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

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 274 C03CA01 FUROSEMIDE FUROSEMIDE 250 mg/25 ml F im-ev F F 1,51000 3.790 5.722,90000 0,00000 5.575 8.418,25000 2.200 3.322,00000 2.100 3.171,00000-13.665 20.634,15000 54.660 82.536,60000 485958720E 275 C03CC01 ACIDO ETACRINICO ACIDO ETACRINICO 50 mg/20 ml F ev FL FL 4,26000 72 306,72000 30 127,80000 219 932,94000 0,00000 1.200 5.112,00000-1.521 6.479,46000 6.084 25.917,84000 4859598B1F 276 C03DA01 SPIRONOLATTONE SPIRONOLATTONE 25 mg CPS os CP CP 0,06000 14.880 892,80000 8.000 480,00000 3.712 222,72000 1.280 76,80000 6.000 360,00000-33.872 2.032,32000 135.488 8.129,28000 48596169FA 277 C03DA01 SPIRONOLATTONE SPIRONOLATTONE 100 mg CP os CP CP 0,17000 3.980 676,60000 1.200 204,00000 490 83,30000 0,00000 6.000 1.020,00000-11.670 1.983,90000 46.680 7.935,60000 4859630589 278 C03DA02 CANRENOATO DI POTASSIO CANRENOATO DI POTASSIO 100 mg CP os CP CP 0,12320 1.520 187,26400 0,00000 9.680 1.192,57600 0,00000 4.800 591,36000 100 12,32000 16.100 1.983,52000 64.400 7.934,08000 4859638C21 279 C03DA02 CANRENOATO DI POTASSIO CANRENOATO DI POTASSIO 200 mg/2 ml F ev FL FL 0,80000 2.520 2.016,00000 1.200 960,00000 5.862 4.689,60000 3.600 2.880,00000 9.000 7.200,00000 24 19,20000 22.206 17.764,80000 88.824 71.059,20000 48596462BE 280 C03DA03 CANRENONE CANRENONE 50 mg CP os CP CP 0,06000 5.920 355,20000 2.000 120,00000 4.960 297,60000 24.000 1.440,00000 6.000 360,00000-42.880 2.572,80000 171.520 10.291,20000 48596684E5 281 C03DA03 CANRENONE CANRENONE 100 mg CPS os CP CP 0,08000 0,00000 2.000 160,00000 4.720 377,60000 12.000 960,00000 3.000 240,00000-21.720 1.737,60000 86.880 6.950,40000 48597421F7 282 C03EA01 IDROCLOROTIAZIDE E FARMACI RISRMIATORI DI POTASS IDROCLOROTIAZIDE + AMILORIDE 5 mg/ 50 mg CP os CP CP 0,06000 2.000 120,00000 3.000 180,00000 4.980 298,80000 0,00000 1.800 108,00000 1.000 60,00000 12.780 766,80000 51.120 3.067,20000 4859756D81 283 C03EB01 FUROSEMIDE E FARMACI RISRMIATORI DI POTASSIO FUROSEMIDE + SPIRONOLATTONE 25 mg/ 37 mg CP os CP CP 0,16355 5.280 863,54400 0,00000 260 42,52300 0,00000 1.600 261,68000-7.140 1.167,74700 28.560 4.670,98800 4859776E02 284 C04AD03 PENTOXIFILLINA PENTOSSIFILLINA 100 mg/5 ml F ev F F 0,51000 240 122,40000 4.000 2.040,00000 965 492,15000 0,00000 300 153,00000-5.505 2.807,55000 22.020 11.230,20000 4859790991 285 C04AD03 PENTOXIFILLINA PENTOSSIFILLINA 400 mg CP os CP CP 0,13996 1.500 209,94000 1.800 251,92800 1.320 184,74720 0,00000 1.800 251,92800-6.420 898,54320 25.680 3.594,17280 4859820255 286 C05AA01 IDROCORTISONE IDROCORTISONE 5% +BENZOCAINA 0,5% +ERINA UI 50% CREMA ret TU TU 1,00000 766 766,00000 300 300,00000 1.017 1.017,00000 1.600 1.600,00000 400 400,00000-4.083 4.083,00000 16.332 16.332,00000 48598635D0 287 C05BA01 ERINOIDI ORGANICI SULFOPOLIGLICANO 25000 U CREMA loc TU TU 4,40000 3.280 14.432,00000 250 1.100,00000 4.633 20.385,20000 0,00000-0,00000-8.163 35.917,20000 32.652 143.668,80000 4859888A70 288 C05BB02 POLIDOCANOLO POLIDOCAN. 1% 2 ML EV 5F ev F F 1,60000 90 144,00000 60 96,00000 100 160,00000 0,00000 100 160,00000 600 960,00000 950 1.520,00000 3.800 6.080,00000 4859905878 289 C05BB02 POLIDOCANOLO POLIDOCAN. 2% 2 ML EV 5F ev F F 1,66000 140 232,40000 100 166,00000 175 290,50000 0,00000 150 249,00000 50 83,00000 615 1.020,90000 2.460 4.083,60000 4859918334 290 C05BB04 SODIO TETRADECIL SOLFATO TETRADECILSOLF 0,1% 2 ML ev F F 2,31000 160 369,60000 0,00000 0,00000 0,00000-0,00000 200 462,00000 360 831,60000 1.440 3.326,40000 4859947B20 291 C05BB04 SODIO TETRADECIL SOLFATO TETRADECILSOLF 0,3% 5 ML ev F F 5,28000 230 1.214,40000 0,00000 0,00000 0,00000-0,00000-230 1.214,40000 920 4.857,60000 48599551BD 292 C07AA05 PROPRANOLOLO PROPRANOLOLO 40 mg CP os CP CP 0,03000 4.500 135,00000 1.200 36,00000 3.150 94,50000 0,00000 9.000 270,00000 1.200 36,00000 19.050 571,50000 76.200 2.286,00000 486001319A 293 C07AA07 SOTALOLO SOTALOLO 80 mg CP os CP CP 0,03000 3.440 103,20000 1.000 30,00000 3.400 102,00000 6.400 192,00000 3.000 90,00000 50 1,50000 17.290 518,70000 69.160 2.074,80000 4860028DF7 294 C07AB02 METOPROLOLO METOPROLOLO 100 mg CP os CP CP 0,02000 10.080 201,60000 2.100 42,00000 16.020 320,40000 12.000 240,00000 8.000 160,00000 600 12,00000 48.800 976,00000 195.200 3.904,00000 48600418B3 295 C07AB02 METOPROLOLO METOPROLOLO 1 mg/ml 5ml EV ev F F 0,46000 690 317,40000 700 322,00000 2.000 920,00000 0,00000 1.350 621,00000 15 6,90000 4.755 2.187,30000 19.020 8.749,20000 4860065C80 296 C07AB03 ATENOLOLO ATENOLOLO 100 mg CP os CP CP 0,05000 11.404 570,20000 3.150 157,50000 16.800 840,00000 19.320 966,00000 12.000 600,00000 3000 150,00000 65.674 3.283,70000 262.696 13.134,80000 48601545F4 297 C07AB03 ATENOLOLO ATENOLOLO 5 mg/10 ml EV ev F F 0,41000 500 205,00000 0,00000 1.320 541,20000 0,00000 1.000 410,00000-2.820 1.156,20000 11.280 4.624,80000 4860183DE0 298 C07AB07 BISOPROLOLO BISOPROLOLO 1,25 mg CP os CP CP 0,03000 42.656 1.279,68000 7.840 235,20000 36.372 1.091,16000 16.800 504,00000 12.000 360,00000 200 6,00000 115.868 3.476,04000 463.472 13.904,16000 48602136A4 299 C07AB07 BISOPROLOLO BISOPROLOLO 2,5 mg CP os CP CP 0,03000 14.672 440,16000 7.000 210,00000 20.664 619,92000 19.040 571,20000 12.000 360,00000-73.376 2.201,28000 293.504 8.805,12000 4860260D6B 300 C07AB07 BISOPROLOLO BISOPROLOLO 5 mg CP os CP CP 0,05000 6.160 308,00000 1.400 70,00000 1.932 96,60000 0,00000 6.000 300,00000-15.492 774,60000 61.968 3.098,40000 4860397E79 301 C07AB09 ESMOLOLO ESMOLOLO 100 mg/10 ml F ev FL FL 5,91000 20 118,20000 0,00000 30 177,30000 0,00000 600 3.546,00000 10 59,10000 660 3.900,60000 2.640 15.602,40000 4860410935 302 C07AB12 NEBIVOLOLO NEBIVOLOLO 5 mg CP os CP CP 0,15000 1.064 159,60000 2.800 420,00000 6.440 966,00000 15.680 2.352,00000 1.500 225,00000-27.484 4.122,60000 109.936 16.490,40000 4860425597 303 C07AG01 LABETALOLO LABETALOLO 100 mg /20 ml FL ev F F 2,27000 226 513,02000 120 272,40000 1.029 2.335,83000 1.200 2.724,00000 600 1.362,00000-3.175 7.207,25000 12.700 28.829,00000 48604466EB 304 C07AG02 CARVEDILOLO CARVEDILOLO 6,25 mg CP os CP CP 0,01000 6.396 63,96000 4.500 45,00000 18.508 185,08000 0,00000 36.000 360,00000-65.404 654,04000 261.616 2.616,16000 486046134D 305 C07AG02 CARVEDILOLO CARVEDILOLO 25 mg CP os CP CP 0,02068 3.532 73,04176 2.000 41,36000 11.100 229,54800 0,00000 13.500 279,18000-30.132 623,12976 120.528 2.492,51904 48605604FF 306 C08CA01 AMLODIPINA AMLODIPINA 10 mg CP os CP CP 0,02000 21.476 429,52000 0,00000 27.916 558,32000 0,00000 15.000 300,00000 700 14,00000 65.092 1.301,84000 260.368 5.207,36000 4860573FB6 307 C08CA05 NIFEDIPINA NIFEDIPINA 10 mg CPS MOLLI os CP CP 0,03000 2.560 76,80000 1.200 36,00000 800 24,00000 0,00000 1.500 45,00000 250 7,50000 6.310 189,30000 25.240 757,20000 486058599F 308 C08CA05 NIFEDIPINA NIFEDIPINA 20 mg CPR RIVESTITE RM os CP CP 0,10000 3.600 360,00000 1.800 180,00000 1.350 135,00000 0,00000 600 60,00000 500 50,00000 7.850 785,00000 31.400 3.140,00000 48605962B5 309 C08CA05 NIFEDIPINA NIFEDIPINA 30 mg CPR RM os CP CP 0,10000 3.136 313,60000 490 49,00000 2.856 285,60000 10.080 1.008,00000 2.800 280,00000-19.362 1.936,20000 77.448 7.744,80000 4860609D6C 310 C08CA05 NIFEDIPINA NIFEDIPINA 2% GTT os FL FL 2,10000 104 218,40000 50 105,00000 70 147,00000 60 126,00000 300 630,00000-584 1.226,40000 2.336 4.905,60000 4860620682 311 C08CA06 NIMODIPINA NIMODIPINA 10 mg/50 ml FLACONE ev FL FL 5,31000 0,00000 100 531,00000 0,00000 0,00000 300 1.593,00000 280 1.486,80000 680 3.610,80000 2.720 14.443,20000 4860627C47 312 C08CA09 LACIDIPINA LACIDIPINA 4 mg CPR os CP CP 0,11000 2.688 295,68000 0,00000 504 55,44000 560 61,60000-0,00000-3.752 412,72000 15.008 1.650,88000 4860647CC8

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 313 C08DA01 VERAMIL VERAMIL 40 mg CP os CP CP 0,01000 2.100 21,00000 0,00000 540 5,40000 0,00000 1.800 18,00000-4.440 44,40000 17.760 177,60000 4860661857 314 C08DA01 VERAMIL VERAMIL CLOR. 120 mg CP RP os CP CP 0,01000 900 9,00000 300 3,00000 540 5,40000 0,00000 1.200 12,00000 2100 21,00000 5.040 50,40000 20.160 201,60000 486067109A 315 C08DA01 VERAMIL VERAMIL CLOR. 5 mg/2 ml FL ev F F 0,13000 400 52,00000 800 104,00000 1.175 152,75000 800 104,00000 900 117,00000-4.075 529,75000 16.300 2.119,00000 4860688E9D 316 C08DB01 DILTIAZEM DILTIAZEM 60 mg CPR os CP CP 0,01000 5.700 57,00000 2.000 20,00000 5.100 51,00000 0,00000 1.800 18,00000-14.600 146,00000 58.400 584,00000 4860707E4B 317 C08DB01 DILTIAZEM DILTIAZEM 120 mg CP RP os CP CP 0,03000 240 7,20000 720 21,60000 168 5,04000 0,00000 1.200 36,00000-2.328 69,84000 9.312 279,36000 4860719834 318 C08DB01 DILTIAZEM DILTIAZEM 50 mg F ev F F 1,03000 330 339,90000 0,00000 130 133,90000 0,00000 750 772,50000-1.210 1.246,30000 4.840 4.985,20000 4860726DF9 319 C09AA01 CAPTOPRIL CAPTOPRIL 25 mg CP os CP CP 0,02000 6.600 132,00000 1.500 30,00000 3.450 69,00000 16.000 320,00000 1.000 20,00000-28.550 571,00000 114.200 2.284,00000 4860748025 320 C09AA02 ENALAPRIL ENALAPRIL 5 mg CP os CP CP 0,01000 9.128 91,28000 5.040 50,40000 11.620 116,20000 22.400 224,00000 22.500 225,00000 560 5,60000 71.248 712,48000 284.992 2.849,92000 48607555EA 321 C09AA02 ENALAPRIL ENALAPRIL 20 mg CP os CP CP 0,01000 11.676 116,76000 5.600 56,00000 15.484 154,84000 16.800 168,00000 22.500 225,00000 560 5,60000 72.620 726,20000 290.480 2.904,80000 4860763C82 322 C09AA04 PERINDOPRIL PERINDOPRIL 5 mg CP os CP CP 0,20000 7.920 1.584,00000 1.200 240,00000 9.390 1.878,00000 0,00000 1.500 300,00000-20.010 4.002,00000 80.040 16.008,00000 4860774598 323 C09AA05 RAMIPRIL RAMIPRIL 2,5 mg CP os CP CP 0,09000 22.176 1.995,84000 6.720 604,80000 30.492 2.744,28000 0,00000 900 81,00000-60.288 5.425,92000 241.152 21.703,68000 4860787054 324 C09AA05 RAMIPRIL RAMIPRIL 5 mg CP os CP CP 0,03000 33.348 1.000,44000 6.160 184,80000 26.530 795,90000 0,00000 2.800 84,00000 2.864 85,92000 71.702 2.151,06000 286.808 8.604,24000 4860803D84 325 C09AA15 ZOFENOPRIL ZOFENOPRIL 30 mg CP os CP CP 0,20000 280 56,00000 720 144,00000 280 56,00000 1.120 224,00000 1.500 300,00000-3.900 780,00000 15.600 3.120,00000 4860811421 326 C09CA01 LOSARTAN POTASSICO LOSARTAN POTASSICO 50 mg CP RIV os CP CP 0,09000 0,00000 1.960 176,40000 0,00000 16.800 1.512,00000 2.500 225,00000-21.260 1.913,40000 85.040 7.653,60000 4860817913 327 C09CA03 VALSARTAN VALSARTAN 40 mg CP os CP CP 0,03000 4.284 128,52000 1.680 50,40000 1.218 36,54000 5.600 168,00000 1.350 40,50000-14.132 423,96000 56.528 1.695,84000 4860833648 328 C09CA03 VALSARTAN VALSARTAN 80 mg CP os CP CP 0,15000 7.056 1.058,40000 3.920 588,00000 4.172 625,80000 0,00000 2.800 420,00000 230 34,50000 18.178 2.726,70000 72.712 10.906,80000 4860885133 329 C09CA03 VALSARTAN VALSARTAN 160 mg CP os CP CP 0,24000 3.976 954,24000 1.680 403,20000 4.312 1.034,88000 0,00000-0,00000-9.968 2.392,32000 39.872 9.569,28000 48608937CB 330 C09CA04 IRBESARTAN IRBESARTAN 150 mg CP os CP CP 0,11000 6.776 745,36000 1.120 123,20000 4.116 452,76000 0,00000-0,00000-12.012 1.321,32000 48.048 5.285,28000 4860899CBD 331 C09CA04 IRBESARTAN IRBESARTAN 300 mg CP os CP CP 0,61000 4.312 2.630,32000 1.120 683,20000 1.428 871,08000 0,00000 2.800 1.708,00000 350 213,50000 10.010 6.106,10000 40.040 24.424,40000 486096640A 332 C09CA07 TELMISARTAN TELMISARTAN 80 mg CP os CP CP 0,01000 3.192 31,92000 0,00000 3.500 35,00000 0,00000-0,00000-6.692 66,92000 26.768 267,68000 4860980F94 333 C10AA01 SIMVASTATINA SIMVASTATINA 20 mg CP os CP CP 0,17000 10.640 1.808,80000 4.760 809,20000 15.904 2.703,68000 0,00000 14.000 2.380,00000-45.304 7.701,68000 181.216 30.806,72000 4860988631 334 C10AA01 SIMVASTATINA SIMVASTATINA 40 mg CP os CP CP 0,16000 504 80,64000 0,00000 6.132 981,12000 0,00000 0,00000-6.636 1.061,76000 26.544 4.247,04000 4860995BF6 335 C10AA05 ATORVASTATINA ATORVASTATINA 10 mg CP os CP CP 0,18000 3.990 718,20000-0,00000 16.080 2.894,40000-0,00000-0,00000-20.070 3.612,60000 80.280 14.450,40000 4861003293 336 C10AA05 ATORVASTATINA ATORVASTATINA 20 mg CP os CP CP 0,16500 8.400 1.386,00000 0,00000 17.370 2.866,05000 0,00000 1.800 297,00000-27.570 4.549,05000 110.280 18.196,20000 4861015C77 337 C10AA05 ATORVASTATINA ATORVASTATINA 40 mg CP os CP CP 0,19000 14.520 2.758,80000 1.800 342,00000 19.530 3.710,70000 0,00000 1.000 190,00000 180 34,20000 37.030 7.035,70000 148.120 28.142,80000 486106019D 338 C10AA05 ATORVASTATINA ATORVASTATINA 80 mg CP os CP CP 0,21000 1.980 415,80000 1.200 252,00000 9.840 2.066,40000 0,00000-0,00000-13.020 2.734,20000 52.080 10.936,80000 486106668F 339 C10AA07 ROSUVASTATINA ROSUVASTATINA 10 mg CP os CP CP 0,48000 9.240 4.435,20000 1.400 672,00000 2.660 1.276,80000 0,00000 0,00000 180 86,40000 13.480 6.470,40000 53.920 25.881,60000 4861074D27 340 C10AA08 ROSUVASTATINA ROSUVASTATINA 20 mg CP os CP CP 0,73000 0,00000 560 408,80000 1.176 858,48000 0,00000-0,00000 300 219,00000 2.036 1.486,28000 8.144 5.945,12000 48610877E3 341 C10AC01 COLESTIRAMINA COLESTIRAMINA 4 g BS os BS BS 0,17000 576 97,92000 360 61,20000 1.176 199,92000 0,00000 1.200 204,00000-3.312 563,04000 13.248 2.252,16000 4861095E7B 342 C10AX06 OMEGA-3-TRIGLICERIDI INCLUSI ALTRI ESTERI E ACIDI AC. GRASSI POLIENOICI 1g CP os CP CP 0,46000 25.288 11.632,48000 3.000 1.380,00000 26.180 12.042,80000 0,00000-0,00000-54.468 25.055,28000 217.872 100.221,12000 4861103518 343 D01AC01 CLOTRIMAZOLO CLOTRIMAZOLO 1% CR loc TU TU 3,47000 1.248 4.330,56000 400 1.388,00000 1.070 3.712,90000 3.200 11.104,00000 2.500 8.675,00000 200 694,00000 8.618 29.904,46000 34.472 119.617,84000 4861112C83 344 D01AE METILTIONINIO CLORURO METILTIONINIO CLORURO F 100 mg/10 ml F loc TU TU 0,71000 0,00000 0,00000 0,00000 800 568,00000 1.800 1.278,00000-2.600 1.846,00000 10.400 7.384,00000 48611213F3 345 D02AB PRODOTTI A BASE DI OSSIDO DI ZINCO ZINCO OSSIDO 10% UNG 30 g loc FL FL 0,71039 0,00000 1.200 852,46800 4.498 3.195,33422 6.912 4.910,21568 2.400 1.704,93600-15.010 10.662,95390 60.040 42.651,81560 4861129A8B 346 D03AX ALTRI CICATRIZZANTI AC. IALURONICO 0,2 % CREMA loc TU TU 3,04000 916 2.784,64000 0,00000 407 1.237,28000 0,00000 900 2.736,00000-2.223 6.757,92000 8.892 27.031,68000 4861137128 347 D03AX ALTRI CICATRIZZANTI AC. IALURONICO+SULFAD 10x10 GARZE loc CF CF 5,70000 1.350 7.695,00000 0,00000 24.980 142.386,00000 0,00000-0,00000-26.330 150.081,00000 105.320 600.324,00000 4861148A39 348 D03AX ALTRI CICATRIZZANTI AC. IALURONICO+SULFAD 2 % CREMA loc TU TU 2,90000 146 423,40000 0,00000 0,00000 0,00000 900 2.610,00000-1.046 3.033,40000 4.184 12.133,60000 4861155003 349 D03AX ALTRI CICATRIZZANTI FRUMENTO ESTR+FENOS CREMA loc TU TU 2,86000 596 1.704,56000 100 286,00000 0,00000 0,00000 1.000 2.860,00000-1.696 4.850,56000 6.784 19.402,24000 4861165841 350 D03AX ALTRI CICATRIZZANTI FRUMENTO ESTR+FENOS GZ loc CF CF 3,00000 668 2.004,00000 200 600,00000 0,00000 0,00000 4.000 12.000,00000-4.868 14.604,00000 19.472 58.416,00000 4861174FAC 351 D03AX05 ACIDO IALURONICO AC. IALURONICO 10x10 GARZE loc CF CF 0,91254 430 392,39220 160 146,00640 0,00000 0,00000 8.000 7.300,32000 600 547,52400 9.190 8.386,24260 36.760 33.544,97040 4861870E08

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 352 D03BA52 COLLAGENASI, ASSOCIAZIONI COLLAGENASI pomata loc TU TU 6,79000 526 3.571,54000 130 882,70000 973 6.606,67000 0,00000 1.800 12.222,00000 50 339,50000 3.479 23.622,41000 13.916 94.489,64000 48618941DA 353 D03BA52 COLLAGENASI, ASSOCIAZIONI COLLAGENASI/CLORAMFENICOLO loc TU TU 6,36258 0,00000 200 1.272,51600 0,00000 0,00000 1.200 7.635,09600-1.400 8.907,61200 5.600 35.630,44800 4861904A18 354 D04AA ANTIISTAMINICI PER USO TOPICO DESCLORFENIRAMINA 1% CREMA loc TU TU 3,38000 250 845,00000 120 405,60000 0,00000 0,00000-0,00000 200 676,00000 570 1.926,60000 2.280 7.706,40000 48619185A7 355 D04AA10 PROMETAZINA PROMETAZINA 2 % CREMA loc TU TU 1,11000 272 301,92000 0,00000 239 265,29000 400 444,00000 2.500 2.775,00000-3.411 3.786,21000 13.644 15.144,84000 4861936482 356 D04AB04 BENZOCAINA BENZOCAINA+ALC BENZILICO POMATA loc PZ PZ 4,81000 94 452,14000 0,00000 0,00000 0,00000 600 2.886,00000-694 3.338,14000 2.776 13.352,56000 4861949F39 357 D06AA02 CLORTETRACICLINA CLORTETRACICLINA 3 % POMATA loc TU TU 3,00000 372 1.116,00000 550 1.650,00000 437 1.311,00000 600 1.800,00000 1.200 3.600,00000 50 150,00000 3.209 9.627,00000 12.836 38.508,00000 4861961922 358 D06AX04 NEOMICINA/BACITRACINA/CISTEINA /TREONINA/GLICINA NEOMICINA/BACITRACINA/CISTEINA/TREONINA/GLICINA loc TU TU 3,00065 0,00000 100 300,06500 0,00000 0,00000 100 300,06500-200 600,13000 800 2.400,52000 486197330B 359 D06AX07 GENTAMICINA GENTAMICINA 0,1 % CREMA loc TU TU 0,92000 948 872,16000 200 184,00000 1.499 1.379,08000 800 736,00000 3.000 2.760,00000 162 149,04000 6.609 6.080,28000 26.436 24.321,12000 4862007F16 360 D06AX07 GENTAMICINA GENTAMICINA 0,1 % UNGUENTO loc TU TU 6,34000 614 3.892,76000 0,00000 0,00000 0,00000 1.000 6.340,00000-1.614 10.232,76000 6.456 40.931,04000 486201233A 361 D06AX09 MUPIROCINA MUPIROCINA 2 % CREMA loc TU TU 6,83790 114 779,52060 160 1.094,06400 114 779,52060 200 1.367,58000-0,00000 30 205,13700 618 4.225,82220 2.472 16.903,28880 4862016686 362 D06BA01 SULFADIAZINA ARGENTICA SULFADIAZINA ARG.1% CREMA loc TU TU 4,77000 992 4.731,84000 300 1.431,00000 3.167 15.106,59000 192 915,84000-0,00000-4.651 22.185,27000 18.604 88.741,08000 4862024D1E 363 D06BA01 SULFADIAZINA ARGENTICA SULFADIAZINA ARG.1% CREMA 120 g loc TU TU 6,59091 0,00000 200 1.318,18200 0,00000 0,00000 1.800 11.863,63800-2.000 13.181,82000 8.000 52.727,28000 48620323BB 364 D06BB03 ACICLOVIR ACICLOVIR 5 % CREMA loc TU TU 0,87000 340 295,80000 135 117,45000 302 262,74000 700 609,00000 8.000 6.960,00000 200 174,00000 9.677 8.418,99000 38.708 33.675,96000 4862034561 365 D07AB02 IDROCORTISONE BUTIRRATO IDROCORTISONE BUTIRRATO 0,1% 30 g CREMA IDROF loc FL FL 0,94000 0,00000 120 112,80000 1.374 1.291,56000 4.800 4.512,00000 600 564,00000-6.894 6.480,36000 27.576 25.921,44000 4862043CCC 366 D07AC01 BETAMETASONE BETAMETAS. 0,1% CREMA loc PZ PZ 2,04095 932 1.902,16540 0,00000 2 4,08190 0,00000 0,00000-934 1.906,24730 3.736 7.624,98920 48620491C3 367 D07AC01 BETAMETASONE DIPROPIONATO BETAMETASONE DIPROPIONATO 0,05% 30 g SOL CUT FL loc FL FL 2,55000 0,00000 0,00000 0,00000 700 1.785,00000-0,00000-700 1.785,00000 2.800 7.140,00000 486205350F 368 D07AC06 DIFLUCORTOLONE VALERATO DIFLUCORTOLONE VALERATO 0,1% 30 g CREMA loc FL FL 3,86000 0,00000 0,00000 0,00000 4.400 16.984,00000-0,00000-4.400 16.984,00000 17.600 67.936,00000 4862069244 369 D07CC01 BETAMETASONE ED ANTIBIOTICI GENTAMIC 0,1%+ BETAMETAS 0,1% CREMA loc TU TU 0,95000 690 655,50000 270 256,50000 363 344,85000 0,00000 4.500 4.275,00000-5.823 5.531,85000 23.292 22.127,40000 486209146B 370 D08AG02 POVIDONE-IODIO IODOPOVIDONE 10 % GEL loc TU TU 1,24000 642 796,08000 120 148,80000 602 746,48000 0,00000 750 930,00000-2.114 2.621,36000 8.456 10.485,44000 4862102D7C 371 D08AG02 POVIDONE-IODIO IODOPOVIDONE 10 % 10X10 GARZA loc CF CF 2,32000 908 2.106,56000 320 742,40000 2.560 5.939,20000 0,00000 4.500 10.440,00000-8.288 19.228,16000 33.152 76.912,64000 4862109346 372 D08AG02 POVIDONE-IODIO IODOPOVIDONE 5% FL oft FL FL 3,99000 402 1.603,98000 600 2.394,00000 0,00000 0,00000 900 3.591,00000-1.902 7.588,98000 7.608 30.355,92000 4862124FA3 373 D08AX04 TOSILCLORAMIDE SODICA TOSILCLORAMIDE SODICA 2,5 g BUSTE loc BS BS 0,04000 0,00000 9.300 372,00000 13.620 544,80000 0,00000-0,00000-22.920 916,80000 91.680 3.667,20000 4862138B32 374 D10AB PRERATI CONTENENTI ZOLFO PER IL TRATTAMENTO DELL ITTIOLO 10 % UNGUENTO loc TU TU 0,90000 284 255,60000 0,00000 20 18,00000 0,00000 2.500 2.250,00000-2.804 2.523,60000 11.216 10.094,40000 4862149448 375 D10AD01 TRETINOINA TRETINOINA 10 mg CPS os CPS CPS 1,72859 0,00000 0,00000 0,00000 0,00000 1.200 2.074,30800-1.200 2.074,30800 4.800 8.297,23200 4862154867 376 D11 ALTRI PRERATI DERMATOLOGICI CREMA BASE 50 g CR loc PZ PZ 2,70000 1.590 4.293,00000 20 54,00000 0,00000 0,00000 1.500 4.050,00000-3.110 8.397,00000 12.440 33.588,00000 4862163FD2 377 D11AF AC. SALICILICO SALICILICO 5% UNGUENTO UE TU TUB 1,26000 0,00000 0,00000 0,00000 0,00000 2.250 2.835,00000-2.250 2.835,00000 9.000 11.340,00000 4862213917 378 D11AH01 TACROLIMUS TACROLIMUS 0,03% 30 g POMATA loc TU TU 14,49000 0,00000 10 144,90000 0,00000 0,00000 50 724,50000-60 869,40000 240 3.477,60000 4862220EDC 379 D11AH01 TACROLIMUS TACROLIMUS 0,1% UNGUENTO loc TU TUB 25,08059 0,00000 0,00000 0,00000 0,00000 180 4.514,50620-180 4.514,50620 720 18.058,02480 4862234A6B 380 D11AH02 PIMECRLOIMUS PIMECROLIMUS 1% 30 g CREMA loc TU TU 19,67000 0,00000 10 196,70000 0,00000 0,00000 200 3.934,00000-210 4.130,70000 840 16.522,80000 4862260FDE 381 D11AH04 ALITRETINOINA ALITRETINOINA 30 mg CPS MOLLI loc CP CP 10,27000 0,00000 0,00000 0,00000 420 4.313,40000 1.200 12.324,00000-1.620 16.637,40000 6.480 66.549,60000 486226325C 382 G01AA05 CLORAMFENICOLO CLORAMFENICOLO 250 mg 3 OVULI VAGINALI vag OV OV 0,29000 0,00000 0,00000 537 155,73000 0,00000 600 174,00000-1.137 329,73000 4.548 1.318,92000 486226867B 383 G02AB01 METILERGOMETRINA METILERGOMETRINA 0,2 mg/ml F im-ev F F 0,20000 7.290 1.458,00000 200 40,00000 4.350 870,00000 6.000 1.200,00000 2.250 450,00000-20.090 4.018,00000 80.360 16.072,00000 4862274B6D 384 G02AD02 DINOPROSTONE DINOPROSTONE 0,5 mg/3 g GEL vag PZ PZ 13,89000 20 277,80000 0,00000 110 1.527,90000 0,00000 600 8.334,00000-730 10.139,70000 2.920 40.558,80000 4862281137 385 G02AD02 DINOPROSTONE DINOPROSTONE 1 mg/3 g GEL vag PZ PZ 18,87000 670 12.642,90000 1.200 22.644,00000 1.040 19.624,80000 0,00000 2.250 42.457,50000-5.160 97.369,20000 20.640 389.476,80000 4862293B1B 386 G02AD02 DINOPROSTONE DINOPROSTONE 2 mg/3 g GEL vag PZ PZ 21,84995 120 2.621,99400 0,00000 682 14.901,66590 0,00000 1.200 26.219,94000-2.002 43.743,59990 8.008 174.974,39960 4862297E67 387 G02AD02 DINOPROSTONE DINOPROSTONE 10 mg DISPOSITIVO VAGINALE vag PZ PZ 81,39000 160 13.022,40000 0,00000 345 28.079,55000 0,00000 400 32.556,00000-905 73.657,95000 3.620 294.631,80000 486230335E 388 G02AD03 GEMEPROST GEMEPROST 1 mg OV vag OV OV 15,84000 1.346 21.320,64000 800 12.672,00000 1.474 23.348,16000 0,00000 300 4.752,00000-3.920 62.092,80000 15.680 248.371,20000 4862309850 389 G02AD05 SULPROSTONE SULPROSTONE 0,5 mg F 2 ml ev F F 9,31000 62 577,22000 400 3.724,00000 295 2.746,45000 0,00000 900 8.379,00000-1.657 15.426,67000 6.628 61.706,68000 4862314C6F 390 G02BA03 IUD IN PLASTICA CON PROGESTINICO LEVONORGESTREL 20 mcg/24 h DISPOSITIVO INTRAUTERINO intraut PZ PZ 94,09000 0,00000 0,00000 7 658,63000 0,00000 0,00000-7 658,63000 28 2.634,52000 4862338041

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 391 G02CA SIMTICOMIMETICI, TOCOLITICI ISOSUPRINA 10 mg/ 2 ml F ev F F 0,26000 2.720 707,20000 2.000 520,00000 40 10,40000 0,00000 2.400 624,00000-7.160 1.861,60000 28.640 7.446,40000 4862357FEA 392 G02CA SIMTICOMIMETICI, TOCOLITICI ISOSUPRINA 30 mg CP RETARD os CP CP 0,17000 0,00000 1.200 204,00000 0,00000 0,00000 300 51,00000-1.500 255,00000 6.000 1.020,00000 4862384635 393 G02CA01 RITODRINA RITODRINA 50 mg/ 5 ml EV ev F F 0,52000 102 53,04000 0,00000 738 383,76000 240 124,80000-0,00000-1.080 561,60000 4.320 2.246,40000 4862391BFA 394 G02CB03 CABERGOLINA CABERGOLINA 0,5 mg CP os CP CP 0,35000 872 305,20000 180 63,00000 1.264 442,40000 640 224,00000 990 346,50000-3.946 1.381,10000 15.784 5.524,40000 486240143D 395 G02CX01 ATOSIBAN ATOSIBAN 7,5 mg/ml 0,9 ml FL ev FL FL 18,95000 108 2.046,60000 40 758,00000 308 5.836,60000 0,00000 990 18.760,50000-1.446 27.401,70000 5.784 109.606,80000 4862405789 396 G02CX01 ATOSIBAN ATOSIBAN 7,5 mg/ml 5 ml FL ev FL FL 59,13000 916 54.163,08000 320 18.921,60000 62 3.666,06000 0,00000 150 8.869,50000-1.448 85.620,24000 5.792 342.480,96000 4862410BA8 LEVONORGESTREL 397 G03AC03 nota: Uniformare il prezzo alla dose di una CP da mcg 750 LEVONORGESTREL 1500 mcg CP os CP CP 2,71635 0,00000 0,00000 0,00000 0,00000 900 2.444,71500-900 2.444,71500 3.600 9.778,86000 4862417172 398 G03DA04 PROGESTERONE PROGESTERONE 200 mg CP os CP CP 0,16000 1.230 196,80000 0,00000 165 26,40000 0,00000 400 64,00000-1.795 287,20000 7.180 1.148,80000 4862422591 399 G03HA01 CIPROTERONE CIPROTERONE 50 mg CP os CP CP 0,48000 250 120,00000 150 72,00000 0,00000 0,00000 0,00000-400 192,00000 1.600 768,00000 4862428A83 400 G03XB01 MIFEPRISTONE MIFEPRISTONE 200 mg CP os CP CP 14,26000 66 941,16000 90 1.283,40000 0,00000 0,00000 4.000 57.040,00000-4.156 59.264,56000 16.624 237.058,24000 486243504D 401 G04BD04 OXIBUTININA OXIBUTININA 5 mg CP os CP CP 0,11000 3.600 396,00000 0,00000 120 13,20000 0,00000 2.000 220,00000-5.720 629,20000 22.880 2.516,80000 4862453F23 402 G04BD07 TOLTERODINA TOLTERODINA 4 mg CP os CP CP 1,77000 56 99,12000 0,00000 0,00000 0,00000-0,00000-56 99,12000 224 396,48000 486246590C 403 G04BE03 SILDENAFIL SILDENAFIL 20 mg CP RIV os CP CP 4,60000 12.780 58.788,00000 0,00000 19.800 91.080,00000 42.300 194.580,00000 25.000 115.000,00000-99.880 459.448,00000 399.520 1.837.792,00000 4862472ED1 404 G04BE08 TADALAFIL TADALAFIL 20 mg CP RIVESTITE os FL CP 7,87000 0,00000 0,00000 0,00000 3.360 26.443,20000 1.120 8.814,40000-4.480 35.257,60000 17.920 141.030,40000 48624772F5 405 G04BX ALTRI UROLOGICI LIDOCAINA 2,5% 15 g POMATA loc TU TU 0,98000 6.912 6.773,76000 8.400 8.232,00000 983 963,34000 16.000 15.680,00000 2.250 2.205,00000 2864 2.806,72000 37.409 36.660,82000 149.636 146.643,28000 48624837E7 406 G04CA01 ALFUZOSINA ALFUZOSINA CLOR. 10 mg CP os CP CP 0,15000 720 108,00000 0,00000 1.410 211,50000 5.400 810,00000 2.400 360,00000-9.930 1.489,50000 39.720 5.958,00000 48624962A3 407 G04CA02 TAMSULOSINA TAMSULOSINA 0,4 mg CP RM os CP CP 0,11000 5.520 607,20000 4.000 440,00000 11.360 1.249,60000 0,00000 2.800 308,00000-23.680 2.604,80000 94.720 10.419,20000 4862505A0E 408 G04CB01 FINASTERIDE FINASTERIDE 5 mg CP os CP CP 0,14000 3.470 485,80000 990 138,60000 2.520 352,80000 0,00000 900 126,00000-7.880 1.103,20000 31.520 4.412,80000 4862511F00 409 G04CB02 DUTASTERIDE DUTASTERIDE 0,5 mg CP os CP CP 0,49000 960 470,40000 0,00000 2.700 1.323,00000 0,00000 900 441,00000-4.560 2.234,40000 18.240 8.937,60000 48625130AB 410 H01AA02 TETRACOSACTIDE TETRACOSACTIDE 1 mg/ 1 ml F im F F 4,50000 62 279,00000 80 360,00000 24 108,00000 0,00000 1.800 8.100,00000 230 1.035,00000 2.196 9.882,00000 8.784 39.528,00000 4862521743 411 H01BA02 DESMOPRESSINA DESMOPRESSINA 20 mcg/ 1 ml F ev F F 6,22800 60 373,68000 0,00000 0,00000 0,00000 1.500 9.342,00000-1.560 9.715,68000 6.240 38.862,72000 4862527C35 412 H01BA02 DESMOPRESSINA DESMOPRESSINA 4 mcg/ 0,5 ml F ev F F 1,91000 40 76,40000 50 95,50000 30 57,30000 1.600 3.056,00000 1.500 2.865,00000 350 668,50000 3.570 6.818,70000 14.280 27.274,80000 4862532059 413 H01BA02 DESMOPRESSINA DESMOPRESSINA 60 mcg CP os CP CP 0,54200 0,00000 0,00000 0,00000 0,00000 1.200 650,40000-1.200 650,40000 4.800 2.601,60000 486253961E 414 H01BA04 TERLIPRESSINA ACETATO TERLIPRESSINA 0,1 mg/ml 8,5 ML F ev F F 25,88000 0,00000 240 6.211,20000 550 14.234,00000 0,00000 1.500 38.820,00000-2.290 59.265,20000 9.160 237.060,80000 4862547CB6 415 H01BA04 TERLIPRESSINA ACETATO TERLIPRESSINA 0,2 mg/ml 5 ml ev FL FL 20,70000 0,00000 0,00000 0,00000 280 5.796,00000-0,00000-280 5.796,00000 1.120 23.184,00000 4862555353 416 H01BB02 OSSITOCINA OSSITOCINA 5 UI F im-ev F F 0,13000 17.436 2.266,68000 15.000 1.950,00000 23.760 3.088,80000 12.000 1.560,00000 67.500 8.775,00000-135.696 17.640,48000 542.784 70.561,92000 4862562918 417 H01BB03 CARBETOCINA CARBETOCINA 100 mcg/1 ml F im,ev F F 27,27000 0,00000 0,00000 640 17.452,80000 0,00000 100 2.727,00000-740 20.179,80000 2.960 80.719,20000 4862565B91 418 H01CA01 GONADORELINA GONADORELINA 0,8 mg/10 ml FL LIOF ev FL FL 70,69000 6 424,14000 0,00000 0,00000 0,00000-0,00000-6 424,14000 24 1.696,56000 4862574301 419 H01CB01 SOMATOSTATINA ACETATO SOMATOSTATINA ACETATO 3 mg FL ev FL FL 21,33000 0,00000 0,00000 0,00000 100 2.133,00000 60 1.279,80000-160 3.412,80000 640 13.651,20000 48625818C6 420 H01CB02 OCTREOTIDE OCTREOTIDE 0,1 mg 1 ml FF sc FF FF 2,68000 1.910 5.118,80000 0,00000 4.145 11.108,60000 4.600 12.328,00000 1.000 2.680,00000-11.655 31.235,40000 46.620 124.941,60000 4862583A6C 421 H01CB02 OCTREOTIDE OCTREOTIDE 1 mg / 5 ml FL ev FL FL 18,99000 254 4.823,46000 0,00000 0,00000 0,00000 1.000 18.990,00000-1.254 23.813,46000 5.016 95.253,84000 4862587DB8 422 H01CB02 OCTREOTIDE ACETATO OCTREOTIDE ACETATO 20 mg+sir im-ev-sc FL FL 456,31000 0,00000 0,00000 58 26.465,98000 16 7.300,96000 0,00000-74 33.766,94000 296 135.067,76000 4862591109 423 H02AB01 BETAMETASONE BETAMETASONE 0,5 mg CP EF os CP CP 0,07000 4.920 344,40000 6.000 420,00000 8.470 592,90000 7.200 504,00000 4.000 280,00000-30.590 2.141,30000 122.360 8.565,20000 4862595455 424 H02AB01 BETAMETASONE BETAMETASONE 1 mg CP EF os CP CP 0,15000 1.760 264,00000 0,00000 0,00000 0,00000 350 52,50000-2.110 316,50000 8.440 1.266,00000 48625986CE 425 H02AB01 BETAMETASONE BETAMETASONE 1,5 mg 2 ml F im-ev F F 0,19000 968 183,92000 900 171,00000 228 43,32000 0,00000 2.400 456,00000 180 34,20000 4.676 888,44000 18.704 3.553,76000 4862607E39 426 H02AB01 BETAMETASOME BETAMETASONE 3 mg + 3 mg/ml RILASCIO MODIFICATO IM FL FL 0,70303 0,00000 1.500 1.054,54500 0,00000 0,00000 3.000 2.109,09000-4.500 3.163,63500 18.000 12.654,54000 48626100B7 427 H02AB01 BETAMETASONE BETAMETASONE 4 mg/ 2 ml F im-ev F F 0,26000 3.530 917,80000 4.800 1.248,00000 4.839 1.258,14000 5.400 1.404,00000 4.000 1.040,00000 180 46,80000 22.749 5.914,74000 90.996 23.658,96000 486261225D 428 H02AB02 DESAMETASONE DESAMETASONE 0,2 % GTT os FL FL 2,05000 1.212 2.484,60000 800 1.640,00000 1.094 2.242,70000 960 1.968,00000 1.200 2.460,00000-5.266 10.795,30000 21.064 43.181,20000 4862619822 429 H02AB02 DESAMETASONE DESAMETASONE FOSF 4mg / 1 ml F im-ev F F 0,37000 8.032 2.971,84000 14.200 5.254,00000 37.146 13.744,02000 0,00000 24.000 8.880,00000 53271 19.710,27000 136.649 50.560,13000 546.596 202.240,52000 4862624C41

