– Lista denumirilor comune internationale ale produselor medicamentoase de care beneficiaza asiguratii, in ambulatoriu, fara contributie personala
Sectiunea A – medicamente de baza, optiuni terapeutice 1
– Pentru insuficienta cardiaca cronica: digoxinum; hydrochlorothiazidum; captoprilum; enalaprilum; furosemidum; spironolactonum.
– Pentru bolnavi cu proteze valvulare si vasculare: acenocoumarolum; acidum acetylsalicylicum cp. cu concentratie pana la 100 mg.
– Pentru accident vascular cerebral postacut (inclusiv atac vascular cerebral trazitoriu): acenoumarolum; acidum acetylsalicylicum cp. cu concentratie pana la 100 mg.
– Pentru hepatita virala acuta (cu HAV, HBV, HCV sau HGV), hepatitele cronice cu etiologie virala (cu markeri cu replicare virala pozitivi).
– Ciroza hepatica: acidum ursodeoxycholicum; lactulosum; furosemidum; spinorolactonum; propanololum; prednisonum; ampicillinum; norfloxacinum; lamivudinum; azotioprinum; deferoxaminum.
– Talasemie: deferoxaminum.
– Leucemii, limfoame si aplazie medulara, tumori maligne: metoclopramisum; ondansetronum; dexamethasonum; morphinum; dihydrocordeinum; pethidinum; tramadolum; hydromorphonum; lithii carbonas; methadonum; codeinum.
(Medicamentele (DCI) aferente acestei grupe sunt listate impreuna cu cele corespunzatoare grupei -Tumori maligne- datorita faptului ca un numar mare de produse sunt comune celor doua grupe. Medicamentele vor fi asigurate prin farmaciile apartinand unitatilor sanitare, prin care se deruleaza programul national de cancer)
– Epilepsie: phenobarbitalum; phenitoinum; ethosuximidum; clonazepanum; carbamezapinum; acidum valproicum si saruri; pamotriginum; topiramatum.
– Boala Parkinson: trihexyphenidilum; biperridenum; levodupum si Carbidopum; levodupum si benserazidum; ropinirolum; pramipexolum; selegilinum.
– Miopatii (miopatii inflamatorii): prednisonum; cyclophosphamidum.
– Miastenia gravis: prednisonum; neostigmini bromidum; piridostigminum.
– Scleroza multipla: methylprednisonum; prednisonum; interferonum Beta 1-; Interferonum beta 1b -; glatiramer acetat -.
– Se prescriu numai pentru pacientii inclusi in subprogramul -Preventie si diagnostic precoce in bolile neurologice-.
– Boli psihice (schizofrenie, tulburari schizotipale si delirante, tulburari afective, psihoze toxice si infectioase, tulburari psihotice acute, dementele degenerative de tip Alzheimer, vasculare si mixte): acidum valproicum si saruri; trihexiphenidilum; haloperidolum; flupentixolum; clozapinum; amisulpridum; lithii carbonas; clomipraminum; amitriptylinum; doxepinum; maprotilinum mianserinum; donepezilum -; rivastigminum -.
– Vor fi prescrise numai cu avizul comisiei terapeutice de la nivelul spitalului sau al comisiilor de specialitate din centrele universitare.
– Lupus eritematos sistemic: prednisonum; azathioprinum; hydroxicloroquinum.
– Poliartrita reumatoida: sulphasalazium; bethamethaznum; prednisonum; methotrexatum; indometacinum; diclofenacum; piroxicanum; ketoprofenum.
– Spondilita ankilopoetica: sulphasalazium; bethamethazonum; diclofenacum; piroxicamum; nimesulfidum.
– Chistul hidatic: praziquantelum; Albendazolum.
– Malarie: hydroxicloroquinum.
– Tuberculoza, micobacteriozele atipice si mucoviscidoza (pentru aceasta din urma se indica antibiotice in functie de susceptibilitatea bacteriana, medicatie mucolitica, bronhodilatatoare si corticoizi): medicamentele vor fi asigurate prin farmaciile apartinand unitatilor sanitare prin care se deruleaza Programul National de TBC.
