HOTARARE Nr. 1417 din 6 decembrie 2002
pentru aprobarea Listei cuprinzand medicamentele de care beneficiaza asiguratii
in tratamentul ambulatoriu, cu sau fara contributie personala, pe baza de
prescriptie medicala, in sistemul de asigurari sociale de sanatate
ACT EMIS DE: GUVERNUL ROMANIEI
ACT PUBLICAT IN: MONITORUL OFICIAL NR. 927 din 18 decembrie 2002
In temeiul art. 107 din Constitutie si al art. 25 alin. (1) din Ordonanta
de urgenta a Guvernului nr. 150/2002 privind organizarea si functionarea
sistemului de asigurari sociale de sanatate,
Guvernul Romaniei adopta prezenta hotarare.
Art. 1
(1) Se aproba Lista cuprinzand medicamentele de care beneficiaza asiguratii
in tratamentul ambulatoriu, cu sau fara contributie personala, pe baza de
prescriptie medicala, in sistemul de asigurari sociale de sanatate.
(2) Lista cu medicamentele prevazute la alin. (1) cuprinde denumirile
comune internationale (DCI) ale medicamentelor din Nomenclatorul de produse
medicamentoase de uz uman.
(3) Denumirile comune internationale ale medicamentelor de care pot
beneficia asiguratii, cu sau fara contributie personala, pe baza de prescriptie
medicala, sunt cuprinse in anexele nr. 1 si 2*) care fac parte integranta din
prezenta hotarare.
-----------
*) Anexele nr. 1 si 2 sunt reproduse in facsimil.
Art. 2
Prezenta hotarare intra in vigoare la data de 1 ianuarie 2003.
PRIM-MINISTRU
ADRIAN NASTASE
Contrasemneaza:
Ministrul sanatatii si familiei,
Daniela Bartos
ANEXA 1*1)
*1) Anexa nr. 1 este reprodusa in facsimil.
LISTA DENUMIRILOR COMUNE INTERNATIONALE ALE PRODUSELOR MEDICAMENTOASE DE
CARE BENEFICIAZA ASIGURATII, IN AMBULATORIU FARA CONTRIBUTIE PERSONALA
1. INSUFICIENTA CARDIACA CRONICA
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| C01A A05 | Digoxinum - 1 |
|____|__________|___________________________________|
| 2.| C03A A03 | Hydrochlorothiazidum - 1 |
|____|__________|___________________________________|
| 3.| C09A A01 | Captoprilum - 1 |
|____|__________|___________________________________|
| 4.| C09A A02 | Enalaprilum - 1 |
|____|__________|___________________________________|
| 5.| C03C A01 | Furosemidum - 1 |
|____|__________|___________________________________|
| 6.| C03D A01 | Spironolactonum - 1 |
|____|__________|___________________________________|
2. BOLNAVI CU PROTEZE VALVULARE SI VASCULARE
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| B01A A07 | Acenocoumarolum - 1 |
|____|__________|___________________________________|
| 2.| B01A C04 | Clopidogrelum*) - 2 |
|____|__________|___________________________________|
| 3.| B01A C05 | Ticlopidinum - 2 |
|____|__________|___________________________________|
| 4.| B01A C06 | Acidum acetylsalicylicum - 1 |
|____|__________|___________________________________|
*) Prescrierea numai cu avizul comisiei terapeutice de la nivelul
spitalului.
Nota:
Optiunea 2) semnifica: La recomandarea Sefului Sectiei Cardiologie sau
medicului de specialitate.
3. ACCIDENT VASCULAR CEREBRAL POSTACUT (inclusiv atacul vascular cerebral
tranzitoriu)
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| B01A A07 | Acenocoumarolum - 1 |
|____|__________|___________________________________|
| 2.| B01A B04 | Dalteparinum - 2 |
|____|__________|___________________________________|
| 3.| B01A B05 | Enoxaparinum - 2 |
|____|__________|___________________________________|
| 4.| B01A B06 | Nadroparinum - 2 |
|____|__________|___________________________________|
| 5.| B01A B08 | Reviparinum - 2 |
|____|__________|___________________________________|
| 6.| B01A B10 | Tinzaparinum - 2 |
|____|__________|___________________________________|
| 7.| B01A C04 | Clopidogrelum*) - 2 |
|____|__________|___________________________________|
| 8.| B01A C06 | Acidum acetylsalicylicum - 1 |
|____|__________|___________________________________|
*) Prescrierea numai cu avizul comisiei terapeutice de la nivelul
spitalului.
Nota:
Optiunea 2) semnifica: La recomandarea Sefului Sectiei Neurologie.
4. HEPATITA VIRALA ACUTA (cu HAV, HBV, HCV sau HGV), hepatitele cronice de
etiologie virala (cu markeri de replicare virala pozitivi).
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| J05A B04 | Ribavirinum*) |
|____|__________|___________________________________|
| 2.| J05A F05 | Lamivudinum*) |
|____|__________|___________________________________|
| 3.| L03A B04 | Interferonum Alfa 2a*) |
|____|__________|___________________________________|
| 4.| L03A B05 | Interferonum Alfa 2b*) |
|____|__________|___________________________________|
| 5.| L03A B10/| Peginterferonum Alfa*) |
| | L03A B11 | |
|____|__________|___________________________________|
*) Se vor prescrie cu avizul Comisiilor Institutelor de specialitate sau
din Centrele Universitare.