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 430 H02AB02 DESAMETASONE DESAMETASONE 0,5 mg CP os CP CP 0,06680 0,00000 0,00000 0,00000 8.000 534,40000 1.000 66,80000-9.000 601,20000 36.000 2.404,80000 4862627EBA 431 H02AB02 DESAMETASONE DESAMETASONE FOSF 8 mg / 2 ml F im-ev F F 0,63000 3.244 2.043,72000 0,00000 2.918 1.838,34000 36.000 22.680,00000 6.150 3.874,50000-48.312 30.436,56000 193.248 121.746,24000 4862629065 432 H02AB04 METILPREDNISOLONE EMISUCCINATO METILPREDNISOLONE EMISUCCINATO 20 mg F im-ev F F 0,46400 11.916 5.529,02400 12.000 5.568,00000 28.257 13.111,24800 15.600 7.238,40000 24.000 11.136,00000 840 389,76000 92.613 42.972,43200 370.452 171.889,72800 48626333B1 433 H02AB04 METILPREDNISOLONE EMISUCCINATO METILPREDNISOLONE EMISUCCINATO 40 mg FL im-ev FL FL 1,50000 2.682 4.023,00000 1.200 1.800,00000 3.585 5.377,50000 0,00000 6.000 9.000,00000-13.467 20.200,50000 53.868 80.802,00000 4862635557 434 H02AB04 METILPREDNISOLONE EMISUCCINATO METILPREDNISOLONE EMISUCCINATO 250 MG IM-EV im-ev FL F 3,05000 18 54,90000-0,00000 580 1.769,00000-0,00000 1.000 3.050,00000-1.598 4.873,90000 6.392 19.495,60000 4862640976 435 H02AB04 METILPREDNISOLONE EMISUCCINATO METILPREDNISOLONE EMISUCCINATO 125 MG 2 ML im-ev FL FL 2,26000 24 54,24000 100 226,00000-0,00000-0,00000 1.000 2.260,00000-1.124 2.540,24000 4.496 10.160,96000 4862643BEF 436 H02AB04 METILPREDNISOLONE METILPREDNISOLONE EMISUCCINATO 500 mg FL im-ev FL F 6,46000 652 4.211,92000 40 258,40000 368 2.377,28000 800 5.168,00000 3.300 21.318,00000 1800 11.628,00000 6.960 44.961,60000 27.840 179.846,40000 4862645D95 437 H02AB04 METILPREDNISOLONE EMISUCCINATO METILPREDNISOLONE EMISUCCINATO 1g/16 ml FL im-ev FL FL 14,88000 30 446,40000 80 1.190,40000-0,00000-0,00000 2.250 33.480,00000-2.360 35.116,80000 9.440 140.467,20000 48626490E6 438 H02AB04 METILPREDNISOLONE METILPREDNISOLONE 4 mg CP os CP CP 0,05000 1.984 99,20000 0,00000 900 45,00000 7.200 360,00000 6.200 310,00000-16.284 814,20000 65.136 3.256,80000 486265235F 439 H02AB04 METILPREDNISOLONE ACETATO METILPREDNISOLONE ACETATO 40 mg FL i_art FL FL 0,93000 3.912 3.638,16000 0,00000 4.644 4.318,92000 1.400 1.302,00000-0,00000-9.956 9.259,08000 39.824 37.036,32000 4862658851 440 H02AB07 PREDNISONE PREDNISONE 5 mg CP os CP CP 0,08000 6.880 550,40000 3.600 288,00000 9.380 750,40000 16.000 1.280,00000 35.000 2.800,00000 2000 160,00000 72.860 5.828,80000 291.440 23.315,20000 4862667FBC 441 H02AB07 PREDNISONE PREDNISONE 25 mg CP os CP CP 0,28000 14.720 4.121,60000 6.000 1.680,00000 19.380 5.426,40000 16.000 4.480,00000 22.500 6.300,00000 8000 2.240,00000 86.600 24.248,00000 346.400 96.992,00000 4862790540 442 H02AB08 TRIAMCINOLONE TRIAMCINOLONE 40 mg /1 ml FL im FL FL 0,82316 234 192,61944 150 123,47400 0,00000 180 148,16880 3.500 2.881,06000-4.064 3.345,32224 16.256 13.381,28896 4862799CAB 443 H02AB09 IDROCORTISONE IDROCORTISONE 1 g FL ev FL FL 3,62000 586 2.121,32000 850 3.077,00000 1.727 6.251,74000 0,00000-0,00000-3.163 11.450,06000 12.652 45.800,24000 4862811694 444 H02AB09 IDROCORTISONE IDROCORTISONE 100 mg FL im-ev FL FL 0,85000 2.134 1.813,90000 0,00000 2.228 1.893,80000 7.200 6.120,00000 6.500 5.525,00000 350 297,50000 18.412 15.650,20000 73.648 62.600,80000 48628159E0 445 H02AB09 IDROCORTISONE IDROCORTISONE 500 mg FL ev FL FL 2,73000 2.520 6.879,60000 0,00000 2.527 6.898,71000 800 2.184,00000 4.000 10.920,00000-9.847 26.882,31000 39.388 107.529,24000 4862819D2C 446 H02BX01 METILPREDNISOLONE, ASSOCIAZIONI METILPREDNISOLONE+LIDOCAINA 40+10 mg FL i_art FL FL 1,38000 2.312 3.190,56000 0,00000 0,00000 0,00000 600 828,00000-2.912 4.018,56000 11.648 16.074,24000 4862822FA5 447 H03AA01 LEVOTIROXINA SODICA LEVOTIROXINA SOD 50 mcg CP os CP CP 0,02000 2.500 50,00000 0,00000 22.450 449,00000 0,00000 15.000 300,00000 10.000 200,00000 49.950 999,00000 199.800 3.996,00000 486283498E 448 H03AA01 LEVOTIROXINA SODICA LEVOTIROXINA SOD 100 mcg CP os CP CP 0,02537 22.600 573,36200 10.500 266,38500 12.450 315,85650 26.000 659,62000 15.000 380,55000-86.550 2.195,77350 346.200 8.783,09400 4862838CDA 449 H03BB02 TIAMAZOLO TIAMAZOLO 5 mg CP os CP CP 0,02398 4.000 95,92000 2.000 47,96000 6.000 143,88000 8.400 201,43200 4.000 95,92000-24.400 585,11200 97.600 2.340,44800 486284202B 450 H04AA01 GLUCAGONE GLUCAGONE 1mg / 1 ml FL im-sc FL FL 11,45489 22 252,00758 20 229,09780 48 549,83472 40 458,19560 140 1.603,68460-270 3.092,82030 1.080 12.371,28120 48628506C3 451 H05BX01 CINACALCET CINACALCET CLORIDRATO 30 mg CP RIVESTITE os CP CP 6,17500 0,00000 0,00000 13.300 82.127,50000 112 691,60000 560 3.458,00000-13.972 86.277,10000 55.888 345.108,40000 4862854A0F 452 H05BX01 CINACALCET CINACALCET CLORIDRATO 60 mg CP RIVESTITE os CP CP 11,40000 0,00000 0,00000 588 6.703,20000 0,00000 560 6.384,00000-1.148 13.087,20000 4.592 52.348,80000 4862861FD4 453 H05BX01 CINACALCET CINACALCET CLORIDRATO 90 mg CP RIVESTITE os CP CP 17,10000 0,00000 0,00000 2.884 49.316,40000 0,00000 560 9.576,00000-3.444 58.892,40000 13.776 235.569,60000 48628620AC 454 H05BX02 RACALCITOLO RACALCITOLO 5 mcg/1 ml F ev FL FL 15,04000 0,00000 0,00000 0,00000 480 7.219,20000 2.700 40.608,00000-3.180 47.827,20000 12.720 191.308,80000 48628663F8 455 H05BX02 RACALCITOLO RACALCITOLO 1 mcg CPS os CPS CPS 2,73000 0,00000 0,00000 448 1.223,04000 0,00000-0,00000-448 1.223,04000 1.792 4.892,16000 4862870744 456 H05BX02 RACALCITOLO RACALCITOLO 2 mcg CPS os CPS CPS 5,47000 0,00000 0,00000 84 459,48000 0,00000-0,00000-84 459,48000 336 1.837,92000 4862875B63 457 J01AA12 TIGECICLINA TIGECICLINA 50 mg FL ev FL FL 49,13700 884 43.437,10800 0,00000 2.680 131.687,16000 0,00000 1.500 73.705,50000-5.064 248.829,76800 20.256 995.319,07200 4862891898 458 J01BA01 CLORAMFENICOLO CLORAMFENICOLO 1 g FL ev FL FL 1,08872 0,00000 350 381,05200 0,00000 0,00000 1.500 1.633,08000-1.850 2.014,13200 7.400 8.056,52800 4862897D8A 459 J01BA02 TIAMFENICOLO GLICINATO CLORIDRATO TIAMFENICOLO GLICINATO CLORIDRATO 500 mg AER FL FL 1,25000 0,00000 180 225,00000 0,00000 0,00000-0,00000-180 225,00000 720 900,00000 4862899F30 460 J01CA01 AMPICILLINA AMPICILLINA 1 g CP os CP CP 0,02000 288 5,76000 0,00000 0,00000 0,00000-0,00000-288 5,76000 1.152 23,04000 48629021AE 461 J01CA01 AMPICILLINA AMPICILLINA 1g / 4 ml FL im-ev FL FL 0,39572 9.154 3.622,42088 5.000 1.978,60000 14.987 5.930,65564 10.000 3.957,20000 21.000 8.310,12000-60.141 23.798,99652 240.564 95.195,98608 48629064FA 462 J01CA01 AMPICILLINA AMPICILLINA 500 mg / 2,5 ml im-ev FL FL 1,50138 1.064 1.597,46832 0,00000 0,00000 0,00000 5.400 8.107,45200-6.464 9.704,92032 25.856 38.819,68128 48629129EC 463 J01CA04 AMOXICILLINA AMOXICILLINA 1 g CP os CP CP 0,13000 8.400 1.092,00000 3.840 499,20000 12.672 1.647,36000 9.600 1.248,00000 22.500 2.925,00000-57.012 7.411,56000 228.048 29.646,24000 4862917E0B 464 J01CA04 AMOXICILLINA AMOXICILLINA 5% SOSP os FL FL 0,50000 516 258,00000 40 20,00000 103 51,50000 140 70,00000 1.500 750,00000-2.299 1.149,50000 9.196 4.598,00000 4863179643 465 J01CA12 PIPERACILLINA PIPERACILLINA 500 mg/ml FL 4 ml im-ev FL FL 0,88900 5.352 4.757,92800 0,00000 4.275 3.800,47500 4.000 3.556,00000 600 533,40000-14.227 12.647,80300 56.908 50.591,21200 4863184A62 466 J01CE08 BENZILPENICILLINA BENZATINICA BENZILPEN. BENZATINICA 1,2 MUI F im F F 0,64000 24 15,36000 60 38,40000 19 12,16000 600 384,00000 1.800 1.152,00000-2.503 1.601,92000 10.012 6.407,68000 4863189E81 467 J01CF04 OXACILLINA OXACILLINA 1 g FL im-ev FL FL 1,36000 2.274 3.092,64000 200 272,00000 1.322 1.797,92000 0,00000 4.500 6.120,00000-8.296 11.282,56000 33.184 45.130,24000 486319102C 468 J01CR01 AMPICILLINA ED INIBITORI ENZIMATICI AMPICILLINA+SULBACTAM 750 mg FL im-ev FL FL 0,96000 1.820 1.747,20000 0,00000 42 40,32000 0,00000 1.800 1.728,00000 50 48,00000 3.712 3.563,52000 14.848 14.254,08000 486319644B

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 469 J01CR01 AMPICILLINA ED INIBITORI ENZIMATICI AMPICILLINA+SULBACTAM 1,5 g FL ev FL FL 0,51000 5.818 2.967,18000 300 153,00000 29.263 14.924,13000 4.000 2.040,00000 12.000 6.120,00000-51.381 26.204,31000 205.524 104.817,24000 4863203A10 470 J01CR02 AMOXICILLINA ED INIBITORI ENZIMATICI AMOXICILLINA+AC.CLAVULANICO 1 g CP os CP CP 0,12000 27.796 3.335,52000 18.600 2.232,00000 40.476 4.857,12000 45.600 5.472,00000 41.000 4.920,00000 3600 432,00000 177.072 21.248,64000 708.288 84.994,56000 4863207D5C 471 J01CR02 AMOXICILLINA ED INIBITORI ENZIMATICI AMOXICILLINA+AC.CLAVULANICO 70 ml SOLUZIONE ORALE FL os FL FL 1,51205 608 919,32640 270 408,25350 502 759,04910 300 453,61500 1.500 2.268,07500-3.180 4.808,31900 12.720 19.233,27600 486321759F 472 J01CR02 AMOXICILLINA ED INIBITORI ENZIMATICI AMOXICILLINA+AC.CLAVULANICO 1,2 g FL ev FL FL 1,43000 12.176 17.411,68000 1.300 1.859,00000 3.849 5.504,07000 0,00000 12.000 17.160,00000 40 57,20000 29.365 41.991,95000 117.460 167.967,80000 48632218EB 473 J01CR02 AMOXICILLINA SODICA/POTASSIO CLAVULANATO AMOXICILLINA+AC CLAVULANIC O 2,2 g FL ev FL FL 1,55000 0,00000 0,00000 290 449,50000 30.000 46.500,00000 6.000 9.300,00000 30 46,50000 36.320 56.296,00000 145.280 225.184,00000 4863225C37 474 J01CR05 PIPERACILLINA ED INIBITORI ENZIMATICI PIPERACILLINA + TAZOBACTAM 2 g + 250 mg FL im-ev FL FL 1,33000 9.148 12.166,84000 400 532,00000 30.288 40.283,04000 0,00000 15.000 19.950,00000-54.836 72.931,88000 219.344 291.727,52000 48632386F3 475 J01CR05 PIPERACILLINA ED INIBITORI ENZIMATICI PIPERACILLINA + TAZOBACTAM 4 g + 500 mg FL ev FL FL 2,42000 9.298 22.501,16000 4.000 9.680,00000 17.328 41.933,76000 34.000 82.280,00000 52.000 125.840,00000 5.000 12.100,00000 121.626 294.334,92000 486.504 1.177.339,68000 4863242A3F 476 J01DB01 CEFALEXINA CEFALEXINA 1 g CP RIVESTITE os CP CP 0,40172 0,00000 800 321,37600 0,00000 7.200 2.892,38400 0,00000-8.000 3.213,76000 32.000 12.855,04000 4863244BE5 477 J01DB04 CEFAZOLINA CEFAZOLINA 250 mg/ 2 ml FL im FL FL 0,50000 0,00000 700 350,00000 0,00000 0,00000-0,00000-700 350,00000 2.800 1.400,00000 4863247E5E 478 J01DB04 CEFAZOLINA CEFAZOLINA 500 mg/ 2 ml FL im FL FL 2,22725 1.214 2.703,88150 0,00000 0,00000 0,00000 0,00000-1.214 2.703,88150 4.856 10.815,52600 48632500DC 479 J01DB04 CEFAZOLINA CEFAZOLINA 1g/ 4 ml FL im FL FL 0,49000 11.452 5.611,48000 0,00000 13.329 6.531,21000 50.000 24.500,00000 6.000 2.940,00000 6660 3.263,40000 87.441 42.846,09000 349.764 171.384,36000 4863258774 480 J01DB04 CEFAZOLINA CEFAZOLINA 1 g/ 10 ml FL ev FL FL 0,52600 23.308 12.260,00800 0,00000 16.140 8.489,64000 0,00000 52.000 27.352,00000-91.448 48.101,64800 365.792 192.406,59200 4863265D39 481 J01DC01 CEFOXITINA CEFOXITINA SODICA 1 g FL 2 ml ev FL FL 2,47000 0,00000 0,00000 665 1.642,55000 0,00000 7.000 17.290,00000-7.665 18.932,55000 30.660 75.730,20000 4863268FB2 482 J01DC02 CEFUROXIMA CEFUROXIMA 1g/4 ml F im FL FL 1,33000 0,00000 0,00000 0,00000 800 1.064,00000-0,00000-800 1.064,00000 3.200 4.256,00000 48632733D6 483 J01DC02 CEFUROXIMA CEFUROXIMA 1 g/10 ml FL ev FL FL 3,40909 0,00000 0,00000 7.366 25.111,35694 0,00000 1.000 3.409,09000-8.366 28.520,44694 33.464 114.081,78776 48632787F5 484 J01DC04 CEFACLORO CEFACLOR 50 mg/ ml SOSP os FL FL 1,46496 60 87,89760 0,00000 9 13,18464 0,00000-0,00000-69 101,08224 276 404,32896 4863285DBA 485 J01DD01 CEFOTAXIMA CEFOTAXIME 1 g/ 4 ml FL im-ev FL FL 0,66000 6.728 4.440,48000 4.000 2.640,00000 28.399 18.743,34000 14.000 9.240,00000 18.000 11.880,00000-71.127 46.943,82000 284.508 187.775,28000 4863287F60 486 J01DD02 CEFTAZIDIMA CEFTAZIDIMA 1g/ 10 ml FL ev FL FL 1,20600 13.480 16.256,88000 0,00000 19.837 23.923,42200 0,00000 30.000 36.180,00000 500 603,00000 63.817 76.963,30200 255.268 307.853,20800 4863292384 487 J01DD02 CEFTAZIDIMA CEFTAZIDIMA 500 mg / 1,5 ml FL im FL FL 1,05000 0,00000 0,00000 0,00000 0,00000 1.500 1.575,00000-1.500 1.575,00000 6.000 6.300,00000 4863299949 488 J01DD02 CEFTAZIDIMA CEFTAZIDIMA 2 g FL ev FL FL 1,00000 0,00000 0,00000 0,00000 19.800 19.800,00000 1.500 1.500,00000-21.300 21.300,00000 85.200 85.200,00000 4863305E3B 489 J01DD04 CEFTRIAXONE CEFTRIAXONE 250 mg FL im FL FL 0,49000 0,00000 1.000 490,00000 0,00000 0,00000 0,00000-1.000 490,00000 4.000 1.960,00000 4863311332 490 J01DD04 CEFTRIAXONE CEFTRIAXONE 500 mg FL im FL FL 0,75000 0,00000 1.800 1.350,00000 0,00000 0,00000-0,00000-1.800 1.350,00000 7.200 5.400,00000 48633134D8 491 J01DD04 CEFTRIAXONE CEFTRIAXONE 1 g 3,5 ml FL im FL FL 0,79000 102 80,58000 0,00000 154 121,66000 0,00000 5.000 3.950,00000-5.256 4.152,24000 21.024 16.608,96000 48633188F7 492 J01DD04 CEFTRIAXONE CEFTRIAXONE 1 g 10 ml FL ev FL FL 0,48000 21.082 10.119,36000 0,00000 49.690 23.851,20000 30.000 14.400,00000 30.000 14.400,00000 3000 1.440,00000 133.772 64.210,56000 535.088 256.842,24000 4863323D16 493 J01DD08 CEFIXIMA CEFIXIMA 400 mg CP RIV os CP CP 0,75000 980 735,00000 0,00000 2.435 1.826,25000 0,00000 1.200 900,00000-4.615 3.461,25000 18.460 13.845,00000 486332813A 494 J01DD08 CEFIXIMA CEFIXIMA 100 mg/5ml 100 ml OS os FL FL 4,74308 0,00000 0,00000 20 94,86160 120 569,16960 100 474,30800-240 1.138,33920 960 4.553,35680 486333462C 495 J01DE01 CEFEPIMA CEFEPIME DICLORIDRATO MONOIDR.1 g/ 3 ml im-ev FL FL 3,84000 0,00000 0,00000 393 1.509,12000 0,00000 1.000 3.840,00000-1.393 5.349,12000 5.572 21.396,48000 4863338978 496 J01DF01 AZTREONAM AZTREONAM 1 g FL im-ev FL FL 7,69681 714 5.495,52234 0,00000 0,00000 0,00000 2.800 21.551,06800-3.514 27.046,59034 14.056 108.186,36136 4863342CC4 497 J01DH02 MEROPENEM MEROPENEM 500 mg FL ev FL FL 3,74000 2.100 7.854,00000 9.000 33.660,00000 2.610 9.761,40000 0,00000 8.000 29.920,00000 11 41,14000 21.721 81.236,54000 86.884 324.946,16000 4863344E6A 498 J01DH02 MEROPENEM MEROPENEM 1 g FL ev FL FL 7,07000 9.344 66.062,08000 0,00000 3.550 25.098,50000 35.000 247.450,00000 18.000 127.260,00000 1500 10.605,00000 67.394 476.475,58000 269.576 1.905.902,32000 48633470E8 499 J01DH03 ERTAPENEM ERTAPENEM SODICO 1 g 20 ml FL ev FL FL 33,51000 0,00000 200 6.702,00000 492 16.486,92000 0,00000 100 3.351,00000-792 26.539,92000 3.168 106.159,68000 48633481BB 500 J01DH51 IMIPENEM ED INIBITORI ENZIMATICI IMIPENEM+CILASTATINA 500+500 mg FL ev FL FL 4,70000 7.700 36.190,00000 6.500 30.550,00000 29.094 136.741,80000 900 4.230,00000 26.000 122.200,00000 50 235,00000 70.244 330.146,80000 280.976 1.320.587,20000 4863351434 501 J01EE01 SULFAMETOXAZOLO E TRIMETOPRIM SULFAMETOXAZOLO E TRIMETOPRIM 400+80 mg FL ev FL FL 1,32000 268 353,76000 900 1.188,00000 1.183 1.561,56000 40 52,80000 4.600 6.072,00000-6.991 9.228,12000 27.964 36.912,48000 4863357926 502 J01F01 CLINDAMICINA CLINDAMICINA 600 mg/ 4 ml F im-ev F F 0,38000 3.828 1.454,64000 600 228,00000 8.000 3.040,00000 2.800 1.064,00000 3.000 1.140,00000 500 190,00000 18.728 7.116,64000 74.912 28.466,56000 4863359ACC 503 J01FA01 ERITROMICINA ETILSUCCINATO ERITROMICINA 1000 mg BS os BS BS 0,37000 324 119,88000 0,00000 30 11,10000 0,00000 600 222,00000-954 352,98000 3.816 1.411,92000 4863361C72 504 J01FA01 ERITROMICINA LATTOBIONATO ERITROMICINA 500 mg FL ev F F 1,47000 58 85,26000 0,00000 0,00000 0,00000 600 882,00000 32 47,04000 690 1.014,30000 2.760 4.057,20000 4863378A7A 505 J01FA09 CLARITROMICINA CLARITROMICINA 125 mg/5 ml SOLUZ.ORALE FL 100 ML os FL FL 2,88000 90 259,20000 0,00000 62 178,56000 0,00000 600 1.728,00000-752 2.165,76000 3.008 8.663,04000 4863384F6C 506 J01FA09 CLARITROMICINA CLARITROMICINA 250 mg CP os CP CP 0,12000 1.608 192,96000 2.000 240,00000 3.972 476,64000 2.400 288,00000 27.000 3.240,00000 240 28,80000 37.220 4.466,40000 148.880 17.865,60000 4863389390 507 J01FA09 CLARITROMICINA CLARITROMICINA 250 mg/ 5 ml SOLUZ.ORALE FL os FL FL 4,48000 84 376,32000 70 313,60000 4.620 20.697,60000 0,00000 600 2.688,00000-5.374 24.075,52000 21.496 96.302,08000 486344736D

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 508 J01FA09 CLARITROMICINA CLARITROMICINA 500 mg FL ev FL FL 4,00000 964 3.856,00000 0,00000 3.086 12.344,00000 400 1.600,00000 4.500 18.000,00000 75 300,00000 9.025 36.100,00000 36.100 144.400,00000 486345385F 509 J01FA09 CLARITROMICINA CLARITROMICINA 500 mg CP RM os CP CP 0,57000 2.120 1.208,40000 0,00000 0,00000 0,00000-0,00000-2.120 1.208,40000 8.480 4.833,60000 48634630A2 510 J01FA10 AZITROMICINA AZITROMICINA 200 mg/5 ml sospensione orale os FL FL 3,50000 0,00000 100 350,00000 0,00000 0,00000 300 1.050,00000-400 1.400,00000 1.600 5.600,00000 48634684C1 511 J01FA10 AZITROMICINA AZITROMICINA 500 mg CP os CP CP 0,47000 3.258 1.531,26000 0,00000 6.351 2.984,97000 7.800 3.666,00000 10.800 5.076,00000-28.209 13.258,23000 112.836 53.032,92000 48634738E0 512 J01FA10 AZITROMICINA AZITROMICINA 500 mg FL ev FL FL 4,25000 1.620 6.885,00000 0,00000 3.248 13.804,00000 0,00000 4.500 19.125,00000-9.368 39.814,00000 37.472 159.256,00000 4863479DD2 513 J01GB01 TOBRAMICINA TOBRAMICINA 100 mg FL im-ev F F 1,20000 12 14,40000 0,00000 1.078 1.293,60000 200 240,00000 9.000 10.800,00000 150 180,00000 10.440 12.528,00000 41.760 50.112,00000 48634852C9 514 J01GB01 TOBRAMICINA TOBRAMICINA 150 mg FL im-ev FL FL 1,54503 0,00000 0,00000 0,00000 0,00000 7.500 11.587,72500-7.500 11.587,72500 30.000 46.350,90000 48634917BB 515 J01GB01 TOBRAMICINA TOBRAMICINA 300 mg/5 ml FL MONODOSE AER F F 20,00000 0,00000 448 8.960,00000 0,00000 0,00000-0,00000-448 8.960,00000 1.792 35.840,00000 4863516C5B 516 J01GB03 GENTAMICINA GENTAMICINA 80 mg/ 2 ml F im-ev F F 0,23902 8.268 1.976,21736 2.000 478,04000 11.920 2.849,11840 8.000 1.912,16000 12.000 2.868,24000 1.000 239,02000 43.188 10.322,79576 172.752 41.291,18304 4863522152 517 J01GB06 AMIKACINA AMIKACINA 500 mg/ 2 ml F im-ev F F 0,54340 3.612 1.962,76080 1.300 706,42000 6.885 3.741,30900 10.000 5.434,00000 24.000 13.041,60000-45.797 24.886,08980 183.188 99.544,35920 486352649E 518 J01GB07 NETILMICINA NETILMICINA 15 mg/ 1,5 ml F im-ev F F 0,38000 924 351,12000 100 38,00000 1.023 388,74000 0,00000-0,00000-2.047 777,86000 8.188 3.111,44000 4863532990 519 J01GB07 NETILMICINA NETILMICINA 200 mg 2 ml F im-ev F F 2,87000 44 126,28000 0,00000 58 166,46000 0,00000-0,00000-102 292,74000 408 1.170,96000 4863537DAF 520 J01GB07 NETILMICINA NETILMICINA SOLFATO IM IV F 300 mg/3 ml im-ev FL FL 4,19000 0,00000 0,00000 330 1.382,70000 0,00000-0,00000-330 1.382,70000 1.320 5.530,80000 4863541100 521 J01MA02 CIPROFLOXACINA CIPROFLOXACINA 200 mg/ 100 ml FL/SA ev SA/FL SA/FL 1,20000 4.752 5.702,40000 1.200 1.440,00000 9.640 11.568,00000 3.600 4.320,00000 14.000 16.800,00000-33.192 39.830,40000 132.768 159.321,60000 486354651F 522 J01MA02 CIPROFLOXACINA CIPROFLOXACINA 500 mg CP os CP CP 0,11000 8.472 931,92000 0,00000 26.394 2.903,34000 6.000 660,00000 18.000 1.980,00000-58.866 6.475,26000 235.464 25.901,04000 486355086B 523 J01MA12 LEVOFLOXACINA LEVOFLOXA 500 mg/ 100 ml FL/SA ev FL/SA FL 0,96000 9.000 8.640,00000 4.500 4.320,00000 19.146 18.380,16000 0,00000 16.000 15.360,00000 530 508,80000 49.176 47.208,96000 196.704 188.835,84000 4863556D5D 524 J01MA12 LEVOFLOXACINA LEVOFLOXACINA 500 mg CP os CP CP 0,18000 15.600 2.808,00000 8.000 1.440,00000 15.255 2.745,90000 18.000 3.240,00000 12.000 2.160,00000-68.855 12.393,90000 275.420 49.575,60000 4863559FD6 525 J01XA01 VANCOMICINA VANCOMICINA 500 mg FL ev FL FL 1,52000 5.422 8.241,44000 0,00000 9.014 13.701,28000 28.000 42.560,00000 30.000 45.600,00000 2600 3.952,00000 75.036 114.054,72000 300.144 456.218,88000 48635654CD 526 J01XA02 TEICOPLANINA TEICOPLANINA 200 mg FL im-ev FL FL 18,32498 9.140 167.490,31720 2.000 36.649,96000 9.924 181.857,10152 0,00000 3.000 54.974,94000-24.064 440.972,31872 96.256 1.763.889,27488 4863573B65 527 J01XA02 TEICOPLANINA TEICOPLANINA 400 mg/3 ml+f 3ML ev FL FL 36,36030 0,00000 0,00000 1.779 64.684,97370 0,00000-0,00000-1.779 64.684,97370 7.116 258.739,89480 4863578F84 528 J01XB01 COLISTINA COLISTIMETATO SOD 1 MU FL im FL FL 2,98000 2.086 6.216,28000 120 357,60000 2.863 8.531,74000 0,00000 12.000 35.760,00000-17.069 50.865,62000 68.276 203.462,48000 4863581202 529 J01XD01 METRONIDAZOLO METRONIDAZOLO 500 mg/100 ml FL ev FL FL 0,39000 16.860 6.575,40000 12.000 4.680,00000 21.500 8.385,00000 24.000 9.360,00000 20.000 7.800,00000 600 234,00000 94.960 37.034,40000 379.840 148.137,60000 486358554E 530 J01XE01 NITROFURANTOINA NITROFURANTOINA 100 mg CP os CP CP 0,24000 2.720 652,80000 0,00000 0,00000 0,00000-0,00000 400 96,00000 3.120 748,80000 12.480 2.995,20000 486359096D 531 J01XE01 NITROFURANTOINA NITROFURANTOINA 50 mg CP os CP CP 0,05000 1.080 54,00000 0,00000 3.960 198,00000 1.200 60,00000 1.400 70,00000-7.640 382,00000 30.560 1.528,00000 48635990DD 532 J01XX08 LINEZOLID LINEZOLID 2 mg/ml 300 ml SACCA ev SA SA 55,40000 856 47.422,40000 150 8.310,00000 1.110 61.494,00000 0,00000 1.750 96.950,00000-3.866 214.176,40000 15.464 856.705,60000 48636044FC 533 J01XX09 DAPTOMICINA DAPTOMICINA 350 mg FL ev FL FL 75,58000 130 9.825,40000 15 1.133,70000 97 7.331,26000 0,00000 200 15.116,00000-442 33.406,36000 1.768 133.625,44000 4863617FB3 534 J01XX09 DAPTOMICINA DAPTOMICINA 500 mg FL ev FL FL 101,69688 164 16.678,28832 15 1.525,45320 50 5.084,84400 0,00000 200 20.339,37600-429 43.627,96152 1.716 174.511,84608 48636223D7 535 J02AA01 AMFOTERICINA B AMFOTERICINA B LIPOSOMIALE 50 mg FL ev FL FL 140,87000 40 5.634,80000 0,00000 130 18.313,10000 4.400 619.828,00000 2.650 373.305,50000-7.220 1.017.081,40000 28.880 4.068.325,60000 4863632C15 536 J02AC01 FLUCONAZOLO FLUCONAZOLO 50 mg CP os CP CP 1,30000 294 382,20000 0,00000 336 436,80000 0,00000 8.200 10.660,00000-8.830 11.479,00000 35.320 45.916,00000 4863635E8E 537 J02AC01 FLUCONAZOLO FLUCONAZOLO 100 mg CP os CP CP 1,33000 3.520 4.681,60000 0,00000 2.780 3.697,40000 0,00000-0,00000 1200 1.596,00000 7.500 9.975,00000 30.000 39.900,00000 48636391DF 538 J02AC01 FLUCONAZOLO FLUCONAZOLO 50 mg/ 5 ml SOSP os FL FL 11,57000 32 370,24000 40 462,80000 743 8.596,51000 200 2.314,00000 100 1.157,00000-1.115 12.900,55000 4.460 51.602,20000 4863649A1D 539 J02AC01 FLUCONAZOLO FLUCONAZOLO 100 mg / 50 ml FL ev FL FL 1,55000 1.048 1.624,40000 2.500 3.875,00000 1.912 2.963,60000 3.400 5.270,00000 9.000 13.950,00000 300 465,00000 18.160 28.148,00000 72.640 112.592,00000 4863652C96 540 J02AC01 FLUCONAZOLO FLUCONAZOLO 200 mg/ 100 ml FL ev FL FL 3,84000 1.588 6.097,92000 0,00000 2.515 9.657,60000 1.800 6.912,00000 2.500 9.600,00000-8.403 32.267,52000 33.612 129.070,08000 486365818D 541 J02AC01 FLUCONAZOLO FLUCONAZOLO 400 mg / 200 ml FL ev FL FL 8,89000 184 1.635,76000 0,00000 105 933,45000 0,00000 2.500 22.225,00000-2.789 24.794,21000 11.156 99.176,84000 48636689CB 542 J02AC02 ITRACONAZOLO ITRACONAZOLO 100 mg CP os CP CP 0,46000 112 51,52000 0,00000 416 191,36000 1.280 588,80000 6.000 2.760,00000-7.808 3.591,68000 31.232 14.366,72000 4863675F90 543 J02AC02 ITRACONAZOLO ITRACONAZOLO 10 mg/ml 150 ml OS FL os FL FL 9,44000 0,00000 0,00000 75 708,00000 0,00000 300 2.832,00000-375 3.540,00000 1.500 14.160,00000 486368255A 544 J02AC03 VORICONAZOLO VORICONAZOLO 10 mg/ml 200 mg FL ev F F 112,40000 66 7.418,40000 0,00000 344 38.665,60000 1.550 174.220,00000 1.600 179.840,00000-3.560 400.144,00000 14.240 1.600.576,00000 48637036AE 545 J02AC03 VORICONAZOLO VORICONAZOLO 50 mg CP RIV. os CP CP 9,42000 0,00000 0,00000 0,00000 840 7.912,80000 2.700 25.434,00000-3.540 33.346,80000 14.160 133.387,20000 4863687979 546 J02AX04 CASPOFUNGIN CASPOFUNGIN 50 mg FL ev FL FL 331,00000 46 15.226,00000 0,00000 158 52.298,00000 0,00000 1.050 347.550,00000-1.254 415.074,00000 5.016 1.660.296,00000 4863713EEC

