REGIONE DEL VENETO
AZIENDA UNITA’ LOCALE SOCIO-SANITARIA N. 6 “VICENZA”
DELIBERAZIONE
n. 106
del 6-3-2015
OGGETTO
Fornitura di farmaci in fabbisogno all'Azienda Ulss n. 6 "Vicenza" di cui alle gare regionali: proroga
tecnica dei contratti dal 01.04.2014 al 30.06.2015. Spesa complessiva € 50.876.180,00 (iva inclusa)
Proponente: Servizio Approvvigionamenti
Anno Proposta: 2015
Numero Proposta: 116
Servizio Approvvigionamenti/2015/116
1
Il Direttore del Servizio Approvvigionamenti riferisce:
Con deliberazioni n.278 del 05.04.2012, n. 136 del 07.03.2013 e n. 627 del 19.09.2013, il Direttore
Generale di questa Azienda Sanitaria ha preso atto delle risultanze delle procedure di gara regionali di
cui ai Decreti del Dirigente regionale Direzione Controlli e Governo SSR n. 1 del 11.01.2012, n. 4 del
10.02.2012, n. 215 del 30.11.2012, n. 216 del 03.12.2012, n. 227 del 21.12.2012, n. 4 del 23.01.2013,
n. 12 del 15.05.2013, n. 14 del 20.05.2013, per la fornitura di farmaci in fabbisogno alle Aziende
Sanitarie della Regione Veneto per un importo complessivo stimato annuale a carico dei Presidi
Ospedalieri di Vicenza e Noventa pari ad € 35.000.000 (iva esclusa) e di circa € 11.400.000 a carico del
Servizio Farmaceutico Territoriale.
I contratti, stipulati da questa Azienda Sanitaria sulla base delle risultanze delle procedure di gara di cui
sopra sono stati tutti allineati alla scadenza del 31.03.2014 come da indicazioni regionali.
Con nota, inviata tramite posta elettronica in data 26 marzo 2014, il Coordinamento Regionale per gli
Acquisti in Sanità ha comunicato di aver chiesto alle Ditte aggiudicatarie la disponibilità ad una
proroga dei contratti in essere fino al 31.12.2014, nelle more dell’espletamento della nuova gara.
Con successive comunicazioni, tramite posta elettronica del 29.04.2014 e 08.05.2014, il
Coordinamento Regionale per gli Acquisti in Sanità ha inviato l’elenco delle Ditte che hanno dato la
disponibilità alla proroga.
Successivamente in data 25/06/2014, il Coordinamento Regionale per gli Acquisti in Sanità con prot.
273436 ha chiesto alle Aziende Sanitarie del Veneto di estrarre e trasmettere, tramite un apposito
prospetto, i dati finalizzata alla raccolta di fabbisogni. Alla nota è stato dato riscontro con l’invio del
medesimo prospetto in data 05.09.2014.
Gli atti relativi alla nuova gara sono stati approvati con Decreto del Dirigente del Coordinamento
Regionale Acquisti per la Sanità n. 55 del 15.09.2014.
Nello stesso periodo, l’A.N.A.C. (Autorità Nazionale Anticorruzione) ha pubblicato nel proprio sito i
nuovi prezzi di riferimento di alcuni principi attivi, compresi alcuni farmaci inclusi nelle aggiudicazioni
Regionali di cui sopra. Questo Servizio ha quindi proceduto ad una verifica rilevando tutte le situazioni
per le quali i prezzi applicati a questa Azienda presentavano uno scostamento superiore al 20% rispetto
ai prezzi pubblicati dall’A.N.A.C.
Dalla verifica è emerso che i principi attivi, per i quali è stato riscontrato un prezzo applicato superiore
al 20 % dei prezzi di riferimento ANAC, sono cinque:
• Ribavirina
• Cisatracurio Besilato
• Topotecan
• Paclitaxel
• Levofloxacina
Con protocollo n.73721 del 11.11.2014, le tre ditte fornitrici, Glaxo Spa, Roche spa e Accord
Healthcare srl sono state invitate ad allineare i prezzi con le quotazioni pubblicate nel suddetto sito.
Servizio Approvvigionamenti/2015/116
2
Soltanto una Ditta ha dato la disponibilità, per il solo principio attivo “Cisatracurio Besilato”, al
riallineamento al prezzo ANAC. Per i restanti principi attivi le Ditte non hanno accettato il
riallineamento o non hanno fornito alcun riscontro.
Nel contempo con Decreto Regionale n. 84 del 18.11.2014, il Coordinamento Regionale per gli acquisti
ha proceduto alla aggiudicazione, tramite procedura aperta, di una parte dei principi attivi in fabbisogno
alle Aziende Sanitarie del Veneto.
Nella comunicazione del 12.12.2014, tuttavia, il medesimo Cras ha invitato le Aziende Sanitarie a
procedere con un’ulteriore proroga dei contratti fino al 30.06.2015 nelle more della conclusione di tutte
le procedure di gara, relative alla fornitura di principi attivi, ancora in corso.
Poiché nella nuova aggiudicazione di cui al Decreto sopracitato, sono stati aggiudicati i principi attivi
Ribavirina, Topotecan e Paclitaxel a prezzi migliorativi e in linea con i prezzi di riferimento ANAC,
ricevuto riscontro positivo sulla sovrapponibilità dei principi in utilizzo dal Direttore del Servizio di
Farmacia Ospedaliera, in data 21 gennaio 2014, con protocollo n. 5148 del 26.01.2015, questo Servizio
ha chiesto alle nuove Ditte aggiudicatarie la disponibilità alla fornitura dei principi attivi alle medesime
condizioni esitate nella procedura di gara.
La ditta Sandoz spa e la Ditta MSD Italia e la Ditta Teva Italia srl, aggiudicatarie rispettivamente del
principio attivo Paclitaxel, Ribavirina e Toptecan hanno riscontrato positivamente la richiesta. Per
quanto attiene al principio attivo “Levofloxacina”, presente nell’elenco dei principi attivi messi in gara
dal Coordinamento Regionale per gli acquisti, di cui al Lotto 307, si evidenzia come lo stesso non sia
stato aggiudicato per presentazione di due offerte superiori alla base d’asta.
Preso atto, sulla base dei consumi storici, che l’importo stimato per il periodo di proroga 01.04.2014 30.06.2015 per l’acquisto di farmaci di cui ai contratti scaduti al 31.03.2014, dettagliati nell’allegato A,
ammonta ad € 50.876.180,28 (iva inclusa) per il Servizio Farmaceutico Ospedaliero, mentre la spesa
per l’erogazione diretta alle Farmacie convenzionate dei principi attivi di cui all’allegato B, sostenuta
dal Servizio Farmaceutico Territoriale ammonta presumibilmente ad € 14.266.851,29.
Il medesimo Direttore ha attestato l’avvenuta regolare istruttoria della pratica anche in relazione alla
sua compatibilità con la vigente legislazione regionale e statale in materia;
I Direttori Amministrativo, Sanitario e dei Servizi Sociali e della Funzione Territoriale hanno espresso
il parere favorevole per quanto di rispettiva competenza.
Sulla base di quanto sopra
IL DIRETTORE GENERALE
DELIBERA
1) di prorogare dal 01.04.2014 al 30.06.2015, salvo risoluzione anticipata a seguito di
aggiudicazione di nuova gara regionale gestita dal Coordinamento Regionale Acquisti per la
Sanità, per le motivazioni in premessa esposte e qui, integralmente richiamate, i contratti di cui
alle deliberazioni n.278 del 05.04.2012, n. 136 del 07.03.2013 e n. 627 del 19.09.2013;
Servizio Approvvigionamenti/2015/116
3
2) di dare atto che, nel periodo dal 01.04.2014 al 30.06.2015, la proroga comporterà una spesa
complessiva pari ad € 50.876.180,28 (iva inclusa) a carico del Servizio Farmaceutico
Ospedaliero di cui ’ € 30.525.708,00 sono imputabili all’esercizio 2014 ed € 20.350.472,28
per l’anno 2015 come dettagliato nell’allegato A, così ripartito nei seguenti conti:
3) di dare atto, altresì, che la spesa per l’erogazione diretta alle Farmacie convenzionate dei
principi attivi di cui all’allegato B, sostenuta dal Servizio Farmaceutico Territoriale ammonterà
presumibilmente, per il periodo dal 01.04.2014 al 30.06.2015 ad € 14.266.851,29 (iva inclusa) e
trova riferimento nella delibera all’uopo predisposta dal Servizio Farmaceutico Territoriale.
4) di trasmettere ai Direttori del Servizio di Farmacia Ospedaliera e Territoriale copia della
presente delibera ai fini della gestione contrattuale con le ditte fornitrici.
5) di prescrivere che il presente atto venga pubblicato all’Albo on-line dell’Azienda
*****
Servizio Approvvigionamenti/2015/116
4
Parere favorevole, per quanto di competenza:
Il Direttore Amministrativo
(App.to Dr. Roberto Toniolo)
Il Direttore Sanitario
(App.to Dr. Francesco Buonocore)
Il Direttore dei Servizi Sociali
e della Funzione Territoriale
(App.to Dr. Paolo Fortuna)
IL DIRETTORE GENERALE
(F.to digitalmente Ing. Ermanno Angonese)
Ermanno
Angonese
Digitally signed by
Ermanno Angonese
Date: 2015.03.06
14:25:50 CET
Il presente atto è eseguibile dalla data di adozione.
Il presente atto è proposto per la pubblicazione all’Albo on-line dell’Azienda con le seguenti modalità:
Oggetto e contenuto
Copia del presente atto viene inviato in data odierna al Collegio Sindacale (ex art. 10, comma 5, L.R.
14.9.1994, n. 56).
IL RESPONSABILE PER LA GESTIONE ATTI
DEL SERVIZIO AFFARI LEGALI E
AMMINISTRATIVI GENERALI
Vicenza, ________________
Copia conforme all’originale,
amministrativo.
_________________________________
composta di n.
fogli (incluso il presente), rilasciata per uso
IL RESPONSABILE PER LA GESTIONE ATTI
DEL SERVIZIO AFFARI LEGALI E
AMMINISTRATIVI GENERALI
Vicenza, ________________
Servizio Approvvigionamenti/2015/116
_________________________________
5
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
3463
3463
3463
1611
1611
1611
1611
1611
1611
1611
7708
7708
7708
7708
7708
7708
7708
1022
1022
521
521
521
521
521
521
8287
8287
8287
8288
8288
8288
8288
2505
2505
2505
2505
8179
8179
8179
8179
8179
8179
8179
922
922
922
922
Ditta Offerente
A.MENARINI IND.FARMAC.RIUN.SRL
A.MENARINI IND.FARMAC.RIUN.SRL
A.MENARINI IND.FARMAC.RIUN.SRL
A.MENARINI IND.FARMAC.RIUN.SRL
A.MENARINI IND.FARMAC.RIUN.SRL
A.MENARINI IND.FARMAC.RIUN.SRL
A.MENARINI IND.FARMAC.RIUN.SRL
A.MENARINI IND.FARMAC.RIUN.SRL
A.MENARINI IND.FARMAC.RIUN.SRL
A.MENARINI IND.FARMAC.RIUN.SRL
A.MENARINI IND.FARMAC.RIUN.SRL
A.MENARINI IND.FARMAC.RIUN.SRL
A.MENARINI IND.FARMAC.RIUN.SRL
A.MENARINI IND.FARMAC.RIUN.SRL
A.MENARINI IND.FARMAC.RIUN.SRL
A.MENARINI IND.FARMAC.RIUN.SRL
A.MENARINI IND.FARMAC.RIUN.SRL
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
CEFIXIMA 2% GRAN PER SOSP.100ML/CEFIXORAL*OS 100ML 100MG/5ML+S
CEFIXIMA 2% GRAN PER SOSP.100ML/CEFIXORAL*OS 100ML 100MG/5ML+S
CEFIXIMA 2% GRAN PER SOSP.100ML/CEFIXORAL*OS 100ML 100MG/5ML+S
CEFIXIMA 400MG RIV CPR/CEFIXORAL*5CPR RIV 400MG
CEFIXIMA 400MG RIV CPR/CEFIXORAL*5CPR RIV 400MG
CEFIXIMA 400MG RIV CPR/CEFIXORAL*5CPR RIV 400MG
CEFIXIMA 400MG RIV CPR/CEFIXORAL*5CPR RIV 400MG
CEFIXIMA 400MG RIV CPR/CEFIXORAL*5CPR RIV 400MG
CEFIXIMA 400MG RIV CPR/CEFIXORAL*5CPR RIV 400MG
CEFIXIMA 400MG RIV CPR/CEFIXORAL*5CPR RIV 400MG
RANITIDINA CLOR. 50MG/5ML F EV/RANIDIL*EV 10F 50MG/5ML
RANITIDINA CLOR. 50MG/5ML F EV/RANIDIL*EV 10F 50MG/5ML
RANITIDINA CLOR. 50MG/5ML F EV/RANIDIL*EV 10F 50MG/5ML
RANITIDINA CLOR. 50MG/5ML F EV/RANIDIL*EV 10F 50MG/5ML
RANITIDINA CLOR. 50MG/5ML F EV/RANIDIL*EV 10F 50MG/5ML
RANITIDINA CLOR. 50MG/5ML F EV/RANIDIL*EV 10F 50MG/5ML
RANITIDINA CLOR. 50MG/5ML F EV/RANIDIL*EV 10F 50MG/5ML
CLARITROMICINA 125MG GRAT BB SOSP/KLACID*BB OS GRAT 100ML 125MG/5ML
CLARITROMICINA 125MG GRAT BB SOSP/KLACID*BB OS GRAT 100ML 125MG/5ML
CLARITROMICINA 250MG CPR RIV/KLACID*12CPR RIV 250MG
CLARITROMICINA 250MG CPR RIV/KLACID*12CPR RIV 250MG
CLARITROMICINA 250MG CPR RIV/KLACID*12CPR RIV 250MG
CLARITROMICINA 250MG CPR RIV/KLACID*12CPR RIV 250MG
CLARITROMICINA 250MG CPR RIV/KLACID*12CPR RIV 250MG
CLARITROMICINA 250MG CPR RIV/KLACID*12CPR RIV 250MG
DELORAZEPAM 2MG FL IM/EV/EN*IM IV 3F 1ML 2MG
DELORAZEPAM 2MG FL IM/EV/EN*IM IV 3F 1ML 2MG
DELORAZEPAM 2MG FL IM/EV/EN*IM IV 3F 1ML 2MG
DELORAZEPAM 5MG FL IM/EV/EN*IM IV 3F 1ML 5MG
DELORAZEPAM 5MG FL IM/EV/EN*IM IV 3F 1ML 5MG
DELORAZEPAM 5MG FL IM/EV/EN*IM IV 3F 1ML 5MG
DELORAZEPAM 5MG FL IM/EV/EN*IM IV 3F 1ML 5MG
IBUPROFENE 150ML 20MG/ML SOSP OS/SINIFEV*OS SOSP 150ML 20MG/ML
IBUPROFENE 150ML 20MG/ML SOSP OS/SINIFEV*OS SOSP 150ML 20MG/ML
IBUPROFENE 150ML 20MG/ML SOSP OS/SINIFEV*OS SOSP 150ML 20MG/ML
IBUPROFENE 150ML 20MG/ML SOSP OS/SINIFEV*OS SOSP 150ML 20MG/ML
IBUPROFENE 400MG CPR RIV PVC/ALU/BRUFEN*30CPR RIV 400MG PVC/ALU
IBUPROFENE 400MG CPR RIV PVC/ALU/BRUFEN*30CPR RIV 400MG PVC/ALU
IBUPROFENE 400MG CPR RIV PVC/ALU/BRUFEN*30CPR RIV 400MG PVC/ALU
IBUPROFENE 400MG CPR RIV PVC/ALU/BRUFEN*30CPR RIV 400MG PVC/ALU
IBUPROFENE 400MG CPR RIV PVC/ALU/BRUFEN*30CPR RIV 400MG PVC/ALU
IBUPROFENE 400MG CPR RIV PVC/ALU/BRUFEN*30CPR RIV 400MG PVC/ALU
IBUPROFENE 400MG CPR RIV PVC/ALU/BRUFEN*30CPR RIV 400MG PVC/ALU
PANCRELIPASI 10000UI 150MG CPS/CREON 10000UI*100CPS 150MG RM
PANCRELIPASI 10000UI 150MG CPS/CREON 10000UI*100CPS 150MG RM
PANCRELIPASI 10000UI 150MG CPS/CREON 10000UI*100CPS 150MG RM
PANCRELIPASI 10000UI 150MG CPS/CREON 10000UI*100CPS 150MG RM
1di89
25
25
1250
1250
1250
1500
1250
1250
3750
7500
5000
7500
10000
5000
10000
10000
25
25
900
2250
1200
3000
3000
3750
225
300
300
375
2250
300
3750
25
25
25
50
1500
7500
11250
11250
11250
7500
5250
20000
1250
22000
2000
30000
6
€ 102,27
€ 102,27
€ 102,27
€ 652,91
€ 652,91
€ 652,91
€ 783,50
€ 652,91
€ 652,91
€ 1.958,73
€ 690,02
€ 460,02
€ 690,02
€ 920,05
€ 460,02
€ 920,05
€ 920,05
€ 60,75
€ 60,75
€ 77,09
€ 192,75
€ 102,80
€ 257,02
€ 257,02
€ 321,27
€ 224,80
€ 311,45
€ 311,45
€ 67,14
€ 419,64
€ 56,34
€ 700,20
€ 33,75
€ 33,75
€ 33,75
€ 67,50
€ 52,52
€ 262,57
€ 393,89
€ 393,89
€ 393,89
€ 262,57
€ 183,80
€ 1.573,32
€ 98,32
€ 1.730,66
€ 157,32
€ 112,50
€ 112,50
€ 112,50
€ 718,20
€ 718,20
€ 718,20
€ 861,85
€ 718,20
€ 718,20
€ 2.154,60
€ 759,03
€ 506,03
€ 759,03
€ 1.012,05
€ 506,03
€ 1.012,05
€ 1.012,05
€ 66,83
€ 66,83
€ 84,80
€ 212,03
€ 113,08
€ 282,73
€ 282,73
€ 353,40
€ 247,28
€ 342,60
€ 342,60
€ 73,85
€ 461,60
€ 61,98
€ 770,23
€ 37,13
€ 37,13
€ 37,13
€ 74,25
€ 57,78
€ 288,83
€ 433,28
€ 433,28
€ 433,28
€ 288,83
€ 202,18
€ 1.730,65
€ 108,15
€ 1.903,73
€ 173,05
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
922
623
623
623
623
623
8337
8337
8337
8337
8336
8336
8336
8336
8336
8336
3319
3319
3319
6484
6484
6484
6484
6484
6484
6485
5215
621
621
6490
6490
6490
6490
6490
6490
1987
1987
6489
6489
6489
6489
6489
6492
6492
6492
6492
6492
Ditta Offerente
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
PANCRELIPASI 10000UI 150MG CPS/CREON 10000UI*100CPS 150MG RM
PANCRELIPASI 25000UI 300MG CPS RM/CREON 25000UI*100CPS 300MG RM
PANCRELIPASI 25000UI 300MG CPS RM/CREON 25000UI*100CPS 300MG RM
PANCRELIPASI 25000UI 300MG CPS RM/CREON 25000UI*100CPS 300MG RM
PANCRELIPASI 25000UI 300MG CPS RM/CREON 25000UI*100CPS 300MG RM
PANCRELIPASI 25000UI 300MG CPS RM/CREON 25000UI*100CPS 300MG RM
PROMAZINA CLOR. 4G/100ML FL GTT/TALOFEN*GTT FL 30ML 4G/100ML
PROMAZINA CLOR. 4G/100ML FL GTT/TALOFEN*GTT FL 30ML 4G/100ML
PROMAZINA CLOR. 4G/100ML FL GTT/TALOFEN*GTT FL 30ML 4G/100ML
PROMAZINA CLOR. 4G/100ML FL GTT/TALOFEN*GTT FL 30ML 4G/100ML
PROMAZINA CLOR.25MG/ML 2ML F IM/TALOFEN*INIET 6F 2ML 25MG/ML
PROMAZINA CLOR.25MG/ML 2ML F IM/TALOFEN*INIET 6F 2ML 25MG/ML
PROMAZINA CLOR.25MG/ML 2ML F IM/TALOFEN*INIET 6F 2ML 25MG/ML
PROMAZINA CLOR.25MG/ML 2ML F IM/TALOFEN*INIET 6F 2ML 25MG/ML
PROMAZINA CLOR.25MG/ML 2ML F IM/TALOFEN*INIET 6F 2ML 25MG/ML
PROMAZINA CLOR.25MG/ML 2ML F IM/TALOFEN*INIET 6F 2ML 25MG/ML
PROPAFENONE 325MG CPS R.P. -CDR/RYTMONORM*28CPR 325MG R.P.
PROPAFENONE 325MG CPS R.P. -CDR/RYTMONORM*28CPR 325MG R.P.
PROPAFENONE 325MG CPS R.P. -CDR/RYTMONORM*28CPR 325MG R.P.
PROPAFENONE CLOR.150MG CPR RIV/RYTMONORM*30CPR RIV 150MG
PROPAFENONE CLOR.150MG CPR RIV/RYTMONORM*30CPR RIV 150MG
PROPAFENONE CLOR.150MG CPR RIV/RYTMONORM*30CPR RIV 150MG
PROPAFENONE CLOR.150MG CPR RIV/RYTMONORM*30CPR RIV 150MG
PROPAFENONE CLOR.150MG CPR RIV/RYTMONORM*30CPR RIV 150MG
PROPAFENONE CLOR.150MG CPR RIV/RYTMONORM*30CPR RIV 150MG
PROPAFENONE CLOR.300MG CPR RIV/RYTMONORM*3OCPR RIV 300MG
PROPAFENONE CLOR.425MG CPS RP/RYTMONORM*28CPS 425MG RP PVC/A
SOTALOLO CLOR. 80MG CPR/RYTMOBETA*50CPR 80MG
SOTALOLO CLOR. 80MG CPR/RYTMOBETA*50CPR 80MG
VERAPAMIL CLOR. 120MG CPR R.P./ISOPTIN*30CPR 120MG R.P.
VERAPAMIL CLOR. 120MG CPR R.P./ISOPTIN*30CPR 120MG R.P.
VERAPAMIL CLOR. 120MG CPR R.P./ISOPTIN*30CPR 120MG R.P.
VERAPAMIL CLOR. 120MG CPR R.P./ISOPTIN*30CPR 120MG R.P.
VERAPAMIL CLOR. 120MG CPR R.P./ISOPTIN*30CPR 120MG R.P.
VERAPAMIL CLOR. 120MG CPR R.P./ISOPTIN*30CPR 120MG R.P.
VERAPAMIL CLOR. 240MG CPR RP/ISOPTIN*30CPR 240MG RP
VERAPAMIL CLOR. 240MG CPR RP/ISOPTIN*30CPR 240MG RP
VERAPAMIL CLOR. 40MG CPR RIV/ISOPTIN*30CPR RIV 40MG
VERAPAMIL CLOR. 40MG CPR RIV/ISOPTIN*30CPR RIV 40MG
VERAPAMIL CLOR. 40MG CPR RIV/ISOPTIN*30CPR RIV 40MG
VERAPAMIL CLOR. 40MG CPR RIV/ISOPTIN*30CPR RIV 40MG
VERAPAMIL CLOR. 40MG CPR RIV/ISOPTIN*30CPR RIV 40MG
VERAPAMIL CLOR. 5MG/2ML F EV/ISOPTIN FIALE*EV 5F 5MG 2ML
VERAPAMIL CLOR. 5MG/2ML F EV/ISOPTIN FIALE*EV 5F 5MG 2ML
VERAPAMIL CLOR. 5MG/2ML F EV/ISOPTIN FIALE*EV 5F 5MG 2ML
VERAPAMIL CLOR. 5MG/2ML F EV/ISOPTIN FIALE*EV 5F 5MG 2ML
VERAPAMIL CLOR. 5MG/2ML F EV/ISOPTIN FIALE*EV 5F 5MG 2ML
2di89
10000
10000
10000
12500
15000
1500
1500
1500
1500
1050
750
450
1050
450
750
701
1050
1399
750
1049
1049
3750
1049
2250
600
700
5000
5000
2475
1500
1500
2475
2999
3750
750
750
1126
2249
1500
1500
2249
625
625
500
625
125
1500
7
€ 2.359,98
€ 2.920,91
€ 2.920,91
€ 2.920,91
€ 3.651,16
€ 4.381,39
€ 8.623,64
€ 8.623,64
€ 8.625,00
€ 8.625,00
€ 1.233,27
€ 880,93
€ 528,55
€ 1.233,27
€ 526,50
€ 877,50
€ 18,93
€ 28,39
€ 37,82
€ 11,25
€ 15,75
€ 15,75
€ 56,27
€ 15,75
€ 33,77
€ 12,00
€ 49,00
€ 75,02
€ 75,02
€ 34,68
€ 21,02
€ 21,02
€ 34,68
€ 42,02
€ 52,55
€ 13,50
€ 13,50
€ 10,14
€ 20,25
€ 13,50
€ 13,50
€ 20,25
€ 175,02
€ 175,02
€ 140,02
€ 175,02
€ 35,00
€ 2.595,98
€ 3.213,00
€ 3.213,00
€ 3.213,00
€ 4.016,28
€ 4.819,53
€ 9.486,00
€ 9.486,00
€ 9.487,50
€ 9.487,50
€ 1.356,60
€ 969,03
€ 581,40
€ 1.356,60
€ 579,15
€ 965,25
€ 20,83
€ 31,23
€ 41,60
€ 12,38
€ 17,33
€ 17,33
€ 61,90
€ 17,33
€ 37,15
€ 13,20
€ 53,90
€ 82,53
€ 82,53
€ 38,15
€ 23,13
€ 23,13
€ 38,15
€ 46,23
€ 57,80
€ 14,85
€ 14,85
€ 11,15
€ 22,28
€ 14,85
€ 14,85
€ 22,28
€ 192,53
€ 192,53
€ 154,03
€ 192,53
€ 38,50
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
6491
6491
6491
1536
1536
1536
1536
1536
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4914
4893
4893
4893
4893
4893
4893
Ditta Offerente
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBOTT S.R.L.
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
VERAPAMIL CLOR. 80MG CPR RIV/ISOPTIN*30CPR RIV 80MG
VERAPAMIL CLOR. 80MG CPR RIV/ISOPTIN*30CPR RIV 80MG
VERAPAMIL CLOR. 80MG CPR RIV/ISOPTIN*30CPR RIV 80MG
ADALIMUMAB 40MG F/SIR ANTARES -DSC/HUMIRA*SC 2SIR+F 40MG 0,8ML+2T
ADALIMUMAB 40MG F/SIR ANTARES -DSC/HUMIRA*SC 2SIR+F 40MG 0,8ML+2T
ADALIMUMAB 40MG F/SIR ANTARES -DSC/HUMIRA*SC 2SIR+F 40MG 0,8ML+2T
ADALIMUMAB 40MG F/SIR ANTARES -DSC/HUMIRA*SC 2SIR+F 40MG 0,8ML+2T
ADALIMUMAB 40MG F/SIR ANTARES -DSC/HUMIRA*SC 2SIR+F 40MG 0,8ML+2T
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LEVODOPA/CARBIDOPA 20+5MG/ML GEL/DUODOPA*7SA 100ML20MG/ML+5MG/M
LOPINAVIR/RITONAVIR 200MG+50MG CPR/KALETRA*120CPR RIV 200MG+50MG
LOPINAVIR/RITONAVIR 200MG+50MG CPR/KALETRA*120CPR RIV 200MG+50MG
LOPINAVIR/RITONAVIR 200MG+50MG CPR/KALETRA*120CPR RIV 200MG+50MG
LOPINAVIR/RITONAVIR 200MG+50MG CPR/KALETRA*120CPR RIV 200MG+50MG
LOPINAVIR/RITONAVIR 200MG+50MG CPR/KALETRA*120CPR RIV 200MG+50MG
LOPINAVIR/RITONAVIR 200MG+50MG CPR/KALETRA*120CPR RIV 200MG+50MG
3di89
1500
2250
500
500
500
500
800
88
88
70
70
70
88
88
70
70
70
70
88
88
52
70
70
88
88
70
70
18
88
88
70
70
70
88
70
70
70
88
88
88
30000
30000
30000
30000
22500
57300
220
8
€ 15,00
€ 15,00
€ 22,50
€ 232.952,57
€ 232.947,75
€ 232.946,48
€ 232.947,45
€ 372.716,00
€ 8.102,25
€ 8.102,25
€ 6.481,80
€ 6.481,80
€ 6.481,80
€ 8.102,25
€ 8.102,25
€ 6.481,80
€ 6.481,80
€ 6.481,80
€ 6.481,80
€ 8.102,25
€ 8.102,25
€ 4.861,34
€ 6.481,80
€ 6.481,80
€ 8.102,50
€ 8.102,50
€ 6.482,00
€ 6.482,00
€ 1.620,50
€ 8.102,50
€ 8.102,50
€ 6.482,00
€ 6.482,00
€ 6.482,00
€ 8.102,50
€ 6.482,00
€ 6.482,00
€ 6.482,00
€ 8.102,50
€ 8.102,50
€ 8.102,50
€ 81.275,14
€ 81.275,14
€ 81.275,14
€ 81.277,09
€ 60.957,82
€ 155.235,50
€ 16,50
€ 16,50
€ 24,75
€ 256.247,83
€ 256.242,53
€ 256.241,13
€ 256.242,20
€ 409.987,60
€ 8.912,48
€ 8.912,48
€ 7.129,98
€ 7.129,98
€ 7.129,98
€ 8.912,48
€ 8.912,48
€ 7.129,98
€ 7.129,98
€ 7.129,98
€ 7.129,98
€ 8.912,48
€ 8.912,48
€ 5.347,48
€ 7.129,98
€ 7.129,98
€ 8.912,75
€ 8.912,75
€ 7.130,20
€ 7.130,20
€ 1.782,55
€ 8.912,75
€ 8.912,75
€ 7.130,20
€ 7.130,20
€ 7.130,20
€ 8.912,75
€ 7.130,20
€ 7.130,20
€ 7.130,20
€ 8.912,75
€ 8.912,75
€ 8.912,75
€ 89.402,65
€ 89.402,65
€ 89.402,65
€ 89.404,80
€ 67.053,60
€ 170.759,05
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
1162
1162
1162
5409
5409
5409
5409
1542
855
855
855
855
855
855
1026
1026
1026
1026
1026
1026
7760
7760
7760
7760
7760
7760
6845
6845
6845
6845
5849
5849
5849
5849
2014
2014
2014
2014
2014
2014
2014
2014
1141
1141
1141
12631
12631
Ditta Offerente
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABBVIE SRL
ABC FARMACEUTICI SPA
ABC FARMACEUTICI SPA
ABC FARMACEUTICI SPA
ABC FARMACEUTICI SPA
ABC FARMACEUTICI SPA
ABC FARMACEUTICI SPA
ABC FARMACEUTICI SPA
ABC FARMACEUTICI SPA
ABC FARMACEUTICI SPA
ABC FARMACEUTICI SPA
ABIOGEN PHARMA SPA
ABIOGEN PHARMA SPA
ABIOGEN PHARMA SPA
ABIOGEN PHARMA SPA
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
PALIVIZUMAB 100MG+AMP SOLV F IM/SYNAGIS*IM 1F 100MG+1AMP SOLV
PALIVIZUMAB 100MG+AMP SOLV F IM/SYNAGIS*IM 1F 100MG+1AMP SOLV
PALIVIZUMAB 100MG+AMP SOLV F IM/SYNAGIS*IM 1F 100MG+1AMP SOLV
PARACALCITOLO 1MCG CPS
-DSC/ZEMPLAR*28CPS 1MCG
PARACALCITOLO 1MCG CPS
-DSC/ZEMPLAR*28CPS 1MCG
PARACALCITOLO 1MCG CPS
-DSC/ZEMPLAR*28CPS 1MCG
PARACALCITOLO 1MCG CPS
-DSC/ZEMPLAR*28CPS 1MCG
PARACALCITOLO 5MCG 1ML F
-DSC/ZEMPLAR*INIET 5F 1ML 5MCG/ML
RITONAVIR 100MG CPR RIV/NORVIR*FL 30CPR RIV 100MG
RITONAVIR 100MG CPR RIV/NORVIR*FL 30CPR RIV 100MG
RITONAVIR 100MG CPR RIV/NORVIR*FL 30CPR RIV 100MG
RITONAVIR 100MG CPR RIV/NORVIR*FL 30CPR RIV 100MG
RITONAVIR 100MG CPR RIV/NORVIR*FL 30CPR RIV 100MG
RITONAVIR 100MG CPR RIV/NORVIR*FL 30CPR RIV 100MG
SEVOFLURANO 250ML FL+QUIK FIL INAL/SEVORANE*INAL 250ML QUIK FIL
SEVOFLURANO 250ML FL+QUIK FIL INAL/SEVORANE*INAL 250ML QUIK FIL
SEVOFLURANO 250ML FL+QUIK FIL INAL/SEVORANE*INAL 250ML QUIK FIL
SEVOFLURANO 250ML FL+QUIK FIL INAL/SEVORANE*INAL 250ML QUIK FIL
SEVOFLURANO 250ML FL+QUIK FIL INAL/SEVORANE*INAL 250ML QUIK FIL
SEVOFLURANO 250ML FL+QUIK FIL INAL/SEVORANE*INAL 250ML QUIK FIL
DOMPERIDONE 10MG CPR RIV/DOMPERIDONE ABC*30CPR 10MG
DOMPERIDONE 10MG CPR RIV/DOMPERIDONE ABC*30CPR 10MG
DOMPERIDONE 10MG CPR RIV/DOMPERIDONE ABC*30CPR 10MG
DOMPERIDONE 10MG CPR RIV/DOMPERIDONE ABC*30CPR 10MG
DOMPERIDONE 10MG CPR RIV/DOMPERIDONE ABC*30CPR 10MG
DOMPERIDONE 10MG CPR RIV/DOMPERIDONE ABC*30CPR 10MG
NORFLOXACINA 400MG CPR RIV/NORFLOXACINA ABC*14CPS 400MG
NORFLOXACINA 400MG CPR RIV/NORFLOXACINA ABC*14CPS 400MG
NORFLOXACINA 400MG CPR RIV/NORFLOXACINA ABC*14CPS 400MG
NORFLOXACINA 400MG CPR RIV/NORFLOXACINA ABC*14CPS 400MG
SODIO NERIDRONATO 100MG F/NERIXIA*INFUS IV CONC 2F 100MG
SODIO NERIDRONATO 100MG F/NERIXIA*INFUS IV CONC 2F 100MG
SODIO NERIDRONATO 100MG F/NERIXIA*INFUS IV CONC 2F 100MG
SODIO NERIDRONATO 100MG F/NERIXIA*INFUS IV CONC 2F 100MG
AC.ALENDRONICO 70MG CPR/ADRONAT 70*4CPR 70MG
AC.ALENDRONICO 70MG CPR/ADRONAT 70*4CPR 70MG
AC.ALENDRONICO 70MG CPR/ADRONAT 70*4CPR 70MG
AC.ALENDRONICO 70MG CPR/ADRONAT 70*4CPR 70MG
AC.ALENDRONICO 70MG CPR/ADRONAT 70*4CPR 70MG
AC.ALENDRONICO 70MG CPR/ALENDRONATO AHCL*4CPR 70MG
AC.ALENDRONICO 70MG CPR/ALENDRONATO AHCL*4CPR 70MG
AC.ALENDRONICO 70MG CPR/ALENDRONATO AHCL*4CPR 70MG
BICALUTAMIDE 50MG CPR
-DSC/BICALUTAMIDE AHCL*28CPR RIV 50MG
BICALUTAMIDE 50MG CPR
-DSC/BICALUTAMIDE AHCL*28CPR RIV 50MG
BICALUTAMIDE 50MG CPR
-DSC/BICALUTAMIDE AHCL*28CPR RIV 50MG
CARBOPLATINO 150MG/15ML EV/CARBOPLATINO AHCL*EV 150MG/15ML
CARBOPLATINO 150MG/15ML EV/CARBOPLATINO AHCL*EV 150MG/15ML
4di89
50
63
420
420
280
560
2325
15000
15000
30000
22500
15000
15000
150
13
25
125
125
250
15000
30000
15000
37500
15000
37500
700
1750
1050
3500
10
10
10
10
350
750
1000
700
1000
350
2000
350
1400
350
280
375
250
500
9
€ 179.156,98
€ 40.719,41
€ 50.897,77
€ 1.282,75
€ 1.282,75
€ 855,18
€ 1.710,32
€ 36.028,20
€ 11.351,70
€ 11.351,70
€ 22.700,30
€ 17.026,75
€ 11.351,70
€ 11.351,70
€ 12.324,77
€ 1.027,07
€ 2.054,14
€ 10.270,66
€ 10.270,66
€ 20.537,57
€ 150,00
€ 300,00
€ 150,00
€ 375,00
€ 150,00
€ 375,00
€ 50,89
€ 127,18
€ 76,30
€ 254,34
€ 296,91
€ 296,91
€ 296,91
€ 296,91
€ 700,00
€ 1.500,00
€ 2.000,00
€ 1.400,00
€ 2.000,00
€ 31,55
€ 180,25
€ 700,00
€ 112,14
€ 28,02
€ 22,43
€ 1.500,00
€ 1.000,00
€ 197.072,68
€ 44.791,35
€ 55.987,55
€ 1.411,03
€ 1.411,03
€ 940,70
€ 1.881,35
€ 39.631,03
€ 12.486,88
€ 12.486,88
€ 24.970,33
€ 18.729,43
€ 12.486,88
€ 12.486,88
€ 13.557,25
€ 1.129,78
€ 2.259,55
€ 11.297,73
€ 11.297,73
€ 22.591,33
€ 165,00
€ 330,00
€ 165,00
€ 412,50
€ 165,00
€ 412,50
€ 55,98
€ 139,90
€ 83,93
€ 279,78
€ 326,60
€ 326,60
€ 326,60
€ 326,60
€ 770,00
€ 1.650,00
€ 2.200,00
€ 1.540,00
€ 2.200,00
€ 34,70
€ 198,28
€ 770,00
€ 123,35
€ 30,83
€ 24,68
€ 1.650,00
€ 1.100,00
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
12631
12782
12782
12782
12782
12782
6058
6058
3372
3372
3372
3372
1227
1227
1227
1227
1235
1235
1236
1236
1236
1236
1236
928
928
928
928
928
928
929
929
929
929
929
3486
3486
3486
3486
3486
3432
3432
3432
3432
3432
3432
3432
856
Ditta Offerente
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
CARBOPLATINO 150MG/15ML EV/CARBOPLATINO AHCL*EV 150MG/15ML
CARBOPLATINO 50MG/5ML EV/CARBOPLATINO AHCL*EV 50MG/5ML
CARBOPLATINO 50MG/5ML EV/CARBOPLATINO AHCL*EV 50MG/5ML
CARBOPLATINO 50MG/5ML EV/CARBOPLATINO AHCL*EV 50MG/5ML
CARBOPLATINO 50MG/5ML EV/CARBOPLATINO AHCL*EV 50MG/5ML
CARBOPLATINO 50MG/5ML EV/CARBOPLATINO AHCL*EV 50MG/5ML
DOXORUBICINA CLOR. 10MG/5ML IV/DOXORUBICINA ACC*IV 10MG/5ML
DOXORUBICINA CLOR. 10MG/5ML IV/DOXORUBICINA ACC*IV 10MG/5ML
DOXORUBICINA CLOR. 50MG/25ML IV/DOXORUBICINA ACC*IV 50MG/25ML
DOXORUBICINA CLOR. 50MG/25ML IV/DOXORUBICINA ACC*IV 50MG/25ML
DOXORUBICINA CLOR. 50MG/25ML IV/DOXORUBICINA ACC*IV 50MG/25ML
DOXORUBICINA CLOR. 50MG/25ML IV/DOXORUBICINA ACC*IV 50MG/25ML
FINASTERIDE 5MG CPR RIV
-CDR/FINASTERIDE AHCL*15CPR RIV 5MG
FINASTERIDE 5MG CPR RIV
-CDR/FINASTERIDE AHCL*15CPR RIV 5MG
FINASTERIDE 5MG CPR RIV
-CDR/FINASTERIDE AHCL*15CPR RIV 5MG
FINASTERIDE 5MG CPR RIV
-CDR/FINASTERIDE AHCL*15CPR RIV 5MG
FLUOROURACILE 1G/20ML FL/FLUOROURACILE AHCL*FL 20ML 1G
FLUOROURACILE 1G/20ML FL/FLUOROURACILE AHCL*FL 20ML 1G
FLUOROURACILE 5G/100ML FL/FLUOROURACILE AHCL*FL 100ML 5G
FLUOROURACILE 5G/100ML FL/FLUOROURACILE AHCL*FL 100ML 5G
FLUOROURACILE 5G/100ML FL/FLUOROURACILE AHCL*FL 100ML 5G
FLUOROURACILE 5G/100ML FL/FLUOROURACILE AHCL*FL 100ML 5G
FLUOROURACILE 5G/100ML FL/FLUOROURACILE AHCL*FL 100ML 5G
GEMCITABINA 1G FL INF/GEMCITABINA ACCORD*INF FL 1G
GEMCITABINA 1G FL INF/GEMCITABINA ACCORD*INF FL 1G
GEMCITABINA 1G FL INF/GEMCITABINA ACCORD*INF FL 1G
GEMCITABINA 1G FL INF/GEMCITABINA ACCORD*INF FL 1G
GEMCITABINA 1G FL INF/GEMCITABINA ACCORD*INF FL 1G
GEMCITABINA 1G FL INF/GEMCITABINA ACCORD*INF FL 1G
GEMCITABINA 200MG FL INF/GEMCITABINA ACCORD*INF FL200MG F
GEMCITABINA 200MG FL INF/GEMCITABINA ACCORD*INF FL200MG F
GEMCITABINA 200MG FL INF/GEMCITABINA ACCORD*INF FL200MG F
GEMCITABINA 200MG FL INF/GEMCITABINA ACCORD*INF FL200MG F
GEMCITABINA 200MG FL INF/GEMCITABINA ACCORD*INF FL200MG F
LEVETIRACETAM 1000MG CPR RIV/LEVETIRACETAM ACC*30CPR 1000MG
LEVETIRACETAM 1000MG CPR RIV/LEVETIRACETAM ACC*30CPR 1000MG
LEVETIRACETAM 1000MG CPR RIV/LEVETIRACETAM ACC*30CPR 1000MG
LEVETIRACETAM 1000MG CPR RIV/LEVETIRACETAM ACC*30CPR 1000MG
LEVETIRACETAM 1000MG CPR RIV/LEVETIRACETAM ACC*30CPR 1000MG
LEVETIRACETAM 500MG CPR RIV/LEVETIRACETAM ACC*60CPR 500MG
LEVETIRACETAM 500MG CPR RIV/LEVETIRACETAM ACC*60CPR 500MG
LEVETIRACETAM 500MG CPR RIV/LEVETIRACETAM ACC*60CPR 500MG
LEVETIRACETAM 500MG CPR RIV/LEVETIRACETAM ACC*60CPR 500MG
LEVETIRACETAM 500MG CPR RIV/LEVETIRACETAM ACC*60CPR 500MG
LEVETIRACETAM 500MG CPR RIV/LEVETIRACETAM ACC*60CPR 500MG
LEVETIRACETAM 500MG CPR RIV/LEVETIRACETAM ACC*60CPR 500MG
MICOFENOLATO MOFETILE 500MG CPR/MICOFENOLATO M AHCL*50CPR 500MG
5di89
125
125
125
125
250
125
125
200
150
125
200
2138
1500
7500
1500
375
250
200
200
175
175
375
250
300
250
250
250
625
125
250
250
200
250
1500
750
1125
1500
3750
15000
7500
6750
7500
10500
15000
15000
17500
20000
10
€ 2.000,00
€ 225,57
€ 225,57
€ 225,57
€ 225,57
€ 451,14
€ 237,55
€ 237,55
€ 1.400,20
€ 1.050,16
€ 875,14
€ 1.400,20
€ 106,98
€ 75,07
€ 375,34
€ 75,07
€ 367,55
€ 245,02
€ 600,25
€ 600,25
€ 525,23
€ 525,23
€ 1.125,48
€ 2.250,00
€ 2.700,00
€ 2.250,00
€ 2.250,00
€ 2.250,00
€ 5.625,00
€ 203,09
€ 406,20
€ 406,20
€ 324,95
€ 406,20
€ 328,66
€ 164,32
€ 247,50
€ 330,00
€ 821,64
€ 1.699,50
€ 849,75
€ 764,77
€ 849,75
€ 1.155,00
€ 1.650,00
€ 1.650,00
€ 2.626,32
€ 2.200,00
€ 248,13
€ 248,13
€ 248,13
€ 248,13
€ 496,25
€ 261,30
€ 261,30
€ 1.540,23
€ 1.155,18
€ 962,65
€ 1.540,23
€ 117,68
€ 82,58
€ 412,88
€ 82,58
€ 404,30
€ 269,53
€ 660,28
€ 660,28
€ 577,75
€ 577,75
€ 1.238,03
€ 2.475,00
€ 2.970,00
€ 2.475,00
€ 2.475,00
€ 2.475,00
€ 6.187,50
€ 223,40
€ 446,83
€ 446,83
€ 357,45
€ 446,83
€ 361,53
€ 180,75
€ 272,25
€ 363,00
€ 903,80
€ 1.869,45
€ 934,73
€ 841,25
€ 934,73
€ 1.270,50
€ 1.815,00
€ 1.815,00
€ 2.888,95
ALLEGATO A
Cod.SFO
98 856
98 856
98 856
98 856
98 856
98 863
98 863
98 863
98 863
98 863
98 863
98 863
98 91
98 91
98 91
98 91
98 1065
98 5749
98 5749
98 808
98 808
98 808
98 808
98 872
98 872
98 872
98 872
98 1040
98 1040
98 510
98 510
98 510
98 510
98 510
98 8701
98 8701
98 8701
98 8701
98 508
98 586
98 441
98 441
98 11133
98 11133
98 11133
98 11133
98 11133
Ditta Offerente
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACCORD HEALTHCARE ITALIA SRL
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
MICOFENOLATO MOFETILE 500MG CPR/MICOFENOLATO M AHCL*50CPR 500MG
MICOFENOLATO MOFETILE 500MG CPR/MICOFENOLATO M AHCL*50CPR 500MG
MICOFENOLATO MOFETILE 500MG CPR/MICOFENOLATO M AHCL*50CPR 500MG
MICOFENOLATO MOFETILE 500MG CPR/MICOFENOLATO M AHCL*50CPR 500MG
MICOFENOLATO MOFETILE 500MG CPR/MICOFENOLATO M AHCL*50CPR 500MG
MIDAZOLAM CLOR.15MG/3ML F IM/EV/MIDAZOLAM ACC*10F 3ML 5MG/ML IM/EV
MIDAZOLAM CLOR.15MG/3ML F IM/EV/MIDAZOLAM ACC*10F 3ML 5MG/ML IM/EV
MIDAZOLAM CLOR.15MG/3ML F IM/EV/MIDAZOLAM ACC*10F 3ML 5MG/ML IM/EV
MIDAZOLAM CLOR.15MG/3ML F IM/EV/MIDAZOLAM ACC*10F 3ML 5MG/ML IM/EV
MIDAZOLAM CLOR.15MG/3ML F IM/EV/MIDAZOLAM ACC*10F 3ML 5MG/ML IM/EV
MIDAZOLAM CLOR.15MG/3ML F IM/EV/MIDAZOLAM ACC*10F 3ML 5MG/ML IM/EV
MIDAZOLAM CLOR.15MG/3ML F IM/EV/MIDAZOLAM ACC*10F 3ML 5MG/ML IM/EV
ONDANSETRON 8MG/4ML FL IV IM/ONDANSETRONE ACC*10F 4ML 2MG/ML
ONDANSETRON 8MG/4ML FL IV IM/ONDANSETRONE ACC*10F 4ML 2MG/ML
ONDANSETRON 8MG/4ML FL IV IM/ONDANSETRONE ACC*10F 4ML 2MG/ML
ONDANSETRON 8MG/4ML FL IV IM/ONDANSETRONE ACC*10F 4ML 2MG/ML
PACLITAXEL 100MG/16,7ML FL EV/PACLITAXEL ACC*FL 100MG/16,7ML
PACLITAXEL 300MG/50ML FL EV/PACLITAXEL ACC*FL 300MG/50ML
PACLITAXEL 300MG/50ML FL EV/PACLITAXEL ACC*FL 300MG/50ML
PACLITAXEL 30MG/5ML FL EV/PACLITAXEL ACC*FL 30MG/5ML
PACLITAXEL 30MG/5ML FL EV/PACLITAXEL ACC*FL 30MG/5ML
PACLITAXEL 30MG/5ML FL EV/PACLITAXEL ACC*FL 30MG/5ML
PACLITAXEL 30MG/5ML FL EV/PACLITAXEL ACC*FL 30MG/5ML
REMIFENTANIL 2MG/5ML FL INF/REMIFENTANIL ACC *POLV 5FL 2MG/5ML
REMIFENTANIL 2MG/5ML FL INF/REMIFENTANIL ACC*INF 5FL 2MG/5ML
REMIFENTANIL 2MG/5ML FL INF/REMIFENTANIL ACC*INF 5FL 2MG/5ML
REMIFENTANIL 2MG/5ML FL INF/REMIFENTANIL ACC*INF 5FL 2MG/5ML
TOPOTECAN CLOR. 4MG F EV/TOPOTECAN ACCORD*EV 1FL 4MG
TOPOTECAN CLOR. 4MG F EV/TOPOTECAN ACCORD*EV 1FL 4MG
BENZIDAMINA CLOR.0,15% COLLUT 120M/TANTUM VERDE*COLLUT 120ML
BENZIDAMINA CLOR.0,15% COLLUT 120M/TANTUM VERDE*COLLUT 120ML
BENZIDAMINA CLOR.0,15% COLLUT 120M/TANTUM VERDE*COLLUT 120ML
BENZIDAMINA CLOR.0,15% COLLUT 120M/TANTUM VERDE*COLLUT 120ML
BENZIDAMINA CLOR.0,15% COLLUT 120M/TANTUM VERDE*COLLUT 120ML
BENZIDAMINA CLOR.5% POM FORTE -CDR/TANTUM*FTE POM 50G 5%
BENZIDAMINA CLOR.5% POM FORTE -CDR/TANTUM*FTE POM 50G 5%
BENZIDAMINA CLOR.5% POM FORTE -CDR/TANTUM*FTE POM 50G 5%
BENZIDAMINA CLOR.5% POM FORTE -CDR/TANTUM*FTE POM 50G 5% AD ESAURIMEN.
CIANOCOBALAMINA 1000MCG F SC/IM/DOBETIN*INIET 5F 1000MCG 1ML-V.1902
CIANOCOBALAMINA 5000MCG F IM/DOBETIN*INIET 5F 5000MCG/2ML
MORFINA SOLF. 100MG CPS RP/TWICE*16CPS 100MG R.P.
MORFINA SOLF. 100MG CPS RP/TWICE*16CPS 100MG R.P.
MORFINA SOLF. 10MG CPS R.P./TWICE*16CPS 10MG R.P.
MORFINA SOLF. 10MG CPS R.P./TWICE*16CPS 10MG R.P.
MORFINA SOLF. 10MG CPS R.P./TWICE*16CPS 10MG R.P.
MORFINA SOLF. 10MG CPS R.P./TWICE*16CPS 10MG R.P.
MORFINA SOLF. 10MG CPS R.P./TWICE*16CPS 10MG R.P.
6di89
2500
20000
500
20000
3500
500
5000
3750
9500
500
12500
2500
250
2500
0
100
250
300
50
50
125
150
250
2250
250
2250
3
13
1250
1250
1800
1250
3750
450
225
225
180
125
125
1200
800
4000
4000
800
4000
2000
4000
11
€ 3.001,52
€ 375,20
€ 3.001,52
€ 75,05
€ 3.001,52
€ 385,00
€ 55,00
€ 550,00
€ 412,50
€ 1.045,00
€ 55,00
€ 1.375,00
€ 500,00
€ 50,00
€ 500,00
€ 0,00
€ 600,64
€ 4.500,05
€ 5.405,75
€ 125,00
€ 125,00
€ 312,50
€ 375,00
€ 458,32
€ 4.125,00
€ 458,32
€ 4.125,00
€ 23,50
€ 117,50
€ 724,50
€ 724,50
€ 1.043,27
€ 724,50
€ 1.847,73
€ 908,91
€ 454,45
€ 454,45
€ 363,59
€ 53,50
€ 78,77
€ 822,98
€ 548,66
€ 561,16
€ 561,16
€ 112,23
€ 561,16
€ 280,57
€ 3.301,68
€ 412,73
€ 3.301,68
€ 82,55
€ 3.301,68
€ 423,50
€ 60,50
€ 605,00
€ 453,75
€ 1.149,50
€ 60,50
€ 1.512,50
€ 550,00
€ 55,00
€ 550,00
€ 0,00
€ 660,70
€ 4.950,05
€ 5.946,33
€ 137,50
€ 137,50
€ 343,75
€ 412,50
€ 504,15
€ 4.537,50
€ 504,15
€ 4.537,50
€ 25,85
€ 129,25
€ 796,95
€ 796,95
€ 1.147,60
€ 796,95
€ 2.032,50
€ 999,80
€ 499,90
€ 499,90
€ 399,95
€ 58,85
€ 86,65
€ 905,28
€ 603,53
€ 617,28
€ 617,28
€ 123,45
€ 617,28
€ 308,63
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
11133
11134
11134
11134
11134
11134
11134
11134
2201
2201
2201
2201
2201
2201
2201
8137
8137
8137
8135
8135
8135
8135
8139
8139
8138
8138
8138
8134
8134
8134
8134
8134
8136
8136
780
780
780
780
780
780
8380
8380
8380
8380
8380
8380
8380
Ditta Offerente
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
MORFINA SOLF. 10MG CPS R.P./TWICE*16CPS 10MG R.P.
MORFINA SOLF. 30MG CPS R.P.DISCOIDE/TWICE*16CPS 30MG R.P.
MORFINA SOLF. 30MG CPS R.P.DISCOIDE/TWICE*16CPS 30MG R.P.
MORFINA SOLF. 30MG CPS R.P.DISCOIDE/TWICE*16CPS 30MG R.P.
MORFINA SOLF. 30MG CPS R.P.DISCOIDE/TWICE*16CPS 30MG R.P.
MORFINA SOLF. 30MG CPS R.P.DISCOIDE/TWICE*16CPS 30MG R.P.
MORFINA SOLF. 30MG CPS R.P.DISCOIDE/TWICE*16CPS 30MG R.P.
MORFINA SOLF. 30MG CPS R.P.DISCOIDE/TWICE*16CPS 30MG R.P.
PARACETAMOLO 1000MG CPR DIV/TACHIPIRINA*16CPR DIV 1000MG
PARACETAMOLO 1000MG CPR DIV/TACHIPIRINA*16CPR DIV 1000MG
PARACETAMOLO 1000MG CPR DIV/TACHIPIRINA*16CPR DIV 1000MG
PARACETAMOLO 1000MG CPR DIV/TACHIPIRINA*16CPR DIV 1000MG
PARACETAMOLO 1000MG CPR DIV/TACHIPIRINA*16CPR DIV 1000MG
PARACETAMOLO 1000MG CPR DIV/TACHIPIRINA*16CPR DIV 1000MG
PARACETAMOLO 1000MG CPR DIV/TACHIPIRINA*16CPR DIV 1000MG
PARACETAMOLO 1000MG SUPP/TACHIPIRINA*AD 100 SUPP 1000MG
PARACETAMOLO 1000MG SUPP/TACHIPIRINA*AD 100 SUPP 1000MG
PARACETAMOLO 1000MG SUPP/TACHIPIRINA*AD 100 SUPP 1000MG
PARACETAMOLO 120MG/5ML SCIR 120ML/TACHIPIRINA*SCIR 120ML 120MG/5ML
PARACETAMOLO 120MG/5ML SCIR 120ML/TACHIPIRINA*SCIR 120ML 120MG/5ML
PARACETAMOLO 120MG/5ML SCIR 120ML/TACHIPIRINA*SCIR 120ML 120MG/5ML
PARACETAMOLO 120MG/5ML SCIR 120ML/TACHIPIRINA*SCIR 120ML 120MG/5ML
PARACETAMOLO 125MG SUPP/TACHIPIRINA*PR INF 10SUPP 125MG
PARACETAMOLO 125MG SUPP/TACHIPIRINA*PR INF 10SUPP 125MG
PARACETAMOLO 250MG SUPP BB/TACHIPIRINA*BB 10SUPP 250MG
PARACETAMOLO 250MG SUPP BB/TACHIPIRINA*BB 10SUPP 250MG
PARACETAMOLO 250MG SUPP BB/TACHIPIRINA*BB 10SUPP 250MG
PARACETAMOLO 500MG CPR -RIS.PEDIAT./TACHIPIRINA*20CPR 500MG
PARACETAMOLO 500MG CPR -RIS.PEDIAT./TACHIPIRINA*20CPR 500MG
PARACETAMOLO 500MG CPR -RIS.PEDIAT./TACHIPIRINA*20CPR 500MG
PARACETAMOLO 500MG CPR -RIS.PEDIAT./TACHIPIRINA*20CPR 500MG
PARACETAMOLO 500MG CPR -RIS.PEDIAT./TACHIPIRINA*20CPR 500MG
PARACETAMOLO 500MG SUPP BB/TACHIPIRINA*BB 10SUPP 500MG
PARACETAMOLO 500MG SUPP BB/TACHIPIRINA*BB 10SUPP 500MG
PARACETAMOLO/CODEINA 500+30MG BS AD/TACHIDOL*AD 10BUST 500MG+30MG
PARACETAMOLO/CODEINA 500+30MG BS AD/TACHIDOL*AD 10BUST 500MG+30MG
PARACETAMOLO/CODEINA 500+30MG BS AD/TACHIDOL*AD 10BUST 500MG+30MG
PARACETAMOLO/CODEINA 500+30MG BS AD/TACHIDOL*AD 10BUST 500MG+30MG
PARACETAMOLO/CODEINA 500+30MG BS AD/TACHIDOL*AD 10BUST 500MG+30MG
PARACETAMOLO/CODEINA 500+30MG BS AD/TACHIDOL*AD 10BUST 500MG+30MG
TRAZODONE CLOR. 100MG CPR DIV/TRITTICO*30CPR DIV 100MG
TRAZODONE CLOR. 100MG CPR DIV/TRITTICO*30CPR DIV 100MG
TRAZODONE CLOR. 100MG CPR DIV/TRITTICO*30CPR DIV 100MG
TRAZODONE CLOR. 100MG CPR DIV/TRITTICO*30CPR DIV 100MG
TRAZODONE CLOR. 100MG CPR DIV/TRITTICO*30CPR DIV 100MG
TRAZODONE CLOR. 100MG CPR DIV/TRITTICO*30CPR DIV 100MG
TRAZODONE CLOR. 100MG CPR DIV/TRITTICO*30CPR DIV 100MG
7di89
2000
400
2000
800
2000
800
4000
30000
30000
39600
30000
30000
39600
80000
750
650
750
375
900
250
1000
750
750
250
750
750
999
999
1000
1000
1250
125
125
19995
30009
19995
19995
25001
48000
2250
7500
3000
2250
3000
3750
6000
100
12
€ 561,16
€ 509,09
€ 101,82
€ 509,09
€ 203,64
€ 509,09
€ 203,64
€ 1.018,18
€ 1.770,00
€ 1.770,00
€ 2.336,41
€ 1.770,00
€ 1.770,00
€ 2.376,00
€ 4.720,00
€ 67,50
€ 58,50
€ 67,50
€ 210,50
€ 505,20
€ 140,32
€ 561,34
€ 67,50
€ 67,50
€ 20,89
€ 67,50
€ 67,50
€ 25,84
€ 25,84
€ 28,43
€ 28,00
€ 32,32
€ 11,25
€ 11,25
€ 40,25
€ 60,41
€ 40,25
€ 40,25
€ 50,23
€ 96,43
€ 301,18
€ 1.003,95
€ 401,57
€ 301,18
€ 401,57
€ 501,98
€ 803,16
€ 617,28
€ 560,00
€ 112,00
€ 560,00
€ 224,00
€ 560,00
€ 224,00
€ 1.120,00
€ 1.947,00
€ 1.947,00
€ 2.570,05
€ 1.947,00
€ 1.947,00
€ 2.613,60
€ 5.192,00
€ 74,25
€ 64,35
€ 74,25
€ 231,55
€ 555,73
€ 154,35
€ 617,48
€ 74,25
€ 74,25
€ 22,98
€ 74,25
€ 74,25
€ 28,43
€ 28,43
€ 31,28
€ 30,80
€ 35,55
€ 12,38
€ 12,38
€ 44,28
€ 66,45
€ 44,28
€ 44,28
€ 55,25
€ 106,08
€ 331,30
€ 1.104,35
€ 441,73
€ 331,30
€ 441,73
€ 552,18
€ 883,48
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
1416
1416
1416
1416
1416
8373
8373
8373
8373
8373
8373
3307
3307
1314
1314
1314
12394
12394
3516
3516
3516
1678
1678
1678
1678
1678
1698
5228
5228
5228
5228
3544
3544
3544
3544
3544
10010
10010
10010
10010
10010
10010
10010
3301
3301
953
953
Ditta Offerente
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACRAF SPA
ACTAVIS ITALY SPA
ACTAVIS ITALY SPA
ACTAVIS ITALY SPA
ACTAVIS ITALY SPA
ACTAVIS ITALY SPA
ACTAVIS ITALY SPA
ACTAVIS ITALY SPA
ACTAVIS ITALY SPA
ACTAVIS ITALY SPA
ACTAVIS ITALY SPA
ACTAVIS ITALY SPA
ACTAVIS ITALY SPA
ACTAVIS ITALY SPA
ACTAVIS ITALY SPA
ACTAVIS ITALY SPA
ACTAVIS ITALY SPA
ACTELION PHARMACEUTICALS ITALIA SRL
ACTELION PHARMACEUTICALS ITALIA SRL
ACTELION PHARMACEUTICALS ITALIA SRL
ACTELION PHARMACEUTICALS ITALIA SRL
ACTELION PHARMACEUTICALS ITALIA SRL
ACTELION PHARMACEUTICALS ITALIA SRL
ACTELION PHARMACEUTICALS ITALIA SRL
ACTELION PHARMACEUTICALS ITALIA SRL
ACTELION PHARMACEUTICALS ITALIA SRL
ACTELION PHARMACEUTICALS ITALIA SRL
ACTELION PHARMACEUTICALS ITALIA SRL
ACTELION PHARMACEUTICALS ITALIA SRL
ACTELION PHARMACEUTICALS ITALIA SRL
ACTELION PHARMACEUTICALS ITALIA SRL
ACTELION PHARMACEUTICALS ITALIA SRL
ACTELION PHARMACEUTICALS ITALIA SRL
ALCON ITALIA SPA
ALCON ITALIA SPA
ALCON ITALIA SPA
ALCON ITALIA SPA
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
TRAZODONE CLOR. 150MG CPR RP DIV/TRITTICO*20CPR DIV 150MG R.P.
TRAZODONE CLOR. 150MG CPR RP DIV/TRITTICO*20CPR DIV 150MG R.P.
TRAZODONE CLOR. 150MG CPR RP DIV/TRITTICO*20CPR DIV 150MG R.P.
TRAZODONE CLOR. 150MG CPR RP DIV/TRITTICO*20CPR DIV 150MG R.P.
TRAZODONE CLOR. 150MG CPR RP DIV/TRITTICO*20CPR DIV 150MG R.P.
TRAZODONE CLOR. 50MG CPR DIV/TRITTICO 50MG 30CPR DIV
TRAZODONE CLOR. 50MG CPR DIV/TRITTICO 50MG 30CPR DIV
TRAZODONE CLOR. 50MG CPR DIV/TRITTICO 50MG 30CPR DIV
TRAZODONE CLOR. 50MG CPR DIV/TRITTICO 50MG 30CPR DIV
TRAZODONE CLOR. 50MG CPR DIV/TRITTICO 50MG 30CPR DIV
TRAZODONE CLOR. 50MG CPR DIV/TRITTICO 50MG 30CPR DIV
BEZAFIBRATO 400MG CPR RIV RP/BEZALIP*30CPR RIV 400MG RP
BEZAFIBRATO 400MG CPR RIV RP/BEZALIP*30CPR RIV 400MG RP
CLOPIDOGREL 75MG CPR RIV/CLOPIDOGREL ACT*28CPR RIV 75MGV
CLOPIDOGREL 75MG CPR RIV/CLOPIDOGREL ACT*28CPR RIV 75MGV
CLOPIDOGREL 75MG CPR RIV/CLOPIDOGREL ACT*28CPR RIV 75MGV
DISULFIRAM 400MG CPR EFF/ANTABUSE DISPERG.*24CPR 400MG
DISULFIRAM 400MG CPR EFF/ANTABUSE DISPERG.*24CPR 400MG
EXEMESTANE 25MG CPR RIV
-DSC/EXEMESTANE ACCORD*30CPR RIV 25MG
EXEMESTANE 25MG CPR RIV
-DSC/EXEMESTANE ACCORD*30CPR RIV 25MG
EXEMESTANE 25MG CPR RIV
-DSC/EXEMESTANE ACCORD*30CPR RIV 25MG
LETROZOLO 2,5MG CPR RIV
-DSC/LETROZOLO SAN*30CPR RIV 2,5MG
LETROZOLO 2,5MG CPR RIV
-DSC/LETROZOLO SAN*30CPR RIV 2,5MG
LETROZOLO 2,5MG CPR RIV
-DSC/LETROZOLO SAN*30CPR RIV 2,5MG
LETROZOLO 2,5MG CPR RIV
-DSC/LETROZOLO SAN*30CPR RIV 2,5MG
LETROZOLO 2,5MG CPR RIV
-DSC/LETROZOLO SAN*30CPR RIV 2,5MG
MICOFENOLATO MOFETILE 250MG CPR-DSC/MICOFENOLATO M.AC*100CPR 250MG
BOSENTAN 125MG CPR RIV
-DSC/TRACLEER*56CPR RIV 125MG
BOSENTAN 125MG CPR RIV
-DSC/TRACLEER*56CPR RIV 125MG
BOSENTAN 125MG CPR RIV
-DSC/TRACLEER*56CPR RIV 125MG
BOSENTAN 125MG CPR RIV
-DSC/TRACLEER*56CPR RIV 125MG
BOSENTAN 62,5MG CPR RIV
-DSC/TRACLEER*56CPR RIV 62,5MG
BOSENTAN 62,5MG CPR RIV
-DSC/TRACLEER*56CPR RIV 62,5MG
BOSENTAN 62,5MG CPR RIV
-DSC/TRACLEER*56CPR RIV 62,5MG
BOSENTAN 62,5MG CPR RIV
-DSC/TRACLEER*56CPR RIV 62,5MG
BOSENTAN 62,5MG CPR RIV
-DSC/TRACLEER*56CPR RIV 62,5MG
MIGLUSTAT 100MG CPS/ZAVESCA*84CPS 100MG
MIGLUSTAT 100MG CPS/ZAVESCA*84CPS 100MG
MIGLUSTAT 100MG CPS/ZAVESCA*84CPS 100MG
MIGLUSTAT 100MG CPS/ZAVESCA*84CPS 100MG
MIGLUSTAT 100MG CPS/ZAVESCA*84CPS 100MG
MIGLUSTAT 100MG CPS/ZAVESCA*84CPS 100MG
MIGLUSTAT 100MG CPS/ZAVESCA*84CPS 100MG
BRINZOLAMIDE 10MG/ML 5ML COLL R.M./AZOPT*COLL 1FL 5ML 10MG/ML
BRINZOLAMIDE 10MG/ML 5ML COLL R.M./AZOPT*COLL 1FL 5ML 10MG/ML
TIMOLOLO 2,5MG/ML COLL/CUSIMOLOL*COLL 5ML 2,5MG/ML
TIMOLOLO 2,5MG/ML COLL/CUSIMOLOL*COLL 5ML 2,5MG/ML
8di89
1250
500
1000
1250
6000
15000
15000
7500
24000
11250
1500
750
10500
10500
1400
2460
600
9750
750
3750
15000
2250
15000
15000
15000
500
1400
1400
1400
1400
280
280
280
280
280
2100
2100
840
1470
1470
2100
2100
12
12
50
50
50
13
€ 20,50
€ 256,25
€ 102,50
€ 205,00
€ 262,50
€ 441,82
€ 1.104,55
€ 1.104,55
€ 552,27
€ 1.767,27
€ 828,41
€ 174,02
€ 87,00
€ 647,18
€ 647,18
€ 86,30
€ 817,45
€ 199,39
€ 4.388,66
€ 339,32
€ 1.687,50
€ 4.394,20
€ 659,41
€ 4.396,00
€ 4.396,00
€ 4.396,00
€ 92,82
€ 55.259,14
€ 55.259,14
€ 55.259,14
€ 55.258,00
€ 10.684,80
€ 10.684,80
€ 10.684,80
€ 10.684,80
€ 10.684,80
€ 151.287,50
€ 151.287,50
€ 60.515,00
€ 105.901,25
€ 105.898,80
€ 151.284,00
€ 151.284,00
€ 60,00
€ 60,00
€ 3,59
€ 3,59
€ 22,55
€ 281,88
€ 112,75
€ 225,50
€ 288,75
€ 486,00
€ 1.215,00
€ 1.215,00
€ 607,50
€ 1.944,00
€ 911,25
€ 191,43
€ 95,70
€ 711,90
€ 711,90
€ 94,93
€ 899,20
€ 219,33
€ 4.827,53
€ 373,25
€ 1.856,25
€ 4.833,63
€ 725,35
€ 4.835,60
€ 4.835,60
€ 4.835,60
€ 102,10
€ 60.785,05
€ 60.785,05
€ 60.785,05
€ 60.783,80
€ 11.753,28
€ 11.753,28
€ 11.753,28
€ 11.753,28
€ 11.753,28
€ 166.416,25
€ 166.416,25
€ 66.566,50
€ 116.491,38
€ 116.488,68
€ 166.412,40
€ 166.412,40
€ 66,00
€ 66,00
€ 3,95
€ 3,95
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
953
924
924
924
924
4948
4948
4948
4948
4948
4948
4948
4948
4948
4543
4543
4543
4543
4543
4543
4543
1093
1093
1093
10005
7721
8189
8189
8189
8189
8189
8189
8189
8189
8189
8188
8188
8188
8188
5399
5399
4975
6373
6373
6373
9144
1313
Ditta Offerente
ALCON ITALIA SPA
ALCON ITALIA SPA
ALCON ITALIA SPA
ALCON ITALIA SPA
ALCON ITALIA SPA
ALEXION PHARMA ITALY S.R.L.
ALEXION PHARMA ITALY S.R.L.
ALEXION PHARMA ITALY S.R.L.
ALEXION PHARMA ITALY S.R.L.
ALEXION PHARMA ITALY S.R.L.
ALEXION PHARMA ITALY S.R.L.
ALEXION PHARMA ITALY S.R.L.
ALEXION PHARMA ITALY S.R.L.
ALEXION PHARMA ITALY S.R.L.
ALFA INTES IND.TERAP.SPLENDORE SRL
ALFA INTES IND.TERAP.SPLENDORE SRL
ALFA INTES IND.TERAP.SPLENDORE SRL
ALFA INTES IND.TERAP.SPLENDORE SRL
ALFA INTES IND.TERAP.SPLENDORE SRL
ALFA INTES IND.TERAP.SPLENDORE SRL
ALFA INTES IND.TERAP.SPLENDORE SRL
ALFA INTES IND.TERAP.SPLENDORE SRL
ALFA INTES IND.TERAP.SPLENDORE SRL
ALFA INTES IND.TERAP.SPLENDORE SRL
ALFA INTES IND.TERAP.SPLENDORE SRL
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
TIMOLOLO 2,5MG/ML COLL/CUSIMOLOL*COLL 5ML 2,5MG/ML
TIMOLOLO 5MG/ML COLL/CUSIMOLOL*COLL 5ML 5MG/ML
TIMOLOLO 5MG/ML COLL/CUSIMOLOL*COLL 5ML 5MG/ML
TIMOLOLO 5MG/ML COLL/CUSIMOLOL*COLL 5ML 5MG/ML
TIMOLOLO 5MG/ML COLL/CUSIMOLOL*COLL 5ML 5MG/ML
ECULIZUMAB 300MG 30ML FL EV/SOLIRIS*EV 1FL 300MG 30ML *V.NOTE
ECULIZUMAB 300MG 30ML FL EV/SOLIRIS*EV 1FL 300MG 30ML *V.NOTE
ECULIZUMAB 300MG 30ML FL EV/SOLIRIS*EV 1FL 300MG 30ML *V.NOTE
ECULIZUMAB 300MG 30ML FL EV/SOLIRIS*EV 1FL 300MG 30ML *V.NOTE
ECULIZUMAB 300MG 30ML FL EV/SOLIRIS*EV 1FL 300MG 30ML *V.NOTE
ECULIZUMAB 300MG 30ML FL EV/SOLIRIS*EV 1FL 300MG 30ML *V.NOTE
ECULIZUMAB 300MG 30ML FL EV/SOLIRIS*EV 1FL 300MG 30ML *V.NOTE
ECULIZUMAB 300MG 30ML FL EV/SOLIRIS*EV 1FL 300MG 30ML *V.NOTE
ECULIZUMAB 300MG 30ML FL EV/SOLIRIS*EV 1FL 300MG 30ML *V.NOTE
IODIOPOVIDONE 15ML 1D 5%/OFTASTERIL*25FL 15ML 1D 5%
IODIOPOVIDONE 15ML 1D 5%/OFTASTERIL*25FL 15ML 1D 5%
IODIOPOVIDONE 15ML 1D 5%/OFTASTERIL*25FL 15ML 1D 5%
IODIOPOVIDONE 15ML 1D 5%/OFTASTERIL*25FL 15ML 1D 5%
IODIOPOVIDONE 15ML 1D 5%/OFTASTERIL*25FL 15ML 1D 5%
IODIOPOVIDONE 15ML 1D 5%/OFTASTERIL*25FL 15ML 1D 5%
IODIOPOVIDONE 15ML 1D 5%/OFTASTERIL*25FL 15ML 1D 5%
LIDOCAINA CLOR.4% COLL MONO STERILE/LIDOCAINA CLOR 4%*COLL 100MONO
LIDOCAINA CLOR.4% COLL MONO STERILE/LIDOCAINA CLOR 4%*COLL 100MONO
LIDOCAINA CLOR.4% COLL MONO STERILE/LIDOCAINA CLOR 4%*COLL 100MONO
VERDE INDOCIANINA 25MG FL EV/VERDE INDOC.PULS.*INIET 5FL25M
BISACODIL 5MG CPR RIV/LOVOLDYL*4CPR RIV 5MG
DICLOFENAC 100MG CPR RP/DICLOREUM*RETARD 20CPR 100MGRP
DICLOFENAC 100MG CPR RP/DICLOREUM*RETARD 20CPR 100MGRP
DICLOFENAC 100MG CPR RP/DICLOREUM*RETARD 20CPR 100MGRP
DICLOFENAC 100MG CPR RP/DICLOREUM*RETARD 20CPR 100MGRP
DICLOFENAC 100MG CPR RP/DICLOREUM*RETARD 20CPR 100MGRP
DICLOFENAC 100MG CPR RP/DICLOREUM*RETARD 20CPR 100MGRP
DICLOFENAC 100MG CPR RP/DICLOREUM*RETARD 20CPR 100MGRP
DICLOFENAC 100MG CPR RP/DICLOREUM*RETARD 20CPR 100MGRP
DICLOFENAC 100MG CPR RP/DICLOREUM*RETARD 20CPR 100MGRP
DICLOFENAC 75MG/3ML F/DICLOREUM*INIET 6F 75MG 3ML
DICLOFENAC 75MG/3ML F/DICLOREUM*INIET 6F 75MG 3ML
DICLOFENAC 75MG/3ML F/DICLOREUM*INIET 6F 75MG 3ML
DICLOFENAC 75MG/3ML F/DICLOREUM*INIET 6F 75MG 3ML
METOTREXATO SODICO 10MG SIR/REUMAFLEX*4SIR 10MG 0,20ML
METOTREXATO SODICO 10MG SIR/REUMAFLEX*4SIR 10MG 0,20ML
METOTREXATO SODICO 7,5MG SIR/REUMAFLEX*4SIR 7,5MG 0,15ML
METRONIDAZOLO 250 MG CPS/VAGILEN*20CPS 250MG
METRONIDAZOLO 250 MG CPS/VAGILEN*20CPS 250MG
METRONIDAZOLO 250 MG CPS/VAGILEN*20CPS 250MG
METRONIDAZOLO 500MG OVULI VAG/VAGILEN*10 OVULI VAG 500MG
RIFAXIMINA 200MG CPR RIV AD/NORMIX*AD 12CPR ROV 200MG
9di89
50
75
125
125
63
50
75
75
38
50
50
75
50
625
750
1250
125
125
1500
2000
3750
3750
5000
125
100
1500
500
2500
500
2500
1000
500
2000
3750
1500
750
1500
3000
70
50
30
250
2000
250
250
4500
4500
14
€ 3,59
€ 4,75
€ 7,14
€ 11,89
€ 11,89
€ 259.468,75
€ 207.575,00
€ 311.362,50
€ 311.362,50
€ 155.681,25
€ 207.575,00
€ 207.575,00
€ 311.362,50
€ 207.575,00
€ 2.394,07
€ 2.872,89
€ 4.788,14
€ 478,82
€ 478,75
€ 5.745,00
€ 7.660,00
€ 2.231,25
€ 2.250,00
€ 3.000,00
€ 10.150,00
€ 6,00
€ 120,00
€ 40,00
€ 199,98
€ 40,00
€ 199,98
€ 80,00
€ 40,00
€ 159,98
€ 299,98
€ 360,02
€ 180,02
€ 360,02
€ 720,05
€ 186,25
€ 133,02
€ 61,80
€ 11,39
€ 90,95
€ 11,39
€ 45,18
€ 225,20
€ 3,95
€ 5,23
€ 7,85
€ 13,08
€ 13,08
€ 285.415,63
€ 228.332,50
€ 342.498,75
€ 342.498,75
€ 171.249,38
€ 228.332,50
€ 228.332,50
€ 342.498,75
€ 228.332,50
€ 2.633,48
€ 3.160,18
€ 5.266,95
€ 526,70
€ 526,63
€ 6.319,50
€ 8.426,00
€ 2.454,38
€ 2.475,00
€ 3.300,00
€ 11.165,00
€ 6,60
€ 132,00
€ 44,00
€ 219,98
€ 44,00
€ 219,98
€ 88,00
€ 44,00
€ 175,98
€ 329,98
€ 396,03
€ 198,03
€ 396,03
€ 792,05
€ 204,88
€ 146,33
€ 67,98
€ 12,53
€ 100,05
€ 12,53
€ 49,70
€ 247,73
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
1313
1313
1313
8739
8739
8739
8739
8739
424
424
424
424
424
424
876
876
876
876
876
876
876
487
995
995
5712
5712
5712
5476
5476
5205
5205
5205
5598
5598
5598
5598
5598
5598
5570
5570
5570
5570
5570
5502
5502
5502
5502
Ditta Offerente
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
ALLERGAN S.P.A.
ALLERGAN S.P.A.
ALLERGAN S.P.A.
ALLERGAN S.P.A.
ALLERGAN S.P.A.
ALLERGAN S.P.A.
ALLERGAN S.P.A.
ALLERGAN S.P.A.
ALLERGAN S.P.A.
ALLERGAN S.P.A.
ALLERGAN S.P.A.
ALLERGAN S.P.A.
ALLERGAN S.P.A.
ALLERGAN S.P.A.
ALLERGAN S.P.A.
ALLERGAN S.P.A.
ALLERGAN S.P.A.
ALLERGAN S.P.A.
ALLERGAN S.P.A.
ALLOGA S.R.L.
ALLOGA S.R.L.
ALMIRALL SPA
ALMIRALL SPA
ALMIRALL SPA
ALMIRALL SPA
ALMIRALL SPA
AMGEN S.R.L.
AMGEN S.R.L.
AMGEN S.R.L.
AMGEN S.R.L.
AMGEN S.R.L.
AMGEN S.R.L.
AMGEN S.R.L.
AMGEN S.R.L.
AMGEN S.R.L.
AMGEN S.R.L.
AMGEN S.R.L.
AMGEN S.R.L.
AMGEN S.R.L.
AMGEN S.R.L.
AMGEN S.R.L.
AMGEN S.R.L.
AMGEN S.R.L.
AMGEN S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
RIFAXIMINA 200MG CPR RIV AD/NORMIX*AD 12CPR ROV 200MG
RIFAXIMINA 200MG CPR RIV AD/NORMIX*AD 12CPR ROV 200MG
RIFAXIMINA 200MG CPR RIV AD/NORMIX*AD 12CPR ROV 200MG
CICLOPENTOLATO 1% COLL FL 3ML/CICLOLUX*COLL 1% FL 3ML
CICLOPENTOLATO 1% COLL FL 3ML/CICLOLUX*COLL 1% FL 3ML
CICLOPENTOLATO 1% COLL FL 3ML/CICLOLUX*COLL 1% FL 3ML
CICLOPENTOLATO 1% COLL FL 3ML/CICLOLUX*COLL 1% FL 3ML
CICLOPENTOLATO 1% COLL FL 3ML/CICLOLUX*COLL 1% FL 3ML
OFLOXACINA 0,3% 3,5G UNG OFT/EXOCIN*UNG OFT 3,5G 0,3%
OFLOXACINA 0,3% 3,5G UNG OFT/EXOCIN*UNG OFT 3,5G 0,3%
OFLOXACINA 0,3% 3,5G UNG OFT/EXOCIN*UNG OFT 3,5G 0,3%
OFLOXACINA 0,3% 3,5G UNG OFT/EXOCIN*UNG OFT 3,5G 0,3%
OFLOXACINA 0,3% 3,5G UNG OFT/EXOCIN*UNG OFT 3,5G 0,3%
OFLOXACINA 0,3% 3,5G UNG OFT/EXOCIN*UNG OFT 3,5G 0,3%
OFLOXACINA 0,3% COLL FL 10 ML/EXOCIN*COLL FL 10ML 0,3%
OFLOXACINA 0,3% COLL FL 10 ML/EXOCIN*COLL FL 10ML 0,3%
OFLOXACINA 0,3% COLL FL 10 ML/EXOCIN*COLL FL 10ML 0,3%
OFLOXACINA 0,3% COLL FL 10 ML/EXOCIN*COLL FL 10ML 0,3%
OFLOXACINA 0,3% COLL FL 10 ML/EXOCIN*COLL FL 10ML 0,3%
OFLOXACINA 0,3% COLL FL 10 ML/EXOCIN*COLL FL 10ML 0,3%
OFLOXACINA 0,3% COLL FL 10 ML/EXOCIN*COLL FL 10ML 0,3%
TOSSINA BOTULINICA A 100U FL IM RM/BOTOX*IM 1FL 100U ALLERGAN
TRETINOINA 10MG CPS/VESANOID*FL 100CPS 10MG
TRETINOINA 10MG CPS/VESANOID*FL 100CPS 10MG
ALITRETINOINA 10MG CPS MOLLI DSC/TOCTINO*30CPS MOLLI 10MG
ALITRETINOINA 10MG CPS MOLLI DSC/TOCTINO*30CPS MOLLI 10MG
ALITRETINOINA 10MG CPS MOLLI DSC/TOCTINO*30CPS MOLLI 10MG
ALITRETINOINA 30MG CPS MOLLI DSC/TOCTINO*30CPS MOLLI 30MG
ALITRETINOINA 30MG CPS MOLLI DSC/TOCTINO*30CPS MOLLI 30MG
CINACALCET 30MG CPR RIV
-DSC/MIMPARA*28CPR RIV 30MG
CINACALCET 30MG CPR RIV
-DSC/MIMPARA*28CPR RIV 30MG
CINACALCET 30MG CPR RIV
-DSC/MIMPARA*28CPR RIV 30MG
DENOSUMAB 60MG/ML C/PR SIR SC -DSC/PROLIA*SC 1SIR 60MG/ML C/PR
DENOSUMAB 60MG/ML C/PR SIR SC -DSC/PROLIA*SC 1SIR 60MG/ML C/PR
DENOSUMAB 60MG/ML C/PR SIR SC -DSC/PROLIA*SC 1SIR 60MG/ML C/PR
DENOSUMAB 60MG/ML C/PR SIR SC -DSC/PROLIA*SC 1SIR 60MG/ML C/PR
DENOSUMAB 60MG/ML C/PR SIR SC -DSC/PROLIA*SC 1SIR 60MG/ML C/PR
DENOSUMAB 60MG/ML C/PR SIR SC -DSC/PROLIA*SC 1SIR 60MG/ML C/PR
PEGFILGRAMSTIM 6MG SIR SC/NEULASTA*6MG 1SIR 0,6ML SC C/P
PEGFILGRAMSTIM 6MG SIR SC/NEULASTA*6MG 1SIR 0,6ML SC C/P
PEGFILGRAMSTIM 6MG SIR SC/NEULASTA*6MG 1SIR 0,6ML SC C/P
PEGFILGRAMSTIM 6MG SIR SC/NEULASTA*6MG 1SIR 0,6ML SC C/P
PEGFILGRAMSTIM 6MG SIR SC/NEULASTA*6MG 1SIR 0,6ML SC C/P
ROMIPLOSTIM 250MCG FL POLV+SOLV SC/NPLATE*FL 250MCG POLV+SOLV
ROMIPLOSTIM 250MCG FL POLV+SOLV SC/NPLATE*FL 250MCG POLV+SOLV
ROMIPLOSTIM 250MCG FL POLV+SOLV SC/NPLATE*FL 250MCG POLV+SOLV
ROMIPLOSTIM 250MCG FL POLV+SOLV SC/NPLATE*FL 250MCG POLV+SOLV
10di89
6000
4500
175
25
100
175
375
200
25
100
200
50
200
250
375
250
250
250
250
375
200
2500
2500
75
75
75
75
75
1680
1680
1400
13
13
25
25
25
50
3
3
3
3
5
50
40
50
80
50
15
€ 225,20
€ 300,27
€ 225,20
€ 525,00
€ 98,75
€ 395,00
€ 691,25
€ 1.481,25
€ 678,66
€ 84,82
€ 339,32
€ 864,00
€ 216,00
€ 864,00
€ 1.015,75
€ 1.523,64
€ 1.250,00
€ 1.250,00
€ 1.250,00
€ 1.250,00
€ 1.875,00
€ 23.228,00
€ 4.116,25
€ 4.116,25
€ 934,09
€ 934,09
€ 983,25
€ 983,25
€ 983,25
€ 10.373,77
€ 10.373,77
€ 8.644,80
€ 2.182,00
€ 2.182,00
€ 4.364,00
€ 4.364,00
€ 4.364,00
€ 8.728,00
€ 1.545,50
€ 1.545,50
€ 1.545,50
€ 1.545,50
€ 3.091,00
€ 23.789,50
€ 19.031,59
€ 23.789,50
€ 38.063,20
€ 247,73
€ 330,30
€ 247,73
€ 577,50
€ 108,63
€ 434,50
€ 760,38
€ 1.629,38
€ 746,53
€ 93,30
€ 373,25
€ 950,40
€ 237,60
€ 950,40
€ 1.117,33
€ 1.676,00
€ 1.375,00
€ 1.375,00
€ 1.375,00
€ 1.375,00
€ 2.062,50
€ 25.550,80
€ 4.527,88
€ 4.527,88
€ 1.027,50
€ 1.027,50
€ 1.081,58
€ 1.081,58
€ 1.081,58
€ 11.411,15
€ 11.411,15
€ 9.509,28
€ 2.400,20
€ 2.400,20
€ 4.800,40
€ 4.800,40
€ 4.800,40
€ 9.600,80
€ 1.700,05
€ 1.700,05
€ 1.700,05
€ 1.700,05
€ 3.400,10
€ 26.168,45
€ 20.934,75
€ 26.168,45
€ 41.869,53
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
5502
5502
5502
5503
5503
5503
5503
5503
8187
8187
8187
8187
699
699
699
699
699
699
5620
5620
5620
5620
5969
8428
8428
8428
8928
8928
8928
8928
8928
8928
5810
3375
3375
3375
3375
1715
5575
1102
1102
1102
1102
622
622
622
3531
Ditta Offerente
AMGEN S.R.L.
AMGEN S.R.L.
AMGEN S.R.L.
AMGEN S.R.L.
AMGEN S.R.L.
AMGEN S.R.L.
AMGEN S.R.L.
AMGEN S.R.L.