5. CIROZA HEPATICA
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| A05A A02 | Acidum ursodeoxycholicum - 1 |
|____|__________|___________________________________|
| 2.| A06A D11 | Lactulosum - 1 |
|____|__________|___________________________________|
| 3.| A07A A11 | Rifaximinum - 2 |
|____|__________|___________________________________|
| 4.| C03A A03 | Hydrochlorothiazidum - 2 |
|____|__________|___________________________________|
| 5.| C03C A01 | Furosemidum - 1 |
|____|__________|___________________________________|
| 6.| C03D A01 | Spironolactonum - 1 |
|____|__________|___________________________________|
| 7.| C07A A05 | Propranololum - 1 |
|____|__________|___________________________________|
| 8.| H02A B04 | Methylprednisolonum - 2 |
|____|__________|___________________________________|
| 9.| H02A B07 | Prednisonum - 1 |
|____|__________|___________________________________|
| 10.| J01C A01 | Ampicillinum - 1 |
|____|__________|___________________________________|
| 11.| J01M A02 | Ciprofloxacinum - 2 |
|____|__________|___________________________________|
| 12.| J01M A06 | Norfloxacinum - 1 |
|____|__________|___________________________________|
| 13.| J05A F05 | Lamivudinum*) - 1 |
|____|__________|___________________________________|
| 14.| L04A X01 | Azatioprinum - 1 |
|____|__________|___________________________________|
| 15.| V03A C01 | Deferoxaminum - 1 |
|____|__________|___________________________________|
*) Cu confirmarea etiologiei virale si cu prescrierea numai cu avizul
comisiei terapeutice de la nivelul spitalului.
6. HIV/SIDA
Conform Hotararii Guvernului nr. 41/2002 privind derularea programelor
finantate din bugetul Ministerului Sanatatii si Familiei si din bugetul
Fondului de asigurari sociale de sanatate, in anul 2002, (art. 10 alin. 3),
medicamentele vor fi asigurate prin farmaciile apartinand unitatilor sanitare,
prin care acestea se deruleaza - Program National HIV/SIDA.
7. TALASEMIE
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| V03A C01 | Deferoxaminum |
|____|__________|___________________________________|
8. LEUCEMII, LIMFOAME SI APLAZIE MEDULARA; TUMORI MALIGNE
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| A03F A01 | Metoclopramidum - 1 |
|____|__________|___________________________________|
| 2.| A04A A01 | Ondansetronum - 1 |
|____|__________|___________________________________|
| 3.| A04A A02 | Granisetronum - 2 |
|____|__________|___________________________________|
| 4.| B03X A01 | Epoetinum - 2 |
|____|__________|___________________________________|
| 5.| H01B A02 | Desmopressinum - 2 |
|____|__________|___________________________________|
| 6.| H02A B02 | Dexamethasonum - 1 |
|____|__________|___________________________________|
| 7.| H03A A01 | Levothyroxinum - 2 |
|____|__________|___________________________________|
| 8.| L01A C01 | Thiotepum - 2 |
|____|__________|___________________________________|
| 9.| L01D B02 | Daunorubicinum - 2 |
|____|__________|___________________________________|
| 10.| L02B G02 | Formestanum - 2 |
|____|__________|___________________________________|
| 11.| L04A A01 | Ciclosporinum - 2 |
|____|__________|___________________________________|
| 12.| N02A A01 | Morphinum - 1 |
|____|__________|___________________________________|
| 13.| N02A A08 | Dihydrocodeinum - 1 |
|____|__________|___________________________________|
| 14.| N02A B02 | Pethidinum - 1 |
|____|__________|___________________________________|
| 15.| N02A D01 | Pentazocinum - 2 |
|____|__________|___________________________________|
| 16.| N02A X02 | Tramadolum - 1 |
|____|__________|___________________________________|
| 17.| N03A F01 | Carbamazepinum - 2 |
|____|__________|___________________________________|
| 18.| N05A N01 | Lithii carbonas - 1 |
|____|__________|___________________________________|
| 19.| N07B C02 | Methadonum - 1 |
|____|__________|___________________________________|
| 20.| R05D A04 | Codeinum - 1 |
|____|__________|___________________________________|
| 21.| V03A F01 | Mesnum - 2 |
|____|__________|___________________________________|
Nota:
Medicamentele (D.C.I.) aferente grupei "Leucemii, limfoame si aplazie
medulara" sunt listate impreuna cu cele corespunzatoare grupei
"Tumori maligne" datorita faptului ca un numar mare de produse sunt
comune celor doua grupe.
Optiunea 1 semnifica: Se vor prescrie de catre medicul specialist oncolog.
Optiunea 2 semnifica: Se vor prescrie de seful Sectiei de Oncologie sau
Comisiile de specialitate.
Conform Hotararii Guvernului nr. 41/2002 privind derularea programelor
finantate din bugetul Ministerului Sanatatii si Familiei si din bugetul
Fondului de asigurari sociale de sanatate, in anul 2002, (art. 10 alin. 3),
produsele chimioterapice antineoplazice, imunomodulatoare, hormoni, factori de
crestere inhibitori de osteoclaste, se elibereaza prin farmaciile apartinand
unitatilor sanitare prin care acestea se deruleaza - Program National de
Cancer.
