODARONA ARENA 200 MG COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 10.60 0.353333 0.344000 0.309600136 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 15.87 0.529000 0.529000 0.476100137 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 9.26 0.154333 0.154333 0.138899138 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 3.62 0.181000 0.181000 0.162900139 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 17.35 1.735000 1.735000 1.561500140 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 14.36 14.360000 14.360000 12.924000

141 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 5.12 0.256000 0.256000 0.230400142 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 8.49 0.424500 0.424500 0.382050143 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 2.00 0.033333 0.033333 0.029999144 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 3.70 0.061666 0.061666 0.055499145 C01DA08 ISOSORBIDI DINITRAS ISODINIT(R) RETARD COMPR. ELIB. PREL. 20mg PHARMAKI GENERICS LIMITED MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. ELIB. PREL. P-6L 60 3.70 0.061666 0.061666 0.055499

146 C01DA14ISOSORBIDI MONONITRAS OLICARD 40 mg RETARD CAPS. ELIB. PREL. 40mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 2 BLIST. PVC/AL X 10 CAPS. ELIB. PREL. P-6L 20 11.28 0.564000 0.564000 0.507600

147 C01DA14ISOSORBIDI 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 18.00 0.900000 0.900000 0.810000

148 C01DA14ISOSORBIDI 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 34.19 0.854750 0.854750 0.769275

149 C01EA01 ALPROSTADILUM*** PRIDAX 20mcg CONC. PT. SOL. PERF. 20mcg GEBRO PHARMA GMBH AUSTRIA CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF S/P-RF 5 308.86 61.772000 49.363000 44.426700

150 C01EA01 ALPROSTADILUM*** VASAPROSTAN 20 LIOF. PT. SOL. PERF. 20mcg SCHWARZ PHARMA AG GERMANIA CUTIE X 10 FIOLE X 5 ML LIOF. PT. SOL. PERF. S/P-RF 10 493.63 49.363000 49.363000 44.426700

151 C01EB15 TRIMETAZIDINUM TRIMETAZIDIN VIM SPECTRUM 20 mg CAPS. 20mg VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 CAPS. P-6L 30 7.15 0.238333 0.238333 0.214499152 C01EB15 TRIMETAZIDINUM PREDUCTAL (R) COMPR. FILM. 20mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. X 30 COMPR. FILM. P-6L 60 22.00 0.366666 0.238333 0.214499153 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 7.15 0.238333 0.238333 0.214499154 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 13.71 0.457000 0.238333 0.214499155 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 14.30 0.238333 0.238333 0.214499156 C01EB15 TRIMETAZIDINUM PREDUCTAL MR 35 mg 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 46.70 0.778333 0.522666 0.470399157 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 31.36 0.522666 0.522666 0.470399158 C01EB15 TRIMETAZIDINUM MODUXIN MR 35 mg COMPR. FILM. ELIB. PREL. 35mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 15.69 0.523000 0.522666 0.470399159 C01EB15 TRIMETAZIDINUM TRIMETAZIDINA 20 mg DRAJ. 20mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-6L 30 13.59 0.453000 0.453000 0.407700160 C02AB01 METHYLDOPUM DOPEGYT COMPR. 250mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 11.90 0.238000 0.238000 0.214200161 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 2.03 0.040600 0.040600 0.036540162 C02AC01 CLONIDINUM CLONIDINA ARENA 0,15 mg COMPR. 0,15mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 2.13 0.042600 0.040600 0.036540163 C02CA04 DOXAZOSINUM DOXAZOSIN TEVA 4 mg (vezi G04CAN1) COMPR. ELIB. PREL. 4mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-6L 30 31.40 1.046666 1.046666 0.941999164 C02CA04 DOXAZOSINUM DOXAZOSIN TEVA 4 mg (vezi G04CAN1) COMPR. ELIB. PREL. 4mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-6L 30 31.40 1.046666 1.046666 0.941999

Pagina 5 din 45

165 C03AA03HYDROCHLOROTHIAZIDUM NEFRIX 25 mg COMPR. 25mg ZENTIVA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L 25 0.99 0.039600 0.039600 0.035640

166 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 14.24 0.474666 0.474666 0.427199167 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 12.85 0.428333 0.174000 0.156600168 C03BA11 INDAPAMIDUM IDUREN SR 1,5 mg COMPR. ELIB. PREL. 1,5mg VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ELIB. PREL. P-6L 30 10.00 0.333333 0.174000 0.156600169 C03BA11 INDAPAMIDUM DIUREMID SR 1,5 mg COMPR. ELIB. PREL. 1,5mg GLENMARK PHARMACEUTICALS SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P-6L 30 12.86 0.428666 0.174000 0.156600170 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 14.16 0.472000 0.160333 0.144299171 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 13.99 0.466333 0.160333 0.144299172 C03BA11 INDAPAMIDUM INDAPAMIDE 2,5 mg COMPR. FILM. 2,5mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 4.81 0.160333 0.160333 0.144299173 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 8.55 0.427500 0.174000 0.156600174 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 19.77 0.659000 0.174000 0.156600175 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 12.85 0.428333 0.174000 0.156600176 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 12.48 0.416000 0.174000 0.156600177 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 10.99 0.366333 0.174000 0.156600178 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 12.36 0.412000 0.174000 0.156600179 C03BA11 INDAPAMIDUM INDAPAMID STADA 1,5mg COMPR. FILM. ELIB. PREL. 1,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. DIN AL/PVC X 10 COMPR. FILM. CU ELIB. PREL. P-6L 10 1.74 0.174000 0.174000 0.156600180 C03BA11 INDAPAMIDUM INDAPAMID STADA 1,5mg COMPR. FILM. ELIB. PREL. 1,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. DIN AL/PVC X 15 COMPR. FILM. CU ELIB. PREL. P-6L 15 2.62 0.174666 0.174000 0.156600181 C03BA11 INDAPAMIDUM INDAPAMID STADA 1,5mg COMPR. FILM. ELIB. PREL. 1,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. DIN AL/PVC X 30 COMPR. FILM. CU ELIB. PREL. P-6L 30 5.22 0.174000 0.174000 0.156600182 C03BA11 INDAPAMIDUM INDAPAMID STADA 1,5mg COMPR. FILM. ELIB. PREL. 1,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. DIN AL/PVC X 50 COMPR. FILM. CU ELIB. PREL. P-6L 50 8.71 0.174200 0.174000 0.156600183 C03BA11 INDAPAMIDUM INDAPAMID STADA 1,5mg COMPR. FILM. ELIB. PREL. 1,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. DIN AL/PVC X 60 COMPR. FILM. CU ELIB. PREL. P-6L 60 10.45 0.174166 0.174000 0.156600184 C03BA11 INDAPAMIDUM INDAPAMID STADA 1,5mg COMPR. FILM. ELIB. PREL. 1,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. DIN AL/PVC X 90 COMPR. FILM. CU ELIB. PREL. P-6L 90 15.69 0.174333 0.174000 0.156600185 C03BA11 INDAPAMIDUM INDAPAMID STADA 1,5mg COMPR. FILM. ELIB. PREL. 1,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. DIN AL/PVC X 100 COMPR. FILM. CU ELIB. PREL. P-6L/S 100 17.43 0.174300 0.174000 0.156600186 C03BA11 INDAPAMIDUM INDAPAMID SR OZONE 1,5mg COMPR. FILM. ELIB. PREL. 1,5mg OZONE LABORATORIES BV OLANDA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 20 7.37 0.368500 0.174000 0.156600187 C03BA11 INDAPAMIDUM REDITENS SR 1.5 mg COMPR. FILM. ELIB. PREL. 1,5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 12.85 0.428333 0.174000 0.156600188 C03BA11 INDAPAMIDUM INDAPAMIDA ACTAVIS 1,5 mg COMPR. FILM. ELIB. PREL. 1,5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. CU ELIB. PRELUNGITA P-6L 30 12.85 0.428333 0.174000 0.156600189 C03CA01 FUROSEMIDUM FUROSEMID MCC 40 mg COMPR. 40mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.53 0.076500 0.075500 0.067950190 C03CA01 FUROSEMIDUM FUROSEMID SLAVIA COMPR. 40mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.13 0.106500 0.075500 0.067950191 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 1.53 0.076500 0.075500 0.067950192 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 1.53 0.076500 0.075500 0.067950193 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.85 0.142500 0.075500 0.067950194 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 1.51 0.075500 0.075500 0.067950195 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 5.70 1.140000 1.140000 1.026000196 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 26.75 0.891666 0.891666 0.802499197 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 15.69 0.523000 0.523000 0.470700198 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA EEL 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.05 0.202500 0.202500 0.182250199 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA OZONE 25 mg COMPR. 25mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 10.14 0.202800 0.202500 0.182250200 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 15.22 0.304400 0.202500 0.182250201 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 4.05 0.202500 0.202500 0.182250202 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 12.91 0.645500 0.645500 0.580950

203 C03EB01

COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUREX 50 CAPS. 50mg/20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 19.86 0.993000 0.993000 0.893700

204 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA SR ZENTIVA 400 mg COMPR. ELIB. PREL. 400mg ZENTIVA AS SLOVACIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 9.61 0.480500 0.288000 0.259200205 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA SR ZENTIVA 400 mg COMPR. ELIB. PREL. 400mg ZENTIVA AS SLOVACIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 50 14.45 0.289000 0.288000 0.259200

Pagina 6 din 45

206 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA SR ZENTIVA 400 mg COMPR. ELIB. PREL. 400mg ZENTIVA AS SLOVACIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 100 28.89 0.288900 0.288000 0.259200207 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA SR ZENTIVA 600 mg COMPR. ELIB. PREL. 600mg ZENTIVA AS SLOVACIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 13.13 0.656500 0.475200 0.427680208 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA SR ZENTIVA 600 mg COMPR. ELIB. PREL. 600mg ZENTIVA AS SLOVACIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 50 24.56 0.491200 0.475200 0.427680209 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA SR ZENTIVA 600 mg COMPR. ELIB. PREL. 600mg ZENTIVA AS SLOVACIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 100 47.52 0.475200 0.475200 0.427680210 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 5.76 0.288000 0.288000 0.259200211 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 21.06 0.526500 0.288000 0.259200212 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 16.15 0.807500 0.288000 0.259200213 C04AD03 PENTOXIFYLLINUM OXIFLUX 400 mg COMPR. FILM. ELIB. PREL. 400mg LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL P-6L 20 5.76 0.288000 0.288000 0.259200214 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 15.44 0.772000 0.475200 0.427680215 C04AD03 PENTOXIFYLLINUM TRENTAL (R) DRAJ. ELIB. PREL. 400mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. ELIB. PREL. P-6L 20 8.88 0.444000 0.444000 0.399600216 C07AA05 PROPRANOLOLUM PROPRANOLOL COMPR. 10mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 25 COMPR. P-6L 50 3.07 0.061400 0.054800 0.049320217 C07AA05 PROPRANOLOLUM N - PROPRANOLOL 10 mg COMPR. 10mg SC MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 3.04 0.060800 0.054800 0.049320218 C07AA05 PROPRANOLOLUM PROPRANOLOL 10 mg COMPR. 10mg SINTOFARM SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 2.74 0.054800 0.054800 0.049320219 C07AA05 PROPRANOLOLUM PROPRANOLOL FABIOL 10 mg COMPR. 10mg FABIOL S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 0.68 0.068000 0.054800 0.049320220 C07AA05 PROPRANOLOLUM PROPRANOLOL FABIOL 10 mg COMPR. 10mg FABIOL S.A. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 2.74 0.054800 0.054800 0.049320221 C07AA05 PROPRANOLOLUM PROPRANOLOL EEL 40 mg COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 3.07 0.061400 0.061400 0.055260222 C07AA05 PROPRANOLOLUM PROPRANOLOL 40 mg COMPR. 40mg SINTOFARM SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 3.07 0.061400 0.061400 0.055260223 C07AA05 PROPRANOLOLUM PROPRANOLOL FABIOL 40 mg COMPR. 40mg FABIOL S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 0.74 0.074000 0.061400 0.055260224 C07AA05 PROPRANOLOLUM PROPRANOLOL FABIOL 40 mg COMPR. 40mg FABIOL S.A. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 3.07 0.061400 0.061400 0.055260225 C07AA05 PROPRANOLOLUM PROPRANOLOL ARENA 40 mg COMPR. 40mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 4.67 0.093400 0.061400 0.055260226 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 10.91 0.545500 0.505400 0.454860227 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 54.87 0.548700 0.505400 0.454860228 C07AA07 SOTALOLUM SOTALOL AL 160 COMPR. 160mg ALIUD PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 10.48 0.524000 0.505400 0.454860229 C07AA07 SOTALOLUM SOTALOL AL 160 COMPR. 160mg ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 25.27 0.505400 0.505400 0.454860230 C07AA07 SOTALOLUM SOTALOL AL 160 COMPR. 160mg ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 51.29 0.512900 0.505400 0.454860231 C07AA07 SOTALOLUM DAROB (R) 80 mg COMPR. 80mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. PP/AL X 10 COMPR. P-6L 20 9.45 0.472500 0.329200 0.296280232 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 36.92 0.369200 0.329200 0.296280233 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 8.07 0.403500 0.329200 0.296280234 C07AA07 SOTALOLUM SOTALOL AL 80 COMPR. 80mg ALIUD PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 7.09 0.354500 0.329200 0.296280235 C07AA07 SOTALOLUM SOTALOL AL 80 COMPR. 80mg ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 34.30 0.343000 0.329200 0.296280236 C07AA07 SOTALOLUM SOTALOL AL 80 COMPR. 80mg ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 16.46 0.329200 0.329200 0.296280237 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 13.19 0.439666 0.185500 0.166950238 C07AB02 METOPROLOLUM BETAPROL 100 mg COMPR. 100mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.28 0.342666 0.185500 0.166950239 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 6.16 0.308000 0.185500 0.166950240 C07AB02 METOPROLOLUM METOPROLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.69 0.223000 0.185500 0.166950241 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 8.57 0.285666 0.185500 0.166950242 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 18.55 0.185500 0.185500 0.166950243 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 12.20 0.244000 0.185500 0.166950244 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 7.60 0.380000 0.185500 0.166950245 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.24 0.274666 0.185500 0.166950246 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 14.18 0.472666 0.185500 0.166950247 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 6.58 0.219333 0.185500 0.166950248 C07AB02 METOPROLOLUM METOPROLOL VIM SPECTRUM 100 mg COMPR. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.92 0.346000 0.185500 0.166950249 C07AB02 METOPROLOLUM METOPROLOL ARENA 100 MG COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.58 0.219333 0.185500 0.166950

Pagina 7 din 45

250 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 1.79 0.089500 0.089333 0.080399251 C07AB02 METOPROLOLUM METOPROLOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 1.79 0.089500 0.089333 0.080399252 C07AB02 METOPROLOLUM METOPROLOL 25 mg COMPR. 25mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.68 0.089333 0.089333 0.080399253 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 2.68 0.089333 0.089333 0.080399254 C07AB02 METOPROLOLUM METOPROLOL ARENA 25 MG COMPR. 25mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.68 0.089333 0.089333 0.080399255 C07AB02 METOPROLOLUM BETAPROL 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.95 0.165000 0.078900 0.071010256 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 3.30 0.165000 0.078900 0.071010257 C07AB02 METOPROLOLUM METOPROLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.45 0.148333 0.078900 0.071010258 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 4.95 0.165000 0.078900 0.071010259 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L 100 7.89 0.078900 0.078900 0.071010260 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 50 6.66 0.133200 0.078900 0.071010261 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.30 0.165000 0.078900 0.071010262 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.95 0.165000 0.078900 0.071010263 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.63 0.221000 0.078900 0.071010264 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 4.95 0.165000 0.078900 0.071010265 C07AB02 METOPROLOLUM METOPROLOL VIM SPECTRUM 50 mg COMPR. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.24 0.162000 0.078900 0.071010266 C07AB02 METOPROLOLUM METOPROLOL ARENA 50 MG COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.95 0.165000 0.078900 0.071010267 C07AB02 METOPROLOLUM METOPROLOL RETARD 100 mg COMPR. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL. P-6L 20 10.46 0.523000 0.522333 0.470099268 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 56.22 0.562200 0.562200 0.505980269 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 34.61 0.576833 0.562200 0.505980270 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 20.63 0.687666 0.562200 0.505980271 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 24.13 0.804333 0.522333 0.470099272 C07AB02 METOPROLOLUM EMZOK 100 mg COMPR. FILM. ELIB. PREL. 100mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L 30 15.67 0.522333 0.522333 0.470099273 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 14.73 0.491000 0.319333 0.287399274 C07AB02 METOPROLOLUM EMZOK 50 mg COMPR. FILM. ELIB. PREL. 50mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L 30 9.58 0.319333 0.319333 0.287399275 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 21.33 0.711000 0.711000 0.639900276 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 7.64 0.254666 0.254666 0.229199277 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 12.76 0.425333 0.425333 0.382799278 C07AB03 ATENOLOLUM ATENOCOR 100 mg COMPR. 100mg AC HELCOR SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.18 0.339333 0.293500 0.264150279 C07AB03 ATENOLOLUM ATENOLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.61 0.330500 0.293500 0.264150280 C07AB03 ATENOLOLUM ATENOLOL 100 mg COMPR. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 5.87 0.293500 0.293500 0.264150281 C07AB03 ATENOLOLUM ATENOLOL ARENA 100 MG COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.87 0.293500 0.293500 0.264150282 C07AB03 ATENOLOLUM ATENOLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.68 0.184000 0.166500 0.149850283 C07AB03 ATENOLOLUM ATENOLOL MEDUMAN 50mg COMPR. 50mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 3.47 0.173500 0.166500 0.149850284 C07AB03 ATENOLOLUM ATENOLOL 50 mg COMPR. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.24 0.212000 0.166500 0.149850285 C07AB03 ATENOLOLUM ATENOCOR 50 mg COMPR. 50mg AC HELCOR SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.02 0.167333 0.166500 0.149850286 C07AB03 ATENOLOLUM ATENOLOL ARENA 50 MG COMPR. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.33 0.166500 0.166500 0.149850287 C07AB03 ATENOLOLUM ATENOLOL 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 6.46 0.323000 0.215500 0.193950288 C07AB03 ATENOLOLUM ATENOLOL 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 10.23 0.341000 0.215500 0.193950289 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 4.31 0.215500 0.215500 0.193950290 C07AB03 ATENOLOLUM ATENOLOL 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 10.94 0.218800 0.208666 0.187799291 C07AB03 ATENOLOLUM ATENOLOL 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 6.26 0.208666 0.208666 0.187799292 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 21.43 0.765357 0.715357 0.643821293 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM. P-6L 28 20.03 0.715357 0.715357 0.643821

Pagina 8 din 45

294 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 25.79 0.859666 0.715357 0.643821295 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 20.34 1.017000 0.715357 0.643821296 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. P-6L 14 14.18 1.012857 0.715357 0.643821297 C07AB07 BISOPROLOLUM BISOBLOCK 10 mg COMPR. 10mg KERI PHARMA GENERICS LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 15.53 0.517666 0.517666 0.465899298 C07AB07 BISOPROLOLUM BISOBLOCK 10 mg COMPR. 10mg ACTAVIS HUNGARY KFT. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 15.53 0.517666 0.517666 0.465899299 C07AB07 BISOPROLOLUM BISOBLOCK 5 mg COMPR. 5mg KERI PHARMA GENERICS LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 7.09 0.236333 0.236333 0.212699300 C07AB07 BISOPROLOLUM BISOBLOCK 5 mg COMPR. 5mg ACTAVIS HUNGARY KFT. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 7.09 0.236333 0.236333 0.212699301 C07AB07 BISOPROLOLUM CONCOR 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 29.89 0.996333 0.339000 0.305100302 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 46.40 0.464000 0.339000 0.305100303 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 28.12 0.562400 0.339000 0.305100304 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 17.01 0.567000 0.339000 0.305100305 C07AB07 BISOPROLOLUM BISOSTAD 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 4 BLIST. PVC-PE-PVDC/AL IN PLIC AL X 7 COMPR. FILM. P-6L 28 10.59 0.378214 0.339000 0.305100306 C07AB07 BISOPROLOLUM BISOSTAD 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL IN PLIC AL X 10 COMPR. FILM. P-6L 20 7.57 0.378500 0.339000 0.305100307 C07AB07 BISOPROLOLUM BISOSTAD 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL IN PLIC AL X 10 COMPR. FILM. P-6L 50 16.95 0.339000 0.339000 0.305100308 C07AB07 BISOPROLOLUM BISOSTAD 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL IN PLIC AL X 10 COMPR. FILM. P-6L 30 11.34 0.378000 0.339000 0.305100309 C07AB07 BISOPROLOLUM BISOSTAD 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL IN PLIC AL X 7 COMPR. FILM. P-6L 14 5.29 0.377857 0.339000 0.305100310 C07AB07 BISOPROLOLUM BISOSTAD 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 50 16.95 0.339000 0.339000 0.305100311 C07AB07 BISOPROLOLUM BISOSTAD 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 4 BLIST. PVC-PE-PVDC/AL X 7 COMPR. FILM. P-6L 28 10.59 0.378214 0.339000 0.305100312 C07AB07 BISOPROLOLUM BISOSTAD 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 7 COMPR. FILM. P-6L 14 5.29 0.377857 0.339000 0.305100313 C07AB07 BISOPROLOLUM BISOSTAD 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 20 7.57 0.378500 0.339000 0.305100314 C07AB07 BISOPROLOLUM BISOSTAD 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 30 11.34 0.378000 0.339000 0.305100315 C07AB07 BISOPROLOLUM CONCOR COR 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 31.74 1.058000 0.339000 0.305100316 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 17.01 0.567000 0.339000 0.305100317 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 13.87 0.462333 0.462333 0.416099318 C07AB07 BISOPROLOLUM CONCOR 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 15.35 0.511666 0.124800 0.112320319 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 13.17 0.263400 0.124800 0.112320320 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 8.01 0.267000 0.124800 0.112320321 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 23.48 0.234800 0.124800 0.112320322 C07AB07 BISOPROLOLUM BISOSTAD 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL IN PLIC AL X 10 COMPR. FILM. P-6L 20 2.51 0.125500 0.124800 0.112320323 C07AB07 BISOPROLOLUM BISOSTAD 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 4 BLIST. PVC-PE-PVDC/AL IN PLIC AL X 7 COMPR. FILM. P-6L 28 3.51 0.125357 0.124800 0.112320324 C07AB07 BISOPROLOLUM BISOSTAD 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL IN PLIC AL X 10 COMPR. FILM. P-6L 30 3.76 0.125333 0.124800 0.112320325 C07AB07 BISOPROLOLUM BISOSTAD 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL IN PLIC AL X 10 COMPR. FILM. P-6L 50 6.24 0.124800 0.124800 0.112320326 C07AB07 BISOPROLOLUM BISOSTAD 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL IN PLIC AL X 7 COMPR. FILM. P-6L 14 1.76 0.125714 0.124800 0.112320327 C07AB07 BISOPROLOLUM BISOSTAD 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 20 2.51 0.125500 0.124800 0.112320328 C07AB07 BISOPROLOLUM BISOSTAD 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 50 6.24 0.124800 0.124800 0.112320329 C07AB07 BISOPROLOLUM BISOSTAD 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 4 BLIST. PVC-PE-PVDC/AL X 7 COMPR. FILM. P-6L 28 3.51 0.125357 0.124800 0.112320330 C07AB07 BISOPROLOLUM BISOSTAD 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 7 COMPR. FILM. P-6L 14 1.76 0.125714 0.124800 0.112320331 C07AB07 BISOPROLOLUM BISOSTAD 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 30 3.76 0.125333 0.124800 0.112320332 C07AB07 BISOPROLOLUM CONCOR COR 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 20.96 0.698666 0.124800 0.112320333 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 8.01 0.267000 0.124800 0.112320334 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 12,5 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8.20 0.273333 0.271333 0.244199335 C07AG02 CARVEDILOLUM DILATREND (R) 12,5 mg COMPR. 12,5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L 28 28.10 1.003571 0.271333 0.244199336 C07AG02 CARVEDILOLUM CORYOL 12,5 mg COMPR. 12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 11.71 0.418214 0.271333 0.244199337 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 12.48 0.416000 0.271333 0.244199

Pagina 9 din 45

338 C07AG02 CARVEDILOLUM CARVEDILOL STADA 12,5 mg COMPR. 12,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 20.91 0.418200 0.271333 0.244199339 C07AG02 CARVEDILOLUM CARVEDILOL STADA 12,5 mg COMPR. 12,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 40.47 0.404700 0.271333 0.244199340 C07AG02 CARVEDILOLUM CARVEDILOL STADA 12,5 mg COMPR. 12,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L 28 11.71 0.418214 0.271333 0.244199341 C07AG02 CARVEDILOLUM ATRAM 12,5 COMPR. 12,5mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L 30 12.08 0.402666 0.271333 0.244199342 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 8.18 0.409000 0.271333 0.244199343 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 12.54 0.418000 0.271333 0.244199344 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 8.14 0.271333 0.271333 0.244199345 C07AG02 CARVEDILOLUM CARVEDILOL VIM SPECTRUM 12,5mg COMPR. 12,5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.30 0.315000 0.271333 0.244199346 C07AG02 CARVEDILOLUM GLADYCOR 12,5 mg COMPR. 12,5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 12.30 0.410000 0.271333 0.244199347 C07AG02 CARVEDILOLUM DILATREND (R) 25 mg COMPR. 25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L 28 32.45 1.158928 0.283666 0.255299348 C07AG02 CARVEDILOLUM CORYOL 25 mg COMPR. 25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L 28 20.69 0.738928 0.283666 0.255299349 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 22.17 0.739000 0.283666 0.255299350 C07AG02 CARVEDILOLUM CARVEDILOL STADA 25 mg COMPR. 25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 53.86 0.538600 0.283666 0.255299351 C07AG02 CARVEDILOLUM CARVEDILOL STADA 25 mg COMPR. 25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L 28 20.71 0.739642 0.283666 0.255299352 C07AG02 CARVEDILOLUM CARVEDILOL STADA 25 mg COMPR. 25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 27.67 0.553400 0.283666 0.255299353 C07AG02 CARVEDILOLUM ATRAM 25 COMPR. 25mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 18.37 0.612333 0.283666 0.255299354 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 14.76 0.738000 0.283666 0.255299355 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8.63 0.287666 0.283666 0.255299356 C07AG02 CARVEDILOLUM CARVEDILOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 22.17 0.739000 0.283666 0.255299357 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 8.51 0.283666 0.283666 0.255299358 C07AG02 CARVEDILOLUM GLADYCOR 25 mg COMPR. 25mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 21.59 0.719666 0.283666 0.255299359 C07AG02 CARVEDILOLUM CARVEDILOL STADA 3,125 mg COMPR. 3,125mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L 28 10.05 0.358928 0.358928 0.323035360 C07AG02 CARVEDILOLUM DILATREND (R) 6,25 mg COMPR. 6,25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L 28 15.44 0.551428 0.189000 0.170100361 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 6.04 0.215714 0.189000 0.170100362 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 6.47 0.215666 0.189000 0.170100363 C07AG02 CARVEDILOLUM CARVEDILOL STADA 6,25 mg COMPR. 6,25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L 28 6.04 0.215714 0.189000 0.170100364 C07AG02 CARVEDILOLUM CARVEDILOL STADA 6,25 mg COMPR. 6,25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 21.57 0.215700 0.189000 0.170100365 C07AG02 CARVEDILOLUM CARVEDILOL STADA 6,25 mg COMPR. 6,25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L 14 3.02 0.215714 0.189000 0.170100366 C07AG02 CARVEDILOLUM ATRAM 6,25 COMPR. 6,25mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L 30 6.04 0.201333 0.189000 0.170100367 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 6,25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.47 0.215666 0.189000 0.170100368 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 6.47 0.215666 0.189000 0.170100369 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 5.67 0.189000 0.189000 0.170100370 C07AG02 CARVEDILOLUM CARVEDILOL VIM SPECTRUM 6,25 mg COMPR. 6,25mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.30 0.215000 0.189000 0.170100371 C07AG02 CARVEDILOLUM GLADYCOR 6,25 mg COMPR. 6,25mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 6.29 0.209666 0.189000 0.170100372 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 13.07 0.435666 0.435666 0.392099373 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 22.80 0.760000 0.760000 0.684000374 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 8.51 0.283666 0.283666 0.255299375 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 27.86 0.928666 0.136200 0.122580376 C08CA01 AMLODIPINUM AMLOHEXAL 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR. P-6L 30 18.10 0.603333 0.136200 0.122580377 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 18.09 0.603000 0.136200 0.122580378 C08CA01 AMLODIPINUM AMLODIPIN AL 10 mg COMPR. 10mg ALIUD-PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L/S 100 13.62 0.136200 0.136200 0.122580379 C08CA01 AMLODIPINUM AMLODIPIN AL 10 mg COMPR. 10mg ALIUD-PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 50 7.27 0.145400 0.136200 0.122580380 C08CA01 AMLODIPINUM AMLODIPIN AL 10 mg COMPR. 10mg ALIUD-PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 4.36 0.145333 0.136200 0.122580381 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 4.81 0.160333 0.136200 0.122580

Pagina 10 din 45

382 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 18.10 0.603333 0.136200 0.122580383 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 13.77 0.491785 0.136200 0.122580384 C08CA01 AMLODIPINUM VASOREX 10 mg COMPR. 10mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 18.10 0.603333 0.136200 0.122580385 C08CA01 AMLODIPINUM CARDILOPIN 10 mg COMPR. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 30 18.10 0.603333 0.136200 0.122580386 C08CA01 AMLODIPINUM AMLODIPINA BIOGALENICA 10 mg COMPR. 10mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 18.10 0.603333 0.136200 0.122580387 C08CA01 AMLODIPINUM AMLODIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PVDC/AL X 30 COMPR. P-6L 30 4.81 0.160333 0.136200 0.122580388 C08CA01 AMLODIPINUM AMLODIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PVDC/AL X 100 COMPR. P-6L/S 100 16.02 0.160200 0.136200 0.122580389 C08CA01 AMLODIPINUM ALMACOR 10 mg COMPR. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 18.10 0.603333 0.136200 0.122580390 C08CA01 AMLODIPINUM AMLODIPINA ACTAVIS 10 mg COMPR. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. P-6L 20 12.06 0.603000 0.136200 0.122580391 C08CA01 AMLODIPINUM AMLODIPIN VIM SPECTRUM 10 mg COMPR. 10mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC-COC-PVDC/AL X 10 COMPR. P-6L 20 12.06 0.603000 0.136200 0.122580392 C08CA01 AMLODIPINUM TARDIP 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 18.12 0.604000 0.136200 0.122580393 C08CA01 AMLODIPINUM TARDIP 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 18.12 0.604000 0.136200 0.122580394 C08CA01 AMLODIPINUM AGEN 10 COMPR. 10mg ZENTIVA K.S. CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 18.10 0.603333 0.136200 0.122580395 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 18.72 0.624000 0.080000 0.072000396 C08CA01 AMLODIPINUM AMLOHEXAL 5 mg COMPR. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR. P-6L 30 10.68 0.356000 0.080000 0.072000397 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 10.71 0.357000 0.080000 0.072000398 C08CA01 AMLODIPINUM AMLODIPIN AL 5 mg COMPR. 5mg ALIUD-PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 50 5.73 0.114600 0.080000 0.072000399 C08CA01 AMLODIPINUM AMLODIPIN AL 5 mg COMPR. 5mg ALIUD-PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L/S 100 11.65 0.116500 0.080000 0.072000400 C08CA01 AMLODIPINUM AMLODIPIN AL 5 mg COMPR. 5mg ALIUD-PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 3.44 0.114666 0.080000 0.072000401 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 2.40 0.080000 0.080000 0.072000402 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 10.35 0.345000 0.080000 0.072000403 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 8.21 0.293214 0.080000 0.072000404 C08CA01 AMLODIPINUM VASOREX 5 mg COMPR. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.68 0.356000 0.080000 0.072000405 C08CA01 AMLODIPINUM CARDILOPIN 5 mg COMPR. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 30 10.68 0.356000 0.080000 0.072000406 C08CA01 AMLODIPINUM AMLODIPINA BIOGALENICA 5 mg COMPR. 5mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 7.41 0.247000 0.080000 0.072000407 C08CA01 AMLODIPINUM AMLODIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30COMPR. P-6L 30 2.40 0.080000 0.080000 0.072000408 C08CA01 AMLODIPINUM AMLODIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100COMPR. P-6L/S 100 8.01 0.080100 0.080000 0.072000409 C08CA01 AMLODIPINUM ALMACOR 5 mg COMPR. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 10.66 0.355333 0.080000 0.072000410 C08CA01 AMLODIPINUM AMLODIPINA ACTAVIS 5 mg COMPR. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. P-6L 20 7.12 0.356000 0.080000 0.072000411 C08CA01 AMLODIPINUM AMLODIPIN VIM SPECTRUM 5 mg COMPR. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC-COC-PVDC/AL X 10 COMPR. P-6L 20 7.00 0.350000 0.080000 0.072000412 C08CA01 AMLODIPINUM TARDIP 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 10.17 0.339000 0.080000 0.072000413 C08CA01 AMLODIPINUM TARDIP 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 10.17 0.339000 0.080000 0.072000414 C08CA01 AMLODIPINUM AGEN 5 COMPR. 5mg ZENTIVA K.S. CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 10.55 0.351666 0.080000 0.072000415 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 69.19 1.383800 0.952333 0.857099416 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 100 131.27 1.312700 0.952333 0.857099417 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 42.94 1.431333 0.952333 0.857099418 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 29.58 1.479000 0.952333 0.857099419 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 19.41 0.647000 0.269000 0.242100420 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 32.36 0.647200 0.269000 0.242100421 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 62.63 0.626300 0.269000 0.242100422 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 12.94 0.647000 0.269000 0.242100423 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 27.73 0.924333 0.491000 0.441900424 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 19.11 0.955500 0.491000 0.441900425 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 84.97 0.849700 0.491000 0.441900

Pagina 11 din 45

426 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 44.73 0.894600 0.491000 0.441900427 C08CA02 FELODIPINUM PLENDIL COMPR. ELIB. PREL. 10mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L 30 47.13 1.571000 0.952333 0.857099428 C08CA02 FELODIPINUM PLENDIL COMPR. ELIB. PREL. 2,5mg ASTRAZENECA AB SUEDIA CUTIE 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L 30 20.91 0.697000 0.269000 0.242100429 C08CA02 FELODIPINUM PLENDIL COMPR. ELIB. PREL. 5mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L 30 26.63 0.887666 0.491000 0.441900430 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 28.57 0.952333 0.952333 0.857099431 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 13.59 0.453000 0.269000 0.242100432 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 17.30 0.576666 0.491000 0.441900433 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 39.96 1.332000 0.952333 0.857099434 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 31.49 1.049666 0.952333 0.857099435 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 100 110.46 1.104600 0.952333 0.857099436 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 34.89 1.163000 0.952333 0.857099437 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 58.17 1.163400 0.952333 0.857099438 C08CA02 FELODIPINUM FELODIPIN SANDOZ 10 mg COMPR. FILM. ELIB. PREL. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 30 28.67 0.955666 0.952333 0.857099439 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 15.45 0.515000 0.269000 0.242100440 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 8.07 0.269000 0.269000 0.242100441 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 25.02 0.834000 0.491000 0.441900442 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 16.15 0.538333 0.491000 0.441900443 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 36.38 0.727600 0.491000 0.441900444 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 22.56 0.752000 0.491000 0.441900445 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 70.34 0.703400 0.491000 0.441900446 C08CA02 FELODIPINUM FELODIPIN SANDOZ 5 mg COMPR. FILM. ELIB. PREL. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 30 14.73 0.491000 0.491000 0.441900447 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 28.04 1.001428 1.001428 0.901285448 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 7.89 0.157800 0.157800 0.142020449 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 4.51 0.225500 0.225500 0.202950450 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 5.86 0.117200 0.111600 0.100440451 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 11.16 0.111600 0.111600 0.100440452 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 16.04 0.160400 0.111600 0.100440453 C08DA01 VERAPAMILUM VERAPAMIL AL 80 COMPR. FILM. 80mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L 100 19.74 0.197400 0.197200 0.177480454 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 9.86 0.197200 0.197200 0.177480455 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 14.36 0.287200 0.197200 0.177480456 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 10.06 1.006000 0.691666 0.622499457 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 21.23 0.707666 0.691666 0.622499458 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 20.75 0.691666 0.691666 0.622499459 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 18.69 0.934500 0.691666 0.622499460 C08DA01 VERAPAMILUM VERAPAMIL 40 mg DRAJ. 40mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 DRAJ. P-6L 50 11.09 0.221800 0.221800 0.199620461 C08DA01 VERAPAMILUM VERAPAMIL 80 mg DRAJ. 80mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 DRAJ. P-6L 50 16.27 0.325400 0.325400 0.292860462 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 11.66 0.388666 0.251200 0.226080463 C08DB01 DILTIAZEMUM DILTIAZEM EIPICO 60 mg COMPR. 60mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.05 0.252500 0.251200 0.226080464 C08DB01 DILTIAZEMUM DILTIAZEM LPH 60 mg COMPR. 60mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.05 0.252500 0.251200 0.226080465 C08DB01 DILTIAZEMUM DILTIAZEM ARENA 60 mg COMPR. 60mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. DIN AL/ PVC X 10COMPR. P-6L 50 12.56 0.251200 0.251200 0.226080466 C08DB01 DILTIAZEMUM CORZEM 120 COMPR. FILM. 120mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 10 12.05 1.205000 1.205000 1.084500467 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 14.42 0.480666 0.480666 0.432599468 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 2.77 0.092333 0.092333 0.083099469 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 2.77 0.092333 0.092333 0.083099

Pagina 12 din 45

470 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 3.20 0.106666 0.105666 0.095099471 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.85 0.128333 0.105666 0.095099472 C09AA01 CAPTOPRILUM CAPTOPRIL 25 EEL COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.84 0.142000 0.105666 0.095099473 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 2.13 0.106500 0.105666 0.095099474 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 25 mg COMPR. 25mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.20 0.106666 0.105666 0.095099475 C09AA01 CAPTOPRILUM CAPTOPRIL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.20 0.106666 0.105666 0.095099476 C09AA01 CAPTOPRILUM CAPTOPRIL SINTOFARM 25 mg COMPR. 25mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.17 0.105666 0.105666 0.095099477 C09AA01 CAPTOPRILUM CAPTOPRIL ARENA 25 mg COMPR. 25mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.13 0.106500 0.105666 0.095099478 C09AA01 CAPTOPRILUM CAPTOPRIL ARENA 50 mg COMPR. 50 mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.51 0.125500 0.122666 0.110399479 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 4.18 0.209000 0.122666 0.110399480 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.27 0.209000 0.122666 0.110399481 C09AA01 CAPTOPRILUM CAPTOPRIL 50 EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.62 0.181000 0.122666 0.110399482 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 2.51 0.125500 0.122666 0.110399483 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.24 0.141333 0.122666 0.110399484 C09AA01 CAPTOPRILUM CAPTOPRIL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.68 0.122666 0.122666 0.110399485 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 4.13 0.206500 0.124500 0.112050486 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.13 0.206500 0.124500 0.112050487 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.71 0.185500 0.124500 0.112050488 C09AA02 ENALAPRILUM EDNYT (R) 10 mg COMPR. 10mg GEDEON RICHTER PLC. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 9.57 0.319000 0.124500 0.112050489 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 4.13 0.206500 0.124500 0.112050490 C09AA02 ENALAPRILUM ENALAPRIL LPH 10 mg COMPR. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 4.13 0.206500 0.124500 0.112050491 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 4.13 0.206500 0.124500 0.112050492 C09AA02 ENALAPRILUM ENALAPRIL FABIOL 10 mg COMPR. 10mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.13 0.206500 0.124500 0.112050493 C09AA02 ENALAPRILUM ENALAPRIL SLAVIA 10 mg COMPR. 10mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/ AL X 10 COMPR. P-6L 20 4.13 0.206500 0.124500 0.112050494 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 6.19 0.206333 0.124500 0.112050495 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 9.80 0.196000 0.124500 0.112050496 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 12.45 0.124500 0.124500 0.112050497 C09AA02 ENALAPRILUM RENITEC 10 mg COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 9.88 0.352857 0.124500 0.112050498 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 6.84 0.342000 0.124500 0.112050499 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.46 0.215333 0.124500 0.112050500 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 10.55 0.211000 0.124500 0.112050501 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 20.66 0.206600 0.124500 0.112050502 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 10.59 0.529500 0.124500 0.112050503 C09AA02 ENALAPRILUM ENALAPRIL VIM SPECTRUM 10 mg COMPR. 10mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 3.85 0.192500 0.124500 0.112050504 C09AA02 ENALAPRILUM EDNYT (R) 2,5 mg COMPR. 2,5mg GEDEON RICHTER PLC. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 7.75 0.258333 0.258333 0.232499505 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 7.46 0.373000 0.183700 0.165330506 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 20 mg COMPR. 20mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 9.55 0.477500 0.183700 0.165330507 C09AA02 ENALAPRILUM EDNYT (R) 20 mg COMPR. 20mg GEDEON RICHTER PLC. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 16.53 0.551000 0.183700 0.165330508 C09AA02 ENALAPRILUM ENALAPRIL LPH 20 mg COMPR. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 8.21 0.410500 0.183700 0.165330509 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 7.46 0.373000 0.183700 0.165330510 C09AA02 ENALAPRILUM ENALAPRIL FABIOL 20 mg COMPR. 20mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.69 0.334500 0.183700 0.165330511 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 18.37 0.183700 0.183700 0.165330512 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 15.41 0.308200 0.183700 0.165330513 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 10.91 0.363666 0.183700 0.165330

Pagina 13 din 45

514 C09AA02 ENALAPRILUM RENITEC 20 mg COMPR. 20mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 16.07 0.573928 0.183700 0.165330515 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 10.45 0.522500 0.183700 0.165330516 C09AA02 ENALAPRILUM ENALAPRIL ARENA 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 10.46 0.348666 0.183700 0.165330517 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 3.44 0.172000 0.093100 0.083790518 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.44 0.172000 0.093100 0.083790519 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.44 0.172000 0.093100 0.083790520 C09AA02 ENALAPRILUM EDNYT (R) 5 mg COMPR. 5mg GEDEON RICHTER PLC. UNGARIA CUTIE X 3 BLIST.X 10 COMPR. P-6L 30 7.75 0.258333 0.093100 0.083790521 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 4.93 0.164333 0.093100 0.083790522 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 9.31 0.093100 0.093100 0.083790523 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 7.95 0.159000 0.093100 0.083790524 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 3.44 0.172000 0.093100 0.083790525 C09AA02 ENALAPRILUM RENITEC 5 mg COMPR. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 7.40 0.264285 0.093100 0.083790526 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 3.59 0.179500 0.093100 0.083790527 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 3.68 0.184000 0.093100 0.083790528 C09AA02 ENALAPRILUM INVORIL 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 5.18 0.172666 0.093100 0.083790529 C09AA02 ENALAPRILUM ENALAPRIL ARENA 5 mg COMPR. 5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.24 0.174666 0.093100 0.083790530 C09AA02 ENALAPRILUM ENALAPRIL VIM SPECTRUM 5 mg COMPR. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 3.42 0.171000 0.093100 0.083790531 C09AA02 ENALAPRILUM ENAP (R) SOL. INJ. 1,25mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 14.50 2.900000 2.900000 2.610000532 C09AA03 LISINOPRILUM RANOLIP COMPR. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 14.07 0.469000 0.322666 0.290399533 C09AA03 LISINOPRILUM LISIREN 10 mg COMPR. 10mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 10.09 0.504500 0.322666 0.290399534 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9.68 0.322666 0.322666 0.290399535 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 15.16 0.505333 0.322666 0.290399536 C09AA03 LISINOPRILUM LISINOPRIL 10 MEDO COMPR. 10mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 13.56 0.452000 0.322666 0.290399537 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 10 mg COMPR. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 12.08 0.402666 0.322666 0.290399538 C09AA03 LISINOPRILUM LISINOPRIL ATB 10 MG COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 9.54 0.477000 0.322666 0.290399539 C09AA03 LISINOPRILUM LISINOPRIL ATB 10 MG COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 14.81 0.493666 0.322666 0.290399540 C09AA03 LISINOPRILUM TONOLYSIN 10 mg COMPR. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 14.51 0.518214 0.322666 0.290399541 C09AA03 LISINOPRILUM TONOLYSIN 2,5 mg COMPR. 2,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 8.21 0.293214 0.293214 0.263892542 C09AA03 LISINOPRILUM RANOLIP COMPR. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 21.69 0.723000 0.471333 0.424199543 C09AA03 LISINOPRILUM LISIREN 20 mg COMPR. 20mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 14.70 0.735000 0.471333 0.424199544 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 20 mg COMPR. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 14.14 0.471333 0.471333 0.424199545 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 26.79 0.893000 0.471333 0.424199546 C09AA03 LISINOPRILUM LISINOPRIL 20 MEDO COMPR. 20mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 13.56 0.678000 0.471333 0.424199547 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 20 mg COMPR. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 21.94 0.731333 0.471333 0.424199548 C09AA03 LISINOPRILUM LISINOPRIL ATB 20 MG COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 6.98 0.698000 0.471333 0.424199549 C09AA03 LISINOPRILUM LISINOPRIL ATB 20 MG COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 22.05 0.735000 0.471333 0.424199550 C09AA03 LISINOPRILUM TONOLYSIN 20 mg COMPR. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 21.51 0.768214 0.471333 0.424199551 C09AA03 LISINOPRILUM LISINOPRIL ATB 40 MG COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 12.94 1.294000 1.230333 1.107299552 C09AA03 LISINOPRILUM LISINOPRIL ATB 40 MG COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 36.91 1.230333 1.230333 1.107299553 C09AA03 LISINOPRILUM RANOLIP COMPR. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 7.18 0.239333 0.224000 0.201600554 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 5 mg COMPR. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.72 0.224000 0.224000 0.201600555 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 9.49 0.316333 0.224000 0.201600556 C09AA03 LISINOPRILUM LISINOPRIL 5 MEDO COMPR. 5mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.14 0.271333 0.224000 0.201600557 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 5 mg COMPR. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 6.90 0.230000 0.224000 0.201600

Pagina 14 din 45

558 C09AA03 LISINOPRILUM TONOLYSIN 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 8.72 0.311428 0.224000 0.201600559 C09AA05 RAMIPRILUM RAMIPRIL STADA (R) 10 mg CAPS. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. AL/AL X 10 CAPS. P-6L 50 22.62 0.452400 0.452400 0.407160560 C09AA05 RAMIPRILUM RAMIPRIL STADA (R) 10 mg CAPS. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 CAPS. P-6L 30 14.79 0.493000 0.452400 0.407160561 C09AA05 RAMIPRILUM RAMIPRIL STADA (R) 2,5 mg CAPS. 2,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. AL/AL X 10 CAPS. P-6L 50 9.55 0.191000 0.191000 0.171900562 C09AA05 RAMIPRILUM RAMIPRIL STADA (R) 2,5 mg CAPS. 2,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 CAPS. P-6L 30 5.73 0.191000 0.191000 0.171900563 C09AA05 RAMIPRILUM RAMIPRIL STADA (R) 5 mg CAPS. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. AL/AL X 10 CAPS. P-6L 50 15.04 0.300800 0.300800 0.270720564 C09AA05 RAMIPRILUM RAMIPRIL STADA (R) 5 mg CAPS. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 CAPS. P-6L 30 10.08 0.336000 0.300800 0.270720565 C09AA05 RAMIPRILUM VIVACE 10 mg COMPR. 10 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 21.85 0.780357 0.357900 0.322110566 C09AA05 RAMIPRILUM PIRAMIL 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 21.85 0.780357 0.357900 0.322110567 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 23.42 0.780666 0.357900 0.322110568 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 23.41 0.780333 0.357900 0.322110569 C09AA05 RAMIPRILUM HARTIL 10 mg COMPR. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 21.85 0.780357 0.357900 0.322110570 C09AA05 RAMIPRILUM RAMIPRIL STADA 10 mg COMPR. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 10 COMPR. P-6L 10 4.93 0.493000 0.357900 0.322110571 C09AA05 RAMIPRILUM RAMIPRIL STADA 10 mg COMPR. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 100 COMPR. P-6L 100 41.39 0.413900 0.357900 0.322110572 C09AA05 RAMIPRILUM RAMIPRIL STADA 10 mg COMPR. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 20 COMPR. P-6L 20 9.86 0.493000 0.357900 0.322110573 C09AA05 RAMIPRILUM RAMIPRIL STADA 10 mg COMPR. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 50 COMPR. P-6L 50 22.62 0.452400 0.357900 0.322110574 C09AA05 RAMIPRILUM RAMIPRIL STADA 10 mg COMPR. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 41.39 0.413900 0.357900 0.322110575 C09AA05 RAMIPRILUM RAMIPRIL STADA 10 mg COMPR. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 10 4.93 0.493000 0.357900 0.322110576 C09AA05 RAMIPRILUM RAMIPRIL STADA 10 mg COMPR. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 22.62 0.452400 0.357900 0.322110577 C09AA05 RAMIPRILUM RAMIPRIL STADA 10 mg COMPR. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 9.86 0.493000 0.357900 0.322110578 C09AA05 RAMIPRILUM ZENRA 10 COMPR. 10mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 21.85 0.780357 0.357900 0.322110579 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 35.79 0.357900 0.357900 0.322110580 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 9.86 0.493000 0.357900 0.322110581 C09AA05 RAMIPRILUM TRITACE 10 COMPR. 10mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 33.62 1.200714 0.357900 0.322110582 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 7.01 0.250357 0.188000 0.169200583 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 8.80 0.314285 0.188000 0.169200584 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 9.43 0.314333 0.188000 0.169200585 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 9.40 0.313333 0.188000 0.169200586 C09AA05 RAMIPRILUM HARTIL 2,5 mg COMPR. 2,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 8.80 0.314285 0.188000 0.169200587 C09AA05 RAMIPRILUM RAMIPRIL STADA 2,5 mg COMPR. 2,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 50 COMPR. P-6L 50 9.55 0.191000 0.188000 0.169200588 C09AA05 RAMIPRILUM RAMIPRIL STADA 2,5 mg COMPR. 2,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 100 COMPR. P-6L 100 18.80 0.188000 0.188000 0.169200589 C09AA05 RAMIPRILUM RAMIPRIL STADA 2,5 mg COMPR. 2,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 20 COMPR. P-6L 20 3.82 0.191000 0.188000 0.169200590 C09AA05 RAMIPRILUM RAMIPRIL STADA 2,5 mg COMPR. 2,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 10 COMPR. P-6L 10 1.91 0.191000 0.188000 0.169200591 C09AA05 RAMIPRILUM RAMIPRIL STADA 2,5 mg COMPR. 2,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 18.80 0.188000 0.188000 0.169200592 C09AA05 RAMIPRILUM RAMIPRIL STADA 2,5 mg COMPR. 2,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 10 1.91 0.191000 0.188000 0.169200593 C09AA05 RAMIPRILUM RAMIPRIL STADA 2,5 mg COMPR. 2,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 3.82 0.191000 0.188000 0.169200594 C09AA05 RAMIPRILUM RAMIPRIL STADA 2,5 mg COMPR. 2,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 9.55 0.191000 0.188000 0.169200595 C09AA05 RAMIPRILUM ZENRA 2,5 COMPR. 2,5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 8.80 0.314285 0.188000 0.169200596 C09AA05 RAMIPRILUM TRITACE(R) 2,5 COMPR. 2,5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 13.53 0.483214 0.188000 0.169200597 C09AA05 RAMIPRILUM VIVACE 5 mg COMPR. 5 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 9.52 0.340000 0.242800 0.218520598 C09AA05 RAMIPRILUM PIRAMIL 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 9.54 0.340714 0.242800 0.218520599 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 10.18 0.339333 0.242800 0.218520600 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 10.20 0.340000 0.242800 0.218520601 C09AA05 RAMIPRILUM HARTIL 5 mg COMPR. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 9.54 0.340714 0.242800 0.218520

Pagina 15 din 45

602 C09AA05 RAMIPRILUM RAMIPRIL STADA 5 mg COMPR. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 20 COMPR. P-6L 20 6.72 0.336000 0.242800 0.218520603 C09AA05 RAMIPRILUM RAMIPRIL STADA 5 mg COMPR. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 50 COMPR. P-6L 50 15.04 0.300800 0.242800 0.218520604 C09AA05 RAMIPRILUM RAMIPRIL STADA 5 mg COMPR. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 10 COMPR. P-6L 10 3.36 0.336000 0.242800 0.218520605 C09AA05 RAMIPRILUM RAMIPRIL STADA 5 mg COMPR. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 100 COMPR. P-6L 100 28.35 0.283500 0.242800 0.218520606 C09AA05 RAMIPRILUM RAMIPRIL STADA 5 mg COMPR. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 28.35 0.283500 0.242800 0.218520607 C09AA05 RAMIPRILUM RAMIPRIL STADA 5 mg COMPR. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 15.04 0.300800 0.242800 0.218520608 C09AA05 RAMIPRILUM RAMIPRIL STADA 5 mg COMPR. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 6.72 0.336000 0.242800 0.218520609 C09AA05 RAMIPRILUM RAMIPRIL STADA 5 mg COMPR. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 10 3.36 0.336000 0.242800 0.218520610 C09AA05 RAMIPRILUM ZENRA 5 COMPR. 5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 9.54 0.340714 0.242800 0.218520611 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 24.28 0.242800 0.242800 0.218520612 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 6.66 0.333000 0.242800 0.218520613 C09AA05 RAMIPRILUM TRITACE® 5 COMPR. 5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 14.67 0.523928 0.242800 0.218520614 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 6.47 0.215666 0.215666 0.194099615 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 32.02 1.067333 1.067333 0.960599616 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 10.54 0.351333 0.351333 0.316199617 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 19.24 0.641333 0.641333 0.577199618 C09AA06 QUINAPRILUM AQUIRIL 10 mg COMPR. FILM. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 7.13 0.237666 0.225000 0.202500619 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 10.97 0.365666 0.225000 0.202500620 C09AA06 QUINAPRILUM QUINAPRIL AL 10 COMPR. FILM. 10mg ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 6.75 0.225000 0.225000 0.202500621 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 7.13 0.237666 0.225000 0.202500622 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 15.72 0.524000 0.471333 0.424199623 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 14.14 0.471333 0.471333 0.424199624 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 41.39 1.379666 1.379666 1.241699625 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 7.70 0.256666 0.153500 0.138150626 C09AA06 QUINAPRILUM QUINAPRIL AL 5 COMPR. FILM. 5mg ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L 100 15.35 0.153500 0.153500 0.138150627 C09AA06 QUINAPRILUM QUINAPRIL AL 5 COMPR. FILM. 5mg ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 5.01 0.167000 0.153500 0.138150628 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 7.15 0.238333 0.153500 0.138150629 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 19.57 0.698928 0.462333 0.416099630 C09AA09 FOSINOPRILUM FOSYPRIL 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. P-6L 30 13.87 0.462333 0.462333 0.416099631 C09AA09 FOSINOPRILUM FOSYPRIL 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL-PVC-PA/AL X 15 COMPR. P-6L 30 13.87 0.462333 0.462333 0.416099632 C09AA09 FOSINOPRILUM FOSINOPRIL TERAPIA 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 14.53 0.726500 0.462333 0.416099633 C09AA09 FOSINOPRILUM MONOPRIL 20 mg COMPR. 20mg BRISTOL-MYERS SQUIBB UNGARIA CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR. P-6L 28 26.83 0.958214 0.591666 0.532499634 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 17.75 0.591666 0.591666 0.532499635 C09AA09 FOSINOPRILUM FOSYPRIL 20 mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. P-6L 30 24.04 0.801333 0.591666 0.532499636 C09AA09 FOSINOPRILUM FOSYPRIL 20 mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL-PVC-PA/AL X 15 COMPR. P-6L 30 24.04 0.801333 0.591666 0.532499637 C09AA09 FOSINOPRILUM FOSINOPRIL TERAPIA 20 mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 19.46 0.973000 0.591666 0.532499

638 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 8.34 0.417000 0.277333 0.249599

Pagina 16 din 45

639 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 9.23 0.461500 0.369666 0.332699

640 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 11.29 0.376333 0.369666 0.332699

641 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 7.47 0.373500 0.373500 0.336150

642 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 15.72 0.524000 0.373500 0.336150

643 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 8.32 0.277333 0.277333 0.249599

644 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 11.09 0.369666 0.369666 0.332699

645 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) HARTIL 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 21.80 0.778571 0.268000 0.241200

646 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 12.45 0.415000 0.268000 0.241200

647 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) TENSIL 2,5mg/12,5mg COMPR. 2,5mg/12,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L 30 8.04 0.268000 0.268000 0.241200

648 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) EMREN HCT 2,5mg/12,5mg COMPR. 2,5mg/12,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 12.36 0.412000 0.268000 0.241200

649 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) TRITACE 2,5 PLUS COMPR. 2,5mg/12,5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 23.08 0.824285 0.268000 0.241200

Pagina 17 din 45

650 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) HARTIL 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 27.66 0.987857 0.570000 0.513000

651 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 21.33 0.711000 0.570000 0.513000

652 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) TENSIL 5mg/25mg COMPR. 5mg/25mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L 30 17.10 0.570000 0.570000 0.513000

653 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) EMREN HCT 5mg/25mg COMPR. 5mg/25mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 22.00 0.733333 0.570000 0.513000

654 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) TRITACE 5 PLUS COMPR. 5mg/25mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 27.20 0.971428 0.570000 0.513000

655 C09CA01 LOSARTANUM LOZAP 100 COMPR. FILM. 100mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 35.31 1.177000 1.045666 0.941099656 C09CA01 LOSARTANUM TALOSAN 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L 30 31.37 1.045666 1.045666 0.941099657 C09CA01 LOSARTANUM TALOSAN 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM. P-6L 30 31.37 1.045666 1.045666 0.941099658 C09CA01 LOSARTANUM LORISTA 100 mg COMPR. FILM. 100mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 30.75 1.098214 1.045666 0.941099659 C09CA01 LOSARTANUM LOZAP 12,5 COMPR. FILM. 12,5mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 4.62 0.154000 0.133666 0.120299660 C09CA01 LOSARTANUM TALOSAN 12,5 mg COMPR. FILM. 12,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L 30 4.01 0.133666 0.133666 0.120299661 C09CA01 LOSARTANUM TALOSAN 12,5 mg COMPR. FILM. 12,5mg TERAPIA SA ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM. P-6L 30 4.01 0.133666 0.133666 0.120299662 C09CA01 LOSARTANUM TALOSAN 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L 30 7.33 0.244333 0.244333 0.219899663 C09CA01 LOSARTANUM TALOSAN 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM. P-6L 30 7.33 0.244333 0.244333 0.219899664 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 62.70 2.239285 0.561000 0.504900665 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 16.89 0.603214 0.561000 0.504900666 C09CA01 LOSARTANUM LOZAP 50 COMPR. FILM. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 18.43 0.614333 0.561000 0.504900667 C09CA01 LOSARTANUM TALOSAN 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L 30 16.83 0.561000 0.561000 0.504900668 C09CA01 LOSARTANUM TALOSAN 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM. P-6L 30 16.83 0.561000 0.561000 0.504900669 C09CA01 LOSARTANUM LOSARTAN FARMAL 50 mg COMPR. FILM. 50mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PE- PVDC/AL X 14 COMPR. FILM. P-6L 28 16.79 0.599642 0.561000 0.504900670 C10AA01 SIMVASTATINUM SIMVASTATINA BIOGALENICA 10 mg COMPR. FILM. 10 mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L 28 8.21 0.293214 0.043000 0.038700671 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 7.97 0.284642 0.043000 0.038700672 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 8.20 0.292857 0.043000 0.038700673 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 8.21 0.293214 0.043000 0.038700674 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 8.80 0.293333 0.043000 0.038700675 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 4.11 0.293571 0.043000 0.038700676 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 8.21 0.293214 0.043000 0.038700677 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 6.32 0.451428 0.043000 0.038700678 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 12.63 0.451071 0.043000 0.038700679 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 8.78 0.292666 0.043000 0.038700680 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 8.80 0.293333 0.043000 0.038700681 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 29.34 0.293400 0.043000 0.038700

Pagina 18 din 45

682 C10AA01 SIMVASTATINUM SIMVASTATIN AL 10 mg COMPR. FILM. 10mg ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 30 1.29 0.043000 0.043000 0.038700683 C10AA01 SIMVASTATINUM SIMVASTATIN AL 10 mg COMPR. FILM. 10mg ALIUD PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 10 0.43 0.043000 0.043000 0.038700684 C10AA01 SIMVASTATINUM SIMVASTATIN AL 10 mg COMPR. FILM. 10mg ALIUD PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 20 0.86 0.043000 0.043000 0.038700685 C10AA01 SIMVASTATINUM VASILIP 10 mg COMPR. FILM. 10mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. DIN PVC/PE/PVDC/AL X 7 COMPR. FILM. P-6L 28 8.20 0.292857 0.043000 0.038700686 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 8.80 0.293333 0.043000 0.038700687 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 21.57 0.770357 0.043000 0.038700688 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 8.21 0.293214 0.043000 0.038700689 C10AA01 SIMVASTATINUM SIMVASTATINA ACTAVIS 10 mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 8.21 0.293214 0.043000 0.038700690 C10AA01 SIMVASTATINUM SIMVASTATIN ACCORD 10 mg COMPR. FILM. 10mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L 30 8.71 0.290333 0.043000 0.038700691 C10AA01 SIMVASTATINUM SIMVASTATIN AUROBINDO 10 mg COMPR. FILM. 10mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L 30 8.66 0.288666 0.043000 0.038700692 C10AA01 SIMVASTATINUM SIMVASTATIN BLUEFISH 10 mg COMPR. FILM. 10mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 2.97 0.106071 0.043000 0.038700693 C10AA01 SIMVASTATINUM SIMVASTATINA BIOGALENICA 20 mg COMPR. FILM. 20 mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L 28 15.53 0.554642 0.456071 0.410463694 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 14.84 0.530000 0.456071 0.410463695 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 15.53 0.554642 0.456071 0.410463696 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 15.53 0.554642 0.456071 0.410463697 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 16.66 0.555333 0.456071 0.410463698 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 15.55 0.555357 0.456071 0.410463699 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 7.77 0.555000 0.456071 0.410463700 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 11.96 0.854285 0.456071 0.410463701 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 23.91 0.853928 0.456071 0.410463702 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 16.63 0.554333 0.456071 0.410463703 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 53.73 0.537300 0.456071 0.410463704 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 16.66 0.555333 0.456071 0.410463705 C10AA01 SIMVASTATINUM SIMVASTATIN AL 20 mg COMPR. FILM. 20mg ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC/PE/PVDC-AL X 10 COMPR. P-6L 30 15.59 0.519666 0.456071 0.410463706 C10AA01 SIMVASTATINUM SIMVASTATIN AL 20 mg COMPR. FILM. 20mg ALIUD PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC/PE/PVDC-AL X 10 COMPR. P-6L 20 10.39 0.519500 0.456071 0.410463707 C10AA01 SIMVASTATINUM SIMVASTATIN AL 20 mg COMPR. FILM. 20mg ALIUD PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC/PE/PVDC-AL X 10 COMPR. P-6L 10 5.19 0.519000 0.456071 0.410463708 C10AA01 SIMVASTATINUM VASILIP 20 mg COMPR. FILM. 20mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. DIN PVC/PE/PVDC/AL X 7 COMPR. FILM. P-6L 28 15.53 0.554642 0.456071 0.410463709 C10AA01 SIMVASTATINUM SIMCOR 20 mg COMPR. FILM. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 16.64 0.554666 0.456071 0.410463710 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 16.64 0.554666 0.456071 0.410463711 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 41.75 1.491071 0.456071 0.410463712 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 15.55 0.555357 0.456071 0.410463713 C10AA01 SIMVASTATINUM SIMVASTATINA ACTAVIS 20 mg COMPR. FILM. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM P-6L 28 15.53 0.554642 0.456071 0.410463714 C10AA01 SIMVASTATINUM SIMVASTATIN ACCORD 20 mg COMPR. FILM. 20mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L 30 16.64 0.554666 0.456071 0.410463715 C10AA01 SIMVASTATINUM SIMVASTATIN AUROBINDO 20 mg COMPR. FILM. 20mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L 30 16.39 0.546333 0.456071 0.410463716 C10AA01 SIMVASTATINUM SIMVASTATIN BLUEFISH 20 mg COMPR. FILM. 20mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 12.77 0.456071 0.456071 0.410463717 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 19.81 0.660333 0.660333 0.594299718 C10AA01 SIMVASTATINUM SIMVASTATINA BIOGALENICA 40 mg COMPR. FILM. 40 mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L 28 28.04 1.001428 0.616428 0.554785719 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 14.10 1.007142 0.616428 0.554785720 C10AA01 SIMVASTATINUM VASILIP (R) 40 mg COMPR. FILM. 40mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 7 COMPR. FILMP-6L 28 28.03 1.001071 0.616428 0.554785721 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 28.20 1.007142 0.616428 0.554785722 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 41.75 1.491071 0.616428 0.554785723 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 21.57 1.540714 0.616428 0.554785724 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 28.04 1.001428 0.616428 0.554785725 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 14.02 1.001428 0.616428 0.554785

Pagina 19 din 45

726 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 28.04 1.001428 0.616428 0.554785727 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 30.05 1.001666 0.616428 0.554785728 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 30.05 1.001666 0.616428 0.554785729 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 92.05 0.920500 0.616428 0.554785730 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 30.05 1.001666 0.616428 0.554785731 C10AA01 SIMVASTATINUM SIMVASTATIN AL 40 mg COMPR. FILM. 40mg ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC/PE/PVDC-AL X 10 COMPR. FILM. P-6L 30 30.05 1.001666 0.616428 0.554785732 C10AA01 SIMVASTATINUM SIMVASTATIN AL 40 mg COMPR. FILM. 40mg ALIUD PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC/PE/PVDC-AL X 10 COMPR. FILM. P-6L 20 20.03 1.001500 0.616428 0.554785733 C10AA01 SIMVASTATINUM SIMVASTATIN AL 40 mg COMPR. FILM. 40mg ALIUD PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC/PE/PVDC-AL X 10 COMPR. FILM. P-6L 10 10.02 1.002000 0.616428 0.554785734 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 10.02 1.002000 0.616428 0.554785735 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 30.05 1.001666 0.616428 0.554785736 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 63.42 2.265000 0.616428 0.554785737 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 17.26 0.616428 0.616428 0.554785738 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 30.05 1.001666 0.616428 0.554785739 C10AA01 SIMVASTATINUM SIMVASTATINA ACTAVIS 40 mg COMPR. FILM. 40mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 28.04 1.001428 0.616428 0.554785740 C10AA01 SIMVASTATINUM SIMVASTATIN ACCORD 40 mg COMPR. FILM. 40mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L 30 30.05 1.001666 0.616428 0.554785741 C10AA01 SIMVASTATINUM SIMVASTATIN AUROBINDO 40 mg COMPR. FILM. 40mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L 30 29.58 0.986000 0.616428 0.554785742 C10AA01 SIMVASTATINUM SIMVASTATIN BLUEFISH 40 mg COMPR. FILM. 40mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L 14 14.10 1.007142 0.616428 0.554785743 C10AA01 SIMVASTATINUM SIMVASTATIN BLUEFISH 40 mg COMPR. FILM. 40mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 28.20 1.007142 0.616428 0.554785744 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 51.00 1.700000 1.700000 1.530000745 C10AA01 SIMVASTATINUM SIMVASTATIN ACCORD 80 mg COMPR. FILM. 80mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L 30 52.74 1.758000 1.700000 1.530000746 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. X 10 COMPR. P-6L 100 63.47 0.634700 0.634700 0.571230747 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. X 10 COMPR. P-6L 10 13.56 1.356000 0.634700 0.571230748 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 19.52 0.650666 0.634700 0.571230749 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 16.15 0.576785 0.576785 0.519106750 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 21.08 0.752857 0.752857 0.677571751 C10AA03 PRAVASTATINUM PRALIP 40 mg COMPR. 40mg SANDOZ SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 35.73 1.191000 1.190714 1.071642752 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 33.34 1.190714 1.190714 1.071642753 C10AB05 FENOFIBRATUM LIPANTHYL (R) 100 CAPS. 100mg LAB. FOURNIER SA FRANTA CUTIE X 4 BLIST. AL/PVC X 12 CAPS. P-6L 48 19.48 0.405833 0.405833 0.365249754 C10AB05 FENOFIBRATUM LIPOFIB 160 mg CAPS. 160mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 47.42 1.580666 1.580666 1.422599755 C10AB05 FENOFIBRATUM LIPANTHYL 200 M CAPS. 200mg LAB. FOURNIER SA FRANTA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-6L 10 12.73 1.273000 0.808000 0.727200756 C10AB05 FENOFIBRATUM LIPANTHYL 200 M CAPS. 200mg LAB. FOURNIER SA FRANTA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. P-6L 30 36.98 1.232666 0.808000 0.727200757 C10AB05 FENOFIBRATUM LIPOFIB 200 mg CAPS. 200mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 26.13 0.871000 0.808000 0.727200758 C10AB05 FENOFIBRATUM FENOFIBRAT TERAPIA 200 mg CAPS. 200mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 30 24.24 0.808000 0.808000 0.727200759 C10AB05 FENOFIBRATUM LIPOFIB 267 mg CAPS. 267mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 30 32.54 1.084666 1.084666 0.976199760 C10AB05 FENOFIBRATUM LIPOFIB 67 mg CAPS. 67mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 30 11.46 0.382000 0.382000 0.343800761 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 16.53 0.826500 0.826500 0.743850762 C10AB05 FENOFIBRATUM LIPIVIM CAPS. PULB. MICRONIZATA 200mg VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 24.81 0.827000 0.826500 0.743850763 C10AB05 FENOFIBRATUM LIPANTIL NANO 145 mg COMPR. FILM. 145mg LAB. FOURNIER S.A. FRANTA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 33.71 1.123666 1.123666 1.011299764 C10AB05 FENOFIBRATUM LIPANTHYL SUPRA 160 mg COMPR. FILM. ELIB. MODIF. 160mg LAB. FOURNIER SA FRANTA CUTIE X 1 BLIST. PVC- PE-PVDC/AL X 10 COMPR. FILM. CU ELIB. MOD. P-6L 10 12.94 1.294000 1.252666 1.127399765 C10AB05 FENOFIBRATUM LIPANTHYL SUPRA 160 mg COMPR. FILM. ELIB. MODIF. 160mg LAB. FOURNIER SA FRANTA CUTIE X 3 BLIST. PVC- PE-PVDC/AL X 10 COMPR. FILM. CU ELIB. MOD. P-6L 30 37.58 1.252666 1.252666 1.127399766 D01AC02 MICONAZOLUM MEDACTER CREMA 2% FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 30G P-RF 1 8.03 8.030000 6.410000 5.769000767 D01AC02 MICONAZOLUM MICONAZOL NITRAT 2% CREMA 2% SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 6.41 6.410000 6.410000 5.769000768 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 8.94 8.940000 6.410000 5.769000769 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 8.89 8.890000 8.890000 8.001000

Pagina 20 din 45

770 D06BB03 ACICLOVIRUM CLOVIRAL (R) 5% CREMA 5% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB AL. X 12 G P-RF 1 6.01 6.010000 3.940000 3.546000771 D06BB03 ACICLOVIRUM ZOVIRAX CREMA 5% THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 TUB X 5G CREMA P-RF 1 19.78 19.780000 3.940000 3.546000772 D06BB03 ACICLOVIRUM ACICLOVIR 5% CREMA 5% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 5 G CREMA P-RF 1 4.67 4.670000 3.940000 3.546000773 D06BB03 ACICLOVIRUM ACICLOVIR 5% CREMA 5% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 15 G CREMA P-RF 1 7.13 7.130000 3.940000 3.546000774 D06BB03 ACICLOVIRUM ACICLOVIR MK CREMA 5% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 7,5 G P-RF 1 3.94 3.940000 3.940000 3.546000775 D06BB03 ACICLOVIRUM ACICLOVIR MK CREMA 5% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 15 G P-RF 1 6.32 6.320000 3.940000 3.546000776 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 5.55 5.550000 3.940000 3.546000777 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 8.32 8.320000 3.940000 3.546000778 D06BB03 ACICLOVIRUM ACICLOVIR HYPERION CREMA 50mg/g HYPERION S.A. ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 6.87 6.870000 3.940000 3.546000779 D06BB03 ACICLOVIRUM ACICLOVIR TIS 50mg/g CREMA 50mg/g TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB DIN PEJD X 15 G CREMA P-RF 1 4.41 4.410000 3.940000 3.546000780 D07AA02 HYDROCORTISONUM HIDROCORTIZON 1% UNGUENT 1% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 6.93 6.930000 5.320000 4.788000781 D07AA02 HYDROCORTISONUM HIDROCORTIZON FITERMAN 10 mg/g UNGUENT 10mg/g FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 20 G UNGUENT P-RF 1 5.32 5.320000 5.320000 4.788000782 D07AA02 HYDROCORTISONUM HIDROCORTIZON FITERMAN 10 mg/g UNGUENT 10mg/g FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 35 G UNGUENT P-RF 1 9.32 9.320000 5.320000 4.788000783 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 5.59 5.590000 5.590000 5.031000784 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 8.32 8.320000 6.930000 6.237000785 D07AC01 BETAMETHASONUM EKARZIN 0,5MG/G CREMA 0,5mg/g ANTIBIOTICE S.A. ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 6.93 6.930000 6.930000 6.237000786 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 5.59 5.590000 5.590000 5.031000787 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 8.32 8.320000 8.320000 7.488000788 G01AF04 MICONAZOLUM GYNOZOL 200 CAPS. VAG. 200mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI P-RF 6 5.59 0.931666 0.931666 0.838499789 G01AF04 MICONAZOLUM GYNOZOL 400 CAPS. VAG. 400mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI P-RF 3 5.36 1.786666 1.786666 1.607999790 G01AF04 MICONAZOLUM MEDACTER CREMA VAG. 2% FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 78 G P-RF 1 18.18 18.180000 13.070000 11.763000

791 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 13.07 13.070000 13.070000 11.763000

792 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 8.44 0.562666 0.562666 0.506399793 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 16.89 3.378000 3.378000 3.040200794 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 3.78 0.756000 0.756000 0.680400795 G03BA03 TESTOSTERONUM* UNDESTOR TESTOCAPS 40 mg CAPS. MOI 40mg N.V. ORGANON OLANDA CUTIE X 6 PLICURI DIN PES-AL-PE X 1 BLIST. AL/PVC X 10 CAPS. MOI P-RF 60 44.45 0.740833 0.740833 0.666749796 G03BA03 TESTOSTERONUM* ANDROGEL 50 mg GEL 50mg LAB. BESINS INTERNATIONAL FRANTA CUTIE X 30 PLICURI DIN FOLIE PET/AL/PE X 5 G GELP-RF 30 209.72 6.990666 6.990666 6.291599797 G03BA03 TESTOSTERONUM* NEBIDO 1000 mg/4 ml SOL. INJ. 1000mg/4ml BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 FIOLA X 4 ML SOL. INJ. S/P-RF 1 459.28 459.280000 459.280000 413.352000

798 G03CA03 ESTRADIOLUM* OESTROGEL (R) GEL 0,06% LAB. BESINS INTERNATIONAL FRANTA CUTIE X 1 TUB DIN AL X 80 G P-6L 1 15.59 15.590000 15.590000 14.031000

799 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 27.61 27.610000 27.610000 24.849000

800 G03CA03 ESTRADIOLUM* CLIMARA PLASTURE TRANSDERM. 50mcg/24ore BAYER SCHERING PHARMA AG GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM. P-6L 4 32.34 8.085000 8.085000 7.276500801 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi G04CAN1) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 44.64 0.892800 0.318333 0.286499802 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi G04CAN1) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 17.69 0.884500 0.318333 0.286499803 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi G04CAN1) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 84.80 0.848000 0.318333 0.286499804 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 1mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 9.55 0.318333 0.318333 0.286499805 G04CAN1 DOXAZOSINUM DOXAZOSIN 1 MEDOCHEMIE (vezi G04CAN1) COMPR. 1mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 10.15 0.725000 0.318333 0.286499806 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi G04CAN1) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 44.64 0.892800 0.318333 0.286499807 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi G04CAN1) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 17.69 0.884500 0.318333 0.286499808 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi G04CAN1) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 84.80 0.848000 0.318333 0.286499809 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 1mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 9.55 0.318333 0.318333 0.286499810 G04CAN1 DOXAZOSINUM DOXAZOSIN 1 MEDOCHEMIE (vezi G04CAN1) COMPR. 1mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 10.15 0.725000 0.318333 0.286499811 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi G04CAN1) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 95.22 0.952200 0.411000 0.369900812 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi G04CAN1) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 49.98 0.999600 0.411000 0.369900813 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi G04CAN1) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 20.34 1.017000 0.411000 0.369900

Pagina 21 din 45

814 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 2mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 16.02 0.534000 0.411000 0.369900815 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 13.87 0.462333 0.411000 0.369900816 G04CAN1 DOXAZOSINUM DOXAZOSIN 2 MEDOCHEMIE (vezi G04CAN1) COMPR. 2mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 11.77 0.840714 0.411000 0.369900817 G04CAN1 DOXAZOSINUM ZOXON 2 (vezi G04CAN1) COMPR. 2mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVDC/PVC/AL X 10 COMPR. P-6L 30 16.07 0.535666 0.411000 0.369900818 G04CAN1 DOXAZOSINUM ANIPROSIN 2 mg (vezi C02CA04) COMPR. 2mg OZONE LABORATORIES BV OLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 12.33 0.411000 0.411000 0.369900819 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi G04CAN1) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 95.22 0.952200 0.411000 0.369900820 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi G04CAN1) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 49.98 0.999600 0.411000 0.369900821 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi G04CAN1) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 20.34 1.017000 0.411000 0.369900822 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 2mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 16.02 0.534000 0.411000 0.369900823 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 13.87 0.462333 0.411000 0.369900824 G04CAN1 DOXAZOSINUM DOXAZOSIN 2 MEDOCHEMIE (vezi G04CAN1) COMPR. 2mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 11.77 0.840714 0.411000 0.369900825 G04CAN1 DOXAZOSINUM ZOXON 2 (vezi G04CAN1) COMPR. 2mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVDC/PVC/AL X 10 COMPR. P-6L 30 16.07 0.535666 0.411000 0.369900826 G04CAN1 DOXAZOSINUM ANIPROSIN 2 mg (vezi C02CA04) COMPR. 2mg OZONE LABORATORIES BV OLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 12.33 0.411000 0.411000 0.369900827 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi G04CAN1) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 115.27 1.152700 0.726333 0.653699828 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi G04CAN1) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 25.45 1.272500 0.726333 0.653699829 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi G04CAN1) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 61.73 1.234600 0.726333 0.653699830 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L 30 28.97 0.965666 0.726333 0.653699831 G04CAN1 DOXAZOSINUM DOXAZOSIN SANDOZ 4 mg (vezi G04CAN1) COMPR. 4mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-6L 30 24.98 0.832666 0.726333 0.653699832 G04CAN1 DOXAZOSINUM DOXAZOSIN 4 MEDOCHEMIE (vezi G04CAN1) COMPR. 4mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 16.32 1.165714 0.726333 0.653699833 G04CAN1 DOXAZOSINUM ZOXON 4 (vezi G04CAN1) COMPR. 4mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVDC/PVC/AL X 10 COMPR. P-6L 30 29.15 0.971666 0.726333 0.653699834 G04CAN1 DOXAZOSINUM ANIPROSIN 4 mg (vezi C02CA04) COMPR. 4mg OZONE LABORATORIES BV OLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 21.79 0.726333 0.726333 0.653699835 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi G04CAN1) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 115.27 1.152700 0.726333 0.653699836 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi G04CAN1) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 25.45 1.272500 0.726333 0.653699837 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi G04CAN1) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 61.73 1.234600 0.726333 0.653699838 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L 30 28.97 0.965666 0.726333 0.653699839 G04CAN1 DOXAZOSINUM DOXAZOSIN SANDOZ 4 mg (vezi G04CAN1) COMPR. 4mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-6L 30 24.98 0.832666 0.726333 0.653699840 G04CAN1 DOXAZOSINUM DOXAZOSIN 4 MEDOCHEMIE (vezi G04CAN1) COMPR. 4mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 16.32 1.165714 0.726333 0.653699841 G04CAN1 DOXAZOSINUM ZOXON 4 (vezi G04CAN1) COMPR. 4mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVDC/PVC/AL X 10 COMPR. P-6L 30 29.15 0.971666 0.726333 0.653699842 G04CAN1 DOXAZOSINUM ANIPROSIN 4 mg (vezi C02CA04) COMPR. 4mg OZONE LABORATORIES BV OLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 21.79 0.726333 0.726333 0.653699843 G04CAN1 DOXAZOSINUM CARDURA XL 4 mg (vezi G04CAN1) 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 43.65 1.558928 1.046666 0.941999844 G04CAN1 DOXAZOSINUM CARDURA XL 4 mg (vezi G04CAN1) 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 43.65 1.558928 1.046666 0.941999845 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 35.07 1.169000 1.046666 0.941999846 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 35.07 1.169000 1.046666 0.941999

847 H02AB04METHYLPREDNISOLONUM* LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 8.26 8.260000 8.260000 7.434000

848 H02AB04METHYLPREDNISOLONUM* LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 63.83 4.255333 4.255333 3.829799

849 H02AB04METHYLPREDNISOLONUM* LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 29.12 29.120000 29.120000 26.208000

850 H02AB04METHYLPREDNISOLONUM* 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 19.21 19.210000 19.210000 17.289000

851 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.069899852 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.47 0.082333 0.077666 0.069899853 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 2.33 0.077666 0.077666 0.069899854 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.37 0.079000 0.077666 0.069899

Pagina 22 din 45

855 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.069899856 H02AB09 HYDROCORTISONUM* HYDROCORTISONE ROUSSEL COMPR. 10mg CN UNIFARM ROMANIA CUTIE X 1 FLAC. 25 COMPR. X 25 12.76 0.510400 0.510400 0.459360857 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 3.67 3.670000 3.670000 3.303000858 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 20.03 4.006000 4.006000 3.605400859 J01AA02 DOXYCYCLINUM DOXICICLINA CAPS. 100mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.56 0.328000 0.328000 0.295200860 J01AA02 DOXYCYCLINUM DOXICICLINA 100 mg CAPS. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 3.36 0.336000 0.328000 0.295200861 J01AA02 DOXYCYCLINUM DOXICICLINA SANDOZ 100 mg CAPS. 100mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.37 0.337000 0.328000 0.295200862 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 9.00 0.900000 0.900000 0.810000863 J01AA02 DOXYCYCLINUM VIBRAMYCIN D COMPR. DISP. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. PVC/AL X 10 COMPR. DISP. P-RF 10 9.86 0.986000 0.900000 0.810000864 J01CA04 AMOXICILLINUM AMOXICILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.58 0.279000 0.228000 0.205200865 J01CA04 AMOXICILLINUM AMOXICILINA ANTIBIOTICE 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.86 0.293000 0.228000 0.205200866 J01CA04 AMOXICILLINUM OSPAMOX 250 mg CAPS. 250mg SANDOZ GMBH AUSTRIA CUTIE X 2 BLIST. AL-PVC/PVDC X 6 CAPS. P-RF/S 12 4.18 0.348333 0.228000 0.205200867 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 250 mg CAPSULE CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.78 0.289000 0.228000 0.205200868 J01CA04 AMOXICILLINUM AMOXICILINA 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 4.56 0.228000 0.228000 0.205200869 J01CA04 AMOXICILLINUM EPHAMOX 500 mg CAPS. 500mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. PVC/AL X 6 CAPS. P-RF 12 6.15 0.512500 0.413000 0.371700870 J01CA04 AMOXICILLINUM AMOXICILINA ANTIBIOTICE 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 5.08 0.508000 0.413000 0.371700871 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 7.07 0.883750 0.413000 0.371700872 J01CA04 AMOXICILLINUM AMOXICILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 5.55 0.555000 0.413000 0.371700873 J01CA04 AMOXICILLINUM AMOXICILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 8.26 0.413000 0.413000 0.371700874 J01CA04 AMOXICILLINUM AMOXICILINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 5 CAPS. P-RF 10 5.33 0.533000 0.413000 0.371700875 J01CA04 AMOXICILLINUM MOXILEN CAPS. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 6.78 0.423750 0.413000 0.371700876 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 500 mg CAPSULE CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 4.61 0.461000 0.413000 0.371700877 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 4.56 0.456000 0.413000 0.371700878 J01CA04 AMOXICILLINUM OSPAMOX 1000 mg COMPR. FILM. 1000mg SANDOZ GMBH AUSTRIA CUTIE 2 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF 12 10.92 0.910000 0.910000 0.819000879 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 5.33 0.444166 0.444166 0.399749880 J01CA04 AMOXICILLINUM REBOXIL 1g COMPR. PT. DISP. ORALA 1g TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 7 COMPR. PT. DISP. ORALA P-RF 21 18.23 0.868095 0.868095 0.781285

881 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 22.31 1.115500 0.868095 0.781285

882 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 9.49 0.474500 0.474500 0.427050

883 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 13.87 0.693500 0.693500 0.624150

884 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 18.55 0.927500 0.927500 0.834750

885 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 7.09 7.090000 4.280000 3.852000

886 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 5.39 5.390000 4.280000 3.852000

887 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 4.28 4.280000 4.280000 3.852000888 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 7.70 7.700000 4.580000 4.122000

Pagina 23 din 45

889 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 4.58 4.580000 4.580000 4.122000

890 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 4.58 4.580000 4.580000 4.122000891 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 4.58 4.580000 4.580000 4.122000

892 J01CE02

PHENOXYMETHYLPENICILLINUM PENICILINA V 1 000 000 U.I. COMPR. 1000000ui EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 8.55 0.427500 0.427500 0.384750

893 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 3.25 0.270833 0.270833 0.243749

894 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 5.73 0.477500 0.477500 0.429750

895 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 2.47 0.205833 0.205833 0.185249

896 J01CE02

PHENOXYMETHYLPENICILLINUM OSPEN 400 SIROP 400000ui/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLACON X 60ML P-RF 1 8.94 8.940000 8.940000 8.046000

897 J01CE08

BENZATHINI BENZYLPENICILLINUM MOLDAMIN (R) PULB. PT. SUSP. INJ. 1200000ui ANTIBIOTICE SA ROMANIA FLACON PULB. PT. SUSP. INJ. P-RF/S 1 3.39 3.390000 3.390000 3.051000

898 J01CE08

BENZATHINI BENZYLPENICILLINUM MOLDAMIN (R) PULB. PT. SUSP. INJ. 600000ui ANTIBIOTICE SA ROMANIA FLACON PULB. PT. SUSP. INJ. P-RF/S 1 1.31 1.310000 1.310000 1.179000

899 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.33 0.316500 0.266500 0.239850900 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.09 0.354500 0.266500 0.239850901 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST.AL/PVC X 12 CAPS. P-RF 12 5.73 0.477500 0.266500 0.239850902 J01CF04 OXACILLINUM OXACILINA SANDOZ 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.24 0.362000 0.266500 0.239850903 J01CF04 OXACILLINUM OXACILINA CAPS. 250mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 5.33 0.266500 0.266500 0.239850904 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.67 0.283500 0.266500 0.239850905 J01CF04 OXACILLINUM OXACILINA FARMEX 250 mg CAPS. 250mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.32 0.316000 0.266500 0.239850906 J01CF04 OXACILLINUM OXACILINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 6.47 0.647000 0.524000 0.471600907 J01CF04 OXACILLINUM OXACILINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 5.81 0.581000 0.524000 0.471600908 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 10.48 0.524000 0.524000 0.471600909 J01CF04 OXACILLINUM OXACILINA SANDOZ 500 mg CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 6.61 0.661000 0.524000 0.471600910 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 5.81 0.581000 0.524000 0.471600

911 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 500 mg

PULB. PT. SOL. INJ./PERF. I.M./I.V. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF 1 3.11 3.110000 3.110000 2.799000

912 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 1 g

PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF 1 5.01 5.010000 5.010000 4.509000

Pagina 24 din 45

913 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 250 mg

PULB. PT. SOL. INJ./PERF.I.M./I.V. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF 1 1.63 1.630000 1.630000 1.467000

914 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 22.68 1.134000 1.134000 1.020600

915 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 23.30 1.165000 1.165000 1.048500

916 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 40.74 2.910000 2.910000 2.619000

917 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2 x 1000 mg COMPR. FILM. 1000mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM. P-RF 14 36.74 2.624285 1.957857 1.762071

918 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 38.23 2.730714 1.957857 1.762071

919 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 21.26 1.328750 1.328750 1.195875

920 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 15.65 1.117857 1.108928 0.998035

921 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 27.94 1.746250 1.108928 0.998035

922 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 26.35 1.882142 1.108928 0.998035

923 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 625 mg COMPR. FILM. 625mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM. P-RF 28 31.05 1.108928 1.108928 0.998035

924 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 27.41 1.957857 1.957857 1.762071

Pagina 25 din 45

925 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN™ 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 63.54 2.269285 2.269285 2.042356

926 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 1000 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 1000mg BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14 59.64 4.260000 4.260000 3.834000

927 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 625mg BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14 33.10 2.364285 2.364285 2.127856

928 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 13.99 13.990000 10.970000 9.873000

929 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 10.97 10.970000 10.970000 9.873000

930 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 20.75 20.750000 20.750000 18.675000

931 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 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 9.35 9.350000 9.350000 8.415000

932 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 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 18.71 18.710000 9.350000 8.415000

933 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 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. ORALAP-RF 1 9.35 9.350000 9.350000 8.415000

934 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 33.28 33.280000 33.280000 29.952000

935 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 22.56 22.560000 20.750000 18.675000

936 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 MARCAT PT. 100ML+ MASURA DOZATOARE P-RF 1 21.33 21.330000 20.750000 18.675000

937 J01DB01 CEFALEXINUM CEFALEXINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 11.19 0.559500 0.456000 0.410400938 J01DB01 CEFALEXINUM CEFALEXINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 11.09 0.554500 0.456000 0.410400

Pagina 26 din 45

939 J01DB01 CEFALEXINUM OSPEXIN (R) 250 mg CAPS. 250mg SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 CAPS. P-RF 12 6.72 0.560000 0.456000 0.410400940 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 4.56 0.456000 0.456000 0.410400941 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 5.61 0.561000 0.456000 0.410400942 J01DB01 CEFALEXINUM SPORIDEX 250 mg CAPS. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 5.55 0.555000 0.456000 0.410400943 J01DB01 CEFALEXINUM CEFALEXINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 9.24 0.924000 0.781000 0.702900944 J01DB01 CEFALEXINUM CEFALEXINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 8.44 0.844000 0.781000 0.702900945 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 7.81 0.781000 0.781000 0.702900946 J01DB01 CEFALEXINUM SPORIDEX 500 mg CAPS. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 9.86 0.986000 0.781000 0.702900947 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 14.84 1.236666 1.236666 1.112999948 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 11.16 0.930000 0.930000 0.837000949 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 9.31 0.931000 0.930000 0.837000950 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 5.81 5.810000 5.810000 5.229000951 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 7.15 7.150000 5.810000 5.229000

952 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 6.52 6.520000 5.810000 5.229000

953 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 9.83 9.830000 9.040000 8.136000

954 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 9.06 9.060000 9.040000 8.136000

955 J01DB01 CEFALEXINUM OSPEXIN (R) 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ GMBH AUSTRIACUTIE X 1 FLAC. X 33G GRANULE PT. 60ML SUSP.+ LINGURITA DOZATOARE X 5ML P-RF 1 9.04 9.040000 9.040000 8.136000

956 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 17.41 1.741000 1.741000 1.566900957 J01DB05 CEFADROXILUM CEFORAN (R) 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 12.22 1.222000 0.894000 0.804600958 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 12.63 1.263000 0.894000 0.804600959 J01DB05 CEFADROXILUM CEFADROXIL TERAPIA CAPS. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 10 CAPS. P-RF 10 8.94 0.894000 0.894000 0.804600960 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 24.55 2.455000 2.455000 2.209500961 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 DOZATOAREP-RF 1 11.31 11.310000 11.310000 10.179000

962 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 21.06 21.060000 21.060000 18.954000

963 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 13.50 1.350000 1.350000 1.215000964 J01DC02 CEFUROXIMUM CEFUROXIMA ANTIBIOTICE 250 mg COMPR. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC-AL-PA/AL X 10 COMPR. P-RF 10 22.99 2.299000 1.350000 1.215000965 J01DC02 CEFUROXIMUM CEFUROXIMA ANTIBIOTICE 250 mg COMPR. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 10 22.99 2.299000 1.350000 1.215000966 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 28.35 2.835000 2.835000 2.551500967 J01DC02 CEFUROXIMUM CEFUROXIMA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC-AL-PA/AL X 10 COMPR. P-RF 10 42.45 4.245000 2.835000 2.551500968 J01DC02 CEFUROXIMUM CEFUROXIMA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 10 42.45 4.245000 2.835000 2.551500969 J01DC02 CEFUROXIMUM AXYCEF (R) 125 COMPR. ACOPERITE 125mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE P-RF 10 9.23 0.923000 0.923000 0.830700970 J01DC02 CEFUROXIMUM AXYCEF (R) 250 COMPR. ACOPERITE 250mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE P-RF 10 11.09 1.109000 1.109000 0.998100971 J01DC02 CEFUROXIMUM AXYCEF (R) 500 COMPR. ACOPERITE 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE P-RF 10 18.98 1.898000 1.898000 1.708200972 J01DC02 CEFUROXIMUM ZINNAT (R) 125 mg COMPR. FILM. 125mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 14.19 1.419000 0.923000 0.830700973 J01DC02 CEFUROXIMUM ZINNAT (R) 250 mg COMPR. FILM. 250mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR.FILM P-RF 10 15.59 1.559000 1.109000 0.998100974 J01DC02 CEFUROXIMUM ZINNAT (R) 500 mg COMPR. FILM. 500mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR.FILM P-RF 10 25.96 2.596000 1.898000 1.708200

Pagina 27 din 45

975 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 18.23 18.230000 18.230000 16.407000

976 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 36.74 36.740000 18.230000 16.407000

977 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 55.11 55.110000 55.110000 49.599000

978 J01DC02 CEFUROXIMUM AXYCEF (R) 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIACUTIE X 1 FLAC. PULB. PT. 70 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 16.59 16.590000 16.590000 14.931000

979 J01DC04 CEFACLORUM CEFACLOR OZONE 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 15 CAPS. P-RF 15 13.08 0.872000 0.872000 0.784800980 J01DC04 CEFACLORUM CECLODYNE 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 15.10 1.510000 0.872000 0.784800981 J01DC04 CEFACLORUM CEFACLOR ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 14.22 1.422000 0.872000 0.784800982 J01DC04 CEFACLORUM MEDOCLOR 250 CAPS. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 23.47 1.466875 0.872000 0.784800983 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 20.09 1.255625 0.872000 0.784800984 J01DC04 CEFACLORUM CEFACLOR OZONE 500 mg CAPS. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 15 CAPS. P-RF 15 27.73 1.848666 1.674375 1.506937985 J01DC04 CEFACLORUM MEDOCLOR 500 CAPS. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 43.29 2.705625 1.674375 1.506937986 J01DC04 CEFACLORUM CECLODYNE FORTE 500 mg CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 27.73 2.773000 1.674375 1.506937987 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 26.79 1.674375 1.674375 1.506937988 J01DC04 CEFACLORUM CECLOZONE MR 375 mg COMPR. ELIB. PREL. 375mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC/AL X 10 COMPR. ELIB. PREL. P-RF 10 32.05 3.205000 3.205000 2.884500989 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 58.15 5.815000 5.815000 5.233500990 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 33.31 3.331000 3.205000 2.884500991 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 44.03 4.403000 4.403000 3.962700992 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 64.67 6.467000 5.815000 5.233500993 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 15.70 15.700000 11.650000 10.485000

994 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 15.21 15.210000 11.650000 10.485000

995 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 15.96 15.960000 11.650000 10.485000

996 J01DC04 CEFACLORUM VERCEF 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID CU GRAN.PT. 75 ML SUSP.ORALA P-RF 1 11.65 11.650000 11.650000 10.485000

997 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 31.14 31.140000 27.730000 24.957000

998 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 27.92 27.920000 27.730000 24.957000

999 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 27.73 27.730000 27.730000 24.957000

1,000 J01DC04 CEFACLORUM CEFAKLOR 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE P-RF 1 8.54 8.540000 8.540000 7.6860001,001 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 11.17 11.170000 8.540000 7.6860001,002 J01DC04 CEFACLORUM CEFAKLOR 250 mg/5 ml PULB. PT. SUSP. ORALA 250mg/5ml STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE P-RF 1 15.52 15.520000 15.520000 13.968000

1,003 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 20.09 20.090000 15.520000 13.968000

1,004 J01DD08 CEFIXIMUM EFICEF (R) 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 33.74 3.374000 3.374000 3.036600

1,005 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.08 0.104000 0.104000 0.093600

1,006 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BISEPTRIM COMPR. 400mg/80mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 3.56 0.178000 0.104000 0.093600

Pagina 28 din 45

1,007 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 3.88 0.194000 0.104000 0.093600

1,008 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 3.14 0.157000 0.104000 0.093600

1,009 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BITRIM 400mg/80mg COMPR. 400mg/80mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.14 0.157000 0.104000 0.093600

1,010 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 7.70 7.700000 7.700000 6.930000

1,011 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 4.47 4.470000 4.470000 4.023000

