Elenco Farmaci a carico del S.S.N. PER PRESTAZIONI INDISPENSABILI IN ASSISTENZA INDIRETTA Aggiornato al 07/09/2010 Indice delle sezioni A. Elenco per A.T.C. (in base al BURC Reg.Campania) . . . Pag. 1 B. Elenco in ordine alfabetico (in base al BURC Reg.Campania) . . . Pag.11 In Allegato : Ulteriori Prodotti segnalati da FARMADATI . . . . . . . . . . . Pag.20 Parte 'A' : Farmaci a carico del S.S.N. per prestazioni indispensabili in assistenza indiretta Pag. 1 Elenco ordinato per Patologia ed ATC Aggiornato al 07/09/2010 Pr. Pubbl. Anagrafica Prodotto Classe SSN Nota CUF Modal. Dispens. Quota Assistito Sconto SSN Minsan OSSIGENO LIQUIDO E GASSOSO ¾ APPARATO GASTROINTESTINALE E METABOLISMO ¾ Farmaci usati nel diabete atc : A10AB01 INSULINA (UMANA) ACTRAPID 100UI/ml 10ml ACTRAPID NOVOLET 5 Cart.3ml HUMULIN R 100 u/ml 10ml INSUMAN Rapid 1fl.5ml INSUMAN Rapid 5fl.5ml INSUMAN Rapid OptiCl.5Cart.3ml INSUMAN Rapid Solo 5 Pen 3ml 14,72 33,42 14,72 7,36 36,82 33,42 33,42 A A A A A A A RR RR RR RR RR RR RR 0,50 1,82 0,50 0,25 2,01 1,82 1,82 035932033 035932084 025707011 034185835 034185847 034185557 038923431 34,87 52,36 A A RR RR 1,90 4,28 033637024 033637051 14,72 14,72 33,42 A A A RR RR RR 0,50 0,50 1,82 025707035 035935030 035935081 14,72 14,72 A A RR RR 0,50 0,50 035936032 025707187 2,17 A RR 0,07 016366027 1,91 2,03 A A RR RR 0,07 0,07 011782024 011782012 16,08 16,08 6,32 14,14 6,32 14,14 36,39 14,14 14,14 15,91 14,14 14,14 14,14 14,14 14,14 A A A A A A A A A A A A A A A RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR 54,33 43,49 43,49 43,49 43,49 86,98 89,09 54,38 53,29 53,29 43,48 54,38 A A A A A A A A A A A A 1,19 1,43 1,19 1,43 1,67 1,19 1,43 ,25 A A A A A A A A I atc : A10AB04 INSULINA LISPRO HUMALOG 100u/ml 1 Fl.10ml HUMALOG 100u/ml 5 Cart.3ml atc : A10AD01 INSULINA (UMANA) ACTRAPHANE 30 100ui 10ml HUMULIN 30/70 100 u/ml 10ml SANGUE ED ORGANI EMOPOIETICI ¾ Farmaci antitrombotici (uso orale) C atc : A10AC01 INSULINA (UMANA) HUMULIN I 100 u/ml 10ml PROTAPHANE 100ui/ml 10ml PROTAPHANE NOVOLET 5 Cart.3ml atc : B01AA07 ACENOCUMAROLO SINTROM 20 Cpr 1mg SINTROM 20 Cpr 4mg C atc : B01AA03 WARFARIN COUMADIN 30 Cpr 5mg Farmaci antitrombotici (uso parenterale) U A atc : B01AB01 EPARINA CLARISCO 5000ui 10 Fiale 0,2ml CLARISCO 5000ui 10 Fiale 1ml ECAFAST 10 Sir. 5000ui 0,2ml ECAFAST 10 Sir.12.500ui 0,5ml ECASOLV 10 Sir. 5000ui ECASOLV 10 Sir.12500ui EMOKLAR 10f.0,5ml 12500UI EPARINA CAL.10Sir.12500ui ACT. EPARINA CAL.10Sir.12500uiEG EPARINA SODICA 5000 ui VISTER EPARINLIDER 10 F.Sir.0,5ml EPARVEN 12500ui 0,5ml 10 Fiale REOFLUS 10 Sir.12500ui TROMBOLISIN 10 Sir.12500ui ZEPAC 10 Sir.0,5ml 12500ui 22,25 1,98 012627105 012627081 027429113 027429149 024939136 024939148 028868026 034277020 033986023 006275010 029459017 033374048 031126055 032938033 032802047 Succedanei del sangue G atc : B05AA01 ALBUMINA ALBITAL 25% 50ml KEDRION ALBUMINA Um.20% 50ml BAXTER ALBUMINA Um.20% 50ml BEHRING ALBUMINA Um.20% 50ml GRIFOLS ALBUMINA Um.20% 50ml KEDRION ALBUMINA Um.20% 100ml BAXTER ALBUMINA Um.20% 100ml GRIFOLS ALBUMINA Um.25% 50ml BAXTER ALBUMINA Um.25% 50ml GRIFOLS ALBUREX 25% 1 Fl.50ml BEHRING ALBUTEIN 20% 50ml ALBUTEIN 25% 50ml 15 15 15 15 15 15 15 15 15 15 15 15 RR RR RR RR RR RR RR RR RR RR RR RR 4,44 2,37 2,37 2,37 2,37 7,12 7,29 4,45 4,36 4,36 2,37 4,45 022515136 010317028 011544020 034611018 021111024 037566078 034611020 037566092 034611069 036504076 029251030 029251042 Soluzioni perfusionali atc : B05BA03 CARBOIDRATI GLUCOSIO EUROSPITAL 5% 250ml GLUCOSIO EUROSPITAL 5% 500ml GLUCOSIO KABI 5% 250ml GLUCOSIO KABI 5% 500ml GLUCOSIO KABI 10% 500ml GLUCOSIO SALF 5% 250ml GLUCOSIO SALF 5% 500ml GLUCOSIO SENESE 5% 20ml 1 F. RR RR RR RR RR RR RR RR 032183028 032183030 030769032 030769044 030769095 030672152 030672164 029863026 Parte 'A' : Farmaci a carico del S.S.N. per prestazioni indispensabili in assistenza indiretta Pag. 2 Elenco ordinato per Patologia ed ATC Aggiornato al 07/09/2010 Anagrafica Prodotto GLUCOSIO SENESE 5% 250ml GLUCOSIO SENESE 5% 500ml GLUCOSIO SENESE 10% 20ml 1 F. GLUCOSIO SENESE 10% 250ml GLUCOSIO SENESE 10% 500ml Pr. Pubbl. Classe SSN 1,19 1,43 ,25 1,39 1,67 A A A A A RR RR RR RR RR 029863053 029863065 029863141 029863178 029863180 1,23 1,58 1,23 1,58 1,23 1,58 1,23 1,58 2,53 2,53 A A A A A A A A A A SOP SOP SOP SOP SOP SOP RR RR RR RR 0,09 0,09 032182026 032182038 030775035 030775047 030684118 030684120 029874056 029874068 023204011 023204050 RR RR RR 0,09 0,09 0,09 023204112 023204035 023204074 Nota CUF Modal. Dispens. Quota Assistito Sconto SSN Minsan atc : B05BB02 ELETTROLITI ASSOCIATI A CARBOIDRATI 2,58 2,58 2,58 A A A 3,31 A RR 0,11 020294029 2,79 2,84 2,07 2,32 4,70 2,01 2,79 A A A A A A A RR RR RR RR RR RR RR 0,10 0,10 0,07 0,08 0,16 0,07 0,10 014166033 014166045 015724038 015724026 015724053 015724065 015724077 atc : B05BC01 MANNITOLO ISOTOL 20% Fl.500ml SISTEMA CARDIOVASCOLARE ¾ Terapia cardiaca : glucosidi digitali C NORMOSOL M Glucosio 500ml NORMOSOL R Glucosio 500ml NORMOSOL R/K Glucosio 500ml I atc : B05BB01 ELETTROLITI FISIOLOGICA EUROSPITAL 250ml FISIOLOGICA EUROSPITAL 500ml FISIOLOGICA KABI 250ml FISIOLOGICA KABI 500ml FISIOLOGICA SALF 250ml FISIOLOGICA SALF 500ml FISIOLOGICA SENESE 250ml FISIOLOGICA SENESE 500ml NORMOSOL R 500ml NORMOSOL RpH 7,4 Fl.500ml atc : C01AA05 DIGOSSINA C EUDIGOX 40 Cps 0,100mg EUDIGOX 40 Cps 0,200mg LANOXIN 0,125mg 30 Cpr LANOXIN 0,25mg 30 Cpr LANOXIN 6 Fiale 2ml LANOXIN PG 30 Cpr 0,0625mg LANOXIN Sciroppo 60ml Antiaritmici iniettabili A atc : C01AA08 METILDIGOSSINA LANITOP 30 Cpr LANITOP Gocce 10ml LANITOP MITE 40 Cpr 2,32 3,36 2,38 A A A RR RR RR 0,08 0,11 0,08 022643011 022643047 022643023 12,83 A RR 0,44 024862031 2,62 1,02 3,81 1,26 A A A A RR RR RR RR 1,60 A A A A A A A A A A A A A A A A A A A A A A A RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR 0,07 0,20 1,02 1,01 1,14 1,60 0,24 0,28 0,42 0,28 0,31 0,44 1,01 1,14 1,60 1,01 1,14 1,60 1,01 1,14 1,60 1,01 1,60 0,28 0,31 0,44 0,28 0,31 0,44 0,28 0,31 0,44 0,28 0,44 atc : C01BC03 PROPAFENONE RYTMONORM Fiale 20ml U Stimolanti cardiaci atc : C01CA24 EPINEFRINA ADRENALINA 0,5mg 5F.1ml MONICO ADRENALINA 0,5mg 5F.1ml SALF ADRENALINA 1mg 5F.1ml MONICO ADRENALINA 1mg 5F.1ml SALF 030780011 030650016 030780023 030650030 2,55 Vasodilatatori usati nelle malattie cardiache atc : C01DA02 NITROGLICERINA G ADESITRIN 5mg 15 Cerotti ADESITRIN 10mg 15 Cerotti ADESITRIN 15mg 15 Cerotti DEPONIT 5mg 15 Sistemi DEPONIT 10mg 15 Sistemi DEPONIT 15mg 15 Sistemi DERMATRANS 5mg 15 Cerotti DERMATRANS 10mg 15 Cerotti DERMATRANS 15mg 15 Cerotti EPINITRIL 5mg 15 Patch EPINITRIL 10mg 15 Patch EPINITRIL 15mg 15 Patch KERITRINA 5mg/die 15 Cerotti KERITRINA 10mg/die 15 Cerotti KERITRINA 15mg/die 15 Cerotti MINITRAN 5mg 15 Sistemi MINITRAN 10mg 15 Sistemi MINITRAN 15mg 15 Sistemi NITRAKET 5mg/24ore 15 Cer. NITRAKET 15mg/24ore 15 Cer. NITRO-DUR 5mg 15 Cerotti NITRO-DUR 10mg 15 Cerotti NITRO-DUR 15mg 10 Cerotti 7,17 8,20 12,25 8,11 9,14 12,83 7,10 8,00 11,23 8,11 9,14 12,83 8,11 9,14 12,83 8,11 9,14 12,83 8,11 12,83 7,10 8,00 8,16 026068015 026068027 026068039 026070019 026070021 026070033 034861017 034861031 034861056 034860015 034860039 034860054 032784011 032784023 032784035 027028012 027028024 027028036 035157015 035157039 025224116 025224130 025224142 Parte 'A' : Farmaci a carico del S.S.N. per prestazioni indispensabili in assistenza indiretta Pag. 3 Elenco ordinato per Patologia ed ATC Aggiornato al 07/09/2010 NITROCOR 5mg/24h 15 Cerotti NITROCOR 10mg/24h 15 Cerotti NITROCOR 15mg/24h 15 Cerotti NITRODERM TTS 5mg 15 Sistemi NITRODERM TTS 10mg 15 Sistemi NITRODERM TTS 15mg 15 Sistemi NITROSYLON 5mg 15 Sistemi NITROSYLON 10mg 15 Sistemi NITROSYLON 15mg 15 Sistemi TOP NITRO 5mg 15 Cerotti TOP NITRO-10mg 15 Cerotti TOP NITRO-15mg 10 Cerotti TRINIPLAS 5mg 15 Sistemi TRINIPLAS 10mg 15 Sistemi TRINIPLAS 15mg 15 Sistemi VENITRIN-T 5mg 15 Sistemi VENITRIN-T 10mg 15 Sistemi VENITRIN-T 15mg 15 Sistemi Pr. Pubbl. Classe SSN 7,10 8,00 11,23 8,19 9,37 14,00 8,11 9,14 12,83 8,19 9,37 9,32 8,11 9,14 12,83 8,11 9,14 12,83 A A A A A A A A A A A A A A A A A A 1,45 4,90 4,96 2,07 4,96 A A A A A RR RR RR RR RR 13,69 4,07 4,74 8,40 5,12 8,69 2,37 3,56 3,56 3,56 3,56 4,15 4,15 4,15 4,15 4,15 7,20 7,20 7,20 7,15 7,15 7,15 7,15 7,76 4,74 8,13 3,56 4,15 7,20 17,24 4,07 4,74 8,13 8,23 A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR 1,51 12,89 2,05 16,60 A A A A RR RR RR RR 3,31 3,31 A A 10,50 A Nota CUF Modal. Dispens. RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR Quota Assistito Sconto SSN Minsan 0,28 0,32 0,48 0,28 0,31 0,44 0,28 0,32 0,32 0,28 0,31 0,44 0,28 0,31 0,44 034867046 034867059 034867061 025193018 025193020 025193032 029029016 029029028 029029030 028564021 028564045 028564058 029030044 029030057 029030069 018128037 018128049 018128052 0,05 0,17 0,17 0,07 0,17 018269050 018269035 026887063 020925018 020925032 6,54 0,51 0,59 1,20 1,56 4,54 0,47 0,14 0,16 0,29 0,17 0,30 0,59 0,98 0,16 0,28 0,51 0,59 0,98 1,03 0,59 0,14 0,16 0,28 0,28 026760013 026888014 026888026 026888038 025764010 025764022 033460015 032025013 029558020 033689011 033684010 032025025 029558032 033689023 033684022 033460027 032025049 031829017 029558018 032025037 029558044 033689035 033684034 029312016 029312028 029312030 025623051 025623012 025623024 025623048 025200015 025200027 025200041 025200039 0,07 0,57 032898037 032898025 020465011 023993049 RR RR 0,11 0,11 028721052 028262020 RR 0,36 024016026 1,09 1,37 2,77 1,01 1,14 1,60 1,09 1,37 1,16 1,01 1,14 1,60 1,01 1,14 1,60 I Anagrafica Prodotto G U A C atc : C01DA14 ISOSORBIDE MONONITRATO