ALLEGATO B ELENCO DI CONFEZIONI DI SPECIALITA' MEDICINALI NON PIU' CONCEDIBILI A CARICO DEL SERVIZIO SANITARIO NAZIONALE DAL CENTOVENTESIMO GIORNO DALLA DATA DI PUBBLICAZIONE DEL PRESENTE DECRETO. Modalita' SPECIALITA' di prescrizione Prezzo -- -- -- ABIDEC - PARKE DAVIS OS GTT 10 ML B40 2.055 ACCUPRIN - PARKE DAVIS 28 CPR 10 MG B40 35.300 ACEQUIN - RECORDATI 28 CPR 10 MG B40 35.300 ACIDRINE - UCM-DIFME 40 CPR B40 5.415 ADOMAL - MALESCI 30 CPR 375 MG B40 10.335 AIROL - ROCHE CREMA 20 G 0,05% B40 3.190 LOZ 50 ML 0,05% B40 3.890 ALFAFLOR OCULARE - INTES GTT 3 ML B40 2.555 ALFAZINA - MENDELEJEFF AD 10 SUPP B40 3.395 BB 10 SUPP B40 3.065 ALIUS - SCHARPER 6 SUP 50 MG B40 3.000 ALOL - SIT 50 CPR 400 MG B40 22.340 ALOSPOR - CIBA-GEIGY IM 1 FL 1 G + 1 F 3 ML S M B40 14.165 IM 1 FL 250 MG + 1 F 2,5 ML S M B40 5.640 IM 1 FL 500 MG + 1 F 2,5 ML S M B40 8.310 ALTRIS - ISNARDI 50 CPR 500 MG B40 4.620 AMBROCEF - LUSOFARMACO IV FL 1 G + F 5 ML B40 6.845 AMOX - SALUS 12 CPS 500 MG B40 5.260 AMPLITAL - FARMITALIA 12 CPS 250 MG B40 3.635 ANABASI - ZILLIKEN IM 5 F 1 MG + 5 F 2 ML B40 4.770 ANGIOPAN - GENTILI IM IV 5 F 2 ML B40 3.150 ANTEPSIN - BALDACCI 48 CPR 500 MG B40 8.170 ANTIBIOPTAL - FARMILA COLL 10 ML B40 2.580 ANTICATABOLIN - NATIVELLE IM 4 F 1 ML 12 MG R B40 3.310 Modalita' SPECIALITA' di prescrizione Prezzo -- -- -- ANTISETT. ASTR. SED - BRUSCHETTINI COLL 10 ML B40 2.540 ARGOTONE - LIPHA GTT RIN 20 ML B40 2.100 ASKARUTINA - GENTILI NORM IM IV 5 F 5 ML B40 3.385 ASMATEROLO - LUSOFARMACO SPRAY 30 G 0,2 G B40 9.535 30 CPR 20 MG B40 6.525 ATRIMYCON - BIOINDUSTRIA LOZIONE 30 G 1% B40 3.130 AXITEN - ZAMBON GROUP 20 CPR 300 MG B40 4.945 BATRAFEN - ALBERT FARMA CREMA VAGINALE G 75 + 15 APPL B40 19.300 BAYERCILLIN MEGA - BAYER 10 CPR 700 MG B40 5.405 BEDERMIN 100 - DAMOR POM 30 G 0,1% B40 3.615 20 GARZE 6 x 2 B40 3.640 BENZOXIL - SAMIL GEL 50 G B40 3.300 BETA-ACIGOXIN - INVERNI DELLA BEFFA 40 CPS 0,1 MG A 5.295 40 CPS 0,2 MG A 5.650 BETABIOPTAL - FARMILA COLL 5 ML B40 2.915 POM OFT 5 G B40 2.655 BETAPLEX B12 - MOLTENI SCIROPPO G 150 B40 2.980 BETAPLUS - SIGMA TAU 20 CPS B40 8.295 OS 1 FL LIOF + 1 FL B40 9.620 BIARISON - SANDOZ 10 SUP 300 MG B40 5.130 30 CPS 200 MG B40 6.525 BIOCARNIL - GENTILI OS GTT 20 ML B40 2.480 BROMOTIREN - BALDACCI IM 5 F 2 ML 80 MG B40 