1,012 J01FA01 ERYTHROMYCINUM ERITROMAGIS 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.66 0.333000 0.333000 0.2997001,013 J01FA01 ERYTHROMYCINUM ERITROMICINA 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.01 0.450500 0.333000 0.2997001,014 J01FA01 ERYTHROMYCINUM ERITROMICINA SANDOZ 200 mg COMPRIMATE COMPR. 200mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 7.94 0.397000 0.333000 0.2997001,015 J01FA01 ERYTHROMYCINUM ERITROMICINA EUROPHARM 200 mg COMPR. 200mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 9.49 0.474500 0.333000 0.2997001,016 J01FA01 ERYTHROMYCINUM ERITROMICINA SANDOZ 200mg/5ml PULB. PT. SUSP. ORALA 200mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. X 30G + PULB. PT. 60 ML SUSP. ORALA + O LIGURITA DOZATOARE P-RF 1 10.75 10.750000 10.750000 9.6750001,017 J01FA09 CLARITHROMYCINUM KLACID (R) COMPR. FILM. 250mg ABBOTT SPA ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 26.81 1.915000 0.983571 0.8852131,018 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 30.26 2.161428 0.983571 0.8852131,019 J01FA09 CLARITHROMYCINUM CLAR 250 COMPR. FILM. 250mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM. P-RF 20 21.57 1.078500 0.983571 0.8852131,020 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 15.65 1.117857 0.983571 0.8852131,021 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 13.77 0.983571 0.983571 0.8852131,022 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 13.77 0.983571 0.983571 0.8852131,023 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 15.65 1.117857 0.983571 0.8852131,024 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 35.64 2.545714 2.082500 1.8742501,025 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 30.63 2.187857 2.082500 1.8742501,026 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 30.14 2.152857 2.082500 1.8742501,027 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 41.65 2.082500 2.082500 1.8742501,028 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 30.14 2.152857 2.082500 1.8742501,029 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 30.63 2.187857 2.082500 1.8742501,030 J01FA09 CLARITHROMYCINUM ROCLARIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 47.72 2.386000 2.082500 1.8742501,031 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 17.26 3.452000 3.451428 3.1062851,032 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 24.16 3.451428 3.451428 3.1062851,033 J01FA09 CLARITHROMYCINUM KLABAX MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 33.04 4.720000 3.451428 3.1062851,034 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 34.21 6.842000 3.451428 3.1062851,035 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 26.38 3.768571 3.451428 3.106285

1,036 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 36.76 36.760000 17.800000 16.020000

Pagina 29 din 45

1,037 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 22.99 22.990000 17.800000 16.020000

1,038 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 21.86 21.860000 17.800000 16.020000

1,039 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 24.61 24.610000 17.800000 16.020000

1,040 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 29.68 29.680000 17.800000 16.020000

1,041 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 17.80 17.800000 17.800000 16.020000

1,042 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 57.78 57.780000 29.740000 26.766000

1,043 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 42.11 42.110000 29.740000 26.766000

1,044 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 47.97 47.970000 29.740000 26.766000

1,045 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 29.74 29.740000 29.740000 26.766000

1,046 J01MA01 OFLOXACINUM OFLOXACIN 200 mg COMPR. FILM. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 45.49 4.549000 1.066000 0.9594001,047 J01MA01 OFLOXACINUM OFLOXIN 200 COMPR. FILM. 200mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 18.80 1.880000 1.066000 0.9594001,048 J01MA01 OFLOXACINUM ZANOCIN COMPR. FILM. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 10.66 1.066000 1.066000 0.9594001,049 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 25.76 5.152000 4.742000 4.2678001,050 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 47.42 4.742000 4.742000 4.2678001,051 J01MA02 CIPROFLOXACINUM EUCIPRIN CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. P-RF 12 7.53 0.627500 0.627500 0.5647501,052 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 35.04 3.504000 3.187500 2.8687501,053 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 63.75 3.187500 3.187500 2.8687501,054 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 6.41 0.641000 0.447000 0.4023001,055 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 6.41 0.641000 0.447000 0.4023001,056 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 6.41 0.641000 0.447000 0.4023001,057 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 6.41 0.641000 0.447000 0.4023001,058 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 11.54 0.577000 0.447000 0.4023001,059 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 7.40 0.740000 0.447000 0.4023001,060 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 6.52 0.652000 0.447000 0.4023001,061 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 8.95 0.895000 0.447000 0.4023001,062 J01MA02 CIPROFLOXACINUM EUCIPRIN 250 mg COMPR. FILM. 250mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 5.73 0.573000 0.447000 0.4023001,063 J01MA02 CIPROFLOXACINUM ALVEBAR 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.47 0.447000 0.447000 0.4023001,064 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 12.42 1.242000 0.609000 0.5481001,065 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 12.42 1.242000 0.609000 0.5481001,066 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 12.42 1.242000 0.609000 0.5481001,067 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 12.42 1.242000 0.609000 0.5481001,068 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 7.95 0.795000 0.609000 0.5481001,069 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 14.18 1.418000 0.609000 0.5481001,070 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 8.24 0.824000 0.609000 0.5481001,071 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 12.42 1.242000 0.609000 0.5481001,072 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 17.87 1.787000 0.609000 0.5481001,073 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 12.42 1.242000 0.609000 0.5481001,074 J01MA02 CIPROFLOXACINUM EUCIPRIN 500 mg COMPR. FILM. 500mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 8.67 0.867000 0.609000 0.5481001,075 J01MA02 CIPROFLOXACINUM ALVEBAR 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 6.09 0.609000 0.609000 0.5481001,076 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 36.14 3.614000 3.504000 3.1536001,077 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 750 mg COMPR. FILM. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 35.04 3.504000 3.504000 3.1536001,078 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 79.53 11.361428 11.361428 10.225285

1,079 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF 3 25.95 8.650000 8.650000 7.785000

Pagina 30 din 45

1,080 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 26.16 2.616000 2.616000 2.3544001,081 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 16.53 0.826500 0.517142 0.4654271,082 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 14.78 0.739000 0.517142 0.4654271,083 J01MA06 NORFLOXACINUM NORFLOX - 400 COMPR. FILM. 400mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 5.81 0.581000 0.517142 0.4654271,084 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 16.53 0.826500 0.517142 0.4654271,085 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 7.24 0.517142 0.517142 0.4654271,086 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 5.36 0.536000 0.517142 0.4654271,087 J01MA06 NORFLOXACINUM NORFLOXACINA TERAPIA 400 mg COMPR. FILM. 400mg TERAPIA SA ROMANIA CUTIE X 1 FOLIE TERMOSUDATA DIN AL-PEJD X 10 COMPR. FILM. P-RF 10 5.49 0.549000 0.517142 0.4654271,088 J01MA06 NORFLOXACINUM NOR QUIN 400 mg COMPR. FILM. 400mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-RF/S 20 16.53 0.826500 0.517142 0.4654271,089 J01MB02 ACIDUM NALIDIXICUM NALIXID 500 mg CAPS. 500mg ZENTIVA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 11.40 0.380000 0.380000 0.342000

1,090 J01XD01 METRONIDAZOLUM

METRONIDAZOL 250 mg (J01XD01) COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.31 0.065500 0.062000 0.055800

1,091 J01XD01 METRONIDAZOLUM

METRONIDAZOL ARENA 250 mg (J01XD01) COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.86 0.062000 0.062000 0.055800

1,092 J01XD01 METRONIDAZOLUM

METRONIDAZOL 250 mg (J01XD01) COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.31 0.065500 0.062000 0.055800

1,093 J01XD01 METRONIDAZOLUM

METRONIDAZOL ARENA 250 mg (J01XD01) COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.86 0.062000 0.062000 0.055800

1,094 J01XD01 METRONIDAZOLUM FLAGYL ( vezi J01XD01) COMPR. FILM. 250mg LABORATOIRE AVENTIS FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 7.89 0.394500 0.394500 0.3550501,095 J01XD01 METRONIDAZOLUM FLAGYL ( vezi J01XD01) COMPR. FILM. 250mg LABORATOIRE AVENTIS FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 7.89 0.394500 0.394500 0.3550501,096 J01XD01 METRONIDAZOLUM FLAGYL 4 % (J01XD01) SUSP. ORALA 4% LABORATOIRE AVENTIS FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML P-RF 1 7.47 7.470000 7.470000 6.7230001,097 J01XD01 METRONIDAZOLUM FLAGYL 4 % (J01XD01) SUSP. ORALA 4% LABORATOIRE AVENTIS FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML P-RF 1 7.47 7.470000 7.470000 6.7230001,098 J02AB02 KETOCONAZOLUM NIZORAL 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 19.21 1.921000 0.646000 0.5814001,099 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg MAGISTRA C & C ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 6.47 0.647000 0.646000 0.5814001,100 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 6.46 0.646000 0.646000 0.5814001,101 J02AB02 KETOCONAZOLUM KETOSTIN 200 mg COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 11.85 1.185000 0.646000 0.5814001,102 J02AB02 KETOCONAZOLUM KEFUNGIN COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 6.46 0.646000 0.646000 0.5814001,103 J02AB02 KETOCONAZOLUM KETOCONAZOL ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 8.61 0.861000 0.646000 0.5814001,104 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 221.98 7.927857 4.225714 3.8031421,105 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 24.04 6.010000 4.225714 3.8031421,106 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 40.71 5.815714 4.225714 3.8031421,107 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 77.60 4.850000 4.225714 3.8031421,108 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 8.86 4.430000 4.225714 3.8031421,109 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 29.58 4.225714 4.225714 3.8031421,110 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 21.14 21.140000 6.190000 5.5710001,111 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 73.82 18.455000 6.190000 5.5710001,112 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. P-RF 2 40.62 20.310000 6.190000 5.5710001,113 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 9.32 9.320000 6.190000 5.5710001,114 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 23.54 23.540000 6.190000 5.5710001,115 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 17.72 17.720000 6.190000 5.5710001,116 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 13.68 13.680000 6.190000 5.5710001,117 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 9.32 9.320000 6.190000 5.5710001,118 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 8.64 8.640000 6.190000 5.5710001,119 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. P-RF 3 30.05 10.016666 6.190000 5.571000

Pagina 31 din 45

1,120 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 11.76 11.760000 6.190000 5.5710001,121 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 6.19 6.190000 6.190000 5.5710001,122 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 9.09 9.090000 6.190000 5.5710001,123 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7.70 7.700000 6.190000 5.5710001,124 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 6.19 6.190000 6.190000 5.5710001,125 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 8.49 8.490000 6.190000 5.5710001,126 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8.49 8.490000 6.190000 5.5710001,127 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 36.96 5.280000 5.280000 4.7520001,128 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 57.94 8.277142 2.115714 1.9041421,129 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 21.19 3.027142 2.115714 1.9041421,130 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 53.08 7.582857 2.115714 1.9041421,131 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 27.80 3.971428 2.115714 1.9041421,132 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 39.37 5.624285 2.115714 1.9041421,133 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 21.19 3.027142 2.115714 1.9041421,134 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 17.87 2.233750 2.115714 1.9041421,135 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 23.98 2.398000 2.115714 1.9041421,136 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 15.65 2.235714 2.115714 1.9041421,137 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 18.49 2.641428 2.115714 1.9041421,138 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 18.38 2.625714 2.115714 1.9041421,139 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 15.16 2.165714 2.115714 1.9041421,140 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 14.81 2.115714 2.115714 1.9041421,141 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 17.95 2.564285 2.115714 1.9041421,142 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 53.08 53.080000 53.080000 47.772000

1,143 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 19.00 0.950000 0.950000 0.8550001,144 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 20.11 1.005500 0.950000 0.8550001,145 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 18.29 1.829000 1.829000 1.6461001,146 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 16.10 0.805000 0.610000 0.5490001,147 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 16.16 0.808000 0.610000 0.5490001,148 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 15.42 0.771000 0.610000 0.5490001,149 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 12.94 0.647000 0.610000 0.5490001,150 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 12.20 0.610000 0.610000 0.5490001,151 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 18.06 1.806000 1.806000 1.6254001,152 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF 20 6.80 0.340000 0.340000 0.3060001,153 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 3.51 0.351000 0.340000 0.3060001,154 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 53.68 1.533714 1.533714 1.3803421,155 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 5 265.70 53.140000 53.140000 47.826000

1,156 L02BG01 AMINOGLUTETHIMIDUM ROGLUTEN (R) 250 mg COMPR. 250mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 40 COMPR. P-RF 40 142.14 3.553500 3.553500 3.1981501,157 M01AB01 INDOMETACINUM INDOMETACIN LAROPHARM 25 mg CAPS. 25mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 CAPS. P-6L 20 1.53 0.076500 0.066666 0.0599991,158 M01AB01 INDOMETACINUM INDOMETACIN ARENA 25 MG CAPS. 25mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 2.00 0.066666 0.066666 0.0599991,159 M01AB01 INDOMETACINUM INDOMETACIN ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 3.31 0.165500 0.165500 0.1489501,160 M01AB01 INDOMETACINUM INDOMETACIN 50 mg SUPOZ. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L 6 3.88 0.646666 0.190000 0.1710001,161 M01AB01 INDOMETACINUM INDOMETACIN 50 mg SUPOZ. 50mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 1.90 0.190000 0.190000 0.1710001,162 M01AB01 INDOMETACINUM INDOMETACIN 50 mg SUPOZ. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ.P-6L 10 2.27 0.227000 0.190000 0.1710001,163 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 44.79 2.239500 2.239500 2.015550

Pagina 32 din 45

1,164 M01AB05 DICLOFENACUM DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL. 75mg PHARMASWISS CESKA REPUBLIKA S.R.O. CEHIA CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P-6L 30 19.23 0.641000 0.641000 0.5769001,165 M01AB05 DICLOFENACUM TRATUL 50 CAPS. GASTROREZ. 50mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. P-6L 30 6.01 0.200333 0.200333 0.1802991,166 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 3.68 0.368000 0.368000 0.3312001,167 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 6.16 0.616000 0.386000 0.3474001,168 M01AB05 DICLOFENACUM REFEN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 8.01 0.400500 0.386000 0.3474001,169 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 7.72 0.386000 0.386000 0.3474001,170 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 5.36 0.178666 0.141333 0.1271991,171 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 6.16 0.308000 0.105500 0.0949501,172 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 4.01 0.200500 0.105500 0.0949501,173 M01AB05 DICLOFENACUM CLAFEN 50 mg COMPR. FILM. GASTROREZ. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L 20 2.31 0.115500 0.105500 0.0949501,174 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 2.11 0.105500 0.105500 0.0949501,175 M01AB05 DICLOFENACUM DICLOGESIC 50 COMPRIMATE FILMATE GASTROREZISTENTE COMPR. FILM. GASTROREZ. 50mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 3.57 0.178500 0.105500 0.0949501,176 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 4.24 0.141333 0.141333 0.1271991,177 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 2.19 0.219000 0.219000 0.1971001,178 M01AB05 DICLOFENACUM DICLOFENAC ARENA 25 mg DRAJ. GASTROREZ. 25mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ. P-6L 30 5.36 0.178666 0.178666 0.1607991,179 M01AB05 DICLOFENACUM N - DICLOFENAC DRAJ. GASTROREZ. 50mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ. P-6L 20 2.39 0.119500 0.119500 0.1075501,180 M01AB05 DICLOFENACUM DICLOFENAC ARENA 50 mg DRAJ. GASTROREZ. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. P-6L 20 2.50 0.125000 0.119500 0.1075501,181 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 8.83 1.766000 0.762000 0.6858001,182 M01AB05 DICLOFENACUM REFEN (R) SOL. INJ. 25mg/ml HEMOFARM S.R.L. ROMANIA CUTIE X 5 FIOLE X 3 ML P-RF 5 3.81 0.762000 0.762000 0.6858001,183 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 5.73 1.146000 0.762000 0.6858001,184 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 13.37 2.674000 2.674000 2.4066001,185 M01AB05 DICLOFENACUM DICLAC SOL. INJ. 75mg HEXAL AG GERMANIA CUTIE X 5 FIOLE X 3 ML SOL. INJ. P-RF 5 5.73 1.146000 0.762000 0.6858001,186 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 9.31 0.931000 0.762000 0.6858001,187 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 5.73 1.146000 0.762000 0.6858001,188 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 5 5.73 1.146000 0.762000 0.6858001,189 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 10 11.46 1.146000 0.762000 0.6858001,190 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ. P-RF 1 1.14 1.140000 0.762000 0.6858001,191 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH GERMANIA CUTIE X 30 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF/S 30 30.88 1.029333 0.762000 0.6858001,192 M01AB05 DICLOFENACUM CLAFEN 100 mg SUPOZ. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ. P-6L 6 3.70 0.616666 0.288000 0.2592001,193 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L 5 5.13 1.026000 0.288000 0.2592001,194 M01AB05 DICLOFENACUM DICLOFENAC 100 mg SUPOZ. 100mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 2.88 0.288000 0.288000 0.2592001,195 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 3.00 0.300000 0.288000 0.2592001,196 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 3.33 0.666000 0.288000 0.2592001,197 M01AB05 DICLOFENACUM DICLOGESIC 12,5 SUPOZITOARE SUPOZ. 12,5mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 4.73 0.473000 0.473000 0.4257001,198 M01AB05 DICLOFENACUM TRATUL 120 SUPOZ. 120mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 9.74 1.623333 1.623333 1.4609991,199 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L 10 8.88 0.888000 0.888000 0.7992001,200 M01AB05 DICLOFENACUM TRATUL 60 SUPOZ. 60mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 9.04 1.506666 1.506666 1.355999

1,201 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 6.33 0.316500 0.316500 0.284850

1,202 M01AB15

KETOROLACUM TROMETHAMIN KETANOV 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-6L 20 6.33 0.316500 0.316500 0.284850

Pagina 33 din 45

1,203 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 18.41 1.841000 1.841000 1.656900

1,204 M01AB15

KETOROLACUM TROMETHAMIN KETANOV SOL. INJ. 30mg/ml TERAPIA SA ROMANIA CUTIE X 10 FIOLE X 1 ML P-RF 10 23.24 2.324000 1.841000 1.656900

1,205 M01AB16 ACECLOFENACUM AFLAMIL COMPR. FILM. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 10 COMPR. P-6L 20 21.33 1.066500 1.066500 0.9598501,206 M01AC02 TENOXICAMUM TENOXICAM LPH 20 mg CAPS. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 10.74 0.537000 0.537000 0.4833001,207 M01AC02 TENOXICAMUM TENOXICAM 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 13.25 0.662500 0.662500 0.5962501,208 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 5.96 0.596000 0.596000 0.5364001,209 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 9.18 0.918000 0.596000 0.5364001,210 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 5.10 5.100000 5.100000 4.5900001,211 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 14.48 0.724000 0.466333 0.4196991,212 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 7.24 0.724000 0.466333 0.4196991,213 M01AC06 MELOXICAMUM MELOXICAM LPH 15 mg COMPR. 15mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 9.41 0.470500 0.466333 0.4196991,214 M01AC06 MELOXICAMUM MELOXICAM SANDOZ 15 mg COMPR. 15mg HEXAL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 9.37 0.468500 0.466333 0.4196991,215 M01AC06 MELOXICAMUM MELOX 15 mg COMPR. 15mg MEDOCHEMIE LTD CIPRU CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 28.54 0.951333 0.466333 0.4196991,216 M01AC06 MELOXICAMUM MELOX 15 mg COMPR. 15mg MEDOCHEMIE LTD CIPRU CUTIE X 1 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 10 9.95 0.995000 0.466333 0.4196991,217 M01AC06 MELOXICAMUM RECOXA 15 COMPR. 15mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 13.25 0.662500 0.466333 0.4196991,218 M01AC06 MELOXICAMUM RECOXA 15 COMPR. 15mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 10 8.21 0.821000 0.466333 0.4196991,219 M01AC06 MELOXICAMUM MELARTRIN 15 mg COMPR. 15mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 30.25 1.512500 0.466333 0.4196991,220 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 9.41 0.470500 0.466333 0.4196991,221 M01AC06 MELOXICAMUM CELOMIX COMPR. 15mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 15.16 0.505333 0.466333 0.4196991,222 M01AC06 MELOXICAMUM VALZER 15 mg COMPR. 15mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 9.41 0.470500 0.466333 0.4196991,223 M01AC06 MELOXICAMUM ANTREND 15 mg COMPR. 15mg OZONE LABORATORIES BV OLANDA CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 13.99 0.466333 0.466333 0.4196991,224 M01AC06 MELOXICAMUM MELOXICAM VIM SPECTRUM 15 mg COMPR. 15mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 9.41 0.470500 0.466333 0.4196991,225 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 9.03 0.903000 0.453000 0.4077001,226 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 24.08 0.802666 0.453000 0.4077001,227 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 6.96 0.696000 0.453000 0.4077001,228 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 13.93 0.696500 0.453000 0.4077001,229 M01AC06 MELOXICAMUM MELOXICAM LPH 7,5 mg COMPR. 7,5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 9.06 0.453000 0.453000 0.4077001,230 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 9.06 0.453000 0.453000 0.4077001,231 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 9.06 0.453000 0.453000 0.4077001,232 M01AC06 MELOXICAMUM VALZER 7,5mg COMPR. 7,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 9.06 0.453000 0.453000 0.4077001,233 M01AC06 MELOXICAMUM MELOXICAM VIM SPECTRUM 7,5 mg COMPR. 7,5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 9.06 0.453000 0.453000 0.4077001,234 M01AC06 MELOXICAMUM MOVALIS 15mg/1,5ml 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 14.18 2.836000 2.836000 2.5524001,235 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 12.57 2.095000 1.335000 1.2015001,236 M01AC06 MELOXICAMUM MELOXICAM 15 mg SUPOZ. 15mg MAGISTRA C & C ROMANIA CUTII X 2 FOLII TERMOSUDATE PVC/PE X 3 SUPOZ. P-6L 6 8.01 1.335000 1.335000 1.2015001,237 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 7.66 1.276666 1.276666 1.1489991,238 M01AE03 KETOPROFENUM KETOPROFEN SR TERAPIA 100 MG CAPS. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL. P-6L 10 11.20 1.120000 1.120000 1.0080001,239 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 15.47 0.773500 0.773500 0.6961501,240 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 24.71 1.235500 0.709000 0.6381001,241 M01AE03 KETOPROFENUM KETOPROFEN SR TERAPIA 200 MG CAPS. ELIB. PREL. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL. P-6L 10 14.19 1.419000 0.709000 0.6381001,242 M01AE03 KETOPROFENUM KETARD 200 mg CAPS. ELIB. PREL. 200mg LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 10 7.09 0.709000 0.709000 0.6381001,243 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 14.11 0.705500 0.705500 0.634950

Pagina 34 din 45

1,244 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 8.47 0.423500 0.370500 0.3334501,245 M01AE03 KETOPROFENUM PROFENID (R) 100 mg COMPR. FILM. 100mg LAB. AVENTIS FRANTA CUTIE X 2 BLIST X 15 COMPR. FILM. P-6L 30 17.13 0.571000 0.370500 0.3334501,246 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 10.91 0.545500 0.370500 0.3334501,247 M01AE03 KETOPROFENUM KETOPROXIN 100 mg COMPR. FILM. 100mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. PVC/ALX 10 COMPR. FILM. P-6L 20 7.41 0.370500 0.370500 0.3334501,248 M01AE03 KETOPROFENUM KETOPROXIN 50 mg COMPR. FILM. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. PVC/ALX 10 COMPR. FILM. P-6L 20 6.72 0.336000 0.336000 0.3024001,249 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 15.28 1.091428 1.091428 0.9822851,250 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 8.14 1.356666 1.356666 1.2209991,251 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 10.66 1.066000 1.066000 0.9594001,252 M01AE03 KETOPROFENUM KETOPROFEN TERAPIA 100MG/2ML SOL. INJ./CONC. SOL. PERF. 100mg/2ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE X 2 ML P-RF 5 9.04 1.808000 1.066000 0.9594001,253 M01AE03 KETOPROFENUM KETONAL 100 mg SUPOZ. 100mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 FOLII AL/PE X 6 SUPOZ. P-6L 12 7.70 0.641666 0.613000 0.5517001,254 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 3.84 0.640000 0.613000 0.5517001,255 M01AE03 KETOPROFENUM KETOMAG SUPOZ. 100mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII LAMINATE PVC/PE X 5 SUPOZ. P-6L 10 6.13 0.613000 0.613000 0.5517001,256 M03BX07 TETRAZEPAMUM MYOLASTAN 50 mg COMPR. FILM. 50mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 20 8.95 0.447500 0.447500 0.4027501,257 M04AA01 ALLOPURINOLUM* MILURIT 100 mg COMPR. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 5.67 0.113400 0.113400 0.1020601,258 M04AA01 ALLOPURINOLUM* MILURIT 300 mg COMPR. 300mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR. P-6L 30 9.78 0.326000 0.326000 0.2934001,259 M04AC01 COLCHICINUM COLCHICINA COMPR. 1mg BIOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 COMPR. P-RF 40 5.42 0.135500 0.069250 0.0623251,260 M04AC01 COLCHICINUM COLCHICINA FABIOL COMPR. 1mg FABIOL SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-RF 40 2.77 0.069250 0.069250 0.0623251,261 N02AD01 PENTAZOCINUM FORTRAL 50 mg COMPR. 50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLAC. X 100 COMPR. P-RF/S 100 71.87 0.718700 0.718700 0.6468301,262 N02AD01 PENTAZOCINUM FORTRAL 50 mg COMPR. 50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLAC X 20 COMPR. P-RF 20 17.43 0.871500 0.718700 0.6468301,263 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 13.81 1.381000 1.296600 1.1669401,264 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 64.83 1.296600 1.296600 1.1669401,265 N02AX02 TRAMADOLUM TRAMAL (R) CAPS. 50mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 11.09 0.554500 0.274500 0.2470501,266 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.43 0.371500 0.274500 0.2470501,267 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.49 0.274500 0.274500 0.2470501,268 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS. P-RF 30 10.82 0.360666 0.274500 0.2470501,269 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 CAPS. P-RF/S 50 17.95 0.359000 0.274500 0.2470501,270 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 CAPS. P-RF/S 100 34.74 0.347400 0.274500 0.2470501,271 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 3.61 0.361000 0.274500 0.2470501,272 N02AX02 TRAMADOLUM MABRON 50 mg CAPS. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 4.68 0.468000 0.274500 0.2470501,273 N02AX02 TRAMADOLUM K-ALMA (R) CAPS. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.21 0.360500 0.274500 0.2470501,274 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 3.61 0.361000 0.274500 0.2470501,275 N02AX02 TRAMADOLUM TRAMADOL LPH 50 mg CAPS. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.21 0.360500 0.274500 0.2470501,276 N02AX02 TRAMADOLUM URGENDOL CAPS. 50mg MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 3.57 0.357000 0.274500 0.2470501,277 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 8.44 0.422000 0.274500 0.2470501,278 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 16.33 1.633000 1.369400 1.2324601,279 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 31.43 1.571500 1.369400 1.2324601,280 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 44.50 1.483333 1.369400 1.2324601,281 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 68.47 1.369400 1.369400 1.2324601,282 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 24.50 2.450000 2.018000 1.8162001,283 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 45.63 2.281500 2.018000 1.8162001,284 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 64.52 2.150666 2.018000 1.8162001,285 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 100.90 2.018000 2.018000 1.8162001,286 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 30.57 3.057000 2.280000 2.0520001,287 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 54.87 2.743500 2.280000 2.052000

Pagina 35 din 45

1,288 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 73.36 2.445333 2.280000 2.0520001,289 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 114.00 2.280000 2.280000 2.0520001,290 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.21 0.360500 0.360500 0.3244501,291 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.21 0.360500 0.360500 0.3244501,292 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 9.35 0.467500 0.360500 0.3244501,293 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 5.92 0.592000 0.592000 0.5328001,294 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 17.77 0.592333 0.592000 0.5328001,295 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 45.52 0.910400 0.592000 0.5328001,296 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 9.26 0.926000 0.592000 0.5328001,297 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 25.62 0.854000 0.592000 0.5328001,298 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 5 COMPR.ELIM.PREL. P-RF 5 6.96 1.392000 0.592000 0.5328001,299 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIM.PREL. P-RF 30 37.10 1.236666 0.592000 0.5328001,300 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 31.51 1.050333 1.050333 0.9452991,301 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 19.77 1.977000 1.050333 0.9452991,302 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 25.82 2.582000 1.622333 1.4600991,303 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. P-RF 10 18.86 1.886000 1.622333 1.4600991,304 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. P-RF 30 48.67 1.622333 1.622333 1.4600991,305 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. X PVC-PVDC/AL X 10 COMPR. ELIB. PREL. P-RF 10 26.22 2.622000 2.393333 2.1539991,306 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. X PVC-PE-ACLAR/AL X 10 COMPR. ELIB. PREL. P-RF 30 71.80 2.393333 2.393333 2.1539991,307 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 9.98 0.332666 0.332666 0.2993991,308 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 9.11 0.911000 0.592000 0.5328001,309 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 20.68 2.068000 1.050333 0.9452991,310 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 58.63 1.954333 1.050333 0.9452991,311 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 26.47 2.647000 1.622333 1.4600991,312 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 71.26 2.375333 1.622333 1.4600991,313 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 94.31 94.310000 4.730000 4.2570001,314 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 11.83 11.830000 4.730000 4.2570001,315 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 4.73 4.730000 4.730000 4.2570001,316 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL. P-RF 1 9.24 9.240000 4.730000 4.2570001,317 N02AX02 TRAMADOLUM TRAMAL (R) PICATURI ORALE-SOL. 100mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 7.27 7.270000 4.730000 4.2570001,318 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 100 128.64 1.286400 1.286400 1.1577601,319 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 11.53 2.306000 1.286400 1.1577601,320 N02AX02 TRAMADOLUM TRAMAL (R) 50 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 7.10 1.420000 0.918000 0.8262001,321 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 10.06 2.012000 0.918000 0.8262001,322 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 10.79 2.158000 0.918000 0.8262001,323 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 4.59 0.918000 0.918000 0.8262001,324 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 12.30 2.460000 1.286400 1.1577601,325 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 14.48 1.448000 1.286400 1.1577601,326 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 7.24 1.448000 1.286400 1.1577601,327 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 7.21 1.442000 1.286400 1.1577601,328 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ. P-RF 5 5.24 1.048000 1.048000 0.9432001,329 N02CC01 SUMATRIPTANUM* SUMATRIPTAN TERAPIA 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. P-RF 6 51.59 8.598333 8.167500 7.3507501,330 N02CC01 SUMATRIPTANUM* SUMATRIPTAN TERAPIA 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 6 COMPR. P-RF 12 98.01 8.167500 8.167500 7.3507501,331 N02CC01 SUMATRIPTANUM* SUMATRIPTAN TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 3 COMPR. P-RF 3 20.03 6.676666 6.321666 5.689499

Pagina 36 din 45

1,332 N02CC01 SUMATRIPTANUM* SUMATRIPTAN TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 3 COMPR. P-RF 6 37.93 6.321666 6.321666 5.6894991,333 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 39.81 19.905000 9.095000 8.1855001,334 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 25.45 12.725000 9.095000 8.1855001,335 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 71.44 11.906666 9.095000 8.1855001,336 N02CC01 SUMATRIPTANUM* XIBIMER 100 mg COMPR. FILM. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 93.69 9.369000 9.095000 8.1855001,337 N02CC01 SUMATRIPTANUM* XIBIMER 100 mg COMPR. FILM. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF 6 54.57 9.095000 9.095000 8.1855001,338 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 22.63 11.315000 6.486000 5.8374001,339 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 52.25 8.708333 6.486000 5.8374001,340 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 18.00 9.000000 6.486000 5.8374001,341 N02CC01 SUMATRIPTANUM* XIBIMER 50 mg COMPR. FILM. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 64.86 6.486000 6.486000 5.8374001,342 N02CC01 SUMATRIPTANUM* XIBIMER 50 mg COMPR. FILM. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF 6 38.92 6.486666 6.486000 5.8374001,343 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA COMPR. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVCX 10 COMPR. P-6L 20 4.25 0.212500 0.135600 0.1220401,344 N03AF01 CARBAMAZEPINUM NEUROTOP COMPR. 200mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 50 10.62 0.212400 0.135600 0.1220401,345 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 16.33 0.326600 0.135600 0.1220401,346 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA LPH 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 10.62 0.212400 0.135600 0.1220401,347 N03AF01 CARBAMAZEPINUM CARBAVIM COMPR. 200mg VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 10.62 0.212400 0.135600 0.1220401,348 N03AF01 CARBAMAZEPINUM CARBEPSIL 200 COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 10.62 0.212400 0.135600 0.1220401,349 N03AF01 CARBAMAZEPINUM TAVER COMPR. 200mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 6.78 0.135600 0.135600 0.1220401,350 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.16 0.208000 0.135600 0.1220401,351 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN EEL COMPR. 200mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.24 0.212000 0.135600 0.1220401,352 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 10.62 0.212400 0.135600 0.1220401,353 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.65 0.232500 0.135600 0.1220401,354 N03AF01 CARBAMAZEPINUM TAVER COMPR. 200mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.24 0.212000 0.135600 0.1220401,355 N03AF01 CARBAMAZEPINUM CARBEPSIL 400 COMPR. 400mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 24.65 0.493000 0.493000 0.4437001,356 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA ARENA 400 mg COMPR. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 9.86 0.493000 0.493000 0.4437001,357 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. PRELP-6L 50 19.41 0.388200 0.387000 0.3483001,358 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 34.36 0.687200 0.686000 0.6174001,359 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 18.00 0.360000 0.233800 0.2104201,360 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 23.79 0.793000 0.509000 0.4581001,361 N03AF01 CARBAMAZEPINUM FINLEPSIN 400 RETARD COMPR. FILM. ELIB. PREL. 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 25.45 0.509000 0.509000 0.4581001,362 N03AF01 CARBAMAZEPINUM TIMONIL 150 RETARD COMPR. RET. 150mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 14.22 0.284400 0.284400 0.2559601,363 N03AF01 CARBAMAZEPINUM TIMONIL 300 RETARD COMPR. RET. 300mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 19.35 0.387000 0.387000 0.3483001,364 N03AF01 CARBAMAZEPINUM TIMONIL 600 RETARD COMPR. RET. 600mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 34.30 0.686000 0.686000 0.6174001,365 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 11.69 0.233800 0.233800 0.2104201,366 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 21.14 21.140000 21.140000 19.026000

1,367 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 56.90 0.569000 0.157000 0.1413001,368 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 29.15 0.583000 0.157000 0.1413001,369 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 53.68 0.536800 0.157000 0.1413001,370 N03AX12 GABAPENTINUM GABAPENTIN STADA 100 mg CAPS. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 100 15.72 0.157200 0.157000 0.1413001,371 N03AX12 GABAPENTINUM GABAPENTIN STADA 100 mg CAPS. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 50 7.86 0.157200 0.157000 0.1413001,372 N03AX12 GABAPENTINUM GABAPENTIN STADA 100 mg CAPS. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 20 3.14 0.157000 0.157000 0.1413001,373 N03AX12 GABAPENTINUM GRIMODIN 100 mg CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L 60 32.36 0.539333 0.157000 0.1413001,374 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 67.75 1.355000 1.003900 0.9035101,375 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 32.22 1.611000 1.003900 0.903510

Pagina 37 din 45

1,376 N03AX12 GABAPENTINUM GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 125.41 1.254100 1.003900 0.9035101,377 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 64.06 1.281200 1.003900 0.9035101,378 N03AX12 GABAPENTINUM GABALEPT 300 mg CAPS. 300mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 124.97 1.249700 1.003900 0.9035101,379 N03AX12 GABAPENTINUM GABAPENTIN STADA 300 mg CAPS. 300mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 50 52.85 1.057000 1.003900 0.9035101,380 N03AX12 GABAPENTINUM GABAPENTIN STADA 300 mg CAPS. 300mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 100 100.39 1.003900 1.003900 0.9035101,381 N03AX12 GABAPENTINUM GRIMODIN 300 mg CAPS. 300mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L 60 61.79 1.029833 1.003900 0.9035101,382 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 88.76 1.775200 1.293700 1.1643301,383 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 40.38 2.019000 1.293700 1.1643301,384 N03AX12 GABAPENTINUM GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 164.48 1.644800 1.293700 1.1643301,385 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 69.51 1.390200 1.293700 1.1643301,386 N03AX12 GABAPENTINUM GABALEPT 400 mg CAPS. 400mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 158.84 1.588400 1.293700 1.1643301,387 N03AX12 GABAPENTINUM GABAPENTIN STADA 400 mg CAPS. 400mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 100 129.37 1.293700 1.293700 1.1643301,388 N03AX12 GABAPENTINUM GABAPENTIN STADA 400 mg CAPS. 400mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 50 68.19 1.363800 1.293700 1.1643301,389 N03AX12 GABAPENTINUM GRIMODIN 400 mg CAPS. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L 60 80.72 1.345333 1.293700 1.1643301,390 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 61.23 2.041000 1.935333 1.7417991,391 N03AX12 GABAPENTINUM GRIMODIN 600 mg COMPR. FILM. 600mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 116.12 1.935333 1.935333 1.7417991,392 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 97.88 3.262666 3.088666 2.7797991,393 N03AX12 GABAPENTINUM GRIMODIN 800 mg COMPR. FILM. 800mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 185.32 3.088666 3.088666 2.7797991,394 N05AD01 HALOPERIDOLUM HALOPERIDOL LAROPHARM 0,5 mg COMPR. 0,5mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.05 0.152500 0.152500 0.1372501,395 N05AD01 HALOPERIDOLUM HALOPERIDOL 1 mg COMPR. 1mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 4.24 0.141333 0.141333 0.1271991,396 N05AD01 HALOPERIDOLUM HALOPERIDOL 2 mg COMPR. 2mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 4.44 0.148000 0.148000 0.1332001,397 N05AD01 HALOPERIDOLUM HALDOL COMPR. 5mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 16.84 0.673600 0.673600 0.6062401,398 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 6.26 6.260000 4.410000 3.9690001,399 N05AD01 HALOPERIDOLUM HALOPERIDOL PICATURI ORALE-SOL. 2mg/ml TERAPIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 4.41 4.410000 4.410000 3.9690001,400 N05AD01 HALOPERIDOLUM HALOPERIDOL DECANOAT SOL. INJ. 50mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE X 1 ML P-RF 5 41.81 8.362000 8.362000 7.5258001,401 N05AD01 HALOPERIDOLUM HALOPERIDOL RICHTER 5 mg/ml SOL. INJ. 5mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF 5 11.71 2.342000 2.342000 2.1078001,402 N05BA01 DIAZEPAMUM DIAZEPAM 10 mg COMPR. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0.86 0.043000 0.043000 0.0387001,403 N05BA01 DIAZEPAMUM DIAZEPAM COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.96 0.098666 0.043000 0.0387001,404 N05BA01 DIAZEPAMUM DIAZEPAM LAROPHARM 10 mg COMPR. 10mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.99 0.049500 0.043000 0.0387001,405 N05BA01 DIAZEPAMUM DIAZEPAM 10 mg SOL. INJ. 10mg/2ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 7.83 1.566000 0.663100 0.5967901,406 N05BA01 DIAZEPAMUM CALMPOSE SOL. INJ. 10mg/2ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE X 2 ML S/P-RF 100 66.31 0.663100 0.663100 0.5967901,407 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 30.63 6.126000 6.126000 5.5134001,408 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 24.41 4.882000 4.882000 4.3938001,409 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 3.57 0.142800 0.142800 0.1285201,410 N05BA03 MEDAZEPAMUM* MEDAZEPAM COMPR. 10 mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.30 0.115000 0.105000 0.0945001,411 N05BA03 MEDAZEPAMUM* MEDAZEPAM COMPR. 10 mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-RF 50 5.27 0.105400 0.105000 0.0945001,412 N05BA03 MEDAZEPAMUM* MEDAZEPAM 10 mg COMPR. 10mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. X 20 COMPR. P-RF 20 2.10 0.105000 0.105000 0.0945001,413 N05BA03 MEDAZEPAMUM* RUDOTEL COMPR. 10mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. P-RF 50 8.09 0.161800 0.105000 0.0945001,414 N05BA03 MEDAZEPAMUM* MEDAZEPAM LPH 10 mg COMPR. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.31 0.115500 0.105000 0.0945001,415 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 6.29 0.125800 0.125800 0.1132201,416 N05BA08 BROMAZEPAMUM* CALMEPAM (R) COMPR. 1,5mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST X 10 COMPR. P-RF 10 2.90 0.290000 0.100000 0.0900001,417 N05BA08 BROMAZEPAMUM* BROMAZEPAM LPH 1,5 mg COMPR. 1,5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.00 0.100000 0.100000 0.0900001,418 N05BA08 BROMAZEPAMUM* CALMEPAM (R) COMPR. 3mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 3.81 0.381000 0.160000 0.1440001,419 N05BA08 BROMAZEPAMUM* LEXOTAN COMPR. 3mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 6.73 0.224333 0.160000 0.144000

Pagina 38 din 45

1,420 N05BA08 BROMAZEPAMUM* LEXOTANIL COMPR. 3mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 4.61 0.461000 0.160000 0.1440001,421 N05BA08 BROMAZEPAMUM* BROMAZEPAM LPH 3 mg COMPR. 3mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.20 0.160000 0.160000 0.1440001,422 N05BA08 BROMAZEPAMUM* BROMAZEPAM SLAVIA 3 mg COMPR. 3mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 2.36 0.236000 0.160000 0.1440001,423 N05BA12 ALPRAZOLAMUM* XANAX 0,25 mg COMPR. 0,25mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 5.30 0.176666 0.115000 0.1035001,424 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 2.53 0.126500 0.115000 0.1035001,425 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 3.45 0.115000 0.115000 0.1035001,426 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 4.62 0.154000 0.115000 0.1035001,427 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 8.38 0.279333 0.181666 0.1634991,428 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 3.99 0.199500 0.181666 0.1634991,429 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 7.01 0.233666 0.181666 0.1634991,430 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 5.45 0.181666 0.181666 0.1634991,431 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 11.93 0.397666 0.258333 0.2324991,432 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM LPH (R) 1 mg COMPR. 1mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 5.69 0.284500 0.258333 0.2324991,433 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 7.75 0.258333 0.258333 0.2324991,434 N05BA12 ALPRAZOLAMUM* FRONTIN 1mg COMPR. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 11.83 0.394333 0.258333 0.2324991,435 N05BA12 ALPRAZOLAMUM* XANAX 2 mg COMPR. 2mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 29.21 0.973666 0.973666 0.8762991,436 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 6.78 0.226000 0.226000 0.2034001,437 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 10.97 0.365666 0.226000 0.2034001,438 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 19.48 0.649333 0.355333 0.3197991,439 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 10.66 0.355333 0.355333 0.3197991,440 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 29.46 0.982000 0.897333 0.8075991,441 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 26.92 0.897333 0.897333 0.8075991,442 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 1.29 0.064500 0.064500 0.0580501,443 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 1.48 0.074000 0.074000 0.0666001,444 N05CD02 NITRAZEPAMUM NITRAZEPAM 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.48 0.074000 0.074000 0.0666001,445 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 14.55 0.727500 0.727500 0.6547501,446 N05CF02 ZOLPIDEMUM* HYPNOGEN 10 mg COMPR. FILM. 10mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 15 COMPR. FILM. P-RF 15 6.52 0.434666 0.382000 0.3438001,447 N05CF02 ZOLPIDEMUM* HYPNOGEN 10 mg COMPR. FILM. 10mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 2.80 0.400000 0.382000 0.3438001,448 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 3.88 0.388000 0.382000 0.3438001,449 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 7.77 0.388500 0.382000 0.3438001,450 N05CF02 ZOLPIDEMUM* ZOLPIDEM STADA 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 10 3.82 0.382000 0.382000 0.3438001,451 N05CF02 ZOLPIDEMUM* ZOLPIDEM STADA 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 20 7.64 0.382000 0.382000 0.3438001,452 N05CF02 ZOLPIDEMUM* ZOLPIDEM STADA 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 11.46 0.382000 0.382000 0.3438001,453 N05CF02 ZOLPIDEMUM* ZOLPIDEM AL 10 mg COMPR. FILM. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 20 7.64 0.382000 0.382000 0.3438001,454 N05CF02 ZOLPIDEMUM* ZOLPIDEM AL 10 mg COMPR. FILM. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 10 3.82 0.382000 0.382000 0.3438001,455 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 4.01 0.401000 0.382000 0.3438001,456 N05CF02 ZOLPIDEMUM* BUNAPTE COMPR. FILM. 10mg BMF PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 4.01 0.401000 0.382000 0.3438001,457 N05CF02 ZOLPIDEMUM* BUNAPTE COMPR. FILM. 10mg BMF PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 20 7.86 0.393000 0.382000 0.3438001,458 N05CF02 ZOLPIDEMUM* ZOLPIDEM ACTAVIS 10 mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 7 COMPR. FILM. P-RF 7 2.80 0.400000 0.382000 0.3438001,459 N05CF02 ZOLPIDEMUM* ZOLPIDEM ATB 10 MG COMPR. FILM. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.01 0.401000 0.382000 0.3438001,460 N05CF02 ZOLPIDEMUM* STILNOX 10 mg COMPR. FILM. 10mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 6.16 0.616000 0.382000 0.3438001,461 N05CF02 ZOLPIDEMUM* STILNOX 10 mg COMPR. FILM. 10mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 20 13.36 0.668000 0.382000 0.3438001,462 N05CF02 ZOLPIDEMUM* ZOLPIDEM STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 23.94 0.798000 0.798000 0.7182001,463 N05CF02 ZOLPIDEMUM* ZOLPIDEM STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 20 15.96 0.798000 0.798000 0.718200

Pagina 39 din 45

1,464 N05CF02 ZOLPIDEMUM* ZOLPIDEM STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 10 9.31 0.931000 0.798000 0.7182001,465 N05CF02 ZOLPIDEMUM* ZOLPIDEM AL 5 mg COMPR. FILM. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 10 9.31 0.931000 0.798000 0.7182001,466 N05CF02 ZOLPIDEMUM* ZOLPIDEM AL 5 mg COMPR. FILM. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 20 15.96 0.798000 0.798000 0.7182001,467 N06AA04 CLOMIPRAMINUM* ANAFRANIL (R) 10 mg DRAJ. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 6.78 0.226000 0.226000 0.2034001,468 N06AA04 CLOMIPRAMINUM* ANAFRANIL (R) 25 mg DRAJ. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 13.44 0.448000 0.448000 0.4032001,469 N06AA09 AMITRIPTYLINUM* AMITRIPTILIN 25 R. DESITIN CAPS. RET. 25mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 CAPS.RET. P-RF 50 21.19 0.423800 0.423800 0.3814201,470 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 14.10 0.282000 0.282000 0.2538001,471 N06AA12 DOXEPINUM* DOXEPIN 25 mg DRAJ. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 17.18 0.572666 0.572666 0.5153991,472 N06AB03 FLUOXETINUM* FLUOXIN 20 mg CAPS. 20mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 CAPS. P-RF 14 10.59 0.756428 0.515666 0.4640991,473 N06AB03 FLUOXETINUM* FLUOXIN 20 mg CAPS. 20mg VIM SPECTRUM SRL ROMANIA CUTIE X 4 BLIST. PVC/AL X 7 CAPS. P-RF 28 20.71 0.739642 0.515666 0.4640991,474 N06AB03 FLUOXETINUM* FLURAN CAPS. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 15 CAPS. P-RF 30 15.47 0.515666 0.515666 0.4640991,475 N06AB03 FLUOXETINUM* MAGRILAN 20 mg CAPS. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 27.78 0.926000 0.515666 0.4640991,476 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 34.56 1.234285 1.234285 1.1108561,477 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILMATE P-RF 28 6.93 0.247500 0.223000 0.2007001,478 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILMATE P-RF 100 24.76 0.247600 0.223000 0.2007001,479 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILMATE P-RF 50 12.39 0.247800 0.223000 0.2007001,480 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. FILMATE P-RF 56 13.87 0.247678 0.223000 0.2007001,481 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILMATE P-RF 20 4.95 0.247500 0.223000 0.2007001,482 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 6.93 0.247500 0.223000 0.2007001,483 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 6.69 0.223000 0.223000 0.2007001,484 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 20 mg COMPR. FILM. 20mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 18.00 0.360000 0.324000 0.2916001,485 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 20 mg COMPR. FILM. 20mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 7.20 0.360000 0.324000 0.2916001,486 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 20 mg COMPR. FILM. 20mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 10.08 0.360000 0.324000 0.2916001,487 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 20 mg COMPR. FILM. 20mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 56 20.15 0.359821 0.324000 0.2916001,488 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 20 mg COMPR. FILM. 20mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 100 34.83 0.348300 0.324000 0.2916001,489 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 10.08 0.360000 0.324000 0.2916001,490 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 9.72 0.324000 0.324000 0.2916001,491 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 40 mg COMPR. FILM. 40mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 54.49 1.089800 1.013333 0.9119991,492 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 40 mg COMPR. FILM. 40mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 22.53 1.126500 1.013333 0.9119991,493 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 40 mg COMPR. FILM. 40mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 56 61.02 1.089642 1.013333 0.9119991,494 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 40 mg COMPR. FILM. 40mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 100 103.48 1.034800 1.013333 0.9119991,495 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 40 mg COMPR. FILM. 40mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 31.53 1.126071 1.013333 0.9119991,496 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 31.53 1.126071 1.013333 0.9119991,497 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 30.40 1.013333 1.013333 0.9119991,498 N06AB05 PAROXETINUM* ARKETIS COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 21.63 0.721000 0.721000 0.6489001,499 N06AB05 PAROXETINUM* SEROXAT 20 mg COMPR. FILM. 20mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 33.28 1.109333 0.674600 0.6071401,500 N06AB05 PAROXETINUM* PAROXETIN AL 20 COMPR. FILM. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. FILM. P-RF 20 14.42 0.721000 0.674600 0.6071401,501 N06AB05 PAROXETINUM* PAROXETIN AL 20 COMPR. FILM. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. FILM. P-RF/S 100 67.46 0.674600 0.674600 0.6071401,502 N06AB05 PAROXETINUM* PAROXETIN AL 20 COMPR. FILM. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. FILM. P-RF 50 34.89 0.697800 0.674600 0.6071401,503 N06AB05 PAROXETINUM* PALUXETIL 20 mg COMPR. FILM. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 21.63 0.721000 0.674600 0.6071401,504 N06AB05 PAROXETINUM* PAROXETIN STADA 20 mg COMPR. FILM. 20mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. FILM. P-RF/S 100 67.46 0.674600 0.674600 0.6071401,505 N06AB05 PAROXETINUM* PAROXETIN STADA 20 mg COMPR. FILM. 20mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. FILM. P-RF 20 14.42 0.721000 0.674600 0.6071401,506 N06AB05 PAROXETINUM* PAROXETIN STADA 20 mg COMPR. FILM. 20mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. FILM. P-RF 50 34.89 0.697800 0.674600 0.6071401,507 N06AB05 PAROXETINUM* REXETIN COMPR. FILM. 20mg GEDEON RICHTER PLC. UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 43.35 1.445000 0.674600 0.607140

Pagina 40 din 45

1,508 N06AB05 PAROXETINUM* PAXETIN 20 mg COMPR. FILM. 20mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-RF 30 21.63 0.721000 0.674600 0.6071401,509 N06AB05 PAROXETINUM* PAROXETIN TEVA 20 mg COMPR. FILM. 20mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE DIN PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 21.63 0.721000 0.674600 0.6071401,510 N06AB05 PAROXETINUM* PALUXETIL 40 mg COMPR. FILM. 40mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 57.93 1.931000 1.931000 1.7379001,511 N06AB06 SERTRALINUM* ZOLOFT 100 mg COMPR. FILM. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 28 64.33 2.297500 1.178000 1.0602001,512 N06AB06 SERTRALINUM* SERLIFT 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-RF 28 33.12 1.182857 1.178000 1.0602001,513 N06AB06 SERTRALINUM* ASENTRA (R) COMPR. FILM. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-RF 28 38.35 1.369642 1.178000 1.0602001,514 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 33.12 1.182857 1.178000 1.0602001,515 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 35.49 1.183000 1.178000 1.0602001,516 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 35.34 1.178000 1.178000 1.0602001,517 N06AB06 SERTRALINUM* SETALOFT 100 mg COMPR. FILM. 100mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM. P-RF 28 33.07 1.181071 1.178000 1.0602001,518 N06AB06 SERTRALINUM* ASERTIN 100 mg COMPR. FILM. 100mg BMF PHARM S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 35.34 1.178000 1.178000 1.0602001,519 N06AB06 SERTRALINUM* SERTRALINA BIOGALENICA 100 mg COMPR. FILM. 100mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 28 33.12 1.182857 1.178000 1.0602001,520 N06AB06 SERTRALINUM* XIMPROVE 100 mg COMPR. FILM. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 33.12 1.182857 1.178000 1.0602001,521 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 34.71 1.239642 0.628571 0.5657131,522 N06AB06 SERTRALINUM* SERLIFT 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-RF 28 18.35 0.655357 0.628571 0.5657131,523 N06AB06 SERTRALINUM* ASENTRA (R) COMPR. FILM. 50mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-RF 28 21.48 0.767142 0.628571 0.5657131,524 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 19.66 0.655333 0.628571 0.5657131,525 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 19.55 0.651666 0.628571 0.5657131,526 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 19.65 0.655000 0.628571 0.5657131,527 N06AB06 SERTRALINUM* SETALOFT 50 mg COMPR. FILM. 50mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM. P-RF 28 17.60 0.628571 0.628571 0.5657131,528 N06AB06 SERTRALINUM* ASERTIN 50 mg COMPR. FILM. 50mg BMF PHARM S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 19.88 0.662666 0.628571 0.5657131,529 N06AB06 SERTRALINUM* SERTRALINA BIOGALENICA 50 mg COMPR. FILM. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 28 18.35 0.655357 0.628571 0.5657131,530 N06AB06 SERTRALINUM* XIMPROVE 50 mg COMPR. FILM. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 18.35 0.655357 0.628571 0.5657131,531 N06AB06 SERTRALINUM* ZOLOFT (R) CONC. PT. SOL. ORALA 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 60 ML CONC. PT. SOL. ORALA+ 1 PIPETA P-RF 1 63.75 63.750000 63.750000 57.375000

1,532 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 45.87 1.529000 0.802200 0.7219801,533 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 30.80 1.026666 0.802200 0.7219801,534 N06AB08 FLUVOXAMINUM* FLUVOXAMIN STADA 100 mg COMPR. FILM. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 40.11 0.802200 0.802200 0.7219801,535 N06AB08 FLUVOXAMINUM* FLUVOXAMIN STADA 100 mg COMPR. FILM. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 16.58 0.829000 0.802200 0.7219801,536 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 23.67 0.789000 0.419000 0.3771001,537 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 15.38 0.512666 0.419000 0.3771001,538 N06AB08 FLUVOXAMINUM* FLUVOXAMIN STADA 50 mg COMPR. FILM. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 20.96 0.419200 0.419000 0.3771001,539 N06AB08 FLUVOXAMINUM* FLUVOXAMIN STADA 50 mg COMPR. FILM. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 8.38 0.419000 0.419000 0.3771001,540 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 43.84 0.438400 0.438400 0.3945601,541 N06AX03 MIANSERINUM* MIANSERIN 30 COMPR. FILM. 30mg REMEDICA LTD. CIPRU CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 24.47 1.223500 1.223500 1.1011501,542 N06AX03 MIANSERINUM* MIANSERIN 10 mg DRAJ. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 8.12 0.270666 0.270666 0.2435991,543 N06AX03 MIANSERINUM* MIANSERIN 30 mg DRAJ. 30mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-RF 20 20.43 1.021500 1.021500 0.9193501,544 N06AX11 MIRTAZAPINUM* REMERON SOLTAB 30 mg COMPR. DISP. 30mg NV ORGANON OLANDA CUTIE X 5 BLIST. AL/PVC-PA-POLIESTER PERFORAT PT. ELIB. UNEI UNIT. DOZATE X 6 COMPR. DISP. P-RF 30 77.14 2.571333 2.571333 2.3141991,545 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 35.61 1.187000 0.954400 0.8589601,546 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 35.61 1.187000 0.954400 0.8589601,547 N06AX11 MIRTAZAPINUM* MIRTAZAPIN STADA 30 mg COMPR. FILM. 30mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 29.58 0.986000 0.954400 0.8589601,548 N06AX11 MIRTAZAPINUM* MIRTAZAPIN STADA 30 mg COMPR. FILM. 30mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 47.72 0.954400 0.954400 0.8589601,549 N06AX11 MIRTAZAPINUM* MIRTAZAPIN STADA 30 mg COMPR. FILM. 30mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 19.72 0.986000 0.954400 0.8589601,550 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 35.59 1.186333 0.954400 0.8589601,551 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 33.82 1.127333 0.954400 0.858960

Pagina 41 din 45

1,552 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 77.11 2.570333 1.401666 1.2614991,553 N06AX11 MIRTAZAPINUM* MIRTAZAPIN STADA 45 mg COMPR. FILM. 45mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILMATE P-RF 30 42.05 1.401666 1.401666 1.2614991,554 N06AX11 MIRTAZAPINUM* MIRTAZAPIN STADA 45 mg COMPR. FILM. 45mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILMATE P-RF 20 28.97 1.448500 1.401666 1.2614991,555 N06AX11 MIRTAZAPINUM* MIRTAZAPIN AUROBINDO 15 mg COMPR. ORODISPERSABILE 15mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE P-RF 30 23.11 0.770333 0.770333 0.6932991,556 N06AX11 MIRTAZAPINUM* MIRZATEN Q-TAB 30 mg COMPR. ORODISPERSABILE 30mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN AL/OPA-AL-PVC X 30 COMPR. ORODISPERSABILE P-RF 30 35.61 1.187000 1.186333 1.0676991,557 N06AX11 MIRTAZAPINUM* MIRTAZAPINA BLUEFISH 30 mg COMPR. ORODISPERSABILE 30mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE P-RF 30 35.61 1.187000 1.186333 1.0676991,558 N06AX11 MIRTAZAPINUM* MIRTAZAPIN AUROBINDO 30 mg COMPR. ORODISPERSABILE 30mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE P-RF 30 35.79 1.193000 1.186333 1.0676991,559 N06AX11 MIRTAZAPINUM* ZULIN 30 mg COMPR. ORODISPERSABILE 30mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/AL X 6 COMPR. ORODISPERSABILE P-RF 6 7.35 1.225000 1.186333 1.0676991,560 N06AX11 MIRTAZAPINUM* ZULIN 30 mg COMPR. ORODISPERSABILE 30mg ANTIBIOTICE S.A. ROMANIA CUTIE X 5 BLIST. AL/AL X 6 COMPR. ORODISPERSABILE P-RF 30 35.59 1.186333 1.186333 1.0676991,561 N06AX11 MIRTAZAPINUM* MIRTAZAPIN AUROBINDO 45 mg COMPR. ORODISPERSABILE 45mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE P-RF 30 59.64 1.988000 1.988000 1.7892001,562 N06AX16 VENLAFAXINUM** VENLAFAXINA ER SUN 150 mg CAPS. ELIB. PREL. 150 mg SUN MEDIC INVEST S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 89.19 3.185357 2.573571 2.3162131,563 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 28 127.68 4.560000 2.573571 2.3162131,564 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 97.95 3.498214 2.573571 2.3162131,565 N06AX16 VENLAFAXINUM** ALVENTA 150mg CAPS. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF 30 89.39 2.979666 2.573571 2.3162131,566 N06AX16 VENLAFAXINUM** FOBILESS 150 mg CAPS. ELIB. PREL. 150mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 98.96 3.298666 2.573571 2.3162131,567 N06AX16 VENLAFAXINUM** NOPEKAR 150 mg CAPS. ELIB. PREL. 150mg OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF 28 97.95 3.498214 2.573571 2.3162131,568 N06AX16 VENLAFAXINUM** ADOXA EP 150 mg CAPS. ELIB. PREL. 150mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 104.95 3.498333 2.573571 2.3162131,569 N06AX16 VENLAFAXINUM** ELIFY EP 150 mg CAPS. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 104.95 3.498333 2.573571 2.3162131,570 N06AX16 VENLAFAXINUM** VENLAGAMMA 150 mg CAPS. ELIB. PREL. 150mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 90.36 3.012000 2.573571 2.3162131,571 N06AX16 VENLAFAXINUM** VENLAGAMMA 150 mg CAPS. ELIB. PREL. 150mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S 100 285.63 2.856300 2.573571 2.3162131,572 N06AX16 VENLAFAXINUM** JARVIS 150 mg CAPS. ELIB. PREL. 150mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL.P-RF 30 104.94 3.498000 2.573571 2.3162131,573 N06AX16 VENLAFAXINUM** POSIPRES 150 mg CAPS. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 63.45 3.172500 2.573571 2.3162131,574 N06AX16 VENLAFAXINUM** POSIPRES 150 mg CAPS. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 84.36 3.012857 2.573571 2.3162131,575 N06AX16 VENLAFAXINUM** POSIPRES 150 mg CAPS. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 90.38 3.012666 2.573571 2.3162131,576 N06AX16 VENLAFAXINUM** POSIPRES 150 mg CAPS. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 50 CAPS. CU ELIB. PREL. P-RF 50 142.82 2.856400 2.573571 2.3162131,577 N06AX16 VENLAFAXINUM** POSIPRES 150 mg CAPS. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 98 CAPS. CU ELIB. PREL. P-RF/S 98 279.92 2.856326 2.573571 2.3162131,578 N06AX16 VENLAFAXINUM** POSIPRES 150 mg CAPS. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 100 CAPS. CU ELIB. PREL. P-RF/S 100 285.63 2.856300 2.573571 2.3162131,579 N06AX16 VENLAFAXINUM** POSIPRES 150 mg CAPS. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. PEID X 50 CAPS. CU ELIB. PREL. P-RF 50 142.82 2.856400 2.573571 2.3162131,580 N06AX16 VENLAFAXINUM** POSIPRES 150 mg CAPS. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. PEID X 100 CAPS. CU ELIB. PREL. P-RF/S 100 285.63 2.856300 2.573571 2.3162131,581 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 150 mg CAPS. ELIB. PREL. 150mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 72.06 2.573571 2.573571 2.3162131,582 N06AX16 VENLAFAXINUM** VENLAFAXINA ER SUN 37,5 mg CAPS. ELIB. PREL. 37,5 mg SUN MEDIC INVEST S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 31.66 1.130714 0.639100 0.5751901,583 N06AX16 VENLAFAXINUM** FOBILESS 37,5 mg CAPS. ELIB. PREL. 37,5mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 33.40 1.113333 0.639100 0.5751901,584 N06AX16 VENLAFAXINUM** NOPEKAR 37,5 mg CAPS. ELIB. PREL. 37,5mg OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 43.72 1.561428 0.639100 0.5751901,585 N06AX16 VENLAFAXINUM** ADOXA EP 37,5 mg CAPS. ELIB. PREL. 37,5mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 39.13 1.304333 0.639100 0.5751901,586 N06AX16 VENLAFAXINUM** VENLAGAMMA 37,5 mg CAPS. ELIB. PREL. 37,5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 19.81 0.660333 0.639100 0.5751901,587 N06AX16 VENLAFAXINUM** VENLAGAMMA 37,5 mg CAPS. ELIB. PREL. 37,5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S 100 63.91 0.639100 0.639100 0.5751901,588 N06AX16 VENLAFAXINUM** POSIPRES 37,5 mg CAPS. ELIB. PREL. 37,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 16.47 0.823500 0.639100 0.5751901,589 N06AX16 VENLAFAXINUM** POSIPRES 37,5 mg CAPS. ELIB. PREL. 37,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 23.05 0.823214 0.639100 0.5751901,590 N06AX16 VENLAFAXINUM** POSIPRES 37,5 mg CAPS. ELIB. PREL. 37,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 24.70 0.823333 0.639100 0.5751901,591 N06AX16 VENLAFAXINUM** POSIPRES 37,5 mg CAPS. ELIB. PREL. 37,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 50 CAPS. CU ELIB. PREL. P-RF 50 39.81 0.796200 0.639100 0.5751901,592 N06AX16 VENLAFAXINUM** POSIPRES 37,5 mg CAPS. ELIB. PREL. 37,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 98 CAPS. CU ELIB. PREL. P-RF/S 98 74.11 0.756224 0.639100 0.5751901,593 N06AX16 VENLAFAXINUM** POSIPRES 37,5 mg CAPS. ELIB. PREL. 37,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 100 CAPS. CU ELIB. PREL. P-RF/S 100 75.62 0.756200 0.639100 0.5751901,594 N06AX16 VENLAFAXINUM** POSIPRES 37,5 mg CAPS. ELIB. PREL. 37,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. PEID X 50 CAPS. CU ELIB. PREL. P-RF 50 39.81 0.796200 0.639100 0.5751901,595 N06AX16 VENLAFAXINUM** POSIPRES 37,5 mg CAPS. ELIB. PREL. 37,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. PEID X 100 CAPS. CU ELIB. PREL. P-RF/S 100 75.62 0.756200 0.639100 0.575190

Pagina 42 din 45

1,596 N06AX16 VENLAFAXINUM** VENLAFAXINA ER SUN 75 mg CAPS. ELIB. PREL. 75 mg SUN MEDIC INVEST S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 49.80 1.778571 1.050900 0.9458101,597 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 66.38 2.370714 1.050900 0.9458101,598 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 50.86 1.816428 1.050900 0.9458101,599 N06AX16 VENLAFAXINUM** ALVENTA 75 mg CAPS. ELIB. PREL. 75mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF 30 48.54 1.618000 1.050900 0.9458101,600 N06AX16 VENLAFAXINUM** FOBILESS 75 mg CAPS. ELIB. PREL. 75mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 54.43 1.814333 1.050900 0.9458101,601 N06AX16 VENLAFAXINUM** NOPEKAR 75 mg CAPS. ELIB. PREL. 75mg OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF 28 50.86 1.816428 1.050900 0.9458101,602 N06AX16 VENLAFAXINUM** ADOXA EP 75 mg CAPS. ELIB. PREL. 75mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 54.50 1.816666 1.050900 0.9458101,603 N06AX16 VENLAFAXINUM** ELIFY EP 75 mg CAPS. ELIB. PREL. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 54.50 1.816666 1.050900 0.9458101,604 N06AX16 VENLAFAXINUM** VENLAGAMMA 75 mg CAPS. ELIB. PREL. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 33.19 1.106333 1.050900 0.9458101,605 N06AX16 VENLAFAXINUM** VENLAGAMMA 75 mg CAPS. ELIB. PREL. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S 100 105.09 1.050900 1.050900 0.9458101,606 N06AX16 VENLAFAXINUM** JARVIS 75 mg CAPS. ELIB. PREL. 75mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL.P-RF 30 54.49 1.816333 1.050900 0.9458101,607 N06AX16 VENLAFAXINUM** POSIPRES 75 mg CAPS. ELIB. PREL. 75mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 33.03 1.651500 1.050900 0.9458101,608 N06AX16 VENLAFAXINUM** POSIPRES 75 mg CAPS. ELIB. PREL. 75mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 46.24 1.651428 1.050900 0.9458101,609 N06AX16 VENLAFAXINUM** POSIPRES 75 mg CAPS. ELIB. PREL. 75mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 49.54 1.651333 1.050900 0.9458101,610 N06AX16 VENLAFAXINUM** POSIPRES 75 mg CAPS. ELIB. PREL. 75mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 50 CAPS. CU ELIB. PREL. P-RF 50 78.45 1.569000 1.050900 0.9458101,611 N06AX16 VENLAFAXINUM** POSIPRES 75 mg CAPS. ELIB. PREL. 75mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 98 CAPS. CU ELIB. PREL. P-RF/S 98 145.81 1.487857 1.050900 0.9458101,612 N06AX16 VENLAFAXINUM** POSIPRES 75 mg CAPS. ELIB. PREL. 75mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 100 CAPS. CU ELIB. PREL. P-RF/S 100 148.79 1.487900 1.050900 0.9458101,613 N06AX16 VENLAFAXINUM** POSIPRES 75 mg CAPS. ELIB. PREL. 75mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. PEID X 50 CAPS. CU ELIB. PREL. P-RF 50 78.45 1.569000 1.050900 0.9458101,614 N06AX16 VENLAFAXINUM** POSIPRES 75 mg CAPS. ELIB. PREL. 75mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. PEID X 100 CAPS. CU ELIB. PREL. P-RF/S 100 148.79 1.487900 1.050900 0.9458101,615 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 75 mg CAPS. ELIB. PREL. 75mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 44.81 1.600357 1.050900 0.9458101,616 N06AX16 VENLAFAXINUM** ADOXA 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 27.49 0.916333 0.916333 0.8246991,617 N06AX16 VENLAFAXINUM** ADOXA 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-ACLAR/AL X 10 COMPR. P-RF 30 27.49 0.916333 0.916333 0.8246991,618 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 58.45 0.974166 0.974166 0.8767491,619 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 54.59 0.974821 0.974166 0.8767491,620 N06AX16 VENLAFAXINUM** ADOXA 37,5 mg COMPR. 37,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 30.23 1.007666 0.974166 0.8767491,621 N06AX16 VENLAFAXINUM** ADOXA 37,5 mg COMPR. 37,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 30.23 1.007666 0.974166 0.8767491,622 N06AX16 VENLAFAXINUM** ADOXA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 36.14 1.204666 1.204666 1.0841991,623 N06AX16 VENLAFAXINUM** ADOXA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 36.14 1.204666 1.204666 1.0841991,624 N06AX16 VENLAFAXINUM** VENLAFAXINA LPH 75 mg COMPR. 75mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 72.79 1.213166 1.213166 1.0918491,625 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 69.26 1.236785 1.213166 1.0918491,626 N06AX16 VENLAFAXINUM** ADOXA 75 mg COMPR. 75mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 38.38 1.279333 1.213166 1.0918491,627 N06AX16 VENLAFAXINUM** ADOXA 75 mg COMPR. 75mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 38.38 1.279333 1.213166 1.0918491,628 N06AX16 VENLAFAXINUM** ARGOFAN 150 SR COMPR. ELIB. PREL. 150mg ZENTIVA A.S. SLOVACIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF 30 104.95 3.498333 3.498333 3.1484991,629 N06AX16 VENLAFAXINUM** ARGOFAN 75 SR COMPR. ELIB. PREL. 75mg ZENTIVA A.S. SLOVACIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF 30 54.50 1.816666 1.816666 1.6349991,630 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 37,5 mg COMPR. FILM. 37,5 mg ACTAVIS S.R.L. ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 56 35.79 0.639107 0.639107 0.5751961,631 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 75 mg COMPR. FILM. 75mg ACTAVIS S.R.L. ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 56 61.97 1.106607 1.106607 0.9959461,632 N07AA01 NEOSTIGMINI BROMIDUM NEOSTIGMINA LPH 15 mg COMPR. 15mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 12.90 0.645000 0.645000 0.5805001,633 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 5.16 1.032000 1.032000 0.9288001,634 P01AB02 TINIDAZOLUM TINIZOL (R) 500 mg (J01XD02) COMPR. FILM. 500mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. X 4 COMPR. FILM. P-RF 4 3.47 0.867500 0.862500 0.7762501,635 P01AB02 TINIDAZOLUM TIPROGYN 500 (vezi J01XD02) COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. X 4 COMPR.FILM. P-RF 4 3.45 0.862500 0.862500 0.7762501,636 P01AB02 TINIDAZOLUM TINIZOL (R) 500 mg (J01XD02) COMPR. FILM. 500mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. X 4 COMPR. FILM. P-RF 4 3.47 0.867500 0.862500 0.7762501,637 P01AB02 TINIDAZOLUM TIPROGYN 500 (vezi J01XD02) COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. X 4 COMPR.FILM. P-RF 4 3.45 0.862500 0.862500 0.7762501,638 P02CA03 ALBENDAZOLUM DUADOR 200 mg COMPR. FILM. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. X 2 COMPR. FILM. P-RF 2 5.99 2.995000 2.995000 2.6955001,639 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 9.23 4.615000 2.995000 2.695500

Pagina 43 din 45

1,640 P02CA03 ALBENDAZOLUM ALBENDAZOL COMPR.FILM 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM. P-RF 2 6.01 3.005000 2.995000 2.6955001,641 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 5.39 5.390000 5.390000 4.8510001,642 P02CA03 ALBENDAZOLUM VERMIGAL NOVO 400 mg SUSP. ORALA 400mg/10ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML SUSP. ORALA P-RF 1 3.51 3.510000 3.510000 3.1590001,643 P02CE01 LEVAMISOLUM DECARIS 150 mg COMPR. 150mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 COMPR. P-RF 1 3.20 3.200000 3.200000 2.8800001,644 P02CE01 LEVAMISOLUM DECARIS 50 mg COMPR. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. P-RF 2 2.84 1.420000 1.420000 1.2780001,645 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 8.37 8.370000 8.370000 7.5330001,646 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 14.21 14.210000 8.370000 7.5330001,647 R03AC02 SALBUTAMOLUM VENTOLIN 100 INHALER CFC-FREE SUSP. INHAL. PRESURIZATA 100mcg/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 9.86 9.860000 6.390000 5.7510001,648 R03AC02 SALBUTAMOLUM ECOSAL Easi-Breath SUSP. INHAL. PRESURIZATA 100mcg/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 35.43 35.430000 6.390000 5.7510001,649 R03AC02 SALBUTAMOLUM ASTHALIN INHALER SUSP. INHAL. PRESURIZATA 100mcg/doza CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 FLAC. AL + VALVA DOZATOARE + DISP. ADM. X 200 DOZE SUSP. INHAL. PRESURIZATA P-6L 1 6.39 6.390000 6.390000 5.7510001,650 R03BA01 BECLOMETASONUM* ECOBEC EASI - BREATHE 100 mcg CFC FREE AEROSOL SOL. INHAL. 100mcg/doza IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE + DISPOZITIV DE ADM. TIP SPACER P-RF 1 64.03 64.030000 21.660000 19.494000

1,651 R03BA01 BECLOMETASONUM* ECOBEC 100 mcg CFC FREE AEROSOL SOL. INHAL. 100mcg/doza IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE P-RF 1 21.66 21.660000 21.660000 19.494000

1,652 R03BA01 BECLOMETASONUM* ECOBEC EASI - BREATHE 250 mcg CFC FREE AEROSOL SOL. INHAL. 250mcg/doza IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE + DISPOZITIV DE ADM. DE TIP SPACER P-RF 1 86.37 86.370000 40.650000 36.585000

1,653 R03BA01 BECLOMETASONUM* ECOBEC 250 mcg CFC FREE AEROSOL SOL. INHAL. 250mcg/doza IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE P-RF 1 40.65 40.650000 40.650000 36.585000

1,654 R03BA01 BECLOMETASONUM* CLENIL (R) JET 250 mcg SOL. INHALAT PRESURIZATA 250mcg/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 95.73 95.730000 40.650000 36.585000

1,655 R03BA01 BECLOMETASONUM* RINOCLENIL 100 SPRAY NAZ.,SUSP. 100mcg/doza CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 FLACON DIN PET X 30 ML SPRAY NAZ.,SUSP., PREVAZUT CU POMPA DOZATOARE P-RF 1 45.57 45.570000 45.570000 41.013000

1,656 R03BA02 BUDESONIDUM* FRENOLYN 200 PULB. INHAL. 200 mcg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE P-RF 1 95.72 95.720000 38.710000 34.839000

1,657 R03BA02 BUDESONIDUM* FRENOLYN 200 PULB. INHAL. 200 mcg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE P-RF 1 38.71 38.710000 38.710000 34.839000

1,658 R03BA02 BUDESONIDUM*

PULMICORT TURBUHALER 200 mcg/doza PULB. INHAL. 200mcg/doza ASTRAZENECA AB SUEDIA CUTIE X 1 FLACON MULTIDOZA DIN PEID X 100 DOZE PULB. INHAL. P-RF 1 57.05 57.050000 38.710000 34.839000

1,659 R03BA02 BUDESONIDUM* FRENOLYN 400 PULB. INHAL. 400 mcg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE P-RF 1 161.84 161.840000 79.060000 71.154000

1,660 R03BA02 BUDESONIDUM* FRENOLYN 400 PULB. INHAL. 400 mcg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE P-RF 1 79.06 79.060000 79.060000 71.154000

1,661 R03BB01 IPRATROPII BROMIDUM* IPRAVENT INHALER 20mcg/doza SUSP. INHAL. PRESURIZATA 20mcg/doza CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 FLACON AL PRESURIZAT X 200 DOZE SUSP.DE INHALAT PRESURIZATA P-6L 1 11.83 11.830000 11.830000 10.647000

1,662 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 2.87 2.870000 2.870000 2.5830001,663 R03CC02 SALBUTAMOLUM VENTOLIN 2mg/5ml SIROP 2mg/5ml GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA INCOLORA X 150 ML SIROP + LINGURITA DOZATOARE DUBLA X 2,5 ML, RESPECTIV P-6L 1 5.29 5.290000 2.870000 2.5830001,664 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 3.33 0.666000 0.666000 0.5994001,665 R03CC02 SALBUTAMOLUM SALBUTAMOL T SOL. ORALA 0,04% TIS FARMACEUTIC SA ROMANIA CUTIE X 1 FLACON X 100 ML P-6L 1 2.51 2.510000 2.510000 2.2590001,666 R03CC02 SALBUTAMOLUM SALBUTAMOL SOL. ORALA 2mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. ORALA + LINGURITA DOZATOARE P-6L 1 3.76 3.760000 3.760000 3.3840001,667 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 5.36 0.268000 0.268000 0.2412001,668 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 2.68 0.268000 0.268000 0.2412001,669 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 8.81 0.220250 0.220000 0.1980001,670 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 4.02 0.402000 0.220000 0.1980001,671 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 2.20 0.220000 0.220000 0.1980001,672 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 5.59 0.559000 0.559000 0.5031001,673 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 5.59 0.559000 0.559000 0.5031001,674 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 13.13 0.328250 0.328250 0.2954251,675 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 3.39 0.339000 0.339000 0.3051001,676 R05DA04 CODEINUM FOSFAT DE CODEINA 15 mg COMPR. 15mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 4.61 0.153666 0.139500 0.1255501,677 R05DA04 CODEINUM CODEINA FOSFORICA COMPR. 15mg BIO EEL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 4.81 0.192400 0.139500 0.1255501,678 R05DA04 CODEINUM FARMACOD COMPR. 15mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 2.84 0.142000 0.139500 0.1255501,679 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 2.79 0.139500 0.139500 0.1255501,680 R05DA04 CODEINUM CODEINA FOSFAT COMPR. 15mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.84 0.142000 0.139500 0.125550

Pagina 44 din 45

1,681 R05DA04 CODEINUM CODEINA FOSFAT LPH 15 mg COMPR. 15mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-RF 20 3.00 0.150000 0.139500 0.1255501,682 R05DA04 CODEINUM CODEINA FOSFAT MCC 15 mg COMPR. 15mg MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.42 0.171000 0.139500 0.1255501,683 R06AB04 CHLORPHENAMINUM CLORFENIRAMIN COMPR. 4mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.16 0.108000 0.108000 0.0972001,684 R06AE07 CETIRIZINUM CELERG COMPR. FILM. 10 mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 20 19.86 0.993000 0.993000 0.893700

1,685 R06AE07 CETIRIZINUM ZYRTEC 10 mg/ml PICATURI ORALE-SOL. 10mg/ml U.C.B. GMBH GERMANIA

CUTIE X 1 FLAC. STICLA BRUNA X 20 ML PIC. ORAL. SOL + APLICATOR PT. PICURARE P-6L 1 21.57 21.570000 21.570000 19.413000

1,686 R06AX17 KETOTIFENUM KETOF 1 mg CAPS. 1mg HEXAL AG GERMANIA CUTIE X 5 BLIST. AL/PP X 10 CAPS. P-6L 50 12.94 0.258800 0.246500 0.2218501,687 R06AX17 KETOTIFENUM KETOF 1 mg CAPS. 1mg HEXAL AG GERMANIA CUTIE X 2 BLIST. AL/PP X 10 CAPS. P-6L 20 4.93 0.246500 0.246500 0.2218501,688 R06AX17 KETOTIFENUM KETOTIFEN LPH (R) 1 mg COMPR. 1mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.10 0.155000 0.155000 0.1395001,689 R06AX17 KETOTIFENUM H - KETOTIFEN COMPR. 1mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.42 0.171000 0.155000 0.1395001,690 R06AX17 KETOTIFENUM KETOTIFEN COMPR. 1mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.24 0.162000 0.155000 0.1395001,691 R06AX17 KETOTIFENUM KETOTIFEN LAROPHARM 1 mg COMPR. 1mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 3.24 0.162000 0.155000 0.1395001,692 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 10.72 10.720000 10.720000 9.6480001,693 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 4.02 4.020000 4.020000 3.6180001,694 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 4.73 4.730000 4.730000 4.2570001,695 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 10.54 10.540000 4.730000 4.2570001,696 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 10.05 10.050000 4.730000 4.2570001,697 S01CA05 COMBINATII OPHTAMESONE - N SOL. OFT. FARA CONCENTRATIE DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML P-RF 1 4.24 4.240000 4.240000 3.816000

1,698 S01CA05

COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM) BETABIOPTAL PICATURI OFT.SUSP. 0,2g+0,5g/100ml FARMILA FARMACEUTICI ITALIA

CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT.,SUSP. + APLICATOR PT. PICURARE P-RF 1 12.63 12.630000 12.630000 11.367000

1,699 S01CA05

COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM) BETABIOPTAL UNG. OFT. 0,2g+0,5g/100g FARMILA FARMACEUTICI ITALIA CUTIE X 1 TUB AL X 5 G P-RF 1 14.50 14.500000 14.500000 13.050000

NOTĂ:

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătă ții Publice și cu aprobarea comisiilor de la nivelul Caselor Jude țene de Asigurări de Sănătate;

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (1) se efectueaza pentru pacienții cu intoleranță la acidum acetylsalicylicum.

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (*) se inițiaza de medicul de specialitate in limita competen ței și poate fi prescris în continuare de medicul de familie pe baza scrisorii medicale emise de medicul de specialitate;

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătă ții Publice;

Pagina 45 din 45

ANEXA2

Nr. crt codifatc

den_internationala denumire formaF

concentratie Firma detinatoare tara forma ambalare prescriere

cant/amba

laj

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

Val suportata de CNAS/UT (RON)Legea nr. 95/2006 art 213 alin.1 lit. a) si

Val suportata CNAS/UT (RON) pt. Adulti

1 A02BC02 PANTOPRAZOLUM SELTRAZ 20 mg COMPR. FILM. GASTROREZ. 20mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE P-6L 28 20.71 0.739642 0.334000 0.167000

2 A02BC02 PANTOPRAZOLUM CONTROLOC 20 mg COMPR. FILM. GASTROREZ. 20mg NYCOMED GMBH GERMANIA CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ. P-6L 30 32.72 1.090666 0.334000 0.167000

3 A02BC02 PANTOPRAZOLUM CONTROLOC 20 mg COMPR. FILM. GASTROREZ. 20mg NYCOMED GMBH GERMANIA CUTIE X 2 BLIST. DIN AL/AL X 14 COMPR. FILM. GASTROREZ. P-6L 28 31.88 1.138571 0.334000 0.167000

4 A02BC02 PANTOPRAZOLUM SELTRAZ 40 mg COMPR. FILM. GASTROREZ. 40mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE P-6L 28 29.69 1.060357 0.612000 0.306000

5 A02BC02 PANTOPRAZOLUM CONTROLOC 40mg COMPR. FILM. GASTROREZ. 40mg NYCOMED GMBH GERMANIA CUTIE X 1 BLIST. DIN AL/AL X 14 COMPR. FILM. GASTROREZ. P-6L 14 33.57 2.397857 0.612000 0.306000

6 A02BC02 PANTOPRAZOLUM CONTROLOC 40mg COMPR. FILM. GASTROREZ. 40mg NYCOMED GMBH GERMANIA CUTIE X 2 BLIST. DIN AL/AL X 14 COMPR. FILM. GASTROREZ. P-6L 28 48.79 1.742500 0.612000 0.306000

7 A02BC02 PANTOPRAZOLUM CONTROLOC 40mg COMPR. FILM. GASTROREZ. 40mg NYCOMED GMBH GERMANIA CUTIE X 3 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ. P-6L 15 35.97 2.398000 0.612000 0.306000

8 A02BC02 PANTOPRAZOLUM CONTROLOC 40mg COMPR. FILM. GASTROREZ. 40mg NYCOMED GMBH GERMANIA CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ. P-6L 30 52.28 1.742666 0.612000 0.306000

9 A02BC02 PANTOPRAZOLUM PANTEXEL 20 mg COMPR. GASTROREZ. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ P-6L 28 20.71 0.739642 0.334000 0.167000

10 A02BC02 PANTOPRAZOLUM ZIPANTOLA 20 mg COMPR. GASTROREZ. 20mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 28 COMPR. GASTROREZ. P-6L 28 20.71 0.739642 0.334000 0.167000

11 A02BC02 PANTOPRAZOLUM PACID 20 mg COMPR. GASTROREZ. 20mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ. P-6L 10 3.34 0.334000 0.334000 0.167000

12 A02BC02 PANTOPRAZOLUM PACID 20 mg COMPR. GASTROREZ. 20mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ. P-6L 30 10.05 0.335000 0.334000 0.167000

13 A02BC02 PANTOPRAZOLUM PANTOPRAZOL NYCOMED 20 mg COMPR. GASTROREZ. 20mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L 14 10.18 0.727142 0.334000 0.167000

14 A02BC02 PANTOPRAZOLUM PANTOPRAZOL NYCOMED 20 mg COMPR. GASTROREZ. 20mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L 28 20.40 0.728571 0.334000 0.167000

15 A02BC02 PANTOPRAZOLUM DYSPEX 20 mg COMPR. GASTROREZ. 20mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L 14 10.11 0.722142 0.334000 0.167000

16 A02BC02 PANTOPRAZOLUM DYSPEX 20 mg COMPR. GASTROREZ. 20mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L 28 20.25 0.723214 0.334000 0.167000

17 A02BC02 PANTOPRAZOLUM PANTOSAL 20 mg COMPR. GASTROREZ. 20mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L 14 10.28 0.734285 0.334000 0.167000

18 A02BC02 PANTOPRAZOLUM PANTOSAL 20 mg COMPR. GASTROREZ. 20mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L 28 20.57 0.734642 0.334000 0.167000

19 A02BC02 PANTOPRAZOLUM NOLPAZA 20 mg COMPR. GASTROREZ. 20mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR. P-6L 30 20.54 0.684666 0.334000 0.167000

20 A02BC02 PANTOPRAZOLUM AZATOL 20 mg COMPR. GASTROREZ. 20mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ. P-6L 28 21.20 0.757142 0.334000 0.167000

21 A02BC02 PANTOPRAZOLUM PANTEXEL 40 mg COMPR. GASTROREZ. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ P-6L 28 29.69 1.060357 0.612000 0.306000

22 A02BC02 PANTOPRAZOLUM ZIPANTOLA 40 mg COMPR. GASTROREZ. 40mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 28 COMPR. GASTROREZ. P-6L 28 29.69 1.060357 0.612000 0.306000

23 A02BC02 PANTOPRAZOLUM PACID 40 mg COMPR. GASTROREZ. 40mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ. P-6L 10 6.12 0.612000 0.612000 0.306000

24 A02BC02 PANTOPRAZOLUM PACID 40 mg COMPR. GASTROREZ. 40mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ. P-6L 30 18.37 0.612333 0.612000 0.306000

25 A02BC02 PANTOPRAZOLUM PANTOPRAZOL NYCOMED 40 mg COMPR. GASTROREZ. 40mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L 14 14.61 1.043571 0.612000 0.306000

26 A02BC02 PANTOPRAZOLUM PANTOPRAZOL NYCOMED 40 mg COMPR. GASTROREZ. 40mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L 28 29.23 1.043928 0.612000 0.306000

27 A02BC02 PANTOPRAZOLUM PANTOSAL 40 mg COMPR. GASTROREZ. 40mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L 14 14.71 1.050714 0.612000 0.306000

28 A02BC02 PANTOPRAZOLUM PANTOSAL 40 mg COMPR. GASTROREZ. 40mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L 28 29.46 1.052142 0.612000 0.306000

SUBLISTA B - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 50% DIN PRETUL DE REFERINTA CONFORM

DENUMIRILOR COMUNE INTERNATIONALE (DCI) ALE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA DIN HG NR. 720/2008, CU MODIFICARILE SI COMPLETARILE ULTERIOARE, VALABILA INCEPAND CU

1 IANUARIE 2010

Page 1 of 26

29 A02BC02 PANTOPRAZOLUM DYSPEX 40 mg COMPR. GASTROREZ. 40mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L 14 14.50 1.035714 0.612000 0.306000

30 A02BC02 PANTOPRAZOLUM DYSPEX 40 mg COMPR. GASTROREZ. 40mg NYCOMED GMBH GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L 28 29.00 1.035714 0.612000 0.306000

31 A02BC02 PANTOPRAZOLUM NOLPAZA 40mg COMPR. GASTROREZ. 40mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR. P-6L 30 31.80 1.060000 0.612000 0.306000

32 A02BC02 PANTOPRAZOLUM AZATOL 40 mg COMPR. GASTROREZ. 40mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ. P-6L 28 32.79 1.171071 0.612000 0.306000

33 A02BC02 PANTOPRAZOLUM CONTROLOC 40mg LIOFILIZAT PENTRU SOLUTIE INJECTABILA LIOF. PT. SOL. INJ. 40mg NYCOMED GMBH GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. S/P-RF 1 31.56 31.560000 17.601000 8.800500

34 A02BC02 PANTOPRAZOLUM PANTOPRAZOL NYCOMED I.V. 40 mg PULB. PT. SOL. INJ. 40mg NYCOMED GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. S/P-RF 1 20.51 20.510000 17.601000 8.800500

35 A02BC02 PANTOPRAZOLUM PANTOPRAZOL NYCOMED I.V. 40 mg PULB. PT. SOL. INJ. 40mg NYCOMED GMBH GERMANIA CUTIE X 5 ( 5 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ., AMBALAJ SPITALICESC S/P-RF 5 94.26 18.852000 17.601000 8.800500

36 A02BC02 PANTOPRAZOLUM PANTOPRAZOL NYCOMED I.V. 40 mg PULB. PT. SOL. INJ. 40mg NYCOMED GMBH GERMANIA CUTIE X 20 ( 20 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ., AMBALAJ SPITALICESC S/P-RF 20 357.53 17.876500 17.601000 8.800500

37 A02BC02 PANTOPRAZOLUM DYSPEX I.V. 40 mg PULB. PT. SOL. INJ. 40mg NYCOMED GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. S/P-RF 1 20.18 20.180000 17.601000 8.800500

38 A02BC02 PANTOPRAZOLUM DYSPEX I.V. 40 mg PULB. PT. SOL. INJ. 40mg NYCOMED GMBH GERMANIA CUTIE X 5 (5 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. S/P-RF 5 92.80 18.560000 17.601000 8.800500

39 A02BC02 PANTOPRAZOLUM DYSPEX I.V. 40 mg PULB. PT. SOL. INJ. 40mg NYCOMED GMBH GERMANIA CUTIE X 20 ( 20 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ., AMBALAJ SPITALICESC S/P-RF 20 352.02 17.601000 17.601000 8.800500

40 A02BC02 PANTOPRAZOLUM PANTOSAL I.V. 40 mg PULB. PT. SOL. INJ. 40mg NYCOMED GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. S/P-RF 1 20.34 20.340000 17.601000 8.800500

41 A02BC02 PANTOPRAZOLUM PANTOSAL I.V. 40 mg PULB. PT. SOL. INJ. 40mg NYCOMED GMBH GERMANIA CUTIE X 5 (5 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. S/P-RF 5 93.52 18.704000 17.601000 8.800500

42 A02BC02 PANTOPRAZOLUM PANTOSAL I.V. 40 mg PULB. PT. SOL. INJ. 40mg NYCOMED GMBH GERMANIA CUTIE X 20 ( 20 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ., AMBALAJ SPITALICESC S/P-RF 20 354.78 17.739000 17.601000 8.800500

43 A02BC05 ESOMEPRAZOLUM NEXIUM 20 mg COMPR. FILM. GASTROREZ. 20mg ASTRAZENECA AB SUEDIA CUTIE X 1 BLIST. X 7 COMPR. FILM. GASTROREZ. P-6L 7 27.98 3.997142 2.022857 1.011428

44 A02BC05 ESOMEPRAZOLUM NEXIUM 20 mg COMPR. FILM. GASTROREZ. 20mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. X 7 COMPR. FILM. GASTROREZ. P-6L 14 50.59 3.613571 2.022857 1.011428

45 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 71.83 5.130714 2.958571 1.479285

46 A02BC05 ESOMEPRAZOLUM ESOMEPRAZOL SANDOZ 20 mg COMPR. GASTROREZ. 20mg SANDOZ SRL ROMANIA CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ. P-6L 14 28.32 2.022857 2.022857 1.011428

47 A02BC05 ESOMEPRAZOLUM ESOMEPRAZOL SANDOZ 40 mg COMPR. GASTROREZ. 40mg SANDOZ SRL ROMANIA CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ. P-6L 14 41.42 2.958571 2.958571 1.479285

48 A02BC05 ESOMEPRAZOLUM NEXIUM 10 mg GRAN. GASTROREZ. PT. SUSP.ORALA 10mg ASTRAZENECA AB SUEDIA CUTIE X 28 PLICURI DIN PET/AL/PEJD CONTINAND GRANULE GASTROREZ. PT. SUSP. ORALA P-6L 28 163.62 5.843571 5.843571 2.921785

49 A02BC05 ESOMEPRAZOLUM NEXIUM 40 mg PULB. PT. SOL. INJ./PERF. 40mg ASTRAZENECA AB SUEDIA CUTIE X 10 FLACOANE LIOF. PT. SOL. INJ./PERF. S/P-RF 10 279.32 27.932000 27.932000 13.966000

50 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 5.81 0.290500 0.290500 0.145250

51 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 5.81 0.290500 0.290500 0.145250

52 A02BX02 SUCRALFATUM VENTER COMPR. 1g KRKA D.D. SLOVENIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 14.98 0.299600 0.290500 0.145250

53 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 37.52 0.938000 0.938000 0.469000

54 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 31.51 1.050333 1.050333 0.525166

55 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 34.39 2.865833 2.865833 1.432916

56 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 100 421.74 4.217400 4.217400 2.108700

57 A07EA06 BUDESONIDUM** BUDENOFALK 2 mg/doza SPUMA RECTALA 2mg/doza DR. FALK PHARMA GMBH GERMANIA CUTIE X 1 FLAC. DIN AL X 14 DOZE X 1,2G SPUMA RECTALA, 14 APLICATOARE LUBREFIANTE PVC SI 14 PUNGI PL P-RF 1 397.85 397.850000 351.525000 175.762500

58 A07EA06 BUDESONIDUM** BUDENOFALK 2 mg/doza SPUMA RECTALA 2mg/doza DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 FLAC. DIN AL X 2X14 DOZE X 1,2G SPUMA RECTALA, 2X (14 APLICATOARE PVC LUBREFIANTE SI 14 PU P-RF 2 703.05 351.525000 351.525000 175.762500

59 A07XA04 RACECADOTRILUM HIDRASEC 100 mg CAPS. 100mg LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS. P-RF 20 40.92 2.046000 2.046000 1.023000

60 A07XA04 RACECADOTRILUM HIDRASEC 10 mg PULB. PT. SOL. ORALA 10mg LAB. FOURNIER SA FRANTA CUTIE X 16 PLICURI X 1 G P-RF 16 38.53 2.408125 2.408125 1.204062

61 A07XA04 RACECADOTRILUM HIDRASEC 30 mg PULB. PT. SOL. ORALA 30mg LAB. FOURNIER SA FRANTA CUTIE X 30 PLICURI X 3 P-RF 30 38.53 1.284333 1.284333 0.642166

62 A08AA10 SIBUTRAMINUM**** REDUCTIL 10mg CAPS. 10mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 CAPS. P-RF 28 95.16 3.398571 2.002000 1.001000

63 A08AA10 SIBUTRAMINUM**** LINDAXA 10 CAPS. 10mg ZENTIVA A.S. CEHIA CUTIE X 3 BLIST. AL-PVDC/PVC X 10 CAPS. P-RF 30 65.71 2.190333 2.002000 1.001000

64 A08AA10 SIBUTRAMINUM**** MINIMACIN 10 mg CAPS. 10mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-RF 28 63.45 2.266071 2.002000 1.001000

65 A08AA10 SIBUTRAMINUM**** SILUTON 10 mg CAPS. 10mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 30 64.86 2.162000 2.002000 1.001000

66 A08AA10 SIBUTRAMINUM**** SILUTON 10 mg CAPS. 10mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 CAPS. P-RF 30 64.86 2.162000 2.002000 1.001000

67 A08AA10 SIBUTRAMINUM**** SIBUTRAMINA TEVA 10 mg CAPS. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. P-RF 30 60.06 2.002000 2.002000 1.001000

68 A08AA10 SIBUTRAMINUM**** REDUCTIL 15 mg CAPS. 15mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 CAPS. P-RF 28 123.49 4.410357 2.166000 1.083000

69 A08AA10 SIBUTRAMINUM**** LINDAXA 15 CAPS. 15mg ZENTIVA A.S. CEHIA CUTIE X 3 BLIST. AL-PVDC/PVC X 10 CAPS. P-RF 30 75.73 2.524333 2.166000 1.083000

70 A08AA10 SIBUTRAMINUM**** MINIMACIN 15 mg CAPS. 15mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-RF 28 71.96 2.570000 2.166000 1.083000

71 A08AA10 SIBUTRAMINUM**** SILUTON 15 mg CAPS. 15mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 30 74.35 2.478333 2.166000 1.083000

72 A08AA10 SIBUTRAMINUM**** SILUTON 15 mg CAPS. 15mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 CAPS. P-RF 30 74.35 2.478333 2.166000 1.083000

73 A08AA10 SIBUTRAMINUM**** SIBUTRAMINA TEVA 15 mg CAPS. 15mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. P-RF 30 64.98 2.166000 2.166000 1.083000

Page 2 of 26

74 A08AB01 ORLISTATUM**** XENICAL 120mg CAPS. 120mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 21 CAPS. TARI (BLISTER PVC/PE/PVDC) P-RF 21 86.43 4.115714 3.373214 1.686607

75 A08AB01 ORLISTATUM**** XENICAL 120mg CAPS. 120mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 84 CAPS. TARI (BLISTER PVC/PE/PVDC) P-RF 84 283.35 3.373214 3.373214 1.686607