DURONITRIN 60mg 30 Cpr Ril.C. ELAN 20mg 50 Cpr ELAN 40mg 30 Cpr ELAN Retard 30 Cps 50mg ISMO-20 50 Cpr 20mg ISMO-DIFFUTAB 30 Cpr ISOSORBIDE Mon.20mg 30Cps TEVA ISOSORBIDE Mon.20mg 50Cpr DOC ISOSORBIDE Mon.20mg 50Cpr EG ISOSORBIDE Mon.20mg 50Cpr RAT ISOSORBIDE Mon.20mg 50Cpr SAND ISOSORBIDE Mon.40mg 30Cpr DOC ISOSORBIDE Mon.40mg 30Cpr EG ISOSORBIDE Mon.40mg 30Cpr RAT ISOSORBIDE Mon.40mg 30Cpr SAND ISOSORBIDE Mon.40mg 30Cps TEVA ISOSORBIDE Mon.50mg 30Cps DOC ISOSORBIDE Mon.50mg 30Cps DRM ISOSORBIDE Mon.50mg 30Cps EG ISOSORBIDE Mon.60mg 30Cpr DOC ISOSORBIDE Mon.60mg 30Cpr EG ISOSORBIDE Mon.60mg 30Cpr RAT ISOSORBIDE Mon.60mg 30Cpr SAND LEICESTER 20 Ret.50 Cps 20mg LEICESTER 40 Ret.30 Cps 40mg LEICESTER 60 Ret.30 Cps 60mg MONOCINQUE 20mg 50 Cpr MONOCINQUE 40mg 30 Cpr MONOCINQUE RETARD 30 Cps 50mg MONOCINQUE RETARD 30 Cps 80mg MONOKET 20mg 50 Cpr MONOKET 40mg 30 Cpr MONOKET MULTITAB 30 Cpr 60mg MONOKET RETARD 30 Cps 50mg C atc : C01DA08 ISOSORBIDE DINITRATO CARVASIN 50 Cpr Subl.5mg CARVASIN Cpr 40mg DINIKET RETARD 40 Cpr 40mg NITROSORBIDE 50 Cpr NITROSORBIDE-RET.40 Cps 40mg Diuretici iniettabili atc : C03CA01 FUROSEMIDE FUROSEMIDE 20mg 5f.HEXAL FUROSEMIDE 250mg 5f.HEXAL LASIX 5 Fiale 20mg 2ml LASIX 5 Fiale 250mg ev 0,54 3,71 atc : C03CA04 TORASEMIDE DIUREMID 10mg 5 Fiale DIURESIX 5f.iv 2ml Beta-Bloccanti iniettabili atc : C07AB03 ATENOLOLO TENORMIN 5mg 10F IV 10ml Calcioantagonisti iniettabili Parte 'A' : Farmaci a carico del S.S.N. per prestazioni indispensabili in assistenza indiretta Pag. 4 Elenco ordinato per Patologia ed ATC Aggiornato al 07/09/2010 Anagrafica Prodotto Pr. Pubbl. Classe SSN 3,20 A 11,35 A Nota CUF Modal. Dispens. Quota Assistito Sconto SSN Minsan RR 0,11 020609071 RR 0,39 025271026 atc : C08DA01 VERAPAMIL ISOPTIN 5 Fiale 2ml atc : C08DB01 DILTIAZEM ALTIAZEM 50MG IM-IV 5+5 Fiale SISTEMA GENITO-URINARIO ED ORMONI SESSUALI (solo uso parenterale) ¾ atc : G02AB01 METILERGOMETRINA METHERGIN 6f.1ml 2,94 A RR 3,47 A RNR 0,12 024043034 3,77 2,63 A A RNR RNR 0,13 0,09 024542019 005375062 4,98 A RNR 0,17 005239052 RR RR RR 0,23 0,18 0,50 003763238 003763190 033717024 004225025 atc : G02CA01 RITODRINA MIOLENE 3f.5ml/50mg atc : G03DA03 IDROSSIPROGESTERONE LENTOGEST 1 Fiala 341mg PROLUTON 250mg IM 1 Fiala 1ml I atc : G03DA04 PROGESTERONE PRONTOGEST 3f.100mg atc : G03GA01 GONADOTROPINA CORIONICA 6,85 5,16 14,69 A A A 16,78 A atc : G03HA01 CIPROTERONE ANDROCUR-DEPOT 1f.300mg C GONASI HP 2000 3 Fl.1ml GONASI HP 5000 1 Fl.1ml PREGNYL 5000 u.i.3 Fiale 1ml RNR 023090032 PREPARATI ORMONALI SISTEMICI (uso parenterale) ¾ atc : H02AB01 BETAMETASONE A A A A A RR RR RR RR RR 2,79 2,79 2,79 4,79 A A A A 6,51 7,93 4,96 17,77 35,54 77,20 0,13 0,11 0,17 0,16 019655315 019655152 034030015 019644032 019644057 RR RR RR RR 0,10 0,10 0,10 0,16 036304018 019247016 019499019 019499084 A A A A A A RR RR RR RR RR RR 0,22 0,27 0,17 0,61 1,94 6,32 017932029 015839095 023202043 023202056 023202068 023202070 5,83 9,84 A A RR RR 0,20 0,34 013972056 034262016 7,96 A RR 0,27 013986043 24,01 A RR 0,82 027489018 A atc : H02AB02 DESAMETASONE CAPITAL 3f.4mg/1ml MEGACORT 3f.1ml SOLDESAM 3f.1ml/4mg SOLDESAM Forte 3f.2ml/8mg 3,90 3,32 2,32 4,88 4,66 1,00 C BENTELAN 1,5mg 6f.2ml BENTELAN 4mg 3f.2ml BETAMETASONE 3 Fiale 4mg/1ml CELESTONE 5f.im ev 1ml CELESTONE-CRONODOSE 3f.1ml atc : H02AB04 METILPREDNISOLONE DEPOMEDROL 3 Fiale 1ml METILBETASONE 3f.im 80mg SOLUMEDROL 125mg F. SOLUMEDROL 500mg F. SOLUMEDROL 1000mg F. SOLUMEDROL 2000mg F. U atc : H02AB08 TRIAMCINOLONE KENACORT 3 Fl.1ml 40mg/ml TRIAMVIRGI 40mg/1ml 3flac. atc : H02AB09 IDROCORTISONE FLEBOCORTID 1g atc : H04AA01 GLUCAGONE GLUCAGEN HYPOKIT 1 Fl.1mg G atc : H05BA01 CALCITONINA (SINTETICA, DI SALMONE) CALCITONINA SANDOZ 5f.1ml 50ui CALCITONINA SANDOZ 5f.1ml100ui 9,45 19,21 A A 41 41 RR RR 023704214 023704202 55 55 55 55 55 55 55 55 55 55 55 55 RR RR RR RR RR RR RR RR RR RR RR RR 034613024 028595027 025671049 029221013 034391021 029221025 033690025 033324029 028735013 028735025 032935025 032799025 ANTIMICROBICI GENERALI SISTEMICI (uso parenterale) ¾ atc : J01CA12 PIPERACILLINA ECOSETTE 1 Fl.2g PERACIL Fl.2g PICILLIN Fl.2g PIPERACILLINA 1 Fl.1g DOROM PIPERACILLINA 1 Fl.2g DOC PIPERACILLINA 1 Fl.2g DOROM PIPERACILLINA 1 Fl.2g EG PIPERACILLINA 1 Fl.2g SANDOZ PIPERITAL Fl.1g PIPERITAL Fl.2g PIPERSAL 2g SEMIPENIL 1 Fl.2g 4,69 4,69 4,69 3,47 4,69 4,69 4,69 4,69 3,96 5,36 4,69 4,69 A A A A A A A A A A A A 3,25 4,20 A A RR RR 3,63 A RR 0,49 0,67 0,13 0,18 0,95 0,14 atc : J01DC02 CEFUROXIMA CEFURIN 1 Fl.1g CUROXIM Fl.1g 024330045 023576046 atc : J01DC03 CEFAMANDOLO CEFAM Fl.1g atc : J01DC06 CEFONICID 024294011 Parte 'A' : Farmaci a carico del S.S.N. per prestazioni indispensabili in assistenza indiretta Pag. 5 Elenco ordinato per Patologia ed ATC Aggiornato al 07/09/2010 Anagrafica Prodotto CEFODIE 1g 1 Fl+Solv. CEFODIE Bb Fl.0,5 + Solv. CEFONICID 1 Fl.1g GERMED CEFONICID 1 Fl.1g im DOC CEFONICID 1 Fl.1g im EG CEFONICID 1 Fl.1g im MERCK CEFONICID 1 Fl.1g im RATIOPHAR CEFONICID 1 Fl.1g im TEVA CEFOPLUS 1 Fl.1g CEFOPLUS 1 Fl.500mg CHEFIR im Fl.1g DAYCEF 1g 1 Fl. EMIDOXIN 1 Fl.1g MODIEM Fl.1g im Pr. Pubbl. Classe SSN 2,80 4,20 2,28 2,28 2,28 2,28 2,28 2,28 2,28 2,53 3,75 2,45 2,28 2,45 A A A A A A A A A A A A A A 4,82 4,82 4,85 4,85 4,82 4,82 4,82 4,82 4,82 4,82 4,82 4,82 4,82 4,82 4,82 4,85 4,82 4,82 4,82 4,82 4,82 4,82 4,85 4,85 1,84 2,95 4,82 A A A A A A A A A A A A A A A A A A A A A A A A A A A 4,25 5,33 3,47 4,36 A A A A 55 55 55 55 RR RR RR RR 7,93 7,93 4,40 7,93 7,93 7,93 7,93 7,93 A A A A A A A A 55 55 55 55 55 55 55 55 RR RR RR RR RR RR RR RR Nota CUF Sconto SSN Minsan RR RR RR RR RR RR RR RR RR RR RR RR RR RR 0,52 1,67 0,10 0,14 1,47 0,17 0,13 0,08 0,17 0,08 025418144 025418132 034655011 035012020 033576024 034805010 033733027 033051018 032161010 032161022 031832025 034456018 032162012 031826023 0,03 0,03 0,17 C C RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR A U AXIMAD 1 Fl.1g im BATIXIM 1 Fl.1g im CEFOMIT 1 Fl.1g CEFOTAXIMA 1g 1Fl.im ABC CEFOTAXIMA 1g 1Fl.im ACTAVIS CEFOTAXIMA 1g 1Fl.im AURO CEFOTAXIMA 1g 1Fl.im EG CEFOTAXIMA 1g 1Fl.im GERMED CEFOTAXIMA 1g 1Fl.im PENSA CEFOTAXIMA 1g 1Fl.im SANDOZ CEFOTAXIMA 1g 1Fl.im TEVA CEFOTAXIMA 1g 1Fl.im-ev SANDOZ CEFOTAXIMA 1g 1Fl.im/ev TEVA CEFOTAXIME 1g 1Fl.im IBI CEFOTAXIME 1g 1Fl.im MERCK CEFOTAXIME 1g 1Fl.im PIAM CEFOTAXIME 1g 1Fl.im/ev MERCK DELIUS 1 Fl.1g/4ml LIRGOSIN 1 Fl.1g/4ml REFOTAX 1 Fl.1g im SALOCEF 1g 1Fl.im LEVOFARMA SPECTROCEF 1g 1Fl.im ZARIVIZ Fl.1g im ZARIVIZ Fl.1g im/iv ZARIVIZ Fl.250mg ZARIVIZ Fl.500mg ZIMANEL 1 Fl.1g Quota Assistito I atc : J01DD01 CEFOTAXIMA Modal. Dispens. 0,03 0,03 0,03 0,17 0,17 0,78 0,97 0,14 0,18 035228028 035207024 035074020 035375029 035888027 035600028 035441017 035342017 035276043 035483015 035374040 035483027 035374038 035118013 034994044 035288048 034994032 035306012 035311012 034962050 035285042 035192020 024259044 024259032 024259018 024259020 034426015 Altri Aminoglicosidici atc : J01GB01 TOBRAMICINA NEBICINA 1 Fl.100mg NEBICINA 1 Fl.150mg TOBRAMICINA IBI 1 Fiala 100mg TOBRAMICINA IBI 1 Fiala 150mg 023189018 023189057 033973013 033973025 atc : J01GB06 AMIKACINA G AMIKAN 1 Fl.1000mg im CHEMACIN 1f.im-iv 1g LIKACIN Fl. 500mg LIKACIN Fl.1000mg LUKADIN 1f.1g/4ml MIGRACIN 1 Fl.1g 4ml im/ev MIKAN Fl.1g NEKACIN 1 Fl. 1000mg 027484031 025513045 024475055 024475067 024527071 025568080 028423022 033190036 FARMACI ANTINEOPLASTICI E IMMUNOMODULATORI ¾ Analoghi della mostarda azotata atc : L01AA01 CICLOFOSFAMIDE ENDOXAN 50 Conf.50mg 10,36 A RNR 0,35 015628011 7,13 A RNR 0,24 024790026 5,23 A RNR 0,18 021250030 15,78 A RNR 0,54 024787018 atc : L01AA02 CLORAMBUCILE LEUKERAN 2mg 25 Cpr atc : L01AA03 MELFALAN ALKERAN 2mg 25 Cpr Riv. Alchilsolfonati atc : L01AB01 BUSULFANO MYLERAN 100 Cpr Altre sostanze alchilanti atc : L01AX02 PIPOBROMANO Parte 'A' : Farmaci a carico del S.S.N. per prestazioni indispensabili in assistenza indiretta Pag. 6 Elenco ordinato per Patologia ed ATC Aggiornato al 07/09/2010 Anagrafica Prodotto Pr. Pubbl. Classe SSN 2,53 A 4,99 38,47 56,12 74,24 29,75 18,65 28,26 36,55 53,31 70,53 A A A A A A A A A A 15,98 A 51,29 A 190,21 191,63 A A 55,10 108,10 VERCITE 30 Cpr 25mg Nota CUF Modal. Dispens. Quota Assistito Sconto SSN Minsan RNR 0,09 021992021 RNR RNR RNR RNR RNR RNR RNR RNR RNR RNR 0,17 2,10 4,59 6,07 1,62 019888015 019888128 019888130 019888142 019888116 028493017 039153022 039153123 039153224 039153325 Antimetaboliti/Analoghi dell'Acido Folico atc : L01BA01 METOTREXATO METHOTREXATE 2,5mg 25 Cpr METHOTREXATE 10mg In.P/Uso METHOTREXATE 15mg In.P/Uso METHOTREXATE 20mg In.P/Uso METHOTREXATE 7,5mg In.P/Uso METOTREXATO 5mg 5 F.2ml MAYNE REUMAFLEX 4 Sir. 7,5mg/0,15ml REUMAFLEX 4 Sir.10mg/0,20ml REUMAFLEX 4 Sir.15mg/0,30ml REUMAFLEX 4 Sir.20mg/0,40ml 1,54 1,99 4,36 5,77 Analoghi della Purina RNR 0,54 010344012 RNR 2,80 022825018 C I atc : L01BB02 MERCAPTOPURINA PURINETHOL 25 Cpr RNR RNR 32,85 33,10 024639041 024639039 A A RNR RNR 4,51 12,28 027441031 027441043 5,94 A RNR 0,20 021510019 66,03 A RNR 5,40 024397010 atc : L01BB03 TIOGUANINA TIOGUANINA 25 Cpr 40mg Derivati della Podofillotossina atc : L01CB01 ETOPOSIDE VEPESID 10 Cps 100mg VEPESID 20 Cps 50mg Antibiotici Citotossici Altri antineoplastici atc : L01XX05 IDROXICARBAMIDE ONCOCARBIDE 20 Cps atc : L01XX11 ESTRAMUSTINA C atc : L01DB06 IDARUBICINA ZAVEDOS 1 Cps 5mg ZAVEDOS 1 Cps 10mg Progestinici A ESTRACYT 40 Cps atc : L02AB01 MEGESTROLO MEGACE 30 Cpr 160mg MEGESTIL 30 Cpr 160mg MEGESTROLO 160mg 30 Cpr PHT 58,44 58,44 58,44 A A A 28 28 28 RNR RNR RNR 4,99 8,71 14,21 97,93 93,59 14,21 50,25 A A A A A A A 28 28 28 