prezzo al lista nota ricetta prezzo sconto 0,6%...

94
CLASSE A in commercio Determinazione AIFA 9-2-2007 ATC Principio attivo AIC Denominazione Confezione Nota 1 Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN Lista traspar enza Inclusione sconto 0,6% Det.AIFA 27/9/2006 Applicazione pay back A02AD01 Magnesio idrossido/algeld 020702054 MAALOX 40 cpr mast 800 mg SANOFI-AVENTIS RR 2,17 2,16 A02AD01 Magnesio idrossido/algeld 020702015 MAALOX os sosp 200 ml 6,9% SANOFI-AVENTIS RR 1,50 1,49 A02AD01 Magnesio idrossido/algeld 020702155 MAALOX "TC" os sosp 200 ml SANOFI-AVENTIS RR 2,53 2,51 A02AD01 Magnesio idrossido/algeld 020702167 MAALOX "TC" 40 cpr mast 300 mg + 600 mg SANOFI-AVENTIS RR 2,53 2,51 A02AD02 Magaldrato 033232036 GADRAL os sosp 250 ml THERABEL GIENNE PHARMA RR 4,39 4,36 A02AD02 Magaldrato 033232012 GADRAL 40 cpr mast 800 mg THERABEL GIENNE PHARMA RR 5,03 4,97 X X A02AD02 Magaldrato 033232024 GADRAL 40 bust 800 mg THERABEL GIENNE PHARMA RR 6,85 6,77 X X A02AD02 Magaldrato 033231010 MAGALTOP 40 cpr mast 800 mg THERABEL GIENNE PHARMA RR 5,03 4,97 X X A02AD02 Magaldrato 033231022 MAGALTOP 40 bust 800 mg THERABEL GIENNE PHARMA RR 6,85 6,77 X X A02AD02 Magaldrato 034290015 MAGRALIBI os sosp 250 ml 80 mg/ml I.B.I. LORENZINI RR 4,34 4,31 A02AD02 Magaldrato 034290027 MAGRALIBI 40 cpr mast 800 mg I.B.I. LORENZINI RR 4,78 4,75 A02AD02 Magaldrato 027103047 RIOPAN gel os 80 mg/ml ALTANA PHARMA RR 4,39 4,36 A02AD02 Magaldrato 027103023 RIOPAN 40 cpr mast 800 mg ALTANA PHARMA RR 5,03 4,97 X X A02AD02 Magaldrato 027103035 RIOPAN 40 bust gel os 80 mg/ml ALTANA PHARMA RR 6,85 6,77 X X A02BA01 Cimetidina 024464087 BIOMAG 30 cpr 800 mg 48 BONISCONTRO & GAZZONE RR 23,02 22,88 G A02BA01 Cimetidina 024124024 BRUMETIDINA 50 cpr 400 mg 48 BRUSCHETTINI RR 16,60 16,50 G A02BA01 Cimetidina 033956020 CIMETIDINA 50 cpr 400 mg 48 TEVA RR 14,95 14,86 G A02BA01 Cimetidina 023572023 TAGAMET 12 fiale IM EV 200 mg 2 ml 48 GLAXOSMITHKLINE RR 8,11 8,06 G A02BA01 Cimetidina 023572136 TAGAMET 30 bust polv os 800 mg 48 GLAXOSMITHKLINE RR 27,70 27,53 G A02BA01 Cimetidina 023572062 TAGAMET 50 cpr 400 mg 48 GLAXOSMITHKLINE RR 19,33 19,21 G A02BA01 Cimetidina 023572148 TAGAMET 50 bust polv os 400 mg 48 GLAXOSMITHKLINE RR 19,51 19,39 G A02BA01 Cimetidina 023572124 TAGAMET 30 cpr 800 mg 48 GLAXOSMITHKLINE RR 27,53 27,36 G A02BA01 Cimetidina 024149054 TEMIC 30 cpr 800 mg 48 FARMA 1 RR 23,02 22,88 G A02BA01 Cimetidina 024443057 ULCEDIN 50 cpr 400 mg 48 AGIPS RR 15,28 15,19 G A02BA01 Cimetidina 024443069 ULCEDIN 30 cpr 800 mg 48 AGIPS RR 23,02 22,88 G A02BA01 Cimetidina 024443083 ULCEDIN 30 bust polv os 800 mg 48 AGIPS RR 23,79 23,65 G A02BA01 Cimetidina 024496073 ULCOMEDINA 50 cpr 400 mg 48 DE SALUTE RR 14,95 14,86 G A02BA01 Cimetidina 024612071 ULIS 30 cpr 800 mg 48 S.F. GROUP RR 23,02 22,88 G A02BA01 Cimetidina 024612083 ULIS 30 bust polv os 800 mg 48 S.F. GROUP RR 23,02 22,88 G A02BA02 Ranitidina 035333020 DOLILUX 20 cpr riv 150 mg 48 FARMA 1 RR 6,23 6,19 G A02BA02 Ranitidina 035333032 DOLILUX 20 cpr riv 300 mg 48 FARMA 1 RR 14,04 13,96 G A02BA02 Ranitidina 025241050 RANIBEN 20 cpr riv 150 mg 48 F.I.R.M.A. RR 6,23 6,19 G A02BA02 Ranitidina 025241124 RANIBEN 10 cpr eff 300 mg 48 F.I.R.M.A. RR 13,65 13,57 G A02BA02 Ranitidina 025241100 RANIBEN 20 cpr eff 150 mg 48 F.I.R.M.A. RR 14,14 14,06 G A02BA02 Ranitidina 025241098 RANIBEN scir 200 ml 150 mg/10 ml 48 F.I.R.M.A. RR 17,55 17,33 X A02BA02 Ranitidina 025241086 RANIBEN 20 cpr riv 300 mg 48 F.I.R.M.A. RR 14,04 13,96 G A02BA02 Ranitidina 025490018 RANIBLOC 20 cpr riv 150 mg 48 GLAXO ALLEN RR 6,23 6,19 G A02BA02 Ranitidina 025490057 RANIBLOC 20 cpr riv 300 mg 48 GLAXO ALLEN RR 14,04 13,96 G A02BA02 Ranitidina 028525018 RANIDEX 10 cpr riv 300 mg 48 OFF RR 6,77 6,73 G A02BA02 Ranitidina 024447031 RANIDIL 10 fiale EV 50 mg 5 ml 48 MENARINI RR 10,16 10,10 G A02BA02 Ranitidina 024447094 RANIDIL 10 cpr eff 300 mg 48 MENARINI RR 13,65 13,57 G A02BA02 Ranitidina 024447029 RANIDIL 20 cpr riv 150 mg 48 MENARINI RR 14,14 14,06 G A02BA02 Ranitidina 024447070 RANIDIL 20 cpr eff 150 mg 48 MENARINI RR 14,14 14,06 G A02BA02 Ranitidina 024447118 RANIDIL 20 bust grat solub 150 mg 48 MENARINI RR 14,14 14,06 G A02BA02 Ranitidina 024447068 RANIDIL scir 200 ml 150 mg/10 ml 48 MENARINI RR 17,55 17,33 X A02BA02 Ranitidina 024447056 RANIDIL 20 cpr riv 300 mg 48 MENARINI RR 25,72 25,57 G A02BA02 Ranitidina 035501028 RANITIDINA 10 cpr riv 300 mg 48 MAGIS RR 6,77 6,73 G A02BA02 Ranitidina 035701022 RANITIDINA 10 cpr riv 300 mg 48 NEW RESEARCH RR 6,77 6,73 G A02BA02 Ranitidina 035302138 RANITIDINA 20 cpr riv 150 mg 48 MERCK GENERICS RR 6,23 6,19 G A02BA02 Ranitidina 035505015 RANITIDINA 20 cpr riv 150 mg 48 ABC RR 6,23 6,19 G A02BA02 Ranitidina 035702012 RANITIDINA 20 cpr riv 150 mg 48 ALTER RR 6,23 6,19 G A02BA02 Ranitidina 035752017 RANITIDINA 20 cpr riv 150 mg 48 ANGENERICO RR 6,23 6,19 G A02BA02 Ranitidina 034471019 RANITIDINA 20 cpr riv 150 mg 48 DOC GENERICI RR 6,23 6,19 G 1

Upload: vuongtu

Post on 31-Mar-2018

284 views

Category:

Documents


4 download

TRANSCRIPT

Page 1: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

A02AD01 Magnesio idrossido/algeld 020702054 MAALOX 40 cpr mast 800 mg SANOFI-AVENTIS RR 2,17 2,16A02AD01 Magnesio idrossido/algeld 020702015 MAALOX os sosp 200 ml 6,9% SANOFI-AVENTIS RR 1,50 1,49A02AD01 Magnesio idrossido/algeld 020702155 MAALOX "TC" os sosp 200 ml SANOFI-AVENTIS RR 2,53 2,51A02AD01 Magnesio idrossido/algeld 020702167 MAALOX "TC" 40 cpr mast 300 mg + 600 mg SANOFI-AVENTIS RR 2,53 2,51A02AD02 Magaldrato 033232036 GADRAL os sosp 250 ml THERABEL GIENNE PHARMA RR 4,39 4,36A02AD02 Magaldrato 033232012 GADRAL 40 cpr mast 800 mg THERABEL GIENNE PHARMA RR 5,03 4,97 X XA02AD02 Magaldrato 033232024 GADRAL 40 bust 800 mg THERABEL GIENNE PHARMA RR 6,85 6,77 X XA02AD02 Magaldrato 033231010 MAGALTOP 40 cpr mast 800 mg THERABEL GIENNE PHARMA RR 5,03 4,97 X XA02AD02 Magaldrato 033231022 MAGALTOP 40 bust 800 mg THERABEL GIENNE PHARMA RR 6,85 6,77 X XA02AD02 Magaldrato 034290015 MAGRALIBI os sosp 250 ml 80 mg/ml I.B.I. LORENZINI RR 4,34 4,31A02AD02 Magaldrato 034290027 MAGRALIBI 40 cpr mast 800 mg I.B.I. LORENZINI RR 4,78 4,75A02AD02 Magaldrato 027103047 RIOPAN gel os 80 mg/ml ALTANA PHARMA RR 4,39 4,36A02AD02 Magaldrato 027103023 RIOPAN 40 cpr mast 800 mg ALTANA PHARMA RR 5,03 4,97 X XA02AD02 Magaldrato 027103035 RIOPAN 40 bust gel os 80 mg/ml ALTANA PHARMA RR 6,85 6,77 X XA02BA01 Cimetidina 024464087 BIOMAG 30 cpr 800 mg 48 BONISCONTRO & GAZZONE RR 23,02 22,88 GA02BA01 Cimetidina 024124024 BRUMETIDINA 50 cpr 400 mg 48 BRUSCHETTINI RR 16,60 16,50 GA02BA01 Cimetidina 033956020 CIMETIDINA 50 cpr 400 mg 48 TEVA RR 14,95 14,86 GA02BA01 Cimetidina 023572023 TAGAMET 12 fiale IM EV 200 mg 2 ml 48 GLAXOSMITHKLINE RR 8,11 8,06 GA02BA01 Cimetidina 023572136 TAGAMET 30 bust polv os 800 mg 48 GLAXOSMITHKLINE RR 27,70 27,53 GA02BA01 Cimetidina 023572062 TAGAMET 50 cpr 400 mg 48 GLAXOSMITHKLINE RR 19,33 19,21 GA02BA01 Cimetidina 023572148 TAGAMET 50 bust polv os 400 mg 48 GLAXOSMITHKLINE RR 19,51 19,39 GA02BA01 Cimetidina 023572124 TAGAMET 30 cpr 800 mg 48 GLAXOSMITHKLINE RR 27,53 27,36 GA02BA01 Cimetidina 024149054 TEMIC 30 cpr 800 mg 48 FARMA 1 RR 23,02 22,88 GA02BA01 Cimetidina 024443057 ULCEDIN 50 cpr 400 mg 48 AGIPS RR 15,28 15,19 GA02BA01 Cimetidina 024443069 ULCEDIN 30 cpr 800 mg 48 AGIPS RR 23,02 22,88 GA02BA01 Cimetidina 024443083 ULCEDIN 30 bust polv os 800 mg 48 AGIPS RR 23,79 23,65 GA02BA01 Cimetidina 024496073 ULCOMEDINA 50 cpr 400 mg 48 DE SALUTE RR 14,95 14,86 GA02BA01 Cimetidina 024612071 ULIS 30 cpr 800 mg 48 S.F. GROUP RR 23,02 22,88 GA02BA01 Cimetidina 024612083 ULIS 30 bust polv os 800 mg 48 S.F. GROUP RR 23,02 22,88 GA02BA02 Ranitidina 035333020 DOLILUX 20 cpr riv 150 mg 48 FARMA 1 RR 6,23 6,19 GA02BA02 Ranitidina 035333032 DOLILUX 20 cpr riv 300 mg 48 FARMA 1 RR 14,04 13,96 GA02BA02 Ranitidina 025241050 RANIBEN 20 cpr riv 150 mg 48 F.I.R.M.A. RR 6,23 6,19 GA02BA02 Ranitidina 025241124 RANIBEN 10 cpr eff 300 mg 48 F.I.R.M.A. RR 13,65 13,57 GA02BA02 Ranitidina 025241100 RANIBEN 20 cpr eff 150 mg 48 F.I.R.M.A. RR 14,14 14,06 GA02BA02 Ranitidina 025241098 RANIBEN scir 200 ml 150 mg/10 ml 48 F.I.R.M.A. RR 17,55 17,33 XA02BA02 Ranitidina 025241086 RANIBEN 20 cpr riv 300 mg 48 F.I.R.M.A. RR 14,04 13,96 GA02BA02 Ranitidina 025490018 RANIBLOC 20 cpr riv 150 mg 48 GLAXO ALLEN RR 6,23 6,19 GA02BA02 Ranitidina 025490057 RANIBLOC 20 cpr riv 300 mg 48 GLAXO ALLEN RR 14,04 13,96 GA02BA02 Ranitidina 028525018 RANIDEX 10 cpr riv 300 mg 48 OFF RR 6,77 6,73 GA02BA02 Ranitidina 024447031 RANIDIL 10 fiale EV 50 mg 5 ml 48 MENARINI RR 10,16 10,10 GA02BA02 Ranitidina 024447094 RANIDIL 10 cpr eff 300 mg 48 MENARINI RR 13,65 13,57 GA02BA02 Ranitidina 024447029 RANIDIL 20 cpr riv 150 mg 48 MENARINI RR 14,14 14,06 GA02BA02 Ranitidina 024447070 RANIDIL 20 cpr eff 150 mg 48 MENARINI RR 14,14 14,06 GA02BA02 Ranitidina 024447118 RANIDIL 20 bust grat solub 150 mg 48 MENARINI RR 14,14 14,06 GA02BA02 Ranitidina 024447068 RANIDIL scir 200 ml 150 mg/10 ml 48 MENARINI RR 17,55 17,33 XA02BA02 Ranitidina 024447056 RANIDIL 20 cpr riv 300 mg 48 MENARINI RR 25,72 25,57 GA02BA02 Ranitidina 035501028 RANITIDINA 10 cpr riv 300 mg 48 MAGIS RR 6,77 6,73 GA02BA02 Ranitidina 035701022 RANITIDINA 10 cpr riv 300 mg 48 NEW RESEARCH RR 6,77 6,73 GA02BA02 Ranitidina 035302138 RANITIDINA 20 cpr riv 150 mg 48 MERCK GENERICS RR 6,23 6,19 GA02BA02 Ranitidina 035505015 RANITIDINA 20 cpr riv 150 mg 48 ABC RR 6,23 6,19 GA02BA02 Ranitidina 035702012 RANITIDINA 20 cpr riv 150 mg 48 ALTER RR 6,23 6,19 GA02BA02 Ranitidina 035752017 RANITIDINA 20 cpr riv 150 mg 48 ANGENERICO RR 6,23 6,19 GA02BA02 Ranitidina 034471019 RANITIDINA 20 cpr riv 150 mg 48 DOC GENERICI RR 6,23 6,19 G

1

Page 2: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

A02BA02 Ranitidina 035387024 RANITIDINA 20 cpr riv 150 mg 48 EG RR 6,23 6,19 GA02BA02 Ranitidina 035334022 RANITIDINA 20 cpr riv 150 mg 48 FARMACEUTICI T.S. RR 6,23 6,19 GA02BA02 Ranitidina 035331014 RANITIDINA 20 cpr riv 150 mg 48 HEXAL RR 6,23 6,19 GA02BA02 Ranitidina 035688011 RANITIDINA 20 cpr riv 150 mg 48 I.BIR.N RR 6,23 6,19 GA02BA02 Ranitidina 035503010 RANITIDINA 20 cpr riv 150 mg 48 JET GENERICI RR 6,23 6,19 GA02BA02 Ranitidina 035501016 RANITIDINA 20 cpr riv 150 mg 48 MAGIS RR 6,23 6,19 GA02BA02 Ranitidina 035701010 RANITIDINA 20 cpr riv 150 mg 48 NEW RESEARCH RR 6,23 6,19 GA02BA02 Ranitidina 035502018 RANITIDINA 20 cpr riv 150 mg 48 PANTAFARM RR 6,23 6,19 GA02BA02 Ranitidina 035332028 RANITIDINA 20 cpr riv 150 mg 48 PLIVA RR 6,23 6,19 GA02BA02 Ranitidina 034452108 RANITIDINA 20 cpr riv 150 mg 48 RANBAXY RR 6,23 6,19 GA02BA02 Ranitidina 035397417 RANITIDINA 20 cpr riv 150 mg 48 RATIOPHARM RR 6,23 6,19 GA02BA02 Ranitidina 035665025 RANITIDINA 20 cpr riv 150 mg 48 SANDOZ RR 6,23 6,19 GA02BA02 Ranitidina 035860028 RANITIDINA 20 cpr riv 150 mg 48 TAD PHARMA RR 6,23 6,19 GA02BA02 Ranitidina 035330024 RANITIDINA 20 cpr riv 150 mg 48 TEVA RR 6,23 6,19 GA02BA02 Ranitidina 035752082 RANITIDINA 10 fiale 50 mg 5 ml 48 ANGENERICO RR 8,11 8,06 GA02BA02 Ranitidina 035331089 RANITIDINA 10 fiale 50 mg 5 ml 48 HEXAL RR 8,11 8,06 GA02BA02 Ranitidina 035752056 RANITIDINA 20 cpr riv 300 mg 48 ANGENERICO RR 14,04 13,96 GA02BA02 Ranitidina 034471021 RANITIDINA 20 cpr riv 300 mg 48 DOC GENERICI RR 14,04 13,96 GA02BA02 Ranitidina 035387149 RANITIDINA 20 cpr riv 300 mg 48 EG RR 14,04 13,96 GA02BA02 Ranitidina 035334034 RANITIDINA 20 cpr riv 300 mg 48 FARMACEUTICI T.S. RR 14,04 13,96 GA02BA02 Ranitidina 035331053 RANITIDINA 20 cpr riv 300 mg 48 HEXAL RR 14,04 13,96 GA02BA02 Ranitidina 035503034 RANITIDINA 20 cpr riv 300 mg 48 JET GENERICI RR 14,04 13,96 GA02BA02 Ranitidina 035302330 RANITIDINA 20 cpr riv 300 mg 48 MERCK GENERICS RR 14,04 13,96 GA02BA02 Ranitidina 035502032 RANITIDINA 20 cpr riv 300 mg 48 PANTAFARM RR 14,04 13,96 GA02BA02 Ranitidina 035332030 RANITIDINA 20 cpr riv 300 mg 48 PLIVA RR 14,04 13,96 GA02BA02 Ranitidina 034452110 RANITIDINA 20 cpr riv 300 mg 48 RANBAXY RR 14,04 13,96 GA02BA02 Ranitidina 035398229 RANITIDINA 20 cpr riv 300 mg 48 RATIOPHARM RR 14,04 13,96 GA02BA02 Ranitidina 035665090 RANITIDINA 20 cpr riv 300 mg 48 SANDOZ RR 14,04 13,96 GA02BA02 Ranitidina 034451118 RANITIDINA 20 cpr riv 300 mg 48 SIGMATAU GENERICS RR 14,04 13,96 GA02BA02 Ranitidina 035860067 RANITIDINA 20 cpr riv 300 mg 48 TAD PHARMA RR 14,04 13,96 GA02BA02 Ranitidina 035330036 RANITIDINA 20 cpr riv 300 mg 48 TEVA RR 14,04 13,96 GA02BA02 Ranitidina 035701034 RANITIDINA 20cpr riv 300 mg 48 NEW RESEARCH RR 14,04 13,96 GA02BA02 Ranitidina 035335025 SENSIGARD 20 cpr riv 150 mg 48 COPERNICO RR 6,23 6,19 GA02BA02 Ranitidina 035335037 SENSIGARD 20 cpr riv 300 mg 48 COPERNICO RR 14,04 13,96 GA02BA02 Ranitidina 025084017 ULCEX 20 cpr riv 150 mg 48 GUIDOTTI RR 6,23 6,19 GA02BA02 Ranitidina 025084031 ULCEX 10 fiale EV 50 mg 5 ml 48 GUIDOTTI RR 10,16 10,10 GA02BA02 Ranitidina 025084056 ULCEX 20 cpr riv 300 mg 48 GUIDOTTI RR 14,04 13,96 GA02BA02 Ranitidina 025084094 ULCEX 10 cpr eff 300 mg 48 GUIDOTTI RR 13,65 13,57 GA02BA02 Ranitidina 025084070 ULCEX 20 cpr eff 150 mg 48 GUIDOTTI RR 14,14 14,06 GA02BA02 Ranitidina 024448033 ZANTAC 10 fiale 50 mg 5 ml 48 GLAXOSMITHKLINE RR 10,16 10,10 GA02BA02 Ranitidina 024448096 ZANTAC 10 cpr eff 300 mg 48 GLAXOSMITHKLINE RR 13,65 13,57 GA02BA02 Ranitidina 024448021 ZANTAC 20 cpr riv 150 mg 48 GLAXOSMITHKLINE RR 14,14 14,06 GA02BA02 Ranitidina 024448072 ZANTAC 20 cpr eff 150 mg 48 GLAXOSMITHKLINE RR 14,14 14,06 GA02BA02 Ranitidina 024448110 ZANTAC 20 bust grat 150 mg 48 GLAXOSMITHKLINE RR 14,14 14,06 GA02BA02 Ranitidina 024448060 ZANTAC scir 200 ml 150 mg/10 ml 48 GLAXOSMITHKLINE RR 17,55 17,33 XA02BA02 Ranitidina 024448058 ZANTAC 20 cpr riv 300 mg 48 GLAXOSMITHKLINE RR 25,72 25,57 GA02BA03 Famotidina 025924010 FAMODIL 10 cpr 40 mg 48 SIGMATAU RR 11,84 11,77 GA02BA03 Famotidina 025924034 FAMODIL 10 fiale EV 20 mg + 10 fiale sol 48 SIGMATAU RR 23,59 23,31 XA02BA03 Famotidina 034433096 FAMOTIDINA 10 cpr riv 40 mg 48 EG RR 7,45 7,41 GA02BA03 Famotidina 025925013 GASTRIDIN 10 cpr riv 40 mg 48 MERCK SHARP & DOHME RR 11,84 11,77 GA02BA03 Famotidina 026040030 MOTIAX 10 cpr riv 40 mg 48 NEOPHARMED RR 11,84 11,77 GA02BA04 Nizatidina 026617023 CRONIZAT 10 cps 300 mg 48 CABER RR 11,05 10,91 XA02BA04 Nizatidina 026617011 CRONIZAT 20 cps 150 mg 48 CABER RR 11,58 11,44 X

2

Page 3: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

A02BA04 Nizatidina 026616021 NIZAX 10 cps 300 mg 48 TEOFARMA RR 11,97 11,83 XA02BA04 Nizatidina 026616019 NIZAX 20 cps 150 mg 48 TEOFARMA RR 12,55 12,39 XA02BA06 Roxatidina 027778012 GASTRALGIN 28 cpr riv 75 mg rilascio prolung 48 DE ANGELI RR 18,38 18,16 X XA02BA06 Roxatidina 027778024 GASTRALGIN 14 cpr riv 150 mg rilascio prolun 48 DE ANGELI RR 18,38 18,16 X XA02BA06 Roxatidina 027777010 NEOH 2 28 cpr riv 75 mg rilascio prolung 48 BONISCONTRO & GAZZONE RR 17,46 17,26 XA02BA06 Roxatidina 027777022 NEOH 2 14 cpr riv 150 mg rilascio prolun 48 BONISCONTRO & GAZZONE RR 17,46 17,26 XA02BA06 Roxatidina 026774012 ROXIT 28 cpr riv 75 mg rilascio prolung 48 SANOFI-AVENTIS RR 17,46 17,26 XA02BA06 Roxatidina 026774024 ROXIT 14 cpr riv 150 mg rilascio prolun 48 SANOFI-AVENTIS RR 17,46 17,26 XA02BB01 Misoprostolo 026488015 CYTOTEC 50 cpr 200 mcg 1 CONTINENTAL PHARMA INC RNR 13,97 13,81 XA02BB01 Misoprostolo 027307014 MISODEX 50 cpr 200 mcg 1 PFIZER ITALIA RNR 13,97 13,81 XA02BC01 Omeprazolo 028245114 ANTRA 14 cps 10 mg rilascio modificato 1 48 ASTRAZENECA RR 11,29 11,15 XA02BC01 Omeprazolo 028245090 ANTRA 14 cps 20 mg rilascio modificato 1 48 ASTRAZENECA RR 23,87 23,59 XA02BC01 Omeprazolo 026804082 LOSEC 14 cps 10 mg rilascio modificato 1 48 ASTRAZENECA AB RR 11,29 11,15 XA02BC01 Omeprazolo 026804106 LOSEC 14 cps 20 mg rilascio modificato 1 48 ASTRAZENECA AB RR 23,87 23,59 XA02BC01 Omeprazolo 026783086 MEPRAL 14 cps 10 mg rilascio modificato 1 48 BRACCO RR 11,29 11,15 XA02BC01 Omeprazolo 026783098 MEPRAL 14 cps 20 mg rilascio modificato 1 48 BRACCO RR 23,87 23,59 XA02BC01 Omeprazolo 026803080 OMEPRAZEN 14 cps 10 mg rilascio modificato 1 48 MALESCI RR 11,29 11,15 XA02BC01 Omeprazolo 026803104 OMEPRAZEN 14 cps 20 mg rilascio modificato 1 48 MALESCI RR 23,87 23,59 XA02BC02 Pantoprazolo 031834029 PANTECTA 14 cpr gastrores 20 mg 1 48 ABBOTT RR 10,53 10,41 XA02BC02 Pantoprazolo 031834094 PANTECTA 14 cpr gastrores 20 mg flacone 1 48 ABBOTT RR 10,53 10,41 XA02BC02 Pantoprazolo 031834296 PANTECTA 14 cpr gastrores 40 mg 1 48 ABBOTT RR 21,34 21,08 XA02BC02 Pantoprazolo 031835022 PANTOPAN 14 cpr gastrores 20 mg 1 48 ALMIRALL RR 10,53 10,41 XA02BC02 Pantoprazolo 031835097 PANTOPAN 14 cpr gastrores 20 mg flacone 1 48 ALMIRALL RR 10,53 10,41 XA02BC02 Pantoprazolo 031835287 PANTOPAN 14 cpr gastrores 40 mg 1 48 ALMIRALL RR 21,34 21,08 XA02BC02 Pantoprazolo 031981044 PANTORC 14 cpr gastrores 20 mg 1 48 ALTANA PHARMA RR 10,53 10,41 XA02BC02 Pantoprazolo 031981119 PANTORC 14 cpr gastrores 20 mg flacone 1 48 ALTANA PHARMA RR 10,53 10,41 XA02BC02 Pantoprazolo 031981311 PANTORC 14 cpr gastrores 40 mg 1 48 ALTANA PHARMA RR 21,34 21,08 XA02BC02 Pantoprazolo 031111026 PEPTAZOL 14 cpr gastrores 20 mg 1 48 RECORDATI RR 10,53 10,41 XA02BC02 Pantoprazolo 031111091 PEPTAZOL 14 cpr gastrores 20 mg flacone 1 48 RECORDATI RR 10,53 10,41 XA02BC02 Pantoprazolo 031111293 PEPTAZOL 14 cpr gastrores 40 mg 1 48 RECORDATI RR 21,34 21,08 XA02BC03 Lansoprazolo 036891087 LANSOPRAZOLO 14 cps 15 mg 1 48 EG RR 5,76 5,73 GA02BC03 Lansoprazolo 036757021 LANSOPRAZOLO 14 cps 15 mg 1 48 MERCK GENERICS RR 5,76 5,73 GA02BC03 Lansoprazolo 036916183 LANSOPRAZOLO 14 cps 15 mg 1 48 RATIOPHARM RR 5,76 5,73 GA02BC03 Lansoprazolo 036920294 LANSOPRAZOLO 14 cps 15 mg 1 48 TEVA RR 5,76 5,73 GA02BC03 Lansoprazolo 036853012 LANSOPRAZOLO 14 cps 15 mg 1 48 DOC GENERICI RR 5,76 5,73 GA02BC03 Lansoprazolo 037131036 LANSOPRAZOLO 14 cps 15 mg 1 48 HEXAL RR 5,76 5,73 GA02BC03 Lansoprazolo 037124031 LANSOPRAZOLO 14 cps 15 mg 1 48 SANDOZ RR 5,76 5,73 GA02BC03 Lansoprazolo 036891048 LANSOPRAZOLO 14 cps 30 mg 1 48 EG RR 10,67 10,61 GA02BC03 Lansoprazolo 036757134 LANSOPRAZOLO 14 cps 30 mg 1 48 MERCK GENERICS RR 10,67 10,61 GA02BC03 Lansoprazolo 036916462 LANSOPRAZOLO 14 cps 30 mg 1 48 RATIOPHARM RR 10,67 10,61 GA02BC03 Lansoprazolo 036920256 LANSOPRAZOLO 14 cps 30 mg 1 48 TEVA RR 10,67 10,61 GA02BC03 Lansoprazolo 036853036 LANSOPRAZOLO 14 cps 30 mg 1 48 DOC GENERICI RR 10,67 10,61 GA02BC03 Lansoprazolo 037131152 LANSOPRAZOLO 14 cps 30 mg 1 48 HEXAL RR 10,67 10,61 GA02BC03 Lansoprazolo 037124169 LANSOPRAZOLO 14 cps 30 mg 1 48 SANDOZ RR 10,67 10,61 GA02BC03 Lansoprazolo 028600029 LANSOX 14 cps 15 mg 1 48 TAKEDA RR 6,14 6,10 GA02BC03 Lansoprazolo 028600070 LANSOX 14 cpr orodispers 15 mg 1 48 TAKEDA RR 7,04 7,00 GA02BC03 Lansoprazolo 028600094 LANSOX 14 cpr orodispers 30 mg 1 48 TAKEDA RR 12,04 11,97 GA02BC03 Lansoprazolo 028600017 LANSOX 14 cps 30 mg 1 48 TAKEDA RR 11,13 11,06 GA02BC03 Lansoprazolo 028755027 LIMPIDEX 14 cps 15 mg 1 48 SIGMATAU RR 6,14 6,10 GA02BC03 Lansoprazolo 028755078 LIMPIDEX 14 cpr orodispers 15 mg 1 48 SIGMATAU RR 7,04 7,00 GA02BC03 Lansoprazolo 028755092 LIMPIDEX 14 cpr orodispers 30 mg 1 48 SIGMATAU RR 12,04 11,97 GA02BC03 Lansoprazolo 028755015 LIMPIDEX 14 cps 30 mg 1 48 SIGMATAU RR 11,13 11,06 GA02BC03 Lansoprazolo 028775029 ZOTON 14 cps 15 mg 1 48 WYETH LEDERLE RR 6,14 6,10 G

3

Page 4: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

A02BC03 Lansoprazolo 028775070 ZOTON 14 cpr orodispers 15 mg 1 48 WYETH LEDERLE RR 7,03 6,99 GA02BC03 Lansoprazolo 028775094 ZOTON 14 cpr orodispers 30 mg 1 48 WYETH LEDERLE RR 12,03 11,96 GA02BC03 Lansoprazolo 028775017 ZOTON 14 cps 30 mg 1 48 WYETH LEDERLE RR 11,13 11,06 GA02BC04 Rabeprazolo 034216022 PARIET 14 cpr gastrores 10 mg 1 48 JANSSEN CILAG RR 10,02 9,90 XA02BC04 Rabeprazolo 034216186 PARIET 14 cpr gastrores 20 mg 1 48 JANSSEN CILAG RR 18,42 18,20 XA02BC05 Esomeprazolo 035035157 AXAGON 14 cpr gastrores 20 mg 1 48 SIMESA RR 18,42 18,20 XA02BC05 Esomeprazolo 035035563 AXAGON 14 cpr gastrores 40 mg 1 48 SIMESA RR 23,88 23,60 XA02BC05 Esomeprazolo 035433022 ESOPRAL 14 cpr gastrores 20 mg 1 48 BRACCO RR 18,42 18,20 XA02BC05 Esomeprazolo 035433174 ESOPRAL 14 cpr gastrores 40 mg 1 48 BRACCO RR 23,88 23,60 XA02BC05 Esomeprazolo 035367263 LUCEN 14 cpr gastrores 20 mg 1 48 MALESCI RR 18,42 18,20 XA02BC05 Esomeprazolo 035367414 LUCEN 14 cpr gastrores 40 mg 1 48 MALESCI RR 23,88 23,60 XA02BC05 Esomeprazolo 034972265 NEXIUM 14 cpr gastrores 20 mg 1 48 ASTRAZENECA RR 18,42 18,20 XA02BC05 Esomeprazolo 034972416 NEXIUM 14 cpr gastrores 40 mg 1 48 ASTRAZENECA RR 23,88 23,60 XA02BX02 Sucralfato 022803074 ANTEPSIN 30 bust polv os 2 g BALDACCI RR 5,42 5,39 GA02BX02 Sucralfato 022803035 ANTEPSIN 40 cpr 1 g BALDACCI RR 7,46 7,42 GA02BX02 Sucralfato 022803047 ANTEPSIN os sosp 200 ml 20% BALDACCI RR 8,49 8,39 XA02BX02 Sucralfato 028190027 CITOGEL 30 bust gel os 2 g 10 ml GEYMONAT RR 7,68 7,63 GA02BX02 Sucralfato 028779027 CRAFILM 30 bust os sosp 1 g 5 ml FRANCIA RR 4,11 4,09 GA02BX02 Sucralfato 028779015 CRAFILM os sosp 200 ml 20% FRANCIA RR 7,64 7,54 XA02BX02 Sucralfato 033491010 ESCUDO 30 bust grat 2 g LAMPUGNANI RR 5,42 5,39 GA02BX02 Sucralfato 027819022 GASTROGEL 30 bust gel os 2 g 10 ml GIULIANI RR 7,54 7,49 GA02BX02 Sucralfato 033394026 SUCRALFATO 30 bust polv os 1 g MERCK GENERICS RR 4,11 4,09 GA02BX02 Sucralfato 031838016 SUCRALFATO 30 bust grat 1 g PLIVA RR 4,11 4,09 GA02BX02 Sucralfato 033136021 SUCRALFATO 30 bust polv os 1 g TEVA RR 4,11 4,09 GA02BX02 Sucralfato 035134016 SUCRALFATO 30 bust grat 2 g ABC RR 5,42 5,39 GA02BX02 Sucralfato 032101026 SUCRALFATO 30 bust polv os 2 g ANGENERICO RR 5,42 5,39 GA02BX02 Sucralfato 032885030 SUCRALFATO 30 bust grat 2 g BENEDETTI RR 5,42 5,39 GA02BX02 Sucralfato 034788012 SUCRALFATO 30 bust grat 2 g DOC GENERICI RR 5,42 5,39 GA02BX02 Sucralfato 033394038 SUCRALFATO 30 bust polv os 2 g MERCK GENERICS RR 5,42 5,39 GA02BX02 Sucralfato 031838028 SUCRALFATO 30 bust grat 2 g PLIVA RR 5,42 5,39 GA02BX02 Sucralfato 033136033 SUCRALFATO 30 bust polv os 2 g TEVA RR 5,42 5,39 GA02BX02 Sucralfato 025822053 SUCRALFIN 30 bust grat 2 g SANOFI-AVENTIS RR 5,87 5,83 GA02BX02 Sucralfato 025822026 SUCRALFIN 40 cpr 1 g SANOFI-AVENTIS RR 7,46 7,42 GA02BX02 Sucralfato 025822040 SUCRALFIN grat os sosp 200 ml 20% SANOFI-AVENTIS RR 8,49 8,39 XA02BX02 Sucralfato 025724030 SUCRAMAL 30 bust grat 1 g SANOFI-AVENTIS RR 5,55 5,52 GA02BX02 Sucralfato 025724055 SUCRAMAL 30 bust grat 2 g SANOFI-AVENTIS RR 5,87 5,83 GA02BX02 Sucralfato 025724067 SUCRAMAL 40 cpr 1 g SANOFI-AVENTIS RR 7,46 7,42 GA02BX02 Sucralfato 025724042 SUCRAMAL 40 cpr mast 1 g SANOFI-SYNTHELABO RR 7,46 7,42 GA02BX02 Sucralfato 025652052 SUCRATE 30 bust gel os 2 g 10 ml LISAPHARMA RR 7,22 7,18 GA02BX02 Sucralfato 032882021 SUCRORIL 30 bust grat 2 g SOFAR RR 5,42 5,39 GA02BX02 Sucralfato 032882033 SUCRORIL grat os sosp 200 ml 20 g/100 ml SOFAR RR 7,64 7,54 XA02BX02 Sucralfato 033379013 SUGAR 30 bust polv os 2 g FARMA 1 RR 5,42 5,39 GA02BX02 Sucralfato 025762117 SUGAST 30 bust grat 2 g S.F. GROUP RR 5,42 5,39 GA02BX02 Sucralfato 031900020 SURIL 30 bust grat 2 g I.BIR.N RR 5,87 5,83 GA02BX02 Sucralfato 031900032 SURIL 30 cpr mast 2 g I.BIR.N RR 5,87 5,83 GA02BX02 Sucralfato 033545017 ULCRAST 30 cpr mast 2 g BONISCONTRO & GAZZONE RR 5,42 5,39 GA02BX02 Sucralfato 033545029 ULCRAST 30 bust grat 2 g BONISCONTRO & GAZZONE RR 5,42 5,39 GA02BX02 Sucralfato 032884037 ZENODIAN 30 bust grat 2 g C.T. LABORATORIO FARMACEUTICO RR 7,22 7,18 GA02BX05 Biskalammonio 025416037 DE NOL 40 cpr riv 120 mg ASTELLAS RR 10,49 10,37 XA02BX13 Sodio alginato/potassio bic034248284 GAVISCON ADVANCE os sosp 200 ml menta RECKITT BENCKISER RR 4,79 4,76A02BX13 Sodio alginato/potassio bic034248043 GAVISCON ADVANCE os sosp 200 ml RECKITT BENCKISER RR 4,79 4,76A02BX13 Sodio alginato/potassio bic034248070 GAVISCON ADVANCE os sosp 180 ml RECKITT BENCKISER RR 4,79 4,76A02BX13 Sodio alginato/potassio bic034248171 GAVISCON ADVANCE 20 bust os sosp 10 ml menta RECKITT BENCKISER RR 4,79 4,76

4

Page 5: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

A02BX13 Sodio alginato/potassio bic034248068 GAVISCON ADVANCE os sosp 500 ml RECKITT BENCKISER RR 11,11 10,97 X XA02BX13 Sodio alginato/potassio bic034248346 GAVISCON ADVANCE os sosp 500 ml menta RECKITT BENCKISER RR 11,11 10,97 X XA03AA Pipetanato etobromuro 028580037 SPASMODIL 6 fiale IM EV 10 mg 1 ml ABC RR 2,43 2,42A03AX12 Floroglucinolo 020851034 SPASMEX 10 fiale IM EV 40 mg 4 ml SCHARPER RR 4,71 4,68A03BA01 Atropina solfato 029829037 ATROPINA SOLFATO 5 fiale 0,5 mg 1 ml GALENICA SENESE RR 1,63 1,62 GA03BA01 Atropina solfato 030653012 ATROPINA SOLFATO 5 fiale 0,5 mg 1 ml SALF RR 1,59 1,58 GA03BA01 Atropina solfato 031409016 ATROPINA SOLFATO 5 fiale 0,5 mg 1 ml FISIOPHARMA RR 1,68 1,67 GA03BA01 Atropina solfato 030052029 ATROPINA SOLFATO 5 fiale 0,5 mg 1 ml MAYNE PHARMA RR 2,24 2,23 GA03BA01 Atropina solfato 030783031 ATROPINA SOLFATO 5 fiale 0,5 mg 1 ml MONICO RR 2,80 2,78 GA03BB01 Scopolamina butilbromuro 006979037 BUSCOPAN 6 fiale IM EV 20 mg 1 ml BOEHRINGER INGELHEIM RR 3,00 2,98A03BB05 Cimetropio bromuro 025494016 ALGINOR 6 fiale IM EV 5 mg 1 ml BOEHRINGER INGELHEIM RR 2,48 2,47A03FA Levosulpiride 027210044 LEVOBREN 6 fiale IM EV 25 mg 2 ml THERABEL GIENNE PHARMA RR 3,56 3,54A03FA Levosulpiride 026009023 LEVOPRAID 6 fiale IM EV 25 mg 2 ml ABBOTT RR 3,56 3,54A03FA01 Metoclopramide 034142012 METOCLOPRAMIDE C5 fiale IM EV 10 mg 2 ml MAYNE PHARMA RR 1,07 1,06 GA03FA01 Metoclopramide 020766010 PLASIL 5 fiale IM EV 10 mg 2 ml LEPETIT RR 1,25 1,24 GA03FA04 Bromopride 023360074 VALOPRIDE 10 fiale IM EV 10 mg 2 ml PHARMAFAR RR 2,69 2,67A03FA05 Alizapride 025575034 LIMICAN 6 fiale IM EV 50 mg 2 ml ACARPIA SERVICOS RR 4,98 4,95A03FA06 Clebopride 026362057 MOTILEX 6 fiale IM EV 1 mg 2 ml ALMIRALL RR 4,80 4,77A04AA01 Ondansetrone 027612035 ZOFRAN 1 fiala IM EV 4 mg 2 ml 57 GLAXOSMITHKLINE RR 10,47 10,35 XA04AA01 Ondansetrone 027612047 ZOFRAN 1 fiala IM EV 8 mg 4 ml 57 GLAXOSMITHKLINE RR 21,04 20,78 XA04AA01 Ondansetrone 027612011 ZOFRAN 6 cpr 4 mg 57 GLAXOSMITHKLINE RR 45,97 45,41 XA04AA01 Ondansetrone 027612098 ZOFRAN 6 cpr orodispers 4 mg 57 GLAXOSMITHKLINE RR 45,97 45,41 XA04AA01 Ondansetrone 027612086 ZOFRAN scir 50 ml 4 mg/5 ml 57 GLAXOSMITHKLINE RR 59,92 59,20 XA04AA01 Ondansetrone 027612023 ZOFRAN 6 cpr 8 mg 57 GLAXOSMITHKLINE RR 74,45 73,55 XA04AA01 Ondansetrone 027612112 ZOFRAN 6 cpr orodispers 8 mg 57 GLAXOSMITHKLINE RR 74,45 73,55 XA04AA01 Ondansetrone 027612074 ZOFRAN 4 supp 16 mg 57 GLAXOSMITHKLINE RR 77,41 76,49 XA04AA02 Granisetrone 028093019 KYTRIL 1 fiala EV 3 mg 3 ml 57 ROCHE RR 31,95 31,57 XA04AA02 Granisetrone 028093033 KYTRIL 1 siringa IM 3 mg 1 ml 57 ROCHE RR 31,95 31,57 XA04AA02 Granisetrone 028093045 KYTRIL 3 siringhe IM 3 mg 1 ml 57 ROCHE RR 95,89 94,73 XA04AA02 Granisetrone 028093084 KYTRIL 5 cpr 2 mg 57 ROCHE RR 106,24 104,96 XA04AA02 Granisetrone 028093021 KYTRIL 10 cpr riv 1 mg 57 ROCHE RR 114,39 113,01 XA04AA03 Tropisetrone 028456010 NAVOBAN 1 fiala infus os 5 mg 5 ml 57 NOVARTIS FARMA RR 30,22 29,86 XA04AA03 Tropisetrone 028456085 NAVOBAN 1 fiala SC 5 mg 1 ml + 1 siringa 57 NOVARTIS FARMA RR 30,22 29,86 XA04AA03 Tropisetrone 028456097 NAVOBAN 3 fiale SC 5 mg 1 ml + 3 siringh 57 NOVARTIS FARMA RR 89,95 88,87 XA04AA03 Tropisetrone 028456022 NAVOBAN 5 cps 5 mg 57 NOVARTIS FARMA RR 107,37 106,09 XA04AA04 Dolasetron 033108022 ANZEMET 1 fiala EV 100 mg 5 ml 57 SANOFI-AVENTIS RR 25,36 25,06 XA04AA04 Dolasetron 033108046 ANZEMET 3 cpr riv 200 mg 57 SANOFI-AVENTIS RR 46,82 46,26 XA05AA Acido chenoursodesossico026567026 BILENOR 30 cps 250 mg 2 SCHWARZ RR 16,38 16,18 X XA05AA Acido tauroursodesossico 026772020 TAURO 20 cps 150 mg 2 TEOFARMA RR 6,03 5,95 XA05AA Acido tauroursodesossico 026772032 TAURO 20 cps 250 mg 2 TEOFARMA RR 10,16 10,04 XA05AA02 Acido ursodesossicolico 033094018 ACIDO URSODESOSS20 cpr 150 mg 2 MERCK GENERICS RR 4,43 4,40 GA05AA02 Acido ursodesossicolico 028746016 ACIDO URSODESOSS20 cps 300 mg 2 ANGENERICO RR 6,59 6,55 GA05AA02 Acido ursodesossicolico 034317014 ACIDO URSODESOSS20 cps 300 mg 2 DOROM RR 6,59 6,55 GA05AA02 Acido ursodesossicolico 033512031 ACIDO URSODESOSS20 cps 300 mg 2 EG RR 6,59 6,55 GA05AA02 Acido ursodesossicolico 033094020 ACIDO URSODESOSS20 cpr 300 mg 2 MERCK GENERICS RR 6,59 6,55 GA05AA02 Acido ursodesossicolico 033674019 ACIDO URSODESOSS20 cps 300 mg 2 PLIVA RR 6,59 6,55 GA05AA02 Acido ursodesossicolico 033090010 ACIDO URSODESOSS20 cpr 300 mg 2 RATIOPHARM GMBH RR 6,59 6,55 GA05AA02 Acido ursodesossicolico 033942018 ACIDO URSODESOSS20 cps 300 mg 2 TEVA RR 6,59 6,55 GA05AA02 Acido ursodesossicolico 033564030 ACIDO URSODESOSS20 cps 300 mg 2 WINTHROP RR 6,59 6,55 GA05AA02 Acido ursodesossicolico 034317038 ACIDO URSODESOSS20 cps 450 mg rilascio prolunga 2 DOROM RR 11,19 11,12 GA05AA02 Acido ursodesossicolico 033512017 ACIDO URSODESOSS20 cpr 450 mg rilascio prolunga 2 EG RR 11,19 11,12 GA05AA02 Acido ursodesossicolico 033674033 ACIDO URSODESOSS20 cps 450 mg rilascio prolunga 2 PLIVA RR 11,19 11,12 GA05AA02 Acido ursodesossicolico 033090034 ACIDO URSODESOSS20 cpr 450 mg rilascio prolunga 2 RATIOPHARM GMBH RR 11,19 11,12 G

5

Page 6: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

A05AA02 Acido ursodesossicolico 033942032 ACIDO URSODESOSS20 cps 450 mg rilascio modifica 2 TEVA RR 11,19 11,12 GA05AA02 Acido ursodesossicolico 033564055 ACIDO URSODESOSS20 cps 450 mg 2 WINTHROP RR 11,19 11,12 GA05AA02 Acido ursodesossicolico 026078016 BILIEPAR 20 cps 150 mg 2 I.BIR.N RR 4,43 4,40 GA05AA02 Acido ursodesossicolico 026078028 BILIEPAR 20 cps 300 mg 2 I.BIR.N RR 6,59 6,55 GA05AA02 Acido ursodesossicolico 026078042 BILIEPAR 20 cps 450 mg rilascio controlla 2 I.BIR.N RR 11,19 11,12 GA05AA02 Acido ursodesossicolico 027556024 DESOCOL 20 cps 300 mg 2 LAMPUGNANI RR 8,12 8,07 GA05AA02 Acido ursodesossicolico 028336016 DESOXIL 20 cpr 150 mg 2 BONISCONTRO & GAZZONE RR 4,43 4,40 GA05AA02 Acido ursodesossicolico 028336028 DESOXIL 20 cpr 300 mg 2 BONISCONTRO & GAZZONE RR 6,59 6,55 GA05AA02 Acido ursodesossicolico 028336042 DESOXIL 20 cpr 450 mg 2 BONISCONTRO & GAZZONE RR 11,19 11,12 GA05AA02 Acido ursodesossicolico 023605076 DEURSIL 20 cps 150 mg 2 SANOFI-AVENTIS RR 4,43 4,40 GA05AA02 Acido ursodesossicolico 023605114 DEURSIL 20 cps 300 mg 2 SANOFI-AVENTIS RR 6,59 6,55 GA05AA02 Acido ursodesossicolico 023605138 DEURSIL 20 cps 450 mg rilascio prolunga 2 SANOFI-AVENTIS RR 11,19 11,12 GA05AA02 Acido ursodesossicolico 023605153 DEURSIL 20 cps 225 mg rilascio prolunga 2 SANOFI-AVENTIS RR 7,89 7,84 GA05AA02 Acido ursodesossicolico 034219016 DISSOLURSIL 20 cps 300 mg 2 FARMA 1 RR 8,12 8,07 GA05AA02 Acido ursodesossicolico 034219030 DISSOLURSIL 20 cps 450 mg rilascio prolunga 2 FARMA 1 RR 11,19 11,12 GA05AA02 Acido ursodesossicolico 027567027 FRAURS 20 cps 150 mg 2 FRANCIA RR 4,43 4,40 GA05AA02 Acido ursodesossicolico 027567039 FRAURS 20 cps 300 mg 2 FRANCIA RR 6,59 6,55 GA05AA02 Acido ursodesossicolico 028404010 LITOFF 20 cpr 300 mg 2 CABER RR 6,59 6,55 GA05AA02 Acido ursodesossicolico 028404022 LITOFF 20 cpr 450 mg rilascio prolunga 2 CABER RR 11,19 11,12 GA05AA02 Acido ursodesossicolico 024615078 LITURSOL 20 cpr 150 mg 2 CRINOS RR 4,43 4,40 GA05AA02 Acido ursodesossicolico 024615080 LITURSOL 20 cpr 300 mg 2 CRINOS RR 6,59 6,55 GA05AA02 Acido ursodesossicolico 024615092 LITURSOL 20 cps 450 mg rilascio prolunga 2 CRINOS RR 11,19 11,12 GA05AA02 Acido ursodesossicolico 026893038 URDES 20 cpr 150 mg 2 ERREKAPPA RR 4,43 4,40 GA05AA02 Acido ursodesossicolico 026893040 URDES 20 cpr 300 mg 2 ERREKAPPA RR 6,59 6,55 GA05AA02 Acido ursodesossicolico 026893065 URDES 20 cpr riv gastrores 225 mg 2 ERREKAPPA RR 7,89 7,84 GA05AA02 Acido ursodesossicolico 026893053 URDES 20 cpr riv gastrores 450 mg 2 ERREKAPPA RR 11,19 11,12 GA05AA02 Acido ursodesossicolico 023630039 URSACOL 20 cpr 150 mg 2 ZAMBON RR 4,43 4,40 GA05AA02 Acido ursodesossicolico 023630066 URSACOL 20 cpr 300 mg 2 ZAMBON RR 6,59 6,55 GA05AA02 Acido ursodesossicolico 024173080 URSILON 20 cps 300 mg 2 I.B.I. LORENZINI RR 6,59 6,55 GA05AA02 Acido ursodesossicolico 024173066 URSILON 20 cps rigide 225 mg rilascio pr 2 I.B.I. LORENZINI RR 7,89 7,84 GA05AA02 Acido ursodesossicolico 024173054 URSILON 20 cps rigide 450 mg rilascio pr 2 I.B.I. LORENZINI RR 11,19 11,12 GA05AA02 Acido ursodesossicolico 024444034 URSOBIL 20 cps 150 mg 2 ABC RR 4,43 4,40 GA05AA02 Acido ursodesossicolico 024444123 URSOBIL 20 cpr 300 mg 2 ABC RR 6,59 6,55 GA05AA02 Acido ursodesossicolico 024444059 URSOBIL 20 cps 250 mg 2 ABC RR 8,30 8,20 XA05AA02 Acido ursodesossicolico 024444111 URSOBIL scir 200 ml 150 mg/10 ml 2 ABC RR 10,93 10,79 XA05AA02 Acido ursodesossicolico 029038027 URSOBIL HT 20 cps 450 mg rilascio controlla 2 ABC RR 11,19 11,12 GA05AA02 Acido ursodesossicolico 026328017 URSODAMOR 20 cpr 150 mg 2 DAMOR RR 5,24 5,21 GA05AA02 Acido ursodesossicolico 026328029 URSODAMOR 20 cpr 300 mg 2 DAMOR RR 10,54 10,48 GA05AA02 Acido ursodesossicolico 028366019 URSODIOL 20 cps 300 mg 2 BIOPROGRESS PHARMA RR 8,12 8,07 GA05AA02 Acido ursodesossicolico 028366033 URSODIOL 20 cps 450 mg rilascio prolunga 2 BIOPROGRESS PHARMA RR 13,00 12,92 GA05AA02 Acido ursodesossicolico 026074029 URSOFALK 20 cps 150 mg 2 DR.FALK PHARMA GMBH RR 6,07 6,03 GA05AA02 Acido ursodesossicolico 026074031 URSOFALK 20 cps 300 mg 2 DR.FALK PHARMA GMBH RR 12,14 12,07 GA05AA02 Acido ursodesossicolico 026074043 URSOFALK "S.R." 20 cps 450 mg 2 DR.FALK PHARMA GMBH RR 19,90 19,78 GA05AA02 Acido ursodesossicolico 026073015 URSOFLOR 20 cps 150 mg 2 SO.SE.PHARM RR 4,43 4,40 GA05AA02 Acido ursodesossicolico 026073027 URSOFLOR 20 cps 300 mg 2 SO.SE.PHARM RR 6,59 6,55 GA05AA02 Acido ursodesossicolico 026073039 URSOFLOR 20 cpr 450 mg cessione ritarda 2 SO.SE.PHARM RR 11,19 11,12 GA05AA02 Acido ursodesossicolico 028931018 URSOLAC 20 cps 300 mg 2 DOC GENERICI RR 6,59 6,55 GA05AA02 Acido ursodesossicolico 028931032 URSOLAC 20 cps 450 mg cessione ritarda 2 DOC GENERICI RR 11,19 11,12 GA05AA02 Acido ursodesossicolico 025430063 URSOLISIN 20 cps 150 mg 2 MAGIS RR 4,43 4,40 GA05AA02 Acido ursodesossicolico 025430101 URSOLISIN 20 cps 300 mg 2 MAGIS RR 6,59 6,55 GA06AD11 Lattulosio 029159023 DIACOLON EPS scir 200 ml 66,7% 59 VECCHI & PIAM RR 4,84 4,81A06AD11 Lattulosio 028524015 EPALAT EPS 15 bust grat 12 g 59 OFF RR 4,80 4,77A06AD11 Lattulosio 024409118 EPALFEN EPS 30 bust grat 6 g 59 ZAMBON RR 4,80 4,77

6

Page 7: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

A06AD11 Lattulosio 024409144 EPALFEN EPS scir 400 ml 59 ZAMBON RR 9,28 9,16 XA06AD11 Lattulosio 022711129 LAEVOLAC EPS scir 180 ml 59 ROCHE RR 4,80 4,77A06AD11 Lattulosio 022711117 LAEVOLAC EPS 20 bust grat 10 g 59 ROCHE RR 4,98 4,95A06AD11 Lattulosio 030727010 LATTULAC EPS scir 180 ml 66,7 % 59 SOFAR RR 4,80 4,77A06AD11 Lattulosio 023535166 NORMASE EPS scir 200 ml 66,7% 59 MOLTENI RR 4,84 4,81A06AD12 Lattitolo 029563018 PORTOLAC EPS polv os 200 g 59 NOVARTIS C.H. RR 7,52 7,42 X XA06AD12 Lattitolo 029563044 PORTOLAC EPS scir 500 ml 59 NOVARTIS C.H. RR 12,55 12,39 X XA07AA02 Nistatina 010058030 MYCOSTATIN os sosp 100 ml BRISTOL RR 6,35 6,27 XA07AA06 Paromomicina 014015034 GABBRORAL scir 60 ml 2,5% PFIZER ITALIA RR 4,80 4,77A07AA06 Paromomicina 014015010 GABBRORAL 12 cpr 250 mg PFIZER ITALIA RR 8,98 8,88 XA07AA06 Paromomicina 016531028 HUMATIN scir 60 ml 2,5% PFIZER ITALIA RR 4,80 4,77A07AA06 Paromomicina 016531016 HUMATIN 16 cps 250 mg PFIZER ITALIA RR 10,45 10,33 XA07AA06 Paromomicina 020177010 KAMAN 16 cps 250 mg I.B.N. SAVIO RR 10,79 10,67 XA07AA09 Vancomicina 034985034 FARMACICLIN 4 cps 250 mg FARMA 1 RR 18,19 17,97 XA07AA09 Vancomicina 035003033 LEVOVANOX 4 cps 250 mg LEVOFARMA RR 18,19 17,97 XA07AA09 Vancomicina 034984031 MAXIVANIL 4 cps 250 mg MAX FARMA RR 18,19 17,97 XA07AA11 Rifaximina 025300043 NORMIX grat os sosp 60 ml 2 g/100 ml ALFA WASSERMANN RR 4,80 4,77A07AA11 Rifaximina 025300029 NORMIX 12 cpr riv 200 mg ALFA WASSERMANN RR 8,76 8,66 X XA07AA11 Rifaximina 025303049 RIFACOL grat os sosp 60 ml 2% PRODOTTI FORMENTI RR 4,80 4,77A07AA11 Rifaximina 025303025 RIFACOL 12 cpr riv 200 mg PRODOTTI FORMENTI RR 8,76 8,66 X XA07AC01 Miconazolo 027203013 MIDERM 20 cpr 250 mg MENDELEJEFF RR 9,92 9,80 XA07AC01 Miconazolo 025999121 NIZACOL 10 cpr 500 mg P.S. PHARMA RR 18,19 17,97 XA07EA02 Idrocortisone 027000013 COLIFOAM 14 dosi schiuma rettale 20,8 g + 14 applic MEDA A.B. RR 14,14 13,98 XA07EA06 Budesonide 034734018 ENTOCIR 50 cps 3 mg rilascio modificato ASTRAZENECA RR 68,14 67,32 XA07EA07 Beclometasone 029136013 CLIPPER 10 clismi 3 mg 60 ml sosp rett CHIESI RR 26,62 26,30 XA07EA07 Beclometasone 029136037 CLIPPER 30 cpr 5 mg rilascio modificato CHIESI RR 80,19 79,23 X

A07EA07 Beclometasone 034847020 KLOSTENAL7 clismi 60 ml sosp rett + 7 cannule rett BRACCO RR 16,78 16,58 X

A07EA07 Beclometasone 031115025 TOPSTER 10 supp 3 mg SOFAR RR 8,02 7,92 XA07EA07 Beclometasone 031115037 TOPSTER 7 clismi 60 ml sosp rett + 7 cannule rett SOFAR RR 16,78 16,58 XA07EA07 Beclometasone 031115013 TOPSTER 14 dosi 35 ml schiuma rett SOFAR RR 16,82 16,62 XA07EA07 Beclometasone 031115049 TOPSTER 10 flaconi 3 mg sosp rett SOFAR RR 21,28 21,02 XA07EC01 Sulfasalazina 012048031 SALAZOPYRIN EN 100 cpr gastrores 500 mg PFIZER ITALIA RR 14,91 14,73 XA07EC02 Mesalazina 026416242 ASACOL 24 cpr riv gastrores 800 mg GIULIANI RR 13,09 13,01 GA07EC02 Mesalazina 026416026 ASACOL 50 cpr riv gastrores 400 mg GIULIANI RR 14,44 14,35 GA07EC02 Mesalazina 026416255 ASACOL 50 cps 400 mg rilascio modificato GIULIANI RR 14,44 14,35 GA07EC02 Mesalazina 026416139 ASACOL 20 supp 500 mg GIULIANI RR 17,15 17,05 GA07EC02 Mesalazina 026416141 ASACOL 7 clismi 2 g 50 ml GIULIANI RR 25,27 25,12 GA07EC02 Mesalazina 026416216 ASACOL 7 clismi 2 g schiuma rett GIULIANI RR 25,27 25,12 GA07EC02 Mesalazina 026416154 ASACOL 7 clismi 4 g 100 ml GIULIANI RR 37,91 37,68 GA07EC02 Mesalazina 026416230 ASACOL 7 clismi 4 g schiuma rett GIULIANI RR 37,91 37,68 GA07EC02 Mesalazina 026416305 ASACOL 28 supp 1 g GIULIANI RR 57,57 56,87 XA07EC02 Mesalazina 027122100 ASALEX 60 cpr gastrores 400 mg rilascio modificato CHIESI RR 22,71 22,43 XA07EC02 Mesalazina 027122035 ASALEX 30 supp 400 mg CHIESI RR 23,59 23,31 XA07EC02 Mesalazina 027122062 ASALEX 7 clismi 2 g sosp rett + 7 cannule CHIESI RR 25,27 25,12 GA07EC02 Mesalazina 027122098 ASALEX 7 clismi 4 g sosp rett + 7 cannule CHIESI RR 37,91 37,68 GA07EC02 Mesalazina 027122124 ASALEX 60 cpr gastrores 800 mg rilascio modificato CHIESI RR 44,82 44,28 XA07EC02 Mesalazina 027122112 ASALEX 20 bust grat 1,5 g sosp rett CHIESI RR 65,89 65,09 XA07EC02 Mesalazina 034298024 ASAMAX 24 cpr gastrores 800 mg ASTELLAS RR 13,09 13,01 GA07EC02 Mesalazina 034298012 ASAMAX 50 cpr gastrores 400 mg ASTELLAS RR 14,44 14,35 GA07EC02 Mesalazina 034298051 ASAMAX 20 supp 500 mg ASTELLAS RR 17,15 17,05 GA07EC02 Mesalazina 034298036 ASAMAX 7 clismi 2 g 50 ml sosp rett ASTELLAS RR 25,27 25,12 GA07EC02 Mesalazina 034298048 ASAMAX 7 clismi 4 g 100 ml sosp rett ASTELLAS RR 37,91 37,68 G

7

Page 8: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

A07EC02 Mesalazina 035356056 ASAVIXIN gel rett 20 clismi 500 mg MADAUS RR 17,15 17,05 GA07EC02 Mesalazina 035356017 ASAVIXIN 50 cpr riv 500 mg MADAUS RR 19,41 19,29 GA07EC02 Mesalazina 035356031 ASAVIXIN 7 clismi 2 g sosp rett MADAUS RR 25,27 25,12 GA07EC02 Mesalazina 035356043 ASAVIXIN 7 clismi 4 g sosp rett MADAUS RR 37,91 37,68 GA07EC02 Mesalazina 027308067 CLAVERSAL 20 supp 500 mg GLAXOSMITHKLINE RR 17,15 17,05 GA07EC02 Mesalazina 027308016 CLAVERSAL 50 cpr 500 mg GLAXOSMITHKLINE RR 20,32 20,20 GA07EC02 Mesalazina 035358050 ENTERAPROCT 20 contenitori gel rettale CRINOS RR 17,15 17,05 GA07EC02 Mesalazina 029480050 ENTERASIN 24 cpr gastrores 800 mg CRINOS RR 13,09 13,01 GA07EC02 Mesalazina 029480011 ENTERASIN 50 cps 400 mg CRINOS RR 14,44 14,35 GA07EC02 Mesalazina 029480074 ENTERASIN 20 supp 500 mg CRINOS RR 17,15 17,05 GA07EC02 Mesalazina 029480023 ENTERASIN gel rett 7 clismi 2 g CRINOS RR 25,27 25,12 GA07EC02 Mesalazina 029480035 ENTERASIN gel rett 7 clismi 4 g CRINOS RR 37,91 37,68 GA07EC02 Mesalazina 033081050 MESAFLOR gel rett 20 clismi 500 mg SO.SE.PHARM RR 17,15 17,05 GA07EC02 Mesalazina 033081011 MESAFLOR 50 cpr riv 500 mg SO.SE.PHARM RR 19,41 19,29 GA07EC02 Mesalazina 033081023 MESAFLOR 7 clismi 2 g + 7 cannule rett SO.SE.PHARM RR 25,27 25,12 GA07EC02 Mesalazina 033081035 MESAFLOR 7 clismi 4 g + 7 cannule rett SO.SE.PHARM RR 37,91 37,68 GA07EC02 Mesalazina 034462022 MESALAZINA 24 cpr gastrores 800 mg DOROM RR 13,09 13,01 GA07EC02 Mesalazina 034254021 MESALAZINA 24 cpr gastrores 800 mg PLIVA RR 13,09 13,01 GA07EC02 Mesalazina 035075023 MESALAZINA 24 cpr gastrores 800 mg RATIOPHARM GMBH RR 13,09 13,01 GA07EC02 Mesalazina 033763020 MESALAZINA 24 cpr gastrores 800 mg TEVA RR 13,09 13,01 GA07EC02 Mesalazina 033529025 MESALAZINA 24 cpr gastrores 800 mg UNION HEALTH RR 13,09 13,01 GA07EC02 Mesalazina 034462010 MESALAZINA 50 cpr gastrores 400 mg DOROM RR 14,44 14,35 GA07EC02 Mesalazina 034254019 MESALAZINA 50 cpr gastrores 400 mg PLIVA RR 14,44 14,35 GA07EC02 Mesalazina 035075011 MESALAZINA 50 cpr gastrores 400 mg RATIOPHARM GMBH RR 14,44 14,35 GA07EC02 Mesalazina 033763018 MESALAZINA 50 cpr 400 mg TEVA RR 14,44 14,35 GA07EC02 Mesalazina 033529013 MESALAZINA 50 cpr gastrores 400 mg UNION HEALTH RR 14,44 14,35 GA07EC02 Mesalazina 034462059 MESALAZINA 20 supp 500 mg DOROM RR 17,15 17,05 GA07EC02 Mesalazina 034254058 MESALAZINA 20 supp 500 mg PLIVA RR 17,15 17,05 GA07EC02 Mesalazina 035075047 MESALAZINA 20 supp 500 mg RATIOPHARM GMBH RR 17,15 17,05 GA07EC02 Mesalazina 034836015 MESALAZINA 50 cpr riv 500 mg SANDOZ RR 19,41 19,29 GA07EC02 Mesalazina 034462034 MESALAZINA 7 clismi 2 g 50 ml sosp rett DOROM RR 25,27 25,12 GA07EC02 Mesalazina 034254033 MESALAZINA 7 clismi 2 g 50 ml sosp rett PLIVA RR 25,27 25,12 GA07EC02 Mesalazina 034836027 MESALAZINA 7 clismi 2 g sosp rett + 7 cannule SANDOZ RR 25,27 25,12 GA07EC02 Mesalazina 034462046 MESALAZINA 7 clismi 4 g 100 ml sosp rett DOROM RR 37,91 37,68 GA07EC02 Mesalazina 034254045 MESALAZINA 7 clismi 4 g 100 ml sosp rett PLIVA RR 37,91 37,68 GA07EC02 Mesalazina 035075035 MESALAZINA 7 clismi 4 g 100 ml sosp rett RATIOPHARM GMBH RR 37,91 37,68 GA07EC02 Mesalazina 034836039 MESALAZINA 7 clismi 4 g sosp rett + 7 cannule SANDOZ RR 37,91 37,68 GA07EC02 Mesalazina 035386034 MESALAZINA 7 clismi 4 g sosp rett + 7 cannule TAD PHARMA RR 37,91 37,68 GA07EC02 Mesalazina 035386022 MESALAZINA 24 cpr 800 mg TAD PHARMA RR 13,09 13,01 GA07EC02 Mesalazina 035386010 MESALAZINA 50 cpr 400 mg TAD PHARMA RR 14,44 14,35 GA07EC02 Mesalazina 035386059 MESALAZINA 20 supp 500 mg TAD PHARMA RR 17,15 17,05 GA07EC02 Mesalazina 026925065 PENTACOL gel rett 20 clismi 500 mg SOFAR RR 17,15 17,05 GA07EC02 Mesalazina 026925089 PENTACOL 7 clismi 2 g schiuma rett SOFAR RR 25,27 25,12 GA07EC02 Mesalazina 026925127 PENTACOL 14 g schiuma rett + 7 cannule rett SOFAR RR 35,48 35,06 XA07EC02 Mesalazina 026925077 PENTACOL 7 clismi 4 g schiuma rett SOFAR RR 38,81 38,58 GA07EC02 Mesalazina 026925115 PENTACOL 28 g schiuma rett + 7 cannule rett SOFAR RR 52,16 51,54 XA07EC02 Mesalazina 026925038 PENTACOL 20 clismi 1,5 g SOFAR RR 65,89 65,09 XA07EC02 Mesalazina 026925040 PENTACOL 60 cpr gastrores 400 mg rilascio modificato SOFAR RR 22,71 22,43 XA07EC02 Mesalazina 026925053 PENTACOL 60 cpr gastrores 800 mg rilascio modificato SOFAR RR 44,82 44,28 XA07EC02 Mesalazina 027130071 PENTASA 50 cpr 500 mg rilascio modificato FERRING RR 22,42 22,29 GA07EC02 Mesalazina 027130044 PENTASA 7 clismi 4 g 100 ml sosp rett FERRING RR 45,74 45,47 GA07EC02 Mesalazina 035592017 PLIMAGE gel rett 20 clismi 500 mg PLIVA RR 17,15 17,05 GA07EC02 Mesalazina 034556023 QUOTA gel rett 7 clismi 2 g + erog ABBOTT RR 27,48 27,32 G

8

Page 9: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

A07EC02 Mesalazina 034556035 QUOTA gel rett 7 clismi 4 g + erog ABBOTT RR 40,66 40,42 GA07EC02 Mesalazina 027357096 SALOFALK 10 supp 500 mg DR.FALK PHARMA GMBH RR 11,06 10,92 XA07EC02 Mesalazina 027357110 SALOFALK 7 clismi 4 g 60 ml DR.FALK PHARMA GMBH RR 50,84 50,53 GA07EC04 Balsalazide 033858022 BALZIDE 112 cps 750 mg MENARINI INTERNATIONAL O.L.S.A. RR 47,68 47,10 XA09AA02 Pancrelipasi 029018064 CREON "10.000 U.I." 100 cps 150 mg ri 5 SOLVAY PHARMACEUTICALS B.V. RR 17,31 17,11 X XA09AA02 Pancrelipasi 021232071 PANCREX 100 cps 340 mg 5 MIPHARM RR 13,96 13,80 X XA10AB01 Insulina umana da DNA ric035932033 ACTRAPID 1 fiala 1.000 U.I. 10 ml NOVO NORDISK A/S RR 15,49 15,31 X XA10AB01 Insulina umana da DNA ric035932060 ACTRAPID 5 penfill 3 ml NOVO NORDISK A/S RR 35,18 34,76 X XA10AB01 Insulina umana da DNA ric035932084 ACTRAPID 5 cartucce 3 ml NOVO NORDISK A/S RR 35,18 34,76 X XA10AB01 Insulina umana da DNA ric025707011 HUMULIN "R" 1 fiala 1.000 U.I. 10 ml ELI LILLY RR 14,72 14,54 XA10AB01 Insulina umana da DNA ric025707365 HUMULIN "R" 5 cartucce 300 U.I. 3 ml ELI LILLY RR 33,42 33,02 XA10AB01 Insulina umana da DNA ric025707441 HUMULIN "R JET" 5 penfill 3 ml ELI LILLY RR 33,42 33,02 XA10AB04 Insulina lispro da DNA rico 033637024 HUMALOG 1 fiala SC 1.000 U.I. 10 ml ELI LILLY NEDERLAND BV RR 34,87 34,45 X XA10AB04 Insulina lispro da DNA rico 033637051 HUMALOG 5 cartucce SC 300 U.I. 3 ml ELI LILLY NEDERLAND BV RR 52,36 51,74 X XA10AB04 Insulina lispro da DNA rico 033637113 HUMALOG 5 cartucce SC NPL 300 UI 3 ml ELI LILLY NEDERLAND BV RR 52,36 51,74 X XA10AB04 Insulina lispro da DNA rico 033637149 HUMALOG 5 penne SC NPL 300 UI 3 ml ELI LILLY NEDERLAND BV RR 52,36 51,74 X XA10AB04 Insulina lispro da DNA rico 033637048 HUMALOG PEN 5 penne 100 U/ ml 3 ml ELI LILLY NEDERLAND BV RR 52,36 51,74 X XA10AB05 Insulina aspart 034498093 NOVORAPID 5 cartucce 300 U.I. 3 ml NOVO NORDISK A/S RR 52,36 51,74 X XA10AB05 Insulina aspart 034498055 NOVORAPID NOVOLE 5 siringhe SC 3 ml NOVO NORDISK A/S RR 52,36 51,74 X XA10AB05 Insulina aspart 034498030 NOVORAPID PENFILL 5 cartucce SC 3 ml NOVO NORDISK A/S RR 52,36 51,74 X XA10AB06 Insulina glulisina 036684013 APIDRA 1 fiala SC 10 ml 100 U/ml SANOFI AVENTIS GMBH RR 32,93 32,53 X XA10AB06 Insulina glulisina 036684088 APIDRA 5 cartucce SC 300 U.I. 3 ml SANOFI AVENTIS GMBH RR 49,39 48,79 X XA10AB06 Insulina glulisina 036684165 APIDRA 5 penne SC 300 U.I. 3 ml SANOFI AVENTIS GMBH RR 49,39 48,79 X XA10AB06 Insulina glulisina 036684241 APIDRA 5 cartucce SC opticlick 300 U.I. SANOFI AVENTIS GMBH RR 49,39 48,79 X XA10AC01 Insulina umana isofano da 025707353 HUMULIN "I" 5 cartucce SC 300 U.I. 3 ml ELI LILLY RR 33,42 33,02 XA10AC01 Insulina umana isofano da 025707439 HUMULIN "I JET" 5 penfill 3 ml ELI LILLY RR 33,42 33,02 XA10AC01 Insulina umana isofano da 025707035 HUMULIN "I" 1 fiala 1.000 U.I. 10 ml ELI LILLY RR 14,72 14,54 XA10AC01 Insulina umana isofano da 035935030 PROTAPHANE 1 fiala 1.000 U.I. 10 ml NOVO NORDISK A/S RR 15,49 15,31 X XA10AC01 Insulina umana isofano da 035935067 PROTAPHANE 5 penfill 3 ml NOVO NORDISK A/S RR 35,18 34,76 X XA10AC01 Insulina umana isofano da 035935081 PROTAPHANE NOVOL5 cartucce SC 300 U.I. 3 ml NOVO NORDISK A/S RR 35,18 34,76 X XA10AC01 Insulina zinco umana da D 035934037 MONOTARD 1 fiala SC 1.000 U.I. 10 ml NOVO NORDISK A/S RR 15,49 15,31 X XA10AD01 Insulina umana da DNA ric035936069 ACTRAPHANE 10 PEN5 cartucce 3ml 300 U.I. NOVO NORDISK A/S RR 35,18 34,76 X XA10AD01 Insulina umana da DNA ric035936095 ACTRAPHANE 20 PEN5 cartucce 3ml 300 U.I. NOVO NORDISK A/S RR 35,18 34,76 X XA10AD01 Insulina umana da DNA ric035936032 ACTRAPHANE 30 1 fiala 1.000 U.I. 10 ml NOVO NORDISK A/S RR 15,49 15,31 X XA10AD01 Insulina umana da DNA ric035936246 ACTRAPHANE 30 NOV5 cartucce 3ml 300 U.I. NOVO NORDISK A/S RR 35,18 34,76 X XA10AD01 Insulina umana da DNA ric035936121 ACTRAPHANE 30 PEN5 cartucce 3ml 300 U.I. NOVO NORDISK A/S RR 35,18 34,76 X XA10AD01 Insulina umana da DNA ric035936158 ACTRAPHANE 40 PEN5 cartucce 3ml 300 U.I. NOVO NORDISK A/S RR 35,18 34,76 X XA10AD01 Insulina umana da DNA ric035936285 ACTRAPHANE 50 NOV5 cartucce 3ml 300 U.I. NOVO NORDISK A/S RR 35,18 34,76 X XA10AD01 Insulina umana da DNA ric035936184 ACTRAPHANE 50 PEN5 cartucce 3ml 300 U.I. NOVO NORDISK A/S RR 35,18 34,76 X XA10AD01 Insulina umana da DNA ric025707391 HUMULIN "30/70" 5 cartucce 300 U.I. 3 ml ELI LILLY RR 33,42 33,02 XA10AD01 Insulina umana da DNA ric025707187 HUMULIN "30/70" 1 fiala 1.000 U.I. 10 ml ELI LILLY RR 14,72 14,54 XA10AD01 Insulina umana da DNA ric025707340 HUMULIN "50/50" 1 fiala 1.000 U.I. 10 ml ELI LILLY RR 14,72 14,54 XA10AD01 Insulina umana da DNA ric025707478 HUMULIN "30/70" 5 penfill 3 ml ELI LILLY RR 33,42 33,02 XA10AD04 Insulina lispro da DNA rico 033637063 HUMALOG "MIX 25" 1 fiala SC 1.000 U.I. 10 ml ELI LILLY NEDERLAND BV RR 34,87 34,45 X XA10AD04 Insulina lispro da DNA rico 033637075 HUMALOG "MIX 50" 5 cartucce SC 300 U. ELI LILLY NEDERLAND BV RR 52,36 51,74 X XA10AD04 Insulina lispro da DNA rico 033637099 HUMALOG "MIX 25" 5 cartucce 3 ml ELI LILLY NEDERLAND BV RR 52,36 51,74 X XA10AD04 Insulina lispro da DNA rico 033637137 HUMALOG "MIX 50" 5 cartucce penna SC ELI LILLY NEDERLAND BV RR 52,36 51,74 X XA10AD04 Insulina lispro da DNA rico 033637125 HUMALOG "MIX 25" 5 penne 3 ml ELI LILLY NEDERLAND BV RR 52,36 51,74 X XA10AD05 Insulina aspart 035563079 NOVOMIX 30 5 cartucce 300 U.I. 3 ml NOVO NORDISK A/S RR 52,36 51,74 X XA10AE01 Insulina zinco umana da D 035933035 ULTRATARD 1 fiala SC 1.000 U.I. 10 ml NOVO NORDISK A/S RR 15,49 15,31 X XA10AE04 Insulina glargine 035724121 LANTUS 1 cartuccia SC 1000 U.I. 10 ml PT SANOFI AVENTIS GMBH RR 54,87 54,21 X XA10AE04 Insulina glargine 035724069 LANTUS 5 cartucce SC 300 U.I. 3 ml PT SANOFI AVENTIS GMBH RR 82,32 81,34 X XA10AE04 Insulina glargine 035724107 LANTUS optiset 5 penne SC 300 U.I. 3 ml PT SANOFI AVENTIS GMBH RR 82,32 81,34 X X

9

Page 10: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

A10AE04 Insulina glargine 035724160 LANTUS opticlik 5 cartucce SC 300 UI 3 ml PT SANOFI AVENTIS GMBH RR 82,32 81,34 X XA10AE05 Insulina detemir 036850055 LEVEMIR 5 cartucce SC 300 U.I. 3 ml PT NOVO NORDISK A/S RR 82,32 81,34 X XA10BA02 Metformina 017758018 GLUCOPHAGE 30 cpr riv 500 mg MERCK RR 1,81 1,80 GA10BA02 Metformina 017758020 GLUCOPHAGE 40 cpr riv 850 mg MERCK RR 4,64 4,61 GA10BA02 Metformina 017758069 GLUCOPHAGE 60 cpr riv 1.000 mg MERCK RR 7,30 7,26 GA10BA02 Metformina 018820011 METBAY 30 cpr 500 mg BAYER RR 1,81 1,80 GA10BA02 Metformina 035215019 METFONORM 30 cpr riv 500 mg ABIOGEN PHARMA RR 1,44 1,43 GA10BA02 Metformina 035215021 METFONORM 40 cpr riv 850 mg ABIOGEN PHARMA RR 3,50 3,48 GA10BA02 Metformina 035215033 METFONORM 60 cpr riv 1.000 mg ABIOGEN PHARMA RR 5,49 5,46 GA10BA02 Metformina 019449014 METFORAL 50 cpr riv 500 mg GUIDOTTI RR 4,03 4,01A10BA02 Metformina 019449038 METFORAL 30 cpr riv 850 mg GUIDOTTI RR 4,18 4,15A10BA02 Metformina 037062039 METFORALMILLE 60 cpr riv 1.000 mg GUIDOTTI RR 5,49 5,46 GA10BA02 Metformina 035195205 METFORMINA 30 cpr riv 500 mg TEVA RR 1,44 1,43 GA10BA02 Metformina 035195332 METFORMINA 40 cpr riv 850 mg TEVA RR 3,50 3,48 GA10BA02 Metformina 036640100 METFORMINA 60 cpr riv 1.000 mg HEXAL RR 5,49 5,46 GA10BA02 Metformina 035408044 METFORMINA 60 cpr riv 1.000 mg MERCK RR 5,49 5,46 GA10BA02 Metformina 036626012 METFORMINA 60 cpr riv 1 g TEVA PHARMA B.V. RR 5,49 5,46 GA10BA02 Metformina 037040161 METFORMINA 60 cpr riv 1.000 mg EG RR 5,49 5,46 GA10BA02 Metformina 021037015 METIGUANIDE 30 cpr 500 mg PFIZER ITALIA RR 1,91 1,90 GA10BB Gliciclamide 013730015 DIABORALE 20 cpr 500 mg MARVECSPHARMA SERVICES RR 2,84 2,82A10BB01 Glibenclamide 021642018 DAONIL 30 cpr 5 mg SANOFI-AVENTIS RR 2,94 2,92A10BB01 Glibenclamide 021575016 EUGLUCON 5 30 cpr 5 mg ROCHE RR 2,94 2,92A10BB01 Glibenclamide 022541015 GLIBEN 30 cpr 5 mg ABIOGEN PHARMA RR 2,94 2,92A10BB01 Glibenclamide 022592012 GLIBORAL 30 cpr 5 mg GUIDOTTI RR 2,94 2,92A10BB02 Clorpropamide 016891018 DIABEMIDE 20 cpr 250 mg GUIDOTTI RR 1,14 1,13A10BB07 Glipizide 022410017 MINIDIAB 30 cpr 5 mg PFIZER ITALIA RR 4,23 4,20A10BB08 Gliquidone 024080020 GLURENOR 40 cpr 30 mg GUIDOTTI RR 4,98 4,95A10BB09 Gliclazide 031844018 DIABREZIDE 40 cpr 80 mg MOLTENI RR 7,02 6,98 GA10BB09 Gliclazide 023404015 DIAMICRON 40 cpr 80 mg LABORATOIRES SERVIER (FR) RR 4,97 4,94 GA10BB09 Gliclazide 023404092 DIAMICRON 60 cpr 30 mg rilascio modificato LABORATOIRES SERVIER (FR) RR 12,48 12,34 X XA10BB09 Gliclazide 035564083 DRAMION 60 cpr 30 mg rilascio modificato STRODER RR 12,48 12,34 X XA10BB09 Gliclazide 035940016 GALTES 40 cpr 80 mg BONISCONTRO & GAZZONE RR 4,61 4,58 GA10BB09 Gliclazide 036245013 GLICLAZIDE 40 cpr 80 mg ALMUS RR 4,61 4,58 GA10BB09 Gliclazide 036179012 GLICLAZIDE 40 cpr div 80 mg ALTER RR 4,61 4,58 GA10BB09 Gliclazide 036528014 GLICLAZIDE 40 cpr 80 mg DOC GENERICI RR 4,61 4,58 GA10BB09 Gliclazide 036282010 GLICLAZIDE 40 cpr div 80 mg EG RR 4,61 4,58 GA10BB09 Gliclazide 033363019 GLICLAZIDE 40 cpr 80 mg MOLTENI RR 4,61 4,58 GA10BB09 Gliclazide 034288011 GLICLAZIDE 40 cpr 80 mg TEVA RR 4,61 4,58 GA10BB09 Gliclazide 036244010 GLICLAZIDE 40 cpr 80 mg MERCK GENERICS RR 4,61 4,58 GA10BB09 Gliclazide 036252017 GLUCOBLOC 40 cpr div 80 mg EPIFARMA RR 4,61 4,58 GA10BB12 Glimepiride 032845012 AMARYL 30 cpr 2 mg SANOFI-AVENTIS RR 4,51 4,48 GA10BB12 Glimepiride 032845164 AMARYL 30 cpr 3 mg SANOFI-AVENTIS RR 6,47 6,39 XA10BB12 Glimepiride 032845226 AMARYL 30 cpr 4 mg SANOFI-AVENTIS RR 6,47 6,39 XA10BB12 Glimepiride 036956035 GLIMEPIRIDE 30 cpr 2 mg MOLTENI RR 3,80 3,78 GA10BB12 Glimepiride 036958015 GLIMEPIRIDE 30 cpr 2 mg MERCK GENERICS RR 3,81 3,79 GA10BB12 Glimepiride 036960021 GLIMEPIRIDE 30 cpr 2 mg HEXAL RR 3,80 3,78 GA10BB12 Glimepiride 036957052 GLIMEPIRIDE 30 cpr 2 mg SANDOZ RR 3,80 3,78 GA10BB12 Glimepiride 037048030 GLIMEPIRIDE 30 cpr 2 mg TAD PHARMA GMBH RR 3,80 3,78 GA10BB12 Glimepiride 036961023 GLIMEPIRIDE 30 cpr 2 mg ANGENERICO RR 4,51 4,48 GA10BB12 Glimepiride 036962037 GLIMEPIRIDE 30 cpr 2 mg EG RR 3,80 3,78 GA10BB12 Glimepiride 036952036 GLIMEPIRIDE 30 cpr 2 mg PLIVA RR 4,51 4,48 GA10BB12 Glimepiride 032117018 SOLOSA 30 cpr 2 mg GUIDOTTI RR 3,80 3,78 GA10BB12 Glimepiride 032117160 SOLOSA 30 cpr 3 mg GUIDOTTI RR 6,47 6,39 X

10

Page 11: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

A10BB12 Glimepiride 032117222 SOLOSA 30 cpr 4 mg GUIDOTTI RR 6,47 6,39 XA10BD01 Clorpropamide/fenformina 019751027 BIDIABE 20 cpr 125 mg/30 mg SANOFI-AVENTIS RR 1,76 1,75A10BD01 Glibenclamide/fenformina 022925010 GLIBEN F 30 conf 5 mg + 25 mg ABIOGEN PHARMA RR 3,05 3,03A10BD01 Glibenclamide/fenformina 022878019 GLIFORMIN 30 cpr 30 mg + 2 mg GUIDOTTI RR 2,12 2,11A10BD02 Clorpropamide/metformina 026100040 PLEIAMIDE 40 cpr riv SANOFI-AVENTIS RR 3,77 3,75A10BD02 Glibenclamide/metformina 028359014 BI EUGLUCON M 40 cpr riv 400 mg + 2,5 mg ROCHE RR 4,34 4,31A10BD02 Glibenclamide/metformina 026129015 GLIBOMET 40 cpr riv 400 mg + 2,5 mg GUIDOTTI RR 4,34 4,31A10BD02 Glibenclamide/metformina 026129041 GLIBOMET 60 cpr riv 400 mg + 5 mg GUIDOTTI RR 5,46 5,40 XA10BD02 Glibenclamide/metformina 031995018 GLICONORM 36 cpr riv 5 mg + 500 mg ABIOGEN PHARMA RR 4,13 4,11A10BD02 Glibenclamide/metformina 034576013 GLICOREST 36 cpr riv 5 mg + 500 mg FOURNIER PHARMA RR 4,13 4,11A10BD02 Glibenclamide/metformina 026130029 GLUCOMIDE 40 cps 500mg + 2,5mg MERCK RR 4,34 4,31A10BD02 Glibenclamide/metformina 027174010 SUGUAN M 40 cpr riv 400 mg + 2,5 mg SANOFI-AVENTIS RR 4,34 4,31A10BD03 Rosiglitazone/metformina 036168033 AVANDAMET 112 cpr riv 1 mg/500 mg PT SMITHKLINE BEECHAM PLC RR 38,65 38,19 X XA10BD03 Rosiglitazone/metformina 036168072 AVANDAMET 56 cpr riv 2 mg/1000 mg PT SMITHKLINE BEECHAM PLC RR 38,65 38,19 X XA10BD03 Rosiglitazone/metformina 036168060 AVANDAMET 112 cpr riv 2 mg/500 mg PT SMITHKLINE BEECHAM PLC RR 59,08 58,38 X XA10BD03 Rosiglitazone/metformina 036168084 AVANDAMET 56 cpr riv 4 mg/1000 mg PT SMITHKLINE BEECHAM PLC RR 59,08 58,38 X XA10BG02 Rosiglitazone 034939064 AVANDIA 28 cpr riv 4 mg PT SMITHKLINE BEECHAM PLC RR 38,65 38,19 X XA10BG02 Rosiglitazone 034939114 AVANDIA 25 cpr riv 8 mg PT SMITHKLINE BEECHAM PLC RR 59,08 58,38 X XA10BG03 Pioglitazone 034946018 ACTOS 28 cpr 15 mg PT TAKEDA EUROPE RR 38,79 38,33 X XA10BG03 Pioglitazone 034946044 ACTOS 28 cpr 30 mg PT TAKEDA EUROPE RR 59,20 58,48 X XA10BX02 Repaglinide 034162053 NOVONORM 90 cpr 0,5 mg NOVO NORDISK A/S RR 16,73 16,53 X XA10BX02 Repaglinide 034162127 NOVONORM 90 cpr 1 mg NOVO NORDISK A/S RR 16,73 16,53 X XA10BX02 Repaglinide 034162192 NOVONORM 90 cpr 2 mg NOVO NORDISK A/S RR 16,73 16,53 X XA11CC01 Ergocalciferolo 010861019 OSTELIN 2 fiale IM OS 400.000 U.I. 1,5 ml TEOFARMA RR 4,24 4,21A11CC02 Diidrotachisterolo 005713019 ATITEN gtt os 15 ml 0,1% BAYER HEALTHCARE AG RR 9,14 9,04 XA11CC03 Alfacalcidolo 029008012 ALPHA D3 30 cps 0,25 mcg TEVA PHARMA B.V. RR 5,15 5,09 XA11CC03 Alfacalcidolo 029008036 ALPHA D3 gtt os 10 ml 2 mcg/ml TEVA PHARMA B.V. RR 7,53 7,43 XA11CC03 Alfacalcidolo 029008024 ALPHA D3 30 cps 1 mcg TEVA PHARMA B.V. RR 13,54 13,38 XA11CC03 Alfacalcidolo 025487024 DEDIOL 30 cps 0,25 mcg LEO PHARMACEUTICAL PRODUCT Ltd RR 5,15 5,09 XA11CC03 Alfacalcidolo 025487036 DEDIOL gtt os 10 ml 2 mcg/ml LEO PHARMACEUTICAL PRODUCT Ltd RR 7,53 7,43 XA11CC03 Alfacalcidolo 032832026 DERIL 30 cps 1 mcg I.BIR.N RR 13,54 13,38 XA11CC03 Alfacalcidolo 032832014 DERIL 30 cps 0,25 mcg I.BIR.N RR 5,15 5,09 XA11CC03 Alfacalcidolo 025447018 DISEON 30 cps 0,25 mcg TEVA RR 5,15 5,09 XA11CC03 Alfacalcidolo 025447032 DISEON gtt os 10 ml 2 mcg/ml TEVA RR 7,53 7,43 XA11CC03 Alfacalcidolo 025447020 DISEON 30 cps 1 mcg TEVA RR 13,54 13,38 XA11CC03 Alfacalcidolo 032333027 DISERINAL 30 cps 1 mcg BONISCONTRO & GAZZONE RR 13,54 13,38 XA11CC03 Alfacalcidolo 034112021 GENIAD 30 cps 1 mcg rilascio modificato FARMACEUTICI T.S. RR 13,54 13,38 XA11CC03 Alfacalcidolo 032936027 OSTIDIL D3 30 cps 1 mcg SO.SE.PHARM RR 13,54 13,38 XA11CC03 Alfacalcidolo 033819020 SEFAL 30 cps 1 mcg MARVECSPHARMA SERVICES RR 13,54 13,38 XA11CC04 Calcitriolo 035101017 CALCITRIOLO 30 cps 0,25 mcg JET GENERICI RR 4,97 4,94 GA11CC04 Calcitriolo 035297199 CALCITRIOLO 30 cps 0,25 mcg TEVA RR 4,97 4,94 GA11CC04 Calcitriolo 035101029 CALCITRIOLO 30 cps 0,50 mcg JET GENERICI RR 8,30 8,25 GA11CC04 Calcitriolo 035297389 CALCITRIOLO 30 cps 0,50 mcg TEVA RR 8,30 8,25 GA11CC04 Calcitriolo 027231012 DIFIX 30 cps 0,25 mcg PROMEDICA RR 4,97 4,94 GA11CC04 Calcitriolo 027231036 DIFIX 30 cps 0,50 mcg PROMEDICA RR 8,30 8,25 GA11CC04 Calcitriolo 024280012 ROCALTROL 30 cps 0,25 mcg ROCHE RR 6,32 6,28 GA11CC04 Calcitriolo 024280024 ROCALTROL 30 cps 0,50 mcg ROCHE RR 9,66 9,60 GA11CC04 Calcitriolo 035102019 TRIKAL 30 cps molli 0,25 mcg I.B.N. SAVIO RR 4,97 4,94 GA11CC04 Calcitriolo 035102021 TRIKAL 30 cps molli 0,5 mcg I.B.N. SAVIO RR 8,30 8,25 GA11CC05 Colecalciferolo 036635035 DIBASE 2 fiale IM OS 1 ml 300.000 UI/ml ABIOGEN PHARMA RR 3,50 3,48A11CC05 Colecalciferolo 036635023 DIBASE 6 fiale IM OS 1 ml 100.000 UI/ml ABIOGEN PHARMA RR 4,00 3,98A11CC05 Colecalciferolo 036635011 DIBASE gtt os 10 ml 10.000 UI/ml ABIOGEN PHARMA RR 5,70 5,64 X XA11CC06 Calcifediolo 024139014 DIDROGYL gtt os 1,5 mg 10 ml BRUNO FARMACEUTICI RR 5,50 5,44 X

