Elenco farmaci PHT erogabili in DPC - Alfabetico per

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Transcript Elenco farmaci PHT erogabili in DPC - Alfabetico per

ELENCO FARMACI DEL PHT ATTUALMENTE IN "DPC"
Alfabetico specialità medicinale
Aggiornamento da
gennaio/2017
UOSD Farmacia Territoriale
Codice AIC
Specialità medicinale
Principio attivo (ATC)
043658071
036582183
034946044
034946121
038218018
038218119
038218071
038218057
035691409
035691411
035691359
035691447
035691385
035691397
035691599
035691637
043733043
043733056
044407183
044407310
044407043
043732039
035606072
035606173
035606033
035606110
035606146
037221076
037221088
043364025
043364037
043364049
043364052
043364013
038352124
038352023
038190450
038190498
038190512
038190359
038190373
038190411
038190308
038190346
040546044
041276015
041276039
037568019
037568033
036373025
036373102
035672056
026966034
026966046
ABASAGLAR*SC 5KWIKPEN 100UI/ML
ABILIFY*OS FL 150ML 1MG/ML
ACTOS*28CPR 30MG
ACTOS*28CPR 45MG
ADVAGRAF*30CPS 0,5MG RP
ADVAGRAF*30CPS 3MG RP
ADVAGRAF*30CPS 5MG RP
ADVAGRAF*60CPS 1MG RP
ARANESP*SC 1PEN 100MCG 0,5ML
ARANESP*SC 1PEN 150MCG 0,3ML
ARANESP*SC 1PEN 20MCG 0,5ML
ARANESP*SC 1PEN 40MCG 0,4ML
ARANESP*SC 1PEN 60MCG 0,3ML
ARANESP*SC 1PEN 80MCG 0,4ML
ARANESP*SC EV 1SIR 30MCG 0,3ML
ARANESP*SC EV 1SIR 50MCG 0,5ML
ARIPIPRAZOLO MY*28CPR ORO 10MG
ARIPIPRAZOLO MY*28CPR ORO 15MG
ARIPIPRAZOLO SAND*28CPR 10MG
ARIPIPRAZOLO SAND*28CPR 15MG
ARIPIPRAZOLO SAND*28CPR 5MG
ARIPIPRAZOLO TE*28CPR ORO 10MG
ARIXTRA*SC 10SIR 1,5MG 0,3ML
ARIXTRA*SC 10SIR 10MG 0,8ML
ARIXTRA*SC 10SIR 2,5MG 0,5ML
ARIXTRA*SC 10SIR 5MG 0,4ML
ARIXTRA*SC 10SIR 7,5MG 0,6ML
BARACLUDE*30CPR RIV 0,5MG
BARACLUDE*30CPR RIV 1MG
BEMFOLA*SC PEN 150UI/0,25ML+AG
BEMFOLA*SC PEN 225UI/0,375ML+A
BEMFOLA*SC PEN 300UI/0,50ML+AG
BEMFOLA*SC PEN 450UI/0,75ML+AG
BEMFOLA*SC PEN 75UI/0,125ML+AG
BICALUTAMIDE TEVA*28CPR RIV150
BICALUTAMIDE TEVA*28CPR RIV50M
BINOCRIT*1SIR 10000UI 1ML+DISP
BINOCRIT*1SIR 30000UI 0,75ML+D
BINOCRIT*1SIR 40000UI 1ML+DISP
BINOCRIT*1SIR 5000UI 0,5ML+DIS
BINOCRIT*1SIR 6000UI 0,6ML+DIS
BINOCRIT*1SIR 8000UI 0,8ML+DIS
BINOCRIT*6SIR 2000UI 1ML+DISP
BINOCRIT*6SIR 4000UI 0,4ML+DIS
BRILIQUE*56CPR RIV 90MG
BYDUREON*SC 4KIT FL+SIR 2MG RP
BYDUREON*SC 4PEN 2MG 0,65ML RP
BYETTA*SC 1PEN 1,2ML 5MCG
BYETTA*SC 1PEN 2,4ML 10MCG
CERTICAN*60CPR 0,25MG
CERTICAN*60CPR 0,75MG
CIALIS*12CPR RIV 20MG
CLEXANE*6SIR 2000UI 0,2ML
CLEXANE*6SIR 4000UI 0,4ML
INSULINA GLARGINE (A10AE04)
ARIPIPRAZOLO (N05AX12)
PIOGLITAZONE (A10BG03)
PIOGLITAZONE (A10BG03)
TACROLIMUS (L04AD02)
