ALLEGATO A al Capitolato Speciale

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 1 A01AB03 CLOREXIDINA CLOREXIDINA 0,2% COLLUTORIO loc FL FL 3,17000 586 1.857,62000 0,00000 469 1.486,73000 0,00000 9.000 28.530,00000-10.055 31.874,35000 40.220 127.497,40000 4815604A20 2 A01AB09 MICONAZOLO MICONAZOLO 2% GEL ORALE loc FL FL 6,25218 90 562,69620 30 187,56540 277 1.731,85386 600 3.751,30800 150 937,82700-1.147 7.171,25046 4.588 28.685,00184 48156418A9 3 A01AB11 ANTIMICROBICI E ANTISETTICI VARI ACIDO SALICILICO + RABARBARO SOLUZIONE GENGIVALE loc FL FL 7,36500 14 103,11000 0,00000 0,00000 0,00000-0,00000-14 103,11000 56 412,44000 481650627D 4 A01AB15 TIBENZONIO IODURO TIBENZONIO IODURO 0,5% COLLUTTORIO loc FL FL 1,14000 38 43,32000 1.000 1.140,00000 359 409,26000 2.360 2.690,40000 3.000 3.420,00000-6.757 7.702,98000 27.028 30.811,92000 481652522B 5 A01AD02 BENZIDAMINA BENZIDAMINA 15% COLLUTTORIO loc FL FL 1,26000 1.542 1.942,92000 0,00000 3.198 4.029,48000 0,00000 3.000 3.780,00000-7.740 9.752,40000 30.960 39.009,60000 4816574A98 6 A02AD01 ASSOCIAZIONI SALINE COMUNI ALLUMINIO+MAGNESIO IDROSSIDO SOSPENSIONE ORALE os FL FL 1,38000 362 499,56000 350 483,00000 559 771,42000 0,00000 2.400 3.312,00000-3.671 5.065,98000 14.684 20.263,92000 481668997F 7 A02AD02 MAGALDRATO MAGALDRATO 80 mg/ml GEL X OS FL os FL FL 0,45981 636 292,43916 0,00000 0,00000 0,00000-0,00000 100 45,98100 736 338,42016 2.944 1.353,68064 4816799447 8 A02AD02 MAGALDRATO MAGALDRATO GEL X OS BUSTINE os BS BS 0,19000 16.720 3.176,80000 0,00000 33.080 6.285,20000 2.400 456,00000-0,00000-52.200 9.918,00000 208.800 39.672,00000 4816813FD1 9 A02AH ANTIACIDI CON SODIO BICARBONATO SODIO BICARBONATO 500 mg CP os CP CP 0,02060 5.900 121,54000 0,00000 3.100 63,86000 24.000 494,40000 9.000 185,40000-42.000 865,20000 168.000 3.460,80000 48168183F5 10 A02BA02 RANITIDINA RANITIDINA 150 mg CP RIVESTITE os CP CP 0,02793 12.440 347,44920 10.000 279,30000 3.900 108,92700 0,00000 9.000 251,37000-35.340 987,04620 141.360 3.948,18480 4816828C33 11 A02BA02 RANITIDINA RANITIDINA 300 mg CP RIVESTITE os CP CP 0,03191 960 30,63360 0,00000 2.940 93,81540 12.000 382,92000-0,00000 8.000 255,28000 23.900 762,64900 95.600 3.050,59600 4816892107 12 A02BA02 RANITIDINA RANITIDINA 50 mg F ev F F 0,14320 21.022 3.010,35040 0,00000 34.530 4.944,69600 34.000 4.868,80000 30.000 4.296,00000 16.000 2.291,20000 135.552 19.411,04640 542.208 77.644,18560 4816927DE5 13 A02BA02 RANITIDINA RANITIDINA SCIROPPO os FL FL 4,09000 32 130,88000 40 163,60000 17 69,53000 20 81,80000 250 1.022,50000 60 245,40000 419 1.713,71000 1.676 6.854,84000 4816945CC0 14 A02BB01 MISOPROSTOLO MISOPROSTOLO 200 mcg CP os CP CP 0,06477 2.300 148,97100 0,00000 0,00000 0,00000 5.000 323,85000-7.300 472,82100 29.200 1.891,28400 481695335D 15 A02BC01 OMEPRAZOLO OMEPRAZOLO 20 mg CPS os CP CP 0,13000 6.496 844,48000 96.600 12.558,00000 0,00000 0,00000 112.500 14.625,00000-215.596 28.027,48000 862.384 112.109,92000 48169977AB 16 A02BC01 OMEPRAZOLO OMEPRAZOLO 40 mg F ev FL FL 0,96000 16.362 15.707,52000 16.000 15.360,00000 0,00000 20.000 19.200,00000 45.000 43.200,00000 900 864,00000 98.262 94.331,52000 393.048 377.326,08000 48170367DA 17 A02BC02 NTOPRAZOLO NTOPRAZOLO 20 mg CP os CP CP 0,01000 48.216 482,16000 0,00000 134.596 1.345,96000 0,00000 0,00000-182.812 1.828,12000 731.248 7.312,48000 4817988977 18 A02BC02 NTOPRAZOLO NTOPRAZOLO 40 mg CP os CP CP 0,02000 44.044 880,88000 5.740 114,80000 160.034 3.200,68000 0,00000 112.500 2.250,00000-322.318 6.446,36000 1.289.272 25.785,44000 481800577F 19 A02BC02 NTOPRAZOLO NTOPRAZOLO 40 mg F ev F F 1,00000 11.868 11.868,00000 2.000 2.000,00000 49.613 49.613,00000 0,00000 45.000 45.000,00000 40 40,00000 108.521 108.521,00000 434.084 434.084,00000 48180268D3 20 A02BC03 LANSOPRAZOLO LANSOPRAZOLO 30 mg CPS RIGIDE os CP CP 0,17000 74.228 12.618,76000 0,00000 0,00000 0,00000 112.500 19.125,00000-186.728 31.743,76000 746.912 126.975,04000 4818048AFA 21 A02BC03 LANSOPRAZOLO LANSOPRAZOLO 30 mg CP ORODISPERSIBILI os CP CP 0,30800 10.596 3.263,56800 0,00000 2.100 646,80000 0,00000 0,00000-12.696 3.910,36800 50.784 15.641,47200 4818074072 22 A02BC05 ESOMEPRAZOLO ESOMEPRAZOLO 20 mg CP GASTRORESISTENTI os CP CP 0,04000 4.032 161,28000 0,00000 1.540 61,60000 0,00000 0,00000-5.572 222,88000 22.288 891,52000 48180848B0 23 A02BC05 ESOMEPRAZOLO ESOMEPRAZOLO 40 mg CP GASTRORESISTENTI os CP CP 0,25000 1.204 301,00000 0,00000 1.904 476,00000 0,00000 112.500 28.125,00000-115.608 28.902,00000 462.432 115.608,00000 481810278B 24 A02BX02 SUCRALFATO SUCRALFATO 2 g SOSPENSIONE ORALE BUSTINE os BS BS 0,09000 4.500 405,00000 3.000 270,00000 4.590 413,10000 12.000 1.080,00000 3.000 270,00000-27.090 2.438,10000 108.360 9.752,40000 4818109D50 25 A02BX13 ACIDO ALGINICO Na ALGINATO+K BICARBONATO G(18+3,6) SOSP. ORALE os FL FL 2,14210 0,00000 0,00000 0,00000 0,00000 1.200 2.570,52000-1.200 2.570,52000 4.800 10.282,08000 481812280C 26 A03AA06 ROCIVERINA ROCIVERINA 20 mg F im-ev F F 0,50812 7.442 3.781,42904 1.200 609,74400 0,00000 0,00000 300 152,43600-8.942 4.543,60904 35.768 18.174,43616 4818130EA4 27 A03AX12 FLOROGLUCINOLO FLOROGLUCINOLO 40 mg F im-ev F F 0,20437 5.940 1.213,95780 6.000 1.226,22000 18.930 3.868,72410 4.000 817,48000 600 122,62200-35.470 7.249,00390 141.880 28.996,01560 48182154CC 28 A03AX13 SILICONI SIMETICONE 40 mg CP MASTICABILI os CP CP 0,05707 4.800 273,93600 4.000 228,28000 0,00000 8.000 456,56000 22.000 1.255,54000-38.800 2.214,31600 155.200 8.857,26400 4818226DDD 29 A03AX13 SILICONI SIMETICONE GOCCE os FL FL 2,86566 660 1.891,33560 180 515,81880 1.846 5.290,00836 220 630,44520 800 2.292,52800-3.706 10.620,13596 14.824 42.480,54384 4818236620 30 A03BA01 ATROPINA ATROPINA 0,5 mg F im-ev F F 0,08928 20.620 1.840,95360 11.000 982,08000 30.700 2.740,89600 20.000 1.785,60000 53.000 4.731,84000 9.000 803,52000 144.320 12.884,88960 577.280 51.539,55840 48182723D6 31 A03BB01 BUTILSCOPOLAMINA BUTILSCOPOLAMINA 10 mg CP os CP CP 0,09784 8.940 874,68960 6.000 587,04000 6.870 672,16080 5.400 528,33600 12.000 1.174,08000 1.500 146,76000 40.710 3.983,06640 162.840 15.932,26560 4818282C14 32 A03BB01 BUTILSCOPOLAMINA BUTILSCOPOLAMINA 10 mg SUPPOSTE ret SU SU 0,38560 24 9,25440 60 23,13600 30 11,56800 0,00000 750 289,20000-864 333,15840 3.456 1.332,63360 48182967A3 33 A03BB01 BUTILSCOPOLAMINA BUTILSCOPOLAMINA 20 mg F im-ev F F 0,20411 10.040 2.049,26440 6.000 1.224,66000 23.592 4.815,36312 2.400 489,86400 12.000 2.449,32000 180 36,73980 54.212 11.065,21132 216.848 44.260,84528 48183124D8 34 A03FA PROCINETICI LEVOSULPIRIDE 25 mg CP os CP CP 0,10000 1.480 148,00000 1.000 100,00000 2.440 244,00000 0,00000 0,00000-4.920 492,00000 19.680 1.968,00000 48183536AD 35 A03FA01 METOCLOPRAMIDE CLORIDRATO METOCLOPRAMIDE 10 mg CP os CP CP 0,11161 6.596 736,17956 7.200 803,59200 15.096 1.684,86456 9.600 1.071,45600 18.000 2.008,98000-56.492 6.305,07212 225.968 25.220,28848 4818382E99 36 A03FA01 METOCLOPRAMIDE CLORIDRATO METOCLOPRAMIDE 10 mg F im-ev F F 0,19000 14.890 2.829,10000 25.000 4.750,00000 43.675 8.298,25000 38.000 7.220,00000 37.500 7.125,00000 1.800 342,00000 160.865 30.564,35000 643.460 122.257,40000 4818396A28 37 A03FA01 METOCLOPRAMIDE CLORIDRATO METOCLOPRAMIDE CLOR. 10 mg/10 ml 120 ml SCIR os FL FL 1,48083 0,00000 100 148,08300 50 74,04150 500 740,41500 150 222,12450-800 1.184,66400 3.200 4.738,65600 481840733E 38 A03FA03 DOMPERIDONE DOMPERIDONE 1mg/ml 200ml SOSP. ORALE os FL FL 1,00000 96 96,00000 0,00000 117 117,00000 0,00000 150 150,00000-363 363,00000 1.452 1.452,00000 4818469667 39 A03FA03 DOMPERIDONE DOMPERIDONE 10 mg CP os CP CP 0,01886 8.760 165,21360 12.000 226,32000 11.100 209,34600 6.000 113,16000 37.500 707,25000-75.360 1.421,28960 301.440 5.685,15840 481849188E