76 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 32.63 0.652600 0.652600 0.326300

77 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF 30 29.48 0.982666 0.982666 0.491333

78 A16AX01

ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#

THIOGAMMA (R) 600 oral (vezi A16AX01) COMPR. FILM. 600mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L 100 200.06 2.000600 2.000600 1.000300

79 A16AX01

ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#

THIOGAMMA (R) 600 oral (vezi A16AX01) COMPR. FILM. 600mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L 30 64.42 2.147333 2.000600 1.000300

80 A16AX01

ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#

THIOGAMMA (R) 600 oral (vezi A16AX01) COMPR. FILM. 600mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 6 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L 60 122.21 2.036833 2.000600 1.000300

81 A16AX01

ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#

THIOGAMMA (R) 600 INJEKT (vezi N07XN03) CONC. PT. SOL. PERF. 30mg/ml WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 FIOLE X 20 ML S/P-RF 5 126.15 25.230000 23.271500 11.635750

82 A16AX01

ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#

THIOGAMMA (R) 600 INJEKT (vezi N07XN03) CONC. PT. SOL. PERF. 30mg/ml WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 20 FIOLE X 20 ML S/P-RF 20 465.43 23.271500 23.271500 11.635750

83 A16AX01

ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#

THIOCTACID 600T (vezi N07XN03) SOL. INJ. 25mg/ml MEDA PHARMA GMBH & CO KG GERMANIA CUTIE X 5 FIOLE X 24 ML SOL.INJ. S/P-RF 5 131.15 26.230000 26.230000 13.115000

84 A16AX01

ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#

THIOGAMMA (R) TURBO-SET (vezi N07XN03) SOL. PERF. 12mg/ml WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 FLACOANE X 50 ML S/P-RF 10 242.42 24.242000 24.242000 12.121000

85 B01AB04 DALTEPARINUM**# FRAGMIN 10000 UI/0,4 ml SOL. INJ. 10000UI/0,4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. X 1 SERINGA X 0,4 ML SOL. INJ. S/P-RF 5 122.51 24.502000 24.502000 12.251000

86 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 10 250.55 25.055000 25.055000 12.527500

87 B01AB04 DALTEPARINUM**# FRAGMIN 12500 UI/0,5 ml SOL. INJ. 12500 UI/0,5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. X 1 SERINGA X 0,5 ML SOL. INJ. S/P-RF 5 160.43 32.086000 32.086000 16.043000

88 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 5 194.25 38.850000 38.850000 19.425000

89 B01AB04 DALTEPARINUM**# FRAGMIN 18000 UI/0,72 ml SOL. INJ. 18000 UI/0,72ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. X 1 SERINGA X 0,72 ML SOL. INJ. S/P-RF 5 220.90 44.180000 44.180000 22.090000

90 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 72.85 7.285000 7.285000 3.642500

91 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 10 135.91 13.591000 13.591000 6.795500

92 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 10 190.61 19.061000 19.061000 9.530500

93 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 69.71 6.971000 6.971000 3.485500

94 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 10 135.74 13.574000 13.574000 6.787000

Page 3 of 26

95 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 10 176.41 17.641000 17.641000 8.820500

96 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 49.01 24.505000 24.505000 12.252500

97 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 72.07 7.207000 7.207000 3.603500

98 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 97.15 9.715000 9.715000 4.857500

99 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 10 124.37 12.437000 12.437000 6.218500

100 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 10 178.17 17.817000 17.817000 8.908500

101 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 79.30 7.930000 7.930000 3.965000

102 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 95.22 19.044000 19.044000 9.522000

103 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 32.97 16.485000 16.485000 8.242500

104 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 10 507.63 50.763000 50.763000 25.381500

105 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 24.53 12.265000 12.265000 6.132500

106 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 70.40 35.200000 35.200000 17.600000

107 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 96.86 48.430000 48.430000 24.215000

108 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 1,049.60 104.960000 104.960000 52.480000

109 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 2 123.59 61.795000 61.795000 30.897500

110 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 50 103.22 2.064400 2.064400 1.032200

111 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 73.64 7.364000 7.364000 3.682000

112 B01AC04 CLOPIDOGRELUM** PLAVIX 300mg COMPR. FILM. 300mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA) P-RF 30 737.48 24.582666 24.582666 12.291333

113 B01AC04 CLOPIDOGRELUM** CLOPIDOGREL TEVA 75 mg COMPR. FILM. 75 mg TEVA PHARMA BV OLANDA CUTIE CU BLIST. AL/AL X 28 X 1 COMPR. FILM. P-RF 28 85.08 3.038571 3.014285 1.507142

114 B01AC04 CLOPIDOGRELUM** ZYLLT COMPR. FILM. 75 mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM. P-RF 28 84.97 3.034642 3.014285 1.507142

115 B01AC04 CLOPIDOGRELUM** PLAVIX 75mg COMPR. FILM. 75mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-RF 28 179.46 6.409285 3.014285 1.507142

116 B01AC04 CLOPIDOGRELUM** TROMBEX 75 mg COMPR. FILM. 75mg ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM. P-RF 30 91.17 3.039000 3.014285 1.507142

Page 4 of 26

117 B01AC04 CLOPIDOGRELUM** EGITROMB 75 mg COMPR. FILM. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF 28 84.40 3.014285 3.014285 1.507142

118 B01AC04 CLOPIDOGRELUM** TROGRAN 75 mg COMPR. FILM. 75mg GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 85.10 3.039285 3.014285 1.507142

119 B01AC18 TRIFLUSALUM AFLEN (R) CAPS. 300mg GALENICA S.A. GRECIA CUTIE X 5 BLIST. X 10 CAPS. P-RF 50 79.74 1.594800 1.594800 0.797400

120 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 59.73 0.995500 0.995500 0.497750

121 B01AX05FONDAPARINUX SODIUM**# ARIXTRA 10mg/0,8ml

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 10 617.71 61.771000 61.771000 30.885500

122 B01AX05FONDAPARINUX SODIUM**# ARIXTRA 2,5mg/0,5ml

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 10 219.52 21.952000 21.952000 10.976000

123 B01AX05FONDAPARINUX SODIUM**# ARIXTRA 5mg/0,4ml

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 10 435.51 43.551000 43.551000 21.775500

124 B01AX05FONDAPARINUX SODIUM**# ARIXTRA 7,5mg/0,6ml

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 10 617.71 61.771000 61.771000 30.885500

125 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 5 140.63 28.126000 28.126000 14.063000

126 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 55.17 0.551700 0.551700 0.275850

127 C01EB17 IVABRADINUM** CORLENTOR 5mg COMPR. FILM. 5mg LES LAB. SERVIER FRANTA CUTIE X 28 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 28 150.46 5.373571 4.028571 2.014285

128 C01EB17 IVABRADINUM** CORLENTOR 5mg COMPR. FILM. 5mg LES LAB. SERVIER FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 56 225.60 4.028571 4.028571 2.014285

129 C01EB17 IVABRADINUM** CORLENTOR 7,5mg COMPR. FILM. 7,5mg LES LAB. SERVIER FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 56 244.46 4.365357 4.365357 2.182678

130 C01EB17 IVABRADINUM** CORLENTOR 7,5mg COMPR. FILM. 7,5mg LES LAB. SERVIER FRANTA CUTIE X 28 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 28 150.46 5.373571 4.365357 2.182678

131 C02AC05 MOXONIDINUM PHYSIOTENS 0,2 COMPR. FILM. 0,2mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 28 30.51 1.089642 0.567000 0.283500

132 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 30.51 1.089642 0.567000 0.283500

133 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 20.46 0.682000 0.567000 0.283500

134 C02AC05 MOXONIDINUM MOXONIDIN AL 0,2 COMPR. FILM. 0,2mg ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 50 28.66 0.573200 0.567000 0.283500

135 C02AC05 MOXONIDINUM MOXONIDIN AL 0,2 COMPR. FILM. 0,2mg ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 17.01 0.567000 0.567000 0.283500

136 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 24.28 0.809333 0.737200 0.368600

137 C02AC05 MOXONIDINUM MOXONIDIN AL 0,3 COMPR. FILM. 0,3mg ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILMATE P-6L 30 22.50 0.750000 0.737200 0.368600

138 C02AC05 MOXONIDINUM MOXONIDIN AL 0,3 COMPR. FILM. 0,3mg ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILMATE P-6L 50 36.86 0.737200 0.737200 0.368600

139 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 43.97 1.570357 0.878200 0.439100

140 C02AC05 MOXONIDINUM PHYSIOTENS 0,4 COMPR. FILM. 0,4mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.FILM. P-6L 28 43.97 1.570357 0.878200 0.439100

141 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 31.12 1.037333 0.878200 0.439100

142 C02AC05 MOXONIDINUM MOXONIDIN AL 0,4 COMPR. FILM. 0,4mg ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 50 43.91 0.878200 0.878200 0.439100

143 C02AC05 MOXONIDINUM MOXONIDIN AL 0,4 COMPR. FILM. 0,4mg ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 27.24 0.908000 0.878200 0.439100

144 C02AC06 RILMENIDINUM TENAXUM COMPR. 1mg LES LABORATOIRES SERVIER FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 39.07 1.302333 1.302333 0.651166

145 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 5.38 0.179333 0.179333 0.089666

Page 5 of 26

146 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 7.52 0.250666 0.250666 0.125333

147 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 30 174.27 5.809000 5.809000 2.904500

148 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 64.51 6.451000 5.809000 2.904500

149 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 30 174.27 5.809000 5.809000 2.904500

150 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 64.51 6.451000 5.809000 2.904500

151 C04AE02 NICERGOLINUM NICERIUM (R) 15 CAPS. ELIB. MODIF. 15mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PP/AL X 10 CAPS. ELIB. MODIF. P-6L 30 26.19 0.873000 0.873000 0.436500

152 C04AE02 NICERGOLINUM NICERIUM (R) 30 UNO CAPS. ELIB. MODIF. 30mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PP/AL X 10 CAPS. ELIB. MODIF. P-6L 30 48.25 1.608333 1.608333 0.804166

153 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 12.63 0.421000 0.421000 0.210500

154 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 45.36 1.512000 1.015333 0.507666

155 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 30.46 1.015333 1.015333 0.507666

156 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 6.35 0.211666 0.211666 0.105833

157 C04AE02 NICERGOLINUM NICERIUM (R) 10 DRAJ. 10mg HEXAL AG GERMANIA CUTIE X 1 BLIST. AL/PVC X 25 DRAJ. P-6L 25 13.25 0.530000 0.426000 0.213000

158 C04AE02 NICERGOLINUM SINERGOLIN 10 DRAJ. 10mg SINTOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-6L 20 8.52 0.426000 0.426000 0.213000

159 C04AE02 NICERGOLINUM SINERGOLIN 30 DRAJ. 30mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-6L 30 30.42 1.014000 1.014000 0.507000

160 C04AE02 NICERGOLINUM SINERGOLIN 30 DRAJ. 30mg SINTOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-6L 20 20.28 1.014000 1.014000 0.507000

161 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 8.71 0.871000 0.871000 0.435500

162 C04AX07 VINCAMINUM VINCAMIL COMPR. 20mg FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-6L 50 12.94 0.258800 0.258800 0.129400

163 C04AX07 VINCAMINUM VINCAMINA DRAJ. 10mg BIOFARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 DRAJ. P-6L 20 5.73 0.286500 0.286500 0.143250

164 C04AXN1 GINKGO BILOBA** BILOBIL INTENS 120 mg (vezi N06DX02) CAPS. 120mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 60 63.31 1.055166 1.055166 0.527583

165 C04AXN1 GINKGO BILOBA** BILOBIL 40 mg (C04AXN1) CAPS. 40mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS. P-6L 20 9.00 0.450000 0.430333 0.215166

166 C04AXN1 GINKGO BILOBA** BILOBIL 40 mg (C04AXN1) CAPS. 40mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. AL/PVC-PVDC X 10 CAPS. P-6L 60 25.82 0.430333 0.430333 0.215166

167 C04AXN1 GINKGO BILOBA** BILOBIL FORTE (vezi C04AXN1) CAPS. 80mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. AL/PVC X 10 CAPS. P-6L 60 42.53 0.708833 0.708833 0.354416

168 C04AXN1 GINKGO BILOBA** GINGIUM 120mg (vezi N06DX02) COMPR. FILM. 120mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L 30 32.73 1.091000 1.091000 0.545500

169 C04AXN1 GINKGO BILOBA** FLAVOTAN 40 mg (C04AXN1) COMPR. FILM. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 12.90 0.430000 0.383000 0.191500

170 C04AXN1 GINKGO BILOBA** TANAKAN (EGB 761) (N06DX02) COMPR. FILM. 40mg IPSEN BIOTECH FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 23.67 0.789000 0.383000 0.191500

171 C04AXN1 GINKGO BILOBA** GINGIUM 40mg (vezi N06DX02 ) COMPR. FILM. 40mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L 30 11.71 0.390333 0.383000 0.191500

172 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 21.94 0.438800 0.383000 0.191500

173 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 8.75 0.437500 0.383000 0.191500

174 C04AXN1 GINKGO BILOBA** GINKOFAR 40 mg (vezi N06DX02) COMPR. FILM. 40mg BMF PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 20 8.63 0.431500 0.383000 0.191500

175 C04AXN1 GINKGO BILOBA** GINKOFAR 40 mg (vezi N06DX02) COMPR. FILM. 40mg BMF PHARM S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 60 24.99 0.416500 0.383000 0.191500

176 C04AXN1 GINKGO BILOBA** GINKOFAR 40 mg (vezi N06DX02) COMPR. FILM. 40mg BMF PHARM S.R.L. ROMANIA CUTIE X 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 90 34.47 0.383000 0.383000 0.191500

177 C04AXN1 GINKGO BILOBA** GINKO BILOBA BIOFARM 40 mg (vezi N06DX02) COMPR. FILM. 40mg BIOFARM S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 11.56 0.385333 0.383000 0.191500

178 C04AXN1 GINKGO BILOBA** GINGIUM 80mg (vezi N06DX02) COMPR. FILM. 80mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L 30 22.06 0.735333 0.735333 0.367666

179 C04AXN1 GINKGO BILOBA** TANAKAN (EGB 761) (C04AXN1) 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 23.36 23.360000 23.360000 11.680000

180 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 24.78 0.826000 0.826000 0.413000

181 C07AB12 NEBIVOLOLUM EZOCEM 5 mg COMPR 5mg OZONE LABORATORIES BV OLANDA CUTIE X 28 COMPR. IN BLIST. PVC-PE-PVDC/AL P-6L 28 23.99 0.856785 0.463214 0.231607

182 C07AB12 NEBIVOLOLUM NEBLOTENSOL 5 mg COMPR. 5 mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 25.42 0.847333 0.463214 0.231607

183 C07AB12 NEBIVOLOLUM NEBILET (R) COMPR. 5mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L 28 51.07 1.823928 0.463214 0.231607

184 C07AB12 NEBIVOLOLUM NEBIVOLOL ACTAVIS 5 mg COMPR. 5mg ACTAVIS S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 25.70 0.856666 0.463214 0.231607

185 C07AB12 NEBIVOLOLUM NEBACOP 5 mg COMPR. 5mg JUST BUSINESS SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. P-6L 28 23.98 0.856428 0.463214 0.231607

186 C07AB12 NEBIVOLOLUM NEBACOP 5 mg COMPR. 5mg JUST BUSINESS SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 14 COMPR. P-6L 42 25.70 0.611904 0.463214 0.231607

187 C07AB12 NEBIVOLOLUM X-PRESSOL 5 mg COMPR. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-RF 30 25.42 0.847333 0.463214 0.231607

188 C07AB12 NEBIVOLOLUM NOLET 5 mg COMPR. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC- PE- PVDC/AL X 10 COMPR. P-6L 30 28.51 0.950333 0.463214 0.231607

189 C07AB12 NEBIVOLOLUM NEBINORM 5 mg COMPR. 5mg MEDICAMENTA A.S. CEHIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 25.58 0.852666 0.463214 0.231607

190 C07AB12 NEBIVOLOLUM NEBIVOLOL TEVA 5 mg COMPR. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P-6L 28 21.42 0.765000 0.463214 0.231607

Page 6 of 26

191 C07AB12 NEBIVOLOLUM NEBIVOLOL TEVA 5 mg COMPR. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 22.94 0.764666 0.463214 0.231607

192 C07AB12 NEBIVOLOLUM VOXNEBIN 5 mg COMPR. 5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L 28 12.97 0.463214 0.463214 0.231607

193 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 27.67 0.922333 0.922333 0.461166

194 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 24.68 0.822666 0.822666 0.411333

195 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 27.67 0.922333 0.922333 0.461166

196 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 41.83 1.394333 1.394333 0.697166

197 C08CA09 LACIDIPINUM LACIPIL 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 12.02 0.858571 0.858571 0.429285

198 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 60.06 2.145000 1.394285 0.697142

199 C08CA13 LERCANIDIPINUM LERCANIDIPIN ACTAVIS 10 mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/PVC X 28 COMPR. FILM. P-6L 28 39.04 1.394285 1.394285 0.697142

200 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 68.78 2.456428 1.650714 0.825357

201 C08CA13 LERCANIDIPINUM LERCANIDIPIN ACTAVIS 20 mg COMPR. FILM. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/PVC X 28 COMPR. FILM. P-6L 28 46.22 1.650714 1.650714 0.825357

202 C09AA04 PERINDOPRILUM PRENESSA 2 mg COMPR. 2mg KRKA POLSKA SP. Z.O.O. POLONIA CUTIE CU 1 BLIST. DIN PVC-PE-PVDC/AL X 30 COMPR. P-6L 30 12.62 0.420666 0.420666 0.210333

203 C09AA04 PERINDOPRILUM PERINDOPRIL TEVA 4 mg COMPR. 4mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 PUNGA DIN AL X 1 BLIST. PVC/VMCH-AL X 30 COMPR. P-6L 30 30.94 1.031333 0.809333 0.404666

204 C09AA04 PERINDOPRILUM VIDOTIN 4 mg COMPR. 4mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 31.42 1.047333 0.809333 0.404666

205 C09AA04 PERINDOPRILUM PRINDEX 4 mg COMPR. 4mg MEDICAMENTA A.S. CEHIA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L 30 30.82 1.027333 0.809333 0.404666

206 C09AA04 PERINDOPRILUM TREZEN 4 mg COMPR. 4mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 24.28 0.809333 0.809333 0.404666

207 C09AA04 PERINDOPRILUM TREZEN 4 mg COMPR. 4mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 24.28 0.809333 0.809333 0.404666

208 C09AA04 PERINDOPRILUM PRENESSA 4 mg COMPR. 4mg KRKA POLSKA SP. Z.O.O. POLONIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L 30 25.24 0.841333 0.809333 0.404666

209 C09AA04 PERINDOPRILUM PERINDOPRIL TEVA 8 mg COMPR. 8mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 PUNGA DIN AL X 1 BLIST PVC/VMCH-AL X 30 COMPR. P-6L 30 50.18 1.672666 1.537333 0.768666

210 C09AA04 PERINDOPRILUM VIDOTIN 8 mg COMPR. 8mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 50.19 1.673000 1.537333 0.768666

211 C09AA04 PERINDOPRILUM PRENESSA 8 mg COMPR. 8mg KRKA POLSKA SP ZO.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L 30 46.42 1.547333 1.537333 0.768666

212 C09AA04 PERINDOPRILUM PRINDEX 8 mg COMPR. 8mg MEDICAMENTA A.S. CEHIA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L 30 59.64 1.988000 1.537333 0.768666

213 C09AA04 PERINDOPRILUM TREZEN 8 mg COMPR. 8mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 46.12 1.537333 1.537333 0.768666

214 C09AA04 PERINDOPRILUM TREZEN 8 mg COMPR. 8mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 46.12 1.537333 1.537333 0.768666

215 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 61.78 2.059333 2.059333 1.029666

216 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 38.61 1.287000 1.287000 0.643500

217 C09AA07 BENAZEPRILUM CIBACEN (R) 10 mg COMPR. FILM. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 40.99 1.463928 1.463928 0.731964

218 C09AA07 BENAZEPRILUM CIBACEN (R) 20 mg COMPR. FILM. 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 53.80 1.921428 1.921428 0.960714

219 C09AA07 BENAZEPRILUM CIBACEN (R) 5 mg COMPR. FILM. 5mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 20.46 0.730714 0.730714 0.365357

220 C09AA10 TRANDOLAPRILUM GOPTEN (R) 0,5 mg CAPS. 0,5mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 10 CAPS. P-6L 20 9.12 0.456000 0.266428 0.133214

Page 7 of 26

221 C09AA10 TRANDOLAPRILUM FEZZOR 0,5 mg CAPS. 0,5mg OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L 28 7.46 0.266428 0.266428 0.133214

222 C09AA10 TRANDOLAPRILUM FEZZOR 1 mg CAPS. 1mg OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L 28 10.71 0.382500 0.382500 0.191250

223 C09AA10 TRANDOLAPRILUM GOPTEN (R) 2 mg CAPS. 2mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS. P-6L 28 26.38 0.942142 0.611785 0.305892

224 C09AA10 TRANDOLAPRILUM FEZZOR 2 mg CAPS. 2mg OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L 28 17.13 0.611785 0.611785 0.305892

225 C09AA10 TRANDOLAPRILUM GOPTEN (R) 4 mg CAPS. 4mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS. P-6L 28 43.93 1.568928 1.053214 0.526607

226 C09AA10 TRANDOLAPRILUM FEZZOR 4 mg CAPS. 4mg OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L 28 29.49 1.053214 1.053214 0.526607

227 C09AA15 ZOFENOPRILUM ZOMEN (R) 30 mg COMPR. FILM. 30mg BERLIN CHEMIE AG GERMANIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 41.75 1.491071 1.491071 0.745535

228 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 18.49 0.660357 0.660357 0.330178

229 C09BA04

COMBINATII (PERINDOPRILUM+INDAPAMIDUM) CO-PRENESSA 2mg/0,625 mg COMPR. 2mg/0,625mg KRKA POLSKA SP ZO.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L 30 15.19 0.506333 0.506333 0.253166

230 C09BA04

COMBINATII (PERINDOPRILUM+INDAPAMIDUM) CO-PRENESSA 4mg/1,25 mg COMPR. 4mg/1,25mg KRKA POLSKA SP ZO.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L 30 27.63 0.921000 0.921000 0.460500

231 C09BA04

COMBINATII (PERINDOPRILUM+INDAPAMIDUM) NOLIPREL ARG 2,5mg/0,625mg COMPR. FILM. 2,5mg/0,625mg LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L 30 53.68 1.789333 1.789333 0.894666

232 C09BA04

COMBINATII (PERINDOPRILUM+INDAPAMIDUM) NOLIPREL ARG FORTE 5mg/1,25mg COMPR. FILM. 5mg/1,25mg LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L 30 57.86 1.928666 1.928666 0.964333

233 C09BA04

COMBINATII (PERINDOPRILUM+INDAPAMIDUM) PRESTARIUM ARG PLUS 5mg/1,25mg COMPR. FILM. 5mg/1,25mg LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L 30 57.86 1.928666 1.928666 0.964333

234 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 20.34 0.678000 0.678000 0.339000

235 C09BA06

COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM) ACCUZIDE 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 29.65 0.988333 0.986000 0.493000

236 C09BA06

COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM) EDOLFIX H 20mg/12,5mg COMPR. FILM. 20mg/12,5mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 29.58 0.986000 0.986000 0.493000

237 C09BB02

COMBINATII (NITRENDIPINUM+ENALAPRILUM) ENEAS COMPR. 20mg+10mg GALENICA S.A. GRECIA CUTIE X 3 BLIST. PA-PVC-AL/AL X 10 COMPR. P-6L 30 90.63 3.021000 3.021000 1.510500

238 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 49.61 1.771785 1.771785 0.885892

239 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 28 109.48 3.910000 3.910000 1.955000

240 C09CA03 VALSARTANUM DIOVAN 40 mg COMPR. FILM. 40mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 68.73 2.454642 2.454642 1.227321

Page 8 of 26

241 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 86.27 3.081071 3.081071 1.540535

242 C09CA04 IRBESARTANUM APROVEL 150mg COMPR. FILM. 150mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 74.87 2.673928 2.673928 1.336964

243 C09CA04 IRBESARTANUM APROVEL 300mg COMPR. FILM. 300mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 101.17 3.613214 3.613214 1.806607

244 C09CA06 CANDESARTANUM CILEXETIL ATACAND COMPR. 16mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 64.82 2.315000 2.315000 1.157500

245 C09CA06 CANDESARTANUM CILEXETIL ATACAND COMPR. 8mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 52.67 1.881071 1.881071 0.940535

246 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 56.99 2.035357 2.035357 1.017678

247 C09CA07 TELMISARTANUM PRITOR 40 mg COMPR. 40mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC ) P-6L 28 62.27 2.223928 2.035357 1.017678

248 C09CA07 TELMISARTANUM MICARDIS 80 mg COMPR. 80mg

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L 28 72.69 2.596071 2.596071 1.298035

249 C09CA07 TELMISARTANUM PRITOR 80 mg COMPR. 80mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC ) P-6L 28 72.69 2.596071 2.596071 1.298035

250 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 74.62 2.665000 0.706428 0.353214

251 C09DA01

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM) LORISTA H COMPR.FILM 50mg+ 12,50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. DIN PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 19.78 0.706428 0.706428 0.353214

252 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 150mg/12,5mg COMPR. 150mg/12,5mg

SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 78.10 2.789285 2.789285 1.394642

253 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 300mg/12,5mg COMPR. 300mg/12,5mg

SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 105.46 3.766428 3.766428 1.883214

254 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 300mg/25mg COMPR. FILM. 300mg/25mg

SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 105.50 3.767857 3.767857 1.883928

255 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) MICARDISPLUS 80/12,5mg COMPR. 80/12,5mg

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L 28 72.69 2.596071 2.596071 1.298035

256 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) MICARDISPLUS 80/25mg COMPR. 80/25mg

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 28 COMPR. (BLIST. PA/AL/PVC/AL SAU PA/PA/AL/PVC/AL) P-6L 28 98.45 3.516071 3.516071 1.758035

Page 9 of 26

257 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) PRITOR PLUS 80mg/12,5mg COMPR. 80mg/12,5mg

BAYER SCHERING PHARMA AG GERMANIA CUTIE X 28COMPR.( BLIST. PA/AL/PVC PERFORATE) P-6L 28 74.71 2.668214 2.596071 1.298035

258 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) PRITOR PLUS 80mg/25mg COMPR. 80mg/25mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 28COMPR.( BLIST. PA/AL/PVC SAU PA/PA/AL/PVC/AL PERFORATE UNIDOZA) P-6L 28 98.45 3.516071 3.516071 1.758035

259 C09DB01

COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE 10mg/160mg COMPR. FILM. 10mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L 56 237.31 4.237678 4.237678 2.118839

260 C09DB01

COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE 10mg/160mg COMPR. FILM. 10mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM.(BLIST.PVC/PVDC ) P-6L 28 125.13 4.468928 4.237678 2.118839

261 C09DB01

COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE 5mg/160mg COMPR. FILM. 5mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L 56 237.31 4.237678 4.237678 2.118839

262 C09DB01

COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE 5mg/160mg COMPR. FILM. 5mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L 28 125.13 4.468928 4.237678 2.118839

263 C09DB01

COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE 5mg/80mg COMPR. FILM. 5mg/80mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM.(BLIST.PVC/PVDC ) P-6L 56 201.69 3.601607 3.601607 1.800803

264 C09DB01

COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE 5mg/80mg COMPR. FILM. 5mg/80mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/PVDC ) P-6L 28 106.35 3.798214 3.601607 1.800803

265 C10AA04 FLUVASTATINUM LESCOL 20 mg CAPS. 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS. P-6L 28 15.01 0.536071 0.348333 0.174166

266 C10AA04 FLUVASTATINUM LUVINISTA 20 mg CAPS. 20mg ACTAVIS GROUP EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. P-6L 30 10.45 0.348333 0.348333 0.174166

267 C10AA04 FLUVASTATINUM LESCOL 40 mg CAPS. 40mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS. P-6L 28 27.32 0.975714 0.633666 0.316833

268 C10AA04 FLUVASTATINUM LUVINISTA 40 mg CAPS. 40mg ACTAVIS GROUP EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. P-6L 30 19.01 0.633666 0.633666 0.316833

269 C10AA04 FLUVASTATINUM LESCOL XL 80 mg COMPR. ELIB. PREL. 80mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. ELIB. PREL. P-6L 28 43.42 1.550714 1.550714 0.775357

270 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 74.38 2.479333 2.479333 1.239666

271 C10AA05 ATORVASTATINUM SORTIS 20 mg COMPR. FILM. 20mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 119.07 3.969000 3.969000 1.984500

272 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 51.49 3.677857 3.677857 1.838928

273 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 80.68 5.762857 5.762857 2.881428

274 C10AA07 ROSUVASTATINUM CRESTOR 10 mg COMPR. FILM. 10mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 98.62 3.522142 3.522142 1.761071

275 C10AA07 ROSUVASTATINUM CRESTOR 20 mg COMPR. FILM. 20mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 140.25 5.008928 5.008928 2.504464

276 C10AA07 ROSUVASTATINUM CRESTOR 40 mg COMPR. FILM. 40mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 140.25 5.008928 5.008928 2.504464

277 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 85.79 3.063928 3.063928 1.531964

278 C10AB02 BEZAFIBRATUM REGADRIN (R) B DRAJ. 200mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 5 BLIST. X 10 DRAJ. P-6L 50 26.79 0.535800 0.535800 0.267900

279 C10AB08 CIPROFIBRATUM LIPANOR (R) 100 mg CAPS. 100mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. X 10 CAPS. P-6L 30 24.10 0.803333 0.803333 0.401666

Page 10 of 26

280 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 93.92 3.354285 3.354285 1.677142

281 C10AX09 EZETIMIBUM EZETROL (R) COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF 14 89.61 6.400714 6.069642 3.034821

282 C10AX09 EZETIMIBUM EZETROL (R) COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF 28 169.95 6.069642 6.069642 3.034821

283 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 76.47 2.549000 2.549000 1.274500

284 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 68.18 2.272666 2.272666 1.136333

285 D01AA02 NATAMYCINUM PIMAFUCIN CREMA 20mg/g ASTELLAS EUROPE B.V. OLANDA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF 1 11.71 11.710000 11.710000 5.855000

286 D01BA02 TERBINAFINUM EXIFINE 125 mg COMPR. 125mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 28 48.45 1.730357 1.730357 0.865178

287 D01BA02 TERBINAFINUM EXIFINE 125 mg COMPR. 125mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 14 25.38 1.812857 1.730357 0.865178

288 D01BA02 TERBINAFINUM LAMISIL (R) COMPR. 250mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. X 14 COMPR. P-RF 14 82.53 5.895000 0.997142 0.498571

289 D01BA02 TERBINAFINUM TERBINARAN COMPR. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-RF 30 220.61 7.353666 0.997142 0.498571

290 D01BA02 TERBINAFINUM TERBINARAN COMPR. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-RF 28 100.88 3.602857 0.997142 0.498571

291 D01BA02 TERBINAFINUM EXIFINE 250 mg COMPR. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 28 31.28 1.117142 0.997142 0.498571

292 D01BA02 TERBINAFINUM EXIFINE 250 mg COMPR. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 14 15.64 1.117142 0.997142 0.498571

293 D01BA02 TERBINAFINUM TERBINAFINE 250 mg COMPR. 250mg ACTAVIS GROUP HF ISLANDA CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 14 15.84 1.131428 0.997142 0.498571

294 D01BA02 TERBINAFINUM TERBINAFINE 250 mg COMPR. 250mg ACTAVIS GROUP HF ISLANDA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 28 27.92 0.997142 0.997142 0.498571

295 D01BA02 TERBINAFINUM TERBINAFINA SLAVIA 250mg COMPR. 250mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 COMPR. P-RF 14 17.10 1.221428 0.997142 0.498571

296 D01BA02 TERBINAFINUM TERBISIL (R) 250 mg COMPR. 250mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. X 14 COMPR. P-RF 28 102.13 3.647500 0.997142 0.498571

297 D05AX02 CALCIPOTRIOLUM* DAIVONEX CREMA 50mcg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 30 G CREMA P-6L 1 40.62 40.620000 40.620000 20.310000

298 D05AX02 CALCIPOTRIOLUM* DAIVONEX SOLUTIE CUTANATA PENTRU SCALP SOL. CUT. 50mcg/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 FLACON DIN PEID X 30 ML SOL. CUTANATA PENTRU SCALP P-6L 1 44.73 44.730000 44.730000 22.365000

299 D05AX02 CALCIPOTRIOLUM* DAIVONEX UNGUENT UNGUENT 50mcg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 30 G UNGUENT P-6L 1 34.42 34.420000 34.420000 17.210000

300 D05AX52

COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)* DAIVOBET (R) UNGUENT UNGUENT FARA CONCENTRATIE LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB X 15 G P-RF 1 58.45 58.450000 58.450000 29.225000

301 D05BB02 ACITRETINUM** NEOTIGASON 10 mg CAPS. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS. P-RF 30 71.44 2.381333 2.381333 1.190666

302 D06AX01 ACIDUM FUSIDICUM FUCIDIN 20 mg/g CREMA 20mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 14.25 14.250000 14.250000 7.125000

303 D06AX01 ACIDUM FUSIDICUM FUCIDIN 20 mg/g UNGUENT 20mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 14.25 14.250000 14.250000 7.125000

304 D06BA01 SULFADIAZINUM FLAMMAZINE CREMA 1% CN UNIFARM ROMANIA BORCAN X 500 G CREMA X 1 159.48 159.480000 159.480000 79.740000

305 D06BB04PODOPHYLLOTOXINUM* WARTEC 1,5 mg/g CREMA 1,5 mg/g STIEFEL LABORATORIES IRELAND LTD. MAREA BRITANIE CUTIE X 1 TUB X 5 G CREMA P-RF 1 80.32 80.320000 80.320000 40.160000

306 D06BB04PODOPHYLLOTOXINUM* 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 71.32 71.320000 71.320000 35.660000

307 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 12.14 12.140000 12.140000 6.070000

308 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 12.57 12.570000 12.140000 6.070000

309 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 12.02 12.020000 12.020000 6.010000

Page 11 of 26

310 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 10.54 10.540000 10.540000 5.270000

311 D07AC13 MOMETASONUM ELOCOM CREMA 1mg/g SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB DIN AL X 15 G P-RF 1 14.73 14.730000 14.730000 7.365000

312 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 17.63 17.630000 17.630000 8.815000

313 D07AC13 MOMETASONUM ELOCOM UNGUENT 1mg/g SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB DIN AL X 15 G P-RF 1 14.73 14.730000 14.730000 7.365000

314 D07AC14

METHYLPREDNISOLONUM ACEPONAT ADVANTAN CREMA 1mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 12.45 12.450000 12.450000 6.225000

315 D07AC14

METHYLPREDNISOLONUM ACEPONAT ADVANTAN (R) MILK EMULSIE CUT. 0,1% INTENDIS GMBH GERMANIA CUTIE X 1 TUB X 20 G P-RF 1 18.41 18.410000 18.410000 9.205000

316 D07AC14

METHYLPREDNISOLONUM ACEPONAT ADVANTAN UNGUENT 1mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 12.45 12.450000 12.450000 6.225000

317 D07AC17FLUTICASONUM PROPIONAT CUTIVATE CREMA 0,05% GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 9.68 9.680000 9.680000 4.840000

318 D07AC17FLUTICASONUM PROPIONAT CUTIVATE UNGUENT 0,005% GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 9.68 9.680000 9.680000 4.840000

319 D07AD01 CLOBETASOLUM* DERMOVATE CREMA 0,05% GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 TUB X 25 G P-RF 1 11.34 11.340000 11.340000 5.670000

320 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 4.88 4.880000 4.880000 2.440000

321 D07AD01 CLOBETASOLUM* DERMOVATE UNGUENT 0,05% GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 TUB X 25 G P-RF 1 8.35 8.350000 5.420000 2.710000

322 D07AD01 CLOBETASOLUM* DERMIONE UNGUENT 0,05% OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 TUB DIN AL X 20 G P-RF 1 5.42 5.420000 5.420000 2.710000

323 D07AD01 CLOBETASOLUM* CLOBETASOL MK UNGUENT 0,05% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 7.70 7.700000 5.420000 2.710000

324 D07CA01

COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM) FUCIDIN H CREMA FARA CONCENTRATIE LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 20.40 20.400000 20.400000 10.200000

325 D07CC01

COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM) FUCICORT 20 mg/1mg pe gram CREMA 20mg/1mg pe gram LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 22.37 22.370000 22.370000 11.185000

326 D07XC03

COMBINATII (MOMETASONUM + AC. SALICILICUM) ELOSALIC UNGUENT FARA CONCENTRATIE SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB X 15 G P-RF 1 19.35 19.350000 19.350000 9.675000

327 D07XC03

COMBINATII (MOMETASONUM + AC. SALICILICUM) ELOSALIC UNGUENT FARA CONCENTRATIE SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB X 45 G P-RF 1 55.23 55.230000 19.350000 9.675000

328 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 34.00 34.000000 34.000000 17.000000

329 D10AX03 ACIDUM AZELAICUM SKINOREN CREMA 200mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF 1 33.08 33.080000 33.080000 16.540000

330 D10AX03 ACIDUM AZELAICUM SKINOREN (R) 15% GEL 15% INTENDIS GMBH GERMANIA CUTIE X 1 TUB AL X 30 G GEL P-RF 1 41.75 41.750000 41.750000 20.875000

331 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 50.04 1.668000 1.070333 0.535166

Page 12 of 26

332 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 32.11 1.070333 1.070333 0.535166

333 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 60.35 2.011666 2.011666 1.005833

334 G01AA02 NATAMYCINUM PIMAFUCIN (R) OVULE 100mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 FOLIE X 3 OVULE P-RF 3 10.42 3.473333 3.473333 1.736666

335 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 35.79 2.982500 2.982500 1.491250

336 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 16.39 2.731666 2.731666 1.365833

337 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 33.30 33.300000 33.300000 16.650000

338 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 18.86 18.860000 18.860000 9.430000

339 G01AF15 BUTOCONAZOLUM GYNOFORT 2% CREMA VAG. FARA CONCENTRATIE GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 APLICATOR PREUMPLUT UNIDOZA DIN PP CU 5 G CREMA VAG. P-RF 1 37.81 37.810000 37.810000 18.905000

340 G01AF20

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLODIN COMPR. VAG. 500mg/200mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. TRANSPARENT DIN AL/PVC X 5 COMPR. VAG. P-RF 10 14.10 1.410000 1.410000 0.705000

341 G01AF20

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLON® CREMA FARA CONCENTRATIE ALFA WASSERMANN SPA ITALIA CUTIE X 1 TUB DIN AL X 30 G P-RF 1 9.04 9.040000 9.040000 4.520000

342 G01AF20

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLON CREMA VAG. FARA CONCENTRATIE ALFA WASSERMAN SPA ITALIA CUTIE X 1 TUB DIN AL X 30 G CREMA VAG. + 6 APLICATOARE DIN POLIPROPILENA P-RF 1 12.08 12.080000 12.080000 6.040000

343 G01AF20

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLON OVULE FARA CONCENTRATIE ALFA WASSERMAN SPA ITALIA CUTIE X 2 FOLII PVC-PE X 5 OVULE P-RF 10 10.48 1.048000 1.048000 0.524000

344 G01AF20

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLON SOL. VAGINALA FARA CONCENTRATIE ALFA WASSERMAN SPA ITALIA CUTIE X 5 FLACOANE PVC-PE X 10 ML + 5 FLACOANE PEJD X 130 ML + 5 CANULE P-RF 5 20.63 4.126000 4.126000 2.063000

345 G01AX05 NIFURATELUM MACMIROR DRAJ. 200mg POLICHEM SA LUXEMBURG CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-RF 20 18.37 0.918500 0.918500 0.459250

346 G02CB03 CABERGOLINUM* DOSTINEX COMPR. 0,5mg PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 2 COMPR. P-RF 2 40.92 20.460000 14.522500 7.261250

347 G02CB03 CABERGOLINUM* DOSTINEX COMPR. 0,5mg PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 8 COMPR. P-RF 8 116.18 14.522500 14.522500 7.261250

348 G03AC03 LEVONORGESTRELUM***# MIRENA 20 mcg/24 h DISPOZITIV INTRAUTERIN 52mg BAYER SCHERING PHARMA AG FINLANDA CUTIE X 1 BLIST. X 1 DISP. PT. ADM. INTRAUTERINA + 1 INSERTOR P-RF 1 486.51 486.510000 486.510000 243.255000

349 G03CA04 ESTRIOLUM* OVESTIN CREMA VAG. 0.1% ORGANON NV OLANDA CUTIE X 1 FLACON X 15 G + APLICATOR P-RF 1 13.87 13.870000 13.870000 6.935000

350 G03CA04 ESTRIOLUM* OVESTIN OVULE 0,5mg ORGANON NV OLANDA CUTIE X 3 FOLII X 5 OVULE P-RF 15 19.35 1.290000 1.290000 0.645000

351 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 11.34 1.134000 1.134000 0.567000

352 G03CA09 PROMESTRIENUM* COLPOTROPHINE (R) CREMA VAG. 1% LAB. THERAMEX MONACO CUTIE X 1 TUB X 15 G P-RF 1 13.00 13.000000 13.000000 6.500000

353 G03DA04 PROGESTERONUM* UTROGESTAN (R) 100 mg CAPS. MOI 100mg LAB. BESINS INTERNATIONAL FRANTA CUTIE X 2 BLIST. X 15 CAPS. MOI P-6L 30 28.17 0.939000 0.610000 0.305000

354 G03DA04 PROGESTERONUM* AREFAM 100 mg CAPS. MOI 100mg LADEE PHARMA KFT. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. MOI P-6L 30 18.30 0.610000 0.610000 0.305000

355 G03DA04 PROGESTERONUM* UTROGESTAN (R) 200 mg CAPS. MOI 200mg LAB. BESINS INTERNATIONAL FRANTA CUTIE X 2 BLIST. AL/PVC X 7 CAPS. MOI P-6L 14 28.17 2.012142 1.181000 0.590500

356 G03DA04 PROGESTERONUM* AREFAM 200 mg CAPS. MOI 200mg LADEE PHARMA KFT. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 CAPS. MOI P-6L 30 35.43 1.181000 1.181000 0.590500

357 G03DA04 PROGESTERONUM* PROGESTOGEL GEL 1% LAB. BESINS INTERNATIONAL FRANTA CUTIE X 1 TUB X 80 G + DISPOZITIV DE MASURA P-6L 1 16.89 16.890000 5.490000 2.745000

358 G03DA04 PROGESTERONUM* MASTOPROFEN 1% GEL 1% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB DIN AL X 40 G P-6L 1 5.49 5.490000 5.490000 2.745000

359 G03DB01 DYDROGESTERONUM* DUPHASTON (R) COMPR. FILM. 10mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 1 BLIST. X 20 COMPR. FILM. P-6L 20 13.50 0.675000 0.675000 0.337500

360 G03DC03 LYNESTRENOLUM* ORGAMETRIL COMPR. 5mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 30 COMPR. P-6L 30 8.57 0.285666 0.285666 0.142833

361 G03DC05 TIBOLONUM** LIVIAL (R) 2,5 mg COMPR. 2,5mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 28 COMPR. P-RF 28 69.59 2.485357 2.020714 1.010357

362 G03DC05 TIBOLONUM** LADYBON COMPR. 2,5mg ZENTIVA A.S. CEHIA CUTIE X 1 BLIST. DIN AL-PVDC/PVC X 28 COMPR. P-RF 28 68.03 2.429642 2.020714 1.010357

363 G03DC05 TIBOLONUM** LADYBON COMPR. 2,5mg ZENTIVA A.S. CEHIA CUTIE X 3 BLIST. DIN AL-PVDC/PVC X 28 COMPR. P-RF 84 169.74 2.020714 2.020714 1.010357

364 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 28 29.71 1.061071 1.061071 0.530535

Page 13 of 26

365 G03FA15 ESTRADIOLUMVALERAT+DIENOGEST** KLIMODIEN DRAJ. FARA CONCENTRATIE BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 BLIST. X 28 DRAJ. P-RF 28 33.17 1.184642 1.184642 0.592321

366 G03FA17 COMBINATII** ANGELIQ COMPR. FILM. FARA CONCENTRATIE BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 BLIST. CALENDARISTIC PVC/AL X 28 COMPR. FILM. P-RF 1 64.22 64.220000 64.220000 32.110000

367 G03FB01 COMBINATII** CYCLO PROGINOVA (R) DRAJ. FARA CONCENTRATIE BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 BLIST. TIP CALENDAR X 21 DRAJEURI P-RF 1 7.58 7.580000 7.580000 3.790000

368 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 29.71 29.710000 29.710000 14.855000

369 G03GA05FOLLITROPINUM ALFA****# GONAL - f 150 UI 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 1 174.08 174.080000 174.080000 87.040000

370 G03GA05FOLLITROPINUM ALFA****# GONAL - f 75 UI 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 5 424.10 84.820000 84.820000 42.410000

371 G03GA05FOLLITROPINUM ALFA****# GONAL - f 75 UI 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 91.78 91.780000 84.820000 42.410000

372 G03GA05FOLLITROPINUM ALFA****# GONAL-f 300 UI/0,5 ml ( 22 mcg/0,5 ml) SOL. INJ. IN STILOU INJECTOR PREUMPLUT 300UI/0,5ml SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,5 ML SOL. INJ. + 5 ACE PT. ADM. P-RF/R 1 499.87 499.870000 499.870000 249.935000

373 G03GA05FOLLITROPINUM ALFA****# GONAL-f 450 UI/0,75 ml (33 mcg/0,75 ml) SOL. INJ. IN STILOU INJECTOR PREUMPLUT 450UI/0,75ml SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,75 ML SOL. INJ. + 7 ACE PT. ADM. SUBCUTANATA P-RF/R 1 714.43 714.430000 714.430000 357.215000

374 G03GA05FOLLITROPINUM ALFA****# GONAL-f 900 UI/1,5ml (66 mcg/1,5 ml) SOL. INJ. IN STILOU INJECTOR PREUMPLUT 900UI/0,75ml SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 1,5 ML SOL. INJ. + 14 ACE PT. ADM. SUBCUTANATA P-RF/R 1 1,358.05 1358.050000 1358.050000 679.025000

375 G03GA06FOLLITROPINUM 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 1 188.62 188.620000 188.620000 94.310000

376 G03GA06FOLLITROPINUM BETA****# PUREGON 300UI/0,36 ml SOL. INJ. 300UI/0,36ml N. V. ORGANON OLANDA CUTIE X 1 CARTUS + 6 ACE P-RF 1 490.06 490.060000 490.060000 245.030000

377 G03GA06FOLLITROPINUM 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 99.85 99.850000 99.850000 49.925000

378 G03GA06FOLLITROPINUM BETA****# PUREGON 600UI/0,72 ml SOL. INJ. 600UI/0,72ml N. V. ORGANON OLANDA CUTIE X 1 CARTUS SOL. INJ + 6 ACE P-RF/R 1 909.28 909.280000 909.280000 454.640000

379 G03GA06FOLLITROPINUM BETA****# PUREGON 900UI/1,08 ml SOL. INJ. 900UI/1,08ml N. V. ORGANON OLANDA CUTIE X 1 CARTUS SOL. INJ. + 9 ACE P-RF 1 1,329.05 1329.050000 1329.050000 664.525000

380 G03GA07LUTROPINUM ALFA****# LUVERIS 75UI PULB+SOLV.PT.SOL.INJ 75UI SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ.+ 10 FLAC. A 2 ML SAU 3 ML X 1 ML SOLV. P-RF/R 10 1,967.48 196.748000 137.780000 68.890000

381 G03GA07LUTROPINUM ALFA****# LUVERIS 75UI PULB+SOLV.PT.SOL.INJ 75UI SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.+ 1 FLAC. A 2 ML SAU 3 ML X 1 ML SOLV. P-RF/R 1 137.78 137.780000 137.780000 68.890000

382 G03GA07LUTROPINUM ALFA****# LUVERIS 75UI PULB+SOLV.PT.SOL.INJ 75UI SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 3 FLAC. CU PULB. PT. SOL. INJ.+ 3 FLAC. A 2 ML SAU 3 ML X 1 ML SOLV. P-RF/R 3 703.06 234.353333 137.780000 68.890000

383 G03GB02 CLOMIFENUM CLOSTILBEGYT COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. P-RF 10 13.44 1.344000 1.245000 0.622500

384 G03GB02 CLOMIFENUM OVA - MIT COMPR. 50mg REMEDICA LTD. CIPRU CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 12.45 1.245000 1.245000 0.622500

385 G03XC01 RALOXIFENUM EVISTA 60mg COMPR. FILM. 60mg DAIICHI SANKYO EUROPE GMBH GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR) P-RF 28 117.34 4.190714 4.190714 2.095357

386 G04BD04 OXYBUTYNINUM DRIPTANE ( R ) 5 mg COMPR. 5mg LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC X 30 COMPR. P-6L 60 25.01 0.416833 0.416833 0.208416

387 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 28 163.94 5.855000 5.855000 2.927500

388 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 45.51 6.501428 5.855000 2.927500

389 G04BD07 TOLTERODINUM**# UROFLOW 1 COMPR. FILM. 1mg ZENTIVA A.S. CEHIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 25.64 0.915714 0.915714 0.457857

390 G04BD07 TOLTERODINUM**# UROFLOW 2 COMPR. FILM. 2mg ZENTIVA A.S. CEHIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 49.62 1.772142 1.772142 0.886071

391 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 30 213.25 7.108333 7.108333 3.554166

392 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 30 172.16 5.738666 5.738666 2.869333

393 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 27.20 1.360000 1.102200 0.551100

394 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 55.11 1.102200 1.102200 0.551100

395 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 35.79 1.193000 1.102200 0.551100

396 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 87.23 1.744600 1.744600 0.872300

397 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 59.64 1.988000 1.744600 0.872300

398 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 44.08 2.204000 1.744600 0.872300

399 G04CA01 ALFUZOSINUM ALFURAN MR 10 mg COMPR. ELIB. PREL. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. ELIB. PREL. P-6L 30 33.85 1.128333 1.128333 0.564166

Page 14 of 26

400 G04CA01 ALFUZOSINUM XATRAL SR 10 mg COMPR. ELIB. PREL. 10mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVCX 10 COMPR. ELIB. PREL. P-6L 30 55.28 1.842666 1.128333 0.564166

401 G04CA01 ALFUZOSINUM XATRAL LP 5 mg COMPR. FILM. ELIB. PREL. 5mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. ELIB. PREL. P-6L 28 32.74 1.169285 1.169285 0.584642

402 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 34.12 1.137333 0.429333 0.214666

403 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 32.74 1.091333 0.429333 0.214666

404 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 12.88 0.429333 0.429333 0.214666

405 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 25.27 0.842333 0.429333 0.214666

406 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 28.66 0.955333 0.429333 0.214666

407 G04CA02 TAMSULOSINUM TAMSULOSIN STADA CAPS. ELIB. PREL. 0,4mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 10 CAPS. CU ELIB. PREL. P-6L 30 15.99 0.533000 0.429333 0.214666

408 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 62.15 2.071666 2.071666 1.035833

409 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 33.10 1.103333 1.046020 0.523010

410 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 31.23 2.230714 1.046020 0.523010

411 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 60.44 2.158571 1.046020 0.523010

412 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 31.90 1.139285 1.046020 0.523010

413 G04CB01 FINASTERIDUM* FINASTERID STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLISTERE PVC-PVDC/AL X 50 COMPR. FILM. P-6L 50 55.07 1.101400 1.046020 0.523010

414 G04CB01 FINASTERIDUM* FINASTERID STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. TIP CALENDAR X 14 COMPR. FILM. P-6L 14 15.93 1.137857 1.046020 0.523010

415 G04CB01 FINASTERIDUM* FINASTERID STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLISTERE PVC-PE-PVDC/AL X 100 COMPR. FILM. P-6L/S 100 104.61 1.046100 1.046020 0.523010

416 G04CB01 FINASTERIDUM* FINASTERID STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. TIP CALENDAR X 28 COMPR. FILM. P-6L 28 31.86 1.137857 1.046020 0.523010

417 G04CB01 FINASTERIDUM* FINASTERID STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLISTERE PVC-PE-PVDC/AL X 60 COMPR. FILM. P-6L 60 63.88 1.064666 1.046020 0.523010

418 G04CB01 FINASTERIDUM* FINASTERID STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. TIP CALENDAR X 56 COMPR. FILM. P-6L 56 61.69 1.101607 1.046020 0.523010

419 G04CB01 FINASTERIDUM* FINASTERID STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE C FLACON DIN PEID X 30 COMPR. FILM. P-6L 30 33.04 1.101333 1.046020 0.523010

420 G04CB01 FINASTERIDUM* FINASTERID STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE C FLACON DIN PEID X 100 COMPR. FILM. P-6L/S 100 104.61 1.046100 1.046020 0.523010

421 G04CB01 FINASTERIDUM* FINASTERID STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. TIP CALENDAR X 98 COMPR. FILM. P-6L 98 102.51 1.046020 1.046020 0.523010

422 G04CB01 FINASTERIDUM* FINASTERID STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLISTERE PVC-PE-PVDC/AL X 50 COMPR. FILM. P-6L 50 55.07 1.101400 1.046020 0.523010

423 G04CB01 FINASTERIDUM* FINASTERID STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. TIP CALENDAR X 84 COMPR. FILM. P-6L 84 87.87 1.046071 1.046020 0.523010

424 G04CB01 FINASTERIDUM* FINASTERID STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLISTERE PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L 30 33.04 1.101333 1.046020 0.523010

425 G04CB01 FINASTERIDUM* FINASTERID STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLISTERE PVC-PVDC/AL X 20 COMPR. FILM. P-6L 20 22.76 1.138000 1.046020 0.523010

426 G04CB01 FINASTERIDUM* FINASTERID STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLISTERE PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 33.04 1.101333 1.046020 0.523010

427 G04CB01 FINASTERIDUM* FINASTERID STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLISTERE PVC-PVDC/AL X 15 COMPR. FILM. P-6L 15 17.07 1.138000 1.046020 0.523010

428 G04CB01 FINASTERIDUM* FINASTERID STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLISTERE PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 63.88 1.064666 1.046020 0.523010

429 G04CB01 FINASTERIDUM* FINASTERID STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLISTERE PVC-PVDC/AL X 10 COMPR. FILM. P-6L 10 11.39 1.139000 1.046020 0.523010

430 G04CB01 FINASTERIDUM* FINASTERID STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLISTERE PVC-PVDC/AL X 100 COMPR. FILM. P-6L/S 100 104.61 1.046100 1.046020 0.523010

431 G04CB01 FINASTERIDUM* FINASTERID STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLISTERE PVC-PE-PVDC/AL X 15 COMPR. FILM. P-6L 15 17.07 1.138000 1.046020 0.523010

432 G04CB01 FINASTERIDUM* FINASTERID STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLISTERE PVC-PE-PVDC/AL X 20 COMPR. FILM. P-6L 20 22.76 1.138000 1.046020 0.523010

433 G04CB01 FINASTERIDUM* FINASTERID STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLISTERE PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 10 11.39 1.139000 1.046020 0.523010

434 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 31.93 1.140357 1.046020 0.523010

435 G04CB01 FINASTERIDUM* FINASTERIDA BIOGALENICA 5 mg COMPR. FILM. 5mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 28 31.93 1.140357 1.046020 0.523010

436 G04CB01 FINASTERIDUM* FINASTERIDE TEVA 5mg COMPR. FILM. 5mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 33.03 1.101000 1.046020 0.523010

437 G04CB02 DUTASTERIDUM* AVODART 0,5 mg CAPS. MOI 0,5mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 3 BLIST.PVC-PVDC/AL X 10 CAPS. MOI P-6L 30 89.78 2.992666 2.992666 1.496333

438 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 5.41 5.410000 5.410000 2.705000

439 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 1 442.32 442.320000 442.320000 221.160000

440 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 1 526.04 526.040000 526.040000 263.020000

441 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 1,244.44 1244.440000 723.320000 361.660000

442 H01AC01 SOMATROPINUM***# NUTROPINAq 10 mg/2 ml SOL. INJ. 10mg/2ml IPSEN LIMITED MAREA BRITANIE CUTIE X 1 CARTUS X 2 ML. SOL. INJ. P-RF/R 1 935.05 935.050000 935.050000 467.525000

443 H01AC01 SOMATROPINUM***# OMNITROPE 3,3mg/ml SOL. INJ. 3,3mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R 1 458.90 458.900000 458.900000 229.450000

444 H01AC01 SOMATROPINUM***# OMNITROPE 6,7mg/ml SOL. INJ. 6,7mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R 1 723.32 723.320000 723.320000 361.660000

Page 15 of 26

445 H01CC01 GANIRELIXUM***# ORGALUTRAN 0.25mg/0,5ml 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 1 166.09 166.090000 166.090000 83.045000

446 H01CC02 CETRORELIXUM***# CETROTIDE 0,25 mg PULB+SOLV. PT. SOL. INJ. 0,25mg SERONO EUROPE LTD. MAREA BRITANIE CUTIE CU UN SUPORT CONTINAND: 7 FLAC.PULB. + 7 SERINGI PRE-UMPLUTE X 1 ML SOLV. + 7 ACE PT. INJECTII P-RF 7 797.89 113.984285 113.984285 56.992142

447 H01CC02 CETRORELIXUM***# CETROTIDE 3 mg PULB+SOLV.PT.SOL.INJ. 3mg SERONO EUROPE LTD. MAREA BRITANIE CUTIE CU UN SUPORT CONTINAND: 1 FLAC.PULB. + 1 SERINGA PRE-UMPLUTA X 3 ML SOLV. + 1 AC PT. INJECTII P-RF 1 797.89 797.890000 797.890000 398.945000

448 H02AA02 FLUDROCORTISONUM ASTONIN H COMPR. 0,1mg MERCK KGAA GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. P-RF 50 44.85 0.897000 0.897000 0.448500

449 H02AB01 BETAMETHASONUM DIPROPHOS (R) SUSP. INJ. I.M. 7mg/ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 FIOLE X 1 ML P-RF 5 33.51 6.702000 6.702000 3.351000

450 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 89.78 29.926666 29.926666 14.963333

451 H03BB01 CARBIMAZOLUM CARBIMAZOLE 5 COMPR. FILM. 5mg REMEDICA LTD. CIPRU CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 100 15.84 0.158400 0.158400 0.079200

452 H03BB02 THIAMAZOLUM THYROZOL (R) 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 19.72 0.394400 0.394400 0.197200

453 H03BB02 THIAMAZOLUM THYROZOL (R) 20 mg COMPR. FILM. 20mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 23.98 0.479600 0.479600 0.239800

454 H03BB02 THIAMAZOLUM THYROZOL (R) 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L/S 100 28.97 0.289700 0.289700 0.144850

455 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 63.77 12.754000 6.078000 3.039000

456 H05BA01 CALCITONINUM (SOMON) NYLEX (R) SOL. INJ. 100UI/ml PROEL E.P. CORONIS SA GRECIA CUTIE X 5 FIOLE X 1ML P-RF 5 30.39 6.078000 6.078000 3.039000

457 H05BA01 CALCITONINUM (SOMON) MIACALCIC (R) SOL. INJ. 50ui/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML P-RF 5 33.44 6.688000 6.688000 3.344000

458 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 45.40 45.400000 45.400000 22.700000

459 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 68.14 68.140000 68.140000 34.070000

460 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 23.71 23.710000 13.775800 6.887900

461 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 50 688.79 13.775800 13.775800 6.887900

462 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 32.19 2.682500 2.682500 1.341250

463 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 22.91 22.910000 22.910000 11.455000

464 J01DD14 CEFTIBUTENUM CEDAX CAPS. 400mg SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 BLIST. X 1 CAPS. P-RF 5 66.19 13.238000 13.238000 6.619000

465 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 41.04 41.040000 41.040000 20.520000

466 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 9.24 0.577500 0.577500 0.288750

467 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 26.18 2.618000 2.618000 1.309000

468 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 8 CAPS. P-RF 8 35.61 4.451250 4.263333 2.131666

469 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF 6 25.58 4.263333 4.263333 2.131666

470 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 23.81 3.968333 3.968333 1.984166

471 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 45.84 7.640000 6.958333 3.479166

472 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM. P-RF 6 41.75 6.958333 6.958333 3.479166

473 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM. P-RF 6 41.75 6.958333 6.958333 3.479166

474 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 35.85 11.950000 8.026666 4.013333

475 J01FA10 AZITHROMYCINUM AZITROX (R) 500 COMPR. FILM. 500mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 35.85 11.950000 8.026666 4.013333

476 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 45.84 15.280000 8.026666 4.013333

477 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 24.08 8.026666 8.026666 4.013333

478 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 34.89 11.630000 8.026666 4.013333

479 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF 3 34.89 11.630000 8.026666 4.013333

480 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 41.89 13.963333 13.963333 6.981666

481 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF 3 41.89 13.963333 13.963333 6.981666

482 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 59.64 59.640000 59.640000 29.820000

483 J01FA10 AZITHROMYCINUM AZITROX 200 mg/5 ml PULB. + SOLV. SUSP. ORALA 200mg/5ml ZENTIVA S.A. 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 17.50 17.500000 17.500000 8.750000

484 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 100 mg/5 ml PULB. PT. SUSP. ORALA 100mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP P-RF 1 21.08 21.080000 21.080000 10.540000

485 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 200 mg/5 ml PULB. PT. SUSP. ORALA 200 mg/5 ml SANDOZ SRL ROMANIA CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP P-RF 1 33.34 33.340000 17.500000 8.750000

486 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 23.64 23.640000 17.500000 8.750000

487 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 45.63 45.630000 17.500000 8.750000

488 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 56.66 56.660000 17.500000 8.750000

489 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 11.40 0.712500 0.712500 0.356250

Page 16 of 26

490 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 21.90 1.368750 1.368750 0.684375

491 J01FF01 CLINDAMYCINUM CLINDAMYCIN - MIP 300 mg COMPR. FILM. 300mg MIP PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 6 COMPR. FILM. P-RF 30 50.70 1.690000 1.690000 0.845000

492 J01FF01 CLINDAMYCINUM CLINDAMYCIN - MIP 600 mg COMPR. FILM. 600mg MIP PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC/AL X 8 COMPR. FILM. P-RF 16 48.98 3.061250 3.000333 1.500166

493 J01FF01 CLINDAMYCINUM CLINDAMYCIN - MIP 600 mg COMPR. FILM. 600mg MIP PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 6 COMPR. FILM. P-RF 30 90.01 3.000333 3.000333 1.500166

494 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 250 mg COMPR. FILM. 250mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 29.58 4.225714 4.225714 2.112857

495 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 32.85 4.692857 4.692857 2.346428

496 J01MA12 LEVOFLOXACINUM TAVANIC 500 mg COMPR. FILM. 500mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF 7 48.91 6.987142 4.692857 2.346428

497 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 78.31 15.662000 15.662000 7.831000

498 J02AC02 ITRACONAZOLUM* ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 72.22 4.814666 3.289333 1.644666

499 J02AC02 ITRACONAZOLUM* ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 49.36 3.290666 3.289333 1.644666

500 J02AC02 ITRACONAZOLUM* ITRACONAZOL 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 116.70 7.780000 3.289333 1.644666

501 J02AC02 ITRACONAZOLUM* ITRACONAZOL 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 49.36 3.290666 3.289333 1.644666

502 J02AC02 ITRACONAZOLUM* OMICRAL 100 mg CAPS. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 49.36 3.290666 3.289333 1.644666

503 J02AC02 ITRACONAZOLUM* SPORILIN 100 mg CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 49.36 3.290666 3.289333 1.644666

504 J02AC02 ITRACONAZOLUM* ITRACONAZOL LPH 100 mg CAPS. 100mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 49.36 3.290666 3.289333 1.644666

505 J02AC02 ITRACONAZOLUM* MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 49.34 3.289333 3.289333 1.644666

506 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 94.50 9.450000 9.450000 4.725000

507 J05AB15 BRIVUDINUM*# BRIVAL 125mg COMPR. 125mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR. P-RF 7 312.29 44.612857 44.612857 22.306428

508 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 24.53 0.490600 0.490600 0.245300

509 L02AE02 LEUPRORELINUM***# LUCRIN DEPOT 11,25mg LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL. 11,25mg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA + 2 ACE SI TA S/P-RF 1 938.54 938.540000 938.540000 469.270000

510 L02AE02 LEUPRORELINUM***# LUCRIN DEPOT 3,75mg LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL. 3,75mg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA SI TAMPON IMB S/P-RF 1 407.81 407.810000 407.810000 203.905000

511 L02AE03 GOSERELINUM***# ZOLADEX (R) IMPLANT 3,6mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG S/P-RF 1 414.20 414.200000 414.200000 207.100000

512 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 7 126.39 18.055714 18.055714 9.027857

513 L02AE04 TRIPTORELINUM***# DIPHERELINE (R) 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 1,116.81 1116.810000 1116.810000 558.405000

514 L02AE04 TRIPTORELINUM***# DIPHERELINE (R) 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 1 418.02 418.020000 418.020000 209.010000

515 L02AE04 TRIPTORELINUM***# GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ. 0,1mg/ml FERRING ARZEIMITTEL GES.MBH AUSTRIA CUTIE X 7 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF 7 218.76 31.251428 27.894642 13.947321

516 L02AE04 TRIPTORELINUM***# GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ. 0,1mg/ml FERRING ARZEIMITTEL GES.MBH AUSTRIA CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF 28 781.05 27.894642 27.894642 13.947321

517 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 75.98 0.759800 0.759800 0.379900

518 M01AC01 PIROXICAMUM PIROXSAL 20 mg COMPR. 20mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST.PVC/ AL X 10 COMPR. P-6L 20 2.48 0.124000 0.111500 0.055750

519 M01AC01 PIROXICAMUM FLAMEXIN COMPR. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 3 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR. P-6L 30 27.24 0.908000 0.111500 0.055750

520 M01AC01 PIROXICAMUM FLAMEXIN COMPR. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR. P-6L 10 16.52 1.652000 0.111500 0.055750

521 M01AC01 PIROXICAMUM PIROXICAM LPH 20 mg COMPR. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.94 0.147000 0.111500 0.055750

522 M01AC01 PIROXICAMUM PIROXICAM 20 mg COMPR. 20mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.18 0.209000 0.111500 0.055750

523 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 2.23 0.111500 0.111500 0.055750

524 M01AC01 PIROXICAMUM PIROXICAM ARENA 20 MG COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.33 0.116500 0.111500 0.055750

525 M01AC01 PIROXICAMUM FLAMEXIN COMPR. EFF. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L 10 19.54 1.954000 1.515000 0.757500

526 M01AC01 PIROXICAMUM FLAMEXIN COMPR. EFF. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 2 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L 20 36.96 1.848000 1.515000 0.757500

527 M01AC01 PIROXICAMUM FLAMEXIN COMPR. EFF. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 3 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L 30 45.45 1.515000 1.515000 0.757500

528 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 25.70 1.285000 1.285000 0.642500

529 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 8.97 1.495000 1.495000 0.747500

530 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 11.05 2.210000 1.495000 0.747500

531 M01AC01 PIROXICAMUM PIROXICAM 20 mg SUPOZ. 20mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE X 5 SUPOZ. P-6L 10 2.39 0.239000 0.239000 0.119500

532 M01AC01 PIROXICAMUM PIROXICAM 40 mg SUPOZ. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L 6 2.31 0.385000 0.385000 0.192500

533 M01AC05 LORNOXICAMUM XEFO (R) 4 mg COMPR. FILM. 4mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 17.32 0.577333 0.577333 0.288666

534 M01AC05 LORNOXICAMUM XEFO (R) 4 mg COMPR. FILM. 4mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 11.69 0.584500 0.577333 0.288666

Page 17 of 26

535 M01AC05 LORNOXICAMUM XEFO (R) 4 mg COMPR. FILM. 4mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 5.82 0.582000 0.577333 0.288666

536 M01AC05 LORNOXICAMUM XEFO (R) 8 mg COMPR. FILM. 8mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 10.97 1.097000 0.887666 0.443833

537 M01AC05 LORNOXICAMUM XEFO (R) 8 mg COMPR. FILM. 8mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 22.20 1.110000 0.887666 0.443833

538 M01AC05 LORNOXICAMUM XEFO (R) 8 mg COMPR. FILM. 8mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 26.63 0.887666 0.887666 0.443833

539 M01AC05 LORNOXICAMUM XEFO RAPID 8 mg COMPR. FILM. 8mg NYCOMED AUSTRIA AUSTRIA CUTIE CU BLIST. AL/AL X 10 COMPR. FILM. P-6L 10 15.59 1.559000 0.887666 0.443833

540 M01AC05 LORNOXICAMUM XEFO RAPID 8 mg COMPR. FILM. 8mg NYCOMED AUSTRIA AUSTRIA CUTIE CU BLIST. AL/AL X 20 COMPR. FILM. P-6L 20 31.19 1.559500 0.887666 0.443833

541 M01AC05 LORNOXICAMUM XEFO RAPID 8 mg COMPR. FILM. 8mg NYCOMED AUSTRIA AUSTRIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L 30 45.27 1.509000 0.887666 0.443833

542 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 10 131.27 13.127000 13.127000 6.563500

543 M01AE17 DEXKETOPROFENUM TADOR 25 mg COMPR. FILM. 25mg BERLIN CHEMIE AG (MENARINI GROUP) GERMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 10 13.19 1.319000 1.319000 0.659500

544 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 28.66 5.732000 5.732000 2.866000

545 M01AH01 CELECOXIBUM CELEBREX 100 mg CAPS. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 61.73 2.057666 2.057666 1.028833

546 M01AH01 CELECOXIBUM CELEBREX 200 mg CAPS. 200mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 32.05 3.205000 2.945000 1.472500

547 M01AH01 CELECOXIBUM CELEBREX 200 mg CAPS. 200mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 88.35 2.945000 2.945000 1.472500

548 M01AH05 ETORICOXIBUM ARCOXIA 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 7 32.94 4.705714 4.470000 2.235000

549 M01AH05 ETORICOXIBUM ARCOXIA 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 28 125.16 4.470000 4.470000 2.235000

550 M01AH05 ETORICOXIBUM ARCOXIA 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 63.70 4.550000 4.470000 2.235000

551 M01AH05 ETORICOXIBUM ARCOXIA 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 14 63.70 4.550000 4.470000 2.235000

552 M01AH05 ETORICOXIBUM ARCOXIA 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 7 27.01 3.858571 3.546428 1.773214

553 M01AH05 ETORICOXIBUM ARCOXIA 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 52.28 3.734285 3.546428 1.773214

554 M01AH05 ETORICOXIBUM ARCOXIA 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 28 99.30 3.546428 3.546428 1.773214

555 M01AH05 ETORICOXIBUM ARCOXIA 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 14 52.28 3.734285 3.546428 1.773214

556 M01AH05 ETORICOXIBUM ARCOXIA 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 14 55.53 3.966428 3.767500 1.883750

557 M01AH05 ETORICOXIBUM ARCOXIA 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 7 28.69 4.098571 3.767500 1.883750

558 M01AH05 ETORICOXIBUM ARCOXIA 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 55.53 3.966428 3.767500 1.883750

559 M01AH05 ETORICOXIBUM ARCOXIA 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 28 105.49 3.767500 3.767500 1.883750

560 M01AX05 GLUCOSAMINUM DONA (R) PULB. PT. SOL. ORALA 1500mg ROTTAPHARM SPA ITALIA CUTIE X 20 PLICURI UNIDOZA CU PULB. P-6L 20 40.56 2.028000 2.028000 1.014000

561 M01AX17 NIMESULIDUM LEMESIL COMPR. 100mg ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.14 0.457000 0.336000 0.168000

562 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 7.03 0.703000 0.336000 0.168000

563 M01AX17 NIMESULIDUM NIMESULID 100 mg COMPR. 100mg MAGISTRA C & C ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 4.56 0.456000 0.336000 0.168000

564 M01AX17 NIMESULIDUM NIMESULID SLAVIA COMPR. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 6.78 0.678000 0.336000 0.168000

565 M01AX17 NIMESULIDUM COXTRAL COMPR. 100mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. P-RF 10 4.51 0.451000 0.336000 0.168000

566 M01AX17 NIMESULIDUM COXTRAL COMPR. 100mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. P-RF 30 12.03 0.401000 0.336000 0.168000

567 M01AX17 NIMESULIDUM NIMESULID LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 4.56 0.456000 0.336000 0.168000

568 M01AX17 NIMESULIDUM APONIL COMPR. 100mg MEDOCHEMIE LTD CIPRU CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.70 0.385000 0.336000 0.168000

569 M01AX17 NIMESULIDUM APONIL COMPR. 100mg MEDOCHEMIE LTD CIPRU CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 4.25 0.425000 0.336000 0.168000

570 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 4.48 0.448000 0.336000 0.168000

571 M01AX17 NIMESULIDUM NISE 100 mg COMPR. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 3.36 0.336000 0.336000 0.168000

572 M01AX17 NIMESULIDUM NIMESULID FARMEX 100 mg COMPR. 100mg FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. P-RF 10 6.76 0.676000 0.336000 0.168000

573 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 10.55 0.703333 0.703333 0.351666

574 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 7.20 0.800000 0.703333 0.351666

575 M01AX17 NIMESULIDUM SULIDAMOR PULB. PT. SUSP. ORALA 100mg FARMACEUTICI DAMOR SPA ITALIA CUTIE X 30 PLICURI X 2 G P-RF 30 9.77 0.325666 0.325666 0.162833

576 M03BX01 BACLOFENUM LIORESAL (R) COMPR. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 19.11 0.382200 0.382200 0.191100

577 M03BX01 BACLOFENUM LIORESAL (R) COMPR. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 31.43 0.628600 0.628600 0.314300

578 M05BA04 ACIDUM ALENDRONICUM* ACID ALENDRONIC ACCORD 10 mg COMPR. 10mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L 28 45.32 1.618571 1.618571 0.809285

579 M05BA04 ACIDUM ALENDRONICUM* TEVANAT 70 mg COMPR. 70 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L 4 45.32 11.330000 11.182500 5.591250

Page 18 of 26

580 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 34.86 17.430000 11.182500 5.591250

581 M05BA04 ACIDUM ALENDRONICUM* ACID ALENDRONIC ACCORD 70 mg COMPR. 70mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR. P-6L 4 45.32 11.330000 11.182500 5.591250

582 M05BA04 ACIDUM ALENDRONICUM* RANOS 70 mg COMPR. 70mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR. P-6L 4 44.73 11.182500 11.182500 5.591250

583 M05BA04 ACIDUM ALENDRONICUM* ACID ALENDRONIC BLUEFISH 70 mg COMPR. 70mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. AL/AL X 2 COMPR. P-6L 2 23.41 11.705000 11.182500 5.591250

584 M05BA04 ACIDUM ALENDRONICUM* ADRONIK 70 mg COMPR. FILM. 70mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L 12 123.88 10.323333 10.323333 5.161666

585 M05BA04 ACIDUM ALENDRONICUM* ADRONIK 70 mg COMPR. FILM. 70mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM. P-6L 2 23.27 11.635000 10.323333 5.161666

586 M05BA04 ACIDUM ALENDRONICUM* ADRONIK 70 mg COMPR. FILM. 70mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L 4 45.03 11.257500 10.323333 5.161666

587 M05BA06 ACIDUM IBANDRONICUM* BONVIVA 150mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L 1 125.77 125.770000 125.770000 62.885000

588 M05BA06 ACIDUM IBANDRONICUM* BONVIVA 3mg/3ml SOL. INJ. IN SERINGA PREUMPLUTA 1mg/1ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC P-6L 1 402.98 402.980000 402.980000 201.490000

589 M05BA07 ACIDUM RISEDRONICUM* RISENDROS 35 mg COMPR. FILM. 35mg ZENTIVA A.S. CEHIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L 4 76.94 19.235000 8.567500 4.283750

590 M05BA07 ACIDUM RISEDRONICUM* RISEDRONAT TEVA 35 mg COMPR. FILM. 35mg TEVA PHARMACEUTICAL S.R.L. MAREA BRITANIE CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L 4 79.12 19.780000 8.567500 4.283750

591 M05BA07 ACIDUM RISEDRONICUM* JUVERITAL 35 mg COMPR. FILM. 35mg OZONE LABORATORIES BV OLANDA CUTIE X BLISTER PVC-PE-PVDC/AL X 4 COMPRIMATE FILMATE P-6L 4 79.12 19.780000 8.567500 4.283750

592 M05BA07 ACIDUM RISEDRONICUM* ACTONEL (R) SAPTAMANAL COMPR. FILM. 35mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. X 4 COMPR. FILM. P-6L 4 104.79 26.197500 8.567500 4.283750

593 M05BA07 ACIDUM RISEDRONICUM* LORINE 35mg COMPR. FILM. 35mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L 4 34.27 8.567500 8.567500 4.283750

594 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)* FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.) P-6L 4 84.37 21.092500 21.092500 10.546250

595 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)* FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.) P-6L 2 44.42 22.210000 21.092500 10.546250

596 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)* FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.) P-6L 2 44.42 22.210000 21.092500 10.546250

597 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)* FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.) P-6L 4 84.37 21.092500 21.092500 10.546250

598 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 98.34 7.024285 5.855000 2.927500

599 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 28 163.94 5.855000 5.855000 2.927500

600 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 56 109.69 1.958750 1.958750 0.979375

601 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 56 201.54 3.598928 3.598928 1.799464

602 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 56 373.69 6.673035 6.673035 3.336517

603 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 56 617.28 11.022857 11.022857 5.511428

604 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 56 125.00 2.232142 2.232142 1.116071

605 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 27.55 0.491964 0.491964 0.245982

606 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 95.49 1.705178 1.705178 0.852589

607 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 33.73 1.124333 1.085200 0.542600

Page 19 of 26

608 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 11.40 1.140000 1.085200 0.542600

609 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 22.51 1.125500 1.085200 0.542600

610 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 33.73 1.124333 1.085200 0.542600

611 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 11.40 1.140000 1.085200 0.542600

612 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 54.26 1.085200 1.085200 0.542600

613 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 54.26 1.085200 1.085200 0.542600

614 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 22.51 1.125500 1.085200 0.542600

615 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 6.47 0.129400 0.129400 0.064700

616 N03AE01 CLONAZEPAMUM RIVOTRIL (R) COMPR. 2mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 6.16 0.205333 0.205333 0.102666

617 N03AX16 PREGABALINUM**# LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 71.51 5.107857 4.843928 2.421964

618 N03AX16 PREGABALINUM**# LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 271.26 4.843928 4.843928 2.421964

619 N03AX16 PREGABALINUM**# LYRICA 300 mg CAPS. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 401.20 7.164285 7.164285 3.582142

620 N03AX16 PREGABALINUM**# LYRICA 300 mg CAPS. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 107.30 7.664285 7.164285 3.582142

621 N03AX16 PREGABALINUM**# LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 50.44 3.602857 3.244821 1.622410

622 N03AX16 PREGABALINUM**# LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 181.71 3.244821 3.244821 1.622410

623 N04AA02 BIPERIDENUM AKINETON COMPR. 2mg DESMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 9.92 0.198400 0.198400 0.099200

624 N04BC05 PRAMIPEXOLUM* OPRYMEA 0,088mg COMPR. 0,088mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 18.55 0.618333 0.618333 0.309166

625 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 46.73 1.557666 1.045666 0.522833

626 N04BC05 PRAMIPEXOLUM* OPRYMEA 0,18mg COMPR. 0,18mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 31.39 1.046333 1.045666 0.522833

627 N04BC05 PRAMIPEXOLUM* GLEPARK 0,18 mg COMPR. 0,18mg MEDICAMENTA A.S. CEHIA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 31.39 1.046333 1.045666 0.522833

628 N04BC05 PRAMIPEXOLUM* PRAMIPEXOL TEVA 0,18mg COMPR. 0,18mg TEVA PHARMA BV OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 31.37 1.045666 1.045666 0.522833

629 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 30 157.60 5.253333 3.600666 1.800333

630 N04BC05 PRAMIPEXOLUM* OPRYMEA 0,7mg COMPR. 0,7mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 108.02 3.600666 3.600666 1.800333

631 N04BC05 PRAMIPEXOLUM* GLEPARK 0,7 mg COMPR. 0,7mg MEDICAMENTA A.S. CEHIA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 108.02 3.600666 3.600666 1.800333

632 N04BC05 PRAMIPEXOLUM* PRAMIPEXOL TEVA 0,7mg COMPR. 0,7mg TEVA PHARMA BV OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 108.02 3.600666 3.600666 1.800333

633 N04BC08 PIRIBEDILUM** PRONORAN 50 mg DRAJ. ELIB. PREL. 50mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 DRAJ. CU ELIB. PREL. P-RF 30 26.93 0.897666 0.897666 0.448833

634 N05AL03 TIAPRIDUM TIAPRIDAL (R) 100 mg COMPR. 100mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 8.67 0.433500 0.433500 0.216750

635 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 8.94 0.745000 0.745000 0.372500

Page 20 of 26

636 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 16.66 0.277666 0.277666 0.138833

637 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 10.17 0.169500 0.169500 0.084750

638 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 14.25 0.285000 0.285000 0.142500

639 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 9.80 0.326666 0.326666 0.163333

640 N06AB10 ESCITALOPRAMUM** CIPRALEX 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 58.17 4.155000 3.030357 1.515178

641 N06AB10 ESCITALOPRAMUM** CIPRALEX 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 28 84.85 3.030357 3.030357 1.515178

642 N06AB10 ESCITALOPRAMUM** CIPRALEX 5 mg COMPR. FILM. 5mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 28 46.64 1.665714 1.665714 0.832857

643 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 23.42 1.171000 1.171000 0.585500

644 N06AX12 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 60 125.33 2.088833 2.088833 1.044416

645 N06AX14 TIANEPTINUM** COAXIL (R) DRAJ. 12,5mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ. P-RF 30 32.73 1.091000 1.091000 0.545500

646 N06AX17 MILNACIPRANUM** IXEL CAPS. 25mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF 56 67.17 1.199464 1.199464 0.599732

647 N06AX17 MILNACIPRANUM** IXEL CAPS. 50mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF 56 110.10 1.966071 1.966071 0.983035

648 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 98.96 3.534285 3.534285 1.767142

649 N06AX21 DULOXETINUM** CYMBALTA 60mg CAPS. GASTROREZ. 60mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF 28 167.97 5.998928 5.998928 2.999464

650 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 67.54 3.377000 3.377000 1.688500

651 N06BX18 VINPOCETINUM VIMPOCETIN 5 mg CAPS. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. X 10 CAPS. P-6L 50 9.66 0.193200 0.193200 0.096600

652 N06BX18 VINPOCETINUM CAVINTON(R) FORTE COMPR. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR. P-6L 30 13.57 0.452333 0.452333 0.226166

653 N06BX18 VINPOCETINUM VICEBROL COMPR. 5mg BMF PHARM S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 9.66 0.193200 0.193200 0.096600

654 N06BX18 VINPOCETINUM VICEBROL COMPR. 5mg BMF PHARM S.R.L. ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 19.32 0.193200 0.193200 0.096600

655 N06BX18 VINPOCETINUM CAVINTON(R) COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-6L 50 14.87 0.297400 0.193200 0.096600

656 N06DX02 GINKGO BILOBA** GINKOFAR 40 mg (vezi C04AXN1) COMPR. FILM. 40mg BMF PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 20 8.63 0.431500 0.383000 0.191500

657 N06DX02 GINKGO BILOBA** GINKOFAR 40 mg (vezi C04AXN1) COMPR. FILM. 40mg BMF PHARM S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 60 24.99 0.416500 0.383000 0.191500

658 N06DX02 GINKGO BILOBA** GINKOFAR 40 mg (vezi C04AXN1) COMPR. FILM. 40mg BMF PHARM S.R.L. ROMANIA CUTIE X 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 90 34.47 0.383000 0.383000 0.191500

659 N06DX02 GINKGO BILOBA** GINKO BILOBA BIOFARM 40 mg (vezi C04AXN1) COMPR. FILM. 40mg BIOFARM S.A. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. FILM. P-6L 30 11.56 0.385333 0.383000 0.191500

660 N07CA01 BETAHISTINUM BETASERC (R) 24 mg COMPR. 24mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 1 BLIST X 20 COMPR. P-6L 20 26.50 1.325000 1.325000 0.662500

661 N07CA01 BETAHISTINUM BETASERC (R) 8 mg COMPR. 8mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 4 BLIST. X 25 COMPR. P-6L 100 31.11 0.311100 0.257666 0.128833

662 N07CA01 BETAHISTINUM BETASERC (R) 8 mg COMPR. 8mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 13.87 0.462333 0.257666 0.128833

663 N07CA01 BETAHISTINUM MICROSER COMPR. 8mg PRODOTTI FORMENTI ITALIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 25.02 0.500400 0.257666 0.128833

664 N07CA01 BETAHISTINUM URUTAL 8 mg COMPR. 8mg A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 FLACON X 100 COMPR. P-6L 100 37.87 0.378700 0.257666 0.128833

665 N07CA01 BETAHISTINUM VESTIBO 8 mg COMPR. 8mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 7.73 0.257666 0.257666 0.128833

666 N07CA01 BETAHISTINUM VESTIBO 8 mg COMPR. 8mg ACTAVIS GROUP HF. ISLANDA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 25.79 0.257900 0.257666 0.128833

667 N07CA01 BETAHISTINUM ACUVER 8 mg/doza SOL. ORALA 8mg/doza CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH AUSTRIA CUTIE X 1 FLAC. STICLA BRUNA X 60 ML SOL. ORALA P-6L 1 35.79 35.790000 35.790000 17.895000

668 N07CA01 BETAHISTINUM ACUVER 8 mg/doza SOL. ORALA 8mg/doza CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH AUSTRIA CUTIE X 1 FLAC. STICLA BRUNA X 120 ML SOL. ORALA P-6L 1 65.73 65.730000 35.790000 17.895000

669 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 30.26 0.605200 0.511041 0.255520

670 N07CA52

COMBINATII (CINARIZINUM +DIMENHIDRINATUM) ARLEVERT COMPR. FARA CONCENTRATIE HENNIG ARZNEIMITTEL GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 24 COMPR. P-RF 48 24.53 0.511041 0.511041 0.255520

671 N07XN03

ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 INJEKT (vezi N07XN03) CONC. PT. SOL. PERF. 30mg/ml WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 FIOLE X 20 ML S/P-RF 10 247.79 24.779000 23.271500 11.635750

Page 21 of 26

672 N07XXN3

HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN (R) SOL. INJ./PERF. 215,2mg/ml EBEWE NEURO PHARMA GMBH AUSTRIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 10 ML P-RF 5 123.37 24.674000 24.674000 12.337000

673 N07XXN3

HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN (R) SOL. INJ./PERF. 215,2mg/ml EBEWE NEURO PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML P-RF 10 36.86 3.686000 3.686000 1.843000

674 N07XXN3

HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN (R) SOL. INJ./PERF. 215,2mg/ml EBEWE NEURO PHARMA GMBH AUSTRIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 5 ML P-RF 5 82.25 16.450000 16.450000 8.225000

675 P01BA02HYDROXYCHLOROQUINUM PLAQUENIL® COMPR. FILM. 200mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L 60 31.40 0.523333 0.523333 0.261666

676 R01AD05 BUDESONIDUM* TAFEN NASAL SPRAY NAZ.,SUSP. 50mcg/doza LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLACON DIN STICLA BRUNA X 200 DOZE, PREVAZUT CU POMPA DOZATOARE P-RF 1 15.96 15.960000 15.960000 7.980000

677 R01AD05 BUDESONIDUM* RHINOCORT (R) AQUA SPRAY NAZAL SUSP. 32mcg/doza ASTRAZENECA AB SUEDIA CUTIE X 1 FLACON X 120 DOZE PREVAZUT CU POMPA DOZATOARE P-RF 1 23.87 23.870000 23.870000 11.935000

678 R01AD08 FLUTICASONUM PROPIONAT* FLIXONASE (R) SPRAY NAZAL SUSP. 50mcg/doza GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON X 120 DOZE, PREVAZUT CU POMPA DOZATOARE P-RF 1 37.65 37.650000 37.650000 18.825000

679 R01AD09 MOMETASONUM* NASONEX SPRAY NAZAL SUSP. 50mcg/doza SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON PP X 140 DOZE P-RF 1 55.50 55.500000 55.500000 27.750000

680 R03AC04 FENOTEROLUM BEROTEC N - 100 mcg SOL. DE INHALAT PRESURIZATA 100mcg/doza BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE SOL. DE INHALAT PRESURIZATA P-6L 1 15.64 15.640000 15.640000 7.820000

681 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 37.81 37.810000 37.810000 18.905000

682 R03AK06

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 1 110.26 110.260000 110.260000 55.130000

683 R03AK06

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 1 147.74 147.740000 147.740000 73.870000

684 R03AK06

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 1 210.21 210.210000 210.210000 105.105000

685 R03AK06

SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/125 mcg INHALER CFC FREE SUSP. INHAL. PRESURIZATA 25mcg/125mcg GLAXOWELLCOME UK LTD. MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA P-6L 1 154.27 154.270000 154.270000 77.135000

686 R03AK06

SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/250 mcg INHALER CFC FREE SUSP. INHAL. PRESURIZATA 25mcg/250mcg GLAXOWELLCOME UK LTD. MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA P-6L 1 219.37 219.370000 219.370000 109.685000

687 R03AK06

SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/50 mcg INHALER CFC FREE SUSP. INHAL. PRESURIZATA 25mcg/50mcg GLAXOWELLCOME UK LTD. MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA P-6L 1 115.10 115.100000 115.100000 57.550000

688 R03AK07

COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT (R) TURBUHALER (R) 160/4,5 mcg PULB. INHAL. 160/4,5mcg ASTRAZENECA AB SUEDIA

CUTIE X 1 RECIPIENT MULTIDOZA X 120 DOZE, PREVAZUT CU DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL N P-6L 1 213.89 213.890000 112.780000 56.390000

689 R03AK07

COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT (R) TURBUHALER (R) 160/4,5 mcg PULB. INHAL. 160/4,5mcg ASTRAZENECA AB SUEDIA

CUTIE X 1 RECIPIENT MULTIDOZA X 60 DOZE, PREVAZUT CU DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL NU P-6L 1 112.78 112.780000 112.780000 56.390000

Page 22 of 26

690 R03AK07

COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT (R) TURBUHALER (R) 320/9 mcg PULB. INHAL. 320/9mcg ASTRAZENECA AB SUEDIA

CUTIE X 1 RECIPIENT MULTIDOZA X 60 DOZE, PREVAZUT CU UN DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL P-6L 1 213.89 213.890000 213.890000 106.945000

691 R03AK07

COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT (R) TURBUHALER (R) 80/4,5 mcg PULB. INHAL. 80/4,5mcg ASTRAZENECA AB SUEDIA

CUTIE X 1 RECIPIENT MULTIDOZA X 60 DOZE, PREVAZUT CU DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL NU P-6L 1 89.30 89.300000 89.300000 44.650000

692 R03AK07

COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT (R) TURBUHALER (R) 80/4,5 mcg PULB. INHAL. 80/4,5mcg ASTRAZENECA AB SUEDIA

CUTIE X 1 RECIPIENT MULTIDOZA X 120 DOZE, PREVAZUT CU DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL N P-6L 1 169.36 169.360000 89.300000 44.650000

693 R03BA05FLUTICASONUM PROPIONAT* FLIXOTIDE DISKUS 100 mcg PULB. INHAL. 100mcg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE P-RF 1 38.17 38.170000 38.170000 19.085000

694 R03BA05FLUTICASONUM PROPIONAT* FLIXOTIDE DISKUS 250 mcg PULB. INHAL. 250mcg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE P-RF 1 79.30 79.300000 79.300000 39.650000

695 R03BA05FLUTICASONUM PROPIONAT* FLIXOTIDE DISKUS 500 mcg PULB. INHAL. 500mcg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE P-RF 1 131.21 131.210000 131.210000 65.605000

696 R03BA05FLUTICASONUM PROPIONAT* FLIXOTIDE 125 INHALER CFC - Free SUSP. INHAL. PRESURIZATA 125mcg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT DIN AL X 60 DOZE SUSP. DE INHALAT PRESURIZATA P-RF 1 41.87 41.870000 41.870000 20.935000

697 R03BA05FLUTICASONUM PROPIONAT* FLIXOTIDE (R) 50 INHALER CFC - Free SUSP. INHAL. PRESURIZATA 50mcg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT X 120 DOZE X 50 MCG, PREVAZUT CU VALVA DOZATOARE P-RF 1 34.18 34.180000 34.180000 17.090000

698 R03BA05FLUTICASONUM PROPIONAT* FLIXOTIDE NEBULES 0,5 mg/2 ml SUSP. INHAL. PRIN NEBULIZATOR 0,5mg/2ml GLAXO WELLCOME UK LIMITED MAREA BRITANIE

CUTIE X 5 BLIST. PA-AL-PVC/HARTIE-PTF-AL X 2 FIOLE PEJD X 2,5ML CONTINAND 2ML SUSP. INHAL. PRIN NEB P-RF 10 29.46 2.946000 2.946000 1.473000

699 R03BA05FLUTICASONUM PROPIONAT* FLIXOTIDE NEBULES 2 mg/2 ml SUSP. INHAL. PRIN NEBULIZATOR 2mg/2ml GLAXO WELLCOME UK LIMITED MAREA BRITANIE

CUTIE X 5 BLIST. PA-AL-PVC/HARTIE-PTF-AL X 2 FIOLE PEJD X 2,5ML CONTINAND 2ML SUSP. INHAL. PRIN NEB P-RF 10 85.12 8.512000 8.512000 4.256000

700 R03BA07 MOMETASONUM* ASMANEX TWISTHALER 200 mcg PULB. INHAL. 200mcg/doza SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 DISPOZITIV DE ADM. X 60 DOZE P-6L 1 133.84 133.840000 80.780000 40.390000

701 R03BA07 MOMETASONUM* ASMANEX TWISTHALER 200 mcg PULB. INHAL. 200mcg/doza SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 DISPOZITIV DE ADM. X 30 DOZE P-6L 1 80.78 80.780000 80.780000 40.390000

702 R03BA07 MOMETASONUM* ASMANEX TWISTHALER 400 mcg PULB. INHAL. 400mcg/doza SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 DISPOZITIV DE ADM. X 60 DOZE P-6L 1 234.21 234.210000 234.210000 117.105000

703 R03BA08 CICLESONIDUM* ALVESCO 160 INHALER SOL. DE INHALAT PRESURIZATA 160µg/doza NYCOMED GMBH GERMANIA CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA P-RF 1 121.36 121.360000 121.360000 60.680000

704 R03BA08 CICLESONIDUM* ALVESCO 160 INHALER SOL. DE INHALAT PRESURIZATA 160µg/doza NYCOMED GMBH GERMANIA CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 120 DOZE SOL. DE INHALAT PRESURIZATA P-RF 1 234.84 234.840000 121.360000 60.680000

705 R03BA08 CICLESONIDUM* ALVESCO 80 INHALER SOL. DE INHALAT PRESURIZATA 80µg/doza NYCOMED GMBH GERMANIA CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA P-RF 1 105.47 105.470000 105.470000 52.735000

706 R03BA08 CICLESONIDUM* ALVESCO 80 INHALER SOL. DE INHALAT PRESURIZATA 80µg/doza NYCOMED GMBH GERMANIA CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 120 DOZE SOL. DE INHALAT PRESURIZATA P-RF 1 212.71 212.710000 105.470000 52.735000

707 R03BB04 TIOTROPIUM* SPIRIVA 18 mcg CAPS. CU PULB.INHAL. 18mcg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST.AL/PVC-AL X 10 CAPS. CU PULB. DE INHALAT + DISPOZITIV HANDIHALER P-RF 30 154.31 5.143666 5.143666 2.571833

708 R03DA05 AMINOPHYLLINUM MIOFILIN 100 mg CAPS. 100mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 3.39 0.169500 0.169500 0.084750

709 R03DA05 AMINOPHYLLINUM AMINOFILINA EEL COMPR. 100mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-RF 50 2.50 0.050000 0.036250 0.018125

710 R03DA05 AMINOPHYLLINUM AMINOFILINA ARENA 100 MG COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-RF 40 1.45 0.036250 0.036250 0.018125

711 R03DA05 AMINOPHYLLINUM AMINOFILINA ARENA 200 MG COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 4.11 0.205500 0.205500 0.102750

712 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 11.09 2.218000 2.218000 1.109000

713 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 72.11 5.150714 4.886071 2.443035

Page 23 of 26

714 R03DC03 MONTELUKASTUM* SINGULAIR (R) COMPR. FILM. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC X 14 COMPR. FILM. P-RF 28 136.81 4.886071 4.886071 2.443035

715 R03DC03 MONTELUKASTUM* SINGULAIR COMPR. MAST. 4mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P-RF 28 147.89 5.281785 5.281785 2.640892

716 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 77.97 5.569285 5.281785 2.640892

717 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 71.94 5.138571 4.873214 2.436607

718 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 28 136.45 4.873214 4.873214 2.436607

719 R03DC03 MONTELUKASTUM* SINGULAIR (R) GRANULE 4mg/plic MERCK SHARP & DOHME ROMANIA CUTIE X 28 PLICURI CU GRANULE P-RF 28 149.22 5.329285 5.329285 2.664642

720 R03DX03 FENSPIRIDUM EURESPAL 80 mg COMPR. FILM. 80mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 26.38 0.879333 0.879333 0.439666

721 R03DX03 FENSPIRIDUM EURESPAL 2 mg/ml SIROP 2mg/ml LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLACON PVC DE CULOARE BRUNA X 150 ML P-6L 1 18.80 18.800000 18.800000 9.400000

722 R05CB15 ERDOSTEINUM ERDOMED 300 mg CAPS. 300mg CSC PHARMACEUTICALS HANDELS GMBH CEHIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 10 14.85 1.485000 1.485000 0.742500

723 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 23.42 23.420000 23.420000 11.710000

724 R05DA09 DEXTROMETHORPHANUM TUSSIN COMPR. 10mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-RF 20 3.50 0.175000 0.175000 0.087500

725 R05DA09 DEXTROMETHORPHANUM TUSSIN FORTE COMPR. 20mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.36 0.318000 0.318000 0.159000

726 R05DA09 DEXTROMETHORPHANUM HUMEX SIROP 0,1% LAB. URGO SA FRANTA

CUTIE X 1 FLACON X 125 ML SIROP + O MASURA DOZATOARE PENTRU MASURAREA VOLUMELOR 2,5ML; 5ML; 7,5ML; 1 P-RF 1 7.95 7.950000 7.950000 3.975000

727 R05DA09 DEXTROMETHORPHANUM HUMEX 0,133 g/100 ml SIROP 0,13% LAB. URGO SA FRANTA CUTIE X 1 FLACON X 200 ML + O MASURA DOZATOARE DIN POLIPROPILENA P-RF 1 10.17 10.170000 10.170000 5.085000

728 R05DA09 DEXTROMETHORPHANUM ROFEDEX SIROP 15mg/5ml BIOFARM SA ROMANIA CUTIE X 1 FLACON DIN STILCA BRUNA X 100 ML + MASURA DOZATOARE P-RF 1 4.95 4.950000 4.950000 2.475000

729 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 8.07 8.070000 8.070000 4.035000

730 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 8.07 8.070000 8.070000 4.035000

731 R06AE09 LEVOCETIRIZINUM XYZAL (R) COMPR. FILM. 5mg U.C.B. GMBH GERMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 15.89 1.589000 1.032000 0.516000

732 R06AE09 LEVOCETIRIZINUM XYZAL (R) COMPR. FILM. 5mg U.C.B. GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 39.60 1.320000 1.032000 0.516000

733 R06AE09 LEVOCETIRIZINUM LEVOCETIRIZINA SANDOZ 5 mg COMPR. FILM. 5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 10 10.32 1.032000 1.032000 0.516000

734 R06AE09 LEVOCETIRIZINUM LEVOCETIRIZINA ACTAVIS 5 mg COMPR. FILM. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 10 10.32 1.032000 1.032000 0.516000

735 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 34.01 34.010000 34.010000 17.005000

736 R06AX26 FEXOFENADINUM EWOFEX 120 mg COMPR. FILM. 120mg EWOPHARMA INTERNATIONAL S.R.O. SLOVACIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 10 11.22 1.122000 1.122000 0.561000

737 R06AX26 FEXOFENADINUM TELFAST® 120 mg COMPR. FILM. 120mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR.FILM. P-6L 10 12.50 1.250000 1.122000 0.561000

738 R06AX26 FEXOFENADINUM EWOFEX 180 mg COMPR. FILM. 180mg EWOPHARMA INTERNATIONAL S.R.O. SLOVACIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 10 16.83 1.683000 1.683000 0.841500

739 R06AX26 FEXOFENADINUM TELFAST® 180 mg COMPR. FILM. 180mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 10 18.20 1.820000 1.683000 0.841500

740 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 5.39 0.359333 0.359333 0.179666

741 R06AX27 DESLORATADINUM AERIUS 5mg COMPR. FILM. 5mg SP EUROPE BELGIA CUTIE X 30COMPR. FILM. ( PCTFE/ PVC/AL) P-RF 30 51.21 1.707000 1.707000 0.853500

742 R06AX27 DESLORATADINUM AERIUS 5mg COMPR. FILM. 5mg SP EUROPE BELGIA CUTIE X 10 COMPR. FILM. ( PCTFE/ PVC/AL) P-RF 10 20.43 2.043000 1.707000 0.853500

743 R06AX27 DESLORATADINUM AERIUS 5mg COMPR. FILM. 5mg SP EUROPE BELGIA CUTIE X 7 COMPR. FILM. ( PCTFE/ PVC/AL) P-RF 7 16.39 2.341428 1.707000 0.853500

744 R06AX27 DESLORATADINUM AERIUS 0,5mg/ml 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 9.48 9.480000 9.480000 4.740000

745 R06AX27 DESLORATADINUM AERIUS 0,5mg/ml SOL. ORALA 0,5mg/ml SP EUROPE BELGIA CUTIE X 1 FLACON X 120 ML SOL. ORALA + LIGURITA DOZATOARE DE 2,5 ML SI 5 ML P-RF 1 19.23 19.230000 19.230000 9.615000

746 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 4.42 4.420000 4.420000 2.210000

747 S01AA12 TOBRAMYCINUM TOBROM 3 mg/ml PIC. OFT., SOL 3mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE C 1 FLAC. PEJD X 5 ML PIC. OFT. SOL P-RF 1 3.82 3.820000 3.820000 1.910000

748 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 3.84 3.840000 3.820000 1.910000

749 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 10.62 10.620000 3.820000 1.910000

750 S01AA12 TOBRAMYCINUM TOBREX 2 X PICATURI OFT.-SOL. 0,3% ALCON COUVREUR NV BELGIA CUTIE X 1 FLAC. PEID CU PICURATOR DIN PEID X 5 ML P-RF 1 19.54 19.540000 3.820000 1.910000

751 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 8.10 8.100000 8.100000 4.050000

752 S01AA23 NETILMICINUM NETTACIN (R) PIC. OFT., SOL 0,3% S.I.F.I. SPA ITALIA CUTIE X 1 FLACON X 5ML P-RF 1 13.31 13.310000 1.812000 0.906000

753 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 27.18 1.812000 1.812000 0.906000

754 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 30.51 30.510000 30.510000 15.255000

755 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 13.57 13.570000 13.570000 6.785000

756 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 14.42 14.420000 14.420000 7.210000

Page 24 of 26

757 S01BA01 DEXAMETHASONUM DEXAMETAZONA RPH 1mg/ml PIC. OFT. SUSP. 1mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE P-RF 1 7.07 7.070000 7.070000 3.535000

758 S01BA01 DEXAMETHASONUM DEXAMETAZONA RPH 1mg/ml PIC. OFT. SUSP. 1mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE P-RF 1 12.93 12.930000 7.070000 3.535000

759 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 8.01 8.010000 7.070000 3.535000

760 S01BA06 BETAMETHASONUM OPHTAMESONE SOL. OFT. 0,1% DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML P-RF 1 4.24 4.240000 4.240000 2.120000

761 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 29.46 29.460000 29.460000 14.730000

762 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 48.18 2.409000 2.409000 1.204500

763 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 11.76 11.760000 11.760000 5.880000

764 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 14.44 14.440000 14.440000 7.220000

765 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 12.26 12.260000 12.260000 6.130000

766 S01GX09 OLOPATADINUM OPATANOL 1mg/ml PIC. OFT., SOL. 1mg/ml ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON X 5 ML P-RF 1 28.64 28.640000 28.640000 14.320000

767 S01XA02 RETINOLUM OCULOTECT GEL OFT. 10mg/g NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 TUB X 10 G GEL. OFT. P-6L 1 15.41 15.410000 15.410000 7.705000

A06AD15 MACROGOLUM*2

A08AX01 RIMONABANTUM****

C09BA09C09DA03C10BA02D06BB10 IMIQUIMODUM*G03XC01 RALOXIFENUMJ01DC10 CEFPROZILUMD06AXN1 COMBINATIIG03AC02 LYNESTRENOLUM

NOTĂ:

COMBINATII (EZETIMIBUM + SIMVASTATINUM)

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (*) se inițiaza de medicul de specialitate in limita competenței și poate fi prescris în continuare de medicul de familie pe baza scrisorii medicale emise de medicul de specialitate;

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătății Publice;

COMBINATII(FOSINOPRILUM+HYDROCHLOROTHIAZIDUM)COMBINATII(VALSARTANUM+HYDROCHLOROTHIAZIDUM)

Page 25 of 26

- 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 pregătitoare pentru colonoscopie;

- Pentru medicamentele corespunzătoare DCI-urilor notate cu (#) regulile de prescriere sunt stabilite prin Contractul Cadru.