TACROLIMUS (L04AD02)
TACROLIMUS (L04AD02)
TACROLIMUS (L04AD02)
DARBEPOIETINA ALFA (B03XA02)
DARBEPOIETINA ALFA (B03XA02)
DARBEPOIETINA ALFA (B03XA02)
DARBEPOIETINA ALFA (B03XA02)
DARBEPOIETINA ALFA (B03XA02)
DARBEPOIETINA ALFA (B03XA02)
DARBEPOIETINA ALFA (B03XA02)
DARBEPOIETINA ALFA (B03XA02)
ARIPIPRAZOLO (N05AX12)
ARIPIPRAZOLO (N05AX12)
ARIPIPRAZOLO (N05AX12)
ARIPIPRAZOLO (N05AX12)
ARIPIPRAZOLO (N05AX12)
ARIPIPRAZOLO (N05AX12)
FONDAPARINUX (B01AX05)
FONDAPARINUX (B01AX05)
FONDAPARINUX (B01AX05)
FONDAPARINUX (B01AX05)
FONDAPARINUX (B01AX05)
ENTECAVIR (J05AF10)
ENTECAVIR (J05AF10)
FOLLITROPINA ALFA (G03GA05)
FOLLITROPINA ALFA (G03GA05)
FOLLITROPINA ALFA (G03GA05)
FOLLITROPINA ALFA (G03GA05)
FOLLITROPINA ALFA (G03GA05)
BICALUTAMIDE (L02BB03)
BICALUTAMIDE (L02BB03)
ERITROPOIETINA (B03XA01)
ERITROPOIETINA ALFA (B03XA01)
ERITROPOIETINA ALFA (B03XA01)
ERITROPOIETINA (B03XA01)
ERITROPOIETINA ALFA (B03XA01)
ERITROPOIETINA (B03XA01)
ERITROPOIETINA (B03XA01)
ERITROPOIETINA (B03XA01)
TICAGRELOR (B01AC24)
EXENATIDE (A10BX04)
EXENATIDE (A10BX04)
EXENATIDE (A10BX04)
EXENATIDE (A10BX04)
EVEROLIMUS (L04AA18)
EVEROLIMUS (L04AA18)
TADALAFIL (G04BE08)
ENOXAPARINA (B01AB05)
ENOXAPARINA (B01AB05)
AZIENDA ULSS 5 POLESANA - Elenco farmaci del PHT attualmente in DPC " - Aggiornamento da
gennaio/2017
Pagina 1 di 5
Codice AIC
Specialità medicinale
Principio attivo (ATC)
039397031
037225099
034231035
037060035
037060100
026999058
026999021
041885094
041885029
041088170
041088042
035681055
039055090
039055025
036967038
036967040
041225032
041225095
039943016
039943028
027066137
027066125
027015181
027015155
027015282
027015179
027015231
027015243
027015268
042227013
038252096
038252033
034078283
039232018
039232020
042494070
032921049
032921114
032921140
032921177
037097096
037097235
042581126
042581153
042581037
042581064
042581090
042581013
039889314
039889504
039889136
038144059
032392211
032392336
032392351
032392348
035562014
035871019
041393012
043030030
043030218
034832319
034832345
038024016
038024067
038024117
CLOPIDOGREL MYL*28CPR RIV 75MG
COMPETACT*56CPR RIV 15MG+850MG
COMTAN*100CPR RIV 200MG
CORLENTOR*56CPR RIV 5MG ALL/PV
CORLENTOR*56CPR RIV 7,5MG ALL/
DECAPEPTYL*FL 11,25MG+2ML+1SIR
DECAPEPTYL*FL 3,75MG+2ML+1SIR
DONEPEZIL AURO*28CPR RIV 10MG
DONEPEZIL AURO*28CPR RIV 5MG
DONEPEZIL MG*28CPR OROD 10MG
DONEPEZIL MG*28CPR OROD 5MG
EBIXA*OS SOLUZ 5MG/EROGAZIONE
EFIENT*28CPR RIV 10MG
EFIENT*28CPR RIV 5MG
ELIGARD*INIET SIR+SIR 7,5MGKIT
ELIGARD*INIET SIR+SIR22,5MGKIT
ELIQUIS*60CPR RIV 2,5MG