9. EPILEPSIE
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| N03A A02 | Phenobarbitalum - 1 |
|____|__________|___________________________________|
| 2.| N03A A03 | Primidonum - 1 |
|____|__________|___________________________________|
| 3.| N03A B02 | Phenitoinum - 1 |
|____|__________|___________________________________|
| 4.| N03A D01 | Ethosuximidum - 1 |
|____|__________|___________________________________|
| 5.| N03A E01 | Clonazepamum - 1 |
|____|__________|___________________________________|
| 6.| N03A F01 | Carbamazepinum - 1 |
|____|__________|___________________________________|
| 7.| N03A G01 | Acidum valproicum si saruri - 1 |
|____|__________|___________________________________|
| 8.| N03A X09 | Lamotriginum - 1 |
|____|__________|___________________________________|
| 9.| N03A X11 | Topiramatum - 1 |
|____|__________|___________________________________|
| 10.| N03A X12 | Gabapentinum - 2 |
|____|__________|___________________________________|
10. BOALA PARKINSON
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| N04A A01 | Trihexyphenidilum - 1 |
|____|__________|___________________________________|
| 2.| N04A A02 | Biperidenum - 1 |
|____|__________|___________________________________|
| 3.| N04B A02 | Levodopum + Carbidopum - 1 |
|____|__________|___________________________________|
| 4.| N04B A02 | Levodopum + Benserazidum - 1 |
|____|__________|___________________________________|
| 5.| N04B B01 | Amantadinum - 2 |
|____|__________|___________________________________|
| 6.| N04B C01 | Bromocriptinum - 2 |
|____|__________|___________________________________|
| 7.| N04B C04 | Ropinirolum - 1 |
|____|__________|___________________________________|
| 8.| N04B C05 | Pramipexolum - 1 |
|____|__________|___________________________________|
| 9.| N04B D01 | Selegilinum - 1 |
|____|__________|___________________________________|
| 10.| N04B X02 | Entacaponum*) - 2 |
|____|__________|___________________________________|
| 11.| N05A H02 | Clozapinum*) |
|____|__________|___________________________________|
*) Se vor prescrie cu avizul Comisiilor Institutelor de specialitate sau
din Centrele Universitare.
*) Parkinsonian cu tulburari psihotice.
11. MIOPATII (MIOPATIILE INFLAMATORII)
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| H02A B02 | Dexametazonum - 2 |
|____|__________|___________________________________|
| 2.| H02A B04 | Methilprednisolonum - 2 |
|____|__________|___________________________________|
| 3.| H02A B07 | Prednisonum - 1 |
|____|__________|___________________________________|
| 4.| L01A A01 | Cyclophosphamidum - 1 |
|____|__________|___________________________________|
| 5.| L01B A01 | Methotrexatum - 2 |
|____|__________|___________________________________|
| 6.| L04A X01 | Azatioprinum - 2 |
|____|__________|___________________________________|
| 7.| P01B A02 | Hydroxicloroquinum - 2 |
|____|__________|___________________________________|
12. MIASTENIA GRAVIS
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| H01A A02 | Tetracosactidum - 2 |
|____|__________|___________________________________|
| 2.| H02A B02 | Dexamethasonum - 2 |
|____|__________|___________________________________|
| 3.| H02A B04 | Methylprednisolonum - 2 |
|____|__________|___________________________________|
| 4.| H02A B07 | Prednisonum - 1 |
|____|__________|___________________________________|
| 5.| L04A X01 | Azathioprinum - 2 |
|____|__________|___________________________________|
| 6.| N07A A01 | Neostigmini bromidum - 1 |
|____|__________|___________________________________|
| 7.| N07A A02 | Piridostigminum - 1 |
|____|__________|___________________________________|
13. SCLEROZA MULTIPLA
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| H02A B04 | Methylprednisolonum - 1 |
|____|__________|___________________________________|
| 2.| H02A B07 | Prednisonum - 1 |
|____|__________|___________________________________|
| 3.| L01B A01 | Methotrexatum - 2 |
|____|__________|___________________________________|
| 4.| L03A B07 | Interferonum Beta 1a*) - 1 |
|____|__________|___________________________________|
| 5.| L03A B08 | Interferonum Beta 1b*) - 1 |
|____|__________|___________________________________|
| 6.| L03A X13 | Glatiramer acetat*) - 1 |
|____|__________|___________________________________|
| 7.| L04A X01 | Azathioprinum - 2 |
|____|__________|___________________________________|
*) Se vor prescrie cu avizul Comisiilor Institutelor de specialitate sau
din Centrele Universitare.
14. BOLI PSIHICE (Schizofrenie, tulburari schizotipale si delirante,
tulburari afective, psihoze toxice si infectioase, tulburari psihotice acute,
dementele degenerative de tip Alzheimer, vasculare si mixte)
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| N03A F01 | Carbamazepinum - 1 |
|____|__________|___________________________________|
| 2.| N03A G01 | Acidum valproicum si saruri*) - 1 |
|____|__________|___________________________________|
| 3.| N04A A01 | Trihexyphenidilum - 1 |
|____|__________|___________________________________|
| 4.| N04A A02 | Biperidenum - 2 |
|____|__________|___________________________________|
| 5.| N04B D01 | Selegilinum*) - 2 |
|____|__________|___________________________________|
| 6.| N05A D01 | Haloperidolum - 1 |
|____|__________|___________________________________|
| 7.| N05A F01 | Flupentixolum*) - 1 |
|____|__________|___________________________________|
| 8.| N05A F05 | Zuclopentixolum*) - 1 |
|____|__________|___________________________________|
| 9.| N05A H02 | Clozapinum*) - 1 |
|____|__________|___________________________________|
| 10.| N05A H03 | Olanzapinum*) - 1 |
|____|__________|___________________________________|
| 11.| N05A H04 | Quetiapinum*) - 1 |
|____|__________|___________________________________|
| 12.| N05A L05 | Amisulpridum*) - 1 |
|____|__________|___________________________________|
| 13.| N05A N01 | Lithii carbonas - 1 |
|____|__________|___________________________________|
| 14.| N05A X08 | Risperidonum*) - 2 |
|____|__________|___________________________________|
| 15.| N06A A04 | Clomipraminum*) - 1 |
|____|__________|___________________________________|
| 16.| N06A A09 | Amitriptylinum - 1 |
|____|__________|___________________________________|
| 17.| N06A A12 | Doxepinum - 1 |
|____|__________|___________________________________|
| 18.| N06A A21 | Maprotilinum - 1 |
|____|__________|___________________________________|
| 19.| N06A X03 | Mianserinum - 1 |
|____|__________|___________________________________|
| 20.| N06D A02 | Donepezilum*) - 1 |
|____|__________|___________________________________|
| 21.| N06D A03 | Rivastigminum*) - 1 |
|____|__________|___________________________________|
*) Vor fi prescrise numai de medicul specialist psihiatru.
