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
ƒFarmaci 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
ƒFarmaci 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
ƒFarmaci 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
ƒSuccedanei 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
ƒSoluzioni 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
ƒTerapia 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
ƒAntiaritmici 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
ƒStimolanti 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
ƒVasodilatatori 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
ƒDiuretici 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
ƒBeta-Bloccanti iniettabili
atc : C07AB03 ATENOLOLO
TENORMIN 5mg 10F IV 10ml
ƒCalcioantagonisti 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
ƒAltri 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
ƒAnaloghi 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.
ƒAlchilsolfonati
atc : L01AB01 BUSULFANO
MYLERAN 100 Cpr
ƒAltre 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
ƒAntimetaboliti/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
ƒAnaloghi 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
ƒDerivati della Podofillotossina
atc : L01CB01 ETOPOSIDE
VEPESID 10 Cps 100mg
VEPESID 20 Cps 50mg
ƒAntibiotici Citotossici
ƒAltri antineoplastici
atc : L01XX05 IDROXICARBAMIDE
ONCOCARBIDE 20 Cps
atc : L01XX11 ESTRAMUSTINA
C
atc : L01DB06 IDARUBICINA
ZAVEDOS 1 Cps 5mg
ZAVEDOS 1 Cps 10mg
ƒProgestinici
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
ƒAntagonisti 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
ƒAntiandrogeni
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
ƒInibitori 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
ƒImmunosoppressori
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
ƒAltre 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
ƒAnalgesici
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
ƒDerivati 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
ƒDerivati del Benzamorfano
atc : N02AD01 PENTAZOCINA
TALWIN 5 Fiale 1ml 30mg
ƒderivati 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
ƒOppioidi 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
ƒAntiepilettici - 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
ƒAntiparkisaniani (uso i.m.)
atc : N04AA02 BIPERIDENE
AKINETON Fiale 5mg 1ml
ƒPsicolettici (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
ƒPsicoanalettici (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
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Elenco Farmaci a carico del S.S.N.