28 28 28 28 RNR RNR RNR RNR RNR RNR RNR 027597020 027574019 034104012 atc : L02AB02 MEDROSSIPROGESTERONE U DEPOPROVERA 1ml 150mg DEPOPROVERA 3,4ml 500mg DEPOPROVERA 6,7ml 1000mg FARLUTAL 500mg 30 Cpr FARLUTAL 1000mg 15 Fl.Os FARLUTAL-DEPOT i.m.1000mg PROVERA 30 Cpr 250mg 0,17 0,30 0,48 8,01 7,66 0,48 2,74 020329064 020329076 020329088 015148125 015148149 015148099 020328151 1,95 0,29 1,03 1,95 0,26 0,29 027433010 027433022 023362039 023362041 033869013 033869025 034790016 034790028 033688019 035058015 035058027 033688021 033617022 Antagonisti ormonali e sostanze correlate atc : L02BA01 TAMOXIFENE G KESSAR 30 Cpr 10mg KESSAR 30 Cpr 20mg NOLVADEX 30 Cpr 10mg NOLVADEX D-20 20 Cpr 20mg NOMAFEN 10mg 30 Cpr Riv. NOMAFEN 20mg 20 Cpr Riv. TAMOXENE 10mg 30 Cpr TAMOXENE 20mg 20 Cpr TAMOXIFENE 10mg 30 Cpr EG TAMOXIFENE 10mg 30 Cpr TAD TAMOXIFENE 20mg 20 Cpr AURO TAMOXIFENE 20mg 20 Cpr EG TAMOXIFENE 20mg 20 Cpr RATIOPH 8,41 14,52 7,49 8,64 6,46 6,69 6,46 6,69 6,46 6,46 6,69 6,69 6,69 A A A A A A A A A A A A A RR RR RR RR RR RR RR RR RR RR RR RR RR 30,82 A RR 23,47 18,17 14,38 18,17 18,17 18,17 A A A A A A RR RR RR RR RR RR atc : L02BA02 TOREMIFENE FARESTON 30 Cpr 60mg 1,68 029914013 0,80 026026017 034472011 034707012 034464014 033929011 035031032 Antiandrogeni atc : L02BB01 FLUTAMIDE EULEXIN 30 Cpr 250mg FLUPROST 250mg 30 Cpr FLUTAMIDE 250mg 21 Cpr EG FLUTAMIDE 250mg 30 Cpr AURO FLUTAMIDE 250mg 30 Cpr HEXAL FLUTAMIDE 250mg 30 Cpr MERCK 5,30 Parte 'A' : Farmaci a carico del S.S.N. per prestazioni indispensabili in assistenza indiretta Pag. 7 Elenco ordinato per Patologia ed ATC Aggiornato al 07/09/2010 Anagrafica Prodotto FLUTAMIDE 250mg 30 Cpr TEVA FLUTAMIDE 250mg 30Cpr FIDIA RICALIDE 250mg 30 Cpr Pr. Pubbl. Classe SSN 18,17 18,17 18,17 A A A RR RR RR 034649018 034038012 034021016 49,72 49,72 49,72 49,72 87,89 87,89 210,80 210,80 210,80 259,72 49,72 210,80 53,00 215,00 50,00 212,00 A A A A A A A A A A A A A A A A RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR 4,34 37,13 2,73 36,61 037791062 038399010 038534044 038586018 037724022 038352023 038534160 038803019 037812219 038352124 038959060 038959247 031113018 031113020 038530010 038530034 157,44 A RR 27,19 031809015 173,86 A RR 30,03 033242013 175,13 A RR 30,25 034678033 58,17 111,80 131,20 142,27 202,05 22,59 56,48 109,50 122,98 201,09 A A A A A A A A A A RNR RNR RNR RNR RNR RNR RNR RNR RNR RNR 4,76 12,70 14,91 16,17 34,90 0,77 4,62 12,44 13,97 34,73 025306034 025306046 025306059 025306022 025306010 029453053 029453014 029453026 029453038 029453040 A A A RR RNR RNR 1,84 0,50 037534017 036292050 020957039 7,90 5,17 7,90 5,17 026372033 035129030 034294037 026510038 0,17 0,31 0,59 0,78 0,29 0,16 0,64 0,64 0,64 029611047 030798033 029611023 030798019 029611050 030798045 029611035 030798021 025624014 025624026 025624038 025624040 031507104 031507015 031507039 031507041 031507054 Nota CUF Modal. Dispens. Quota Assistito Sconto SSN Minsan atc : L02BB03 BICALUTAMIDE Inibitori enzimatici atc : L02BG03 ANASTROZOLO ARIMIDEX 28 Cpr 1mg atc : L02BG04 LETROZOLO FEMARA 30 Cpr 2,5mg 38,17 38,17 I 48,92 3,28 4,20 0,28 1,20 C BICALUTAMIDE 50mg 28 Cpr ACT. BICALUTAMIDE 50mg 28 Cpr CRN BICALUTAMIDE 50mg 28 Cpr DOC BICALUTAMIDE 50mg 28 Cpr RANB BICALUTAMIDE 50mg 28 Cpr SDZ BICALUTAMIDE 50mg 28 Cpr TEVA BICALUTAMIDE 150mg 28 Cpr DOC BICALUTAMIDE 150mg 28 Cpr RANB BICALUTAMIDE 150mg 28 Cpr RAT BICALUTAMIDE 150mg 28 Cpr TEVA BIKADER 50mg 28 Cpr BIKADER 150mg 28 Cpr CASODEX 50mg 28 Cpr CASODEX 150mg 28 Cpr Riv. LUTAMID 50mg 28 Cpr LUTAMID 150mg 28 Cpr AROMASIN 25mg 30 Cpr Immunosoppressori A atc : L04AD01 CICLOSPORINA SANDIMMUN Cps 25mg SANDIMMUN Cps 50mg SANDIMMUN Cps 100mg SANDIMMUN Fiale iv 5ml 50mg SANDIMMUN Fl.Orale 50ml 100mg SANDIMMUN NEORAL 50 Cps 10mg SANDIMMUN NEORAL 50 Cps 25mg SANDIMMUN NEORAL 50 Cps 50mg SANDIMMUN NEORAL 30 Cps 100mg SANDIMMUN NEORAL Soluz.Fl.50ml C atc : L02BG06 EXEMESTANE Altre sostanze ad azione immunosoppressiva U atc : L04AX01 AZATIOPRINA AZAFOR 50mg 50 Cpr AZATIOPRINA 50mg 50 Cpr HEXAL AZATIOPRINA 50mg Cpr Riv.WELL. 12,89 12,89 14,73 SISTEMA MUSCOLO SCHELETRICO (solo uso parenterale) ¾ atc : M05BA02 ACIDO CLODRONICO G CLASTEON 6 Fiale 300mg CLODRONATO 6 Fiale 300mg ABC CLODY 300mg 6 Fiale ev 10ml DIFOSFONAL 6 Fiale 300mg 63,18 55,28 55,28 63,18 A A A A 1,60 1,60 3,46 4,75 1,65 1,65 4,90 6,85 4,96 9,23 17,17 22,85 8,44 4,75 18,71 18,71 18,71 A A A A A A A A A A A A A A A A A 42 42 42 42 RR RR RR RR SISTEMA NERVOSO ¾ Analgesici atc : N02AA01 MORFINA MORFINA 10mg x 1 Fiala MOLTENI MORFINA 10mg x 1 Fiala MONICO MORFINA 10mg x 5 Fiale MOLTENI MORFINA 10mg x 5 Fiale MONICO MORFINA 20mg x 1 Fiala MOLTENI MORFINA 20mg x 1 Fiala MONICO MORFINA 20mg x 5 Fiale MOLTENI MORFINA 20mg x 5 Fiale MONICO MS CONTIN 10mg 16 Discoidi MS CONTIN 30mg 16 Discoidi MS CONTIN 60mg 16 Discoidi MS CONTIN 100mg 16 Discoidi ORAMORPH 20mg/ml Sol.Or. 20ml ORAMORPH 2mg/ml Scir. 100ml ORAMORPH Os 20Fl.1D 5ml 10mg ORAMORPH Os 20Fl.1D 5ml 30mg ORAMORPH Os 20Fl.1D 5ml 100mg RM6 RM6 RM6 RM6 RM6 RM6 RM6 RM6 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 Parte 'A' : Farmaci a carico del S.S.N. per prestazioni indispensabili in assistenza indiretta Pag. 8 Elenco ordinato per Patologia ed ATC Aggiornato al 07/09/2010 Anagrafica Prodotto Pr. Pubbl. Classe SSN 4,96 8,96 16,57 A A A 85,05 85,05 85,05 85,05 85,05 85,05 29,04 141,43 29,04 141,43 29,04 141,43 29,04 141,43 29,04 141,43 29,04 141,43 45,57 14,71 26,82 37,10 38,72 38,72 38,72 38,72 38,72 44,75 44,75 44,75 44,75 13,89 13,89 13,89 26,01 26,01 26,01 36,29 36,29 36,29 36,29 5,37 13,89 26,01 36,29 44,75 A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A 3,98 3,62 7,21 26,01 38,52 47,95 TWICE 10mg 16 Cps R.P. TWICE 30mg 16 Cps R.P. TWICE 60mg 16 Cps R.P. Modal. Dispens. Quota Assistito Sconto SSN Minsan RNR3 RNR3 RNR3 0,17 0,31 0,56 033484015 033484027 033484039 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR RNR3 RNR RNR3 RNR RNR3 RNR RNR3 RNR RNR3 RNR RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 6,96 6,96 6,96 6,96 6,96 6,96 1,58 16,07 1,58 16,07 1,58 16,07 1,58 16,07 1,58 16,07 1,58 16,07 2,49 0,50 1,46 2,02 2,11 2,11 2,11 2,11 2,11 0,18 0,47 1,42 1,98 2,44 038736031 038736056 038736070 038736094 038736118 038736132 035399017 035399031 035399056 035399070 035399094 035399118 035399132 035399157 035399171 035399195 035399219 035399233 029212089 029212053 029212065 029212077 038660015 038660039 038660054 038660078 038660092 036730188 037563133 036750192 037609132 036730012 037563018 037609017 036730075 037563057 037609056 036730240 037563095 036750139 037609094 037405026 037405077 037405127 037405178 037405228 A RNR2 0,14 021410030 A A A A A RM6 RM6 RNR RNR RNR 0,12 0,25 1,42 2,10 2,62 025215029 025215017 035568017 035568043 035568070 Nota CUF Derivati del Fenilpiperidina G U A C C DMG DMG DMG DMG DMG DMG DMG DMG DMG DMG DMG DMG I atc : N02AB03 FENTANIL ABSTRAL 100mcg 10 Cpr Subl. ABSTRAL 200mcg 10 Cpr Subl. ABSTRAL 300mcg 10 Cpr Subl. ABSTRAL 400mcg 10 Cpr Subl. ABSTRAL 600mcg 10 Cpr Subl. ABSTRAL 800mcg 10 Cpr Subl. ACTIQ 200mcg 3 Past.Orosol. ACTIQ 200mcg 15 Past.Orosol. ACTIQ 400mcg 3 Past.Orosol. ACTIQ 400mcg 15 Past.Orosol. ACTIQ 600mcg 3 Past.Orosol. ACTIQ 600mcg 15 Past.Orosol. ACTIQ 800mcg 3 Past.Orosol. ACTIQ 800mcg 15 Past.Orosol. ACTIQ 1200mcg 3 Past.Orosol. ACTIQ 1200mcg 15 Past.Orosol. ACTIQ 1600mcg 3 Past.Orosol. ACTIQ 1600mcg 15 Past.Orosol. DUROGESIC 100mcg/ora3 Cerotti DUROGESIC 25mcg/ora 3 Cerotti DUROGESIC 50mcg/ora 3 Cerotti DUROGESIC 75mcg/ora 3 Cerotti EFFENTORA 100mcg 4 Cpr EFFENTORA 200mcg 4 Cpr EFFENTORA 400mcg 4 Cpr EFFENTORA 600mcg 4 Cpr EFFENTORA 800mcg 4 Cpr FENTANIL 100 mcg/h 3Cer.HEXAL FENTANIL 100 mcg/h 3Cer.RATIO FENTANIL 100mcg/h 3Cer.SANDOZ FENTANIL 100mcg/h 3Cer.WINTH. FENTANIL 25mcg/h 3 Cer.HEXAL FENTANIL 25mcg/h 3 Cer.RATIO FENTANIL 25mcg/h 3 Cer.WINTH. FENTANIL 50mcg/h 3 Cer.HEXAL FENTANIL 50mcg/h 3 Cer.RATIO FENTANIL 50mcg/h 3 Cer.WINTH. FENTANIL 75mcg/h 3 Cer.HEXAL FENTANIL 75mcg/h 3 Cer.RATIO FENTANIL 75mcg/h 3 Cer.SANDOZ FENTANIL 75mcg/h 3 Cer.WINTH. MATRIFEN 12mcg/ora 3 Cerotti MATRIFEN 25mcg/ora 3 Cerotti MATRIFEN 50mcg/ora 3 Cerotti MATRIFEN 75mcg/ora 3 Cerotti MATRIFEN 100mcg/ora 3 Cerotti Derivati del Benzamorfano atc : N02AD01 PENTAZOCINA TALWIN 5 Fiale 1ml 30mg derivati dell'Oripavina atc : N02AE01 BUPRENORFINA TEMGESIC 10 Cpr 0,2mg TEMGESIC 5 Fiale TRANSTEC 35mcg/h 3 Cer.20mg TRANSTEC 52,5mcg/h 3 Cer.30mg TRANSTEC 70mcg/h 3 Cer.40mg DMG DMG DMG Oppioidi in associazione con antispastici atc : N02AG01 MORFINA ED ANTISPASTICI CARDIOSTENOL Fiale x 8 3,72 A RM6 0,13 005167010 1,50 1,50 1,55 1,60 4,81 A A A A A RNR2 RNR2 RNR2 RNR2 RNR2 0,05 0,05 0,05 0,05 0,16 004556027 004556015 002860043 002860031 002860017 Antiepilettici - Barbiturici e derivati atc : N03AA02 FENOBARBITAL GARDENALE 50mg 30 Compresse GARDENALE 100mg 20 Compresse LUMINALE 15mg 30 Cpr LUMINALE 100mg 20 Cpr LUMINALE 200mg 10f.im Parte 'A' : Farmaci a carico del S.S.N. per prestazioni indispensabili in assistenza indiretta Pag. 9 Elenco ordinato per Patologia ed ATC Aggiornato al 07/09/2010 Anagrafica Prodotto Pr. Pubbl. Classe SSN 1,86 A 5,46 5,46 Modal. Dispens. Quota Assistito Sconto SSN Minsan RR 0,06 002129017 A A RR RR 0,19 0,19 700001112 018930038 1,08 1,45 1,81 A A A RR1 RR1 RR1 0,04 0,05 0,06 023159054 023159066 023159039 3,47 3,47 4,56 4,68 5,85 5,95 4,09 6,47 A A A A A A A A RR RR RR RR RR RR RR RR 0,16 0,20 033878012 034865028 033878024 020602013 020602025 020602037 020602049 020602052 15,18 29,21 A A RR RR 0,52 1,59 028304018 028304020 5,04 8,17 5,04 8,17 4,95 5,96 11,91 