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 547 J02AX04 CASPOFUNGIN CASPOFUNGIN 70 mg FL ev F F 421,00000 8 3.368,00000 0,00000 15 6.315,00000 0,00000 100 42.100,00000-123 51.783,00000 492 207.132,00000 4863733F6D 548 J02AX05 MICAFUNGIN MICAFUNGIN 50 mg 10 ml F ev FL FL 150,80000 44 6.635,20000 0,00000 0,00000 896 135.116,80000 900 135.720,00000-1.840 277.472,00000 7.360 1.109.888,00000 4863744883 549 J02AX06 ANIDULAFUNGIN ANIDULAFUNGIN 100 mg/ 30 ml F ev FL FL 322,10750 168 54.114,06000 0,00000 29 9.341,11750 0,00000 300 96.632,25000-497 160.087,42750 1.988 640.349,71000 4863752F1B 550 J04AB02 RIFAMPICINA RIFAMPICINA 2% 60 ml FL os FL FL 1,03000 20 20,60000 0,00000 0,00000 20 20,60000 150 154,50000-190 195,70000 760 782,80000 48637605B8 551 J04AB02 RIFAMPICINA RIFAMPICINA 300 mg CP os CP CP 0,21125 192 40,56000 240 50,70000 88 18,59000 2.400 507,00000 1.200 253,50000 40 8,45000 4.160 878,80000 16.640 3.515,20000 4863766AAA 552 J04AB02 RIFAMPICINA RIFAMPICINA 600 mg CP os CP CP 0,36000 576 207,36000 0,00000 600 216,00000 0,00000 2.250 810,00000-3.426 1.233,36000 13.704 4.933,44000 4863772F9C 553 J04AB02 RIFAMPICINA RIFAMPICINA 600 mg F ev FL FL 2,89000 636 1.838,04000 60 173,40000 450 1.300,50000 0,00000 1.500 4.335,00000-2.646 7.646,94000 10.584 30.587,76000 4863779566 554 J04AB03 RIFAMICINA RIFAMICINA 250 mg/3 ml F im F F 2,39000 106 253,34000 60 143,40000 275 657,25000 140 334,60000 2.500 5.975,00000-3.081 7.363,59000 12.324 29.454,36000 48637827DF 555 J04AB03 RIFAMICINA RIFAMICINA 500 mg/10 ml F ev F F 2,82000 206 580,92000 0,00000 1.177 3.319,14000 0,00000-0,00000-1.383 3.900,06000 5.532 15.600,24000 4863788CD1 556 J04AB03 RIFAMICINA RIFAMICINA 90 mg/18 ml F loc FL FL 2,81655 182 512,61210 140 394,31700 16 45,06480 0,00000 3.000 8.449,65000-3.338 9.401,64390 13.352 37.606,57560 486379636E 557 J04AC01 ISONIAZIDE ISONIAZIDE 200 mg CP os CP CP 0,05000 300 15,00000 200 10,00000 1.550 77,50000 0,00000 750 37,50000-2.800 140,00000 11.200 560,00000 4863798514 558 J04AC01 ISONIAZIDE ISONIAZIDE 500 mg 5 ml F im-ev F F 0,91000 40 36,40000 0,00000 20 18,20000 0,00000 200 182,00000-260 236,60000 1.040 946,40000 4863802860 559 J04AK02 ETAMBUTOLO ETAMBUTOLO 400 mg CP os CP CP 0,05000 200 10,00000 200 10,00000 100 5,00000 1.600 80,00000 300 15,00000-2.400 120,00000 9.600 480,00000 4863810EF8 560 J05AB01 ACICLOVIR ACICLOVIR 200 mg CP os CP CP 0,22000 0,00000 0,00000 0,00000 7.000 1.540,00000-0,00000-7.000 1.540,00000 28.000 6.160,00000 48638163EF 561 J05AB01 ACICLOVIR ACICLOVIR 400 mg CP os CP CP 0,07105 650 46,18250 0,00000 275 19,53875 0,00000 12.500 888,12500-13.425 953,84625 53.700 3.815,38500 4863843A35 562 J05AB01 ACICLOVIR ACICLOVIR 800 mg CP os CP CP 0,20000 700 140,00000 1.750 350,00000 1.505 301,00000 0,00000 0,00000-3.955 791,00000 15.820 3.164,00000 48638564F1 563 J05AB01 ACICLOVIR ACICLOVIR 8% 100 ml SOLUZIONE ORALE FL os FL FL 2,70000 44 118,80000 10 27,00000 15 40,50000 20 54,00000 225 607,50000-314 847,80000 1.256 3.391,20000 48638575C4 564 J05AB01 ACICLOVIR ACICLOVIR 250 mg F ev FL FL 0,07000 1.350 94,50000 0,00000 1.800 126,00000 30.000 2.100,00000 12.340 863,80000-45.490 3.184,30000 181.960 12.737,20000 486386083D 565 J05AB04 RIBAVIRINA RIBAVIRINA 200 mg CP os CP CP 0,22000 23.800 5.236,00000 0,00000 29.904 6.578,88000 104.160 22.915,20000 302.148 66.472,56000-460.012 101.202,64000 1.840.048 404.810,56000 4863861910 566 J05AB04 RIBAVIRINA RIBAVIRINA 400 mg CP RIV os CP CP 3,58000 0,00000 0,00000 7.952 28.468,16000 0,00000-0,00000-7.952 28.468,16000 31.808 113.872,64000 4863898799 567 J05AB06 GANCICLOVIR GANCICLOVIR 500 mg FL ev FL FL 15,83000 0,00000 0,00000 30 474,90000 860 13.613,80000 1.800 28.494,00000-2.690 42.582,70000 10.760 170.330,80000 4863901A12 568 J05AB11 VALACICLOVIR CLORIDRATO VALACICLOVIR CLORIDRATO 1000 mg CP os CP CP 1,42000 0,00000 0,00000 168 238,56000 3.780 5.367,60000 250 355,00000-4.198 5.961,16000 16.792 23.844,64000 4863904C8B 569 J05AB14 VALGANCICLOVIR CLORIDRATO VALGANCICLOVIR CLORIDRATO 450 mg CP os CP CP 12,33000 0,00000 0,00000 0,00000 4.800 59.184,00000 3.600 44.388,00000-8.400 103.572,00000 33.600 414.288,00000 4863908FD7 570 J05AE06 LOPINAVIR+RITONAVIR LOPINAVIR+RITONAVIR 80+20 mg/ml SOL. ORALE os FL FL 71,86601 0,00000 0,00000 0,00000 0,00000 300 21.559,80300-300 21.559,80300 1.200 86.239,21200 48639133FB 571 J05AE08 ATAZANAVIR ATAZANAVIR 200 mg CP os CP CP 5,31150 0,00000 0,00000 0,00000 0,00000 3.900 20.714,85000-3.900 20.714,85000 15.600 82.859,40000 486391881A 572 J05AE08 ATAZANAVIR ATAZANAVIR 300 mg CP os Cp CP 10,62100 0,00000 0,00000 0,00000 0,00000 4.500 47.794,50000-4.500 47.794,50000 18.000 191.178,00000 48639209C0 573 J05AE09 TIPRANAVIR TIPRANAVIR 250 mg CPS MOLLI os CP CP 5,48270 0,00000 0,00000 0,00000 480 2.631,69600 12.870 70.562,34900-13.350 73.194,04500 53.400 292.776,18000 4863925DDF 574 J05AE10 DARUNAVIR DARUNAVIR 300 mg CP RIV os CP CP 5,28380 0,00000 0,00000 0,00000 0,00000 12.000 63.405,60000-12.000 63.405,60000 48.000 253.622,40000 486392805D 575 J05AE10 DARUNAVIR DARUNAVIR 400 mg CP RIV os CP CP 5,28317 240 1.267,96080 0,00000 0,00000 0,00000 8.000 42.265,36000-8.240 43.533,32080 32.960 174.133,28320 48639323A9 576 J05AF01 ZIDOVUDINA ZIDOVUDINA 250 mg CPS OS CP CP 1,91100 0,00000 0,00000 0,00000 0,00000 2.700 5.159,70000-2.700 5.159,70000 10.800 20.638,80000 4863940A41 577 J05AF02 ZIDOVUDINA ZIDOVUDINA 300 mg CPS OS CP CP 1,87500 0,00000 0,00000 0,00000 0,00000 1.200 2.250,00000-1.200 2.250,00000 4.800 9.000,00000 48640293B5 578 J05AF01 ZIDOVUDINA ZIDOVUDINA 100 mg/ml 200 ml SOLUZ ORALE OS FL CP 17,39545 0,00000 0,00000 0,00000 0,00000 200 3.479,09000-200 3.479,09000 800 13.916,36000 48640450EA 579 J05AF04 STAMIVUDINA STAMIVUDINA 200 mg/200 ml POLVERE PER SOLUZ. ORALE OS FL FL FL 28,03500 0,00000 0,00000 0,00000 0,00000 90 2.523,15000-90 2.523,15000 360 10.092,60000 4864080DC8 580 J05AF05 LAMIVUDINA LAMIVUDINA 100 mg CP os CP CP 1,60000 2.464 3.942,40000 1.540 2.464,00000 1.428 2.284,80000 0,00000 7.740 12.384,00000-13.172 21.075,20000 52.688 84.300,80000 4864117C51 581 J05AF05 LAMIVUDINA LAMIVUDINA SOLUZIORE ORALE ANALCOLICA os FL FL 29,53621 0,00000 0,00000 0,00000 0,00000 120 3.544,34520-120 3.544,34520 480 14.177,38080 4864134A59 582 J05AF07 TENOFOVIR DISOPROXIL TENOFOVIR DISOPROXIL 245 mg CP os CP CP 8,40000 2.160 18.144,00000 7.200 60.480,00000 4.020 33.768,00000 0,00000 152.000 1.276.800,00000-165.380 1.389.192,00000 661.520 5.556.768,00000 48641431C9 583 J05AF08 ADEFOVIR DIPIVOXIL ADEFOVIR 10 mg CP os CP CP 12,80000 1.080 13.824,00000 0,00000 750 9.600,00000 0,00000 2.600 33.280,00000-4.430 56.704,00000 17.720 226.816,00000 4864147515 584 J05AF09 EMTRICITABINA 200 MG X 30 CP EMTRICITABINA 200 mg CP os CP cp 5,13814 0,00000 0,00000 0,00000 0,00000 1.125 5.780,40750-1.125 5.780,40750 4.500 23.121,63000 48641653F0 585 J05AF10 ENTECAVIR ENTECAVIR 0,5 mg CP RIV. os CP CP 13,40000 5.520 73.968,00000 3.300 44.220,00000 10.710 143.514,00000 0,00000 55.000 737.000,00000-74.530 998.702,00000 298.120 3.994.808,00000 4864178EA7

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 586 J05AF10 ENTECAVIR ENTECAVIR 1 mg CP RIV. os CP CP 13,40000 500 6.700,00000 0,00000 0,00000 0,00000 5.000 67.000,00000-5.500 73.700,00000 22.000 294.800,00000 486418439E 587 J05AF11 TELBIVUBINA TELBIVUDINA 600 mg CP OS CP CP 13,25000 0,00000 700 9.275,00000 0,00000 0,00000 0,00000-700 9.275,00000 2.800 37.100,00000 4864190890 588 J05AG03 EFAVIRENZ EFAVIRENZ 200 mg CPS os CP CP 2,17000 0,00000 0,00000 0,00000 360 781,20000 5.760 12.499,20000-6.120 13.280,40000 24.480 53.121,60000 48642119E4 589 J05AH02 OSELTAMIVIR FOSFATO OSELTAMIVIR FOSFATO 75 mg CPS os CP CP 1,71000 0,00000 0,00000 650 1.111,50000 2.400 4.104,00000 500 855,00000-3.550 6.070,50000 14.200 24.282,00000 48642244A0 590 J05AR02 LAMIVUDINA E ABACAVIR LAMIVIVUDINA/ ABACAVIR 600/300 mg CP os CP CP 12,06617 60 723,97020 0,00000 0,00000 0,00000 9.000 108.595,53000-9.060 109.319,50020 36.240 437.278,00080 4864234CDE 591 J05AX07 ENFUVIRTIDE ENFUVIRTIDE 90 mg/ml FL sc FL FL 20,60587 0,00000 0,00000 0,00000 480 9.890,81760 30 618,17610-510 10.508,99370 2.040 42.035,97480 48642455F4 592 J05AX08 ETRAVIRINA ETRAVIRINA 100 mg CP os cp cp 2,99800 0,00000 0,00000 0,00000 0,00000 90.540 271.438,92000-90.540 271.438,92000 362.160 1.085.755,68000 4864250A13 593 J05AX08 RALTEGRAVIR 100MG RALTEGRAVIR 400 mg CP os cp cp 11,37300 0,00000 0,00000 0,00000 0,00000 60.390 686.815,47000-60.390 686.815,47000 241.560 2.747.261,88000 4864265675 594 J05AX09 MARAVIROC MARAVIROC 300 mg CP OS CP CP 13,65000 0,00000 0,00000 0,00000 0,00000 2.700 36.855,00000-2.700 36.855,00000 10.800 147.420,00000 48642802D7 595 J06BB01 IMMUNOGLOBULINA ANTI-D (RH) IG UM.ANTI-D 300 mcg SR im FL FL 19,53783 932 18.209,25756 300 5.861,34900 839 16.392,23937 0,00000 300 5.861,34900-2.371 46.324,19493 9.484 185.296,77972 4864331CEA 596 J06BB02 IMMUNOGLOBULINA TETANICA IG UM.ANTITETANICA 250 UI SIR im SR SR 5,40141 0,00000 800 4.321,12800 4.150 22.415,85150 0,00000 100 540,14100-5.050 27.277,12050 20.200 109.108,48200 48643436D3 597 J06BB02 IMMUNOGLOBULINA TETANICA IG UM.ANTITETANICA 500 UI SIR im SR SR 12,80000 1.330 17.024,00000 300 3.840,00000 110 1.408,00000 0,00000 0,00000-1.740 22.272,00000 6.960 89.088,00000 486435618F 598 J06BB04 IMMUNOGLOBULINA ETITICA B IG ANTIETITE B 180 UI/1 ml F im FL FL 73,50000 40 2.940,00000 40 2.940,00000 57 4.189,50000 0,00000 0,00000-137 10.069,50000 548 40.278,00000 48643658FA 599 J06BB04 IMMUNOGLOBULINA ETITICA B IG ANTIETITE B Flacone volumi vari ev UI UI nota 0,33000 500 165,00000-0,00000 0,00000 0,00000 220.000 72.600,00000-220.500 72.765,00000 882.000 291.060,00000 4864373F92 600 J06BB04 IMMUNOGLOBULINA ETITICA B IG ANTIETITE B 540 UI/3 ml FL im FL FL 191,00000 6 1.146,00000 2 382,00000 0,00000 0,00000 700 133.700,00000-708 135.228,00000 2.832 540.912,00000 4864382702 601 J06BB16 LIVIZUMAB LIVIZUMAB 100 mg F im F F 814,35000 310 252.448,50000 30 24.430,50000 17 13.843,95000 0,00000 100 81.435,00000-457 372.157,95000 1.828 1.488.631,80000 48643940EB 602 J07AL01 PNEUMOCOCCO, ANTIGENE POLISACCARIDICO PURIFICATO VACCINO PNEUMOCOCCICO POLIS 0,5 ml SR im SR SR 13,44000 10 134,40000 0,00000 16 215,04000 0,00000 150 2.016,00000-176 2.365,44000 704 9.461,76000 4864406ACF 603 J07AM01 ANATOSSINA TETANICA VACCINO ANTITETANICO ADSORBITO 0,5 ml F im SR SR 2,81400 44 123,81600 50 140,70000 96 270,14400 0,00000 2.000 5.628,00000-2.190 6.162,66000 8.760 24.650,64000 48644184B8 604 J07BC01 ANTIGENE ETITICO B, PURIFICATO VAC.ANTIETITE B 10 mcg/0,5 ml F im FL FL 8,80000 54 475,20000 60 528,00000 92 809,60000 0,00000 900 7.920,00000-1.106 9.732,80000 4.424 38.931,20000 4864425A7D 605 J07BC01 ANTIGENE ETITICO B, PURIFICATO VAC.ANTIETITE B AD 20 mcg/ 1ml F im FL FL 12,40000 42 520,80000 60 744,00000 201 2.492,40000 0,00000 900 11.160,00000 50 620,00000 1.253 15.537,20000 5.012 62.148,80000 4864438539 606 J07BM01 PILLOMAVIRUS (TIPI UMANI 6, 11, 16, 18) VACCINO PILLOMAVIRUS SIRINGA 0,5 ml im SR SR 50,49000 480 24.235,20000 700 35.343,00000 150 7.573,50000 0,00000 600 30.294,00000-1.930 97.445,70000 7.720 389.782,80000 486445426E 607 L01AA01 CICLOFOSFAMIDE CICLOFOSFAMIDE 50 mg CP os CP CP 0,16000 400 64,00000 0,00000 100 16,00000 0,00000 300 48,00000 200 32,00000 1.000 160,00000 4.000 640,00000 486445968D 608 L01AA01 CICLOFOSFAMIDE CICLOFOSFAMIDE 500 mg F ev FL FL 2,33000 24 55,92000 30 69,90000 477 1.111,41000 560 1.304,80000 750 1.747,50000 40 93,20000 1.881 4.382,73000 7.524 17.530,92000 4864469ECB 609 L01AA01 CICLOFOSFAMIDE CICLOFOSFAMIDE 1 g F ev F F 4,65000 166 771,90000 150 697,50000 293 1.362,45000 480 2.232,00000 1.000 4.650,00000-2.089 9.713,85000 8.356 38.855,40000 4864484B2D 610 L01AA03 MELFALAN MELFALAN 50 mg/10 ml FL ev FL FL 28,39000 0,00000 15 425,85000 0,00000 280 7.949,20000 600 17.034,00000-895 25.409,05000 3.580 101.636,20000 48644986BC 611 L01AA06 IFOSFAMIDE IFOSFAMIDE 1 g FL ev FL FL 14,31000 30 429,30000 200 2.862,00000 174 2.489,94000 0,00000 400 5.724,00000-804 11.505,24000 3.216 46.020,96000 48645100A5 612 L01AA09 BENDAMUSTINA BENDAMUSTINA CLORIDRATO 25 mg 2,5MG/ML FL ev FL FL 55,56000 0,00000 150 8.334,00000 80 4.444,80000 0,00000 300 16.668,00000-530 29.446,80000 2.120 117.787,20000 4864519810 613 L01AA09 BENDAMUSTINA BENDAMUSTINA CLORIDRATO 100 mg 2,5MG/ML FL ev FL FL 222,23636 0,00000 250 55.559,09000 45 10.000,63620 0,00000 400 88.894,54400-695 154.454,27020 2.780 617.817,08080 4864528F7B 614 L01AC01 TIOTE TIOTE 15 mg F ev FL FL 42,60000 0,00000 0,00000 0,00000 18 766,80000 1.200 51.120,00000-1.218 51.886,80000 4.872 207.547,20000 4864535545 615 L01AC01 TIOTE TIOTE 100 mg F ev FL FL 62,63000 0,00000 0,00000 0,00000 92 5.761,96000 1.800 112.734,00000-1.892 118.495,96000 7.568 473.983,84000 4864548001 616 L01AD01 CARMUSTINA CARMUSTINA MG 7,7 IMPIANTO INTRATECALE i_tec imp imp 938,14875 0,00000 0,00000 0,00000 0,00000 128 120.083,04000-128 120.083,04000 512 480.332,16000 486455234D 617 L01AX03 TEMOZOLOMIDE TEMOZOLOMIDE 20 mg CPS os CP CP 8,52000 0,00000 0,00000 0,00000 0,00000 800 6.816,00000-800 6.816,00000 3.200 27.264,00000 4864562B8B 618 L01AX03 TEMOZOLOMIDE TEMOZOLOMIDE 100 mg CPS os CP CP 29,64100 0,00000 450 13.338,45000 0,00000 0,00000 1.200 35.569,20000-1.650 48.907,65000 6.600 195.630,60000 48645712FB 619 L01AX03 TEMOZOLOMIDE TEMOZOLOMIDE 180 mg CPS os CP CP 76,69000 0,00000 0,00000 0,00000 0,00000 2.600 199.394,00000-2.600 199.394,00000 10.400 797.576,00000 4864585E85 620 L01AX03 TEMOZOLOMIDE TEMOZOLOMIDE 250 mg CPS os CP CP 76,69000 0,00000 0,00000 0,00000 0,00000 1.400 107.366,00000-1.400 107.366,00000 5.600 429.464,00000 486459786E 621 L01AX03 TEMOZOLOMIDE TEMOZOLOMIDE 5 mg CPS IN BUSTINA SINGOLA os CP CP 0,79000 0,00000 0,00000 0,00000 0,00000 0,00000 3045 2.405,55000 3.045 2.405,55000 12.180 9.622,20000 4864606FD9 622 L01AX03 TEMOZOLOMIDE TEMOZOLOMIDE 20 mg CPS IN BUSTINA SINGOLA os CP CP 14,23000 0,00000 0,00000 0,00000 3.700 52.651,00000 800 11.384,00000-4.500 64.035,00000 18.000 256.140,00000 4864614676 623 L01AX03 TEMOZOLOMIDE TEMOZOLOMIDE 100 mg CPS IN BUSTINA SINGOLA os CP CP 63,13500 0,00000 0,00000 0,00000 4.700 296.734,50000 1.200 75.762,00000 30 1.894,05000 5.930 374.390,55000 23.720 1.497.562,20000 4864621C3B 624 L01AX03 TEMOZOLOMIDE TEMOZOLOMIDE 140 mg CPS IN BUSTINA SINGOLA os CP CP 21,96337 0,00000 0,00000 0,00000 0,00000 550 12.079,85350 50 1.098,16850 600 13.178,02200 2.400 52.712,08800 486462605F

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 625 L01AX03 TEMOZOLOMIDE TEMOZOLOMIDE 180 mg CPS IN BUSTINA SINGOLA os CP CP 128,10000 0,00000 0,00000 0,00000 140 17.934,00000 2.600 333.060,00000-2.740 350.994,00000 10.960 1.403.976,00000 4864712755 626 L01AX03 TEMOZOLOMIDE TEMOZOLOMIDE 250 mg CPS IN BUSTINA SINGOLA os CP CP 157,83000 0,00000 0,00000 0,00000 100 15.783,00000 1.400 220.962,00000-1.500 236.745,00000 6.000 946.980,00000 48647262E4 627 L01AX04 DACARBAZINA DACARBAZINA 100 mg/10 ml FL ev FL FL 8,52000 0,00000 250 2.130,00000 334 2.845,68000 0,00000 800 6.816,00000-1.384 11.791,68000 5.536 47.166,72000 4864739D9B 628 L01BA01 METOTREXATO METOTREXATO 5mg /2 ml F im,ev FL FL 1,70000 0,00000 0,00000 0,00000 2.740 4.658,00000 100 170,00000-2.840 4.828,00000 11.360 19.312,00000 4864746365 629 L01BA01 METOTREXATO METOTRESSATO 15 mg/ 2ml SIR im-ev SR SR 0,10000 8 0,80000 0,00000 0,00000 0,00000 900 90,00000-908 90,80000 3.632 363,20000 48647549FD 630 L01BA01 METOTREXATO METOTRESSATO 50 mg/2 ml F im-ev FL FL 1,27000 40 50,80000 60 76,20000 190 241,30000 300 381,00000 700 889,00000-1.290 1.638,30000 5.160 6.553,20000 4864826569 631 L01BA01 METOTREXATO METOTREXATO 500 mg/20 ml Fl im,ev FL FL 9,92000 0,00000 0,00000 0,00000 1.200 11.904,00000 100 992,00000-1.300 12.896,00000 5.200 51.584,00000 4864853BAF 632 L01BA01 METOTREXATO METOTREXATO 1 g/ 10 ml FL im,ev FL FL 18,10000 0,00000 0,00000 0,00000 22 398,20000 50 905,00000 359 6.497,90000 431 7.801,10000 1.724 31.204,40000 486486231F 633 L01BA01 METOTRESSATO METOTRESSATO 5 g/50 ml FL FL 55,44000 0,00000 0,00000 0,00000 0,00000 50 2.772,00000-50 2.772,00000 200 11.088,00000 48649435F6 634 L01BA03 RALTITREXED RALTITREXED 2 mg FL ev FL FL 118,90900 0,00000 0,00000 0,00000 18 2.140,36200 40 4.756,36000-58 6.896,72200 232 27.586,88800 4864947942 635 L01BA04 PEMETREXED PEMETREXED 100 mg FL ev FL FL 222,39000 0,00000 150 33.358,50000 128 28.465,92000 0,00000 350 77.836,50000-628 139.660,92000 2.512 558.643,68000 486569635C 636 L01BB05 FLUDARABINA FOSFATO FLUDARABINA FOSFATO 50 mg FL ev FL FL 29,50000 0,00000 0,00000 30 885,00000 240 7.080,00000 250 7.375,00000-520 15.340,00000 2.080 61.360,00000 4865705AC7 637 L01BB06 CLOFARABINA CLOFARABINA 1 mg/ml 20 ml FL ev F F 1.587,27469 0,00000 0,00000 0,00000 0,00000 40 63.490,98760-40 63.490,98760 160 253.963,95040 4865709E13 638 L01BB07 NELARABINA NELARABINA MG 50/ML 5 ML FL EV F F F 329,77140 0,00000 0,00000 0,00000 0,00000 20 6.595,42800-20 6.595,42800 80 26.381,71200 4865713164 639 L01BC01 CITARABINA CITARABINA 100 mg FL im,ev FL FL 1,03410 0,00000 50 51,70500 0,00000 800 827,28000 2.200 2.275,02000 140 144,77400 3.190 3.298,77900 12.760 13.195,11600 48657163DD 640 L01BC01 CITARABINA CITARABINA 500 mg FL im,ev FL FL 4,24313 0,00000 100 424,31300 0,00000 5.700 24.185,84100 7.500 31.823,47500-13.300 56.433,62900 53.200 225.734,51600 4865728DC1 641 L01BC01 CITARABINA CITARABINA 50 mg INTRATECALE FL FL 1.579,38000 0,00000 0,00000 0,00000 0,00000 23 36.325,74000-23 36.325,74000 92 145.302,96000 48657342B8 642 L01BC02 FLUOROURACILE FLUOROURACILE 500 mg/ 10 ml FL ev FL FL 0,89544 120 107,45280 1.400 1.253,61600 0,00000 0,00000 3.000 2.686,32000-4.520 4.047,38880 18.080 16.189,55520 486573645E 643 L01BC02 FLUOROURACILE FLUOROURACILE 1 g /20 ml FL ev FL FL 1,86000 382 710,52000 1.000 1.860,00000 55 102,30000 0,00000 1.000 1.860,00000-2.437 4.532,82000 9.748 18.131,28000 48657396D7 644 L01BC02 FLUOROURACILE FLUOROURACILE 5 g/ 100 ml FL ev FL FL 9,30000 118 1.097,40000 0,00000 770 7.161,00000 1.200 11.160,00000-0,00000-2.088 19.418,40000 8.352 77.673,60000 4865743A23 645 L01BC05 GEMCITABINA GEMCITABINA 200 mg FL ev FL FL 2,78049 0,00000 800 2.224,39200 678 1.885,17222 0,00000 600 1.668,29400-2.078 5.777,85822 8.312 23.111,43288 4865747D6F 646 L01BC05 GEMCITABINA GEMCITABINA 1 g FL ev FL FL 16,00000 0,00000 600 9.600,00000 733 11.728,00000 1.800 28.800,00000 1.000 16.000,00000-4.133 66.128,00000 16.532 264.512,00000 4865754339 647 L01BC06 CAPECITABINA CAPECITABINA 150 mg CP os CP CP 0,85000 564 479,40000 0,00000 20.520 17.442,00000 0,00000 3.000 2.550,00000-24.084 20.471,40000 96.336 81.885,60000 4865763AA4 648 L01BC06 CAPECITABINA CAPECITABINA 500 mg CP os CP CP 2,83000 18.668 52.830,44000 14.400 40.752,00000 120 339,60000 0,00000 18.200 51.506,00000-51.388 145.428,04000 205.552 581.712,16000 4865765C4A 649 L01BC07 AZACITIDINA AZACITIDINA 100 mg/ 25 mg/ml FL ev FL FL 305,18868 0,00000 200 61.037,73600 249 75.991,98132 0,00000 900 274.669,81200-1.349 411.699,52932 5.396 1.646.798,11728 4865771141 650 L01CA01 VINBLASTINA SOLFATO VINBLASTINA SOLFATO 10 mg FL ev FL FL 8,13000 0,00000 0,00000 60 487,80000 450 3.658,50000 300 2.439,00000-810 6.585,30000 3.240 26.341,20000 48657743BA 651 L01CA02 VINCRISTINA VINCRISTINA 1 mg/ ml F ev FL FL 1,55000 22 34,10000 100 155,00000 519 804,45000 2.300 3.565,00000 1.000 1.550,00000-3.941 6.108,55000 15.764 24.434,20000 4865776560 652 L01CA03 VINDESINA SOLFATO VINDESINA SOLFATO 5 mg FL ev FL FL 44,89000 0,00000 0,00000 0,00000 36 1.616,04000 250 11.222,50000-286 12.838,54000 1.144 51.354,16000 486578197F 653 L01CA04 VINORELBINA VINORELBINA 10 mg/ 1 ml F ev F F 4,00000 42 168,00000 0,00000 604 2.416,00000 0,00000 150 600,00000-796 3.184,00000 3.184 12.736,00000 4865788F44 654 L01CA04 VINORELBINA VINORELBINA 20 mg CPS os CP CP 31,23000 220 6.870,60000 0,00000 0,00000 0,00000 30 936,90000-250 7.807,50000 1.000 31.230,00000 4865792295 655 L01CA04 VINORELBINA VINORELBINA 30 mg CPS os CP CP 46,84000 352 16.487,68000 0,00000 0,00000 0,00000 250 11.710,00000-602 28.197,68000 2.408 112.790,72000 486579550E 656 L01CA04 VINORELBINA VINORELBINA 50 mg/ 5 ml F ev F F 19,00000 60 1.140,00000 0,00000 183 3.477,00000 140 2.660,00000 200 3.800,00000-583 11.077,00000 2.332 44.308,00000 4865804C79 657 L01CB01 ETOPOSIDE ETOPOSIDE 100 mg/5 ml FL ev FL FL 2,32000 0,00000 350 812,00000 567 1.315,44000 1.700 3.944,00000 600 1.392,00000-3.217 7.463,44000 12.868 29.853,76000 48658198DB 658 L01CB01 ETOPOSIDE ETOPOSIDE 1000 mg/20 ml FL ev FL FL 27,02000 0,00000 0,00000 0,00000 30 810,60000 200 5.404,00000-230 6.214,60000 920 24.858,40000 4865823C27 659 L01CB02 TENIPOSIDE TENIPOSIDE 50 mg/5 ml FL ev FL FL 18,23000 0,00000 0,00000 0,00000 80 1.458,40000 250 4.557,50000-330 6.015,90000 1.320 24.063,60000 4865827F73 660 L01CD01 CLITAXEL CLITAXEL 100 mg/ 16,7 ml FL ev FL FL 7,08000 144 1.019,52000 0,00000 512 3.624,96000 0,00000-0,00000-656 4.644,48000 2.624 18.577,92000 48658301F1 661 L01CD01 CLITAXEL CLITAXEL 150 mg/ 25 ml FL ev FL FL 10,62000 158 1.677,96000 0,00000 394 4.184,28000 0,00000 550 5.841,00000-1.102 11.703,24000 4.408 46.812,96000 4865842BD5 662 L01CD01 CLITAXEL CLITAXEL 300 mg/ 50 ml FL ev FL FL 21,24000 0,00000 0,00000 225 4.779,00000 0,00000 50 1.062,00000-275 5.841,00000 1.100 23.364,00000 4865845E4E 663 L01CD02 DOCETAXEL DOCETAXEL 20 mg/1 ml FL ev FL FL 15,37000 0,00000 600 9.222,00000 246 3.781,02000 580 8.914,60000 40 614,80000-1.466 22.532,42000 5.864 90.129,68000 4865851345

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 664 L01CD02 DOCETAXEL DOCETAXEL 80 mg/8 ml FL ev FL FL 42,68000 184 7.853,12000 0,00000 165 7.042,20000 0,00000 340 14.511,20000-689 29.406,52000 2.756 117.626,08000 486585890A 665 L01CD02 DOCETAXEL DOCETAXEL 80 mg/4 ml FL ev FL FL 56,30000 0,00000 300 16.890,00000 184 10.359,20000 330 18.579,00000-0,00000-814 45.828,20000 3.256 183.312,80000 4865864DFC 666 L01CD04 CABAZITAXEL CABAZITAXEL 60 mg FL ev FL FL 3.176,80000 22 69.889,60000 40 127.072,00000 0,00000 0,00000 20 63.536,00000-82 260.497,60000 328 1.041.990,40000 4865869220 667 L01CX01 TRABECTIDINA TRABECTIDINA 1 mg FL ev FL FL 1.485,50000 0,00000 4 5.942,00000 0,00000 0,00000 10 14.855,00000-14 20.797,00000 56 83.188,00000 486587463F 668 L01DB01 DOXORUBICINA CLORIDRATO DOXORUBICINA 50 mg/25 ml F ev FL FL 9,30000 186 1.729,80000 0,00000 670 6.231,00000 620 5.766,00000 2.500 23.250,00000-3.976 36.976,80000 15.904 147.907,20000 4865886028 669 L01DB01 DOXORUBICINA CLORIDRATO DOXORUBICINA 200 mg/100 ml F ev FL FL 29,33000 0,00000 10 293,30000 35 1.026,55000 10 293,30000 50 1.466,50000-105 3.079,65000 420 12.318,60000 4865884E7D 670 L01DB01 DOXORUBICINA CLORIDRATO LIPOSOMIALE DOXORUBICINA LIPOSOMIALE 50 mg/25 ml FL ev FL FL 713,98000 0,00000 0,00000 0,00000 10 7.139,80000 60 42.838,80000-70 49.978,60000 280 199.914,40000 4865890374 671 L01DB03 EPIRUBICINA EPIRUBICINA 10 mg/5 ml F ev FL FL 3,00000 160 480,00000 0,00000 355 1.065,00000 0,00000 100 300,00000-615 1.845,00000 2.460 7.380,00000 4865896866 672 L01DB03 EPIRUBICINA EPIRUBICINA 50 mg/25 ml F ev FL FL 10,20000 398 4.059,60000 0,00000 468 4.773,60000 1.640 16.728,00000 300 3.060,00000-2.806 28.621,20000 11.224 114.484,80000 4865905FD1 673 L01DB03 EPIRUBICINA EPIRUBICINA 50 mg LIOF FL ev FL FL 15,41000 0,00000 0,00000 0,00000 60 924,60000 300 4.623,00000-360 5.547,60000 1.440 22.190,40000 4865909322 674 L01DB07 MITOXANTRONE MITOXANTRONE 10 mg/ 5 ml FL ev FL FL 21,60000 0,00000 0,00000 0,00000 160 3.456,00000 420 9.072,00000 20 432,00000 600 12.960,00000 2.400 51.840,00000 48659168E7 675 L01DB08 MITOXANTRONE MITOXANTRONE 20MG FL ev FL FL 43,00800 0,00000 0,00000 0,00000 0,00000 250 10.752,00000-250 10.752,00000 1.000 43.008,00000 4865922DD9 676 L01DC01 BLEOMICINA SOLFATO BLEOMICINA SOLFATO 15 mg FL EV FL FL 13,97330 0,00000 50 698,66500 0,00000 0,00000 300 4.191,99000-350 4.890,65500 1.400 19.562,62000 48659282D0 677 L01XA01 CISPLATINO CISPLATINO 10 mg/20 ml FL ev FL FL 1,10000 0,00000 500 550,00000 105 115,50000 0,00000 400 440,00000-1.005 1.105,50000 4.020 4.422,00000 4865954843 678 L01XA01 CISPLATINO CISPLATINO 25 mg/50 ml FL ev FL FL 2,75000 0,00000 400 1.100,00000 0,00000 0,00000 400 1.100,00000-800 2.200,00000 3.200 8.800,00000 4865960D35 679 L01XA01 CISPLATINO CISPLATINO 100 mg/100 ml FL ev FL FL 11,00000 156 1.716,00000 100 1.100,00000 844 9.284,00000 950 10.450,00000 400 4.400,00000 11 121,00000 2.461 27.071,00000 9.844 108.284,00000 48659737F1 680 L01XA02 CARBOPLATINO CARBOPLATINO 50 mg/5 ml F ev FL FL 2,07000 12 24,84000 0,00000 338 699,66000 0,00000 300 621,00000-650 1.345,50000 2.600 5.382,00000 4865982F5C 681 L01XA02 CARBOPLATINO CARBOPLATINO 150 mg/15 ml F ev FL FL 6,21750 20 124,35000 0,00000 666 4.140,85500 0,00000 230 1.430,02500-916 5.695,23000 3.664 22.780,92000 48659905F9 682 L01XA02 CARBOPLATINO CARBOPLATINO 450 mg/45 ml F ev FL FL 18,66000 76 1.418,16000 0,00000 227 4.235,82000 1.020 19.033,20000 350 6.531,00000 50 933,00000 1.723 32.151,18000 6.892 128.604,72000 4865993872 683 L01XA02 CARBOPLATINO CARBOPLATINO 600 mg/60 ml FL ev FL FL 27,87000 0,00000 0,00000 71 1.978,77000 0,00000-0,00000-71 1.978,77000 284 7.915,08000 4865999D64 684 L01XA03 OXALIPLATINO OXALIPLATINO 50 mg FL ev FL FL 3,81000 0,00000 0,00000 341 1.299,21000 0,00000 150 571,50000-491 1.870,71000 1.964 7.482,84000 48660030B5 685 L01XA03 OXALIPLATINO OXALIPLATINO 100 mg FL ev FL FL 9,47000 324 3.068,28000 0,00000 487 4.611,89000 1.000 9.470,00000 750 7.102,50000-2.561 24.252,67000 10.244 97.010,68000 486600632E 686 L01XC02 RITUXIMAB RITUXIMAB 100 mg/10 ml FL ev FL FL 263,69000 32 8.438,08000 300 79.107,00000 582 153.467,58000 0,00000 2.900 764.701,00000-3.814 1.005.713,66000 15.256 4.022.854,64000 4866012820 687 L01XC02 RITUXIMAB RITUXIMAB 500 mg/50 ml FL ev FL FL 1.318,19000 18 23.727,42000 190 250.456,10000 425 560.230,75000 0,00000 590 777.732,10000-1.223 1.612.146,37000 4.892 6.448.585,48000 4866017C3F 688 L01XC03 TRASTUZUMAB TRASTUZUMAB 150 mg FL ev FL FL 577,90000 718 414.932,20000 900 520.110,00000 2.093 1.209.544,70000 0,00000 320 184.928,00000-4.031 2.329.514,90000 16.124 9.318.059,60000 48660252DC 689 L01XC04 ALEMTUZUMAB ALEMTUZUMAB MG 10/ML EV FL ev F F 381,87068 0,00000 0,00000 0,00000 0,00000 50 19.093,53400-50 19.093,53400 200 76.374,13600 48660539F5 690 L01XC07 BEVACIZUMAB BEVACIZUMAB 100 mg/4 ml FL ev FL FL 305,76000 96 29.352,96000 550 168.168,00000 3.192 975.985,92000 0,00000 100 30.576,00000-3.938 1.204.082,88000 15.752 4.816.331,52000 48660707FD 691 L01XC07 BEVACIZUMAB BEVACIZUMAB 400 mg/16 ml FL ev FL FL 1.244,95949 178 221.602,78922 100 124.495,94900 0,00000 0,00000 90 112.046,35410-368 458.145,09232 1.472 1.832.580,36928 4866077DC2 692 L01XC09 CATUMAXOMAB CATUMAXOMAB 10 mcg SIR ev SR SR 372,37000 0,00000 0,00000 0,00000 6 2.234,22000-0,00000-6 2.234,22000 24 8.936,88000 486608438C 693 L01XC09 CATUMAXOMAB CATUMAXOMAB 50 mcg SIR ev SR SR 1.861,86000 0,00000 0,00000 0,00000 14 26.066,04000-0,00000-14 26.066,04000 56 104.264,16000 48660897AB 694 L01XC10 OFATUMUMAB OFATUMUMAB 1000 mg/50 ml FL ev FL FL 1.890,07500 0,00000 0,00000 0,00000 16 30.241,20000 150 283.511,25000-166 313.752,45000 664 1.255.009,80000 4866092A24 695 L01XE01 IMATINIB IMATINIB MESILATO 100 mg CPS os CP CP 16,73000 1.440 24.091,20000 9.000 150.570,00000 13.680 228.866,40000 0,00000 80.000 1.338.400,00000-104.120 1.741.927,60000 416.480 6.967.710,40000 4866098F16 696 L01XE02 GEFITINIB GEFITINIB 250 mg CP os CP CP 73,01000 360 26.283,60000 450 32.854,50000 1.830 133.608,30000 0,00000 800 58.408,00000-3.440 251.154,40000 13.760 1.004.617,60000 48661108FF 697 L01XE03 ERLOTINIB ERLOTINIB 100MG 30 CP RIV TARCEVA os CP CP 52,44000 0,00000 0,00000 0,00000 0,00000 600 31.464,00000-600 31.464,00000 2.400 125.856,00000 48661222E8 698 L01XE03 ERLOTINIB ERLOTINIB 150MG 30 CP RIV TARCEVA os CP CP 65,42000 30 1.962,60000 1.500 98.130,00000 1.260 82.429,20000-0,00000 600 39.252,00000-3.390 221.773,80000 13.560 887.095,20000 48661287DA 699 L01XE05 SORAFENIB SORAFENIB 200 mg CP os CP CP 28,70000 1.120 32.144,00000 3.360 96.432,00000 5.040 144.648,00000 0,00000 13.440 385.728,00000-22.960 658.952,00000 91.840 2.635.808,00000 4866160244 700 L01XE06 DASATINIB DASATINIB 20 MG os CP CP 29,24500 0,00000 0,00000 0,00000 0,00000 1.200 35.094,00000-1.200 35.094,00000 4.800 140.376,00000 4866164590 701 L01XE06 DASATINIB DASATINIB 50 MG os CP CP 58,49000 0,00000 0,00000 0,00000 0,00000 2.700 157.923,00000-2.700 157.923,00000 10.800 631.692,00000 48661699AF 702 L01XE06 DASATINIB DASATINIB 70 MG os CP CP 58,49000 0,00000 0,00000 0,00000 0,00000 1.200 70.188,00000-1.200 70.188,00000 4.800 280.752,00000 486617811F