ELIQUIS*60CPR RIV 5MG
ELONVA*SC 1SIR 100MCG 0,5ML+AG
ELONVA*SC 1SIR 150MCG 0,5ML+AG
ENANTONE*IM SC SIR11,25MG/MLRP
ENANTONE*IM SC SIR3,75MG/ML RP
EPREX*1SIR 10000UI 1ML
EPREX*1SIR 2000UI 0,5ML
EPREX*1SIR 40000UI/ML 1ML
EPREX*1SIR 4000UI 0,4ML
EPREX*1SIR 5000UI/0,5ML
EPREX*1SIR 6000UI/0,6ML
EPREX*1SIR 8000UI/0,8ML
ESMYA*28CPR 5MG
EUCREAS*60CPR 50MG+1000MG
EUCREAS*60CPR 50MG+850MG
EXELON*30CER 13,3MG/24H
FIRMAGON*INIET 1FL 80MG+1SIR
FIRMAGON*INIET 2FL 120MG+2SIR
FORXIGA*28CPR RIV 10MG
FOSTIMON*10FL 75UI+10F
FOSTIMON*5FL 150UI/ML+5SIR
FOSTIMON*5FL 225UI/ML+5SIR
FOSTIMON*5FL 300UI/ML+5SIR
FOZNOL*FL 90CPR MAST 750MG
FOZNOL*OS POLV 90BUST 1000MG
FYCOMPA*28CPR RIV 10MG
FYCOMPA*28CPR RIV 12MG
FYCOMPA*28CPR RIV 4MG
FYCOMPA*28CPR RIV 6MG
FYCOMPA*28CPR RIV 8MG
FYCOMPA*7CPR RIV 2MG
GALNORA*28CPS 16MG RP
GALNORA*28CPS 24MG RP
GALNORA*28CPS 8MG RP
GALVUS*56CPR 50MG
GONAL F*(600UI) 1050UI/1,75ML
GONAL F*SC 1PEN 300UI/0,5ML+8A
GONAL F*SC 1PEN 900UI/1,5ML+20
GONAL F*SC 1PEN450UI/0,75ML+12
GONAPEPTYL DEPOT*SIR 3,75MG+SO
HEPSERA*1FL 30CPR 10MG
IMUNOCARE*CR 5% 12BUST 250MG
INCRESYNC*28CPR RIV 12,5+30MG
INCRESYNC*28CPR RIV 25+30MG
INTRONA*SC IV 1PEN 18MUI+12KIT
INTRONA*SC IV 1PEN 30MUI+12KIT
INVEGA*28CPR 3MG RP
INVEGA*28CPR 6MG RP
INVEGA*28CPR 9MG RP
CLOPIDOGREL (B01AC04)
METFORMINA E PIOGLITAZONE (A10BD05)
ENTACAPONE (N04BX02)
IVABRADINA (C01EB17)
IVABRADINA (C01EB17)
TRIPTORELINA (L02AE04)
TRIPTORELINA (L02AE04)
DONEPEZIL (N06DA02)
DONEPEZIL (N06DA02)
DONEPEZIL (N06DA02)
DONEPEZIL (N06DA02)
MEMANTINA (N06DX01)
PRASUGREL (B01AC22)
PRASUGREL (B01AC22)
LEUPRORELINA (L02AE02)
LEUPRORELINA (L02AE02)
APIXABAN (B01AF02)
APIXABAN (B01AF02)
CORIFOLLITROPINA ALFA (G03GA09)
CORIFOLLITROPINA ALFA (G03GA09)
LEUPRORELINA (L02AE02)
LEUPRORELINA (L02AE02)
ERITROPOIETINA ALFA (B03XA01)
ERITROPOIETINA ALFA (B03XA01)
ERITROPOIETINA ALFA (B03XA01)
ERITROPOIETINA ALFA (B03XA01)
ERITROPOIETINA ALFA (B03XA01)
ERITROPOIETINA ALFA (B03XA01)
ERITROPOIETINA ALFA (B03XA01)
ULIPRISTAL (G03XB02)
METFORMINA E VILDAGLIPTIN (A10BD08)
METFORMINA E VILDAGLIPTIN (A10BD08)
RIVASTIGMINA (N06DA03)
DEGARELIX (L02BX02)
DEGARELIX (L02BX02)
DAPAGLIFLOZIN (A10BX09)
UROFOLLITROPINA (G03GA04)
UROFOLLITROPINA (G03GA04)
UROFOLLITROPINA (G03GA04)
UROFOLLITROPINA (G03GA04)
LANTANIO CARBONATO (V03AE03)
LANTANIO CARBONATO (V03AE03)
PERAMPANEL (N03AX22)
PERAMPANEL (N03AX22)
PERAMPANEL (N03AX22)
PERAMPANEL (N03AX22)
PERAMPANEL (N03AX22)
PERAMPANEL (N03AX22)
GALANTAMINA (N06DA04)
GALANTAMINA (N06DA04)
GALANTAMINA (N06DA04)
VILDAGLIPTIN (A10BH02)