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 40 A03FA03 DOMPERIDONE DOMPERIDONE 30 mg SUPPOSTE BAMBINI ret PZ PZ 0,27000 228 61,56000 720 194,40000 174 46,98000 0,00000 200 54,00000-1.322 356,94000 5.288 1.427,76000 4818496CAD 41 A03FA05 ALIZAPRIDE ALIZAPRIDE 50 mg F ev F F 0,38000 1.954 742,52000 180 68,40000 6.882 2.615,16000 1.440 547,20000 0,00000 3.500 1.330,00000 13.956 5.303,28000 55.824 21.213,12000 48185232F8 42 A04AA01 ONDANSETRONE ONDANSETRON 4 mg F im-ev F F 0,39000 4.030 1.571,70000 0,00000 2.560 998,40000 0,00000 300 117,00000 3500 1.365,00000 10.390 4.052,10000 41.560 16.208,40000 4819371EBF 43 A04AA01 ONDANSETRONE ONDANSETRON 8 mg CP os CP CP 2,86510 60 171,90600 0,00000 96 275,04960 0,00000 0,00000-156 446,95560 624 1.787,82240 4819389D9A 44 A04AA01 ONDANSETRONE ONDANSETRON 8 mg F im-ev F F 1,02000 430 438,60000 250 255,00000 6.575 6.706,50000 20.000 20.400,00000 0,00000-27.255 27.800,10000 109.020 111.200,40000 4819406BA2 45 A04AA02 GRANISETRONE GRANISETRON 3 mg F ev F F 1,80000 1.688 3.038,40000 0,00000 75 135,00000 0,00000 13.000 23.400,00000-14.763 26.573,40000 59.052 106.293,60000 48194163E5 46 A04AA03 TROPISETRON TROPISETRON 5 mg/5 ml F im-ev F F 1,83000 0,00000 200 366,00000 0,00000 0,00000 13.000 23.790,00000-13.200 24.156,00000 52.800 96.624,00000 4819448E4A 47 A04AA05 LONOSETRON LONOSETRON CLORIDRATO 250 mcg/5 ml F ev FL FL 43,20970 0,00000 50 2.160,48500 820 35.431,95400 0,00000 600 25.925,82000-1.470 63.518,25900 5.880 254.073,03600 48194575BA 48 A04AD01 SCOPOLAMINA SCOPOLAMINA 1,5 mg CEROTTI TRANSDERMICI td CER CER 2,39000 72 172,08000 0,00000 100 239,00000 0,00000 100 239,00000-272 650,08000 1.088 2.600,32000 4819465C52 49 A04AD12 APREPITANT APREPITANT (1 CPS da 125 mg + 2 CPS 80 mg) os CP CP 49,49045 0,00000 50 2.474,52250 30 1.484,71350 0,00000 40 1.979,61800-120 5.938,85400 480 23.755,41600 48194732EF 50 A04AD49 TIETILPERAZINA TIETILPERAZINA 6,5 mg SUPPOSTE ret SU SU 0,62000 276 171,12000 720 446,40000 576 357,12000 0,00000 600 372,00000-2.172 1.346,64000 8.688 5.386,56000 4819482A5A 51 A04AD49 TIETILPERAZINA TIETILPERAZINA 6,5 mg CP os CP CP 0,24000 660 158,40000 300 72,00000 0,00000 0,00000 900 216,00000-1.860 446,40000 7.440 1.785,60000 4819488F4C 52 A05AA02 ACIDO URSODESOSSICOLICO AC. URSODESOSSICOLICO 150 mg CP os CP CP 0,10000 840 84,00000 0,00000 2.560 256,00000 0,00000 5.000 500,00000 150 15,00000 8.550 855,00000 34.200 3.420,00000 481949229D 53 A05BA01 ARGININA GLUTAMATO ARGININA 30% 100 ml FL ev FL FL 8,00000 24 192,00000 0,00000 0,00000 0,00000 300 2.400,00000-324 2.592,00000 1.296 10.368,00000 '4819506E27 54 A06AB02 BISACODIL BISACODILE 10 mg SUPPOSTE ret SU SU 0,42000 228 95,76000 0,00000 12 5,04000 0,00000 0,00000 80 33,60000 320 134,40000 1.280 537,60000 4819526EA8 55 A06AB06 GLICOSIDI DELLA SENNA SENNOSIDI 150 mg SOLUZIONE ORALE os FL FL 1,60000 590 944,00000 0,00000 297 475,20000 2.800 4.480,00000 900 1.440,00000 150 240,00000 4.737 7.579,20000 18.948 30.316,80000 4819534545 56 A06AB06 GLICOSIDI DELLA SENNA SENNOSIDI A-B 12 mg CP RIV os CP CP 0,05743 7.432 426,81976 16.000 918,88000 37.960 2.180,04280 0,00000 0,00000-61.392 3.525,74256 245.568 14.102,97024 4819543CB0 57 A06AD11 LATTULOSIO LATTULOSIO 20% SOLUZIONE RETTALE SACCA ret FL FL 9,47000 186 1.761,42000 0,00000 271 2.566,37000 0,00000 1.800 17.046,00000-2.257 21.373,79000 9.028 85.495,16000 4819657AC4 58 A06AD11 LATTULOSIO LATTULOSIO 66,7% SCIROPPO os FL FL 1,33000 924 1.228,92000 1.500 1.995,00000 1.140 1.516,20000 1.968 2.617,44000 0,00000 80 106,40000 5.612 7.463,96000 22.448 29.855,84000 4819670580 59 A06AD11 LATTULOSIO LATTULOSIO EPS SCIR. 180 ml os FL FL 2,18160 0,00000 0,00000 0,00000 1.400 3.054,24000 0,00000-1.400 3.054,24000 5.600 12.216,96000 4819679CEB 60 A06AD12 LATTITOLO LATTITOLO 66,7% SCIROPPO os FL FL 0,97000 406 393,82000 0,00000 2.519 2.443,43000 0,00000 0,00000 3.300 3.201,00000 6.225 6.038,25000 24.900 24.153,00000 4819690601 61 A06AD15 MACROGOL MACROGOL 4000 10 g SOLUZIONE ORALE BUSTE os BS BS 0,20000 7.000 1.400,00000 0,00000 0,00000 0,00000 0,00000 570 114,00000 7.570 1.514,00000 30.280 6.056,00000 48196916D4 62 A06AD17 SODIO FOSFATO FOSFATO MONOSODICO+BISODICO 20 ml BUSTE os BS BS 0,63534 480 304,96320 1.800 1.143,61200 3.690 2.344,40460 0,00000 0,00000-5.970 3.792,97980 23.880 15.171,91920 4819695A20 63 A06AD65 MACROGOL, ASSOCIAZIONI MACROGOL 3350/SODIO BICARBONATO/SODIO CLORURO/POTASSIO CLORURO*20BUST os BS BS 0,19000 0,00000 0,00000 17.620 3.347,80000 0,00000 9.000 1.710,00000 2.340 444,60000 28.960 5.502,40000 115.840 22.009,60000 4819698C99 64 A06AD65 MACROGOL, ASSOCIAZIONI MACROGOL 4000 + NASOLFATO+ NABICARBONATO+NACLORURO+KCLORURO 17,4 g BUSTE os BS BS 0,11000 7.568 832,48000 0,00000 0,00000 0,00000 9.000 990,00000 1000 110,00000 17.568 1.932,48000 70.272 7.729,92000 4819705263 65 A06AD65 MACROGOL, ASSOCIAZIONI 66 A06AD65 MACROGOL, ASSOCIAZIONI MACROGOL 4000 + NASOLFATO+ NABICARBONATO+NACLORURO+KCLORURO 34,8 g BUSTE os BS BS 0,55000 3.424 1.883,20000 3.200 1.760,00000 0,00000 0,00000 9.000 4.950,00000-15.624 8.593,20000 62.496 34.372,80000 48197485DE MACROGOL 4000+SODIO SOLFATO ANIDRO+SODIO BICARBONATO+SODIO CLORURO+POTASSIO CLORURO+DIMETICONE*OS POLV 4BUST 70G 1L os BS BS 0,52667 0,00000 0,00000 4.320 2.275,21440 4.400 2.317,34800 9.000 4.740,03000-17.720 9.332,59240 70.880 37.330,36960 48207608FE 67 A06AG01 SODIO FOSFATO SODIO FOSFATO CLISMA 120 ml ret FL FL 0,36261 16.450 5.964,93450 12.000 4.351,32000 28.720 10.414,15920 22.000 7.977,42000 27.000 9.790,47000 3300 1.196,61300 109.470 39.694,91670 437.880 158.779,66680 48210085A7 68 A06AG20 ASSOCIAZIONI GLICER+CAMOM+MALVA MICROCLISMI ret FL FL 0,23465 5.484 1.286,82060 900 211,18500 0,00000 0,00000 0,00000 570 133,75050 6.954 1.631,75610 27.816 6.527,02440 4821116EC4 69 A06AX01 GLICEROLO GLICEROLO 1,5 g SUPPOSTE BAMBINI ret SU SU 0,04000 1.080 43,20000 0,00000 90 3,60000 