11

Page 12: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

A12AA04 Calcio carbonato 034184010 ADIECAL 30 cpr eff 1 g FRANCIA RR 4,97 4,94 GA12AA04 Calcio carbonato 033468012 BIOCALCIUM 30 cpr eff 1 g BIOPROGRESS RR 6,47 6,43 GA12AA04 Calcio carbonato 027476023 CACIT 30 cpr eff 1 g PROCTER & GAMBLE PHARMACEUTICA RR 5,87 5,83 GA12AA04 Calcio carbonato 033377019 CAL-CAR 30 cpr eff 1 g S.F. GROUP RR 4,97 4,94 GA12AA04 Calcio carbonato 032344020 CALCIO 30 bust grat eff 1 g I.B.N. SAVIO RR 4,97 4,94 GA12AA04 Calcio carbonato 033390016 CALCIO 30 cpr eff 1 g SANDOZ RR 4,97 4,94 GA12AA04 Calcio carbonato 033871017 CALCIO CARBONATO 30 cpr eff 1 g EG RR 4,97 4,94 GA12AA04 Calcio carbonato 033373010 CALCIODIE 30 cpr eff 1 g SPA RR 7,97 7,92 GA12AA04 Calcio carbonato 033362017 CALCIOPIU' 30 cpr eff 1 g LA.FA.RE. RR 4,97 4,94 GA12AA04 Calcio carbonato 033524012 CALMA 30 cpr eff 1 g FARMA 1 RR 4,97 4,94 GA12AA04 Calcio carbonato 033527019 CARBO 30 cpr eff 1 g SIGMATAU GENERICS RR 4,97 4,94 GA12AA04 Calcio carbonato 032323026 CARBOSINT 30 bust grat 1 g BONISCONTRO & GAZZONE RR 4,97 4,94 GA12AA04 Calcio carbonato 033486010 IDRACAL 30 cpr eff 1 g BRUNO FARMACEUTICI RR 4,97 4,94 GA12AA04 Calcio carbonato 033236011 LUBICAL 30 cpr eff 1 g LISAPHARMA RR 5,96 5,92 GA12AA04 Calcio carbonato 029472014 METOCAL 60 cpr mast 1.250 mg ROTTAPHARM RR 8,11 8,01 XA12AA04 Calcio carbonato 033541018 RECAL 30 cpr eff 1 g NEW FARMA RR 6,96 6,92 GA12AA04 Calcio carbonato 033439011 SAVECAL 30 cpr eff 1 g I.BIR.N RR 4,97 4,94 GA12AA20 Calcio lattogluconato/calci 005259041 CALCIUM SANDOZ 30 bust grat eff 1.000 mg NOVARTIS C.H. RR 7,19 7,15 GA12AA20 Calcio lattogluconato/calci 029481025 REX 30 bust grat eff 1 g MDM RR 7,19 7,15 GA12AX Calcio carbonato/colecalc 035234018 BIOCALCIUM D3 30 cpr eff 1 g + 880 U.I. KRUGHER RR 4,69 4,66 GA12AX Calcio carbonato/colecalc 032033019 CACIT VITAMINA D3 30 bust grat eff 1 g + 880 U.I. PROCTER & GAMBLE RR 5,33 5,30 GA12AX Calcio carbonato/colecalc 034801011 CADTRE 30 bust grat eff 1 g + 880 U.I. NEW RESEARCH RR 4,69 4,66 GA12AX Calcio carbonato/colecalc 034643015 CALCICOLD3 30 cpr eff 1 g + 880 U.I. FIDIA RR 7,50 7,45 GA12AX Calcio carbonato/colecalc 035007018 CALCIO CARBONATO 30 bust grat eff 1 g + 880 U.I. ABC RR 4,69 4,66 GA12AX Calcio carbonato/colecalc 034794014 CALCIO CARBONATO 30 bust grat eff 1 g + 880 U.I. EG RR 4,69 4,66 GA12AX Calcio carbonato/colecalc 035105016 CALCIO CARBONATO 30 bust grat eff 1 g + 880 U.I. JET GENERICI RR 4,69 4,66 GA12AX Calcio carbonato/colecalc 034892012 CALCIO CARBONATO 30 bust grat eff 1 g + 880 U.I. PLIVA RR 4,69 4,66 GA12AX Calcio carbonato/colecalc 034798013 CALCIO CARBONATO 30 bust grat eff 1 g + 880 U.I. RATIOPHARM GMBH RR 4,69 4,66 GA12AX Calcio carbonato/colecalc 035121019 CALCIO CARBONATO 30 bust grat eff 1 g + 880 U.I. UNION HEALTH RR 4,69 4,66 GA12AX Calcio carbonato/colecalc 034642013 CALCIUM D3 SANDOZ30 cpr eff 1 g + 880 U.I. NOVARTIS C.H. RR 7,50 7,45 GA12AX Calcio carbonato/colecalc 035104013 CALMA D3 30 bust grat eff 1 g + 880 U.I. FARMA 1 RR 4,69 4,66 GA12AX Calcio carbonato/colecalc 035138015 CARBO D 3 30 bust grat eff 1 g + 880 U.I. SOFAR RR 4,69 4,66 GA12AX Calcio carbonato/colecalc 035122011 DITROST 30 bust grat eff 1 g + 880 U.I. BONISCONTRO & GAZZONE RR 4,69 4,66 GA12AX Calcio carbonato/colecalc 034799015 EFFERCAL D3 30 bust grat eff 1 g + 880 U.I. VECCHI & PIAM RR 5,33 5,30 GA12AX Calcio carbonato/colecalc 032840023 EUROCAL D3 30 bust grat eff 1 g + 880 U.I. PROCTER & GAMBLE RR 7,50 7,45 GA12AX Calcio carbonato/colecalc 034213049 IDEOS 60 cpr mast 500 mg + 400 U.I. MADAUS RR 8,37 8,32 GA12AX Calcio carbonato/colecalc 035103011 KALAZ D3 30 bust grat eff 1 g + 880 U.I. I.B.N. SAVIO RR 4,69 4,66 GA12AX Calcio carbonato/colecalc 035027034 METOCAL VITAMINA D60 cpr mast 600 mg + 400 U.I. ROTTAPHARM RR 8,37 8,32 GA12AX Calcio carbonato/colecalc 034899017 NATECAL D3 60 cpr mast 600 mg + 400 U.I. ITALFARMACO RR 10,19 10,13 GA12AX Calcio carbonato/colecalc 033861028 OROTRE 60 cpr 500 mg + 400 U.I. THERAMEX RR 9,45 9,39 GA12AX Calcio carbonato/colecalc 034932018 TONACAL D3 60 cpr mast 600 mg + 400 U.I. LIFEPHARMA RR 10,19 10,13 GA12AX Calcio carbonato/colecalc 034802013 URTOTRE 30 bust grat eff 1 g + 880 U.I. SARDA PHARMACEUTICA RR 4,69 4,66 GA12AX Calcio fosfato tribasico/co 033711019 CALPLUS D3 30 bust polv os 1.200 mg + 800 U.I. GUIDOTTI RR 6,86 6,82 GA12AX Calcio fosfato tribasico/co 033723014 FOSCAL D3 30 bust polv os 1.200 mg + 800 U.I. F.I.R.M.A. RR 6,86 6,82 GA12AX Calcio fosfato tribasico/co 033700016 OSTEOFOS D3 30 bust polv os 1.200 mg + 800 U.I. MENARINI INTERNATIONAL O.L.S.A. RR 6,86 6,82 GA12AX Calcio fosfato tribasico/co 034241024 OSTRAM D3 30 bust polv os 4,1 g BRACCO RR 6,86 6,82 GA12BA01 Potassio cloruro 023638012 KCL RETARD 40 cpr 600 mg ASTELLAS RR 2,63 2,61A16AA01 Levocarnitina 018610079 CARNITENE os soluz 10 flaconcini 2 g 8 PT SIGMATAU RR 15,63 15,45 X XB01AA03 Warfarin 016366027 COUMADIN 30 cpr 5 mg rilascio modificato BRISTOL RR 2,17 2,16B01AA07 Acenocumarolo 011782012 SINTROM 20 cpr div 4 mg NOVARTIS FARMA RR 2,03 2,02B01AA07 Acenocumarolo 011782024 SINTROM 20 cpr 1 mg NOVARTIS FARMA RR 1,91 1,90B01AB01 Eparina calcica 022579142 CALCIPARINA 10 siringhe SC 5.000 U.I. 0,2 ml ITALFARMACO RR 9,10 9,00 X XB01AB01 Eparina calcica 022579128 CALCIPARINA 10 fiale SC 5.000 U.I. 0,2 ml ITALFARMACO RR 10,40 10,28 X X

12

Page 13: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

B01AB01 Eparina calcica 022579155 CALCIPARINA 10 siringhe SC 12.500 U.I. 0,5 ml ITALFARMACO RR 20,94 20,68 X XB01AB01 Eparina calcica 022579193 CALCIPARINA 10 fiale SC 12.500 U.I. 0,5 ml ITALFARMACO RR 23,60 23,32 X XB01AB01 Eparina calcica 023645094 CRONEPARINA 10 fiale 5.000 U.I. 0,2 ml UCB PHARMA RR 10,50 10,44 GB01AB01 Eparina calcica 023645157 CRONEPARINA 10 fialesiringhe 5.000 U.I. 0,2 ml UCB PHARMA RR 10,57 10,51 GB01AB01 Eparina calcica 023645171 CRONEPARINA 10 siringhe 12.500 U.I. 0,5 ml UCB PHARMA RR 19,51 19,39 GB01AB01 Eparina calcica 023645106 CRONEPARINA 10 fiale 12.500 U.I. 0,5 ml UCB PHARMA RR 22,42 22,29 GB01AB01 Eparina calcica 030706016 ECABIL 10 fiale SC 5.000 U.I. 0,2 ml MAYNE PHARMA RR 10,50 10,44 GB01AB01 Eparina calcica 030706028 ECABIL 10 fiale SC 12.500 U.I. 0,5 ml MAYNE PHARMA RR 22,42 22,29 GB01AB01 Eparina calcica 027429113 ECAFAST 10 siringhe SC 5.000 U.I. 0,2 ml CRINOS RR 7,22 7,18 GB01AB01 Eparina calcica 027429087 ECAFAST 10 siringhe SC 5.000 U.I. 0,2 ml CRINOS RR 10,45 10,39 GB01AB01 Eparina calcica 027429149 ECAFAST 10 siringhe SC 12.500 U.I. 0,5 ml CRINOS RR 16,16 16,06 GB01AB01 Eparina calcica 027429099 ECAFAST 10 fiale SC 12.500 U.I. 0,5 ml CRINOS RR 22,42 22,29 GB01AB01 Eparina calcica 024939136 ECASOLV 10 fialesiringhe 5.000 U.I. 0,2 ml S.F. GROUP RR 7,22 7,18 GB01AB01 Eparina calcica 024939148 ECASOLV 10 fialesiringhe 12.500 U.I. 0,5 ml S.F. GROUP RR 16,16 16,06 GB01AB01 Eparina calcica 028868014 EMOKLAR 10 fialesiringhe 5.000 U.I. 0,2 ml I.B.N. SAVIO RR 7,22 7,18 GB01AB01 Eparina calcica 028868026 EMOKLAR 10 fialesiringhe 12.500 U.I. 0,5 ml I.B.N. SAVIO RR 16,16 16,06 GB01AB01 Eparina calcica 032788010 EPACALCICA 10 siringhe SC 12.500 U.I. 0,5 ml I.BIR.N RR 16,16 16,06 GB01AB01 Eparina calcica 025705017 EPARICAL 10 fialesiringhe SC 5.000 U.I. 0,2 ml NATTERMANN & CIE GMBH RR 10,57 10,51 GB01AB01 Eparina calcica 032908030 EPARINA CALCICA 10 siringhe 5.000 UI/0,2ml HEXAL RR 7,22 7,18 GB01AB01 Eparina calcica 032891032 EPARINA CALCICA 10 siringhe SC 5.000 U.I. 0,2 ml MERCK GENERICS RR 7,22 7,18 GB01AB01 Eparina calcica 033937018 EPARINA CALCICA 10 siringhe SC 5.000 U.I. PLIVA RR 7,22 7,18 GB01AB01 Eparina calcica 033620028 EPARINA CALCICA 10 fialesiringhe SC 12.500 U.I. 0,5 ml ALMUS RR 16,16 16,06 GB01AB01 Eparina calcica 034113047 EPARINA CALCICA 10 siringhe 12.500 U.I. 0,5 ml DOC GENERICI RR 16,16 16,06 GB01AB01 Eparina calcica 033986023 EPARINA CALCICA 10 siringhe 12.500 U.I. 0,5 ml EG RR 16,16 16,06 GB01AB01 Eparina calcica 032908042 EPARINA CALCICA 10 siringhe 12.500 UI/0,5ml HEXAL RR 16,16 16,06 GB01AB01 Eparina calcica 032891044 EPARINA CALCICA 10 siringhe SC 12.500 U.I. 0,5 ml MERCK GENERICS RR 16,16 16,06 GB01AB01 Eparina calcica 033937020 EPARINA CALCICA 10 siringhe SC 12.500 U.I. PLIVA RR 16,16 16,06 GB01AB01 Eparina calcica 033064041 EPARINA CALCICA 10 siringhe 12.500 U.I.0,5 ml RATIOPHARM GMBH RR 16,16 16,06 GB01AB01 Eparina calcica 033272028 EPARINA CALCICA 10 siringhe SC 12.500 U.I. 0,5 ml SANDOZ RR 16,16 16,06 GB01AB01 Eparina calcica 032211029 EPARINA IPA 10 siringhe 12.500 U.I. 0,5 ml IPA RR 16,25 16,15 GB01AB01 Eparina calcica 029459031 EPARINLIDER 10 fialesiringhe SC 5.000 U.I. 0,2 ml SCHARPER RR 7,22 7,18 GB01AB01 Eparina calcica 029459017 EPARINLIDER 10 fialesiringhe SC 12.500 U.I. 0,5 ml SCHARPER RR 16,16 16,06 GB01AB01 Eparina calcica 033374048 EPARVEN 10 siringhe SC 12.500 U.I. 0,5 ml PANTAFARM RR 16,16 16,06 GB01AB01 Eparina calcica 033670047 FLUSOLV 10 siringhe 12.500 U.I. 0,5 ml ECOBI RR 16,16 16,06 GB01AB01 Eparina calcica 033859024 HEPARINUM 10 siringhe SC 12.500 U.I. 0,5 ml BIOOS RR 16,16 16,06 GB01AB01 Eparina calcica 031126055 REOFLUS 10 fialesiringhe SC 12.500 U.I. 0,5 ml BONISCONTRO & GAZZONE RR 16,16 16,06 GB01AB01 Eparina calcica 032916013 SOSEFLUSS 10 siringhe 12.500 U.I. 0,5 ml SO.SE.PHARM RR 16,16 16,06 GB01AB01 Eparina calcica 032938033 TROMBOLISIN 10 siringhe SC 12.500 U.I. 0,5 ml PROGE FARM RR 16,16 16,06 GB01AB01 Eparina calcica 032802047 ZEPAC 10 fialesiringhe SC12.500 U.I. 0,5 ml ICI RENDE RR 16,16 16,06 GB01AB01 Eparina sodica 022891028 ATEROCLAR 10 fiale IM SC 1 ml MEDIBASE RR 6,46 6,42 GB01AB01 Eparina sodica 012627081 CLARISCO "FORTE" 10 fiale 5.000 U.I. 1 ml TEOFARMA RR 6,55 6,51 GB01AB01 Eparina sodica 012627105 CLARISCO 10 fiale 5.000 U.I. 0,2 ml TEOFARMA RR 6,55 6,51 GB01AB01 Eparina sodica 012627093 CLARISCO 10 fiale 12.500 U.I. 0,5 ml TEOFARMA RR 15,65 15,47 XB01AB01 Eparina sodica 013732019 EPARINA BMS 1 fiala 25.000 U.I. 5 ml BRISTOL RR 3,64 3,62 GB01AB01 Eparina sodica 006275010 EPARINA VISTER 1 fiala 50.000 U.I. 10 ml MARVECSPHARMA SERVICES RR 5,72 5,69 GB01AB01 Eparina sodica 030705038 EPSOCLAR 1 fiala EV 25.000 U.I. 5 ml MAYNE PHARMA RR 3,21 3,19 GB01AB01 Eparina sodica 030705014 EPSOCLAR 10 fiale SC EV 5.000 U.I. 1 ml MAYNE PHARMA RR 6,55 6,51 GB01AB01 Eparina sodica 031123019 ISOCLAR 10 fiale 5.000 U.I. 1 ml BONISCONTRO & GAZZONE RR 6,33 6,29 GB01AB01 Eparina sodica 034692018 PHAREPA 1 fiala EV 25.000 U.I. 5 ml PHARMATEX RR 3,21 3,19 GB01AB01 Eparina sodica 034692032 PHAREPA 10 fiale SC 5.000 U.I. 1 ml PHARMATEX RR 6,33 6,29 GB01AB04 Dalteparina 027276031 FRAGMIN 6 siringhe SC 2.500 U.I. 0,2 ml PFIZER ITALIA RR 18,37 18,15 XB01AB04 Dalteparina 027276043 FRAGMIN 6 siringhe SC 5.000 U.I. 0,2 ml PFIZER ITALIA RR 32,91 32,51 XB01AB04 Dalteparina 027276082 FRAGMIN 4 siringhe SC 10.000 U.I. 0,4 ml PFIZER ITALIA RR 46,18 45,62 X

13

Page 14: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

B01AB04 Dalteparina 027276094 FRAGMIN 4 siringhe SC 12.500 U.I. 0,5 ml PFIZER ITALIA RR 57,71 57,01 XB01AB04 Dalteparina 027276106 FRAGMIN 4 siringhe SC 15.000 U.I. 0,6 ml PFIZER ITALIA RR 69,26 68,42 XB01AB05 Enoxaparina sodica 026966034 CLEXANE 6 siringhe 2.000 U.I. 0,2 ml SANOFI-AVENTIS RR 18,15 17,93 X XB01AB05 Enoxaparina sodica 026966046 CLEXANE 6 siringhe 4.000 U.I. 0,4 ml SANOFI-AVENTIS RR 34,42 34,00 X XB01AB05 Enoxaparina sodica 029111046 CLEXANE T 2 fialesiringhe SC 6.000 U.I. 0,6 ml SANOFI-AVENTIS RR 14,70 14,52 X XB01AB05 Enoxaparina sodica 029111059 CLEXANE T 2 fialesiringhe SC 8.000 U.I. 0,8 ml SANOFI-AVENTIS RR 16,69 16,49 X XB01AB05 Enoxaparina sodica 029111061 CLEXANE T 2 fialesiringhe SC 10.000 U.I. 1 ml SANOFI-AVENTIS RR 19,68 19,44 X XB01AB06 Nadroparina calcica 026736064 FRAXIPARINA 6 siringhe SC 2.850 U.I. 0,3 ml GLAXOSMITHKLINE RR 19,16 18,94 XB01AB06 Nadroparina calcica 026736076 FRAXIPARINA 6 siringhe SC 3.800 U.I. 0,4 ml GLAXOSMITHKLINE RR 25,87 25,55 XB01AB06 Nadroparina calcica 026736102 FRAXIPARINA 10 siringhe 9.500 U.I. 1 ml GLAXOSMITHKLINE RR 56,53 55,85 XB01AB06 Nadroparina calcica 026736088 FRAXIPARINA 10 siringhe 5.700 U.I. 0,6 ml GLAXOSMITHKLINE RR 57,09 56,41 XB01AB06 Nadroparina calcica 026736090 FRAXIPARINA 10 siringhe 7.600 U.I. 0.8 ml GLAXOSMITHKLINE RR 64,80 64,02 XB01AB06 Nadroparina calcica 036458014 FRAXODI 2 siringhe SC 11.400 U.I. 0,6 ml GLAXOSMITHKLINE RR 17,40 17,20 X XB01AB06 Nadroparina calcica 036458040 FRAXODI 2 siringhe SC 15.200 U.I. 0,8 ml GLAXOSMITHKLINE RR 23,18 22,90 X XB01AB06 Nadroparina calcica 036458077 FRAXODI 2 siringhe SC 19.000 U.I. 1 ml GLAXOSMITHKLINE RR 29,07 28,73 X XB01AB06 Nadroparina calcica 034668018 SELEDIE 2 siringhe SC 11.400 U.I. 0,6 ml GLAXO ALLEN RR 17,40 17,20 X XB01AB06 Nadroparina calcica 034668044 SELEDIE 2 siringhe SC 15.200 U.I. 0,8 ml GLAXO ALLEN RR 23,18 22,90 X XB01AB06 Nadroparina calcica 034668071 SELEDIE 2 siringhe SC 19.000 U.I. 1 ml GLAXO ALLEN RR 29,07 28,73 X XB01AB06 Nadroparina calcica 026738017 SELEPARINA 6 siringhe SC 2.850 U.I. 0,3 ml ITALFARMACO RR 19,18 18,94 XB01AB06 Nadroparina calcica 026738056 SELEPARINA 6 siringhe SC 3.800 U.I. 0,4 ml ITALFARMACO RR 25,87 25,55 XB01AB06 Nadroparina calcica 026738118 SELEPARINA 10 siringhe SC 9.500 U.I. 1 ml ITALFARMACO RR 56,53 55,85 XB01AB06 Nadroparina calcica 026738070 SELEPARINA 10 siringhe SC 5.700 U.I. 0,6 ml ITALFARMACO RR 57,09 56,41 XB01AB06 Nadroparina calcica 026738094 SELEPARINA 10 siringhe SC 7.600 U.I. 0,8 ml ITALFARMACO RR 64,80 64,02 XB01AB07 Parnaparina 026270076 FLUXUM 6 siringhe SC 3.200 U.I. 0,3 ml ALFA WASSERMANN RR 18,56 18,34 XB01AB07 Parnaparina 026270088 FLUXUM 6 siringhe SC 4.250 U.I. 0,4 ml ALFA WASSERMANN RR 24,76 24,46 XB01AB07 Parnaparina 026270090 FLUXUM 6 siringhe SC 6.400 U.I. 0,6 ml ALFA WASSERMANN RR 32,94 32,54 XB01AB08 Reviparina 028694038 CLIVARINA 10 siringhe SC 1.750 U.I. 0,25 SCHWARZ RR 26,73 26,41 X XB01AB08 Reviparina 028694053 CLIVARINA 10 siringhe SC 4.200 U.I. 0,6 ml SCHWARZ RR 68,13 67,31 X XB01AB08 Reviparina 028694103 CLIVARINA 10 siringhe SC 6.300 U.I. 0,9 ml SCHWARZ RR 99,38 98,18 X XB01AB12 Bemiparina 035577028 IVOR 10 siringhe SC 2500 U.I. 0,2 ml SIGMATAU RR 25,23 24,93 X XB01AB12 Bemiparina 035577067 IVOR 10 siringhe SC 3500 U.I. 0,2 ml SIGMATAU RR 37,71 37,25 X XB01AB12 Bemiparina 035577105 IVOR 10 siringhe SC 5000 U.I. 0,2 ml SIGMATAU RR 53,91 53,27 X XB01AB12 Bemiparina 035577143 IVOR 10 siringhe SC 7500 U.I. 0,3 ml SIGMATAU RR 80,79 79,83 X XB01AB12 Bemiparina 035577182 IVOR 10 siringhe SC 10000 U.I. 0,4 ml SIGMATAU RR 107,74 106,44 X XB01AC04 Clopidogrel 034128013 PLAVIX 28 cpr riv 75 mg PT SANOFI PHARMA BMS RR 55,70 55,04 X XB01AC05 Ticlopidina 025220029 ANTIGREG 30 cpr riv 250 mg VECCHI & PIAM RNR 4,83 4,80 GB01AC05 Ticlopidina 025177027 APLAKET 30 cpr riv 250 mg ROTTAPHARM RNR 4,83 4,80 GB01AC05 Ticlopidina 035319019 CHIARO 30 cpr riv 250 mg MEDIOLANUM RNR 4,83 4,80 GB01AC05 Ticlopidina 029213016 CLOX 30 cpr 250 mg CABER RNR 4,83 4,80 GB01AC05 Ticlopidina 029407018 FLUILAST 30 cpr riv 250 mg BONISCONTRO & GAZZONE RNR 4,83 4,80 GB01AC05 Ticlopidina 034601017 FLUPID 30 cpr riv 250 mg DAMOR RNR 4,83 4,80 GB01AC05 Ticlopidina 035123013 FLUXIDIN 30 cpr riv 250 mg EPIFARMA RNR 4,83 4,80 GB01AC05 Ticlopidina 025602018 KLODIN 30 cpr 250 mg I.B.N. SAVIO RNR 4,83 4,80 GB01AC05 Ticlopidina 025585011 OPTERON 30 cpr riv 250 mg THERABEL GIENNE PHARMA RNR 4,83 4,80 GB01AC05 Ticlopidina 024716021 TICLODONE 30 cpr riv 250 mg SIGMATAU RNR 4,83 4,80 GB01AC05 Ticlopidina 035008010 TICLOPIDINA 30 cpr riv 250 mg ALTER RNR 4,83 4,80 GB01AC05 Ticlopidina 028965010 TICLOPIDINA 30 cpr 250 mg ANGENERICO RNR 4,83 4,80 GB01AC05 Ticlopidina 034110015 TICLOPIDINA 30 cpr 250 mg DOC GENERICI RNR 4,83 4,80 GB01AC05 Ticlopidina 029296011 TICLOPIDINA 30 cpr riv 250 mg DOROM RNR 4,83 4,80 GB01AC05 Ticlopidina 035098019 TICLOPIDINA 30 cpr riv 250 mg EG RNR 4,83 4,80 GB01AC05 Ticlopidina 033295015 TICLOPIDINA 30 cpr riv 250 mg ERREKAPPA RNR 4,83 4,80 GB01AC05 Ticlopidina 033805019 TICLOPIDINA 30 cpr riv 250 mg HEXAL RNR 4,83 4,80 GB01AC05 Ticlopidina 035576014 TICLOPIDINA 30 cpr 250 mg JET GENERICI RNR 4,83 4,80 G

14

Page 15: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

B01AC05 Ticlopidina 033208012 TICLOPIDINA 30 cpr riv 250 mg MERCK GENERICS RNR 4,83 4,80 GB01AC05 Ticlopidina 035089010 TICLOPIDINA 30 cpr riv 250 mg PLIVA RNR 4,83 4,80 GB01AC05 Ticlopidina 033088016 TICLOPIDINA 30 cpr riv 250 mg RATIOPHARM GMBH RNR 4,83 4,80 GB01AC05 Ticlopidina 035095013 TICLOPIDINA 30 cpr riv 250 mg TAD PHARMA RNR 4,83 4,80 GB01AC05 Ticlopidina 033146010 TICLOPIDINA 30 cpr riv 250 mg TEVA RNR 4,83 4,80 GB01AC05 Ticlopidina 035057013 TICLOPIDINA 30 cpr riv 250 mg UNION HEALTH RNR 4,83 4,80 GB01AC05 Ticlopidina 035825013 TICLOPIDINA 30 cpr riv 250 mg ALMUS RNR 4,83 4,80 GB01AC05 Ticlopidina 035382011 TICLOPIDINA 30 cpr riv 250 mg SANDOZ RNR 4,83 4,80 GB01AC05 Ticlopidina 024453021 TIKLID 30 cpr riv 250 mg SANOFI-AVENTIS RNR 4,83 4,80 GB01AC06 Acido acetilsalicilico 024840074 CARDIOASPIRIN 30 cpr gastrores 100 mg BAYER RR 2,32 2,31B01AC06 Acido acetilsalicilico/magn 023075029 ASCRIPTIN 20 cpr div 300 mg SANOFI-AVENTIS RR 2,32 2,31B01AC06 Lisina acetilsalicilato 028717041 CARDIRENE 30 bust polv os 75 mg SANOFI-AVENTIS RR 2,32 2,31B01AC06 Lisina acetilsalicilato 028717015 CARDIRENE 30 bust polv os 160 mg SANOFI-AVENTIS RR 3,00 2,98B01AC06 Lisina acetilsalicilato 028717027 CARDIRENE 30 bust polv os 300 mg SANOFI-AVENTIS RR 3,00 2,98B01AX05 Fondaparinux 035606033 ARIXTRA 10 siringhe SC 2,5 mg 0,5 ml GLAXO GROUP LTD RR 67,45 66,65 X XB02AA02 Acido tranexamico 035748019 ACIDO TRANEXAMICO5 fiale OS EV 500 mg BIOINDUSTRIA L.I.M. RR 3,96 3,94 GB02AA02 Acido tranexamico 036835015 ACIDO TRANEXAMICO5 fiale OS EV 500 mg DOC GENERICI RR 3,96 3,94 GB02AA02 Acido tranexamico 022019018 TRANEX 30 cps 250 mg MALESCI RR 4,93 4,90B02AA02 Acido tranexamico 022019032 TRANEX 6 fiale EV OS 500 mg 5 ml MALESCI RR 6,59 6,51 XB02AA02 Acido tranexamico 022019020 TRANEX 30 cps 500 mg MALESCI RR 8,84 8,74 XB02AA02 Acido tranexamico 021458017 UGUROL 20 cpr 250 mg ROTTAPHARM RR 3,72 3,70B02AA02 Acido tranexamico 021458029 UGUROL 5 fiale IM EV OS 500 mg 5 ml ROTTAPHARM RR 3,96 3,94 GB02BA01 Fitomenadione 008776039 KONAKION gtt os 2,5 ml 2% ROCHE RR 1,24 1,23B02BA01 Fitomenadione 008776015 KONAKION 3 fiale IM 10 mg 1 ml ROCHE RR 1,86 1,85B02BA01 Fitomenadione 008776041 KONAKION 20 cpr riv mast 10 mg ROCHE RR 3,87 3,85B02BD Complesso protrombinico 023288032 PROTROMPLEX TIM 31 fiala EV 500 U.I. + 1 fiala solv 20 ml PT BAXTER AG RR 208,13 206,88B02BD Complesso protrombinico 023309103 UMAN COMPLEX D.I. 1 fiala EV 500 U.I. + 1 fiala solv 20 ml PT KEDRION RR 208,13 206,88B02BD02 Fattore VIII di coagulazion 036160012 ADVATE 1 flacone EV 250 U.I. + 1 flacone solv PT BAXTER AG RR 309,45 307,59B02BD02 Fattore VIII di coagulazion 036160024 ADVATE 1 flacone EV 500 U.I. + 1 flacone solv PT BAXTER AG RR 618,90 615,19B02BD02 Fattore VIII di coagulazion 036160036 ADVATE 1 flacone EV 1.000 U.I. + 1 flacone sol PT BAXTER AG RR 1237,80 1230,37B02BD02 Fattore VIII di coagulazion 036160048 ADVATE 1 flacone EV 1.500 U.I. + 1 flacone sol PT BAXTER AG RR 1856,70 1845,56B02BD02 Fattore VIII di coagulazion 034956019 HELIXATE NEXGEN 1 flaconcino 250 U.I. + 1 flaconcino sol PT BAYER AG RR 283,41 281,71B02BD02 Fattore VIII di coagulazion 034956021 HELIXATE NEXGEN 1 flaconcino 500 U.I. + 1 flaconcino sol PT BAYER AG RR 566,82 563,42B02BD02 Fattore VIII di coagulazion 034956033 HELIXATE NEXGEN 1 flaconcino 1.000 U.I. + 1 flaconcino s PT BAYER AG RR 1133,64 1126,84B02BD02 Fattore VIII di coagulazion 034955017 KOGENATE BAYER 1 fiala EV 250 U.I. + 1 fiala solv + 1 kit PT BAYER AG RR 283,41 281,71B02BD02 Fattore VIII di coagulazion 034955043 KOGENATE BAYER 1 fiala EV 250 U.I. + 1 siringa + PT BAYER AG RR 283,41 281,71B02BD02 Fattore VIII di coagulazion 034955029 KOGENATE BAYER 1 fiala EV 500 U.I. + 1 fiala solv + 1 kit PT BAYER AG RR 566,82 563,42B02BD02 Fattore VIII di coagulazion 034955056 KOGENATE BAYER 1 fiala EV 500 U.I. + 1 siringa + PT BAYER AG RR 566,82 563,42B02BD02 Fattore VIII di coagulazion 034955031 KOGENATE BAYER 1 fiala EV 1.000 U.I. + 1 fiala solv + 1 k PT BAYER AG RR 1133,64 1126,84B02BD02 Fattore VIII di coagulazion 034955068 KOGENATE BAYER 1 fiala EV 1.000 U.I. + 1 siringa PT BAYER AG RR 1133,64 1126,84B02BD02 Fattore VIII di coagulazion 028687010 RECOMBINATE 1 flacone EV 250 U.I. + 1 flacone solv PT BAXTER H.C. CORPORATION RR 276,44 274,78B02BD02 Fattore VIII di coagulazion 028687022 RECOMBINATE 1 flacone EV 500 U.I. + 1 flacone solv PT BAXTER H.C. CORPORATION RR 552,88 549,56B02BD02 Fattore VIII di coagulazion 028687034 RECOMBINATE 1 flacone EV 1.000 U.I. + 1 flacone sol PT BAXTER H.C. CORPORATION RR 1105,77 1099,14B02BD02 Fattore VIII di coagulazion 034421014 REFACTO 1 fiala EV 250 U.I. + 1 fiala solv 4 ml PT GENETICS INSTITUTE B.V. RR 283,41 281,71B02BD02 Fattore VIII di coagulazion 034421026 REFACTO 1 fiala EV 500 U.I. + 1 fiala solv 4 ml PT GENETICS INSTITUTE B.V. RR 566,82 563,42B02BD02 Fattore VIII di coagulazion 034421038 REFACTO 1 fiala EV 1.000 U.I. + 1 fiala solv 4 ml PT GENETICS INSTITUTE B.V. RR 1133,64 1126,84B02BD02 Fattore VIII di coagulazion 033077013 ALPHANATE 1 fiala EV 250 U.I. + 1 fiala solv 5 ml PT ALPHA THERAPEUTIC ITALIA RR 193,72 192,56B02BD02 Fattore VIII di coagulazion 033077025 ALPHANATE 1 fiala EV 500 U.I. + 1 fiala solv 5 ml PT ALPHA THERAPEUTIC ITALIA RR 392,87 390,51B02BD02 Fattore VIII di coagulazion 033077037 ALPHANATE 1 fiala EV 1.000 U.I. + 1 fiala solv 10 m PT ALPHA THERAPEUTIC ITALIA RR 771,74 767,11B02BD02 Fattore VIII di coagulazion 033077049 ALPHANATE 1 fiala EV 1.500 U.I. + 1 fiala solv 10 m PT ALPHA THERAPEUTIC ITALIA RR 1157,79 1150,84B02BD02 Fattore VIII di coagulazion 033657026 BERIATE P "500" 1 fiala EV 500 U.I. + 1 fiala solv + PT ZLB BEHRING GMBH RR 317,50 315,59B02BD02 Fattore VIII di coagulazion 033657038 BERIATE P "1000" 1 fiala EV 1.000 U.I. + 1 fiala so PT ZLB BEHRING GMBH RR 628,19 624,42B02BD02 Fattore VIII di coagulazion 023564154 EMOCLOT 1 fiala 250 U.I. + 1 fiala solv 5 ml PT KEDRION RR 193,77 192,61

15

Page 16: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

B02BD02 Fattore VIII di coagulazion 023564204 EMOCLOT 1 fiala EV 250 UI 5 ml+ 1 set PT KEDRION RR 193,77 192,61B02BD02 Fattore VIII di coagulazion 023564166 EMOCLOT 1 fiala 500 U.I. + 1 fiala solv 10 ml PT KEDRION RR 392,92 390,56B02BD02 Fattore VIII di coagulazion 023564216 EMOCLOT 1 fiala EV 500 UI 10 ml + 1 set PT KEDRION RR 392,92 390,56B02BD02 Fattore VIII di coagulazion 023564178 EMOCLOT 1 fiala 1.000 U.I. + 1 fiala solv 10 ml PT KEDRION RR 771,90 767,27B02BD02 Fattore VIII di coagulazion 023564228 EMOCLOT 1 fiala EV 1.000 UI 10 ml + set PT KEDRION RR 771,90 767,27B02BD02 Fattore VIII di coagulazion 033866043 FANHDI 1 fiala EV 250 U.I. + 1 siringa PT INSTITUTO GRIFOLS S.A. RR 193,72 192,56B02BD02 Fattore VIII di coagulazion 033866056 FANHDI 1 fiala EV 500 U.I. + 1 siringa PT INSTITUTO GRIFOLS S.A. RR 392,87 390,51B02BD02 Fattore VIII di coagulazion 033866068 FANHDI 1 fiala EV 1.000 U.I. + 1 siringa PT INSTITUTO GRIFOLS S.A. RR 771,74 767,11B02BD02 Fattore VIII di coagulazion 026600054 HAEMATE P 1 fiala EV 500 U.I. 1 fiala solv 20 ml + s PT ZLB BEHRING GMBH RR 391,11 388,76B02BD02 Fattore VIII di coagulazion 026600041 HAEMATE P 1 fiala EV 1.000 U.I. + 1 flaconcino solv PT ZLB BEHRING GMBH RR 768,07 763,46B02BD02 Fattore VIII di coagulazion 027128026 HEMOFIL M 1 fiala EV 500 U.I. + 1 fiala solv 10 ml PT BAXTER RR 391,99 389,64B02BD02 Fattore VIII di coagulazion 027128014 HEMOFIL M 1 fiala EV 1.000 U.I. + 1 fiala solv 10 m PT BAXTER RR 770,24 765,62B02BD02 Fattore VIII di coagulazion 029225036 IMMUNATE STIM PLUS1 fiala EV 1.000 U.I. + 1 fiala solv PT BAXTER AG RR 682,91 678,81B02BD03 Complesso protrombinico 024744056 FEIBA TIM 3 1 fiala EV 1.000 U.I. + 1 flaconcino solv PT BAXTER AG RR 1224,31 1216,96B02BD04 Fattore IX di coagulazione 025841077 AIMAFIX 1 flaconcino EV 200 U.I. + 1 fiala solv 5 PT KEDRION RR 124,41 123,66B02BD04 Fattore IX di coagulazione 025841089 AIMAFIX 1 fiala EV 500 U.I. + 1 fiala solv 10 ml + PT KEDRION RR 326,97 325,01B02BD04 Fattore IX di coagulazione 025841103 AIMAFIX 1 flaconcino EV 1.000 U.I. + 1 fiala solv PT KEDRION RR 676,20 672,14B02BD04 Fattore IX di coagulazione 029250040 ALPHANINE 1 fiala EV 500 U.I. + 1 fiala solv PT ALPHA THERAPEUTIC ITALIA RR 328,78 326,81B02BD04 Fattore IX di coagulazione 029250053 ALPHANINE 1 fiala EV 1.000 U.I. + 1 fiala solv PT ALPHA THERAPEUTIC ITALIA RR 678,21 674,14B02BD04 Fattore IX di coagulazione 029250014 ALPHANINE 1 fiala EV 1.500 U.I. + 1 fiala solv 10 m PT ALPHA THERAPEUTIC ITALIA RR 1012,05 1005,98B02BD04 Fattore IX di coagulazione 029117025 IMMUNINE STIM PLUS1 fiala EV 600 U.I. + 1 fiala solv PT BAXTER AG RR 392,40 390,05B02BD04 Fattore IX di coagulazione 028142026 MONONINE 1 fiala EV 500 U.I. + 1 fiala solv 5 ml + PT ZLB BEHRING GMBH RR 412,60 410,12B02BD04 Fattore IX di coagulazione 028142038 MONONINE 1 fiala EV 1.000 U.I. + 1 fiala solv 10 m PT ZLB BEHRING GMBH RR 825,20 820,25B02BD05 Fattore VII di coagulazione024748042 PROVERTIN UM TIM 31 fiala EV 500 U.I. PT BAXTER AG RR 466,72 463,92B02BD09 Nonacog alfa (fattore IX d 033535016 BENEFIX 1 fiala EV 250 U.I. PT GENETICS INSTITUTE B.V. RR 284,48 282,77B02BD09 Nonacog alfa (fattore IX d 033535028 BENEFIX 1 fiala EV 500 U.I. PT GENETICS INSTITUTE B.V. RR 568,95 565,54B02BD09 Nonacog alfa (fattore IX d 033535030 BENEFIX 1 fiala EV 1.000 U.I. PT GENETICS INSTITUTE B.V. RR 1137,90 1131,07B03AA01 Ferroglicinasolfato 036743019 NIFEREX 50 cps gastror 100 mg 76 SCHWARZ RR 10,54 10,42 XB03AA03 Ferroso gluconato 034612010 AUXOFER 30 cpr eff 80 mg 76 MAGIS RR 6,32 6,28 GB03AA03 Ferroso gluconato 034444012 BIOFERAL 30 cpr eff 80 mg 76 BIOPROGRESS PHARMA RR 6,32 6,28 GB03AA03 Ferroso gluconato 034551010 BIOGLUFER 30 cpr eff 80 mg 76 EURO-PHARMA RR 6,32 6,28 GB03AA03 Ferroso gluconato 034448011 BLIZER 30 cpr eff 80 mg 76 I.BIR.N RR 6,32 6,28 GB03AA03 Ferroso gluconato 034491011 BLUSTARK 30 cpr eff 80 mg 76 I.B.N. SAVIO RR 6,32 6,28 GB03AA03 Ferroso gluconato 034575011 CROM 30 cpr eff 80 mg 76 S.F. GROUP RR 6,32 6,28 GB03AA03 Ferroso gluconato 026689051 CROMATONFERRO 30 cpr eff 80 mg 76 MENARINI RR 8,76 8,71 GB03AA03 Ferroso gluconato 034432017 EFFEGYN 30 cpr eff 80 mg 76 EFFIK RR 7,89 7,84 GB03AA03 Ferroso gluconato 028866059 EMOXIRON 30 cpr eff 75 mg 76 CABER RR 7,22 7,14 XB03AA03 Ferroso gluconato 034442018 ERIGLOBIN 30 cpr eff 80 mg 76 SIGMATAU GENERICS RR 6,32 6,28 GB03AA03 Ferroso gluconato 034441016 ERITROPIU' 30 cpr eff 80 mg 76 FARMA 1 RR 6,32 6,28 GB03AA03 Ferroso gluconato 034538013 FERIG 30 cpr eff 80 mg 76 C.T. LABORATORIO FARMACEUTICO RR 6,32 6,28 GB03AA03 Ferroso gluconato 035366018 FERRO GLUCONATO 30 cpr eff 80 mg 76 EG RR 6,32 6,28 GB03AA03 Ferroso gluconato 035239019 FERRO GLUCONATO 30 cpr eff 80 mg 76 SINCLAIR RR 6,47 6,43 GB03AA03 Ferroso gluconato 016443071 FERROCOMPLEX 30 bust grat eff 80 mg 76 PHARMAFAR RR 7,89 7,84 GB03AA03 Ferroso gluconato 034532010 FERROGYN 30 cpr eff 80 mg 76 SO.SE.PHARM RR 6,32 6,28 GB03AA03 Ferroso gluconato 034924023 GLOROS 30 bust grat eff 80 mg 76 NEW RESEARCH RR 6,32 6,28 GB03AA03 Ferroso gluconato 026696031 GLUCOFERRO 30 cpr eff 650 mg 76 GUIDOTTI RR 5,14 5,08 XB03AA03 Ferroso gluconato 034584019 GLUCONATO FERROS30 cpr eff 80 mg 76 ABC RR 6,32 6,28 GB03AA03 Ferroso gluconato 027731013 LOSFERRON 30 cpr eff 80 mg 76 SPA RR 8,76 8,71 GB03AA03 Ferroso gluconato 034492013 MEGAFER 30 cpr eff 80 mg 76 BONISCONTRO & GAZZONE RR 6,32 6,28 GB03AA03 Ferroso gluconato 034466019 MONOFERRO 30 cpr eff 80 mg 76 GANASSINI RR 7,88 7,83 GB03AA03 Ferroso gluconato 034453011 PRONTOFERRO 30 cpr eff 80 mg 76 AMSA RR 6,32 6,28 GB03AA03 Ferroso gluconato 034573028 SIDERVIM 30 bust grat eff 80 mg 76 LA.FA.RE. RR 6,32 6,28 GB03AA03 Ferroso gluconato 026688034 SUSTEMIAL 30 cpr eff div 650 mg 76 MALESCI RR 5,14 5,08 X

16

Page 17: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

B03AA07 Ferroso solfato 021922024 FERRO-GRAD 40 cpr 525 mg rilascio controllato TEOFARMA RR 4,13 4,11B03AB Ferromaltoso 016747026 INTRAFER gtt os 30 ml 50 mg/ml 76 GEYMONAT RR 5,48 5,42 X XB03AB Sodio ferrigluconato 012238085 FERRITIN OTI scir 240 ml 76 ABC RR 4,80 4,77B03AC Ferromaltoso 016747014 INTRAFER 5 fiale IM 100 mg 2 ml GEYMONAT RR 4,94 4,91B03BA01 Cianocobalamina 003785058 DOBETIN gtt os 15 ml 20 mcg/ml 10 ANGELINI RR 3,00 2,98B03BA01 Cianocobalamina 003785033 DOBETIN "1.000" 5 fiale 1.000 mcg 1 ml 10 ANGELINI RR 4,71 4,68B03BA03 Idroxocobalamina 019969029 NEO CYTAMEN 6 fiale IM EV OS 1.000 mcg 10 TEOFARMA RR 11,88 11,74 XB03BB01 Acido folico 036346017 FERTIFOL 28 cpr 400 mcg EFFIK RR 3,47 3,45B03BB01 Acido folico 036345015 FOLIDEX 28 cpr 400 mcg ITALFARMACO RR 3,47 3,45B03BB01 Acido folico 002309045 FOLINA 20 cps 5 mg 10 MARVECSPHARMA SERVICES RR 2,40 2,39B03BB01 Acido folico 002309033 FOLINA 5 fiale IM 15 mg 2 ml 10 MARVECSPHARMA SERVICES RR 2,12 2,11B03XA01 Epoetina alfa 027015142 EPREX 1 siringa EV SC 1.000 U.I. 0,5 m 12 PT JANSSEN CILAG RNRL 16,54 16,34 XB03XA01 Epoetina alfa 027015155 EPREX 1 siringa EV SC 2.000 U.I. 0,5 m 12 PT JANSSEN CILAG RNRL 33,05 32,65 XB03XA01 Epoetina alfa 027015167 EPREX 1 siringa EV SC 3.000 U.I. 0,3 m 12 PT JANSSEN CILAG RNRL 49,59 48,99 XB03XA01 Epoetina alfa 027015041 EPREX 1 fiala EV SC 4.000 U.I. 1 ml 12 PT JANSSEN CILAG RNRL 66,15 65,35 XB03XA01 Epoetina alfa 027015179 EPREX 1 siringa EV SC 4.000 U.I. 0,4 m 12 PT JANSSEN CILAG RNRL 66,15 65,35 XB03XA01 Epoetina alfa 027015231 EPREX 1 siringa EV SC 5.000 U.I. 0,5 m 12 PT JANSSEN CILAG RNRL 82,69 81,69 XB03XA01 Epoetina alfa 027015243 EPREX 1 siringa EV SC 6.000 U.I. 0,6 m 12 PT JANSSEN CILAG RNRL 99,19 97,99 XB03XA01 Epoetina alfa 027015268 EPREX 1 siringa EV SC 8.000 U.I. 0,8 m 12 PT JANSSEN CILAG RNRL 132,28 130,70 XB03XA01 Epoetina alfa 027015181 EPREX 1 siringa EV SC 10.000 U.I. 1 m 12 PT JANSSEN CILAG RNRL 165,40 163,42 XB03XA01 Epoetina alfa 027296146 GLOBUREN 1 siringa SC EV 1.000 U.I. 0,5 m 12 PT JANSSEN-CILAG GMBH RNRL 16,54 16,34 XB03XA01 Epoetina alfa 027296159 GLOBUREN 1 siringa SC EV 2.000 U.I. 0,5 m 12 PT JANSSEN-CILAG GMBH RNRL 33,05 32,65 XB03XA01 Epoetina alfa 027296161 GLOBUREN 1 siringa SC EV 3.000 U.I. 0,3 m 12 PT JANSSEN-CILAG GMBH RNRL 49,59 48,99 XB03XA01 Epoetina alfa 027296173 GLOBUREN 1 siringa SC EV 4.000 U.I. 0,4 m 12 PT JANSSEN-CILAG GMBH RNRL 66,15 65,35 XB03XA01 Epoetina alfa 027296235 GLOBUREN 1 siringa SC EV 5.000 U.I. 0,5 m 12 PT JANSSEN-CILAG GMBH RNRL 82,69 81,69 XB03XA01 Epoetina alfa 027296247 GLOBUREN 1 siringa SC EV 6.000 U.I. 0,6 m 12 PT JANSSEN-CILAG GMBH RNRL 99,19 97,99 XB03XA01 Epoetina alfa 027296262 GLOBUREN 1 siringa SC EV 8.000 U.I. 0,8 m 12 PT JANSSEN-CILAG GMBH RNRL 132,28 130,70 XB03XA01 Epoetina alfa 027296185 GLOBUREN 1 siringa SC EV 10.000 U.I. 1 m 12 PT JANSSEN-CILAG GMBH RNRL 165,40 163,42 XB03XA01 Epoetina beta 034430278 NEORECORMON 1 siringa EV SC 1.000 U.I. 12 PT ROCHE REGISTRATION Ltd RNRL 13,46 13,30 X XB03XA01 Epoetina beta 034430292 NEORECORMON 1 siringa EV SC 2.000 U.I. 12 PT ROCHE REGISTRATION Ltd RNRL 26,98 26,66 X XB03XA01 Epoetina beta 034430316 NEORECORMON 1 siringa EV SC 3.000 U.I. 12 PT ROCHE REGISTRATION Ltd RNRL 40,45 39,97 X XB03XA01 Epoetina beta 034430417 NEORECORMON 1 siringa EV SC 4.000 U.I. 12 PT ROCHE REGISTRATION Ltd RNRL 53,92 53,28 X XB03XA01 Epoetina beta 034430330 NEORECORMON 1 siringa EV SC 5.000 U.I. 12 PT ROCHE REGISTRATION Ltd RNRL 67,38 66,58 X XB03XA01 Epoetina beta 034430431 NEORECORMON 1 siringa EV SC 6.000 U.I. 12 PT ROCHE REGISTRATION Ltd RNRL 80,89 79,91 X XB03XA01 Epoetina beta 034430355 NEORECORMON 1 siringa EV SC 10.000 U.I. 12 PT ROCHE REGISTRATION Ltd RNRL 134,81 133,19 X XB03XA01 Epoetina beta 034430379 NEORECORMON 1 siringa EV SC 20.000 U.I. 12 PT ROCHE REGISTRATION Ltd RNRL 263,87 260,71 X XB03XA01 Epoetina beta 034430456 NEORECORMON 1 siringa EV SC 30.000 U.I. 12 PT ROCHE REGISTRATION Ltd RNRL 392,28 387,58 X XB03XA02 Darbepoetina alfa 035691017 ARANESP 1 siringa SC EV 10 mcg 0,4 ml 12 PT AMGEN EUROPE B.V. RNRL 32,31 31,93 XB03XA02 Darbepoetina alfa 035691031 ARANESP 1 siringa SC EV 15 mcg 0,375 12 PT AMGEN EUROPE B.V. RNRL 48,47 47,89 XB03XA02 Darbepoetina alfa 035691056 ARANESP 1 siringa SC EV 20 mcg 0,5 ml 12 PT AMGEN EUROPE B.V. RNRL 64,61 63,83 XB03XA02 Darbepoetina alfa 035691070 ARANESP 1 siringa SC EV 30 mcg 0,3 ml 12 PT AMGEN EUROPE B.V. RNRL 96,92 95,76 XB03XA02 Darbepoetina alfa 035691094 ARANESP 1 siringa SC EV 40 mcg 0,4 ml 12 PT AMGEN EUROPE B.V. RNRL 129,23 127,67 XB03XA02 Darbepoetina alfa 035691118 ARANESP 1 siringa SC EV 50 mcg 0,5 ml 12 PT AMGEN EUROPE B.V. RNRL 161,55 159,61 XB03XA02 Darbepoetina alfa 035691132 ARANESP 1 siringa SC EV 60 mcg 0,3 ml 12 PT AMGEN EUROPE B.V. RNRL 193,86 191,54 XB03XA02 Darbepoetina alfa 035691157 ARANESP 1 siringa SC EV 80 mcg 0,4 ml 12 PT AMGEN EUROPE B.V. RNRL 258,47 255,37 XB03XA02 Darbepoetina alfa 035691171 ARANESP 1 siringa SC EV 100 mcg 0,5 m 12 PT AMGEN EUROPE B.V. RNRL 323,09 319,21 XB03XA02 Darbepoetina alfa 035691195 ARANESP 1 siringa SC EV 150 mcg 0,3 m 12 PT AMGEN EUROPE B.V. RNRL 484,63 478,81 XB03XA02 Darbepoetina alfa 035691219 ARANESP 1 siringa SC EV 300 mcg 0,6 m 12 PT AMGEN EUROPE B.V. RNRL 759,64 750,52 XB03XA02 Darbepoetina alfa 035691310 ARANESP 1 siringa SC EV 500 mcg 1 ml 12 PT AMGEN EUROPE B.V. RNRL 1266,07 1250,87 XB03XA02 Darbepoetina alfa 035216011 NESPO 1 siringa SC EV 10 mcg 0,4 ml 12 PT DOMPE` BIOTEC RNRL 32,31 31,93 XB03XA02 Darbepoetina alfa 035216035 NESPO 1 siringa SC EV 15 mcg 0,375 12 PT DOMPE` BIOTEC RNRL 48,47 47,89 XB03XA02 Darbepoetina alfa 035216050 NESPO 1 siringa SC EV 20 mcg 0,5 ml 12 PT DOMPE` BIOTEC RNRL 64,61 63,83 XB03XA02 Darbepoetina alfa 035216353 NESPO 1 penna SC 20 mcg 0,5 ml 12 PT DOMPE` BIOTEC RNRL 64,61 63,83 X

17

Page 18: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

B03XA02 Darbepoetina alfa 035216074 NESPO 1 siringa SC EV 20 mcg 0,5 ml 12 PT DOMPE` BIOTEC RNRL 96,92 95,76 XB03XA02 Darbepoetina alfa 035216098 NESPO 1 siringa SC EV 40 mcg 0,4 ml 12 PT DOMPE` BIOTEC RNRL 129,23 127,67 XB03XA02 Darbepoetina alfa 035216441 NESPO 1 penna SC 40 mcg 0,4 ml 12 PT DOMPE` BIOTEC RNRL 129,23 127,67 XB03XA02 Darbepoetina alfa 035216112 NESPO 1 siringa SC EV 50 mcg 0,5 ml 12 PT DOMPE` BIOTEC RNRL 161,55 159,61 XB03XA02 Darbepoetina alfa 035216136 NESPO 1 siringa SC EV 60 mcg 0,3 ml 12 PT DOMPE` BIOTEC RNRL 193,86 191,54 XB03XA02 Darbepoetina alfa 035216389 NESPO 1 penna SC 60 mcg 0,3 ml 12 PT DOMPE` BIOTEC RNRL 193,86 191,54 XB03XA02 Darbepoetina alfa 035216151 NESPO 1 siringa SC EV 80 mcg 0,4 ml 12 PT DOMPE` BIOTEC RNRL 258,47 255,37 XB03XA02 Darbepoetina alfa 035216391 NESPO 1 penna SC 80 mcg 0,4 ml 12 PT DOMPE` BIOTEC RNRL 258,47 255,37 XB03XA02 Darbepoetina alfa 035216175 NESPO 1 siringa SC EV 100 mcg 0,5 m 12 PT DOMPE` BIOTEC RNRL 323,09 319,21 XB03XA02 Darbepoetina alfa 035216403 NESPO 1 penna SC 100 mcg 0,5 ml 12 PT DOMPE` BIOTEC RNRL 323,09 319,21 XB03XA02 Darbepoetina alfa 035216199 NESPO 1 siringa SC EV 150 mcg 0,3 m 12 PT DOMPE` BIOTEC RNRL 484,63 478,81 XB03XA02 Darbepoetina alfa 035216415 NESPO 1 penna SC 150 mcg 0,3 ml 12 PT DOMPE` BIOTEC RNRL 484,63 478,81 XB03XA02 Darbepoetina alfa 035216427 NESPO 1 penna SC 300 mcg 0,6 ml 12 PT DOMPE` BIOTEC RNRL 759,64 750,52 XB03XA02 Darbepoetina alfa 035216213 NESPO 1 siringa SC EV 300 mcg 0,6 m 12 PT DOMPE` BIOTEC RNRL 759,64 750,52 XB03XA02 Darbepoetina alfa 035216439 NESPO 1 penna SC 500 mcg 1 ml 12 PT DOMPE` BIOTEC RNRL 1266,07 1250,87 XB03XA02 Darbepoetina alfa 035216314 NESPO 1 siringa SC EV 500 mcg 1 ml 12 PT DOMPE` BIOTEC RNRL 1266,07 1250,87 XB03XA02 Darbepoietina alfa 035691359 ARANESP 1 penna SC 20 mcg 0,5 ml 12 PT AMGEN EUROPE B.V. RNRL 64,61 63,83 XB03XA02 Darbepoietina alfa 035691447 ARANESP 1 penna SC 40 mcg 0,4 ml 12 PT AMGEN EUROPE B.V. RNRL 129,23 127,67 XB03XA02 Darbepoietina alfa 035691385 ARANESP 1 penna SC 60 mcg 0,3 ml 12 PT AMGEN EUROPE B.V. RNRL 193,86 191,54 XB03XA02 Darbepoietina alfa 035691397 ARANESP 1 penna SC 80 mcg 0,4 ml 12 PT AMGEN EUROPE B.V. RNRL 258,47 255,37 XB03XA02 Darbepoietina alfa 035691409 ARANESP 1 penna SC 100 mcg 0,5 ml 12 PT AMGEN EUROPE B.V. RNRL 323,09 319,21 XB03XA02 Darbepoietina alfa 035691411 ARANESP 1 penna SC 150 mcg 0,3 ml 12 PT AMGEN EUROPE B.V. RNRL 484,63 478,81 XB03XA02 Darbepoietina alfa 035691423 ARANESP 1 penna SC 300 mcg 0,6 ml 12 PT AMGEN EUROPE B.V. RNRL 759,64 750,52 XB03XA02 Darbepoietina alfa 035691435 ARANESP 1 penna SC 500 mcg 1 ml 12 PT AMGEN EUROPE B.V. RNRL 1266,07 1250,87 XB05AA01 Abumina umana 028989059 PLASBUMIN Infus flacone 100 ml 20% 15 PT BAYER RR 86,20 85,68B05AA01 Albumina umana 022515136 ALBITAL 1flacone EV 50 ml 25 g/100 ml 15 PT HARDIS RR 54,33 54,00B05AA01 Albumina umana 034611018 ALBUMINA GRIFOLS 1 flaconcino EV 50 ml 20% 15 PT INSTITUTO GRIFOLS S.A. RR 43,49 43,23B05AA01 Albumina umana 034611020 ALBUMINA GRIFOLS 1 flacone EV 100 ml 20 % 15 PT INSTITUTO GRIFOLS S.A. RR 89,09 88,56B05AA01 Albumina umana 024735058 ALBUMINA UMANA 1 flacone EV 50 ml 25% 15 PT BAXTER S.A. RR 54,38 54,05B05AA01 Albumina umana 024735021 ALBUMINA UMANA BA1 flaconcino EV 50 ml 20% 15 PT BAXTER AG RR 43,49 43,23B05AA01 Albumina umana 011544020 ALBUMINA UMANA BE1 flaconcino EV 50 ml 20% 15 PT ZLB BEHRING RR 43,49 43,23B05AA01 Albumina umana 010317028 ALBUMINA UMANA IM 1 flaconcino EV 50 ml 20% + se 15 PT BAXTER AG RR 43,49 43,23B05AA01 Albumina umana 010317042 ALBUMINA UMANA IM 1 flaconcino EV 50 ml 25% + se 15 PT BAXTER AG RR 54,38 54,05B05AA01 Albumina umana 036504076 ALBUREX 1 flaconcino EV 50 ml 25% 15 PT ZLB BEHRING GMBH RR 53,29 52,97B05AA01 Albumina umana 029251030 ALBUTEIN 1 flaconcino EV 50 ml 20 % 15 PT ALPHA THERAPEUTIC ITALIA RR 43,48 43,22B05AA01 Albumina umana 029251042 ALBUTEIN 1 flaconcino EV 50 ml 25% 15 PT ALPHA THERAPEUTIC ITALIA RR 54,38 54,05B05AA01 Albumina umana 028989046 PLASBUMIN 1 flacone EV 50 ml 20% 15 PT BAYER RR 43,45 43,19B05AA01 Albumina umana 021111024 UMAN ALBUMIN 1 flacone EV 50 ml 200 g/L 15 PT KEDRION RR 43,49 43,23B05AA01 Albumina umana 021111087 UMAN ALBUMIN 1 flacone EV 50 ml 250 g/L 15 PT KEDRION RR 54,33 54,00B05AA01 Albumina umana 021111101 UMAN ALBUMIN 1 flacone EV 100 ml 200 g/L 15 PT KEDRION RR 86,25 85,73B05BA02 Olio di soia/lecitina d'uovo 024385142 INTRALIPID 1 sacca EV 500 ml 20 g/100 ml FRESENIUS KABI RR 21,67 21,41 XB05BA03 Glucosio (destrosio) 030899316 GLUCOSIO 1 fiala 10 ml 5% BRAUN MELSUNGEN AG RR 0,26 0,26 GB05BA03 Glucosio (destrosio) 031424017 GLUCOSIO 1 fiala 10 ml 5% FISIOPHARMA RR 0,26 0,26 GB05BA03 Glucosio (destrosio) 029863014 GLUCOSIO 1 fiala 10 ml 5% GALENICA SENESE RR 0,26 0,26 GB05BA03 Glucosio (destrosio) 029863469 GLUCOSIO 1 fiala 5 ml 33% GALENICA SENESE RR 0,26 0,26 GB05BA03 Glucosio (destrosio) 030793626 GLUCOSIO 1 fiala 10 ml 5% MONICO RR 0,26 0,26 GB05BA03 Glucosio (destrosio) 030672012 GLUCOSIO 1 fiala 10 ml 5% SALF RR 0,26 0,26 GB05BA03 Glucosio (destrosio) 030899330 GLUCOSIO 1 fiala 10 ml 10% BRAUN MELSUNGEN AG RR 0,27 0,27 GB05BA03 Glucosio (destrosio) 031424029 GLUCOSIO 1 fiala 10 ml 10% FISIOPHARMA RR 0,27 0,27 GB05BA03 Glucosio (destrosio) 029863139 GLUCOSIO 1 fiala 10 ml 10% GALENICA SENESE RR 0,27 0,27 GB05BA03 Glucosio (destrosio) 030793020 GLUCOSIO 1 fiala 10 ml 10% MONICO RR 0,27 0,27 GB05BA03 Glucosio (destrosio) 030672051 GLUCOSIO 1 fiala 10 ml 10% SALF RR 0,27 0,27 GB05BA03 Glucosio (destrosio) 030899367 GLUCOSIO 1 fiala 10 ml 20% BRAUN MELSUNGEN AG RR 0,28 0,28 G

18

Page 19: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

B05BA03 Glucosio (destrosio) 031424031 GLUCOSIO 1 fiala 10 ml 20% FISIOPHARMA RR 0,28 0,28 GB05BA03 Glucosio (destrosio) 029863255 GLUCOSIO 1 fiala 10 ml 20% GALENICA SENESE RR 0,28 0,28 GB05BA03 Glucosio (destrosio) 030793044 GLUCOSIO 1 fiala 10 ml 20% MONICO RR 0,28 0,28 GB05BA03 Glucosio (destrosio) 030672099 GLUCOSIO 1 fiala 10 ml 20% SALF RR 0,28 0,28 GB05BA03 Glucosio (destrosio) 030899381 GLUCOSIO 1 fiala 10 ml 33% BRAUN MELSUNGEN AG RR 0,28 0,28 GB05BA03 Glucosio (destrosio) 029863471 GLUCOSIO 1 fiala 10 ml 33% GALENICA SENESE RR 0,28 0,28 GB05BA03 Glucosio (destrosio) 030793069 GLUCOSIO 1 fiala 10 ml 33% MONICO RR 0,28 0,28 GB05BA03 Glucosio (destrosio) 029748011 GLUCOSIO 1 fiala 10 ml 33% OGNA RR 0,28 0,28 GB05BA03 Glucosio (destrosio) 030672113 GLUCOSIO 1 fiala 10 ml 33% SALF RR 0,28 0,28 GB05BA03 Glucosio (destrosio) 029863026 GLUCOSIO 1 fiala 20 ml 5% GALENICA SENESE RR 0,29 0,29 GB05BA03 Glucosio (destrosio) 030672036 GLUCOSIO 1 fiala 20 ml 5% SALF RR 0,29 0,29 GB05BA03 Glucosio (destrosio) 029863141 GLUCOSIO 1 fiala 20 ml 10% GALENICA SENESE RR 0,29 0,29 GB05BA03 Glucosio (destrosio) 030672075 GLUCOSIO 1 fiala 20 ml 10% SALF RR 0,29 0,29 GB05BA03 Glucosio (destrosio) 030923041 GLUCOSIO 1 flacone 500 ml 5% BIEFFE MEDITAL RR 1,63 1,62 GB05BA03 Glucosio (destrosio) 032183030 GLUCOSIO 1 flacone 500 ml 5% EUROSPITAL RR 1,63 1,62 GB05BA03 Glucosio (destrosio) 030769044 GLUCOSIO 1 flacone 500 ml 5% FRESENIUS KABI RR 1,63 1,62 GB05BA03 Glucosio (destrosio) 029863065 GLUCOSIO 1 flacone 500 ml 5% GALENICA SENESE RR 1,63 1,62 GB05BA03 Glucosio (destrosio) 030793119 GLUCOSIO 1 flacone 500 ml 5% MONICO RR 1,63 1,62 GB05BA03 Glucosio (destrosio) 030672164 GLUCOSIO 1 flacone 500 ml 5% SALF RR 1,63 1,62 GB05BA03 Glucosio (destrosio) 030672202 GLUCOSIO 1 flacone 250 ml 10% SALF RR 1,63 1,62 GB05BA03 Glucosio (destrosio) 032387033 GLUCOSIO 1 flacone 500 ml 5% BIOINDUSTRIA L.I.M. RR 1,63 1,62 GB05BA03 Glucosio (destrosio) 030672214 GLUCOSIO 1 flacone 500 ml 10% SALF RR 2,15 2,14 GB05BA03 Glucosio (destrosio) 030923039 GLUCOSIO 1 flacone 250 ml 5% BIEFFE MEDITAL RR 1,36 1,35 GB05BA03 Glucosio (destrosio) 032183028 GLUCOSIO 1 flacone 250 ml 5% EUROSPITAL RR 1,36 1,35 GB05BA03 Glucosio (destrosio) 030769032 GLUCOSIO 1 flacone 250 ml 5% FRESENIUS KABI RR 1,36 1,35 GB05BA03 Glucosio (destrosio) 029863053 GLUCOSIO 1 flacone 250 ml 5% GALENICA SENESE RR 1,36 1,35 GB05BA03 Glucosio (destrosio) 030793107 GLUCOSIO 1 flacone 250 ml 5% MONICO RR 1,36 1,35 GB05BA03 Glucosio (destrosio) 030672152 GLUCOSIO 1 flacone 250 ml 5% SALF RR 1,36 1,35 GB05BA03 Glucosio (destrosio) 032387021 GLUCOSIO 1 flacone 250 ml 5% BIOINDUSTRIA L.I.M. RR 1,36 1,35 GB05BA03 Glucosio (destrosio) 030899037 GLUCOSIO 1 flacone 250 ml 5% BRAUN MELSUNGEN AG RR 1,54 1,53 GB05BA03 Glucosio (destrosio) 033851039 GLUCOSIO 1 flacone 250 ml 5% LDB RR 1,54 1,53 GB05BA03 Glucosio (destrosio) 030748038 GLUCOSIO 1 flacone 250 ml 5% NOVASELECT RR 1,54 1,53 GB05BA03 Glucosio (destrosio) 030923128 GLUCOSIO 1 flacone 250 ml 10% BIEFFE MEDITAL RR 1,59 1,58 GB05BA03 Glucosio (destrosio) 032387058 GLUCOSIO 1 flacone 250 ml 10% BIOINDUSTRIA L.I.M. RR 1,59 1,58 GB05BA03 Glucosio (destrosio) 030899114 GLUCOSIO 1 flacone 250 ml 10% BRAUN MELSUNGEN AG RR 1,59 1,58 GB05BA03 Glucosio (destrosio) 030769083 GLUCOSIO 1 flacone 250 ml 10% FRESENIUS KABI RR 1,59 1,58 GB05BA03 Glucosio (destrosio) 029863178 GLUCOSIO 1 flacone 250 ml 10% GALENICA SENESE RR 1,59 1,58 GB05BA03 Glucosio (destrosio) 033851080 GLUCOSIO 1 flacone 250 ml 10% LDB RR 1,59 1,58 GB05BA03 Glucosio (destrosio) 030793158 GLUCOSIO 1 flacone 250 ml 10% MONICO RR 1,59 1,58 GB05BA03 Glucosio (destrosio) 030748089 GLUCOSIO 1 flacone 250 ml 10% NOVASELECT RR 1,59 1,58 GB05BA03 Glucosio (destrosio) 030899049 GLUCOSIO 1 flacone 500 ml 5% BRAUN MELSUNGEN AG RR 1,87 1,86 GB05BA03 Glucosio (destrosio) 033851041 GLUCOSIO 1 flacone 500 ml 5% LDB RR 1,87 1,86 GB05BA03 Glucosio (destrosio) 030748040 GLUCOSIO 1 flacone 500 ml 5% NOVASELECT RR 1,87 1,86 GB05BA03 Glucosio (destrosio) 030923130 GLUCOSIO 1 flacone 500 ml 10% BIEFFE MEDITAL RR 1,91 1,90 GB05BA03 Glucosio (destrosio) 032387060 GLUCOSIO 1 flacone 500 ml 10% BIOINDUSTRIA L.I.M. RR 1,91 1,90 GB05BA03 Glucosio (destrosio) 030899126 GLUCOSIO 1 flacone 500 ml 10% BRAUN MELSUNGEN AG RR 1,91 1,90 GB05BA03 Glucosio (destrosio) 032183055 GLUCOSIO 1 flacone 500 ml 10% EUROSPITAL RR 1,91 1,90 GB05BA03 Glucosio (destrosio) 030769095 GLUCOSIO 1 flacone 500 ml 10% FRESENIUS KABI RR 1,91 1,90 GB05BA03 Glucosio (destrosio) 029863180 GLUCOSIO 1 flacone 500 ml 10% GALENICA SENESE RR 1,91 1,90 GB05BA03 Glucosio (destrosio) 033851092 GLUCOSIO 1 flacone 500 ml 10% LDB RR 1,91 1,90 GB05BA03 Glucosio (destrosio) 030793160 GLUCOSIO 1 flacone 500 ml 10% MONICO RR 1,91 1,90 GB05BA03 Glucosio (destrosio) 030748091 GLUCOSIO 1 flacone 500 ml 10% NOVASELECT RR 1,91 1,90 GB05BA04 Proteina idrolisata 021264054 BIOPLEX 1 flacone EV 500 ml FRESENIUS KABI RR 6,11 6,03 X

19

Page 20: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

B05BA04 Proteina idrolisata 021264066 BIOPLEX 1 flacone EV 25 g 500 ml FRESENIUS KABI RR 6,11 6,03 XB05BB01 Sodio cloruro 030244014 SODIO CLORURO 1 fiala 2 ml 0,9% FARMACOLOGICO MILANESE SOP 0,20 0,20 GB05BB01 Sodio cloruro 029874361 SODIO CLORURO 1 fiala 2 ml 0,9% GALENICA SENESE RR 0,20 0,20 GB05BB01 Sodio cloruro 030805016 SODIO CLORURO 1 fiala 2 ml 0,9% MONICO SOP 0,20 0,20 GB05BB01 Sodio cloruro 029767011 SODIO CLORURO 1 fiala 2 ml 0,9% OGNA SOP 0,20 0,20 GB05BB01 Sodio cloruro 031035013 SODIO CLORURO 1 fiala 2 ml 0,9% PHARMINVEST SOP 0,20 0,20 GB05BB01 Sodio cloruro 030684017 SODIO CLORURO 1 fiala 2 ml 0,9% SALF SOP 0,20 0,20 GB05BB01 Sodio cloruro 030902302 SODIO CLORURO 1 fiala 5 ml 0,9% BRAUN MELSUNGEN AG SOP 0,23 0,23 GB05BB01 Sodio cloruro 029874373 SODIO CLORURO 1 fiala 5 ml 0,9% GALENICA SENESE RR 0,23 0,23 GB05BB01 Sodio cloruro 030805028 SODIO CLORURO 1 fiala 5 ml 0,9% MONICO SOP 0,23 0,23 GB05BB01 Sodio cloruro 029767023 SODIO CLORURO 1 fiala 5 ml 0,9% OGNA SOP 0,23 0,23 GB05BB01 Sodio cloruro 031035025 SODIO CLORURO 1 fiala 5 ml 0,9% PHARMINVEST SOP 0,23 0,23 GB05BB01 Sodio cloruro 030684031 SODIO CLORURO 1 fiala 5 ml 0,9% SALF SOP 0,23 0,23 GB05BB01 Sodio cloruro 030902314 SODIO CLORURO 1 fiala 10 ml 0,9% BRAUN MELSUNGEN AG SOP 0,27 0,27 GB05BB01 Sodio cloruro 029874385 SODIO CLORURO 1 fiala 10 ml 0,9% GALENICA SENESE RR 0,27 0,27 GB05BB01 Sodio cloruro 030805030 SODIO CLORURO 1 fiala 10 ml 0,9% MONICO SOP 0,27 0,27 GB05BB01 Sodio cloruro 031035037 SODIO CLORURO 1 fiala 10 ml 0,9% PHARMINVEST SOP 0,27 0,27 GB05BB01 Sodio cloruro 030684056 SODIO CLORURO 1 fiala 10 ml 0,9% SALF SOP 0,27 0,27 GB05BB01 Sodio cloruro 030942039 SODIO CLORURO 1 flacone 250 ml 0,9% BIEFFE MEDITAL RR 1,40 1,39 GB05BB01 Sodio cloruro 032182026 SODIO CLORURO 1 flacone 250 ml 0,9% EUROSPITAL SOP 1,40 1,39 GB05BB01 Sodio cloruro 030775035 SODIO CLORURO 1 flacone 250 ml 0,9% FRESENIUS KABI SOP 1,40 1,39 GB05BB01 Sodio cloruro 029874056 SODIO CLORURO 1 flacone 250 ml 0,9% GALENICA SENESE RR 1,40 1,39 GB05BB01 Sodio cloruro 030805117 SODIO CLORURO 1 flacone 250 ml 0,9% MONICO SOP 1,40 1,39 GB05BB01 Sodio cloruro 030684118 SODIO CLORURO 1 flacone 250 ml 0,9% SALF SOP 1,40 1,39 GB05BB01 Sodio cloruro 031101684 SODIO CLORURO 1 flacone 250 ml 0,9% BIOINDUSTRIA L.I.M. SOP 1,40 1,39 GB05BB01 Sodio cloruro 030902035 SODIO CLORURO 1 flacone 250 ml 0,9% BRAUN MELSUNGEN AG SOP 1,54 1,53 GB05BB01 Sodio cloruro 033855038 SODIO CLORURO 1 flacone 250 ml 0,9% LDB SOP 1,54 1,53 GB05BB01 Sodio cloruro 030752036 SODIO CLORURO 1 flacone 250 ml 0,9% NOVASELECT SOP 1,54 1,53 GB05BB01 Sodio cloruro 030942041 SODIO CLORURO 1 flacone 500 ml 0,9% BIEFFE MEDITAL RR 1,81 1,80 GB05BB01 Sodio cloruro 031101696 SODIO CLORURO 1 flacone 500 ml 0,9% BIOINDUSTRIA L.I.M. SOP 1,81 1,80 GB05BB01 Sodio cloruro 030902047 SODIO CLORURO 1 flacone 500 ml 0,9% BRAUN MELSUNGEN AG SOP 1,81 1,80 GB05BB01 Sodio cloruro 032182038 SODIO CLORURO 1 flacone 500 ml 0,9% EUROSPITAL SOP 1,81 1,80 GB05BB01 Sodio cloruro 030775047 SODIO CLORURO 1 flacone 500 ml 0,9% FRESENIUS KABI SOP 1,81 1,80 GB05BB01 Sodio cloruro 029874068 SODIO CLORURO 1 flacone 500 ml 0,9% GALENICA SENESE RR 1,81 1,80 GB05BB01 Sodio cloruro 033855040 SODIO CLORURO 1 flacone 500 ml 0,9% LDB SOP 1,81 1,80 GB05BB01 Sodio cloruro 030805129 SODIO CLORURO 1 flacone 500 ml 0,9% MONICO SOP 1,81 1,80 GB05BB01 Sodio cloruro 030752048 SODIO CLORURO 1 flacone 500 ml 0,9% NOVASELECT SOP 1,81 1,80 GB05BB01 Sodio cloruro 030684120 SODIO CLORURO 1 flacone 500 ml 0,9% SALF SOP 1,81 1,80 GB05BB01 Sodio cloruro/sodio acetat 023204050 NORMOSOL "R/PH 7,4" 1 flacone EV 500 ml HOSPIRA RR 2,53 2,51B05BB01 Sodio cloruro/sodio acetat 023204011 NORMOSOL "R" '1 flacone EV 500 ml HOSPIRA RR 2,53 2,51B05BB01 Sodio lattato/potassio clor 009860014 SOLUZIONE DARROW1 flacone IM EV 500 ml LDB RR 4,60 4,57B05BB02 Glucosio (destrosio)/sodio 023204112 NORMOSOL "M" 1 flacone EV 500 ml HOSPIRA RR 2,58 2,56B05BB02 Glucosio (destrosio)/sodio 023204074 NORMOSOL "RK" 1 flacone EV 500 ml HOSPIRA RR 2,58 2,56B05BB02 Sodio cloruro/potassio clo 023204035 NORMOSOL "R" 1 flacone EV 500 ml HOSPIRA RR 2,58 2,56B05BC01 Mannitolo 020294029 ISOTOL 1 flacone EV 500 ml 20% LDB RR 3,31 3,29B05XA07 Calcio cloruro 030786026 CALCIO CLORURO 5 fiale 500 mg 10 ml MONICO RR 1,49 1,48 GB05XA07 Calcio cloruro 030656019 CALCIO CLORURO 5 fiale 500 mg 10 ml SALF RR 1,49 1,48 GC01AA05 Digossina 014166033 EUDIGOX 40 cps 0,1 mg TEOFARMA RR 2,79 2,77C01AA05 Digossina 014166045 EUDIGOX 40 cps 0,2 mg TEOFARMA RR 2,84 2,82C01AA05 Digossina 015724065 LANOXIN 30 cpr 0,0625 mg GLAXOSMITHKLINE RR 2,01 2,00C01AA05 Digossina 015724038 LANOXIN 30 cpr 0,125 mg GLAXOSMITHKLINE RR 2,07 2,06C01AA05 Digossina 015724026 LANOXIN 30 cpr 0,25 mg GLAXOSMITHKLINE RR 2,32 2,31C01AA05 Digossina 015724077 LANOXIN scir 60 ml 0,05 mg/ml GLAXOSMITHKLINE RR 2,79 2,77

20

Page 21: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

C01AA05 Digossina 015724053 LANOXIN 6 fiale 0,5 mg 2 ml GLAXOSMITHKLINE RR 4,70 4,67C01AA08 Metildigossina 022643011 LANITOP 30 cpr 0,1 mg ROCHE RR 2,32 2,31C01AA08 Metildigossina 022643023 LANITOP 40 cpr 0,05 mg ROCHE RR 2,38 2,37C01AA08 Metildigossina 022643035 LANITOP 5 fiale EV 0,2 mg 2 ml ROCHE RR 2,74 2,72C01AA08 Metildigossina 022643047 LANITOP gtt os 10 ml ROCHE RR 3,36 3,34C01BA Diidrochinidina 005494024 IDROCHINIDINA LIRCA40 cpr 150 mg TEOFARMA RR 4,75 4,72C01BA Diidrochinidina 023165018 IDROCHINIDINA RITAR20 cps 250 mg rilascio prolungato TEOFARMA RR 4,44 4,41C01BA01 Chinidina 008579017 CHINTEINA 40 cpr 200 mg LA.FA.RE. RR 4,70 4,67C01BA01 Chinidina arabogalattonato023415019 LONGACHIN 20 cps 275 mg TEOFARMA RR 3,31 3,29C01BA01 Chinidina poligalatturonato 018075010 RITMOCOR 30 cpr 275 mg MALESCI RR 3,56 3,54C01BA03 Disopiramide 021894035 RITMODAN 40 cps 100 mg SANOFI-AVENTIS RR 5,28 5,22 XC01BA03 Disopiramide 027218015 RITMODAN RETARD 20 cpr 250 mg LABORATOIRE AVENTIS RR 6,94 6,86 XC01BB02 Mexiletina 024718025 MEXITIL 40 cps 200 mg BOEHRINGER INGELHEIM RR 10,03 9,91 X XC01BB02 Mexiletina 024718037 MEXITIL 10 fiale EV 250 mg 10 ml BOEHRINGER INGELHEIM RR 30,67 30,31 X XC01BC03 Propafenone 034012017 CARDIOFENONE 30 cpr riv 150 mg POLIFARMA RR 4,43 4,40 GC01BC03 Propafenone 034012029 CARDIOFENONE 30 cpr riv 300 mg POLIFARMA RR 8,12 8,07 GC01BC03 Propafenone 033722012 FENORIT 30 cpr riv 150 mg SCHARPER RR 4,43 4,40 GC01BC03 Propafenone 033722024 FENORIT 30 cpr riv 300 mg SCHARPER RR 8,12 8,07 GC01BC03 Propafenone 035009012 PROPAFENONE 30 cpr riv 150 mg ALTER RR 4,43 4,40 GC01BC03 Propafenone 034079018 PROPAFENONE 30 cpr riv 150 mg DOC GENERICI RR 4,43 4,40 GC01BC03 Propafenone 033804016 PROPAFENONE 30 cpr riv 150 mg EG RR 4,43 4,40 GC01BC03 Propafenone 033737014 PROPAFENONE 30 cpr riv 150 mg ERREKAPPA RR 4,43 4,40 GC01BC03 Propafenone 034123012 PROPAFENONE 30 cpr riv 150 mg RATIOPHARM GMBH RR 4,43 4,40 GC01BC03 Propafenone 034476010 PROPAFENONE 30 cpr riv 150 mg SANDOZ RR 4,43 4,40 GC01BC03 Propafenone 035009024 PROPAFENONE 30 cpr riv 300 mg ALTER RR 8,12 8,07 GC01BC03 Propafenone 034079020 PROPAFENONE 30 cpr riv 300 mg DOC GENERICI RR 8,12 8,07 GC01BC03 Propafenone 033804028 PROPAFENONE 30 cpr riv 300 mg EG RR 8,12 8,07 GC01BC03 Propafenone 033737026 PROPAFENONE 30 cpr riv 300 mg ERREKAPPA RR 8,12 8,07 GC01BC03 Propafenone 034476022 PROPAFENONE 30 cpr riv 300 mg SANDOZ RR 8,12 8,07 GC01BC03 Propafenone 024862017 RYTMONORM 30 cpr riv 150 mg ABBOTT RR 5,28 5,25 GC01BC03 Propafenone 024862056 RYTMONORM 28 cps 325 mg rilascio prolungato ABBOTT RR 8,59 8,49 XC01BC03 Propafenone 024862094 RYTMONORM 28 cps 325 mg rilascio prolungato ABBOTT RR 8,59 8,49 XC01BC03 Propafenone 024862029 RYTMONORM 30 cpr riv 300 mg ABBOTT RR 10,16 10,10 GC01BC03 Propafenone 024862031 RYTMONORM 5 fiale EV 70 mg 20 ml ABBOTT RR 12,83 12,67 XC01BC03 Propafenone 024862068 RYTMONORM 28 cps 425 mg rilascio prolungato ABBOTT RR 13,22 13,06 XC01BC03 Propafenone 024862106 RYTMONORM 28 cps 425 mg rilascio prolungato ABBOTT RR 13,22 13,06 XC01BC04 Flecainide 025728015 ALMARYTM 20 cpr 100 mg 3M ITALIA RR 9,94 9,82 XC01BD01 Amiodarone 022033031 AMIODAR 20 cpr 200 mg SIGMATAU RR 4,97 4,94 GC01BD01 Amiodarone 035417017 AMIODARONE 20 cpr 200 mg MERCK GENERICS RR 4,97 4,94 GC01BD01 Amiodarone 035729019 AMIODARONE 20 cpr 200 mg RATIOPHARM RR 4,97 4,94 GC01BD01 Amiodarone 033200015 AMIODARONE 20 cpr 200 mg SANDOZ RR 4,97 4,94 GC01BD01 Amiodarone 035416039 AMIODARONE 20 cpr 200 mg FARMA 1 RR 4,97 4,94 GC01BD01 Amiodarone 032801019 AMIODARONE 20 cpr 200 mg WINTHROP RR 4,97 4,94 GC01BD01 Amiodarone 025035015 CORDARONE 20 cpr 200 mg SANOFI-AVENTIS RR 5,42 5,39 GC01CA24 Adrenalina 030780023 ADRENALINA 5 fiale 1 mg 1 ml MONICO RR 2,28 2,27 GC01CA24 Adrenalina 030650016 ADRENALINA 5 fiale 0,5 mg 1 ml SALF RR 1,17 1,16 GC01CA24 Adrenalina 029825015 ADRENALINA 5 fiale 0,5 mg 1 ml GALENICA SENESE RR 1,21 1,20 GC01CA24 Adrenalina 030780011 ADRENALINA 5 fiale 0,5 mg 1 ml MONICO RR 1,31 1,30 GC01CA24 Adrenalina 029825039 ADRENALINA 5 fiale 1 mg 1 ml GALENICA SENESE RR 1,44 1,43 GC01CA24 Adrenalina 030650030 ADRENALINA 5 fiale 1 mg 1 ml SALF RR 1,44 1,43 GC01CA24 Adrenalina 030048058 ADRENALINA 5 fiale 1 mg 1 ml MAYNE PHARMA RR 1,81 1,80 GC01DA02 Nitroglicerina 026068039 ADESITRIN 15 cerotti transd 15 mg/die PFIZER ITALIA RR 14,00 13,92 GC01DA02 Nitroglicerina 026068015 ADESITRIN 15 cerotti transd 5 mg/die PFIZER ITALIA RR 8,19 8,14 G

21

Page 22: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

C01DA02 Nitroglicerina 026068027 ADESITRIN 15 cerotti transd 10 mg/die PFIZER ITALIA RR 9,37 9,31 GC01DA02 Nitroglicerina 026070019 DEPONIT 15 cerotti transd 5 mg/die SCHWARZ AG RR 8,11 8,06 GC01DA02 Nitroglicerina 026070021 DEPONIT 15 cerotti transd 10 mg/die SCHWARZ AG RR 9,14 9,09 GC01DA02 Nitroglicerina 026070033 DEPONIT 15 cerotti transd 15 mg/die SCHWARZ AG RR 12,83 12,75 GC01DA02 Nitroglicerina 034861017 DERMATRANS "5" 15 cerotti transd 5 mg/die BAYER RR 8,11 8,06 GC01DA02 Nitroglicerina 034861031 DERMATRANS "10" 15 cerotti transd 10 mg/die BAYER RR 9,14 9,09 GC01DA02 Nitroglicerina 034861056 DERMATRANS "15" 15 cerotti transd 15 mg/die BAYER RR 12,83 12,75 GC01DA02 Nitroglicerina 034860015 EPINITRIL "5" 15 cerotti transd 5 mg/die ROTTAPHARM RR 8,11 8,06 GC01DA02 Nitroglicerina 034860039 EPINITRIL "10" 15 cerotti transd 10 mg/die ROTTAPHARM RR 9,14 9,09 GC01DA02 Nitroglicerina 034860054 EPINITRIL "15" 15 cerotti transd 15 mg/die ROTTAPHARM RR 12,83 12,75 GC01DA02 Nitroglicerina 032784011 KERITRINA 15 cerotti transd 5 mg/die KERYOS RR 8,11 8,06 GC01DA02 Nitroglicerina 032784023 KERITRINA 15 cerotti transd 10 mg/die KERYOS RR 9,14 9,09 GC01DA02 Nitroglicerina 032784035 KERITRINA 15 cerotti transd 15 mg/die KERYOS RR 12,83 12,75 GC01DA02 Nitroglicerina 027028012 MINITRAN 15 cerotti transd 5 mg/die 3M ITALIA RR 8,11 8,06 GC01DA02 Nitroglicerina 027028024 MINITRAN 15 cerotti transd 10 mg/die 3M ITALIA RR 9,14 9,09 GC01DA02 Nitroglicerina 027028036 MINITRAN 15 cerotti transd 15 mg/die 3M ITALIA RR 12,83 12,75 GC01DA02 Nitroglicerina 035157015 NITRAKET 15 cerotti transd 5 mg/die 3M HEALTH CARE RR 8,11 8,06 GC01DA02 Nitroglicerina 035157027 NITRAKET 15 cerotti transd 10 mg/die 3M HEALTH CARE RR 9,14 9,09 GC01DA02 Nitroglicerina 035157039 NITRAKET 15 cerotti transd 15 mg/die 3M HEALTH CARE RR 12,83 12,75 GC01DA02 Nitroglicerina 034867046 NITROCOR 15 cerotti transd 5 mg/die RECORDATI RR 8,11 8,06 GC01DA02 Nitroglicerina 034867059 NITROCOR 15 cerotti transd 10 mg/die RECORDATI RR 9,14 9,09 GC01DA02 Nitroglicerina 034867061 NITROCOR 15 cerotti transd 15 mg/die RECORDATI RR 12,83 12,75 GC01DA02 Nitroglicerina 025193018 NITRODERM TTS 15 cerotti transd 5 mg/die NOVARTIS FARMA RR 8,19 8,14 GC01DA02 Nitroglicerina 025193020 NITRODERM TTS 15 cerotti transd 10 mg/die NOVARTIS FARMA RR 9,37 9,31 GC01DA02 Nitroglicerina 025193032 NITRODERM TTS 15 cerotti transd 15 mg/die NOVARTIS FARMA RR 14,00 13,92 GC01DA02 Nitroglicerina 025224116 NITRODUR "5" 15 cerotti transd 5 mg/die SIGMATAU RR 8,11 8,06 GC01DA02 Nitroglicerina 025224128 NITRODUR 15 cerotti transd 7,5 mg/die SIGMATAU RR 8,99 8,89 X XC01DA02 Nitroglicerina 025224130 NITRODUR 15 cerotti transd 10 mg/die SIGMATAU RR 9,14 9,09 GC01DA02 Nitroglicerina 025224142 NITRODUR 10 cerotti transd 15 mg/die SIGMATAU RR 9,32 9,26 GC01DA02 Nitroglicerina 029029016 NITROSYLON 15 cerotti transd 5 mg/die ABBOTT RR 8,11 8,06 GC01DA02 Nitroglicerina 029029028 NITROSYLON 15 cerotti transd 10 mg/die ABBOTT RR 9,14 9,09 GC01DA02 Nitroglicerina 029029030 NITROSYLON 15 cerotti transd 15 mg/die ABBOTT RR 12,83 12,75 GC01DA02 Nitroglicerina 028564021 TOP-NITRO 15 cerotti transd 5 mg/die SCHERING PLOUGH RR 8,19 8,14 GC01DA02 Nitroglicerina 028564033 TOP-NITRO 15 cerotti transd 7,5 mg/die SCHERING PLOUGH RR 8,99 8,89 X XC01DA02 Nitroglicerina 028564045 TOP-NITRO 15 cerotti transd 10 mg/die SCHERING PLOUGH RR 9,37 9,31 GC01DA02 Nitroglicerina 028564058 TOP-NITRO 10 cerotti transd 15 mg/die SCHERING PLOUGH RR 9,32 9,26 GC01DA02 Nitroglicerina 029030044 TRINIPLAS 15 sist transd 5 mg/die NOVARTIS FARMA RR 8,11 8,06 GC01DA02 Nitroglicerina 029030057 TRINIPLAS 15 sist transd 10 mg/die NOVARTIS FARMA RR 9,14 9,09 GC01DA02 Nitroglicerina 029030069 TRINIPLAS "15" 15 sist transd 15 mg/die NOVARTIS FARMA RR 12,83 12,75 GC01DA02 Nitroglicerina 006035012 TRINITRINA 70 cpr riv 0,3 mg ACARPIA SERVICOS RR 3,72 3,70C01DA02 Nitroglicerina 006035063 TRINITRINA 70 cpr riv 0,3 mg ACARPIA SERVICOS RR 3,72 3,70C01DA02 Nitroglicerina 018128037 VENITRIN 15 cerotti transd 5 mg/die LABORATOIRES 3M SANTE' RR 8,11 8,06 GC01DA02 Nitroglicerina 018128049 VENITRIN 15 cerotti transd 10 mg/die LABORATOIRES 3M SANTE' RR 9,14 9,09 GC01DA02 Nitroglicerina 018128052 VENITRIN 15 cerotti transd 15 mg/die LABORATOIRES 3M SANTE' RR 12,83 12,75 GC01DA05 Pentaeritritile tetranitrato 010000038 PERITRATE 50 cpr 80 mg TEOFARMA RR 4,99 4,96C01DA08 Isosorbide dinitrato 018269050 CARVASIN 50 cpr sublinguali 5 mg TEOFARMA RR 1,45 1,44C01DA08 Isosorbide dinitrato 018269035 CARVASIN 50 cpr 40 mg TEOFARMA RR 4,90 4,87C01DA08 Isosorbide dinitrato 026887063 DINIKET 40 cpr 40 mg rilascio prolungato SCHWARZ RR 4,96 4,93C01DA08 Isosorbide dinitrato 020925018 NITROSORBIDE 50 cpr 10 mg LUSOFARMACO RR 2,07 2,06C01DA08 Isosorbide dinitrato 020925032 NITROSORBIDE "RETARD" 40 cps 40 mg LUSOFARMACO RR 4,96 4,93C01DA14 Isosorbide mononitrato 026760013 DURONITRIN 30 cpr div 60 mg rilascio prolungato ASTRAZENECA RR 13,69 13,61 GC01DA14 Isosorbide mononitrato 026888014 ELAN 50 cpr 20 mg SCHWARZ RR 4,07 4,05 GC01DA14 Isosorbide mononitrato 026888026 ELAN 30 cpr 40 mg SCHWARZ RR 4,74 4,71 G