FOLLITROPINA ALFA (G03GA05)
FOLLITROPINA ALFA (G03GA05)
FOLLITROPINA ALFA (G03GA05)
FOLLITROPINA ALFA (G03GA05)
TRIPTORELINA (L02AE04)
ADEFOVIR DIPIVOXIL (J05AF08)
IMIQUIMOD (D06BB10)
PIOGLITAZONE E ALOGLIPTINA (A10BD09)
PIOGLITAZONE E ALOGLIPTINA (A10BD09)
INTERFERONE ALFA-2B (L03AB05)
INTERFERONE ALFA-2B (L03AB05)
PALIPERIDONE (N05AX13)
PALIPERIDONE (N05AX13)
PALIPERIDONE (N05AX13)
AZIENDA ULSS 5 POLESANA - Elenco farmaci del PHT attualmente in DPC " - Aggiornamento da
gennaio/2017
Pagina 2 di 5
Codice AIC
Specialità medicinale
Principio attivo (ATC)
043145022
043145061
029399019
029399110
029399134
029399122
038672109
038672034
043443047
043443136
042203190
042203051
041689086
041689023
041140017
035724121
035724069
035724246
041230107
036850055
044315051
044315188
027104088
027104102
034951057
042657054
042657039
042776221
042776094
036749024
036749036
036749048
036598023
036598050
036598098
034090264
038348102
038348203
038348114
038348126
038348177
038348088
038348090
042250023
039589039
029059096
039696012
039696036
036511032
036511069
034430355
034430456
034430316
034430417
034430330
034430431
035716036
040158040
040014033
041954177
041954049
040470128
040470041
039453129
039453028
043029014
INVOKANA*30CPR RIV 100MG
INVOKANA*30CPR RIV 300MG
IPSTYL*IM FL30MG RP+F 2ML SOLV
IPSTYL*SC 1SIR 60MG
IPSTYL*SC SIR 120MG
IPSTYL*SC SIR 90MG
JANUMET*56CPR RIV 50MG+1000MG
JANUMET*56CPR RIV 50MG+850MG
JARDIANCE*28 CPR RIV 25MG
JARDIANCE*28CPR RIV 10MG
JENTADUETO*56CPR RIV2,5+1000MG
JENTADUETO*56CPR RIV2,5+850MG
KOMBOGLYZE*56CPR RIV2,5+1000MG
KOMBOGLYZE*56CPR RIV2,5+850MG
LAMIVUDINA TEVA*28CPR RIV100MG
LANTUS*SC 1FL 100UI/ML 10ML
LANTUS*SC 5CART 100UI/ML 3ML
LANTUS*SOLOST 5PEN 100UI/ML3ML
LEFLUNOMIDE MYL*30CPR RIV 20MG
LEVEMIR*FLEX 5PEN 3ML 100UI/ML
LIXIANA*28CPR RIV 30MG
LIXIANA*28CPR RIV 60MG
LONGASTATINA LAR*FL 10MG+SIR+2
LONGASTATINA LAR*FL 30MG+SIR+2
LUVERIS*SC 3FL 75UI+3FL SOLV
LYXUMIA*1PEN 10MCG+1PEN 20MCG
LYXUMIA*2PEN 3ML 20MCG
MEMANTINA MYL*28CPR RIV 20MG
MEMANTINA MYL*56CPR RIV 10MG
MEROPUR*SC IM 10F 75UI+10F 75U
MEROPUR*SC IM FL 600UI+SIR 1ML
MEROPUR*SC IM FL1200UI+2SIR1ML
MIMPARA*28CPR RIV 30MG
MIMPARA*28CPR RIV 60MG
MIMPARA*28CPR RIV 90MG
MIRAPEXIN*30CPR 3,15MG RP
MIRCERA*IV SC SIR 100MCG 0,3ML
MIRCERA*IV SC SIR 120MCG 0,3ML
MIRCERA*IV SC SIR 150MCG 0,3ML
MIRCERA*IV SC SIR 200MCG 0,3ML
MIRCERA*IV SC SIR 30MCG 0,3ML
MIRCERA*IV SC SIR 50MCG 0,3ML
MIRCERA*IV SC SIR 75MCG 0,3ML
MODERIBA*FL56CPR RIV 400MG
MULTAQ*60CPR RIV 400MG
MYELOSTIM 34*F 33,6MIU+SIR 1ML
MYFENAX*100CPS 250MG