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 703 L01XE06 DASATINIB DASATINIB 80 MG os CP CP 116,98000 0,00000 0,00000 0,00000 0,00000 2.700 315.846,00000-2.700 315.846,00000 10.800 1.263.384,00000 486618353E 704 L01XE06 DASATINIB DASATINIB 100 mg CP os CP CP 116,98000 0,00000 450 52.641,00000 0,00000 0,00000 2.700 315.846,00000-3.150 368.487,00000 12.600 1.473.948,00000 4866191BD6 705 L01XE06 DASATINIB DASATINIB 140 mg CP os CP CP 116,98000 0,00000 0,00000 0,00000 0,00000 2.700 315.846,00000-2.700 315.846,00000 10.800 1.263.384,00000 4866195F22 706 L01XE07 LATINIB LATINIB 250 mg CP os CP CP 16,12597 2.520 40.637,44440 6.000 96.755,82000 7.420 119.654,69740 0,00000 4.480 72.244,34560-20.420 329.292,30740 81.680 1.317.169,22960 48662035BF 707 L01XE08 NILOTINIB NILOTINIB CLORIDRATO 150 mg CPS os CP CP 23,04000 0,00000 1.680 38.707,20000 672 15.482,88000 0,00000 4.480 103.219,20000-6.832 157.409,28000 27.328 629.637,12000 4866209AB1 708 L01XE08 NILOTINIB NILOTINIB CLORIDRATO 200 mg CPS os CP CP 32,00959 0,00000 1.568 50.191,03712 448 14.340,29632 0,00000 4.480 143.402,96320-6.496 207.934,29664 25.984 831.737,18656 4866212D2A 709 L01XE10 EVEROLIMUS EVEROLIMUN 0,25 mg CP OS CP CP 1,82090 0,00000 0,00000 0,00000 0,00000 1.800 3.277,62000-1.800 3.277,62000 7.200 13.110,48000 4866218221 710 L01XE10 EVEROLIMUS EVEROLIMUS 5 mg CP os CP CP 81,22000 0,00000 0,00000 0,00000 0,00000 600 48.732,00000-600 48.732,00000 2.400 194.928,00000 48662257E6 711 L01XE10 EVEROLIMUS EVEROLIMUS 10 mg CP os CP CP 115,51941 0,00000 0,00000 750 86.639,55750 840 97.036,30440 600 69.311,64600-2.190 252.987,50790 8.760 1.011.950,03160 4866229B32 712 L01XE11 ZONIB CLORIDRATO ZONIB CLORIDRATO 400 mg CP os CP CP 51,92000 0,00000 0,00000 210 10.903,20000 1.260 65.419,20000 1.620 84.110,40000-3.090 160.432,80000 12.360 641.731,20000 4866234F51 713 L01XX05 IDROXICARBAMIDE IDROSSICARBAMIDE 500 mg CP os CP CP 0,25000 160 40,00000 400 100,00000 440 110,00000 3.000 750,00000 30.000 7.500,00000-34.000 8.500,00000 136.000 34.000,00000 4866244794 714 L01XX07 ARSENICO TRIOSSIDO ARSENICO TRIOSSIDO ev F F 407,40000 0,00000 0,00000 0,00000 0,00000 150 61.110,00000-150 61.110,00000 600 244.440,00000 4866252E2C 715 L01XX17 TOPOTECAN TOPOTECAN 4 mg FL ev FL FL 148,56000 10 1.485,60000 110 16.341,60000 110 16.341,60000 360 53.481,60000 30 4.456,80000-620 92.107,20000 2.480 368.428,80000 4866297352 716 L01XX19 IRINOTECAN IRINOTECAN 40 mg/2 ml FL ev FL FL 4,10000 0,00000 0,00000 393 1.611,30000 0,00000 150 615,00000-543 2.226,30000 2.172 8.905,20000 48663005CB 717 L01XX19 IRINOTECAN IRINOTECAN 100 mg/5 ml FL ev FL FL 8,66000 4 34,64000-0,00000 889 7.698,74000 1.500 12.990,00000 300 2.598,00000-2.693 23.321,38000 10.772 93.285,52000 4866304917 718 L01XX19 IRINOTECAN IRINOTECAN 500 mg/25 ml FL ev FL FL 63,35000 64 4.054,40000 0,00000 0,00000 0,00000 150 9.502,50000-214 13.556,90000 856 54.227,60000 4866310E09 719 L01XX32 BORTEZOMIB BORTEZOMIB 3,5 mg POLV INIETT F ev FL FL 1.006,54000 10 10.065,40000 200 201.308,00000 282 283.844,28000 0,00000 465 468.041,10000-957 963.258,78000 3.828 3.853.035,12000 4866316300 720 L01XX41 ERIBULINA MESILATO ERIBULINA MESILATO 0,44 mg/ml 2 ml FL ev FL FL 348,36956 0,00000 200 69.673,91200 0,00000 0,00000 0,00000-200 69.673,91200 800 278.695,64800 4866330E8A 721 L02AE03 GOSERELIN GOSERELIN ACETATOSC 3,6 mg R.P.SIR sc SR SR 79,79727 0,00000 0,00000 19 1.516,14813 0,00000 0,00000-19 1.516,14813 76 6.064,59252 4866338527 722 L02AE04 TRIPTORELINA TRIPTORELINA 0,1 mg F sc FL FL 3,20000 14 44,80000 0,00000 3 9,60000 0,00000 1.500 4.800,00000-1.517 4.854,40000 6.068 19.417,60000 4866345AEC 723 L02BA03 FULVESTRANT FULVESTRANT 250 mg/5 ml F 1 SR im F F 212,80000 8 1.702,40000 0,00000 107 22.769,60000 0,00000-0,00000-115 24.472,00000 460 97.888,00000 4866350F0B 724 L02BA03 FULVESTRANT FULVESTRANT 250 mg/5 ml F 2 SR im F F 212,80000 284 60.435,20000 400 85.120,00000 240 51.072,00000 0,00000 200 42.560,00000-1.124 239.187,20000 4.496 956.748,80000 48663520B6 725 L02BB03 BICALUTAMIDE BICALUTAMIDE 50 mg CP os CP CP 0,73000 168 122,64000 0,00000 392 286,16000 0,00000 1.500 1.095,00000-2.060 1.503,80000 8.240 6.015,20000 486635425C 726 L02BB03 BICALUTAMIDE BICALUTAMIDE 150 mg CP RIVESTITE os CP CP 2,56923 0,00000 0,00000 252 647,44596 0,00000 0,00000-252 647,44596 1.008 2.589,78384 48663585A8 727 L02BG03 ANASTROZOLO ANASTROZOLO 1 mg CP os CP CP 1,77000 0,00000 420 743,40000 0,00000 0,00000-0,00000-420 743,40000 1.680 2.973,60000 4866366C40 728 L03AA10 LENOGRASTIM LENOGRASTIM 33,6MIU 1 ml SIR sc SR SR 57,56667 486 27.977,40162 0,00000 869 50.025,43623 0,00000 2.400 138.160,00800-3.755 216.162,84585 15.020 864.651,38340 48663753B0 729 L03AA13 PEGFILGRASTIM PEGFILGRASTIM 6 mg/0,6 ml SC F sc FL FL 622,00000 94 58.468,00000 0,00000 275 171.050,00000 56 34.832,00000 240 149.280,00000-665 413.630,00000 2.660 1.654.520,00000 4866383A48 730 L03AB05 INTERFERONE ALFA 2B INTERFERONE ALFA 2B 18 MUI PENNA sc PEN PEN 100,68000 0,00000 0,00000 0,00000 24 2.416,32000 60 6.040,80000-84 8.457,12000 336 33.828,48000 4866390012 731 L03AB07 INTERFERONE BETA 1B INTERFERONE BETA 1B 250 mcg/ml (liofiliz. + solv. + SIR) sc FL FL 40,00000 0,00000 0,00000 0,00000 0,00000 7.200 288.000,00000-7.200 288.000,00000 28.800 1.152.000,00000 4866410093 732 L03AB08 INTERFERONE BETA 1B INTERFERONE BETA 1B 250 mcg/ml (liofiliz. + SIR+adattatore) sc SR SR 40,00000 0,00000 0,00000 0,00000 1.620 64.800,00000 100 4.000,00000-1.720 68.800,00000 6.880 275.200,00000 486641330C 733 L03AB10 PEGINTERFERONE ALFA-2B PEG-IFN ALFA2B PENNE/FL (dosaggi vari) sc mcg mcg 1,10000 24.080 26.488,00000 50.000 55.000,00000 20.000 22.000,00000 0,00000 70.000 77.000,00000-164.080 180.488,00000 656.320 721.952,00000 48664197FE 734 L03AB11 PEGINTERFERONE ALFA-2A PEG-IFN ALFA2A 135 mcg PEN SC sc SR SR 120,90000 44 5.319,60000 110 13.299,00000 66 7.979,40000 32 3.868,80000 700 84.630,00000-952 115.096,80000 3.808 460.387,20000 48664219A4 735 L03AB11 PEGINTERFERONE ALFA-2A PEG-IFN ALFA2A 180 mcg PEN SC sc PEN PEN 160,69093 220 35.352,00460 900 144.621,83700 1.249 200.702,97157 110 17.676,00230 600 96.414,55800-3.079 494.767,37347 12.316 1.979.069,49388 4866424C1D 736 L03AX03 VACCINO BCG VACC. BCG 81 mg F vesc FL FL 54,00000 50 2.700,00000 150 8.100,00000 1.278 69.012,00000 0,00000 225 12.150,00000-1.703 91.962,00000 6.812 367.848,00000 4866428F69 737 L04AA03 IG CONIGLIO ANTILINFOCITI MG 25 EV IG CONIGLIO ANTILINFOCITI 25 mg ev FL FL 115,96200 0,00000 0,00000 0,00000 0,00000 525 60.880,05000-525 60.880,05000 2.100 243.520,20000 4866435533 738 L04AA06 ACIDO MICOFENOLICO AC. MICOFENOLICO 180 mg CP os CP CP 1,01965 4.400 4.486,46000 0,00000 2.000 2.039,30000 0,00000 90.000 91.768,50000-96.400 98.294,26000 385.600 393.177,04000 4866442AF8 739 L04AA06 ACIDO MICOFENOLICO AC. MICOFENOLICO 360 mg CP os CP CP 2,01000 15.600 31.356,00000 0,00000 6.200 12.462,00000 0,00000 87.000 174.870,00000-108.800 218.688,00000 435.200 874.752,00000 4866450195 740 L04AA06 ACIDO MICOFENOLICO AC. MICOFENOLICO 250 mg CP os CP CP +bs 0,39500 1.200 474,00000 0,00000 3.100 1.224,50000 4.200 1.659,00000 180.000 71.100,00000-188.500 74.457,50000 754.000 297.830,00000 48664609D3 741 L04AA06 ACIDO MICOFENOLICO AC. MICOFENOLICO 500 mg CP os CP CP +bs 0,80000 8.500 6.800,00000 0,00000 42.950 34.360,00000 56.000 44.800,00000 225 180,00000-107.675 86.140,00000 430.700 344.560,00000 4866463C4C

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 742 L04AA24 ABATACEPT ABATACEPT 250 mg+sir F sc SR SR 323,19000 120 38.782,80000 0,00000 153 49.448,07000 0,00000 120 38.782,80000-393 127.013,67000 1.572 508.054,68000 4866468070 743 L04AA27 FINGOLIMOD FINGOLIMOD MG 0,5 CP OS CP CP 56,25000 0,00000 0,00000 0,00000 0,00000 18.000 1.012.500,00000-18.000 1.012.500,00000 72.000 4.050.000,00000 48664723BC 744 L04AB01 TOCILIZUMAB TOCILIZUMAB 200 mg/10 ml FL ev FL FL 136,11840 0,00000 0,00000 0,00000 266 36.207,49440 2.504 340.840,47360-2.770 377.047,96800 11.080 1.508.191,87200 4866504E21 745 L04AB02 INFLIXIMAB INFLIXIMAB 100 mg FL ev FL FL 466,25000 584 272.290,00000 60 27.975,00000 280 130.550,00000 0,00000 1.600 746.000,00000-2.524 1.176.815,00000 10.096 4.707.260,00000 4866509245 746 L04AB04 ADALIMUMAB ADALIMUMAB 40 mg PENNE / SIR sc SR/PEN SR 465,89000 650 302.828,50000 110 51.247,90000 590 274.875,10000 0,00000 2.500 1.164.725,00000-3.850 1.793.676,50000 15.400 7.174.706,00000 486651680A 747 L04AB06 GOLIMUMAB GOLIMUMAB 50 mg/0,5 ml PENNA sc SR SR 973,18000 24 23.356,32000 0,00000 14 13.624,52000 8 7.785,44000 90 87.586,20000-136 132.352,48000 544 529.409,92000 4866538A31 748 L04AC05 USTEKINUMAB USTEKINUMAB 45 mg/0,5 ml SIR sc SR SR 2.345,85000 0,00000 0,00000 0,00000 12 28.150,20000 90 211.126,50000-102 239.276,70000 408 957.106,80000 4866543E50 749 L04AC05 USTEKINUMAB USTEKINUMAB 90 mg/1 ml SIR sc SR SR 2.345,85000 0,00000 0,00000 0,00000 0,00000 90 211.126,50000-90 211.126,50000 360 844.506,00000 48665471A1 750 L04AC07 TOCILIZUMAB TOCILIZUMAB 80 mg FL ev FL FL 136,12000 90 12.250,80000 0,00000 132 17.967,84000 0,00000 150 20.418,00000-372 50.636,64000 1.488 202.546,56000 4866548274 751 L04AC07 TOCILIZUMAB TOCILIZUMAB 400 mg FL ev FL FL 680,57167 46 31.306,29682 0,00000 87 59.209,73529 0,00000 150 102.085,75050-283 192.601,78261 1.132 770.407,13044 4866555839 752 L04AD01 CICLOSPORINA CICLOSPORINA 10 mg CPS os CP CP 0,41000 200 82,00000 0,00000 0,00000 0,00000 640 262,40000-840 344,40000 3.360 1.377,60000 486655690C 753 L04AD01 CICLOSPORINA CICLOSPORINA 25 mg CPS os CP CP 0,54000 0,00000 0,00000 0,00000 0,00000 5.250 2.835,00000-5.250 2.835,00000 21.000 11.340,00000 4866558AB2 754 L04AD01 CICLOSPORINA CICLOSPORINA 50 mg CP os CP CP 1,00000 200 200,00000 0,00000 150 150,00000 0,00000 3.000 3.000,00000-3.350 3.350,00000 13.400 13.400,00000 4866561D2B 755 L04AD01 CICLOSPORINA CICLOSPORINA 100 mg CP os CP CP 1,86000 120 223,20000 0,00000 60 111,60000 0,00000 1.000 1.860,00000-1.180 2.194,80000 4.720 8.779,20000 486656507C 756 L04AD01 CICLOSPORINA CICLOSPORINA 100 mg/ml 50 ml Flacone orale os CP CP 100,50000 0,00000 0,00000 0,00000 0,00000 225 22.612,50000-225 22.612,50000 900 90.450,00000 486657156E 757 L04AD01 CICLOSPORINA CICLOSPORINA 50 mg/ml 5 ml F ev F F 6,47000 0,00000 250 1.617,50000 0,00000 0,00000 14.000 90.580,00000-14.250 92.197,50000 57.000 368.790,00000 4866572641 758 L04AD02 TACROLIMUS MONOIDRATO TACROLIMUS MONOIDRATO 0,5 mg CPS os CP CP 0,50000 0,00000 0,00000 0,00000 960 480,00000 3.000 1.500,00000 1.300 650,00000 5.260 2.630,00000 21.040 10.520,00000 486658402A 759 L04AD02 TACROLIMUS MONOIDRATO TACROLIMUS MONOIDRATO 1 mg CPS os CP CP 0,85000 0,00000 0,00000 0,00000 5.280 4.488,00000 14.000 11.900,00000-19.280 16.388,00000 77.120 65.552,00000 486659051C 760 L04AD02 TACROLIMUS MONOIDRATO TACROLIMUS MG 5 EV FL EV F F 28,29845 0,00000 0,00000 0,00000 0,00000 150 4.244,76750-150 4.244,76750 600 16.979,07000 4866599C87 761 L04AD02 TACROLIMUS MONOIDRATO TACROLIMUS MONOIDRATO 5 mg CPS os CP CP 4,08000 0,00000 0,00000 0,00000 0,00000 1.000 4.080,00000-1.000 4.080,00000 4.000 16.320,00000 4866594868 762 L04AX01 AZATIOPRINA AZATIOPRINA 50 mg CP os CP CP 0,10000 300 30,00000 150 15,00000 100 10,00000 4.400 440,00000 3.000 300,00000 1.500 150,00000 9.450 945,00000 37.800 3.780,00000 48666040AB 763 L04AX02 TALIDOMIDE THALIDOMIDE 50 mg CP os CP CP 9,03000 616 5.562,48000 924 8.343,72000 2.240 20.227,20000 0,00000 1.470 13.274,10000-5.250 47.407,50000 21.000 189.630,00000 4866612743 764 L04AX04 LENALIDOMIDE LENALIDOMIDE 10 mg CPS os CP CP 235,26000 0,00000 189 44.464,14000 231 54.345,06000 0,00000 861 202.558,86000-1.281 301.368,06000 5.124 1.205.472,24000 4866617B62 765 L04AX04 LENALIDOMIDE LENALIDOMIDE 15 mg CPS os CP CP 247,61000 0,00000 756 187.193,16000 84 20.799,24000 0,00000 420 103.996,20000-1.260 311.988,60000 5.040 1.247.954,40000 4866620DDB 766 L04AX04 LENALIDOMIDE LENALIDOMIDE 25 mg CPS os CP CP 281,30532 0,00000 63 17.722,23516 378 106.333,41096 0,00000 2.100 590.741,17200-2.541 714.796,81812 10.164 2.859.187,27248 486662412C 767 M01AB01 INDOMETACINA INDOMETACINA 25 mg CP os CP CP 0,03000 750 22,50000 0,00000 7.125 213,75000 0,00000 1.500 45,00000-9.375 281,25000 37.500 1.125,00000 48666273A5 768 M01AB01 INDOMETACINA INDOMETACINA 50 mg CP os CP CP 0,05000 1.800 90,00000 600 30,00000 75 3,75000 0,00000 1.800 90,00000-4.275 213,75000 17.100 855,00000 48666316F1 769 M01AB01 INDOMETACINA INDOMETACINA 50 mg/2 ml F im-ev F F 0,37000 300 111,00000 90 33,30000 240 88,80000 0,00000 900 333,00000-1.530 566,10000 6.120 2.264,40000 4866635A3D 770 M01AB01 INDOMETACINA INDOMETACINA 50 mg SUP ret SU SU 0,18000 300 54,00000 0,00000 80 14,40000 0,00000 1.500 270,00000-1.880 338,40000 7.520 1.353,60000 4866640E5C 771 M01AB05 DICLOFENAC DICLOFENAC 50 mg CP os CP CP 0,03000 4.080 122,40000 0,00000 3.480 104,40000 0,00000 4.000 120,00000-11.560 346,80000 46.240 1.387,20000 48666430DA 772 M01AB05 DICLOFENAC DICLOFENAC 100 mg CP RR os CP CP 0,10000 336 33,60000 2.310 231,00000 1.780 178,00000 12.000 1.200,00000 0,00000-16.426 1.642,60000 65.704 6.570,40000 48666484F9 773 M01AB05 DICLOFENAC DICLOFENAC 75 mg 3ml F im F F 0,20000 9.968 1.993,60000 4.200 840,00000 23.330 4.666,00000 12.000 2.400,00000 9.000 1.800,00000-58.498 11.699,60000 233.992 46.798,40000 4866651772 774 M01AB15 KETOROLAC KETOROLAC 10 mg CP os CP CP 0,17400 5.940 1.033,56000 0,00000 0,00000 0,00000 100 17,40000-6.040 1.050,96000 24.160 4.203,84000 4866653918 775 M01AB15 KETOROLAC KETOROLAC 2% 10 ml GTT FL os FL FL 5,93000 618 3.664,74000 0,00000 59 349,87000 0,00000 1.500 8.895,00000-2.177 12.909,61000 8.708 51.638,44000 4866658D37 776 M01AB15 KETOROLAC KETOROLAC 30 mg F im-ev F F 0,16666 25.328 4.221,16448 0,00000 46.428 7.737,69048 4.004 667,30664 64.000 10.666,24000-139.760 23.292,40160 559.040 93.169,60640 4866661FB0 777 M01AE01 IBUPROFENE IBUPROFENE 2% 100 ml SOSPENSIONE ORALE F os FL FL 1,00000 248 248,00000 200 200,00000 119 119,00000 0,00000 800 800,00000-1.367 1.367,00000 5.468 5.468,00000 486666422E 778 M01AE01 IBUPROFENE IBUPROFENE 600 mg BS os BS BS 0,04000 27.000 1.080,00000 0,00000 0,00000 24.000 960,00000-0,00000 2400 96,00000 53.400 2.136,00000 213.600 8.544,00000 486666857A 779 M01AE01 IBUPROFENE IBUPROFENE 600 mg CP RIV os CP CP 0,07000 0,00000 6.000 420,00000 33.660 2.356,20000 0,00000-0,00000 100 7,00000 39.760 2.783,20000 159.040 11.132,80000 48666717F3 780 M01AE03 KETOPROFENE KETOPROFENE 50 mg CP os CP CP 0,04400 5.940 261,36000 0,00000 1.380 60,72000 0,00000 52.500 2.310,00000-59.820 2.632,08000 239.280 10.528,32000 4866676C12

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 781 M01AE03 KETOPROFENE KETOPROFENE 160 mg F im-ev F F 0,21000 24.036 5.047,56000 2.400 504,00000 9.546 2.004,66000 31.200 6.552,00000 4.500 945,00000 3000 630,00000 74.682 15.683,22000 298.728 62.732,88000 48666907A1 782 M01AE09 FLURBIPROFENE FLURBIPROFENE 100 mg CP RIV os CP CP 0,05000 360 18,00000 0,00000 60 3,00000 0,00000 2.400 120,00000-2.820 141,00000 11.280 564,00000 4866692947 783 M01AX17 NIMESULIDE NIMESULIDE 100 mg BS os BS BS 0,03000 44.420 1.332,60000 33.000 990,00000 29.100 873,00000 109.980 3.299,40000 0,00000 12.000 360,00000 228.500 6.855,00000 914.000 27.420,00000 4866697D66 784 M01CC01 PENICILLAMINA PENICILLAMINA 150 mg CP os CP CP 0,20000 6.000 1.200,00000 0,00000 0,00000 0,00000 8.000 1.600,00000 10000 2.000,00000 24.000 4.800,00000 96.000 19.200,00000 48667010B7 785 M02AA05 BENZIDAMINA BENZIDAMINA 5% POM loc TU TU 1,34000 648 868,32000 0,00000 0,00000 0,00000 1.200 1.608,00000-1.848 2.476,32000 7.392 9.905,28000 4866705403 786 M02AA15 DICLOFENAC DICLOFENAC 1% GEL loc TU TU 0,76000 1.280 972,80000 100 76,00000 2.026 1.539,76000 2.176 1.653,76000 1.200 912,00000 350 266,00000 7.132 5.420,32000 28.528 21.681,28000 48667064D6 787 M02AC PRERATI A BASE DI DERIVATI DELL'ACIDO SALICILICO ESCINA/DIETILAMINA SALICILATO 2%+5% 40 g GEL TUBO loc TU TU 1,20000 0,00000 1.500 1.800,00000 1.226 1.471,20000 0,00000 3.500 4.200,00000 70 84,00000 6.296 7.555,20000 25.184 30.220,80000 4866715C41 788 M03AB01 SUXAMETONIO SUCCINILCOL 100 mg ml F ev F F 0,18000 2.690 484,20000 2.200 396,00000 1.790 322,20000 0,00000 400 72,00000 20 3,60000 7.100 1.278,00000 28.400 5.112,00000 4866720065 789 M03AC03 VECURONIO VECURONIO 10 mg F ev FL FL 4,21237 3.080 12.974,09960 0,00000 4.910 20.682,73670 0,00000 5.400 22.746,79800 60 252,74220 13.450 56.656,37650 53.800 226.625,50600 48667243B1 790 M03AC04 ATRACURIO BESILATO ATRACURIO BESILATO 50 mg/ 5 ml F EV FL FL 1,91000 0,00000 2.400 4.584,00000 0,00000 0,00000-0,00000-2.400 4.584,00000 9.600 18.336,00000 48667297D0 791 M03AC09 ROCURONIO BROMURO ROCURONIO 50 mg/5 ml FL ev FL FL 1,32000 810 1.069,20000 3.600 4.752,00000 100 132,00000 17.400 22.968,00000 6.000 7.920,00000 1550 2.046,00000 29.460 38.887,20000 117.840 155.548,80000 4866733B1C 792 M03AC09 ROCURONIO BROMURO ROCURONIO BROMURO 10 mg/ml 10 ml FL ev FL FL 3,38000 0,00000 0,00000 0,00000 1.600 5.408,00000-0,00000-1.600 5.408,00000 6.400 21.632,00000 4866739013 793 M03AC10 MIVACURIO CLORURO MIVACURIUM 2mg/ml 5ml F ev F F 2,45000 1.380 3.381,00000 0,00000 125 306,25000 0,00000 450 1.102,50000-1.955 4.789,75000 7.820 19.159,00000 486674335F 794 M03AC11 CISATRACURIO CISATRACURIO 2mg/ml 5ml F ev F F 5,96558 3.060 18.254,67480 200 1.193,11600 7.245 43.220,62710 0,00000 8.250 49.216,03500 5000 29.827,90000 23.755 141.712,35290 95.020 566.849,41160 48667476AB 795 M03BX01 BACLOFENE BACLOFENE 10 mg CP os CP CP 0,12814 4.000 512,56000 0,00000 650 83,29100 3.000 384,42000 2.400 307,53600 2000 256,28000 12.050 1.544,08700 48.200 6.176,34800 48667633E0 796 M03BX01 BACLOFENE BACLOFENE 25 mg CP os CP CP 0,28000 7.400 2.072,00000 1.000 280,00000 1.950 546,00000 4.000 1.120,00000 1.500 420,00000 5000 1.400,00000 20.850 5.838,00000 83.400 23.352,00000 48667698D2 797 M03BX01 BACLOFENE BACLOFENE 10 mg/5 ml F i_tec F F 30,00000 1.502 45.060,00000 0,00000 0,00000 0,00000 150 4.500,00000-1.652 49.560,00000 6.608 198.240,00000 4866772B4B 798 M03BX01 BACLOFENE BACLOFENE 10 mg/ 20ml F i_tec F F 30,00000 50 1.500,00000 0,00000 0,00000 0,00000 50 1.500,00000-100 3.000,00000 400 12.000,00000 4866776E97 799 M03BX05 TIOCOLCHICOSIDE TIOCOLCHICOSIDE 4 mg CP os CP CP 0,23000 4.240 975,20000 1.000 230,00000 80 18,40000 6.000 1.380,00000-0,00000-11.320 2.603,60000 45.280 10.414,40000 48667801E8 800 M03BX05 TIOCOLCHICOSIDE TIOCOLCHICOSIDE 4 mg 2 ml F im F F 0,09000 9.384 844,56000 3.300 297,00000 11.346 1.021,14000 6.000 540,00000 6.000 540,00000 360 32,40000 36.390 3.275,10000 145.560 13.100,40000 48667812BB 801 M03CA01 DANTROLENE DANTROLENE 20 mg FL ev FL FL 47,71970 130 6.203,56100 36 1.717,90920 72 3.435,81840 0,00000 150 7.157,95500-388 18.515,24360 1.552 74.060,97440 4866785607 802 M04AA01 ALLOPURINOLO ALLOPURINOLO 100 mg CP os CP CP 0,01000 2.500 25,00000 0,00000 100 1,00000 11.000 110,00000 1.000 10,00000 1.400 14,00000 16.000 160,00000 64.000 640,00000 4866788880 803 M04AA01 ALLOPURINOLO ALLOPURINOLO 300 mg CP os CP CP 0,02000 18.700 374,00000 9.000 180,00000 22.020 440,40000 31.200 624,00000 14.400 288,00000 280 5,60000 95.600 1.912,00000 382.400 7.648,00000 4866792BCC 804 M05BA BIFOSFONATI ACIDO NERIDRONICO 100 mg FL ev FL FL 26,96000 8 215,68000 0,00000 6 161,76000 12 323,52000 90 2.426,40000-116 3.127,36000 464 12.509,44000 4866793C9F 805 M05BA02 ACIDO CLODRONICO ACIDO CLODRONICO 100 mg/3,3 ml F im F F 0,18000 60 10,80000 0,00000 30 5,40000 0,00000-0,00000-90 16,20000 360 64,80000 4866799196 806 M05BA02 ACIDO CLODRONICO ACIDO CLODRONICO 300 mg/10 ml F ev F F 0,53000 888 470,64000 0,00000 66 34,98000 0,00000 300 159,00000-1.254 664,62000 5.016 2.658,48000 486680240F 807 M05BA03 ACIDO MIDRONICO ACIDO MIDRONICO 15 mg FL ev FL FL 2,07000 0,00000 0,00000 0,00000 600 1.242,00000 10 20,70000-610 1.262,70000 2.440 5.050,80000 48668034E2 808 M05BA03 ACIDO MIDRONICO ACIDO MIDRONICO 30 mg F ev F F 4,17600 16 66,81600 0,00000 218 910,36800 0,00000 10 41,76000-244 1.018,94400 976 4.075,77600 4866814DF3 809 M05BA03 ACIDO MIDRONICO ACIDO MIDRONICO 60 mg F ev FL FL 5,38200 54 290,62800 0,00000 266 1.431,61200 0,00000 30 161,46000-350 1.883,70000 1.400 7.534,80000 4866819217 810 M05BA03 ACIDO MIDRONICO ACIDO MIDRONICO 90 mg FL ev FL FL 74,17000 0,00000 0,00000 420 31.151,40000 0,00000 150 11.125,50000 280 20.767,60000 850 63.044,50000 3.400 252.178,00000 4866825709 811 M05BA04 ACIDO ALENDRONICO ACIDO ALENDRONICO 10 mg CP os CP CP 0,51000 0,00000 0,00000 28 14,28000 0,00000 0,00000 1.260 642,60000 1.288 656,88000 5.152 2.627,52000 4866828982 812 M05BA07 ACIDO RISEDRONICO SODIO RISEDRONATO 35 mg CP RIV os CP CP 354,59000 0,00000 0,00000 16 5.673,44000 0,00000 75 26.594,25000-91 32.267,69000 364 129.070,76000 4866835F47 813 M05BA08 ACIDO ZOLEDRONICO ACIDO ZOLEDRONICO 4mg F ev FL FL 210,12110 188 39.502,76680 800 168.096,88000 240 50.429,06400 0,00000 500 105.060,55000-1.728 363.089,26080 6.912 1.452.357,04320 486684036B 814 M05BA08 ACIDO ZOLEDRONICO ACIDO ZOLEDRONICO 5 mg F ev FL FL 276,93000 8 2.215,44000 6 1.661,58000 22 6.092,46000 12 3.323,16000 0,00000-48 13.292,64000 192 53.170,56000 48668435E4 815 M05BC02 EPTOTERMINA ALFA (BMP-7) EPTOTERMIN ALFA 1 g F i_osseo F F 3.960,00000 4 15.840,00000 0,00000 0,00000 0,00000 0,00000-4 15.840,00000 16 63.360,00000 4866848A03 816 M05BX03 STRONZIO RANELATO STRONZIO RANELATO 2 g BUSTE os BS BS 0,85000 280 238,00000 0,00000 224 190,40000 0,00000 0,00000-504 428,40000 2.016 1.713,60000 4866853E22 817 M09AX01 ACIDO IALURONICO ACIDO IALURONICO 20 mg 2 ml F i_art FL FL 7,39000 13.314 98.390,46000 0,00000 4.913 36.307,07000 0,00000 0,00000-18.227 134.697,53000 72.908 538.790,12000 4866859319 818 M09AX01 ACIDO IALURONICO ACIDO IALURONICO 25 mg 2,5 ml F i_art F F 11,80000 5.038 59.448,40000 0,00000 0,00000 0,00000-0,00000-5.038 59.448,40000 20.152 237.793,60000 486686580B 819 N01AB06 ISOFLURANO ISOFLURANO INAL 100 ml FL inal FL FL 22,80000 0,00000 200 4.560,00000 0,00000 276 6.292,80000-0,00000 78 1.778,40000 554 12.631,20000 2.216 50.524,80000 48668668DE