22

Page 23: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

C01DA14 Isosorbide mononitrato 026888038 ELAN 30 cps 50 mg rilascio prolungato SCHWARZ RR 8,40 8,35 GC01DA14 Isosorbide mononitrato 025764022 ISMO "DIFFUTAB" 30 cpr 40 mg rilascio controllato ROCHE RR 9,93 9,87 GC01DA14 Isosorbide mononitrato 025764010 ISMO 50 cpr 20 mg ROCHE RR 5,85 5,81 GC01DA14 Isosorbide mononitrato 033460015 ISOSORBIDE MONON 30 cps 20 mg rilascio prolungato TEVA RR 2,71 2,69 GC01DA14 Isosorbide mononitrato 032025013 ISOSORBIDE MONON 50 cpr 20 mg DOC GENERICI RR 4,07 4,05 GC01DA14 Isosorbide mononitrato 029558020 ISOSORBIDE MONON 50 cpr 20 mg EG RR 4,07 4,05 GC01DA14 Isosorbide mononitrato 033689011 ISOSORBIDE MONON 50 cpr 20 mg RATIOPHARM GMBH RR 4,07 4,05 GC01DA14 Isosorbide mononitrato 033684010 ISOSORBIDE MONON 50 cpr 20 mg SANDOZ RR 4,07 4,05 GC01DA14 Isosorbide mononitrato 033288010 ISOSORBIDE MONON 50 cpr 20 mg UNION HEALTH RR 4,07 4,05 GC01DA14 Isosorbide mononitrato 032025025 ISOSORBIDE MONON 30 cpr 40 mg DOC GENERICI RR 4,74 4,71 GC01DA14 Isosorbide mononitrato 029558032 ISOSORBIDE MONON 30 cpr 40 mg EG RR 4,74 4,71 GC01DA14 Isosorbide mononitrato 033689023 ISOSORBIDE MONON 30 cpr 40 mg RATIOPHARM GMBH RR 4,74 4,71 GC01DA14 Isosorbide mononitrato 033684022 ISOSORBIDE MONON 30 cpr 40 mg SANDOZ RR 4,74 4,71 GC01DA14 Isosorbide mononitrato 033460027 ISOSORBIDE MONON 30 cps 40 mg rilascio prolungato TEVA RR 4,74 4,71 GC01DA14 Isosorbide mononitrato 033288022 ISOSORBIDE MONON 30 cpr 40 mg UNION HEALTH RR 4,74 4,71 GC01DA14 Isosorbide mononitrato 032025037 ISOSORBIDE MONON 30 cpr 60 mg rilascio prolungato DOC GENERICI RR 8,13 8,08 GC01DA14 Isosorbide mononitrato 029558044 ISOSORBIDE MONON 30 cpr 60 mg rilascio prolungato EG RR 8,13 8,08 GC01DA14 Isosorbide mononitrato 033689035 ISOSORBIDE MONON 30 cpr 60 mg rilascio prolungato RATIOPHARM GMBH RR 8,13 8,08 GC01DA14 Isosorbide mononitrato 033684034 ISOSORBIDE MONON 30 cpr 60 mg rilascio prolungato SANDOZ RR 8,13 8,08 GC01DA14 Isosorbide mononitrato 033460039 ISOSORBIDE MONON 30 cps 60 mg rilascio prolungato TEVA RR 8,13 8,08 GC01DA14 Isosorbide mononitrato 032025049 ISOSORBIDE MONON 30 cps 50 mg rilascio modificato DOC GENERICI RR 8,23 8,18 GC01DA14 Isosorbide mononitrato 031829017 ISOSORBIDE MONON 30 cps 50 mg rilascio prolungato DOROM RR 8,23 8,18 GC01DA14 Isosorbide mononitrato 029558018 ISOSORBIDE MONON 30 cps 50 mg rilascio modificato EG RR 8,23 8,18 GC01DA14 Isosorbide mononitrato 033288034 ISOSORBIDE MONON 30 cpr 50 mg rilascio prolungato UNION HEALTH RR 8,23 8,18 GC01DA14 Isosorbide mononitrato 029324011 KITON 50 cpr 20 mg PULITZER RR 4,07 4,05 GC01DA14 Isosorbide mononitrato 029324023 KITON 30 cpr div 40 mg PULITZER RR 4,74 4,71 GC01DA14 Isosorbide mononitrato 029324035 KITON 30 cpr div 50 mg cessione ritardata PULITZER RR 8,23 8,18 GC01DA14 Isosorbide mononitrato 029312028 LEICESTER 30 cps 40 mg rilascio prolungato POLIFARMA RR 4,74 4,71 GC01DA14 Isosorbide mononitrato 029312016 LEICESTER 50 cps 20 mg rilascio prolungato POLIFARMA RR 7,76 7,71 GC01DA14 Isosorbide mononitrato 029312030 LEICESTER 30 cps 60 mg rilascio prolungato POLIFARMA RR 8,13 8,08 GC01DA14 Isosorbide mononitrato 025623051 MONOCINQUE 50 cpr div 20 mg LUSOFARMACO RR 4,07 4,05 GC01DA14 Isosorbide mononitrato 025623012 MONOCINQUE 30 cpr div 40 mg LUSOFARMACO RR 4,74 4,71 GC01DA14 Isosorbide mononitrato 025623024 MONOCINQUE "RETARD" 30 cps 50 mg LUSOFARMACO RR 8,23 8,18 GC01DA14 Isosorbide mononitrato 025623048 MONOCINQUE "RETARD" 30 cps 80 mg LUSOFARMACO RR 17,24 17,04 XC01DA14 Isosorbide mononitrato 025200015 MONOKET 50 cpr 20 mg CHIESI RR 4,07 4,05 GC01DA14 Isosorbide mononitrato 025200039 MONOKET "RETARD" 30 cps 50 mg CHIESI RR 8,23 8,18 GC01DA14 Isosorbide mononitrato 025200027 MONOKET "40" 30 cpr 40 mg CHIESI RR 4,74 4,71 GC01DA14 Isosorbide mononitrato 025200041 MONOKET "MULTITAB" 30 cpr 60 mg cessione ritardata CHIESI RR 8,13 8,08 GC01DA14 Isosorbide mononitrato 029331016 VASDILAT 30 cps 50 mg rilascio prolungato MARVECSPHARMA SERVICES RR 8,23 8,18 GC01DA38 Tenitramina 021164025 TENITRAN 50 cpr 10 mg MARVECSPHARMA SERVICES RR 3,82 3,80C02AB01 Metildopa 019954015 ALDOMET 30 cpr riv 500 mg MERCK SHARP & DOHME (UK) RR 4,71 4,68C02AC01 Clonidina 028054017 ADESIPRESS TTS 2 sist transd + 2 coprisist BOEHRINGER INGELHEIM RR 9,73 9,61 X XC02AC01 Clonidina 028054029 ADESIPRESS TTS 2 sist transd + 2 coprisist BOEHRINGER INGELHEIM RR 9,73 9,61 X XC02AC01 Clonidina 021502036 CATAPRESAN 5 fiale IM EV 0,15 mg 1 ml BOEHRINGER INGELHEIM RR 4,99 4,96C02AC01 Clonidina 021502024 CATAPRESAN 30 cpr 300 mcg BOEHRINGER INGELHEIM RR 5,89 5,81 X XC02AC01 Clonidina 027393014 CATAPRESAN TTS 2 cerotti transd 2,5 mg BOEHRINGER INGELHEIM RR 9,39 9,27 X XC02AC01 Clonidina 027393026 CATAPRESAN TTS 2 cerotti transd 5 mg BOEHRINGER INGELHEIM RR 9,39 9,27 X XC02AC05 Moxonidina 034063014 FISIOTENS 28 cpr riv 0,2 mg SOLVAY RR 9,20 9,08 X XC02AC05 Moxonidina 034063053 FISIOTENS 28 cpr riv 0,4 mg SOLVAY RR 15,13 14,95 X XC02CA Terazosina 027545033 EZOSINA 14 cpr 5 mg FOURNIER PHARMA RR 8,40 8,35 GC02CA Terazosina 027545021 EZOSINA 30 cpr div 2 mg FOURNIER PHARMA RR 11,34 11,27 GC02CA Terazosina 026929036 ITRIN 14 cpr 5 mg KERYOS RR 5,33 5,30 GC02CA Terazosina 026929024 ITRIN 30 cpr div 2 mg KERYOS RR 9,54 9,48 G

23

Page 24: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

C02CA04 Doxazosin 026821025 CARDURA 20 cpr 4 mg PFIZER ITALIA RR 16,48 16,28 XC02CA04 Doxazosin 026821013 CARDURA 30 cpr div 2 mg PFIZER ITALIA RR 17,86 17,64 XC02CA04 Doxazosin 027062025 DEDRALEN 20 cpr 4 mg ITALFARMACO RR 16,48 16,28 XC02CA04 Doxazosin 027062013 DEDRALEN 30 cpr div 2 mg ITALFARMACO RR 17,86 17,64 XC02CA04 Doxazosin 026818029 NORMOTHEN 20 cpr div 4 mg BIOINDUSTRIA FARMACEUTICI RR 16,48 16,28 XC02CA04 Doxazosin 026818017 NORMOTHEN 30 cpr div 2 mg BIOINDUSTRIA FARMACEUTICI RR 17,86 17,64 XC03AA03 Idroclorotiazide 015094016 ESIDREX 20 cpr 25 mg NOVARTIS FARMA RR 1,75 1,74 GC03BA04 Clortalidone 016861015 IGROTON 30 cpr 25 mg NOVARTIS FARMA RR 2,09 2,08C03BA08 Metolazone 024488064 ZAROXOLYN 50 cpr 5 mg TEOFARMA RR 5,10 5,04 XC03BA08 Metolazone 024488090 ZAROXOLYN 50 cpr 10 mg TEOFARMA RR 9,60 9,48 XC03BA11 Indapamide 025161035 DAMIDE 50 cps 2,5 mg BENEDETTI RR 6,32 6,28 GC03BA11 Indapamide 024991022 INDAFLEX 50 cps 2,5 mg LAMPUGNANI RR 6,32 6,28 GC03BA11 Indapamide 024619049 INDAMOL 50 conf 2,5 mg TEOFARMA RR 7,39 7,35 GC03BA11 Indapamide 033616018 INDAPAMIDE 30 cpr riv 2,5 mg MERCK GENERICS RR 4,06 4,04 GC03BA11 Indapamide 033976010 INDAPAMIDE 30 cpr riv 2,5 mg PLIVA RR 4,06 4,04 GC03BA11 Indapamide 033832015 INDAPAMIDE 30 cpr riv 2,5 mg SANDOZ RR 4,06 4,04 GC03BA11 Indapamide 025154030 INDAPAMIDE 50 cpr riv 2,5 mg ERREKAPPA RR 6,32 6,28 GC03BA11 Indapamide 033616020 INDAPAMIDE 50 cpr riv 2,5 mg MERCK GENERICS RR 6,32 6,28 GC03BA11 Indapamide 024150029 IPAMIX 50 cpr riv 2,5 mg VISUFARMA RR 6,80 6,76 GC03BA11 Indapamide 025686015 MILLIBAR 50 cps 2,5 mg LISAPHARMA RR 6,80 6,76 GC03BA11 Indapamide 024032031 NATRILIX 30 cpr riv 1,5 mg rilascio prolungato LABORATOIRES SERVIER (FR) RR 8,91 8,81 X XC03BA11 Indapamide 024666024 PRESSURAL 50 cpr riv 2,5 mg POLIFARMA RR 6,32 6,28 GC03BA11 Indapamide 025586025 VEROXIL 30 cpr 2,5 mg BALDACCI RR 4,06 4,04 GC03CA01 Furosemide 035213040 FUROSEMIDE 30 cpr 25 mg DOC GENERICI RR 1,46 1,45 GC03CA01 Furosemide 035208038 FUROSEMIDE 30 cpr 25 mg FARMA 1 RR 1,46 1,45 GC03CA01 Furosemide 030210013 FUROSEMIDE 30 cpr 25 mg FARMACOLOGICO MILANESE RR 1,46 1,45 GC03CA01 Furosemide 035211046 FUROSEMIDE 30 cpr 25 mg MERCK GENERICS RR 1,46 1,45 GC03CA01 Furosemide 035979020 FUROSEMIDE 5 fiale EV 20 mg 2 ml ANGENERICO RR 1,72 1,71 GC03CA01 Furosemide 035213065 FUROSEMIDE 5 fiale 20 mg 2ml DOC GENERICI RR 1,72 1,71 GC03CA01 Furosemide 032898037 FUROSEMIDE 5 fiale EV 20 mg 2 ml HEXAL RR 1,72 1,71 GC03CA01 Furosemide 032898025 FUROSEMIDE 5 fiale EV 250 mg 25 ml HEXAL RR 14,73 14,64 GC03CA01 Furosemide 035979018 FUROSEMIDE 20 cpr 500 mg ANGENERICO RR 15,52 15,43 GC03CA01 Furosemide 035213014 FUROSEMIDE 20 cpr 500 mg DOC GENERICI RR 15,52 15,43 GC03CA01 Furosemide 035208014 FUROSEMIDE 20 cpr 500 mg FARMA 1 RR 15,52 15,43 GC03CA01 Furosemide 032898013 FUROSEMIDE 20 cpr 500 mg HEXAL RR 15,52 15,43 GC03CA01 Furosemide 035211010 FUROSEMIDE 20 cpr 500 mg MERCK GENERICS RR 15,52 15,43 GC03CA01 Furosemide 020465011 LASIX 5 fiale 20 mg 2ml SANOFI AVENTIS GMBH RR 2,05 2,04 GC03CA01 Furosemide 023993013 LASIX 30 cpr 25 mg SANOFI-AVENTIS RR 1,72 1,71 GC03CA01 Furosemide 023993049 LASIX 5 fiale EV 250 mg 25 ml SANOFI-AVENTIS RR 16,60 16,50 GC03CA01 Furosemide 023993052 LASIX os soluz 100 ml 10 mg/ml SANOFI-AVENTIS RR 4,85 4,82C03CA01 Furosemide 023993037 LASIX 20 cpr 500 mg SANOFI-AVENTIS RR 17,64 17,53 GC03CA04 Torasemide 028721049 DIUREMID 14 cpr div 10 mg MENARINI INTERNATIONAL O.L.S.A. RR 2,53 2,51 GC03CA04 Torasemide 028721052 DIUREMID 5 fiale EV 10 mg 2 ml MENARINI INTERNATIONAL O.L.S.A. RR 3,31 3,29C03CA04 Torasemide 028262018 DIURESIX 14 cpr div 10 mg MENARINI RR 2,53 2,51 GC03CA04 Torasemide 028262020 DIURESIX 5 fiale EV 10 mg 2 ml MENARINI RR 3,31 3,29C03CA04 Torasemide 028252029 TORADIUR 5 fiale EV 10 mg 2 ml ROCHE RR 3,31 3,29C03CA04 Torasemide 028252017 TORADIUR 14 cpr div 10 mg ROCHE RR 5,95 5,91 GC03CA04 Torasemide 036487116 TORASEMIDE 14 cpr div 10 mg HEXAL RR 2,53 2,51 GC03CA04 Torasemide 036350027 TORASEMIDE 14 cpr div 10 mg MERCK GENERICS RR 2,53 2,51 GC03CA04 Torasemide 036105017 TORASEMIDE 14 cpr div 10 mg PLIVA RR 2,53 2,51 GC03CA04 Torasemide 036686121 TORASEMIDE 14 cpr 10 mg TEVA RR 2,53 2,51 GC03DA01 Spironolattone 019822028 ALDACTONE 16 cps 25 mg LEPETIT RR 2,12 2,11C03DA01 Spironolattone 019822030 ALDACTONE 10 conf 100 mg LEPETIT RR 4,49 4,46

24

Page 25: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

C03DA01 Spironolattone 019913021 SPIROLANG 10 cps 50 mg SIT RR 2,32 2,31C03DA01 Spironolattone 019913019 SPIROLANG 16 cps 25 mg SIT RR 2,12 2,11C03DA01 Spironolattone 019913033 SPIROLANG 10 cps 100 mg SIT RR 4,49 4,46C03DA01 Spironolattone 019408018 URACTONE 10 cpr 100 mg SPA RR 4,49 4,46C03DA02 Potassio canrenoato 035557014 DIKANTAL 20 cpr riv 100 mg EG RR 4,33 4,30 GC03DA02 Potassio canrenoato 033921014 DIUREK 20 cpr riv 100 mg BONISCONTRO & GAZZONE RR 4,33 4,30 GC03DA02 Potassio canrenoato 023745072 KANRENOL 20 cpr 100 mg ABBOTT RR 5,42 5,39 GC03DA02 Potassio canrenoato 023745108 KANRENOL 20 cpr riv 200 mg ABBOTT RR 13,31 13,15 XC03DA02 Potassio canrenoato 033807013 POTASSIO CANRENOA20 cpr riv 100 mg ERREKAPPA RR 4,33 4,30 GC03DA02 Potassio canrenoato 035556012 POTASSIO CANRENOA20 cpr riv 100 mg SANDOZ RR 4,33 4,30 GC03DA02 Potassio canrenoato 033808015 POTASSIO CANRENOA20 cpr riv 100 mg UNION HEALTH RR 4,33 4,30 GC03DA03 Canrenone 024273056 LUVION 20 cps 100 mg THERABEL GIENNE PHARMA RR 7,29 7,21 X XC03DA03 Canrenone 024273094 LUVION 40 cpr 50 mg THERABEL GIENNE PHARMA RR 7,42 7,34 X XC03EA01 Amiloride cloridrato/idroclo 023070016 MODURETIC 20 cpr 5 mg + 50 mg MERCK SHARP & DOHME RR 2,53 2,51C03EA01 Spironolattone/idroclorotia 022702017 ALDACTAZIDE 20 cpr 25 mg + 25 mg SPA RR 3,43 3,41C03EA01 Spironolattone/idroclorotia 022447015 SPIRIDAZIDE 20 cps SIT RR 3,43 3,41C03EA14 Potassio canrenoato/butiz 025166024 KADIUR 20 cpr 50 mg + 5 mg THERABEL GIENNE PHARMA RR 6,11 6,03 X XC03EB01 Furosemide/spironolattone 023770011 LASITONE 20 cps 25 mg + 37 mg SANOFI-AVENTIS RR 4,60 4,57C03EB01 Furosemide/spironolattone 023749017 SPIROFUR 10 cps 50 mg BRUNO FARMACEUTICI RR 2,74 2,72C03EB01 Furosemide/spironolattone 023749056 SPIROFUR 20 cps 50 mg BRUNO FARMACEUTICI RR 4,79 4,76C03EB01 Furosemide/triamterene 021360021 FLUSS 20 cpr 40 mg + 25 mg SCHARPER RR 2,22 2,21C07AA03 Pindololo 022674016 VISKEN 30 cpr 5 mg TEOFARMA RR 3,36 3,34C07AA05 Propranololo 020854028 INDERAL 30 cpr 40 mg ASTRAZENECA RR 1,86 1,85C07AA05 Propranololo 020854081 INDERAL 28 cps 80 mg rilascio prolungato ASTRAZENECA RR 4,99 4,96C07AA05 Propranololo 020854055 INDERAL 5 fiale EV 5 mg 5 ml ASTRAZENECA RR 5,37 5,31 XC07AA06 Timololo 024222034 BLOCADREN 40 cpr 10 mg SIT RR 4,81 4,78C07AA07 Sotalolo 029528027 RYTMOBETA 50 cpr 80 mg ABBOTT RR 7,12 7,08 GC07AA07 Sotalolo 029528041 RYTMOBETA 50 cpr 160 mg ABBOTT RR 12,27 12,13 XC07AA07 Sotalolo 023245020 SOTALEX 40 cpr 80 mg BRISTOL RR 5,46 5,43 GC07AA07 Sotalolo 035751015 SOTALOLO 40 cpr 80 mg ANGENERICO RR 4,25 4,22 GC07AA07 Sotalolo 029517012 SOTALOLO 40 cpr 80 mg HEXAL RR 4,25 4,22 GC07AA07 Sotalolo 035453125 SOTALOLO 40 cpr 80 mg MERCK GENERICS RR 4,25 4,22 GC07AA07 Sotalolo 035859040 SOTALOLO 40 cpr 80 mg TEVA RR 4,25 4,22 GC07AA07 Sotalolo 035453137 SOTALOLO 50 cpr 80 mg MERCK GENERICS RR 5,13 5,10 GC07AB02 Metoprololo 023610013 LOPRESOR 30 cpr riv 100 mg DAIICHI SANKYO RR 4,33 4,30 GC07AB02 Metoprololo 023610025 LOPRESOR 28 cpr 200 mg rilascio prolungato DAIICHI SANKYO RR 7,85 7,80 GC07AB02 Metoprololo 035817016 METOPROLOLO 30 cpr 100 mg ANGENERICO RR 3,64 3,62 GC07AB02 Metoprololo 032019010 METOPROLOLO 30 cpr 100 mg HEXAL RR 3,64 3,62 GC07AB02 Metoprololo 032019022 METOPROLOLO 30 cpr 200 mg rilascio prolungato HEXAL RR 6,33 6,29 GC07AB02 Metoprololo 035817030 METOPROLOLO 28 cpr 200 mg rilascio prolungato ANGENERICO RR 7,04 7,00 GC07AB02 Metoprololo 032019034 METOPROLOLO 28 cpr 200 mg rilascio prolunga HEXAL RR 7,04 7,00 GC07AB02 Metoprololo 029036050 METOPROLOLO 50 cpr 100 mg EG RR 7,24 7,20 GC07AB02 Metoprololo 035054016 METOPROLOLO 50 cpr 100 mg ERREKAPPA RR 7,24 7,20 GC07AB02 Metoprololo 029036074 METOPROLOLO 50 cpr 200 mg rilascio prolungato EG RR 11,75 11,68 GC07AB02 Metoprololo 035054030 METOPROLOLO 50 cpr 200 mg rilascio prolungato ERREKAPPA RR 11,75 11,68 GC07AB02 Metoprololo 029036062 METOPROLOLO 100 cpr 100 mg EG RR 15,00 14,91 GC07AB02 Metoprololo 023616028 SELOKEN 50 cpr 100 mg ASTRAZENECA RR 8,11 8,06 GC07AB02 Metoprololo 023616042 SELOKEN "RETARD" 28 cpr 200 mg ASTRAZENECA RR 7,85 7,80 GC07AB03 Atenololo 025070020 ATENOL 50 cpr 100 mg C.T. LABORATORIO FARMACEUTICO RR 7,53 7,48 GC07AB03 Atenololo 033789013 ATENOLOLO 14 cpr 100 mg DOC GENERICI RR 2,80 2,78 GC07AB03 Atenololo 029468016 ATENOLOLO 14 cpr 100 mg MERCK GENERICS RR 2,80 2,78 GC07AB03 Atenololo 034052011 ATENOLOLO 14 cpr riv 100 mg RATIOPHARM GMBH RR 2,80 2,78 GC07AB03 Atenololo 029776022 ATENOLOLO 50 cpr 50 mg EG RR 5,42 5,39 G

25

Page 26: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

C07AB03 Atenololo 029486014 ATENOLOLO 50 cpr riv 50 mg HEXAL RR 5,42 5,39 GC07AB03 Atenololo 036542013 ATENOLOLO 42 cpr 100 mg ALMUS RR 6,09 6,05 GC07AB03 Atenololo 033279023 ATENOLOLO 42 cpr 100 mg ALTER RR 6,09 6,05 GC07AB03 Atenololo 033789025 ATENOLOLO 42 cpr 100 mg DOC GENERICI RR 6,09 6,05 GC07AB03 Atenololo 029533027 ATENOLOLO 42 cpr 100 mg ERREKAPPA RR 6,09 6,05 GC07AB03 Atenololo 029486038 ATENOLOLO 42 cpr riv 100 mg HEXAL RR 6,09 6,05 GC07AB03 Atenololo 029468028 ATENOLOLO 42 cpr 100 mg MERCK GENERICS RR 6,09 6,05 GC07AB03 Atenololo 034361244 ATENOLOLO 42 cpr 100 mg SANDOZ RR 6,09 6,05 GC07AB03 Atenololo 033279011 ATENOLOLO 50 cpr 100 mg ALTER RR 7,53 7,48 GC07AB03 Atenololo 035759024 ATENOLOLO 50 cpr riv 100 mg ANGENERICO RR 7,53 7,48 GC07AB03 Atenololo 029776059 ATENOLOLO 50 cpr 100 mg EG RR 7,53 7,48 GC07AB03 Atenololo 029486026 ATENOLOLO 50 cpr riv 100 mg HEXAL RR 7,53 7,48 GC07AB03 Atenololo 033046018 ATENOLOLO 50 cpr 100 mg PLIVA RR 7,53 7,48 GC07AB03 Atenololo 034052023 ATENOLOLO 50 cpr riv 100 mg RATIOPHARM GMBH RR 7,53 7,48 GC07AB03 Atenololo 033080019 ATENOLOLO 50 cpr 100 mg TEVA RR 7,53 7,48 GC07AB03 Atenololo 032127019 ATERMIN 14 cpr 100 mg MAGIS RR 2,80 2,78 GC07AB03 Atenololo 024325060 SELES BETA 50 cpr 100 mg SCHWARZ RR 7,53 7,48 GC07AB03 Atenololo 024325045 SELES BETA 50 cpr 100 mg SCHWARZ RR 9,32 9,26 GC07AB03 Atenololo 029420015 TENOMAX 50 cpr div 100 mg BONISCONTRO & GAZZONE RR 7,53 7,48 GC07AB03 Atenololo 024016026 TENORMIN 10 fiale EV 5 mg 10 ml ASTRAZENECA RR 10,50 10,38 X XC07AB03 Atenololo 024016038 TENORMIN 42 cpr 100 mg ASTRAZENECA RR 10,05 9,99 GC07AB04 Acebutololo 024255022 PRENT 50 cpr 200 mg BAYER RR 6,47 6,39 XC07AB04 Acebutololo 024255034 PRENT 30 cpr 400 mg BAYER RR 7,50 7,40 XC07AB04 Acebutololo 024155057 SECTRAL 30 cpr 400 mg SANOFI-AVENTIS RR 10,71 10,59 XC07AB05 Betaxololo 025317013 KERLON 28 cpr riv 20 mg SANOFI-AVENTIS RR 10,50 10,38 XC07AB07 Bisoprololo 034954014 CARDICOR 28 cpr riv 1,25 mg BAYER RR 6,63 6,55 XC07AB07 Bisoprololo 034954103 CARDICOR 28 cpr riv 2,5 mg BAYER RR 7,22 7,14 XC07AB07 Bisoprololo 034954180 CARDICOR 28 cpr riv 3,75 mg BAYER RR 7,80 7,70 XC07AB07 Bisoprololo 034954267 CARDICOR 28 cpr riv 5 mg BAYER RR 8,74 8,64 XC07AB07 Bisoprololo 034954343 CARDICOR 28 cpr riv 7,5 mg BAYER RR 9,28 9,16 XC07AB07 Bisoprololo 034954420 CARDICOR 28 cpr riv 10 mg BAYER RR 9,83 9,71 XC07AB07 Bisoprololo 026573016 CONCOR 28 cpr 10 mg BRACCO RR 9,04 8,94 XC07AB07 Bisoprololo 034953024 CONGESCOR 28 cpr riv 1,25 mg MERCK KGAA RR 6,63 6,55 XC07AB07 Bisoprololo 034953099 CONGESCOR 28 cpr riv 2,5 mg MERCK KGAA RR 7,22 7,14 XC07AB07 Bisoprololo 034953176 CONGESCOR 28 cpr riv 3,75 mg MERCK KGAA RR 7,80 7,70 XC07AB07 Bisoprololo 034953253 CONGESCOR 28 cpr riv 5 mg MERCK KGAA RR 8,74 8,64 XC07AB07 Bisoprololo 034953339 CONGESCOR 28 cpr riv 7,5 mg MERCK KGAA RR 9,28 9,16 XC07AB07 Bisoprololo 034953416 CONGESCOR 28 cpr riv 10 mg MERCK KGAA RR 9,83 9,71 XC07AB07 Bisoprololo 033945027 PLUSCOR 28 cpr riv 10 mg MERCK PHARMA RR 9,04 8,94 XC07AB07 Bisoprololo 034952022 SEQUACOR 28 cpr riv 1,25 mg BRACCO RR 6,63 6,55 XC07AB07 Bisoprololo 034952109 SEQUACOR 28 cpr riv 2,5 mg BRACCO RR 7,22 7,14 XC07AB07 Bisoprololo 034952186 SEQUACOR 28 cpr riv 3,75 mg BRACCO RR 7,80 7,70 XC07AB07 Bisoprololo 034952263 SEQUACOR 28 cpr riv 5 mg BRACCO RR 8,74 8,64 XC07AB07 Bisoprololo 034952349 SEQUACOR 28 cpr riv 7,5 mg BRACCO RR 9,28 9,16 XC07AB07 Bisoprololo 034952426 SEQUACOR 28 cpr riv 10 mg BRACCO RR 9,83 9,71 XC07AB08 Celiprololo 025655010 CORDIAX 28 cpr riv 200 mg CRINOS RR 9,98 9,86 XC07AB12 Nebivololo 032210015 LOBIVON 28 cpr 5 mg MENARINI RR 14,13 13,97 X XC07AB12 Nebivololo 032209013 NEBILOX 28 cpr div 5 mg GLAXOSMITHKLINE RR 14,13 13,97 X XC07AG01 Labetalolo 024981058 IPOLAB 50 cpr 400 mg DEPO FARMA RR 16,38 16,18 XC07AG01 Labetalolo 023578014 TRANDATE 30 cpr 100 mg TEOFARMA RR 3,20 3,18C07AG01 Labetalolo 023578038 TRANDATE 30 cpr 200 mg TEOFARMA RR 5,07 5,01 XC07AG02 Carvedilolo 036339012 CARAVEL 28 cpr 6,25 mg SPA RR 4,51 4,48 GC07AG02 Carvedilolo 036339024 CARAVEL 30 cpr 25 mg SPA RR 10,38 10,32 G

26

Page 27: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

C07AG02 Carvedilolo 036462012 CARVEDILOLO 28 cpr 6,25 mg DOC GENERICI RR 4,51 4,48 GC07AG02 Carvedilolo 036355055 CARVEDILOLO 28 cpr div 6,25 mg EG RR 4,51 4,48 GC07AG02 Carvedilolo 036457202 CARVEDILOLO 28 cpr div 6,25 mg HEXAL RR 4,51 4,48 GC07AG02 Carvedilolo 036453278 CARVEDILOLO 28 cpr riv 6,25 mg MERCK GENERICS RR 4,51 4,48 GC07AG02 Carvedilolo 036369027 CARVEDILOLO 28 cpr div 6,25 mg RATIOPHARM GMBH RR 4,51 4,48 GC07AG02 Carvedilolo 036454027 CARVEDILOLO 28 cpr div 6,25 mg SANDOZ RR 4,51 4,48 GC07AG02 Carvedilolo 036779080 CARVEDILOLO 28 cpr 6,25 mg TEVA RR 4,51 4,48 GC07AG02 Carvedilolo 036548016 CARVEDILOLO 28 cpr 6,25 mg ALTER RR 4,51 4,48 GC07AG02 Carvedilolo 036471011 CARVEDILOLO 28 cpr div 6,25 mg ALMUS RR 4,51 4,48 GC07AG02 Carvedilolo 036462024 CARVEDILOLO 30 cpr 25 mg DOC GENERICI RR 10,38 10,32 GC07AG02 Carvedilolo 036355283 CARVEDILOLO 30 cpr div 25 mg EG RR 10,38 10,32 GC07AG02 Carvedilolo 036457556 CARVEDILOLO 30 cpr div 25 mg HEXAL RR 10,38 10,32 GC07AG02 Carvedilolo 036453607 CARVEDILOLO 30 cpr riv 25 mg MERCK GENERICS RR 10,38 10,32 GC07AG02 Carvedilolo 036369104 CARVEDILOLO 30 cpr div 25 mg RATIOPHARM GMBH RR 10,38 10,32 GC07AG02 Carvedilolo 036454320 CARVEDILOLO 30 cpr div 25 mg SANDOZ RR 10,38 10,32 GC07AG02 Carvedilolo 036779256 CARVEDILOLO 30 cpr 25 mg TEVA RR 10,38 10,32 GC07AG02 Carvedilolo 036548028 CARVEDILOLO 30 cpr 25 mg ALTER RR 10,38 10,32 GC07AG02 Carvedilolo 036471023 CARVEDILOLO 30 cpr div 25 mg ALMUS RR 10,38 10,32 GC07AG02 Carvedilolo 027606019 CARVIPRESS 30 cpr div 25 mg GENTILI RR 10,38 10,32 GC07AG02 Carvedilolo 036470019 COLVER 28 cpr 6,25 mg FARMOCHIMICA RR 4,51 4,48 GC07AG02 Carvedilolo 036470021 COLVER 30 cpr 25 mg FARMOCHIMICA RR 10,38 10,32 GC07AG02 Carvedilolo 036512010 CURCIX 28 cpr div 6,25 mg SO.SE.PHARM RR 4,51 4,48 GC07AG02 Carvedilolo 036512022 CURCIX 30 cpr div 25 mg SO.SE.PHARM RR 10,38 10,32 GC07AG02 Carvedilolo 027604040 DILATREND 28 cpr div 6,25 mg ROCHE RR 5,30 5,27 GC07AG02 Carvedilolo 027604014 DILATREND 30 cpr div 25 mg ROCHE RR 11,59 11,52 GC07AG02 Carvedilolo 036407017 DILOCAR 28 cpr 6,25 mg ERREKAPPA RR 4,51 4,48 GC07AG02 Carvedilolo 036407029 DILOCAR 30 cpr 25 mg ERREKAPPA RR 10,38 10,32 GC07AG02 Carvedilolo 036522011 OMERIA 28 cpr 6,25 mg MEDIOLANUM RR 4,51 4,48 GC07AG02 Carvedilolo 036522023 OMERIA 30 cpr 25 mg MEDIOLANUM RR 10,38 10,32 GC07BB07 Bisoprololo/Idroclorotiazid 035583018 LODOZ 30 cpr riv 2,5 mg + 6,25 mg MERCK RR 7,41 7,33 X XC07BB07 Bisoprololo/Idroclorotiazid 035583069 LODOZ 30 cpr riv 5 mg + 6,25 mg MERCK RR 7,41 7,33 X XC07BB07 Bisoprololo/Idroclorotiazid 035583119 LODOZ 30 cpr riv 10 mg + 6,25 mg MERCK RR 7,41 7,33 X XC07CA02 Oxprenololo/clortalidone 023376015 TRASITENSIN 30 cpr 160 mg + 20 mg rilascio prolungato TEOFARMA RR 6,90 6,82 XC07CB02 Metoprololo/clortalidone 024769022 IGROTON LOPRESOR28 cpr 25 mg + 200 mg DAIICHI SANKYO RR 6,37 6,29 XC07CB03 Atenololo/clortalidone 025987037 ATENIGRON 28 cpr 100 mg + 25 mg MITIM RR 7,22 7,18 GC07CB03 Atenololo/clortalidone 034167027 ATENOLOLO CLORTA 28 cpr 50 mg + 12,5 mg DOC GENERICI RR 3,71 3,69 GC07CB03 Atenololo/clortalidone 033037019 ATENOLOLO CLORTA "MITE" 28 cpr riv 50 mg + 12,5 mg DOROM RR 3,71 3,69 GC07CB03 Atenololo/clortalidone 033159029 ATENOLOLO CLORTA 28 cpr 50 mg + 12,5 mg EG RR 3,71 3,69 GC07CB03 Atenololo/clortalidone 034069029 ATENOLOLO CLORTA 28 cpr 50 mg + 12,5 mg MERCK GENERICS RR 3,71 3,69 GC07CB03 Atenololo/clortalidone 033054014 ATENOLOLO CLORTA 28 cpr 50 mg + 12,5 mg RATIOPHARM GMBH RR 3,71 3,69 GC07CB03 Atenololo/clortalidone 033455027 ATENOLOLO CLORTA 28 cpr 50 mg + 12,5 mg SANDOZ RR 3,71 3,69 GC07CB03 Atenololo/clortalidone 032805020 ATENOLOLO CLORTA 30 cpr riv 50 mg+ 12,5 mg HEXAL RR 4,43 4,40 GC07CB03 Atenololo/clortalidone 034167015 ATENOLOLO CLORTA 28 cpr 100 mg + 25 mg DOC GENERICI RR 7,22 7,18 GC07CB03 Atenololo/clortalidone 033037021 ATENOLOLO CLORTA 28 cpr riv 100 mg + 25 mg DOROM RR 7,22 7,18 GC07CB03 Atenololo/clortalidone 033159017 ATENOLOLO CLORTA 28 cpr 100 mg + 25 mg EG RR 7,22 7,18 GC07CB03 Atenololo/clortalidone 034069017 ATENOLOLO CLORTA 28 cpr 100 + 25 mg MERCK GENERICS RR 7,22 7,18 GC07CB03 Atenololo/clortalidone 033054026 ATENOLOLO CLORTA 28 cpr 100 + 25 mg RATIOPHARM GMBH RR 7,22 7,18 GC07CB03 Atenololo/clortalidone 033455041 ATENOLOLO CLORTA 28 cpr 100 + 25 mg SANDOZ RR 7,22 7,18 GC07CB03 Atenololo/clortalidone 032805018 ATENOLOLO CLORTA 30 cpr riv 100 mg + 25 mg HEXAL RR 7,69 7,64 GC07CB03 Atenololo/clortalidone 026044026 ATENOLOLO CLORTA 30 cpr riv 100 mg + 25 mg TAD PHARMA RR 7,69 7,64 GC07CB03 Atenololo/clortalidone 024754018 CARMIAN 30 cpr 100 mg + 25 mg TEOFARMA RR 7,88 7,83 GC07CB03 Atenololo/clortalidone 026027021 CLORTANOL 30 cpr 100 mg + 25 mg C.T. LABORATORIO FARMACEUTICO RR 7,69 7,64 GC07CB03 Atenololo/clortalidone 024725069 DIUBE 28 cpr riv 50 mg + 12,5 mg SIT RR 3,71 3,69 G

27

Page 28: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

C07CB03 Atenololo/clortalidone 024725032 DIUBE 28 cpr riv 100 mg + 25 mg SIT RR 7,22 7,18 GC07CB03 Atenololo/clortalidone 024728065 EUPRES "MITE" 21 cpr 50 mg + 25 mg VALEANT PHARMACEUTICALS RR 4,90 4,87C07CB03 Atenololo/clortalidone 024728038 EUPRES 21 cpr 100 mg + 25 mg VALEANT PHARMACEUTICALS RR 7,68 7,58 XC07CB03 Atenololo/clortalidone 024763068 IGROSELES 28 cpr 50 mg + 12,5 mg SCHWARZ RR 3,71 3,69 GC07CB03 Atenololo/clortalidone 024763056 IGROSELES 28 cpr 100 mg + 25 mg SCHWARZ RR 7,22 7,18 GC07CB03 Atenololo/clortalidone 025089032 TARGET 28 cpr 100 + 25 mg LISAPHARMA RR 7,22 7,18 GC07CB03 Atenololo/clortalidone 024737037 TENORETIC 28 cpr 50 mg + 12,5 mg ASTRAZENECA RR 5,37 5,34 GC07CB03 Atenololo/clortalidone 024737025 TENORETIC 28 cpr 100 mg + 25 mg ASTRAZENECA RR 10,23 10,17 GC07CB03 Atenololo/indapamide 028151025 ATINORM 30 cpr div 100 mg + 2,5 mg BIOPROGRESS PHARMA RR 10,26 10,14 XC07CB03 Atenololo/indapamide 025871031 NORMOPRESS 30 cpr div 100 mg + 2,5 mg CABER RR 9,02 8,92 XC07CB03 Atenololo/indapamide 028023012 NOR-PA 30 cpr div 100 mg + 2,5 mg PLIVA RR 9,02 8,92 XC08CA01 Amlodipina besilato 027461021 ANTACAL 14 cpr 10 mg ERREKAPPA RR 13,11 12,95 XC08CA01 Amlodipina besilato 027461019 ANTACAL 28 cpr 5 mg ERREKAPPA RR 15,15 14,97 XC08CA01 Amlodipina besilato 027444025 MONOPINA 14 cpr 10 mg PFIZER ITALIA RR 13,11 12,95 XC08CA01 Amlodipina besilato 027428010 NORVASC 28 cpr 5 mg PFIZER ITALIA RR 15,15 14,97 XC08CA01 Amlodipina besilato 027428022 NORVASC 14 cpr 10 mg PFIZER ITALIA RR 13,11 12,95 XC08CA02 Felodipina 027376021 FELODAY 14 cpr 10 mg rilascio prolungato ASTRAZENECA RR 11,66 11,52 XC08CA02 Felodipina 027376019 FELODAY 28 cpr 5 mg rilascio prolungato ASTRAZENECA RR 12,53 12,37 XC08CA02 Felodipina 028162030 PLENDIL 14 cpr riv 10 mg rilascio prolungato ASTRAZENECA RR 11,66 11,52 XC08CA02 Felodipina 028162042 PLENDIL 28 cpr riv 5 mg rilascio prolungato ASTRAZENECA RR 12,53 12,37 XC08CA02 Felodipina 027372022 PREVEX 14 cpr riv 10 mg rilascio prolungato SIMESA RR 11,66 11,52 XC08CA02 Felodipina 027372010 PREVEX 28 cpr riv 5 mg rilascio prolungato SIMESA RR 12,53 12,37 XC08CA03 Isradipina 027727027 CLIVOTEN 14 cps 5 mg rilascio graduale ITALFARMACO RR 6,84 6,76 XC08CA03 Isradipina 027725023 ESRADIN 14 cps 5 mg rilascio prolungato SIGMATAU RR 7,20 7,12 X XC08CA03 Isradipina 027715046 LOMIR SRO 14 cps 5 mg rilascio graduale DAIICHI SANKYO RR 7,20 7,12 X XC08CA04 Nicardipina 026071023 BIONICARD 50 cpr 20 mg ROTTAPHARM RR 7,59 7,49 XC08CA04 Nicardipina 026071035 BIONICARD "RETARD" 30 cps 40 mg ROTTAPHARM RR 4,96 4,93 GC08CA04 Nicardipina 027790017 CARDIOTEN 50 conf 20 mg OFF RR 7,59 7,49 XC08CA04 Nicardipina 027790029 CARDIOTEN "40 RETARD" 30 cps 40 mg cessione regolataOFF RR 5,33 5,30 GC08CA04 Nicardipina 026075022 CARDIP 50 conf 20 mg FRANCIA RR 7,59 7,49 XC08CA04 Nicardipina 026075046 CARDIP 30 cps 40 mg rilascio graduato FRANCIA RR 4,96 4,93 GC08CA04 Nicardipina 029277011 LISANIRC 20 cpr 80 mg rilascio modificato LISAPHARMA RR 6,74 6,66 XC08CA04 Nicardipina 026874038 NEUCOR 30 cps 40 mg C.T. LABORATORIO FARMACEUTICO RR 4,96 4,93 GC08CA04 Nicardipina 026292033 NICANT "RETARD" 30 cps 40 mg VECCHI & PIAM RR 5,24 5,21 GC08CA04 Nicardipina 026636098 NICAPRESS 30 cps 40 mg rilascio prolungato PLIVA RR 4,96 4,93 GC08CA04 Nicardipina 025991023 NICARDAL 50 conf 20 mg ITALFARMACO RR 7,59 7,49 XC08CA04 Nicardipina 025991035 NICARDAL "R" 30 cps 40 mg rilascio graduale ITALFARMACO RR 7,02 6,98 GC08CA04 Nicardipina 033608023 NICARDIPINA 30 cps 40 mg rilascio prolungato DOROM RR 4,96 4,93 GC08CA04 Nicardipina 033129014 NICARDIPINA 30 cps 40 mg rilascio prolungato MERCK GENERICS RR 4,96 4,93 GC08CA04 Nicardipina 026020038 NICARPIN "RETARD" 30 cps 40 mg S.F. GROUP RR 4,96 4,93 GC08CA04 Nicardipina 033585023 NICAVEN 30 cps 40 mg rilascio prolungato FARMA 1 RR 4,96 4,93 GC08CA04 Nicardipina 026014047 NIMICOR "RETARD" 30 cps 40 mg PRODOTTI FORMENTI RR 6,33 6,29 GC08CA04 Nicardipina 026014023 NIMICOR 50 cpr 20 mg PRODOTTI FORMENTI RR 7,59 7,49 XC08CA04 Nicardipina 026018034 PERDIPINA 30 cps 40 mg rilascio modificato ASTELLAS RR 4,96 4,93 GC08CA04 Nicardipina 026018046 PERDIPINA 20 cpr 80 mg rilascio modificato ASTELLAS RR 6,74 6,66 XC08CA04 Nicardipina 026018022 PERDIPINA 50 cpr riv 20 mg ASTELLAS RR 7,59 7,49 XC08CA04 Nicardipina 026060032 VASODIN 30 cps rigide 40 mg rilascio prolungato TEOFARMA RR 5,24 5,21 GC08CA04 Nicardipina 026060020 VASODIN 50 cpr 20 mg TEOFARMA RR 7,59 7,49 XC08CA05 Nifedipina 023316033 ADALAT AR '50 cpr 20 mg BAYER RR 11,96 11,89 GC08CA05 Nifedipina 027980034 ADALAT CRONO 14 cpr riv 20 mg rilascio modificato BAYER RR 4,84 4,81C08CA05 Nifedipina 027980010 ADALAT CRONO 14 cpr riv 30 mg rilascio modificato BAYER RR 7,13 7,05 X XC08CA05 Nifedipina 027980022 ADALAT CRONO 14 cpr riv 60 mg rilascio modificato BAYER RR 9,60 9,48 X XC08CA05 Nifedipina 024085045 CITILAT "RETARD" 50 cpr 20 mg C.T. LABORATORIO FARMACEUTICO RR 6,20 6,16 G

28

Page 29: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

C08CA05 Nifedipina 024599058 CORAL 14 cpr riv 60 mg rilascio modificato SO.SE.PHARM RR 9,03 8,98 GC08CA05 Nifedipina 024599045 CORAL 14 cpr riv 30 mg rilascio modificato SO.SE.PHARM RR 6,07 6,03 GC08CA05 Nifedipina 032165019 EUXAT 14 cpr riv 30 mg rilascio modificato PH&T RR 6,07 6,03 GC08CA05 Nifedipina 032165021 EUXAT 14 cpr riv 60 mg rilascio modificato PH&T RR 9,03 8,98 GC08CA05 Nifedipina 026586014 FENIDINA 14 cpr riv 30 mg rilascio modificato BONISCONTRO & GAZZONE RR 6,07 6,03 GC08CA05 Nifedipina 026586026 FENIDINA 14 cpr riv 60 mg rilascio modificato BONISCONTRO & GAZZONE RR 9,03 8,98 GC08CA05 Nifedipina 024608022 NIFEDICOR 50 cps 10 mg VALEANT PHARMACEUTICALS RR 4,20 4,17 GC08CA05 Nifedipina 024608034 NIFEDICOR 50 cps 20 mg VALEANT PHARMACEUTICALS RR 6,20 6,16 GC08CA05 Nifedipina 024608046 NIFEDICOR gtt os 30 ml 2% VALEANT PHARMACEUTICALS RR 6,80 6,72 XC08CA05 Nifedipina 024608059 NIFEDICOR 50 cpr riv con film 20 mg VALEANT PHARMACEUTICALS RR 6,20 6,16 GC08CA05 Nifedipina 031227010 NIFEDIPINA 50 cps 10 mg HEXAL RR 4,20 4,17 GC08CA05 Nifedipina 035067014 NIFEDIPINA 14 cpr riv 30 mg rilascio prolungato D&G RR 6,07 6,03 GC08CA05 Nifedipina 032804039 NIFEDIPINA 14 cpr 30 mg rilascio modificato EG RR 6,07 6,03 GC08CA05 Nifedipina 033718026 NIFEDIPINA 14 cpr riv 30 mg rilascio prolungato MERCK GENERICS RR 6,07 6,03 GC08CA05 Nifedipina 034105015 NIFEDIPINA 50 cps 20 mg rilascio prolungato DOC GENERICI RR 6,20 6,16 GC08CA05 Nifedipina 032831012 NIFEDIPINA 50 cps 20 mg rilascio prolungato DOROM RR 6,20 6,16 GC08CA05 Nifedipina 032804027 NIFEDIPINA 50 cps 20 mg rilascio prolungato EG RR 6,20 6,16 GC08CA05 Nifedipina 031227022 NIFEDIPINA 50 cpr 20 mg cessione ritardata HEXAL RR 6,20 6,16 GC08CA05 Nifedipina 033026030 NIFEDIPINA 50 cpr 20 mg rilascio prolungato MERCK GENERICS RR 6,20 6,16 GC08CA05 Nifedipina 032989016 NIFEDIPINA 50 cps 20 mg rilascio prolungato RATIOPHARM GMBH RR 6,20 6,16 GC08CA05 Nifedipina 033278019 NIFEDIPINA 50 cpr 20 mg rilascio prolungato SANDOZ RR 6,20 6,16 GC08CA05 Nifedipina 035067026 NIFEDIPINA 14 cpr riv 60 mg rilascio prolungato D&G RR 9,03 8,98 GC08CA05 Nifedipina 032804041 NIFEDIPINA 14 cpr riv 60 mg rilascio modificato EG RR 9,03 8,98 GC08CA05 Nifedipina 033718038 NIFEDIPINA 14 cpr riv 60 mg rilascio modificato MERCK GENERICS RR 9,03 8,98 GC08CA05 Nifedipina 029062015 NIFESAL 14 cps 40 mg rilascio prolungato PLIVA RR 9,09 8,99 XC08CA05 Nifedipina 031806019 NIPIN 14 cpr 30 mg rilascio modificato LISAPHARMA RR 6,07 6,03 GC08CA05 Nifedipina 031806021 NIPIN 14 cpr 60 mg rilascio modificato LISAPHARMA RR 9,03 8,98 GC08CA07 Nisoldipina 026667028 SYSCOR 24 cpr riv 10 mg BAYER RR 10,21 10,09 XC08CA08 Nitrendipina 026232013 BAYPRESS 28 cpr 20 mg BAYER RR 13,90 13,74 XC08CA08 Nitrendipina 026612010 DEITEN 28 cpr 20 mg ABC RR 13,56 13,40 XC08CA09 Lacidipina 027832068 APONIL 14 cpr riv 6 mg GLAXO ALLEN RR 12,36 12,22 XC08CA09 Lacidipina 027832043 APONIL 28 cpr riv div 4 mg GLAXO ALLEN RR 16,58 16,38 XC08CA09 Lacidipina 027830052 LACIPIL 14 cpr riv 6 mg GLAXOSMITHKLINE RR 12,36 12,22 XC08CA09 Lacidipina 027830037 LACIPIL 28 cpr riv div 4 mg GLAXOSMITHKLINE RR 16,58 16,38 XC08CA09 Lacidipina 027831041 LACIREX 14 cpr riv 6 mg GUIDOTTI RR 12,36 12,22 XC08CA09 Lacidipina 027831039 LACIREX 28 cpr riv 4 mg GUIDOTTI RR 16,58 16,38 XC08CA09 Lacidipina 028804045 LADIP 14 cpr riv 6 mg VALDA RR 12,36 12,22 XC08CA09 Lacidipina 028804033 LADIP 28 cpr riv 4 mg VALDA RR 16,58 16,38 XC08CA09 Lacidipina 027887049 VIAPRES 14 cpr riv 6 mg CRINOS RR 12,36 12,22 XC08CA09 Lacidipina 027887076 VIAPRES 28 cpr riv div 4 mg CRINOS RR 16,58 16,38 XC08CA11 Manidipina 029224045 IPERTEN 28 cpr 20 mg CHIESI RR 24,99 24,69 X XC08CA11 Manidipina 029200045 VASCOMAN 28 cpr 20 mg TAKEDA RR 24,99 24,69 X XC08CA12 Barnidipina 035146012 LIBRADIN 28 cps 20 mg rilascio modificato SIGMATAU RR 17,89 17,67 X XC08CA12 Barnidipina 035146024 LIBRADIN 28 cps 10 mg rilascio modificato SIGMATAU RR 17,89 17,67 X XC08CA12 Barnidipina 035145010 OSIPINE 28 cps 10 mg rilascio modificato FOURNIER PHARMA RR 17,89 17,67 X XC08CA12 Barnidipina 035145022 OSIPINE 28 cps 20 mg rilascio modificato FOURNIER PHARMA RR 17,89 17,67 X XC08CA12 Barnidipina 035144017 VASEXTEN 28 cps 20 mg rilascio prolungato ITALFARMACO RR 17,89 17,67 X XC08CA12 Barnidipina 035144029 VASEXTEN 28 cps 10 mg rilascio prolungato ITALFARMACO RR 17,89 17,67 X XC08CA13 Lercanidipina 033226022 CARDIOVASC 28 cpr riv 10 mg ROTTAPHARM RR 15,19 15,01 X XC08CA13 Lercanidipina 033226085 CARDIOVASC 28 cpr riv 20 mg ROTTAPHARM RR 21,13 20,87 X XC08CA13 Lercanidipina 033225020 LERCADIP 28 cpr riv 10 mg INNOVA PHARMA RR 15,19 15,01 X XC08CA13 Lercanidipina 033225083 LERCADIP 28 cpr riv 20 mg INNOVA PHARMA RR 21,13 20,87 X XC08CA13 Lercanidipina 033224027 ZANEDIP 28 cpr riv 10 mg RECORDATI RR 15,19 15,01 X X

29

Page 30: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

C08CA13 Lercanidipina 033224080 ZANEDIP 28 cpr riv 20 mg RECORDATI RR 21,13 20,87 X XC08DA01 Verapamil 033510013 CARDINORM 30 cps 120 mg rilascio prolungato NEW RESEARCH RR 4,50 4,47 GC08DA01 Verapamil 033510025 CARDINORM 30 cps 240 mg rilascio prolungato NEW RESEARCH RR 9,14 9,09 GC08DA01 Verapamil 020609018 ISOPTIN 30 cpr riv 40 mg ABBOTT RR 1,49 1,48 GC08DA01 Verapamil 020609083 ISOPTIN 30 cpr riv 80 mg ABBOTT RR 3,32 3,30 GC08DA01 Verapamil 020609044 ISOPTIN 30 cpr 120 mg rilascio prolungato ABBOTT RR 5,37 5,34 GC08DA01 Verapamil 020609095 ISOPTIN 30 cpr 180 mg rilascio prolungato ABBOTT RR 8,30 8,20 XC08DA01 Verapamil 020609071 ISOPTIN "FIALE" 5 fiale EV 5 mg 2 ml ABBOTT RR 3,20 3,18C08DA01 Verapamil 020609069 ISOPTIN 30 cpr 240 mg rilascio prolungato ABBOTT RR 11,23 11,16 GC08DA01 Verapamil 035769013 VERAPAMIL 30 cpr riv 80 mg ANGENERICO RR 2,24 2,23 GC08DA01 Verapamil 031228012 VERAPAMIL 30 cpr riv 80 mg HEXAL RR 2,24 2,23 GC08DA01 Verapamil 033174018 VERAPAMIL 30 cpr riv 80 mg MERCK GENERICS RR 2,24 2,23 GC08DA01 Verapamil 034124014 VERAPAMIL 30 cpr riv 80 mg RATIOPHARM GMBH RR 2,24 2,23 GC08DA01 Verapamil 035769025 VERAPAMIL 30 cpr riv 120 mg rilascio prolungato ANGENERICO RR 4,50 4,47 GC08DA01 Verapamil 034255036 VERAPAMIL 30 cps 120 mg rilascio prolungato DOC GENERICI RR 4,50 4,47 GC08DA01 Verapamil 032100024 VERAPAMIL 30 cpr 120 mg rilascio modificato EG RR 4,50 4,47 GC08DA01 Verapamil 031228024 VERAPAMIL 30 cpr riv 120 mg rilascio prolungato HEXAL RR 4,50 4,47 GC08DA01 Verapamil 033174020 VERAPAMIL 30 cpr 120 mg rilascio prolungato MERCK GENERICS RR 4,50 4,47 GC08DA01 Verapamil 033430012 VERAPAMIL 30 cps 120 mg rilascio prolungato PLIVA RR 4,50 4,47 GC08DA01 Verapamil 033193018 VERAPAMIL 30 cps 120 mg rilascio prolungato TEVA RR 4,50 4,47 GC08DA01 Verapamil 034255048 VERAPAMIL 30 cps 240 mg rilascio prolungato DOC GENERICI RR 9,14 9,09 GC08DA01 Verapamil 032100036 VERAPAMIL 30 cpr 240 mg rilascio modificato EG RR 9,14 9,09 GC08DA01 Verapamil 033174032 VERAPAMIL 30 cpr 240 mg rilascio prolungato MERCK GENERICS RR 9,14 9,09 GC08DA01 Verapamil 033430024 VERAPAMIL 30 cps 240 mg rilascio prolungato PLIVA RR 9,14 9,09 GC08DA01 Verapamil 033193020 VERAPAMIL 30 cps 240 mg rilascio prolungato TEVA RR 9,14 9,09 GC08DA01 Verapamil 033112018 VERAPTIN 30 cpr riv 80 mg BONISCONTRO & GAZZONE RR 2,24 2,23 GC08DA01 Verapamil 033112020 VERAPTIN 30 cpr 120 mg rilascio prolungato BONISCONTRO & GAZZONE RR 4,50 4,47 GC08DA01 Verapamil 033112032 VERAPTIN 30 cpr 240 mg rilascio prolungato BONISCONTRO & GAZZONE RR 9,14 9,09 GC08DA02 Gallopamil 025817026 ALGOCOR 50 cpr div 50 mg TEOFARMA RR 7,30 7,22 XC08DA02 Gallopamil 025817040 ALGOCOR 30 cpr 100 mg rilascio prolungato TEOFARMA RR 11,62 11,48 XC08DA02 Gallopamil 025811011 PROCORUM 50 cpr div 50 mg ABBOTT RR 7,30 7,22 XC08DA02 Gallopamil 025811047 PROCORUM 30 cpr 100 mg rilascio prolungato ABBOTT RR 11,62 11,48 XC08DB01 Diltiazem 025271014 ALTIAZEM 50 cpr 60 mg LUSOFARMACO RR 5,87 5,83 GC08DB01 Diltiazem 025271040 ALTIAZEM 14 cps 300 mg rilascio prolungato LUSOFARMACO RR 8,35 8,30 GC08DB01 Diltiazem 025271026 ALTIAZEM 5 fiale IM EV 50 mg + 5 fiale solv LUSOFARMACO RR 11,35 11,21 XC08DB01 Diltiazem 025271038 ALTIAZEM 24 cpr 120 mg rilascio modificato LUSOFARMACO RR 6,55 6,51 GC08DB01 Diltiazem 025280025 ANGIZEM 50 cpr div 60 mg rilascio modificato SANOFI-AVENTIS RR 5,87 5,83 GC08DB01 Diltiazem 025280049 ANGIZEM 24 cpr 120 mg rilascio prolungato SANOFI-AVENTIS RR 6,55 6,51 GC08DB01 Diltiazem 025280052 ANGIZEM 14 cps 300 mg rilascio prolungato SANOFI-AVENTIS RR 8,35 8,30 GC08DB01 Diltiazem 025280064 ANGIZEM 36 cps 200 mg rilascio prolungato SANOFI-AVENTIS RR 24,23 23,93 XC08DB01 Diltiazem 029302027 DIACARDIN 24 cps 120 mg cessione ritardata PLIVA RR 6,55 6,51 GC08DB01 Diltiazem 029302041 DIACARDIN 14 cps 300 mg cessione ritardata PLIVA RR 8,35 8,30 GC08DB01 Diltiazem 029302039 DIACARDIN 24 cps 180 mg cessione ritardata PLIVA RR 11,82 11,75 GC08DB01 Diltiazem 025275013 DILADEL 50 cpr 60 mg rilascio modificato SANOFI-AVENTIS RR 5,87 5,83 GC08DB01 Diltiazem 025275025 DILADEL 24 cpr 120 mg rilascio prolungato SANOFI-AVENTIS RR 6,55 6,51 GC08DB01 Diltiazem 025275037 DILADEL 14 cps 300 mg rilascio prolungato SANOFI-AVENTIS RR 8,35 8,30 GC08DB01 Diltiazem 025275049 DILADEL 36 cps 200 mg rilascio prolungato SANOFI-AVENTIS RR 24,23 23,93 XC08DB01 Diltiazem 025908017 DILEM 50 cpr 60 mg ICI RENDE RR 5,87 5,83 GC08DB01 Diltiazem 025908031 DILEM 24 cpr 120 mg rilascio prolungato ICI RENDE RR 6,55 6,51 GC08DB01 Diltiazem 025908029 DILEM 14 cps 300 mg cessione ritardata ICI RENDE RR 8,35 8,30 GC08DB01 Diltiazem 029355029 DILITER 28 cps 300 mg rilascio controllato BONISCONTRO & GAZZONE RR 17,12 17,02 GC08DB01 Diltiazem 033581012 DILTIAZEM 50 cpr 60 mg DOC GENERICI RR 5,87 5,83 GC08DB01 Diltiazem 025281039 DILTIAZEM 50 cpr 60 mg DOROM RR 5,87 5,83 G

30

Page 31: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

C08DB01 Diltiazem 032808040 DILTIAZEM 50 cpr 60 mg EG RR 5,87 5,83 GC08DB01 Diltiazem 026675013 DILTIAZEM 50 cpr 60 mg ERREKAPPA RR 5,87 5,83 GC08DB01 Diltiazem 033652013 DILTIAZEM 50 cpr riv 60 mg HEXAL RR 5,87 5,83 GC08DB01 Diltiazem 033175011 DILTIAZEM 50 cpr 60 mg RATIOPHARM GMBH RR 5,87 5,83 GC08DB01 Diltiazem 033682042 DILTIAZEM 50 cpr 60 mg SANDOZ RR 5,87 5,83 GC08DB01 Diltiazem 033581024 DILTIAZEM 24 cpr 120 mg rilascio prolungato DOC GENERICI RR 6,55 6,51 GC08DB01 Diltiazem 033652025 DILTIAZEM 24 cpr 120 mg rilascio prolungato HEXAL RR 6,55 6,51 GC08DB01 Diltiazem 033682028 DILTIAZEM 24 cps 120 mg rilascio prolungato SANDOZ RR 6,55 6,51 GC08DB01 Diltiazem 033192028 DILTIAZEM 24 cps 120 mg rilascio prolungato TEVA RR 6,55 6,51 GC08DB01 Diltiazem 032808014 DILTIAZEM 28 cps 120 mg rilascio modificato EG RR 6,90 6,86 GC08DB01 Diltiazem 028258059 DILTIAZEM 28 cps 120 mg rilascio prolungato ERREKAPPA RR 6,90 6,86 GC08DB01 Diltiazem 033175023 DILTIAZEM 28 cps 120 mg rilascio modificato RATIOPHARM GMBH RR 6,90 6,86 GC08DB01 Diltiazem 033581048 DILTIAZEM 14 cpr 300 mg rilascio prolungato DOC GENERICI RR 8,35 8,30 GC08DB01 Diltiazem 032808053 DILTIAZEM 14 cps 300 mg rilascio prolungato EG RR 8,35 8,30 GC08DB01 Diltiazem 033287018 DILTIAZEM 14 cpr 300 mg rilascio prolungato MERCK GENERICS RR 8,35 8,30 GC08DB01 Diltiazem 033682030 DILTIAZEM 14 cps 300 mg rilascio prolungato SANDOZ RR 8,35 8,30 GC08DB01 Diltiazem 033192042 DILTIAZEM 14 cps 300 mg rilascio prolungato TEVA RR 8,35 8,30 GC08DB01 Diltiazem 032808026 DILTIAZEM 28 cps 180 mg rilascio modificato EG RR 13,78 13,70 GC08DB01 Diltiazem 028258097 DILTIAZEM 28 cps 180 mg rilascio prolungato ERREKAPPA RR 13,78 13,70 GC08DB01 Diltiazem 028258135 DILTIAZEM 28 cps 300 mg rilascio controllato ERREKAPPA RR 17,12 17,02 GC08DB01 Diltiazem 033287020 DILTIAZEM 28 cpr 300 mg rilascio prolungato MERCK GENERICS RR 17,12 17,02 GC08DB01 Diltiazem 025277017 DILZENE 50 cpr 60 mg rilascio modificato SIGMATAU RR 5,87 5,83 GC08DB01 Diltiazem 025277068 DILZENE 24 cpr 120 mg rilascio prolungato SIGMATAU RR 6,55 6,51 GC08DB01 Diltiazem 025277070 DILZENE 14 cps 300 mg rilascio prolungato SIGMATAU RR 8,35 8,30 GC08DB01 Diltiazem 025277031 DILZENE 5 fiale EV 50 mg + 5 fiale solv 3 ml SIGMATAU RR 11,35 11,21 XC08DB01 Diltiazem 028156065 ETYZEM 28 cps 120 mg rilascio modificato CABER RR 6,90 6,86 GC08DB01 Diltiazem 028217014 LONGAZEM 14 cps 300 mg rilascio modificato DE SALUTE RR 8,35 8,30 GC08DB01 Diltiazem 025278019 TILDIEM 50 cpr 60 mg rilascio modificato SANOFI-AVENTIS RR 5,87 5,83 GC08DB01 Diltiazem 025278058 TILDIEM 24 cpr 120 mg rilascio prolungato SANOFI-AVENTIS RR 6,55 6,51 GC08DB01 Diltiazem 025278072 TILDIEM 36 cps 200 mg rilascio prolungato SANOFI-AVENTIS RR 24,23 23,93 XC08DB01 Diltiazem 025278060 TILDIEM 14 cps 300 mg rilascio prolungato SANOFI-AVENTIS RR 8,35 8,30 GC09AA01 Captopril 025812064 ACEPRESS 24 cpr 50 mg BRISTOL RR 8,77 8,72 GC09AA01 Captopril 025812052 ACEPRESS 50 cpr 25 mg BRISTOL RR 10,07 10,01 GC09AA01 Captopril 035324021 ACEPRILEX 24 cpr 50 mg TAD PHARMA RR 6,61 6,57 GC09AA01 Captopril 035324019 ACEPRILEX 50 cpr 25 mg TAD PHARMA RR 7,32 7,28 GC09AA01 Captopril 024446027 CAPOTEN 24 cpr 50 mg BRISTOL RR 8,77 8,72 GC09AA01 Captopril 024446015 CAPOTEN 50 cpr 25 mg BRISTOL RR 10,07 10,01 GC09AA01 Captopril 034366043 CAPTOPRIL 24 cpr 50 mg DOC GENERICI RR 6,59 6,55 GC09AA01 Captopril 034862033 CAPTOPRIL 24 cpr 50 mg DOROM RR 6,59 6,55 GC09AA01 Captopril 035036161 CAPTOPRIL 24 cpr 50 mg EG RR 6,59 6,55 GC09AA01 Captopril 036315075 CAPTOPRIL 24 cpr 50 mg HEXAL RR 6,59 6,55 GC09AA01 Captopril 035317561 CAPTOPRIL 24 cpr 50 mg MERCK GENERICS RR 6,59 6,55 GC09AA01 Captopril 035264124 CAPTOPRIL 24 cpr 50 mg RATIOPHARM GMBH RR 6,59 6,55 GC09AA01 Captopril 035510027 CAPTOPRIL 24 cpr 50 mg ABC RR 6,61 6,57 GC09AA01 Captopril 035451020 CAPTOPRIL 24 cpr 50 mg ALTER RR 6,61 6,57 GC09AA01 Captopril 035322027 CAPTOPRIL 24 cpr 50 mg FARMACEUTICI T.S. RR 6,61 6,57 GC09AA01 Captopril 035459027 CAPTOPRIL 24 cpr 50 mg MAGIS RR 6,61 6,57 GC09AA01 Captopril 035510015 CAPTOPRIL 50 cpr 25 mg ABC RR 7,32 7,28 GC09AA01 Captopril 035451018 CAPTOPRIL 50 cpr 25 mg ALTER RR 7,32 7,28 GC09AA01 Captopril 034366031 CAPTOPRIL 50 cpr 25 mg DOC GENERICI RR 7,32 7,28 GC09AA01 Captopril 034862019 CAPTOPRIL 50 cpr 25 mg DOROM RR 7,32 7,28 GC09AA01 Captopril 035036159 CAPTOPRIL 50 cpr 25 mg EG RR 7,32 7,28 GC09AA01 Captopril 035322015 CAPTOPRIL 50 cpr 25 mg FARMACEUTICI T.S. RR 7,32 7,28 G

31

Page 32: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

C09AA01 Captopril 036315087 CAPTOPRIL 50 cpr 25 mg HEXAL RR 7,32 7,28 GC09AA01 Captopril 035459015 CAPTOPRIL 50 cpr 25 mg MAGIS RR 7,32 7,28 GC09AA01 Captopril 035317559 CAPTOPRIL 50 cpr 25 mg MERCK GENERICS RR 7,32 7,28 GC09AA01 Captopril 035264047 CAPTOPRIL 50 cpr 25 mg RATIOPHARM GMBH RR 7,32 7,28 GC09AA01 Captopril 035323017 CAPTOPRIL 50 cpr 25 mg TEVA RR 7,32 7,28 GC09AA01 Captopril 035448024 MAXIPRIL 24 cpr 50 mg BONISCONTRO & GAZZONE RR 6,59 6,55 GC09AA01 Captopril 035448012 MAXIPRIL 50 cpr 25 mg BONISCONTRO & GAZZONE RR 7,32 7,28 GC09AA01 Captopril 035470020 TENPRIL 24 cpr 50 mg LISAPHARMA RR 6,61 6,57 GC09AA01 Captopril 035470018 TENPRIL 50 cpr 25 mg LISAPHARMA RR 7,32 7,28 GC09AA02 Enalapril 025681026 CONVERTEN 14 cpr div 20 mg GENTILI RR 5,39 5,36 GC09AA02 Enalapril 025681038 CONVERTEN 28 cpr div 5 mg GENTILI RR 4,69 4,66 GC09AA02 Enalapril 034749097 ENALAPRIL 28 cpr 5 mg DOC GENERICI RR 4,51 4,48 GC09AA02 Enalapril 036171039 ENALAPRIL 28 cpr 5 mg EG RR 4,51 4,48 GC09AA02 Enalapril 036488334 ENALAPRIL 28 cpr 5 mg MERCK GENERICS RR 4,51 4,48 GC09AA02 Enalapril 036316141 ENALAPRIL 28 cpr 5 mg RATIOPHARM GMBH RR 4,51 4,48 GC09AA02 Enalapril 036175139 ENALAPRIL 28 cpr 5 mg SANDOZ RR 4,51 4,48 GC09AA02 Enalapril 036368013 ENALAPRIL 28 cpr 5 mg TEVA RR 4,51 4,48 GC09AA02 Enalapril 034749337 ENALAPRIL 14 cpr 20 mg DOC GENERICI RR 4,97 4,94 GC09AA02 Enalapril 036171332 ENALAPRIL 14 cpr 20 mg EG RR 4,97 4,94 GC09AA02 Enalapril 036488486 ENALAPRIL 14 cpr 20 mg MERCK GENERICS RR 4,97 4,94 GC09AA02 Enalapril 036316329 ENALAPRIL 14 cpr 20 mg RATIOPHARM GMBH RR 4,97 4,94 GC09AA02 Enalapril 036175228 ENALAPRIL 14 cpr 20 mg SANDOZ RR 4,97 4,94 GC09AA02 Enalapril 036368052 ENALAPRIL 14 cpr 20 mg TEVA RR 4,97 4,94 GC09AA02 Enalapril 036308056 ENALAPRIL 14 cpr 20 mg ERREKAPPA RR 4,97 4,94 GC09AA02 Enalapril 025682028 ENAPREN 14 cpr 20 mg MERCK SHARP & DOHME RR 5,39 5,36 GC09AA02 Enalapril 025682042 ENAPREN 28 cpr 5 mg MERCK SHARP & DOHME RR 4,69 4,66 GC09AA02 Enalapril 025725045 NAPRILENE 28 cpr 5 mg SIGMATAU RR 4,51 4,48 GC09AA02 Enalapril 025725021 NAPRILENE 14 cpr 20 mg SIGMATAU RR 4,97 4,94 GC09AA02 Enalapril 036509026 SILVERIT 28 cpr 5 mg PROGE MEDICA RR 4,51 4,48 GC09AA02 Enalapril 036509014 SILVERIT 14 cpr 20 mg PROGE MEDICA RR 4,97 4,94 GC09AA03 Lisinopril 026837017 ALAPRIL 14 cpr 5 mg MEDIOLANUM RR 6,03 5,95 XC09AA03 Lisinopril 026837029 ALAPRIL 14 cpr 20 mg MEDIOLANUM RR 10,45 10,33 XC09AA03 Lisinopril 026830012 PRINIVIL 14 cpr 5 mg BRISTOL RR 6,03 5,95 XC09AA03 Lisinopril 026830024 PRINIVIL 14 cpr 20 mg BRISTOL RR 10,45 10,33 XC09AA03 Lisinopril 026834010 ZESTRIL 14 cpr 5 mg ASTRAZENECA RR 6,03 5,95 XC09AA03 Lisinopril 026834022 ZESTRIL 14 cpr 20 mg ASTRAZENECA RR 10,45 10,33 XC09AA04 Perindopril erbumina 027286018 COVERSYL 14 cpr 4 mg LABORATOIRES SERVIER (FR) RR 10,17 10,05 X XC09AA04 Perindopril erbumina 027469028 PROCAPTAN 14 cpr 4 mg STRODER RR 10,17 10,05 X XC09AA05 Ramipril 027162054 QUARK 28 cpr div 2,5 mg POLIFARMA RR 12,10 11,96 X XC09AA05 Ramipril 027162078 QUARK 28 cpr 10 mg POLIFARMA RR 17,08 16,88 X XC09AA05 Ramipril 027162066 QUARK 14 cpr div 5 mg POLIFARMA RR 8,54 8,44 X XC09AA05 Ramipril 027161064 TRIATEC 14 cpr 5 mg SANOFI-AVENTIS RR 8,54 8,44 X XC09AA05 Ramipril 027161052 TRIATEC 28 cpr 2,5 mg SANOFI-AVENTIS RR 12,10 11,96 X XC09AA05 Ramipril 027161076 TRIATEC 28 cpr 10 mg SANOFI-AVENTIS RR 17,08 16,88 X XC09AA05 Ramipril 027166065 UNIPRIL 14 cpr 5 mg ASTRAZENECA RR 8,54 8,44 X XC09AA05 Ramipril 027166053 UNIPRIL 28 cpr 2,5 mg ASTRAZENECA RR 12,10 11,96 X XC09AA05 Ramipril 027166077 UNIPRIL 28 cpr 10 mg ASTRAZENECA RR 17,08 16,88 X XC09AA06 Quinapril 027217013 ACCUPRIN 28 cpr riv 5 mg PFIZER ITALIA RR 6,79 6,71 XC09AA06 Quinapril 027217037 ACCUPRIN 14 cpr riv 20 mg PFIZER ITALIA RR 7,25 7,17 XC09AA06 Quinapril 027230010 ACEQUIN 28 cpr riv 5 mg RECORDATI RR 6,79 6,71 XC09AA06 Quinapril 027230034 ACEQUIN 14 cpr riv 20 mg RECORDATI RR 7,25 7,17 XC09AA06 Quinapril 027225034 QUINAZIL 14 cpr riv 20 mg MALESCI RR 7,25 7,17 XC09AA06 Quinapril 027225010 QUINAZIL 28 cpr riv 5 mg MALESCI RR 6,79 6,71 X

32

Page 33: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

C09AA07 Benazepril 027516020 CIBACEN 14 cpr bisec 10 mg MEDA PHARMA RR 7,76 7,66 XC09AA07 Benazepril 027516032 CIBACEN 28 cpr bisec 5 mg MEDA PHARMA RR 8,23 8,13 XC09AA07 Benazepril 027662028 TENSANIL 14 cpr div 10 mg I.B.N. SAVIO RR 7,76 7,66 XC09AA07 Benazepril 027573029 ZINADRIL 14 cpr riv 10 mg ERREKAPPA RR 7,76 7,66 XC09AA07 Benazepril 027573031 ZINADRIL 28 cpr riv 5 mg ERREKAPPA RR 8,23 8,13 XC09AA08 Cilazapril 027460043 INIBACE 14 cpr 5 mg ROCHE RR 11,06 10,92 XC09AA08 Cilazapril 027464041 INITISS 14 cpr riv 5 mg CRINOS RR 11,06 10,92 XC09AA09 Fosinopril 027735024 ELITEN 14 cpr 20 mg BRISTOL RR 9,03 8,93 XC09AA09 Fosinopril 027735012 ELITEN 28 cpr 10 mg BRISTOL RR 10,52 10,40 XC09AA09 Fosinopril 027747029 FOSIPRES 14 cpr 20 mg MENARINI RR 9,03 8,93 XC09AA09 Fosinopril 027747017 FOSIPRES 28 cpr 10 mg MENARINI RR 10,52 10,40 XC09AA09 Fosinopril 027824022 TENSOGARD 14 cpr 20 mg BRISTOL RR 9,03 8,93 XC09AA09 Fosinopril 027824010 TENSOGARD 28 cpr 10 mg BRISTOL RR 10,52 10,40 XC09AA10 Trandolapril 028267021 GOPTEN 28 cps 0,5 mg ABBOTT RR 5,42 5,36 XC09AA10 Trandolapril 028267019 GOPTEN 14 cps 2 mg ABBOTT RR 6,83 6,75 XC09AA11 Spirapril 028582017 RENORMAX 14 cpr 6 mg SCHERING PLOUGH RR 6,41 6,33 XC09AA11 Spirapril 028583019 SETRILAN 14 cpr 6 mg ESSEX RR 6,74 6,66 XC09AA12 Delapril 027696032 DELAKET 28 cpr 15 mg CHIESI RR 6,07 5,99 XC09AA12 Delapril 027696044 DELAKET 28 cpr 30 mg CHIESI RR 12,14 12,00 XC09AA13 Moexipril 029214020 FEMIPRES 14 cpr 15 mg SCHWARZ RR 7,38 7,30 XC09AA15 Zofenopril 034408094 BIFRIL 28 cpr riv 30 mg MENARINI INTERNATIONAL O.L.S.A. RR 17,78 17,56 X XC09AA15 Zofenopril 034408017 BIFRIL 12 cpr riv 7,5 mg MENARINI INTERNATIONAL O.L.S.A. RR 4,29 4,26C09AA15 Zofenopril 034934012 ZANTIPRES 12 cpr riv 7,5 mg F.I.R.M.A. RR 4,29 4,26C09AA15 Zofenopril 034934113 ZANTIPRES 28 cpr riv 30 mg F.I.R.M.A. RR 17,78 17,56 X XC09AA15 Zofenopril 034789014 ZOPRANOL 12 cpr riv 7,5 mg GUIDOTTI RR 4,29 4,26C09AA15 Zofenopril 034789091 ZOPRANOL 28 cpr riv 30 mg GUIDOTTI RR 17,78 17,56 X XC09BA01 Captopril/idroclorotiazide 025767017 ACEDIUR 12 cpr 25 mg + 50 mg MENARINI RR 3,09 3,07 GC09BA01 Captopril/idroclorotiazide 025767029 ACEDIUR "MITE" 12 cpr 15 mg + 50 mg MENARINI RR 7,76 7,66 XC09BA01 Captopril/idroclorotiazide 026067013 ACEPLUS 12 cpr 25 mg + 50 mg BRISTOL RR 5,09 5,06 GC09BA01 Captopril/idroclorotiazide 026067025 ACEPLUS 12 cpr 15 mg + 50 mg BRISTOL RR 7,76 7,66 XC09BA01 Captopril/idroclorotiazide 036995013 CAPTOPRIL + IDROCL12 cpr 50 mg + 25 mg RATIOPHARM RR 3,09 3,07 GC09BA02 Enalapril/idroclorotiazide 027395021 ACESISTEM 14 cpr 20 mg + 12,5 mg SIGMATAU RR 10,28 10,16 XC09BA02 Enalapril/idroclorotiazide 027135019 CONDIUREN 14 cpr 20 mg + 12,5 mg GENTILI RR 10,82 10,70 X XC09BA02 Enalapril/idroclorotiazide 033267016 GENTIPRESS 14 cpr 20 mg + 6 mg GENTILI RR 10,55 10,43 X XC09BA02 Enalapril/idroclorotiazide 033332014 NEOPREX 14 cpr 20 mg + 6 mg SIGMATAU RR 10,55 10,43 X XC09BA02 Enalapril/idroclorotiazide 033266014 SINERTEC 14 cpr 20 mg + 6 mg MERCK SHARP & DOHME RR 10,55 10,43 X XC09BA02 Enalapril/idroclorotiazide 027056011 VASORETIC 14 cpr 20 mg + 12,5 mg MERCK SHARP & DOHME RR 10,82 10,70 X XC09BA03 Lisinopril/idroclorotiazide 027553015 NALAPRES 14 cpr 20 mg + 12,5 mg MEDIOLANUM RR 9,50 9,38 XC09BA03 Lisinopril/idroclorotiazide 027481011 PRINZIDE 14 cpr 20 mg + 12,5 mg BRISTOL RR 9,50 9,38 XC09BA03 Lisinopril/idroclorotiazide 027482013 ZESTORETIC 14 cpr 20 mg + 12,5 mg ASTRAZENECA RR 9,50 9,38 XC09BA04 Perindopril erbumina/inda 034234043 PRELECTAL 30 cpr 2 mg + 0,625 mg STRODER RR 25,10 24,80 X XC09BA04 Perindopril erbumina/inda 034234144 PRELECTAL "FORTE" 30 cpr 4mg + 1,25 mg STRODER RR 25,10 24,80 X XC09BA04 Perindopril erbumina/inda 034236048 PRETERAX 30 cpr 2 mg + 0,625 mg LABORATOIRES SERVIER (FR) RR 25,10 24,80 X XC09BA04 Perindopril erbumina/inda 034236137 PRETERAX "FORTE" 30 cpr 4 mg + 1,25 m LABORATOIRES SERVIER (FR) RR 25,10 24,80 X XC09BA05 Ramipril/idroclorotiazide 028533014 IDROQUARK 14 cpr 2,5 mg + 12,5 mg POLIFARMA RR 5,74 5,68 X XC09BA05 Ramipril/idroclorotiazide 028533026 IDROQUARK 14 cpr 5 mg + 25 mg POLIFARMA RR 10,51 10,39 X XC09BA05 Ramipril/idroclorotiazide 028531010 TRIATEC HCT 14 cpr 2,5 mg + 12,5 mg SANOFI-AVENTIS RR 5,74 5,68 X XC09BA05 Ramipril/idroclorotiazide 028531022 TRIATEC HCT 14 cpr 5 mg + 25 mg SANOFI-AVENTIS RR 10,51 10,39 X XC09BA05 Ramipril/idroclorotiazide 028532012 UNIPRILDIUR 14 cpr 2,5 mg + 12,5 mg ASTRAZENECA RR 5,74 5,68 X XC09BA05 Ramipril/idroclorotiazide 028532024 UNIPRILDIUR 14 cpr 5 mg + 25 mg ASTRAZENECA RR 10,51 10,39 X XC09BA05 Ramipril/piretanide 029243019 PRILACE 14 cpr 5 mg + 6 mg SANOFI-AVENTIS RR 10,23 10,11 XC09BA06 Quinapril/idroclorotiazide 028295018 ACCURETIC 14 cpr riv 20 mg + 12,5 mg PFIZER ITALIA RR 9,14 9,04 XC09BA06 Quinapril/idroclorotiazide 028317016 ACEQUIDE 14 cpr riv 20 mg + 12,5 mg RECORDATI RR 9,14 9,04 X

33

Page 34: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

C09BA06 Quinapril/idroclorotiazide 028331015 QUINAZIDE 14 cpr riv 20 mg + 12,5 mg MALESCI RR 9,14 9,04 XC09BA07 Benazepril/idroclorotiazide 028037024 CIBADREX 14 cpr riv 10 mg + 12,5 mg NOVARTIS FARMA RR 8,66 8,56 XC09BA07 Benazepril/idroclorotiazide 028211023 TENSADIUR 14 cpr div 10 mg + 12,5 mg I.B.N. SAVIO RR 8,66 8,56 XC09BA07 Benazepril/idroclorotiazide 028193011 ZINADIUR 14 cpr riv 10 mg + 12,5 mg ERREKAPPA RR 8,66 8,56 XC09BA08 Cilazapril/Idroclorotiazide 029103013 INIBACE PLUS 14 cpr riv 5 mg + 12,5 mg ROCHE RR 8,63 8,53 XC09BA08 Cilazapril/Idroclorotiazide 029116011 INITISS PLUS 14 cpr 5 mg + 12,5 mg CRINOS RR 8,63 8,53 XC09BA09 Fosinopril/idroclorotiazide 029002019 ELIDIUR 14 cpr 20 mg + 12,5 mg BRISTOL RR 10,26 10,14 XC09BA09 Fosinopril/idroclorotiazide 029020017 FOSICOMBI 14 cpr 20 mg + 12,5 mg MENARINI RR 10,26 10,14 XC09BA09 Fosinopril/idroclorotiazide 029004013 TENSOZIDE 14 cpr 20 mg + 12,5 mg BRISTOL RR 10,26 10,14 XC09BA12 Delapril/indapamide 028969020 DELAPRIDE 28 cpr 30 mg + 2,5 mg PROMEDICA RR 14,78 14,60 XC09BA12 Delapril/indapamide 028967026 DINAPRES 28 cpr 30 mg + 2,5 mg MASTER PHARMA RR 14,78 14,60 XC09BA13 Moexipril/idroclorotiazide 033908029 ENULID 14 cpr riv 15 mg ROTTAPHARM RR 9,45 9,33 XC09BA13 Moexipril/idroclorotiazide 033907027 FEMIPRES PLUS 14 cpr riv 15 mg SCHWARZ RR 9,45 9,33 XC09BA15 Zofenopril /idroclorotiazide 036823021 BIFRIZIDE 28 cpr riv 30 mg + 12,5 mg MENARINI INTERNATIONAL O.L.S.A. RR 17,78 17,56 X XC09BA15 Zofenopril /idroclorotiazide 036824023 ZANTIPRIDE 28 cpr riv 30 mg + 12,5 mg F.I.R.M.A. RR 17,78 17,56 X XC09BA15 Zofenopril /idroclorotiazide 036702025 ZOPRAZIDE 28 cpr riv 30 mg + 12,5 mg GUIDOTTI RR 17,78 17,56 X XC09CA01 Losartan potassico 029384029 LORTAAN 21 cpr riv 12,5 mg MERCK SHARP & DOHME RR 11,00 10,86 X XC09CA01 Losartan potassico 029384017 LORTAAN 28 cpr riv div 50 mg MERCK SHARP & DOHME RR 27,01 26,69 X XC09CA01 Losartan potassico 029393016 LOSAPREX 28 cpr riv 50 mg SIGMATAU RR 27,01 26,69 X XC09CA01 Losartan potassico 029393028 LOSAPREX Cardiostart21 cpr riv 12,5 mg SIGMATAU RR 11,00 10,86 X XC09CA01 Losartan potassico 029385022 NEO-LOTAN 21 cpr riv 12,5 mg NEOPHARMED RR 11,00 10,86 X XC09CA01 Losartan potassico 029385010 NEO-LOTAN 28 cpr riv 50 mg NEOPHARMED RR 27,01 26,69 X XC09CA02 Eprosartan mesilato 033331149 TEVETENZ 28 cpr riv 600 mg SOLVAY RR 19,47 19,23 X XC09CA03 Valsartan 034776017 RIXIL 28 cps 80 mg LPB RR 22,00 21,74 X XC09CA03 Valsartan 034776029 RIXIL 28 cps 160 mg LPB RR 27,63 27,29 X XC09CA03 Valsartan 033178017 TAREG 28 cps 80 mg NOVARTIS FARMA RR 22,00 21,74 X XC09CA03 Valsartan 033178029 TAREG 28 cps 160 mg NOVARTIS FARMA RR 27,63 27,29 X XC09CA03 Valsartan 033119013 VALPRESSION 28 cps 80 mg MENARINI RR 22,00 21,74 X XC09CA03 Valsartan 033119025 VALPRESSION 28 cps 160 mg MENARINI RR 27,63 27,29 X XC09CA04 Irbesartan 033264045 APROVEL 28 cpr 150 mg SANOFI PHARMA BMS RR 21,81 21,55 X XC09CA04 Irbesartan 033264072 APROVEL 28 cpr 300 mg SANOFI PHARMA BMS RR 29,47 29,11 X XC09CA04 Irbesartan 033263043 KARVEA 28 cpr 150 mg BRISTOL-MYERS SQUIBB PHARMA EEIG RR 21,81 21,55 X XC09CA04 Irbesartan 033263070 KARVEA 28 cpr 300 mg BRISTOL-MYERS SQUIBB PHARMA EEIG RR 29,47 29,11 X XC09CA06 Candesartan cilexetil 033451168 BLOPRESS 28 cpr 8 mg TAKEDA RR 20,23 19,99 X XC09CA06 Candesartan cilexetil 033451269 BLOPRESS 28 cpr 16 mg TAKEDA RR 26,18 25,86 X XC09CA06 Candesartan cilexetil 033451360 BLOPRESS 28 cpr 32 mg TAKEDA RR 33,21 32,81 X XC09CA06 Candesartan cilexetil 033577180 RATACAND 28 cpr 8 mg ASTRAZENECA RR 20,23 19,99 X XC09CA06 Candesartan cilexetil 033577305 RATACAND 28 cpr 16 mg ASTRAZENECA RR 26,18 25,86 X XC09CA06 Candesartan cilexetil 033577469 RATACAND 28 cpr 32 mg ASTRAZENECA RR 33,21 32,81 X XC09CA07 Telmisartan 034328106 MICARDIS 28 cpr 20 mg BOEHRINGER INGELHEIM INTERNATIO RR 13,57 13,41 X XC09CA07 Telmisartan 034328029 MICARDIS 28 cpr 40 mg BOEHRINGER INGELHEIM INTERNATIO RR 21,71 21,45 X XC09CA07 Telmisartan 034328068 MICARDIS 28 cpr 80 mg BOEHRINGER INGELHEIM INTERNATIO RR 28,72 28,38 X XC09CA07 Telmisartan 034326126 PRITOR 28 cpr 20 mg BAYER HEALTHCARE AG RR 13,57 13,41 X XC09CA07 Telmisartan 034326025 PRITOR 28 cpr 40 mg BAYER HEALTHCARE AG RR 21,71 21,45 X XC09CA07 Telmisartan 034326076 PRITOR 28 cpr 80 mg BAYER HEALTHCARE AG RR 28,72 28,38 X XC09CA08 Olmesartan medoxomil 036027011 OLMETEC 28 cpr riv 10 mg DAIICHI SANKYO RR 18,97 18,75 X XC09CA08 Olmesartan medoxomil 036027062 OLMETEC 28 cpr riv 20 mg DAIICHI SANKYO RR 26,56 26,24 X XC09CA08 Olmesartan medoxomil 036027112 OLMETEC 28 cpr riv 40 mg DAIICHI SANKYO RR 26,56 26,24 X XC09CA08 Olmesartan medoxomil 036026019 OLPRESS 28 cpr riv 10 mg MENARINI INTERNATIONAL O.L.S.A. RR 18,97 18,75 X XC09CA08 Olmesartan medoxomil 036026060 OLPRESS 28 cpr riv 20 mg MENARINI INTERNATIONAL O.L.S.A. RR 26,56 26,24 X XC09CA08 Olmesartan medoxomil 036026110 OLPRESS 28 cpr riv 40 mg MENARINI INTERNATIONAL O.L.S.A. RR 26,56 26,24 X XC09CA08 Olmesartan medoxomil 036025017 PLAUNAC 28 cpr riv 10 mg MENARINI INTERNATIONAL O.L.S.A. RR 18,97 18,75 X XC09CA08 Olmesartan medoxomil 036025068 PLAUNAC 28 cpr riv 20 mg MENARINI INTERNATIONAL O.L.S.A. RR 26,56 26,24 X X