– Tumori maligne: Medicamentele sunt incluse in grupa -Leucemii, limfoame si aplazie medulara-. Medicamentele vor fi asigurate prin farmaciile apartinand unitatilor sanitare, prin care se deruleaza Programul National de Cancer.
– Boli endocrine (gusa endemica, boala Addison, diabetul isipid; mixedemul adultului): fludrocortizonum; hydrocortizonum; prednisonum; levothyroxinum; desmopressinum; iodidum; kalii iodidum.
– Boala Willson: penicillaminum.
– Stari posttransplant: acidum ursodeoxycholicum; methylprednisonum; prednisonum; sulphamethoxalum si trimethoprimum; fluconazolum; lamivudinm; ciclosporinum; azathiprinum. (Se vor prescrie la recomandarea centrului care a efectuat transplantul pentru pacientii inclusi in subprogramul -Transplant de organe si tesuturi-.
– Insuficienta renala cronica.
– Glaucom: pilocarpinum; acetazolamidum; timololum; carteololum; latanoprostum.
– Boli venerice (sifilis, gonoree, infectie cu clamidia): dexycyclinum; tetracyclinum; benzypenicillinum; benzathini benzypenicillinum; benzypenicillinum procainicum; erytromininum; josamycinum; ofloxacinum.
– Pemfigus: tetracosactidum; dexamethazonum; methylprednisolum; prednisolonum; prednisonum; triamcinolonum; hydrocortizonum.
– Pelagra: acidumnicotinicum.
– Boala Gaucher: imiglucerasum (dupa precizarea diagnosticului de catre Centrul de Boli Genetice – Cluj va putea fi prescris de catre sefii clinicilor universitare de profil (endocrinometabolice sau grastroeterologice), sau de catre sefii sectiilor respective de la nivelul spitalului respectiv.
Sectiunea B – Medicamente cu restrictie la prescriere – optiunea 2, avizarea prescriptiei medicale
– Insuficienta cardiaca cronica; Bolnavi cu proteze valvulare si vasculare: clopidogrelum (prescrierea va fi avizata de seful de sectie si/sau clinica, dupa caz, si aprobata de directorul de spital); ticlopidinum.
– Accident vascular cerebral postacut (inclusiv atacul vascular cerebral tranzitoriu): dalteparinum; enoxaparinum; nadroparinum; reviparinum; tinzaparinum; clopidogrelum-
– Prescrierea va fi avizata de seful de sectie si/sau clinica si aprobata de directorul de spital.
– Hepatita virala acuta (cu HAV, HBV, HCV, HGV), hepatitele cronice de etiologie virala (cu markeri de replicare virala pozitivi): ribavirinum-; lamivudinum-; interferonum Alfa 2a-; interferonum Alfa 2b-; peginterferonum alfa -.
– Se vor prescrie cu avizul comisiilor institutelor de specialitate sau din centrele universitare si vor fi aprobate de catre Comisia Centrala de la nivelul CNAS.
– Ciroza hepatica: rifaximinum; hydrochlorothiazidum; methylprednisolonum; ciprofloxacinum.
– HIV/SIDA: medicamentele vor fi asigurate prin farmaciile apartinand unitatilor sanitare, prin care se deruleaza Programul National HIV/SIDA.
– Talasemie.
– Leucemii, limfoame si aplazie medulara, tumori maligne: granisetronum; epoetinum; desmopressinum; levothyroxinum; daunorubicinum; formestanum; ciclosporinum; pentazocinum; carbamasepinum.
– Epilepsie: gabapentinum.
– Boala Parkinson: amantadinum; bromocriptinum; entacaponum-; clozapinum–.
– Se vor prescrie cu avizul Comisiilor Institutelor de specialitate sau din Centrele Universitare.
– Parkinsonian cu tulburari psihotice.
– Miopatii (miopatiile inflamatorii): dexametazonum; methilprednisolonum; methotrexatum; azathioprinum; hydroxicloroquinum.
