HOTARARE Nr. 235 din 31 martie 2005
privind aprobarea pentru anul 2005 a listei cuprinzand denumirile comune
internationale ale medicamentelor din Nomenclatorul medicamentelor de uz uman,
de care beneficiaza asiguratii in tratamentul ambulatoriu, cu sau fara
contributie personala, pe baza de prescriptie medicala
ACT EMIS DE: GUVERNUL ROMANIEI
ACT PUBLICAT IN: MONITORUL OFICIAL NR. 278 din 4 aprilie 2005
In temeiul art. 108 din Constitutia Romaniei, republicata, 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, cu
modificarile si completarile ulterioare,
Guvernul Romaniei adopta prezenta hotarare.
Art. 1
(1) Pentru anul 2005 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 cuprinzand medicamentele prevazute la alin. (1) contine
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 in tratamentul ambulatoriu, cu sau fara contributie personala, pe
baza de prescriptie medicala, sunt cuprinse in anexa care face parte integranta
din prezenta hotarare.
Art. 2
(1) Procentul de compensare a medicamentelor corespunzatoare denumirilor
comune internationale prevazute in sublista A este de 90% din pretul de
referinta, al celor din sublista B este de 50% din pretul de referinta, iar al
celor din sublista C este de 100% din pretul de referinta.
(2) Pretul de referinta reprezinta pretul cel mai mic corespunzator
unitatii terapeutice aferente aceleiasi forme farmaceutice din cadrul aceleiasi
denumiri comune internationale (DCI) si pentru fiecare concentratie.
(3) In anul 2005 decontarea medicamentelor cuprinse in sublista A se face
in limita fondurilor aprobate Ministerului Sanatatii ca transferuri din bugetul
de stat catre bugetul Fondului national unic de asigurari sociale de sanatate,
prin Legea bugetului de stat pe anul 2005 nr. 511/2004.
Art. 3
(1) Pentru bolile cronice, medicii pot prescrie unui asigurat medicamente,
cu si fara contributie personala, cu urmatoarele restrictii:
a) pentru sublista A - o singura prescriptie, lunar, cu numar variabil de
medicamente cu valoarea totala calculata la pretul de vanzare cu amanuntul de
maximum 1.000.000 lei (100 RON), cu exceptia medicamentului notat cu #, care
poate fi inscris pe o singura prescriptie cu valoarea maxima a tratamentului pe
o luna mai mare de 1.000.000 lei (100 RON);
b) pentru sublistele B si C - cate o singura prescriptie, lunar, cu maximum
3 medicamente cu valoarea totala calculata la pretul de vanzare cu amanuntul de
maximum 3.000.000 lei (300 RON), cu exceptia medicamentelor notate cu #, care
pot fi inscrise pe o singura prescriptie cu valoarea maxima a tratamentului pe
o luna mai mare de 3.000.000 lei (300 RON).
(2) In cazul in care asiguratul beneficiaza de prescrierea unui medicament
din categoria celor notate cu #, cu exceptia celui notat cu # in sublista A,
acesta nu poate beneficia de o alta prescriere de medicamente din sublistele B
sau C.
(3) Un medic nu poate recomanda altui medic, prin scrisoare medicala,
prescrierea unor medicamente cu contributie personala pentru un asigurat, in
luna in care el insusi i-a emis asiguratului o astfel de prescriptie.
Art. 4
(1) Furnizorilor de servicii medicale din asistenta medicala primara, care
incalca regulile de prescriere prevazute la art. 3, li se diminueaza veniturile
realizate ca urmare a contractului de furnizare de servicii medicale, incheiat
cu casele de asigurari sociale de sanatate, prin retinerea sumei de 10 milioane
lei (1.000 RON).
(2) La repetarea faptei prevazute la alin. (1) in termen de 6 luni,
contractul de furnizare de servicii medicale, incheiat cu casele de asigurari
sociale de sanatate, se suspenda pe o perioada de un an, asiguratii inscrisi pe
lista acestui furnizor fiind redistribuiti pe aceasta perioada, in baza
optiunii acestora, de casele de asigurari sociale de sanatate.
(3) La repetarea faptei dupa perioada de suspendare, contractul de
furnizare de servicii medicale, incheiat cu casele de asigurari sociale de
sanatate, se reziliaza.
(4) Faptele si sanctiunile prevazute la alin. (1) - (3) se constata si se
aplica de catre persoane imputernicite de casele de asigurari sociale de
sanatate cu care furnizorul se afla in relatii contractuale.
Art. 5
(1) Furnizorilor de servicii medicale din asistenta medicala ambulatorie de
specialitate, care incalca regulile de prescriere prevazute la art. 3, li se
diminueaza veniturile realizate ca urmare a contractului de furnizare de
servicii medicale, incheiat cu casele de asigurari sociale de sanatate, prin
retinerea sumei de 10 milioane lei (1.000 RON).
(2) La repetarea faptei prevazute la alin. (1) intr-o perioada de 6 luni,
contractul de furnizare de servicii medicale se suspenda pe o perioada de 3
luni.
(3) Daca dupa reluarea relatiilor contractuale fapta se repeta, contractul
de furnizare de servicii medicale se suspenda pe o perioada de 6 luni.
(4) Faptele si sanctiunile prevazute la alin. (1) - (3) se constata si se
aplica de catre persoanele imputernicite de casele de asigurari sociale de
sanatate cu care furnizorul se afla in relatii contractuale.
Art. 6
Prescriptiile medicale pentru bolile cronice, inclusiv cele emise pana la
data intrarii in vigoare a prezentei hotarari, au valabilitate pe o perioada de
30 de zile calendaristice de la data emiterii.