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătății Publice și cu aprobarea comisiilor de la nivelul Caselor Județene de Asigurări de Sănătate;

Page 26 of 26

NR.CRT COD ATC DENUMIRE COMUNA INTERNATIONALA DENUMIRE COMERCIALA FORMA FARMACEUTICA CONCENTRATIE FIRMA DETINATOARE TARA DETINATOARE FORMA AMBALAJ PRESCCANT

FL

PRET AMANUN

TUL MAXIMA

L (RON)

PRET AMANUNT

UL 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 6.13 0.204333 0.204333 0.2043332 B01AA07 ACENOCUMAROLUM SINTROM (R) COMPR. 4mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.35 0.317500 0.317500 0.3175003 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 2.62 0.104800 0.104800 0.1048004 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 4.25 0.850000 0.850000 0.8500005 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 10.42 10.420000 10.420000 10.4200006 C03AA03 HYDROCHLOROTHIAZIDUM NEFRIX 25 mg COMPR. 25mg ZENTIVA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L 25 0.99 0.039600 0.039600 0.0396007 C03CA01 FUROSEMIDUM FUROSEMID MCC 40 mg COMPR. 40mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.53 0.076500 0.075500 0.0755008 C03CA01 FUROSEMIDUM FUROSEMID SLAVIA COMPR. 40mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.13 0.106500 0.075500 0.0755009 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 1.53 0.076500 0.075500 0.075500

10 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 1.53 0.076500 0.075500 0.07550011 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.85 0.142500 0.075500 0.07550012 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 1.51 0.075500 0.075500 0.07550013 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 5.70 1.140000 1.140000 1.14000014 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 26.75 0.891666 0.891666 0.89166615 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 15.69 0.523000 0.523000 0.52300016 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA EEL 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.05 0.202500 0.202500 0.20250017 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA OZONE 25 mg COMPR. 25mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 10.14 0.202800 0.202500 0.20250018 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 15.22 0.304400 0.202500 0.20250019 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 4.05 0.202500 0.202500 0.20250020 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 12.91 0.645500 0.645500 0.64550021 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 13.19 0.439666 0.185500 0.18550022 C07AB02 METOPROLOLUM BETAPROL 100 mg COMPR. 100mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.28 0.342666 0.185500 0.18550023 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 6.16 0.308000 0.185500 0.18550024 C07AB02 METOPROLOLUM METOPROLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.69 0.223000 0.185500 0.18550025 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 8.57 0.285666 0.185500 0.18550026 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 18.55 0.185500 0.185500 0.185500

ANEXA 3

1.INSUFICIENTA CARDIACA CRONICA(CLASA III SAU IV NYHA) - G 1

SECŢIUNEA C1 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% DIN PREŢUL DE REFERINŢĂ CONFORM

DCI-urilor UTILIZATE ÎN TRATAMENTUL AMBULATORIU AL UNOR GRUPE DE BOLI PENTRU CARE DECONTAREA SE FACE PE BAZA PROTOCOALELOR TERAPEUTICE CU MONITORIZAREA PRESCRIERII ŞI CONSUMULUI PRIN COMISIILE PARITARE; MEDICAMENTELE DIN ACEASTĂ SUBLISTĂ SE ELIBEREAZĂ PRIN FARMACII CU CIRCUIT DESCHIS PE BAZĂ DE PRESCRIPŢIE MEDICALĂ

CU REŢINERE ÎN FARMACIE ( P-RF) DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE

VALABILĂ ÎNCEPÂND CU 1 IANUARIE 2010

Pagina 1 din 59

27 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 12.20 0.244000 0.185500 0.18550028 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 7.60 0.380000 0.185500 0.18550029 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.24 0.274666 0.185500 0.18550030 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 14.18 0.472666 0.185500 0.18550031 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 6.58 0.219333 0.185500 0.18550032 C07AB02 METOPROLOLUM METOPROLOL VIM SPECTRUM 100 mg COMPR. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.92 0.346000 0.185500 0.18550033 C07AB02 METOPROLOLUM METOPROLOL ARENA 100 MG COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.58 0.219333 0.185500 0.18550034 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 1.79 0.089500 0.089333 0.08933335 C07AB02 METOPROLOLUM METOPROLOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 1.79 0.089500 0.089333 0.08933336 C07AB02 METOPROLOLUM METOPROLOL 25 mg COMPR. 25mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.68 0.089333 0.089333 0.08933337 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 2.68 0.089333 0.089333 0.08933338 C07AB02 METOPROLOLUM METOPROLOL ARENA 25 MG COMPR. 25mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.68 0.089333 0.089333 0.08933339 C07AB02 METOPROLOLUM BETAPROL 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.95 0.165000 0.078900 0.07890040 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 3.30 0.165000 0.078900 0.07890041 C07AB02 METOPROLOLUM METOPROLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.45 0.148333 0.078900 0.07890042 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 4.95 0.165000 0.078900 0.07890043 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L 100 7.89 0.078900 0.078900 0.07890044 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 50 6.66 0.133200 0.078900 0.07890045 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.30 0.165000 0.078900 0.07890046 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.95 0.165000 0.078900 0.07890047 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.63 0.221000 0.078900 0.07890048 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 4.95 0.165000 0.078900 0.07890049 C07AB02 METOPROLOLUM METOPROLOL VIM SPECTRUM 50 mg COMPR. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.24 0.162000 0.078900 0.07890050 C07AB02 METOPROLOLUM METOPROLOL ARENA 50 MG COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.95 0.165000 0.078900 0.07890051 C07AB02 METOPROLOLUM METOPROLOL RETARD 100 mg COMPR. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL. P-6L 20 10.46 0.523000 0.522333 0.52233352 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 56.22 0.562200 0.562200 0.56220053 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 34.61 0.576833 0.562200 0.56220054 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 20.63 0.687666 0.562200 0.56220055 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 24.13 0.804333 0.522333 0.52233356 C07AB02 METOPROLOLUM EMZOK 100 mg COMPR. FILM. ELIB. PREL. 100mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L 30 15.67 0.522333 0.522333 0.52233357 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 14.73 0.491000 0.319333 0.31933358 C07AB02 METOPROLOLUM EMZOK 50 mg COMPR. FILM. ELIB. PREL. 50mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L 30 9.58 0.319333 0.319333 0.31933359 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 21.33 0.711000 0.711000 0.71100060 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 7.64 0.254666 0.254666 0.25466661 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 12.76 0.425333 0.425333 0.42533362 C07AB02 METOPROLOLUM BETALOC SOL. INJ. 1mg/ml ASTRAZENECA AB SUEDIA CUTIE X 5 FIOLE X 5 ML SOL.INJ. I.V./PERF. S 5 20.80 4.160000 4.160000 4.16000063 C07AB07 BISOPROLOLUM CONCOR COR 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 31.74 1.058000 0.339000 0.33900064 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 13.87 0.462333 0.462333 0.46233365 C07AB07 BISOPROLOLUM CONCOR COR 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 20.96 0.698666 0.124800 0.12480066 C07AB12 NEBIVOLOLUM** EZOCEM 5 mg COMPR 5mg OZONE LABORATORIES BV OLANDA CUTIE X 28 COMPR. IN BLIST. PVC-PE-PVDC/AL P-6L 28 23.99 0.856785 0.463214 0.46321467 C07AB12 NEBIVOLOLUM** NEBLOTENSOL 5 mg COMPR. 5 mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 25.42 0.847333 0.463214 0.46321468 C07AB12 NEBIVOLOLUM** NEBILET (R) COMPR. 5mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L 28 51.07 1.823928 0.463214 0.46321469 C07AB12 NEBIVOLOLUM** NEBIVOLOL ACTAVIS 5 mg COMPR. 5mg ACTAVIS S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 25.70 0.856666 0.463214 0.46321470 C07AB12 NEBIVOLOLUM** NEBACOP 5 mg COMPR. 5mg JUST BUSINESS SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. P-6L 28 23.98 0.856428 0.463214 0.46321471 C07AB12 NEBIVOLOLUM** NEBACOP 5 mg COMPR. 5mg JUST BUSINESS SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 14 COMPR. P-6L 42 25.70 0.611904 0.463214 0.463214

Pagina 2 din 59

72 C07AB12 NEBIVOLOLUM** X-PRESSOL 5 mg COMPR. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-RF 30 25.42 0.847333 0.463214 0.46321473 C07AB12 NEBIVOLOLUM** NOLET 5 mg COMPR. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC- PE- PVDC/AL X 10 COMPR. P-6L 30 28.51 0.950333 0.463214 0.46321474 C07AB12 NEBIVOLOLUM** NEBINORM 5 mg COMPR. 5mg MEDICAMENTA A.S. CEHIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 25.58 0.852666 0.463214 0.46321475 C07AB12 NEBIVOLOLUM** NEBIVOLOL TEVA 5 mg COMPR. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P-6L 28 21.42 0.765000 0.463214 0.46321476 C07AB12 NEBIVOLOLUM** NEBIVOLOL TEVA 5 mg COMPR. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 22.94 0.764666 0.463214 0.46321477 C07AB12 NEBIVOLOLUM** VOXNEBIN 5 mg COMPR. 5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L 28 12.97 0.463214 0.463214 0.46321478 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 12,5 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8.20 0.273333 0.271333 0.27133379 C07AG02 CARVEDILOLUM DILATREND (R) 12,5 mg COMPR. 12,5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L 28 28.10 1.003571 0.271333 0.27133380 C07AG02 CARVEDILOLUM CORYOL 12,5 mg COMPR. 12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 11.71 0.418214 0.271333 0.27133381 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 12.48 0.416000 0.271333 0.27133382 C07AG02 CARVEDILOLUM CARVEDILOL STADA 12,5 mg COMPR. 12,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 20.91 0.418200 0.271333 0.27133383 C07AG02 CARVEDILOLUM CARVEDILOL STADA 12,5 mg COMPR. 12,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 40.47 0.404700 0.271333 0.27133384 C07AG02 CARVEDILOLUM CARVEDILOL STADA 12,5 mg COMPR. 12,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L 28 11.71 0.418214 0.271333 0.27133385 C07AG02 CARVEDILOLUM ATRAM 12,5 COMPR. 12,5mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L 30 12.08 0.402666 0.271333 0.27133386 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 8.18 0.409000 0.271333 0.27133387 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 12.54 0.418000 0.271333 0.27133388 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 8.14 0.271333 0.271333 0.27133389 C07AG02 CARVEDILOLUM CARVEDILOL VIM SPECTRUM 12,5mg COMPR. 12,5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.30 0.315000 0.271333 0.27133390 C07AG02 CARVEDILOLUM GLADYCOR 12,5 mg COMPR. 12,5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 12.30 0.410000 0.271333 0.27133391 C07AG02 CARVEDILOLUM DILATREND (R) 25 mg COMPR. 25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L 28 32.45 1.158928 0.283666 0.28366692 C07AG02 CARVEDILOLUM CORYOL 25 mg COMPR. 25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L 28 20.69 0.738928 0.283666 0.28366693 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 22.17 0.739000 0.283666 0.28366694 C07AG02 CARVEDILOLUM CARVEDILOL STADA 25 mg COMPR. 25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 53.86 0.538600 0.283666 0.28366695 C07AG02 CARVEDILOLUM CARVEDILOL STADA 25 mg COMPR. 25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L 28 20.71 0.739642 0.283666 0.28366696 C07AG02 CARVEDILOLUM CARVEDILOL STADA 25 mg COMPR. 25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 27.67 0.553400 0.283666 0.28366697 C07AG02 CARVEDILOLUM ATRAM 25 COMPR. 25mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 18.37 0.612333 0.283666 0.28366698 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 14.76 0.738000 0.283666 0.28366699 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8.63 0.287666 0.283666 0.283666

100 C07AG02 CARVEDILOLUM CARVEDILOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 22.17 0.739000 0.283666 0.283666101 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 8.51 0.283666 0.283666 0.283666102 C07AG02 CARVEDILOLUM GLADYCOR 25 mg COMPR. 25mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 21.59 0.719666 0.283666 0.283666103 C07AG02 CARVEDILOLUM CARVEDILOL STADA 3,125 mg COMPR. 3,125mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L 28 10.05 0.358928 0.358928 0.358928104 C07AG02 CARVEDILOLUM DILATREND (R) 6,25 mg COMPR. 6,25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L 28 15.44 0.551428 0.189000 0.189000105 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 6.04 0.215714 0.189000 0.189000106 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 6.47 0.215666 0.189000 0.189000107 C07AG02 CARVEDILOLUM CARVEDILOL STADA 6,25 mg COMPR. 6,25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L 28 6.04 0.215714 0.189000 0.189000108 C07AG02 CARVEDILOLUM CARVEDILOL STADA 6,25 mg COMPR. 6,25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 21.57 0.215700 0.189000 0.189000109 C07AG02 CARVEDILOLUM CARVEDILOL STADA 6,25 mg COMPR. 6,25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L 14 3.02 0.215714 0.189000 0.189000110 C07AG02 CARVEDILOLUM ATRAM 6,25 COMPR. 6,25mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L 30 6.04 0.201333 0.189000 0.189000111 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 6,25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 6.47 0.215666 0.189000 0.189000112 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 6.47 0.215666 0.189000 0.189000113 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 5.67 0.189000 0.189000 0.189000114 C07AG02 CARVEDILOLUM CARVEDILOL VIM SPECTRUM 6,25 mg COMPR. 6,25mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.30 0.215000 0.189000 0.189000115 C07AG02 CARVEDILOLUM GLADYCOR 6,25 mg COMPR. 6,25mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 6.29 0.209666 0.189000 0.189000116 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 13.07 0.435666 0.435666 0.435666

Pagina 3 din 59

117 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 22.80 0.760000 0.760000 0.760000118 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 8.51 0.283666 0.283666 0.283666119 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 2.77 0.092333 0.092333 0.092333120 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 2.77 0.092333 0.092333 0.092333121 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 3.20 0.106666 0.105666 0.105666122 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.85 0.128333 0.105666 0.105666123 C09AA01 CAPTOPRILUM CAPTOPRIL 25 EEL COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.84 0.142000 0.105666 0.105666124 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 2.13 0.106500 0.105666 0.105666125 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 25 mg COMPR. 25mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.20 0.106666 0.105666 0.105666126 C09AA01 CAPTOPRILUM CAPTOPRIL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.20 0.106666 0.105666 0.105666127 C09AA01 CAPTOPRILUM CAPTOPRIL SINTOFARM 25 mg COMPR. 25mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.17 0.105666 0.105666 0.105666128 C09AA01 CAPTOPRILUM CAPTOPRIL ARENA 25 mg COMPR. 25mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.13 0.106500 0.105666 0.105666129 C09AA01 CAPTOPRILUM CAPTOPRIL ARENA 50 mg COMPR. 50 mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.51 0.125500 0.122666 0.122666130 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 4.18 0.209000 0.122666 0.122666131 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.27 0.209000 0.122666 0.122666132 C09AA01 CAPTOPRILUM CAPTOPRIL 50 EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.62 0.181000 0.122666 0.122666133 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 2.51 0.125500 0.122666 0.122666134 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.24 0.141333 0.122666 0.122666135 C09AA01 CAPTOPRILUM CAPTOPRIL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.68 0.122666 0.122666 0.122666136 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 4.13 0.206500 0.124500 0.124500137 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.13 0.206500 0.124500 0.124500138 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.71 0.185500 0.124500 0.124500139 C09AA02 ENALAPRILUM EDNYT (R) 10 mg COMPR. 10mg GEDEON RICHTER PLC. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 9.57 0.319000 0.124500 0.124500140 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 4.13 0.206500 0.124500 0.124500141 C09AA02 ENALAPRILUM ENALAPRIL LPH 10 mg COMPR. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 4.13 0.206500 0.124500 0.124500142 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 4.13 0.206500 0.124500 0.124500143 C09AA02 ENALAPRILUM ENALAPRIL FABIOL 10 mg COMPR. 10mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.13 0.206500 0.124500 0.124500144 C09AA02 ENALAPRILUM ENALAPRIL SLAVIA 10 mg COMPR. 10mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/ AL X 10 COMPR. P-6L 20 4.13 0.206500 0.124500 0.124500145 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 6.19 0.206333 0.124500 0.124500146 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 9.80 0.196000 0.124500 0.124500147 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 12.45 0.124500 0.124500 0.124500148 C09AA02 ENALAPRILUM RENITEC 10 mg COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 9.88 0.352857 0.124500 0.124500149 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 6.84 0.342000 0.124500 0.124500150 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.46 0.215333 0.124500 0.124500151 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 10.55 0.211000 0.124500 0.124500152 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 20.66 0.206600 0.124500 0.124500153 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 10.59 0.529500 0.124500 0.124500154 C09AA02 ENALAPRILUM ENALAPRIL VIM SPECTRUM 10 mg COMPR. 10mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 3.85 0.192500 0.124500 0.124500155 C09AA02 ENALAPRILUM EDNYT (R) 2,5 mg COMPR. 2,5mg GEDEON RICHTER PLC. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 7.75 0.258333 0.258333 0.258333156 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 7.46 0.373000 0.183700 0.183700157 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 20 mg COMPR. 20mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 9.55 0.477500 0.183700 0.183700158 C09AA02 ENALAPRILUM EDNYT (R) 20 mg COMPR. 20mg GEDEON RICHTER PLC. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 16.53 0.551000 0.183700 0.183700159 C09AA02 ENALAPRILUM ENALAPRIL LPH 20 mg COMPR. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 8.21 0.410500 0.183700 0.183700160 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 7.46 0.373000 0.183700 0.183700161 C09AA02 ENALAPRILUM ENALAPRIL FABIOL 20 mg COMPR. 20mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.69 0.334500 0.183700 0.183700

Pagina 4 din 59

162 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 18.37 0.183700 0.183700 0.183700163 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 15.41 0.308200 0.183700 0.183700164 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 10.91 0.363666 0.183700 0.183700165 C09AA02 ENALAPRILUM RENITEC 20 mg COMPR. 20mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 16.07 0.573928 0.183700 0.183700166 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 10.45 0.522500 0.183700 0.183700167 C09AA02 ENALAPRILUM ENALAPRIL ARENA 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 10.46 0.348666 0.183700 0.183700168 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 3.44 0.172000 0.093100 0.093100169 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.44 0.172000 0.093100 0.093100170 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.44 0.172000 0.093100 0.093100171 C09AA02 ENALAPRILUM EDNYT (R) 5 mg COMPR. 5mg GEDEON RICHTER PLC. UNGARIA CUTIE X 3 BLIST.X 10 COMPR. P-6L 30 7.75 0.258333 0.093100 0.093100172 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 4.93 0.164333 0.093100 0.093100173 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 9.31 0.093100 0.093100 0.093100174 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 7.95 0.159000 0.093100 0.093100175 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 3.44 0.172000 0.093100 0.093100176 C09AA02 ENALAPRILUM RENITEC 5 mg COMPR. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 7.40 0.264285 0.093100 0.093100177 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 3.59 0.179500 0.093100 0.093100178 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 3.68 0.184000 0.093100 0.093100179 C09AA02 ENALAPRILUM INVORIL 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 5.18 0.172666 0.093100 0.093100180 C09AA02 ENALAPRILUM ENALAPRIL ARENA 5 mg COMPR. 5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.24 0.174666 0.093100 0.093100181 C09AA02 ENALAPRILUM ENALAPRIL VIM SPECTRUM 5 mg COMPR. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 3.42 0.171000 0.093100 0.093100182 C09AA02 ENALAPRILUM ENAP (R) SOL. INJ. 1,25mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 14.50 2.900000 2.900000 2.900000183 C09AA03 LISINOPRILUM RANOLIP COMPR. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 14.07 0.469000 0.322666 0.322666184 C09AA03 LISINOPRILUM LISIREN 10 mg COMPR. 10mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 10.09 0.504500 0.322666 0.322666185 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9.68 0.322666 0.322666 0.322666186 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 15.16 0.505333 0.322666 0.322666187 C09AA03 LISINOPRILUM LISINOPRIL 10 MEDO COMPR. 10mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 13.56 0.452000 0.322666 0.322666188 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 10 mg COMPR. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 12.08 0.402666 0.322666 0.322666189 C09AA03 LISINOPRILUM LISINOPRIL ATB 10 MG COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 9.54 0.477000 0.322666 0.322666190 C09AA03 LISINOPRILUM LISINOPRIL ATB 10 MG COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 14.81 0.493666 0.322666 0.322666191 C09AA03 LISINOPRILUM TONOLYSIN 10 mg COMPR. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 14.51 0.518214 0.322666 0.322666192 C09AA03 LISINOPRILUM TONOLYSIN 2,5 mg COMPR. 2,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 8.21 0.293214 0.293214 0.293214193 C09AA03 LISINOPRILUM RANOLIP COMPR. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 21.69 0.723000 0.471333 0.471333194 C09AA03 LISINOPRILUM LISIREN 20 mg COMPR. 20mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 14.70 0.735000 0.471333 0.471333195 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 20 mg COMPR. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 14.14 0.471333 0.471333 0.471333196 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 26.79 0.893000 0.471333 0.471333197 C09AA03 LISINOPRILUM LISINOPRIL 20 MEDO COMPR. 20mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 13.56 0.678000 0.471333 0.471333198 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 20 mg COMPR. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 21.94 0.731333 0.471333 0.471333199 C09AA03 LISINOPRILUM LISINOPRIL ATB 20 MG COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 6.98 0.698000 0.471333 0.471333200 C09AA03 LISINOPRILUM LISINOPRIL ATB 20 MG COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 22.05 0.735000 0.471333 0.471333201 C09AA03 LISINOPRILUM TONOLYSIN 20 mg COMPR. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 21.51 0.768214 0.471333 0.471333202 C09AA03 LISINOPRILUM LISINOPRIL ATB 40 MG COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 12.94 1.294000 1.230333 1.230333203 C09AA03 LISINOPRILUM LISINOPRIL ATB 40 MG COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 36.91 1.230333 1.230333 1.230333204 C09AA03 LISINOPRILUM RANOLIP COMPR. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 7.18 0.239333 0.224000 0.224000205 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 5 mg COMPR. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.72 0.224000 0.224000 0.224000206 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 9.49 0.316333 0.224000 0.224000

Pagina 5 din 59

207 C09AA03 LISINOPRILUM LISINOPRIL 5 MEDO COMPR. 5mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.14 0.271333 0.224000 0.224000208 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 5 mg COMPR. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 6.90 0.230000 0.224000 0.224000209 C09AA03 LISINOPRILUM TONOLYSIN 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 8.72 0.311428 0.224000 0.224000210 C09AA05 RAMIPRILUM RAMIPRIL STADA (R) 10 mg CAPS. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. AL/AL X 10 CAPS. P-6L 50 22.62 0.452400 0.452400 0.452400211 C09AA05 RAMIPRILUM RAMIPRIL STADA (R) 10 mg CAPS. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 CAPS. P-6L 30 14.79 0.493000 0.452400 0.452400212 C09AA05 RAMIPRILUM RAMIPRIL STADA (R) 2,5 mg CAPS. 2,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. AL/AL X 10 CAPS. P-6L 50 9.55 0.191000 0.191000 0.191000213 C09AA05 RAMIPRILUM RAMIPRIL STADA (R) 2,5 mg CAPS. 2,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 CAPS. P-6L 30 5.73 0.191000 0.191000 0.191000214 C09AA05 RAMIPRILUM RAMIPRIL STADA (R) 5 mg CAPS. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. AL/AL X 10 CAPS. P-6L 50 15.04 0.300800 0.300800 0.300800215 C09AA05 RAMIPRILUM RAMIPRIL STADA (R) 5 mg CAPS. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 CAPS. P-6L 30 10.08 0.336000 0.300800 0.300800216 C09AA05 RAMIPRILUM VIVACE 10 mg COMPR. 10 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 21.85 0.780357 0.357900 0.357900217 C09AA05 RAMIPRILUM PIRAMIL 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 21.85 0.780357 0.357900 0.357900218 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 23.42 0.780666 0.357900 0.357900219 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 23.41 0.780333 0.357900 0.357900220 C09AA05 RAMIPRILUM HARTIL 10 mg COMPR. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 21.85 0.780357 0.357900 0.357900221 C09AA05 RAMIPRILUM RAMIPRIL STADA 10 mg COMPR. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 10 COMPR. P-6L 10 4.93 0.493000 0.357900 0.357900222 C09AA05 RAMIPRILUM RAMIPRIL STADA 10 mg COMPR. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 100 COMPR. P-6L 100 41.39 0.413900 0.357900 0.357900223 C09AA05 RAMIPRILUM RAMIPRIL STADA 10 mg COMPR. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 20 COMPR. P-6L 20 9.86 0.493000 0.357900 0.357900224 C09AA05 RAMIPRILUM RAMIPRIL STADA 10 mg COMPR. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 50 COMPR. P-6L 50 22.62 0.452400 0.357900 0.357900225 C09AA05 RAMIPRILUM RAMIPRIL STADA 10 mg COMPR. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 41.39 0.413900 0.357900 0.357900226 C09AA05 RAMIPRILUM RAMIPRIL STADA 10 mg COMPR. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 10 4.93 0.493000 0.357900 0.357900227 C09AA05 RAMIPRILUM RAMIPRIL STADA 10 mg COMPR. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 22.62 0.452400 0.357900 0.357900228 C09AA05 RAMIPRILUM RAMIPRIL STADA 10 mg COMPR. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 9.86 0.493000 0.357900 0.357900229 C09AA05 RAMIPRILUM ZENRA 10 COMPR. 10mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 21.85 0.780357 0.357900 0.357900230 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 35.79 0.357900 0.357900 0.357900231 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 9.86 0.493000 0.357900 0.357900232 C09AA05 RAMIPRILUM TRITACE 10 COMPR. 10mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 33.62 1.200714 0.357900 0.357900233 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 7.01 0.250357 0.188000 0.188000234 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 8.80 0.314285 0.188000 0.188000235 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 9.43 0.314333 0.188000 0.188000236 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 9.40 0.313333 0.188000 0.188000237 C09AA05 RAMIPRILUM HARTIL 2,5 mg COMPR. 2,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 8.80 0.314285 0.188000 0.188000238 C09AA05 RAMIPRILUM RAMIPRIL STADA 2,5 mg COMPR. 2,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 50 COMPR. P-6L 50 9.55 0.191000 0.188000 0.188000239 C09AA05 RAMIPRILUM RAMIPRIL STADA 2,5 mg COMPR. 2,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 100 COMPR. P-6L 100 18.80 0.188000 0.188000 0.188000240 C09AA05 RAMIPRILUM RAMIPRIL STADA 2,5 mg COMPR. 2,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 20 COMPR. P-6L 20 3.82 0.191000 0.188000 0.188000241 C09AA05 RAMIPRILUM RAMIPRIL STADA 2,5 mg COMPR. 2,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 10 COMPR. P-6L 10 1.91 0.191000 0.188000 0.188000242 C09AA05 RAMIPRILUM RAMIPRIL STADA 2,5 mg COMPR. 2,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 18.80 0.188000 0.188000 0.188000243 C09AA05 RAMIPRILUM RAMIPRIL STADA 2,5 mg COMPR. 2,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 10 1.91 0.191000 0.188000 0.188000244 C09AA05 RAMIPRILUM RAMIPRIL STADA 2,5 mg COMPR. 2,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 3.82 0.191000 0.188000 0.188000245 C09AA05 RAMIPRILUM RAMIPRIL STADA 2,5 mg COMPR. 2,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 9.55 0.191000 0.188000 0.188000246 C09AA05 RAMIPRILUM ZENRA 2,5 COMPR. 2,5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 8.80 0.314285 0.188000 0.188000247 C09AA05 RAMIPRILUM TRITACE(R) 2,5 COMPR. 2,5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 13.53 0.483214 0.188000 0.188000248 C09AA05 RAMIPRILUM VIVACE 5 mg COMPR. 5 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 9.52 0.340000 0.242800 0.242800249 C09AA05 RAMIPRILUM PIRAMIL 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 9.54 0.340714 0.242800 0.242800250 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 10.18 0.339333 0.242800 0.242800251 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 10.20 0.340000 0.242800 0.242800

Pagina 6 din 59

252 C09AA05 RAMIPRILUM HARTIL 5 mg COMPR. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 9.54 0.340714 0.242800 0.242800253 C09AA05 RAMIPRILUM RAMIPRIL STADA 5 mg COMPR. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 20 COMPR. P-6L 20 6.72 0.336000 0.242800 0.242800254 C09AA05 RAMIPRILUM RAMIPRIL STADA 5 mg COMPR. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 50 COMPR. P-6L 50 15.04 0.300800 0.242800 0.242800255 C09AA05 RAMIPRILUM RAMIPRIL STADA 5 mg COMPR. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 10 COMPR. P-6L 10 3.36 0.336000 0.242800 0.242800256 C09AA05 RAMIPRILUM RAMIPRIL STADA 5 mg COMPR. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN PP CU CAPAC DIN PEJD X 100 COMPR. P-6L 100 28.35 0.283500 0.242800 0.242800257 C09AA05 RAMIPRILUM RAMIPRIL STADA 5 mg COMPR. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 28.35 0.283500 0.242800 0.242800258 C09AA05 RAMIPRILUM RAMIPRIL STADA 5 mg COMPR. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 15.04 0.300800 0.242800 0.242800259 C09AA05 RAMIPRILUM RAMIPRIL STADA 5 mg COMPR. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 6.72 0.336000 0.242800 0.242800260 C09AA05 RAMIPRILUM RAMIPRIL STADA 5 mg COMPR. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 10 3.36 0.336000 0.242800 0.242800261 C09AA05 RAMIPRILUM ZENRA 5 COMPR. 5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 9.54 0.340714 0.242800 0.242800262 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 24.28 0.242800 0.242800 0.242800263 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 6.66 0.333000 0.242800 0.242800264 C09AA05 RAMIPRILUM TRITACE® 5 COMPR. 5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 14.67 0.523928 0.242800 0.242800265 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 6.47 0.215666 0.215666 0.215666266 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 32.02 1.067333 1.067333 1.067333267 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 10.54 0.351333 0.351333 0.351333268 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 19.24 0.641333 0.641333 0.641333269 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 28 109.48 3.910000 3.910000 3.910000270 C09CA03 VALSARTANUM** DIOVAN 40 mg COMPR. FILM. 40mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 68.73 2.454642 2.454642 2.454642271 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 86.27 3.081071 3.081071 3.081071272 C09CA06 CANDESARTANUM CILEXETIL** ATACAND COMPR. 16mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 64.82 2.315000 2.315000 2.315000273 C09CA06 CANDESARTANUM CILEXETIL** ATACAND COMPR. 8mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 52.67 1.881071 1.881071 1.881071

1 B01AA07 ACENOCUMAROLUM* TROMBOSTOP 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 6.13 0.204333 0.204333 0.2043332 B01AA07 ACENOCUMAROLUM* SINTROM (R) COMPR. 4mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.35 0.317500 0.317500 0.317500

Tratamentul se initiază de către medicul în specialitatea cardiologie si chirurgie cardiaca si a vaselor mari

1 B01AC04 CLOPIDOGRELUM*** PLAVIX 300mg COMPR. FILM. 300mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA) P-RF 30 737.48 24.582666 24.582666 24.5826662 B01AC04 CLOPIDOGRELUM*** CLOPIDOGREL TEVA 75 mg COMPR. FILM. 75 mg TEVA PHARMA BV OLANDA CUTIE CU BLIST. AL/AL X 28 X 1 COMPR. FILM. P-RF 28 85.08 3.038571 3.014285 3.0142853 B01AC04 CLOPIDOGRELUM*** ZYLLT COMPR. FILM. 75 mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM. P-RF 28 84.97 3.034642 3.014285 3.0142854 B01AC04 CLOPIDOGRELUM*** PLAVIX 75mg COMPR. FILM. 75mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-RF 28 179.46 6.409285 3.014285 3.0142855 B01AC04 CLOPIDOGRELUM*** TROMBEX 75 mg COMPR. FILM. 75mg ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM. P-RF 30 91.17 3.039000 3.014285 3.0142856 B01AC04 CLOPIDOGRELUM*** EGITROMB 75 mg COMPR. FILM. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF 28 84.40 3.014285 3.014285 3.0142857 B01AC04 CLOPIDOGRELUM*** TROGRAN 75 mg COMPR. FILM. 75mg GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 85.10 3.039285 3.014285 3.014285

(cel mult 9 luni)Tratamentul se initiază de către 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 2,219.85 369.975000 369.975000 369.975000

2. BOLNAVI CU PROTEZE VALVULARE SI VASCULARE - G2

3. BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE, NUMAI DUPA IMPLANTAREA UNEI PROTEZE ENDOVASCULARE (STENT)- G3

4. HEPATITELE CRONICE DE ETIOLOGIE VIRALA B, C şi D - G4

Pagina 7 din 59

2 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 6 248.03 41.338333 34.180000 34.1800003 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 10 311.55 31.155000 31.155000 31.1550004 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 6 506.75 84.458333 84.458333 84.4583335 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 6 717.00 119.500000 95.200000 95.2000006 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 1,405.01 1405.010000 1405.010000 1405.010000

7 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 10 576.62 57.662000 57.662000 57.6620008 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 6 930.20 155.033333 123.031666 123.031666

9 B03XA01 EPOETINUM ALFA** BINOCRIT 10000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,627.37 271.228333 271.228333 271.228333

10 B03XA01 EPOETINUM ALFA** ABSEAMED 10000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,730.88 288.480000 271.228333 271.228333

11 B03XA01 EPOETINUM ALFA** BINOCRIT 1000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 205.08 34.180000 34.180000 34.180000

12 B03XA01 EPOETINUM ALFA** ABSEAMED 1000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,5ML SOL. INJ S/P-RF/R 6 224.10 37.350000 34.180000 34.180000

13 B03XA01 EPOETINUM ALFA** BINOCRIT 2000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 404.17 67.361666 67.361666 67.361666

14 B03XA01 EPOETINUM ALFA** ABSEAMED 2000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 435.08 72.513333 67.361666 67.361666

15 B03XA01 EPOETINUM ALFA** BINOCRIT 3000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. S/P-RF/R 6 571.20 95.200000 95.200000 95.200000

16 B03XA01 EPOETINUM ALFA** ABSEAMED 3000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,3ML SOL. INJ. S/P-RF/R 6 617.68 102.946666 95.200000 95.200000

Pagina 8 din 59

17 B03XA01 EPOETINUM ALFA** BINOCRIT 4000UI/0,4ml

SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 738.19 123.031666 123.031666 123.031666

18 B03XA01 EPOETINUM ALFA** ABSEAMED 4000UI/0,4ml

SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 794.92 132.486666 123.031666 123.031666

19 B03XA01 EPOETINUM ALFA** BINOCRIT 5000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 905.14 150.856666 150.856666 150.856666

20 B03XA01 EPOETINUM ALFA** ABSEAMED 5000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 982.53 163.755000 150.856666 150.856666

21 B03XA01 EPOETINUM ALFA** ABSEAMED 6000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,6ML SOL. INJ. S/P-RF/R 6 1,164.90 194.150000 194.150000 194.150000

22 B03XA01 EPOETINUM ALFA** ABSEAMED 8000UI/0,8ml

SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,8ML SOL. INJ. S/P-RF/R 6 1,529.62 254.936666 254.936666 254.936666

23 B03XA01 EPOETINUM BETA** NEORECORMON 10000UI/0,6ml

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 2,207.69 367.948333 367.948333 367.948333

24 B03XA01 EPOETINUM BETA** NEORECORMON 1000UI/0,3ml

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 6 262.83 43.805000 43.805000 43.805000

25 B03XA01 EPOETINUM BETA** NEORECORMON 2000UI/0,3ml

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 6 498.48 83.080000 83.080000 83.080000

26 B03XA01 EPOETINUM BETA** NEORECORMON 30000UI/0,6ml

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 1,107.18 1107.180000 1107.180000 1107.180000

Pagina 9 din 59

27 B03XA01 EPOETINUM BETA** NEORECORMON 4000UI/0,3ml

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 6 925.50 154.250000 154.250000 154.250000

28 B03XA01 EPOETINUM BETA** NEORECORMON 5000UI/0,3ml

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 1,138.88 189.813333 189.813333 189.813333

29 B03XA01 EPOETINUM BETA** NEORECORMON 500UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE S/P-RF/R 6 135.15 22.525000 22.525000 22.525000

30 J05AB04 RIBAVIRINUM**** REBETOL 200 mg CAPS. 200mg SP EUROPE BELGIA CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140 575.63 4.111642 4.111642 4.11164231 J05AB04 RIBAVIRINUM**** COPEGUS 200mg COMPR. FILM. 200mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R 168 625.75 3.724702 3.724702 3.72470232 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 28 261.71 9.346785 9.346785 9.34678533 J05AF05 LAMIVUDINUM**** EPIVIR 150mg COMPR. FILM. 150mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. P-RF/R 60 376.23 6.270500 6.270500 6.27050034 J05AF05 LAMIVUDINUM**** EPIVIR 10mg/ml 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 1 106.45 106.450000 106.450000 106.450000

35 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 1 123.49 123.490000 123.490000 123.490000

36 J05AF08 ADEFOVIRUM DIPIVOXILUM**** HEPSERA COMPR. 10mg GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF/R 30 1,815.58 60.519333 60.519333 60.51933337 J05AF10 ENTECAVIRUM**** BARACLUDE 0,5mg COMPR. FILM. 0,5mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R 30 1,646.23 54.874333 54.874333 54.87433338 J05AF10 ENTECAVIRUM**** BARACLUDE 1mg COMPR. FILM. 1mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA) P-RF/R 30 1,824.44 60.814666 60.814666 60.81466639 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 1 306.12 306.120000 306.120000 306.120000

40 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 1 486.97 486.970000 486.970000 486.970000

41 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 245.48 245.480000 245.480000 245.480000

42 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 404.39 404.390000 404.390000 404.390000

43 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 1 403.07 403.070000 403.070000 403.070000

44 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 82.11 82.110000 82.110000 82.11000045 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 1 465.15 465.150000 465.150000 465.150000

46 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 1 729.73 729.730000 729.730000 729.730000

47 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 100 mcg PULB. + SOLV. PT. SOL. INJ. 100mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 774.27 774.270000 774.270000 774.270000

48 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 120 mcg PULB. + SOLV. PT. SOL. INJ. 120mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 914.98 914.980000 914.980000 914.980000

49 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 150 mcg PULB. + SOLV. PT. SOL. INJ. 150mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 1,125.13 1125.130000 1125.130000 1125.130000

50 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 50 mcg PULB. + SOLV. PT. SOL. INJ. 50mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 422.84 422.840000 422.840000 422.840000

51 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS 135 mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 135mcg/0,5ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC P-RF/R 1 733.57 733.570000 733.570000 733.570000

52 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS 180 mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 180mcg/0,5ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC P-RF/R 1 919.96 919.960000 919.960000 919.960000

53 N04BB01 AMANTADINUM** VIREGYT (R)- K CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 CAPS. P-6L 50 16.02 0.320400 0.320400 0.320400

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 30.63 0.612600 0.612600 0.612600

Tratamentul se initiază de către medicul în specialitatea gastroenterologie / boli infectioase si nefrologie (doar pentru pacientii cu afectare renala consecutiva infectiei cu virusuri hepatitice)

5. HEPATITA AUTOIMUNA - G5

Pagina 10 din 59

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 27.83 1.391500 1.391500 1.3915003 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 6.13 0.204333 0.204333 0.2043334 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 8.26 8.260000 8.260000 8.2600005 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 63.83 4.255333 4.255333 4.2553336 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 29.12 29.120000 29.120000 29.1200007 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 19.21 19.210000 19.210000 19.2100008 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 89.78 29.926666 29.926666 29.9266669 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 75.98 0.759800 0.759800 0.759800

Tratamentul se initiază de către 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 100 116.69 1.166900 1.166900 1.1669002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 68.32 1.366400 1.166900 1.1669003 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 64.58 1.291600 1.166900 1.166900

7. CIROZA HEPATICA - G7

1 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 10.29 10.290000 10.290000 10.2900002 A06AD11 LACTULOSUM* LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML P-6L 1 9.77 9.770000 3.250000 3.2500003 A06AD11 LACTULOSUM* LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 100 ML P-6L 1 3.25 3.250000 3.250000 3.2500004 A06AD11 LACTULOSUM* LACTULOSE AL SIROP SIROP 66,7% ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN TFPE BRUNA X 200 ML SIROP + MASURA GRADATA X 20 ML P-RF 1 11.77 11.770000 10.290000 10.2900005 A06AD11 LACTULOSUM* LACTULAK 660 mg/ml SOL. ORALA 660 mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PEID X 200 ML SOL. ORALA SI O LINGURITA DOZATOARE P-6L 1 6.66 6.660000 6.660000 6.660000

6 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 3.34 3.340000 3.340000 3.340000

7 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 34.39 2.865833 2.865833 2.8658338 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 2,219.85 369.975000 369.975000 369.975000

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 6 248.03 41.338333 34.180000 34.18000010 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 10 311.55 31.155000 31.155000 31.15500011 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 6 506.75 84.458333 84.458333 84.45833312 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 6 717.00 119.500000 95.200000 95.20000013 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 1,405.01 1405.010000 1405.010000 1405.010000

14 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 10 576.62 57.662000 57.662000 57.66200015 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 6 930.20 155.033333 123.031666 123.031666

16 B03XA01 EPOETINUM ALFA** BINOCRIT 10000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,627.37 271.228333 271.228333 271.228333

6. CIROZA BILIARA PRIMARA, COLANGITA SCLEROZANTA PRIMITIVA, HEPATITA CRONICA SI CIROZE DE ALTE ETIOLOGII CU COLESTAZA - G6

Pagina 11 din 59

17 B03XA01 EPOETINUM ALFA** ABSEAMED 10000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,730.88 288.480000 271.228333 271.228333

18 B03XA01 EPOETINUM ALFA** BINOCRIT 1000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 205.08 34.180000 34.180000 34.180000

19 B03XA01 EPOETINUM ALFA** ABSEAMED 1000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,5ML SOL. INJ S/P-RF/R 6 224.10 37.350000 34.180000 34.180000

20 B03XA01 EPOETINUM ALFA** BINOCRIT 2000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 404.17 67.361666 67.361666 67.361666

21 B03XA01 EPOETINUM ALFA** ABSEAMED 2000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 435.08 72.513333 67.361666 67.361666

22 B03XA01 EPOETINUM ALFA** BINOCRIT 3000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. S/P-RF/R 6 571.20 95.200000 95.200000 95.200000

23 B03XA01 EPOETINUM ALFA** ABSEAMED 3000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,3ML SOL. INJ. S/P-RF/R 6 617.68 102.946666 95.200000 95.200000

24 B03XA01 EPOETINUM ALFA** BINOCRIT 4000UI/0,4ml

SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 738.19 123.031666 123.031666 123.031666

25 B03XA01 EPOETINUM ALFA** ABSEAMED 4000UI/0,4ml

SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 794.92 132.486666 123.031666 123.031666

26 B03XA01 EPOETINUM ALFA** BINOCRIT 5000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 905.14 150.856666 150.856666 150.856666

Pagina 12 din 59

27 B03XA01 EPOETINUM ALFA** ABSEAMED 5000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 982.53 163.755000 150.856666 150.856666

28 B03XA01 EPOETINUM ALFA** ABSEAMED 6000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,6ML SOL. INJ. S/P-RF/R 6 1,164.90 194.150000 194.150000 194.150000

29 B03XA01 EPOETINUM ALFA** ABSEAMED 8000UI/0,8ml

SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,8ML SOL. INJ. S/P-RF/R 6 1,529.62 254.936666 254.936666 254.936666

30 B03XA01 EPOETINUM BETA** NEORECORMON 10000UI/0,6ml

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 2,207.69 367.948333 367.948333 367.948333

31 B03XA01 EPOETINUM BETA** NEORECORMON 1000UI/0,3ml

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 6 262.83 43.805000 43.805000 43.805000

32 B03XA01 EPOETINUM BETA** NEORECORMON 2000UI/0,3ml

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 6 498.48 83.080000 83.080000 83.080000

33 B03XA01 EPOETINUM BETA** NEORECORMON 30000UI/0,6ml

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 1,107.18 1107.180000 1107.180000 1107.180000

34 B03XA01 EPOETINUM BETA** NEORECORMON 4000UI/0,3ml

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 6 925.50 154.250000 154.250000 154.250000

35 B03XA01 EPOETINUM BETA** NEORECORMON 5000UI/0,3ml

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 1,138.88 189.813333 189.813333 189.813333

36 B03XA01 EPOETINUM BETA** NEORECORMON 500UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE S/P-RF/R 6 135.15 22.525000 22.525000 22.525000

37 C03CA01 FUROSEMIDUM FUROSEMID MCC 40 mg COMPR. 40mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.53 0.076500 0.075500 0.075500

Pagina 13 din 59

38 C03CA01 FUROSEMIDUM FUROSEMID SLAVIA COMPR. 40mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.13 0.106500 0.075500 0.07550039 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 1.53 0.076500 0.075500 0.07550040 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 1.53 0.076500 0.075500 0.07550041 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.85 0.142500 0.075500 0.07550042 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 1.51 0.075500 0.075500 0.07550043 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 5.70 1.140000 1.140000 1.14000044 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 26.75 0.891666 0.891666 0.89166645 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 15.69 0.523000 0.523000 0.52300046 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA EEL 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.05 0.202500 0.202500 0.20250047 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA OZONE 25 mg COMPR. 25mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 10.14 0.202800 0.202500 0.20250048 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 15.22 0.304400 0.202500 0.20250049 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 4.05 0.202500 0.202500 0.20250050 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 12.91 0.645500 0.645500 0.64550051 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 89.78 29.926666 29.926666 29.92666652 J05AB04 RIBAVIRINUM**** REBETOL 200 mg CAPS. 200mg SP EUROPE BELGIA CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140 575.63 4.111642 4.111642 4.11164253 J05AB04 RIBAVIRINUM**** COPEGUS 200mg COMPR. FILM. 200mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R 168 625.75 3.724702 3.724702 3.72470254 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 28 261.71 9.346785 9.346785 9.34678555 J05AF05 LAMIVUDINUM**** EPIVIR 150mg COMPR. FILM. 150mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. P-RF/R 60 376.23 6.270500 6.270500 6.27050056 J05AF05 LAMIVUDINUM**** EPIVIR 10mg/ml 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 1 106.45 106.450000 106.450000 106.450000

57 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 1 123.49 123.490000 123.490000 123.490000

58 J05AF08 ADEFOVIRUM DIPIVOXILUM**** HEPSERA COMPR. 10mg GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF/R 30 1,815.58 60.519333 60.519333 60.51933359 J05AF10 ENTECAVIRUM**** BARACLUDE 0,5mg COMPR. FILM. 0,5mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R 30 1,646.23 54.874333 54.874333 54.87433360 J05AF10 ENTECAVIRUM**** BARACLUDE 1mg COMPR. FILM. 1mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA) P-RF/R 30 1,824.44 60.814666 60.814666 60.81466661 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 1 306.12 306.120000 306.120000 306.120000

62 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 1 486.97 486.970000 486.970000 486.970000

63 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 245.48 245.480000 245.480000 245.480000

64 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 404.39 404.390000 404.390000 404.390000

65 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 1 403.07 403.070000 403.070000 403.070000

66 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 82.11 82.110000 82.110000 82.11000067 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 1 465.15 465.150000 465.150000 465.150000

68 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 1 729.73 729.730000 729.730000 729.730000

69 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 100 mcg PULB. + SOLV. PT. SOL. INJ. 100mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 774.27 774.270000 774.270000 774.270000

70 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 120 mcg PULB. + SOLV. PT. SOL. INJ. 120mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 914.98 914.980000 914.980000 914.980000

71 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 150 mcg PULB. + SOLV. PT. SOL. INJ. 150mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 1,125.13 1125.130000 1125.130000 1125.130000

72 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 50 mcg PULB. + SOLV. PT. SOL. INJ. 50mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 422.84 422.840000 422.840000 422.840000

73 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS 135 mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 135mcg/0,5ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC P-RF/R 1 733.57 733.570000 733.570000 733.570000

74 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS 180 mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 180mcg/0,5ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC P-RF/R 1 919.96 919.960000 919.960000 919.960000

75 N04BB01 AMANTADINUM** VIREGYT (R)- K CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 CAPS. P-6L 50 16.02 0.320400 0.320400 0.320400Tratamentul se inițiază de către 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 17.87 1.787000 1.787000 1.7870002 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 64.45 6.445000 1.787000 1.787000

8. Leucemii, limfoame, aplazie medulara, gamapatii monoclonale maligne, mieloproliferari cronice si tumori maligne, sindroame mielodisplazice - G10

Pagina 14 din 59

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 17.87 1.787000 1.787000 1.7870004 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 31.28 3.128000 3.128000 3.1280005 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 31.28 3.128000 3.128000 3.1280006 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 18.00 1.800000 1.800000 1.8000007 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 18.00 1.800000 1.800000 1.8000008 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 31.51 3.151000 3.151000 3.1510009 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 22.33 4.466000 4.426000 4.426000

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 41.10 8.220000 8.216000 8.21600011 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 5 128.36 25.672000 4.426000 4.42600012 A04AA01 ONDANSETRONUM** ZOFRAN 8mg/4ml 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 5 165.32 33.064000 8.216000 8.21600013 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 22.34 4.468000 4.426000 4.42600014 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 41.08 8.216000 8.216000 8.21600015 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 22.13 4.426000 4.426000 4.42600016 A04AA01 ONDANSETRONUM** SETRONON 8 mg/4 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 41.10 8.220000 8.216000 8.21600017 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 10 270.04 27.004000 27.004000 27.00400018 A04AA02 GRANISETRONUM** GRANISETRON KABI 1 mg/ml CONC. PT. SOL. INJ./PERF. 1mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 3 ML CONC. PT. SOL. INJ./PERF. S/P-RF 5 187.13 37.426000 37.231000 37.23100019 A04AA02 GRANISETRONUM** GRANISETRON KABI 1 mg/ml CONC. PT. SOL. INJ./PERF. 1mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FIOLE STICLA INCOLORA X 3 ML CONC. PT. SOL. INJ./PERF. S/P-RF 10 372.31 37.231000 37.231000 37.23100020 A04AA02 GRANISETRONUM** GRANISETRON KABI 1 mg/ml CONC. PT. SOL. INJ./PERF. 1mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. INJ./PERF. S/P-RF 5 66.95 13.390000 12.702000 12.70200021 A04AA02 GRANISETRONUM** GRANISETRON KABI 1 mg/ml CONC. PT. SOL. INJ./PERF. 1mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. INJ./PERF. S/P-RF 10 127.02 12.702000 12.702000 12.70200022 A04AA02 GRANISETRONUM** GRANISETRON TEVA 1mg/1ml CONC. PT. SOL. PERF./INJ. 1mg/1ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF./INJ. S 5 67.17 13.434000 12.702000 12.70200023 A04AA02 GRANISETRONUM** GRANISETRON TEVA 3mg/3ml CONC. PT. SOL. PERF./INJ. 3mg/3ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3 ML CONC. PT. SOL. PERF./INJ. S 5 187.67 37.534000 37.231000 37.23100024 A04AA02 GRANISETRONUM** KYTRIL SOL. INJ. 3mg/3ml ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FIOLA X 3 ML SOL. INJ. S/P-RF 1 64.12 64.120000 64.120000 64.12000025 A04AA05 PALONOSETRONUM** ALOXI SOL. INJ. 250 mcg/5ml HELSINN BIREX PHARMACEUTICALS LTD. IRLANDA CUTIE X 1 FLAC. DIN STICLA X 5 ML SOL. INJ. P-RF 1 360.75 360.750000 360.750000 360.750000

26 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 2,219.85 369.975000 369.975000 369.975000

27 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 6 248.03 41.338333 34.180000 34.18000028 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 10 311.55 31.155000 31.155000 31.15500029 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 6 506.75 84.458333 84.458333 84.45833330 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 6 717.00 119.500000 95.200000 95.20000031 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 1,405.01 1405.010000 1405.010000 1405.010000

32 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 10 576.62 57.662000 57.662000 57.66200033 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 6 930.20 155.033333 123.031666 123.031666

34 B03XA01 EPOETINUM ALFA*** BINOCRIT 10000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,627.37 271.228333 271.228333 271.228333

35 B03XA01 EPOETINUM ALFA*** ABSEAMED 10000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,730.88 288.480000 271.228333 271.228333

36 B03XA01 EPOETINUM ALFA*** BINOCRIT 1000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 205.08 34.180000 34.180000 34.180000

Pagina 15 din 59

37 B03XA01 EPOETINUM ALFA*** ABSEAMED 1000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA

CUTIE X 6 SERINGI PREUMPLUTEX 0,5ML SOL. INJ S/P-RF/R 6 224.10 37.350000 34.180000 34.180000

38 B03XA01 EPOETINUM ALFA*** BINOCRIT 2000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 404.17 67.361666 67.361666 67.361666

39 B03XA01 EPOETINUM ALFA*** ABSEAMED 2000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 435.08 72.513333 67.361666 67.361666

40 B03XA01 EPOETINUM ALFA*** BINOCRIT 3000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. S/P-RF/R 6 571.20 95.200000 95.200000 95.200000

41 B03XA01 EPOETINUM ALFA*** ABSEAMED 3000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA

CUTIE X 6 SERINGI PREUMPLUTEX 0,3ML SOL. INJ. S/P-RF/R 6 617.68 102.946666 95.200000 95.200000

42 B03XA01 EPOETINUM ALFA*** BINOCRIT 4000UI/0,4ml

SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 738.19 123.031666 123.031666 123.031666

43 B03XA01 EPOETINUM ALFA*** ABSEAMED 4000UI/0,4ml

SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 794.92 132.486666 123.031666 123.031666

44 B03XA01 EPOETINUM ALFA*** BINOCRIT 5000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 905.14 150.856666 150.856666 150.856666

45 B03XA01 EPOETINUM ALFA*** ABSEAMED 5000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 982.53 163.755000 150.856666 150.856666

46 B03XA01 EPOETINUM ALFA*** ABSEAMED 6000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA

CUTIE X 6 SERINGI PREUMPLUTE X 0,6ML SOL. INJ. S/P-RF/R 6 1,164.90 194.150000 194.150000 194.150000

Pagina 16 din 59

47 B03XA01 EPOETINUM ALFA*** ABSEAMED 8000UI/0,8ml

SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA

CUTIE X 6 SERINGI PREUMPLUTE X 0,8ML SOL. INJ. S/P-RF/R 6 1,529.62 254.936666 254.936666 254.936666

48 B03XA01 EPOETINUM BETA*** NEORECORMON 10000UI/0,6ml

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 2,207.69 367.948333 367.948333 367.948333

49 B03XA01 EPOETINUM BETA*** NEORECORMON 1000UI/0,3ml

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 6 262.83 43.805000 43.805000 43.805000

50 B03XA01 EPOETINUM BETA*** NEORECORMON 2000UI/0,3ml

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 6 498.48 83.080000 83.080000 83.080000

51 B03XA01 EPOETINUM BETA*** NEORECORMON 30000UI/0,6ml

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 1,107.18 1107.180000 1107.180000 1107.180000

52 B03XA01 EPOETINUM BETA*** NEORECORMON 4000UI/0,3ml

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 6 925.50 154.250000 154.250000 154.250000

53 B03XA01 EPOETINUM BETA*** NEORECORMON 5000UI/0,3ml

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 1,138.88 189.813333 189.813333 189.813333

54 B03XA01 EPOETINUM BETA*** NEORECORMON 500UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE S/P-RF/R 6 135.15 22.525000 22.525000 22.525000

55 B03XA02 DARBEPOETINUM ALFA*** ARANESP 100mcg/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 2,983.68 745.920000 745.920000 745.920000

56 B03XA02 DARBEPOETINUM ALFA*** ARANESP 10mcg/0,4ml

SOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 369.99 92.497500 92.497500 92.497500

Pagina 17 din 59

57 B03XA02 DARBEPOETINUM ALFA*** ARANESP 150mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 4,425.31 1106.327500 1106.327500 1106.327500

58 B03XA02 DARBEPOETINUM ALFA*** ARANESP 15mcg/0,375ml

SOL. INJ. IN SERINGA PREUMPLUTA 15mcg/0,375ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML P-RF/R 4 518.36 129.590000 129.590000 129.590000

59 B03XA02 DARBEPOETINUM ALFA*** ARANESP 20mcg/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 664.07 166.017500 166.017500 166.017500

60 B03XA02 DARBEPOETINUM ALFA*** ARANESP 300mcg/0,6ml

SOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml AMGEN EUROPE BV OLANDA

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML P-RF/R 1 2,078.14 2078.140000 2078.140000 2078.140000

61 B03XA02 DARBEPOETINUM ALFA*** ARANESP 30mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 952.18 238.045000 238.045000 238.045000

62 B03XA02 DARBEPOETINUM ALFA*** ARANESP 40mcg/0,4ml

SOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 1,242.77 310.692500 310.692500 310.692500

63 B03XA02 DARBEPOETINUM ALFA*** ARANESP 500mcg/ml

SOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml AMGEN EUROPE BV OLANDA

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML P-RF/R 1 3,416.34 3416.340000 3416.340000 3416.340000

64 B03XA02 DARBEPOETINUM ALFA*** ARANESP 50mcg/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 1,531.80 382.950000 382.950000 382.950000

65 B03XA02 DARBEPOETINUM ALFA*** ARANESP 60mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 1,823.26 455.815000 455.815000 455.815000

66 B03XA02 DARBEPOETINUM ALFA*** ARANESP 80mcg/0,4ml

SOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 2,404.28 601.070000 601.070000 601.070000

67 G03HA01 CYPROTERONUM** ANDROCUR COMPR. 50mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 FLAC. X 50 COMPR. P-RF 50 152.43 3.048600 3.048600 3.048600

Pagina 18 din 59

68 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 100 120.26 1.202600 0.865500 0.86550069 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 6.55 1.310000 0.865500 0.86550070 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 86.55 0.865500 0.865500 0.86550071 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 9.74 0.974000 0.865500 0.86550072 J02AC02 ITRACONAZOLUM ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 72.22 4.814666 3.289333 3.28933373 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 49.36 3.290666 3.289333 3.28933374 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 116.70 7.780000 3.289333 3.28933375 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 49.36 3.290666 3.289333 3.28933376 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 49.36 3.290666 3.289333 3.28933377 J02AC02 ITRACONAZOLUM SPORILIN 100 mg CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 49.36 3.290666 3.289333 3.28933378 J02AC02 ITRACONAZOLUM ITRACONAZOL LPH 100 mg CAPS. 100mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 49.36 3.290666 3.289333 3.28933379 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 49.34 3.289333 3.289333 3.28933380 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,682.94 131.533571 131.533571 131.533571

81 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 973.64 34.772857 34.772857 34.77285782 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 508.98 508.980000 508.980000 508.980000

83 J02AC03 VORICONAZOLUM** VFEND 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 2,295.40 2295.400000 2295.400000 2295.400000

84 J02AC04 POSACONAZOLUM** NOXAFIL SP 40mg/ml SUSP. ORALA 40mg/ml SP EUROPE BELGIA CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R 1 2,804.00 2804.000000 2804.000000 2804.000000

85 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 1,270.77 1270.770000 1270.770000 1270.770000

86 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 1,636.91 1636.910000 1636.910000 1636.910000

87 L01XX35 ANAGRELIDUM*** THROMBOREDUCTIN CAPS. 0,5mg ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH AUSTRIA CUTIE X 1 FLAC. DIN PE X 42 CAPS. P-RF 42 826.79 19.685476 16.242400 16.24240088 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 1,624.24 16.242400 16.242400 16.24240089 L04AD02 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 50 446.87 8.937400 8.937400 8.93740090 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 131.29 2.625800 1.767600 1.76760091 L04AD02 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 88.38 1.767600 1.767600 1.76760092 L04AD02 CICLOSPORINUM* CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 131.44 2.628800 1.767600 1.76760093 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 274.32 5.486400 3.566200 3.56620094 L04AD02 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 50 178.31 3.566200 3.566200 3.56620095 L04AD02 CICLOSPORINUM* CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 286.57 5.731400 3.566200 3.566200

96 L04AD02 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 1 406.57 406.570000 406.570000 406.570000

97 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 44.09 0.787321 0.787321 0.78732198 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 63.23 1.129107 1.129107 1.12910799 N02AA01 MORPHYNUM MST CONTINUS 100 mg COMPR. FILM. ELIB. MODIF. 100mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD. P-TS 60 232.99 3.883166 2.662000 2.662000

100 N02AA01 MORPHYNUM MST CONTINUS 10 mg COMPR. FILM. ELIB. MODIF. 10mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD. P-TS 60 43.30 0.721666 0.721666 0.721666101 N02AA01 MORPHYNUM MST CONTINUS 200 mg COMPR. FILM. ELIB. MODIF. 200mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 COMPR. FILM. CU ELIB. MOD. P-TS 60 401.08 6.684666 6.684666 6.684666102 N02AA01 MORPHYNUM MST CONTINUS 30 mg COMPR. FILM. ELIB. MODIF. 30mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD. P-TS 60 71.80 1.196666 0.846000 0.846000103 N02AA01 MORPHYNUM MST CONTINUS 60 mg COMPR. FILM. ELIB. MODIF. 60mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD. P-TS 60 145.21 2.420166 1.746666 1.746666104 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 79.86 2.662000 2.662000 2.662000105 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 25.39 0.846333 0.846000 0.846000106 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 8.46 0.846000 0.846000 0.846000107 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 52.40 1.746666 1.746666 1.746666108 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 18.04 1.804000 1.746666 1.746666109 N02AA01 MORPHYNUM MSI 10 mg MUNDIPHARMA SOL. INJ. 10 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. P-TS 10 24.22 2.422000 2.422000 2.422000

Pagina 19 din 59

110 N02AA01 MORPHYNUM MSI 20 mg MUNDIPHARMA SOL. INJ. 20mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. P-TS 10 45.93 4.593000 1.556000 1.556000111 N02AA01 MORPHYNUM MORFINA 20 mg/ml SOL. INJ. 20mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE X 1 ML P-TS 5 7.78 1.556000 1.556000 1.556000112 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 56 109.69 1.958750 1.958750 1.958750113 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 56 201.54 3.598928 3.598928 3.598928114 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 56 373.69 6.673035 6.673035 6.673035115 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 56 617.28 11.022857 11.022857 11.022857116 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 56 125.00 2.232142 2.232142 2.232142117 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 27.55 0.491964 0.491964 0.491964118 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 95.49 1.705178 1.705178 1.705178119 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 7.32 1.464000 1.464000 1.464000120 N02AB03 FENTANYLUM** FENTANYL SANDOZ MATRIX 75mcg/h PLASTURE TRANSDERM. 17,34mg/31,50cmp SANDOZ S.R.L. ROMANIA CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC P-TS 5 145.14 29.028000 29.028000 29.028000121 N02AB03 FENTANYLUM** FENTANYL SANDOZ MATRIX 100mcg/h PLASTURE TRANSDERM. 23,12mg/42.00cmp SANDOZ S.R.L. ROMANIA CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC P-TS 5 179.57 35.914000 35.914000 35.914000

122 N02AB03 FENTANYLUM** FENTANYL SANDOZ 100 mcg/h PLASTURE TRANSDERMIC 100mcg/h SANDOZ S.R.L. ROMANIA

CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR P-TS 5 179.57 35.914000 35.854000 35.854000

123 N02AB03 FENTANYLUM** DOLFORIN 100 mcg/ORA PLASTURE TRANSDERMIC 100mcg/ora GEDEON RICHTER PLC UNGARIA

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC P-TS 5 179.57 35.914000 35.854000 35.854000

124 N02AB03 FENTANYLUM** FENTANYL ACTAVIS 100micrograme/h PLASTURE TRANSDERMIC 100micrograme/h ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC P-TS 5 179.27 35.854000 35.854000 35.854000

125 N02AB03 FENTANYLUM** FENTANYL SANDOZ MATRIX 50mcg/h PLASTURE TRANSDERMIC 11,56mg/21,00cmp SANDOZ S.R.L. ROMANIACUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC P-TS 5 113.40 22.680000 22.680000 22.680000

126 N02AB03 FENTANYLUM** FENTANYL SANDOZ 25 mcg/h PLASTURE TRANSDERMIC 25mcg/h SANDOZ S.R.L. ROMANIA

CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR P-TS 5 68.61 13.722000 12.972000 12.972000

127 N02AB03 FENTANYLUM** DOLFORIN 25 mcg/ORA PLASTURE TRANSDERMIC 25mcg/ora GEDEON RICHTER PLC UNGARIA

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC P-TS 5 65.44 13.088000 12.972000 12.972000

128 N02AB03 FENTANYLUM** FENTANYL ACTAVIS 25micrograme/h PLASTURE TRANSDERMIC 25micrograme/h ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC P-TS 5 64.86 12.972000 12.972000 12.972000

129 N02AB03 FENTANYLUM** FENTANYL SANDOZ MATRIX 25mcg/h PLASTURE TRANSDERMIC 5,78mg/10,5cmp SANDOZ S.R.L. ROMANIACUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC P-TS 5 68.61 13.722000 13.722000 13.722000

130 N02AB03 FENTANYLUM** FENTANYL SANDOZ 50 mcg/h PLASTURE TRANSDERMIC 50mcg/h SANDOZ S.R.L. ROMANIA

CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR P-TS 5 113.40 22.680000 22.672000 22.672000

131 N02AB03 FENTANYLUM** DOLFORIN 50 mcg/ORA PLASTURE TRANSDERMIC 50mcg/ora GEDEON RICHTER PLC UNGARIA

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC P-TS 5 113.40 22.680000 22.672000 22.672000

Pagina 20 din 59

132 N02AB03 FENTANYLUM** FENTANYL ACTAVIS 50micrograme/h PLASTURE TRANSDERMIC 50micrograme/h ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC P-TS 5 113.36 22.672000 22.672000 22.672000

133 N02AB03 FENTANYLUM** FENTANYL SANDOZ 75 mcg/h PLASTURE TRANSDERMIC 75mcg/h SANDOZ S.R.L. AUSTRIA

CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR P-TS 5 145.14 29.028000 29.028000 29.028000

134 N02AB03 FENTANYLUM** DOLFORIN 75 mcg/ORA PLASTURE TRANSDERMIC 75mcg/ora GEDEON RICHTER PLC UNGARIA CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC P-TS 5 145.14 29.028000 29.028000 29.028000135 N02AX02 TRAMADOLUM TRAMAL (R) CAPS. 50mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 11.09 0.554500 0.274500 0.274500136 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.43 0.371500 0.274500 0.274500137 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.49 0.274500 0.274500 0.274500138 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS. P-RF 30 10.82 0.360666 0.274500 0.274500139 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 CAPS. P-RF/S 50 17.95 0.359000 0.274500 0.274500140 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 CAPS. P-RF/S 100 34.74 0.347400 0.274500 0.274500141 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 3.61 0.361000 0.274500 0.274500142 N02AX02 TRAMADOLUM MABRON 50 mg CAPS. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 4.68 0.468000 0.274500 0.274500143 N02AX02 TRAMADOLUM K-ALMA (R) CAPS. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.21 0.360500 0.274500 0.274500144 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 3.61 0.361000 0.274500 0.274500145 N02AX02 TRAMADOLUM TRAMADOL LPH 50 mg CAPS. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.21 0.360500 0.274500 0.274500146 N02AX02 TRAMADOLUM URGENDOL CAPS. 50mg MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 3.57 0.357000 0.274500 0.274500147 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 8.44 0.422000 0.274500 0.274500148 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 16.33 1.633000 1.369400 1.369400149 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 31.43 1.571500 1.369400 1.369400150 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 44.50 1.483333 1.369400 1.369400151 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 68.47 1.369400 1.369400 1.369400152 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 24.50 2.450000 2.018000 2.018000153 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 45.63 2.281500 2.018000 2.018000154 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 64.52 2.150666 2.018000 2.018000155 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 100.90 2.018000 2.018000 2.018000156 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 30.57 3.057000 2.280000 2.280000157 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 54.87 2.743500 2.280000 2.280000158 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 73.36 2.445333 2.280000 2.280000159 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 114.00 2.280000 2.280000 2.280000160 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.21 0.360500 0.360500 0.360500161 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.21 0.360500 0.360500 0.360500162 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 9.35 0.467500 0.360500 0.360500163 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 5.92 0.592000 0.592000 0.592000164 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 17.77 0.592333 0.592000 0.592000165 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 45.52 0.910400 0.592000 0.592000166 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 9.26 0.926000 0.592000 0.592000167 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 25.62 0.854000 0.592000 0.592000168 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 5 COMPR.ELIM.PREL. P-RF 5 6.96 1.392000 0.592000 0.592000169 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIM.PREL. P-RF 30 37.10 1.236666 0.592000 0.592000170 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 31.51 1.050333 1.050333 1.050333171 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 19.77 1.977000 1.050333 1.050333

Pagina 21 din 59

172 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 25.82 2.582000 1.622333 1.622333173 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. P-RF 10 18.86 1.886000 1.622333 1.622333174 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. P-RF 30 48.67 1.622333 1.622333 1.622333175 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. X PVC-PVDC/AL X 10 COMPR. ELIB. PREL. P-RF 10 26.22 2.622000 2.393333 2.393333176 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. X PVC-PE-ACLAR/AL X 10 COMPR. ELIB. PREL. P-RF 30 71.80 2.393333 2.393333 2.393333177 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 9.98 0.332666 0.332666 0.332666178 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 9.11 0.911000 0.592000 0.592000179 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 20.68 2.068000 1.050333 1.050333180 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 58.63 1.954333 1.050333 1.050333181 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 26.47 2.647000 1.622333 1.622333182 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 71.26 2.375333 1.622333 1.622333183 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 94.31 94.310000 4.730000 4.730000184 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 11.83 11.830000 4.730000 4.730000185 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 4.73 4.730000 4.730000 4.730000186 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL. P-RF 1 9.24 9.240000 4.730000 4.730000187 N02AX02 TRAMADOLUM TRAMAL (R) PICATURI ORALE-SOL. 100mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 7.27 7.270000 4.730000 4.730000188 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 100 128.64 1.286400 1.286400 1.286400189 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 11.53 2.306000 1.286400 1.286400190 N02AX02 TRAMADOLUM TRAMAL (R) 50 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 7.10 1.420000 0.918000 0.918000191 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 10.06 2.012000 0.918000 0.918000192 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 10.79 2.158000 0.918000 0.918000193 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 4.59 0.918000 0.918000 0.918000194 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 12.30 2.460000 1.286400 1.286400195 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 14.48 1.448000 1.286400 1.286400196 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 7.24 1.448000 1.286400 1.286400197 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 7.21 1.442000 1.286400 1.286400198 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ. P-RF 5 5.24 1.048000 1.048000 1.048000199 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 12.30 0.246000 0.246000 0.246000200 R05DA04 CODEINUM FOSFAT DE CODEINA 15 mg COMPR. 15mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 4.61 0.153666 0.139500 0.139500201 R05DA04 CODEINUM CODEINA FOSFORICA COMPR. 15mg BIO EEL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 4.81 0.192400 0.139500 0.139500202 R05DA04 CODEINUM FARMACOD COMPR. 15mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 2.84 0.142000 0.139500 0.139500203 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 2.79 0.139500 0.139500 0.139500204 R05DA04 CODEINUM CODEINA FOSFAT COMPR. 15mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.84 0.142000 0.139500 0.139500205 R05DA04 CODEINUM CODEINA FOSFAT LPH 15 mg COMPR. 15mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-RF 20 3.00 0.150000 0.139500 0.139500206 R05DA04 CODEINUM CODEINA FOSFAT MCC 15 mg COMPR. 15mg MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.42 0.171000 0.139500 0.139500207 V03AC01 DEFEROXAMINUM**3 DESFERAL LIOF. PT. SOL. INJ./PERF. 500mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF. S/P-RF 10 129.13 12.913000 12.913000 12.913000208 V03AC03 DEFERASIROXUM*** EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) P-RF/R 28 743.82 26.565000 26.565000 26.565000209 V03AC03 DEFERASIROXUM*** EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 28 1,535.81 54.850357 54.850357 54.850357210 V03AC03 DEFERASIROXUM*** EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 28 2,762.71 98.668214 98.668214 98.668214Tratamentul 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 2.60 0.104000 0.104000 0.1040002 N03AA02 PHENOBARBITALUM FENOBARBITAL 100 mg COMPR. 100mg SC ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 10 COMPR. P-RF 10 1.08 0.108000 0.104000 0.104000

9. EPILEPSIE - G11

Pagina 22 din 59

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 4.87 0.974000 0.974000 0.9740004 N03AB02 PHENYTOINUM FENITOIN 100 mg COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 1.14 0.057000 0.057000 0.0570005 N03AB02 PHENYTOINUM PHENHYDAN (R)SOLUTIE INJECTABILA SOL. INJ. 50mg/ml DESITIN GERMANIA CUTIE X 5 FIOLE X 5ML P-RF 5 63.60 12.720000 12.720000 12.7200006 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 6.47 0.129400 0.129400 0.1294007 N03AE01 CLONAZEPAMUM RIVOTRIL (R) COMPR. 2mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 6.16 0.205333 0.205333 0.2053338 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA COMPR. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVCX 10 COMPR. P-6L 20 4.25 0.212500 0.135600 0.1356009 N03AF01 CARBAMAZEPINUM NEUROTOP COMPR. 200mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 50 10.62 0.212400 0.135600 0.135600

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 16.33 0.326600 0.135600 0.13560011 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA LPH 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 10.62 0.212400 0.135600 0.13560012 N03AF01 CARBAMAZEPINUM CARBAVIM COMPR. 200mg VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 10.62 0.212400 0.135600 0.13560013 N03AF01 CARBAMAZEPINUM CARBEPSIL 200 COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 10.62 0.212400 0.135600 0.13560014 N03AF01 CARBAMAZEPINUM TAVER COMPR. 200mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 6.78 0.135600 0.135600 0.13560015 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.16 0.208000 0.135600 0.13560016 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN EEL COMPR. 200mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.24 0.212000 0.135600 0.13560017 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 10.62 0.212400 0.135600 0.13560018 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.65 0.232500 0.135600 0.13560019 N03AF01 CARBAMAZEPINUM TAVER COMPR. 200mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.24 0.212000 0.135600 0.13560020 N03AF01 CARBAMAZEPINUM CARBEPSIL 400 COMPR. 400mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 24.65 0.493000 0.493000 0.49300021 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA ARENA 400 mg COMPR. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 9.86 0.493000 0.493000 0.49300022 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 19.41 0.388200 0.387000 0.38700023 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 34.36 0.687200 0.686000 0.68600024 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 18.00 0.360000 0.233800 0.23380025 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 23.79 0.793000 0.509000 0.50900026 N03AF01 CARBAMAZEPINUM FINLEPSIN 400 RETARD COMPR. FILM. ELIB. PREL. 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 25.45 0.509000 0.509000 0.50900027 N03AF01 CARBAMAZEPINUM TIMONIL 150 RETARD COMPR. RET. 150mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 14.22 0.284400 0.284400 0.28440028 N03AF01 CARBAMAZEPINUM TIMONIL 300 RETARD COMPR. RET. 300mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 19.35 0.387000 0.387000 0.38700029 N03AF01 CARBAMAZEPINUM TIMONIL 600 RETARD COMPR. RET. 600mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 34.30 0.686000 0.686000 0.68600030 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 11.69 0.233800 0.233800 0.23380031 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 21.14 21.140000 21.140000 21.14000032 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 60.78 1.215600 1.215600 1.21560033 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 50 111.08 2.221600 2.221600 2.22160034 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 20.60 0.412000 0.412000 0.41200035 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 34.50 0.690000 0.690000 0.69000036 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 19.03 0.190300 0.190300 0.19030037 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 31.25 0.312500 0.312500 0.31250038 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 48.00 0.480000 0.480000 0.48000039 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 33.73 0.337300 0.337300 0.33730040 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. DIVIZIBILE P-6L 30 15.08 0.502666 0.502666 0.50266641 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 27.37 0.273700 0.273700 0.27370042 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 10.08 0.252000 0.252000 0.25200043 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 35.28 0.352800 0.352800 0.35280044 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 37.56 0.751200 0.751200 0.751200

Pagina 23 din 59

45 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 4 123.57 30.892500 30.892500 30.892500

46 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 89.13 1.782600 1.782600 1.78260047 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 55.84 1.116800 1.116800 1.11680048 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 34.04 34.040000 34.040000 34.04000049 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX 50mg/ml SIROP 50mg/ml GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SIROP + 1 SERINGA PT. ADMIN. ORALA (0,5-10,0 ML) P-6L 1 8.17 8.170000 8.170000 8.17000050 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 21.71 21.710000 21.710000 21.71000051 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 25.02 0.893571 0.874107 0.87410752 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 26.81 0.893666 0.874107 0.87410753 N03AX09 LAMOTRIGINUM** LAMOTRIX 100 mg COMPR. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 27.10 0.903333 0.874107 0.87410754 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 27.10 0.903333 0.874107 0.87410755 N03AX09 LAMOTRIGINUM** PLEXXO (R) 100 mg COMPR. 100mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 27.10 0.903333 0.874107 0.87410756 N03AX09 LAMOTRIGINUM** XEBARIN 100 mg COMPR. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 25.27 0.902500 0.874107 0.87410757 N03AX09 LAMOTRIGINUM** LAMOTRIGINE FARMAL 100 mg COMPR. 100mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 27.09 0.903000 0.874107 0.87410758 N03AX09 LAMOTRIGINUM** LAMICTAL 100 mg COMPR. 100mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 40.35 1.345000 0.874107 0.87410759 N03AX09 LAMOTRIGINUM** LAMOTRIGINA SUN 100 mg COMPR. 100mg SUN MEDIC INVEST S.R.L. ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. P-6L 56 48.95 0.874107 0.874107 0.87410760 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 51.44 1.714666 1.668750 1.66875061 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 48.01 1.714642 1.668750 1.66875062 N03AX09 LAMOTRIGINUM** LAMOTRIX 200 mg COMPR. 200mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 93.45 3.115000 1.668750 1.66875063 N03AX09 LAMOTRIGINUM** XEBARIN 200 mg COMPR. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 48.01 1.714642 1.668750 1.66875064 N03AX09 LAMOTRIGINUM** LAMOTRIGINA SUN 200 mg COMPR. 200mg SUN MEDIC INVEST S.R.L. ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. P-6L 56 93.45 1.668750 1.668750 1.66875065 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 10.46 0.348666 0.023571 0.02357166 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 6.26 0.223571 0.023571 0.02357167 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 6.70 0.223333 0.023571 0.02357168 N03AX09 LAMOTRIGINUM** LAMOTRIX 25 mg COMPR. 25mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.80 0.226666 0.023571 0.02357169 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 6.80 0.226666 0.023571 0.02357170 N03AX09 LAMOTRIGINUM** XEBARIN 25 mg COMPR. 25mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 0.66 0.023571 0.023571 0.02357171 N03AX09 LAMOTRIGINUM** LAMOTRIGINE FARMAL 25 mg COMPR. 25mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 6.80 0.226666 0.023571 0.02357172 N03AX09 LAMOTRIGINUM** LAMOTRIGINA SUN 25 mg COMPR. 25mg SUN MEDIC INVEST S.R.L. ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. P-6L 56 12.82 0.228928 0.023571 0.02357173 N03AX09 LAMOTRIGINUM** PLEXXO (R) 50 mg COMPR. 50mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 13.53 0.451000 0.446785 0.44678574 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 12.51 0.446785 0.446785 0.44678575 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 13.41 0.447000 0.446785 0.44678576 N03AX09 LAMOTRIGINUM** LAMOTRIX 50 mg COMPR. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 13.53 0.451000 0.446785 0.44678577 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 13.53 0.451000 0.446785 0.44678578 N03AX09 LAMOTRIGINUM** XEBARIN 50 mg COMPR. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 12.62 0.450714 0.446785 0.44678579 N03AX09 LAMOTRIGINUM** LAMOTRIGINE FARMAL 50 mg COMPR. 50mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 13.54 0.451333 0.446785 0.44678580 N03AX09 LAMOTRIGINUM** LAMICTAL 50 mg COMPR. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 20.82 0.694000 0.446785 0.44678581 N03AX09 LAMOTRIGINUM** LAMOTRIGINA SUN 50 mg COMPR. 50mg SUN MEDIC INVEST S.R.L. ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. P-6L 56 25.25 0.450892 0.446785 0.44678582 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 100 mg COMPR. DISP. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. DISP. P-6L 100 85.86 0.858600 0.858600 0.85860083 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 100 mg COMPR. DISP. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. DISP. P-6L 50 45.21 0.904200 0.858600 0.85860084 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 100 mg COMPR. DISP. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. AL/AL X 10 COMPR. DISP. P-6L 10 9.34 0.934000 0.858600 0.85860085 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 28.03 0.934333 0.858600 0.85860086 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 100 mg COMPR. DISP. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 100 85.86 0.858600 0.858600 0.858600

Pagina 24 din 59

87 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 100 mg COMPR. DISP. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 10 9.34 0.934000 0.858600 0.85860088 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 100 mg COMPR. DISP. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 50 45.21 0.904200 0.858600 0.85860089 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 36.09 1.203000 0.858600 0.85860090 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 3.57 0.119000 0.119000 0.11900091 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 14.05 0.468333 0.453300 0.45330092 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 50 mg COMPR. DISP. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. DISP. P-6L 50 23.42 0.468400 0.453300 0.45330093 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 50 mg COMPR. DISP. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. DISP. P-6L 100 45.33 0.453300 0.453300 0.45330094 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 50 mg COMPR. DISP. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. AL/AL X 10 COMPR. DISP. P-6L 10 4.68 0.468000 0.453300 0.45330095 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 50 mg COMPR. DISP. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 100 45.33 0.453300 0.453300 0.45330096 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 50 mg COMPR. DISP. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 10 4.68 0.468000 0.453300 0.45330097 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 50 mg COMPR. DISP. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 50 23.42 0.468400 0.453300 0.45330098 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 24.84 0.828000 0.453300 0.45330099 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 28 121.67 4.345357 2.596166 2.596166

100 N03AX11 TOPIRAMATUM** TOPRAN 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 155.77 2.596166 2.596166 2.596166101 N03AX11 TOPIRAMATUM** TOPIRAMAT TEVA 100 mg COMPR. FILM. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 84.74 2.824666 2.596166 2.596166102 N03AX11 TOPIRAMATUM** TOPIRAMAT ACTAVIS 100 mg COMPR. FILM. 100mg ACTAVIS S.R.L. ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 60 158.46 2.641000 2.596166 2.596166103 N03AX11 TOPIRAMATUM** ZIDOXER 100 mg COMPR. FILM. 100mg OZONE LABORATORIES BV OLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 79.09 2.824642 2.596166 2.596166104 N03AX11 TOPIRAMATUM** ZIDOXER 100 mg COMPR. FILM. 100mg OZONE LABORATORIES BV OLANDA CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 160.70 2.678333 2.596166 2.596166105 N03AX11 TOPIRAMATUM** TORLEPTA 100 mg COMPR. FILM. 100mg MEDICAMENTA A.S. CEHIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF 30 84.74 2.824666 2.596166 2.596166106 N03AX11 TOPIRAMATUM** TOPILEX 100 mg COMPR. FILM. 100mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM. P-6L 30 82.14 2.738000 2.596166 2.596166107 N03AX11 TOPIRAMATUM** LUSITRAX 100mg COMPR. FILM. 100mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM. P-RF 30 82.12 2.737333 2.596166 2.596166108 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 28 214.47 7.659642 4.863833 4.863833109 N03AX11 TOPIRAMATUM** TOPRAN 200 mg COMPR. FILM. 200mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 291.83 4.863833 4.863833 4.863833110 N03AX11 TOPIRAMATUM** TOPIRAMAT TEVA 200 mg COMPR. FILM. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 149.37 4.979000 4.863833 4.863833111 N03AX11 TOPIRAMATUM** ZIDOXER 200 mg COMPR. FILM. 200mg OZONE LABORATORIES BV OLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 139.40 4.978571 4.863833 4.863833112 N03AX11 TOPIRAMATUM** ZIDOXER 200 mg COMPR. FILM. 200mg OZONE LABORATORIES BV OLANDA CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 298.72 4.978666 4.863833 4.863833113 N03AX11 TOPIRAMATUM** LUSITRAX 200mg COMPR. FILM. 200mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM. P-RF 30 145.92 4.864000 4.863833 4.863833114 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 38.14 1.362142 0.844666 0.844666115 N03AX11 TOPIRAMATUM** TOPRAN 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 50.68 0.844666 0.844666 0.844666116 N03AX11 TOPIRAMATUM** TOPIRAMAT TEVA 25 mg COMPR. FILM. 25mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 27.44 0.914666 0.844666 0.844666117 N03AX11 TOPIRAMATUM** TOPIRAMAT ACTAVIS 25 mg COMPR. FILM. 25mg ACTAVIS S.R.L. ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 60 52.19 0.869833 0.844666 0.844666118 N03AX11 TOPIRAMATUM** ZIDOXER 25 mg COMPR. FILM. 25mg OZONE LABORATORIES BV OLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 25.62 0.915000 0.844666 0.844666119 N03AX11 TOPIRAMATUM** ZIDOXER 25 mg COMPR. FILM. 25mg OZONE LABORATORIES BV OLANDA CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 53.13 0.885500 0.844666 0.844666120 N03AX11 TOPIRAMATUM** TORLEPTA 25 mg COMPR. FILM. 25mg MEDICAMENTA A.S. CEHIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF 30 27.44 0.914666 0.844666 0.844666121 N03AX11 TOPIRAMATUM** TOPILEX 25 mg COMPR. FILM. 25mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM. P-6L 30 26.12 0.870666 0.844666 0.844666122 N03AX11 TOPIRAMATUM** LUSITRAX 25 mg COMPR. FILM. 25mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM. P-RF 30 26.18 0.872666 0.844666 0.844666123 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 69.97 2.498928 1.522166 1.522166124 N03AX11 TOPIRAMATUM** TOPRAN 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 91.33 1.522166 1.522166 1.522166125 N03AX11 TOPIRAMATUM** TOPIRAMAT TEVA 50 mg COMPR. FILM. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 50.40 1.680000 1.522166 1.522166126 N03AX11 TOPIRAMATUM** TOPIRAMAT ACTAVIS 50 mg COMPR. FILM. 50mg ACTAVIS S.R.L. ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 60 92.05 1.534166 1.522166 1.522166127 N03AX11 TOPIRAMATUM** ZIDOXER 50 mg COMPR. FILM. 50mg OZONE LABORATORIES BV OLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 47.04 1.680000 1.522166 1.522166128 N03AX11 TOPIRAMATUM** ZIDOXER 50 mg COMPR. FILM. 50mg OZONE LABORATORIES BV OLANDA CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 95.74 1.595666 1.522166 1.522166129 N03AX11 TOPIRAMATUM** TORLEPTA 50 mg COMPR. FILM. 50mg MEDICAMENTA A.S. CEHIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF 30 50.40 1.680000 1.522166 1.522166130 N03AX11 TOPIRAMATUM** TOPILEX 50 mg COMPR. FILM. 50mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM. P-6L 30 48.07 1.602333 1.522166 1.522166131 N03AX11 TOPIRAMATUM** LUSITRAX 50 mg COMPR. FILM. 50mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM. P-RF 30 48.07 1.602333 1.522166 1.522166

Pagina 25 din 59

132 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 56.90 0.569000 0.157000 0.157000133 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 29.15 0.583000 0.157000 0.157000134 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 53.68 0.536800 0.157000 0.157000135 N03AX12 GABAPENTINUM*** GABAPENTIN STADA 100 mg CAPS. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 100 15.72 0.157200 0.157000 0.157000136 N03AX12 GABAPENTINUM*** GABAPENTIN STADA 100 mg CAPS. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 50 7.86 0.157200 0.157000 0.157000137 N03AX12 GABAPENTINUM*** GABAPENTIN STADA 100 mg CAPS. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 20 3.14 0.157000 0.157000 0.157000138 N03AX12 GABAPENTINUM*** GRIMODIN 100 mg CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L 60 32.36 0.539333 0.157000 0.157000139 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 67.75 1.355000 1.003900 1.003900140 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 32.22 1.611000 1.003900 1.003900141 N03AX12 GABAPENTINUM*** GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 125.41 1.254100 1.003900 1.003900142 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 64.06 1.281200 1.003900 1.003900143 N03AX12 GABAPENTINUM*** GABALEPT 300 mg CAPS. 300mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 124.97 1.249700 1.003900 1.003900144 N03AX12 GABAPENTINUM*** GABAPENTIN STADA 300 mg CAPS. 300mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 50 52.85 1.057000 1.003900 1.003900145 N03AX12 GABAPENTINUM*** GABAPENTIN STADA 300 mg CAPS. 300mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 100 100.39 1.003900 1.003900 1.003900146 N03AX12 GABAPENTINUM*** GRIMODIN 300 mg CAPS. 300mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L 60 61.79 1.029833 1.003900 1.003900147 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 88.76 1.775200 1.293700 1.293700148 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 40.38 2.019000 1.293700 1.293700149 N03AX12 GABAPENTINUM*** GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 164.48 1.644800 1.293700 1.293700150 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 69.51 1.390200 1.293700 1.293700151 N03AX12 GABAPENTINUM*** GABALEPT 400 mg CAPS. 400mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 158.84 1.588400 1.293700 1.293700152 N03AX12 GABAPENTINUM*** GABAPENTIN STADA 400 mg CAPS. 400mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 100 129.37 1.293700 1.293700 1.293700153 N03AX12 GABAPENTINUM*** GABAPENTIN STADA 400 mg CAPS. 400mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 50 68.19 1.363800 1.293700 1.293700154 N03AX12 GABAPENTINUM*** GRIMODIN 400 mg CAPS. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L 60 80.72 1.345333 1.293700 1.293700155 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 61.23 2.041000 1.935333 1.935333156 N03AX12 GABAPENTINUM*** GRIMODIN 600 mg COMPR. FILM. 600mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 116.12 1.935333 1.935333 1.935333157 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 97.88 3.262666 3.088666 3.088666158 N03AX12 GABAPENTINUM*** GRIMODIN 800 mg COMPR. FILM. 800mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 185.32 3.088666 3.088666 3.088666159 N03AX14 LEVETIRACETAMUM** KEPPRA 1000 mg COMPR. FILM. 1000mg UCB PHARMA SA BELGIA CUTIE X 30 COMPR. FILM.1 (BLIST. AL/PVC) P-RF 30 324.12 10.804000 10.804000 10.804000160 N03AX14 LEVETIRACETAMUM** KEPPRA 250 mg COMPR. FILM. 250mg UCB PHARMA SA BELGIA CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) P-RF 30 85.55 2.851666 2.851666 2.851666161 N03AX14 LEVETIRACETAMUM** KEPPRA 500 mg COMPR. FILM. 500mg UCB PHARMA LTD BELGIA CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) P-RF 30 161.05 5.368333 5.368333 5.368333162 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 1 318.56 318.560000 318.560000 318.560000