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 820 N01AB06 ISOFLURANO ISOFLURANO INAL 250 ml FL inal FL FL 55,80000 0,00000 0,00000 0,00000 228 12.722,40000-0,00000-228 12.722,40000 912 50.889,60000 4866869B57 821 N01AB07 DESFLURANO DESFLURANO INAL 240 ml FL inal FL FL 50,38000 0,00000 0,00000 363 18.287,94000 0,00000 120 6.045,60000-483 24.333,54000 1.932 97.334,16000 4866881540 822 N01AB08 SEVOFLURANO SEVOFLURANE 250 ml FL inal FL FL 111,13000 1.144 127.132,72000 500 55.565,00000 734 81.569,42000 1.440 160.027,20000 1.600 177.808,00000-5.418 602.102,34000 21.672 2.408.409,36000 486688588C 823 N01AF03 TIOPENTAL TIOPENTALE 500 mg F ev FL FL 2,73000 1.884 5.143,32000 200 546,00000 0,00000 0,00000-0,00000-2.084 5.689,32000 8.336 22.757,28000 4866887A32 824 N01AH01 FENTANIL FENTANIL 0,1 mg/ 2ml F im-ev F F 0,23000 12.240 2.815,20000 14.000 3.220,00000 17.300 3.979,00000 48.000 11.040,00000 48.000 11.040,00000 400 92,00000 139.940 32.186,20000 559.760 128.744,80000 4866898348 825 N01AH03 SUFENTANIL SUFENTANIL 50 mcg 1ml F ev-i_tec F F 0,94000 3.570 3.355,80000 400 376,00000 2.440 2.293,60000 0,00000 6.000 5.640,00000-12.410 11.665,40000 49.640 46.661,60000 4866903767 826 N01AH06 REMIFENTANIL REMIFENTANIL 1 mg F ev FL FL 2,52000 4.500 11.340,00000 0,00000 10.195 25.691,40000 0,00000 1.000 2.520,00000-15.695 39.551,40000 62.780 158.205,60000 48669069E0 827 N01AH06 REMIFENTANIL REMIFENTANIL 2 mg/5 ml FL ev FL FL 2,83000 0,00000 2.000 5.660,00000 535 1.514,05000 0,00000 0,00000-2.535 7.174,05000 10.140 28.696,20000 48669183C9 828 N01AH06 REMIFENTANIL REMIFENTANIL 5 mg/10 ml FL ev FL FL 7,15000 0,00000 0,00000 125 893,75000 0,00000-0,00000 40 286,00000 165 1.179,75000 660 4.719,00000 4866921642 829 N01AX03 KETAMINA KETAMINA 50 mg/2 ml F ev F F 2,97846 330 982,89180 100 297,84600 460 1.370,09160 0,00000 400 1.191,38400-1.290 3.842,21340 5.160 15.368,85360 48669248BB 830 N01AX10 PROPOFOL PROPOFOL 5 mg/ml 20 ml FL ev FL FL 1,00000 0,00000 0,00000-0,00000 1.600 1.600,00000 500 500,00000-2.100 2.100,00000 8.400 8.400,00000 4866929CDA 831 N01AX10 PROPOFOL PROPOFOL 10 mg/ml 20 ml FL ev FL FL 0,73000 12.820 9.358,60000 0,00000 14.890 10.869,70000 19.000 13.870,00000 36.000 26.280,00000-82.710 60.378,30000 330.840 241.513,20000 4866931E80 832 N01AX10 PROPOFOL PROPOFOL 10 mg/ml 100 ml FL ev FL FL 2,99000 640 1.913,60000 0,00000 540 1.614,60000 12.200 36.478,00000 0,00000 560 1.674,40000 13.940 41.680,60000 55.760 166.722,40000 4866937377 833 N01AX10 PROPOFOL PROPOFOL 20 mg/ml 50 ml FL ev FL FL 2,43000 724 1.759,32000 0,00000 320 777,60000 0,00000-0,00000 70 170,10000 1.114 2.707,02000 4.456 10.828,08000 4866942796 834 N01BB01 BUPIVACAINA BUPIVACAINA 0,5 mg/ m 4 ml IPERBARICA F i_tec F F 0,60000 2.840 1.704,00000 2.000 1.200,00000 4.240 2.544,00000 600 360,00000 1.000 600,00000-10.680 6.408,00000 42.720 25.632,00000 4866947BB5 835 N01BB01 BUPIVACAINA BUPIVACAINA 2,5mg/ml 10 ml F i_tec F F 0,44500 380 169,10000 0,00000 0,00000 0,00000 2.000 890,00000-2.380 1.059,10000 9.520 4.236,40000 486695417F 836 N01BB01 BUPIVACAINA BUPIVACAINA 5mg/ml 10 ml F i_tec F F 0,39000 1.900 741,00000 250 97,50000 920 358,80000 1.600 624,00000 3.900 1.521,00000 30 11,70000 8.600 3.354,00000 34.400 13.416,00000 4866956325 837 N01BB01 BUPIVACAINA BUPIVACAINA 1% IPERBARICA F i_tec F F 0,69000 0,00000 0,00000 1.790 1.235,10000 0,00000 800 552,00000 1.000 690,00000 3.590 2.477,10000 14.360 9.908,40000 4867359FB2 838 N01BB02 LIDOCAINA LIDOCAINA 1% 100 g GEL loc TU TU 2,29000 758 1.735,82000 150 343,50000 1.345 3.080,05000 1.400 3.206,00000 8.000 18.320,00000-11.653 26.685,37000 46.612 106.741,48000 4867374C14 839 N01BB02 LIDOCAINA LIDOCAINA 20mg/ml 50 ml FL i_tec FL FL 1,50000 218 327,00000 400 600,00000 521 781,50000 0,00000 900 1.350,00000-2.039 3.058,50000 8.156 12.234,00000 4867402332 840 N01BB02 LIDOCAINA LIDOCAINA CLORIDR 10 mg/ml 10 ml F i_tec F F 0,12000 3.790 454,80000 0,00000 0,00000 0,00000 3.000 360,00000-6.790 814,80000 27.160 3.259,20000 48674109CA 841 N01BB02 LIDOCAINA CLORIDRATO LIDOCAINA CLORIDRATO 10 g/100 ml 60 ml FL NEBUL loc FL FL 10,68000 0,00000 250 2.670,00000 0,00000 180 1.922,40000 900 9.612,00000-1.330 14.204,40000 5.320 56.817,60000 48674212E0 842 N01BB02 LIDOCAINA LIDOCAINA CLORIDRATO 20 mg/ ml 10 ml i_tec F F 0,11700 12.830 1.501,11000 7.000 819,00000 32.380 3.788,46000 24.000 2.808,00000 26.000 3.042,00000-102.210 11.958,57000 408.840 47.834,28000 4867447853 843 N01BB03 MEPIVACAINA MEPIVACAINA 10 mg/ml 10 ml F i_tec F F 0,22300 1.100 245,30000 0,00000 410 91,43000 1.800 401,40000 18.000 4.014,00000-21.310 4.752,13000 85.240 19.008,52000 48674624B5 844 N01BB03 MEPIVACAINA MEPIVACAINA 20 mg/ml 10 ml F i_tec F F 0,27000 13.720 3.704,40000 0,00000 10.530 2.843,10000 8.000 2.160,00000 3.000 810,00000-35.250 9.517,50000 141.000 38.070,00000 48674792BD 845 N01BB03 MEPIVACAINA MEPIVACAINA 30 mg/ml 1,8 ml TBF sm FL FL 0,20000 2.600 520,00000 0,00000 550 110,00000 0,00000 9.000 1.800,00000-12.150 2.430,00000 48.600 9.720,00000 4867486882 846 N01BB09 ROPIVACAINA ROPIVACAINA 2 mg/ml 10 ml F i_tec FL FL 1,22000 6.140 7.490,80000 250 305,00000 1.795 2.189,90000 0,00000 5.970 7.283,40000-14.155 17.269,10000 56.620 69.076,40000 4867494F1A 847 N01BB09 ROPIVACAINA ROPIVACAINA 5 mg/ml 10 ml F i_tec FL FL 3,57000 1.450 5.176,50000 0,00000 0,00000 0,00000 0,00000 500 1.785,00000 1.950 6.961,50000 7.800 27.846,00000 486750475D 848 N01BB09 ROPIVACAINA ROPIVACAINA 7,5 mg/ml 10 ml F i_tec FL FL 3,22000 3.130 10.078,60000 2.000 6.440,00000 2.400 7.728,00000 2.800 9.016,00000 2.200 7.084,00000 140 450,80000 12.670 40.797,40000 50.680 163.189,60000 4867508AA9 849 N01BB09 ROPIVACAINA ROPIVACAINA 10 mg/ml 10 ml F i_tec FL FL 1,72000 2.050 3.526,00000 0,00000 1.250 2.150,00000 8.800 15.136,00000 1.450 2.494,00000-13.550 23.306,00000 54.200 93.224,00000 4867522638 850 N01BB09 ROPIVACAINA ROPIVACAINA 2 mg/ml 200ML SACCA i_tec SA SA 13,33000 270 3.599,10000 0,00000 0,00000 0,00000-0,00000-270 3.599,10000 1.080 14.396,40000 48675350F4 851 N01BB09 ROPIVACAINA ROPIVACAINA 2 mg/ml 100 ml SACCHE i_tec SA SA 9,67682 0,00000 0,00000 1.195 11.563,79990 0,00000-0,00000-1.195 11.563,79990 4.780 46.255,19960 48675415E6 852 N01BB10 LEVOBUPIVACAINA L-BUPIVACAINA 2,5mg/ml 10 ml F i_tec F F 8,34000 60 500,40000 100 834,00000 0,00000 0,00000 500 4.170,00000-660 5.504,40000 2.640 22.017,60000 4867545932 853 N01BB10 LEVOBUPIVACAINA L-BUPIVACAINA 5mg/ml 10 ml F i_tec FL FL 8,15000 580 4.727,00000 60 489,00000 130 1.059,50000 0,00000 1.000 8.150,00000-1.770 14.425,50000 7.080 57.702,00000 4867553FCA 854 N01BB10 LEVOBUPIVACAINA L-BUPIVACAINA 0,625MG/ML 100 ml SACCHE i_tec SA SA 6,20000 326 2.021,20000 440 2.728,00000 120 744,00000 0,00000-0,00000 100 620,00000 986 6.113,20000 3.944 24.452,80000 48675648E0 855 N01BB20 ASSOCIAZIONI LIDOCAINA 2,5%+ PRILOCAINA 2,5% 5 g CREMA loc TU TU 3,60000 2.750 9.900,00000 220 792,00000 1.765 6.354,00000 0,00000 1.500 5.400,00000-6.235 22.446,00000 24.940 89.784,00000 4867571EA5 856 N01BB51 BUPIVACAINA, ASSOCIAZIONI BUPIVACAINA 5mg/ml +ADRENALINA 5mcg/ml 10 ml F i_tec F F 0,37000 540 199,80000 0,00000 0,00000 0,00000 3.800 1.406,00000-4.340 1.605,80000 17.360 6.423,20000 4867574123 857 N01BB52 LIDOCAINA, ASSOCIAZIONI LIDOCAINA 20 mg /ml + ADRENALINA 20 mcg/ml 1,8 ml TBF i_tec F F 0,20000 220 44,00000 0,00000 0,00000 0,00000 1.000 200,00000-1.220 244,00000 4.880 976,00000 4867584961 858 N01BB03 MEPIVACAINA, ASSOCIAZIONI MEPIVACAINA 10 mg/ml +ADRENALINA 5 mcg/ml 10 ml F i_tec F F 0,22000 580 127,60000 2.000 440,00000 650 143,00000 4.200 924,00000-0,00000-7.430 1.634,60000 29.720 6.538,40000 4867589D80

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 859 N01BB03 MEPIVACAINA, ASSOCIAZIONI MEPIVACAINA 20 mg/ml + ADRENALINA 10 mcg/ml 1,8 ml TBF sm F F 0,20000 5.360 1.072,00000 0,00000 515 103,00000 12.000 2.400,00000 15.000 3.000,00000-32.875 6.575,00000 131.500 26.300,00000 486763644C 860 N01BB53 MEPIVACAINA, ASSOCIAZIONI MEPIVACAINA 20 mg/ml + ADRENALINA 5 mcg/ ml 10 ml F i_tec F F 0,31000 1.020 316,20000 4.000 1.240,00000 0,00000 2.600 806,00000 2.500 775,00000-10.120 3.137,20000 40.480 12.548,80000 4867640798 861 N01BB58 ARTICAINA, ASSOCIAZIONI ARTICAINA 40 mg/ml + ADRENALINA 10mcg/ ml 1,7 ml TBF i_tec F F 0,32000 2.500 800,00000 0,00000 0,00000 0,00000 1.000 320,00000-3.500 1.120,00000 14.000 4.480,00000 4867648E30 862 N02AA01 MORFINA MORFINA SOLFATO 10 mg/5 ml FL os FL FL 0,38000 960 364,80000 1.000 380,00000 4.360 1.656,80000 0,00000-0,00000-6.320 2.401,60000 25.280 9.606,40000 4867659746 863 N02AA01 MORFINA MORFINA SOLFATO 20 mg/5ml FL os FL FL 3,83700 148 567,87600 0,00000 0,00000 0,00000 1.000 3.837,00000-1.148 4.404,87600 4.592 17.619,50400 486768900A 864 N02AA01 MORFINA MORFINA SOLFATO 30 mg/5 ml FL os FL FL 0,33000 600 198,00000 0,00000 560 184,80000 0,00000-0,00000-1.160 382,80000 4.640 1.531,20000 4867698775 865 N02AA01 MORFINA MORFINA CLORIDRATO 10 mg F im-ev F F 0,22000 9.788 2.153,36000 5.700 1.254,00000 23.770 5.229,40000 19.200 4.224,00000 24.000 5.280,00000 2800 616,00000 85.258 18.756,76000 341.032 75.027,04000 4867708FB3 866 N02AA01 MORFINA MORFINA CLORIDRATO 20 mg F im-ev F F 0,36356 3.530 1.283,36680 1.100 399,91600 10.680 3.882,82080 0,00000 0,00000-15.310 5.566,10360 61.240 22.264,41440 486772099C 867 N02AA01 MORFINA MORFINA SOLFATO 10 mg CP RILASCIO MOFICATO os CP CP 0,14000 800 112,00000 320 44,80000 2.304 322,56000 0,00000 1.200 168,00000-4.624 647,36000 18.496 2.589,44000 4867724CE8 868 N02AA01 MORFINA MORFINA SOLFATO 30 mg CP RILASCIO MOFICATO os CP CP 0,25000 352 88,00000 320 80,00000 896 224,00000 1.280 320,00000 1.200 300,00000-4.048 1.012,00000 16.192 4.048,00000 4867742BC3 869 N02AA05 OXICODONE OSSICODONE 5 mg CP RILASCIO MOFICATO os CP CP 0,13700 672 92,06400 0,00000 1.148 157,27600 0,00000 0,00000-1.820 249,34000 7.280 997,36000 486774918D 870 N02AA05 OXICODONE OSSICODONE 10 mg CP RILASCIO MOFICATO os CP CP 0,35600 1.512 538,27200 840 299,04000 2.940 1.046,64000 5.600 1.993,60000 560 199,36000-11.452 4.076,91200 45.808 16.307,64800 4867781BF2 871 N02AA05 OXICODONE OSSICODONE 20 mg CP RILASCIO MOFICATO os CP CP 0,70281 1.288 905,21928 1.260 885,54060 3.584 2.518,87104 0,00000 560 393,57360-6.692 4.703,20452 26.768 18.812,81808 4867786016 872 N02AA05 OXICODONE OSSICODONE 40 mg CP RILASCIO MOFICATO os CP CP 1,06578 336 358,10208 0,00000 1.400 1.492,09200 1.120 1.193,67360 560 596,83680-3.416 3.640,70448 13.664 14.562,81792 4867797927 873 N02AA05 OXICODONE OSSICODONE 80 mg CP RILASCIO MOFICATO os CP CP 1,90300 0,00000 0,00000 308 586,12400 0,00000 1.120 2.131,36000-1.428 2.717,48400 5.712 10.869,93600 4867820C21 874 N02AA55 OXICODONE, ASSOCIAZIONI OXICODONE 5 mg +RACETAMOLO 325 mg CP os CP CP 0,24838 1.624 403,36912 0,00000 1.176 292,09488 0,00000 1.120 278,18560-3.920 973,64960 15.680 3.894,59840 4867938D81 875 N02AA55 OXICODONE, ASSOCIAZIONI OXICODONE 10 mg+racetamolo 325 mg CP os CP CP 0,24836 1.232 305,97952 0,00000 784 194,71424 0,00000 1.120 278,16320-3.136 778,85696 12.544 3.115,42784 4868012A93 876 N02AA55 OXICODONE+NALOXONE OXICODONE+NALOXONE 5 mg + 2,5 mg CP os CP CP 0,42000 112 47,04000-0,00000 620 260,40000-0,00000 2.250 945,00000-2.982 1.252,44000 11.928 5.009,76000 4868020130 877 N02AA55 OXICODONE+NALOXONE OXICODONE+NALOXONE 10 mg + 5 mg CP os CP CP 0,55000 112 61,60000-0,00000 1.848 1.016,40000-0,00000 1.500 825,00000-3.460 1.903,00000 13.840 7.612,00000 48680466A3 878 N02AA55 OXICODONE+NALOXONE OXICODONE+NALOXONE 20 mg +10 mg CP os CP CP 0,94000 56 52,64000-0,00000 1.624 1.526,56000-0,00000 75.000 70.500,00000-76.680 72.079,20000 306.720 288.316,80000 4868053C68 879 N02AA59 CODEINA, ASSOCIAZIONI ESCLUSI GLI PSICOLETTICI RACETAMOLO 400 mg + CODEINA 20 mg SUPPOSTE ret SU SU 0,45637 1.440 657,17280 0,00000 294 134,17278 0,00000 800 365,09600-2.534 1.156,44158 10.136 4.625,76632 486805808C 880 N02AA59 CODEINA, ASSOCIAZIONI ESCLUSI GLI PSICOLETTICI RACETAMOLO 500 mg + CODEINA 30 mg BUSTE os BS BS 0,01000 30.620 306,20000 7.000 70,00000 41.520 415,20000 42.000 420,00000 42.000 420,00000-163.140 1.631,40000 652.560 6.525,60000 4868065651 881 N02AB02 PETIDINA PETIDINA CLORIDRATO 100 mg/2 ml Fiala im-ev F F 0,50000 3.350 1.675,00000 2.000 1.000,00000 9.865 4.932,50000 6.000 3.000,00000 2.000 1.000,00000-23.215 11.607,50000 92.860 46.430,00000 4868076F62 882 N02AB03 FENTANIL FENTANIL 12 mcg/ora CEROTTI TRANSDERMICI td CER CER 0,61593 282 173,69226 0,00000 486 299,34198 0,00000 500 307,96500-1.268 780,99924 5.072 3.123,99696 4868093D6A 883 N02AB03 FENTANIL FENTANIL 25 mcg/ora CEROTTI TRANSDERMICI td CER CER 0,37662 954 359,29548 0,00000 1.023 385,28226 240 90,38880 2.200 828,56400 60 22,59720 4.477 1.686,12774 17.908 6.744,51096 48681024DA 884 N02AB03 FENTANIL FENTANIL 50 mcg /ora CEROTTI TRANSDERMICI td CER CER 0,69000 522 360,18000 0,00000 612 422,28000 0,00000 1.200 828,00000 30 20,70000 2.364 1.631,16000 9.456 6.524,64000 4868110B72 885 N02AB03 FENTANIL FENTANIL 75 mcg/ora CEROTTI TRANSDERMICI td CER CER 0,95000 276 262,20000 0,00000 120 114,00000 0,00000-0,00000 20 19,00000 416 395,20000 1.664 1.580,80000 48681192E2 886 N02AB03 FENTANIL FENTANIL 100 mcg/ora CEROTTI TRANSDERMICI td CER CER Costo per ciascuna erogazione (costo 2,34000 348 814,32000 0,00000 138 322,92000 0,00000-0,00000-486 1.137,24000 1.944 4.548,96000 48681268A7 confezione / n di erogazioni - 887 N02AB03 FENTANIL CITRATO FENTANIL CITRATO SPRAY NASALE dosaggi vari inal PuF PuF possibili per confezione) 5,90000 1.000 5.900,00000 0,00000-0,00000 1.000 5.900,00000-0,00000-2.000 11.800,00000 8.000 47.200,00000 4868133E6C 888 N02AB03 FENTANIL CITRATO FENTANIL CITRATO TRANSMUCOSALE dosaggi vari os CP/altro CP/altro Costo per compressa/pastiglia 5,90000 1.000 5.900,00000-0,00000 1.000 5.900,00000 1.000 5.900,00000-0,00000-3.000 17.700,00000 12.000 70.800,00000 4868141509 889 N02AE01 BUPRENORFINA BUPRENORFINA 35 mcg /ora CEROTTI TRANSDERMICI td PZ PZ 4,47000 234 1.045,98000 60 268,20000 537 2.400,39000 0,00000 150 670,50000-981 4.385,07000 3.924 17.540,28000 4868148ACE 890 N02AE01 BUPRENORFINA BUPRENORFINA 52,5 mcg/ora CEROTTI TRANSDERMICI td PZ PZ 6,53686 108 705,98088 0,00000 159 1.039,36074 0,00000 0,00000-267 1.745,34162 1.068 6.981,36648 486816158A 891 N02AE01 BUPRENORFINA BUPRENORFINA 70 mcg /ora CEROTTI TRANSDERMICI td PZ PZ 8,14000 108 879,12000 0,00000 60 488,40000 0,00000-0,00000-168 1.367,52000 672 5.470,08000 4868171DC8 892 N02AX02 TRAMADOLO TRAMADOLO 100 mg CP RILASCIO MOFICATO os CP CP 0,01700 680 11,56000 0,00000 740 12,58000 0,00000 0,00000-1.420 24,14000 5.680 96,56000 48681837B1 893 N02AX02 TRAMADOLO TRAMADOLO 150 mg CP RILASCIO MOFICATO os CP CP 0,38600 180 69,48000 0,00000 0,00000 0,00000 0,00000-180 69,48000 720 277,92000 4868188BD0 894 N02AX02 TRAMADOLO TRAMADOLO 100 mg/ml 10 ML GOCCE os FL FL 0,13812 488 67,40256 320 44,19840 514 70,99368 800 110,49600 900 124,30800 50 6,90600 3.072 424,30464 12.288 1.697,21856 48681940C7 895 N02AX02 TRAMADOLO TRAMADOLO 100 mg/2ml F im-ev F F 0,21847 10.900 2.381,32300 14.000 3.058,58000 21.280 4.649,04160 12.000 2.621,64000 15.000 3.277,05000 1.000 218,47000 74.180 16.206,10460 296.720 64.824,41840 4868232023 896 N02AX06 TAPENTADOLO TAPENTADOLO 50 mg CP RP os CP CP 0,40000 720 288,00000 0,00000 540 216,00000 0,00000 600 240,00000-1.860 744,00000 7.440 2.976,00000 4868244A07 897 N02AX06 TAPENTADOLO TAPENTADOLO 200mg CP RP os CP CP 1,47000 30 44,10000-0,00000 200 294,00000-0,00000 600 882,00000-830 1.220,10000 3.320 4.880,40000 486826073C

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 898 N02AX52 TRAMADOLO, ASSOCIAZIONI TRAMADOLO 37,5 mg +RACETAMOLO 325 mg CP os CP CP 0,10000 5.160 516,00000 0,00000 160 16,00000 0,00000-0,00000-5.320 532,00000 21.280 2.128,00000 4868265B5B 899 N02BA01 ACIDO ACETILSALICILICO ACIDO ACETILSALICILICO 100 mg CP os CP CP 0,06000 360 21,60000 0,00000 0,00000 600 36,00000 90.000 5.400,00000-90.960 5.457,60000 363.840 21.830,40000 4868283A36 900 N02BA01 ACIDO ACETILSALICILICO ACIDO ACETILSALICILICO 500 mg CP os CP CP 0,03800 1.880 71,44000 1.000 38,00000 2.680 101,84000 12.000 456,00000 9.000 342,00000 1.000 38,00000 27.560 1.047,28000 110.240 4.189,12000 48683143CD 901 N02BA01 ACIDO ACETILSALICILICO LISINA ACETILSALICILATO 500 mg F im-ev FL FL 0,81000 1.632 1.321,92000 600 486,00000 3.168 2.566,08000 1.120 907,20000 3.000 2.430,00000 20 16,20000 9.540 7.727,40000 38.160 30.909,60000 4868318719 902 N02BA51 ACIDO ACETILSALICILICO,ASSOCIAZIONI ESCLUSI GLI PS AC. ACETILSALICILICO 325 mg + MG e AL CP os CP CP 0,23000 1.040 239,20000 0,00000 0,00000 0,00000 3.000 690,00000 40 9,20000 4.080 938,40000 16.320 3.753,60000 486833879A 903 N02BB02 METAMIZOLO SODICO NORAMIDOPIRINA 500 mg 20 ml GOCCE os FL FL 1,40000 138 193,20000 80 112,00000 0,00000 100 140,00000 800 1.120,00000-1.118 1.565,20000 4.472 6.260,80000 4868342AE6 904 N02BE01 RACETAMOLO RACETAMOLO 10 mg/ ml 30ML GOCCE os FL FL 1,34000 60 80,40000 30 40,20000 51 68,34000 200 268,00000 250 335,00000 115 154,10000 706 946,04000 2.824 3.784,16000 48683777C9 905 N02BE01 RACETAMOLO RACETAMOLO 10 mg/ml 50 ML SACCA/FL ev SA/FL SA/FL 0,90000 2.500 2.250,00000 0,00000 0,00000 0,00000 1.500 1.350,00000-4.000 3.600,00000 16.000 14.400,00000 48683880DF 906 N02BE01 RACETAMOLO RACETAMOLO 10 mg/ml 100 ml SACCA/FL ev SA/FL SA/FL 1,54000 29.758 45.827,32000 11.000 16.940,00000 54.948 84.619,92000 96.000 147.840,00000 24.000 36.960,00000 6322 9.735,88000 222.028 341.923,12000 888.112 1.367.692,48000 48683934FE 907 N02BE01 RACETAMOLO RACETAMOLO 500 mg CP os CP CP 0,02000 115.220 2.304,40000 51.000 1.020,00000 1.950 39,00000 160.000 3.200,00000 150.000 3.000,00000 10000 200,00000 488.170 9.763,40000 1.952.680 39.053,60000 4868401B96 908 N02BE01 RACETAMOLO RACETAMOLO 24 mg/ml 100 ml SCIROPPO os FL FL 0,69000 582 401,58000 90 62,10000 651 449,19000 480 331,20000 1.000 690,00000 5 3,45000 2.808 1.937,52000 11.232 7.750,08000 48684124AC 909 N02BE01 RACETAMOLO RACETAMOLO 125 mg SUPPOSTE ret SU SU 0,05000 3.060 153,00000 1.000 50,00000 1.240 62,00000 0,00000 3.900 195,00000 200 10,00000 9.400 470,00000 37.600 1.880,00000 486842603B 910 N02BE01 RACETAMOLO RACETAMOLO 250 mg SUPPOSTE ret SU SU 0,05000 4.960 248,00000 1.800 90,00000 3.980 199,00000 6.000 300,00000 5.400 270,00000-22.140 1.107,00000 88.560 4.428,00000 486843794C 911 N02BE01 RACETAMOLO RACETAMOLO 500 mg SUPPOSTE ret SU SU 0,05000 1.540 77,00000 800 40,00000 123.360 6.168,00000 3.000 150,00000 4.000 200,00000-132.700 6.635,00000 530.800 26.540,00000 4868441C98 912 N02BE01 RACETAMOLO RACETAMOLO 1000 mg SUPPOSTE ret SU SU 0,07000 720 50,40000 700 49,00000 490 34,30000 0,00000 4.000 280,00000-5.910 413,70000 23.640 1.654,80000 4868449335 913 N02BE51 RACETAMOLO, ASSOCIAZIONI RACETAMOLO 200 mg+ CODEINA 5 mg SUPPOSTE ret SU SU 0,44550 4.464 1.988,71200 480 213,84000 1.638 729,72900 48 21,38400 1.500 668,25000 330 147,01500 8.460 3.768,93000 33.840 15.075,72000 4868455827 914 N02BE51 RACETAMOLO, ASSOCIAZIONI RACETAMOLO 25 mg/ml +CODEINA 1,5 ml/ml 20 ml SCIROPPO os FL FL 0,74000 82 60,68000 0,00000 0,00000 0,00000-0,00000-82 60,68000 328 242,72000 4868462DEC 915 N03AA02 FENOBARBITAL FENOBARBITALE 100 mg F sc-im-ev F F 0,40997 1.240 508,36280 400 163,98800 1.530 627,25410 1.000 409,97000 1.500 614,95500-5.670 2.324,52990 22.680 9.298,11960 48684861BE 916 N03AA02 FENOBARBITAL FENOBARBITALE 15 mg CP os CP CP 0,02333 540 12,59820 0,00000 60 1,39980 0,00000 1.500 34,99500 1.200 27,99600 3.300 76,98900 13.200 307,95600 4868512731 917 N03AA02 FENOBARBITAL FENOBARBITALE 50 mg CP os CP CP 0,02333 3.246 75,72918 0,00000 1.500 34,99500 0,00000 1.500 34,99500 3000 69,99000 9.246 215,70918 36.984 862,83672 4868523047 918 N03AA02 FENOBARBITAL FENOBARBITALE 100 mg CP os CP CP 0,03000 200 6,00000 600 18,00000 2.900 87,00000 0,00000 1.500 45,00000 400 12,00000 5.600 168,00000 22.400 672,00000 48685316DF 919 N03AB02 FENITOINA FENITOINA 100 mg CP os CP CP 0,02729 3.360 91,69440 300 8,18700 2.790 76,13910 21.600 589,46400 6.000 163,74000-34.050 929,22450 136.200 3.716,89800 4868537BD1 920 N03AB02 FENITOINA FENITOINA 250 mg/5ml F im-ev F F 2,18000 350 763,00000 100 218,00000 210 457,80000 0,00000 600 1.308,00000 1700 3.706,00000 2.960 6.452,80000 11.840 25.811,20000 4868547414 921 N03AE01 CLONAZEM CLONAZEM 0.5 mg CP os CP CP 0,15000 300 45,00000 0,00000 40 6,00000 0,00000 3.000 450,00000-3.340 501,00000 13.360 2.004,00000 4868552833 922 N03AE01 CLONAZEM CLONAZEM 2 mg CP os CP CP 0,04000 4.362 174,48000 2.400 96,00000 5.260 210,40000 0,00000 3.300 132,00000 1600 64,00000 16.922 676,88000 67.688 2.707,52000 4868559DF8 923 N03AE01 CLONAZEM CLONAZEM 2,5mg/ml 10 ml GOCCE os FL FL 0,82000 432 354,24000 100 82,00000 268 219,76000 1.000 820,00000 1.000 820,00000 250 205,00000 3.050 2.501,00000 12.200 10.004,00000 486856963B 924 N03AF01 CARBAMAZEPINA CARBAMAZEPINA 2% 250 ml SCIROPPO os FL FL 2,70000 8 21,60000 0,00000 0,00000 0,00000 200 540,00000 10 27,00000 218 588,60000 872 2.354,40000 48685831CA 925 N03AF01 CARBAMAZEPINA CARBAMAZEPINA 200 mg CP RILASCIO MODIF. os CP CP 0,08000 780 62,40000 500 40,00000 2.640 211,20000 24.000 1.920,00000 3.750 300,00000 2400 192,00000 34.070 2.725,60000 136.280 10.902,40000 4868593A08 926 N03AF02 OXCARBAZEPINA OXCARBAZEPINA 300 mg CP DIVISIBILI os CP CP 0,13800 2.000 276,00000 1.500 207,00000 3.400 469,20000 10.400 1.435,20000 9.000 1.242,00000 3000 414,00000 29.300 4.043,40000 117.200 16.173,60000 4868598E27 927 N03AG01 ACIDO VALPROICO SODIO VALPROATO 100 mg BUSTE os BS BS 0,10000 180 18,00000 0,00000 60 6,00000 0,00000-0,00000 1800 180,00000 2.040 204,00000 8.160 816,00000 4868614B5C 928 N03AG01 ACIDO VALPROICO AC. VALPROICO 200 mg CP os CP CP 0,05000 560 28,00000 2.400 120,00000 240 12,00000 2.400 120,00000-0,00000 400 20,00000 6.000 300,00000 24.000 1.200,00000 486862439F 929 N03AG01 ACIDO VALPROICO AC. VALPROICO 300 mg CP RILASCIO MODIF. os CP CP 0,08000 2.640 211,20000 300 24,00000 6.540 523,20000 12.000 960,00000 9.000 720,00000-30.480 2.438,40000 121.920 9.753,60000 486864983F 930 N03AG01 ACIDO VALPROICO AC. VALPROICO 500 mg CP RILASCIO MODIF. os CP CP 0,07240 6.540 473,49600 4.400 318,56000 11.460 829,70400 21.600 1.563,84000 15.000 1.086,00000 1800 130,32000 60.800 4.401,92000 243.200 17.607,68000 48686687ED 931 N03AG01 ACIDO VALPROICO AC. VALPROICO 200 mg/ml 40 ml SOLUZIONE ORALE os FL FL 1,85000 74 136,90000 300 555,00000 52 96,20000 220 407,00000 350 647,50000-996 1.842,60000 3.984 7.370,40000 4868674CDF 932 N03AG01 ACIDO VALPROICO SODIO VALPROATO 400 mg F ev FL FL 5,80000 390 2.262,00000 400 2.320,00000 1.336 7.748,80000 0,00000 1.000 5.800,00000-3.126 18.130,80000 12.504 72.523,20000 486868237C 933 N03AG04 VIGABATRIN VIGABATRIN 500 mg CP os CP CP 0,40000 100 40,00000 0,00000 0,00000 0,00000 1.800 720,00000-1.900 760,00000 7.600 3.040,00000 486868886E 934 N03AX11 TOPIRAMATO TOPIRAMATO 25 mg CP os CP CP 0,29567 0,00000 0,00000 240 70,96080 0,00000 1.200 354,80400 3000 887,01000 4.440 1.312,77480 17.760 5.251,09920 486870132A 935 N03AX11 TOPIRAMATO TOPIRAMATO 50 mg CP os CP CP 0,24000 360 86,40000 0,00000 240 57,60000 0,00000 1.500 360,00000-2.100 504,00000 8.400 2.016,00000 486870781C 936 N03AX11 TOPIRAMATO TOPIRAMATO 100 mg CP os CP CP 0,45000 0,00000 600 270,00000 300 135,00000 0,00000 1.000 450,00000 1200 540,00000 3.100 1.395,00000 12.400 5.580,00000 48687099C2