*) Prescriere numai cu avizul comisiei terapeutice de la nivelul spitalului
15. LUPUS ERITEMATOS SISTEMIC
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| H02A B04 | Methylprednisolonum - 2 |
|____|__________|___________________________________|
| 2.| H02A B07 | Prednisonum - 1 |
|____|__________|___________________________________|
| 3.| L01A A01 | Cyclophosphamidum - 2 |
|____|__________|___________________________________|
| 4.| L01B A01 | Methotrexatum*) - 2 |
|____|__________|___________________________________|
| 5.| L04A A01 | Ciclosporinum - 2 |
|____|__________|___________________________________|
| 6.| L04A A06 | Mycophenolatum - 2 |
|____|__________|___________________________________|
| 7.| L04A X01 | Azathioprinum - 1 |
|____|__________|___________________________________|
| 8.| P01B A02 | Hydroxicloroquinum - 1 |
|____|__________|___________________________________|
*) Prescriere numai cu avizul comisiei terapeutice de la nivelul
spitalului.
16. POLIARTRITA REUMATOIDA
_____________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|_____________________________________|
| 1.| A07E C01 | Sulphasalazinum - 1 |
|____|__________|_____________________________________|
| 2.| H02A B01 | Bethamethazonum - 1 |
|____|__________|_____________________________________|
| 3.| H02A B04 | Methylprednisolonum - 2 |
|____|__________|_____________________________________|
| 4.| H02A B07 | Prednisonum - 1 |
|____|__________|_____________________________________|
| 5.| L01B A01 | Methotrexatum - 1 |
|____|__________|_____________________________________|
| 6.| L04A A01 | Ciclosporinum*) - 2 |
|____|__________|_____________________________________|
| 7.| L04A A12 | Infliximabum*)*) - 2 |
|____|__________|_____________________________________|
| 8.| L04A A13 | Leflunomidum*) - 2 |
|____|__________|_____________________________________|
| 9.| L04A X01 | Azathioprinum - 2 |
|____|__________|_____________________________________|
| 10.| M01A B01 | Indometacinum - 1 |
|____|__________|_____________________________________|
| 11.| M01BXN2 | Combinatii: |
| | | Diclofenacum + Misoprostolum*) - 2|
|____|__________|_____________________________________|
| 12.| M01A B05 | Diclofenacum - 1 |
|____|__________|_____________________________________|
| 13.| M01A C01 | Piroxicamum - 1 |
|____|__________|_____________________________________|
| 14.| M01A E03 | Ketoprofenum - 1 |
|____|__________|_____________________________________|
| 15.| M01C B01 | Natrii aurothiomalas - 2 |
|____|__________|_____________________________________|
| 16.| P01B A02 | Hydroxichloroquinum - 2 |
|____|__________|_____________________________________|
*) Infliximabum: la pacientii cu poliartrita reumatoida severa care nu
raspund adecvat la metotrexat se asociaza infliximabum, cu aprobarea comisiei
de specialitate.
*) Leflunomidum: contraindicatie sau precautie la cei cu leziuni hepatice
preexistente (EMEA);
se administreaza la pacientii cu poliartrita reumatoida care nu raspund
adecvat la metotrexat sau sulfasalazina.
*) Se prescrie la pacientii care nu tolereaza celelalte antiinflamatoare
din lista.
*) Prescriere numai cu avizul comisiei terapeutice de la nivelul
spitalului.
17. SPONDILITA ANKILOPOETICA
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| A07E C01 | Sulphasalazinum - 1 |
|____|__________|___________________________________|
| 2.| H02A B01 | Bethamethazonum - 1 |
|____|__________|___________________________________|
| 3.| L01B A01 | Methotrexatum - 2 |
|____|__________|___________________________________|
| 4.| M01A B05 | Diclofenacum - 1 |
|____|__________|___________________________________|
| 5.| M01A C01 | Piroxicamum - 1 |
|____|__________|___________________________________|
| 6.| M01A C06 | Meloxicamum - 2 |
|____|__________|___________________________________|
| 7.| M01A X17 | Nimesulidum - 1 |
|____|__________|___________________________________|
18. CHISTUL HIDATIC
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| P02B A01 | Praziquantelum - 1 |
|____|__________|___________________________________|
| 2.| P02C A03 | Albendazolum - 1 |
|____|__________|___________________________________|
19. MALARIE
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| P01B A02 | Hydroxicloroquinum - 2 |
|____|__________|___________________________________|
20. TUBERCULOZA, MICROBACTERIOZELE ATIPICE SI MUCOVISCIDOZA*)
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| A11H A02 | Pyridoxinum - 2 |
|____|__________|___________________________________|
| 2.| H02A B07 | Prednisonum - 2 |
|____|__________|___________________________________|
| 3.| J01F A09 | Clarithromycinum - 2 |
|____|__________|___________________________________|
| 4.| J01G A01 | Streptomycinum - 2 |
|____|__________|___________________________________|
| 5.| J01G B04 | Kanamycinum - 2 |
|____|__________|___________________________________|
| 6.| J01G B06 | Amikacinum - 2 |
|____|__________|___________________________________|
| 7.| J01M A01 | Ofloxacinum - 2 |
|____|__________|___________________________________|
| 8.| J01M A02 | Ciprofloxacinum - 2 |
|____|__________|___________________________________|
| 9.| J04A B01 | Cycloserinum - 2 |
|____|__________|___________________________________|
| 10.| J04A B02 | Rifampicinum - 1 |
|____|__________|___________________________________|
| 11.| J04A B04 | Rifabutinum - 2 |
|____|__________|___________________________________|
| 12.| J04A C01 | Isoniazidum - 1 |
|____|__________|___________________________________|
| 13.| J04A D01 | Protionamidum - 2 |
|____|__________|___________________________________|
| 14.| J04A K01 | Pyrazinamidum - 1 |
|____|__________|___________________________________|
| 15.| J04A K02 | Ethambutolum - 2 |
|____|__________|___________________________________|
| 16.| J04A M02 | Combinatii: |
| | | Rifampicinum+Isoniazidum - 1 |
| | | Rifampicinum+Isoniazidum+ |
| | | +Pirazinamidum - 1 |
|____|__________|___________________________________|
*) Pentru mucoviscidoza se indica antibioterapie in functie de
susceptibilitatea bacteriana, medicatie mucolitica, bronhodilatatoare si
corticoizi.