163 N03AX16 PREGABALINUM*** LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 71.51 5.107857 4.843928 4.843928164 N03AX16 PREGABALINUM*** LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 271.26 4.843928 4.843928 4.843928165 N03AX16 PREGABALINUM*** LYRICA 300 mg CAPS. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 401.20 7.164285 7.164285 7.164285166 N03AX16 PREGABALINUM*** LYRICA 300 mg CAPS. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 107.30 7.664285 7.164285 7.164285167 N03AX16 PREGABALINUM*** LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 50.44 3.602857 3.244821 3.244821168 N03AX16 PREGABALINUM*** LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 181.71 3.244821 3.244821 3.244821Tratamentul 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 16.63 0.332600 0.332600 0.3326002 N04AA02 BIPERIDENUM AKINETON COMPR. 2mg DESMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 9.92 0.198400 0.198400 0.198400

Pagina 26 din 59

3 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 55.28 0.552800 0.552800 0.552800

4 N04BA02

COMBINATII (LEVODOPUM+BENSERAZIDUM)** MADOPAR (R) 250 COMPR. 200mg+50mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-6L 30 45.40 1.513333 0.758000 0.758000

5 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 22.74 0.758000 0.758000 0.758000

6 N04BA02

COMBINATII (LEVODOPUM+CARBIDOPUM)** ZIMOX COMPR. 250mg+25mg FARAN LABORATORIES S.A. GRECIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 18.04 0.601333 0.400700 0.400700

7 N04BA02

COMBINATII (LEVODOPUM+CARBIDOPUM)** CREDANIL 25/250 COMPR. 250mg+25mg REMEDICA LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 18.12 0.906000 0.400700 0.400700

8 N04BA02

COMBINATII (LEVODOPUM+CARBIDOPUM)** CARBIDOPA / LEVODOPA TEVA 25/250 COMPR. 250mg+25mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 10 BLIST. X 10 COMPR. P-6L 100 40.07 0.400700 0.400700 0.400700

9 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 58.26 0.582600 0.400700 0.400700

10 N04BA02

COMBINATII (LEVODOPUM+CARBIDOPUM)** ISICOM 250 mg/25 mg COMPR. 250mg/25mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 10 BLIST. PP/AL X 10 COMPR. P-6L 100 71.26 0.712600 0.400700 0.400700

11 N04BA02

COMBINATII (LEVODOPUM+CARBIDOPUM)** DUODOPA GEL INT. FARA CONCENTRATIE SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 7 CASETE BRUNE TRANSPARENTE X 100 GEL INT. IN PUNGA PVC S/P-RF 7 3,220.07 460.010000 460.010000 460.010000

12 N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 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 100 393.05 3.930500 3.930500 3.930500

13 N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 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 100 393.05 3.930500 3.930500 3.930500

14 N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 200 mg/50 mg/200 mg COMPR. FILM. 200mg/50mg/200mg ORION CORPORATION FINLANDA CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF 100 515.96 5.159600 5.159600 5.159600

15 N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 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 100 393.05 3.930500 3.930500 3.930500

16 N04BB01 AMANTADINUM** VIREGYT (R)- K CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 CAPS. P-6L 50 16.02 0.320400 0.320400 0.32040017 N04BC01 BROMOCRIPTINUM BROCRIPTIN (N04BC01) DRAJ. 2,5mg BIOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 DRAJ. P-RF 40 19.86 0.496500 0.496500 0.49650018 N04BC04 ROPINIROLUM** REQUIP 0,25 mg COMPR. FILM. 0,25mg 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 210 102.50 0.488095 0.282380 0.28238019 N04BC04 ROPINIROLUM** ROPINIROL STADA 0,25 mg COMPR. FILM. 0,25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 7 COMPR. FILM. P-RF 7 1.99 0.284285 0.282380 0.28238020 N04BC04 ROPINIROLUM** ROPINIROL STADA 0,25 mg COMPR. FILM. 0,25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 12 COMPR. FILM. P-RF 12 3.41 0.284166 0.282380 0.28238021 N04BC04 ROPINIROLUM** ROPINIROL STADA 0,25 mg COMPR. FILM. 0,25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 21 COMPR. FILM. P-RF 21 5.95 0.283333 0.282380 0.28238022 N04BC04 ROPINIROLUM** ROPINIROL STADA 0,25 mg COMPR. FILM. 0,25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 30 COMPR. FILM. P-RF 30 8.51 0.283666 0.282380 0.282380

Pagina 27 din 59

23 N04BC04 ROPINIROLUM** ROPINIROL STADA 0,25 mg COMPR. FILM. 0,25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 50 COMPR. FILM. P-RF 50 14.18 0.283600 0.282380 0.28238024 N04BC04 ROPINIROLUM** ROPINIROL STADA 0,25 mg COMPR. FILM. 0,25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. FILM. P-RF 60 17.01 0.283500 0.282380 0.28238025 N04BC04 ROPINIROLUM** ROPINIROL STADA 0,25 mg COMPR. FILM. 0,25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 84 COMPR. FILM. P-RF 84 23.82 0.283571 0.282380 0.28238026 N04BC04 ROPINIROLUM** ROPINIROL STADA 0,25 mg COMPR. FILM. 0,25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 90 COMPR. FILM. P-RF 90 25.52 0.283555 0.282380 0.282380

27 N04BC04 ROPINIROLUM** ROPINIROL STADA 0,25 mg COMPR. FILM. 0,25mg STADA ARZNEIMITTEL AG GERMANIA

CUTIE X 1 FLAC. DIN PEJD, CU SISTEM DE INCHIDERE (DIN PP) SECURIZAT PT. COPII X 84 COMPR. FILM. P-RF 84 23.82 0.283571 0.282380 0.282380

28 N04BC04 ROPINIROLUM** ROPINIROL ACTAVIS 0,25 mg COMPR. FILM. 0,25mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM. P-RF 21 5.93 0.282380 0.282380 0.28238029 N04BC04 ROPINIROLUM** ALETA 0,25mg COMPR. FILM. 0,25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 30 8.51 0.283666 0.282380 0.28238030 N04BC04 ROPINIROLUM** ALETA 0,25mg COMPR. FILM. 0,25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM. P-RF 30 8.51 0.283666 0.282380 0.28238031 N04BC04 ROPINIROLUM** ROPINIROL TEVA 0,25 mg COMPR. FILM. 0,25mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 8.51 0.283666 0.282380 0.28238032 N04BC04 ROPINIROLUM** ALETA 0,5mg COMPR. FILM. 0,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 30 16.21 0.540333 0.540333 0.54033333 N04BC04 ROPINIROLUM** ALETA 0,5mg COMPR. FILM. 0,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM. P-RF 30 16.21 0.540333 0.540333 0.54033334 N04BC04 ROPINIROLUM** ROPINIROL TEVA 0,5 mg COMPR. FILM. 0,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 16.21 0.540333 0.540333 0.54033335 N04BC04 ROPINIROLUM** REQUIP 1 mg COMPR. FILM. 1mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 21 COMPR.FILM. P-6L 21 33.18 1.580000 0.945952 0.945952

36 N04BC04 ROPINIROLUM** ROPINIROL STADA 1 mg COMPR. FILM. 1mg STADA ARZNEIMITTEL AG GERMANIA

CUTIE X 1 FLAC. DIN PEJD, CU SISTEM DE INCHIDERE (DIN PP) SECURIZAT PT. COPII X 84 COMPR. FILM. P-RF 84 79.46 0.945952 0.945952 0.945952

37 N04BC04 ROPINIROLUM** ROPINIROL ACTAVIS 1 mg COMPR. FILM. 1mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM. P-RF 21 21.59 1.028095 0.945952 0.94595238 N04BC04 ROPINIROLUM** ALETA 1mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 30 30.86 1.028666 0.945952 0.94595239 N04BC04 ROPINIROLUM** ALETA 1mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X 3 BLIST.PVC-ACLAR/AL X 10 COMPR. FILM. P-RF 30 30.86 1.028666 0.945952 0.94595240 N04BC04 ROPINIROLUM** ROPINIROL TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 30.86 1.028666 0.945952 0.94595241 N04BC04 ROPINIROLUM** REQUIP 2 mg COMPR. FILM. 2mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 21 COMPR.FILM. P-6L 21 52.90 2.519047 1.467023 1.467023

42 N04BC04 ROPINIROLUM** ROPINIROL STADA 2 mg COMPR. FILM. 2mg STADA ARZNEIMITTEL AG GERMANIA

CUTIE X 1 FLAC. DIN PEJD, CU SISTEM DE INCHIDERE (DIN PP) SECURIZAT PENTRU COPII X 84 COMPR. FILM. P-RF 84 123.23 1.467023 1.467023 1.467023

43 N04BC04 ROPINIROLUM** ROPINIROL ACTAVIS 2 mg COMPR. FILM. 2mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM. P-RF 21 33.58 1.599047 1.467023 1.46702344 N04BC04 ROPINIROLUM** ALETA 2mg COMPR. FILM. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 30 48.00 1.600000 1.467023 1.46702345 N04BC04 ROPINIROLUM** ALETA 2mg COMPR. FILM. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM. P-RF 30 48.00 1.600000 1.467023 1.46702346 N04BC04 ROPINIROLUM** ROPINIROL TEVA 2 mg COMPR. FILM. 2mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 48.00 1.600000 1.467023 1.46702347 N04BC04 ROPINIROLUM** REQUIP 5 mg COMPR. FILM. 5mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 21 COMPR.FILM. P-6L 21 114.48 5.451428 3.256428 3.25642848 N04BC04 ROPINIROLUM** ROPINIROL STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 21 COMPR. FILM. P-RF 21 72.12 3.434285 3.256428 3.25642849 N04BC04 ROPINIROLUM** ROPINIROL STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. FILM. P-RF 60 195.39 3.256500 3.256428 3.25642850 N04BC04 ROPINIROLUM** ROPINIROL STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 84 COMPR. FILM. P-RF 84 273.54 3.256428 3.256428 3.25642851 N04BC04 ROPINIROLUM** ROPINIROL STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 90 COMPR. FILM. P-RF 90 293.08 3.256444 3.256428 3.256428

52 N04BC04 ROPINIROLUM** ROPINIROL STADA 5 mg COMPR. FILM. 5mg STADA ARZNEIMITTEL AG GERMANIA

CUTIE X 1 FLAC. DIN PEJD, CU SISTEM DE INCHIDERE (DIN PP) SECURIZAT PENTRU COPII X 84 COMPR. FILM. P-RF 84 273.54 3.256428 3.256428 3.256428

53 N04BC04 ROPINIROLUM** ROPINIROL ACTAVIS 5 mg COMPR. FILM. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM. P-RF 21 72.11 3.433809 3.256428 3.25642854 N04BC04 ROPINIROLUM** ALETA 5mg COMPR. FILM. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 30 103.04 3.434666 3.256428 3.25642855 N04BC04 ROPINIROLUM** ALETA 5mg COMPR. FILM. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM. P-RF 30 103.04 3.434666 3.256428 3.25642856 N04BC04 ROPINIROLUM** ROPINIROL TEVA 5 mg COMPR. FILM. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 103.04 3.434666 3.256428 3.25642857 N04BC04 ROPINIROLUM** REQUIP-MODUTAB 2 mg COMPR. FILM. ELIB. PREL. 2mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL. P-RF 28 57.62 2.057857 2.057857 2.057857

Pagina 28 din 59

58 N04BC04 ROPINIROLUM** REQUIP-MODUTAB 4 mg COMPR. FILM. ELIB. PREL. 4mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL, P-RF 28 109.35 3.905357 3.905357 3.90535759 N04BC04 ROPINIROLUM** REQUIP-MODUTAB 8 mg COMPR. FILM. ELIB. PREL. 8mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL. P-RF 28 207.47 7.409642 7.409642 7.40964260 N04BC05 PRAMIPEXOLUM** OPRYMEA 0,088mg COMPR. 0,088mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 18.55 0.618333 0.618333 0.61833361 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 46.73 1.557666 1.045666 1.04566662 N04BC05 PRAMIPEXOLUM** OPRYMEA 0,18mg COMPR. 0,18mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 31.39 1.046333 1.045666 1.04566663 N04BC05 PRAMIPEXOLUM** GLEPARK 0,18 mg COMPR. 0,18mg MEDICAMENTA A.S. CEHIA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 31.39 1.046333 1.045666 1.04566664 N04BC05 PRAMIPEXOLUM** PRAMIPEXOL TEVA 0,18mg COMPR. 0,18mg TEVA PHARMA BV OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 31.37 1.045666 1.045666 1.04566665 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 30 157.60 5.253333 3.600666 3.60066666 N04BC05 PRAMIPEXOLUM** OPRYMEA 0,7mg COMPR. 0,7mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 108.02 3.600666 3.600666 3.60066667 N04BC05 PRAMIPEXOLUM** GLEPARK 0,7 mg COMPR. 0,7mg MEDICAMENTA A.S. CEHIA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 108.02 3.600666 3.600666 3.60066668 N04BC05 PRAMIPEXOLUM** PRAMIPEXOL TEVA 0,7mg COMPR. 0,7mg TEVA PHARMA BV OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 108.02 3.600666 3.600666 3.60066669 N04BC09 ROTIGOTINUM*** NEUPRO 2mg/24h PLASTURE TRANSDERMIC 2mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF 28 346.36 12.370000 12.370000 12.37000070 N04BC09 ROTIGOTINUM*** NEUPRO 2mg/24h PLASTURE TRANSDERMIC 2mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF 7 92.16 13.165714 12.370000 12.37000071 N04BC09 ROTIGOTINUM*** NEUPRO 4mg/24h PLASTURE TRANSDERMIC 4mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF 7 95.45 13.635714 12.926071 12.92607172 N04BC09 ROTIGOTINUM*** NEUPRO 4mg/24h PLASTURE TRANSDERMIC 4mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF 28 361.93 12.926071 12.926071 12.92607173 N04BC09 ROTIGOTINUM*** NEUPRO 6mg/24h PLASTURE TRANSDERMIC 6mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF 28 452.74 16.169285 16.169285 16.16928574 N04BC09 ROTIGOTINUM*** NEUPRO 6mg/24h PLASTURE TRANSDERMIC 6mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF 7 124.05 17.721428 16.169285 16.16928575 N04BC09 ROTIGOTINUM*** NEUPRO 8mg/24h PLASTURE TRANSDERMIC 8mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF 28 540.86 19.316428 19.316428 19.31642876 N04BC09 ROTIGOTINUM*** NEUPRO 8mg/24h PLASTURE TRANSDERMIC 8mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF 7 144.76 20.680000 19.316428 19.31642877 N04BD01 SELEGILINUM SELEGOS COMPR. 5mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 BLIST. DIN AL/PVC X 10 COMPR. P-6L 50 34.09 0.681800 0.660700 0.66070078 N04BD01 SELEGILINUM SELEGOS COMPR. 5mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. DIN AL/PVC X 10 COMPR. P-6L 100 66.07 0.660700 0.660700 0.66070079 N04BD01 SELEGILINUM JUMEX 5 mg COMPR. 5mg CHINOIN PRIVATE CO. LTD. UNGARIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. P-6L 50 39.19 0.783800 0.660700 0.66070080 N04BD02 RASAGILINUM*** AZILECT 1mg COMPR. 1mg TEVA PHARMA GMBH GERMANIA CUTIE X 30 COMPR.(BLIST. AL/AL) P-RF 30 495.95 16.531666 16.531666 16.531666

81 N04BX02 ENTACAPONUM*** COMTAN 200mg 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 100 370.08 3.700800 3.700800 3.700800

82 N04BX02 ENTACAPONUM*** COMTAN 200mg 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 30 117.61 3.920333 3.700800 3.700800

83 N05AH02 CLOZAPINUM** LEPONEX (R) 100 mg COMPR. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 100.26 2.005200 2.005200 2.00520084 N05AH02 CLOZAPINUM** LEPONEX (R) 25 mg COMPR. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 31.59 0.631800 0.631800 0.631800

Tratamentul se initiaza de catre medicul in specialitatea neurologie

1 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.0776662 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.47 0.082333 0.077666 0.0776663 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 2.33 0.077666 0.077666 0.0776664 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.37 0.079000 0.077666 0.0776665 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.0776666 L01BA01 METHOTREXATUM4 METOTREXATE BELLON 2,5 mg COMPR. 2,5mg FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR. X 20 21.45 1.072500 1.072500 1.0725007 L01BA01 METHOTREXATUM4 METOTREXATE BELLON 2,5 mg COMPR. 2,5mg FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR. X 20 21.45 1.072500 1.072500 1.0725008 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE X 5 ML S 5 226.36 45.272000 45.272000 45.2720009 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S 1 84.17 84.170000 84.170000 84.170000

11. MIASTENIA GRAVIS - G13

Pagina 29 din 59

10 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML S 1 378.95 378.950000 378.950000 378.950000

11 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FIOLE X 1 ML S 10 22.37 2.237000 2.237000 2.23700012 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML S 1 12.51 12.510000 12.510000 12.51000013 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 75.98 0.759800 0.759800 0.75980014 N07AA01 NEOSTIGMINI BROMIDUM NEOSTIGMINA LPH 15 mg COMPR. 15mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 12.90 0.645000 0.645000 0.64500015 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 5.16 1.032000 1.032000 1.03200016 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 9.37 0.468500 0.468500 0.468500

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 30.63 0.612600 0.612600 0.6126002 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 27.83 1.391500 1.391500 1.3915003 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 6.13 0.204333 0.204333 0.2043334 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 8.26 8.260000 8.260000 8.2600005 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 63.83 4.255333 4.255333 4.2553336 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 29.12 29.120000 29.120000 29.120000

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 19.21 19.210000 19.210000 19.210000

8 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.0776669 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.47 0.082333 0.077666 0.077666

10 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 2.33 0.077666 0.077666 0.07766611 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.37 0.079000 0.077666 0.07766612 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.07766613 L01BA01 METHOTREXATUM4 METOTREXATE BELLON 2,5 mg COMPR. 2,5mg FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR. X 20 21.45 1.072500 1.072500 1.07250014 L01BA01 METHOTREXATUM4 METOTREXATE BELLON 2,5 mg COMPR. 2,5mg FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR. X 20 21.45 1.072500 1.072500 1.07250015 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE X 5 ML S 5 226.36 45.272000 45.272000 45.27200016 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S 1 84.17 84.170000 84.170000 84.17000017 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML S 1 378.95 378.950000 378.950000 378.950000

18 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FIOLE X 1 ML S 10 22.37 2.237000 2.237000 2.23700019 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML S 1 12.51 12.510000 12.510000 12.51000020 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 1 608.66 608.660000 608.660000 608.660000

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 75.98 0.759800 0.759800 0.759800Tratamentul 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 20.60 0.412000 0.412000 0.4120002 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 34.50 0.690000 0.690000 0.690000

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

Pagina 30 din 59

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 19.03 0.190300 0.190300 0.1903004 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 31.25 0.312500 0.312500 0.3125005 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 48.00 0.480000 0.480000 0.4800006 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 33.73 0.337300 0.337300 0.3373007 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. DIVIZIBILE P-6L 30 15.08 0.502666 0.502666 0.5026668 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 27.37 0.273700 0.273700 0.2737009 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 10.08 0.252000 0.252000 0.252000

10 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 35.28 0.352800 0.352800 0.35280011 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 37.56 0.751200 0.751200 0.751200

12 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 4 123.57 30.892500 30.892500 30.892500

13 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 89.13 1.782600 1.782600 1.78260014 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 55.84 1.116800 1.116800 1.11680015 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 34.04 34.040000 34.040000 34.04000016 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX 50mg/ml SIROP 50mg/ml GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SIROP + 1 SERINGA PT. ADMIN. ORALA (0,5-10,0 ML) P-6L 1 8.17 8.170000 8.170000 8.17000017 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 21.71 21.710000 21.710000 21.71000018 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 25.02 0.893571 0.874107 0.87410719 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 26.81 0.893666 0.874107 0.87410720 N03AX09 LAMOTRIGINUM** LAMOTRIX 100 mg COMPR. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 27.10 0.903333 0.874107 0.87410721 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 27.10 0.903333 0.874107 0.87410722 N03AX09 LAMOTRIGINUM** PLEXXO (R) 100 mg COMPR. 100mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 27.10 0.903333 0.874107 0.87410723 N03AX09 LAMOTRIGINUM** XEBARIN 100 mg COMPR. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 25.27 0.902500 0.874107 0.87410724 N03AX09 LAMOTRIGINUM** LAMOTRIGINE FARMAL 100 mg COMPR. 100mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 27.09 0.903000 0.874107 0.87410725 N03AX09 LAMOTRIGINUM** LAMICTAL 100 mg COMPR. 100mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 40.35 1.345000 0.874107 0.87410726 N03AX09 LAMOTRIGINUM** LAMOTRIGINA SUN 100 mg COMPR. 100mg SUN MEDIC INVEST S.R.L. ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. P-6L 56 48.95 0.874107 0.874107 0.87410727 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 51.44 1.714666 1.668750 1.66875028 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 48.01 1.714642 1.668750 1.66875029 N03AX09 LAMOTRIGINUM** LAMOTRIX 200 mg COMPR. 200mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 93.45 3.115000 1.668750 1.66875030 N03AX09 LAMOTRIGINUM** XEBARIN 200 mg COMPR. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 48.01 1.714642 1.668750 1.66875031 N03AX09 LAMOTRIGINUM** LAMOTRIGINA SUN 200 mg COMPR. 200mg SUN MEDIC INVEST S.R.L. ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. P-6L 56 93.45 1.668750 1.668750 1.66875032 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 10.46 0.348666 0.023571 0.02357133 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 6.26 0.223571 0.023571 0.02357134 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 6.70 0.223333 0.023571 0.02357135 N03AX09 LAMOTRIGINUM** LAMOTRIX 25 mg COMPR. 25mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.80 0.226666 0.023571 0.02357136 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 6.80 0.226666 0.023571 0.02357137 N03AX09 LAMOTRIGINUM** XEBARIN 25 mg COMPR. 25mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 0.66 0.023571 0.023571 0.02357138 N03AX09 LAMOTRIGINUM** LAMOTRIGINE FARMAL 25 mg COMPR. 25mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 6.80 0.226666 0.023571 0.02357139 N03AX09 LAMOTRIGINUM** LAMOTRIGINA SUN 25 mg COMPR. 25mg SUN MEDIC INVEST S.R.L. ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. P-6L 56 12.82 0.228928 0.023571 0.02357140 N03AX09 LAMOTRIGINUM** PLEXXO (R) 50 mg COMPR. 50mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 13.53 0.451000 0.446785 0.44678541 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 12.51 0.446785 0.446785 0.44678542 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 13.41 0.447000 0.446785 0.44678543 N03AX09 LAMOTRIGINUM** LAMOTRIX 50 mg COMPR. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 13.53 0.451000 0.446785 0.44678544 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 13.53 0.451000 0.446785 0.446785

Pagina 31 din 59

45 N03AX09 LAMOTRIGINUM** XEBARIN 50 mg COMPR. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 12.62 0.450714 0.446785 0.44678546 N03AX09 LAMOTRIGINUM** LAMOTRIGINE FARMAL 50 mg COMPR. 50mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 13.54 0.451333 0.446785 0.44678547 N03AX09 LAMOTRIGINUM** LAMICTAL 50 mg COMPR. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 20.82 0.694000 0.446785 0.44678548 N03AX09 LAMOTRIGINUM** LAMOTRIGINA SUN 50 mg COMPR. 50mg SUN MEDIC INVEST S.R.L. ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. P-6L 56 25.25 0.450892 0.446785 0.44678549 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 100 mg COMPR. DISP. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. DISP. P-6L 100 85.86 0.858600 0.858600 0.85860050 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 100 mg COMPR. DISP. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. DISP. P-6L 50 45.21 0.904200 0.858600 0.85860051 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 100 mg COMPR. DISP. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. AL/AL X 10 COMPR. DISP. P-6L 10 9.34 0.934000 0.858600 0.85860052 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 28.03 0.934333 0.858600 0.85860053 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 100 mg COMPR. DISP. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 100 85.86 0.858600 0.858600 0.85860054 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 100 mg COMPR. DISP. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 10 9.34 0.934000 0.858600 0.85860055 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 100 mg COMPR. DISP. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 50 45.21 0.904200 0.858600 0.85860056 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 36.09 1.203000 0.858600 0.85860057 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 3.57 0.119000 0.119000 0.11900058 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 14.05 0.468333 0.453300 0.45330059 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 50 mg COMPR. DISP. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. DISP. P-6L 50 23.42 0.468400 0.453300 0.45330060 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 50 mg COMPR. DISP. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. DISP. P-6L 100 45.33 0.453300 0.453300 0.45330061 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 50 mg COMPR. DISP. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. AL/AL X 10 COMPR. DISP. P-6L 10 4.68 0.468000 0.453300 0.45330062 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 50 mg COMPR. DISP. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 100 45.33 0.453300 0.453300 0.45330063 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 50 mg COMPR. DISP. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 10 4.68 0.468000 0.453300 0.45330064 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 50 mg COMPR. DISP. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 50 23.42 0.468400 0.453300 0.45330065 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 24.84 0.828000 0.453300 0.45330066 N04AA01 TRIHEXYPHENIDYLUM ROMPARKIN (R) 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 16.63 0.332600 0.332600 0.33260067 N05AD01 HALOPERIDOLUM HALOPERIDOL LAROPHARM 0,5 mg COMPR. 0,5mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.05 0.152500 0.152500 0.15250068 N05AD01 HALOPERIDOLUM HALOPERIDOL 1 mg COMPR. 1mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 4.24 0.141333 0.141333 0.14133369 N05AD01 HALOPERIDOLUM HALOPERIDOL 2 mg COMPR. 2mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 4.44 0.148000 0.148000 0.14800070 N05AD01 HALOPERIDOLUM HALDOL COMPR. 5mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 16.84 0.673600 0.673600 0.67360071 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 6.26 6.260000 4.410000 4.41000072 N05AD01 HALOPERIDOLUM HALOPERIDOL PICATURI ORALE-SOL. 2mg/ml TERAPIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 4.41 4.410000 4.410000 4.41000073 N05AD01 HALOPERIDOLUM HALOPERIDOL DECANOAT SOL. INJ. 50mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE X 1 ML P-RF 5 41.81 8.362000 8.362000 8.36200074 N05AD01 HALOPERIDOLUM HALOPERIDOL RICHTER 5 mg/ml SOL. INJ. 5mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF 5 11.71 2.342000 2.342000 2.34200075 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 28 352.18 12.577857 12.577857 12.57785776 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 28 459.50 16.410714 16.410714 16.41071477 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 28 506.82 18.100714 18.100714 18.10071478 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 30 124.34 4.144666 4.144666 4.14466679 N05AE04 ZIPRASIDONUM** ZELDOX (R) 40 mg CAPS. 40mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 4 BLIST. X 14 CAPS. P-RF 56 395.57 7.063750 7.063750 7.06375080 N05AE04 ZIPRASIDONUM** ZELDOX (R) 60 mg CAPS. 60mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 4 BLIST. X 14 CAPS. P-RF 56 513.40 9.167857 9.167857 9.16785781 N05AE04 ZIPRASIDONUM** ZELDOX (R) 80 mg CAPS. 80mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 4 BLIST. X 14 CAPS. P-RF 56 551.82 9.853928 9.853928 9.85392882 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 62.36 62.360000 62.360000 62.360000

83 N05AE04 ZIPRASIDONUM** ZELDOX (R) 10 mg/ml SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE

CUTIE X 1 FLAC. PEID OPACA, ALBA X 60 ML + SERINGA PT. ADM. ORALA PP, GRADATA, DE 2 ML P-RF 1 168.40 168.400000 168.400000 168.400000

84 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 68.63 6.863000 6.863000 6.86300085 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL (R) 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA FLAC. X 50 COMPR. FILM. P-RF 50 21.71 0.434200 0.434200 0.43420086 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL (R) 25 mg COMPR. FILM. 25mg H. LUNDBECK A/S DANEMARCA FLAC. X 50 COMPR. FILM. P-RF 50 32.57 0.651400 0.651400 0.651400

Pagina 32 din 59

87 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 30.69 30.690000 30.690000 30.69000088 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL (R) DEPOT SOL. INJ. 200mg/ml H. LUNDBECK A/S DANEMARCA CUTIE X 10 FIOLE X 1 ML P-RF 10 148.17 14.817000 14.817000 14.81700089 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL ACUPHASE (R) SOL. INJ. 50mg/ml H. LUNDBECK A/S DANEMARCA CUTIE X 5 FIOLE X 1 ML P-RF 5 43.65 8.730000 8.730000 8.73000090 N05AH02 CLOZAPINUM** LEPONEX (R) 100 mg COMPR. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 100.26 2.005200 2.005200 2.00520091 N05AH02 CLOZAPINUM** LEPONEX (R) 25 mg COMPR. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 31.59 0.631800 0.631800 0.63180092 N05AH03 OLANZAPINUM** ZYPREXA 10 mg COMPR. FILM. 10mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE) P-RF 28 442.21 15.793214 15.793214 15.79321493 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 28 228.72 8.168571 8.168571 8.168571

94 N05AH03 OLANZAPINUM** ZYPREXA VELOTAB 10 mg

COMPR. ORODISPERSABILE 10mg ELI LILLY NEDERLAND BV OLANDA

CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL ) P-RF 28 442.10 15.789285 15.789285 15.789285

95 N05AH03 OLANZAPINUM** ZYPREXA VELOTAB 15 mg

COMPR. ORODISPERSABILE 15mg ELI LILLY NEDERLAND BV OLANDA

CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL ) P-RF 28 734.74 26.240714 26.240714 26.240714

96 N05AH03 OLANZAPINUM** ZYPREXA VELOTAB 20 mg

COMPR. ORODISPERSABILE 20mg ELI LILLY NEDERLAND BV OLANDA

CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL ) P-RF 28 956.03 34.143928 34.143928 34.143928

97 N05AH03 OLANZAPINUM** ZYPREXA VELOTAB 5 mg

COMPR. ORODISPERSABILE 5mg ELI LILLY NEDERLAND BV OLANDA

CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL ) P-RF 28 228.67 8.166785 8.166785 8.166785

98 N05AH03 OLANZAPINUM** ZYPADHERA 210mg

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 210mg ELI LILLY NEDERLAND BV OLANDA

CUTIE X 1 FLAC X 210MG PULB. + 1 FLAC. X 3ML SOLVENT P-RF/R 1 843.40 843.400000 843.400000 843.400000

99 N05AH03 OLANZAPINUM** ZYPADHERA 300mg

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 300mg ELI LILLY NEDERLAND BV OLANDA

CUTIE X 1 FLAC X 300MG PULB. + 1 FLAC. X 3ML SOLVENT P-RF/R 1 1,299.93 1299.930000 1299.930000 1299.930000

100 N05AH03 OLANZAPINUM** ZYPADHERA 405mg

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 405mg ELI LILLY NEDERLAND BV OLANDA

CUTIE X 1 FLAC X 405MG PULB. + 1 FLAC. X 3ML SOLVENT P-RF/R 1 1,615.95 1615.950000 1615.950000 1615.950000

101 N05AH03 OLANZAPINUM** ZYPREXA 10 mg PULB. PT. SOL. INJ. 10mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC. X 10 MG PULB.PT.SOL.INJ. P-RF 1 18.74 18.740000 18.740000 18.740000102 N05AH04 QUETIAPINUM** SEROQUEL 100mg COMPR. FILM. 100mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 6 BLIST. AL/ PVC X 10 COMPR. FILM. P-RF 60 241.96 4.032666 4.032666 4.032666103 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 60 385.33 6.422166 6.422166 6.422166104 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 60 522.28 8.704666 8.704666 8.704666105 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 60 470.16 7.836000 7.836000 7.836000106 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 60 545.26 9.087666 9.087666 9.087666107 N05AL01 SULPIRIDUM EGLONYL (R) 50 mg CAPS. 50mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 2 BLIST. X 15 CAPS. P-RF 30 10.12 0.337333 0.337333 0.337333108 N05AL01 SULPIRIDUM EGLONYL (R) 200 mg COMPR. 200mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 1 BLIST. X 12 COMPR. P-RF 12 9.88 0.823333 0.823333 0.823333109 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 4.73 0.788333 0.788333 0.788333110 N05AL05 AMISULPRIDUM** AMISULPRIDE TEVA 200 mg COMPR. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-RF 30 80.69 2.689666 2.689666 2.689666111 N05AL05 AMISULPRIDUM** AMISULPRIDE TEVA 400 mg COMPR. 400mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-RF 30 81.19 2.706333 2.706333 2.706333112 N05AL05 AMISULPRIDUM** SOLIAN 200 mg COMPR. DIVIZ. 200mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. DIVIZ. P-RF 30 124.14 4.138000 4.138000 4.138000

Pagina 33 din 59

113 N05AL05 AMISULPRIDUM** SOLIAN 400 mg COMPR. FILM. 400mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 124.92 4.164000 4.164000 4.164000114 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 7.33 0.366500 0.366500 0.366500115 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 23.24 0.387333 0.366500 0.366500116 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 33.77 1.688500 0.366500 0.366500117 N05AX08 RISPERIDONUM** RISPEN 1 COMPR. FILM. 1mg ZENTIVA AS CEHIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 22.19 0.443800 0.366500 0.366500118 N05AX08 RISPERIDONUM** RISPEN 1 COMPR. FILM. 1mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 8.88 0.444000 0.366500 0.366500119 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 48.22 0.803666 0.366500 0.366500120 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 7.83 0.391500 0.366500 0.366500121 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 23.11 0.385166 0.366500 0.366500122 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 8.24 0.412000 0.366500 0.366500123 N05AX08 RISPERIDONUM** RISPERIDONA ACCORD 1 mg COMPR. FILM. 1mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. P-RF 60 22.10 0.368333 0.366500 0.366500124 N05AX08 RISPERIDONUM** XENOMA 1 mg COMPR. FILM. 1mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 20 7.60 0.380000 0.366500 0.366500125 N05AX08 RISPERIDONUM** XENOMA 1 mg COMPR. FILM. 1mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 60 22.79 0.379833 0.366500 0.366500126 N05AX08 RISPERIDONUM** SPRING 1 mg COMPR. FILM. 1mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 20 21.94 1.097000 0.366500 0.366500127 N05AX08 RISPERIDONUM** SPRING 1 mg COMPR. FILM. 1mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 32.91 1.097000 0.366500 0.366500128 N05AX08 RISPERIDONUM** SPRING 1 mg COMPR. FILM. 1mg ANTIBIOTICE S.A. ROMANIA CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 60 62.63 1.043833 0.366500 0.366500129 N05AX08 RISPERIDONUM** RISPERIDONA FARMAL 1 mg COMPR. FILM. 1mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 50 22.50 0.450000 0.366500 0.366500130 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 42.94 0.858800 0.700833 0.700833131 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 17.75 0.887500 0.700833 0.700833132 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 44.38 0.739666 0.700833 0.700833133 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 15.28 0.764000 0.700833 0.700833134 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 65.30 3.265000 0.700833 0.700833135 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 95.15 1.585833 0.700833 0.700833136 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 15.10 0.755000 0.700833 0.700833137 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 43.84 0.730666 0.700833 0.700833138 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 20.96 1.048000 0.700833 0.700833139 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 16.43 0.821500 0.700833 0.700833140 N05AX08 RISPERIDONUM** RISPERIDONA ACCORD 2 mg COMPR. FILM. 2mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 42.05 0.700833 0.700833 0.700833141 N05AX08 RISPERIDONUM** XENOMA 2 mg COMPR. FILM. 2mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 60 43.24 0.720666 0.700833 0.700833142 N05AX08 RISPERIDONUM** SPRING 2 mg COMPR. FILM. 2mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 20 42.42 2.121000 0.700833 0.700833143 N05AX08 RISPERIDONUM** SPRING 2 mg COMPR. FILM. 2mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 63.60 2.120000 0.700833 0.700833144 N05AX08 RISPERIDONUM** SPRING 2 mg COMPR. FILM. 2mg ANTIBIOTICE S.A. ROMANIA CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 60 120.37 2.006166 0.700833 0.700833145 N05AX08 RISPERIDONUM** ESSENS 2 mg COMPR. FILM. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVDC-PVC/AL X 10 COMPR. FILM. P-RF 30 22.93 0.764333 0.700833 0.700833146 N05AX08 RISPERIDONUM** RISPERIDONA FARMAL 2 mg COMPR. FILM. 2mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 50 41.75 0.835000 0.700833 0.700833147 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 93.07 4.653500 1.091166 1.091166148 N05AX08 RISPERIDONUM** RISPEN 3 COMPR. FILM. 3mg ZENTIVA AS CEHIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 64.42 1.288400 1.091166 1.091166149 N05AX08 RISPERIDONUM** RISPEN 3 COMPR. FILM. 3mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 26.63 1.331500 1.091166 1.091166150 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 71.39 1.189833 1.091166 1.091166151 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 25.90 1.295000 1.091166 1.091166152 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 60 136.40 2.273333 1.091166 1.091166153 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 33.61 1.120333 1.091166 1.091166154 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 25.52 1.276000 1.091166 1.091166155 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 70.86 1.181000 1.091166 1.091166156 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 32.03 1.601500 1.091166 1.091166157 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 27.80 1.390000 1.091166 1.091166

Pagina 34 din 59

158 N05AX08 RISPERIDONUM** RISPERIDONA ACCORD 3 mg COMPR. FILM. 3mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 65.47 1.091166 1.091166 1.091166159 N05AX08 RISPERIDONUM** XENOMA 3 mg COMPR. FILM. 3mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 60 71.48 1.191333 1.091166 1.091166160 N05AX08 RISPERIDONUM** SPRING 3 mg COMPR. FILM. 3mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 20 63.69 3.184500 1.091166 1.091166161 N05AX08 RISPERIDONUM** SPRING 3 mg COMPR. FILM. 3mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 90.63 3.021000 1.091166 1.091166162 N05AX08 RISPERIDONUM** SPRING 3 mg COMPR. FILM. 3mg ANTIBIOTICE S.A. ROMANIA CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 60 169.20 2.820000 1.091166 1.091166163 N05AX08 RISPERIDONUM** ESSENS 3 mg COMPR. FILM. 3mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVDC-PVC/AL X 10 COMPR. FILM. P-RF 30 37.58 1.252666 1.091166 1.091166164 N05AX08 RISPERIDONUM** RISPERIDONA FARMAL 3 mg COMPR. FILM. 3mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 50 63.42 1.268400 1.091166 1.091166165 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 81.57 1.631400 1.490666 1.490666166 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 34.36 1.718000 1.490666 1.490666167 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 20 123.29 6.164500 1.490666 1.490666168 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 33.40 1.670000 1.490666 1.490666169 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 95.16 1.586000 1.490666 1.490666170 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 60 182.47 3.041166 1.490666 1.490666171 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 44.72 1.490666 1.490666 1.490666172 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 94.65 1.577500 1.490666 1.490666173 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 33.22 1.661000 1.490666 1.490666174 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 42.94 2.147000 1.490666 1.490666175 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 34.36 1.718000 1.490666 1.490666176 N05AX08 RISPERIDONUM** ESSENS 4 mg COMPR. FILM. 4mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 47.06 1.568666 1.490666 1.490666177 N05AX08 RISPERIDONUM** XENOMA 4 mg COMPR. FILM. 4mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 60 93.63 1.560500 1.490666 1.490666178 N05AX08 RISPERIDONUM** SPRING 4 mg COMPR. FILM. 4mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 20 80.12 4.006000 1.490666 1.490666179 N05AX08 RISPERIDONUM** SPRING 4 mg COMPR. FILM. 4mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 120.09 4.003000 1.490666 1.490666180 N05AX08 RISPERIDONUM** SPRING 4 mg COMPR. FILM. 4mg ANTIBIOTICE S.A. ROMANIA CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 60 226.41 3.773500 1.490666 1.490666181 N05AX08 RISPERIDONUM** RISPERIDONA FARMAL 4 mg COMPR. FILM. 4mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 50 87.80 1.756000 1.490666 1.490666182 N05AX08 RISPERIDONUM** ESSENS 6 mg COMPR. FILM. 6mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 63.83 2.127666 2.127666 2.127666

183 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 56 135.44 2.418571 0.616333 0.616333

184 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 18.49 0.616333 0.616333 0.616333

185 N05AX08 RISPERIDONUM** ESSENS OD 1 mg

COMPR. ORODISPERSABILE 1mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE P-RF 30 19.60 0.653333 0.616333 0.616333

186 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 56 265.96 4.749285 1.289333 1.289333

187 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 38.68 1.289333 1.289333 1.289333

188 N05AX08 RISPERIDONUM** ESSENS OD 2 mg

COMPR. ORODISPERSABILE 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE P-RF 30 41.75 1.391666 1.289333 1.289333

189 N05AX08 RISPERIDONUM** ESSENS OD 3 mg

COMPR. ORODISPERSABILE 3mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE P-RF 30 66.02 2.200666 2.200666 2.200666

Pagina 35 din 59

190 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA (R) 25 mg

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 25mg JANSSEN PHARMACEUTICA N.V. BELGIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. CU ELIB. PREL. + 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2 ML SOLV. + 2 ACE STERILE PT. RECONSTITUIRE+ 1 AC PT. INJECTARE INTRAMUSCULARA S/P-RF 1 402.67 402.670000 402.670000 402.670000

191 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA (R) 37,5 mg

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 37,5mg JANSSEN PHARMACEUTICA N.V. BELGIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. CU ELIB. PREL. + 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2 ML SOLV. + 2 ACE STERILE PT. RECONSTITUIRE+ 1 AC PT. INJECTARE INTRAMUSCULARA S/P-RF 1 565.30 565.300000 565.300000 565.300000

192 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA (R) 50 mg

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 50mg JANSSEN PHARMACEUTICA N.V. BELGIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. CU ELIB. PREL. + 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2 ML SOLV. + 2 ACE STERILE PT. RECONSTITUIRE+ 1 AC PT. INJECTARE INTRAMUSCULARA S/P-RF 1 679.46 679.460000 679.460000 679.460000

193 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 1 147.07 147.070000 48.970000 48.970000194 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 48.97 48.970000 48.970000 48.970000195 N05AX12 ARIPIPRAZOLUM** ABILIFY 10mg COMPR. 10mg OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR. P-RF 28 458.05 16.358928 16.358928 16.358928196 N05AX12 ARIPIPRAZOLUM** ABILIFY 15mg COMPR. 15mg OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR. P-RF 28 458.05 16.358928 16.358928 16.358928197 N05AX12 ARIPIPRAZOLUM** ABILIFY 7,5mg/ml SOL. INJ. 7,5mg/ml OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE CUTIE X 1FLAC. X 1,3ML SOL.INJ P-RF 1 19.72 19.720000 19.720000 19.720000198 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILMATE P-RF 28 6.93 0.247500 0.223000 0.223000199 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILMATE P-RF 100 24.76 0.247600 0.223000 0.223000200 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILMATE P-RF 50 12.39 0.247800 0.223000 0.223000201 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. FILMATE P-RF 56 13.87 0.247678 0.223000 0.223000202 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 10 mg COMPR. FILM. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILMATE P-RF 20 4.95 0.247500 0.223000 0.223000203 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 6.93 0.247500 0.223000 0.223000204 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 6.69 0.223000 0.223000 0.223000205 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 20 mg COMPR. FILM. 20mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 18.00 0.360000 0.324000 0.324000206 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 20 mg COMPR. FILM. 20mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 7.20 0.360000 0.324000 0.324000207 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 20 mg COMPR. FILM. 20mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 10.08 0.360000 0.324000 0.324000208 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 20 mg COMPR. FILM. 20mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 56 20.15 0.359821 0.324000 0.324000209 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 20 mg COMPR. FILM. 20mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 100 34.83 0.348300 0.324000 0.324000210 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 10.08 0.360000 0.324000 0.324000211 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 9.72 0.324000 0.324000 0.324000212 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 40 mg COMPR. FILM. 40mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 54.49 1.089800 1.013333 1.013333213 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 40 mg COMPR. FILM. 40mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 22.53 1.126500 1.013333 1.013333

Pagina 36 din 59

214 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 40 mg COMPR. FILM. 40mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 56 61.02 1.089642 1.013333 1.013333215 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 40 mg COMPR. FILM. 40mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 100 103.48 1.034800 1.013333 1.013333216 N06AB04 CITALOPRAMUM** CITALOPRAM STADA 40 mg COMPR. FILM. 40mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 31.53 1.126071 1.013333 1.013333217 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 31.53 1.126071 1.013333 1.013333218 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 30.40 1.013333 1.013333 1.013333219 N06AB10 ESCITALOPRAMUM** CIPRALEX 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 58.17 4.155000 3.030357 3.030357220 N06AB10 ESCITALOPRAMUM** CIPRALEX 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 28 84.85 3.030357 3.030357 3.030357221 N06AB10 ESCITALOPRAMUM** CIPRALEX 5 mg COMPR. FILM. 5mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 28 46.64 1.665714 1.665714 1.665714222 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 23.42 1.171000 1.171000 1.171000223 N06AX14 TIANEPTINUM** COAXIL (R) DRAJ. 12,5mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ. P-RF 30 32.73 1.091000 1.091000 1.091000224 N06AX16 VENLAFAXINUM** VENLAFAXINA ER SUN 150 mg CAPS. ELIB. PREL. 150 mg SUN MEDIC INVEST S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 89.19 3.185357 2.573571 2.573571225 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 28 127.68 4.560000 2.573571 2.573571226 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 97.95 3.498214 2.573571 2.573571227 N06AX16 VENLAFAXINUM** ALVENTA 150mg CAPS. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF 30 89.39 2.979666 2.573571 2.573571228 N06AX16 VENLAFAXINUM** FOBILESS 150 mg CAPS. ELIB. PREL. 150mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 98.96 3.298666 2.573571 2.573571229 N06AX16 VENLAFAXINUM** NOPEKAR 150 mg CAPS. ELIB. PREL. 150mg OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF 28 97.95 3.498214 2.573571 2.573571230 N06AX16 VENLAFAXINUM** ADOXA EP 150 mg CAPS. ELIB. PREL. 150mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 104.95 3.498333 2.573571 2.573571231 N06AX16 VENLAFAXINUM** ELIFY EP 150 mg CAPS. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 104.95 3.498333 2.573571 2.573571232 N06AX16 VENLAFAXINUM** VENLAGAMMA 150 mg CAPS. ELIB. PREL. 150mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 90.36 3.012000 2.573571 2.573571233 N06AX16 VENLAFAXINUM** VENLAGAMMA 150 mg CAPS. ELIB. PREL. 150mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S 100 285.63 2.856300 2.573571 2.573571234 N06AX16 VENLAFAXINUM** JARVIS 150 mg CAPS. ELIB. PREL. 150mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL. P-RF 30 104.94 3.498000 2.573571 2.573571235 N06AX16 VENLAFAXINUM** POSIPRES 150 mg CAPS. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 63.45 3.172500 2.573571 2.573571236 N06AX16 VENLAFAXINUM** POSIPRES 150 mg CAPS. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 84.36 3.012857 2.573571 2.573571237 N06AX16 VENLAFAXINUM** POSIPRES 150 mg CAPS. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 90.38 3.012666 2.573571 2.573571238 N06AX16 VENLAFAXINUM** POSIPRES 150 mg CAPS. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 50 CAPS. CU ELIB. PREL. P-RF 50 142.82 2.856400 2.573571 2.573571239 N06AX16 VENLAFAXINUM** POSIPRES 150 mg CAPS. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 98 CAPS. CU ELIB. PREL. P-RF/S 98 279.92 2.856326 2.573571 2.573571240 N06AX16 VENLAFAXINUM** POSIPRES 150 mg CAPS. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 100 CAPS. CU ELIB. PREL. P-RF/S 100 285.63 2.856300 2.573571 2.573571241 N06AX16 VENLAFAXINUM** POSIPRES 150 mg CAPS. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. PEID X 50 CAPS. CU ELIB. PREL. P-RF 50 142.82 2.856400 2.573571 2.573571242 N06AX16 VENLAFAXINUM** POSIPRES 150 mg CAPS. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. PEID X 100 CAPS. CU ELIB. PREL. P-RF/S 100 285.63 2.856300 2.573571 2.573571243 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 150 mg CAPS. ELIB. PREL. 150mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 72.06 2.573571 2.573571 2.573571244 N06AX16 VENLAFAXINUM** VENLAFAXINA ER SUN 37,5 mg CAPS. ELIB. PREL. 37,5 mg SUN MEDIC INVEST S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 31.66 1.130714 0.639100 0.639100245 N06AX16 VENLAFAXINUM** FOBILESS 37,5 mg CAPS. ELIB. PREL. 37,5mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 33.40 1.113333 0.639100 0.639100246 N06AX16 VENLAFAXINUM** NOPEKAR 37,5 mg CAPS. ELIB. PREL. 37,5mg OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 43.72 1.561428 0.639100 0.639100247 N06AX16 VENLAFAXINUM** ADOXA EP 37,5 mg CAPS. ELIB. PREL. 37,5mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 39.13 1.304333 0.639100 0.639100248 N06AX16 VENLAFAXINUM** VENLAGAMMA 37,5 mg CAPS. ELIB. PREL. 37,5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 19.81 0.660333 0.639100 0.639100249 N06AX16 VENLAFAXINUM** VENLAGAMMA 37,5 mg CAPS. ELIB. PREL. 37,5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S 100 63.91 0.639100 0.639100 0.639100250 N06AX16 VENLAFAXINUM** POSIPRES 37,5 mg CAPS. ELIB. PREL. 37,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 16.47 0.823500 0.639100 0.639100251 N06AX16 VENLAFAXINUM** POSIPRES 37,5 mg CAPS. ELIB. PREL. 37,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 23.05 0.823214 0.639100 0.639100252 N06AX16 VENLAFAXINUM** POSIPRES 37,5 mg CAPS. ELIB. PREL. 37,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 24.70 0.823333 0.639100 0.639100253 N06AX16 VENLAFAXINUM** POSIPRES 37,5 mg CAPS. ELIB. PREL. 37,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 50 CAPS. CU ELIB. PREL. P-RF 50 39.81 0.796200 0.639100 0.639100254 N06AX16 VENLAFAXINUM** POSIPRES 37,5 mg CAPS. ELIB. PREL. 37,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 98 CAPS. CU ELIB. PREL. P-RF/S 98 74.11 0.756224 0.639100 0.639100255 N06AX16 VENLAFAXINUM** POSIPRES 37,5 mg CAPS. ELIB. PREL. 37,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 100 CAPS. CU ELIB. PREL. P-RF/S 100 75.62 0.756200 0.639100 0.639100256 N06AX16 VENLAFAXINUM** POSIPRES 37,5 mg CAPS. ELIB. PREL. 37,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. PEID X 50 CAPS. CU ELIB. PREL. P-RF 50 39.81 0.796200 0.639100 0.639100257 N06AX16 VENLAFAXINUM** POSIPRES 37,5 mg CAPS. ELIB. PREL. 37,5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. PEID X 100 CAPS. CU ELIB. PREL. P-RF/S 100 75.62 0.756200 0.639100 0.639100258 N06AX16 VENLAFAXINUM** VENLAFAXINA ER SUN 75 mg CAPS. ELIB. PREL. 75 mg SUN MEDIC INVEST S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 49.80 1.778571 1.050900 1.050900

Pagina 37 din 59

259 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 66.38 2.370714 1.050900 1.050900260 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 50.86 1.816428 1.050900 1.050900261 N06AX16 VENLAFAXINUM** ALVENTA 75 mg CAPS. ELIB. PREL. 75mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF 30 48.54 1.618000 1.050900 1.050900262 N06AX16 VENLAFAXINUM** FOBILESS 75 mg CAPS. ELIB. PREL. 75mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 54.43 1.814333 1.050900 1.050900263 N06AX16 VENLAFAXINUM** NOPEKAR 75 mg CAPS. ELIB. PREL. 75mg OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF 28 50.86 1.816428 1.050900 1.050900264 N06AX16 VENLAFAXINUM** ADOXA EP 75 mg CAPS. ELIB. PREL. 75mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 54.50 1.816666 1.050900 1.050900265 N06AX16 VENLAFAXINUM** ELIFY EP 75 mg CAPS. ELIB. PREL. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 54.50 1.816666 1.050900 1.050900266 N06AX16 VENLAFAXINUM** VENLAGAMMA 75 mg CAPS. ELIB. PREL. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 33.19 1.106333 1.050900 1.050900267 N06AX16 VENLAFAXINUM** VENLAGAMMA 75 mg CAPS. ELIB. PREL. 75mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S 100 105.09 1.050900 1.050900 1.050900268 N06AX16 VENLAFAXINUM** JARVIS 75 mg CAPS. ELIB. PREL. 75mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL. P-RF 30 54.49 1.816333 1.050900 1.050900269 N06AX16 VENLAFAXINUM** POSIPRES 75 mg CAPS. ELIB. PREL. 75mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 33.03 1.651500 1.050900 1.050900270 N06AX16 VENLAFAXINUM** POSIPRES 75 mg CAPS. ELIB. PREL. 75mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 46.24 1.651428 1.050900 1.050900271 N06AX16 VENLAFAXINUM** POSIPRES 75 mg CAPS. ELIB. PREL. 75mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 49.54 1.651333 1.050900 1.050900272 N06AX16 VENLAFAXINUM** POSIPRES 75 mg CAPS. ELIB. PREL. 75mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 50 CAPS. CU ELIB. PREL. P-RF 50 78.45 1.569000 1.050900 1.050900273 N06AX16 VENLAFAXINUM** POSIPRES 75 mg CAPS. ELIB. PREL. 75mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 98 CAPS. CU ELIB. PREL. P-RF/S 98 145.81 1.487857 1.050900 1.050900274 N06AX16 VENLAFAXINUM** POSIPRES 75 mg CAPS. ELIB. PREL. 75mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. PVC/AL X 100 CAPS. CU ELIB. PREL. P-RF/S 100 148.79 1.487900 1.050900 1.050900275 N06AX16 VENLAFAXINUM** POSIPRES 75 mg CAPS. ELIB. PREL. 75mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. PEID X 50 CAPS. CU ELIB. PREL. P-RF 50 78.45 1.569000 1.050900 1.050900276 N06AX16 VENLAFAXINUM** POSIPRES 75 mg CAPS. ELIB. PREL. 75mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. PEID X 100 CAPS. CU ELIB. PREL. P-RF/S 100 148.79 1.487900 1.050900 1.050900277 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 75 mg CAPS. ELIB. PREL. 75mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 44.81 1.600357 1.050900 1.050900278 N06AX16 VENLAFAXINUM** ADOXA 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 27.49 0.916333 0.916333 0.916333279 N06AX16 VENLAFAXINUM** ADOXA 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-ACLAR/AL X 10 COMPR. P-RF 30 27.49 0.916333 0.916333 0.916333280 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 58.45 0.974166 0.974166 0.974166281 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 54.59 0.974821 0.974166 0.974166282 N06AX16 VENLAFAXINUM** ADOXA 37,5 mg COMPR. 37,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 30.23 1.007666 0.974166 0.974166283 N06AX16 VENLAFAXINUM** ADOXA 37,5 mg COMPR. 37,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 30.23 1.007666 0.974166 0.974166284 N06AX16 VENLAFAXINUM** ADOXA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 36.14 1.204666 1.204666 1.204666285 N06AX16 VENLAFAXINUM** ADOXA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 36.14 1.204666 1.204666 1.204666286 N06AX16 VENLAFAXINUM** VENLAFAXINA LPH 75 mg COMPR. 75mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 72.79 1.213166 1.213166 1.213166287 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 69.26 1.236785 1.213166 1.213166288 N06AX16 VENLAFAXINUM** ADOXA 75 mg COMPR. 75mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 38.38 1.279333 1.213166 1.213166289 N06AX16 VENLAFAXINUM** ADOXA 75 mg COMPR. 75mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 38.38 1.279333 1.213166 1.213166290 N06AX16 VENLAFAXINUM** ARGOFAN 150 SR COMPR. ELIB. PREL. 150mg ZENTIVA A.S. SLOVACIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF 30 104.95 3.498333 3.498333 3.498333291 N06AX16 VENLAFAXINUM** ARGOFAN 75 SR COMPR. ELIB. PREL. 75mg ZENTIVA A.S. SLOVACIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF 30 54.50 1.816666 1.816666 1.816666292 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 37,5 mg COMPR. FILM. 37,5 mg ACTAVIS S.R.L. ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 56 35.79 0.639107 0.639107 0.639107293 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 75 mg COMPR. FILM. 75mg ACTAVIS S.R.L. ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 56 61.97 1.106607 1.106607 1.106607294 N06AX17 MILNACIPRANUM** IXEL CAPS. 25mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF 56 67.17 1.199464 1.199464 1.199464295 N06AX17 MILNACIPRANUM** IXEL CAPS. 50mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF 56 110.10 1.966071 1.966071 1.966071296 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 98.96 3.534285 3.534285 3.534285297 N06AX21 DULOXETINUM** CYMBALTA 60mg CAPS. GASTROREZ. 60mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF 28 167.97 5.998928 5.998928 5.998928Tratamentul 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 28 336.90 12.032142 7.134555 7.1345552 N06DA02 DONEPEZILUM*** DAVIA 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 234.63 7.821000 7.134555 7.134555

14. DEMENTE(DEGENERATIVE, VASCULARE, MIXTE) - G 16

Pagina 38 din 59

3 N06DA02 DONEPEZILUM*** DAVIA 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 30 234.63 7.821000 7.134555 7.1345554 N06DA02 DONEPEZILUM*** TUADIN 10 mg COMPR. FILM. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 234.60 7.820000 7.134555 7.1345555 N06DA02 DONEPEZILUM*** TUADIN 10 mg COMPR. FILM. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 60 451.70 7.528333 7.134555 7.1345556 N06DA02 DONEPEZILUM*** TUADIN 10 mg COMPR. FILM. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE X 9 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 90 642.11 7.134555 7.134555 7.1345557 N06DA02 DONEPEZILUM*** PRIDIA 10 mg COMPR. FILM. 10mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 199.77 7.134642 7.134555 7.1345558 N06DA02 DONEPEZILUM*** DONECEPT 10 MG COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P-RF 28 218.96 7.820000 7.134555 7.1345559 N06DA02 DONEPEZILUM*** ALDEMIZ 10 mg COMPR. FILM. 10mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. P-RF 28 218.89 7.817500 7.134555 7.134555

10 N06DA02 DONEPEZILUM*** ALDEMIZ 10 mg COMPR. FILM. 10mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 30 COMPR. FILM. P-RF 30 233.66 7.788666 7.134555 7.13455511 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 28 286.84 10.244285 6.191777 6.19177712 N06DA02 DONEPEZILUM*** DAVIA 5 mg COMPR. FILM. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 199.77 6.659000 6.191777 6.19177713 N06DA02 DONEPEZILUM*** DAVIA 5 mg COMPR. FILM. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 30 199.77 6.659000 6.191777 6.19177714 N06DA02 DONEPEZILUM*** TUADIN 5 mg COMPR. FILM. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 199.75 6.658333 6.191777 6.19177715 N06DA02 DONEPEZILUM*** TUADIN 5 mg COMPR. FILM. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 60 394.85 6.580833 6.191777 6.19177716 N06DA02 DONEPEZILUM*** TUADIN 5 mg COMPR. FILM. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 9 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 90 557.26 6.191777 6.191777 6.19177717 N06DA02 DONEPEZILUM*** PRIDIA 5 mg COMPR. FILM. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF 28 173.37 6.191785 6.191777 6.19177718 N06DA02 DONEPEZILUM*** DONECEPT 5 MG COMPR. FILM. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P-RF 28 179.85 6.423214 6.191777 6.19177719 N06DA02 DONEPEZILUM*** ALDEMIZ 5 mg COMPR. FILM. 5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. P-RF 28 185.32 6.618571 6.191777 6.19177720 N06DA02 DONEPEZILUM*** ALDEMIZ 5 mg COMPR. FILM. 5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 30 COMPR. FILM. P-RF 30 197.40 6.580000 6.191777 6.19177721 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 28 358.63 12.808214 12.808214 12.80821422 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 28 286.84 10.244285 10.244285 10.24428523 N06DA03 RIVASTIGMINUM*** EXELON 1,5mg CAPS. 1,5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/AL X 14 CAPS. P-RF/R 56 311.98 5.571071 3.236785 3.23678524 N06DA03 RIVASTIGMINUM*** RIVATIGMINA TEVA 1,5mg CAPS. 1,5mg TEVA PHARMA BV OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS. P-RF/R 56 182.63 3.261250 3.236785 3.23678525 N06DA03 RIVASTIGMINUM*** NIMVASTID 1.5mg CAPS. 1.5mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PVDC/AL X 28 CAPSULE P-RF/R 28 90.63 3.236785 3.236785 3.23678526 N06DA03 RIVASTIGMINUM*** EXELON 3mg CAPS. 3mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/AL X 14 CAPS. P-RF/R 56 327.39 5.846250 3.616071 3.61607127 N06DA03 RIVASTIGMINUM*** RIVATIGMINA TEVA 3mg CAPS. 3mg TEVA PHARMA BV OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS. P-RF/R 56 202.77 3.620892 3.616071 3.61607128 N06DA03 RIVASTIGMINUM*** NIMVASTID 3mg CAPS. 3mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PVDC/AL X 28 CAPSULE P-RF/R 28 101.25 3.616071 3.616071 3.61607129 N06DA03 RIVASTIGMINUM*** RIVATIGMINA TEVA 4,5mg CAPS. 4,5mg TEVA PHARMA BV OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS. P-RF/R 56 304.16 5.431428 5.431428 5.43142830 N06DA03 RIVASTIGMINUM*** RIVATIGMINA TEVA 6mg CAPS. 6mg TEVA PHARMA BV OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS. P-RF/R 56 385.86 6.890357 6.890357 6.89035731 N06DA03 RIVASTIGMINUM*** NIMVASTID 1.5 mg COMPR. ORODISPERSABILE 1.5mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE P-RF/R 28 101.58 3.627857 3.627857 3.62785732 N06DA03 RIVASTIGMINUM*** NIMVASTID 3mg COMPR. ORODISPERSABILE 3mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE P-RF/R 28 107.20 3.828571 3.828571 3.82857133 N06DA03 RIVASTIGMINUM*** NIMVASTID 4.5 mg COMPR. ORODISPERSABILE 4.5mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE P-RF/R 28 117.62 4.200714 4.200714 4.20071434 N06DA03 RIVASTIGMINUM*** NIMVASTID 6mg COMPR. ORODISPERSABILE 6mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE P-RF/R 28 123.89 4.424642 4.424642 4.42464235 N06DA03 RIVASTIGMINUM*** EXELON 4,6mg/24h PLASTURE TRANSDERMIC 4,6mg/24h NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC P-RF/R 30 369.07 12.302333 12.302333 12.30233336 N06DA03 RIVASTIGMINUM*** EXELON 9,5mg/24h PLASTURE TRANSDERMIC 9,5mg/24h NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC P-RF/R 30 369.07 12.302333 12.302333 12.30233337 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 28 353.59 12.628214 12.628214 12.62821438 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 28 396.27 14.152500 14.152500 14.15250039 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 28 188.81 6.743214 6.743214 6.74321440 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 56 375.05 6.697321 6.697321 6.69732141 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 64.40 4.600000 4.600000 4.60000042 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 56 333.89 5.962321 5.962321 5.96232143 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 88.03 6.287857 5.962321 5.96232144 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 1 238.71 238.710000 238.710000 238.710000

45 N06DX01 MEMANTINUM*** EBIXA 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 56 COMPR. FILM. (BLIST. AL/PP) P-RF/R 56 396.08 7.072857 7.072857 7.07285746 N06DX01 MEMANTINUM*** EBIXA 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 28 COMPR. FILM. (BLIST. AL/PP) P-RF/R 28 201.78 7.206428 7.072857 7.07285747 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 1 357.42 357.420000 160.970000 160.970000

Pagina 39 din 59

48 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 1 681.25 681.250000 160.970000 160.970000

49 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 1 160.97 160.970000 160.970000 160.970000

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 30.63 0.612600 0.612600 0.6126002 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 27.83 1.391500 1.391500 1.3915003 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 6.13 0.204333 0.204333 0.2043334 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 24.53 0.490600 0.490600 0.490600

5 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 14.92 14.920000 14.920000 14.920000

6 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 75.98 0.759800 0.759800 0.7598007 P01BA02 HYDROXYCHLOROQUINUM PLAQUENIL® COMPR. FILM. 200mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L 60 31.40 0.523333 0.523333 0.523333

Tratamentul se initiaza si se monitorizeaza de catre medicul in specialitatea reumatologie, nefrologie si boli infectioase.

1 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 26.50 0.530000 0.293400 0.2934002 A07EC01 SULFASALAZINUM SALAZOPYRIN EN COMPR. FILM. GASTROREZ. 500mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. GASTROREZ. P-6L 100 29.34 0.293400 0.293400 0.2934003 H02AB01 BETAMETHASONUM DIPROPHOS (R) SUSP. INJ. I.M. 7mg/ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 FIOLE X 1 ML P-RF 5 33.51 6.702000 6.702000 6.7020004 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 30.63 0.612600 0.612600 0.6126005 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 27.83 1.391500 1.391500 1.3915006 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 6.13 0.204333 0.204333 0.2043337 L01BA01 METHOTREXATUM4 METOTREXATE BELLON 2,5 mg COMPR. 2,5mg FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR. X 20 21.45 1.072500 1.072500 1.0725008 L01BA01 METHOTREXATUM4 METOTREXATE BELLON 2,5 mg COMPR. 2,5mg FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR. X 20 21.45 1.072500 1.072500 1.0725009 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE X 5 ML S 5 226.36 45.272000 45.272000 45.272000

10 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S 1 84.17 84.170000 84.170000 84.17000011 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML S 1 378.95 378.950000 378.950000 378.950000

12 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FIOLE X 1 ML S 10 22.37 2.237000 2.237000 2.23700013 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML S 1 12.51 12.510000 12.510000 12.51000014 L04AA13 LEFLUNOMIDUM** ARAVA 10mg COMPR. FILM. 10mg SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. P-RF/R 30 262.94 8.764666 8.764666 8.76466615 L04AA13 LEFLUNOMIDUM** ARAVA 20mg COMPR. FILM. 20mg SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. P-RF/R 30 274.79 9.159666 9.159666 9.15966616 L04AD02 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 50 446.87 8.937400 8.937400 8.93740017 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 131.29 2.625800 1.767600 1.76760018 L04AD02 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 88.38 1.767600 1.767600 1.76760019 L04AD02 CICLOSPORINUM* CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 131.44 2.628800 1.767600 1.76760020 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 274.32 5.486400 3.566200 3.56620021 L04AD02 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 50 178.31 3.566200 3.566200 3.56620022 L04AD02 CICLOSPORINUM* CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 286.57 5.731400 3.566200 3.566200

15. COLAGENOZE MAJORE (LUPUS ERITEMATOS SISTEMIC, SCLERODERMIE, POLI/DERMATOMICOZA, VASCULITE SISTEMICE) - G 17

16. POLIARTRITA REUMATOIDA , ARTROPATIA PSORIAZICA SI ARTRITA JUVENILA - G 18

Pagina 40 din 59

23 L04AD02 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 1 406.57 406.570000 406.570000 406.570000

24 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 75.98 0.759800 0.759800 0.75980025 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 44.79 2.239500 2.239500 2.23950026 M01AB05 DICLOFENACUM DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL. 75mg PHARMASWISS CESKA REPUBLIKA S.R.O. CEHIA CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P-6L 30 19.23 0.641000 0.641000 0.64100027 M01AB05 DICLOFENACUM TRATUL 50 CAPS. GASTROREZ. 50mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. P-6L 30 6.01 0.200333 0.200333 0.20033328 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 3.68 0.368000 0.368000 0.36800029 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 6.16 0.616000 0.386000 0.38600030 M01AB05 DICLOFENACUM REFEN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 8.01 0.400500 0.386000 0.38600031 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 7.72 0.386000 0.386000 0.38600032 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 5.36 0.178666 0.141333 0.14133333 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 6.16 0.308000 0.105500 0.10550034 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 4.01 0.200500 0.105500 0.10550035 M01AB05 DICLOFENACUM CLAFEN 50 mg COMPR. FILM. GASTROREZ. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L 20 2.31 0.115500 0.105500 0.10550036 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 2.11 0.105500 0.105500 0.10550037 M01AB05 DICLOFENACUM DICLOGESIC 50 COMPRIMATE FILMATE GASTROREZISTENTE COMPR. FILM. GASTROREZ. 50mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 3.57 0.178500 0.105500 0.10550038 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 4.24 0.141333 0.141333 0.14133339 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 2.19 0.219000 0.219000 0.21900040 M01AB05 DICLOFENACUM DICLOFENAC ARENA 25 mg DRAJ. GASTROREZ. 25mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ. P-6L 30 5.36 0.178666 0.178666 0.17866641 M01AB05 DICLOFENACUM N - DICLOFENAC DRAJ. GASTROREZ. 50mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ. P-6L 20 2.39 0.119500 0.119500 0.11950042 M01AB05 DICLOFENACUM DICLOFENAC ARENA 50 mg DRAJ. GASTROREZ. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. P-6L 20 2.50 0.125000 0.119500 0.11950043 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 8.83 1.766000 0.762000 0.76200044 M01AB05 DICLOFENACUM REFEN (R) SOL. INJ. 25mg/ml HEMOFARM S.R.L. ROMANIA CUTIE X 5 FIOLE X 3 ML P-RF 5 3.81 0.762000 0.762000 0.76200045 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 5.73 1.146000 0.762000 0.76200046 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 13.37 2.674000 2.674000 2.67400047 M01AB05 DICLOFENACUM DICLAC SOL. INJ. 75mg HEXAL AG GERMANIA CUTIE X 5 FIOLE X 3 ML SOL. INJ. P-RF 5 5.73 1.146000 0.762000 0.762000

48 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 9.31 0.931000 0.762000 0.762000

49 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 5.73 1.146000 0.762000 0.76200050 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 5 5.73 1.146000 0.762000 0.76200051 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 10 11.46 1.146000 0.762000 0.76200052 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ. P-RF 1 1.14 1.140000 0.762000 0.76200053 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH GERMANIA CUTIE X 30 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF/S 30 30.88 1.029333 0.762000 0.76200054 M01AB05 DICLOFENACUM CLAFEN 100 mg SUPOZ. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ. P-6L 6 3.70 0.616666 0.288000 0.28800055 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L 5 5.13 1.026000 0.288000 0.28800056 M01AB05 DICLOFENACUM DICLOFENAC 100 mg SUPOZ. 100mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 2.88 0.288000 0.288000 0.28800057 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 3.00 0.300000 0.288000 0.28800058 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 3.33 0.666000 0.288000 0.28800059 M01AB05 DICLOFENACUM DICLOGESIC 12,5 SUPOZITOARE SUPOZ. 12,5mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 4.73 0.473000 0.473000 0.47300060 M01AB05 DICLOFENACUM TRATUL 120 SUPOZ. 120mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 9.74 1.623333 1.623333 1.62333361 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L 10 8.88 0.888000 0.888000 0.888000

Pagina 41 din 59

62 M01AB05 DICLOFENACUM TRATUL 60 SUPOZ. 60mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 9.04 1.506666 1.506666 1.50666663 P01BA02 HYDROXYCHLOROQUINUM PLAQUENIL® COMPR. FILM. 200mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L 60 31.40 0.523333 0.523333 0.523333

1 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 26.50 0.530000 0.293400 0.2934002 A07EC01 SULFASALAZINUM SALAZOPYRIN EN COMPR. FILM. GASTROREZ. 500mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. GASTROREZ. P-6L 100 29.34 0.293400 0.293400 0.2934003 H02AB01 BETAMETHASONUM DIPROPHOS (R) SUSP. INJ. I.M. 7mg/ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 FIOLE X 1 ML P-RF 5 33.51 6.702000 6.702000 6.7020004 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 44.79 2.239500 2.239500 2.239500

5 M01AB05 DICLOFENACUMDICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL. 75mg PHARMASWISS CESKA REPUBLIKA S.R.O. CEHIA CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P-6L 30 19.23 0.641000 0.641000 0.641000

6 M01AB05 DICLOFENACUM TRATUL 50 CAPS. GASTROREZ. 50mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. P-6L 30 6.01 0.200333 0.200333 0.2003337 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 3.68 0.368000 0.368000 0.3680008 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 6.16 0.616000 0.386000 0.3860009 M01AB05 DICLOFENACUM REFEN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 8.01 0.400500 0.386000 0.386000

10 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 7.72 0.386000 0.386000 0.38600011 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 5.36 0.178666 0.141333 0.14133312 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 6.16 0.308000 0.105500 0.10550013 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 4.01 0.200500 0.105500 0.10550014 M01AB05 DICLOFENACUM CLAFEN 50 mg COMPR. FILM. GASTROREZ. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L 20 2.31 0.115500 0.105500 0.10550015 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 2.11 0.105500 0.105500 0.105500

16 M01AB05 DICLOFENACUM

DICLOGESIC 50 COMPRIMATE FILMATE GASTROREZISTENTE COMPR. FILM. GASTROREZ. 50mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 3.57 0.178500 0.105500 0.105500

17 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 4.24 0.141333 0.141333 0.14133318 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 2.19 0.219000 0.219000 0.21900019 M01AB05 DICLOFENACUM DICLOFENAC ARENA 25 mg DRAJ. GASTROREZ. 25mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ. P-6L 30 5.36 0.178666 0.178666 0.17866620 M01AB05 DICLOFENACUM N - DICLOFENAC DRAJ. GASTROREZ. 50mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ. P-6L 20 2.39 0.119500 0.119500 0.11950021 M01AB05 DICLOFENACUM DICLOFENAC ARENA 50 mg DRAJ. GASTROREZ. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. P-6L 20 2.50 0.125000 0.119500 0.11950022 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 8.83 1.766000 0.762000 0.76200023 M01AB05 DICLOFENACUM REFEN (R) SOL. INJ. 25mg/ml HEMOFARM S.R.L. ROMANIA CUTIE X 5 FIOLE X 3 ML P-RF 5 3.81 0.762000 0.762000 0.76200024 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 5.73 1.146000 0.762000 0.76200025 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 13.37 2.674000 2.674000 2.67400026 M01AB05 DICLOFENACUM DICLAC SOL. INJ. 75mg HEXAL AG GERMANIA CUTIE X 5 FIOLE X 3 ML SOL. INJ. P-RF 5 5.73 1.146000 0.762000 0.762000

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 9.31 0.931000 0.762000 0.762000

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 5.73 1.146000 0.762000 0.762000

29 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH GERMANIACUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 5 5.73 1.146000 0.762000 0.762000

17. SPONDILITA ANKILOZANTA - G 19

Tratamentul se initiaza si se 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 )

Pagina 42 din 59

30 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 10 11.46 1.146000 0.762000 0.76200031 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ. P-RF 1 1.14 1.140000 0.762000 0.76200032 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH GERMANIA CUTIE X 30 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF/S 30 30.88 1.029333 0.762000 0.76200033 M01AB05 DICLOFENACUM CLAFEN 100 mg SUPOZ. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ. P-6L 6 3.70 0.616666 0.288000 0.28800034 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L 5 5.13 1.026000 0.288000 0.28800035 M01AB05 DICLOFENACUM DICLOFENAC 100 mg SUPOZ. 100mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 2.88 0.288000 0.288000 0.28800036 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 3.00 0.300000 0.288000 0.28800037 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 3.33 0.666000 0.288000 0.28800038 M01AB05 DICLOFENACUM DICLOGESIC 12,5 SUPOZITOARE SUPOZ. 12,5mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 4.73 0.473000 0.473000 0.47300039 M01AB05 DICLOFENACUM TRATUL 120 SUPOZ. 120mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 9.74 1.623333 1.623333 1.62333340 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L 10 8.88 0.888000 0.888000 0.88800041 M01AB05 DICLOFENACUM TRATUL 60 SUPOZ. 60mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 9.04 1.506666 1.506666 1.506666

1 G02CB03 CABERGOLINUM** DOSTINEX COMPR. 0,5mg PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 2 COMPR. P-RF 2 40.92 20.460000 14.522500 14.5225002 G02CB03 CABERGOLINUM** DOSTINEX COMPR. 0,5mg PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 8 COMPR. P-RF 8 116.18 14.522500 14.522500 14.522500

3 H01AX01 PEGVISOMANTUM**** SOMAVERT 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 8,082.27 269.409000 269.409000 269.409000

4 H01AX01 PEGVISOMANTUM**** SOMAVERT 15 mg LIOF. + SOLV. PT. SOL. INJ. 15mg PFIZER LIMITED MAREA BRITANIE

CUTIE X 30 FLAC. CU PULB., INSOTITE DE 30 FLAC. X 8 ML SOLV. PT. RECONSTITUIRE P-RF/R 30 11,886.06 396.202000 396.202000 396.202000

5 H01AX01 PEGVISOMANTUM**** SOMAVERT 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 16,093.69 536.456333 536.456333 536.456333

6 H01BA02 DESMOPRESSINUM DESMOPRESINA TEVA 0,1 mg COMPR. 0,1mg TEVA PHARMACEUTICAL S.R.L. UNGARIA CUTIE CU BLIST. OPA-AL- PVC/AL X 30 COMPR. P-RF 30 63.77 2.125666 2.125666 2.1256667 H01BA02 DESMOPRESSINUM DESMOPRESINA TEVA 0,2mg COMPR. 0,2mg TEVA PHARMACEUTICAL S.R.L. UNGARIA CUTIE CU BLIST. OPA-AL- PVC/AL X 30 COMPR. P-RF 30 124.96 4.165333 4.165333 4.1653338 H01BA02 DESMOPRESSINUM MINIRIN 0,2 mg COMPR. 0,2mg FERRING GMBH GERMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF 30 183.38 6.112666 4.165333 4.1653339 H01BA02 DESMOPRESSINUM MINIRIN MELT 120 mcg LIOF. ORAL 120mcg FERRING GMBH GERMANIA CUTIE X 3 BLIST. AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF 30 183.38 6.112666 6.112666 6.112666

10 H01BA02 DESMOPRESSINUM MINIRIN MELT 60 mcg LIOF. ORAL 60mcg FERRING GMBH GERMANIA CUTIE X 3 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF 30 96.92 3.230666 3.230666 3.230666

11 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 3,600.22 3600.220000 3600.220000 3600.220000

12 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 2,258.35 2258.350000 2258.350000 2258.350000

13 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 4,970.44 4970.440000 4970.440000 4970.440000

14 H01CB02 OCTREOTIDUM**** SANDOSTATIN (R) SOL. INJ. 0,1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 143.31 28.662000 28.662000 28.66200015 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 1 1,481.48 1481.480000 1481.480000 1481.480000

Tratamentul se initiaza si se 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 SUPRARENALA CRONICA, DIABETUL INSIPID, MIXEDEMUL ADULTULUI, TUMORI HIPOFIZARE CU EXPANSIUNESUPRASELARA SI TUMORI NEUROENDOCRINE) - G 22

Pagina 43 din 59

16 H01CB03 LANREOTIDUM**** SOMATULINE AUTOGEL 60 mg SOL. INJ. CU ELIB. PREL. 60mg BEAUFOUR IPSEN PHARMA FRANTA

CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ. CU ELIB. PREL., IN PUNGA AL/NYLON/PE + AC S/P-RF 1 2,830.73 2830.730000 2830.730000 2830.730000

17 H02AA02 FLUDROCORTISONUM ASTONIN H COMPR. 0,1mg MERCK KGAA GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. P-RF 50 44.85 0.897000 0.897000 0.897000

18 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 89.78 29.926666 29.926666 29.926666

19 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.07766620 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.47 0.082333 0.077666 0.07766621 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 2.33 0.077666 0.077666 0.07766622 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.37 0.079000 0.077666 0.07766623 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.07766624 H02AB09 HYDROCORTISONUM HYDROCORTISONE ROUSSEL COMPR. 10mg CN UNIFARM ROMANIA CUTIE X 1 FLAC. 25 COMPR. X 25 12.76 0.510400 0.510400 0.51040025 H02AB09 HYDROCORTISONUM HYDROCORTISONE 100 mg LIOF. + SOLV. PT. SOL. INJ. 100mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. S 1 3.67 3.670000 3.670000 3.670000

26 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 3.67 3.670000 3.670000 3.670000

27 H02AB09 HYDROCORTISONUM HYDROCORTISONE 500 mg LIOF. PT. SOL. INJ. + SOLV. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 4 ML SOLV. S 1 11.19 11.190000 11.190000 11.19000028 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 20.03 4.006000 4.006000 4.00600029 H03AA01 LEVOTHYROXINUM THYRO - 4 0,1 mg COMPR. 0,1mg FARAN LABORATORIES S.A. GRECIA CUTIE X 1 FLAC. DIN PEID X 100 COMPR. P-6L 100 7.15 0.071500 0.071500 0.07150030 H03AA01 LEVOTHYROXINUM THYRO - 4 0,2 mg COMPR. 0,2mg FARAN LABORATORIES S.A. GRECIA CUTIE X 1 FLAC. PEID X 100 COMPR. P-6L 100 8.94 0.089400 0.089400 0.08940031 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 10.97 0.109700 0.109700 0.10970032 H03AA01 LEVOTHYROXINUM L-THYROXIN 100 BERLIN - CHEMIE COMPR. 100mcg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L 100 11.71 0.117100 0.109700 0.10970033 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 200 COMPR. 200mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-6L 100 22.68 0.226800 0.226800 0.22680034 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 25 COMPR. 25mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 8.94 0.089400 0.089400 0.08940035 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 50 COMPR. 50mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 7.77 0.077700 0.077700 0.07770036 H03AA01 LEVOTHYROXINUM L-THYROXIN 50 COMPR. 50mcg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L/S 100 7.89 0.078900 0.077700 0.07770037 H03CA01 KALII IODIDUM JODID 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-RF 100 11.59 0.115900 0.115900 0.11590038 H03CA01 KALII IODIDUM JODID 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-RF 100 11.59 0.115900 0.115900 0.11590039 H03CA01 KALII IODIDUM JODID 200 COMPR. 200mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-RF 100 18.06 0.180600 0.180600 0.18060040 H03CA01 KALII IODIDUM JODID 200 COMPR. 200mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-RF 100 18.06 0.180600 0.180600 0.18060041 N04BC01 BROMOCRIPTINUM BROCRIPTIN (N04BC01) DRAJ. 2,5mg BIOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 DRAJ. P-RF 40 19.86 0.496500 0.496500 0.496500

Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau oncologie

1 M01CC01 PENICILLAMINUM**4 CUPRENIL COMPR. FILM. 250mg CN UNIFARM ROMANIA CUTIE X 1FLAC. X 100 COMPR. FILM. X 100 106.78 1.067800 1.067800 1.067800Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau neurologie

1 A11CC07 PARICALCITOLUM** ZEMPLAR 1mcg CAPS. MOI 1mcg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI P-RF 28 443.76 15.848571 15.848571 15.8485712 A11CC07 PARICALCITOLUM** ZEMPLAR 2mcg CAPS. MOI 2mcg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. P-RF 28 878.67 31.381071 31.381071 31.3810713 A11CC07 PARICALCITOLUM** ZEMPLAR SOL. INJ. 5 mcg/ml ABBOTT LABORATORIES LTD. SPANIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S 5 450.17 90.034000 90.034000 90.034000

20. BOALA CRONICA DE RINICHI - faza predializa - G 25

19. BOALA WILSON - G23

Pagina 44 din 59

4 A11CC07 PARICALCITOLUM** ZEMPLAR SOL. INJ. 5 mcg/ml ABBOTT LABORATORIES LTD. SPANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S 5 851.29 170.258000 170.258000 170.258000

5 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 5 140.63 28.126000 28.126000 28.1260006 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 2,219.85 369.975000 369.975000 369.975000

7 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 6 248.03 41.338333 34.180000 34.1800008 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 10 311.55 31.155000 31.155000 31.1550009 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 6 506.75 84.458333 84.458333 84.458333

10 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 6 717.00 119.500000 95.200000 95.20000011 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 1,405.01 1405.010000 1405.010000 1405.010000

12 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 10 576.62 57.662000 57.662000 57.66200013 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 6 930.20 155.033333 123.031666 123.031666

14 B03XA01 EPOETINUM ALFA** BINOCRIT 10000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,627.37 271.228333 271.228333 271.228333

15 B03XA01 EPOETINUM ALFA** ABSEAMED 10000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,730.88 288.480000 271.228333 271.228333

16 B03XA01 EPOETINUM ALFA** BINOCRIT 1000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 205.08 34.180000 34.180000 34.180000

17 B03XA01 EPOETINUM ALFA** ABSEAMED 1000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,5ML SOL. INJ S/P-RF/R 6 224.10 37.350000 34.180000 34.180000

18 B03XA01 EPOETINUM ALFA** BINOCRIT 2000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 404.17 67.361666 67.361666 67.361666

19 B03XA01 EPOETINUM ALFA** ABSEAMED 2000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 435.08 72.513333 67.361666 67.361666

20 B03XA01 EPOETINUM ALFA** BINOCRIT 3000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. S/P-RF/R 6 571.20 95.200000 95.200000 95.200000

21 B03XA01 EPOETINUM ALFA** ABSEAMED 3000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,3ML SOL. INJ. S/P-RF/R 6 617.68 102.946666 95.200000 95.200000

Pagina 45 din 59

22 B03XA01 EPOETINUM ALFA** BINOCRIT 4000UI/0,4ml

SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 738.19 123.031666 123.031666 123.031666

23 B03XA01 EPOETINUM ALFA** ABSEAMED 4000UI/0,4ml

SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 794.92 132.486666 123.031666 123.031666

24 B03XA01 EPOETINUM ALFA** BINOCRIT 5000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 905.14 150.856666 150.856666 150.856666

25 B03XA01 EPOETINUM ALFA** ABSEAMED 5000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 982.53 163.755000 150.856666 150.856666

26 B03XA01 EPOETINUM ALFA** ABSEAMED 6000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,6ML SOL. INJ. S/P-RF/R 6 1,164.90 194.150000 194.150000 194.150000

27 B03XA01 EPOETINUM ALFA** ABSEAMED 8000UI/0,8ml

SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,8ML SOL. INJ. S/P-RF/R 6 1,529.62 254.936666 254.936666 254.936666

28 B03XA01 EPOETINUM BETA** NEORECORMON 10000UI/0,6ml

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 2,207.69 367.948333 367.948333 367.948333

29 B03XA01 EPOETINUM BETA** NEORECORMON 1000UI/0,3ml

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 6 262.83 43.805000 43.805000 43.805000

30 B03XA01 EPOETINUM BETA** NEORECORMON 2000UI/0,3ml

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 6 498.48 83.080000 83.080000 83.080000

31 B03XA01 EPOETINUM BETA** NEORECORMON 30000UI/0,6ml

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 1,107.18 1107.180000 1107.180000 1107.180000

Pagina 46 din 59

32 B03XA01 EPOETINUM BETA** NEORECORMON 4000UI/0,3ml

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 6 925.50 154.250000 154.250000 154.250000

33 B03XA01 EPOETINUM BETA** NEORECORMON 5000UI/0,3ml

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 1,138.88 189.813333 189.813333 189.813333

34 B03XA01 EPOETINUM BETA** NEORECORMON 500UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE S/P-RF/R 6 135.15 22.525000 22.525000 22.525000

35 B03XA02 DARBEPOETINUM ALFA** ARANESP 100mcg/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 2,983.68 745.920000 745.920000 745.920000

36 B03XA02 DARBEPOETINUM ALFA** ARANESP 10mcg/0,4ml

SOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 369.99 92.497500 92.497500 92.497500

37 B03XA02 DARBEPOETINUM ALFA** ARANESP 150mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 4,425.31 1106.327500 1106.327500 1106.327500

38 B03XA02 DARBEPOETINUM ALFA** ARANESP 15mcg/0,375ml

SOL. INJ. IN SERINGA PREUMPLUTA 15mcg/0,375ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML P-RF/R 4 518.36 129.590000 129.590000 129.590000

39 B03XA02 DARBEPOETINUM ALFA** ARANESP 20mcg/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 664.07 166.017500 166.017500 166.017500

40 B03XA02 DARBEPOETINUM ALFA** ARANESP 300mcg/0,6ml

SOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML P-RF/R 1 2,078.14 2078.140000 2078.140000 2078.140000

41 B03XA02 DARBEPOETINUM ALFA** ARANESP 30mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 952.18 238.045000 238.045000 238.045000

Pagina 47 din 59

42 B03XA02 DARBEPOETINUM ALFA** ARANESP 40mcg/0,4ml

SOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 1,242.77 310.692500 310.692500 310.692500

43 B03XA02 DARBEPOETINUM ALFA** ARANESP 500mcg/ml

SOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML P-RF/R 1 3,416.34 3416.340000 3416.340000 3416.340000

44 B03XA02 DARBEPOETINUM ALFA** ARANESP 50mcg/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 1,531.80 382.950000 382.950000 382.950000

45 B03XA02 DARBEPOETINUM ALFA** ARANESP 60mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 1,823.26 455.815000 455.815000 455.815000

46 B03XA02 DARBEPOETINUM ALFA** ARANESP 80mcg/0,4ml

SOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 2,404.28 601.070000 601.070000 601.070000

47 C09CA04 IRBESARTANUM** APROVEL 150mg COMPR. FILM. 150mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 74.87 2.673928 2.673928 2.67392848 C09CA04 IRBESARTANUM** APROVEL 300mg COMPR. FILM. 300mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 101.17 3.613214 3.613214 3.61321449 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.07766650 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.47 0.082333 0.077666 0.07766651 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 2.33 0.077666 0.077666 0.07766652 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.37 0.079000 0.077666 0.07766653 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.07766654 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 24.53 0.490600 0.490600 0.49060055 L04AD02 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 50 446.87 8.937400 8.937400 8.93740056 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 131.29 2.625800 1.767600 1.76760057 L04AD02 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 88.38 1.767600 1.767600 1.76760058 L04AD02 CICLOSPORINUM* CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 131.44 2.628800 1.767600 1.76760059 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 274.32 5.486400 3.566200 3.56620060 L04AD02 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 50 178.31 3.566200 3.566200 3.56620061 L04AD02 CICLOSPORINUM* CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 286.57 5.731400 3.566200 3.56620062 L04AD02 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 1 406.57 406.570000 406.570000 406.570000

63 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 75.98 0.759800 0.759800 0.75980064 V06DDN1 COMBINATII (AMINOACIZI)** KETOSTERIL COMPR. FILM. FARA CONCENTRATIE FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE X 5 BLIST. DIN PVC/AL X 20 COMPR. FILM. P-RF 100 219.70 2.197000 2.197000 2.197000

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

Pagina 48 din 59

1 S01EC03 DORZOLAMIDUM DORZOPT 20 mg/ml PIC. OFT., SOL 20mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PEJD X 5 ML PIC. OFT., SOL P-RF 1 28.92 28.920000 28.920000 28.9200002 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 38.28 38.280000 28.920000 28.9200003 S01EC04 BRINZOLAMIDUM AZOPT 10mg/ml PICATURI OFT.-SUSP. 10mg/ml ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON PEJD X 5 ML P-6L 1 47.84 47.840000 47.840000 47.8400004 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 14.44 14.440000 14.440000 14.4400005 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 2.93 2.930000 2.930000 2.9300006 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 24.65 24.650000 2.930000 2.9300007 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 25.89 25.890000 4.390000 4.3900008 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 4.39 4.390000 4.390000 4.3900009 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 8.86 8.860000 2.930000 2.930000

10 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 9.49 9.490000 4.390000 4.39000011 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 2.94 2.940000 2.930000 2.93000012 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 5.07 5.070000 4.390000 4.39000013 S01ED01 TIMOLOLUM UNITIMOLOL (R) PICATURI OFT.-SOL. 0,5% UNIMED PHARMA LTD. SLOVACIA CUTIE X 1 FLACON PICURATOR PEJD X 10 ML PIC. OFT. SOL. P-6L 1 9.86 9.860000 4.390000 4.39000014 S01ED01 TIMOLOLUM TIMO-GAL (R) PICATURI OFT.-SOL. 0,5% TERAPIA SA ROMANIA CUTIE X 1 FLACON X 10 ML P-6L 1 4.71 4.710000 4.390000 4.39000015 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 5.53 5.530000 4.990000 4.99000016 S01ED02 BETAXOLOLUM BETAX PIC. OFT.-SOL. 5mg/ml ROMPHARM SRL ROMANIA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFTALMICE, SOL. P-6L 1 4.99 4.990000 4.990000 4.99000017 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 14.38 14.380000 4.990000 4.99000018 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 14.38 14.380000 14.380000 14.38000019 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 12.76 12.760000 12.760000 12.76000020 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 31.68 31.680000 31.680000 31.68000021 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 14.98 14.980000 14.980000 14.980000

22 S01ED51

COMBINATII (BIMATOPROSTUM + TIMOLOLUM) GANFORT PIC. OFT.,SOL. 300mcg/ml+5mg/ml ALLERGAN PHARMACEUTICALS IRELAND IRLANDA CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC.OFT.SOL. P-RF 1 76.85 76.850000 76.850000 76.850000

23 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 65.48 65.480000 65.480000 65.480000

24 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 77.79 77.790000 77.790000 77.790000

25 S01ED51

COMBINATII (TAVOPROSTUM+TIMOLOLUM) DUOTRAV 40mcg/ml + 5mg/ml PIC. OFT.-SOL. 40mcg/ml + 5mg/ml ALCON LABORATORIES (UK) LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PP X 2,5 ML PIC. OFTALMICE,SOLUTIE P-RF 1 83.10 83.100000 83.100000 83.100000

26 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 71.93 71.930000 71.930000 71.93000027 S01EE03 BIMATOPROSTUM LUMIGAN 0,3mg/ml 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 69.36 69.360000 69.360000 69.36000028 S01EE04 TRAVOPROSTUM TRAVATAN 40mcg/ml PICATURI OFT.SOL. 40mcg/ml ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON X 2,5 ML P-6L 1 67.63 67.630000 67.630000 67.630000

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 100 120.26 1.202600 0.865500 0.8655002 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 6.55 1.310000 0.865500 0.8655003 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 86.55 0.865500 0.865500 0.8655004 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 9.74 0.974000 0.865500 0.8655005 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 30.63 0.612600 0.612600 0.612600

22. PEMFIGUS - G 27

Pagina 49 din 59

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 27.83 1.391500 1.391500 1.3915007 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 6.13 0.204333 0.204333 0.2043338 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 8.26 8.260000 8.260000 8.2600009 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 63.83 4.255333 4.255333 4.255333

10 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 29.12 29.120000 29.120000 29.120000

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 19.21 19.210000 19.210000 19.210000

12 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.07766613 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.47 0.082333 0.077666 0.07766614 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 2.33 0.077666 0.077666 0.07766615 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.37 0.079000 0.077666 0.07766616 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.07766617 J04BA02 DAPSONUM4 DISULONE COMPR. 100mg CN UNIFARM ROMANIA CUTIE X 100 COMPR. X 100 32.00 0.320000 0.320000 0.32000018 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 24.53 0.490600 0.490600 0.49060019 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 14.92 14.920000 14.920000 14.920000

20 L01BA01 METHOTREXATUM4 METOTREXATE BELLON 2,5 mg COMPR. 2,5mg FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR. X 20 21.45 1.072500 1.072500 1.07250021 L01BA01 METHOTREXATUM4 METOTREXATE BELLON 2,5 mg COMPR. 2,5mg FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR. X 20 21.45 1.072500 1.072500 1.07250022 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE X 5 ML S 5 226.36 45.272000 45.272000 45.27200023 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S 1 84.17 84.170000 84.170000 84.17000024 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML S 1 378.95 378.950000 378.950000 378.950000

25 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FIOLE X 1 ML S 10 22.37 2.237000 2.237000 2.23700026 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML S 1 12.51 12.510000 12.510000 12.51000027 L04AD02 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 50 446.87 8.937400 8.937400 8.93740028 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 131.29 2.625800 1.767600 1.76760029 L04AD02 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 88.38 1.767600 1.767600 1.76760030 L04AD02 CICLOSPORINUM* CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 131.44 2.628800 1.767600 1.76760031 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 274.32 5.486400 3.566200 3.56620032 L04AD02 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 50 178.31 3.566200 3.566200 3.56620033 L04AD02 CICLOSPORINUM* CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 286.57 5.731400 3.566200 3.566200

34 L04AD02 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 1 406.57 406.570000 406.570000 406.570000

35 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 75.98 0.759800 0.759800 0.759800Tratamentul se initiaza de catre medicul in specialitatea dermatologie

1 A16AB02 IMIGLUCERASUM**** CEREZYME 200U

PULB. PT.CONC. PT.SOL. PERF. 200U GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S 1 3,283.39 3283.390000 3283.390000 3283.390000

23. BOALA GAUCHER - G 29

Pagina 50 din 59

2 A16AB02 IMIGLUCERASUM**** CEREZYME 400U

PULB. PT.CONC. PT.SOL. PERF. 400U GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S 1 6,490.17 6490.170000 6490.170000 6490.170000

3 A16AX06 MIGLUSTATUM**** ZAVESCA CAPS. 100mg ACTELION REGISTRATION LTD. MAREA BRITANIE CUTIE X 4 BLIST AL/ACLAR X 21 CAPS. P-RF/R 84 26,057.03 310.202738 310.202738 310.202738

1 J01AA02 DOXYCYCLINUM DOXICICLINA CAPS. 100mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.56 0.328000 0.328000 0.3280002 J01AA02 DOXYCYCLINUM DOXICICLINA 100 mg CAPS. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 3.36 0.336000 0.328000 0.3280003 J01AA02 DOXYCYCLINUM DOXICICLINA SANDOZ 100 mg CAPS. 100mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.37 0.337000 0.328000 0.3280004 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 9.00 0.900000 0.900000 0.9000005 J01AA02 DOXYCYCLINUM VIBRAMYCIN D COMPR. DISP. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. PVC/AL X 10 COMPR. DISP. P-RF 10 9.86 0.986000 0.900000 0.9000006 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 2.99 0.149500 0.128500 0.1285007 J01AA07 TETRACYCLINUM TETRACICLINA SANDOZ 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 2.57 0.128500 0.128500 0.1285008 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 2.84 0.142000 0.128500 0.1285009 J01AA07 TETRACYCLINUM TETRACICLINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 2.82 0.141000 0.128500 0.128500

10 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 2.93 2.930000 2.930000 2.93000011 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 2.93 2.930000 2.930000 2.93000012 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 1.97 1.970000 1.310000 1.31000013 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 1.31 1.310000 1.310000 1.31000014 J01CE02 PHENOXYMETHYLPENICILLINUM PENICILINA V 1 000 000 U.I. COMPR. 1000000ui EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 8.55 0.427500 0.427500 0.42750015 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 3.25 0.270833 0.270833 0.27083316 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 5.73 0.477500 0.477500 0.47750017 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 2.47 0.205833 0.205833 0.20583318 J01CE02 PHENOXYMETHYLPENICILLINUM OSPEN 400 SIROP 400000ui/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLACON X 60ML P-RF 1 8.94 8.940000 8.940000 8.94000019 J01CE08 BENZATHINI BENZYLPENICILLINUM MOLDAMIN (R) PULB. PT. SUSP. INJ. 1200000ui ANTIBIOTICE SA ROMANIA FLACON PULB. PT. SUSP. INJ. P-RF/S 1 3.39 3.390000 3.390000 3.39000020 J01CE08 BENZATHINI BENZYLPENICILLINUM MOLDAMIN (R) PULB. PT. SUSP. INJ. 600000ui ANTIBIOTICE SA ROMANIA FLACON PULB. PT. SUSP. INJ. P-RF/S 1 1.31 1.310000 1.310000 1.31000021 J01DD08 CEFIXIMUM EFICEF (R) 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 33.74 3.374000 3.374000 3.37400022 J01FA01 ERYTHROMYCINUM ERITROMAGIS 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.66 0.333000 0.333000 0.33300023 J01FA01 ERYTHROMYCINUM ERITROMICINA 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.01 0.450500 0.333000 0.33300024 J01FA01 ERYTHROMYCINUM ERITROMICINA SANDOZ 200 mg COMPRIMATE COMPR. 200mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 7.94 0.397000 0.333000 0.33300025 J01FA01 ERYTHROMYCINUM ERITROMICINA EUROPHARM 200 mg COMPR. 200mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 9.49 0.474500 0.333000 0.333000

26 J01FA01 ERYTHROMYCINUM ERITROMICINA SANDOZ 200mg/5ml PULB. PT. SUSP. ORALA 200mg/5ml SANDOZ S.R.L. ROMANIA

CUTIE X 1 FLAC. X 30G + PULB. PT. 60 ML SUSP. ORALA + O LIGURITA DOZATOARE P-RF 1 10.75 10.750000 10.750000 10.750000

27 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 8 CAPS. P-RF 8 35.61 4.451250 4.263333 4.26333328 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF 6 25.58 4.263333 4.263333 4.26333329 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 23.81 3.968333 3.968333 3.96833330 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 45.84 7.640000 6.958333 6.95833331 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM. P-RF 6 41.75 6.958333 6.958333 6.95833332 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM. P-RF 6 41.75 6.958333 6.958333 6.958333

După precizarea diagnosticului de catre laboratoarele de specialitate, va putea fi prescris de către medicul in specialitatea gastroenterologie, hematologie, neurologie si pediatrie.