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 937 N03AX12 GABAPENTIN GABAPENTIN 100 mg CP os CP CP 0,07000 1.400 98,00000 0,00000 400 28,00000 0,00000 1.200 84,00000-3.000 210,00000 12.000 840,00000 4868715EB4 938 N03AX12 GABAPENTIN GABAPENTIN 300 mg CP os CP CP 0,20000 3.300 660,00000 4.200 840,00000 1.750 350,00000 16.000 3.200,00000 3.000 600,00000 500 100,00000 28.750 5.750,00000 115.000 23.000,00000 4868719205 939 N03AX14 LEVETIRACETAM LEVETIRACETAM 100 mg/ml F ev FL FL 17,99810 40 719,92400 0,00000 1.180 21.237,75800 0,00000 1.500 26.997,15000 1370 24.657,39700 4.090 73.612,22900 16.360 294.448,91600 48687256F7 940 N03AX14 LEVETIRACETAM LEVETIRACETAM 100mg/ml 300 ml SCIROPPO os CP CP 53,81000 16 860,96000 0,00000 52 2.798,12000 0,00000 300 16.143,00000 26 1.399,06000 394 21.201,14000 1.576 84.804,56000 4868734E62 941 N03AX14 LEVETIRACETAM LEVETIRACETAM 500 mg CP os CP CP 0,88990 1.800 1.601,82000 1.800 1.601,82000 9.840 8.756,61600 0,00000 10.000 8.899,00000-23.440 20.859,25600 93.760 83.437,02400 4868739286 942 N03AX16 PREGABALIN PREGABALIN 75 mg CPS os CP CP 0,46000 6.608 3.039,68000 2.100 966,00000 12.180 5.602,80000 0,00000 560 257,60000-21.448 9.866,08000 85.792 39.464,32000 48687435D2 943 N03AX16 PREGABALIN PREGABALIN 150 mg CPS os CP CP 0,90200 3.696 3.333,79200 0,00000 504 454,60800 0,00000 560 505,12000-4.760 4.293,52000 19.040 17.174,08000 48687489F1 944 N03AX18 LACOSAMIDE LACOSAMIDE 100 mg CP os CP CP 1,09788 224 245,92512 0,00000 98 107,59224 0,00000 300 329,36400-622 682,88136 2.488 2.731,52544 486875608E 945 N03AX18 LACOSAMIDE LACOSAMIDE 10 mg/ml 20 ml FL ev FL FL 36,16000 0,00000 0,00000 21 759,36000 0,00000 100 3.616,00000-121 4.375,36000 484 17.501,44000 48687668CC 946 N04AA02 BIPERIDENE BIPERIDENE 2 mg CP os CP CP 0,03600 720 25,92000 0,00000 240 8,64000 0,00000-0,00000-960 34,56000 3.840 138,24000 4868769B45 947 N04AA02 BIPERIDENE BIPERIDENE 4 mg CP RILASCIO MODIF. os CP CP 0,04841 6.100 295,30100 1.500 72,61500 6.500 314,66500 12.000 580,92000 1.500 72,61500-27.600 1.336,11600 110.400 5.344,46400 48687782B5 948 N04BA02 LEVODO ED INIBITORE DELLA DECARBOSSILASI LEVODO 100 mg + CARBIDO 25 mg CP os CP CP 0,06000 600 36,00000 0,00000 2.550 153,00000 0,00000 1.800 108,00000 600 36,00000 5.550 333,00000 22.200 1.332,00000 4868787A20 949 N04BA02 LEVODO ED INIBITORE DELLA DECARBOSSILASI LEVODO 100 mg +BENSERAZIDE 25 mg CP DISPERSIBILI os CP CP 0,07133 1.560 111,27480 0,00000 90 6,41970 0,00000 600 42,79800-2.250 160,49250 9.000 641,97000 4868796190 950 N04BA02 LEVODO ED INIBITORE DELLA DECARBOSSILASI LEVODO 20 mg/ml+carbido 5mg/ml 100 ml GEL enterale SA SA 102,60000 1.988 203.968,80000 0,00000 0,00000 0,00000 600 61.560,00000-2.588 265.528,80000 10.352 1.062.115,20000 4868803755 951 N04BA02 LEVODO ED INIBITORE DELLA DECARBOSSILASI LEVODO 200 mg + BENSERAZIDE 50 mg CP DIViSIBILI os CP CP 0,14570 28.400 4.137,88000 2.000 291,40000 5.400 786,78000 5.200 757,64000 4.600 670,22000 600 87,42000 46.200 6.731,34000 184.800 26.925,36000 4868810D1A 952 N04BA02 LEVODO ED INIBITORE DELLA DECARBOSSILASI LEVODO 250 mg + CARBIDO 25 mg CP os CP CP 0,07000 200 14,00000 1.000 70,00000 0,00000 0,00000 900 63,00000-2.100 147,00000 8.400 588,00000 4868816211 953 N04BC05 PRAMIPEXOLO PRAMIPEXOLO 0,7mg CP os CP CP 0,97394 0,00000 700 681,75800 0,00000 0,00000 700 681,75800-1.400 1.363,51600 5.600 5.454,06400 4868821630 954 N04BC07 APOMORFINA APOMORFINA 50 mg/5 ml F sc F F 6,50000 5.200 33.800,00000 0,00000 7 45,50000 0,00000 100 650,00000-5.307 34.495,50000 21.228 137.982,00000 4868831E6E 955 N04BC09 ROTIGOTINA ROTIGOTINA 2 mg/24h CEROTTI TRANSD. td CER CER 0,16000 0,00000 0,00000 140 22,40000 0,00000-0,00000-140 22,40000 560 89,60000 4868846AD0 956 N04BC09 ROTIGOTINA ROTIGOTINA 4 mg/24h CEROTTI TRANSD. td CER CER 1,89000 0,00000 0,00000 35 66,15000 0,00000 0,00000-35 66,15000 140 264,60000 4868852FC2 957 N04BC09 ROTIGOTINA ROTIGOTINA 8 mg/24h CEROTTI TRANSD. td CER CER 3,65759 0,00000 0,00000 14 51,20626 0,00000 0,00000 154 563,26886 168 614,47512 672 2.457,90048 486885958C 958 N04BD02 RASAGILINA RASAGILINA 1 mg CP os CP CP 2,54000 1.120 2.844,80000 0,00000 168 426,72000 0,00000 250 635,00000-1.538 3.906,52000 6.152 15.626,08000 4868862805 959 N04BX01 TOLCAPONE TOLCAPONE 100 mg CP os CP CP 0,99170 0,00000 0,00000 0,00000 0,00000 0,00000 1000 991,70000 1.000 991,70000 4.000 3.966,80000 486887311B 960 N04BX02 ENTACAPONE ENTACAPONE 200 mg CP os CP CP 0,53000 1.000 530,00000 0,00000 300 159,00000 0,00000-0,00000-1.300 689,00000 5.200 2.756,00000 48688806E0 961 N05AA01 CLORPROMAZINA CLORPROMAZINA 25 mg CP os CP CP 0,02000 4.000 80,00000 500 10,00000 450 9,00000 0,00000 1.200 24,00000-6.150 123,00000 24.600 492,00000 4868885AFF 962 N05AA01 CLORPROMAZINA CLORPROMAZINA 100 mg CP os CP CP 0,05000 6.440 322,00000 300 15,00000 700 35,00000 4.000 200,00000 1.000 50,00000-12.440 622,00000 49.760 2.488,00000 4868888D78 963 N05AA01 CLORPROMAZINA CLORPROMAZINA 40 mg/ml 10 ml GOCCE os FL FL 0,51000 386 196,86000 0,00000 87 44,37000 400 204,00000 600 306,00000-1.473 751,23000 5.892 3.004,92000 486889426F 964 N05AA01 CLORPROMAZINA CLORPROMAZINA 50 mg 2 ml F im F F 0,37000 300 111,00000 200 74,00000 375 138,75000 500 185,00000 1.700 629,00000 100 37,00000 3.175 1.174,75000 12.700 4.699,00000 48688985BB 965 N05AA02 LEVOMEPROMAZINA LEVOMEPROMAZINA 25 mg CP os CP CP 0,06000 840 50,40000 0,00000 40 2,40000 8.000 480,00000 500 30,00000-9.380 562,80000 37.520 2.251,20000 4868907D26 966 N05AA02 LEVOMEPROMAZINA LEVOMEPROMAZINA 100 mg CP os CP CP 0,11000 1.040 114,40000 600 66,00000 940 103,40000 0,00000 800 88,00000-3.380 371,80000 13.520 1.487,20000 4868917569 967 N05AA03 PROMAZINA PROMAZINA 40 mg/ml 30 ml GOCCE os FL FL 4,51000 644 2.904,44000 280 1.262,80000 535 2.412,85000 1.400 6.314,00000 450 2.029,50000 10 45,10000 3.319 14.968,69000 13.276 59.874,76000 4868930025 968 N05AA03 PROMAZINA PROMAZINA 25mg/ml 2 ml F im F F 1,20000 1.284 1.540,80000 1.800 2.160,00000 3.420 4.104,00000 2.400 2.880,00000 1.200 1.440,00000 180 216,00000 10.284 12.340,80000 41.136 49.363,20000 48689375EA 969 N05AB02 FLUFENAZINA FLUFENAZINA DECANOATO 25 mg F im F F 2,02001 2.202 4.448,06202 700 1.414,00700 919 1.856,38919 600 1.212,00600 1.200 2.424,01200-5.621 11.354,47621 22.484 45.417,90484 4868940863 970 N05AD01 ALOPERIDOLO ALOPERIDOLO 10 mg/ml 15ml GOCCE os FL FL 1,50000 16 24,00000 0,00000 57 85,50000 0,00000 100 150,00000-173 259,50000 692 1.038,00000 486895224C 971 N05AD01 ALOPERIDOLO ALOPERIDOLO 2 mg/ml 15 ml FL os FL FL 0,47134 1.294 609,91396 450 212,10300 796 375,18664 2.400 1.131,21600 800 377,07200-5.740 2.705,49160 22.960 10.821,96640 486895873E 972 N05AD01 ALOPERIDOLO ALOPERIDOLO 2 mg/ml F im F F 0,18000 6.240 1.123,20000 3.000 540,00000 7.695 1.385,10000 3.710 667,80000 4.000 720,00000 100 18,00000 24.745 4.454,10000 98.980 17.816,40000 4868963B5D 973 N05AD01 ALOPERIDOLO ALOPERIDOLO 5 mg/2 ml F im F F 0,35000 0,00000 0,00000 4.055 1.419,25000 0,00000-0,00000-4.055 1.419,25000 16.220 5.677,00000 4868970127 974 N05AD01 ALOPERIDOLO ALOPERIDOLO 50 mg/1ml F im F F 1,92000 3.742 7.184,64000 1.500 2.880,00000 4.641 8.910,72000 7.200 13.824,00000 900 1.728,00000-17.983 34.527,36000 71.932 138.109,44000 4868979892 975 N05AD01 ALOPERIDOLO ALOPERIDOLO 150 mg/ 3 ml F im F F 4,38000 772 3.381,36000 750 3.285,00000 182 797,16000 800 3.504,00000 600 2.628,00000-3.104 13.595,52000 12.416 54.382,08000 4868985D84

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 976 N05AD08 DROPERIDOLO DROPERIDOLO 2,5 mg/ml 1 ml F ev F F 2,88196 1.500 4.322,94000 0,00000 530 1.527,43880 0,00000 0,00000-2.030 5.850,37880 8.120 23.401,51520 4868993421 977 N05AE04 ZIPRASIDONE ZIPRASIDONE MESILATO 20 mg/ml FL im FL FL 13,73000 0,00000 0,00000 33 453,09000 0,00000 750 10.297,50000-783 10.750,59000 3.132 43.002,36000 4869001AB9 978 N05AE04 ZIPRASIDONE ZIPRASIDONE CLORIDRATO 40 mg CPS os CPS CPS 1,25470 0,00000 0,00000 1.456 1.826,84320 0,00000 2.000 2.509,40000-3.456 4.336,24320 13.824 17.344,97280 4869006ED8 979 N05AE04 ZIPRASIDONE ZIPRASIDONE CLORIDRATO 60 mg CPS os CPS CPS 1,18000 0,00000 0,00000 952 1.123,36000 0,00000 1.800 2.124,00000-2.752 3.247,36000 11.008 12.989,44000 48690134A2 980 N05AE04 ZIPRASIDONE ZIPRASIDONE CLORIDRATO 80 mg CPS os CPS CPS 2,68000 0,00000 0,00000 392 1.050,56000 0,00000 180 482,40000-572 1.532,96000 2.288 6.131,84000 4869024DB3 981 N05AF05 ZUCLOPENTIXOLO ZUCLOPENTIXOLO 50 mg 1 ml F im F F 7,15000 50 357,50000 0,00000 0,00000 0,00000 2.100 15.015,00000-2.150 15.372,50000 8.600 61.490,00000 486903137D 982 N05AF05 ZUCLOPENTIXOLO ZUCLOPENTIXOLO 200 mg 1 ml F im F F 2,72000 1.046 2.845,12000 350 952,00000 619 1.683,68000 400 1.088,00000 2.200 5.984,00000-4.615 12.552,80000 18.460 50.211,20000 4869038942 983 N05AH02 CLOZAPINA CLOZAPINA 25 mg CP os CP CP 0,04000 2.968 118,72000 0,00000 2.016 80,64000 10.080 403,20000 2.800 112,00000 560 22,40000 18.424 736,96000 73.696 2.947,84000 4869046FDA 984 N05AH02 CLOZAPINA CLOZAPINA 100 mg CP os CP CP 0,09092 14.784 1.344,16128 6.300 572,79600 19.376 1.761,66592 22.400 2.036,60800 5.600 509,15200-68.460 6.224,38320 273.840 24.897,53280 48690535A4 985 N05AH03 OLANZAPINA OLANZAPINA 2,5 mg CP os CP CP 0,63000 616 388,08000 0,00000 364 229,32000 0,00000-0,00000-980 617,40000 3.920 2.469,60000 4869059A96 986 N05AH03 OLANZAPINA OLANZAPINA 5 mg CP OROSOL os CP CP 1,25000 1.568 1.960,00000 0,00000 5.292 6.615,00000 0,00000-0,00000 560 700,00000 7.420 9.275,00000 29.680 37.100,00000 4869066060 987 N05AH03 OLANZAPINA OLANZAPINA 10 mg CP DISPERSIBILI os CP CP 2,50000 8.904 22.260,00000 6.160 15.400,00000 16.380 40.950,00000 15.680 39.200,00000 5.600 14.000,00000-52.724 131.810,00000 210.896 527.240,00000 486907689E 988 N05AH03 OLANZAPINA OLANZAPINA MOATO MONOIDRATO 210 mg+1f 3ML FL im FL FL 107,63000 0,00000 60 6.457,80000 5 538,15000 0,00000 100 10.763,00000-165 17.758,95000 660 71.035,80000 486909691F 989 N05AH03 OLANZAPINA OLANZAPINA MOATO MONOIDRATO 300 mg+1f 3ML FL im FL FL 161,73000 12 1.940,76000 180 29.111,40000 11 1.779,03000 0,00000 100 16.173,00000-303 49.004,19000 1.212 196.016,76000 486910508F 990 N05AH03 OLANZAPINA OLANZAPINA MOATO MONOIDRATO 405 mg+1f 3ML FL im FL FL 218,34000 0,00000 170 37.117,80000 32 6.986,88000 0,00000 100 21.834,00000-302 65.938,68000 1.208 263.754,72000 48691104AE 991 N05AH04 QUETIAPINA QUETIAPINA 25 MG CP os CP CP 0,20000 3.372 674,40000 1.800 360,00000 6.090 1.218,00000 13.680 2.736,00000 3.600 720,00000 1320 264,00000 29.862 5.972,40000 119.448 23.889,60000 4869121DBF 992 N05AH04 QUETIAPINA QUETIAPINA 50 mg CP RILASCIO MODIFICATO os CP CP 0,61000 120 73,20000 1.200 732,00000 840 512,40000 0,00000-0,00000-2.160 1.317,60000 8.640 5.270,40000 48691272B6 993 N05AH04 QUETIAPINA QUETIAPINA 100 mg CP os CP CP 0,41000 3.480 1.426,80000 1.800 738,00000 3.000 1.230,00000 29.760 12.201,60000 6.000 2.460,00000-44.040 18.056,40000 176.160 72.225,60000 4869140D6D 994 N05AH04 QUETIAPINA QUETIAPINA 200 mg CP RILASCIO MODIFICATO os CP CP 1,65600 120 198,72000 0,00000 780 1.291,68000 0,00000 1.800 2.980,80000-2.700 4.471,20000 10.800 17.884,80000 48691494DD 995 N05AH04 QUETIAPINA QUETIAPINA 300 mg CP RILASCIO MODIFICATO os CP CP 1,85838 2.820 5.240,63160 1.200 2.230,05600 600 1.115,02800 9.600 17.840,44800 2.800 5.203,46400-17.020 31.629,62760 68.080 126.518,51040 4869161EC1 996 N05AH04 QUETIAPINA QUETIAPINA FUMARATO 300 mg CP RIV os CP CP 0,57721 0,00000 0,00000 2.340 1.350,67140 0,00000 4.200 2.424,28200-6.540 3.774,95340 26.160 15.099,81360 4869170631 997 N05AH04 QUETIAPINA QUETIAPINA 400 mg CP RILASCIO MODIFICATO os CP CP 1,95000 1.560 3.042,00000 0,00000 660 1.287,00000 0,00000 1.200 2.340,00000-3.420 6.669,00000 13.680 26.676,00000 48691841C0 998 N05AH06 CLOTIAPINA CLOTIAPINA 10% GOCCE os FL FL 1,34000 316 423,44000 40 53,60000 389 521,26000 0,00000 600 804,00000-1.345 1.802,30000 5.380 7.209,20000 4869196BA4 999 N05AH06 CLOTIAPINA CLOTIAPINA 40 mg/4 ml F ev F F 0,68000 220 149,60000 0,00000 470 319,60000 0,00000 600 408,00000-1.290 877,20000 5.160 3.508,80000 4869211806 1000 N05AL03 TIAPRIDE TIAPRIDE CLORIDRATO 100 mg CP os CP CP 0,14981 1.360 203,74160 700 104,86700 1.360 203,74160 1.600 239,69600 2.000 299,62000-7.020 1.051,66620 28.080 4.206,66480 4869214A7F 1001 N05AL03 TIAPRIDE TIAPRIDE CLORIDRATO 100 mg 2 ML F im-ev F F 0,18680 840 156,91200 500 93,40000 510 95,26800 1.200 224,16000 1.000 186,80000-4.050 756,54000 16.200 3.026,16000 48692242C2 1002 N05AL05 AMISULPRIDE AMISULPRIDE 50 mg CP os CP CP 0,18000 1.944 349,92000 0,00000 900 162,00000 5.760 1.036,80000 900 162,00000-9.504 1.710,72000 38.016 6.842,88000 486923295A 1003 N05AL05 AMISULPRIDE AMISULPRIDE 200 mg CP os CP CP 0,45000 120 54,00000 0,00000 90 40,50000 0,00000-0,00000-210 94,50000 840 378,00000 4869240FF2 1004 N05AL05 AMISULPRIDE AMISULPRIDE 400 mg CP os CP CP 0,90000 540 486,00000 1.500 1.350,00000 1.410 1.269,00000 900 810,00000-0,00000-4.350 3.915,00000 17.400 15.660,00000 4869250835 1005 N05AN01 LITIO LITIO CARBONATO 300 mg CP os CP CP 0,04000 2.100 84,00000 2.000 80,00000 6.200 248,00000 0,00000 3.000 120,00000 1300 52,00000 14.600 584,00000 58.400 2.336,00000 48692643C4 1006 N05AX08 RISPERIDONE RISPERIDONE 1 mg CP os CP CP 0,02475 2.520 62,37000 0,00000 1.560 38,61000 0,00000 3.000 74,25000 660 16,33500 7.740 191,56500 30.960 766,26000 4869274C02 1007 N05AX08 RISPERIDONE RISPERIDONE 2 mg CP os CP CP 0,02000 1.800 36,00000 0,00000 1.860 37,20000 10.800 216,00000 600 12,00000-15.060 301,20000 60.240 1.204,80000 4869283372 1008 N05AX08 RISPERIDONE RISPERIDONE 3 mg CP os CP CP 0,03000 1.080 32,40000 0,00000 120 3,60000 0,00000 600 18,00000-1.800 54,00000 7.200 216,00000 4869298FCF 1009 N05AX08 RISPERIDONE RISPERIDONE 1 mg/1 ml GOCCE os FL FL 14,43200 20 288,64000 0,00000 42 606,14400 60 865,92000 300 4.329,60000 10 144,32000 432 6.234,62400 1.728 24.938,49600 48693109B8 1010 N05AX08 RISPERIDONE RISPERIDONE 25 mg 2 ml F im FL FL 83,92667 832 69.826,98944 0,00000 368 30.885,01456 0,00000 200 16.785,33400-1.400 117.497,33800 5.600 469.989,35200 4869318055 1011 N05AX08 RISPERIDONE RISPERIDONE 37,5 mg 2 ml F im FL FL 108,29000 834 90.313,86000 0,00000 245 26.531,05000 0,00000 100 10.829,00000-1.179 127.673,91000 4.716 510.695,64000 486934569B 1012 N05AX08 RISPERIDONE RISPERIDONE 50 mg 2 ML F im FL FL 135,35500 596 80.671,58000 0,00000 314 42.501,47000 0,00000 100 13.535,50000-1.010 136.708,55000 4.040 546.834,20000 4869357084 1013 N05AX12 ARIPIPRAZOLO ARIPIPRAZOLO 5 mg CP ORODISPERSIBILE os CP CP 1,50000 56 84,00000-0,00000-0,00000-0,00000-0,00000-56 84,00000 224 336,00000 48693678C2 1014 N05AX12 ARIPIPRAZOLO ARIPIPRAZOLO 10 mg CP ORODISPERSIBILE os CP CP 3,03998 2.296 6.979,79408 1.260 3.830,37480 2.408 7.320,27184 0,00000-0,00000-5.964 18.130,44072 23.856 72.521,76288 48693792AB

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 1015 N05AX12 ARIPIPRAZOLO ARIPIPRAZOLO 15 mg CP ORODISPERSIBILE os CP CP 3,04000 2.576 7.831,04000 0,00000 3.612 10.980,48000 0,00000-0,00000-6.188 18.811,52000 24.752 75.246,08000 4869388A16 1016 N05AX12 ARIPIPRAZOLO ARIPIPRAZOLO 1 mg/1 ml SOL ORALE os fl fl 79,80000 0,00000 0,00000 0,00000 0,00000 400 31.920,00000-400 31.920,00000 1.600 127.680,00000 48694014D2 1017 N05AX12 ARIPIPRAZOLO ARIPIPRAZOLO 7,5 mg/1,3 ml F im F F 3,03753 30 91,12590 340 1.032,76020 114 346,27842 0,00000 1.000 3.037,53000-1.484 4.507,69452 5.936 18.030,77808 4869410C3D 1018 N05AX13 LIPERIDONE LIPERIDONE 3 mg CP RILASCIO MODIFICATO os CP CP 2,89000 1.288 3.722,32000 380 1.098,20000 560 1.618,40000 0,00000 1.200 3.468,00000-3.428 9.906,92000 13.712 39.627,68000 4869416134 1019 N05AX13 LIPERIDONE LIPERIDONE 6 mg CP RILASCIO MODIFICATO os CP CP 2,89000 896 2.589,44000 280 809,20000 1.540 4.450,60000 0,00000 1.200 3.468,00000-3.916 11.317,24000 15.664 45.268,96000 4869427A45 1020 N05AX13 LIPERIDONE LIPERIDONE 9 mg CP R.P. os cp 4,99094 0,00000 0,00000 672 3.353,91168 0,00000 1.200 5.989,12800-1.872 9.343,03968 7.488 37.372,15872 486943835B 1021 N05AX13 LIPERIDONE LIPERIDONE 50 mg DEPOT F im F F 169,62000 4 678,48000-0,00000 50 8.481,00000-0,00000 100 16.962,00000-154 26.121,48000 616 104.485,92000 4869448B99 1022 N05AX13 LIPERIDONE LIPERIDONE 75 mg DEPOT F im F 218,00000 0,00000 0,00000 50 10.900,00000 0,00000 100 21.800,00000-150 32.700,00000 600 130.800,00000 4869454090 1023 N05AX13 LIPERIDONE LIPERIDONE 100 mg DEPOT F im F F 257,09000 5 1.285,45000 220 56.559,80000 300 77.127,00000 8 2.056,72000 100 25.709,00000-633 162.737,97000 2.532 650.951,88000 48694637FB 1024 N05AX13 LIPERIDONE LIPERIDONE 150 mg DEPOT F im F F 321,36000 6 1.928,16000 160 51.417,60000 150 48.204,00000-0,00000 100 32.136,00000-416 133.685,76000 1.664 534.743,04000 4869468C1A 1025 N05BA DERIVATI BENZODIAZEPINICI DELORAZEM 1 mg CP os CP CP 0,03000 12.640 379,20000 2.400 72,00000 6.160 184,80000 30.000 900,00000 3.000 90,00000-54.200 1.626,00000 216.800 6.504,00000 486947303E 1026 N05BA DERIVATI BENZODIAZEPINICI DELORAZEM 2 mg CP os CP CP 0,03901 6.280 244,98280 5.000 195,05000 4.220 164,62220 0,00000 6.000 234,06000-21.500 838,71500 86.000 3.354,86000 486947738A 1027 N05BA DERIVATI BENZODIAZEPINICI DELORAZEM 0,1% GOCCE os FL FL 0,75000 2.082 1.561,50000 1.500 1.125,00000 219 164,25000 4.200 3.150,00000 1.000 750,00000-9.001 6.750,75000 36.004 27.003,00000 4869489D6E 1028 N05BA DERIVATI BENZODIAZEPINICI DELORAZEM 0,5 mg/ml F im-ev F F 1,00000 774 774,00000 0,00000 0,00000 0,00000 3.000 3.000,00000-3.774 3.774,00000 15.096 15.096,00000 4869508D1C 1029 N05BA DERIVATI BENZODIAZEPINICI DELORAZEM 2 mg/ml F im-ev F F 1,00000 1.476 1.476,00000 990 990,00000 333 333,00000 0,00000 6.000 6.000,00000-8.799 8.799,00000 35.196 35.196,00000 48695217D8 1030 N05BA DERIVATI BENZODIAZEPINICI DELORAZEM 5 mg/ml F im-ev F F 1,00000 1.050 1.050,00000 360 360,00000 339 339,00000 0,00000 900 900,00000-2.649 2.649,00000 10.596 10.596,00000 4869528D9D 1031 N05BA01 DIAZEM DIAZEM 5 mg CP os CP CP 0,07000 500 35,00000 0,00000 7.275 509,25000 16.000 1.120,00000 0,00000-23.775 1.664,25000 95.100 6.657,00000 48695396B3 1032 N05BA01 DIAZEM DIAZEM 0,5% GOCCE os FL FL 0,68205 2.926 1.995,67830 900 613,84500 4.190 2.857,78950 3.000 2.046,15000 800 545,64000 100 68,20500 11.916 8.127,30780 47.664 32.509,23120 4869553242 1033 N05BA01 DIAZEM DIAZEM 10 mg/2 ml F im-ev F F 0,26410 3.164 835,61240 2.100 554,61000 3.828 1.010,97480 7.200 1.901,52000 13.500 3.565,35000 1.200 316,92000 30.992 8.184,98720 123.968 32.739,94880 4869558661 1034 N05BA01 DIAZEM DIAZEM 5 mg/2,5 ml CLISMA ret FL FL 1,14000 216 246,24000 0,00000 244 278,16000 0,00000 100 114,00000-560 638,40000 2.240 2.553,60000 4870517DC3 1035 N05BA01 DIAZEM DIAZEM 10 mg/2,5 ml CLISMA ret FL FL 1,40000 120 168,00000 0,00000 68 95,20000 0,00000 100 140,00000-288 403,20000 1.152 1.612,80000 4870525460 1036 N05BA06 LORAZEM LORAZEM 1 mg CP os CP CP 0,10000 29.762 2.976,20000 20.000 2.000,00000 47.540 4.754,00000 0,00000 45.000 4.500,00000 4000 400,00000 146.302 14.630,20000 585.208 58.520,80000 4870527606 1037 N05BA06 LORAZEM LORAZEM 2,5 mg CP os CP CP 0,11000 28.000 3.080,00000 10.000 1.100,00000 30.980 3.407,80000 0,00000 15.000 1.650,00000 2000 220,00000 85.980 9.457,80000 343.920 37.831,20000 4870531952 1038 N05BA06 LORAZEM LORAZEM 2 mg/ml GOCCE os FL FL 0,98000 216 211,68000 0,00000 22 21,56000 0,00000 600 588,00000-838 821,24000 3.352 3.284,96000 4870535C9E 1039 N05BA08 BROMAZEM BROMAZEM 2,5 mg/ml GOCCE os FL FL 0,88102 656 577,94912 330 290,73660 632 556,80464 1.200 1.057,22400 800 704,81600 70 61,67140 3.688 3.249,20176 14.752 12.996,80704 4870539FEA 1040 N05BA09 CLOBAZAM CLOBAZAM 10 mg CP os CP CP 0,12000 360 43,20000 0,00000 600 72,00000 0,00000 2.400 288,00000 3.000 360,00000 6.360 763,20000 25.440 3.052,80000 4870547687 1041 N05BA12 ALPRAZOLAM ALPRAZOLAM 0,25 mg CP os CP CP 0,11000 5.840 642,40000 0,00000 0,00000 0,00000 9.300 1.023,00000-15.140 1.665,40000 60.560 6.661,60000 4870550900 1042 N05BA12 ALPRAZOLAM ALPRAZOLAM 0,50 mg CP os CP CP 0,10000 2.960 296,00000 5.000 500,00000 9.200 920,00000 0,00000-0,00000-17.160 1.716,00000 68.640 6.864,00000 4870556DF2 1043 N05BB01 IDROXIZINA IDROSSIZINA 25 mg CP os CP CP 0,21000 1.240 260,40000 2.000 420,00000 18.640 3.914,40000 0,00000 10.000 2.100,00000-31.880 6.694,80000 127.520 26.779,20000 487058992F 1044 N05BB01 IDROXIZINA IDROSSIZINA 2 mg/ml 150 ml SCIROPPO os FL FL 3,23000 46 148,58000 0,00000 17 54,91000 0,00000 120 387,60000-183 591,09000 732 2.364,36000 4870595E21 1045 N05CD01 FLURAZEM FLURAZEM 15 mg CP os CP CP 0,17000 5.220 887,40000 0,00000 2.460 418,20000 12.000 2.040,00000 3.000 510,00000-22.680 3.855,60000 90.720 15.422,40000 487059809F 1046 N05CD01 FLURAZEM FLURAZEM 30 mg CP os CP CP 0,30000 15.180 4.554,00000 0,00000 9.180 2.754,00000 33.600 10.080,00000 3.000 900,00000-60.960 18.288,00000 243.840 73.152,00000 48706023EB 1047 N05CD05 TRIAZOLAM TRIAZOLAM 0,25 mg CP os CP CP 0,10000 7.360 736,00000 1.500 150,00000 8.360 836,00000 0,00000 9.000 900,00000-26.220 2.622,00000 104.880 10.488,00000 487060780A 1048 N05CD08 MIDAZOLAM MIDAZOLAM 5 mg/1 ml F im-ev F F 0,35000 22.270 7.794,50000 0,00000 31.840 11.144,00000 16.000 5.600,00000 22.000 7.700,00000 1700 595,00000 93.810 32.833,50000 375.240 131.334,00000 48706191F3 1049 N05CD08 MIDAZOLAM MIDAZOLAM 15 mg/3 ml F im-ev F F 0,40000 4.040 1.616,00000 0,00000 6.730 2.692,00000 0,00000 5.000 2.000,00000 7300 2.920,00000 23.070 9.228,00000 92.280 36.912,00000 4870621399 1050 N05CF02 ZOLPIDEM ZOLPIDEM TARTRATO 10 mg CP os CP CP 0,13000 13.740 1.786,20000 1.800 234,00000 15.990 2.078,70000 24.000 3.120,00000 9.000 1.170,00000 3.000 390,00000 67.530 8.778,90000 270.120 35.115,60000 48706267B8 1051 N06AA04 CLOMIPRAMINA CLOMIPRAMINA 25 mg CP os CP CP 0,06000 520 31,20000 0,00000 100 6,00000 240 14,40000 1.000 60,00000-1.860 111,60000 7.440 446,40000 4870629A31 1052 N06AA04 CLOMIPRAMINA CLOMIPRAMINA 75 mg CP RILASCIO MODIFICATO os CP CP 0,13000 560 72,80000 0,00000 280 36,40000 0,00000-0,00000-840 109,20000 3.360 436,80000 4870630B04 1053 N06AA04 CLOMIPRAMINA CLOMIPRAMINA 25 mg/2 ml F im F F 1,26000 20 25,20000 0,00000 20 25,20000 0,00000 500 630,00000 250 315,00000 790 995,40000 3.160 3.981,60000 4870632CAA

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 1054 N06AA09 AMITRIPTILINA AMITRIPTILINA 40 mg/ml GOCCE os FL FL 1,50000 82 123,00000 40 60,00000 91 136,50000 200 300,00000 480 720,00000-893 1.339,50000 3.572 5.358,00000 4870635F23 1055 N06AB03 FLUOXETINA FLUOXETINA 20 mg CP os CP CP 0,02000 360 7,20000 0,00000 108 2,16000 11.200 224,00000 4.500 90,00000-16.168 323,36000 64.672 1.293,44000 4870636FF6 1056 N06AB04 CITALOPRAM CITALOPRAM 20 mg CP os CP CP 0,05000 4.960 248,00000 1.260 63,00000 7.560 378,00000 11.200 560,00000 1.000 50,00000 1.400 70,00000 27.380 1.369,00000 109.520 5.476,00000 487064141A 1057 N06AB04 CITALOPRAM CITALOPRAM 40 mg/ml SOLUZ. ORALE FL F 3,67500 0,00000 80 294,00000 0,00000 0,00000 600 2.205,00000-680 2.499,00000 2.720 9.996,00000 48706424ED 1058 N06AB05 ROXETINA ROXETINA CLORORIDRATO 20 mg CP os CP CP 0,18000 2.616 470,88000 140 25,20000 5.180 932,40000 8.400 1.512,00000 5.600 1.008,00000 280 50,40000 22.216 3.998,88000 88.864 15.995,52000 4870645766 1059 N06AB06 SERTRALINA SERTRALINA 50 mg CP os CP CP 0,10000 13.500 1.350,00000 3.000 300,00000 11.430 1.143,00000 0,00000 9.000 900,00000-36.930 3.693,00000 147.720 14.772,00000 4870649AB2 1060 N06AB08 FLUVOXAMINA FLUVOXAMINA 50 mg CP os CP CP 0,10170 560 56,95200 0,00000 0,00000 7.200 732,24000 0,00000-7.760 789,19200 31.040 3.156,76800 4870651C58 1061 N06AB08 FLUVOXAMINA FLUVOXAMINA MALEATO 100 mg CP RIV os CP CP 0,22000 0,00000 0,00000 3.420 752,40000 0,00000 600 132,00000-4.020 884,40000 16.080 3.537,60000 4870653DFE 1062 N06AB10 ESCITALOPRAM ESCITALOPRAM 10 mg CP os CP CP 0,19000 3.528 670,32000 1.960 372,40000 3.976 755,44000 4.480 851,20000 3.900 741,00000-17.844 3.390,36000 71.376 13.561,44000 487065607C 1063 N06AX05 TRAZODONE TRAZODONE 50 mg CP os CP CP 0,07365 60 4,41900 0,00000 90 6,62850 0,00000 0,00000-150 11,04750 600 44,19000 4870658222 1064 N06AX16 VENLAFAXINA VENLAFAXINA 37,5 mg CP os CP CP 0,36600 616 225,45600 0,00000 84 30,74400 0,00000 0,00000-700 256,20000 2.800 1.024,80000 4870663641 1065 N06AX16 VENLAFAXINA VENLAFAXINA 75 mg CP RILASCIO MODIFICATO os CP CP 0,24000 1.456 349,44000 0,00000 5.488 1.317,12000 11.200 2.688,00000 3.000 720,00000 280 67,20000 21.424 5.141,76000 85.696 20.567,04000 4870668A60 1066 N06AX16 VENLAFAXINA VENLAFAXINA 150 mg CP RILASCIO MODIFICATO os CP CP 0,44000 840 369,60000 0,00000 480 211,20000 0,00000 0,00000-1.320 580,80000 5.280 2.323,20000 4870672DAC 1067 N06AX21 DULOXETINA DULOXETINA 30 mg CP os CP CP 1,10000 364 400,40000 0,00000 567 623,70000 0,00000 1.200 1.320,00000 1260 1.386,00000 3.391 3.730,10000 13.564 14.920,40000 48706771D0 1068 N06AX21 DULOXETINA DULOXETINA 60 mg CP os CP CP 0,82000 2.184 1.790,88000 1.260 1.033,20000 1.568 1.285,76000 1.680 1.377,60000 1.200 984,00000-7.892 6.471,44000 31.568 25.885,76000 4870680449 1069 N06BC01 CAFFEINA CAFEINA CITRATO 20 mg/1ml F ev F F 19,73500 240 4.736,40000 0,00000 30 592,05000 1.500 29.602,50000 0,00000-1.770 34.930,95000 7.080 139.723,80000 48706825EF 1070 N06BC01 CAFFEINA CAFEINA CITRATO 10 mg/1ml F galenico ev F F 2,18000 2.760 6.016,80000 1.000 2.180,00000 10 21,80000 0,00000 12.000 26.160,00000-15.770 34.378,60000 63.080 137.514,40000 4870685868 1071 N06BX03 PIRACETAM PIRACETAM 15ML 3g F os-ev F F 0,60030 0,00000 0,00000 0,00000 0,00000 0,00000 2196 1.318,25880 2.196 1.318,25880 8.784 5.273,03520 4870689BB4 1072 N06DA02 DONEPEZIL DONEPEZIL 5 mg CP os CP CP 1,91000 1.456 2.780,96000 0,00000 252 481,32000 0,00000 0,00000-1.708 3.262,28000 6.832 13.049,12000 4870691D5A 1073 N06DA02 DONEPEZIL DONEPEZIL 10 mg CP os CP CP 2,33000 560 1.304,80000 0,00000 196 456,68000 0,00000 0,00000-756 1.761,48000 3.024 7.045,92000 48706950AB 1074 N06DA03 RIVASTIGMINA RIVASTIGMINA 1,5 mg CP os CP CP 1,00000 448 448,00000 0,00000 392 392,00000 0,00000 0,00000-840 840,00000 3.360 3.360,00000 48706993F7 1075 N06DA03 RIVASTIGMINA RIVASTIGMINA 3 mg CP os CP CP 1,00000 112 112,00000 0,00000 112 112,00000 0,00000 0,00000-224 224,00000 896 896,00000 487070159D 1076 N06DA03 RIVASTIGMINA RIVASTIGMINA 4,6 mg/die CEROTTO TRANSDERMICO td CER CER 1,80000 600 1.080,00000 0,00000 60 108,00000 0,00000-0,00000 510 918,00000 1.170 2.106,00000 4.680 8.424,00000 48707058E9 1077 N06DA03 RIVASTIGMINA RIVASTIGMINA 9,5 mg/die CEROTTO TRANSDERMICO td CER CER 1,80000 360 648,00000 0,00000 60 108,00000 0,00000-0,00000 180 324,00000 600 1.080,00000 2.400 4.320,00000 4870708B62 1078 N06DX01 MEMANTINA MEMANTINA 10 mg CP os CP CP 1,05000 2.240 2.352,00000 0,00000 336 352,80000 0,00000-0,00000 4.424 4.645,20000 7.000 7.350,00000 28.000 29.400,00000 4870710D08 1079 N07AA01 NEOSTIGMINA NEOSTIGMINA 0,5 mg/1ml F im,ev F F 0,12000 4.632 555,84000 6.000 720,00000 16.620 1.994,40000 9.600 1.152,00000 8.400 1.008,00000-45.252 5.430,24000 181.008 21.720,96000 4870711DDB 1080 N07BB FARMACI UTILIZZATI NELLA DIPENDENZA DA ALCOOL METADOXINA 300 mg/5 ml F im-ev F F 0,70000 100 70,00000 0,00000 0,00000 0,00000 1.000 700,00000-1.100 770,00000 4.400 3.080,00000 4870713F81 1081 N07BC02 METADONE METADONE 10 mg/1 ml F im F F 0,27000 206 55,62000 300 81,00000 145 39,15000 0,00000-0,00000-651 175,77000 2.604 703,08000 48707340DA 1082 N07BC02 METADONE METADONE 20 mg/20 ml SOLUZIONE ORALE os FL FL 0,42000 1.184 497,28000 500 210,00000 993 417,06000 1.200 504,00000 1.000 420,00000-4.877 2.048,34000 19.508 8.193,36000 4870736280 1083 N07CA01 BETAISTINA BETAISTINA 12,5 mg/ml GOCCE os FL FL 5,59000 22 122,98000 0,00000 60 335,40000 0,00000 0,00000-82 458,38000 328 1.833,52000 4870738426 1084 N07CA01 BETAISTINA BETAISTINA 8 mg CP os CP CP 0,14000 2.000 280,00000 0,00000 150 21,00000 0,00000 3.300 462,00000-5.450 763,00000 21.800 3.052,00000 487074169F 1085 N07XX02 RILUZOLO RILUZOLO 50 mg CP RIV os CP CP 3,00000 0,00000 0,00000 2.744 8.232,00000 0,00000 1.350 4.050,00000-4.094 12.282,00000 16.376 49.128,00000 4870743845 1086 N07XX06 TETRABENAZINA TETRABENAZINA 25 mg CP DIV os CP CP 1,00000 0,00000 0,00000 1.120 1.120,00000 0,00000 150 150,00000-1.270 1.270,00000 5.080 5.080,00000 4870750E0A 1087 P01AB01 METRONIDAZOLO METRONIDAZOLO 250 mg CP os CP CP 0,05000 6.120 306,00000 5.000 250,00000 10.900 545,00000 0,00000 37.500 1.875,00000 40 2,00000 59.560 2.978,00000 238.240 11.912,00000 4870752FB0 1088 P01BA02 IDROXICLOROCHINA IDROSSICLOROCHINA SOLFATO 200 mg CP os CP CP 0,12273 960 117,82080 0,00000 750 92,04750 0,00000 900 110,45700-2.610 320,32530 10.440 1.281,30120 4870753088 1089 R01AA07 XILOMETAZOLINA XILOMETAZOLINA CLORIDRATO 0,1% 10ML GTT RIN ADULTI loc FL FL 2,27500 0,00000 0,00000 466 1.060,15000 0,00000-0,00000-466 1.060,15000 1.864 4.240,60000 487075522E 1090 R01AB05 EFEDRINA ANIDRA/EUCALIPTOLO/NIAOULI ESSENZA EFEDRINA ANIDRA/EUCALIPTOLO/NIAOULI ESSENZA DOS BASSO GTT RINO30ML loc FL FL 3,07000 0,00000 0,00000 0,00000 400 1.228,00000 300 921,00000-700 2.149,00000 2.800 8.596,00000 4870767C12 NEOMICINA/EUCALIPTOLO/PINO ESSENZA/CANFORA/MENTOLO/CLO NEOMICINA/EUCALIPTOLO/PINO 1091 R01AX10 ROBUTA ESSENZA/CANFORA/MENTOLO/CLOROBUTA POM 10G loc TU TU 3,42000 0,00000 0,00000 150 513,00000 1.200 4.104,00000-0,00000-1.350 4.617,00000 5.400 18.468,00000 4870768CE5 1092 R03AC02 SALBUTAMOLO SALBUTAMOLO 0,5% SOLUZIONE DA NEBULIZZARE inal FL FL 2,23000 728 1.623,44000 500 1.115,00000 1.384 3.086,32000 2.800 6.244,00000 3.500 7.805,00000-8.912 19.873,76000 35.648 79.495,04000 4870770E8B