21. TUMORI MALIGNE
Medicamentele aferente grupei "Tumori maligne" sunt incluse in
grupa "Leucemii, limfoame si aplazia medulara"
22. DIABET ZAHARAT SI BOLI DE NUTRITIE
Conform Hotararii Guvernului nr. 41/2002 privind derularea programelor
finantate din bugetul Ministerului Sanatatii si Familiei si din bugetul
Fondului de asigurari sociale de sanatate, in anul 2002, (art. 10 alin. 3),
medicamentele vor fi asigurate prin farmaciile apartinand unitatilor sanitare
prin care acestea se deruleaza - Program de diabet si boli de nutritie.
23. BOLI ENDOCRINE (Gusa endemica, boala Addison, diabetul insipid,
mixedemul adultului)
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| C03D A01 | Spironolactonum - 1 |
|____|__________|___________________________________|
| 2.| G02C B01 | Bromocriptinum hydrochloridum - 1 |
|____|__________|___________________________________|
| 3.| H02A A02 | Fludrocortizonum - 1 |
|____|__________|___________________________________|
| 4.| H02A B09 | Hydrocortizonum - 1 |
|____|__________|___________________________________|
| 5.| H02A D07 | Prednisonum - 1 |
|____|__________|___________________________________|
| 6.| H03A A01 | Levothyroxinum |
|____|__________|___________________________________|
| 7.| H01B A02 | Desmopressinum - 1 |
|____|__________|___________________________________|
| 8.| H03C A | Iodidum - 1 |
|____|__________|___________________________________|
| 9.| H03C A01 | Kalii iodidum - 1 |
|____|__________|___________________________________|
| 10.| L02B G01 | Aminoglutethimidum - 1 |
|____|__________|___________________________________|
24. BOALA WILLSON
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| M01C C01 | Penicillaminum |
|____|__________|___________________________________|
25. STARI POST TRANSPLANT
____________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|____________________________________|
| 1.| A05A A02 | Acidum ursodeoxycholicum - 1 |
|____|__________|____________________________________|
| 2.| H02A B04 | Methylprednisolonum |
|____|__________|____________________________________|
| 3.| H02A B07 | Prednisonum - 1 |
|____|__________|____________________________________|
| 4.| J01E E01 | Sulphamethoxazolum + Trimethoprimum|
|____|__________|____________________________________|
| 5.| J02A C01 | Fluconazolum - 1 |
|____|__________|____________________________________|
| 6.| J05A B01 | Aciclovirum - 2 |
|____|__________|____________________________________|
| 7.| J05A B06 | Ganciclovirum - 2 |
|____|__________|____________________________________|
| 8.| J05A F05 | Lamivudinum - 1 |
|____|__________|____________________________________|
| 9.| L04A A01 | Ciclosporinum*) - 1 |
|____|__________|____________________________________|
| 10.| L04A A05 | Tacrolimus*) |
|____|__________|____________________________________|
| 11.| L04A A06 | Mycophenolatum - 2 |
|____|__________|____________________________________|
| 12.| L04A A10 | Sirolimus*) |
|____|__________|____________________________________|
| 13.| L04A X01 | Azathioprinum - 1 |
|____|__________|____________________________________|
*) Se vor prescrie cu avizul centrului care a efectuat transplantul.
*) Prescrierea numai cu avizul comisiei terapeutice de la nivelul
spitalului.
26. INSUFICIENTA RENALA CRONICA
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| A11C C03 | Alfacalcidolum - 2 |
|____|__________|___________________________________|
| 2.| B03X A01 | Erythropoietinum*) (Epoetinum) |
|____|__________|___________________________________|
*) Se vor prescrie cu avizul Comisiilor Institutelor de specialitate sau
din Centrele Universitare.
27. GLAUCOM
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| S01E B01 | Pilocarpinum - 1 |
|____|__________|___________________________________|
| 2.| S01E C01 | Acetazolamidum - 1 |
|____|__________|___________________________________|
| 3.| S01E C03 | Dorzolamidum - 2 |
|____|__________|___________________________________|
| 4.| S01E C04 | Brinzolamidum - 2 |
|____|__________|___________________________________|
| 5.| S01E D01 | Timololum - 1 |
|____|__________|___________________________________|
| 6.| S01E D02 | Betaxololum - 2 |
|____|__________|___________________________________|
| 7.| S01E D05 | Carteololum - 1 |
|____|__________|___________________________________|
| 8.| S01E X03 | Latanoprostum - 1 |
|____|__________|___________________________________|
28. BOLI VENERICE*) [Sifilis, gonoree, infectia cu Clamidia*)]
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| J01A A02 | Doxycyclinum |
|____|__________|___________________________________|
| 2.| J01A A07 | Tetracyclinum |
|____|__________|___________________________________|
| 3.| J01C E01 | Benzylpenicillinum |
|____|__________|___________________________________|
| 4.| J01C E08 | Benzathini benzylpenicillinum |
|____|__________|___________________________________|
| 5.| J01C E09 | Benzylpenicillinum procainicum |
|____|__________|___________________________________|
| 6.| J01D A06 | Cefuroximum |
|____|__________|___________________________________|
| 7.| J01D A13 | Ceftriaxonum |
|____|__________|___________________________________|
| 8.| J01D A39 | Ceftibutenum |
|____|__________|___________________________________|
| 9.| J01E E01 | Sulfamethoxazolum + Trimethoprimum|
|____|__________|___________________________________|
| 10.| J01F A01 | Erythromicinum |
|____|__________|___________________________________|
| 11.| J01F A07 | Josamycinum |
|____|__________|___________________________________|
| 12.| J01F A10 | Azithromycinum |
|____|__________|___________________________________|
| 13.| J01M A01 | Ofloxacinum |
|____|__________|___________________________________|
| 14.| J01M A02 | Ciprofloxacinum |
|____|__________|___________________________________|
| 15.| J01M A06 | Norfloxacinum |
|____|__________|___________________________________|
*) Confirmata de laborator
*) Prescrierea se va face in conformitate cu ghidul de diagnostic si
tratament al infectiilor transmise sexual.