ANGENERICO SPA
ANGENERICO SPA
ANGENERICO SPA
ANGENERICO SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
ROMIPLOSTIM 250MCG FL POLV+SOLV SC/NPLATE*FL 250MCG POLV+SOLV
ROMIPLOSTIM 250MCG FL POLV+SOLV SC/NPLATE*FL 250MCG POLV+SOLV
ROMIPLOSTIM 250MCG FL POLV+SOLV SC/NPLATE*FL 250MCG POLV+SOLV
ROMIPLOSTIM 500MCG FL POLV+SOLV SC/NPLATE*FL 500MCG POLV+SOLV
ROMIPLOSTIM 500MCG FL POLV+SOLV SC/NPLATE*FL 500MCG POLV+SOLV
ROMIPLOSTIM 500MCG FL POLV+SOLV SC/NPLATE*FL 500MCG POLV+SOLV
ROMIPLOSTIM 500MCG FL POLV+SOLV SC/NPLATE*FL 500MCG POLV+SOLV
ROMIPLOSTIM 500MCG FL POLV+SOLV SC/NPLATE*FL 500MCG POLV+SOLV
DICLOFENAC 50MG CPR GASTR/DICLOFENAC ANG*30CPR GASTR 50MG
DICLOFENAC 50MG CPR GASTR/DICLOFENAC ANG*30CPR GASTR 50MG
DICLOFENAC 50MG CPR GASTR/DICLOFENAC ANG*30CPR GASTR 50MG
DICLOFENAC 50MG CPR GASTR/DICLOFENAC ANG*30CPR GASTR 50MG
IDROCORTISONE 0,1% 30G CR IDROF/LOCOIDON*CR IDROF 30G 0,1%
IDROCORTISONE 0,1% 30G CR IDROF/LOCOIDON*CR IDROF 30G 0,1%
IDROCORTISONE 0,1% 30G CR IDROF/LOCOIDON*CR IDROF 30G 0,1%
IDROCORTISONE 0,1% 30G CR IDROF/LOCOIDON*CR IDROF 30G 0,1%
IDROCORTISONE 0,1% 30G CR IDROF/LOCOIDON*CR IDROF 30G 0,1%
IDROCORTISONE 0,1% 30G CR IDROF/LOCOIDON*CR IDROF 30G 0,1%
LEUPRORELINA 22,5MG SIR+SIR SC -DSC/ELIGARD*INIET SIR+SIR22,5MGKIT
LEUPRORELINA 22,5MG SIR+SIR SC -DSC/ELIGARD*INIET SIR+SIR22,5MGKIT
LEUPRORELINA 22,5MG SIR+SIR SC -DSC/ELIGARD*INIET SIR+SIR22,5MGKIT
LEUPRORELINA 22,5MG SIR+SIR SC -DSC/ELIGARD*INIET SIR+SIR22,5MGKIT
MICAFUNGIN SODICO 50MG 10ML FL/MYCAMINE*EV FL 50MG 10ML
ORFENADRINA 50MG CPR RIV/DISIPAL*50CPR RIV 50MG
ORFENADRINA 50MG CPR RIV/DISIPAL*50CPR RIV 50MG
ORFENADRINA 50MG CPR RIV/DISIPAL*50CPR RIV 50MG
POTASSIO CLORURO 600MG CPR R.P./KCL RETARD*40CPR 600MG RP
POTASSIO CLORURO 600MG CPR R.P./KCL RETARD*40CPR 600MG RP
POTASSIO CLORURO 600MG CPR R.P./KCL RETARD*40CPR 600MG RP
POTASSIO CLORURO 600MG CPR R.P./KCL RETARD*40CPR 600MG RP
POTASSIO CLORURO 600MG CPR R.P./KCL RETARD*40CPR 600MG RP
POTASSIO CLORURO 600MG CPR R.P./KCL RETARD*40CPR 600MG RP
TACROLIMUS 0,5MG CPS R.P./ADVAGRAF*30CPS 0,5MG RP
TACROLIMUS 0,5MG CPS-RIS C.TRAP-NEF/PROGRAF*30CPS 0,5MG
TACROLIMUS 0,5MG CPS-RIS C.TRAP-NEF/PROGRAF*30CPS 0,5MG
TACROLIMUS 0,5MG CPS-RIS C.TRAP-NEF/PROGRAF*30CPS 0,5MG
TACROLIMUS 0,5MG CPS-RIS C.TRAP-NEF/PROGRAF*30CPS 0,5MG
TACROLIMUS 0.1% UNGUENTO
-DSC/PROTOPIC*UNG 0,1% 30G
TACROLIMUS 1MG CPS R.P./ADVAGRAF*60CPS 1MG RP.
TACROLIMUS 1MG CPS-RIS C.TRAP-NEFRO/PROGRAF*60CPS 1MG
TACROLIMUS 1MG CPS-RIS C.TRAP-NEFRO/PROGRAF*60CPS 1MG
TACROLIMUS 1MG CPS-RIS C.TRAP-NEFRO/PROGRAF*60CPS 1MG
TACROLIMUS 1MG CPS-RIS C.TRAP-NEFRO/PROGRAF*60CPS 1MG
ATENOLOLO 5MG/10ML F 10ML EV/TENORMIN*INF 10F 10ML 5MG/10ML
ATENOLOLO 5MG/10ML F 10ML EV/TENORMIN*INF 10F 10ML 5MG/10ML
ATENOLOLO 5MG/10ML F 10ML EV/TENORMIN*INF 10F 10ML 5MG/10ML
BUDESONIDE/FORMOTER.160/4,5MCG INAL/SYMBICORT*INAL 120D 160/4,5MCG
11di89
75
113
75
25
25
25
75
2250
2249
1501
4500
375
75
75
75
375
75
10
12
10
12
25
2500
7499
2500
30000
25100
30000
20000
20000
37500
900
1500
1500
2250
1500
25
600
7500
7500
7500
7500
125
125
125
250
150
16
€ 23.789,50
€ 35.684,25
€ 53.526,39
€ 71.367,75
€ 23.789,25
€ 23.789,25
€ 23.789,25
€ 71.367,75
€ 65,43
€ 6,52
€ 43,64
€ 130,84
€ 554,09
€ 110,82
€ 110,82
€ 110,82
€ 554,09
€ 110,82
€ 1.648,95
€ 2.061,18
€ 1.648,95
€ 2.061,18
€ 4.569,00
€ 48,18
€ 144,52
€ 48,18
€ 1.288,66
€ 1.078,18
€ 1.288,66
€ 859,09
€ 859,09
€ 1.610,82
€ 592,23
€ 987,05
€ 987,05
€ 1.480,57
€ 987,05
€ 537,50
€ 844,93
€ 10.561,39
€ 10.561,39
€ 10.561,39
€ 10.561,39
€ 56,64
€ 56,64
€ 56,64
€ 3.725,50
€ 26.168,45
€ 39.252,68
€ 58.879,03
€ 78.504,53
€ 26.168,18
€ 26.168,18
€ 26.168,18
€ 78.504,53
€ 71,98
€ 7,18
€ 48,00
€ 143,93
€ 609,50
€ 121,90
€ 121,90
€ 121,90
€ 609,50
€ 121,90
€ 1.813,85
€ 2.267,30
€ 1.813,85
€ 2.267,30
€ 5.025,90
€ 53,00
€ 158,98
€ 53,00
€ 1.417,53
€ 1.186,00
€ 1.417,53
€ 945,00
€ 945,00
€ 1.771,90
€ 651,45
€ 1.085,75
€ 1.085,75
€ 1.628,63
€ 1.085,75
€ 591,25
€ 929,43
€ 11.617,53
€ 11.617,53
€ 11.617,53
€ 11.617,53
€ 62,30
€ 62,30
€ 62,30
€ 4.098,05
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
3531
3531
3531
3531
3531
3531
1739
1739
1739
1739
1739
5501
5501
5501
5501
5501
5501
11623
11623
5412
2268
2268
2268
5453
5453
5453
5464
5464
5464
5464
5464
5464
3307
1314
1314
1314
12394
12394
12394
3516
3516
3516
3516
3516
1678
1678
1678
Ditta Offerente
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
AUROBINDO PHARMA ITALIA SRL
AUROBINDO PHARMA ITALIA SRL
AUROBINDO PHARMA ITALIA SRL
AUROBINDO PHARMA ITALIA SRL
AUROBINDO PHARMA ITALIA SRL
AUROBINDO PHARMA ITALIA SRL
AUROBINDO PHARMA ITALIA SRL
AUROBINDO PHARMA ITALIA SRL
AUROBINDO PHARMA ITALIA SRL
AUROBINDO PHARMA ITALIA SRL
AUROBINDO PHARMA ITALIA SRL
AUROBINDO PHARMA ITALIA SRL
AUROBINDO PHARMA ITALIA SRL
AUROBINDO PHARMA ITALIA SRL
AUROBINDO PHARMA ITALIA SRL
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
BUDESONIDE/FORMOTER.160/4,5MCG INAL/SYMBICORT*INAL 120D 160/4,5MCG
BUDESONIDE/FORMOTER.160/4,5MCG INAL/SYMBICORT*INAL 120D 160/4,5MCG
BUDESONIDE/FORMOTER.160/4,5MCG INAL/SYMBICORT*INAL 120D 160/4,5MCG
BUDESONIDE/FORMOTER.160/4,5MCG INAL/SYMBICORT*INAL 120D 160/4,5MCG
BUDESONIDE/FORMOTER.160/4,5MCG INAL/SYMBICORT*INAL 120D 160/4,5MCG
BUDESONIDE/FORMOTER.160/4,5MCG INAL/SYMBICORT*INAL 120D 160/4,5MCG
FULVESTRANT 50MG/ML -RIS ONC -DSC/FASLODEX*IM 2SIR 5ML+2AGHI
FULVESTRANT 50MG/ML -RIS ONC -DSC/FASLODEX*IM 2SIR 5ML+2AGHI
FULVESTRANT 50MG/ML -RIS ONC -DSC/FASLODEX*IM 2SIR 5ML+2AGHI
FULVESTRANT 50MG/ML -RIS ONC -DSC/FASLODEX*IM 2SIR 5ML+2AGHI
FULVESTRANT 50MG/ML -RIS ONC -DSC/FASLODEX*IM 2SIR 5ML+2AGHI
GEFITINIB 250MG CPR RIV NO PTO -DSC/IRESSA*30CPR RIV 250MG
GEFITINIB 250MG CPR RIV NO PTO -DSC/IRESSA*30CPR RIV 250MG
GEFITINIB 250MG CPR RIV NO PTO -DSC/IRESSA*30CPR RIV 250MG
GEFITINIB 250MG CPR RIV NO PTO -DSC/IRESSA*30CPR RIV 250MG
GEFITINIB 250MG CPR RIV NO PTO -DSC/IRESSA*30CPR RIV 250MG
GEFITINIB 250MG CPR RIV NO PTO -DSC/IRESSA*30CPR RIV 250MG
GOSERELIN 10,8MG SIR RP
-DSC/ZOLADEX*SC SIR 10,8MG RP
GOSERELIN 10,8MG SIR RP
-DSC/ZOLADEX*SC SIR 10,8MG RP
QUETIAPINA 200MG CPR R.P./SEROQUEL*60CPR 200MG RP
QUETIAPINA 300MG CPR R.P./SEROQUEL*60CPR 300MG R.P.
QUETIAPINA 300MG CPR R.P./SEROQUEL*60CPR 300MG R.P.
QUETIAPINA 300MG CPR R.P./SEROQUEL*60CPR 300MG R.P.
QUETIAPINA 400MG CPR RP/SEROQUEL*60CPR 400MG RP
QUETIAPINA 400MG CPR RP/SEROQUEL*60CPR 400MG RP
QUETIAPINA 400MG CPR RP/SEROQUEL*60CPR 400MG RP
QUETIAPINA 50MG CPR RP/SEROQUEL*60CPR 50MG RP
QUETIAPINA 50MG CPR RP/SEROQUEL*60CPR 50MG RP
QUETIAPINA 50MG CPR RP/SEROQUEL*60CPR 50MG RP
QUETIAPINA 50MG CPR RP/SEROQUEL*60CPR 50MG RP
QUETIAPINA 50MG CPR RP/SEROQUEL*60CPR 50MG RP
QUETIAPINA 50MG CPR RP/SEROQUEL*60CPR 50MG RP
BEZAFIBRATO 400MG CPR RIV RP/BEZALIP*30CPR RIV 400MG RP
CLOPIDOGREL 75MG CPR RIV/CLOPIDOGREL ACT*28CPR RIV 75MGV
CLOPIDOGREL 75MG CPR RIV/CLOPIDOGREL ACT*28CPR RIV 75MGV
CLOPIDOGREL 75MG CPR RIV/CLOPIDOGREL MYL* 28CPR RIV 75MGV
DISULFIRAM 400MG CPR EFF/ANTABUSE DISPERG.*24CPR 400MG
DISULFIRAM 400MG CPR EFF/ANTABUSE DISPERG.*24CPR 400MG
DISULFIRAM 400MG CPR EFF/ANTABUSE DISPERG.*24CPR 400MG
EXEMESTANE 25MG CPR RIV
-DSC/EXEMESTANE ACCORD*30CPR RIV 25MG
EXEMESTANE 25MG CPR RIV
-DSC/EXEMESTANE ACCORD*30CPR RIV 25MG
EXEMESTANE 25MG CPR RIV
-DSC/EXEMESTANE ACCORD*30CPR RIV 25MG
EXEMESTANE 25MG CPR RIV
-DSC/EXEMESTANE ACCORD*30CPR RIV 25MG
EXEMESTANE 25MG CPR RIV
-DSC/EXEMESTANE ACCORD*30CPR RIV 25MG
LETROZOLO 2,5MG CPR RIV
-DSC/LETROZOLO SAN*30CPR RIV 2,5MG
LETROZOLO 2,5MG CPR RIV
-DSC/LETROZOLO SAN*30CPR RIV 2,5MG
LETROZOLO 2,5MG CPR RIV
-DSC/LETROZOLO SAN*30CPR RIV 2,5MG
12di89
175
250
150
250
250
250
200
200
200
250
225
225
375
375
375
375
3
3
150
2250
750
2250
1800
300
1500
300
300
1800
300
450
750
750
10500
10500
10500
1200
600
3000
3750
750
7500
3750
15000
15000
750
15000
1500
17
€ 2.235,30
€ 2.607,84
€ 3.725,50
€ 2.235,30
€ 3.725,50
€ 3.725,50
€ 53.198,75
€ 42.559,00
€ 42.560,00
€ 42.560,00
€ 53.200,00
€ 16.427,64
€ 16.427,64
€ 27.379,39
€ 27.379,39
€ 27.379,39
€ 27.379,39
€ 673,14
€ 673,14
€ 96,57
€ 1.633,14
€ 544,39
€ 1.633,14
€ 1.738,50
€ 289,75
€ 1.448,75
€ 95,41
€ 96,00
€ 576,00
€ 96,00
€ 144,00
€ 240,00
€ 86,98
€ 647,18
€ 647,18
€ 808,50
€ 398,75
€ 199,39
€ 997,16
€ 1.689,14
€ 339,32
€ 3.375,14
€ 1.687,48
€ 6.750,25
€ 4.396,00
€ 219,80
€ 4.395,50
€ 2.458,83
€ 2.868,63
€ 4.098,05
€ 2.458,83
€ 4.098,05
€ 4.098,05
€ 58.518,63
€ 46.814,90
€ 46.816,00
€ 46.816,00
€ 58.520,00
€ 18.070,40
€ 18.070,40
€ 30.117,33
€ 30.117,33
€ 30.117,33
€ 30.117,33
€ 740,45
€ 740,45
€ 106,23
€ 1.796,45
€ 598,83
€ 1.796,45
€ 1.912,35
€ 318,73
€ 1.593,63
€ 104,95
€ 105,60
€ 633,60
€ 105,60
€ 158,40
€ 264,00
€ 95,68
€ 711,90
€ 711,90
€ 889,35
€ 438,63
€ 219,33
€ 1.096,88
€ 1.858,05
€ 373,25
€ 3.712,65
€ 1.856,23
€ 7.425,28
€ 4.835,60
€ 241,78
€ 4.835,05
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
1678
1678
1678
1698
5862
5862
840
840
840
12067
12067
12067
12067
12067
12067
12067
12842
12842
12842
12842
12842
5379
5379
5379
5379
5379
5379
1355
1355
5982
5982
5982
5982
5983
5983
5983
5983
5983
5981
5981
5981
5981
5981
5981
5981
317
317
Ditta Offerente
AUROBINDO PHARMA ITALIA SRL
AUROBINDO PHARMA ITALIA SRL
AUROBINDO PHARMA ITALIA SRL
AUROBINDO PHARMA ITALIA SRL
B.BRAUN MILANO SPA
B.BRAUN MILANO SPA
B.BRAUN MILANO SPA
B.BRAUN MILANO SPA
B.BRAUN MILANO SPA
B.BRAUN MILANO SPA
B.BRAUN MILANO SPA
B.BRAUN MILANO SPA
B.BRAUN MILANO SPA
B.BRAUN MILANO SPA
B.BRAUN MILANO SPA
B.BRAUN MILANO SPA
B.BRAUN MILANO SPA
B.BRAUN MILANO SPA
B.BRAUN MILANO SPA
B.BRAUN MILANO SPA
B.BRAUN MILANO SPA
BAUSCH & LOMB-IOM S.P.A.
BAUSCH & LOMB-IOM S.P.A.
BAUSCH & LOMB-IOM S.P.A.
BAUSCH & LOMB-IOM S.P.A.
BAUSCH & LOMB-IOM S.P.A.
BAUSCH & LOMB-IOM S.P.A.
BAUSCH & LOMB-IOM S.P.A.
BAUSCH & LOMB-IOM S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
LETROZOLO 2,5MG CPR RIV
-DSC/LETROZOLO SAN*30CPR RIV 2,5MG
LETROZOLO 2,5MG CPR RIV
-DSC/LETROZOLO SAN*30CPR RIV 2,5MG
LETROZOLO 2,5MG CPR RIV
-DSC/LETROZOLO SAN*30CPR RIV 2,5MG
MICOFENOLATO MOFETILE 250MG CPR-DSC/MICOFENOLATO M.AC*100CPR 250MG
GENTAMICINA 80MG/2ML F IV/GENTAMICINA B BRAUN*10FL 80MG
GENTAMICINA 80MG/2ML F IV/GENTAMICINA B BRAUN*10FL 80MG
OLIGOELEMENTI 10ML F EV/OLITRACE*EV 5F 10ML
OLIGOELEMENTI 10ML F EV/OLITRACE*EV 5F 10ML
OLIGOELEMENTI 10ML F EV/OLITRACE*EV 5F 10ML
PROPOFOL 1% 20ML F EV/PROPOFOL B.BRAUN 1%*5F 20ML
PROPOFOL 1% 20ML F EV/PROPOFOL B.BRAUN 1%*5F 20ML
PROPOFOL 1% 20ML F EV/PROPOFOL B.BRAUN 1%*5F 20ML
PROPOFOL 1% 20ML F EV/PROPOFOL B.BRAUN 1%*5F 20ML
PROPOFOL 1% 20ML F EV/PROPOFOL B.BRAUN 1%*5F 20ML
PROPOFOL 1% 20ML F EV/PROPOFOL B.BRAUN 1%*5F 20ML
PROPOFOL 1% 20ML F EV/PROPOFOL B.BRAUN 1%*5F 20ML
PROPOFOL 1% 50ML FL EV/PROPOFOL B.BRAUN 1%*10FL 50ML
PROPOFOL 1% 50ML FL EV/PROPOFOL B.BRAUN 1%*10FL 50ML
PROPOFOL 1% 50ML FL EV/PROPOFOL B.BRAUN 1%*10FL 50ML
PROPOFOL 1% 50ML FL EV/PROPOFOL B.BRAUN 1%*10FL 50ML
PROPOFOL 1% 50ML FL EV/PROPOFOL B.BRAUN 1%*10FL 50ML
AC.IALURONICO COLL 0,4%/IALUREX IPOTONICO*COLL 30D0,4%
AC.IALURONICO COLL 0,4%/IALUREX IPOTONICO*COLL 30D0,4%
AC.IALURONICO COLL 0,4%/IALUREX IPOTONICO*COLL 30D0,4%
AC.IALURONICO COLL 0,4%/IALUREX IPOTONICO*COLL 30D0,4%
AC.IALURONICO COLL 0,4%/IALUREX IPOTONICO*COLL 30D0,4%
AC.IALURONICO COLL 0,4%/IALUREX IPOTONICO*COLL 30D0,4%
BRIMONIDINA COLL 5ML 2MG/ML -CDR/BRIMONIDINA BA*COLL1FL 5ML 2MG/ML
BRIMONIDINA COLL 5ML 2MG/ML -CDR/BRIMONIDINA BA*COLL1FL 5ML 2MG/ML
CICLOFOSFAMIDE 1G FL EV/ENDOXAN BAXTER*INIET 1FL 1G
CICLOFOSFAMIDE 1G FL EV/ENDOXAN BAXTER*INIET 1FL 1G
CICLOFOSFAMIDE 1G FL EV/ENDOXAN BAXTER*INIET 1FL 1G
CICLOFOSFAMIDE 1G FL EV/ENDOXAN BAXTER*INIET 1FL 1G
CICLOFOSFAMIDE 500MG FL EV/ENDOXAN BAXTER*INIET 1FL 500MG
CICLOFOSFAMIDE 500MG FL EV/ENDOXAN BAXTER*INIET 1FL 500MG
CICLOFOSFAMIDE 500MG FL EV/ENDOXAN BAXTER*INIET 1FL 500MG
CICLOFOSFAMIDE 500MG FL EV/ENDOXAN BAXTER*INIET 1FL 500MG
CICLOFOSFAMIDE 500MG FL EV/ENDOXAN BAXTER*INIET 1FL 500MG
CICLOFOSFAMIDE 50MG CPR RIV -DSC/ENDOXAN BAXTER*50CPR RIV 50MG
CICLOFOSFAMIDE 50MG CPR RIV -DSC/ENDOXAN BAXTER*50CPR RIV 50MG
CICLOFOSFAMIDE 50MG CPR RIV -DSC/ENDOXAN BAXTER*50CPR RIV 50MG
CICLOFOSFAMIDE 50MG CPR RIV -DSC/ENDOXAN BAXTER*50CPR RIV 50MG
CICLOFOSFAMIDE 50MG CPR RIV -DSC/ENDOXAN BAXTER*50CPR RIV 50MG
CICLOFOSFAMIDE 50MG CPR RIV -DSC/ENDOXAN BAXTER*50CPR RIV 50MG
CICLOFOSFAMIDE 50MG CPR RIV -DSC/ENDOXAN BAXTER*50CPR RIV 50MG
COMPL.VITAMINICO PER NPT FL POLV EV/CERNEVIT*INIET 10FL POLV
COMPL.VITAMINICO PER NPT FL POLV EV/CERNEVIT*INIET 10FL POLV
13di89
15000
15000
500
1000
750
625
625
1250
2500
750
2500
2500
1250
2500
2500
1000
1250
125
2000
3750
3000
3000
3750
3000
3000
3750
25
13
250
250
200
250
250
125
75
125
250
625
500
500
625
625
750
1500
1500
750
375
18
€ 439,59
€ 4.396,00
€ 4.396,00
€ 92,82
€ 950,00
€ 712,50
€ 529,39
€ 531,25
€ 1.062,50
€ 1.125,98
€ 337,80
€ 1.125,98
€ 1.125,98
€ 562,98
€ 1.125,98
€ 1.125,98
€ 957,43
€ 1.196,77
€ 119,68
€ 1.914,84
€ 3.590,32
€ 248,80
€ 248,80
€ 311,00
€ 248,80
€ 240,00
€ 300,00
€ 18,00
€ 9,00
€ 2.681,16
€ 2.681,16
€ 2.144,93
€ 2.681,16
€ 1.685,95
€ 842,98
€ 505,77
€ 842,98
€ 1.685,95
€ 102,00
€ 81,59
€ 81,59
€ 102,00
€ 102,00
€ 122,41
€ 244,80
€ 7.560,30
€ 3.780,77
€ 483,55
€ 4.835,60
€ 4.835,60
€ 102,10
€ 1.045,00
€ 783,75
€ 582,33
€ 584,38
€ 1.168,75
€ 1.238,58
€ 371,58
€ 1.238,58
€ 1.238,58
€ 619,28
€ 1.238,58
€ 1.238,58
€ 1.053,18
€ 1.316,45
€ 131,65
€ 2.106,33
€ 3.949,35
€ 273,68
€ 273,68
€ 342,10
€ 273,68
€ 264,00
€ 330,00
€ 19,80
€ 9,90
€ 2.949,28
€ 2.949,28
€ 2.359,43
€ 2.949,28
€ 1.854,55
€ 927,28
€ 556,35
€ 927,28
€ 1.854,55
€ 112,20
€ 89,75
€ 89,75
€ 112,20
€ 112,20
€ 134,65
€ 269,28
€ 8.316,33
€ 4.158,85
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
94
94
94
94
94
94
94
94
94
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
317
317
317
317
317
5573
5573
5573
5573
5573
1199
5987
5987
5987
5987
2224
2224
2224
2224
2224
2224
2224
2224
2224
9256
9256
9256
9256
1090
1090
1090
1090
1090
1090
1090
1090
1090
8153
8153
515
1067
1067
6080
6080
6080
6080
6079
Ditta Offerente
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAXTER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
COMPL.VITAMINICO PER NPT FL POLV EV/CERNEVIT*INIET 10FL POLV
COMPL.VITAMINICO PER NPT FL POLV EV/CERNEVIT*INIET 10FL POLV
COMPL.VITAMINICO PER NPT FL POLV EV/CERNEVIT*INIET 10FL POLV
COMPL.VITAMINICO PER NPT FL POLV EV/CERNEVIT*INIET 10FL POLV
COMPL.VITAMINICO PER NPT FL POLV EV/CERNEVIT*INIET 10FL POLV
DESFLURANO 240ML FL LIQ INAL/SUPRANE*LIQ INAL 6FL 240ML
DESFLURANO 240ML FL LIQ INAL/SUPRANE*LIQ INAL 6FL 240ML
DESFLURANO 240ML FL LIQ INAL/SUPRANE*LIQ INAL 6FL 240ML
DESFLURANO 240ML FL LIQ INAL/SUPRANE*LIQ INAL 6FL 240ML
DESFLURANO 240ML FL LIQ INAL/SUPRANE*LIQ INAL FL 240ML
ESMOLOLO 100MG/10ML F INFUS/BREVIBLOC*INFUS 5F 100MG 10ML
IFOSFAMIDE 1G FL EV/HOLOXAN*EV 1FL 1G
IFOSFAMIDE 1G FL EV/HOLOXAN*EV 1FL 1G
IFOSFAMIDE 1G FL EV/HOLOXAN*EV 1FL 1G
IFOSFAMIDE 1G FL EV/HOLOXAN*EV 1FL 1G
IG UMANA NORMALE FL 160MG/ML FL IM/SUBCUVIA*IM SC FL10ML 160MG/ML
IG UMANA NORMALE FL 160MG/ML FL IM/SUBCUVIA*IM SC FL10ML 160MG/ML
IG UMANA NORMALE FL 160MG/ML FL IM/SUBCUVIA*IM SC FL10ML 160MG/ML
IG UMANA NORMALE FL 160MG/ML FL IM/SUBCUVIA*IM SC FL10ML 160MG/ML
IG UMANA NORMALE FL 160MG/ML FL IM/SUBCUVIA*IM SC FL10ML 160MG/ML
IG UMANA NORMALE FL 160MG/ML FL IM/SUBCUVIA*IM SC FL10ML 160MG/ML
IG UMANA NORMALE FL 160MG/ML FL IM/SUBCUVIA*IM SC FL10ML 160MG/ML
IG UMANA NORMALE FL 160MG/ML FL IM/SUBCUVIA*IM SC FL10ML 160MG/ML
IG UMANA NORMALE FL 160MG/ML FL IM/SUBCUVIA*IM SC FL10ML 160MG/ML
MESNA 400MG/4ML F EV/UROMITEXAN*IV 15F 4ML 400MG/4ML
MESNA 400MG/4ML F EV/UROMITEXAN*IV 15F 4ML 400MG/4ML
MESNA 400MG/4ML F EV/UROMITEXAN*IV 15F 4ML 400MG/4ML
MESNA 400MG/4ML F EV/UROMITEXAN*IV 15F 4ML 400MG/4ML
AC.ACETILSALICILICO 100MG CPR GAST/CARDIOASPIRIN*30CPR GAST 100MG
AC.ACETILSALICILICO 100MG CPR GAST/CARDIOASPIRIN*30CPR GAST 100MG
AC.ACETILSALICILICO 100MG CPR GAST/CARDIOASPIRIN*30CPR GAST 100MG
AC.ACETILSALICILICO 100MG CPR GAST/CARDIOASPIRIN*30CPR GAST 100MG
AC.ACETILSALICILICO 100MG CPR GAST/CARDIOASPIRIN*30CPR GAST 100MG
AC.ACETILSALICILICO 100MG CPR GAST/CARDIOASPIRIN*30CPR GAST 100MG
AC.ACETILSALICILICO 100MG CPR GAST/CARDIOASPIRIN*30CPR GAST 100MG
AC.ACETILSALICILICO 100MG CPR GAST/CARDIOASPIRIN*30CPR GAST 100MG
AC.ACETILSALICILICO 100MG CPR GAST/CARDIOASPIRIN*30CPR GAST 100MG
AC.ACETILSALICILICO 100MG CPR PED/ASPIRINETTA*30CPR 100MGR
AC.ACETILSALICILICO 100MG CPR PED/ASPIRINETTA*30CPR 100MGR
CIPROFLOXACINA 250MG CPR/CIPROXIN*10CPR250MGPP
CIPROFLOXACINA 5% SOSP 100ML/CIPROXIN*OS SOSP 100ML 250MG/5ML
CIPROFLOXACINA 5% SOSP 100ML/CIPROXIN*OS SOSP 100ML 250MG/5ML
CIPROTERONE ACET. 300MG 3ML F IM RP/ANDROCUR*IM 1F 3ML 300MG RP
CIPROTERONE ACET. 300MG 3ML F IM RP/ANDROCUR*IM 1F 3ML 300MG RP
CIPROTERONE ACET. 300MG 3ML F IM RP/ANDROCUR*IM 1F 3ML 300MG RP
CIPROTERONE ACET. 300MG 3ML F IM RP/ANDROCUR*IM 1F 3ML 300MG RP
CIPROTERONE ACET. 50MG CPR -DSC/ANDROCUR*25CPR 50MG
14di89
1250
1500
3750
250
150
195
150
525
150
25
75
50
100
100
88
160
120
180
163
180
88
200
180
525
525
450
1125
37500
90000
37500
37500
75000
37500
37500
75000
75000
750
750
1250
50
25
25
13
25
25
625
625
19
€ 1.890,39
€ 6.298,75
€ 7.558,50
€ 18.895,95
€ 1.260,25
€ 7.557,00
€ 9.824,09
€ 7.557,00
€ 26.449,50
€ 7.557,00
€ 147,80
€ 2.104,48
€ 1.402,98
€ 2.805,98
€ 2.805,98
€ 6.790,00
€ 12.416,00
€ 9.312,00
€ 13.968,00
€ 12.610,00
€ 13.968,00
€ 6.790,00
€ 15.520,00
€ 13.968,00
€ 628,95
€ 628,95
€ 540,00
€ 1.350,00
€ 1.637,09
€ 3.929,95
€ 1.637,77
€ 1.639,57
€ 3.274,95
€ 1.637,09
€ 1.637,09
€ 3.274,50
€ 3.287,02
€ 43,45
€ 44,27
€ 50,00
€ 437,05
€ 218,52
€ 190,52
€ 95,27
€ 190,48
€ 190,48
€ 272,25
€ 2.079,43
€ 6.928,63
€ 8.314,35
€ 20.785,55
€ 1.386,28
€ 8.312,70
€ 10.806,50
€ 8.312,70
€ 29.094,45
€ 8.312,70
€ 162,58
€ 2.314,93
€ 1.543,28
€ 3.086,58
€ 3.086,58
€ 7.469,00
€ 13.657,60
€ 10.243,20
€ 15.364,80
€ 13.871,00
€ 15.364,80
€ 7.469,00
€ 17.072,00
€ 15.364,80
€ 691,85
€ 691,85
€ 594,00
€ 1.485,00
€ 1.800,80
€ 4.322,95
€ 1.801,55
€ 1.803,53
€ 3.602,45
€ 1.800,80
€ 1.800,80
€ 3.601,95
€ 3.615,73
€ 47,80
€ 48,70
€ 55,00
€ 480,75
€ 240,38
€ 209,58
€ 104,80
€ 209,53
€ 209,53
€ 299,48
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
6079
8970
8970
8970
8970
8970
8970
8970
9376
9376
9376
9376
7827
7827
7827
966
966
966
966
2526
2526
2526
331
331
331
331
331
331
332
12602
12602
12602
12602
8968
8968
4008
4008
9804
5857
5857
5857
5857
7946
7946
7946
7946
7946
Ditta Offerente
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BAYER S.P.A.
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
CIPROTERONE ACET. 50MG CPR -DSC/ANDROCUR*25CPR 50MG
DEXPANTENOLO 500MG/2ML FL IM/EV/BEPANTEN*INIET 3F 2ML 500MG/2ML
DEXPANTENOLO 500MG/2ML FL IM/EV/BEPANTEN*INIET 3F 2ML 500MG/2ML
DEXPANTENOLO 500MG/2ML FL IM/EV/BEPANTEN*INIET 3F 2ML 500MG/2ML
DEXPANTENOLO 500MG/2ML FL IM/EV/BEPANTEN*INIET 3F 2ML 500MG/2ML
DEXPANTENOLO 500MG/2ML FL IM/EV/BEPANTEN*INIET 3F 2ML 500MG/2ML
DEXPANTENOLO 500MG/2ML FL IM/EV/BEPANTEN*INIET 3F 2ML 500MG/2ML
DEXPANTENOLO 500MG/2ML FL IM/EV/BEPANTEN*INIET 3F 2ML 500MG/2ML
DIFLUCORTOLONE/JOSAMICO 0,12% 10ML/CORTIFLUORAL*SOLUZ ODONT 10ML
DIFLUCORTOLONE/JOSAMICO 0,12% 10ML/CORTIFLUORAL*SOLUZ ODONT 10ML
DIFLUCORTOLONE/JOSAMICO 0,12% 10ML/CORTIFLUORAL*SOLUZ ODONT 10ML
DIFLUCORTOLONE/JOSAMICO 0,12% 10ML/CORTIFLUORAL*SOLUZ ODONT 10ML
IDROSSIPROGESTERONE 250MG 1ML F IM/PROLUTON*IM 1F 250MG 1ML
IDROSSIPROGESTERONE 250MG 1ML F IM/PROLUTON*IM 1F 250MG 1ML
IDROSSIPROGESTERONE 250MG 1ML F IM/PROLUTON*IM 1F 250MG 1ML
INTERF BETA 1B 0,25MG/ML
-DSC/BETAFERON*15CONFEZ 0,25MG/ML
INTERF BETA 1B 0,25MG/ML
-DSC/BETAFERON*15CONFEZ 0,25MG/ML
INTERF BETA 1B 0,25MG/ML
-DSC/BETAFERON*15CONFEZ 0,25MG/ML
INTERF BETA 1B 0,25MG/ML
-DSC/BETAFERON*15CONFEZ 0,25MG/ML
LEVONORGESTREL 20MCG/24H INTRAUT/MIRENA*DISP.INTRAUT.20MCG/24H
LEVONORGESTREL 20MCG/24H INTRAUT/MIRENA*DISP.INTRAUT.20MCG/24H
LEVONORGESTREL 20MCG/24H INTRAUT/MIRENA*DISP.INTRAUT.20MCG/24H
NIFEDIPINA 30MG CPR RIV RM/ADALAT CRONO*14CPR 30MG RM RIV
NIFEDIPINA 30MG CPR RIV RM/ADALAT CRONO*14CPR 30MG RM RIV
NIFEDIPINA 30MG CPR RIV RM/ADALAT CRONO*14CPR 30MG RM RIV
NIFEDIPINA 30MG CPR RIV RM/ADALAT CRONO*14CPR 30MG RM RIV
NIFEDIPINA 30MG CPR RIV RM/ADALAT CRONO*14CPR 30MG RM RIV
NIFEDIPINA 30MG CPR RIV RM/ADALAT CRONO*14CPR 30MG RM RIV
NIFEDIPINA 60MG CPR RIV RM/ADALAT CRONO*14CPR 60MG RM RIV
NIMODIPINA 10MG/50ML FL EV/NIMOTOP PER INF.*10MG/50ML+DEF
NIMODIPINA 10MG/50ML FL EV/NIMOTOP PER INF.*10MG/50ML+DEF
NIMODIPINA 10MG/50ML FL EV/NIMOTOP PER INF.*10MG/50ML+DEF
NIMODIPINA 10MG/50ML FL EV/NIMOTOP PER INF.*10MG/50ML+DEF
PIRIDOSSINA CLOR.300MG CPR GASTR/BENADON*10CPR GASTR 300MG
PIRIDOSSINA CLOR.300MG CPR GASTR/BENADON*10CPR GASTR 300MG
SORAFENIB 200MG CPR RIV
-DSC/NEXAVAR*112CPR RIV 200MG
SORAFENIB 200MG CPR RIV
-DSC/NEXAVAR*112CPR RIV 200MG
SULPROSTONE 0,5MG/2ML F INIET/NALADOR 0,5MG/2ML F INIET
TESTOSTERONE UNDECAN.1000MG F IM/NEBID*F IM 4ML 1000MG 4ML
TESTOSTERONE UNDECAN.1000MG F IM/NEBID*F IM 4ML 1000MG 4ML
TESTOSTERONE UNDECAN.1000MG F IM/NEBID*F IM 4ML 1000MG 4ML
TESTOSTERONE UNDECAN.1000MG F IM/NEBID*F IM 4ML 1000MG 4ML
BETAMETASONE FOSF.DISOD. 0,5MG CPR/BENTELAN*10CPR EFF 0,5MG
BETAMETASONE FOSF.DISOD. 0,5MG CPR/BENTELAN*10CPR EFF 0,5MG
BETAMETASONE FOSF.DISOD. 0,5MG CPR/BENTELAN*10CPR EFF 0,5MG
BETAMETASONE FOSF.DISOD. 0,5MG CPR/BENTELAN*10CPR EFF 0,5MG
BETAMETASONE FOSF.DISOD. 0,5MG CPR/BENTELAN*10CPR EFF 0,5MG
15di89
1125
1125
1125
75
1500
1500
150
50
50
50
50
50
50
50
1125
1500
750
750
3
3
3
1050
1400
1050
1050
1050
2800
525
700
700
750
2000
5000
5000
1400
560
25
5
3
3
5
2500
1500
2500
2500
1500
2500
20
€ 272,25
€ 1.635,05
€ 1.635,05
€ 1.635,05
€ 109,00
€ 2.180,75
€ 2.180,75
€ 218,07
€ 222,50
€ 222,50
€ 222,52
€ 222,52
€ 59,50
€ 59,50
€ 59,50
€ 34.312,50
€ 45.750,00
€ 22.875,00
€ 22.875,00
€ 235,23
€ 235,23
€ 235,23
€ 26,27
€ 35,02
€ 26,27
€ 26,27
€ 26,27
€ 70,05
€ 18,41
€ 5.599,77
€ 5.599,77
€ 5.999,77
€ 15.999,39
€ 1.650,00
€ 1.650,00
€ 40.183,82
€ 16.073,52
€ 252,52
€ 345,45
€ 172,73
€ 172,73
€ 345,45
€ 222,68
€ 133,59
€ 222,68
€ 222,68
€ 133,59
€ 299,48
€ 1.798,55
€ 1.798,55
€ 1.798,55
€ 119,90
€ 2.398,83
€ 2.398,83
€ 239,88
€ 244,75
€ 244,75
€ 244,78
€ 244,78
€ 65,45
€ 65,45
€ 65,45
€ 37.743,75
€ 50.325,00
€ 25.162,50
€ 25.162,50
€ 258,75
€ 258,75
€ 258,75
€ 28,90
€ 38,53
€ 28,90
€ 28,90
€ 28,90
€ 77,05
€ 20,25
€ 6.159,75
€ 6.159,75
€ 6.599,75
€ 17.599,33
€ 1.815,00
€ 1.815,00
€ 44.202,20
€ 17.680,88
€ 277,78
€ 380,00
€ 190,00
€ 190,00
€ 380,00
€ 244,95
€ 146,95
€ 244,95
€ 244,95
€ 146,95
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
7946
7946
7949
7949
7949
7949
7950
7950
7950
7950
7950
7950
7950
7950
8358
8358
8358
8358
330
330
330
330
8176
8176
8176
8850
8850
5285
5285
5285
7838
7838
7838
982
982
982
5807
5807
5807
5807
5807
5807
5807
5239
5239
5239
1399
Ditta Offerente
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOFUTURA PHARMA SPA
BIOGEN IDEC ITALIA S.R.L.
BIOGEN IDEC ITALIA S.R.L.
BIOGEN IDEC ITALIA S.R.L.
BIOGEN IDEC ITALIA S.R.L.
BIOGEN IDEC ITALIA S.R.L.
BIOGEN IDEC ITALIA S.R.L.
BIOGEN IDEC ITALIA S.R.L.
BIOGEN IDEC ITALIA S.R.L.
BIOGEN IDEC ITALIA S.R.L.
BIOGEN IDEC ITALIA S.R.L.
BIOGEN IDEC ITALIA S.R.L.
BIOGEN IDEC ITALIA S.R.L.
BIOGEN IDEC ITALIA S.R.L.
BLUEFISH PHARMA S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
BETAMETASONE FOSF.DISOD. 0,5MG CPR/BENTELAN*10CPR EFF 0,5MG
BETAMETASONE FOSF.DISOD. 0,5MG CPR/BENTELAN*10CPR EFF 0,5MG
BETAMETASONE FOSF.DISOD.1,5MG -CDR/BENTELAN*INIET 6F 1,5MG/2ML
BETAMETASONE FOSF.DISOD.1,5MG -CDR/BENTELAN*INIET 6F 1,5MG/2ML
BETAMETASONE FOSF.DISOD.1,5MG -CDR/BENTELAN*INIET 6F 1,5MG/2ML
BETAMETASONE FOSF.DISOD.1,5MG -CDR/BENTELAN*INIET 6F 1,5MG/2ML
BETAMETASONE FOSF.DISOD.4MG/2ML F/BENTELAN*IM IV 3F 2ML 4MG/2ML
BETAMETASONE FOSF.DISOD.4MG/2ML F/BENTELAN*IM IV 3F 2ML 4MG/2ML
BETAMETASONE FOSF.DISOD.4MG/2ML F/BENTELAN*IM IV 3F 2ML 4MG/2ML
BETAMETASONE FOSF.DISOD.4MG/2ML F/BENTELAN*IM IV 3F 2ML 4MG/2ML
BETAMETASONE FOSF.DISOD.4MG/2ML F/BENTELAN*IM IV 3F 2ML 4MG/2ML
BETAMETASONE FOSF.DISOD.4MG/2ML F/BENTELAN*IM IV 3F 2ML 4MG/2ML
BETAMETASONE FOSF.DISOD.4MG/2ML F/BENTELAN*IM IV 3F 2ML 4MG/2ML
BETAMETASONE FOSF.DISOD.4MG/2ML F/BENTELAN*IM IV 3F 2ML 4MG/2ML
CLOMIPRAMINA 25MG CPR RIV/ANAFRANIL*20CPR RIV 25MG
CLOMIPRAMINA 25MG CPR RIV/ANAFRANIL*20CPR RIV 25MG
CLOMIPRAMINA 25MG CPR RIV/ANAFRANIL*20CPR RIV 25MG
CLOMIPRAMINA 25MG CPR RIV/ANAFRANIL*20CPR RIV 25MG
CLOMIPRAMINA 75MG CPR DIV/ANAFRANIL*20CPR DIV 75MG R.P.
CLOMIPRAMINA 75MG CPR DIV/ANAFRANIL*20CPR DIV 75MG R.P.
CLOMIPRAMINA 75MG CPR DIV/ANAFRANIL*20CPR DIV 75MG R.P.
CLOMIPRAMINA 75MG CPR DIV/ANAFRANIL*20CPR DIV 75MG R.P.
INDOMETACINA 25MG CPS/INDOXEN*25CPS 25MG
INDOMETACINA 25MG CPS/INDOXEN*25CPS 25MG
INDOMETACINA 25MG CPS/INDOXEN*25CPS 25MG
LEVOCARNITINA 1G F EV -RIS.NEFRO/CARNITENE*INIET 5F 5ML 1G/5ML
LEVOCARNITINA 1G F EV -RIS.NEFRO/CARNITENE*INIET 5F 5ML 1G/5ML
LEVOCARNITINA 2G FL MONODOSE OS/CARNITENE*OS 10FL 2G MONOD
LEVOCARNITINA 2G FL MONODOSE OS/CARNITENE*OS 10FL 2G MONOD
LEVOCARNITINA 2G FL MONODOSE OS/CARNITENE*OS 10FL 2G MONOD
OSSITOCINA 1ML 5UI F IM/EV/SYNTOCINON*EV IM 6F 1ML 5UI
OSSITOCINA 1ML 5UI F IM/EV/SYNTOCINON*EV IM 6F 1ML 5UI
OSSITOCINA 1ML 5UI F IM/EV/SYNTOCINON*EV IM 6F 1ML 5UI
INTERF BETA 1A30MC/0,5ML SIR IM-DSC/AVONEX*IM 4SIR 30MCG/0,5ML+4AG
INTERF BETA 1A30MC/0,5ML SIR IM-DSC/AVONEX*IM 4SIR 30MCG/0,5ML+4AG
INTERF BETA 1A30MC/0,5ML SIR IM-DSC/AVONEX*IM 4SIR 30MCG/0,5ML+4AG
INTERF. BETA 1A 30MCG/0,5ML PEN-DSC/AVONEX*IM 4PEN 30MCG/0,5ML+4AG
INTERF. BETA 1A 30MCG/0,5ML PEN-DSC/AVONEX*IM 4PEN 30MCG/0,5ML+4AG
INTERF. BETA 1A 30MCG/0,5ML PEN-DSC/AVONEX*IM 4PEN 30MCG/0,5ML+4AG
INTERF. BETA 1A 30MCG/0,5ML PEN-DSC/AVONEX*IM 4PEN 30MCG/0,5ML+4AG
INTERF. BETA 1A 30MCG/0,5ML PEN-DSC/AVONEX*IM 4PEN 30MCG/0,5ML+4AG
INTERF. BETA 1A 30MCG/0,5ML PEN-DSC/AVONEX*IM 4PEN 30MCG/0,5ML+4AG
INTERF. BETA 1A 30MCG/0,5ML PEN-DSC/AVONEX*IM 4PEN 30MCG/0,5ML+4AG
NATALIZUMAB 300MG 15ML FL IV/TYSABRI*IV 1FL 300MG 15ML
NATALIZUMAB 300MG 15ML FL IV/TYSABRI*IV 1FL 300MG 15ML
NATALIZUMAB 300MG 15ML FL IV/TYSABRI*IV 1FL 300MG 15ML
MIRTAZAPINA 30MG CPR ORO/MIRTAZAPINA BLUEF*30CPR ORO 30MG
16di89
7500
150
375
375
150
750
375
750
525
750
750
525
1500
250
1250
250
750
750
750
1000
1000
750
750
750
2500
2500
500
900
250
6000
3000
3000
150
150
180
200
350
250
250
250
250
250
75
100
63
10500
15000
21
€ 222,68
€ 668,73
€ 53,32
€ 133,30
€ 133,30
€ 53,32
€ 90,64
€ 45,30
€ 90,64
€ 63,43
€ 90,64
€ 90,64
€ 63,43
€ 181,25
€ 15,05
€ 75,27
€ 15,05
€ 45,18
€ 110,27
€ 110,27
€ 147,05
€ 147,05
€ 19,77
€ 19,77
€ 19,77
€ 803,18
€ 803,18
€ 355,23
€ 639,41
€ 177,64
€ 1.409,09
€ 704,55
€ 704,55
€ 25.867,50
€ 25.867,50
€ 31.041,00
€ 34.490,41
€ 60.358,20
€ 43.113,00
€ 43.112,50
€ 43.112,50
€ 43.112,50
€ 43.112,50
€ 118.182,30
€ 157.576,00
€ 98.485,00
€ 520,16
€ 244,95
€ 735,60
€ 58,65
€ 146,63
€ 146,63
€ 58,65
€ 99,70
€ 49,83
€ 99,70
€ 69,78
€ 99,70
€ 99,70
€ 69,78
€ 199,38
€ 16,55
€ 82,80
€ 16,55
€ 49,70
€ 121,30
€ 121,30
€ 161,75
€ 161,75
€ 21,75
€ 21,75
€ 21,75
€ 883,50
€ 883,50
€ 390,75
€ 703,35
€ 195,40
€ 1.550,00
€ 775,00
€ 775,00
€ 28.454,25
€ 28.454,25
€ 34.145,10
€ 37.939,45
€ 66.394,03
€ 47.424,30
€ 47.423,75
€ 47.423,75
€ 47.423,75
€ 47.423,75
€ 130.000,53
€ 173.333,60
€ 108.333,50
€ 572,18
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
1399
1399
1399
1399
1399
1625
1625
1625
1625
1710
1710
1710
1710
1710
1710
12051
12051
12051
12051
6390
6390
6390
6390
6390
1147
1147
1147
1147
1147
11357
11357
11357
11357
6508
6508
6508
6508
6508
556
556
556
556
557
557
557
557
557
Ditta Offerente
BLUEFISH PHARMA S.R.L.
BLUEFISH PHARMA S.R.L.
BLUEFISH PHARMA S.R.L.
BLUEFISH PHARMA S.R.L.
BLUEFISH PHARMA S.R.L.
BLUEFISH PHARMA S.R.L.
BLUEFISH PHARMA S.R.L.
BLUEFISH PHARMA S.R.L.
BLUEFISH PHARMA S.R.L.
BLUEFISH PHARMA S.R.L.
BLUEFISH PHARMA S.R.L.
BLUEFISH PHARMA S.R.L.
BLUEFISH PHARMA S.R.L.
BLUEFISH PHARMA S.R.L.
BLUEFISH PHARMA S.R.L.
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
MIRTAZAPINA 30MG CPR ORO/MIRTAZAPINA BLUEF*30CPR ORO 30MG
MIRTAZAPINA 30MG CPR ORO/MIRTAZAPINA BLUEF*30CPR ORO 30MG
MIRTAZAPINA 30MG CPR ORO/MIRTAZAPINA BLUEF*30CPR ORO 30MG
MIRTAZAPINA 30MG CPR ORO/MIRTAZAPINA BLUEF*30CPR ORO 30MG
MIRTAZAPINA 30MG CPR ORO/MIRTAZAPINA BLUEF*30CPR ORO 30MG
TOPIRAMATO 100MG CPR RIV/TOPIRAMATO BLU*60CPR RIV 100MG
TOPIRAMATO 100MG CPR RIV/TOPIRAMATO BLU*60CPR RIV 100MG
TOPIRAMATO 100MG CPR RIV/TOPIRAMATO BLU*60CPR RIV 100MG
TOPIRAMATO 100MG CPR RIV/TOPIRAMATO BLU*60CPR RIV 100MG
TOPIRAMATO 25MG CPR RIV/TOPIRAMATO BLU*60CPR RIV 25MG
TOPIRAMATO 25MG CPR RIV/TOPIRAMATO BLU*60CPR RIV 25MG
TOPIRAMATO 25MG CPR RIV/TOPIRAMATO BLU*60CPR RIV 25MG
TOPIRAMATO 25MG CPR RIV/TOPIRAMATO BLU*60CPR RIV 25MG
TOPIRAMATO 25MG CPR RIV/TOPIRAMATO BLU*60CPR RIV 25MG
TOPIRAMATO 25MG CPR RIV/TOPIRAMATO BLU*60CPR RIV 25MG
ALTEPLASI 50MG/50ML FL IV/ACTILYSE*IV FL 50MG+FL 50ML
ALTEPLASI 50MG/50ML FL IV/ACTILYSE*IV FL 50MG+FL 50ML
ALTEPLASI 50MG/50ML FL IV/ACTILYSE*IV FL 50MG+FL 50ML
ALTEPLASI 50MG/50ML FL IV/ACTILYSE*IV FL 50MG+FL 50ML
AMANTADINA CLOR. 100MG CPR/MANTADAN*20CPR 100MG
AMANTADINA CLOR. 100MG CPR/MANTADAN*20CPR 100MG
AMANTADINA CLOR. 100MG CPR/MANTADAN*20CPR 100MG
AMANTADINA CLOR. 100MG CPR/MANTADAN*20CPR 100MG
AMANTADINA CLOR. 100MG CPR/MANTADAN*20CPR 100MG
AMBROXOLO 60MG BUST AD/MUCOSOLVAN*AD 20BUST 60MG
AMBROXOLO 60MG BUST AD/MUCOSOLVAN*AD 20BUST 60MG
AMBROXOLO 60MG BUST AD/MUCOSOLVAN*AD 20BUST 60MG
AMBROXOLO 60MG BUST AD/MUCOSOLVAN*AD 20BUST 60MG
AMBROXOLO 60MG BUST AD/MUCOSOLVAN*AD 20BUST 60MG
BISACODIL 10MG SUPP AD/DULCOLAX*AD 6SUPP 10M
BISACODIL 10MG SUPP AD/DULCOLAX*AD 6SUPP 10M
BISACODIL 10MG SUPP AD/DULCOLAX*AD 6SUPP 10M
BISACODIL 10MG SUPP AD/DULCOLAX*AD 6SUPP 10M
CLONIDINA 150MCG/ML 1ML SC IM EV/CATAPRESAN*5F 1ML 150MCG/ML
CLONIDINA 150MCG/ML 1ML SC IM EV/CATAPRESAN*5F 1ML 150MCG/ML
CLONIDINA 150MCG/ML 1ML SC IM EV/CATAPRESAN*5F 1ML 150MCG/ML
CLONIDINA 150MCG/ML 1ML SC IM EV/CATAPRESAN*5F 1ML 150MCG/ML
CLONIDINA 150MCG/ML 1ML SC IM EV/CATAPRESAN*5F 1ML 150MCG/ML
CLONIDINA 2,5MG CER/CATAPRESAN TTS1*2CER 2,5MG
CLONIDINA 2,5MG CER/CATAPRESAN TTS1*2CER 2,5MG
CLONIDINA 2,5MG CER/CATAPRESAN TTS1*2CER 2,5MG
CLONIDINA 2,5MG CER/CATAPRESAN TTS1*2CER 2,5MG
CLONIDINA 5MG CER/CATAPRESAN TTS2*2CER 5MG
CLONIDINA 5MG CER/CATAPRESAN TTS2*2CER 5MG
CLONIDINA 5MG CER/CATAPRESAN TTS2*2CER 5MG
CLONIDINA 5MG CER/CATAPRESAN TTS2*2CER 5MG
CLONIDINA 5MG CER/CATAPRESAN TTS2*2CER 5MG
17di89
10500
15000
15000
30000
750
750
2250
3000
900
1500
1500
750
2250
1500
50
50
37
87
1500
1250
1250
1500
1500
2000
1500
2000
1500
2500
225
255
225
300
1250
750
2500
2625
2500
500
500
500
250
750
500
1000
375
375
375
22
€ 743,07
€ 520,16
€ 743,07
€ 743,07
€ 1.486,18
€ 74,00
€ 74,00
€ 222,00
€ 296,00
€ 26,43
€ 44,05
€ 44,05
€ 22,02
€ 66,07
€ 44,05
€ 18.396,00
€ 18.396,00
€ 13.797,00
€ 32.193,00
€ 253,16
€ 210,98
€ 210,98
€ 253,91
€ 253,16
€ 454,55
€ 340,91
€ 454,55
€ 340,91
€ 568,18
€ 93,75
€ 106,25
€ 93,75
€ 125,00
€ 567,05
€ 340,23
€ 1.134,09
€ 1.190,80
€ 1.134,23
€ 1.013,64
€ 1.013,64
€ 1.013,64
€ 506,82
€ 1.520,45
€ 1.013,64
€ 2.027,27
€ 760,23
€ 760,23
€ 817,38
€ 572,18
€ 817,38
€ 817,38
€ 1.634,80
€ 81,40
€ 81,40
€ 244,20
€ 325,60
€ 29,08
€ 48,45
€ 48,45
€ 24,23
€ 72,68
€ 48,45
€ 20.235,60
€ 20.235,60
€ 15.176,70
€ 35.412,30
€ 278,48
€ 232,08
€ 232,08
€ 279,30
€ 278,48
€ 500,00
€ 375,00
€ 500,00
€ 375,00
€ 625,00
€ 103,13
€ 116,88
€ 103,13
€ 137,50
€ 623,75
€ 374,25
€ 1.247,50
€ 1.309,88
€ 1.247,65
€ 1.115,00
€ 1.115,00
€ 1.115,00
€ 557,50
€ 1.672,50
€ 1.115,00
€ 2.230,00
€ 836,25
€ 836,25
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
557
557
6506
6506
8091
8091
8091
6665
6665
6665
6665
5735
7794
7794
7794
7794
7794
7794
7795
7795
7795
7795
7795
7795
7723
7723
7723
3986
3986
3986
3986
3986
3986
3986
3540
8976
8976
8976
8976
8976
8976
270
270
270
1725
1725
1725
Ditta Offerente
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BOEHRINGER INGELHEIM ITALIA SPA
BRACCO IMAGING ITALIA SRL
BRACCO S.P.A.
BRACCO S.P.A.
BRACCO S.P.A.
BRACCO S.P.A.
BRACCO S.P.A.
BRACCO S.P.A.
BRACCO S.P.A.
BRACCO S.P.A.
BRACCO S.P.A.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
CLONIDINA 5MG CER/CATAPRESAN TTS2*2CER 5MG
CLONIDINA 5MG CER/CATAPRESAN TTS2*2CER 5MG
CLONIDINA CLOR. 0,150MCG/CATAPRESAN*30CPR 150MCG
CLONIDINA CLOR. 0,150MCG/CATAPRESAN*30CPR 150MCG
DIPIRIDAMOLO 10MG FL EV/PERSANTIN*IV 10F 10MG/2ML
DIPIRIDAMOLO 10MG FL EV/PERSANTIN*IV 10F 10MG/2ML
DIPIRIDAMOLO 10MG FL EV/PERSANTIN*IV 10F 10MG/2ML
ETILEFRINA CLOR. 10MG/ML F IM EV/EFFORTIL*IM IV 6F 1ML 10MG
ETILEFRINA CLOR. 10MG/ML F IM EV/EFFORTIL*IM IV 6F 1ML 10MG
ETILEFRINA CLOR. 10MG/ML F IM EV/EFFORTIL*IM IV 6F 1ML 10MG
ETILEFRINA CLOR. 10MG/ML F IM EV/EFFORTIL*IM IV 6F 1ML 10MG
NEVIRAPINA 400MG CPR R.P./VIRAMUNE*30CPR 400MG R.P.
SCOPOLAMINA BUTILBROM. 10MG CPR/BUSCOPAN*30CPR RIV 10MG
SCOPOLAMINA BUTILBROM. 10MG CPR/BUSCOPAN*30CPR RIV 10MG
SCOPOLAMINA BUTILBROM. 10MG CPR/BUSCOPAN*30CPR RIV 10MG
SCOPOLAMINA BUTILBROM. 10MG CPR/BUSCOPAN*30CPR RIV 10MG
SCOPOLAMINA BUTILBROM. 10MG CPR/BUSCOPAN*30CPR RIV 10MG
SCOPOLAMINA BUTILBROM. 10MG CPR/BUSCOPAN*30CPR RIV 10MG
SCOPOLAMINA BUTILBROM.20MG F IM/IV/BUSCOPAN*IM IV 6F 1ML 20MG
SCOPOLAMINA BUTILBROM.20MG F IM/IV/BUSCOPAN*IM IV 6F 1ML 20MG
SCOPOLAMINA BUTILBROM.20MG F IM/IV/BUSCOPAN*IM IV 6F 1ML 20MG
SCOPOLAMINA BUTILBROM.20MG F IM/IV/BUSCOPAN*IM IV 6F 1ML 20MG
SCOPOLAMINA BUTILBROM.20MG F IM/IV/BUSCOPAN*IM IV 6F 1ML 20MG
SCOPOLAMINA BUTILBROM.20MG F IM/IV/BUSCOPAN*IM IV 6F 1ML 20MG
SODIO PICOSOLFATO 7,5MG/ML GTT OS/GUTTALAX*OS GTT 15ML 7,5MG/ML
SODIO PICOSOLFATO 7,5MG/ML GTT OS/GUTTALAX*OS GTT 15ML 7,5MG/ML
SODIO PICOSOLFATO 7,5MG/ML GTT OS/GUTTALAX*OS GTT 15ML 7,5MG/ML
TIOTROPIO BR 18MCG CPS HANDIHALER/SPIRIVA*30CPS 18MCG HANDIHALER
TIOTROPIO BR 18MCG CPS HANDIHALER/SPIRIVA*30CPS 18MCG HANDIHALER
TIOTROPIO BR 18MCG CPS HANDIHALER/SPIRIVA*30CPS 18MCG HANDIHALER
TIOTROPIO BR 18MCG CPS HANDIHALER/SPIRIVA*30CPS 18MCG HANDIHALER
TIOTROPIO BR 18MCG CPS HANDIHALER/SPIRIVA*30CPS 18MCG HANDIHALER
TIOTROPIO BR 18MCG CPS HANDIHALER/SPIRIVA*30CPS 18MCG HANDIHALER
TIOTROPIO BR 18MCG CPS HANDIHALER/SPIRIVA*30CPS 18MCG HANDIHALER
ESAFLUORURO 8MCG+SIR 5ML+ADAT FL/SONOVUE*1FL 8MCG+1SIR 5ML+ADAT
AC.ASCORBICO 1G CPR EFF OS/CEBION*10CPR EFF 1G ARANCIA
AC.ASCORBICO 1G CPR EFF OS/CEBION*10CPR EFF 1G ARANCIA
AC.ASCORBICO 1G CPR EFF OS/CEBION*10CPR EFF 1G ARANCIA
AC.ASCORBICO 1G CPR EFF OS/CEBION*10CPR EFF 1G ARANCIA
AC.ASCORBICO 1G CPR EFF OS/CEBION*10CPR EFF 1G ARANCIA
AC.ASCORBICO 1G CPR EFF OS/CEBION*10CPR EFF 1G ARANCIA
PIRAZINAMIDE 500MG CPR/PIRALDINA*50CPR 500MG
PIRAZINAMIDE 500MG CPR/PIRALDINA*50CPR 500MG
PIRAZINAMIDE 500MG CPR/PIRALDINA*50CPR 500MG
ATAZANAVIR 200MG CPS/REYATAZ*60CPS 200MG
ATAZANAVIR 200MG CPS/REYATAZ*60CPS 200MG
ATAZANAVIR 200MG CPS/REYATAZ*60CPS 200MG
18di89
1000
375
750
1000
1000
1000
3000
750
3000
750
2850
4500
4500
4500
4500
4500
11250
1500
1500
1500
3000
750
6000
50
250
375
7500
9750
5250
7500
5250
7500
7500
75
3000
3750
3750
3750
3750
10000
2500
2500
7500
7500
7500
7500
7500
23
€ 760,23
€ 2.027,27
€ 37,41
€ 74,80
€ 206,80
€ 206,80
€ 207,02
€ 1.402,27
€ 350,57
€ 1.401,00
€ 348,75
€ 15.431,80
€ 455,91
€ 455,91
€ 455,91
€ 455,91
€ 455,91
€ 1.139,75
€ 290,00
€ 290,00
€ 290,00
€ 580,00
€ 145,00
€ 1.160,02
€ 131,82
€ 659,09
€ 988,64
€ 7.695,05
€ 10.003,55
€ 5.386,52
€ 7.695,05
€ 5.386,52
€ 7.695,05
€ 7.695,05
€ 4.602,00
€ 279,00
€ 348,75
€ 348,75
€ 348,75
€ 348,75
€ 930,00
€ 117,50
€ 117,50
€ 352,52
€ 57.195,00
€ 57.195,00
€ 57.195,00
€ 836,25
€ 2.230,00
€ 41,15
€ 82,28
€ 227,48
€ 227,48
€ 227,73
€ 1.542,50
€ 385,63
€ 1.541,10
€ 383,63
€ 16.974,98
€ 501,50
€ 501,50
€ 501,50
€ 501,50
€ 501,50
€ 1.253,73
€ 319,00
€ 319,00
€ 319,00
€ 638,00
€ 159,50
€ 1.276,03
€ 145,00
€ 725,00
€ 1.087,50
€ 8.464,55
€ 11.003,90
€ 5.925,18
€ 8.464,55
€ 5.925,18
€ 8.464,55
€ 8.464,55
€ 5.062,20
€ 306,90
€ 383,63
€ 383,63
€ 383,63
€ 383,63
€ 1.023,00
€ 129,25
€ 129,25
€ 387,78
€ 62.914,50
€ 62.914,50
€ 62.914,50
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
1725
1725
1734
1734
1734
1734
1734
1734
6660
6660
1806
1806
1806
1806
1806
1316
1316
1317
1317
3772
3772
3772
3772
2861
2861
2861
2861
2861
2861
2861
2863
2863
2863
2863
861
861
861
860
860
860
8327
8327
8327
8327
8327
8327
6367
Ditta Offerente
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
ATAZANAVIR 200MG CPS/REYATAZ*60CPS 200MG
ATAZANAVIR 200MG CPS/REYATAZ*60CPS 200MG
ATAZANAVIR 300MG CPS/REYATAZ*1FL 30CPS 300MG
ATAZANAVIR 300MG CPS/REYATAZ*1FL 30CPS 300MG
ATAZANAVIR 300MG CPS/REYATAZ*1FL 30CPS 300MG
ATAZANAVIR 300MG CPS/REYATAZ*1FL 30CPS 300MG
ATAZANAVIR 300MG CPS/REYATAZ*1FL 30CPS 300MG
ATAZANAVIR 300MG CPS/REYATAZ*1FL 30CPS 300MG
COLESTIRAMINA CLOR. 4G BS OS/QUESTRAN*OS 12BUST 4G
COLESTIRAMINA CLOR. 4G BS OS/QUESTRAN*OS 12BUST 4G
DASATINIB 50MG CPR RIV
-DSC/SPRYCEL*60X1CPR RIV 50MG
DASATINIB 50MG CPR RIV
-DSC/SPRYCEL*60X1CPR RIV 50MG
DASATINIB 50MG CPR RIV
-DSC/SPRYCEL*60X1CPR RIV 50MG
DASATINIB 50MG CPR RIV
-DSC/SPRYCEL*60X1CPR RIV 50MG
DASATINIB 50MG CPR RIV
-DSC/SPRYCEL*60X1CPR RIV 50MG
DIDANOSINA 250MG CPS GASTR/VIDEX*30CPS GASTR 250MG
DIDANOSINA 250MG CPS GASTR/VIDEX*30CPS GASTR 250MG
DIDANOSINA 400MG CPS GASTR/VIDEX*30CPS GASTR 400MG
DIDANOSINA 400MG CPS GASTR/VIDEX*30CPS GASTR 400MG
EFAVIRENZ 600MG CPR RIV BLIST/SUSTIVA*30CPR RIV 600MG BLIST
EFAVIRENZ 600MG CPR RIV BLIST/SUSTIVA*30CPR RIV 600MG BLIST
EFAVIRENZ 600MG CPR RIV BLIST/SUSTIVA*30CPR RIV 600MG BLIST
EFAVIRENZ 600MG CPR RIV BLIST/SUSTIVA*30CPR RIV 600MG BLIST
ENTECAVIR 0,5MG CPR V N.PTORV -DSC/BARACLUDE*30CPR RIV 0,5MG
ENTECAVIR 0,5MG CPR V N.PTORV -DSC/BARACLUDE*30CPR RIV 0,5MG
ENTECAVIR 0,5MG CPR V N.PTORV -DSC/BARACLUDE*30CPR RIV 0,5MG
ENTECAVIR 0,5MG CPR V N.PTORV -DSC/BARACLUDE*30CPR RIV 0,5MG
ENTECAVIR 0,5MG CPR V N.PTORV -DSC/BARACLUDE*30CPR RIV 0,5MG
ENTECAVIR 0,5MG CPR V N.PTORV -DSC/BARACLUDE*30CPR RIV 0,5MG
ENTECAVIR 0,5MG CPR V N.PTORV -DSC/BARACLUDE*30CPR RIV 0,5MG
ENTECAVIR 1MG CPR V NOTA PTORV-DSC/BARACLUDE*30CPR RIV 1MG
ENTECAVIR 1MG CPR V NOTA PTORV-DSC/BARACLUDE*30CPR RIV 1MG
ENTECAVIR 1MG CPR V NOTA PTORV-DSC/BARACLUDE*30CPR RIV 1MG
ENTECAVIR 1MG CPR V NOTA PTORV-DSC/BARACLUDE*30CPR RIV 1MG
ETOPOSIDE 100MG CPS/VEPESID*10CPS 100MG
ETOPOSIDE 100MG CPS/VEPESID*10CPS 100MG
ETOPOSIDE 100MG CPS/VEPESID*10CPS 100MG
ETOPOSIDE 50MG CPS
-DSC/VEPESID*20CPS 50MG
ETOPOSIDE 50MG CPS
-DSC/VEPESID*20CPS 50MG
ETOPOSIDE 50MG CPS
-DSC/VEPESID*20CPS 50MG
FLUFENAZINA DECANOATO 25MG F IM/MODITEN DEPOT*IM 1F 25MG
FLUFENAZINA DECANOATO 25MG F IM/MODITEN DEPOT*IM 1F 25MG
FLUFENAZINA DECANOATO 25MG F IM/MODITEN DEPOT*IM 1F 25MG
FLUFENAZINA DECANOATO 25MG F IM/MODITEN DEPOT*IM 1F 25MG
FLUFENAZINA DECANOATO 25MG F IM/MODITEN DEPOT*IM 1F 25MG
FLUFENAZINA DECANOATO 25MG F IM/MODITEN DEPOT*IM 1F 25MG
NISTATINA 100000UI/ML SOSP OS/MYCOSTATIN*OS SOSP FL 100ML
19di89
6000
12000
11250
9750
9750
7500
15000
600
600
3000
3000
2250
2250
3000
750
750
525
375
7500
6750
6750
7500
3750
2175
2250
2250
2250
2250
2250
1200
750
450
450
125
125
125
250
250
250
250
500
250
250
250
500
250
200
-2 LINEA
-2 LINEA
-2 LINEA
-2 LINEA
-2 LINEA
-2 LINEA
-2 LINEA
-2 LINEA
-2 LINEA
-2 LINEA
-2 LINEA
24
€ 57.195,00
€ 45.780,00
€ 121.080,25
€ 113.512,73
€ 98.377,70
€ 98.377,70
€ 75.675,16
€ 151.350,30
€ 103,20
€ 103,20
€ 175.462,77
€ 175.462,77
€ 131.601,18
€ 131.601,18
€ 175.468,00
€ 2.227,20
€ 2.227,20
€ 2.494,14
€ 1.781,52
€ 48.740,02
€ 26.320,05
€ 26.320,05
€ 29.244,50
€ 49.698,30
€ 28.822,45
€ 29.816,32
€ 29.817,45
€ 29.816,32
€ 29.816,32
€ 29.817,73
€ 15.902,05
€ 9.938,77
€ 5.963,27
€ 5.963,55
€ 1.080,95
€ 1.080,95
€ 1.080,95
€ 1.089,02
€ 1.089,02
€ 1.089,02
€ 515,07
€ 1.030,18
€ 515,07
€ 515,07
€ 515,07
€ 1.030,18
€ 720,02
€ 62.914,50
€ 50.358,00
€ 133.188,28
€ 124.864,00
€ 108.215,48
€ 108.215,48
€ 83.242,68
€ 166.485,33
€ 113,53
€ 113,53
€ 193.009,05
€ 193.009,05
€ 144.761,30
€ 144.761,30
€ 193.014,80
€ 2.449,93
€ 2.449,93
€ 2.743,55
€ 1.959,68
€ 53.614,03
€ 28.952,05
€ 28.952,05
€ 32.168,95
€ 54.668,13
€ 31.704,70
€ 32.797,95
€ 32.799,20
€ 32.797,95
€ 32.797,95
€ 32.799,50
€ 17.492,25
€ 10.932,65
€ 6.559,60
€ 6.559,90
€ 1.189,05
€ 1.189,05
€ 1.189,05
€ 1.197,93
€ 1.197,93
€ 1.197,93
€ 566,58
€ 1.133,20
€ 566,58
€ 566,58
€ 566,58
€ 1.133,20
€ 792,03
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
6367
6367
6367
6367
6367
6222
6222
6222
6222
990
854
854
8070
8070
8070
8070
8070
8070
5016
5016
5016
4945
4945
4945
4945
4945
4945
4945
4945
4945
4945
4945
4945
4945
4945
4945
4945
4945
4945
4945
4945
4945
4945
4945
4945
4945
4945
Ditta Offerente
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
NISTATINA 100000UI/ML SOSP OS/MYCOSTATIN*OS SOSP FL 100ML
NISTATINA 100000UI/ML SOSP OS/MYCOSTATIN*OS SOSP FL 100ML
NISTATINA 100000UI/ML SOSP OS/MYCOSTATIN*OS SOSP FL 100ML
NISTATINA 100000UI/ML SOSP OS/MYCOSTATIN*OS SOSP FL 100ML
NISTATINA 100000UI/ML SOSP OS/MYCOSTATIN*OS SOSP FL 100ML
OXACILLINA SODICA 1G FL IM/EV/PENSTAPHO*INEIT 1FL 1G/5ML
OXACILLINA SODICA 1G FL IM/EV/PENSTAPHO*INEIT 1FL 1G/5ML
OXACILLINA SODICA 1G FL IM/EV/PENSTAPHO*INEIT 1FL 1G/5ML
OXACILLINA SODICA 1G FL IM/EV/PENSTAPHO*INEIT 1FL 1G/5ML
STAVUDINA 20MG CPS/ZERIT*56CPS 20MG
STAVUDINA 40MG CPS/ZERIT*56CPS 40MG
STAVUDINA 40MG CPS/ZERIT*56CPS 40MG
WARFARIN 5MG CPR/COUMADIN*30CPR 5MG
WARFARIN 5MG CPR/COUMADIN*30CPR 5MG
WARFARIN 5MG CPR/COUMADIN*30CPR 5MG
WARFARIN 5MG CPR/COUMADIN*30CPR 5MG
WARFARIN 5MG CPR/COUMADIN*30CPR 5MG
WARFARIN 5MG CPR/COUMADIN*30CPR 5MG
AZACITIDINA 100MG F SC 4ML/VIDAZA*SC 1FL 100MG 25MG/ML 4ML
AZACITIDINA 100MG F SC 4ML/VIDAZA*SC 1FL 100MG 25MG/ML 4ML
AZACITIDINA 100MG F SC 4ML/VIDAZA*SC 1FL 100MG 25MG/ML 4ML
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
LENALIDOMIDE 10MG CPS
-DSC/REVLIMID*21CPS 10MG
20di89
300
250
300
200
1875
2500
2500
4500
560
1400
280
11250
15000
15000
15000
15000
15000
250
200
375
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
52
52
53
52
52
52
105
25
€ 576,02
€ 864,02
€ 720,02
€ 864,02
€ 576,02
€ 2.550,18
€ 3.400,23
€ 3.400,23
€ 6.120,41
€ 1.062,14
€ 2.870,20
€ 574,05
€ 369,95
€ 493,98
€ 494,77
€ 495,00
€ 494,77
€ 493,27
€ 79.870,93
€ 63.896,75
€ 119.806,41
€ 12.317,14
€ 12.317,14
€ 12.317,14
€ 12.317,14
€ 12.317,14
€ 12.317,14
€ 12.317,14
€ 12.317,14
€ 12.317,14
€ 12.317,14
€ 6.158,57
€ 12.317,14
€ 12.317,14
€ 12.317,14
€ 12.317,14
€ 12.317,14
€ 12.317,14
€ 12.317,14
€ 6.158,57
€ 12.317,14
€ 12.317,02
€ 12.317,02
€ 6.158,52
€ 12.317,02
€ 12.317,02
€ 12.317,02
€ 633,63
€ 950,43
€ 792,03
€ 950,43
€ 633,63
€ 2.805,20
€ 3.740,25
€ 3.740,25
€ 6.732,45
€ 1.168,35
€ 3.157,23
€ 631,45
€ 406,95
€ 543,38
€ 544,25
€ 544,50
€ 544,25
€ 542,60
€ 87.858,03
€ 70.286,43
€ 131.787,05
€ 13.548,85
€ 13.548,85
€ 13.548,85
€ 13.548,85
€ 13.548,85
€ 13.548,85
€ 13.548,85
€ 13.548,85
€ 13.548,85
€ 13.548,85
€ 6.774,43
€ 13.548,85
€ 13.548,85
€ 13.548,85
€ 13.548,85
€ 13.548,85
€ 13.548,85
€ 13.548,85
€ 6.774,43
€ 13.548,85
€ 13.548,73
€ 13.548,73
€ 6.774,38
€ 13.548,73
€ 13.548,73
€ 13.548,73
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
4945
4945
4945
4945
4945
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
Ditta Offerente
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
LENALIDOMIDE 10MG CPS
LENALIDOMIDE 10MG CPS
LENALIDOMIDE 10MG CPS
LENALIDOMIDE 10MG CPS
LENALIDOMIDE 10MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
-DSC/REVLIMID*21CPS 10MG
-DSC/REVLIMID*21CPS 10MG
-DSC/REVLIMID*21CPS 10MG
-DSC/REVLIMID*21CPS 10MG
-DSC/REVLIMID*21CPS 10MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
21di89
52
52
52
52
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
26
€ 24.634,05
€ 12.317,02
€ 12.317,02
€ 12.317,02
€ 12.317,02
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 6.482,70
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 6.482,70
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 6.482,70
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 6.482,70
€ 27.097,45
€ 13.548,73
€ 13.548,73
€ 13.548,73
€ 13.548,73
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 7.130,98
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 7.130,98
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 7.130,98
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 7.130,98
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5019
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
Ditta Offerente
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 15MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 15MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
22di89
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
27
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 6.482,70
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 6.482,70
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 12.965,41
€ 14.215,64
€ 7.107,82
€ 14.215,64
€ 14.215,64
€ 7.107,82
€ 14.215,64
€ 14.215,64
€ 14.215,64
€ 14.215,64
€ 14.215,64
€ 14.215,64
€ 14.215,64
€ 14.215,64
€ 14.215,64
€ 7.107,82
€ 14.215,64
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 7.130,98
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 7.130,98
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 14.261,95
€ 15.637,20
€ 7.818,60
€ 15.637,20
€ 15.637,20
€ 7.818,60
€ 15.637,20
€ 15.637,20
€ 15.637,20
€ 15.637,20
€ 15.637,20
€ 15.637,20
€ 15.637,20
€ 15.637,20
€ 15.637,20
€ 7.818,60
€ 15.637,20
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
5017
4951
4951
4951
Ditta Offerente
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 25MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 25MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
23di89
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
53
52
52
105
52
28
€ 14.215,64
€ 14.215,64
€ 14.215,64
€ 14.215,64
€ 14.215,64
€ 14.215,64
€ 14.215,64
€ 7.107,82
€ 7.107,82
€ 14.215,64
€ 14.215,64
€ 14.215,64
€ 14.215,64
€ 14.215,64
€ 7.107,82
€ 7.107,82
€ 14.215,64
€ 14.215,64
€ 14.215,43
€ 14.215,43
€ 14.215,43
€ 14.215,43
€ 14.215,43
€ 14.216,48
€ 14.215,43
€ 14.215,43
€ 14.215,43
€ 14.215,43
€ 14.215,43
€ 14.215,43
€ 14.215,43
€ 14.215,43
€ 7.107,73
€ 14.215,43
€ 14.215,43
€ 14.215,43
€ 14.215,43
€ 14.215,43
€ 14.215,43
€ 7.107,73
€ 14.215,43
€ 14.215,43
€ 14.215,43
€ 14.215,43
€ 11.668,84
€ 11.668,84
€ 23.337,73
€ 15.637,20
€ 15.637,20
€ 15.637,20
€ 15.637,20
€ 15.637,20
€ 15.637,20
€ 15.637,20
€ 7.818,60
€ 7.818,60
€ 15.637,20
€ 15.637,20
€ 15.637,20
€ 15.637,20
€ 15.637,20
€ 7.818,60
€ 7.818,60
€ 15.637,20
€ 15.637,20
€ 15.636,98
€ 15.636,98
€ 15.636,98
€ 15.636,98
€ 15.636,98
€ 15.638,13
€ 15.636,98
€ 15.636,98
€ 15.636,98
€ 15.636,98
€ 15.636,98
€ 15.636,98
€ 15.636,98
€ 15.636,98
€ 7.818,50
€ 15.636,98
€ 15.636,98
€ 15.636,98
€ 15.636,98
€ 15.636,98
€ 15.636,98
€ 7.818,50
€ 15.636,98
€ 15.636,98
€ 15.636,98
€ 15.636,98
€ 12.835,73
€ 12.835,73
€ 25.671,50
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
4951
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
Ditta Offerente
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
LENALIDOMIDE 5MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/REVLIMID*21CPS 5MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
24di89
52
52
52
52
52
52
52
52
52
52
52
53
52
52
52
52
53
53
53
53
53
53
53
53
53
53
53
52
53
53
53
53
53
53
53
140
140
140
70
70
140
70
140
210
210
140
140
29
€ 11.668,84
€ 11.668,84
€ 11.668,84
€ 11.668,84
€ 11.668,84
€ 11.668,84
€ 11.668,84
€ 11.668,84
€ 11.668,84
€ 11.668,84
€ 11.668,84
€ 11.668,84
€ 5.834,43
€ 11.668,84
€ 11.668,84
€ 11.668,84
€ 11.668,84
€ 11.668,66
€ 11.668,66
€ 11.668,66
€ 11.668,66
€ 11.668,66
€ 11.668,66
€ 11.668,66
€ 11.668,66
€ 11.668,66
€ 11.668,66
€ 11.668,66
€ 5.834,32
€ 11.668,66
€ 11.668,66
€ 11.668,66
€ 11.668,66
€ 11.668,66
€ 11.668,66
€ 11.668,66
€ 1.263,45
€ 1.263,45
€ 1.263,45
€ 631,73
€ 631,73
€ 1.263,45
€ 631,73
€ 1.263,45
€ 1.895,18
€ 1.895,18
€ 1.263,45
€ 12.835,73
€ 12.835,73
€ 12.835,73
€ 12.835,73
€ 12.835,73
€ 12.835,73
€ 12.835,73
€ 12.835,73
€ 12.835,73
€ 12.835,73
€ 12.835,73
€ 12.835,73
€ 6.417,88
€ 12.835,73
€ 12.835,73
€ 12.835,73
€ 12.835,73
€ 12.835,53
€ 12.835,53
€ 12.835,53
€ 12.835,53
€ 12.835,53
€ 12.835,53
€ 12.835,53
€ 12.835,53
€ 12.835,53
€ 12.835,53
€ 12.835,53
€ 6.417,75
€ 12.835,53
€ 12.835,53
€ 12.835,53
€ 12.835,53
€ 12.835,53
€ 12.835,53
€ 12.835,53
€ 1.389,80
€ 1.389,80
€ 1.389,80
€ 694,90
€ 694,90
€ 1.389,80
€ 694,90
€ 1.389,80
€ 2.084,70
€ 2.084,70
€ 1.389,80
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
Ditta Offerente
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
25di89
70
140
140
350
70
140
140
140
140
140
140
140
280
140
70
70
140
140
140
140
210
140
140
140
140
70
210
140
140
140
70
140
140
140
140
140
140
140
70
140
140
140
140
70
140
140
70
30
€ 1.263,45
€ 631,73
€ 1.263,45
€ 1.263,45
€ 3.158,66
€ 631,73
€ 1.263,45
€ 1.263,45
€ 1.263,45
€ 1.263,45
€ 1.263,45
€ 1.263,45
€ 1.263,45
€ 2.526,93
€ 1.263,45
€ 631,73
€ 631,73
€ 1.263,45
€ 1.263,45
€ 1.263,45
€ 1.263,45
€ 1.895,18
€ 1.263,45
€ 1.263,45
€ 1.263,45
€ 1.263,45
€ 631,73
€ 1.895,18
€ 1.263,45
€ 1.263,45
€ 1.263,45
€ 631,73
€ 1.263,45
€ 1.263,45
€ 1.263,45
€ 1.263,45
€ 1.263,45
€ 1.263,45
€ 1.263,45
€ 631,73
€ 1.263,45
€ 1.262,95
€ 1.262,95
€ 1.264,34
€ 631,41
€ 1.262,80
€ 1.262,80
€ 1.389,80
€ 694,90
€ 1.389,80
€ 1.389,80
€ 3.474,53
€ 694,90
€ 1.389,80
€ 1.389,80
€ 1.389,80
€ 1.389,80
€ 1.389,80
€ 1.389,80
€ 1.389,80
€ 2.779,63
€ 1.389,80
€ 694,90
€ 694,90
€ 1.389,80
€ 1.389,80
€ 1.389,80
€ 1.389,80
€ 2.084,70
€ 1.389,80
€ 1.389,80
€ 1.389,80
€ 1.389,80
€ 694,90
€ 2.084,70
€ 1.389,80
€ 1.389,80
€ 1.389,80
€ 694,90
€ 1.389,80
€ 1.389,80
€ 1.389,80
€ 1.389,80
€ 1.389,80
€ 1.389,80
€ 1.389,80
€ 694,90
€ 1.389,80
€ 1.389,25
€ 1.389,25
€ 1.390,78
€ 694,55
€ 1.389,08
€ 1.389,08
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
Ditta Offerente
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
TALIDOMIDE 50MG CPS
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
26di89
140
140
140
140
70
140
70
140
0
140
140
70
140
70
140
140
210
140
70
280
280
140
140
140
280
70
280
140
140
140
140
140
280
280
70
140
70
140
280
140
140
140
210
140
280
70
70
31
€ 631,41
€ 1.262,80
€ 1.262,80
€ 1.262,80
€ 1.262,80
€ 631,41
€ 1.262,80
€ 631,59
€ 1.263,07
€ 0,00
€ 1.263,07
€ 1.263,07
€ 631,41
€ 1.263,07
€ 631,41
€ 1.263,07
€ 1.263,07
€ 1.894,20
€ 1.262,80
€ 631,41
€ 2.526,16
€ 2.526,16
€ 1.263,07
€ 1.263,07
€ 1.263,07
€ 2.526,16
€ 631,48
€ 2.525,59
€ 1.263,07
€ 1.262,95
€ 1.262,95
€ 1.262,95
€ 1.262,95
€ 2.525,59
€ 2.525,59
€ 631,41
€ 1.262,80
€ 631,41
€ 1.262,80
€ 2.525,59
€ 1.262,80
€ 1.262,80
€ 1.262,80
€ 1.894,20
€ 1.262,80
€ 2.525,59
€ 631,41
€ 694,55
€ 1.389,08
€ 1.389,08
€ 1.389,08
€ 1.389,08
€ 694,55
€ 1.389,08
€ 694,75
€ 1.389,38
€ 0,00
€ 1.389,38
€ 1.389,38
€ 694,55
€ 1.389,38
€ 694,55
€ 1.389,38
€ 1.389,38
€ 2.083,63
€ 1.389,08
€ 694,55
€ 2.778,78
€ 2.778,78
€ 1.389,38
€ 1.389,38
€ 1.389,38
€ 2.778,78
€ 694,63
€ 2.778,15
€ 1.389,38
€ 1.389,25
€ 1.389,25
€ 1.389,25
€ 1.389,25
€ 2.778,15
€ 2.778,15
€ 694,55
€ 1.389,08
€ 694,55
€ 1.389,08
€ 2.778,15
€ 1.389,08
€ 1.389,08
€ 1.389,08
€ 2.083,63
€ 1.389,08
€ 2.778,15
€ 694,55
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
94
94
94
94
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
2449
1146
1146
1146
1433
1433
1433
1433
2596
8178
8178
8178
8178
8178
814
814
527
486
8440
8440
8440
3465
3465
1444
1444
1444
1444
1444
1444
5280
5280
1263
1263
864
864
864
1302
Ditta Offerente
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CELGENE S.R.L.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CHIESI FARMACEUTICI S.P.A.