3.190 BRONCOPLUS - SIGMA TAU BB IM 10 F + 10 F B40 11.020 SCIR G 50 B40 6.265 BROXOL - PULITZER 30 CPR 30 MG B40 8.800 IM IV 6 F 2 ML 15 MG B40 3.815 BUFLAN - PIERREL 50 CONFETTI MG 150 B40 16.435 CABERMOX - CABER 12 CPS 500 MG B40 5.260 CALCIO IODICO - ALLERGAN COLL 10 ML B40 3.075 CANTRICIN - CORVI 12 OV VAG 3 MG B40 8.175 Modalita' SPECIALITA' di prescrizione Prezzo -- -- -- CASTEROGYL - ROUSSEL MAESTRETTI IM 6 F + 6 F 2 ML B40 6.000 CEFAMID - GIBIPHARMA 8 CPS MG 500 B40 7.425 CENTELLASE - SCHARPER IM 5 F 1 ML 10 MG B40 3.795 CHEMIONAZOLO - BROCCHIERI 15 OVULI VAGINALI 50 MG B40 11.820 CHIMODIL - BROCADES OS 20 BUST 5 G B40 4.955 40 CPR 1 G B40 4.200 CIDILIN - ERREKAPPA IM 5 F 2 ML MG 100 B40 10.060 CILLIMICINA - HOECHST IT. SUD IM IV 1 F 2 ML 600 MG M B40 3.220 12 CPS 500 MG B40 6.805 CISTALGAN - RECORDATI 6 SUP B40 4.130 CITRUPLEXINA - LIRCA SYNTHELABO IM 10 F 3 ML B40 4.605 CLENBUTOL - SCHARPER SCIR 200 ML B40 5.290 30 CPR 0,02 MG B40 4.640 CLENIDERM - CHIESI LOZ 30 ML 0,025% B40 5.425 CLOBESOL LIQ. SCALP FLUID - GLAXO 30 G B40 5.060 CLOBESOL LIQUIDO - GLAXO LOZ 30 G B40 5.060 CLOPIR - IRBI 50 CPS B40 7.280 CLORACEF - SCHIAPPARELLI SEARLE 8 CPS MG 500 B40 10.020 OS SOSP 100 ML 5% B40 12.765 CLOPRANE - LUITPOLD 45 CPS 250 MG B40 14.005 COBALVIT - TOSI-NO IM 5 F + 5 F 2 ML 1000 MCG B40 4.755 COCARVIT - CT IM 6 F + 6 F MG 50 B40 4.145 COMPLEXO VITALE - AUSONIA OS 15 FL 10 G B40 6.360 COB12 - NUOVA FARM. BRUCO 1000 FTE IM 5 F + 5 F 5 ML B40 5.585 500 NORM IM 3 F + 3 F 2 ML B40 3.990 COLPOVIS - SIT 20 CPS 1 MG B40 3.270 COTHERA - WYETH SCIR 120 ML 0,5% B40 3.345 20 CPS 152,5 MG B40 3.685 COXANTURENASI - NATIVELLE PED IM 5 F + 5 F B40 4.150 Modalita' SPECIALITA' di prescrizione Prezzo -- -- -- CRISTAL - PFIZER 40 CPR B40 3.290 DANLENE - SIT 50 CPR 100 MG B40 18.765 DELTAMIDRINA - ALLERGAN COLL 5 ML B40 3.780 DERMISTINA - ISM POM 25 G 2% B40 2.440 DESALFA - INTES COLL OFT 5 ML B40 2.455 POM OFT 5 G B40 2.000 DIABINESE - PFIZER 20 CPR 250 MG B40 3.110 DIALICOR - GUIDOTTI IM IV 10 F 3 ML 25 MG B40 4.555 30 CONF 25 MG B40 4.490 DIFENAX - ZAMBELETTI 30 CPS 250 MG B40 9.990 DIFMETRE MITE - UCM-DIFME 6 SUP B40 2.285 DIFMETRE - UCM-DIFME 20 CONF B40 2.775 DIFMETUS COMP. - UCM-DIFME SCIR 130 ML B40 3.085 DIFRAVIT - DIFA COOPER 20 CPS B40 4.260 DINASINT - PROTER IM FL 1 G + F 4 ML M B40 4.760 DISTONIUM - ZILLIKEN 24 DISC P B40 3.030 DIVICAL - LIFEPHARMA FTE OS GRAN 10 BUST B40 6.840 DOBETIN TOTALE - ANGELINI 20 CPR B40 3.965 DOMUCEF - MEDICI DOMUS 8 CPS MG 500 B40 5.695 DOMUPIRINA - MEDICI DOMUS AD 10 SUP B40 2.950 DOXINA - IBP SCIR 20 ML 200 MG B40 2.175 DROCTIL - CIBA-GEIGY 40 CONF 100 MG B40 4.885 DUOTRAX - ZAMBON 20 CPS B40 3.720 DYMION - PULITZER 40 CPR MG 10 S B40 28.865 ENCEVIN - SAVIO IBN OS GTT 30 ML 0,75% B40 5.365 EPPY - MERCK SHARP DOHME COLL 7,5 ML 1% B40 3.495 ERGOZIM LACTIS - CORVI OS 10 FL 5 ML B40 7.280 Modalita' SPECIALITA' di prescrizione Prezzo -- -- -- ESACINONE - LISAPHARMA POMATA 30 G 0,025% B40 3.350 ETABIOCORTILEN V.C. - SIFI COLL 3 ML B40 2.360 EUBETAL ANTIBIOTICO - SIFI COLL 3 ML B40 2.900 POM OFT 3 G B40 2.325 EVION FTE - BRACCO IM 5 F 2 ML 300 MG B40 3.480 20 CONF 100 MG B40 3.600 FACOVIT - TEOFARMA COLL 10 ML B40 2.375 FAREMICIN - LAFARE 12 CPS MG 500 R B40 14.980 FARMOXIN - FARMITALIA C. ERBA IM 1 FL 1 G + 1 F 2 ML SM B40 12.015 FENPRIN - RHONE-POULENC PHARM 30 CPR 27,5 MG B40 4.175 6 SUP 110 MG B40 3.895 FENPRINAX - RHONE POULENC PHARM 30 CPR P B40 3.730 FLOGAR - ABC-TORINO 10 SUPP 200 MG B40 6.070 30 CPR 200 MG B40 11.895 FLOGINAX - LIFEPHARMA 10 SUP 250 MG B40 6.120 FLOXALIN - SALUS 30 CPS 275 MG B40 14.085 FLUMETOL ANTIB. - FARMILA COLL 5 ML B40 4.965 FLUOROBIOPTAL - FARMILA COLL 3 ML B40 2.455 FOSFIDRAL - ANGELINI EMUL OS 200 G 4% B40 2.675 FOSFOBIOTIC - BERGAMON 12 CPS MG 500 R B40 14.980 OS SOSP 60 ML R B40 8.030 FOSFOGRAM - FIRMA OS SOSP 100 ML 5% R B40 13.715 FOTOFIL - INTES COLL 10 ML B40 2.340 FOXIMIN - CABER 12 CPS 500 MG R B40 15.850 FUCIDIN - SIGMA TAU 8 CPS 250 MG B40 9.315 FUGANTIL - GHIMAS AD 10 SUPP B40 2.985 BB 10 SUPP B40 2.750 LATT 10 SUPP B40 2.700 GENTAMEN - PIERREL 1 F 2 ML 80 MG M B40 3.975 GENURIN - RECORDATI 30 CONF MG 100 B40 6.195 Modalita' SPECIALITA' di prescrizione Prezzo -- -- -- GLOBULENO - POLIFARMA OS 10 FL 10 ML B40 6.795 GRANOLEINA - SIFI 30 PERLE B40 3.200 GUAIADOMUS - MEDICI DOMUS AD 10 SUPP B40 2.945 IDRACEMI - FARMIGEA POM OFT 5 G B40 2.410 IDRONEOMICIL - POLI EST GTT 5 ML B40 2.705 IDUCOL - SIFI COLL 3 ML B40 3.050 POM OFT 3 G B40 2.475 IMODIUM - JANSSEN OS GTT 15 ML 0,2% B40 3.385 IPOLINA - LAFARE 20 CPR MG 50 B40 3.015 