29. PEMFIGUS
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| H01A A02 | Tetracosactidum - 1 |
|____|__________|___________________________________|
| 2.| H02A B02 | Dexamethazonum - 1 |
|____|__________|___________________________________|
| 3.| H02A B04 | Methylprednisolonum - 1 |
|____|__________|___________________________________|
| 4.| H02A B06 | Prednisolonum - 1 |
|____|__________|___________________________________|
| 5.| H02A B07 | Prednisonum - 1 |
|____|__________|___________________________________|
| 6.| H02A B08 | Triamcinolonum - 1 |
|____|__________|___________________________________|
| 7.| H02A B09 | Hydrocortizonum - 1 |
|____|__________|___________________________________|
| 8.| J04B A02 | Dapsonum - 2 |
|____|__________|___________________________________|
| 9.| L01A A01 | Cyclophosphamidum - 2 |
|____|__________|___________________________________|
| 10.| L01B A01 | Methotrexatum - 2 |
|____|__________|___________________________________|
| 11.| L04A A01 | Ciclosporinum*) - 2 |
|____|__________|___________________________________|
| 12.| L04A X01 | Azathioprinum - 2 |
|____|__________|___________________________________|
*) Prescriere numai cu avizul comisiei terapeutice de la nivelul
spitalului.
30. PELAGRA
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| A11H A01 | Acidum nicotinicum - 1 |
|____|__________|___________________________________|
31. BOALA GAUCHER
___________________________________________________
|Nr. | Grupa | D.C.I. |
|crt.| ATC | |
|____|__________|___________________________________|
| 1.| A16A B02 | Imiglucerasum*) - 1 |
|____|__________|___________________________________|
*) Dupa precizarea diagnosticului de catre Centrul de Boli Genetice -
Cluj-Napoca va putea fi prescris de catre sefii clinicilor universitare de
profil (Endocrinometabolice sau gastroenterologice), sau de catre sefii
sectiilor respective de la nivelul spitalului judetean.
Nota:
Cifra 1 semnifica prima optiune terapeutica
Cifra 2 semnifica a doua optiune terapeutica, care se prescrie in cazul
ineficientei primei optiuni, aparitiei unor efecte adverse, necesitatii
asocierii cu medicamente din prima optiune terapeutica sau in cazul altor
considerente, bine fundamentate din punct de vedere medical, precizate in
cadrul
unei scrisori medicale justificative emisa de medicul specialist din
ambulatoriu de specialitate sau din spital si care se anexeaza fisei de
evidenta pacientului respectiv.
Ambele categorii de medicamente apartinand celor doua optiuni vor fi
prescrise de medicul specialist (atunci cand nu exista alte precizari dupa
fiecare boala cronica), continuarea tratamentului putand fi efectuata si de
medicul de familie.
ANEXA 2
LISTA DENUMIRILOR COMUNE INTERNATIONALE ALE PRODUSELOR MEDICAMENTOASE DE
CARE BENEFICIAZA ASIGURATII, IN AMBULATORIU CU CONTRIBUTIE PERSONALA
A02B BISMUTHI SUBCITRAS 1-a
A02B FAMOTIDINUM 1-a
A02B LANSOPRAZOLUM 1-a
A02B NIZATIDINUM 1-b
A02B OMEPRAZOLUM 1-a
A02B PANTOPRAZOLUM 1-b
A02B RANITIDINUM 1-a
A02B SUCRALFATUM 2-a
A03A MEBEVERINUM 1-a
A03A OTILONIUM BROMIDUM 1-b
A03A PROPANTHELINI BROMIDUM 1-a
A03A TRIMEBUTINUM 1-b
A03B BUTYLSCOPOLAMMONII BROMIDUM 1-a
A03F DOMPERIDONUM 2-b
A03F METOCLOPRAMIDUM 1-a
A04A PROCHLORPERAZINUM 1-a
A07A NYSTATINUM 1-a
A07D LOPERAMIDUM 1-a