CORREVIO ITALIA SRL
CORREVIO ITALIA SRL
CSL BEHRING SPA EX ZLB BEHRING
CSL BEHRING SPA EX ZLB BEHRING
CSL BEHRING SPA EX ZLB BEHRING
CSL BEHRING SPA EX ZLB BEHRING
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
TALIDOMIDE 50MG CPS
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
TALIDOMIDE 50MG CPS
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
TALIDOMIDE 50MG CPS
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
TALIDOMIDE 50MG CPS
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
TALIDOMIDE 50MG CPS
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
TALIDOMIDE 50MG CPS
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
TALIDOMIDE 50MG CPS
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
TALIDOMIDE 50MG CPS
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
TALIDOMIDE 50MG CPS
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
TALIDOMIDE 50MG CPS
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
TALIDOMIDE 50MG CPS
-DSC/THALIDOMIDE CELGENE*28CPS 50MG
AMBROXOLO 15MG/2ML F NEBUL/FLUIBRON*NEBUL 6F 15MG/2ML
AMBROXOLO 15MG/2ML F NEBUL/FLUIBRON*NEBUL 6F 15MG/2ML
AMBROXOLO 15MG/2ML F NEBUL/FLUIBRON*NEBUL 6F 15MG/2ML
APOMORFINA CLOR.1%50MG/5M F/APOFIN*INFUS SC 5F 5ML 50MG/5M
APOMORFINA CLOR.1%50MG/5M F/APOFIN*INFUS SC 5F 5ML 50MG/5M
APOMORFINA CLOR.1%50MG/5M F/APOFIN*INFUS SC 5F 5ML 50MG/5M
APOMORFINA CLOR.1%50MG/5M F/APOFIN*INFUS SC 5F 5ML 50MG/5M
DEFERIPRONE 500MG CPR RIV/FERRIPROX*100CPR RIV 500MG
INDOMETACINA 50MG FL IM/EV/LIOMETACEN*EV IM 6F 50MG+6F2ML
INDOMETACINA 50MG FL IM/EV/LIOMETACEN*EV IM 6F 50MG+6F2ML
INDOMETACINA 50MG FL IM/EV/LIOMETACEN*EV IM 6F 50MG+6F2ML
INDOMETACINA 50MG FL IM/EV/LIOMETACEN*EV IM 6F 50MG+6F2ML
INDOMETACINA 50MG FL IM/EV/LIOMETACEN*EV IM 6F 50MG+6F2ML
IPRATROPIO BROMURO 0,025%FL SOL NEB/ATEM*SOL NEBUL 10F 500MCG/2M -FC
IPRATROPIO BROMURO 0,025%FL SOL NEB/ATEM*SOLX NEB 10 FL 2ML 0,025%
ISOSORBIDE MONONITRATO 60MG CPR/MONOKET MULTITAB*30CPR 60MG
PORACTANT ALFA 80MG/ML 1,5ML FL/CUROSURF*2FL 1,5ML 80MG/ML
SELEGILINA 5MG CPR/JUMEX*50CPR 5MG
SELEGILINA 5MG CPR/JUMEX*50CPR 5MG
SELEGILINA 5MG CPR/JUMEX*50CPR 5MG
TETRABENAZINA 25MG CPR DIV/XENAZINA*112CPR DIV 25MG
TETRABENAZINA 25MG CPR DIV/XENAZINA*112CPR DIV 25MG
TOBRAMICINA 300MG/4ML F NEBUL MONOD/BRAMITOB*NEBUL 56F 300MG/4ML
TOBRAMICINA 300MG/4ML F NEBUL MONOD/BRAMITOB*NEBUL 56F 300MG/4ML
TOBRAMICINA 300MG/4ML F NEBUL MONOD/BRAMITOB*NEBUL 56F 300MG/4ML
TOBRAMICINA 300MG/4ML F NEBUL MONOD/BRAMITOB*NEBUL 56F 300MG/4ML
TOBRAMICINA 300MG/4ML F NEBUL MONOD/BRAMITOB*NEBUL 56F 300MG/4ML
TOBRAMICINA 300MG/4ML F NEBUL MONOD/BRAMITOB*NEBUL 56F 300MG/4ML
UBIDECARENONE 50MG CPS/UBIMAIOR*14CPS 50MG
UBIDECARENONE 50MG CPS/UBIMAIOR*14CPS 50MG
TIROFIBAN 0,25MG/ML 50ML FL IV/AGGRASTAT*IV FL 50ML 0,25MG/ML
TIROFIBAN 0,25MG/ML 50ML FL IV/AGGRASTAT*IV FL 50ML 0,25MG/ML
C1 INATTIVATORE 500 FL/BERINERT*IV FL 500U+FL 10ML
C1 INATTIVATORE 500 FL/BERINERT*IV FL 500U+FL 10ML
C1 INATTIVATORE 500 FL/BERINERT*IV FL 500U+FL 10ML
IG UMANA ANTITETANICA 500UI/2ML F/S/GAMMATET P*IM 1SIR 500UI 2ML
27di89
140
280
700
70
140
280
140
140
70
280
525
750
150
75
75
75
75
1000
600
75
600
150
600
500
500
1500
25
1250
1250
1250
4200
1680
420
840
560
700
700
2100
1225
910
37
37
38
25
25
25
35
32
€ 631,41
€ 1.262,80
€ 2.525,59
€ 6.314,00
€ 631,41
€ 1.262,80
€ 2.525,59
€ 1.262,80
€ 1.262,80
€ 631,41
€ 2.525,59
€ 92,25
€ 131,82
€ 26,39
€ 387,43
€ 387,43
€ 387,43
€ 387,43
€ 1.430,66
€ 221,84
€ 27,73
€ 221,84
€ 55,48
€ 221,84
€ 113,25
€ 113,00
€ 88,73
€ 6.925,39
€ 204,52
€ 204,52
€ 204,52
€ 5.132,20
€ 2.052,89
€ 7.537,30
€ 15.074,64
€ 10.049,75
€ 12.562,18
€ 12.562,18
€ 37.686,55
€ 252,68
€ 191,09
€ 5.973,50
€ 5.973,50
€ 21.000,41
€ 14.002,07
€ 14.002,07
€ 308,77
€ 694,55
€ 1.389,08
€ 2.778,15
€ 6.945,40
€ 694,55
€ 1.389,08
€ 2.778,15
€ 1.389,08
€ 1.389,08
€ 694,55
€ 2.778,15
€ 101,48
€ 145,00
€ 29,03
€ 426,18
€ 426,18
€ 426,18
€ 426,18
€ 1.573,73
€ 244,03
€ 30,50
€ 244,03
€ 61,03
€ 244,03
€ 124,58
€ 124,30
€ 97,60
€ 7.617,93
€ 224,98
€ 224,98
€ 224,98
€ 5.645,43
€ 2.258,18
€ 8.291,03
€ 16.582,10
€ 11.054,73
€ 13.818,40
€ 13.818,40
€ 41.455,20
€ 277,95
€ 210,20
€ 6.570,85
€ 6.570,85
€ 23.100,45
€ 15.402,28
€ 15.402,28
€ 339,65
ALLEGATO A
Cod.SFO
94
94
94
94
94
94
94
94
94
94
94
94
94
94
94
94
94
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
1302
1302
347
347
941
941
941
941
947
947
947
947
947
940
940
940
940
1124
1124
6909
6909
6909
6909
6503
637
637
637
637
637
637
637
1985
1985
1985
1985
1985
1985
1985
1985
868
868
868
868
868
5009
5009
5009
Ditta Offerente
CSL BEHRING SPA EX ZLB BEHRING
CSL BEHRING SPA EX ZLB BEHRING
CSL BEHRING SPA EX ZLB BEHRING
CSL BEHRING SPA EX ZLB BEHRING
CSL BEHRING SPA EX ZLB BEHRING
CSL BEHRING SPA EX ZLB BEHRING
CSL BEHRING SPA EX ZLB BEHRING
CSL BEHRING SPA EX ZLB BEHRING
CSL BEHRING SPA EX ZLB BEHRING
CSL BEHRING SPA EX ZLB BEHRING
CSL BEHRING SPA EX ZLB BEHRING
CSL BEHRING SPA EX ZLB BEHRING
CSL BEHRING SPA EX ZLB BEHRING
CSL BEHRING SPA EX ZLB BEHRING
CSL BEHRING SPA EX ZLB BEHRING
CSL BEHRING SPA EX ZLB BEHRING
CSL BEHRING SPA EX ZLB BEHRING
CT SRL LABORATORIO FARMACEUTICO
CT SRL LABORATORIO FARMACEUTICO
DAIICHI SANKYO ITALIA SPA
DAIICHI SANKYO ITALIA SPA
DAIICHI SANKYO ITALIA SPA
DAIICHI SANKYO ITALIA SPA
DAIICHI SANKYO ITALIA SPA
DOMPE' SPA
DOMPE' SPA
DOMPE' SPA
DOMPE' SPA
DOMPE' SPA
DOMPE' SPA
DOMPE' SPA
DOMPE' SPA
DOMPE' SPA
DOMPE' SPA
DOMPE' SPA
DOMPE' SPA
DOMPE' SPA
DOMPE' SPA
DOMPE' SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
IG UMANA ANTITETANICA 500UI/2ML F/S/GAMMATET P*IM 1SIR 500UI 2ML
IG UMANA ANTITETANICA 500UI/2ML F/S/GAMMATET P*IM 1SIR 500UI 2ML
IMMUNOGLOB.UMANA NORMALE 200MG 10ML/HIZENTRA*SC 1FL 10ML 200MG/ML
IMMUNOGLOB.UMANA NORMALE 200MG 10ML/HIZENTRA*SC 1FL 10ML 200MG/ML
OCTOCOG ALFA 1000UI FL EV -DSC/HELIXATE NEXGEN*1000UI+1FL+KIT
OCTOCOG ALFA 1000UI FL EV -DSC/HELIXATE NEXGEN*1000UI+1FL+KIT
OCTOCOG ALFA 1000UI FL EV -DSC/HELIXATE NEXGEN*1000UI+1FL+KIT
OCTOCOG ALFA 1000UI FL EV -DSC/HELIXATE NEXGEN*1000UI+1FL+KIT
OCTOCOG ALFA 2000UI FL EV/HELIXATE NEXGEN*2000UI+1FL+KIT
OCTOCOG ALFA 2000UI FL EV/HELIXATE NEXGEN*2000UI+1FL+KIT
OCTOCOG ALFA 2000UI FL EV/HELIXATE NEXGEN*2000UI+1FL+KIT
OCTOCOG ALFA 2000UI FL EV/HELIXATE NEXGEN*2000UI+1FL+KIT
OCTOCOG ALFA 2000UI FL EV/HELIXATE NEXGEN*2000UI+1FL+KIT
OCTOCOG ALFA 500UI FL EV
-DSC/HELIXATE NEXGEN*500UI+1FL+1KIT
OCTOCOG ALFA 500UI FL EV
-DSC/HELIXATE NEXGEN*500UI+1FL+1KIT
OCTOCOG ALFA 500UI FL EV
-DSC/HELIXATE NEXGEN*500UI+1FL+1KIT
OCTOCOG ALFA 500UI FL EV
-DSC/HELIXATE NEXGEN*500UI+1FL+1KIT
SODIO OXIBATO 17,5% 140ML SOL OS/ALCOVER*OS SOLUZ 140ML 17,5%
SODIO OXIBATO 17,5% 140ML SOL OS/ALCOVER*OS SOLUZ 140ML 17,5%
METOPROLOLO TART. 100MG CPR RIV/LOPRESOR*30CPR RIV 100MG
METOPROLOLO TART. 100MG CPR RIV/LOPRESOR*30CPR RIV 100MG
METOPROLOLO TART. 100MG CPR RIV/LOPRESOR*30CPR RIV 100MG
METOPROLOLO TART. 100MG CPR RIV/LOPRESOR*30CPR RIV 100MG
METOPROLOLO TART. 200MG CPR R.P./LOPRESOR*28CPR 200MG RP
BECLOMETASONE 0,8MG/2ML AER/PRONTINAL*NEBUL 20FL 0,8MG/2ML
BECLOMETASONE 0,8MG/2ML AER/PRONTINAL*NEBUL 20FL 0,8MG/2ML
BECLOMETASONE 0,8MG/2ML AER/PRONTINAL*NEBUL 20FL 0,8MG/2ML
BECLOMETASONE 0,8MG/2ML AER/PRONTINAL*NEBUL 20FL 0,8MG/2ML
BECLOMETASONE 0,8MG/2ML AER/PRONTINAL*NEBUL 20FL 0,8MG/2ML
BECLOMETASONE 0,8MG/2ML AER/PRONTINAL*NEBUL 20FL 0,8MG/2ML
BECLOMETASONE 0,8MG/2ML AER/PRONTINAL*NEBUL 20FL 0,8MG/2ML
KETOPROFENE 160MG/2ML F IM/ARTROSILENE*6F 2ML 160MG/2ML
KETOPROFENE 160MG/2ML F IM/ARTROSILENE*6F 2ML 160MG/2ML
KETOPROFENE 160MG/2ML F IM/ARTROSILENE*6F 2ML 160MG/2ML
KETOPROFENE 160MG/2ML F IM/ARTROSILENE*6F 2ML 160MG/2ML
KETOPROFENE 160MG/2ML F IM/ARTROSILENE*6F 2ML 160MG/2ML
KETOPROFENE 160MG/2ML F IM/ARTROSILENE*6F 2ML 160MG/2ML
KETOPROFENE 160MG/2ML F IM/ARTROSILENE*6F 2ML 160MG/2ML
KETOPROFENE 160MG/2ML F IM/ARTROSILENE*6F 2ML 160MG/2ML
ABCIXIMAB 2% 5ML FL EV -RIS EMODIN/REOPRO*EV 1F 5ML 10MG/5ML
ABCIXIMAB 2% 5ML FL EV -RIS EMODIN/REOPRO*EV 1F 5ML 10MG/5ML
ABCIXIMAB 2% 5ML FL EV -RIS EMODIN/REOPRO*EV 1F 5ML 10MG/5ML
ABCIXIMAB 2% 5ML FL EV -RIS EMODIN/REOPRO*EV 1F 5ML 10MG/5ML
ABCIXIMAB 2% 5ML FL EV -RIS EMODIN/REOPRO*EV 1F 5ML 10MG/5ML
DULOXETINA 30MG CPS GASTR
-RM/CYMBALTA*7CPS GASTROR 30MG
DULOXETINA 30MG CPS GASTR
-RM/CYMBALTA*7CPS GASTROR 30MG
DULOXETINA 30MG CPS GASTR
-RM/CYMBALTA*7CPS GASTROR 30MG
28di89
63
150
420
150
75
100
100
150
80
150
150
98
38
25
25
50
250
250
7501
6000
1500
7501
350
5000
5000
5000
3750
5000
5000
5000
1500
1500
1500
1500
1500
2250
1500
3000
100
50
75
88
100
420
525
525
525
33
€ 432,30
€ 771,95
€ 14.550,00
€ 40.740,00
€ 86.685,00
€ 43.342,50
€ 57.790,00
€ 57.790,00
€ 173.370,00
€ 92.464,00
€ 173.370,00
€ 173.370,00
€ 112.690,50
€ 10.835,64
€ 7.223,75
€ 7.223,75
€ 14.447,50
€ 3.818,18
€ 3.818,18
€ 147,64
€ 118,09
€ 29,52
€ 147,64
€ 13,39
€ 950,07
€ 950,07
€ 950,07
€ 712,55
€ 950,07
€ 950,07
€ 950,07
€ 278,98
€ 278,98
€ 278,98
€ 278,98
€ 278,98
€ 418,48
€ 278,98
€ 557,95
€ 23.179,09
€ 11.589,55
€ 17.384,32
€ 20.281,70
€ 23.179,09
€ 214,20
€ 267,75
€ 267,75
€ 475,53
€ 849,15
€ 16.005,00
€ 44.814,00
€ 95.353,50
€ 47.676,75
€ 63.569,00
€ 63.569,00
€ 190.707,00
€ 101.710,40
€ 190.707,00
€ 190.707,00
€ 123.959,55
€ 11.919,20
€ 7.946,13
€ 7.946,13
€ 15.892,25
€ 4.200,00
€ 4.200,00
€ 162,40
€ 129,90
€ 32,48
€ 162,40
€ 14,73
€ 1.045,08
€ 1.045,08
€ 1.045,08
€ 783,80
€ 1.045,08
€ 1.045,08
€ 1.045,08
€ 306,88
€ 306,88
€ 306,88
€ 306,88
€ 306,88
€ 460,33
€ 306,88
€ 613,75
€ 25.497,00
€ 12.748,50
€ 19.122,75
€ 22.309,88
€ 25.497,00
€ 235,63
€ 294,53
€ 294,53
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
5009
5009
5009
4916
4916
4916
4916
4916
1257
1257
1257
1257
1257
1257
1257
1257
1257
5062
1306
1306
1306
1306
1256
1256
5623
5623
5623
5623
5623
5623
5623
4584
4584
4584
4584
4584
4584
5574
5574
5574
5679
5679
5679
5679
5679
5679
5679
Ditta Offerente
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
DULOXETINA 30MG CPS GASTR
-RM/CYMBALTA*7CPS GASTROR 30MG
DULOXETINA 30MG CPS GASTR
-RM/CYMBALTA*7CPS GASTROR 30MG
DULOXETINA 30MG CPS GASTR
-RM/CYMBALTA*7CPS GASTROR 30MG
DULOXETINA 60MG CPS GASTR
-RM/CYMBALTA*28CPS GASTROR 60MG
DULOXETINA 60MG CPS GASTR
-RM/CYMBALTA*28CPS GASTROR 60MG
DULOXETINA 60MG CPS GASTR
-RM/CYMBALTA*28CPS GASTROR 60MG
DULOXETINA 60MG CPS GASTR
-RM/CYMBALTA*28CPS GASTROR 60MG
DULOXETINA 60MG CPS GASTR
-RM/CYMBALTA*28CPS GASTROR 60MG
INSULINA LISPRO 100UI/ML FL 10ML/HUMALOG*SC 1FL 10ML 100U/ML
INSULINA LISPRO 100UI/ML FL 10ML/HUMALOG*SC 1FL 10ML 100U/ML
INSULINA LISPRO 100UI/ML FL 10ML/HUMALOG*SC 1FL 10ML 100U/ML
INSULINA LISPRO 100UI/ML FL 10ML/HUMALOG*SC 1FL 10ML 100U/ML
INSULINA LISPRO 100UI/ML FL 10ML/HUMALOG*SC 1FL 10ML 100U/ML
INSULINA LISPRO 100UI/ML FL 10ML/HUMALOG*SC 1FL 10ML 100U/ML
INSULINA LISPRO 100UI/ML FL 10ML/HUMALOG*SC 1FL 10ML 100U/ML
INSULINA LISPRO 100UI/ML FL 10ML/HUMALOG*SC 1FL 10ML 100U/ML
INSULINA LISPRO 100UI/ML FL 10ML/HUMALOG*SC 1FL 10ML 100U/ML
INSULINA LISPRO 3ML PENNA/HUMALOG*KWIKPEN 5PEN 3ML BORDE
INSULINA UMANA 100U/ML F 10ML/HUMULIN I*1F 10ML 100U/ML
INSULINA UMANA 100U/ML F 10ML/HUMULIN I*1F 10ML 100U/ML
INSULINA UMANA 100U/ML F 10ML/HUMULIN I*1F 10ML 100U/ML
INSULINA UMANA 100U/ML F 10ML/HUMULIN I*1F 10ML 100U/ML
INSULINA UMANA 100UI/ML F 10ML/HUMULIN 30/70*1F 10ML 100UI/ML
INSULINA UMANA 100UI/ML F 10ML/HUMULIN 30/70*1F 10ML 100UI/ML
PEMETREXED DISODICO100MG FL POLV EV/ALIMTA*1FL POLV 100MG
PEMETREXED DISODICO100MG FL POLV EV/ALIMTA*1FL POLV 100MG
PEMETREXED DISODICO100MG FL POLV EV/ALIMTA*1FL POLV 100MG
PEMETREXED DISODICO100MG FL POLV EV/ALIMTA*1FL POLV 100MG
PEMETREXED DISODICO100MG FL POLV EV/ALIMTA*1FL POLV 100MG
PEMETREXED DISODICO100MG FL POLV EV/ALIMTA*1FL POLV 100MG
PEMETREXED DISODICO100MG FL POLV EV/ALIMTA*1FL POLV 100MG
PEMETREXED DISODICO500MG FL POLV EV/ALIMTA*1FL POLV 500MG
PEMETREXED DISODICO500MG FL POLV EV/ALIMTA*1FL POLV 500MG
PEMETREXED DISODICO500MG FL POLV EV/ALIMTA*1FL POLV 500MG
PEMETREXED DISODICO500MG FL POLV EV/ALIMTA*1FL POLV 500MG
PEMETREXED DISODICO500MG FL POLV EV/ALIMTA*1FL POLV 500MG
PEMETREXED DISODICO500MG FL POLV EV/ALIMTA*1FL POLV 500MG
PRASUGREL CLOR. 10MG CPR RIV/EFIENT*28CPR RIV 10MG
PRASUGREL CLOR. 10MG CPR RIV/EFIENT*28CPR RIV 10MG
PRASUGREL CLOR. 10MG CPR RIV/EFIENT*28CPR RIV 10MG
SOMATROPINA 12MG CART+SIR36UISC-DSC/HUMATROPE*1CART 12MG(36UI)+SIR
SOMATROPINA 12MG CART+SIR36UISC-DSC/HUMATROPE*1CART 12MG(36UI)+SIR
SOMATROPINA 12MG CART+SIR36UISC-DSC/HUMATROPE*1CART 12MG(36UI)+SIR
SOMATROPINA 12MG CART+SIR36UISC-DSC/HUMATROPE*1CART 12MG(36UI)+SIR
SOMATROPINA 12MG CART+SIR36UISC-DSC/HUMATROPE*1CART 12MG(36UI)+SIR
SOMATROPINA 12MG CART+SIR36UISC-DSC/HUMATROPE*1CART 12MG(36UI)+SIR
SOMATROPINA 12MG CART+SIR36UISC-DSC/HUMATROPE*1CART 12MG(36UI)+SIR
29di89
700
525
2100
3500
2100
2100
3500
150
125
375
125
75
125
250
100
375
37
25
13
13
25
25
25
125
100
125
75
75
125
200
50
50
38
38
38
125
1400
700
1400
5
5
8
3
8
5
5
8
34
€ 267,75
€ 357,00
€ 267,75
€ 2.147,32
€ 3.578,84
€ 2.147,32
€ 2.147,32
€ 3.578,84
€ 1.950,02
€ 1.625,02
€ 4.875,07
€ 1.625,02
€ 975,02
€ 1.625,02
€ 3.250,05
€ 1.300,02
€ 4.875,07
€ 168,75
€ 130,00
€ 65,00
€ 65,00
€ 130,00
€ 130,00
€ 130,00
€ 27.799,95
€ 22.239,95
€ 27.799,95
€ 16.679,98
€ 16.679,98
€ 27.799,95
€ 44.479,91
€ 55.596,00
€ 55.596,00
€ 41.697,00
€ 41.697,00
€ 41.697,00
€ 138.990,00
€ 2.054,64
€ 1.027,32
€ 2.054,64
€ 1.129,00
€ 1.129,00
€ 1.693,50
€ 564,50
€ 1.693,50
€ 1.129,00
€ 1.129,00
€ 294,53
€ 392,70
€ 294,53
€ 2.362,05
€ 3.936,73
€ 2.362,05
€ 2.362,05
€ 3.936,73
€ 2.145,03
€ 1.787,53
€ 5.362,58
€ 1.787,53
€ 1.072,53
€ 1.787,53
€ 3.575,05
€ 1.430,03
€ 5.362,58
€ 185,63
€ 143,00
€ 71,50
€ 71,50
€ 143,00
€ 143,00
€ 143,00
€ 30.579,95
€ 24.463,95
€ 30.579,95
€ 18.347,98
€ 18.347,98
€ 30.579,95
€ 48.927,90
€ 61.155,60
€ 61.155,60
€ 45.866,70
€ 45.866,70
€ 45.866,70
€ 152.889,00
€ 2.260,10
€ 1.130,05
€ 2.260,10
€ 1.241,90
€ 1.241,90
€ 1.862,85
€ 620,95
€ 1.862,85
€ 1.241,90
€ 1.241,90
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
5679
1521
1521
5535
5535
5535
5535
5535
8536
8536
8536
8536
8536
8536
1215
1215
1215
1215
1215
7953
4999
2485
2485
2485
2485
2486
2486
2486
2486
5612
5612
5612
5336
5336
981
3387
3387
3387
3387
3497
3497
3497
2568
2568
2568
2568
2568
Ditta Offerente
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ESSEX ITALIA SPA
ESSEX ITALIA SPA
ESSEX ITALIA SPA
ESSEX ITALIA SPA
ESSEX ITALIA SPA
ESSEX ITALIA SPA
FAR.G.IM. SRL
FAR.G.IM. SRL
FAR.G.IM. SRL
FAR.G.IM. SRL
FAR.G.IM. SRL
FARMACEUTICI CABER S.P.A
FARMIGEA S.P.A.
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
FERRING SPA
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
SOMATROPINA 12MG CART+SIR36UISC-DSC/HUMATROPE*1CART 12MG(36UI)+SIR
SOMATROPINA 6MG CART+SIR18UI SC-DSC/HUMATROPE*1CART 6MG (18UI)+SIR
SOMATROPINA 6MG CART+SIR18UI SC-DSC/HUMATROPE*1CART 6MG (18UI)+SIR
TERIPARATIDE 20MCG/80MCL PEN -DSC/FORSTEO*1PEN 2,4ML 20MCG/80MCL
TERIPARATIDE 20MCG/80MCL PEN -DSC/FORSTEO*1PEN 2,4ML 20MCG/80MCL
TERIPARATIDE 20MCG/80MCL PEN -DSC/FORSTEO*1PEN 2,4ML 20MCG/80MCL
TERIPARATIDE 20MCG/80MCL PEN -DSC/FORSTEO*1PEN 2,4ML 20MCG/80MCL
TERIPARATIDE 20MCG/80MCL PEN -DSC/FORSTEO*1PEN 2,4ML 20MCG/80MCL
GENTAMICINA 0,1% 30G CR/GENTALYN*CREMA 30G 0,1%
GENTAMICINA 0,1% 30G CR/GENTALYN*CREMA 30G 0,1%
GENTAMICINA 0,1% 30G CR/GENTALYN*CREMA 30G 0,1%
GENTAMICINA 0,1% 30G CR/GENTALYN*CREMA 30G 0,1%
GENTAMICINA 0,1% 30G CR/GENTALYN*CREMA 30G 0,1%
GENTAMICINA 0,1% 30G CR/GENTALYN*CREMA 30G 0,1%
NITROGLICERINA 50MG/50ML FL EV/NITROGLICERINA *EV 5FL 50MG 50ML
NITROGLICERINA 50MG/50ML FL EV/TRINITRINA*EV 5FL 50MG 50ML
NITROGLICERINA 50MG/50ML FL EV/TRINITRINA*EV 5FL 50MG 50ML
NITROGLICERINA 50MG/50ML FL EV/TRINITRINA*EV 5FL 50MG 50ML
NITROGLICERINA 50MG/50ML FL EV/TRINITRINA*EV 5FL 50MG 50ML
DESAMETASONE 0,5MG CPR/DECADRON*10CPR 0,5MG
ACETILCOLINA CLOR. POLV+ SOLV OFT/MIOVISIN*OFT 6 F POLV+6F SOLV
ATOSIBAN 37,5MG/ML FL EV 5ML/TRACTOCILE*EV 1FL 37,5MG/5ML
ATOSIBAN 37,5MG/ML FL EV 5ML/TRACTOCILE*EV 1FL 37,5MG/5ML
ATOSIBAN 37,5MG/ML FL EV 5ML/TRACTOCILE*EV 1FL 37,5MG/5ML
ATOSIBAN 37,5MG/ML FL EV 5ML/TRACTOCILE*EV 1FL 37,5MG/5ML
ATOSIBAN 6,75MG/ML F EV 0,9ML/TRACTOCILE*EV 1FL 6,75MG/0,9ML
ATOSIBAN 6,75MG/ML F EV 0,9ML/TRACTOCILE*EV 1FL 6,75MG/0,9ML
ATOSIBAN 6,75MG/ML F EV 0,9ML/TRACTOCILE*EV 1FL 6,75MG/0,9ML
ATOSIBAN 6,75MG/ML F EV 0,9ML/TRACTOCILE*EV 1FL 6,75MG/0,9ML
CARBETOCINA 100MCG/ML F 1ML EV/DURATOCIN*INIET 5F 1ML 100MCG/ML
CARBETOCINA 100MCG/ML F 1ML EV/DURATOCIN*INIET 5F 1ML 100MCG/ML
CARBETOCINA 100MCG/ML F 1ML EV/DURATOCIN*INIET 5F 1ML 100MCG/ML
DESMOPRESSINA 60MCG CPR SUBL -RM/MINIRIN/DDAVP*30CPR SUBL 60MCG
DESMOPRESSINA 60MCG CPR SUBL -RM/MINIRIN/DDAVP*30CPR SUBL 60MCG
DESMOPRESSINA SPR NAS 0,125MG/MINIRIN/DDAVP*SPR NAS 0,125MG
DINOPROSTONE 10MG DISP VAG/PROPESS*5DISP VAG 10MG
DINOPROSTONE 10MG DISP VAG/PROPESS*5DISP VAG 10MG
DINOPROSTONE 10MG DISP VAG/PROPESS*5DISP VAG 10MG
DINOPROSTONE 10MG DISP VAG/PROPESS*5DISP VAG 10MG
TERLIPRESSINA 1MG+F 5ML SOLV EV/GLIPRESSINA*INIET 5F 8,5ML
TERLIPRESSINA 1MG+F 5ML SOLV EV/GLIPRESSINA*INIET 5F 8,5ML
TERLIPRESSINA 1MG+F 5ML SOLV EV/GLIPRESSINA*INIET 5F 8,5ML
TESTOSTERONE 50MG TUBI GEL -DSC/TESTIM*GEL 30TUBI 5G 1DOSE50MG
TESTOSTERONE 50MG TUBI GEL -DSC/TESTIM*GEL 30TUBI 5G 1DOSE50MG
TESTOSTERONE 50MG TUBI GEL -DSC/TESTIM*GEL 30TUBI 5G 1DOSE50MG
TESTOSTERONE 50MG TUBI GEL -DSC/TESTIM*GEL 30TUBI 5G 1DOSE50MG
TESTOSTERONE 50MG TUBI GEL -DSC/TESTIM*GEL 30TUBI 5G 1DOSE50MG
30di89
18
20
87
125
125
125
200
250
250
500
250
375
375
750
750
750
63
750
250
225
225
68
125
225
25
13
20
25
25
13
50
450
450
50
125
125
125
125
500
313
625
1500
1500
1500
1500
150
1500
35
€ 1.693,50
€ 2.029,70
€ 2.319,66
€ 30.257,50
€ 43.225,02
€ 43.225,02
€ 43.225,02
€ 69.160,02
€ 163,48
€ 163,48
€ 326,95
€ 163,48
€ 245,23
€ 245,23
€ 2.700,00
€ 1.778,27
€ 1.778,27
€ 148,20
€ 1.778,27
€ 19,89
€ 1.329,55
€ 16.122,32
€ 4.836,70
€ 8.956,84
€ 16.122,32
€ 574,25
€ 287,14
€ 459,41
€ 574,25
€ 709,09
€ 354,55
€ 1.418,18
€ 243,84
€ 243,84
€ 222,73
€ 10.580,45
€ 10.580,45
€ 10.580,45
€ 10.580,45
€ 7.550,00
€ 4.718,75
€ 9.437,50
€ 1.035,18
€ 1.035,18
€ 1.035,18
€ 1.035,18
€ 103,52
€ 1.862,85
€ 2.232,68
€ 2.551,63
€ 33.283,25
€ 47.547,53
€ 47.547,53
€ 47.547,53
€ 76.076,03
€ 179,83
€ 179,83
€ 359,65
€ 179,83
€ 269,75
€ 269,75
€ 2.970,00
€ 1.956,10
€ 1.956,10
€ 163,03
€ 1.956,10
€ 21,88
€ 1.462,50
€ 17.734,55
€ 5.320,38
€ 9.852,53
€ 17.734,55
€ 631,68
€ 315,85
€ 505,35
€ 631,68
€ 780,00
€ 390,00
€ 1.560,00
€ 268,23
€ 268,23
€ 245,00
€ 11.638,50
€ 11.638,50
€ 11.638,50
€ 11.638,50
€ 8.305,00
€ 5.190,63
€ 10.381,25
€ 1.138,70
€ 1.138,70
€ 1.138,70
€ 1.138,70
€ 113,88
ALLEGATO A
Cod.SFO
98 2568
98 2568
98 78
98 78
98 78
98 78
98 898
98 898
98 898
98 898
98 898
98 898
98 898
98 2475
98 2475
98 2475
98 786
98 786
98 786
98 786
98 786
98 786
98 786
98 12415
98 12415
98 12415
98 12415
98 12415
98 2407
98 2407
98 2407
98 2407
98 2407
98 2407
98 2407
98 8233
98 8233
98 8233
98 1229
98 1229
98 1229
98 1229
98 6174
98 4013
98 4013
98 8793
98 468
Ditta Offerente
FERRING SPA
FERRING SPA
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FIDIA FARMACEUTICI S.P.A.
FISIOPHARMA S.R.L.
FISIOPHARMA S.R.L.
FISIOPHARMA S.R.L.
FISIOPHARMA S.R.L.
FISIOPHARMA S.R.L.
FISIOPHARMA S.R.L.
FISIOPHARMA S.R.L.
FISIOPHARMA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
TESTOSTERONE 50MG TUBI GEL -DSC/TESTIM*GEL 30TUBI 5G 1DOSE50MG
TESTOSTERONE 50MG TUBI GEL -DSC/TESTIM*GEL 30TUBI 5G 1DOSE50MG
ACICLOVIR 400MG CPR/ACICLOVIR FIDIA*25CPR 400MG
ACICLOVIR 400MG CPR/ACICLOVIR FIDIA*25CPR 400MG
ACICLOVIR 400MG CPR/ACICLOVIR FIDIA*25CPR 400MG
ACICLOVIR 400MG CPR/ACICLOVIR FIDIA*25CPR 400MG
ACICLOVIR 800MG CPR/ACICLIN*35CPR 800MG
ACICLOVIR 800MG CPR/ACICLIN*35CPR 800MG
ACICLOVIR 800MG CPR/ACICLIN*35CPR 800MG
ACICLOVIR 800MG CPR/ACICLIN*35CPR 800MG
ACICLOVIR 800MG CPR/ACICLIN*35CPR 800MG
ACICLOVIR 800MG CPR/ACICLIN*35CPR 800MG
ACICLOVIR 800MG CPR/ACICLIN*35CPR 800MG
CALCIO CARBON/COLECA. 1G+880UI/CALCICOLD3*30CPR EFF 1G+880UI
CALCIO CARBON/COLECA. 1G+880UI/CALCICOLD3*30CPR EFF 1G+880UI
CALCIO CARBON/COLECA. 1G+880UI/CALCICOLD3*30CPR EFF 1G+880UI
CEFTRIAXONE 1G FL EV/FIDATO*EV 1F 1G+1F 10ML
CEFTRIAXONE 1G FL EV/FIDATO*EV 1F 1G+1F 10ML
CEFTRIAXONE 1G FL EV/FIDATO*EV 1F 1G+1F 10ML
CEFTRIAXONE 1G FL EV/FIDATO*EV 1F 1G+1F 10ML
CEFTRIAXONE 1G FL EV/FIDATO*EV 1F 1G+1F 10ML
CEFTRIAXONE 1G FL EV/FIDATO*EV 1F 1G+1F 10ML
CEFTRIAXONE 1G FL EV/FIDATO*EV 1F 1G+1F 10ML
FLUOXETINA 20MG CPR SOLUBILI/FLUOXETINA FIDIA*28CPR SOL20MG
FLUOXETINA 20MG CPR SOLUBILI/FLUOXETINA FIDIA*28CPR SOL20MG
FLUOXETINA 20MG CPR SOLUBILI/FLUOXETINA FIDIA*28CPR SOL20MG
FLUOXETINA 20MG CPR SOLUBILI/FLUOXETINA FIDIA*28CPR SOL20MG
FLUOXETINA 20MG CPR SOLUBILI/FLUOXETINA FIDIA*28CPR SOL20MG
TAMOXIFENE 20MG CPR RIV
-DSC/NOMAFEN*20CPR RIV 20MG
TAMOXIFENE 20MG CPR RIV
-DSC/NOMAFEN*20CPR RIV 20MG
TAMOXIFENE 20MG CPR RIV
-DSC/NOMAFEN*20CPR RIV 20MG
TAMOXIFENE 20MG CPR RIV
-DSC/NOMAFEN*20CPR RIV 20MG
TAMOXIFENE 20MG CPR RIV
-DSC/NOMAFEN*20CPR RIV 20MG
TAMOXIFENE 20MG CPR RIV
-DSC/NOMAFEN*20CPR RIV 20MG
TAMOXIFENE 20MG CPR RIV
-DSC/TAMOXIFENE*20CPR RIV 20MG
BUPIVACAINA 5MG/ML 10ML F/BUPIVACAINA FIS*10F 10ML 5MG/ML
BUPIVACAINA 5MG/ML 10ML F/BUPIVACAINA FIS*10F 10ML 5MG/ML
BUPIVACAINA 5MG/ML 10ML F/BUPIVACAINA FIS*10F 10ML 5MG/ML
GENTAMICINA 80MG/2ML F IM/IV/GENTAMICINA SOLFATO*10F 80MG/2ML
GENTAMICINA 80MG/2ML F IM/IV/GENTAMICINA SOLFATO*10F 80MG/2ML
GENTAMICINA 80MG/2ML F IM/IV/GENTAMICINA SOLFATO*10F 80MG/2ML
GENTAMICINA 80MG/2ML F IM/IV/GENTAMICINA SOLFATO*10F 80MG/2ML
TOBRAMICINA 100MG F IM/EV
-FC/BRAMICIL*INIET 10F 100MG 2ML
ALANILGLUTAMMINA FL 100ML IV RM/DIPEPTIVEN*IV FL 100ML
ALANILGLUTAMMINA FL 100ML IV RM/DIPEPTIVEN*IV FL 100ML
CEFTAZIDIMA 2G FL EV/CEFTAZIDIMA KABI 2*EV 1FL 2G
CIPROFLOXACINA 200MG/100ML SA EV/CIPROFLOXACINA KABI*10FL 200MG
31di89
750
3000
5000
3000
10000
1750
1313
3499
1750
1750
1750
3499
525
600
2250
1250
1250
1500
1500
1250
1250
5000
2802
1399
2802
2802
1399
10000
10000
500
10000
15000
0
20000
250
500
500
1000
1000
1250
3000
375
50
25
1500
500
500
36
€ 1.035,18
€ 517,59
€ 83,07
€ 138,48
€ 83,07
€ 276,93
€ 63,05
€ 47,30
€ 126,09
€ 63,05
€ 63,05
€ 63,05
€ 126,09
€ 23,64
€ 27,00
€ 101,25
€ 712,73
€ 712,73
€ 855,27
€ 855,27
€ 712,73
€ 712,73
€ 2.850,89
€ 15,70
€ 7,84
€ 15,70
€ 15,70
€ 7,84
€ 270,18
€ 270,18
€ 13,50
€ 270,18
€ 780,75
€ 0,00
€ 1.041,00
€ 70,30
€ 136,50
€ 138,25
€ 220,09
€ 220,09
€ 275,14
€ 660,30
€ 296,91
€ 1.870,00
€ 935,00
€ 4.350,00
€ 223,30
€ 1.138,70
€ 569,35
€ 91,38
€ 152,33
€ 91,38
€ 304,63
€ 69,35
€ 52,03
€ 138,70
€ 69,35
€ 69,35
€ 69,35
€ 138,70
€ 26,00
€ 29,70
€ 111,38
€ 784,00
€ 784,00
€ 940,80
€ 940,80
€ 784,00
€ 784,00
€ 3.135,98
€ 17,28
€ 8,63
€ 17,28
€ 17,28
€ 8,63
€ 297,20
€ 297,20
€ 14,85
€ 297,20
€ 858,83
€ 0,00
€ 1.145,10
€ 77,33
€ 150,15
€ 152,08
€ 242,10
€ 242,10
€ 302,65
€ 726,33
€ 326,60
€ 2.057,00
€ 1.028,50
€ 4.785,00
€ 245,63
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
468
468
468
468
468
468
2283
2283
2283
2283
2283
2283
2283
5219
5219
5220
5220
1603
1603
1603
1603
1603
1603
1603
1604
1604
1604
12275
12275
12275
432
432
432
432
432
5233
5233
5233
681
681
681
681
681
681
681
681
681
Ditta Offerente
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
CIPROFLOXACINA 200MG/100ML SA EV/CIPROFLOXACINA KABI*10FL 200MG
CIPROFLOXACINA 200MG/100ML SA EV/CIPROFLOXACINA KABI*10FL 200MG
CIPROFLOXACINA 200MG/100ML SA EV/CIPROFLOXACINA KABI*10FL 200MG
CIPROFLOXACINA 200MG/100ML SA EV/CIPROFLOXACINA KABI*10FL 200MG
CIPROFLOXACINA 200MG/100ML SA EV/CIPROFLOXACINA KABI*10FL 200MG
CIPROFLOXACINA 200MG/100ML SA EV/CIPROFLOXACINA KABI*10FL 200MG
CIPROFLOXACINA 400MG/200ML EV FL/CIPROFLOXACINA KABI*10FL 400MG
CIPROFLOXACINA 400MG/200ML EV FL/CIPROFLOXACINA KABI*10FL 400MG
CIPROFLOXACINA 400MG/200ML EV FL/CIPROFLOXACINA KABI*10FL 400MG
CIPROFLOXACINA 400MG/200ML EV FL/CIPROFLOXACINA KABI*10FL 400MG
CIPROFLOXACINA 400MG/200ML EV FL/CIPROFLOXACINA KABI*10FL 400MG
CIPROFLOXACINA 400MG/200ML EV FL/CIPROFLOXACINA KABI*10FL 400MG
CIPROFLOXACINA 400MG/200ML EV FL/CIPROFLOXACINA KABI*10FL 400MG
COMPL.VITAMINICO AD FL 10ML IV/SOLUVIT*AD IV 10FL 10ML
COMPL.VITAMINICO AD FL 10ML IV/SOLUVIT*AD IV 10FL 10ML
COMPL.VITAMINICO BB 10ML F INFUS/VITALIPID*BB INFUS 10F 10ML
COMPL.VITAMINICO BB 10ML F INFUS/VITALIPID*BB INFUS 10F 10ML
FLUCONAZOLO 200MG/100ML FL INF/FLUCONAZOLO KABI*10FL 100ML
FLUCONAZOLO 200MG/100ML FL INF/FLUCONAZOLO KABI*10FL 100ML
FLUCONAZOLO 200MG/100ML FL INF/FLUCONAZOLO KABI*10FL 100ML
FLUCONAZOLO 200MG/100ML FL INF/FLUCONAZOLO KABI*10FL 100ML
FLUCONAZOLO 200MG/100ML FL INF/FLUCONAZOLO KABI*10FL 100ML
FLUCONAZOLO 200MG/100ML FL INF/FLUCONAZOLO KABI*10FL 100ML
FLUCONAZOLO 200MG/100ML FL INF/FLUCONAZOLO KABI*10FL 100ML
FLUCONAZOLO 400MG/200ML FL INF/FLUCONAZOLO KABI*10FL 200ML
FLUCONAZOLO 400MG/200ML FL INF/FLUCONAZOLO KABI*10FL 200ML
FLUCONAZOLO 400MG/200ML FL INF/FLUCONAZOLO KABI*10FL 200ML
FLUMAZENIL 0,1MG/ML 5ML F EV INF/FLUMAZENIL KABI*5F 5ML 0,1MG/M
FLUMAZENIL 0,1MG/ML 5ML F EV INF/FLUMAZENIL KABI*5F 5ML 0,1MG/M
FLUMAZENIL 0,1MG/ML 5ML F EV INF/FLUMAZENIL KABI*5F 5ML 0,1MG/M
GLUTATIONE 600MG FL IM/EV -RIS.ONCO/TAD 600*IM/EV 10FL+10F 4ML
GLUTATIONE 600MG FL IM/EV -RIS.ONCO/TAD 600*IM/EV 10FL+10F 4ML
GLUTATIONE 600MG FL IM/EV -RIS.ONCO/TAD 600*IM/EV 10FL+10F 4ML
GLUTATIONE 600MG FL IM/EV -RIS.ONCO/TAD 600*IM/EV 10FL+10F 4ML
GLUTATIONE 600MG FL IM/EV -RIS.ONCO/TAD 600*IM/EV 10FL+10F 4ML
MANGANESE/POTASSIO/RAM 10ML F INFUS/PEDITRACE*INFUS 10F 10ML
MANGANESE/POTASSIO/RAM 10ML F INFUS/PEDITRACE*INFUS 10F 10ML
MANGANESE/POTASSIO/RAM 10ML F INFUS/PEDITRACE*INFUS 10F 10ML
MEROPENEM 1G POLV FL EV/MEROPENEM KABI*EV POLV 10FL 1G
MEROPENEM 1G POLV FL EV/MEROPENEM KABI*EV POLV 10FL 1G
MEROPENEM 1G POLV FL EV/MEROPENEM KABI*EV POLV 10FL 1G
MEROPENEM 1G POLV FL EV/MEROPENEM KABI*EV POLV 10FL 1G
MEROPENEM 1G POLV FL EV/MEROPENEM KABI*EV POLV 10FL 1G
MEROPENEM 1G POLV FL EV/MEROPENEM KABI*EV POLV 10FL 1G
MEROPENEM 1G POLV FL EV/MEROPENEM KABI*EV POLV 10FL 1G
MEROPENEM 1G POLV FL EV/MEROPENEM KABI*EV POLV 10FL 1G
MEROPENEM 1G POLV FL EV/MEROPENEM KABI*EV POLV 10FL 1G
32di89
75
500
625
75
750
125
1000
1000
1000
1250
125
2500
250
250
300
500
750
250
750
750
750
1000
250
500
500
900
125
125
250
1000
1000
750
750
750
175
250
250
750
1750
500
1750
2500
2000
2500
250
3750
5000
37
€ 223,30
€ 33,50
€ 223,30
€ 279,14
€ 33,50
€ 334,95
€ 96,84
€ 774,77
€ 774,77
€ 774,77
€ 968,45
€ 96,84
€ 1.936,93
€ 387,55
€ 387,55
€ 540,00
€ 900,00
€ 735,00
€ 245,00
€ 735,00
€ 735,00
€ 734,89
€ 979,82
€ 244,95
€ 700,09
€ 700,00
€ 1.260,00
€ 220,07
€ 220,07
€ 440,16
€ 700,00
€ 700,00
€ 525,00
€ 525,00
€ 525,00
€ 586,34
€ 837,66
€ 837,66
€ 3.558,00
€ 8.302,00
€ 2.372,00
€ 8.302,00
€ 11.860,00
€ 9.488,00
€ 11.860,00
€ 1.185,00
€ 17.790,00
€ 245,63
€ 36,85
€ 245,63
€ 307,05
€ 36,85
€ 368,45
€ 106,53
€ 852,25
€ 852,25
€ 852,25
€ 1.065,30
€ 106,53
€ 2.130,63
€ 426,30
€ 426,30
€ 594,00
€ 990,00
€ 808,50
€ 269,50
€ 808,50
€ 808,50
€ 808,38
€ 1.077,80
€ 269,45
€ 770,10
€ 770,00
€ 1.386,00
€ 242,08
€ 242,08
€ 484,18
€ 770,00
€ 770,00
€ 577,50
€ 577,50
€ 577,50
€ 644,98
€ 921,43
€ 921,43
€ 3.913,80
€ 9.132,20
€ 2.609,20
€ 9.132,20
€ 13.046,00
€ 10.436,80
€ 13.046,00
€ 1.303,50
€ 19.569,00
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
499
499
499
499
499
499
499
6841
6841
6841
6841
800
800
800
800
800
800
800
800
5032
5032
5032
5032
5032
5032
5032
8349
8349
6809
6809
6809
6809
6809
8232
8232
958
958
1242
1242
1242
8224
8224
8224
8224
8224
8224
1060
Ditta Offerente
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
FRESENIUS KABI ITALIA S.R.L.
GALDERMA ITALIA S.P.A.
GALDERMA ITALIA S.P.A.
GALDERMA ITALIA S.P.A.
GALDERMA ITALIA S.P.A.
GALDERMA ITALIA S.P.A.
GALDERMA ITALIA S.P.A.
GALDERMA ITALIA S.P.A.
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
MEROPENEM 500MG FL POLV EV/MEROPENEM HIKMA*EV 10FL 500MG
MEROPENEM 500MG FL POLV EV/MEROPENEM HOSP*EV 10FL 500MG
MEROPENEM 500MG FL POLV EV/MEROPENEM HOSP*EV 10FL 500MG
MEROPENEM 500MG FL POLV EV/MEROPENEM KABI*EV 10FL 500MG
MEROPENEM 500MG FL POLV EV/MEROPENEM KABI*EV 10FL 500MG
MEROPENEM 500MG FL POLV EV/MEROPENEM KABI*EV 10FL 500MG
MEROPENEM 500MG FL POLV EV/MEROPENEM KABI*EV 10FL 500MG
METRONIDAZOLO 500MG/100ML FL IV/METRONIDAZOLO KABI*IV 20FL500M
METRONIDAZOLO 500MG/100ML FL IV/METRONIDAZOLO KABI*IV 20FL500M
METRONIDAZOLO 500MG/100ML FL IV/METRONIDAZOLO KABI*IV 20FL500M
METRONIDAZOLO 500MG/100ML FL IV/METRONIDAZOLO KABI*IV 20FL500M
PARACETAMOLO 10MG/ML FL EV 100ML/PARACETAMOLO KAB*INF 10FL100MLL
PARACETAMOLO 10MG/ML FL EV 100ML/PARACETAMOLO KAB*INF 10FL100MLL
PARACETAMOLO 10MG/ML FL EV 100ML/PARACETAMOLO KAB*INF 10FL100MLL
PARACETAMOLO 10MG/ML FL EV 100ML/PARACETAMOLO KAB*INF 10FL100MLL
PARACETAMOLO 10MG/ML FL EV 100ML/PARACETAMOLO KAB*INF 10FL100MLL
PARACETAMOLO 10MG/ML FL EV 100ML/PARACETAMOLO KAB*INF 10FL100MLL
PARACETAMOLO 10MG/ML FL EV 100ML/PARACETAMOLO KAB*INF 10FL100MLL
PARACETAMOLO 10MG/ML FL EV 100ML/PARACETAMOLO KAB*INF 10FL100MLL
METILAMINOLEVULINATO 2G 160MG/G CR/METVIX CREMA 2G 160MG/G
METILAMINOLEVULINATO 2G 160MG/G CR/METVIX CREMA 2G 160MG/G
METILAMINOLEVULINATO 2G 160MG/G CR/METVIX CREMA 2G 160MG/G
METILAMINOLEVULINATO 2G 160MG/G CR/METVIX CREMA 2G 160MG/G
METILAMINOLEVULINATO 2G 160MG/G CR/METVIX CREMA 2G 160MG/G
METILAMINOLEVULINATO 2G 160MG/G CR/METVIX CREMA 2G 160MG/G
METILAMINOLEVULINATO 2G 160MG/G CR/METVIX CREMA 2G 160MG/G
ALOPERIDOLO 2MG/1ML F IM/ALOPERIDOLO G.S.*IM 10F 2MG 1ML
ALOPERIDOLO 2MG/1ML F IM/ALOPERIDOLO G.S.*IM 10F 2MG 1ML
ATROPINA SOLF.0,5MG 1ML F SC/IM/EV/ATROPINA SOLFATO*10F 1ML 0,5MG
ATROPINA SOLF.0,5MG 1ML F SC/IM/EV/ATROPINA SOLFATO*10F 1ML 0,5MG
ATROPINA SOLF.0,5MG 1ML F SC/IM/EV/ATROPINA SOLFATO*10F 1ML 0,5MG
ATROPINA SOLF.0,5MG 1ML F SC/IM/EV/ATROPINA SOLFATO*10F 1ML 0,5MG
ATROPINA SOLF.0,5MG 1ML F SC/IM/EV/ATROPINA SOLFATO*10F 1ML 0,5MG
BUPIVACAINA 2,5MG/ML 10ML F/BUPISEN *10F 10ML2,5MG/ML
BUPIVACAINA 2,5MG/ML 10ML F/BUPISEN *10F 10ML2,5MG/ML
BUPIVACAINA IPERBARICA 7,5MG/ML 3ML/BUPISEN*IPERBAR.1F 3ML 7,5MG/ML
BUPIVACAINA IPERBARICA 7,5MG/ML 3ML/BUPISEN*IPERBAR.1F 3ML 7,5MG/ML
LIDOCAINA CLOR.20MG/ML 50ML FL INIE/LIDOSEN*INIET 20MG/ML 50ML
LIDOCAINA CLOR.20MG/ML 50ML FL INIE/LIDOSEN*INIET 20MG/ML 50ML
LIDOCAINA CLOR.20MG/ML 50ML FL INIE/LIDOSEN*INIET 20MG/ML 50ML
MEPIVACAINA CLOR.2% 10ML F INIET/CARBOSEN*2% 5F 10ML
MEPIVACAINA CLOR.2% 10ML F INIET/CARBOSEN*2% 5F 10ML
MEPIVACAINA CLOR.2% 10ML F INIET/CARBOSEN*2% 5F 10ML
MEPIVACAINA CLOR.2% 10ML F INIET/CARBOSEN*2% 5F 10ML
MEPIVACAINA CLOR.2% 10ML F INIET/CARBOSEN*2% 5F 10ML
MEPIVACAINA CLOR.2% 10ML F INIET/CARBOSEN*2% 5F 10ML
MEPIVACAINA CLOR.2% 5ML F INIET/CARBOSEN*2% 5F 5ML
33di89
5000
5000
3250
10000
2500
10000
1250
2000
1250
1500
10000
3750
12750
12500
12500
3750
11250
15000
10
10
10
10
10
10
10
1000
2000
6250
12500
2500
6250
6250
1250
1250
1000
528
2500
2500
3000
1250
500
500
750
1250
3000
500
500
38
€ 17.000,00
€ 16.225,00
€ 16.225,00
€ 7.709,00
€ 23.720,00
€ 5.930,00
€ 23.720,00
€ 367,50
€ 588,00
€ 367,50
€ 441,00
€ 6.980,00
€ 2.617,50
€ 8.899,50
€ 8.725,00
€ 8.725,00
€ 2.625,00
€ 7.852,50
€ 10.470,00
€ 1.525,16
€ 1.336,50
€ 1.336,43
€ 1.336,43
€ 1.336,43
€ 1.336,43
€ 1.336,43
€ 180,02
€ 360,02
€ 512,77
€ 1.025,55
€ 205,09
€ 512,77
€ 512,77
€ 650,00
€ 650,00
€ 1.401,18
€ 739,14
€ 2.720,00
€ 2.720,43
€ 3.262,66
€ 375,00
€ 150,00
€ 150,00
€ 225,00
€ 375,00
€ 899,98
€ 170,14
€ 18.700,00
€ 17.847,50
€ 17.847,50
€ 8.479,90
€ 26.092,00
€ 6.523,00
€ 26.092,00
€ 404,25
€ 646,80
€ 404,25
€ 485,10
€ 7.678,00
€ 2.879,25
€ 9.789,45
€ 9.597,50
€ 9.597,50
€ 2.887,50
€ 8.637,75
€ 11.517,00
€ 1.677,68
€ 1.470,15
€ 1.470,08
€ 1.470,08
€ 1.470,08
€ 1.470,08
€ 1.470,08
€ 198,03
€ 396,03
€ 564,05
€ 1.128,10
€ 225,60
€ 564,05
€ 564,05
€ 715,00
€ 715,00
€ 1.541,30
€ 813,05
€ 2.992,00
€ 2.992,48
€ 3.588,93
€ 412,50
€ 165,00
€ 165,00
€ 247,50
€ 412,50
€ 989,98
€ 187,15
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
1060
104
104
104
104
6819
249
249
249
2489
2489
2489
2489
749
749
749
749
749
749
2023
2023
2023
2023
2023
2023
1744
1744
1744
1744
1744
1744
3467
3467
3467
3467
3467
3467
10901
10901
10901
901
801
801
801
801
801
801
Ditta Offerente
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GALENICA SENESE INDUSTRIA FARMACEUT
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GILEAD SCIENCES S.R.L.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
MEPIVACAINA CLOR.2% 5ML F INIET/CARBOSEN*2% 5F 5ML
NALOXONE CLOR. 0,4MG/1ML F EV/IM/SC/NALOXONE CLOR*10F 0,4MG 1ML
NALOXONE CLOR. 0,4MG/1ML F EV/IM/SC/NALOXONE CLOR*10F 0,4MG 1ML
NALOXONE CLOR. 0,4MG/1ML F EV/IM/SC/NALOXONE CLOR*10F 0,4MG 1ML
NALOXONE CLOR. 0,4MG/1ML F EV/IM/SC/NALOXONE CLOR*10F 0,4MG 1ML
NALOXONE CLOR.0,04MG/2ML F EV/IM/SC/NALOXONE CLOR.*5F 0,04MG 2ML
NORADRENALINA TARTRATO 2MG/1ML F EV/NORADRENALINA TARTR*10F 2MG/ML
NORADRENALINA TARTRATO 2MG/1ML F EV/NORADRENALINA TARTR*10F 2MG/ML
NORADRENALINA TARTRATO 2MG/1ML F EV/NORADRENALINA TARTR*10F 2MG/ML
ADEFOVIR 10MG CPR
-DSC/HEPSERA*1FL 30CPR 10MG CPR
ADEFOVIR 10MG CPR
-DSC/HEPSERA*1FL 30CPR 10MG CPR
ADEFOVIR 10MG CPR
-DSC/HEPSERA*1FL 30CPR 10MG CPR
ADEFOVIR 10MG CPR
-DSC/HEPSERA*1FL 30CPR 10MG CPR
AMFOTERICINA B LIPOSOMIALE 50MG FL/AMBISOME*INFUS 10FL LIOF 50MG
AMFOTERICINA B LIPOSOMIALE 50MG FL/AMBISOME*INFUS 10FL LIOF 50MG
AMFOTERICINA B LIPOSOMIALE 50MG FL/AMBISOME*INFUS 10FL LIOF 50MG
AMFOTERICINA B LIPOSOMIALE 50MG FL/AMBISOME*INFUS 10FL LIOF 50MG
AMFOTERICINA B LIPOSOMIALE 50MG FL/AMBISOME*INFUS 10FL LIOF 50MG
AMFOTERICINA B LIPOSOMIALE 50MG FL/AMBISOME*INFUS 10FL LIOF 50MG
EFAVIRENZ/EMTRICIT/TDF 600+200+245/ATRIPLA*30CPR RIV 600+200+245MG
EFAVIRENZ/EMTRICIT/TDF 600+200+245/ATRIPLA*30CPR RIV 600+200+245MG
EFAVIRENZ/EMTRICIT/TDF 600+200+245/ATRIPLA*30CPR RIV 600+200+245MG
EFAVIRENZ/EMTRICIT/TDF 600+200+245/ATRIPLA*30CPR RIV 600+200+245MG
EFAVIRENZ/EMTRICIT/TDF 600+200+245/ATRIPLA*30CPR RIV 600+200+245MG
EFAVIRENZ/EMTRICIT/TDF 600+200+245/ATRIPLA*30CPR RIV 600+200+245MG
EMTRICITABINA/TENOFOVIR 200+245MG/TRUVADA*30CPR RIV 200MG/245MG
EMTRICITABINA/TENOFOVIR 200+245MG/TRUVADA*30CPR RIV 200MG/245MG
EMTRICITABINA/TENOFOVIR 200+245MG/TRUVADA*30CPR RIV 200MG/245MG
EMTRICITABINA/TENOFOVIR 200+245MG/TRUVADA*30CPR RIV 200MG/245MG
EMTRICITABINA/TENOFOVIR 200+245MG/TRUVADA*30CPR RIV 200MG/245MG
EMTRICITABINA/TENOFOVIR 200+245MG/TRUVADA*30CPR RIV 200MG/245MG
TENOFOVIR DISOPROXIL 245MG CPR/VIREAD*30CPR 245MG
TENOFOVIR DISOPROXIL 245MG CPR/VIREAD*30CPR 245MG
TENOFOVIR DISOPROXIL 245MG CPR/VIREAD*30CPR 245MG
TENOFOVIR DISOPROXIL 245MG CPR/VIREAD*30CPR 245MG
TENOFOVIR DISOPROXIL 245MG CPR/VIREAD*30CPR 245MG
TENOFOVIR DISOPROXIL 245MG CPR/VIREAD*30CPR 245MG
ACICLOVIR 200MG CPR/ZOVIRAX*25CPR 200MG
ACICLOVIR 200MG CPR/ZOVIRAX*25CPR 200MG
ACICLOVIR 200MG CPR/ZOVIRAX*25CPR 200MG
ALBENDAZOLO 400MG CPR/ZENTEL*3CPR 400MG
AMOXICILLINA/AC.CLAV.1G BUSTE/AUGMENTIN*OS 12BUST 875MG+125M
AMOXICILLINA/AC.CLAV.1G BUSTE/AUGMENTIN*OS 12BUST 875MG+125M
AMOXICILLINA/AC.CLAV.1G BUSTE/AUGMENTIN*OS 12BUST 875MG+125M
AMOXICILLINA/AC.CLAV.1G BUSTE/AUGMENTIN*OS 12BUST 875MG+125M
AMOXICILLINA/AC.CLAV.1G BUSTE/AUGMENTIN*OS 12BUST 875MG+125M
AMOXICILLINA/AC.CLAV.1G BUSTE/AUGMENTIN*OS 12BUST 875MG+125M
34di89
225
375
375
2250
175
250
3000
3000
375
750
600
600
625
625
1000
625
1000
750
12750
15000
12750
12000
5250
26250
18000
18000
18000
15000
15000
30000
5250
6000
5250
7800
5625
17250
500
1000
750
150
600
600
1200
1200
1500
2250
900
39
€ 170,14
€ 161,82
€ 269,70
€ 269,70
€ 1.618,23
€ 117,27
€ 87,16
€ 1.045,82
€ 1.045,89
€ 4.720,82
€ 9.441,68
€ 7.553,32
€ 7.553,32
€ 83.408,52
€ 83.408,52
€ 133.453,64
€ 83.408,52
€ 133.453,64
€ 100.090,23
€ 252.421,75
€ 296.966,75
€ 252.421,75
€ 237.573,41
€ 103.938,39
€ 519.690,34
€ 239.380,02
€ 239.380,02
€ 239.380,02
€ 199.483,34
€ 199.483,34
€ 398.966,70
€ 44.064,57
€ 50.359,52
€ 44.064,57
€ 65.467,39
€ 47.212,05
€ 144.783,64
€ 51,50
€ 103,02
€ 77,27
€ 153,89
€ 74,05
€ 74,05
€ 148,07
€ 148,07
€ 185,09
€ 277,66
€ 187,15
€ 178,00
€ 296,68
€ 296,68
€ 1.780,05
€ 129,00
€ 95,88
€ 1.150,40
€ 1.150,48
€ 5.192,90
€ 10.385,85
€ 8.308,65
€ 8.308,65
€ 91.749,38
€ 91.749,38
€ 146.799,00
€ 91.749,38
€ 146.799,00
€ 110.099,25
€ 277.663,93
€ 326.663,43
€ 277.663,93
€ 261.330,75
€ 114.332,23
€ 571.659,38
€ 263.318,03
€ 263.318,03
€ 263.318,03
€ 219.431,68
€ 219.431,68
€ 438.863,38
€ 48.471,03
€ 55.395,48
€ 48.471,03
€ 72.014,13
€ 51.933,25
€ 159.262,00
€ 56,65
€ 113,33
€ 85,00
€ 169,28
€ 81,45
€ 81,45
€ 162,88
€ 162,88
€ 203,60
€ 305,43
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
380
380
379
379
379
379
379
379
379
379
1544
1544
1544
6070
6070
6070
6070
5627
5627
5627
5628
5628
5628
504
504
504
8793
8793
6210
6210
6208
955
955
955
955
955
955
955
690
691
706
706
706
706
706
706
13276
Ditta Offerente
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
AMOXICILLINA/AC.CLAV.1G CPR/AUGMENTIN*12CPR RIV 875MG+125M
AMOXICILLINA/AC.CLAV.1G CPR/AUGMENTIN*12CPR RIV 875MG+125M
AMOXICILLINA/AC.CLAV.SOSP 70ML OS/AUGMENTIN*BB SOSP FL 70ML C/C
AMOXICILLINA/AC.CLAV.SOSP 70ML OS/AUGMENTIN*BB SOSP FL 70ML C/C
AMOXICILLINA/AC.CLAV.SOSP 70ML OS/AUGMENTIN*BB SOSP FL 70ML C/C
AMOXICILLINA/AC.CLAV.SOSP 70ML OS/AUGMENTIN*BB SOSP FL 70ML C/C
AMOXICILLINA/AC.CLAV.SOSP 70ML OS/AUGMENTIN*BB SOSP FL 70ML C/C
AMOXICILLINA/AC.CLAV.SOSP 70ML OS/AUGMENTIN*BB SOSP FL 70ML C/C
AMOXICILLINA/AC.CLAV.SOSP 70ML OS/AUGMENTIN*BB SOSP FL 70ML C/C
AMOXICILLINA/AC.CLAV.SOSP 70ML OS/AUGMENTIN*BB SOSP FL 70ML C/C
ATOVAQUONE OS SOSP FL 240ML/WELLVONE*OS SOSP FL 240ML
ATOVAQUONE OS SOSP FL 240ML/WELLVONE*OS SOSP FL 240ML
ATOVAQUONE OS SOSP FL 240ML/WELLVONE*OS SOSP FL 240ML
AZATIOPRINA 50MG CPR/AZATIOPRINA WELL*50CPR RIV50MG
AZATIOPRINA 50MG CPR/AZATIOPRINA WELL*50CPR RIV50MG
AZATIOPRINA 50MG CPR/AZATIOPRINA WELL*50CPR RIV50MG
AZATIOPRINA 50MG CPR/AZATIOPRINA WELL*50CPR RIV50MG
BETAMETASONE 0,1% 30G CREMA/ECOVAL*CREMA 30G 0,1%
BETAMETASONE 0,1% 30G CREMA/ECOVAL*CREMA 30G 0,1%
BETAMETASONE 0,1% 30G CREMA/ECOVAL*CREMA 30G 0,1%
BETAMETASONE VALER.0,1% 30G UNG/ECOVAL*UNG 30G 0,1%
BETAMETASONE VALER.0,1% 30G UNG/ECOVAL*UNG 30G 0,1%
BETAMETASONE VALER.0,1% 30G UNG/ECOVAL*UNG 30G 0,1%
CEFTAZIDIMA 1 G FL IM 3ML/GLAZIDIM 1*IM 1FL 1G+1F 3ML
CEFTAZIDIMA 1 G FL IM 3ML/GLAZIDIM 1*IM 1FL 1G+1F 3ML
CEFTAZIDIMA 1 G FL IM 3ML/GLAZIDIM 1*IM 1FL 1G+1F 3ML
CEFTAZIDIMA 2G FL EV/GLAZIDIM VENA 2*EV 1FL 2G
CEFTAZIDIMA 2G FL EV/GLAZIDIM VENA 2*EV 1FL 2G
CEFTAZIDIMA PENTAIDR. 1G+10ML F EV/GLAZIDIM VENA 1*1FL 1G+1F 10ML
CEFTAZIDIMA PENTAIDR. 1G+10ML F EV/GLAZIDIM VENA 1*1FL 1G+1F 10ML
CEFTAZIDIMA PENTAIDR. 250MG F IM/GLAZIDIM*IM 1FL 250MGL+1F 1ML
CISATRACURIO BESILATO 2MG/ML 10ML F/NIMBEX 2*5F 10ML 2MG/ML
CISATRACURIO BESILATO 2MG/ML 10ML F/NIMBEX 2*5F 10ML 2MG/ML
CISATRACURIO BESILATO 2MG/ML 10ML F/NIMBEX 2*5F 10ML 2MG/ML
CISATRACURIO BESILATO 2MG/ML 10ML F/NIMBEX 2*5F 10ML 2MG/ML
CISATRACURIO BESILATO 2MG/ML 10ML F/NIMBEX 2*5F 10ML 2MG/ML
CISATRACURIO BESILATO 2MG/ML 10ML F/NIMBEX 2*5F 10ML 2MG/ML
CISATRACURIO BESILATO 2MG/ML 10ML F/NIMBEX 2*5F 10ML 2MG/ML
CLOBETASOLO 0,05% CREMA 30G/CLOBESOL*CREMA 30G 0,05%
CLOBETASOLO 0,05% UNG DERM 30G/CLOBESOL*UNG DERM 30G 0,05%
DIGOSSINA 0,0625MG CPR/LANOXIN*30CPR 0,0625MG
DIGOSSINA 0,0625MG CPR/LANOXIN*30CPR 0,0625MG
DIGOSSINA 0,0625MG CPR/LANOXIN*30CPR 0,0625MG
DIGOSSINA 0,0625MG CPR/LANOXIN*30CPR 0,0625MG
DIGOSSINA 0,0625MG CPR/LANOXIN*30CPR 0,0625MG
DIGOSSINA 0,0625MG CPR/LANOXIN*30CPR 0,0625MG
DIGOSSINA 0,125MG CPR
-MITE-/LANOXIN*30CPR 0,125MG
35di89
3600
125
125
50
125
125
125
50
375
12
10
15
750
1000
1000
2500
25
25
75
125
62
75
250
500
125
2500
875
1250
1500
250
625
1000
750
37
50
1250
2000
63
75
5251
15000
3750
15000
5251
9750
5250
15000
40
€ 93,82
€ 375,27
€ 140,14
€ 140,14
€ 56,05
€ 140,14
€ 140,14
€ 140,14
€ 56,05
€ 420,41
€ 2.750,48
€ 2.200,39
€ 3.300,57
€ 53,20
€ 70,93
€ 70,93
€ 177,30
€ 50,91
€ 50,91
€ 152,73
€ 254,55
€ 127,27
€ 152,73
€ 256,39
€ 512,75
€ 128,18
€ 4.075,00
€ 1.426,25
€ 1.281,41
€ 1.537,68
€ 181,30
€ 6.858,00
€ 10.972,80
€ 8.229,59
€ 411,48
€ 548,66
€ 13.716,00
€ 21.945,59
€ 124,43
€ 149,32
€ 159,91
€ 456,82
€ 114,20
€ 456,82
€ 159,91
€ 296,93
€ 164,66
€ 103,20
€ 412,80
€ 154,15
€ 154,15
€ 61,65
€ 154,15
€ 154,15
€ 154,15
€ 61,65
€ 462,45
€ 3.025,53
€ 2.420,43
€ 3.630,63
€ 58,53
€ 78,03
€ 78,03
€ 195,03
€ 56,00
€ 56,00
€ 168,00
€ 280,00
€ 140,00
€ 168,00
€ 282,03
€ 564,03
€ 141,00
€ 4.482,50
€ 1.568,88
€ 1.409,55
€ 1.691,45
€ 199,43
€ 7.543,80
€ 12.070,08
€ 9.052,55
€ 452,63
€ 603,53
€ 15.087,60
€ 24.140,15
€ 136,88
€ 164,25
€ 175,90
€ 502,50
€ 125,63
€ 502,50
€ 175,90
€ 326,63
€ 181,13
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
13276
13276
13276
13276
13276
6399
6399
6400
6400
6400
6400
6400
6400
6400
6400
6400
3009
3009
3009
3009
3009
3009
5273
5273
5273
5273
5273
5273
5451
5451
5451
5451
5451
822
822
822
822
822
500
500
500
1056
1056
1056
1056
1057
1057
Ditta Offerente
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
DIGOSSINA 0,125MG CPR
-MITE-/LANOXIN*30CPR 0,125MG
DIGOSSINA 0,125MG CPR
-MITE-/LANOXIN*30CPR 0,125MG
DIGOSSINA 0,125MG CPR
-MITE-/LANOXIN*30CPR 0,125MG
DIGOSSINA 0,125MG CPR
-MITE-/LANOXIN*30CPR 0,125MG
DIGOSSINA 0,125MG CPR
-MITE-/LANOXIN*30CPR 0,125MG
DIGOSSINA 0,25MG CPR/LANOXIN*30CPR 0,250MG
DIGOSSINA 0,25MG CPR/LANOXIN*30CPR 0,250MG
DIGOSSINA 0,5MG/2ML F EV/LANOXIN*INIET 6F 2ML 0,5MG/2ML
DIGOSSINA 0,5MG/2ML F EV/LANOXIN*INIET 6F 2ML 0,5MG/2ML
DIGOSSINA 0,5MG/2ML F EV/LANOXIN*INIET 6F 2ML 0,5MG/2ML
DIGOSSINA 0,5MG/2ML F EV/LANOXIN*INIET 6F 2ML 0,5MG/2ML
DIGOSSINA 0,5MG/2ML F EV/LANOXIN*INIET 6F 2ML 0,5MG/2ML
DIGOSSINA 0,5MG/2ML F EV/LANOXIN*INIET 6F 2ML 0,5MG/2ML
DIGOSSINA 0,5MG/2ML F EV/LANOXIN*INIET 6F 2ML 0,5MG/2ML
DIGOSSINA 0,5MG/2ML F EV/LANOXIN*INIET 6F 2ML 0,5MG/2ML
DIGOSSINA 0,5MG/2ML F EV/LANOXIN*INIET 6F 2ML 0,5MG/2ML
DUTASTERIDE 0,5MG CPS MOLLI -RM/AVODART*30CPS MOLLI 0,5MG
DUTASTERIDE 0,5MG CPS MOLLI -RM/AVODART*30CPS MOLLI 0,5MG
DUTASTERIDE 0,5MG CPS MOLLI -RM/AVODART*30CPS MOLLI 0,5MG
DUTASTERIDE 0,5MG CPS MOLLI -RM/AVODART*30CPS MOLLI 0,5MG
DUTASTERIDE 0,5MG CPS MOLLI -RM/AVODART*30CPS MOLLI 0,5MG
DUTASTERIDE 0,5MG CPS MOLLI -RM/AVODART*30CPS MOLLI 0,5MG
FONDAPARINUX SODICO 2,5MG SIR. -CDR/ARIXTRA*SC 10SIR 2,5MG 0,5ML
FONDAPARINUX SODICO 2,5MG SIR. -CDR/ARIXTRA*SC 10SIR 2,5MG 0,5ML
FONDAPARINUX SODICO 2,5MG SIR. -CDR/ARIXTRA*SC 10SIR 2,5MG 0,5ML
FONDAPARINUX SODICO 2,5MG SIR. -CDR/ARIXTRA*SC 10SIR 2,5MG 0,5ML
FONDAPARINUX SODICO 2,5MG SIR. -CDR/ARIXTRA*SC 10SIR 2,5MG 0,5ML
FONDAPARINUX SODICO 2,5MG SIR. -CDR/ARIXTRA*SC 10SIR 2,5MG 0,5ML
FONDAPARINUX SODICO 7,5MG SIR 0,6ML/ARIXTRA*SC 10SIR 7,5MG 0,6ML
FONDAPARINUX SODICO 7,5MG SIR 0,6ML/ARIXTRA*SC 10SIR 7,5MG 0,6ML
FONDAPARINUX SODICO 7,5MG SIR 0,6ML/ARIXTRA*SC 10SIR 7,5MG 0,6ML
FONDAPARINUX SODICO 7,5MG SIR 0,6ML/ARIXTRA*SC 10SIR 7,5MG 0,6ML
FONDAPARINUX SODICO 7,5MG SIR 0,6ML/ARIXTRA*SC 10SIR 7,5MG 0,6ML
LAMOTRIGINA 50MG CPR DISPERS/LAMICTAL*56CPR DISPERS 50MG
LAMOTRIGINA 50MG CPR DISPERS/LAMICTAL*56CPR DISPERS 50MG
LAMOTRIGINA 50MG CPR DISPERS/LAMICTAL*56CPR DISPERS 50MG
LAMOTRIGINA 50MG CPR DISPERS/LAMICTAL*56CPR DISPERS 50MG
LAMOTRIGINA 50MG CPR DISPERS/LAMICTAL*56CPR DISPERS 50MG
LAPATINIB 250MG CPR RIV
-DSC/TYVERB*FL 70CPR RIV 250MG
LAPATINIB 250MG CPR RIV
-DSC/TYVERB*FL 70CPR RIV 250MG
LAPATINIB 250MG CPR RIV
-DSC/TYVERB*FL 70CPR RIV 250MG
LEVOFLOXACINA 250MG CPR RIV/LEVOXACIN*5CPR RIV 250MG
LEVOFLOXACINA 250MG CPR RIV/LEVOXACIN*5CPR RIV 250MG
LEVOFLOXACINA 250MG CPR RIV/LEVOXACIN*5CPR RIV 250MG
LEVOFLOXACINA 250MG CPR RIV/LEVOXACIN*5CPR RIV 250MG
LEVOFLOXACINA 500MG CPR RIV/LEVOXACIN*5CPR RIV 500MG
LEVOFLOXACINA 500MG CPR RIV/LEVOXACIN*5CPR RIV 500MG
36di89
5250
5250
15000
11250
1050
3000
450
150
150
600
450
375
525
450
900
750
1500
750
1500
1500
1500
750
500
750
125
75
2500
500
125
375
500
125
2800
2800
4200
2800
4200
1750
1750
1750
1250
250
1250
250
5000
5000
5000
41
€ 470,45
€ 164,66
€ 164,66
€ 470,45
€ 352,84
€ 36,91
€ 105,45
€ 160,23
€ 53,41
€ 53,41
€ 213,64
€ 160,23
€ 133,52
€ 186,93
€ 160,23
€ 320,45
€ 445,50
€ 891,00
€ 445,50
€ 891,00
€ 891,00
€ 891,00
€ 1.282,48
€ 855,00
€ 1.282,50
€ 213,75
€ 128,25
€ 4.275,00
€ 1.899,80
€ 474,95
€ 1.424,84
€ 1.899,80
€ 475,00
€ 168,07
€ 168,07
€ 252,14
€ 168,07
€ 252,14
€ 28.220,59
€ 28.220,59
€ 28.220,59
€ 281,25
€ 56,25
€ 281,25
€ 57,50
€ 1.760,00
€ 1.760,00
€ 517,50
€ 181,13
€ 181,13
€ 517,50
€ 388,13
€ 40,60
€ 116,00
€ 176,25
€ 58,75
€ 58,75
€ 235,00
€ 176,25
€ 146,88
€ 205,63
€ 176,25
€ 352,50
€ 490,05
€ 980,10
€ 490,05
€ 980,10
€ 980,10
€ 980,10
€ 1.410,73
€ 940,50
€ 1.410,75
€ 235,13
€ 141,08
€ 4.702,50
€ 2.089,78
€ 522,45
€ 1.567,33
€ 2.089,78
€ 522,50
€ 184,88
€ 184,88
€ 277,35
€ 184,88
€ 277,35
€ 31.042,65
€ 31.042,65
€ 31.042,65
€ 309,38
€ 61,88
€ 309,38
€ 63,25
€ 1.936,00
€ 1.936,00
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
1057
1057
1057
1057
93
93
93
93
93
94
94
94
94
94
94
5507
5507
5507
5507
5507
698
698
698
698
698
7707
7707
5676
5676
8487
8487
8487
8487
8487
8487
8496
8496
8496
2012
2012
2012
2012
2012
3775
3775
3775
3775
Ditta Offerente
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
LEVOFLOXACINA 500MG CPR RIV/LEVOXACIN*5CPR RIV 500MG
LEVOFLOXACINA 500MG CPR RIV/LEVOXACIN*5CPR RIV 500MG
LEVOFLOXACINA 500MG CPR RIV/LEVOXACIN*5CPR RIV 500MG
LEVOFLOXACINA 500MG CPR RIV/LEVOXACIN*5CPR RIV 500MG
ONDANSETRON 4MG CPR RIV/ZOFRAN*6CPR RIV 4MG
ONDANSETRON 4MG CPR RIV/ZOFRAN*6CPR RIV 4MG
ONDANSETRON 4MG CPR RIV/ZOFRAN*6CPR RIV 4MG
ONDANSETRON 4MG CPR RIV/ZOFRAN*6CPR RIV 4MG
ONDANSETRON 4MG CPR RIV/ZOFRAN*6CPR RIV 4MG
ONDANSETRON 8MG CPR RIV/ZOFRAN*6CPR RIV 8MG
ONDANSETRON 8MG CPR RIV/ZOFRAN*6CPR RIV 8MG
ONDANSETRON 8MG CPR RIV/ZOFRAN*6CPR RIV 8MG
ONDANSETRON 8MG CPR RIV/ZOFRAN*6CPR RIV 8MG
ONDANSETRON 8MG CPR RIV/ZOFRAN*6CPR RIV 8MG
ONDANSETRON 8MG CPR RIV/ZOFRAN*6CPR RIV 8MG
PAZOPANIB CLOR. 400MG CPR RIV -DSC/VOTRIENT*FL 30CPR RIV 400MG
PAZOPANIB CLOR. 400MG CPR RIV -DSC/VOTRIENT*FL 30CPR RIV 400MG
PAZOPANIB CLOR. 400MG CPR RIV -DSC/VOTRIENT*FL 30CPR RIV 400MG
PAZOPANIB CLOR. 400MG CPR RIV -DSC/VOTRIENT*FL 30CPR RIV 400MG
PAZOPANIB CLOR. 400MG CPR RIV -DSC/VOTRIENT*FL 30CPR RIV 400MG
RANITIDINA 300MG CPR RIV/ZANTAC 20 CPR RIV 300 MG
RANITIDINA 300MG CPR RIV/ZANTAC 20 CPR RIV 300 MG
RANITIDINA 300MG CPR RIV/ZANTAC*20CPR RIV 300MG
RANITIDINA 300MG CPR RIV/ZANTAC*20CPR RIV 300MG
RANITIDINA 300MG CPR RIV/ZANTAC.*20CPR RIV 300MG
RANITIDINA CLOR. 150MG CPR RIV -FC-/ZANTAC*20CPR RIV150MG
RANITIDINA CLOR. 150MG CPR RIV -FC-/ZANTAC*20CPR RIV150MG
ROPINIROLO CLOR.4MG CPR RP/REQUIP*28CPR 4MG R.P.
ROPINIROLO CLOR.4MG CPR RP/REQUIP*28CPR 4MG R.P.
SALBUTAMOLO 100MCG F EV/VENTOLIN*EV 10F 100MCG 5ML
SALBUTAMOLO 100MCG F EV/VENTOLIN*EV 10F 100MCG 5ML
SALBUTAMOLO 100MCG F EV/VENTOLIN*EV 10F 100MCG 5ML
SALBUTAMOLO 100MCG F EV/VENTOLIN*EV 10F 100MCG 5ML
SALBUTAMOLO 100MCG F EV/VENTOLIN*EV 10F 100MCG 5ML
SALBUTAMOLO 100MCG F EV/VENTOLIN*EV 10F 100MCG 5ML
SALBUTAMOLO 500MCG F IM/VENTOLIN*IM 10F 500MCG 1ML
SALBUTAMOLO 500MCG F IM/VENTOLIN*IM 10F 500MCG 1ML
SALBUTAMOLO 500MCG F IM/VENTOLIN*IM 10F 500MCG 1ML
SALMETEROLO/FLUTICAS.50+500MCG DISK/SERETIDE*DISKUS 50/500MCG 60D
SALMETEROLO/FLUTICAS.50+500MCG DISK/SERETIDE*DISKUS 50/500MCG 60D
SALMETEROLO/FLUTICAS.50+500MCG DISK/SERETIDE*DISKUS 50/500MCG 60D
SALMETEROLO/FLUTICAS.50+500MCG DISK/SERETIDE*DISKUS 50/500MCG 60D
SALMETEROLO/FLUTICAS.50+500MCG DISK/SERETIDE*DISKUS 50/500MCG 60D
SUXAMETONIO CLORURO 100MG/2ML F EV/MIDARINE*IV 5F 2ML 100MG/2ML
SUXAMETONIO CLORURO 100MG/2ML F EV/MIDARINE*IV 5F 2ML 100MG/2ML
SUXAMETONIO CLORURO 100MG/2ML F EV/MIDARINE*IV 5F 2ML 100MG/2ML
SUXAMETONIO CLORURO 100MG/2ML F EV/MIDARINE*IV 5F 2ML 100MG/2ML
37di89
5000
5000
3750
450
450
450
300
600
300
300
450
300
450
1245
525
600
675
1500
1500
7500
5000
7500
7500
17500
1500
1500
350
350
250
125
300
375
750
150
200
200
375
25
25
50
50
50
375
375
63
375
50
42
€ 1.760,00
€ 1.760,00
€ 1.760,00
€ 1.312,50
€ 81,02
€ 81,02
€ 81,02
€ 54,00
€ 108,02
€ 76,66
€ 76,66
€ 114,98
€ 76,66
€ 114,98
€ 318,14
€ 28.692,93
€ 32.791,93
€ 36.890,91
€ 81.979,80
€ 81.979,80
€ 449,25
€ 299,50
€ 449,25
€ 449,25
€ 1.048,25
€ 418,98
€ 41,41
€ 159,05
€ 159,05
€ 182,95
€ 91,48
€ 219,55
€ 274,43
€ 548,84
€ 114,55
€ 141,82
€ 141,82
€ 265,91
€ 627,57
€ 627,57
€ 1.255,16
€ 1.255,16
€ 1.255,16
€ 77,27
€ 77,27
€ 12,89
€ 77,27
€ 1.936,00
€ 1.936,00
€ 1.936,00
€ 1.443,75
€ 89,13
€ 89,13
€ 89,13
€ 59,40
€ 118,83
€ 84,33
€ 84,33
€ 126,48
€ 84,33
€ 126,48
€ 349,95
€ 31.562,23
€ 36.071,13
€ 40.580,00
€ 90.177,78
€ 90.177,78
€ 494,18
€ 329,45
€ 494,18
€ 494,18
€ 1.153,08
€ 460,88
€ 45,55
€ 174,95
€ 174,95
€ 201,25
€ 100,63
€ 241,50
€ 301,88
€ 603,73
€ 126,00
€ 156,00
€ 156,00
€ 292,50
€ 690,33
€ 690,33
€ 1.380,68
€ 1.380,68
€ 1.380,68
€ 85,00
€ 85,00
€ 14,18
€ 85,00
ALLEGATO A
Cod.SFO
98
94
94
94
94
94
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
3775
2228
2228
1218
1218
1218
4496
4496
4504
4504
4504
4503
4503
5440
5440
5440
6320
6320
6320
6320
495
495
495
495
495
1253
1253
1253
1253
1253
1253
6297
6297
6297
6297
6297
1172
1172
1726
1726
1726
1699
1699
1699
3455
3455
6001
Ditta Offerente
GLAXO SMITH KLINE S.P.A.
GRIFOLS ITALIA SPA
GRIFOLS ITALIA SPA
GRIFOLS ITALIA SPA
GRIFOLS ITALIA SPA
GRIFOLS ITALIA SPA
GRUNENTHAL ITALIA SRL
GRUNENTHAL ITALIA SRL
GRUNENTHAL ITALIA SRL
GRUNENTHAL ITALIA SRL
GRUNENTHAL ITALIA SRL
GRUNENTHAL ITALIA SRL
GRUNENTHAL ITALIA SRL
GRUNENTHAL ITALIA SRL
GRUNENTHAL ITALIA SRL
GRUNENTHAL ITALIA SRL
GRUNENTHAL ITALIA SRL
GRUNENTHAL ITALIA SRL
GRUNENTHAL ITALIA SRL
GRUNENTHAL ITALIA SRL
GRUNENTHAL ITALIA SRL
GRUNENTHAL ITALIA SRL
GRUNENTHAL ITALIA SRL
GRUNENTHAL ITALIA SRL
GRUNENTHAL ITALIA SRL
HIKMA ITALIA SPA
HIKMA ITALIA SPA
HIKMA ITALIA SPA
HIKMA ITALIA SPA
HIKMA ITALIA SPA
HIKMA ITALIA SPA
HIKMA ITALIA SPA
HIKMA ITALIA SPA
HIKMA ITALIA SPA
HIKMA ITALIA SPA
HIKMA ITALIA SPA
HIKMA ITALIA SPA
HIKMA ITALIA SPA
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
SUXAMETONIO CLORURO 100MG/2ML F EV/MIDARINE*IV 5F 2ML 100MG/2ML
IG ANTIEPATITE B 1000UI/5ML F IM/IGANTIBE*IM 1F 5ML 1000UI/5ML
IG ANTIEPATITE B 1000UI/5ML F IM/IGANTIBE*IM 1F 5ML 1000UI/5ML
IG ANTIEPATITE B 600 UI/3ML F IM/IGANTIBE*IM 1F 3ML 600UI/3ML
IG ANTIEPATITE B 600 UI/3ML F IM/IGANTIBE*IM 1F 3ML 600UI/3ML
IG ANTIEPATITE B 600 UI/3ML F IM/IGANTIBE*IM 1F 3ML 600UI/3ML
BUPRENORFINA 20MG 35MCG/H CEROTTI/TRANSTEC*3CER 20MG 35MCG/H
BUPRENORFINA 20MG 35MCG/H CEROTTI/TRANSTEC*3CER 20MG 35MCG/H
BUPRENORFINA 30MG 52,5MCG/H CER/TRANSTEC*3CER 30MG 52,5MCG/H
BUPRENORFINA 30MG 52,5MCG/H CER/TRANSTEC*3CER 30MG 52,5MCG/H
BUPRENORFINA 30MG 52,5MCG/H CER/TRANSTEC*3CER 30MG 52,5MCG/H
BUPRENORFINA 40MG 70MCG/H CEROTTI/TRANSTEC*3CER 40MG 70MCG/H
BUPRENORFINA 40MG 70MCG/H CEROTTI/TRANSTEC*3CER 40MG 70MCG/H
FENTANIL 12MCG/H CER TRANSD/MATRIFEN*3CER TRANSD 12MCG/ORA
FENTANIL 12MCG/H CER TRANSD/MATRIFEN*3CER TRANSD 12MCG/ORA
FENTANIL 12MCG/H CER TRANSD/MATRIFEN*3CER TRANSD 12MCG/ORA
NITROFURANTOINA 50MG CPS-MACROCRIS/NEOFURADANTIN*20CPS 50MG
NITROFURANTOINA 50MG CPS-MACROCRIS/NEOFURADANTIN*20CPS 50MG
NITROFURANTOINA 50MG CPS-MACROCRIS/NEOFURADANTIN*20CPS 50MG
NITROFURANTOINA 50MG CPS-MACROCRIS/NEOFURADANTIN*20CPS 50MG
TRAMADOLO 100MG CPR RP/CONTRAMAL*20CPR 100MG R.P.
