ASP di Trapani Elenco DPC aggiornato al 16 11 2016 ... · ASP di Trapani Elenco DPC aggiornato al 16_11_2016 Prlndpio Attivo AlC Descrizione A Non ... 036598098 MIMPARA'28CPR RIV

ASP di Trapani Elenco DPC aggiornato al 16_11_2016

Prlndpio Attivo AlC Descrizione A Non

N. ATC l'T /T I AlFA

1 IA10BH04 jALOGlIPTIN BENZOATO 1043051123 VIPIDIA'28CPR RIV 12.5MG TA

2 A106H04 ALOGlIl'TlN BENZOATO 043051212 VIPIDIA'28CPR RIV 25MG TA

3 'A10BH04 ALOGLIPTIN BENZOATO 043051034 VIPIDIA'28CPR RIV 6.25MG TA

4 A10BD13 ALOGlIPTIN BENZOATO/METFORMINA CLORIDRATO 043045172 VIPDOMET'56CPR RIV 12.5+10ooMG TA

5 AI0BD13 ALOGLIPTIN BENZOATO/METFORMINA CLORIDRATO 043045057 VIPOOMET'56CPR RIV 12.5+850MG TA I ~

6 AI0BD09 IALOGlIPTIN BENZOATO/PIOGlITAZONE CLORIDRATO 043030030 INCRESYNC'28CPR RIV 12.5+30MG TA , 7 rlOBD09 ALOGLIPTIN BENZOATO/PIOGLITAZONE CLORIDRATO 043030218 INCRESYNC'28CPR RIV 25+30MG

1

TA

8 N05AX12 ARIPIPRAZOLO 043743208 ARIPIPRAZOLO TEVA'28CPR 10MG

9 N05AX12 ARIPIPRAZOLO 043743347 ARIPIPRAZOLOTEVA'28CPR 15MG

lO N05AX12 ARIPIPRAZOLO 043743069 ARIPIPRAZOLO TEVA'28CPR 5MG I 11 INo5AX12 IARIPIPRAZOLO 043733043 ARIPIPRAZOLO MY'28CPR ORO 10MG

12 N05AX12 ARIPIPRAZOLO 1043733056 ARIPIPRAZOLO MY'28CPR ORO 15MG

I I 13 N05AX12 'ARIPIPRAZOLO 1036582029 ABIlIFY'28CPR 10MG

14 N05AX12 ARIPIPRAZOLO 036582031 ABIlIFY'28CPR 15MG • ,

15 N05AX12 IARIPIPRAZOLO 036582017 A81l1FY' 28CPR 5MG I I 16 N05AX12 ARIPIPRAZOLO 036582094 ABIlIFY'28CPR ORODI5P 10MG

17 N05AX12 ARIPIPRAZOLO 036582120 ABIlIFY'28CPR ORODISP 15MG

I ,

18 N05AX12 ARIPIPRAZOLO 036582183 ABIlIFY'05 FL 150ML 1MG/ML

I 19 N05AH05 ,ASENAPINA MALEATO 1040761052 SYCREST'60CPR SUBLING 10MG , 5YCREST'6OCPR SUBLING 5MG 20 IN05AH05 IASENAPINA MALEATO 040761025