16,38 20,85 4,15 7,89 7,76 12,57 4,60 4,60 8,35 5,80 8,17 A A A A A A A A A A A A A A A A A A RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR 4,88 A RR 0,17 023105036 35,11 35,11 A A RR RR 1,91 1,91 027443047 027443011 8,58 8,88 30,29 52,95 91,23 7,88 7,88 7,88 28,29 28,29 28,29 28,29 50,95 50,95 50,95 50,95 89,23 89,23 89,23 A A A A A A A A A A A A A A A A A A A RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR 0,29 0,30 1,65 4,33 7,46 027807066 027807054 027807080 027807078 027807092 036821371 036780373 036486025 036821635 036780637 036486037 037721216 036821852 036780854 036486049 037721293 036821991 036780993 036486052 5,78 18,27 12,09 5,78 5,78 A A A A A Nota CUF atc : N03AB02 FENITOINA DINTOINA 30 Cpr atc : N03AD01 ETOSUCCIMIDE PETINIMID 250mg 100 Cps ZARONTIN Sciroppo 200ml atc : N03AE01 CLONAZEPAM RIVOTRIL 0,5mg 20 Cpr RIVOTRIL 2mg 20 Cpr RIVOTRIL Gocce 10ml atc : N03AF01 CARBAMAZEPINA 1,21 1,29 I CARBAMAZEPINA 200mg 50 Cpr EG CARBAMAZEPINA 200mg 50cprTEVA CARBAMAZEPINA 400mg 30 Cpr EG TEGRETOL 200mg 50 Cpr TEGRETOL 400mg 30 Cpr TEGRETOL Scir.250ml TEGRETOL-CR 30 Cpr 200mg TEGRETOL-CR 30 Cpr 400mg A C atc : N03AG01 ACIDO VALPROICO ACIDO VAL+VAL.SOD.300mg Cpr EG ACIDO VAL+VAL.SOD.500mg Cpr EG ACIDO VALPR.300mg 30Cpr RP SDZ ACIDO VALPR.500mg 30Cpr RP SDZ DEPAKIN 30 Bust. 100mg R.M. DEPAKIN 30 Bust. 250mg R.M. DEPAKIN 30 Bust. 500mg R.M. DEPAKIN 30 Bust. 750mg R.M. DEPAKIN 30 Bust.1000mg R.M. DEPAKIN 40 Cpr 200mg DEPAKIN 40 Cpr 500mg DEPAKIN CHRONO 300mg 30Cpr RP DEPAKIN CHRONO 500mg 30Cpr RP DEPAKIN Gocce 40ml DEPAMAG 40 Cpr 200mg DEPAMAG 40 Cpr 500mg DEPAMAG Soluz.100ml 10% SODIO VALPROATO 500mg 30 Cpr C atc : N03AF02 OXCARBAZEPINA TOLEP 300 50 Cpr Div.300mg TOLEP 600 50 Cpr Div.600mg 0,17 0,20 0,41 0,56 0,71 0,26 0,43 0,16 0,28 0,20 038036087 038036240 036334011 036334023 022483147 022483162 022483186 022483200 022483224 022483248 022483251 022483109 022483111 022483034 027107010 027107022 027107034 033984055 U atc : N03AG02 VALPROMIDE DEPAMIDE 30 Cpr Gastror.300mg atc : N03AG04 VIGABATRIN SABRIL 50 Bust.500mg SABRIL 50 Cpr 500mg atc : N03AX09 LAMOTRIGINA G LAMICTAL-28 Cpr 5mg Disper. LAMICTAL-28 Cpr 25mg Disper. LAMICTAL-56 Cpr 50mg Disper. LAMICTAL-56 Cpr 100mg Disper. LAMICTAL-56 Cpr 200mg Disper. LAMOTRIGINA 25mg 28 Cpr DOC LAMOTRIGINA 25mg 28 Cpr EG LAMOTRIGINA 25mg 28 Cpr HEXAL LAMOTRIGINA 50mg 56 Cpr DOC LAMOTRIGINA 50mg 56 Cpr EG LAMOTRIGINA 50mg 56 Cpr HEXAL LAMOTRIGINA 50mg 56 Cpr TEVA LAMOTRIGINA 100mg 56 Cpr DOC LAMOTRIGINA 100mg 56 Cpr EG LAMOTRIGINA 100mg 56 Cpr HEXAL LAMOTRIGINA 100mg 56 Cpr TEVA LAMOTRIGINA 200mg 56 Cpr DOC LAMOTRIGINA 200mg 56 Cpr EG LAMOTRIGINA 200mg 56 Cpr HEXAL 1,00 2,00 2,00 2,00 atc : N03AX12 GABAPENTIN APENTIN 100mg 50 Cps APENTIN 300mg 50 Cps APENTIN 400mg 30 Cps GABAPENTIN 100mg 50Cps DOC GABAPENTIN 100mg 50Cps FIDIA 04 04 04 04 04 RR RR RR RR RR 035990011 035990023 035990035 035944014 035975010 Parte 'A' : Farmaci a carico del S.S.N. per prestazioni indispensabili in assistenza indiretta Pag. 10 Elenco ordinato per Patologia ed ATC Aggiornato al 07/09/2010 Classe SSN Nota CUF Modal. Dispens. 5,78 5,78 5,78 5,78 5,78 5,78 5,78 18,27 18,27 18,27 18,27 18,27 18,27 18,27 18,27 18,27 18,27 18,27 18,27 18,27 18,27 18,27 12,09 12,09 12,09 12,09 12,09 12,09 12,09 12,09 12,09 12,09 12,09 12,09 12,09 12,09 5,78 18,27 12,09 12,01 37,98 25,14 A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR 2,94 A 4,03 Quota Assistito Sconto SSN U Minsan RR 0,10 016479040 A RNR 0,14 007899014 4,54 A RNR 0,15 022750020 3,56 9,66 12,70 2,12 A A A A RNR RNR RNR RNR 0,12 0,33 0,43 0,07 025373073 025333028 025333016 016805018 2,71 A RR ,97 A RM6 0,03 029610033 A RR 0,06 025474040 C I 0,41 2,07 0,86 038242032 036607048 036698037 038346021 038547055 036001030 036777047 036519027 036180026 036574022 035944026 036131023 035975022 038242107 036607125 036410025 038346060 036698189 036231025 038547143 036001170 036777213 036180038 035944038 036131035 035975034 038242184 036607190 036410037 038346159 036698468 036231037 038547232 036001434 036777365 036574034 036663019 036663021 036663033 028740013 028740025 028740037 A GABAPENTIN 100mg 50Cps HEXAL GABAPENTIN 100mg 50Cps MERCK GABAPENTIN 100mg 50Cps RATIOPH GABAPENTIN 100mg 50Cps RK GABAPENTIN 100mg 50Cps SANDOZ GABAPENTIN 100mg 50Cps TEVA GABAPENTIN 100mg 50Cps WINTH. GABAPENTIN 300mg 50Cps ABC GABAPENTIN 300mg 50Cps ACTAVIS GABAPENTIN 300mg 50Cps ALTER GABAPENTIN 300mg 50Cps DOC GABAPENTIN 300mg 50Cps EG GABAPENTIN 300mg 50Cps FIDIA GABAPENTIN 300mg 50Cps HEXAL GABAPENTIN 300mg 50Cps MERCK GABAPENTIN 300mg 50Cps PLIVA GABAPENTIN 300mg 50Cps RANBAXY GABAPENTIN 300mg 50Cps RATIOPH GABAPENTIN 300mg 50Cps RK GABAPENTIN 300mg 50Cps SANDOZ GABAPENTIN 300mg 50Cps TEVA GABAPENTIN 300mg 50Cps WINTH. GABAPENTIN 400mg 30Cps ACTAVIS GABAPENTIN 400mg 30Cps DOC GABAPENTIN 400mg 30Cps EG GABAPENTIN 400mg 30Cps FIDIA GABAPENTIN 400mg 30Cps HEXAL GABAPENTIN 400mg 30Cps MERCK GABAPENTIN 400mg 30Cps PLIVA GABAPENTIN 400mg 30Cps RANBAXY GABAPENTIN 400mg 30Cps RATIOPH GABAPENTIN 400mg 30Cps RK GABAPENTIN 400mg 30Cps SANDOZ GABAPENTIN 400mg 30Cps TEVA GABAPENTIN 400mg 30Cps WINTHR. GABAPENTIN 400mg 50Cps ALTER GABEXINE 100mg 50 Cps GABEXINE 300mg 50 Cps GABEXINE 400mg 30 Cps NEURONTIN-100 50 Cps 100mg NEURONTIN-300 50 Cps 300mg NEURONTIN-400 30 Cps 400mg Pr. Pubbl. C Anagrafica Prodotto 6,23 19,71 13,05 Antiparkisaniani (uso i.m.) atc : N04AA02 BIPERIDENE AKINETON Fiale 5mg 1ml Psicolettici (uso i.m.) atc : N05AA01 CLORPROMAZINA LARGACTIL 5 Fiale 2ml atc : N05AB02 FLUFENAZINA G MODITEN DEPOT 1 Fiala 25mg atc : N05AD01 ALOPERIDOLO HALDOL Iniett. 5f.1ml 5mg/ml HALDOL-DECANOAS 1 Fiala 3ml HALDOL-DECANOAS 3 Fiale 1ml SERENASE Fiale 2mg Psicoanalettici (uso i.m.) atc : N06AA04 CLOMIPRAMINA ANAFRANIL-5 Fiale 2ml 021643034 atc : N07BC02 METADONE METADONE HCL 20mg 1 Flac.20ml SISTEMA RESPIRATORIO (solo uso parenterale) ¾ atc : R03DA11 DOXOFILLINA ANSIMAR 3f.100mg/10ml ORGANI DI SENSO (solo uso parenterale) ¾ 1,75 Parte 'B' : Farmaci a carico del S.S.N. per prestazioni indispensabili in assistenza indiretta Pag. 11 Elenco in ordine alfabetico Aggiornato al 07/09/2010 A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A DMG DMG DMG DMG DMG DMG DMG DMG DMG DMG DMG DMG Modal. Quota Dispens. Assistito RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RR RR RR RR RNR RNR3 RNR RNR3 RNR RNR3 RNR RNR3 RNR RNR3 RNR RNR3 RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RNR RR RR RR RNR RR RR RR RR RR RR RR RR RNR RNR RR RR RR RR RR RR RR RR U G Codice ATC Descrizione ATC Minsan N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL 038736031 038736056 038736070 038736094 038736118 038736132 038036087 038036240 036334011 036334023 035399017 035399031 035399056 035399070 035399094 035399118 035399132 035399157 035399171 035399195 035399219 035399233 035936032 035932033 035932084 026068015 026068027 026068039 030780011 030650016 030780023 030650030 016479040 022515136 010317028 011544020 034611018 021111024 037566078 034611020 037566092 034611069 036504076 029251030 029251042 021250030 025271026 027484031 021643034 023090032 025474040 035990011 035990023 035990035 031809015 034678033 035228028 037534017 036292050 020957039 035207024 019655315 019655152 034030015 037791062 038399010 038534044 038586018 N02AB03 FENTANIL N03AG01 ACIDO VALPROICO N03AG01 ACIDO VALPROICO N03AG01 ACIDO VALPROICO N03AG01 ACIDO VALPROICO N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL I 85,05 85,05 85,05 85,05 85,05 85,05 5,04 8,17 5,04 8,17 29,04 141,43 29,04 141,43 29,04 141,43 29,04 141,43 29,04 141,43 29,04 141,43 14,72 14,72 33,42 7,17 8,20 12,25 2,62 1,02 3,81 1,26 2,94 54,33 43,49 43,49 43,49 43,49 86,98 89,09 54,38 53,29 53,29 43,48 54,38 5,23 11,35 7,93 2,71 16,78 1,75 5,78 18,27 12,09 157,44 175,13 4,82 12,89 12,89 14,73 4,82 3,90 3,32 2,32 49,72 49,72 49,72 49,72 Nota CUF N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL C Classe SSN 0,07 0,20 1,02 1,60 2,55 A ABSTRAL 100mcg 10 Cpr Subl. ABSTRAL 200mcg 10 Cpr Subl. ABSTRAL 300mcg 10 Cpr Subl. ABSTRAL 400mcg 10 Cpr Subl. ABSTRAL 600mcg 10 Cpr Subl. ABSTRAL 800mcg 10 Cpr Subl. ACIDO VAL+VAL.SOD.300mg Cpr EG ACIDO VAL+VAL.SOD.500mg Cpr EG ACIDO VALPR.300mg 30Cpr RP SDZ ACIDO VALPR.500mg 30Cpr RP SDZ ACTIQ 200mcg 3 Past.Orosol. ACTIQ 200mcg 15 Past.Orosol. ACTIQ 400mcg 3 Past.Orosol. ACTIQ 400mcg 15 Past.Orosol. ACTIQ 600mcg 3 Past.Orosol. ACTIQ 600mcg 15 Past.Orosol. ACTIQ 800mcg 3 Past.Orosol. ACTIQ 800mcg 15 Past.Orosol. ACTIQ 1200mcg 3 Past.Orosol. ACTIQ 1200mcg 15 Past.Orosol. ACTIQ 1600mcg 3 Past.Orosol. ACTIQ 1600mcg 15 Past.Orosol. ACTRAPHANE 30 100ui 10ml ACTRAPID 100UI/ml 10ml ACTRAPID NOVOLET 5 Cart.3ml ADESITRIN 5mg 15 Cerotti ADESITRIN 10mg 15 Cerotti ADESITRIN 15mg 15 Cerotti ADRENALINA 0,5mg 5F.1ml MONICO ADRENALINA 0,5mg 5F.1ml SALF ADRENALINA 1mg 5F.1ml MONICO ADRENALINA 1mg 5F.1ml SALF AKINETON Fiale 5mg 1ml ALBITAL 25% 50ml KEDRION ALBUMINA Um.20% 50ml BAXTER ALBUMINA Um.20% 50ml BEHRING ALBUMINA Um.20% 50ml GRIFOLS ALBUMINA Um.20% 50ml KEDRION ALBUMINA Um.20% 100ml BAXTER ALBUMINA Um.20% 100ml GRIFOLS ALBUMINA Um.25% 50ml BAXTER ALBUMINA Um.25% 50ml GRIFOLS ALBUREX 25% 1 Fl.50ml BEHRING ALBUTEIN 20% 50ml ALBUTEIN 25% 50ml ALKERAN 2mg 25 Cpr Riv. ALTIAZEM 50MG IM-IV 5+5 Fiale AMIKAN 1 Fl.1000mg im ANAFRANIL-5 Fiale 2ml ANDROCUR-DEPOT 1f.300mg ANSIMAR 3f.100mg/10ml APENTIN 100mg 50 Cps APENTIN 300mg 50 Cps APENTIN 400mg 30 Cps ARIMIDEX 28 Cpr 1mg AROMASIN 25mg 30 Cpr AXIMAD 1 Fl.1g im AZAFOR 50mg 50 Cpr AZATIOPRINA 50mg 50 Cpr HEXAL AZATIOPRINA 50mg Cpr Riv.WELL. BATIXIM 1 