TRAMADOLO 100MG CPR RP/CONTRAMAL*20CPR 100MG R.P.
TRAMADOLO 100MG CPR RP/CONTRAMAL*20CPR 100MG R.P.
TRAMADOLO 100MG CPR RP/CONTRAMAL*20CPR 100MG R.P.
TRAMADOLO 100MG CPR RP/CONTRAMAL*20CPR 100MG R.P.
AMIODARONE 150MG/3ML F IV/AMIODARONE HIKMA*10F 3ML 50MG/ML
AMIODARONE 150MG/3ML F IV/AMIODARONE HIKMA*10F 3ML 50MG/ML
AMIODARONE 150MG/3ML F IV/AMIODARONE HIKMA*10F 3ML 50MG/ML
AMIODARONE 150MG/3ML F IV/AMIODARONE HIKMA*10F 3ML 50MG/ML
AMIODARONE 150MG/3ML F IV/AMIODARONE HIKMA*10F 3ML 50MG/ML
AMIODARONE 150MG/3ML F IV/AMIODARONE HIKMA*10F 3ML 50MG/ML
CLINDAMICINA 600MG/4ML F IM/EV/CLINDAMICINA HIK*5F 600MG/4ML
CLINDAMICINA 600MG/4ML F IM/EV/CLINDAMICINA HIK*5F 600MG/4ML
CLINDAMICINA 600MG/4ML F IM/EV/CLINDAMICINA HIK*5F 600MG/4ML
CLINDAMICINA 600MG/4ML F IM/EV/CLINDAMICINA HIK*5F 600MG/4ML
CLINDAMICINA 600MG/4ML F IM/EV/CLINDAMICINA HIK*5F 600MG/4ML
FENITOINA 50MG/ML F IM/IV 250MG/5ML/FENITOINA HIKMA*IV5F 5ML 250MG
FENITOINA 50MG/ML F IM/IV 250MG/5ML/FENITOINA HIKMA*IV5F 5ML 250MG
AC.PAMIDRONICO 30MG F EV/PAMIDRONATO D.HOSP*EV 1FL 30MG F
AC.PAMIDRONICO 30MG F EV/PAMIDRONATO D.HOSP*EV 1FL 30MG F
AC.PAMIDRONICO 30MG F EV/PAMIDRONATO D.HOSP*EV 1FL 30MG F
AC.PAMIDRONICO 60MG FL EV/PAMIDRONATO D.HOSP*EV 1FL60MG
AC.PAMIDRONICO 60MG FL EV/PAMIDRONATO D.HOSP*EV 1FL60MG
AC.PAMIDRONICO 60MG FL EV/PAMIDRONATO D.HOSP*EV 1FL60MG
CITARABINA 1G/10ML FL EV/CITARABINA MAY*INIET 10ML 1G/10ML
CITARABINA 1G/10ML FL EV/CITARABINA MAY*INIET 10ML 1G/10ML
CITARABINA 2G/20ML EV/CITARABINA MAY*INIET 20ML2G/20
38di89
10
13
25
25
13
750
300
75
75
75
75
375
300
300
150
2500
2500
1000
5000
2000
2500
2000
2500
2000
3750
2500
2500
2500
3000
7500
1250
1250
1500
2500
5000
750
625
75
75
0
100
150
250
250
250
250
500
43
€ 10,30
€ 1.879,20
€ 2.349,00
€ 2.818,80
€ 2.818,80
€ 1.409,41
€ 3.348,80
€ 1.339,52
€ 495,98
€ 495,98
€ 495,75
€ 617,34
€ 3.086,77
€ 122,05
€ 122,05
€ 61,02
€ 100,05
€ 100,00
€ 39,82
€ 200,00
€ 116,00
€ 145,00
€ 116,00
€ 145,00
€ 116,00
€ 750,02
€ 500,02
€ 500,02
€ 500,02
€ 600,02
€ 1.500,05
€ 491,25
€ 491,25
€ 589,50
€ 982,50
€ 1.965,00
€ 825,05
€ 687,55
€ 187,59
€ 187,59
€ 0,00
€ 396,00
€ 594,00
€ 988,34
€ 3.580,68
€ 3.580,68
€ 7.009,09
€ 11,33
€ 2.067,13
€ 2.583,90
€ 3.100,68
€ 3.100,68
€ 1.550,35
€ 3.683,68
€ 1.473,48
€ 545,58
€ 545,58
€ 545,33
€ 679,08
€ 3.395,45
€ 134,25
€ 134,25
€ 67,13
€ 110,05
€ 110,00
€ 43,80
€ 220,00
€ 127,60
€ 159,50
€ 127,60
€ 159,50
€ 127,60
€ 825,03
€ 550,03
€ 550,03
€ 550,03
€ 660,03
€ 1.650,05
€ 540,38
€ 540,38
€ 648,45
€ 1.080,75
€ 2.161,50
€ 907,55
€ 756,30
€ 206,35
€ 206,35
€ 0,00
€ 435,60
€ 653,40
€ 1.087,18
€ 3.938,75
€ 3.938,75
€ 7.710,00
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
6001
6001
6001
6001
458
458
458
458
458
458
458
932
932
932
848
848
6409
6409
6409
6409
6409
6409
5345
5345
5345
5345
5345
5345
5345
1723
1723
1723
1723
5499
5499
5499
5499
5499
5499
5499
5640
5640
5640
5640
5640
5640
5640
Ditta Offerente
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
CITARABINA 2G/20ML EV/CITARABINA MAY*INIET 20ML2G/20
CITARABINA 2G/20ML EV/CITARABINA MAY*INIET 20ML2G/20
CITARABINA 2G/20ML EV/CITARABINA MAY*INIET 20ML2G/20
CITARABINA 2G/20ML EV/CITARABINA MAY*INIET 20ML2G/20
DESAMETASONE 4MG F IM/DESAMETASONE FOSF*IM EV 3F 4MG
DESAMETASONE 4MG F IM/DESAMETASONE FOSF*IM EV 3F 4MG
DESAMETASONE 4MG F IM/DESAMETASONE FOSF*IM EV 3F 4MG
DESAMETASONE 4MG F IM/DESAMETASONE FOSF*IM EV 3F 4MG
DESAMETASONE 4MG F IM/DESAMETASONE FOSF*IM EV 3F 4MG
DESAMETASONE 4MG F IM/DESAMETASONE FOSF*IM EV 3F 4MG
DESAMETASONE 4MG F IM/DESAMETASONE FOSF*IM EV 3F 4MG
DOCETAXEL 20MG/2ML FL EV -RIS.ONC/DOCETAXEL HOS*INF 2ML 10MG/ML
DOCETAXEL 20MG/2ML FL EV -RIS.ONC/DOCETAXEL HOS*INF 2ML 10MG/ML
DOCETAXEL 20MG/2ML FL EV -RIS.ONC/DOCETAXEL HOS*INF 2ML 10MG/ML
DOCETAXEL 80MG/8ML FL -RIS.ONC/DOCETAXEL HOS*INF 8ML 10MG/ML
DOCETAXEL 80MG/8ML FL -RIS.ONC/DOCETAXEL HOS*INF 8ML 10MG/ML
DOPAMINA CLOR. 200MG/5ML F EV/DOPAMINA MAYNE*10F 200MG/5ML
DOPAMINA CLOR. 200MG/5ML F EV/DOPAMINA MAYNE*10F 200MG/5ML
DOPAMINA CLOR. 200MG/5ML F EV/DOPAMINA MAYNE*10F 200MG/5ML
DOPAMINA CLOR. 200MG/5ML F EV/DOPAMINA MAYNE*10F 200MG/5ML
DOPAMINA CLOR. 200MG/5ML F EV/DOPAMINA MAYNE*10F 200MG/5ML
DOPAMINA CLOR. 200MG/5ML F EV/DOPAMINA MAYNE*10F 200MG/5ML
EPARINA SOD 25000UI/5ML F INFUS/EPSOCLAR*INFUS 10F 25000UI 5ML
EPARINA SOD 25000UI/5ML F INFUS/EPSOCLAR*INFUS 10F 25000UI 5ML
EPARINA SOD 25000UI/5ML F INFUS/EPSOCLAR*INFUS 10F 25000UI 5ML
EPARINA SOD 25000UI/5ML F INFUS/EPSOCLAR*INFUS 10F 25000UI 5ML
EPARINA SOD 25000UI/5ML F INFUS/EPSOCLAR*INFUS 10F 25000UI 5ML
EPARINA SOD 25000UI/5ML F INFUS/EPSOCLAR*INFUS 10F 25000UI 5ML
EPARINA SOD 25000UI/5ML F INFUS/EPSOCLAR*INFUS 10F 25000UI 5ML
EPARINA SOD 250UI/5ML PERV CATETERI/EPSODILAVE*10F 250UI/5ML 5ML
EPARINA SOD 250UI/5ML PERV CATETERI/EPSODILAVE*10F 250UI/5ML 5ML
EPARINA SOD 250UI/5ML PERV CATETERI/EPSODILAVE*10F 250UI/5ML 5ML
EPARINA SOD 250UI/5ML PERV CATETERI/EPSODILAVE*10F 250UI/5ML 5ML
EPARINA SOD 500UI/2ML F INF/EPSODILAVE*10F 500UI/2ML 2ML
EPARINA SOD 500UI/2ML F INF/EPSODILAVE*10F 500UI/2ML 2ML
EPARINA SOD 500UI/2ML F INF/EPSODILAVE*10F 500UI/2ML 2ML
EPARINA SOD 500UI/2ML F INF/EPSODILAVE*10F 500UI/2ML 2ML
EPARINA SOD 500UI/2ML F INF/EPSODILAVE*10F 500UI/2ML 2ML
EPARINA SOD 500UI/2ML F INF/EPSODILAVE*10F 500UI/2ML 2ML
EPARINA SOD 500UI/2ML F INF/EPSODILAVE*10F 500UI/2ML 2ML
EPOETINA ZETA 10000UI 1ML SIR -DSC/RETACRIT*1SIR 10000UI 1ML
EPOETINA ZETA 10000UI 1ML SIR -DSC/RETACRIT*1SIR 10000UI 1ML
EPOETINA ZETA 10000UI 1ML SIR -DSC/RETACRIT*1SIR 10000UI 1ML
EPOETINA ZETA 10000UI 1ML SIR -DSC/RETACRIT*1SIR 10000UI 1ML
EPOETINA ZETA 10000UI 1ML SIR -DSC/RETACRIT*1SIR 10000UI 1ML
EPOETINA ZETA 10000UI 1ML SIR -DSC/RETACRIT*1SIR 10000UI 1ML
EPOETINA ZETA 10000UI 1ML SIR -DSC/RETACRIT*1SIR 10000UI 1ML
39di89
150
125
375
18000
15000
1500
15000
15000
2250
43200
150
150
250
150
200
3000
250
2500
375
2000
4500
3750
5000
125
3750
3750
150
15000
3750
3750
250
3750
75
75
125
125
375
75
50
125
250
63
125
375
63
375
125
44
€ 14.018,18
€ 4.205,45
€ 3.504,55
€ 10.513,64
€ 5.020,80
€ 4.184,00
€ 418,41
€ 4.183,50
€ 4.183,50
€ 629,55
€ 12.048,48
€ 822,00
€ 822,00
€ 1.370,00
€ 3.288,82
€ 4.383,05
€ 1.939,52
€ 161,64
€ 1.616,27
€ 242,45
€ 1.293,00
€ 2.909,27
€ 8.586,39
€ 11.448,50
€ 286,23
€ 8.586,39
€ 8.586,39
€ 343,45
€ 34.345,50
€ 1.113,80
€ 1.113,80
€ 74,25
€ 1.113,80
€ 22,27
€ 22,27
€ 37,14
€ 37,14
€ 111,39
€ 22,27
€ 14,84
€ 2.412,50
€ 4.825,00
€ 1.206,25
€ 2.412,50
€ 7.237,50
€ 1.206,25
€ 7.237,50
€ 15.420,00
€ 4.626,00
€ 3.855,00
€ 11.565,00
€ 5.522,88
€ 4.602,40
€ 460,25
€ 4.601,85
€ 4.601,85
€ 692,50
€ 13.253,33
€ 904,20
€ 904,20
€ 1.507,00
€ 3.617,70
€ 4.821,35
€ 2.133,48
€ 177,80
€ 1.777,90
€ 266,70
€ 1.422,30
€ 3.200,20
€ 9.445,03
€ 12.593,35
€ 314,85
€ 9.445,03
€ 9.445,03
€ 377,80
€ 37.780,05
€ 1.225,18
€ 1.225,18
€ 81,68
€ 1.225,18
€ 24,50
€ 24,50
€ 40,85
€ 40,85
€ 122,53
€ 24,50
€ 16,33
€ 2.653,75
€ 5.307,50
€ 1.326,88
€ 2.653,75
€ 7.961,25
€ 1.326,88
€ 7.961,25
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
5640
5640
5640
5640
5643
5643
5643
5643
5643
5643
5643
5643
5644
5644
5644
5644
5644
8392
8392
1229
1229
1138
1138
1138
1138
1295
1295
7831
7831
7831
6072
6072
5638
5638
5638
5638
5417
5417
5417
972
972
972
871
871
1113
1113
1113
Ditta Offerente
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
EPOETINA ZETA 10000UI 1ML SIR/RETACRIT*1SIR 10000UI 1ML
EPOETINA ZETA 10000UI 1ML SIR/RETACRIT*1SIR 10000UI 1ML
EPOETINA ZETA 10000UI 1ML SIR/RETACRIT*1SIR 10000UI 1ML
EPOETINA ZETA 10000UI 1ML SIR/RETACRIT*1SIR 10000UI 1ML
EPOETINA ZETA 4000UI 0,4ML SIR -DSC/RETACRIT*1SIR 4000UI 0,4ML
EPOETINA ZETA 4000UI 0,4ML SIR -DSC/RETACRIT*1SIR 4000UI 0,4ML
EPOETINA ZETA 4000UI 0,4ML SIR -DSC/RETACRIT*1SIR 4000UI 0,4ML
EPOETINA ZETA 4000UI 0,4ML SIR -DSC/RETACRIT*1SIR 4000UI 0,4ML
EPOETINA ZETA 4000UI 0,4ML SIR -DSC/RETACRIT*1SIR 4000UI 0,4ML
EPOETINA ZETA 4000UI 0,4ML SIR -DSC/RETACRIT*1SIR 4000UI 0,4ML
EPOETINA ZETA 4000UI 0,4ML SIR -DSC/RETACRIT*1SIR 4000UI 0,4ML
EPOETINA ZETA 4000UI 0,4ML SIR/RETACRIT*1SIR 4000UI 0,4ML
EPOETINA ZETA 6000UI 0,6ML SIR -DSC/RETACRIT*1SIR 6000UI 0,6ML
EPOETINA ZETA 6000UI 0,6ML SIR -DSC/RETACRIT*1SIR 6000UI 0,6ML
EPOETINA ZETA 6000UI 0,6ML SIR -DSC/RETACRIT*1SIR 6000UI 0,6ML
EPOETINA ZETA 6000UI 0,6ML SIR -DSC/RETACRIT*1SIR 6000UI 0,6ML
EPOETINA ZETA 6000UI 0,6ML SIR -DSC/RETACRIT*1SIR 6000UI 0,6ML
FENOBARBITALE 100MG F IM/FENOBARBITALE SOD.HO*10F 100MG
FENOBARBITALE 100MG F IM/FENOBARBITALE SOD.HO*10F 100MG
GENTAMICINA 80MG/2ML F IM/IV/GENTOMIL *10F 80MG/2ML
GENTAMICINA 80MG/2ML F IM/IV/GENTOMIL*10F 80MG/2ML
IRINOTECAN 100MG/5ML INF/IRINOTECAN HOSP*INF 100MG 5ML
IRINOTECAN 100MG/5ML INF/IRINOTECAN HOSP*INF 100MG 5ML
IRINOTECAN 100MG/5ML INF/IRINOTECAN HOSP*INF 100MG 5ML
IRINOTECAN 100MG/5ML INF/IRINOTECAN HOSP*INF 100MG 5ML
IRINOTECAN 40MG/2ML INF/IRINOTECAN HOSP*INF 40MG 2ML
IRINOTECAN 40MG/2ML INF/IRINOTECAN HOSP*INF 40MG 2ML
METILERGOMETRINA 0,2MG/ML F IM/EV/METILERGOMETRINA MAL*10F 0,2MG
METILERGOMETRINA 0,2MG/ML F IM/EV/METILERGOMETRINA MAL*10F 0,2MG
METILERGOMETRINA 0,2MG/ML F IM/EV/METILERGOMETRINA MAL*10F 0,2MG
METOTREXATO 5MG F IM/EV/METOTREXATO HOSPIRA*5F 5MG 2ML
METOTREXATO 5MG F IM/EV/METOTREXATO HOSPIRA*5F 5MG 2ML
OXALIPLATINO 100MG/20ML INF/OXALIPLATINO HOS*INF 100MG/20ML
OXALIPLATINO 100MG/20ML INF/OXALIPLATINO HOS*INF 100MG/20ML
OXALIPLATINO 100MG/20ML INF/OXALIPLATINO HOS*INF 100MG/20ML
OXALIPLATINO 100MG/20ML INF/OXALIPLATINO HOS*INF 100MG/20ML
OXALIPLATINO 50MG/10ML INF SOL.PRON/OXALIPLATINO HOS*INF 50MG 10ML
OXALIPLATINO 50MG/10ML INF SOL.PRON/OXALIPLATINO HOS*INF 50MG 10ML
OXALIPLATINO 50MG/10ML INF SOL.PRON/OXALIPLATINO HOS*INF 50MG 10ML
RALTITREXED 2MG FL POLV EV/TOMUDEX*IV FL POLV 2MG
RALTITREXED 2MG FL POLV EV/TOMUDEX*IV FL POLV 2MG
RALTITREXED 2MG FL POLV EV/TOMUDEX*IV FL POLV 2MG
REMIFENTANIL 5MG/10ML FL INF/REMIFENTANIL HOSP*INF 5FL 5MG/10ML
REMIFENTANIL 5MG/10ML FL INF/REMIFENTANIL HOSP*INF 5FL 5MG/10ML
UROCHINASI 100000UI+F 2ML FL EV/UROKINASI HOS*FL100000UI+F2ML
UROCHINASI 100000UI+F 2ML FL EV/UROKINASI HOS*FL100000UI+F2ML
UROCHINASI 100000UI+F 2ML FL EV/UROKINASI HOS*FL100000UI+F2ML
40di89
60
75
200
125
125
250
250
250
250
375
250
180
100
125
100
125
1000
1000
1000
1000
200
200
75
200
100
125
200
500
500
150
125
250
375
250
250
125
175
125
25
25
25
1125
1125
375
250
250
275
45
€ 2.412,50
€ 1.158,00
€ 1.447,50
€ 3.860,00
€ 965,00
€ 965,00
€ 1.930,00
€ 1.930,00
€ 1.930,00
€ 1.930,00
€ 2.895,00
€ 1.930,00
€ 2.084,41
€ 1.158,00
€ 1.447,50
€ 1.158,00
€ 1.447,50
€ 356,05
€ 355,75
€ 1.538,00
€ 1.538,00
€ 1.444,00
€ 1.444,00
€ 541,50
€ 1.444,00
€ 320,80
€ 401,00
€ 41,80
€ 104,50
€ 104,50
€ 254,25
€ 212,50
€ 1.792,50
€ 2.688,75
€ 1.792,50
€ 1.792,50
€ 449,00
€ 628,59
€ 449,00
€ 2.972,73
€ 2.972,73
€ 2.972,73
€ 13.680,00
€ 15.048,45
€ 9.429,55
€ 6.286,39
€ 6.286,39
€ 2.653,75
€ 1.273,80
€ 1.592,25
€ 4.246,00
€ 1.061,50
€ 1.061,50
€ 2.123,00
€ 2.123,00
€ 2.123,00
€ 2.123,00
€ 3.184,50
€ 2.123,00
€ 2.292,85
€ 1.273,80
€ 1.592,25
€ 1.273,80
€ 1.592,25
€ 391,65
€ 391,33
€ 1.691,80
€ 1.691,80
€ 1.588,40
€ 1.588,40
€ 595,65
€ 1.588,40
€ 352,88
€ 441,10
€ 45,98
€ 114,95
€ 114,95
€ 279,68
€ 233,75
€ 1.971,75
€ 2.957,63
€ 1.971,75
€ 1.971,75
€ 493,90
€ 691,45
€ 493,90
€ 3.270,00
€ 3.270,00
€ 3.270,00
€ 15.048,00
€ 16.553,30
€ 10.372,50
€ 6.915,03
€ 6.915,03
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
1113
1113
1601
1601
1601
1601
1600
1600
1600
1600
1600
1095
1095
1095
1095
1095
1095
1095
9245
9245
9245
1300
796
1153
1153
1153
1153
6174
6174
8708
8708
8708
8708
7825
803
803
6387
6387
6387
6387
6387
1436
1436
1436
1436
8471
8471
Ditta Offerente
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
IBISQUS SRL
IBISQUS SRL
IBISQUS SRL
IBISQUS SRL
IBISQUS SRL
IBISQUS SRL
IBISQUS SRL
IBISQUS SRL
IBISQUS SRL
IBISQUS SRL
IBISQUS SRL
IBISQUS SRL
IBISQUS SRL
IBISQUS SRL
IBISQUS SRL
IBISQUS SRL
IBISQUS SRL
IBISQUS SRL
IBSA FARMACEUTICI ITALIA S.R.L.
IBSA FARMACEUTICI ITALIA S.R.L.
IBSA FARMACEUTICI ITALIA S.R.L.
IBSA FARMACEUTICI ITALIA S.R.L.
IBSA FARMACEUTICI ITALIA S.R.L.
INCA-PHARM SRL
INCA-PHARM SRL
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
UROCHINASI 100000UI+F 2ML FL EV/UROKINASI HOS*FL100000UI+F2ML
UROCHINASI 100000UI+F 2ML FL EV/UROKINASI HOS*FL100000UI+F2ML
VANCOMICINA 500MG FL IV/OS/VANCOMICINA HOSPIRA*OS IV500MG
VANCOMICINA 500MG FL IV/OS/VANCOMICINA HOSPIRA*OS IV500MG
VANCOMICINA 500MG FL IV/OS/VANCOMICINA HOSPIRA*OS IV500MG
VANCOMICINA 500MG FL IV/OS/VANCOMICINA HOSPIRA*OS IV500MG
VANCOMICINA CLOR. 1G FL IV/OS/VANCOMICINA HOSPIRA*OS IV 1G
VANCOMICINA CLOR. 1G FL IV/OS/VANCOMICINA HOSPIRA*OS IV 1G
VANCOMICINA CLOR. 1G FL IV/OS/VANCOMICINA HOSPIRA*OS IV 1G
VANCOMICINA CLOR. 1G FL IV/OS/VANCOMICINA HOSPIRA*OS IV 1G
VANCOMICINA CLOR. 1G FL IV/OS/VANCOMICINA HOSPIRA*OS IV 1G
AMPICILLINA/SULBACTAM 3G FL EV/AMPICILL.SUL.IBI*10FL20ML2G+1G
AMPICILLINA/SULBACTAM 3G FL EV/AMPICILL.SUL.IBI*10FL20ML2G+1G
AMPICILLINA/SULBACTAM 3G FL EV/AMPICILL.SUL.IBI*10FL20ML2G+1G
AMPICILLINA/SULBACTAM 3G FL EV/AMPICILL.SUL.IBI*10FL20ML2G+1G
AMPICILLINA/SULBACTAM 3G FL EV/AMPICILL.SUL.IBI*10FL20ML2G+1G
AMPICILLINA/SULBACTAM 3G FL EV/AMPICILL.SUL.IBI*10FL20ML2G+1G
AMPICILLINA/SULBACTAM 3G FL EV/AMPICILL.SUL.IBI*10FL20ML2G+1G
DIMETICONE 30ML GTT FL OS/SIMETICONE IBI*OS GTT FL 30ML
DIMETICONE 30ML GTT FL OS/SIMETICONE IBI*OS GTT FL 30ML
DIMETICONE 30ML GTT FL OS/SIMETICONE IBI*OS GTT FL 30ML
EPOPROSTENOLO 0,5MG/50ML FL IV/EPOPROSTENOLO PH&T*FL0,5MG+1FL
GABESATO MESILATO 100MG/5ML F EV/GABESATO MES.IBI*1F 100MG+F5ML
PIPERACILLINA 2G FL + F 4ML SOLV IM/PIPERITAL*INIET 10FL 2G
PIPERACILLINA 2G FL + F 4ML SOLV IM/PIPERITAL*INIET 10FL 2G
PIPERACILLINA 2G FL + F 4ML SOLV IM/PIPERITAL*INIET 10FL 2G
PIPERACILLINA 2G FL + F 4ML SOLV IM/PIPERITAL*INIET 10FL 2G
TOBRAMICINA 100MG F IM/EV
-FC/TOBRAMICINA IBI INIET 10F 100MG 2ML
TOBRAMICINA 100MG F IM/EV
-FC/TOBRAMICINAIBI*INIET 10F 100MG 2ML
ECONAZOLO 150MG OV VAG/ECOSTERIL*6 OV VAG 150MG
ECONAZOLO 150MG OV VAG/ECOSTERIL*6 OV VAG 150MG
ECONAZOLO 150MG OV VAG/ECOSTERIL*6 OV VAG 150MG
ECONAZOLO 150MG OV VAG/ECOSTERIL*6 OV VAG 150MG
PROGESTERONE 100MG F IM/PRONTOGEST*INIET 3F 1ML100MG/M
ENOXIMONE 100MG 20ML F EV/PERFAN*EV 5F 100MG/20ML
ENOXIMONE 100MG 20ML F EV/PERFAN*EV 5F 100MG/20ML
ACICLOVIR 250MG F EV/ACICLOVIR RECORDATI*EV 5F250MG
ACICLOVIR 250MG F EV/ACICLOVIR RECORDATI*EV 5F250MG
ACICLOVIR 250MG F EV/ACICLOVIR RECORDATI*EV 5F250MG
ACICLOVIR 250MG F EV/ACICLOVIR RECORDATI*EV 5F250MG
ACICLOVIR 250MG F EV/ACICLOVIR RECORDATI*EV 5F250MG
ALPROSTADIL ALFACICLODE 60MCG F EV/ALPROSTAR*EV/EA 1F POLV 60MCG
ALPROSTADIL ALFACICLODE 60MCG F EV/ALPROSTAR*EV/EA 1F POLV 60MCG
ALPROSTADIL ALFACICLODE 60MCG F EV/ALPROSTAR*EV/EA 1F POLV 60MCG
ALPROSTADIL ALFACICLODE 60MCG F EV/ALPROSTAR*EV/EA 1F POLV 60MCG
AMINOFILLINA 240MG/10ML F IV/TEFAMIN*IV 5F 10ML 240MG/10ML
AMINOFILLINA 240MG/10ML F IV/TEFAMIN*IV 5F 10ML 240MG/10ML
41di89
250
1500
1500
1000
1250
1500
1125
1000
1250
75
7500
7500
1500
7500
7500
2000
15000
75
100
75
5
250
700
750
500
1250
375
150
150
150
150
300
180
25
75
2500
2500
2500
2500
50
250
200
150
200
750
500
625
46
€ 6.915,00
€ 6.286,39
€ 2.007,34
€ 2.007,34
€ 1.338,23
€ 1.672,77
€ 4.013,09
€ 3.010,75
€ 2.676,32
€ 3.345,43
€ 200,73
€ 8.926,18
€ 8.926,18
€ 1.785,23
€ 8.926,18
€ 8.926,18
€ 2.380,32
€ 17.852,00
€ 161,68
€ 215,57
€ 161,68
€ 299,68
€ 1.331,27
€ 609,23
€ 652,75
€ 435,16
€ 1.087,91
€ 431,25
€ 270,00
€ 45,02
€ 45,02
€ 45,02
€ 90,02
€ 135,82
€ 246,84
€ 740,55
€ 1.402,14
€ 1.402,14
€ 1.402,14
€ 1.402,14
€ 28,05
€ 1.575,25
€ 1.260,20
€ 945,16
€ 1.260,20
€ 52,05
€ 36,30
€ 7.606,50
€ 6.915,03
€ 2.208,08
€ 2.208,08
€ 1.472,05
€ 1.840,05
€ 4.414,40
€ 3.311,83
€ 2.943,95
€ 3.679,98
€ 220,80
€ 9.818,80
€ 9.818,80
€ 1.963,75
€ 9.818,80
€ 9.818,80
€ 2.618,35
€ 19.637,20
€ 177,85
€ 237,13
€ 177,85
€ 329,65
€ 1.464,40
€ 670,15
€ 718,03
€ 478,68
€ 1.196,70
€ 474,38
€ 297,00
€ 49,53
€ 49,53
€ 49,53
€ 99,03
€ 149,40
€ 271,53
€ 814,60
€ 1.542,35
€ 1.542,35
€ 1.542,35
€ 1.542,35
€ 30,85
€ 1.732,78
€ 1.386,23
€ 1.039,68
€ 1.386,23
€ 57,25
€ 39,93
ALLEGATO A
Cod.SFO
98 8471
98 3781
98 8547
98 8391
98 8391
98 8391
98 8391
98 8391
98 8391
98 759
98 759
98 759
98 5629
98 5629
98 7762
98 7762
98 7762
98 7762
98 7762
98 9311
98 875
98 875
98 875
98 41
98 41
98 41
98 13132
98 13132
98 13132
98 13132
98 13132
98 13132
98 13132
98 1662
98 1662
98 1662
98 1662
98 8755
98 8755
98 8755
98 3015
98 5817
98 5817
98 3295
98 3295
98 3295
98 1676
Ditta Offerente
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
INNOVA PHARMA SPA
IPSEN S.P.A.
IPSEN S.P.A.
IPSEN S.P.A.
IPSEN S.P.A.
IPSEN S.P.A.
IPSEN S.P.A.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
AMINOFILLINA 240MG/10ML F IV/TEFAMIN*IV 5F 10ML 240MG/10ML
BISOPROLOLO EMIFUM 1,25MG CPR RIV/CARDICOR*28CPR RIV 1,25V
ECONAZOLO 1% POLV CUT 30G/ECONAZOLO LOMEXIN*POLV CUT 30G 1%
FENITOINA 100MG CPR/DINTOINA*30CPR RIV 100MG
FENITOINA 100MG CPR/DINTOINA*30CPR RIV 100MG
FENITOINA 100MG CPR/DINTOINA*30CPR RIV 100MG
FENITOINA 100MG CPR/DINTOINA*30CPR RIV 100MG
FENITOINA 100MG CPR/DINTOINA*30CPR RIV 100MG
FENITOINA 100MG CPR/DINTOINA*30CPR RIV 100MG
FENTICONAZOLO 2% 30G CREMA DERM/LOMEXIN*CREMA DERM 30G 2%
FENTICONAZOLO 2% 30G CREMA DERM/LOMEXIN*CREMA DERM 30G 2%
FENTICONAZOLO 2% 30G CREMA DERM/LOMEXIN*CREMA DERM 30G 2%
FLUOCINOLONE 0,025% 30G CR/LOCAFLUO*CREMA 30G 0,025%
FLUOCINOLONE 0,025% 30G CR/LOCAFLUO*CREMA 30G 0,025%
FLUOCINOLONE/KETOCAINA CR RTT 30G/PROCTOLYN*CR RETT 30G
FLUOCINOLONE/KETOCAINA CR RTT 30G/PROCTOLYN*CR RETT 30G
FLUOCINOLONE/KETOCAINA CR RTT 30G/PROCTOLYN*CR RETT 30G
FLUOCINOLONE/KETOCAINA CR RTT 30G/PROCTOLYN*CR RETT 30G
FLUOCINOLONE/KETOCAINA CR RTT 30G/PROCTOLYN*CR RETT 30G
FLUOCINOLONE/NEOMICINA GTT OTO 20ML/LOCALYN*GTT 20ML 0,025%+325000
GANCICLOVIR INFUS 500MG/10ML FL EV/CYMEVENE*INFUS FL 500MG+F 10ML
GANCICLOVIR INFUS 500MG/10ML FL EV/CYMEVENE*INFUS FL 500MG+F 10ML
GANCICLOVIR INFUS 500MG/10ML FL EV/CYMEVENE*INFUS FL 500MG+F 10ML
KETOROLAC 10MG CPR RIV/TORADOL*10CPR RIV 10MG
KETOROLAC 10MG CPR RIV/TORADOL*10CPR RIV 10MG
KETOROLAC 10MG CPR RIV/TORADOL*10CPR RIV 10MG
KETOROLAC 30MG/ML 1ML F EV/IM/TORADOL*IM IV 3F 30MG 1ML
KETOROLAC 30MG/ML 1ML F EV/IM/TORADOL*IM IV 3F 30MG 1ML
KETOROLAC 30MG/ML 1ML F EV/IM/TORADOL*IM IV 3F 30MG 1ML
KETOROLAC 30MG/ML 1ML F EV/IM/TORADOL*IM IV 3F 30MG 1ML
KETOROLAC 30MG/ML 1ML F EV/IM/TORADOL*IM IV 3F 30MG 1ML
KETOROLAC 30MG/ML 1ML F EV/IM/TORADOL*IM IV 3F 30MG 1ML
KETOROLAC 30MG/ML 1ML F EV/IM/TORADOL*IM IV 3F 30MG 1ML
LERCANIDIPINA CLOR. 10MG CPR RIV/ZANEDIP*28CPR RIV 10MG
LERCANIDIPINA CLOR. 10MG CPR RIV/ZANEDIP*28CPR RIV 10MG
LERCANIDIPINA CLOR. 10MG CPR RIV/ZANEDIP*28CPR RIV 10MG
LERCANIDIPINA CLOR. 10MG CPR RIV/ZANEDIP*28CPR RIV 10MG
NAFAZOLINA 0,1% COLLIRIO 10 ML -RSA/IMIDAZYL*COLL FL 10ML O,1% -RSANAFAZOLINA 0,1% COLLIRIO 10 ML -RSA/IMIDAZYL*COLL FL 10ML O,1% -RSANAFAZOLINA 0,1% COLLIRIO 10 ML -RSA/IMIDAZYL*COLL FL 10ML O,1% -RSASCOPOLAMINA 1,5MG CER TRANSD/TRANSCOP*4CER TRANSD 1,5MG
SOMATROPINA 1CART 2ML10MG/2M/NUTROPINAQ*SC 1CART 2ML10MG/2M
SOMATROPINA 1CART 2ML10MG/2M/NUTROPINAQ*SC 1CART 2ML10MG/2M
TOSSINA BOTULINICA A 500U FL SC/IM/DYSPORT*SC IM 2FL 500U
TOSSINA BOTULINICA A 500U FL SC/IM/DYSPORT*SC IM 2FL 500U
TOSSINA BOTULINICA A 500U FL SC/IM/DYSPORT*SC IM 2FL 500U
TRIPTORELINA 11,25MG+2ML+SIR FL-DSC/DECAPEPTYL*FL 11,25MG+2ML+1SIR
42di89
21000
500
3749
3000
3000
7500
3000
3000
500
250
500
125
250
375
250
250
375
250
75
250
250
250
2500
2500
2500
5250
22500
3000
15000
15000
3750
30000
13991
14006
10534
10509
75
50
75
40
15
15
150
125
150
50
75
47
€ 45,41
€ 630,00
€ 2.250,00
€ 75,00
€ 60,00
€ 60,00
€ 150,02
€ 60,00
€ 60,00
€ 450,02
€ 225,00
€ 450,02
€ 225,00
€ 450,00
€ 337,50
€ 225,00
€ 225,00
€ 337,50
€ 225,00
€ 120,00
€ 2.925,45
€ 2.925,45
€ 2.925,45
€ 475,00
€ 475,00
€ 475,00
€ 770,00
€ 3.300,02
€ 440,00
€ 2.200,02
€ 2.200,02
€ 550,00
€ 4.400,05
€ 5,02
€ 5,00
€ 3,75
€ 3,77
€ 144,75
€ 95,00
€ 142,50
€ 56,32
€ 2.972,41
€ 2.972,41
€ 21.039,00
€ 17.532,50
€ 21.039,00
€ 8.596,14
€ 49,95
€ 693,00
€ 2.475,00
€ 82,50
€ 66,00
€ 66,00
€ 165,03
€ 66,00
€ 66,00
€ 495,03
€ 247,50
€ 495,03
€ 247,50
€ 495,00
€ 371,25
€ 247,50
€ 247,50
€ 371,25
€ 247,50
€ 132,00
€ 3.218,00
€ 3.218,00
€ 3.218,00
€ 522,50
€ 522,50
€ 522,50
€ 847,00
€ 3.630,03
€ 484,00
€ 2.420,03
€ 2.420,03
€ 605,00
€ 4.840,05
€ 5,53
€ 5,50
€ 4,13
€ 4,15
€ 159,23
€ 104,50
€ 156,75
€ 61,95
€ 3.269,65
€ 3.269,65
€ 23.142,90
€ 19.285,75
€ 23.142,90
€ 9.455,75
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
1676
1676
1676
1676
1676
1676
1055
1055
513
8073
8073
8073
8073
8073
8073
8073
1038
1038
1038
1051
517
517
517
517
517
3419
3419
3419
3700
3700
3700
1037
1037
1037
1037
791
791
791
274
274
274
546
546
546
6667
6667
6667
Ditta Offerente
IPSEN S.P.A.
IPSEN S.P.A.
IPSEN S.P.A.
IPSEN S.P.A.
IPSEN S.P.A.
IPSEN S.P.A.
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
TRIPTORELINA 11,25MG+2ML+SIR FL-DSC/DECAPEPTYL*FL 11,25MG+2ML+1SIR
TRIPTORELINA 11,25MG+2ML+SIR FL-DSC/DECAPEPTYL*FL 11,25MG+2ML+1SIR
TRIPTORELINA 11,25MG+2ML+SIR FL-DSC/DECAPEPTYL*FL 11,25MG+2ML+1SIR
TRIPTORELINA 11,25MG+2ML+SIR FL-DSC/DECAPEPTYL*FL 11,25MG+2ML+1SIR
TRIPTORELINA 11,25MG+2ML+SIR FL-DSC/DECAPEPTYL*FL 11,25MG+2ML+1SIR
TRIPTORELINA 11,25MG+2ML+SIR FL-DSC/DECAPEPTYL*FL 11,25MG+2ML+1SIR
AC.TRANEXAMICO 250MG CPS/TRANEX*30CPS 250MG
AC.TRANEXAMICO 250MG CPS/TRANEX*30CPS 250MG
AC.TRANEXAMICO 500MG CPS/TRANEX*30CPS 500MG
AC.TRANEXAMICO 500MG FL IV/TRANEX*OS IV 6F 5ML 500MG
AC.TRANEXAMICO 500MG FL IV/TRANEX*OS IV 6F 5ML 500MG
AC.TRANEXAMICO 500MG FL IV/TRANEX*OS IV 6F 5ML 500MG
AC.TRANEXAMICO 500MG FL IV/TRANEX*OS IV 6F 5ML 500MG
AC.TRANEXAMICO 500MG FL IV/TRANEX*OS IV 6F 5ML 500MG
AC.TRANEXAMICO 500MG FL IV/TRANEX*OS IV 6F 5ML 500MG
AC.TRANEXAMICO 500MG FL IV/TRANEX*OS IV 6F 5ML 500MG
DILTIAZEM 120MG CPR RP/ALTIAZEM*24CPR 120MG RP
DILTIAZEM 120MG CPR RP/ALTIAZEM*24CPR 120MG RP
DILTIAZEM 120MG CPR RP/ALTIAZEM*24CPR 120MG RP
DILTIAZEM 50MG/5ML FL EV/ALTIAZEM*INIET 5FL 50MG+5F 5ML
DILTIAZEM 60MG CPR/ALTIAZEM*50CPR 60MG
DILTIAZEM 60MG CPR/ALTIAZEM*50CPR 60MG
DILTIAZEM 60MG CPR/ALTIAZEM*50CPR 60MG
DILTIAZEM 60MG CPR/ALTIAZEM*50CPR 60MG
DILTIAZEM 60MG CPR/ALTIAZEM*50CPR 60MG
FLUTICASONE 100MCG DISKUS -CDR/FLUSPIRAL*DISKUS 100MCG 60DOSI
FLUTICASONE 100MCG DISKUS -CDR/FLUSPIRAL*DISKUS 100MCG 60DOSI
FLUTICASONE 100MCG DISKUS -CDR/FLUSPIRAL*DISKUS 100MCG 60DOSI
FLUTICASONE 125MCG SOSP INAL -CDR/FLUSPIRAL 125*SOSPXINAL 120D -CDR
FLUTICASONE 125MCG SOSP INAL -CDR/FLUSPIRAL 125*SOSPXINAL 120D -CDR
FLUTICASONE 125MCG SOSP INAL -CDR/FLUSPIRAL 125*SOSPXINAL 120D -CDR
FLUTICASONE 250MCG
-FC/FLUSPIRAL 250*DISKUS 60D 250MCG
FLUTICASONE 250MCG
-FC/FLUSPIRAL 250*DISKUS 60D 250MCG
FLUTICASONE 250MCG
-FC/FLUSPIRAL 250*DISKUS 60D 250MCG
FLUTICASONE 250MCG
-FC/FLUSPIRAL 250*DISKUS 60D 250MCG
FLUTICASONE 250MCG SOSP INAL -FC/FLUSPIRAL 250*SOSP INAL 120D 250MCG
FLUTICASONE 250MCG SOSP INAL -FC/FLUSPIRAL 250*SOSP INAL 120D 250MCG
FLUTICASONE 250MCG SOSP INAL -FC/FLUSPIRAL 250*SOSP INAL 120D 250MCG
ISOSORBIDE MONONITRATO 20MG CPR/MONOCINQUE*50CPR DIV 20MG
ISOSORBIDE MONONITRATO 20MG CPR/MONOCINQUE*50CPR DIV 20MG
ISOSORBIDE MONONITRATO 20MG CPR/MONOCINQUE*50CPR DIV 20MG
ISOSORBIDE MONONITRATO 50MG CPS RP/MONOCINQUE RETARD*30CPS 50MG RP
ISOSORBIDE MONONITRATO 50MG CPS RP/MONOCINQUE RETARD*30CPS 50MG RP
ISOSORBIDE MONONITRATO 50MG CPS RP/MONOCINQUE RETARD*30CPS 50MG RP
MIDODRINA 0,25% GTT -EXTRA PTORV/GUTRON*OS GTT FL 30ML 0,25%
MIDODRINA 0,25% GTT -EXTRA PTORV/GUTRON*OS GTT FL 30ML 0,25%
MIDODRINA 0,25% GTT -EXTRA PTORV/GUTRON*OS GTT FL 30ML 0,25%
43di89
50
50
5
50
50
750
375
600
3000
1500
3000
6000
3750
1500
12000
1200
1200
1200
125
2500
5001
2500
2500
3749
25
50
25
75
75
50
12
25
5
8
5
5
5
3750
1250
1250
1500
1500
3750
75
125
75
125
48
€ 12.894,18
€ 8.596,14
€ 8.596,14
€ 859,59
€ 8.596,14
€ 8.596,14
€ 48,18
€ 24,09
€ 79,84
€ 570,02
€ 285,02
€ 570,02
€ 1.140,07
€ 712,55
€ 285,02
€ 2.280,16
€ 57,02
€ 57,02
€ 57,02
€ 128,77
€ 24,52
€ 49,05
€ 24,52
€ 24,52
€ 36,77
€ 159,55
€ 319,09
€ 159,55
€ 802,95
€ 802,95
€ 535,30
€ 152,32
€ 304,68
€ 60,93
€ 91,41
€ 108,55
€ 108,55
€ 108,55
€ 42,75
€ 14,25
€ 14,25
€ 47,70
€ 47,70
€ 119,25
€ 258,75
€ 451,95
€ 259,09
€ 14.183,60
€ 9.455,75
€ 9.455,75
€ 945,55
€ 9.455,75
€ 9.455,75
€ 53,00
€ 26,50
€ 87,83
€ 627,03
€ 313,53
€ 627,03
€ 1.254,08
€ 783,80
€ 313,53
€ 2.508,18
€ 62,73
€ 62,73
€ 62,73
€ 141,65
€ 26,98
€ 53,95
€ 26,98
€ 26,98
€ 40,45
€ 175,50
€ 351,00
€ 175,50
€ 883,25
€ 883,25
€ 588,83
€ 167,55
€ 335,15
€ 67,03
€ 100,55
€ 119,40
€ 119,40
€ 119,40
€ 47,03
€ 15,68
€ 15,68
€ 52,48
€ 52,48
€ 131,18
€ 284,63
€ 497,15
€ 285,00
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
97
98
98
98
98
98
6667
6667
465
465
465
465
7835
1036
1036
9972
9972
9972
9972
9972
692
3461
3461
3461
3461
3461
3461
1075
5729
5729
5729
5729
8348
8348
8348
8350
8350
8350
8350
8343
8343
8343
1223
8344
8344
8344
8344
8345
8345
8345
8345
2484
2484
Ditta Offerente
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ISTITUTO LUSO FARMACO D'ITALIA SPA
ITALFARMACO SPA
ITALFARMACO SPA
ITALFARMACO SPA
ITALFARMACO SPA
ITALFARMACO SPA
ITALFARMACO SPA
ITALFARMACO SPA
ITALFARMACO SPA
ITALFARMACO SPA
ITALFARMACO SPA
ITALFARMACO SPA
ITALFARMACO SPA
ITALFARMACO SPA
ITALFARMACO SPA
ITALFARMACO SPA
ITALFARMACO SPA
ITALFARMACO SPA
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
MIDODRINA 0,25% GTT -EXTRA PTORV/GUTRON*OS GTT FL 30ML 0,25%
MIDODRINA 0,25% GTT -EXTRA PTORV/GUTRON*OS GTT FL 30ML 0,25%
NEOSTIGMINA METILSOLF 0,5MG F IM/INTRASTIGMINA*IM 6F 1ML 0,5MG
NEOSTIGMINA METILSOLF 0,5MG F IM/INTRASTIGMINA*IM 6F 1ML 0,5MG
NEOSTIGMINA METILSOLF 0,5MG F IM/INTRASTIGMINA*IM 6F 1ML 0,5MG
NEOSTIGMINA METILSOLF 0,5MG F IM/INTRASTIGMINA*IM 6F 1ML 0,5MG
RITODRINA CLOR.50MG/5ML F EV/MIOLENE*IV 3F 5ML 50MG
SALMETEROLO 50MCG DISKUS POLV INAL/SALMETEDUR DISKUS*INAL 60D 50MCG
SALMETEROLO 50MCG DISKUS POLV INAL/SALMETEDUR DISKUS*INAL 60D 50MCG
AC.FOLICO 5MG CPS/FOLIFILL*28CPR 5MG
AC.FOLICO 5MG CPS/FOLIFILL*28CPR 5MG
AC.FOLICO 5MG CPS/FOLIFILL*28CPR 5MG
AC.FOLICO 5MG CPS/FOLIFILL*28CPR 5MG
AC.FOLICO 5MG CPS/FOLIFILL*28CPR 5MG
AMIKACINA SOLF.5% GEL 30G/DRAMIGEL*GEL 30G 5%
FOTEMUSTINA 208MG POLV+SOLV EV F/MUPHORAN*IV 1F 208MG+F SOLV
FOTEMUSTINA 208MG POLV+SOLV EV F/MUPHORAN*IV 1F 208MG+F SOLV
FOTEMUSTINA 208MG POLV+SOLV EV F/MUPHORAN*IV 1F 208MG+F SOLV
FOTEMUSTINA 208MG POLV+SOLV EV F/MUPHORAN*IV 1F 208MG+F SOLV
FOTEMUSTINA 208MG POLV+SOLV EV F/MUPHORAN*IV 1F 208MG+F SOLV
FOTEMUSTINA 208MG POLV+SOLV EV F/MUPHORAN*IV 1F 208MG+F SOLV
ITRACONAZOLO 150ML 10MG/ML OS FL/TRIASPORIN*OS FL 150ML 10MG/ML
OCTREOTIDE ACET 0,5MG/1ML SIR SC/TREOJECT*5SIR 1ML O,5MG/ML
OCTREOTIDE ACET 0,5MG/1ML SIR SC/TREOJECT*5SIR 1ML O,5MG/ML
OCTREOTIDE ACET 0,5MG/1ML SIR SC/TREOJECT*5SIR 1ML O,5MG/ML
OCTREOTIDE ACET 0,5MG/1ML SIR SC/TREOJECT*5SIR 1ML O,5MG/ML
ALOPERIDOLO 1MG CPR OS/HALDOL*30CPR 1MG
ALOPERIDOLO 1MG CPR OS/HALDOL*30CPR 1MG
ALOPERIDOLO 1MG CPR OS/HALDOL*30CPR 1MG
ALOPERIDOLO 2MG/ML 30ML GTT OS/HALDOL*OS GTT 30ML 2MG/ML
ALOPERIDOLO 2MG/ML 30ML GTT OS/HALDOL*OS GTT 30ML 2MG/ML
ALOPERIDOLO 2MG/ML 30ML GTT OS/HALDOL*OS GTT 30ML 2MG/ML
ALOPERIDOLO 2MG/ML 30ML GTT OS/HALDOL*OS GTT 30ML 2MG/ML
ALOPERIDOLO 5MG CPR OS/HALDOL*30CPR 5MG
ALOPERIDOLO 5MG CPR OS/HALDOL*30CPR 5MG
ALOPERIDOLO 5MG CPR OS/HALDOL*30CPR 5MG
ALOPERIDOLO 5MG/ML F IM/HALDOL*IM 5F 1ML 5MG/ML
ALOPERIDOLO DECAN.150MG/3ML F IM/HALDOL DECANOAS*IM F 150MG 3ML
ALOPERIDOLO DECAN.150MG/3ML F IM/HALDOL DECANOAS*IM F 150MG 3ML
ALOPERIDOLO DECAN.150MG/3ML F IM/HALDOL DECANOAS*IM F 150MG 3ML
ALOPERIDOLO DECAN.150MG/3ML F IM/HALDOL DECANOAS*IM F 150MG 3ML
ALOPERIDOLO DECAN.50MG F IM/HALDOL DECANOAS 50MG F IM
ALOPERIDOLO DECAN.50MG/1ML F IM/HALDOL DECANOAS*IM 3F 50MG 1ML
ALOPERIDOLO DECAN.50MG/1ML F IM/HALDOL DECANOAS*IM 3F 50MG 1ML
ALOPERIDOLO DECAN.50MG/1ML F IM/HALDOL DECANOAS*IM 3F 50MG 1ML
BORTEZOMIB 3,5MG 1MG/ML FL EV/VELCADE*EV 1FL 3,5MG 1MG/ML
BORTEZOMIB 3,5MG 1MG/ML FL EV/VELCADE*EV 1FL 3,5MG 1MG/ML
44di89
125
3000
3000
3000
7500
97
150
50
1400
7000
7000
7000
21000
25
5
7
7
7
7
7
12
200
250
250
62
1050
2250
4501
750
375
750
500
1500
1500
1500
1000
75
250
150
375
750
1050
150
900
100
125
100
49
€ 451,95
€ 431,82
€ 345,02
€ 345,02
€ 345,02
€ 862,55
€ 50,70
€ 1.641,09
€ 547,02
€ 133,00
€ 665,00
€ 665,00
€ 665,00
€ 1.995,00
€ 71,23
€ 1.935,39
€ 2.903,07
€ 2.903,07
€ 2.903,07
€ 2.903,07
€ 2.903,07
€ 112,55
€ 2.080,18
€ 2.600,20
€ 2.600,20
€ 650,05
€ 20,00
€ 42,84
€ 85,70
€ 352,52
€ 159,68
€ 322,50
€ 214,70
€ 63,95
€ 63,95
€ 63,95
€ 187,98
€ 329,25
€ 1.097,50
€ 658,50
€ 1.646,25
€ 865,50
€ 2.019,66
€ 288,52
€ 1.731,14
€ 100.654,00
€ 125.817,50
€ 497,15
€ 475,00
€ 379,53
€ 379,53
€ 379,53
€ 948,80
€ 55,78
€ 1.805,20
€ 601,73
€ 146,30
€ 731,50
€ 731,50
€ 731,50
€ 2.194,50
€ 78,35
€ 2.128,93
€ 3.193,38
€ 3.193,38
€ 3.193,38
€ 3.193,38
€ 3.193,38
€ 123,80
€ 2.288,20
€ 2.860,23
€ 2.860,23
€ 715,05
€ 22,00
€ 47,13
€ 94,28
€ 387,78
€ 175,65
€ 354,75
€ 236,18
€ 70,35
€ 70,35
€ 70,35
€ 206,78
€ 362,18
€ 1.207,25
€ 724,35
€ 1.810,88
€ 952,05
€ 2.221,63
€ 317,38
€ 1.904,25
€ 110.719,40
€ 138.399,25
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
2484
2484
2484
2484
2484
5386
5386
5386
5386
918
918
1680
1680
1680
1680
1680
1680
1680
8547
86
86
86
86
86
86
86
86
2228
2228
2228
2228
2228
2228
2227
2227
2227
2227
2227
2227
1668
1668
1668
1668
1668
1668
66
66
Ditta Offerente
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
BORTEZOMIB 3,5MG 1MG/ML FL EV/VELCADE*EV 1FL 3,5MG 1MG/ML
BORTEZOMIB 3,5MG 1MG/ML FL EV/VELCADE*EV 1FL 3,5MG 1MG/ML
BORTEZOMIB 3,5MG 1MG/ML FL EV/VELCADE*EV 1FL 3,5MG 1MG/ML
BORTEZOMIB 3,5MG 1MG/ML FL EV/VELCADE*EV 1FL 3,5MG 1MG/ML
BORTEZOMIB 3,5MG 1MG/ML FL EV/VELCADE*EV 1FL 3,5MG 1MG/ML
DARUNAVIR ETANOLATO 600MG CPR RIV/PREZISTA*60CPR RIV 600MG
DARUNAVIR ETANOLATO 600MG CPR RIV/PREZISTA*60CPR RIV 600MG
DARUNAVIR ETANOLATO 600MG CPR RIV/PREZISTA*60CPR RIV 600MG
DARUNAVIR ETANOLATO 600MG CPR RIV/PREZISTA*60CPR RIV 600MG
DOMPERIDONE 1MG/ML 200ML SOSP OS/MOTILIUM*OS SOSP 200ML 1MG/ML
DOMPERIDONE 1MG/ML 200ML SOSP OS/MOTILIUM*OS SOSP 200ML 1MG/ML
DOXORUBICINA LIPOS 20MG/10ML FL EV/CAELYX*INFUS 1FL 10ML 2MG/ML
DOXORUBICINA LIPOS 20MG/10ML FL EV/CAELYX*INFUS 1FL 10ML 2MG/ML
DOXORUBICINA LIPOS 20MG/10ML FL EV/CAELYX*INFUS 1FL 10ML 2MG/ML
DOXORUBICINA LIPOS 20MG/10ML FL EV/CAELYX*INFUS 1FL 10ML 2MG/ML
DOXORUBICINA LIPOS 20MG/10ML FL EV/CAELYX*INFUS 1FL 10ML 2MG/ML
DOXORUBICINA LIPOS 20MG/10ML FL EV/CAELYX*INFUS 1FL 10ML 2MG/ML
DOXORUBICINA LIPOS 20MG/10ML FL EV/CAELYX*INFUS 1FL 10ML 2MG/ML
ECONAZOLO 1% POLV CUT 30G/PEVARYL*POLV CUT 30G 1%
EPOETINA ALFA 10000UI 1ML SIR/EPREX*1SIR 10000UI 1ML
EPOETINA ALFA 10000UI 1ML SIR/EPREX*1SIR 10000UI 1ML
EPOETINA ALFA 10000UI 1ML SIR/EPREX*1SIR 10000UI 1ML
EPOETINA ALFA 10000UI 1ML SIR/EPREX*1SIR 10000UI 1ML
EPOETINA ALFA 10000UI 1ML SIR/EPREX*1SIR 10000UI 1ML
EPOETINA ALFA 10000UI 1ML SIR/EPREX*1SIR 10000UI 1ML
EPOETINA ALFA 10000UI 1ML SIR/EPREX*1SIR 10000UI 1ML
EPOETINA ALFA 10000UI 1ML SIR/EPREX*1SIR 10000UI 1ML
EPOETINA ALFA 2000UI 0,5ML SIR/EPREX*1SIR 2000UI 0,5ML
EPOETINA ALFA 2000UI 0,5ML SIR/EPREX*1SIR 2000UI 0,5ML
EPOETINA ALFA 2000UI 0,5ML SIR/EPREX*1SIR 2000UI 0,5ML
EPOETINA ALFA 2000UI 0,5ML SIR/EPREX*1SIR 2000UI 0,5ML
EPOETINA ALFA 2000UI 0,5ML SIR/EPREX*1SIR 2000UI 0,5ML
EPOETINA ALFA 2000UI 0,5ML SIR/EPREX*1SIR 2000UI 0,5ML
EPOETINA ALFA 3000UI 0,3ML SIR/EPREX*1SIR 3000UI 0,3ML
EPOETINA ALFA 3000UI 0,3ML SIR/EPREX*1SIR 3000UI 0,3ML
EPOETINA ALFA 3000UI 0,3ML SIR/EPREX*1SIR 3000UI 0,3ML
EPOETINA ALFA 3000UI 0,3ML SIR/EPREX*1SIR 3000UI 0,3ML
EPOETINA ALFA 3000UI 0,3ML SIR/EPREX*1SIR 3000UI 0,3ML
EPOETINA ALFA 3000UI 0,3ML SIR/EPREX*1SIR 3000UI 0,3ML
EPOETINA ALFA 40000UI 1ML SIR -DSC/EPREX*1FL 40000UI/ML 1ML
EPOETINA ALFA 40000UI 1ML SIR -DSC/EPREX*1FL 40000UI/ML 1ML
EPOETINA ALFA 40000UI 1ML SIR -DSC/EPREX*1FL 40000UI/ML 1ML
EPOETINA ALFA 40000UI 1ML SIR -DSC/EPREX*1FL 40000UI/ML 1ML
EPOETINA ALFA 40000UI 1ML SIR -DSC/EPREX*1FL 40000UI/ML 1ML
EPOETINA ALFA 40000UI 1ML SIR -DSC/EPREX*1FL 40000UI/ML 1ML
EPOETINA ALFA 4000UI 0,4ML SIR/EPREX*1SIR 4000UI 0,4ML
EPOETINA ALFA 4000UI 0,4ML SIR/EPREX*1SIR 4000UI 0,4ML
45di89
88
75
100
250
6000
8100
12000
12300
200
250
75
50
40
50
75
100
150
250
1500
1250
750
100
1000
125
1250
3250
500
500
500
500
500
500
375
250
250
250
375
1000
250
250
250
250
250
375
750
500
1250
50
€ 100.654,00
€ 88.072,25
€ 75.490,50
€ 100.654,00
€ 251.635,00
€ 48.000,00
€ 64.800,00
€ 96.000,00
€ 98.400,00
€ 146,00
€ 182,68
€ 21.419,25
€ 14.279,50
€ 11.423,59
€ 14.279,50
€ 21.419,25
€ 28.559,00
€ 42.838,50
€ 1.045,00
€ 42.000,00
€ 35.000,00
€ 21.000,00
€ 2.800,00
€ 28.000,00
€ 3.500,00
€ 35.000,00
€ 91.000,00
€ 2.800,00
€ 2.800,00
€ 2.800,00
€ 2.800,00
€ 2.800,00
€ 2.800,00
€ 3.150,00
€ 2.100,00
€ 2.100,00
€ 2.100,00
€ 3.150,00
€ 8.400,00
€ 28.000,00
€ 28.000,00
€ 28.000,00
€ 28.000,00
€ 28.000,00
€ 42.000,00
€ 8.400,00
€ 5.600,00
€ 110.719,40
€ 96.879,48
€ 83.039,55
€ 110.719,40
€ 276.798,50
€ 52.800,00
€ 71.280,00
€ 105.600,00
€ 108.240,00
€ 160,60
€ 200,95
€ 23.561,18
€ 15.707,45
€ 12.565,95
€ 15.707,45
€ 23.561,18
€ 31.414,90
€ 47.122,35
€ 1.149,50
€ 46.200,00
€ 38.500,00
€ 23.100,00
€ 3.080,00
€ 30.800,00
€ 3.850,00
€ 38.500,00
€ 100.100,00
€ 3.080,00
€ 3.080,00
€ 3.080,00
€ 3.080,00
€ 3.080,00
€ 3.080,00
€ 3.465,00
€ 2.310,00
€ 2.310,00
€ 2.310,00
€ 3.465,00
€ 9.240,00
€ 30.800,00
€ 30.800,00
€ 30.800,00
€ 30.800,00
€ 30.800,00
€ 46.200,00
€ 9.240,00
€ 6.160,00
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
66
66
66
66
66
2430
2430
2430
2430
2431
2431
2431
2431
2431
5600
5600
5600
1087
1087
1087
1087
880
880
880
880
880
880
880
881
881
881
881
881
5487
5487
5900
5428
315
5488
5488
5592
5592
5486
278
278
278
278
Ditta Offerente
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JUNIA PHARMA S.R.L.
JUNIA PHARMA S.R.L.
JUNIA PHARMA S.R.L.
JUNIA PHARMA S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
EPOETINA ALFA 4000UI 0,4ML SIR/EPREX*1SIR 4000UI 0,4ML
EPOETINA ALFA 4000UI 0,4ML SIR/EPREX*1SIR 4000UI 0,4ML
EPOETINA ALFA 4000UI 0,4ML SIR/EPREX*1SIR 4000UI 0,4ML
EPOETINA ALFA 4000UI 0,4ML SIR/EPREX*1SIR 4000UI 0,4ML
EPOETINA ALFA 4000UI 0,4ML SIR/EPREX*1SIR 4000UI 0,4ML
EPOETINA ALFA 6000UI SIR/EPREX*1SIR 6000UI/0,6ML
EPOETINA ALFA 6000UI SIR/EPREX*1SIR 6000UI/0,6ML
EPOETINA ALFA 6000UI SIR/EPREX*1SIR 6000UI/0,6ML
EPOETINA ALFA 6000UI SIR/EPREX*1SIR 6000UI/0,6ML
EPOETINA ALFA 8000UI 0,8ML SIR/EPREX*1SIR 8000UI/0,8ML
EPOETINA ALFA 8000UI 0,8ML SIR/EPREX*1SIR 8000UI/0,8ML
EPOETINA ALFA 8000UI 0,8ML SIR/EPREX*1SIR 8000UI/0,8ML
EPOETINA ALFA 8000UI 0,8ML SIR/EPREX*1SIR 8000UI/0,8ML
EPOETINA ALFA 8000UI 0,8ML SIR/EPREX*1SIR 8000UI/0,8ML
ETRAVIRINA 100MG CPR ESAUR.SCORTE/INTELENCE*FL 120CPR 100MG
ETRAVIRINA 100MG CPR/INTELENCE*FL 120CPR 100MG
ETRAVIRINA 100MG CPR/INTELENCE*FL 120CPR 100MG
FENTANIL 100MCG/ORA CEROTTO/DUROGESIC*3CER 100MCG/ORA
FENTANIL 100MCG/ORA CEROTTO/DUROGESIC*3CER 100MCG/ORA
FENTANIL 100MCG/ORA CEROTTO/DUROGESIC*3CER 100MCG/ORA
FENTANIL 100MCG/ORA CEROTTO/DUROGESIC*3CER 100MCG/ORA
FENTANIL 25MCG/H CER/DUROGESIC*3CER 25MCG/ORA MATRI
FENTANIL 25MCG/H CER/DUROGESIC*3CER 25MCG/ORA MATRI
FENTANIL 25MCG/H CER/DUROGESIC*3CER 25MCG/ORA MATRI
FENTANIL 25MCG/H CER/DUROGESIC*3CER 25MCG/ORA MATRI
FENTANIL 25MCG/H CER/DUROGESIC*3CER 25MCG/ORA MATRI
FENTANIL 25MCG/H CER/DUROGESIC*3CER 25MCG/ORA MATRI
FENTANIL 25MCG/H CER/DUROGESIC*3CER 25MCG/ORA MATRI
FENTANIL 50MCG/H CER/DUROGESIC*3CER 50MCG/ORA MATRI
FENTANIL 50MCG/H CER/DUROGESIC*3CER 50MCG/ORA MATRI
FENTANIL 50MCG/H CER/DUROGESIC*3CER 50MCG/ORA MATRI
FENTANIL 50MCG/H CER/DUROGESIC*3CER 50MCG/ORA MATRI
FENTANIL 50MCG/H CER/DUROGESIC*3CER 50MCG/ORA MATRI
IDROMORFONE CLOR.16MG CPR RP/JURNISTA*14CPR 16MG R.P.
IDROMORFONE CLOR.16MG CPR RP/JURNISTA*14CPR 16MG R.P.
IDROMORFONE CLOR.4MG CPR RP/JURNISTA*14CPR 4MG R.P.
IDROMORFONE CLOR.8MG CPR RP/JURNISTA*14CPR 8MG R.P.
ITRACONAZOLO 100MG CPS/SPORANOX*8CPS 100MG
PALIPERIDONE 6MG CPR RP/INVEGA*28CPR 6MG RP
PALIPERIDONE 6MG CPR RP/INVEGA*28CPR 6MG RP
PALIPERIDONE 9MG CPR RP/INVEGA*28CPR 9MG RP
PALIPERIDONE 9MG CPR RP/INVEGA*28CPR 9MG RP
USTEKINUMAB 0,5ML 45MG SIR SC -DSC/STELARA*SC 1SIR 0,5ML 45MG
GENTAMICINA 0,3% COLL MONOD 0.5ML/RIBOMICIN*COLL 5MONOD.0,5ML
GENTAMICINA 0,3% COLL MONOD 0.5ML/RIBOMICIN*COLL 5MONOD.0,5ML
GENTAMICINA 0,3% COLL MONOD 0.5ML/RIBOMICIN*COLL 5MONOD.0,5ML
GENTAMICINA 0,3% COLL MONOD 0.5ML/RIBOMICIN*COLL 5MONOD.0,5ML
46di89
1000
13
25
2500
75
500
500
50
250
250
250
250
250
2400
2400
2400
300
300
225
300
2250
1500
1500
2250
1500
3000
3750
1125
1500
750
375
750
175
175
175
350
400
350
350
560
420
5
250
163
250
250
50
51
€ 14.000,00
€ 11.200,00
€ 140,00
€ 280,00
€ 28.000,00
€ 1.260,00
€ 8.400,00
€ 8.400,00
€ 840,00
€ 5.600,00
€ 5.600,00
€ 5.600,00
€ 5.600,00
€ 5.600,00
€ 7.201,16
€ 7.201,16
€ 7.201,16
€ 29,00
€ 29,00
€ 21,75
€ 29,00
€ 67,50
€ 45,00
€ 45,00
€ 67,50
€ 45,00
€ 90,00
€ 112,50
€ 64,00
€ 85,32
€ 42,68
€ 21,32
€ 42,68
€ 362,41
€ 362,41
€ 106,66
€ 426,41
€ 88,02
€ 960,34
€ 960,34
€ 2.592,68
€ 1.944,50
€ 14.214,34
€ 109,09
€ 70,70
€ 108,75
€ 108,75
€ 15.400,00
€ 12.320,00
€ 154,00
€ 308,00
€ 30.800,00
€ 1.386,00
€ 9.240,00
€ 9.240,00
€ 924,00
€ 6.160,00
€ 6.160,00
€ 6.160,00
€ 6.160,00
€ 6.160,00
€ 7.921,28
€ 7.921,28
€ 7.921,28
€ 31,90
€ 31,90
€ 23,93
€ 31,90
€ 74,25
€ 49,50
€ 49,50
€ 74,25
€ 49,50
€ 99,00
€ 123,75
€ 70,40
€ 93,85
€ 46,95
€ 23,45
€ 46,95
€ 398,65
€ 398,65
€ 117,33
€ 469,05
€ 96,83
€ 1.056,38
€ 1.056,38
€ 2.851,95
€ 2.138,95
€ 15.635,78
€ 120,00
€ 77,78
€ 119,63
€ 119,63
ALLEGATO A
Cod.SFO
98
98
98
98
94
94
94
94
94
94
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
1097
1097
1097
7865
8824
8824
8824
8824
8824
8824
7782
7782
7782
7782
2527
2527
3996
3996
3996
3996
3996
3996
3996
3028
3028
902
902
1526
1526
1526
1526
1526
1526
1526
1526
1526
4900
4900
4900
4900
4900
7846
7846
7846
7846
7846
7846
Ditta Offerente
KEDRION SPA
KEDRION SPA
KEDRION SPA
KEDRION SPA
KEDRION SPA
KEDRION SPA
KEDRION SPA
KEDRION SPA
KEDRION SPA
KEDRION SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
L.MOLTENI & C.DEI F.LLI ALITTI SPA
LABORATORI GUIDOTTI S.P.A.
LABORATORI GUIDOTTI S.P.A.
LABORATORI GUIDOTTI S.P.A.
LABORATORI GUIDOTTI S.P.A.
LABORATORI GUIDOTTI S.P.A.
LABORATORI GUIDOTTI S.P.A.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
DESMOPRESSINA 20MCG/ML FL/EMOSINT*IM EV SC 10F 20MCG 1ML
DESMOPRESSINA 20MCG/ML FL/EMOSINT*IM EV SC 10F 20MCG 1ML
DESMOPRESSINA 20MCG/ML FL/EMOSINT*IM EV SC 10F 20MCG 1ML
DESMOPRESSINA 4MCG 0,5ML F IM EV/EMOSINT*IM EV SC 10F 4MCG0,5ML
IG UMANA ANTI-D 300MCG 2ML SIR IM/IMMUNORHO*IM 1SIR 2ML 300MCG
IG UMANA ANTI-D 300MCG 2ML SIR IM/IMMUNORHO*IM 1SIR 2ML 300MCG
IG UMANA ANTI-D 300MCG 2ML SIR IM/IMMUNORHO*IM 1SIR 2ML 300MCG
IG UMANA ANTI-D 300MCG 2ML SIR IM/IMMUNORHO*IM 1SIR 2ML 300MCG
IG UMANA ANTI-D 300MCG 2ML SIR IM/IMMUNORHO*IM 1SIR 2ML 300MCG
IG UMANA ANTI-D 300MCG 2ML SIR IM/IMMUNORHO*IM 1SIR 2ML 300MCG
GLICLAZIDE 80MG CPR/GLICLAZIDE MOLTENI*40CPR 80MG
GLICLAZIDE 80MG CPR/GLICLAZIDE MOLTENI*40CPR 80MG
GLICLAZIDE 80MG CPR/GLICLAZIDE MOLTENI*40CPR 80MG
GLICLAZIDE 80MG CPR/GLICLAZIDE MOLTENI*40CPR 80MG
KETAMINA CLOR. 50MG/ML 2ML F EV/IM/KETAMINA MOLT*5F 2ML 50MG/ML EV/IM
KETAMINA CLOR. 50MG/ML 2ML F EV/IM/KETAMINA MOLT*5F 2ML 50MG/ML EV/IM
MORFINA SOLF. 10MG/5ML FL OS/ORAMORPH*OS 20FL 1D 5ML 10MG
MORFINA SOLF. 10MG/5ML FL OS/ORAMORPH*OS 20FL 1D 5ML 10MG
MORFINA SOLF. 10MG/5ML FL OS/ORAMORPH*OS 20FL 1D 5ML 10MG
MORFINA SOLF. 10MG/5ML FL OS/ORAMORPH*OS 20FL 1D 5ML 10MG
MORFINA SOLF. 10MG/5ML FL OS/ORAMORPH*OS 20FL 1D 5ML 10MG
MORFINA SOLF. 10MG/5ML FL OS/ORAMORPH*OS 20FL 1D 5ML 10MG
MORFINA SOLF. 10MG/5ML FL OS/ORAMORPH*OS 20FL 1D 5ML 10MG
MORFINA SOLF. 30MG/5ML FL OS/ORAMORPH*OS 20FL 1D 5ML 30MG
MORFINA SOLF. 30MG/5ML FL OS/ORAMORPH*OS 20FL 1D 5ML 30MG
NALTREXONE CLOR. 50MG CPR RIV/NALOREX*14CPR RIV 50MG
NALTREXONE CLOR. 50MG CPR RIV/NALOREX*14CPR RIV 50MG
OXICODONE/PARACETAMOLO 5+325MG CPR/DEPALGOS*28CPR RIV 5MG+325MG
OXICODONE/PARACETAMOLO 5+325MG CPR/DEPALGOS*28CPR RIV 5MG+325MG
OXICODONE/PARACETAMOLO 5+325MG CPR/DEPALGOS*28CPR RIV 5MG+325MG
OXICODONE/PARACETAMOLO 5+325MG CPR/DEPALGOS*28CPR RIV 5MG+325MG
OXICODONE/PARACETAMOLO 5+325MG CPR/DEPALGOS*28CPR RIV 5MG+325MG
OXICODONE/PARACETAMOLO 5+325MG CPR/DEPALGOS*28CPR RIV 5MG+325MG
OXICODONE/PARACETAMOLO 5+325MG CPR/DEPALGOS*28CPR RIV 5MG+325MG
OXICODONE/PARACETAMOLO 5+325MG CPR/DEPALGOS*28CPR RIV 5MG+325MG
OXICODONE/PARACETAMOLO 5+325MG CPR/DEPALGOS*28CPR RIV 5MG+325MG
OXICODONE/PARACETAMOLO 10+325MG CPR/DEPALGOS*28CPR RIV 10MG+325MG
OXICODONE/PARACETAMOLO 10+325MG CPR/DEPALGOS*28CPR RIV 10MG+325MG
OXICODONE/PARACETAMOLO 10+325MG CPR/DEPALGOS*28CPR RIV 10MG+325MG
OXICODONE/PARACETAMOLO 10+325MG CPR/DEPALGOS*28CPR RIV 10MG+325MG
OXICODONE/PARACETAMOLO 10+325MG CPR/DEPALGOS*28CPR RIV 10MG+325MG
ROCIVERINA 20MG 2ML F IM/IV/RILATEN*IM IV 6F 20MG 2ML
ROCIVERINA 20MG 2ML F IM/IV/RILATEN*IM IV 6F 20MG 2ML
ROCIVERINA 20MG 2ML F IM/IV/RILATEN*IM IV 6F 20MG 2ML
ROCIVERINA 20MG 2ML F IM/IV/RILATEN*IM IV 6F 20MG 2ML
ROCIVERINA 20MG 2ML F IM/IV/RILATEN*IM IV 6F 20MG 2ML
ROCIVERINA 20MG 2ML F IM/IV/RILATEN*IM IV 6F 20MG 2ML
47di89
50
50
75
150
150
150
150
150
375
5000
2000
2000
2000
750
750
2000
1750
1000
1000
2000
2000
1500
500
750
490
350
7000
3500
3500
7000
7000
3500
7000
10500
28000
1050
2800
1400
3500
1400
2250
3000
150
225
3000
225
3000
52
€ 311,41
€ 311,41
€ 311,41
€ 136,75
€ 4.245,09
€ 4.245,09
€ 4.245,09
€ 4.245,09
€ 4.245,09
€ 10.612,75
€ 125,02
€ 50,00
€ 50,00
€ 50,00
€ 2.233,98
€ 2.233,98
€ 807,73
€ 706,75
€ 403,89
€ 403,89
€ 807,73
€ 807,73
€ 605,80
€ 201,93
€ 302,91
€ 387,09
€ 276,50
€ 1.738,66
€ 869,32
€ 869,32
€ 1.738,66
€ 1.738,66
€ 869,32
€ 1.738,66
€ 2.607,95
€ 6.954,55
€ 260,80
€ 695,45
€ 347,73
€ 869,32
€ 347,73
€ 1.042,73
€ 1.390,30
€ 69,52
€ 104,68
€ 1.395,80
€ 104,68
€ 342,55
€ 342,55
€ 342,55
€ 150,43
€ 4.669,60
€ 4.669,60
€ 4.669,60
€ 4.669,60
€ 4.669,60
€ 11.674,03
€ 137,53
€ 55,00
€ 55,00
€ 55,00
€ 2.457,38
€ 2.457,38
€ 888,50
€ 777,43
€ 444,28
€ 444,28
€ 888,50
€ 888,50
€ 666,38
€ 222,13
€ 333,20
€ 425,80
€ 304,15
€ 1.912,53
€ 956,25
€ 956,25
€ 1.912,53
€ 1.912,53
€ 956,25
€ 1.912,53
€ 2.868,75
€ 7.650,00
€ 286,88
€ 765,00
€ 382,50
€ 956,25
€ 382,50
€ 1.147,00
€ 1.529,33
€ 76,48
€ 115,15
€ 1.535,38
€ 115,15
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
7846
5994
5992
6776
6776
6776
6776
6776
8379
8379
8379
2482
2482
2482
2482
6074
6074
6074
6074
11364
11364
11364
11364
11364
6076
1370
1370
1370
2278
2278
2278
2278
2278
4915
4988
1358
1358
3330
1359
1359
841
841
841
841
841
6522
512
Ditta Offerente
LABORATORI GUIDOTTI S.P.A.
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LABORATORIO FARMACOL.MILANESE SRL
LUNDBECK ITALIA S.P.A.
LUNDBECK ITALIA S.P.A.
LUNDBECK ITALIA S.P.A.
LUNDBECK ITALIA S.P.A.
LUNDBECK ITALIA S.P.A.
LUNDBECK ITALIA S.P.A.
LUNDBECK ITALIA S.P.A.
LUNDBECK ITALIA S.P.A.
LUNDBECK ITALIA S.P.A.
LUNDBECK ITALIA S.P.A.
LUNDBECK ITALIA S.P.A.
LUNDBECK ITALIA S.P.A.
LUNDBECK ITALIA S.P.A.
LUNDBECK ITALIA S.P.A.
LUNDBECK ITALIA S.P.A.
LUNDBECK ITALIA S.P.A.
LUNDBECK ITALIA S.P.A.
LUNDBECK ITALIA S.P.A.
LUNDBECK ITALIA S.P.A.
LUNDBECK ITALIA S.P.A.