MYFENAX*50CPR RIV 500MG
MYFORTIC*100CPR GASTROR 180MG
MYFORTIC*50CPR GASTROR 360MG
NEORECORMON*IV SC 1SIR 10000UI
NEORECORMON*IV SC 1SIR 30000UI
NEORECORMON*IV SC 1SIR 3000UI
NEORECORMON*IV SC 1SIR 4000UI
NEORECORMON*IV SC 1SIR 5000UI
NEORECORMON*IV SC 1SIR 6000UI
NEULASTA*6MG 1SIR 0,6ML SC C/P
NIVESTIM*SC EV 1SIR 30MU 0,5ML
OCTREOTIDE BIO.L.*10F 0,5MG/ML
OLANZAPINA AUR*28CPR OROD 10MG
OLANZAPINA AUR*28CPR OROD 5MG
OLANZAPINA TEVA*28CPR RIV 10MG
OLANZAPINA TEVA*28CPR RIV 5MG
ONGLYZA*28CPR RIV 2,5MG
ONGLYZA*28CPR RIV 5MG
OVALEAP*SC CART 300UI/0,5ML+10
CANAGLIFLOZIN (A10BX11)
CANAGLIFLOZIN (A10BX11)
LANREOTIDE (H01CB03)
LANREOTIDE (H01CB03)
LANREOTIDE (H01CB03)
LANREOTIDE (H01CB03)
METFORMINA E SITAGLIPTIN (A10BD07)
METFORMINA E SITAGLIPTIN (A10BD07)
EMPAGLIFLOZIN (A10BX12)
EMPAGLIFLOZIN (A10BX12)
METFORMINA E LINAGLIPTIN (A10BD11)
METFORMINA E LINAGLIPTIN (A10BD11)
METFORMINA E SAXAGLIPTIN (A10BD10)
METFORMINA E SAXAGLIPTIN (A10BD10)
LAMIVUDINA (J05AF05)
INSULINA GLARGINE (A10AE04)
INSULINA GLARGINE (A10AE04)
INSULINA GLARGINE (A10AE04)
LEFLUNOMIDE (L04AA13)
INSULINA DETEMIR (A10AE05)
EDOXABAN (B01AF03)
EDOXABAN (B01AF03)
OCTREOTIDE (H01CB02)
OCTREOTIDE (H01CB02)
LUTROPINA ALFA (G03GA07)
LIXISENATIDE (A10BX10)
LIXISENATIDE (A10BX10)
MEMANTINA (N06DX01)
MEMANTINA (N06DX01)
MENOTROPINA (G03GA02)
MENOTROPINA (G03GA02)
MENOTROPINA (G03GA02)
CINACALCET (H05BX01)
CINACALCET (H05BX01)
CINACALCET (H05BX01)
PRAMIPEXOLO (N04BC05)
METOSSIPOLIETILENGLICOLE-EPOETINA BETA
METOSSIPOLIETILENGLICOLE-EPOETINA BETA
METOSSIPOLIETILENGLICOLE-EPOETINA BETA
METOSSIPOLIETILENGLICOLE-EPOETINA BETA
METOSSIPOLIETILENGLICOLE-EPOETINA BETA
METOSSIPOLIETILENGLICOLE-EPOETINA BETA
METOSSIPOLIETILENGLICOLE-EPOETINA BETA
RIBAVIRINA (J05AB04)
DRONEDARONE CLORIDRATO (C01BD07)
LENOGRASTIM (L03AA10)
ACIDO MICOFENOLICO (L04AA06)
ACIDO MICOFENOLICO (L04AA06)
ACIDO MICOFENOLICO (L04AA06)
ACIDO MICOFENOLICO (L04AA06)
ERITROPOIETINA BETA (B03XA01)
ERITROPOIETINA BETA (B03XA01)
ERITROPOIETINA BETA (B03XA01)
ERITROPOIETINA BETA (B03XA01)
ERITROPOIETINA BETA (B03XA01)
ERITROPOIETINA BETA (B03XA01)
PEGFILGRASTIM (L03AA13)
FILGRASTIM (L03AA02)
OCTREOTIDE (H01CB02)
OLANZAPINA (N05AH03)
OLANZAPINA (N05AH03)
OLANZAPINA (N05AH03)
OLANZAPINA (N05AH03)
SAXAGLIPTIN (A10BH03)
SAXAGLIPTIN (A10BH03)
FOLLITROPINA ALFA (G03GA05)
AZIENDA ULSS 5 POLESANA - Elenco farmaci del PHT attualmente in DPC " - Aggiornamento da
gennaio/2017
(B03XA03)
(B03XA03)
(B03XA03)
(B03XA03)
(B03XA03)
(B03XA03)
(B03XA03)
Pagina 3 di 5
Codice AIC
Specialità medicinale