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 1093 R03AC02 SALBUTAMOLO SALBUTAMOLO 100 mcg SOSPENSIONE PRESSURIZZATA inal FL FL 1,29909 1.710 2.221,44390 450 584,59050 1.400 1.818,72600 2.000 2.598,18000 900 1.169,18100 100 129,90900 6.560 8.522,03040 26.240 34.088,12160 48707752AF 1094 R03AC02 SALBUTAMOLO SALBUTAMOLO 100 mcg/5 ml F im-ev F F 0,72503 168 121,80504 0,00000 160 116,00480 0,00000 1.000 725,03000-1.328 962,83984 5.312 3.851,35936 4870777455 1095 R03AC02 SALBUTAMOLO SALBUTAMOLO 500 mcg/ml F im-ev F F 0,69456 660 458,40960 300 208,36800 330 229,20480 0,00000 1.500 1.041,84000 70 48,61920 2.860 1.986,44160 11.440 7.945,76640 48707806CE 1096 R03AC12 SALMETEROLO SALMETEROLO 25 mcg SOSPENSIONE PRESSURIZZATA inal FL FL 14,65567 24 351,73608 20 293,11340 240 3.517,36080 0,00000 0,00000-284 4.162,21028 1.136 16.648,84112 48707817A1 1097 R03AK04 SALBUTAMOLO/IPRATROPIO SALBUTAMOLO/IPRATROPIO 0,375%+0,075% SOLUZIONE inal-os FL FL 2,62486 92 241,48712 440 1.154,93840 72 188,98992 0,00000 300 787,45800-904 2.372,87344 3.616 9.491,49376 4870782874 1098 R03AK06 SALMETEROLO/FLUTICASONE SALMETEROLO XINAFOATO/FLUTICASONE PROPIONATO DISKUS 50-500 60 DOSI inal FL FL 38,00000 0,00000 0,00000 0,00000 260 9.880,00000-0,00000-260 9.880,00000 1.040 39.520,00000 4870785AED 1099 R03AK06 SALMETEROLO/FLUTICASONE SALMETEROLO/FLUTICASONE 25/250 mcg SOSPENSIONE PR. inal FL FL 31,16667 542 16.892,33514 0,00000 480 14.960,00160 120 3.740,00040 0,00000-1.142 35.592,33714 4.568 142.369,34856 4870788D66 1100 R03AK06 SALMETEROLO/FLUTICASONE SALMETEROLO/FLUTICASONE 50/500 mcg SOSPENSIONE PR. inal FL FL 29,27552 0,00000 80 2.342,04160 0,00000 0,00000 400 11.710,20800-480 14.052,24960 1.920 56.208,99840 4870790F0C 1101 R03AK07 BECLOMETASONE DIPROPRIONATO/FORMOTEROLO FUMARATO DIIDRATO BECLOMETASONE DIPR./FORMOTEROLO FUM. DIIDR. 100/6 mgc SOL PRESSURIZZATA inal FL FL 21,00000 0,00000 0,00000 240 5.040,00000 40 840,00000-0,00000 1.000 21.000,00000 1.280 26.880,00000 5.120 107.520,00000 487079425D 1102 R03BA01 BECLOMETASONE BECLOMETASONE 0,8 mg/2 ml SOSP. DA NEBULIZZARE inal FL FL 0,24784 25.800 6.394,27200 0,00000 48.360 11.985,54240 0,00000 40.000 9.913,60000-114.160 28.293,41440 456.640 113.173,65760 4870811065 1103 R03BA01 BECLOMETASONE BECLOMETASONE 50 mcg SOLUZIONE PRESSURIZZATA inal FL FL 3,09000 1.124 3.473,16000 0,00000 0,00000 1.000 3.090,00000 1.000 3.090,00000-3.124 9.653,16000 12.496 38.612,64000 4870817557 1104 R03BA01 BECLOMETASONE BECLOMETASONE DIPROPIONATO 100 mcg SOL PRESSURIZZATA inal FL FL 12,54000 0,00000 0,00000 200 2.508,00000 0,00000 0,00000-200 2.508,00000 800 10.032,00000 48708207D0 1105 R03BA01 BECLOMETASONE BECLOMETASONE 250 mcg SOLUZIONE PRESSURIZZATA inal FL FL 9,00762 8 72,06096 120 1.080,91440 200 1.801,52400 0,00000 0,00000-328 2.954,49936 1.312 11.817,99744 4870846D43 1106 R03BA03 FLUNISOLIDE FLUNISOLIDE 30 mg/30 ml SOUZIONE DA NEBULIZZARE inal FL FL 1,38000 130 179,40000 600 828,00000 0,00000 3.400 4.692,00000 0,00000-4.130 5.699,40000 16.520 22.797,60000 4870850094 1107 R03BA05 FLUTICASONE FLUTICASONE 27.5mcg/erog 120 erog SOLUZIONE PRESSURIZZATA inal FL FL 12,50000 0,00000 15 187,50000 240 3.000,00000 0,00000 0,00000-255 3.187,50000 1.020 12.750,00000 48708554B3 1108 R03BA05 FLUTICASONE FLUTICASONE 250 mcg/erog 120 erog SOSPENSIONE PRESSURIZZATA inal FL FL 20,80000 4 83,20000 20 416,00000 0,00000 0,00000 60.000 1.248.000,00000-60.024 1.248.499,20000 240.096 4.993.996,80000 4870857659 1109 R03BA05 FLUTICASONE FLUTICASONE DISKUS 500 mcg 60 dosi inal FL FL 21,71000 0,00000 0,00000 120 2.605,20000 0,00000 0,00000-120 2.605,20000 480 10.420,80000 487085872C 1110 R03BB01 IPRATROPIO BROMURO IPRATROPIO BROMURO 0,025% F inal FL FL 0,22647 12.920 2.925,99240 3.400 769,99800 11.470 2.597,61090 0,00000 34.000 7.699,98000-61.790 13.993,58130 247.160 55.974,32520 48708597FF 1111 R03BB02 OXITROPIO BROMURO OSSITROPIO 0,15% SOLUZIONE DA NEBULIZZARE inal FL FL 5,82635 10 58,26350 0,00000 669 3.897,82815 0,00000 0,00000-679 3.956,09165 2.716 15.824,36660 48708619A5 1112 R03BB04 TIOTROPIO BROMURO TIOTROPIO 2,5 mcg SOLUZIONE PER INALAZIONE inal FL FL 25,40000 94 2.387,60000 0,00000 500 12.700,00000 0,00000 2.700 68.580,00000-3.294 83.667,60000 13.176 334.670,40000 4870862A78 1113 R03BB04 TIOTROPIO BROMURO TIOTROPIO 18 MCG CPS INALATORIA inal CP CP 0,85000 14.460 12.291,00000 1.200 1.020,00000 20.670 17.569,50000 0,00000 1.800 1.530,00000-38.130 32.410,50000 152.520 129.642,00000 4870864C1E 1114 R03CA02 EFEDRINA EFEDRINA CLORIDRATO 25 mg/1 ml F im F F 0,23000 4.100 943,00000 1.500 345,00000 3.685 847,55000 4.000 920,00000 1.800 414,00000-15.085 3.469,55000 60.340 13.878,20000 4870866DC4 1115 R03DA04 TEOFILLINA TEOFILLINA 200 mg CP os CP CP 0,05000 480 24,00000 0,00000 1.740 87,00000 0,00000 900 45,00000-3.120 156,00000 12.480 624,00000 4870868F6A 1116 R03DA04 TEOFILLINA TEOFILLINA 300 mg CP os CP CP 0,04000 660 26,40000 900 36,00000 2.460 98,40000 0,00000 600 24,00000-4.620 184,80000 18.480 739,20000 4870870115 1117 R03DA05 AMINOFILLINA AMINOFILLINA 240 mg/10ml F ev F F 0,15000 810 121,50000 400 60,00000 1.085 162,75000 0,00000 1.800 270,00000-4.095 614,25000 16.380 2.457,00000 48708711E8 1118 R03DC03 MONTELUKAST MONTELUKAST 10 mg CP os CP CP 0,90000 168 151,20000 0,00000 224 201,60000 0,00000-0,00000-392 352,80000 1.568 1.411,20000 48708722BB 1119 R03DX05 OMALIZUMAB OMALIZUMAB 150 mg F sc FL FL 287,92000 108 31.095,36000 0,00000 299 86.088,08000 0,00000 300 86.376,00000-707 203.559,44000 2.828 814.237,76000 487087338E 1120 R05CB01 ACETILCISTEINA ACETILCISTEINA 300 mg/3 ml F im-ev-inal F F 0,25000 7.090 1.772,50000 0,00000 14.760 3.690,00000 22.000 5.500,00000 9.000 2.250,00000 500 125,00000 53.350 13.337,50000 213.400 53.350,00000 4870875534 1121 R05CB01 ACETILCISTEINA ACETILCISTEINA 600 mg CP EFFERVESCENTE os CP CP 0,23000 19.820 4.558,60000 7.000 1.610,00000 26.165 6.017,95000 48.000 11.040,00000 4.500 1.035,00000 1400 322,00000 106.885 24.583,55000 427.540 98.334,20000 48708776DA 1122 R05CB02 BROMEXINA BROMEXINA 2 mg/ml SOLUZIONE ORALE os FL FL 2,92250 28 81,83000 0,00000 79 230,87750 100 292,25000 0,00000-207 604,95750 828 2.419,83000 4870882AF9 1123 R05CB06 AMBROXOLO AMBROXOL 0,3% SCIROPPO os FL FL 0,36000 670 241,20000 0,00000 882 317,52000 2.920 1.051,20000 900 324,00000 100 36,00000 5.472 1.969,92000 21.888 7.879,68000 4870885D72 1124 R05CB06 AMBROXOLO AMBROXOL 0,75% SOLUZIONE ORALE/DA NEBULIZZARE inal FL FL 7,00000 12 84,00000 0,00000 0,00000 0,00000 0,00000-12 84,00000 48 336,00000 4870887F18 1125 R05CB06 AMBROXOLO AMBROXOL 15 mg/2 ml F inal F F 0,03002 4.116 123,56232 900 27,01800 4.026 120,86052 0,00000 3.000 90,06000-12.042 361,50084 48.168 1.446,00336 4870888FEB 1126 R05CB06 AMBROXOLO AMBROXOL 60 mg BUSTE os PZ PZ 2,26000 0,00000 7.000 15.820,00000 0,00000 0,00000-0,00000-7.000 15.820,00000 28.000 63.280,00000 4870890196 1127 R05DA DIIDROCODEINA RODANATO DIIDROCODEINA RODANATO 15 g OS GTT FL os FL FL 2,09090 0,00000 0,00000 229 478,81610 400 836,36000 300 627,27000-929 1.942,44610 3.716 7.769,78440 4870891269 1128 R05DA09 DESTROMETORFANO DESTROMETORFANO 1,5% GOCCE os FL FL 3,19000 300 957,00000 0,00000 0,00000 0,00000 600 1.914,00000-900 2.871,00000 3.600 11.484,00000 487089340F 1129 R05DA20 DIIDROCODEINA/PENTETRAZOLO DIIDROCODEINA + PENTETRAZOLO GOCCE os FL FL 4,20000 138 579,60000 400 1.680,00000 0,00000 0,00000 600 2.520,00000-1.138 4.779,60000 4.552 19.118,40000 4870896688 1130 R05DB27 LEVODROPROPIZINA LEVODROPROPIZINA 6% 30ML OS GTT os FL FL 4,03000 0,00000 0,00000 387 1.559,61000 0,00000 1.500 6.045,00000-1.887 7.604,61000 7.548 30.418,44000 487089882E 1131 R06AB02 DESCLORFENIRAMINA DESCLORFENIRAMINA 6 mg CP RILASCIO MODIF. os CP CP 0,20150 1.320 265,98000 0,00000 820 165,23000 0,00000 3.000 604,50000-5.140 1.035,71000 20.560 4.142,84000 4870901AA7

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 1132 R06AB04 CLORFENAMINA CLORFENAMINA 10 mg/ml F ev F F 0,91250 2.410 2.199,12500 3.000 2.737,50000 5.035 4.594,43750 0,00000 10.000 9.125,00000-20.445 18.656,06250 81.780 74.624,25000 4870902B7A 1133 R06AB04 CLORFENAMINA CLORFENAMINA 4 mg CP os CP CP 0,22000 2.880 633,60000 0,00000 0,00000 0,00000 1.000 220,00000-3.880 853,60000 15.520 3.414,40000 4870904D20 1134 R06AD02 PROMETAZINA PROMETAZINA 50 mg/2 ml F im F F 0,58777 210 123,43170 300 176,33100 3.475 2.042,50075 0,00000 1.000 587,77000-4.985 2.930,03345 19.940 11.720,13380 4870905DF3 1135 R06AE06 OXATOMIDE OXATOMIDE 2,5% GOCCE os FL FL 2,12455 170 361,17350 50 106,22750 185 393,04175 0,00000 600 1.274,73000-1.005 2.135,17275 4.020 8.540,69100 4870907F99 1136 R06AE06 OXATOMIDE OXATOMIDE 30 mg CP os CP CP 0,09000 1.980 178,20000 0,00000 0,00000 0,00000 1.200 108,00000-3.180 286,20000 12.720 1.144,80000 4870909144 1137 R06AE07 CETIRIZINA DICLORIDRATO CETIRIZINA DICLORIDRATO 10 mg CP RIV os CP CP 0,03440 0,00000 4.200 144,48000 2.000 68,80000 14.000 481,60000 9.000 309,60000-29.200 1.004,48000 116.800 4.017,92000 4870914563 1138 R07AA AMBROXOLO AMBROXOLO CLORIDRATO 1 g/50 ml FL ev FL FL 9,00000 0,00000 0,00000 26 234,00000 0,00000 0,00000-26 234,00000 104 936,00000 48709177DC 1139 R07AA02 FOSFOLIPIDI NATURALI PORACTANT ALFA 80 mg/ml FL. ENDOTRACH./ENDOBRON. endotr. FL FL 276,98775 172 47.641,89300 100 27.698,77500 14 3.877,82850 0,00000 800 221.590,20000-1.086 300.808,69650 4.344 1.203.234,78600 4870920A55 1140 R07AX ALTRI PRERATI PER IL SISTEMA RESPIRATORIO METACOLINA 0,2% FLACONI + TAMPONI inal CF CF 35,50000 6 213,00000 0,00000 0,00000 0,00000 600 21.300,00000-606 21.513,00000 2.424 86.052,00000 4870922BFB 1141 S01AA11 GENTAMICINA GENTAMICINA SOLFATO 0,3% 0,5ML COLL MONOD FL oft FL FL 0,43640 0,00000 0,00000 1.455 634,96200 0,00000 1.500 654,60000-2.955 1.289,56200 11.820 5.158,24800 4870924DA1 1142 S01AA12 TOBRAMICINA TOBRAMICINA 0,3% COLLIRIO oft FL FL 1,15000 122 140,30000 350 402,50000 341 392,15000 0,00000 1.500 1.725,00000-2.313 2.659,95000 9.252 10.639,80000 4870926F47 1143 S01AA12 TOBRAMICINA TOBRAMICINA 0,3% POMATA OFTALMICA oft TU TU 2,45006 42 102,90252 600 1.470,03600 0,00000 0,00000 800 1.960,04800-1.442 3.532,98652 5.768 14.131,94608 487092701F 1144 S01AA13 ACIDO FUSIDICO ACIDO FUSIDICO 1% 5 g GTT OFT oft FL FC 3,51842 0,00000 350 1.231,44700 807 2.839,36494 0,00000-0,00000-1.157 4.070,81194 4.628 16.283,24776 48709291C5 1145 S01AA23 NETILMICINA NETILMICINA 0,3% COLLIRIO MONODOSE oft FL FL 0,35000 3.450 1.207,50000 0,00000 2.400 840,00000 0,00000 1.500 525,00000-7.350 2.572,50000 29.400 10.290,00000 4870930298 1146 S01AA30 ASSOCIAZIONI DI DIFFERENTI ANTIBIOTICI TETRACICLINA + CLORAMFENICOLO + COLISTINA POM. OFT. oft FL FL 3,73000 22 82,06000 0,00000 51 190,23000 0,00000 300 1.119,00000-373 1.391,29000 1.492 5.565,16000 487093136B 1147 S01AD03 ACICLOVIR ACICLOVIR 3% POMATA OFTALMICA oft PZ PZ 3,77000 6 22,62000 300 1.131,00000 11 41,47000 200 754,00000 300 1.131,00000-817 3.080,09000 3.268 12.320,36000 4870933511 1148 S01AX11 OFLOXACINA OFLOXACIN 0,3% UNGUENTO OFTALMICO oft FL FL 3,86434 548 2.117,65832 1.800 6.955,81200 526 2.032,64284 0,00000 2.250 8.694,76500-5.124 19.800,87816 20.496 79.203,51264 487093785D 1149 S01AX11 OFLOXACINA OFLOXACIN 0,3% COLLIRIO oft FL FL 3,41039 564 1.923,45996 1.400 4.774,54600 11 37,51429 0,00000 3.000 10.231,17000-4.975 16.966,69025 19.900 67.866,76100 4870938930 1150 S01AX12 OFLOXACINA OFLOXACIN 0,3% COLLIRIO monodose oft FL FL 0,30455 0,00000 0,00000 0,00000 0,00000 9.000 2.740,95000-9.000 2.740,95000 36.000 10.963,80000 4870943D4F 1151 S01AX19 LEVOFLOXACINA EMIIDRATO LEVOFLOXACINA 5 mg/ml 0,5 ml COLL MONOD FL coll FL FL 0,39000 0,00000 0,00000 2.700 1.053,00000 300 117,00000 1.000 390,00000-4.000 1.560,00000 16.000 6.240,00000 4870945EF5 1152 S01AX22 MOXIFLOXACINA MOXIFLOXACINA 0,5% COLLIRIO oft FL FL 3,28008 0,00000 500 1.640,04000 0,00000 0,00000-0,00000-500 1.640,04000 2.000 6.560,16000 4872320DA5 1153 S01BA01 DESAMETASONE DESAMETASONE 0,1% COLLIRIO oft FL FL 2,72571 0,00000 150 408,85650 0,00000 0,00000 700 1.907,99700-850 2.316,85350 3.400 9.267,41400 4872329515 1154 S01BA01 DESAMETASONE DESAMETASONE IMPIANTO INTRAVITREALE 700 mg oft CF CF 884,35200 20 17.687,04000 20 17.687,04000 3 2.653,05600 54 47.755,00800 40 35.374,08000-137 121.156,22400 548 484.624,89600 4872339D53 1155 S01CA01 DESAMETASONE E NETILMICINA DESAMETASONE + NETILMICINA COLLIRIO MONODOSE oft FL FL 0,44000 4.560 2.006,40000 0,00000 6.840 3.009,60000 0,00000 600 264,00000-12.000 5.280,00000 48.000 21.120,00000 4872344177 1156 S01CA01 DESAMETASONE E TOBRAMICINA DESAMETASONE + TOBRAMICINA POMATA OFTALMICA oft PZ PZ 1,77000 44 77,88000 600 1.062,00000 0,00000 0,00000 1.500 2.655,00000-2.144 3.794,88000 8.576 15.179,52000 48723549B5 1157 S01CA01 DESAMETASONE E TOBRAMICINA DESAMETASONE +TOBRAMICINA COLLIRIO oft FL FL 1,24000 196 243,04000 3.000 3.720,00000 10 12,40000 0,00000 2.700 3.348,00000-5.906 7.323,44000 23.624 29.293,76000 4872362052 1158 S01CA05 BETAMETASONE ED ANTIMICROBICI BETAMETASONE 0,2% +CLORAMFENICOLO 0,5% COLLIRIO oft TU TU 2,00319 0,00000 800 1.602,55200 0,00000 0,00000 0,00000-800 1.602,55200 3.200 6.410,20800 4872379E55 1159 S01CA05 BETAMETASONE ED ANTIMICROBICI BETAMETASONE 0,2% +CLORAMFENICOLO 0,5% POMATA OFTALMICA oft TU TU 2,29000 256 586,24000 300 687,00000 444 1.016,76000 0,00000 225 515,25000-1.225 2.805,25000 4.900 11.221,00000 487238641F 1160 S01EB01 PILOCARPINA PILOCARPINA CLORIDRATO 2% COLLIRIO oft FL FL 2,50000 50 125,00000 280 700,00000 0,00000 0,00000 250 625,00000-580 1.450,00000 2.320 5.800,00000 4872395B8A 1161 S01EB02 CARBACOLO CARBACOLO 0,5 ML COLLIRIO MONODOSE oft F F 5,56547 100 556,54700 0,00000 270 1.502,67690 0,00000 750 4.174,10250-1.120 6.233,32640 4.480 24.933,30560 4872409719 1162 S01EB09 ACETILCOLINA CLORURO ACETILCOLINA CLORURO 20 mg COLLIRIO coll FL FL 5,91000 0,00000 210 1.241,10000 984 5.815,44000 240 1.418,40000 600 3.546,00000-2.034 12.020,94000 8.136 48.083,76000 4872418E84 1163 S01EC01 ACETAZOLAMIDE ACETAZOLAMIDE 250 mg CP os CP CP 0,13629 840 114,48360 1.560 212,61240 2.952 402,32808 9.840 1.341,09360 1.500 204,43500-16.692 2.274,95268 66.768 9.099,81072 48724286C7 1164 S01EC03 DORZOLAMIDE DORZOLAMIDE 2% 5 ml COLLIRIO oft FL FL 3,65261 0,00000 250 913,15250 0,00000 0,00000 400 1.461,04400-650 2.374,19650 2.600 9.496,78600 4872436D5F 1165 S01ED01 TIMOLOLO TIMOLOLO 0,5% COLLIRIO oft FL FL 1,20000 22 26,40000 340 408,00000 120 144,00000 200 240,00000 600 720,00000-1.282 1.538,40000 5.128 6.153,60000 48724465A2 1166 S01EE01 LATANOPROST LATANOPROST 50 MCG/ML 2,5 ML COLLIRIO oft FL FL 4,67826 0,00000 70 327,47820 0,00000 0,00000 100 467,82600-170 795,30420 680 3.181,21680 4872456DE0 1167 S01EX02 DAPIPRAZOLO DAPIPRAZOL 0,5% COLLIRIO oft FL FL 3,34000 34 113,56000 0,00000 0,00000 0,00000-0,00000-34 113,56000 136 454,24000 48724676F6 1168 S01FA01 ATROPINA SOLFATO ATROPINA SOLFATO 0,5% COLLIRIO oft FL FL 4,12000 4 16,48000 0,00000 5 20,60000 0,00000 500 2.060,00000-509 2.097,08000 2.036 8.388,32000 4872474CBB 1169 S01FA01 ATROPINA SOLFATO ATROPINA SOLFATO 1% COLLIRIO MONODOSE coll FL FL 0,60000 0,00000 400 240,00000 700 420,00000 5.200 3.120,00000 1.000 600,00000-7.300 4.380,00000 29.200 17.520,00000 4872481285 1170 S01FA04 CICLOPENTOLATO CICLOPENTOLATO 1% COLLIRIO oft FL FL 3,00000 982 2.946,00000 1.000 3.000,00000 370 1.110,00000 0,00000 2.000 6.000,00000-4.352 13.056,00000 17.408 52.224,00000 4872493C69

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 1171 S01FA06 TROPICAMIDE TROPICAMIDE 0,5% COLLIRIO 10 ml oft FL FL 3,23000 172 555,56000 550 1.776,50000 970 3.133,10000 0,00000 240 775,20000 25 80,75000 1.957 6.321,11000 7.828 25.284,44000 48725034AC 1172 S01FA06 TROPICAMIDE TROPICAMIDE 1% COLLIRIO oft FL FL 4,11538 1.218 5.012,53284 1.500 6.173,07000 780 3.209,99640 0,00000 2.300 9.465,37400 20 82,30760 5.818 23.943,28084 23.272 95.773,12336 4872515E90 1173 S01FA56 TROPICAMIDE, ASSOCIAZIONI TROPICAMIDE 10%+ FENILEFRINA 0,5% COLLIRIO oft FL FL 4,23000 686 2.901,78000 1.800 7.614,00000 604 2.554,92000 0,00000 2.000 8.460,00000-5.090 21.530,70000 20.360 86.122,80000 48725267A6 1174 S01FA56 TROPICAMIDE/FENILEFRINA TROPICAMIDE/FENILEFRINA CLORIDRATO 0,28/5,4 mg 1 INSERT0 oft FL FL 5,00000 0,00000 0,00000 0,00000 4.800 24.000,00000 0,00000-4.800 24.000,00000 19.200 96.000,00000 4872534E3E 1175 S01FA56 TROPICAMIDE/FENILEFRINA TROPICAMIDE/FENILEFRINA CLORIDRATO 0,28/5,4MG 20 INSERTI oft FL FL 5,00000 0,00000 0,00000 2.180 10.900,00000 0,00000-0,00000-2.180 10.900,00000 8.720 43.600,00000 48725424DB 1176 S01HA02 OXIBUPROCAINA OXIBUPROCAINA 0,4% COLLIRIO oft FL FL 3,20000 450 1.440,00000 0,00000 354 1.132,80000 0,00000 0,00000-804 2.572,80000 3.216 10.291,20000 4872552D19 1177 S01HA02 OXIBUPROCAINA OXIBUPROCAINA 0,4% COLLIRIO MONODOSE oft FL FL 0,34000 14.520 4.936,80000 36.000 12.240,00000 17.300 5.882,00000 17.400 5.916,00000 36.000 12.240,00000-121.220 41.214,80000 484.880 164.859,20000 4872575018 1178 S01HA07 LIDOCAINA LIDOCAINA CLORIDRATO 4% COLLIRIO MONODOSE oft FL FL 0,59000 400 236,00000 7.500 4.425,00000 0,00000 4.000 2.360,00000 600 354,00000-12.500 7.375,00000 50.000 29.500,00000 4872613F6F 1179 S01KA CONDROITIN SODIO SOLFATO/SODIO IALURONATO CONDROITIN SODIO SOLFATO/SODIO IALURONATO 0.5 ML F SIR. PRER. loc FL FL 30,00000 0,00000 0,00000 0,00000 600 18.000,00000-0,00000-600 18.000,00000 2.400 72.000,00000 48726237B2 1180 S01LA04 RANIBIZUMAB RANIBIZUMAB 10 mg/0,3 ml F intra vitreale FL FL 750,00000 332 249.000,00000 280 210.000,00000 0,00000 0,00000 1.200 900.000,00000-1.812 1.359.000,00000 7.248 5.436.000,00000 4872632F1D 1181 S01XA20 LACRIME ARTIFICIALI ED ALTRI PRERATI CARBOMER 0,3% GEL OCULARE monodose oft F F 0,17000 1.680 285,60000 0,00000 53 9,01000 12.000 2.040,00000 100 17,00000-13.833 2.351,61000 55.332 9.406,44000 4872638414 1182 S01XA20E LACRIME ARTIFICIALI E ALTRI PREP.INDIF. BENZALCONIO + CARBOMER GEL OCULARE oft PZ PZ 6,21367 120 745,64040 100 621,36700 0,00000 0,00000 300 1.864,10100-520 3.231,10840 2.080 12.924,43360 4872650DF8 1183 S02AA30 ANTIMICROBICI, ASSOCIAZIONI POLIMIXINA + NEOMICINA + LIDOCAINA GOCCE loc FL FL 3,15364 30 94,60920 30 94,60920 0,00000 0,00000 100 315,36400-160 504,58240 640 2.018,32960 48726573C2 1184 S02CA05 FLUOCINOLONE ACETONIDE ED ANTIMICROBICI FLUOCINOLONE + NEOMICINA GOCCE AURICOLARI loc FL FL 2,03000 58 117,74000 60 121,80000 75 152,25000 320 649,60000 600 1.218,00000-1.113 2.259,39000 4.452 9.037,56000 4872665A5A 1185 S02DC XILENE XILENE 5% 20 ml GTT OTO loc FL FL 4,50000 0,00000 0,00000 0,00000 160 720,00000 0,00000-160 720,00000 640 2.880,00000 4872670E79 1186 V01AA02 POLLINE DI GRAMINACEE ESTR. ALLERGENICI, POLLINE GRAMINACEE 100+300IR CP os CP CP 2,90323 45 130,64535 3.100 9.000,01300 124 360,00052 0,00000 0,00000-3.269 9.490,65887 13.076 37.962,63548 48726795E9 1187 V01AA02 POLLINE DI GRAMINACEE ESTR. ALLERGENICI, POLLINE GRAMINACEE 300IR 90 CP os CP CP 3,00000 460 1.380,00000 9.000 27.000,00000 120 360,00000 0,00000-0,00000-9.580 28.740,00000 38.320 114.960,00000 4872691FCD 1188 V01AA02 POLLINE DI GRAMINACEE ESTR. ALLERGENICI, POLLINE GRAMINACEE 300IR 30 CP os CP CP 3,00000 501 1.503,00000 0,00000 180 540,00000 0,00000-0,00000-681 2.043,00000 2.724 8.172,00000 4872705B5C 1189 V01AA02 POLLINE DI GRAMINACEE ESTR. ALLERGENICI, POLLINE GRAMINACEE 75.000 SQ-T LIOF. os CP CP 1,74000 166 288,84000 5.000 8.700,00000 500 870,00000 0,00000-0,00000-5.666 9.858,84000 22.664 39.435,36000 4872711053 1190 V03AB ALCOOL ETILICO ALCOOL ETILICO 95 GRADI 10 ml F loc F F 2,58000 120 309,60000 100 258,00000 0,00000 0,00000 300 774,00000-520 1.341,60000 2.080 5.366,40000 48727196EB 1191 V03AB03 EDETATI ACIDO EDETICO SALE DISODICO 2 g/10 ml F im-ev F F 1,93000 0,00000 0,00000 90 173,70000 0,00000 750 1.447,50000-840 1.621,20000 3.360 6.484,80000 4872726CB0 1192 V03AB06 SODIO TIOSOLFATO SODIO TIOSOLFATO 10% 10 ml F ev F F 0,93000 0,00000 0,00000 125 116,25000 0,00000 1.000 930,00000-1.125 1.046,25000 4.500 4.185,00000 487273434D 1193 V03AB14 PROTAMINA PROTAMINA 50 mg/5 ml F ev F F 1,99000 394 784,06000 50 99,50000 156 310,44000 1.600 3.184,00000 500 995,00000 20 39,80000 2.720 5.412,80000 10.880 21.651,20000 4872748ED7 1194 V03AB15 NALOXONE NALOXONE 0,4 mg/1 ml F im-ev F F 0,87000 926 805,62000 1.000 870,00000 780 678,60000 1.200 1.044,00000 1.000 870,00000 40 34,80000 4.946 4.303,02000 19.784 17.212,08000 48727543CE 1195 V03AB17 METILTIONINIO CLORURO BLU DI METILENE 1% 10 ml F ev F F 0,95000 840 798,00000 800 760,00000 920 874,00000 0,00000 3.000 2.850,00000-5.560 5.282,00000 22.240 21.128,00000 4872764C0C 1196 V03AB25 FLUMAZENIL FLUMAZENIL 0,1 mg/ml 5 ml F ev F F 4,32000 368 1.589,76000 500 2.160,00000 205 885,60000 700 3.024,00000 1.800 7.776,00000 115 496,80000 3.688 15.932,16000 14.752 63.728,64000 4872775522 1197 V03AB25 FLUMAZENIL FLUMAZENIL 0,1 mg/ml 10 ml F ev F F 6,00000 0,00000 0,00000 2.030 12.180,00000 0,00000-0,00000-2.030 12.180,00000 8.120 48.720,00000 4872786E33 1198 V03AB32 GLUTATIONE GLUTATIONE SODICO 600 mg/4 ml F im-ev F F 1,33000 0,00000 0,00000 3.660 4.867,80000 3.800 5.054,00000 450 598,50000-7.910 10.520,30000 31.640 42.081,20000 487279232A 1199 V03AB32 GLUTATIONE GLUTATIONE SODICO 2500 mg/ 25 ml F im-ev F F 6,35000 0,00000 0,00000 445 2.825,75000 0,00000 0,00000-445 2.825,75000 1.780 11.303,00000 4872803C3B 1200 V03AB33 IDROXOCOBALAMINA IDROXOCOBALAMINA 2,5 g F ev FL FL 300,00000 8 2.400,00000 0,00000 3 900,00000 0,00000 50 15.000,00000-61 18.300,00000 244 73.200,00000 48728280E0 1201 V03AB35 SUGAMMADEX SUGAMMADEX 100 mg/ml 2 ml FL ev FL FL 67,00000 640 42.880,00000 36 2.412,00000 80 5.360,00000 0,00000 450 30.150,00000-1.206 80.802,00000 4.824 323.208,00000 48728399F1 1202 V03AB35 SUGAMMADEX SUGAMMADEX 100MG/ml 5 ml FL ev FL FL 167,00000 80 13.360,00000 0,00000 20 3.340,00000 0,00000-0,00000-100 16.700,00000 400 66.800,00000 4872848161 1203 V03AC03 DEFERASIROX DEFERASIROX 125 mg CP os CP CP 6,05685 0,00000 84 508,77540 0,00000 0,00000 11.200 67.836,72000-11.284 68.345,49540 45.136 273.381,98160 48729559AB 1204 V03AC03 DEFERASIROX DEFERASIROX 250 mg CP os CP CP 11,94225 392 4.681,36200 280 3.343,83000 252 3.009,44700 0,00000 22.400 267.506,40000-23.324 278.541,03900 93.296 1.114.164,15600 4872959CF7 1205 V03AC03 DEFERASIROX DEFERASIROX 500 mg CP os CP CP 23,84760 1.120 26.709,31200 280 6.677,32800 4.424 105.501,78240 0,00000 84.000 2.003.198,40000-89.824 2.142.086,82240 359.296 8.568.347,28960 4872967394 1206 V03AC01 DEFEROXAMINA DEFEROXAMINA 500 mg FL EV SC FL FL 2,61000 0,00000 300 783,00000 0,00000 0,00000 3.000 7.830,00000-3.300 8.613,00000 13.200 34.452,00000 4872981F1E 1207 V03AE01 POLISTIRENE SULFONATO SODIO POLISTIRENSULFONATO 453,6G POLVERE SOSP. OS os FL FL 13,20000 344 4.540,80000 30 396,00000 175 2.310,00000 0,00000 300 3.960,00000-849 11.206,80000 3.396 44.827,20000 487299068E 1208 V03AE02 SEVELAMER SEVELAMER 2,4 mg POLVERE PER SOSPENSIONE os bt bt 2,25000 360 810,00000 0,00000 2.220 4.995,00000 0,00000-0,00000-2.580 5.805,00000 10.320 23.220,00000 4873000ECC 1209 V03AE02 SEVELAMER SEVELAMER 800 MG CP os CP CP 0,65000 180 117,00000-0,00000 190.080 123.552,00000-0,00000 900 585,00000-191.160 124.254,00000 764.640 497.016,00000 48730117E2