21 L02BB03 BICALUTAMIDE 1040072011 BICALUTAMIDE SUN'2BCPR RIV50MG PT

22 L02BB03 BICALUTAMIDE 039671021 BICALUTAMIDE EG'28CPR RIV150MG PT

23 L02AE01 BU5ERELIN ACETATO 025540030 SUPREFACT'151R 6,3MG RP PT 51

24 IA10BX11 ICANAGLIFlOZIN EMIIDRATO 043145022 INVOKANA'3QCPR RIV 100MG TA

25 AI0BX11 CANAGLIFLOZIN EMIIDRATO 043145061 INVOKANA'30CPR RIV 300MG TA

26 H05BX01 CINACALCET CLORIDRATO 036598023 MIMPARA'28CPR RIV 30MG 'I PT

27 H05BX01 CINACALCET CLORIDRATO 036598050 MIMPARA'28CPR RIV 60MG PT

28 r 05BXOl ICINACALCET CLORIDRATO 036598098 MIMPARA'28CPR RIV 90MG PT , CLOPIDOGREl MG'28CPR RIV 75MG

, 29 BOIAC04 CLOPIDOGREL CLORIDRATO 039397031 30 BOIAC30 CLOPIDOGRELIDROGENOSOLFATO/ACIOO ACETllSAliCILIC 039763091 DUOPLAVIN'28CPR RIV 75MG/100MG 31 N05AH02 CLOZAPINA 036638221 CLOZAPINA HEX'28CPR 100MG PT

32 ,G03GA09 CORIFOLLITROPINA ALFA 039943016 ELONVA'5C 151R 100MCG O,5ML+AG PT 74 33 IG03GA09 ICORIFOlLITROPINA ALFA r 39943028 ELONVA'SC lSIR 150MCG O,5ML+AG PT 74

34 A10BXQ9 DAPAGLIFLOZIN PROPANEDIOLO MONOIDRATO 042494070 FORXIGA '28CPR RIV lOMG TA

35 [B03XA02 DARBEPOETINA ALFA 035691690 ARANESP'SC EV 15IR 100MCG O,5M TA 36 B03XA02 DAR8EPOETINA ALFA '035691017 , ARANESP'$C EV 15IR 10MCG O,4ML TA 37 r 03XA02 OARBEPOETINA ALFA 035691738 ARANE5P'SC EV lSIR 150MCG D,3M TA 38 B03XA02 DARBEPOETINA ALFA 1035691575 ARANESP'SC EV 151R 20MCG O,5ML TA 39 B03XA02 DARBEPOETINA ALFA 035691599 ARANESP'SC EV 15IR 30MCG O,3ML TA 40 803KA02 DARBEPOETINA ALFA 035691613 ARANESP'SC EV 15IR 40MCG O,4ML TA 41 r 03XA02 DARBEPOETINA ALFA 035691777 ARANESP'SC EV 151R 500MCG lML TA 42 B03XA02 DARBEPOETINA ALFA 035691637 ARANESP'5C EV lSIR 50MCG O,5ML TA 43 B03XA02 DARBEPOETINA ALFA 035691652 ARANESP'SC EV lSIR 60MCG O,3ML TA 44 B03XA02 DARBEPOETINA ALFA 035691676 ARANESP'5C EV lSIR 80MCG O,4ML TA 45 V03AC01 DEFEROXAMINA MESILATO 020417022 DESFERAL'10FL500MG/5ML+lOF5ML PT 46 I L02BX02 DEGARElIX ACETATO r 39232018 FIRMAGON'INIET 1FL80MG+15IR PT 47 L028X02 DEGARElIX ACETATO 039232020 FIRMAGON'INIET 2FL 12OMG+251R PT 48 1 H01BA02 DE5MOPRES51NA ACETATO IDRATO 027665025 EM051NT'IM EV 5C 10F 20MCG 1ML PT 49 N06DA02 OONEPEZIL CLORIDRATO 041885029 OONEPEZIL AURO'28CPR RIV 5MG PT 85 SO ,N06DA02 DONEPEZIL CLORIDRATO 041885094 OONEPEZIL AURO'28CPR RIV 10MG • PT 85 51 N06DA02 IDONEPEZ'L CLORIDRATO r 41088170 DONEPEZIL MG'28CPR OROD 10MG I PT 85 52 C01BD07 DRONEDARONE CLORIDRATO 039589039 MULTAQ'6QCPR RIV 400MG PT 53 A108X14 DULAGLUTIDE 043783024 TRUlICITY'4PEN O,75MG O,5ML TA 54 A10BX14 DULAGLUTIDE 043783075 TRUlICITY'4PEN l,SMG O,5ML TA 55 A10BX12 EMPAGLIFlOZIN 043443136 JARDIANCE'28CPR RIV 10MG TA 56 iA10BX12 IEMPAGLIFLOZIN 1043443047 JARDIANCE'2BCPR RIV 25MG TA 57 AI0BD20 EMPAGLIFlOZIN/METFORMINA CLORIDRATO 044229223 SYNJARDY'56CPR RIV 12,5+8S0MG PT 58 AI0BD20 EMPAGLIFlOZIN/METFORMINA CLORIDRATO 044229312 SYNIARDY'56CPR RIV 12,5+1000MG PT 59 A10BD20 EMPAGLIFlOZIN/METFORMINA CLORIDRATO 044229045 SYNlARDY'56X1CPR RIV 5MG+850MG PT , 60 r l0BD20 IEMPAGLIFlOZIN/METFORMINA CLORIDRATO 1044229134 SYNlARDY'56XICPR RIV5MG+lDOOMG PT 61 BOIABOS ENOXAPARINA SODICA 029111046 CLEXANE T'2F51R 6000UI O,6ML 62 BOIAB05 ENOXAPARINA SODICA 029111085 CLEXANE T'1OFSIR 6000UI O,6ML 63 r OlAB05 I ENOXAPARINA SODICA 029111097 CLEXANE T'10F51R 8000u1 O,8ML 64 B01AB05 ENOXAPARINA SODICA 1026966034 CLEXANE'651R 2000u1 O,2ML 65 BOIAB05 ENOXAPARINA SODICA 026966046 CLEXANE'6SIR 4000u1 O,4ML