IPOTENSIUM - PIERREL 42 CPR 0,15 MG B40 5.955 ISOPTIN S - KNOLL 30 CONF P B40 4.300 ISOTIRAN - ZILLIKEN 30 CONF 300 MG B40 4.195 JODO CALCIO VITAM - BRUSCHETTINI COLL 15 ML B40 3.110 KANADERM 200 - FIRMA CREMA 30 G B40 5.755 KANAZONE - SIT COLL 5 ML B40 2.340 KLAMAR - MAGGIONI WINTHROP SCIR 120 G 0,3% B40 3.060 BB 6 SUPP 25 MG B40 2.585 IM IV 5 F 2 ML 25 MG B40 3.230 LAFARIN - LAFARE 8 CPS MG 500 B40 5.670 LENIDOLOR - MENARINI 10 SUPP MG 100 B40 9.605 LENTONITRINA - PIERREL 50 CPS 2,5 MG A 4.820 LIPOBALSAMO - PARKE DAVIS AD 10 SUP B40 3.285 BB 10 SUP B40 2.730 LIPOGLUTAREN - RECORDATI FARMA 16 CPS 500 MG S B40 24.655 LIPOSIT - SIT 50 CPS 100 MG B40 8.600 LISACEF - LISAPHARMA 8 CPS MG 500 B40 7.425 LISOLIPIN - BRACCO 20 CPR 2 MG B40 3.460 MECLODOL - PARKE DAVIS 10 SUPP MG 100 B40 9.360 Modalita' SPECIALITA' di prescrizione Prezzo -- -- -- MEDIXIN - PIERREL SCIR 100 ML B40 4.175 20 CPR B40 4.940 MEDRAMIL - FARMIGEA COLL 10 ML B40 3.875 METIGUANIDE - FARMITALIA C. ERBA 30 CPR 500 MG B40 3.965 MENSISO - FIRMA-A 1 F IM IV 1 ML MG 50 SM B40 9.040 MICOREN 100 - CIBA-GEIGY 30 PERLE 100 MG B40 3.425 OS GTT 20 ML 15% B40 2.755 MINOCIN - CYANAMID SCIR 60 ML 1% B40 5.155 MIORILAN - SIGMA TAU 30 CPR MG 10 B40 14.340 MITALOLO - ELLEM 50 CPR MG 100 B40 13.735 MOTILIUM - JANSSEN OS GTT 30 ML (20 MG/ML) B40 17.565 MOVECIL - FARMITALIA C. ERBA 50 CPR 500 MG B40 9.570 MOXAL - RHONE-POULENC PHARMA 12 CPS 250 MG B40 3.790 MUCICLAR - PIAM AD 10 SUPP 30 MG B40 4.845 BB 10 SUPP 15 MG B40 3.510 MUCITUX - RECORDATI 20 CPS 100 MG B40 4.665 MUCOXIN - WYETH OS SOSP 180 ML B40 3.840 30 CPR B40 2.815 NAGAR - MIBA 30 DISC 500 MG B40 14.830 NALICIDIN - RHONE-POULENC PHARMA 20 CPR 500 MG B40 5.410 NAPROREX - LAMPUGNANI 30 CPS MG 275 B40 14.085 NEG-GRAM - MAGGIONI WINTHROP OS SOSP 150 ML 3% B40 5.555 NEOCORTIGAMMA - IBP POM DERM 30 G B40 3.775 NETOX - VITA IM IV 5 F + 5 F 2 ML 20 MG B40 5.335 NEUROTON - NUOVO CONS. S.N. IM IV 5 F 2 ML 250 MG B40 20.305 NICOSTEROLO - GUIDOTTI 50 CPR 400 MG B40 7.565 NISIDOL - DE ANGELI 5 F 2 ML B40 3.415 12 CPR B40 2.250 4 SUPP B40 2.465 Modalita' SPECIALITA' di prescrizione Prezzo -- -- -- NOTUL - EUROFARMACO 50 CPR 200 MG S B40 25.745 OCTINUM - KNOLL OS GTT 10 G 10% B40 2.380 30 CONF 150 MG B40 4.815 ORADROXIL - LAMPUGNANI 8 CPS MG 500 R B40 7.755 