Art. 7
La data intrarii in vigoare a prezentei hotarari se modifica in mod
corespunzator prevederile Contractului-cadru privind conditiile acordarii
asistentei medicale in cadrul sistemului de asigurari sociale de sanatate pe
anul 2005, aprobat prin Hotararea Guvernului nr. 52/2005, publicata in
Monitorul Oficial al Romaniei, Partea I, nr. 71 din 20 ianuarie 2005, si se
abroga Hotararea Guvernului nr. 1.417/2002 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, publicata in Monitorul Oficial al Romaniei,
Partea I, nr. 927 din 18 decembrie 2002, cu modificarile si completarile
ulterioare, precum si orice alte dispozitii contrare.
PRIM-MINISTRU
CALIN POPESCU-TARICEANU
Contrasemneaza:
Ministrul sanatatii,
Mircea Cinteza
p. Ministrul finantelor publice,
Sebastian Bodu,
secretar de stat
ANEXA 1*)
*) Anexa este reprodusa in facsimil.
Sublista A
Medicamente de baza cu nivel de compensare 90% din pretul de referinta
LISTA DENUMIRILOR COMUNE INTERNATIONALE ALE MEDICAMENTELOR DE CARE
BENEFICIAZA ASIGURATII, IN AMBULATORIU CU CONTRIBUTIE PERSONALA
1. A02B OMEPRAZOLUM
2. A03A MEBEVERINUM
3. A03F METOCLOPRAMIDUM
4. A04A PROCHLORPERAZINUM
5. A06A LACTULOSUM
6. A07A NYSTATINUM
7. A07A RIFAXIMINUM
8. A07D LOPERAMIDUM
9. A07E SULFASALAZINUM
10. B01A ACENOCOUMAROLUM
11. B01A TICLOPIDINUM - pentru pacientii cu intoleranta la aspirina
12. B02B PHYTOMENADIONUM
13. B03A COMPLEX DE HYDROXID DE FIER (III) (oral)
14. B03A FERROSII FUMARAS
15. B03A FERROSII GLUTAMAS
16. B03A FERROSII SULFAS
17. C01A DIGOXINUM
18. C01B AMIODARONUM
19. C01B PROPAFENONUM
20. C01D ISOSORBIDI DINITRAS
21. C01D ISOSORBIDI MONONITRAS
22. C01D NITROGLYCERINUM
23. C02A METHYLDOPUM
24. C03A HYDROCHLOROTHIAZIDUM
25. C03B INDAPAMIDUM
26. C03C FUROSEMIDUM
27. C03D SPIRONOLACTONUM simplu si in combinatii
28. C07A ATENOLOLUM
29. C07A BISOPROLOLUM
30. C07A CARVEDILOLUM
31. C07A METOPROLOLUM
32. C07A PROPRANOLOLUM
33. C07A SOTALOLUM
34. C08C AMLODIPINUM
35. C08C FELODIPINUM
36. C08C NIFEDIPINUM cu eliberare prelungita
37. C08D DILTIAZEMUM
38. C08D VERAPAMILUM
39. C09A CAPTOPRILUM
40. C09A ENALAPRILUM simplu si in combinatii cu hidroclorotiazida
41. C09A LISINOPRILUM
42. C10A FENOFIBRATUM
43. C10A SIMVASTATINUM
44. C10A LOVASTATINUM
45. D01A BIFONAZOLUM
46. D01A MICONAZOLUM
47. D07A CLOBETASOLUM*
48. D07A FLUMETASONUM
49. D07A HYDROCORTIZONUM
50. D07A TRIAMCINOLONUM ACETONID
51. G02A ERGOMETRINUM
52. G02C BROMOCRIPTINUM
53. G03B TESTOSTERONUM
54. G04C DOXAZOSINUM
55. G03C ESTRADIOLUM
56. G03C ESTRIOLUM
57. G03F (G03C) ESTROGENI - simpli si combinatii
58. H02A DEXAMETHASONUM
59. H02A HYDROCORTISONUM
60. H02A METHYLPREDNISOLONUM
61. H02A PREDNISONUM
62. H03B CARBIMAZOLUM
63. J01A DOXYCYCLINUM
64. J01A TETRACYCLINUM
65. J01C AMOXICILLINUM
66. J01C AMPICILLINUM
67. J01C BENZATHINI BENZYLPENICILLINUM
68. J01C BENZYLPENICILLINUM
69. J01C OXACILLINUM
70. J01C PHENOXYMETHYLPENICILLINUM
71. J01D CEFACLORUM
72. J01D CEFALEXINUM
73. J01D CEFUROXIMUM (ORAL)
74. J01E SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
75. J01F CLARITHROMYCINUM
76. J01F AZITHROMYCINUM
77. J01F ERYTROMYCINUM
78. J01G GENTAMICINUM
79. J01M CIPROFLOXACINUM
80. J01M NORFLOXACINUM
81. J01X METRONIDAZOLUM
82. J01X TINIDAZOLUM
83. J02A KETOCONAZOLUM
84. J05A ACICLOVIRUM
85. J01M OFLOXACINUM
86. L04A AZATHIOPRINUM #
87. L01A CYCLOPHOSPHAMIDUM
88. L01B METHOTREXATUM
89. M01A DICLOFENACUM
90. M01A KETOPROFENUM
91. M01A PIROXICAMUM
92. M01A TENOXICAMUM
93. M04A ALLOPURINOLUM
94. M04A COLCHICINUM
95. N02A TRAMADOLUM
96. N03A CARBAMAZEPINUM
97. N05B DIAZEPAMUM
98. N05B HYDROXYZINUM
99. N05C NITRAZEPAMUM
100. N05A HALOPERIDOLUM
101. N06A FLUOXETINUM*
102. N06A SERTRALINUM*
103. N06A TIANEPTINUM*
104. P01B HYDROXYCHLOROQUINUM
105. P02B PRAZIQUANTELUM
106. P02C MEBENDAZOLUM
107. P02C ALBENDAZOLUM
108. P02C LEVAMISOLUM
109. R03A SALBUTAMOLUM
110. R03B BECLOMETHASONUM
111. R03D AMINOPHYLLINUM
112. R03D THEOPHILLINUM (retard)
113. R05D CODEINUM
114. R06A CETIRIZINUM
115. R06A CHLORPHENAMINUM
116. R06A LORATADINUM
117. S01A CIPROFLOXACINUM
118. S01C TOBRAMICINUM + DEXAMETAZONUM
119. S01C CHLORAMPHENICOLUM in combinatii
NOTA:
Tratamentul cu medicamentele notate cu asterisc (*) se initiaza de medicul
de specialitate in limita competentei si poate fi prescris in continuare de
medicul de familie pe baza scrisorii medicale emisa de medicul de specialitate.