PT = Piano terapeutico

TA = Template AlFA 1

ASP di Trapani Elenco CPC aggiornato al 16_11_2016

N, ATC

66 N04BX02

67 B03XA01 68 B03XA01

69 803XA01 70 B03XA01

71 B03XA01

72 803XA01

73 B03XA01

74 IB03XA01

75 B03XA01

76 B03XA01

77 B03XA01

78 B03XA01

79 803XA01

80 B03XA01

81 B03XA01

82 B03XA01

83 B03XA01

84 B03XA01

85 B03XAOl

86 B03XA01

87 B03XA01

88 l' B03XA01 89 B03XA01

90 B03XA01

91 iB03XA01

92 B03XA01 93 ' B03XA01

94 B03XA01

95 B03XA01

96 B03XA01 97 B03XA01

98 B03XA01

99 B03XA01

100 B03XA01 101 B03XA01

102 B03XA01

103 B03XA01

104 B03XA01

105 B03XA01

106 B03XA01

107 B03XA01

108 1 B03XA01

109 1 B03XA01 110 L04AA18

111 ,L04AA18 112 A108X04

113 A10BX04 114 AIOBX04

115 AIOBX04

116 L03AA02

117 L03AA02

118 L03AA02

119 L03AA02 120 L03AA02

121 L02BB01

122 G03GA05

123 G03GA05

124 G03GAOS

125 G03GA05 126 G03GA05 , 127 G03GA05

128 G03GA05

129 G03GA05

130 IG03GA05

ENTACAPONE

EPOETINA ALFA

EPOETINA ALFA

EPOETINA ALFA

EPOETINA ALFA

EPOETINA ALFA

EPOETINA ALFA

EPOETINA ALFA

EPOETINA ALFA

EPOETINA ALFA

Principio Attivo

EPOETINA ALFA BI051MlLARE


I EPOETINA ALFA BI051MlLARE EPOETINA ALFA BI051MlLARE

IEPOETINA ALFA BI051MlLARE









EPOETINA BETA

EPOETINA BETA

EPOETINA 8ETA

EPOETINA BETA

EPOETINA BETA EPOETINA BETA

EPOETINA BETA

EPOETINA TETA EPOETINA TET A

EPOETINA TETA

EPOETINA 2ETA (ALFA BI05IMILARE)

EPOETINA 2ETA (ALFA BI05IMILARE)