Fl.1g im BENTELAN 1,5mg 6f.2ml BENTELAN 4mg 3f.2ml BETAMETASONE 3 Fiale 4mg/1ml BICALUTAMIDE 50mg 28 Cpr ACT. BICALUTAMIDE 50mg 28 Cpr CRN BICALUTAMIDE 50mg 28 Cpr DOC BICALUTAMIDE 50mg 28 Cpr RANB Pr. Pubbl. N02AB03 FENTANIL A10AD01 INSULINA (UMANA) A10AB01 INSULINA (UMANA) A10AB01 INSULINA (UMANA) C Anagrafica Prodotto 15 15 15 15 15 15 15 15 15 15 15 15 55 04 04 04 1,84 1,00 C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA C01CA24 EPINEFRINA C01CA24 EPINEFRINA C01CA24 EPINEFRINA C01CA24 EPINEFRINA N04AA02 BIPERIDENE B05AA01 ALBUMINA B05AA01 ALBUMINA B05AA01 ALBUMINA B05AA01 ALBUMINA B05AA01 ALBUMINA B05AA01 ALBUMINA B05AA01 ALBUMINA B05AA01 ALBUMINA B05AA01 ALBUMINA B05AA01 ALBUMINA B05AA01 ALBUMINA B05AA01 ALBUMINA L01AA03 MELFALAN C08DB01 DILTIAZEM J01GB06 AMIKACINA N06AA04 CLOMIPRAMINA G03HA01 CIPROTERONE R03DA11 DOXOFILLINA N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN L02BG03 ANASTROZOLO L02BG06 EXEMESTANE J01DD01 CEFOTAXIMA L04AX01 AZATIOPRINA L04AX01 AZATIOPRINA L04AX01 AZATIOPRINA J01DD01 CEFOTAXIMA H02AB01 BETAMETASONE H02AB01 BETAMETASONE H02AB01 BETAMETASONE L02BB03 BICALUTAMIDE L02BB03 BICALUTAMIDE L02BB03 BICALUTAMIDE L02BB03 BICALUTAMIDE Parte 'B' : Farmaci a carico del S.S.N. per prestazioni indispensabili in assistenza indiretta Pag. 12 Elenco in ordine alfabetico Aggiornato al 07/09/2010 A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A Modal. Quota Dispens. Assistito Descrizione ATC Minsan L02BB03 BICALUTAMIDE L02BB03 BICALUTAMIDE L02BB03 BICALUTAMIDE L02BB03 BICALUTAMIDE L02BB03 BICALUTAMIDE L02BB03 BICALUTAMIDE L02BB03 BICALUTAMIDE 037724022 038352023 038534160 038803019 037812219 038352124 038959060 038959247 023704214 41 RR RR RR RR RR RR RR RR RR 41 RR H05BA01 RR RR RR RR RM6 RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR H02AB02 CALCITONINA (SINTETICA, DI SALMONE) CALCITONINA (SINTETICA, DI SALMONE) DESAMETASONE N03AF01 CARBAMAZEPINA N03AF01 CARBAMAZEPINA U G 38,17 38,17 Codice ATC 48,92 L02BB03 BICALUTAMIDE H05BA01 N03AF01 CARBAMAZEPINA N02AG01 MORFINA ED ANTISPASTICI C01DA08 ISOSORBIDE DINITRATO C01DA08 ISOSORBIDE DINITRATO L02BB03 BICALUTAMIDE 55 42 42 42 023704202 036304018 033878012 034865028 033878024 005167010 018269050 018269035 031113018 031113020 024294011 025418144 025418132 035074020 034655011 035012020 033576024 034805010 033733027 033051018 032161010 032161022 035375029 035888027 035600028 035441017 035342017 035276043 035483015 035374040 035483027 035374038 035118013 034994044 035288048 034994032 024330045 019644032 019644057 031832025 025513045 012627105 012627081 026372033 035129030 034294037 016366027 023576046 034456018 035306012 022483147 022483162 022483186 022483200 022483224 022483248 022483251 022483109 022483111 I 87,89 87,89 210,80 210,80 210,80 259,72 49,72 210,80 9,45 19,21 2,79 3,47 3,47 4,56 3,72 1,45 4,90 53,00 215,00 3,63 2,80 4,20 4,85 2,28 2,28 2,28 2,28 2,28 2,28 2,28 2,53 4,85 4,82 4,82 4,82 4,82 4,82 4,82 4,82 4,82 4,82 4,82 4,82 4,85 4,82 3,25 4,88 4,66 3,75 7,93 16,08 16,08 63,18 55,28 55,28 2,17 4,20 2,45 4,82 4,95 5,96 11,91 16,38 20,85 4,15 7,89 7,76 12,57 Nota CUF 3,28 4,20 C Classe SSN A BICALUTAMIDE 50mg 28 Cpr SDZ BICALUTAMIDE 50mg 28 Cpr TEVA BICALUTAMIDE 150mg 28 Cpr DOC BICALUTAMIDE 150mg 28 Cpr RANB BICALUTAMIDE 150mg 28 Cpr RAT BICALUTAMIDE 150mg 28 Cpr TEVA BIKADER 50mg 28 Cpr BIKADER 150mg 28 Cpr CALCITONINA SANDOZ 5f.1ml 50ui CALCITONINA SANDOZ 5f.1ml100ui CAPITAL 3f.4mg/1ml CARBAMAZEPINA 200mg 50 Cpr EG CARBAMAZEPINA 200mg 50cprTEVA CARBAMAZEPINA 400mg 30 Cpr EG CARDIOSTENOL Fiale x 8 CARVASIN 50 Cpr Subl.5mg CARVASIN Cpr 40mg CASODEX 50mg 28 Cpr CASODEX 150mg 28 Cpr Riv. CEFAM Fl.1g CEFODIE 1g 1 Fl+Solv. CEFODIE Bb Fl.0,5 + Solv. CEFOMIT 1 Fl.1g CEFONICID 1 Fl.1g GERMED CEFONICID 1 Fl.1g im DOC CEFONICID 1 Fl.1g im EG CEFONICID 1 Fl.1g im MERCK CEFONICID 1 Fl.1g im RATIOPHAR CEFONICID 1 Fl.1g im TEVA CEFOPLUS 1 Fl.1g CEFOPLUS 1 Fl.500mg CEFOTAXIMA 1g 1Fl.im ABC CEFOTAXIMA 1g 1Fl.im ACTAVIS CEFOTAXIMA 1g 1Fl.im AURO CEFOTAXIMA 1g 1Fl.im EG CEFOTAXIMA 1g 1Fl.im GERMED CEFOTAXIMA 1g 1Fl.im PENSA CEFOTAXIMA 1g 1Fl.im SANDOZ CEFOTAXIMA 1g 1Fl.im TEVA CEFOTAXIMA 1g 1Fl.im-ev SANDOZ CEFOTAXIMA 1g 1Fl.im/ev TEVA CEFOTAXIME 1g 1Fl.im IBI CEFOTAXIME 1g 1Fl.im MERCK CEFOTAXIME 1g 1Fl.im PIAM CEFOTAXIME 1g 1Fl.im/ev MERCK CEFURIN 1 Fl.1g CELESTONE 5f.im ev 1ml CELESTONE-CRONODOSE 3f.1ml CHEFIR im Fl.1g CHEMACIN 1f.im-iv 1g CLARISCO 5000ui 10 Fiale 0,2ml CLARISCO 5000ui 10 Fiale 1ml CLASTEON 6 Fiale 300mg CLODRONATO 6 Fiale 300mg ABC CLODY 300mg 6 Fiale ev 10ml COUMADIN 30 Cpr 5mg CUROXIM Fl.1g DAYCEF 1g 1 Fl. DELIUS 1 Fl.1g/4ml DEPAKIN 30 Bust. 100mg R.M. DEPAKIN 30 Bust. 250mg R.M. DEPAKIN 30 Bust. 500mg R.M. DEPAKIN 30 Bust. 750mg R.M. DEPAKIN 30 Bust.1000mg R.M. DEPAKIN 40 Cpr 200mg DEPAKIN 40 Cpr 500mg DEPAKIN CHRONO 300mg 30Cpr RP DEPAKIN CHRONO 500mg 30Cpr RP Pr. Pubbl. 0,52 1,67 0,03 L02BB03 BICALUTAMIDE J01DC03 CEFAMANDOLO J01DC06 CEFONICID J01DC06 CEFONICID J01DD01 CEFOTAXIMA J01DC06 CEFONICID J01DC06 CEFONICID C Anagrafica Prodotto 0,03 0,03 1,47 7,90 0,95 0,17 J01DC06 CEFONICID J01DC06 CEFONICID J01DC06 CEFONICID J01DC06 CEFONICID J01DC06 CEFONICID J01DC06 CEFONICID J01DD01 CEFOTAXIMA J01DD01 CEFOTAXIMA J01DD01 CEFOTAXIMA J01DD01 CEFOTAXIMA J01DD01 CEFOTAXIMA J01DD01 CEFOTAXIMA J01DD01 CEFOTAXIMA J01DD01 CEFOTAXIMA J01DD01 CEFOTAXIMA J01DD01 CEFOTAXIMA J01DD01 CEFOTAXIMA J01DD01 CEFOTAXIMA J01DD01 CEFOTAXIMA J01DD01 CEFOTAXIMA J01DC02 CEFUROXIMA H02AB01 BETAMETASONE H02AB01 BETAMETASONE J01DC06 CEFONICID J01GB06 AMIKACINA B01AB01 EPARINA B01AB01 EPARINA M05BA02 ACIDO CLODRONICO M05BA02 ACIDO CLODRONICO M05BA02 ACIDO CLODRONICO B01AA03 WARFARIN J01DC02 CEFUROXIMA J01DC06 CEFONICID J01DD01 CEFOTAXIMA N03AG01 ACIDO VALPROICO N03AG01 ACIDO VALPROICO N03AG01 ACIDO VALPROICO N03AG01 ACIDO VALPROICO N03AG01 ACIDO VALPROICO N03AG01 ACIDO VALPROICO N03AG01 ACIDO VALPROICO N03AG01 ACIDO VALPROICO N03AG01 ACIDO VALPROICO Parte 'B' : Farmaci a carico del S.S.N. per prestazioni indispensabili in assistenza indiretta Pag. 13 Elenco in ordine alfabetico Aggiornato al 07/09/2010 28 28 28 42 G RR RR RR RR RR RR RR RR RR RNR RNR RNR RR RR RR RR RR RR RR RR RNR3 RNR3 RNR3 RNR3 RR RR RR RR RR RR RNR3 RNR3 RNR3 RNR3 RNR3 RR RR RR RR RR RNR RR RR RR RR RR RR RR RR RNR RR RR RR RR RNR RNR RNR RR RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 RNR3 1,01 1,14 1,60 7,90 Codice ATC Descrizione ATC Minsan N03AG01 ACIDO VALPROICO N03AG01 ACIDO VALPROICO N03AG01 ACIDO VALPROICO N03AG01 ACIDO VALPROICO 022483034 027107010 027107022 027107034 023105036 017932029 026070019 026070021 026070033 020329064 020329076 020329088 034861017 034861031 034861056 026510038 026887063 002129017 028721052 028262020 029212089 029212053 029212065 029212077 026760013 027429113 027429149 024939136 024939148 034613024 038660015 038660039 038660054 038660078 038660092 026888014 026888026 026888038 032162012 028868026 015628011 034277020 033986023 006275010 029459017 033374048 034860015 034860039 034860054 024397010 014166033 014166045 026026017 029914013 015148125 015148149 015148099 033242013 036730188 037563133 036750192 037609132 036730012 037563018 037609017 036730075 037563057 037609056 N03AG02 VALPROMIDE H02AB04 METILPREDNISOLONE C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA L02AB02 MEDROSSIPROGESTERONE L02AB02 MEDROSSIPROGESTERONE L02AB02 MEDROSSIPROGESTERONE C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA I A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A Modal. Quota Dispens. Assistito C01DA02 NITROGLICERINA M05BA02 ACIDO CLODRONICO C01DA08 ISOSORBIDE DINITRATO N03AB02 FENITOINA C03CA04 TORASEMIDE C03CA04 TORASEMIDE N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL C 4,60 4,60 8,35 5,80 4,88 6,51 8,11 9,14 12,83 4,99 8,71 14,21 7,10 8,00 11,23 63,18 4,96 1,86 3,31 3,31 45,57 14,71 26,82 37,10 13,69 6,32 14,14 6,32 14,14 4,69 38,72 38,72 38,72 38,72 38,72 4,07 4,74 8,40 2,28 36,39 10,36 14,14 14,14 15,91 14,14 14,14 8,11 9,14 12,83 66,03 2,79 2,84 23,47 30,82 97,93 93,59 14,21 173,86 44,75 44,75 44,75 44,75 13,89 13,89 13,89 26,01 26,01 26,01 Nota CUF 6,54 N02AB03 FENTANIL C01DA14 ISOSORBIDE MONONITRATO C Classe SSN 55 U DEPAKIN Gocce 40ml DEPAMAG 40 Cpr 200mg DEPAMAG 40 Cpr 500mg DEPAMAG Soluz.100ml 10% DEPAMIDE 30 Cpr Gastror.300mg DEPOMEDROL 3 Fiale 1ml DEPONIT 5mg 15 Sistemi DEPONIT 10mg 15 Sistemi DEPONIT 15mg 15 Sistemi DEPOPROVERA 1ml 150mg DEPOPROVERA 3,4ml 500mg DEPOPROVERA 6,7ml 1000mg DERMATRANS 5mg 15 Cerotti DERMATRANS 10mg 15 Cerotti DERMATRANS 15mg 15 Cerotti DIFOSFONAL 6 Fiale 300mg DINIKET RETARD 40 Cpr 40mg DINTOINA 30 Cpr DIUREMID 10mg 5 Fiale DIURESIX 5f.iv 2ml DUROGESIC 100mcg/ora3 Cerotti DUROGESIC 25mcg/ora 3 Cerotti DUROGESIC 50mcg/ora 3 Cerotti DUROGESIC 75mcg/ora 3 Cerotti DURONITRIN 60mg 30 Cpr Ril.C. ECAFAST 10 Sir. 5000ui 0,2ml ECAFAST 10 Sir.12.500ui 0,5ml ECASOLV 10 Sir. 5000ui ECASOLV 10 Sir.12500ui ECOSETTE 1 Fl.2g EFFENTORA 100mcg 4 Cpr EFFENTORA 200mcg 4 Cpr EFFENTORA 400mcg 4 Cpr EFFENTORA 600mcg 4 Cpr EFFENTORA 800mcg 4 Cpr ELAN 20mg 50 Cpr ELAN 40mg 30 Cpr ELAN Retard 30 Cps 50mg EMIDOXIN 1 Fl.1g EMOKLAR 10f.0,5ml 12500UI ENDOXAN 50 Conf.50mg EPARINA CAL.10Sir.12500ui ACT. EPARINA CAL.10Sir.12500uiEG EPARINA SODICA 5000 ui VISTER EPARINLIDER 10 F.Sir.0,5ml EPARVEN 12500ui 0,5ml 10 Fiale EPINITRIL 5mg 15 Patch EPINITRIL 10mg 15 Patch EPINITRIL 15mg 15 Patch ESTRACYT 40 Cps EUDIGOX 40 Cps 0,100mg EUDIGOX 40 Cps 0,200mg EULEXIN 30 Cpr 250mg FARESTON 30 Cpr 60mg FARLUTAL 500mg 30 Cpr FARLUTAL 1000mg 15 Fl.Os FARLUTAL-DEPOT i.m.1000mg FEMARA 30 Cpr 2,5mg