24. BOLI VENERICE (SIFILIS, GONOREE, INFECTIA CU CHLAMIDIA) - G 30

Pagina 51 din 59

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 35.85 11.950000 8.026666 8.02666634 J01FA10 AZITHROMYCINUM AZITROX (R) 500 COMPR. FILM. 500mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 35.85 11.950000 8.026666 8.026666

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 45.84 15.280000 8.026666 8.026666

36 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 24.08 8.026666 8.026666 8.02666637 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 34.89 11.630000 8.026666 8.02666638 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF 3 34.89 11.630000 8.026666 8.02666639 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 41.89 13.963333 13.963333 13.96333340 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF 3 41.89 13.963333 13.963333 13.963333

41 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 59.64 59.640000 59.640000 59.640000

42 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 5 151.88 30.376000 30.376000 30.376000

43 J01FA10 AZITHROMYCINUM AZITROX 200 mg/5 ml

PULB. + SOLV. SUSP. ORALA 200mg/5ml ZENTIVA S.A. 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 17.50 17.500000 17.500000 17.500000

44 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 100 mg/5 ml

PULB. PT. SUSP. ORALA 100mg/5ml SANDOZ SRL ROMANIA

CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP P-RF 1 21.08 21.080000 21.080000 21.080000

45 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 200 mg/5 ml

PULB. PT. SUSP. ORALA 200 mg/5 ml SANDOZ SRL ROMANIA

CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP P-RF 1 33.34 33.340000 17.500000 17.500000

46 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 23.64 23.640000 17.500000 17.500000

47 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 45.63 45.630000 17.500000 17.500000

48 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 56.66 56.660000 17.500000 17.500000

49 J01MA02 CIPROFLOXACINUM EUCIPRIN CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. P-RF 12 7.53 0.627500 0.627500 0.62750050 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 35.04 3.504000 3.187500 3.18750051 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 63.75 3.187500 3.187500 3.18750052 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 6.41 0.641000 0.447000 0.44700053 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 6.41 0.641000 0.447000 0.44700054 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 6.41 0.641000 0.447000 0.44700055 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 6.41 0.641000 0.447000 0.44700056 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 11.54 0.577000 0.447000 0.447000

Pagina 52 din 59

57 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 7.40 0.740000 0.447000 0.44700058 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 6.52 0.652000 0.447000 0.44700059 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 8.95 0.895000 0.447000 0.44700060 J01MA02 CIPROFLOXACINUM EUCIPRIN 250 mg COMPR. FILM. 250mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 5.73 0.573000 0.447000 0.44700061 J01MA02 CIPROFLOXACINUM ALVEBAR 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.47 0.447000 0.447000 0.44700062 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 12.42 1.242000 0.609000 0.60900063 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 12.42 1.242000 0.609000 0.60900064 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 12.42 1.242000 0.609000 0.60900065 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 12.42 1.242000 0.609000 0.60900066 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 7.95 0.795000 0.609000 0.60900067 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 14.18 1.418000 0.609000 0.60900068 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 8.24 0.824000 0.609000 0.60900069 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 12.42 1.242000 0.609000 0.60900070 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 17.87 1.787000 0.609000 0.60900071 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 12.42 1.242000 0.609000 0.60900072 J01MA02 CIPROFLOXACINUM EUCIPRIN 500 mg COMPR. FILM. 500mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 8.67 0.867000 0.609000 0.60900073 J01MA02 CIPROFLOXACINUM ALVEBAR 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 6.09 0.609000 0.609000 0.60900074 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 36.14 3.614000 3.504000 3.50400075 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 750 mg COMPR. FILM. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 35.04 3.504000 3.504000 3.50400076 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 79.53 11.361428 11.361428 11.36142877 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF 3 25.95 8.650000 8.650000 8.65000078 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 50 FIOLE X 10 ML S 50 130.55 2.611000 2.611000 2.61100079 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 15.76 3.152000 2.611000 2.61100080 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 4.50 4.500000 4.500000 4.50000081 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 9.00 9.000000 9.000000 9.00000082 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML S 10 82.14 8.214000 8.214000 8.21400083 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML S 10 147.72 14.772000 8.214000 8.21400084 J01MA02 CIPROFLOXACINUM UFEXIL 2 mg/ ml SOL. PERF. 2mg/ml DEMO SA GRECIA CUTIE X 10 PUNGI PP X 100 ML SOL. PERF. S 10 152.66 15.266000 9.000000 9.00000085 J01MA02 CIPROFLOXACINUM CIPROBAY (R) 400 SOL. PERF. 2mg/ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE X 200 ML S/P-RF 5 665.12 133.024000 18.120000 18.12000086 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 18.12 18.120000 18.120000 18.120000

1 L04AB02 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 7,047.00 2349.000000 2349.000000 2349.000000

2 L04AB02 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 4,823.35 2411.675000 2349.000000 2349.000000

IMUNOSUPRESOARE SELECTIVE - G3125. BOALA CRONICA INFLAMATORIE INTESTINALA - G31a

Tratamentul se initiaza de catre medicul in specialitatea dermatologie si obstetrica-ginecologie (pentru gonoree si infectia cu Chlamidia)

Pagina 53 din 59

3 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg

SOL. INJ. IN PEN PRE-UMPLUTA 40mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R 2 4,463.59 2231.795000 2231.795000 2231.795000

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 2,313.85 1156.925000 1156.925000 1156.925000

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 5,678.51 5678.510000 5678.510000 5678.510000

3 L04AB01 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 4,291.33 1072.832500 1072.832500 1072.832500

4 L04AB01 ETANERCEPTUM**** ENBREL 25mg 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 2,140.66 535.165000 533.947500 533.947500

5 L04AB01 ETANERCEPTUM**** ENBREL DE UZ PEDIATRIC PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE P-RF/R 4 2,135.79 533.947500 533.947500 533.947500

6 L04AB01 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 2,135.79 533.947500 533.947500 533.947500

7 L04AB01 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 4,200.73 1050.182500 1050.182500 1050.182500

8 L04AB01 ETANERCEPTUM**** ENBREL 50mg

SOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg WYETH EUROPA LIMITED MAREA BRITANIE

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL P-RF/R 4 4,200.73 1050.182500 1050.182500 1050.182500

9 L04AB02 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 7,047.00 2349.000000 2349.000000 2349.000000

10 L04AB02 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 4,823.35 2411.675000 2349.000000 2349.000000

Tratamentul se prescrie și se monitorizează de către medicul în specialitatea gastro-enterologie și medicină internă (unități sanitare nominalizate de către Ministerul Sănătății Publice)

26. POLIARTITRITA REUMATOIDA - G31b

Pagina 54 din 59

11 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg

SOL. INJ. IN PEN PRE-UMPLUTA 40mg ABBOTT LABORATORIES LTD. MAREA BRITANIE

CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R 2 4,463.59 2231.795000 2231.795000 2231.795000

1 L04AB01 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 4,291.33 1072.832500 1072.832500 1072.832500

2 L04AB01 ETANERCEPTUM**** ENBREL 25mg

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 2,140.66 535.165000 533.947500 533.947500

3 L04AB01 ETANERCEPTUM**** ENBREL DE UZ PEDIATRIC

PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE P-RF/R 4 2,135.79 533.947500 533.947500 533.947500

4 L04AB01 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 2,135.79 533.947500 533.947500 533.947500

5 L04AB01 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 4,200.73 1050.182500 1050.182500 1050.182500

6 L04AB01 ETANERCEPTUM**** ENBREL 50mg

SOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg WYETH EUROPA LIMITED MAREA BRITANIE

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL P-RF/R 4 4,200.73 1050.182500 1050.182500 1050.182500

7 L04AB02 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 7,047.00 2349.000000 2349.000000 2349.000000

8 L04AB02 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 4,823.35 2411.675000 2349.000000 2349.000000

9 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg

SOL. INJ. IN PEN PRE-UMPLUTA 40mg ABBOTT LABORATORIES LTD. MAREA BRITANIE

CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R 2 4,463.59 2231.795000 2231.795000 2231.795000

Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie, medicina interna, nefrologie (pentru pacienţii cu afectare renală), medicina interna sau recuperare medicina fizica şi balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice)

27. ARTROPATIA PSORIAZICA - G31c

Pagina 55 din 59

1 L04AB01 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 4,291.33 1072.832500 1072.832500 1072.832500

2 L04AB01 ETANERCEPTUM**** ENBREL 25mg

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 2,140.66 535.165000 533.947500 533.947500

3 L04AB01 ETANERCEPTUM**** ENBREL DE UZ PEDIATRIC

PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE P-RF/R 4 2,135.79 533.947500 533.947500 533.947500

4 L04AB01 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 2,135.79 533.947500 533.947500 533.947500

5 L04AB01 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 4,200.73 1050.182500 1050.182500 1050.182500

6 L04AB01 ETANERCEPTUM**** ENBREL 50mg

SOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg WYETH EUROPA LIMITED MAREA BRITANIE

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL P-RF/R 4 4,200.73 1050.182500 1050.182500 1050.182500

7 L04AB02 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 7,047.00 2349.000000 2349.000000 2349.000000

8 L04AB02 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 4,823.35 2411.675000 2349.000000 2349.000000

9 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg

SOL. INJ. IN PEN PRE-UMPLUTA 40mg ABBOTT LABORATORIES LTD. MAREA BRITANIE

CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R 2 4,463.59 2231.795000 2231.795000 2231.795000

Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie, medicina interna sau recuperare medicina fizica şi balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice)

Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie si recuperare medicina fizica şi balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice)

28. SPONDILITA ANKILOZANTA - G 31d

Pagina 56 din 59

1 L04AB01 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 4,291.33 1072.832500 1072.832500 1072.832500

2 L04AB01 ETANERCEPTUM**** ENBREL 25mg

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 2,140.66 535.165000 533.947500 533.947500

3 L04AB01 ETANERCEPTUM**** ENBREL DE UZ PEDIATRIC

PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE P-RF/R 4 2,135.79 533.947500 533.947500 533.947500

4 L04AB01 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 2,135.79 533.947500 533.947500 533.947500

5 L04AB01 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 4,200.73 1050.182500 1050.182500 1050.182500

6 L04AB01 ETANERCEPTUM**** ENBREL 50mg

SOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg WYETH EUROPA LIMITED MAREA BRITANIE

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL P-RF/R 4 4,200.73 1050.182500 1050.182500 1050.182500

1 L04AB01 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 4,291.33 1072.832500 1072.832500 1072.832500

2 L04AB01 ETANERCEPTUM**** ENBREL 25mg

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 2,140.66 535.165000 533.947500 533.947500

3 L04AB01 ETANERCEPTUM**** ENBREL DE UZ PEDIATRIC

PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE P-RF/R 4 2,135.79 533.947500 533.947500 533.947500

29. ARTRITA JUVENILA - G 31e

Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie si recuperare medicina fizica şi balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice)

30. PSORIAZIS CRONIC SEVER - G 31f

Pagina 57 din 59

4 L04AB01 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 2,135.79 533.947500 533.947500 533.947500

5 L04AB01 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 4,200.73 1050.182500 1050.182500 1050.182500

6 L04AB01 ETANERCEPTUM**** ENBREL 50mg

SOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg WYETH EUROPA LIMITED MAREA BRITANIE

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL P-RF/R 4 4,200.73 1050.182500 1050.182500 1050.182500

7 L04AB02 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 7,047.00 2349.000000 2349.000000 2349.000000

8 L04AB02 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 4,823.35 2411.675000 2349.000000 2349.000000

9 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg

SOL. INJ. IN PEN PRE-UMPLUTA 40mg ABBOTT LABORATORIES LTD. MAREA BRITANIE

CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R 2 4,463.59 2231.795000 2231.795000 2231.795000

L04AA21 EFALIZUMABUM****

NOTA:

- 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;

Medicamentul corespunzator DCI-ului notat cu (3) se livreaza impreuna cu solvent;

- Medicamentele corespunzatoare DCI-urilor notate cu (4) se importa cu avizul MSP;

Tratamentul se prescrie si monitorizeaza de catre medicul in specialitatea dermatologie (unitati sanitare nominalizate de catre Ministerul Sanatatii

- 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 2, 3, 4, 5, 6, 7, 9 pentru care initierea tratamentului poate fi efectuata si de medicul de familie;

- 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;

Pagina 58 din 59

NOTĂ: Medicamentele din această sublistă se eliberează prin farmacii cu circuit deschis pe bază de prescripție medicală cu reținere în farmacie (P-RF).

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (5) se utilizeaza numai pentru cazurile fara raspuns terapeutic la prednisonum.

Pagina 59 din 59

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

A) SUBPROGRAMUL DE TRATAMENT SI MONITORIZARE A PERSOANELOR CU INFECTIE HIV/SIDA si TRATAMENTUL POSTEXPUNERE

Nr.crt

Grupa terapeuti

caDenumire generica

Denumire comercial

a

Forma farmaceu

tica

Concentratie / U.T.

Firma Tara Ambalaj al U.T. Cantitate

Pret cu ridicata

maximal / ambalaj

Pret cu amanunt

ul maximal / ambalaj

Pret cu amanunt

ul maximal /

U.T. = Pret de

decontare / U.T.

1 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 26.29 34.39 2.8658332 D01AA AMPHOTERICINUM B4 FUNGIZONE PULB. LIOFILIZ. PT. SOL. INJ. 50mg/5ml CN Unifarm SA ROMANIA CUTIE X 1 FLACON X 5ML X 1 29.64 38.77 38.7700003 D01AC02 MICONAZOLUM MEDACTER CREMA 2% FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 30G P-RF 1 5.94 8.03 8.0300004 D01AC02 MICONAZOLUM MICONAZOL NITRAT 2% CREMA 2% SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 4.74 6.41 6.4100005 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 6.61 8.94 8.9400006 D06BB03 ACICLOVIRUM CLOVIRAL (R) 5% CREMA 5% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB AL. X 12 G P-RF 1 4.45 6.01 6.0100007 D06BB03 ACICLOVIRUM ZOVIRAX CREMA 5% THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 TUB X 5G CREMA P-RF 1 14.63 19.78 19.7800008 D06BB03 ACICLOVIRUM ACICLOVIR 5% CREMA 5% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 5 G CREMA P-RF 1 3.46 4.67 4.6700009 D06BB03 ACICLOVIRUM ACICLOVIR 5% CREMA 5% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 15 G CREMA P-RF 1 5.28 7.13 7.130000

10 D06BB03 ACICLOVIRUM ACICLOVIR MK CREMA 5% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 7,5 G P-RF 1 2.92 3.94 3.94000011 D06BB03 ACICLOVIRUM ACICLOVIR MK CREMA 5% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 15 G P-RF 1 4.68 6.32 6.32000012 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 4.11 5.55 5.55000013 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 6.16 8.32 8.32000014 D06BB03 ACICLOVIRUM ACICLOVIR HYPERION CREMA 50mg/g HYPERION S.A. ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 5.08 6.87 6.87000015 D06BB03 ACICLOVIRUM ACICLOVIR TIS 50mg/g CREMA 50mg/g TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB DIN PEJD X 15 G CREMA P-RF 1 3.26 4.41 4.41000016 G01AF04 MICONAZOLUM GYNOZOL 200 CAPS. VAG. 200mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI P-RF 6 4.14 5.59 0.931666

VALABILĂ ÎNCEPÂND CU 1 IANUARIE 2010

ANEXA 4

SECŢIUNEA C2 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% din pret de decontare - conform denumirilor comune internaţionale corespunzătoare medicamentelor de care beneficiaza asiguratii inclusi in

programele nationale de sănătate cu scop curativ in tratamentul ambulatoriu si spitalicesc DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE SI ORDINUL MS NR. 426/2009

Page 1 of 56

17 G01AF04 MICONAZOLUM GYNOZOL 400 CAPS. VAG. 400mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI P-RF 3 3.97 5.36 1.78666618 G01AF04 MICONAZOLUM MEDACTER CREMA VAG. 2% FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 78 G P-RF 1 13.45 18.18 18.18000019 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 9.67 13.07 13.07000020 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 6.24 8.44 0.56266621 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 12.50 16.89 3.37800022 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.68 6.33 0.31650023 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 181.29 221.32 0.22132024 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.25 7.09 0.35450025 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 241.98 295.41 0.29541026 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST.AL/PVC X 12 CAPS. P-RF 12 4.24 5.73 0.47750027 J01CF04 OXACILLINUM OXACILINA SANDOZ 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.36 7.24 0.36200028 J01CF04 OXACILLINUM OXACILINA CAPS. 250mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 3.94 5.33 0.26650029 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.20 5.67 0.28350030 J01CF04 OXACILLINUM OXACILINA FARMEX 250 mg CAPS. 250mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.68 6.32 0.31600031 J01CF04 OXACILLINUM OXACILINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. X 10 CAPS. P-RF/S 1000 278.18 339.60 0.33960032 J01CF04 OXACILLINUM OXACILINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 4.79 6.47 0.64700033 J01CF04 OXACILLINUM OXACILINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 4.30 5.81 0.58100034 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 50 BLIST. AL/PVC X 10 CAPS. P-RF/S 500 183.19 223.64 0.44728035 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.75 10.48 0.52400036 J01CF04 OXACILLINUM OXACILINA SANDOZ 500 mg CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 4.89 6.61 0.66100037 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 4.30 5.81 0.58100038 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 500 mg PULB. PT. SOL. INJ./PERF. I.M./I.V. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF 1 2.30 3.11 3.11000039 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF 1 3.71 5.01 5.01000040 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 250 mg PULB. PT. SOL. INJ./PERF.I.M./I.V. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF 1 1.21 1.63 1.63000041 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 17.54 23.71 23.71000042 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 50 596.92 688.79 13.77580043 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS (R) 750 mg PULB. PT. SOL. INJ. 500mg+250mg ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. PULB. PT. SOL. INJ. X 750 MG S/P-RF 100 605.01 697.61 6.97610044 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS (R) 750 mg PULB. PT. SOL. INJ. 500mg+250mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. X 750MG P-RF 1 7.01 9.48 9.48000045 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 16.78 22.68 1.13400046 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 17.24 23.30 1.16500047 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 31.15 40.74 2.91000048 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2 x 1000 mg COMPR. FILM. 1000mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM. P-RF 14 28.09 36.74 2.62428549 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 29.23 38.23 2.73071450 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 15.73 21.26 1.32875051 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 11.58 15.65 1.11785752 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 20.67 27.94 1.74625053 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 19.50 26.35 1.88214254 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 625 mg COMPR. FILM. 625mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL-PEJD X 7 COMPR. FILM. P-RF 21 17.22 23.28 1.10857155 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 625 mg COMPR. FILM. 625mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM. P-RF 28 22.97 31.05 1.10892856 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 20.28 27.41 1.95785757 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN™ 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 50.25 63.54 2.26928558 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 1000 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 1000mg BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14 45.60 59.64 4.26000059 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 625mg BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14 25.31 33.10 2.36428560 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1,2 g PULB. PT. SOL. INJ./PERF. 1,2g ANTIBIOTICE SA ROMANIA CUTIE X 100 FLACOANE CU PULB. PT. SOL. INJ. / PERF. P-RF/S 100 450.00 528.65 5.28650061 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1,2 g PULB. PT. SOL. INJ./PERF. 1,2g ANTIBIOTICE SA ROMANIA CUTIE X 50 FLACOANE CU PULB. PT. SOL. INJ. / PERF. P-RF/S 50 231.00 282.00 5.640000

Page 2 of 56

62 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1,2 g PULB. PT. SOL. INJ./PERF. 1,2g ANTIBIOTICE SA ROMANIA CUTIE X 1 FLACON CU PULB. PT. SOL. INJ. / PERF. P-RF 1 4.79 6.47 6.47000063 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN INTRAVENOS 1,2g PULB. PT. SOL. INJ./PERF. 1000mg+200mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S/P-RF 10 50.25 63.54 6.35400064 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 600 mg PULB. PT. SOL. INJ./PERF. 600mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLACON CU PULB. PT. SOL INJ. / PERF. P-RF 1 4.68 6.33 6.33000065 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 600 mg PULB. PT. SOL. INJ./PERF. 600mg ANTIBIOTICE SA ROMANIA CUTIE X 100 FLACOANE CU PULB. PT. SOL INJ. / PERF. P-RF/S 100 418.56 494.38 4.94380066 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 600 mg PULB. PT. SOL. INJ./PERF. 600mg ANTIBIOTICE SA ROMANIA CUTIE X 50 FLACOANE CU PULB. PT. SOL INJ. / PERF. P-RF/S 50 216.05 263.76 5.27520067 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN INTRAVENOS 2,2g PULB. PT. SOL. PERF. 2000mg+200mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF 1 13.64 18.44 18.44000068 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 10.35 13.99 13.99000069 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 8.12 10.97 10.97000070 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 15.35 20.75 20.75000071 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 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 6.92 9.35 9.35000072 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 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 13.84 18.71 18.71000073 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 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 6.92 9.35 9.35000074 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 24.62 33.28 33.28000075 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 16.69 22.56 22.56000076 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 MARCAT PT. 100ML+ MASURA DOZATOARE P-RF 1 15.78 21.33 21.33000077 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 652.44 749.31 62.44250078 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 378.48 450.69 37.55750079 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 19.08 25.79 25.79000080 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 93.74 118.53 23.70600081 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 184.14 224.80 22.48000082 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 38.17 49.92 49.92000083 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 184.14 224.80 44.96000084 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 364.80 435.78 43.57800085 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 38.43 50.27 50.27000086 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 185.40 226.34 45.26800087 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 367.10 438.29 43.82900088 J01CR50 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULPERAZON (R) 2 g PULB. PT. SOL. INJ. FARA CONCENTRATIE PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC X 2 G S/P-RF 1 26.97 35.28 35.28000089 J01DD04 CEFTRIAXONUM NOVOSEF 500 mg i.m. PULB. + SOLV. PT. SOL. INJ. 500mg ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ. I.M.+ 1 FIOLA DIN STICLA P-RF 1 4.20 5.67 5.67000090 J01DD04 CEFTRIAXONUM NOVOSEF 0,5 g i.m. PULB. + SOLV. PT. SOL. INJ./PERF. 0.5g ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB.+ 1 FIOLA SOLV. X 2ML S/P-RF 1 4.20 5.67 5.67000091 J01DD04 CEFTRIAXONUM NOVOSEF 500mg i.v. PULB. PT. SOL. INJ. I.V./PERF. 500mg ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15ML CONTINAND PULB. PT. SOL INJ./PERF. + 1 FIOLA DIN STICLA I S/P-RF 1 4.20 5.67 5.67000092 J01DD04 CEFTRIAXONUM CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ./PERF. S/P-RF 10 125.66 153.41 15.34100093 J01DD04 CEFTRIAXONUM SEFTRION 1 g PULB. PT. SOL. INJ./PERF. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ. S/P-RF 1 9.68 13.08 13.08000094 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. CU PULB. PT. SOL. INJ.PERF. S/P-RF 50 246.40 300.81 6.01620095 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. CU PULB. PT. SOL. INJ.PERF. S 100 476.00 556.99 5.56990096 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.PERF. S/P-RF 1 5.15 6.96 6.96000097 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL.INJ./PERF. S/P-RF 10 51.30 64.86 6.48600098 J01DD04 CEFTRIAXONUM MEDAXONE 2 g PULB. PT. SOL. INJ./PERF. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLACOANE X 2 G PULB. PT. SOL. INJ./PERF. S/P-RF 10 259.12 316.33 31.63300099 J01DD04 CEFTRIAXONUM CEFORT 2 g PULB. PT. SOL. INJ./PERF. 2g ANTIBIOTICE SA ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ./PERF. S/P-RF 10 214.50 261.86 26.186000

100 J01DD04 CEFTRIAXONUM CEFORT 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. CU PULB. PT. SOL. INJ./PERF. S/P-RF 50 389.00 462.16 9.243200101 J01DD04 CEFTRIAXONUM CEFORT 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. CU PULB. PT. SOL. INJ./PERF. S 100 746.00 851.29 8.512900102 J01DD04 CEFTRIAXONUM CEFORT 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ./PERF. S/P-RF 1 8.21 11.09 11.090000103 J01DD04 CEFTRIAXONUM SEFTRION 500 mg PULB. PT. SOL. INJ./PERF. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ. S/P-RF 1 7.27 9.82 9.820000104 J01DD04 CEFTRIAXONUM ROCEPHIN (R) PULB. PT. SOL. PERF. 2g ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPCITATEA DE 50ML CONTINAND PULB. PT. SOL. PERFUZ. S/P-RF 1 41.31 54.04 54.040000105 J01DD04 CEFTRIAXONUM NOVOSEF 1 g i.m. PULB.+SOLV. PT. SOL. INJ. 1g ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ.+ 1 FIOLA DIN STICLA INCOLO P-RF 1 5.65 7.64 7.640000106 J01DD04 CEFTRIAXONUM NOVOSEF 1 g i.v. PULB.+SOLV. PT. SOL. INJ./PERF. 1g ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ./PERF.+ 1 FIOLA DIN STICLA S/P-RF 1 5.65 7.64 7.640000

Page 3 of 56

107 J01DD08 CEFIXIMUM EFICEF (R) 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 24.96 33.74 3.374000108 J01DD08 CEFIXIMUM EFICEF (R) 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 2,061.09 2,284.74 2.284740109 J01DD12 CEFOPERAZONUM MEDOCEF 1 g PULB. PT. SOL. INJ. 1g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 145.07 177.10 17.710000110 J01DD12 CEFOPERAZONUM MEDOCEF 2 g PULB. PT. SOL. INJ. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 241.78 295.17 29.517000111 J01DD12 CEFOPERAZONUM LYZONE 2 g PULB. PT. SOL. INJ. 2g MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. S/P-RF 1 18.84 25.47 25.470000112 J01DD12 CEFOPERAZONUM CEFOZON 500 mg PULB. PT. SOL. INJ. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. S/P-RF 1 3.64 4.92 4.920000113 J01DD12 CEFOPERAZONUM CEFOZON 2 g PULB. PT. SOL. INJ./PERF. I.M./I.V. 2g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V. S/P-RF 1 10.90 14.73 14.730000114 J01DD12 CEFOPERAZONUM CEFOZON 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V. S/P-RF 1 6.61 8.94 8.940000115 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 56.27 71.15 71.150000116 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 97.89 123.77 123.770000117 J01DH02 MEROPENEMUM MERONEM IV 1 g PULB. PT. SOL. INJ. I.V./PERF. 1g ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 10 FLAC. PULB. PT. SOL. INJ. (CAP. 20 ML) S 10 969.60 1,095.01 109.501000118 J01DH02 MEROPENEMUM MERONEM IV 500 mg PULB. PT. SOL. INJ. I.V./PERF. 500mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 10 FLAC. PULB. PT. SOL. INJ. (CAP. 20 ML) S 10 508.50 592.42 59.242000119 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 5 137.34 167.66 33.532000120 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 10 274.67 335.32 33.532000121 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 5 137.34 167.66 33.532000122 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 10 274.67 335.32 33.532000123 J01DH51 IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF 10 420.10 496.06 49.606000124 J01DH51 IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF 25 1,005.25 1,133.87 45.354800125 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.54 2.08 0.104000126 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BISEPTRIM COMPR. 400mg/80mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 2.63 3.56 0.178000127 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 2.87 3.88 0.194000128 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 2.32 3.14 0.157000129 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BITRIM 400mg/80mg COMPR. 400mg/80mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.32 3.14 0.157000130 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 5.70 7.70 7.700000131 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 3.31 4.47 4.470000132 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 6.84 9.24 0.577500133 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 19.37 26.18 2.618000134 J01FA06 ROXITHROMYCINUM ROXITHROMYCIN AL 150 COMPR. FILM. 150mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 20 17.05 23.05 1.152500135 J01FA06 ROXITHROMYCINUM ROXITHROMYCIN AL 150 COMPR. FILM. 150mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 8.53 11.53 1.153000136 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 10.58 14.30 1.430000137 J01FA06 ROXITHROMYCINUM ROXITHROMYCIN AL 300 COMPR. FILM. 300mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR. FILM. P-RF 7 15.64 21.14 3.020000138 J01FA06 ROXITHROMYCINUM ROXITHROMYCIN AL 300 COMPR. FILM. 300mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 21.75 29.40 2.940000139 J01FA09 CLARITHROMYCINUM KLACID (R) COMPR. FILM. 250mg ABBOTT SPA ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 19.84 26.81 1.915000140 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 22.39 30.26 2.161428141 J01FA09 CLARITHROMYCINUM CLAR 250 COMPR. FILM. 250mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM. P-RF 20 15.96 21.57 1.078500142 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 11.58 15.65 1.117857143 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 10.19 13.77 0.983571144 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 10.19 13.77 0.983571145 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 11.58 15.65 1.117857146 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 27.25 35.64 2.545714147 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 22.66 30.63 2.187857148 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 22.30 30.14 2.152857149 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 31.84 41.65 2.082500150 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 22.30 30.14 2.152857151 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 22.66 30.63 2.187857

Page 4 of 56

152 J01FA09 CLARITHROMYCINUM ROCLARIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 36.48 47.72 2.386000153 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 12.77 17.26 3.452000154 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 17.88 24.16 3.451428155 J01FA09 CLARITHROMYCINUM KLABAX MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 25.26 33.04 4.720000156 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 26.15 34.21 6.842000157 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 19.52 26.38 3.768571158 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 28.10 36.76 36.760000159 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 17.01 22.99 22.990000160 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 16.17 21.86 21.860000161 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 18.21 24.61 24.610000162 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 21.96 29.68 29.680000163 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 13.17 17.80 17.800000164 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 44.17 57.78 57.780000165 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 32.19 42.11 42.110000166 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 36.67 47.97 47.970000167 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 22.00 29.74 29.740000168 J01FA09 CLARITHROMYCINUM KLACID I.V. LIOF. PT. SOL. PERF. 500mg ABBOTT LABORATORIES LTD. FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF. S/P-RF 1 38.61 50.50 50.500000169 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 8 CAPS. P-RF 8 27.22 35.61 4.451250170 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF 6 18.93 25.58 4.263333171 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 17.62 23.81 3.968333172 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 35.05 45.84 7.640000173 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM. P-RF 6 31.92 41.75 6.958333174 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM. P-RF 6 31.92 41.75 6.958333175 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 27.41 35.85 11.950000176 J01FA10 AZITHROMYCINUM AZITROX (R) 500 COMPR. FILM. 500mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 27.41 35.85 11.950000177 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 35.05 45.84 15.280000178 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 17.82 24.08 8.026666179 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 26.67 34.89 11.630000180 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF 3 26.67 34.89 11.630000181 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 32.03 41.89 13.963333182 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF 3 32.03 41.89 13.963333183 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 45.60 59.64 59.640000184 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 5 124.41 151.88 30.376000185 J01FA10 AZITHROMYCINUM AZITROX 200 mg/5 ml PULB. + SOLV. SUSP. ORALA 200mg/5ml ZENTIVA S.A. 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 12.95 17.50 17.500000186 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 100 mg/5 ml PULB. PT. SUSP. ORALA 100mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP P-RF 1 15.60 21.08 21.080000187 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 200 mg/5 ml PULB. PT. SUSP. ORALA 200 mg/5 ml SANDOZ SRL ROMANIA CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP P-RF 1 24.67 33.34 33.340000188 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 17.49 23.64 23.640000189 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 34.89 45.63 45.630000190 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 43.32 56.66 56.660000191 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 4.96 6.70 0.670000192 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 29.78 38.95 0.779000193 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 6.66 9.00 0.900000194 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 4.70 6.35 0.635000195 J01GB06 AMIKACINUM AMIKOZIT (R) 100 mg/2 ml SOL. INJ. 100mg/2ml ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1 2.46 3.33 3.330000196 J01GB06 AMIKACINUM AMIKOZIT (R) 100 mg/2 ml SOL. INJ. 100mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1 2.46 3.33 3.330000

Page 5 of 56

197 J01GB06 AMIKACINUM BIODACYNA SOL. INJ. 1g/4ml CN UNIFARM ROMANIA CUTIE X 1 FLAC. X 1G SOL. INJ. X 1 8.89 12.02 12.020000198 J01GB06 AMIKACINUM ORLOBIN SOL. INJ. 1g/4ml CN Unifarm SA ROMANIA CUTIE X 1 FLACON INJECTABIL X 4ML X 1 8.66 11.71 11.710000199 J01GB06 AMIKACINUM AMIKOZIT (R) 500 mg/2 ml SOL. INJ. 500mg/2ml ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1 4.83 6.53 6.530000200 J01GB06 AMIKACINUM AMIKOZIT (R) 500 mg/2 ml SOL. INJ. 500mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1 4.83 6.53 6.530000201 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 13.30 17.98 17.980000202 J01GB07 NETILMICINUM NETROMYCINE (R) SOL. INJ. 200mg/2ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 2 ML S/P-RF 1 16.86 22.79 22.790000203 J01GB07 NETILMICINUM NETROMYCINE (R) SOL. INJ. 50mg/2ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 2 ML S/P-RF 1 5.28 7.13 7.130000204 J01MA01 OFLOXACINUM OFLOXACIN 200 mg COMPR. FILM. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 34.78 45.49 4.549000205 J01MA01 OFLOXACINUM OFLOXIN 200 COMPR. FILM. 200mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 13.91 18.80 1.880000206 J01MA01 OFLOXACINUM ZANOCIN COMPR. FILM. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 7.89 10.66 1.066000207 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 19.06 25.76 5.152000208 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 36.25 47.42 4.742000209 J01MA01 OFLOXACINUM OFLOXIN (R) INF SOL. PERF. 200mg/100ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. S 1 14.09 19.04 19.040000210 J01MA02 CIPROFLOXACINUM EUCIPRIN CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. P-RF 12 5.57 7.53 0.627500211 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 26.79 35.04 3.504000212 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 48.74 63.75 3.187500213 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 3.31 4.47 0.447000214 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 4.74 6.41 0.641000215 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 4.74 6.41 0.641000216 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 4.74 6.41 0.641000217 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 4.74 6.41 0.641000218 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 8.54 11.54 0.577000219 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 5.47 7.40 0.740000220 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 4.82 6.52 0.652000221 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 6.62 8.95 0.895000222 J01MA02 CIPROFLOXACINUM EUCIPRIN 250 mg COMPR. FILM. 250mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.24 5.73 0.573000223 J01MA02 CIPROFLOXACINUM ALVEBAR 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 3.31 4.47 0.447000224 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 4.51 6.09 0.609000225 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 9.19 12.42 1.242000226 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 9.19 12.42 1.242000227 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 9.19 12.42 1.242000228 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 9.19 12.42 1.242000229 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 5.88 7.95 0.795000230 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 10.49 14.18 1.418000231 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 6.10 8.24 0.824000232 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 9.19 12.42 1.242000233 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 13.22 17.87 1.787000234 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 9.19 12.42 1.242000235 J01MA02 CIPROFLOXACINUM EUCIPRIN 500 mg COMPR. FILM. 500mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 6.41 8.67 0.867000236 J01MA02 CIPROFLOXACINUM ALVEBAR 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.51 6.09 0.609000237 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 27.63 36.14 3.614000238 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 750 mg COMPR. FILM. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 26.79 35.04 3.504000239 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 62.90 79.53 11.361428240 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF 3 19.20 25.95 8.650000241 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 50 FIOLE X 10 ML S 50 106.94 130.55 2.611000

Page 6 of 56

242 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 11.66 15.76 3.152000243 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 3.33 4.50 4.500000244 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 6.66 9.00 9.000000245 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML S 10 64.96 82.14 8.214000246 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML S 10 121.00 147.72 14.772000247 J01MA02 CIPROFLOXACINUM CIPROBAY (R) 400 SOL. PERF. 2mg/ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE X 200 ML S/P-RF 5 575.20 665.12 133.024000248 J01MA02 CIPROFLOXACINUM UFEXIL 2 mg/ ml SOL. PERF. 2mg/ml DEMO SA GRECIA CUTIE X 10 PUNGI PP X 100 ML SOL. PERF. S 10 125.05 152.66 15.266000249 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 13.41 18.12 18.120000250 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 19.35 26.16 2.616000251 J01MA06 NORFLOXACINUM NORFLOXACIN 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 8.56 11.57 0.826428252 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 12.23 16.53 0.826500253 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 10.94 14.78 0.739000254 J01MA06 NORFLOXACINUM NORFLOX - 400 COMPR. FILM. 400mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 4.30 5.81 0.581000255 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 12.23 16.53 0.826500256 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 5.36 7.24 0.517142257 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 3.97 5.36 0.536000258 J01MA06 NORFLOXACINUM NORFLOXACINA TERAPIA 400 mg COMPR. FILM. 400mg TERAPIA SA ROMANIA CUTIE X 1 FOLIE TERMOSUDATA DIN AL-PEJD X 10 COMPR. FILM. P-RF 10 4.06 5.49 0.549000259 J01MA06 NORFLOXACINUM NOR QUIN 400 mg COMPR. FILM. 400mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-RF/S 20 12.23 16.53 0.826500260 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 250 mg COMPR. FILM. 250mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 21.89 29.58 4.225714261 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 24.30 32.85 4.692857262 J01MA12 LEVOFLOXACINUM TAVANIC 500 mg COMPR. FILM. 500mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF 7 37.39 48.91 6.987142263 J01MA12 LEVOFLOXACINUM LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML CONTINAD 50 ML SOL. PERF. (250MG LEVOFLOXACINA) S 1 35.47 46.40 46.400000264 J01MA12 LEVOFLOXACINUM LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 25 FLAC. PEJD KABIPAC X 100 ML CONTINAD 50 ML SOL. PERF. (250MG LEVOFLOXACINA) S 25 808.00 918.87 36.754800265 J01MA12 LEVOFLOXACINUM LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML CONTINAD 100 ML SOL. PERF. (500MG LEVOFLOXACINA) S 1 69.71 88.14 88.140000266 J01MA12 LEVOFLOXACINUM LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 25 FLAC. PEJD KABIPAC X 100 ML CONTINAD 100 ML SOL. PERF. (500MG LEVOFLOXACINA) S 25 1,586.00 1,766.89 70.675600267 J01MA12 LEVOFLOXACINUM TAVANIC I.V. 500 mg SOL. PERF. 5mg/ml SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. P-RF/S 1 107.25 130.93 130.930000268 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 61.93 78.31 15.662000269 J01MA14 MOXIFLOXACINUM AVELOX (R) 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML S 5 583.75 674.44 134.888000270 J01XA01 VANCOMYCINUM VANCOMYCIN TEVA LIOF. PT. SOL. PERF. 1g TEVA PHARM. WORKS PRIVATE LTD. COMPANY UNGARIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF. S/P-RF 1 45.60 59.64 59.640000271 J01XA01 VANCOMYCINUM VANCOMYCIN TEVA LIOF. PT. SOL. PERF. 500mg TEVA PHARM. WORKS PRIVATE LTD. COMPANY UNGARIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF. S/P-RF 1 22.80 30.82 30.820000272 J01XA01 VANCOMYCINUM EDICIN LIOF. PT. SOL. PERF./INJ. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 500 MG LIOF. PT. SOL. PERF./INJ. S/P-RF 1 36.89 48.25 48.250000273 J01XA01 VANCOMYCINUM EDICIN PULB.LIOF.PT.SOL.PERF./INJ 1g LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PERF./INJ. S/P-RF 1 53.42 67.54 67.540000274 J01XA02 TEICOPLANINUM TARGOCID (R) 400 mg LIOF. + SOLV. PT. SOL. INJ. 400mg AVENTIS PHARMA LTD. MAREA BRITANIE CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV. P-RF 1 110.96 135.46 135.460000275 J01XB01 COLISTINUM COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 100 1,510.15 1,684.22 16.842200276 J01XB01 COLISTINUM COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 50 770.08 877.54 17.550800277 J01XD01 METRONIDAZOLUM METRONIDAZOL 250 mg (J01XD01) COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.97 1.31 0.065500278 J01XD01 METRONIDAZOLUM METRONIDAZOL ARENA 250 mg (J01XD01) COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.38 1.86 0.062000279 J01XD01 METRONIDAZOLUM FLAGYL ( vezi J01XD01) COMPR. FILM. 250mg LABORATOIRE AVENTIS FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 5.84 7.89 0.394500280 J01XD01 METRONIDAZOLUM METRONIDAZOL A 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 12 FLACOANE X 200 ML S/P-RF 12 74.45 94.13 7.844166281 J01XD01 METRONIDAZOLUM METRONIDAZOL A 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 1 FLACON X 200 ML S/P-RF 1 6.33 8.55 8.550000282 J01XD01 METRONIDAZOLUM METRONIDAZOL B 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 12 FLACOANE X 200 ML S/P-RF 12 73.00 92.30 7.691666283 J01XD01 METRONIDAZOLUM METRONIDAZOL B 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 1 FLACON X 200 ML S/P-RF 1 6.18 8.35 8.350000284 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. S/P-RF 10 35.11 45.93 4.593000285 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN PEJD X 100 ML SOL. PERF. S/P-RF 10 34.72 45.42 4.542000286 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF. S/P-RF 20 214.20 261.49 13.074500

Page 7 of 56

287 J01XD01 METRONIDAZOLUM FLAGYL 4 % (J01XD01) SUSP. ORALA 4% LABORATOIRE AVENTIS FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML P-RF 1 5.53 7.47 7.470000288 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 1,507.24 1,681.04 168.104000289 J01XX08 LINEZOLIDUM ZYVOXID (R) GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 827.52 940.15 940.150000290 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 1,507.24 1,681.04 168.104000291 J02AB02 KETOCONAZOLUM NIZORAL 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 14.21 19.21 1.921000292 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg MAGISTRA C & C ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 4.79 6.47 0.647000293 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 4.78 6.46 0.646000294 J02AB02 KETOCONAZOLUM KETOSTIN 200 mg COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 8.77 11.85 1.185000295 J02AB02 KETOCONAZOLUM KEFUNGIN COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 4.78 6.46 0.646000296 J02AB02 KETOCONAZOLUM KETOCONAZOL ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 6.37 8.61 0.861000297 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 181.83 221.98 7.927857298 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 17.79 24.04 6.010000299 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 31.12 40.71 5.815714300 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 61.37 77.60 4.850000301 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 6.56 8.86 4.430000302 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 21.89 29.58 4.225714303 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 15.64 21.14 21.140000304 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 58.38 73.82 18.455000305 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. P-RF 2 31.06 40.62 20.310000306 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 6.90 9.32 9.320000307 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 17.42 23.54 23.540000308 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 13.11 17.72 17.720000309 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 10.12 13.68 13.680000310 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 6.90 9.32 9.320000311 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.39 8.64 8.640000312 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. P-RF 3 22.23 30.05 10.016666313 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8.70 11.76 11.760000314 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 4.58 6.19 6.190000315 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.73 9.09 9.090000316 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.70 7.70 7.700000317 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 1 CAPS. P-RF 1 7.38 9.98 9.980000318 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.58 6.19 6.190000319 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 6.28 8.49 8.490000320 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.28 8.49 8.490000321 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 28.26 36.96 5.280000322 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 44.30 57.94 8.277142323 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 15.68 21.19 3.027142324 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 40.58 53.08 7.582857325 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 20.57 27.80 3.971428326 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 30.10 39.37 5.624285327 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 15.68 21.19 3.027142328 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 13.22 17.87 2.233750329 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 17.74 23.98 2.398000330 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 11.58 15.65 2.235714331 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 13.68 18.49 2.641428

Page 8 of 56

332 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 13.60 18.38 2.625714333 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.22 15.16 2.165714334 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 7 CAPS. P-RF 7 16.99 22.97 3.281428335 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 10.96 14.81 2.115714336 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 13.28 17.95 2.564285337 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 40.58 53.08 53.080000338 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S/P-RF 1 125.05 152.66 152.660000339 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S/P-RF 1 29.09 38.05 38.050000340 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML S/PR-F 1 32.90 43.03 43.030000341 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 50 ML SOL. PERF. S 1 28.68 37.52 37.520000342 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. PERF. S 1 40.05 52.38 52.380000343 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 200 ML SOL. PERF. S 1 129.05 157.55 157.550000344 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S 1 38.14 49.89 49.890000345 J02AC02 ITRACONAZOLUM ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 57.12 72.22 4.814666346 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 37.74 49.36 3.290666347 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 92.30 116.70 7.780000348 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 37.74 49.36 3.290666349 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 37.74 49.36 3.290666350 J02AC02 ITRACONAZOLUM SPORILIN 100 mg CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 37.74 49.36 3.290666351 J02AC02 ITRACONAZOLUM ITRACONAZOL LPH 100 mg CAPS. 100mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 37.74 49.36 3.290666352 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 37.72 49.34 3.289333353 J02AC03 VORICONAZOLUM VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,343.84 3,682.94 131.533571354 J02AC03 VORICONAZOLUM VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 858.25 973.64 34.772857355 J02AC03 VORICONAZOLUM VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 431.95 508.98 508.980000356 J02AC03 VORICONAZOLUM VFEND 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 2,070.87 2,295.40 2295.400000357 J02AC04 POSACONAZOLUM NOXAFIL SP 40mg/ml SUSP. ORALA 40mg/ml SP EUROPE BELGIA CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R 1 2,537.47 2,804.00 2804.000000358 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 1,130.84 1,270.77 1270.770000359 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 1,466.75 1,636.91 1636.910000360 J04AB04 RIFABUTINUM MYCOBUTIN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 15 CAPS. S/P-RF 30 287.10 350.49 11.683000361 J04AC01 ISONIAZIDUM ISONIAZIDA 100 mg COMPR. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. X 10 COMPR. S 1500 84.53 106.88 0.071253362 J04AC01 ISONIAZIDUM IZONIAZIDA ANTIBIOTICE 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. S/P-RF 1500 253.87 309.92 0.206613363 J04AC01 ISONIAZIDUM IZONIAZIDA 500 mg SOL. INJ. 500mg/10ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 10 ML S 100 61.74 78.07 0.780700364 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. S 1500 409.89 484.93 0.323286365 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. S/P-RF 20 6.34 8.57 0.428500366 J04AK02 ETHAMBUTOLUM ETAMBUTOL 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S 1500 237.47 289.90 0.193266367 J04AK02 ETHAMBUTOLUM ETAMBUTOL 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S 1500 372.86 444.57 0.296380368 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S 1000 413.51 488.88 0.488880369 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 14.06 19.00 0.950000370 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 14.88 20.11 1.005500371 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 663.00 760.82 0.760820372 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 13.53 18.29 1.829000373 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 11.91 16.10 0.805000374 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 11.96 16.16 0.808000375 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 11.41 15.42 0.771000376 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 9.57 12.94 0.647000

Page 9 of 56

377 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.03 12.20 0.610000378 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 13.36 18.06 1.806000379 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF 20 5.03 6.80 0.340000380 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 2.60 3.51 0.351000381 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 41.04 53.68 1.533714382 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 5 217.64 265.70 53.140000383 J05AB04 RIBAVIRINUM REBETOL 200 mg CAPS. 200mg SP EUROPE BELGIA CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140 2,077.41 2,302.53 16.446642384 J05AB04 RIBAVIRINUM COPEGUS 200mg COMPR. FILM. 200mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R 168 2,261.34 2,503.01 14.898869385 J05AB06 GANCICLOVIRUM CYMEVENE LIOF. PT. SOL. INJ. 500mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S 1 87.13 110.17 110.170000386 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 74.74 94.50 9.450000387 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,568.11 5,017.40 83.623333388 J05AB15 BRIVUDINUM BRIVAL 125mg COMPR. 125mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR. P-RF 7 255.81 312.29 44.612857389 J05AE01 SAQUINAVIRUM INVIRASE 200mg CAPS. 200mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 270 CAPS. P-RF/R 270 960.19 1,084.76 4.017629390 J05AE01 SAQUINAVIRUM INVIRASE 500 mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 120 COMPR. FILM. P-RF/R 120 953.85 1,077.85 8.982083391 J05AE02 INDINAVIRUM CRIXIVAN 200mg CAPS. 200mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 360 CAPS. P-RF/R 360 157.33 192.07 0.533527392 J05AE02 INDINAVIRUM CRIXIVAN 400mg CAPS. 400mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC DIN PEID. X 180 CAPS. P-RF/R 180 157.33 192.07 1.067055393 J05AE03 RITONAVIRUM** NORVIR 100 mg CAPS. MOI 100mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 FLAC. PEID X 84 CAPS. MOI P-RF/R 336 1,041.08 1,172.93 3.490863394 J05AE04 NELFINAVIRUM VIRACEPT 250 mg COMPR. FILM. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 270 COMPR. FILM. P-RF/R 270 960.19 1,084.76 4.017629395 J05AE06 LOPINAVIRUM+RITONAVIRUM** KALETRA 200mg/50mg COMPR. FILM. 200mg/50mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM. P-RF/R 120 1,470.92 1,641.45 13.678750396 J05AE06 LOPINAVIRUM+RITONAVIRUM** KALETRA 80mg/ml+20mg/ml SOL. ORALA 80mg/ml+20mg/ml ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60 ML + 5 SERINGI GRADATE A 5 ML P-RF/R 5 1,398.88 1,562.93 312.586000397 J05AE07 FOSAMPRENAVIRUM** TELZIR 700mg COMPR. FILM. 700mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN HDPE X 60 COMPR. FILM. PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII P-RF/R 60 1,146.98 1,288.36 21.472666398 J05AE07 FOSAMPRENAVIRUM** TELZIR 50mg/ml SUSP. ORALA 50mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN HDPE X 225 ML SUSP. ORALA PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII + P-RF/R 1 362.92 433.73 433.730000399 J05AE08 ATAZANAVIRUM REYATAZ 150 mg CAPS. 150mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 60 CAPS. (BLIST. AL/AL 6X1) P-RF/R 60 1,485.28 1,657.11 27.618500400 J05AE08 ATAZANAVIRUM REYATAZ 300 mg CAPS. 300mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 CAPS. P-RF/R 30 1,590.00 1,771.25 59.041666401 J05AE09 TIPRANAVIRUM** APTIVUS 250mg CAPS. MOI 250mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLAC. DIN PEID X 120 CAPS. MOI P-RF/R 120 2,790.00 3,079.25 25.660416402 J05AE10 DARUNAVIRUM** PREZISTA 300mg COMPR. FILM. 300mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM. P-RF/R 120 2,601.24 2,873.51 23.945916403 J05AE10 DARUNAVIRUM** PREZISTA 400mg COMPR. FILM. 400mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R 60 1,894.00 2,102.61 35.043500404 J05AE10 DARUNAVIRUM** PREZISTA 600mg COMPR. FILM. 600mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R 60 2,670.00 2,948.45 49.140833405 J05AF01 ZIDOVUDINUM RETROVIR (R) CAPS. 100mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. AL/PVC X 10 CAPS. S/P-RF 100 61.60 77.89 0.778900406 J05AF02 DIDANOSINUM VIDEX EC 125 mg CAPS. GASTROREZ. 125mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. S/P-RF 30 202.40 247.09 8.236333407 J05AF02 DIDANOSINUM VIDEX EC 200 mg CAPS. GASTROREZ. 200mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. S/P-RF 30 323.84 391.14 13.038000408 J05AF02 DIDANOSINUM VIDEX EC 250 mg CAPS. GASTROREZ. 250mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. S/P-RF 30 398.01 471.98 15.732666409 J05AF02 DIDANOSINUM VIDEX EC 400 mg CAPS. GASTROREZ. 400mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. S/P-RF 30 618.81 712.65 23.755000410 J05AF04 STAVUDINUM ZERIT 15 mg CAPS. 15mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 4 BLIST. ACLA/AL X 14 CAPS. P-RF/R 56 425.79 502.26 8.968928411 J05AF04 STAVUDINUM ZERIT 20 mg CAPS. 20mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS. P-RF/R 56 440.55 518.35 9.256250412 J05AF04 STAVUDINUM ZERIT 30 mg CAPS. 30mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS. P-RF/R 56 459.51 539.02 9.625357413 J05AF04 STAVUDINUM ZERIT 40 mg CAPS. 40mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS. P-RF/R 56 473.84 554.64 9.904285414 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 28 214.38 261.71 9.346785415 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. P-RF/R 60 310.16 376.23 6.270500416 J05AF05 LAMIVUDINUM EPIVIR 10mg/ml 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 84.19 106.45 106.450000417 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 97.67 123.49 123.490000418 J05AF06 ABACAVIRUM ZIAGEN 300 mg COMPR. FILM. 300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 60 COMPR. FILM. P-RF/R 60 595.85 687.63 11.460500419 J05AF06 ABACAVIRUM ZIAGEN 20 mg/ml SOL. ORALA 20mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON PEID X 240 ML SOL. ORALA + SERINGA DOZATOARE PP X 10 ML + ADAPTOR PE P-RF/R 1 179.27 218.85 218.850000420 J05AF07 TENOFOVIRUM DISOPROXIL FUMARATE VIREAD 245mg COMPR. FILM. 245mg GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM P-RF/R 30 1,031.89 1,162.91 38.763666421 J05AF09 EMTRICITABINUM EMTRIVA 200mg CAPS. 200mg GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 CAPS. P-RF/R 30 618.00 711.77 23.725666

Page 10 of 56

422 J05AG01 NEVIRAPINUM VIRAMUNE 200mg COMPR. 200mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 6 BLIST. X 10 COMPR. P-RF/R 60 588.81 679.95 11.332500423 J05AG01 NEVIRAPINUM VIRAMUNE 50mg/ml SUSP. ORALA 50mg/5ml BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLACON PEID X 240 ML + O SERINGA X 5 ML + UN DISPOZITIV DE ADAPTARE A SERINGII LA FLACON P-RF/R 1 175.45 214.19 214.190000424 J05AG03 EFAVIRENZUM STOCRIN 50 mg COMPR. FILM. 50mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII P-RF/R 30 11.31 15.28 0.509333425 J05AG03 EFAVIRENZUM STOCRIN 600 mg COMPR. FILM. 600mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII P-RF/R 30 63.33 80.08 2.669333426 J05AG03 EFAVIRENZUM STOCRIN 600 mg COMPR. FILM. 600mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 BLIST. AL PERFORAT X 30 COMPR. FILM. P-RF/R 30 63.33 80.08 2.669333427 J05AR01 ZIDOVUDINUM+LAMIVUDINUM** COMBIVIR 150mg/300mg COMPR. FILM. 150mg/300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM. P-RF/R 60 635.25 730.57 12.176166428 J05AR02 ABACAVIRUM+LAMIVUDINUM** KIVEXA 600mg/300mg COMPR. FILM. 600mg/300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 30 COMPR. FILM.( BLIST.ALB-OPAC PVC-PVDC/AL ) P-RF/R 30 1,249.51 1,400.12 46.670666429 J05AR04 ABACAVIRUM+LAMIVUDINUM+ZIDOVUDINUM** TRIZIVIR 300mg/150mg/300mg COMPR. FILM. 300mg/150mg/300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R 60 1,161.70 1,304.41 21.740166430 J05AX07 ENFUVIRTIDUM** FUZEON 90mg/ml PULB. + SOLV. PT. SOL. INJ. 90mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 60 FLAC. PULB. PT. SOL. INJ. + 60 FLAC. SOLV. + 60 SERINGI X 3 ML + 60 SERINGI X 1 ML, 180 T P-RF/R 60 5,720.87 6,273.91 104.565166431 J06BB16 PALIVIZUMABUM** SYNAGIS 100 mg PULB. + SOLV. PT. SOL. INJ. 100mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + FIOLA X 1 ML SOLV. P-RF 1 3,287.40 3,621.42 3621.420000432 J06BB16 PALIVIZUMABUM** SYNAGIS 50 mg PULB. + SOLV. PT. SOL. INJ. 50mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + FIOLA X 1 ML SOLV. P-RF 1 1,991.52 2,208.91 2208.910000433 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 1 250.75 306.12 306.120000434 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 1 411.76 486.97 486.970000435 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 201.08 245.48 245.480000436 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 336.00 404.39 404.390000437 P01BC02 MEFLOQUINUM4

ELOQUINE 250 mg COMPR. 250mg CN UNIFARM ROMANIA CUTIE X 10 BLIST. X 10 COMPR. X 100 132.00 161.15 1.611500438 S01AA23 NETILMICINUM NETTACIN (R) PIC. OFT., SOL 0,3% S.I.F.I. SPA ITALIA CUTIE X 1 FLACON X 5ML P-RF 1 9.85 13.31 13.310000439 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 20.11 27.18 1.812000440 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 22.57 30.51 30.510000441 S01AX17 LOMEFLOXACINUM OKACIN PICATURI OFT.-SOL. 3mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON PICURATOR PEJD X 5 ML P-RF 1 10.22 13.81 13.810000442 S01BA01 DEXAMETHASONUM DEXAMETAZONA RPH 1mg/ml PIC. OFT. SUSP. 1mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE P-RF 1 5.23 7.07 7.070000443 S01BA01 DEXAMETHASONUM DEXAMETAZONA RPH 1mg/ml PIC. OFT. SUSP. 1mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE P-RF 1 9.57 12.93 12.930000444 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 5.93 8.01 8.010000445 S03AAN2 NORFLOXACINUM NORFLOX PICATURI OFT./AURIC.-SOL. 0,3% CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 FLACON PEJD X 5 ML P-RF 1 3.31 4.47 4.470000

J06BA02Atovaquona4

Flucytosinum4

Mupirocinum4

Paromomycinum4

Pentamidinum4

Primaquinum4

Pyrimerthaminum4

Pyrimethaminum+sulfadiazinum4

Trimethoprim4

1 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 1.29 1.74 0.0870002 A11HA02 PYRIDOXINUM SICOVIT B6 250 mg COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 1.29 1.74 0.0870003 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 7.18 9.71 1.9420004 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 4.85 6.55 1.310000

IMUNOGLOBULINA NORMALA PT. ADMINISTRARE INTRAVASCULARA**

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE B) SUBPROGRAMUL DE TRATAMENT AL BOLNAVILOR CU TUBERCULOZA

Page 11 of 56

5 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.24 1.68 0.0840006 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000 41.72 54.57 0.0545707 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.83 2.47 0.0823338 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 1.72 2.33 0.0776669 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.75 2.37 0.079000

10 H02AB07 PREDNISONUM PREDNISON COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR.; (2 ANI) P-RF 30 4.14 5.59 0.18633311 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.24 1.68 0.08400012 J01FA09 CLARITHROMYCINUM KLACID (R) COMPR. FILM. 250mg ABBOTT SPA ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 19.84 26.81 1.91500013 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 22.39 30.26 2.16142814 J01FA09 CLARITHROMYCINUM CLAR 250 COMPR. FILM. 250mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM. P-RF 20 15.96 21.57 1.07850015 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 11.58 15.65 1.11785716 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 10.19 13.77 0.98357117 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 10.19 13.77 0.98357118 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 11.58 15.65 1.11785719 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 27.25 35.64 2.54571420 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 22.66 30.63 2.18785721 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 22.30 30.14 2.15285722 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 31.84 41.65 2.08250023 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 22.30 30.14 2.15285724 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 22.66 30.63 2.18785725 J01FA09 CLARITHROMYCINUM ROCLARIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 36.48 47.72 2.38600026 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 12.77 17.26 3.45200027 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 17.88 24.16 3.45142828 J01FA09 CLARITHROMYCINUM KLABAX MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 25.26 33.04 4.72000029 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 26.15 34.21 6.84200030 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 19.52 26.38 3.76857131 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 28.10 36.76 36.76000032 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 17.01 22.99 22.99000033 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 16.17 21.86 21.86000034 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 18.21 24.61 24.61000035 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 21.96 29.68 29.68000036 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 13.17 17.80 17.80000037 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 44.17 57.78 57.78000038 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 32.19 42.11 42.11000039 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 36.67 47.97 47.97000040 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 22.00 29.74 29.74000041 J01FA09 CLARITHROMYCINUM KLACID I.V. LIOF. PT. SOL. PERF. 500mg ABBOTT LABORATORIES LTD. FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF. S/P-RF 1 38.61 50.50 50.50000042 J01GA01 STREPTOMYCINUM STREVITAL 1 g PULB. PT. SOL. INJ. 1g ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. S 100 260.93 318.54 3.18540043 J01GA01 STREPTOMYCINUM STREVITAL 1 g PULB. PT. SOL. INJ. 1g ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. S 50 131.20 160.17 3.20340044 J01GA01 STREPTOMYCINUM STREVITAL 1 g PULB. PT. SOL. INJ. 1g ANTIBIOTICE SA ROMANIA CUTIE X 10 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. S 10 27.36 35.79 3.57900045 J01GB04 KANAMYCINUM PAN - KANAMYCINE PULB. PT. SOL. INJ. 1g LAB. PANPHARMA FRANTA CUTIE X 50 FLAC. X 1 G P-RF/S 50 76.16 96.30 1.92600046 J01GB06 AMIKACINUM AMIKOZIT (R) 100 mg/2 ml SOL. INJ. 100mg/2ml ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1 2.46 3.33 3.33000047 J01GB06 AMIKACINUM AMIKOZIT (R) 100 mg/2 ml SOL. INJ. 100mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1 2.46 3.33 3.33000048 J01GB06 AMIKACINUM BIODACYNA SOL. INJ. 1g/4ml CN UNIFARM ROMANIA CUTIE X 1 FLAC. X 1G SOL. INJ. X 1 8.89 12.02 12.02000049 J01GB06 AMIKACINUM ORLOBIN SOL. INJ. 1g/4ml CN Unifarm SA ROMANIA CUTIE X 1 FLACON INJECTABIL X 4ML X 1 8.66 11.71 11.710000

Page 12 of 56

50 J01GB06 AMIKACINUM AMIKOZIT (R) 500 mg/2 ml SOL. INJ. 500mg/2ml ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1 4.83 6.53 6.53000051 J01GB06 AMIKACINUM AMIKOZIT (R) 500 mg/2 ml SOL. INJ. 500mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1 4.83 6.53 6.53000052 J01MA01 OFLOXACINUM OFLOXACIN 200 mg COMPR. FILM. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 34.78 45.49 4.54900053 J01MA01 OFLOXACINUM OFLOXIN 200 COMPR. FILM. 200mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 13.91 18.80 1.88000054 J01MA01 OFLOXACINUM ZANOCIN COMPR. FILM. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 7.89 10.66 1.06600055 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 19.06 25.76 5.15200056 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 36.25 47.42 4.74200057 J01MA01 OFLOXACINUM OFLOXIN (R) INF SOL. PERF. 200mg/100ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. S 1 14.09 19.04 19.04000058 J01MA02 CIPROFLOXACINUM EUCIPRIN CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. P-RF 12 5.57 7.53 0.62750059 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 26.79 35.04 3.50400060 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 48.74 63.75 3.18750061 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 3.31 4.47 0.44700062 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 4.74 6.41 0.64100063 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 4.74 6.41 0.64100064 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 4.74 6.41 0.64100065 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 4.74 6.41 0.64100066 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 8.54 11.54 0.57700067 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 5.47 7.40 0.74000068 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 4.82 6.52 0.65200069 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 6.62 8.95 0.89500070 J01MA02 CIPROFLOXACINUM EUCIPRIN 250 mg COMPR. FILM. 250mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.24 5.73 0.57300071 J01MA02 CIPROFLOXACINUM ALVEBAR 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 3.31 4.47 0.44700072 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 4.51 6.09 0.60900073 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 9.19 12.42 1.24200074 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 9.19 12.42 1.24200075 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 9.19 12.42 1.24200076 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 9.19 12.42 1.24200077 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 5.88 7.95 0.79500078 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 10.49 14.18 1.41800079 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 6.10 8.24 0.82400080 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 9.19 12.42 1.24200081 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 13.22 17.87 1.78700082 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 9.19 12.42 1.24200083 J01MA02 CIPROFLOXACINUM EUCIPRIN 500 mg COMPR. FILM. 500mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 6.41 8.67 0.86700084 J01MA02 CIPROFLOXACINUM ALVEBAR 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.51 6.09 0.60900085 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 27.63 36.14 3.61400086 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 750 mg COMPR. FILM. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 26.79 35.04 3.50400087 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 62.90 79.53 11.36142888 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF 3 19.20 25.95 8.65000089 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 50 FIOLE X 10 ML S 50 106.94 130.55 2.61100090 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 11.66 15.76 3.15200091 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 3.33 4.50 4.50000092 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 6.66 9.00 9.00000093 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML S 10 64.96 82.14 8.21400094 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML S 10 121.00 147.72 14.772000

Page 13 of 56

95 J01MA02 CIPROFLOXACINUM CIPROBAY (R) 400 SOL. PERF. 2mg/ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE X 200 ML S/P-RF 5 575.20 665.12 133.02400096 J01MA02 CIPROFLOXACINUM UFEXIL 2 mg/ ml SOL. PERF. 2mg/ml DEMO SA GRECIA CUTIE X 10 PUNGI PP X 100 ML SOL. PERF. S 10 125.05 152.66 15.26600097 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 13.41 18.12 18.12000098 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 61.93 78.31 15.66200099 J01MA14 MOXIFLOXACINUM AVELOX (R) 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML S 5 583.75 674.44 134.888000

100 J04AB01 CICLOSERINUM HELPOCERIN CAPS. 250mg HELP PHARMACEUTICALS LTD. GRECIA CUTIE X 5 BLIST. X 10 CAPS. S/P-RF 50 178.75 218.22 4.364400101 J04AB01 CICLOSERINUM CICLOSERINA ANTIBIOTICE 250 mg CAPS. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE X 10 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS. P-RF 100 400.95 475.19 4.751900102 J04AB01 CICLOSERINUM CICLOSERINA ANTIBIOTICE 250 mg CAPS. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE X 5 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS. P-RF 50 206.09 251.60 5.032000103 J04AB02 RIFAMPICINUM SINERDOL 150 mg CAPS. 150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S 1000 153.55 187.45 0.187450104 J04AB02 RIFAMPICINUM SINERDOL 150 mg CAPS. 150mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. S/P-RF 20 3.91 5.29 0.264500105 J04AB02 RIFAMPICINUM SINERDOL 300 mg CAPS. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. S 1000 411.90 487.12 0.487120106 J04AB02 RIFAMPICINUM SINERDOL 300 mg CAPS. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. S/P-RF 10 4.51 6.09 0.609000107 J04AB04 RIFABUTINUM MYCOBUTIN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 15 CAPS. S/P-RF 30 287.10 350.49 11.683000108 J04AB30 CAPREOMYCINUM4 HELPOMYCIN SOL. INJ. 1g CN UNIFARM ROMANIA CUTIE X 1 FLAC. X 1 G PULB. PT. SOL. INJ X 1 35.57 46.52 46.520000109 J04AC01 ISONIAZIDUM ISONIAZIDA 100 mg COMPR. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. X 10 COMPR. S 1500 84.53 106.88 0.071253110 J04AC01 ISONIAZIDUM IZONIAZIDA ANTIBIOTICE 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. S/P-RF 1500 253.87 309.92 0.206613111 J04AC01 ISONIAZIDUM IZONIAZIDA 500 mg SOL. INJ. 500mg/10ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 10 ML S 100 61.74 78.07 0.780700112 J04AD01 PROTIONAMIDUM PROTIONAMIDA 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN POLISTIREN X 50 COMPR. FILM. S/P-RF 50 28.76 37.62 0.752400113 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. S 1500 409.89 484.93 0.323286114 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. S/P-RF 20 6.34 8.57 0.428500115 J04AK02 ETHAMBUTOLUM ETAMBUTOL 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S 1500 237.47 289.90 0.193266116 J04AK02 ETHAMBUTOLUM ETAMBUTOL 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S 1500 372.86 444.57 0.296380117 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S 1000 413.51 488.88 0.488880

J04AA01 Acidum paraaminosalicilic (TBC multirezistent)4

1 J05AH01 ZANAMIVIRUM RELENZA 5 mg PULB. UNIDOZA DE INHALAT 5mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 5 BLIST. TIP ROTADISK X 4 DOZE + DISPOZITIV DE ADMINISTRARE DISKHALER P-RF 5 56.95 72.01 14.4020002 J05AH02 OSELTAMIVIRUM TAMIFLU 30mg CAPS. 30mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1BLISTER PVC/PE/PVDC/ALX 10 CAPSULE P-RF 10 35.63 46.60 4.6600003 J05AH02 OSELTAMIVIRUM TAMIFLU 45mg CAPS. 45mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 BLISTER PVC/PE/PVDC/ALX 10 CAPSULE P-RF 10 63.22 79.94 7.9940004 J05AH02 OSELTAMIVIRUM TAMIFLU 75 mg CAPS. 75mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1BLISTER PVC/PE/PVDC/AL X 10 CAPSULE P-RF 10 56.49 71.42 7.1420005 J05AH02 OSELTAMIVIRUM TAMIFLU 12 mg/ml PULB. PT. SUSP. ORALA 12mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. A 100ML X 30 G PULB. PT. SUSP. ORALA + ADAPTOR, SERINGA SI CUPA PT. MASURARE P-RF 1 56.49 71.42 71.420000

1 G03HA01 CYPROTERONUM ANDROCUR COMPR. 50mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 FLAC. X 50 COMPR. P-RF 50 124.86 152.43 3.0486002 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 18.15 24.53 0.4906003 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 11.04 14.92 14.9200004 L01AA02 CHLORAMBUCILUM LEUKERAN COMPR. FILM. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 25 COMPR. FILM. P-RF 25 4.93 6.66 0.2664005 L01AA03 MELPHALANUM ALKERAN 2 mg COMPR. FILM. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. P-RF 25 6.47 8.75 0.3500006 L01AA06 IFOSFAMIDUM HOLOXAN 1 g PULB. PT. SOL. PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. S 1 87.00 110.00 110.0000007 L01AB01 BUSULFANUM MYLERAN COMPR. FILM. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. P-RF 25 10.90 14.73 0.5892008 L01AD02 LOMUSTINUM4 CEENU CAPS. MOI 40mg CN UNIFARM ROMANIA CUTIE X 1 BLIST. 20 CAPS. MOI X 20 375.10 447.01 22.3505009 L01AX03 TEMOZOLOMIDUM** TEMODAL 100 mg CAPS. 100mg SP EUROPE BELGIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 1,509.03 1,682.99 336.598000

10 L01AX03 TEMOZOLOMIDUM** TEMODAL 20 mg CAPS. 20mg SP EUROPE BELGIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 331.61 399.60 79.920000

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE C) SUBPROGRAMUL DE SUPRAVEGHERE SI CONTROL AL BOLILOR TRANSMISIBILE PRIORITATRE PREV-TRAT GRIPEI

P3: PROGRAMUL NATIONAL DE ONCOLOGIE

Page 14 of 56

11 L01AX03 TEMOZOLOMIDUM** TEMODAL 250 mg CAPS. 250mg SP EUROPE BELGIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 3,655.09 4,022.20 804.44000012 L01AX03 TEMOZOLOMIDUM** TEMODAL 5 mg CAPS. 5mg SP EUROPE BELGIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R 5 86.07 108.83 21.76600013 L01BA01 METHOTREXATUM METOTREXATE BELLON 2,5 mg COMPR. 2,5mg FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR. X 20 15.87 21.45 1.07250014 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE X 5 ML S 5 185.42 226.36 45.27200015 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S 1 66.57 84.17 84.17000016 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML S 1 312.66 378.95 378.95000017 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FIOLE X 1 ML S 10 16.55 22.37 2.23700018 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML S 1 9.26 12.51 12.51000019 L01BA04 PEMETREXEDUM ALIMTA 100mg PULB. PT. CONC. PT. SOL. PERF. 100mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S 1 1,182.02 1,326.55 1326.55000020 L01BA04 PEMETREXEDUM**** ALIMTA 500mg PULB. PT. CONC. PT. SOL. PERF. 500mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S 1 4,738.98 5,203.65 5203.65000021 L01BB02 MERCAPTOPURINUM PURI - NETHOL COMPR. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. P-RF 25 33.38 43.66 1.74640022 L01BB03 TIOGUANINUM LANVIS COMPR. 40mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 25 COMPR. P-RF 25 71.59 90.52 3.62080023 L01BB04 CLADRIBINUM LITAK 2 mg/ml SOL. INJ. 2mg/ml LIPOMED GMBH GERMANIA CUTIE X 1 FLACON X 5 ML S 1 1,350.00 1,509.65 1509.65000024 L01BB05 FLUDARABINUM**** FLUDARA ORAL 10 mg COMPR. FILM. 10mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM. P-RF/S 20 1,579.47 1,759.77 87.98850025 L01BB05 FLUDARABINUM FLUDARA LIOF. PT. SOL. INJ./PERF. 50mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF. S 5 2,270.00 2,512.45 502.49000026 L01BB05 FLUDARABINUM FLUDARABINA ACTAVIS 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA S 1 320.32 387.30 387.30000027 L01BC01 CYTARABINUM CYTOSAR™ 100 mg PULB. + SOLV. PT. SOL. INJ. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. + 1 FIOLA DIN STICLA INCOLORA X 5 ML SOLV. S 1 9.92 13.41 13.41000028 L01BC01 CYTARABINUM ALEXAN 20mg/ml SOL. INJ. 20mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FLACOANE DIN STICLA X 5 ML SOL. INJ. S 10 91.62 115.84 11.58400029 L01BC01 CYTARABINUM ALEXAN 20mg/ml SOL. INJ. 20mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 2 ML SOL. INJ. S 1 4.34 5.86 5.86000030 L01BC01 CYTARABINUM ALEXAN 50mg/ml SOL. INJ. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 20 ML. SOL. INJ. S 1 71.68 90.63 90.63000031 L01BC01 CYTARABINUM ALEXAN 50mg/ml SOL. INJ. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 10 ML. SOL. INJ. S 1 42.45 55.53 55.53000032 L01BC01 CYTARABINUM DEPOCYTE 50mg SUSP. INJ. 50mg PACIRA LIMITED MAREA BRITANIE CUTIE X 1 FLAC. X 50MG SUSP.INJ. (MONODOZA 5ML) S 1 6,546.99 7,174.38 7174.38000033 L01BC02 FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 5 ML CONCENTRAT PT. SOL. INJ./PERF. S 1 3.28 4.44 4.44000034 L01BC02 FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML CONCENTRAT PT. SOL. INJ./PERF. S 1 13.27 17.94 17.94000035 L01BC02 FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML CONCENTRAT PT. SOL. INJ./PERF. S 1 84.63 107.00 107.00000036 L01BC02 FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML CONCENTRAT PT. SOL. INJ./PERF. S 1 6.66 9.00 9.00000037 L01BC05 GEMCITABINUM** GEMCITABINA SINDAN 1 g PULB. PT. SOL. PERF. 1g ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF. S 1 922.35 1,043.51 1043.51000038 L01BC05 GEMCITABINUM** GEMCITABINE STADA 1 g PULB. PT. SOL. PERF. 1g STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 1 743.40 848.46 848.46000039 L01BC05 GEMCITABINUM** DERCIN 1 g PULB. PT. SOL. PERF. 1g EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CONTINAND PULB. PT. SOL. PERF. S 1 351.26 421.02 421.02000040 L01BC05 GEMCITABINUM** NALLIAN1 g PULB. PT. SOL. PERF. 1g GEDEON RICHTER PLC. UNGARIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. CONTINAND 1 G GEMCITABINA S 1 922.35 1,043.51 1043.51000041 L01BC05 GEMCITABINUM** DAPLAX 1 g PULB. PT. SOL. PERF. 1g DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 1000MG GEMCITABINA S 1 623.35 717.60 717.60000042 L01BC05 GEMCITABINUM** GITRABIN 1 g PULB. PT. SOL. PERF. 1g ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 FLAC. STICLA INCOLORA (CAPACITATE 10ML )CONTINAND PULB. PT SOL. PERF. S 1 615.00 708.50 708.50000043 L01BC05 GEMCITABINUM** GEMCITABINA SINDAN 200 mg PULB. PT. SOL. PERF. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF. S 1 222.49 271.62 271.62000044 L01BC05 GEMCITABINUM** GEMCITABINE STADA 200 mg PULB. PT. SOL. PERF. 200mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CU PULB. PT. SOL. PERF. S 1 156.97 191.63 191.63000045 L01BC05 GEMCITABINUM** DERCIN 200 mg PULB. PT. SOL. PERF. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. PERF. S 1 71.96 90.99 90.99000046 L01BC05 GEMCITABINUM** NALLIAN 200 mg PULB. PT. SOL. PERF. 200mg GEDEON RICHTER PLC. UNGARIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. PERF. CONTINAND 200MG GEMCITABINA S 1 222.49 271.62 271.62000047 L01BC05 GEMCITABINUM** DAPLAX 200 mg PULB. PT. SOL. PERF. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 200MG GEMCITABINA S 1 134.86 164.64 164.64000048 L01BC05 GEMCITABINUM** GITRABIN 200 mg PULB. PT. SOL. PERF. 200mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 FLAC. STICLA INCOLORA (CAPACITATE 10ML )CONTINAND PULB. PT SOL. PERF. S 1 132.00 161.15 161.15000049 L01BC05 GEMCITABINUM** GEMCIRENA 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CU PULB. PT. SOL. PERF. CARE CONTINE 200MG GEMCITABINA S 1 71.91 90.92 90.92000050 L01BC05 GEMCITABINUM** GEMCIRENA 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. CARE CONTINE 1000MG GEMCITABINA S 1 351.20 420.96 420.96000051 L01BC05 GEMCITABINUM** GEMCIRENA 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT. SOL. PERF. CARE CONTINE 1500MG GEMCITABINA S 1 511.80 596.01 596.01000052 L01BC06 CAPECITABINUM XELODA 150 mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 BLIST. DIN PVC/PE/PVDC X 10 COMPR. FILM. P-RF/R 60 225.46 275.24 4.58733353 L01BC06 CAPECITABINUM XELODA 500 mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 12 BLIST. DIN PVC/PE/PVDC X 10 COMPR. FILM. P-RF/R 120 1,389.76 1,552.99 12.94158354 L01BC53 COMBINATII (TAGAFUR+URACIL) UFT CAPS. 100mg+224mg MERCK KGAA GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 12 CAPS. P-RF 120 1,852.20 2,057.05 17.14208355 L01BC53 COMBINATII (TAGAFUR+URACIL) UFT CAPS. 100mg+224mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 12 CAPS. P-RF 36 576.64 666.69 18.519166

Page 15 of 56

56 L01CA02 VINCRISTINUM SINDOVIN 1 mg LIOF. PT. SOL. INJ./PERF. I.V. 1mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. INJ./PERF. I.V. S 1 19.40 26.22 26.22000057 L01CA04 VINORELBINUM NAVELBINE 20 mg CAPS. MOI 20mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE P-RF 1 183.17 223.62 223.62000058 L01CA04 VINORELBINUM NAVELBINE 30 mg CAPS. MOI 30mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE P-RF 1 274.74 335.40 335.40000059 L01CA04 VINORELBINUM VINORELBIN EBEWE 10 mg/ ml CONC. PT. SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. INJ/PERF. S 1 332.35 400.41 400.41000060 L01CA04 VINORELBINUM VINORELBIN EBEWE 10 mg/ ml CONC. PT. SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. INJ/PERF. S 1 67.72 85.63 85.63000061 L01CA04 VINORELBINUM VINORELBIN TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 332.35 400.41 400.41000062 L01CA04 VINORELBINUM VINORELBIN TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. S 1 67.72 85.63 85.63000063 L01CA04 VINORELBINUM VINORELBIN ACTAVIS 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. S 1 423.32 499.57 499.57000064 L01CA04 VINORELBINUM VINORELBIN ACTAVIS 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. PERF. S 1 67.74 85.65 85.65000065 L01CA04 VINORELBINUM TELBINE 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. S 1 67.72 85.63 85.63000066 L01CA04 VINORELBINUM TELBINE 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 332.35 400.41 400.41000067 L01CA04 VINORELBINUM NAVELBINE (R) SOL. INJ. 10mg/ml LAB. PIERRE FABRE FRANTA CUTIE X 10 FIOLE X 1 ML S 10 960.44 1,085.03 108.50300068 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 100mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS. P-RF 10 292.36 356.91 35.69100069 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 50mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. P-RF 20 289.74 353.71 17.68550070 L01CB01 ETOPOSIDUM ETOPOSID "EBEWE" 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML S 1 36.66 47.95 47.95000071 L01CB01 ETOPOSIDUM SINTOPOZID 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 30.83 40.32 40.32000072 L01CB01 ETOPOSIDUM ETOPOSIDE - TEVA CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. S 1 30.01 39.25 39.25000073 L01CB01 ETOPOSIDUM ETOPOSIDE - TEVA CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF. S 1 57.35 72.51 72.51000074 L01CD01 PACLITAXELUM** PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 99.68 126.04 126.04000075 L01CD01 PACLITAXELUM** PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 5 475.00 555.90 111.18000076 L01CD01 PACLITAXELUM** PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,7 ML CONC. PT. SOL. PERF. S 1 319.00 385.86 385.86000077 L01CD01 PACLITAXELUM** PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA X 16,7 ML CONC. PT. SOL. PERF. S 5 1,480.00 1,651.35 330.27000078 L01CD01 PACLITAXELUM** PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. S 1 951.00 1,074.74 1074.74000079 L01CD01 PACLITAXELUM** PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. S 5 4,634.99 5,090.30 1018.06000080 L01CD01 PACLITAXELUM** ONXOL 6mg/ml CONC. PT. SOL. PERF. 6mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON X 16,7 ML CONC. PT. SOL. PERF. S 1 337.00 405.48 405.48000081 L01CD01 PACLITAXELUM** ONXOL 6mg/ml CONC. PT. SOL. PERF. 6mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON X 25 ML CONC. PT. SOL. PERF. S 1 527.00 612.58 612.58000082 L01CD01 PACLITAXELUM** ONXOL 6mg/ml CONC. PT. SOL. PERF. 6mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON X 50 ML CONC. PT. SOL. PERF. S 1 1,035.30 1,166.63 1166.63000083 L01CD01 PACLITAXELUM** ONXOL 6mg/ml CONC. PT. SOL. PERF. 6mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON X 5 ML CONC. PT. SOL. PERF. S 1 109.87 134.13 134.13000084 L01CD01 PACLITAXELUM** PACLITAXEL EBEWE 6mg/ml CONC. PT. SOL. PERF. 6mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. S 1 783.13 891.76 891.76000085 L01CD01 PACLITAXELUM** PACLITAXEL EBEWE 6mg/ml CONC. PT. SOL. PERF. 6mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. S 1 1,035.33 1,166.66 1166.66000086 L01CD01 PACLITAXELUM** PACLITAXEL EBEWE 6mg/ml CONC. PT. SOL. PERF. 6mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 16,6 ML CONC. PT. SOL. PERF. S 1 337.03 405.51 405.51000087 L01CD01 PACLITAXELUM** PACLITAXEL EBEWE 6mg/ml CONC. PT. SOL. PERF. 6mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 109.90 134.16 134.16000088 L01CD01 PACLITAXELUM** PACLITAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml PHARMEXPRESS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 ML S 1 951.04 1,074.78 1074.78000089 L01CD01 PACLITAXELUM** PACLITAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml PHARMEXPRESS S.R.L. ROMANIA CUTIE X 10 FLAC. X 5 ML S 10 921.89 1,043.01 104.30100090 L01CD01 PACLITAXELUM** PACLITAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml PHARMEXPRESS S.R.L. ROMANIA CUTIE X 4 FLAC. X 16,7 ML S 4 1,190.11 1,335.37 333.84250091 L01CD01 PACLITAXELUM** SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,67 ML CONC. PT. SOL. PERF. S 1 337.03 405.51 405.51000092 L01CD01 PACLITAXELUM** SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. S 1 1,035.33 1,166.66 1166.66000093 L01CD01 PACLITAXELUM** SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 109.90 134.16 134.16000094 L01CD01 PACLITAXELUM** SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. S 1 527.10 612.69 612.69000095 L01CD01 PACLITAXELUM** SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 43,33 ML CONC. PT. SOL. PERF. S 1 855.74 970.91 970.91000096 L01CD02 DOCETAXELUM** TAXOTERE 20 mg CONC. + SOLV. PT. SOL. PERF. 20mg AVENTIS PHARMA SA FRANTA CUTIE X 1 FLACON X 0,5 ML CONC. SOL. PERF. + 1 FLACON X 1,5 ML SOLV. S 1 513.76 598.15 598.15000097 L01CD02 DOCETAXELUM** TAXOTERE 80 mg CONC. + SOLV. PT. SOL. PERF. 80mg AVENTIS PHARMA SA FRANTA CUTIE X 1 FLACON X 2 ML CONC. SOL. PERF. + 1 FLACON X 6 ML SOLV. S 1 1,965.08 2,180.09 2180.090000

98 L01DA01 DACTINOMICINUM4COSMOGEN LYOVAC 0,5 mg SOL. INJ. 0,5mg CN UNIFARM ROMANIA CUTIE X 1 FLAC. X 3 ML SOL. INJ X 1 95.15 120.31 120.310000

99 L01DB01 DOXORUBICINUM CAELYX 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml SP EUROPE BELGIA CUTIE X 1 FLACON DIN STICLA X 10 ML S 1 1,359.02 1,519.48 1519.480000100 L01DB01 DOXORUBICINUM CAELYX 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml SP EUROPE BELGIA CUTIE X 1 FLACON DIN STICLA X 25 ML S 1 3,352.53 3,692.41 3692.410000

Page 16 of 56

101 L01DB01 DOXORUBICINUM DOXORUBICIN "EBEWE" 2mg/ml CONC. PT. SOL. PERF. 2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 25 ML CONC. PT. SOL. PERF. (50 MG DOXORUBICINA) S 1 103.44 126.28 126.280000102 L01DB01 DOXORUBICINUM DOXORUBICIN "EBEWE" 2mg/ml CONC. PT. SOL. PERF. 2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML CONC. PT. SOL. PERF. (10 MG DOXORUBICINA) S 1 26.49 34.65 34.650000103 L01DB01 DOXORUBICINUM ADRIBLASTINA RD 10 mg LIOF. PT. SOL. INJ. 10mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. S 1 26.80 35.06 35.060000104 L01DB01 DOXORUBICINUM ADRIBLASTINA RD 50 mg LIOF. PT. SOL. INJ. 50mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. S 1 109.13 133.22 133.220000105 L01DB01 DOXORUBICINUM SINDROXOCIN 2mg/ml PULB. PT. SOL. PERF. 2mg/ml ACTAVIS S.R.L ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 8 ML CONTINAND 10 MG CLORHIDRAT DE DOXORUBICIN S 1 25.51 33.37 33.370000106 L01DB01 DOXORUBICINUM SINDROXOCIN 2mg/ml PULB. PT. SOL. PERF. 2mg/ml ACTAVIS S.R.L ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML X 50 MG CLORHIDRAT DE DOXORUBICINA S 1 99.21 125.44 125.440000107 L01DB01 DOXORUBICINUM DOXORUBICIN TEVA 2 mg/ml SOL. INJ. 2mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL. INJ. S 1 62.41 78.91 78.910000108 L01DB01 DOXORUBICINUM DOXORUBICIN TEVA 2 mg/ml SOL. INJ. 2mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML SOL. INJ. S 1 83.78 105.93 105.930000109 L01DB03 EPIRUBICINUM EPIRUBICIN "EBEWE" 2 mg/ml CONC. PT. SOL. INJ. 2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML S 1 45.69 59.76 59.760000110 L01DB03 EPIRUBICINUM EPIRUBICIN "EBEWE" 2 mg/ml CONC. PT. SOL. INJ. 2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML S 1 428.56 505.28 505.280000111 L01DB03 EPIRUBICINUM EPIRUBICIN "EBEWE" 2 mg/ml CONC. PT. SOL. INJ. 2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 25 ML S 1 217.63 265.68 265.680000112 L01DB03 EPIRUBICINUM EPISINDAN 10 mg LIOF. PT. SOL. INJ. 10mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. CU LIOF. PT. SOL. INJ. S 1 40.13 52.49 52.490000113 L01DB03 EPIRUBICINUM FARMORUBICIN RD 10 mg LIOF. PT. SOL. INJ. 10mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 MG LIOF. PT. SOL. INJ. S 1 56.07 70.89 70.890000114 L01DB03 EPIRUBICINUM EPISINDAN 50 mg LIOF. PT. SOL. INJ. 50mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. CU LIOF. PT. SOL. INJ. S 1 219.38 267.82 267.820000115 L01DB03 EPIRUBICINUM FARMORUBICIN (R) RD 50 mg LIOF. PT. SOL. INJ. 50mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 MG LIOF. PT. SOL. INJ. S 1 245.85 300.13 300.130000116 L01DB03 EPIRUBICINUM EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF. 2mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 5 ML SOL. INJ. /PERFZ. S 1 39.90 52.19 52.190000117 L01DB03 EPIRUBICINUM EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF. 2mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 10 ML SOL. INJ. /PERFZ. S 1 78.29 98.99 98.990000118 L01DB03 EPIRUBICINUM EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF. 2mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 25 ML SOL. INJ. /PERFZ. S 1 192.17 234.60 234.600000119 L01DB03 EPIRUBICINUM EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF. 2mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 75 ML SOL. INJ. /PERFZ. S 1 554.00 642.01 642.010000120 L01DB03 EPIRUBICINUM EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF. 2mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 100 ML SOL. INJ. /PERFZ. S 1 728.00 831.67 831.670000121 L01DB06 IDARUBICINUM ZAVEDOS CAPS. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 190.92 233.07 233.070000122 L01DB06 IDARUBICINUM ZAVEDOS 5 mg LIOF. PT. SOL. INJ. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S 1 134.59 164.31 164.310000123 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 1 523.40 608.66 608.660000124 L01DC01 BLEOMYCINUM SULFAS BLEOCIN LIOF. PT. SOL. INJ. 15mg EURO NIPPON KAYAKU GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S 1 56.85 71.88 71.880000125 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 20 ML CONC. PT. SOL. PERF. S 1 8.62 11.65 11.650000126 L01XA01 CISPLATINUM CISPLATIN TEVA 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 20 ML S 1 8.35 11.28 11.280000127 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF. S 1 22.91 30.97 30.970000128 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF. S 1 7.27 9.83 9.830000129 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 25 mg/50 ml CONC. PT. SOL. PERF. 25mg/50ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML COND. PT. SOL. PERF. S 1 20.70 27.98 27.980000130 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 50 mg/100 ml CONC. PT. SOL. PERF. 50mg/100ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 100 ML CONC. PT. SOL. PERF. S 1 29.64 38.77 38.770000131 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 45 ML CONC. PT. SOL. PERF. S 1 167.20 204.12 204.120000132 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 5 ML CONC. PT. SOL. PERF. S 1 20.52 27.73 27.730000133 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 15 ML CONC. PT. SOL. PERF. S 1 58.69 74.21 74.210000134 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL. PERF. S 1 44.55 58.27 58.270000135 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 45 ML CONC. PT. SOL. PERF. S 1 124.70 152.23 152.230000136 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 16.94 22.90 22.900000137 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF. S 1 46.96 61.42 61.420000138 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF. S 1 124.92 152.50 152.500000139 L01XA03 OXALIPLATINUM ELOXATIN 5mg/ml CONC. PT. SOL. PERF. 5mg/ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 100 MG/20 ML CONC. PT. SOL. PERF. S 1 1,440.32 1,608.10 1608.100000140 L01XA03 OXALIPLATINUM ELOXATIN 5mg/ml CONC. PT. SOL. PERF. 5mg/ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 50 MG/10 ML CONC. PT. SOL. PERF. S 1 735.32 839.65 839.650000141 L01XA03 OXALIPLATINUM OXALIPLATINA TEVA 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CONC. PT. SOL. PERF. S 1 441.81 519.72 519.720000142 L01XA03 OXALIPLATINUM OXALIPLATINA TEVA 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML CONC. PT. SOL. PERF. S 1 853.62 968.60 968.600000143 L01XA03 OXALIPLATINUM ELOXATIN 5 mg/ml LIOF. PT. SOL. PERF. 5mg/ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. X 100 MG OXALIPLATINA S 1 1,440.32 1,608.10 1608.100000144 L01XA03 OXALIPLATINUM ELOXATIN 5 mg/ml LIOF. PT. SOL. PERF. 5mg/ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. X 50 MG OXALIPLATINA S 1 735.32 839.65 839.650000145 L01XA03 OXALIPLATINUM OXALIPLATIN ACTAVIS 5 mg/ml LIOF. PT. SOL. PERF. 5mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 MG LIOF. PT. SOL. PERF. S 1 946.50 1,069.84 1069.840000