– Miastenia gravis: tetracosactidum; dexamethasonum; methylprednisolonum; azothioprinum.
– Scleroza multipla: methotrexatum; azathioprinum.
– Boli psihice (schizofrenie, tulburari schizotipale si delirante, tulburari afective, psihoze toxice si intectioase, tulburari psihotice acute; dementele deenerative de tip Alzheimer; vasculare si mixte): biperidenum; selegilinum-; risperidonum-; zuclopentixolum-; olanzapinum -; quetiapinum -.
– Prescrierea va fi avizata de seful de sectie si/sau clinica, dpa caz, si aprobata de directorul de spital.
– Lupus eritematos sistemic: methylprednisolum; cyclophosphamidum; methotrexatum -; ciclosporinum; mycophenolatum.
– Prescrierea va fi avizata de seful de sectie si/sau clinica, dupa caz, si aprobata de directorul de spital.
– Poliartrita reumatoida: methylprednisolum; ciclosporinum; infliximabum –; leflunomidum -; azathioprinum; combinatii: diclofenacum si misoprostolum –; natrii aurothiomalas; hydroxichloroquinum.
– Leflunomidum: contraindicatie sau precautie la cei cu leziuni hepatice preexistente (EMEA); se administreaza la pacientii cu poliartrita reumatoida care nu raspund adecvat la metotrexat sau sulfasalazina;
– Infliximabum: la pacientii cu poliartrita reumatoida severa care nu raspund adecvat la metrotrexat se asociaza infliximabum, cu aprobarea comisiei centrale de la nivelul CNAS;
– Se prescrie la pacientii care nu tolereaza celelalte antiinflamatoare din lista.
– Spondilita ankilopoetica: mthotrexatum; meloxicamum.
– Chistul hidatic
– Malarie
– Tuberculoza, micobacteriozele atipice si mucoviscidoza-.
Medicamentele vor fi asigurate prin farmaciile apartinand unitatilor sanitare, prin care se deruleaza Programul National de TBC.
– Pentru muscoviscidoza se indica antibioterapie in functie de susceptibilitatea bacteriana, medicatie mucolitica, bronhodilatatoare si corticoizi.
– Tumori maligne: medicamentele aferente grupei -Tumori maligne- sunt incluse in grupa -Leucemii, limfoame si aplazie medulara. Medicamentele vor fi asigurate prin farmaciile apartinand unitatilor sanitare, prin care se deruleaza Programul National de Cancer.
– Diabet zaharat si boli de nutritie: medicamentele vor fi asigurate prin farmaciile apartinand unitatilor sanitare, prin care se deruleaza Programul National de Diabet si Boli de Nutritie.
– Boli endocrine (gusa endemica, boala Addison, diabetul insipid, mixedemul adultului).
– Boala Willson
– Stari posttransplant: aciclovirum; ganciclovirum; tacrolimus; mycophenolatum; sirolimus.
Se vor prescrie cu avizul centrului care a efectuat transplantul, pentru pacientii inclusi in subprogramul -Transplant de organe si tesuturi-.
– Insuficienta renala cronica: alfacalcidolum; epoetinum.
Se prescriu numai pentru pacientii inclusi in subprogramului -preventie in patologia mefrologica si dializa-.
– Glaucom: dorzolamidum; brinzolamidum; betaxololum.
– Boli venerice (sifilis, gonoree, infectie cu Clamidia-): cefuroximum; ceftriaxonum; ceftibutenum; sulfamethoxazolum si trimethoprimum; azithromycinum; ciprofloxacinum orfloxacinum.
– Confirmata de laborator.
– Pemfigus: dapsonum; cyclophosphamidum; methotrexatum; ciclospornum -; azathioprinum.
– Prescrierea va fi avizata de seful de sectie si/sau clinica, dupa caz, si aprobata de directorul de spital.