EPOETINA ZETA (ALFA BI05IMILARE)



EPOETINA ZETA (ALFA BIOSIMILARE)


,EPOETINA ZETA (ALFA BIOSIMILARE)



EPOETINA ZETA (ALFA 810SIMILARE)

EVEROLlMU5

EVEROLIMUS

EXENATIDE

,EXENATIDE

,

EXENAllDE

EXENATIDE

FILGRASTIM

FILGRASTIM BIOSIMILARE

FILGRASTIM 810SIMlLARE

FILGRASTIM BIOSIMILARE

IF'LGRASTlM BIOSIMILARE

FLUTAMIDE

FOLLITROPINA ALFA DA DNA RICOMBINANTE






1 FOLLITROPINA ALFA DA DNA RICOM81NANTE

IFOLLITROP'NA ALFA DA DNA RICOMBINANTE



TA = Template AlFA

AIC

1034231035

027015181

027015142

027015155 '027015167

027015282

027015179

027015231

'

027015243

027015268

038190450

038190284

038190474

038190498

038190322

038190512

038190359

038190373

038190411

038190029

038190308

!038190322

I~~:!:~~:~ 034430292

034430456

034430316

034430417 034430330

034430431

1039474123 039474186

03947424B

038381404

038381265

038381428

038381289

038381430

038381303

038381190 038381327 1038381341

038381366

038381380

036373025

036373102

041276015

041276039 '03756B019

037568033

027772096

1040158040

1

040158077

039125012

03912S0S1 1033929011

(04336402S

043364037

;043364049 043364052

043364013

032392211 032392274

032392336

032392351

2

,

Descrizione

COMTAN'l00cPR RIV 200MG

EPREX'15,R 10000UI1ML

EPREX'lSIR 1000UI 0.5ML

EPREX'15IR 2000UI 0.5ML EPREX'lSIR 3000UI 0.3ML

EPREX'lSIR 40000UI/ML 1ML

EPREX'lSIR 4000UI O,4ML

EPREX'lSIR SOOOUI/O.SML

EPREX'lSIR 6OOOUI/0.6ML

EPREX'lSIR 8000UI/0.8ML

BINOCRIT'lSIR 10000UI1ML+DlSP

BINOCRlT'lSIR 1000u1 O.SML

BINOCRlT'lSIR 20000UI 0.5ML+DI

BINOCRlT'lSIR 30000UI/0.75ML+D

BINOCRIT'6SIR 3000UI 0.3ML+DIS

BINOCRIT'151R 40000UI1ML+DISP

BINOCRIT'151R SOOOUI O.SML+DIS

BINOCRIT'151R 6000UI 0.6ML+DIS

BINOCRIT'151R BOOOUI 0.8ML+DIS

BINOCRIT'6SIR 1000UI 0.5ML

BINOCRIT'651R 2DDDUIIML+DI5P

BINDCRIT'6SIR 3000u1 0.3ML+DIS

BINOCRIT'6SIR 4000UI O,4ML+DIS

NEORECORMON'IV SC 151R lDDDOUI

NEORECORMON'IV SC 15IR 2000UI

NEORECORMON'IV SC ISIR 30000UI


NEORECORMON'IV SC 15IR 4000UI

NEORECORMON'IV SC lSIR SOOOUI


EPORATIO'ISIR l0000UIIML C/O EPORATIO'lSIR 20000UIIML C/O

. EPORATlO'ISIR 30000UIIML C/O

RETACRIT'ISIR 10000UIIML

RETACRIT'ISIR lDDDUI 0.3ML

RETACRlT'lSIR 20000u1 0.5ML

RETACRIT'ISIR 2000UI 0.6ML