MALESCI IST.FARMACOBIOLOG.SPA
MALESCI IST.FARMACOBIOLOG.SPA
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
ROCIVERINA 20MG 2ML F IM/IV/RILATEN*IM IV 6F 20MG 2ML
BUSULFANO 2MG CPR RIV/MYLERAN*100CPR RIV 2MG
CLORAMBUCILE 2MG CPR RIV/LEUKERAN*25CPR RIV 2MG
FUROSEMIDE 25MG CPR/FUROSEMIDE L.F.M.*30CPR 25MG
FUROSEMIDE 25MG CPR/FUROSEMIDE L.F.M.*30CPR 25MG
FUROSEMIDE 25MG CPR/FUROSEMIDE L.F.M.*30CPR 25MG
FUROSEMIDE 25MG CPR/FUROSEMIDE L.F.M.*30CPR 25MG
FUROSEMIDE 25MG CPR/FUROSEMIDE L.F.M.*30CPR 25MG
LITIO CARBONATO 300MG CPS/LITIO CARB L.F.M.*50CPR 300MG
LITIO CARBONATO 300MG CPS/LITIO CARB L.F.M.*50CPR 300MG
LITIO CARBONATO 300MG CPS/LITIO CARB L.F.M.*50CPR 300MG
MELFALAN 2MG CPR RIV/ALKERAN*25CPR RIV 2MG
MELFALAN 2MG CPR RIV/ALKERAN*25CPR RIV 2MG
MELFALAN 2MG CPR RIV/ALKERAN*25CPR RIV 2MG
MELFALAN 2MG CPR RIV/ALKERAN*25CPR RIV 2MG
MERCAPTOPURINA 50MG CPR
-DSC/PURINETHOL*25CPR 50MG
MERCAPTOPURINA 50MG CPR
-DSC/PURINETHOL*25CPR 50MG
MERCAPTOPURINA 50MG CPR
-DSC/PURINETHOL*25CPR 50MG
MERCAPTOPURINA 50MG CPR
-DSC/PURINETHOL*25CPR 50MG
SODIO BICARBONATO 500MG CPR/SODIO BICARB*50CPR 500MG
SODIO BICARBONATO 500MG CPR/SODIO BICARB*50CPR 500MG
SODIO BICARBONATO 500MG CPR/SODIO BICARB*50CPR 500MG
SODIO BICARBONATO 500MG CPR/SODIO BICARB*50CPR 500MG
SODIO BICARBONATO 500MG CPR/SODIO BICARB*50CPR 500MG
TIOGUANINA 40MG CPR/TIOGUANINA WELLCOME*25CPR 40MG
CITALOPRAM 20MG CPR RI
-RM/ELOPRAM*28CPR RIV 20MG
CITALOPRAM 20MG CPR RI
-RM/ELOPRAM*28CPR RIV 20MG
CITALOPRAM 20MG CPR RI
-RM/ELOPRAM*28CPR RIV 20MG
CITALOPRAM 40MG/ML GTT OS 15ML -CDR/ELOPRAM*OS GTT FL 15ML 40MG/ML
CITALOPRAM 40MG/ML GTT OS 15ML -CDR/ELOPRAM*OS GTT FL 15ML 40MG/ML
CITALOPRAM 40MG/ML GTT OS 15ML -CDR/ELOPRAM*OS GTT FL 15ML 40MG/ML
CITALOPRAM 40MG/ML GTT OS 15ML -CDR/ELOPRAM*OS GTT FL 15ML 40MG/ML
CITALOPRAM 40MG/ML GTT OS 15ML -CDR/ELOPRAM*OS GTT FL 15ML 40MG/ML
MEMANTINA CLOR.10MG CPR RIV -CDR/EBIXA*56CPR RIV 10MG
-CDR
RASAGILINA 1MG CPR/AZILECT*28CPR 1MG
ZUCLOPENTIXOLO 10MG CPR RIV/CLOPIXOL 10MG CPR RIV
ZUCLOPENTIXOLO 10MG CPR RIV/CLOPIXOL 10MG CPR RIV
ZUCLOPENTIXOLO 20MG/ML GTT OS/CLOPIXOL*OS GTT 10ML 20MG/ML
ZUCLOPENTIXOLO 25MG CPR RIV/CLOPIXOL*20CPR RIV 25MG
ZUCLOPENTIXOLO 25MG CPR RIV/CLOPIXOL*20CPR RIV 25MG
ZUCLOPENTIXOLO DECANOATO 200MG F IM/CLOPIXOL*IM 1F 200MG/ML RP
ZUCLOPENTIXOLO DECANOATO 200MG F IM/CLOPIXOL*IM 1F 200MG/ML RP
ZUCLOPENTIXOLO DECANOATO 200MG F IM/CLOPIXOL*IM 1F 200MG/ML RP
ZUCLOPENTIXOLO DECANOATO 200MG F IM/CLOPIXOL*IM 1F 200MG/ML RP
ZUCLOPENTIXOLO DECANOATO 200MG F IM/CLOPIXOL*IM 1F 200MG/ML RP
SODIO NITROPRUSSIATO 100MG F EV+SOL/SODIO NITROPR.MAL*EV 3F 100MG+
TEOFILLINA 0,67%200ML SOL OS ELISIR/AMINOMAL*OS SOLUZ 200ML 0,67%
48di89
750
5000
150000
150000
75001
150000
150000
2500
1250
2500
1250
1250
1875
1500
500
1000
1000
500
5000
5000
5000
5000
12500
250
3500
3500
700
375
125
100
375
100
2800
210
750
1125
25
1500
1500
250
250
150
250
250
113
100
100
53
€ 1.395,80
€ 1.322,18
€ 8.200,00
€ 1.726,80
€ 1.726,80
€ 863,41
€ 1.726,80
€ 1.726,80
€ 95,59
€ 47,80
€ 95,59
€ 118,89
€ 118,89
€ 178,30
€ 2.340,82
€ 145,27
€ 290,55
€ 1.642,73
€ 821,39
€ 195,00
€ 195,00
€ 195,00
€ 195,00
€ 487,50
€ 233,14
€ 70,09
€ 70,09
€ 14,02
€ 637,45
€ 212,64
€ 170,09
€ 637,89
€ 170,09
€ 1.453,64
€ 615,80
€ 123,30
€ 184,95
€ 113,09
€ 510,16
€ 510,75
€ 680,82
€ 680,82
€ 408,50
€ 680,82
€ 680,82
€ 435,43
€ 87,93
€ 1.535,38
€ 1.454,40
€ 9.020,00
€ 1.899,48
€ 1.899,48
€ 949,75
€ 1.899,48
€ 1.899,48
€ 105,15
€ 52,58
€ 105,15
€ 130,78
€ 130,78
€ 196,13
€ 2.574,90
€ 159,80
€ 319,60
€ 1.807,00
€ 903,53
€ 214,50
€ 214,50
€ 214,50
€ 214,50
€ 536,25
€ 256,45
€ 77,10
€ 77,10
€ 15,43
€ 701,20
€ 233,90
€ 187,10
€ 701,68
€ 187,10
€ 1.599,00
€ 677,38
€ 135,63
€ 203,45
€ 124,40
€ 561,18
€ 561,83
€ 748,90
€ 748,90
€ 449,35
€ 748,90
€ 748,90
€ 478,98
€ 96,73
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
512
3513
3513
3513
3514
3514
3514
8532
13390
8613
8613
8613
8613
8613
8613
8613
3538
3538
3538
3538
3538
6459
804
804
804
804
6823
6823
6823
5365
1746
1746
1746
1746
1746
1681
1681
12289
12289
12289
12289
12289
12289
1041
1041
1041
5398
Ditta Offerente
MALESCI IST.FARMACOBIOLOG.SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDA PHARMA SPA
MEDIOLANUM FARMACEUTICI SPA
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
TEOFILLINA 0,67%200ML SOL OS ELISIR/AMINOMAL*OS SOLUZ 200ML 0,67%
ADRENALINA AD 0,33MG SIR AUTOINIET/FASTJEKT*ADULTI 1SIR 0,33MGNIET
ADRENALINA AD 0,33MG SIR AUTOINIET/FASTJEKT*ADULTI 1SIR 0,33MGNIET
ADRENALINA AD 0,33MG SIR AUTOINIET/FASTJEKT*ADULTI 1SIR 0,33MGNIET
ADRENALINA BB 0,165MG SIR AUTOINIET/FASTJEKT*BAMBINI 1SIR 0,165MG
ADRENALINA BB 0,165MG SIR AUTOINIET/FASTJEKT*BAMBINI 1SIR 0,165MG
ADRENALINA BB 0,165MG SIR AUTOINIET/FASTJEKT*BAMBINI 1SIR 0,165MG
CLORTETRACICLINA 3% UNG DERM 14,2G/AUREOMICINA*UNG DERM 3% 14,2G
IODOPOVIDONE 10% 125ML SOLUZ VAG/BETADINE*SOLUZ VAG 125ML 10%
IODOPOVIDONE GARZA IMPREGN 10X10/BETADINE*10GARZE IMPREGN 10X10
IODOPOVIDONE GARZA IMPREGN 10X10/BETADINE*10GARZE IMPREGN 10X10
IODOPOVIDONE GARZA IMPREGN 10X10/BETADINE*10GARZE IMPREGN 10X10
IODOPOVIDONE GARZA IMPREGN 10X10/BETADINE*10GARZE IMPREGN 10X10
IODOPOVIDONE GARZA IMPREGN 10X10/BETADINE*10GARZE IMPREGN 10X10
IODOPOVIDONE GARZA IMPREGN 10X10/BETADINE*10GARZE IMPREGN 10X10
IODOPOVIDONE GARZA IMPREGN 10X10/BETADINE*10GARZE IMPREGN 10X10
IODOPOVIDONE SOL.PRONTA
-CDR/BETADINE*SOLUZ VAG 5FL+5F+5CAN 10%
IODOPOVIDONE SOL.PRONTA
-CDR/BETADINE*SOLUZ VAG 5FL+5F+5CAN 10%
IODOPOVIDONE SOL.PRONTA
-CDR/BETADINE*SOLUZ VAG 5FL+5F+5CAN 10%
IODOPOVIDONE SOL.PRONTA
-CDR/BETADINE*SOLUZ VAG 5FL+5F+5CAN 10%
IODOPOVIDONE SOL.PRONTA
-CDR/BETADINE*SOLUZ VAG 5FL+5F+5CAN 10%
NIFEDIPINA 10MG CPS/NIFEDICOR*50CPS 10MG
NIFEDIPINA 2% 20MG/ML 30ML GTT OS/NIFEDICOR*OS FL GTT 30ML 20MG/ML
NIFEDIPINA 2% 20MG/ML 30ML GTT OS/NIFEDICOR*OS FL GTT 30ML 20MG/ML
NIFEDIPINA 2% 20MG/ML 30ML GTT OS/NIFEDICOR*OS FL GTT 30ML 20MG/ML
NIFEDIPINA 2% 20MG/ML 30ML GTT OS/NIFEDICOR*OS FL GTT 30ML 20MG/ML
PROTAMINA CLOR. 50MG/5ML F EV/PROTAMINA VAL*EV 1F 50MG 5ML
PROTAMINA CLOR. 50MG/5ML F EV/PROTAMINA VAL*EV 1F 50MG 5ML
PROTAMINA CLOR. 50MG/5ML F EV/PROTAMINA VAL*EV 1F 50MG 5ML
BUDESONIDE 0,5MG/2ML NEBUL MONOD/BUDEXAN*NEBUL 20MONOD 0,5MG/2ML
CETUXIMAB 100MG 5MG/ML 20ML FL INF/ERBITUX*INFUS 1FL 20ML 5MG/ML
CETUXIMAB 100MG 5MG/ML 20ML FL INF/ERBITUX*INFUS 1FL 20ML 5MG/ML
CETUXIMAB 100MG 5MG/ML 20ML FL INF/ERBITUX*INFUS 1FL 20ML 5MG/ML
CETUXIMAB 100MG 5MG/ML 20ML FL INF/ERBITUX*INFUS 1FL 20ML 5MG/ML
CETUXIMAB 100MG 5MG/ML 20ML FL INF/ERBITUX*INFUS 1FL 20ML 5MG/ML
FOLLITROPINA ALF 75UI+10SIR 1ML-DSC/GONAL F*SC 10FL 75UI+10SIR 1ML
FOLLITROPINA ALF 75UI+10SIR 1ML-DSC/GONAL F*SC 10FL 75UI+10SIR 1ML
GEMEPROST 1MG OV VAG/CERVIDIL*1 OV VAG 1MG
GEMEPROST 1MG OV VAG/CERVIDIL*1 OV VAG 1MG
GEMEPROST 1MG OV VAG/CERVIDIL*1 OV VAG 1MG
GEMEPROST 1MG OV VAG/CERVIDIL*1 OV VAG 1MG
GEMEPROST 1MG OV VAG/CERVIDIL*1 OV VAG 1MG
GEMEPROST 1MG OV VAG/CERVIDIL*1 OV VAG 1MG
INTERF BETA 1A 22MCG 6MUI F/S -DSC/REBIF*SC 12SIR 6000000UI 22MCG
INTERF BETA 1A 22MCG 6MUI F/S -DSC/REBIF*SC 12SIR 6000000UI 22MCG
INTERF BETA 1A 22MCG 6MUI F/S -DSC/REBIF*SC 12SIR 6000000UI 22MCG
INTERF BETA 1A 22MCG/0,5ML CART-DSC/REBIF*SC 4CART 22MCG/0,5ML
49di89
25
75
50
12
25
37
250
50
500
625
500
625
375
500
375
125
250
125
125
250
5000
125
50
150
50
1750
1250
1250
1000
250
125
100
175
375
300
225
175
175
50
150
150
250
630
600
600
900
500
54
€ 87,93
€ 885,05
€ 2.655,16
€ 1.770,09
€ 442,52
€ 885,05
€ 1.327,57
€ 926,14
€ 54,16
€ 2.022,73
€ 2.528,41
€ 2.022,73
€ 2.528,41
€ 1.517,05
€ 2.022,50
€ 1.516,89
€ 102,39
€ 203,89
€ 102,55
€ 101,93
€ 203,89
€ 190,91
€ 386,39
€ 154,55
€ 463,64
€ 154,55
€ 3.484,09
€ 2.488,64
€ 2.488,64
€ 250,05
€ 42.655,25
€ 21.327,64
€ 17.062,09
€ 29.858,68
€ 63.982,84
€ 7.411,80
€ 5.852,25
€ 2.772,16
€ 2.772,16
€ 792,05
€ 2.376,14
€ 2.376,14
€ 3.960,23
€ 36.215,95
€ 34.491,39
€ 34.491,39
€ 155.209,66
€ 96,73
€ 973,55
€ 2.920,68
€ 1.947,10
€ 486,78
€ 973,55
€ 1.460,33
€ 1.018,75
€ 59,58
€ 2.225,00
€ 2.781,25
€ 2.225,00
€ 2.781,25
€ 1.668,75
€ 2.224,75
€ 1.668,58
€ 112,63
€ 224,28
€ 112,80
€ 112,13
€ 224,28
€ 210,00
€ 425,03
€ 170,00
€ 510,00
€ 170,00
€ 3.832,50
€ 2.737,50
€ 2.737,50
€ 275,05
€ 46.920,78
€ 23.460,40
€ 18.768,30
€ 32.844,55
€ 70.381,13
€ 8.152,98
€ 6.437,48
€ 3.049,38
€ 3.049,38
€ 871,25
€ 2.613,75
€ 2.613,75
€ 4.356,25
€ 39.837,55
€ 37.940,53
€ 37.940,53
€ 170.730,63
ALLEGATO A
Cod.SFO
98 5398
98 5398
98 5398
98 5398
98 5398
98 1237
98 5397
98 5397
98 5397
98 7839
98 7839
98 7839
98 7839
98 7839
98 2019
98 2019
98 2019
98 2019
98 2019
98 2019
98 2019
98 2019
98 2019
98 2019
98 5376
98 5376
98 1693
98 1693
98 1693
98 1693
98 5811
98 5811
98 5811
98 12249
98 12249
98 12249
98 6405
98 6405
98 8230
98 8230
98 1084
98 1084
98 1084
98 1084
102 13333
98 50
98 50
Ditta Offerente
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
MERZ ITALIA PHARMA
MERZ ITALIA PHARMA
MERZ ITALIA PHARMA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
INTERF BETA 1A 22MCG/0,5ML CART-DSC/REBIF*SC 4CART 22MCG/0,5ML
INTERF BETA 1A 22MCG/0,5ML CART-DSC/REBIF*SC 4CART 22MCG/0,5ML
INTERF BETA 1A 22MCG/0,5ML CART-DSC/REBIF*SC 4CART 22MCG/0,5ML
INTERF BETA 1A 22MCG/0,5ML CART-DSC/REBIF*SC 4CART 22MCG/0,5ML
INTERF BETA 1A 22MCG/0,5ML CART-DSC/REBIF*SC 4CART 22MCG/0,5ML
INTERF BETA 1A 44MCG 12MUI F/S -DSC/REBIF*SC 12SIR 12000000UI 44MCG
INTERF BETA 1A 44MUI/0,5ML SC -DSC/REBIF*SC 4CART 44MCG/0,5ML
INTERF BETA 1A 44MUI/0,5ML SC -DSC/REBIF*SC 4CART 44MCG/0,5ML
INTERF BETA 1A 44MUI/0,5ML SC -DSC/REBIF*SC 4CART 44MCG/0,5ML
LEVOTIROXINA SODICA 100MCG CPR/EUTIROX*50CPR 100MCG
LEVOTIROXINA SODICA 100MCG CPR/EUTIROX*50CPR 100MCG
LEVOTIROXINA SODICA 100MCG CPR/EUTIROX*50CPR 100MCG
LEVOTIROXINA SODICA 100MCG CPR/EUTIROX*50CPR 100MCG
LEVOTIROXINA SODICA 100MCG CPR/EUTIROX*50CPR 100MCG
LEVOTIROXINA SODICA 25MCG CPR/EUTIROX*50CPR 25MCG
LEVOTIROXINA SODICA 25MCG CPR/EUTIROX*50CPR 25MCG
LEVOTIROXINA SODICA 25MCG CPR/EUTIROX*50CPR 25MCG
LEVOTIROXINA SODICA 25MCG CPR/EUTIROX*50CPR 25MCG
LEVOTIROXINA SODICA 25MCG CPR/EUTIROX*50CPR 25MCG
LEVOTIROXINA SODICA 25MCG CPR/EUTIROX*50CPR 25MCG
LEVOTIROXINA SODICA 25MCG CPR/EUTIROX*50CPR 25MCG
LEVOTIROXINA SODICA 25MCG CPR/EUTIROX*50CPR 25MCG
LEVOTIROXINA SODICA 25MCG CPR/EUTIROX*50CPR 25MCG
LEVOTIROXINA SODICA 25MCG CPR/EUTIROX*50CPR 25MCG
SAPROPTERINA DICLOR.100MG CPR SOLUB/KUVAN*120CPR SOLUB 100MG
SAPROPTERINA DICLOR.100MG CPR SOLUB/KUVAN*120CPR SOLUB 100MG
SOMATROPINA 8MG+1CART+CLICKEASY-DSC/SAIZEN*1FL 8MG+1CART+CLICKEASY
SOMATROPINA 8MG+1CART+CLICKEASY-DSC/SAIZEN*1FL 8MG+1CART+CLICKEASY
SOMATROPINA 8MG+1CART+CLICKEASY-DSC/SAIZEN*1FL 8MG+1CART+CLICKEASY
SOMATROPINA 8MG+1CART+CLICKEASY-DSC/SAIZEN*1FL 8MG+1CART+CLICKEASY
TOSSINA BOTULINICA 1FL 100U DL50/XEOMIN*INIET 1FL 100U DL50
TOSSINA BOTULINICA 1FL 100U DL50/XEOMIN*INIET 1FL 100U DL50
TOSSINA BOTULINICA 1FL 100U DL50/XEOMIN*INIET 1FL 100U DL50
ADRENALINA CLOR 0,5MG/1ML F/ADRENALINA MONICO*5F 0,5MG 1ML
ADRENALINA CLOR 0,5MG/1ML F/ADRENALINA MONICO*5F 0,5MG 1ML
ADRENALINA CLOR 0,5MG/1ML F/ADRENALINA MONICO*5F 0,5MG 1ML
ADRENALINA CLOR 1MG/1ML F IM/EV/ADRENALINA MONICO*10F 1MG 1ML
ADRENALINA CLOR 1MG/1ML F IM/EV/ADRENALINA MONICO*10F 1MG 1ML
BUPIVACAINA/ADREN 2,5MG/ML 10ML F/BUPICAIN CON ADRENAL.*10F 10ML
BUPIVACAINA/ADREN 2,5MG/ML 10ML F/BUPICAIN CON ADRENAL.*10F 10ML
FLUORESCEINA SODICA 20% F 5ML/FLUORESCEINA SODICA MON*IV 10F 5ML
FLUORESCEINA SODICA 20% F 5ML/FLUORESCEINA SODICA MON*IV 10F 5ML
FLUORESCEINA SODICA 20% F 5ML/FLUORESCEINA SODICA MON*IV 10F 5ML
FLUORESCEINA SODICA 20% F 5ML/FLUORESCEINA SODICA MON*IV 10F 5ML
INDIGO CARMINE 40MG/10ML F/SODIO INDIGOTINDIS*5F 40MG10ML
ISOPRENALINA 0,2MG/ML F EV/ISOPRENALINA CLORIDR*5F 0,2MG/ML
ISOPRENALINA 0,2MG/ML F EV/ISOPRENALINA CLORIDR*5F 0,2MG/ML
50di89
500
500
500
500
120
90
30
50
25000
25000
25000
25000
15000
500
1250
750
1250
2500
2500
2000
3000
2000
1250
900
900
25
25
25
23
75
125
200
3000
3000
4500
2000
2500
1000
750
300
300
250
500
250
250
1500
1250
55
€ 86.227,57
€ 86.227,57
€ 86.228,57
€ 86.227,57
€ 86.227,57
€ 9.275,39
€ 20.869,73
€ 6.956,57
€ 11.594,30
€ 380,00
€ 380,00
€ 380,00
€ 525,43
€ 228,00
€ 7,80
€ 19,50
€ 11,70
€ 19,50
€ 39,00
€ 39,00
€ 31,20
€ 46,80
€ 31,20
€ 19,50
€ 19.660,02
€ 19.658,82
€ 4.969,48
€ 4.969,48
€ 4.969,48
€ 4.472,52
€ 7.425,00
€ 12.375,00
€ 19.800,00
€ 381,00
€ 381,00
€ 571,50
€ 301,55
€ 380,00
€ 593,23
€ 445,45
€ 594,02
€ 594,02
€ 495,02
€ 990,02
€ 275,68
€ 51,48
€ 308,89
€ 94.850,33
€ 94.850,33
€ 94.851,43
€ 94.850,33
€ 94.850,33
€ 10.202,93
€ 22.956,70
€ 7.652,23
€ 12.753,73
€ 418,00
€ 418,00
€ 418,00
€ 577,98
€ 250,80
€ 8,58
€ 21,45
€ 12,88
€ 21,45
€ 42,90
€ 42,90
€ 34,33
€ 51,48
€ 34,33
€ 21,45
€ 21.626,03
€ 21.624,70
€ 5.466,43
€ 5.466,43
€ 5.466,43
€ 4.919,78
€ 8.167,50
€ 13.612,50
€ 21.780,00
€ 419,10
€ 419,10
€ 628,65
€ 331,70
€ 418,00
€ 652,55
€ 490,00
€ 653,43
€ 653,43
€ 544,53
€ 1.089,03
€ 303,25
€ 56,63
€ 339,78
ALLEGATO A
Cod.SFO
98 8227
98 8227
98 8227
98 12734
98 12734
98 12734
98 12734
98 12734
98 12734
98 12734
98 346
98 346
98 346
98 2433
98 2433
98 2433
98 1801
98 38
98 6783
98 6783
98 6783
98 6783
98 6783
98 4006
98 4006
98 4006
98 3494
98 3494
98 3494
98 3494
98 3494
98 3504
98 3504
98 3504
98 3504
98 7968
98 7968
98 7968
98 7968
98 7968
98 1005
98 2865
98 2865
98 2865
98 2865
98 2865
98 2865
Ditta Offerente
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MONICO SPA
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
LIDOCAINA CLOR.1% 50MG/5ML F INIET/LIDOCAINA CLORIDR*5F 50MG 5ML
LIDOCAINA CLOR.1% 50MG/5ML F INIET/LIDOCAINA CLORIDR*5F 50MG 5ML
LIDOCAINA CLOR.1% 50MG/5ML F INIET/LIDOCAINA CLORIDR*5F 50MG 5ML
MORFINA CLOR. 10MG/ML F EV/EP/IM/SC/MORFINA CL MONICO*5F 10MG 1ML
MORFINA CLOR. 10MG/ML F EV/EP/IM/SC/MORFINA CL MONICO*5F 10MG 1ML
MORFINA CLOR. 10MG/ML F EV/EP/IM/SC/MORFINA CL MONICO*5F 10MG 1ML
MORFINA CLOR. 10MG/ML F EV/EP/IM/SC/MORFINA CL MONICO*5F 10MG 1ML
MORFINA CLOR. 10MG/ML F EV/EP/IM/SC/MORFINA CL MONICO*5F 10MG 1ML
MORFINA CLOR. 10MG/ML F EV/EP/IM/SC/MORFINA CL MONICO*5F 10MG 1ML
MORFINA CLOR. 10MG/ML F EV/EP/IM/SC/MORFINA CL MONICO*5F 10MG 1ML
MORFINA CLOR. 20MG/ML F EV/MORFINA CL MONICO*5F 20MG 1ML
MORFINA CLOR. 20MG/ML F EV/MORFINA CL MONICO*5F 20MG 1ML
MORFINA CLOR. 20MG/ML F EV/MORFINA CL MONICO*5F 20MG 1ML
PAPAVERINA CLOR.30MG 2ML F EV/PAPAVERINA CLORIDR*5F 30MG 2ML
PAPAVERINA CLOR.30MG 2ML F EV/PAPAVERINA CLORIDR*5F 30MG 2ML
PAPAVERINA CLOR.30MG 2ML F EV/PAPAVERINA CLORIDR*5F 30MG 2ML
PETIDINA CLOR.100MG 2ML F EV/PETIDINA CLORIDR MO*5F 100MG 2ML
SODIO CITRATO 380MG/10ML PERV TUBI/SODIO CITRATO*3,8% 5F 380MG/10ML
AMILORIDE/IDROCLOROTIAZI 5+50MG CPR/MODURETIC*20CPR 5MG+50MG
AMILORIDE/IDROCLOROTIAZI 5+50MG CPR/MODURETIC*20CPR 5MG+50MG
AMILORIDE/IDROCLOROTIAZI 5+50MG CPR/MODURETIC*20CPR 5MG+50MG
AMILORIDE/IDROCLOROTIAZI 5+50MG CPR/MODURETIC*20CPR 5MG+50MG
AMILORIDE/IDROCLOROTIAZI 5+50MG CPR/MODURETIC*20CPR 5MG+50MG
APREPITANT 125MG+2CPS 80MG/EMEND*1CPS 125MG+2CPS 80MG
APREPITANT 125MG+2CPS 80MG/EMEND*1CPS 125MG+2CPS 80MG
APREPITANT 125MG+2CPS 80MG/EMEND*1CPS 125MG+2CPS 80MG
CASPOFUNGIN 50MG 10ML FL EV/CANCIDAS*EV FL 50MG 10ML
CASPOFUNGIN 50MG 10ML FL EV/CANCIDAS*EV FL 50MG 10ML
CASPOFUNGIN 50MG 10ML FL EV/CANCIDAS*EV FL 50MG 10ML
CASPOFUNGIN 50MG 10ML FL EV/CANCIDAS*EV FL 50MG 10ML
CASPOFUNGIN 50MG 10ML FL EV/CANCIDAS*EV FL 50MG 10ML
CASPOFUNGIN 70MG 10ML FL EV/CANCIDAS*EV FL 70MG 10ML
CASPOFUNGIN 70MG 10ML FL EV/CANCIDAS*EV FL 70MG 10ML
CASPOFUNGIN 70MG 10ML FL EV/CANCIDAS*EV FL 70MG 10ML
CASPOFUNGIN 70MG 10ML FL EV/CANCIDAS*EV FL 70MG 10ML
CLORFENAMINA MALEATO 10MG FL IM/EV/TRIMETON*INIET 5F 1ML 10MG
CLORFENAMINA MALEATO 10MG FL IM/EV/TRIMETON*INIET 5F 1ML 10MG
CLORFENAMINA MALEATO 10MG FL IM/EV/TRIMETON*INIET 5F 1ML 10MG
CLORFENAMINA MALEATO 10MG FL IM/EV/TRIMETON*INIET 5F 1ML 10MG
CLORFENAMINA MALEATO 10MG FL IM/EV/TRIMETON*INIET 5F 1ML 10MG
DORZOLAMIDE 2% 5ML SOL OFT -CDR/TRUSOPT*OFT FL 5ML 2% OCUMETER
ERTAPENEM 1G F EV 20ML -RIS.CH/INVANZ*EV FL 1G 20ML
ERTAPENEM 1G F EV 20ML -RIS.CH/INVANZ*EV FL 1G 20ML
ERTAPENEM 1G F EV 20ML -RIS.CH/INVANZ*EV FL 1G 20ML
ERTAPENEM 1G F EV 20ML -RIS.CH/INVANZ*EV FL 1G 20ML
ERTAPENEM 1G F EV 20ML -RIS.CH/INVANZ*EV FL 1G 20ML
ERTAPENEM 1G F EV 20ML -RIS.CH/INVANZ*EV FL 1G 20ML
51di89
1000
1750
1250
5000
5000
1250
5000
5000
1250
2500
500
2500
250
250
250
500
2000
3000
3000
6250
3000
5000
100
100
125
250
250
225
250
450
25
25
37
100
3750
500
3000
1500
500
25
500
500
250
500
500
1000
38
56
€ 194,95
€ 156,09
€ 272,95
€ 315,00
€ 1.260,05
€ 1.260,05
€ 315,00
€ 1.264,80
€ 1.264,80
€ 315,00
€ 959,93
€ 191,00
€ 960,00
€ 34,50
€ 34,52
€ 34,50
€ 303,48
€ 361,80
€ 172,50
€ 172,50
€ 359,39
€ 172,50
€ 287,50
€ 4.949,32
€ 4.949,32
€ 6.186,68
€ 100.297,50
€ 100.297,50
€ 90.267,75
€ 100.297,50
€ 180.535,50
€ 12.757,57
€ 12.757,57
€ 19.136,34
€ 51.030,27
€ 3.375,00
€ 450,00
€ 2.700,00
€ 1.350,00
€ 450,00
€ 71,48
€ 18.049,34
€ 18.049,34
€ 9.024,68
€ 18.049,34
€ 18.049,34
€ 36.098,70
€ 214,45
€ 171,70
€ 300,25
€ 346,50
€ 1.386,05
€ 1.386,05
€ 346,50
€ 1.391,28
€ 1.391,28
€ 346,50
€ 1.055,93
€ 210,10
€ 1.056,00
€ 37,95
€ 37,98
€ 37,95
€ 333,83
€ 397,98
€ 189,75
€ 189,75
€ 395,33
€ 189,75
€ 316,25
€ 5.444,25
€ 5.444,25
€ 6.805,35
€ 110.327,25
€ 110.327,25
€ 99.294,53
€ 110.327,25
€ 198.589,05
€ 14.033,33
€ 14.033,33
€ 21.049,98
€ 56.133,30
€ 3.712,50
€ 495,00
€ 2.970,00
€ 1.485,00
€ 495,00
€ 78,63
€ 19.854,28
€ 19.854,28
€ 9.927,15
€ 19.854,28
€ 19.854,28
€ 39.708,58
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
3546
3546
3546
853
853
1091
1091
1091
1091
1091
1091
9522
9522
9522
9522
9522
9522
9522
9522
3445
3445
3445
3445
3445
3445
3445
344
344
344
344
344
5632
5632
2510
2510
2510
2510
2510
2510
2510
3779
3779
3779
3779
3779
1539
1539
Ditta Offerente
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
GOLIMUMAB 50MG O,5ML SIR
-DSC/SIMPONI*SC 1SIR 50MG 0,5ML
GOLIMUMAB 50MG O,5ML SIR
-DSC/SIMPONI*SC 1SIR 50MG 0,5ML
GOLIMUMAB 50MG O,5ML SIR
-DSC/SIMPONI*SC 1SIR 50MG 0,5ML
INDINAVIR 400MG CPR/CRIXIVAN*180CPS 400MG
INDINAVIR 400MG CPR/CRIXIVAN*180CPS 400MG
INFLIXIMAB 100MG+F 2ML EV -DSC/REMICADE*EV F 100MG+F 2ML
INFLIXIMAB 100MG+F 2ML EV -DSC/REMICADE*EV F 100MG+F 2ML
INFLIXIMAB 100MG+F 2ML EV -DSC/REMICADE*EV F 100MG+F 2ML
INFLIXIMAB 100MG+F 2ML EV -DSC/REMICADE*EV F 100MG+F 2ML
INFLIXIMAB 100MG+F 2ML EV -DSC/REMICADE*EV F 100MG+F 2ML
INFLIXIMAB 100MG+F 2ML EV -DSC/REMICADE*EV F 100MG+F 2ML
INTERF ALFA 2B 10MUI FL SC EV -DSC/INTRONA*SC IV 1FL 10MUI
INTERF ALFA 2B 10MUI FL SC EV -DSC/INTRONA*SC IV 1FL 10MUI
INTERF ALFA 2B 10MUI FL SC EV -DSC/INTRONA*SC IV 1FL 10MUI
INTERF ALFA 2B 10MUI FL SC EV -DSC/INTRONA*SC IV 1FL 10MUI
INTERF ALFA 2B 10MUI FL SC EV -DSC/INTRONA*SC IV 1FL 10MUI
INTERF ALFA 2B 10MUI FL SC EV -DSC/INTRONA*SC IV 1FL 10MUI
INTERF ALFA 2B 10MUI FL SC EV -DSC/INTRONA*SC IV 1FL 10MUI
INTERF ALFA 2B 10MUI FL SC EV -DSC/INTRONA*SC IV 1FL 10MUI
INTERF ALFA 2B 18MUI PEN+12KIT -DSC/INTRONA*SC IV 1PEN 18MUI+12KIT
INTERF ALFA 2B 18MUI PEN+12KIT -DSC/INTRONA*SC IV 1PEN 18MUI+12KIT
INTERF ALFA 2B 18MUI PEN+12KIT -DSC/INTRONA*SC IV 1PEN 18MUI+12KIT
INTERF ALFA 2B 18MUI PEN+12KIT -DSC/INTRONA*SC IV 1PEN 18MUI+12KIT
INTERF ALFA 2B 18MUI PEN+12KIT -DSC/INTRONA*SC IV 1PEN 18MUI+12KIT
INTERF ALFA 2B 18MUI PEN+12KIT -DSC/INTRONA*SC IV 1PEN 18MUI+12KIT
INTERF ALFA 2B 18MUI PEN+12KIT -DSC/INTRONA*SC IV 1PEN 18MUI+12KIT
LEVODOPA/CARBIDOPA 200+50MG CPR/SINEMET*30CPR 200MG+50MG R.M.
LEVODOPA/CARBIDOPA 200+50MG CPR/SINEMET*30CPR 200MG+50MG R.M.
LEVODOPA/CARBIDOPA 200+50MG CPR/SINEMET*30CPR 200MG+50MG R.M.
LEVODOPA/CARBIDOPA 200+50MG CPR/SINEMET*30CPR 200MG+50MG R.M.
LEVODOPA/CARBIDOPA 200+50MG CPR/SINEMET*30CPR 200MG+50MG R.M.
LOSARTAN POTASSICO 12,5MG CPR RIV/LORTAAN*CARD 21CPR RIV 12,5MG
LOSARTAN POTASSICO 12,5MG CPR RIV/LORTAAN*CARD 21CPR RIV 12,5MG
LOSARTAN POTASSICO 50MG CPR RIV DIV/LORTAAN*28CPR RIV DIV 50MG
LOSARTAN POTASSICO 50MG CPR RIV DIV/LORTAAN*28CPR RIV DIV 50MG
LOSARTAN POTASSICO 50MG CPR RIV DIV/LORTAAN*28CPR RIV DIV 50MG
LOSARTAN POTASSICO 50MG CPR RIV DIV/LORTAAN*28CPR RIV DIV 50MG
LOSARTAN POTASSICO 50MG CPR RIV DIV/LORTAAN*28CPR RIV DIV 50MG
LOSARTAN POTASSICO 50MG CPR RIV DIV/LORTAAN*28CPR RIV DIV 50MG
LOSARTAN POTASSICO 50MG CPR RIV DIV/LORTAAN*28CPR RIV DIV 50MG
PEGINTERF.ALFA 2B 100MCG PEN -DSC/PEGINTRON*SC 1PEN 100MCG+1AGO+SOLV
PEGINTERF.ALFA 2B 100MCG PEN -DSC/PEGINTRON*SC 1PEN 100MCG+1AGO+SOLV
PEGINTERF.ALFA 2B 100MCG PEN -DSC/PEGINTRON*SC 1PEN 100MCG+1AGO+SOLV
PEGINTERF.ALFA 2B 100MCG PEN -DSC/PEGINTRON*SC 1PEN 100MCG+1AGO+SOLV
PEGINTERF.ALFA 2B 100MCG PEN -DSC/PEGINTRON*SC 1PEN 100MCG+1AGO+SOLV
PEGINTERF.ALFA 2B 120MCG PEN -DSC/PEGINTRON*SC 1PEN 120MCG+1AGO+
PEGINTERF.ALFA 2B 120MCG PEN -DSC/PEGINTRON*SC 1PEN 120MCG+1AGO+
52di89
38
38
900
900
250
250
250
250
250
400
80
100
30
30
100
60
120
60
15
15
20
20
20
25
50
3000
2250
1350
2250
3000
1684
1684
6944
6944
24621
6944
6944
6944
13889
125
125
175
125
100
25
30
25
57
€ 36.495,43
€ 36.495,43
€ 36.495,43
€ 1.239,70
€ 1.239,70
€ 110.732,50
€ 110.732,50
€ 110.732,50
€ 110.732,50
€ 110.732,50
€ 177.172,00
€ 4.287,91
€ 5.359,89
€ 1.607,95
€ 1.607,95
€ 5.359,89
€ 3.215,93
€ 6.431,84
€ 3.215,93
€ 1.510,18
€ 1.510,18
€ 2.013,55
€ 2.013,55
€ 2.013,55
€ 2.516,95
€ 5.033,91
€ 446,39
€ 334,77
€ 200,89
€ 334,77
€ 446,39
€ 0,05
€ 0,05
€ 0,25
€ 0,25
€ 0,89
€ 0,25
€ 0,25
€ 0,25
€ 0,50
€ 16.613,07
€ 16.613,07
€ 23.258,32
€ 16.613,07
€ 13.290,48
€ 3.987,25
€ 4.784,70
€ 40.144,98
€ 40.144,98
€ 40.144,98
€ 1.363,68
€ 1.363,68
€ 121.805,75
€ 121.805,75
€ 121.805,75
€ 121.805,75
€ 121.805,75
€ 194.889,20
€ 4.716,70
€ 5.895,88
€ 1.768,75
€ 1.768,75
€ 5.895,88
€ 3.537,53
€ 7.075,03
€ 3.537,53
€ 1.661,20
€ 1.661,20
€ 2.214,90
€ 2.214,90
€ 2.214,90
€ 2.768,65
€ 5.537,30
€ 491,03
€ 368,25
€ 220,98
€ 368,25
€ 491,03
€ 0,05
€ 0,05
€ 0,28
€ 0,28
€ 0,98
€ 0,28
€ 0,28
€ 0,28
€ 0,55
€ 18.274,38
€ 18.274,38
€ 25.584,15
€ 18.274,38
€ 14.619,53
€ 4.385,98
€ 5.263,18
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
1539
1538
1538
1538
1538
1821
1821
1821
1821
5033
5033
5033
5033
2429
2429
2429
2429
2429
2429
2429
1114
1114
1114
1114
1114
5599
5599
5599
5599
5599
5599
1073
1073
1073
1073
1073
1071
1071
1071
1074
1074
1074
1074
4890
4890
5411
5411
Ditta Offerente
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MUNDIPHARMA PHARMACEUTICALS S.R.L.
MUNDIPHARMA PHARMACEUTICALS S.R.L.
MUNDIPHARMA PHARMACEUTICALS S.R.L.
MUNDIPHARMA PHARMACEUTICALS S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
PEGINTERF.ALFA 2B 120MCG PEN -DSC/PEGINTRON*SC 1PEN 120MCG+1AGO+
PEGINTERF.ALFA 2B 80MCG PEN -DSC/PEGINTRON*SC 1PEN 80MCG+1AG+2
PEGINTERF.ALFA 2B 80MCG PEN -DSC/PEGINTRON*SC 1PEN 80MCG+1AG+2
PEGINTERF.ALFA 2B 80MCG PEN -DSC/PEGINTRON*SC 1PEN 80MCG+1AG+2
PEGINTERF.ALFA 2B 80MCG PEN -DSC/PEGINTRON*SC 1PEN 80MCG+1AG+2
POSACONAZOLO 40MG/ML SOSP OS/NOXAFIL*OS SOSP 105ML 40MG/ML
POSACONAZOLO 40MG/ML SOSP OS/NOXAFIL*OS SOSP 105ML 40MG/ML
POSACONAZOLO 40MG/ML SOSP OS/NOXAFIL*OS SOSP 105ML 40MG/ML
POSACONAZOLO 40MG/ML SOSP OS/NOXAFIL*OS SOSP 105ML 40MG/ML
RALTEGRAVIR POTASSICO 400MG CPR RIV/ISENTRESS*FL 60CPR RIV 400MG
RALTEGRAVIR POTASSICO 400MG CPR RIV/ISENTRESS*FL 60CPR RIV 400MG
RALTEGRAVIR POTASSICO 400MG CPR RIV/ISENTRESS*FL 60CPR RIV 400MG
RALTEGRAVIR POTASSICO 400MG CPR RIV/ISENTRESS*FL 60CPR RIV 400MG
ROCURONIO BROMURO 50MG/5ML FL EV/ESMERON*EV 10FL 50MG/5ML
ROCURONIO BROMURO 50MG/5ML FL EV/ESMERON*EV 10FL 50MG/5ML
ROCURONIO BROMURO 50MG/5ML FL EV/ESMERON*EV 10FL 50MG/5ML
ROCURONIO BROMURO 50MG/5ML FL EV/ESMERON*EV 10FL 50MG/5ML
ROCURONIO BROMURO 50MG/5ML FL EV/ESMERON*EV 10FL 50MG/5ML
ROCURONIO BROMURO 50MG/5ML FL EV/ESMERON*EV 10FL 50MG/5ML
ROCURONIO BROMURO 50MG/5ML FL EV/ESMERON*EV 10FL 50MG/5ML
SIMVASTATINA 20MG CPR RIV/SINVACOR*28CPR RIV 20MG
SIMVASTATINA 20MG CPR RIV/SINVACOR*28CPR RIV 20MG
SIMVASTATINA 20MG CPR RIV/SINVACOR*28CPR RIV 20MG
SIMVASTATINA 20MG CPR RIV/SINVACOR*28CPR RIV 20MG
SIMVASTATINA 20MG CPR RIV/SINVACOR*28CPR RIV 20MG
SUGAMMADEX 2ML 100MG/ML FL EV/BRIDION*10FL EV 2ML 100MG/ML
SUGAMMADEX 2ML 100MG/ML FL EV/BRIDION*10FL EV 2ML 100MG/ML
SUGAMMADEX 2ML 100MG/ML FL EV/BRIDION*10FL EV 2ML 100MG/ML
SUGAMMADEX 2ML 100MG/ML FL EV/BRIDION*10FL EV 2ML 100MG/ML
SUGAMMADEX 2ML 100MG/ML FL EV/BRIDION*10FL EV 2ML 100MG/ML
SUGAMMADEX 2ML 100MG/ML FL EV/BRIDION*10FL EV 2ML 100MG/ML
TEMOZOLOMIDE 100MG CPS BUSTE -DSC/TEMODAL*5BUST 5CPS 100MG
TEMOZOLOMIDE 100MG CPS BUSTE -DSC/TEMODAL*5BUST 5CPS 100MG
TEMOZOLOMIDE 100MG CPS BUSTE -DSC/TEMODAL*5BUST 5CPS 100MG
TEMOZOLOMIDE 100MG CPS BUSTE -DSC/TEMODAL*5BUST 5CPS 100MG
TEMOZOLOMIDE 100MG CPS BUSTE -DSC/TEMODAL*5BUST 5CPS 100MG
TEMOZOLOMIDE 20MG CPS BUSTE -DSC/TEMODAL*5BUST 5CPS 20MG
TEMOZOLOMIDE 20MG CPS BUSTE -DSC/TEMODAL*5BUST 5CPS 20MG
TEMOZOLOMIDE 20MG CPS BUSTE -DSC/TEMODAL*5BUST 5CPS 20MG
TEMOZOLOMIDE 250MG CPS BUSTE -DSC/TEMODAL*5BUST 5CPS 250MG
TEMOZOLOMIDE 250MG CPS BUSTE -DSC/TEMODAL*5BUST 5CPS 250MG
TEMOZOLOMIDE 250MG CPS BUSTE -DSC/TEMODAL*5BUST 5CPS 250MG
TEMOZOLOMIDE 250MG CPS BUSTE -DSC/TEMODAL*5BUST 5CPS 250MG
OXICODONE CLOR.40MG CPR R.P./OXYCONTIN*28CPR 40MG RP
OXICODONE CLOR.40MG CPR R.P./OXYCONTIN*28CPR 40MG RP
OXICODONE CLOR.5MG CPR RP/OXYCONTIN*28CPR 5MG R.P.
OXICODONE CLOR.5MG CPR RP/OXYCONTIN*28CPR 5MG R.P.
53di89
100
200
125
100
75
50
75
75
7650
7650
15300
15600
4000
500
4000
2500
4000
4000
250
13636
25000
14015
24500
35000
50
150
150
100
50
150
187
375
250
225
250
113
125
62
50
50
50
25
3500
350
1400
2800
250
58
€ 3.987,25
€ 11.645,25
€ 23.290,48
€ 14.556,55
€ 11.645,25
€ 41.681,25
€ 27.787,50
€ 41.681,25
€ 41.681,25
€ 60.337,25
€ 60.416,64
€ 120.835,93
€ 123.202,55
€ 6.632,00
€ 829,00
€ 6.632,00
€ 4.145,00
€ 6.632,00
€ 6.632,00
€ 414,50
€ 0,34
€ 0,25
€ 4,20
€ 487,55
€ 696,50
€ 3.339,18
€ 10.017,52
€ 10.017,52
€ 6.678,34
€ 3.339,18
€ 10.017,52
€ 2.813,09
€ 5.626,20
€ 3.750,80
€ 3.375,73
€ 3.750,80
€ 337,55
€ 375,05
€ 187,52
€ 1.875,41
€ 1.875,41
€ 1.875,41
€ 937,70
€ 3.535,00
€ 353,50
€ 182,55
€ 364,00
€ 4.385,98
€ 12.809,78
€ 25.619,53
€ 16.012,20
€ 12.809,78
€ 45.849,38
€ 30.566,25
€ 45.849,38
€ 45.849,38
€ 66.370,98
€ 66.458,30
€ 132.919,53
€ 135.522,80
€ 7.295,20
€ 911,90
€ 7.295,20
€ 4.559,50
€ 7.295,20
€ 7.295,20
€ 455,95
€ 0,38
€ 0,28
€ 4,63
€ 536,30
€ 766,15
€ 3.673,10
€ 11.019,28
€ 11.019,28
€ 7.346,18
€ 3.673,10
€ 11.019,28
€ 3.094,40
€ 6.188,83
€ 4.125,88
€ 3.713,30
€ 4.125,88
€ 371,30
€ 412,55
€ 206,28
€ 2.062,95
€ 2.062,95
€ 2.062,95
€ 1.031,48
€ 3.888,50
€ 388,85
€ 200,80
€ 400,40
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
5626
5626
5626
5626
5626
5626
300
300
300
300
300
300
300
1669
1669
1669
1383
698
7707
960
960
960
8300
8300
8300
8339
8339
8339
8339
8339
8339
8339
8340
8340
8340
7727
7727
7727
7727
5985
7726
7726
7726
7726
7726
7726
7726
Ditta Offerente
MYLAN SPA
MYLAN SPA
MYLAN SPA
MYLAN SPA
MYLAN SPA
MYLAN SPA
MYLAN SPA
MYLAN SPA
MYLAN SPA
MYLAN SPA
MYLAN SPA
MYLAN SPA
MYLAN SPA
MYLAN SPA
MYLAN SPA
MYLAN SPA
MYLAN SPA
MYLAN SPA
MYLAN SPA
MYLAN SPA
MYLAN SPA
MYLAN SPA
NEOPHARMED GENTILI SRL
NEOPHARMED GENTILI SRL
NEOPHARMED GENTILI SRL
NEOPHARMED GENTILI SRL
NEOPHARMED GENTILI SRL
NEOPHARMED GENTILI SRL
NEOPHARMED GENTILI SRL
NEOPHARMED GENTILI SRL
NEOPHARMED GENTILI SRL
NEOPHARMED GENTILI SRL
NEOPHARMED GENTILI SRL
NEOPHARMED GENTILI SRL
NEOPHARMED GENTILI SRL
NOVA ARGENTIA S.P.A.
NOVA ARGENTIA S.P.A.
NOVA ARGENTIA S.P.A.
NOVA ARGENTIA S.P.A.
NOVARTIS CONSUMER HEALTH S.P.A.
NOVARTIS CONSUMER HEALTH S.P.A.
NOVARTIS CONSUMER HEALTH S.P.A.
NOVARTIS CONSUMER HEALTH S.P.A.
NOVARTIS CONSUMER HEALTH S.P.A.
NOVARTIS CONSUMER HEALTH S.P.A.
NOVARTIS CONSUMER HEALTH S.P.A.
NOVARTIS CONSUMER HEALTH S.P.A.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
ACICLOVIR 5% 3G CREMA/ACICLOVIR M.G.*CREMA 3G 5%
ACICLOVIR 5% 3G CREMA/ACICLOVIR M.G.*CREMA 3G 5%
ACICLOVIR 5% 3G CREMA/ACICLOVIR M.G.*CREMA 3G 5%
ACICLOVIR 5% 3G CREMA/ACICLOVIR M.G.*CREMA 3G 5%
ACICLOVIR 5% 3G CREMA/ACICLOVIR M.G.*CREMA 3G 5%
ACICLOVIR 5% 3G CREMA/ACICLOVIR M.G.*CREMA 3G 5%
NIMESULIDE 100MG BUSTE/NIMESULIDE M.G.*30BUST 100MG
NIMESULIDE 100MG BUSTE/NIMESULIDE M.G.*30BUST 100MG
NIMESULIDE 100MG BUSTE/NIMESULIDE M.G.*30BUST 100MG
NIMESULIDE 100MG BUSTE/NIMESULIDE M.G.*30BUST 100MG
NIMESULIDE 100MG BUSTE/NIMESULIDE M.G.*30BUST 100MG
NIMESULIDE 100MG BUSTE/NIMESULIDE M.G.*30BUST 100MG
NIMESULIDE 100MG BUSTE/NIMESULIDE M.G.*30BUST 100MG
PRAMIPEXOLO DICL.MONOID.0,18MG CPR/PRAMIPEXOLO MYL*30CPR 0,18MG
PRAMIPEXOLO DICL.MONOID.0,18MG CPR/PRAMIPEXOLO MYL*30CPR 0,18MG
PRAMIPEXOLO DICL.MONOID.0,18MG CPR/PRAMIPEXOLO MYL*30CPR 0,18MG
PRAMIPEXOLO DICL.MONOID.0,7MG CPR/PRAMIPEXOLO MYL*30CPR 0,7MG
RANITIDINA 300MG CPR RIV/RANITIDINA M.G.*20CPR RIV 300MG
RANITIDINA CLOR. 150MG CPR RIV -FC-/RANITIDINA M.G.*20CPR RIV150MG
VALACICLOVIR CLOR. 1000MG CPR -DSC/VALACICLOVIR MG*21CPR RIV 1G
VALACICLOVIR CLOR. 1000MG CPR -DSC/VALACICLOVIR MG*21CPR RIV 1G
VALACICLOVIR CLOR. 1000MG CPR -DSC/VALACICLOVIR MG*21CPR RIV 1G
PERFENAZINA 2MG CPR RIV -NO PTO,RM/TRILAFON*20CPR RIV 2MG
PERFENAZINA 2MG CPR RIV -NO PTO,RM/TRILAFON*20CPR RIV 2MG
PERFENAZINA 2MG CPR RIV -NO PTO,RM/TRILAFON*20CPR RIV 2MG
PERFENAZINA 4MG CPR RIV/TRILAFON*20CPR RIV 4MG
PERFENAZINA 4MG CPR RIV/TRILAFON*20CPR RIV 4MG
PERFENAZINA 4MG CPR RIV/TRILAFON*20CPR RIV 4MG
PERFENAZINA 4MG CPR RIV/TRILAFON*20CPR RIV 4MG
PERFENAZINA 4MG CPR RIV/TRILAFON*20CPR RIV 4MG
PERFENAZINA 4MG CPR RIV/TRILAFON*20CPR RIV 4MG
PERFENAZINA 4MG CPR RIV/TRILAFON*20CPR RIV 4MG
PERFENAZINA 8MG CPR RIV/TRILAFON*20CPR RIV 8MG
PERFENAZINA 8MG CPR RIV/TRILAFON*20CPR RIV 8MG
PERFENAZINA 8MG CPR RIV/TRILAFON*20CPR RIV 8MG
GLICEROLO 2250MG SUPP AD/GLICEROLO*AD 18SUPP 2250MG
GLICEROLO 2250MG SUPP AD/GLICEROLO*AD 18SUPP 2250MG
GLICEROLO 2250MG SUPP AD/GLICEROLO*AD 18SUPP 2250MG
GLICEROLO 2250MG SUPP AD/GLICEROLO*AD 18SUPP 2250MG
DICLOFENAC SALE DIETILAMINA 60G GEL/VOLTAREN EMULGEL*GEL 60G 1% CDR
SENNA FOGLIA 12MG CPR RIV/PURSENNID*30CPR RIV 12MG
SENNA FOGLIA 12MG CPR RIV/PURSENNID*30CPR RIV 12MG
SENNA FOGLIA 12MG CPR RIV/PURSENNID*30CPR RIV 12MG
SENNA FOGLIA 12MG CPR RIV/PURSENNID*30CPR RIV 12MG
SENNA FOGLIA 12MG CPR RIV/PURSENNID*30CPR RIV 12MG
SENNA FOGLIA 12MG CPR RIV/PURSENNID*30CPR RIV 12MG
SENNA FOGLIA 12MG CPR RIV/PURSENNID*30CPR RIV 12MG
54di89
300
250
300
250
625
15000
7500
11250
7500
11250
7500
15000
750
600
750
1500
100
1500
105
158
158
1000
1500
1000
4000
5000
5000
5000
5000
5000
7500
5000
5000
500
8010
6750
6750
6750
250
17250
39750
117000
30000
30000
117000
75000
1250
59
€ 137,59
€ 165,14
€ 137,59
€ 165,14
€ 137,59
€ 344,02
€ 339,30
€ 169,66
€ 254,48
€ 169,66
€ 254,48
€ 169,66
€ 339,30
€ 26,68
€ 21,34
€ 26,68
€ 118,16
€ 2,41
€ 26,43
€ 48,75
€ 73,14
€ 73,14
€ 254,55
€ 381,82
€ 254,55
€ 1.086,34
€ 1.357,95
€ 1.357,95
€ 1.357,95
€ 1.357,95
€ 1.357,95
€ 2.036,93
€ 1.443,20
€ 1.443,20
€ 145,00
€ 275,95
€ 232,55
€ 232,55
€ 232,20
€ 170,00
€ 885,50
€ 2.040,48
€ 6.005,95
€ 1.540,00
€ 1.540,00
€ 5.850,00
€ 3.750,00
€ 151,35
€ 181,65
€ 151,35
€ 181,65
€ 151,35
€ 378,43
€ 373,23
€ 186,63
€ 279,93
€ 186,63
€ 279,93
€ 186,63
€ 373,23
€ 29,35
€ 23,48
€ 29,35
€ 129,98
€ 2,65
€ 29,08
€ 53,63
€ 80,45
€ 80,45
€ 280,00
€ 420,00
€ 280,00
€ 1.194,98
€ 1.493,75
€ 1.493,75
€ 1.493,75
€ 1.493,75
€ 1.493,75
€ 2.240,63
€ 1.587,53
€ 1.587,53
€ 159,50
€ 303,55
€ 255,80
€ 255,80
€ 255,43
€ 187,00
€ 974,05
€ 2.244,53
€ 6.606,55
€ 1.694,00
€ 1.694,00
€ 6.435,00
€ 4.125,00
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
8208
8208
8209
8209
8209
8209
8209
8209
1140
1140
1140
1140
3773
3773
8420
8420
8420
8420
8420
8420
8420
13272
13272
13272
13272
13272
13272
2013
2013
2013
799
827
827
827
439
439
439
439
439
6112
5531
5531
5531
5531
1767
1261
1261
Ditta Offerente
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
BACLOFENE 10MG CPR/LIORESAL*FL 50CPR 10MG
BACLOFENE 10MG CPR/LIORESAL*FL 50CPR 10MG
BACLOFENE 25MG CPR/LIORESAL*FL 50CPR 25MG
BACLOFENE 25MG CPR/LIORESAL*FL 50CPR 25MG
BACLOFENE 25MG CPR/LIORESAL*FL 50CPR 25MG
BACLOFENE 25MG CPR/LIORESAL*FL 50CPR 25MG
BACLOFENE 25MG CPR/LIORESAL*FL 50CPR 25MG
BACLOFENE 25MG CPR/LIORESAL*FL 50CPR 25MG
BACLOFENE INTRATECALE 10MG/5ML FL/LIORESAL*INTRATEC 1F 10MG 5ML
BACLOFENE INTRATECALE 10MG/5ML FL/LIORESAL*INTRATEC 1F 10MG 5ML
BACLOFENE INTRATECALE 10MG/5ML FL/LIORESAL*INTRATEC 1F 10MG 5ML
BACLOFENE INTRATECALE 10MG/5ML FL/LIORESAL*INTRATEC 1F 10MG 5ML
BASILIXIMAB 20MG+F 5ML F IV/SIMULECT*IV 1F 20MG+F 5ML
BASILIXIMAB 20MG+F 5ML F IV/SIMULECT*IV 1F 20MG+F 5ML
CARBAMAZEPINA 200MG CPR/TEGRETOL*50CPR 200MG
CARBAMAZEPINA 200MG CPR/TEGRETOL*50CPR 200MG
CARBAMAZEPINA 200MG CPR/TEGRETOL*50CPR 200MG
CARBAMAZEPINA 200MG CPR/TEGRETOL*50CPR 200MG
CARBAMAZEPINA 200MG CPR/TEGRETOL*50CPR 200MG
CARBAMAZEPINA 200MG CPR/TEGRETOL*50CPR 200MG
CARBAMAZEPINA 200MG CPR/TEGRETOL*50CPR 200MG
CARBAMAZEPINA 400MG CPR/TEGRETOL*30CPR 400MG
CARBAMAZEPINA 400MG CPR/TEGRETOL*30CPR 400MG
CARBAMAZEPINA 400MG CPR/TEGRETOL*30CPR 400MG
CARBAMAZEPINA 400MG CPR/TEGRETOL*30CPR 400MG
CARBAMAZEPINA 400MG CPR/TEGRETOL*30CPR 400MG
CARBAMAZEPINA 400MG CPR/TEGRETOL*30CPR 400MG
CICLOSPORINA 100MG CPS/SANDIMMUN NEORAL*30CPS 100MG
CICLOSPORINA 100MG CPS/SANDIMMUN NEORAL*30CPS 100MG
CICLOSPORINA 100MG CPS/SANDIMMUN NEORAL*30CPS 100MG
CICLOSPORINA 100MG/ML 50ML FL OS/EV/SANDIMMUN NEORAL*50ML 100MG/ML
CICLOSPORINA 25MG CPS/SANDIMMUN NEORAL*50CPS 25MG
CICLOSPORINA 25MG CPS/SANDIMMUN NEORAL*50CPS 25MG
CICLOSPORINA 25MG CPS/SANDIMMUN NEORAL*50CPS 25MG
CICLOSPORINA 50MG CPS/SANDIMMUN NEORAL*50CPS 50MG
CICLOSPORINA 50MG CPS/SANDIMMUN NEORAL*50CPS 50MG
CICLOSPORINA 50MG CPS/SANDIMMUN NEORAL*50CPS 50MG
CICLOSPORINA 50MG CPS/SANDIMMUN NEORAL*50CPS 50MG
CICLOSPORINA 50MG CPS/SANDIMMUN NEORAL*50CPS 50MG
CICLOSPORINA 50MG/ML F 5ML INFUS/SANDIMMUN*INFUS10F 5ML 50MG/ML
DAPTOMICINA 500MG 10ML FL POLV/CUBICIN*EV 1FL 10ML POLV 500MG
DAPTOMICINA 500MG 10ML FL POLV/CUBICIN*EV 1FL 10ML POLV 500MG
DAPTOMICINA 500MG 10ML FL POLV/CUBICIN*EV 1FL 10ML POLV 500MG
DAPTOMICINA 500MG 10ML FL POLV/CUBICIN*EV 1FL 10ML POLV 500MG
DAPTOMICINA 350MG 10ML FL POLV/CUBICIN*EV 1FL 10ML POLV 350MG
DEFERASIROX 250MG CPR DISP -DSC/EXJADE*28CPR DISP 250MG
DEFERASIROX 250MG CPR DISP -DSC/EXJADE*28CPR DISP 250MG
55di89
1500
5000
5000
7500
5000
10500
7500
125
125
125
100
25
37
5000
5000
6251
5000
7500
7500
15000
3000
5250
3000
3750
4500
3000
750
1500
1875
23
1250
2500
2500
2500
2500
1250
1750
3750
175
125
175
250
250
125
700
700
2100
60
€ 129,27
€ 155,14
€ 578,00
€ 578,00
€ 867,00
€ 578,00
€ 1.260,00
€ 900,00
€ 5.007,14
€ 5.007,14
€ 5.007,14
€ 4.005,70
€ 22.955,32
€ 34.432,98
€ 212,50
€ 212,50
€ 265,66
€ 212,50
€ 318,77
€ 318,77
€ 637,52
€ 265,00
€ 463,75
€ 265,00
€ 331,25
€ 397,48
€ 265,00
€ 1.397,50
€ 2.795,00
€ 3.493,75
€ 2.057,02
€ 641,95
€ 1.283,91
€ 1.283,91
€ 2.489,14
€ 2.489,14
€ 1.244,57
€ 1.742,41
€ 3.733,70
€ 1.131,93
€ 12.823,02
€ 17.952,23
€ 25.646,05
€ 25.646,05
€ 9.447,66
€ 8.213,02
€ 7.781,07
€ 142,20
€ 170,65
€ 635,80
€ 635,80
€ 953,70
€ 635,80
€ 1.386,00
€ 990,00
€ 5.507,85
€ 5.507,85
€ 5.507,85
€ 4.406,28
€ 25.250,85
€ 37.876,28
€ 233,75
€ 233,75
€ 292,23
€ 233,75
€ 350,65
€ 350,65
€ 701,28
€ 291,50
€ 510,13
€ 291,50
€ 364,38
€ 437,23
€ 291,50
€ 1.537,25
€ 3.074,50
€ 3.843,13
€ 2.262,73
€ 706,15
€ 1.412,30
€ 1.412,30
€ 2.738,05
€ 2.738,05
€ 1.369,03
€ 1.916,65
€ 4.107,08
€ 1.245,13
€ 14.105,33
€ 19.747,45
€ 28.210,65
€ 28.210,65
€ 10.392,43
€ 9.034,33
€ 8.559,18
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
5001
5001
5001
5001
5001
6805
6805
6805
6805
2866
2866
2866
2867
2867
2867
5431
5431
5431
5431
5431
5431
5431
5431
5800
5800
5800
5800
5800
5800
5800
6779
6779
6779
6779
6779
6779
4477
4477
4477
4477
4477
4477
4477
4477
4982
4982
4982
Ditta Offerente
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
DEFERASIROX 500MG CPR DISP -DSC/EXJADE*28CPR DISP 500MG
DEFERASIROX 500MG CPR DISP -DSC/EXJADE*28CPR DISP 500MG
DEFERASIROX 500MG CPR DISP -DSC/EXJADE*28CPR DISP 500MG
DEFERASIROX 500MG CPR DISP -DSC/EXJADE*28CPR DISP 500MG
DEFERASIROX 500MG CPR DISP -DSC/EXJADE*28CPR DISP 500MG
DEFEROXAMINA MES.500MG/5ML FL/DESFERAL*10FL 500MG/5ML+10F5ML
DEFEROXAMINA MES.500MG/5ML FL/DESFERAL*10FL 500MG/5ML+10F5ML
DEFEROXAMINA MES.500MG/5ML FL/DESFERAL*10FL 500MG/5ML+10F5ML
DEFEROXAMINA MES.500MG/5ML FL/DESFERAL*10FL 500MG/5ML+10F5ML
EVEROLIMUS 0,25MG CPR/CERTICAN*60CPR 0,25MG
EVEROLIMUS 0,25MG CPR/CERTICAN*60CPR 0,25MG
EVEROLIMUS 0,25MG CPR/CERTICAN*60CPR 0,25MG
EVEROLIMUS 0,75MG CPR/CERTICAN*60CPR 0,75MG
EVEROLIMUS 0,75MG CPR/CERTICAN*60CPR 0,75MG
EVEROLIMUS 0,75MG CPR/CERTICAN*60CPR 0,75MG
EVEROLIMUS 10MG CPR
-DSC/AFINITOR*30CPR 10MG
EVEROLIMUS 10MG CPR
-DSC/AFINITOR*30CPR 10MG
EVEROLIMUS 10MG CPR
-DSC/AFINITOR*30CPR 10MG
EVEROLIMUS 10MG CPR
-DSC/AFINITOR*30CPR 10MG
EVEROLIMUS 10MG CPR
-DSC/AFINITOR*30CPR 10MG
EVEROLIMUS 10MG CPR
-DSC/AFINITOR*30CPR 10MG
EVEROLIMUS 10MG CPR
-DSC/AFINITOR*30CPR 10MG
EVEROLIMUS 10MG CPR
-DSC/AFINITOR*30CPR 10MG
FINGOLIMOD CLORIDRATO CPS 0,5MG-DSC/GILENYA*28CPS 0,5MG
FINGOLIMOD CLORIDRATO CPS 0,5MG-DSC/GILENYA*28CPS 0,5MG
FINGOLIMOD CLORIDRATO CPS 0,5MG-DSC/GILENYA*28CPS 0,5MG
FINGOLIMOD CLORIDRATO CPS 0,5MG-DSC/GILENYA*28CPS 0,5MG
FINGOLIMOD CLORIDRATO CPS 0,5MG-DSC/GILENYA*28CPS 0,5MG
FINGOLIMOD CLORIDRATO CPS 0,5MG-DSC/GILENYA*28CPS 0,5MG
FINGOLIMOD CLORIDRATO CPS 0,5MG-DSC/GILENYA*28CPS 0,5MG
IDROCLOROTIAZIDE 25MG CPR/ESIDREX*20CPR 25MG
IDROCLOROTIAZIDE 25MG CPR/ESIDREX*20CPR 25MG
IDROCLOROTIAZIDE 25MG CPR/ESIDREX*20CPR 25MG
IDROCLOROTIAZIDE 25MG CPR/ESIDREX*20CPR 25MG
IDROCLOROTIAZIDE 25MG CPR/ESIDREX*20CPR 25MG
IDROCLOROTIAZIDE 25MG CPR/ESIDREX*20CPR 25MG
IMATINIB MESILATO 100MG CPS -DSC/GLIVEC*120CPS 100MG
IMATINIB MESILATO 100MG CPS -DSC/GLIVEC*120CPS 100MG
IMATINIB MESILATO 100MG CPS -DSC/GLIVEC*120CPS 100MG
IMATINIB MESILATO 100MG CPS -DSC/GLIVEC*120CPS 100MG
IMATINIB MESILATO 100MG CPS -DSC/GLIVEC*120CPS 100MG
IMATINIB MESILATO 100MG CPS -DSC/GLIVEC*120CPS 100MG
IMATINIB MESILATO 100MG CPS -DSC/GLIVEC*120CPS 100MG
IMATINIB MESILATO 100MG CPS -DSC/GLIVEC*120CPS 100MG
LEVOD/CARBID/ENTAC 100+25+200MG CPR/STALEVO*100CPR 100+25+200MG
LEVOD/CARBID/ENTAC 100+25+200MG CPR/STALEVO*100CPR 100+25+200MG
LEVOD/CARBID/ENTAC 100+25+200MG CPR/STALEVO*100CPR 100+25+200MG
56di89
1400
2100
2800
2800
1250
1250
2500
3750
1500
1050
600
1050
750
450
75
150
150
150
300
450
450
450
2100
1400
1400
1400
2100
2100
3500
5000
2500
2500
2500
5000
2500
15000
15000
15000
15000
21000
15000
15000
30000
500
500
500
500
61
€ 49.278,66
€ 32.852,43
€ 46.683,00
€ 62.244,00
€ 65.704,84
€ 3.092,05
€ 3.092,05
€ 6.184,09
€ 9.276,14
€ 2.731,27
€ 1.911,91
€ 1.092,52
€ 5.736,45
€ 4.097,48
€ 2.458,48
€ 9.119,93
€ 18.239,89
€ 18.239,89
€ 18.239,89
€ 36.479,73
€ 54.719,59
€ 54.719,59
€ 54.719,59
€ 118.126,64
€ 78.751,07
€ 78.751,07
€ 78.751,07
€ 118.126,64
€ 118.126,64
€ 196.877,73
€ 262,50
€ 131,25
€ 131,25
€ 131,25
€ 262,50
€ 131,25
€ 250.957,70
€ 250.957,70
€ 250.957,70
€ 250.957,70
€ 351.340,77
€ 250.957,70
€ 250.957,70
€ 501.915,41
€ 333,95
€ 333,95
€ 333,98
€ 54.206,53
€ 36.137,68
€ 51.351,30
€ 68.468,40
€ 72.275,33
€ 3.401,25
€ 3.401,25
€ 6.802,50
€ 10.203,75
€ 3.004,40
€ 2.103,10
€ 1.201,78
€ 6.310,10
€ 4.507,23
€ 2.704,33
€ 10.031,93
€ 20.063,88
€ 20.063,88
€ 20.063,88
€ 40.127,70
€ 60.191,55
€ 60.191,55
€ 60.191,55
€ 129.939,30
€ 86.626,18
€ 86.626,18
€ 86.626,18
€ 129.939,30
€ 129.939,30
€ 216.565,50
€ 288,75
€ 144,38
€ 144,38
€ 144,38
€ 288,75
€ 144,38
€ 276.053,48
€ 276.053,48
€ 276.053,48
€ 276.053,48
€ 386.474,85
€ 276.053,48
€ 276.053,48
€ 552.106,95
€ 367,35
€ 367,35
€ 367,38
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
5042
5042
5042
5042
5291
5291
5291
5291
5059
5059
2852
2852
2852
2852
2852
2852
5282
5282
5282
5282
12969
1493
1493
1493
1493
1493
1493
1493
1134
1134
2394
2394
2394
519
519
519
519
519
2567
2567
2567
5325
5325
5325
5325
5393
5393
Ditta Offerente
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
LEVOD/CARBID/ENTAC 150+37,5+200MG C/STALEVO*100CPR 150+37,5+200MG
LEVOD/CARBID/ENTAC 150+37,5+200MG C/STALEVO*100CPR 150+37,5+200MG
LEVOD/CARBID/ENTAC 150+37,5+200MG C/STALEVO*100CPR 150+37,5+200MG
LEVOD/CARBID/ENTAC 150+37,5+200MG C/STALEVO*100CPR 150+37,5+200MG
LEVOD/CARBID/ENTAC 200+50+200MG CPR/STALEVO*100CPR 200+50+200MG
LEVOD/CARBID/ENTAC 200+50+200MG CPR/STALEVO*100CPR 200+50+200MG
LEVOD/CARBID/ENTAC 200+50+200MG CPR/STALEVO*100CPR 200+50+200MG
LEVOD/CARBID/ENTAC 200+50+200MG CPR/STALEVO*100CPR 200+50+200MG
MICOFENOLATO SODICO 180MG CPR -DSC/MYFORTIC*100CPR GASTROR. 180MG
MICOFENOLATO SODICO 180MG CPR -DSC/MYFORTIC*100CPR GASTROR. 180MG
MICOFENOLATO SODICO 360MG CPR -DSC/MYFORTIC*50CPR GASTROR 360MG
MICOFENOLATO SODICO 360MG CPR -DSC/MYFORTIC*50CPR GASTROR 360MG
MICOFENOLATO SODICO 360MG CPR -DSC/MYFORTIC*50CPR GASTROR 360MG
MICOFENOLATO SODICO 360MG CPR -DSC/MYFORTIC*50CPR GASTROR 360MG
MICOFENOLATO SODICO 360MG CPR -DSC/MYFORTIC*50CPR GASTROR 360MG
MICOFENOLATO SODICO 360MG CPR -DSC/MYFORTIC*50CPR GASTROR 360MG
NILOTINIB 200MG CPS
-DSC/TASIGNA*112CPS 200MG
NILOTINIB 200MG CPS
-DSC/TASIGNA*112CPS 200MG
NILOTINIB 200MG CPS
-DSC/TASIGNA*112CPS 200MG
NILOTINIB 200MG CPS
-DSC/TASIGNA*112CPS 200MG
OCTREOTIDE 0,1MG/ML F SC/EV/SANDOSTATINA*INIET 5F 0,1MG/ML
OCTREOTIDE ACET 10MG+SIR FL IM -DSC/SANDOSTATINA LAR*FL 10MG+SIR+2ML
OCTREOTIDE ACET 10MG+SIR FL IM -DSC/SANDOSTATINA LAR*FL 10MG+SIR+2ML
OCTREOTIDE ACET 10MG+SIR FL IM -DSC/SANDOSTATINA LAR*FL 10MG+SIR+2ML
OCTREOTIDE ACET 10MG+SIR FL IM -DSC/SANDOSTATINA LAR*FL 10MG+SIR+2ML
OCTREOTIDE ACET 10MG+SIR FL IM -DSC/SANDOSTATINA LAR*FL 10MG+SIR+2ML
OCTREOTIDE ACET 10MG+SIR FL IM -DSC/SANDOSTATINA LAR*FL 10MG+SIR+2ML
OCTREOTIDE ACET 10MG+SIR FL IM -DSC/SANDOSTATINA LAR*FL 10MG+SIR+2ML
OCTREOTIDE ACET 30MG+SIR FL IM -DSC/SANDOSTATINA LAR*FL 30MG+SIR+2ML
OCTREOTIDE ACET 30MG+SIR FL IM -DSC/SANDOSTATINA LAR*FL 30MG+SIR+2ML
OCTREOTIDE ACET.20MG+SIR FL IM -DSC/SANDOSTATINA LAR*FL 20MG+SIR+2
OCTREOTIDE ACET.20MG+SIR FL IM -DSC/SANDOSTATINA LAR*FL 20MG+SIR+2
OCTREOTIDE ACET.20MG+SIR FL IM -DSC/SANDOSTATINA LAR*FL 20MG+SIR+2
OMALIZUMAB 150MG 1ML SIR SC/XOLAIR*SC 1SIR 150MG 1ML
OMALIZUMAB 150MG 1ML SIR SC/XOLAIR*SC 1SIR 150MG 1ML
OMALIZUMAB 150MG 1ML SIR SC/XOLAIR*SC 1SIR 150MG 1ML
OMALIZUMAB 150MG 1ML SIR SC/XOLAIR*SC 1SIR 150MG 1ML
OMALIZUMAB 150MG 1ML SIR SC/XOLAIR*SC 1SIR 150MG 1ML
PILOCARPINA CLOR. 5MG CPR RIV -DSC/SALAGEN*84CPR RIV 5MG
PILOCARPINA CLOR. 5MG CPR RIV -DSC/SALAGEN*84CPR RIV 5MG
PILOCARPINA CLOR. 5MG CPR RIV -DSC/SALAGEN*84CPR RIV 5MG
RANIBIZUMAB 10MG 0,23ML FL INTRAVIT/LUCENTIS*INIET 1FL 0,23ML 10MG
RANIBIZUMAB 10MG 0,23ML FL INTRAVIT/LUCENTIS*INIET 1FL 0,23ML 10MG
RANIBIZUMAB 10MG 0,23ML FL INTRAVIT/LUCENTIS*INIET 1FL 0,23ML 10MG
RANIBIZUMAB 10MG 0,23ML FL INTRAVIT/LUCENTIS*INIET 1FL 0,23ML 10MG
RIVASTIGMINA 4,6MG/24H CER -CDR/EXELON*30CER 4,6MG/24H
RIVASTIGMINA 4,6MG/24H CER -CDR/EXELON*30CER 4,6MG/24H
57di89
500
500
500
500
500
500
500
1250
750
7500
7500
1250
7500
7500
15000
1400
2800
1680
2800
250
8
8
25
8
25
8
25
25
13
7
13
13
10
10
20
20
20
4200
2102
2102
150
125
175
750
375
375
450
62
€ 333,93
€ 333,93
€ 333,93
€ 333,93
€ 333,93
€ 333,93
€ 333,93
€ 333,93
€ 1.192,80
€ 715,68
€ 14.313,70
€ 14.313,70
€ 2.385,64
€ 14.313,70
€ 14.313,70
€ 28.627,39
€ 45.717,66
€ 91.432,25
€ 54.861,18
€ 91.431,57
€ 537,59
€ 2.496,70
€ 2.496,70
€ 8.322,32
€ 2.496,70
€ 8.322,32
€ 2.496,70
€ 8.322,32
€ 18.640,39
€ 9.320,20
€ 4.303,59
€ 7.172,66
€ 7.172,66
€ 2.773,80
€ 2.773,80
€ 5.547,59
€ 5.547,59
€ 5.759,07
€ 45,23
€ 22,64
€ 22,64
€ 95.244,00
€ 79.370,00
€ 111.118,00
€ 451.800,00
€ 778,45
€ 778,45
€ 367,33
€ 367,33
€ 367,33
€ 367,33
€ 367,33
€ 367,33
€ 367,33
€ 367,33
€ 1.312,08
€ 787,25
€ 15.745,08
€ 15.745,08
€ 2.624,20
€ 15.745,08
€ 15.745,08
€ 31.490,13
€ 50.289,43
€ 100.575,48
€ 60.347,30
€ 100.574,73
€ 591,35
€ 2.746,38
€ 2.746,38
€ 9.154,55
€ 2.746,38
€ 9.154,55
€ 2.746,38
€ 9.154,55
€ 20.504,43
€ 10.252,23
€ 4.733,95
€ 7.889,93
€ 7.889,93
€ 3.051,18
€ 3.051,18
€ 6.102,35
€ 6.102,35
€ 6.334,98
€ 49,75
€ 24,90
€ 24,90
€ 104.768,40
€ 87.307,00
€ 122.229,80
€ 496.980,00
€ 856,30
€ 856,30
ALLEGATO A
Cod.SFO
98
98
98
98
94
94
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
5303
5303
5303
5303
2226
2226
6453
6453
6453
4578
4578
4578
4991
4991
1548
1548
1548
1548
1548
1548
1018
1018
1018
1018
1018
5396
5396
5396
472
472
472
2015
2015
2015
4015
5041
2870
2870
2870
2870
2870
4892
4892
4892
4892
4892
4892
Ditta Offerente
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
NOVO NORDISK SPA
NOVO NORDISK SPA
NOVO NORDISK SPA
NOVO NORDISK SPA
NOVO NORDISK SPA
NOVO NORDISK SPA
NOVO NORDISK SPA
NOVO NORDISK SPA
NOVO NORDISK SPA
NOVO NORDISK SPA
NOVO NORDISK SPA
NOVO NORDISK SPA
NOVO NORDISK SPA
NOVO NORDISK SPA
NOVO NORDISK SPA
NOVO NORDISK SPA
OFTAGEN S.R.L.
OFTAGEN S.R.L.
OFTAGEN S.R.L.
OFTAGEN S.R.L.
OFTAGEN S.R.L.
OFTAGEN S.R.L.
OFTAGEN S.R.L.
OFTAGEN S.R.L.
OMNIA S.P.A
OMNIA S.P.A
OMNIA S.P.A
ORION PHARMA SRL
ORION PHARMA SRL
ORION PHARMA SRL
ORPHAN EUROPE S.R.L.