Sublista B
Medicamente cu nivel de compensare 50% din pretul de referinta
LISTA DENUMIRILOR COMUNE INTERNATIONALE ALE MEDICAMENTELOR DE CARE
BENEFICIAZA ASIGURATII, IN AMBULATORIU CU CONTRIBUTIE PERSONALA
1. A02B ESOMEPRAZOLUM
2. A02B FAMOTIDINUM
3. A02B LANSOPRAZOLUM
4. A02B NIZATIDINUM*
5. A02B PANTOPRAZOLUM*
6. A02B RANITIDINUM
7. A02B SUCRALFATUM
8. A03A OTILONIUM BROMIDUM*
9. A03A TRIMEBUTINUM
10. A03F DOMPERIDONUM
11. A05B SILIBINUM
12. A07E BUDESONIDUM #
13. A07E MESALAZINUM
14. A11C ALFACALCIDOLUM
15. B01A CLOPIDOGRELUM - pentru pacientii cu intoleranta la aspirina*
16. B01A SULODEXIDUM*
17. B03A COMPLEX DE HIDROXID DE FIER (III) (injectabil)
18. C01B CHINIDINI SULFAS
19. C01B MEXILETINUM
20. C01E TRIMETAZIDINUM
21. C02A CLONIDINUM
22. C02A MOXONIDINUM
23. C02C PRAZOSINUM
24. C04A NICERGOLINUM
25. C04A PENTOXIFYLLINUM
26. C04A VINCAMINUM
27. C05C DIOSMINUM - simplu si in combinatii
28. C07A BETAXOLOLUM
29. C07A NEBIVOLOLUM
30. C07B BISOPROLOLUM + HYDROCHLOROTHIAZIDUM
31. C08C LACIDIPINUM
32. C08C LERCANIDIPINUM
33. C08C NITRENDIPINUM simplu si in combinatii
34. C09A FOSINOPRILUM simplu si in combinatii
35. C09A BENAZEPRILUM
36. C09A PERINDOPRILUM simplu si in combinatii
37. C09A QUINAPRILUM
38. C09A RAMIPRILUM
39. C09A TRANDOLAPRILUM simplu si in combinatii
40. C09A ZOFENOPRILUM
41. C09C CANDESARTANUM
42. C09C IRBESARTANUM simplu si in combinatii
43. C09C LOZARTANUM simplu si in combinatii
44. C09C TELMISARTANUM simplu si in combinatii
45. C09C VALSARTANUM simplu si in combinatii
46. C10A ACID-OMEGA 3-ESTERI ETILICI 90
47. C10A ATORVASTATINUM
48. C10A BEZAFIBRATUM
49. C10A CIPROFIBRATUM
50. C10A EZETIMIBUM
51. C10A FLUVASTATINUM
52. C10A PRAVASTATINUM
53. C10A ROSUVASTATINUM
54. D01A NAFTIFINUM
55. D01A NATAMYCINUM
56. D01B TERBINAFINUM
57. D05A CALCIPOTRIOLUM simplu si in combinatii
58. D05B ACITRETINUM*
59. D06A MUPIROCINUM
60. D06B ACICLOVIRUM
61. D06B PODOPHYLLOTOXINUM
62. D06B SULFADIAZINUM
63. D07A METHYLPREDNISOLONUM
64. D07X MOMETASONUM
65. D10A ACIDUM AZELAICUM
66. D10B ISOTRETINOINUM
67. G01A FENTICONAZOLUM
68. G02C CABERGOLINUM
69. G03C HEXESTROLUM
70. G03C PROMESTRIENUM
71. G03D DYDROGESTERONUM
72. G03D LYNESTRENOLUM
73. G03D PROGESTERONUM
74. G03D TIBOLOLUM*
75. G03G CLOMIFENUM
76. G03G FOLLITROPINUM* (alfa si beta)
77. G03X DANAZOLUM*
78. G03X RALOXIFENUM
79. G04B OXYBUTYNINUM
80. G04C ALFUZOSINUM
81. G04C DUTASTERIDUM
82. G04C FINASTERIDUM
83. G04C TAMSULOSINUM
84. G04C TERAZOSINUM
85. H01A TETRACOSACTIDUM
86. H02A BETAMETHASONUM
87. H02A FLUDROCORTISONUM
88. H02A PREDNISOLONUM
89. H03B THIAMAZOLUM
90. H05B CALCITONINUM
91. J01C AMOXICILLINUM + ACIDUM CLAVULANICUM
92. J01C AMPICILLINUM + SULBACTANUM (oral + injectabil)
93. J01D CEFADROXILUM
94. J02A ITRACONAZOLUM
95. J02A FLUCONAZOLUM
96. J05A BRIVUDINUM* #
97. M01A CELECOXIBUM
98. M01A ETORICOXIBUM
99. M01A DEXKETOPROFENUM
100. M01A MELOXICAMUM
101. M01A NIMESULIDUM
102. M03B BACLOFENUM
103. M03B TETRAZEPAMUM
104. M05B ACIDUM ALENDRONICUM
105. M05B ACIDUM PAMIDRONICUM #
106. M05B ACIDUM RISEDRONICUM
107. N02C SUMATRIPTANUM*
108. N02C RIZATRIPTANUM*
109. N03A PREGABALINUM* #
110. N05A SULPIRIDUM*
111. N05A TIAPRIDUM*
112. N05B ALPRAZOLAMUM*
113. N05B BROMAZEPAMUM
114. N05B MEDAZEPAMUM
115. N05C ZOLPIDEMUM
116. N05C ZOPICLONUM
117. N06A BUPROPIONUM*
118. N06A ESCITALOPRAMUM*
119. N06A FLUVOXAMINUM*
120. N06A MILNACIPRANUM*
121. N06A MIRTAZAPINUM*
122. N06A PAROXETINUM*
123. N06A REBOXETINUM*
124. N06A TRAZODONUM*
125. N06A VENLAFAXINUM*
126. N06D GINKGO BILOBA*
127. N07C BETAHISTINUM
128. N07X ACIDUM ALFA-LIPOICUM #
129. N07X HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA
130. R03A FENOTEROLUM
131. R03A SALMETEROLUM
132. R03A SALMETEROLUM + FLUTICASONUM*
133. R03B BUDESONIDUM
134. R03B FLUTICASONUM*
135. R03B IPRATROPII BROMIDUM
136. R03B TIOTROPIUM*