OTTOVIT VALEAS - VALEAS OS GTT 10 ML B40 2.090 30 CPS GELAT B40 3.375 OROMAG B12 - PULITZER OS 10 FL 10 ML B40 4.655 PANADOL - MAGGIONI WINTHROP 10 CPR 500 MG B40 1.750 10 SUPP 500 MG B40 3.060 PEREBRON - ANGELINI 20 CONF 100 MG B40 3.610 PIPTAL - RHONE-POULENC PHARMA AD 20 CPR 5 MG B40 2.340 PIRDUE - IBIS AD 10 SUPP B40 4.285 BB 10 SUPP B40 3.335 25 CPR B40 3.775 PIREUMA - TERAPEUTICO M.R. 6 SUPP 500 MG B40 2.770 PIVACEF - FIRMA 12 CPR 250 MG B40 10.475 8 CPR 500 MG B40 12.965 POLIMUCIL - POLI 20 CPS B40 8.935 POLIJODURATO - FARMIGEA COLL 10 ML B40 3.060 PREMIUM - SIT 40 CONF B40 5.805 PRESDATE - PIERREL 30 CPR 400 MG B40 33.085 50 CPR 100 MG B40 15.600 50 CPR 200 MG B40 28.305 PREXAN - LAFARE 10 SUPP MG 250 B40 5.685 PROGYNON B OLEOSO - SCHERING IM 1 F 5 MG B30 2.135 PRONTAMID - SIT COLL 10 G 30% B40 2.420 QUINAZIL - MALESCI 28 CPR 10 MG B40 35.300 QUINICARDINA - NATIVELLE 30 CPR 200 MG A 7.400 RAVENOL - CABER 50 CPS MG 150 S B40 30.775 RENGASIL - CIBA-GEIGY IM 6 F 4 ML 400 MG B40 6.770 10 CPS RETT 600 MG B40 9.830 30 CPS 400 MG B40 16.080 Modalita' SPECIALITA' di prescrizione Prezzo -- -- -- REOMUCIL - SIMES 20 CPS 375 MG B40 5.940 REPROL - LIRCA SYNTHELABO AEROSOL DOSATO 20 ML B40 9.145 REUMYL - LENZA 30 CPR MG 100 B40 11.435 RIBALGILASI - ITALFARMACO POM 50 G B40 4.550 RIFADYN - LEPETIT 8 CPS MG 150 B30 3.990 ROITEN - SCHERING IM IV 6 F 2 ML 20 MG B40 5.215 OS GTT 30 ML 1,333% B40 7.825 RONICOL RETARD - ROCHE 20 CONF MG 150 B40 4.415 RUBIDIOSIN - SIT COMP COLL 10 G B40 4.050 RUBISTENOL - PANTHOX & BURCK COLL 10 ML B40 2.410 RUBJOVIT - SIFI COLL 10 ML B40 3.110 SASPEROS - ALFA WASSERMANN OS SOSP 100 ML 5% B40 6.420 8 CPR 1 G B40 9.150 SEDOPULMINA - MEDOSAN AD 10 SUPP B40 3.000 BB 10 SUPP B40 2.735 SCIR 200 G B40 2.965 SIERO ANTIDIF. SCLAVO - SCLAVO 20000 UI M B30 13.020 SIERO ANTIRAB. SCLAVO - SCLAVO 5000 UI M B30 36.215 SIERO ANTITET. SCLAVO - SCLAVO CAV 3000 UI M B30 3.785 SILISAN - LIPHA 24 CPR B40 2.740 SIMATUS - RADIUMFARMA OS GTT 15 ML B40 2.125 SIMPLAMOX - ISF IM IV 1 FL 500 MG + 1 F M B40 3.215 SINCRIVIT - AGIPS 30 CPS B40 2.815 SINKETOL - LOCATELLI IM 6 F MG 50 + 6 F 5 ML B40 6.360 SOBREPIN RESPIRO - CORVI BB 10 SUPP B40 4.670 SOLASPIN - BAYROPHARM IM IV 6 F 0,5 G + 6 F B40 6.885 IM IV 6 F 1 G + 6 F B40 8.775 STERINOR - ABC-TORINO