0,00000 2.500 100,00000-3.670 146,80000 14.680 587,20000 4821124561 70 A06AX01 GLICEROLO GLICEROLO 2,5 g SUPPOSTE ADULTI ret SU SU 0,04000 6.140 245,60000 3.960 158,40000 9.414 376,56000 11.520 460,80000 15.000 600,00000 2.340 93,60000 48.374 1.934,96000 193.496 7.739,84000 48211456B5 71 A07AA02 NISTATINA NISTATINA 100UI/ml SOSPENSIONE os FL FL 2,91522 534 1.556,72748 300 874,56600 380 1.107,78360 0,00000 4.500 13.118,49000 60 174,91320 5.774 16.832,48028 23.096 67.329,92112 48211624BD 72 A07AA06 ROMOMICINA ROMOMICINA 250 mg CPS os CP CP 0,16000 608 97,28000 0,00000 272 43,52000 0,00000 7.000 1.120,00000-7.880 1.260,80000 31.520 5.043,20000 48211689AF 73 A07AA11 RIFAXIMINA RIFAXIMINA 200 mg CP os CP CP 0,10000 9.400 940,00000 1.200 120,00000 21.432 2.143,20000 19.200 1.920,00000 2.100 210,00000-53.332 5.333,20000 213.328 21.332,80000 48211846E4 74 A07DA03 LOPERAMIDE LOPERAMIDE 2 mg CPS os CP CP 0,03073 9.460 290,70580 3.600 110,62800 11.820 363,22860 0,00000 12.000 368,76000-36.880 1.133,32240 147.520 4.533,28960 4821266A8E 75 A07EC02 MESALAZINA MESALAZINA 400 mg CP RILASCIO MODIFICATO os CP CP 0,11000 5.760 633,60000 3.000 330,00000 6.500 715,00000 7.200 792,00000 3.000 330,00000-25.460 2.800,60000 101.840 11.202,40000 4821303917 76 A07EC02 MESALAZINA MESALAZINA 800 mg CP RILASCIO MODIFICATO os CP CP 0,21000 3.360 705,60000 0,00000 2.400 504,00000 0,00000 0,00000-5.760 1.209,60000 23.040 4.838,40000 4821315300 77 A07FA MICROORGANISMI ANTIDIARROICI FERM. LATTICI 135MLD BUSTE os BS BS 0,15500 744 115,32000 0,00000 0,00000 0,00000 35.000 5.425,00000-35.744 5.540,32000 142.976 22.161,28000 482135867B 78 A07FA MICROORGANISMI ANTIDIARROICI FERM. LATTICI 244MLD BUSTE os BS BS 0,18537 18.792 3.483,47304 0,00000 0,00000 0,00000 35.000 6.487,95000-53.792 9.971,42304 215.168 39.885,69216 4821731A49

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 79 A07FA49 MICROORGANISMI ANTIDIARROICI BACILLUS CLAUSII SOSPENSIONE ORALE FLONCINI os FL FL 0,29000 21.180 6.142,20000 10.000 2.900,00000 0,00000 0,00000 35.000 10.150,00000 9400 2.726,00000 75.580 21.918,20000 302.320 87.672,80000 482176023A 80 A07XA04 RACECADOTRIL RACECADOTRIL 10 mg BS os BS BS 0,75563 704 531,96352 0,00000 0,00000 0,00000 600 453,37800-1.304 985,34152 5.216 3.941,36608 4821793D72 81 A09AA02 POLIENZIMI (LISI, PROTEASI, ECC.) NCRELISI 150 mg CPS os CP CP 0,10000 600 60,00000 0,00000 600 60,00000 0,00000 80.000 8.000,00000-81.200 8.120,00000 324.800 32.480,00000 482188488C 82 A10AB01 INSULINA (UMANA) INSULINA RAPIDA 100 UI/ml CARTUCCE sc PEN PEN 4,25000 100 425,00000 0,00000 45 191,25000 0,00000 300 1.275,00000-445 1.891,25000 1.780 7.565,00000 48218994EE 83 A10AB01 INSULINA (UMANA) INSULINA UMANA RAPIDA 100 UI/ml FL sc FL FL 6,00000 168 1.008,00000 0,00000 731 4.386,00000 0,00000 800 4.800,00000-1.699 10.194,00000 6.796 40.776,00000 4821927C07 84 A10AB04 INSULINA LISPRO INSULINA LISPRO DA DNA RICOMBINANTE 3 ml PENNE sc PEN PEN 4,50000 0,00000 600 2.700,00000 950 4.275,00000 0,00000 600 2.700,00000-2.150 9.675,00000 8.600 38.700,00000 4821946BB5 85 A10AB04 INSULINA LISPRO INSULINA LISPRO DA DNA RICOMBINANTE 100U/ml 10 ml FL sc FL FL 14,00000 0,00000 0,00000 139 1.946,00000 0,00000 200 2.800,00000-339 4.746,00000 1.356 18.984,00000 482197212D 86 A10AB05 INSULINA ASRT INSULINA ASRTAME 100 U/ml PENNE PRERIEMPITE sc SR SR 6,50000 1.490 9.685,00000 0,00000 85 552,50000 0,00000 1.350 8.775,00000-2.925 19.012,50000 11.700 76.050,00000 4821994354 87 A10AB06 INSULINA GLULISINA INSULINA GLULISINA 100 U/ml PENNE PRERIEMPITE sc SR SR 5,98601 450 2.693,70450 0,00000 600 3.591,60600 0,00000 100 598,60100-1.150 6.883,91150 4.600 27.535,64600 4822003ABF 88 A10AB06 INSULINA GLULISINA INSULINA GLULISINA 100U/ml 10 ml FL sc FL FL 14,96000 0,00000 0,00000 219 3.276,24000 0,00000 0,00000-219 3.276,24000 876 13.104,96000 4822025CE6 89 A10AC04 INSULINA LISPRO INSULINA LISPRO PROTAMINA BASAL 3 ml PENNE sc PEN PEN 4,50000 0,00000 0,00000 20 90,00000 0,00000 300 1.350,00000-320 1.440,00000 1.280 5.760,00000 4822041A1B 90 A10AE04 INSULINA GLARGINE INSULINA GLARGINE 100 UI/ml PENNE PRERIEMPITE sc SR SR 8,42000 942 7.931,64000 250 2.105,00000 1.145 9.640,90000 0,00000 300 2.526,00000 80 673,60000 2.717 22.877,14000 10.868 91.508,56000 4822139AFA 91 A10AE04 INSULINA GLARGINE INSULINA GLARGINE 100UI/ml 10 ml FL sc FL FL 28,06000 0,00000 0,00000 189 5.303,34000 0,00000 600 16.836,00000-789 22.139,34000 3.156 88.557,36000 4822145FEC 92 A10AE05 INSULINA DETEMIR INSULINA DETEMIR 100 UI/ml PENNE PRERIEMPITE sc SR SR 8,46418 130 1.100,34340 30 253,92540 0,00000 0,00000 600 5.078,50800-760 6.432,77680 3.040 25.731,10720 4822160C4E 93 A10BA02 METFORMINA METFORMINA 500 mg CP os CP CP 0,00982 28.080 275,74560 12.000 117,84000 26.370 258,95340 54.000 530,28000 18.000 176,76000-138.450 1.359,57900 553.800 5.438,31600 4822183F48 94 A10BA02 METFORMINA METFORMINA 850 mg CP os CP CP 0,02000 3.880 77,60000 1.000 20,00000 3.960 79,20000 0,00000 0,00000-8.840 176,80000 35.360 707,20000 4822198BAA 95 A10BB09 GLICLAZIDE GLICLAZIDE 30 mg CP os CP CP 0,05000 2.640 132,00000 0,00000 1.440 72,00000 12.000 600,00000 1.200 60,00000-17.280 864,00000 69.120 3.456,00000 48222094C0 96 A10BB12 GLIMEPIRIDE GLIMEPIRIDE 2 mg CP os CP CP 0,03000 900 27,00000 900 27,00000 1.920 57,60000 0,00000 600 18,00000-4.320 129,60000 17.280 518,40000 4822235A33 97 A10BX02 REGLINIDE REGLINIDE 0,5 mg CP os CP CP 0,11000 4.320 475,20000 0,00000 1.170 128,70000 1.800 198,00000 4.500 495,00000-11.790 1.296,90000 47.160 5.187,60000 4822268570 98 A10BX02 REGLINIDE REGLINIDE 1 mg CP os CP CP 0,11000 6.660 732,60000 1.450 159,50000 7.830 861,30000 1.800 198,00000 9.000 990,00000-26.740 2.941,40000 106.960 11.765,60000 4822276C08 99 A10BX02 REGLINIDE REGLINIDE 2 mg CP os CP CP 0,10983 3.420 375,61860 0,00000 1.170 128,50110 0,00000 0,00000-4.590 504,11970 18.360 2.016,47880 4822303253 100 A11BA POLIVITAMINICI, NON ASSOCIATI COMPLESSO VITAMINICO GOCCE os FL FL 1,23000 488 600,24000 70 86,10000 27 33,21000 800 984,00000 900 1.107,00000-2.285 2.810,55000 9.140 11.242,20000 4822313A91 101 A11BA POLIVITAMINICI, NON ASSOCIATI POLIVITAMINICO SOLUZIONE INIETTABILE F im-ev FL FL 3,79979 2.160 8.207,54640 700 2.659,85300 3.950 15.009,17050 12.000 45.597,48000 6.000 22.798,74000 80 303,98320 24.890 94.576,77310 99.560 378.307,09240 4822322201 102 A11CB VITAMINE A E D IN ASSOCIAZIONE RETINOLO + COLECALCIFEROLO SOLUZIONE ORALE GOCCE os FL FL 3,19000 54 172,26000 90 287,10000 7 22,33000 0,00000 400 1.276,00000-551 1.757,69000 2.204 7.030,76000 48223297C6 103 A11CC04 CALCITRIOLO CALCITRIOLO 0,25 mcg CPS os CP CP 0,03000 10.140 304,20000 1.800 54,00000 10.620 318,60000 20.400 612,00000 10.500 315,00000 400 12,00000 53.860 1.615,80000 215.440 6.463,20000 4822336D8B 104 A11CC04 CALCITRIOLO CALCITRIOLO 0,50 mcg CPS os