137. R03D MONTELUKAST*
138. R05D DEXTROMETHORPHANUM
139. R05D LEVODROPROPIZINUM
140. R06A FEXOFENADINUM
141. R06A DESLORATADINUM
142. R06A KETOTIFENUM
143. S01A NETELMICINUM
144. S01A LOMEFLOXACINUM
145. S01B DICLOFENACUM
146. S01G KETOTIFENUM
147. S01G OLOPATADINUM
148. S01X RETINOLUM
NOTA:
Tratamentul cu medicamentele notate cu asterisc (*) se initiaza de medicul
de specialitate in limita competentei si poate fi prescris in continuare de
medicul de familie pe baza scrisorii medicale emisa de medicul de specialitate.
Sublista C
Medicamente cu nivel de compensare 100% din pretul de referinta
LISTA DENUMIRILOR COMUNE INTERNATIONALE ALE MEDICAMENTELOR DE CARE
BENEFICIAZA ASIGURATII, IN AMBULATORIU FARA CONTRIBUTIE PERSONALA LA PRETUL DE
REFERINTA
G. 1. INSUFICIENTA CARDIACA CRONICA (CLASA III SAU IV NYHA)
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| |
|
|____|____|___________|________________________________________________________|
| 1.| 1.| C01A A05 | Digoxinum
|
|____|____|___________|________________________________________________________|
| 2.| 2.| C03A A03 | Hydrochlorothiazidum
|
|____|____|___________|________________________________________________________|
| 3.| 3.| C09A A01 | Captoprilum
|
|____|____|___________|________________________________________________________|
| 4.| 4.| C09A A02 | Enalaprilum
|
|____|____|___________|________________________________________________________|
| 5.| 5.| C09A A03 | Lisinoprilum
|
|____|____|___________|________________________________________________________|
| 6.| 6.| C03C A01 | Furosemidum
|
|____|____|___________|________________________________________________________|
| 7.| 7.| C03D A01 | Spironolactonum |
|____|____|___________|________________________________________________________|
| 8.| 8.| C07A B02 | Metoprololum
|
|____|____|___________|________________________________________________________|
| 9.| 9.| C07A B07 | Bisoprololum
|
|____|____|___________|________________________________________________________|
| 10.| 10.| C07A G02 | Carvedilolum |
|____|____|___________|________________________________________________________|
G. 2. BOLNAVI CU PROTEZE VALVULARE SI VASCULARE
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| |
|
|____|____|___________|________________________________________________________|
| 11.| 1.| B01A A07 | Acenocumarolum*) |
|____|____|___________|________________________________________________________|
*) La indicatia specialistului cardiolog
G. 3. BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE, NUMAI DUPA
IMPLANTAREA UNEI PROTEZE ENDOVASCULARE (STENT)
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| | |
|____|____|___________|________________________________________________________|
| 12.| 1.| B01A C04 | Clopidogrelum *) (cel mult 9 luni)
|
|____|____|___________|________________________________________________________|
*) La indicatia specialistului cardiolog sau neurolog cu aprobarea
comisiilor teritoriale
G. 4. ACCIDENT VASCULAR CEREBRAL ISCHEMIC (inclusiv atacul vascular
cerebral tranzitoriu)
Medicamentele vor fi asigurate prin farmaciile apartinand unitatilor
sanitare, prin care se deruleaza Programul National de Preventie si Diagnostic
precoce in bolile neurologice.
Medicamentele vor fi prescrise la indicatia specialistului neurolog in
urmatoarele situatii clinice: AVC recurent sub Acid acetylsalicilic, AVC cu
intoleranta la Acid acetylsalicilic, AVC cu sindrom coronarian acut in ultimul
an, AVC cu stenoza de artera carotida semnificativa, AVC cu interventie
percutana carotidiana.
G. 5. HEPATITELE CRONICE DE ETIOLOGIE VIRALA (cu HBV, HCV), cu probe biologice
de activitate, markeri de replicare virala, criterii histologice si varsta sub
65 ani, fiind necesara indeplinirea tuturor criteriilor enuntate.