34

Page 35: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

C09CA08 Olmesartan medoxomil 036025118 PLAUNAC 28 cpr riv 40 mg MENARINI INTERNATIONAL O.L.S.A. RR 26,56 26,24 X XC09DA01 Losartan potassico/idroclo 034310021 FORZAAR 28 cpr riv 100 mg + 25 mg MERCK SHARP & DOHME RR 26,51 26,19 X XC09DA01 Losartan potassico/idroclo 032079055 HIZAAR 28 cpr riv 50 mg + 12,5 mg MERCK SHARP & DOHME RR 26,51 26,19 X XC09DA01 Losartan potassico/idroclo 031497047 LOSAZID 28 cpr riv 100mg + 25 mg SIGMATAU RR 26,51 26,19 X XC09DA01 Losartan potassico/idroclo 031497050 LOSAZID 28 cpr riv 50 mg + 12,5 mg SIGMATAU RR 26,51 26,19 X XC09DA01 Losartan potassico/idroclo 032993040 NEO-LOTAN PLUS 28 cpr riv 100 mg + 25 mg NEOPHARMED RR 26,51 26,19 X XC09DA01 Losartan potassico/idroclo 032993053 NEO-LOTAN PLUS 28 cpr riv 50 mg + 12,5 mg NEOPHARMED RR 26,51 26,19 X XC09DA02 Eprosartan/Idroclorotiazide036772010 TIARTAN 28 cpr riv 600 mg + 12,5 mg SOLVAY RR 23,94 23,66 X XC09DA03 Valsartan/idroclorotiazide 034134027 COMBISARTAN 28 cpr 80 mg + 12,5 mg MENARINI RR 20,71 20,47 X XC09DA03 Valsartan/idroclorotiazide 034134041 COMBISARTAN 28 cpr riv 160 mg + 12,5 mg MENARINI RR 24,67 24,37 X XC09DA03 Valsartan/Idroclorotiazide 034134116 COMBISARTAN 28 cpr riv 160 mg + 25 mg MENARINI RR 24,67 24,37 X XC09DA03 Valsartan/idroclorotiazide 034774048 CORIXIL 28 cpr 160 mg + 12,5 mg LPB RR 24,67 24,37 X XC09DA03 Valsartan/Idroclorotiazide 034774113 CORIXIL 28 cpr riv 160 mg/25 mg LPB RR 24,67 24,37 X XC09DA03 Valsartan/idroclorotiazide 034114025 COTAREG 28 cpr riv 80 mg + 12,5 mg NOVARTIS FARMA RR 20,71 20,47 X XC09DA03 Valsartan/idroclorotiazide 034114076 COTAREG 28 cpr riv 160 mg + 12,5 mg NOVARTIS FARMA RR 24,67 24,37 X XC09DA03 Valsartan/Idroclorotiazide 034114140 COTAREG 28 cpr riv 160 mg/25 mg NOVARTIS FARMA RR 24,67 24,37 X XC09DA04 Irbesartan/Idroclorotiazide 034191015 COAPROVEL 28 cpr 150 mg + 12,5 mg SANOFI PHARMA BMS RR 22,75 22,47 X XC09DA04 Irbesartan/Idroclorotiazide 034191041 COAPROVEL 28 cpr 300 mg + 12,5 mg SANOFI PHARMA BMS RR 30,72 30,36 X XC09DA04 Irbesartan/Idroclorotiazide 034190013 KARVEZIDE 28 cpr 150 mg + 12,5 mg BRISTOL-MYERS SQUIBB PHARMA EEIG RR 22,75 22,47 X XC09DA04 Irbesartan/Idroclorotiazide 034190049 KARVEZIDE 28 cpr 300 mg + 12,5 mg BRISTOL-MYERS SQUIBB PHARMA EEIG RR 30,72 30,36 X XC09DA06 Candesartan cilexetil/idroc 034187144 BLOPRESID 28 cpr 16 mg + 12,5 mg TAKEDA RR 25,21 24,91 X XC09DA06 Candesartan cilexetil/idroc 034186167 RATACAND PLUS 28 cpr 16 mg + 12,5 mg ASTRAZENECA RR 25,21 24,91 X XC09DA07 Telmisartan/idroclorotiazid 035608025 MICARDISPLUS 28 cpr 40 mg + 12,5 mg BOEHRINGER INGELHEIM INTERNATIO RR 22,27 22,01 X XC09DA07 Telmisartan/idroclorotiazid 035608076 MICARDISPLUS 28 cpr 80 mg + 12,5 mg BOEHRINGER INGELHEIM INTERNATIO RR 22,27 22,01 X XC09DA07 Telmisartan/idroclorotiazid 035705021 PRITORPLUS 28 cpr 40 mg + 12,5 mg BAYER HEALTHCARE AG RR 22,27 22,01 X XC09DA07 Telmisartan/idroclorotiazid 035705072 PRITORPLUS 28 cpr 80 mg + 12,5 mg BAYER HEALTHCARE AG RR 22,27 22,01 X XC10AA01 Simvastatina 027228028 LIPONORM 10 cpr riv 20 mg 13 GENTILI RR 12,79 12,63 XC10AA01 Simvastatina 027228030 LIPONORM 10 cpr riv 40 mg 13 GENTILI RR 18,29 18,07 XC10AA01 Simvastatina 027228079 LIPONORM 28 cpr riv 20 mg 13 GENTILI RR 32,95 32,55 XC10AA01 Simvastatina 027228081 LIPONORM 28 cpr riv 40 mg 13 GENTILI RR 46,59 46,03 XC10AA01 Simvastatina 028370029 MEDIPO 10 cpr riv 20 mg 13 MEDIOLANUM RR 12,79 12,63 XC10AA01 Simvastatina 028370043 MEDIPO 10 cpr riv 40 mg 13 MEDIOLANUM RR 18,29 18,07 XC10AA01 Simvastatina 028370106 MEDIPO 28 cpr riv 20 mg 13 MEDIOLANUM RR 32,95 32,55 XC10AA01 Simvastatina 028370118 MEDIPO 28 cpr riv 40 mg 13 MEDIOLANUM RR 46,59 46,03 XC10AA01 Simvastatina 027209028 SINVACOR 10 cpr riv 20 mg 13 MERCK SHARP & DOHME RR 12,79 12,63 XC10AA01 Simvastatina 027209105 SINVACOR 28 cpr riv 20 mg 13 MERCK SHARP & DOHME RR 32,95 32,55 XC10AA01 Simvastatina 027209117 SINVACOR 28 cpr riv 40 mg 13 MERCK SHARP & DOHME RR 46,59 46,03 XC10AA01 Simvastatina 027209042 SINVACOR 10 cpr riv 40 mg 13 MERCK SHARP & DOHME RR 18,29 18,07 XC10AA01 Simvastatina 027208026 SIVASTIN 10 cpr riv 20 mg 13 SIGMATAU RR 12,79 12,63 XC10AA01 Simvastatina 027208040 SIVASTIN 10 cpr riv 40 mg 13 SIGMATAU RR 18,29 18,07 XC10AA01 Simvastatina 027208103 SIVASTIN 28 cpr riv 20 mg 13 SIGMATAU RR 32,95 32,55 XC10AA01 Simvastatina 027208115 SIVASTIN 28 cpr riv 40 mg 13 SIGMATAU RR 46,59 46,03 XC10AA01 Simvastatina 027216023 ZOCOR 10 cpr riv 20 mg 13 NEOPHARMED RR 12,79 12,63 XC10AA01 Simvastatina 027216098 ZOCOR 28 cpr riv 20 mg 13 NEOPHARMED RR 32,95 32,55 XC10AA01 Simvastatina 027216100 ZOCOR 28 cpr riv 40 mg 13 NEOPHARMED RR 46,59 46,03 XC10AA01 Simvastatina 027216035 ZOCOR 10 cpr riv 40 mg 13 NEOPHARMED RR 18,29 18,07 XC10AA02 Lovastatina 035615020 LOVINACOR 20 cpr 20 mg 13 INNOVA PHARMA RR 16,15 15,95 X XC10AA02 Lovastatina 035638028 REXTAT 20 cpr 20 mg 13 RECORDATI RR 16,15 15,95 X XC10AA02 Lovastatina 035623026 TAVACOR 20 cpr 20 mg 13 I.B.N. SAVIO RR 16,15 15,95 X XC10AA03 Pravastatina 027786021 APLACTIN 10 cpr 20 mg 13 F.I.R.M.A. RR 12,05 11,91 XC10AA03 Pravastatina 027786033 APLACTIN 14 cpr 40 mg 13 F.I.R.M.A. RR 32,68 32,28 XC10AA03 Pravastatina 027776018 PRASTEROL 10 cpr 20 mg 13 LUSOFARMACO RR 12,05 11,91 XC10AA03 Pravastatina 027776032 PRASTEROL 14 cpr 40 mg 13 LUSOFARMACO RR 32,68 32,28 X

35

Page 36: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

C10AA03 Pravastatina 027309018 PRAVASELECT 10 cpr 20 mg 13 MENARINI RR 12,05 11,91 XC10AA03 Pravastatina 027309032 PRAVASELECT 14 cpr 40 mg 13 MENARINI RR 32,68 32,28 XC10AA03 Pravastatina 029371022 SANAPRAV 10 cpr div 20 mg 13 DAIICHI SANKYO RR 12,05 11,91 XC10AA03 Pravastatina 029371034 SANAPRAV 14 cpr div 40 mg 13 DAIICHI SANKYO RR 32,68 32,28 XC10AA03 Pravastatina 027297011 SELECTIN 10 cpr 20 mg 13 BRISTOL RR 12,05 11,91 XC10AA03 Pravastatina 027297035 SELECTIN 14 cpr 40 mg 13 BRISTOL RR 32,68 32,28 XC10AA04 Fluvastatina 029163021 LESCOL 14 cps 40 mg 13 NOVARTIS FARMA RR 12,17 12,03 X XC10AA04 Fluvastatina 029163033 LESCOL 28 cpr 80 mg rilascio prolungato 13 NOVARTIS FARMA RR 29,96 29,60 X XC10AA04 Fluvastatina 029199027 LIPAXAN 14 cps 40 mg 13 ITALFARMACO RR 12,17 12,03 X XC10AA04 Fluvastatina 029199041 LIPAXAN 28 cpr 80 mg rilascio prolungato 13 ITALFARMACO RR 29,96 29,60 X XC10AA04 Fluvastatina 029416043 PRIMESIN 14 cps 40 mg 13 SCHWARZ RR 12,17 12,03 X XC10AA04 Fluvastatina 029416068 PRIMESIN 28 cpr 80 mg rilascio prolungato 13 SCHWARZ RR 29,96 29,60 X XC10AA05 Atorvastatina 033008018 LIPITOR 10 cpr 10 mg 13 BIOINDUSTRIA FARMACEUTICI RR 10,21 10,09 XC10AA05 Atorvastatina 033008032 LIPITOR 10 cpr 20 mg 13 BIOINDUSTRIA FARMACEUTICI RR 15,74 15,56 XC10AA05 Atorvastatina 033007016 TORVAST "10" 10 cpr 10 mg 13 PFIZER ITALIA RR 10,21 10,09 XC10AA05 Atorvastatina 033007030 TORVAST "20" 10 cpr 20 mg 13 PFIZER ITALIA RR 15,74 15,56 XC10AA05 Atorvastatina 033007028 TORVAST "10" 30 cpr 10 mg 13 PFIZER ITALIA RR 29,72 29,36 XC10AA05 Atorvastatina 033007042 TORVAST "20" 30 cpr 20 mg 13 PFIZER ITALIA RR 46,73 46,17 XC10AA05 Atorvastatina 033007067 TORVAST "40" 30 cpr 40 mg 13 PFIZER ITALIA RR 46,73 46,17 XC10AA05 Atorvastatina 033006014 TOTALIP 10 cpr riv 10 mg 13 GUIDOTTI RR 10,21 10,09 XC10AA05 Atorvastatina 033006038 TOTALIP 10 cpr riv 20 mg 13 GUIDOTTI RR 15,74 15,56 XC10AA05 Atorvastatina 033006026 TOTALIP 30 cpr 10 mg 13 GUIDOTTI RR 29,72 29,36 XC10AA05 Atorvastatina 033006040 TOTALIP 30 cpr 20 mg 13 GUIDOTTI RR 46,73 46,17 XC10AA05 Atorvastatina 033006065 TOTALIP 30 cpr 40 mg 13 GUIDOTTI RR 46,73 46,17 XC10AA05 Atorvastatina 033005012 XARATOR 10 cpr 10 mg 13 PFIZER ITALIA RR 10,21 10,09 XC10AA05 Atorvastatina 033005036 XARATOR 10 cpr 20 mg 13 PFIZER ITALIA RR 15,74 15,56 XC10AA07 Rosuvastatina 035885502 CRESTOR 28 cpr riv 5 mg 13 ASTRAZENECA RR 24,99 24,69 X XC10AA07 Rosuvastatina 035885058 CRESTOR 28 cpr riv 10 mg 13 ASTRAZENECA RR 28,73 28,39 X XC10AA07 Rosuvastatina 035885209 CRESTOR 28 cpr riv 20 mg 13 ASTRAZENECA RR 43,09 42,57 X XC10AA07 Rosuvastatina 035885351 CRESTOR 28 cpr riv 40 mg 13 ASTRAZENECA RR 43,09 42,57 X XC10AA07 Rosuvastatina 035883507 PROVISACOR 28 cpr riv 5 mg 13 ASTRAZENECA RR 24,99 24,69 X XC10AA07 Rosuvastatina 035883053 PROVISACOR 28 cpr riv 10 mg 13 ASTRAZENECA RR 28,73 28,39 X XC10AA07 Rosuvastatina 035883180 PROVISACOR 28 cpr riv 20 mg 13 ASTRAZENECA RR 43,09 42,57 X XC10AA07 Rosuvastatina 035883356 PROVISACOR 28 cpr riv 40 mg 13 ASTRAZENECA RR 43,09 42,57 X XC10AA07 Rosuvastatina 035884509 SIMESTAT 28 cpr riv 5 mg 13 SIMESA RR 24,99 24,69 X XC10AA07 Rosuvastatina 035884055 SIMESTAT 28 cpr riv 10 mg 13 SIMESA RR 28,73 28,39 X XC10AA07 Rosuvastatina 035884206 SIMESTAT 28 cpr riv 20 mg 13 SIMESA RR 43,09 42,57 X XC10AA07 Rosuvastatina 035884358 SIMESTAT 28 cpr riv 40 mg 13 SIMESA RR 43,09 42,57 X XC10AB02 Bezafibrato 024732024 BEZALIP 30 cpr riv 400 mg rilascio prolun 13 ROCHE RR 8,77 8,67 X XC10AB02 Bezafibrato 026015026 HADIEL "RETARD" '30 conf 400 mg 13 VECCHI & PIAM RR 8,33 8,23 XC10AB04 Gemfibrozil 026903017 FIBROCIT 30 cpr 600 mg 13 C.T. LABORATORIO FARMACEUTICO RR 7,80 7,75 GC10AB04 Gemfibrozil 026903029 FIBROCIT "TC" 20 cpr 900 mg 13 C.T. LABORATORIO FARMACEUTICO RR 6,14 6,10 GC10AB04 Gemfibrozil 034080022 GEMFIBROZIL 20 cpr 900 mg 13 DOC GENERICI RR 6,14 6,10 GC10AB04 Gemfibrozil 029512011 GEMFIBROZIL 20 cpr 900 mg 13 EG RR 6,14 6,10 GC10AB04 Gemfibrozil 033282029 GEMFIBROZIL 20 cpr 900 mg 13 MERCK GENERICS RR 6,14 6,10 GC10AB04 Gemfibrozil 032098016 GEMFIBROZIL 20 cpr 900 mg 13 RATIOPHARM GMBH RR 6,14 6,10 GC10AB04 Gemfibrozil 033786029 GEMFIBROZIL 20 cpr 900 mg 13 SANDOZ RR 6,14 6,10 GC10AB04 Gemfibrozil 033997026 GEMFIBROZIL 20 cpr riv 900 mg 13 TEVA RR 6,14 6,10 GC10AB04 Gemfibrozil 034080010 GEMFIBROZIL 30 cpr 600 mg 13 DOC GENERICI RR 7,80 7,75 GC10AB04 Gemfibrozil 029512023 GEMFIBROZIL 30 cpr 600 mg 13 EG RR 7,80 7,75 GC10AB04 Gemfibrozil 033282017 GEMFIBROZIL 30 cpr 600 mg 13 MERCK GENERICS RR 7,80 7,75 GC10AB04 Gemfibrozil 026334019 GEMLIPID 30 cpr riv 600 mg 13 F.I.R.M.A. RR 9,32 9,26 GC10AB04 Gemfibrozil 026334033 GEMLIPID 20 cpr riv 900 mg 13 F.I.R.M.A. RR 8,02 7,97 G

36

Page 37: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

C10AB04 Gemfibrozil 026737015 GENLIP 30 cpr 600 mg 13 TEOFARMA RR 9,32 9,26 GC10AB04 Gemfibrozil 026737039 GENLIP "TC" 20 cpr 900 mg 13 TEOFARMA RR 8,02 7,97 GC10AB04 Gemfibrozil 031247024 GENOZIL 20 cpr 900 mg 13 BONISCONTRO & GAZZONE RR 6,14 6,10 GC10AB04 Gemfibrozil 031247012 GENOZIL 30 cpr 600 mg 13 BONISCONTRO & GAZZONE RR 7,80 7,75 GC10AB04 Gemfibrozil 033397023 LIPOGEN 20 cpr 900 mg 13 BIORES RR 6,14 6,10 GC10AB04 Gemfibrozil 025443096 LIPOZID 20 cpr riv 900 mg 13 PFIZER ITALIA RR 7,59 7,54 GC10AB04 Gemfibrozil 025443060 LIPOZID 30 cpr riv 600 mg 13 PFIZER ITALIA RR 9,32 9,26 GC10AB04 Gemfibrozil 025445053 LOPID 20 cpr riv 900 mg 13 PFIZER ITALIA RR 8,02 7,97 GC10AB04 Gemfibrozil 025445026 LOPID 30 cpr 600 mg 13 PFIZER ITALIA RR 9,32 9,26 GC10AB05 Fenofibrato 028590014 FULCRO 20 cps 200 mg 13 FOURNIER PHARMA RR 7,27 7,19 X XC10AB05 Fenofibrato 024157036 LIPOFENE 50 cps 100 mg 13 TEOFARMA RR 4,84 4,81C10AB05 Fenofibrato 029257019 LIPSIN 20 cps 200 mg 13 CABER RR 7,05 6,97 X XC10AB05 Fenofibrato 024948010 NOLIPAX 50 cps 100 mg 13 SALUS RESEARCHES RR 4,84 4,81C10AB05 Fenofibrato 025572013 TILENE 30 cps 100 mg 13 FRANCIA RR 4,78 4,75C10AC01 Colestiramina 023014018 QUESTRAN 12 bust polv os 4 g BRISTOL RR 4,54 4,51C10AX06 Omega polienoici (esteri e 027617024 ESAPENT 20 cps 1 g 13 PFIZER ITALIA RR 18,51 18,29 XC10AX06 Omega polienoici (esteri e 027618040 ESKIM 20 cps 1 g 13 SIGMATAU RR 18,51 18,29 XC10AX06 Omega polienoici (esteri e 027616022 SEACOR 20 cps 1 g 13 SPA RR 18,51 18,29 XC10BA02 Simvastatina/Ezetimibe 036679064 INEGY 30 cpr 10 mg + 10 mg 13 MSD SP LTD RR 63,84 63,08 X XC10BA02 Simvastatina/Ezetimibe 036679215 INEGY 30 cpr 10 mg + 20 mg 13 MSD SP LTD RR 75,24 74,34 X XC10BA02 Simvastatina/Ezetimibe 036679367 INEGY 30 cpr 10 mg + 40 mg 13 MSD SP LTD RR 86,64 85,60 X XC10BA02 Simvastatina/Ezetimibe 036690067 VYTORIN 30 cpr 10 mg + 10 mg 13 MSD SP LTD RR 63,84 63,08 X XC10BA02 Simvastatina/Ezetimibe 036690218 VYTORIN 30 cpr 10 mg + 20 mg 13 MSD SP LTD RR 75,24 74,34 X XC10BA02 Simvastatina/Ezetimibe 036690360 VYTORIN 30 cpr 10 mg + 40 mg 13 MSD SP LTD RR 86,64 85,60 X XD01BA01 Griseofulvina 016762015 FULCIN 20 cpr 125 mg SIT RR 1,96 1,95 GD01BA01 Griseofulvina 016762041 FULCIN 10 cpr 500 mg SIT RR 3,15 3,13D01BA01 Griseofulvina 015642010 GRISOVINA FP 20 cpr 125 mg TEOFARMA RR 1,40 1,39 GD01BA02 Terbinafina 028629018 DASKIL 8 cpr 250 mg LPB RR 20,89 20,76 GD01BA02 Terbinafina 028176028 LAMISIL 8 cpr 250 mg NOVARTIS FARMA RR 14,59 14,50 GD01BA02 Terbinafina 037102136 ONYMAX 8 cpr 250 mg GALDERMA RR 13,59 13,51 GD01BA02 Terbinafina 036799068 TERBINAFINA 8 cpr 250 mg EG RR 13,59 13,51 GD01BA02 Terbinafina 036761195 TERBINAFINA 8 cpr 250 mg HEXAL RR 13,59 13,51 GD01BA02 Terbinafina 036747032 TERBINAFINA 8 cpr 250 mg MERCK GENERICS RR 13,59 13,51 GD01BA02 Terbinafina 028630010 TERBINAFINA 8 cpr 250 mg SANDOZ RR 13,59 13,51 GD01BA02 Terbinafina 036773087 TERBINAFINA 8 cpr 250 mg TEVA RR 13,59 13,51 GD05AX02 Calcipotriolo 028253019 DAIVONEX pom derm 30 g 0,005% PRODOTTI FORMENTI RR 12,51 12,35 X XD05AX02 Calcipotriolo 028253021 DAIVONEX crema derm 30 g 0,005% PRODOTTI FORMENTI RR 12,51 12,35 X XD05AX02 Calcipotriolo 028253045 DAIVONEX loz derm 30 ml 0,005% PRODOTTI FORMENTI RR 12,51 12,35 X XD05AX02 Calcipotriolo 028254011 PSORCUTAN crema idrofoba 30 g 0,005% INTENDIS RR 12,51 12,35 X XD05AX02 Calcipotriolo 028254023 PSORCUTAN crema derm 30 g 0,005% INTENDIS RR 12,51 12,35 X XD05AX02 Calcipotriolo 028254047 PSORCUTAN soluz derm 30 ml 50 mcg/ml INTENDIS RR 12,51 12,35 X XD05AX03 Calcitriolo 035765027 SILKIS ung derm 30 g GALDERMA RR 10,70 10,58 XD05AX04 Tacalcitolo 034834010 TICLAPSOR ung derm 20 g 4 mcg/g ABIOGEN PHARMA RR 12,53 12,37 X XD05AX04 Tacalcitolo 031494026 VELLUTAN emuls cut 20 ml 4 mcg/g ABIOGEN PHARMA RR 12,53 12,37 X XD05AX04 Tacalcitolo 031494014 VELLUTAN ung derm 20 g ABIOGEN PHARMA RR 13,10 12,94 X XD05AX05 Tazarotene 033248081 ZORAC gel derm 15 g 0,05% PIERRE FABRE ITALIA RR 9,11 9,01 XD05AX05 Tazarotene 033248028 ZORAC gel derm 15 g 0,1% PIERRE FABRE ITALIA RR 11,45 11,31 XD05BB02 Acitretina 027480019 NEOTIGASON 30 cps 10 mg ROCHE RNR 23,28 23,00 XD05BB02 Acitretina 027480021 NEOTIGASON 20 cps 25 mg ROCHE RNR 32,73 32,33 XD06BB10 Imiquimod 034405011 ALDARA 12 bust 250 mg crema 5% PT LABORATOIRES 3M SANTE' RRL 76,56 75,64 XD07AB01 Clobetasone 024603019 EUMOVATE pom derm 30 g 0,05% 88 GLAXOSMITHKLINE RR 3,93 3,91D07AB02 Idrocortisone 023325018 LOCOIDON ung derm 30 g 0,1 g/100 g 88 ASTELLAS RR 3,25 3,23D07AB02 Idrocortisone 023325020 LOCOIDON crema idrof 30 g 0,1% 88 ASTELLAS RR 3,25 3,23

37

Page 38: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

D07AB02 Idrocortisone 023325044 LOCOIDON soluz cutanea 30 ml 0,1% 88 ASTELLAS RR 3,31 3,29D07AB02 Idrocortisone 023325057 LOCOIDON crema derm 30 g 0,1% 88 ASTELLAS RR 3,41 3,39D07AB04 Fluocortin 024490043 VASPIT crema derm 30 g 0,75% 88 INTENDIS RR 5,12 5,06 XD07AB09 Triamcinolone 013973060 LEDERCORT "A/10" pom derm 20 g 0,1% 88 WYETH LEDERLE RR 1,91 1,90D07AB09 Triamcinolone 013973058 LEDERCORT "A/10" crema derm 20 g 0,1% 88 WYETH LEDERLE RR 1,91 1,90D07AB10 Alclometasone 025854011 LEGEDERM crema derm 20 g 0,1% 88 SCHERING PLOUGH RR 4,65 4,62D07AB10 Alclometasone 025854074 LEGEDERM ung derm 20 g 0,1% 88 SCHERING PLOUGH RR 4,65 4,62D07AB10 Alclometasone 025854136 LEGEDERM loz derm 20 g 0,1% 88 SCHERING PLOUGH RR 4,65 4,62D07AB19 Desametasone 019499060 SOLDESAM ung derm 30 g 0,2% 88 FARMACOLOGICO MILANESE RR 4,39 4,36D07AB19 Desametasone valerato 022500019 DERMADEX crema derm 30 g 0,1% 88 TEOFARMA RR 2,22 2,21D07AC01 Betametasone 034226011 BETTAMOUSSE schiuma derm 100 g 88 MIPHARM RR 13,01 12,85 X XD07AC01 Betametasone 020423087 ECOVAL emuls cutanea 30 g 0,1% 88 GLAXOSMITHKLINE RR 4,44 4,41D07AC01 Betametasone 020423048 ECOVAL ung derm 30 g 0,1% 88 GLAXOSMITHKLINE RR 4,49 4,46D07AC01 Betametasone 020423137 ECOVAL crema derm 30 g 0,1% 88 GLAXOSMITHKLINE RR 4,49 4,46D07AC03 Desossimetasone 022864021 FLUBASON 15 bust emuls derm 2 g 88 SANOFI-AVENTIS RR 4,13 4,11D07AC04 Fluocinolone acetonide 021822010 FLUOVITEF pom derm 30 g 0,025% 88 TEOFARMA RR 2,33 2,32 GD07AC04 Fluocinolone acetonide 022605036 ULTRADERM pom derm 60 g 0,025% 88 ECOBI RR 4,90 4,87D07AC05 Fluocortolone pivalato/fluo 020910067 ULTRALAN crema derm 30 g 0,25% + 0,25 88 INTENDIS RR 4,99 4,96D07AC05 Fluocortolone/fluocortolon 020910028 ULTRALAN crema derm 30 g 0,25% + 0,25 88 INTENDIS RR 4,99 4,96D07AC06 Diflucortolone 028318020 CORTICAL pom derm 20 g 0,3% 88 CABER RR 4,89 4,86D07AC06 Diflucortolone 028318018 CORTICAL crema derm 30 g 0,2% 88 CABER RR 5,00 4,97D07AC06 Diflucortolone 028270066 DERVIN crema derm 30 g 0,3% 88 BONISCONTRO & GAZZONE RR 6,98 6,90 XD07AC06 Diflucortolone 023722123 NERISONA soluz derm 30 ml 0,1% 88 INTENDIS RR 3,87 3,85D07AC06 Diflucortolone 023722147 NERISONA ung derm 20 g 0,3% 88 INTENDIS RR 4,89 4,86D07AC06 Diflucortolone 023722135 NERISONA crema idrofoba 20 g 0,3% 88 INTENDIS RR 4,89 4,86D07AC06 Diflucortolone 023682115 TEMETEX crema idrofoba 20 g 0,3% 88 TEOFARMA RR 4,89 4,86D07AC08 Fluocinonide 022556068 TOPSYN loz derm 30 ml 0,05% 88 TEOFARMA RR 4,34 4,31D07AC09 Budesonide 026297034 BIDIEN loz derm 30 g 0,025% 88 IDI RR 4,18 4,15D07AC09 Budesonide 026297010 BIDIEN crema derm 30 g 0,025% 88 IDI RR 4,39 4,36D07AC09 Budesonide 026297022 BIDIEN ung derm 30 g 0,025 % 88 IDI RR 4,39 4,36D07AC09 Budesonide 027779026 PREFERID crema derm 30 g 0,025% 88 ASTELLAS RR 4,60 4,57D07AC14 Metilprednisolone acepona028159010 ADVANTAN crema derm 20 g 0,1% 88 INTENDIS RR 4,93 4,90D07AC14 Metilprednisolone acepona028159022 ADVANTAN crema derm 20 g 0,1% 88 INTENDIS RR 4,93 4,90D07AC14 Metilprednisolone acepona028159034 ADVANTAN ung derm 20 g 0,1% 88 INTENDIS RR 4,93 4,90D07AC14 Metilprednisolone acepona028159046 ADVANTAN soluz derm 20 ml 0,1% 88 INTENDIS RR 4,93 4,90D07AC14 Metilprednisolone acepona028159059 ADVANTAN emuls derm 20 g 0,1% 88 INTENDIS RR 4,93 4,90D07AC14 Metilprednisolone acepona028649061 AVANCORT ung derm 20 g 0,1% 88 INTENDIS RR 4,93 4,90D07AC14 Metilprednisolone acepona028649046 AVANCORT crema derm 20 g 0,1 % 88 INTENDIS RR 4,93 4,90D07AC14 Metilprednisolone acepona028649059 AVANCORT pom derm 20 g 0,1% 88 INTENDIS RR 4,93 4,90D07AC15 Beclometasone 020883120 MENADERM "SIMPLEX" crema derm 30 g 0 88 MENARINI RR 2,58 2,56D07AC15 Beclometasone 020883144 MENADERM "SIMPLEX" loz derm 30 g 0,025 88 MENARINI RR 2,58 2,56D07AC17 Fluticasone 029014014 FLIXODERM crema derm 30 g 0,05% 88 GLAXOSMITHKLINE RR 5,82 5,76 X XD07AC17 Fluticasone 029014038 FLIXODERM ung derm 30 g 0,005% 88 GLAXOSMITHKLINE RR 6,17 6,09 X XD07AC18 Prednicarbato 029157017 DERMATOP crema derm 30 g 88 SANOFI-AVENTIS RR 5,68 5,62 XD07AC18 Prednicarbato 029157029 DERMATOP pom derm 30 g 0,25 % 88 SANOFI-AVENTIS RR 5,68 5,62 XD07AC18 Prednicarbato 029157031 DERMATOP ung derm 30 g 0,25 % 88 SANOFI-AVENTIS RR 5,68 5,62 XD07AD01 Clobetasolo 023639026 CLOBESOL crema derm 30 g 0,5 mg/g 88 GLAXOSMITHKLINE RR 4,85 4,82D07AD01 Clobetasolo 023639040 CLOBESOL ung derm 30 g 0,5 mg/g 88 GLAXOSMITHKLINE RR 4,85 4,82D07AD01 Clobetasolo 036580025 OLUX schiuma cut 100 g 0,05% 88 MIPHARM RR 13,01 12,85 X XD07AD02 Alcinonide 023163025 HALCIDERM crema derm 30 g 0,1 % 88 ROTTAPHARM RR 4,44 4,41D08AE03 Fenolo/glicerolo 031327012 GLICERINA FENICA gtt orl 10 g 1% ZETA SOP 0,86 0,85 GD10BA01 Isotretinoina 035258019 AISOSKIN 30 cps 10 mg FIDIA RNR 15,73 15,64 GD10BA01 Isotretinoina 035258021 AISOSKIN 30 cps 20 mg FIDIA RNR 27,59 27,42 G

38

Page 39: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

D10BA01 Isotretinoina 036351068 ISOTRETINOINA 30 cps 10 mg EG RR 15,73 15,64 GD10BA01 Isotretinoina 036351169 ISOTRETINOINA 30 cps 20 mg EG RR 27,59 27,42 GD10BA01 Isotretinoina 036083020 ISOTRETINOINA 30 cps 10 mg DIFA COOPER RR 15,73 15,64 GD10BA01 Isotretinoina 036083071 ISOTRETINOINA 30 cps 20 mg DIFA COOPER RR 27,59 27,42 GD10BA01 Isotretinoina 026359036 ROACCUTAN 30 cps 10 mg ROCHE RNR 21,85 21,72 GD10BA01 Isotretinoina 026359048 ROACCUTAN 30 cps 20 mg ROCHE RNR 38,32 38,09 GG02AB01 Metilergometrina 004225037 METHERGIN 15 cpr riv 0,125 mg NOVARTIS FARMA RR 1,40 1,39 GG02AB01 Metilergometrina 004225013 METHERGIN gtt os 10 ml 0,025 mg/ml NOVARTIS FARMA RR 1,96 1,95 GG02AB01 Metilergometrina 004225025 METHERGIN 6 fiale IM EV 0,2 mg 1 ml NOVARTIS FARMA RR 2,94 2,92 GG02AB01 Metilergometrina 032811010 METILERGOMETRINA 10 fiale 0,2 ml MAYNE PHARMA RR 4,60 4,57G02CA01 Ritodrina 024043010 MIOLENE 20 cpr 10 mg LUSOFARMACO RR 3,20 3,18G02CA01 Ritodrina 024043034 MIOLENE 3 fiale EV 50 mg 5 ml LUSOFARMACO RNR 3,47 3,45G02CB01 Bromocriptina 029068018 BROMOCRIPTINA 30 cpr 2,5 mg DOROM RR 6,07 6,03 GG02CB01 Bromocriptina 023781014 PARLODEL 30 cpr 2,5 mg MEDA PHARMA RR 7,14 7,10 GG02CB03 Cabergolina 033359035 ACTUALENE 8 cpr 0,5 mg PFIZER ITALIA RNR 48,44 47,86 XG02CB03 Cabergolina 028988018 DOSTINEX 2 cpr 0,5 mg PFIZER ITALIA RNR 15,33 15,15 XG02CB03 Cabergolina 028988032 DOSTINEX 8 cpr 0,5 mg PFIZER ITALIA RNR 49,69 49,09 XG02CB05 Metergolina 021342023 LISERDOL 30 cpr riv 4 mg TEOFARMA RR 7,12 7,04 XG03AA07 Etinilestradiolo/levonorges 022522015 EVANOR D 21 cpr riv 0,25 mg + 0,05 mg WYETH MEDICA IRELAND RR 3,15 3,13G03AA07 Etinilestradiolo/levonorges 022521013 NOVOGYN 21 cpr riv 0,250 mg + 0,05 mg SCHERING RR 3,00 2,98G03AA09 Etinilestradiolo/desogestre 025247014 PLANUM 21 cpr riv 0,15 mg + 0,03 mg MENARINI RR 4,60 4,57G03AA09 Etinilestradiolo/desogestre 025253016 PRACTIL 21 21 cpr riv 0,15 mg + 0,03 mg ORGANON N.V. RR 4,60 4,57G03AA10 Etinilestradiolo/gestodene 026435038 GINODEN 21 cpr riv 0,075 mg + 0,03 mg SCHERING RR 4,66 4,63G03AA10 Etinilestradiolo/gestodene 026286029 MINULET 21 cpr riv 0,075 mg + 0,03 mg WYETH MEDICA IRELAND RR 4,66 4,63G03AB06 Etinilestradiolo/gestodene 027358011 MILVANE 21 cpr riv SCHERING RR 4,75 4,72G03AB06 Etinilestradiolo/gestodene 027359013 TRIMINULET 21 cpr riv WYETH MEDICA IRELAND RR 4,80 4,77G03BA03 Testosterone 024585034 ANDRIOL 60 cps 40 mg 36 PT ORGANON RR 20,12 19,88 X XG03BA03 Testosterone 009746025 TESTO ENANT 1 fiala IM 250 mg 2 ml 36 PT GEYMONAT RR 2,22 2,21G03BA03 Testosterone 003559059 TESTOVIS 2 fiale IM 100 mg 2 ml 36 PT SIT RR 2,17 2,16G03CA01 Etinilestradiolo 009830023 ETINILESTRADIOLO A25 cpr 50 mcg AMSA RNR 2,38 2,37 GG03CA03 Estradiolo 032926040 ARMONIL SEPTEM 4 cerotti transd 2,5 mg RECORDATI RR 5,50 5,44 XG03CA03 Estradiolo 032926014 ARMONIL 8 cerotti transd 25 mcg/die RECORDATI RNR 5,73 5,67 XG03CA03 Estradiolo 032926026 ARMONIL 8 cerotti transd 50 mcg/die RECORDATI RNR 8,45 8,35 XG03CA03 Estradiolo 032926065 ARMONIL SEPTEM 4 cerotti transd 5 mg RECORDATI RR 8,02 7,92 XG03CA03 Estradiolo 030183014 CLIMARA "50" 4 sist transd 50 mcg/die SCHERING RNR 8,66 8,61 GG03CA03 Estradiolo 029001017 DERMESTRIL 8 sist transd 25 mcg/die ROTTAPHARM RNR 5,73 5,67 XG03CA03 Estradiolo 029001029 DERMESTRIL 8 sist transd 50 mcg/die ROTTAPHARM RNR 8,45 8,35 XG03CA03 Estradiolo 029001043 DERMESTRIL SEPTEM 4 cerotti transd 2,5 mg ROTTAPHARM RR 5,50 5,44 XG03CA03 Estradiolo 029001068 DERMESTRIL SEPTEM 4 cerotti transd 5 mg ROTTAPHARM RR 8,02 7,92 XG03CA03 Estradiolo 034344010 EPHELIA 8 cerotti transd 25 mcg/die IPSEN RNR 6,30 6,22 X XG03CA03 Estradiolo 034344022 EPHELIA 8 cerotti transd 37,5 mcg/die IPSEN RNR 6,85 6,77 X XG03CA03 Estradiolo 034344034 EPHELIA 8 cerotti transd 50 mcg/die IPSEN RNR 8,66 8,56 X XG03CA03 Estradiolo 029000015 EPIESTROL 8 sist transd 25 mcg/die PFIZER ITALIA RNR 6,07 5,99 XG03CA03 Estradiolo 029000027 EPIESTROL 8 sist transd 50 mcg/die PFIZER ITALIA RNR 8,94 8,84 XG03CA03 Estradiolo 033059041 ESCLIMA 8 sist transd 25 mcg/die FOURNIER PHARMA RNR 6,30 6,22 X XG03CA03 Estradiolo 033059054 ESCLIMA 8 sist transd 37,5 mcg/die FOURNIER PHARMA RNR 6,85 6,77 X XG03CA03 Estradiolo 033059066 ESCLIMA 8 sist transd 50 mcg/die FOURNIER PHARMA RNR 8,66 8,56 X XG03CA03 Estradiolo 031773017 ESTRADERM MX 8 cerotti transd 25 mcg/die NOVARTIS FARMA RNR 6,07 5,99 XG03CA03 Estradiolo 031773029 ESTRADERM MX 8 cerotti transd 50 mcg/die NOVARTIS FARMA RNR 8,94 8,84 XG03CA03 Estradiolo 026779049 ESTRADERM TTS 8 cerotti transd 25 mcg/die NOVARTIS FARMA RNR 6,07 5,99 XG03CA03 Estradiolo 026779052 ESTRADERM TTS 8 cerotti transd 50 mcg/die NOVARTIS FARMA RNR 8,94 8,84 XG03CA03 Estradiolo 005304047 ESTRADIOLO AMSA 3 fiale IM 5 mg 1 ml AMSA RNR 3,40 3,38 GG03CA03 Estradiolo 027318070 ESTROCLIM "MX" 8 cerotti transd 25 mcg/die SIGMATAU RNR 6,07 5,99 X

39

Page 40: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

G03CA03 Estradiolo 027318082 ESTROCLIM "MX" 8 cerotti transd 50 mcg/die SIGMATAU RNR 8,94 8,84 XG03CA03 Estradiolo 027318043 ESTROCLIM 8 cerotti transd 25 mcg/die SIGMATAU RNR 6,07 5,99 XG03CA03 Estradiolo 027318056 ESTROCLIM 8 cerotti transd 50 mcg/die SIGMATAU RNR 8,94 8,84 XG03CA03 Estradiolo 029542026 ESTRODOSE gel transd 0,75 mg 80 g LABORATOIRES BESINS INTERNAT. RR 7,80 7,70 XG03CA03 Estradiolo 029966013 FEMSEVEN "50" 4 cerotti transd 50 mcg/die BRACCO RNR 8,66 8,61 GG03CA03 Estradiolo 033406012 GELESTRA 28 bust gel transd 1,5 mg ABIOGEN PHARMA RR 11,09 10,95 X XG03CA03 Estradiolo 034727014 GINAIKOS 28 bust gel transd 2,5 mg SOLVAY RR 11,09 10,95 X XG03CA03 Estradiolo 032097014 MENOREST 8 cerotti transd 37,5 mcg/die NOVARTIS FARMA RNR 7,24 7,16 XG03CA03 Estradiolo 032097026 MENOREST 8 cerotti transd 50 mcg/die NOVARTIS FARMA RNR 8,84 8,74 XG03CA03 Estradiolo 021226016 PROGYNOVA 20 cpr riv 2 mg SCHERING RNR 3,00 2,98G03CA03 Estradiolo 032991034 SANDRENA 28 bust gel transd 1 g ORION CORPORATION RR 7,80 7,70 XG03CA03 Estradiolo 028648044 SYSTEN 8 cerotti transd 25 mcg/die JANSSEN CILAG RNR 6,07 5,99 XG03CA03 Estradiolo 028648032 SYSTEN 8 sist transd 50 mcg/die JANSSEN CILAG RNR 8,94 8,84 XG03CA03 Estradiolo 028894018 VAGIFEM 15 cpr vag 25 mg NOVO NORDISK A/S RNR 11,36 11,22 X XG03CA03 Estradiolo 034773010 ZERELLA "50" 4 cerotti transd 50 mcg/die THERAMEX RNR 8,66 8,61 GG03CA04 Estriolo 025851027 COLPOGYN crema vag 30 g + 6 applic ANGELINI RNR 3,18 3,16G03CA04 Estriolo 025851066 COLPOGYN 20 ov vag 1 mg ANGELINI RNR 7,85 7,75 X XG03CA04 Estriolo 027781018 ORTHO GYNEST 15 ov vag 3,5 mg rilascio prolungato JANSSEN CILAG RR 18,60 18,38 XG03CA04 Estriolo 033767017 TROFOGIN crema vag 30 g + 6 applic FARMIGEA RNR 3,98 3,96G03CA09 Promestriene 026613024 COLPOTROPHINE 15 cps vag 10 mg THERAMEX RR 4,80 4,77G03CA09 Promestriene 026613048 COLPOTROPHINE crema vag 1% + applic THERAMEX RR 4,80 4,77G03CA09 Promestriene 026613051 COLPOTROPHINE 20 cps vag 10 mg THERAMEX RR 4,80 4,77G03CA57 Estrogeni coniugati natura 022120012 EMOPREMARIN 1 fiala IM EV +1 fiala solv 5 ml WYETH MEDICA IRELAND RNR 4,95 4,92G03CA57 Estrogeni coniugati natura 002792188 PREMARIN 28 cpr 0,625 mg WYETH MEDICA IRELAND RNR 4,49 4,46G03CA57 Estrogeni coniugati natura 002792063 PREMARIN crema vag 25 g + applic WYETH MEDICA IRELAND RNR 4,80 4,77G03DA02 Medrossiprogesterone 029037025 PROVERA G 12 cpr 5 mg PFIZER ITALIA RNR 1,76 1,75G03DA03 Idrossiprogesterone capro 024542019 LENTOGEST 1 fiala IM 341 mg 2 ml AMSA RNR 3,77 3,75G03DA03 Idrossiprogesterone capro 005375062 PROLUTON 1 fiala IM 250 mg 1 ml SCHERING RNR 2,63 2,61G03DA04 Progesterone 032132033 CRINONE 15 applic gel vag 8% SERONO RR 53,51 52,87 XG03DA04 Progesterone 027797012 ESOLUT crema vag 30 g + 6 applic ANGELINI RNR 6,75 6,67 XG03DA04 Progesterone 027797024 ESOLUT 12 ov vag 200 mg ANGELINI RNR 12,16 12,02 XG03DA04 Progesterone 035042011 PROGEFFIK 30 cps os vag 100 mg EFFIK RR 5,28 5,22 X XG03DA04 Progesterone 035042035 PROGEFFIK 15 cps os vag 200 mg EFFIK RR 5,28 5,22 X XG03DA04 Progesterone 024470015 PROGESTOGEL gel transd 30 g 1% + siringa LABORATOIRES BESINS INTERNAT. RR 1,08 1,07G03DA04 Progesterone 029538016 PROMETRIUM 30 cps os vag 100 mg ROTTAPHARM RR 5,40 5,34 X XG03DA04 Progesterone 029538028 PROMETRIUM 15 cps os vag 200 mg ROTTAPHARM RR 5,40 5,34 X XG03DA04 Progesterone 005239052 PRONTOGEST 3 fiale IM 100 mg 1 ml AMSA RNR 4,98 4,95G03DA04 Progesterone 005239076 PRONTOGEST 7 fiale 100 mg/ml 1 ml AMSA RNR 7,98 7,88 XG03DB01 Didrogesterone 020008025 DUFASTON 10 cpr riv 10 mg SOLVAY PHARMACEUTICALS B.V. RR 3,36 3,34G03DB01 Didrogesterone 020008052 DUFASTON 14 cpr riv 10 mg SOLVAY PHARMACEUTICALS B.V. RR 4,70 4,67G03DB03 Medrogestone 021509029 COLPRONE 20 cpr 5 mg WYETH MEDICA IRELAND RNR 3,82 3,80G03DB04 Nomegestrolo 028199014 LUTENYL 30 cpr 5 mg THERAMEX RNR 13,62 13,46 XG03DC02 Noretisterone 021053018 PRIMOLUT NOR 30 cpr 10 mg SCHERING A.G. RNR 5,68 5,62 XG03DC05 Tibolone 028035018 LIVIAL 30 cpr 2,5 mg ORGANON N.V. RNR 22,54 22,26 XG03FA01 Estradiolo emiidrato/noret 034117010 ACTIVELLE 28 cpr riv 1 mg + 0,5 mg NOVO NORDISK RNR 9,23 9,11 X XG03FA11 Estradiolo emiidrato/levon 036489019 FEMITY 4 cerotti transd 1,5 mg + 0,525 mg THERAMEX RNR 9,85 9,73 X XG03FB Estradiolo/nomegestrolo 036163018 NAEMIS 24 cpr 1,5 mg + 3,75 mg THERAMEX RNR 9,20 9,08 X XG03FB05 Estradiolo/noretisterone 034209015 ESTALIS SEQUI 4 cerotti transd 50 mcg + 4 cerotti NOVARTIS FARMA RNR 10,83 10,71 XG03FB08 Estradiolo/didrogesterone 033639055 FEMOSTON "L 1/10" 14 cpr riv bianche + 14 cpr riv grigie SOLVAY RR 9,23 9,11 X XG03FB08 Estradiolo/didrogesterone 033639081 FEMOSTON "1/5 CONTI" 28 cpr riv 1 mg + 5 mg SOLVAY RNR 9,23 9,11 X XG03FB08 Estradiolo/didrogesterone 033639016 FEMOSTON 2/10 14 cpr riv rosse + 14 cpr riv gialle SOLVAY RR 9,23 9,11 X XG03FB09 Estradiolo emiidrato/levon 035392012 COMBISEVEN 2 + 2 cerotti transd BRACCO RNR 10,39 10,27 XG03FB11 Estradiolo emiidrato/trimeg035316013 TOTELLE 14 cpr riv 2 mg + 14 cpr riv 2 mg + 0,5 mg WYETH MEDICA IRELAND RNR 11,40 11,26 X X

40

Page 41: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

G03GA01 Gonadotropina corionica 003763190 GONASI HP 1 fiala IM SC 5.000 U.I. + 1 fiala AMSA RR 5,16 5,10 XG03GA01 Gonadotropina corionica 003763238 GONASI HP 3 fiale IM SC 2.000 U.I. + 3 fiala solv 1 ml AMSA RR 6,85 6,77 XG03GA02 Menotropina 032903027 MENOGON 10 fiale IM + 10 fiale solv 1 ml 74 PT FERRING RR 110,85 109,51 XG03GA02 Menotropina 036749024 MEROPUR 10 fiale 75 UI + 10 fiale 75 UI 74 PT FERRING RR 279,71 276,35 X XG03GA04 Urofollitropina 032921013 FOSTIMON 1 fiala 75 U.I. + 1 fiala solv 1 m 74 PT IBSA RR 17,77 17,55 XG03GA04 Urofollitropina 032921049 FOSTIMON 10 fiale 75 U.I. + 10 fiale solv 1 74 PT IBSA RR 145,22 143,48 XG03GA05 Follitropina alfa da DNA ric032392250 GONAL F 1 fiala SC 75 UI + 1 siringa 1 m 74 PT SERONO EUROPE Ltd RRL 40,61 40,13 X XG03GA05 Follitropina alfa da DNA ric032392336 GONAL F 1 penna SC 300 UI/0,5 ml + 5 a 74 PT SERONO EUROPE Ltd RRL 162,41 160,47 X XG03GA05 Follitropina alfa da DNA ric032392262 GONAL F 5 fiale SC 75 UI + 5 siringhe 1 m 74 PT SERONO EUROPE Ltd RRL 203,02 200,58 X XG03GA05 Follitropina alfa da DNA ric032392033 GONAL F 5 fiale SC 75 U.I. + 5 fiale 1 ml 74 PT SERONO EUROPE Ltd RRL 208,09 205,59 X XG03GA05 Follitropina alfa da DNA ric032392348 GONAL F 1 penna SC 450 UI/0,75 ml + 7 74 PT SERONO EUROPE Ltd RRL 243,62 240,70 X XG03GA05 Follitropina alfa da DNA ric032392045 GONAL F 10 fiale SC 75 U.I. + 10 fiale 1 m 74 PT SERONO EUROPE Ltd RRL 403,44 398,60 X XG03GA05 Follitropina alfa da DNA ric032392274 GONAL F 10 fiale SC 75 UI + 10 siringhe 74 PT SERONO EUROPE Ltd RRL 406,03 401,15 X XG03GA05 Follitropina alfa da DNA ric032392351 GONAL F 1 penna SC 900 UI/1,5 ml + 14 74 PT SERONO EUROPE Ltd RRL 487,24 481,40 X XG03GA05 Follitropina alfa da DNA ric032392211 GONAL F 1 fiala SC 1.050 U.I. 1,75 ml 74 PT SERONO EUROPE Ltd RRL 564,86 558,08 X XG03GA05 Follitropina alfa da DNA ric032392122 GONAL F 10 fiale SC 150 U.I. + 10 fiale s 74 PT SERONO EUROPE Ltd RRL 789,90 780,42 X XG03GA06 Follitropina beta 029520172 PUREGON 1 fiala IM SC 50 U.I. 0,5 ml 74 PT ORGANON N.V. RRL 27,54 27,20 XG03GA06 Follitropina beta 029520222 PUREGON 1 fiala IM SC 100 ml 0,5 ml 74 PT ORGANON N.V. RRL 55,15 54,49 XG03GA06 Follitropina beta 029520184 PUREGON 5 fiale IM SC 50 U.I. 0,5 ml 74 PT ORGANON N.V. RRL 130,37 128,81 XG03GA06 Follitropina beta 029520386 PUREGON 1cartuccia SC 300 U.I./0,36 ml 74 PT ORGANON N.V. RRL 163,10 161,14 XG03GA06 Follitropina beta 029520234 PUREGON 5 fiale IM SC 100 U.I. 0,5 ml 74 PT ORGANON N.V. RRL 260,68 257,56 XG03GA06 Follitropina beta 029520398 PUREGON 1cartuccia SC 600 U.I./0,72 ml 74 PT ORGANON N.V. RRL 326,20 322,28 XG03GA06 Follitropina beta 029520297 PUREGON 5 fiale IM SC 200 U.I. 0,5 ml 74 PT ORGANON N.V. RRL 461,55 456,01 XG03GA06 Follitropina beta 029520400 PUREGON 1 cartuccia SC 900 U.I./1,08 ml 74 PT ORGANON N.V. RRL 489,30 483,42 XG03GA07 Lutropina alfa 034951044 LUVERIS 1 flaconcino SC 75 UI + 1 flaco 74 PT SERONO EUROPE Ltd RRL 42,33 41,83 X XG03GA07 Lutropina alfa 034951057 LUVERIS 3 flaconcini SC 75 UI + 3 flacon 74 PT SERONO EUROPE Ltd RRL 127,00 125,48 X XG03GB01 Ciclofenil 024570018 NEOCLYM 30 cpr 200 mg MARVECSPHARMA SERVICES RR 6,11 6,03 XG03GB02 Clomifene 020773026 CLOMID 10 cpr 50 mg BRUNO FARMACEUTICI RR 5,03 4,97 XG03GB02 Clomifene 021839028 PROLIFEN 10 cps 50 mg EFFIK RR 5,29 5,23 X XG03GB02 Clomifene 026972012 SEROFENE 30 cpr 50 mg SERONO RR 14,00 13,84 XG03HA01 Ciproterone 023090032 ANDROCUR 1 fiala IM 300 mg 3 ml rilascio prolungato SCHERING RNR 16,78 16,68 GG03HA01 Ciproterone 023090020 ANDROCUR 25 cpr 50 mg SCHERING RNR 23,97 23,83 GG03HA01 Ciproterone 023090044 ANDROCUR 30 cpr 100 mg SCHERING RNR 50,81 50,51 GG03HB01 Ciproterone/etinilestradiolo023777030 DIANE 21 cpr riv 2 mg + 0,035 mg SCHERING RNR 6,73 6,69 GG03HB01 Ciproterone/etinilestradiolo035368012 VISOFID 21 cpr riv 0,035 mg + 2 mg FIDIA RNR 4,72 4,69 GG03XA01 Danazolo 025021066 DANATROL 30 cps 50 mg SANOFI-AVENTIS RNR 5,07 5,01 XG03XA01 Danazolo 025021054 DANATROL 30 cps 200 mg SANOFI-AVENTIS RNR 22,63 22,35 XG03XA02 Gestrinone 026845014 DIMETROSE 10 cps 2,5 mg MARVECSPHARMA SERVICES RR 69,83 68,99 XG03XC01 Raloxifene 034153015 EVISTA 14 cpr riv 60 mg 79 ELI LILLY NEDERLAND BV RR 17,93 17,71 X XG03XC01 Raloxifene 034153027 EVISTA 28 cpr riv 60 mg 79 ELI LILLY NEDERLAND BV RR 34,64 34,22 X XG03XC01 Raloxifene 034154017 OPTRUMA 14 cpr riv 60 mg 79 ELI LILLY NEDERLAND BV RR 17,93 17,71 X XG03XC01 Raloxifene 034154029 OPTRUMA 28 cpr riv 60 mg 79 ELI LILLY NEDERLAND BV RR 34,64 34,22 X XG04BD04 Oxibutinina 034261115 OSSIBUTININA 30 cpr 5 mg 87 MERCK GENERICS RR 6,32 6,28 GG04BD04 Oxibutinina 035733043 OXIBUTININA 30 cpr 5 mg 87 EG RR 6,32 6,28 GG04BE01 Alprostadil 029561038 CAVERJECT 1 fiala 10 mcg + siringa + 2 agh 75 PFIZER ITALIA RNR 12,14 12,00 XG04CA Doxazosin 029467026 BENUR 20 cpr div 4 mg BIOINDUSTRIA FARMACEUTICI RR 16,43 16,23 XG04CA01 Alfuzosina 026670024 MITTOVAL 30 cpr riv 2,5 mg SANOFI-AVENTIS RR 10,18 10,06 X XG04CA01 Alfuzosina 026670051 MITTOVAL 30 cpr 10 mg rilascio prolungato SANOFI-AVENTIS RR 27,55 27,21 X XG04CA01 Alfuzosina 027314018 XATRAL 30 cpr riv 2,5 mg SANOFI-AVENTIS RR 10,18 10,06 X XG04CA01 Alfuzosina 027314044 XATRAL 30 cpr 10 mg rilascio prolungato SANOFI-AVENTIS RR 27,55 27,21 X XG04CA02 Tamsulosin 036965010 BOTAM 20 cps 0,4 mg rilascio modificato BONISCONTRO & GAZZONE RR 10,83 10,77 GG04CA02 Tamsulosin 032647024 OMNIC 20 cps 0,4 mg rilascio modificato ASTELLAS RR 11,78 11,71 GG04CA02 Tamsulosin 030106013 PRADIF 20 cps 0,4 mg rilascio controllato BOEHRINGER INGELHEIM INTERNATIO RR 11,78 11,71 G

41

Page 42: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

G04CA02 Tamsulosin 036945018 TAMLIC 20 cps 0,4 mg rilascio modificato EPIFARMA RR 10,83 10,77 GG04CA02 Tamsulosin 037007034 TAMSULOSIN 20 cps 0,4 mg rilascio modificato DOC GENERICI RR 10,83 10,77 GG04CA02 Tamsulosin 037004037 TAMSULOSIN 20 cps 0,4 mg rilascio modificato MERCK GENERICS RR 10,83 10,77 GG04CA02 Tamsulosin 037014038 TAMSULOSIN 20 cps 0,4 mg rilascio modificato TEVA RR 10,83 10,77 GG04CA02 Tamsulosin 037002045 TAMSULOSINA 20 cps 0,4 mg rilascio modificato EG RR 10,83 10,77 GG04CA02 Tamsulosin 037055011 TAMSULOSINA 20 cps 0,4 mg rilascio modificato RATIOPHARM GMBH RR 10,83 10,77 GG04CA02 Tamsulosin 037010030 TAMSULOSINA 20 cps 0,4 mg rilascio modificato SANDOZ RR 10,83 10,77 GG04CA02 Tamsulosin 037016033 TAMSULOSINA 20 cps 0,4 mg rilascio modificato PLIVA RR 10,83 10,77 GG04CA02 Tamsulosin 037001031 TAMSULOSINA 20 cps 0,4 mg rilascio modificato ANGENERICO RR 10,83 10,77 GG04CA02 Tamsulosin 037011032 TAMSULOSINA 20 cps 0,4 mg rilascio modificato WINTHROP RR 10,83 10,77 GG04CA03 Terazosina 035197021 IBIPROVIR 10 cpr div 2 mg I.B.I. LORENZINI RR 3,25 3,23 GG04CA03 Terazosina 035051010 PROSTATIL 10 cpr div 2 mg BONISCONTRO & GAZZONE RR 2,83 2,81 GG04CA03 Terazosina 035051022 PROSTATIL 14 cpr div 5 mg BONISCONTRO & GAZZONE RR 5,33 5,30 GG04CA03 Terazosina 035046010 TERAFLUSS 10 cpr div 2 mg MADAUS RR 3,61 3,59 GG04CA03 Terazosina 035046022 TERAFLUSS 14 cpr div 5 mg MADAUS RR 5,33 5,30 GG04CA03 Terazosina 035046046 TERAFLUSS 28 cpr div 5 mg MADAUS RR 6,90 6,82 XG04CA03 Terazosina 035046034 TERAFLUSS 30 cpr div 2 mg MADAUS RR 9,54 9,48 GG04CA03 Terazosina 028651014 TERAPROST 10 cpr div 2 mg MALESCI RR 2,83 2,81 GG04CA03 Terazosina 028651026 TERAPROST 14 cpr div 5 mg MALESCI RR 5,33 5,30 GG04CA03 Terazosina 035622012 TERAZOSINA 10 cpr div 2 mg DOC GENERICI RR 2,83 2,81 GG04CA03 Terazosina 035585013 TERAZOSINA 10 cpr div 2 mg EG RR 2,83 2,81 GG04CA03 Terazosina 036717027 TERAZOSINA 10 cpr div 2 mg HEXAL RR 2,83 2,81 GG04CA03 Terazosina 035770015 TERAZOSINA 10 cpr div 2 mg SANDOZ RR 2,83 2,81 GG04CA03 Terazosina 035167016 TERAZOSINA 10 cpr div 2 mg ABC RR 3,25 3,23 GG04CA03 Terazosina 036148029 TERAZOSINA 10 cpr div 2 mg MERCK GENERICS RR 3,25 3,23 GG04CA03 Terazosina 035052012 TERAZOSINA 10 cpr div 2 mg RATIOPHARM GMBH RR 3,25 3,23 GG04CA03 Terazosina 035167028 TERAZOSINA 14 cpr div 5 mg ABC RR 5,33 5,30 GG04CA03 Terazosina 035622024 TERAZOSINA 14 cpr div 5 mg DOC GENERICI RR 5,33 5,30 GG04CA03 Terazosina 035585025 TERAZOSINA 14 cpr div 5 mg EG RR 5,33 5,30 GG04CA03 Terazosina 036717167 TERAZOSINA 14 cpr 5 mg HEXAL RR 5,33 5,30 GG04CA03 Terazosina 035197019 TERAZOSINA 14 cpr div 5 mg I.B.I. LORENZINI RR 5,33 5,30 GG04CA03 Terazosina 036148106 TERAZOSINA 14 cpr div 5 mg MERCK GENERICS RR 5,33 5,30 GG04CA03 Terazosina 035052024 TERAZOSINA 14 cpr div 5 mg RATIOPHARM GMBH RR 5,33 5,30 GG04CA03 Terazosina 035770027 TERAZOSINA 14 cpr div 5 mg SANDOZ RR 5,33 5,30 GG04CA03 Terazosina 035295120 TERAZOSINA 14 cpr 5 mg TEVA RR 5,33 5,30 GG04CA03 Terazosina 035197033 TERAZOSINA 30 cpr div 2 mg I.B.I. LORENZINI RR 9,54 9,48 GG04CA03 Terazosina 035295082 TERAZOSINA 30 cpr 2 mg TEVA RR 9,54 9,48 GG04CA03 Terazosina 028652016 UNOPROST 10 cpr div 2 mg GUIDOTTI RR 2,83 2,81 GG04CA03 Terazosina 028652028 UNOPROST 14 cpr div 5 mg GUIDOTTI RR 5,33 5,30 GG04CA03 Terazosina 028284014 URODIE 10 cpr div 2 mg KERYOS RR 2,83 2,81 GG04CA03 Terazosina 028284026 URODIE 14 cpr div 5 mg KERYOS RR 5,33 5,30 GG04CB01 Finasteride 028309019 FINASTID 15 cpr riv 5 mg NEOPHARMED RR 17,24 17,04 XG04CB01 Finasteride 028371019 GENAPROST 15 cpr riv 5 mg GENTILI RR 17,24 17,04 XG04CB01 Finasteride 028308017 PROSCAR 15 cpr riv 5 mg MERCK SHARP & DOHME RR 17,24 17,04 XG04CB01 Finasteride 028356018 PROSTIDE 15 cpr riv 5 mg SIGMATAU RR 17,24 17,04 XG04CB02 Dutasteride 035895010 AVODART 30 cps 0,5 mg GLAXOSMITHKLINE RR 29,41 29,05 X XH01AC01 Somatropina 026844187 GENOTROPIN MINIQUICK" 7 tubofiale SC 0,2 39 PT PFIZER ITALIA RRL 52,86 52,22 XH01AC01 Somatropina 026844199 GENOTROPIN "MINIQUICK" 7 tubofiale SC 0,4 39 PT PFIZER ITALIA RRL 114,80 113,42 XH01AC01 Somatropina 026844201 GENOTROPIN "MINIQUICK" 7 tubofiale SC 0,6 39 PT PFIZER ITALIA RRL 151,76 149,94 XH01AC01 Somatropina 026844237 GENOTROPIN "MINIQUICK2 4 tubofiale SC 1, 39 PT PFIZER ITALIA RRL 180,28 178,12 XH01AC01 Somatropina 026844213 GENOTROPIN "MINIQUICK" 7 tubofiale SC 0,8 39 PT PFIZER ITALIA RRL 214,79 212,21 XH01AC01 Somatropina 026844249 GENOTROPIN "MINIQUICK" 4 tubofiale SC 1,4 39 PT PFIZER ITALIA RRL 221,69 219,03 XH01AC01 Somatropina 026844098 GENOTROPIN "KABIPEN" 1 tubofiala 5,3 mg 39 PT PFIZER ITALIA RRL 232,24 229,46 X

42

Page 43: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

H01AC01 Somatropina 026844252 GENOTROPIN "MINIQUICK" 4 tubofiale SC 1,6 39 PT PFIZER ITALIA RRL 257,89 254,79 XH01AC01 Somatropina 026844225 GENOTROPIN "MINIQUICK" 7 tubofiale SC 1 39 PT PFIZER ITALIA RRL 279,51 276,15 XH01AC01 Somatropina 026844264 GENOTROPIN "MINIQUICK" 4 tubofiale SC 1,8 39 PT PFIZER ITALIA RRL 295,08 291,54 XH01AC01 Somatropina 026844276 GENOTROPIN "MINIQUICK" 4 tubofiale SC 2 39 PT PFIZER ITALIA RRL 332,36 328,38 XH01AC01 Somatropina 026962011 HUMATROPE 1 fiala IM SC 1,33 mg 4 U.I. + 1 39 PT ELI LILLY RRL 57,75 57,05 X XH01AC01 Somatropina 026962047 HUMATROPE 1 cartuccia IM SC 6 mg 18 U.I. 39 PT ELI LILLY RRL 274,07 270,79 X XH01AC01 Somatropina 027686068 NORDITROPIN SIMPLEX 1 cartuccia 5 mg 1,5 39 PT NOVO NORDISK A/S RRL 202,99 200,55 X XH01AC01 Somatropina 036583033 NUTROPINAQ 1 cartuccia SC 2 ml 10 mg/2 m 39 PT IPSEN Ltd RRL 327,05 323,13 X XH01AC01 Somatropina 026863011 SAIZEN 1 fiala 1,33 mg 4 U.I. + 1 fiala s 39 PT SERONO RRL 54,86 54,20 XH01AC01 Somatropina 026863023 SAIZEN 3 fiale 1,33 mg 4 U.I. + 3 fiale s 39 PT SERONO RRL 170,70 168,66 XH01AC01 Somatropina 026863100 SAIZEN 1 fiala 8 mg + 1 cartuccia 39 PT SERONO RRL 345,33 341,19 XH01AC01 Somatropina 027743032 ZOMACTON 1 fiala SC 4 mg + 1 fiala solv 3, 39 PT FERRING RRL 180,31 178,15 X XH01BA02 Desmopressina 027665013 EMOSINT 10 fiale IM EV SC 4 mcg 0,5 ml KEDRION RR 40,32 39,84 XH01BA02 Desmopressina 027665025 EMOSINT 10 fiale IM EV SC 20 mcg 1 ml PT KEDRION RR 137,02 135,38 XH01BA02 Desmopressina 023892033 MINIRIN/DDAVP spray nasale 0,125 mg FERRING RR 10,32 10,20 X XH01BA02 Desmopressina 023892019 MINIRIN/DDAVP gtt rinol 250 mcg 2,5 ml FERRING RR 15,83 15,65 X XH01BA02 Desmopressina 023892060 MINIRIN/DDAVP 30 cpr 0,1 mg FERRING RR 28,24 27,90 X XH01BA02 Desmopressina 023892021 MINIRIN/DDAVP 10 fiale SC 4 mcg 1 ml FERRING RR 50,33 49,73 X XH01BA02 Desmopressina 023892072 MINIRIN/DDAVP 30 cpr 0,2 mg FERRING RR 56,34 55,66 X XH01CA01 Gonadorelina 026520015 KRYPTOCUR 2 flaconi spray nasale 10 g PT SANOFI-AVENTIS RR 149,42 147,62 XH01CB02 Octreotide 027104013 LONGASTATINA 5 fiale EV SC 0,05 mg 1 ml 40 PT ITALFARMACO RR 30,07 29,71 X XH01CB02 Octreotide 027104025 LONGASTATINA 5 fiale EV SC 0,1 mg 1 ml 40 PT ITALFARMACO RR 55,98 55,30 X XH01CB02 Octreotide 027104049 LONGASTATINA 1 fiala EV SC 1 mg 5 ml multid 40 PT ITALFARMACO RR 105,22 103,96 X XH01CB02 Octreotide 027104037 LONGASTATINA 3 fiale EV SC 0,5 mg 1 ml 40 PT ITALFARMACO RR 180,10 177,94 X XH01CB02 Octreotide 027104088 LONGASTATINA "LAR" 1 flacone IM 10 mg + 1 s 40 PT ITALFARMACO RR 786,64 777,20 X XH01CB02 Octreotide 027104090 LONGASTATINA "LAR" 1 flacone IM 20 mg + 1 s 40 PT ITALFARMACO RR 1355,95 1339,67 X XH01CB02 Octreotide 027104102 LONGASTATINA "LAR" 1 flacone IM 30 mg + 1 s 40 PT ITALFARMACO RR 1761,93 1740,79 X XH01CB02 Octreotide 027284052 SAMILSTIN 5 fiale EV SC 0,05 mg 1 ml 40 PT LPB RR 28,57 28,23 XH01CB02 Octreotide 027284064 SAMILSTIN 5 fiale EV SC 0,1 mg 1 ml 40 PT LPB RR 53,18 52,54 XH01CB02 Octreotide 027284088 SAMILSTIN 1 flaconcino multid 5 ml 40 PT LPB RR 99,96 98,76 XH01CB02 Octreotide 027284076 SAMILSTIN 3 fiale EV SC 0,5 mg 1 ml 40 PT LPB RR 171,10 169,04 XH01CB02 Octreotide 027083017 SANDOSTATINA 5 fiale EV SC 0,05 mg 1 ml 40 PT NOVARTIS FARMA RR 30,07 29,71 X XH01CB02 Octreotide 027083029 SANDOSTATINA 5 fiale EV SC 0,1 mg 1 ml 40 PT NOVARTIS FARMA RR 55,98 55,30 X XH01CB02 Octreotide 027083043 SANDOSTATINA 1 fiala EV SC 0,2 mg/ml 40 PT NOVARTIS FARMA RR 105,22 103,96 X XH01CB02 Octreotide 027083031 SANDOSTATINA 3 fiale EV SC 0,5 mg 1 ml 40 PT NOVARTIS FARMA RR 180,10 177,94 X XH01CB02 Octreotide 027083056 SANDOSTATINA "LAR" 1 flacone IM 10 mg + 2 f 40 PT NOVARTIS FARMA RR 786,64 777,20 X XH01CB02 Octreotide 027083082 SANDOSTATINA "LAR" 1 flacone IM 10 mg + siri 40 PT NOVARTIS FARMA RR 786,64 777,20 X XH01CB02 Octreotide 027083068 SANDOSTATINA "LAR" 1 flacone IM 20 mg + 2 f 40 PT NOVARTIS FARMA RR 1355,95 1339,67 X XH01CB02 Octreotide 027083094 SANDOSTATINA "LAR" 1 flacone IM 20 mg + siri 40 PT NOVARTIS FARMA RR 1355,95 1339,67 X XH01CB02 Octreotide 027083070 SANDOSTATINA "LAR" 1 flacone IM 30 mg + 2 f 40 PT NOVARTIS FARMA RR 1761,93 1740,79 X XH01CB02 Octreotide 027083106 SANDOSTATINA "LAR" 1 flacone IM 30 mg + siri 40 PT NOVARTIS FARMA RR 1761,93 1740,79 X XH01CB03 Lanreotide 029399019 IPSTYL 1 fiala IM 30 mg + 1 fiala solv + 40 PT IPSEN RR 533,85 527,45 X XH01CB03 Lanreotide 029399110 IPSTYL 1 siringa IM 60 mg 40 PT IPSEN RR 1054,63 1041,97 X XH01CB03 Lanreotide 029399122 IPSTYL 1 siringa IM 90 mg 40 PT IPSEN RR 1138,28 1124,62 X XH01CB03 Lanreotide 029399134 IPSTYL 1 siringa IM 120 mg 40 PT IPSEN RR 1138,28 1124,62 X XH02AA03 Desossicortone 004173023 CORTIRON DEPOT 1 fiala IM 50 mg 1 ml SCHERING RR 3,46 3,44H02AA03 Desossicortone 004173011 CORTIRON 4 fiale IM 10 mg 1 ml SCHERING RR 4,65 4,62H02AB01 Betametasone 019655051 BENTELAN "R" 10 cpr eff 1 mg DEFIANTE FARMACEUTICA LDA RR 2,01 2,00H02AB01 Betametasone 019655012 BENTELAN 10 cpr eff 0,5 mg DEFIANTE FARMACEUTICA LDA RR 0,98 0,97H02AB01 Betametasone 019655113 BENTELAN 3 fiale 1,5 mg 2 ml DEFIANTE FARMACEUTICA LDA RR 1,39 1,38H02AB01 Betametasone 019655315 BENTELAN 6 fiale 1,5 mg/2 ml DEFIANTE FARMACEUTICA LDA RR 2,60 2,58H02AB01 Betametasone 019655152 BENTELAN 3 fiale IM EV 4 mg 2 ml DEFIANTE FARMACEUTICA LDA RR 3,32 3,30 GH02AB01 Betametasone 034030015 BETAMETASONE 3 fiale 4 mg 1 ml FARMACOLOGICO MILANESE RR 2,65 2,63 G

43

Page 44: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

H02AB01 Betametasone 019644020 CELESTONE gtt os 10 ml 0,5 mg/ml SCHERING PLOUGH RR 1,03 1,02H02AB01 Betametasone 019644032 CELESTONE 5 fiale IM EV 4 mg 1 ml SCHERING PLOUGH RR 4,88 4,85H02AB01 Betametasone 019644069 CELESTONE 10 cpr riv 1 mg a rilascio modificato SCHERING PLOUGH RR 1,86 1,85H02AB01 Betametasone fosfato diso 019644057 CELESTONE CRONOD3 fiale IM 1 ml SCHERING PLOUGH RR 4,66 4,63H02AB02 Desametasone 014729038 DECADRON 10 cpr 0,75 mg VISUFARMA RR 0,98 0,97H02AB02 Desametasone 019247016 MEGACORT 3 fiale IM EV 4 mg 1 ml FARMA 1 RR 2,79 2,77H02AB02 Desametasone 019499019 SOLDESAM 3 fiale IM EV 4 mg 1 ml FARMACOLOGICO MILANESE RR 2,79 2,77H02AB02 Desametasone 019499072 SOLDESAM gtt os 10 ml 0,2% FARMACOLOGICO MILANESE RR 4,66 4,63H02AB02 Desametasone 019499084 SOLDESAM 3 fiale IM EV 8 mg 2 ml FARMACOLOGICO MILANESE RR 4,79 4,76H02AB03 Fluocortolone 022226017 ULTRALAN 10 cpr 20 mg SCHERING RR 8,19 8,09 XH02AB04 Metilprednisolone 017932029 DEPO MEDROL 3 fiale 40 mg 1 ml + 3 siringhe PFIZER ITALIA RR 6,51 6,43 XH02AB04 Metilprednisolone 014159040 MEDROL 20 cpr div 16 mg PFIZER ITALIA RR 6,20 6,12 XH02AB04 Metilprednisolone 015839095 METILBETASONE 3 fiale IM 80 mg + 3 fiale solv SO.SE.PHARM RR 7,93 7,83 XH02AB04 Metilprednisolone 023202043 SOLU MEDROL 1 fiala IM EV 125 mg 2 ml PFIZER ITALIA RR 4,96 4,93H02AB04 Metilprednisolone 023202056 SOLU MEDROL 1 fiala IM EV 500 mg + 1 fiala solv 8 ml PFIZER ITALIA RR 17,77 17,55 XH02AB04 Metilprednisolone 023202068 SOLU MEDROL 1 fiala IM EV 1 g + 1 fiala solv 16 ml PFIZER ITALIA RR 35,54 35,12 XH02AB04 Metilprednisolone 023202070 SOLU MEDROL 1 flaconcino IM EV 2 g + 1 flaconcino solv 32 mPFIZER ITALIA RR 77,20 76,28 XH02AB04 Metilprednisolone 024001012 URBASON 10 cpr 4 mg SANOFI-AVENTIS RR 1,91 1,90H02AB07 Prednisone 010089011 DELTACORTENE 10 cpr 5 mg BRUNO FARMACEUTICI RR 1,50 1,49H02AB07 Prednisone 010089047 DELTACORTENE 20 cpr 5 mg BRUNO FARMACEUTICI RR 3,00 2,98H02AB07 Prednisone 010089035 DELTACORTENE 10 cpr 25 mg BRUNO FARMACEUTICI RR 5,13 5,07 X XH02AB08 Triamcinolone 013972056 KENACORT 3 fiale 40 mg 1 ml BRISTOL RR 5,83 5,77 XH02AB08 Triamcinolone 013973134 LEDERCORT 10 cpr 8 mg WYETH LEDERLE RR 4,96 4,93H02AB08 Triamcinolone 033919010 TRIACORT 3 fiale 40 mg 1 ml PHARMATEX RR 11,66 11,52 XH02AB08 Triamcinolone 034262016 TRIAMVIRGI 3 fiale 40 mg 1 ml FISIOPHARMA RR 9,84 9,72 XH02AB09 Idrocortisone 013986043 FLEBOCORTID 1 fiala EV 1 g + 1 fiala solv 10 ml LEPETIT RR 5,89 5,81 XH02AB10 Cortisone 004561015 CORTONE ACETATO 20 cpr 25 mg ICI RENDE RR 5,15 5,09 XH03AA01 Levotiroxina 024402048 EUTIROX 50 cpr 25 mcg flacone BRACCO RR 2,74 2,72H03AA01 Levotiroxina 024402051 EUTIROX 50 cpr 75 mcg BRACCO RR 2,74 2,72H03AA01 Levotiroxina 024402087 EUTIROX 50 cpr 25 mcg BRACCO RR 2,74 2,72H03AA01 Levotiroxina 024402125 EUTIROX 50 cpr 50 mcg BRACCO RR 2,74 2,72H03AA01 Levotiroxina 024402137 EUTIROX 50 cpr 100 mcg BRACCO RR 2,89 2,87H03AA01 Levotiroxina 024402063 EUTIROX 50 cpr 125 mcg BRACCO RR 2,94 2,92H03AA01 Levotiroxina 024402075 EUTIROX 50 cpr 150 mcg BRACCO RR 3,00 2,98H03AA01 Levotiroxina 007610037 TIRACRIN 30 cpr 100 mcg GEYMONAT RR 1,81 1,80H03AA01 Levotiroxina 034368011 TIROSINT 50 cpr 50 mcg AMSA RR 2,74 2,72H03AA01 Levotiroxina 034368050 TIROSINT 50 cpr 50 mcg AMSA RR 2,74 2,72H03AA01 Levotiroxina 034368023 TIROSINT 50 cpr 100 mcg AMSA RR 2,94 2,92H03AA01 Levotiroxina 034368047 TIROSINT 50 cpr 100 mcg AMSA RR 2,94 2,92H03AA02 Liotironina 013401068 TI TRE 50 cpr 20 mcg TEOFARMA RR 3,46 3,44H03BB02 Tiamazolo 005472016 TAPAZOLE 100 cpr 5 mg TEOFARMA RR 4,80 4,77H03BB02 Tiamazolo 005472028 TAPAZOLE 100 cpr 5 mg TEOFARMA RR 4,80 4,77H03BC01 Potassio perclorato 013346010 PERTIROID 30 cps 200 mg VECCHI & PIAM RR 4,65 4,62H04AA01 Glucagone 027489018 GLUCAGEN "HYPOKIT" 1 fiala 1 mg + 1 siringa 1 ml NOVO NORDISK A/S RR 24,01 23,73 X XH05AA02 Teriparatide 035926017 FORSTEO 1 penna SC 3 ml 20 mcg/80mc 79 PT ELI LILLY NEDERLAND BV RR 570,71 563,87 X XH05AA03 Ormone paratiroideo da D 037153018 PREOTACT 2 cartucce 1,61 mg 100 mcg 79 PT NYCOMED DAK A/S RR 500,47 494,47 XH05BA01 Calcitonina di salmone 023704051 CALCITONINA SANDO5 fiale IM EV SC 50 U.I. + 5 siri 41 NOVARTIS FARMA RR 9,45 9,39 GH05BA01 Calcitonina di salmone 023704048 CALCITONINA SANDO5 fiale IM EV SC 100 U.I. + 5 si 41 NOVARTIS FARMA RR 19,21 19,09 GH05BA01 Calcitonina di salmone 028586028 SALMOFAR 5 fiale IM SC 100 U.I. 1 ml 41 LA.FA.RE. RR 17,72 17,61 GJ01AA02 Doxiciclina 021635065 BASSADO 10 cpr 100 mg PFIZER ITALIA RR 3,96 3,94 GJ01AA02 Doxiciclina 022211039 MIRACLIN 10 cpr 100 mg FARMACOLOGICO MILANESE RR 3,91 3,89 GJ01AA08 Minociclina 022240016 MINOCIN 8 cps 100 mg TEOFARMA RR 4,95 4,92J01BA01 Cloramfenicolo 031414016 CLORAMFENICOLO 1 fiala 1 g FISIOPHARMA RR 1,63 1,62 G

44

Page 45: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

J01CA01 Ampicillina 033121017 AMPICILLINA 1 fiala 250 mg + 1 fiala solv 2,5 ml BIOPHARMA RR 0,51 0,51 GJ01CA01 Ampicillina 033121029 AMPICILLINA 1 fiala 500 mg + 1 fiala solv 2,5 ml BIOPHARMA RR 0,69 0,69 GJ01CA01 Ampicillina 033121031 AMPICILLINA 1 fiala 1 g + 1 fiala solv 4 ml BIOPHARMA RR 1,07 1,06 GJ01CA01 Ampicillina 032402051 AMPICILLINA 1 fiala 1 g OFF RR 1,17 1,16 GJ01CA01 Ampicillina 020866099 AMPIPLUS SIMPLEX 1 fiala IM EV 1 g + 1 fiala solv 4 ml MENARINI RR 1,31 1,30 GJ01CA01 Ampicillina 020121087 AMPLITAL 1 fiala IM EV 1 g + 1 fiala solv 4 ml PFIZER ITALIA RR 1,31 1,30 GJ01CA01 Ampicillina 020121113 AMPLITAL os sosp 60 ml 5% PFIZER ITALIA RR 1,68 1,67 GJ01CA01 Ampicillina 020121036 AMPLITAL 12 cps 500 mg PFIZER ITALIA RR 3,05 3,03J01CA01 Ampicillina 020121137 AMPLITAL 12 cpr 1 g PFIZER ITALIA RR 4,73 4,70 GJ01CA01 Ampicillina 022361024 AMPLIZER "BB" grat 20 g 5% OFF RR 0,57 0,57J01CA01 Ampicillina 022361012 AMPLIZER 12 cps 250 mg OFF RR 1,17 1,16 GJ01CA01 Ampicillina 022361036 AMPLIZER 12 cps 500 mg OFF RR 3,05 3,03J01CA01 Ampicillina 022361048 AMPLIZER 12 cpr 1 g OFF RR 3,78 3,76 GJ01CA04 Amoxicillina 023098080 ALFAMOX 12 cpr div 1 g TEOFARMA RR 4,90 4,87 GJ01CA04 Amoxicillina 024819070 AMOFLUX 12 cpr 1 g LAMPUGNANI RR 4,25 4,22 GJ01CA04 Amoxicillina 034338018 AMOSOL 12 cpr solub mast 1 g SO.SE.PHARM RR 4,25 4,22 GJ01CA04 Amoxicillina 023909031 AMOX 12 cpr 1 g K.G. RR 4,25 4,22 GJ01CA04 Amoxicillina 034812014 AMOXICILLINA polv os sosp 100 ml 5% MERCK GENERICS RR 2,33 2,32 GJ01CA04 Amoxicillina 033290026 AMOXICILLINA grat os sosp 100 ml 5% PLIVA RR 2,33 2,32 GJ01CA04 Amoxicillina 033151034 AMOXICILLINA grat os sosp 100 ml 5 g/100 ml SANDOZ RR 2,33 2,32 GJ01CA04 Amoxicillina 032401010 AMOXICILLINA 8 cpr 1 g OFF RR 3,59 3,57 GJ01CA04 Amoxicillina 029488044 AMOXICILLINA grat os sosp 125 g RATIOPHARM GMBH RR 3,98 3,96J01CA04 Amoxicillina 035223015 AMOXICILLINA 12 cpr solub 1 g ABC RR 4,25 4,22 GJ01CA04 Amoxicillina 032918029 AMOXICILLINA 12 cpr 1 g ANGENERICO RR 4,25 4,22 GJ01CA04 Amoxicillina 033676014 AMOXICILLINA 12 cpr 1 g COPERNICO RR 4,25 4,22 GJ01CA04 Amoxicillina 023108184 AMOXICILLINA 12 cpr 1 g DOC GENERICI RR 4,25 4,22 GJ01CA04 Amoxicillina 029487016 AMOXICILLINA 12 cpr 1 g EG RR 4,25 4,22 GJ01CA04 Amoxicillina 030051041 AMOXICILLINA 12 cpr 1 g FRANCIA RR 4,25 4,22 GJ01CA04 Amoxicillina 032787032 AMOXICILLINA 12 cpr riv 1 g HEXAL RR 4,25 4,22 GJ01CA04 Amoxicillina 032892010 AMOXICILLINA 12 cpr 1 g JET GENERICI RR 4,25 4,22 GJ01CA04 Amoxicillina 034812038 AMOXICILLINA 12 cpr 1 g MERCK GENERICS RR 4,25 4,22 GJ01CA04 Amoxicillina 032104010 AMOXICILLINA 12 cpr 1 g PANTAFARM RR 4,25 4,22 GJ01CA04 Amoxicillina 033290014 AMOXICILLINA 12 cpr 1 g PLIVA RR 4,25 4,22 GJ01CA04 Amoxicillina 035222013 AMOXICILLINA 12 cpr solub 1 g RANBAXY RR 4,25 4,22 GJ01CA04 Amoxicillina 029488018 AMOXICILLINA 12 cpr 1 g RATIOPHARM GMBH RR 4,25 4,22 GJ01CA04 Amoxicillina 033151022 AMOXICILLINA 12 cpr 1 g SANDOZ RR 4,25 4,22 GJ01CA04 Amoxicillina 034614026 AMOXICILLINA 12 cpr 1 g TEVA RR 4,25 4,22 GJ01CA04 Amoxicillina 032388011 AMOXICILLINA 12 cpr 1 g UNION HEALTH RR 4,25 4,22 GJ01CA04 Amoxicillina 033675012 AMOXICILLINA 12 cpr 1 g TAD PHARMA RR 4,25 4,22 GJ01CA04 Amoxicillina 023506090 AMOXILLIN os sosp 60 g 10% BENEDETTI RR 4,08 4,06J01CA04 Amoxicillina 023966106 AMOXINA grat os sosp 100 ml 250 mg/5 ml AESCULAPIUS RR 2,33 2,32 GJ01CA04 Amoxicillina 023966094 AMOXINA 12 cpr 1 g AESCULAPIUS RR 4,25 4,22 GJ01CA04 Amoxicillina 028991091 BRADIMOX SOLUTAB 12 cpr 500 mg DOMPE' RR 2,94 2,92 GJ01CA04 Amoxicillina 028991154 BRADIMOX SOLUTAB 12 cpr 1 g DOMPE' RR 4,51 4,48 GJ01CA04 Amoxicillina 028964043 ERREMOX 12 cpr 1 g ALTER RR 4,25 4,22 GJ01CA04 Amoxicillina 024537110 HYDRAMOX 12 cpr 1 g CABER RR 4,25 4,22 GJ01CA04 Amoxicillina 023426036 IBIAMOX 1 fiala IM EV 1 g + 1 fiala solv I.B.I. LORENZINI RR 1,44 1,43 GJ01CA04 Amoxicillina 023760034 MOPEN grat os sosp 100 ml 5% F.I.R.M.A. RR 2,33 2,32 GJ01CA04 Amoxicillina 023760059 MOPEN 12 cpr mast 1 g F.I.R.M.A. RR 4,25 4,22 GJ01CA04 Amoxicillina 023760097 MOPEN 12 cpr 1 g F.I.R.M.A. RR 4,25 4,22 GJ01CA04 Amoxicillina 032348017 MOXIREN 12 cpr solub mast 1 g ICI RENDE RR 4,25 4,22 GJ01CA04 Amoxicillina 025770138 NEO AMPIPLUS 12 cpr 1 g MENARINI RR 5,89 5,85 GJ01CA04 Amoxicillina 023336201 NEO TETRANASE 12 cpr 1 g ROTTAPHARM RR 4,25 4,22 G

45

Page 46: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

J01CA04 Amoxicillina 032791016 ORALMOX 12 cpr solub mast 1 g BONISCONTRO & GAZZONE RR 4,25 4,22 GJ01CA04 Amoxicillina 023301120 PAMOCIL 12 cpr 1 g FARMA 1 RR 4,25 4,22 GJ01CA04 Amoxicillina 034981011 SIEVERT 12 cpr solub 1 g BENEDETTI RR 4,25 4,22 GJ01CA04 Amoxicillina 023053135 SINTOPEN grat os sosp 100 ml 250 mg/5 ml MAGIS RR 2,33 2,32 GJ01CA04 Amoxicillina 023053123 SINTOPEN 12 cpr 1 g MAGIS RR 4,25 4,22 GJ01CA04 Amoxicillina 023097013 VELAMOX 12 cps 500 mg MEDIOLANUM RR 2,94 2,92 GJ01CA04 Amoxicillina 023097037 VELAMOX "BB" os sosp 100 ml 3,75% MEDIOLANUM RR 3,10 3,08J01CA04 Amoxicillina 023097102 VELAMOX 12 cpr orodispers 1 g MEDIOLANUM RR 4,25 4,22 GJ01CA04 Amoxicillina 023086061 ZIMOX 12 cps 500 mg PFIZER ITALIA RR 2,98 2,96 GJ01CA04 Amoxicillina 023086162 ZIMOX 12 cpr solub mast 500 mg PFIZER ITALIA RR 2,98 2,96 GJ01CA04 Amoxicillina 023086097 ZIMOX polv os sosp 100 ml 5 g/100 ml PFIZER ITALIA RR 3,27 3,25 GJ01CA04 Amoxicillina 023086174 ZIMOX 12 cpr solub mast 1 g PFIZER ITALIA RR 5,60 5,57 GJ01CA04 Amoxicillina 023086150 ZIMOX 12 cpr 1 g PFIZER ITALIA RR 4,90 4,87 GJ01CA06 Bacampicillina 024130054 BACACIL 12 cpr riv 1.200 mg ROTTAPHARM RR 10,83 10,77 GJ01CA06 Bacampicillina 032342026 BACAGEN 12 cpr riv 1.200 mg BONISCONTRO & GAZZONE RR 8,66 8,61 GJ01CA06 Bacampicillina 034350013 BACAMPICILLINA 12 cpr riv 1.200 mg ABC RR 8,66 8,61 GJ01CA06 Bacampicillina 034487013 BACAMPICILLINA 12 cpr 1.200 mg ANGENERICO RR 8,66 8,61 GJ01CA06 Bacampicillina 034296032 BACAMPICILLINA 12 cpr riv 1.200 mg EG RR 8,66 8,61 GJ01CA06 Bacampicillina 034473013 BACAMPICILLINA 12 cpr riv 1.200 mg K24 RR 8,66 8,61 GJ01CA06 Bacampicillina 034755013 BACAMPICILLINA 12 cpr 1.200 mg KBR KROTON RR 8,66 8,61 GJ01CA06 Bacampicillina 034297034 BACAMPICILLINA 12 cpr riv 1.200 mg MERCK GENERICS RR 8,66 8,61 GJ01CA06 Bacampicillina 034282032 BACAMPICILLINA 12 cpr riv 1.200 mg PLIVA RR 8,66 8,61 GJ01CA06 Bacampicillina 034753018 BACAMPICILLINA 12 cpr 1.200 mg SANDOZ RR 8,66 8,61 GJ01CA06 Bacampicillina 032332025 BACASINT 12 cpr riv 1.200 mg VECCHI & PIAM RR 8,66 8,61 GJ01CA06 Bacampicillina 033407014 BACILLIN 12 cpr 1.200 mg LA.FA.RE. RR 8,66 8,61 GJ01CA06 Bacampicillina 033425024 BAKAM 12 cpr riv 1.200 mg DE SALUTE RR 8,66 8,61 GJ01CA06 Bacampicillina 033422015 REBACIL 12 cpr 1.200 mg LISAPHARMA RR 8,66 8,61 GJ01CA06 Bacampicillina 034797011 WINNIPEG 12 cpr 1.200 mg S.F. GROUP RR 8,66 8,61 GJ01CA10 Mezlocillina 024316010 BAYPEN 1 fiala IM 1 g + 1 fiala solv 4 ml 55 BAYER HEALTHCARE AG RR 3,77 3,75J01CA12 Piperacillina 034389015 CILPIER 1 fiala IM 1 g + 1 fiala solv 2 ml 55 ALTASELECT RR 4,01 3,99 GJ01CA12 Piperacillina 034389027 CILPIER 1 fiala IM 2 g + 1 fiala solv 4 ml 55 ALTASELECT RR 5,89 5,85 GJ01CA12 Piperacillina 033461029 DIPERIL 1 fiala IM 2 g + 1 fiala solv 4 ml 55 BIOETHICAL RR 5,36 5,33 GJ01CA12 Piperacillina 034613024 ECOSETTE 1 fiala IM 2 g + 1 fiala solv 4 ml 55 FARMACEUTICI T.S. RR 5,36 5,33 GJ01CA12 Piperacillina 032897023 FARECILLIN 1 fiala IM 2 g + 1 fiala solv 4 ml 55 LA.FA.RE. RR 5,36 5,33 GJ01CA12 Piperacillina 028595027 PERACIL 1 fiala IM 2 g + 1 fiala solv 4 ml 55 BONISCONTRO & GAZZONE RR 5,36 5,33 GJ01CA12 Piperacillina 025671049 PICILLIN 1 fiala IM 2 g + 1 fiala solv 4 ml 55 C.T. LABORATORIO FARMACEUTICO RR 5,36 5,33 GJ01CA12 Piperacillina 033423017 PIPERACILLINA 1 fiala IM 1 g + 1 fiala solv 2 ml 55 K24 RR 4,01 3,99 GJ01CA12 Piperacillina 029221013 PIPERACILLINA 1 fiala IM 1 g + 1 fiala solv 2 ml 55 DOROM RR 3,96 3,94 GJ01CA12 Piperacillina 034391021 PIPERACILLINA 1 fiala IM 2 g + 1 fiala solv 4 ml 55 DOC GENERICI RR 5,36 5,33 GJ01CA12 Piperacillina 029221025 PIPERACILLINA 1 fiala IM 2 g + 1 fiala solv 4 ml 55 DOROM RR 5,36 5,33 GJ01CA12 Piperacillina 033690025 PIPERACILLINA 1 fiala IM 2 g + 1 fiala solv 4 ml 55 EG RR 5,36 5,33 GJ01CA12 Piperacillina 033423029 PIPERACILLINA 1 fiala IM 2 g + 1 fiala solv 4 ml 55 K24 RR 5,36 5,33 GJ01CA12 Piperacillina 032982023 PIPERACILLINA 1 fiala IM 2 g + 1 fiala solv 4 ml 55 PLIVA RR 5,36 5,33 GJ01CA12 Piperacillina 033324029 PIPERACILLINA 1 fiala IM 2 g + 1 fiala solv 4 ml 55 SANDOZ RR 5,36 5,33 GJ01CA12 Piperacillina 033056019 PIPERACILLINA 1 fiala IM 2 g + 1 fiala solv 4 ml 55 TEVA RR 5,36 5,33 GJ01CA12 Piperacillina 028735013 PIPERITAL 1 fiala IM 1 g + 1 fiala solv 2 ml 55 I.B.I. LORENZINI RR 3,96 3,94 GJ01CA12 Piperacillina 028735025 PIPERITAL 1 fiala IM 2 g + 1 fiala solv 4 ml 55 I.B.I. LORENZINI RR 5,36 5,33 GJ01CA12 Piperacillina 032935025 PIPERSAL 1 fiala IM 2 g + 1 fiala solv 4 ml 55 FARMA 1 RR 5,36 5,33 GJ01CA12 Piperacillina 033958012 PIPERTEX 1 fiala IM 1 g + 1 fiala solv 2 ml 55 PHARMATEX RR 3,96 3,94 GJ01CA12 Piperacillina 033958024 PIPERTEX 1 fiala IM 2 g + 1 fiala solv 4 ml 55 PHARMATEX RR 5,37 5,34 GJ01CA12 Piperacillina 033747027 REPARCILLIN 1 fiala IM 2 g + 1 fiala solv 4 ml 55 NEW RESEARCH RR 5,36 5,33 GJ01CA12 Piperacillina 032799013 SEMIPENIL 1 fiala IM 1 g + 1 fiala solv 2 ml 55 MAGIS RR 3,96 3,94 GJ01CA12 Piperacillina 032799025 SEMIPENIL 1 fiala IM 2 g + 1 fiala solv 4 ml 55 MAGIS RR 5,36 5,33 G