CP CP 0,04295 4.320 185,54400 0,00000 5.460 234,50700 0,00000-0,00000 9.600 412,32000 19.380 832,37100 77.520 3.329,48400 48223519ED 105 A11CC04 CALCITRIOLO CALCITRIOLO 1 mcg F ev F F 2,10050 550 1.155,27500 0,00000 800 1.680,40000 800 1.680,40000 720 1.512,36000-2.870 6.028,43500 11.480 24.113,74000 4822785016 106 A11CC05 COLECALCIFEROLO COLECALCIFEROLO 10000UI/ML 10 ml OS GTT os FL FL 3,45368 0,00000 0,00000 0,00000 200 690,73600 200 690,73600-400 1.381,47200 1.600 5.525,88800 4822820CF4 107 A11CC06 CALCIFEDIOLO CALCIFEDIOLO 1,5 mg GOCCE os FL FL 2,50000 44 110,00000 60 150,00000 35 87,50000 0,00000 200 500,00000-339 847,50000 1.356 3.390,00000 4822880E77 108 A11CC07 RACALCITOLO RACALCITOLO 5 mcg F ev F F 16,31605 2.180 35.568,98900 600 9.789,63000 8.060 131.507,36300 0,00000 3.000 48.948,15000-13.840 225.814,13200 55.360 903.256,52800 4822904249 109 A11DA01 TIAMINA (VITAMINA B1) TIAMINA 100 mg F im F F 0,68000 756 514,08000 300 204,00000 1.000 680,00000 1.200 816,00000 3.900 2.652,00000-7.156 4.866,08000 28.624 19.464,32000 4822921051 110 A11EA COMPLESSO VITAMINICO B, NON ASSOCIATO COMPLESSO VITAMINICO B CP os CP CP 0,17000 10.040 1.706,80000 5.400 918,00000 4.620 785,40000 0,00000 13.500 2.295,00000 400 68,00000 33.960 5.773,20000 135.840 23.092,80000 48229632F9 111 A11GA01 ACIDO ASCORBICO (VIT. C) ACIDO ASCORBICO 500 mg F im-ev F F 0,28000 7.778 2.177,84000 1.000 280,00000 1.810 506,80000 2.400 672,00000 4.200 1.176,00000-17.188 4.812,64000 68.752 19.250,56000 48230109C0 112 A11HA02 PIRIDOSSINA CLORIDRATO PIRIDOSSINA CLORIDRATO 300 mg/2 ml IM IV F im-ev FL FL 0,45000 0,00000 90 40,50000 0,00000 1.200 540,00000 450 202,50000-1.740 783,00000 6.960 3.132,00000 48230212D6 113 A11HA03 TOCOFEROLO ACETATO ALFA TOCOFEROLO ALFA ACETATO 300 mg CPS os CP CP 0,93440 0,00000 0,00000 0,00000 0,00000 6.000 5.606,40000-6.000 5.606,40000 24.000 22.425,60000 4823033CBA 114 A11JB VITAMINE ASSOCIATE A SALI MINERALI MINERALI + COMPLESSO VITAMINICO 1,75 g SUPPOSTE ret SU SU 0,40000 192 76,80000 0,00000 120 48,00000 0,00000 300 120,00000-612 244,80000 2.448 979,20000 482308794B 115 A12AA03 CALCIO GLUCONATO CALCIO GLUCONATO 10% F ev F F 0,11741 7.898 927,30418 4.500 528,34500 10.290 1.208,14890 36.000 4.226,76000 23.000 2.700,43000-81.688 9.590,98808 326.752 38.363,95232 4823093E3D 116 A12AA04 CALCIO CARBONATO CALCIO CARBONATO 1 g CP EFERVESCENTI os CP CP 0,06846 1.200 82,15200 0,00000 7.890 540,14940 0,00000 13.000 889,98000-22.090 1.512,28140 88.360 6.049,12560 4823098261 117 A12AA04 CALCIO CARBONATO CALCIO CARBONATO 500 mg CP os CP CP 0,03465 39.720 1.376,29800 1.500 51,97500 0,00000 0,00000 180.000 6.237,00000-221.220 7.665,27300 884.880 30.661,09200 4823108A9F

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 118 A12AA12 CALCIO ACETATO ANIDRO CALCIO ACETATO ANIDRO 667 mg CPS os CP CP 0,07000 0,00000 0,00000 55.400 3.878,00000 0,00000 36.000 2.520,00000-91.400 6.398,00000 365.600 25.592,00000 4823137290 119 A12AA20 CALCIO (SALI DIVERSI IN ASSOCIAZIONE) CALCIO LATTOGLUCONATO+CALCIO CARBONATO 1g BUSTE os BS BS 0,11000 2.900 319,00000 1.200 132,00000 2.600 286,00000 0,00000 0,00000 560 61,60000 7.260 798,60000 29.040 3.194,40000 4823144855 120 A12AA20 CALCIO SALI DIVERSI CALCIO SALI DIVERSI BUSTA 1 g os BS BS 0,10510 0,00000 0,00000 0,00000 20.000 2.102,00000 4.500 472,95000-24.500 2.574,95000 98.000 10.299,80000 48231583E4 121 A12BA01 POTASSIO CLORURO POTASSIO CLORURO 600 mg CP os CP CP 0,04289 40.880 1.753,34320 24.000 1.029,36000 100.400 4.306,15600 128.000 5.489,92000 45.000 1.930,05000 9600 411,74400 347.880 14.920,57320 1.391.520 59.682,29280 4823167B4F 122 A12BA30 POTASSIO CITRATO/POTASSIO SUCCINATO/POTASSIO MALATO/POTASSIO POTASSIO CITRATO/POTASSIO SUCCINATO/POTASSIO MALATO/POTASSIO GRAT BS os BS BS 0,14117 0,00000 16.000 2.258,72000 0,00000 8.000 1.129,36000 12.000 1.694,04000-36.000 5.082,12000 144.000 20.328,48000 4823179538 123 A12C INTEGRATORI MINERALI - ALTRI DESTROSIO+SALI MINERALI+INULINA BUSTE os BS BS 0,12000 1.865 223,80000 0,00000 0,00000 0,00000 600 72,00000-2.465 295,80000 9.860 1.183,20000 4823188CA3 124 A16AA01 LEVOCARNITINA LEVOCARNITINA 1g/5ml F ev F F 0,53000 7.950 4.213,50000 0,00000 50 26,50000 4.600 2.438,00000 9.000 4.770,00000-21.600 11.448,00000 86.400 45.792,00000 4823197413 125 A16AA04 CISTEAMINA/MERCAPTAMINA BITARTRATO CISTEAMINA BITARTRATO 150 mg CPS os CPS CP 1,46286 0,00000 0,00000 0,00000 0,00000 7.500 10.971,45000-7.500 10.971,45000 30.000 43.885,80000 4823207C51 126 A16AA06 BETAINA BETAINA ANIDRA 1 g FL os FL FL 404,33000 0,00000 0,00000 0,00000 0,00000 50 20.216,50000-50 20.216,50000 200 80.866,00000 4823226BFF 127 A16AB03 AGALSIDASI ALFA AGALSIDASI ALFA 1 mg/ml 3,5 ml F ev FL FL 1.538,84000 0,00000 0,00000 0,00000 1.286 1.978.948,24000 360 553.982,40000-1.646 2.532.930,64000 6.584 10.131.722,56000 48232510A4 128 A16AB02 IMIGLUCERASI IMIGLUCERASI 400 UI FL EV FL F 1.328,87600 0,00000 0,00000 0,00000 0,00000 1.200 1.594.651,20000-1.200 1.594.651,20000 4.800 6.378.604,80000 4823244ADA 129 A16AB10 VELAGLUCERASI VELAGLUCERASI 400 UI FL ev FL F 1.328,88000 0,00000 0,00000 0,00000 0,00000 120 159.465,60000-120 159.465,60000 480 637.862,40000 4823258669 130 A16AX06 MIGLUSTAT MIGLUSTAT 100 mg CPS os CP CP 72,04167 672 48.412,00224 0,00000 0,00000 0,00000 0,00000-672 48.412,00224 2.688 193.648,00896 4823265C2E 131 B01AA03 WARFARIN WARFARIN 5 mg CP os CP CP 0,03222 17.940 578,02680 4.200 135,32400 32.220 1.038,12840 0,00000 12.000 386,64000-66.360 2.138,11920 265.440 8.552,47680 48232721F8 132 B01AA07 ACENOCUMAROLO ACENOCUMAROLO 1 mg CP os CP CP 0,04300 840 36,12000 0,00000 440 18,92000 0,00000 1.800 77,40000-3.080 132,44000 12.320 529,76000 48232797BD 133 B01AA07 ACENOCUMAROLO ACENOCUMAROLO 4 mg CP os CP CP 0,06000 3.480 208,80000 600 36,00000 1.820 109,20000 0,00000 1.800 108,00000 1 0,06000 7.701 462,06000 30.804 1.848,24000 4823308FA9 134 B01AB01 ERINA SODICA ERINA SODICA 5000 UI/ML 5 ml FL sc FL FL 2,44000 4.586 11.189,84000 14.000 34.160,00000 31.940 77.933,60000 45.000 109.800,00000 70.000 170.800,00000 400 976,00000 165.926 404.859,44000 663.704 1.619.437,76000 4823613B5C 135 B01AB01 ERINA SODICA ERINA SODICA 5000 U.I./ml 10 ml F ev F F 8,76000 4.452 38.999,52000-0,00000 1.998 17.502,48000 0,00000 0,00000-6.450 56.502,00000 25.800 226.008,00000 4823658082 136 B01AB01 ERINA CALCICA ERINA CALCICA 12500UI/0,5 ml SR ev,sc SR SR 0,80000 0,00000 0,00000 1.090 872,00000 0,00000 10.000 8.000,00000 10 8,00000 11.100 8.880,00000 44.400 35.520,00000 4853010E87 137 B01AB01 ERINA CALCICA ERINA CALCICA 5000UI/0,2 ml SR ev,sc SR SR 0,48000 0,00000 2.000 960,00000 7.740 3.715,20000 0,00000 45.000 21.600,00000 110 52,80000 54.850 26.328,00000 219.400 105.312,00000 485304181E 138 B01AB01 ERINA SODICA ERINA SODICA 250UI/5 ml F pervietà cateteri F F 0,24000 