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| |
|
|____|____|___________|________________________________________________________|
| 13.| 1.| J05A B04 | Ribavirinum*) #
|
|____|____|___________|________________________________________________________|
| 14.| 2.| J05A F05 | Lamivudinum*) #
|
|____|____|___________|________________________________________________________|
| 15.| 3.| L03A B04 | Interferonum Alfa 2a*) #
|
|____|____|___________|________________________________________________________|
| 16.| 4.| L03A B05 | Interferonum Alfa 2b*) # |
|____|____|___________|________________________________________________________|
| 17.| 5.| L03AB10 | Peginterferonum Alfa 2a*) #
|
|____|____|___________|________________________________________________________|
| 18.| 6.| L03AB11 | Peginterferonum Alfa 2b*) #
|
|____|____|___________|________________________________________________________|
*) Se vor prescrie cu aprobarea comisiei centrale a Casei Nationale de
Asigurari de Sanatate.
G. 6. HEPATITA AUTOIMUNA
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| | |
|____|____|___________|________________________________________________________|
| 19.| 1.| L04A X01 | Azatioprinum
|
|____|____|___________|________________________________________________________|
| 20.| 2.| H02A B07 | Prednisonum
|
|____|____|___________|________________________________________________________|
La indicatia specialistului gastroenterolog.
G. 7. CIROZA BILIARA PRIMARA, COLANGITA SCLEROZANTA PRIMITIVA, HEPATITA
CRONICA SI CIROZE DE ALTE ETIOLOGII CU COLESTAZA
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I. |
|crt.|crt.| |
|
|____|____|___________|________________________________________________________|
| 21.| 1.| A05A A02 | Acidum ursodeoxycholicum
|
|____|____|___________|________________________________________________________|
La indicatia specialistului gastroenterolog.
G. 8. CIROZA HEPATICA
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| |
|
|____|____|___________|________________________________________________________|
| 22.| 1.| J05A B04 | Lamivudinum* #
|
|____|____|___________|________________________________________________________|
| 23.| 2.| C03C A01 | Furosemidum
|
|____|____|___________|________________________________________________________|
| 24.| 3.| C03D A01 | Spironolactonum
|
|____|____|___________|________________________________________________________|
* La indicatia specialistului gastroenterolog sau infectionist, pentru
cirozele HVB, DNA+ cu activitate biologica.
G. 9. HIV/SIDA
Medicamentele vor fi asigurate prin farmaciile apartinand unitatilor
sanitare, prin care se deruleaza Programul National HIV/SIDA.
G. 10. TALASEMIE SI HEMOCROMATOZA
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| |
|
|____|____|___________|________________________________________________________|
| 25.| 1.| V03A C01 | Deferoxaminum
|
|____|____|___________|________________________________________________________|
La indicatia specialistului hematolog +/- gastroenterolog.
G. 11. LEUCEMII, LIMFOAME, APLAZIE MEDULARA, GAMAPATII MONOCLONALE MALIGNE,
MIELOPROLIFERARI CRONICE SI TUMORI MALIGNE
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| |
|
|____|____|___________|________________________________________________________|
| 26.| 1.| A03F A01 | Metoclopramidum
|
|____|____|___________|________________________________________________________|
| 27.| 2.| A04A A01 | Ondansetronum #
|
|____|____|___________|________________________________________________________|
| 28.| 3.| H02A B02 | Dexamethasonum
|
|____|____|___________|________________________________________________________|
| 29.| 4.| N02A A01 | Morphinum |
|____|____|___________|________________________________________________________|
| 30.| 5.| N02A A08 | Dihydrocodeinum
|
|____|____|___________|________________________________________________________|
| 31.| 6.| N02A B02 | Pethidinum
|
|____|____|___________|________________________________________________________|
| 32.| 7.| N02A X02 | Tramadolum
|
|____|____|___________|________________________________________________________|
| 33.| 8.| N07B C02 | Methadonum
|
|____|____|___________|________________________________________________________|
| 34.| 9.| R05D A04 | Codeinum
|
|____|____|___________|________________________________________________________|
| 35.| 10.| A04A A02 | Granisetronum #
|
|____|____|___________|________________________________________________________|
| 36.| 11.| B03X A01 | Epoetinum #
|
|____|____|___________|________________________________________________________|
| 37.| 12.| H01B A02 | Desmopressinum |
|____|____|___________|________________________________________________________|
| 38.| 13.| L04A A01 | Ciclosporinum #
|
|____|____|___________|________________________________________________________|
| 39.| 14.| N02A B03 | Fentanylum #
|
|____|____|___________|________________________________________________________|
| 40.| 15.| N02A A05 | Oxycodonum # |
|____|____|___________|________________________________________________________|
La indicatia specialistului hematolog sau oncolog.
Medicamentele specifice se asigura prin Programul National de Cancer.
G. 12. EPILEPSIE
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| |
|
|____|____|___________|________________________________________________________|
| 41.| 1.| N03A A02 | Phenobarbitalum
|
|____|____|___________|________________________________________________________|
| 42.| 2.| N03A B02 | Phenitoinum |
|____|____|___________|________________________________________________________|
| 43.| 3.| N03A D01 | Ethosuximidum
|
|____|____|___________|________________________________________________________|
| 44.| 4.| N03A E01 | Clonazepamum
|
|____|____|___________|________________________________________________________|
| 45.| 5.| N03A F01 | Carbamazepinum |
|____|____|___________|________________________________________________________|
| 46.| 6.| N03A F02 | Oxcarbazepinum*
|
|____|____|___________|________________________________________________________|
| 47.| 7.| N03A G01 | Acidum valproicum si saruri
|
|____|____|___________|________________________________________________________|
| 48.| 8.| N03A X09 | Lamotriginum*
|
|____|____|___________|________________________________________________________|
| 49.| 9.| N03A X11 | Topiramatum* #
|
|____|____|___________|________________________________________________________|
| 50.| 10.| N03A X12 | Gabapentinum*
|
|____|____|___________|________________________________________________________|
| 51.| 11.| N03A X14 | Levetiracetamum* #
|
|____|____|___________|________________________________________________________|
| 52.| 12.| N03A XN1 | Pregabalinum* #
|
|____|____|___________|________________________________________________________|
Se vor prescrie la indicatia specialistului neurolog, iar produsele
corespunzatoare DCI-urilor marcate cu *, cu aprobarea comisiilor teritoriale.