ORPHAN EUROPE S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
RIVASTIGMINA 9,5MG/24H CEROTTI CDR/EXELON*30CER 9,5MG/24H
RIVASTIGMINA 9,5MG/24H CEROTTI CDR/EXELON*30CER 9,5MG/24H
RIVASTIGMINA 9,5MG/24H CEROTTI CDR/EXELON*30CER 9,5MG/24H
RIVASTIGMINA 9,5MG/24H CEROTTI CDR/EXELON*30CER 9,5MG/24H
EPTACOG ALFA 1MG (50KUI) FL EV/NOVOSEVEN*IV 1MG(50KUI)+1,1ML
EPTACOG ALFA 1MG (50KUI) FL EV/NOVOSEVEN*IV 1MG(50KUI)+1,1ML
GLUCAGONE 1MG 1ML FL SOLV/GLUCAGEN HYPOKIT*FL 1MG+SIR1ML
GLUCAGONE 1MG 1ML FL SOLV/GLUCAGEN HYPOKIT*FL 1MG+SIR1ML
GLUCAGONE 1MG 1ML FL SOLV/GLUCAGEN HYPOKIT*FL 1MG+SIR1ML
INSULINA ASPART 100UI/ML FLEX PEN/NOVORAPID*FLEX 5PEN 3ML 100U/M
INSULINA ASPART 100UI/ML FLEX PEN/NOVORAPID*FLEX 5PEN 3ML 100U/M
INSULINA ASPART 100UI/ML FLEX PEN/NOVORAPID*FLEX 5PEN 3ML 100U/M
INSULINA DETEMIR 100UI/ML PEN/LEVEMIR*FLEX 5PEN 3ML 100UI/ML
INSULINA DETEMIR 100UI/ML PEN/LEVEMIR*FLEX 5PEN 3ML 100UI/ML
SOMATROPINA 15MG/1,5ML CART SC -DSC/NORDITROPIN*SIMPLEXX 15MG/1,5ML CAR
SOMATROPINA 15MG/1,5ML CART SC -DSC/NORDITROPIN*SIMPLEXX 15MG/1,5ML CAR
SOMATROPINA 15MG/1,5ML CART SC -DSC/NORDITROPIN*SIMPLEXX 15MG/1,5ML CAR
SOMATROPINA 15MG/1,5ML CART SC -DSC/NORDITROPIN*SIMPLEXX 15MG/1,5ML CAR
SOMATROPINA 15MG/1,5ML CART SC -DSC/NORDITROPIN*SIMPLEXX 15MG/1,5ML CAR
SOMATROPINA 15MG/1,5ML CART SC -DSC/NORDITROPIN*SIMPLEXX 15MG/1,5ML CAR
BENZALCONIO/AC.POLIACRILICO 10G OFT/LACRINORM*GEL OFT 10G
BENZALCONIO/AC.POLIACRILICO 10G OFT/LACRINORM*GEL OFT 10G
BENZALCONIO/AC.POLIACRILICO 10G OFT/LACRINORM*GEL OFT 10G
BENZALCONIO/AC.POLIACRILICO 10G OFT/LACRINORM*GEL OFT 10G
BENZALCONIO/AC.POLIACRILICO 10G OFT/LACRINORM*GEL OFT 10G
DICLOFENAC 0,5ML COLL 1D/DICLOFTIL*COLL 30CONT 1D 0,5ML
DICLOFENAC 0,5ML COLL 1D/DICLOFTIL*COLL 30CONT 1D 0,5ML
DICLOFENAC 0,5ML COLL 1D/DICLOFTIL*COLL 30CONT 1D 0,5ML
MEPIVACAINA CLOR.3% 1,8ML CART/MEPIVACAINA PIER*3% 100CART 1,8ML
MEPIVACAINA CLOR.3% 1,8ML CART/MEPIVACAINA PIER*3% 100CART 1,8ML
MEPIVACAINA CLOR.3% 1,8ML CART/MEPIVACAINA PIER*3% 100CART 1,8ML
LEVOSIMENDAN 2,5MG/ML FL EV-RISRIAN/SIMDAX*EV 1FL 5ML 2,5MG/ML
LEVOSIMENDAN 2,5MG/ML FL EV-RISRIAN/SIMDAX*EV 1FL 5ML 2,5MG/ML
LEVOSIMENDAN 2,5MG/ML FL EV-RISRIAN/SIMDAX*EV 1FL 5ML 2,5MG/ML
BETAINA 180G POLV OS/CYSTADANE*OS 1FL 180G+3CUCCH
ZINCO ACETATO 50MG CPS FL/WILZIN*FL 250CPS 50MG
ARIPIPRAZOLO 1,3ML 7,5MG/ML FL/ABILIFY*IM FL 1,3ML 7,5MG/ML
ARIPIPRAZOLO 1,3ML 7,5MG/ML FL/ABILIFY*IM FL 1,3ML 7,5MG/ML
ARIPIPRAZOLO 1,3ML 7,5MG/ML FL/ABILIFY*IM FL 1,3ML 7,5MG/ML
ARIPIPRAZOLO 1,3ML 7,5MG/ML FL/ABILIFY*IM FL 1,3ML 7,5MG/ML
ARIPIPRAZOLO 1,3ML 7,5MG/ML FL/ABILIFY*IM FL 1,3ML 7,5MG/ML
ARIPIPRAZOLO 10MG CPR ORODISP/ABILIFY*28CPR ORODISP 10MG
ARIPIPRAZOLO 10MG CPR ORODISP/ABILIFY*28CPR ORODISP 10MG
ARIPIPRAZOLO 10MG CPR ORODISP/ABILIFY*28CPR ORODISP 10MG
ARIPIPRAZOLO 10MG CPR ORODISP/ABILIFY*28CPR ORODISP 10MG
ARIPIPRAZOLO 10MG CPR ORODISP/ABILIFY*28CPR ORODISP 10MG
ARIPIPRAZOLO 10MG CPR ORODISP/ABILIFY*28CPR ORODISP 10MG
58di89
750
450
750
50
75
100
25
100
50
50
75
75
75
20
35
15
30
20
33
63
25
100
50
250
750
375
750
1250
1250
250
50
25
30
15
1250
13
13
25
13
10
2800
2800
2100
2800
2800
2800
1050
63
€ 934,14
€ 1.556,89
€ 934,14
€ 1.556,89
€ 32.692,43
€ 49.038,66
€ 1.091,16
€ 272,77
€ 1.091,16
€ 317,02
€ 317,02
€ 475,52
€ 631,43
€ 631,43
€ 7.378,39
€ 12.912,18
€ 5.533,77
€ 11.067,57
€ 7.378,39
€ 11.989,89
€ 137,07
€ 54,82
€ 219,00
€ 109,50
€ 547,50
€ 28,75
€ 14,39
€ 28,89
€ 230,77
€ 230,75
€ 45,25
€ 34.835,00
€ 17.417,50
€ 20.901,00
€ 6.064,80
€ 1.537,50
€ 38,00
€ 38,00
€ 76,00
€ 38,00
€ 30,41
€ 8.512,43
€ 8.512,43
€ 6.384,30
€ 8.512,43
€ 8.512,43
€ 8.512,43
€ 1.027,55
€ 1.712,58
€ 1.027,55
€ 1.712,58
€ 35.961,68
€ 53.942,53
€ 1.200,28
€ 300,05
€ 1.200,28
€ 348,73
€ 348,73
€ 523,08
€ 694,58
€ 694,58
€ 8.116,23
€ 14.203,40
€ 6.087,15
€ 12.174,33
€ 8.116,23
€ 13.188,88
€ 150,78
€ 60,30
€ 240,90
€ 120,45
€ 602,25
€ 31,63
€ 15,83
€ 31,78
€ 253,85
€ 253,83
€ 49,78
€ 38.318,50
€ 19.159,25
€ 22.991,10
€ 6.671,28
€ 1.691,25
€ 41,80
€ 41,80
€ 83,60
€ 41,80
€ 33,45
€ 9.363,68
€ 9.363,68
€ 7.022,73
€ 9.363,68
€ 9.363,68
€ 9.363,68
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
4906
4906
4906
4906
4906
4906
4906
4978
4978
4978
4978
4978
4978
4978
629
629
629
629
629
3393
3393
3393
260
260
260
260
260
939
939
939
939
939
6878
6878
6878
5711
4499
4499
4499
4499
4499
4499
4499
979
979
979
893
Ditta Offerente
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
ARIPIPRAZOLO 15MG CPR ORODISP/ABILIFY*28CPR ORODISP 15MG
ARIPIPRAZOLO 15MG CPR ORODISP/ABILIFY*28CPR ORODISP 15MG
ARIPIPRAZOLO 15MG CPR ORODISP/ABILIFY*28CPR ORODISP 15MG
ARIPIPRAZOLO 15MG CPR ORODISP/ABILIFY*28CPR ORODISP 15MG
ARIPIPRAZOLO 15MG CPR ORODISP/ABILIFY*28CPR ORODISP 15MG
ARIPIPRAZOLO 15MG CPR ORODISP/ABILIFY*28CPR ORODISP 15MG
ARIPIPRAZOLO 15MG CPR ORODISP/ABILIFY*28CPR ORODISP 15MG
ARIPIPRAZOLO 5MG CPR/ABILIFY*28CPR 5MG
ARIPIPRAZOLO 5MG CPR/ABILIFY*28CPR 5MG
ARIPIPRAZOLO 5MG CPR/ABILIFY*28CPR 5MG
ARIPIPRAZOLO 5MG CPR/ABILIFY*28CPR 5MG
ARIPIPRAZOLO 5MG CPR/ABILIFY*28CPR 5MG
ARIPIPRAZOLO 5MG CPR/ABILIFY*28CPR 5MG
ARIPIPRAZOLO 5MG CPR/ABILIFY*28CPR 5MG
ALPRAZOLAM 0,5MG CPR DIV/XANAX*20CPR 0,50MG
ALPRAZOLAM 0,5MG CPR DIV/XANAX*20CPR 0,50MG
ALPRAZOLAM 0,5MG CPR DIV/XANAX*20CPR 0,50MG
ALPRAZOLAM 0,5MG CPR DIV/XANAX*20CPR 0,50MG
ALPRAZOLAM 0,5MG CPR DIV/XANAX*20CPR 0,50MG
ALPRAZOLAM 0,75MG/ML GTT/XANAX*OS GTT FL 20ML 0,75MG/ML
ALPRAZOLAM 0,75MG/ML GTT/XANAX*OS GTT FL 20ML 0,75MG/ML
ALPRAZOLAM 0,75MG/ML GTT/XANAX*OS GTT FL 20ML 0,75MG/ML
AMLODIPINA BESILATO 10MG CPR/NORVASC*14CPR 10MG
AMLODIPINA BESILATO 10MG CPR/NORVASC*14CPR 10MG
AMLODIPINA BESILATO 10MG CPR/NORVASC*14CPR 10MG
AMLODIPINA BESILATO 10MG CPR/NORVASC*14CPR 10MG
AMLODIPINA BESILATO 10MG CPR/NORVASC*14CPR 10MG
AMOXICILLINA 1G CPR SOLUB/MAST/ZIMOX*12CPR SOLUB/MAST 1G
AMOXICILLINA 1G CPR SOLUB/MAST/ZIMOX*12CPR SOLUB/MAST 1G
AMOXICILLINA 1G CPR SOLUB/MAST/ZIMOX*12CPR SOLUB/MAST 1G
AMOXICILLINA 1G CPR SOLUB/MAST/ZIMOX*12CPR SOLUB/MAST 1G
AMOXICILLINA 1G CPR SOLUB/MAST/ZIMOX*12CPR SOLUB/MAST 1G
AMOXICILLINA 250MG 5% SOSP ESTEMP/ZIMOX*OS POLVXSOSP FL 250MG/5ML
AMOXICILLINA 250MG 5% SOSP ESTEMP/ZIMOX*OS POLVXSOSP FL 250MG/5ML
AMOXICILLINA 250MG 5% SOSP ESTEMP/ZIMOX*OS POLVXSOSP FL 250MG/5ML
ANIDULAFUNGINA 100MG 30ML FL EV/ECALTA*EV FL 100MG 30ML
ATORVASTATINA CALCIO TRIID.40MG CPR/TORVAST*30CPR RIV 40MG
ATORVASTATINA CALCIO TRIID.40MG CPR/TORVAST*30CPR RIV 40MG
ATORVASTATINA CALCIO TRIID.40MG CPR/TORVAST*30CPR RIV 40MG
ATORVASTATINA CALCIO TRIID.40MG CPR/TORVAST*30CPR RIV 40MG
ATORVASTATINA CALCIO TRIID.40MG CPR/TORVAST*30CPR RIV 40MG
ATORVASTATINA CALCIO TRIID.40MG CPR/TORVAST*30CPR RIV 40MG
ATORVASTATINA CALCIO TRIID.40MG CPR/TORVAST*30CPR RIV 40MG
AZITROMICINA 1,5G SOSP.OS FL BB/ZITROMAX SOSP.*BB OS FL 1500MG
AZITROMICINA 1,5G SOSP.OS FL BB/ZITROMAX SOSP.*BB OS FL 1500MG
AZITROMICINA 1,5G SOSP.OS FL BB/ZITROMAX SOSP.*BB OS FL 1500MG
AZITROMICINA 500MG CPR RIV/ZITROMAX*3CPR RIV 500MG
59di89
700
2100
1050
1400
700
5250
1050
700
1400
700
700
1400
2800
2066
4132
4132
4132
0
54
109
54
17045
17045
35511
17045
35511
1503
2998
1503
2998
2998
50
50
50
50
2251
9000
7500
7500
2251
5999
7500
50
50
75
1364
682
64
€ 3.192,16
€ 2.128,09
€ 6.384,30
€ 3.192,16
€ 4.256,20
€ 2.128,09
€ 15.960,77
€ 2.992,43
€ 1.994,95
€ 3.989,91
€ 1.994,95
€ 1.994,95
€ 3.989,91
€ 7.979,82
€ 0,05
€ 0,09
€ 0,09
€ 0,09
€ 0,00
€ 0,05
€ 0,09
€ 0,05
€ 0,55
€ 0,55
€ 1,14
€ 0,55
€ 1,14
€ 7,91
€ 15,77
€ 7,91
€ 15,77
€ 15,77
€ 35,95
€ 35,95
€ 35,95
€ 16.105,39
€ 18,89
€ 75,52
€ 62,93
€ 62,93
€ 18,89
€ 50,34
€ 62,93
€ 34,70
€ 34,70
€ 52,07
€ 174,52
€ 3.511,38
€ 2.340,90
€ 7.022,73
€ 3.511,38
€ 4.681,83
€ 2.340,90
€ 17.556,85
€ 3.291,68
€ 2.194,45
€ 4.388,90
€ 2.194,45
€ 2.194,45
€ 4.388,90
€ 8.777,80
€ 0,05
€ 0,10
€ 0,10
€ 0,10
€ 0,00
€ 0,05
€ 0,10
€ 0,05
€ 0,60
€ 0,60
€ 1,25
€ 0,60
€ 1,25
€ 8,70
€ 17,35
€ 8,70
€ 17,35
€ 17,35
€ 39,55
€ 39,55
€ 39,55
€ 17.715,93
€ 20,78
€ 83,08
€ 69,23
€ 69,23
€ 20,78
€ 55,38
€ 69,23
€ 38,18
€ 38,18
€ 57,28
€ 191,98
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
893
893
893
893
893
1737
1737
1737
1737
1234
1234
1234
80
80
80
80
80
80
80
83
83
83
83
83
83
6270
6270
6270
6270
6270
6270
6270
6065
6065
6065
729
729
6298
6298
6298
618
619
619
619
619
573
573
Ditta Offerente
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
AZITROMICINA 500MG CPR RIV/ZITROMAX*3CPR RIV 500MG
AZITROMICINA 500MG CPR RIV/ZITROMAX*3CPR RIV 500MG
AZITROMICINA 500MG CPR RIV/ZITROMAX*3CPR RIV 500MG
AZITROMICINA 500MG CPR RIV/ZITROMAX*3CPR RIV 500MG
AZITROMICINA 500MG CPR RIV/ZITROMAX*3CPR RIV 500MG
AZITROMICINA 500MG POLV FL/ZITROMAX*EV 1FL 500MG POLV
AZITROMICINA 500MG POLV FL/ZITROMAX*EV 1FL 500MG POLV
AZITROMICINA 500MG POLV FL/ZITROMAX*EV 1FL 500MG POLV
AZITROMICINA 500MG POLV FL/ZITROMAX*EV 1FL 500MG POLV
CALCIO LEVOFOLINATO 175MG LIOF FL E/LEDERFOLIN*EV 1FL LIOF 175MG
CALCIO LEVOFOLINATO 175MG LIOF FL E/LEDERFOLIN*EV 1FL LIOF 175MG
CALCIO LEVOFOLINATO 175MG LIOF FL E/LEDERFOLIN*EV 1FL LIOF 175MG
CALCIO LEVOFOLINATO 25MG FL IV/LEDERFOLIN*IV 1FL 25MG
CALCIO LEVOFOLINATO 25MG FL IV/LEDERFOLIN*IV 1FL 25MG
CALCIO LEVOFOLINATO 25MG FL IV/LEDERFOLIN*IV 1FL 25MG
CALCIO LEVOFOLINATO 25MG FL IV/LEDERFOLIN*IV 1FL 25MG
CALCIO LEVOFOLINATO 25MG FL IV/LEDERFOLIN*IV 1FL 25MG
CALCIO LEVOFOLINATO 25MG FL IV/LEDERFOLIN*IV 1FL 25MG
CALCIO LEVOFOLINATO 25MG FL IV/LEDERFOLIN*IV 1FL 25MG
CALCIO LEVOFOLINATO 7,5MG CPR/LEDERFOLIN*10CPR 7,5MG
CALCIO LEVOFOLINATO 7,5MG CPR/LEDERFOLIN*10CPR 7,5MG
CALCIO LEVOFOLINATO 7,5MG CPR/LEDERFOLIN*10CPR 7,5MG
CALCIO LEVOFOLINATO 7,5MG CPR/LEDERFOLIN*10CPR 7,5MG
CALCIO LEVOFOLINATO 7,5MG CPR/LEDERFOLIN*10CPR 7,5MG
CALCIO LEVOFOLINATO 7,5MG CPR/LEDERFOLIN*10CPR 7,5MG
CEFAZOLINA SODICA 1G 10ML FL IV/CEFAMEZIN*IV 1FL 1G+F 10ML
CEFAZOLINA SODICA 1G 10ML FL IV/CEFAMEZIN*IV 1FL 1G+F 10ML
CEFAZOLINA SODICA 1G 10ML FL IV/CEFAMEZIN*IV 1FL 1G+F 10ML
CEFAZOLINA SODICA 1G 10ML FL IV/CEFAMEZIN*IV 1FL 1G+F 10ML
CEFAZOLINA SODICA 1G 10ML FL IV/CEFAMEZIN*IV 1FL 1G+F 10ML
CEFAZOLINA SODICA 1G 10ML FL IV/CEFAMEZIN*IV 1FL 1G+F 10ML
CEFAZOLINA SODICA 1G 10ML FL IV/CEFAMEZIN*IV 1FL 1G+F 10ML
CITARABINA 100MG+F 5ML FL IV SC/ARACYTIN*IV SC 1FL 100MG+F 5ML
CITARABINA 100MG+F 5ML FL IV SC/ARACYTIN*IV SC 1FL 100MG+F 5ML
CITARABINA 100MG+F 5ML FL IV SC/ARACYTIN*IV SC 1FL 100MG+F 5ML
CITARABINA 500MG/10ML FL EV/SC/ARACYTIN*IV SC 1FL 500MG+F10ML
CITARABINA 500MG/10ML FL EV/SC/ARACYTIN*IV SC 1FL 500MG+F10ML
CLINDAMICINA CLOR. 150MG CPS/DALACIN C*12CPS 150MG
CLINDAMICINA CLOR. 150MG CPS/DALACIN C*12CPS 150MG
CLINDAMICINA CLOR. 150MG CPS/DALACIN C*12CPS 150MG
DINOPROSTONE 1MG/3G GEL VAG/PREPIDIL*GEL VAG 1SIR 1MG/3G
DINOPROSTONE 2MG/3G GEL VAG/PREPIDIL*GEL VAG 1SIR 2MG/3G
DINOPROSTONE 2MG/3G GEL VAG/PREPIDIL*GEL VAG 1SIR 2MG/3G
DINOPROSTONE 2MG/3G GEL VAG/PREPIDIL*GEL VAG 1SIR 2MG/3G
DINOPROSTONE 2MG/3G GEL VAG/PREPIDIL*GEL VAG 1SIR 2MG/3G
DOXAZOSINA 2MG CPR DIV/CARDURA*30CPR DIV 2MG
DOXAZOSINA 2MG CPR DIV/CARDURA*30CPR DIV 2MG
60di89
1364
2727
2727
341
500
50
250
250
375
375
375
1000
1000
1250
1500
1250
1000
3250
5000
6250
20000
4000
11250
17500
9525
450
12250
12250
11250
500
12250
550
300
500
375
375
300
600
1200
75
50
125
75
150
3135
2351
3135
65
€ 87,27
€ 174,52
€ 349,05
€ 349,05
€ 43,64
€ 4.075,32
€ 407,52
€ 2.037,66
€ 2.037,66
€ 1.204,80
€ 1.204,80
€ 1.204,80
€ 860,25
€ 860,25
€ 1.075,32
€ 1.290,39
€ 1.075,32
€ 860,25
€ 2.795,82
€ 410,43
€ 513,02
€ 1.641,70
€ 327,25
€ 920,39
€ 1.435,00
€ 5.238,75
€ 247,50
€ 6.737,50
€ 6.737,50
€ 6.187,50
€ 275,00
€ 6.737,50
€ 852,73
€ 465,14
€ 775,20
€ 2.332,59
€ 2.332,59
€ 57,50
€ 115,02
€ 230,05
€ 1.522,50
€ 1.386,14
€ 3.465,34
€ 2.079,20
€ 4.158,41
€ 0,09
€ 0,07
€ 96,00
€ 191,98
€ 383,95
€ 383,95
€ 48,00
€ 4.482,85
€ 448,28
€ 2.241,43
€ 2.241,43
€ 1.325,28
€ 1.325,28
€ 1.325,28
€ 946,28
€ 946,28
€ 1.182,85
€ 1.419,43
€ 1.182,85
€ 946,28
€ 3.075,40
€ 451,48
€ 564,33
€ 1.805,88
€ 359,98
€ 1.012,43
€ 1.578,50
€ 5.762,63
€ 272,25
€ 7.411,25
€ 7.411,25
€ 6.806,25
€ 302,50
€ 7.411,25
€ 938,00
€ 511,65
€ 852,73
€ 2.565,85
€ 2.565,85
€ 63,25
€ 126,53
€ 253,05
€ 1.674,75
€ 1.524,75
€ 3.811,88
€ 2.287,13
€ 4.574,25
€ 0,10
€ 0,08
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
94
94
94
94
94
94
94
94
98
98
98
98
98
98
98
573
573
573
573
573
574
574
574
574
574
6288
6288
6288
6288
6062
6062
6063
6063
6063
1211
1211
1211
1211
1211
1211
1820
1820
1820
1820
1820
1820
1820
1167
1167
1167
1168
1168
1166
1166
1166
12753
12753
12753
1605
1605
788
788
Ditta Offerente
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
DOXAZOSINA 2MG CPR DIV/CARDURA*30CPR DIV 2MG
DOXAZOSINA 2MG CPR DIV/CARDURA*30CPR DIV 2MG
DOXAZOSINA 2MG CPR DIV/CARDURA*30CPR DIV 2MG
DOXAZOSINA 2MG CPR DIV/CARDURA*30CPR DIV 2MG
DOXAZOSINA 2MG CPR DIV/CARDURA*30CPR DIV 2MG
DOXAZOSINA 4MG CPR DIV/CARDURA*20CPR DIV 4MG
DOXAZOSINA 4MG CPR DIV/CARDURA*20CPR DIV 4MG
DOXAZOSINA 4MG CPR DIV/CARDURA*20CPR DIV 4MG
DOXAZOSINA 4MG CPR DIV/CARDURA*20CPR DIV 4MG
DOXAZOSINA 4MG CPR DIV/CARDURA*20CPR DIV 4MG
DOXICICLINA ICLATO 100 MG CPR/BASSADO*10CPR 100MG
DOXICICLINA ICLATO 100 MG CPR/BASSADO*10CPR 100MG
DOXICICLINA ICLATO 100 MG CPR/BASSADO*10CPR 100MG
DOXICICLINA ICLATO 100 MG CPR/BASSADO*10CPR 100MG
EPIRUBICINA CLOR. 10MG/5ML FL IV/FARMORUBICINA*IV FL 10MG/5ML
EPIRUBICINA CLOR. 10MG/5ML FL IV/FARMORUBICINA*IV FL 10MG/5ML
EPIRUBICINA CLOR. 50MG/25ML FL IV/FARMORUBICINA*IV FL 50MG/25ML
EPIRUBICINA CLOR. 50MG/25ML FL IV/FARMORUBICINA*IV FL 50MG/25ML
EPIRUBICINA CLOR. 50MG/25ML FL IV/FARMORUBICINA*IV FL 50MG/25ML
ETANERCEPT 25MG/0,5ML SIR SC -DSC/ENBREL*SC 4SIR 25MG 0,5ML+8TAM
ETANERCEPT 25MG/0,5ML SIR SC -DSC/ENBREL*SC 4SIR 25MG 0,5ML+8TAM
ETANERCEPT 25MG/0,5ML SIR SC -DSC/ENBREL*SC 4SIR 25MG 0,5ML+8TAM
ETANERCEPT 25MG/0,5ML SIR SC -DSC/ENBREL*SC 4SIR 25MG 0,5ML+8TAM
ETANERCEPT 25MG/0,5ML SIR SC -DSC/ENBREL*SC 4SIR 25MG 0,5ML+8TAM
ETANERCEPT 25MG/0,5ML SIR SC -DSC/ENBREL*SC 4SIR 25MG 0,5ML+8TAM
ETANERCEPT 50MG/1ML SIR SC -DSC/ENBREL*SC 4SIR 50MG 1ML+8TAMP
ETANERCEPT 50MG/1ML SIR SC -DSC/ENBREL*SC 4SIR 50MG 1ML+8TAMP
ETANERCEPT 50MG/1ML SIR SC -DSC/ENBREL*SC 4SIR 50MG 1ML+8TAMP
ETANERCEPT 50MG/1ML SIR SC -DSC/ENBREL*SC 4SIR 50MG 1ML+8TAMP
ETANERCEPT 50MG/1ML SIR SC -DSC/ENBREL*SC 4SIR 50MG 1ML+8TAMP
ETANERCEPT 50MG/1ML SIR SC -DSC/ENBREL*SC 4SIR 50MG 1ML+8TAMP
ETANERCEPT 50MG/1ML SIR SC -DSC/ENBREL*SC 4SIR 50MG 1ML+8TAMP
FATTORE IX RICOMBINAN 1000UI FL-DSC/BENEFIX*IV 1FL 1000UI+SIR5ML+S
FATTORE IX RICOMBINAN 1000UI FL-DSC/BENEFIX*IV 1FL 1000UI+SIR5ML+S
FATTORE IX RICOMBINAN 1000UI FL-DSC/BENEFIX*IV 1FL 1000UI+SIR5ML+S
FATTORE IX RICOMBINAN 2000UI FL EV/BENEFIX*IV 1FL 2000UI+SIR5ML+S
FATTORE IX RICOMBINAN 2000UI FL EV/BENEFIX*IV 1FL 2000UI+SIR5ML+S
FATTORE IX RICOMBINAN 500UI FL -DSC/BENEFIX*IV 1FL 500UI+SIR5ML+SE
FATTORE IX RICOMBINAN 500UI FL -DSC/BENEFIX*IV 1FL 500UI+SIR5ML+SE
FATTORE IX RICOMBINAN 500UI FL -DSC/BENEFIX*IV 1FL 500UI+SIR5ML+SE
FLUCONAZOLO 150MG CPR/DIFLUCAN*2CPS 150MG
FLUCONAZOLO 150MG CPR/DIFLUCAN*2CPS 150MG
FLUCONAZOLO 150MG CPR/DIFLUCAN*2CPS 150MG
FLUCONAZOLO 200MG CPS/DIFLUCAN*7CPS 200MG
FLUCONAZOLO 200MG CPS/DIFLUCAN*7CPS 200MG
FLUCONAZOLO 350MG/50MG SOSP OS/DIFLUCAN*OS SOSP 350MG 10MG/ML
FLUCONAZOLO 350MG/50MG SOSP OS/DIFLUCAN*OS SOSP 350MG 10MG/ML
61di89
5486
7837
4702
10972
5245
5245
5245
5245
2331
250
625
500
1250
100
125
375
375
250
330
400
400
400
400
500
400
470
500
400
500
400
900
75
75
25
50
50
50
50
50
2500
7500
1250
1750
2625
500
500
500
66
€ 0,09
€ 0,16
€ 0,23
€ 0,14
€ 0,32
€ 0,20
€ 0,20
€ 0,20
€ 0,20
€ 0,09
€ 31,25
€ 78,16
€ 62,52
€ 156,27
€ 257,09
€ 321,39
€ 2.745,00
€ 2.745,00
€ 1.830,00
€ 39.498,98
€ 47.878,68
€ 47.878,34
€ 47.878,16
€ 47.877,55
€ 59.846,95
€ 95.755,73
€ 112.512,98
€ 119.695,41
€ 95.757,02
€ 119.695,30
€ 95.755,73
€ 215.450,39
€ 51.709,80
€ 51.709,80
€ 17.236,59
€ 68.947,00
€ 68.947,00
€ 17.236,59
€ 17.236,59
€ 17.236,59
€ 226,16
€ 676,57
€ 113,07
€ 156,05
€ 234,05
€ 3.246,25
€ 3.246,25
€ 0,10
€ 0,18
€ 0,25
€ 0,15
€ 0,35
€ 0,23
€ 0,23
€ 0,23
€ 0,23
€ 0,10
€ 34,38
€ 85,98
€ 68,78
€ 171,90
€ 282,80
€ 353,53
€ 3.019,50
€ 3.019,50
€ 2.013,00
€ 43.448,88
€ 52.666,55
€ 52.666,18
€ 52.665,98
€ 52.665,30
€ 65.831,65
€ 105.331,30
€ 123.764,28
€ 131.664,95
€ 105.332,73
€ 131.664,83
€ 105.331,30
€ 236.995,43
€ 56.880,78
€ 56.880,78
€ 18.960,25
€ 75.841,70
€ 75.841,70
€ 18.960,25
€ 18.960,25
€ 18.960,25
€ 248,78
€ 744,23
€ 124,38
€ 171,65
€ 257,45
€ 3.570,88
€ 3.570,88
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
788
788
788
1332
1332
1332
1332
1332
1145
1145
1145
1145
1145
1145
1145
1145
1145
1039
1039
1039
1039
13114
13114
13114
13113
13113
11385
11385
11385
11385
11385
3376
3376
3376
3376
3512
3512
3512
6276
6276
6276
6276
6276
6276
870
11157
11157
Ditta Offerente
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
FLUCONAZOLO 350MG/50MG SOSP OS/DIFLUCAN*OS SOSP 350MG 10MG/ML
FLUCONAZOLO 350MG/50MG SOSP OS/DIFLUCAN*OS SOSP 350MG 10MG/ML
FLUCONAZOLO 350MG/50MG SOSP OS/DIFLUCAN*OS SOSP 350MG 10MG/ML
GABAPENTIN 100MG CPS/NEURONTIN*50CPS 100MG
GABAPENTIN 100MG CPS/NEURONTIN*50CPS 100MG
GABAPENTIN 100MG CPS/NEURONTIN*50CPS 100MG
GABAPENTIN 100MG CPS/NEURONTIN*50CPS 100MG
GABAPENTIN 100MG CPS/NEURONTIN*50CPS 100MG
GABAPENTIN 300MG CPS/NEURONTIN*50CPS 300MG
GABAPENTIN 300MG CPS/NEURONTIN*50CPS 300MG
GABAPENTIN 300MG CPS/NEURONTIN*50CPS 300MG
GABAPENTIN 300MG CPS/NEURONTIN*50CPS 300MG
GABAPENTIN 300MG CPS/NEURONTIN*50CPS 300MG
GABAPENTIN 300MG CPS/NEURONTIN*50CPS 300MG
GABAPENTIN 300MG CPS/NEURONTIN*50CPS 300MG
GABAPENTIN 300MG CPS/NEURONTIN*50CPS 300MG
GABAPENTIN 300MG CPS/NEURONTIN*50CPS 300MG
GABAPENTIN 400MG CPS/NEURONTIN*30CPS 400MG
GABAPENTIN 400MG CPS/NEURONTIN*30CPS 400MG
GABAPENTIN 400MG CPS/NEURONTIN*30CPS 400MG
GABAPENTIN 400MG CPS/NEURONTIN*30CPS 400MG
IDARUBICINA 10MG FL EV LIOF/ZAVEDOS*EV 1FL LIOF 10MG
IDARUBICINA 10MG FL EV LIOF/ZAVEDOS*EV 1FL LIOF 10MG
IDARUBICINA 10MG FL EV LIOF/ZAVEDOS*EV 1FL LIOF 10MG
IDARUBICINA 5MG FL+F SOLV 5ML/ZAVEDOS*EV 1FL 5MG+F SOLV 5ML
IDARUBICINA 5MG FL+F SOLV 5ML/ZAVEDOS*EV 1FL 5MG+F SOLV 5ML
INDOBUFENE 200MG CPR
-CDR/IBUSTRIN*30CPR 200MG
INDOBUFENE 200MG CPR
-CDR/IBUSTRIN*30CPR 200MG
INDOBUFENE 200MG CPR
-CDR/IBUSTRIN*30CPR 200MG
INDOBUFENE 200MG CPR
-CDR/IBUSTRIN*30CPR 200MG
INDOBUFENE 200MG CPR
-CDR/IBUSTRIN*30CPR 200MG
LINEZOLID 2MG/ML 300ML SAC.INF./ZYVOXID*10SAC INF 2MG/ML 300ML
LINEZOLID 2MG/ML 300ML SAC.INF./ZYVOXID*10SAC INF 2MG/ML 300ML
LINEZOLID 2MG/ML 300ML SAC.INF./ZYVOXID*10SAC INF 2MG/ML 300ML
LINEZOLID 2MG/ML 300ML SAC.INF./ZYVOXID*10SAC INF 2MG/ML 300ML
LINEZOLID 600MG CPR RIV BLIST/ZYVOXID*10CPR RIV 600MG BLIST
LINEZOLID 600MG CPR RIV BLIST/ZYVOXID*10CPR RIV 600MG BLIST
LINEZOLID 600MG CPR RIV BLIST/ZYVOXID*10CPR RIV 600MG BLIST
LORAZEPAM 1MG CPR/TAVOR*20CPR 1MG
LORAZEPAM 1MG CPR/TAVOR*20CPR 1MG
LORAZEPAM 1MG CPR/TAVOR*20CPR 1MG
LORAZEPAM 1MG CPR/TAVOR*20CPR 1MG
LORAZEPAM 1MG CPR/TAVOR*20CPR 1MG
LORAZEPAM 1MG CPR/TAVOR*20CPR 1MG
LORAZEPAM 4MG/1MLF EV-RIS PED,NEUR/TAVOR 4MG/ML 1ML F INIET
MEDROSSIPROGEST.1G/10ML SOSP OS-DSC/FARLUTAL*OS SOSP 15FL 1G/10ML
MEDROSSIPROGEST.1G/10ML SOSP OS-DSC/FARLUTAL*OS SOSP 15FL 1G/10ML
62di89
500
1250
2999
2500
2500
2500
2500
1250
6250
1250
1750
3000
6000
2625
6250
5000
3000
750
3000
750
200
75
200
50
50
2250
750
3750
750
1125
1250
1500
1250
1500
750
750
2000
15038
30075
15038
15038
30075
30075
500
75
75
75
67
€ 3.246,25
€ 3.246,25
€ 8.115,64
€ 51,02
€ 42,52
€ 42,52
€ 42,52
€ 42,52
€ 45,00
€ 225,02
€ 45,00
€ 63,00
€ 108,00
€ 216,02
€ 94,50
€ 225,02
€ 180,02
€ 138,07
€ 34,52
€ 138,07
€ 34,52
€ 23.979,09
€ 6.294,50
€ 16.785,39
€ 3.446,14
€ 3.446,14
€ 224,57
€ 78,59
€ 374,55
€ 74,82
€ 117,91
€ 69.244,05
€ 83.092,84
€ 69.244,05
€ 83.092,84
€ 41.546,43
€ 41.546,43
€ 110.790,48
€ 2,00
€ 4,00
€ 2,00
€ 2,00
€ 4,00
€ 4,00
€ 324,55
€ 212,70
€ 212,70
€ 3.570,88
€ 3.570,88
€ 8.927,20
€ 56,13
€ 46,78
€ 46,78
€ 46,78
€ 46,78
€ 49,50
€ 247,53
€ 49,50
€ 69,30
€ 118,80
€ 237,63
€ 103,95
€ 247,53
€ 198,03
€ 151,88
€ 37,98
€ 151,88
€ 37,98
€ 26.377,00
€ 6.923,95
€ 18.463,93
€ 3.790,75
€ 3.790,75
€ 247,03
€ 86,45
€ 412,00
€ 82,30
€ 129,70
€ 76.168,45
€ 91.402,13
€ 76.168,45
€ 91.402,13
€ 45.701,08
€ 45.701,08
€ 121.869,53
€ 2,20
€ 4,40
€ 2,20
€ 2,20
€ 4,40
€ 4,40
€ 357,00
€ 233,98
€ 233,98
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
94
94
94
94
94
94
98
98
98
98
98
98
11157
11157
7939
7939
7939
7939
7939
7939
7914
7914
7914
7914
7914
7937
7937
7937
7937
7937
7934
7934
7934
7934
7938
7938
7938
7938
7938
6071
6071
6073
6073
6075
6075
6075
6075
1179
1179
1179
1179
1179
948
6183
6183
6183
6183
6183
5048
Ditta Offerente
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
MEDROSSIPROGEST.1G/10ML SOSP OS-DSC/FARLUTAL*OS SOSP 15FL 1G/10ML
MEDROSSIPROGEST.1G/10ML SOSP OS-DSC/FARLUTAL*OS SOSP 15FL 1G/10ML
METILPREDNISOLONE 4MG CPR/MEDROL*30CPR DIV 4MG
METILPREDNISOLONE 4MG CPR/MEDROL*30CPR DIV 4MG
METILPREDNISOLONE 4MG CPR/MEDROL*30CPR DIV 4MG
METILPREDNISOLONE 4MG CPR/MEDROL*30CPR DIV 4MG
METILPREDNISOLONE 4MG CPR/MEDROL*30CPR DIV 4MG
METILPREDNISOLONE 4MG CPR/MEDROL*30CPR DIV 4MG
METILPREDNISOLONE ACET. 40MG FL IM/DEPOMEDROL*INIET 1FL 40MG 1ML
METILPREDNISOLONE ACET. 40MG FL IM/DEPOMEDROL*INIET 1FL 40MG 1ML
METILPREDNISOLONE ACET. 40MG FL IM/DEPOMEDROL*INIET 1FL 40MG 1ML
METILPREDNISOLONE ACET. 40MG FL IM/DEPOMEDROL*INIET 1FL 40MG 1ML
METILPREDNISOLONE ACET. 40MG FL IM/DEPOMEDROL*INIET 1FL 40MG 1ML
METILPREDNISOLONE EMI. 125MG IM EV/SOLUMEDROL*IM IV FL 125MG 2ML
METILPREDNISOLONE EMI. 125MG IM EV/SOLUMEDROL*IM IV FL 125MG 2ML
METILPREDNISOLONE EMI. 125MG IM EV/SOLUMEDROL*IM IV FL 125MG 2ML
METILPREDNISOLONE EMI. 125MG IM EV/SOLUMEDROL*IM IV FL 125MG 2ML
METILPREDNISOLONE EMI. 125MG IM EV/SOLUMEDROL*IM IV FL 125MG 2ML
METILPREDNISOLONE EMI. 1G FL IM/IV/SOLUMEDROL*IM IV FL 1G+F 16ML
METILPREDNISOLONE EMI. 1G FL IM/IV/SOLUMEDROL*IM IV FL 1G+F 16ML
METILPREDNISOLONE EMI. 1G FL IM/IV/SOLUMEDROL*IM IV FL 1G+F 16ML
METILPREDNISOLONE EMI. 1G FL IM/IV/SOLUMEDROL*IM IV FL 1G+F 16ML
METILPREDNISOLONE EMI500MG FL IM/EV/SOLUMEDROL*IM IV FL 500MG+F8ML
METILPREDNISOLONE EMI500MG FL IM/EV/SOLUMEDROL*IM IV FL 500MG+F8ML
METILPREDNISOLONE EMI500MG FL IM/EV/SOLUMEDROL*IM IV FL 500MG+F8ML
METILPREDNISOLONE EMI500MG FL IM/EV/SOLUMEDROL*IM IV FL 500MG+F8ML
METILPREDNISOLONE EMI500MG FL IM/EV/SOLUMEDROL*IM IV FL 500MG+F8ML
METOTREXATO SODICO 2,5MG CPR/METHOTREXATE*25CPR 2,5MG
METOTREXATO SODICO 2,5MG CPR/METHOTREXATE*25CPR 2,5MG
METOTREXATO SODICO 500MG/20ML FL EV/METHOTREXATE*INIET 1FL 500MG20
METOTREXATO SODICO 500MG/20ML FL EV/METHOTREXATE*INIET 1FL 500MG20
METOTREXATO SODICO 50MG/2ML FL EV/METHOTREXATE*INIET FL 50MG 2ML
METOTREXATO SODICO 50MG/2ML FL EV/METHOTREXATE*INIET FL 50MG 2ML
METOTREXATO SODICO 50MG/2ML FL EV/METHOTREXATE*INIET FL 50MG 2ML
METOTREXATO SODICO 50MG/2ML FL EV/METHOTREXATE*INIET FL 50MG 2ML
MOROCTOCOG ALFA 1000UI+FL 4ML F-DSC/REFACTO AF*IV 1FL1000UI+SIR4ML
MOROCTOCOG ALFA 1000UI+FL 4ML F-DSC/REFACTO AF*IV 1FL1000UI+SIR4ML
MOROCTOCOG ALFA 1000UI+FL 4ML F-DSC/REFACTO AF*IV 1FL1000UI+SIR4ML
MOROCTOCOG ALFA 1000UI+FL 4ML F-DSC/REFACTO AF*IV 1FL1000UI+SIR4ML
MOROCTOCOG ALFA 1000UI+FL 4ML F-DSC/REFACTO AF*IV 1FL1000UI+SIR4ML
MOROCTOCOG ALFA 2000UI SIR+DISP DSC/REFACTO AF*IV 1SIR2000UI+DISP
PAROMOMICINA SOLF. 250MG CPS/HUMATIN*16CPS 250MG
PAROMOMICINA SOLF. 250MG CPS/HUMATIN*16CPS 250MG
PAROMOMICINA SOLF. 250MG CPS/HUMATIN*16CPS 250MG
PAROMOMICINA SOLF. 250MG CPS/HUMATIN*16CPS 250MG
PAROMOMICINA SOLF. 250MG CPS/HUMATIN*16CPS 250MG
PEGVISOMANT 10MG+30FL 8ML FL SC/SOMAVERT*SC 30FL 10MG+30FL 8ML
63di89
75
1500
1499
750
1500
1500
750
500
3000
375
750
4500
250
1500
1500
250
1500
375
25
375
375
50
250
375
75
250
625
625
50
100
75
75
100
100
75
150
25
50
75
50
4000
4000
4000
4400
4000
150
75
68
€ 212,70
€ 212,70
€ 42,57
€ 44,55
€ 22,27
€ 44,57
€ 44,57
€ 22,27
€ 522,73
€ 3.136,39
€ 387,23
€ 784,09
€ 4.728,45
€ 563,64
€ 3.381,82
€ 3.381,82
€ 563,64
€ 3.381,82
€ 6.057,95
€ 403,89
€ 6.057,95
€ 6.061,70
€ 403,89
€ 2.019,32
€ 3.028,98
€ 605,80
€ 2.019,32
€ 56,70
€ 56,70
€ 187,27
€ 374,52
€ 54,89
€ 54,89
€ 73,18
€ 73,18
€ 51.377,07
€ 102.750,09
€ 17.125,70
€ 34.251,39
€ 51.377,07
€ 68.500,00
€ 387,39
€ 387,39
€ 387,39
€ 426,09
€ 387,39
€ 9.472,09
€ 233,98
€ 233,98
€ 46,83
€ 49,00
€ 24,50
€ 49,03
€ 49,03
€ 24,50
€ 575,00
€ 3.450,03
€ 425,95
€ 862,50
€ 5.201,30
€ 620,00
€ 3.720,00
€ 3.720,00
€ 620,00
€ 3.720,00
€ 6.663,75
€ 444,28
€ 6.663,75
€ 6.667,88
€ 444,28
€ 2.221,25
€ 3.331,88
€ 666,38
€ 2.221,25
€ 62,38
€ 62,38
€ 206,00
€ 411,98
€ 60,38
€ 60,38
€ 80,50
€ 80,50
€ 56.514,78
€ 113.025,10
€ 18.838,28
€ 37.676,53
€ 56.514,78
€ 75.350,00
€ 426,13
€ 426,13
€ 426,13
€ 468,70
€ 426,13
€ 10.419,30
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
5043
5043
5043
5043
5043
5043
5043
4928
4928
4928
4928
4928
4928
4928
4928
4495
4495
4495
4495
4495
4495
4495
4495
363
1311
1311
1311
1311
1311
1311
1311
1311
4968
4968
4968
4968
4968
1703
1703
1703
1703
1683
1683
1691
1691
7768
1804
Ditta Offerente
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
PEGVISOMANT 20MG+30FL 8ML SC/SOMAVERT*SC 30FL 20MG+30FL 8ML
PEGVISOMANT 20MG+30FL 8ML SC/SOMAVERT*SC 30FL 20MG+30FL 8ML
PEGVISOMANT 20MG+30FL 8ML SC/SOMAVERT*SC 30FL 20MG+30FL 8ML
PEGVISOMANT 20MG+30FL 8ML SC/SOMAVERT*SC 30FL 20MG+30FL 8ML
PEGVISOMANT 20MG+30FL 8ML SC/SOMAVERT*SC 30FL 20MG+30FL 8ML
PEGVISOMANT 20MG+30FL 8ML SC/SOMAVERT*SC 30FL 20MG+30FL 8ML
PEGVISOMANT 20MG+30FL 8ML SC/SOMAVERT*SC 30FL 20MG+30FL 8ML
PREGABALIN 25MG CPS/LYRICA*14CPS 25MG
PREGABALIN 25MG CPS/LYRICA*14CPS 25MG
PREGABALIN 25MG CPS/LYRICA*14CPS 25MG
PREGABALIN 25MG CPS/LYRICA*14CPS 25MG
PREGABALIN 25MG CPS/LYRICA*14CPS 25MG
PREGABALIN 25MG CPS/LYRICA*14CPS 25MG
PREGABALIN 25MG CPS/LYRICA*14CPS 25MG
PREGABALIN 25MG CPS/LYRICA*14CPS 25MG
PREGABALIN 75MG CPS/LYRICA*56CPS 75MG
PREGABALIN 75MG CPS/LYRICA*56CPS 75MG
PREGABALIN 75MG CPS/LYRICA*56CPS 75MG
PREGABALIN 75MG CPS/LYRICA*56CPS 75MG
PREGABALIN 75MG CPS/LYRICA*56CPS 75MG
PREGABALIN 75MG CPS/LYRICA*56CPS 75MG
PREGABALIN 75MG CPS/LYRICA*56CPS 75MG
PREGABALIN 75MG CPS/LYRICA*56CPS 75MG
RIFABUTINA 150MG CPS/MYCOBUTIN*30CPS 150MG
SERTRALINA 50MG CPR RIV/ZOLOFT*30CPR RIV 50MG
SERTRALINA 50MG CPR RIV/ZOLOFT*30CPR RIV 50MG
SERTRALINA 50MG CPR RIV/ZOLOFT*30CPR RIV 50MG
SERTRALINA 50MG CPR RIV/ZOLOFT*30CPR RIV 50MG
SERTRALINA 50MG CPR RIV/ZOLOFT*30CPR RIV 50MG
SERTRALINA 50MG CPR RIV/ZOLOFT*30CPR RIV 50MG
SERTRALINA 50MG CPR RIV/ZOLOFT*30CPR RIV 50MG
SERTRALINA 50MG CPR RIV/ZOLOFT*30CPR RIV 50MG
SILDENAFIL 20MG CPR RIV
-DSC/REVATIO*90CPR RIV 20MG
SILDENAFIL 20MG CPR RIV
-DSC/REVATIO*90CPR RIV 20MG
SILDENAFIL 20MG CPR RIV
-DSC/REVATIO*90CPR RIV 20MG
SILDENAFIL 20MG CPR RIV
-DSC/REVATIO*90CPR RIV 20MG
SILDENAFIL 20MG CPR RIV
-DSC/REVATIO*90CPR RIV 20MG
SIROLIMUS 1MG CPR RIV
-DSC/RAPAMUNE*100CPR RIV 1MG
SIROLIMUS 1MG CPR RIV
-DSC/RAPAMUNE*100CPR RIV 1MG
SIROLIMUS 1MG CPR RIV
-DSC/RAPAMUNE*100CPR RIV 1MG
SIROLIMUS 1MG CPR RIV
-DSC/RAPAMUNE*100CPR RIV 1MG
SOMATROPINA 0,4MG TBF 1,2UI SC/GENOTROPIN MINI*7TBF 0,4MG(1,2
SOMATROPINA 0,4MG TBF 1,2UI SC/GENOTROPIN MINI*7TBF 0,4MG(1,2
SOMATROPINA 0,8MG TBF 2,4UI SC/GENOTROPIN MINI*7TBF 0,8MG(2,4
SOMATROPINA 0,8MG TBF 2,4UI SC/GENOTROPIN MINI*7TBF 0,8MG(2,4
SULFASALAZINA 500MG CPR -FC-/SALAZOPYRIN EN*100CPR 500MG
SUNITINIB 12,5MG CPS
-DSC/SUTENT*30CPS 12,5MG
64di89
75
150
75
75
75
75
1050
1050
1050
1400
1400
1400
2800
1400
10500
7000
14000
8400
14000
7700
8400
21000
150
10972
10972
22727
13636
10972
22727
13323
37618
4500
4500
4500
2250
5625
500
500
750
750
227
227
228
228
1000
525
600
69
€ 9.473,66
€ 9.473,66
€ 18.947,27
€ 9.473,66
€ 9.473,66
€ 9.473,66
€ 9.473,66
€ 255,77
€ 255,77
€ 255,77
€ 341,02
€ 341,02
€ 341,02
€ 682,05
€ 341,02
€ 6.345,55
€ 4.230,39
€ 8.460,73
€ 5.076,45
€ 8.460,73
€ 4.653,41
€ 5.076,45
€ 12.691,09
€ 268,66
€ 0,32
€ 0,32
€ 0,66
€ 0,14
€ 0,32
€ 0,66
€ 0,39
€ 1,09
€ 20.700,00
€ 20.700,00
€ 20.700,00
€ 10.350,00
€ 25.875,00
€ 1.759,95
€ 1.759,95
€ 2.639,93
€ 2.639,93
€ 2.260,98
€ 2.260,98
€ 4.229,66
€ 4.229,66
€ 67,70
€ 22.311,45
€ 10.421,03
€ 10.421,03
€ 20.842,00
€ 10.421,03
€ 10.421,03
€ 10.421,03
€ 10.421,03
€ 281,35
€ 281,35
€ 281,35
€ 375,13
€ 375,13
€ 375,13
€ 750,25
€ 375,13
€ 6.980,10
€ 4.653,43
€ 9.306,80
€ 5.584,10
€ 9.306,80
€ 5.118,75
€ 5.584,10
€ 13.960,20
€ 295,53
€ 0,35
€ 0,35
€ 0,73
€ 0,15
€ 0,35
€ 0,73
€ 0,43
€ 1,20
€ 22.770,00
€ 22.770,00
€ 22.770,00
€ 11.385,00
€ 28.462,50
€ 1.935,95
€ 1.935,95
€ 2.903,93
€ 2.903,93
€ 2.487,08
€ 2.487,08
€ 4.652,63
€ 4.652,63
€ 74,48
€ 24.542,60
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
1804
1804
1804
1804
1804
1805
1805
1805
4011
1768
1768
1768
1768
1768
8312
8312
8312
8312
8312
5664
5664
5664
5664
5664
2298
2298
2298
1369
1369
1369
1369
1369
1369
1369
3509
3509
3509
3509
3509
3509
3508
3508
3508
3508
3508
3024
5903
Ditta Offerente
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
SUNITINIB 12,5MG CPS
-DSC/SUTENT*30CPS 12,5MG
SUNITINIB 12,5MG CPS
-DSC/SUTENT*30CPS 12,5MG
SUNITINIB 12,5MG CPS
-DSC/SUTENT*30CPS 12,5MG
SUNITINIB 12,5MG CPS
-DSC/SUTENT*30CPS 12,5MG
SUNITINIB 12,5MG CPS
-DSC/SUTENT*30CPS 12,5MG
SUNITINIB 25MG CPS
-DSC/SUTENT*30CPS 25MG
SUNITINIB 25MG CPS
-DSC/SUTENT*30CPS 25MG
SUNITINIB 25MG CPS
-DSC/SUTENT*30CPS 25MG
SUNITINIB 50MG CPS
-DSC/SUTENT*30CPS 50MG
TIGECICLINA 50MG 5ML FL IV - RM -/TYGACIL*INFUS 10FL 5ML 50MG
TIGECICLINA 50MG 5ML FL IV - RM -/TYGACIL*INFUS 10FL 5ML 50MG
TIGECICLINA 50MG 5ML FL IV - RM -/TYGACIL*INFUS 10FL 5ML 50MG
TIGECICLINA 50MG 5ML FL IV - RM -/TYGACIL*INFUS 10FL 5ML 50MG
TIGECICLINA 50MG 5ML FL IV - RM -/TYGACIL*INFUS 10FL 5ML 50MG
TRIAZOLAM 0,25MG CPR/HALCION*20CPR 0,25MG
TRIAZOLAM 0,25MG CPR/HALCION*20CPR 0,25MG
TRIAZOLAM 0,25MG CPR/HALCION*20CPR 0,25MG
TRIAZOLAM 0,25MG CPR/HALCION*20CPR 0,25MG
TRIAZOLAM 0,25MG CPR/HALCION*20CPR 0,25MG
VENLAFAXINA CLOR. 150MG CPS RP/EFEXOR*10CPS 150MG RP
VENLAFAXINA CLOR. 150MG CPS RP/EFEXOR*10CPS 150MG RP
VENLAFAXINA CLOR. 150MG CPS RP/EFEXOR*10CPS 150MG RP
VENLAFAXINA CLOR. 150MG CPS RP/EFEXOR*10CPS 150MG RP
VENLAFAXINA CLOR. 150MG CPS RP/EFEXOR*10CPS 150MG RP
VENLAFAXINA CLOR. 37,5MG CPS RP/EFEXOR*28CPS 37,5MG RP
VENLAFAXINA CLOR. 37,5MG CPS RP/EFEXOR*28CPS 37,5MG RP
VENLAFAXINA CLOR. 37,5MG CPS RP/EFEXOR*28CPS 37,5MG RP
VENLAFAXINA CLOR. 75MG CPS RP/EFEXOR*14CPS 75MG RP
VENLAFAXINA CLOR. 75MG CPS RP/EFEXOR*14CPS 75MG RP
VENLAFAXINA CLOR. 75MG CPS RP/EFEXOR*14CPS 75MG RP
VENLAFAXINA CLOR. 75MG CPS RP/EFEXOR*14CPS 75MG RP
VENLAFAXINA CLOR. 75MG CPS RP/EFEXOR*14CPS 75MG RP
VENLAFAXINA CLOR. 75MG CPS RP/EFEXOR*14CPS 75MG RP
VENLAFAXINA CLOR. 75MG CPS RP/EFEXOR*14CPS 75MG RP
VORICONAZOLO 200MG CPR RIV/VFEND*28CPR RIV 200MG
VORICONAZOLO 200MG CPR RIV/VFEND*28CPR RIV 200MG
VORICONAZOLO 200MG CPR RIV/VFEND*28CPR RIV 200MG
VORICONAZOLO 200MG CPR RIV/VFEND*28CPR RIV 200MG
VORICONAZOLO 200MG CPR RIV/VFEND*28CPR RIV 200MG
VORICONAZOLO 200MG CPR RIV/VFEND*28CPR RIV 200MG
VORICONAZOLO 200MG FL EV/VFEND*INF EV FL 200MG
VORICONAZOLO 200MG FL EV/VFEND*INF EV FL 200MG
VORICONAZOLO 200MG FL EV/VFEND*INF EV FL 200MG
VORICONAZOLO 200MG FL EV/VFEND*INF EV FL 200MG
VORICONAZOLO 200MG FL EV/VFEND*INF EV FL 200MG
VORICONAZOLO 50MG CPR RIV -DSC/VFEND*28CPR RIV 50MG
ZIPRASIDONE CLOR. 40MG CPS/ZELDOX*56CPS 40MG
65di89
600
600
375
375
1050
1800
750
150
750
750
625
1000
1750
20202
25253
25253
25253
15152
250
750
750
250
750
700
700
700
1750
7000
1750
1750
1750
3500
1750
1400
2800
1750
1400
1750
3500
125
250
175
375
750
210
700
5
70
€ 25.498,80
€ 25.498,80
€ 25.501,52
€ 15.936,75
€ 15.936,75
€ 89.255,05
€ 153.014,41
€ 63.753,59
€ 25.501,48
€ 36.852,75
€ 36.852,75
€ 30.710,64
€ 49.137,00
€ 85.989,75
€ 0,91
€ 1,14
€ 1,14
€ 1,14
€ 0,68
€ 20,48
€ 61,43
€ 61,43
€ 20,48
€ 61,43
€ 34,95
€ 34,95
€ 34,95
€ 67,32
€ 269,32
€ 67,32
€ 67,32
€ 67,32
€ 134,66
€ 67,32
€ 52.877,07
€ 105.754,16
€ 66.096,34
€ 52.877,07
€ 66.096,34
€ 132.192,70
€ 14.051,25
€ 28.102,50
€ 19.671,75
€ 42.153,75
€ 84.307,50
€ 1.982,89
€ 414,82
€ 28.048,68
€ 28.048,68
€ 28.051,68
€ 17.530,43
€ 17.530,43
€ 98.180,55
€ 168.315,85
€ 70.128,95
€ 28.051,63
€ 40.538,03
€ 40.538,03
€ 33.781,70
€ 54.050,70
€ 94.588,73
€ 1,00
€ 1,25
€ 1,25
€ 1,25
€ 0,75
€ 22,53
€ 67,58
€ 67,58
€ 22,53
€ 67,58
€ 38,45
€ 38,45
€ 38,45
€ 74,05
€ 296,25
€ 74,05
€ 74,05
€ 74,05
€ 148,13
€ 74,05
€ 58.164,78
€ 116.329,58
€ 72.705,98
€ 58.164,78
€ 72.705,98
€ 145.411,98
€ 15.456,38
€ 30.912,75
€ 21.638,93
€ 46.369,13
€ 92.738,25
€ 2.181,18
€ 456,30
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
5339
5340
5340
5340
5340
5340
5340
5340
7952
7952
1142
1142
1142
1142
5355
6325
6325
6325
6325
5370
5370
313
313
313
5328
5631
5631
5631
5750
5750
5750
5750
2488
2488
2488
2488
2488
8333
8333
8333
8333
8333
8333
8333
1741
1741
1741
Ditta Offerente
PHARMA MAR SRL
PHARMA MAR SRL
PHARMA MAR SRL
PHARMA MAR SRL
PHARMA MAR SRL
PHARMA MAR SRL
PHARMA MAR SRL
PHARMA MAR SRL
PHARMATEX ITALIA SRL
PHARMATEX ITALIA SRL
PIAM FARMACEUTICI S.P.A.
PIAM FARMACEUTICI S.P.A.
PIAM FARMACEUTICI S.P.A.
PIAM FARMACEUTICI S.P.A.
PIAM FARMACEUTICI S.P.A.
PIAM FARMACEUTICI S.P.A.
PIAM FARMACEUTICI S.P.A.
PIAM FARMACEUTICI S.P.A.
PIAM FARMACEUTICI S.P.A.
PIERRE FABRE PHARMA SRL
PIERRE FABRE PHARMA SRL
PIERRE FABRE PHARMA SRL
PIERRE FABRE PHARMA SRL
PIERRE FABRE PHARMA SRL
PIERRE FABRE PHARMA SRL
POLIFARMA SPA
POLIFARMA SPA
POLIFARMA SPA
POLIFARMA SPA
POLIFARMA SPA
POLIFARMA SPA
POLIFARMA SPA
POLIMED SRL
POLIMED SRL
POLIMED SRL
POLIMED SRL
POLIMED SRL
PROSTRAKAN SRL
PROSTRAKAN SRL
PROSTRAKAN SRL
PROSTRAKAN SRL
PROSTRAKAN SRL
PROSTRAKAN SRL
PROSTRAKAN SRL
PROSTRAKAN SRL
PROSTRAKAN SRL
PROSTRAKAN SRL
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
TRABECTEDINA 0,25MG POLV FL EV/YONDELIS*EV 1FL POLV 0,25MG
TRABECTEDINA 1MG POLV FL EV/YONDELIS*EV 1FL POLV 1MG
TRABECTEDINA 1MG POLV FL EV/YONDELIS*EV 1FL POLV 1MG
TRABECTEDINA 1MG POLV FL EV/YONDELIS*EV 1FL POLV 1MG
TRABECTEDINA 1MG POLV FL EV/YONDELIS*EV 1FL POLV 1MG
TRABECTEDINA 1MG POLV FL EV/YONDELIS*EV 1FL POLV 1MG
TRABECTEDINA 1MG POLV FL EV/YONDELIS*EV 1FL POLV 1MG
TRABECTEDINA 1MG POLV FL EV/YONDELIS*EV 1FL POLV 1MG
TRIAMCINOLONE ACETONIDE 40MG FL IM/TRIACORT*INIET 3FL 40MG/1ML
TRIAMCINOLONE ACETONIDE 40MG FL IM/TRIACORT*INIET 3FL 40MG/1ML
AMBROXOLO 3MG/1 ML 200 ML FL SCIR/MUCICLAR* SCIR 200ML 15MG/ML
AMBROXOLO 3MG/1 ML 200 ML FL SCIR/MUCICLAR* SCIR 200ML 15MG/ML
AMBROXOLO 3MG/1ML 200ML FL SCIR/MUCICLAR*SCIR 200ML 15MG/5ML
AMBROXOLO 3MG/1ML 200ML FL SCIR/MUCICLAR*SCIR 200ML 15MG/5ML
ETAMBUTOLO 500MG CPR RIV/ETAPIAM*50CPR RIV 500MG
ISONIAZIDE 200MG CPR/NICOZID*50CPR 200MG
ISONIAZIDE 200MG CPR/NICOZID*50CPR 200MG
ISONIAZIDE 200MG CPR/NICOZID*50CPR 200MG
ISONIAZIDE 200MG CPR/NICOZID*50CPR 200MG
BUSULFANO 10ML 6MG/ML FL INFUS/BUSILVEX*INFUS 8FL 10ML 6MG/ML
BUSULFANO 10ML 6MG/ML FL INFUS/BUSILVEX*INFUS 8FL 10ML 6MG/ML
VINORELBINA BITARTRATO 10MG FL IV/NAVELBINE 10*IV 10MG 1ML
VINORELBINA BITARTRATO 10MG FL IV/NAVELBINE 10*IV 10MG 1ML
VINORELBINA BITARTRATO 10MG FL IV/NAVELBINE 10*IV 10MG 1ML
VINORELBINA BITARTRATO 20MG CPS-DSC/NAVELBINE*1CPS 20MG
RAMIPRIL/IDROCLOR. 2,5+12,5MG CPR/IDROQUARK*14CPR 2,5+12,5MG
RAMIPRIL/IDROCLOR. 2,5+12,5MG CPR/IDROQUARK*14CPR 2,5+12,5MG
RAMIPRIL/IDROCLOR. 2,5+12,5MG CPR/IDROQUARK*14CPR 2,5+12,5MG
RAMIPRIL/IDROCLOR. 5+25MG CPR/IDROQUARK*14CPR 5+25MG
RAMIPRIL/IDROCLOR. 5+25MG CPR/IDROQUARK*14CPR 5+25MG
RAMIPRIL/IDROCLOR. 5+25MG CPR/IDROQUARK*14CPR 5+25MG
RAMIPRIL/IDROCLOR. 5+25MG CPR/IDROQUARK*14CPR 5+25MG
SOL.GLUCOSIO 75G/180ML CURVA CARIC/GLUCORANGE*FL SCIR 75G/180ML
SOL.GLUCOSIO 75G/180ML CURVA CARIC/GLUCORANGE*FL SCIR 75G/180ML
SOL.GLUCOSIO 75G/180ML CURVA CARIC/GLUCORANGE*FL SCIR 75G/180ML
SOL.GLUCOSIO 75G/180ML CURVA CARIC/GLUCORANGE*FL SCIR 75G/180ML
SOL.GLUCOSIO 75G/180ML CURVA CARIC/GLUCORANGE*FL SCIR 75G/180ML
DROPERIDOLO 2,5MG/ML 1ML F IV/XOMOLIX*EV 10F 1ML 2,5MG/ML
DROPERIDOLO 2,5MG/ML 1ML F IV/XOMOLIX*EV 10F 1ML 2,5MG/ML
DROPERIDOLO 2,5MG/ML 1ML F IV/XOMOLIX*EV 10F 1ML 2,5MG/ML
DROPERIDOLO 2,5MG/ML 1ML F IV/XOMOLIX*EV 10F 1ML 2,5MG/ML
DROPERIDOLO 2,5MG/ML 1ML F IV/XOMOLIX*EV 10F 1ML 2,5MG/ML
DROPERIDOLO 2,5MG/ML 1ML F IV/XOMOLIX*EV 10F 1ML 2,5MG/ML
DROPERIDOLO 2,5MG/ML 1ML F IV/XOMOLIX*EV 10F 1ML 2,5MG/ML
MITOMICINA 40 MG FL EV/MITOMYCIN C*INIET 1FL 40MG
MITOMICINA 40 MG FL EV/MITOMYCIN C*INIET 1FL 40MG
MITOMICINA 40 MG FL EV/MITOMYCIN C*INIET 1FL 40MG
66di89
3
5
5
5
5
5
5
1500
975
500
600
500
300
3750
7500
2500
7500
7500
20
80
125
100
225
50
6061
13636
4545
812
812
812
812
700
500
300
700
800
1000
500
1000
1000
500
1500
2000
125
150
175
175
71
€ 2.391,64
€ 4.498,95
€ 8.997,91
€ 8.997,91
€ 8.997,91
€ 8.997,91
€ 8.997,91
€ 8.997,91
€ 1.215,00
€ 789,59
€ 1.000,00
€ 1.200,00
€ 950,00
€ 570,00
€ 345,02
€ 412,50
€ 137,50
€ 412,50
€ 412,50
€ 5.156,25
€ 20.621,95
€ 462,55
€ 370,05
€ 832,59
€ 1.561,14
€ 0,09
€ 0,20
€ 0,07
€ 0,02
€ 0,02
€ 0,02
€ 0,02
€ 2.938,25
€ 2.098,75
€ 1.259,25
€ 2.938,25
€ 3.358,00
€ 2.770,70
€ 1.385,34
€ 2.770,70
€ 2.770,70
€ 1.385,34
€ 4.156,05
€ 5.541,41
€ 7.491,27
€ 8.989,52
€ 10.487,77
€ 2.630,80
€ 4.948,85
€ 9.897,70
€ 9.897,70
€ 9.897,70
€ 9.897,70
€ 9.897,70
€ 9.897,70
€ 1.336,50
€ 868,55
€ 1.100,00
€ 1.320,00
€ 1.045,00
€ 627,00
€ 379,53
€ 453,75
€ 151,25
€ 453,75
€ 453,75
€ 5.671,88
€ 22.684,15
€ 508,80
€ 407,05
€ 915,85
€ 1.717,25
€ 0,10
€ 0,23
€ 0,08
€ 0,03
€ 0,03
€ 0,03
€ 0,03
€ 3.232,08
€ 2.308,63
€ 1.385,18
€ 3.232,08
€ 3.693,80
€ 3.047,78
€ 1.523,88
€ 3.047,78
€ 3.047,78
€ 1.523,88
€ 4.571,65
€ 6.095,55
€ 8.240,40
€ 9.888,48
€ 11.536,55
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
1741
1741
5457
5457
5457
5457
5457
5457
1267
1267
1267
1267
1267
1268
1268
1268
1268
1268
1268
1203
1203
1203
1203
1203
3517
3517
3517
3517
3517
3517
1546
1546
1546
1546
1546
1546
1546
2416
2415
8419
8419
8419
8419
8419
8419
8419
8419
Ditta Offerente
PROSTRAKAN SRL
PROSTRAKAN SRL
PROSTRAKAN SRL
PROSTRAKAN SRL
PROSTRAKAN SRL
PROSTRAKAN SRL
PROSTRAKAN SRL
PROSTRAKAN SRL
RECKITT BENCKISER HEALTHCARE S.P.A.
RECKITT BENCKISER HEALTHCARE S.P.A.
RECKITT BENCKISER HEALTHCARE S.P.A.
RECKITT BENCKISER HEALTHCARE S.P.A.
RECKITT BENCKISER HEALTHCARE S.P.A.
RECKITT BENCKISER HEALTHCARE S.P.A.
RECKITT BENCKISER HEALTHCARE S.P.A.
RECKITT BENCKISER HEALTHCARE S.P.A.
RECKITT BENCKISER HEALTHCARE S.P.A.
RECKITT BENCKISER HEALTHCARE S.P.A.
RECKITT BENCKISER HEALTHCARE S.P.A.
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
MITOMICINA 40 MG FL EV/MITOMYCIN C*INIET 1FL 40MG
MITOMICINA 40 MG FL EV/MITOMYCIN C*INIET 1FL 40MG
TESTOSTERONE 2% GEL MULT+DOSA -DSC/TOSTREX*GEL MULTID 60G 2%+DOSA
TESTOSTERONE 2% GEL MULT+DOSA -DSC/TOSTREX*GEL MULTID 60G 2%+DOSA
TESTOSTERONE 2% GEL MULT+DOSA -DSC/TOSTREX*GEL MULTID 60G 2%+DOSA
TESTOSTERONE 2% GEL MULT+DOSA -DSC/TOSTREX*GEL MULTID 60G 2%+DOSA
TESTOSTERONE 2% GEL MULT+DOSA -DSC/TOSTREX*GEL MULTID 60G 2%+DOSA
TESTOSTERONE 2% GEL MULT+DOSA -DSC/TOSTREX*GEL MULTID 60G 2%+DOSA
BUPRENORFINA 2MG CPR SUBLIN/SUBUTEX*7CPR SUBLING 2MG
BUPRENORFINA 2MG CPR SUBLIN/SUBUTEX*7CPR SUBLING 2MG
BUPRENORFINA 2MG CPR SUBLIN/SUBUTEX*7CPR SUBLING 2MG
BUPRENORFINA 2MG CPR SUBLIN/SUBUTEX*7CPR SUBLING 2MG
BUPRENORFINA 2MG CPR SUBLIN/SUBUTEX*7CPR SUBLING 2MG
BUPRENORFINA 8MG CPR SUBLIN/SUBUTEX*7CPR SUBLING 8MG
BUPRENORFINA 8MG CPR SUBLIN/SUBUTEX*7CPR SUBLING 8MG
BUPRENORFINA 8MG CPR SUBLIN/SUBUTEX*7CPR SUBLING 8MG
BUPRENORFINA 8MG CPR SUBLIN/SUBUTEX*7CPR SUBLING 8MG
BUPRENORFINA 8MG CPR SUBLIN/SUBUTEX*7CPR SUBLING 8MG
BUPRENORFINA 8MG CPR SUBLIN/SUBUTEX*7CPR SUBLING 8MG
AC.IBANDRONICO 3MG/3ML SIR EV/BONVIVA*1SIR EV 3MG/3ML
AC.IBANDRONICO 3MG/3ML SIR EV/BONVIVA*1SIR EV 3MG/3ML
AC.IBANDRONICO 3MG/3ML SIR EV/BONVIVA*1SIR EV 3MG/3ML
AC.IBANDRONICO 3MG/3ML SIR EV/BONVIVA*1SIR EV 3MG/3ML
AC.IBANDRONICO 3MG/3ML SIR EV/BONVIVA*1SIR EV 3MG/3ML
BEVACIZUMAB 25MG/ML 16ML FL INF/AVASTIN*INF 400MG 16ML 25MG/ML
BEVACIZUMAB 25MG/ML 16ML FL INF/AVASTIN*INF 400MG 16ML 25MG/ML
BEVACIZUMAB 25MG/ML 16ML FL INF/AVASTIN*INF 400MG 16ML 25MG/ML
BEVACIZUMAB 25MG/ML 16ML FL INF/AVASTIN*INF 400MG 16ML 25MG/ML
BEVACIZUMAB 25MG/ML 16ML FL INF/AVASTIN*INF 400MG 16ML 25MG/ML
BEVACIZUMAB 25MG/ML 16ML FL INF/AVASTIN*INF 400MG 16ML 25MG/ML
BEVACIZUMAB 25MG/ML 4ML FL INF/AVASTIN*INF 100MG 4ML 25MG/ML
BEVACIZUMAB 25MG/ML 4ML FL INF/AVASTIN*INF 100MG 4ML 25MG/ML
BEVACIZUMAB 25MG/ML 4ML FL INF/AVASTIN*INF 100MG 4ML 25MG/ML
BEVACIZUMAB 25MG/ML 4ML FL INF/AVASTIN*INF 100MG 4ML 25MG/ML
BEVACIZUMAB 25MG/ML 4ML FL INF/AVASTIN*INF 100MG 4ML 25MG/ML
BEVACIZUMAB 25MG/ML 4ML FL INF/AVASTIN*INF 100MG 4ML 25MG/ML
BEVACIZUMAB 25MG/ML 4ML FL INF/AVASTIN*INF 100MG 4ML 25MG/ML
CAPECITABINA 150MG CPR RIV -DSC/CAPECITABINA MEDAC*60CPR 150MG
CAPECITABINA 500MG CPR
-DSC/CAPECITABINA MEDAC*120CPR 500M
CLONAZEPAM 0,25% GTT OS 10ML/RIVOTRIL*OS GTT 10ML 2,5MG/ML
CLONAZEPAM 0,25% GTT OS 10ML/RIVOTRIL*OS GTT 10ML 2,5MG/ML
CLONAZEPAM 0,25% GTT OS 10ML/RIVOTRIL*OS GTT 10ML 2,5MG/ML
CLONAZEPAM 0,25% GTT OS 10ML/RIVOTRIL*OS GTT 10ML 2,5MG/ML
CLONAZEPAM 0,25% GTT OS 10ML/RIVOTRIL*OS GTT 10ML 2,5MG/ML
CLONAZEPAM 0,25% GTT OS 10ML/RIVOTRIL*OS GTT 10ML 2,5MG/ML
CLONAZEPAM 0,25% GTT OS 10ML/RIVOTRIL*OS GTT 10ML 2,5MG/ML
CLONAZEPAM 0,25% GTT OS 10ML/RIVOTRIL*OS GTT 10ML 2,5MG/ML
67di89
100
75
75
75
125
125
75
4900
4900
1050
4900
4900
4900
1400
4900
1400
4900
4900
3
3
3
3
3
50
50
75
50
75
75
75
75
100
75
50
100
125
750
6000
250
250
300
375
250
250
250
375
1499
72
€ 10.487,77
€ 5.993,02
€ 2.032,16
€ 2.032,16
€ 2.032,16
€ 3.386,93
€ 3.386,93
€ 2.032,16
€ 1.028,52
€ 1.028,52
€ 220,41
€ 1.028,52
€ 1.028,52
€ 3.804,16
€ 1.086,91
€ 3.804,16
€ 1.086,91
€ 3.804,16
€ 3.804,16
€ 188,68
€ 188,68
€ 188,68
€ 188,68
€ 188,68
€ 61.227,20
€ 61.227,20
€ 91.840,82
€ 61.227,00
€ 91.840,50
€ 91.840,50
€ 22.932,70
€ 22.932,70
€ 30.576,95
€ 22.932,05
€ 15.289,98
€ 30.579,59
€ 38.224,98
€ 237,39
€ 6.297,48
€ 205,68
€ 205,68
€ 246,82
€ 308,52
€ 205,68
€ 205,68
€ 205,68
€ 308,52
€ 11.536,55
€ 6.592,33
€ 2.235,38
€ 2.235,38
€ 2.235,38
€ 3.725,63
€ 3.725,63
€ 2.235,38
€ 1.131,38
€ 1.131,38
€ 242,45
€ 1.131,38
€ 1.131,38
€ 4.184,58
€ 1.195,60
€ 4.184,58
€ 1.195,60
€ 4.184,58
€ 4.184,58
€ 207,55
€ 207,55
€ 207,55
€ 207,55
€ 207,55
€ 67.349,93
€ 67.349,93
€ 101.024,90
€ 67.349,70
€ 101.024,55
€ 101.024,55
€ 25.225,98
€ 25.225,98
€ 33.634,65
€ 25.225,25
€ 16.818,98
€ 33.637,55
€ 42.047,48
€ 261,13
€ 6.927,23
€ 226,25
€ 226,25
€ 271,50
€ 339,38
€ 226,25
€ 226,25
€ 226,25
€ 339,38
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
8416
8417
8417
8417
8417
479
479
479
479
479
479
3384
3384
3384
3380
3380
3380
3380
3381
3381
3381
3381
3382
3382
3382
3382
3382
3382
3383
3383
3383
3383
4592
4592
4592
4592
4592
4585
6811
6811
6811
6811
6811
6811
9407
9407
9407
Ditta Offerente
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
CLONAZEPAM 0,5MG CPR/RIVOTRIL*20CPR 0,5MG
CLONAZEPAM 2MG CPR/RIVOTRIL*20CPR 2MG
CLONAZEPAM 2MG CPR/RIVOTRIL*20CPR 2MG
CLONAZEPAM 2MG CPR/RIVOTRIL*20CPR 2MG
CLONAZEPAM 2MG CPR/RIVOTRIL*20CPR 2MG
DORNASE ALFA 2500UI 2,5ML INAL -FC/PULMOZYME*INAL 6F 2500U 2,5ML
DORNASE ALFA 2500UI 2,5ML INAL -FC/PULMOZYME*INAL 6F 2500U 2,5ML
DORNASE ALFA 2500UI 2,5ML INAL -FC/PULMOZYME*INAL 6F 2500U 2,5ML
DORNASE ALFA 2500UI 2,5ML INAL -FC/PULMOZYME*INAL 6F 2500U 2,5ML
DORNASE ALFA 2500UI 2,5ML INAL -FC/PULMOZYME*INAL 6F 2500U 2,5ML
DORNASE ALFA 2500UI 2,5ML INAL -FC/PULMOZYME*INAL 6F 2500U 2,5ML
EPOETINA BETA 10000UI SIR IV SC/NEORECORMON*IV SC 1SIR 10000UI
EPOETINA BETA 10000UI SIR IV SC/NEORECORMON*IV SC 1SIR 10000UI
EPOETINA BETA 10000UI SIR IV SC/NEORECORMON*IV SC 1SIR 10000UI
EPOETINA BETA 2000UI SIR IV SC/NEORECORMON*IV SC 1SIR 2000UI
EPOETINA BETA 2000UI SIR IV SC/NEORECORMON*IV SC 1SIR 2000UI
EPOETINA BETA 2000UI SIR IV SC/NEORECORMON*IV SC 1SIR 2000UI
EPOETINA BETA 2000UI SIR IV SC/NEORECORMON*IV SC 1SIR 2000UI
EPOETINA BETA 3000UI SIR IV SC/NEORECORMON*IV SC 1SIR 3000UI
EPOETINA BETA 3000UI SIR IV SC/NEORECORMON*IV SC 1SIR 3000UI
EPOETINA BETA 3000UI SIR IV SC/NEORECORMON*IV SC 1SIR 3000UI
EPOETINA BETA 3000UI SIR IV SC/NEORECORMON*IV SC 1SIR 3000UI
EPOETINA BETA 4000UI SIR IV SC/NEORECORMON*IV SC 1SIR 4000UI
EPOETINA BETA 4000UI SIR IV SC/NEORECORMON*IV SC 1SIR 4000UI
EPOETINA BETA 4000UI SIR IV SC/NEORECORMON*IV SC 1SIR 4000UI
EPOETINA BETA 4000UI SIR IV SC/NEORECORMON*IV SC 1SIR 4000UI
EPOETINA BETA 4000UI SIR IV SC/NEORECORMON*IV SC 1SIR 4000UI
EPOETINA BETA 4000UI SIR IV SC/NEORECORMON*IV SC 1SIR 4000UI
EPOETINA BETA 6000UI SIR IV SC/NEORECORMON*IV SC 1SIR 6000UI
EPOETINA BETA 6000UI SIR IV SC/NEORECORMON*IV SC 1SIR 6000UI
EPOETINA BETA 6000UI SIR IV SC/NEORECORMON*IV SC 1SIR 6000UI
EPOETINA BETA 6000UI SIR IV SC/NEORECORMON*IV SC 1SIR 6000UI
ERLOTINIB 100MG CPR RIV
-DSC/TARCEVA*30CPR RIV 100MG
ERLOTINIB 100MG CPR RIV
-DSC/TARCEVA*30CPR RIV 100MG
ERLOTINIB 100MG CPR RIV
-DSC/TARCEVA*30CPR RIV 100MG
ERLOTINIB 100MG CPR RIV
-DSC/TARCEVA*30CPR RIV 100MG
ERLOTINIB 100MG CPR RIV
-DSC/TARCEVA*30CPR RIV 100MG
ERLOTINIB 150MG CPR RIV
-DSC/TARCEVA*30CPR RIV 150MG
FITOMENADIONE 10MG/ML F OS/KONAKION*INIET OS 3F 10MG 1ML
FITOMENADIONE 10MG/ML F OS/KONAKION*INIET OS 3F 10MG 1ML
FITOMENADIONE 10MG/ML F OS/KONAKION*INIET OS 3F 10MG 1ML
FITOMENADIONE 10MG/ML F OS/KONAKION*INIET OS 3F 10MG 1ML
FITOMENADIONE 10MG/ML F OS/KONAKION*INIET OS 3F 10MG 1ML
FITOMENADIONE 10MG/ML F OS/KONAKION*INIET OS 3F 10MG 1ML
INTERF ALFA 2A 3MUI/0,5ML SIR SC/ROFERON A*SC 1SIR 3MUI/0,5ML
INTERF ALFA 2A 3MUI/0,5ML SIR SC/ROFERON A*SC 1SIR 3MUI/0,5ML
INTERF ALFA 2A 3MUI/0,5ML SIR SC/ROFERON A*SC 1SIR 3MUI/0,5ML
68di89
2501
2501
2501
5000
630
900
450
450
450
1950
700
350
875
150
125
350
350
25
25
25
50
700
100
350
350
700
50
350
350
50
350
150
150
150
225
225
150
750
150
750
225
750
750
38
50
100
50
73
€ 36,80
€ 82,41
€ 82,41
€ 82,41
€ 164,77
€ 12.427,80
€ 17.754,00
€ 8.877,00
€ 8.876,25
€ 8.877,00
€ 38.467,00
€ 19.600,00
€ 9.800,00
€ 24.500,00
€ 840,00
€ 700,00
€ 1.960,00
€ 1.960,00
€ 210,00
€ 210,00
€ 210,00
€ 420,00
€ 7.840,00
€ 1.120,00
€ 3.920,00
€ 3.920,00
€ 7.840,00
€ 560,00
€ 5.880,00
€ 5.880,00
€ 840,00
€ 5.880,00
€ 7.865,95
€ 7.865,95
€ 7.865,95
€ 11.798,93
€ 11.798,93
€ 9.813,43
€ 211,39
€ 42,27
€ 211,39
€ 63,41
€ 211,39
€ 211,39
€ 492,20
€ 656,25
€ 1.312,52
€ 40,48
€ 90,65
€ 90,65
€ 90,65
€ 181,25
€ 13.670,58
€ 19.529,40
€ 9.764,70
€ 9.763,88
€ 9.764,70
€ 42.313,70
€ 21.560,00
€ 10.780,00
€ 26.950,00
€ 924,00
€ 770,00
€ 2.156,00
€ 2.156,00
€ 231,00
€ 231,00
€ 231,00
€ 462,00
€ 8.624,00
€ 1.232,00
€ 4.312,00
€ 4.312,00
€ 8.624,00
€ 616,00
€ 6.468,00
€ 6.468,00
€ 924,00
€ 6.468,00
€ 8.652,55
€ 8.652,55
€ 8.652,55
€ 12.978,83
€ 12.978,83
€ 10.794,78
€ 232,53
€ 46,50
€ 232,53
€ 69,75
€ 232,53
€ 232,53
€ 541,43
€ 721,88
€ 1.443,78
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
1708
1700
1700
1700
1700
1174
1174
1174
1174
1174
1096
1096
1096
1096
1096
1096
1085
1085
1085
1085
1085
1085
5462
5462
5462
5462
5462
5462
5463
5463
5463
5463
5463
1252
1252
1252
1252
1252
1252
1252
1252
1252
11782
11782
11782
11782
11782
Ditta Offerente
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
PEGINTERF.ALFA 2A 135MCG PEN -DSC/PEGASYS*SC PEN 0,5ML 135MCG
PEGINTERF.ALFA 2A 180MCG PEN -DSC/PEGASYS*SC PEN 0,5ML 180MCG+AG
PEGINTERF.ALFA 2A 180MCG PEN -DSC/PEGASYS*SC PEN 0,5ML 180MCG+AG
PEGINTERF.ALFA 2A 180MCG PEN -DSC/PEGASYS*SC PEN 0,5ML 180MCG+AG
PEGINTERF.ALFA 2A 180MCG PEN -DSC/PEGASYS*SC PEN 0,5ML 180MCG+AG
RIBAVIRINA 200MG CPR RIV
-DSC/COPEGUS*168CPR RIV 200MG
RIBAVIRINA 200MG CPR RIV
-DSC/COPEGUS*168CPR RIV 200MG
RIBAVIRINA 200MG CPR RIV
-DSC/COPEGUS*168CPR RIV 200MG
RIBAVIRINA 200MG CPR RIV
-DSC/COPEGUS*168CPR RIV 200MG
RIBAVIRINA 200MG CPR RIV
-DSC/COPEGUS*168CPR RIV 200MG
RITUXIMAB 100MG/10ML F EV/MABTHERA*EV 2F 10ML 100MG
RITUXIMAB 100MG/10ML F EV/MABTHERA*EV 2F 10ML 100MG
RITUXIMAB 100MG/10ML F EV/MABTHERA*EV 2F 10ML 100MG
RITUXIMAB 100MG/10ML F EV/MABTHERA*EV 2F 10ML 100MG
RITUXIMAB 100MG/10ML F EV/MABTHERA*EV 2F 10ML 100MG
RITUXIMAB 100MG/10ML F EV/MABTHERA*EV 2F 10ML 100MG
RITUXIMAB 500MG/50ML FL EV/MABTHERA*EV 1FL 50ML 500MG
RITUXIMAB 500MG/50ML FL EV/MABTHERA*EV 1FL 50ML 500MG
RITUXIMAB 500MG/50ML FL EV/MABTHERA*EV 1FL 50ML 500MG
RITUXIMAB 500MG/50ML FL EV/MABTHERA*EV 1FL 50ML 500MG
RITUXIMAB 500MG/50ML FL EV/MABTHERA*EV 1FL 50ML 500MG
RITUXIMAB 500MG/50ML FL EV/MABTHERA*EV 1FL 50ML 500MG
TOCILIZUMAB 20ML 20MG/ML FL INF/ROACTEMRA*INF FL 20ML 20MG/ML
TOCILIZUMAB 20ML 20MG/ML FL INF/ROACTEMRA*INF FL 20ML 20MG/ML
TOCILIZUMAB 20ML 20MG/ML FL INF/ROACTEMRA*INF FL 20ML 20MG/ML
TOCILIZUMAB 20ML 20MG/ML FL INF/ROACTEMRA*INF FL 20ML 20MG/ML
TOCILIZUMAB 20ML 20MG/ML FL INF/ROACTEMRA*INF FL 20ML 20MG/ML
TOCILIZUMAB 20ML 20MG/ML FL INF/ROACTEMRA*INF FL 20ML 20MG/ML
TOCILIZUMAB 4ML 20MG/ML FL INF/ROACTEMRA*INF FL 4ML 20MG/ML
TOCILIZUMAB 4ML 20MG/ML FL INF/ROACTEMRA*INF FL 4ML 20MG/ML
TOCILIZUMAB 4ML 20MG/ML FL INF/ROACTEMRA*INF FL 4ML 20MG/ML
TOCILIZUMAB 4ML 20MG/ML FL INF/ROACTEMRA*INF FL 4ML 20MG/ML
TOCILIZUMAB 4ML 20MG/ML FL INF/ROACTEMRA*INF FL 4ML 20MG/ML
TRASTUZUMAB 150MG FL EV/HERCEPTIN*EV 1FL 150MG
TRASTUZUMAB 150MG FL EV/HERCEPTIN*EV 1FL 150MG
TRASTUZUMAB 150MG FL EV/HERCEPTIN*EV 1FL 150MG
TRASTUZUMAB 150MG FL EV/HERCEPTIN*EV 1FL 150MG
TRASTUZUMAB 150MG FL EV/HERCEPTIN*EV 1FL 150MG
TRASTUZUMAB 150MG FL EV/HERCEPTIN*EV 1FL 150MG
TRASTUZUMAB 150MG FL EV/HERCEPTIN*EV 1FL 150MG
TRASTUZUMAB 150MG FL EV/HERCEPTIN*EV 1FL 150MG
TRASTUZUMAB 150MG FL EV/HERCEPTIN*EV 1FL 150MG
TRIMETOPRIM/SULFAMETOX.160+800M CPR/BACTRIM*16CPR 160MG+800MG
TRIMETOPRIM/SULFAMETOX.160+800M CPR/BACTRIM*16CPR 160MG+800MG
TRIMETOPRIM/SULFAMETOX.160+800M CPR/BACTRIM*16CPR 160MG+800MG
TRIMETOPRIM/SULFAMETOX.160+800M CPR/BACTRIM*16CPR 160MG+800MG
TRIMETOPRIM/SULFAMETOX.160+800M CPR/BACTRIM*16CPR 160MG+800MG
69di89
250
250
250
250
10500
11760
10500
10500
10500
300
375
250
375
250
1000
125
150
150
150
150
250
25
25
25
20
30
50
38
50
50
25
75
250
250
125
250
375
375
250
325
750
4000
800
4000
4000
800
4000
74
€ 6.294,91
€ 41.970,39
€ 41.970,39
€ 41.970,39
€ 41.970,39
€ 1.989,64
€ 2.228,39
€ 1.989,64
€ 1.989,64
€ 1.989,64
€ 79.106,23
€ 98.882,02
€ 65.921,25
€ 98.881,89
€ 65.921,25
€ 263.685,00
€ 164.773,75
€ 197.728,50
€ 197.728,50
€ 197.728,50
€ 197.728,50
€ 329.547,50
€ 17.909,75
€ 17.909,75
€ 17.909,75
€ 14.327,80
€ 21.491,70
€ 35.819,50
€ 5.373,00
€ 7.164,00
€ 7.164,00
€ 3.582,00
€ 10.746,00
€ 144.475,00
€ 144.475,00
€ 72.237,50
€ 144.475,00
€ 216.712,50
€ 216.712,50
€ 144.475,00
€ 187.817,50
€ 433.425,00
€ 249,41
€ 49,89
€ 249,41
€ 249,41
€ 49,89
€ 6.924,40
€ 46.167,43
€ 46.167,43
€ 46.167,43
€ 46.167,43
€ 2.188,60
€ 2.451,23
€ 2.188,60
€ 2.188,60
€ 2.188,60
€ 87.016,85
€ 108.770,23
€ 72.513,38
€ 108.770,08
€ 72.513,38
€ 290.053,50
€ 181.251,13
€ 217.501,35
€ 217.501,35
€ 217.501,35
€ 217.501,35
€ 362.502,25
€ 19.700,73
€ 19.700,73
€ 19.700,73
€ 15.760,58
€ 23.640,88
€ 39.401,45
€ 5.910,30
€ 7.880,40
€ 7.880,40
€ 3.940,20
€ 11.820,60
€ 158.922,50
€ 158.922,50
€ 79.461,25
€ 158.922,50
€ 238.383,75
€ 238.383,75
€ 158.922,50
€ 206.599,25
€ 476.767,50
€ 274,35
€ 54,88
€ 274,35
€ 274,35
€ 54,88
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
11782
11782
11782
11782
6310
6310
566
566
566
566
566
3542
3542
3542
3489
3489
3489
3489
3489
760
760
6497
6497
6497
6497
6497
6497
6497
1347
3781
3781
3781
3781
3781
3781
2595
2595
2595
2595
2595
2200
2200
2200
767
767
767
767
Ditta Offerente
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
TRIMETOPRIM/SULFAMETOX.160+800M CPR/BACTRIM*16CPR 160MG+800MG
TRIMETOPRIM/SULFAMETOX.160+800M CPR/BACTRIM*16CPR 160MG+800MG
TRIMETOPRIM/SULFAMETOX.160+800M CPR/BACTRIM*16CPR 160MG+800MG
TRIMETOPRIM/SULFAMETOX.160+800M CPR/BACTRIM*16CPR 160MG+800MG
TRIMETOPRIM/SULFAMETOX.80+400M F EV/BACTRIM PERFUSIONE*IV 1F 5ML
TRIMETOPRIM/SULFAMETOX.80+400M F EV/BACTRIM PERFUSIONE*IV 1F 5ML
TRIMETOPRIM/SULFAMETOX.80+400MG OS/BACTRIM*OS SOSP 80MG+400MG/5ML
TRIMETOPRIM/SULFAMETOX.80+400MG OS/BACTRIM*OS SOSP 80MG+400MG/5ML
TRIMETOPRIM/SULFAMETOX.80+400MG OS/BACTRIM*OS SOSP 80MG+400MG/5ML
TRIMETOPRIM/SULFAMETOX.80+400MG OS/BACTRIM*OS SOSP 80MG+400MG/5ML
TRIMETOPRIM/SULFAMETOX.80+400MG OS/BACTRIM*OS SOSP 80MG+400MG/5ML
VALGANCICLOVIR CLOR. 450MG CPR -DSC/VALCYTE*60CPR RIV 450MG
VALGANCICLOVIR CLOR. 450MG CPR -DSC/VALCYTE*60CPR RIV 450MG
VALGANCICLOVIR CLOR. 450MG CPR -DSC/VALCYTE*60CPR RIV 450MG
ALFUZOSINA CLOR.10MG CPR RP/ALFUZOSINA SAN*30CPR 10MG RP
ALFUZOSINA CLOR.10MG CPR RP/ALFUZOSINA SAN*30CPR 10MG RP
ALFUZOSINA CLOR.10MG CPR RP/ALFUZOSINA SAN*30CPR 10MG RP
ALFUZOSINA CLOR.10MG CPR RP/ALFUZOSINA SAN*30CPR 10MG RP
ALFUZOSINA CLOR.10MG CPR RP/ALFUZOSINA SAN*30CPR 10MG RP
AMISULPIRIDE 50MG CPR/AMISULPRIDE SAN*12CPR 50MG
AMISULPIRIDE 50MG CPR/AMISULPRIDE SAN*12CPR 50MG
ATENOLOLO 100MG CPR RIV/ATENOLOLO HEX*42CPR RIV 100MG
ATENOLOLO 100MG CPR RIV/ATENOLOLO HEX*42CPR RIV 100MG
ATENOLOLO 100MG CPR RIV/ATENOLOLO HEX*42CPR RIV 100MG
ATENOLOLO 100MG CPR RIV/ATENOLOLO HEX*42CPR RIV 100MG
ATENOLOLO 100MG CPR RIV/ATENOLOLO HEX*42CPR RIV 100MG
ATENOLOLO 100MG CPR RIV/ATENOLOLO HEX*42CPR RIV 100MG
ATENOLOLO 100MG CPR RIV/ATENOLOLO HEX*42CPR RIV 100MG
BETAMETASONE VALER. 0,1% 100G SCH/BETTAMOUSSE*SCH CUT 0,1% 100G CUT
BISOPROLOLO EMIFUM 1,25MG CPR RIV/BISOPROLOLO SAN*28CPR RIV 1,25V
BISOPROLOLO EMIFUM 1,25MG CPR RIV/BISOPROLOLO SAN*28CPR RIV 1,25V
BISOPROLOLO EMIFUM 1,25MG CPR RIV/BISOPROLOLO SAN*28CPR RIV 1,25V
BISOPROLOLO EMIFUM 1,25MG CPR RIV/BISOPROLOLO SAN*28CPR RIV 1,25V
BISOPROLOLO EMIFUM 1,25MG CPR RIV/BISOPROLOLO SAN*28CPR RIV 1,25V
BISOPROLOLO EMIFUM 1,25MG CPR RIV/BISOPROLOLO SAN*28CPR RIV 1,25V
BISOPROLOLO EPIFUM 2,5MG CPR -DSC/BISOPROLOLO SAN*28CPR RIV 2,5MG
BISOPROLOLO EPIFUM 2,5MG CPR -DSC/BISOPROLOLO SAN*28CPR RIV 2,5MG
BISOPROLOLO EPIFUM 2,5MG CPR -DSC/BISOPROLOLO SAN*28CPR RIV 2,5MG
BISOPROLOLO EPIFUM 2,5MG CPR -DSC/BISOPROLOLO SAN*28CPR RIV 2,5MG
BISOPROLOLO EPIFUM 2,5MG CPR -DSC/BISOPROLOLO SAN*28CPR RIV 2,5MG
BISOPROLOLO EPIFUM 5MG CPR/SEQUACOR*28CPR RIV 5MGPR
BISOPROLOLO EPIFUM 5MG CPR/SEQUACOR*28CPR RIV 5MGPR
BISOPROLOLO EPIFUM 5MG CPR/SEQUACOR*28CPR RIV 5MGPR
CALCIO LATTOGLUC/CA CARB 1000MG BS/CALCIUM SANDOZ*30BS 1000MG
CALCIO LATTOGLUC/CA CARB 1000MG BS/CALCIUM SANDOZ*30BS 1000MG
CALCIO LATTOGLUC/CA CARB 1000MG BS/CALCIUM SANDOZ*30BS 1000MG
CALCIO LATTOGLUC/CA CARB 1000MG BS/CALCIUM SANDOZ*30BS 1000MG
70di89
6000
1200
16000
1000
1500
25
38
50
25
75
1500
1500
750
3000
2250
3000
750
1500
600
900
3150
3150
5251
3150
4199
3150
4199
10
17500
21000
42001
21000
21000
39900
2100
2100
2100
4200
4200
7000
7000
1050
10125
10125
16875
10125
10125
75
€ 249,41
€ 371,70
€ 74,82
€ 997,64
€ 1.786,39
€ 2.679,55
€ 28,77
€ 43,16
€ 57,52
€ 28,77
€ 86,30
€ 9.283,95
€ 9.285,00
€ 4.642,50
€ 223,50
€ 167,64
€ 223,50
€ 55,89
€ 111,75
€ 99,00
€ 148,50
€ 64,14
€ 64,14
€ 106,91
€ 64,14
€ 85,50
€ 64,14
€ 85,50
€ 56,09
€ 451,84
€ 542,23
€ 1.084,45
€ 542,23
€ 542,23
€ 1.030,23
€ 58,95
€ 58,95
€ 58,95
€ 117,91
€ 117,91
€ 338,98
€ 338,98
€ 50,84
€ 1.075,89
€ 1.075,89
€ 1.793,14
€ 1.075,89
€ 274,35
€ 408,88
€ 82,30
€ 1.097,40
€ 1.965,03
€ 2.947,50
€ 31,65
€ 47,48
€ 63,28
€ 31,65
€ 94,93
€ 10.212,35
€ 10.213,50
€ 5.106,75
€ 245,85
€ 184,40
€ 245,85
€ 61,48
€ 122,93
€ 108,90
€ 163,35
€ 70,55
€ 70,55
€ 117,60
€ 70,55
€ 94,05
€ 70,55
€ 94,05
€ 61,70
€ 497,03
€ 596,45
€ 1.192,90
€ 596,45
€ 596,45
€ 1.133,25
€ 64,85
€ 64,85
€ 64,85
€ 129,70
€ 129,70
€ 372,88
€ 372,88
€ 55,93
€ 1.183,48
€ 1.183,48
€ 1.972,45
€ 1.183,48
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
767
767
767
526
526
504
515
515
515
12973
12973
12973
12973
12973
12973
12973
6109
6109
6109
417
417
417
417
493
493
493
493
493
493
493
493
492
492
492
492
492
492
492
492
2286
2286
2286
5603
5603
5603
5604
5604
Ditta Offerente
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
CALCIO LATTOGLUC/CA CARB 1000MG BS/CALCIUM SANDOZ*30BS 1000MG
CALCIO LATTOGLUC/CA CARB 1000MG BS/CALCIUM SANDOZ*30BS 1000MG
CALCIO LATTOGLUC/CA CARB 1000MG BS/CALCIUM SANDOZ*30BS 1000MG
CEFOTAXIMA SODICA 2G FL EV/CEFOTAXIMA*IV 1FL 2G+F 10ML
CEFOTAXIMA SODICA 2G FL EV/CEFOTAXIME SAND*IV 1FL 2G+F 10ML
CEFTAZIDIMA 1 G FL IM 3ML/CEFTAZIDINA SAND*IM 1FL 1G+1F 3ML
CIPROFLOXACINA 250MG CPR/CIPROFLOXACINA SA*10CPR250MGPP
CIPROFLOXACINA 250MG CPR/CIPROFLOXACINA SA*10CPR250MGPP
CIPROFLOXACINA 250MG CPR/CIPROFLOXACINA SA*10CPR250MGPP
CIPROFLOXACINA 500MG CPR RIV/CIPROFLOXACINA SA*6CPR 500MGPP
CIPROFLOXACINA 500MG CPR RIV/CIPROFLOXACINA SA*6CPR 500MGPP
CIPROFLOXACINA 500MG CPR RIV/CIPROFLOXACINA SA*6CPR 500MGPP
CIPROFLOXACINA 500MG CPR RIV/CIPROFLOXACINA SA*6CPR 500MGPP
CIPROFLOXACINA 500MG CPR RIV/CIPROFLOXACINA SA*6CPR 500MGPP
CIPROFLOXACINA 500MG CPR RIV/CIPROFLOXACINA SA*6CPR 500MGPP
CIPROFLOXACINA 500MG CPR RIV/CIPROFLOXACINA SA*6CPR 500MGPP
CISPLATINO 10MG/20ML F EV/CISPLATINO SAND*EV 10MG 20ML
CISPLATINO 10MG/20ML F EV/CISPLATINO SAND*EV 10MG 20ML
CISPLATINO 10MG/20ML F EV/CISPLATINO SAND*EV 10MG 20ML
CISPLATINO 50MG/100ML F EV/CISPLATINO SAND*EV 50MG 100ML
CISPLATINO 50MG/100ML F EV/CISPLATINO SAND*EV 50MG 100ML
CISPLATINO 50MG/100ML F EV/CISPLATINO SAND*EV 50MG 100ML
CISPLATINO 50MG/100ML F EV/CISPLATINO SAND*EV 50MG 100ML
CLOZAPINA 100MG CPR/CLOZAPINA HEX*28CPR 100MG
CLOZAPINA 100MG CPR/CLOZAPINA HEX*28CPR 100MG
CLOZAPINA 100MG CPR/CLOZAPINA HEX*28CPR 100MG
CLOZAPINA 100MG CPR/CLOZAPINA HEX*28CPR 100MG
CLOZAPINA 100MG CPR/CLOZAPINA HEX*28CPR 100MG
CLOZAPINA 100MG CPR/CLOZAPINA HEX*28CPR 100MG
CLOZAPINA 100MG CPR/CLOZAPINA HEX*28CPR 100MG
CLOZAPINA 100MG CPR/CLOZAPINA HEX*28CPR 100MG
CLOZAPINA 25MG CPR/CLOZAPINA HEX*28CPR 25MG
CLOZAPINA 25MG CPR/CLOZAPINA HEX*28CPR 25MG
CLOZAPINA 25MG CPR/CLOZAPINA HEX*28CPR 25MG
CLOZAPINA 25MG CPR/CLOZAPINA HEX*28CPR 25MG
CLOZAPINA 25MG CPR/CLOZAPINA HEX*28CPR 25MG
CLOZAPINA 25MG CPR/CLOZAPINA HEX*28CPR 25MG
CLOZAPINA 25MG CPR/CLOZAPINA HEX*28CPR 25MG
CLOZAPINA 25MG CPR/CLOZAPINA HEX*28CPR 25MG
DORZOLAMIDE/TIMOLOLO 0,5%COLL FL/DORZOLAMIDE TIM SA*COLL 1FL 5ML
DORZOLAMIDE/TIMOLOLO 0,5%COLL FL/DORZOLAMIDE TIM SA*COLL 1FL 5ML
DORZOLAMIDE/TIMOLOLO 0,5%COLL FL/DORZOLAMIDE TIM SA*COLL 1FL 5ML
EPOETINA ALFA BIOS 10000UI 1ML SIR/BINOCRIT*1SIR 10000UI 1ML
EPOETINA ALFA BIOS 10000UI 1ML SIR/BINOCRIT*1SIR 10000UI 1ML
EPOETINA ALFA BIOS 10000UI 1ML SIR/BINOCRIT*1SIR 10000UI 1ML
EPOETINA ALFA BIOS 2000UI 1ML SIR/BINOCRIT*1SIR 2000UI 1ML
EPOETINA ALFA BIOS 2000UI 1ML SIR/BINOCRIT*1SIR 2000UI 1ML
71di89
16875
26250
5000
2500
500
125
2500
250
9000
7500
3750
9000
7500
7500
15000
125
125
100
150
200
150
250
7000
7000
7000
7000
7000
7000
9100
7000
1400
700
1400
700
2100
2100
2100
5600
50
50
25
750
625
750
175
225
125
76
€ 1.075,89
€ 1.793,14
€ 2.789,30
€ 8.500,00
€ 3.875,50
€ 1.165,00
€ 5,00
€ 99,89
€ 10,00
€ 719,43
€ 599,52
€ 299,77
€ 719,43
€ 599,52
€ 599,52
€ 1.199,05
€ 200,07
€ 200,07
€ 160,07
€ 727,57
€ 970,07
€ 726,32
€ 1.212,59
€ 624,95
€ 624,95
€ 624,95
€ 624,95
€ 624,95
€ 624,95
€ 812,45
€ 624,95
€ 70,00
€ 35,00
€ 70,00
€ 35,00
€ 105,00
€ 105,00
€ 105,00
€ 280,00
€ 149,52
€ 149,52
€ 74,75
€ 13.500,00
€ 11.250,00
€ 13.500,00
€ 629,68
€ 809,57
€ 1.183,48
€ 1.972,45
€ 3.068,23
€ 9.350,00
€ 4.263,05
€ 1.281,50
€ 5,50
€ 109,88
€ 11,00
€ 791,38
€ 659,48
€ 329,75
€ 791,38
€ 659,48
€ 659,48
€ 1.318,95
€ 220,08
€ 220,08
€ 176,08
€ 800,33
€ 1.067,08
€ 798,95
€ 1.333,85
€ 687,45
€ 687,45
€ 687,45
€ 687,45
€ 687,45
€ 687,45
€ 893,70
€ 687,45
€ 77,00
€ 38,50
€ 77,00
€ 38,50
€ 115,50
€ 115,50
€ 115,50
€ 308,00
€ 164,48
€ 164,48
€ 82,23
€ 14.850,00
€ 12.375,00
€ 14.850,00
€ 692,65
€ 890,53
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
5604
5604
5605
5605
5605
5605
5605
5605
5613
5613
5613
5613
5613
5606
5606
5606
5606
5606
5606
5607
5607
5607
5608
3456
3456
3456
5601
5601
5601
5601
5601
7325
7325
7325
7325
8558
8558
8558
8558
8558
8558
8558
9436
9436
3403
3403
3403
Ditta Offerente
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
EPOETINA ALFA BIOS 2000UI 1ML SIR/BINOCRIT*1SIR 2000UI 1ML
EPOETINA ALFA BIOS 2000UI 1ML SIR/BINOCRIT*1SIR 2000UI 1ML
EPOETINA ALFA BIOS 3000UI 0,3ML SIR/BINOCRIT*1SIR 3000UI 0,3ML
EPOETINA ALFA BIOS 3000UI 0,3ML SIR/BINOCRIT*1SIR 3000UI 0,3ML
EPOETINA ALFA BIOS 3000UI 0,3ML SIR/BINOCRIT*1SIR 3000UI 0,3ML
EPOETINA ALFA BIOS 3000UI 0,3ML SIR/BINOCRIT*1SIR 3000UI 0,3ML
EPOETINA ALFA BIOS 3000UI 0,3ML SIR/BINOCRIT*1SIR 3000UI 0,3ML
EPOETINA ALFA BIOS 3000UI 0,3ML SIR/BINOCRIT*1SIR 3000UI 0,3ML
EPOETINA ALFA BIOS 40000UI 1ML -DSC/BINOCRIT*1SIR 40000UI/1ML+DISP
EPOETINA ALFA BIOS 40000UI 1ML -DSC/BINOCRIT*1SIR 40000UI/1ML+DISP
EPOETINA ALFA BIOS 40000UI 1ML -DSC/BINOCRIT*1SIR 40000UI/1ML+DISP
EPOETINA ALFA BIOS 40000UI 1ML -DSC/BINOCRIT*1SIR 40000UI/1ML+DISP
EPOETINA ALFA BIOS 40000UI 1ML -DSC/BINOCRIT*1SIR 40000UI/1ML+DISP
EPOETINA ALFA BIOS 4000UI 0,4ML SIR/BINOCRIT*1SIR 4000UI 0,4ML
EPOETINA ALFA BIOS 4000UI 0,4ML SIR/BINOCRIT*1SIR 4000UI 0,4ML
EPOETINA ALFA BIOS 4000UI 0,4ML SIR/BINOCRIT*1SIR 4000UI 0,4ML
EPOETINA ALFA BIOS 4000UI 0,4ML SIR/BINOCRIT*1SIR 4000UI 0,4ML
EPOETINA ALFA BIOS 4000UI 0,4ML SIR/BINOCRIT*1SIR 4000UI 0,4ML
EPOETINA ALFA BIOS 4000UI 0,4ML SIR/BINOCRIT*1SIR 4000UI 0,4ML
EPOETINA ALFA BIOS 6000UI 0,6ML SIR/BINOCRIT*1SIR 6000UI 0,6ML
EPOETINA ALFA BIOS 6000UI 0,6ML SIR/BINOCRIT*1SIR 6000UI 0,6ML
EPOETINA ALFA BIOS 6000UI 0,6ML SIR/BINOCRIT*1SIR 6000UI 0,6ML
EPOETINA ALFA BIOS 8000UI 0,8ML SIR/BINOCRIT*1SIR 8000UI 0,8ML
ETOPOSIDE 20MG/ML 10ML FL EV/ETOPOSIDE SAND*EV 10ML 20MG/ML
ETOPOSIDE 20MG/ML 10ML FL EV/ETOPOSIDE SAND*EV 10ML 20MG/ML
ETOPOSIDE 20MG/ML 10ML FL EV/ETOPOSIDE SAND*EV 10ML 20MG/ML
FILGRASTIM 30MU 0,5ML SIR/ZARZIO*1SIR 30MU 0,5ML
FILGRASTIM 30MU 0,5ML SIR/ZARZIO*1SIR 30MU 0,5ML
FILGRASTIM 30MU 0,5ML SIR/ZARZIO*1SIR 30MU 0,5ML
FILGRASTIM 30MU 0,5ML SIR/ZARZIO*1SIR 30MU 0,5ML
FILGRASTIM 30MU 0,5ML SIR/ZARZIO*1SIR 30MU 0,5ML
FLECAINIDE ACET. 100MG CPR/FLECAINIDE SANDOZ*20CPR 100MG
FLECAINIDE ACET. 100MG CPR/FLECAINIDE SANDOZ*20CPR 100MG
FLECAINIDE ACET. 100MG CPR/FLECAINIDE SANDOZ*20CPR 100MG
FLECAINIDE ACET. 100MG CPR/FLECAINIDE SANDOZ*20CPR 100MG
GENTAMICINA/BETAMETASONE 0,1%+0,1%/GENTAMICINA BETAM HEX*CR 30G 0,1%
GENTAMICINA/BETAMETASONE 0,1%+0,1%/GENTAMICINA BETAM HEX*CR 30G 0,1%
GENTAMICINA/BETAMETASONE 0,1%+0,1%/GENTAMICINA BETAM HEX*CR 30G 0,1%
GENTAMICINA/BETAMETASONE 0,1%+0,1%/GENTAMICINA BETAM HEX*CR 30G 0,1%
GENTAMICINA/BETAMETASONE 0,1%+0,1%/GENTAMICINA BETAM HEX*CR 30G 0,1%
GENTAMICINA/BETAMETASONE 0,1%+0,1%/GENTAMICINA BETAM HEX*CR 30G 0,1%
GENTAMICINA/BETAMETASONE 0,1%+0,1%/GENTAMICINA BETAM HEX*CR 30G 0,1%
MITOXANTRONE 20MG/10ML FL EV/MITOXANTRONE EBE*EV10ML 2MG/ML
MITOXANTRONE 20MG/10ML FL EV/MITOXANTRONE EBE*EV10ML 2MG/ML
NEBIVOLOLO 5MG CPR
-RM/NEBIVOLOLO SANDOZ*28CPR 5MG
NEBIVOLOLO 5MG CPR
-RM/NEBIVOLOLO SANDOZ*28CPR 5MG
NEBIVOLOLO 5MG CPR
-RM/NEBIVOLOLO SANDOZ*28CPR 5MG
72di89
250
150
150
150
150
150
300
250
250
125
125
150
175
175
150
250
150
375
125
125
175
150
250
150
375
1250
1250
1000
1250
3750
2500
2500
3000
2500
1000
750
750
500
750
1500
750
50
38
700
700
700
3000
77
€ 449,75
€ 899,52
€ 809,84
€ 809,84
€ 809,48
€ 809,84
€ 809,84
€ 1.619,70
€ 17.999,75
€ 17.997,66
€ 9.000,00
€ 9.000,00
€ 10.800,00
€ 1.260,45
€ 1.260,45
€ 1.080,20
€ 1.800,34
€ 1.080,39
€ 2.700,95
€ 1.349,93
€ 1.349,93
€ 1.889,89
€ 2.160,39
€ 1.075,00
€ 645,00
€ 1.612,52
€ 9.622,50
€ 9.625,00
€ 7.700,00
€ 9.625,00
€ 28.875,00
€ 315,25
€ 315,25
€ 378,30
€ 315,25
€ 890,18
€ 667,64
€ 667,64
€ 445,09
€ 667,64
€ 1.335,27
€ 667,64
€ 1.400,64
€ 1.050,48
€ 51,34
€ 50,30
€ 51,34
€ 494,73
€ 989,48
€ 890,83
€ 890,83
€ 890,43
€ 890,83
€ 890,83
€ 1.781,68
€ 19.799,73
€ 19.797,43
€ 9.900,00
€ 9.900,00
€ 11.880,00
€ 1.386,50
€ 1.386,50
€ 1.188,23
€ 1.980,38
€ 1.188,43
€ 2.971,05
€ 1.484,93
€ 1.484,93
€ 2.078,88
€ 2.376,43
€ 1.182,50
€ 709,50
€ 1.773,78
€ 10.584,75
€ 10.587,50
€ 8.470,00
€ 10.587,50
€ 31.762,50
€ 346,78
€ 346,78
€ 416,13
€ 346,78
€ 979,20
€ 734,40
€ 734,40
€ 489,60
€ 734,40
€ 1.468,80
€ 734,40
€ 1.540,70
€ 1.155,53
€ 56,48
€ 55,33
€ 56,48
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
6785
6785
6785
6785
6785
6785
3306
3306
3306
3306
3306
3306
3365
3365
3365
3365
3365
3308
3308
3308
3308
3308
6115
9310
9310
9310
9310
9310
9310
324
324
324
324
1207
1207
1207
1207
1207
1207
3399
3399
3399
3399
3399
3399
2411
2411
Ditta Offerente
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
POTASSIO CANRENOATO 100MG CPR/POTASSIO CANR.SAND*20CPR 100MG
POTASSIO CANRENOATO 100MG CPR/POTASSIO CANR.SAND*20CPR 100MG
POTASSIO CANRENOATO 100MG CPR/POTASSIO CANR.SAND*20CPR 100MG
POTASSIO CANRENOATO 100MG CPR/POTASSIO CANR.SAND*20CPR 100MG
POTASSIO CANRENOATO 100MG CPR/POTASSIO CANR.SAND*20CPR 100MG
POTASSIO CANRENOATO 100MG CPR/POTASSIO CANR.SAND*20CPR 100MG
REPAGLINIDE 0,5MG CPR/REPAGLINIDE SAN*90CPR 0,5MG
REPAGLINIDE 0,5MG CPR/REPAGLINIDE SAN*90CPR 0,5MG
REPAGLINIDE 0,5MG CPR/REPAGLINIDE SAN*90CPR 0,5MG
REPAGLINIDE 0,5MG CPR/REPAGLINIDE SAN*90CPR 0,5MG
REPAGLINIDE 0,5MG CPR/REPAGLINIDE SAN*90CPR 0,5MG
REPAGLINIDE 0,5MG CPR/REPAGLINIDE SAN*90CPR 0,5MG
REPAGLINIDE 1MG CPR/REPAGLINIDE SAN*90CPR 1MG
REPAGLINIDE 1MG CPR/REPAGLINIDE SAN*90CPR 1MG
REPAGLINIDE 1MG CPR/REPAGLINIDE SAN*90CPR 1MG
REPAGLINIDE 1MG CPR/REPAGLINIDE SAN*90CPR 1MG
REPAGLINIDE 1MG CPR/REPAGLINIDE SAN*90CPR 1MG
REPAGLINIDE 2MG CPR/REPAGLINIDE SAN*90CPR 2MG
REPAGLINIDE 2MG CPR/REPAGLINIDE SAN*90CPR 2MG
REPAGLINIDE 2MG CPR/REPAGLINIDE SAN*90CPR 2MG
REPAGLINIDE 2MG CPR/REPAGLINIDE SAN*90CPR 2MG
REPAGLINIDE 2MG CPR/REPAGLINIDE SAN*90CPR 2MG
ETOPOSIDE 1 FLAC 100MG/5ML
AC.ACETILSALICILICO 300MG CPR DIV/ASCRIPTIN*20CPR DIV 300MG
AC.ACETILSALICILICO 300MG CPR DIV/ASCRIPTIN*20CPR DIV 300MG
AC.ACETILSALICILICO 300MG CPR DIV/ASCRIPTIN*20CPR DIV 300MG
AC.ACETILSALICILICO 300MG CPR DIV/ASCRIPTIN*20CPR DIV 300MG
AC.ACETILSALICILICO 300MG CPR DIV/ASCRIPTIN*20CPR DIV 300MG
AC.ACETILSALICILICO 300MG CPR DIV/ASCRIPTIN*20CPR DIV 300MG
AC.URSODESOSSICOLICO 150MG CPS A ES/DEURSIL*20CPS 150MG
AC.URSODESOSSICOLICO 150MG CPS -CDR/DEURSIL*20CPS 150MG
AC.URSODESOSSICOLICO 150MG CPS -CDR/DEURSIL*20CPS 150MG
AC.URSODESOSSICOLICO 150MG CPS/DEURSIL*20CPS 150MG
AC.URSODESOSSICOLICO 450MG CPS RP/DEURSIL*20CPS 450MG R.P.