0,00000 0,00000 3.290 789,60000 0,00000 0,00000 900 216,00000 4.190 1.005,60000 16.760 4.022,40000 4853063A45 139 B01AB02 ANTITROMBINA III ANTITROMBINA III UI F ev Unità Unità 0,24500 85.000 20.825,00000 0,00000 0,00000 0,00000 51.000 12.495,00000-136.000 33.320,00000 544.000 133.280,00000 48530721B5 140 B01AB04 DALTERINA DALTERINA SODICA SR dosaggi diversi sc Mille Unità Mille Unità 0,36000 7.740 2.786,40000 0,00000 0,00000 0,00000 51.439 18.517,92000-59.179 21.304,32000 236.715 85.217,28000 48530786A7 141 B01AB05 ENOXARINA ENOXARINA SODICA SR dosaggi diversi sc Mille Unità Mille Unità 0,36000 339.872 122.353,92000 230.000 82.800,00000 393.110 141.519,60000 0,00000 51.439 18.517,92000-1.014.421 365.191,44000 4.057.683 1.460.765,76000 4853083AC6 142 B01AB06 NADRORINA NADRORINA CALCICA SR dosaggi diversi sc Mille Unità Mille Unità 0,36000 87.571 31.525,56000 28.500 10.260,00000 270.030 97.210,80000 0,00000 51.439 18.517,92000-437.540 157.514,28000 1.750.159 630.057,12000 48530954AF 143 B01AB12 BEMIRINA BEMIRINA SR dosaggi diversi sc Mille Unità Mille Unità 0,40000 660 264,00000 0,00000 5.320 2.128,00000 0,00000 51.439 20.575,46667-57.419 22.967,46667 229.675 91.869,86667 485311445D 144 B01AB ALTRA ERINA EBPM ALTRA ERINA EBPM (categoria terapeutica omogenea) sc Mille Unità Mille Unità 0,36000 0,00000 0,00000 0,00000 0,00000 51.439 18.517,92000-51.439 18.517,92000 205.755 74.071,68000 4853127F14 145 B01AC04 CLOPIDOGREL CLOPIDOGREL 300 mg CP os CP CP 2,15000 1.044 2.244,60000 630 1.354,50000 1.380 2.967,00000 840 1.806,00000 600 1.290,00000-4.494 9.662,10000 17.976 38.648,40000 48531409D0 146 B01AC04 CLOPIDOGREL CLOPIDOGREL 75 mg CP os CP CP 0,20000 18.592 3.718,40000 5.600 1.120,00000 57.848 11.569,60000 29.120 5.824,00000 6.600 1.320,00000 560 112,00000 118.320 23.664,00000 473.280 94.656,00000 485315455F 147 B01AC05 TICLOPIDINA TICLOPIDINA 250 mg CP os CP CP 0,05000 11.340 567,00000 3.600 180,00000 13.080 654,00000 12.000 600,00000 12.000 600,00000-52.020 2.601,00000 208.080 10.404,00000 4853164D9D 148 B01AC06 ACIDO ACETILSALICILICO ACIDO ACETILSALICILICO 100 mg CP os CP CP 0,03497 73.380 2.566,09860 24.000 839,28000 81.810 2.860,89570 84.000 2.937,48000 2.400 83,92800 6.000 209,82000 271.590 9.497,50230 1.086.360 37.990,00920 48531745E0 149 B01AC07 DIPIRIDAMOLO DIPIRIDAMOLO 10 mg F ev F F 0,20089 2.300 462,04700 450 90,40050 2.580 518,29620 0,00000 300 60,26700-5.630 1.131,01070 22.520 4.524,04280 485318709C 150 B01AC11 ILOPROST ILOPROST TROMETAMOLO 0,05 mg F ev F F 76,06158 996 75.757,33368 60 4.563,69480 479 36.433,49682 900 68.455,42200 3.750 285.230,92500-6.185 470.440,87230 24.740 1.881.763,48920 4853203DCC 151 B01AC11 ILOPROST ILOPROST TROMETAMOLO 10 mcg F inal F F 24,65000 1.800 44.370,00000 0,00000 0,00000 2.640 65.076,00000 0,00000-4.440 109.446,00000 17.760 437.784,00000 485321253C 152 B01AC13 ABCIXIMAB ABCIXIMAB 10MG/5ML5ML F im FL FL 231,74000 3 695,22000 150 34.761,00000 355 82.267,70000-0,00000 50 11.587,00000-558 129.310,92000 2.232 517.243,68000 4853221CA7 153 B01AC16 EPTIFIBATIDE EPTIFIBATIDE 0,75 mg/ml 100 ml ev FL FL 58,18000 120 6.981,60000 0,00000 3 174,54000 0,00000 0,00000-123 7.156,14000 492 28.624,56000 4853243ECE 154 B01AC16 EPTIFIBATIDE EPTIFIBATIDE 2 mg/ml 10 ml ev F F 18,42000 14 257,88000 0,00000 2 36,84000 0,00000 0,00000-16 294,72000 64 1.178,88000 4853262E7C 155 B01AC17 TIROFIBAN TIROFIBAN 250 mcg/ml 50 ml FL EV FL FL 161,95030 0,00000 15 2.429,25450 222 35.952,96660 0,00000 180 29.151,05400-417 67.533,27510 1.668 270.133,10040 4853268373 156 B01AC22 PRASUGREL CLORIDRATO PRASUGREL CLORIDRATO 5 mg CP RIVESTITE os CP CP 1,46770 0,00000 0,00000 0,00000 448 657,52960 1.500 2.201,55000-1.948 2.859,07960 7.792 11.436,31840 48532840A8

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 157 B01AC22 PRASUGREL PRASUGREL CLORIDRATO 10 mg CP RIVESTITE os CP CP 1,47000 728 1.070,16000 420 617,40000 3.668 5.391,96000 1.344 1.975,68000 1.500 2.205,00000-7.660 11.260,20000 30.640 45.040,80000 4853314967 158 B01AC24 TICAGRELOR TICAGRELOR 90 mg 56 CP os CP CP 1,61277 7.056 11.379,70512 560 903,15120 1.680 2.709,45360 0,00000 1.500 2.419,15500-10.796 17.411,46492 43.184 69.645,85968 48533474A4 159 B01AC30 CLOPIDOGREL+AC ACETILSALICILICO CLOPIDOGREL+AC ACETILSALICILICO 75/100 mg os CP CP 0,30000 28 8,40000-0,00000-0,00000-0,00000 3.000 900,00000-3.028 908,40000 12.112 3.633,60000 4853359E88 160 B01AD02 ALTEPLASI ALTEPLASI 20 mg F ev FL FL 164,84000 0,00000 5 824,20000 0,00000 0,00000 20 3.296,80000-25 4.121,00000 100 16.484,00000 485337079E 161 B01AD02 ALTEPLASI ALTEPLASI 50 mg F ev FL FL 392,73577 14 5.498,30078 0,00000 42 16.494,90234 0,00000 100 39.273,57700 1 392,73577 157 61.659,51589 628 246.638,06356 4853379F09 162 B01AD04 UROCHINASI UROCHINASI 25.000 UI F ev FL FL 8,73376 1.302 11.371,35552 300 2.620,12800 1.507 13.161,77632 900 7.860,38400 0,00000-4.009 35.013,64384 16.036 140.054,57536 4853398EB7 163 B01AD04 UROCHINASI UROCHINASI 100.000 UI FL ev FL FL 31,01000 0,00000 0,00000 542 16.807,42000 240 7.442,40000 2.250 69.772,50000-3.032 94.022,32000 12.128 376.089,28000 4853412A46 164 B01AD11 TENECTEPLASE TENECTEPLASE 10000 U/10 ml SR ev SR SR 895,07610 0,00000 0,00000 24 21.481,82640 0,00000 5 4.475,38050-29 25.957,20690 116 103.828,82760 485342442F 165 B01AD12 PROTEINA C PROTEINA C 500 UI EV ev FL FL 700,00000 42 29.400,00000-0,00000-0,00000-0,00000 60 42.000,00000-102 71.400,00000 408 285.600,00000 4853439091 166 B01AE06 BIVALIRUDINA BIVALIRUDINA 250 mg F ev FL FL 310,61525 160 49.698,44000 10 3.106,15250 200 62.123,05000 20 6.212,30500 50 15.530,76250-440 136.670,71000 1.760 546.682,84000 4853454CEE 167 B01AE07 DABIGATRAN ETEXILATO DABIGATRAN ETEXILATO 75 mg CPS os CP CP 0,03136 640 20,07040 0,00000 0,00000 0,00000 0,00000 300 9,40800 940 29,47840 3.760 117,91360 4853465604 168 B01AE07 DABIGATRAN ETEXILATO DABIGATRAN ETEXILATO 110 mg CPS os CP CP 1,40000 1.400 1.960,00000 0,00000 0,00000 0,00000 0,00000-1.400 1.960,00000 5.600 7.840,00000 4853474D6F 169 B01AX04 DERMATAN SOLFATO DERMATAN SOLFATO 300 mg ev-im F F 1,95443 0,00000 0,00000 0,00000 0,00000 1.350 2.638,48050-1.350 2.638,48050 5.400 10.553,92200 4853479193 170 B01AX05 FONDARINUX FONDARINUX SODICO 2,5 mg SR sc SR SR 1,71047 1.312 2.244,13664 600 1.026,28200 2.440 4.173,54680 800 1.368,37600 350 598,66450 110 188,15170 5.612 9.599,15764 22.448 38.396,63056 4853495EC3 171 B01AX05 FONDARINUX FONDARINUX SODICO 7,5 mg SR sc SR SR 3,80000 20 76,00000 50 190,00000 710 2.698,00000 460 1.748,00000 200 760,00000 10 38,00000 1.450 5.510,00000 5.800 22.040,00000 4853510B25 172 B01AX06 RIVAROXABAN RIVAROXABAN 10 mg CP os CP CP 2,72500 2.220 6.049,50000 0,00000 3.810 10.382,25000 0,00000 0,00000-6.030 16.431,75000 24.120 65.727,00000 48535246B4 173 B02AA02 ACIDO TRANEXAMICO ACIDO TRANEXAMICO 500 mg F os