46

Page 47: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

J01CA12 Piperacillina 032954024 SINTOPLUS 1 fiala IM 2 g + 1 fiala solv 4 ml 55 PH&T RR 5,37 5,34 GJ01CE01 Benzilpenicillina potassica 032962019 BENZILPENICILLINA P1 fiala 1.000.000 U.I. + 1 fiala solv BIOPHARMA RR 0,86 0,85 GJ01CE01 Benzilpenicillina potassica 003060023 PENICILLINA G SQUIB"POTASSICA" 1 flaconcino 1.000.000 U.I. BRISTOL RR 1,17 1,16 GJ01CE01 Benzilpenicillina sodica 006847014 PENICILLINA FARMITA1 flaconcino IM EV 1.000.000 U.I. PHARMACIA ITALIA RR 1,07 1,06 GJ01CE08 Benzilpenicillina benzatinic033120015 BENZILPENICILLINA B1 flaconcino 600.000 U.I. + 1 fiala solv BIOPHARMA RR 2,00 1,99 GJ01CE08 Benzilpenicillina benzatinic033120027 BENZILPENICILLINA B1 flaconcino 1.200.000 U.I. + 1 fiala solv BIOPHARMA RR 2,24 2,23 GJ01CE08 Benzilpenicillina benzatinic008298034 DIAMINOCILLINA 1 fiala IM 600.000 U.I. + 1 fiala solv 2,5 ml FOURNIER PHARMA RR 2,61 2,59 GJ01CE08 Benzilpenicillina benzatinic008298046 DIAMINOCILLINA 1 fiala IM 1.200.000 U.I. + 1 fiala solv 4 ml FOURNIER PHARMA RR 2,84 2,82 GJ01CF04 Oxacillina 020711065 PENSTAPHO 1 fiala IM EV 1 g + 1 fiala solv BRISTOL RR 3,00 2,98J01CF05 Flucloxacillina 028455032 BETABIOTIC 1 fiala IM 1 g + 1 fiala solv 4 ml PLIVA RR 4,33 4,30 GJ01CF05 Flucloxacillina 028455020 BETABIOTIC 12 cpr 1 g PLIVA RR 12,91 12,83 GJ01CF05 Flucloxacillina 033474014 CLOXILLIN 12 cpr 1 g I.BIR.N RR 12,91 12,83 GJ01CF05 Flucloxacillina 033962022 EVERCID 12 cpr riv 1 g BONISCONTRO & GAZZONE RR 12,91 12,83 GJ01CF05 Flucloxacillina 033625017 FAIFLOC 12 cpr 1 g FARMACEUTICI T.S. RR 12,91 12,83 GJ01CF05 Flucloxacillina 033624014 FARECLOX 12 cpr 1 g SARDA PHARMACEUTICA RR 12,91 12,83 GJ01CF05 Flucloxacillina 033623012 FLUCACID 12 cpr 1 g EURO-PHARMA RR 12,91 12,83 GJ01CF05 Flucloxacillina 034607010 FLUCEF 12 cpr 1 g MAX FARMA RR 12,91 12,83 GJ01CF05 Flucloxacillina 033800020 FLUCINAL 12 cpr riv 1 g S.F. GROUP RR 12,91 12,83 GJ01CF05 Flucloxacillina 033558014 FLUCLOX 12 cpr 1 g FARMA 1 RR 12,91 12,83 GJ01CF05 Flucloxacillina 035254010 FLUCLOXACILLINA 12 cpr div 1 g PHARMA ITALIA RR 12,91 12,83 GJ01CF05 Flucloxacillina 034606018 FLUXACIL 12 cpr 1 g FARMA 1 RR 12,91 12,83 GJ01CF05 Flucloxacillina 033802024 FLUZERIT 12 cpr riv 1 g DE SALUTE RR 12,91 12,83 GJ01CF05 Flucloxacillina 033552011 LIDERCLOX 12 cpr 1 g ECOBI RR 12,91 12,83 GJ01CF05 Flucloxacillina 033571011 NEPENIC 12 cpr 1 g NEW RESEARCH RR 12,91 12,83 GJ01CF05 Flucloxacillina 033626019 PANTAFLUX 12 cpr 1 g PANTAFARM RR 12,91 12,83 GJ01CF05 Flucloxacillina 034796019 RECAFLUX 12 cpr 1 g COPERNICO RR 12,91 12,83 GJ01CR01 Ampicillina/sulbactam 036624029 AMPICILLINA + SULBA1 fiala IM EV 500 mg + 250 mg 55 I.B.I. LORENZINI RR 2,19 2,18 GJ01CR01 Ampicillina/sulbactam 036624017 AMPICILLINA + SULBA1 fiala IM 1 g + 500 mg + 1 fiala 55 I.B.I. LORENZINI RR 3,04 3,02 GJ01CR01 Ampicillina/sulbactam 026742015 BETHACIL 1 fiala IM 1 g + 500 mg + 1 fiala 55 BIOINDUSTRIA FARMACEUTICI RR 3,04 3,02 GJ01CR01 Ampicillina/sulbactam 026756039 LORICIN 1 fiala IM 1 g + 500 mg + 1 fiala 55 SIGMATAU RR 3,04 3,02 GJ01CR01 Ampicillina/sulbactam 026360038 UNASYN "BB" 1 fiala IM EV 250 mg + 50 55 PFIZER ITALIA RR 2,19 2,18 GJ01CR01 Ampicillina/sulbactam 026360014 UNASYN 1 fiala IM 1 g + 500 mg + 1 fiala 55 PFIZER ITALIA RR 3,04 3,02 GJ01CR02 Amoxicillina/acido clavulan036816015 ABBA 12 cpr riv 875 mg + 125 mg FIDIA RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036816027 ABBA 12 bust grat 875 mg + 125 mg FIDIA RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036944015 AMOXICILLINA + ACID12 bust grat 875 mg + 125 mg ALTER RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036944027 AMOXICILLINA + ACID12 cpr riv 875 mg + 125 mg ALTER RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036802015 AMOXICILLINA + ACID12 cpr riv 875 mg + 125 mg DOC GENERICI RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036802027 AMOXICILLINA + ACID12 bust grat 875 mg + 125 mg DOC GENERICI RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036820049 AMOXICILLINA + ACID12 cpr 875 mg + 125 mg EG RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036903019 AMOXICILLINA + ACID12 bust grat 875 mg + 125 mg HEXAL RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036810012 AMOXICILLINA + ACID12 cpr riv 875 mg + 125 mg HEXAL AG RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036815013 AMOXICILLINA + ACID12 bust grat 875 mg + 125 mg JET GENERICI RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036815025 AMOXICILLINA + ACID12 cpr riv 875 mg + 125 mg JET GENERICI RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036744011 AMOXICILLINA + ACID12 bust grat 875 mg + 125 mg MERCK GENERICS RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036969044 AMOXICILLINA + ACID12 cpr riv 875 mg + 125 mg MERCK GENERICS RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036707014 AMOXICILLINA + ACID12 bust grat 875 mg + 125 mg RATIOPHARM GMBH RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036926020 AMOXICILLINA + ACID12 cpr riv 875 mg + 125 mg RATIOPHARM GMBH RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036980047 AMOXICILLINA + ACID12 cpr riv 875 mg + 125 mg SANDOZ RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036767010 AMOXICILLINA + ACID12 bust grat 875 mg + 125 mg SANDOZ GMBH RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036819011 AMOXICILLINA + ACID12 cpr riv 875 mg + 125 mg TEVA RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036819023 AMOXICILLINA + ACID12 bust grat 875 mg + 125 mg TEVA RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036787012 AMOXICILLINA + ACID12 bust 875 mg + 125 mg WINTHROP RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036787024 AMOXICILLINA + ACID12 cpr riv 875 mg + 125 mg WINTHROP RR 10,10 10,04 G

47

Page 48: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

J01CR02 Amoxicillina/acido clavulan036980201 AMOXICILLINA + ACIDos sosp 140 ml 400 mg/5 ml + 57 mg/5 SANDOZ RR 14,53 14,44 GJ01CR02 Amoxicillina/acido clavulan037042013 AMOXICILLINA + ACID12 cpr 875 mg + 125 mg ABC RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan037034016 AMOXICILLINA + ACID12 bust 875 mg + 125 mg RANBAXY RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan037034028 AMOXICILLINA + ACID12 cpr 875 mg + 125 mg RANBAXY RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036980148 AMOXICILLINA ACIDO grat os sosp 35 ml 400 mg/5 ml + 57 mg/5 ml SANDOZ RR 3,52 3,50 GJ01CR02 Amoxicillina/acido clavulan036980175 AMOXICILLINA ACIDO grat os sosp 70 ml 400 mg/5 ml + 57 mg/5 ml SANDOZ RR 7,07 7,03 GJ01CR02 Amoxicillina/acido clavulan036801013 ANIVAL 12 cpr riv 875 mg + 125 mg ERREKAPPA RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036801025 ANIVAL 12 bust grat 875 mg + 125 mg ERREKAPPA RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan026089110 AUGMENTIN "BB" grat os sosp 35 ml GLAXOSMITHKLINE RR 4,02 4,00 GJ01CR02 Amoxicillina/acido clavulan026089146 AUGMENTIN "BB" 12 bust os sosp 400 mg GLAXOSMITHKLINE RR 7,98 7,88 XJ01CR02 Amoxicillina/acido clavulan026089122 AUGMENTIN "BB" grat os sosp 70 ml GLAXOSMITHKLINE RR 7,57 7,52 GJ01CR02 Amoxicillina/acido clavulan026089019 AUGMENTIN 12 cpr riv 875 mg + 125 mg GLAXOSMITHKLINE RR 10,72 10,66 GJ01CR02 Amoxicillina/acido clavulan026089108 AUGMENTIN 12 bust grat 875 mg + 125 mg GLAXOSMITHKLINE RR 10,72 10,66 GJ01CR02 Amoxicillina/acido clavulan 026089134 AUGMENTIN "BB" grat os sosp 140 ml GLAXOSMITHKLINE RR 15,03 14,94 GJ01CR02 Amoxicillina/acido clavulan026138204 CLAVULIN "BB" os sosp 35 ml FOURNIER PHARMA RR 3,52 3,50 GJ01CR02 Amoxicillina/acido clavulan026138216 CLAVULIN "BB" os sosp 70 ml FOURNIER PHARMA RR 7,07 7,03 GJ01CR02 Amoxicillina/acido clavulan026138230 CLAVULIN "BB" 12 bust os sosp FOURNIER PHARMA RR 7,98 7,88 XJ01CR02 Amoxicillina/acido clavulan026138139 CLAVULIN 12 cpr riv 1 g FOURNIER PHARMA RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan026138192 CLAVULIN 12 bust polv os 875 mg + 125 mg FOURNIER PHARMA RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan 026138228 CLAVULIN "BB" os sosp 140 ml FOURNIER PHARMA RR 14,53 14,44 GJ01CR02 Amoxicillina/acido clavulan036791010 HOMER 12 bust 875 mg + 125 mg SO.SE.PHARM RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036791022 HOMER 12 cpr 875 mg + 125 mg SO.SE.PHARM RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036846018 KLAVOX 12 cpr 875 mg + 125 mg D&G RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036846020 KLAVOX 12 bust 875 mg + 125 mg D&G RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036896013 KRUXADE 12 bust 875 mg + 125 mg KRUGHER RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036896025 KRUXADE 12 cpr riv 875 mg + 125 mg KRUGHER RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036847022 MONDEX 12 bust 875 mg + 125 mg S.F. GROUP RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036847010 MONDEX 12 cpr riv 875 mg + 125 mg S.F. GROUP RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan026141212 NEODUPLAMOX "BB" os sosp 70 ml PROCTER & GAMBLE RR 7,07 7,03 GJ01CR02 Amoxicillina/acido clavulan026141147 NEODUPLAMOX 12 cpr riv 1 g PROCTER & GAMBLE RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan026141198 NEODUPLAMOX 12 bust polv os 875 mg + 125 mg PROCTER & GAMBLE RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan026141224 NEODUPLAMOX BB os sosp 140 ml PROCTER & GAMBLE RR 14,53 14,44 GJ01CR02 Amoxicillina/acido clavulan036829012 XINAMOD 12 bust grat 875 mg + 125 mg PROGE FARM RR 10,10 10,04 GJ01CR02 Amoxicillina/acido clavulan036829024 XINAMOD 12 cpr riv 875 mg + 125 mg PROGE FARM RR 10,10 10,04 GJ01CR05 Piperacillina/tazobactam 028512022 TAZOBAC 1 fiala 2 g/4ml + 0,25 g/4ml + 1 55 WYETH LEDERLE RR 12,45 12,31 X XJ01CR05 Piperacillina/tazobactam 028249023 TAZOCIN 1 fiala IM EV 2 g/4ml + 0,25 g/4 55 WYETH LEDERLE RR 12,45 12,31 X XJ01DB01 Cefalexina 032411023 CEFALEXINA 8 cps 500 mg OFF RR 3,03 3,01 GJ01DB01 Cefalexina 032411035 CEFALEXINA scir 100 ml 5% OFF RR 4,25 4,22 GJ01DB01 Cefalexina 022086045 CEPOREX 8 cps 500 mg GLAXOSMITHKLINE RR 3,59 3,57 GJ01DB01 Cefalexina 022086110 CEPOREX 8 cpr riv 1 g GLAXOSMITHKLINE RR 7,07 6,99 XJ01DB01 Cefalexina 022085056 KEFORAL 8 cpr 500 mg EG RR 3,59 3,57 GJ01DB01 Cefalexina 022085068 KEFORAL grat os sosp 100 ml 5% EG RR 4,46 4,43 GJ01DB01 Cefalexina 022085082 KEFORAL 8 cpr 1 g EG RR 7,07 6,99 XJ01DB01 Cefalexina 023867031 LAFARIN 8 cpr 1 g LA.FA.RE. RR 7,07 6,99 XJ01DB01 Cefalexina 023867043 LAFARIN os sosp 100 ml 10% LA.FA.RE. RR 8,27 8,17 XJ01DB03 Cefalotina 033356015 CEFALOTINA SODICA 1 fiala 1 g + 1 fiala solv BIOPHARMA RR 3,13 3,11 GJ01DB03 Cefalotina 031412012 CEFALOTINA SODICA 1 fiala 1 g + 1 fiala solv 4 ml FISIOPHARMA RR 3,72 3,70 GJ01DB03 Cefalotina 032412013 CEFALOTINA SODICA 1 fiala 1 g + 1 fiala solv 4 ml OFF RR 3,72 3,70 GJ01DB04 Cefazolina 023873033 ACEF 1 flaconcino IM 1 g + 1 fiala solv 4 ml K.G. RR 1,89 1,88 GJ01DB04 Cefazolina 024131031 CEFABIOZIM 1 fiala IM 1 g + 1 fiala solv 4 ml IPA RR 3,05 3,03 GJ01DB04 Cefazolina 022662098 CEFAMEZIN 1 fiala IM 250 mg + 1 fiala solv 2 ml PFIZER ITALIA RR 1,55 1,54J01DB04 Cefazolina 022662011 CEFAMEZIN 1 fiala IM 1 g + 1 fiala solv 4 ml PFIZER ITALIA RR 3,88 3,86 GJ01DB04 Cefazolina 023916051 CEFAZIL 1 fiala IM 1 g + 1 fiala solv 4 ml ITALFARMACO RR 3,88 3,86 G

48

Page 49: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

J01DB04 Cefazolina 023827088 CEFAZOLINA 1 fiala IM 500 mg + 1 fiala solv 3 ml DOROM RR 1,77 1,76 GJ01DB04 Cefazolina 033692017 CEFAZOLINA 1 fiala IM 1 g + 1 fiala solv 4 ml ACS DOBFAR RR 1,89 1,88 GJ01DB04 Cefazolina 023827090 CEFAZOLINA 1 fiala IM 1 g + 1 fiala solv 4 ml DOROM RR 1,89 1,88 GJ01DB04 Cefazolina 034414019 CEFAZOLINA 1 fiala IM 1 g + 1 fiala solv 4 ml FRANCIA RR 1,89 1,88 GJ01DB04 Cefazolina 033274010 CEFAZOLINA 1 fiala IM 1 g + 1 fiala solv 4 ml MERCK GENERICS RR 1,89 1,88 GJ01DB04 Cefazolina 033575010 CEFAZOLINA 1 fiala IM 1 g + 1 fiala solv 4 ml PLIVA RR 1,89 1,88 GJ01DB04 Cefazolina 023853031 CEFAZOLINA 1 fiala IM 1 g + 1 fiala solv 4 ml TEVA RR 1,89 1,88 GJ01DB04 Cefazolina 032789012 CEFAZOLINA 1 fiala IM 1 g + 1 fiala solv 4 ml UNION HEALTH RR 1,89 1,88 GJ01DB04 Cefazolina 033436015 CEFAZOLINA 1 fiala IM 1 g + 1 fiala solv 4 ml BIOPROGRESS RR 3,05 3,03 GJ01DB04 Cefazolina 033444047 CEFAZOLINA 1 fiala IM 1 g + 1 fiala solv 4 ml K24 RR 3,05 3,03 GJ01DB04 Cefazolina 023726033 CROMEZIN 1 fiala IM 1 g + 1 fiala solv 4 ml SO.SE.PHARM RR 3,05 3,03 GJ01DB04 Cefazolina 033123011 NEFAZOL 1 fiala IM 1 g + 1 fiala solv 4 ml NEW RESEARCH RR 1,89 1,88 GJ01DB04 Cefazolina 023783057 RECEF 1 fiala IM 1 g + 1 fiala solv 4 ml FARMA 1 RR 3,05 3,03 GJ01DB04 Cefazolina 024127019 SICEF 1 fiala IM 1 g + 1 fiala solv 4 ml BENEDETTI RR 1,89 1,88 GJ01DB04 Cefazolina 022810129 TOTACEF 1 fiala IM 1 g + 1 fiala solv 4 ml BRISTOL RR 1,89 1,88 GJ01DB04 Cefazolina 022810055 TOTACEF 1 fiala EV 1 g + 1 fiala solv 10 ml BRISTOL RR 3,77 3,75 GJ01DB05 Cefadroxil 025451081 CEFADRIL grat os sosp 100 ml 5% AGIPS RR 6,63 6,59 GJ01DB05 Cefadroxil 025451055 CEFADRIL 8 cpr div 1 g AGIPS RR 9,05 9,00 GJ01DB05 Cefadroxil 025511027 ORADROXIL 8 cpr 1 g LAMPUGNANI RR 9,05 9,00 GJ01DB07 Cefatrizina 025789013 FARETRIZIN 8 cps 500 mg LA.FA.RE. RR 7,32 7,28 GJ01DB07 Cefatrizina 025789025 FARETRIZIN grat os sosp 100 ml 5% LA.FA.RE. RR 9,28 9,22 GJ01DB07 Cefatrizina 025775040 IPATRIZINA os sosp 100 ml 5% IPA RR 9,23 9,17 GJ01DB07 Cefatrizina 025759022 KETRIZIN 8 cpr 500 mg ESSETI RR 6,96 6,92 GJ01DB07 Cefatrizina 025759034 KETRIZIN grat 60 g 10% ESSETI RR 10,10 10,04 GJ01DB07 Cefatrizina 024734016 TRIZINA 8 cps 500 mg FRANCIA RR 7,32 7,28 GJ01DB07 Cefatrizina 024734028 TRIZINA grat os sosp 100 ml 5% FRANCIA RR 9,23 9,17 GJ01DB09 Cefradina 024137034 ECOSPORINA 8 cpr 1 g ECOBI RR 6,80 6,72 XJ01DB09 Cefradina 023915111 LISACEF 8 cpr 1 g LISAPHARMA RR 6,80 6,72 XJ01DB12 Ceftezolo 025336025 ALOMEN 1 fiala IM 1 g + 1 fiala solv 3 ml 55 PLIVA RR 4,66 4,63J01DC01 Cefoxitina 025507017 CEFOCICLIN 1 fiala IM 1 g + 1 fiala solv 2 ml 55 FRANCIA RR 4,80 4,77J01DC01 Cefoxitina 024027017 MEFOXIN 1 fiala IM 1 g + 1 fiala solv 2 ml 55 VISUFARMA RR 4,95 4,92J01DC02 Cefuroxima 024330045 CEFURIN 1 fiala IM 1 g + 1 fiala solv 4 ml 55 MAGIS RR 3,71 3,69 GJ01DC02 Cefuroxima 023576022 CUROXIM 1 fiala IM 500 mg + 1 fiala solv 55 GLAXOSMITHKLINE RR 2,32 2,31J01DC02 Cefuroxima 023576010 CUROXIM 1 fiala IM 250 mg + 1 fiala solv 55 GLAXOSMITHKLINE RR 1,03 1,02J01DC02 Cefuroxima 023576046 CUROXIM 1 fiala IM 1 g + 1 fiala solv 4 ml 55 GLAXOSMITHKLINE RR 4,20 4,17 GJ01DC02 Cefuroxima 024344020 DUXIMA 1 fiala IM 1 g + 1 fiala solv 4 ml 55 ECOBI RR 4,09 4,07 GJ01DC02 Cefuroxima 024105013 ITOREX 1 fiala IM 1 g + 1 fiala solv 4 ml 55 PHARMA ITALIA RR 3,71 3,69 GJ01DC02 Cefuroxima 024136044 KESINT 1 fiala IM 1 g + 1 fiala solv 4 ml 55 COPERNICO RR 3,71 3,69 GJ01DC02 Cefuroxima 024311045 LAFUREX 1 fiala IM 1 g + 1 fiala solv 4 ml 55 LA.FA.RE. RR 3,71 3,69 GJ01DC02 Cefuroxima 027002031 ORAXIM 6 cpr riv 500 mg MALESCI RR 13,22 13,06 XJ01DC02 Cefuroxima 027002043 ORAXIM grat os sosp 100 ml 125 mg/5 ml MALESCI RR 13,78 13,62 XJ01DC02 Cefuroxima 027002070 ORAXIM grat os sosp 50 ml 250 mg/5 ml MALESCI RR 13,78 13,62 XJ01DC02 Cefuroxima 027002029 ORAXIM 12 cpr riv 250 mg MALESCI RR 15,78 15,60 XJ01DC02 Cefuroxima 027002056 ORAXIM 12 bust grat 250 mg MALESCI RR 15,78 15,60 XJ01DC02 Cefuroxima 024339020 SUPERO 1 fiala IM 1 g + 1 fiala solv 4 ml 55 LIFEPHARMA RR 4,20 4,17 GJ01DC02 Cefuroxima 027020039 TILEXIM 6 cpr riv 500 mg CABER RR 13,22 13,06 XJ01DC02 Cefuroxima 027020066 TILEXIM grat os sosp 50 ml 250 mg/5 ml CABER RR 13,78 13,62 XJ01DC02 Cefuroxima 027020027 TILEXIM 12 cpr riv 250 mg CABER RR 15,78 15,60 XJ01DC02 Cefuroxima 026915037 ZINNAT 6 cpr riv 500 mg GLAXOSMITHKLINE RR 13,22 13,06 XJ01DC02 Cefuroxima 026915049 ZINNAT grat os sosp 100 ml 125 mg/5 ml GLAXOSMITHKLINE RR 13,78 13,62 XJ01DC02 Cefuroxima 026915076 ZINNAT grat os sosp 50 ml 250 mg/5 ml GLAXOSMITHKLINE RR 13,78 13,62 XJ01DC02 Cefuroxima 026915025 ZINNAT 12 cpr riv 250 mg GLAXOSMITHKLINE RR 15,78 15,60 XJ01DC02 Cefuroxima 026915052 ZINNAT 12 bust grat 250 mg GLAXOSMITHKLINE RR 15,78 15,60 X

49

Page 50: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

J01DC02 Cefuroxima 033896046 ZINOCEP 1 fiala IM 1 g + 1 fiala solv 4 ml 55 GLAXO ALLEN RR 4,20 4,17 GJ01DC02 Cefuroxima 026917031 ZOREF 6 cpr riv 500 mg GLAXO ALLEN RR 13,22 13,06 XJ01DC02 Cefuroxima 026917043 ZOREF grat os sosp 100 ml 125 mg/5 ml GLAXO ALLEN RR 13,78 13,62 XJ01DC02 Cefuroxima 026917070 ZOREF grat os sosp 50 ml 250 mg/5 ml GLAXO ALLEN RR 13,78 13,62 XJ01DC02 Cefuroxima 026917029 ZOREF 12 cpr riv 250 mg GLAXO ALLEN RR 15,78 15,60 XJ01DC03 Cefamandolo 024294011 CEFAM 1 fiala IM EV 1 g + 1 fiala solv 3 55 MAGIS RR 4,15 4,13 GJ01DC03 Cefamandolo 024365037 MANCEF 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 LA.FA.RE. RR 4,15 4,13 GJ01DC03 Cefamandolo 024286015 MANDOKEF 1 fiala IM 1 g + 1 fiala solv 4 ml 55 ELI LILLY RR 4,28 4,25 GJ01DC04 Cefacloro 034687032 ALTACLOR 6 cpr 750 mg rilascio modificato C.T. LABORATORIO FARMACEUTICO RR 11,06 10,99 GJ01DC04 Cefacloro 034616021 BACTICEF 8 cps 500 mg MITIM RR 6,29 6,25 GJ01DC04 Cefacloro 034616019 BACTICEF grat os sosp 100 ml 250 mg/5 ml MITIM RR 7,68 7,63 GJ01DC04 Cefacloro 034619027 BACTIGRAM 8 cps 500 mg MAGIS RR 6,29 6,25 GJ01DC04 Cefacloro 034619015 BACTIGRAM grat os sosp 100 ml 250 mg/5 ml MAGIS RR 7,68 7,63 GJ01DC04 Cefacloro 034619039 BACTIGRAM 6 cpr 750 mg rilascio modificato MAGIS RR 11,06 10,99 GJ01DC04 Cefacloro 034287021 CEFACLOR 8 cps 500 mg DOC GENERICI RR 6,29 6,25 GJ01DC04 Cefacloro 034597017 CEFACLOR 8 cps 500 mg MERCK GENERICS RR 6,29 6,25 GJ01DC04 Cefacloro 033508019 CEFACLOR 8 cps 500 mg SANDOZ RR 6,29 6,25 GJ01DC04 Cefacloro 034636011 CEFACLOR 8 cps 500 mg K24 RR 6,41 6,37 GJ01DC04 Cefacloro 035361029 CEFACLOR grat os sosp 100 ml 250 mg/5 ml ABC RR 7,68 7,63 GJ01DC04 Cefacloro 034287045 CEFACLOR grat os sosp 100 ml 250 mg/5 ml DOC GENERICI RR 7,68 7,63 GJ01DC04 Cefacloro 033648039 CEFACLOR grat os sosp 100 ml 250 mg/5 ml EG RR 7,68 7,63 GJ01DC04 Cefacloro 034597029 CEFACLOR grat os sosp 100 ml 250 mg/5 ml MERCK GENERICS RR 7,68 7,63 GJ01DC04 Cefacloro 034844023 CEFACLOR grat os sosp 100 ml 250 mg/5 ml PLIVA RR 7,68 7,63 GJ01DC04 Cefacloro 033710031 CEFACLOR grat os sosp 100 ml 250 mg/5 ml RATIOPHARM GMBH RR 7,68 7,63 GJ01DC04 Cefacloro 033508021 CEFACLOR grat os sosp 100 ml 250 mg/5 ml SANDOZ RR 7,68 7,63 GJ01DC04 Cefacloro 034636023 CEFACLOR grat os sosp 100 ml 250 mg/5 ml K24 RR 7,81 7,76 GJ01DC04 Cefacloro 034626010 CEFULTON 8 cps 500 mg FULTON RR 7,59 7,54 GJ01DC04 Cefacloro 034626022 CEFULTON grat os sosp 100 ml 250 mg/5 ml FULTON RR 9,19 9,13 GJ01DC04 Cefacloro 031903026 CLORAD 8 cps 500 mg ACS DOBFAR RR 6,29 6,25 GJ01DC04 Cefacloro 031903040 CLORAD grat os sosp 100 ml 250 mg/5 ml ACS DOBFAR RR 7,68 7,63 GJ01DC04 Cefacloro 028678035 CLORAZER 6 cpr 750 mg rilascio modificato ACS DOBFAR RR 11,06 10,99 GJ01DC04 Cefacloro 034480018 DORF 8 cps 500 mg I.BIR.N RR 6,29 6,25 GJ01DC04 Cefacloro 034480020 DORF grat os sosp 100 ml 250 mg/5 ml I.BIR.N RR 7,68 7,63 GJ01DC04 Cefacloro 034610042 GENICLOR 6 cpr 750 mg rilascio modificato BONISCONTRO & GAZZONE RR 11,06 10,99 GJ01DC04 Cefacloro 033083039 KLIACEF 8 cpr solub 500 mg SO.SE.PHARM RR 6,29 6,25 GJ01DC04 Cefacloro 033083027 KLIACEF grat os sosp 100 ml 250 mg/5 ml SO.SE.PHARM RR 7,68 7,63 GJ01DC04 Cefacloro 034481010 LAFARCLOR 8 cps 500 mg LA.FA.RE. RR 6,29 6,25 GJ01DC04 Cefacloro 034481022 LAFARCLOR grat os sosp 100 ml 250 mg/5 ml LA.FA.RE. RR 7,68 7,63 GJ01DC04 Cefacloro 033114036 MACOVAN grat os sosp 100 ml 250 mg/5 ml DEPO FARMA RR 7,68 7,63 GJ01DC04 Cefacloro 033114048 MACOVAN 6 cpr 750 mg rilascio modificato DEPO FARMA RR 11,06 10,99 GJ01DC04 Cefacloro 034514024 NECLORAL grat os sosp 100 ml 250 mg/5 ml NEW RESEARCH RR 7,68 7,63 GJ01DC04 Cefacloro 034514036 NECLORAL 6 cpr 750 mg rilascio modificato NEW RESEARCH RR 11,06 10,99 G

J01DC04 Cefacloro 034874026 OMASPIRgrat os sosp 100 ml 250 mg/5 ml D.M.G. ITALIA RR 7,68 7,63 G

J01DC04 Cefacloro 034267029 ORALCEF grat os sosp 100 ml 250 mg/5 ml GEYMONAT RR 9,05 9,00 GJ01DC04 Cefacloro 024227047 PANACEF grat gtt os 20 ml 50 mg/ml VALEAS RR 2,71 2,69 GJ01DC04 Cefacloro 024227023 PANACEF 8 cps 500 mg VALEAS RR 7,64 7,59 GJ01DC04 Cefacloro 024227136 PANACEF 12 bust grat 375 mg VALEAS RR 8,63 8,53 XJ01DC04 Cefacloro 024227050 PANACEF grat os sosp 100 ml 250 mg/5 ml VALEAS RR 9,05 9,00 GJ01DC04 Cefacloro 024227098 PANACEF 6 cpr 750 mg rilascio modificato VALEAS RR 11,06 10,99 GJ01DC04 Cefacloro 034504023 PERFORMER grat os sosp 100 ml 250 mg/5 ml VECCHI & PIAM RR 7,68 7,63 GJ01DC04 Cefacloro 034504035 PERFORMER 6 cpr 750 mg rilascio modificato VECCHI & PIAM RR 11,06 10,99 GJ01DC04 Cefacloro 034652014 SELVICLOR 6 cpr 750 mg rilascio modificato S.F. GROUP RR 11,06 10,99 G

50

Page 51: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

J01DC04 Cefacloro 034608012 TAKECEF 8 cps 500 mg SOFAR RR 6,29 6,25 GJ01DC04 Cefacloro 034608024 TAKECEF grat os sosp 100 ml 250 ml/5 ml SOFAR RR 7,81 7,76 GJ01DC04 Cefacloro 032986034 TIBIFOR grat os sosp 100 ml 250 mg/5 ml LISAPHARMA RR 7,68 7,63 GJ01DC04 Cefacloro 032986046 TIBIFOR 6 cpr 750 mg rilascio modificato LISAPHARMA RR 11,06 10,99 GJ01DC04 Cefacloro 034587028 VALECLOR grat os sosp 100 ml 250 mg/5 ml FRANCIA RR 7,68 7,63 GJ01DC06 Cefonicid 033766027 BIOTICIC 1 flaconcino IM 1 g + 1 fiala sol 55 P.S. PHARMA RR 2,89 2,87 GJ01DC06 Cefonicid 033092014 CEFOBACTER 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 AGIPS RR 3,25 3,23 GJ01DC06 Cefonicid 025418144 CEFODIE 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 CRISTALFARMA RR 2,80 2,78 GJ01DC06 Cefonicid 025418132 CEFODIE 1 fiala IM 500 mg + 1 fiala solv 55 CRISTALFARMA RR 4,20 4,17 GJ01DC06 Cefonicid 035235023 CEFONICID 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 ABC RR 2,80 2,78 GJ01DC06 Cefonicid 033347016 CEFONICID 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 COPERNICO RR 2,80 2,78 GJ01DC06 Cefonicid 035012020 CEFONICID 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 DOC GENERICI RR 2,80 2,78 GJ01DC06 Cefonicid 033668029 CEFONICID 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 DOROM RR 2,80 2,78 GJ01DC06 Cefonicid 033576024 CEFONICID 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 EG RR 2,80 2,78 GJ01DC06 Cefonicid 033270012 CEFONICID 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 FARMACEUTICI T.S. RR 2,80 2,78 GJ01DC06 Cefonicid 033044025 CEFONICID "1000" 1 flaconcino IM 1 g + 1 f 55 I.B.I. LORENZINI RR 2,80 2,78 GJ01DC06 Cefonicid 033434046 CEFONICID 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 K24 RR 2,80 2,78 GJ01DC06 Cefonicid 034805010 CEFONICID 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 MERCK GENERICS RR 2,80 2,78 GJ01DC06 Cefonicid 033031028 CEFONICID 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 PANTAFARM RR 2,80 2,78 GJ01DC06 Cefonicid 034655011 CEFONICID 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 PLIVA RR 2,80 2,78 GJ01DC06 Cefonicid 033733027 CEFONICID 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 RATIOPHARM GMBH RR 2,80 2,78 GJ01DC06 Cefonicid 031817024 CEFONICID 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 SANDOZ RR 2,80 2,78 GJ01DC06 Cefonicid 033051018 CEFONICID 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 TEVA RR 2,80 2,78 GJ01DC06 Cefonicid 034805022 CEFONICID 1 fiala IM 500 mg + 1 fiala solv 55 MERCK GENERICS RR 2,89 2,87 GJ01DC06 Cefonicid 033031016 CEFONICID 1 fiala IM 500 mg + 1 fiala solv 55 PANTAFARM RR 2,89 2,87 GJ01DC06 Cefonicid 032161010 CEFOPLUS 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 AESCULAPIUS RR 2,80 2,78 GJ01DC06 Cefonicid 032161022 CEFOPLUS 1 fiala IM 500 mg + 1 fiala solv 55 AESCULAPIUS RR 2,89 2,87 GJ01DC06 Cefonicid 031832025 CHEFIR 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 DRUG RESEARCH RR 4,28 4,25 GJ01DC06 Cefonicid 031832013 CHEFIR 1 fiala IM 500 mg + 1 fiala solv 55 DRUG RESEARCH RR 4,55 4,52 GJ01DC06 Cefonicid 034456018 DAYCEF 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 SARDA RR 2,80 2,78 GJ01DC06 Cefonicid 032162012 EMIDOXIN 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 MAGIS RR 2,80 2,78 GJ01DC06 Cefonicid 029412020 FONICID 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 LA.FA.RE. RR 2,80 2,78 GJ01DC06 Cefonicid 029412018 FONICID 1 fiala IM 500 mg + 1 fiala solv 55 LA.FA.RE. RR 2,89 2,87 GJ01DC06 Cefonicid 031970015 IPACID 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 IPA RR 3,25 3,23 GJ01DC06 Cefonicid 032925012 KRUCEF 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 KRUGHER RR 2,80 2,78 GJ01DC06 Cefonicid 031831023 LISA 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 LISAPHARMA RR 2,87 2,85 GJ01DC06 Cefonicid 031831011 LISA 1 fiala IM 500 mg + 1 fiala solv 55 LISAPHARMA RR 2,89 2,87 GJ01DC06 Cefonicid 033084017 MAXID 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 SO.SE.PHARM RR 2,80 2,78 GJ01DC06 Cefonicid 031826023 MODIEM 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 VECCHI & PIAM RR 2,80 2,78 GJ01DC06 Cefonicid 031812023 MONOBIOS "1000" 1 fiala IM 1 g + 1 fiala so 55 C.T. LABORATORIO FARMACEUTICO RR 2,80 2,78 GJ01DC06 Cefonicid 032894014 MONOBIOTIC 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 ECOBI RR 2,80 2,78 GJ01DC06 Cefonicid 033188018 NECID 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 NEW RESEARCH RR 2,84 2,82 GJ01DC06 Cefonicid 033021027 NOKID 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 TAD PHARMA RR 2,80 2,78 GJ01DC06 Cefonicid 025806011 PRATICEF 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 CABER RR 2,80 2,78 GJ01DC06 Cefonicid 033196015 RAIKOCEF 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 MEDIOLANUM RR 2,80 2,78 GJ01DC06 Cefonicid 033366016 ROCID 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 MAX FARMA RR 4,28 4,25 GJ01DC06 Cefonicid 028893028 SINTOCEF 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 BONISCONTRO & GAZZONE RR 2,80 2,78 GJ01DC06 Cefonicid 033017029 SOFARCID 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 SOFAR RR 2,89 2,87 GJ01DC06 Cefonicid 033419021 VALECID 1 fiala IM 1 g + 1 fiala solv 2,5 m 55 DEPO FARMA RR 2,80 2,78 GJ01DC09 Cefmetazolo 027909050 METAFAR 1 fiala IM 0,5 g + 1 fiala solv 2 m 55 LA.FA.RE. RR 4,54 4,51J01DC09 Cefmetazolo 027909062 METAFAR 1 fiala IM 1 g + 1 fiala solv 4 ml 55 LA.FA.RE. RR 6,59 6,51 XJ01DC09 Cefmetazolo 032992024 METAX 1 fiala IM 1 g + 1 fiala solv 55 C & G RR 6,59 6,51 XJ01DC10 Cefprozil 028727028 CRONOCEF 6 cpr 500 mg VALEANT PHARMACEUTICALS RR 11,11 10,97 X

51

Page 52: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

J01DC10 Cefprozil 028727042 CRONOCEF os sosp 250 mg/5 ml VALEANT PHARMACEUTICALS RR 11,11 10,97 XJ01DC10 Cefprozil 028697023 PROCEF 6 cpr 500 mg DOMPE` RR 11,11 10,97 XJ01DC10 Cefprozil 028697047 PROCEF os sosp 250 mg/5 ml DOMPE` RR 11,11 10,97 XJ01DC10 Cefprozil 028696021 ROZICEL 6 cpr 500 mg BRISTOL RR 11,11 10,97 XJ01DC10 Cefprozil 028696045 ROZICEL os sosp 250 mg/5 ml BRISTOL RR 11,11 10,97 XJ01DD01 Cefotaxima 035228028 AXIMAD 1 fiala IM 1 g + 1 fiala solv 4 ml 55 BONISCONTRO & GAZZONE RR 5,51 5,48 GJ01DD01 Cefotaxima 035207024 BATIXIM 1 fiala IM 1 g + 1 fiala solv 4 ml 55 SO.SE.PHARM RR 5,51 5,48 GJ01DD01 Cefotaxima 035074020 CEFOMIT 1 fiala IM 1 g + 1 fiala solv 4 ml 55 MAGIS RR 5,51 5,48 GJ01DD01 Cefotaxima 035375029 CEFOTAXIMA 1 flaconcino IM 1 g + 1 fiala sol 55 ABC RR 5,51 5,48 GJ01DD01 Cefotaxima 035441017 CEFOTAXIMA 1 fiala IM 1 g + 1 fiala solv 4 ml 55 EG RR 5,51 5,48 GJ01DD01 Cefotaxima 035394028 CEFOTAXIMA 1 flaconcino IM 1 g + 1 fiala sol 55 JET GENERICI RR 5,51 5,48 GJ01DD01 Cefotaxima 035306012 CEFOTAXIMA 1 fiala IM 1 g + 1 fiala solv 4 ml 55 PANTAFARM RR 5,51 5,48 GJ01DD01 Cefotaxima 035342017 CEFOTAXIMA 1 fiala IM 1 g + 1 fiala solv 4 ml 55 PLIVA RR 5,51 5,48 GJ01DD01 Cefotaxima 035483015 CEFOTAXIMA 1 fiala IM 1 g + 1 fiala solv 4 ml 55 SANDOZ RR 5,51 5,48 GJ01DD01 Cefotaxima 035483027 CEFOTAXIMA 1 fiala IM EV 1 g + 1 fiala solv 4 55 SANDOZ RR 5,51 5,48 GJ01DD01 Cefotaxima 035600028 CEFOTAXIMA 1 fiala IM EV 1 g + 1 fiala solv 4 55 TAD PHARMA RR 5,51 5,48 GJ01DD01 Cefotaxima 035374038 CEFOTAXIMA 1 fiala IM EV 1 g + 1 fiala solv 4 55 TEVA RR 5,51 5,48 GJ01DD01 Cefotaxima 035374040 CEFOTAXIMA 1 fiala IM 1 g + 1 fiala solv 4 ml 55 TEVA RR 5,51 5,48 GJ01DD01 Cefotaxima 034994018 CEFOTAXIME 1 fiala IM EV 250 mg + 1 fiala s 55 MERCK GENERICS RR 2,09 2,08 GJ01DD01 Cefotaxima 034994020 CEFOTAXIME 1 fiala IM EV 500 mg + 1 fiala s 55 MERCK GENERICS RR 3,35 3,33 GJ01DD01 Cefotaxima 034992026 CEFOTAXIME 1 fiala IM EV 500 mg + 1 fiala s 55 MAYNE PHARMA RR 3,54 3,52 GJ01DD01 Cefotaxima 034999045 CEFOTAXIME 1 fiala IM 1 g + 1 fiala solv 4 ml 55 ACS DOBFAR RR 5,51 5,48 GJ01DD01 Cefotaxima 035118013 CEFOTAXIME 1 fiala IM 1 g + 1 fiala solv 4 ml 55 I.B.I. LORENZINI RR 5,51 5,48 GJ01DD01 Cefotaxima 035118025 CEFOTAXIME 1 fiala IM EV 1 g + 1 fiala solv 4 55 I.B.I. LORENZINI RR 5,51 5,48 GJ01DD01 Cefotaxima 035286032 CEFOTAXIME 1 fiala IM EV 1 g + 1 fiala solv 4 55 MAX FARMA RR 5,51 5,48 GJ01DD01 Cefotaxima 035286044 CEFOTAXIME 1 fiala IM 1 g + 1 fiala solv 4 ml 55 MAX FARMA RR 5,51 5,48 GJ01DD01 Cefotaxima 034992040 CEFOTAXIME 1 fiala IM 1 g + 1 fiala solv 4 ml 55 MAYNE PHARMA RR 5,51 5,48 GJ01DD01 Cefotaxima 034994032 CEFOTAXIME 1 fiala IM EV 1 g + 1 fiala solv 55 MERCK GENERICS RR 5,51 5,48 GJ01DD01 Cefotaxima 034994044 CEFOTAXIME 1 fiala IM 1 g + 1 fiala solv 4 ml 55 MERCK GENERICS RR 5,51 5,48 GJ01DD01 Cefotaxima 035287034 CEFOTAXIME 1 fiala IM EV 1 g + 1 fiala solv 4 55 SIGMATAU GENERICS RR 5,51 5,48 GJ01DD01 Cefotaxima 035287046 CEFOTAXIME 1 fiala IM 1 g + 1 fiala solv 4 ml 55 SIGMATAU GENERICS RR 5,51 5,48 GJ01DD01 Cefotaxima 035288048 CEFOTAXIME 1 fiala IM 1 g + 1 fiala solv 4 ml 55 VECCHI & PIAM RR 5,51 5,48 GJ01DD01 Cefotaxima 034992038 CEFOTAXIME 1 fiala IM EV 1 g + 1 fiala solv 4 55 MAYNE PHARMA RR 5,78 5,75 GJ01DD01 Cefotaxima 035276043 CENTIAX 1 fiala IM 1 g + 1 fiala solv 4 ml 55 ERREKAPPA RR 5,51 5,48 GJ01DD01 Cefotaxima 024260010 CLAFORAN 1 fiala IM EV 250 mg + 1 fiala s 55 LEPETIT RR 2,65 2,63 GJ01DD01 Cefotaxima 024260022 CLAFORAN 1 fiala IM EV 500 mg + 1 fiala 2 55 LEPETIT RR 4,43 4,40 GJ01DD01 Cefotaxima 024260034 CLAFORAN 1 fiala IM EV 1 g + 1 fiala solv 4 55 LEPETIT RR 7,24 7,20 GJ01DD01 Cefotaxima 024260046 CLAFORAN 1 fiala IM 1 g + 1 fiala 4 ml con 55 LEPETIT RR 7,24 7,20 GJ01DD01 Cefotaxima 035311012 LIRGOSIN 1 fiala IM 1 g + 1 fiala solv 4 ml 55 FIDIA RR 5,51 5,48 GJ01DD01 Cefotaxima 034962023 REFOTAX 1 fiala IM EV 500 mg + 1 fiala s 55 FARMA 1 RR 3,35 3,33 GJ01DD01 Cefotaxima 034962035 REFOTAX 1 fiala IM EV 1 g + 1 fiala solv 4 55 FARMA 1 RR 5,51 5,48 GJ01DD01 Cefotaxima 034962050 REFOTAX 1 fiala IM 1 g + 1 fiala solv 4 ml 55 FARMA 1 RR 5,51 5,48 GJ01DD01 Cefotaxima 035285042 SALOCEF 1 fiala IM 1 g + 1 fiala solv 4 ml 55 NEW RESEARCH RR 5,51 5,48 GJ01DD01 Cefotaxima 035192020 SPECTROCEF 1 fiala IM 1 g + 1 fiala solv 4 ml 55 EPIFARMA RR 5,51 5,48 GJ01DD01 Cefotaxima 035289040 TAFOCEX 1 fiala IM 1 g + 1 fiala solv 4 ml 55 PLIVA RR 5,51 5,48 GJ01DD01 Cefotaxima 035068016 TAXIME 1 fiala IM EV 500 mg + 1 fiala s 55 PHARMATEX RR 3,54 3,52 GJ01DD01 Cefotaxima 035068028 TAXIME 1 fiala IM EV 1 g + 1 fiala solv 4 55 PHARMATEX RR 5,79 5,76 GJ01DD01 Cefotaxima 035068030 TAXIME 1 fiala IM 1 g + 1 fiala solv 4 ml 55 PHARMATEX RR 5,79 5,76 GJ01DD01 Cefotaxima 035888015 XAME 1 fiala IM EV 1 g + 1 fiala solv 4 55 LISAPHARMA RR 5,51 5,48 GJ01DD01 Cefotaxima 035888027 XAME 1 fiala IM 1 g + 1 fiala solv 4 ml 55 LISAPHARMA RR 5,51 5,48 GJ01DD01 Cefotaxima 024259018 ZARIVIZ 1 fiala IM EV 250 mg + 1 fiala s 55 SANOFI-AVENTIS RR 2,65 2,63 GJ01DD01 Cefotaxima 024259020 ZARIVIZ 1 fiala IM EV 500 mg + 1 fiala s 55 SANOFI-AVENTIS RR 4,43 4,40 GJ01DD01 Cefotaxima 024259032 ZARIVIZ 1 fiala IM EV 1 g + 1 fiala solv 4 55 SANOFI-AVENTIS RR 7,24 7,20 G

52

Page 53: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

J01DD01 Cefotaxima 024259044 ZARIVIZ 1 fiala IM 1 g + 1 fiala solv 4 ml 55 SANOFI-AVENTIS RR 7,24 7,20 GJ01DD01 Cefotaxima 034426015 ZIMANEL 1 fiala IM 1 g + 1 fiala solv 4 ml 55 PROGE FARM RR 5,51 5,48 GJ01DD02 Ceftazidima 036024026 CEFTAZIDIMA 1 fiala IM 500 mg + 1 fiala solv 55 DOC GENERICI RR 2,53 2,51 GJ01DD02 Ceftazidima 036023024 CEFTAZIDIMA 1 fiala IM 500 mg + 1 fiala solv 55 RANBAXY RR 2,53 2,51 GJ01DD02 Ceftazidima 036590038 CEFTAZIDIMA 1 fiala IM 1 g + 1 fiala 3 ml 55 C.T. LABORATORIO FARMACEUTICO RR 5,87 5,83 GJ01DD02 Ceftazidima 036024038 CEFTAZIDIMA 1 fiala IM 1 g + 1 fiala solv 3 ml 55 DOC GENERICI RR 5,87 5,83 GJ01DD02 Ceftazidima 036202036 CEFTAZIDIMA 1 fiala IM 1 g + 1 fiala solv 3 ml 55 EG RR 5,87 5,83 GJ01DD02 Ceftazidima 036023036 CEFTAZIDIMA 1 fiala IM 1 g + 1 fiala solv 3 ml 55 RANBAXY RR 5,87 5,83 GJ01DD02 Ceftazidima 036115020 CEFTAZIDIMA 1fiala IM 1 g + 1 fiala solv 4 ml 55 RATIOPHARM GMBH RR 5,87 5,83 GJ01DD02 Ceftazidima 036209017 CEFTAZIDIMA 1 fiala IM 1 g + 1 fiala solv 3 ml 55 SANDOZ RR 5,87 5,83 GJ01DD02 Ceftazidima 036022022 CEFTAZIDIMA 1 flacone IM 1 g + 1 fiala solven 55 TEVA RR 5,87 5,83 GJ01DD02 Ceftazidima 036012021 CEFTAZIDIMA 1 fiala IM 500 mg + 1 fiala solv 55 BIOPHARMA RR 2,53 2,51 GJ01DD02 Ceftazidima 036012033 CEFTAZIDIMA 1 flaconcino IM 1 g + 1 fiala sol 55 BIOPHARMA RR 5,87 5,83 GJ01DD02 Ceftazidima 036087031 CEFTAZIDIMA 1 fiala IM 1 g + 1 fiala solv 3 ml 55 PLIVA RR 5,87 5,83 GJ01DD02 Ceftazidima 025491034 CEFTIM 1 fiala IM 1 g + 1 fiala solv 3 ml 55 GLAXO ALLEN RR 5,87 5,83 GJ01DD02 Ceftazidima 036490023 ETAZIM 1 fiala IM 1 g + 1 fiala solv 3 ml 55 BENEDETTI RR 5,87 5,83 GJ01DD02 Ceftazidima 036568032 FRIBAT 1 fiala IM 1 g + 1 fiala 3 ml 55 EPIFARMA RR 5,87 5,83 GJ01DD02 Ceftazidima 025212022 GLAZIDIM 1 fiala IM 500 mg + 1 fiala solv 55 GLAXOSMITHKLINE RR 2,82 2,80 GJ01DD02 Ceftazidima 025212010 GLAZIDIM 1 fiala IM 250 mg + 1 fiala solv 55 GLAXOSMITHKLINE RR 3,55 3,53J01DD02 Ceftazidima 025212034 GLAZIDIM 1 fiala IM 1 g + 1 fiala solv 3 ml 55 GLAXOSMITHKLINE RR 6,52 6,48 GJ01DD02 Ceftazidima 036545022 LIOTIXIL 1 fiala IM 500 mg + 1 fiala solv 55 BONISCONTRO & GAZZONE RR 2,53 2,51 GJ01DD02 Ceftazidima 036545010 LIOTIXIL 1 fiala IM 1 g + 1 fiala solv 1,5 m 55 BONISCONTRO & GAZZONE RR 5,87 5,83 GJ01DD02 Ceftazidima 025211032 PANZID 1 fiala IM 1 g + 1 fiala solv 3 ml 55 VALDA RR 5,87 5,83 GJ01DD02 Ceftazidima 025222023 SPECTRUM 1 fiala IM 500 mg + 1 fiala solv 55 SIGMATAU RR 2,53 2,51 GJ01DD02 Ceftazidima 025222011 SPECTRUM 1 fiala IM 250 mg + 1 fiala solv 55 SIGMATAU RR 3,55 3,53J01DD02 Ceftazidima 025222035 SPECTRUM 1 fiala IM 1 g + 1 fiala solv 3 ml 55 SIGMATAU RR 5,87 5,83 GJ01DD02 Ceftazidima 025859024 STARCEF 1 fiala IM 500 mg + 1 fiala solv 55 F.I.R.M.A. RR 2,53 2,51 GJ01DD02 Ceftazidima 025859036 STARCEF 1 fiala IM 1 g + 1 fiala solv 3 ml 55 F.I.R.M.A. RR 5,87 5,83 GJ01DD02 Ceftazidima 036495024 TAZIDIF 1 flaconcino IM 1 g + 1 fiala sol 55 SPECIAL PRODUCT'S LINE SpA RR 5,87 5,83 GJ01DD02 Ceftazidima 036501017 TOTTIZIM 1 fiala IM 500 mg + 1 fiala solv 55 SO.SE.PHARM. RR 2,53 2,51 GJ01DD02 Ceftazidima 036501029 TOTTIZIM 1 fiala IM 1 g + 1 fiala solv 3 ml 55 SO.SE.PHARM. RR 5,87 5,83 GJ01DD02 Ceftazidima 036604039 CEFTAZIDIMA 1 fiala IM 500 mg + 1 fiala solv 55 MERCK GENERICS RR 2,53 2,51 GJ01DD02 Ceftazidima 036087029 CEFTAZIDIMA 1 fiala IM 500 mg + 1 fiala solv 55 PLIVA RR 2,53 2,51 GJ01DD02 Ceftazidima 036546024 CEFTAZIDIMA 1 fiala IM 1 g + 1 fiala solv 3 ml 55 ALTER RR 5,87 5,83 GJ01DD02 Ceftazidima 036604027 CEFTAZIDIMA 1 fiala IM 1 g + 1 fiala solv 3 ml 55 MERCK GENERICS RR 5,87 5,83 GJ01DD02 Ceftazidima 036460020 DIZATEC 1 fiala IM 1 g + 1 fiala solv 3 ml 55 GENETIC RR 5,87 5,83 GJ01DD04 Ceftriaxone 035837032 AXOBAT 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 LISAPHARMA RR 5,96 5,92 GJ01DD04 Ceftriaxone 035958026 BIXON 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 BIORES RR 5,96 5,92 GJ01DD04 Ceftriaxone 036101020 CEFRAG 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 MAGIS RR 5,96 5,92 GJ01DD04 Ceftriaxone 035924024 CEFTRIAXONE 1 fiala IM 250 mg + 1 fiala solv 55 ABC RR 2,06 2,05 GJ01DD04 Ceftriaxone 035939014 CEFTRIAXONE 1 fiala IM 250 mg + 1 fiala solv 55 TEVA RR 2,06 2,05 GJ01DD04 Ceftriaxone 035924036 CEFTRIAXONE 1 fiala IM 500 mg + 1 fiala solv 55 ABC RR 3,61 3,59 GJ01DD04 Ceftriaxone 035669023 CEFTRIAXONE 1 fiala IM 500 mg + 1 fiala solv 55 ACS DOBFAR RR 3,61 3,59 GJ01DD04 Ceftriaxone 035814019 CEFTRIAXONE 1 fiala IM 500 mg + 1 fiala solv 55 BIOPHARMA RR 3,61 3,59 GJ01DD04 Ceftriaxone 035807015 CEFTRIAXONE 1 fiala IM 500 mg + 1 fiala solv 55 DOC GENERICI RR 3,61 3,59 GJ01DD04 Ceftriaxone 035869027 CEFTRIAXONE 1 fiala IM 500 mg + 1 fiala solv 55 EG RR 3,61 3,59 GJ01DD04 Ceftriaxone 035868025 CEFTRIAXONE 1 fiala IM 500 mg + 1 fiala solv 55 HEXAL RR 3,61 3,59 GJ01DD04 Ceftriaxone 035878026 CEFTRIAXONE 1 fiala IM 500 mg + 1 fiala solv 55 MERCK GENERICS RR 3,61 3,59 GJ01DD04 Ceftriaxone 036153017 CEFTRIAXONE 1 fiala IM 500 mg + 1 fiala solv 55 PLIVA RR 3,61 3,59 GJ01DD04 Ceftriaxone 035802026 CEFTRIAXONE 1 fiala IM 500 mg + 1 fiala solv 55 RATIOPHARM GMBH RR 3,61 3,59 GJ01DD04 Ceftriaxone 035902028 CEFTRIAXONE 1 fiala IM 500 mg + 1 fiala solv 55 SANDOZ RR 3,61 3,59 GJ01DD04 Ceftriaxone 035939026 CEFTRIAXONE 1 fiala IM 500 mg + 1 fiala solv 55 TEVA RR 3,61 3,59 GJ01DD04 Ceftriaxone 035800010 CEFTRIAXONE 1 fiala IM 500 mg + 1 fiala solv 55 DOC GENERICI RR 3,61 3,59 G

53

Page 54: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

J01DD04 Ceftriaxone 035887025 CEFTRIAXONE 1 fiala IM 500 mg + 1 fiala solv 55 WINTHROP RR 3,61 3,59 GJ01DD04 Ceftriaxone 035924048 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 ABC RR 5,96 5,92 GJ01DD04 Ceftriaxone 035669035 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 ACS DOBFAR RR 5,96 5,92 GJ01DD04 Ceftriaxone 035905013 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 ALLEN RR 5,96 5,92 GJ01DD04 Ceftriaxone 036021032 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 ALTER RR 5,96 5,92 GJ01DD04 Ceftriaxone 036095014 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 ANGENERICO RR 5,96 5,92 GJ01DD04 Ceftriaxone 035814021 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 BIOPHARMA RR 5,96 5,92 GJ01DD04 Ceftriaxone 035807027 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 DOC GENERICI RR 5,96 5,92 GJ01DD04 Ceftriaxone 035869039 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 EG RR 5,96 5,92 GJ01DD04 Ceftriaxone 036098022 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 FARMA 1 RR 5,96 5,92 GJ01DD04 Ceftriaxone 035868037 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 HEXAL RR 5,96 5,92 GJ01DD04 Ceftriaxone 035801036 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 I.B.N. SAVIO RR 5,96 5,92 GJ01DD04 Ceftriaxone 035921028 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 JET GENERICI RR 5,96 5,92 GJ01DD04 Ceftriaxone 035878038 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 MERCK GENERICS RR 5,96 5,92 GJ01DD04 Ceftriaxone 036153029 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 PLIVA RR 5,96 5,92 GJ01DD04 Ceftriaxone 035802038 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 RATIOPHARM GMBH RR 5,96 5,92 GJ01DD04 Ceftriaxone 035902030 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 SANDOZ RR 5,96 5,92 GJ01DD04 Ceftriaxone 036099012 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 SIGMATAU GENERICS RR 5,96 5,92 GJ01DD04 Ceftriaxone 035939038 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 TEVA RR 5,96 5,92 GJ01DD04 Ceftriaxone 036144018 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 VECCHI & PIAM RR 5,96 5,92 GJ01DD04 Ceftriaxone 035800034 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 DOC GENERICI RR 5,96 5,92 GJ01DD04 Ceftriaxone 036138028 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 TAD PHARMA RR 5,96 5,92 GJ01DD04 Ceftriaxone 035887037 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 WINTHROP RR 5,96 5,92 GJ01DD04 Ceftriaxone 036065035 CEFTRIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 ALMUS RR 5,96 5,92 GJ01DD04 Ceftriaxone 035816014 DAVIXON 1 fiala IM 500 mg + 1 fiala solv 55 NEW RESEARCH RR 3,61 3,59 GJ01DD04 Ceftriaxone 035816040 DAVIXON 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 NEW RESEARCH RR 5,96 5,92 GJ01DD04 Ceftriaxone 036093033 DAYTRIX 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 C.T. LABORATORIO FARMACEUTICO RR 5,96 5,92 GJ01DD04 Ceftriaxone 035917018 DEIXIM 1 fiala IM 500 mg + 1 fiala solv 55 PLIVA RR 3,61 3,59 GJ01DD04 Ceftriaxone 035917020 DEIXIM 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 PLIVA RR 5,96 5,92 GJ01DD04 Ceftriaxone 036314019 DIAXONE 1 fiala IM 500 mg + 1 fiala solv 55 EURO-PHARMA RR 3,61 3,59 GJ01DD04 Ceftriaxone 036314021 DIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 EURO-PHARMA RR 5,96 5,92 GJ01DD04 Ceftriaxone 036102010 EFTRY 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 KRUGHER RR 5,96 5,92 GJ01DD04 Ceftriaxone 035867023 FIDATO 1 fiala IM 500 mg + 1 fiala solv 55 FIDIA RR 3,61 3,59 GJ01DD04 Ceftriaxone 035867035 FIDATO 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 FIDIA RR 5,96 5,92 GJ01DD04 Ceftriaxone 035866033 FRINEG 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 EPIFARMA RR 5,96 5,92 GJ01DD04 Ceftriaxone 036154019 ILIAXONE 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 VEG RR 5,96 5,92 GJ01DD04 Ceftriaxone 035964030 KAPPACEF 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 ERREKAPPA RR 5,96 5,92 GJ01DD04 Ceftriaxone 035965033 KOCEFAN 1 flacone IM 1 g + 1 fiala solv 3 55 MEDIOLANUM RR 5,96 5,92 GJ01DD04 Ceftriaxone 035881010 MONOXAR 1 fiala IM 500 mg + 1 fiala solv 55 PROGE FARM RR 3,61 3,59 GJ01DD04 Ceftriaxone 035881022 MONOXAR 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 PROGE FARM RR 5,96 5,92 GJ01DD04 Ceftriaxone 036516021 NECOBAT 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 PLIVA RR 5,96 5,92 GJ01DD04 Ceftriaxone 035925027 NILSON 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 PANTAFARM RR 5,96 5,92 GJ01DD04 Ceftriaxone 036015030 PANATRIX 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 BONISCONTRO & GAZZONE RR 5,96 5,92 GJ01DD04 Ceftriaxone 035952011 PANTOXON 1 fiala IM 500 mg + 1 fiala solv 55 AESCULAPIUS RR 3,61 3,59 GJ01DD04 Ceftriaxone 035952023 PANTOXON 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 AESCULAPIUS RR 5,96 5,92 GJ01DD04 Ceftriaxone 035927021 RAGEX 1 fiala IM 500 mg + 1 fiala solv 55 AGIPS RR 3,61 3,59 GJ01DD04 Ceftriaxone 035927033 RAGEX 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 AGIPS RR 5,96 5,92 GJ01DD04 Ceftriaxone 025202019 ROCEFIN 1 fiala IM 250 mg + 1 fiala solv 55 ROCHE RR 2,06 2,05 GJ01DD04 Ceftriaxone 025202033 ROCEFIN 1 fiala IM 500 mg + 1 fiala solv 55 ROCHE RR 4,03 4,01 GJ01DD04 Ceftriaxone 025202058 ROCEFIN 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 ROCHE RR 6,94 6,90 GJ01DD04 Ceftriaxone 035922032 SETRIOX 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 S.F. GROUP RR 5,96 5,92 GJ01DD04 Ceftriaxone 035815012 SIRTAP 1 fiala IM 500 mg + 1 fiala solv 55 SO.SE.PHARM. RR 3,61 3,59 GJ01DD04 Ceftriaxone 035815024 SIRTAP 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 SO.SE.PHARM. RR 5,96 5,92 G

54

Page 55: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

J01DD04 Ceftriaxone 035824010 VALEXIME 1 fiala IM 1 g + 1 fiala solv 3,5 m 55 DEPO FARMA RR 5,96 5,92 GJ01DD07 Ceftizoxima 025198033 EPOSERIN 1 fiala IM 1 g + 1 fiala solv 4 ml 55 PFIZER ITALIA RR 7,02 6,94 XJ01DD08 Cefixima 027134030 CEFIXORAL 5 cpr riv 400 mg MENARINI RR 15,04 14,86 XJ01DD08 Cefixima 027134081 CEFIXORAL 5 cpr orodispers 400 mg MENARINI RR 15,04 14,86 XJ01DD08 Cefixima 027134105 CEFIXORAL grat os sosp 100 ml 100 mg/5 ml MENARINI RR 19,73 19,49 XJ01DD08 Cefixima 027127036 SUPRAX 5 cpr riv 400 mg WYETH LEDERLE RR 15,83 15,65 X XJ01DD08 Cefixima 027127087 SUPRAX 5 cpr orodispers 400 mg WYETH LEDERLE RR 15,83 15,65 X XJ01DD08 Cefixima 027127101 SUPRAX grat os sosp 100 ml 100 mg/5 ml WYETH LEDERLE RR 20,77 20,53 X XJ01DD08 Cefixima 027152038 UNIXIME 5 cpr riv 400 mg F.I.R.M.A. RR 15,04 14,86 XJ01DD08 Cefixima 027152077 UNIXIME 5 cpr orodispers 400 mg F.I.R.M.A. RR 15,04 14,86 XJ01DD08 Cefixima 027152091 UNIXIME grat 100 mg/5 ml F.I.R.M.A. RR 19,73 19,49 XJ01DD09 Cefodizima 027940030 DIEZIME 1 fiala IM 1 g + 1 fiala solv 4 ml 55 RECORDATI RR 9,30 9,18 XJ01DD09 Cefodizima 027951045 MODIVID 1 fiala IM 1 g + 1 fiala solv 4 ml 55 SANOFI-AVENTIS RR 9,79 9,67 X XJ01DD09 Cefodizima 027939038 TIMECEF 1 fiala IM 1 g + 1 fiala solv 4 ml 55 LEPETIT RR 9,79 9,67 X XJ01DD12 Cefoperazone 025957022 BIOPERAZONE 1 fiala IM 1 g + 1 fiala solv 5 ml 55 BIOPHARMA RR 4,85 4,82 GJ01DD12 Cefoperazone 026039014 DARDUM 1 fiala IM 1 g + 1 fiala solv 3 ml 55 LISAPHARMA RR 4,98 4,95 GJ01DD12 Cefoperazone 025803026 FARECEF 1 fiala IM 1 g + 1 fiala solv 3 ml 55 LA.FA.RE. RR 4,85 4,82 GJ01DD13 Cefpodoxima 028463038 CEFODOX BB grat os sosp 100 ml SCHARPER RR 14,14 13,98 XJ01DD13 Cefpodoxima 028463014 CEFODOX 12 cpr riv 100 mg SCHARPER RR 14,83 14,65 XJ01DD13 Cefpodoxima 028463040 CEFODOX 6 cpr riv 200 mg SCHARPER RR 14,87 14,69 XJ01DD13 Cefpodoxima 027970019 ORELOX 12 cpr riv 100 mg SANOFI-AVENTIS RR 15,61 15,43 X XJ01DD13 Cefpodoxima 027970045 ORELOX 6 cpr riv 200 mg SANOFI-AVENTIS RR 15,65 15,47 X XJ01DD13 Cefpodoxima 027970033 ORELOX BB grat os sosp 100 ml SANOFI-AVENTIS RR 14,88 14,70 X XJ01DD13 Cefpodoxima 027969017 OTREON 12 cpr riv 100 mg DAIICHI SANKYO RR 15,61 15,43 X XJ01DD13 Cefpodoxima 027969043 OTREON 6 cpr riv 200 mg DAIICHI SANKYO RR 15,65 15,47 X XJ01DD13 Cefpodoxima 027969031 OTREON bambini grat os sosp 100 ml DAIICHI SANKYO RR 14,88 14,70 X XJ01DD14 Ceftibuten 027849102 CEDAX grat os sosp 15 g 14,4% SCHERING PLOUGH RR 23,31 23,03 X XJ01DD14 Ceftibuten 027849140 CEDAX 6 cps 400 mg SCHERING PLOUGH RR 24,18 23,88 X XJ01DD14 Ceftibuten 027850104 ISOCEF grat os sosp 15 g 14,4% RECORDATI RR 23,31 23,03 X XJ01DD14 Ceftibuten 027850142 ISOCEF 6 cps 400 mg RECORDATI RR 24,18 23,88 X XJ01DE01 Cefepime 028896025 CEPIM 1 fiala IM EV 1 g + 1 fiala solv 3 55 POLIFARMA RR 8,54 8,44 XJ01DE01 Cefepime 028900013 CEPIMEX 1 fiala IM EV 0,5 g + 1 fiala solv 55 BRISTOL RR 4,82 4,79J01DE01 Cefepime 028900025 CEPIMEX 1 fiala IM EV 1 g + 1 fiala solv 3 55 BRISTOL RR 8,54 8,44 XJ01DE01 Cefepime 028899019 MAXIPIME 1 fiala IM EV 500 mg + 1 fiala s 55 BRISTOL RR 4,82 4,79J01DE01 Cefepime 028899021 MAXIPIME 1 fiala IM EV 1 g + 1 fiala solv 3 55 BRISTOL RR 8,54 8,44 XJ01DF01 Aztreonam 025408028 AZACTAM 1 fiala IM EV 1 g + 1 fiala solv 3 56 BRISTOL RR 17,20 17,00 XJ01DF01 Aztreonam 025407026 PRIMBACTAM 1 fiala IM EV 1 g + 1 fiala solv 56 MENARINI RR 17,20 17,00 XJ01DH51 Imipenem/cilastatina 026462046 IMIPEM 1 fiala IM 500 mg + 1 fiala solv 56 NEOPHARMED RR 19,87 19,63 XJ01DH51 Imipenem/cilastatina 026639043 TENACID 1 fiala IM 500 mg + 1 fiala solv 56 SIGMATAU RR 19,87 19,63 XJ01DH51 Imipenem/cilastatina 025887047 TIENAM 1 fiala IM 500 mg + 1 fiala solv 56 MERCK SHARP & DOHME RR 19,87 19,63 XJ01EC02 Sulfadiazina 030273015 SULFADIAZINA 20 cpr 500 mg ECOBI RR 1,91 1,90 GJ01EC02 Sulfadiazina 030686012 SULFADIAZINA SODIC5 fiale 250 mg 1 ml SALF RR 1,44 1,43 GJ01EE01 Trimetoprim/sulfametoxaz 021978046 BACTRIM "FORTE" 16 cpr ROCHE RR 3,72 3,70J01EE01 Trimetoprim/sulfametoxaz 021978061 BACTRIM scir 80 mg + 400 mg 100 ml ROCHE RR 4,29 4,26J01EE01 Trimetoprim/sulfametoxaz 028313017 BACTRIM PERFUSION1 fiala EV 5 ml ROCHE RR 3,93 3,91J01EE01 Trimetoprim/sulfametoxaz 022269056 CHEMITRIM "BB" os sosp 100 ml BIOMEDICA FOSCAMA RR 2,22 2,21J01EE01 Trimetoprim/sulfametoxaz 022269031 CHEMITRIM "FORTE" 20 cpr BIOMEDICA FOSCAMA RR 4,65 4,62J01EE01 Trimetoprim/sulfametoxaz 021977020 EUSAPRIM "BB" 20 cpr div 20 mg + 100 mg GLAXOSMITHKLINE RR 1,03 1,02J01EE01 Trimetoprim/sulfametoxaz 021977018 EUSAPRIM 20 cpr div 80 mg + 400 mg GLAXOSMITHKLINE RR 2,53 2,51J01FA01 Eritromicina 007893151 ERITROCINA 12 cpr masticabili 200 mg ABBOTT RR 2,63 2,61J01FA01 Eritromicina 007893163 ERITROCINA 12 bust grat 500 mg ABBOTT RR 4,85 4,82J01FA01 Eritromicina 007893199 ERITROCINA 12 cpr riv 600 mg ABBOTT RR 5,77 5,74 GJ01FA01 Eritromicina 007893175 ERITROCINA 6 bust grat 1 g ABBOTT RR 4,86 4,83

55

Page 56: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

J01FA01 Eritromicina 007893124 ERITROCINA grat os sosp 50 g ABBOTT RR 5,03 4,97 XJ01FA01 Eritromicina 007893187 ERITROCINA grat os sosp 100 ml 10% ABBOTT RR 9,05 9,00 GJ01FA01 Eritromicina 031421011 ERITROMICINA LATTO1 fiala 500 mg FISIOPHARMA RR 4,28 4,25 GJ01FA01 Eritromicina 031421023 ERITROMICINA LATTO1 fiala 1.000 mg FISIOPHARMA RR 7,64 7,59 GJ01FA01 Eritromicina 019924012 LAUROMICINA 12 cpr 500 mg LA.FA.RE. RR 4,90 4,87J01FA02 Spiramicina 012322020 ROVAMICINA 12 cpr 3.000.000 U.I. SANOFI-AVENTIS RR 8,41 8,36 GJ01FA02 Spiramicina 033291016 SPIRAMICINA 12 cpr riv 3.000.000 U.I. MERCK GENERICS RR 8,41 8,36 GJ01FA02 Spiramicina 033293010 SPIROMIX 12 cpr riv 3.000.000 U.I. BONISCONTRO & GAZZONE RR 8,41 8,36 GJ01FA03 Midecamicina 024290013 MIDECIN 12 cpr 400 mg FARMAKA RR 5,28 5,22 XJ01FA06 Roxitromicina 026919011 ASSORAL 12 cpr 150 mg I.B.N. SAVIO RR 14,31 14,13 XJ01FA06 Roxitromicina 026919047 ASSORAL 6 cpr 300 mg I.B.N. SAVIO RR 14,44 14,26 XJ01FA06 Roxitromicina 026728030 OVERAL "BB" 12 cpr dispersibili 50 mg LUSOFARMACO RR 5,16 5,10 XJ01FA06 Roxitromicina 026728016 OVERAL 12 cpr riv 150 mg LUSOFARMACO RR 14,31 14,13 XJ01FA06 Roxitromicina 026728055 OVERAL 6 cpr riv 300 mg LUSOFARMACO RR 14,44 14,26 XJ01FA06 Roxitromicina 026922031 ROSSITROL "BB" 12 cpr delit 50 mg SANOFI-AVENTIS RR 5,16 5,10 XJ01FA06 Roxitromicina 026922017 ROSSITROL 12 cpr riv 150 mg SANOFI-AVENTIS RR 14,31 14,13 XJ01FA06 Roxitromicina 026922043 ROSSITROL 6 cpr riv 300 mg SANOFI-AVENTIS RR 14,44 14,26 XJ01FA06 Roxitromicina 026727038 RULID 12 cpr dispers 50 mg LEPETIT RR 5,16 5,10 XJ01FA06 Roxitromicina 026727014 RULID 12 cpr riv 150 mg LEPETIT RR 14,31 14,13 XJ01FA06 Roxitromicina 026727040 RULID 6 cpr riv 300 mg LEPETIT RR 14,44 14,26 XJ01FA07 Josamicina 024401061 IOSALIDE grat 30 g 10% ASTELLAS RR 4,98 4,95J01FA07 Josamicina 024401073 IOSALIDE 6 bust grat 1 g ASTELLAS RR 6,77 6,69 XJ01FA07 Josamicina 024401022 IOSALIDE 12 cpr riv 500 mg ASTELLAS RR 6,38 6,30 XJ01FA07 Josamicina 024401097 IOSALIDE 12 cpr orodispers 1 g ASTELLAS RR 11,31 11,24 GJ01FA09 Claritromicina 027370055 KLACID 12 cpr riv 250 mg ABBOTT RR 15,02 14,84 XJ01FA09 Claritromicina 027370067 KLACID "BB" grat 100 ml 125 mg/5 ml ABBOTT RR 15,38 15,20 XJ01FA09 Claritromicina 027370093 KLACID 14 bust grat 250 mg ABBOTT RR 17,55 17,33 XJ01FA09 Claritromicina 027370117 KLACID "BB" grat 100 ml 250 mg/5 ml ABBOTT RR 30,51 30,15 XJ01FA09 Claritromicina 027370143 KLACID "RM" 7 cpr 500 mg rilascio modificato ABBOTT RR 15,07 14,89 XJ01FA09 Claritromicina 027370129 KLACID 14 cpr riv 500 mg ABBOTT RR 37,25 36,81 XJ01FA09 Claritromicina 027530056 MACLADIN 12 cpr riv 250 mg GUIDOTTI RR 15,02 14,84 XJ01FA09 Claritromicina 027530144 MACLADIN "RM" 7 cpr riv 500 mg rilascio modificato GUIDOTTI RR 15,07 14,89 XJ01FA09 Claritromicina 027530068 MACLADIN "BB" grat 100 ml 125 mg/5 ml GUIDOTTI RR 15,38 15,20 XJ01FA09 Claritromicina 027530094 MACLADIN 14 bust grat 250 mg GUIDOTTI RR 17,55 17,33 XJ01FA09 Claritromicina 027530120 MACLADIN "BB" grat 100 ml 250 mg/5 ml GUIDOTTI RR 30,51 30,15 XJ01FA09 Claritromicina 027530118 MACLADIN 14 cpr riv 500 mg GUIDOTTI RR 37,25 36,81 XJ01FA09 Claritromicina 027529054 VECLAM 12 cpr 250 mg MALESCI RR 15,02 14,84 XJ01FA09 Claritromicina 027529130 VECLAM "RM" 7 cpr riv 500 mg rilascio modificato MALESCI RR 15,07 14,89 XJ01FA09 Claritromicina 027529041 VECLAM "BB" grat 100 ml 125 mg/5 ml MALESCI RR 15,38 15,20 XJ01FA09 Claritromicina 027529080 VECLAM 14 bust grat 250 mg MALESCI RR 17,55 17,33 XJ01FA09 Claritromicina 027529104 VECLAM "BB" grat os sosp 100 ml 250 mg/5 ml MALESCI RR 30,51 30,15 XJ01FA09 Claritromicina 027529116 VECLAM 14 cpr riv 500 mg MALESCI RR 37,25 36,81 XJ01FA10 Azitromicina 027897040 AZITROCIN 3 cpr riv 500 mg PFIZER ITALIA RR 17,42 17,22 XJ01FA10 Azitromicina 027897026 AZITROCIN "BB" os sosp 1.500 mg PFIZER ITALIA RR 19,94 19,70 XJ01FA10 Azitromicina 028177032 RIBOTREX 3 cpr 500 mg PIERRE FABRE PHARMA RR 17,42 17,22 XJ01FA10 Azitromicina 028177020 RIBOTREX "BB" os sosp 1.500 mg PIERRE FABRE PHARMA RR 19,94 19,70 XJ01FA10 Azitromicina 027948064 TROZOCINA 3 cpr riv 500 mg SIGMATAU RR 17,42 17,22 XJ01FA10 Azitromicina 027948052 TROZOCINA "BB" os sosp 1.500 mg SIGMATAU RR 19,94 19,70 XJ01FA10 Azitromicina 027860042 ZITROMAX 3 cpr riv 500 mg PFIZER ITALIA RR 17,42 17,22 XJ01FA10 Azitromicina 027860028 ZITROMAX "BB" os sosp 1.500 mg PFIZER ITALIA RR 19,94 19,70 XJ01FA10 Azitromicina 027860143 ZITROMAX "AVIUM" 8 cpr 600 mg PFIZER ITALIA RR 55,83 55,17 XJ01FA11 Miocamicina 025320021 MACRORAL 12 cpr 600 mg MALESCI RR 6,52 6,44 XJ01FA11 Miocamicina 025320060 MACRORAL 8 bust grat 900 mg MALESCI RR 6,30 6,22 X

56

Page 57: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

J01FA11 Miocamicina 025320058 MACRORAL grat os sosp 30 g 20% MALESCI RR 7,03 6,95 XJ01FA11 Miocamicina 025322025 MIOCAMEN 12 cpr 600 mg MENARINI RR 6,52 6,44 XJ01FA11 Miocamicina 025322064 MIOCAMEN 8 bust grat 900 mg MENARINI RR 6,30 6,22 XJ01FA11 Miocamicina 025322037 MIOCAMEN grat os sosp 30 ml 20% MENARINI RR 7,03 6,95 XJ01FA11 Miocamicina 025318027 MIOKACIN 12 cpr 600 mg F.I.R.M.A. RR 6,52 6,44 XJ01FA11 Miocamicina 025318066 MIOKACIN 8 bust grat 900 mg F.I.R.M.A. RR 6,30 6,22 XJ01FA11 Miocamicina 025318054 MIOKACIN grat os sosp 30 ml 20% F.I.R.M.A. RR 7,03 6,95 XJ01FA12 Rokitamicina 027502044 PAIDOCIN 12 cpr riv 400 mg PROMEDICA RR 15,36 15,18 XJ01FA12 Rokitamicina 027502032 PAIDOCIN grat os sosp 48 g 10% PROMEDICA RR 15,74 15,56 XJ01FA12 Rokitamicina 027501016 ROKITAL 12 cpr riv 400 mg PRODOTTI FORMENTI RR 15,36 15,18 XJ01FA12 Rokitamicina 027501030 ROKITAL 12 bust grat 400 mg PRODOTTI FORMENTI RR 15,44 15,26 XJ01FA12 Rokitamicina 027501028 ROKITAL "BB"os sosp 48 g 10% PRODOTTI FORMENTI RR 15,49 15,31 XJ01FA14 Fluritromicina 029138029 FLURIZIC 12 cpr 375 mg PANTAFARM RR 14,95 14,77 XJ01FA14 Fluritromicina 028906028 MIZAR 12 cpr riv 375 mg VALEANT PHARMACEUTICALS RR 14,95 14,77 XJ01FA14 Fluritromicina 029156027 RITRO 12 cpr riv 375 mg PLIVA RR 14,95 14,77 XJ01FA15 Telitromicina 035326014 KETEK 10 cpr riv 400 mg AVENTIS PHARMA S.A. RR 29,78 29,42 XJ01FF01 Clindamicina 033745011 CLINDAMICINA 1 fiala IM EV 600 mg I.B.I. LORENZINI RR 4,55 4,52 GJ01FF01 Clindamicina 035388026 CLINDAMICINA FOSFA5 fiale 600 mg 4 ml IBP RR 20,68 20,56 GJ01FF01 Clindamicina 022633059 DALACIN C 12 cps 150 mg PFIZER ITALIA RR 5,07 5,01 XJ01FF01 Clindamicina 023868021 DALACIN C FOSFATO 1 fiala 4 ml 600 mg PFIZER ITALIA RR 5,60 5,57 GJ01FF02 Lincomicina 020601035 LINCOCIN 1 fiala IM EV 600 mg 2 ml + siringa PFIZER ITALIA RR 2,38 2,37J01FF02 Lincomicina 020601023 LINCOCIN 12 cps 500 mg PFIZER ITALIA RR 5,46 5,40 XJ01GA01 Streptomicina 002992016 STREPTOMICINA SOL1 fiala IM 1.000.000 U.I. BRISTOL RR 2,24 2,23 GJ01GB01 Tobramicina 035132012 BRAMICIL 1 fiala IM EV 100 mg 2 ml 55 FISIOPHARMA RR 3,92 3,90 GJ01GB01 Tobramicina 035132024 BRAMICIL 1 fiala IM EV 150 mg 2 ml 55 FISIOPHARMA RR 4,92 4,89 GJ01GB01 Tobramicina 023189032 NEBICINA 1 fiala IM EV 40 mg 1 ml 55 TEOFARMA RR 2,48 2,47J01GB01 Tobramicina 023189044 NEBICINA 1 fiala IM EV 20 mg 2 ml 55 TEOFARMA RR 1,19 1,18J01GB01 Tobramicina 023189018 NEBICINA 1 fiala IM EV 100 mg 2 ml 55 TEOFARMA RR 4,25 4,22 GJ01GB01 Tobramicina 023189057 NEBICINA 1 fiala IM EV 150 mg 2 ml 55 TEOFARMA RR 5,33 5,30 GJ01GB01 Tobramicina 033973013 TOBRAMICINA 1 fiala IMEV 100 mg 2 ml 55 I.B.I. LORENZINI RR 3,96 3,94 GJ01GB01 Tobramicina 033973025 TOBRAMICINA 1 fiala IM EV 150 mg 2 ml 55 I.B.I. LORENZINI RR 4,98 4,95 GJ01GB03 Gentamicina 020891014 GENTALYN 1 fiala IM EV 80 mg 2 ml 55 SCHERING PLOUGH RR 2,12 2,11J01GB03 Gentamicina 020891089 GENTALYN 1 fiala IM EV 120 mg 1,5 ml 55 SCHERING PLOUGH RR 3,10 3,08J01GB03 Gentamicina 020891026 GENTALYN "BB" 5 fiale IM EV 10 mg 1 ml 55 SCHERING PLOUGH RR 4,49 4,46J01GB03 Gentamicina 024727048 GENTAMEN 1 fiala IM EV 80 mg 2 ml 55 FOURNIER PHARMA RR 2,01 2,00J01GB03 Gentamicina 029314022 GENTOMIL 1 fiala IM EV 40 mg 2 ml 55 MAYNE PHARMA RR 1,21 1,20 GJ01GB03 Gentamicina 029314034 GENTOMIL 1 fiala IM EV 80 mg 2 ml 55 MAYNE PHARMA RR 2,12 2,11J01GB03 Gentamicina 029314046 GENTOMIL 1 fiala IM EV 160 mg 2 ml 55 MAYNE PHARMA RR 3,25 3,23J01GB06 Amikacina 024459099 AMICASIL 1 flaconcino 500 mg 2 ml 55 PHARMATEX RR 5,60 5,57 GJ01GB06 Amikacina 024459113 AMICASIL 1 fiala IM EV 500 mg 2 ml 55 PHARMATEX RR 5,60 5,57 GJ01GB06 Amikacina 033586025 AMIKACINA 1 fiala IM EV 1 g 55 TEVA RR 9,06 9,01 GJ01GB06 Amikacina 027484043 AMIKAN 1 fiala IM 500 mg 2 ml 55 SO.SE.PHARM RR 5,03 5,00 GJ01GB06 Amikacina 027484031 AMIKAN 1 fiala IM 1 g 4 ml 55 SO.SE.PHARM RR 9,06 9,01 GJ01GB06 Amikacina 023594031 BB K8 1 fiala IM EV 250 mg 2 ml 55 BRISTOL RR 2,28 2,27 GJ01GB06 Amikacina 023594056 BB K8 1 fiala IM EV 500 mg 2 ml 55 BRISTOL RR 5,03 5,00 GJ01GB06 Amikacina 025513045 CHEMACIN 1 fiala IM EV 1 g 4 ml 55 C.T. LABORATORIO FARMACEUTICO RR 9,06 9,01 GJ01GB06 Amikacina 024475055 LIKACIN 1 fiala IM EV 500 mg 2 ml 55 LISAPHARMA RR 5,03 5,00 GJ01GB06 Amikacina 024475067 LIKACIN 1 fiala IM EV 1 g 4 ml 55 LISAPHARMA RR 9,06 9,01 GJ01GB06 Amikacina 024527071 LUKADIN 1 fiala IM EV 1 g 4 ml 55 S.F. GROUP RR 9,06 9,01 GJ01GB06 Amikacina 034106017 MEDIAMIK 1 fiala IM 1g 4 ml 55 PANTAFARM RR 9,06 9,01 GJ01GB06 Amikacina 025568078 MIGRACIN 1 fiala IM EV 500 mg 2 ml 55 MAX FARMA RR 5,03 5,00 GJ01GB06 Amikacina 025568080 MIGRACIN 1 fiala IM EV 1 g 4 ml 55 MAX FARMA RR 9,06 9,01 GJ01GB06 Amikacina 028423010 MIKAN 1 fiala IM EV 500 mg 2 ml 55 BONISCONTRO & GAZZONE RR 5,03 5,00 G

57

Page 58: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

J01GB06 Amikacina 028423022 MIKAN 1 fiala IM EV 1 g 4 ml 55 BONISCONTRO & GAZZONE RR 9,06 9,01 GJ01GB06 Amikacina 033190036 NEKACIN 1 fiala IM EV 1 g 4 ml 55 NEW RESEARCH RR 9,06 9,01 GJ01GB06 Amikacina 024076111 PIERAMI 1 fiala IM EV 100 mg 2 ml 55 FOURNIER PHARMA RR 1,72 1,71 GJ01GB06 Amikacina 024076174 PIERAMI 1 fiala IM EV 500 mg 2 ml 55 FOURNIER PHARMA RR 5,03 5,00 GJ01GB07 Netilmicina 024809030 NETTACIN 1 fiala IM EV 100 mg 1 ml 55 SCHERING PLOUGH RR 3,93 3,91J01GB07 Netilmicina 024809042 NETTACIN 1 fiala IM EV 150 mg 1,5 ml 55 SCHERING PLOUGH RR 4,95 4,92J01GB07 Netilmicina 024809055 NETTACIN 1 fiala IM EV 200 mg 2 ml 55 SCHERING PLOUGH RR 6,33 6,25 XJ01GB07 Netilmicina 024809028 NETTACIN 1 fiala IM EV 50 mg 1 ml 55 SCHERING PLOUGH RR 2,27 2,26J01GB07 Netilmicina 024809067 NETTACIN 1 fiala IM EV 300 mg 1,5 ml 55 SCHERING PLOUGH RR 9,41 9,29 XJ01GB07 Netilmicina 024829020 ZETAMICIN 1 fiala IM EV 50 mg 1 ml 55 MENARINI RR 2,27 2,26J01GB07 Netilmicina 024829032 ZETAMICIN 1 fiala IM EV 100 mg 1 ml 55 MENARINI RR 3,93 3,91J01GB07 Netilmicina 024829044 ZETAMICIN 1 fiala IM EV 150 mg 1,5 ml 55 MENARINI RR 4,95 4,92J01GB07 Netilmicina 024829057 ZETAMICIN 1 fiala IM EV 200 mg 2 ml 55 MENARINI RR 6,33 6,25 XJ01GB07 Netilmicina 024829069 ZETAMICIN 1 fiala IM EV 300 mg 3 ml 55 MENARINI RR 9,41 9,29 XJ01MA01 Ofloxacina 026342030 FLOBACIN 8 cpr riv 300 mg SIGMATAU RR 19,16 18,94 XJ01MA01 Ofloxacina 026342028 FLOBACIN 12 cpr riv 200 mg SIGMATAU RR 19,24 19,00 XJ01MA01 Ofloxacina 026352031 OFLOCIN 8 cpr riv 300 mg GLAXOSMITHKLINE RR 19,16 18,94 XJ01MA01 Ofloxacina 026352029 OFLOCIN 12 cpr riv 200 mg GLAXOSMITHKLINE RR 19,24 19,00 XJ01MA02 Ciprofloxacina 026664122 CIPROXIN 3 cpr riv 500 mg rilascio modificato BAYER RR 9,43 9,31 XJ01MA02 Ciprofloxacina 026664019 CIPROXIN 10 cpr riv 250 mg BAYER RR 11,10 10,96 XJ01MA02 Ciprofloxacina 026664021 CIPROXIN 6 cpr riv 500 mg BAYER RR 13,00 12,84 XJ01MA02 Ciprofloxacina 026664084 CIPROXIN os sosp 100 ml 5% BAYER RR 19,23 18,99 XJ01MA02 Ciprofloxacina 026664146 CIPROXIN 7 cpr riv 500 mg rilascio modificato BAYER RR 29,59 29,23 XJ01MA02 Ciprofloxacina 026664096 CIPROXIN 12 cpr riv 750 mg BAYER RR 38,66 38,20 XJ01MA02 Ciprofloxacina 026663017 FLOCIPRIN 10 cpr riv 250 mg I.B.I. LORENZINI RR 11,10 10,96 XJ01MA02 Ciprofloxacina 026663029 FLOCIPRIN 6 cpr riv 500 mg I.B.I. LORENZINI RR 13,00 12,84 XJ01MA02 Ciprofloxacina 026663068 FLOCIPRIN os sosp 5% I.B.I. LORENZINI RR 19,23 18,99 XJ01MA02 Ciprofloxacina 026663056 FLOCIPRIN 12 cpr riv 750 mg I.B.I. LORENZINI RR 38,66 38,20 XJ01MA03 Pefloxacina 025934035 PEFLACIN 2 cpr riv 400 mg SANOFI-AVENTIS RR 10,86 10,72 XJ01MA03 Pefloxacina 025939036 PEFLOX 2 cpr riv 400 mg PRODOTTI FORMENTI RR 10,86 10,72 XJ01MA04 Enoxacina 026001065 BACTIDAN 10 cpr riv 400 mg PIERRE FABRE PHARMA RR 14,55 14,37 XJ01MA04 Enoxacina 026003018 ENOXEN 8 cpr riv 400 mg EG RR 11,57 11,43 XJ01MA04 Enoxacina 026003020 ENOXEN 12 cpr riv 300 mg EG RR 13,05 12,89 XJ01MA06 Norfloxacina 027629029 DIPERFLOX os sosp 100 ml 5,4% FRANCIA RR 7,68 7,58 XJ01MA06 Norfloxacina 027629017 DIPERFLOX 14 cpr 540 mg FRANCIA RR 11,62 11,48 XJ01MA06 Norfloxacina 025001025 FLOSSAC 14 cps 400 mg CABER RR 5,15 5,12 GJ01MA06 Norfloxacina 027405024 NORFLOX os sosp 100 ml 5,4% PLIVA RR 7,68 7,58 XJ01MA06 Norfloxacina 027405012 NORFLOX 14 cpr 540 mg PLIVA RR 11,13 10,99 XJ01MA06 Norfloxacina 034401024 NORFLOXACINA 14 cpr riv 400 mg EG RR 5,15 5,12 GJ01MA06 Norfloxacina 035463013 NORFLOXACINA 14 cps 400 mg JET GENERICI RR 5,15 5,12 GJ01MA06 Norfloxacina 025000023 NORFLOXACINA 14 cps 400 mg ABC RR 5,15 5,12 GJ01MA06 Norfloxacina 034941043 NORFLOXACINA 14 cpr riv 400 mg SANDOZ RR 5,15 5,12 GJ01MA06 Norfloxacina 035661014 NORFLOXACINA 14 cps 400 mg TAD PHARMA RR 5,15 5,12 GJ01MA06 Norfloxacina 024998039 NOROXIN 14 cpr riv 400 mg MERCK SHARP & DOHME RR 5,60 5,57 GJ01MA06 Norfloxacina 035196017 RENOXACIN 14 cpr riv 400 mg BONISCONTRO & GAZZONE RR 5,15 5,12 GJ01MA06 Norfloxacina 024997025 SEBERCIM 14 cpr 400 mg GLAXOSMITHKLINE RR 11,66 11,59 GJ01MA06 Norfloxacina 035158017 UTICINA 14 cpr riv 400 mg SO.SE.PHARM RR 5,15 5,12 GJ01MA06 Norfloxacina 028483016 UTINOR 14 cpr 400 mg NEOPHARMED RR 5,60 5,57 GJ01MA07 Lomefloxacina 027957024 CHIMONO 5 cpr riv 400 mg LUSOFARMACO RR 18,37 18,15 XJ01MA07 Lomefloxacina 027943048 MAXAQUIN 5 cpr riv 400 mg VALEANT PHARMACEUTICALS RR 18,37 18,15 XJ01MA07 Lomefloxacina 027944040 UNIQUIN 5 cpr riv 400 mg MADAUS RR 18,37 18,15 XJ01MA10 Rufloxacina 028048066 MONOS 6 cpr riv 200 mg S.F. GROUP RR 17,46 17,26 XJ01MA10 Rufloxacina 028028064 QARI 6 cpr riv 200 mg MEDIOLANUM RR 17,46 17,26 X