AC.URSODESOSSICOLICO 450MG CPS RP/DEURSIL*20CPS 450MG R.P.
AC.URSODESOSSICOLICO 450MG CPS RP/DEURSIL*20CPS 450MG R.P.
AC.URSODESOSSICOLICO 450MG CPS RP/DEURSIL*20CPS 450MG R.P.
AC.URSODESOSSICOLICO 450MG CPS RP/DEURSIL*20CPS 450MG R.P.
AC.URSODESOSSICOLICO 450MG CPS RP/DEURSIL*20CPS 450MG R.P.
AC.VALPROICO 300MG CPR RP/DEPAKIN*CHRONO 30CPR 300MG RP
AC.VALPROICO 300MG CPR RP/DEPAKIN*CHRONO 30CPR 300MG RP
AC.VALPROICO 300MG CPR RP/DEPAKIN*CHRONO 30CPR 300MG RP
AC.VALPROICO 300MG CPR RP/DEPAKIN*CHRONO 30CPR 300MG RP
AC.VALPROICO 300MG CPR RP/DEPAKIN*CHRONO 30CPR 300MG RP
AC.VALPROICO 300MG CPR RP/DEPAKIN*CHRONO 30CPR 300MG RP
AC.VALPROICO 400MG 4ML F EV/DEPAKIN*EV 4F 400MG+4F 4ML
AC.VALPROICO 400MG 4ML F EV/DEPAKIN*EV 4F 400MG+4F 4ML
73di89
1500
3000
3000
1500
6250
6750
11250
6750
6750
11250
13499
6750
4499
11250
13499
4499
3150
6750
3150
6750
3150
#DIV/0!
5000
19600
5000
5000
19600
9000
1500
750
3500
1000
5000
5000
10000
5000
5000
8750
7500
4500
7500
7500
7500
7500
60
200
100
78
€ 289,20
€ 144,59
€ 289,20
€ 289,20
€ 144,59
€ 602,50
€ 159,55
€ 265,91
€ 159,55
€ 159,55
€ 265,91
€ 319,07
€ 159,55
€ 106,34
€ 265,91
€ 319,07
€ 106,34
€ 111,68
€ 239,32
€ 111,68
€ 239,32
€ 111,68
€ 57,50
€ 262,48
€ 1.028,91
€ 262,48
€ 264,98
€ 1.028,91
€ 472,45
€ 66,75
€ 33,39
€ 140,00
€ 40,00
€ 725,05
€ 725,05
€ 1.450,14
€ 727,00
€ 727,00
€ 1.272,25
€ 225,05
€ 135,02
€ 225,05
€ 225,05
€ 225,05
€ 225,05
€ 343,77
€ 1.145,91
€ 318,13
€ 159,05
€ 318,13
€ 318,13
€ 159,05
€ 662,75
€ 175,50
€ 292,50
€ 175,50
€ 175,50
€ 292,50
€ 350,98
€ 175,50
€ 116,98
€ 292,50
€ 350,98
€ 116,98
€ 122,85
€ 263,25
€ 122,85
€ 263,25
€ 122,85
€ 63,25
€ 288,73
€ 1.131,80
€ 288,73
€ 291,48
€ 1.131,80
€ 519,70
€ 73,43
€ 36,73
€ 154,00
€ 44,00
€ 797,55
€ 797,55
€ 1.595,15
€ 799,70
€ 799,70
€ 1.399,48
€ 247,55
€ 148,53
€ 247,55
€ 247,55
€ 247,55
€ 247,55
€ 378,15
€ 1.260,50
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
8390
8390
8390
8390
8390
8390
8390
1639
1639
1639
1639
1639
1639
1639
999
999
999
999
999
999
562
562
562
562
562
562
562
562
7767
7767
7767
7767
7767
7767
7767
6206
6206
6206
6206
526
526
526
8555
8555
8555
8555
8555
Ditta Offerente
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
AC.VALPROICO 40ML 20% FL GTT OS/DEPAKIN*OS FL 40ML 200MG/ML
AC.VALPROICO 40ML 20% FL GTT OS/DEPAKIN*OS FL 40ML 200MG/ML
AC.VALPROICO 40ML 20% FL GTT OS/DEPAKIN*OS FL 40ML 200MG/ML
AC.VALPROICO 40ML 20% FL GTT OS/DEPAKIN*OS FL 40ML 200MG/ML
AC.VALPROICO 40ML 20% FL GTT OS/DEPAKIN*OS FL 40ML 200MG/ML
AC.VALPROICO 40ML 20% FL GTT OS/DEPAKIN*OS FL 40ML 200MG/ML
AC.VALPROICO 40ML 20% FL GTT OS/DEPAKIN*OS FL 40ML 200MG/ML
AC.VALPROICO 500MG CPR RP/DEPAKIN*CHRONO 30CPR 500MG RP
AC.VALPROICO 500MG CPR RP/DEPAKIN*CHRONO 30CPR 500MG RP
AC.VALPROICO 500MG CPR RP/DEPAKIN*CHRONO 30CPR 500MG RP
AC.VALPROICO 500MG CPR RP/DEPAKIN*CHRONO 30CPR 500MG RP
AC.VALPROICO 500MG CPR RP/DEPAKIN*CHRONO 30CPR 500MG RP
AC.VALPROICO 500MG CPR RP/DEPAKIN*CHRONO 30CPR 500MG RP
AC.VALPROICO 500MG CPR RP/DEPAKIN*CHRONO 30CPR 500MG RP
ADENOSINA 6MG/2ML FL EV/KRENOSIN*EV 6F 2ML 6MG/2ML
ADENOSINA 6MG/2ML FL EV/KRENOSIN*EV 6F 2ML 6MG/2ML
ADENOSINA 6MG/2ML FL EV/KRENOSIN*EV 6F 2ML 6MG/2ML
ADENOSINA 6MG/2ML FL EV/KRENOSIN*EV 6F 2ML 6MG/2ML
ADENOSINA 6MG/2ML FL EV/KRENOSIN*EV 6F 2ML 6MG/2ML
ADENOSINA 6MG/2ML FL EV/KRENOSIN*EV 6F 2ML 6MG/2ML
AMIODARONE 200MG CPR/CORDARONE*20CPR 200MG
AMIODARONE 200MG CPR/CORDARONE*20CPR 200MG
AMIODARONE 200MG CPR/CORDARONE*20CPR 200MG
AMIODARONE 200MG CPR/CORDARONE*20CPR 200MG
AMIODARONE 200MG CPR/CORDARONE*20CPR 200MG
AMIODARONE 200MG CPR/CORDARONE*20CPR 200MG
AMIODARONE 200MG CPR/CORDARONE*20CPR 200MG
AMIODARONE 200MG CPR/CORDARONE*20CPR 200MG
BACILLO CLAUDIIS 5ML FL-AD ESAURIM./ENTEROGERMINA*OS 10FL 2MLD/5ML
BACILLO CLAUDIIS 5ML FL-RIS PED-CDR/ENTEROGERMINA*OS 10FL 2MLD/5ML
BACILLO CLAUDIIS 5ML FL-RIS PED-CDR/ENTEROGERMINA*OS 10FL 2MLD/5ML
BACILLO CLAUDIIS 5ML FL-RIS PED-CDR/ENTEROGERMINA*OS 10FL 2MLD/5ML
BACILLO CLAUDIIS 5ML FL-RIS PED-CDR/ENTEROGERMINA*OS 10FL 2MLD/5ML
BACILLO CLAUDIIS 5ML FL-RIS PED-CDR/ENTEROGERMINA*OS 10FL 2MLD/5ML
BACILLO CLAUDIIS 5ML FL-RIS PED-CDR/ENTEROGERMINA*OS 10FL 2MLD/5ML
CEFOTAXIMA SODICA 1G FL IM EV/ZARIVIZ*IM IV 1F 1G+F 4ML
CEFOTAXIMA SODICA 1G FL IM EV/ZARIVIZ*IM IV 1F 1G+F 4ML
CEFOTAXIMA SODICA 1G FL IM EV/ZARIVIZ*IM IV 1F 1G+F 4ML
CEFOTAXIMA SODICA 1G FL IM EV/ZARIVIZ*IM IV 1F 1G+F 4ML
CEFOTAXIMA SODICA 2G FL EV/ZARIVIZ*IV 1FL 2G+F 10ML
CEFOTAXIMA SODICA 2G FL EV/ZARIVIZ*IV 1FL 2G+F 10ML
CEFOTAXIMA SODICA 2G FL EV/ZARIVIZ*IV 1FL 2G+F 10ML
DESOSSIMETASONE 0,25% 2G EMULS BUST/FLUBASON*EMULS 15BUST 2G 0,25%
DESOSSIMETASONE 0,25% 2G EMULS BUST/FLUBASON*EMULS 15BUST 2G 0,25%
DESOSSIMETASONE 0,25% 2G EMULS BUST/FLUBASON*EMULS 15BUST 2G 0,25%
DESOSSIMETASONE 0,25% 2G EMULS BUST/FLUBASON*EMULS 15BUST 2G 0,25%
DESOSSIMETASONE 0,25% 2G EMULS BUST/FLUBASON*EMULS 15BUST 2G 0,25%
74di89
100
125
100
75
100
250
9000
9000
18000
11250
15000
11250
11250
15
15
30
30
30
15
5000
3000
5000
7500
4999
5000
5000
7500
3750
2500
7500
3750
3750
7500
7500
5000
5000
3750
5000
2500
5000
1500
3000
3000
3000
375
3000
7500
79
€ 209,09
€ 209,09
€ 261,39
€ 210,80
€ 156,82
€ 209,09
€ 522,73
€ 450,14
€ 450,14
€ 900,23
€ 562,66
€ 750,20
€ 562,66
€ 562,66
€ 104,55
€ 104,55
€ 209,07
€ 209,07
€ 209,07
€ 104,55
€ 100,02
€ 60,02
€ 100,02
€ 150,05
€ 104,07
€ 100,02
€ 100,02
€ 150,05
€ 192,95
€ 127,50
€ 382,50
€ 191,25
€ 191,25
€ 382,50
€ 375,00
€ 550,00
€ 550,00
€ 412,50
€ 550,00
€ 1.125,00
€ 2.250,00
€ 675,00
€ 509,09
€ 509,09
€ 509,09
€ 63,64
€ 509,09
€ 230,00
€ 230,00
€ 287,53
€ 231,88
€ 172,50
€ 230,00
€ 575,00
€ 495,15
€ 495,15
€ 990,25
€ 618,93
€ 825,23
€ 618,93
€ 618,93
€ 115,00
€ 115,00
€ 229,98
€ 229,98
€ 229,98
€ 115,00
€ 110,03
€ 66,03
€ 110,03
€ 165,05
€ 114,48
€ 110,03
€ 110,03
€ 165,05
€ 212,25
€ 140,25
€ 420,75
€ 210,38
€ 210,38
€ 420,75
€ 412,50
€ 605,00
€ 605,00
€ 453,75
€ 605,00
€ 1.237,50
€ 2.475,00
€ 742,50
€ 560,00
€ 560,00
€ 560,00
€ 70,00
€ 560,00
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
8555
673
673
673
673
673
673
2492
1368
1368
5446
2209
2209
2209
2209
2209
2209
376
376
376
376
376
376
376
1666
1666
1666
1666
1666
1666
1666
1666
1667
1667
1667
1667
1667
1667
8381
8381
8381
1160
6777
6777
6777
6777
6777
Ditta Offerente
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
DESOSSIMETASONE 0,25% 2G EMULS BUST/FLUBASON*EMULS 15BUST 2G 0,25%
DIAZEPAM 20ML 5MG/ML GTT OS -CDR/TRANQUIRIT*OS GTT 20ML 0,5%
DIAZEPAM 20ML 5MG/ML GTT OS -CDR/TRANQUIRIT*OS GTT 20ML 0,5%
DIAZEPAM 20ML 5MG/ML GTT OS -CDR/TRANQUIRIT*OS GTT 20ML 0,5%
DIAZEPAM 20ML 5MG/ML GTT OS -CDR/TRANQUIRIT*OS GTT 20ML 0,5%
DIAZEPAM 20ML 5MG/ML GTT OS -CDR/TRANQUIRIT*OS GTT 20ML 0,5%
DIAZEPAM 20ML 5MG/ML GTT OS -CDR/TRANQUIRIT*OS GTT 20ML 0,5%
DILTIAZEM 200MG CPS RP/TILDIEM*36CPS 200MG RP
DILTIAZEM CLOR 300MG CPS RP/TILDIEM*14CPS 300MG RP
DILTIAZEM CLOR 300MG CPS RP/TILDIEM*14CPS 300MG RP
DRONEDARONE CLOR. 400MG CPR RIV-CDR/MULTAQ*60 CPR RIV 400MG
ENOXAPARINA 2000UI/0,2ML F SIR/CLEXANE*6SIR 2000UI 0,2ML
ENOXAPARINA 2000UI/0,2ML F SIR/CLEXANE*6SIR 2000UI 0,2ML
ENOXAPARINA 2000UI/0,2ML F SIR/CLEXANE*6SIR 2000UI 0,2ML
ENOXAPARINA 2000UI/0,2ML F SIR/CLEXANE*6SIR 2000UI 0,2ML
ENOXAPARINA 2000UI/0,2ML F SIR/CLEXANE*6SIR 2000UI 0,2ML
ENOXAPARINA 2000UI/0,2ML F SIR/CLEXANE*6SIR 2000UI 0,2ML
ENOXAPARINA 4000UI/0,4ML F+SIR SC/E/CLEXANE*6SIR 4000UI 0,4MLR
ENOXAPARINA 4000UI/0,4ML F+SIR SC/E/CLEXANE*6SIR 4000UI 0,4MLR
ENOXAPARINA 4000UI/0,4ML F+SIR SC/E/CLEXANE*6SIR 4000UI 0,4MLR
ENOXAPARINA 4000UI/0,4ML F+SIR SC/E/CLEXANE*6SIR 4000UI 0,4MLR
ENOXAPARINA 4000UI/0,4ML F+SIR SC/E/CLEXANE*6SIR 4000UI 0,4MLR
ENOXAPARINA 4000UI/0,4ML F+SIR SC/E/CLEXANE*6SIR 4000UI 0,4MLR
ENOXAPARINA 4000UI/0,4ML F+SIR SC/E/CLEXANE*6SIR 4000UI 0,4MLR
ENOXAPARINA 6000UI -/CLEXANE T*10FSIR 6000UI 0,6ML
ENOXAPARINA 6000UI -RIS CARDIO/UCIC/CLEXANE T*10FSIR 6000UI 0,6ML
ENOXAPARINA 6000UI -RIS CARDIO/UCIC/CLEXANE T*10FSIR 6000UI 0,6ML
ENOXAPARINA 6000UI -RIS CARDIO/UCIC/CLEXANE T*10FSIR 6000UI 0,6ML
ENOXAPARINA 6000UI -RIS CARDIO/UCIC/CLEXANE T*10FSIR 6000UI 0,6ML
ENOXAPARINA 6000UI -RIS CARDIO/UCIC/CLEXANE T*10FSIR 6000UI 0,6ML
ENOXAPARINA 6000UI -RIS CARDIO/UCIC/CLEXANE T*10FSIR 6000UI 0,6ML
ENOXAPARINA 6000UI -RIS CARDIO/UCIC/CLEXANE T*10FSIR 6000UI 0,6ML
ENOXAPARINA 8000UI -/CLEXANE T*2FSIR 8000UI 0,8ML UCIC
ENOXAPARINA 8000UI -RIS CARDIO/UCIC/CLEXANE T*2FSIR 8000UI 0,8ML UCIC
ENOXAPARINA 8000UI -RIS CARDIO/UCIC/CLEXANE T*2FSIR 8000UI 0,8ML UCIC
ENOXAPARINA 8000UI -RIS CARDIO/UCIC/CLEXANE T*2FSIR 8000UI 0,8ML UCIC
ENOXAPARINA 8000UI -RIS CARDIO/UCIC/CLEXANE T*2FSIR 8000UI 0,8ML UCIC
ENOXAPARINA 8000UI -RIS CARDIO/UCIC/CLEXANE T*2FSIR 8000UI 0,8ML UCIC
FENOBARBITALE 100MG CPR/GARDENALE*20CPR 100MG
FENOBARBITALE 100MG CPR/GARDENALE*20CPR 100MG
FENOBARBITALE 100MG CPR/GARDENALE*20CPR 100MG
FUROSEMIDE 1% SOL.OS 100 ML/LASIX*OS FL 100ML 10MG/ML
FUROSEMIDE 20MG/2ML F/LASIX*INIET 5F 2ML 20MG/2ML
FUROSEMIDE 20MG/2ML F/LASIX*INIET 5F 2ML 20MG/2ML
FUROSEMIDE 20MG/2ML F/LASIX*INIET 5F 2ML 20MG/2ML
FUROSEMIDE 20MG/2ML F/LASIX*INIET 5F 2ML 20MG/2ML
FUROSEMIDE 20MG/2ML F/LASIX*INIET 5F 2ML 20MG/2ML
75di89
500
500
250
375
375
250
900
1400
700
450
2250
7500
3150
7500
9000
22500
29250
45000
45000
38250
11475
30000
45000
7500
2250
5000
5400
5000
5000
1500
17500
2000
1500
1250
1750
1500
5500
15000
1500
15000
15
5000
15000
6250
15000
15000
15000
80
€ 1.272,73
€ 10,05
€ 10,05
€ 5,02
€ 6,07
€ 7,50
€ 4,05
€ 145,82
€ 188,32
€ 94,18
€ 386,68
€ 1.665,00
€ 5.550,00
€ 2.331,00
€ 5.550,00
€ 6.660,00
€ 16.650,00
€ 43.290,00
€ 66.600,00
€ 66.600,00
€ 56.610,00
€ 16.983,00
€ 44.400,00
€ 66.600,00
€ 16.650,00
€ 4.995,00
€ 11.100,00
€ 11.988,00
€ 11.100,00
€ 11.100,00
€ 3.330,00
€ 38.850,00
€ 5.920,00
€ 4.440,00
€ 3.700,00
€ 5.180,00
€ 4.440,00
€ 16.280,00
€ 225,00
€ 22,50
€ 225,00
€ 33,07
€ 399,57
€ 1.198,70
€ 499,45
€ 1.198,70
€ 1.198,70
€ 1.400,00
€ 11,05
€ 11,05
€ 5,53
€ 6,68
€ 8,25
€ 4,45
€ 160,40
€ 207,15
€ 103,60
€ 425,35
€ 1.831,50
€ 6.105,00
€ 2.564,10
€ 6.105,00
€ 7.326,00
€ 18.315,00
€ 47.619,00
€ 73.260,00
€ 73.260,00
€ 62.271,00
€ 18.681,30
€ 48.840,00
€ 73.260,00
€ 18.315,00
€ 5.494,50
€ 12.210,00
€ 13.186,80
€ 12.210,00
€ 12.210,00
€ 3.663,00
€ 42.735,00
€ 6.512,00
€ 4.884,00
€ 4.070,00
€ 5.698,00
€ 4.884,00
€ 17.908,00
€ 247,50
€ 24,75
€ 247,50
€ 36,38
€ 439,53
€ 1.318,58
€ 549,40
€ 1.318,58
€ 1.318,58
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
6777
6777
6777
10160
10160
10160
10160
10160
10160
10159
10159
10159
10159
10159
10159
10159
13324
13324
13324
13324
13324
7780
7780
1610
1610
1610
1610
7906
7906
7906
7906
7906
7906
7905
7905
7908
7908
7908
7908
7908
8201
8201
8201
8201
1492
1492
1492
Ditta Offerente
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
FUROSEMIDE 20MG/2ML F/LASIX*INIET 5F 2ML 20MG/2ML
FUROSEMIDE 20MG/2ML F/LASIX*INIET 5F 2ML 20MG/2ML
FUROSEMIDE 20MG/2ML F/LASIX*INIET 5F 2ML 20MG/2ML
FUROSEMIDE 250MG/25ML F INF/LASIX*INF 5F 250MG/25ML
FUROSEMIDE 250MG/25ML F INF/LASIX*INF 5F 250MG/25ML
FUROSEMIDE 250MG/25ML F INF/LASIX*INF 5F 250MG/25ML
FUROSEMIDE 250MG/25ML F INF/LASIX*INF 5F 250MG/25ML
FUROSEMIDE 250MG/25ML F INF/LASIX*INF 5F 250MG/25ML
FUROSEMIDE 250MG/25ML F INF/LASIX*INF 5F 250MG/25ML
FUROSEMIDE 500MG CPR/LASIX*20CPR 500MG
FUROSEMIDE 500MG CPR/LASIX*20CPR 500MG
FUROSEMIDE 500MG CPR/LASIX*20CPR 500MG
FUROSEMIDE 500MG CPR/LASIX*20CPR 500MG
FUROSEMIDE 500MG CPR/LASIX*20CPR 500MG
FUROSEMIDE 500MG CPR/LASIX*20CPR 500MG
FUROSEMIDE 500MG CPR/LASIX*20CPR 500MG
FUROSEMIDE/SPIRONOLATTONE 25+37MG C/LASITONE*20CPS 25MG+37MG
FUROSEMIDE/SPIRONOLATTONE 25+37MG C/LASITONE*20CPS 25MG+37MG
FUROSEMIDE/SPIRONOLATTONE 25+37MG C/LASITONE*20CPS 25MG+37MG
FUROSEMIDE/SPIRONOLATTONE 25+37MG C/LASITONE*20CPS 25MG+37MG
FUROSEMIDE/SPIRONOLATTONE 25+37MG C/LASITONE*20CPS 25MG+37MG
GLIBENCLAMIDE 5MG CPR/DAONIL*30CPR 5MG
GLIBENCLAMIDE 5MG CPR/DAONIL*30CPR 5MG
GLIMEPIRIDE 2MG CPR/AMARYL*30CPR 2MG
GLIMEPIRIDE 2MG CPR/AMARYL*30CPR 2MG
GLIMEPIRIDE 2MG CPR/AMARYL*30CPR 2MG
GLIMEPIRIDE 2MG CPR/AMARYL*30CPR 2MG
IDROCORTISONE EMI. 100MG F/FLEBOCORTID RICHTER*1F100MG+1F
IDROCORTISONE EMI. 100MG F/FLEBOCORTID RICHTER*1F100MG+1F
IDROCORTISONE EMI. 100MG F/FLEBOCORTID RICHTER*1F100MG+1F
IDROCORTISONE EMI. 100MG F/FLEBOCORTID RICHTER*1F100MG+1F
IDROCORTISONE EMI. 100MG F/FLEBOCORTID RICHTER*1F100MG+1F
IDROCORTISONE EMI. 100MG F/FLEBOCORTID RICHTER*1F100MG+1F
IDROCORTISONE EMI. 1G FL+F EV/FLEBOCORTID RICHTER*EV FL1G+F
IDROCORTISONE EMI. 1G FL+F EV/FLEBOCORTID RICHTER*EV FL1G+F
IDROCORTISONE EMI. 500MG/5ML FL EV/FLEBOCORTID RICHTER*EV FL 500MG
IDROCORTISONE EMI. 500MG/5ML FL EV/FLEBOCORTID RICHTER*EV FL 500MG
IDROCORTISONE EMI. 500MG/5ML FL EV/FLEBOCORTID RICHTER*EV FL 500MG
IDROCORTISONE EMI. 500MG/5ML FL EV/FLEBOCORTID RICHTER*EV FL 500MG
IDROCORTISONE EMI. 500MG/5ML FL EV/FLEBOCORTID RICHTER*EV FL 500MG
IDROXICLOROCHINA 200MG CPR/PLAQUENIL*30CPR RIV 200MG
IDROXICLOROCHINA 200MG CPR/PLAQUENIL*30CPR RIV 200MG
IDROXICLOROCHINA 200MG CPR/PLAQUENIL*30CPR RIV 200MG
IDROXICLOROCHINA 200MG CPR/PLAQUENIL*30CPR RIV 200MG
INSULINA GLARGINE 100UI/ML FL 10ML/LANTUS*SC 1FL 100UI/ML 10ML
INSULINA GLARGINE 100UI/ML FL 10ML/LANTUS*SC 1FL 100UI/ML 10ML
INSULINA GLARGINE 100UI/ML FL 10ML/LANTUS*SC 1FL 100UI/ML 10ML
76di89
6250
30000
250
2500
2250
2500
2500
125
5000
2500
5000
3750
5000
5000
5000
750
1000
5000
1000
1500
1799
1499
3747
3002
3747
1490
50
75
750
750
100
750
50
250
250
250
250
125
175
1050
1500
1500
750
125
125
250
75
81
€ 1.198,70
€ 499,45
€ 2.397,41
€ 197,55
€ 1.975,41
€ 1.777,84
€ 1.975,41
€ 1.975,41
€ 98,77
€ 449,82
€ 224,91
€ 449,82
€ 337,39
€ 449,82
€ 450,27
€ 449,82
€ 77,66
€ 103,52
€ 517,66
€ 103,52
€ 155,30
€ 18,00
€ 15,00
€ 3,77
€ 3,02
€ 3,77
€ 1,50
€ 23,39
€ 35,07
€ 350,77
€ 351,93
€ 46,77
€ 351,70
€ 133,89
€ 669,39
€ 287,59
€ 287,59
€ 287,59
€ 143,80
€ 201,32
€ 94,73
€ 135,32
€ 135,32
€ 67,68
€ 3.507,73
€ 3.507,73
€ 7.015,48
€ 1.318,58
€ 549,40
€ 2.637,15
€ 217,30
€ 2.172,95
€ 1.955,63
€ 2.172,95
€ 2.172,95
€ 108,65
€ 494,80
€ 247,40
€ 494,80
€ 371,13
€ 494,80
€ 495,30
€ 494,80
€ 85,43
€ 113,88
€ 569,43
€ 113,88
€ 170,83
€ 19,80
€ 16,50
€ 4,15
€ 3,33
€ 4,15
€ 1,65
€ 25,73
€ 38,58
€ 385,85
€ 387,13
€ 51,45
€ 386,88
€ 147,28
€ 736,33
€ 316,35
€ 316,35
€ 316,35
€ 158,18
€ 221,45
€ 104,20
€ 148,85
€ 148,85
€ 74,45
€ 3.858,50
€ 3.858,50
€ 7.717,03
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
1492
1492
1492
1492
5022
5022
5022
4953
4953
4953
4953
4953
4953
5366
5366
5366
5366
5366
5366
5366
1305
1305
1305
1305
1305
1305
1305
8330
8330
8330
8330
8330
8331
8331
8331
8331
8331
8331
8331
8152
8152
8152
8152
5252
5252
5252
3410
Ditta Offerente
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
INSULINA GLARGINE 100UI/ML FL 10ML/LANTUS*SC 1FL 100UI/ML 10ML
INSULINA GLARGINE 100UI/ML FL 10ML/LANTUS*SC 1FL 100UI/ML 10ML
INSULINA GLARGINE 100UI/ML FL 10ML/LANTUS*SC 1FL 100UI/ML 10ML
INSULINA GLARGINE 100UI/ML FL 10ML/LANTUS*SC 1FL 100UI/ML 10ML
INSULINA GLARGINE 100UI/ML PEN -DSC/LANTUS*SOLOST.SC 5PEN 300UI3ML
INSULINA GLARGINE 100UI/ML PEN -DSC/LANTUS*SOLOST.SC 5PEN 300UI3ML
INSULINA GLARGINE 100UI/ML PEN -DSC/LANTUS*SOLOST.SC 5PEN 300UI3ML
INSULINA GLULISINA 100U/ML FL/APIDRA*SC 1FL 10ML 100U/ML
INSULINA GLULISINA 100U/ML FL/APIDRA*SC 1FL 10ML 100U/ML
INSULINA GLULISINA 100U/ML FL/APIDRA*SC 1FL 10ML 100U/ML
INSULINA GLULISINA 100U/ML FL/APIDRA*SC 1FL 10ML 100U/ML
INSULINA GLULISINA 100U/ML FL/APIDRA*SC 1FL 10ML 100U/ML
INSULINA GLULISINA 100U/ML FL/APIDRA*SC 1FL 10ML 100U/ML
INSULINA GLULISINA 100UI/ML PEN-DSC/APIDRA*SOLOST.SC 5PEN 100UI/ML
INSULINA GLULISINA 100UI/ML PEN-DSC/APIDRA*SOLOST.SC 5PEN 100UI/ML
INSULINA GLULISINA 100UI/ML PEN-DSC/APIDRA*SOLOST.SC 5PEN 100UI/ML
INSULINA GLULISINA 100UI/ML PEN-DSC/APIDRA*SOLOST.SC 5PEN 100UI/ML
INSULINA GLULISINA 100UI/ML PEN-DSC/APIDRA*SOLOST.SC 5PEN 100UI/ML
INSULINA GLULISINA 100UI/ML PEN-DSC/APIDRA*SOLOST.SC 5PEN 100UI/ML
INSULINA GLULISINA 100UI/ML PEN-DSC/APIDRA*SOLOST.SC 5PEN 100UI/ML
INSULINA RAPID 100UI/ML F 5ML EV SC/INSUMAN*RAP EV SC 5ML 100UI/ML
INSULINA RAPID 100UI/ML F 5ML EV SC/INSUMAN*RAP EV SC 5ML 100UI/ML
INSULINA RAPID 100UI/ML F 5ML EV SC/INSUMAN*RAP EV SC 5ML 100UI/ML
INSULINA RAPID 100UI/ML F 5ML EV SC/INSUMAN*RAP EV SC 5ML 100UI/ML
INSULINA RAPID 100UI/ML F 5ML EV SC/INSUMAN*RAP EV SC 5ML 100UI/ML
INSULINA RAPID 100UI/ML F 5ML EV SC/INSUMAN*RAP EV SC 5ML 100UI/ML
INSULINA RAPID 100UI/ML F 5ML EV SC/INSUMAN*RAP EV SC 5ML 100UI/ML
LEVOMEPROMAZINA 100MG CPR RIV/NOZINAN*20CPR RIV 100MG
LEVOMEPROMAZINA 100MG CPR RIV/NOZINAN*20CPR RIV 100MG
LEVOMEPROMAZINA 100MG CPR RIV/NOZINAN*20CPR RIV 100MG
LEVOMEPROMAZINA 100MG CPR RIV/NOZINAN*20CPR RIV 100MG
LEVOMEPROMAZINA 100MG CPR RIV/NOZINAN*20CPR RIV 100MG
LEVOMEPROMAZINA 25MG CPR RIV/NOZINAN*20CPR RIV 25MG
LEVOMEPROMAZINA 25MG CPR RIV/NOZINAN*20CPR RIV 25MG
LEVOMEPROMAZINA 25MG CPR RIV/NOZINAN*20CPR RIV 25MG
LEVOMEPROMAZINA 25MG CPR RIV/NOZINAN*20CPR RIV 25MG
LEVOMEPROMAZINA 25MG CPR RIV/NOZINAN*20CPR RIV 25MG
LEVOMEPROMAZINA 25MG CPR RIV/NOZINAN*20CPR RIV 25MG
LEVOMEPROMAZINA 25MG CPR RIV/NOZINAN*20CPR RIV 25MG
LISINA ACETILSALIC. 1G+F IM/EV/FLECTADOL*IM EV 6FL 1G+6F 5ML
LISINA ACETILSALIC. 1G+F IM/EV/FLECTADOL*IM EV 6FL 1G+6F 5ML
LISINA ACETILSALIC. 1G+F IM/EV/FLECTADOL*IM EV 6FL 1G+6F 5ML
LISINA ACETILSALIC. 1G+F IM/EV/FLECTADOL*IM EV 6FL 1G+6F 5ML
LISINA ACETILSALIC. 75MG POLV OS/CARDIRENE*OS POLV 30BUST 75MG
LISINA ACETILSALIC. 75MG POLV OS/CARDIRENE*OS POLV 30BUST 75MG
LISINA ACETILSALIC. 75MG POLV OS/CARDIRENE*OS POLV 30BUST 75MG
MAGNESIO IDROS/ALGELDR 6,9% SOSP OS/MAALOX*OS SOSP 200ML 6,9%
77di89
125
150
250
50
50
50
50
50
50
75
50
50
25
37
63
37
25
25
50
250
200
125
450
200
250
625
3000
2000
2500
2500
7500
3000
3000
3000
3750
1000
3750
7500
525
525
525
75
450
450
375
13
13
82
€ 2.104,66
€ 3.507,73
€ 4.209,27
€ 7.015,48
€ 420,89
€ 420,89
€ 420,89
€ 500,07
€ 500,07
€ 500,07
€ 750,14
€ 500,07
€ 500,07
€ 148,18
€ 222,25
€ 370,43
€ 222,25
€ 148,25
€ 148,25
€ 296,50
€ 624,93
€ 499,95
€ 312,48
€ 1.124,89
€ 499,95
€ 624,93
€ 1.562,32
€ 329,55
€ 219,70
€ 274,64
€ 274,64
€ 823,91
€ 174,95
€ 174,95
€ 174,95
€ 218,70
€ 58,32
€ 220,57
€ 437,41
€ 414,75
€ 414,75
€ 414,75
€ 59,25
€ 15,82
€ 15,82
€ 13,18
€ 8,50
€ 2.315,13
€ 3.858,50
€ 4.630,20
€ 7.717,03
€ 462,98
€ 462,98
€ 462,98
€ 550,08
€ 550,08
€ 550,08
€ 825,15
€ 550,08
€ 550,08
€ 163,00
€ 244,48
€ 407,48
€ 244,48
€ 163,08
€ 163,08
€ 326,15
€ 687,43
€ 549,95
€ 343,73
€ 1.237,38
€ 549,95
€ 687,43
€ 1.718,55
€ 362,50
€ 241,68
€ 302,10
€ 302,10
€ 906,30
€ 192,45
€ 192,45
€ 192,45
€ 240,58
€ 64,15
€ 242,63
€ 481,15
€ 456,23
€ 456,23
€ 456,23
€ 65,18
€ 17,40
€ 17,40
€ 14,50
€ 9,35
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
3410
3410
3410
895
895
895
895
12624
12624
12624
12624
12624
8160
8160
8160
8160
8160
8161
8161
8161
7786
7786
7786
7786
7786
7786
7787
7787
7787
7787
7787
335
7941
7941
7941
7941
7941
7941
7756
7756
7756
7756
7756
7756
7756
7753
7753
Ditta Offerente
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
MAGNESIO IDROS/ALGELDR 6,9% SOSP OS/MAALOX*OS SOSP 200ML 6,9%
MAGNESIO IDROS/ALGELDR 6,9% SOSP OS/MAALOX*OS SOSP 200ML 6,9%
MAGNESIO IDROS/ALGELDR 6,9% SOSP OS/MAALOX*OS SOSP 200ML 6,9%
MAGNESIO IDROS/ALGELDR CPR 400+400/MAALOX*40CPR MAST 400MG+400MG
MAGNESIO IDROS/ALGELDR CPR 400+400/MAALOX*40CPR MAST 400MG+400MG
MAGNESIO IDROS/ALGELDR CPR 400+400/MAALOX*40CPR MAST 400MG+400MG
MAGNESIO IDROS/ALGELDR CPR 400+400/MAALOX*40CPR MAST 400MG+400MG
MAGNESIO PIDOLATO 1,5G FL OS/MAG 2*OS 20FL 10ML 1,5G/10ML
MAGNESIO PIDOLATO 1,5G FL OS/MAG 2*OS 20FL 10ML 1,5G/10ML
MAGNESIO PIDOLATO 1,5G FL OS/MAG 2*OS 20FL 10ML 1,5G/10ML
MAGNESIO PIDOLATO 1,5G FL OS/MAG 2*OS 20FL 10ML 1,5G/10ML
MAGNESIO PIDOLATO 1,5G FL OS/MAG 2*OS 20FL 10ML 1,5G/10ML
METAMIZOLO SODICO 1G/2ML F IM/IV/NOVALGINA*IM IV 5F 1G 2ML
METAMIZOLO SODICO 1G/2ML F IM/IV/NOVALGINA*IM IV 5F 1G 2ML
METAMIZOLO SODICO 1G/2ML F IM/IV/NOVALGINA*IM IV 5F 1G 2ML
METAMIZOLO SODICO 1G/2ML F IM/IV/NOVALGINA*IM IV 5F 1G 2ML
METAMIZOLO SODICO 1G/2ML F IM/IV/NOVALGINA*IM IV 5F 1G 2ML
METAMIZOLO SODICO 500MG/ML 20ML GTT/NOVALGINA*OS GTT 20ML 500MG/ML
METAMIZOLO SODICO 500MG/ML 20ML GTT/NOVALGINA*OS GTT 20ML 500MG/ML
METAMIZOLO SODICO 500MG/ML 20ML GTT/NOVALGINA*OS GTT 20ML 500MG/ML
METFORMINA CLOR.500MG CPR RIV/METFORMINA MYLAN* 30CPR RIV 500MG
METFORMINA CLOR.500MG CPR RIV/ZUGLIMET*30CPR RIV 500MG
METFORMINA CLOR.500MG CPR RIV/ZUGLIMET*30CPR RIV 500MG
METFORMINA CLOR.500MG CPR RIV/ZUGLIMET*30CPR RIV 500MG
METFORMINA CLOR.500MG CPR RIV/ZUGLIMET*30CPR RIV 500MG
METFORMINA CLOR.500MG CPR RIV/ZUGLIMET*30CPR RIV 500MG
METFORMINA CLOR.850MG CPR RIV/ZUGLIMET*40CPR RIV 850MG
METFORMINA CLOR.850MG CPR RIV/ZUGLIMET*40CPR RIV 850MG
METFORMINA CLOR.850MG CPR RIV/ZUGLIMET*40CPR RIV 850MG
METFORMINA CLOR.850MG CPR RIV/ZUGLIMET*40CPR RIV 850MG
METFORMINA CLOR.850MG CPR RIV/ZUGLIMET*40CPR RIV 850MG
METFORMINA/GLIBENCLAM 400+2,5MG CPR/SUGUAN M*40CPR RIV 400+2,5MG
METILPREDNISOLONE EMI. 20MG F IM/EV/URBASON*IM EV 3F 20MG+3F 1ML
METILPREDNISOLONE EMI. 20MG F IM/EV/URBASON*IM EV 3F 20MG+3F 1ML
METILPREDNISOLONE EMI. 20MG F IM/EV/URBASON*IM EV 3F 20MG+3F 1ML
METILPREDNISOLONE EMI. 20MG F IM/EV/URBASON*IM EV 3F 20MG+3F 1ML
METILPREDNISOLONE EMI. 20MG F IM/EV/URBASON*IM EV 3F 20MG+3F 1ML
METILPREDNISOLONE EMI. 20MG F IM/EV/URBASON*IM EV 3F 20MG+3F 1ML
METOCLOPRAMIDE CLOR. 0,1% SCIR/PLASIL*SCIR 120ML 10MG/10ML
METOCLOPRAMIDE CLOR. 0,1% SCIR/PLASIL*SCIR 120ML 10MG/10ML
METOCLOPRAMIDE CLOR. 0,1% SCIR/PLASIL*SCIR 120ML 10MG/10ML
METOCLOPRAMIDE CLOR. 0,1% SCIR/PLASIL*SCIR 120ML 10MG/10ML
METOCLOPRAMIDE CLOR. 0,1% SCIR/PLASIL*SCIR 120ML 10MG/10ML
METOCLOPRAMIDE CLOR. 0,1% SCIR/PLASIL*SCIR 120ML 10MG/10ML
METOCLOPRAMIDE CLOR. 0,1% SCIR/PLASIL*SCIR 120ML 10MG/10ML
METOCLOPRAMIDE CLOR. 10MG CPR/PLASIL*24CPR 10MG
METOCLOPRAMIDE CLOR. 10MG CPR/PLASIL*24CPR 10MG
78di89
25
1000
1000
1000
1500
3000
2500
2500
2500
2500
5000
125
112
125
250
125
125
75
125
22500
22727
75758
18939
75758
37879
4870
4870
4870
11364
4870
5000
5250
4500
5250
2250
5250
15000
150
200
50
150
150
125
100
6000
6000
3000
83
€ 8,50
€ 17,00
€ 680,00
€ 22,00
€ 20,00
€ 33,00
€ 60,00
€ 487,50
€ 487,50
€ 487,50
€ 487,50
€ 975,00
€ 44,39
€ 39,93
€ 44,39
€ 88,75
€ 44,39
€ 199,98
€ 120,00
€ 199,98
€ 675,00
€ 0,27
€ 0,91
€ 0,23
€ 0,91
€ 0,45
€ 0,07
€ 0,07
€ 0,07
€ 0,16
€ 0,07
€ 134,34
€ 2.415,00
€ 2.070,00
€ 2.415,00
€ 1.035,00
€ 2.415,00
€ 6.887,93
€ 148,55
€ 198,05
€ 49,52
€ 148,39
€ 148,39
€ 123,66
€ 98,93
€ 396,05
€ 396,05
€ 9,35
€ 18,70
€ 748,00
€ 24,20
€ 22,00
€ 36,30
€ 66,00
€ 536,25
€ 536,25
€ 536,25
€ 536,25
€ 1.072,50
€ 48,83
€ 43,93
€ 48,83
€ 97,63
€ 48,83
€ 219,98
€ 132,00
€ 219,98
€ 742,50
€ 0,30
€ 1,00
€ 0,25
€ 1,00
€ 0,50
€ 0,08
€ 0,08
€ 0,08
€ 0,18
€ 0,08
€ 147,78
€ 2.656,50
€ 2.277,00
€ 2.656,50
€ 1.138,50
€ 2.656,50
€ 7.576,73
€ 163,40
€ 217,85
€ 54,48
€ 163,23
€ 163,23
€ 136,03
€ 108,83
€ 435,65
€ 435,65
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
7753
7753
7754
7754
7754
7754
7754
7754
7754
1123
1123
6557
6557
6557
6557
6557
6558
6558
6558
6558
6558
6803
438
438
438
8836
8836
8836
8836
8836
8836
3428
3428
3428
3428
6306
6306
6306
6306
1403
6330
6330
6329
6329
6331
6331
6331
Ditta Offerente
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
METOCLOPRAMIDE CLOR. 10MG CPR/PLASIL*24CPR 10MG
METOCLOPRAMIDE CLOR. 10MG CPR/PLASIL*24CPR 10MG
METOCLOPRAMIDE CLOR.10MG/2ML FIM/EV/PLASIL*INET 5F 2ML 10MG/2ML
METOCLOPRAMIDE CLOR.10MG/2ML FIM/EV/PLASIL*INET 5F 2ML 10MG/2ML
METOCLOPRAMIDE CLOR.10MG/2ML FIM/EV/PLASIL*INET 5F 2ML 10MG/2ML
METOCLOPRAMIDE CLOR.10MG/2ML FIM/EV/PLASIL*INET 5F 2ML 10MG/2ML
METOCLOPRAMIDE CLOR.10MG/2ML FIM/EV/PLASIL*INET 5F 2ML 10MG/2ML
METOCLOPRAMIDE CLOR.10MG/2ML FIM/EV/PLASIL*INET 5F 2ML 10MG/2ML
METOCLOPRAMIDE CLOR.10MG/2ML FIM/EV/PLASIL*INET 5F 2ML 10MG/2ML
PENTAMIDINA 300MG FL IM/EV/AEROSOL/PENTACARINAT*IM EV/AEROS 300MG
PENTAMIDINA 300MG FL IM/EV/AEROSOL/PENTACARINAT*IM EV/AEROS 300MG
PENTOXIFILLINA 100MG F IM/TRENTAL*IV 5F 100MG 5ML
PENTOXIFILLINA 100MG F IM/TRENTAL*IV 5F 100MG 5ML
PENTOXIFILLINA 100MG F IM/TRENTAL*IV 5F 100MG 5ML
PENTOXIFILLINA 100MG F IM/TRENTAL*IV 5F 100MG 5ML
PENTOXIFILLINA 100MG F IM/TRENTAL*IV 5F 100MG 5ML
PENTOXIFILLINA 400MG CPR RM/TRENTAL*30CPS 400MG RM
PENTOXIFILLINA 400MG CPR RM/TRENTAL*30CPS 400MG RM
PENTOXIFILLINA 400MG CPR RM/TRENTAL*30CPS 400MG RM
PENTOXIFILLINA 400MG CPR RM/TRENTAL*30CPS 400MG RM
PENTOXIFILLINA 400MG CPR RM/TRENTAL*30CPS 400MG RM
PRALIDOXIMA 200MG FL EV ANTIDOTO/CONTRATHION*EV 10FL 200MG/10ML
RAMIPRIL 2,5MG CPR DIV/TRIATEC*28CPR DIV 2,5MG
RAMIPRIL 2,5MG CPR DIV/TRIATEC*28CPR DIV 2,5MG
RAMIPRIL 2,5MG CPR DIV/TRIATEC*28CPR DIV 2,5MG
RAMIPRIL 5MG CPR RIV/TRIATEC*14CPR DIV 5MG
RAMIPRIL 5MG CPR RIV/TRIATEC*14CPR DIV 5MG
RAMIPRIL 5MG CPR RIV/TRIATEC*14CPR DIV 5MG
RAMIPRIL 5MG CPR RIV/TRIATEC*14CPR DIV 5MG
RAMIPRIL 5MG CPR RIV/TRIATEC*14CPR DIV 5MG
RAMIPRIL 5MG CPR RIV/TRIATEC*14CPR DIV 5MG
RASBURICASE 7,5MG+F 5ML EV/FASTURTEC*EV 1F 7,5MG+1F 5ML
RASBURICASE 7,5MG+F 5ML EV/FASTURTEC*EV 1F 7,5MG+1F 5ML
RASBURICASE 7,5MG+F 5ML EV/FASTURTEC*EV 1F 7,5MG+1F 5ML
RASBURICASE 7,5MG+F 5ML EV/FASTURTEC*EV 1F 7,5MG+1F 5ML
RIFAMICINA 90MG F LOCALE -RIS.DERMA/RIFOCIN*LOCALE 1F 90MG/18ML+F
RIFAMICINA 90MG F LOCALE -RIS.DERMA/RIFOCIN*LOCALE 1F 90MG/18ML+F
RIFAMICINA 90MG F LOCALE -RIS.DERMA/RIFOCIN*LOCALE 1F 90MG/18ML+F
RIFAMICINA 90MG F LOCALE -RIS.DERMA/RIFOCIN*LOCALE 1F 90MG/18ML+F
RIFAMPICINA 20MG/ML SCIR 60ML/RIFADIN*SCIR 60ML 20MG/ML
RIFAMPICINA 300MG CPS/RIFADIN*8CPR 300MG
RIFAMPICINA 300MG CPS/RIFADIN*8CPR 300MG
RIFAMPICINA 450MG CPR RIV/RIFADIN*8CPR RIV 450MG
RIFAMPICINA 450MG CPR RIV/RIFADIN*8CPR RIV 450MG
RIFAMPICINA 600MG CPR RIV/RIFADIN*8CPR RIV 600MG
RIFAMPICINA 600MG CPR RIV/RIFADIN*8CPR RIV 600MG
RIFAMPICINA 600MG CPR RIV/RIFADIN*8CPR RIV 600MG
79di89
6000
1250
5000
5000
1250
5000
2500
12500
7
10
250
375
250
500
375
3750
3750
7500
3750
7500
50
21531
69378
21531
17562
17562
70248
17562
17562
70248
7
7
7
13
75
38
50
25
38
400
400
400
1000
1500
2000
2000
60
84
€ 198,02
€ 398,30
€ 93,77
€ 375,07
€ 375,07
€ 93,77
€ 375,07
€ 187,55
€ 937,70
€ 76,84
€ 102,45
€ 115,34
€ 167,25
€ 111,50
€ 223,00
€ 173,00
€ 706,25
€ 706,25
€ 1.412,50
€ 706,25
€ 1.412,50
€ 133,30
€ 0,41
€ 1,32
€ 0,41
€ 0,39
€ 0,39
€ 1,55
€ 0,39
€ 0,39
€ 1,55
€ 2.294,77
€ 2.294,77
€ 2.294,77
€ 3.824,64
€ 201,00
€ 105,00
€ 140,00
€ 70,00
€ 47,64
€ 84,55
€ 84,55
€ 110,45
€ 276,14
€ 498,57
€ 664,77
€ 664,77
€ 217,83
€ 438,13
€ 103,15
€ 412,58
€ 412,58
€ 103,15
€ 412,58
€ 206,30
€ 1.031,48
€ 84,53
€ 112,70
€ 126,88
€ 183,98
€ 122,65
€ 245,30
€ 190,30
€ 776,88
€ 776,88
€ 1.553,75
€ 776,88
€ 1.553,75
€ 146,63
€ 0,45
€ 1,45
€ 0,45
€ 0,43
€ 0,43
€ 1,70
€ 0,43
€ 0,43
€ 1,70
€ 2.524,25
€ 2.524,25
€ 2.524,25
€ 4.207,10
€ 221,10
€ 115,50
€ 154,00
€ 77,00
€ 52,40
€ 93,00
€ 93,00
€ 121,50
€ 303,75
€ 548,43
€ 731,25
€ 731,25
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
6331
6331
6332
6332
6332
6332
1706
1706
1706
503
503
503
503
503
503
503
503
6810
6810
6810
6782
6782
6782
6782
6782
6781
6781
6781
6781
6781
6781
6781
1217
12321
12321
12321
12321
12321
12321
6825
6825
6825
6825
6826
6826
6826
E3778
Ditta Offerente
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
RIFAMPICINA 600MG CPR RIV/RIFADIN*8CPR RIV 600MG
RIFAMPICINA 600MG CPR RIV/RIFADIN*8CPR RIV 600MG
RIFAMPICINA 600MG+F 10ML EV/RIFADIN*EV 1F 600MG+F 10ML
RIFAMPICINA 600MG+F 10ML EV/RIFADIN*EV 1F 600MG+F 10ML
RIFAMPICINA 600MG+F 10ML EV/RIFADIN*EV 1F 600MG+F 10ML
RIFAMPICINA 600MG+F 10ML EV/RIFADIN*EV 1F 600MG+F 10ML
SEVELAMER 800MG CPR RIV FL -DSC/RENVELA*FL 180CPR RIV 800MG
SEVELAMER 800MG CPR RIV FL -DSC/RENVELA*FL 180CPR RIV 800MG
SEVELAMER 800MG CPR RIV FL -DSC/RENVELA*FL 180CPR RIV 800MG
SODIO FERRIGLUCONATO 62,5MG F OS/IV/FERLIXIT*OS IV 5F 5ML 62,5MG
SODIO FERRIGLUCONATO 62,5MG F OS/IV/FERLIXIT*OS IV 5F 5ML 62,5MG
SODIO FERRIGLUCONATO 62,5MG F OS/IV/FERLIXIT*OS IV 5F 5ML 62,5MG
SODIO FERRIGLUCONATO 62,5MG F OS/IV/FERLIXIT*OS IV 5F 5ML 62,5MG
SODIO FERRIGLUCONATO 62,5MG F OS/IV/FERLIXIT*OS IV 5F 5ML 62,5MG
SODIO FERRIGLUCONATO 62,5MG F OS/IV/FERLIXIT*OS IV 5F 5ML 62,5MG
SODIO FERRIGLUCONATO 62,5MG F OS/IV/FERLIXIT*OS IV 5F 5ML 62,5MG
SODIO FERRIGLUCONATO 62,5MG F OS/IV/FERLIXIT*OS IV 5F 5ML 62,5MG
SODIO POLISTIRENE 454G SOSP RETT OS/KAYEXALATE*OS RETT SOSP FL454G
SODIO POLISTIRENE 454G SOSP RETT OS/KAYEXALATE*OS RETT SOSP FL454G
SODIO POLISTIRENE 454G SOSP RETT OS/KAYEXALATE*OS RETT SOSP FL454G
SPIRONOLATTONE 100MG CPR RIV/ALDACTONE*10CPR RIV 100MG
SPIRONOLATTONE 100MG CPR RIV/ALDACTONE*10CPR RIV 100MG
SPIRONOLATTONE 100MG CPR RIV/ALDACTONE*10CPR RIV 100MG
SPIRONOLATTONE 100MG CPR RIV/ALDACTONE*10CPR RIV 100MG
SPIRONOLATTONE 100MG CPR RIV/ALDACTONE*10CPR RIV 100MG
SPIRONOLATTONE 25MG CPS/ALDACTONE*16CPS 25MG
SPIRONOLATTONE 25MG CPS/ALDACTONE*16CPS 25MG
SPIRONOLATTONE 25MG CPS/ALDACTONE*16CPS 25MG
SPIRONOLATTONE 25MG CPS/ALDACTONE*16CPS 25MG
SPIRONOLATTONE 25MG CPS/ALDACTONE*16CPS 25MG
SPIRONOLATTONE 25MG CPS/ALDACTONE*16CPS 25MG
SPIRONOLATTONE 25MG CPS/ALDACTONE*16CPS 25MG
SUCRALFATO 2G/10ML BS OS GEL/SUCRALFIN*OS GRAT 30BUST 2G
TEICOPLANINA 200MG+F 3ML IM/EV-R.M./TARGOSID*IM IV 1F 200MG+F 3ML
TEICOPLANINA 200MG+F 3ML IM/EV-R.M./TARGOSID*IM IV 1F 200MG+F 3ML
TEICOPLANINA 200MG+F 3ML IM/EV-R.M./TARGOSID*IM IV 1F 200MG+F 3ML
TEICOPLANINA 200MG+F 3ML IM/EV-R.M./TARGOSID*IM IV 1F 200MG+F 3ML
TEICOPLANINA 200MG+F 3ML IM/EV-R.M./TARGOSID*IM IV 1F 200MG+F 3ML
TEICOPLANINA 200MG+F 3ML IM/EV-R.M./TARGOSID*IM IV 1F 200MG+F 3ML
TIAPRIDE CLOR. 100MG CPR/SEREPRILE*20CPR 100MG
TIAPRIDE CLOR. 100MG CPR/SEREPRILE*20CPR 100MG
TIAPRIDE CLOR. 100MG CPR/SEREPRILE*20CPR 100MG
TIAPRIDE CLOR. 100MG CPR/SEREPRILE*20CPR 100MG
TIAPRIDE CLOR. 100MG F IM/EV/SEREPRILE*INIET 10F 100MG/2ML
TIAPRIDE CLOR. 100MG F IM/EV/SEREPRILE*INIET 10F 100MG/2ML
TIAPRIDE CLOR. 100MG F IM/EV/SEREPRILE*INIET 10F 100MG/2ML
TIROTROPINA 0,9MG F IM/THYROGEN*IM 2F 0,9MG
80di89
8000
375
250
300
500
4950
4500
4500
5000
4000
3750
5000
3750
2000
4000
10000
7
25
25
2500
3000
7500
3750
2500
24000
17999
13999
5000
4000
12000
4000
3000
250
2000
1750
1500
2500
3750
3750
1500
2500
5000
750
750
1000
40
40
85
€ 19,95
€ 2.659,09
€ 1.581,82
€ 1.054,55
€ 1.265,45
€ 2.109,09
€ 3.712,59
€ 3.375,09
€ 3.375,09
€ 2.878,07
€ 2.302,45
€ 2.158,55
€ 2.881,41
€ 2.158,55
€ 1.152,00
€ 2.302,45
€ 5.756,14
€ 97,50
€ 325,02
€ 325,02
€ 254,07
€ 304,89
€ 762,23
€ 381,09
€ 254,07
€ 750,16
€ 562,59
€ 437,57
€ 156,27
€ 125,02
€ 375,07
€ 125,02
€ 82,48
€ 4.727,50
€ 37.820,07
€ 33.092,57
€ 28.365,07
€ 47.275,09
€ 70.912,66
€ 491,00
€ 196,41
€ 327,34
€ 654,68
€ 126,73
€ 126,73
€ 168,95
€ 13.688,80
€ 21,95
€ 2.925,00
€ 1.740,00
€ 1.160,00
€ 1.392,00
€ 2.320,00
€ 4.083,85
€ 3.712,60
€ 3.712,60
€ 3.165,88
€ 2.532,70
€ 2.374,40
€ 3.169,55
€ 2.374,40
€ 1.267,20
€ 2.532,70
€ 6.331,75
€ 107,25
€ 357,53
€ 357,53
€ 279,48
€ 335,38
€ 838,45
€ 419,20
€ 279,48
€ 825,18
€ 618,85
€ 481,33
€ 171,90
€ 137,53
€ 412,58
€ 137,53
€ 90,73
€ 5.200,25
€ 41.602,08
€ 36.401,83
€ 31.201,58
€ 52.002,60
€ 78.003,93
€ 540,10
€ 216,05
€ 360,08
€ 720,15
€ 139,40
€ 139,40
€ 185,85
€ 15.057,68
ALLEGATO A
Cod.SFO
98 E3778
98 E3778
98 56
98 56
98 1409
98 1409
98 1409
98 1409
98 1409
98 7805
98 7805
98 7805
98 7805
98 7805
98 3993
98 3993
98 3993
98 3993
98 3993
98 3993
98 548
98 2525
98 2525
98 2210
98 1329
98 1329
98 1329
98 1329
98 1329
98 1724
98 1724
98 1724
98 1724
98 1724
98 1724
98 1724
98 5433
98 5433
98 5433
98 5443
98 5443
98 3019
98 3019
98 3019
98 3019
98 3019
98 6206
Ditta Offerente
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SCHARPER SPA
SCHARPER SPA
SCHARPER SPA
SCHARPER SPA
SCHARPER SPA
SERVIER ITALIA S.P.A.
SERVIER ITALIA S.P.A.
SERVIER ITALIA S.P.A.
SERVIER ITALIA S.P.A.
SERVIER ITALIA S.P.A.
SERVIER ITALIA S.P.A.
SERVIER ITALIA S.P.A.
SHIRE ITALIA S.P.A.
SHIRE ITALIA S.P.A.
SHIRE ITALIA S.P.A.
SIFI SPA SOC.IND.FARMACEUTICA IT.
SIFI SPA SOC.IND.FARMACEUTICA IT.
SIFI SPA SOC.IND.FARMACEUTICA IT.
SIFI SPA SOC.IND.FARMACEUTICA IT.
SIFI SPA SOC.IND.FARMACEUTICA IT.
SIGMA-TAU S.P.A.
SIGMA-TAU S.P.A.
SIGMA-TAU S.P.A.
SIGMA-TAU S.P.A.
SIGMA-TAU S.P.A.
SIGMA-TAU S.P.A.
SIGMA-TAU S.P.A.
SIGMA-TAU S.P.A.
SIGMA-TAU S.P.A.
SIGMA-TAU S.P.A.
SIGMA-TAU S.P.A.
SIGMA-TAU S.P.A.
SIGMA-TAU S.P.A.
SIGMA-TAU S.P.A.
SIGMA-TAU S.P.A.
SIGMA-TAU S.P.A.
SIGMA-TAU S.P.A.
SO.SE.PHARM S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
TIROTROPINA 0,9MG F IM/THYROGEN*IM 2F 0,9MG
TIROTROPINA 0,9MG F IM/THYROGEN*IM 2F 0,9MG
VIGABATRIN 500MG CPR RIV/SABRIL*50CPR RIV 500MG
VIGABATRIN 500MG CPR RIV/SABRIL*50CPR RIV 500MG
ZOLPIDEM TARTRATO 10MG CPR RIV/STILNOX*30CPR RIV 10MG
ZOLPIDEM TARTRATO 10MG CPR RIV/STILNOX*30CPR RIV 10MG
ZOLPIDEM TARTRATO 10MG CPR RIV/STILNOX*30CPR RIV 10MG
ZOLPIDEM TARTRATO 10MG CPR RIV/STILNOX*30CPR RIV 10MG
ZOLPIDEM TARTRATO 10MG CPR RIV/STILNOX*30CPR RIV 10MG
OXIBUTININA CLOR. 5MG CPR R.P./LYRINEL*FL 14CPR 5MG R.P.
OXIBUTININA CLOR. 5MG CPR R.P./LYRINEL*FL 14CPR 5MG R.P.
OXIBUTININA CLOR. 5MG CPR R.P./LYRINEL*FL 14CPR 5MG R.P.
OXIBUTININA CLOR. 5MG CPR R.P./LYRINEL*FL 14CPR 5MG R.P.
OXIBUTININA CLOR. 5MG CPR R.P./LYRINEL*FL 14CPR 5MG R.P.
GLICLAZIDE 30MG CPR RM/DIAMICRON*60CPR 30MG RM
GLICLAZIDE 30MG CPR RM/DIAMICRON*60CPR 30MG RM
GLICLAZIDE 30MG CPR RM/DIAMICRON*60CPR 30MG RM
GLICLAZIDE 30MG CPR RM/DIAMICRON*60CPR 30MG RM
GLICLAZIDE 30MG CPR RM/DIAMICRON*60CPR 30MG RM
GLICLAZIDE 30MG CPR RM/DIAMICRON*60CPR 30MG RM
INDAPAMIDE 2,5MG CPR RIV/NATRILIX*30CPR RIV 2,5MG
LANTANIO CARBONATO 1000MG CPR -DSC/FOZNOL*FL 90CPR MAST 1000MG
LANTANIO CARBONATO 1000MG CPR -DSC/FOZNOL*FL 90CPR MAST 1000MG
LANTANIO CARBONATO 750MG CPR -DSC/FOZNOL*FL 90CPR MAST 750MG
LATANOPROST 50MCG/ML 2,5ML COLL CDR/IOPIZE*COLL 1FL 2,5ML 50MCG/ML
LATANOPROST 50MCG/ML 2,5ML COLL CDR/IOPIZE*COLL 1FL 2,5ML 50MCG/ML
LATANOPROST 50MCG/ML 2,5ML COLL CDR/IOPIZE*COLL 1FL 2,5ML 50MCG/ML
LATANOPROST 50MCG/ML 2,5ML COLL CDR/IOPIZE*COLL 1FL 2,5ML 50MCG/ML
LATANOPROST 50MCG/ML 2,5ML COLL CDR/IOPIZE*COLL 1FL 2,5ML 50MCG/ML
BEXAROTENE 75MG CPS
-DSC/TARGRETIN*FL 100CPS 75MG
BEXAROTENE 75MG CPS
-DSC/TARGRETIN*FL 100CPS 75MG
BEXAROTENE 75MG CPS
-DSC/TARGRETIN*FL 100CPS 75MG
BEXAROTENE 75MG CPS
-DSC/TARGRETIN*FL 100CPS 75MG
BEXAROTENE 75MG CPS
-DSC/TARGRETIN*FL 100CPS 75MG
BEXAROTENE 75MG CPS
-DSC/TARGRETIN*FL 100CPS 75MG
BEXAROTENE 75MG CPS
-DSC/TARGRETIN*FL 100CPS 75MG
BUPROPIONE CLOR. 300MG CPR RM/ELONTRIL*30CPR 300MG RM
BUPROPIONE CLOR. 300MG CPR RM/ELONTRIL*30CPR 300MG RM
BUPROPIONE CLOR. 300MG CPR RM/ELONTRIL*30CPR 300MG RM
LEVOCARNITINA 1G FL MONODOSE OS/CARNITENE*OS 10FL 1G MONOD
LEVOCARNITINA 1G FL MONODOSE OS/CARNITENE*OS 10FL 1G MONOD
MONTELUKAST SODICO 10MG CPR RIV/LUKASM*28CPR FILM RIV 10MG
MONTELUKAST SODICO 10MG CPR RIV/LUKASM*28CPR FILM RIV 10MG
MONTELUKAST SODICO 10MG CPR RIV/LUKASM*28CPR FILM RIV 10MG
MONTELUKAST SODICO 10MG CPR RIV/LUKASM*28CPR FILM RIV 10MG
MONTELUKAST SODICO 10MG CPR RIV/LUKASM*28CPR FILM RIV 10MG
CEFOTAXIMA SODICA 1G FL IM EV/BATIXIM*IM IV 1F 1G+F 4ML
81di89
50
500
500
15000
5250
5250
11250
5250
2800
3500
2800
3500
5250
1263
1263
1263
1263
1263
1263
150
450
450
450
50
150
50
150
75
1000
1000
750
750
1250
1250
750
300
300
300
500
900
350
420
350
350
420
5000
150
86
€ 13.688,80
€ 17.111,00
€ 159,59
€ 159,59
€ 368,07
€ 128,82
€ 128,82
€ 276,05
€ 128,82
€ 230,27
€ 287,84
€ 230,27
€ 287,84
€ 431,77
€ 0,02
€ 0,02
€ 0,02
€ 0,02
€ 0,02
€ 0,02
€ 9,02
€ 1.262,32
€ 1.262,32
€ 947,20
€ 155,05
€ 465,14
€ 155,05
€ 465,14
€ 232,55
€ 9.927,45
€ 9.927,45
€ 7.445,59
€ 7.445,59
€ 12.409,32
€ 12.409,32
€ 7.445,59
€ 242,50
€ 242,50
€ 242,50
€ 150,64
€ 271,14
€ 129,84
€ 155,80
€ 129,84
€ 129,84
€ 155,80
€ 4.481,80
€ 15.057,68
€ 18.822,10
€ 175,55
€ 175,55
€ 404,88
€ 141,70
€ 141,70
€ 303,65
€ 141,70
€ 253,30
€ 316,63
€ 253,30
€ 316,63
€ 474,95
€ 0,03
€ 0,03
€ 0,03
€ 0,03
€ 0,03
€ 0,03
€ 9,93
€ 1.388,55
€ 1.388,55
€ 1.041,93
€ 170,55
€ 511,65
€ 170,55
€ 511,65
€ 255,80
€ 10.920,20
€ 10.920,20
€ 8.190,15
€ 8.190,15
€ 13.650,25
€ 13.650,25
€ 8.190,15
€ 266,75
€ 266,75
€ 266,75
€ 165,70
€ 298,25
€ 142,83
€ 171,38
€ 142,83
€ 142,83
€ 171,38
€ 4.929,98
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
1473
1473
1473
682
682
682
682
682
1127
1127
1127
1127
1127
1127
1127
1231
1231
1231
1231
1231
1231
1231
1231
268
268
268
268
1191
1191
1191
1191
10817
584
584
584
584
1367
1367
1367
1367
1367
933
933
933
933
132
132
Ditta Offerente
SO.SE.PHARM S.R.L.
SO.SE.PHARM S.R.L.
SO.SE.PHARM S.R.L.
SO.SE.PHARM S.R.L.
SO.SE.PHARM S.R.L.
SO.SE.PHARM S.R.L.
SO.SE.PHARM S.R.L.
SO.SE.PHARM S.R.L.
SO.SE.PHARM S.R.L.
SO.SE.PHARM S.R.L.
SO.SE.PHARM S.R.L.
SO.SE.PHARM S.R.L.
SO.SE.PHARM S.R.L.
SO.SE.PHARM S.R.L.
SO.SE.PHARM S.R.L.
SOFAR S.P.A.
SOFAR S.P.A.
SOFAR S.P.A.
SOFAR S.P.A.
SOFAR S.P.A.
SOFAR S.P.A.
SOFAR S.P.A.
SOFAR S.P.A.
SOFAR S.P.A.
SOFAR S.P.A.
SOFAR S.P.A.
SOFAR S.P.A.
SOFAR S.P.A.
SOFAR S.P.A.
SOFAR S.P.A.
SOFAR S.P.A.