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 1210 V03AE03 LANTANIO CARBONATO LANTANIO CARBONATO IDRATO 500 mg 90CP MAST os CP CP 1,40310 0,00000 0,00000 810 1.136,51100 0,00000 0,00000-810 1.136,51100 3.240 4.546,04400 4873027517 1211 V03AE03 LANTANIO CARBONATO LANTANIO CARBONATO IDRATO 1000 mg 90CP MAST os CP CP 2,80622 0,00000 0,00000 4.950 13.890,78900 0,00000 0,00000-4.950 13.890,78900 19.800 55.563,15600 487304431F 1212 V03AE04 CALCIO ACETATO E MAGNESIO CARBONATO CALCIO ACETATO/MAGNESIO CARBONATO 435+235MG CP RIV os CP CP 0,13000 0,00000 0,00000 2.700 351,00000 0,00000 0,00000-2.700 351,00000 10.800 1.404,00000 4873050811 1213 V03AF CALCIO MEFOLINATO CALCIO MEFOLINATO 50 mg F im,ev FL FL 1,48000 0,00000 4.200 6.216,00000 0,00000 0,00000-0,00000-4.200 6.216,00000 16.800 24.864,00000 4873058EA9 1214 V03AF01 MESNA MESNA 400 mg/4 ml F ev F F 1,14021 106 120,86226 360 410,47560 480 547,30080 0,00000 5.000 5.701,05000-5.946 6.779,68866 23.784 27.118,75464 4873073B0B 1215 V03AF02 DEXRAZOXANO DEXRAZOXANO 500 mg FL/SACCA ev FL FL 40,61000 0,00000 20 812,20000 0,00000 0,00000 20 812,20000-40 1.624,40000 160 6.497,60000 48730865C7 1216 V03AF03 CALCIO FOLINATO CALCIO FOLINATO 15 mg CP os CP CP 0,15000 17.120 2.568,00000 3.300 495,00000 0,00000 6.000 900,00000 52.500 7.875,00000 1.500 225,00000 80.420 12.063,00000 321.680 48.252,00000 48730919E6 1217 V03AF04 CALCIO LEVOFOLINATO CALCIO LEVO-FOLINATO 7,5 mg CP os CP CP 0,70000 2.440 1.708,00000 0,00000 18.410 12.887,00000 0,00000 52.500 36.750,00000-73.350 51.345,00000 293.400 205.380,00000 4873105575 1218 V03AF04 CALCIO LEVOFOLINATO CALCIO LEVO-FOLINATO 25 mg FL ev F F 3,50000 8 28,00000 0,00000 64 224,00000 0,00000 4.500 15.750,00000 360 1.260,00000 4.932 17.262,00000 19.728 69.048,00000 4873114CE0 1219 V03AF04 CALCIO LEVOFOLINATO CALCIO LEVO-FOLINATO 100 mg FL im,ev FL FL 6,27000 0,00000 0,00000 2.153 13.499,31000 0,00000 500 3.135,00000-2.653 16.634,31000 10.612 66.537,24000 4873124523 1220 V03AF04 CALCIO LEVOFOLINATO CALCIO LEVO-FOLINATO 175 mg FL ev F F 4,48000 420 1.881,60000 0,00000 1.052 4.712,96000 0,00000 500 2.240,00000-1.972 8.834,56000 7.888 35.338,24000 4873137FDA 1221 V03AF07 RASBURICASE RASBURICASE 7,5 mg+ 5 ml F ev FL FL 315,18000 0,00000 0,00000 27 8.509,86000 0,00000 225 70.915,50000-252 79.425,36000 1.008 317.701,44000 4873151B69 1222 V04CA02 GLUCOSIO GLUCOSIO 50% 150 ML PROVA DA CARICO os FL FL 4,92247 2.710 13.339,89370 800 3.937,97600 1.980 9.746,49060 0,00000 2.200 10.829,43400 20 98,44940 7.710 37.952,24370 30.840 151.808,97480 4873163552 1223 V04CC02 MAGNESIO SOLFATO MAGNESIO SOLFATO 1 g/10 ml F ev F F 0,09000 3.368 303,12000 0,00000 0,00000 25.500 2.295,00000 20.000 1.800,00000-48.868 4.398,12000 195.472 17.592,48000 4873173D90 1224 V04CF01 TUBERCOLINA TUBERCOLINA 5 UI/0,1 ml 10ml F sc FL FL 23,00000 124 2.852,00000 200 4.600,00000 0,00000 0,00000 1.000 23.000,00000-1.324 30.452,00000 5.296 121.808,00000 48731835D3 1225 V04CH02 INDIGOCARMINE INDIGOCARMINE 40mg/10 ml F ev F F 1,22000 0,00000 150 183,00000 435 530,70000 0,00000 300 366,00000-885 1.079,70000 3.540 4.318,80000 4873197162 1226 V04CX ALTRI DIAGNOSTICI ESAMINOLEVULINATO 85 mg F endov. FL FL 460,00000 10 4.600,00000 0,00000 36 16.560,00000 0,00000 10 4.600,00000-56 25.760,00000 224 103.040,00000 4873208A73 1227 V04CX ALTRI DIAGNOSTICI FLUORESCEINA SODICA 20% 1g/5ml F ev F F 1,98040 600 1.188,24000 1.200 2.376,48000 640 1.267,45600 1.600 3.168,64000 1.800 3.564,72000-5.840 11.565,53600 23.360 46.262,14400 487322045C 1228 V04CX METACOLINA CLORURO METACOLINA CLORURO 1% 5 FL+5 tamponi inal Fl FL 67,33000 0,00000 0,00000 0,00000 18 1.211,94000-0,00000-18 1.211,94000 72 4.847,76000 487322694E 1229 V04CX ALTRI DIAGNOSTICI METACOLINA CLORURO 1% 10FL+5 tamponi inal Fl FL 14,75000 40 590,00000 100 1.475,00000 210 3.097,50000 0,00000-0,00000-350 5.162,50000 1.400 20.650,00000 4873236191 1230 V04CX ALTRI DIAGNOSTICI METACOLINA CLORURO 6,4% 2FL+3F inal Fl FL 101,00000 0,00000 0,00000 110 11.110,00000 0,00000-0,00000-110 11.110,00000 440 44.440,00000 4873242683 1231 V04CX ALTRI DIAGNOSTICI VERDE INDOCIANINA 25 mg FL ev FL FL 75,00000 0,00000 0,00000 75 5.625,00000 0,00000 500 37.500,00000-575 43.125,00000 2.300 172.500,00000 4873251DEE 1232 V07AY ALTRI PRODOTTI AUSILIARI NON TERAPEUTICI OLIO VASELINA STERILE 10 ml F lubrificante F F 0,35000 5.860 2.051,00000 1.300 455,00000 2.420 847,00000 4.800 1.680,00000 5.000 1.750,00000 100 35,00000 19.480 6.818,00000 77.920 27.272,00000 4873261631 1233 A12AA03 CALCIO GLUCONATO CALCIO GLUCONATO 6% 250 ml ev FL vetro FL 2,60000 0,00000 0,00000 0,00000 0,00000 2.400 6.240,00000-2.400 6.240,00000 9.600 24.960,00000 48732740ED 1234 B05AA06 SUCCINILGELATINA/SODIO CLORURO/MAGNESIO CLORURO ESAIDRATO/PO SUCCEDANEO DEL SANGUE A BASE DI GELATINA LIQUIDA MODIFICATA IN SOLUZIONE IONICA SIMILE A QUELLA DEL LIQUIDO EXTRACELLULARE SACCA 500ML ev sacca SACCA 3,00000 0,00000 0,00000 0,00000 3.150 9.450,00000 1.000 3.000,00000-4.150 12.450,00000 16.600 49.800,00000 48732859FE 1235 B05BA01 AMINOACIDI RAMIFICATI 4% AMINOACIDI RAMIFICATI 4% SACCA ev fl vetro/plastica FL 1,49000 13 19,37000 100 149,00000 1.000 1.490,00000 1.200 1.788,00000 2.500 3.725,00000-4.813 7.171,37000 19.252 28.685,48000 4873292FC3 1236 B05BA01 proteine idrolisate SOL.AMINOACIDI 10% 500 ML ESSENZIALI E NON ESSENZIALI ev Flacone o Sacca FL 2,56200 0,00000 500 1.281,00000 700 1.793,40000 0,00000 10.500 26.901,00000-11.700 29.975,40000 46.800 119.901,60000 4873306B52 1237 B05BA01 AMINOACIDI 6% AMINOACIDI 6% (AUXOLOGICA) ML 500 EV FLAC ev fl vetro/plastica FL 4,80900 0,00000 800 3.847,20000 0,00000 0,00000 3.900 18.755,10000-4.700 22.602,30000 18.800 90.409,20000 48733141EF 1238 B05BA01 AMINOACIDI 8-8,5% AMINOACIDI 8,5/8% ML 500 EV FLAC ev fl vetro/plastica FL 2,62023 0,00000 0,00000 0,00000 0,00000 450 1.179,10350-450 1.179,10350 1.800 4.716,41400 4873326BD3 1239 B05BA01 AMINOACIDI SELETTIVI 8% AMINOACIDI SELETTIVI 8% ML 500 EV FLAC ev fl vetro/plastica FL 2,88225 0,00000 0,00000 0,00000 0,00000 600 1.729,35000-600 1.729,35000 2.400 6.917,40000 48733385BC 1240 B05BA02 EMULSIONI DI GRASSI (OLIVA E SOIA) EMULSIONE DI LIPIDI 20% FLAC./ SACCA 500 ML ev Flacone o Sacca PZ 8,22000 500 4.110,00000 0,00000 300 2.466,00000 0,00000 0,00000-800 6.576,00000 3.200 26.304,00000 4873346C54 1241 B05BA02 TRIGLICERIDI A CATENA MEDIA/OLIO DI SOIA EMULSIONE LIPIDICA + MCT 20% 500 ML FLAC. / SACCA ev Flacone o Sacca FL 5,11500 300 1.534,50000 0,00000 300 1.534,50000 0,00000 0,00000-600 3.069,00000 2.400 12.276,00000 487335214B 1242 B05BA02 TRIGLICERIDI A CATENA MEDIA/OLIO DI SOIA EMULSIONE DI LIPIDI MCT 20% FLAC. / SACCA 100 ML ev sacca SACCA 2,30000 0,00000 0,00000 0,00000 2.475 5.692,50000 0,00000-2.475 5.692,50000 9.900 22.770,00000 4873367DA8 1243 B05BA02 TRIGLICERIDI A CATENA MEDIA/OLIO DI SOIA/OMEGA 3 TRIGLICERIDI A CATENA MEDIA/OLIO DI SOIA/TRIGLICERIDI CON ACIDI GRASSI OMEGA 3, 20% 100 ml ev plastica o vetro FL 5,00000 0,00000 250 1.250,00000 0,00000 0,00000 0,00000-250 1.250,00000 1.000 5.000,00000 48733721CC 1244 B05BA02 EMULSIONI DI GRASSI (OLIVA E SOIA) EMULSIONE DI LIPIDI 20% FLAC./ SACCA 250 ML ev Flacone o Sacca SC 4,25000 0,00000 0,00000 0,00000 0,00000 900 3.825,00000-900 3.825,00000 3.600 15.300,00000 4873386D56 1245 B05BA02 EMULSIONE LIPIDICA + MCT 20% EMULSIONE LIPIDICA + MCT 20% 250 ML FLAC ev flacone vetro flac 4,24429 0,00000 0,00000 0,00000 0,00000 900 3.819,86100-900 3.819,86100 3.600 15.279,44400 4873396599 1246 B05BA02 EMULSIONE LIPIDICA 20% EMULSIONE LIPIDICA 20% 250 ML FLAC ev flacone vetro flac 2,52000 0,00000 0,00000 0,00000 0,00000 3.000 7.560,00000-3.000 7.560,00000 12.000 30.240,00000 4873405D04 1247 B05BA02 EMULSIONE LIPIDICA 20% EMULSIONE LIPIDICA 30% 333 ML SACCA ev sacca sacca 19,95000 0,00000 0,00000 0,00000 0,00000 900 17.955,00000-900 17.955,00000 3.600 71.820,00000 48734111FB 1248 B05BA03 CARBOIDRATI GLUCOSIO 5% 10 ml FIALA ev fiala plastica FF 0,10000 0,00000 1.000 100,00000 3.500 350,00000 0,00000 0,00000-4.500 450,00000 18.000 1.800,00000 4873414474

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 1249 B05BA03 CARBOIDRATI GLUCOSIO 5% 100 ml FLACONE ev flacone plastica collabibile due portfl 0,35000 185 64,75000 1.500 525,00000 7.000 2.450,00000 27.000 9.450,00000 10.000 3.500,00000-45.685 15.989,75000 182.740 63.959,00000 4873427F2B 1250 B05BA03 CARBOIDRATI GLUCOSIO 5% 250 ml FLACONE ev flacone plastica collabibile due portpz 0,30500 7 2,13500 1.000 305,00000 6.000 1.830,00000 6.000 1.830,00000 5.000 1.525,00000 420 128,10000 18.427 5.620,23500 73.708 22.480,94000 4873439914 1251 B05BA03 CARBOIDRATI GLUCOSIO 5% 500 ml FLACONE ev flacone plastica collabibile due portpz 0,35000 12 4,20000 12.000 4.200,00000 25.000 8.750,00000 24.000 8.400,00000 17.000 5.950,00000 990 346,50000 79.002 27.650,70000 316.008 110.602,80000 48734523D0 1252 B05BA03 CARBOIDRATI GLUCOSIO 5% FL 1000ML ev flacone plastica collabibile due portfl 0,60000 0,00000 0,00000 0,00000 6.225 3.735,00000 0,00000-6.225 3.735,00000 24.900 14.940,00000 4873468105 1253 B05BA03 CARBOIDRATI GLUCOSIO 10% 10 ml FIALA ev fiala plastica o vetro PZ 0,08750 16 1,40000 300 26,25000 5.000 437,50000 9.500 831,25000 0,00000-14.816 1.296,40000 59.264 5.185,60000 4873485F08 1254 B05BA03 CARBOIDRATI GLUCOSIO 10% 100 ml FLACONE ev flacone plastica collabibile due portfl 0,31800 0,00000 600 190,80000 1.200 381,60000 0,00000 0,00000-1.800 572,40000 7.200 2.289,60000 48734924D2 1255 B05BA03 CARBOIDRATI GLUCOSIO 10% 250 ml FLACONE ev flacone plastica collabibile due portfl 0,37000 0,00000 300 111,00000 0,00000 0,00000 0,00000-300 111,00000 1.200 444,00000 4873500B6A 1256 B05BA03 CARBOIDRATI GLUCOSIO 10% 500 ml FLACONE ev plastica collabibile due port FL 0,36800 250 92,00000 600 220,80000 1.500 552,00000 1.500 552,00000 4.000 1.472,00000 50 18,40000 7.900 2.907,20000 31.600 11.628,80000 4873511480 1257 B05BA03 CARBOIDRATI GLUCOSIO 20% 500 ml FLACONE ev flacone plastica collabibile due portfl 0,47000 0,00000 0,00000 700 329,00000 0,00000 1.500 705,00000-2.200 1.034,00000 8.800 4.136,00000 4873519B18 1258 B05BA03 CARBOIDRATI GLUCOSIO 33% 10 ml FIALA ev fiala plastica o vetro FF 0,09100 39 3,54900 3.300 300,30000 4.500 409,50000 4.500 409,50000 9.000 819,00000-21.339 1.941,84900 85.356 7.767,39600 48735260E2 1259 B05BA03 CARBOIDRATI GLUCOSIO 33% 500 ml EV FLACONE ev flacone plastica collabibile due portfl 0,49000 54 26,46000 100 49,00000 500 245,00000 1.300 637,00000 1.500 735,00000 90 44,10000 3.544 1.736,56000 14.176 6.946,24000 48735959D0 1260 B05BA03 CARBOIDRATI GLUCOSIO 50% 250 ml FLACONE ev flacone vetro FL 0,85000 0,00000 300 255,00000 0,00000 0,00000 0,00000-300 255,00000 1.200 1.020,00000 4873605213 1261 B05BA03 CARBOIDRATI GLUCOSIO 50% 500 ml FLACONE ev flacone vetro FL 0,64800 0,00000 0,00000 1.000 648,00000 1.020 660,96000 5.000 3.240,00000-7.020 4.548,96000 28.080 18.195,84000 4873621F43 1262 B05BA03 CARBOIDRATI GLUCOSIO 5% 500 ml FLACONE ev vetro FL 0,35980 0,00000 0,00000 0,00000 0,00000 17.000 6.116,60000-17.000 6.116,60000 68.000 24.466,40000 48737043C5 1263 B05BA03 CARBOIDRATI GLUCOSIO 5% 500 ml SACCA ev sacca sacca 0,50300 0,00000 0,00000 0,00000 0,00000 20.000 10.060,00000-20.000 10.060,00000 80.000 40.240,00000 4873734C84 1264 B05BA03 CARBOIDRATI GLUCOSIO 70% 500 ml FLACONE ev flacone vetro FL 0,97400 0,00000 0,00000 0,00000 0,00000 500 487,00000-500 487,00000 2.000 1.948,00000 487374666D 1265 B05BA10 ASSOCIAZIONI SACCA PER TPN BINARIA (AA+GLUCOSIO), PERIF./ CENTRALE, c/s ELETTROLITI, FINO A 500 Kcal/litro e fino a 5,8 g/litro di Azoto ev litro SACCA 10,00000 6 60,00000 0,00000 2.080 20.800,00000 0,00000 6.000 60.000,00000-8.086 80.860,00000 32.344 323.440,00000 4873756EAB 1266 B05BA10 ASSOCIAZIONI SACCA PER TPN BINARIA (AA+GLUCOSIO), CENTRALE, c/s ELETTROLITI, da 500-800 Kcal/litro e da 5,8-8,3 g/litro di Azoto ev litro SACCA 12,00000 1.300 15.600,00000 0,00000 2.600 31.200,00000 520 6.240,00000 6.000 72.000,00000-10.420 125.040,00000 41.680 500.160,00000 487376561B 1267 B05BA10 ASSOCIAZIONI SACCA PER TPN BINARIA (AA+GLUCOSIO), CENTRALE, c/s ELETTROLITI, >800 Kcal/litro e Azoto> 8 g/litro ev litro SACCA 15,00000 100 1.500,00000 0,00000 780 11.700,00000 0,00000 3.000 45.000,00000-3.880 58.200,00000 15.520 232.800,00000 4873808996 1268 B05BA10 ASSOCIAZIONI SACCA PER TPN TERNARIA CON LIPIDI, PERIFERICA, OSMOLARITA'<850 mosm c/s elettroliti, calorie totali fino a 700 Kcal/litro e azoto fino a 4,0 g/litro ev litro SACCA 10,00000 975 9.750,00000 650 6.500,00000-0,00000 0,00000 1.000 10.000,00000 100 1.000,00000 2.725 27.250,00000 10.900 109.000,00000 4873816033 1269 B05BA10 ASSOCIAZIONI SACCA PER TPN TERNARIA CON LIPIDI, PERIFERICA, OSMOLARITA'<850 mosm c/s elettroliti, calorie totali 700-800 Kcal/litro e azoto 4,0-5,1 g/litro ev litro SACCA 12,00000 130 1.560,00000 0,00000-0,00000 0,00000 1.000 12.000,00000-1.130 13.560,00000 4.520 54.240,00000 48738246CB 1270 B05BA10 ASSOCIAZIONI SACCA PER TPN TERNARIA CON LIPIDI, CENTRALE, c/s elettroliti, calorie totali fino a 1000 Kcal/litro e azoto fino a 5,3 g/litro ev litro SACCA 13,00000 65 845,00000 1.400 18.200,00000-0,00000 2.470 32.110,00000 1.000 13.000,00000-4.935 64.155,00000 19.740 256.620,00000 48738360B4 1271 B05BA10 ASSOCIAZIONI SACCA PER TPN TERNARIA CON LIPIDI, CENTRALE, c/s elettroliti, calorie totali 1000-1100 Kcal/litro e azoto 5,4-9,0 g/litro ev litro SACCA 15,00000 26 390,00000 400 6.000,00000 390 5.850,00000 1.235 18.525,00000 390 5.850,00000 50 750,00000 2.491 37.365,00000 9.964 149.460,00000 487384581F 1272 B05BA10 ASSOCIAZIONI SACCA PER TPN TERNARIA CON LIPIDI, CENTRALE, c/s elettroliti, calorie totali >1100 Kcal/litro e azoto >6,5 g/litro ev litro SACCA 16,00000 26 416,00000 0,00000 910 14.560,00000 2.600 41.600,00000 910 14.560,00000-4.446 71.136,00000 17.784 284.544,00000 48738479C5 1273 B05BA10 ASSOCIAZIONI SACCA PER TPN TERNARIA CON LIPIDI, CENTRALE, c/s elettroliti, AD INDICAZIONE PEDIATRICA E NEONATALE ev litro SACCA 20,00000 104 2.080,00000 100 2.000,00000 0,00000 0,00000 200 4.000,00000-404 8.080,00000 1.616 32.320,00000 487391303F 1274 B05BB SOLUZIONI PER EQ.ELETTROLITICO NACL+KCL+CACL+MGCL+NAACET+AC. MALICO FLACONE ev plastica FL 1,10000 660 726,00000 0,00000 0,00000 0,00000 1.000 1.100,00000-1.660 1.826,00000 6.640 7.304,00000 487391845E 1275 B05BB01 ELETTROLITI ELETTROLITICA REIDRATANTE III 500 ml FLACONE ev plastica FL 0,41000 145 59,45000 0,00000 25.000 10.250,00000 95.000 38.950,00000 32.000 13.120,00000 170 69,70000 152.315 62.449,15000 609.260 249.796,60000 4873925A23 1276 B05BB01 ELETTROLITI RINGER ACETATO 500 ml FLACONE ev plastica collabibile due port PZ 0,37200 1.700 632,40000 17.300 6.435,60000 6.000 2.232,00000 22.000 8.184,00000 34.000 12.648,00000 11.020 4.099,44000 92.020 34.231,44000 368.080 136.925,76000 48739330C0 1277 B05BB01 ELETTROLITI RINGER LATTATO 500 ml FLACONE ev plastica collabibile due port FL 0,37200 120 44,64000 100 37,20000 13.000 4.836,00000 600 223,20000 6.000 2.232,00000 200 74,40000 20.020 7.447,44000 80.080 29.789,76000 4873940685 1278 B05BB01 ELETTROLITI RINGER ACETATO 1000 ml FLACONE ev plastica collabibile due port PZ 0,69000 0,00000 0,00000 13.000 8.970,00000 0,00000 0,00000-13.000 8.970,00000 52.000 35.880,00000 4873953141 1279 B05BB01 ELETTROLITI RINGER LATTATO 1000 ml FLACONE ev plastica collabibile due port FL 0,65000 0,00000 0,00000 20.000 13.000,00000 0,00000 1.000 650,00000-21.000 13.650,00000 84.000 54.600,00000 4873992170 1280 B05BB01 ELETTROLITI SODIO BICARBONATO 8.4% 100 ml FLACONE ev plastica o vetro FL 0,54000 822 443,88000 900 486,00000 2.500 1.350,00000 6.000 3.240,00000 4.000 2.160,00000 440 237,60000 14.662 7.917,48000 58.648 31.669,92000 4874003A81 1281 B05BB01 ELETTROLITI SODIO BICARBONATO 1 meq/ml 10 ml FF ev plastica o vetro FL 0,10000 35 3,50000 500 50,00000 1.100 110,00000 3.600 360,00000 10.000 1.000,00000-15.235 1.523,50000 60.940 6.094,00000 4874007DCD 1282 B05BB01 ELETTROLITI SODIO BICARBONATO 7,5% 100 ml FLACONE ev plastica o vetro FL 0,70900 295 209,15500 0,00000 0,00000 0,00000 1.200 850,80000-1.495 1.059,95500 5.980 4.239,82000 4874024BD5 1283 B05BB01 ELETTROLITI SODIO CLORURO 0,9% +KCL 80 meq/l 500 ML FLACONE ev plastica o vetro FL 0,55000 3.285 1.806,75000 0,00000 5.000 2.750,00000 0,00000 0,00000 4.150 2.282,50000 12.435 6.839,25000 49.740 27.357,00000 4875041319 1284 B05BB01 SODIO CLORURO SODIO CLORURO 0,9% 500 ml FLACONE ev flacone vetro FL 0,40000 2.035 814,00000 5.000 2.000,00000 2.500 1.000,00000 27.000 10.800,00000 55.000 22.000,00000-91.535 36.614,00000 366.140 146.456,00000 4875053CFD 1285 B05BB01 ELETTROLITI SOLUZIONE DARROW 500 ml FLACONE ev plastica o vetro FL 0,43000 760 326,80000 700 301,00000 2.000 860,00000 0,00000 8.000 3.440,00000-11.460 4.927,80000 45.840 19.711,20000 48750591F4 1286 B05BB01 SODIO CLORURO + POTASSIO CLORURO SODIO CLORURO 0,9%+KCl 40 meq/l 1000 ML SACCA ev sacca SC 2,27000 0,00000 3.100 7.037,00000 0,00000 0,00000 0,00000-3.100 7.037,00000 12.400 28.148,00000 4875125869 1287 B05BB01 SODIO CLORURO + POTASSIO CLORURO SODIO CLORURO 0,9% +KCl 40 meq/l 500 ML SACCA ev sacca SC 1,57000 0,00000 500 785,00000 0,00000 0,00000 0,00000-500 785,00000 2.000 3.140,00000 4875127A0F

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 1288 B05BB01 ELETTROLITI SODIO CLORURO 0,9% +KCL 40 meq/l 500 ML FLACONE ev plastica o vetro FL 0,54000 0,00000 4.100 2.214,00000 4.000 2.160,00000 9.000 4.860,00000 0,00000-17.100 9.234,00000 68.400 36.936,00000 4875147A90 1289 B05BB02 1290 B05BB02 ELETTROLITI ASSOCIATI A 4.000 CARBOIDRATI GLUCOSIO (DESTROSIO) ELETTROLITICA EQUIL PED+GLUC 5% 250 ml FLACONE ev plastica o vetro FL 0,40000 3.000 1.200,00000 400 160,00000 ANIDRO/SODIO ACETATO/SODIO CLORURO/POTASSIO ELETTROLITI ASSOCIATI A CARBOIDRATI PER INFUSIONE EV CLORURO/MAGNESIO SACCA DA 2000ML ev sacca PZ 1,93250 13 25,12250 1.800 3.478,50000 0,00000 1.600,00000 0,00000 0,00000-7.400 2.960,00000 29.600 11.840,00000 4875153F82 6.750 13.044,37500 10.000 19.325,00000-18.563 35.872,99750 74.252 143.491,99000 48751583A6 1291 B05BB02 ELETTROLITI ASSOCIATI A CARBOIDRATI ELETTROLITICA BILANCIATA MANTENIM/GLUCOSIO II FLACONE ev plastica o vetro FL 0,58377 202 117,92154 2.500 1.459,42500 0,00000 5.400 3.152,35800 2.000 1.167,54000-10.102 5.897,24454 40.408 23.588,97816 487516596B 1292 B05BB02 ELETTROLITI ASSOCIATI A CARBOIDRATI ELETTROLITICA EQUIL PED+GLUC 5% 500 ml FLACONE ev plastica o vetro FL 0,68000 3.000 2.040,00000 0,00000 6.000 4.080,00000 900 612,00000 9.000 6.120,00000-18.900 12.852,00000 75.600 51.408,00000 4875169CB7 1293 B05BB02 ELETTROLITI ASSOCIATI A CARBOIDRATI GLUCOSIO 5% + KCL 80 meq/l 500 ml FLACONE ev plastica o vetro FL 0,71667 12 8,60004 0,00000 1.500 1.075,00500 10.000 7.166,70000 0,00000-11.512 8.250,30504 46.048 33.001,22016 4875178427 1294 B05BB02 ELETTROLITI ASSOCIATI A CARBOIDRATI GLUCOSIO/SODIO CLORURO II 500 ml FLACONE ev plastica o vetro FL 0,56500 8 4,52000 0,00000 1.300 734,50000 0,00000 0,00000-1.308 739,02000 5.232 2.956,08000 4875187B92 1295 B05BB02 POTASSIO CLORURO + GLUCOSIO MONOIDRATO GLUCOSIO 5% + KCl 40 meq/l 1000 ML SACCA ev sacca SC 2,27000 0,00000 2.600 5.902,00000 0,00000 0,00000 0,00000-2.600 5.902,00000 10.400 23.608,00000 487519522F 1296 B05BB02 POTASSIO CLORURO + GLUCOSIO MONOIDRATO GLUCOSIO 5% +KCl 40 meq/l 500 ML SACCA ev sacca SC 1,62000 0,00000 500 810,00000 0,00000 0,00000 0,00000-500 810,00000 2.000 3.240,00000 4875205A6D 1297 B05BB02 ELETTROLITI ASSOCIATI A CARBOIDRATI GLUCOSIO 5% + KCL 40 meq/l 500 ml FLACONE ev flacone plastica o vetro FL 0,72000 0,00000 2.000 1.440,00000 1.500 1.080,00000 0,00000 0,00000-3.500 2.520,00000 14.000 10.080,00000 4875209DB9 1298 B05BC01 MANNITOLO MANNITOLO 18% 100 ml FLACONE ev plastica o vetro FL 0,43000 11 4,73000 0,00000 0,00000 4.500 1.935,00000 6.000 2.580,00000 2.499 1.074,57000 13.010 5.594,30000 52.040 22.377,20000 4875212037 1299 B05BC01 MANNITOLO MANNITOLO 18% 250 ml FLACONE ev plastica o vetro FL 0,70000 0,00000 0,00000 2.000 1.400,00000 0,00000 0,00000-2.000 1.400,00000 8.000 5.600,00000 48752206CF 1300 B05BC01 MANNITOLO MANNITOLO 18% 500 ml FLACONE ev flacone vetro FL 0,96995 0,00000 800 775,96000 0,00000 0,00000 100 96,99500-900 872,95500 3.600 3.491,82000 4875223948 1301 B05CB01 SODIO CLORURO SODIO CLORURO 0,45% 500 ml FLACONE ev vetro FL 0,46000 0,00000 0,00000 1.300 598,00000 0,00000 0,00000-1.300 598,00000 5.200 2.392,00000 4875246C42 1302 B05CB01 SODIO CLORURO SODIO CLORURO 0,9% 10 ml FIALA ev plastica FF 0,04680 560 26,20800 125.000 5.850,00000 250.000 11.700,00000 625.000 29.250,00000 300.000 14.040,00000 48.540 2.271,67200 1.349.100 63.137,88000 5.396.400 252.551,52000 4875250F8E 1303 B05CB01 SODIO CLORURO SODIO CLORURO*0,9% 50ML IN SACCA DA 100ML ev plastica collabibile due port FL 0,36149 0,00000 0,00000 0,00000 48.000 17.351,52000 120.000 43.378,80000-168.000 60.730,32000 672.000 242.921,28000 48752618A4 1304 B05CB01 SODIO CLORURO SODIO CLORURO 0,9% 100 ml FLACONE ev plastica collabibile due port FL 0,24900 163 40,58700 92.000 22.908,00000 350.000 87.150,00000 500.000 124.500,00000 200.000 49.800,00000 30.820 7.674,18000 1.172.983 292.072,76700 4.691.932 1.168.291,06800 4875304C1F 1305 B05CB01 SODIO CLORURO SODIO CLORURO 0,9% 250 ml FLACONE ev plastica collabibile due port FL 0,29417 912 268,28304 40.000 11.766,80000 75.000 22.062,75000 135.000 39.712,95000 53.000 15.591,01000 12.260 3.606,52420 316.172 93.008,31724 1.264.688 372.033,26896 4875315535 1306 B05CB01 SODIO CLORURO SODIO CLORURO 0,9% 250 ml FLACONE ev flacone vetro FL 0,31500 255 80,32500 0,00000 500 157,50000 0,00000 53.000 16.695,00000-53.755 16.932,82500 215.020 67.731,30000 4875330197 1307 B05CB01 SODIO CLORURO SODIO CLORURO 0,9% 500 ml FLACONE ev plastica collabibile due port FL 0,31500 450 141,75000 70.000 22.050,00000 110.000 34.650,00000 130.000 40.950,00000 110.000 34.650,00000 29.080 9.160,20000 449.530 141.601,95000 1.798.120 566.407,80000 48753409D5 1308 B05CB01 SODIO CLORURO SODIO CLORURO 09% 1000 ml FLACONE ev plastica collabibile due port FL 0,45267 1.100 497,93700 0,00000 9.000 4.074,03000 21.000 9.506,07000 0,00000-31.100 14.078,03700 124.400 56.312,14800 4875347F9A 1309 B05CB01 SODIO CLORURO SODIO CLORURO 0,9% 100 ml SACCA ev sacca sacca 0,34000 0,00000 0,00000 0,00000 0,00000 120.000 40.800,00000-120.000 40.800,00000 480.000 163.200,00000 48753577DD 1310 B05CB01 SODIO CLORURO SODIO CLORURO 0,9% 500 ml SACCA ev sacca PZ 0,52000 1.170 608,40000 6.000 3.120,00000 0,00000 0,00000 50.000 26.000,00000 7.830 4.071,60000 65.000 33.800,00000 260.000 135.200,00000 4875361B29 1311 B05CB01 SODIO CLORURO SODIO CLORURO 09% 1000 ml SACCA ev Sacca SC 0,62000 1.793 1.111,66000 300 186,00000 5.000 3.100,00000 17.000 10.540,00000 9.000 5.580,00000 1.320 818,40000 34.413 21.336,06000 137.652 85.344,24000 4875366F48 1312 B05CB01 SODIO CLORURO SODIO CLORURO 0,9% 2000 ML SACCA ev sacca SC 1,00000 1.950 1.950,00000 650 650,00000 10.000 10.000,00000 16.000 16.000,00000 14.000 14.000,00000-42.600 42.600,00000 170.400 170.400,00000 487537243F 1313 B05CB01 SODIO CLORURO SODIO CLORURO 0,9% 3000 ml SACCA ev sacca PZ 1,60000 2.175 3.480,00000 0,00000 0,00000 2.600 4.160,00000 0,00000-4.775 7.640,00000 19.100 30.560,00000 487537785E 1314 B05CB01 SODIO CLORURO SODIO CLORURO 0,9% 5000 ml SACCA ev sacca SC 2,19000 177 387,63000 3.600 7.884,00000 11.000 24.090,00000 0,00000 0,00000 20 43,80000 14.797 32.405,43000 59.188 129.621,72000 4875407122 1315 B05CB01 SODIO CLORURO SODIO CLORURO 0,9% 500 ml FLACONE CON TAPPO LARGO altro plastica FL 0,06400 46 2,94400 0,00000 0,00000 0,00000 0,00000-46 2,94400 184 11,77600 48754672A5 1316 B05CX03 ALTRE SOLUZIONI PER IRRIGAZIONI SOL. GLICINA 1,5% 3000 ML ev sacca SC 1,98000 0,00000 2.100 4.158,00000 0,00000 0,00000 0,00000-2.100 4.158,00000 8.400 16.632,00000 487546944B 1317 B05CX10 ASSOCIAZIONI SORBITOLO+MANNITOLO 3000 ml SACCA ev sacca PZ 2,40000 84 201,60000 240 576,00000 500 1.200,00000 0,00000 2.000 4.800,00000-2.824 6.777,60000 11.296 27.110,40000 4875554A6E 1318 B05XA01 POTASSIO CLORURO nota: in confezionamento massimo da 20 F POTASSIO CLORURO 2 meq/ml 10 ml FF ev fiala plastica FL 0,06700 36 2,41200 10.000 670,00000 25.000 1.675,00000 86.000 5.762,00000 33.000 2.211,00000 4.127 276,50900 158.163 10.596,92100 632.652 42.387,68400 4875560F60 1319 B05XA03 SODIO CLORURO SODIO CLORURO 2 meq/ml 11,7% 10 ml FF ev plastica FF 0,06000 616 36,96000 9.000 540,00000 15.000 900,00000 28.000 1.680,00000 38.000 2.280,00000 5.560 333,60000 96.176 5.770,56000 384.704 23.082,24000 4875566457 1320 B05XA06 POTASSIO FOSFATO POTASSIO FOSFATO 2meq/ml 10 ml FF ev fiala plastica PZ 0,05500 288 15,84000 200 11,00000 200 11,00000 285 15,67500 1.500 82,50000-2.473 136,01500 9.892 544,06000 48756043B3 1321 B05XA06 POTASSIO LATTATO POTASSIO LATTATO 2meq/ml 10 ml FF ev fiala plastica PZ 0,28000 504 141,12000 0,00000 200 56,00000 0,00000 0,00000-704 197,12000 2.816 788,48000 487620754F 1322 B05XA30 ASSOCIAZIONI DI ELETTROLITI OLIGOELEMENTI MULTIPLI 10 ml FF ev plastica FL 1,34400 2.111 2.837,18400 450 604,80000 1.500 2.016,00000 3.150 4.233,60000 3.500 4.704,00000-10.711 14.395,58400 42.844 57.582,33600 4876218E60 1323 B05XA30 SOL.DI OLIGOELEMENTI PEDIATRICI SOL.DI OLIGOELEMENTI PEDIATRICI ML 10 EV FL ev Flacone vetro/plastica FL 3,36000 0,00000 150 504,00000 0,00000 0,00000 1.800 6.048,00000-1.950 6.552,00000 7.800 26.208,00000 48762275D0 1324 B05XA30 SOL.DI OLIGOELEMENTI SOL.DI OLIGOELEMENTI(ZN+CU+MN+CR)ML 10 EV FL ev Flacone vetro/plastica FL 1,37000 0,00000 0,00000 0,00000 0,00000 9.000 12.330,00000-9.000 12.330,00000 36.000 49.320,00000 4876236D3B 1325 B05XB02 ALANILGLUTAMINA N2-L-ALANIL-N-GLUTAMINA 50 ml FLACONE ev flacone vetro FL 19,94000 200 3.988,00000 0,00000 0,00000 480 9.571,20000 150 2.991,00000-830 16.550,20000 3.320 66.200,80000 48762443D8 1326 V07AB SOLVENTI E DILUENTI, COMPRESE LE SOL. DETERGENTI ACQUA PER PRERAZIONI INIETTABILI 10 ml FIALA ev fiala plastica FF 0,05900 362 21,35800 20.000 1.180,00000 35.000 2.065,00000 81.000 4.779,00000 21.000 1.239,00000 48.540 2.863,86000 205.902 12.148,21800 823.608 48.592,87200 48762497F7

_forma e dosaggio Via a ICP_ ICP_ Desio Policlinico Besta annuo complessivo 1327 V07AB SOLVENTI E DILUENTI, COMPRESE LE SOL. DETERGENTI ACQUA PER PRERAZIONI INIETTABILI 100 ML ev flacone plastica collabibile due portfl 0,88000 350 308,00000 1.200 1.056,00000 0,00000 0,00000 0,00000-1.550 1.364,00000 6.200 5.456,00000 4876256DBC 1328 V07AB SOLVENTI E DILUENTI, COMPRESE LE SOL. DETERGENTI ACQUA PER PRERAZIONI INIETTABILI FL 100ML ev flacone vetro FL 0,35000 0,00000 0,00000 0,00000 7.200 2.520,00000 0,00000-7.200 2.520,00000 28.800 10.080,00000 4876263386 1329 V07AB SOLVENTI E DILUENTI, COMPRESE LE SOL. DETERGENTI ACQUA PER PRERAZIONI INIETTABILI 500 ml FLACONE ev flacone plastica collabibile due portpz 0,30000 0,00000 0,00000 18.000 5.400,00000 0,00000 40.000 12.000,00000-58.000 17.400,00000 232.000 69.600,00000 4876271A1E 1330 V07AB SOLVENTI E DILUENTI, COMPRESE LE SOL. DETERGENTI ACQUA PER PRERAZIONI INIETTABILI FL 500ML ev flacone vetro FL 0,27900 0,00000 2.000 558,00000 0,00000 36.000 10.044,00000 0,00000-38.000 10.602,00000 152.000 42.408,00000 4876281261 1331 V07AB SOLVENTI E DILUENTI, COMPRESE LE SOL. DETERGENTI ACQUA PER PRERAZIONI INIETTABILI 500 ml SACCA ev sacca PZ 0,37000 0,00000 50 18,50000 0,00000 0,00000 0,00000-50 18,50000 200 74,00000 4876287753 1332 V07AB SOLVENTI E DILUENTI, COMPRESE LE SOL. DETERGENTI ACQUA PER PRERAZIONI INIETTABILI 1000 ml FLACONE ev flacone plastica collabibile due portpz 0,38000 0,00000 0,00000 0,00000 0,00000 40.000 15.200,00000 12.260 4.658,80000 52.260 19.858,80000 209.040 79.435,20000 4876294D18 1333 V07AB SOLVENTI E DILUENTI, COMPRESE LE SOL. DETERGENTI ACQUA PER PRERAZIONI INIETTABILI 1000 ML ev sacca SC 0,69000 0,00000 1.800 1.242,00000 0,00000 0,00000 7.000 4.830,00000-8.800 6.072,00000 35.200 24.288,00000 4876297F91 1334 V07AB SOLVENTI E DILUENTI, COMPRESE LE SOL. DETERGENTI ACQUA PER IRRIGIGAZIONE 3000 ml SACCA IR sacca PZ 1,48000 0,00000 2.000 2.960,00000 0,00000 0,00000 3.500 5.180,00000-5.500 8.140,00000 22.000 32.560,00000 487630020F 1335 V07AB SOLVENTI E DILUENTI, COMPRESE LE SOL. DETERGENTI ACQUA PER IRRIGIGAZIONE 5000 ml SACCA IR sacca PZ 2,28000 0,00000 0,00000 300 684,00000 0,00000 0,00000-300 684,00000 1.200 2.736,00000 4876314D99 1336 V07AB SOLVENTI E DILUENTI, COMPRESE LE SOL. DETERGENTI ACQUA BIDISTILLATA 500 ml CON TAPPO LARGO altro flacone plastica PZ 0,35500 0,00000 1.000 355,00000 0,00000 0,00000 0,00000-1.000 355,00000 4.000 1.420,00000 4876323509 1337 V07AB SOLVENTI E DILUENTI, COMPRESE LE SOL. DETERGENTI GLICINA PER IRRIGAZIONE 5000 ml SACCA IR sacca PZ 3,86000 0,00000 0,00000 600 2.316,00000 0,00000 0,00000-600 2.316,00000 2.400 9.264,00000 48763256AF ICP_ Policlinico complessivo annuo per ciascuna struttura sanitaria 6.881.164,50619 5.215.210,01874 12.540.239,86533 7.433.542,41726 36.768.547,84213 469.990,80453 complessivo della fornitura (48 mesi) Iva esclusa complessivo per 48 mesi (Iva esclusa) per ciascuna struttura sanitaria 27.524.658,02476 20.860.840,07496 50.160.959,46132 29.734.169,66904 147.074.191,36851 1.879.963,21812 277.234.781,81671