G. 13. BOALA PARKINSON
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| |
|
|____|____|___________|________________________________________________________|
| 53.| 1.| N04A A01 | Trihexyphenidilum |
|____|____|___________|________________________________________________________|
| 54.| 2.| N04A A02 | Biperidenum
|
|____|____|___________|________________________________________________________|
| 55.| 3.| N04B A02 | Levodopum + Carbidopum
|
|____|____|___________|________________________________________________________|
| 56.| 4.| N04B A02 | Levodopum + Benserazidum
|
|____|____|___________|________________________________________________________|
| 57.| 5.| N04B A03 | Levodopum + Carbidopum + Entacaponum*) #
|
|____|____|___________|________________________________________________________|
| 58.| 6.| N04B C04 | Ropinirolum*)
|
|____|____|___________|________________________________________________________|
| 59.| 7.| N04B C05 | Pramipexolum*)
|
|____|____|___________|________________________________________________________|
| 60.| 8.| N04B D01 | Selegilinum
|
|____|____|___________|________________________________________________________|
| 61.| 9.| N04B B01 | Amantadinum |
|____|____|___________|________________________________________________________|
| 62.| 10.| N04B C01 | Bromocriptinum
|
|____|____|___________|________________________________________________________|
| 63.| 11.| N04B X02 | Entacaponum*) #
|
|____|____|___________|________________________________________________________|
| 64.| 12.| N05A H02 | Clozapinum*) |
|____|____|___________|________________________________________________________|
Se vor prescrie de specialistul neurolog, iar produsele corespunzatoare
DCI-urilor marcate cu *, cu aprobarea comisiilor teritoriale.
G. 14. MIASTENIA GRAVIS
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| |
|
|____|____|___________|________________________________________________________|
| 65.| 1.| H02A B07 | Prednisonum
|
|____|____|___________|________________________________________________________|
| 66.| 2.| N07A A01 | Neostigmini bromidum
|
|____|____|___________|________________________________________________________|
| 67.| 3.| N07A A02 | Piridostigminum
|
|____|____|___________|________________________________________________________|
| 68.| 4.| L04A X01 | Azathioprinum
|
|____|____|___________|________________________________________________________|
G. 15. SCLEROZA MULTIPLA
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| |
|
|____|____|___________|________________________________________________________|
| 69.| 1.| H02A B04 | Methylprednisolonum
|
|____|____|___________|________________________________________________________|
| 70.| 2.| H02A B07 | Prednisonum |
|____|____|___________|________________________________________________________|
| 71.| 3.| L01D B07 | Mitoxantronum* # |
|____|____|___________|________________________________________________________|
| 72.| 4.| L03A B07 | Interferonum Beta 1a*) #
|
|____|____|___________|________________________________________________________|
| 73.| 5.| L03A B08 | Interferonum Beta 1b*) # |
|____|____|___________|________________________________________________________|
| 74.| 6.| L03A X13 | Glatiramer acetat*) #
|
|____|____|___________|________________________________________________________|
| 75.| 7.| L01B A01 | Methotrexatum #
|
|____|____|___________|________________________________________________________|
| 76.| 8.| L04A X01 | Azathioprinum
|
|____|____|___________|________________________________________________________|
*) Se prescriu numai pentru pacientii inclusi in subprogramul
<<Preventie si diagnostic precoce in bolile neurologice>>.
* Cu aprobarea comisiilor din centrele universitare.
G. 16. BOLI PSIHICE (Schizofrenie, tulburari schizotipale si delirante,
tulburari afective majore, tulburari psihotice acute)
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| |
|
|____|____|___________|________________________________________________________|
| 77.| 1.| N03A G01 | Acidum valproicum si saruri |
|____|____|___________|________________________________________________________|
| 78.| 2.| N05A F01 | Flupentixolum
|
|____|____|___________|________________________________________________________|
| 79.| 3.| N05A H02 | Clozapinum
|
|____|____|___________|________________________________________________________|
| 80.| 4.| N06A X03 | Mianserinum
|
|____|____|___________|________________________________________________________|
| 81.| 5.| N05A L05 | Amilsulpiridum #
|
|____|____|___________|________________________________________________________|
| 82.| 6.| N06A A04 | Clomipraminum
|
|____|____|___________|________________________________________________________|
| 83.| 7.| N05A X08 | Risperidonum #
|
|____|____|___________|________________________________________________________|
| 84.| 8.| N05A H03 | Olanzapinum #
|
|____|____|___________|________________________________________________________|
| 85.| 9.| N05A H04 | Quetiapinum # |
|____|____|___________|________________________________________________________|
| 86.| 10.| N05A F05 | Zuclopentixolum
|
|____|____|___________|________________________________________________________|
| 87.| 11.| N05A E04 | Ziprasidonum #
|
|____|____|___________|________________________________________________________|
| 88.| 12.| N05A X12 | Aripiprazolum # |
|____|____|___________|________________________________________________________|
Se vor prescrie de specialistul psihiatru.