– Pelagra
– Boala Gaucher
Nota: Medicamentele cuprinse in aceasta sectiune sunt recomandate si prescrise numai in una dintre urmatoarele situatii: cand prin folosirea medicamentelor din sectiunea A nu se obtine un raspuns terapeutic adecvat, reactiile adverse sunt majore, exista contraindicatii datorate unei boli asociate sau cand numai medicamentele din aceasta sectiune B reprezinta solutia terapeutica exclusiva.
Tratamentul cu aceste medicamente se initiaza de medicul de specialitate, luandu-se in considerare mentiunile cu caracter special notate cu -.
Prescrierea medicamentelor din aceasta sectiune se va aviza cel putin de catre comisia terapeutica a spitalului din aceasta sectiune.
– Lista denumirilor comune internationale ale produselor medicamentoase de care beneficiaza asiguratii, in ambulatoriu, cu contributie personala
Sectiunea A – Medicamente de baza, optiune terapeutica 1
Nivelul de compensare pentru medicamentele corespunzatoare acestor DCI este de 65% (–)
Bismuthi Subcitras; Famodinum; Lansoprazolum; Omeprazolum; Ranitidinum; Mebeverinum; Butylscopolammonii Bromidum; Metoclopramidum; Prochlorperazinum; Nystatinum; Loperamidum; Mesalazinum – numai in caz de intoleranta la Sulfasalazinum-; Sulfasalazinum-; Alfacalcidolum; Acenocoumarolum-; Phytomenadionum; Ferrosii Fumaras; Ferrosii Glutamas; Ferrosii Sulfas; Digoxinum; Amiodaronum; Chinidini Sulfas; Mexiletinum; Propafenonum; Isosorbidi Dinitras; Isosorbidi Mononitras; Nitroglycerinum; Trimetazidinum; Clonidinum; Prozosinum; Dihydralazinum – in combinatii; Hydrochlorothiazidum; Indapamidum; Furosemidum; Spironolactonum; Atenololum; Betaxololum; Bisoprololum; Carvedilolum; Metoprololum; Nevivololum; Propranololum; Sotalolum – numai ca antiaritmic-; Nifedipinum cu eliberare prelungita; Diltiazemum; Verapamilum; Captoprilum; Enalaprilum; Fosinoprilum-; Lisinoprilum-; Perindoprilum-; Quinaprilum-; Ramiprilum-; Benazeprilum-; Trandolaprilum-; Bezafibratum; Gemfibrozilum; Fenofibratum; Simvastatinum-; Bifonazolum; Miconazolum; Griseofulvinum-; Clobetasolum; Flumetasonum; Hydrocortizonum; Triamcinolonum Acetonid; Methylergometrinum-; Bromocriptinum-; Medroxyprogesteronum-; Testosteronum-; Estradiolum-; Lynestrenolum-; Progesteronum-; Estrogeni – simpli si combinatii-; Clomifenum-; Doxazosinum- ; Terazosinum-; Dexamethasonum; Methylprednisolonum-; Prednisolonum; Prednisonum; Carbimazolum-; Thiamazolum-; Doxycyclinum; Tetracyclinum; Amoxicillinum; Ampicillinum;
Benzathini Benzylpenicillinum; Benzylpenicillinum; Oxicillinum; Phenoxymethylpenicillinum; Cefaclorum; Cefalexinum Oral; Cefuroximum Oral;
Sulfamethoxazolum si Trimethoprimum; Erytromicinum; Gentamicinum; Ciprofloxacinum; Norfloxacinum; Metronidazolum; Tinidazolum; Fluconazolum Oral; Ketoconazolum; Aciclovirum; Ofloxacinum; Diclofenacum; Indometacinum; ketoprofenum; Nimesulidum; Piroxicamum; Tenoxicamum; Tetrazepamum; Allopurinolum-; Colcchicinum-; Tramadolum; Carbamazepinum; Chlorpromazinum; Thioridazinum; Alprazolamum; Bromazepamum; Diazepamum; Hydroxyzinum; Medazepamum; Oxazepamum; Nitrazepamum; Betahistinum; Acidum Alfa-Lipoicum; Praziquantelum; Mebendazolum; Albendazolum; Levamisolum; Salbutamolum; Acidum Cromoglicicum; Beclomethasonum; Budesonidum; Aminophyllinum; Theophillinum; Codeinum; Chlorpheniraminum; Ketotifenum; Loratadinum; Promethazinum; Ciprofloxacinum; Tobtramicinum si Dexametazonum; Acidum Cromoglicicum
Nota: Tratamentul cu medicamentele notate cu – se initiaza de medicul de specialitate in limita competentei si poate fi prescris in continuare de medicul de familie pe baza scrisorii medicale emise de medicul de specialitate.