FENTANIL 100 mcg/h 3Cer.HEXAL FENTANIL 100 mcg/h 3Cer.RATIO FENTANIL 100mcg/h 3Cer.SANDOZ FENTANIL 100mcg/h 3Cer.WINTH. FENTANIL 25mcg/h 3 Cer.HEXAL FENTANIL 25mcg/h 3 Cer.RATIO FENTANIL 25mcg/h 3 Cer.WINTH. FENTANIL 50mcg/h 3 Cer.HEXAL FENTANIL 50mcg/h 3 Cer.RATIO FENTANIL 50mcg/h 3 Cer.WINTH. Pr. Pubbl. A Anagrafica Prodotto 28 28 28 0,51 0,59 1,20 22,25 1,01 1,14 1,60 5,30 B01AB01 EPARINA B01AB01 EPARINA B01AB01 EPARINA B01AB01 EPARINA J01CA12 PIPERACILLINA N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO J01DC06 CEFONICID B01AB01 EPARINA L01AA01 CICLOFOSFAMIDE B01AB01 EPARINA B01AB01 EPARINA B01AB01 EPARINA B01AB01 EPARINA B01AB01 EPARINA C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA L01XX11 ESTRAMUSTINA C01AA05 DIGOSSINA C01AA05 DIGOSSINA L02BB01 FLUTAMIDE L02BA02 TOREMIFENE L02AB02 MEDROSSIPROGESTERONE L02AB02 MEDROSSIPROGESTERONE L02AB02 MEDROSSIPROGESTERONE L02BG04 LETROZOLO N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL Parte 'B' : Farmaci a carico del S.S.N. per prestazioni indispensabili in assistenza indiretta Pag. 14 Elenco in ordine alfabetico Aggiornato al 07/09/2010 FENTANIL 75mcg/h 3 Cer.HEXAL FENTANIL 75mcg/h 3 Cer.RATIO FENTANIL 75mcg/h 3 Cer.SANDOZ FENTANIL 75mcg/h 3 Cer.WINTH. FISIOLOGICA EUROSPITAL 250ml FISIOLOGICA EUROSPITAL 500ml FISIOLOGICA KABI 250ml FISIOLOGICA KABI 500ml FISIOLOGICA SALF 250ml FISIOLOGICA SALF 500ml FISIOLOGICA SENESE 250ml FISIOLOGICA SENESE 500ml FLEBOCORTID 1g FLUPROST 250mg 30 Cpr FLUTAMIDE 250mg 21 Cpr EG FLUTAMIDE 250mg 30 Cpr AURO FLUTAMIDE 250mg 30 Cpr HEXAL FLUTAMIDE 250mg 30 Cpr MERCK FLUTAMIDE 250mg 30 Cpr TEVA FLUTAMIDE 250mg 30Cpr FIDIA FUROSEMIDE 20mg 5f.HEXAL FUROSEMIDE 250mg 5f.HEXAL GABAPENTIN 100mg 50Cps DOC GABAPENTIN 100mg 50Cps FIDIA GABAPENTIN 100mg 50Cps HEXAL GABAPENTIN 100mg 50Cps MERCK GABAPENTIN 100mg 50Cps RATIOPH GABAPENTIN 100mg 50Cps RK GABAPENTIN 100mg 50Cps SANDOZ GABAPENTIN 100mg 50Cps TEVA GABAPENTIN 100mg 50Cps WINTH. GABAPENTIN 300mg 50Cps ABC GABAPENTIN 300mg 50Cps ACTAVIS GABAPENTIN 300mg 50Cps ALTER GABAPENTIN 300mg 50Cps DOC GABAPENTIN 300mg 50Cps EG GABAPENTIN 300mg 50Cps FIDIA GABAPENTIN 300mg 50Cps HEXAL GABAPENTIN 300mg 50Cps MERCK GABAPENTIN 300mg 50Cps PLIVA GABAPENTIN 300mg 50Cps RANBAXY GABAPENTIN 300mg 50Cps RATIOPH GABAPENTIN 300mg 50Cps RK GABAPENTIN 300mg 50Cps SANDOZ GABAPENTIN 300mg 50Cps TEVA GABAPENTIN 300mg 50Cps WINTH. GABAPENTIN 400mg 30Cps ACTAVIS GABAPENTIN 400mg 30Cps DOC GABAPENTIN 400mg 30Cps EG GABAPENTIN 400mg 30Cps FIDIA GABAPENTIN 400mg 30Cps HEXAL GABAPENTIN 400mg 30Cps MERCK GABAPENTIN 400mg 30Cps PLIVA GABAPENTIN 400mg 30Cps RANBAXY GABAPENTIN 400mg 30Cps RATIOPH GABAPENTIN 400mg 30Cps RK GABAPENTIN 400mg 30Cps SANDOZ GABAPENTIN 400mg 30Cps TEVA GABAPENTIN 400mg 30Cps WINTHR. GABAPENTIN 400mg 50Cps ALTER GABEXINE 100mg 50 Cps GABEXINE 300mg 50 Cps GABEXINE 400mg 30 Cps GARDENALE 50mg 30 Compresse GARDENALE 100mg 20 Compresse GLUCAGEN HYPOKIT 1 Fl.1mg GLUCOSIO EUROSPITAL 5% 250ml GLUCOSIO EUROSPITAL 5% 500ml 36,29 36,29 36,29 36,29 1,23 1,58 1,23 1,58 1,23 1,58 1,23 1,58 7,96 18,17 14,38 18,17 18,17 18,17 18,17 18,17 1,51 12,89 5,78 5,78 5,78 5,78 5,78 5,78 5,78 5,78 5,78 18,27 18,27 18,27 18,27 18,27 18,27 18,27 18,27 18,27 18,27 18,27 18,27 18,27 18,27 18,27 12,09 12,09 12,09 12,09 12,09 12,09 12,09 12,09 12,09 12,09 12,09 12,09 12,09 12,09 5,78 18,27 12,09 1,50 1,50 24,01 1,19 1,43 A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A Nota CUF 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 Modal. Quota Dispens. Assistito RNR3 RNR3 RNR3 RNR3 SOP SOP SOP SOP SOP SOP RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RNR2 RNR2 RR RR RR A U G Codice ATC Descrizione ATC Minsan N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL 036730240 037563095 036750139 037609094 032182026 032182038 030775035 030775047 030684118 030684120 029874056 029874068 013986043 034472011 034707012 034464014 033929011 035031032 034649018 034038012 032898037 032898025 035944014 035975010 038242032 036607048 036698037 038346021 038547055 036001030 036777047 036519027 036180026 036574022 035944026 036131023 035975022 038242107 036607125 036410025 038346060 036698189 036231025 038547143 036001170 036777213 036180038 035944038 036131035 035975034 038242184 036607190 036410037 038346159 036698468 036231037 038547232 036001434 036777365 036574034 036663019 036663021 036663033 004556027 004556015 027489018 032183028 032183030 N02AB03 FENTANIL B05BB01 ELETTROLITI B05BB01 ELETTROLITI B05BB01 ELETTROLITI B05BB01 ELETTROLITI B05BB01 ELETTROLITI B05BB01 ELETTROLITI B05BB01 ELETTROLITI B05BB01 ELETTROLITI H02AB09 IDROCORTISONE L02BB01 FLUTAMIDE I Classe SSN L02BB01 FLUTAMIDE L02BB01 FLUTAMIDE L02BB01 FLUTAMIDE L02BB01 FLUTAMIDE L02BB01 FLUTAMIDE C Pr. Pubbl. L02BB01 FLUTAMIDE C03CA01 FUROSEMIDE C03CA01 FUROSEMIDE N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN C Anagrafica Prodotto N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AA02 FENOBARBITAL N03AA02 FENOBARBITAL H04AA01 GLUCAGONE B05BA03 CARBOIDRATI B05BA03 CARBOIDRATI Parte 'B' : Farmaci a carico del S.S.N. per prestazioni indispensabili in assistenza indiretta Pag. 15 Elenco in ordine alfabetico Aggiornato al 07/09/2010 A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A Modal. Quota Dispens. Assistito RR RR RR RR RR RR RR RR RR RR RR RR RR RNR RNR RNR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR U G Codice ATC Descrizione ATC Minsan B05BA03 CARBOIDRATI B05BA03 CARBOIDRATI B05BA03 CARBOIDRATI B05BA03 CARBOIDRATI B05BA03 CARBOIDRATI B05BA03 CARBOIDRATI B05BA03 CARBOIDRATI B05BA03 CARBOIDRATI B05BA03 CARBOIDRATI B05BA03 CARBOIDRATI 030769032 030769044 030769095 030672152 030672164 029863026 029863053 029863065 029863141 029863178 029863180 003763238 003763190 025373073 025333028 025333016 033637024 033637051 025707035 025707011 025707187 034185835 034185847 034185557 038923431 025764010 025764022 020609071 033460015 032025013 029558020 033689011 033684010 032025025 029558032 033689023 033684022 033460027 032025049 031829017 029558018 032025037 029558044 033689035 033684034 020294029 013972056 032784011 032784023 032784035 027433010 027433022 027807066 027807054 027807080 027807078 027807092 036821371 036780373 036486025 036821635 036780637 036486037 037721216 036821852 036780854 036486049 037721293 B05BA03 CARBOIDRATI G03GA01 GONADOTROPINA CORIONICA G03GA01 GONADOTROPINA CORIONICA N05AD01 ALOPERIDOLO I 1,19 1,43 1,67 1,19 1,43 ,25 1,19 1,43 ,25 1,39 1,67 6,85 5,16 3,56 9,66 12,70 34,87 52,36 14,72 14,72 14,72 7,36 36,82 33,42 33,42 5,12 8,69 3,20 2,37 3,56 3,56 3,56 3,56 4,15 4,15 4,15 4,15 4,15 7,20 7,20 7,20 7,15 7,15 7,15 7,15 3,31 5,83 8,11 9,14 12,83 8,41 14,52 8,58 8,88 30,29 52,95 91,23 7,88 7,88 7,88 28,29 28,29 28,29 28,29 50,95 50,95 50,95 50,95 Nota CUF N05AD01 ALOPERIDOLO N05AD01 ALOPERIDOLO A10AB04 INSULINA LISPRO A10AB04 INSULINA LISPRO A10AC01 INSULINA (UMANA) A10AB01 INSULINA (UMANA) A10AD01 INSULINA (UMANA) A10AB01 INSULINA (UMANA) A10AB01 INSULINA (UMANA) A10AB01 INSULINA (UMANA) C Classe SSN A10AB01 1,56 4,54 A GLUCOSIO KABI 5% 250ml GLUCOSIO KABI 5% 500ml GLUCOSIO KABI 10% 500ml GLUCOSIO SALF 5% 250ml GLUCOSIO SALF 5% 500ml GLUCOSIO SENESE 5% 20ml 1 F. GLUCOSIO SENESE 5% 250ml GLUCOSIO SENESE 5% 500ml GLUCOSIO SENESE 10% 20ml 1 F. GLUCOSIO SENESE 10% 250ml GLUCOSIO SENESE 10% 500ml GONASI HP 2000 3 Fl.1ml GONASI HP 5000 1 Fl.1ml HALDOL Iniett. 5f.1ml 5mg/ml HALDOL-DECANOAS 1 Fiala 3ml HALDOL-DECANOAS 3 Fiale 1ml HUMALOG 100u/ml 1 Fl.10ml HUMALOG 100u/ml 5 Cart.3ml HUMULIN I 100 u/ml 10ml HUMULIN R 100 u/ml 10ml HUMULIN 30/70 100 u/ml 10ml INSUMAN Rapid 1fl.5ml INSUMAN Rapid 5fl.5ml INSUMAN Rapid OptiCl.5Cart.3ml INSUMAN Rapid Solo 5 Pen 3ml ISMO-20 50 Cpr 20mg ISMO-DIFFUTAB 30 Cpr ISOPTIN 5 Fiale 2ml ISOSORBIDE Mon.20mg 30Cps TEVA ISOSORBIDE Mon.20mg 50Cpr DOC ISOSORBIDE Mon.20mg 50Cpr EG ISOSORBIDE Mon.20mg 50Cpr RAT ISOSORBIDE Mon.20mg 50Cpr SAND ISOSORBIDE Mon.40mg 30Cpr DOC ISOSORBIDE Mon.40mg 30Cpr EG ISOSORBIDE Mon.40mg 30Cpr RAT ISOSORBIDE Mon.40mg 30Cpr SAND ISOSORBIDE Mon.40mg 30Cps TEVA ISOSORBIDE Mon.50mg 30Cps DOC ISOSORBIDE Mon.50mg 30Cps DRM ISOSORBIDE Mon.50mg 30Cps EG ISOSORBIDE Mon.60mg 30Cpr DOC ISOSORBIDE Mon.60mg 30Cpr EG ISOSORBIDE Mon.60mg 30Cpr RAT ISOSORBIDE Mon.60mg 30Cpr SAND ISOTOL 20% Fl.500ml KENACORT 3 Fl.1ml 40mg/ml KERITRINA 5mg/die 15 Cerotti KERITRINA 10mg/die 15 Cerotti KERITRINA 15mg/die 15 Cerotti KESSAR 30 Cpr 10mg KESSAR 30 Cpr 20mg LAMICTAL-28 Cpr 5mg Disper. LAMICTAL-28 Cpr 25mg Disper. LAMICTAL-56 Cpr 50mg Disper. LAMICTAL-56 Cpr 100mg Disper. LAMICTAL-56 Cpr 200mg Disper. LAMOTRIGINA 25mg 28 Cpr DOC LAMOTRIGINA 25mg 28 Cpr EG LAMOTRIGINA 25mg 28 Cpr HEXAL LAMOTRIGINA 50mg 56 Cpr DOC LAMOTRIGINA 50mg 56 Cpr EG LAMOTRIGINA 50mg 56 Cpr HEXAL LAMOTRIGINA 50mg 56 Cpr TEVA LAMOTRIGINA 100mg 56 Cpr DOC LAMOTRIGINA 100mg 56 Cpr EG LAMOTRIGINA 100mg 56 Cpr HEXAL LAMOTRIGINA 100mg 56 Cpr TEVA Pr. Pubbl. C Anagrafica Prodotto 1,01 1,14 1,60 1,95 1,00 2,00 2,00 2,00 INSULINA (UMANA) C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C08DA01 VERAPAMIL C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO B05BC01 MANNITOLO H02AB08 TRIAMCINOLONE C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA L02BA01 TAMOXIFENE L02BA01 TAMOXIFENE N03AX09 LAMOTRIGINA N03AX09 LAMOTRIGINA N03AX09 LAMOTRIGINA N03AX09 LAMOTRIGINA N03AX09 LAMOTRIGINA N03AX09 LAMOTRIGINA N03AX09 LAMOTRIGINA N03AX09 LAMOTRIGINA N03AX09 LAMOTRIGINA N03AX09 LAMOTRIGINA N03AX09 LAMOTRIGINA N03AX09 LAMOTRIGINA N03AX09 LAMOTRIGINA N03AX09 LAMOTRIGINA N03AX09 LAMOTRIGINA N03AX09 