Principio attivo (ATC)
043029026
035188085
035683123
034852398
034852350
038085039
038451023
038451074
038451112
037061037
037061102
040108033
035575012
034369013
029520234
029520184
029520386
029520398
029520400
041503246
041503386
041503525
043697111
040433144
040433221
040433308
040433068
038917011
038917035
038917050
034459026
039480064
038381404
038381428
038381176
038381289
038381188
038381051
038381442
038381327
038381341
038381366
038381380
040078293
040078394
040078495
037835030
041280025
041280064
041280102
041280140
041260023
041260062
029526047
027083082
027083094
027083106
037884018
042374076
042876072
042876108
036825077
036825255
036825115
036825216
036825038
OVALEAP*SC CART450UI/0,75ML+10
OVITRELLE*SC 1PEN 250MCG/0,5ML
PEGASYS*SC PEN 0,5ML 180MCG
PEGINTRON*SC 1PEN 100MCG+1AGO+
PEGINTRON*SC 1PEN 80MCG+1AGO+2
PERGOVERIS*SC 10FL 150UI/75UI
PRADAXA*30X1CPS 75MG
PRADAXA*60X1CPS 110MG
PRADAXA*60X1CPS 150MG
PROCORALAN*56CPR RIV 5MG ALL/P
PROCORALAN*56CPR RIV 7,5MG ALL
PROLIA*SC 1SIR 60MG/ML C/PR
PROTOPIC*UNG 0,03% 30G
PROVIGIL*30CPR 100MG
PUREGON*IM SC 5FL 100UI/0,5ML
PUREGON*IM SC 5FL 50UI/0,5ML
PUREGON*SC 1CART 300UI/0,36ML
PUREGON*SC 1CART 600UI/0,72ML
PUREGON*SC 1CART 900UI/1,08ML
QUETIAPINA AHCL*60CPR RIV100MG
QUETIAPINA AHCL*60CPR RIV200MG
QUETIAPINA AHCL*60CPR RIV300MG
QUETIAPINA SAN*60CPR 150MG RP
QUETIAPINA TE*60CPR 200MG RP
QUETIAPINA TE*60CPR 300MG RP
QUETIAPINA TE*60CPR 400MG RP
QUETIAPINA TE*60CPR 50MG RP
RANEXA*60CPR 375MG RP
RANEXA*60CPR 500MG RP
RANEXA*60CPR 750MG RP
REBETOL*140CPS 200MG
RENVELA*OS POLV 60BUST 2,4G
RETACRIT*1SIR 10000UI 1ML
RETACRIT*1SIR 20000UI 0,5ML
RETACRIT*1SIR 20000UI 0,5ML
RETACRIT*1SIR 2000UI 0,6ML
RETACRIT*1SIR 30000UI 0,75ML
RETACRIT*1SIR 3000UI 0,9ML
RETACRIT*1SIR 40000UI 1ML
RETACRIT*1SIR 4000UI 0,4ML
RETACRIT*1SIR 5000UI 0,5ML
RETACRIT*1SIR 6000UI 0,6ML
RETACRIT*1SIR 8000UI 0,8ML
RISPERIDONE AURO*60CPR 2MG
RISPERIDONE AURO*60CPR 3MG
RISPERIDONE AURO*60CPR 4MG
RISPERIDONE SANDOZ*GTT 100ML
RIVASTIGMINA ACT*56CPS 1,5MG
RIVASTIGMINA ACT*56CPS 3MG
RIVASTIGMINA ACT*56CPS 4,5MG
RIVASTIGMINA ACT*56CPS 6MG
RIVASTIGMINA MY*30CER 4,6MG
RIVASTIGMINA MY*30CER 9,5MG
SALAGEN*84CPR RIV 5MG
SANDOSTATINA LAR*FL 10MG+SIR+2
SANDOSTATINA LAR*FL 20MG+SIR+2
SANDOSTATINA LAR*FL 30MG+SIR+2
SEBIVO*28CPR RIV 600MG
SEVELAMER SA*FL 180CPR 800MG
SPEDRA*12CPR 100MG
SPEDRA*12CPR 200MG
STALEVO*100CPR 100+25+200MG
STALEVO*100CPR 125+31,25+200MG
STALEVO*100CPR 150+37,5+200MG
STALEVO*100CPR 200+50+200MG
STALEVO*100CPR 50+12,5+200MG
FOLLITROPINA ALFA (G03GA05)