G. 17. DEMENTE (degenerative, vasculare, mixte)
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| |
|
|____|____|___________|________________________________________________________|
| 89.| 1.| N06D A02 | Donepezilum #
|
|____|____|___________|________________________________________________________|
| 90.| 2.| N06D A03 | Rivastigminum #
|
|____|____|___________|________________________________________________________|
| 91.| 3.| N06D X01 | Memantinum #
|
|____|____|___________|________________________________________________________|
Se vor prescrie de specialistul neurolog sau psihiatru.
G. 18. COLAGENOZE MAJORE (lupus eritematos sistemic, sclerodermie,
dermatomiozita, poliarterita nodoasa)
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| |
|
|____|____|___________|________________________________________________________|
| 92.| 1.| H02A B07 | Prednisonum |
|____|____|___________|________________________________________________________|
| 93.| 2.| H02A B04 | Methylprednisolonum oral, cazurile fara raspuns la
|
| | | | Prednisonum |
|____|____|___________|________________________________________________________|
| 94.| 3.| L01A A01 | Cyclophosphamidum
|
|____|____|___________|________________________________________________________|
| 95.| 4.| L01B A01 | Methotrexatum
|
|____|____|___________|________________________________________________________|
| 96.| 5.| L04A X01 | Azathioprinum |
|____|____|___________|________________________________________________________|
G. 19. POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| |
|
|____|____|___________|________________________________________________________|
| 97.| 1.| A07E C01 | Sulphasalazinum |
|____|____|___________|________________________________________________________|
| 98.| 2.| H02A B07 | Prednisonum
|
|____|____|___________|________________________________________________________|
| 99.| 3.| H02A B04 | Methylprednisolonum oral, cazurile fara raspuns la
|
| | | | Prednisonum
|
|____|____|___________|________________________________________________________|
|100.| 4.| H02A B01 | Bethametasonum injectabil, pt. adm. locala
|
|____|____|___________|________________________________________________________|
|101.| 5.| M01A B05 | Diclofenacum
|
|____|____|___________|________________________________________________________|
|102.| 6.| M01A E03 | Ketoprofenum
|
|____|____|___________|________________________________________________________|
|103.| 7.| P01B A02 | Hydroxycloroquinum
|
|____|____|___________|________________________________________________________|
|104.| 8.| L01B A01 | Methotrexatum
|
|____|____|___________|________________________________________________________|
|105.| 9.| L04A A01 | Ciclosporinum*) #
|
|____|____|___________|________________________________________________________|
|106.| 10.| L04A A11 | Etanerceptum*) # |
|____|____|___________|________________________________________________________|
|107.| 11.| L04A A12 | Infliximabum*) # |
|____|____|___________|________________________________________________________|
|108.| 12.| L04A A13 | Leflunomidum*) #
|
|____|____|___________|________________________________________________________|
|109.| 13.| L04A A17 | Adalimumabum*) # |
|____|____|___________|________________________________________________________|
|110.| 14.| L04A X01 | Azathioprinum
|
|____|____|___________|________________________________________________________|
|111.| 15.| M01C B01 | Natrii aurothiomalas
|
|____|____|___________|________________________________________________________|
*) La indicatia specialistului reumatolog sau specialist in medicina fizica
si recuperare medicala in cazurile fara raspuns la terapia clasica
*) Pentru pacientii cu poliartrita reumatoida sau artropatie psoriazica
severa care nu raspund adecvat la metotrexat, cu aprobarea comisiei centrale de
la nivelul Casei Nationale de Asigurari de Sanatate.
G. 20. SPONDILITA ANKILOZANTA
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| | |
|____|____|___________|________________________________________________________|
|112.| 1.| A07E C01 | Sulphasalazinum
|
|____|____|___________|________________________________________________________|
|113.| 2.| L01B A01 | Methotrexatum
|
|____|____|___________|________________________________________________________|
|114.| 3.| M01A B05 | Diclofenacum
|
|____|____|___________|________________________________________________________|
|115.| 4.| M01A E03 | Ketoprofenum
|
|____|____|___________|________________________________________________________|
|116.| 5.| H02A B01 | Betamethasonum injectabil, pt. adm. locala
|
|____|____|___________|________________________________________________________|
G. 21. TUBERCULOZA, MICOBACTERIOZELE ATIPICE SI MUCOVISCIDOZA
Medicamentele vor fi asigurate prin farmaciile apartinand unitatilor
sanitare prin care se deruleaza Programul National de TBC.
G. 22. DIABET ZAHARAT SI BOLI DE NUTRITIE
Medicamentele vor fi asigurate prin farmaciile apartinand unitatilor
sanitare prin care se deruleaza Programul National de Diabet si Boli de
Nutritie.
G. 23. BOLI ENDOCRINE (Gusa endemica, insuficienta suprarenala cronica,
diabetul isipid, mixedemul adultului, tumori hipofizare cu expansiune
supraselara)
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| |
|
|____|____|___________|________________________________________________________|
|117.| 1.| H01B A02 | Desmopressinum
|
|____|____|___________|________________________________________________________|
|118.| 2.| H01C B03 | Lanreotidum* #
|
|____|____|___________|________________________________________________________|
|119.| 3.| H02A A02 | Fludrocortizonum
|
|____|____|___________|________________________________________________________|
|120.| 4.| H02A B09 | Hydrocortizonum
|
|____|____|___________|________________________________________________________|
|121.| 5.| H02A B07 | Prednisonum
|
|____|____|___________|________________________________________________________|
|122.| 6.| H03A A01 | Levothyroxinum
|
|____|____|___________|________________________________________________________|
|123.| 7.| H03C A | Iodidum |
|____|____|___________|________________________________________________________|
|124.| 8.| H03C A01 | Kalii iodidum
|
|____|____|___________|________________________________________________________|
* Cu aprobarea comisiei centrale a Casei Nationale de Asigurari de
Sanatate.