NIPIO OS GTT 20 ML B40 4.640 STEROLONE - FRANCIA FARM. LOZIONE 30 ML 0,025% B40 3.030 Modalita' SPECIALITA' di prescrizione Prezzo -- -- -- STRATOS - GHIMAS 40 CPS B40 5.785 SUPRIN - VALEAS AD 20 CPR B40 4.355 BB SOSP 100 ML B40 3.490 TALUSIN KNOLL - KNOLL 30 CONF MG 0,25 B40 3.555 TALWINSUP - MAGGIONI WINTHROP 6 SUPP MG 50 P B30 4.535 TAUCORTEN - SIGMA TAU CREMA 30 G 0,06% B40 4.440 TEKNADONE - TEKNOFARMA AD 10 SUPP B40 3.335 TEOREMAC - FARMADES 30 CPS 140 MG B40 8.330 TERION - LUSOFARMACO IV 6 F 40 MG 5 ML B40 3.795 TERRAMICINA - PFIZER POLIMIX POM TOP B40 2.465 TIATEROL - MIDY 50 CPR 400 MG B40 9.190 TERRACORTRIL - PFIZER OTO OFT 5 ML B40 2.260 POM DERM 15 G B40 2.720 TORAX - FARMADES SCIR 200 ML 0,3% B40 4.005 TREBI - COOP FARM 20 CONF B40 3.695 TRIDODILAN - ROUSSEL MAESTRETTI IM 5 F + 5 F 5 ML B40 5.920 TRILAN - ESSETI 30 CPS MG 100 B40 4.695 TRIMAX - MAGGIONI WINTHROP 50 CPR B40 3.750 ULCESIUM - ZAMBON 20 CPR 20 MG B40 3.545 UNIPLUS - ANGELINI 12 CPR B40 2.575 UROPAN - EUROFARMACO 20 CPR 500 MG B40 5.070 VALLENE SIMES - SIMES 20 CPR 300 MG B40 4.870 VASOSTERONE - ANGELINI NEB NAS 10 ML B40 2.280 VASPIT - SCHERING UNG G 30 B40 11.805 VASTOCIN - COLI 12 CPS MG 500 R B40 14.940 VELATEN - CORVI OS GRAN X SCIR 60 ML B40 2.640 VENTOLIN CONTROL - GLAXO ALLEN 30 CPS 6 MG B40 4.455 Modalita' SPECIALITA' di prescrizione Prezzo -- -- -- VIGORIL - COOP FARM LIOF SCIR G 150 B40 3.640 VINCADAR - ROUSSEL MAESTRETTI IM 10 F 1 ML 15 MG B40 6.065 VINCAMIN RETARD - SIT 40 CPR 40 MG B40 20.455 VINCAMIN - SIT 50 CPR 20 MG B40 15.820 VINSAL - SALUS RESEARCHES IM 10 F 15 MG B40 6.375 VIRUXAN - SIGMA TAU GTT OTO 10 ML B40 3.320 VISCOMUCIL - ABC-TORINO BB OS 20 BUST 15 MG B40 6.145 VISKALDIX - SANDOZ 30 CPR B40 6.955 VISUBLEFARITE - MERCK SHARP DOHME SOSP OFT 10 ML B40 3.245 Modalita' SPECIALITA' di prescrizione Prezzo -- -- -- VISUMETAZONE ANTIB. - MERCK SHARP DOHME COLL 10 ML B40 4.230 VISUMICINA - MERCK SHARP DOHME COLL 10 ML B40 3.875 VITEF - SANDOZ POM DERM 50 G 2% B40 2.940 WINOLATE - MAGGIONI WINTHROP OS SOSP 150 ML 40% B40 7.835 XANTERVIT EPARINA - SIFI POM OFT 5 G B40 4.445 XILOCAINA - BIK GULDEN POM 20 G 5% B40 2.405 ZACAM - BRISTOL IT SUD MITE 30 CPS MG 10 B40 12.195 ZAROXOLYN - ISF 50 CPR MG 2,5 B40 5.040 ZINCOIMIDAZYL - ALLERGAN COLL 10 ML B40 2.505