CORIOGONADOTROPINA ALFA (G03GA08)
PEGINTERFERONE ALFA-2A (L03AB11)
PEGINTERFERONE ALFA-2B (L03AB10)
PEGINTERFERONE ALFA-2B (L03AB10)
FOLLITROPINA ALFA/LUTROPINA ALFA (G03GA30)
DABIGATRAN ETEXILATO (B01AE07)
DABIGATRAN ETEXILATO (B01AE07)
DABIGATRAN ETEXILATO (B01AE07)
IVABRADINA (C01EB17)
IVABRADINA (C01EB17)
DENOSUMAB (M05BX04)
TACROLIMUS (D11AH01)
MODAFINIL (N06BA07)
FOLLITROPINA BETA (G03GA06)
FOLLITROPINA BETA (G03GA06)
FOLLITROPINA BETA (G03GA06)
FOLLITROPINA BETA (G03GA06)
FOLLITROPINA BETA (G03GA06)
QUETIAPINA (N05AH04)
QUETIAPINA (N05AH04)
QUETIAPINA (N05AH04)
QUETIAPINA (N05AH04)
QUETIAPINA (N05AH04)
QUETIAPINA (N05AH04)
QUETIAPINA (N05AH04)
QUETIAPINA (N05AH04)
RANOLAZINA (C01EB18)
RANOLAZINA (C01EB18)
RANOLAZINA (C01EB18)
RIBAVIRINA (J05AB04)
SEVELAMER (V03AE02)
ERITROPOIETINA (B03XA01)
ERITROPOIETINA (B03XA01)
ERITROPOIETINA ZETA (B03XA01)
ERITROPOIETINA (B03XA01)
ERITROPOIETINA ZETA (B03XA01)
ERITROPOIETINA (B03XA01)
ERITROPOIETINA (B03XA01)
ERITROPOIETINA (B03XA01)
ERITROPOIETINA (B03XA01)
ERITROPOIETINA (B03XA01)
ERITROPOIETINA (B03XA01)
RISPERIDONE (N05AX08)
RISPERIDONE (N05AX08)
RISPERIDONE (N05AX08)
RISPERIDONE (N05AX08)
RIVASTIGMINA (N06DA03)
RIVASTIGMINA (N06DA03)
RIVASTIGMINA (N06DA03)
RIVASTIGMINA (N06DA03)
RIVASTIGMINA (N06DA03)
RIVASTIGMINA (N06DA03)
PILOCARPINA (N07AX01)
OCTREOTIDE (H01CB02)
OCTREOTIDE (H01CB02)
OCTREOTIDE (H01CB02)
TELBIVUDINA (J05AF11)
SEVELAMER (V03AE02)
AVANAFIL (G04BE10)
AVANAFIL (G04BE10)
LEVODOPA, INIBITORE DELLA DECARBOSSILASI E INIBIT.DELLA COMT
LEVODOPA, INIBITORE DELLA DECARBOSSILASI E INIBIT.DELLA COMT
LEVODOPA, INIBITORE DELLA DECARBOSSILASI E INIBIT.DELLA COMT
LEVODOPA, INIBITORE DELLA DECARBOSSILASI E INIBIT.DELLA COMT
LEVODOPA, INIBITORE DELLA DECARBOSSILASI E INIBIT.DELLA COMT
AZIENDA ULSS 5 POLESANA - Elenco farmaci del PHT attualmente in DPC " - Aggiornamento da
gennaio/2017
(N04BA03)
(N04BA03)
(N04BA03)
(N04BA03)
(N04BA03)
Pagina 4 di 5
Codice AIC
Specialità medicinale
Principio attivo (ATC)
036825242
037063157
037063195
037063233
025540042
040761052
040761025
044229312
044229223
044229045
044229134
038345144
038345029
033280049
041401035
042658029
043783024
043783075
035739010
029838024
039365010
043045172
043045057
043051123
043051212
043051034
043375118
043375082
043375056
043375029
038744189
038744076
038744138
037794144
037794029
037794082
043208091
043208038
039910171
029503024
029503012
036374054
036374080
041339262
026471019
026471021
STALEVO*100CPR 75+18,75+200MG
STRATTERA*28CPS 25MG