Sectiunea B – Medicamente cu restrictie la prescriere – optiune terapeutica 2
Nivelul de compensare pentru medicamentele corespunzatoare acestor DCI este de 50%–
Nizaditinum; Pantoprazolum; Sucralfatum; Otilonium Bromidum; Trimebutinum; Domperidonum; Colecalciferolum; Clopidogrelum – pentru pacientii cu intoleranta la aspirina; Sulodexidum; Ticlopidinum – pentru pacientii cu intoleranta la aspirina; complex de hidroxid de fier (III); Methyldopum; Moxonidinum; Codergocrinum; Nigergolinum; pentoxifyllinum; Vincaminum; Diosminum – simplu si in combinatii; Amlodipinuml; Felodipinum; Lercanidipinum; Candesartanum; Irbesartanum; Lozartanum; Telmisartanum; Valsartinum; Atorvastatinum; Ciprofibratinum; Fluvastatinum; Pravastatinum; Naftifinum; Natamycinum; Terbinafinum; Calcipotriolum; Mupirocinum; Sulfadiazinum; Methylprednisolonum; Mometasonum; Acidum Azelaicum; Isotretinoinum; Fenticonazolum; Hexastrolum; Promestrienum; Dydrogesteronum; Raloxifenum; Emepronii Bromidum; Oxybutyninum; Alfuzosinum; Finasteridum; Tamsulosinum; Tetracosactidum; Betamethasonum; Fludrocortisonum hydrocortisonum; Calcitoninum; Amoxicillinum si Acidum Clavulanicum; Sultamicillinum; Ceftibutenum Oral; Azithromicinum; Clarithromycinum; Clindamycinum; Itraconazolum; Celecoxibum; Meloxicamum; Rofecoxibum; Baclofenum; Acidum Alendronicum; Acidum Pamidronicum; Sumatriptanum; Rizatriptanum; Sulpiridum; Tiapridum; Zolpidemum; Zopiclonum; Fluvoxaminum; Milnacipranum; Mirtazapinum; Paroxetinum; Reboxetinum; Sertralinum; Tianeptinum; Venlafaxinum; Fluoxetinum; Pramiracetamum; Vinpocetinum; Ginkgo Biloba (extract standardizat conform Pharmacopeei); Hidrolizat de Proteina din Creier de Porcine; Hydroxychloroquinum; Fenoterolum; Salmeterolum; Salmeterolum + Fluticasonum; Terbutalinum; Fluticasonum; Ipratropii Bromidum; Montelukast; Dextromethorphanum; Levodropropizinum; Fexofenadinum; Desloratadinum; Thiethylperazinum; Emedastinum
Nota: Medicamentele cuprinse in aceasta sectiune sunt recomandate si prescrise numai in una dintre urmatoarele situatii: cand prin folosirea medicamentelor din sectiunea A nu se obtine un raspuns terapeutic adecvat, reactiile adverse sunt majore, exista contraindicatii datorate unei boli asociate sau numai cand medicamentele din aceasta Sectiune B reprezinta solutia terapeutica exclusiva.
(–) Cota procentuala de 65%, respectiv 50%, se aplica la pretul cel mai mic corespunzator unitatii terapeutice aferente aceleiasi forme farmaceutice, din cadrul aceleiasi denumiri comune internationale si pentru fiecare concentratie. Valoarea astfel rezultata reprezinta pretul de referinta.