58

Page 59: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

J01MA10 Rufloxacina 028058105 TEBRAXIN 6 cpr riv 200 mg BRACCO RR 17,46 17,26 XJ01MA12 Levofloxacina 033940014 LEVOXACIN 5 cpr riv 250 mg GLAXOSMITHKLINE RR 13,94 13,78 X XJ01MA12 Levofloxacina 033940038 LEVOXACIN 5 cpr riv 500 mg GLAXOSMITHKLINE RR 22,37 22,11 X XJ01MA12 Levofloxacina 033633013 PRIXAR 5 cpr riv 250 mg LEPETIT RR 13,94 13,78 X XJ01MA12 Levofloxacina 033633037 PRIXAR 5 cpr riv 500 mg LEPETIT RR 22,37 22,11 X XJ01MA12 Levofloxacina 033634015 TAVANIC "250" 5 cpr riv 250 mg SANOFI-AVENTIS RR 13,94 13,78 X XJ01MA12 Levofloxacina 033634039 TAVANIC "500" 5 cpr riv 500 mg SANOFI-AVENTIS RR 22,37 22,11 X XJ01MA14 Moxifloxacina 034566012 ACTIRA 5 cpr riv 400 mg SIGMATAU RR 22,81 22,53 X XJ01MA14 Moxifloxacina 034436016 AVALOX 5 cpr riv 400 mg BAYER RR 22,81 22,53 X XJ01MA14 Moxifloxacina 034564017 OCTEGRA 5 cpr riv 400 mg INNOVA PHARMA RR 22,81 22,53 X XJ01MA17 Prulifloxacina 035679036 CHINOPLUS 5 cpr riv 600 mg ANGELINI RR 20,57 20,33 X XJ01MA17 Prulifloxacina 035680038 KERAFLOX 5 cpr riv 600 mg ANGELINI RR 20,57 20,33 X XJ01MA17 Prulifloxacina 035678022 UNIDROX 5 cpr riv 600 mg ANGELINI RR 20,57 20,33 X XJ01MB02 Acido nalidixico 030254015 ACIDO NALIDIXICO 20 cpr 500 mg ECOBI RR 3,69 3,67 GJ01MB04 Acido pipemidico 024497024 ACIDO PIPEMIDICO 20 cps 400 mg EG RR 5,05 5,02 GJ01MB04 Acido pipemidico 025032018 ACIDO PIPEMIDICO 20 cps 400 mg JET GENERICI RR 5,05 5,02 GJ01MB04 Acido pipemidico 024970028 ACIDO PIPEMIDICO 20 cps 400 mg TAD PHARMA RR 5,05 5,02 GJ01MB04 Acido pipemidico 033354010 BIOSOVIRAN 20 cps 400 mg BIOPROGRESS RR 9,53 9,47 GJ01MB04 Acido pipemidico 024452029 CISTOMID 20 cps 400 mg FARMA 1 RR 6,23 6,19 GJ01MB04 Acido pipemidico 025060029 DIPERPEN 20 cps 400 mg FRANCIA RR 6,23 6,19 GJ01MB04 Acido pipemidico 025888052 FAREMID "400" 20 cps 400 mg LA.FA.RE. RR 6,50 6,46 GJ01MB04 Acido pipemidico 024151021 PIPEDAC 20 cps 400 mg TEOFARMA RR 9,45 9,39 GJ01MB04 Acido pipemidico 024491019 PIPEFORT 20 cps 400 mg LAMPUGNANI RR 5,33 5,30 GJ01MB04 Acido pipemidico 023921048 PIPEMID "400" 20 cps 400 mg VISUFARMA RR 7,63 7,58 GJ01MB04 Acido pipemidico 023609023 PIPRAM 20 cps 400 mg TEOFARMA RR 7,63 7,58 GJ01MB04 Acido pipemidico 024590022 PIPURIN 20 cps 400 mg NCSN RR 9,53 9,47 GJ01MB04 Acido pipemidico 025947021 URODENE 20 cps 400 mg OFF RR 6,50 6,46 GJ01MB04 Acido pipemidico 024482022 UROPIMID 20 cps 400 mg C.T. LABORATORIO FARMACEUTICO RR 5,33 5,30 GJ01MB04 Acido pipemidico 025465016 UROSAN 20 cps 400 mg AGIPS RR 6,23 6,19 GJ01MB04 Acido pipemidico 023869011 UROTRACTIN 20 cps 200 mg TEOFARMA RR 4,01 3,99 GJ01MB04 Acido pipemidico 023869023 UROTRACTIN 20 cps 400 mg TEOFARMA RR 7,63 7,58 GJ01MB06 Cinoxacina 025238015 CINOBAC 20 cps 500 mg BRUNO FARMACEUTICI RR 14,17 13,99 XJ01MB06 Cinoxacina 034381018 CINOCIL 20 cps 500 mg FARMA 1 RR 14,17 13,99 XJ01MB06 Cinoxacina 032341012 CINOXEN 20 cps 500 mg I.BIR.N RR 14,17 13,99 XJ01MB06 Cinoxacina 025239017 NOSSACIN 20 cps 500 mg PLIVA RR 14,17 13,99 XJ01MB06 Cinoxacina 026668020 NOXIGRAM 20 cps 500 mg F.I.R.M.A. RR 14,17 13,99 XJ01MB06 Cinoxacina 026766016 UROC 20 cps 500 mg LAMPUGNANI RR 14,17 13,99 XJ01MB06 Cinoxacina 033055017 UROCINOX 20 cps 500 mg D&G RR 14,17 13,99 XJ01MB06 Cinoxacina 025325010 URONORM 20 cps 500 mg ALFA WASSERMANN RR 14,17 13,99 XJ01XA02 Teicoplanina 026458012 TARGOSID 1 fiala IM EV 200 mg + 1 fiala s 56 LEPETIT RR 43,80 43,28 X XJ01XD01 Metronidazolo 021299033 DEFLAMON FLEBO 1 flacone EV 500 mg 100 ml SPA RR 5,60 5,57 GJ01XD01 Metronidazolo 034150019 METRONIDAZOLO 1 flacone EV 0,5 g 100 ml PH&T RR 4,98 4,95 GJ01XE01 Nitrofurantoina 008569030 FURADANTIN os sosp 60 ml 0,5% PRODOTTI FORMENTI RR 1,81 1,80J01XE01 Nitrofurantoina 016625016 FURIL 40 cpr 50 mg OFF RR 3,98 3,96J01XX01 Fosfomicina 025680012 MONURIL "BB" 2 bust polv os 2 g ZAMBON RR 11,35 11,21 XJ01XX01 Fosfomicina 025680024 MONURIL 2 bust polv os 3 g ZAMBON RR 14,31 14,13 XJ01XX04 Spectinomicina 022735017 TROBICIN 1 fiala IM EV 2 g + 1 fiala solv 5 ml PFIZER ITALIA RR 6,85 6,77 XJ02AB02 Ketoconazolo 024964025 NIZORAL 20 cpr 200 mg MC NEIL RR 18,09 17,87 XJ02AC01 Fluconazolo 027267020 DIFLUCAN 2 cps 150 mg PFIZER ITALIA RR 20,26 20,02 XJ02AC01 Fluconazolo 027267057 DIFLUCAN os sosp 350 mg 50 mg/5 ml PFIZER ITALIA RR 23,18 22,90 XJ02AC01 Fluconazolo 027267044 DIFLUCAN 10 cps 100 mg PFIZER ITALIA RR 61,27 60,53 XJ02AC01 Fluconazolo 027267095 DIFLUCAN 7 cps 200 mg PFIZER ITALIA RR 81,57 80,59 XJ02AC01 Fluconazolo 027268022 ELAZOR 2 cps 150 mg SIGMATAU RR 20,26 20,02 X

59

Page 60: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

J02AC01 Fluconazolo 027268059 ELAZOR os sosp 350 mg SIGMATAU RR 23,18 22,90 XJ02AC01 Fluconazolo 027268046 ELAZOR 10 cps 100 mg SIGMATAU RR 61,27 60,53 XJ02AC02 Itraconazolo 035874015 ITRACONAZOLO 8 cps 100 mg DOC GENERICI RR 10,30 10,24 GJ02AC02 Itraconazolo 036377012 ITRACONAZOLO 8 cps 100 mg TEVA RR 10,30 10,24 GJ02AC02 Itraconazolo 035899018 ITRACONAZOLO 8 cps 100 mg SANDOZ RR 10,30 10,24 GJ02AC02 Itraconazolo 037080037 ITRACONAZOLO 8 cps 100 mg EG RR 10,30 10,24 GJ02AC02 Itraconazolo 037122049 ITRACONAZOLO 8 cps 100 mg MERCK GENERICS RR 10,30 10,24 GJ02AC02 Itraconazolo 037099037 ITRACONAZOLO 8 cps 100 mg RATIOPHARM GMBH RR 10,30 10,24 GJ02AC02 Itraconazolo 027808017 SPORANOX 8 cps 100 mg JANSSEN CILAG RR 11,11 11,04 GJ02AC02 Itraconazolo 027808029 SPORANOX os soluz 150 ml 10 mg/ml JANSSEN CILAG RR 85,83 84,81 XJ02AC02 Itraconazolo 036010015 TRAZER 8 cps 100 mg BONISCONTRO & GAZZONE RR 10,30 10,24 GJ02AC02 Itraconazolo 027814019 TRIASPORIN 8 cps 100 mg ITALFARMACO RR 11,11 11,04 GJ02AC02 Itraconazolo 027814021 TRIASPORIN os soluz 150 ml 10 mg/ml ITALFARMACO RR 85,83 84,81 XJ04AB02 Rifampicina 021110059 RIFADIN scir 60 ml 2% LEPETIT RR 2,80 2,78 GJ04AB02 Rifampicina 021110034 RIFADIN 8 cps 300 mg LEPETIT RR 3,72 3,70 GJ04AB02 Rifampicina 021110097 RIFADIN 8 cpr riv 450 mg LEPETIT RR 4,86 4,83J04AB02 Rifampicina 021110111 RIFADIN 8 cpr riv 600 mg LEPETIT RR 5,85 5,77 XJ04AB02 Rifampicina 021110135 RIFADIN 1 fiala EV 600 mg + 1 fiala solv 10 ml LEPETIT RR 9,28 9,16 XJ04AB04 Rifabutina 028426017 MYCOBUTIN 30 cps 150 mg 56 PFIZER ITALIA RR 118,21 116,79 XJ04AC01 Isoniazide 030268015 ISONIAZIDE 50 cpr 100 mg ECOBI RR 0,93 0,92 GJ04AC01 Isoniazide 006455036 NICOZID 50 cpr 200 mg VECCHI & PIAM RR 3,72 3,70 GJ04AC01 Isoniazide 006455051 NICOZID 5 fiale IM EV 500 mg 5 ml VECCHI & PIAM RR 10,01 9,89 XJ04AK01 Pirazinamide 010800011 PIRALDINA 50 cpr 500 mg BRACCO RR 6,97 6,89 XJ04AK02 Etambutolo 021257023 ETAPIAM 50 cpr riv 400 mg VECCHI & PIAM RR 7,93 7,83 XJ04AM Etambutolo/isoniazide/pirid022176022 ETANICOZID B6 50 cpr riv VECCHI & PIAM RR 7,89 7,79 XJ04AM02 Rifampicina/isoniazide 025377033 RIFINAH "300" 24 conf 300 mg LEPETIT RR 9,48 9,36 XJ04AM05 Isoniazide/pirazinamide/rif 026981011 RIFATER 40 cpr riv LEPETIT RR 10,57 10,45 XJ05AB01 Aciclovir 028614055 ACICLIN 25 cpr 400 mg 84 FIDIA RR 11,55 11,48 GJ05AB01 Aciclovir 028614129 ACICLIN os sosp 100 ml 8% 84 FIDIA RR 15,34 15,25 GJ05AB01 Aciclovir 028614081 ACICLIN 35 cpr 800 mg 84 FIDIA RR 31,59 31,40 GJ05AB01 Aciclovir 028614131 ACICLIN 35 bust grat 800 mg 84 FIDIA RR 31,59 31,40 GJ05AB01 Aciclovir 033410022 ACICLOVIR 25 cpr 400 mg 84 ALTERNA RR 11,55 11,48 GJ05AB01 Aciclovir 033551021 ACICLOVIR 25 cpr 400 mg 84 DOC GENERICI RR 11,55 11,48 GJ05AB01 Aciclovir 028467037 ACICLOVIR 25 cpr 400 mg 84 DOROM RR 11,55 11,48 GJ05AB01 Aciclovir 032307023 ACICLOVIR 25 cpr 400 mg 84 EG RR 11,55 11,48 GJ05AB01 Aciclovir 034904021 ACICLOVIR 25 cpr 400 mg 84 HEXAL RR 11,55 11,48 GJ05AB01 Aciclovir 034738031 ACICLOVIR 25 cpr 400 mg 84 MERCK GENERICS RR 11,55 11,48 GJ05AB01 Aciclovir 032927030 ACICLOVIR 25 cpr 400 mg 84 RANBAXY RR 11,55 11,48 GJ05AB01 Aciclovir 032809028 ACICLOVIR 25 cpr 400 mg 84 RATIOPHARM GMBH RR 11,55 11,48 GJ05AB01 Aciclovir 033731011 ACICLOVIR 25 cpr 400 mg 84 SANDOZ RR 11,55 11,48 GJ05AB01 Aciclovir 033066022 ACICLOVIR 25 cpr 400 mg 84 TEVA RR 11,55 11,48 GJ05AB01 Aciclovir 033410010 ACICLOVIR 25 cpr 200 mg 84 ALTERNA RR 12,64 12,56 GJ05AB01 Aciclovir 032307011 ACICLOVIR 25 cpr 200 mg 84 EG RR 12,64 12,56 GJ05AB01 Aciclovir 033066010 ACICLOVIR 25 cpr 200 mg 84 TEVA RR 12,64 12,56 GJ05AB01 Aciclovir 033482023 ACICLOVIR os sosp 100 ml 8% 84 ABC RR 15,34 15,25 GJ05AB01 Aciclovir 033551060 ACICLOVIR os sosp 100 ml 8% 84 DOC GENERICI RR 15,34 15,25 GJ05AB01 Aciclovir 028467049 ACICLOVIR os sosp 100 ml 8% 84 DOROM RR 15,34 15,25 GJ05AB01 Aciclovir 032307035 ACICLOVIR os sosp 100 ml 8% 84 EG RR 15,34 15,25 GJ05AB01 Aciclovir 034904045 ACICLOVIR os sosp 100 ml 400 mg/5 ml 84 HEXAL RR 15,34 15,25 GJ05AB01 Aciclovir 031117056 ACICLOVIR os sosp 100 ml 8% 84 IDI RR 15,34 15,25 GJ05AB01 Aciclovir 034738056 ACICLOVIR os sosp 100 ml 8% 84 MERCK GENERICS RR 15,34 15,25 GJ05AB01 Aciclovir 033429022 ACICLOVIR os sosp 100 ml 8% 84 PLIVA RR 15,34 15,25 GJ05AB01 Aciclovir 032927067 ACICLOVIR os sosp 100 ml 8% 84 RANBAXY RR 15,34 15,25 G

60

Page 61: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

J05AB01 Aciclovir 033731035 ACICLOVIR os sosp 100 ml 8% 84 SANDOZ RR 15,34 15,25 GJ05AB01 Aciclovir 033066046 ACICLOVIR os sosp 100 ml 8% 84 TEVA RR 15,34 15,25 GJ05AB01 Aciclovir 033482047 ACICLOVIR 35 cpr 800 mg 84 ABC RR 31,59 31,40 GJ05AB01 Aciclovir 033410046 ACICLOVIR 35 cpr 800 mg 84 ALTERNA RR 31,59 31,40 GJ05AB01 Aciclovir 033551072 ACICLOVIR 35 cpr 800 mg 84 DOC GENERICI RR 31,59 31,40 GJ05AB01 Aciclovir 028467064 ACICLOVIR 35 cpr 800 mg 84 DOROM RR 31,59 31,40 GJ05AB01 Aciclovir 032307086 ACICLOVIR 35 cpr 800 mg 84 EG RR 31,59 31,40 GJ05AB01 Aciclovir 035005014 ACICLOVIR 35 cpr 800 mg 84 FARMACEUTICI T.S. RR 31,59 31,40 GJ05AB01 Aciclovir 034904033 ACICLOVIR 35 cpr 800 mg 84 HEXAL RR 31,59 31,40 GJ05AB01 Aciclovir 031117068 ACICLOVIR 35 cpr div 800 mg 84 IDI RR 31,59 31,40 GJ05AB01 Aciclovir 034738043 ACICLOVIR 35 cpr 800 mg 84 MERCK GENERICS RR 31,59 31,40 GJ05AB01 Aciclovir 033429046 ACICLOVIR 35 cpr 800 mg 84 PLIVA RR 31,59 31,40 GJ05AB01 Aciclovir 032927055 ACICLOVIR 35 cpr 800 mg 84 RANBAXY RR 31,59 31,40 GJ05AB01 Aciclovir 033063025 ACICLOVIR 35 cpr 800 mg 84 RATIOPHARM RR 31,59 31,40 GJ05AB01 Aciclovir 033731050 ACICLOVIR 35 cpr 800 mg 84 SANDOZ RR 31,59 31,40 GJ05AB01 Aciclovir 033066073 ACICLOVIR 35 cpr 800 mg 84 TEVA RR 31,59 31,40 GJ05AB01 Aciclovir 033672027 ACICLOVIR 5 fiale EV 250 mg 84 RECORDATI RR 80,54 80,06 GJ05AB01 Aciclovir 036110029 ACICLOVIR os sosp 100 ml 400 mg/5 ml 84 ALTER RR 15,34 15,25 GJ05AB01 Aciclovir 036110017 ACICLOVIR 35cpr 800 mg 84 ALTER RR 31,59 31,40 GJ05AB01 Aciclovir 028231013 ACY 25 cpr 400 mg 84 ECOBI RR 11,93 11,86 GJ05AB01 Aciclovir 026121069 ACYVIR 25 cpr 400 mg 84 GLAXO ALLEN RR 11,55 11,48 GJ05AB01 Aciclovir 026121044 ACYVIR 25 cpr 200 mg 84 GLAXO ALLEN RR 12,64 12,56 GJ05AB01 Aciclovir 026121083 ACYVIR os sosp 100 ml 8% 84 GLAXO ALLEN RR 15,34 15,25 GJ05AB01 Aciclovir 026121107 ACYVIR 35 cpr 800 mg 84 GLAXO ALLEN RR 35,20 34,99 GJ05AB01 Aciclovir 028402016 ALOVIR 25 cpr 400 mg 84 CABER RR 11,55 11,48 GJ05AB01 Aciclovir 028402055 ALOVIR 35 cpr 800 mg 84 CABER RR 31,59 31,40 GJ05AB01 Aciclovir 033471020 AMODIVYR os sosp 100 ml 8% 84 COPERNICO RR 15,34 15,25 GJ05AB01 Aciclovir 033471018 AMODIVYR 35 cpr 800 mg 84 COPERNICO RR 31,59 31,40 GJ05AB01 Aciclovir 027194048 AVIRASE 25 cpr 400 mg 84 LAMPUGNANI RR 13,87 13,79 GJ05AB01 Aciclovir 027194063 AVIRASE 35 cpr 800 mg 84 LAMPUGNANI RR 31,59 31,40 GJ05AB01 Aciclovir 028619031 AVIX 35 cpr 800 mg 84 I.BIR.N RR 31,59 31,40 GJ05AB01 Aciclovir 028516110 AVYCLOR 35 cpr 800 mg 84 FARMA 1 RR 31,59 31,40 GJ05AB01 Aciclovir 028516096 AVYCLOR "800" 25 cpr 800 mg 84 FARMA 1 RR 60,68 60,32 GJ05AB01 Aciclovir 031846025 AVYPLUS os sosp 100 ml 8% 84 EPIFARMA RR 15,34 15,25 GJ05AB01 Aciclovir 031846049 AVYPLUS 35 cpr 800 mg 84 EPIFARMA RR 31,59 31,40 GJ05AB01 Aciclovir 028528077 CITIVIR 35 cpr 800 mg 84 C.T. LABORATORIO FARMACEUTICO RR 31,59 31,40 GJ05AB01 Aciclovir 025299076 CYCLOVIRAN 25 cpr 400 mg 84 SIGMATAU RR 11,55 11,48 GJ05AB01 Aciclovir 025299052 CYCLOVIRAN 25 cpr 200 mg 84 SIGMATAU RR 12,64 12,56 GJ05AB01 Aciclovir 025299088 CYCLOVIRAN os sosp 100 ml 8% 84 SIGMATAU RR 15,34 15,25 GJ05AB01 Aciclovir 025299126 CYCLOVIRAN 35 cpr 800 mg 84 SIGMATAU RR 31,59 31,40 GJ05AB01 Aciclovir 025299013 CYCLOVIRAN 3 fiale EV 250 mg 84 SIGMATAU RR 46,60 46,32 GJ05AB01 Aciclovir 028242079 DRAVYR os sosp 100 ml 8% 84 DRUG RESEARCH RR 15,34 15,25 GJ05AB01 Aciclovir 028242093 DRAVYR 35 cpr 800 mg 84 DRUG RESEARCH RR 31,59 31,40 GJ05AB01 Aciclovir 027534054 EFRIVIRAL 25 cpr 400 mg 84 AESCULAPIUS RR 11,55 11,48 GJ05AB01 Aciclovir 027534015 EFRIVIRAL 25 cpr 200 mg 84 AESCULAPIUS RR 12,64 12,56 GJ05AB01 Aciclovir 027534116 EFRIVIRAL os sosp 100 ml 8% 84 AESCULAPIUS RR 15,34 15,25 GJ05AB01 Aciclovir 027534128 EFRIVIRAL 35 cpr 800 mg 84 AESCULAPIUS RR 31,59 31,40 GJ05AB01 Aciclovir 028338059 ESAVIR os sosp 100 ml 8% 84 BONISCONTRO & GAZZONE RR 15,34 15,25 GJ05AB01 Aciclovir 028338046 ESAVIR 35 cpr 800 mg 84 BONISCONTRO & GAZZONE RR 31,59 31,40 GJ05AB01 Aciclovir 036035032 EUCLIVIR os sosp 100 ml 8% 84 TAD PHARMA RR 15,34 15,25 GJ05AB01 Aciclovir 036035018 EUCLIVIR 35 cpr 800 mg 84 TAD PHARMA RR 31,59 31,40 GJ05AB01 Aciclovir 034455016 FUVIRON 35 cpr 800 mg 84 PROGE FARM RR 31,59 31,40 GJ05AB01 Aciclovir 034739058 ILIACLOR os sosp 100 ml 8% 84 DEPO FARMA RR 15,34 15,25 G

61

Page 62: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

J05AB01 Aciclovir 034739045 ILIACLOR 35 cpr 800 mg 84 DEPO FARMA RR 31,59 31,40 GJ05AB01 Aciclovir 034891034 IMMUNOVIR 35 cpr 800 mg 84 P.R.C. RR 31,59 31,40 GJ05AB01 Aciclovir 031836036 IPAVIRAN 35 cpr 800 mg 84 NCSN RR 31,59 31,40 GJ05AB01 Aciclovir 033868023 IPSOVIR os sosp 100 ml 8% 84 ALMUS RR 15,34 15,25 GJ05AB01 Aciclovir 033868011 IPSOVIR 35 cpr 800 mg 84 ALMUS RR 31,59 31,40 GJ05AB01 Aciclovir 034604013 NECLOVIR 35 cpr 800 mg 84 ITA RR 31,59 31,40 GJ05AB01 Aciclovir 028425039 NEVIRAN os sosp 100 ml 8% 84 S.F. GROUP RR 15,34 15,25 GJ05AB01 Aciclovir 028425078 NEVIRAN 35 cpr 800 mg 84 S.F. GROUP RR 31,59 31,40 GJ05AB01 Aciclovir 028425066 NEVIRAN 25 cpr 800 mg 84 S.F. GROUP RR 60,68 60,32 GJ05AB01 Aciclovir 028468054 REXAN 25 cpr 400 mg 84 ICI RENDE RR 13,54 13,46 GJ05AB01 Aciclovir 028468080 REXAN os sosp 100 ml 8% 84 ICI RENDE RR 15,44 15,35 GJ05AB01 Aciclovir 028468092 REXAN 25 cpr 800 mg 84 ICI RENDE RR 60,68 60,32 GJ05AB01 Aciclovir 029072030 RIDUVIR 25 cpr 400 mg 84 FRANCIA RR 11,55 11,48 GJ05AB01 Aciclovir 033209014 SANAVIR 3 flaconi EV 250 mg 84 MAYNE PHARMA RR 46,60 46,32 GJ05AB01 Aciclovir 033943010 VORACLOR 35 cpr 800 mg 84 LA.FA.RE. RR 31,59 31,40 GJ05AB01 Aciclovir 025298074 ZOVIRAX 25 cpr 400 mg 84 GLAXOSMITHKLINE RR 15,18 15,09 GJ05AB01 Aciclovir 025298050 ZOVIRAX 25 cpr 200 mg 84 GLAXOSMITHKLINE RR 18,08 17,97 GJ05AB01 Aciclovir 025298086 ZOVIRAX "FORTE" os sosp 100 ml 8% 84 GLAXOSMITHKLINE RR 21,23 21,10 GJ05AB01 Aciclovir 025298124 ZOVIRAX 35 cpr 800 mg 84 GLAXOSMITHKLINE RR 52,01 51,70 GJ05AB09 Famciclovir 029172018 FAMVIR 21 cpr riv 250 mg 84 NOVARTIS FARMA RR 132,10 130,52 X XJ05AB09 Famciclovir 029172057 FAMVIR 21 cpr riv 500 mg 84 NOVARTIS FARMA RR 264,23 261,05 X XJ05AB09 Famciclovir 029173010 ZIRAVIR 21 cpr riv 250 mg 84 LPB RR 132,10 130,52 X XJ05AB09 Famciclovir 029173059 ZIRAVIR 21 cpr riv 500 mg 84 LPB RR 264,23 261,05 X XJ05AB11 Valaciclovir 029498019 TALAVIR 42 cpr riv 500 mg 84 SIGMATAU RR 125,98 124,46 X XJ05AB11 Valaciclovir 029498021 TALAVIR 21 cpr riv 1 g 84 SIGMATAU RR 126,53 125,01 X XJ05AB11 Valaciclovir 029503024 ZELITREX 21 cpr riv 1 g 84 GLAXOSMITHKLINE RR 120,20 118,76 XJ05AB11 Valaciclovir 029503012 ZELITREX 42 cpr riv 500 mg 84 GLAXOSMITHKLINE RR 119,68 118,24 XJ05AB14 Valganciclovir 035740012 DARILIN 60 cpr riv 450 mg PT RECORDATI RR 1778,83 1757,49 XJ05AB14 Valganciclovir 035739010 VALCYTE 60 cpr riv 450 mg PT ROCHE RR 1872,45 1849,99 X XJ05AB15 Brivudina 035720010 BRIVIRAC 7 cpr 125 mg 84 GUIDOTTI RR 95,93 94,77 X XJ05AB15 Brivudina 035722014 ZECOVIR 7 cpr 125 mg 84 GUIDOTTI RR 95,93 94,77 X XJ05AF01 Zidovudina 026697058 RETROVIR scir 200 ml WELLCOME FOUNDATION RRL 36,45 36,01 XJ05AF01 Zidovudina 026697072 RETROVIR 5 fiale EV 200 mg 20 ml WELLCOME FOUNDATION RRL 78,64 77,70 XJ05AF01 Zidovudina 026697019 RETROVIR 100 cps 100 mg WELLCOME FOUNDATION RRL 157,87 155,97 XJ05AF01 Zidovudina 026697122 RETROVIR 100 cps 100 mg WELLCOME FOUNDATION RRL 157,87 155,97 XJ05AF01 Zidovudina 026697110 RETROVIR 60 cps 250 mg WELLCOME FOUNDATION RRL 240,24 237,36 XJ05AF01 Zidovudina 026697108 RETROVIR 60 cpr 300 mg WELLCOME FOUNDATION RRL 247,60 244,62 XJ05AF03 Zalcitabina 028624029 HIVID 100 cpr riv 0,750 mg ROCHE RRL 221,42 218,76 XJ05AF05 Lamivudina 034506030 ZEFFIX gtt os 240 ml 5 mg/ml 32bis PT GLAXO GROUP Ltd RR 38,43 37,97 X XJ05AF05 Lamivudina 034506016 ZEFFIX 28 cpr riv 100 mg 32bis PT GLAXO GROUP Ltd RR 89,57 88,49 X XJ06BB01 Immunoglobulina umana R033867019 IGAMAD 1 fiala IM 1.250 U.I. + 1 fiala solv 2 ml PT INSTITUTO GRIFOLS S.A. RR 48,29 48,00J06BB01 Immunoglobulina umana R022547020 IMMUNORHO 1 fiala IM 200 mcg + 1 fiala solv 2 ml PT KEDRION RR 38,53 38,30J06BB01 Immunoglobulina umana R022547018 IMMUNORHO 1 fiala IM 300 mcg + 1 fiala solv 2 ml PT KEDRION RR 57,95 57,60J06BB01 Immunoglobulina umana R021974023 PARTOBULIN 1 fiala IM 250 mcg + 1 fiala solv 2 ml PT BAXTER AG RR 33,72 33,52J06BB01 Immunoglobulina umana R021974035 PARTOBULIN 1 siringa IM 1250 U.I. PT BAXTER AG RR 48,29 48,00J06BB02 Immunoglobulina umana a 022635041 GAMMA TET P 1 fiala IM 250 U.I. 1 ml ZLB BEHRING GMBH RR 7,70 7,65J06BB02 Immunoglobulina umana a 022635054 GAMMA TET P 1 fiala IM 500 U.I. 2 ml ZLB BEHRING GMBH RR 15,39 15,30J06BB02 Immunoglobulina umana a 033863010 IGANTET 1 siringa IM 250 U.I. 1 ml INSTITUTO GRIFOLS S.A. RR 10,95 10,88J06BB02 Immunoglobulina umana a 033863022 IGANTET 1 siringa IM 500 U.I. 2 ml INSTITUTO GRIFOLS S.A. RR 20,40 20,28J06BB02 Immunoglobulina umana a 022601088 TETABULIN 1 siringa 250 U.I. 1 ml BAXTER AG RR 11,36 11,29J06BB02 Immunoglobulina umana a 022601090 TETABULIN 1 siringa 500 U.I. 2 ml BAXTER AG RR 21,43 21,30J06BB02 Immunoglobulina umana a 022488047 TETANUS GAMMA 1 siringa IM 250 U.I. 2 ml KEDRION RR 11,36 11,29J06BB02 Immunoglobulina umana a 022488050 TETANUS GAMMA 1 siringa IM 500 U.I. 2 ml KEDRION RR 21,38 21,25

62

Page 63: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

J06BB04 Immunoglobulina umana a 035320011 IGANTIBE 1 fiala IM 3 ml 600 UI/3 ml INSTITUTO GRIFOLS S.A. RR 348,00 345,91J06BB04 Immunoglobulina umana a 035320023 IGANTIBE 1 fiala IM 5 ml 1000 UI/5 ml INSTITUTO GRIFOLS S.A. RR 540,00 536,76J06BB04 Immunoglobulina umana a 025653015 IMMUNOHBS 1 fiala IM 180 U.I. 1 ml KEDRION RR 109,39 108,73J06BB04 Immunoglobulina umana a 025653027 IMMUNOHBS 1 fiala IM 540 U.I. 3 ml KEDRION RR 383,16 380,86L01AA01 Ciclofosfamide 015628011 ENDOXAN BAXTER 50 cpr riv 50 mg BAXTER ONCOLOGY RNR 8,63 8,53 XL01AA02 Clorambucile 024790026 LEUKERAN 25 cpr riv 2 mg WELLCOME FOUNDATION RNR 7,13 7,05 X XL01AA03 Melfalan 021250030 ALKERAN 25 cpr riv 2 mg WELLCOME FOUNDATION RNR 5,23 5,17 XL01AB01 Busulfano 024787018 MYLERAN 100 cpr riv 2 mg WELLCOME FOUNDATION RNR 15,78 15,60 XL01AX02 Pipobromano 021992021 VERCITE 30 cpr 25 mg ABBOTT RNR 2,53 2,51L01BA01 Metotrexato 019888015 METHOTREXATE 25 cpr 2,5 mg WYETH LEDERLE RNR 4,99 4,96L01BA01 Metotrexato 019888116 METHOTREXATE 4 siringhe 7,5 mg WYETH LEDERLE RNR 29,75 29,39 X XL01BA01 Metotrexato 019888128 METHOTREXATE 4 siringhe 10 mg WYETH LEDERLE RNR 38,47 38,01 X XL01BA01 Metotrexato 019888130 METHOTREXATE 4 siringhe 15 mg WYETH LEDERLE RNR 56,12 55,44 X XL01BA01 Metotrexato 019888142 METHOTREXATE 4 siringhe 20 mg WYETH LEDERLE RNR 74,24 73,34 X XL01BA01 Metotrexato 028493017 METOTREXATO 5 fiale IM EV 5 mg 2 ml MAYNE PHARMA RNR 18,65 18,54 GL01BB02 Mercaptopurina 010344012 PURINETHOL 25 cpr 50 mg WELLCOME FOUNDATION RNR 15,98 15,78 X XL01BB03 Tioguanina 022825018 THIOGUANINE 25 cpr 40 mg WELLCOME FOUNDATION RNR 51,29 50,67 X XL01BC02 Fluorouracile 022645016 EFUDIX ung derm 20 g 5% VALEANT PHARMACEUTICALS RNR 4,44 4,41L01CB01 Etoposide 024639041 VEPESID 10 cps 100 mg BRISTOL RNR 190,21 187,93 XL01CB01 Etoposide 024639039 VEPESID 20 cps 50 mg BRISTOL RNR 191,63 189,33 XL01DB06 Idarubicina 027441031 ZAVEDOS 1 cps 5 mg PFIZER ITALIA RNR 55,10 54,44 XL01DB06 Idarubicina 027441043 ZAVEDOS 1 cps 10 mg PFIZER ITALIA RNR 108,10 106,80 XL01DB06 Idarubicina 027441056 ZAVEDOS 1 cps 25 mg PFIZER ITALIA RNR 266,07 262,87 XL01XB01 Procarbazina 020846010 NATULAN 50 cps 50 mg SIGMATAU RNR 7,93 7,83 XL01XX05 Idroxicarbamide 021510019 ONCO CARBIDE 20 cps 500 mg TEOFARMA RNR 4,95 4,92L01XX09 Miltefosina 032131017 MILTEX soluz derm 10 ml 6% BAXTER ONCOLOGY RNR 102,70 101,46 XL01XX11 Estramustina 024397010 ESTRACYT 40 cps 140 mg PFIZER ITALIA RNR 66,03 65,23 XL01XX14 Tretinoina 029838024 VESANOID 100 cps 10 mg PT ROCHE RNR 271,74 268,48 XL02AA03 Etinilestradiolo 009830047 ETINILESTRADIOLO A25 cpr 1000 mcg AMSA RNR 10,39 10,33 GL02AB01 Megestrolo 027597020 MEGACE 30 cpr 160 mg 28 BRISTOL RNR 66,79 66,39 GL02AB01 Megestrolo 027574019 MEGESTIL 30 cpr 160 mg 28 CRINOS RNR 66,79 66,39 GL02AB01 Megestrolo 034104012 MEGESTROLO 30 cpr 160 mg 28 PH&T RNR 66,79 66,39 GL02AB02 Medrossiprogesterone 020329064 DEPO PROVERA 1 fiala IM 150 mg 1 ml 28 PFIZER ITALIA RNR 4,99 4,96L02AB02 Medrossiprogesterone 020329076 DEPO PROVERA 1 fiala IM 500 mg 3,4 ml 28 PFIZER ITALIA RNR 8,71 8,61 XL02AB02 Medrossiprogesterone 020329088 DEPO PROVERA 1 fiala IM 1 g 6,7 ml 28 PFIZER ITALIA RNR 14,21 14,03 XL02AB02 Medrossiprogesterone 015148137 FARLUTAL os sosp 30 flaconcini 500 mg 28 PFIZER ITALIA RNR 93,59 92,47 XL02AB02 Medrossiprogesterone 015148149 FARLUTAL os sosp 15 flaconcini 1.000 mg 28 PFIZER ITALIA RNR 93,59 92,47 XL02AB02 Medrossiprogesterone 015148125 FARLUTAL 30 cpr 500 mg 28 PFIZER ITALIA RNR 97,93 96,75 XL02AB02 Medrossiprogesterone 015148099 FARLUTAL "depot 100" 1 fiala IM 1 g 28 PFIZER ITALIA RNR 14,21 14,03 XL02AB02 Medrossiprogesterone 020328175 PROVERA 10 bust grat 500 mg 28 PFIZER ITALIA RNR 29,14 28,80 XL02AB02 Medrossiprogesterone 020328151 PROVERA 30 cpr 250 mg 28 PFIZER ITALIA RNR 50,25 49,65 XL02AB02 Medrossiprogesterone 020328187 PROVERA 10 bust grat 1 g 28 PFIZER ITALIA RNR 58,30 57,60 XL02AE01 Buserelin 025540016 SUPREFACT 1 fiala SC 5,5 ml 51 PT AVENTIS PHARMA RR 19,33 19,09 XL02AE01 Buserelin 025540030 SUPREFACT 1 siringa SC 6,6 mg 51 PT AVENTIS PHARMA RR 323,50 319,62 XL02AE01 Buserelin 025540028 SUPREFACT soluz nasale 100 dosi 10 mg/do 51 PT AVENTIS PHARMA RR 40,89 40,39 XL02AE01 Buserelin 025540042 SUPREFACT "DEPOT 3" 1 siringa SC 9,9 mg 51 PT SANOFI-AVENTIS RR 409,29 404,37 XL02AE02 Leuprorelina 036967014 ELIGARD 1 siringa 7,5mg 51 PT ASTELLAS RR 142,28 140,58 XL02AE02 Leuprorelina 036967026 ELIGARD 1 siringa 22,5 mg 51 PT ASTELLAS RR 368,12 363,70 XL02AE02 Leuprorelina 027066024 ENANTONE 1 fiala IM SC 2 ml + 1 siringa 51 PT TAKEDA RR 177,85 175,71 XL02AE02 Leuprorelina 027066048 ENANTONE 1 fiala IM SC 2 ml + 1 siringa 51 PT TAKEDA RR 460,14 454,62 XL02AE03 Goserelin 026471019 ZOLADEX "DEPOT" 1 siringa SC 3,6 mg 51 PT ASTRAZENECA RR 195,06 192,72 X XL02AE03 Goserelin 026471021 ZOLADEX "DEPOT" 1 siringa SC 10,8 mg 51 PT ASTRAZENECA RR 592,35 585,25 X XL02AE04 Triptorelina 026999021 DECAPEPTYL 1 fiala 3,75 mg + 1 fiala solv 2 m 51 PT IPSEN RR 180,10 177,94 X X

63

Page 64: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

L02AE04 Triptorelina 026999058 DECAPEPTYL 1 fiala 11,25 mg + 1 fiala solv 2 51 PT IPSEN RR 524,59 518,29 X XL02AE04 Triptorelina 035562014 GONAPEPTYL DEPOT"DEPOT" 1 siringa IM SC 3,75 51 PT FERRING RR 165,61 163,63 XL02BA01 Tamoxifene 027433010 KESSAR 30 cpr 10 mg ORION CORPORATION RR 8,41 8,36 GL02BA01 Tamoxifene 027433022 KESSAR 30 cpr 20 mg ORION CORPORATION RR 14,52 14,43 GL02BA01 Tamoxifene 031499015 LEDERTAM 30 cpr 10 mg WYETH LEDERLE RR 8,41 8,36 GL02BA01 Tamoxifene 031499027 LEDERTAM 30 cpr 20 mg WYETH LEDERLE RR 14,35 14,26 GL02BA01 Tamoxifene 023362039 NOLVADEX 30 cpr riv 10 mg ASTRAZENECA RR 8,41 8,36 GL02BA01 Tamoxifene 023362041 NOLVADEX 20 cpr riv 20 mg ASTRAZENECA RR 9,66 9,60 GL02BA01 Tamoxifene 033869013 NOMAFEN 30 cpr riv 10 mg FIDIA RR 7,38 7,34 GL02BA01 Tamoxifene 033869025 NOMAFEN 20 cpr riv 20 mg FIDIA RR 8,40 8,35 GL02BA01 Tamoxifene 034790016 TAMOXENE 30 cpr riv 10 mg LISAPHARMA RR 7,38 7,34 GL02BA01 Tamoxifene 034790028 TAMOXENE 20 cpr riv 20 mg LISAPHARMA RR 8,40 8,35 GL02BA01 Tamoxifene 033688019 TAMOXIFENE 30 cpr riv 10 mg EG RR 7,38 7,34 GL02BA01 Tamoxifene 034425037 TAMOXIFENE 30 cpr 10 mg SEGIX RR 7,38 7,34 GL02BA01 Tamoxifene 035058015 TAMOXIFENE 30 cpr riv 10 mg TAD PHARMA RR 7,38 7,34 GL02BA01 Tamoxifene 033688021 TAMOXIFENE 20 cpr riv 20 mg EG RR 8,40 8,35 GL02BA01 Tamoxifene 034108035 TAMOXIFENE 20 cpr 20 mg MAYNE PHARMA RR 8,40 8,35 GL02BA01 Tamoxifene 033617022 TAMOXIFENE 20 cpr riv 20 mg RATIOPHARM GMBH RR 8,40 8,35 GL02BA01 Tamoxifene 034425049 TAMOXIFENE 20 cpr 20 mg SEGIX RR 8,40 8,35 GL02BA01 Tamoxifene 035058027 TAMOXIFENE 20 cpr riv 20 mg TAD PHARMA RR 8,40 8,35 GL02BA02 Toremifene 029914013 FARESTON 30 cpr 60 mg ORION CORPORATION RR 30,82 30,46 XL02BB01 Flutamide 028520017 DROGENIL 30 cpr 250 mg ESSEX RR 23,47 23,33 GL02BB01 Flutamide 026026017 EULEXIN 30 cpr 250 mg SCHERING PLOUGH RR 23,47 23,33 GL02BB01 Flutamide 034472011 FLUPROST 30 cpr 250 mg LISAPHARMA RR 20,76 20,64 GL02BB01 Flutamide 034707012 FLUTAMIDE 21 cpr 250 mg EG RR 16,43 16,33 GL02BB01 Flutamide 034038012 FLUTAMIDE 30 cpr 250 mg FIDIA RR 20,76 20,64 GL02BB01 Flutamide 033929011 FLUTAMIDE 30 cpr 250 mg HEXAL RR 20,76 20,64 GL02BB01 Flutamide 034101016 FLUTAMIDE 30 cpr 250 mg MAYNE PHARMA RR 20,76 20,64 GL02BB01 Flutamide 035031032 FLUTAMIDE 30 cpr 250 mg MERCK GENERICS RR 20,76 20,64 GL02BB01 Flutamide 034464014 FLUTAMIDE 30 cpr 250 mg TAD PHARMA RR 20,76 20,64 GL02BB01 Flutamide 034649018 FLUTAMIDE 30 cpr 250 mg TEVA PHARMA B.V. RR 20,76 20,64 GL02BB01 Flutamide 034273019 FLUTAMIDE 30 cpr 250 mg SEGIX RR 23,47 23,33 GL02BB01 Flutamide 033113010 FLUTAMIDE 30 cpr 250 mg ALFA WASSERMANN RR 26,17 26,01 GL02BB03 Bicalutamide 031113018 CASODEX 28 cpr riv 50 mg ASTRAZENECA RR 192,24 189,94 X XL02BB03 Bicalutamide 031113020 CASODEX 28 cpr riv 150 mg ASTRAZENECA RR 568,06 561,24 X XL02BG01 Aminoglutetimide 025192016 ORIMETEN 40 cpr 250 mg NOVARTIS FARMA RR 20,37 20,13 XL02BG03 Anastrozolo 031809015 ARIMIDEX 28 cpr riv 1 mg PT ASTRAZENECA UK RR 157,44 155,56 X XL02BG04 Letrozolo 033242013 FEMARA 30 cpr riv 2,5 mg PT NOVARTIS FARMA RR 173,86 171,78 X XL02BG06 Exemestane 034678033 AROMASIN 30 cpr riv 25 mg PT PFIZER ITALIA RR 175,13 173,03 XL03AA02 Filgrastim 027772033 GRANULOKINE "30" 1 fiala SC 30.000.000 U.I. 30 PT AMGEN EUROPE B.V. RRL 127,95 126,41 XL03AA02 Filgrastim 027772096 GRANULOKINE 1 siringa SC 30.000.000 U.I. 0,5 30 PT AMGEN EUROPE B.V. RRL 127,95 126,41 XL03AA02 Filgrastim 028216036 NEUPOGEN "30" 1 fiala EV SC 30.000.000 U 30 PT DOMPE` BIOTEC RRL 127,95 126,41 XL03AA02 Filgrastim 028216075 NEUPOGEN 1 siringa EV SC 30.000.000 U.I 30 PT DOMPE` BIOTEC RRL 127,95 126,41 XL03AA10 Lenograstim 028686044 GRANOCYTE "34" 1 fiala SC 33.600.000 U.I. 30 PT SANOFI-AVENTIS RRL 137,92 136,26 X XL03AA10 Lenograstim 029059096 MYELOSTIM "34" 1 fiala EV SC 33.600.000 U 30 PT CHUGAI SANOFI AVENTIS RRL 131,02 129,44 XL03AA13 Pegfilgrastim 035716012 NEULASTA 1 fiala SC 6 mg 0,6 ml 30bis PT AMGEN EUROPE B.V. RRL 1489,49 1471,61 XL03AA13 Pegfilgrastim 035717014 NEUPOPEG 1 fiala SC 6 mg 0,6 ml 30bis PT DOMPE` BIOTEC RRL 1489,49 1471,61 XL03AB01 Interferone alfa 028820088 ALFATER 1 fiala IM SC 6.000.000 U.I. 1 m 32 PT HARDIS RRL 82,53 81,53 XL03AB01 Interferone alfa 027929088 BIAFERONE 1 fiala IM SC 3.000.000 U.I. 1 m 32 PT KEDRION RRL 41,27 40,77 XL03AB01 Interferone alfa 027929090 BIAFERONE 1 fiala IM SC 6.000.000 U.I. 1 m 32 PT KEDRION RRL 82,53 81,53 XL03AB01 Interferone alfa N3 026518011 ALFAFERONE 1 fiala IM SC EV 1.000.000 U.I. 32 PT ALFA WASSERMANN RRL 16,37 16,27L03AB01 Interferone alfa N3 026518062 ALFAFERONE 1 fiala IM SC EV 3.000.000 U.I. 32 PT ALFA WASSERMANN RRL 49,17 48,87L03AB01 Interferone alfa N3 026518050 ALFAFERONE 1 fiala IM SC EV 6.000.000 U.I. 32 PT ALFA WASSERMANN RRL 98,33 97,74

64

Page 65: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

L03AB01 Interferone alfa N3 028292035 CILFERON A 1 fiala IM SC EV 1.000.000 U.I. 32 PT JANSSEN CILAG RRL 13,74 13,58 XL03AB01 Interferone alfa N3 028292023 CILFERON A 1 fiala IM SC EV 3.000.000 U.I. 32 PT JANSSEN CILAG RRL 41,27 40,77 XL03AB01 Interferone alfa N3 028292011 CILFERON A 1 fiala IM SC EV 6.000.000 U.I. 32 PT JANSSEN CILAG RRL 82,53 81,53 XL03AB04 Interferone alfa 2A 025839111 ROFERON A 1siringa SC 3.000.000 U.I./0,5 32 PT ROCHE RRL 25,21 24,91 XL03AB04 Interferone alfa 2A 025839212 ROFERON A 1siringa SC 6.000.000 U.I./0,5 32 PT ROCHE RRL 49,46 48,86 XL03AB04 Interferone alfa 2A 025839263 ROFERON A 1siringa SC 9.000.000 U.I./0,5 32 PT ROCHE RRL 73,97 73,09 XL03AB05 Interferone alfa 2B 034832194 INTRONA 1 fiala SC EV 10.000.000 U.I. 32 PT SP EUROPE RR 88,46 87,40 XL03AB05 Interferone alfa 2B 034832232 INTRONA 1 fiala SC EV 18.000.000 U.I. 3 32 PT SP EUROPE RR 147,46 145,70 XL03AB05 Interferone alfa 2B 034832319 INTRONA 1 cartuccia SC EV 18.000.000 32 PT SP EUROPE RR 166,16 164,16 XL03AB05 Interferone alfa 2B 034832271 INTRONA 1 fiala SC EV 25.000.000 U.I. 2 32 PT SP EUROPE RR 203,69 201,25 XL03AB05 Interferone alfa 2B 034832345 INTRONA 1 cartuccia SC EV 30.000.000 32 PT SP EUROPE RR 274,63 271,33 XL03AB07 Interferone beta 1A 033283033 AVONEX 4 siringhe IM 30 mcg/0,5 ml + 4 65 BIOGEN IDEC LTD RR 1176,96 1162,84 XL03AB07 Interferone beta 1A 034091037 REBIF 12 siringhe SC 6.000.000 U.I. 2 65 SERONO EUROPE Ltd RR 1198,42 1184,04 X XL03AB07 Interferone beta 1A 034091064 REBIF 12 siringhe SC 12.000.000 U.I. 65 SERONO EUROPE Ltd RR 1611,39 1592,05 X XL03AB08 Interferone beta 1B 032166023 BETAFERON 15 fiale SC 0,25 mg + 15 siring 65 SCHERING A.G. RR 1342,15 1326,05 X XL03AB09 Interferone alfacon-1 034418018 INFERGEN 1 fiala SC 9 mcg + 1 siringa + 2 32 PT ASTELLAS EUROPE BV RR 23,35 23,07 XL03AB10 Peginterferone alfa-2B 034852018 PEGINTRON 1 fiala SC 50 mcg + 1 fiala solv 32 PT SP EUROPE RR 133,21 131,61 X XL03AB10 Peginterferone alfa-2B 034852311 PEGINTRON 1 fiala SC 50 mcg + 1 ago 32 PT SP EUROPE RR 133,21 131,61 X XL03AB10 Peginterferone alfa-2B 034852069 PEGINTRON 1 fiala SC 80 mcg + 1 fiala solv 32 PT SP EUROPE RR 212,96 210,40 X XL03AB10 Peginterferone alfa-2B 034852350 PEGINTRON 1 fiala SC 80 mcg + 1 ago 32 PT SP EUROPE RR 212,96 210,40 X XL03AB10 Peginterferone alfa-2B 034852119 PEGINTRON 1 fiala SC 100 mcg + 1 fiala sol 32 PT SP EUROPE RR 266,21 263,01 X XL03AB10 Peginterferone alfa-2B 034852398 PEGINTRON 1 fiala SC 100 mcg + 1 ago 32 PT SP EUROPE RR 266,21 263,01 X XL03AB10 Peginterferone alfa-2B 034852160 PEGINTRON 1 fiala SC 120 mcg + 1 fiala sol 32 PT SP EUROPE RR 319,46 315,62 X XL03AB10 Peginterferone alfa-2B 034852436 PEGINTRON 1 fiala SC 120 mcg + 1 ago 32 PT SP EUROPE RR 319,46 315,62 X XL03AB10 Peginterferone alfa-2B 034852210 PEGINTRON 1 fiala SC 150 mcg + 1 fiala sol 32 PT SP EUROPE RR 398,99 394,21 X XL03AB11 Peginterferone alfa-2A 035683059 PEGASYS 1 siringa SC 135 mcg 0,5 ml + 32 PT ROCHE REGISTRATION Ltd RR 250,86 247,84 X XL03AB11 Peginterferone alfa-2A 035683073 PEGASYS 1 siringa SC 180 mcg 0,5 ml + 32 PT ROCHE REGISTRATION Ltd RR 321,41 317,55 X XL03AX13 Glatiramer 035418019 COPAXONE 28 flaconcini 20 mg + 1 fiala so 65 TEVA PHARMACEUTICALS Ltd RR 1206,17 1191,69 X XL03AX13 Glatiramer 035418021 COPAXONE 28 siringhe SC 20 mg/ml 65 TEVA PHARMACEUTICALS Ltd RR 1206,17 1191,69 X XL04AA01 Ciclosporina 025306034 SANDIMMUN 50 cps 25 mg NOVARTIS FARMA RNR 61,23 60,49 X XL04AA01 Ciclosporina 025306046 SANDIMMUN 50 cps 50 mg NOVARTIS FARMA RNR 117,68 116,26 X XL04AA01 Ciclosporina 025306059 SANDIMMUN 30 cps 100 mg NOVARTIS FARMA RNR 138,11 136,45 X XL04AA01 Ciclosporina 025306022 SANDIMMUN 10 fiale EV 250 mg 5 ml NOVARTIS FARMA RNR 149,76 147,96 X XL04AA01 Ciclosporina 025306010 SANDIMMUN gtt os 50 ml 100 mg/ml NOVARTIS FARMA RNR 212,68 210,12 X XL04AA01 Ciclosporina 029453053 SANDIMMUN NEORAL50 cps 10 mg NOVARTIS FARMA RNR 23,78 23,50 X XL04AA01 Ciclosporina 029453014 SANDIMMUN NEORAL50 cps 25 mg NOVARTIS FARMA RNR 59,45 58,73 X XL04AA01 Ciclosporina 029453026 SANDIMMUN NEORAL50 cps 50 mg NOVARTIS FARMA RNR 115,26 113,88 X XL04AA01 Ciclosporina 029453038 SANDIMMUN NEORAL30 cps 100 mg NOVARTIS FARMA RNR 129,45 127,89 X XL04AA01 Ciclosporina 029453040 SANDIMMUN NEORALgtt os 50 ml 100 mg/ml NOVARTIS FARMA RNR 211,67 209,13 X XL04AA05 Tacrolimus 029485099 PROGRAF 30 cps 0,5 mg PT ASTELLAS RR 45,72 45,18 X XL04AA05 Tacrolimus 029485075 PROGRAF 60 cps 1 mg PT ASTELLAS RNR 195,66 193,32 X XL04AA05 Tacrolimus 029485048 PROGRAF 30 cps 5 mg PT ASTELLAS RNR 453,96 448,52 X XL04AA05 Tacrolimus 029485063 PROGRAF 10 fiale EV 5 mg 1 ml PT ASTELLAS RNR 592,90 585,78 X XL04AA10 Sirolimus 035120017 RAPAMUNE os soluz 60 ml + 30 siringhe PT WYETH EUROPA LTD RR 366,86 362,46 X XL04AA10 Sirolimus 035120094 RAPAMUNE 30 cpr riv 2 mg PT WYETH EUROPA LTD RR 366,86 362,46 X XL04AA10 Sirolimus 035120070 RAPAMUNE 100 cpr riv 1 mg PT WYETH EUROPA LTD RR 611,41 604,07 X XL04AA13 Leflunomide 034702098 ARAVA 3 cpr riv 100 mg PT SANOFI AVENTIS GMBH RR 34,22 33,80 X XL04AA13 Leflunomide 034702074 ARAVA 30 cpr riv 20 mg PT SANOFI AVENTIS GMBH RR 84,41 83,39 X XL04AA18 Everolimus 036373025 CERTICAN 60 cpr 0,25 mg PT NOVARTIS FARMA RNR 180,31 178,15 X XL04AA18 Everolimus 036373102 CERTICAN 60 cpr 0,75 mg PT NOVARTIS FARMA RNR 540,92 534,42 X XL04AX01 Azatioprina 036292023 AZATIOPRINA 50 cpr riv 50 mg HEXAL RNR 14,73 14,64 GL04AX01 Azatioprina 036292050 AZATIOPRINA 50 cpr riv 50 mg HEXAL RNR 14,73 14,64 GL04AX01 Azatioprina 020957039 AZATIOPRINA 50 cpr riv 50 mg WELLCOME FOUNDATION RNR 14,73 14,64 G

65

Page 66: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

L04AX01 Azatioprina 020957027 AZATIOPRINA 50 cpr 50 mg WELLCOME FOUNDATION RNR 23,45 23,31 GM01AB Amtolmetina guacile 028092029 ARTRICOL 30 cpr 600 mg 66 MEDOSAN RR 16,34 16,14 X XM01AB Amtolmetina guacile 028092043 ARTRICOL 30 bust grat 600 mg 66 MEDOSAN RR 16,34 16,14 X XM01AB Amtolmetina guacile 027834035 ARTROMED 30 bust grat 600 mg 66 MEDOSAN RICERCA RR 16,34 16,14 X XM01AB Amtolmetina guacile 027834062 ARTROMED 30 cpr riv 600 mg 66 MEDOSAN RICERCA RR 16,34 16,14 X XM01AB Amtolmetina guacile 027810023 EUFANS 30 cpr riv 600 mg 66 SIGMATAU RR 16,34 16,14 X XM01AB Amtolmetina guacile 027810035 EUFANS 30 bust grat 600 mg 66 SIGMATAU RR 16,34 16,14 X XM01AB01 Indometacina 020676019 INDOXEN 25 cps 25 mg 66 SIGMATAU RR 1,45 1,44M01AB01 Indometacina 020676021 INDOXEN 25 cps 50 mg 66 SIGMATAU RR 2,69 2,67M01AB01 Indometacina 022559037 LIOMETACEN 6 fiale IM 50 mg + 6 fiale solv PROMEDICA RR 4,88 4,85M01AB01 Indometacina 020873028 METACEN 20 cps 50 mg 66 PROMEDICA RR 2,17 2,16M01AB02 Sulindac 023410044 CLINORIL 30 cpr 200 mg 66 NEOPHARMED RR 7,14 7,06 XM01AB05 Diclofenac 033771027 ALGOSENAC 5 fiale IM 75 mg 3 ml GALENICA SENESE RR 2,16 2,15 GM01AB05 Diclofenac 028943025 DEALGIC 20 cps 100 mg rilascio prolunga 66 PFIZER ITALIA RR 6,03 5,99 GM01AB05 Diclofenac 028943013 DEALGIC 20 cps 75 mg rilascio prolungat 66 PFIZER ITALIA RR 6,63 6,59 GM01AB05 Diclofenac 028534030 DEFLAMAT 5 fiale 75 mg 3 ml DAIICHI SANKYO RR 3,03 3,01 GM01AB05 Diclofenac 028534016 DEFLAMAT 20 cps 75 mg retard 66 DAIICHI SANKYO RR 6,63 6,59 GM01AB05 Diclofenac 028534028 DEFLAMAT 20 cps 100 mg retard 66 DAIICHI SANKYO RR 8,15 8,10 GM01AB05 Diclofenac 032243038 DICLOFAN 6 fiale IM 75 mg 3 ml BONISCONTRO & GAZZONE RR 3,21 3,19 GM01AB05 Diclofenac 032243014 DICLOFAN 20 cpr 100 mg rilascio prolunga 66 BONISCONTRO & GAZZONE RR 6,03 5,99 GM01AB05 Diclofenac 035242015 DICLOFENAC 5 fiale IM 75 mg 3 ml ALMUS RR 2,16 2,15 GM01AB05 Diclofenac 035832043 DICLOFENAC 5 fiale IM 75 mg 3 ml ANGENERICO RR 2,16 2,15 GM01AB05 Diclofenac 035248018 DICLOFENAC 5 fiale IM 75 mg 3 ml DOC GENERICI RR 2,16 2,15 GM01AB05 Diclofenac 029456035 DICLOFENAC 5 fiale IM 75 mg 3 ml EG RR 2,16 2,15 GM01AB05 Diclofenac 032786042 DICLOFENAC 5 fiale IM 75 mg 3 ml HEXAL RR 2,16 2,15 GM01AB05 Diclofenac 033062047 DICLOFENAC 5 fiale IM 75 mg 3 ml MERCK GENERICS RR 2,16 2,15 GM01AB05 Diclofenac 034665012 DICLOFENAC 5 fiale IM 75 mg 3 ml PLIVA RR 2,16 2,15 GM01AB05 Diclofenac 029457037 DICLOFENAC 5 fiale IM 75 mg 3ml RATIOPHARM GMBH RR 2,16 2,15 GM01AB05 Diclofenac 033411012 DICLOFENAC 5 fiale IM 75 mg 3 ml SANDOZ RR 2,16 2,15 GM01AB05 Diclofenac 033212034 DICLOFENAC 6 fiale IM 75 mg 3 ml ALTER RR 3,21 3,19 GM01AB05 Diclofenac 035832029 DICLOFENAC 30 cpr gastrores 50 mg 66 ANGENERICO RR 3,86 3,84 GM01AB05 Diclofenac 029456011 DICLOFENAC 30 cpr gastrores 50 mg 66 EG RR 3,86 3,84 GM01AB05 Diclofenac 032786028 DICLOFENAC 30 cpr gastrores 50 mg 66 HEXAL RR 3,86 3,84 GM01AB05 Diclofenac 029457013 DICLOFENAC 30 cpr gastrores 50 mg 66 RATIOPHARM GMBH RR 3,86 3,84 GM01AB05 Diclofenac 033727025 DICLOFENAC 21 cpr 100 mg rilascio prolunga 66 DOC GENERICI RR 6,03 5,99 GM01AB05 Diclofenac 029456050 DICLOFENAC 21 cpr 100 mg rilascio prolunga 66 EG RR 6,03 5,99 GM01AB05 Diclofenac 033062023 DICLOFENAC 20 cpr 100 mg rilascio prolunga 66 MERCK GENERICS RR 6,03 5,99 GM01AB05 Diclofenac 029267022 DICLOFENAC 21 cpr 100 mg rilascio prolunga 66 SANDOZ RR 6,03 5,99 GM01AB05 Diclofenac 033727013 DICLOFENAC 30 cpr 75 mg rilascio prolungato 66 DOC GENERICI RR 7,32 7,28 GM01AB05 Diclofenac 036053015 DICLOFENAC 21 cpr 100 mg rialscio prolunga 66 HEXAL AG RR 6,03 5,99 GM01AB05 Diclofenac 033062050 DICLOFENAC 21 cpr 100 mg rilascio prolunga 66 MERCK GENERICS RR 6,03 5,99 GM01AB05 Diclofenac 024515076 DICLOREUM 6 fiale IM 75 mg 3 ml ALFA WASSERMANN RR 3,21 3,19 GM01AB05 Diclofenac 024515049 DICLOREUM 30 cpr gastrores 50 mg 66 ALFA WASSERMANN RR 3,86 3,84 GM01AB05 Diclofenac 024515088 DICLOREUM "RETARD" 20 cpr 100 mg 66 ALFA WASSERMANN RR 6,03 5,99 GM01AB05 Diclofenac 024515114 DICLOREUM 20 cps 150 mg rilascio prolunga 66 ALFA WASSERMANN RR 12,39 12,32 GM01AB05 Diclofenac 032141032 FENADOL 5 fiale IM 75 mg 3ml PROGE FARM RR 2,16 2,15 GM01AB05 Diclofenac 032141018 FENADOL 20 cpr 100 mg rilascio prolunga 66 PROGE FARM RR 6,03 5,99 GM01AB05 Diclofenac 033803038 FENDER 6 fiale IM 75 mg 3 ml KRUGHER RR 3,21 3,19 GM01AB05 Diclofenac 033803014 FENDER 20 cpr 100 mg rilascio prolunga 66 KRUGHER RR 6,03 5,99 GM01AB05 Diclofenac 025536057 FLOGOFENAC 5 fiale IM 75 mg 3 ml ECOBI RR 2,16 2,15 GM01AB05 Diclofenac 025536020 FLOGOFENAC "RETARD" 21 cps 100 mg 66 ECOBI RR 6,51 6,47 GM01AB05 Diclofenac 023828080 FORGENAC 6 fiale IM 75 mg 3 ml FARMAC.FORMENTI RR 3,69 3,67 GM01AB05 Diclofenac 023828078 FORGENAC "RETARD" 20 cpr 100 mg 66 FARMAC.FORMENTI RR 6,03 5,99 G

66

Page 67: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

M01AB05 Diclofenac 033212010 LISIFLEN 20 cpr 100 mg rilascio prolunga 66 ALTER RR 6,03 5,99 GM01AB05 Diclofenac 023181047 VOLTAREN 5 fiale IM 75 mg 3 ml NOVARTIS FARMA RR 2,94 2,92 GM01AB05 Diclofenac 023181011 VOLTAREN 30 cpr gastrores 50 mg 66 NOVARTIS FARMA RR 4,64 4,61 GM01AB05 Diclofenac 023181035 VOLTAREN 21 cpr 100 mg rilascio prolunga 66 NOVARTIS FARMA RR 7,24 7,20 GM01AB05 Diclofenac 023181074 VOLTAREN 30 cpr 75 mg rilascio prolungato 66 NOVARTIS FARMA RR 8,27 8,22 GM01AB05 Diclofenac 028945020 VOLTFAST 30 cpr riv 50 mg 66 NOVARTIS FARMA RR 5,24 5,21 GM01AB05 Diclofenac 028945032 VOLTFAST 30 bust grat 50 mg 66 NOVARTIS FARMA RR 5,24 5,21 GM01AB10 Fentiazac 022843039 O-FLAM 30 conf 200 mg 66 MDM RR 4,25 4,22 GM01AB11 Acemetacina 026357020 ACEMIX 30 cps 60 mg 66 BIOPROGRESS RR 7,82 7,72 XM01AB11 Acemetacina 026226047 SOLART 30 cps 60 mg 66 PFIZER ITALIA RR 7,82 7,72 XM01AB14 Proglumetacina 024166050 AFLOXAN 20 cpr riv 300 mg 66 ROTTAPHARM RR 8,25 8,15 XM01AB14 Proglumetacina 024116079 PROXIL 20 cpr 300 mg 66 ROTTAPHARM RR 8,25 8,15 XM01AB15 Ketorolac 027257056 LIXIDOL 3 fiale IM 30 mg 1 ml ROCHE RNR 4,99 4,96M01AB15 Ketorolac 027253020 TORADOL 3 fiale IM EV 30 mg 1 ml RECORDATI RNR 4,49 4,46M01AB16 Aceclofenac 032773032 AIRTAL 30 bust polv os 100 mg 66 ALMIRALL RR 8,14 8,04 X XM01AB16 Aceclofenac 032773020 AIRTAL 40 cpr riv 100 mg 66 ALMIRALL RR 10,80 10,68 X XM01AB16 Aceclofenac 031220027 GLADIO 30 bust polv os 100 mg 66 ABIOGEN PHARMA RR 8,33 8,23 X XM01AB16 Aceclofenac 031220015 GLADIO 40 cpr riv 100 mg 66 ABIOGEN PHARMA RR 11,13 10,99 X XM01AB16 Aceclofenac 031842026 KAFENAC 30 bust polv os 100 mg 66 ALMIRALL RR 8,09 7,99 X XM01AB16 Aceclofenac 031842014 KAFENAC 40 cpr riv 100 mg 66 ALMIRALL RR 10,80 10,68 X XM01AB55 Diclofenac/misoprostolo 029757010 ARTROTEC 30 cpr 50 mg + 200 mcg 66 PFIZER ITALIA RNR 12,27 12,13 XM01AB55 Diclofenac/misoprostolo 029757059 ARTROTEC 30 cpr 75 mg + 200 mcg 66 PFIZER ITALIA RNR 12,57 12,41 XM01AB55 Diclofenac/misoprostolo 029316015 MISOFENAC 30 cpr 50 mg + 200 mcg 66 BIOINDUSTRIA FARMACEUTICI RNR 12,27 12,13 XM01AB55 Diclofenac/misoprostolo 029316041 MISOFENAC 30 cpr 75 mg + 200 mcg 66 BIOINDUSTRIA FARMACEUTICI RNR 12,57 12,41 XM01AC Cinnoxicam 026396046 SINARTROL 20 cpr 30 mg 66 SPA RR 7,84 7,74 X XM01AC Cinnoxicam 027383076 ZELIS 20 cpr 30 mg 66 PROSPA RR 7,84 7,74 X XM01AC01 Piroxicam 025069028 ANTIFLOG 30 cps 20 mg 66 F.I.R.M.A. RR 10,05 9,99 GM01AC01 Piroxicam 025554027 ARTROXICAM 30 cps 20 mg 66 SO.SE.PHARM RR 3,43 3,41 GM01AC01 Piroxicam 026446031 BREXIN 20 bust grat 20 mg 66 PROMEDICA RR 9,93 9,81 XM01AC01 Piroxicam 026446056 BREXIN 30 cpr div 20 mg 66 PROMEDICA RR 12,57 12,49 GM01AC01 Piroxicam 026446106 BREXIN 30 cpr eff 20 mg 66 PROMEDICA RR 12,57 12,49 GM01AC01 Piroxicam 027371071 BREXIVEL 6 fiale IM 20 mg 1 ml PROMEDICA RR 3,43 3,41 GM01AC01 Piroxicam 025478025 BRUXICAM 15 cps 20 mg 66 BRUSCHETTINI RR 4,99 4,96M01AC01 Piroxicam 026447033 CICLADOL 20 bust grat 20 mg 66 MASTER PHARMA RR 9,93 9,81 XM01AC01 Piroxicam 026447058 CICLADOL 30 cpr div 20 mg 66 MASTER PHARMA RR 12,57 12,49 GM01AC01 Piroxicam 026447108 CICLADOL 30 cpr eff 20 mg 66 MASTER PHARMA RR 12,57 12,49 GM01AC01 Piroxicam 025948023 DEXICAM 30 cps 20 mg 66 OFF RR 3,43 3,41 GM01AC01 Piroxicam 033365014 ERREKAM 6 fiale IM 20 mg 1 ml TAD PHARMA RR 3,43 3,41 GM01AC01 Piroxicam 033326012 EUROXI 30 cps 20 mg 66 COPERNICO RR 3,43 3,41 GM01AC01 Piroxicam 024249068 FELDENE 6 fiale IM 20 mg 1 ml PFIZER ITALIA RR 4,60 4,57 GM01AC01 Piroxicam 024249029 FELDENE 30 cps 20 mg 66 PFIZER ITALIA RR 9,71 9,65 GM01AC01 Piroxicam 024249056 FELDENE 30 cpr solub 20 mg 66 PFIZER ITALIA RR 9,71 9,65 GM01AC01 Piroxicam 028437022 FELDENE FAST 20 cpr sublinguali 20 mg 66 PFIZER ITALIA RR 7,46 7,38 XM01AC01 Piroxicam 028610018 FLODOL 30 cps 20 mg 66 FARMA 1 RR 3,43 3,41 GM01AC01 Piroxicam 034919035 IPSOFLOG 6 fiale IM 20 mg 1 ml EPIFARMA RR 3,43 3,41 GM01AC01 Piroxicam 034919047 IPSOFLOG 30 cpr solub 20 mg 66 EPIFARMA RR 3,43 3,41 GM01AC01 Piroxicam 025824083 LAMPOFLEX 30 cps 20 mg 66 LAMPUGNANI RR 3,43 3,41 GM01AC01 Piroxicam 029461035 PIROXICAM 3 fiale IM 20 mg 1 ml HEXAL RR 1,87 1,86 GM01AC01 Piroxicam 025103021 PIROXICAM 30 cps 20 mg 66 ABC RR 3,43 3,41 GM01AC01 Piroxicam 033211018 PIROXICAM 6 fiale IM 20 mg 1 ml ALTER RR 3,43 3,41 GM01AC01 Piroxicam 033788011 PIROXICAM 30 cps 20 mg 66 DOC GENERICI RR 3,43 3,41 GM01AC01 Piroxicam 034859037 PIROXICAM 6 fiale IM 20 mg 1 ml DOC GENERICI RR 3,43 3,41 GM01AC01 Piroxicam 026091013 PIROXICAM 30 cps 20 mg 66 DOROM RR 3,43 3,41 G

67

Page 68: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

M01AC01 Piroxicam 029534017 PIROXICAM 6 fiale IM 20 mg 1 ml EG RR 3,43 3,41 GM01AC01 Piroxicam 029534029 PIROXICAM 30 cps 20 mg 66 EG RR 3,43 3,41 GM01AC01 Piroxicam 029534031 PIROXICAM 30 cpr solub 20 mg 66 EG RR 3,43 3,41 GM01AC01 Piroxicam 029461023 PIROXICAM 30 cpr 20 mg 66 HEXAL RR 3,43 3,41 GM01AC01 Piroxicam 033060017 PIROXICAM 30 cps 20 mg 66 JET GENERICI RR 3,43 3,41 GM01AC01 Piroxicam 033025026 PIROXICAM 30 cps 20 mg 66 MERCK GENERICS RR 3,43 3,41 GM01AC01 Piroxicam 033025038 PIROXICAM 6 fiale IM 20 mg 1 ml MERCK GENERICS RR 3,43 3,41 GM01AC01 Piroxicam 031222019 PIROXICAM 6 fiale IM 20 mg 1 ml RATIOPHARM GMBH RR 3,43 3,41 GM01AC01 Piroxicam 031222021 PIROXICAM 30 cps 20 mg 66 RATIOPHARM GMBH RR 3,43 3,41 GM01AC01 Piroxicam 031222033 PIROXICAM 30 cpr solub 20 mg 66 RATIOPHARM GMBH RR 3,43 3,41 GM01AC01 Piroxicam 025604048 PIROXICAM 30 cps 20 mg 66 SANDOZ RR 3,43 3,41 GM01AC01 Piroxicam 033415035 PIROXICAM 6 fiale 20 mg 1 ml SANDOZ RR 3,43 3,41 GM01AC01 Piroxicam 033047022 PIROXICAM 30 cps 20 mg 66 TEVA RR 3,43 3,41 GM01AC01 Piroxicam 025118074 POLIPIROX 6 fiale IM 20 mg 1 ml MAYNE PHARMA RR 4,60 4,57 GM01AC01 Piroxicam 025262066 REUMAGIL 6 fiale IM 20 mg 1 ml KBR KROTON RR 3,43 3,41 GM01AC01 Piroxicam 024780025 RIACEN 30 cps 20 mg 66 PROMEDICA RR 3,61 3,59 GM01AC01 Piroxicam 026076051 ROXENE 6 fiale IM 20 mg 1 ml PLIVA RR 3,43 3,41 GM01AC01 Piroxicam 026076063 ROXENE 30 cpr solub 20 mg 66 PLIVA RR 3,43 3,41 GM01AC01 Piroxicam 025496074 ROXENIL 30 cps 20 mg 66 CABER RR 3,43 3,41 GM01AC01 Piroxicam 025062035 ROXIDEN 30 cps 20 mg 66 BONISCONTRO & GAZZONE RR 3,43 3,41 GM01AC01 Piroxicam 025062074 ROXIDEN 6 fiale IM 20 mg 1 ml BONISCONTRO & GAZZONE RR 3,43 3,41 GM01AC01 Piroxicam 034671014 SPIROX 6 fiale IM 20 mg 1 ml COPERNICO RR 3,43 3,41 GM01AC02 Tenoxicam 026910075 DOLMEN 6 fiale IM EV 20 mg + 6 fiale solv SIGMATAU RR 5,34 5,28 X XM01AC02 Tenoxicam 026910024 DOLMEN 30 cpr riv 20 mg 66 SIGMATAU RR 13,44 13,36 GM01AC02 Tenoxicam 026910036 DOLMEN 30 bust grat 20 mg 66 SIGMATAU RR 13,44 13,36 GM01AC02 Tenoxicam 027379078 REXALGAN 6 fiale IM EV 20 mg + 6 fiale solv 2 ml DOMPE` FARMACEUTICI RR 5,07 5,01 XM01AC02 Tenoxicam 027379039 REXALGAN 30 bust grat 20 mg 66 DOMPE` FARMACEUTICI RR 9,41 9,35 GM01AC02 Tenoxicam 034990010 TENOXICAM 30 cpr riv 20 mg 66 SO.SE.PHARM RR 9,41 9,35 GM01AC02 Tenoxicam 026758072 TILCOTIL 6 fiale IM EV 20 mg + 6 fiale solv 2 ml ROCHE RR 5,07 5,01 XM01AC02 Tenoxicam 026758021 TILCOTIL 30 cpr riv 20 mg 66 ROCHE RR 13,44 13,36 GM01AC05 Lornoxicam 029294030 NOXON 30 cpr riv div 8 mg 66 FARMAC.FORMENTI RR 7,79 7,69 X XM01AC05 Lornoxicam 029304033 TAIGALOR 30 cpr riv div 8 mg 66 NYCOMED ITALIA RR 7,79 7,69 X XM01AC06 Meloxicam 034280178 LEUTROL 5 fiale 15 mg 1,5 ml DE ANGELI RR 3,80 3,78M01AC06 Meloxicam 034280053 LEUTROL 30 cpr 7,5 mg 66 DE ANGELI RR 11,55 11,41 X XM01AC06 Meloxicam 034280038 LEUTROL 30 cpr 15 mg 66 DE ANGELI RR 11,38 11,31 GM01AC06 Meloxicam 037077221 MELOXICAM 30 cpr 15 mg 66 EG RR 10,88 10,81 XM01AC06 Meloxicam 037067081 MELOXICAM 30 cpr 15 mg 66 HEXAL RR 10,88 10,81 GM01AC06 Meloxicam 031985993 MOBIC 3 fiale IM 15 mg 1,5 ml BOEHRINGER INGELHEIM INTERNATIO RR 2,30 2,29M01AC06 Meloxicam 035464015 MOBIC 5 fiale IM 15 mg 1,5 ml BOEHRINGER INGELHEIM INTERNATIO RR 3,80 3,78M01AC06 Meloxicam 031985157 MOBIC "7,5" 30 cpr 7,5 mg 66 BOEHRINGER INGELHEIM INTERNATIO RR 11,55 11,41 X XM01AC06 Meloxicam 031985068 MOBIC "15" 30 cpr div 15 mg 66 BOEHRINGER INGELHEIM INTERNATIO RR 11,38 11,31 GM01AE01 Ibuprofene 024635082 ARFEN 6 fiale IM 400 mg + 6 fiale solv 3 ml LISAPHARMA RR 4,34 4,31M01AE01 Ibuprofene 024635106 ARFEN 6 fiale IM 3 ml 400 mg/3ml LISAPHARMA RR 4,34 4,31M01AE01 Ibuprofene 024635029 ARFEN 30 cpr 500 mg 66 LISAPHARMA RR 4,49 4,46M01AE01 Ibuprofene 022593127 BRUFEN 30 cpr riv 400 mg 66 ABBOTT RR 4,64 4,61 GM01AE01 Ibuprofene 022593204 BRUFEN 30 cpr riv 400 mg 66 ABBOTT RR 4,64 4,61 GM01AE01 Ibuprofene 022593139 BRUFEN 30 cpr riv 600 mg 66 ABBOTT RR 6,77 6,73 GM01AE01 Ibuprofene 022593216 BRUFEN 30 cpr riv 600 mg 66 ABBOTT RR 6,77 6,73 GM01AE01 Ibuprofene 022593103 BRUFEN 30 bust grat 600 mg 66 ABBOTT RR 7,50 7,45 GM01AE01 Ibuprofene 034764023 SUBITENE 30 cpr eff 400 mg 66 UNIFARM RR 4,56 4,53 GM01AE02 Naproxene 033294012 ALGONAPRIL 30 cpr 500 mg 66 EG RR 5,63 5,60 GM01AE02 Naproxene 023437054 FLOGINAX 30 cpr 500 mg 66 TEOFARMA RR 6,37 6,33 GM01AE02 Naproxene 024895043 FLOXALIN 30 cps 550 mg 66 BIOPROGRESS PHARMA RR 5,63 5,60 G

68

Page 69: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

M01AE02 Naproxene 024895056 FLOXALIN 30 bust grat 550 mg 66 BIOPROGRESS PHARMA RR 5,63 5,60 GM01AE02 Naproxene 023842103 GIBIXEN 30 bust polv os 500 mg 66 METAPHARMA RR 6,37 6,33 GM01AE02 Naproxene 023886082 LASER R 20 cpr 750 mg retard 66 PRINCEPS RR 7,68 7,63 GM01AE02 Naproxene 024667154 NAPRIUS 20 bust grat 500 mg 66 AESCULAPIUS RR 5,33 5,27 XM01AE02 Naproxene 025800044 NAPROREX 30 cps 550 mg 66 LAMPUGNANI RR 6,37 6,33 GM01AE02 Naproxene 023177189 NAPROSYN 20 cpr 750 mg rilascio modifica 66 RECORDATI RR 8,54 8,49 GM01AE02 Naproxene 023177215 NAPROSYN "EC" 30 cpr gastrores 500 mg 66 RECORDATI RR 8,54 8,49 GM01AE02 Naproxene 023177138 NAPROSYN 30 bust grat 500 mg 66 RECORDATI RR 7,97 7,92 GM01AE02 Naproxene 034792010 NAPROXENE 30 cpr riv 550 mg 66 DOC GENERICI RR 5,63 5,60 GM01AE02 Naproxene 027170012 NAPROXENE 30 cps 550 mg 66 DOROM RR 5,63 5,60 GM01AE02 Naproxene 024505075 NAPROXENE 30 cpr 500 mg 66 PLIVA RR 5,63 5,60 GM01AE02 Naproxene 024467058 PREXAN 30 cpr 500 mg 66 LA.FA.RE. RR 5,63 5,60 GM01AE02 Naproxene 024467108 PREXAN 30 bust grat 500 mg 66 LA.FA.RE. RR 5,63 5,60 GM01AE02 Naproxene 025082088 SYNALGO 30 cpr 500 mg 66 GEYMONAT RR 7,50 7,45 GM01AE02 Naproxene 024722047 SYNFLEX "FORTE" 30 cpr riv 550 mg 66 RECORDATI RR 8,54 8,49 GM01AE02 Naproxene 024722086 SYNFLEX "FORTE" 30 bust grat 550 mg 66 RECORDATI RR 7,97 7,92 GM01AE02 Naproxene 023383033 XENAR 30 cpr 500 mg 66 ALFA WASSERMANN RR 7,68 7,63 GM01AE03 Ketoprofene 032836049 ALKET 28 cps 200 mg rilascio prolunga 66 DIF-INT PHARMACEUTICAL BV RR 11,29 11,22 GM01AE03 Ketoprofene 024022170 ARTROSILENE 6 fiale IM EV 160 mg 2 ml DOMPE` FARMACEUTICI RR 4,81 4,78M01AE03 Ketoprofene 024022129 ARTROSILENE 20 cps 320 mg 66 DOMPE` FARMACEUTICI RR 10,93 10,79 XM01AE03 Ketoprofene 034925053 DOLGOSIN 6 fiale IM 100 mg 2 ml BONISCONTRO & GAZZONE RR 3,61 3,59 GM01AE03 Ketoprofene 034925040 DOLGOSIN 28 cps 200 mg rilascio prolunga 66 BONISCONTRO & GAZZONE RR 11,29 11,22 GM01AE03 Ketoprofene 034393049 EUKETOS 28 cps 200 mg rilascio prolunga 66 C.T. LABORATORIO FARMACEUTICO RR 11,29 11,22 GM01AE03 Ketoprofene 023401021 FLEXEN 30 cps 50 mg 66 ITALFARMACO RR 3,35 3,33 GM01AE03 Ketoprofene 023401108 FLEXEN 6 fiale IM 100 mg + 6 fiale solv 2,5 ml ITALFARMACO RR 4,21 4,18 GM01AE03 Ketoprofene 023401110 FLEXEN 30 cps 200 mg retard 66 ITALFARMACO RR 11,29 11,22 GM01AE03 Ketoprofene 024994117 IBIFEN 30 cps 50 mg 66 I.B.I. LORENZINI RR 2,65 2,63 GM01AE03 Ketoprofene 024994170 IBIFEN 30 bust grat eff 50 mg 66 I.B.I. LORENZINI RR 2,65 2,63 GM01AE03 Ketoprofene 024994182 IBIFEN 6 fiale IM 100 mg 2,5 ml I.B.I. LORENZINI RR 3,61 3,59 GM01AE03 Ketoprofene 024994081 IBIFEN 30 cps 100 mg 66 I.B.I. LORENZINI RR 5,07 5,04 GM01AE03 Ketoprofene 024994168 IBIFEN 30 cpr 200 mg rilascio prolunga 66 I.B.I. LORENZINI RR 11,29 11,22 GM01AE03 Ketoprofene 035072014 ISOFENAL 6 fiale IM 100 mg 2 ml SO.SE.PHARM RR 3,61 3,59 GM01AE03 Ketoprofene 024494039 KETARTRIUM 30 cps 100 mg 66 ESSETI RR 5,07 5,04 GM01AE03 Ketoprofene 032901047 KETOPLUS 28 cps 200 mg rilascio prolunga 66 S.F. GROUP RR 11,29 11,22 GM01AE03 Ketoprofene 034306050 KETOPROFENE 30 cps 50 mg 66 DOC GENERICI RR 2,65 2,63 GM01AE03 Ketoprofene 033519036 KETOPROFENE 30 cps 50 mg 66 EG RR 2,65 2,63 GM01AE03 Ketoprofene 036468015 KETOPROFENE 6 fiale IM 100 mg/2,5 ml EG RR 3,61 3,59 GM01AE03 Ketoprofene 035081013 KETOPROFENE 6 fiale IM 100 mg 2 ml UNION HEALTH RR 3,61 3,59 GM01AE03 Ketoprofene 034306098 KETOPROFENE 30 cps 200 mg rilascio prolunga 66 DOC GENERICI RR 11,29 11,22 GM01AE03 Ketoprofene 033519099 KETOPROFENE 28 cps 200 mg rilascio prolunga 66 EG RR 11,29 11,22 GM01AE03 Ketoprofene 025149093 KETOPROFENE 30 cps 200 mg rilascio prolunga 66 SANDOZ RR 11,29 11,22 GM01AE03 Ketoprofene 034877011 KETOSELECT 30 cps 50 mg 66 MENARINI RR 3,35 3,33 GM01AE03 Ketoprofene 023655032 MEPROFEN 30 cps 100 mg 66 AGIPS RR 5,07 5,04 GM01AE03 Ketoprofene 028511158 OKI 6 fiale 160 mg 2 ml DOMPE` RR 3,61 3,59 GM01AE03 Ketoprofene 028511095 OKI 30 bust grat 80 mg 66 DOMPE` RR 4,75 4,72M01AE03 Ketoprofene 023183027 ORUDIS 30 cps 50 mg 66 SANOFI-AVENTIS RR 3,35 3,33 GM01AE03 Ketoprofene 023183205 ORUDIS 6 fiale IM 100 mg 2 ml SANOFI-AVENTIS RR 3,61 3,59 GM01AE03 Ketoprofene 023183193 ORUDIS 30 cps rigide 200 mg rilascio pr 66 SANOFI-AVENTIS RR 11,29 11,22 GM01AE03 Ketoprofene 024528022 REUPROFEN 20 cps 100 mg 66 LAB.TERAPEUTICO M.R. RR 3,93 3,91M01AE09 Flurbiprofene 024284073 FROBEN scir 160 ml 0,5% 66 ABBOTT RR 3,46 3,44M01AE09 Flurbiprofene 024284034 FROBEN 30 cpr riv 100 mg 66 ABBOTT RR 5,72 5,66 XM01AE09 Flurbiprofene 024284123 FROBEN "SR" 20 cps 200 mg rilascio pro 66 ABBOTT RR 9,05 9,00 GM01AE11 Acido tiaprofenico 025195025 SURGAMYL 30 cpr 300 mg 66 SCHARPER RR 8,07 7,97 X

69

Page 70: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

M01AE11 Acido tiaprofenico 025195052 SURGAMYL 30 bust grat 300 mg 66 SCHARPER RR 8,07 7,97 XM01AE12 Oxaprozina 027670013 WALIX 30 cpr 600 mg 66 FIDIA RR 9,02 8,92 XM01AE14 Dexibuprofene 034765091 SERACTIL 30 cpr 300 mg 66 THERABEL GIENNE PHARMA RR 5,56 5,50 X XM01AG01 Acido mefenamico 021015021 LYSALGO 30 cps 250 mg 66 SIT RR 3,20 3,18M01AH01 Celecoxib 034624460 CELEBREX 20 cps 200 mg 66 PFIZER ITALIA RR 23,10 22,82 XM01AH01 Celecoxib 034625602 SOLEXA 20 cps 200 mg 66 PFIZER ITALIA RR 23,10 22,82 XM01AH05 Etoricoxib 035821305 ALGIX 5 cpr riv 120 mg 66 GENTILI RR 8,49 8,39 XM01AH05 Etoricoxib 035821065 ALGIX 20 cpr riv 60 mg 66 GENTILI RR 28,01 27,67 XM01AH05 Etoricoxib 035821204 ALGIX 20 cpr riv 90 mg 66 GENTILI RR 29,79 29,43 XM01AH05 Etoricoxib 035820303 ARCOXIA 5 cpr riv 120 mg 66 MERCK SHARP & DOHME RR 8,49 8,39 XM01AH05 Etoricoxib 035820063 ARCOXIA 20 cpr riv 60 mg 66 MERCK SHARP & DOHME RR 28,01 27,67 XM01AH05 Etoricoxib 035820202 ARCOXIA 20 cpr riv 90 mg 66 MERCK SHARP & DOHME RR 29,79 29,43 XM01AH05 Etoricoxib 035890425 TAUXIB 5 cpr riv 120 mg 66 ADDENDA PHARMA RR 8,49 8,39 XM01AH05 Etoricoxib 035890060 TAUXIB 20 cpr riv 60 mg 66 ADDENDA PHARMA RR 28,01 27,67 XM01AH05 Etoricoxib 035890209 TAUXIB 20 cpr riv 90 mg 66 ADDENDA PHARMA RR 29,79 29,43 XM01AX01 Nabumetone 026672079 ARTAXAN 30 cpr riv 1 g 66 MALESCI RR 17,77 17,55 XM01AX01 Nabumetone 026672081 ARTAXAN 30 bust grat 1 g 66 MALESCI RR 17,77 17,55 XM01AX01 Nabumetone 026673057 NABUSER 30 cpr riv 1 g 66 GEYMONAT RR 19,30 19,06 XM01AX01 Nabumetone 026673069 NABUSER 30 bust grat 1 g 66 GEYMONAT RR 19,30 19,06 XM01AX01 Nabumetone 033500012 RELIFEX 30 cpr riv 1 g 66 MEDA A.B. RR 17,77 17,55 XM01AX17 Nimesulide 029074010 ALGIMESIL 30 bust grat 100 mg 66 FRANCIA RR 2,62 2,60 GM01AX17 Nimesulide 029074022 ALGIMESIL 30 cpr 100 mg 66 FRANCIA RR 2,62 2,60 GM01AX17 Nimesulide 028509026 ALGOLIDER 30 bust grat 100 mg 66 SIAR PHARMA RR 4,15 4,13 GM01AX17 Nimesulide 033522018 AREUMA 30 cpr 100 mg 66 ECOBI RR 2,62 2,60 GM01AX17 Nimesulide 033522032 AREUMA 30 bust grat 100 mg 66 ECOBI RR 2,62 2,60 GM01AX17 Nimesulide 025940026 AULIN 30 cpr 100 mg 66 ROCHE RR 4,43 4,40 GM01AX17 Nimesulide 025940053 AULIN 30 bust grat 100 mg 66 ROCHE RR 4,43 4,40 GM01AX17 Nimesulide 034265013 DELFOS 30 bust grat 100 mg 66 AGIPS RR 2,98 2,96 GM01AX17 Nimesulide 032963035 DIMESUL 30 bust grat 100 mg 66 SARDA PHARMACEUTICA RR 2,62 2,60 GM01AX17 Nimesulide 029478017 DOMES 30 bust grat 100 mg 66 SO.SE.PHARM RR 2,62 2,60 GM01AX17 Nimesulide 029478056 DOMES 30 cpr orodispers 100 mg 66 SO.SE.PHARM RR 3,52 3,50 GM01AX17 Nimesulide 032932030 EFRIDOL 30 bust grat 100 mg 66 AESCULAPIUS RR 2,62 2,60 GM01AX17 Nimesulide 029395011 EUDOLENE 30 bust grat 100 mg 66 I.B.N. SAVIO RR 2,62 2,60 GM01AX17 Nimesulide 034029013 FANSULIDE 30 cpr 100 mg 66 SOFAR RR 2,62 2,60 GM01AX17 Nimesulide 034029025 FANSULIDE 30 bust grat 100 mg 66 SOFAR RR 2,62 2,60 GM01AX17 Nimesulide 028778013 FLOLID 30 cpr 100 mg 66 C.T. LABORATORIO FARMACEUTICO RR 2,62 2,60 GM01AX17 Nimesulide 028778037 FLOLID 30 bust grat 100 mg 66 C.T. LABORATORIO FARMACEUTICO RR 2,62 2,60 GM01AX17 Nimesulide 034200016 IDEALID 30 cpr 100 mg 66 ALMUS RR 2,62 2,60 GM01AX17 Nimesulide 034200028 IDEALID 30 bust grat 100 mg 66 ALMUS RR 2,62 2,60 GM01AX17 Nimesulide 032337038 ISODOL 30 bust grat 100 mg 66 MAGIS RR 2,62 2,60 GM01AX17 Nimesulide 028519015 LEDOREN 30 cpr 100 mg 66 BONISCONTRO & GAZZONE RR 2,62 2,60 GM01AX17 Nimesulide 028519039 LEDOREN 30 bust grat 100 mg 66 BONISCONTRO & GAZZONE RR 2,62 2,60 GM01AX17 Nimesulide 025971021 MESULID 30 cpr 100 mg 66 HELSINN BIREX RR 4,43 4,40 GM01AX17 Nimesulide 025971058 MESULID 30 bust grat 100 mg 66 HELSINN BIREX RR 4,43 4,40 GM01AX17 Nimesulide 029127026 MESULID FAST 30 bust grat 400 mg 66 HELSINN BIREX RR 11,31 11,24 GM01AX17 Nimesulide 035244019 MIGRALESS 30 cpr orodispers 100 mg 66 TAD PHARMA RR 5,04 5,01 GM01AX17 Nimesulide 033078015 NERELID 30 cps 100 mg 66 NEW RESEARCH RR 2,62 2,60 GM01AX17 Nimesulide 033078027 NERELID 30 bust grat 100 mg 66 NEW RESEARCH RR 2,62 2,60 GM01AX17 Nimesulide 029120021 NIMEDEX 30 bust grat 400 mg 66 ITALFARMACO RR 11,95 11,81 X XM01AX17 Nimesulide 032857029 NIMENOL 30 bust grat 100 mg 66 KRUGHER RR 2,62 2,60 GM01AX17 Nimesulide 029375021 NIMESIL 30 bust grat 100 mg 66 LUSOFARMACO RR 4,43 4,40 GM01AX17 Nimesulide 029007046 NIMESULENE 30 cpr 100 mg 66 GUIDOTTI RR 4,07 4,05 GM01AX17 Nimesulide 029007059 NIMESULENE 30 bust grat 100 mg 66 GUIDOTTI RR 4,07 4,05 G