LAMOTRIGINA Parte 'B' : Farmaci a carico del S.S.N. per prestazioni indispensabili in assistenza indiretta Pag. 16 Elenco in ordine alfabetico Aggiornato al 07/09/2010 A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A 55 55 55 Modal. Quota Dispens. Assistito RR RR RR RR RR RR RR RR RR RR RR RNR RR RR RR RR RR RNR RNR RR RR RR RR RNR2 RNR2 RNR2 RR RR RNR3 RNR3 RNR3 RNR3 RNR3 RNR RR RNR RNR RM6 RR RNR RNR RNR RNR RNR RR RNR RR RR RR RR RR RNR RR RNR RR RR RR RR RR RR RR RR RM6 RM6 RM6 RM6 RM6 RM6 0,54 3,71 0,59 0,98 28 28 28 U G Codice ATC Descrizione ATC Minsan N03AX09 LAMOTRIGINA N03AX09 LAMOTRIGINA 036821991 036780993 036486052 022643011 022643047 022643023 015724038 015724026 015724053 015724065 015724077 007899014 020465011 023993049 029312016 029312028 029312030 024542019 024790026 024475055 024475067 035311012 024527071 002860043 002860031 002860017 038530010 038530034 037405026 037405077 037405127 037405178 037405228 027597020 019247016 027574019 034104012 029610033 004225025 019888015 019888128 019888130 019888142 019888116 015839095 028493017 025568080 028423022 027028012 027028024 027028036 024043034 031826023 022750020 025623051 025623012 025623024 025623048 025200015 025200027 025200041 025200039 029611047 030798033 029611023 030798019 029611050 030798045 N03AX09 LAMOTRIGINA C01AA08 METILDIGOSSINA C01AA08 METILDIGOSSINA C01AA08 METILDIGOSSINA C01AA05 DIGOSSINA C01AA05 DIGOSSINA C01AA05 DIGOSSINA C01AA05 DIGOSSINA C01AA05 DIGOSSINA N05AA01 CLORPROMAZINA C03CA01 FUROSEMIDE C03CA01 55 55 FUROSEMIDE I 89,23 89,23 89,23 2,32 3,36 2,38 2,07 2,32 4,70 2,01 2,79 4,03 2,05 16,60 7,76 4,74 8,13 3,77 7,13 4,40 7,93 4,82 7,93 1,55 1,60 4,81 50,00 212,00 5,37 13,89 26,01 36,29 44,75 58,44 2,79 58,44 58,44 ,97 2,94 4,99 38,47 56,12 74,24 29,75 7,93 18,65 7,93 7,93 8,11 9,14 12,83 3,47 2,45 4,54 3,56 4,15 7,20 17,24 4,07 4,74 8,13 8,23 1,60 1,60 3,46 4,75 1,65 1,65 Nota CUF C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO G03DA03 IDROSSIPROGESTERONE L01AA02 CLORAMBUCILE J01GB06 AMIKACINA C Classe SSN 0,28 1,20 A LAMOTRIGINA 200mg 56 Cpr DOC LAMOTRIGINA 200mg 56 Cpr EG LAMOTRIGINA 200mg 56 Cpr HEXAL LANITOP 30 Cpr LANITOP Gocce 10ml LANITOP MITE 40 Cpr LANOXIN 0,125mg 30 Cpr LANOXIN 0,25mg 30 Cpr LANOXIN 6 Fiale 2ml LANOXIN PG 30 Cpr 0,0625mg LANOXIN Sciroppo 60ml LARGACTIL 5 Fiale 2ml LASIX 5 Fiale 20mg 2ml LASIX 5 Fiale 250mg ev LEICESTER 20 Ret.50 Cps 20mg LEICESTER 40 Ret.30 Cps 40mg LEICESTER 60 Ret.30 Cps 60mg LENTOGEST 1 Fiala 341mg LEUKERAN 2mg 25 Cpr LIKACIN Fl. 500mg LIKACIN Fl.1000mg LIRGOSIN 1 Fl.1g/4ml LUKADIN 1f.1g/4ml LUMINALE 15mg 30 Cpr LUMINALE 100mg 20 Cpr LUMINALE 200mg 10f.im LUTAMID 50mg 28 Cpr LUTAMID 150mg 28 Cpr MATRIFEN 12mcg/ora 3 Cerotti MATRIFEN 25mcg/ora 3 Cerotti MATRIFEN 50mcg/ora 3 Cerotti MATRIFEN 75mcg/ora 3 Cerotti MATRIFEN 100mcg/ora 3 Cerotti MEGACE 30 Cpr 160mg MEGACORT 3f.1ml MEGESTIL 30 Cpr 160mg MEGESTROLO 160mg 30 Cpr PHT METADONE HCL 20mg 1 Flac.20ml METHERGIN 6f.1ml METHOTREXATE 2,5mg 25 Cpr METHOTREXATE 10mg In.P/Uso METHOTREXATE 15mg In.P/Uso METHOTREXATE 20mg In.P/Uso METHOTREXATE 7,5mg In.P/Uso METILBETASONE 3f.im 80mg METOTREXATO 5mg 5 F.2ml MAYNE MIGRACIN 1 Fl.1g 4ml im/ev MIKAN Fl.1g MINITRAN 5mg 15 Sistemi MINITRAN 10mg 15 Sistemi MINITRAN 15mg 15 Sistemi MIOLENE 3f.5ml/50mg MODIEM Fl.1g im MODITEN DEPOT 1 Fiala 25mg MONOCINQUE 20mg 50 Cpr MONOCINQUE 40mg 30 Cpr MONOCINQUE RETARD 30 Cps 50mg MONOCINQUE RETARD 30 Cps 80mg MONOKET 20mg 50 Cpr MONOKET 40mg 30 Cpr MONOKET MULTITAB 30 Cpr 60mg MONOKET RETARD 30 Cps 50mg MORFINA 10mg x 1 Fiala MOLTENI MORFINA 10mg x 1 Fiala MONICO MORFINA 10mg x 5 Fiale MOLTENI MORFINA 10mg x 5 Fiale MONICO MORFINA 20mg x 1 Fiala MOLTENI MORFINA 20mg x 1 Fiala MONICO Pr. Pubbl. J01GB06 AMIKACINA J01DD01 CEFOTAXIMA J01GB06 AMIKACINA N03AA02 FENOBARBITAL N03AA02 FENOBARBITAL C Anagrafica Prodotto 1,01 1,14 1,60 0,17 0,51 0,59 0,98 1,03 N03AA02 FENOBARBITAL L02BB03 BICALUTAMIDE L02BB03 BICALUTAMIDE N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL N02AB03 FENTANIL L02AB01 MEGESTROLO H02AB02 DESAMETASONE L02AB01 MEGESTROLO L02AB01 MEGESTROLO N07BC02 METADONE G02AB01 METILERGOMETRINA L01BA01 METOTREXATO L01BA01 METOTREXATO L01BA01 METOTREXATO L01BA01 METOTREXATO L01BA01 METOTREXATO H02AB04 METILPREDNISOLONE L01BA01 METOTREXATO J01GB06 AMIKACINA J01GB06 AMIKACINA C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA G02CA01 RITODRINA J01DC06 CEFONICID N05AB02 FLUFENAZINA C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO C01DA14 ISOSORBIDE MONONITRATO N02AA01 MORFINA N02AA01 MORFINA N02AA01 MORFINA N02AA01 MORFINA N02AA01 MORFINA N02AA01 MORFINA Parte 'B' : Farmaci a carico del S.S.N. per prestazioni indispensabili in assistenza indiretta Pag. 17 Elenco in ordine alfabetico Aggiornato al 07/09/2010 A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A 55 55 55 04 04 04 Modal. Quota Dispens. Assistito RM6 RM6 RNR3 RNR3 RNR3 RNR3 RNR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR RR 0,78 0,97 6,23 19,71 13,05 1,01 1,60 U G Codice ATC Descrizione ATC Minsan N02AA01 MORFINA N02AA01 MORFINA N02AA01 MORFINA N02AA01 MORFINA N02AA01 MORFINA 029611035 030798021 025624014 025624026 025624038 025624040 024787018 023189018 023189057 033190036 028740013 028740025 028740037 035157015 035157039 025224116 025224130 025224142 034867046 034867059 034867061 025193018 025193020 025193032 020925018 020925032 029029016 029029028 029029030 023362039 023362041 033869013 033869025 023204112 N02AA01 MORFINA L01AB01 BUSULFANO J01GB01 TOBRAMICINA J01GB01 TOBRAMICINA J01GB06 AMIKACINA N03AX12 GABAPENTIN N03AX12 GABAPENTIN N03AX12 GABAPENTIN C01DA02 NITROGLICERINA I 4,90 6,85 4,96 9,23 17,17 22,85 15,78 4,25 5,33 7,93 12,01 37,98 25,14 8,11 12,83 7,10 8,00 8,16 7,10 8,00 11,23 8,19 9,37 14,00 2,07 4,96 8,11 9,14 12,83 7,49 8,64 6,46 6,69 2,58 2,53 2,58 2,58 2,53 5,94 8,44 4,75 18,71 18,71 18,71 4,69 5,46 4,69 3,47 4,69 4,69 4,69 4,69 3,96 5,36 4,69 14,69 2,63 4,98 14,72 33,42 50,25 15,98 4,82 14,14 28,26 36,55 53,31 70,53 Nota CUF C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA C Classe SSN 1,09 1,37 2,77 1,01 1,14 1,60 1,03 1,95 A MORFINA 20mg x 5 Fiale MOLTENI MORFINA 20mg x 5 Fiale MONICO MS CONTIN 10mg 16 Discoidi MS CONTIN 30mg 16 Discoidi MS CONTIN 60mg 16 Discoidi MS CONTIN 100mg 16 Discoidi MYLERAN 100 Cpr NEBICINA 1 Fl.100mg NEBICINA 1 Fl.150mg NEKACIN 1 Fl. 1000mg NEURONTIN-100 50 Cps 100mg NEURONTIN-300 50 Cps 300mg NEURONTIN-400 30 Cps 400mg NITRAKET 5mg/24ore 15 Cer. NITRAKET 15mg/24ore 15 Cer. NITRO-DUR 5mg 15 Cerotti NITRO-DUR 10mg 15 Cerotti NITRO-DUR 15mg 10 Cerotti NITROCOR 5mg/24h 15 Cerotti NITROCOR 10mg/24h 15 Cerotti NITROCOR 15mg/24h 15 Cerotti NITRODERM TTS 5mg 15 Sistemi NITRODERM TTS 10mg 15 Sistemi NITRODERM TTS 15mg 15 Sistemi NITROSORBIDE 50 Cpr NITROSORBIDE-RET.40 Cps 40mg NITROSYLON 5mg 15 Sistemi NITROSYLON 10mg 15 Sistemi NITROSYLON 15mg 15 Sistemi NOLVADEX 30 Cpr 10mg NOLVADEX D-20 20 Cpr 20mg NOMAFEN 10mg 30 Cpr Riv. NOMAFEN 20mg 20 Cpr Riv. NORMOSOL M Glucosio 500ml NORMOSOL R 500ml NORMOSOL R Glucosio 500ml NORMOSOL R/K Glucosio 500ml NORMOSOL RpH 7,4 Fl.500ml ONCOCARBIDE 20 Cps ORAMORPH 20mg/ml Sol.Or. 20ml ORAMORPH 2mg/ml Scir. 100ml ORAMORPH Os 20Fl.1D 5ml 10mg ORAMORPH Os 20Fl.1D 5ml 30mg ORAMORPH Os 20Fl.1D 5ml 100mg PERACIL Fl.2g PETINIMID 250mg 100 Cps PICILLIN Fl.2g PIPERACILLINA 1 Fl.1g DOROM PIPERACILLINA 1 Fl.2g DOC PIPERACILLINA 1 Fl.2g DOROM PIPERACILLINA 1 Fl.2g EG PIPERACILLINA 1 Fl.2g SANDOZ PIPERITAL Fl.1g PIPERITAL Fl.2g PIPERSAL 2g PREGNYL 5000 u.i.3 Fiale 1ml PROLUTON 250mg IM 1 Fiala 1ml PRONTOGEST 3f.100mg PROTAPHANE 100ui/ml 10ml PROTAPHANE NOVOLET 5 Cart.3ml PROVERA 30 Cpr 250mg PURINETHOL 25 Cpr REFOTAX 1 Fl.1g im REOFLUS 10 Sir.12500ui REUMAFLEX 4 Sir. 7,5mg/0,15ml REUMAFLEX 4 Sir.10mg/0,20ml REUMAFLEX 4 Sir.15mg/0,30ml REUMAFLEX 4 Sir.20mg/0,40ml Pr. Pubbl. C01DA02 NITROGLICERINA C01DA08 ISOSORBIDE DINITRATO C Anagrafica Prodotto 55 55 55 55 55 55 55 55 55 55 28 C01DA08 ISOSORBIDE DINITRATO C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA L02BA01 TAMOXIFENE L02BA01 TAMOXIFENE L02BA01 TAMOXIFENE L02BA01 TAMOXIFENE B05BB02 ELETTROLITI ASSOCIATI A CARBOIDRATI ELETTROLITI RR RR B05BB01 RR B05BB02 RR RNR RNR3 RNR3 RNR3 RNR3 RNR3 RR RR RR RR RR RR RR RR RR RR RR RR RNR RNR RR RR RNR RNR RR RR RNR RNR RNR RNR B05BB01 ELETTROLITI ASSOCIATI A CARBOIDRATI ELETTROLITI ASSOCIATI A CARBOIDRATI ELETTROLITI L01XX05 IDROXICARBAMIDE N02AA01 MORFINA N02AA01 MORFINA N02AA01 MORFINA N02AA01 MORFINA B05BB02 0,49 0,67 N02AA01 MORFINA J01CA12 PIPERACILLINA N03AD01 ETOSUCCIMIDE J01CA12 PIPERACILLINA J01CA12 PIPERACILLINA J01CA12 PIPERACILLINA J01CA12 PIPERACILLINA J01CA12 PIPERACILLINA J01CA12 PIPERACILLINA J01CA12 PIPERACILLINA J01CA12 PIPERACILLINA J01CA12 PIPERACILLINA G03GA01 GONADOTROPINA CORIONICA G03DA03 IDROSSIPROGESTERONE G03DA04 PROGESTERONE A10AC01 INSULINA (UMANA) A10AC01 INSULINA (UMANA) L02AB02 MEDROSSIPROGESTERONE L01BB02 MERCAPTOPURINA J01DD01 CEFOTAXIMA B01AB01 EPARINA L01BA01 METOTREXATO L01BA01 METOTREXATO L01BA01 METOTREXATO L01BA01 METOTREXATO 023204011 023204035 023204074 023204050 021510019 031507104 031507015 031507039 031507041 031507054 028595027 700001112 025671049 029221013 034391021 029221025 033690025 033324029 028735013 028735025 032935025 033717024 005375062 005239052 035935030 035935081 020328151 010344012 034962050 031126055 039153022 039153123 039153224 039153325 Parte 'B' : Farmaci a carico del S.S.N. per prestazioni indispensabili in assistenza indiretta Pag. 18 Elenco in ordine alfabetico Aggiornato al 07/09/2010 