STRATTERA*28CPS 40MG
STRATTERA*28CPS 60MG
SUPREFACT*DEPOT 1SIR 9,45MG
SYCREST*60CPR SUBLING 10MG
SYCREST*60CPR SUBLING 5MG
SYNJARDY*56CPR RIV 12,5+1000MG
SYNJARDY*56CPR RIV 12,5+850MG
SYNJARDY*56X1CPR RIV 5MG+850MG
SYNJARDY*56X1CPR RIV5MG+1000MG
TANDEMACT*28CPR 30MG+2MG
TANDEMACT*28CPR 30MG+4MG
TASMAR*FL 100CPR RIV 100MG
TRAJENTA*28CPR RIV 5MG
TRESIBA*FLEXT 5PEN 3ML 100U/ML
TRULICITY*4PEN 0,75MG 0,5ML
TRULICITY*4PEN 1,5MG
VALCYTE*60CPR RIV 450MG
VESANOID*FL 100CPS 10MG
VICTOZA*SC 2PEN 3ML 6MG/ML
VIPDOMET*56CPR RIV 12,5+1000MG
VIPDOMET*56CPR RIV 12,5+850MG
VIPIDIA*28CPR RIV 12,5MG
VIPIDIA*28CPR RIV 25MG
VIPIDIA*28CPR RIV 6,25MG
VOKANAMET*60CPR RIV 150+1000MG
VOKANAMET*60CPR RIV 150+850MG
VOKANAMET*60CPR RIV 50+1000MG
VOKANAMET*60CPR RIV 50+850MG
XARELTO*28CPR RIV 20MG
XARELTO*30CPR RIV 10MG PP/ALU
XARELTO*42CPR RIV 15MG
XELEVIA*28CPR RIV 100MG
XELEVIA*28CPR RIV 25MG
XELEVIA*28CPR RIV 50MG
XIGDUO*56CPR RIV 5MG+1000MG
XIGDUO*56CPR RIV 5MG+850MG
ZEBINIX*30CPR 800MG
ZELITREX*21CPR RIV 1000MG
ZELITREX*42CPR RIV 500MG
ZEMPLAR*28CPS 1MCG
ZEMPLAR*28CPS 2MCG
ZIPRASIDONE SAN*56CPS 60MG
ZOLADEX*SC 1SIR 3,6MG RP
ZOLADEX*SC SIR 10,8MG RP
LEVODOPA, INIBITORE DELLA DECARBOSSILASI E INIBIT.DELLA COMT (N04BA03)
ATOMOXETINA (N06BA09)
ATOMOXETINA (N06BA09)
ATOMOXETINA (N06BA09)
BUSERELINA (L02AE01)
ASENAPINA (N05AH05)
ASENAPINA (N05AH05)
METFORMINA ED EMPAGLIFLOZIN (A10BD20)
METFORMINA ED EMPAGLIFLOZIN (A10BD20)
METFORMINA ED EMPAGLIFLOZIN (A10BD20)
METFORMINA ED EMPAGLIFLOZIN (A10BD20)
GLIMEPIRIDE E PIOGLITAZONE (A10BD06)
GLIMEPIRIDE E PIOGLITAZONE (A10BD06)
TOLCAPONE (N04BX01)
LINAGLIPTIN (A10BH05)
INSULINA DEGLUDEC (A10AE06)
DULAGLUTIDE (A10BX14)
DULAGLUTIDE (A10BX14)
VALGANCICLOVIR (J05AB14)
TRETINOINA (L01XX14)
LIRAGLUTIDE (A10BX07)
METFORMINA E ALOGLIPTIN (A10BD13)
METFORMINA E ALOGLIPTIN (A10BD13)
ALOGLIPTIN (A10BH04)
ALOGLIPTIN (A10BH04)
ALOGLIPTIN (A10BH04)
METFORMINA E CANAGLIFLOZIN (A10BD16)
METFORMINA E CANAGLIFLOZIN (A10BD16)
METFORMINA E CANAGLIFLOZIN (A10BD16)
METFORMINA E CANAGLIFLOZIN (A10BD16)
RIVAROXABAN (B01AF01)
RIVAROXABAN (B01AF01)
RIVAROXABAN (B01AF01)
SITAGLIPTIN (A10BH01)
SITAGLIPTIN (A10BH01)
SITAGLIPTIN (A10BH01)
METFORMINA E DAPAGLIFLOZIN (A10BD15)
METFORMINA E DAPAGLIFLOZIN (A10BD15)
ESLICARBAZEPINA (N03AF04)
VALACICLOVIR (J05AB11)
VALACICLOVIR (J05AB11)
PARACALCITOLO (H05BX02)
PARACALCITOLO (H05BX02)
ZIPRASIDONE (N05AE04)
GOSERELIN (L02AE03)
GOSERELIN (L02AE03)
AZIENDA ULSS 5 POLESANA - Elenco farmaci del PHT attualmente in DPC " - Aggiornamento da
gennaio/2017
Pagina 5 di 5