Page 17 of 56

146 L01XA03 OXALIPLATINUM OXALIPLATIN ACTAVIS 5 mg/ml LIOF. PT. SOL. PERF. 5mg/ml ACTAVIS S.R.L. ROMANIA CUTIE 1 FLAC. X 50 MG LIOF. PT. SOL. PERF. S 1 488.40 570.51 570.510000147 L01XA03 OXALIPLATINUM OXALIPLATIN EBEWE 5mg/ml PULB. PT. SOL. PERF. 5mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 150 MG OXALIPLAT S 1 1,512.68 1,686.97 1686.970000148 L01XA03 OXALIPLATINUM OXALIPLATIN EBEWE 5mg/ml PULB. PT. SOL. PERF. 5mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 100 MG OXALIPLAT S 1 820.20 932.17 932.170000149 L01XA03 OXALIPLATINUM OXALIPLATIN EBEWE 5mg/ml PULB. PT. SOL. PERF. 5mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 50 MG OXALIPLATI S 1 431.20 508.16 508.160000150 L01XA03 OXALIPLATINUM OXALIPLATIN STADA 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA S 1 423.41 499.67 499.670000151 L01XA03 OXALIPLATINUM OXALIPLATIN STADA 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 MG OXALIPLATINA S 1 851.56 966.35 966.350000152 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 100 MG GEMCITABINA S 1 920.00 1,040.95 1040.950000153 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA S 1 475.00 555.90 555.900000154 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 2,087.80 2,313.85 1156.925000155 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 5,174.64 5,678.51 5678.510000156 L01XC03 TRASTUZUMABUM**** HERCEPTIN 150mg PULB. PT. CONC. PT. SOL. PERF. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S 1 2,463.56 2,723.43 2723.430000157 L01XC04 ALEMTUZUMABUM**** MABCAMPATH 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml GENZYME EUROPE BV OLANDA CUTIE X 3 FIOLE X 3 ML CONCENTRAT INTR-O FIOLA DE 5ML S 3 4,624.59 5,078.96 1692.986666158 L01XC04 ALEMTUZUMABUM**** MABCAMPATH 30 mg/ml CONC. PT. SOL. PERF. 30mg/ml GENZYME EUROPE BV OLANDA CUTIE X 3 FLACOANE X 1 ML CONCENTRAT INTR-UN FLACON DE 2ML S 3 4,624.96 5,079.36 1693.120000159 L01XC06 CETUXIMABUM**** ERBITUX 5mg/ml SOL. PERF. 5mg/ml MERCK KGAA GERMANIA CUTIE X 1 FLAC. DIN STICLA X 20 ML SOL. PERF. S 1 819.85 931.79 931.790000160 L01XC07 BEVACIZUMABUM**** AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF. S 1 4,928.20 5,409.89 5409.890000161 L01XC07 BEVACIZUMABUM**** AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF. S 1 1,253.04 1,403.96 1403.960000162 L01XE01 IMATINIBUM**** GLIVEC 100 mg CAPS. 100mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 120 CAPS. P-RF/R 120 8,483.35 9,285.01 77.375083163 L01XE03 ERLOTINIBUM**** TARCEVA 100 mg COMPR. FILM. 100mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) P-RF/R 30 5,921.75 6,492.87 216.429000164 L01XE03 ERLOTINIBUM**** TARCEVA 150 mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) P-RF/R 30 7,880.79 8,628.22 287.607333165 L01XE03 ERLOTINIBUM**** TARCEVA 25 mg COMPR. FILM. 25mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) P-RF/R 30 1,796.52 1,996.36 66.545333166 L01XE04 SUNITINIBUM**** SUTENT 12,5 mg CAPS. 12,5mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R 30 4,736.50 5,200.94 173.364666167 L01XE04 SUNITINIBUM**** SUTENT 25mg CAPS. 25mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R 30 9,443.00 10,331.03 344.367666168 L01XE04 SUNITINIBUM**** SUTENT 50 mg CAPS. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R 30 18,855.99 20,591.21 686.373666169 L01XE05 SORAFENIBUM**** NEXAVAR 200 mg COMPR. FILM. 200mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 4 BLIST. AL/PP X 28 COMPR.FILM. P-RF/R 112 13,699.49 14,970.61 133.666160170 L01XE06 DASATINIBUM**** SPRYCEL 100mg COMPR. FILM. 100 mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. P-RF/R 30 15,318.20 16,735.01 557.833666171 L01XE06 DASATINIBUM**** SPRYCEL 20mg COMPR. FILM. 20 mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R 60 7,229.82 7,918.66 131.977666172 L01XE06 DASATINIBUM**** SPRYCEL 50mg COMPR. FILM. 50 mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R 60 14,429.67 15,766.51 262.775166173 L01XE06 DASATINIBUM**** SPRYCEL 70mg COMPR. FILM. 70 mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R 60 14,429.67 15,766.51 262.775166174 L01XX02 ASPARAGINAZUM ASPARAGINASE 10000 MEDAC LIOF. PT. SOL. INJ./PERF. 10000ui MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 5 FLAC. DIN STICLA X 10 000 UI LIOF. PT. SOL. INJ./PERF. S 5 1,102.00 1,239.33 247.866000175 L01XX02 ASPARAGINAZUM ASPARAGINASE 5000 MEDAC LIOF. PT. SOL. INJ./PERF. 5000ui MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 5 FLAC. DIN STICLA X 5000 UI LIOF. PT. SOL. INJ./PERF. S 5 710.00 812.05 162.410000176 L01XX05 HYDROXYCARBAMIDUM HYDREA CAPS. 500mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. P-RF 100 61.71 78.03 0.780300177 L01XX11 ESTRAMUSTINUM ESTRACYT CAPS. 140mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 100 CAPS. P-RF 100 325.87 393.35 3.933500178 L01XX14 TRETINOINUM4

VESANOID 10 mg CAPS. MOI 10mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 100 CAPS. MOI X 100 702.48 803.85 8.038500179 L01XX17 TOPOTECAMUM HYCAMTIN 1 mg CAPS. 1mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X BLIST. PVC/PCTFE/AL X 10 CAPS. P-RF 10 1,488.08 1,660.16 166.016000180 L01XX17 TOPOTECAMUM HYCAMTIN 4 mg PULB.CONC.SOL.PERF. 4mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S 1 924.32 1,045.66 1045.660000181 L01XX19 IRINOTECANUM CAMPTO CONC. PT. SOL. PERF. 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PP X 5 ML CONC. PT. SOL. PERF. S 1 602.20 694.55 694.550000182 L01XX19 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. INJ. S 1 402.00 476.33 476.330000183 L01XX19 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. INJ. S 1 156.91 191.56 191.560000184 L01XX19 IRINOTECANUM CAMPTO CONC. PT. SOL. PERF. 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. PERF. S 1 602.30 694.66 694.660000185 L01XX19 IRINOTECANUM CAMPTO CONC. PT. SOL. PERF. 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PP X 15 ML CONC. PT. SOL. PERF. S 1 2,001.20 2,219.46 2219.460000186 L01XX32 BORTEZOMIBUM**** VELCADE 3,5 mg PULB. PT. SOL. INJ. 3,5mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. X 10ML X 3,5 MG PULB. PT. SOL. INJ., INTRODUS INTR-UN BLISTER TRANSPARENT S 1 4,309.02 4,734.99 4734.990000187 L02AB01 MEGESTROLUM MEGESIN 160 mg COMPR. 160mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF 30 91.78 116.05 3.868333188 L02AE02 LEUPRORELINUM** ELIGARD 22,5 mg LIOF. SI SOLV. PT. SOL. INJ. 22,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B), IN PUNGI LAMINATE S 1 959.84 1,084.38 1084.380000189 L02AE02 LEUPRORELINUM** ELIGARD 7,5 mg LIOF. SI SOLV. PT. SOL. INJ. 7,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B), IN PUNGI LAMINATE S 1 348.52 418.04 418.040000190 L02AE02 LEUPRORELINUM** LUCRIN DEPOT 11,25mg LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL. 11,25mg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA + 2 ACE SI TA S/P-RF 1 826.04 938.54 938.540000

Page 18 of 56

191 L02AE02 LEUPRORELINUM** LUCRIN DEPOT 3,75mg LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL. 3,75mg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA SI TAMPON IMB S/P-RF 1 339.14 407.81 407.810000192 L02AE03 GOSERELINUM** ZOLADEX LA 10,8 mg IMPLANT 10,8 mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 1 PLIC DIN PET-AL-PE X 1 SERINGA PREUMPLUTA CU 10,8 MG IMPLANT+AC DIN INOX CU SIST. DE PROT S 1 979.06 1,105.33 1105.330000193 L02AE03 GOSERELINUM** ZOLADEX (R) IMPLANT 3,6mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG S/P-RF 1 345.00 414.20 414.200000194 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 7 103.53 126.39 18.055714195 L02AE04 TRIPTORELINUM** DIPHERELINE (R) 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 1 989.60 1,116.81 1116.810000196 L02AE04 TRIPTORELINUM** DIPHERELINE (R) 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 1 348.50 418.02 418.020000197 L02AE04 TRIPTORELINUM** GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ. 0,1mg/ml FERRING ARZEIMITTEL GES.MBH AUSTRIA CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF 28 681.56 781.05 27.894642198 L02AE04 TRIPTORELINUM** GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ. 0,1mg/ml FERRING ARZEIMITTEL GES.MBH AUSTRIA CUTIE X 7 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF 7 179.19 218.76 31.251428199 L02BA01 TAMOXIFENUM TAMOXIFEN 10 TEVA COMPR. 10mg PHARMACHEMIE BV OLANDA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-RF/S 100 15.13 20.45 0.204500200 L02BA01 TAMOXIFENUM TAMONEPRIN (R) 10 mg COMPR. 10mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 60 COMPR. P-RF 60 20.07 27.12 0.452000201 L02BA01 TAMOXIFENUM TAMOXIFEN SANDOZ 10 COMPR. FILM. 10mg HEXAL AG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-RF/S 100 37.35 48.85 0.488500202 L02BA03 FULVESTRANTUM** FASLODEX 250mg/5ml SOL. INJ. 250mg/5ml ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 5 ML + 1 AC P-RF 1 1,459.01 1,628.47 1628.470000203 L02BB01 FLUTAMIDUM FLUTAN COMPR. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-RF 100 206.92 252.61 2.526100204 L02BB01 FLUTAMIDUM FLUTASIN 250 mg COMPR. 250mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA BRUNA X 30 COMPR. P-RF 30 28.93 37.84 1.261333205 L02BB03 BICALUTAMIDUM CASODEX 150 mg COMPR. FILM. 150mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 556.45 644.68 23.024285206 L02BB03 BICALUTAMIDUM BICALUTAMIDA RANBAXY 50 mg COMPR. FILM. 50mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 175.84 214.66 7.666428207 L02BB03 BICALUTAMIDUM BICALUTAMIDA RANBAXY 50 mg COMPR. FILM. 50mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID X 28 COMPR. FILM. P-6L 28 175.84 214.66 7.666428208 L02BB03 BICALUTAMIDUM CASODEX 50 mg COMPR. FILM. 50mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X 14 COMPR. FILM. P-6L 28 270.51 330.24 11.794285209 L02BB03 BICALUTAMIDUM BICALUTAMID STADA 50 mg COMPR. FILM. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. AL/PVC X 28 COMPR. FILM. P-6L 28 175.84 214.66 7.666428210 L02BB03 BICALUTAMIDUM BICALUTAMID STADA 50 mg COMPR. FILM. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L 30 188.40 230.00 7.666666211 L02BB03 BICALUTAMIDUM BICALUTAMID STADA 50 mg COMPR. FILM. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. AL/PVC X 100 COMPR. FILM. P-6L 100 600.90 693.13 6.931300212 L02BB03 BICALUTAMIDUM BICALUTAMID STADA 50 mg COMPR. FILM. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. FILM. P-6L 28 175.84 214.66 7.666428213 L02BB03 BICALUTAMIDUM BICALUTAMID STADA 50 mg COMPR. FILM. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. AL/PVC-PVDC X 30 COMPR. FILM. P-6L 30 188.40 230.00 7.666666214 L02BB03 BICALUTAMIDUM BICALUTAMID STADA 50 mg COMPR. FILM. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU BLIST. AL/PVC-PVDC X 100 COMPR. FILM. P-6L 100 600.90 693.13 6.931300215 L02BB03 BICALUTAMIDUM BICALUTAMIDA SANDOZ 50 mg COMPR. FILM. 50mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 188.40 230.00 7.666666216 L02BB03 BICALUTAMIDUM BICALTON 50 mg COMPR. FILM. 50mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. AL/PVC X 28 COMPR. FILM. P-6L 28 174.90 213.52 7.625714217 L02BB03 BICALUTAMIDUM CALUMID COMPR. FILM. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVDC-PVC X 15 COMPR. FILM. P-6L 30 188.43 230.04 7.668000218 L02BG01 AMINOGLUTETHIMIDUM ROGLUTEN (R) 250 mg COMPR. 250mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 40 COMPR. P-RF 40 116.43 142.14 3.553500219 L02BG03 ANASTROZOLUM ARIMIDEX COMPR. FILM. 1mg ACTAVIS S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. P-6L 28 425.16 501.57 17.913214220 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P-6L 28 313.54 379.91 13.568214221 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 30 COMPR. FILM. P-6L 30 335.40 403.74 13.458000222 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 50 COMPR. FILM. P-6L 50 513.52 597.89 11.957800223 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 84 COMPR. FILM. P-6L 84 801.71 912.02 10.857380224 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 98 COMPR. FILM. P-6L 98 885.44 1,003.28 10.237551225 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 100 COMPR. FILM. P-6L 100 902.88 1,022.29 10.222900226 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 300 COMPR. FILM. P-6L/S 300 2,516.28 2,780.90 9.269666227 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 20 COMPR. FILM. P-6L 20 223.92 273.36 13.668000228 L02BG03 ANASTROZOLUM ENZAMIDEX 1mg COMPR. FILM. 1mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L 30 229.24 279.86 9.328666229 L02BG03 ANASTROZOLUM EGISTROZOL 1 mg COMPR. FILM. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PE- PVDC/AL X 30 COMPR.FILM. P-6L 30 213.53 260.68 8.689333230 L02BG03 ANASTROZOLUM EGISTROZOL 1 mg COMPR. FILM. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PE- PVDC/AL X 90 COMPR.FILM. P-6L 90 910.80 1,030.92 11.454666231 L02BG03 ANASTROZOLUM ANASTROZOLE MEDICO UNO 1 mg COMPR. FILM. 1mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 238.48 291.14 10.397857232 L02BG04 LETROZOLUM FEMARA 2,5 mg COMPR. FILM. 2,5mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 446.50 524.84 17.494666233 L02BG06 EXEMESTANUM AROMASIN 25 mg DRAJ. 25mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/PVC-AL X 15 DRAJ. P-RF 30 291.26 355.57 11.852333234 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 1 250.75 306.12 306.120000235 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 1 411.76 486.97 486.970000

Page 19 of 56

236 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 201.08 245.48 245.480000237 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 336.00 404.39 404.390000238 L03AA13 PEGFILGRASTIMUM*** NEULASTA 6mg SOL. INJ. 6mg AMGEN EUROPE B.V. OLANDA CUTIE X BLISTER X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. P-RF/R 1 3,640.88 4,006.71 4006.710000239 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 1 334.79 403.07 403.070000240 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 64.94 82.11 82.110000241 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 1 391.74 465.15 465.150000242 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 1 634.48 729.73 729.730000243 M05BA02 ACIDUM CLODRONICUM** SINDRONAT (R) 400 mg CAPS. 400mg ACTAVIS S.R.L. ROMANIA CUTIE X 12 BLIST. X 10 CAPS. P-6L 120 273.36 333.72 2.781000244 M05BA02 ACIDUM CLODRONICUM** BONEFOS (R) 400 mg CAPS. 400mg BAYER SCHERING PHARMA AG FINLANDA CUTIE X 1 FLAC. PEID X 100 CAPS. P-6L 100 483.01 564.63 5.646300245 M05BA02 ACIDUM CLODRONICUM** BONEFOS (R) 800 mg COMPR. FILM. 800mg BAYER SCHERING PHARMA AG FINLANDA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 60 599.71 691.84 11.530666246 M05BA02 ACIDUM CLODRONICUM** BONEFOS (R) 60 mg/ml CONC. PT. SOL. PERF. 60mg/ml BAYER SCHERING PHARMA AG FINLANDA CUTIE X 5 FIOLE X 5 ML S/P-RF 5 144.68 176.62 35.324000247 M05BA03 ACIDUM PAMIDRONICUM** PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 2 ML S/P-RF 1 174.46 212.98 212.980000248 M05BA03 ACIDUM PAMIDRONICUM** PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 1 ML S/P-RF 1 103.98 126.94 126.940000249 M05BA03 ACIDUM PAMIDRONICUM** PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 6 ML S/P-RF 1 499.40 582.50 582.500000250 M05BA03 ACIDUM PAMIDRONICUM** PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 4 ML S/P-RF 1 341.60 410.49 410.490000251 M05BA03 ACIDUM PAMIDRONICUM** PAMIRED 30 LIOF. PT. SOL. PERF. I.V. 30mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V. S/P-RF 1 143.55 175.25 175.250000252 M05BA03 ACIDUM PAMIDRONICUM** PAMIRED 60 LIOF. PT. SOL. PERF. I.V. 60mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V. S/P-RF 1 223.30 272.60 272.600000253 M05BA03 ACIDUM PAMIDRONICUM** AREDIA (R) 15 mg LIOF.+ SOLV. PT. SOL. PERF. 15mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5 ML SOLV. S/P-RF 4 561.31 649.98 162.495000254 M05BA06 ACIDUM IBANDRONICUM** BONVIVA 150mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L 1 99.47 125.77 125.770000255 M05BA06 ACIDUM IBANDRONICUM** BONDRONAT 50mg COMPR. FILM. 50mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X BLIST. AL/PVC X 28 COMPR. FILM. S 28 907.07 1,026.86 36.673571256 M05BA06 ACIDUM IBANDRONICUM** BONDRONAT 6mg/6ml CONC. PT. SOL. PERF. 6mg/6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF. S 1 848.18 962.67 962.670000257 M05BA06 ACIDUM IBANDRONICUM** BONVIVA 3mg/3ml SOL. INJ. IN SERINGA PREUMPLUTA 1mg/1ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC P-6L 1 334.71 402.98 402.980000258 M05BA08 ACIDUM ZOLEDRONICUM** ZOMETA 4 mg PULB. + SOLV. SOL. PERF. 4mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF. + 1 FIOLA X 5 ML SOLV. S 1 1,033.24 1,164.38 1164.380000259 M05BA08 ACIDUM ZOLEDRONICUM** ACLASTA 5mg/100ml SOL. PERF. 5mg/100ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA FLIP. S 1 1,316.11 1,472.71 1472.710000260 V03AF01 MESNUM UROMITEXAN (R) 400 mg SOL. INJ. 400mg/4ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML S 15 42.13 55.11 3.674000261 V03AF03 CALCII FOLINAS CALCIUM FOLINAT "EBEWE" 15 mg CAPS. 15mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X1 FLAC. X 20 CAPS. P-6L 20 27.34 35.76 1.788000262 V03AF03 CALCII FOLINAS LEUCOVORIN-TEVA 100 mg/10 ml SOL. INJ. 10mg/ml TEVA PHARM. IND. LTD. OLANDA CUTIE X 1 FLACON X 10 ML S/P-RF 1 27.70 36.23 36.230000263 V03AF03 CALCII FOLINAS FOLCASIN (R) 100 mg/10 ml SOL. INJ. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON X 10 ML S/P-RF 1 27.67 36.19 36.190000264 V03AF03 CALCII FOLINAS FOLCASIN (R) 30 mg/10 ml SOL. INJ. 3mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON X 10 ML S/P-RF 1 12.70 17.16 17.160000265 V03AF03 CALCII FOLINAS CALCIUMFOLINAT "EBEWE" 10 mg/ml SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE X 10 ML S/P-RF 5 133.49 162.96 32.592000266 V03AF03 CALCII FOLINAS CALCIUMFOLINAT "EBEWE" 10 mg/ml SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE X 3 ML S/P-RF 5 47.15 61.67 12.334000267 V03AF05 AMIFOSTINUM** ETHYOL LIOF. PT. SOL. PERF. 375mg SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. PERF. S 5 1,882.25 2,089.80 417.960000268 V03AF05 AMIFOSTINUM** ETHYOL (R) LIOF. PT. SOL. PERF. 500mg SCHERING PLOUGH EUROPE BELGIA CUTIE X 3 FLAC. DIN STICLA INCOLORA CONTINAND 500 MG LIOF. PT. SOL. PERF. S 3 1,770.03 1,967.49 655.830000

L01AX04 DACARBAZINUM

L01CA01 Vinblastinum4

L01DA04 Dactinomicinum4

L01DC03 Mitomicinum4

L01XB01 Procarbazinum4

1 L03AB07 INTERFERONUM BETA 1A**** AVONEX 30 mcg BIO-SET PULB. + SOLV. PT. SOL. INJ. 30mcg (6 mil. UI) BIOGEN IDEC LIMITED MAREA BRITANIE CUTIE X (1 FLAC. DIN STICLA X 30 MCG PULBERE + 1 SERINGA PRE-UMPLUTA + 1 ML SOLV. + 4 FIOLE PREVAZUT P-RF/R 4 2,898.76 3,197.80 799.4500002 L03AB07 INTERFERONUM BETA 1A**** REBIF 22 micrograme SOL. INJ. 22mcg/0,5ml SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 12 SERINGI PREUMPLUTE X 0,5 ML SOL. INJ. P-RF/R 12 2,189.37 2,424.57 202.047500

Subprogramul de tratament al sclerozei multipleP4: PROGRAMUL NATIONAL DE BOLI NEUROLOGICE

Page 20 of 56

3 L03AB07 INTERFERONUM BETA 1A**** REBIF 22 micrograme SOL. INJ. 22mcg/0,5ml SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 3 SERINGI PREUMPLUTE X 0,5 ML SOL. INJ. P-RF/R 3 575.21 665.13 221.7100004 L03AB07 INTERFERONUM BETA 1A**** REBIF 22 micrograme SOL. INJ. 22mcg/0,5ml SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. P-RF/R 1 200.97 245.34 245.3400005 L03AB07 INTERFERONUM BETA 1A**** REBIF 44 micrograme SOL. INJ. 44mcg SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 12 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. P-RF/R 12 3,929.99 4,321.85 360.1541666 L03AB08 INTERFERONUM BETA 1-B**** EXTAVIA 250 mcg/ ml PULB+SOLV.PT.SOL.INJ 250mcg/ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 15 FLAC. CU PULBERE + 15 SERINGI PREUMPLUTE CU SOLVENT P-RF/R 15 3,293.99 3,628.60 241.9066667 L03AB08 INTERFERONUM BETA 1-B**** BETAFERON 250mcg/ml PULB. + SOLV. PT. SOL. INJ. 250mcg/ml BAYER SCHERING AG GERMANIA CUTIE X 15 AMBALAJE MULTIPLE CE CONTIN FIECARE CATE 1 FLAC. CU PULB., O SERINGA PREUMPLUTA CU SOLV. P-RF/P 15 3,101.51 3,418.80 227.9200008 L03AX13 GLATIRAMER ACETAT**** COPAXONE SOL. INJ. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 28 BLIST. PVC X 1 SERINGA PREUMPLUTA X 1 ML PREVAZUTA CU AC FIX S/P-RF 28 2,896.75 3,195.61 114.1289289 L04AA23 NATALIZUMABUM**** TYSABRI 300mg CONC. PT. SOL. PERF. 20mg/ml ELAN PHARMA INTERNATIONAL LTD IRLANDA CUTIE X 1 FLAC. X 15ML CONC. PT. SOL. PERF S 1 6,529.47 7,155.28 7155.280000

10 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 60.09 75.98 0.759800

1 A10AB01 INSULINE UMANE HUMULIN R SOL. INJ. 100UI/ml LILLY FRANCE SAS FRANTA CUTIE X 1 FLAC. X 10 ML SOL. INJ. P-RF 1 40.67 53.20 53.2000002 A10AB01 INSULINE UMANE HUMULIN R SOL. INJ. 100UI/ml LILLY FRANCE SAS FRANTA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF 5 85.42 108.01 21.6020003 A10AB01 INSULINE UMANE INSUMAN RAPID 100UI/ml SOL. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SOL. INJ. P-RF 5 90.11 113.94 22.7880004 A10AB01 INSULINE UMANE ACTRAPID PENFILL 100 UI/ml SOL. INJ. IN CARTUS 100UI/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF 5 92.99 117.58 23.5160005 A10AB01 INSULINE UMANE INSUMAN RAPID 100UI/ml SOL. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ. P-RF 5 129.14 157.65 31.5300006 A10AB01 INSULINE UMANE INSUMAN RAPID 100 UI/ml OPTISET SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SOL. INJ. P-RF 5 90.11 113.94 22.7880007 A10AB04 INSULINUM LISPRO** HUMALOG 100 U/ml SOL. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 CARTUSE X 3 ML SOL.INJ. P-RF 5 121.08 147.82 29.5640008 A10AB04 INSULINUM LISPRO** HUMALOG KWIKPEN100U/ml SOL. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PRE-UMPLUTE X 3 ML SOL. INJ. P-RF 5 146.96 179.41 35.8820009 A10AB05 INSULINUM ASPART** NOVORAPID PENFILL 100 U/ml SOL. INJ. IN CARTUS 100Uml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF 5 122.58 149.65 29.930000

10 A10AB06 INSULINUM GLULIZINA** APIDRA 100U/ml SOL. INJ. IN CARTUS 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF 5 122.58 149.65 29.93000011 A10AB06 INSULINUM GLULIZINA** APIDRA 100U/ml SOL. INJ. IN FLACON 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLACON X 10 ML SOL. INJ. P-RF 1 74.44 94.12 94.12000012 A10AB06 INSULINUM GLULIZINA** APIDRA 100U/ml SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE (OPTISET®) X 3 ML SOL. INJ. P-RF 5 130.64 159.49 31.89800013 A10AB06 INSULINUM GLULIZINA** APIDRA 100U/ml SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE (SOLOSTAR) X 3 ML SOL. INJ. P-RF 5 122.58 149.65 29.93000014 A10AC01 INSULINE UMANE HUMULIN N SUSP. INJ. 100UI/ml LILLY FRANCE SAS FRANTA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SUSP. INJ. P-RF 1 40.67 53.20 53.20000015 A10AC01 INSULINE UMANE HUMULIN N SUSP. INJ. 100UI/ml LILLY FRANCE SAS FRANTA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 85.42 108.01 21.60200016 A10AC01 INSULINE UMANE INSUMAN BASAL 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 92.96 117.54 23.50800017 A10AC01 INSULINE UMANE INSULATARD PENFILL 100 UI/ml SUSP. INJ. IN CARTUS 100UI/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML P-RF 5 92.99 117.58 23.51600018 A10AC01 INSULINE UMANE INSUMAN BASAL 100UI/ml SUSP. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ. P-RF 5 129.14 157.65 31.53000019 A10AC01 INSULINE UMANE INSUMAN BASAL 100UI/ml OPTISET SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 126.06 153.89 30.77800020 A10AC04 INSULINUM LISPRO** HUMALOG BASAL KWIKPEN 100U/ml SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) X 3 ML SUSP. INJ. P-RF 5 146.96 179.41 35.88200021 A10AD01 INSULINE UMANE HUMULIN M3 SUSP. INJ. 100ui/ml LILLY FRANCE S.A.S FRANTA CUTIE X 1 FLACON DIN STICLA INCOLORA X 10 ML SUSP. INJ. P-RF 1 40.67 53.20 53.20000022 A10AD01 INSULINE UMANE HUMULIN M3 SUSP. INJ. 100ui/ml LILLY FRANCE S.A.S FRANTA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 85.42 108.01 21.60200023 A10AD01 INSULINE UMANE INSUMAN COMB 25 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 92.96 117.54 23.50800024 A10AD01 INSULINE UMANE INSUMAN COMB 50 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 92.96 117.54 23.50800025 A10AD01 INSULINE UMANE MIXTARD 30 PENFILL 100 UI/ml SUSP. INJ. IN CARTUS 100UI/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. P-RF 5 98.65 124.73 24.94600026 A10AD01 INSULINE UMANE INSUMAN COMB 25 100UI/ml SUSP. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ. P-RF 5 129.14 157.65 31.53000027 A10AD01 INSULINE UMANE INSUMAN COMB 25 100UI/ml OPTISET SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 90.11 113.94 22.78800028 A10AD01 INSULINE UMANE INSUMAN COMB 50 100UI/ml OPTISET SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 126.06 153.89 30.77800029 A10AD04 INSULINUM LISPRO** HUMALOG MIX50 SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. P-RF 5 126.50 154.43 30.88600030 A10AD04 INSULINUM LISPRO** HUMALOG MIX25 SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 CARTUSE X 3 ML SUSP.INJ. P-RF 5 127.74 155.94 31.18800031 A10AD04 INSULINUM LISPRO** HUMALOG MIX25 KWIKPEN 100U/ml SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML SUSP. INJ. P-RF 5 146.96 179.41 35.88200032 A10AD04 INSULINUM LISPRO** HUMALOG MIX50 KWIKPEN 100U/ml SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML SUSP. INJ. P-RF 5 146.96 179.41 35.882000

P5: PROGRAMUL NATIONAL DE DIABET ZAHARAT Tratamentul medicamentos al bolnavilor cu diabet zaharat

Page 21 of 56

33 A10AD05 INSULINUM ASPART** NOVOMIX 30 PENFILL 100 U/ml SUSP. INJ. IN CARTUS 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. P-RF 5 132.00 161.15 32.23000034 A10AE04 INSULINUM GLARGINE** LANTUS 100UI/ml SOL. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA X 3 ML SOL. INJ. P-RF 5 211.20 257.83 51.56600035 A10AE04 INSULINUM GLARGINE** LANTUS 100UI/ml SOL. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA X 10 ML SOL. INJ. P-RF 1 144.59 176.51 176.51000036 A10AE04 INSULINUM GLARGINE** LANTUS OptiSet SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML P-RF 5 211.20 257.83 51.56600037 A10AE04 INSULINUM GLARGINE** LANTUS SoloStar SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML P-RF 5 211.20 257.83 51.56600038 A10AE05 INSULINUM DETEMIR** LEVEMIR PENFILL 100 U/ml SOL. INJ. IN CARTUS 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML P-RF 5 230.56 281.47 56.29400039 A10BA02 METFORMINUM METFORMIN ARENA 1000 MG COMPR. 1000mg ARENA GROUP S.A. ROMANIA CUTIE X 10 BLIST. AL/PVC X 5 COMPR. P-RF 50 17.51 23.67 0.47340040 A10BA02 METFORMINUM METFORMIN ARENA 1000 MG COMPR. 1000mg ARENA GROUP S.A. ROMANIA FLACON DIN PE X 200 COMPR. P-RF/S 200 66.96 84.66 0.42330041 A10BA02 METFORMINUM METFORMIN 500 mg COMPR. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PE X 20 COMPR. P-6L 20 1.12 1.51 0.07550042 A10BA02 METFORMINUM METFORMIN 500 mg COMPR. 500mg ARENA GROUP SA ROMANIA FLAC. DIN PE X 1000 COMPR. P-6L/S 1000 61.01 77.14 0.07714043 A10BA02 METFORMINUM METFORMIN ARENA 500 MG COMPR. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 60 COMPR. P-RF 60 3.37 4.55 0.07583344 A10BA02 METFORMINUM DIAFORMIN (R) 850 mg COMPR. 850mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 6 COMPR. P-RF 30 7.21 9.75 0.32500045 A10BA02 METFORMINUM METFORMIN ARENA 850 MG COMPR. 850mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 COMPR. P-RF 15 3.60 4.87 0.32466646 A10BA02 METFORMINUM METFORMIN ARENA 850 MG COMPR. 850mg ARENA GROUP SA ROMANIA CUTIE X 200 BLIST. AL/PVC X 5 COMPR. P-RF/S 1000 231.00 282.00 0.28200047 A10BA02 METFORMINUM GLUCOPHAGE XR COMPR. ELIB. PREL. 500mg MERCK SANTE S.A.S. FRANTA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. ELIB. PREL. P-RF 30 10.65 14.39 0.47966648 A10BA02 METFORMINUM GLUCOPHAGE XR COMPR. ELIB. PREL. 500mg MERCK SANTE S.A.S. FRANTA CUTIE X 2 BLIST. AL/PVC-PVDC X 15 COMPR. ELIB. PREL. P-RF 30 10.65 14.39 0.47966649 A10BA02 METFORMINUM METFORMIN BLUEFISH 1000 mg COMPR. FILM. 1000mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 11.49 15.53 0.25883350 A10BA02 METFORMINUM SIOFOR 1000 COMPR. FILM. 1000mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC/AL X 15 COMPR. FILM. P-RF 60 12.60 17.03 0.28383351 A10BA02 METFORMINUM METFOGAMMA 1000mg COMPR. FILM. 1000mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 8 BLIST. AL/PVC X 15 COMPR. FILM P-RF/S 120 14.96 20.22 0.16850052 A10BA02 METFORMINUM METFORMIN TEVA 1000 mg COMPR. FILM. 1000mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 5.93 8.01 0.13350053 A10BA02 METFORMINUM GLUCOPHAGE 1000 mg COMPR. FILM. 1000mg MERCK SANTE FRANTA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-6L 60 19.47 26.32 0.43866654 A10BA02 METFORMINUM METFORMIN AUROBINDO 1000 mg COMPR. FILM. 1000mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 6.24 8.43 0.28100055 A10BA02 METFORMINUM METFORMIN AUROBINDO 1000 mg COMPR. FILM. 1000mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 12.47 16.86 0.28100056 A10BA02 METFORMINUM METFORMIN BLUEFISH 500 mg COMPR. FILM. 500mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM. P-6L 20 1.30 1.76 0.08800057 A10BA02 METFORMINUM METFORMIN BLUEFISH 500 mg COMPR. FILM. 500mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 1.95 2.63 0.08766658 A10BA02 METFORMINUM MEGUAN (R) 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 1.96 2.65 0.13250059 A10BA02 METFORMINUM METFOGAMMA (R) 500 COMPR. FILM. 500mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 12 BLIST. AL/PVDC-PVC X 10 COMPR. FILM. P-RF/S 120 7.48 10.11 0.08425060 A10BA02 METFORMINUM METFORMIN LPH (R) 500 mg COMPR. FILM. 500mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 2.77 3.74 0.12466661 A10BA02 METFORMINUM DIPIMET 500 mg COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 2.67 3.61 0.12033362 A10BA02 METFORMINUM METFORMIN-TEVA 500 mg COMPR. FILM. 500mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 3.83 5.18 0.08633363 A10BA02 METFORMINUM METFORMIN AL 500 COMPR. FILM. 500mg ALIUD PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 15 COMPR. FILM. P-RF 60 3.74 5.05 0.08416664 A10BA02 METFORMINUM METFORMIN AL 500 COMPR. FILM. 500mg ALIUD R PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 1.87 2.53 0.08433365 A10BA02 METFORMINUM METFORMIN AL 500 COMPR. FILM. 500mg ALIUD R PHARMA GMBH & CO.KG GERMANIA CUTIE X 12 BLIST. X 10 COMPR. FILM. P-6L 120 7.48 10.11 0.08425066 A10BA02 METFORMINUM METFORMIN AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 2.40 3.24 0.10800067 A10BA02 METFORMINUM METFORMIN AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 4.79 6.47 0.10783368 A10BA02 METFORMINUM METFORMIN BLUEFISH 850 mg COMPR. FILM. 850mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM. P-6L 20 2.20 2.97 0.14850069 A10BA02 METFORMINUM METFORMIN BLUEFISH 850 mg COMPR. FILM. 850mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 3.29 4.45 0.14833370 A10BA02 METFORMINUM METFORMIN BLUEFISH 850 mg COMPR. FILM. 850mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 6.60 8.92 0.14866671 A10BA02 METFORMINUM SIOFOR (R) 850 COMPR. FILM. 850mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. X 15 COMPR. FILM. P-RF 60 12.63 17.07 0.28450072 A10BA02 METFORMINUM GLUCOPHAGE 850 mg COMPR. FILM. 850mg MERCK SANTE FRANTA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. P-RF/S 100 17.56 23.73 0.23730073 A10BA02 METFORMINUM MEGUAN (R) 850 mg COMPR. FILM. 850mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 2.51 3.39 0.16950074 A10BA02 METFORMINUM MEDIFOR 850 COMPR. FILM. 850mg STD CHEMICALS LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 56 6.33 8.55 0.15267875 A10BA02 METFORMINUM METFORMIN LPH (R) 850 mg COMPR. FILM. 850mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 3.76 5.08 0.16933376 A10BA02 METFORMINUM METFOGAMMA 850 COMPR. FILM. 850mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 12 BLIST. AL/PVC X 10 COMPR. FILM. P-RF/S 120 12.71 17.18 0.14316677 A10BA02 METFORMINUM METFORMIN AL 850 COMPR. FILM. 850mg ALIUD PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 15 COMPR. FILM. P-RF 60 5.29 7.15 0.119166

Page 22 of 56

78 A10BA02 METFORMINUM METFORMIN-TEVA 850 mg COMPR. FILM. 850mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 5.47 7.40 0.12333379 A10BA02 METFORMINUM METFORMIN AL 850 COMPR. FILM. 850mg ALIUD R PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 2.64 3.57 0.11900080 A10BA02 METFORMINUM METFORMIN AL 850 COMPR. FILM. 850mg ALIUD R PHARMA GMBH & CO.KG GERMANIA CUTIE X 12 BLIST. X 10 COMPR. FILM. P-6L 120 10.58 14.30 0.11916681 A10BA02 METFORMINUM METFORMIN AUROBINDO 850 mg COMPR. FILM. 850mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 3.37 4.56 0.15200082 A10BA02 METFORMINUM METFORMIN AUROBINDO 850 mg COMPR. FILM. 850mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 6.75 9.12 0.15200083 A10BA02 METFORMINUM FORMIRAN 1000 mg COMPR. PT. SOL. ORALA 1000mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. PVC-ACLAR/AL X 6 COMPR. PT. SOL. ORALA P-RF 30 6.47 8.75 0.29166684 A10BA02 METFORMINUM FORMIRAN 1000 mg COMPR. PT. SOL. ORALA 1000mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. PA-AL-PVC/AL X 6 COMPR. PT. SOL. ORALA P-RF 30 6.47 8.75 0.29166685 A10BA02 METFORMINUM FORMIRAN 500 mg COMPR. PT. SOL. ORALA 500mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. PA-AL-PVC/AL X 6 COMPR. PT. SOL ORALA P-RF 30 2.68 3.62 0.12066686 A10BA02 METFORMINUM FORMIRAN 500 mg COMPR. PT. SOL. ORALA 500mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. PVC-ACLAR/AL X 6 COMPR. PT. SOL. ORALA P-RF 30 2.68 3.62 0.12066687 A10BA02 METFORMINUM FORMIRAN 850 mg COMPR. PT. SOL. ORALA 850mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. PVC-ACLAR/AL X 6 COMPR. PT. SOL. ORALA P-RF 30 4.60 6.22 0.20733388 A10BA02 METFORMINUM FORMIRAN 850 mg COMPR. PT. SOL. ORALA 850mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. PA-AL-PVC/AL X 6 COMPR. PT. SOL. ORALA P-RF 30 4.60 6.22 0.20733389 A10BA03 BUFORMINUM SILUBIN RETARD DRAJ. RET. 100mg DITA IMPORT EXPORT SRL ROMANIA CUTIE X 4 BLLIST. X 15 DRAJ.RET. P-RF 60 13.27 17.94 0.29900090 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ATB 1,75 MG COMPR. 1,75 mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.33 1.80 0.06000091 A10BB01 GLIBENCLAMIDUM MANINIL 1,75 mg COMPR. 1,75mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 FLAC. X 120 COMPR. P-RF/S 120 8.21 11.09 0.09241692 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID LPH 1,75 mg COMPR. 1,75mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF 60 2.93 3.96 0.06600093 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 1,75 mg COMPR. 1,75mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR. P-RF/S 100 8.07 10.91 0.10910094 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 1,75 mg COMPR. 1,75mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000 52.17 65.97 0.06597095 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID 1,75 mg COMPR. 1.75mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. P-6L 30 2.57 3.47 0.11566696 A10BB01 GLIBENCLAMIDUM MANINIL 3,5 mg COMPR. 3,5mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 FLAC. X 120 COMPR. P-RF/S 120 5.94 8.03 0.06691697 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR. P-RF/S 100 9.99 13.50 0.13500098 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID LPH 3,5 mg COMPR. 3,5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF 60 2.12 2.87 0.04783399 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 3.90 5.27 0.175666

100 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000 71.77 90.75 0.090750101 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ATB 3,5 MG COMPR. 3,5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0.95 1.29 0.043000102 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID 3,5 mg COMPR. 3.5mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. P-6L 30 3.58 4.84 0.161333103 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-6L 30 0.76 1.03 0.034333104 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 100 COMPR. P-RF/S 100 2.59 3.50 0.035000105 A10BB03 TOLBUTAMIDUM TOLBUTAMID COMPR. 500mg SINTOFARM SA ROMANIA CUTIE X 1 FLAC. X 50 COMPR. P-RF 50 3.26 4.41 0.088200106 A10BB07 GLIPIZIDUM GLIPIZID LPH 5 mg COMPR. 5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 10.79 14.58 0.486000107 A10BB07 GLIPIZIDUM GLUCOTROL XL 10 mg COMPR. FILM. ELIB. MODIF. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU E P-RF 30 33.20 43.42 1.447333108 A10BB07 GLIPIZIDUM GLUCOTROL XL 5mg COMPR. FILM. ELIB. MODIF. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU EL P-RF 30 16.60 22.43 0.747666109 A10BB08 GLIQUIDONUM GLURENORM COMPR. 30mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 19.14 25.87 0.431166110 A10BB09 GLICLAZIDUM DIABREZIDE COMPR. 80mg L. MOLTENI ITALIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 20 COMPR. P-RF 40 9.12 12.33 0.308250111 A10BB09 GLICLAZIDUM ESQUEL (R) 80 mg COMPR. 80mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR. P-RF 30 6.84 9.24 0.308000112 A10BB09 GLICLAZIDUM GLICLAZID LPH COMPR. 80mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 12.31 16.64 0.277333113 A10BB09 GLICLAZIDUM DIAPREL MR COMPR. ELIB. MODIF. 30mg LES LABORATOIRES SERVIER FRANTA CUTIE X 2 BLIST. X 30 COMPR. ELIB. MODIF. P-RF 60 17.53 23.70 0.395000114 A10BB09 GLICLAZIDUM GLICLAZID MR LPH 30 mg COMPR. ELIB. PREL. 30mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF 60 11.40 15.41 0.256833115 A10BB09 GLICLAZIDUM GLICLAZIDA EP ANTIBIOTICE 30 mg COMPR. ELIB. PREL. 30mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-RF 30 5.65 7.64 0.254666116 A10BB09 GLICLAZIDUM GLITOPP MR 30 mg COMPR. ELIB. PREL. 30mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. ELIB. PREL. P-RF 10 1.87 2.53 0.253000117 A10BB09 GLICLAZIDUM GLITOPP MR 30 mg COMPR. ELIB. PREL. 30mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. ELIB. PREL. P-RF 20 3.74 5.05 0.252500118 A10BB09 GLICLAZIDUM GLITOPP MR 30 mg COMPR. ELIB. PREL. 30mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. ELIB. PREL. P-RF 30 5.61 7.58 0.252666119 A10BB09 GLICLAZIDUM GLYCLADA 30 mg COMPR. ELIB. PREL. 30mg KRKA SLOVENIA CUTIE X 6 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P-6L 60 11.38 15.38 0.256333120 A10BB12 GLIMEPIRIDUM TINERIL 4 mg COMPR 4mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 9.99 13.50 0.450000121 A10BB12 GLIMEPIRIDUM AMYX 1 COMPR. 1 mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 2.92 3.94 0.131333122 A10BB12 GLIMEPIRIDUM MEGLIMID 1 mg COMPR. 1mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 6.32 8.54 0.284666

Page 23 of 56

123 A10BB12 GLIMEPIRIDUM GLIMEPIRID LPH 1 mg COMPR. 1mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 2.92 3.94 0.131333124 A10BB12 GLIMEPIRIDUM GLIMERAN 1 mg COMPR. 1mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR. P-RF 30 2.84 3.84 0.128000125 A10BB12 GLIMEPIRIDUM GLIMERAN 1 mg COMPR. 1mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.84 3.84 0.128000126 A10BB12 GLIMEPIRIDUM OLTAR 1 mg COMPR. 1mg BERLIN CHEMIE AG (MENARINI GROUP) GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-RF 30 4.43 5.99 0.199666127 A10BB12 GLIMEPIRIDUM TINERIL 1 mg COMPR. 1mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 2.92 3.94 0.131333128 A10BB12 GLIMEPIRIDUM GLIMEPIRIDA ACCORD 1 mg COMPR. 1mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 2.89 3.90 0.130000129 A10BB12 GLIMEPIRIDUM GLIMEGAMMA 1 mg COMPR. 1mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC TRANSPARENT /AL X 30 COMPR. P-6L 30 3.06 4.13 0.137666130 A10BB12 GLIMEPIRIDUM GLIMEGAMMA 1 mg COMPR. 1mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC TRANSPARENT /AL X 120 COMPR. P-6L 120 17.96 24.28 0.202333131 A10BB12 GLIMEPIRIDUM AMARYL 1mg COMPR. 1mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 4.49 6.07 0.202333132 A10BB12 GLIMEPIRIDUM MEGLIMID 2 mg COMPR. 2mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 12.53 16.93 0.564333133 A10BB12 GLIMEPIRIDUM AMYX 2 COMPR. 2mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 5.03 6.80 0.226666134 A10BB12 GLIMEPIRIDUM GLIMEPIRID LPH 2 mg COMPR. 2mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 5.03 6.80 0.226666135 A10BB12 GLIMEPIRIDUM GLIMERAN 2 mg COMPR. 2mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 4.80 6.49 0.216333136 A10BB12 GLIMEPIRIDUM GLIMERAN 2 mg COMPR. 2mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR. P-RF 30 4.80 6.49 0.216333137 A10BB12 GLIMEPIRIDUM GLIMEPIRIDE 2 mg COMPR. 2mg ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 5.03 6.80 0.226666138 A10BB12 GLIMEPIRIDUM TINERIL 2 mg COMPR. 2mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 5.03 6.80 0.226666139 A10BB12 GLIMEPIRIDUM GLIMEPIRIDA ACCORD 2 mg COMPR. 2mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 5.02 6.78 0.226000140 A10BB12 GLIMEPIRIDUM GLIMEGAMMA 2 mg COMPR. 2mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC TRANSPARENT /AL X 30 COMPR. P-6L 30 6.58 8.89 0.296333141 A10BB12 GLIMEPIRIDUM GLIMEGAMMA 2 mg COMPR. 2mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC TRANSPARENT /AL X 120 COMPR. P-6L 120 34.17 44.69 0.372416142 A10BB12 GLIMEPIRIDUM AMARYL 2 mg COMPR. 2mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 7.74 10.46 0.348666143 A10BB12 GLIMEPIRIDUM MEGLIMID 3 mg COMPR. 3mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 17.36 23.47 0.782333144 A10BB12 GLIMEPIRIDUM AMYX 3 COMPR. 3mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 9.40 12.70 0.423333145 A10BB12 GLIMEPIRIDUM GLIMEPIRID LPH 3 mg COMPR. 3mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 9.40 12.70 0.423333146 A10BB12 GLIMEPIRIDUM GLIMERAN 3 mg COMPR. 3mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR. P-RF 30 8.97 12.13 0.404333147 A10BB12 GLIMEPIRIDUM GLIMERAN 3 mg COMPR. 3mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 8.97 12.13 0.404333148 A10BB12 GLIMEPIRIDUM OLTAR 3 mg COMPR. 3mg BERLIN CHEMIE AG (MENARINI GROUP) GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-RF 30 15.51 20.96 0.698666149 A10BB12 GLIMEPIRIDUM GLIMEPIRIDE 3 mg COMPR. 3mg ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 9.40 12.70 0.423333150 A10BB12 GLIMEPIRIDUM TINERIL 3 mg COMPR. 3mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 9.40 12.70 0.423333151 A10BB12 GLIMEPIRIDUM GLIMEPIRIDA ACCORD 3 mg COMPR. 3mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 9.34 12.62 0.420666152 A10BB12 GLIMEPIRIDUM GLIMEGAMMA 3 mg COMPR. 3mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC TRANSPARENT /AL X 30 COMPR. P-6L 30 9.40 12.70 0.423333153 A10BB12 GLIMEPIRIDUM GLIMEGAMMA 3 mg COMPR. 3mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC TRANSPARENT /AL X 120 COMPR. P-6L 120 37.58 49.15 0.409583154 A10BB12 GLIMEPIRIDUM AMARYL 3 mg COMPR. 3mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 14.46 19.54 0.651333155 A10BB12 GLIMEPIRIDUM AMYX 4 COMPR. 4mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 9.99 13.50 0.450000156 A10BB12 GLIMEPIRIDUM GLIMERAN 4 mg COMPR. 4mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR. P-RF 30 9.38 12.68 0.422666157 A10BB12 GLIMEPIRIDUM GLIMERAN 4 mg COMPR. 4mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST AL/PVC X 10 COMPR. P-RF 30 9.38 12.68 0.422666158 A10BB12 GLIMEPIRIDUM GLIMEPIRIDA ACCORD 4mg COMPR. 4mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 4.17 5.64 0.188000159 A10BB12 GLIMEPIRIDUM GLIMEGAMMA 4 mg COMPR. 4mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC TRANSPARENT /AL X 30 COMPR. P-6L 30 9.99 13.50 0.450000160 A10BB12 GLIMEPIRIDUM GLIMEGAMMA 4 mg COMPR. 4mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC TRANSPARENT /AL X 120 COMPR. P-6L 120 39.95 52.25 0.435416161 A10BB12 GLIMEPIRIDUM AMARYL 4 mg COMPR. 4mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 15.37 20.77 0.692333162 A10BB12 GLIMEPIRIDUM GLIMEGAMMA 6 mg COMPR. 6mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC TRANSPARENT /AL X 30 COMPR. P-6L 30 40.36 52.79 1.759666163 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) BIDIAB 400 mg/2,5 mg CAPS. 400mg+2,5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 5 CAPS. P-RF/S 500 167.29 204.23 0.408460164 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) BIDIAB 400 mg/2,5 mg CAPS. 400mg+2,5mg ARENA GROUP SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 5 CAPS. P-RF 20 7.42 10.03 0.501500165 A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLIBOMET (R) COMPR. FILM. 2,5mg/400mg LAB. GUIDOTTI SPA ITALIA CUTIE X 3 BLIST. X 20 COMPR. FILM. P-RF 60 17.90 24.19 0.403166166 A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLIFORMIN COMPR. FILM. 400mg + 2,5mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 60 17.90 24.19 0.403166167 A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLUCOVANCE (R) 500 mg/2,5 mg COMPR. FILM. 500mg/2,5mg MERCK SANTE FRANTA CUTIE X 4 BLIST. X 15 COMPR. FILM. P-RF 60 19.18 25.93 0.432166

Page 24 of 56

168 A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLUCOVANCE (R) 500 mg/5 mg COMPR. FILM. 500mg/5mg MERCK SANTE FRANTA CUTIE X 4 BLIST. X 15 COMPR. FILM. P-RF 60 19.18 25.93 0.432166169 A10BD03 COMBINATII (ROSIGLITAZONUM+METFORMINUM)*** AVANDAMET 2mg/1000mg COMPR. FILM. 2mg/1000mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 56 COMPR. FILM.( BLIST. PVC OPAC/PVDC/AL) P-RF 56 92.32 116.73 2.084464170 A10BD03 COMBINATII (ROSIGLITAZONUM+METFORMINUM)*** AVANDAMET 2mg/500mg COMPR. FILM. 2mg/500mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 56 COMPR. FILM. ( BLIST. PVC OPAC/PVDC/AL) P-RF 56 78.31 99.02 1.768214171 A10BD03 COMBINATII (ROSIGLITAZONUM+METFORMINUM)*** AVANDAMET 4mg/1000mg COMPR. FILM. 4mg/1000mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 56 COMPR. FILM.( BLIST. PVC OPAC/PVDC/AL) P-RF 56 151.97 185.53 3.313035172 A10BD04 COMBINATII (ROSIGLITAZONUM + GLIMEPIRIDUM)*** AVAGLIM 4mg/4mg COMPR. FILM. 4mg/4mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 28 COMPR. FILM. ( BLIST. PVC/PVDC/AL) P-RF 28 88.00 111.27 3.973928173 A10BD04 COMBINATII (ROSIGLITAZONUM + GLIMEPIRIDUM)*** AVAGLIM 8mg/4mg COMPR. FILM. 8mg/4mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 28 COMPR. FILM. ( BLIST. PVC/PVDC/AL) P-RF 28 158.89 193.97 6.927500174 A10BD05 COMBINATII ( PIOGLITAZONUM + METFORMINUM)*** COMPETACT COMPR. FILM. 15mg/850mg TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD MAREA BRITANIE CUTIE X 56 COMPR. FILM. ( BLIST. AL/AL ) P-RF 56 149.98 183.09 3.269464175 A10BF01 ACARBOSUM GLUCOBAY (R) 100 COMPR. 100mg BAYER HEALTHCARE AG GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR. P-RF 120 63.38 80.14 0.667833176 A10BF01 ACARBOSUM GLUCOBAY (R) 50 COMPR. 50mg BAYER HEALTHCARE AG GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR. P-RF 120 45.69 59.76 0.498000177 A10BG02 ROSIGLITAZONUM*** AVANDIA 4mg COMPR. FILM. 4mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 28 COMPR.FILM. (BLIST.OPAC AL/PVC) P-RF 28 74.72 94.48 3.374285178 A10BG03 PIOGLITAZONUM*** ACTOS 15mg COMPR. 15mg TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD MAREA BRITANIE CUTIE X 28 COMPR. (BLIST. AL/AL) P-RF 28 99.13 125.34 4.476428179 A10BG03 PIOGLITAZONUM*** ACTOS 30mg COMPR. 30mg TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD MAREA BRITANIE CUTIE X 28 COMPR.(BLIST. AL/AL) P-RF 28 149.17 182.11 6.503928180 A10BG03 PIOGLITAZONUM*** ACTOS 45mg COMPR. 45mg TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD MAREA BRITANIE CUTIE X 28 COMPR.(BLIST. AL/AL) P-RF 28 193.82 236.62 8.450714181 A10BH01 SITAGLIPTINUM*** JANUVIA 100mg COMPR. FILM. 100mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL) P-RF 28 150.92 184.24 6.580000182 A10BX04 EXENATIDUM*** BYETTA 10mcg/doza SOL. INJ. IN STILOU INJECTOR PREUMPLUT 10mcg/doza ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF 1 371.44 443.02 443.020000183 A10BX04 EXENATIDUM*** BYETTA 5mcg/doza SOL. INJ. IN STILOU INJECTOR PREUMPLUT 5mcg/doza ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF 1 316.80 383.46 383.460000184 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-6L 50 19.96 26.98 0.539600185 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 20 DRAJ. P-6L 100 37.44 48.97 0.489700186 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 14.09 19.04 0.952000187 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 62.63 79.19 0.791900188 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 33.65 44.02 0.880400189 A11DBN1 COMBINATII** MILGAMMA (R) 100 DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L 30 35.80 46.82 1.560666190 A11DBN1 COMBINATII** MILGAMMA (R) 100 DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 DRAJ. P-6L 100 108.91 132.96 1.329600191 A11DBN1 COMBINATII** MILGAMMA (R) 100 DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L 60 66.80 84.46 1.407666192 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 62.05 78.45 3.138000193 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 12.86 17.38 3.476000194 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L 100 62.63 79.19 0.791900195 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L 20 14.09 19.04 0.952000196 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L 50 33.65 44.02 0.880400197 FARA ATC FARA DCI Teste de automonitorizare a glicemiei pentru bolnavii cu diabet zaharat FARA FORMA FARA CONCENTRATIE FARA PRODUCATOR ROMANIA FARA FORMA AMB X 1 1.20 1.20 1.200000

GLUCAGONUM

1 V03AC01 DEFEROXAMINUM**3 DESFERAL LIOF. PT. SOL. INJ./PERF. 500mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF. S/P-RF 10 105.77 129.13 12.9130002 V03AC03 DEFERASIROXUM**** EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) P-RF/R 28 647.40 743.82 26.5650003 V03AC03 DEFERASIROXUM**** EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 84 COMPR. DISP. (BLIST. PVC/PE/PVDC/AL) P-RF/R 84 1,882.20 2,089.75 24.8779764 V03AC03 DEFERASIROXUM**** EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 84 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 84 4,061.99 4,465.73 53.1634525 V03AC03 DEFERASIROXUM**** EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 28 1,374.00 1,535.81 54.8503576 V03AC03 DEFERASIROXUM**** EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 84 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 84 7,438.79 8,146.44 96.9814287 V03AC03 DEFERASIROXUM**** EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 28 2,499.59 2,762.71 98.668214

B02BD02 MOROCTOCOG ALFA**

B02BD02 OCTOCOG ALFA**

B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII**

P6.1: HEMOFILIE SI TALASEMIEP6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE

Page 25 of 56

B02BD04 FACTORI IX DE COAGULARE**

B02BD04 FACTORI VIII DE COAGULARE**

B02BD06 FACTOR VON WILLEBRAND**

B02BD08 EPTACOG ALFA ACTIVATUM**

1 D05BB02 ACITRETINUM NEOTIGASON 10 mg CAPS. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS. P-RF 30 56.50 71.44 2.3813332 D06AA04 TETRACYCLINUM TETRACICLINA CLORHIDRAT UNGUENT 3% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 12 G P-RF 1 4.56 6.16 6.1600003 D06AX01 ACIDUM FUSIDICUM FUCIDIN 20 mg/g CREMA 20mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 10.54 14.25 14.2500004 D06AX01 ACIDUM FUSIDICUM FUCIDIN 20 mg/g UNGUENT 20mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 10.54 14.25 14.2500005 D06BA01 SULFADIAZINUM FLAMMAZINE CREMA 1% CN UNIFARM ROMANIA BORCAN X 500 G CREMA X 1 130.64 159.48 159.4800006 D07CA01 COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM) FUCIDIN H CREMA FARA CONCENTRATIE LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 15.09 20.40 20.4000007 D07CC01 COMBINATII DIPROGENTA (R) CREMA 0,5mg/1mg pe gram SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB X 15 G P-RF 1 8.69 11.74 11.7400008 D07CC01 COMBINATII TRIDERM (R) CREMA FARA CONCENTRATIE SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB AL X 15 G P-RF 1 10.58 14.30 14.3000009 D07CC01 COMBINATII BELOGENT CREMA FARA CONCENTRATIE A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB. DIN AL X 30 G CREMA P-RF 1 8.71 11.77 11.770000

10 D07CC01 COMBINATII BELOGENT CREMA FARA CONCENTRATIE A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB. DIN AL X 15 G CREMA P-RF 1 7.61 10.29 10.29000011 D07CC01 COMBINATII DIPROGENTA (R) UNGUENT 0,5mg/1mg pe gram SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB X 15 G P-RF 1 8.69 11.74 11.74000012 D07CC01 COMBINATII TRIDERM UNGUENT FARA CONCENTRATIE SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 10.58 14.30 14.30000013 D07CC01 COMBINATII BELOGENT UNGUENT FARA CONCENTRATIE A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 30 G UNGUENT P-RF 1 8.71 11.77 11.77000014 D07CC01 COMBINATII BELOGENT UNGUENT FARA CONCENTRATIE A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 7.61 10.29 10.29000015 D07CC01 COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM) FUCICORT 20 mg/1mg pe gram CREMA 20mg/1mg pe gram LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 16.55 22.37 22.37000016 J01AA07 TETRACYCLINUM TETRACICLINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 50 BLIST. AL/PVC X 10 CAPS. P-RF/S 500 49.02 64.12 0.12824017 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 2.21 2.99 0.14950018 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. X 10 CAPS. P-RF/S 1000 106.06 129.48 0.12948019 J01AA07 TETRACYCLINUM TETRACICLINA SANDOZ 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 1.90 2.57 0.12850020 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 2.10 2.84 0.14200021 J01AA07 TETRACYCLINUM TETRACICLINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 2.09 2.82 0.14100022 N03AB02 PHENYTOINUM FENITOIN 100 mg COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 0.84 1.14 0.05700023 N03AB02 PHENYTOINUM PHENHYDAN (R)SOLUTIE INJECTABILA SOL. INJ. 50mg/ml DESITIN GERMANIA CUTIE X 5 FIOLE X 5ML P-RF 5 50.30 63.60 12.720000

J01XC01 ACIDUM FUSIDICUM

1 C02KX01 BOSENTANUM** TRACLEER 125 mg COMPR. FILM. 125mg ACTELION REGISTRATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM. P-RF/R 56 8,949.99 9,793.65 174.8866072 G04BE03 SILDENAFILUM** VIAGRA 100 mg COMPR. FILM. 100mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 4 COMPR. FILM. P-RF 4 109.26 133.38 33.3450003 G04BE03 SILDENAFILUM** REVATIO 20 mg COMPR. FILM. 20mg PFIZER LIMITED MAREA BRITANIE CUTIE X 6 BLIST. AL/PVC X 15 COMPR. FILM. P-RF/R 90 1,761.01 1,957.65 21.7516664 G04BE03 SILDENAFILUM** VIAGRA 25 mg COMPR. FILM. 25mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 4 COMPR. FILM. P-RF 4 78.04 98.68 24.6700005 G04BE03 SILDENAFILUM** VIAGRA (R) 50 mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 COMPR. FILM. P-RF 1 23.04 31.14 31.1400006 G04BE03 SILDENAFILUM** VIAGRA 50 mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 4 COMPR. FILM. P-RF 4 90.53 114.47 28.617500

P6.3: HIPERTENSIUNE PULMONARA

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RAREP6.2: EPIDERMOLIZA BULOASA

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE

Page 26 of 56

1 A09AA02 PANCREATINUM** KREON 40000 CAPS. GASTROREZ. 400mg SOLVAY PHARMACEUTICALS BV GERMANIA FLACON DIN PEID CU 50 CAPS. GASTROREZ. P-6L 50 104.38 127.43 2.5486002 J01FA09 CLARITHROMYCINUM KLACID (R) COMPR. FILM. 250mg ABBOTT SPA ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 19.84 26.81 1.9150003 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 22.39 30.26 2.1614284 J01FA09 CLARITHROMYCINUM CLAR 250 COMPR. FILM. 250mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM. P-RF 20 15.96 21.57 1.0785005 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 11.58 15.65 1.1178576 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 10.19 13.77 0.9835717 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 10.19 13.77 0.9835718 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 11.58 15.65 1.1178579 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 27.25 35.64 2.545714

10 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 22.66 30.63 2.18785711 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 22.30 30.14 2.15285712 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 31.84 41.65 2.08250013 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 22.30 30.14 2.15285714 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 22.66 30.63 2.18785715 J01FA09 CLARITHROMYCINUM ROCLARIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 36.48 47.72 2.38600016 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 12.77 17.26 3.45200017 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 17.88 24.16 3.45142818 J01FA09 CLARITHROMYCINUM KLABAX MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 25.26 33.04 4.72000019 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 26.15 34.21 6.84200020 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 19.52 26.38 3.76857121 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 28.10 36.76 36.76000022 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 17.01 22.99 22.99000023 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 16.17 21.86 21.86000024 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 18.21 24.61 24.61000025 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 21.96 29.68 29.68000026 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 13.17 17.80 17.80000027 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 44.17 57.78 57.78000028 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 32.19 42.11 42.11000029 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 36.67 47.97 47.97000030 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 22.00 29.74 29.74000031 J01FA09 CLARITHROMYCINUM KLACID I.V. LIOF. PT. SOL. PERF. 500mg ABBOTT LABORATORIES LTD. FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF. S/P-RF 1 38.61 50.50 50.50000032 J01GB01 TOBRAMYCINUM** TOBI (R) SOL. INHAL. 300mg/5ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 PLICURI DIN AL; FIECARE PLIC CONTINE 7 FIOLE GEMENE DIN PEJD X 5 ML SOL. DE INHALAT PRIN N P-RF 28 7,618.79 8,342.64 297.95142833 R05CB13 DORNAZA ALFA** PULMOZYME SOL. INHAL. 1mg/ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE IN PUNGA AL S/P-RF 6 519.76 604.69 100.781666

1 N07XX02 RILUZOLUM** RILUTEK 50 mg COMPR. FILM. 50mg AVENTIS PHARMA SA FRANTA CUTIE X 4 BLIST. X 14 COMPR. P-RF/R 56 832.60 945.68 16.887142

J06BA02

P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATORII

IMUNOGLOBULINA NORMALA PENTRU

ADMINISTRARE INTRAVASCULARA**

P6.4: MUCOVISCIDOZA

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE

Page 27 of 56

1 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 2 ML S/P-RF 1 174.46 212.98 212.9800002 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 1 ML S/P-RF 1 103.98 126.94 126.9400003 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 6 ML S/P-RF 1 499.40 582.50 582.5000004 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 4 ML S/P-RF 1 341.60 410.49 410.4900005 M05BA03 ACIDUM PAMIDRONICUM PAMIRED 30 LIOF. PT. SOL. PERF. I.V. 30mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V. S/P-RF 1 143.55 175.25 175.2500006 M05BA03 ACIDUM PAMIDRONICUM PAMIRED 60 LIOF. PT. SOL. PERF. I.V. 60mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V. S/P-RF 1 223.30 272.60 272.6000007 M05BA03 ACIDUM PAMIDRONICUM AREDIA (R) 15 mg LIOF.+ SOLV. PT. SOL. PERF. 15mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5 ML SOLV. S/P-RF 4 561.31 649.98 162.495000

1 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 1 370.80 442.32 442.3200002 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 1 447.60 526.04 526.0400003 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 1,106.69 1,244.44 1244.4400004 H01AC01 SOMATROPINUM** NUTROPINAq 10 mg/2 ml SOL. INJ. 10mg/2ml IPSEN LIMITED MAREA BRITANIE CUTIE X 1 CARTUS X 2 ML. SOL. INJ. P-RF/R 1 822.84 935.05 935.0500005 H01AC01 SOMATROPINUM** OMNITROPE 3,3mg/ml SOL. INJ. 3,3mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R 1 386.01 458.90 458.9000006 H01AC01 SOMATROPINUM** OMNITROPE 6,7mg/ml SOL. INJ. 6,7mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R 1 628.60 723.32 723.320000

1 A16AB04 AGALSIDASUM BETA** FABRAZYME 35 mg PULB. PT. CONC. PT. SOL. PERF. 35mg GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF. S 1 12,957.01 14,161.31 14161.310000

1 A16AB07 ALGLUCOSIDASUM ALPHA** MYOZYME 50mg PULB. PT. CONC. PT. SOL. PERF. 50mg GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. CU 50MG PULB. PT. CONC. PT. SOL. PERF. S 1 2,128.32 2,358.02 2358.020000

1 A16AX04 NITISINONUM ORFADIN 10mg CAPS. 10mg SWEDISH ORPHAN INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS. P-RF/R 60 12,023.36 13,143.63 219.0605002 A16AX04 NITISINONUM ORFADIN 2mg CAPS. 2mg SWEDISH ORPHAN INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS. P-RF/R 60 3,308.93 3,644.89 60.7481663 A16AX04 NITISINONUM ORFADIN 5mg CAPS. 5mg SWEDISH ORPHAN INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS. P-RF/R 60 6,587.86 7,218.93 120.315500

1 B01AD10 DROTRECOGINUM ALFA** XIGRIS 5mg PULB. PT. SOL. PERF. 5mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC. X 5 MG PULB. PT. SOL. PERF. S 1 639.02 734.68 734.680000

1 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 18.06 24.41 24.410000

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE P6.11: SEPSIS SEVER

P7: PROGRAM NATIONAL DE BOLI ENDOCRINE Tratamentul medicamentos al bolnavilor cu osteoporoza, gusa datorata carentei de iod si proliferarii maligne

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE P6.9: BOALA POMPE

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE P6.10: TIROZINEMIE

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE P6.7: SINDROM PRADER WILLI

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE P6.8: BOALA FABRY

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE P6.6: OSTEOGENEZA IMPERFECTA

Page 28 of 56

2 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 24.14 32.63 0.6526003 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF 30 21.81 29.48 0.9826664 A11CC04 CALCITRIOLUM ROCALTROL CAPS. MOI 0,25mcg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI P-RF 100 57.17 72.28 0.7228005 G03CA03 ESTRADIOLUM OESTROGEL (R) GEL 0,06% LAB. BESINS INTERNATIONAL FRANTA CUTIE X 1 TUB DIN AL X 80 G P-6L 1 11.53 15.59 15.5900006 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 20.43 27.61 27.6100007 G03CA03 ESTRADIOLUM CLIMARA PLASTURE TRANSDERM. 50mcg/24ore BAYER SCHERING PHARMA AG GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM. P-6L 4 23.93 32.34 8.0850008 G03DC05 TIBOLONUM LIVIAL (R) 2,5 mg COMPR. 2,5mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 28 COMPR. P-RF 28 55.04 69.59 2.4853579 G03DC05 TIBOLONUM LADYBON COMPR. 2,5mg ZENTIVA A.S. CEHIA CUTIE X 1 BLIST. DIN AL-PVDC/PVC X 28 COMPR. P-RF 28 53.80 68.03 2.429642

10 G03DC05 TIBOLONUM LADYBON COMPR. 2,5mg ZENTIVA A.S. CEHIA CUTIE X 3 BLIST. DIN AL-PVDC/PVC X 28 COMPR. P-RF 84 139.04 169.74 2.02071411 G03FA15 ESTRADIOLUMVALERAT+DIENOGEST KLIMODIEN DRAJ. FARA CONCENTRATIE BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 BLIST. X 28 DRAJ. P-RF 28 24.54 33.17 1.18464212 G03XC01 RALOXIFENUM EVISTA 60mg COMPR. FILM. 60mg DAIICHI SANKYO EUROPE GMBH GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR) P-RF 28 92.80 117.34 4.19071413 H01AB01 TIREOTROPINUM ALFA THYROGEN 0,9 mg PULB. PT. SOL. INJ. 0,9mg GENZYME EUROPE BV OLANDA CUTIE X 2 FLACOANE S 2 2,879.74 3,177.07 1588.53500014 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 22.66 30.63 0.61260015 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 20.59 27.83 1.39150016 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 4.54 6.13 0.20433317 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 6.11 8.26 8.26000018 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 48.80 63.83 4.25533319 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 21.54 29.12 29.12000020 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 14.21 19.21 19.21000021 H03AA01 LEVOTHYROXINUM THYRO - 4 0,1 mg COMPR. 0,1mg FARAN LABORATORIES S.A. GRECIA CUTIE X 1 FLAC. DIN PEID X 100 COMPR. P-6L 100 5.29 7.15 0.07150022 H03AA01 LEVOTHYROXINUM THYRO - 4 0,2 mg COMPR. 0,2mg FARAN LABORATORIES S.A. GRECIA CUTIE X 1 FLAC. PEID X 100 COMPR. P-6L 100 6.61 8.94 0.08940023 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 8.12 10.97 0.10970024 H03AA01 LEVOTHYROXINUM L-THYROXIN 100 BERLIN - CHEMIE COMPR. 100mcg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L 100 8.66 11.71 0.11710025 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 200 COMPR. 200mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-6L 100 16.78 22.68 0.22680026 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 25 COMPR. 25mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 6.61 8.94 0.08940027 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 50 COMPR. 50mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 5.75 7.77 0.07770028 H03AA01 LEVOTHYROXINUM L-THYROXIN 50 COMPR. 50mcg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L/S 100 5.84 7.89 0.07890029 H03AAN1 LEVOTIROXINUM+KALII IODIDUM JODTHYROX (R) 100/130,8 COMPR. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 2 BLIST. PP/AL X 25 COMPR. P-6L 50 10.26 13.87 0.27740030 H03BB01 CARBIMAZOLUM CARBIMAZOLE 5 COMPR. FILM. 5mg REMEDICA LTD. CIPRU CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 100 11.72 15.84 0.15840031 H03BB02 THIAMAZOLUM THYROZOL (R) 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 14.59 19.72 0.39440032 H03BB02 THIAMAZOLUM THYROZOL (R) 20 mg COMPR. FILM. 20mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 17.74 23.98 0.47960033 H03BB02 THIAMAZOLUM THYROZOL (R) 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L/S 100 21.43 28.97 0.28970034 H03CA01 KALII IODIDUM JODID 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-RF 100 8.58 11.59 0.11590035 H03CA01 KALII IODIDUM JODID 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-RF 100 8.58 11.59 0.11590036 H03CA01 KALII IODIDUM JODID 200 COMPR. 200mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-RF 100 13.36 18.06 0.18060037 H03CA01 KALII IODIDUM JODID 200 COMPR. 200mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-RF 100 13.36 18.06 0.18060038 H05AA02 TERIPARATIDUM** FORSTEO 20mcg/80mcg SOL. INJ. 20mcg/80mcg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 3 ML (28 DOZE X 20 MCG/80MCL) P-RF 1 1,385.52 1,548.37 1548.37000039 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 50.43 63.77 12.75400040 H05BA01 CALCITONINUM (SOMON) NYLEX (R) SOL. INJ. 100UI/ml PROEL E.P. CORONIS SA GRECIA CUTIE X 5 FIOLE X 1ML P-RF 5 22.48 30.39 6.07800041 H05BA01 CALCITONINUM (SOMON) MIACALCIC (R) SOL. INJ. 50ui/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML P-RF 5 24.74 33.44 6.68800042 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 34.71 45.40 45.40000043 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 53.89 68.14 68.14000044 M05BA04 ACIDUM ALENDRONICUM** ACID ALENDRONIC ACCORD 10 mg COMPR. 10mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L 28 34.65 45.32 1.61857145 M05BA04 ACIDUM ALENDRONICUM** TEVANAT 70 mg COMPR. 70 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L 4 34.65 45.32 11.33000046 M05BA04 ACIDUM ALENDRONICUM** ACID ALENDRONIC BLUEFISH 70 mg COMPR. 70mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. AL/AL X 2 COMPR. P-6L 2 17.32 23.41 11.705000

Page 29 of 56

47 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 26.65 34.86 17.43000048 M05BA04 ACIDUM ALENDRONICUM** ACID ALENDRONIC ACCORD 70 mg COMPR. 70mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR. P-6L 4 34.65 45.32 11.33000049 M05BA04 ACIDUM ALENDRONICUM** RANOS 70 mg COMPR. 70mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR. P-6L 4 34.20 44.73 11.18250050 M05BA04 ACIDUM ALENDRONICUM** ADRONIK 70 mg COMPR. FILM. 70mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L 12 101.47 123.88 10.32333351 M05BA04 ACIDUM ALENDRONICUM** ADRONIK 70 mg COMPR. FILM. 70mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM. P-6L 2 17.22 23.27 11.63500052 M05BA04 ACIDUM ALENDRONICUM** ADRONIK 70 mg COMPR. FILM. 70mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L 4 34.43 45.03 11.25750053 M05BA06 ACIDUM IBANDRONICUM** BONVIVA 150mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L 1 99.47 125.77 125.77000054 M05BA06 ACIDUM IBANDRONICUM** BONDRONAT 50mg COMPR. FILM. 50mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X BLIST. AL/PVC X 28 COMPR. FILM. S 28 907.07 1,026.86 36.67357155 M05BA06 ACIDUM IBANDRONICUM** BONDRONAT 6mg/6ml CONC. PT. SOL. PERF. 6mg/6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF. S 1 848.18 962.67 962.67000056 M05BA06 ACIDUM IBANDRONICUM** BONVIVA 3mg/3ml SOL. INJ. IN SERINGA PREUMPLUTA 1mg/1ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC P-6L 1 334.71 402.98 402.98000057 M05BA07 ACIDUM RISEDRONICUM** RISENDROS 35 mg COMPR. FILM. 35mg ZENTIVA A.S. CEHIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L 4 60.85 76.94 19.23500058 M05BA07 ACIDUM RISEDRONICUM** RISEDRONAT TEVA 35 mg COMPR. FILM. 35mg TEVA PHARMACEUTICAL S.R.L. MAREA BRITANIE CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L 4 62.58 79.12 19.78000059 M05BA07 ACIDUM RISEDRONICUM** JUVERITAL 35 mg COMPR. FILM. 35mg OZONE LABORATORIES BV OLANDA CUTIE X BLISTER PVC-PE-PVDC/AL X 4 COMPRIMATE FILMATE P-6L 4 62.58 79.12 19.78000060 M05BA07 ACIDUM RISEDRONICUM** ACTONEL (R) SAPTAMANAL COMPR. FILM. 35mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. X 4 COMPR. FILM. P-6L 4 82.88 104.79 26.19750061 M05BA07 ACIDUM RISEDRONICUM** LORINE 35mg COMPR. FILM. 35mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L 4 26.20 34.27 8.56750062 M05BA08 ACIDUM ZOLEDRONICUM** ZOMETA 4 mg PULB. + SOLV. SOL. PERF. 4mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF. + 1 FIOLA X 5 ML SOLV. S 1 1,033.24 1,164.38 1164.38000063 M05BA08 ACIDUM ZOLEDRONICUM** ACLASTA 5mg/100ml SOL. PERF. 5mg/100ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA FLIP. S 1 1,316.11 1,472.71 1472.71000064 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)** FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.) P-6L 4 66.73 84.37 21.09250065 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)** FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.) P-6L 2 33.96 44.42 22.21000066 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)** FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.) P-6L 2 33.96 44.42 22.21000067 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)** FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.) P-6L 4 66.73 84.37 21.09250068 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 77.78 98.34 7.02428569 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 28 134.29 163.94 5.855000

V09FX03 NATRIIIODIUM (131I)

V10XA01 NATRIIIODIUM (131I)

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 13.22 17.87 1.7870002 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 49.27 64.45 6.4450003 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 13.22 17.87 1.7870004 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 23.14 31.28 3.1280005 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 23.14 31.28 3.1280006 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 13.32 18.00 1.8000007 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 13.32 18.00 1.8000008 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 23.31 31.51 3.1510009 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 16.52 22.33 4.466000

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 31.42 41.10 8.22000011 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 5 105.14 128.36 25.67200012 A04AA01 ONDANSETRONUM** ZOFRAN 8mg/4ml 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 5 135.42 165.32 33.06400013 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 31.41 41.08 8.21600014 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 16.53 22.34 4.46800015 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 16.37 22.13 4.426000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA P9.1: TRANSPLANT MEDULAR

Page 30 of 56

16 A04AA01 ONDANSETRONUM** SETRONON 8 mg/4 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 31.42 41.10 8.22000017 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 92.29 116.69 1.16690018 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 54.03 68.32 1.36640019 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 51.08 64.58 1.29160020 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 62.72 79.30 7.93000021 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 75.31 95.22 19.04400022 B02AA02 ACIDUM TRANEXAMICUM 4 EXACYL SOL. INJ. 500mg/5ml CN UNIFARM ROMANIA CUTIE X 5 FIOLE X 5ML SOL. INJ. X 5 8.89 12.02 2.40400023 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 2,001.56 2,219.85 369.97500024 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 6 203.17 248.03 41.33833325 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 10 255.20 311.55 31.15500026 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 6 429.91 506.75 84.45833327 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 6 622.80 717.00 119.50000028 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 1,254.00 1,405.01 1405.01000029 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 10 494.01 576.62 57.66200030 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 6 818.39 930.20 155.03333331 B03XA01 EPOETINUM ALFA BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,458.00 1,627.37 271.22833332 B03XA01 EPOETINUM ALFA ABSEAMED 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,552.96 1,730.88 288.48000033 B03XA01 EPOETINUM ALFA BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 167.99 205.08 34.18000034 B03XA01 EPOETINUM ALFA ABSEAMED 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,5ML SOL. INJ S/P-RF/R 6 183.57 224.10 37.35000035 B03XA01 EPOETINUM ALFA BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 335.80 404.17 67.36166636 B03XA01 EPOETINUM ALFA ABSEAMED 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 364.16 435.08 72.51333337 B03XA01 EPOETINUM ALFA BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. S/P-RF/R 6 489.04 571.20 95.20000038 B03XA01 EPOETINUM ALFA ABSEAMED 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,3ML SOL. INJ. S/P-RF/R 6 531.68 617.68 102.94666639 B03XA01 EPOETINUM ALFA BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 642.24 738.19 123.03166640 B03XA01 EPOETINUM ALFA ABSEAMED 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 694.28 794.92 132.48666641 B03XA01 EPOETINUM ALFA BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 795.40 905.14 150.85666642 B03XA01 EPOETINUM ALFA ABSEAMED 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 866.40 982.53 163.75500043 B03XA01 EPOETINUM ALFA ABSEAMED 6000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,6ML SOL. INJ. S/P-RF/R 6 1,033.71 1,164.90 194.15000044 B03XA01 EPOETINUM ALFA ABSEAMED 8000UI/0,8ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,8ML SOL. INJ. S/P-RF/R 6 1,368.32 1,529.62 254.93666645 B03XA01 EPOETINUM BETA NEORECORMON 10000UI/0,6ml 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 1,990.40 2,207.69 367.94833346 B03XA01 EPOETINUM BETA NEORECORMON 1000UI/0,3ml 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 6 215.29 262.83 43.80500047 B03XA01 EPOETINUM BETA NEORECORMON 2000UI/0,3ml 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 6 422.32 498.48 83.08000048 B03XA01 EPOETINUM BETA NEORECORMON 30000UI/0,6ml 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 1 980.76 1,107.18 1107.18000049 B03XA01 EPOETINUM BETA NEORECORMON 4000UI/0,3ml 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 6 814.08 925.50 154.25000050 B03XA01 EPOETINUM BETA NEORECORMON 5000UI/0,3ml 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 1,009.84 1,138.88 189.81333351 B03XA01 EPOETINUM BETA NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE S/P-RF/R 6 110.71 135.15 22.52500052 J01CR03 TICARCILLINUM + ACIDUM CLAVULANICUM TIMENTIN 3,2 g PULB. PT. SOL. INJ./PERF. 3,2g BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S/P-RF 10 199.64 243.72 24.37200053 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 652.44 749.31 62.44250054 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 378.48 450.69 37.55750055 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 19.08 25.79 25.79000056 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 93.74 118.53 23.70600057 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 184.14 224.80 22.48000058 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 38.17 49.92 49.92000059 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 184.14 224.80 44.96000060 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 364.80 435.78 43.578000

Page 31 of 56

61 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 38.43 50.27 50.27000062 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 185.40 226.34 45.26800063 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 367.10 438.29 43.82900064 J01DH02 MEROPENEMUM MERONEM IV 1 g PULB. PT. SOL. INJ. I.V./PERF. 1g ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 10 FLAC. PULB. PT. SOL. INJ. (CAP. 20 ML) S 10 969.60 1,095.01 109.50100065 J01DH02 MEROPENEMUM MERONEM IV 500 mg PULB. PT. SOL. INJ. I.V./PERF. 500mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 10 FLAC. PULB. PT. SOL. INJ. (CAP. 20 ML) S 10 508.50 592.42 59.24200066 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 5 137.34 167.66 33.53200067 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 10 274.67 335.32 33.53200068 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 5 137.34 167.66 33.53200069 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 10 274.67 335.32 33.53200070 J01DH51 IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF 10 420.10 496.06 49.60600071 J01DH51 IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF 25 1,005.25 1,133.87 45.35480072 J01XA01 VANCOMYCINUM VANCOMYCIN TEVA LIOF. PT. SOL. PERF. 1g TEVA PHARM. WORKS PRIVATE LTD. COMPANY UNGARIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF. S/P-RF 1 45.60 59.64 59.64000073 J01XA01 VANCOMYCINUM VANCOMYCIN TEVA LIOF. PT. SOL. PERF. 500mg TEVA PHARM. WORKS PRIVATE LTD. COMPANY UNGARIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF. S/P-RF 1 22.80 30.82 30.82000074 J01XA01 VANCOMYCINUM EDICIN LIOF. PT. SOL. PERF./INJ. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 500 MG LIOF. PT. SOL. PERF./INJ. S/P-RF 1 36.89 48.25 48.25000075 J01XA01 VANCOMYCINUM EDICIN PULB.LIOF.PT.SOL.PERF./INJ 1g LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PERF./INJ. S/P-RF 1 53.42 67.54 67.54000076 J01XA02 TEICOPLANINUM TARGOCID (R) 400 mg LIOF. + SOLV. PT. SOL. INJ. 400mg AVENTIS PHARMA LTD. MAREA BRITANIE CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV. P-RF 1 110.96 135.46 135.46000077 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 1,507.24 1,681.04 168.10400078 J01XX08 LINEZOLIDUM ZYVOXID (R) GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 827.52 940.15 940.15000079 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 1,507.24 1,681.04 168.10400080 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 181.83 221.98 7.92785781 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 17.79 24.04 6.01000082 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 31.12 40.71 5.81571483 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 61.37 77.60 4.85000084 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 6.56 8.86 4.43000085 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 21.89 29.58 4.22571486 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 15.64 21.14 21.14000087 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 58.38 73.82 18.45500088 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. P-RF 2 31.06 40.62 20.31000089 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 6.90 9.32 9.32000090 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 17.42 23.54 23.54000091 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 13.11 17.72 17.72000092 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 10.12 13.68 13.68000093 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 6.90 9.32 9.32000094 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.39 8.64 8.64000095 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. P-RF 3 22.23 30.05 10.01666696 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8.70 11.76 11.76000097 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 4.58 6.19 6.19000098 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.73 9.09 9.09000099 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.70 7.70 7.700000

100 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 1 CAPS. P-RF 1 7.38 9.98 9.980000101 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.58 6.19 6.190000102 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 6.28 8.49 8.490000103 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.28 8.49 8.490000104 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 28.26 36.96 5.280000105 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 44.30 57.94 8.277142

Page 32 of 56

106 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 15.68 21.19 3.027142107 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 40.58 53.08 7.582857108 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 20.57 27.80 3.971428109 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 30.10 39.37 5.624285110 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 15.68 21.19 3.027142111 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 13.22 17.87 2.233750112 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 17.74 23.98 2.398000113 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 11.58 15.65 2.235714114 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 13.68 18.49 2.641428115 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 13.60 18.38 2.625714116 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.22 15.16 2.165714117 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 7 CAPS. P-RF 7 16.99 22.97 3.281428118 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 10.96 14.81 2.115714119 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 13.28 17.95 2.564285120 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 40.58 53.08 53.080000121 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S/P-RF 1 125.05 152.66 152.660000122 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S/P-RF 1 29.09 38.05 38.050000123 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML S/PR-F 1 32.90 43.03 43.030000124 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 50 ML SOL. PERF. S 1 28.68 37.52 37.520000125 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. PERF. S 1 40.05 52.38 52.380000126 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 200 ML SOL. PERF. S 1 129.05 157.55 157.550000127 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S 1 38.14 49.89 49.890000128 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,343.84 3,682.94 131.533571129 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 858.25 973.64 34.772857130 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 431.95 508.98 508.980000131 J02AC03 VORICONAZOLUM** VFEND 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 2,070.87 2,295.40 2295.400000132 J02AC04 POSACONAZOLUM** NOXAFIL SP 40mg/ml SUSP. ORALA 40mg/ml SP EUROPE BELGIA CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R 1 2,537.47 2,804.00 2804.000000133 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 1,130.84 1,270.77 1270.770000134 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 1,466.75 1,636.91 1636.910000135 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 14.06 19.00 0.950000136 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 14.88 20.11 1.005500137 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 663.00 760.82 0.760820138 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 13.53 18.29 1.829000139 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 11.91 16.10 0.805000140 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 11.96 16.16 0.808000141 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 11.41 15.42 0.771000142 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 9.57 12.94 0.647000143 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.03 12.20 0.610000144 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 13.36 18.06 1.806000145 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF 20 5.03 6.80 0.340000146 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 2.60 3.51 0.351000147 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 41.04 53.68 1.533714148 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 5 217.64 265.70 53.140000149 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 74.74 94.50 9.450000150 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,568.11 5,017.40 83.623333

Page 33 of 56

151 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 18.15 24.53 0.490600152 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 11.04 14.92 14.920000153 L01AA03 MELPHALANUM ALKERAN 2 mg COMPR. FILM. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. P-RF 25 6.47 8.75 0.350000154 L01AA06 IFOSFAMIDUM HOLOXAN 1 g PULB. PT. SOL. PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. S 1 87.00 110.00 110.000000155 L01AB01 BUSULFANUM MYLERAN COMPR. FILM. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. P-RF 25 10.90 14.73 0.589200156 L01BA01 METHOTREXATUM METOTREXATE BELLON 2,5 mg COMPR. 2,5mg FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR. X 20 15.87 21.45 1.072500157 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE X 5 ML S 5 185.42 226.36 45.272000158 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S 1 66.57 84.17 84.170000159 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML S 1 312.66 378.95 378.950000160 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FIOLE X 1 ML S 10 16.55 22.37 2.237000161 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML S 1 9.26 12.51 12.510000162 L01BB05 FLUDARABINUM FLUDARA ORAL 10 mg COMPR. FILM. 10mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM. P-RF/S 20 1,579.47 1,759.77 87.988500163 L01BB05 FLUDARABINUM FLUDARA LIOF. PT. SOL. INJ./PERF. 50mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF. S 5 2,270.00 2,512.45 502.490000164 L01BB05 FLUDARABINUM FLUDARABINA ACTAVIS 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA S 1 320.32 387.30 387.300000165 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 100mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS. P-RF 10 292.36 356.91 35.691000166 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 50mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. P-RF 20 289.74 353.71 17.685500167 L01CB01 ETOPOSIDUM ETOPOSID "EBEWE" 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML S 1 36.66 47.95 47.950000168 L01CB01 ETOPOSIDUM SINTOPOZID 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 30.83 40.32 40.320000169 L01CB01 ETOPOSIDUM ETOPOSIDE - TEVA CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. S 1 30.01 39.25 39.250000170 L01CB01 ETOPOSIDUM ETOPOSIDE - TEVA CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF. S 1 57.35 72.51 72.510000171 L01DB06 IDARUBICINUM ZAVEDOS CAPS. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 190.92 233.07 233.070000172 L01DB06 IDARUBICINUM ZAVEDOS 5 mg LIOF. PT. SOL. INJ. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S 1 134.59 164.31 164.310000173 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 1 523.40 608.66 608.660000174 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 20 ML CONC. PT. SOL. PERF. S 1 8.62 11.65 11.650000175 L01XA01 CISPLATINUM CISPLATIN TEVA 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 20 ML S 1 8.35 11.28 11.280000176 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF. S 1 22.91 30.97 30.970000177 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF. S 1 7.27 9.83 9.830000178 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 25 mg/50 ml CONC. PT. SOL. PERF. 25mg/50ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML COND. PT. SOL. PERF. S 1 20.70 27.98 27.980000179 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 50 mg/100 ml CONC. PT. SOL. PERF. 50mg/100ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 100 ML CONC. PT. SOL. PERF. S 1 29.64 38.77 38.770000180 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 45 ML CONC. PT. SOL. PERF. S 1 167.20 204.12 204.120000181 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 5 ML CONC. PT. SOL. PERF. S 1 20.52 27.73 27.730000182 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 15 ML CONC. PT. SOL. PERF. S 1 58.69 74.21 74.210000183 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL. PERF. S 1 44.55 58.27 58.270000184 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 45 ML CONC. PT. SOL. PERF. S 1 124.70 152.23 152.230000185 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 16.94 22.90 22.900000186 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF. S 1 46.96 61.42 61.420000187 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF. S 1 124.92 152.50 152.500000188 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 2,087.80 2,313.85 1156.925000189 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 5,174.64 5,678.51 5678.510000190 L01XC04 ALEMTUZUMABUM** MABCAMPATH 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml GENZYME EUROPE BV OLANDA CUTIE X 3 FIOLE X 3 ML CONCENTRAT INTR-O FIOLA DE 5ML S 3 4,624.59 5,078.96 1692.986666191 L01XC04 ALEMTUZUMABUM** MABCAMPATH 30 mg/ml CONC. PT. SOL. PERF. 30mg/ml GENZYME EUROPE BV OLANDA CUTIE X 3 FLACOANE X 1 ML CONCENTRAT INTR-UN FLACON DE 2ML S 3 4,624.96 5,079.36 1693.120000192 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 1 250.75 306.12 306.120000193 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 1 411.76 486.97 486.970000194 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 201.08 245.48 245.480000195 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 336.00 404.39 404.390000

Page 34 of 56

196 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 427.05 503.63 5.036300197 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 427.05 503.63 10.072600198 L04AA06 MYCOPHENOLATUM** MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM. 500mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 275.00 335.72 6.714400199 L04AA06 MYCOPHENOLATUM** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 525.44 610.88 5.090666200 L04AA06 MYCOPHENOLATUM** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 980.15 1,106.52 9.221000201 L04AA06 MYCOPHENOLATUM MOFETILUM MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R 100 283.85 346.53 3.465300202 L04AA06 MYCOPHENOLATUM MOFETILUM MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS. P-RF/R 100 275.00 335.72 3.357200203 L04AA06 MYCOPHENOLATUM MOFETILUM MYFENAX 500mg COMPR. FILM. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R 50 283.85 346.53 6.930600204 L04AA06 MYCOPHENOLATUM MOFETILUM MYCOPHENOLAT MOFETIL ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 280.50 342.43 6.848600205 L04AA08 DACLIZUMABUM** ZENAPAX (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 5 ML S 1 1,166.85 1,310.02 1310.020000206 L04AA10 SIROLIMUS** RAPAMUNE 1mg DRAJ. 1mg WYETH EUROPA LTD. MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) P-RF/R 30 461.26 540.92 18.030666207 L04AB01 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 3,901.99 4,291.33 1072.832500208 L04AB01 ETANERCEPTUM** ENBREL 25mg 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 1,928.91 2,140.66 535.165000209 L04AB01 ETANERCEPTUM** ENBREL DE UZ PEDIATRIC PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE P-RF/R 4 1,924.44 2,135.79 533.947500210 L04AB01 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 1,924.44 2,135.79 533.947500211 L04AB01 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 3,818.88 4,200.73 1050.182500212 L04AB01 ETANERCEPTUM** ENBREL 50mg SOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL P-RF/R 4 3,818.88 4,200.73 1050.182500213 L04AD02 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 50 374.97 446.87 8.937400214 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 107.54 131.29 2.625800215 L04AD02 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 69.90 88.38 1.767600216 L04AD02 CICLOSPORINUM CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 107.67 131.44 2.628800217 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 224.70 274.32 5.486400218 L04AD02 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 50 146.06 178.31 3.566200219 L04AD02 CICLOSPORINUM CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 234.74 286.57 5.731400220 L04AD02 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 1 338.00 406.57 406.570000221 L04AD02 TACROLIMUSUM PROGRAF (R) 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 192.85 235.43 4.708600222 L04AD02 TACROLIMUSUM PROGRAF (R) 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 343.36 412.41 8.248200223 L04AD02 TACROLIMUSUM PROGRAF (R) 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 1,612.32 1,795.58 35.911600224 L04AD02 TACROLIMUSUM ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 192.41 234.90 4.698000225 L04AD02 TACROLIMUSUM ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 379.80 452.13 9.042600226 L04AD02 TACROLIMUSUM ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 1,753.56 1,949.53 38.990600227 L04AD02 TACROLIMUSUM PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML S 10 1,452.71 1,621.61 162.161000228 N02AX02 TRAMADOLUM TRAMAL (R) CAPS. 50mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 8.21 11.09 0.554500229 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.50 7.43 0.371500230 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.06 5.49 0.274500231 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS. P-RF 30 8.01 10.82 0.360666232 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 CAPS. P-RF/S 50 13.28 17.95 0.359000233 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 CAPS. P-RF/S 100 26.56 34.74 0.347400234 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 2.67 3.61 0.361000235 N02AX02 TRAMADOLUM MABRON 50 mg CAPS. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.46 4.68 0.468000236 N02AX02 TRAMADOLUM K-ALMA (R) CAPS. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.33 7.21 0.360500237 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 2.67 3.61 0.361000238 N02AX02 TRAMADOLUM TRAMADOL LPH 50 mg CAPS. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.33 7.21 0.360500239 N02AX02 TRAMADOLUM URGENDOL CAPS. 50mg MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 2.64 3.57 0.357000240 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.24 8.44 0.422000

Page 35 of 56

241 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 12.08 16.33 1.633000242 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 23.25 31.43 1.571500243 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 34.02 44.50 1.483333244 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 54.15 68.47 1.369400245 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 18.13 24.50 2.450000246 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 34.89 45.63 2.281500247 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 51.03 64.52 2.150666248 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 79.80 100.90 2.018000249 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 22.62 30.57 3.057000250 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 41.95 54.87 2.743500251 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 58.02 73.36 2.445333252 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 90.16 114.00 2.280000253 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.33 7.21 0.360500254 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.33 7.21 0.360500255 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.92 9.35 0.467500256 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 4.38 5.92 0.592000257 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 13.15 17.77 0.592333258 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 34.80 45.52 0.910400259 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 6.85 9.26 0.926000260 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 18.96 25.62 0.854000261 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 5 COMPR.ELIM.PREL. P-RF 5 5.15 6.96 1.392000262 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIM.PREL. P-RF 30 28.36 37.10 1.236666263 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 23.31 31.51 1.050333264 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 14.63 19.77 1.977000265 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 19.10 25.82 2.582000266 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. P-RF 10 13.95 18.86 1.886000267 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. P-RF 30 37.21 48.67 1.622333268 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. X PVC-PVDC/AL X 10 COMPR. ELIB. PREL. P-RF 10 19.40 26.22 2.622000269 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. X PVC-PE-ACLAR/AL X 10 COMPR. ELIB. PREL. P-RF 30 56.79 71.80 2.393333270 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 7.38 9.98 0.332666271 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 6.74 9.11 0.911000272 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 15.30 20.68 2.068000273 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 44.82 58.63 1.954333274 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 19.58 26.47 2.647000275 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 56.36 71.26 2.375333276 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 74.59 94.31 94.310000277 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 8.75 11.83 11.830000278 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 3.50 4.73 4.730000279 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL. P-RF 1 6.84 9.24 9.240000280 N02AX02 TRAMADOLUM TRAMAL (R) PICATURI ORALE-SOL. 100mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 5.38 7.27 7.270000281 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 100 105.37 128.64 1.286400282 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 8.53 11.53 2.306000283 N02AX02 TRAMADOLUM TRAMAL (R) 50 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 5.25 7.10 1.420000284 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 9.10 12.30 2.460000285 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 7.44 10.06 2.012000

Page 36 of 56

286 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 10.71 14.48 1.448000287 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 5.36 7.24 1.448000288 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 7.98 10.79 2.158000289 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 3.40 4.59 0.918000290 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 5.33 7.21 1.442000291 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ. P-RF 5 3.88 5.24 1.048000292 R05CB13 DORNAZA ALFA** PULMOZYME SOL. INHAL. 1mg/ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE IN PUNGA AL S/P-RF 6 519.76 604.69 100.781666293 V03AC03 DEFERASIROXUM** EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) P-RF/R 28 647.40 743.82 26.565000294 V03AC03 DEFERASIROXUM** EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 28 1,374.00 1,535.81 54.850357295 V03AC03 DEFERASIROXUM** EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 28 2,499.59 2,762.71 98.668214296 V03AF01 MESNUM UROMITEXAN (R) 400 mg SOL. INJ. 400mg/4ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML S 15 42.13 55.11 3.674000

L04AA04 IMUNOGLOBULINA ANTILIMFOCITE UMANE**

J01XC01 ACIDUM FUSIDICUM

B02BD08 EPTACOG ALFA ACTIVATUM**

1 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 62.72 79.30 7.9300002 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 75.31 95.22 19.0440003 C01CA24 EPINEPHRINUM ADRENALINA 1 mg SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE X 1 ML S 100 108.58 132.55 1.3255004 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 652.44 749.31 62.4425005 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 378.48 450.69 37.5575006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 19.08 25.79 25.7900007 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 93.74 118.53 23.7060008 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 184.14 224.80 22.4800009 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 38.17 49.92 49.920000