A07E MESALAZINUM - numai in caz de 1-a
intoleranta la SULFASALAZINUM
A07E SULFASALAZINUM 1-a
A11C ALFACALCIDOLUM 2-b
A11C COLECALCIFEROLUM 1-b
B01A ACENOCOUMAROLUM 1-a
B01A CLOPIDOGRELUM - pentru pacientii cu 2-b
intoleranta la aspirina
B01A SULODEXIDUM 2-b
B01A TICLOPIDINUM - pentru pacientii cu 2-a
intoleranta la aspirina
B02B PHYTOMENADIONUM 1-a
B03A COMPLEX DE HIDROXID DE FIER (III) 2-a
B03A FERROSII FUMARAS 1-a
B03A FERROSII GLUTAMAS 1-a
B03A FERROSII SULFAS 1-a
C01A DIGOXINUM 1-a
C01B AMIODARONUM 1-a
C01B CHINIDINI SULFAS 1-a
C01B MEXILETINUM 1-a
C01B PROPAFENONUM 1-a
C01D ISOSORBIDI DINITRAS 1-a
C01D ISOSORBIDI MONON ITRAS 1-a
C01D NITROGLYCERINUM 1-a
C01E TRIMETAZIDINUM 1-a
C02A CLONIDINUM 1-a
C02A METHYLDOPUM 2-a
C02A MOXONIDINUM 2-a
C02C PRAZOSINUM 1-b
C02D DIHYDRALAZINUM - in combinatii 2-a
C0SA HYDROCHLOROTHIAZIDUM 1-a
C03B INDAPAMIDUM 1-a
C03C FUROSEMIDUM 1-a
C03D SPIRONOLACTONUM 1-a
C04A CODERGOCRINUM 2-a
C04A NICERGOLINUM 2-a
C04A PENTOXIFYLLINUM 2-a
C04A VINCAMINUM 2-a
C05C DIOSMINUM - simplu si in combinatii 2-a
C07A ATENOLOLUM 1-a
C07A BETAXOLOLUM 1-b
C07A BISOPROLOLUM 1-b
C07A CARVEDILOLUM 1-b
C07A METOPROLOLUM 1-a
C07A NEBIVOLOLUM 1-b
C07A PROPRANOLOLUM 1-a
C07A SOTALOLUM - numai ca antiaritmic 1-a
C08C AMLODIPINUM 1-b
C08C FELODIPINUM 1-a
C08C NIFEDIPINUM cu eliberare prelungita 1-a
C08C LERCANIDIPINUM 1-a
C08D DILTIAZEMUM 1-a
C08D VERAPAMILUM 1-a
C09A CAPTOPRILUM 1-a
C09A ENALAPRILUM 1-a
C09A FOSINOPRILUM 1-b
C09A LISINOPRILUM 1-a
C09A PERINDOPRILUM 1-b
C09A QUINAPRILUM 1-b
C09A RAMIPRILUM 1-b
C09A BENAZEPRILUM 1-b
C09A TRANDOLAPRILUM 1-b
C09C CANDESARTANUM 2-b
C09C IRBESARTANUM 2-b
C09C LOZARTANUM 2-b
C09C TELMISARTANUM 2-b
C09C VALSARTANUM 2-b
C10A ATORVASTATINUM 1-b
C10A CIPROFIBRATUM 1-b
C10A BEZAFIBRATUM 1-a
C10A GEMFIBROZILUM 1-a
C10A FENOFIBRATUM 1-a
C10A FLUVASTATINUM 1-b
C10A PRAVASTATINUM 1-b
C10A SIMVASTATINUM 1-a
D01A BIFONAZOLUM 1-a
D01A MICONAZOLUM 1-a
D01A NAFTIFINUM 1-b
D01A NATAMYCINUM 1-b
D01B GRISEOFULVINUM 1-a
D01B TERBINAFINUM 1-b
D05A CALCIPOTRIOLUM 1-b
D05B METHOXALENUM 1-b
D06A MUPIROCINUM 1-b
D06B PODOPHYLLOTOXINUM 1-a
D06B SULFADIAZINUM 1-b
D07A CLOBETASOLUM 1-a
D07A FLUMETASONUM 1-a
D07A HYDROCORTIZONUM 1-a
D07A METHYLPREDNISOLONUM 1-b
D07A TRIAMCINOLONUM ACETONID 1-a
D07X MOMETASONUM 1-b
D10A ACIDUM AZELAICUM 1-b
D10B ISOTRETINOINUM 1-b
G01A FENTICONAZOLUM 2-b
G02A METHYLERGOMETRINUM 1-a
G02C BROMOCRIPTINUM 1-a
G03A MEDROXYPROGESTERONUM 1-a
G03B TESTOSTERONUM 1-a
G03C ESTRADIOLUM 1-a
G03C ESTRIOLUM 1-a
G03C HEXESTROLUM 2-a
G03C PROMESTRIENUM 2-b
G03D LYNESTRENOLUM 1-a
G03D PROGESTERONUM 1-a
G03D DYDROGESTERONUM 2-b
G03F (G03C) ESTROGENI CONJUGATI - 1-a
simpli si combinatii
G03G CLOMIFENUM 1-a
G03X RALOXIFENUM*) 1-b
G04B EMEPRONII BROMIDUM 1-b
G04B OXYBUTYNINUM 1-b
G04C ALFUZOSINUM 1-b
G04C DOXAZOSINUM 1-a
G04C FINASTERIDUM 1-b
G04C TAMSULOSINUM 1-b
G04C TERAZOSINUM 1-a
H01A TETRACOSACTIDUM 1-b
H02A BETAMETHASONUM 1-b
H02A DEXAMETHASONUM 1-a
H02A FLUDROCORTISONUM 2-b
H02A HYDROCORTISONUM 2-a
H02A METHYLPREDNISOLONUM 1-a
H02A PREDNISOLONUM 1-a
H02A PREDNISONUM 1-a
H03A LEVOTHYROXINUM 1-a
H03A LIOTIRONINUM 1-a
H03B CARBIMAZOLUM 1-a
H03B THIAMAZOLUM 1-a
H05B CALCITONINUM*) 1-a
------------
*) Cu avizul sefului de sectie din spital sau a medicului specialist, in
ambulatoriu.