F F 0,14000 5.680 795,20000 4.500 630,00000 12.168 1.703,52000 15.936 2.231,04000 22.000 3.080,00000 900 126,00000 61.184 8.565,76000 244.736 34.263,04000 4853537170 174 B02AB INIBITORI DELLE PROTEASI GABESATO MESILATO 100 mg F ev FL FL 5,32872 4.308 22.956,12576 100 532,87200 7.401 39.437,85672 0,00000 100 532,87200-11.909 63.459,72648 47.636 253.838,90592 4853544735 175 B02AB02 ALFA 1 ANTITRIPSINA UMANA ALFA 1 ANTITRIPSINA UMANA 1 g F ev FL FL 240,00000 0,00000 0,00000 0,00000 192 46.080,00000 0,00000-192 46.080,00000 768 184.320,00000 4853651F7F 176 B02BA01 FITOMENADIONE FITOMENADIONE 10 mg/1 ml F im F F 0,28000 6.910 1.934,80000 600 168,00000 6.660 1.864,80000 9.600 2.688,00000 15.000 4.200,00000-38.770 10.855,60000 155.080 43.422,40000 48536839E9 177 B02BA01 FITOMENADIONE FITOMENADIONE 2mg/0,2 ml F ev,im,os F F 0,50000 0,00000 3.000 1.500,00000-0,00000 0,00000 7.000 3.500,00000-10.000 5.000,00000 40.000 20.000,00000 48536942FF 178 B02BC30 EMOSTATICI ASSOCIAZIONI EMOSTATICO ADESIVO A BASE DI FIBRINOGENO/TROMBINA 1 + 1 ml loc CF CF INDICAZIONE ANCHE DI ADESIONE TISSUTALE 101,06667 12 1.212,80004 32 3.234,13344 0,00000 0,00000 100 10.106,66700-144 14.553,60048 576 58.214,40192 4853711107 179 B02BC30 EMOSTATICI ASSOCIAZIONI EMOSTATICO ADESIVO A BASE DI FIBRINOGENO/TROMBINA 2 + 2 ml loc CF CF INDICAZIONE ANCHE DI ADESIONE TISSUTALE 81,90000 12 982,80000 42 3.439,80000 7 573,30000 0,00000 100 8.190,00000-161 13.185,90000 644 52.743,60000 485371979F 180 B02BC30 EMOSTATICI ASSOCIAZIONI EMOSTATICO ADESIVO A BASE DI FIBRINOGENO/TROMBINA 5 + 5 ml loc CF CF INDICAZIONE ANCHE DI ADESIONE TISSUTALE 478,67500 200 95.735,00000 0,00000 120 57.441,00000 0,00000 250 119.668,75000-570 272.844,75000 2.280 1.091.379,00000 4853727E37 181 B02BC30 EMOSTATICI ASSOCIAZIONI EMOSTATICO ADESIVO A BASE DI FIBRINOGENO/TROMBINA IN SPUGNE (2) 4,8 cm x 4,8 cm loc PZ PZ 200,00000 12 2.400,00000 0,00000 38 7.600,00000 0,00000 70 14.000,00000-120 24.000,00000 480 96.000,00000 485373874D 182 B02BC30 EMOSTATICI ASSOCIAZIONI EMOSTATICO ADESIVO A BASE DI FIBRINOGENO/TROMBINA IN SPUGNA (1) 9,5 cm x 4,8 cm loc PZ PZ 288,00000 42 12.096,00000 50 14.400,00000 142 40.896,00000 0,00000 70 20.160,00000-304 87.552,00000 1.216 350.208,00000 4853754482 183 B02BC30 EMOSTATICI ASSOCIAZIONI EMOSTATICO SOLUZIONE NEBULIZZABILE BASE DI FIBRINOGENO/TROMBINA 2 ml loc CF CF 186,89500 86 16.072,97000 0,00000 46 8.597,17000 0,00000 0,00000-132 24.670,14000 528 98.680,56000 485381245F 184 B02BC30 EMOSTATICI ASSOCIAZIONI EMOSTATICO SOLUZIONE NEBULIZZABILE BASE DI FIBRINOGENO/TROMBINA 5 ml loc CF CF 452,77000 100 45.277,00000 0,00000 0,00000 0,00000 0,00000-100 45.277,00000 400 181.108,00000 4853822C9D 185 B02BD01 COMPLESSO PROTROMBINICO UMANO COMPLESSO PROTROMBINICO UMANO I F loc UI UI 100,00000 100 10.000,00000 0,00000 0,00000 0,00000 40 4.000,00000-140 14.000,00000 560 56.000,00000 48538324E0 186 B02BD08 EPTACOG ALFA (ATTIVATO) EPTACOG ALFA ATTIVATO (FATT. VII DA DNA RICOMBINANTE) 1 mg(50kui) ev FL FL 653,85000 0,00000 0,00000 22 14.384,70000 0,00000 0,00000-22 14.384,70000 88 57.538,80000 4856342C2F 187 B02BD08 EPTACOG ALFA (ATTIVATO) EPTACOG ALFA ATTIVATO (FATT. VII DA DNA RICOMBINANTE) 2 mg(100kui) ev FL FL 1.307,70000 0,00000 0,00000 18 23.538,60000 0,00000 0,00000-18 23.538,60000 72 94.154,40000 48563670D4 188 B02BD08 EPTACOG ALFA (ATTIVATO) EPTACOG ALFA ATTIVATO (FATT. VII DA DNA RICOMBINANTE) 5 mg(250kui) ev FL FL 3.200,00000 0,00000 0,00000 3 9.600,00000 0,00000 0,00000-3 9.600,00000 12 38.400,00000 48563681A7 189 B02BX04 ROMIPLOSTIM ROMIPLOSTIM 250 mcg FL sc FL FL 529,48422 0,00000 0,00000 30 15.884,52660 0,00000 300 158.845,26600-330 174.729,79260 1.320 698.919,17040 48563789E5 190 B02BX04 ROMIPLOSTIM ROMIPLOSTIM 500 mcg FL sc FL FL 1.058,96344 0,00000 0,00000 21 22.238,23224 0,00000 300 317.689,03200-321 339.927,26424 1.284 1.359.709,05696 485639471A 191 B02BX05 ELTROMBOG OLAMINA ELTROMBOG OLAMINA 25 mg CP RIVESTITE os CP CP 36,82072 0,00000 0,00000 0,00000 112 4.123,92064 2.898 106.706,44656-3.010 110.830,36720 12.040 443.321,46880 48572200BF 192 B02BX05 ELTROMBOG OLAMINA ELTROMBOG OLAMINA 50 mg CP RIVESTITE os CP CP 73,64145 0,00000 420 30.929,40900 0,00000 56 4.123,92120 2.898 213.412,92210-3.374 248.466,25230 13.496 993.865,00920 4857235D1C 193 B03AA07 FERROSO SOLFATO FERRO SOLFATO CP os CP CP 0,05000 20.160 1.008,00000 7.200 360,00000 26.960 1.348,00000 32.000 1.600,00000 84.000 4.200,00000 400 20,00000 170.720 8.536,00000 682.880 34.144,00000 48572422E6 194 B03AB FERRO TRIVALENTE, PRERATI ORALI FERRO TRIVALENTE 62,5 mg/5 ml F ev, os F F 0,50000 12.790 6.395,00000 10.000 5.000,00000 29.770 14.885,00000 0,00000 18.000 9.000,00000-70.560 35.280,00000 282.240 141.120,00000 4857255D9D 195 B03AC02 FERRISACCARATO FERRO SACCARATO MG 100 FL ev FL F 14,70000 0,00000 0,00000 0,00000 0,00000 750 11.025,00000-750 11.025,00000 3.000 44.100,00000 4858076323

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 196 B03BA01 CIANOCOBALAMINA CIANOCOBALAMINA 500 mcg F im F F 0,24867 3.640 905,15880 0,00000 0,00000 2.000 497,34000 1.500 373,00500-7.140 1.775,50380 28.560 7.102,01520 4858127D36 197 B03BA51 CIANOCOBALAMINA, ASSOCIAZIONI CIANOCOBALAMINA+ CALCIOFOLINATO im-ev F F 0,64000 684 437,76000 0,00000 3.798 2.430,72000 0,00000 1.800 1.152,00000 40 25,60000 6.322 4.046,08000 25.288 16.184,32000 48581407F2 198 B03BB01 AC. FOLICO 5MG ACIDO FOLICO 5 mg CP os CP CP 0,09553 6.760 645,78280 9.000 859,77000 560 53,49680 0,00000 35.000 3.343,55000-51.320 4.902,59960 205.280 19.610,39840 48581922DD 199 B03XA01 ERITROPOIETINA ALFA EPOETINA ALFA ORIGINATOR SR (dosaggi vari) sc Mille Unità Mille Unità 3,50000 6.000 21.000,00000 1.800 6.300,00000 105.221 368.272,80000 1.550 5.426,40000 69.326 242.642,40000 27.936 97.776,00000 211.834 741.417,60000 847.334 2.965.670,40000 4858228093 200 B03XA01 ERITROPOIETINA ALFA BIOSIMILARE EPOETINA ALFA BIOSIMILARE SR (dosaggi vari) sc Mille Unità Mille Unità 1,70000 2.000 3.400,00000 600 1.020,00000 35.074 59.625,12000 517 878,56000 23.109 39.284,96000 9312 15.830,40000 70.611 120.039,04000 282.445 480.156,16000 4858244DC3 201 B03XA01 ERITROPOIETINA BETA EPOETINA BETA SR (dosaggi vari) ev-sc Mille Unità Mille Unità 3,50000 27.000 94.500,00000 8.160 28.560,00000 19.567 68.483,10000-0,00000 4.560 15.960,00000 - - 59.287 207.503,10000 237.146 830.012,40000 485827033B 202 B03XA01 ERITROPOIETINA ZETA EPOETINA ZETA SR (dosaggi vari) sc Mille Unità Mille Unità 1,90000 2.000 3.800,00000 600 1.140,00000 35.074 66.639,84000 517 981,92000 23.109 43.906,72000 9.312 17.692,80000 70.611 134.161,28000 282.445 536.645,12000 48582567AC 203 B03XA01 ERITROPOIETINA TETA EPOETINA TETA SR (dosaggi vari) ev-sc Mille Unità Mille Unità 2,00000 18.000 36.000,00000 5.440 10.880,00000 13.044 26.088,80000-0,00000 3.040 6.080,00000 - - 39.524 79.048,80000 158.098 316.195,20000 4858283DF2 204 B03XA02 DARBEPOIETINA ALFA DARBEPOETINA ALFA SC SR E PENNA (dosaggi vari) sc mcg mcg 1,30800 25.000 32.700,00000 14.600 19.096,80000 365.046 477.480,16800 2.500 3.270,00000 50.000 65.400,00000-457.146 597.946,96800 1.828.584 2.391.787,87200 4858298A54 205 B03XA03 MPEG-EPOETINA BETA MPEG EPOETINA BETA SR (dosaggi vari) sc mcg mcg 1,35000 15.000 20.250,00000 10.000 13.500,00000 15.000 20.250,00000 12.000 16.200,00000 0,00000-52.000 70.200,00000 208.000 280.800,00000 485830936A 206 B05AA01 ALBUMINA ALBUMINA UMANA 20% SACCA/FL ev g SA/FL 2,00000 70.000 140.000,00000 0,00000 0,00000 0,00000 80.000 160.000,00000-150.000 300.000,00000 600.000 1.200.000,00000 4858328318 207 B05AA06 DERIVATI DELLA GELATINA POLIGELINA 3,5% FL ev FL FL 2,99000 388 1.160,12000 2.400 7.176,00000 437 1.306,63000 0,00000 4.500 13.455,00000-7.725 23.097,75000 30.900 92.391,00000 4858342EA2 208 B05AA07 DERIVATI DELLA GELATINA SUCCINILGELATINA 4% FL ev FL FL 2,59000 0,00000 0,00000 0,00000 0,00000 1.500 3.885,00000-1.500 3.885,00000 6.000 15.540,00000 4858357B04 209 B05AA07 IDROSSIETIL-AMIDO TETRAMIDOLO 6% 500 ml FL ev PZ PZ 4,80000 2.814 13.507,20000 1.000 4.800,00000 6.980 33.504,00000 5.250 25.200,00000 1.000 4.800,00000 1460 7.008,00000 18.504 88.819,20000 74.016 355.276,80000 485836841A 210 B05AA08 IDROSSIETIL-AMIDO TETRAMIDOLO 6% 500 ml FL (ind.pediatrica) ev FL FL Indicazione pediatrica 7,10000 15 106,50000 0,00000 0,00000 0,00000 1.500 10.650,00000-1.515 10.756,50000 6.060 43.026,00000 4858378C58 211 B05BB03 TROMETAMOLO TROMETAMOLO 3,6% 250 ml F ev FL FL 2,41000 30 72,30000 0,00000 0,00000 0,00000 2.250 5.422,50000 5.250 12.652,50000 7.530 18.147,30000 30.120 72.589,20000 485838849B 212 C01AA05 DIGOSSINA DIGOSSINA 0,0625 mg CP os CP CP 0,03000 1.200 36,00000 1.200 36,00000 90 2,70000 0,00000 1.800 54,00000-4.290 128,70000 17.160 514,80000 4858400E7F 213 C01AA05 DIGOSSINA DIGOSSINA 0,125 mg CP os CP CP 0,04000 5.820 232,80000 2.100 84,00000 8.970 358,80000 0,00000 75 3,00000 300 12,00000 17.265 690,60000 69.060 2.762,40000 4858406376 214 C01AA05 DIGOSSINA DIGOSSINA 0,250 mg CP os CP CP 0,03633 1.920 69,75360 2.100 76,29300 1.140 41,41620 0,00000 480 17,43840-5.640 204,90120 22.560 819,60480 4858416BB4 215 C01AA05 DIGOSSINA DIGOSSINA 0,5 mg/2 ml F ev F F 0,36000 840 302,40000 990 356,40000 1.434 516,24000 1.320 475,20000 75 27,00000 60 21,60000 4.719 1.698,84000 18.876 6.795,36000 48584729EB 216 C01BC03 PROFENONE PROFENONE 150 mg CP os CP CP 0,01000 2.160 21,60000 900 9,00000 1.200 12,00000 6.600 66,00000 4.500 45,00000-15.360 153,60000 61.440 614,40000 4858500109 217 C01BC03 PROFENONE PROFENONE 70 mg F ev F F 1,05000 360 378,00000 120 126,00000 435 456,75000 400 420,00000 900 945,00000-2.215 2.325,75000 8.860 9.303,00000 48585087A1 218 C01BC04 FLECAINIDE FLECAINIDE 100 mg CP os CP CP 0,15000 2.080 312,00000 1.000 150,00000 1.040 156,00000 1.600 240,00000 18.000 2.700,00000 100 15,00000 23.820 3.573,00000 95.280 14.292,00000 48585309C8 219 C01BC04 FLECAINIDE FLECAINIDE ACETATO 150 mg/15 ml F EV FL FL 2,77000 0,00000 60 166,20000 245 678,65000 200 554,00000 150 415,50000 24 66,48000 679 1.880,83000 2.716 7.523,32000 48585466FD 220 C01BD01 AMIODARONE AMIODARONE 150 mg/3 ml F ev F F 0,31000 5.250 1.627,50000 2.500 775,00000 15.285 4.738,35000 4.000 1.240,00000 18.000 5.580,00000 400 124,00000 45.435 14.084,85000 181.740 56.339,40000 4858572C70 221 C01BD01 AMIODARONE AMIODARONE 200 mg CP os CP CP 0,06000 20.000 1.200,00000 7.000 420,00000 25.420 1.525,20000 32.000 1.920,00000 18.000 1.080,00000 200 12,00000 102.620 6.157,20000 410.480 24.628,80000 48585889A5 222 C01BD07 DRONEDARONE DRONEDARONE 400 mg CP os CP CP 0,53000 240 127,20000 0,00000 840 445,20000 0,00000 600 318,00000-1.680 890,40000 6.720 3.561,60000 48585981E8 223 C01CA01 ETILEFRINA ETILEFRINA 0,75% GOCCE os FL FL 1,16000 132 153,12000 0,00000 16 18,56000 0,00000 9.000 10.440,00000 10 11,60000 9.158 10.623,28000 36.632 42.493,12000 4858614F18 224 C01CA01 ETILEFRINA ETILEFRINA 10 mg/1 ml F ev F F 0,31000 2.376 736,56000 720 223,20000 4.302 1.333,62000 2.520 781,20000 6.000 1.860,00000 1530 474,30000 17.448 5.408,88000 69.792 21.635,52000 485868380B 225 C01CA02 ISOPRENALINA ISOPRENALINA 0,2 mg/1 ml F ev F F 0,20000 870 174,00000 300 60,00000 1.140 228,00000 400 80,00000 3.000 600,00000-5.710 1.142,00000 22.840 4.568,00000 4858690DD0 226 C01CA03 NOREPINEFRINA NORADRENALINA 2 mg/1 ml F ev F F 0,39000 7.030 2.741,70000 2.400 936,00000 5.195 2.026,05000 12.000 4.680,00000 9.000 3.510,00000 250 97,50000 35.875 13.991,25000 143.500 55.965,00000 4858706B05 227 C01CA04 DOMINA DOMINA 200 mg/5 ml F ev F F 0,29000 2.372 687,88000 3.300 957,00000 9.380 2.720,20000 8.400 2.436,00000 6.000 1.740,00000 1000 290,00000 30.452 8.831,08000 121.808 35.324,32000 4858712FF7 228 C01CA07 DOBUTAMINA DOBUTAMINA 250 mg/20 ml F ev FL FL 2,20000 764 1.680,80000 130 286,00000 998 2.195,60000 3.600 7.920,00000 600 1.320,00000-6.092 13.402,40000 24.368 53.609,60000 4858740715 229 C01CA24 EPINEFRINA ADRENALINA 1 mg/1 ml F sc F F 0,10000 7.910 791,00000 6.000 600,00000 7.965 796,50000 12.800 1.280,00000 18.000 1.800,00000 120 12,00000 52.795 5.279,50000 211.180 21.118,00000 4858750F53 230 C01CA24 EPINEFRINA ADRENALINA 150 mcg BB PENNA PRERIEMPITA/SR im PEN/SR SR 34,21909 30 1.026,57270 150 5.132,86350 40 1.368,76360 0,00000 50 1.710,95450-270 9.239,15430 1.080 36.956,61720 485883557B 231 C01CA24 EPINEFRINA ADRENALINA 165 mcg BB PENNA PRERIEMPITA/SR im PEN/SR SR 34,21909 30 1.026,57270 150 5.132,86350 40 1.368,76360 0,00000 0,00000-220 7.528,19980 880 30.112,79920 4858847F5F 232 C01CA24 EPINEFRINA ADRENALINA 300 mcg AD PENNA PRERIEMPITA/SR im PEN/SR SR 32,48000 28 909,44000 130 4.222,40000 91 2.955,68000 0,00000 150 4.872,00000-399 12.959,52000 1.596 51.838,08000 4858853456 233 C01CA24 EPINEFRINA ADRENALINA 330 mcg AD PENNA PRERIEMPITA/SR im PEN/SR SR 32,48000 28 909,44000 130 4.222,40000 91 2.955,68000 0,00000 150 4.872,00000-399 12.959,52000 1.596 51.838,08000 4858867FE0 234 C01CX08 LEVOSIMENDAN LEVOSIMENDAN 2,5 mg/ ml F ev F F 678,87000 14 9.504,18000 0,00000 24 16.292,88000 240 162.928,80000 30 20.366,10000-308 209.091,96000 1.232 836.367,84000 4858877823