SPA - SOCIETA'PRODOTTI ANTIBIOTICI
SPA - SOCIETA'PRODOTTI ANTIBIOTICI
SPA - SOCIETA'PRODOTTI ANTIBIOTICI
SPA - SOCIETA'PRODOTTI ANTIBIOTICI
SPA - SOCIETA'PRODOTTI ANTIBIOTICI
SPA - SOCIETA'PRODOTTI ANTIBIOTICI
SPA - SOCIETA'PRODOTTI ANTIBIOTICI
SPA - SOCIETA'PRODOTTI ANTIBIOTICI
SPA - SOCIETA'PRODOTTI ANTIBIOTICI
SPA - SOCIETA'PRODOTTI ANTIBIOTICI
SPA - SOCIETA'PRODOTTI ANTIBIOTICI
SPA - SOCIETA'PRODOTTI ANTIBIOTICI
SPA - SOCIETA'PRODOTTI ANTIBIOTICI
SPA - SOCIETA'PRODOTTI ANTIBIOTICI
SUN PHARMACEUTICALS ITALIA
SUN PHARMACEUTICALS ITALIA
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
KETOROLAC 20MG/ML 10ML GTT OS/KEVINDOL*OS GTT 20MG/ML 10ML
KETOROLAC 20MG/ML 10ML GTT OS/KEVINDOL*OS GTT 20MG/ML 10ML
KETOROLAC 20MG/ML 10ML GTT OS/KEVINDOL*OS GTT 20MG/ML 10ML
PIPERACILLINA/TAZOBAC2G+250MG FL IM/TAIPER*IM 2G+250MG/4MLL+F 1FL
PIPERACILLINA/TAZOBAC2G+250MG FL IM/TAIPER*IM 2G+250MG/4MLL+F 1FL
PIPERACILLINA/TAZOBAC2G+250MG FL IM/TAIPER*IM 2G+250MG/4MLL+F 1FL
PIPERACILLINA/TAZOBAC2G+250MG FL IM/TAIPER*IM 2G+250MG/4MLL+F 1FL
PIPERACILLINA/TAZOBAC2G+250MG FL IM/TAIPER*IM 2G+250MG/4MLL+F 1FL
PIPERACILLINA/TAZOBAC4G+500MG FL EV/TAIPER*EV FL 4G+500MG
PIPERACILLINA/TAZOBAC4G+500MG FL EV/TAIPER*EV FL 4G+500MG
PIPERACILLINA/TAZOBAC4G+500MG FL EV/TAIPER*EV FL 4G+500MG
PIPERACILLINA/TAZOBAC4G+500MG FL EV/TAIPER*EV FL 4G+500MG
PIPERACILLINA/TAZOBAC4G+500MG FL EV/TAIPER*EV FL 4G+500MG
PIPERACILLINA/TAZOBAC4G+500MG FL EV/TAIPER*EV FL 4G+500MG
PIPERACILLINA/TAZOBAC4G+500MG FL EV/TAIPER*EV FL 4G+500MG
LATTULOSIO 67% 200ML SCIR/LATTULAC*SCIR 200ML 67G/100ML
LATTULOSIO 67% 200ML SCIR/LATTULAC*SCIR 200ML 67G/100ML
LATTULOSIO 67% 200ML SCIR/LATTULAC*SCIR 200ML 67G/100ML
LATTULOSIO 67% 200ML SCIR/LATTULAC*SCIR 200ML 67G/100ML
LATTULOSIO 67% 200ML SCIR/LATTULAC*SCIR 200ML 67G/100ML
LATTULOSIO 67% 200ML SCIR/LATTULAC*SCIR 200ML 67G/100ML
LATTULOSIO 67% 200ML SCIR/LATTULAC*SCIR 200ML 67G/100ML
LATTULOSIO 67% 200ML SCIR/LATTULAC*SCIR 200ML 67G/100ML
SODIO FOSFATO 20ML BUSTE OS -CDR/PHOSPHOLAX*OS 10BUST 20ML
SODIO FOSFATO 20ML BUSTE OS -CDR/PHOSPHOLAX*OS 10BUST 20ML
SODIO FOSFATO 20ML BUSTE OS -CDR/PHOSPHOLAX*OS 10BUST 20ML
SODIO FOSFATO 20ML BUSTE OS -CDR/PHOSPHOLAX*OS 10BUST 20ML
SULFADIAZINA ARGENTICA 1% CREMA 50G/SOFARGEN*CREMA 50G 1%
SULFADIAZINA ARGENTICA 1% CREMA 50G/SOFARGEN*CREMA 50G 1%
SULFADIAZINA ARGENTICA 1% CREMA 50G/SOFARGEN*CREMA 50G 1%
SULFADIAZINA ARGENTICA 1% CREMA 50G/SOFARGEN*CREMA 50G 1%
AC.CLODRONICO 300MG/10ML F EV/DIFOSFONAL*6F 300MG/10ML
CARVEDILOLO 25MG CPR/CARAVEL*30CPR 25MG
CARVEDILOLO 25MG CPR/CARAVEL*30CPR 25MG
CARVEDILOLO 25MG CPR/CARAVEL*30CPR 25MG
CARVEDILOLO 25MG CPR/CARAVEL*30CPR 25MG
CARVEDILOLO 6,25MG CPR/CARVEDILOLO HEX*28CPR 6,25MG
CARVEDILOLO 6,25MG CPR/CARVEDILOLO HEX*28CPR 6,25MG
CARVEDILOLO 6,25MG CPR/CARVEDILOLO HEX*28CPR 6,25MG
CARVEDILOLO 6,25MG CPR/CARVEDILOLO HEX*28CPR 6,25MG
CARVEDILOLO 6,25MG CPR/CARVEDILOLO HEX*28CPR 6,25MG
LOPERAMIDE CLOR. 2MG CPR/DISSENTEN*15CPR 2MG
LOPERAMIDE CLOR. 2MG CPR/DISSENTEN*15CPR 2MG
LOPERAMIDE CLOR. 2MG CPR/DISSENTEN*15CPR 2MG
LOPERAMIDE CLOR. 2MG CPR/DISSENTEN*15CPR 2MG
LEVETIRACETAM 100MG/ML 5ML FL EV/LEVETIRACETAM SUN*10FL500MG 5M
LEVETIRACETAM 100MG/ML 5ML FL EV/LEVETIRACETAM SUN*10FL500MG 5M
82di89
150
50
2500
2500
2500
250
5000
1500
7500
11250
7500
1000
7500
7500
3500
7500
3500
2500
7500
2500
6750
7500
2450
750
1000
1750
120
120
240
200
150
7905
1976
7905
1976
5682
20833
5682
5682
5682
3750
7500
3750
7500
1250
750
280
87
€ 165,09
€ 165,09
€ 55,02
€ 2.175,09
€ 2.175,09
€ 2.175,09
€ 217,50
€ 4.350,20
€ 1.850,64
€ 9.253,14
€ 13.879,68
€ 9.253,14
€ 1.233,75
€ 9.253,14
€ 9.253,14
€ 4.739,00
€ 10.155,00
€ 4.739,00
€ 3.385,00
€ 10.155,00
€ 3.385,00
€ 9.139,50
€ 10.155,00
€ 2.003,34
€ 613,27
€ 817,70
€ 1.430,95
€ 600,00
€ 600,00
€ 1.200,00
€ 1.000,00
€ 35,91
€ 0,18
€ 0,05
€ 0,18
€ 0,05
€ 0,07
€ 0,25
€ 0,07
€ 0,07
€ 0,07
€ 56,77
€ 113,55
€ 56,77
€ 115,00
€ 7.368,75
€ 4.422,00
€ 181,60
€ 181,60
€ 60,53
€ 2.392,60
€ 2.392,60
€ 2.392,60
€ 239,25
€ 4.785,23
€ 2.035,70
€ 10.178,45
€ 15.267,65
€ 10.178,45
€ 1.357,13
€ 10.178,45
€ 10.178,45
€ 5.212,90
€ 11.170,50
€ 5.212,90
€ 3.723,50
€ 11.170,50
€ 3.723,50
€ 10.053,45
€ 11.170,50
€ 2.203,68
€ 674,60
€ 899,48
€ 1.574,05
€ 660,00
€ 660,00
€ 1.320,00
€ 1.100,00
€ 39,50
€ 0,20
€ 0,05
€ 0,20
€ 0,05
€ 0,08
€ 0,28
€ 0,08
€ 0,08
€ 0,08
€ 62,45
€ 124,90
€ 62,45
€ 126,50
€ 8.105,63
€ 4.864,20
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
1705
1705
1705
1705
1705
1705
1705
1705
1705
1705
1705
1705
1705
1800
1800
1800
1800
1800
1800
1800
1675
1675
1675
1675
1675
1675
13171
13171
13171
13171
1019
1019
1019
1019
1020
1020
1020
1020
1020
1020
1020
1020
1020
1763
1763
1763
1763
Ditta Offerente
SWEDISH ORPHAN BIOVITRUM SRL
SWEDISH ORPHAN BIOVITRUM SRL
SWEDISH ORPHAN BIOVITRUM SRL
SWEDISH ORPHAN BIOVITRUM SRL
SWEDISH ORPHAN BIOVITRUM SRL
SWEDISH ORPHAN BIOVITRUM SRL
SWEDISH ORPHAN BIOVITRUM SRL
SWEDISH ORPHAN BIOVITRUM SRL
SWEDISH ORPHAN BIOVITRUM SRL
SWEDISH ORPHAN BIOVITRUM SRL
SWEDISH ORPHAN BIOVITRUM SRL
SWEDISH ORPHAN BIOVITRUM SRL
SWEDISH ORPHAN BIOVITRUM SRL
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
ANAKINRA 100MG/0,67ML SIR/KINERET*SC 7SIR 100MG 0,67ML
ANAKINRA 100MG/0,67ML SIR/KINERET*SC 7SIR 100MG 0,67ML
ANAKINRA 100MG/0,67ML SIR/KINERET*SC 7SIR 100MG 0,67ML
ANAKINRA 100MG/0,67ML SIR/KINERET*SC 7SIR 100MG 0,67ML
ANAKINRA 100MG/0,67ML SIR/KINERET*SC 7SIR 100MG 0,67ML
ANAKINRA 100MG/0,67ML SIR/KINERET*SC 7SIR 100MG 0,67ML
ANAKINRA 100MG/0,67ML SIR/KINERET*SC 7SIR 100MG 0,67ML
ANAKINRA 100MG/0,67ML SIR/KINERET*SC 7SIR 100MG 0,67ML
ANAKINRA 100MG/0,67ML SIR/KINERET*SC 7SIR 100MG 0,67ML
ANAKINRA 100MG/0,67ML SIR/KINERET*SC 7SIR 100MG 0,67ML
ANAKINRA 100MG/0,67ML SIR/KINERET*SC 7SIR 100MG 0,67ML
ANAKINRA 100MG/0,67ML SIR/KINERET*SC 7SIR 100MG 0,67ML
ANAKINRA 100MG/0,67ML SIR/KINERET*SC 7SIR 100MG 0,67ML
LANSOPRAZOLO 30MG CPR ORODISP/LANSOX*14CPR ORODISP 30MG
LANSOPRAZOLO 30MG CPR ORODISP/LANSOX*14CPR ORODISP 30MG
LANSOPRAZOLO 30MG CPR ORODISP/LANSOX*14CPR ORODISP 30MG
LANSOPRAZOLO 30MG CPR ORODISP/LANSOX*14CPR ORODISP 30MG
LANSOPRAZOLO 30MG CPR ORODISP/LANSOX*14CPR ORODISP 30MG
LANSOPRAZOLO 30MG CPR ORODISP/LANSOX*14CPR ORODISP 30MG
LANSOPRAZOLO 30MG CPR ORODISP/LANSOX*14CPR ORODISP 30MG
LEUPRORELINA 11,25MG/ML RP ML -DSC/ENANTONE*IM SC SIR11,25MG/MLRPML
LEUPRORELINA 11,25MG/ML RP ML -DSC/ENANTONE*IM SC SIR11,25MG/MLRPML
LEUPRORELINA 11,25MG/ML RP ML -DSC/ENANTONE*IM SC SIR11,25MG/MLRPML
LEUPRORELINA 11,25MG/ML RP ML -DSC/ENANTONE*IM SC SIR11,25MG/MLRPML
LEUPRORELINA 11,25MG/ML RP ML -DSC/ENANTONE*IM SC SIR11,25MG/MLRPML
LEUPRORELINA 11,25MG/ML RP ML -DSC/ENANTONE*IM SC SIR11,25MG/MLRPML
LEUPRORELINA 3,75MG FL+SIR IM/SC/ENANTONE*IM SC FL+SIR 3,75MG/2ML
LEUPRORELINA 3,75MG FL+SIR IM/SC/ENANTONE*IM SC FL+SIR 3,75MG/2ML
LEUPRORELINA 3,75MG FL+SIR IM/SC/ENANTONE*IM SC FL+SIR 3,75MG/2ML
LEUPRORELINA 3,75MG FL+SIR IM/SC/ENANTONE*IM SC FL+SIR 3,75MG/2ML
MAGALDRATO 800MG CPR MAST/RIOPAN*40CPR MAST 800MG
MAGALDRATO 800MG CPR MAST/RIOPAN*40CPR MAST 800MG
MAGALDRATO 800MG CPR MAST/RIOPAN*40CPR MAST 800MG
MAGALDRATO 800MG CPR MAST/RIOPAN*40CPR MAST 800MG
MAGALDRATO 80MG/ML FL GEL OS/RIOPAN GEL*OS GEL FL 80MG/ML
MAGALDRATO 80MG/ML FL GEL OS/RIOPAN GEL*OS GEL FL 80MG/ML
MAGALDRATO 80MG/ML FL GEL OS/RIOPAN GEL*OS GEL FL 80MG/ML
MAGALDRATO 80MG/ML FL GEL OS/RIOPAN GEL*OS GEL FL 80MG/ML
MAGALDRATO 80MG/ML FL GEL OS/RIOPAN GEL*OS GEL FL 80MG/ML
MAGALDRATO 80MG/ML FL GEL OS/RIOPAN GEL*OS GEL FL 80MG/ML
MAGALDRATO 80MG/ML FL GEL OS/RIOPAN GEL*OS GEL FL 80MG/ML
MAGALDRATO 80MG/ML FL GEL OS/RIOPAN GEL*OS GEL FL 80MG/ML
MAGALDRATO 80MG/ML FL GEL OS/RIOPAN GEL*OS GEL FL 80MG/ML
PANTOPRAZOLO 40MG LIOF+FL IV/PANTORC*IV 1FL LIOF 40MG
PANTOPRAZOLO 40MG LIOF+FL IV/PANTORC*IV 1FL LIOF 40MG
PANTOPRAZOLO 40MG LIOF+FL IV/PANTORC*IV 1FL LIOF 40MG
PANTOPRAZOLO 40MG LIOF+FL IV/PANTORC*IV 1FL LIOF 40MG
83di89
70
280
70
70
280
140
70
140
70
140
175
70
67375
174720
67200
70000
174720
70000
67200
100
100
100
5
125
125
25
25
38
50
500
5000
2000
5000
500
500
1000
500
500
625
1500
625
1250
1000
7500
7500
750
7500
88
€ 7.733,55
€ 1.933,41
€ 7.733,55
€ 1.933,41
€ 1.933,41
€ 7.733,55
€ 3.866,77
€ 1.933,41
€ 3.866,77
€ 1.933,41
€ 3.866,77
€ 4.833,48
€ 1.933,41
€ 15.569,48
€ 40.375,52
€ 15.529,05
€ 16.176,09
€ 40.375,52
€ 16.176,09
€ 15.529,05
€ 16.489,00
€ 16.489,00
€ 16.489,00
€ 824,45
€ 20.611,25
€ 20.611,25
€ 1.300,00
€ 1.300,00
€ 1.950,00
€ 2.600,00
€ 20,00
€ 200,00
€ 80,00
€ 200,00
€ 750,00
€ 750,00
€ 1.500,00
€ 750,00
€ 750,00
€ 937,50
€ 2.250,00
€ 937,50
€ 1.875,00
€ 829,64
€ 6.222,27
€ 6.222,27
€ 622,23
€ 8.506,90
€ 2.126,75
€ 8.506,90
€ 2.126,75
€ 2.126,75
€ 8.506,90
€ 4.253,45
€ 2.126,75
€ 4.253,45
€ 2.126,75
€ 4.253,45
€ 5.316,83
€ 2.126,75
€ 17.126,43
€ 44.413,08
€ 17.081,95
€ 17.793,70
€ 44.413,08
€ 17.793,70
€ 17.081,95
€ 18.137,90
€ 18.137,90
€ 18.137,90
€ 906,90
€ 22.672,38
€ 22.672,38
€ 1.430,00
€ 1.430,00
€ 2.145,00
€ 2.860,00
€ 22,00
€ 220,00
€ 88,00
€ 220,00
€ 825,00
€ 825,00
€ 1.650,00
€ 825,00
€ 825,00
€ 1.031,25
€ 2.475,00
€ 1.031,25
€ 2.062,50
€ 912,60
€ 6.844,50
€ 6.844,50
€ 684,45
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
1763
1763
1763
1763
5343
6778
6778
6778
1455
1455
7682
7682
7682
7682
7684
7684
7684
7684
7684
7684
7684
731
731
731
731
731
647
8793
3373
3373
3373
3373
3373
3373
3374
3374
3374
3374
3374
3374
1729
1729
1729
1728
1728
2598
5745
Ditta Offerente
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TAKEDA ITALIA SPA EX NYCOMED SPA
TEOFARMA SRL
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
PANTOPRAZOLO 40MG LIOF+FL IV/PANTORC*IV 1FL LIOF 40MG
PANTOPRAZOLO 40MG LIOF+FL IV/PANTORC*IV 1FL LIOF 40MG
PANTOPRAZOLO 40MG LIOF+FL IV/PANTORC*IV 1FL LIOF 40MG
PANTOPRAZOLO 40MG LIOF+FL IV/PANTORC*IV 1FL LIOF 40MG
LEVOSULPIRIDE 50MG CPR/LEVOPRAID*20CPR 50MG
AC.ETACRINICO 50 MG F EV/REOMAX*IV F 50MG+F 20ML SOLV
AC.ETACRINICO 50 MG F EV/REOMAX*IV F 50MG+F 20ML SOLV
AC.ETACRINICO 50 MG F EV/REOMAX*IV F 50MG+F 20ML SOLV
ACETILCISTEINA 600MG CPR EFF -FC/ACETILCIST.RAT*30CPR EFF 600MG
ACETILCISTEINA 600MG CPR EFF -FC/ACETILCIST.RAT*30CPR EFF 600MG
ALLOPURINOLO 100MG CPR/ALLOPURINOLO TEVA*50CPR 100MG
ALLOPURINOLO 100MG CPR/ALLOPURINOLO TEVA*50CPR 100MG
ALLOPURINOLO 100MG CPR/ALLOPURINOLO TEVA*50CPR 100MG
ALLOPURINOLO 100MG CPR/ALLOPURINOLO TEVA*50CPR 100MG
ALLOPURINOLO 300MG CPR/ALLOPURINOLO TEVA*30CPR 300MG
ALLOPURINOLO 300MG CPR/ALLOPURINOLO TEVA*30CPR 300MG
ALLOPURINOLO 300MG CPR/ALLOPURINOLO TEVA*30CPR 300MG
ALLOPURINOLO 300MG CPR/ALLOPURINOLO TEVA*30CPR 300MG
ALLOPURINOLO 300MG CPR/ALLOPURINOLO TEVA*30CPR 300MG
ALLOPURINOLO 300MG CPR/ALLOPURINOLO TEVA*30CPR 300MG
ALLOPURINOLO 300MG CPR/ALLOPURINOLO TEVA*30CPR 300MG
AMIKACINA SOLF.500MG/2ML F IM EV/AMIKACINA TEVA*IM EV 5F 500MG
AMIKACINA SOLF.500MG/2ML F IM EV/AMIKACINA TEVA*IM EV 5F 500MG
AMIKACINA SOLF.500MG/2ML F IM EV/AMIKACINA TEVA*IM EV 5F 500MG
AMIKACINA SOLF.500MG/2ML F IM EV/AMIKACINA TEVA*IM EV 5F 500MG
AMIKACINA SOLF.500MG/2ML F IM EV/AMIKACINA TEVA*IM EV 5F 500MG
CABERGOLINA 0,5MG CPR/CABERGOLINA TEVA*FL 8CPR 0,5MG
CEFTAZIDIMA 2G FL EV/CEFTAZIDIMA TEVA *EV 1FL 2G
CETIRIZINA DICLORIDRATO 10MG CPR/CETIRIZINA TEVA*20CPR 10MGR
CETIRIZINA DICLORIDRATO 10MG CPR/CETIRIZINA TEVA*20CPR 10MGR
CETIRIZINA DICLORIDRATO 10MG CPR/CETIRIZINA TEVA*20CPR 10MGR
CETIRIZINA DICLORIDRATO 10MG CPR/CETIRIZINA TEVA*20CPR 10MGR
CETIRIZINA DICLORIDRATO 10MG CPR/CETIRIZINA TEVA*20CPR 10MGR
CETIRIZINA DICLORIDRATO 10MG CPR/CETIRIZINA TEVA*20CPR 10MGR
CETIRIZINA DICLORIDRATO 20ML GTT OS/CETIRIZINA TEVA*OS GTT 20ML
CETIRIZINA DICLORIDRATO 20ML GTT OS/CETIRIZINA TEVA*OS GTT 20ML
CETIRIZINA DICLORIDRATO 20ML GTT OS/CETIRIZINA TEVA*OS GTT 20ML
CETIRIZINA DICLORIDRATO 20ML GTT OS/CETIRIZINA TEVA*OS GTT 20ML
CETIRIZINA DICLORIDRATO 20ML GTT OS/CETIRIZINA TEVA*OS GTT 20ML
CETIRIZINA DICLORIDRATO 20ML GTT OS/CETIRIZINA TEVA*OS GTT 20ML
DONEPEZIL 10MG CPR RIV/DONEPEZIL TEVA*28CPR RIV 10MG
DONEPEZIL 10MG CPR RIV/DONEPEZIL TEVA*28CPR RIV 10MG
DONEPEZIL 10MG CPR RIV/DONEPEZIL TEVA*28CPR RIV 10MG
DONEPEZIL 5MG CPS/DONEPEZIL TEVA*28CPR RIV 5MG
DONEPEZIL 5MG CPS/DONEPEZIL TEVA*28CPR RIV 5MG
DOXORUBICINA CLOR.50MG SET INFUS/MYOCET*INFUS 2SET 50MG
FENTANIL 200MCG CPR OROSOL/EFFENTORA*4CPR MUCOSAOS 200MCG
84di89
7500
900
20000
25000
50
50
37
1050
1500
1250
2500
2500
2500
15000
9750
7501
7501
7501
9750
15000
1125
1250
1250
1250
2500
160
1500
3750
3750
7500
7500
7500
7500
38
25
25
25
50
75
1400
700
700
1400
1400
15
200
200
89
€ 6.222,27
€ 6.222,27
€ 746,68
€ 16.592,73
€ 4.180,25
€ 290,91
€ 290,91
€ 218,18
€ 73,50
€ 105,00
€ 13,75
€ 27,50
€ 27,50
€ 27,50
€ 324,82
€ 211,14
€ 162,43
€ 162,43
€ 162,43
€ 211,14
€ 324,82
€ 506,64
€ 562,91
€ 560,91
€ 562,91
€ 1.125,82
€ 34,57
€ 5.475,00
€ 107,75
€ 107,75
€ 215,50
€ 215,50
€ 215,50
€ 215,50
€ 38,20
€ 25,48
€ 25,48
€ 25,48
€ 50,93
€ 76,41
€ 117,59
€ 56,00
€ 44,30
€ 95,20
€ 65,14
€ 7.152,30
€ 558,09
€ 6.844,50
€ 6.844,50
€ 821,35
€ 18.252,00
€ 4.598,28
€ 320,00
€ 320,00
€ 240,00
€ 80,85
€ 115,50
€ 15,13
€ 30,25
€ 30,25
€ 30,25
€ 357,30
€ 232,25
€ 178,68
€ 178,68
€ 178,68
€ 232,25
€ 357,30
€ 557,30
€ 619,20
€ 617,00
€ 619,20
€ 1.238,40
€ 38,03
€ 6.022,50
€ 118,53
€ 118,53
€ 237,05
€ 237,05
€ 237,05
€ 237,05
€ 42,03
€ 28,03
€ 28,03
€ 28,03
€ 56,03
€ 84,05
€ 129,35
€ 61,60
€ 48,73
€ 104,73
€ 71,65
€ 7.867,53
€ 613,90
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
5745
5745
5746
1000
1000
1000
1000
1000
3329
3329
3329
3329
814
814
814
5633
5633
8439
8439
8439
8439
8439
8439
835
835
835
835
835
3298
3298
3298
3321
3321
3321
1182
1182
1182
1182
1182
1427
1427
1427
1427
1427
3320
3320
3320
Ditta Offerente
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
FENTANIL 200MCG CPR OROSOL/EFFENTORA*4CPR MUCOSAOS 200MCG
FENTANIL 200MCG CPR OROSOL/EFFENTORA*4CPR MUCOSAOS 200MCG
FENTANIL 600MCG CPR OROSOL/EFFENTORA*4CPR MUCOSAOS 600MCG
FLUDARABINA 50MG 2ML F EV/FLUDARABINA TEVA*EV 1F50MG 2ML
FLUDARABINA 50MG 2ML F EV/FLUDARABINA TEVA*EV 1F50MG 2ML
FLUDARABINA 50MG 2ML F EV/FLUDARABINA TEVA*EV 1F50MG 2ML
FLUDARABINA 50MG 2ML F EV/FLUDARABINA TEVA*EV 1F50MG 2ML
FLUDARABINA 50MG 2ML F EV/FLUDARABINA TEVA*EV 1F50MG 2ML
GLATIRAMER ACETATO 20MG/ML SIR -DSC/COPAXONE*SC 28SIR 20MG/ML
GLATIRAMER ACETATO 20MG/ML SIR -DSC/COPAXONE*SC 28SIR 20MG/ML
GLATIRAMER ACETATO 20MG/ML SIR -DSC/COPAXONE*SC 28SIR 20MG/ML
GLATIRAMER ACETATO 20MG/ML SIR -DSC/COPAXONE*SC 28SIR 20MG/ML
IPRATROPIO BROMURO 0,025%FL SOL NEB/IPRAXA*SOL NEBUL 10F 500MCG/2M -FC
IPRATROPIO BROMURO 0,025%FL SOL NEB/IPRAXA*SOL NEBUL 10F 500MCG/2M -FC
IPRATROPIO BROMURO 0,025%FL SOL NEB/IPRAXA*SOL NEBUL 10F 500MCG/2M -FC
LANSOPRAZOLO 30MG CPS/LANSOPRAZOLO TEVA*14CPS 30MG
LANSOPRAZOLO 30MG CPS/LANSOPRAZOLO TEVA*14CPS 30MG
LEVODOPA/BENSERAZIDE 200+50MG CPR/LEVODOPA BENS.TE*50CPR 200+50M
LEVODOPA/BENSERAZIDE 200+50MG CPR/LEVODOPA BENS.TE*50CPR 200+50M
LEVODOPA/BENSERAZIDE 200+50MG CPR/LEVODOPA BENS.TE*50CPR 200+50M
LEVODOPA/BENSERAZIDE 200+50MG CPR/LEVODOPA BENS.TE*50CPR 200+50M
LEVODOPA/BENSERAZIDE 200+50MG CPR/LEVODOPA BENS.TE*50CPR 200+50M
LEVODOPA/BENSERAZIDE 200+50MG CPR/LEVODOPA BENS.TE*50CPR 200+50M
LITIO CARBONATO 150MG CPS/CARBOLITHIUM*50CPS 150MG
LITIO CARBONATO 150MG CPS/CARBOLITHIUM*50CPS 150MG
LITIO CARBONATO 150MG CPS/CARBOLITHIUM*50CPS 150MG
LITIO CARBONATO 150MG CPS/CARBOLITHIUM*50CPS 150MG
LITIO CARBONATO 150MG CPS/CARBOLITHIUM*50CPS 150MG
LORAZEPAM 20MG 10ML GTT OS/LORAZEPAM DOROM*OS GTT FL 10ML
LORAZEPAM 20MG 10ML GTT OS/LORAZEPAM DOROM*OS GTT FL 10ML
LORAZEPAM 20MG 10ML GTT OS/LORAZEPAM DOROM*OS GTT FL 10ML
OLANZAPINA 10MG CPR ORO -NO PTO/OLANZAPINA TEVA*28CPR ORO 10MG
OLANZAPINA 10MG CPR ORO -NO PTO/OLANZAPINA TEVA*28CPR ORO 10MG
OLANZAPINA 10MG CPR ORO -NO PTO/OLANZAPINA TEVA*28CPR ORO 10MG
OLANZAPINA 10MG CPR RIV/OLANZAPINA TEVA*28CPR RIV 10MG
OLANZAPINA 10MG CPR RIV/OLANZAPINA TEVA*28CPR RIV 10MG
OLANZAPINA 10MG CPR RIV/OLANZAPINA TEVA*28CPR RIV 10MG
OLANZAPINA 10MG CPR RIV/OLANZAPINA TEVA*28CPR RIV 10MG
OLANZAPINA 10MG CPR RIV/OLANZAPINA TEVA*28CPR RIV 10MG
OLANZAPINA 2,5MG CPR RIV/OLANZAPINA TEVA*28CPR RIV 2,5MG
OLANZAPINA 2,5MG CPR RIV/OLANZAPINA TEVA*28CPR RIV 2,5MG
OLANZAPINA 2,5MG CPR RIV/OLANZAPINA TEVA*28CPR RIV 2,5MG
OLANZAPINA 2,5MG CPR RIV/OLANZAPINA TEVA*28CPR RIV 2,5MG
OLANZAPINA 2,5MG CPR RIV/OLANZAPINA TEVA*28CPR RIV 2,5MG
OLANZAPINA 5MG CPR ORO -NO PTO/OLANZAPINA TEVA*28CPR ORO 5MG
OLANZAPINA 5MG CPR ORO -NO PTO/OLANZAPINA TEVA*28CPR ORO 5MG
OLANZAPINA 5MG CPR ORO -NO PTO/OLANZAPINA TEVA*28CPR ORO 5MG
85di89
200
400
100
100
100
150
325
3500
7000
7000
7000
325
500
500
56000
56000
3000
15000
3000
3000
15000
5000
625
500
1250
625
625
1500
1500
1250
1050
2100
1050
3499
7000
4199
3500
4200
3500
3500
3500
2101
3500
1750
3500
3500
1400
90
€ 558,09
€ 558,09
€ 1.116,20
€ 1.492,20
€ 1.492,20
€ 1.492,20
€ 2.238,30
€ 4.849,64
€ 83.224,95
€ 166.446,50
€ 166.447,80
€ 166.451,45
€ 69,52
€ 106,95
€ 106,95
€ 3.360,00
€ 3.360,00
€ 407,18
€ 2.035,84
€ 407,18
€ 407,18
€ 2.035,84
€ 678,64
€ 15,25
€ 12,20
€ 30,52
€ 15,25
€ 15,25
€ 1.307,45
€ 1.307,45
€ 1.089,55
€ 38,95
€ 77,93
€ 42,00
€ 94,59
€ 189,20
€ 123,59
€ 105,00
€ 126,00
€ 63,27
€ 63,27
€ 63,27
€ 37,98
€ 63,27
€ 65,84
€ 131,70
€ 120,93
€ 613,90
€ 613,90
€ 1.227,83
€ 1.641,43
€ 1.641,43
€ 1.641,43
€ 2.462,13
€ 5.334,60
€ 91.547,45
€ 183.091,15
€ 183.092,58
€ 183.096,60
€ 76,48
€ 117,65
€ 117,65
€ 3.696,00
€ 3.696,00
€ 447,90
€ 2.239,43
€ 447,90
€ 447,90
€ 2.239,43
€ 746,50
€ 16,78
€ 13,43
€ 33,58
€ 16,78
€ 16,78
€ 1.438,20
€ 1.438,20
€ 1.198,50
€ 42,85
€ 85,73
€ 46,20
€ 104,05
€ 208,13
€ 135,95
€ 115,50
€ 138,60
€ 69,60
€ 69,60
€ 69,60
€ 41,78
€ 69,60
€ 72,43
€ 144,88
€ 133,03
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
3320
3320
3320
1181
1181
1181
1181
1181
1181
1181
520
520
520
520
520
1383
1383
1339
1339
1339
1339
1339
1339
1339
1472
1472
1472
1338
1338
1338
1338
1338
1338
1338
3771
3771
3771
3771
3771
3771
3771
931
931
931
931
931
8092
Ditta Offerente
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
OLANZAPINA 5MG CPR ORO -NO PTO/OLANZAPINA TEVA*28CPR ORO 5MG
OLANZAPINA 5MG CPR ORO -NO PTO/OLANZAPINA TEVA*28CPR ORO 5MG
OLANZAPINA 5MG CPR ORO -NO PTO/OLANZAPINA TEVA*28CPR ORO 5MG
OLANZAPINA 5MG CPR RIV/OLANZAPINA TEVA*28CPR RIV 5MG
OLANZAPINA 5MG CPR RIV/OLANZAPINA TEVA*28CPR RIV 5MG
OLANZAPINA 5MG CPR RIV/OLANZAPINA TEVA*28CPR RIV 5MG
OLANZAPINA 5MG CPR RIV/OLANZAPINA TEVA*28CPR RIV 5MG
OLANZAPINA 5MG CPR RIV/OLANZAPINA TEVA*28CPR RIV 5MG
OLANZAPINA 5MG CPR RIV/OLANZAPINA TEVA*28CPR RIV 5MG
OLANZAPINA 5MG CPR RIV/OLANZAPINA TEVA*28CPR RIV 5MG
OMEPRAZOLO 20MG CPS GASTR./OMEPRAZOLO TEV*14CPS GAS 20MGG
OMEPRAZOLO 20MG CPS GASTR./OMEPRAZOLO TEV*14CPS GAS 20MGG
OMEPRAZOLO 20MG CPS GASTR./OMEPRAZOLO TEV*14CPS GAS 20MGG
OMEPRAZOLO 20MG CPS GASTR./OMEPRAZOLO TEV*14CPS GAS 20MGG
OMEPRAZOLO 20MG CPS GASTR./OMEPRAZOLO TEV*14CPS GAS 20MGG
PRAMIPEXOLO DICL.MONOID.0,7MG CPR/PRAMIPEXOLO MYL*30CPR 0,7MG
PRAMIPEXOLO DICL.MONOID.0,7MG CPR/PRAMIPEXOLO TEVA*30CPR 0,7MG
QUETIAPINA 100MG CPR RIV/QUETIAPINA TE*60CPR RIV 100MG
QUETIAPINA 100MG CPR RIV/QUETIAPINA TE*60CPR RIV 100MG
QUETIAPINA 100MG CPR RIV/QUETIAPINA TE*60CPR RIV 100MG
QUETIAPINA 100MG CPR RIV/QUETIAPINA TE*60CPR RIV 100MG
QUETIAPINA 100MG CPR RIV/QUETIAPINA TE*60CPR RIV 100MG
QUETIAPINA 100MG CPR RIV/QUETIAPINA TE*60CPR RIV 100MG
QUETIAPINA 100MG CPR RIV/QUETIAPINA TE*60CPR RIV 100MG
QUETIAPINA 200MG CPR RIV/QUETIAPINA TE*60CPR RIV 200MG
QUETIAPINA 200MG CPR RIV/QUETIAPINA TE*60CPR RIV 200MG
QUETIAPINA 200MG CPR RIV/QUETIAPINA TE*60CPR RIV 200MG
QUETIAPINA 25MG CPR RIV/QUETIAPINA TE*30CPR RIV 25MG
QUETIAPINA 25MG CPR RIV/QUETIAPINA TE*30CPR RIV 25MG
QUETIAPINA 25MG CPR RIV/QUETIAPINA TE*30CPR RIV 25MG
QUETIAPINA 25MG CPR RIV/QUETIAPINA TE*30CPR RIV 25MG
QUETIAPINA 25MG CPR RIV/QUETIAPINA TE*30CPR RIV 25MG
QUETIAPINA 25MG CPR RIV/QUETIAPINA TE*30CPR RIV 25MG
QUETIAPINA 25MG CPR RIV/QUETIAPINA TE*30CPR RIV 25MG
QUETIAPINA 300MG CPR RIV/QUETIAPINA TE*60CPR RIV 300MG
QUETIAPINA 300MG CPR RIV/QUETIAPINA TE*60CPR RIV 300MG
QUETIAPINA 300MG CPR RIV/QUETIAPINA TE*60CPR RIV 300MG
QUETIAPINA 300MG CPR RIV/QUETIAPINA TE*60CPR RIV 300MG
QUETIAPINA 300MG CPR RIV/QUETIAPINA TE*60CPR RIV 300MG
QUETIAPINA 300MG CPR RIV/QUETIAPINA TE*60CPR RIV 300MG
QUETIAPINA 300MG CPR RIV/QUETIAPINA TE*60CPR RIV 300MG
TERAZOSINA CLOR. 5MG CPR
-CDR/TERAZOSINA TEVA*14CPR 5MG
TERAZOSINA CLOR. 5MG CPR
-CDR/TERAZOSINA TEVA*14CPR 5MG
TERAZOSINA CLOR. 5MG CPR
-CDR/TERAZOSINA TEVA*14CPR 5MG
TERAZOSINA CLOR. 5MG CPR
-CDR/TERAZOSINA TEVA*14CPR 5MG
TERAZOSINA CLOR. 5MG CPR
-CDR/TERAZOSINA TEVA*14CPR 5MG
TICLOPIDINA CLOR. 250MG CPR/TICLOPIDINA DOROM*30CPR 250MG
86di89
2100
3500
3500
3500
7000
3500
3500
3500
10501
1050
1050
1050
700
1400
450
2250
7500
15000
10500
7500
7500
7500
18000
1500
2250
1500
16500
22500
30000
16500
22500
18750
18750
2250
3000
4500
3750
2250
4500
7500
3500
10500
1750
10500
1750
7501
22500
91
€ 48,39
€ 84,00
€ 140,00
€ 92,16
€ 84,64
€ 169,25
€ 84,64
€ 84,64
€ 84,64
€ 253,91
€ 89,09
€ 89,09
€ 89,09
€ 59,41
€ 118,80
€ 112,50
€ 562,50
€ 382,73
€ 765,45
€ 535,82
€ 378,91
€ 382,73
€ 382,73
€ 918,55
€ 147,05
€ 220,57
€ 147,05
€ 643,32
€ 877,27
€ 1.169,70
€ 643,32
€ 877,27
€ 731,07
€ 731,07
€ 630,00
€ 840,00
€ 1.260,00
€ 1.050,00
€ 630,00
€ 1.260,00
€ 2.100,00
€ 110,18
€ 330,55
€ 55,09
€ 330,55
€ 55,09
€ 149,91
€ 53,23
€ 92,40
€ 154,00
€ 101,38
€ 93,10
€ 186,18
€ 93,10
€ 93,10
€ 93,10
€ 279,30
€ 98,00
€ 98,00
€ 98,00
€ 65,35
€ 130,68
€ 123,75
€ 618,75
€ 421,00
€ 842,00
€ 589,40
€ 416,80
€ 421,00
€ 421,00
€ 1.010,40
€ 161,75
€ 242,63
€ 161,75
€ 707,65
€ 965,00
€ 1.286,68
€ 707,65
€ 965,00
€ 804,18
€ 804,18
€ 693,00
€ 924,00
€ 1.386,00
€ 1.155,00
€ 693,00
€ 1.386,00
€ 2.310,00
€ 121,20
€ 363,60
€ 60,60
€ 363,60
€ 60,60
€ 164,90
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
8092
8092
8092
8092
5998
5998
5998
5998
5998
6000
6000
6000
6000
1764
400
400
400
400
400
534
534
533
533
533
533
533
533
533
533
533
6784
6784
6784
6295
6295
12989
12989
12989
12989
5377
5377
5377
5377
5933
5933
380
380
Ditta Offerente
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
THE MEDICINES COMPANY SRL
THEA FARMA SPA
THEA FARMA SPA
THEA FARMA SPA
THEA FARMA SPA
THEA FARMA SPA
THERABEL GIENNE PHARMA SPA
THERABEL GIENNE PHARMA SPA
THERABEL GIENNE PHARMA SPA
THERABEL GIENNE PHARMA SPA
THERABEL GIENNE PHARMA SPA
THERABEL GIENNE PHARMA SPA
THERABEL GIENNE PHARMA SPA
THERABEL GIENNE PHARMA SPA
THERABEL GIENNE PHARMA SPA
THERABEL GIENNE PHARMA SPA
THERABEL GIENNE PHARMA SPA
THERABEL GIENNE PHARMA SPA
THERABEL GIENNE PHARMA SPA
THERABEL GIENNE PHARMA SPA
UCB PHARMA S.P.A.
UCB PHARMA S.P.A.
UCB PHARMA S.P.A.
UCB PHARMA S.P.A.
UCB PHARMA S.P.A.
UCB PHARMA S.P.A.
UCB PHARMA S.P.A.
UCB PHARMA S.P.A.
UCB PHARMA S.P.A.
UCB PHARMA S.P.A.
UCB PHARMA S.P.A.
UCB PHARMA S.P.A.
VALEAS SPA
VALEAS SPA
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
TICLOPIDINA CLOR. 250MG CPR/TICLOPIDINA DOROM*30CPR 250MG
TICLOPIDINA CLOR. 250MG CPR/TICLOPIDINA DOROM*30CPR 250MG
TICLOPIDINA CLOR. 250MG CPR/TICLOPIDINA DOROM*30CPR 250MG
TICLOPIDINA CLOR. 250MG CPR/TICLOPIDINA DOROM*30CPR 250MG
VINBLASTINA 10MG/10ML FL INF/VINBLASTINA TEVA*INF 10MG 10ML
VINBLASTINA 10MG/10ML FL INF/VINBLASTINA TEVA*INF 10MG 10ML
VINBLASTINA 10MG/10ML FL INF/VINBLASTINA TEVA*INF 10MG 10ML
VINBLASTINA 10MG/10ML FL INF/VINBLASTINA TEVA*INF 10MG 10ML
VINBLASTINA 10MG/10ML FL INF/VINBLASTINA TEVA*INF 10MG 10ML
VINCRISTINA 1MG/1ML FL EV/VINCRISTINA TEVA*EV 1FL 1MG1ML
VINCRISTINA 1MG/1ML FL EV/VINCRISTINA TEVA*EV 1FL 1MG1ML
VINCRISTINA 1MG/1ML FL EV/VINCRISTINA TEVA*EV 1FL 1MG1ML
VINCRISTINA 1MG/1ML FL EV/VINCRISTINA TEVA*EV 1FL 1MG1ML
BIVALIRUDINA 250MG F EV/ANGIOX*EV 10F 250MG
TROPICAMIDE/FENILEFRINA 0,28/5,4MG/MYDRIASERT*20INSERTI0,28/5,4MG
TROPICAMIDE/FENILEFRINA 0,28/5,4MG/MYDRIASERT*20INSERTI0,28/5,4MG
TROPICAMIDE/FENILEFRINA 0,28/5,4MG/MYDRIASERT*20INSERTI0,28/5,4MG
TROPICAMIDE/FENILEFRINA 0,28/5,4MG/MYDRIASERT*20INSERTI0,28/5,4MG
TROPICAMIDE/FENILEFRINA 0,28/5,4MG/MYDRIASERT*20INSERTI0,28/5,4MG
LEVOSULPIRIDE 2,5% 20ML GTT OS/LEVOBREN*OS GTT 20ML 2,5%
LEVOSULPIRIDE 2,5% 20ML GTT OS/LEVOBREN*OS GTT 20ML 2,5%
LEVOSULPIRIDE 25MG F IV/IM/LEVOBREN*IV IM 6F 25MG 2ML
LEVOSULPIRIDE 25MG F IV/IM/LEVOBREN*IV IM 6F 25MG 2ML
LEVOSULPIRIDE 25MG F IV/IM/LEVOBREN*IV IM 6F 25MG 2ML
LEVOSULPIRIDE 25MG F IV/IM/LEVOBREN*IV IM 6F 25MG 2ML
LEVOSULPIRIDE 25MG F IV/IM/LEVOBREN*IV IM 6F 25MG 2ML
LEVOSULPIRIDE 25MG F IV/IM/LEVOBREN*IV IM 6F 25MG 2ML
LEVOSULPIRIDE 25MG F IV/IM/LEVOBREN*IV IM 6F 25MG 2ML
LEVOSULPIRIDE 25MG F IV/IM/LEVOBREN*IV IM 6F 25MG 2ML
LEVOSULPIRIDE 25MG F IV/IM/LEVOBREN*IV IM 6F 25MG 2ML
POTASSIO CANRENOATO 200MG+2ML FL EV/LUVION*EV 6FL 200MG+6F 2ML
POTASSIO CANRENOATO 200MG+2ML FL EV/LUVION*EV 6FL 200MG+6F 2ML
POTASSIO CANRENOATO 200MG+2ML FL EV/LUVION*EV 6FL 200MG+6F 2ML
COLISTIMETATO 1MUI FL IM 4ML -FC/COLIMICINA*IM FL 1000000U4ML+F
COLISTIMETATO 1MUI FL IM 4ML -FC/COLIMICINA*IM FL 1000000U4ML+F
IDROSSIZINA 25MG CPR
-CDR/ATARAX*20CPR RIV DIV 25MG
IDROSSIZINA 25MG CPR
-CDR/ATARAX*20CPR RIV DIV 25MG
IDROSSIZINA 25MG CPR
-CDR/ATARAX*20CPR RIV DIV 25MG
IDROSSIZINA 25MG CPR
-CDR/ATARAX*20CPR RIV DIV 25MG
ROTIGOTINA 6MG/24H CER/NEUPRO*7CER 6MG/24HH
ROTIGOTINA 6MG/24H CER/NEUPRO*7CER 6MG/24HH
ROTIGOTINA 6MG/24H CER/NEUPRO*7CER 6MG/24HH
ROTIGOTINA 6MG/24H CER/NEUPRO*7CER 6MG/24HH
SODIO OXIBATO 180ML 500MG/ML+M/XYREM*OS SOLUZ 180ML500MG/ML+M
SODIO OXIBATO 180ML 500MG/ML+M/XYREM*OS SOLUZ 180ML500MG/ML+M
AMOXICILLINA/AC.CLAV.1G CPR/NEODUPLAMOX *12CPR RIV 875MG+125M
AMOXICILLINA/AC.CLAV.1G CPR/NEODUPLAMOX*12CPR RIV875+125MG
87di89
7501
7501
22500
75
75
75
75
200
125
125
125
300
25
100
750
750
100
750
75
75
450
750
600
510
1050
750
525
750
1500
150
600
150
2500
1250
5000
1500
5000
1500
262
175
175
175
7
15
15000
6000
18000
92
€ 449,68
€ 149,91
€ 149,91
€ 449,68
€ 457,64
€ 457,64
€ 457,64
€ 457,64
€ 1.220,30
€ 493,75
€ 493,75
€ 493,75
€ 1.185,00
€ 7.675,75
€ 500,00
€ 3.750,00
€ 3.750,00
€ 500,00
€ 3.750,00
€ 78,43
€ 78,43
€ 50,27
€ 83,77
€ 67,02
€ 56,98
€ 117,30
€ 83,77
€ 58,66
€ 83,77
€ 167,55
€ 80,91
€ 323,59
€ 80,91
€ 7.954,55
€ 3.977,27
€ 1.113,64
€ 334,09
€ 1.113,64
€ 334,09
€ 780,02
€ 520,02
€ 520,02
€ 520,02
€ 2.474,75
€ 4.949,55
€ 2.025,00
€ 810,00
€ 494,65
€ 164,90
€ 164,90
€ 494,65
€ 503,40
€ 503,40
€ 503,40
€ 503,40
€ 1.342,33
€ 543,13
€ 543,13
€ 543,13
€ 1.303,50
€ 8.443,33
€ 550,00
€ 4.125,00
€ 4.125,00
€ 550,00
€ 4.125,00
€ 86,28
€ 86,28
€ 55,30
€ 92,15
€ 73,73
€ 62,68
€ 129,03
€ 92,15
€ 64,53
€ 92,15
€ 184,30
€ 89,00
€ 355,95
€ 89,00
€ 8.750,00
€ 4.375,00
€ 1.225,00
€ 367,50
€ 1.225,00
€ 367,50
€ 858,03
€ 572,03
€ 572,03
€ 572,03
€ 2.722,23
€ 5.444,50
€ 2.227,50
€ 891,00
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
380
380
380
380
380
380
380
1205
1206
1206
8495
8495
8495
8495
8495
8495
8495
8495
1189
1514
1514
1514
4000
4000
4000
4000
4000
4000
6002
6002
6002
6002
992
992
2868
2868
2868
5058
5058
5058
5058
5058
5058
5058
5058
5058
5058
Ditta Offerente
VALEAS SPA
VALEAS SPA
VALEAS SPA
VALEAS SPA
VALEAS SPA
VALEAS SPA
VALEAS SPA
VALEAS SPA
VALEAS SPA
VALEAS SPA
VALEAS SPA
VALEAS SPA
VALEAS SPA
VALEAS SPA
VALEAS SPA
VALEAS SPA
VALEAS SPA
VALEAS SPA
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
AMOXICILLINA/AC.CLAV.1G CPR/NEODUPLAMOX*12CPR RIV875+125MG
AMOXICILLINA/AC.CLAV.1G CPR/NEODUPLAMOX*12CPR RIV875+125MG
AMOXICILLINA/AC.CLAV.1G CPR/NEODUPLAMOXN*12CPR RIV 875MG+125M
AMOXICILLINA/AC.CLAV.1G CPR/NEODUPLAMOXN*12CPR RIV 875MG+125M
AMOXICILLINA/AC.CLAV.1G CPR/NEUDOPLAMOX*12CPR RIV875MG+125MG
AMOXICILLINA/AC.CLAV.1G CPR/NEUDOPLAMOX*12CPR RIV875MG+125MG
AMOXICILLINA/AC.CLAV.1G CPR/NEUDOPLAMOX*CPR 875MG+125M
FLURAZEPAM MONOCLOR. 15MG CPS/VALDORM*30CPS 15MG
FLURAZEPAM MONOCLOR.30MG CPS/VALDORM*30CPS 30MG
FLURAZEPAM MONOCLOR.30MG CPS/VALDORM*30CPS 30MG
SALBUTAMOLO 100MCG INAL SPRAY/BRONCOVALEAS*INAL 200D 100MCG
SALBUTAMOLO 100MCG INAL SPRAY/BRONCOVALEAS*INAL 200D 100MCG
SALBUTAMOLO 100MCG INAL SPRAY/BRONCOVALEAS*INAL 200D 100MCG
SALBUTAMOLO 100MCG INAL SPRAY/BRONCOVALEAS*INAL 200D 100MCG
SALBUTAMOLO 100MCG INAL SPRAY/BRONCOVALEAS*INAL 200D 100MCG
SALBUTAMOLO 100MCG INAL SPRAY/BRONCOVALEAS*INAL 200D 100MCG
SALBUTAMOLO 100MCG INAL SPRAY/BRONCOVALEAS*INAL 200D 100MCG
SALBUTAMOLO 100MCG INAL SPRAY/BRONCOVALEAS*INAL 200D 100MCG
ABACAVIR 300MG CPR/ZIAGEN*6BLISTER 10CPR 300MG
ABACAVIR 300MG CPR/ZIAGEN*6BLISTER 10CPR 300MG
ABACAVIR/LAMIVUD/ZIDOVUD 750MG CPR/TRIZIVIR*60CPR RIV 750MG
ABACAVIR/LAMIVUD/ZIDOVUD 750MG CPR/TRIZIVIR*60CPR RIV 750MG
ABACAVIR/LAMIVUDINA 600+300MG CPR R/KIVEXA*BL 30CPR RIV 600MG+300MG
ABACAVIR/LAMIVUDINA 600+300MG CPR R/KIVEXA*BL 30CPR RIV 600MG+300MG
ABACAVIR/LAMIVUDINA 600+300MG CPR R/KIVEXA*BL 30CPR RIV 600MG+300MG
ABACAVIR/LAMIVUDINA 600+300MG CPR R/KIVEXA*BL 30CPR RIV 600MG+300MG
ABACAVIR/LAMIVUDINA 600+300MG CPR R/KIVEXA*BL 30CPR RIV 600MG+300MG
ABACAVIR/LAMIVUDINA 600+300MG CPR R/KIVEXA*BL 30CPR RIV 600MG+300MG
FOSAMPRENAVIR 700MG CPR RIV/TELZIR*1FL 60CPR RIV 700MG
FOSAMPRENAVIR 700MG CPR RIV/TELZIR*1FL 60CPR RIV 700MG
FOSAMPRENAVIR 700MG CPR RIV/TELZIR*1FL 60CPR RIV 700MG
FOSAMPRENAVIR 700MG CPR RIV/TELZIR*1FL 60CPR RIV 700MG
LAMIVUDINA 10MG/ML 240ML FL OS/EPIVIR*OS FL 240ML 10MG/ML
LAMIVUDINA 10MG/ML 240ML FL OS/EPIVIR*OS FL 240ML 10MG/ML
MARAVIROC 150MG CPR RIV/CELSENTRI*60CPR RIV 150MG
MARAVIROC 150MG CPR RIV/CELSENTRI*60CPR RIV 150MG
MARAVIROC 150MG CPR RIV/CELSENTRI*60CPR RIV 150MG
MARAVIROC 300MG CPR RIV/CELSENTRI*60CPR RIV 300MG
MARAVIROC 300MG CPR RIV/CELSENTRI*60CPR RIV 300MG
MARAVIROC 300MG CPR RIV/CELSENTRI*60CPR RIV 300MG
MARAVIROC 300MG CPR RIV/CELSENTRI*60CPR RIV 300MG
MARAVIROC 300MG CPR RIV/CELSENTRI*60CPR RIV 300MG
MARAVIROC 300MG CPR RIV/CELSENTRI*60CPR RIV 300MG
MARAVIROC 300MG CPR RIV/CELSENTRI*60CPR RIV 300MG
MARAVIROC 300MG CPR RIV/CELSENTRI*60CPR RIV 300MG
MARAVIROC 300MG CPR RIV/CELSENTRI*60CPR RIV 300MG
MARAVIROC 300MG CPR RIV/CELSENTRI*60CPR RIV 300MG
88di89
9000
15000
4500
18000
30000
18000
1500
3600
3750
375
175
500
250
150
375
375
150
2250
3750
3750
3750
11250
11250
18750
15000
15000
15000
5250
4500
4500
3000
13
13
1050
900
1800
150
150
150
150
150
150
150
150
1500
900
37
93
€ 2.430,00
€ 1.215,00
€ 4.500,00
€ 1.350,00
€ 2.430,00
€ 4.050,00
€ 2.430,00
€ 31,18
€ 90,09
€ 91,89
€ 264,45
€ 123,43
€ 352,59
€ 176,30
€ 105,77
€ 264,45
€ 264,45
€ 105,77
€ 7.656,05
€ 28.446,89
€ 28.446,89
€ 28.446,89
€ 135.745,89
€ 135.745,89
€ 226.243,14
€ 180.994,50
€ 180.994,50
€ 180.994,50
€ 25.161,45
€ 21.566,95
€ 21.566,95
€ 14.377,98
€ 351,66
€ 351,66
€ 14.369,80
€ 12.316,98
€ 24.631,66
€ 2.052,82
€ 2.052,82
€ 2.052,82
€ 2.052,82
€ 2.052,82
€ 2.052,82
€ 2.052,82
€ 2.052,82
€ 20.526,25
€ 12.316,98
€ 2.673,00
€ 1.336,50
€ 4.950,00
€ 1.485,00
€ 2.673,00
€ 4.455,00
€ 2.673,00
€ 34,30
€ 99,10
€ 101,08
€ 290,90
€ 135,78
€ 387,85
€ 193,93
€ 116,35
€ 290,90
€ 290,90
€ 116,35
€ 8.421,65
€ 31.291,58
€ 31.291,58
€ 31.291,58
€ 149.320,48
€ 149.320,48
€ 248.867,45
€ 199.093,95
€ 199.093,95
€ 199.093,95
€ 27.677,60
€ 23.723,65
€ 23.723,65
€ 15.815,78
€ 386,83
€ 386,83
€ 15.806,78
€ 13.548,68
€ 27.094,83
€ 2.258,10
€ 2.258,10
€ 2.258,10
€ 2.258,10
€ 2.258,10
€ 2.258,10
€ 2.258,10
€ 2.258,10
€ 22.578,88
€ 13.548,68
ALLEGATO A
Cod.SFO
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
98
730
730
5915
5915
8742
8742
8742
8742
8745
8745
8745
8745
8745
8745
6806
6806
6806
6806
6806
1330
1330
5484
5637
5637
5637
5637
5637
5637
1243
1243
1243
1243
1243
1243
1243
563
563
Ditta Offerente
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VIIV HEALTHCARE S.R.L. UNIPERSONALE
VISUFARMA SPA
VISUFARMA SPA
VISUFARMA SPA
VISUFARMA SPA
VISUFARMA SPA
VISUFARMA SPA
VISUFARMA SPA
VISUFARMA SPA
VISUFARMA SPA
VISUFARMA SPA
ZAMBON ITALIA SRL
ZAMBON ITALIA SRL
ZAMBON ITALIA SRL
ZAMBON ITALIA SRL
ZAMBON ITALIA SRL
ZAMBON ITALIA SRL
ZAMBON ITALIA SRL
ZAMBON ITALIA SRL
ZAMBON ITALIA SRL
ZAMBON ITALIA SRL
ZAMBON ITALIA SRL
ZAMBON ITALIA SRL
ZAMBON ITALIA SRL
ZAMBON ITALIA SRL
ZAMBON ITALIA SRL
ZAMBON ITALIA SRL
ZAMBON ITALIA SRL
ZAMBON ITALIA SRL
ZAMBON ITALIA SRL
ZAMBON ITALIA SRL
ZAMBON ITALIA SRL
ZAMBON ITALIA SRL
ZAMBON ITALIA SRL
Consumi totali
Importo presunto 15 mesi Importo presunto 15
presunti 15mesi SFO
(senza IVA)
mesi (con IVA)
Descrizione Principio attivo/ Nome Commerciale
ZIDOVUDINA 200MG FL EV/RETROVIR*EV 5FL 20ML 200MG
ZIDOVUDINA 200MG FL EV/RETROVIR*EV 5FL 20ML 200MG
ZIDOVUDINA 250MG CPS/RETROVIR*40CPS 250MG
ZIDOVUDINA 250MG CPS/RETROVIR*60CPS 250MG
TROPICAMIDE 1% COLL 10ML/VISUMIDRIATIC*COLL 10ML 1%
TROPICAMIDE 1% COLL 10ML/VISUMIDRIATIC*COLL 10ML 1%
TROPICAMIDE 1% COLL 10ML/VISUMIDRIATIC*COLL 10ML 1%
TROPICAMIDE 1% COLL 10ML/VISUMIDRIATIC*COLL 10ML 1%
TROPICAMIDE/FENILEFRINA 0,5% COLL/VISUMIDRIATIC FENIL.*COLL 10ML
TROPICAMIDE/FENILEFRINA 0,5% COLL/VISUMIDRIATIC FENIL.*COLL 10ML
TROPICAMIDE/FENILEFRINA 0,5% COLL/VISUMIDRIATIC FENIL.*COLL 10ML
TROPICAMIDE/FENILEFRINA 0,5% COLL/VISUMIDRIATIC FENIL.*COLL 10ML
TROPICAMIDE/FENILEFRINA 0,5% COLL/VISUMIDRIATIC FENIL.*COLL 10ML
TROPICAMIDE/FENILEFRINA 0,5% COLL/VISUMIDRIATIC FENIL.*COLL 10ML
ACETILCISTEINA 300MG/3ML F EV AER/FLUIMUCIL*EV AER 5F 300MG/3ML
ACETILCISTEINA 300MG/3ML F EV AER/FLUIMUCIL*EV AER 5F 300MG/3ML
ACETILCISTEINA 300MG/3ML F EV AER/FLUIMUCIL*EV AER 5F 300MG/3ML
ACETILCITSEINA 300MG/3ML F EV AER/FLUIMUCIL*EV AER 5F 300 MG/3ML
ACETILCITSEINA 300MG/3ML F EV AER/FLUIMUCIL*EV AER 5F 300 MG/3ML
ACETILCISTEINA 5G FL EV/HIDONAC*EV 1FL 5G 25ML
ACETILCISTEINA 5G FL EV/HIDONAC*EV 1FL 5G 25ML
COLISTIMETATO 1MUI NEBUL
-FC/PROMIXIN*NEBUL 30MONOD 1MUI
MACROGOL 4000 17,4G POLV OS BUSTE/ISOCOLAN*OS POLV 8BUST 17,4G
MACROGOL 4000 17,4G POLV OS BUSTE/ISOCOLAN*OS POLV 8BUST 17,4G
MACROGOL 4000 17,4G POLV OS BUSTE/ISOCOLAN*OS POLV 8BUST 17,4G
MACROGOL 4000 17,4G POLV OS BUSTE/ISOCOLAN*OS POLV 8BUST 17,4G
MACROGOL 4000 17,4G POLV OS BUSTE/ISOCOLAN*OS POLV 8BUST 17,4G
MACROGOL 4000 17,4G POLV OS BUSTE/ISOCOLAN*OS POLV 8BUST 17,4G
MESALAZINA 400MG CPR GASTR/ASACOL*60CPR GASTR 400MG
MESALAZINA 400MG CPR GASTR/ASACOL*60CPR GASTR 400MG
MESALAZINA 400MG CPR GASTR/ASACOL*60CPR GASTR 400MG
MESALAZINA 400MG CPR GASTR/ASACOL*60CPR GASTR 400MG
MESALAZINA 400MG CPR GASTR/ASACOL*60CPR GASTR 400MG
MESALAZINA 400MG CPR GASTR/ASACOL*60CPR GASTR 400MG
MESALAZINA 400MG CPR GASTR/ASACOL*60CPR GASTR 400MG
POLIMIXINA B/NEOMICI/LIDOCA GTT OTO/ANAURAN*GTT OTO FL 25ML
POLIMIXINA B/NEOMICI/LIDOCA GTT OTO/ANAURAN*GTT OTO FL 25ML
89di89
94
50
3000
3000
200
200
200
450
250
250
250
250
300
550
4000
1250
5000
5000
5000
35
50
450
10000
7800
8000
10200
7800
12000
5455
9091
5455
5455
9091
6364
10909
50
25
25
€ 268,09
€ 357,45
€ 4.912,50
€ 4.912,50
€ 854,55
€ 854,55
€ 1.045,45
€ 1.923,75
€ 1.125,00
€ 1.125,00
€ 1.125,00
€ 1.125,00
€ 1.350,00
€ 2.475,00
€ 824,00
€ 257,50
€ 1.030,16
€ 1.140,00
€ 1.145,20
€ 315,59
€ 450,84
€ 5.130,00
€ 1.100,00
€ 858,00
€ 880,00
€ 1.122,00
€ 858,00
€ 1.320,00
€ 0,14
€ 0,23
€ 0,14
€ 0,14
€ 0,23
€ 0,16
€ 0,27
€ 135,55
€ 67,77
TOTALE
€ 46.251.072,98
€ 294,90
€ 393,20
€ 5.403,75
€ 5.403,75
€ 940,00
€ 940,00
€ 1.150,00
€ 2.116,13
€ 1.237,50
€ 1.237,50
€ 1.237,50
€ 1.237,50
€ 1.485,00
€ 2.722,50
€ 906,40
€ 283,25
€ 1.133,18
€ 1.254,00
€ 1.259,73
€ 347,15
€ 495,93
€ 5.643,00
€ 1.210,00
€ 943,80
€ 968,00
€ 1.234,20
€ 943,80
€ 1.452,00
€ 0,15
€ 0,25
€ 0,15
€ 0,15
€ 0,25
€ 0,18
€ 0,30
€ 149,10
€ 74,55
€ 50.876.180,28
ALLEGATO B
CODICE
ARTICOLO
SFT
4559
4560
4558
4557
4556
4555
71
73
75
1901
2401
5680
5681
5682
Ditta Offerente
MINSAN
Consumi per Importo 15 mesi
15 mesi
IVA (esclusa)
Principio Attivo / Nome Commerciale Farmaco
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
OTSUKA PHARMACEUTICAL ITALY S.R.L.
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ACCORD HEALTHCARE ITALIA SRL
TEVA ITALIA S.R.L.
AMGEN SPA EX AMGEN DOMPE'
AMGEN SPA EX AMGEN DOMPE'
AMGEN SPA EX AMGEN DOMPE'
036582029
036582031
036582017
036582094
036582120
036582183
037063118
037063157
037063195
039243011
038352124
036598023
036598050
036598098
ARIPIPRAZOLO/ABILIFY*28CPR 10MG
ARIPIPRAZOLO/ABILIFY*28CPR 15MG
ARIPIPRAZOLO/ABILIFY*28CPR 5MG
ARIPIPRAZOLO/ABILIFY*28CPR ORODISP 10MG
ARIPIPRAZOLO/ABILIFY*28CPR ORODISP 15MG
ARIPIPRAZOLO/ABILIFY*OS FL 150ML 1MG/ML
ATOMOXETINA CLORIDRATO/STRATTERA*28CPS 18MG
ATOMOXETINA CLORIDRATO/STRATTERA*28CPS 25MG
ATOMOXETINA CLORIDRATO/STRATTERA*28CPS 40MG
BICALUTAMIDE/BICALUTAMIDE AHCL*28CPR RIV50M
BICALUTAMIDE/BICALUTAMIDE TEVA*28CPR RIV150
CINACALCET CLORIDRATO/MIMPARA*28CPR RIV 30MG
CINACALCET CLORIDRATO/MIMPARA*28CPR RIV 60MG
CINACALCET CLORIDRATO/MIMPARA*28CPR RIV 90MG
2201
ACTAVIS ITALY SPA
1812
SANDOZ SPA
154
MERCK SERONO SPA EX IND.FARM.SERONO
6805
NOVARTIS FARMA S.P.A.
020417022 DEFEROXAMINA MESILATO/DESFERAL*10FL 500MG/5ML+10F5ML
1097
KEDRION SPA
027665025
3101
TEVA ITALIA S.R.L.
3102
Importo 15 mesi
IVA (inclusa)
97.067
83.907
45.033
5.880
8.213
510
233
1.167
747
126.000
50.400
32.060
3.500
1.400
€295.082,67
€255.076,27
€128.345,00
€17.875,20
€24.968,53
€40.698,00
€529,67
€2.648,33
€1.694,93
€10.080,00
€10.584,00
€197.970,50
€39.900,00
€23.940,00
€324.590,93
€280.583,89
€141.179,50
€19.662,72
€27.465,39
€44.767,80
€582,63
€2.913,17
€1.864,43
€11.088,00
€11.642,40
€217.767,55
€43.890,00
€26.334,00
039640038 CLOPIDOGREL BESILATO/CLOPIDOGREL ACT*28CPR RIV 75MG
753.667
€54.264,00
€59.690,40
036638221 CLOZAPINA/CLOZAPINA HEX*28CPR 100MG
CORIOGONADOTROPINA ALFA/OVITRELLE*SC 1PEN
035188085
250MCG/0,5ML
140.000
€12.500,60
€13.750,66
253
€5.636,67
€6.200,33
2.783
€7.694,53
€8.463,98
150
€934,05
€1.027,46
040386120 DONEPEZIL CLORIDRATO/DONEPEZIL TEVA*28CPR ORO 10MG
20.533
€1.724,80
€1.897,28
TEVA ITALIA S.R.L.
040386031 DONEPEZIL CLORIDRATO/DONEPEZIL TEVA*28CPR ORO 5MG
12.133
€825,07
€907,57
3103
TEVA ITALIA S.R.L.
041733128 DONEPEZIL CLORIDRATO/DONEPEZIL TEVA*28CPR RIV 10MG
151.573
€12.732,16
€14.005,38
3104
TEVA ITALIA S.R.L.
041733027 DONEPEZIL CLORIDRATO/DONEPEZIL TEVA*28CPR RIV 5MG
112.747
€7.666,77
€8.433,45
2914
1811
208
5655
66
61
2430
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
NOVARTIS FARMA S.P.A.
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
039589039
026966034
026966046
034231035
027015179
027015231
027015243
79.000
4.100
52.000
25.000
3.543
278
1.110
€67.874,43
€3.034,00
€76.960,00
€16.695,75
€39.685,33
€3.896,67
€18.648,00
€74.661,87
€3.337,40
€84.656,00
€18.365,33
€43.653,87
€4.286,33
€20.512,80
DESMOPRESSINA ACETATO IDRATO/EMOSINT*IM EV SC 10F
20MCG 1ML
DRONEDARONE CLORIDRATO/MULTAQ*60CPR RIV 400MG
ENOXAPARINA SODICA/CLEXANE*6SIR 2000UI 0,2ML
ENOXAPARINA SODICA/CLEXANE*6SIR 4000UI 0,4ML
ENTACAPONE/COMTAN*100CPR RIV 200MG
EPOETINA ALFA/EPREX*1SIR 4000UI 0,4ML
EPOETINA ALFA/EPREX*1SIR 5000UI/0,5ML
EPOETINA ALFA/EPREX*1SIR 6000UI/0,6ML
1di7
95
ALLEGATO B
CODICE
ARTICOLO
SFT
62
86
63
64
669
67
233
235
231
234
236
3384
3380
5003
3381
3382
3383
1510
1511
1512
1513
1514
1515
1516
1517
1518
1519
5656
5623
42
43
240
Ditta Offerente
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
SANDOZ SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
ROCHE SPA
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
HOSPIRA ITALIA S.R.L.
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
BRISTOL-MYERS SQUIBB S.R.L.
BRISTOL-MYERS SQUIBB S.R.L.
SANDOZ SPA
2469
MERCK SERONO SPA EX IND.FARM.SERONO
1681
MERCK SERONO SPA EX IND.FARM.SERONO
2064
MERCK SERONO SPA EX IND.FARM.SERONO
MINSAN
Consumi per Importo 15 mesi
15 mesi
IVA (esclusa)
Principio Attivo / Nome Commerciale Farmaco
027015268
027015181
027015142
027015155
027015167
027015282
038190157
038190498
038190512
038190070
038190118
034430355
034430292
034430456
034430316
034430417
034430431
038381152
038381012
038381176
038381036
038381188
038381051
038381190
038381075
038381099
038381113
036373025
036373102
037568019
037568033
039125012
EPOETINA ALFA/EPREX*1SIR 8000UI/0,8ML
EPOETINA ALFA/EPREX*1SIR 10000UI 1ML
EPOETINA ALFA/EPREX*1SIR 1000UI 0,5ML
EPOETINA ALFA/EPREX*1SIR 2000UI 0,5ML
EPOETINA ALFA/EPREX*1SIR 3000UI 0,3ML
EPOETINA ALFA/EPREX*1SIR 40000UI/ML 1ML
EPOETINA ALFA/BINOCRIT*1SIR 10000UI 1ML
EPOETINA ALFA/BINOCRIT*1SIR 30000UI/0,75ML+D
EPOETINA ALFA/BINOCRIT*1SIR 40000UI/1ML+DISP
EPOETINA ALFA/BINOCRIT*1SIR 4000UI 0,4ML
EPOETINA ALFA/BINOCRIT*1SIR 6000UI 0,6ML
EPOETINA BETA/NEORECORMON*IV SC 1SIR 10000UI
EPOETINA BETA/NEORECORMON*IV SC 1SIR 2000UI
EPOETINA BETA/NEORECORMON*IV SC 1SIR 30000UI
EPOETINA BETA/NEORECORMON*IV SC 1SIR 3000UI
EPOETINA BETA/NEORECORMON*IV SC 1SIR 4000UI
EPOETINA BETA/NEORECORMON*IV SC 1SIR 6000UI
EPOETINA ZETA/RETACRIT*1SIR 10000UI 1ML
EPOETINA ZETA/RETACRIT*1SIR 1000UI 0,3ML
EPOETINA ZETA/RETACRIT*1SIR 20000UI 0,5ML
EPOETINA ZETA/RETACRIT*1SIR 2000UI 0,6ML
EPOETINA ZETA/RETACRIT*1SIR 30000UI 0,75ML
EPOETINA ZETA/RETACRIT*1SIR 3000UI 0,9ML
EPOETINA ZETA/RETACRIT*1SIR 40000UI 1ML
EPOETINA ZETA/RETACRIT*1SIR 4000UI 0,4ML
EPOETINA ZETA/RETACRIT*1SIR 5000UI 0,5ML
EPOETINA ZETA/RETACRIT*1SIR 6000UI 0,6ML
EVEROLIMUS/CERTICAN*60CPR 0,25MG
EVEROLIMUS/CERTICAN*60CPR 0,75MG
EXENATIDE/BYETTA*SC 1PEN 1,2ML 5MCG
EXENATIDE/BYETTA*SC 1PEN 2,4ML 10MCG
FILGRASTIM/ZARZIO*1SIR 30MU 0,5ML
FOLLITROPINA ALFA DA DNA RICOMBINANTE/GONAL F*(600UI)
032392211
1050UI/1,75ML
FOLLITROPINA ALFA DA DNA RICOMBINANTE/GONAL F*SC 10FL
032392274
75UI+10SIR 1ML
FOLLITROPINA ALFA DA DNA RICOMBINANTE/GONAL F*SC 1PEN
032392336
300UI/0,5ML+5A
2di7
96
Importo 15 mesi
IVA (inclusa)
458
3.875
133
677
257
250
167
105
67
53
17
2.727
753
562
438
2.440
1.497
525
17
120
405
33
450
227
843
133
250
51.500
34.900
345
1.550
557
€10.266,67
€108.500,00
€373,33
€3.789,33
€2.156,00
€28.000,00
€3.000,00
€5.670,00
€4.800,00
€384,00
€180,00
€76.346,67
€4.218,67
€47.180,00
€3.682,00
€27.328,00
€25.144,00
€10.132,50
€32,17
€4.632,00
€1.563,30
€1.930,00
€2.605,50
€17.498,67
€6.510,53
€1.286,67
€2.895,00
€93.772,75
€190.641,95
€26.620,20
€119.598,00
€4.286,33
€11.293,33
€119.350,00
€410,67
€4.168,27
€2.371,60
€30.800,00
€3.300,00
€6.237,00
€5.280,00
€422,40
€198,00
€83.981,33
€4.640,53
€51.898,00
€4.050,20
€30.060,80
€27.658,40
€11.145,75
€35,38
€5.095,20
€1.719,63
€2.123,00
€2.866,05
€19.248,53
€7.161,59
€1.415,33
€3.184,50
€103.150,02
€209.706,14
€29.282,22
€131.557,80
€4.714,97
58
€21.104,42
€23.214,86
1.167
€30.345,00
€33.379,50
63
€6.587,93
€7.246,73
ALLEGATO B
CODICE
ARTICOLO
SFT
Ditta Offerente
MINSAN
1496
MERCK SERONO SPA EX IND.FARM.SERONO
032392348
2007
MERCK SERONO SPA EX IND.FARM.SERONO
032392351
1680
MERCK SERONO SPA EX IND.FARM.SERONO
032392250
80
MERCK SERONO SPA EX IND.FARM.SERONO
038085039
81
MERCK SERONO SPA EX IND.FARM.SERONO
038085015
4002
4562
2004
2008
124
28
25
26
27
4017
4018
1733
11482
11623
6789
1492
1532
1491
9407
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
MSD ITALIA SRL
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
GLAXO SMITH KLINE S.P.A.
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
NOVO NORDISK SPA
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
ROCHE SPA
029520184
029520386
029520398
029520400
035606072
035606173
035606033
035606110
035606146
034752042
034752081
034752030
026471019
026471021
036850055
035724121
035724069
035724246
025839111
1712
ROCHE SPA
035683123
1708
ROCHE SPA
035683059
1700
ROCHE SPA
035683073
3779
MSD ITALIA SRL
034852398
Consumi per Importo 15 mesi
15 mesi
IVA (esclusa)
Principio Attivo / Nome Commerciale Farmaco
FOLLITROPINA ALFA DA DNA RICOMBINANTE/GONAL F*SC 1PEN
450UI/0,75ML+7
FOLLITROPINA ALFA DA DNA RICOMBINANTE/GONAL F*SC 1PEN
900UI/1,5ML+14
FOLLITROPINA ALFA DA DNA RICOMBINANTE/GONAL F*SC FL
75UI+SIR 1ML
FOLLITROPINA ALFA/LUTROPINA ALFA/PERGOVERIS*SC 10FL
150UI/75UI
FOLLITROPINA ALFA/LUTROPINA ALFA/PERGOVERIS*SC 1FL
150UI/75UI
FOLLITROPINA BETA/PUREGON*IM SC 5FL 50UI/0,5ML
FOLLITROPINA BETA/PUREGON*SC 1CART 300UI/0,36ML
FOLLITROPINA BETA/PUREGON*SC 1CART 600UI/0,72ML
FOLLITROPINA BETA/PUREGON*SC 1CART 900UI/1,08ML
FONDAPARINUX SODICO/ARIXTRA*SC 10SIR 1,5MG 0,3ML
FONDAPARINUX SODICO/ARIXTRA*SC 10SIR 10MG 0,8ML
FONDAPARINUX SODICO/ARIXTRA*SC 10SIR 2,5MG 0,5ML
FONDAPARINUX SODICO/ARIXTRA*SC 10SIR 5MG 0,4ML
FONDAPARINUX SODICO/ARIXTRA*SC 10SIR 7,5MG 0,6ML
GALANTAMINA BROMIDRATO/REMINYL*56CPR RIV 12MG
GALANTAMINA BROMIDRATO/REMINYL*56CPR RIV 4MG
GALANTAMINA BROMIDRATO/REMINYL*56CPR RIV 8MG
GOSERELIN ACETATO/ZOLADEX*SC 1SIR 3,6MG R.P.
GOSERELIN ACETATO/ZOLADEX*SC SIR 10,8MG R.P.
INSULINA DETEMIR/LEVEMIR*FLEX 5PEN 3ML 100UI/ML
INSULINA GLARGINE/LANTUS*SC 1FL 100UI/ML 10ML
INSULINA GLARGINE/LANTUS*SC 5CART 3ML 100UI/ML
INSULINA GLARGINE/LANTUS*SOLOST.SC 5PEN 100UI/ML
INTERFERONE ALFA 2A/ROFERON A*SC 1SIR 3MUI/0,5ML
INTERFERONE ALFA 2A PEGILATO/PEGASYS*SC PEN 0,5ML
180MCG
INTERFERONE ALFA 2A PEGILATO/PEGASYS*SC SIR 0,5ML
135MCG+AG
INTERFERONE ALFA 2A PEGILATO/PEGASYS*SC SIR 0,5ML
180MCG+AG
INTERFERONE ALFA 2B PEGILATO/PEGINTRON*SC 1PEN
100MCG+1AGO+
3di7
97
Importo 15 mesi
IVA (inclusa)
83
€13.003,33
€14.303,67
1.400
€436.912,00
€480.603,20
32
€823,65
€906,02
717
€51.988,43
€57.187,28
50
€3.627,10
€3.989,81
383
60
103
493
1.717
1.667
38.417
9.383
22.583
933
3.733
8.120
38
97
41.208
2.838
5.967
158.483
342
€6.055,90
€5.929,20
€20.423,83
€146.258,53
€1.761,30
€6.332,70
€65.691,73
€23.800,07
€85.808,09
€1.113,00
€3.131,33
€8.568,06
€3.398,63
€26.026,88
€346.891,75
€79.643,63
€50.229,97
€1.334.180,85
€4.484,38
€6.661,49
€6.522,12
€22.466,22
€160.884,39
€1.937,43
€6.965,97
€72.260,90
€26.180,08
€94.388,89
€1.224,30
€3.444,47
€9.424,87
€3.738,50
€28.629,56
€381.580,93
€87.608,00
€55.252,96
€1.467.598,93
€4.932,82
262
€43.928,97
€48.321,86
48
€6.404,50
€7.044,94
177
€31.215,39
€34.336,93
65
€9.093,43
€10.002,78
ALLEGATO B
CODICE
ARTICOLO
SFT
Ditta Offerente
MINSAN
10531
MSD ITALIA SRL
034852475
1538
MSD ITALIA SRL
034852350
3477
4564
3026
4012
IPSEN S.P.A.
IPSEN S.P.A.
IPSEN S.P.A.
IPSEN S.P.A.
029399019
029399110
029399134
029399122
47
SHIRE ITALIA S.P.A.
037097209
48
SHIRE ITALIA S.P.A.
49
Consumi per Importo 15 mesi
15 mesi
IVA (esclusa)
Principio Attivo / Nome Commerciale Farmaco
INTERFERONE ALFA 2B PEGILATO/PEGINTRON*SC 1PEN
150MCG+1AGO+
INTERFERONE ALFA 2B PEGILATO/PEGINTRON*SC 1PEN
80MCG+1AGO+2
LANREOTIDE ACETATO/IPSTYL*IM FL30MG RP+F 2ML SOLV
LANREOTIDE ACETATO/IPSTYL*SC 1SIR 60MG
LANREOTIDE ACETATO/IPSTYL*SC SIR 120MG
LANREOTIDE ACETATO/IPSTYL*SC SIR 90MG
LANTANIO CARBONATO IDRATO/FOZNOL*FL 90CPR MAST
1000MG
Importo 15 mesi
IVA (inclusa)
67
€13.978,64
€15.376,50
68
€8.376,30
€9.213,93
17
105
113
147
€4.044,33
€67.096,05
€78.164,87
€101.154,53
€4.448,77
€73.805,66
€85.981,35
€111.269,99
19.650
€55.143,80
€60.658,17
037097134 LANTANIO CARBONATO IDRATO/FOZNOL*FL 90CPR MAST 500MG
8.400
€11.786,88
€12.965,57
SHIRE ITALIA S.P.A.
037097096 LANTANIO CARBONATO IDRATO/FOZNOL*FL 90CPR MAST 750MG
6.600
€13.891,02
€15.280,12
1106
ASTELLAS PHARMA SPA
036967038 LEUPRORELINA ACETATO/ELIGARD*INIET SIR+SIR 7,5MGKIT
53
€3.630,79
€3.993,87
1107
ASTELLAS PHARMA SPA
036967040 LEUPRORELINA ACETATO/ELIGARD*INIET SIR+SIR22,5MGKIT
927
€152.788,80
€168.067,68
1905
TAKEDA ITALIA SPA EX NYCOMED SPA
027066137 LEUPRORELINA ACETATO/ENANTONE*IM SC SIR11,25MG/MLRP
2.417
€398.484,17
€438.332,58
1904
TAKEDA ITALIA SPA EX NYCOMED SPA
027066125 LEUPRORELINA ACETATO/ENANTONE*IM SC SIR3,75MG/ML RP
1.133
€58.933,33
€64.826,67
5654
NOVARTIS FARMA S.P.A.
036825077
149.667
€105.208,18
€115.729,00
5650
NOVARTIS FARMA S.P.A.
036825255
56.167
€39.482,36
€43.430,59
5653
NOVARTIS FARMA S.P.A.
036825115
112.333
€78.964,72
€86.861,19
5651
NOVARTIS FARMA S.P.A.
036825216
51.833
€36.436,24
€40.079,87
5652
NOVARTIS FARMA S.P.A.
036825038
22.000
€15.464,90
€17.011,39
5649
NOVARTIS FARMA S.P.A.
036825242
23.333
€16.402,17
€18.042,38
1890
3999
1495
NOVO NORDISK SPA
MERCK SERONO SPA EX IND.FARM.SERONO
MERCK SERONO SPA EX IND.FARM.SERONO
039365010
034951044
034951057
16.157
17
375
€580.670,60
€363,33
€8.175,00
€638.737,66
€399,67
€8.992,50
LEVODOPA/CARBIDOPA/ENTACAPONE/STALEVO*100CPR
100+25+200MG
LEVODOPA/CARBIDOPA/ENTACAPONE/STALEVO*100CPR
125+31,25+200MG
LEVODOPA/CARBIDOPA/ENTACAPONE/STALEVO*100CPR
150+37,5+200MG
LEVODOPA/CARBIDOPA/ENTACAPONE/STALEVO*100CPR
200+50+200MG
LEVODOPA/CARBIDOPA/ENTACAPONE/STALEVO*100CPR
50+12,5+200MG
LEVODOPA/CARBIDOPA/ENTACAPONE/STALEVO*100CPR
75+18,75+200MG
LIRAGLUTIDE/VICTOZA*SC 2PEN 3ML 6MG/ML
LUTROPINA ALFA/LUVERIS*SC 1FL 75UI+1FL SOLV
LUTROPINA ALFA/LUVERIS*SC 3FL 75UI+3FL SOLV
4di7
98
ALLEGATO B
CODICE
ARTICOLO
SFT
78
Ditta Offerente
MINSAN
Consumi per Importo 15 mesi
15 mesi
IVA (esclusa)
Principio Attivo / Nome Commerciale Farmaco
LUNDBECK ITALIA S.P.A.
035681055 MEMANTINA CLORIDRATO/EBIXA*OS SOLUZ 5MG/EROGAZIONE
55678
1507
FERRING SPA
TEVA ITALIA S.R.L.
1179
PFIZER ITALIA SRL
6868
CSL BEHRING SPA EX ZLB BEHRING
6867
CSL BEHRING SPA EX ZLB BEHRING
6869
CSL BEHRING SPA EX ZLB BEHRING
036749024 MENOTROPINA/MEROPUR*SC IM 10F 75UI+10F 75U
034369013 MODAFINIL/PROVIGIL*30CPR 100MG
MOROCTOCOG ALFA (FATTORE VIII DI COAGULAZIONE,
034421038
RICOMBINANTE)/REFACTO AF*IV 1FL 1000UI+FL4ML
OCTOCOG ALFA (FATTORE VIII DI COAGULAZIONE,
034956033
RICOMBINANTE)/HELIXATE NEXGEN*1000UI+1FL+KIT
OCTOCOG ALFA (FATTORE VIII DI COAGULAZIONE,
034956045
RICOMBINANTE)/HELIXATE NEXGEN*2000UI+1FL+KIT
OCTOCOG ALFA (FATTORE VIII DI COAGULAZIONE,
034956021
RICOMBINANTE)/HELIXATE NEXGEN*500UI+1FL+1KIT
5464
ITALFARMACO SPA
87878
Importo 15 mesi
IVA (inclusa)
920
€58.769,60
€64.646,56
4.983
1.250
€64.185,33
€2.212,50
€70.603,87
€2.433,75
467
€319.666,67
€351.633,33
83
€48.150,00
€52.965,00
50
€57.790,00
€63.569,00
83
€24.079,17
€26.487,08
027104088 OCTREOTIDE ACETATO/LONGASTATINA LAR*FL 10MG+SIR+2
18
€6.102,98
€6.713,28
ITALFARMACO SPA
027104090 OCTREOTIDE ACETATO/LONGASTATINA LAR*FL 20MG+SIR+2
73
€42.079,40
€46.287,34
54677
ITALFARMACO SPA
027104102 OCTREOTIDE ACETATO/LONGASTATINA LAR*FL 30MG+SIR+2
122
€90.715,88
€99.787,47
1493
NOVARTIS FARMA S.P.A.
027083082 OCTREOTIDE ACETATO/SANDOSTATINA LAR*FL 10MG+SIR+2
40
€13.315,60
€14.647,16
2394
NOVARTIS FARMA S.P.A.
027083094 OCTREOTIDE ACETATO/SANDOSTATINA LAR*FL 20MG+SIR+2
162
€92.765,95
€102.042,55
1134
NOVARTIS FARMA S.P.A.
027083106 OCTREOTIDE ACETATO/SANDOSTATINA LAR*FL 30MG+SIR+2
270
€201.314,70
€221.446,17
3105
3106
3107
3108
3109
21
22
23
1111
1112
6679
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
TEVA ITALIA S.R.L.
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
JANSSEN-CILAG S.P.A
ABBVIE S.R.L. UNIPERSONALE
ABBVIE S.R.L. UNIPERSONALE
AMGEN SPA EX AMGEN DOMPE'
040470270
040470231
040470128
040470041
040470015
038024117
038024016
038024067
036374054
036374080
035716036
OLANZAPINA/OLANZAPINA TEVA*28CPR ORO 10MG
OLANZAPINA/OLANZAPINA TEVA*28CPR ORO 5MG
OLANZAPINA/OLANZAPINA TEVA*28CPR RIV 10MG
OLANZAPINA/OLANZAPINA TEVA*28CPR RIV 5MG
OLANZAPINA/OLANZAPINA TEVA*28CPR RIV2,5MG
PALIPERIDONE/INVEGA*28CPR 9MG R.P.
PALIPERIDONE/INVEGA*28CPR 3MG R.P.
PALIPERIDONE/INVEGA*28CPR 6MG R.P.
PARACALCITOLO/ZEMPLAR*28CPS 1MCG
PARACALCITOLO/ZEMPLAR*28CPS 2MCG
PEGFILGRASTIM/NEULASTA*6MG 1SIR 0,6ML SC C/P
52.500
60.200
147.933
150.733
115.267
18.107
18.993
29.353
24.967
1.073
42
€2.310,00
€2.468,20
€4.733,87
€4.326,05
€2.318,01
€88.244,11
€54.856,74
€84.778,59
€80.291,05
€6.903,72
€25.758,33
€2.541,00
€2.715,02
€5.207,25
€4.758,65
€2.549,81
€97.068,52
€60.342,41
€93.256,45
€88.320,16
€7.594,10
€28.334,17
2417
TAKEDA ITALIA SPA EX NYCOMED SPA
038345029
PIOGLITAZONE CLORIDRATO/GLIMEPIRIDE/TANDEMACT*28CPR
30MG+4MG
17.733
€16.186,28
€17.804,91
5di7
99
ALLEGATO B
CODICE
ARTICOLO
SFT
Ditta Offerente
MINSAN
2418
TAKEDA ITALIA SPA EX NYCOMED SPA
037225099
401
402
203
201
202
204
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
ASTRAZENECA S.P.A.
039055090
039055025
032944136
032944148
032944151
032944124
3110
TEVA ITALIA S.R.L.
3111
Consumi per Importo 15 mesi
15 mesi
IVA (esclusa)
Principio Attivo / Nome Commerciale Farmaco
PIOGLITAZONE CLORIDRATO/METFORMINA
CLORIDRATO/COMPETACT*56CPR RIV 15MG+850MG
PRASUGREL CLORIDRATO/EFIENT*28CPR RIV 10MG
PRASUGREL CLORIDRATO/EFIENT*28CPR RIV 5MG
QUETIAPINA FUMARATO/SEROQUEL*60CPR 200MG R.P.
QUETIAPINA FUMARATO/SEROQUEL*60CPR 300MG R.P.
QUETIAPINA FUMARATO/SEROQUEL*60CPR 400MG R.P.
QUETIAPINA FUMARATO/SEROQUEL*60CPR 50MG R.P.
Importo 15 mesi
IVA (inclusa)
740.320
€336.675,33
€370.342,86
60.900
1.120
55.700
139.000
73.100
101.300
€89.382,93
€1.643,82
€92.239,20
€256.733,00
€181.580,40
€78.507,50
€98.321,22
€1.808,21
€101.463,12
€282.406,30
€199.738,44
€86.358,25
040510265 QUETIAPINA FUMARATO/QUETIAPINA TE*60CPR RIV 100MG
188.000
€9.588,00
€10.546,80
TEVA ITALIA S.R.L.
040510683 QUETIAPINA FUMARATO/QUETIAPINA TE*60CPR RIV 200MG
76.600
€7.506,80
€8.257,48
3112
TEVA ITALIA S.R.L.
040510986 QUETIAPINA FUMARATO/QUETIAPINA TE*60CPR RIV 300MG
70.000
€19.600,00
€21.560,00
5016
5021
5022
1737
1738
4554
1709
1707
1703
3541
A.MENARINI IND.FARMAC.RIUN.SRL
A.MENARINI IND.FARMAC.RIUN.SRL
A.MENARINI IND.FARMAC.RIUN.SRL
NOVARTIS FARMA S.P.A.
NOVARTIS FARMA S.P.A.
BRISTOL-MYERS SQUIBB S.R.L.
SANOFI-AVENTIS S.P.A.
SANOFI-AVENTIS S.P.A.
PFIZER ITALIA SRL
PFIZER ITALIA SRL
038917011
038917035
038917050
034078168
034078206
039453028
039480037
039480064
035120070
035120094
292.300
85.300
9.400
82.600
142.000
64.540
52.200
39.900
12.333
700
€224.194,10
€65.425,10
€7.209,80
€180.481,00
€310.270,00
€86.460,37
€39.150,00
€89.775,00
€45.690,07
€4.927,30
€246.613,51
€71.967,61
€7.930,78
€198.529,10
€341.297,00
€95.106,40
€43.065,00
€98.752,50
€50.259,07
€5.420,03
NEOPHARMED GENTILI SRL
037794144 SITAGLIPTIN FOSFATO MONOIDRATO/XELEVIA*28CPR RIV 100MG
331.333
€420.793,33
€462.872,67
ELI LILLY ITALIA SPA
ELI LILLY ITALIA SPA
FERRING SPA
IPSEN S.P.A.
MERCK SERONO SPA EX IND.FARM.SERONO
NOVO NORDISK SPA
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
026962050
026962047
027743032
036583033
026863100
027686082
026844249
026844252
026844264
026844187
026844199
026844201
627
253
423
383
303
327
480
167
400
1.027
782
233
€141.501,33
€29.381,60
€43.936,14
€75.961,33
€63.469,47
€120.507,33
€16.118,40
€6.510,83
€17.879,00
€4.697,73
€7.767,53
€3.065,00
€155.651,47
€32.319,76
€48.329,76
€83.557,47
€69.816,41
€132.558,07
€17.730,24
€7.161,92
€19.666,90
€5.167,50
€8.544,28
€3.371,50
39
1520
1521
1694
4021
1693
1523
1687
4570
3533
5000
1683
1690
RANOLAZINA/RANEXA*60CPR 375MG R.P.
RANOLAZINA/RANEXA*60CPR 500MG R.P.
RANOLAZINA/RANEXA*60CPR 750MG R.P.
RIVASTIGMINA/EXELON*30CER 4,6MG/24H
RIVASTIGMINA/EXELON*30CER 9,5MG/24H
SAXAGLIPTIN CLORIDRATO/ONGLYZA*28CPR RIV 5MG
SEVELAMER CARBONATO/RENVELA*FL 180CPR RIV 800MG
SEVELAMER CARBONATO/RENVELA*OS POLV 60BUST 2,4G
SIROLIMUS/RAPAMUNE*100CPR RIV 1MG
SIROLIMUS/RAPAMUNE*30CPR RIV 2MG
SOMATROPINA/HUMATROPE*1CART 12MG(36UI)+SIR
SOMATROPINA/HUMATROPE*1CART 6MG (18UI)+SIR
SOMATROPINA/ZOMACTON*SC 1FL 4MG+F 3,5 SOLV
SOMATROPINA/NUTROPINAQ*SC 1CART 2ML10MG/2M
SOMATROPINA/SAIZEN*1FL 8MG+1CART+CLICKEASY
SOMATROPINA/NORDITROPIN*SIMPLEXX 15MG/1,5M
SOMATROPINA/GENOTROPIN MINI*4TBF 1,4MG(4,2
SOMATROPINA/GENOTROPIN MINI*4TBF 1,6MG(4,8
SOMATROPINA/GENOTROPIN MINI*4TBF 1,8MG(5,4
SOMATROPINA/GENOTROPIN MINI*7TBF 0,2MG(0,6
SOMATROPINA/GENOTROPIN MINI*7TBF 0,4MG(1,2
SOMATROPINA/GENOTROPIN MINI*7TBF 0,6MG(1,8
6di7
100
ALLEGATO B
CODICE
ARTICOLO
SFT
1691
1699
220
20
1099
1098
1100
1101
3375
1103
1102
403
5015
862
4020
Ditta Offerente
MINSAN
PFIZER ITALIA SRL
PFIZER ITALIA SRL
SANDOZ SPA
SANDOZ SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ASTELLAS PHARMA SPA
ELI LILLY ITALIA SPA
MEDA PHARMA SPA
FERRING SPA
IPSEN S.P.A.
026844213
026844225
037106073
037106046
038218018
038218119
038218071
038218057
29485099
029485048
029485075
035926017
033280090
035562014
026999021
1676
IPSEN S.P.A.
5001
Consumi per Importo 15 mesi
15 mesi
IVA (esclusa)
Principio Attivo / Nome Commerciale Farmaco
SOMATROPINA/GENOTROPIN MINI*7TBF 0,8MG(2,4
SOMATROPINA/GENOTROPIN MINI*7TBF 1MG(3UI)+
SOMATROPINA/OMNITROPE*SC CART 10MG/1,5ML
SOMATROPINA/OMNITROPE*SC CART 5MG/1,5ML
TACROLIMUS MONOIDRATO/ADVAGRAF*30CPS 0,5MG R.P.
TACROLIMUS MONOIDRATO/ADVAGRAF*30CPS 3MG R.P.
TACROLIMUS MONOIDRATO/ADVAGRAF*30CPS 5MG R.P.
TACROLIMUS MONOIDRATO/ADVAGRAF*60CPS 1MG R.P.
TACROLIMUS MONOIDRATO/PROGRAF*30CPS 0,5MG
TACROLIMUS MONOIDRATO/PROGRAF*30CPS 5MG
TACROLIMUS MONOIDRATO/PROGRAF*60CPS 1MG
TERIPARATIDE/FORSTEO*1PEN 2,4ML 20MCG/80MCL
TOLCAPONE/TASMAR*FL 100CPR RIV 100MG
TRIPTORELINA/GONAPEPTYL DEPOT*SIR 3,75MG+SO
TRIPTORELINA/DECAPEPTYL*FL 3,75MG+2ML+1SIR
Importo 15 mesi
IVA (inclusa)
968
128
57
25
19.900
4.450
6.550
87.500
49.050
5.200
136.200
780
14.500
265
1.545
€18.002,69
€3.104,93
€8.259,17
€1.898,75
€13.094,80
€18.799,20
€42.799,27
€123.215,75
€32.276,37
€33.978,05
€191.794,12
€269.724,00
€14.379,65
€13.780,00
€88.528,50
€19.802,96
€3.415,43
€9.085,08
€2.088,63
€14.404,28
€20.679,12
€47.079,20
€135.537,33
€35.504,01
€37.375,85
€210.973,53
€296.696,40
€15.817,62
€15.158,00
€97.381,35
026999058 TRIPTORELINA EMBONATO/DECAPEPTYL*FL 11,25MG+2ML+1SIR
1.407
€241.806,00
€265.986,60
IBSA FARMACEUTICI ITALIA S.R.L.
032921049 UROFOLLITROPINA/FOSTIMON*10FL 75UI+10F
6.483
€52.367,63
€57.604,40
8002
MYLAN SPA
039107180 VALACICLOVIR CLORIDRATO/VALACICLOVIR MG*21CPR RIV 1G
33.250
€15.431,66
€16.974,82
8003
MYLAN SPA
039107139 VALACICLOVIR CLORIDRATO/VALACICLOVIR MG*42CPR RIV500MG
12.600
€4.726,39
€5.199,02
1504
ROCHE SPA
035739010 VALGANCICLOVIR CLORIDRATO/VALCYTE*60CPR RIV 450MG
1.600
€9.902,88
€10.893,17
30
NOVARTIS FARMA S.P.A.
038144059 VILDAGLIPTIN/GALVUS*56CPR 50MG
58.800
€39.658,84
€43.624,72
58
NOVARTIS FARMA S.P.A.
038252096 VILDAGLIPTIN/METFORMINA/EUCREAS*60CPR 50MG+1000MG
285.000
€180.627,30
€198.690,03
59
NOVARTIS FARMA S.P.A.
038252033 VILDAGLIPTIN/METFORMINA/EUCREAS*60CPR 50MG+850MG
150.500
€95.383,89
€104.922,28
158
156
157
PFIZER ITALIA SRL
PFIZER ITALIA SRL
PFIZER ITALIA SRL
034935383 ZIPRASIDONE CLORIDRATO/ZELDOX*56CPS 20MG
034935472 ZIPRASIDONE CLORIDRATO/ZELDOX*56CPS 40MG
034935561 ZIPRASIDONE CLORIDRATO/ZELDOX*56CPS 60MG
4.107
27.907
4.853
€5.026,97
€34.160,55
€5.590,85
€5.529,67
€37.576,61
€6.149,93
TOTALE
7di7
101
€12.969.864,81
€14.266.851,29