10 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 184.14 224.80 44.96000011 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 364.80 435.78 43.57800012 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 38.43 50.27 50.27000013 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 185.40 226.34 45.26800014 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 367.10 438.29 43.82900015 J01DD12 CEFOPERAZONUM MEDOCEF 1 g PULB. PT. SOL. INJ. 1g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 145.07 177.10 17.71000016 J01DD12 CEFOPERAZONUM MEDOCEF 2 g PULB. PT. SOL. INJ. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 241.78 295.17 29.51700017 J01DD12 CEFOPERAZONUM LYZONE 2 g PULB. PT. SOL. INJ. 2g MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. S/P-RF 1 18.84 25.47 25.47000018 J01DD12 CEFOPERAZONUM CEFOZON 500 mg PULB. PT. SOL. INJ. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. S/P-RF 1 3.64 4.92 4.92000019 J01DD12 CEFOPERAZONUM CEFOZON 2 g PULB. PT. SOL. INJ./PERF. I.M./I.V. 2g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V. S/P-RF 1 10.90 14.73 14.73000020 J01DD12 CEFOPERAZONUM CEFOZON 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V. S/P-RF 1 6.61 8.94 8.94000021 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 5 137.34 167.66 33.53200022 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 10 274.67 335.32 33.53200023 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 5 137.34 167.66 33.53200024 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. INJ. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 10 274.67 335.32 33.53200025 J01DH51 IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF 10 420.10 496.06 49.60600026 J01DH51 IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF 25 1,005.25 1,133.87 45.35480027 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 1,507.24 1,681.04 168.104000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA P9.2: TRANSPLANT DE CORD

Page 37 of 56

28 J01XX08 LINEZOLIDUM ZYVOXID (R) GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 827.52 940.15 940.15000029 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 1,507.24 1,681.04 168.10400030 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 181.83 221.98 7.92785731 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 17.79 24.04 6.01000032 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 31.12 40.71 5.81571433 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 61.37 77.60 4.85000034 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 6.56 8.86 4.43000035 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 21.89 29.58 4.22571436 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 15.64 21.14 21.14000037 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 58.38 73.82 18.45500038 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. P-RF 2 31.06 40.62 20.31000039 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 6.90 9.32 9.32000040 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 17.42 23.54 23.54000041 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 13.11 17.72 17.72000042 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 10.12 13.68 13.68000043 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 6.90 9.32 9.32000044 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.39 8.64 8.64000045 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. P-RF 3 22.23 30.05 10.01666646 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8.70 11.76 11.76000047 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 4.58 6.19 6.19000048 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.73 9.09 9.09000049 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.70 7.70 7.70000050 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 1 CAPS. P-RF 1 7.38 9.98 9.98000051 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.58 6.19 6.19000052 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 6.28 8.49 8.49000053 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.28 8.49 8.49000054 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 28.26 36.96 5.28000055 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 44.30 57.94 8.27714256 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 15.68 21.19 3.02714257 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 40.58 53.08 7.58285758 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 20.57 27.80 3.97142859 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 30.10 39.37 5.62428560 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 15.68 21.19 3.02714261 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 13.22 17.87 2.23375062 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 17.74 23.98 2.39800063 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 11.58 15.65 2.23571464 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 13.68 18.49 2.64142865 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 13.60 18.38 2.62571466 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.22 15.16 2.16571467 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 7 CAPS. P-RF 7 16.99 22.97 3.28142868 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 10.96 14.81 2.11571469 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 13.28 17.95 2.56428570 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 40.58 53.08 53.08000071 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S/P-RF 1 125.05 152.66 152.66000072 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S/P-RF 1 29.09 38.05 38.050000

Page 38 of 56

73 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML S/PR-F 1 32.90 43.03 43.03000074 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 50 ML SOL. PERF. S 1 28.68 37.52 37.52000075 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. PERF. S 1 40.05 52.38 52.38000076 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 200 ML SOL. PERF. S 1 129.05 157.55 157.55000077 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S 1 38.14 49.89 49.89000078 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,343.84 3,682.94 131.53357179 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 858.25 973.64 34.77285780 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 431.95 508.98 508.98000081 J02AC03 VORICONAZOLUM** VFEND 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 2,070.87 2,295.40 2295.40000082 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,568.11 5,017.40 83.62333383 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 427.05 503.63 5.03630084 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 427.05 503.63 10.07260085 L04AA06 MYCOPHENOLATUM** MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM. 500mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 275.00 335.72 6.71440086 L04AA06 MYCOPHENOLATUM** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 525.44 610.88 5.09066687 L04AA06 MYCOPHENOLATUM** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 980.15 1,106.52 9.22100088 L04AA06 MYCOPHENOLATUM MOFETILUM MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R 100 283.85 346.53 3.46530089 L04AA06 MYCOPHENOLATUM MOFETILUM MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS. P-RF/R 100 275.00 335.72 3.35720090 L04AA06 MYCOPHENOLATUM MOFETILUM MYFENAX 500mg COMPR. FILM. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R 50 283.85 346.53 6.93060091 L04AA06 MYCOPHENOLATUM MOFETILUM MYCOPHENOLAT MOFETIL ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 280.50 342.43 6.84860092 L04AD02 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 50 374.97 446.87 8.93740093 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 107.54 131.29 2.62580094 L04AD02 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 69.90 88.38 1.76760095 L04AD02 CICLOSPORINUM CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 107.67 131.44 2.62880096 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 224.70 274.32 5.48640097 L04AD02 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 50 146.06 178.31 3.56620098 L04AD02 CICLOSPORINUM CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 234.74 286.57 5.73140099 L04AD02 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 1 338.00 406.57 406.570000

100 L04AD02 TACROLIMUSUM** PROGRAF (R) 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 192.85 235.43 4.708600101 L04AD02 TACROLIMUSUM** PROGRAF (R) 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 343.36 412.41 8.248200102 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 1,612.32 1,795.58 35.911600103 L04AD02 TACROLIMUSUM** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 192.41 234.90 4.698000104 L04AD02 TACROLIMUSUM** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 379.80 452.13 9.042600105 L04AD02 TACROLIMUSUM** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 1,753.56 1,949.53 38.990600106 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML S 10 1,452.71 1,621.61 162.161000

L04AA04 IMUNOGLOBULINA ANTILIMFOCITE UMANE**

B05AA06 POLYGELINUM

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 92.29 116.69 1.1669002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 54.03 68.32 1.3664003 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 51.08 64.58 1.2916004 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 55.13 69.71 6.971000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA P9.3: TRANSPLANT HEPATIC

Page 39 of 56

5 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 10 111.19 135.74 13.5740006 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 10 144.50 176.41 17.6410007 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 37.47 49.01 24.5050008 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 62.72 79.30 7.9300009 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 75.31 95.22 19.044000

10 B01AC11 ILOPROSTUM** ILOMEDIN 20 CONC. PT. SOL. PERF. 20mcg/ml BAYER SCHERING PHARMA AG GERMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. PERFZ. S 5 719.82 822.76 164.55200011 B01AC11 ILOPROSTUM** VENTAVIS 10mcg/ml SOL. DE INHALAT PRIN NEBULIZ. 10mcg/ml BAYER SCHERING PHARMA AG GERMANIA CUTIE X 30 FIOLE X 1 ML SOL. DE INHALAT PRIN NEBULIZ. S 30 1,830.00 2,032.85 67.76166612 B01AD02 ALTEPLASUM** ACTILYSE LIOF. + SOLV. PT. SOL. INJ. 50mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FLACON SOLV. + CANULA DE TRANSFER S 1 1,401.73 1,566.04 1566.040000

13 B02AA02 ACIDUM TRANEXAMICUM 4 EXACYL SOL. INJ. 500mg/5ml CN UNIFARM ROMANIA CUTIE X 5 FIOLE X 5ML SOL. INJ. X 5 8.89 12.02 2.40400014 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUREX 50 CAPS. 50mg/20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 14.69 19.86 0.99300015 H01BA02 DESMOPRESSINUM DESMOPRESINA TEVA 0,1 mg COMPR. 0,1mg TEVA PHARMACEUTICAL S.R.L. UNGARIA CUTIE CU BLIST. OPA-AL- PVC/AL X 30 COMPR. P-RF 30 50.43 63.77 2.12566616 H01BA02 DESMOPRESSINUM DESMOPRESINA TEVA 0,2mg COMPR. 0,2mg TEVA PHARMACEUTICAL S.R.L. UNGARIA CUTIE CU BLIST. OPA-AL- PVC/AL X 30 COMPR. P-RF 30 98.83 124.96 4.16533317 H01BA02 DESMOPRESSINUM MINIRIN 0,2 mg COMPR. 0,2mg FERRING GMBH GERMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF 30 150.21 183.38 6.11266618 H01BA02 DESMOPRESSINUM MINIRIN MELT 120 mcg LIOF. ORAL 120mcg FERRING GMBH GERMANIA CUTIE X 3 BLIST. AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF 30 150.21 183.38 6.11266619 H01BA02 DESMOPRESSINUM MINIRIN MELT 60 mcg LIOF. ORAL 60mcg FERRING GMBH GERMANIA CUTIE X 3 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF 30 76.65 96.92 3.23066620 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 652.44 749.31 62.44250021 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 378.48 450.69 37.55750022 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 19.08 25.79 25.79000023 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 93.74 118.53 23.70600024 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 184.14 224.80 22.48000025 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 38.17 49.92 49.92000026 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 184.14 224.80 44.96000027 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 364.80 435.78 43.57800028 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 38.43 50.27 50.27000029 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 185.40 226.34 45.26800030 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 367.10 438.29 43.82900031 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 1,507.24 1,681.04 168.10400032 J01XX08 LINEZOLIDUM ZYVOXID (R) GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 827.52 940.15 940.15000033 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 1,507.24 1,681.04 168.10400034 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,343.84 3,682.94 131.53357135 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 858.25 973.64 34.77285736 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 431.95 508.98 508.98000037 J02AC03 VORICONAZOLUM** VFEND 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 2,070.87 2,295.40 2295.40000038 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 1,130.84 1,270.77 1270.77000039 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 1,466.75 1,636.91 1636.91000040 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,568.11 5,017.40 83.62333341 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 1 250.75 306.12 306.12000042 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 1 411.76 486.97 486.97000043 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 201.08 245.48 245.48000044 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 336.00 404.39 404.39000045 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 427.05 503.63 5.03630046 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 427.05 503.63 10.07260047 L04AA06 MYCOPHENOLATUM** MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM. 500mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 275.00 335.72 6.71440048 L04AA06 MYCOPHENOLATUM** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 525.44 610.88 5.09066649 L04AA06 MYCOPHENOLATUM** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 980.15 1,106.52 9.221000

Page 40 of 56

50 L04AA06 MYCOPHENOLATUM MOFETILUM MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R 100 283.85 346.53 3.46530051 L04AA06 MYCOPHENOLATUM MOFETILUM MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS. P-RF/R 100 275.00 335.72 3.35720052 L04AA06 MYCOPHENOLATUM MOFETILUM MYFENAX 500mg COMPR. FILM. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R 50 283.85 346.53 6.93060053 L04AA06 MYCOPHENOLATUM MOFETILUM MYCOPHENOLAT MOFETIL ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 280.50 342.43 6.84860054 L04AA10 SIROLIMUS** RAPAMUNE 1mg DRAJ. 1mg WYETH EUROPA LTD. MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) P-RF/R 30 461.26 540.92 18.03066655 L04AD02 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 50 374.97 446.87 8.93740056 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 107.54 131.29 2.62580057 L04AD02 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 69.90 88.38 1.76760058 L04AD02 CICLOSPORINUM CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 107.67 131.44 2.62880059 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 224.70 274.32 5.48640060 L04AD02 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 50 146.06 178.31 3.56620061 L04AD02 CICLOSPORINUM CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 234.74 286.57 5.73140062 L04AD02 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 1 338.00 406.57 406.57000063 L04AD02 TACROLIMUSUM PROGRAF (R) 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 192.85 235.43 4.70860064 L04AD02 TACROLIMUSUM PROGRAF (R) 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 343.36 412.41 8.24820065 L04AD02 TACROLIMUSUM PROGRAF (R) 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 1,612.32 1,795.58 35.91160066 L04AD02 TACROLIMUSUM ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 192.41 234.90 4.69800067 L04AD02 TACROLIMUSUM ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 379.80 452.13 9.04260068 L04AD02 TACROLIMUSUM ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 1,753.56 1,949.53 38.99060069 L04AD02 TACROLIMUSUM PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML S 10 1,452.71 1,621.61 162.161000

B02BD08 EPTACOG ALFA ACTIVATUM**

J06BB04 IMUNOGLOBULINA ANTIHEPATITICA B**

J06BB04 PROTEINA PLASMATICA UMANA**

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 92.29 116.69 1.1669002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 54.03 68.32 1.3664003 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 51.08 64.58 1.2916004 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 24.14 32.63 0.6526005 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF 30 21.81 29.48 0.9826666 B01AB04 DALTEPARINUM FRAGMIN 10000 UI/0,4 ml SOL. INJ. 10000UI/0,4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. X 1 SERINGA X 0,4 ML SOL. INJ. S/P-RF 5 96.89 122.51 24.5020007 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 10 205.23 250.55 25.0550008 B01AB04 DALTEPARINUM FRAGMIN 12500 UI/0,5 ml SOL. INJ. 12500 UI/0,5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. X 1 SERINGA X 0,5 ML SOL. INJ. S/P-RF 5 131.41 160.43 32.0860009 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 5 159.12 194.25 38.850000

10 B01AB04 DALTEPARINUM FRAGMIN 18000 UI/0,72 ml SOL. INJ. 18000 UI/0,72ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. X 1 SERINGA X 0,72 ML SOL. INJ. S/P-RF 5 180.95 220.90 44.18000011 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 57.62 72.85 7.28500012 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 10 111.33 135.91 13.59100013 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 10 156.14 190.61 19.06100014 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 55.13 69.71 6.97100015 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 10 111.19 135.74 13.57400016 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 10 144.50 176.41 17.64100017 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 37.47 49.01 24.505000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS

Page 41 of 56

18 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 62.72 79.30 7.93000019 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 75.31 95.22 19.04400020 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 2,001.56 2,219.85 369.97500021 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 6 203.17 248.03 41.33833322 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 10 255.20 311.55 31.15500023 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 6 429.91 506.75 84.45833324 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 6 622.80 717.00 119.50000025 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 1,254.00 1,405.01 1405.01000026 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 10 494.01 576.62 57.66200027 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 6 818.39 930.20 155.03333328 B03XA01 EPOETINUM ALFA BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,458.00 1,627.37 271.22833329 B03XA01 EPOETINUM ALFA ABSEAMED 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,552.96 1,730.88 288.48000030 B03XA01 EPOETINUM ALFA BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 167.99 205.08 34.18000031 B03XA01 EPOETINUM ALFA ABSEAMED 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,5ML SOL. INJ S/P-RF/R 6 183.57 224.10 37.35000032 B03XA01 EPOETINUM ALFA BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 335.80 404.17 67.36166633 B03XA01 EPOETINUM ALFA ABSEAMED 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 364.16 435.08 72.51333334 B03XA01 EPOETINUM ALFA BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. S/P-RF/R 6 489.04 571.20 95.20000035 B03XA01 EPOETINUM ALFA ABSEAMED 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,3ML SOL. INJ. S/P-RF/R 6 531.68 617.68 102.94666636 B03XA01 EPOETINUM ALFA BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 642.24 738.19 123.03166637 B03XA01 EPOETINUM ALFA ABSEAMED 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 694.28 794.92 132.48666638 B03XA01 EPOETINUM ALFA BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 795.40 905.14 150.85666639 B03XA01 EPOETINUM ALFA ABSEAMED 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 866.40 982.53 163.75500040 B03XA01 EPOETINUM ALFA ABSEAMED 6000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,6ML SOL. INJ. S/P-RF/R 6 1,033.71 1,164.90 194.15000041 B03XA01 EPOETINUM ALFA ABSEAMED 8000UI/0,8ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,8ML SOL. INJ. S/P-RF/R 6 1,368.32 1,529.62 254.93666642 B03XA01 EPOETINUM BETA NEORECORMON 10000UI/0,6ml 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 1,990.40 2,207.69 367.94833343 B03XA01 EPOETINUM BETA NEORECORMON 1000UI/0,3ml 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 6 215.29 262.83 43.80500044 B03XA01 EPOETINUM BETA NEORECORMON 2000UI/0,3ml 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 6 422.32 498.48 83.08000045 B03XA01 EPOETINUM BETA NEORECORMON 30000UI/0,6ml 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 1 980.76 1,107.18 1107.18000046 B03XA01 EPOETINUM BETA NEORECORMON 4000UI/0,3ml 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 6 814.08 925.50 154.25000047 B03XA01 EPOETINUM BETA NEORECORMON 5000UI/0,3ml 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 1,009.84 1,138.88 189.81333348 B03XA01 EPOETINUM BETA NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE S/P-RF/R 6 110.71 135.15 22.52500049 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 3,267.95 3,600.22 3600.22000050 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 2,036.88 2,258.35 2258.35000051 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 4,525.03 4,970.44 4970.44000052 H01CB02 OCTREOTIDUM** SANDOSTATIN (R) SOL. INJ. 0,1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 117.39 143.31 28.66200053 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 652.44 749.31 62.44250054 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 378.48 450.69 37.55750055 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 19.08 25.79 25.79000056 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 93.74 118.53 23.70600057 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 184.14 224.80 22.48000058 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 38.17 49.92 49.92000059 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 184.14 224.80 44.96000060 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 364.80 435.78 43.57800061 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 38.43 50.27 50.27000062 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 185.40 226.34 45.268000

Page 42 of 56

63 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 367.10 438.29 43.82900064 J01XA02 TEICOPLANINUM TARGOCID (R) 400 mg LIOF. + SOLV. PT. SOL. INJ. 400mg AVENTIS PHARMA LTD. MAREA BRITANIE CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV. P-RF 1 110.96 135.46 135.46000065 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 1,507.24 1,681.04 168.10400066 J01XX08 LINEZOLIDUM ZYVOXID (R) GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 827.52 940.15 940.15000067 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 1,507.24 1,681.04 168.10400068 J02AB02 KETOCONAZOLUM NIZORAL 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 14.21 19.21 1.92100069 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg MAGISTRA C & C ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 4.79 6.47 0.64700070 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 4.78 6.46 0.64600071 J02AB02 KETOCONAZOLUM KETOSTIN 200 mg COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 8.77 11.85 1.18500072 J02AB02 KETOCONAZOLUM KEFUNGIN COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 4.78 6.46 0.64600073 J02AB02 KETOCONAZOLUM KETOCONAZOL ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 6.37 8.61 0.86100074 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 181.83 221.98 7.92785775 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 17.79 24.04 6.01000076 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 31.12 40.71 5.81571477 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 61.37 77.60 4.85000078 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 6.56 8.86 4.43000079 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 21.89 29.58 4.22571480 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 15.64 21.14 21.14000081 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 58.38 73.82 18.45500082 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. P-RF 2 31.06 40.62 20.31000083 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 6.90 9.32 9.32000084 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 17.42 23.54 23.54000085 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 13.11 17.72 17.72000086 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 10.12 13.68 13.68000087 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 6.90 9.32 9.32000088 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.39 8.64 8.64000089 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. P-RF 3 22.23 30.05 10.01666690 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8.70 11.76 11.76000091 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 4.58 6.19 6.19000092 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.73 9.09 9.09000093 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.70 7.70 7.70000094 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 1 CAPS. P-RF 1 7.38 9.98 9.98000095 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.58 6.19 6.19000096 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 6.28 8.49 8.49000097 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.28 8.49 8.49000098 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 28.26 36.96 5.28000099 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 44.30 57.94 8.277142

100 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 15.68 21.19 3.027142101 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 40.58 53.08 7.582857102 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 20.57 27.80 3.971428103 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 30.10 39.37 5.624285104 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 15.68 21.19 3.027142105 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 13.22 17.87 2.233750106 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 17.74 23.98 2.398000107 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 11.58 15.65 2.235714

Page 43 of 56

108 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 13.68 18.49 2.641428109 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 13.60 18.38 2.625714110 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.22 15.16 2.165714111 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 7 CAPS. P-RF 7 16.99 22.97 3.281428112 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 10.96 14.81 2.115714113 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 13.28 17.95 2.564285114 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 40.58 53.08 53.080000115 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S/P-RF 1 125.05 152.66 152.660000116 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S/P-RF 1 29.09 38.05 38.050000117 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML S/PR-F 1 32.90 43.03 43.030000118 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 50 ML SOL. PERF. S 1 28.68 37.52 37.520000119 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. PERF. S 1 40.05 52.38 52.380000120 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 200 ML SOL. PERF. S 1 129.05 157.55 157.550000121 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S 1 38.14 49.89 49.890000122 J02AC02 ITRACONAZOLUM ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 57.12 72.22 4.814666123 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 37.74 49.36 3.290666124 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 92.30 116.70 7.780000125 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 37.74 49.36 3.290666126 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 37.74 49.36 3.290666127 J02AC02 ITRACONAZOLUM SPORILIN 100 mg CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 37.74 49.36 3.290666128 J02AC02 ITRACONAZOLUM ITRACONAZOL LPH 100 mg CAPS. 100mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 37.74 49.36 3.290666129 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF 15 37.72 49.34 3.289333130 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,343.84 3,682.94 131.533571131 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 858.25 973.64 34.772857132 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 431.95 508.98 508.980000133 J02AC03 VORICONAZOLUM** VFEND 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 2,070.87 2,295.40 2295.400000134 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 1,130.84 1,270.77 1270.770000135 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 1,466.75 1,636.91 1636.910000136 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 14.06 19.00 0.950000137 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 14.88 20.11 1.005500138 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 663.00 760.82 0.760820139 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 13.53 18.29 1.829000140 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 11.91 16.10 0.805000141 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 11.96 16.16 0.808000142 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 11.41 15.42 0.771000143 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 9.57 12.94 0.647000144 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.03 12.20 0.610000145 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 13.36 18.06 1.806000146 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF 20 5.03 6.80 0.340000147 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 2.60 3.51 0.351000148 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 41.04 53.68 1.533714149 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 5 217.64 265.70 53.140000150 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 74.74 94.50 9.450000151 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,568.11 5,017.40 83.623333152 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 18.15 24.53 0.490600

Page 44 of 56

153 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 11.04 14.92 14.920000154 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 1 250.75 306.12 306.120000155 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 1 411.76 486.97 486.970000156 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 201.08 245.48 245.480000157 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 336.00 404.39 404.390000158 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 427.05 503.63 5.036300159 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 427.05 503.63 10.072600160 L04AA06 MYCOPHENOLATUM** MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM. 500mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 275.00 335.72 6.714400161 L04AA06 MYCOPHENOLATUM** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 525.44 610.88 5.090666162 L04AA06 MYCOPHENOLATUM** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 980.15 1,106.52 9.221000163 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R 100 283.85 346.53 3.465300164 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS. P-RF/R 100 275.00 335.72 3.357200165 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg COMPR. FILM. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R 50 283.85 346.53 6.930600166 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOPHENOLAT MOFETIL ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 280.50 342.43 6.848600167 L04AA08 DACLIZUMABUM ZENAPAX (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 5 ML S 1 1,166.85 1,310.02 1310.020000168 L04AA10 SIROLIMUS** RAPAMUNE 1mg DRAJ. 1mg WYETH EUROPA LTD. MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) P-RF/R 30 461.26 540.92 18.030666169 L04AC02 BASILIXIMABUM SIMULECT 20 mg LIOF. + SOLV. PT. SOL. INJ./PERF. 20mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ. S 1 4,008.84 4,407.79 4407.790000170 L04AD02 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 50 374.97 446.87 8.937400171 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 107.54 131.29 2.625800172 L04AD02 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 69.90 88.38 1.767600173 L04AD02 CICLOSPORINUM CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 107.67 131.44 2.628800174 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 224.70 274.32 5.486400175 L04AD02 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 50 146.06 178.31 3.566200176 L04AD02 CICLOSPORINUM CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 234.74 286.57 5.731400177 L04AD02 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 1 338.00 406.57 406.570000178 L04AD02 TACROLIMUSUM** PROGRAF (R) 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 192.85 235.43 4.708600179 L04AD02 TACROLIMUSUM** PROGRAF (R) 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 343.36 412.41 8.248200180 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 1,612.32 1,795.58 35.911600181 L04AD02 TACROLIMUSUM** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 192.41 234.90 4.698000182 L04AD02 TACROLIMUSUM** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 379.80 452.13 9.042600183 L04AD02 TACROLIMUSUM** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 1,753.56 1,949.53 38.990600184 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML S 10 1,452.71 1,621.61 162.161000185 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 60.09 75.98 0.759800186 M05BA04 ACIDUM ALENDRONICUM ACID ALENDRONIC ACCORD 10 mg COMPR. 10mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L 28 34.65 45.32 1.618571187 M05BA04 ACIDUM ALENDRONICUM TEVANAT 70 mg COMPR. 70 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L 4 34.65 45.32 11.330000188 M05BA04 ACIDUM ALENDRONICUM ACID ALENDRONIC BLUEFISH 70 mg COMPR. 70mg BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. AL/AL X 2 COMPR. P-6L 2 17.32 23.41 11.705000189 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 26.65 34.86 17.430000190 M05BA04 ACIDUM ALENDRONICUM ACID ALENDRONIC ACCORD 70 mg COMPR. 70mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR. P-6L 4 34.65 45.32 11.330000191 M05BA04 ACIDUM ALENDRONICUM RANOS 70 mg COMPR. 70mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR. P-6L 4 34.20 44.73 11.182500192 M05BA04 ACIDUM ALENDRONICUM ADRONIK 70 mg COMPR. FILM. 70mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L 12 101.47 123.88 10.323333193 M05BA04 ACIDUM ALENDRONICUM ADRONIK 70 mg COMPR. FILM. 70mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM. P-6L 2 17.22 23.27 11.635000194 M05BA04 ACIDUM ALENDRONICUM ADRONIK 70 mg COMPR. FILM. 70mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L 4 34.43 45.03 11.257500195 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 5.42 7.32 1.464000

B05AA06 POLYGELINUM

Page 45 of 56

J06BA02

IMUNOGLOBULINA NORMALA PENTRU ADMINISTRARE INTRAVASCULARA**

L04AA04

1 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 62.72 79.30 7.9300002 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 75.31 95.22 19.0440003 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 1,507.24 1,681.04 168.1040004 J01XX08 LINEZOLIDUM ZYVOXID (R) GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 827.52 940.15 940.1500005 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 1,507.24 1,681.04 168.1040006 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,343.84 3,682.94 131.5335717 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 858.25 973.64 34.7728578 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 431.95 508.98 508.9800009 J02AC03 VORICONAZOLUM** VFEND 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 2,070.87 2,295.40 2295.400000

10 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,568.11 5,017.40 83.623333B05AA06 POLYGELINUM

1 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 55.13 69.71 6.9710002 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 10 111.19 135.74 13.5740003 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 10 144.50 176.41 17.6410004 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 37.47 49.01 24.5050005 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 62.72 79.30 7.9300006 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 75.31 95.22 19.0440007 B02AA02 ACIDUM TRANEXAMICUM 4 EXACYL SOL. INJ. 500mg/5ml CN UNIFARM ROMANIA CUTIE X 5 FIOLE X 5ML SOL. INJ. X 5 8.89 12.02 2.4040008 C01CA24 EPINEPHRINUM ADRENALINA 1 mg SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE X 1 ML S 100 108.58 132.55 1.3255009 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 652.44 749.31 62.442500

10 J01CR05 PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF 12 378.48 450.69 37.55750011 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 19.08 25.79 25.79000012 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 93.74 118.53 23.70600013 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 184.14 224.80 22.48000014 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 38.17 49.92 49.92000015 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 184.14 224.80 44.96000016 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 364.80 435.78 43.57800017 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 1 38.43 50.27 50.270000

P9.6: TRANSPLANT PULMONAR

IMUNOGLOBULINA ANTILIMFOCITE UMANE**

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA P9.5: TRANSPLANT CELULE PANCREATICE

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

Page 46 of 56

18 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 5 185.40 226.34 45.26800019 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S 10 367.10 438.29 43.82900020 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 1,507.24 1,681.04 168.10400021 J01XX08 LINEZOLIDUM ZYVOXID (R) GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 827.52 940.15 940.15000022 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 1,507.24 1,681.04 168.10400023 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 181.83 221.98 7.92785724 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 17.79 24.04 6.01000025 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 31.12 40.71 5.81571426 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 61.37 77.60 4.85000027 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 6.56 8.86 4.43000028 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 21.89 29.58 4.22571429 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 15.64 21.14 21.14000030 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 58.38 73.82 18.45500031 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. P-RF 2 31.06 40.62 20.31000032 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 6.90 9.32 9.32000033 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 17.42 23.54 23.54000034 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 13.11 17.72 17.72000035 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 10.12 13.68 13.68000036 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 6.90 9.32 9.32000037 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.39 8.64 8.64000038 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. P-RF 3 22.23 30.05 10.01666639 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8.70 11.76 11.76000040 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 4.58 6.19 6.19000041 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.73 9.09 9.09000042 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.70 7.70 7.70000043 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 1 CAPS. P-RF 1 7.38 9.98 9.98000044 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.58 6.19 6.19000045 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 6.28 8.49 8.49000046 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.28 8.49 8.49000047 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 28.26 36.96 5.28000048 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 44.30 57.94 8.27714249 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 15.68 21.19 3.02714250 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 40.58 53.08 7.58285751 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 20.57 27.80 3.97142852 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 30.10 39.37 5.62428553 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 15.68 21.19 3.02714254 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 13.22 17.87 2.23375055 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 17.74 23.98 2.39800056 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 11.58 15.65 2.23571457 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 13.68 18.49 2.64142858 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 13.60 18.38 2.62571459 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.22 15.16 2.16571460 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 7 CAPS. P-RF 7 16.99 22.97 3.28142861 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 10.96 14.81 2.11571462 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 13.28 17.95 2.564285

Page 47 of 56

63 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 40.58 53.08 53.08000064 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S/P-RF 1 125.05 152.66 152.66000065 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S/P-RF 1 29.09 38.05 38.05000066 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML S/PR-F 1 32.90 43.03 43.03000067 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 50 ML SOL. PERF. S 1 28.68 37.52 37.52000068 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. PERF. S 1 40.05 52.38 52.38000069 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 200 ML SOL. PERF. S 1 129.05 157.55 157.55000070 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S 1 38.14 49.89 49.89000071 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,343.84 3,682.94 131.53357172 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 858.25 973.64 34.77285773 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 431.95 508.98 508.98000074 J02AC03 VORICONAZOLUM** VFEND 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 2,070.87 2,295.40 2295.40000075 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 14.06 19.00 0.95000076 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 14.88 20.11 1.00550077 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 663.00 760.82 0.76082078 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 13.53 18.29 1.82900079 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 11.91 16.10 0.80500080 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 11.96 16.16 0.80800081 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 11.41 15.42 0.77100082 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 9.57 12.94 0.64700083 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.03 12.20 0.61000084 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 13.36 18.06 1.80600085 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF 20 5.03 6.80 0.34000086 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 2.60 3.51 0.35100087 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 41.04 53.68 1.53371488 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 5 217.64 265.70 53.14000089 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,568.11 5,017.40 83.62333390 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 427.05 503.63 5.03630091 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 427.05 503.63 10.07260092 L04AA06 MYCOPHENOLATUM** MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM. 500mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 275.00 335.72 6.71440093 L04AA06 MYCOPHENOLATUM** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 525.44 610.88 5.09066694 L04AA06 MYCOPHENOLATUM** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 980.15 1,106.52 9.22100095 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R 100 283.85 346.53 3.46530096 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS. P-RF/R 100 275.00 335.72 3.35720097 L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg COMPR. FILM. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R 50 283.85 346.53 6.93060098 L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOPHENOLAT MOFETIL ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 280.50 342.43 6.84860099 L04AC02 BASILIXIMABUM** SIMULECT 20 mg LIOF. + SOLV. PT. SOL. INJ./PERF. 20mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ. S 1 4,008.84 4,407.79 4407.790000

100 L04AD02 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 50 374.97 446.87 8.937400101 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 107.54 131.29 2.625800102 L04AD02 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 69.90 88.38 1.767600103 L04AD02 CICLOSPORINUM CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 107.67 131.44 2.628800104 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 224.70 274.32 5.486400105 L04AD02 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 50 146.06 178.31 3.566200106 L04AD02 CICLOSPORINUM CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 234.74 286.57 5.731400107 L04AD02 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 1 338.00 406.57 406.570000

Page 48 of 56

108 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 60.09 75.98 0.759800109 N02AX02 TRAMADOLUM TRAMAL (R) CAPS. 50mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 8.21 11.09 0.554500110 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.50 7.43 0.371500111 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.06 5.49 0.274500112 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS. P-RF 30 8.01 10.82 0.360666113 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 CAPS. P-RF/S 50 13.28 17.95 0.359000114 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 CAPS. P-RF/S 100 26.56 34.74 0.347400115 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 2.67 3.61 0.361000116 N02AX02 TRAMADOLUM MABRON 50 mg CAPS. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.46 4.68 0.468000117 N02AX02 TRAMADOLUM K-ALMA (R) CAPS. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.33 7.21 0.360500118 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 2.67 3.61 0.361000119 N02AX02 TRAMADOLUM TRAMADOL LPH 50 mg CAPS. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.33 7.21 0.360500120 N02AX02 TRAMADOLUM URGENDOL CAPS. 50mg MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 2.64 3.57 0.357000121 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.24 8.44 0.422000122 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 12.08 16.33 1.633000123 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 23.25 31.43 1.571500124 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 34.02 44.50 1.483333125 N02AX02 TRAMADOLUM TRAMAL UNO 100 mg CAPS. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 54.15 68.47 1.369400126 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 18.13 24.50 2.450000127 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 34.89 45.63 2.281500128 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 51.03 64.52 2.150666129 N02AX02 TRAMADOLUM TRAMAL UNO 150 mg CAPS. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 79.80 100.90 2.018000130 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 10 22.62 30.57 3.057000131 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF 20 41.95 54.87 2.743500132 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 58.02 73.36 2.445333133 N02AX02 TRAMADOLUM TRAMAL UNO 200 mg CAPS. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S 50 90.16 114.00 2.280000134 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.33 7.21 0.360500135 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 5.33 7.21 0.360500136 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.92 9.35 0.467500137 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 4.38 5.92 0.592000138 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 13.15 17.77 0.592333139 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 34.80 45.52 0.910400140 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 6.85 9.26 0.926000141 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 18.96 25.62 0.854000142 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 5 COMPR.ELIM.PREL. P-RF 5 5.15 6.96 1.392000143 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIM.PREL. P-RF 30 28.36 37.10 1.236666144 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 23.31 31.51 1.050333145 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 14.63 19.77 1.977000146 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 19.10 25.82 2.582000147 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. P-RF 10 13.95 18.86 1.886000148 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. P-RF 30 37.21 48.67 1.622333149 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. X PVC-PVDC/AL X 10 COMPR. ELIB. PREL. P-RF 10 19.40 26.22 2.622000150 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. X PVC-PE-ACLAR/AL X 10 COMPR. ELIB. PREL. P-RF 30 56.79 71.80 2.393333151 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 7.38 9.98 0.332666152 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 6.74 9.11 0.911000

Page 49 of 56

153 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 15.30 20.68 2.068000154 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 44.82 58.63 1.954333155 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 19.58 26.47 2.647000156 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 56.36 71.26 2.375333157 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 74.59 94.31 94.310000158 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 8.75 11.83 11.830000159 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 3.50 4.73 4.730000160 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL. P-RF 1 6.84 9.24 9.240000161 N02AX02 TRAMADOLUM TRAMAL (R) PICATURI ORALE-SOL. 100mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 5.38 7.27 7.270000162 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 100 105.37 128.64 1.286400163 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 8.53 11.53 2.306000164 N02AX02 TRAMADOLUM TRAMAL (R) 50 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 5.25 7.10 1.420000165 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 9.10 12.30 2.460000166 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 7.44 10.06 2.012000167 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 10.71 14.48 1.448000168 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 5.36 7.24 1.448000169 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 7.98 10.79 2.158000170 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 3.40 4.59 0.918000171 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 5.33 7.21 1.442000172 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ. P-RF 5 3.88 5.24 1.048000

L04AA04

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 92.29 116.69 1.1669002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 54.03 68.32 1.3664003 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 51.08 64.58 1.2916004 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 2,001.56 2,219.85 369.9750005 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 6 203.17 248.03 41.3383336 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 10 255.20 311.55 31.1550007 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 6 429.91 506.75 84.4583338 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 6 622.80 717.00 119.5000009 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 1,254.00 1,405.01 1405.010000

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 10 494.01 576.62 57.66200011 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 6 818.39 930.20 155.03333312 B03XA01 EPOETINUM ALFA** BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,458.00 1,627.37 271.22833313 B03XA01 EPOETINUM ALFA** ABSEAMED 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,552.96 1,730.88 288.48000014 B03XA01 EPOETINUM ALFA** BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 167.99 205.08 34.18000015 B03XA01 EPOETINUM ALFA** ABSEAMED 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,5ML SOL. INJ S/P-RF/R 6 183.57 224.10 37.35000016 B03XA01 EPOETINUM ALFA** BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 335.80 404.17 67.36166617 B03XA01 EPOETINUM ALFA** ABSEAMED 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 364.16 435.08 72.51333318 B03XA01 EPOETINUM ALFA** BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. S/P-RF/R 6 489.04 571.20 95.20000019 B03XA01 EPOETINUM ALFA** ABSEAMED 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,3ML SOL. INJ. S/P-RF/R 6 531.68 617.68 102.946666

IMUNGLOBULINA ANTILIMFOCITE UMANE**

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA P9.7: TRATAMENTUL STARII POSTTRANSPLANT IN AMBULATORIU A PACIENTILOR TRANSPLANTATI

Page 50 of 56

20 B03XA01 EPOETINUM ALFA** BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 642.24 738.19 123.03166621 B03XA01 EPOETINUM ALFA** ABSEAMED 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 694.28 794.92 132.48666622 B03XA01 EPOETINUM ALFA** BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 795.40 905.14 150.85666623 B03XA01 EPOETINUM ALFA** ABSEAMED 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 866.40 982.53 163.75500024 B03XA01 EPOETINUM ALFA** ABSEAMED 6000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,6ML SOL. INJ. S/P-RF/R 6 1,033.71 1,164.90 194.15000025 B03XA01 EPOETINUM ALFA** ABSEAMED 8000UI/0,8ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,8ML SOL. INJ. S/P-RF/R 6 1,368.32 1,529.62 254.93666626 B03XA01 EPOETINUM BETA** NEORECORMON 10000UI/0,6ml 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 1,990.40 2,207.69 367.94833327 B03XA01 EPOETINUM BETA** NEORECORMON 1000UI/0,3ml 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 6 215.29 262.83 43.80500028 B03XA01 EPOETINUM BETA** NEORECORMON 2000UI/0,3ml 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 6 422.32 498.48 83.08000029 B03XA01 EPOETINUM BETA** NEORECORMON 30000UI/0,6ml 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 1 980.76 1,107.18 1107.18000030 B03XA01 EPOETINUM BETA** NEORECORMON 4000UI/0,3ml 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 6 814.08 925.50 154.25000031 B03XA01 EPOETINUM BETA** NEORECORMON 5000UI/0,3ml 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 1,009.84 1,138.88 189.81333332 B03XA01 EPOETINUM BETA** NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE S/P-RF/R 6 110.71 135.15 22.52500033 B03XA02 DARBEPOETINUM ALFA** ARANESP 100mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 2,702.32 2,983.68 745.92000034 B03XA02 DARBEPOETINUM ALFA** ARANESP 10mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 304.44 369.99 92.49750035 B03XA02 DARBEPOETINUM ALFA** ARANESP 150mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 4,024.91 4,425.31 1106.32750036 B03XA02 DARBEPOETINUM ALFA** ARANESP 15mcg/0,375ml SOL. INJ. IN SERINGA PREUMPLUTA 15mcg/0,375ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML P-RF/R 4 440.56 518.36 129.59000037 B03XA02 DARBEPOETINUM ALFA** ARANESP 20mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 574.24 664.07 166.01750038 B03XA02 DARBEPOETINUM ALFA** ARANESP 300mcg/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML P-RF/R 1 1,871.55 2,078.14 2078.14000039 B03XA02 DARBEPOETINUM ALFA** ARANESP 30mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 838.56 952.18 238.04500040 B03XA02 DARBEPOETINUM ALFA** ARANESP 40mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 1,105.15 1,242.77 310.69250041 B03XA02 DARBEPOETINUM ALFA** ARANESP 500mcg/ml SOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML P-RF/R 1 3,099.25 3,416.34 3416.34000042 B03XA02 DARBEPOETINUM ALFA** ARANESP 50mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 1,370.32 1,531.80 382.95000043 B03XA02 DARBEPOETINUM ALFA** ARANESP 60mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 1,637.71 1,823.26 455.81500044 B03XA02 DARBEPOETINUM ALFA** ARANESP 80mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 2,170.76 2,404.28 601.07000045 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 22.66 30.63 0.61260046 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 20.59 27.83 1.39150047 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 4.54 6.13 0.20433348 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 6.11 8.26 8.26000049 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 48.80 63.83 4.25533350 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 21.54 29.12 29.12000051 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 14.21 19.21 19.21000052 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.24 1.68 0.08400053 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000 41.72 54.57 0.05457054 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.83 2.47 0.08233355 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 1.72 2.33 0.07766656 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.75 2.37 0.07900057 H02AB07 PREDNISONUM PREDNISON COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR.; (2 ANI) P-RF 30 4.14 5.59 0.18633358 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.24 1.68 0.08400059 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.54 2.08 0.10400060 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BISEPTRIM COMPR. 400mg/80mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 2.63 3.56 0.17800061 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 2.87 3.88 0.19400062 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 2.32 3.14 0.15700063 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BITRIM 400mg/80mg COMPR. 400mg/80mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.32 3.14 0.15700064 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 5.70 7.70 7.700000

Page 51 of 56

65 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 3.31 4.47 4.47000066 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 181.83 221.98 7.92785767 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 17.79 24.04 6.01000068 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 31.12 40.71 5.81571469 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 61.37 77.60 4.85000070 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 6.56 8.86 4.43000071 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 21.89 29.58 4.22571472 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 15.64 21.14 21.14000073 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 58.38 73.82 18.45500074 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. P-RF 2 31.06 40.62 20.31000075 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 6.90 9.32 9.32000076 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 17.42 23.54 23.54000077 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 13.11 17.72 17.72000078 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 10.12 13.68 13.68000079 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 6.90 9.32 9.32000080 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.39 8.64 8.64000081 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. P-RF 3 22.23 30.05 10.01666682 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8.70 11.76 11.76000083 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 4.58 6.19 6.19000084 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.73 9.09 9.09000085 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.70 7.70 7.70000086 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 1 CAPS. P-RF 1 7.38 9.98 9.98000087 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 4.58 6.19 6.19000088 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 6.28 8.49 8.49000089 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.28 8.49 8.49000090 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 28.26 36.96 5.28000091 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 44.30 57.94 8.27714292 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 15.68 21.19 3.02714293 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 40.58 53.08 7.58285794 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 20.57 27.80 3.97142895 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 30.10 39.37 5.62428596 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 15.68 21.19 3.02714297 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 13.22 17.87 2.23375098 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 17.74 23.98 2.39800099 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 11.58 15.65 2.235714

100 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 13.68 18.49 2.641428101 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 13.60 18.38 2.625714102 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 11.22 15.16 2.165714103 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 7 CAPS. P-RF 7 16.99 22.97 3.281428104 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 10.96 14.81 2.115714105 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 13.28 17.95 2.564285106 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 40.58 53.08 53.080000107 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S/P-RF 1 125.05 152.66 152.660000108 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S/P-RF 1 29.09 38.05 38.050000109 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML S/PR-F 1 32.90 43.03 43.030000

Page 52 of 56

110 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 50 ML SOL. PERF. S 1 28.68 37.52 37.520000111 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. PERF. S 1 40.05 52.38 52.380000112 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 200 ML SOL. PERF. S 1 129.05 157.55 157.550000113 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S 1 38.14 49.89 49.890000114 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,343.84 3,682.94 131.533571115 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 858.25 973.64 34.772857116 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 431.95 508.98 508.980000117 J02AC03 VORICONAZOLUM** VFEND 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 2,070.87 2,295.40 2295.400000118 J02AC04 POSACONAZOLUM** NOXAFIL SP 40mg/ml SUSP. ORALA 40mg/ml SP EUROPE BELGIA CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R 1 2,537.47 2,804.00 2804.000000119 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 14.06 19.00 0.950000120 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 14.88 20.11 1.005500121 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 663.00 760.82 0.760820122 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 13.53 18.29 1.829000123 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 11.91 16.10 0.805000124 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 11.96 16.16 0.808000125 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 11.41 15.42 0.771000126 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 9.57 12.94 0.647000127 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.03 12.20 0.610000128 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 13.36 18.06 1.806000129 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF 20 5.03 6.80 0.340000130 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 2.60 3.51 0.351000131 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 41.04 53.68 1.533714132 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 5 217.64 265.70 53.140000133 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF 60 4,568.11 5,017.40 83.623333134 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 28 214.38 261.71 9.346785135 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. P-RF/R 60 310.16 376.23 6.270500136 J05AF05 LAMIVUDINUM EPIVIR 10mg/ml 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 84.19 106.45 106.450000137 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 97.67 123.49 123.490000138 L04AA06 MYCOPHENOLATUM CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 427.05 503.63 5.036300139 L04AA06 MYCOPHENOLATUM CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 427.05 503.63 10.072600140 L04AA06 MYCOPHENOLATUM MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM. 500mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 275.00 335.72 6.714400141 L04AA06 MYCOPHENOLATUM MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 525.44 610.88 5.090666142 L04AA06 MYCOPHENOLATUM MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 980.15 1,106.52 9.221000143 L04AA06 MYCOPHENOLATUM MOFETILUM MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R 100 283.85 346.53 3.465300144 L04AA06 MYCOPHENOLATUM MOFETILUM MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS. P-RF/R 100 275.00 335.72 3.357200145 L04AA06 MYCOPHENOLATUM MOFETILUM MYFENAX 500mg COMPR. FILM. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R 50 283.85 346.53 6.930600146 L04AA06 MYCOPHENOLATUM MOFETILUM MYCOPHENOLAT MOFETIL ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R 50 280.50 342.43 6.848600147 L04AA10 SIROLIMUS RAPAMUNE 1mg DRAJ. 1mg WYETH EUROPA LTD. MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) P-RF/R 30 461.26 540.92 18.030666148 L04AD02 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 50 374.97 446.87 8.937400149 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 107.54 131.29 2.625800150 L04AD02 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 69.90 88.38 1.767600151 L04AD02 CICLOSPORINUM CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 107.67 131.44 2.628800152 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 224.70 274.32 5.486400153 L04AD02 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 50 146.06 178.31 3.566200154 L04AD02 CICLOSPORINUM CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 234.74 286.57 5.731400

Page 53 of 56

155 L04AD02 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 1 338.00 406.57 406.570000156 L04AD02 TACROLIMUSUM** PROGRAF (R) 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 192.85 235.43 4.708600157 L04AD02 TACROLIMUSUM** PROGRAF (R) 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 343.36 412.41 8.248200158 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF 50 1,612.32 1,795.58 35.911600159 L04AD02 TACROLIMUSUM** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 192.41 234.90 4.698000160 L04AD02 TACROLIMUSUM** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 379.80 452.13 9.042600161 L04AD02 TACROLIMUSUM** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 1,753.56 1,949.53 38.990600162 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML S 10 1,452.71 1,621.61 162.161000163 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 60.09 75.98 0.759800

1 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 24.14 32.63 0.6526002 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF 30 21.81 29.48 0.9826663 A11CC04 CALCITRIOLUM** ROCALTROL CAPS. MOI 0,25mcg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI P-RF 100 57.17 72.28 0.7228004 A11CC07 PARICALCITOLUM** ZEMPLAR 1mcg CAPS. MOI 1mcg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI P-RF 28 372.12 443.76 15.8485715 A11CC07 PARICALCITOLUM** ZEMPLAR 2mcg CAPS. MOI 2mcg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. P-RF 28 771.12 878.67 31.3810716 A11CC07 PARICALCITOLUM** ZEMPLAR SOL. INJ. 5 mcg/ml ABBOTT LABORATORIES LTD. SPANIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S 5 378.00 450.17 90.0340007 A11CC07 PARICALCITOLUM** ZEMPLAR SOL. INJ. 5 mcg/ml ABBOTT LABORATORIES LTD. SPANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S 5 746.00 851.29 170.2580008 B01AB01 HEPARINUM** HEPARINE SODIQUE PANPHARMA SOL. INJ. 5000ui/ml LAB. PANPHARMA FRANTA CUTIE X 10 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ. S 10 49.25 64.42 6.4420009 B01AB01 HEPARINUM** HEPARIN SOL. INJ. 5000ui/ml POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE X 5 FIOLE X 1ML S 5 6.02 8.14 1.628000

10 B01AB01 HEPARINUM** HEPARIN SOL. INJ. 5000ui/ml POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE X 10 FIOLE X 5ML S 10 31.51 41.21 4.12100011 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 55.13 69.71 6.97100012 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 10 111.19 135.74 13.57400013 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 10 144.50 176.41 17.64100014 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 37.47 49.01 24.50500015 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 57.00 72.07 7.20700016 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 76.83 97.15 9.71500017 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 10 101.88 124.37 12.43700018 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 10 145.95 178.17 17.81700019 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 62.72 79.30 7.93000020 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 75.31 95.22 19.04400021 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 25.21 32.97 16.48500022 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 18.15 24.53 12.26500023 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 10 430.71 507.63 50.76300024 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 10 927.93 1,049.60 104.96000025 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 76.61 96.86 48.43000026 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 97.75 123.59 61.79500027 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 55.68 70.40 35.20000028 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 5 115.19 140.63 28.12600029 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 2,001.56 2,219.85 369.97500030 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 6 203.17 248.03 41.33833331 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 10 255.20 311.55 31.15500032 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 6 429.91 506.75 84.458333

P10: PROGRAM NATIONAL DE SUPLEERE A FUNCTIEI RENALE LA BOLNAVII CU INSUFICIENTA RENALA CRONICA

Page 54 of 56

33 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 6 622.80 717.00 119.50000034 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 1,254.00 1,405.01 1405.01000035 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 10 494.01 576.62 57.66200036 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 6 818.39 930.20 155.03333337 B03XA01 EPOETINUM ALFA** BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,458.00 1,627.37 271.22833338 B03XA01 EPOETINUM ALFA** ABSEAMED 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,552.96 1,730.88 288.48000039 B03XA01 EPOETINUM ALFA** BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 167.99 205.08 34.18000040 B03XA01 EPOETINUM ALFA** ABSEAMED 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,5ML SOL. INJ S/P-RF/R 6 183.57 224.10 37.35000041 B03XA01 EPOETINUM ALFA** BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 335.80 404.17 67.36166642 B03XA01 EPOETINUM ALFA** ABSEAMED 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 364.16 435.08 72.51333343 B03XA01 EPOETINUM ALFA** BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. S/P-RF/R 6 489.04 571.20 95.20000044 B03XA01 EPOETINUM ALFA** ABSEAMED 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,3ML SOL. INJ. S/P-RF/R 6 531.68 617.68 102.94666645 B03XA01 EPOETINUM ALFA** BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 642.24 738.19 123.03166646 B03XA01 EPOETINUM ALFA** ABSEAMED 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 694.28 794.92 132.48666647 B03XA01 EPOETINUM ALFA** BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 795.40 905.14 150.85666648 B03XA01 EPOETINUM ALFA** ABSEAMED 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 866.40 982.53 163.75500049 B03XA01 EPOETINUM ALFA** ABSEAMED 6000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,6ML SOL. INJ. S/P-RF/R 6 1,033.71 1,164.90 194.15000050 B03XA01 EPOETINUM ALFA** ABSEAMED 8000UI/0,8ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,8ML SOL. INJ. S/P-RF/R 6 1,368.32 1,529.62 254.93666651 B03XA01 EPOETINUM BETA** NEORECORMON 10000UI/0,6ml 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 1,990.40 2,207.69 367.94833352 B03XA01 EPOETINUM BETA** NEORECORMON 1000UI/0,3ml 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 6 215.29 262.83 43.80500053 B03XA01 EPOETINUM BETA** NEORECORMON 2000UI/0,3ml 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 6 422.32 498.48 83.08000054 B03XA01 EPOETINUM BETA** NEORECORMON 30000UI/0,6ml 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 1 980.76 1,107.18 1107.18000055 B03XA01 EPOETINUM BETA** NEORECORMON 4000UI/0,3ml 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 6 814.08 925.50 154.25000056 B03XA01 EPOETINUM BETA** NEORECORMON 5000UI/0,3ml 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 1,009.84 1,138.88 189.81333357 B03XA01 EPOETINUM BETA** NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE S/P-RF/R 6 110.71 135.15 22.52500058 B03XA02 DARBEPOETINUM ALFA** ARANESP 100mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 2,702.32 2,983.68 745.92000059 B03XA02 DARBEPOETINUM ALFA** ARANESP 10mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 304.44 369.99 92.49750060 B03XA02 DARBEPOETINUM ALFA** ARANESP 150mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 4,024.91 4,425.31 1106.32750061 B03XA02 DARBEPOETINUM ALFA** ARANESP 15mcg/0,375ml SOL. INJ. IN SERINGA PREUMPLUTA 15mcg/0,375ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML P-RF/R 4 440.56 518.36 129.59000062 B03XA02 DARBEPOETINUM ALFA** ARANESP 20mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 574.24 664.07 166.01750063 B03XA02 DARBEPOETINUM ALFA** ARANESP 300mcg/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML P-RF/R 1 1,871.55 2,078.14 2078.14000064 B03XA02 DARBEPOETINUM ALFA** ARANESP 30mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 838.56 952.18 238.04500065 B03XA02 DARBEPOETINUM ALFA** ARANESP 40mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 1,105.15 1,242.77 310.69250066 B03XA02 DARBEPOETINUM ALFA** ARANESP 500mcg/ml SOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML P-RF/R 1 3,099.25 3,416.34 3416.34000067 B03XA02 DARBEPOETINUM ALFA** ARANESP 50mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 1,370.32 1,531.80 382.95000068 B03XA02 DARBEPOETINUM ALFA** ARANESP 60mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 1,637.71 1,823.26 455.81500069 B03XA02 DARBEPOETINUM ALFA** ARANESP 80mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 2,170.76 2,404.28 601.07000070 H05BX01 CINACALCETUM**** MIMPARA 30 mg COMPR. FILM. 30mg AMGEN EUROPE B.V. OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM. P-RF 28 709.92 811.96 28.99857171 H05BX01 CINACALCETUM**** MIMPARA 60 mg COMPR. FILM. 60mg AMGEN EUROPE B.V. OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM. P-RF 28 1,300.59 1,455.79 51.99250072 H05BX01 CINACALCETUM**** MIMPARA 90 mg COMPR. FILM. 90mg AMGEN EUROPE B.V. OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM. P-RF 28 1,849.56 2,054.17 73.36321473 V03AE02 SEVELAMER** RENAGEL 800mg COMPR. FILM. 800mg GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC.PEID. X 180 COMPR. FILM. P-RF 180 658.12 755.50 4.197222

P11 PROGRAM NATIONAL DE SANATATE MINTALA SUBPROGRAMUL TRATAMENTUL TOXICODEPENDENTELOR

Page 55 of 56

1 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 28 234.31 286.05 10.2160712 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 14 157.17 191.87 13.7050003 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 9.10 12.30 0.2460004 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 20.70 27.98 3.9971425 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 79.92 101.05 14.435714

NOTA:

Medicamentele corespunzatoare DCI-urilor notate cu (4) se importa cu avizul Ministerului Sanatatii Publice;

Medicamentele din această sublistă se eliberează atât prin farmacii cu circuit închis cât și prin farmacii cu circuit deschis pe bază de prescrip ție medicală cu reținere 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;

Medicamentul corespunzator DCI-ului notat cu (3) se livreaza impreuna cu solvent;

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (*) se inițiaza de medicul de specialitate in limita competen ței și poate fi prescris în continuare de medicul de familie pe baza scrisorii medicale emise de medicul de specialitate;

Page 56 of 56

ANEXA 5

Nr. crt cod_atc dci den_com forma_farm conc firma_det tara_det ambalaj pres 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 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 23.00 0.920000 0.920000 0.9200002 A03BA01 ATROPINUM SULFAT DE ATROPINA ZENTIVA 1 mg/ml 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 2.82 0.564000 0.564000 0.5640003 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 3.14 0.628000 0.628000 0.6280004 A03DA02 COMBINATII PIAFEN COMPR. FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 3.33 0.166500 0.166500 0.1665005 A03DA02 COMBINATII ALGIFEN COMPRIMATE COMPR. FARA CONCENTRATIE ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.14 0.157000 0.157000 0.1570006 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 6.10 1.220000 1.220000 1.2200007 A03DA02 COMBINATII PIAFEN SUPOZ. FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII X 3 SUPOZ. P-RF 6 2.10 0.350000 0.350000 0.3500008 A05BAN3 COMBINATII ASPATOFORT (R) SOL. INJ. FARA CONCENTRATIE TERAPIA SA ROMANIA CUTIE X 10 FIOLE X 10 ML P-RF 10 19.04 1.904000 1.904000 1.9040009 A06AD65 COMBINATII FORTRANS (R) 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. ORALA P-RF 4 36.38 9.095000 7.186666 7.186666

10 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 43.12 7.186666 7.186666 7.18666611 A07AX03 NIFUROXAZIDUM ERCEFURYL (R) 200 mg CAPS. 200mg SANOFI-SYNTHELABO OTC FRANTA CUTIE X 2 BLIST. X 14 CAPS. P-RF 28 10.71 0.382500 0.382500 0.38250012 A11CA01 RETINOLUM VITAMIN A 50000 ui CAPS. 50000ui PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 12 CAPS. MOI P-6L 24 1.59 0.066250 0.066250 0.06625013 A11CA01 RETINOLUM VITAMINA A FORTE CAPS. MOI 50000ui BIOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 CAPS. MOI P-6L 30 5.18 0.172666 0.066250 0.06625014 A11CA01 RETINOLUM VITAMINA A BIOFARM 20mg/ml PIC. ORALE, SOL. 20mg/ml BIOFARM SA ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-6L 1 2.33 2.330000 2.330000 2.33000015 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 24.41 24.410000 24.410000 24.41000016 A11CC04 CALCITRIOLUM ROCALTROL CAPS. MOI 0,25mcg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI P-RF 100 72.28 0.722800 0.722800 0.72280017 A11CC05 COLECALCIFEROLUM VIGANTOLETTEN 1000 COMPR. 1000UI MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 7.77 0.259000 0.259000 0.25900018 A11CC05 COLECALCIFEROLUM VIGANTOLETTEN 500 COMPR. 500UI MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 6.29 0.209666 0.209666 0.20966619 A11CC05 COLECALCIFEROLUM VITAMINA D3 BIOFARM 18000UI/ml PIC. ORALE, SOL. 0,45mg/ml BIOFARM S.A. ROMANIA CUTIE X 1 FLACON X 10 ML PIC. ORALE, SOL. P-6L 1 4.75 4.750000 4.750000 4.75000020 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 5.98 5.980000 5.980000 5.98000021 A11CC20 COMBINATII FLUOR VIGANTOLETTEN 1000 COMPR. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 7.52 0.250666 0.250666 0.25066622 A11CC20 COMBINATII FLUOR VIGANTOLETTEN 500 COMPR. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 6.04 0.201333 0.201333 0.20133323 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 6.55 1.310000 1.310000 1.31000024 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-6L 50 26.98 0.539600 0.489700 0.48970025 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 20 DRAJ. P-6L 100 48.97 0.489700 0.489700 0.48970026 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 19.04 0.952000 0.791900 0.791900

SECŢIUNEA C3 - LISTA DE MEDICAMENTE CU PROCENT DE COMPENSARE 100% - CONFORM DCI-URILOR DIN CANAMED, ALTELE DECÂT CELE DIN SUBLISTELE A, B, C1, C2, INDICATE PENTRU COPII PÂNĂ LA 18 ANI, TINERI DE LA 18 LA 26 DE ANI DACA SUNT ELEVI, STUDENŢI SAU UCENICI DACĂ NU

REALIZEAZĂ VENITURI, PRECUM ŞI GRAVIDE ŞI LĂUZE DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE

VALABILĂ ÎNCEPÂND CU 1 IANUARIE 2010

Page 1 of 8

27 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 79.19 0.791900 0.791900 0.79190028 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 44.02 0.880400 0.791900 0.79190029 A11DBN1 COMBINATII MILGAMMA (R) 100 DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L 30 46.82 1.560666 0.791900 0.79190030 A11DBN1 COMBINATII MILGAMMA (R) 100 DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 DRAJ. P-6L 100 132.96 1.329600 0.791900 0.79190031 A11DBN1 COMBINATII MILGAMMA (R) 100 DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L 60 84.46 1.407666 0.791900 0.79190032 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 78.45 3.138000 3.138000 3.13800033 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 17.38 3.476000 3.138000 3.13800034 A11DBN2 COMBINATII NEUROMULTIVIT (R) COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 BLIST. X 20 COMPR. FILM. P-6L 20 10.48 0.524000 0.417500 0.41750035 A11DBN2 COMBINATII NEUROMULTIVIT (R) COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. X 20 COMPR. FILM. P-6L 100 41.75 0.417500 0.417500 0.41750036 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 23.76 4.752000 4.752000 4.75200037 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 1.74 0.087000 0.087000 0.08700038 A11HA02 PYRIDOXINUM SICOVIT B6 250 mg COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 1.74 0.087000 0.087000 0.08700039 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 9.71 1.942000 1.942000 1.94200040 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 6.55 1.310000 1.310000 1.31000041 A11HA03 TOCOFEROLUM VITAMIN E 200 CAPS. MOI 200mg ZENTIVA AS SLOVACIA CUTIE X 1 FLAC. STICLA X 30 CAPS. MOI P-6L 30 8.21 0.273666 0.273666 0.27366642 A11HA03 TOCOFEROLUM VITAMIN E 400 CAPS. MOI 400mg ZENTIVA AS SLOVACIA CUTIE X 1 FLAC. STICLA X 30 CAPS. MOI P-6L 30 15.19 0.506333 0.365833 0.36583343 A11HA03 TOCOFEROLUM VITAMINA E 400 mg CAPS. MOI 400mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 12 CAPS. MOI P-6L 24 8.78 0.365833 0.365833 0.36583344 A12AA03 CALCII GLUCONAS GLUCONAT 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 15.84 0.792000 0.792000 0.79200045 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 14.95 2.990000 0.792000 0.79200046 A14AA03 METANDIENONUM NAPOSIM 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 4.79 0.239500 0.239500 0.23950047 A16AA01 LEVOCARNITINUM MIOCOR SOL. ORALA 10% ECOBI PHARMACEUTICI ITALIA CUTIE X 10 FLACOANE X 10ML P-6L 10 17.20 1.720000 1.720000 1.72000048 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 28.06 2.806000 1.720000 1.72000049 A16AXN1 DIVERSE ACTOVEGIN (R) DRAJ. 200mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 DRAJ. P-6L 50 136.22 2.724400 2.724400 2.72440050 A16AXN1 DIVERSE ACTOVEGIN (R) SOL. INJ. 200mg/5ml NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 5 FIOLE PUNCT DE RUPERE X 5 ML P-RF 5 102.07 20.414000 20.414000 20.41400051 B02BX01 ETAMSYLATUM ETAMSILAT 250mg/2ml SOL. INJ. 250mg/2ml ZENTIVA S.A ROMANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. P-RF 5 6.32 1.264000 1.264000 1.26400052 B02BX02 CARBAZOCHROMI SALICYLAS ADRENOSTAZIN SOL. INJ. 0,3mg/ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE X 5 ML P-RF 5 7.86 1.572000 1.572000 1.57200053 B03AA03 FERROSI GLUCONAS ASCOFER COMPR. FARA CONCENTRATIE ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 20 COMPR. P-6L 20 3.76 0.188000 0.188000 0.18800054 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 3.13 3.130000 3.130000 3.13000055 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 25.89 0.258900 0.258900 0.25890056 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 10.05 0.335000 0.258900 0.25890057 B03AD03 COMBINATII FERRO SANOL GYN CAPS. FARA CONCENTRATIE SCHWARZ PHARMA AG GERMANIA CUTIE X 5 BLIST. AL/PE X 10 CAPS. P-6L 50 34.95 0.699000 0.699000 0.69900058 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 14.11 0.470333 0.470333 0.47033359 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 16.78 0.559333 0.559333 0.55933360 B03AE01 COMBINATII FERRO - FOLGAMMA (R) CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. X 10 CAPS. MOI P-RF 100 40.56 0.405600 0.405600 0.40560061 B03AE01 COMBINATII FERRO - FOLGAMMA (R) CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. X 10 CAPS. MOI P-RF 50 22.80 0.456000 0.405600 0.40560062 B03AE01 COMBINATII FERRO - FOLGAMMA (R) CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. X 10 CAPS. MOI P-RF 20 9.86 0.493000 0.405600 0.40560063 B03AE10 COMBINATII TOT'HEMA SOL. ORALA FARA CONCENTRATIE LAB. INNOTHERA FRANTA CUTIE X 20 FIOLE X 10 ML P-6L 20 16.64 0.832000 0.832000 0.83200064 B03BA01 CYANOCOBALAMINUM SICOVIT B12 50mcg/ml SOL. INJ. 50mcg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. P-RF 5 6.55 1.310000 1.310000 1.31000065 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L 100 79.19 0.791900 0.791900 0.79190066 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L 20 19.04 0.952000 0.791900 0.79190067 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L 50 44.02 0.880400 0.791900 0.79190068 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L 100 79.19 0.791900 0.791900 0.79190069 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L 20 19.04 0.952000 0.791900 0.79190070 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L 50 44.02 0.880400 0.791900 0.79190071 C01EA01 ALPROSTADILUM** ALPROSTADIL "PINT" 500 mcg CONC. PT. SOL. PERF. 500mcg TARUS MEDIA S.R.L. ROMANIA CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF. S 5 1,509.67 301.934000 301.934000 301.934000

Page 2 of 8

72 C02LA51 COMBINATII NEOCRYSTEPIN DRAJ. FARA CONCENTRATIE ZENTIVA AS CEHIA CUTIE X 2 BLIST. AL/PVC X 15 DRAJ. P-6L 30 8.01 0.267000 0.267000 0.26700073 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 11.09 11.090000 2.060000 2.06000074 C04AE01 CODERGOCRINUM CO-DERGOCRIN SOL. ORALA IN PICATURI 0,1% TERAPIA SA ROMANIA CUTIE X 1 FLACON CU DOP PICATOR X 50 ML PIC.ORALE, SOL. P-6L 1 5.12 5.120000 2.060000 2.06000075 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 2.06 2.060000 2.060000 2.06000076 C05AA01 COMBINATII HEMORZON UNGUENT FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 18 G P-RF 1 7.70 7.700000 7.700000 7.70000077 C05AA08 COMBINATII ULTRAPROCT (R) SUPOZ. FARA CONCENTRATIE INTENDIS GMBH GERMANIA CUTIE X 2 FOLII X 5 SUPOZ. P-RF 10 12.14 1.214000 1.214000 1.21400078 C05AA08 COMBINATII ULTRAPROCT (R) UNGUENT RECTAL FARA CONCENTRATIE INTENDIS GMBH GERMANIA CUTIE X 1 TUB X 15 G + 1 CANULA RECTALA P-RF 1 13.68 13.680000 13.680000 13.68000079 C05AD01 COMBINATII DOXIPROCT UNGUENT RECTAL FARA CONCENTRATIE OM PHARMA S.A. PORTUGALIA CUTIE X 1 TUB DIN AL X 30 G UNGUENT RECTAL + CANULA APLICATOARE P-6L 1 20.96 20.960000 20.960000 20.96000080 C05BX01 CALCII DOBESILAS DOXILEK CAPS. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 3 BLIST. AL/PVC. X 10 CAPS. P-6L 30 20.15 0.671666 0.671666 0.67166681 C05CA54 TROXERUTINUM (COMBINATII) GINKOR FORT CAPS. FARA CONCENTRATIE BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 24.16 0.805333 0.805333 0.80533382 C07AB08 CELIPROLOLUM CELIPRES (R) COMPR. FILM. 100mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 7.40 0.740000 0.740000 0.74000083 C07AB08 CELIPROLOLUM CELIPRES (R) COMPR. FILM. 200mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 10.42 1.042000 1.042000 1.04200084 C07NAN1 COMBINATII DISTONOVAL COMPR. FARA CONCENTRATIE FABIOL S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 3.61 0.180500 0.180500 0.18050085 C07NAN1 COMBINATII DISTONOCALM (R) COMPR. FILM. FARA CONCENTRATIE ZENTIVA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 5.55 0.185000 0.185000 0.18500086 C08CA06 NIMODIPINUM NIMOTOP (R) COMPR. FILM. 30mg BAYER HEALTHCARE AG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L/S 100 105.73 1.057300 1.057300 1.05730087 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 5 285.20 57.040000 57.040000 57.04000088 C10AD02 ACIDUM NICOTINICUM NIASPAN 1000 mg COMPR. ELIB. PREL. 1000mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 14 43.84 3.131428 2.771836 2.77183689 C10AD02 ACIDUM NICOTINICUM NIASPAN 1000 mg COMPR. ELIB. PREL. 1000mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 28 82.48 2.945714 2.771836 2.77183690 C10AD02 ACIDUM NICOTINICUM NIASPAN 1000 mg COMPR. ELIB. PREL. 1000mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 56 155.72 2.780714 2.771836 2.77183691 C10AD02 ACIDUM NICOTINICUM NIASPAN 1000 mg COMPR. ELIB. PREL. 1000mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 98 271.64 2.771836 2.771836 2.77183692 C10AD02 ACIDUM NICOTINICUM NIASPAN 375 mg COMPR. ELIB. PREL. 375mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 14 20.71 1.479285 1.246224 1.24622493 C10AD02 ACIDUM NICOTINICUM NIASPAN 375 mg COMPR. ELIB. PREL. 375mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 28 39.72 1.418571 1.246224 1.24622494 C10AD02 ACIDUM NICOTINICUM NIASPAN 375 mg COMPR. ELIB. PREL. 375mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 56 75.17 1.342321 1.246224 1.24622495 C10AD02 ACIDUM NICOTINICUM NIASPAN 375 mg COMPR. ELIB. PREL. 375mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 98 122.13 1.246224 1.246224 1.24622496 C10AD02 ACIDUM NICOTINICUM NIASPAN 500 mg COMPR. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 14 27.16 1.940000 1.665204 1.66520497 C10AD02 ACIDUM NICOTINICUM NIASPAN 500 mg COMPR. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 28 52.13 1.861785 1.665204 1.66520498 C10AD02 ACIDUM NICOTINICUM NIASPAN 500 mg COMPR. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 56 98.35 1.756250 1.665204 1.66520499 C10AD02 ACIDUM NICOTINICUM NIASPAN 500 mg COMPR. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 98 163.19 1.665204 1.665204 1.665204

100 C10AD02 ACIDUM NICOTINICUM NIASPAN 750 mg COMPR. ELIB. PREL. 750mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 14 35.92 2.565714 2.223673 2.223673101 C10AD02 ACIDUM NICOTINICUM NIASPAN 750 mg COMPR. ELIB. PREL. 750mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 28 69.07 2.466785 2.223673 2.223673102 C10AD02 ACIDUM NICOTINICUM NIASPAN 750 mg COMPR. ELIB. PREL. 750mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 56 126.76 2.263571 2.223673 2.223673103 C10AD02 ACIDUM NICOTINICUM NIASPAN 750 mg COMPR. ELIB. PREL. 750mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 98 217.92 2.223673 2.223673 2.223673104 D01AC05 ISOCONAZOLUM TRAVOGEN CREMA 10mg/1g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 20 G CREMA P-RF 1 10.91 10.910000 10.910000 10.910000105 D01AC08 KETOCONAZOLUM NIZORAL CREMA 2% JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 TUB X 15 G P-RF 1 8.57 8.570000 5.560000 5.560000106 D01AC08 KETOCONAZOLUM KETOCONAZOL CREMA 2% TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB PEJD X 15 G P-RF 1 7.75 7.750000 5.560000 5.560000107 D01AC08 KETOCONAZOLUM KETOCONAZOL MK CREMA 2% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 20 G P-RF 1 7.23 7.230000 5.560000 5.560000108 D01AC08 KETOCONAZOLUM KETOCONAZOL CREMA CREMA 20mg/g SC HYPERION SA ROMANIA CUTIE X 1 TUB DIN AL X 20 MG CREMA P-RF 1 7.46 7.460000 5.560000 5.560000109 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 5.56 5.560000 5.560000 5.560000110 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 6.02 6.020000 6.020000 6.020000111 D05AXN1 COMBINATII ASORIAN SOL. CUT. FARA CONCENTRATIE BIOFARM SA ROMANIA CUTIE X 1 FLACON X 100 ML P-RF 1 9.54 9.540000 9.540000 9.540000112 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 29.89 29.890000 19.410000 19.410000113 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 19.41 19.410000 19.410000 19.410000114 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 29.89 29.890000 19.410000 19.410000115 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 19.41 19.410000 19.410000 19.410000116 D07AC04 FLUOCINOLONI ACETONIDUM FLUOCINOLON ACETONID 0,025% UNGUENT 0,025% LAROPHARM SRL ROMANIA CUTIE X 1 TUB AL X 20 G P-RF 1 4.05 4.050000 4.050000 4.050000

Page 3 of 8

117 D07AC05 FLUOCORTOLONUM ULTRALAN CREMA CREMA 0,25% INTENDIS GMBH GERMANIA CUTIE X 1 TUB X 15 G P-RF 1 11.56 11.560000 11.560000 11.560000118 D07AC05 FLUOCORTOLONUM ULTRALAN UNGUENT UNGUENT 0,25% SCHERING AG GERMANIA CUTIE X 1 TUB X 15 G UNGUENT P-RF 1 12.00 12.000000 12.000000 12.000000119 D07CB01 COMBINATII NIDOFLOR CREMA FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 15 G P-RF 1 6.93 6.930000 6.930000 6.930000120 D07CB01 COMBINATII PANDERM UNGUENT FARA CONCENTRATIE GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 1 TUB X 15 G P-RF 1 7.20 7.200000 7.200000 7.200000121 D07CC02 COMBINATII FLUOCINOLON G MK CREMA FARA CONCENTRATIE FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 20 G CREMA P-RF 1 1.39 1.390000 1.390000 1.390000122 D07CC02 COMBINATII FLUOCINOLON N UNGUENT FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 18 G P-RF 1 6.93 6.930000 6.930000 6.930000123 D07XB02 COMBINATII TRIAMCINOLON S CREMA FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 15 G P-RF 1 6.93 6.930000 6.930000 6.930000124 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 15.16 15.160000 15.160000 15.160000125 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 19.72 19.720000 15.160000 15.160000126 D07XC01 COMBINATII DIPROSALIC UNGUENT FARA CONCENTRATIE SCHERING-PLOUGH EUROPE BELGIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 10.11 10.110000 10.110000 10.110000127 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 12.14 12.140000 10.110000 10.110000128 D07XC04 COMBINATII TRAVOCORT CREMA FARA CONCENTRATIE INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 11.96 11.960000 11.960000 11.960000129 D07XDN1 COMBINATII FLUOCINOLON D MK CREMA FARA CONCENTRATIE FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 20G P-RF 1 3.65 3.650000 3.650000 3.650000130 D10AD01 TRETINOINUM RETIN - A (R) CREMA 0,05% JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 TUB X 30 G P-RF 1 13.16 13.160000 13.160000 13.160000131 D10AF02 ERYTHROMYCINUM ERYFLUID SOL. CUT. 4g/30ml PIERRE FABRE DERMATOLOGIE FRANTA CUTIE X 1 FLACON X 100 ML SOL. CUT. P-RF 1 19.74 19.740000 7.600000 7.600000132 D10AF02 ERYTHROMYCINUM ERYFLUID SOL. CUT. 4g/30ml PIERRE FABRE DERMATOLOGIE FRANTA CUTIE X 1 FLACON X 30 ML SOL. CUT. P-RF 1 7.60 7.600000 7.600000 7.600000133 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 30.51 30.510000 30.510000 30.510000134 D11AX15 PIMECROLIMUS ELIDEL 1% CREMA 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 TUB AL X 15 G CREMA P-RF 1 77.89 77.890000 77.890000 77.890000135 G01AF01 METRONIDAZOLUM FLAGYL OVULE 500mg LAB. AVENTIS FRANTA CUTIE X 2 BLIST. X 5 OVULE P-RF 10 8.03 0.803000 0.803000 0.803000136 G01AXN1 COMBINATII COLPOSEPTINE (R) COMPR. VAG. FARA CONCENTRATIE LAB. THERAMEX MONACO CUTIE X 3 BLIST. X 6 COMPR. VAG. P-RF 18 16.58 0.921111 0.921111 0.921111137 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 20.57 2.057000 2.057000 2.057000138 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 12.30 12.300000 12.300000 12.300000139 G03DB04 NOMEGESTROLUM LUTENYL (R) COMPR. 5mg LAB. THERAMEX MONACO CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 29.58 2.958000 2.958000 2.958000140 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 40.16 13.386666 13.386666 13.386666141 G03GA02 MENOTROPINUM MENOPUR LIOF. + SOLV. PT. SOL. INJ. FARA CONCENTRATIE FERRING GMBH GERMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU LIOF. + 10 FIOLE X 1 ML SOLV. PT. SOL. INJ. S/P-RF 10 790.16 79.016000 79.016000 79.016000142 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 53.46 53.460000 53.460000 53.460000143 H03AA03 COMBINATII NOVOTHYRAL (R) 100 COMPR. 100mcg+20mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-6L 100 27.18 0.271800 0.271800 0.271800144 J01CR50 COMBINATII AMPICLOX 250mg/250mg CAPS. 250mg+250 mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. P-RF 12 7.69 0.640833 0.640833 0.640833

145 J01CR50

COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULPERAZON (R) 2 g PULB. PT. SOL. INJ. FARA CONCENTRATIE PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC X 2 G S/P-RF 1 35.28 35.280000 35.280000 35.280000

146 J01DB04 CEFAZOLINUM LYZOLIN PULB. PT. SOL. INJ. 1g MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 1 FLAC/. PULB. S/P-RF 1 3.24 3.240000 3.240000 3.240000147 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 71.15 71.150000 71.150000 71.150000148 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 1 123.77 123.770000 123.770000 123.770000149 J01EB05 SULFAFURAZOLUM SULFAFURAZOL COMPR. 500mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 4.58 0.229000 0.229000 0.229000150 J01FA06 ROXITHROMYCINUM ROXITHROMYCIN AL 150 COMPR. FILM. 150mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 20 23.05 1.152500 1.152500 1.152500151 J01FA06 ROXITHROMYCINUM ROXITHROMYCIN AL 150 COMPR. FILM. 150mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 11.53 1.153000 1.152500 1.152500152 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 14.30 1.430000 1.152500 1.152500153 J01FA06 ROXITHROMYCINUM ROXITHROMYCIN AL 300 COMPR. FILM. 300mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR. FILM. P-RF 7 21.14 3.020000 2.940000 2.940000154 J01FA06 ROXITHROMYCINUM ROXITHROMYCIN AL 300 COMPR. FILM. 300mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 29.40 2.940000 2.940000 2.940000155 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 6.70 0.670000 0.670000 0.670000156 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 38.95 0.779000 0.635000 0.635000157 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 9.00 0.900000 0.635000 0.635000158 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 6.35 0.635000 0.635000 0.635000

Page 4 of 8

159 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 17.98 17.980000 17.980000 17.980000160 J01GB07 NETILMICINUM NETROMYCINE (R) SOL. INJ. 200mg/2ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 2 ML S/P-RF 1 22.79 22.790000 22.790000 22.790000161 J01GB07 NETILMICINUM NETROMYCINE (R) SOL. INJ. 50mg/2ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 2 ML S/P-RF 1 7.13 7.130000 7.130000 7.130000162 J01XB01 COLISTINUM COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 100 1,684.22 16.842200 16.842200 16.842200163 J01XB01 COLISTINUM COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 50 877.54 17.550800 16.842200 16.842200164 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,682.94 131.533571 131.533571 131.533571165 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 973.64 34.772857 34.772857 34.772857166 J02AC03 VORICONAZOLUM** VFEND 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 2,295.40 2295.400000 2295.400000 2295.400000

167 M01AA01 PHENYLBUTAZONUM FENILBUTAZONA 250 mg SUPOZ. 250mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 2.77 0.277000 0.277000 0.277000168 M01AB55 COMBINATII NEODOLPASSE SOL. PERF. FARA CONCENTRATIE FRESENIUS KABI AUSTRIA GMBH AUSTRIA CUTIE X 10 FLACOANE X 250 ML S 10 205.73 20.573000 20.573000 20.573000169 M01AB55 COMBINATII ACECLOFEN SUPOZ. FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL/PE X 3 SUPOZ. P-6L 6 4.31 0.718333 0.718333 0.718333170 M01AB55 DICLOFENACUM+MISOPROSTOLUM ARTHROTEC 75 COMPR. GASTROREZ. 75mg+0,200mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL X 10 COMPR. GASTROREZ. P-6L 20 26.81 1.340500 1.340500 1.340500171 M01AB55 DICLOFENACUM+MISOPROSTOLUM ARTHROTEC 75 COMPR. GASTROREZ. 75mg+0,200mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL X 10 COMPR. GASTROREZ. P-6L 10 15.64 1.564000 1.340500 1.340500172 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 13.16 1.316000 1.316000 1.316000173 M01AE01 IBUPROFENUM PROFINAL COMPR. FILM. 400mg GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 2 BLIST. X 12 COMPR. FILM. P-6L 24 5.70 0.237500 0.134000 0.134000174 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 7.12 0.237333 0.134000 0.134000175 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 2.68 0.134000 0.134000 0.134000176 M01AE01 IBUPROFENUM PROFINAL COMPR. FILM. 600mg GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 12.51 0.625500 0.230500 0.230500177 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 4.61 0.230500 0.230500 0.230500178 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 11.36 0.946666 0.946666 0.946666179 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 6.16 6.160000 6.160000 6.160000180 M01AE02 NAPROXENUM REUXEN 250 mg COMPR. 250mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 8.72 0.436000 0.436000 0.436000181 M01AE02 NAPROXENUM REUXEN 500 mg COMPR. 500mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 15.75 0.787500 0.787500 0.787500182 M01AG01 ACIDUM MEFENAMICUM VIDAN COMPR. FILM. 500mg VIANEX SA GRECIA CUTIE X 3 BLIST. AL/PVC X 8 COMPR. FILM. P-6L 24 9.38 0.390833 0.390833 0.390833183 M01AH04 PARECOXIBUM DYNASTAT 40mg 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 5 138.25 27.650000 27.260000 27.260000184 M01AH04 PARECOXIBUM DYNASTAT 40mg PULB. PT. SOL. INJ. 40mg PFIZER LIMITED MAREA BRITANIE CUTIE X 10 FLAC. X 40 MG PULB. PT. SOL. INJ. S/P-RF 10 272.60 27.260000 27.260000 27.260000185 M03BB03 CHLORZOXAZONUM CLORZOXAZON 250 mg COMPR. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.42 0.121000 0.120000 0.120000186 M03BB03 CHLORZOXAZONUM CLORZOXAZONA COMPR. 250mg SINTOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.40 0.120000 0.120000 0.120000187 M03BB03 CHLORZOXAZONUM CLORZOXAZONA 250 mg COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.62 0.120666 0.120000 0.120000188 M03BX04 TOLPERISONUM MYDOCALM COMPR. FILM. 150mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 13.68 0.456000 0.456000 0.456000189 M03BX04 TOLPERISONUM MYDOCALM COMPR. FILM. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 6.84 0.228000 0.228000 0.228000190 M03BX04 TOLPERISONUM TOLPERISON 50 mg DRAJ. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-6L 30 4.95 0.165000 0.165000 0.165000191 M03BX04 TOLPERISONUM MYDOCALM SOL. INJ. 100mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA X 1 ML SOL. INJ. P-RF 5 6.47 1.294000 1.294000 1.294000192 M09AX01 ACIDUM HIALURONICUM HYALGAN (R) SOL. INJ. 20mg/2ml CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 2 ML P-RF 1 134.66 134.660000 134.660000 134.660000193 N02AA59 COMBINATII PARADOREN 500mg/30mg COMPR. 30mg+500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 11.96 0.598000 0.598000 0.598000194 N02AA59 COMBINATII PARADOREN 500mg/60mg COMPR. 60mg+500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 18.61 0.930500 0.930500 0.930500195 N02BA71 COMBINATII FASCONAL P COMPR. FARA CONCENTRATIE GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.35 0.217500 0.217500 0.217500196 N02BA71 COMBINATII FASCOREM COMPR. FARA CONCENTRATIE REMEDIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.35 0.217500 0.217500 0.217500197 N02BB02 METAMIZOLUM NATRIUM NEVRALGIN PIC. ORALE, SOL. 500mg/ml TERAPIA SA ROMANIA CUTIE X 1 FLACON X 10 ML PIC. ORALE, SOL. P-RF 1 5.82 5.820000 5.820000 5.820000198 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 5.55 1.110000 1.110000 1.110000199 N05BA05 CLORAZEPAT DIKALII TRANXENE 10 mg CAPS. 10mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 CAPS. P-RF 30 5.93 0.197666 0.197666 0.197666200 N05BA05 CLORAZEPAT DIKALII TRANXENE 5 mg CAPS. 5mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 CAPS. P-RF 30 5.42 0.180666 0.180666 0.180666201 N05BA23 TOFISOPAMUM GRANDAXIN COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-RF 20 5.04 0.252000 0.252000 0.252000202 N05CD08 MIDAZOLAMUM DORMICUM (R) COMPR. FILM. 7,5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/PVDC/AL X 10 COMPR. FILM. P-RF 10 5.24 0.524000 0.524000 0.524000203 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 9.92 0.992000 0.524000 0.524000

Page 5 of 8

204 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 22.43 2.243000 2.243000 2.243000205 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 27.37 2.737000 2.737000 2.737000206 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 32.08 3.208000 2.737000 2.737000207 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 62.21 6.221000 6.221000 6.221000208 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 31.88 3.188000 3.188000 3.188000209 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 32.08 3.208000 3.188000 3.188000210 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 10 184.08 18.408000 18.408000 18.408000211 N05CD13 CINOLAZEPAMUM GERODORM (R) COMPR. 40mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-RF 30 21.63 0.721000 0.721000 0.721000212 N06BA04 METHYLFENIDATUM*** CONCERTA 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 30 180.68 6.022666 6.022666 6.022666213 N06BA04 METHYLFENIDATUM*** CONCERTA 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 30 215.24 7.174666 7.174666 7.174666214 N06BA04 METHYLFENIDATUM*** CONCERTA 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 30 278.74 9.291333 9.291333 9.291333215 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 97.03 13.861428 13.861428 13.861428216 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 97.03 13.861428 13.861428 13.861428217 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 28 366.80 13.100000 13.100000 13.100000218 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 28 366.80 13.100000 13.100000 13.100000219 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 28 366.80 13.100000 13.100000 13.100000220 N06BX02 PYRITINOLUM ENCEPHABOL (R) 100 mg DRAJ. 100mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 DRAJ. P-6L 50 31.31 0.626200 0.563333 0.563333221 N06BX02 PYRITINOLUM PIRITINOL ARENA 100 mg DRAJ. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. X 10 DRAJ. P-6L 30 16.90 0.563333 0.563333 0.563333222 N06BX02 PYRITINOLUM ENCEPHABOL (R) FORTE DRAJ. 200mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 DRAJ. P-6L 50 56.96 1.139200 1.139200 1.139200223 N06BX02 PYRITINOLUM ENCEPHABOL (R) SUSPENSIE SUSP. ORALA 80,5mg/5ml MERCK KGAA GERMANIA CUTIE X 1 FLACON X 200 ML P-6L 1 38.11 38.110000 38.110000 38.110000224 N06BX03 PIRACETAMUM PIRACETAM 400 mg COMPR. 400 mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.20 0.110000 0.091500 0.091500225 N06BX03 PIRACETAMUM PIRACETAM 400 mg COMPR. 400mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 2.20 0.110000 0.091500 0.091500226 N06BX03 PIRACETAMUM N - PIRACETAM COMPR. 400mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 40 COMPR. P-6L 40 3.79 0.094750 0.091500 0.091500227 N06BX03 PIRACETAMUM MEMOTAL 400mg COMPR. 400mg ZENTIVA S.A ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 2.02 0.101000 0.091500 0.091500228 N06BX03 PIRACETAMUM PIRACETAM SLAVIA 400 mg COMPR. 400mg SLAVIA PHARM SRL ROMANIA CUTIE X 4 BLIST. DIN PVC/AL X 10 COMPR. P-6L 40 4.35 0.108750 0.091500 0.091500229 N06BX03 PIRACETAMUM PIRACETAM LAROPHARM 400 mg COMPR. 400mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.83 0.091500 0.091500 0.091500230 N06BX03 PIRACETAMUM PIRACETAM COMPR. 400mg FABIOL SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.76 0.092000 0.091500 0.091500231 N06BX03 PIRACETAMUM PIRACETAM FARMEX 400 mg COMPR. 400mg FARMEX COMPANY SRL ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L 40 4.18 0.104500 0.091500 0.091500232 N06BX03 PIRACETAMUM PIRACETAM MCC 400mg COMPR. 400mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 2.20 0.110000 0.091500 0.091500233 N06BX03 PIRACETAMUM PIRACETAM SINTOFARM 400 mg COMPR. 400mg SINTOFARM SA ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 2.20 0.110000 0.091500 0.091500234 N06BX03 PIRACETAMUM PIRACETAM SINTOFARM 400 mg COMPR. 400mg SINTOFARM SA ROMANIA CUTIE X 4 BLIST. PVC/AL X 10 COMPR. P-6L 40 4.30 0.107500 0.091500 0.091500235 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 6.30 0.315000 0.315000 0.315000236 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 46.94 0.469400 0.315000 0.315000237 N06BX03 PIRACETAMUM PIRACETAM 400 mg COMPR. FILM. 400mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 2.20 0.110000 0.099166 0.099166238 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 5.95 0.099166 0.099166 0.099166239 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 6.61 0.110166 0.099166 0.099166240 N06BX03 PIRACETAMUM NEUROSTIM 400 mg COMPR. FILM. 400mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 2.20 0.110000 0.099166 0.099166241 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 31.23 0.347000 0.186333 0.186333242 N06BX03 PIRACETAMUM PIRACETAM 800 mg COMPR. FILM. 800mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 4.11 0.205500 0.186333 0.186333243 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 5.59 0.186333 0.186333 0.186333244 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 6.22 0.207333 0.186333 0.186333245 N06BX03 PIRACETAMUM NEUROSTIM 800 mg COMPR. FILM. 800mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 20 4.14 0.207000 0.186333 0.186333246 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 15.78 1.315000 0.862000 0.862000247 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 4.31 0.862000 0.862000 0.862000248 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 12.48 12.480000 12.480000 12.480000

Page 6 of 8

249 N06BX03 PIRACETAMUM NOOTROPIL SOL. PERF. 12g U.C.B. SA BELGIA CUTIE X 1 FLACON DIN STICLA X 60 ML SOL. PERF. S 1 15.78 15.780000 15.780000 15.780000250 N07CA02 CINNARIZINUM CINARIZINA ARENA 25 mg CAPS. 25mg ARENA GROUP SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. P-6L 40 3.08 0.077000 0.077000 0.077000251 N07CA02 CINNARIZINUM STUGERON 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 4 BLIST. X 10 COMPR. P-6L 40 6.61 0.165250 0.068000 0.068000252 N07CA02 CINNARIZINUM CINARIZIN 25 mg COMPR. 25mg LAROPHARM SRL ROMANIA CUTIE X 3 BLIST. X 20 COMPR. P-6L 60 4.25 0.070833 0.068000 0.068000253 N07CA02 CINNARIZINUM N-CINARIZINA COMPR. 25mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 20 COMPR. P-6L 20 1.36 0.068000 0.068000 0.068000254 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 10.85 1.356250 1.356250 1.356250255 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 3.25 0.541666 0.541666 0.541666256 P02CC01 PYRANTELUM HELMINTOX (R) 250 mg COMPR. FILM. 250mg LAB. INNOTECH INT. FRANTA CUTIE X 1 BLIST. X 3 COMPR. FILM. P-RF 3 3.25 1.083333 1.083333 1.083333257 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 3.59 3.590000 3.590000 3.590000258 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 5.15 5.150000 3.590000 3.590000259 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 9.83 9.830000 9.830000 9.830000260 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 24.28 24.280000 24.280000 24.280000261 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 8.71 1.244285 1.244285 1.244285262 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 18.80 18.800000 18.800000 18.800000263 R03CA02 EPHEDRINI HYDROCHLORIDUM EFEDRINA ARENA COMPR. 50mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 8.81 0.293666 0.293666 0.293666264 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 3.33 0.666000 0.666000 0.666000265 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 7.09 1.418000 1.418000 1.418000266 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 7.52 7.520000 7.520000 7.520000267 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 8.63 8.630000 7.520000 7.520000268 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 8.26 8.260000 7.520000 7.520000269 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 3.31 3.310000 3.310000 3.310000270 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 14.10 0.705000 0.705000 0.705000271 R06AD02 PROMETHAZINUM ROMERGAN SIROP 5mg/5ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 ML SIROP + MASURA DOZATOARE P-RF 1 2.19 2.190000 2.190000 2.190000272 R06AD07 MEQUITAZINUM PRIMALAN (R) 10 mg COMPR. 10mg LAB. PIERRE FABRE FRANTA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. P-RF 14 15.10 1.078571 1.078571 1.078571273 R06AE05 MECLOZINUM EMETOSTOP COMPR. 30mg SPECIFAR SA GRECIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 3.36 0.336000 0.336000 0.336000274 R06AX02 CYPROHEPTADINUM PERITOL COMPR. 4mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.07 0.153500 0.153000 0.153000275 R06AX02 CYPROHEPTADINUM CIPROHEPTADINA 4 mg COMPR. 4mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.59 0.153000 0.153000 0.153000276 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 5.24 5.240000 5.240000 5.240000277 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 5.45 5.450000 5.240000 5.240000278 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 16.15 16.150000 6.660000 6.660000279 R06AX13 LORATADINUM CLARITINE SIROP 1mg/ml SCHERING-PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 60 ML + LINGURITA DOZATOARE P-6L 1 8.49 8.490000 6.660000 6.660000280 R06AX13 LORATADINUM CLARITINE SIROP 1mg/ml SCHERING-PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 120 ML + LINGURITA DOZATOARE P-6L 1 16.98 16.980000 6.660000 6.660000281 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 6.66 6.660000 6.660000 6.660000282 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 11.26 11.260000 11.260000 11.260000283 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 11.86 11.860000 11.860000 11.860000284 S01AA13 ACIDUM FUSIDICUM FUCITHALMIC 10mg/g GEL OFT. 10mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB AL CU CANULA APLICATOARE X 5 G GEL OFTALMIC P-6L 1 14.05 14.050000 14.050000 14.050000285 S01AA24 KANAMYCINUM KANAMICINA SULFAT 1% UNG. OFT. 1% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB AL X 6 G P-RF 1 6.01 6.010000 6.010000 6.010000286 S01AA30 COMBINATII ANTIBIOPTAL PICATURI OFT.-SOL. FARA CONCENTRATIE FARMILA FARMACEUTICI ITALIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 12.33 12.330000 12.330000 12.330000287 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 13.22 13.220000 13.220000 13.220000288 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 30.08 30.080000 30.080000 30.080000289 S01BA07 FLUOROMETHOLONUM FLUMETOL S UNGUENT OFTALMIC UNG. OFT. 1mg/g FARMILA - THEA FARMACEUTICI SPA ITALIA CUTIE X 1 TUB X 5G P-RF 1 9.49 9.490000 9.490000 9.490000290 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 6.35 6.350000 6.350000 6.350000291 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 13.62 13.620000 13.620000 13.620000292 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 15.72 15.720000 15.720000 15.720000

Page 7 of 8

293 S02CA05 COMBINATII

SOLUTIE AURICULARA CU CLORAMFENICOL SI FLUOCINOLON SOL. AURICULARA FARA CONCENTRATIE BIOFARM SA ROMANIA CUTIE X 1 FLAC DIN STICLA BRUNA+APLICATOR TIP PIPETA X 10 ML SOL. AURICULARA P-RF 1 2.67 2.670000 2.670000 2.670000

A01AA01 NATRII FLUORIDUM

A01AB17 METRONIDAZOLUM

A11HA04 RIBOFLAVINUMB03AA02 FERROSI FUMARAS

D03AX03 DEXPANTHENOLUM

D05AC01 DITHRANOLUMD10AE01 BENZOYLIS PEROXIDUM

G01AX12 CICLOPIROXUMJ01XC01 ACIDUM FUSIDICUM

M01AX02 ACIDUM NIFLUMICUM

M02AA07 PIROXICAMUMM02AA13 IBUPROFENUMM02AA17 ACIDUM NIFLUMICUM

M02AA23 INDOMETACINUMM02ACN3 COMBINATIIP03AC04 PERMETHRINUMP03AAN1 SULFURR03CC06 TERBUTALINUMR03DX05 OMALIZUMABUM**R06AA04 CLEMASTINUMS01EB01 PILOCARPINUMS01GX06 EMEDASTINUMS01GX08 KETOTIFENUMS01KA01 ACIDUM HIALURONICUM

S01XA11 NANDROLONUMS01XA12 DEXPANTHENOLUM

NOTĂ:

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;

Medicamentele din această sublistă 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 efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP;

Page 8 of 8