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 235 C01DA02 NITROGLICERINA NITROGLICERINA 5 mg CEROTTI td CER CER 0,11000 5.580 613,80000 3.600 396,00000 7.335 806,85000 0,00000 15.000 1.650,00000-31.515 3.466,65000 126.060 13.866,60000 485888920C 236 C01DA02 NITROGLICERINA NITROGLICERINA 10 mg CEROTTI td CER CER 0,11000 8.670 953,70000 6.000 660,00000 17.175 1.889,25000 0,00000 30.000 3.300,00000-61.845 6.802,95000 247.380 27.211,80000 4858901BF0 237 C01DA02 NITROGLICERINA NITROGLICERINA 15 mg CEROTTI td CER CER 0,11000 690 75,90000 0,00000 0,00000 0,00000 0,00000-690 75,90000 2.760 303,60000 485890928D 238 C01DA02 NITROGLICERINA NITROGLICERINA 0,3 mg CP os CP CP 0,03000 2.100 63,00000 0,00000 1.190 35,70000 16.800 504,00000 2.800 84,00000-22.890 686,70000 91.560 2.746,80000 4858921C71 239 C01DA02 NITROGLICERINA NITROGLICERINA 4% SPRAY loc FL FL 6,02000 34 204,68000 0,00000 88 529,76000 0,00000-0,00000-122 734,44000 488 2.937,76000 48589482BC 240 C01DA02 NITROGLICERINA NITROGLICERINA 5 mg/ 1,5 ml ev F F 0,53000 2.344 1.242,32000 3.300 1.749,00000 6.050 3.206,50000 6.000 3.180,00000 3.000 1.590,00000-20.694 10.967,82000 82.776 43.871,28000 48589547AE 241 C01DA02 NITROGLICERINA NITROGLICERINA 50 mg/50 ml F ev FL FL 3,38000 440 1.487,20000 0,00000 505 1.706,90000 1.152 3.893,76000-0,00000 10 33,80000 2.107 7.121,66000 8.428 28.486,64000 4858962E46 242 C01DA08 ISOSORBIDE DINITRATO ISOSORBIDE DINITRATO 5 mcg CP os CP CP 0,01000 1.800 18,00000 1.000 10,00000 23.250 232,50000 0,00000 6.000 60,00000-32.050 320,50000 128.200 1.282,00000 48589704E3 243 C01DA08 ISOSORBIDE DINITRATO ISOSORBIDE DINITRATO 5 mg 10 ml F ev F F 0,12100 1.320 159,72000 0,00000 10.720 1.297,12000 400 48,40000 8.200 992,20000-20.640 2.497,44000 82.560 9.989,76000 4858985145 244 C01DA14 ISOSORBIDE MONONITRATO ISOSORBIDE MONONITRATO 20 mg CP os CP CP 0,02000 3.700 74,00000 0,00000 0,00000 24.000 480,00000 3.000 60,00000-30.700 614,00000 122.800 2.456,00000 48590040F3 245 C01DA14 ISOSORBIDE MONONITRATO ISOSORBIDE MONONITRATO 40 mg CP os CP CP 0,03000 3.600 108,00000 0,00000 2.550 76,50000 0,00000 3.000 90,00000-9.150 274,50000 36.600 1.098,00000 485901385E 246 C01EA01 ALPROSTADIL ALPROSTADIL 60 mcg F ev F F 0,90000 608 547,20000 0,00000 0,00000 0,00000 3.750 3.375,00000-4.358 3.922,20000 17.432 15.688,80000 4859022FC9 247 C01EA01 ALPROSTADIL ALPROSTADIL 500 mcg/1 ml F ev F F 12,56000 0,00000 10 125,60000 0,00000 0,00000 400 5.024,00000-410 5.149,60000 1.640 20.598,40000 48590349B2 248 C01EA01 ALPROSTADIL ALPROSTADIL ALFACICLODESTRINA 20 mcg F ev F 1,25000 0,00000 0,00000 720 900,00000 0,00000 1.200 1.500,00000-1.920 2.400,00000 7.680 9.600,00000 4859041F77 249 C01EB07 FRUTTOSIO 1,6-DIFOSFATO FRUTTOSIO 1,6-DIFOSFATO 10% 10G FL ev FL FL 6,00000 138 828,00000 240 1.440,00000 502 3.012,00000 6.992 41.952,00000 300 1.800,00000 40 240,00000 8.212 49.272,00000 32.848 197.088,00000 4859059E52 250 C01EB07 FRUTTOSIO 1,6-DIFOSFATO FRUTTOSIO-1,6-DIFOSFATO 10% 5G FL EV FL FL 6,10000 0,00000 0,00000 150 915,00000 0,00000 3.500 21.350,00000-3.650 22.265,00000 14.600 89.060,00000 4859079ED3 251 C01EB10 ADENOSINA ADENOSINA 6 mg/2 ml F ev FL FL 6,25000 408 2.550,00000 120 750,00000 750 4.687,50000 0,00000 300 1.875,00000-1.578 9.862,50000 6.312 39.450,00000 4859104378 252 C01EB10 ADENOSINA ADENOSINA 30 mg/10 ml F ev F F 21,11000 0,00000 0,00000 144 3.039,84000 0,00000 0,00000-144 3.039,84000 576 12.159,36000 4859241486 253 C01EB16 IBUPROFENE IBUPROFENE 5 mg/ ml F ev F F 95,25333 80 7.620,26640 84 8.001,27972 0,00000 0,00000 100 9.525,33300-264 25.146,87912 1.056 100.587,51648 48592560E8 254 C01EB17 IVABRADINA IVABRADINA 5 mg CP os CP CP 0,72180 2.240 1.616,83200 0,00000 4.816 3.476,18880 3.584 2.586,93120 2.800 2.021,04000-13.440 9.700,99200 53.760 38.803,96800 4859264780 255 C01EB17 IVABRADINA IVABRADINA 7,5 mg CP os CP CP 0,72000 784 564,48000 0,00000 560 403,20000 2.688 1.935,36000-0,00000-4.032 2.903,04000 16.128 11.612,16000 4859334146 256 C01EB18 RANOLAZINA RANOLAZINA 375 mg CP RILASCIO PROLUNGATO os CP CP 0,55000 600 330,00000 0,00000 900 495,00000 0,00000 900 495,00000-2.400 1.320,00000 9.600 5.280,00000 485936178C 257 C02AB01 METILDO (LEVOGIRA) METILDO 250 mg CP os CP CP 0,06000 6.480 388,80000 2.400 144,00000 1.530 91,80000 0,00000 24.000 1.440,00000-34.410 2.064,60000 137.640 8.258,40000 485938180D 258 C02AC01 CLONIDINA CLONIDINA 2,5 mg CEROTTI td PZ PZ 1,93000 154 297,22000 60 115,80000 412 795,16000 480 926,40000 900 1.737,00000 50 96,50000 2.056 3.968,08000 8.224 15.872,32000 4859398615 259 C02AC01 CLONIDINA CLONIDINA 5 mg CEROTTI td PZ PZ 1,96916 176 346,57216 90 177,22440 566 1.114,54456 400 787,66400 900 1.772,24400 50 98,45800 2.182 4.296,70712 8.728 17.186,82848 4859409F26 260 C02AC01 CLONIDINA CLONIDINA 150 mcg CP os CP CP 0,09112 780 71,07360 600 54,67200 1.290 117,54480 1.800 164,01600 1.800 164,01600-6.270 571,32240 25.080 2.285,28960 4859424B88 261 C02AC01 CLONIDINA CLONIDINA 150 mg F sc F F 0,10000 1.280 128,00000 600 60,00000 2.465 246,50000 4.000 400,00000 2.450 245,00000 400 40,00000 11.195 1.119,50000 44.780 4.478,00000 4859429FA7 262 C02CA04 DOXAZOSIN DOXAZOSIN 2 mg CP os CP CP 0,16000 8.400 1.344,00000 7.200 1.152,00000 12.570 2.011,20000 0,00000 12.000 1.920,00000-40.170 6.427,20000 160.680 25.708,80000 485943549E 263 C02CA04 DOXAZOSIN DOXAZOSIN 4 mg CP os CP CP 0,14000 3.780 529,20000 0,00000 2.300 322,00000 0,00000-0,00000 400 56,00000 6.480 907,20000 25.920 3.628,80000 4859450100 264 C02CA06 URAPIDIL URAPIDIL 50 mg/10 ml F ev F F 2,80000 550 1.540,00000 700 1.960,00000 800 2.240,00000 0,00000 1.000 2.800,00000-3.050 8.540,00000 12.200 34.160,00000 4859458798 265 C02DD01 NITROPRUSSIDO SODIO NITROPRUSSIATO 100 mg/5 ml F ev F F 3,87000 132 510,84000 30 116,10000 183 708,21000 198 766,26000 1.200 4.644,00000-1.743 6.745,41000 6.972 26.981,64000 48594733FA 266 C02KX01 BOSENTAN BOSENTAN 62,5 mg CP os CP CP 68,93000 224 15.440,32000 0,00000 0,00000 0,00000 1.120 77.201,60000-1.344 92.641,92000 5.376 370.567,68000 4859483C38 267 C02KX01 BOSENTAN BOSENTAN 125 mg CP os CP CP 39,47000 2.352 92.833,44000 0,00000 280 11.051,60000 0,00000 39.732 1.568.222,04000-42.364 1.672.107,08000 169.456 6.688.428,32000 48594966F4 268 C02KX02 AMBRISENTAN AMBRISENTAN 5 mg CP RIVESTITE os CP CP 66,30000 0,00000 0,00000 570 37.791,00000 0,00000 600 39.780,00000-1.170 77.571,00000 4.680 310.284,00000 4859502BE6 269 C03AA03 IDROCLOROTIAZIDE IDROCLORTIAZIDE 25 mg CP os CP CP 0,05000 1.200 60,00000 900 45,00000 4.040 202,00000 0,00000 6.000 300,00000-12.140 607,00000 48.560 2.428,00000 4859523D3A 270 C03CA01 FUROSEMIDE FUROSEMIDE 25 mg CP os CP CP 0,03000 92.880 2.786,40000 39.000 1.170,00000 129.030 3.870,90000 132.000 3.960,00000 9.000 270,00000-401.910 12.057,30000 1.607.640 48.229,20000 48595324AA 271 C03CA01 FUROSEMIDE FUROSEMIDE 500 mg CP os CP CP 0,40000 4.570 1.828,00000 2.200 880,00000 4.860 1.944,00000 6.000 2.400,00000 7.500 3.000,00000-25.130 10.052,00000 100.520 40.208,00000 4859546039 272 C03CA01 FUROSEMIDE FUROSEMIDE 1% SOLUZIONE ORALE os FL FL 2,21000 20 44,20000 0,00000 0,00000 0,00000 150 331,50000-170 375,70000 680 1.502,80000 4859561C96 273 C03CA01 FUROSEMIDE FUROSEMIDE 20 mg/2 ml F im-ev F F 0,18000 36.090 6.496,20000 0,00000 81.440 14.659,20000 80.000 14.400,00000 60.000 10.800,00000 5250 945,00000 262.780 47.300,40000 1.051.120 189.201,60000 48595725AC