G. 24. BOALA WILSON
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| |
|
|____|____|___________|________________________________________________________|
|125.| 1.| M01C C01 | Penicillaminum |
|____|____|___________|________________________________________________________|
La indicatia specialistului gastroenterolog sau neurolog.
G. 25. STARI POST TRANSPLANT
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| |
|
|____|____|___________|________________________________________________________|
|126.| 1.| A05A A02 | Acidum ursodeoxycholicum
|
|____|____|___________|________________________________________________________|
|127.| 2.| H02A B04 | Methylprednisolonum |
|____|____|___________|________________________________________________________|
|128.| 3.| H02A B07 | Prednisonum
|
|____|____|___________|________________________________________________________|
|129.| 4.| J01E E01 | Sulphamethoxazolum + Trimethoprimum
|
|____|____|___________|________________________________________________________|
|130.| 5.| J02A C01 | Fluconazolum
|
|____|____|___________|________________________________________________________|
|131.| 6.| J05A B01 | Aciclovirum #
|
|____|____|___________|________________________________________________________|
|132.| 7.| J05A B06 | Ganciclovirum #
|
|____|____|___________|________________________________________________________|
|133.| 8.| J05A F05 | Lamivudinum #
|
|____|____|___________|________________________________________________________|
|134.| 9.| L04A A01 | Ciclosporinum #
|
|____|____|___________|________________________________________________________|
|135.| 10.| L04A A05 | Tacrolimus # |
|____|____|___________|________________________________________________________|
|136.| 11.| L04A A06 | Mycophenolatum #
|
|____|____|___________|________________________________________________________|
|137.| 12.| L04A A10 | Sirolimus #
|
|____|____|___________|________________________________________________________|
|138.| 13.| L04A X01 | Azathioprinum
|
|____|____|___________|________________________________________________________|
Se vor prescrie la recomandarea Centrului care a efectuat transplantul
pentru pacientii inclusi in subprogramul <<Transplant de organe si
tesuturi>>.
G. 26. INSUFICIENTA RENALA CRONICA
Medicamentele vor fi asigurate prin farmaciile apartinand unitatilor
sanitare prin care se deruleaza Programul National <<Preventie in
patologia nefrologica si dializa>>.
G. 27. GLAUCOM
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| |
|
|____|____|___________|________________________________________________________|
|139.| 1.| S01E C03 | Dorzolamidum simplu si in combinatii
|
|____|____|___________|________________________________________________________|
|140.| 2.| S01E C04 | Brinzolamidum |
|____|____|___________|________________________________________________________|
|141.| 3.| S01E D01 | Timololum
|
|____|____|___________|________________________________________________________|
|142.| 4.| S01E D02 | Betaxololum
|
|____|____|___________|________________________________________________________|
|143.| 5.| S01E D05 | Carteololum
|
|____|____|___________|________________________________________________________|
|144.| 6.| S01E E01 | Latanoprostum simplu si in combinatii
|
|____|____|___________|________________________________________________________|
|145.| 7.| S01E E04 | Travoprostum
|
|____|____|___________|________________________________________________________|
G. 28. PEMFIGUS
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| |
|
|____|____|___________|________________________________________________________|
|146.| 1.| H02A B02 | Dexamethazonum
|
|____|____|___________|________________________________________________________|
|147.| 2.| H02A B04 | Methylprednisolonum
|
|____|____|___________|________________________________________________________|
|148.| 3.| H02A B07 | Prednisonum
|
|____|____|___________|________________________________________________________|
|149.| 4.| J04B A02 | Dapsonum |
|____|____|___________|________________________________________________________|
|150.| 5.| L01A A01 | Cyclophosphamidum
|
|____|____|___________|________________________________________________________|
|151.| 6.| L01B A01 | Methotrexatum
|
|____|____|___________|________________________________________________________|
|152.| 7.| L04A A01 | Ciclosporinum #
|
|____|____|___________|________________________________________________________|
|153.| 8.| L04A X01 | Azathioprinum
|
|____|____|___________|________________________________________________________|
Se vor prescrie de medicul specialist dermatolog.
G. 29. PELAGRA
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| | |
|____|____|___________|________________________________________________________|
|154.| 1.| A11H A01 | Acidum nicotinicum
|
|____|____|___________|________________________________________________________|
G. 30. BOALA GAUCHER
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| | |
|____|____|___________|________________________________________________________|
|155.| 1.| A16A B02 | Imiglucerasum*) #
|
|____|____|___________|________________________________________________________|
*) Dupa precizarea diagnosticului de catre laboratoarele de specialitate va
putea fi prescris de catre specialistul gastroenterolog.
G. 31. SIFILIS
______________________________________________________________________________
|Nr. |Nr. | Grupa ATC | D.C.I.
|
|crt.|crt.| |
|
|____|____|___________|________________________________________________________|
|156.| 1.| J01A A02 | Doxyciclinum
|
|____|____|___________|________________________________________________________|
|157.| 2.| J01A A07 | Tetracyclinum
|
|____|____|___________|________________________________________________________|
|158.| 3.| J01C E01 | Benzylpenicillinum
|
|____|____|___________|________________________________________________________|
|159.| 4.| J01C E08 | Benzathinibenzylpenicillinum
|
|____|____|___________|________________________________________________________|
|160.| 5.| J01C E30 | Benzylpenicillinum procainicum + Benzylpenicillinum
|
|____|____|___________|________________________________________________________|
|161.| 6.| J01F A01 | Erythromicinum
|
|____|____|___________|________________________________________________________|
|162.| 7.| J01F A07 | Josamycinum - numai la gravide
|
|____|____|___________|________________________________________________________|
NOTA:
Pentru medicamentele din aceasta sectiune tratamentul se initiaza de
medicul de specialitate, luandu se in considerare mentiunile cu caracter
special, notate cu asterisc.