70

Page 71: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

M01AX17 Nimesulide 033702022 NIMESULIDE 30 bust grat 100 mg 66 ALLEN RR 2,62 2,60 GM01AX17 Nimesulide 032326023 NIMESULIDE 30 bust grat 100 mg 66 ALTER RR 2,62 2,60 GM01AX17 Nimesulide 032923017 NIMESULIDE 30 bust grat 100 mg 66 ANGENERICO RR 2,62 2,60 GM01AX17 Nimesulide 028921029 NIMESULIDE 30 bust grat 100 mg 66 BENEDETTI RR 2,62 2,60 GM01AX17 Nimesulide 033578016 NIMESULIDE 30 cpr 100 mg 66 DOC GENERICI RR 2,62 2,60 GM01AX17 Nimesulide 033578042 NIMESULIDE 30 bust grat 100 mg 66 DOC GENERICI RR 2,62 2,60 GM01AX17 Nimesulide 032983025 NIMESULIDE 30 bust grat 100 mg 66 DOROM RR 2,62 2,60 GM01AX17 Nimesulide 033649017 NIMESULIDE 30 cpr 100 mg 66 EG RR 2,62 2,60 GM01AX17 Nimesulide 033649029 NIMESULIDE 30 bust grat 100 mg 66 EG RR 2,62 2,60 GM01AX17 Nimesulide 034245011 NIMESULIDE 30 cpr 100 mg 66 HEXAL RR 2,62 2,60 GM01AX17 Nimesulide 034245023 NIMESULIDE 30 bust grat 100 mg 66 HEXAL RR 2,62 2,60 GM01AX17 Nimesulide 033089018 NIMESULIDE 30 bust grat 100 mg 66 JET GENERICI RR 2,62 2,60 GM01AX17 Nimesulide 033052010 NIMESULIDE 30 cpr 100 mg 66 MERCK GENERICS RR 2,62 2,60 GM01AX17 Nimesulide 033052034 NIMESULIDE 30 bust grat 100 mg 66 MERCK GENERICS RR 2,62 2,60 GM01AX17 Nimesulide 033950015 NIMESULIDE 30 cpr 100 mg 66 PLIVA RR 2,62 2,60 GM01AX17 Nimesulide 033950027 NIMESULIDE 30 bust grat 100 mg 66 PLIVA RR 2,62 2,60 GM01AX17 Nimesulide 033673017 NIMESULIDE 30 cpr 100 mg 66 RATIOPHARM GMBH RR 2,62 2,60 GM01AX17 Nimesulide 033673029 NIMESULIDE 30 bust grat 100 mg 66 RATIOPHARM GMBH RR 2,62 2,60 GM01AX17 Nimesulide 033673043 NIMESULIDE 30 cpr eff 100 mg 66 RATIOPHARM GMBH RR 2,62 2,60 GM01AX17 Nimesulide 032095010 NIMESULIDE 30 bust grat 100 mg 66 SANDOZ RR 2,62 2,60 GM01AX17 Nimesulide 032095022 NIMESULIDE 30 cps 100 mg 66 SANDOZ RR 2,62 2,60 GM01AX17 Nimesulide 033048012 NIMESULIDE 30 cpr 100 mg 66 TEVA RR 2,62 2,60 GM01AX17 Nimesulide 033048036 NIMESULIDE 30 bust grat 100 mg 66 TEVA RR 2,62 2,60 GM01AX17 Nimesulide 035106018 NIMESULIDE 30 cpr 100 mg 66 UNION HEALTH RR 2,62 2,60 GM01AX17 Nimesulide 035106020 NIMESULIDE 30 bust grat 100 mg 66 UNION HEALTH RR 2,62 2,60 GM01AX17 Nimesulide 029198013 NIMESULIDE 30 bust grat 100 mg 66 MIPHARM RR 2,62 2,60 GM01AX17 Nimesulide 029198025 NIMESULIDE 30 cpr 100 mg 66 MIPHARM RR 2,62 2,60 GM01AX17 Nimesulide 028546012 NIMS 30 bust grat 100 mg 66 CABER RR 2,62 2,60 GM01AX17 Nimesulide 029477015 NOALGOS 30 bust grat 100 mg 66 LEVOFARMA RR 3,60 3,58 GM01AX17 Nimesulide 036384016 PANTAMES 30 cpr orodispers 100 mg 66 PANTAFARM RR 2,62 2,60 GM01AX17 Nimesulide 028799017 REMOV 30 cpr 100 mg 66 VECCHI & PIAM RR 4,43 4,40 GM01AX17 Nimesulide 028799031 REMOV 30 bust grat 100 mg 66 VECCHI & PIAM RR 4,43 4,40 GM01AX17 Nimesulide 028510016 RESULIN 30 cpr 100 mg 66 ICI RENDE RR 2,62 2,60 GM01AX17 Nimesulide 028510028 RESULIN 30 bust grat 100 mg 66 ICI RENDE RR 2,62 2,60 GM01AX17 Nimesulide 032930012 SOLVING 30 cpr 100 mg 66 MDM RR 2,62 2,60 GM01AX17 Nimesulide 032930036 SOLVING 30 bust grat 100 mg 66 MDM RR 2,62 2,60 GM01AX17 Nimesulide 028705022 SULIDAMOR 30 bust grat 100 mg 66 DAMOR RR 2,62 2,60 GM01AX17 Nimesulide 028705046 SULIDAMOR 30 cpr 100 mg 66 DAMOR RR 2,62 2,60 GM01AX17 Nimesulide 029125010 SULIDE 30 cpr 100 mg 66 TAD PHARMA RR 2,62 2,60 GM01AX17 Nimesulide 029125022 SULIDE 30 bust grat 100 mg 66 TAD PHARMA RR 2,62 2,60 GM01CB02 Aurotiosolfato sodico 009333093 FOSFOCRISOLO 5 fiale IM 100 mg 1 ml ZAMBON RR 21,33 21,07 XM01CB03 Auranofina 025189010 RIDAURA 30 cpr riv 3 mg ASTELLAS RR 17,98 17,76 XM01CC01 Penicillamina 022848016 PEMINE 50 cps 150 mg ELI LILLY RR 6,80 6,72 XM03BX01 Baclofene 022999027 LIORESAL 50 cpr 25 mg NOVARTIS FARMA RR 14,33 14,15 X XM03CA01 Dantrolene sodico 024372017 DANTRIUM 50 cps 25 mg FORMENTI RR 8,90 8,80 X XM03CA01 Dantrolene sodico 024372029 DANTRIUM 50 cps 50 mg FORMENTI RR 17,43 17,23 X XM04AA01 Allopurinolo 022441036 ALLOPURINOLO 50 cpr 100 mg MOLTENI RR 2,07 2,06 GM04AA01 Allopurinolo 033518010 ALLOPURINOLO 50 cpr 100 mg TEVA RR 2,07 2,06 GM04AA01 Allopurinolo 022441048 ALLOPURINOLO 30 cpr 300 mg MOLTENI RR 2,26 2,25 GM04AA01 Allopurinolo 033518022 ALLOPURINOLO 30 cpr 300 mg TEVA RR 2,26 2,25 GM04AA01 Allopurinolo 022051015 ALLURIT 40 cpr 150 mg TEOFARMA RR 3,20 3,18M04AA01 Allopurinolo 021259027 ZYLORIC 30 cpr 300 mg GLAXOSMITHKLINE RR 2,92 2,90 GM04AC01 Colchicina 009964038 COLCHICINA LIRCA 60 cpr 1 mg ACARPIA SERVICOS RR 7,14 7,10 G

71

Page 72: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

M04AX Piperazina 011172020 CITROPIPERAZINA 20 bust grat eff 6 g BRUNO FARMACEUTICI RR 3,40 3,38M05BA Sodio neridronato 035268010 NERIXIA 1 fiala 25 mg ABIOGEN PHARMA RR 14,65 14,47 X XM05BA01 Acido etidronico 023389012 ETIDRON 30 cps 300 mg 42 ABIOGEN PHARMA RR 28,24 27,90 X XM05BA02 Acido clodronico 035030028 ACIDO CLODRONICO 6 fiale EV 300 mg 10 ml 42 SANDOZ RR 63,18 62,80 GM05BA02 Acido clodronico 026372058 CLASTEON 10 cps 400 mg 42 ABIOGEN PHARMA RR 26,17 26,01 GM05BA02 Acido clodronico 026372033 CLASTEON 6 fiale EV 300 mg 42 ABIOGEN PHARMA RR 63,18 62,80 GM05BA02 Acido clodronico 034721050 CLODRON 10 cps 400 mg 42 FIDIA RR 26,17 26,01 GM05BA02 Acido clodronico 035129030 CLODRONATO 6 fiale EV 300 mg 10 ml 42 ABC RR 63,18 62,80 GM05BA02 Acido clodronico 034294037 CLODY 6 fiale EV 300 mg 10 ml 42 PROMEDICA RR 63,18 62,80 GM05BA02 Acido clodronico 026510053 DIFOSFONAL 10 cps 400 mg 42 SPA RR 26,17 26,01 GM05BA02 Acido clodronico 026510038 DIFOSFONAL 6 fiale EV 300 mg 10 ml 42 SPA RR 63,18 62,80 GM05BA02 Acido clodronico 035044039 MOTICLOD 6 fiale EV 300 mg 10 ml 42 LISAPHARMA RR 80,32 79,84 GM05BA04 Acido alendronico 029053030 ADRONAT 14 cpr 10 mg 79 NEOPHARMED RR 17,22 17,02 XM05BA04 Acido alendronico 029053079 ADRONAT "70" 4 cpr 70 mg 79 NEOPHARMED RR 24,05 23,91 GM05BA04 Acido alendronico 037084086 ALENDRONATO 4 cpr 70 mg 79 PLIVA RR 22,51 22,37 GM05BA04 Acido alendronico 037085089 ALENDRONATO 4 cpr 70 mg 79 RATIOPHARM GMBH RR 22,51 22,37 GM05BA04 Acido alendronico 029051036 ALENDROS 14 cpr 10 mg 79 ABIOGEN PHARMA RR 11,79 11,65 X XM05BA04 Acido alendronico 029051075 ALENDROS "70" 4 cpr 70 mg 79 ABIOGEN PHARMA RR 24,05 23,91 GM05BA04 Acido alendronico 029054032 DRONAL 14 cpr 10 mg 79 SIGMATAU RR 17,22 17,02 XM05BA04 Acido alendronico 029054071 DRONAL 4 cpr 70 mg 79 SIGMATAU RR 24,05 23,91 GM05BA04 Acido alendronico 029052038 FOSAMAX 14 cpr 10 mg 79 MERCK SHARP & DOHME RR 17,22 17,02 XM05BA04 Acido alendronico 029052077 FOSAMAX "70" 4 cpr 70 mg 79 MERCK SHARP & DOHME RR 24,05 23,91 GM05BA04 Acido alendronico 034172015 GENALEN 14 cpr 10 mg 79 GENTILI RR 17,22 17,02 XM05BA04 Acido alendronico 034172054 GENALEN "70" 4 cpr 70 mg 79 GENTILI RR 24,05 23,91 GM05BA06 Acido ibandronico 036899019 BONVIVA 1 cpr riv 150 mg 79 ROCHE REGISTRATION Ltd RR 43,70 43,18 X XM05BA07 Sodio risedronato 034568030 ACTONEL 28 cpr riv 5 mg 79 PROCTER & GAMBLE RR 32,00 31,62 X XM05BA07 Sodio risedronato 034568105 ACTONEL 4 cpr riv 35 mg 79 PROCTER & GAMBLE RR 36,34 35,90 X XM05BA07 Sodio risedronato 034570034 OPTINATE 28 cpr riv 5 mg 79 LEPETIT RR 32,00 31,62 X XM05BA07 Sodio risedronato 034570109 OPTINATE 4 cpr riv 35 mg 79 LEPETIT RR 36,34 35,90 X XM05BB03 Acido alendronico/colecalc 036845028 FOSAVANCE 4 cpr 70 mg/70 mcg 79 MERCK SHARP & DOHME (UK) RR 41,07 40,57 X XM05BX03 Stronzio ranelato 036588034 OSSEOR 28 bust 2 g 79 LABORATOIRES SERVIER (FR) RR 50,96 50,34 X XM05BX03 Stronzio ranelato 036558031 PROTELOS 28 bust os sosp 2 g 79 LABORATOIRES SERVIER (FR) RR 50,96 50,34 X XN02AA Oxicodone/ paracetamolo 035313028 DEPALGOS 28 cpr riv 5 mg + 325 mg MOLTENI RMR 15,30 15,12 X XN02AA Oxicodone/ paracetamolo 035313055 DEPALGOS 28 cpr riv 10 mg + 325 mg MOLTENI RMR 15,30 15,12 X XN02AA Oxicodone/ paracetamolo 035313081 DEPALGOS 28 cpr riv 20 mg + 325 mg MOLTENI RMR 15,30 15,12 X XN02AA01 Morfina cloridrato 029611047 MORFINA CLORIDRAT1 fiala 10 mg 1 ml MOLTENI RMR 1,60 1,59N02AA01 Morfina cloridrato 030798033 MORFINA CLORIDRAT1 fiala 10 mg 1 ml MONICO RMR 1,60 1,59N02AA01 Morfina cloridrato 029611050 MORFINA CLORIDRAT1 fiala 20 mg 1 ml MOLTENI RMR 1,65 1,64N02AA01 Morfina cloridrato 030798045 MORFINA CLORIDRAT1 fiala 20 mg 1 ml MONICO RMR 1,65 1,64N02AA01 Morfina cloridrato 029611124 MORFINA CLORIDRAT1 fiala 50 mg 5 ml MOLTENI RMR 4,13 4,11N02AA01 Morfina cloridrato 030677013 MORFINA CLORIDRAT5 fiale 10 mg 1 ml SALF RMR 2,89 2,87N02AA01 Morfina cloridrato 029611023 MORFINA CLORIDRAT5 fiale 10 mg 1 ml MOLTENI RMR 3,46 3,44N02AA01 Morfina cloridrato 030677025 MORFINA CLORIDRAT5 fiale 20 mg 1 ml SALF RMR 4,39 4,36N02AA01 Morfina cloridrato 030798019 MORFINA CLORIDRAT5 fiale 10 mg 1 ml MONICO RMR 4,75 4,72N02AA01 Morfina cloridrato 029611035 MORFINA CLORIDRAT5 fiale 20 mg 1 ml MOLTENI RMR 4,90 4,87N02AA01 Morfina cloridrato 030798021 MORFINA CLORIDRAT5 fiale 20 mg 1 ml MONICO RMR 6,85 6,77 XN02AA01 Morfina cloridrato 034715033 TICINAN 20 cpr riv 10 mg rilascio prolungato PRODOTTI FORMENTI RMR 4,65 4,62N02AA01 Morfina cloridrato 034715108 TICINAN 20 cpr riv 30 mg rilascio prolungato PRODOTTI FORMENTI RMR 9,11 9,01 X XN02AA01 Morfina cloridrato 034715173 TICINAN 20 cpr riv 60 mg rilascio prolungato PRODOTTI FORMENTI RMR 16,93 16,73 X XN02AA01 Morfina cloridrato 034715247 TICINAN 20 cpr riv 100 mg rilascio prolungato PRODOTTI FORMENTI RMR 22,85 22,57 X XN02AA01 Morfina cloridrato 034715312 TICINAN 20 cpr riv 200 mg rilascio prolungato PRODOTTI FORMENTI RMR 45,70 45,16 X XN02AA01 Morfina solfato 025624014 MS CONTIN 16 cpr 10 mg rilascio prolungato MUNDIPHARMA RMR 4,96 4,93N02AA01 Morfina solfato 025624026 MS CONTIN 16 cpr 30 mg rilascio prolungato MUNDIPHARMA RMR 9,23 9,11 X

72

Page 73: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

N02AA01 Morfina solfato 025624038 MS CONTIN 16 cpr 60 mg rilascio prolungato MUNDIPHARMA RMR 17,17 16,97 XN02AA01 Morfina solfato 025624040 MS CONTIN 16 cpr 100 mg rilascio prolungato MUNDIPHARMA RMR 22,85 22,57 XN02AA01 Morfina solfato 031507015 ORAMORPH scir 100 ml 2 mg/ml MOLTENI RMR 4,75 4,72N02AA01 Morfina solfato 031507104 ORAMORPH scir 20 ml 20 mg/ml MOLTENI RMR 8,44 8,34 X XN02AA01 Morfina solfato 031507066 ORAMORPH scir 250 ml 2 mg/ml MOLTENI RMR 10,54 10,42 X XN02AA01 Morfina solfato 031507039 ORAMORPH 20 flaconcini os 10 mg 5 ml MOLTENI RMR 18,71 18,49 X XN02AA01 Morfina solfato 031507041 ORAMORPH 20 flaconcini os 30 mg 5 ml MOLTENI RMR 18,71 18,49 X XN02AA01 Morfina solfato 031507054 ORAMORPH 20 flaconcini os 100 mg 5 ml MOLTENI RMR 18,71 18,49 X XN02AA01 Morfina solfato 031507092 ORAMORPH scir 100 ml 20 mg/ml MOLTENI RMR 42,20 41,70 X XN02AA01 Morfina solfato 028103012 SKENAN 16 cps 10 mg rilascio prolungato BRISTOL RMR 4,90 4,87N02AA01 Morfina solfato 028103024 SKENAN 16 cps 30 mg rilascio prolungato BRISTOL RMR 10,23 10,11 XN02AA01 Morfina solfato 028103036 SKENAN 16 cps 60 mg rilascio prolungato BRISTOL RMR 19,07 18,85 XN02AA01 Morfina solfato 028103048 SKENAN 16 cps 100 mg rilascio prolungato BRISTOL RMR 27,57 27,23 XN02AA01 Morfina solfato 033484015 TWICE 16 cps 10 mg rilascio prolungato ANGELINI RMR 4,96 4,93N02AA01 Morfina solfato 033484027 TWICE 16 cps 30 mg rilascio prolungato ANGELINI RMR 8,96 8,86 X XN02AA01 Morfina solfato 033484039 TWICE 16 cps 60 mg rilascio prolungato ANGELINI RMR 16,57 16,37 X XN02AA01 Morfina solfato 033484041 TWICE 16 cps 100 mg rilascio prolungato ANGELINI RMR 24,15 23,87 X XN02AA05 Oxicodone 034435014 OXYCONTIN 28 cpr 10 mg rilascio prolungato MUNDIPHARMA RMR 16,46 16,26 X XN02AA05 Oxicodone 034435077 OXYCONTIN 28 cpr 20 mg rilascio prolungato MUNDIPHARMA RMR 32,47 32,09 X XN02AA05 Oxicodone 034435139 OXYCONTIN 28 cpr 40 mg rilascio prolungato MUNDIPHARMA RMR 57,95 57,25 X XN02AA05 Oxicodone 034435192 OXYCONTIN 28 cpr 80 mg rilascio prolungato MUNDIPHARMA RMR 103,48 102,24 X XN02AA59 Paracetamolo/codeina 027989033 CO EFFERALGAN 16 cpr BRISTOL-MYERS SQUIBB SARL RNR/RMR 4,39 4,36N02AB03 Fentanil 035399017 ACTIQ 3 pastiglie orosolubili 200 mcg CEPHALON UK LTD RMR 29,04 28,70 XN02AB03 Fentanil 035399056 ACTIQ 3 pastiglie orosolubili 400 mcg CEPHALON UK LTD RMR 29,04 28,70 XN02AB03 Fentanil 035399132 ACTIQ 3 pastiglie orosolubili 800 mcg CEPHALON UK LTD RMR 29,04 28,70 XN02AB03 Fentanil 035399171 ACTIQ 3 pastiglie orosolubili 1200 mcg CEPHALON UK LTD RMR 29,04 28,70 XN02AB03 Fentanil 035399219 ACTIQ 3 pastiglie orosolubili 1600 mcg CEPHALON UK LTD RMR 29,04 28,70 XN02AB03 Fentanil 035399094 ACTIQ 3 pastiglie orosolubili 600 mcg CEPHALON UK LTD RMR 29,04 28,70 XN02AB03 Fentanil 029212014 DUROGESIC 3 cerotti transd 25 mcg/h JANSSEN CILAG RMR 14,71 14,53 XN02AB03 Fentanil 029212026 DUROGESIC 3 cerotti transd 50 mcg/h JANSSEN CILAG RMR 26,82 26,50 XN02AB03 Fentanil 029212038 DUROGESIC 3 cerotti transd 75 mcg/h JANSSEN CILAG RMR 37,10 36,66 XN02AB03 Fentanil 029212040 DUROGESIC 3 cerotti transd 100 mcg/h JANSSEN CILAG RMR 45,56 45,02 XN02AB03 Fentanil 036730012 FENTANIL 3 cerotti transd 25 mcg/h HEXAL RMR 13,89 13,73 XN02AB03 Fentanil 036750014 FENTANIL 3 cerotti transd 25 mcg/h SANDOZ RMR 13,89 13,73 XN02AB03 Fentanil 036730075 FENTANIL 3 cerotti transd 50 mcg/h HEXAL RMR 26,01 25,69 XN02AB03 Fentanil 036750077 FENTANIL 3 cerotti transd 50 mcg/h SANDOZ RMR 26,01 25,69 XN02AB03 Fentanil 036730240 FENTANIL 3 cerotti transd 75 mcg/h HEXAL RMR 36,29 35,85 XN02AB03 Fentanil 036750139 FENTANIL 3 cerotti transd 75 mcg/h SANDOZ RMR 36,29 35,85 XN02AB03 Fentanil 036730188 FENTANIL 3 cerotti transd 100 mcg/h HEXAL RMR 44,75 44,21 XN02AB03 Fentanil 036750192 FENTANIL 3 cerotti transd 100 mcg/h SANDOZ RMR 44,75 44,21 XN02AD01 Pentazocina 021410030 TALWIN 5 fiale IM EV 30 mg 1 ml HOSPIRA RNR 3,98 3,96N02AE01 Buprenorfina 025215029 TEMGESIC 10 cpr sublinguali 0,2 mg RECKITT BENCKISER RMR 3,62 3,60N02AE01 Buprenorfina 025215017 TEMGESIC 5 fiale IM EV 0,3 mg 1 ml RECKITT BENCKISER RMR 7,21 7,13 X XN02AE01 Buprenorfina 035568017 TRANSTEC 3 cerotti transd 35 mcg/h PRODOTTI FORMENTI RMR 26,01 25,69 X XN02AE01 Buprenorfina 035568043 TRANSTEC 3 cerotti transd 52,5 mcg/h PRODOTTI FORMENTI RMR 38,52 38,06 X XN02AE01 Buprenorfina 035568070 TRANSTEC 3 cerotti transd 70 mcg/h PRODOTTI FORMENTI RMR 47,95 47,37 X XN02AG01 Morfina cloridrato/atropina 005167010 CARDIOSTENOL 8 fiale IM 1 ml MOLTENI RMR 3,72 3,70N02AX02 Tramadolo 034561365 ADAMON 30 cpr 150 mg rilascio prolunga 3 MEDA PHARMA RNR 17,20 17,00 XN02AX02 Tramadolo 034561504 ADAMON 30 cpr 200 mg rilascio prolunga 3 MEDA PHARMA RNR 22,92 22,64 XN02AX02 Tramadolo 028853051 CONTRAMAL 5 fiale 50 mg 1 ml 3 PRODOTTI FORMENTI RNR 3,30 3,28N02AX02 Tramadolo 028853012 CONTRAMAL 20 cps 50 mg 3 PRODOTTI FORMENTI RNR 4,62 4,59N02AX02 Tramadolo 028853024 CONTRAMAL gtt os 10 ml 100 mg/ml 3 PRODOTTI FORMENTI RNR 4,62 4,59N02AX02 Tramadolo 028853063 CONTRAMAL 5 fiale 100 mg 2 ml 3 PRODOTTI FORMENTI RNR 5,49 5,43 X X

73

Page 74: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

N02AX02 Tramadolo 028853075 CONTRAMAL 10 cpr 150 mg rilascio prolunga 3 PRODOTTI FORMENTI RNR 6,71 6,63 X XN02AX02 Tramadolo 028853036 CONTRAMAL 20 cpr 100 mg rilascio prolunga 3 PRODOTTI FORMENTI RNR 8,94 8,84 X XN02AX02 Tramadolo 028853087 CONTRAMAL 10 cpr 200 mg rilascio prolunga 3 PRODOTTI FORMENTI RNR 8,94 8,84 X XN02AX02 Tramadolo 028853101 CONTRAMAL gtt os 30 ml 10 % 3 PRODOTTI FORMENTI RNR 11,91 11,77 X XN02AX02 Tramadolo 028878116 FORTRADOL 5 fiale 50 mg 1 ml 3 FORMENTI RNR 3,30 3,28N02AX02 Tramadolo 028878078 FORTRADOL 20 cps 50 mg 3 FORMENTI RNR 4,62 4,59N02AX02 Tramadolo 028878080 FORTRADOL gtt os 10 ml 100 mg/ml 3 FORMENTI RNR 4,62 4,59N02AX02 Tramadolo 028878128 FORTRADOL 5 fiale 100 mg 2 ml 3 FORMENTI RNR 5,49 5,43 X XN02AX02 Tramadolo 028878142 FORTRADOL 10 cpr 150 mg rilascio prolunga 3 FORMENTI RNR 6,71 6,63 X XN02AX02 Tramadolo 028878092 FORTRADOL 20 cpr 100 mg rilascio prolunga 3 FORMENTI RNR 8,94 8,84 X XN02AX02 Tramadolo 028878155 FORTRADOL 10 cpr 200 mg rilascio prolunga 3 FORMENTI RNR 8,94 8,84 X XN02AX02 Tramadolo 032102042 FRAXIDOL 5 fiale 2 ml 100 mg 3 EDMOND RNR 5,22 5,16 XN02AX02 Tramadolo 032102030 FRAXIDOL gtt os 10 ml 100 mg/ml 3 EDMOND RNR 4,62 4,59N02AX02 Tramadolo 032102016 FRAXIDOL 20 cps 50 mg 3 EDMOND RNR 4,62 4,59N02AX02 Tramadolo 033074016 PRONTALGIN gtt os 10 ml 100 mg/ml 3 THERABEL GIENNE PHARMA RNR 4,62 4,59N02AX02 Tramadolo 033074030 PRONTALGIN 20 cps 50 mg 3 THERABEL GIENNE PHARMA RNR 4,62 4,59N02AX02 Tramadolo 033074055 PRONTALGIN 20 cpr eff 50 mg 3 THERABEL GIENNE PHARMA RNR 4,62 4,59N02AX02 Tramadolo 033074028 PRONTALGIN 5 fiale IM EV 100 mg 2 ml 3 THERABEL GIENNE PHARMA RNR 5,49 5,43 X XN02AX02 Tramadolo 034233015 TRADONAL 30 cps 50 mg rilascio prolungat 3 MEDA PHARMA RNR 5,73 5,67 XN02AX02 Tramadolo 034233027 TRADONAL 30 cps 100 mg rilascio prolunga 3 MEDA PHARMA RNR 11,47 11,33 XN02AX02 Tramadolo 034233039 TRADONAL 30 cps 150 mg rilascio prolunga 3 MEDA PHARMA RNR 17,21 17,01 XN02AX02 Tramadolo 034233041 TRADONAL 30 cps 200 mg rilascio prolunga 3 MEDA PHARMA RNR 22,92 22,64 XN02AX02 Tramadolo 036672020 TRAFLASH 20 cpr orodisp 50 mg 3 MEDA PHARMA RNR 4,62 4,59N02AX02 Tramadolo 035986052 TRALODIE 10 cps 150 mg rilascio prolunga 3 THERABEL GIENNE PHARMA RNR 6,71 6,63 X XN02AX02 Tramadolo 035986025 TRALODIE 20 cps 100 mg rilascio prolunga 3 THERABEL GIENNE PHARMA RNR 8,94 8,84 X XN02AX02 Tramadolo 035986090 TRALODIE 10 cps 200 mg rilascio prolunga 3 THERABEL GIENNE PHARMA RNR 8,94 8,84 X XN02AX02 Tramadolo 036697035 TRAMADOLO 20 cpr 100 mg rilascio prolunga 3 SANDOZ RNR 8,49 8,39 XN02AX02 Tramadolo 033981085 TRAMADOLO 5 fiale 100 mg 2 ml 3 DOROM RNR 3,96 3,94N02AX02 Tramadolo 035875069 TRAMADOLO 5 fiale 100 mg 2 ml 3 MEDA PHARMA RNR 3,96 3,94N02AX02 Tramadolo 035918034 TRAMADOLO 5 fiale 100 mg 2 ml 3 ANGENERICO RNR 5,22 5,16 XN02AX02 Tramadolo 033998030 TRAMADOLO 5 fiale 100 mg 2 ml 3 HEXAL RNR 5,22 5,16 XN02AX02 Tramadolo 033531029 TRAMADOLO 5 fiale 100 mg 2 ml 3 SANDOZ RNR 5,22 5,16 XN02AX02 Tramadolo 035918010 TRAMADOLO 20 cps 50 mg 3 ANGENERICO RNR 4,62 4,59N02AX02 Tramadolo 035918046 TRAMADOLO gtt os 10 ml 100 mg/ml 3 ANGENERICO RNR 4,62 4,59N02AX02 Tramadolo 035847019 TRAMADOLO os gtt 10 ml 3 EG RNR 4,62 4,59N02AX02 Tramadolo 033998016 TRAMADOLO 20 cps 50 mg 3 HEXAL RNR 4,62 4,59N02AX02 Tramadolo 033998055 TRAMADOLO gtt os 10 ml 3 HEXAL RNR 4,62 4,59N02AX02 Tramadolo 035875018 TRAMADOLO gtt os 10 ml 3 MEDA PHARMA RNR 4,62 4,59N02AX02 Tramadolo 033531017 TRAMADOLO gtt os 10 ml 100 mg/ml 3 SANDOZ RNR 4,62 4,59N02AX02 Tramadolo 035875107 TRAMADOLO 30 cps 50 mg 3 MEDA PHARMA RNR 5,63 5,57 XN02AX02 Tramadolo 035846029 TRAMALIN 20 cpr 100 mg rilascio prolunga 3 EG RNR 8,49 8,39 XN02AX02 Tramadolo 037003023 UNITRAMA 10 cpr 100 mg rilascio prolunga 3 ANGELINI RNR 4,23 4,20N02AX02 Tramadolo 037003148 UNITRAMA 10 cpr 200 mg rilascio prolunga 3 ANGELINI RNR 8,49 8,39 XN02BA01 Lisina acetilsalicilato 022619062 ASPEGIC 6 fiale IM EV 1.000 mg + 6 fiale solv 5 ml SANOFI-AVENTIS RR 10,97 10,83 XN02BA01 Lisina acetilsalicilato 025008044 ASPIDOL 6 fiale IM EV 1 g + 6 fiale solv 5 ml VECCHI & PIAM RR 10,97 10,83 XN02BA01 Lisina acetilsalicilato 022620191 FLECTADOL 6 fiale IM EV 1 g + 6 fiale solv 5 ml SANOFI-AVENTIS RR 10,97 10,83 XN02CA01 Diidroergotamina 003946011 DIIDERGOT os soluz 15 ml 0,2% TEOFARMA RR 2,32 2,31N02CA01 Diidroergotamina 003946047 DIIDERGOT 20 cpr 3 mg TEOFARMA RR 3,36 3,34N02CA01 Diidroergotamina 025927017 IKARAN 30 cps 5 mg PRODOTTI FORMENTI RR 6,20 6,12 XN02CA01 Diidroergotamina 024624013 SEGLOR 30 cps 5 mg ACARPIA SERVICOS RR 6,07 5,99 XN02CA52 Ergotamina/caffeina 008701031 CAFERGOT 5 supp NOVARTIS FARMA RR 2,63 2,61N02CA52 Ergotamina/caffeina 008701017 CAFERGOT 20 cpr NOVARTIS FARMA RR 2,79 2,77N02CC01 Sumatriptan 027975097 IMIGRAN 2 supp 25 mg GLAXOSMITHKLINE RR 8,78 8,68 X X

74

Page 75: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

N02CC01 Sumatriptan 027975135 IMIGRAN 2 flaconi spray nasale 20 mg GLAXOSMITHKLINE RR 21,95 21,69 X XN02CC01 Sumatriptan 027975073 IMIGRAN 4 cpr riv 50 mg GLAXOSMITHKLINE RR 23,66 23,38 X XN02CC01 Sumatriptan 027975059 IMIGRAN 4 cpr riv 100 mg GLAXOSMITHKLINE RR 45,65 45,11 X XN02CC01 Sumatriptan 027975061 IMIGRAN 2 siringhe SC 6 mg GLAXOSMITHKLINE RR 53,68 53,04 X XN02CC03 Zolmitriptan 033345113 ZOMIG "RAPIMELT" 2 cpr orodispers 2,5 mg ASTRAZENECA RR 12,31 12,17 X XN02CC03 Zolmitriptan 033345012 ZOMIG 3 cpr riv 2,5 mg ASTRAZENECA RR 18,26 18,04 X XN02CC04 Rizatriptan 034115016 MAXALT "5" 3 cpr 5 mg MERCK SHARP & DOHME RR 15,88 15,68 X XN02CC04 Rizatriptan 034115042 MAXALT "10" 3 cpr 10 mg MERCK SHARP & DOHME RR 21,79 21,53 X XN02CC04 Rizatriptan 034115105 MAXALT "RPD10" 3 cpr os liof 10 mg MERCK SHARP & DOHME RR 21,79 21,53 X XN02CC04 Rizatriptan 034130017 RIZALIV "5" 3 cpr 5 mg NEOPHARMED RR 15,88 15,68 X XN02CC04 Rizatriptan 034130043 RIZALIV "10" 3 cpr 10 mg NEOPHARMED RR 21,79 21,53 X XN02CC04 Rizatriptan 034130106 RIZALIV "RPD10" 3 cpr os liof 10 mg NEOPHARMED RR 21,79 21,53 X XN02CC05 Almotriptan idrogenomalat 034996013 ALMOGRAN 3 cpr riv 12,5 mg ALMIRALL RR 16,62 16,42 X XN02CC05 Almotriptan idrogenomalat 034995011 ALMOTREX 3 cpr riv 12,5 mg ALMIRALL PRODESFARMA S.A. RR 16,62 16,42 X XN02CC06 Eletriptan bromidrato 035307103 RELPAX 3 cpr riv 20 mg PFIZER ITALIA RR 14,77 14,59 XN02CC06 Eletriptan bromidrato 035307281 RELPAX 3 cpr riv 40 mg PFIZER ITALIA RR 19,97 19,73 XN02CC07 Frovatriptan 035673021 AURADOL 2 cpr riv 2,5 mg MENARINI INTERNATIONAL O.L.S.A. RR 10,96 10,82 X XN02CC07 Frovatriptan 035673033 AURADOL 6 cpr riv 2,5 mg MENARINI INTERNATIONAL O.L.S.A. RR 32,90 32,50 X XN02CC07 Frovatriptan 035674023 RILAMIG 2 cpr riv 2,5 mg MENARINI INTERNATIONAL O.L.S.A. RR 10,96 10,82 X XN02CC07 Frovatriptan 035674035 RILAMIG 6 cpr riv 2,5 mg MENARINI INTERNATIONAL O.L.S.A. RR 32,90 32,50 X XN02CX01 Pizotifene malato acido 022437014 SANDOMIGRAN 20 cpr riv 0,5 mg NOVARTIS FARMA RR 2,12 2,11N03AA Fenobarbital/calcio lattato/ 004256018 COMIZIAL "TIPO 1" 20 cpr 100 mg OGNA RNR 1,50 1,49N03AA02 Fenobarbital 004556015 GARDENALE 20 cpr 100 mg SANOFI-AVENTIS RNR 1,50 1,49N03AA02 Fenobarbital 004556027 GARDENALE 30 cpr 50 mg SANOFI-AVENTIS RNR 1,50 1,49N03AA02 Fenobarbital 002860031 LUMINALE 20 cpr 100 mg BRACCO RNR 1,60 1,59N03AA02 Fenobarbital 002860017 LUMINALE 10 fiale IM 200 mg 1 ml BRACCO RNR 4,81 4,78N03AA02 Fenobarbital 002860043 LUMINALETTE 30 cpr 15 mg BRACCO RNR 1,55 1,54N03AA03 Primidone 009340011 MYSOLINE 30 cpr 250 mg SIT RR 2,16 2,15N03AA04 Barbexaclone 024332025 MALIASIN 50 cpr riv 25 mg ABBOTT RNR 3,95 3,93N03AA04 Barbexaclone 024332013 MALIASIN 50 cpr riv 100 mg ABBOTT RNR 4,90 4,87N03AB02 Fenitoina 002129017 DINTOINA 30 cpr 100 mg RECORDATI RR 1,86 1,85N03AD01 Etosuccimide 018930014 ZARONTIN 50 cps 250 mg PFIZER ITALIA RR 5,46 5,40 XN03AD01 Etosuccimide 018930038 ZARONTIN scir 200 ml PFIZER ITALIA RR 5,46 5,40 XN03AE01 Clonazepam 023159054 RIVOTRIL 20 cpr 0,5 mg ROCHE RR 1,08 1,07N03AE01 Clonazepam 023159066 RIVOTRIL 20 cpr 2 mg ROCHE RR 1,45 1,44N03AE01 Clonazepam 023159039 RIVOTRIL gtt os 10 ml 2,5 mg/ml ROCHE RR 1,81 1,80N03AF01 Carbamazepina 033878012 CARBAMAZEPINA 50 cpr 200 mg EG RR 3,96 3,94 GN03AF01 Carbamazepina 033740010 CARBAMAZEPINA 50 cpr 200 mg RATIOPHARM GMBH RR 3,96 3,94 GN03AF01 Carbamazepina 034865028 CARBAMAZEPINA 50 cpr 200 mg TEVA RR 3,96 3,94 GN03AF01 Carbamazepina 033878024 CARBAMAZEPINA 30 cpr 400 mg EG RR 5,21 5,18 GN03AF01 Carbamazepina 033740022 CARBAMAZEPINA 30 cpr 400 mg RATIOPHARM GMBH RR 5,21 5,18 GN03AF01 Carbamazepina 020602013 TEGRETOL 50 cpr 200 mg NOVARTIS FARMA RR 4,68 4,65 GN03AF01 Carbamazepina 020602037 TEGRETOL "BB" scir 250 ml 2% NOVARTIS FARMA RR 5,95 5,91 GN03AF01 Carbamazepina 020602049 TEGRETOL 30 cpr 200 mg rilascio controllato NOVARTIS FARMA RR 4,09 4,07 GN03AF01 Carbamazepina 020602025 TEGRETOL 30 cpr 400 mg NOVARTIS FARMA RR 5,85 5,81 GN03AF01 Carbamazepina 020602052 TEGRETOL 30 cpr 400 mg rilascio controllato NOVARTIS FARMA RR 6,47 6,43 GN03AF02 Oxcarbazepina 028304018 TOLEP 50 cpr div 300 mg NOVARTIS FARMA RR 15,18 15,00 X XN03AF02 Oxcarbazepina 028304020 TOLEP 50 cpr div 600 mg NOVARTIS FARMA RR 29,21 28,85 X XN03AG01 Acido valproico 022483010 DEPAKIN 40 cpr gastrores 200 mg SANOFI-SYNTELABO FRANCE RR 4,15 4,13 GN03AG01 Acido valproico 022483034 DEPAKIN os soluz 40 ml 200 mg/ml SANOFI-SYNTELABO FRANCE RR 4,60 4,57 GN03AG01 Acido valproico 022483022 DEPAKIN 40 cpr gastrores 500 mg SANOFI-SYNTELABO FRANCE RR 7,89 7,84 GN03AG01 Acido valproico 022483109 DEPAKIN "CHRONO" 30 cpr riv 300 mg SANOFI-SYNTELABO FRANCE RR 8,17 8,07 X XN03AG01 Acido valproico 022483111 DEPAKIN "CHRONO" 30 cpr riv 500 mg SANOFI-SYNTELABO FRANCE RR 13,23 13,07 X X

75

Page 76: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

N03AG01 Acido valproico 022483059 DEPAKIN CHRONO 30 cpr 300 mg rilascio prolungato SANOFI-SYNTELABO FRANCE RR 8,17 8,07 X XN03AG01 Acido valproico 022483046 DEPAKIN CHRONO 30 cpr 500 mg rilascio prolungato SANOFI-SYNTELABO FRANCE RR 13,23 13,07 X XN03AG01 Acido valproico 027107010 DEPAMAG 40 cpr gastrores 200 mg SIGMATAU RR 4,60 4,57N03AG01 Acido valproico 027107034 DEPAMAG os soluz 100 ml 10% SIGMATAU RR 5,80 5,74 X XN03AG01 Acido valproico 027107022 DEPAMAG 40 cpr gastrores 500 mg SIGMATAU RR 8,35 8,25 X XN03AG02 Valpromide 023105036 DEPAMIDE 30 cpr gastrores 300 mg SANOFI-AVENTIS RR 4,88 4,85N03AG04 Vigabatrin 027443011 SABRIL 50 cpr riv 500 mg SANOFI-AVENTIS RR 35,11 34,69 XN03AG04 Vigabatrin 027443047 SABRIL 50 bust grat 500 mg SANOFI-AVENTIS RR 35,11 34,69 XN03AG06 Tiagabina 032951016 GABITRIL 50 cpr riv div 5 mg CEPHALON FRANCE RR 29,34 28,98 XN03AG06 Tiagabina 032951030 GABITRIL 50 cpr riv div 10 mg CEPHALON FRANCE RR 58,22 57,52 XN03AG06 Tiagabina 032951055 GABITRIL 50 cpr riv div 15 mg CEPHALON FRANCE RR 87,30 86,26 XN03AX09 Lamotrigina 027807066 LAMICTAL 28 cpr dispers 5 mg GLAXOSMITHKLINE RR 8,58 8,48 XN03AX09 Lamotrigina 027807054 LAMICTAL 28 cpr dispers 25 mg GLAXOSMITHKLINE RR 9,88 9,82 GN03AX09 Lamotrigina 027807080 LAMICTAL 56 cpr dispers 50 mg GLAXOSMITHKLINE RR 33,16 32,96 GN03AX09 Lamotrigina 027807078 LAMICTAL 56 cpr dispers 100 mg GLAXOSMITHKLINE RR 58,98 58,63 GN03AX09 Lamotrigina 027807092 LAMICTAL 56 cpr dispers 200 mg GLAXOSMITHKLINE RR 102,46 101,85 GN03AX09 Lamotrigina 036780373 LAMOTRIGINA 28 cpr dispers 25 mg EG RR 8,95 8,90 GN03AX09 Lamotrigina 036821371 LAMOTRIGINA 28 cpr dispers 25 mg DOC GENERICI RR 8,95 8,90 GN03AX09 Lamotrigina 036486025 LAMOTRIGINA 28 cpr disp 25 mg HEXAL RR 8,95 8,90 GN03AX09 Lamotrigina 036780637 LAMOTRIGINA 56 cpr dispers 50 mg EG RR 32,15 31,96 GN03AX09 Lamotrigina 036486037 LAMOTRIGINA 56 cpr dispers 50 mg HEXAL RR 32,15 31,96 GN03AX09 Lamotrigina 036821635 LAMOTRIGINA 56 cpr dispers 50 mg DOC GENERICI RR 32,15 31,96 GN03AX09 Lamotrigina 036780854 LAMOTRIGINA 56 cpr dispers 100 mg EG RR 57,90 57,55 GN03AX09 Lamotrigina 036821852 LAMOTRIGINA 56 cpr dispers 100 mg DOC GENERICI RR 57,90 57,55 GN03AX09 Lamotrigina 036486049 LAMOTRIGINA 56 cpr dispers 100 mg HEXAL RR 57,90 57,55 GN03AX09 Lamotrigina 036780993 LAMOTRIGINA 56 cpr dispers 200 mg EG RR 101,40 100,79 GN03AX09 Lamotrigina 036821991 LAMOTRIGINA 56 cpr dispers 200 mg DOC GENERICI RR 101,40 100,79 GN03AX09 Lamotrigina 036486052 LAMOTRIGINA 56 cpr dispers 200 mg HEXAL RR 101,40 100,79 GN03AX10 Felbamato 030822023 TALOXA 40 cpr 400 mg SCHERING PLOUGH RRL 56,58 55,90 X XN03AX10 Felbamato 030822035 TALOXA 40 cpr 600 mg SCHERING PLOUGH RRL 83,27 82,27 X XN03AX10 Felbamato 030822011 TALOXA os sosp 230 ml 600 mg/ml SCHERING PLOUGH RRL 100,84 99,62 X XN03AX11 Topiramato 032023083 TOPAMAX 60 cps 15 mg JANSSEN CILAG RR 17,67 17,45 XN03AX11 Topiramato 032023071 TOPAMAX 60 cpr riv 25 mg JANSSEN CILAG RR 29,28 28,92 XN03AX11 Topiramato 032023095 TOPAMAX 60 cps 25 mg JANSSEN CILAG RR 29,46 29,10 XN03AX11 Topiramato 032023020 TOPAMAX 60 cpr riv 50 mg JANSSEN CILAG RR 55,58 54,92 XN03AX11 Topiramato 032023032 TOPAMAX 60 cpr riv 100 mg JANSSEN CILAG RR 100,07 98,87 XN03AX11 Topiramato 032023044 TOPAMAX 60 cpr riv 200 mg JANSSEN CILAG RR 192,59 190,27 XN03AX12 Gabapentin 036231013 GABAPENTIN 50 cps 100 mg 4 ALLEN RR 6,60 6,56 GN03AX12 Gabapentin 035944014 GABAPENTIN 50 cps 100 mg 4 DOC GENERICI RR 6,60 6,56 GN03AX12 Gabapentin 036131011 GABAPENTIN 50 cps 100 mg 4 EG RR 6,60 6,56 GN03AX12 Gabapentin 035975010 GABAPENTIN 50 cps 100 mg 4 FIDIA RR 6,60 6,56 GN03AX12 Gabapentin 036700045 GABAPENTIN 50 cps 100 mg 4 HEXAL RR 6,60 6,56 GN03AX12 Gabapentin 036607048 GABAPENTIN 50 cps 100 mg 4 MERCK GENERICS RR 6,60 6,56 GN03AX12 Gabapentin 036410013 GABAPENTIN 50 cps 100 mg 4 PLIVA RR 6,60 6,56 GN03AX12 Gabapentin 036698037 GABAPENTIN 50 cps 100 mg 4 RATIOPHARM GMBH RR 6,60 6,56 GN03AX12 Gabapentin 036708042 GABAPENTIN 50 cps 100 mg 4 SANDOZ RR 6,60 6,56 GN03AX12 Gabapentin 036001030 GABAPENTIN 50 cps 100 mg 4 TEVA RR 6,60 6,56 GN03AX12 Gabapentin 036519015 GABAPENTIN 50 cps 100 mg 4 ABC RR 6,60 6,56 GN03AX12 Gabapentin 036231037 GABAPENTIN 30 cps 400 mg 4 ALLEN RR 13,82 13,74 GN03AX12 Gabapentin 036574034 GABAPENTIN 30 cps 400 mg 4 ALTER RR 13,82 13,74 GN03AX12 Gabapentin 035975034 GABAPENTIN 30 cps 400 mg 4 FIDIA RR 13,82 13,74 GN03AX12 Gabapentin 036700250 GABAPENTIN 30 cps 400 mg 4 HEXAL RR 13,82 13,74 GN03AX12 Gabapentin 036607190 GABAPENTIN 30 cps 400 mg 4 MERCK GENERICS RR 13,82 13,74 G

76

Page 77: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

N03AX12 Gabapentin 036410037 GABAPENTIN 30 cps 400 mg 4 PLIVA RR 13,82 13,74 GN03AX12 Gabapentin 036698468 GABAPENTIN 30 cps 400 mg 4 RATIOPHARM GMBH RR 13,82 13,74 GN03AX12 Gabapentin 036708257 GABAPENTIN 30 cps 400 mg 4 SANDOZ RR 13,82 13,74 GN03AX12 Gabapentin 036001434 GABAPENTIN 30 cps 400 mg 4 TEVA RR 13,82 13,74 GN03AX12 Gabapentin 036519039 GABAPENTIN 30 cps 400 mg 4 ABC RR 13,82 13,74 GN03AX12 Gabapentin 036231025 GABAPENTIN 50 cps 300 mg 4 ALLEN RR 20,88 20,75 GN03AX12 Gabapentin 036574022 GABAPENTIN 50 cps 300 mg 4 ALTER RR 20,88 20,75 GN03AX12 Gabapentin 036131023 GABAPENTIN 50 cps 300 mg 4 EG RR 20,88 20,75 GN03AX12 Gabapentin 036700185 GABAPENTIN 50 cps 300 mg 4 HEXAL RR 20,88 20,75 GN03AX12 Gabapentin 036607125 GABAPENTIN 50 cps 300 mg 4 MERCK GENERICS RR 20,88 20,75 GN03AX12 Gabapentin 036410025 GABAPENTIN 50 cps 300 mg 4 PLIVA RR 20,88 20,75 GN03AX12 Gabapentin 036698189 GABAPENTIN 50 cps 300 mg 4 RATIOPHARM GMBH RR 20,88 20,75 GN03AX12 Gabapentin 036708143 GABAPENTIN 50 cps 300 mg 4 SANDOZ RR 20,88 20,75 GN03AX12 Gabapentin 036001170 GABAPENTIN 50 cps 300 mg 4 TEVA RR 20,88 20,75 GN03AX12 Gabapentin 036519027 GABAPENTIN 50 cps 300 mg 4 ABC RR 20,88 20,75 GN03AX12 Gabapentin 036134017 GABAPENTIN 50 cps 100 mg 4 MOLTENI RR 6,60 6,56 GN03AX12 Gabapentin 036777047 GABAPENTIN 50 cps 100 mg 4 WINTHROP RR 6,60 6,56 GN03AX12 Gabapentin 036134031 GABAPENTIN 30 cps 400 mg 4 MOLTENI RR 13,82 13,74 GN03AX12 Gabapentin 036777365 GABAPENTIN 30 cps 400 mg 4 WINTHROP RR 13,82 13,74 GN03AX12 Gabapentin 036134029 GABAPENTIN 50 cps 300 mg 4 MOLTENI RR 20,88 20,75 GN03AX12 Gabapentin 036777213 GABAPENTIN 50 cps 300 mg 4 WINTHROP RR 20,88 20,75 GN03AX12 Gabapentin 036131035 GABAPENTIN 30 cps 400 mg 4 EG RR 13,82 13,74 GN03AX12 Gabapentin 035944026 GABAPENTIN 50 cps 300 mg 4 DOC GENERICI RR 20,88 20,75 GN03AX12 Gabapentin 035975022 GABAPENTIN 50 cps 300 mg 4 FIDIA RR 20,88 20,75 GN03AX12 Gabapentin 035944038 GABAPENTIN 30 cps 400 mg 4 DOC GENERICI RR 13,82 13,74 GN03AX12 Gabapentin 028740013 NEURONTIN 50 cps 100 mg 4 PFIZER ITALIA RR 12,01 11,94 GN03AX12 Gabapentin 028740037 NEURONTIN 30 cps 400 mg 4 PFIZER ITALIA RR 25,14 24,99 GN03AX12 Gabapentin 028740025 NEURONTIN 50 cps 300 mg 4 PFIZER ITALIA RR 37,98 37,75 GN03AX14 Levetiracetam 035039229 KEPPRA 30 cpr riv 1.000 mg UCB S.A. RR 84,59 83,57 X XN03AX14 Levetiracetam 035039104 KEPPRA 60 cpr riv 500 mg UCB S.A. RR 88,13 87,07 X XN03AX16 Pregabalin 036476012 LYRICA 14 cps 25 mg 4 PFIZER LIMITED RR 5,63 5,57 XN03AX16 Pregabalin 036476113 LYRICA 14 cps 75 mg 4 PFIZER LIMITED RR 13,97 13,81 XN03AX16 Pregabalin 036476176 LYRICA 14 cps 150 mg 4 PFIZER LIMITED RR 20,85 20,59 XN03AX16 Pregabalin 036476125 LYRICA 56 cps 75 mg 4 PFIZER LIMITED RR 55,88 55,20 XN03AX16 Pregabalin 036476188 LYRICA 56 cps 150 mg 4 PFIZER LIMITED RR 83,41 82,41 XN03AX16 Pregabalin 036476240 LYRICA 56 cps 300 mg 4 PFIZER LIMITED RR 125,12 123,62 XN04AA01 Triesifenidile 003488018 ARTANE 50 cpr 2 mg TEOFARMA RR 2,53 2,51N04AA02 Biperidene 016479040 AKINETON 5 fiale IM EV 5 mg 1 ml SIT RR 2,94 2,92N04AA02 Biperidene 028330013 AKINETON 60 cpr 2 mg SIT RR 4,29 4,26N04AA02 Biperidene 028330037 AKINETON 50 cpr 4 mg rilascio prolungato SIT RR 5,33 5,27 XN04AA03 Metixene 014136028 TREMARIL 20 cpr 5 mg LPB RR 1,65 1,64N04AA11 Bornaprina 024264018 SORMODREN 50 cpr 4 mg TEOFARMA RR 8,55 8,45 XN04AB02 Orfenadrina 013013026 DISIPAL 50 cpr riv 50 mg ASTELLAS RR 2,12 2,11N04BA02 Levodopa/ benserazide 023142019 MADOPAR 30 cps 125 mg ROCHE RR 4,71 4,68N04BA02 Levodopa/ benserazide 023142058 MADOPAR 30 cpr dispers 125 mg ROCHE RR 4,71 4,68N04BA02 Levodopa/ benserazide 023142033 MADOPAR 50 cpr 200 mg + 50 mg ROCHE RR 16,84 16,64 X XN04BA02 Levodopa/ benserazide 023142045 MADOPAR 30 cps 100 mg + 25 mg rilascio prolungato ROCHE RR 5,56 5,50 X XN04BA02 Levodopa/carbidopa 033343029 CARBIDOPA LEVODOP50 cpr 250 mg + 25 mg TEVA PHARMA B.V. RR 6,68 6,64 GN04BA02 Levodopa/carbidopa 036514026 LEVODOPA CARBIDOP50 cpr 100 mg + 25 mg rilascio HEXAL RR 8,12 8,07 GN04BA02 Levodopa/carbidopa 036514053 LEVODOPA CARBIDOP30 cpr 200 mg + 50 mg rilascio HEXAL RR 9,93 9,87 GN04BA02 Levodopa/carbidopa 023145028 SINEMET 50 cpr 100 mg + 25 mg BRISTOL RR 4,98 4,95N04BA02 Levodopa/carbidopa 023145016 SINEMET 50 cpr 250 mg + 25 mg BRISTOL RR 7,80 7,75 GN04BA02 Levodopa/carbidopa 023145042 SINEMET 50 cpr 100 mg + 25 mg rilascio modificato BRISTOL RR 9,21 9,15 G

77

Page 78: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

N04BA02 Levodopa/carbidopa 023145030 SINEMET 30 cpr 200 mg + 50 mg rilascio modificato BRISTOL RR 11,01 10,94 GN04BA03 Levodopa/carbidopa/entac 036825077 STALEVO 100 cpr 100 mg + 25 mg + 200 PT ORION CORPORATION RR 116,02 114,62 X XN04BA04 Melevodopa 032829018 LEVOMET grat 8,4 g + 1 flacone solv 19 ml CHIESI RR 9,11 9,01 XN04BA05 Melevodopa/Carbidopa 035625019 SIRIO 30 cpr eff 12,5 mg + 125 mg CHIESI RR 9,12 9,02 X XN04BA05 Melevodopa/Carbidopa 035625021 SIRIO 30 cpr eff 25 mg + 100 mg CHIESI RR 9,12 9,02 X XN04BC Lisuride 025997026 DOPERGIN 30 cpr 0,2 mg SCHERING RR 7,30 7,22 XN04BC Lisuride 025997038 DOPERGIN 30 cpr 0,5 mg SCHERING RR 16,34 16,14 XN04BC01 Bromocriptina 029068020 BROMOCRIPTINA 60 cps 5 mg DOROM RR 19,98 19,86 GN04BC01 Bromocriptina 029068032 BROMOCRIPTINA 40 cps 10 mg DOROM RR 25,39 25,24 GN04BC01 Bromocriptina 023781038 PARLODEL 30 cps 5 mg MEDA PHARMA RR 11,53 11,46 GN04BC01 Bromocriptina 023781026 PARLODEL 20 cps 10 mg MEDA PHARMA RR 14,66 14,57 GN04BC02 Pergolide 028507010 NOPAR 30 cpr 0,05 mg ELI LILLY RR 8,63 8,53 XN04BC02 Pergolide 028507046 NOPAR "STARTER" 75 cpr 0,05 mg + 6 cpr 0,25 mg ELI LILLY RR 20,77 20,53 XN04BC02 Pergolide 028507022 NOPAR 40 cpr 0,25 mg ELI LILLY RR 23,54 23,26 XN04BC02 Pergolide 028507034 NOPAR 20 cpr 1 mg ELI LILLY RR 26,01 25,69 XN04BC04 Ropinirolo 032261063 REQUIP 21 cpr 0,25 mg SMITHKLINE BEECHAM (FR) RR 4,75 4,72N04BC04 Ropinirolo 032261101 REQUIP 21 cpr 0,5 mg SMITHKLINE BEECHAM (FR) RR 8,68 8,58 X XN04BC04 Ropinirolo 032261125 REQUIP 21 cpr 1 mg SMITHKLINE BEECHAM (FR) RR 10,44 10,32 X XN04BC04 Ropinirolo 032261149 REQUIP 21 cpr 2 mg SMITHKLINE BEECHAM (FR) RR 20,82 20,58 X XN04BC04 Ropinirolo 032261164 REQUIP 21 cpr 5 mg SMITHKLINE BEECHAM (FR) RR 44,04 43,52 X XN04BC05 Pramipexolo 034090035 MIRAPEXIN 30 cpr 0,18 mg BOEHRINGER INGELHEIM INTERNATIO RR 15,69 15,51 XN04BC05 Pramipexolo 034090050 MIRAPEXIN 30 cpr 0,7 mg BOEHRINGER INGELHEIM INTERNATIO RR 61,90 61,16 XN04BC06 Cabergolina 031128010 CABASER 20 cpr 1 mg PFIZER ITALIA RR 28,18 27,84 XN04BC06 Cabergolina 031128022 CABASER 20 cpr 2 mg PFIZER ITALIA RR 55,92 55,24 XN04BC07 Apomorfina 033403039 APOFIN 1 penfill SC 1 % CHIESI RR 21,67 21,41 XN04BC07 Apomorfina 033403041 APOFIN 5 penfill SC 1% CHIESI RR 108,37 107,07 XN04BD02 Rasagilina 036983029 AZILECT 28cpr 1 mg PT TEVA PHARMA GMBH RR 135,55 133,93 XN04BX01 Tolcapone 033280090 TASMAR 100 cpr riv 100 mg PT VALEANT PHARMACEUTICALS LTD RR 165,33 163,35 XN04BX02 Entacapone 034231035 COMTAN 100 cpr riv 200 mg PT NOVARTIS EUROPHARM Ltd RR 116,02 114,62 X XN05AA01 Clorpromazina 007899038 LARGACTIL 20 cpr riv 100 mg TEOFARMA RR 2,17 2,16N05AA01 Clorpromazina 007899026 LARGACTIL 25 cpr riv 25 mg TEOFARMA RR 0,98 0,97N05AA01 Clorpromazina 007899040 LARGACTIL gtt os 10 ml 4% TEOFARMA RR 1,14 1,13N05AA01 Clorpromazina 007899014 LARGACTIL 5 fiale IM 50 mg 2 ml TEOFARMA RNR 4,03 4,01N05AA01 Clorpromazina 010852022 PROZIN 25 cpr riv 25 mg LUSOFARMACO RR 1,03 1,02N05AA01 Clorpromazina 010852034 PROZIN gtt os 10 ml 4% LUSOFARMACO RR 1,19 1,18N05AA02 Levomepromazina 015228012 NOZINAN 20 cpr riv 25 mg SANOFI-AVENTIS RR 2,58 2,56N05AA02 Levomepromazina 015228024 NOZINAN 20 cpr riv 100 mg SANOFI-AVENTIS RR 4,85 4,82N05AB01 Dixirazina 019634017 ESUCOS 25 cpr 10 mg SIT RR 3,46 3,44N05AB01 Dixirazina 019634029 ESUCOS 25 cpr 25 mg SIT RR 4,88 4,85N05AB02 Flufenazina 018281028 ANATENSOL 25 conf 1 mg BRISTOL RR 1,50 1,49N05AB02 Flufenazina 022750020 MODITEN DEPOT 1 fiala IM 25 mg BRISTOL RNR 4,54 4,51N05AB03 Perfenazina 024002014 TRILAFON ENANTATO1 fiala IM 100 mg 1 ml SCHERING PLOUGH RNR 6,41 6,33 XN05AB06 Trifluoperazina 019184062 MODALINA 30 cpr riv 2 mg SIT RR 2,17 2,16N05AB06 Trifluoperazina 019184050 MODALINA 30 cpr riv 1 mg SIT RR 1,60 1,59N05AC01 Periciazina 020739037 NEULEPTIL gtt os 10 ml 2% TEOFARMA RR 1,76 1,75N05AC01 Periciazina 020739025 NEULEPTIL 30 cpr 10 mg TEOFARMA RR 2,84 2,82N05AD01 Aloperidolo 025373010 HALDOL 30 cpr 1 mg JANSSEN CILAG RR 2,17 2,16N05AD01 Aloperidolo 025373059 HALDOL gtt os 30 ml 2 mg/ml JANSSEN CILAG RR 2,74 2,72N05AD01 Aloperidolo 025373073 HALDOL 5 fiale 5 mg 1 ml JANSSEN CILAG RNR 3,56 3,54N05AD01 Aloperidolo 025373034 HALDOL 30 cpr 5 mg JANSSEN CILAG RR 4,85 4,82N05AD01 Aloperidolo 025373061 HALDOL gtt os 30 ml 10 mg/ml JANSSEN CILAG RR 6,74 6,66 XN05AD01 Aloperidolo 025333028 HALDOL DECANOAS 1 fiala IM 150 mg 3 ml JANSSEN CILAG RNR 9,66 9,54 XN05AD01 Aloperidolo 025333016 HALDOL DECANOAS 3 fiale IM 50 mg 1 ml JANSSEN CILAG RNR 12,70 12,54 X

78

Page 79: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

N05AD01 Aloperidolo 016805018 SERENASE 5 fiale IM EV 2 mg 2 ml LUSOFARMACO RNR 2,12 2,11N05AD01 Aloperidolo 016805044 SERENASE 20 cpr 5 mg LUSOFARMACO RR 3,31 3,29N05AD01 Aloperidolo 016805020 SERENASE 5 fiale IM EV 5 mg 2 ml LUSOFARMACO RNR 3,56 3,54N05AD01 Aloperidolo 016805107 SERENASE gtt os 15 ml 10 mg/ml LUSOFARMACO RR 3,45 3,43N05AD06 Bromperidolo 026017020 IMPROMEN 30 cpr 5 mg PRODOTTI FORMENTI RR 4,80 4,77N05AD06 Bromperidolo 026017069 IMPROMEN gtt os 30 ml 1% PRODOTTI FORMENTI RR 10,83 10,71 XN05AF05 Zuclopentixolo 026890158 CLOPIXOL 1 fiala IM 200 mg/ml rilascio prolungato LUNDBECK RNR 5,99 5,91 XN05AG02 Pimozide 022907036 ORAP 20 cpr 4 mg JANSSEN CILAG RR 5,46 5,40 XN05AH02 Clozapina 036638029 CLOZAPINA 28 cpr 25 mg PT HEXAL RNRL 7,06 7,02 GN05AH02 Clozapina 035390018 CLOZAPINA 28 cpr 25 mg PT CHIESI RNRL 7,06 7,02 GN05AH02 Clozapina 036638221 CLOZAPINA 28 cpr 100 mg PT HEXAL RNRL 24,73 24,58 GN05AH02 Clozapina 035390032 CLOZAPINA 28 cpr 100 mg PT CHIESI RNRL 24,73 24,58 GN05AH02 Clozapina 028824011 LEPONEX 28 cpr 25 mg PT NOVARTIS FARMA RNRL 9,03 8,98 GN05AH02 Clozapina 028824023 LEPONEX 28 cpr 100 mg PT NOVARTIS FARMA RNRL 29,78 29,60 GN05AH03 Olanzapina 033638026 ZYPREXA 28 cpr riv 2,5 mg PT ELI LILLY NEDERLAND BV RR 35,13 34,71 X XN05AH03 Olanzapina 033638038 ZYPREXA 28 cpr riv 5 mg PT ELI LILLY NEDERLAND BV RR 70,26 69,42 X XN05AH03 Olanzapina 033638115 ZYPREXA "VELOTAB" 28 cpr orodispers 5 mg PT ELI LILLY NEDERLAND BV RR 70,26 69,42 X XN05AH03 Olanzapina 033638091 ZYPREXA "10" 28 cpr riv 10 mg PT ELI LILLY NEDERLAND BV RR 140,54 138,86 X XN05AH03 Olanzapina 033638127 ZYPREXA "VELOTAB" 28 cpr orodispers 10 mg PT ELI LILLY NEDERLAND BV RR 140,54 138,86 X XN05AH04 Quetiapina 032944011 SEROQUEL 6 cpr riv 25 mg PT ASTRAZENECA RR 4,56 4,53N05AH04 Quetiapina 032944112 SEROQUEL 30 cpr riv 25 mg PT ASTRAZENECA RR 19,92 19,68 X XN05AH04 Quetiapina 032944035 SEROQUEL 60 cpr riv 100 mg PT ASTRAZENECA RR 79,64 78,68 X XN05AH04 Quetiapina 032944050 SEROQUEL 60 cpr riv 200 mg PT ASTRAZENECA RR 119,45 118,01 X XN05AH04 Quetiapina 032944100 SEROQUEL 60 cpr riv 300 mg PT ASTRAZENECA RR 179,54 177,38 X XN05AL01 Sulpiride 022575029 CHAMPIONYL 5 fiale IM 100 mg 2 ml SANOFI-AVENTIS RR 2,01 2,00N05AL03 Tiapride 023402023 SEREPRILE 10 fiale IM EV 100 mg 2 ml SANOFI-AVENTIS RR 4,13 4,11N05AL05 Amisulpride 033462021 SOLIAN 30 cpr 200 mg SANOFI-AVENTIS RR 38,06 37,60 X XN05AL05 Amisulpride 033462045 SOLIAN 30 cpr riv 400 mg SANOFI-AVENTIS RR 76,06 75,14 X XN05AL07 Levosulpiride 026009062 LEVOPRAID 6 fiale IM EV 50 mg 2 ml ABBOTT RR 4,39 4,36N05AN01 Litio carbonato 024597015 CARBOLITHIUM 50 cps 150 mg ZENEUS PHARMA LTD RR 2,74 2,72N05AN01 Litio carbonato 024597039 CARBOLITHIUM 50 cps 300 mg ZENEUS PHARMA LTD RR 4,39 4,36 GN05AX08 Risperidone 028748059 BELIVON 60 cpr 1 mg bianche PT J.C.HEALTHCARE RR 53,33 52,69 X XN05AX08 Risperidone 028748061 BELIVON 60 cpr 2 mg arancioni PT J.C.HEALTHCARE RR 98,24 97,06 X XN05AX08 Risperidone 028748073 BELIVON 60 cpr 3 mg gialle PT J.C.HEALTHCARE RR 148,21 146,43 X XN05AX08 Risperidone 028748085 BELIVON 60 cpr 4 mg verdi PT J.C.HEALTHCARE RR 194,69 192,35 X XN05AX08 Risperidone 028752057 RISPERDAL 60 cpr 1 mg bianche PT JANSSEN CILAG RR 50,66 50,06 XN05AX08 Risperidone 028752095 RISPERDAL gtt os 100 ml 1 mg/ml PT JANSSEN CILAG RR 84,49 83,47 XN05AX08 Risperidone 028752069 RISPERDAL 60 cpr 2 mg arancioni PT JANSSEN CILAG RR 93,33 92,21 XN05AX08 Risperidone 028752071 RISPERDAL 60 cpr 3 mg gialle PT JANSSEN CILAG RR 140,80 139,12 XN05AX08 Risperidone 028752083 RISPERDAL 60 cpr 4 mg verdi PT JANSSEN CILAG RR 184,96 182,74 XN05AX09 Clotiapina 021553021 ENTUMIN gtt os 10 ml 100 mg/ml NOVARTIS FARMA RR 2,94 2,92N05AX12 Aripiprazolo 036582017 ABILIFY 28 cpr 5 mg PT OTSUKA RR 131,70 130,12 X XN05AX12 Aripiprazolo 036582029 ABILIFY 28 cpr 10 mg PT OTSUKA RR 140,49 138,81 X XN05AX12 Aripiprazolo 036582031 ABILIFY 28 cpr 15 mg PT OTSUKA RR 140,49 138,81 X XN05AX12 Aripiprazolo 036582094 ABILIFY 28 cpr orodisp 10 mg PT OTSUKA RR 140,49 138,81 X XN05AX12 Aripiprazolo 036582120 ABILIFY 28 cpr orodisp 15 mg PT OTSUKA RR 140,49 138,81 X XN05AX12 Aripiprazolo 036582183 ABILIFY flacone os 150 ml 1mg/ml PT OTSUKA RR 131,70 130,12 X XN06AA01 Desipramina 021246020 NORTIMIL 40 cpr 25 mg CHIESI RR 4,39 4,36N06AA02 Imipramina 014969012 TOFRANIL 50 cpr riv 25 mg NOVARTIS FARMA RR 3,16 3,14 GN06AA02 Imipramina 014969024 TOFRANIL 60 cpr riv 10 mg NOVARTIS FARMA RR 2,52 2,50 GN06AA04 Clomipramina 021643010 ANAFRANIL 20 cpr riv 25 mg DEFIANTE FARMACEUTICA LDA RR 2,65 2,63 GN06AA04 Clomipramina 021643034 ANAFRANIL 5 fiale IM EV 25 mg 2 ml DEFIANTE FARMACEUTICA LDA RR 2,71 2,69 GN06AA04 Clomipramina 021643022 ANAFRANIL 50 cpr riv 10 mg DEFIANTE FARMACEUTICA LDA RR 3,21 3,19 G

79

Page 80: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

N06AA04 Clomipramina 021643046 ANAFRANIL 20 cpr div 75 mg rilascio prolungato DEFIANTE FARMACEUTICA LDA RR 6,47 6,43 GN06AA06 Trimipramina 020118030 SURMONTIL gtt os 20 ml 4 g/100 ml SANOFI-AVENTIS RR 5,07 5,01 XN06AA06 Trimipramina 020118016 SURMONTIL 50 cpr riv 25 mg SANOFI-AVENTIS RR 5,95 5,87 XN06AA06 Trimipramina 020118028 SURMONTIL 20 cpr riv 100 mg SANOFI-AVENTIS RR 7,71 7,61 XN06AA09 Amitriptilina 020019016 ADEPRIL 30 cpr riv 10 mg TEOFARMA RR 0,83 0,83N06AA09 Amitriptilina 020019028 ADEPRIL 30 cpr riv 25 mg TEOFARMA RR 1,55 1,54N06AA09 Amitriptilina 019906054 LAROXYL gtt os 20 ml 4% ROCHE RR 3,00 2,98N06AA09 Amitriptilina 019803016 TRIPTIZOL 25 cpr riv 25 mg SIT RR 1,34 1,33N06AA10 Nortriptilina 021153010 NORITREN 30 conf 10 mg LUNDBECK RR 1,86 1,85N06AA10 Nortriptilina 021153022 NORITREN 30 conf 25 mg LUNDBECK RR 2,89 2,87N06AB03 Fluoxetina 034375030 AZUR 28 cps 20 mg BIORES RR 10,38 10,32 GN06AB03 Fluoxetina 034918045 CLEXICLOR 28 cpr orosolub 20 mg FARMA 1 RR 10,38 10,32 GN06AB03 Fluoxetina 034918058 CLEXICLOR 28 cps 20 mg FARMA 1 RR 10,38 10,32 GN06AB03 Fluoxetina 034916041 CLORIFLOX 28 cpr solub 20 mg FARMACEUTICI T.S. RR 10,38 10,32 GN06AB03 Fluoxetina 034916054 CLORIFLOX 28 cps 20 mg FARMACEUTICI T.S. RR 10,38 10,32 GN06AB03 Fluoxetina 035033024 DEPREXEN 28 cps 20 mg LISAPHARMA RR 10,38 10,32 GN06AB03 Fluoxetina 033162037 DIESAN 28 cps 20 mg C.T. LABORATORIO FARMACEUTICO RR 10,38 10,32 GN06AB03 Fluoxetina 033910023 FLOTINA 28 cps 20 mg LAMPUGNANI RR 10,38 10,32 GN06AB03 Fluoxetina 025959038 FLUOXEREN 12 cpr solub 20 mg MENARINI RR 4,07 4,05 GN06AB03 Fluoxetina 025959026 FLUOXEREN os soluz 60 ml 20 mg/5 ml MENARINI RR 10,29 10,23 GN06AB03 Fluoxetina 025959040 FLUOXEREN 28 cps 20 mg MENARINI RR 10,38 10,32 GN06AB03 Fluoxetina 025959053 FLUOXEREN 28 cpr solub 20 mg MENARINI RR 10,38 10,32 GN06AB03 Fluoxetina 033555018 FLUOXETINA 12 cps 20 mg DOC GENERICI RR 4,07 4,05 GN06AB03 Fluoxetina 034207011 FLUOXETINA 12 cps 20 mg EG RR 4,07 4,05 GN06AB03 Fluoxetina 034667028 FLUOXETINA 12 cpr solub 20 mg EG RR 4,07 4,05 GN06AB03 Fluoxetina 034917068 FLUOXETINA 12 cps 20 mg FIDIA RR 4,07 4,05 GN06AB03 Fluoxetina 034897025 FLUOXETINA 12 cpr solub 20 mg PLIVA RR 4,07 4,05 GN06AB03 Fluoxetina 034850026 FLUOXETINA 12 cpr solub 20 mg RATIOPHARM GMBH RR 4,07 4,05 GN06AB03 Fluoxetina 033685013 FLUOXETINA 12 cps 20 mg SANDOZ RR 4,07 4,05 GN06AB03 Fluoxetina 035001027 FLUOXETINA 12 cpr solub 20 mg TAD PHARMA RR 4,07 4,05 GN06AB03 Fluoxetina 034574018 FLUOXETINA 12 cps 20 mg TEVA PHARMA B.V. RR 4,07 4,05 GN06AB03 Fluoxetina 037053081 FLUOXETINA 12 cpr dispers 20 mg GENERICS UK LIMITED RR 4,07 4,05 GN06AB03 Fluoxetina 033555020 FLUOXETINA os soluz 60 ml 20 mg/5 ml DOC GENERICI RR 10,29 10,23 GN06AB03 Fluoxetina 034897037 FLUOXETINA os soluz 60 ml 20 mg/5 ml PLIVA RR 10,29 10,23 GN06AB03 Fluoxetina 035873025 FLUOXETINA 28 cps 20 mg ANGENERICO RR 10,38 10,32 GN06AB03 Fluoxetina 033555032 FLUOXETINA 28 cps 20 mg DOC GENERICI RR 10,38 10,32 GN06AB03 Fluoxetina 034207047 FLUOXETINA 28 cps 20 mg EG RR 10,38 10,32 GN06AB03 Fluoxetina 034667042 FLUOXETINA 28 cpr solub 20 mg EG RR 10,38 10,32 GN06AB03 Fluoxetina 034917043 FLUOXETINA 28 cpr solub 20 mg FIDIA RR 10,38 10,32 GN06AB03 Fluoxetina 034917056 FLUOXETINA 28 cps 20 mg FIDIA RR 10,38 10,32 GN06AB03 Fluoxetina 033569056 FLUOXETINA 28 cps 20 mg HEXAL RR 10,38 10,32 GN06AB03 Fluoxetina 035301136 FLUOXETINA 28 cps 20 mg MERCK GENERICS RR 10,38 10,32 GN06AB03 Fluoxetina 034897052 FLUOXETINA 28 cps 20 mg PLIVA RR 10,38 10,32 GN06AB03 Fluoxetina 034897064 FLUOXETINA 28 cpr solub 20 mg PLIVA RR 10,38 10,32 GN06AB03 Fluoxetina 034850053 FLUOXETINA 28 cpr solub 20 mg RATIOPHARM GMBH RR 10,38 10,32 GN06AB03 Fluoxetina 033685025 FLUOXETINA 28 cps 20 mg SANDOZ RR 10,38 10,32 GN06AB03 Fluoxetina 037053105 FLUOXETINA 28 cpr dispers 20 mg GENERICS UK LIMITED RR 10,38 10,32 GN06AB03 Fluoxetina 034600039 FLUOXETINA 28 cps 20 mg_ ALTER RR 10,38 10,32 GN06AB03 Fluoxetina 035001039 IPSUMOR os soluz 60 ml 20 mg/5 ml TAD PHARMA RR 10,29 10,23 GN06AB03 Fluoxetina 025970017 PROZAC 12 cps 20 mg ELI LILLY RR 7,14 7,10 GN06AB03 Fluoxetina 025970029 PROZAC os soluz 60 ml 20 mg/5 ml ELI LILLY RR 10,71 10,65 GN06AB03 Fluoxetina 025970043 PROZAC 28 cps 20 mg ELI LILLY RR 10,83 10,77 GN06AB03 Fluoxetina 025970056 PROZAC 28 cpr dispers 20 mg ELI LILLY RR 21,30 21,17 G

80

Page 81: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

N06AB03 Fluoxetina 025970031 PROZAC 12 cpr dispers 20 mg ELI LILLY RR 9,25 9,19 GN06AB03 Fluoxetina 034974042 XEREDIEN 28 cpr solub 20 mg VALEAS RR 10,38 10,32 GN06AB04 Citalopram 035976012 CITALOPRAM 14 cpr riv 20 mg MOLTENI RR 8,93 8,88 GN06AB04 Citalopram 036043014 CITALOPRAM gtt os 15 ml 40 mg/ml ABC RR 10,00 9,94 GN06AB04 Citalopram 036653018 CITALOPRAM gtt os 15ml 40 mg/ml DOC GENERICI RR 10,00 9,94 GN06AB04 Citalopram 036057014 CITALOPRAM gtt os 15 ml 40 mg/ml JET GENERICI RR 10,00 9,94 GN06AB04 Citalopram 036657017 CITALOPRAM gtt os 15 ml 40 mg/ml MERCK GENERICS RR 10,00 9,94 GN06AB04 Citalopram 036651014 CITALOPRAM gtt os 15 ml 40 mg/ml RANBAXY RR 10,00 9,94 GN06AB04 Citalopram 036038014 CITALOPRAM gtt os 15 ml 40 mg/ml RATIOPHARM RR 10,00 9,94 GN06AB04 Citalopram 036040018 CITALOPRAM gtt os 15ml 40 mg/ml TEVA RR 10,00 9,94 GN06AB04 Citalopram 036266017 CITALOPRAM 28 cpr riv 20 mg DOC GENERICI RR 11,14 11,07 GN06AB04 Citalopram 036123014 CITALOPRAM 28 cpr riv 20 mg ALLEN RR 11,14 11,07 GN06AB04 Citalopram 036503023 CITALOPRAM 28 cpr riv 20 mg EG RR 11,14 11,07 GN06AB04 Citalopram 036367151 CITALOPRAM 28 cpr riv 20 mg HEXAL RR 11,14 11,07 GN06AB04 Citalopram 036046047 CITALOPRAM 28 cpr riv 20 mg MERCK GENERICS RR 11,14 11,07 GN06AB04 Citalopram 035976024 CITALOPRAM 28 cpr riv 20 mg MOLTENI RR 11,14 11,07 GN06AB04 Citalopram 035892025 CITALOPRAM 28 cpr riv 20 mg RATIOPHARM GMBH RR 11,14 11,07 GN06AB04 Citalopram 036162042 CITALOPRAM 28 cpr riv 20 mg SANDOZ RR 11,14 11,07 GN06AB04 Citalopram 036266029 CITALOPRAM 14 cpr riv 40 mg DOC GENERICI RR 11,91 11,84 GN06AB04 Citalopram 036503124 CITALOPRAM 14 cpr riv 40 mg EG RR 11,91 11,84 GN06AB04 Citalopram 036367340 CITALOPRAM 14 cpr riv 40 mg HEXAL RR 11,91 11,84 GN06AB04 Citalopram 036046302 CITALOPRAM 14 cpr riv 40 mg MERCK GENERICS RR 11,91 11,84 GN06AB04 Citalopram 035976036 CITALOPRAM 14 cpr riv 40 mg MOLTENI RR 11,91 11,84 GN06AB04 Citalopram 035892052 CITALOPRAM 14 cpr riv 40 mg RATIOPHARM GMBH RR 11,91 11,84 GN06AB04 Citalopram 036162269 CITALOPRAM 14 cpr riv 40 mg SANDOZ RR 11,91 11,84 GN06AB04 Citalopram 036123026 CITALOPRAM 14 cpr riv 40 mg ALLEN RR 11,91 11,84 GN06AB04 Citalopram 036434013 CITALOPRAM 28 cpr riv 20 mg ALMUS RR 11,14 11,07 GN06AB04 Citalopram 028681029 ELOPRAM 14 cpr riv 40 mg RECORDATI RR 13,54 13,46 GN06AB04 Citalopram 028681017 ELOPRAM 28 cpr riv 20 mg RECORDATI RR 12,64 12,56 GN06AB04 Citalopram 028681056 ELOPRAM gtt os 15 ml 40 mg/ml RECORDATI RR 12,86 12,78 GN06AB04 Citalopram 036125019 FELIPRAM 28 cpr riv 20 mg CRINOS RR 11,14 11,07 GN06AB04 Citalopram 036125021 FELIPRAM 14 cpr riv 40 mg CRINOS RR 11,91 11,84 GN06AB04 Citalopram 036435016 FELIXIMIR 28 cpr riv 20 mg KRUGHER RR 11,14 11,07 GN06AB04 Citalopram 036435028 FELIXIMIR 14 cpr riv 40 mg KRUGHER RR 11,91 11,84 GN06AB04 Citalopram 036143016 FRIMAIND 28 cpr riv 20 mg SO.SE.PHARM RR 11,14 11,07 GN06AB04 Citalopram 036143028 FRIMAIND 14 cpr riv 40 mg SO.SE.PHARM RR 11,91 11,84 GN06AB04 Citalopram 036246015 KAIDOR gtt os 15 ml 40 mg/ml KRUGHER RR 10,00 9,94 GN06AB04 Citalopram 036353011 LAMPOPRAM gtt os 15 ml 40 mg/ml LAMPUGNANI RR 11,96 11,89 GN06AB04 Citalopram 036128015 MARPRAM gtt os 15 ml 40 mg/ml MARVECSPHARMA SERVICES RR 10,00 9,94 GN06AB04 Citalopram 036302014 PERCITAL gtt os 15ml 40 mg/ml VECCHI & PIAM RR 10,00 9,94 GN06AB04 Citalopram 036124016 PRAMEXYL 28 cpr riv 20 mg EPIFARMA RR 11,14 11,07 GN06AB04 Citalopram 036124028 PRAMEXYL 14 cpr riv 40 mg EPIFARMA RR 11,91 11,84 GN06AB04 Citalopram 036056012 RICAP gtt os 15 ml 40 mg/ml I.B.N. SAVIO RR 10,00 9,94 GN06AB04 Citalopram 028759049 SEROPRAM gtt os 15 ml 40 mg/ml LUNDBECK RR 12,86 12,78 GN06AB04 Citalopram 028759025 SEROPRAM 14 cpr riv 40 mg LUNDBECK RR 25,98 25,82 GN06AB04 Citalopram 028759013 SEROPRAM 28 cpr riv 20 mg LUNDBECK RR 26,35 26,19 GN06AB04 Citalopram 036327017 SINTOPRAM gtt os 15 ml 40 mg/ml SINTACTICA RR 16,25 16,15 GN06AB04 Citalopram 036030017 VERISAN gtt os fl 15 ml 40 mg/ml C.T. LABORATORIO FARMACEUTICO RR 11,96 11,89 GN06AB04 Citalopram 036662017 CITALOPRAM gtt os 15 ml 40 mg/ml HEXAL AG RR 10,00 9,94 GN06AB04 Citalopram 036254011 CITALOPRAM gtt os 15 ml 40 mg/ml WINTHROP RR 11,96 11,89 GN06AB04 Citalopram 036589012 CITALOPRAM gtt os 15ml 40 mg/ml MOLTENI RR 10,00 9,94 GN06AB04 Citalopram 036039016 CITALOPRAM gtt os 15ml 40 mg/ml SANDOZ GMBH RR 10,00 9,94 GN06AB04 Citalopram 036869016 CITALOPRAM gtt os 15 ml 40 mg/ml EG RR 10,00 9,94 G

81

Page 82: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

N06AB04 Citalopram 036550010 CITALOPRAM gtt os 15ml 40 mg/ml PLIVA RR 10,00 9,94 GN06AB04 Citalopram 036792036 RETURN gtt os fl 15 ml 40 mg/ml EURO-PHARMA RR 10,00 9,94 GN06AB04 Citalopram 036792012 RETURN 28 cpr riv 20 mg EURO-PHARMA RR 11,14 11,07 GN06AB05 Paroxetina 035444037 DAPAROX 28 cpr riv 20 mg SYNTHON BV RR 17,15 17,05 GN06AB05 Paroxetina 036063016 DROPAXIN gtt os 30 ml 10 mg/ml ITALFARMACO RR 12,82 12,66 X XN06AB05 Paroxetina 027964028 EUTIMIL os sosp 150 ml 2 mg/ml VALDA RR 15,22 15,04 XN06AB05 Paroxetina 027964030 EUTIMIL 28 cpr riv 20 mg VALDA RR 17,15 17,05 GN06AB05 Paroxetina 035700107 PAROXETINA 12 cpr riv 20 mg EG RR 8,77 8,72 GN06AB05 Paroxetina 035449026 PAROXETINA 12 cpr riv 20 mg MERCK GENERICS RR 8,77 8,72 GN06AB05 Paroxetina 035788025 PAROXETINA 28 cpr riv 20 mg ALLEN RR 17,15 17,05 GN06AB05 Paroxetina 035787023 PAROXETINA 28 cpr riv 20 mg DOC GENERICI RR 17,15 17,05 GN06AB05 Paroxetina 035700119 PAROXETINA 28 cpr riv 20 mg EG RR 17,15 17,05 GN06AB05 Paroxetina 035449053 PAROXETINA 28 cpr riv 20 mg MERCK GENERICS RR 17,15 17,05 GN06AB05 Paroxetina 035818069 PAROXETINA 28 cpr riv 20 mg RATIOPHARM GMBH RR 17,15 17,05 GN06AB05 Paroxetina 036554057 PAROXETINA 28 cpr riv 20 mg SANDOZ RR 17,15 17,05 GN06AB05 Paroxetina 036614067 PAROXETINA 28 cpr riv 20 mg HEXAL RR 17,15 17,05 GN06AB05 Paroxetina 027965021 SEREUPIN os sosp 150 ml 2 mg/ml ABBOTT RR 15,22 15,04 XN06AB05 Paroxetina 027965033 SEREUPIN 28 cpr riv div 20 mg ABBOTT RR 17,15 17,05 GN06AB05 Paroxetina 027963026 SEROXAT os sosp 150 ml 2 mg/ml GLAXOSMITHKLINE RR 15,22 15,04 XN06AB05 Paroxetina 027963038 SEROXAT 28 cpr riv 20 mg GLAXOSMITHKLINE RR 28,57 28,40 GN06AB05 Paroxetina 036451019 STILIDEN gtt os 30 ml 10 mg/ml LIFEPHARMA RR 12,82 12,66 X XN06AB06 Sertralina 036771020 SERTRALINA 15 cpr riv 50 mg MERCK GENERICS RR 6,59 6,55 GN06AB06 Sertralina 036858165 SERTRALINA 15 cpr riv 50 mg TEVA RR 6,59 6,55 GN06AB06 Sertralina 036863037 SERTRALINA 15 cpr riv 50 mg SANDOZ RR 6,59 6,55 GN06AB06 Sertralina 036597060 SERTRALINA 30 cpr riv 50 mg EG RR 7,50 7,45 GN06AB06 Sertralina 036753061 SERTRALINA 30 cpr riv 50 mg RATIOPHARM GMBH RR 7,50 7,45 GN06AB06 Sertralina 036858052 SERTRALINA 30 cpr riv 50 mg TEVA RR 7,50 7,45 GN06AB06 Sertralina 036771057 SERTRALINA 30 cpr riv 50 mg MERCK GENERICS RR 7,50 7,45 GN06AB06 Sertralina 036600031 SERTRALINA 30 cpr riv 50 mg RANBAXY RR 7,50 7,45 GN06AB06 Sertralina 036863064 SERTRALINA 30 cpr riv 50 mg SANDOZ RR 7,50 7,45 GN06AB06 Sertralina 036771145 SERTRALINA 15 cpr riv 100 mg MERCK GENERICS RR 10,85 10,78 GN06AB06 Sertralina 036858177 SERTRALINA 15 cpr riv 100mg TEVA RR 10,85 10,78 GN06AB06 Sertralina 036863165 SERTRALINA 15 cpr riv 100mg SANDOZ RR 10,85 10,78 GN06AB06 Sertralina 036597173 SERTRALINA 30 cpr riv 100 mg EG RR 15,00 14,91 GN06AB06 Sertralina 036858126 SERTRALINA 30 cpr riv 100 mg TEVA RR 15,00 14,91 GN06AB06 Sertralina 036771172 SERTRALINA 30 cpr riv 100 mg MERCK GENERICS RR 15,00 14,91 GN06AB06 Sertralina 036740064 SERTRALINA 30 cpr riv 50 mg ANGENERICO RR 7,50 7,45 GN06AB06 Sertralina 036733069 SERTRALINA 30 cpr riv 50 mg HEXAL RR 7,50 7,45 GN06AB06 Sertralina 036740177 SERTRALINA 30 cpr riv 100 mg ANGENERICO RR 15,00 14,91 GN06AB06 Sertralina 036733234 SERTRALINA 30 cpr riv 100 mg HEXAL RR 15,00 14,91 GN06AB06 Sertralina 036861060 SERTRALINA 30 cpr riv 50 mg WINTHROP RR 7,50 7,45 GN06AB06 Sertralina 036861247 SERTRALINA 30 cpr riv 100 mg WINTHROP RR 15,00 14,91 GN06AB06 Sertralina 036753248 SERTRALINA 30 cpr riv 100 mg RATIOPHARM GMBH RR 15,00 14,91 GN06AB06 Sertralina 036600094 SERTRALINA 30 cpr riv 100 mg RANBAXY RR 15,00 14,91 GN06AB06 Sertralina 036863191 SERTRALINA 30 cpr riv 100 mg SANDOZ RR 15,00 14,91 GN06AB06 Sertralina 027754047 TATIG 15 cpr riv 50 mg BIOINDUSTRIA FARMACEUTICI RR 6,59 6,55 GN06AB06 Sertralina 027754086 TATIG 30 cpr riv div 50 mg BIOINDUSTRIA FARMACEUTICI RR 9,44 9,38 GN06AB06 Sertralina 027754050 TATIG 15 cpr riv 100 mg BIOINDUSTRIA FARMACEUTICI RR 10,85 10,78 GN06AB06 Sertralina 027753019 ZOLOFT 15 cps 50 mg PFIZER ITALIA RR 6,59 6,55 GN06AB06 Sertralina 027753033 ZOLOFT 15 cpr riv 50 mg PFIZER ITALIA RR 6,59 6,55 GN06AB06 Sertralina 027753108 ZOLOFT 30 cpr riv 50 mg PFIZER ITALIA RR 10,29 10,23 GN06AB06 Sertralina 027753045 ZOLOFT 15 cpr riv 100 mg PFIZER ITALIA RR 10,85 10,78 GN06AB06 Sertralina 027753096 ZOLOFT os soluz 1.200 mg 60 ml PFIZER ITALIA RR 19,83 19,59 X