J01A DOXYCYCLINUM 1-a
J01A TETRACYCLINUM 1-a
J01C AMOXICILLINUM 1-a
J01C AMOXICILLINUM + ACIDUM CLAVULANICUM 2-a
J01C AMPICILLINUM 1-a
J01C BENZATHINI BENZYLPENICILLINUM 1-a
J01C BENZYLPENICILLINUM 1-a
J01C OXACILLINUM 1-a
J01C PHENOXYMETHYLPENICILLINUM 1-a
J01C SULTAMICILLINUM 2-a
J01D CEFACLORUM 1-a
J01D CEFALEXINUM (ORAL) 1-a
J01D CEFTIBUTENUM (ORAL) 2-b
J01D CEFUROXIMUM (ORAL) 1-a
J01E SULFAMETHOXAZOLUM + TRIMETHOPRIMUM 1-a
J01F AZITHROMICINUM 2-b
J01F CLARITHROMYCINUM 2-a
J01F CLINDAMYCINUM 2-a
J01F ERYTROMYCINUM 1-a
J01G GENTAMICINUM 1-a
J01M CIPROFLOXACINUM 1-a
J01M NORFLOXACINUM 1-a
J01X METRONIDAZOLUM 1-a
J01X TINIDAZOLUM 1-a
J02A FLUCONAZOLUM (ORAL) 1-a
J02A ITRACONAZOLUM 1-b
J02A KETOCONAZOLUM 1-a
J05A ACICLOVIRUM 1-a
J01M OFLOXACINUM 1-a
M01A CELECOXIBUM*) 2-b
M01A DICLOFENACUM 1-a
M01A INDOMETACINUM 1-a
M01A KETOPROFENUM 1-a
M01A MELOXICAMUM 2-b
M01A NIMESULIDUM 1-a
M01A PIROXICAMUM 1-a
M01A ROFECOXIBUM*) 2-b
M01A TENOXICAMUM 1-a
M03B BACLOFENUM 2-a
M03B TETRAZEPAMUM 1-a
M04A ALLOPURINOLUM 1-a
M04A COLCHICINUM 1-a
M05B ACIDUM ALENDRONICUM*) 1-b
M05B ACIDUM PAMIDRONICUM*) - numai pentru
boala Paget 1-b, in rest 2-b
-------------
*) Daca nu sunt tolerate antiinflamatoarele de prima alegere
*) Cu avizul Comisiilor de Specialitate
N02A TRAMADOLUM 1-a
N02C SUMATRIPTANUM 1-b
N02C RIZATRIPTANUM 1-b
N03A CARBAMAZEPINUM 1-a
N05A CHLORPROMAZINUM 1-a
N05A HALOPERIDOLUM 1-a
N05A SULPIRIDUM*) 2-b
N05A TIAPRIDUM*) 1-b
N05A THIORIDAZINUM 1-a
N05A TRIFLUOPERAZINUM 1-a
N05B ALPRAZOLAMUM 1-a
N05B BROMAZEPAMUM 1-a
N05B DIAZEPAMUM 1-a
N05B HYDROXYZINUM 1-a
N05B MEDAZEPAMUM 2-a
N05B OXAZEPAMUM 2-a
N05C NITRAZEPAMUM 1-a
N05C ZOLPIDEMUM 1-b
N05C ZOPICLONUM 1-b
N06A FLUVOXAMINUM*) 2-a
N06A FLUOXETINUM*) 1-a
N06A IMIPRAMINUM 1-a
N06A MILNACIPRANUM 2-b
N06A MIRTAZAPINUM*) 2-b
N06A PAROXETINUM*) 2-b
N06A REBOXETINUM 2-b
N06A SERTRALINUM*) 2-b
N06A TIANEPTINUM 2-b
N06A VENLAFAXINUM 2-b
N06B PRAMIRACETAMUM 2-a
N06B VINPOCETINUM 2-a
N06D GINKGO BILOBA (extract standardizat 2-b
conform Pharmacopeei Europene)
N07C BETAHISTINUM 1-a
N07X ACIDUM ALFA-LIPOICUM 1-a
N07X HIDROLIZAT DE PROTEINA DIN CREIER 2-b
DE PORCINA
------------
*) Vor fi prescrise numai de medicul specialist psihiatru.
P01B HYDROXYCHLOROQUINUM 1-b
P02B PRAZIQUANTELUM 1-a
P02C ALBENDAZOLUM 1-b
P02C LEVAMISOLUM 1-b
P02C MEBENDAZOLUM 1-a
R03A FENOTEROLUM 1-b
R03A SALBUTAMOLUM 1-a
R03A SALMETEROLUM 1-b
R03A SALMETEROLUM + FLUTICASONUM 1-b
R03A TERBUTALINUM 1-b
R03B ACIDUM CROMOGLICICUM 1-a
R03B BECLOMETHASONUM 1-a
R03B BUDESONIDUM 1-a
R03B FLUTICASONUM 1-b
R03B IPRATROPII BROMIDUM 2-a
R03D AMINOPHYLLINUM 1-a
R03D MONTELUKAST 1-b
R03D THEOPHILLINUM 1-a
R05D CODEINUM 1-a
R05D DEXTROMETHORPHANUM 2-a
R05D LEVODROPROPIZINUM 2-a
R06A CHLORPHENIRAMINUM (CHLORPHENAMINUM) 1-a
R06A FEXOFENADINUM 1-b
R06A KETOTIFENUM 1-a
R06A DESLORATADINUM 1-b
R06A LORATADINUM 1-a
R06A PROMETHAZINUM 1-a
R06A THIETHYLPERAZINUM 1-a
S01A CIPROFLOXACINUM 1-a
S01C TOBRAMICINUM + DEXAMETAZONUM 1-a
S01G ACIDUM CROMOGLICICUM 1-a
S01G EMEDASTINUM 1-b
Nota:
- Cifrele 1 si 2 reprezinta optiunea terapeutica;
Litera "a" reprezinta produse pentru care procentul de
compensare este de 65%;
Litera "b" reprezinta produse pentru care procentul de
compensare este de 50% .