A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A 55 Modal. Quota Dispens. Assistito RR RR1 RR1 RR1 RR RR RR RR RNR RNR RNR RNR RNR RNR RNR RNR RNR RNR RR RNR RR RR RR RR RR RR RR RR RR RR RNR2 RR RR RR RR RR RR RR RR RR RR RR RR RM6 RM6 RR RNR RR RR RR RR RR RR RR RNR RNR RNR RR RR RR RR RR RNR3 RNR3 RNR3 RR RR RR U G Codice ATC Descrizione ATC Minsan L02BB01 FLUTAMIDE N03AE01 CLONAZEPAM N03AE01 CLONAZEPAM 034021016 023159054 023159066 023159039 024862031 027443047 027443011 035285042 025306034 025306046 025306059 025306022 025306010 029453053 029453014 029453026 029453038 029453040 032799025 016805018 011782024 011782012 033984055 019499019 019499084 023202043 023202056 023202068 023202070 035192020 021410030 034790016 034790028 033688019 035058015 035058027 033688021 033617022 020602013 020602025 020602037 020602049 020602052 025215029 025215017 024016026 022825018 033973013 033973025 028304018 028304020 028564021 028564045 028564058 035568017 035568043 035568070 034262016 029030044 029030057 029030069 032938033 033484015 033484027 033484039 018128037 018128049 018128052 N03AE01 CLONAZEPAM C01BC03 PROPAFENONE N03AG04 VIGABATRIN N03AG04 VIGABATRIN J01DD01 CEFOTAXIMA L04AD01 CICLOSPORINA L04AD01 CICLOSPORINA L04AD01 CICLOSPORINA L04AD01 CICLOSPORINA L04AD01 CICLOSPORINA L04AD01 CICLOSPORINA I 18,17 1,08 1,45 1,81 12,83 35,11 35,11 4,82 58,17 111,80 131,20 142,27 202,05 22,59 56,48 109,50 122,98 201,09 4,69 2,12 1,91 2,03 8,17 2,79 4,79 4,96 17,77 35,54 77,20 4,82 3,98 6,46 6,69 6,46 6,46 6,69 6,69 6,69 4,68 5,85 5,95 4,09 6,47 3,62 7,21 10,50 51,29 3,47 4,36 15,18 29,21 8,19 9,37 9,32 26,01 38,52 47,95 9,84 8,11 9,14 12,83 14,14 4,96 8,96 16,57 8,11 9,14 12,83 Nota CUF L04AD01 CICLOSPORINA L04AD01 CICLOSPORINA L04AD01 CICLOSPORINA L04AD01 CICLOSPORINA J01CA12 PIPERACILLINA C Classe SSN N05AD01 ALOPERIDOLO B01AA07 ACENOCUMAROLO B01AA07 ACENOCUMAROLO N03AG01 ACIDO VALPROICO H02AB02 DESAMETASONE H02AB02 A RICALIDE 250mg 30 Cpr RIVOTRIL 0,5mg 20 Cpr RIVOTRIL 2mg 20 Cpr RIVOTRIL Gocce 10ml RYTMONORM Fiale 20ml SABRIL 50 Bust.500mg SABRIL 50 Cpr 500mg SALOCEF 1g 1Fl.im LEVOFARMA SANDIMMUN Cps 25mg SANDIMMUN Cps 50mg SANDIMMUN Cps 100mg SANDIMMUN Fiale iv 5ml 50mg SANDIMMUN Fl.Orale 50ml 100mg SANDIMMUN NEORAL 50 Cps 10mg SANDIMMUN NEORAL 50 Cps 25mg SANDIMMUN NEORAL 50 Cps 50mg SANDIMMUN NEORAL 30 Cps 100mg SANDIMMUN NEORAL Soluz.Fl.50ml SEMIPENIL 1 Fl.2g SERENASE Fiale 2mg SINTROM 20 Cpr 1mg SINTROM 20 Cpr 4mg SODIO VALPROATO 500mg 30 Cpr SOLDESAM 3f.1ml/4mg SOLDESAM Forte 3f.2ml/8mg SOLUMEDROL 125mg F. SOLUMEDROL 500mg F. SOLUMEDROL 1000mg F. SOLUMEDROL 2000mg F. SPECTROCEF 1g 1Fl.im TALWIN 5 Fiale 1ml 30mg TAMOXENE 10mg 30 Cpr TAMOXENE 20mg 20 Cpr TAMOXIFENE 10mg 30 Cpr EG TAMOXIFENE 10mg 30 Cpr TAD TAMOXIFENE 20mg 20 Cpr AURO TAMOXIFENE 20mg 20 Cpr EG TAMOXIFENE 20mg 20 Cpr RATIOPH TEGRETOL 200mg 50 Cpr TEGRETOL 400mg 30 Cpr TEGRETOL Scir.250ml TEGRETOL-CR 30 Cpr 200mg TEGRETOL-CR 30 Cpr 400mg TEMGESIC 10 Cpr 0,2mg TEMGESIC 5 Fiale TENORMIN 5mg 10F IV 10ml TIOGUANINA 25 Cpr 40mg TOBRAMICINA IBI 1 Fiala 100mg TOBRAMICINA IBI 1 Fiala 150mg TOLEP 300 50 Cpr Div.300mg TOLEP 600 50 Cpr Div.600mg TOP NITRO 5mg 15 Cerotti TOP NITRO-10mg 15 Cerotti TOP NITRO-15mg 10 Cerotti TRANSTEC 35mcg/h 3 Cer.20mg TRANSTEC 52,5mcg/h 3 Cer.30mg TRANSTEC 70mcg/h 3 Cer.40mg TRIAMVIRGI 40mg/1ml 3flac. TRINIPLAS 5mg 15 Sistemi TRINIPLAS 10mg 15 Sistemi TRINIPLAS 15mg 15 Sistemi TROMBOLISIN 10 Sir.12500ui TWICE 10mg 16 Cps R.P. TWICE 30mg 16 Cps R.P. TWICE 60mg 16 Cps R.P. VENITRIN-T 5mg 15 Sistemi VENITRIN-T 10mg 15 Sistemi VENITRIN-T 15mg 15 Sistemi Pr. Pubbl. C Anagrafica Prodotto 55 55 DMG DMG DMG 1,21 1,29 1,09 1,37 1,16 1,01 1,14 1,60 1,01 1,14 1,60 DESAMETASONE H02AB04 METILPREDNISOLONE H02AB04 METILPREDNISOLONE H02AB04 METILPREDNISOLONE H02AB04 METILPREDNISOLONE J01DD01 CEFOTAXIMA N02AD01 PENTAZOCINA L02BA01 TAMOXIFENE L02BA01 TAMOXIFENE L02BA01 TAMOXIFENE L02BA01 TAMOXIFENE L02BA01 TAMOXIFENE L02BA01 TAMOXIFENE L02BA01 TAMOXIFENE N03AF01 CARBAMAZEPINA N03AF01 CARBAMAZEPINA N03AF01 CARBAMAZEPINA N03AF01 CARBAMAZEPINA N03AF01 CARBAMAZEPINA N02AE01 BUPRENORFINA N02AE01 BUPRENORFINA C07AB03 ATENOLOLO L01BB03 TIOGUANINA J01GB01 TOBRAMICINA J01GB01 TOBRAMICINA N03AF02 OXCARBAZEPINA N03AF02 OXCARBAZEPINA C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA N02AE01 BUPRENORFINA N02AE01 BUPRENORFINA N02AE01 BUPRENORFINA H02AB08 TRIAMCINOLONE C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA B01AB01 EPARINA N02AA01 MORFINA N02AA01 MORFINA N02AA01 MORFINA C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA C01DA02 NITROGLICERINA Parte 'B' : Farmaci a carico del S.S.N. per prestazioni indispensabili in assistenza indiretta Pag. 19 Elenco in ordine alfabetico Aggiornato al 07/09/2010 Anagrafica Prodotto Classe SSN 190,21 191,63 2,53 4,85 4,85 1,84 2,95 5,46 55,10 108,10 14,14 4,82 A A A A A A A A A A A A Nota CUF Modal. Quota Dispens. Assistito RNR RNR RNR RR RR RR RR RR RNR RNR RR RR 0,03 0,03 Codice ATC Descrizione ATC Minsan L01CB01 ETOPOSIDE L01CB01 ETOPOSIDE L01AX02 PIPOBROMANO J01DD01 CEFOTAXIMA J01DD01 CEFOTAXIMA J01DD01 CEFOTAXIMA 024639041 024639039 021992021 024259044 024259032 024259018 024259020 018930038 027441031 027441043 032802047 034426015 J01DD01 CEFOTAXIMA N03AD01 ETOSUCCIMIDE L01DB06 IDARUBICINA L01DB06 IDARUBICINA B01AB01 EPARINA J01DD01 CEFOTAXIMA G U A C C I VEPESID 10 Cps 100mg VEPESID 20 Cps 50mg VERCITE 30 Cpr 25mg ZARIVIZ Fl.1g im ZARIVIZ Fl.1g im/iv ZARIVIZ Fl.250mg ZARIVIZ Fl.500mg ZARONTIN Sciroppo 200ml ZAVEDOS 1 Cps 5mg ZAVEDOS 1 Cps 10mg ZEPAC 10 Sir.0,5ml 12500ui ZIMANEL 1 Fl.1g Pr. Pubbl. AIC 036684241 036684013 036684165 036684088 036684328 027989033 035313055 035313081 035313028 027665013 033637277 033637190 033637214 033637238 033637113 033637099 033637075 033637063 037396153 037396278 037396518 037396037 035724160 035724107 035724121 035724069 035724246 036850055 023892021 028426017 035563079 035563131 035563194 034498030 034498093 034435014 034435077 034435139 034435267 034435192 G U A C I 03/09/2010 Principio attivo INSULINA GLULISINA INSULINA GLULISINA INSULINA GLULISINA INSULINA GLULISINA INSULINA GLULISINA PARACETAMOLO/CODEINA FOSFATO OXICODONE CLORIDRATO/PARACETAMOLO OXICODONE CLORIDRATO/PARACETAMOLO OXICODONE CLORIDRATO/PARACETAMOLO DESMOPRESSINA ACETATO IDRATO INSULINA LISPRO DA DNA RICOMBINANTE INSULINA LISPRO DA DNA RICOMBINANTE INSULINA LISPRO DA DNA RICOMBINANTE INSULINA LISPRO DA DNA RICOMBINANTE INSULINA LISPRO DA DNA RICOMBINANTE INSULINA LISPRO DA DNA RICOMBINANTE INSULINA LISPRO DA DNA RICOMBINANTE INSULINA LISPRO DA DNA RICOMBINANTE IDROMORFONE CLORIDRATO IDROMORFONE CLORIDRATO IDROMORFONE CLORIDRATO IDROMORFONE CLORIDRATO INSULINA GLARGINE INSULINA GLARGINE INSULINA GLARGINE INSULINA GLARGINE INSULINA GLARGINE INSULINA DETEMIR DESMOPRESSINA ACETATO IDRATO RIFABUTINA INSULINA ASPART INSULINA ASPART INSULINA ASPART INSULINA ASPART INSULINA ASPART OXICODONE CLORIDRATO OXICODONE CLORIDRATO OXICODONE CLORIDRATO OXICODONE CLORIDRATO OXICODONE CLORIDRATO C Titolare AIC A.T.C. SANOFI-AVENTIS SpA * A10AB06 SANOFI-AVENTIS SpA * A10AB06 SANOFI-AVENTIS SpA * A10AB06 SANOFI-AVENTIS SpA * A10AB06 SANOFI-AVENTIS SpA * A10AB06 BRISTOL-MYERS SQUIBB Srl * N02AA59 MOLTENI & C. F.LLI ALITTI SpA* N02AA55 MOLTENI & C. F.LLI ALITTI SpA* N02AA55 MOLTENI & C. F.LLI ALITTI SpA* N02AA55 KEDRION SpA H01BA02 ELI LILLY ITALIA SpA * A10AD04 ELI LILLY ITALIA SpA * A10AD04 ELI LILLY ITALIA SpA * A10AD04 ELI LILLY ITALIA SpA * A10AD04 ELI LILLY ITALIA SpA * A10AC04 ELI LILLY ITALIA SpA * A10AD04 ELI LILLY ITALIA SpA * A10AD04 ELI LILLY ITALIA SpA * A10AD04 JANSSEN CILAG SpA * N02AA03 JANSSEN CILAG SpA * N02AA03 JANSSEN CILAG SpA * N02AA03 JANSSEN CILAG SpA * N02AA03 SANOFI-AVENTIS SpA * A10AE04 SANOFI-AVENTIS SpA * A10AE04 SANOFI-AVENTIS SpA * A10AE04 SANOFI-AVENTIS SpA * A10AE04 SANOFI-AVENTIS SpA * A10AE04 NOVO NORDISK FARMACEUTICI SpAA10AE05 FERRING SpA H01BA02 PFIZER ITALIA Srl * J04AB04 NOVO NORDISK FARMACEUTICI SpAA10AD05 NOVO NORDISK FARMACEUTICI SpAA10AD05 NOVO NORDISK FARMACEUTICI SpAA10AD05 NOVO NORDISK FARMACEUTICI SpAA10AB05 NOVO NORDISK FARMACEUTICI SpAA10AB05 MUNDIPHARMA PHARMACEUTIC.Srl N02AA05 MUNDIPHARMA PHARMACEUTIC.Srl N02AA05 MUNDIPHARMA PHARMACEUTIC.Srl N02AA05 MUNDIPHARMA PHARMACEUTIC.Srl N02AA05 MUNDIPHARMA PHARMACEUTIC.Srl N02AA05 ULTERIORE ELENCO DI MEDICINALI DI CLASSE A SALVAVITA REGIONE CAMPANIA Denominazione APIDRA*5CART OPTIC.3ML 100U/ML APIDRA*SC 1FL 10ML 100U/ML APIDRA*SC 5 OPTISET 3ML100U/ML APIDRA*SC 5CART 3ML 100U/ML APIDRA*SOLOST.SC 5PEN 100UI/ML COEFFERALGAN*16CPR 500MG+30MG DEPALGOS*28CPR RIV 10MG+325MG DEPALGOS*28CPR RIV 20MG+325MG DEPALGOS*28CPR RIV 5MG+325MG EMOSINT*IM EV SC 10F 4MCG0,5ML HUMALOG*BASAL 5KWIKPEN 3ML VER HUMALOG*KWIKPEN 5PEN 3ML BORDE HUMALOG*MIX25 5KWIKPEN 3ML GIA HUMALOG*MIX50 5KWIKPEN 3ML ROS HUMALOG*SC BASAL 5CART 3ML100U HUMALOG*SC MIX 25 5CART 3ML HUMALOG*SC MIX 50 5CART 3ML HUMALOG*SC MIX25 F 100U/ML10ML JURNISTA*14CPR 16MG R.P. JURNISTA*14CPR 32MG R.P. JURNISTA*14CPR 4MG R.P. JURNISTA*14CPR 8MG R.P. LANTUS*OPT.CK SC 5CART 100UI/M LANTUS*OPTIS.SC 5PEN 100UI/ML LANTUS*SC 1FL 100UI/ML 10ML LANTUS*SC 5CART 3ML 100UI/ML LANTUS*SOLOST.SC 5PEN 100UI/ML LEVEMIR*FLEX 5PEN 3ML 100UI/ML MINIRIN/DDAVP*INIET 10F 4MCG/M MYCOBUTIN*30CPS 150MG NOVOMIX 30*FLEX 5PEN 3ML 100U/ NOVOMIX 50*FLEX 5PEN 3ML 100U/ NOVOMIX 70*FLEX 5PEN 3ML 100U/ NOVORAPID PENFILL*SC 5CART 3ML NOVORAPID*FLEX 5PEN 3ML 100U/M OXYCONTIN*28CPR 10MG R.P. OXYCONTIN*28CPR 20MG R.P. OXYCONTIN*28CPR 40MG R.P. OXYCONTIN*28CPR 5MG R.P. OXYCONTIN*28CPR 80MG R.P. FARMADATI ITALIA