82

Page 83: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

N06AB06 Sertralina 027753110 ZOLOFT 30 cpr riv 100 mg PFIZER ITALIA RR 19,73 19,61 GN06AB08 Fluvoxamina 026104036 DUMIROX 30 cpr riv 50 mg SOLVAY RR 12,86 12,70 X XN06AB08 Fluvoxamina 026104048 DUMIROX 30 cpr riv 100 mg SOLVAY RR 20,07 19,83 X XN06AB08 Fluvoxamina 027045032 FEVARIN 30 cpr riv 50 mg SOLVAY PHARMACEUTICALS B.V. RR 12,86 12,70 X XN06AB08 Fluvoxamina 027045044 FEVARIN 30 cpr riv 100 mg SOLVAY PHARMACEUTICALS B.V. RR 20,07 19,83 X XN06AB08 Fluvoxamina 026102032 MAVERAL 30 cpr riv 50 mg SCHERING RR 12,22 12,08 XN06AB08 Fluvoxamina 026102044 MAVERAL 30 cpr riv 100 mg SCHERING RR 19,04 18,82 XN06AB10 Escitalopram 035767250 CIPRALEX 28 cpr riv 10 mg H. LUNDBECK A/S RR 24,97 24,67 X XN06AB10 Escitalopram 035767375 CIPRALEX 28 cpr riv 20 mg H. LUNDBECK A/S RR 49,24 48,64 X XN06AB10 Escitalopram 035768252 ENTACT 28 cpr riv 10 mg RECORDATI RR 24,97 24,67 X XN06AB10 Escitalopram 035768377 ENTACT 28 cpr riv 20 mg RECORDATI RR 49,24 48,64 X XN06AX03 Mianserina 023695036 LANTANON 30 cpr 30 mg ORGANON RR 8,94 8,84 XN06AX03 Mianserina 023695048 LANTANON gtt os 15 ml 60 mg/ml ORGANON RR 7,97 7,87 XN06AX05 Trazodone 022323012 TRITTICO 3 fiale IM EV 50 mg 5 ml ANGELINI RR 2,38 2,37N06AX05 Trazodone 022323051 TRITTICO gtt os 30 ml 2,5% ANGELINI RR 3,93 3,91N06AX05 Trazodone 022323036 TRITTICO 30 cpr div 50 mg ANGELINI RR 4,86 4,83N06AX05 Trazodone 022323063 TRITTICO 30 cpr div 75 mg rilascio prolungato ANGELINI RR 6,80 6,72 X XN06AX05 Trazodone 022323075 TRITTICO 20 cpr div 150 mg rilascio prolungato ANGELINI RR 9,02 8,92 X XN06AX05 Trazodone 022323048 TRITTICO 30 cpr div 100 mg ANGELINI RR 8,84 8,74 X XN06AX11 Mirtazapina 036555023 MIRTAZAPINA 14 cpr riv 30 mg EG RR 9,43 9,37 GN06AX11 Mirtazapina 036555050 MIRTAZAPINA 30 cpr riv 30 mg EG RR 20,23 20,11 GN06AX11 Mirtazapina 036636227 MIRTAZAPINA 30 cpr riv 30 mg HEXAL RR 20,23 20,11 GN06AX11 Mirtazapina 036621050 MIRTAZAPINA 30 cpr riv 30 mg MERCK GENERICS RR 20,23 20,11 GN06AX11 Mirtazapina 036763062 MIRTAZAPINA 30 cpr riv 30 mg RATIOPHARM GMBH RR 20,23 20,11 GN06AX11 Mirtazapina 036736054 MIRTAZAPINA 30 cpr riv 30 mg SANDOZ RR 20,23 20,11 GN06AX11 Mirtazapina 029444181 REMERON 30 cpr orodispers 30 mg ORGANON N.V. RR 22,47 22,34 GN06AX11 Mirtazapina 029444104 REMERON gtt os 66 ml 15 mg/ml ORGANON N.V. RR 31,61 31,23 XN06AX16 Venlafaxina 028831030 EFEXOR 14 cpr 50 mg WYETH MEDICA IRELAND RR 11,36 11,22 X XN06AX16 Venlafaxina 028831042 EFEXOR 14 cpr 75 mg WYETH MEDICA IRELAND RR 15,53 15,35 X XN06AX16 Venlafaxina 028831055 EFEXOR 14 cps 75 mg rilascio prolungato WYETH MEDICA IRELAND RR 16,22 16,02 X XN06AX16 Venlafaxina 028831028 EFEXOR 28 cpr 37,5 mg WYETH MEDICA IRELAND RR 17,81 17,59 X XN06AX16 Venlafaxina 028831067 EFEXOR 10 cps 150 mg rilascio prolungato WYETH MEDICA IRELAND RR 23,17 22,89 X XN06AX16 Venlafaxina 028834051 FAXINE 14 cps 75 mg rilascio prolungato WYETH MEDICA IRELAND RR 16,22 16,02 X XN06AX16 Venlafaxina 028834063 FAXINE 10 cps 150 mg rilascio prolungato WYETH MEDICA IRELAND RR 23,17 22,89 X XN06AX18 Reboxetina 033203035 DAVEDAX 20 cpr 4 mg BRACCO RR 9,53 9,41 XN06AX18 Reboxetina 033203047 DAVEDAX 60 cpr 4 mg BRACCO RR 26,44 26,12 XN06AX18 Reboxetina 033632011 EDRONAX 20 cpr 4 mg PFIZER ITALIA RR 9,53 9,41 XN06AX18 Reboxetina 033632023 EDRONAX 60 cpr 4 mg PFIZER ITALIA RR 26,44 26,12 XN06AX21 Duloxetina 036683023 CYMBALTA 28 cps gastror 60 mg 4 ELI LILLY NEDERLAND BV RR 53,56 52,92 X XN06AX21 Duloxetina 036693024 XERISTAR 28 cps gastror 60 mg 4 BOEHRINGER INGELHEIM INTERNATIO RR 53,56 52,92 X XN06BA07 Modafinil 034369013 PROVIGIL 30 cpr 100 mg PT CEPHALON UK LTD RRL 89,43 88,35 XN06DA02 Donepezil 033254018 ARICEPT 28 cpr riv 5 mg 85 PT PFIZER ITALIA RRL 88,13 87,07 XN06DA02 Donepezil 033254020 ARICEPT 28 cpr riv 10 mg 85 PT PFIZER ITALIA RRL 110,19 108,87 XN06DA02 Donepezil 033255011 MEMAC 28 cpr riv 5 mg 85 PT BRACCO RRL 88,13 87,07 XN06DA02 Donepezil 033255023 MEMAC 28 cpr riv 10 mg 85 PT BRACCO RRL 110,19 108,87 XN06DA03 Rivastigmina 034078028 EXELON 56 cps 1,5 mg 85 PT NOVARTIS EUROPHARM Ltd RR 100,94 99,72 X XN06DA03 Rivastigmina 034078055 EXELON 56 cps 3 mg 85 PT NOVARTIS EUROPHARM Ltd RR 100,94 99,72 X XN06DA03 Rivastigmina 034078081 EXELON 56 cps 4,5 mg 85 PT NOVARTIS EUROPHARM Ltd RR 100,94 99,72 X XN06DA03 Rivastigmina 034078117 EXELON 56 cps 6 mg 85 PT NOVARTIS EUROPHARM Ltd RR 100,94 99,72 X XN06DA03 Rivastigmina 034318028 PROMETAX 56 cps 1,5 mg 85 PT NOVARTIS EUROPHARM Ltd RRL 100,94 99,72 X XN06DA03 Rivastigmina 034318055 PROMETAX 56 cps 3 mg 85 PT NOVARTIS EUROPHARM Ltd RRL 100,94 99,72 X XN06DA03 Rivastigmina 034318081 PROMETAX 56 cps 4,5 mg 85 PT NOVARTIS EUROPHARM Ltd RRL 100,94 99,72 X XN06DA03 Rivastigmina 034318117 PROMETAX 56 cps 6 mg 85 PT NOVARTIS EUROPHARM Ltd RRL 100,94 99,72 X X

83

Page 84: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

N06DA04 Galantamina 034752081 REMINYL 56 cpr riv 4 mg 85 PT JANSSEN CILAG RRL 77,54 76,60 XN06DA04 Galantamina 034752030 REMINYL 56 cpr riv 8 mg 85 PT JANSSEN CILAG RRL 97,54 96,36 XN06DA04 Galantamina 034752042 REMINYL 56 cpr riv 12 mg 85 PT JANSSEN CILAG RRL 110,22 108,90 XN07AA01 Neostigmina 006141016 INTRASTIGMINA 6 fiale IM 0,5 mg 1 ml LUSOFARMACO RR 1,55 1,54N07AA02 Piridostigmina 009286016 MESTINON 20 cpr 60 mg VALEANT PHARMACEUTICALS GMBH RR 4,65 4,62N07AA02 Piridostigmina 009286042 MESTINON 50 cpr 180 mg rilascio prolungato VALEANT PHARMACEUTICALS GMBH RR 107,21 105,93 XN07BB01 Disulfiram 010681029 ETILTOX 30 cpr 200 mg A.F.O.M. DIPENDENZE RR 4,86 4,83N07BB04 Naltrexone 025855026 ANTAXONE 10 cps 10 mg ZAMBON RR 5,42 5,36 XN07BB04 Naltrexone 025855014 ANTAXONE 10 cps 50 mg ZAMBON RR 25,37 25,07 XN07BB04 Naltrexone 025855038 ANTAXONE os soluz 10 flaconcini 50 mg ZAMBON RR 26,75 26,43 XN07BB04 Naltrexone 025855040 ANTAXONE os soluz 5 flaconcini 100 mg ZAMBON RR 26,75 26,43 XN07BB04 Naltrexone 025855065 ANTAXONE os soluz 10 flaconcini 50 mg PT ZAMBON RR 26,75 26,43 XN07BB04 Naltrexone 025969039 NALOREX 14 cpr riv 50 mg MOLTENI RR 35,55 35,13 X XN07BB04 Naltrexone 028248019 NARCORAL 10 cpr 10 mg SIRTON MEDICARE RR 5,42 5,36 XN07BB04 Naltrexone 028248021 NARCORAL 10 cpr 50 mg SIRTON MEDICARE RR 25,37 25,07 XN07BC02 Metadone 006105023 EPTADONE os soluz 20 mg 20 ml MOLTENI RMR 1,39 1,38N07BC02 Metadone 006105035 EPTADONE os soluz 10 mg 20 ml MOLTENI RMR 1,39 1,38N07BC02 Metadone 006105047 EPTADONE os soluz 5 mg 20 ml MOLTENI RMR 1,39 1,38N07BC02 Metadone 006105050 EPTADONE os soluz 40 mg 40 ml MOLTENI RMR 2,74 2,72N07BC02 Metadone 006105062 EPTADONE scir 80 ml 1 mg/ml MOLTENI RMR 4,86 4,83N07BC02 Metadone 029927011 METADONE CLORIDR scir 5 mg 5 ml A.F.O.M. DIPENDENZE RMR 0,85 0,84N07BC02 Metadone 029610019 METADONE CLORIDR scir 5 mg 5 ml MOLTENI RMR 0,85 0,84N07BC02 Metadone 029927023 METADONE CLORIDR scir 10 mg 10 ml A.F.O.M. DIPENDENZE RMR 0,91 0,90N07BC02 Metadone 029610021 METADONE CLORIDR scir 10 mg 10 ml MOLTENI RMR 0,91 0,90N07BC02 Metadone 029927035 METADONE CLORIDR scir 20 mg 20 ml A.F.O.M. DIPENDENZE RMR 0,97 0,96N07BC02 Metadone 029610033 METADONE CLORIDR scir 20 mg 20 ml MOLTENI RMR 0,97 0,96N07BC02 Metadone 029610096 METADONE CLORIDR scir 5 ml 5 mg/ml MOLTENI RMR 1,19 1,18N07BC02 Metadone 029927124 METADONE CLORIDR scir 40 ml 0,1% A.F.O.M. DIPENDENZE RMR 1,91 1,90N07BC02 Metadone 029610072 METADONE CLORIDR scir 40 ml 0,1% MOLTENI RMR 1,96 1,95N07BC02 Metadone 029610108 METADONE CLORIDR scir 10 ml 5 mg/ml MOLTENI RMR 2,43 2,42N07BC02 Metadone 029927074 METADONE CLORIDR scir 20 ml 3 mg/ml A.F.O.M. DIPENDENZE RMR 2,89 2,87N07BC02 Metadone 029927136 METADONE CLORIDR scir 60 ml 1 mg/ml A.F.O.M. DIPENDENZE RMR 2,89 2,87N07BC02 Metadone 029610084 METADONE CLORIDR scir 60 ml 1 mg/ml MOLTENI RMR 2,89 2,87N07BC02 Metadone 029927148 METADONE CLORIDR scir 80 ml 1 mg/ml A.F.O.M. DIPENDENZE RMR 3,87 3,85N07BC02 Metadone 029927086 METADONE CLORIDR scir 20 ml 5 mg/ml A.F.O.M. DIPENDENZE RMR 4,85 4,82N07BC02 Metadone 029927098 METADONE CLORIDR scir 100 ml 1 mg/ml A.F.O.M. DIPENDENZE RMR 4,85 4,82N07BC02 Metadone 029610045 METADONE CLORIDR scir 100 ml 1 mg/ml MOLTENI RMR 4,85 4,82N07BC02 Metadone 029610110 METADONE CLORIDR scir 20 ml 5 mg/ml MOLTENI RMR 4,85 4,82N07BC02 Metadone 029927175 METADONE CLORIDR os 20 ml 1 mg/ml A.F.O.M. DIPENDENZE RMR 0,97 0,96N07BC02 Metadone 029927213 METADONE CLORIDR os 20 ml 3 mg/ml A.F.O.M. DIPENDENZE RMR 2,89 2,87N07BC02 Metadone 029927237 METADONE CLORIDR os 20 ml 5 mg/ml A.F.O.M. DIPENDENZE RMR 4,85 4,82P01AB01 Metronidazolo 018505014 FLAGYL 20 cpr 250 mg ZAMBON RR 2,57 2,55 GP01AB01 Metronidazolo 018505038 FLAGYL 20 cpr 250 mg blister ZAMBON RR 2,57 2,55 GP01AB01 Metronidazolo 030270019 METRONIDAZOLO 20 cpr 250 mg ECOBI RR 1,59 1,58 GP01AB01 Metronidazolo 020689028 VAGILEN 20 cps 250 mg FARMIGEA RR 2,57 2,55 GP01AB02 Tinidazolo 024860025 TRIMONASE 8 cpr 500 mg MIPHARM RR 5,42 5,36 XP01AB04 Azanidazolo 023406010 TRICLOSE 20 cps 200 mg FINDERM RR 4,93 4,90P01BA01 Clorochina 008366015 CLOROCHINA 30 cpr riv 250 mg BAYER HEALTHCARE AG RR 3,59 3,57 GP01BA01 Clorochina 030259016 CLOROCHINA BIFOSF30 cpr 250 mg ECOBI RR 2,09 2,08 GP01BA02 Idroxiclorochina 013967031 PLAQUENIL 25 cpr riv 200 mg SANOFI-AVENTIS RR 5,34 5,28 X XP01BC02 Meflochina 027250024 LARIAM 8 cpr 250 mg ROCHE RR 27,93 27,59 X XP01CX01 Pentamidina 027625019 PENTACARINAT 1 fiala IM EV aerosol 300 mg PT SANOFI-AVENTIS RRL 22,54 22,26 XP02CA01 Mebendazolo 023821010 VERMOX 6 cpr 100 mg JANSSEN CILAG RR 3,00 2,98

84

Page 85: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

P02CA01 Mebendazolo 023821022 VERMOX os sosp 30 ml 20 mg/ml JANSSEN CILAG RR 3,00 2,98P02CA01 Mebendazolo 023821034 VERMOX 30 cpr 500 mg JANSSEN CILAG RR 29,34 28,98 XP02CA03 Albendazolo 027096015 ZENTEL 3 cpr 400 mg SMITHKLINE BEECHAM (FR) RR 6,77 6,69 XP02CC01 Pirantel 023003041 COMBANTRIN os sosp 30 ml 5% PFIZER ITALIA RR 4,75 4,72P02CC01 Pirantel 023003027 COMBANTRIN 8 cpr mast 250 mg PFIZER ITALIA RR 6,11 6,03 XP02DA01 Niclosamide 018725010 YOMESAN 4 cpr 500 mg BAYER HEALTHCARE AG RR 2,84 2,82R01AX10 Argento proteinato 031314014 ARGENTO PROTEINATgtt orl 10 ml 0,5% ALLEANZA SALUTE SOP 0,82 0,82 GR01AX10 Argento proteinato 031044011 ARGENTO PROTEINATgtt orl 10 ml 0,5% NEW.FA.DEM. SOP 0,82 0,82 GR01AX10 Argento proteinato 029733019 ARGENTO PROTEINATgtt orl 10 ml 0,5% OGNA SOP 0,82 0,82 GR03AC02 Salbutamolo 022991044 BRONCOVALEAS 200 erog aerosol VALEAS RR 4,34 4,31R03AC02 Salbutamolo 022991057 BRONCOVALEAS soluz nebul 15 ml 500 mg/100 ml VALEAS RR 4,90 4,87R03AC02 Salbutamolo 022991158 BRONCOVALEAS sosp inal 200 erog 100 mcg VALEAS RR 4,34 4,31R03AC02 Salbutamolo 025930064 VENTMAX soluz nebul 20 fiale 2,5 mg 2 ml CHIESI RR 5,99 5,91 XR03AC02 Salbutamolo 025930052 VENTMAX sosp inal 100 erog 200 mcg CHIESI RR 9,37 9,25 XR03AC02 Salbutamolo 025930076 VENTMAX soluz nebul 20 fiale 5 mg 2 ml CHIESI RR 12,22 12,08 XR03AC02 Salbutamolo 022984052 VENTOLIN sosp inal 200 erog 100 mcg GLAXOSMITHKLINE RR 4,54 4,51R03AC03 Terbutalina 023471028 BRICANYL 200 dosi polv inal ASTRAZENECA RR 14,26 14,08 XR03AC04 Fenoterolo 023457068 DOSBEROTEC gtt os/inal 20 ml 0,1% BOEHRINGER INGELHEIM RR 1,70 1,69R03AC04 Fenoterolo 023457171 DOSBEROTEC soluz inal 100 mcg 10 ml BOEHRINGER INGELHEIM RR 5,65 5,59 X XR03AC12 Salmeterolo 027891136 ARIAL sosp inal 120 erog 25 mcg DOMPE` FARMACEUTICI RR 32,70 32,30 XR03AC12 Salmeterolo 027891124 ARIAL 60 dosi 50 mcg polv inal DOMPE` FARMACEUTICI RR 33,43 33,03 XR03AC12 Salmeterolo 027892138 SALMETEDUR sosp inal 120 erog 25 mcg MENARINI RR 32,70 32,30 XR03AC12 Salmeterolo 027892126 SALMETEDUR 60 dosi 50 mcg polv inal MENARINI RR 33,43 33,03 XR03AC12 Salmeterolo 027890146 SEREVENT 60 dosi 50 mcg polv inal GLAXOSMITHKLINE RR 33,44 33,04 XR03AC12 Salmeterolo 027890110 SEREVENT sosp inal 120 erog 25 mcg GLAXOSMITHKLINE RR 32,70 32,30 XR03AC13 Formoterolo 035791058 ATIMOS soluz inal 100 dosi 12 mcg CHIESI RR 52,26 51,64 XR03AC13 Formoterolo 028257044 EOLUS 60 cps 12 mcg polv inal SIGMATAU RR 32,34 32,15 GR03AC13 Formoterolo 028257069 EOLUS sosp inal 100 dosi 12 mcg SIGMATAU RR 55,01 54,35 X XR03AC13 Formoterolo 036208015 FERONAL 60 cps 12 mcg polv inal FARMA 1 RR 19,41 19,29 GR03AC13 Formoterolo 036208027 FERONAL 100 cps 12 mcg polv inal FARMA 1 RR 31,35 30,97 XR03AC13 Formoterolo 027660075 FORADIL 60 cps 12 mcg polv inal NOVARTIS FARMA RR 32,34 32,15 GR03AC13 Formoterolo 027660099 FORADIL soluz inal 12 mcg 100 dosi NOVARTIS FARMA RR 55,01 54,35 X XR03AC13 Formoterolo 036215010 FORMOTEROLO 60 cps 12 mcg + erogatore EG RR 19,41 19,29 GR03AC13 Formoterolo 036218028 FOROTAN 100 cps 12 mcg + erog polv inal PANTAFARM RR 31,35 30,97 XR03AC13 Formoterolo 036939066 KUROVENT polv 60 cps 12 mcg + inal ITALCHIMICI RR 19,41 19,29 GR03AC13 Formoterolo 036210019 LEVOVENT 60 cps 12 mcg polv inal GENETIC RR 19,41 19,29 GR03AC13 Formoterolo 036210021 LEVOVENT 100 cps 12 mcg polv inal GENETIC RR 31,35 30,97 XR03AC13 Formoterolo 035793052 LIFEROL soluz inal 12 mcg 100 dosi MASTER PHARMA RR 52,26 51,64 XR03AC13 Formoterolo 033312012 OXIS "turbohaler 4,5" 60 dosi polv inal ASTRAZENECA RR 18,62 18,40 X XR03AC13 Formoterolo 033312024 OXIS "turbohaler 9" 60 dosi 9mcg/dose ASTRAZENECA RR 34,04 33,64 X XR03AC16 Procaterolo 025470030 PROCADIL 200 erog 10 mcg 10 ml RECORDATI RR 4,83 4,80R03AC16 Procaterolo 025466095 PROPULM "25" 200 erog aerosol SIT RR 8,76 8,66 XR03AK03 Fenoterolo/ipratropio brom 025233014 DUOVENT 300 erog 40 mg + 100 mg aerosol BOEHRINGER INGELHEIM RR 19,70 19,46 X XR03AK03 Fenoterolo/ipratropio brom 025233038 DUOVENT 20 fiale aerosol 4 ml BOEHRINGER INGELHEIM RR 13,37 13,21 X XR03AK03 Fenoterolo/ipratropio brom 024767016 IPRAFEN sosp inal 300 erog 100 mcg + 40 mcg CHIESI RR 18,72 18,50 XR03AK04 Beclometasone/salbutamo 023440050 CLENIL COMPOSITUMsosp nebul 10 fiale 2 ml 0,8 mg + 1,6 mg PROMEDICA RR 6,43 6,35 X XR03AK04 Beclometasone/salbutamo 023440011 CLENIL COMPOSITUMsosp inal 200 erog 50 mcg + 100 mcg PROMEDICA RR 7,26 7,18 X XR03AK04 Beclometasone/salbutamo 023440074 CLENIL COMPOSITUMsosp inal 200 erog jet 50 mcg + 100 mcg PROMEDICA RR 8,04 7,94 X XR03AK04 Beclometasone/salbutamo 023440062 CLENIL COMPOSITUMsosp inal 200 erog jet 250 mcg + 100 mcg PROMEDICA RR 32,59 32,19 X XR03AK04 Salbutamolo solfato/fluniso031120025 PLENAER 100 erog 25 mg + 10 mg aerosol VALEAS RR 8,36 8,26 XR03AK04 Salbutamolo solfato/fluniso031120013 PLENAER soluz nebul 20 flaconcini 0,5 mg + 20 flaconcinVALEAS RR 9,82 9,70 XR03AK04 Salbutamolo/ipratropio bro 024154054 BREVA 200 erog aerosol VALEAS RR 4,90 4,87R03AK04 Salbutamolo/ipratropio bro 024154066 BREVA soluz OS nebul 15 ml 375 + 75 mg / 100 ml VALEAS RR 12,24 12,10 X

85

Page 86: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

R03AK06 Salmeterolo/fluticasone 034463048 ALIFLUS DISKUS 50/100 60 dosi polv inal MENARINI INTERNATIONAL O.L.S.A. RR 41,22 40,72 X XR03AK06 Salmeterolo/fluticasone 034463101 ALIFLUS sosp inal 120 erog 25/50 mcg MENARINI INTERNATIONAL O.L.S.A. RR 41,22 40,72 X XR03AK06 Salmeterolo/fluticasone 034463051 ALIFLUS DISKUS 50/250 60 dosi polv inal MENARINI INTERNATIONAL O.L.S.A. RR 57,75 57,05 X XR03AK06 Salmeterolo/fluticasone 034463113 ALIFLUS EVOHALER sosp inal 120 erog 25/125 mcg MENARINI INTERNATIONAL O.L.S.A. RR 57,75 57,05 X XR03AK06 Salmeterolo/fluticasone 034463063 ALIFLUS DISKUS 50/500 60 dosi polv inal MENARINI INTERNATIONAL O.L.S.A. RR 75,59 74,69 X XR03AK06 Salmeterolo/fluticasone 034463125 ALIFLUS EVOHALER sosp inal 120 erog 25/250 mcg MENARINI INTERNATIONAL O.L.S.A. RR 77,93 76,99 X XR03AK06 Salmeterolo/fluticasone 034371043 SERETIDE DISKUS 50/100 60 dosi polv inal GLAXOSMITHKLINE RR 41,22 40,72 X XR03AK06 Salmeterolo/fluticasone 034371106 SERETIDE sosp inal 120 erog 25/50 mcg GLAXOSMITHKLINE RR 41,22 40,72 X XR03AK06 Salmeterolo/fluticasone 034371056 SERETIDE DISKUS 50/250 60 dosi polv inal GLAXOSMITHKLINE RR 57,75 57,05 X XR03AK06 Salmeterolo/fluticasone 034371118 SERETIDE EVOHALER sosp inal 120 erog 25/125 mcg GLAXOSMITHKLINE RR 57,75 57,05 X XR03AK06 Salmeterolo/fluticasone 034371068 SERETIDE DISKUS 50/500 60 dosi polv inal GLAXOSMITHKLINE RR 75,59 74,69 X XR03AK06 Salmeterolo/fluticasone 034371120 SERETIDE EVOHALER sosp inal 120 erog 25/250 mcg GLAXOSMITHKLINE RR 77,93 76,99 X XR03AK07 Budesonide/formoterolo 035362060 ASSIEME 120 erog 160/4,5 mcg aerosol SIMESA RR 65,70 64,92 X XR03AK07 Budesonide/formoterolo 035363062 ASSIEME MITE 120 dosi 80/4,5 mcg polv inal SIMESA RR 52,02 51,40 X XR03AK07 Budesonide/formoterolo 035260064 SINESTIC 120 dosi 160/4,5 mcg polv inal BIOFUTURA RR 65,70 64,92 X XR03AK07 Budesonide/formoterolo 035194063 SYMBICORT 120 dosi 160/4,5 mcg polv inal ASTRAZENECA RR 65,70 64,92 X XR03AK07 Budesonide/formoterolo 035194214 SYMBICORT 60 dosi 320/9 mcg polv inal ASTRAZENECA RR 65,70 64,92 X XR03AK07 Budesonide/formoterolo 035603063 SYMBICORT MITE 120 dosi 80/4,5 mcg polv inal ASTRAZENECA RR 52,02 51,40 X XR03BA01 Beclometasone 023378060 BECOTIDE "A" sosp nebul 20 ml MENARINI INTERNATIONAL O.L.S.A. RR 3,46 3,44R03BA01 Beclometasone 023378019 BECOTIDE soluz inal 200 erog 50 mcg MENARINI INTERNATIONAL O.L.S.A. RR 6,80 6,76 GR03BA01 Beclometasone 023378072 BECOTIDE soluz inal 200 erog 250 mcg MENARINI INTERNATIONAL O.L.S.A. RR 27,88 27,71 GR03BA01 Beclometasone 023103106 CLENIL 100 dosi 100 mcg polv inal CHIESI RR 11,57 11,43 XR03BA01 Beclometasone 023103132 CLENIL 20 fiale 2 ml aerosol CHIESI RR 11,69 11,55 XR03BA01 Beclometasone 023103118 CLENIL 100 dosi 200 mcg polv inal CHIESI RR 19,94 19,70 XR03BA01 Beclometasone 023103068 CLENIL soluz inal 200 erog 250 mcg CHIESI RR 27,88 27,71 GR03BA01 Beclometasone 023103120 CLENIL 100 dosi 400 mcg polv inal CHIESI RR 37,41 36,97 XR03BA01 Beclometasone 028825014 CLENIL JET soluz inal 200 erog 250 mcg CHIESI RR 27,88 27,71 GR03BA01 Beclometasone 034179046 CLENILEXX soluz inal 200 erog 100 mcg PROMEDICA RR 30,96 30,58 XR03BA01 Beclometasone 034179085 CLENILEXX soluz inal 200 erog 100 mcg autohaler PROMEDICA RR 34,94 34,52 XR03BA01 Beclometasone 032798023 PRONTINAL sosp nebul 20 fiale 0,8 mg 2 ml DOMPE` RR 11,69 11,55 XR03BA02 Budesonide 033736012 AIRCORT sosp inal 200 erog 40 mg ITALCHIMICI RR 27,95 27,61 XR03BA02 Budesonide 033736051 AIRCORT sosp inal 400 mcg/d 100 dosi ITALCHIMICI RR 27,95 27,61 XR03BA02 Budesonide 036004149 BUDESONIDE 50 dosi 400 mcg polv inal MEDA PHARMA RR 16,71 16,61 GR03BA02 Budesonide 036004012 BUDESONIDE 100 dosi 200 mcg polv inal MEDA PHARMA RR 17,96 17,85 GR03BA02 Budesonide 034940130 DESONAX 120 cps 200 mcg polv inal LPB RR 22,58 22,30 X XR03BA02 Budesonide 034940282 DESONAX 60 cps 400 mcg polv inal LPB RR 22,58 22,30 X XR03BA02 Budesonide 035657016 MIFLO 200 dosi 200 mcg polv inal PROMEDICA RR 28,98 28,64 X XR03BA02 Budesonide 034413132 MIFLONIDE 120 cps 200 mcg polv inal NOVARTIS FARMA RR 22,58 22,30 X XR03BA02 Budesonide 034413284 MIFLONIDE 60 cps 400 mcg polv inal NOVARTIS FARMA RR 22,58 22,30 X XR03BA02 Budesonide 027621059 PULMAXAN sosp nebul 20 fiale 0,25 mg/ml ASTRAZENECA RR 18,82 18,71 GR03BA02 Budesonide 027621034 PULMAXAN 50 dosi 400 mcg polv inal turbohaler ASTRAZENECA RR 20,89 20,76 GR03BA02 Budesonide 027621022 PULMAXAN 100 dosi polv inal turbohaler ASTRAZENECA RR 22,46 22,33 GR03BA02 Budesonide 027621010 PULMAXAN 200 dosi 100 mcg polv inal turbohaler ASTRAZENECA RR 23,09 22,81 X XR03BA02 Budesonide 027621061 PULMAXAN sosp nebul 20 fiale 0,5 mg/ml ASTRAZENECA RR 28,22 28,05 GR03BA02 Budesonide 029330053 SPIROCORT sosp nebul 20 fiale 0,25 mg/ml SIMESA RR 18,82 18,71 GR03BA02 Budesonide 029330038 SPIROCORT 50 dosi 400 mcg polv inal SIMESA RR 20,89 20,76 GR03BA02 Budesonide 029330026 SPIROCORT 100 dosi 200 mcg polv inal SIMESA RR 22,46 22,33 GR03BA02 Budesonide 029330065 SPIROCORT sosp nebul 20 fiale 0,5 mg/ml SIMESA RR 28,22 28,05 GR03BA02 Budesonide 035586015 XAVIN sosp nebul 20 fiale 0,25 mg/ml IVAX RR 17,96 17,85 GR03BA02 Budesonide 035586027 XAVIN sosp nebul 20 fiale 0,5 mg/ml IVAX RR 26,99 26,83 GR03BA03 Flunisolide 034493015 AERFLU soluz nebul 30 ml 0,1% BONISCONTRO & GAZZONE RR 23,47 23,33 GR03BA03 Flunisolide 034493027 AERFLU "AD" soluz nebul 15 fiale 2 mg/2 ml BONISCONTRO & GAZZONE RR 26,17 26,01 GR03BA03 Flunisolide 034869014 AEROLID soluz nebul 30 ml 0,1% VECCHI & PIAM RR 23,47 23,33 G

86

Page 87: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

R03BA03 Flunisolide 034869026 AEROLID "AD" soluz nebul 15 fiale 2 mg 2 ml VECCHI & PIAM RR 26,17 26,01 GR03BA03 Flunisolide 034494029 ASMAFLU "BB" soluz nebul 15 fiale 2 ml 1 mg MAX FARMA RR 13,63 13,55 GR03BA03 Flunisolide 034494017 ASMAFLU soluz nebul 30 ml 0,1% MAX FARMA RR 23,47 23,33 GR03BA03 Flunisolide 034494031 ASMAFLU "AD" soluz nebul 15 fiale 2 mg 2 ml MAX FARMA RR 26,17 26,01 GR03BA03 Flunisolide 034988028 ASSOLID soluz nebul 30 ml 0,1% KONPHARMA RR 23,47 23,33 GR03BA03 Flunisolide 034795017 CAREFLU soluz nebul 30 ml 0,1% FARMA 1 RR 23,47 23,33 GR03BA03 Flunisolide 034795029 CAREFLU "AD" soluz nebul 15 fiale 2 mg 2 ml FARMA 1 RR 26,17 26,01 GR03BA03 Flunisolide 036611010 CHARLYN soluz nebul 15 fiale 2 mg 2 ml KRUGHER RR 26,17 26,01 GR03BA03 Flunisolide 035354036 CITIFLUX soluz nebul 30 ml 0,1% C.T. LABORATORIO FARMACEUTICO RR 23,47 23,33 GR03BA03 Flunisolide 035354024 CITIFLUX "AD" soluz nebul 15 fiale 2 mg 2 ml C.T. LABORATORIO FARMACEUTICO RR 26,17 26,01 GR03BA03 Flunisolide 035736014 DESAFLU soluz nebul 30 ml 0,1% COPERNICO RR 23,47 23,33 GR03BA03 Flunisolide 034699013 DORICOFLU soluz nebul 30 ml 0,1% SANITAS FARMACEUTICI RR 23,47 23,33 GR03BA03 Flunisolide 036321026 ELIOSID soluz nebul 15 fiale 1 mg/2 ml NEW RESEARCH RR 13,63 13,55 GR03BA03 Flunisolide 036321014 ELIOSID soluz nebul 15 fiale 2 mg/2 ml NEW RESEARCH RR 26,17 26,01 GR03BA03 Flunisolide 034980021 EUROFLU "BB" soluz nebul 15 fiale 2 ml 0,05% EURO-PHARMA RR 13,63 13,55 GR03BA03 Flunisolide 034980019 EUROFLU "AD" soluz nebul 15 fiale 2 ml 0,1% EURO-PHARMA RR 26,17 26,01 GR03BA03 Flunisolide 034804017 FLUMINEX soluz nebul 30 ml 0,1% FOURNIER PHARMA RR 26,17 26,01 GR03BA03 Flunisolide 035352018 FLUNISOLIDE soluz nebul 15 fiale 1 mg/2 ml MERCK GENERICS RR 13,63 13,55 GR03BA03 Flunisolide 035353010 FLUNISOLIDE soluz nebul 15 fiale 1 mg/2 ml RATIOPHARM GMBH RR 13,63 13,55 GR03BA03 Flunisolide 035273010 FLUNISOLIDE soluz nebul 30 ml 0,1% TAD PHARMA RR 23,47 23,33 GR03BA03 Flunisolide 034968014 FLUNISOLIDE soluz nebul 30 ml 0,1% ABC RR 23,47 23,33 GR03BA03 Flunisolide 035737016 FLUNISOLIDE soluz nebul 30 ml 0,1% ALLEN RR 23,47 23,33 GR03BA03 Flunisolide 036318018 FLUNISOLIDE soluz nebul 30 ml 0,1% ANGENERICO RR 23,47 23,33 GR03BA03 Flunisolide 035148016 FLUNISOLIDE soluz nebul 30 ml 1 mg/ml EG RR 23,47 23,33 GR03BA03 Flunisolide 035870017 FLUNISOLIDE soluz nebul 30 ml 0,1% HEXAL RR 23,47 23,33 GR03BA03 Flunisolide 035352032 FLUNISOLIDE soluz nebul 30 ml 0,1% MERCK GENERICS RR 23,47 23,33 GR03BA03 Flunisolide 035644018 FLUNISOLIDE soluz nebul 30 ml 0,1% PLIVA RR 23,47 23,33 GR03BA03 Flunisolide 035353034 FLUNISOLIDE soluz nebul 30 ml 30 mg/30 ml RATIOPHARM GMBH RR 23,47 23,33 GR03BA03 Flunisolide 034989020 FLUNISOLIDE soluz nebul 30 ml 0,1% SANDOZ RR 23,47 23,33 GR03BA03 Flunisolide 036371021 FLUNISOLIDE soluz nebul 15 fiale 2 mg/2 ml DOC GENERICI RR 26,17 26,01 GR03BA03 Flunisolide 035352020 FLUNISOLIDE soluz nebul 15 fiale 2 mg/2 ml MERCK GENERICS RR 26,17 26,01 GR03BA03 Flunisolide 035353022 FLUNISOLIDE soluz nebul 15 fiale 2 mg/2 ml RATIOPHARM GMBH RR 26,17 26,01 GR03BA03 Flunisolide 035069032 FLUNITOP "BB" soluz nebul 15 fiale 1 mg 2 ml PIERRE FABRE PHARMA RR 13,63 13,55 GR03BA03 Flunisolide 035069018 FLUNITOP soluz nebul 30 ml 0,1% PIERRE FABRE PHARMA RR 23,47 23,33 GR03BA03 Flunisolide 035069020 FLUNITOP "AD" soluz nebul 15 fiale 2 mg 2ml PIERRE FABRE PHARMA RR 26,17 26,01 GR03BA03 Flunisolide 036364038 FORBEST AD soluz nebul 30 fiale 1 mg/1 ml VALEAS RR 26,17 25,85 XR03BA03 Flunisolide 035150010 GIVAIR soluz nebul 30 ml 1 mg/ml EPIFARMA RR 23,47 23,33 GR03BA03 Flunisolide 034905012 INALCORT soluz nebul 30 ml 0,1% CABER RR 23,47 23,33 GR03BA03 Flunisolide 035065022 KAIMIL soluz nebul 30 ml 1 mg/ml LISAPHARMA RR 23,47 23,33 GR03BA03 Flunisolide 035351016 LEVONIS "BB" soluz nebul 15 fiale 1 mg/2 ml FARMACEUTICI T.S. RR 13,63 13,55 GR03BA03 Flunisolide 035351030 LEVONIS soluz nebul 30 ml 0,1% FARMACEUTICI T.S. RR 23,47 23,33 GR03BA03 Flunisolide 035351028 LEVONIS "AD" soluz nebul 15 fiale 2 mg/2 ml FARMACEUTICI T.S. RR 26,17 26,01 GR03BA03 Flunisolide 026886059 LUNIBRON soluz nebul 30 ml 30 mg/30 ml VALEAS RR 23,92 23,78 GR03BA03 Flunisolide 034803015 NEBULCORT soluz nebul 30 ml 0,1% ITALCHIMICI RR 23,47 23,33 GR03BA03 Flunisolide 034976011 NEREFLUN soluz nebul 30 ml 0,1% NEW RESEARCH RR 23,47 23,33 GR03BA03 Flunisolide 029418023 NISOLID "BB" 15 fiale 2 ml 0,05% aerosol CHIESI RR 13,63 13,55 GR03BA03 Flunisolide 029418011 NISOLID "AD" 15 fiale 2 ml 0,1% aerosol CHIESI RR 26,17 26,01 GR03BA03 Flunisolide 025227024 NISOLID 200 erog aerosol CHIESI RR 31,90 31,52 XR03BA03 Flunisolide 034998029 NISORAN soluz nebul 30 ml 0,1% AESCULAPIUS RR 23,47 23,33 GR03BA03 Flunisolide 035063039 PLAUDIT "BB" soluz nebul 15 fiale 2 ml SO.SE.PHARM RR 13,63 13,55 GR03BA03 Flunisolide 035063027 PLAUDIT "AD" soluz nebul 15 fiale 2 ml SO.SE.PHARM RR 26,17 26,01 GR03BA03 Flunisolide 033339045 PULMIST "BB" soluz nebul 15 fiale 2 ml MADAUS RR 13,63 13,55 GR03BA03 Flunisolide 033339033 PULMIST "AD" soluz nebul 15 fiale 2 ml MADAUS RR 26,17 26,01 G

87

Page 88: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

R03BA03 Flunisolide 033339021 PULMIST sosp inal 200 erog 250 mcg MADAUS RR 31,90 31,52 XR03BA03 Flunisolide 034970020 TURM soluz nebul 30 ml 0,1% BIORES RR 23,47 23,33 GR03BA03 Flunisolide 034843021 VENTOFLU soluz nebul 15 fiale 2 ml 0,05% PLIVA RR 13,63 13,55 GR03BA03 Flunisolide 034843019 VENTOFLU soluz nebul 15 fiale 2 ml 0,1% PLIVA RR 26,17 26,01 GR03BA05 Fluticasone 028667210 FLIXOTIDE sosp nebul 10 nebules 500 mcg 2 ml GLAXOSMITHKLINE RR 9,15 9,05 XR03BA05 Fluticasone 028667020 FLIXOTIDE sosp inal 120 erog 50 mcg GLAXOSMITHKLINE RR 15,57 15,39 XR03BA05 Fluticasone 028667160 FLIXOTIDE 60 dosi 100 mcg polv inal GLAXOSMITHKLINE RR 15,60 15,42 XR03BA05 Fluticasone 028667095 FLIXOTIDE sosp inal 120 erog 125 mcg GLAXOSMITHKLINE RR 26,17 25,85 XR03BA05 Fluticasone 028667184 FLIXOTIDE 60 dosi 250 mcg polv inal GLAXOSMITHKLINE RR 29,79 29,43 XR03BA05 Fluticasone 028667208 FLIXOTIDE 60 dosi 500 mcg polv inal GLAXOSMITHKLINE RR 52,15 51,53 XR03BA05 Fluticasone 028667107 FLIXOTIDE sosp inal 120 erog 250 mcg GLAXOSMITHKLINE RR 53,07 52,43 XR03BA05 Fluticasone 028675294 FLUSPIRAL 10 nebules 500 mcg 2 ml aerosol MENARINI RR 9,15 9,05 XR03BA05 Fluticasone 028675104 FLUSPIRAL sosp inal 120 dosi 50 mcg MENARINI RR 15,57 15,39 XR03BA05 Fluticasone 028675268 FLUSPIRAL 60 dosi 100 mcg polv inal MENARINI RR 15,60 15,42 XR03BA05 Fluticasone 028675179 FLUSPIRAL sosp inal 120 dosi 125 mcg MENARINI RR 26,17 25,85 XR03BA05 Fluticasone 028675270 FLUSPIRAL 60 dosi 250 mcg polv inal MENARINI RR 29,79 29,43 XR03BA05 Fluticasone 028675282 FLUSPIRAL 60 dosi 500 mcg polv inal MENARINI RR 52,15 51,53 XR03BA05 Fluticasone 028675181 FLUSPIRAL sosp inal 120 dosi 250 mcg MENARINI RR 53,07 52,43 XR03BB01 Ipratropio bromuro 024153025 ATEM 200 erog aerosol PROMEDICA RR 4,78 4,75R03BB01 Ipratropio bromuro 024153052 ATEM soluz nebul 10 fiale 2 ml 0,025% PROMEDICA RR 4,98 4,95R03BB02 Oxitropio bromuro 027439013 OXIVENT sosp inal 200 erog 100 mcg BOEHRINGER INGELHEIM RR 10,29 10,17 X XR03BB02 Oxitropio bromuro 027439037 OXIVENT soluz nebul 20 ml 0,15% BOEHRINGER INGELHEIM RR 13,49 13,33 X XR03BB04 Tiotropio bromuro 035668058 SPIRIVA 30 cps 18 mcg handhaler BOEHRINGER INGELHEIM INTERNATIO RR 50,80 50,20 X XR03BC03 Nedocromile 026632036 TILADE 36 fiale 10 mg 2 ml aerosol SANOFI-AVENTIS RR 15,18 15,00 XR03BC03 Nedocromile 026632048 TILADE 112 erog 2 mg aerosol SANOFI-AVENTIS RR 17,51 17,29 XR03DA04 Teofillina 011226091 AMINOMAL elisir 200 ml 0,67% MALESCI RR 2,48 2,47R03DA04 Teofillina 025740073 DIFFUMAL "24" pediatrico 30 cpr 100 mg MALESCI RR 1,91 1,90R03DA04 Teofillina 025740085 DIFFUMAL "24" 30 cpr 200 mg MALESCI RR 2,89 2,87R03DA04 Teofillina 025740097 DIFFUMAL "24" 30 cpr 350 mg MALESCI RR 4,85 4,82R03DA04 Teofillina 008730071 EUPHYLLINA "RILCON" 30 cps 200 mg ALTANA PHARMA RR 2,89 2,87R03DA04 Teofillina 008730095 EUPHYLLINA "RITARDO" 30 cpr 250 mg ALTANA PHARMA RR 3,41 3,39R03DA04 Teofillina 008730083 EUPHYLLINA "RILCON" 30 cps 300 mg ALTANA PHARMA RR 4,08 4,06R03DA04 Teofillina 029554021 FRIVENT 30 cpr 400 mg rilascio prolungato DOMPE` RR 4,90 4,87R03DA04 Teofillina 024918017 PAIDOMAL "BB" gtt os 10 ml 3 flaconi + 3 flaconi solvente MALESCI RR 2,89 2,87R03DA04 Teofillina 027435080 RESPICUR 30 cps 200 mg rilascio prolungato ALTANA PHARMA RR 2,89 2,87R03DA04 Teofillina 027435155 RESPICUR 30 cps 300 mg rilascio prolungato ALTANA PHARMA RR 4,18 4,15R03DA04 Teofillina 027435078 RESPICUR 30 cps 400 mg rilascio prolungato ALTANA PHARMA RR 4,90 4,87R03DA04 Teofillina 002021069 TEFAMIN scir 200 ml 1,58 g/100 ml RECORDATI RR 3,06 3,04R03DA04 Teofillina 026461032 THEO 24 30 cps 300 mg retard MARVECSPHARMA SERVICES RR 4,13 4,11R03DA04 Teofillina 026461020 THEO 24 30 cps 200 mg retard MARVECSPHARMA SERVICES RR 2,89 2,87R03DA04 Teofillina 025267016 THEODUR 30 cpr 300 mg rilascio prolungato RECORDATI RR 3,26 3,24R03DA04 Teofillina 025267028 THEODUR 30 cpr 200 mg rilascio prolungato RECORDATI RR 2,31 2,30R03DA04 Teofillina 025730019 THEOLAIR 30 cpr 250 mg rilascio prolungato 3M ITALIA RR 3,41 3,39R03DA04 Teofillina 025730021 THEOLAIR 30 cpr 350 mg rilascio prolungato 3M ITALIA RR 4,80 4,77R03DA05 Aminofillina 008730018 EUPHYLLINA 5 fiale EV 10 ml ALTANA PHARMA RR 2,78 2,76R03DA08 Bamifillina 026021028 BAMIFIX 30 cpr riv 600 mg CHIESI RR 4,93 4,90R03DA08 Bamifillina 025985072 BRIOFIL 30 cpr riv 600 mg TEOFARMA RR 4,93 4,90R03DA11 Doxofillina 025474040 ANSIMAR 3 fiale EV 100 mg 10 ml ABC RR 1,75 1,74R03DA11 Doxofillina 025474014 ANSIMAR 20 cpr 400 mg ABC RR 4,05 4,03R03DA11 Doxofillina 025474065 ANSIMAR scir 200 ml 2% ABC RR 4,22 4,19R03DC01 Zafirlukast 031964012 ACCOLEIT 28 cpr riv 20 mg 82 ASTRAZENECA RR 20,81 20,57 XR03DC01 Zafirlukast 032957019 ZAFIRST 28 cpr riv 20 mg 82 CHIESI RR 20,81 20,57 XR03DC03 Montelukast 034004010 LUKASM 28 cpr riv 10 mg 82 ADDENDA PHARMA RR 43,94 43,42 X X

88

Page 89: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

R03DC03 Montelukast 034004022 LUKASM "BB" 28 cpr mast 5 mg 82 ADDENDA PHARMA RR 46,55 45,99 X XR03DC03 Montelukast 034004059 LUKASM 28 cpr mast 4 mg 82 ADDENDA PHARMA RR 46,55 45,99 X XR03DC03 Montelukast 034004212 LUKASM 28 bust grat 4 mg 82 ADDENDA PHARMA RR 46,55 45,99 X XR03DC03 Montelukast 034003018 MONTEGEN 28 cpr riv 10 mg 82 GENTILI RR 43,94 43,42 X XR03DC03 Montelukast 034003020 MONTEGEN "BB" 28 cpr mast 5 mg 82 GENTILI RR 46,55 45,99 X XR03DC03 Montelukast 034003057 MONTEGEN 28 cpr mast 4 mg 82 GENTILI RR 46,55 45,99 X XR03DC03 Montelukast 034003210 MONTEGEN 28 bust grat 4 mg 82 GENTILI RR 46,55 45,99 X XR03DC03 Montelukast 034001014 SINGULAIR 28 cpr riv 10 mg 82 MERCK SHARP & DOHME RR 43,94 43,42 X XR03DC03 Montelukast 034001026 SINGULAIR "BB" 28 cpr mast 5 mg 82 MERCK SHARP & DOHME RR 46,55 45,99 X XR03DC03 Montelukast 034001053 SINGULAIR 28 cpr mast 4 mg 82 MERCK SHARP & DOHME RR 46,55 45,99 X XR03DC03 Montelukast 034001216 SINGULAIR 28 bust grat 4 mg 82 MERCK SHARP & DOHME RR 46,55 45,99 X XR05DA Diidrocodeina 015960014 PARACODINA gtt os 15 g 31 TEOFARMA RR 4,60 4,57R05DA20 Diidrocodeina/acido benzo 008096024 PARACODINA SCIROP1 flacone 100 g 31 TEOFARMA RR 4,90 4,87R05DB27 Levodropropizina 026773010 DANKA scir 200 ml 0,6% 31 ANGELINI SOP 6,53 6,45 X XR05DB27 Levodropropizina 026773022 DANKA gtt os 30 ml 6% 31 ANGELINI RR 9,77 9,65 X XR05DB27 Levodropropizina 026752016 LEVOTUSS scir 200 ml 30 mg/5 ml 31 DOMPE` FARMACEUTICI SOP 6,53 6,45 X XR05DB27 Levodropropizina 026752028 LEVOTUSS gtt os 30 ml 6% 31 DOMPE` FARMACEUTICI RR 9,77 9,65 X XR05DB27 Levodropropizina 027661014 SALVITUSS scir 200 ml 0,6% 31 F.I.R.M.A. SOP 6,53 6,45 X XR05DB27 Levodropropizina 027661026 SALVITUSS gtt os 30 ml 6% 31 F.I.R.M.A. RR 9,77 9,65 X XR05DB27 Levodropropizina 026973014 TAU TUX scir 200 ml 0,6% 31 SIGMATAU SOP 6,53 6,45 X XR05DB27 Levodropropizina 026973026 TAU TUX gtt os 30 ml 6% 31 SIGMATAU RR 9,77 9,65 X XR06AD02 Prometazina 026964015 FARGANESSE 20 conf 25 mg 89 MARVECSPHARMA SERVICES RR 1,50 1,49R06AD02 Prometazina 026964039 FARGANESSE 5 fiale IM 2 ml 89 MARVECSPHARMA SERVICES RNR 2,53 2,51R06AE06 Oxatomide 025293034 TINSET os sosp 30 ml 2,5% 89 PRODOTTI FORMENTI RR 4,98 4,95R06AE06 Oxatomide 025293010 TINSET 30 cpr 30 mg 89 PRODOTTI FORMENTI RR 5,66 5,60 X XR06AE07 Cetirizina 027329010 FORMISTIN 20 cpr riv 10 mg 89 LUSOFARMACO RR 8,73 8,63 XR06AE07 Cetirizina 027329022 FORMISTIN gtt os 20 ml 10 mg/ml 89 LUSOFARMACO RR 11,34 11,20 XR06AE07 Cetirizina 027811037 VIRLIX 20 cpr riv 10 mg 89 PFIZER C.H. RR 8,73 8,63 XR06AE07 Cetirizina 027811025 VIRLIX gtt os 20 ml 10 mg/ml 89 PFIZER C.H. RR 11,34 11,20 XR06AE07 Cetirizina 026894016 ZIRTEC 20 cpr riv 10 mg 89 UCB PHARMA RR 8,73 8,63 XR06AE07 Cetirizina 026894028 ZIRTEC gtt os 20 ml 10 mg/ml 89 UCB PHARMA RR 11,34 11,20 XR06AE09 Levocetirizina 035666080 XYZAL 20 cpr riv 5 mg 89 UCB PHARMA RR 8,51 8,41 X XR06AE09 Levocetirizina 035666092 XYZAL 21 cpr riv 5 mg 89 UCB PHARMA RR 8,51 8,41 X XR06AE09 Levocetirizina 035666205 XYZAL os gtt 20 ml 5 mg/ml 89 UCB PHARMA RR 9,98 9,86 X XR06AX12 Terfenadina 027802014 ALLERZIL 30 cpr 60 mg 89 BRUNO FARMACEUTICI RR 5,21 5,15 XR06AX13 Loratadina 034031029 ALORIN scir 100 ml 0,1% 89 ESSEX RR 5,61 5,55 X XR06AX13 Loratadina 034031017 ALORIN 20 cpr 10 mg 89 ESSEX RR 9,26 9,14 X XR06AX13 Loratadina 027075023 CLARITYN scir 100 ml 1 mg/ml 89 SCHERING PLOUGH RR 5,61 5,55 X XR06AX13 Loratadina 027075011 CLARITYN 20 cpr 10 mg 89 SCHERING PLOUGH RR 9,26 9,14 X XR06AX13 Loratadina 027075050 CLARITYN 20 cpr eff div 10 mg 89 SCHERING PLOUGH RR 9,26 9,14 X XR06AX13 Loratadina 027076013 FRISTAMIN 20 cpr 10 mg 89 F.I.R.M.A. RR 9,26 9,14 X XR06AX13 Loratadina 027076037 FRISTAMIN 20 cpr eff 10 mg 89 F.I.R.M.A. RR 9,26 9,14 X XR06AX17 Ketotifene 026241036 ALLEAL 15 cpr 2 mg rilascio prolungato 89 PIERRE FABRE PHARMA RR 4,73 4,70 GR06AX17 Ketotifene 026241024 ALLEAL scir 200 ml 0,2 mg/ml 89 PIERRE FABRE PHARMA RR 6,37 6,33 GR06AX17 Ketotifene 033801034 ALLERKET 15 cpr 2 mg rilascio prolungato 89 PULITZER RR 4,09 4,07 GR06AX17 Ketotifene 033831037 CHETOFEN 15 cpr 2 mg rilascio prolungato 89 BONISCONTRO & GAZZONE RR 3,68 3,66 GR06AX17 Ketotifene 033831013 CHETOFEN scir 200 ml 1 mg/5ml 89 BONISCONTRO & GAZZONE RR 4,97 4,94 GR06AX17 Ketotifene 033799038 CHETOTIFENE 15 cpr 2 mg rilascio prolungato 89 MERCK GENERICS RR 3,68 3,66 GR06AX17 Ketotifene 035555010 KETOTIFENE 15 cpr 2 mg rilascio prolungato 89 EG RR 3,68 3,66 GR06AX17 Ketotifene 035555022 KETOTIFENE scir 200 ml 1 mg/5 ml 89 EG RR 4,97 4,94 GR06AX17 Ketotifene 035240023 SOSEFEN 40 cpr solub 1 mg 89 SO.SE.PHARM RR 5,40 5,34 XR06AX17 Ketotifene 035240011 SOSEFEN gtt os 20 ml 2 mg/ml 89 SO.SE.PHARM RR 6,36 6,28 XR06AX17 Ketotifene 035241025 STAMIFEN 40 cpr solub 1 mg 89 PLIVA RR 5,40 5,34 X

89

Page 90: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

R06AX17 Ketotifene 035241013 STAMIFEN gtt os 20 ml 2 mg/ml 89 PLIVA RR 6,36 6,28 XR06AX17 Ketotifene 024574042 ZADITEN 15 cpr 2 mg rilascio prolungato 89 NOVARTIS FARMA RR 5,24 5,21 GR06AX17 Ketotifene 024574030 ZADITEN scir 200 ml 0,2 mg/ml 89 NOVARTIS FARMA RR 6,37 6,33 GR06AX18 Acrivastina 027324019 SEMPREX 42 cps 8 mg 89 WELLCOME FOUNDATION RR 4,77 4,74R06AX22 Ebastina 029353012 CLEVER 30 cpr riv 10 mg 89 CHIESI RR 13,49 13,33 X XR06AX22 Ebastina 034930014 KESTINE 30 cpr riv 10 mg 89 ALMIRALL RR 13,49 13,33 X XR06AX22 Ebastina 034930141 KESTINE 30 cpr liof 10 mg 89 ALMIRALL RR 13,49 13,33 X XR06AX25 Mizolastina 032310094 MIZOLLEN 20 cpr 10 mg 89 SANOFI-AVENTIS RR 7,34 7,26 XR06AX25 Mizolastina 032310219 MIZOLLEN 20 cpr 10 mg 89 SANOFI-AVENTIS RR 7,34 7,26 XR06AX26 Fexofenadina 033303049 TELFAST 20 cpr riv 120 mg 89 LEPETIT RR 7,99 7,89 X XR06AX26 Fexofenadina 033303037 TELFAST 20 cpr riv 180 mg 89 LEPETIT RR 10,76 10,64 X XR06AX27 Desloratadina 035201096 AERIUS 20 cpr riv 5 mg 89 SP EUROPE RR 8,69 8,59 X XR06AX27 Desloratadina 035203090 AZOMYR 20 cpr riv 5 mg 89 SP EUROPE RR 8,69 8,59 X XS01AD01 Idoxuridina 019365028 IDUCHER coll 10 ml 2% FARMIGEA RR 2,32 2,31S01AD01 Idoxuridina 019365016 IDUCHER pom oftalm 5 g 2% FARMIGEA RR 2,12 2,11S01AD02 Trifluridina 027418019 TRIHERPINE pom oftalm 2,5 g MEDIVIS RR 4,99 4,96S01AD02 Trifluridina 027418021 TRIHERPINE coll 5 ml MEDIVIS RR 8,15 8,05 XS01AD03 Aciclovir 028231025 ACY ung oftalm 4,5 g 3% ECOBI RR 7,36 7,32 GS01AD03 Aciclovir 026121057 ACYVIR ung oftalm 4,5 g 3% GLAXO ALLEN RR 7,36 7,32 GS01AD03 Aciclovir 025299049 CYCLOVIRAN pom oftalm 4,5 g 3% SIGMATAU RR 6,70 6,66 GS01AD03 Aciclovir 028242081 DRAVYR pom oftalm 4,5 g 3% DRUG RESEARCH RR 6,70 6,66 GS01AD03 Aciclovir 028338085 ESAVIR ung oftalm 4,5 g 3% BONISCONTRO & GAZZONE RR 6,70 6,66 GS01AD03 Aciclovir 026059028 SIFIVIRAL pom oftalm 4,5 g 3% SIFI RR 7,37 7,33 GS01AD03 Aciclovir 025298047 ZOVIRAX ung oftalm 4,5 g 3% GLAXOSMITHKLINE RR 7,36 7,32 GS01EA02 Dipivefrina 025252038 PROPINE coll 3 ml 0,1% ALLERGAN RR 2,74 2,72S01EA03 Apraclonidina 029823010 IOPIDINE coll 5 ml 0,5% 78 PT ALCON RR 13,13 12,97 X XS01EA04 Clonidina 023467018 ISOGLAUCON coll 10 ml 0,125% ALCON RR 3,05 3,03S01EA05 Brimonidina 033490020 ALPHAGAN coll 5 ml 0,2% 78 PT ALLERGAN RR 13,20 13,04 X XS01EB01 Pilocarpina 004897029 DROPILTON coll 10 ml 4% BRUSCHETTINI RR 2,28 2,27 GS01EB01 Pilocarpina 004897017 DROPILTON coll 10 ml 2% BRUSCHETTINI RR 1,44 1,43 GS01EB01 Pilocarpina 021137029 PILOCARPINA 2 PLUS coll 10 ml 3% TUBILUX RR 2,80 2,78 GS01EB01 Pilocarpina 029638018 PILOCARPINA CLORIDcoll 10 ml 4% TUBILUX RR 2,15 2,14 GS01EB08 Aceclidina 021576018 GLAUNORM coll 10 ml 0,2 g + 10 monod 10 ml FARMIGEA RR 3,77 3,75S01EC01 Acetazolamide 009277017 DIAMOX 12 cpr 250 mg TEOFARMA RR 2,38 2,37S01EC02 Diclofenamide 015413040 ANTIDRASI 5 fiale EV 75 mg + 5 fiale solv 2,5 ml VISUFARMA RR 3,51 3,49S01EC02 Diclofenamide 016626018 FENAMIDE 20 cpr 50 mg FARMIGEA RR 2,79 2,77S01EC03 Dorzolamide 031848017 TRUSOPT coll 5 ml 2% 78 PT MERCK SHARP & DOHME RR 10,59 10,47 XS01EC04 Brinzolamide 034770014 AZOPT coll 5 ml 50 mg 10 mg/ml 78 PT ALCON LABORATORIES LTD RR 13,23 13,07 X XS01ED01 Timololo 032004018 CUSIMOLOL coll 5 ml 0,25% ALCON RR 2,17 2,16 GS01ED01 Timololo 032004020 CUSIMOLOL coll 5 ml 0,5% ALCON RR 2,26 2,25 GS01ED01 Timololo 027626023 DROPTIMOL coll 5 ml 0,25% FARMIGEA RR 2,17 2,16 GS01ED01 Timololo 027626047 DROPTIMOL coll 5 ml 0,5% FARMIGEA RR 2,26 2,25 GS01ED01 Timololo 027626062 DROPTIMOL "TG" 25 monod coll 0,2 ml 0,25% FARMIGEA RR 4,01 3,99 GS01ED01 Timololo 027626086 DROPTIMOL "TG" 25 monod coll 0,2 ml 0,5% FARMIGEA RR 5,35 5,32 GS01ED01 Timololo 034659019 NYOGEL gel oftalm 5 g 0,1% NOVARTIS PHARMA RR 5,48 5,42 X XS01ED01 Timololo 028549018 OFTIMOLO coll 5 ml 0,25% FARMILA-THEA RR 2,17 2,16 GS01ED01 Timololo 028549032 OFTIMOLO coll 5 ml 0,5% FARMILA-THEA RR 2,26 2,25 GS01ED01 Timololo 033951017 TIMOLABAK coll 5 ml 0,25% FARMILA-THEA RR 7,19 7,11 XS01ED01 Timololo 033951029 TIMOLABAK coll 5 ml 0,5% FARMILA-THEA RR 7,64 7,54 XS01ED01 Timololo 034429011 TIMOLOLO coll 5 ml 0,25% NOVARTIS OPHTALMICS EUROPE RR 2,17 2,16 GS01ED01 Timololo 034429023 TIMOLOLO coll 5 ml 0,5% NOVARTIS OPHTALMICS EUROPE RR 2,26 2,25 GS01ED01 Timololo 034305019 TIMOLUX coll 5 ml 0,25% TUBILUX RR 2,17 2,16 GS01ED01 Timololo 034305021 TIMOLUX coll 5 ml 0,5% TUBILUX RR 2,26 2,25 G

90

Page 91: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

S01ED01 Timololo 024278107 TIMOPTOL coll 5 ml 0,25% MERCK SHARP & DOHME RR 3,69 3,67 GS01ED01 Timololo 024278121 TIMOPTOL coll 5 ml 0,5% MERCK SHARP & DOHME RR 3,69 3,67 GS01ED01 Timololo 024278160 TIMOPTOL 30 monod coll 0,2 ml 0,5% MERCK SHARP & DOHME RR 6,68 6,64 GS01ED02 Betaxololo 025899016 BETOPTIC coll 5 ml 0,5% ALCON RR 5,63 5,57 X XS01ED03 Levobunololo 025737038 VISTAGAN coll 5 ml 0,25% ALLERGAN RR 3,51 3,49S01ED03 Levobunololo 025737014 VISTAGAN coll 5 ml 0,5% ALLERGAN RR 4,94 4,91S01ED03 Levobunololo 025737065 VISTAGAN 60 monod coll 0,4 ml 0,5% ALLERGAN RR 17,24 17,04 XS01ED04 Metipranololo 027039027 TUROPTIN coll 5 ml 0,3% BAUSCH & LOMB-IOM RR 4,70 4,67S01ED05 Carteololo 026057024 CARTEOL coll 5 ml 2% SIFI RR 4,85 4,82S01ED05 Carteololo 026057012 CARTEOL coll 5 ml 1% SIFI RR 4,80 4,77S01ED05 Carteololo 026057036 CARTEOL 30 monod coll 1% SIFI RR 5,94 5,86 XS01ED05 Carteololo 026057048 CARTEOL 30 monod coll 2% SIFI RR 8,47 8,37 XS01ED06 Befunololo 026513022 BETACLAR 30 monod coll 0,25% ANGELINI RR 4,46 4,43S01ED06 Befunololo 026513010 BETACLAR 30 monod coll 0,50% ANGELINI RR 7,40 7,32 X XS01ED51 Dorzolamide/timololo 034242014 COSOPT coll 5 ml 2% + 0,5% 78 PT MERCK SHARP & DOHME RR 18,74 18,52 X XS01ED51 Latanoprost/timololo 035402015 XALACOM coll 2,5 ml 78 PT PFIZER ITALIA RR 25,60 25,30 XS01ED51 Timololo/bimatoprost 037140011 GANFORT coll 3 ml 300 mcg/ml + 5mg/ml 78 PT ALLERGAN PH (IE) RR 23,47 23,19 XS01ED51 Timololo/brimonidina 037083019 COMBIGAN coll 5 ml 0,2% + 0,5% 78 PT ALLERGAN PH (IE) RR 16,25 16,05 XS01ED51 Timololo/travoprost 037104015 DUOTRAV coll 2,5 ml 40 mcg/ml + 5 mg/m 78 PT ALCON LABORATORIES LTD RR 23,47 23,19 XS01EE01 Latanoprost 033219015 XALATAN coll 2,5 ml 0,005% 78 PT PFIZER ITALIA RR 20,59 20,35 XS01EE03 Bimatoprost 035447010 LUMIGAN coll 3 ml 0,3 mg/ml 78 PT ALLERGAN PH (IE) RR 20,37 20,13 X XS01EE04 Travoprost 035409010 TRAVATAN coll 40 mcg/ml 78 PT ALCON LABORATORIES LTD RR 20,30 20,06 X XS01XA20 Carbomer 033816012 SICCAFLUID gel oftalm 10 ml 0,25% 83 FARMILA-THEA SOP 4,94 4,91V03AB04 Pralidoxima 021091018 CONTRATHION 1 fiala IM EV 200 mg + 1 fiala solv SANOFI-AVENTIS RR 2,22 2,21V03AB14 Protamina 004698027 PROTAMINA 1 fiala EV 50 mg 5 ml VALEANT PHARMACEUTICALS GMBH RR 4,38 4,35 GV03AB15 Naloxone 023976020 NARCAN "NEONATAL" 1 fiala 0,04 mg 2 ml SIRTON MEDICARE RR 1,76 1,75V03AB15 Naloxone 023976018 NARCAN 1 fiala IM EV 0,4 mg 1 ml SIRTON MEDICARE SOP 3,91 3,89 GV03AC01 Deferoxamina 020417034 DESFERAL 1 fiala IM EV 2 g + 1 flaconcino solv 20 ml BIOFUTURA RR 24,31 24,01 XV03AC01 Deferoxamina 020417022 DESFERAL 10 fiale IM EV 500 mg + 10 fiale solv 5 PT BIOFUTURA RR 60,82 60,46 GV03AE01 Sodio polistirene solfonato 021394022 KAYEXALATE os sosp 453,6 g 10% SANOFI-AVENTIS RR 29,09 28,75 XV03AE02 Sevelamer 034676080 RENAGEL 180 cpr 800 mg PT GENZYME B.V. RR 246,87 243,91 X XV03AF01 Mesna 025312024 UROMITEXAN 15 fiale EV 400 mg 4 ml PT BAXTER ONCOLOGY RR 21,97 21,71 XV03AF03 Calcio folinato 027683046 SANIFOLIN 1 fiala IM EV 50 mg 11 FAR.G.IM. RR 7,07 6,99 XV03AH01 Diazossido 023060027 PROGLICEM 100 cps 25 mg SCHERING PLOUGH RRL 23,77 23,49 X XV03AH01 Diazossido 023060015 PROGLICEM 100 cps 100 mg SCHERING PLOUGH RRL 91,99 90,89 X XV03AN01 Ossigeno gassoso 707241105 OSSIGENO GASSOSO1 litro 58 PRODUTTORI VARI RR 0,01 0,01V03AN01 Ossigeno gassoso 707505588 OSSIGENO GASSOSO5 litri 58 PRODUTTORI VARI RR 0,05 0,05V03AN01 Ossigeno gassoso 707505590 OSSIGENO GASSOSO7 litri 58 PRODUTTORI VARI RR 0,06 0,06V03AN01 Ossigeno gassoso 707505602 OSSIGENO GASSOSO14 litri 58 PRODUTTORI VARI RR 0,13 0,13V03AN01 Ossigeno gassoso 707505614 OSSIGENO GASSOSO21 litri 58 PRODUTTORI VARI RR 0,19 0,19V03AN01 Ossigeno gassoso 707505626 OSSIGENO GASSOSO150 litri 58 PRODUTTORI VARI RR 1,35 1,35V03AN01 Ossigeno gassoso 707505638 OSSIGENO GASSOSO300 litri 58 PRODUTTORI VARI RR 2,71 2,71V03AN01 Ossigeno gassoso 707505640 OSSIGENO GASSOSO600 litri 58 PRODUTTORI VARI RR 5,42 5,42V03AN01 Ossigeno gassoso 707500928 OSSIGENO GASSOSO800 litri 58 PRODUTTORI VARI RR 7,22 7,22V03AN01 Ossigeno gassoso 707505083 OSSIGENO GASSOSO1000 litri 58 PRODUTTORI VARI RR 9,03 9,03V03AN01 Ossigeno gassoso 707500930 OSSIGENO GASSOSO1200 litri 58 PRODUTTORI VARI RR 10,84 10,84V03AN01 Ossigeno gassoso 707505309 OSSIGENO GASSOSO1250 litri 58 PRODUTTORI VARI RR 11,29 11,29V03AN01 Ossigeno gassoso 707500942 OSSIGENO GASSOSO1500 litri 58 PRODUTTORI VARI RR 13,55 13,55V03AN01 Ossigeno gassoso 707505653 OSSIGENO GASSOSO1600 litri 58 PRODUTTORI VARI RR 14,44 14,44V03AN01 Ossigeno gassoso 707505665 OSSIGENO GASSOSO1800 litri 58 PRODUTTORI VARI RR 16,25 16,25V03AN01 Ossigeno gassoso 707500955 OSSIGENO GASSOSO2000 litri 58 PRODUTTORI VARI RR 18,06 18,06V03AN01 Ossigeno gassoso 707505246 OSSIGENO GASSOSO2200 litri 58 PRODUTTORI VARI RR 19,87 19,87V03AN01 Ossigeno gassoso 707500967 OSSIGENO GASSOSO2400 litri 58 PRODUTTORI VARI RR 21,67 21,67

91

Page 92: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

V03AN01 Ossigeno gassoso 707505677 OSSIGENO GASSOSO2500 litri 58 PRODUTTORI VARI RR 22,58 22,58V03AN01 Ossigeno gassoso 707505285 OSSIGENO GASSOSO2800 litri 58 PRODUTTORI VARI RR 25,28 25,28V03AN01 Ossigeno gassoso 707500979 OSSIGENO GASSOSO3000 litri 58 PRODUTTORI VARI RR 27,09 27,09V03AN01 Ossigeno gassoso 707505311 OSSIGENO GASSOSO3250 litri 58 PRODUTTORI VARI RR 29,35 29,35V03AN01 Ossigeno gassoso 707505689 OSSIGENO GASSOSO3500 litri 58 PRODUTTORI VARI RR 31,61 31,61V03AN01 Ossigeno gassoso 707500981 OSSIGENO GASSOSO3600 litri 58 PRODUTTORI VARI RR 32,51 32,51V03AN01 Ossigeno gassoso 707505133 OSSIGENO GASSOSO4000 litri 58 PRODUTTORI VARI RR 36,12 36,12V03AN01 Ossigeno gassoso 707505259 OSSIGENO GASSOSO4200 litri 58 PRODUTTORI VARI RR 37,93 37,93V03AN01 Ossigeno gassoso 707505210 OSSIGENO GASSOSO4500 litri 58 PRODUTTORI VARI RR 40,64 40,64V03AN01 Ossigeno gassoso 707505754 OSSIGENO GASSOSO4800 litri 58 PRODUTTORI VARI RR 43,34 43,34V03AN01 Ossigeno gassoso 707500993 OSSIGENO GASSOSO5000 litri 58 PRODUTTORI VARI RR 45,15 45,15V03AN01 Ossigeno gassoso 707505297 OSSIGENO GASSOSO5600 litri 58 PRODUTTORI VARI RR 50,57 50,57V03AN01 Ossigeno gassoso 707501007 OSSIGENO GASSOSO6000 litri 58 PRODUTTORI VARI RR 54,18 54,18V03AN01 Ossigeno gassoso 707501019 OSSIGENO GASSOSO6500 litri 58 PRODUTTORI VARI RR 58,70 58,70V03AN01 Ossigeno gassoso 707501033 OSSIGENO GASSOSO8750 litri 58 PRODUTTORI VARI RR 79,01 79,01V03AN01 Ossigeno gassoso 707505234 OSSIGENO GASSOSO9000 litri 58 PRODUTTORI VARI RR 81,27 81,27V03AN01 Ossigeno gassoso 707505691 OSSIGENO GASSOSO10000 litri 58 PRODUTTORI VARI RR 90,30 90,30V03AN01 Ossigeno gassoso 707501021 OSSIGENO GASSOSO12000 litri 58 PRODUTTORI VARI RR 108,36 108,36V03AN01 Ossigeno gassoso 707505703 OSSIGENO GASSOSO15000 litri 58 PRODUTTORI VARI RR 135,45 135,45V03AN01 Ossigeno gassoso 707505715 OSSIGENO GASSOSO21000 litri 58 PRODUTTORI VARI RR 189,63 189,63V03AN01 Ossigeno gassoso 707505727 OSSIGENO GASSOSO30000 litri 58 PRODUTTORI VARI RR 270,90 270,90V03AN01 Ossigeno gassoso 707505739 OSSIGENO GASSOSO50000 litri 58 PRODUTTORI VARI RR 451,50 451,50V03AN01 Ossigeno gassoso 707505804 OSSIGENO GASSOSO2600 litri 58 PRODUTTORI VARI RR 23,48 23,48V03AN01 Ossigeno gassoso 707505816 OSSIGENO GASSOSO7000 litri 58 PRODUTTORI VARI RR 63,21 63,21V03AN01 Ossigeno gassoso 707505778 OSSIGENO GASSOSO8000 litri 58 PRODUTTORI VARI RR 72,24 72,24V03AN01 Ossigeno gassoso 707505780 OSSIGENO GASSOSO8500 litri 58 PRODUTTORI VARI RR 76,76 76,76V03AN01 Ossigeno gassoso 707505828 OSSIGENO GASSOSO13000 litri 58 PRODUTTORI VARI RR 117,39 117,39V03AN01 Ossigeno gassoso 707506008 OSSIGENO GASSOSO14000 litri 58 PRODUTTORI VARI RR 126,42 126,42V03AN01 Ossigeno gassoso 707506010 OSSIGENO GASSOSO14600 litri 58 PRODUTTORI VARI RR 131,84 131,84V03AN01 Ossigeno gassoso 707506022 OSSIGENO GASSOSO16000 litri 58 PRODUTTORI VARI RR 144,48 144,48V03AN01 Ossigeno gassoso 707506034 OSSIGENO GASSOSO17500 litri 58 PRODUTTORI VARI RR 158,03 158,03V03AN01 Ossigeno gassoso 707506046 OSSIGENO GASSOSO18000 litri 58 PRODUTTORI VARI RR 162,54 162,54V03AN01 Ossigeno gassoso 707506059 OSSIGENO GASSOSO24000 litri 58 PRODUTTORI VARI RR 216,72 216,72V03AN01 Ossigeno liquido 707501096 OSSIGENO LIQUIDO 1 litro 58 PRODUTTORI VARI RR 0,01 0,01V03AN01 Ossigeno liquido 707505018 OSSIGENO LIQUIDO 1000 litri 58 PRODUTTORI VARI RR 6,12 6,12V03AN01 Ossigeno liquido 707505020 OSSIGENO LIQUIDO 2000 litri 58 PRODUTTORI VARI RR 12,24 12,24V03AN01 Ossigeno liquido 707505032 OSSIGENO LIQUIDO 6000 litri 58 PRODUTTORI VARI RR 36,72 36,72V03AN01 Ossigeno liquido 707501045 OSSIGENO LIQUIDO 12000 litri 58 PRODUTTORI VARI RR 73,44 73,44V03AN01 Ossigeno liquido 707505323 OSSIGENO LIQUIDO 13500 litri 58 PRODUTTORI VARI RR 82,62 82,62V03AN01 Ossigeno liquido 707505335 OSSIGENO LIQUIDO 14000 litri 58 PRODUTTORI VARI RR 85,68 85,68V03AN01 Ossigeno liquido 707505347 OSSIGENO LIQUIDO 14440 litri 58 PRODUTTORI VARI RR 88,37 88,37V03AN01 Ossigeno liquido 707505350 OSSIGENO LIQUIDO 14600 litri 58 PRODUTTORI VARI RR 89,35 89,35V03AN01 Ossigeno liquido 707505362 OSSIGENO LIQUIDO 16500 litri 58 PRODUTTORI VARI RR 100,98 100,98V03AN01 Ossigeno liquido 707505374 OSSIGENO LIQUIDO 19000 litri 58 PRODUTTORI VARI RR 116,28 116,28V03AN01 Ossigeno liquido 707505386 OSSIGENO LIQUIDO 20000 litri 58 PRODUTTORI VARI RR 122,40 122,40V03AN01 Ossigeno liquido 707505398 OSSIGENO LIQUIDO 21000 litri 58 PRODUTTORI VARI RR 128,52 128,52V03AN01 Ossigeno liquido 707505400 OSSIGENO LIQUIDO 21600 litri 58 PRODUTTORI VARI RR 132,19 132,19V03AN01 Ossigeno liquido 707505208 OSSIGENO LIQUIDO 21800 litri 58 PRODUTTORI VARI RR 133,42 133,42V03AN01 Ossigeno liquido 707505412 OSSIGENO LIQUIDO 22000 litri 58 PRODUTTORI VARI RR 134,64 134,64V03AN01 Ossigeno liquido 707505424 OSSIGENO LIQUIDO 23000 litri 58 PRODUTTORI VARI RR 140,76 140,76V03AN01 Ossigeno liquido 707505436 OSSIGENO LIQUIDO 24000 litri 58 PRODUTTORI VARI RR 146,88 146,88V03AN01 Ossigeno liquido 707505448 OSSIGENO LIQUIDO 24300 litri 58 PRODUTTORI VARI RR 148,72 148,72V03AN01 Ossigeno liquido 707505044 OSSIGENO LIQUIDO 24400 litri 58 PRODUTTORI VARI RR 149,33 149,33

92

Page 93: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

V03AN01 Ossigeno liquido 707505451 OSSIGENO LIQUIDO 24420 litri 58 PRODUTTORI VARI RR 149,45 149,45V03AN01 Ossigeno liquido 707505463 OSSIGENO LIQUIDO 24500 litri 58 PRODUTTORI VARI RR 149,94 149,94V03AN01 Ossigeno liquido 707505095 OSSIGENO LIQUIDO 24800 litri 58 PRODUTTORI VARI RR 151,78 151,78V03AN01 Ossigeno liquido 707505475 OSSIGENO LIQUIDO 25000 litri 58 PRODUTTORI VARI RR 153,00 153,00V03AN01 Ossigeno liquido 707505071 OSSIGENO LIQUIDO 25500 litri 58 PRODUTTORI VARI RR 156,06 156,06V03AN01 Ossigeno liquido 707505196 OSSIGENO LIQUIDO 25800 litri 58 PRODUTTORI VARI RR 157,90 157,90V03AN01 Ossigeno liquido 707501058 OSSIGENO LIQUIDO 26000 litri 58 PRODUTTORI VARI RR 159,12 159,12V03AN01 Ossigeno liquido 707505006 OSSIGENO LIQUIDO 26190 litri 58 PRODUTTORI VARI RR 160,28 160,28V03AN01 Ossigeno liquido 707505158 OSSIGENO LIQUIDO 26200 litri 58 PRODUTTORI VARI RR 160,34 160,34V03AN01 Ossigeno liquido 707505057 OSSIGENO LIQUIDO 26500 litri 58 PRODUTTORI VARI RR 162,18 162,18V03AN01 Ossigeno liquido 707505487 OSSIGENO LIQUIDO 29000 litri 58 PRODUTTORI VARI RR 177,48 177,48V03AN01 Ossigeno liquido 707229011 OSSIGENO LIQUIDO 30000 litri 58 PRODUTTORI VARI RR 183,60 183,60V03AN01 Ossigeno liquido 707505121 OSSIGENO LIQUIDO 31500 litri 58 PRODUTTORI VARI RR 192,78 192,78V03AN01 Ossigeno liquido 707505499 OSSIGENO LIQUIDO 31800 litri 58 PRODUTTORI VARI RR 194,62 194,62V03AN01 Ossigeno liquido 707505222 OSSIGENO LIQUIDO 32000 litri 58 PRODUTTORI VARI RR 195,84 195,84V03AN01 Ossigeno liquido 707505145 OSSIGENO LIQUIDO 33000 litri 58 PRODUTTORI VARI RR 201,96 201,96V03AN01 Ossigeno liquido 707505261 OSSIGENO LIQUIDO 33500 litri 58 PRODUTTORI VARI RR 205,02 205,02V03AN01 Ossigeno liquido 707505501 OSSIGENO LIQUIDO 33700 litri 58 PRODUTTORI VARI RR 206,24 206,24V03AN01 Ossigeno liquido 707505069 OSSIGENO LIQUIDO 34800 litri 58 PRODUTTORI VARI RR 212,98 212,98V03AN01 Ossigeno liquido 707505513 OSSIGENO LIQUIDO 34880 litri 58 PRODUTTORI VARI RR 213,47 213,47V03AN01 Ossigeno liquido 707505525 OSSIGENO LIQUIDO 35000 litri 58 PRODUTTORI VARI RR 214,20 214,20V03AN01 Ossigeno liquido 707505107 OSSIGENO LIQUIDO 35500 litri 58 PRODUTTORI VARI RR 217,26 217,26V03AN01 Ossigeno liquido 707501060 OSSIGENO LIQUIDO 36000 litri 58 PRODUTTORI VARI RR 220,32 220,32V03AN01 Ossigeno liquido 707505537 OSSIGENO LIQUIDO 36500 litri 58 PRODUTTORI VARI RR 223,38 223,38V03AN01 Ossigeno liquido 707505549 OSSIGENO LIQUIDO 37500 litri 58 PRODUTTORI VARI RR 229,50 229,50V03AN01 Ossigeno liquido 707505552 OSSIGENO LIQUIDO 39900 litri 58 PRODUTTORI VARI RR 244,19 244,19V03AN01 Ossigeno liquido 707501072 OSSIGENO LIQUIDO 52000 litri 58 PRODUTTORI VARI RR 318,24 318,24V03AN01 Ossigeno liquido 707505273 OSSIGENO LIQUIDO 53000 litri 58 PRODUTTORI VARI RR 324,36 324,36V03AN01 Ossigeno liquido 707505741 OSSIGENO LIQUIDO 64800 litri 58 PRODUTTORI VARI RR 396,58 396,58V03AN01 Ossigeno liquido 707501084 OSSIGENO LIQUIDO 108000 litri 58 PRODUTTORI VARI RR 660,96 660,96V03AN01 Ossigeno liquido 707505564 OSSIGENO LIQUIDO 238500 litri 58 PRODUTTORI VARI RR 1459,62 1459,62V03AN01 Ossigeno liquido 707505576 OSSIGENO LIQUIDO 318000 litri 58 PRODUTTORI VARI RR 1946,16 1946,16V03AN01 Ossigeno liquido 707506402 OSSIGENO LIQUIDO 10000 litri 58 PRODUTTORI VARI RR 61,20 61,20V03AN01 Ossigeno liquido 707505766 OSSIGENO LIQUIDO 10200 litri 58 PRODUTTORI VARI RR 62,42 62,42V03AN01 Ossigeno liquido 707506390 OSSIGENO LIQUIDO 17500 litri 58 PRODUTTORI VARI RR 107,10 107,10V03AN01 Ossigeno liquido 707506388 OSSIGENO LIQUIDO 18000 litri 58 PRODUTTORI VARI RR 110,16 110,16V03AN01 Ossigeno liquido 707506376 OSSIGENO LIQUIDO 24600 litri 58 PRODUTTORI VARI RR 150,55 150,55V03AN01 Ossigeno liquido 707506349 OSSIGENO LIQUIDO 24900 litri 58 PRODUTTORI VARI RR 152,39 152,39V03AN01 Ossigeno liquido 707506337 OSSIGENO LIQUIDO 25400 litri 58 PRODUTTORI VARI RR 155,45 155,45V03AN01 Ossigeno liquido 707506325 OSSIGENO LIQUIDO 25600 litri 58 PRODUTTORI VARI RR 156,67 156,67V03AN01 Ossigeno liquido 707506313 OSSIGENO LIQUIDO 26400 litri 58 PRODUTTORI VARI RR 161,57 161,57V03AN01 Ossigeno liquido 707506301 OSSIGENO LIQUIDO 26600 litri 58 PRODUTTORI VARI RR 162,79 162,79V03AN01 Ossigeno liquido 707506299 OSSIGENO LIQUIDO 26800 litri 58 PRODUTTORI VARI RR 164,02 164,02V03AN01 Ossigeno liquido 707506287 OSSIGENO LIQUIDO 26850 litri 58 PRODUTTORI VARI RR 164,32 164,32V03AN01 Ossigeno liquido 707506275 OSSIGENO LIQUIDO 27000 litri 58 PRODUTTORI VARI RR 165,24 165,24V03AN01 Ossigeno liquido 707506263 OSSIGENO LIQUIDO 27400 litri 58 PRODUTTORI VARI RR 167,69 167,69V03AN01 Ossigeno liquido 707506251 OSSIGENO LIQUIDO 27500 litri 58 PRODUTTORI VARI RR 168,30 168,30V03AN01 Ossigeno liquido 707506248 OSSIGENO LIQUIDO 28000 litri 58 PRODUTTORI VARI RR 171,36 171,36V03AN01 Ossigeno liquido 707506236 OSSIGENO LIQUIDO 30400 litri 58 PRODUTTORI VARI RR 186,05 186,05V03AN01 Ossigeno liquido 707506224 OSSIGENO LIQUIDO 30800 litri 58 PRODUTTORI VARI RR 188,50 188,50V03AN01 Ossigeno liquido 707506212 OSSIGENO LIQUIDO 31200 litri 58 PRODUTTORI VARI RR 190,94 190,94V03AN01 Ossigeno liquido 707505792 OSSIGENO LIQUIDO 31600 litri 58 PRODUTTORI VARI RR 193,39 193,39V03AN01 Ossigeno liquido 707506200 OSSIGENO LIQUIDO 32500 litri 58 PRODUTTORI VARI RR 198,90 198,90

93

Page 94: Prezzo al Lista Nota Ricetta Prezzo sconto 0,6% …apps.who.int/medicinedocs/documents/s19443it/s19443… ·  · 2013-06-02Nota 2 Ditta Ricetta PFN Prezzo al Pubblico Prezzo SSN

CLASSE A in commercioDeterminazione AIFA 9-2-2007

ATC Principio attivo AIC Denominazione Confezione Nota 1

Nota2 Ditta Ricetta

PFN

Prezzo al Pubblico Prezzo

SSN

Lista traspar

enza

Inclusione sconto 0,6%

Det.AIFA 27/9/2006

Applicazione pay back

V03AN01 Ossigeno liquido 707506198 OSSIGENO LIQUIDO 34400 litri 58 PRODUTTORI VARI RR 210,53 210,53V03AN01 Ossigeno liquido 707506186 OSSIGENO LIQUIDO 34500 litri 58 PRODUTTORI VARI RR 211,14 211,14V03AN01 Ossigeno liquido 707506174 OSSIGENO LIQUIDO 34600 litri 58 PRODUTTORI VARI RR 211,75 211,75V03AN01 Ossigeno liquido 707506162 OSSIGENO LIQUIDO 35400 litri 58 PRODUTTORI VARI RR 216,65 216,65V03AN01 Ossigeno liquido 707506150 OSSIGENO LIQUIDO 35600 litri 58 PRODUTTORI VARI RR 217,87 217,87V03AN01 Ossigeno liquido 707506147 OSSIGENO LIQUIDO 35800 litri 58 PRODUTTORI VARI RR 219,10 219,10V03AN01 Ossigeno liquido 707506135 OSSIGENO LIQUIDO 36400 litri 58 PRODUTTORI VARI RR 222,77 222,77V03AN01 Ossigeno liquido 707506123 OSSIGENO LIQUIDO 36600 litri 58 PRODUTTORI VARI RR 223,99 223,99V03AN01 Ossigeno liquido 707506111 OSSIGENO LIQUIDO 37800 litri 58 PRODUTTORI VARI RR 231,34 231,34V03AN01 Ossigeno liquido 707506109 OSSIGENO LIQUIDO 38500 litri 58 PRODUTTORI VARI RR 235,62 235,62V03AN01 Ossigeno liquido 707506097 OSSIGENO LIQUIDO 40800 litri 58 PRODUTTORI VARI RR 249,70 249,70V03AN01 Ossigeno liquido 707506085 OSSIGENO LIQUIDO 44500 litri 58 PRODUTTORI VARI RR 272,34 272,34V03AN01 Ossigeno liquido 707506073 OSSIGENO LIQUIDO 52500 litri 58 PRODUTTORI VARI RR 321,30 321,30V03AN01 Ossigeno liquido 707506061 OSSIGENO LIQUIDO 60300 litri 58 PRODUTTORI VARI RR 369,04 369,04V07AB Acqua per preparazioni in 030180018 ACQUA PER PREPARA1 fiala 2 ml FARMACOLOGICO MILANESE SOP 0,15 0,15 GV07AB Acqua per preparazioni in 029824024 ACQUA PER PREPARA1 fiala 2 ml GALENICA SENESE SOP 0,15 0,15 GV07AB Acqua per preparazioni in 030779019 ACQUA PER PREPARA1 fiala 2 ml MONICO SOP 0,15 0,15 GV07AB Acqua per preparazioni in 029728019 ACQUA PER PREPARA1 fiala 2 ml OGNA SOP 0,15 0,15 GV07AB Acqua per preparazioni in 031005034 ACQUA PER PREPARA1 fiala 2 ml PHARMINVEST SOP 0,15 0,15 GV07AB Acqua per preparazioni in 030649014 ACQUA PER PREPARA1 fiala 2 ml SALF SOP 0,15 0,15 GV07AB Acqua per preparazioni in 030180020 ACQUA PER PREPARA1 fiala 5 ml FARMACOLOGICO MILANESE SOP 0,19 0,19 GV07AB Acqua per preparazioni in 029824048 ACQUA PER PREPARA1 fiala 5 ml GALENICA SENESE SOP 0,19 0,19 GV07AB Acqua per preparazioni in 030779021 ACQUA PER PREPARA1 fiala 5 ml MONICO SOP 0,19 0,19 GV07AB Acqua per preparazioni in 029728021 ACQUA PER PREPARA1 fiala 5 ml OGNA SOP 0,19 0,19 GV07AB Acqua per preparazioni in 031005046 ACQUA PER PREPARA1 fiala 5 ml PHARMINVEST SOP 0,19 0,19 GV07AB Acqua per preparazioni in 030649038 ACQUA PER PREPARA1 fiala 5 ml SALF SOP 0,19 0,19 GV07AB Acqua per preparazioni in 030180032 ACQUA PER PREPARA1 fiala 10 ml FARMACOLOGICO MILANESE SOP 0,23 0,23 GV07AB Acqua per preparazioni in 029824051 ACQUA PER PREPARA1 fiala 10 ml GALENICA SENESE SOP 0,23 0,23 GV07AB Acqua per preparazioni in 030779033 ACQUA PER PREPARA1 fiala 10 ml MONICO SOP 0,23 0,23 GV07AB Acqua per preparazioni in 031005059 ACQUA PER PREPARA1 fiala 10 ml PHARMINVEST SOP 0,23 0,23 GV07AB Acqua per preparazioni in 030649053 ACQUA PER PREPARA1 fiala 10 ml SALF SOP 0,23 0,23 G

94