RETACRIT'ISIR 30000UI 0.7SML

RETACRIT'ISIR 3000u1 0.9ML

RETACRIT'ISIR 40000UIIML

RETACRIT'ISIR 4000UI O,4ML

RETACRIT'ISIR SOOOUI O.SML



. CERTlCAN'6OCPR 0.25MG

CERTICAN '6OCPR 0.75MG

BVDUREON'SC 4KIT FL+SIR 2MG RP

BVDUREON'SC 4PEN 2MG O.6SML RP

BvmA'SC 1PEN 1.2ML SMCG

BvmA'SC lPEN 2.4ML 10MCG

GRANULO;(INE'1SIR 30MU O.SML

NIVESTIM'5C EV ISIR 30MU 0.5ML

NIVESTIM'SC EV 151R 48MU 0.5ML

ZARZIO'151R 30MU 0.5ML ZARZIO'ISIR 48MU 0.5ML

I FLUTAMIDE HEXAL '3OCPR 250MG

BEMFOLA'SC PEN lS0UI/0.25ML+AG

BEMFOLA'5C PEN 22SUI/0.375ML+A

BEMFOLA'SC PEN 300UI/0.SOML+AG

BEMFOLA'SC PEN 4S0UI/0.7SML+AG

BEMFOLA'SC PEN 7SUI/0.12SML+AG

GONAL F'(600UI) 10s0ul/l.75ML

IGONAL F'SC lOFL 75UI+lOSIR lML

GONAL F'SC lPEN 300UI/0.5ML+8A

GONAL F'SC lPEN 900Ul/l.5ML+20

Nota PT /lA AlFA

PT TA

TA

TA

TA

TA

TA

lA TA

TA

lA TA TA TA TA TA

TA TA

TA TA

TA lA lA

TA lA TA

lA lA lA lA

lA lA

lA lA

lA lA

TA lA lA

TA TA

lA lA

TA PT

PT TA TA

PT

Pl

TA TA

lA lA

TA

PT

PT

PT PT

Pl

Pl

PT

PT

PT

74

74

74

74

74

74

74

74

74

ASP di Trapani Elenco CPC aggiornato al 16_11_2016

Nota N. ATe Principio Attivo AIe Descrllione PT /TA , AlFA

131 G03GA05 FOLLITROPINA ALFA DA DNA RICOMBINANTE 1032392348 IGONAL F'SC lPEN450U1/0.75MLH2 PT 74

132 G03GA05 FOLlITROPINA ALFA DA DNA RICOM81NANTE 032392250 GONAL F'SC Fl 75UI+SIR lML PT 74

133 G03GA30 FDLLITROPINA ALFNLUTROPINA AlFA 038085039 PERGOVERI5'SC IOFL lSOUI/15UI PT 74

134 G03GA30 FOlllTROPINA ALFA/LUTROPINA ALFA 038085015 r ERGOVERIS'SC lFLI50UI/15UI PT 74

135 G03GA06 FOLLITROPINA BETA 029520234 PUREGON'IM SC 5fL l00uI/0.5ML

l PT 74

136 G03GA06 FOlLITROPINA 8ETA 029520398 PUREGON'SC 1CART 600UI/0.72ML PT 74

137 IG03GA06 FOLlITROPINA 8ETA 029520400 • PUREGON'SC 1CART 9OOUI/1.08ML PT 74

138 BOIAX05 FONDAPARINUX SOOICO 035606072 IARIXTRA'5C 10SIR 1.5MG 0.3ML

139 801AX05 FONDAPARINUX SODICO 035606033 r RIXTRA'SC 1051R 2.SMG 0.5ML 140 BOIAX05 FONOAPARINUX SOOICO 035606146 ARIXTRA'SC 10SIR 7.5MG 0.6ML

141 N060A04 GALANTAMINA 8ROMIORATO 039889314 GALNORA'28CPS 16MG RP PT 85

142 1 N060A04 GAIANTAMINA 8ROMIDRATO 039889504 GALNORA'28CPS 24MG RP PT 85 •

143 N06DA04 GALANTAMINA 8ROMIORATO 039889136 GALNORA'28CPS 8MG RP PT 85

144 N060A04 GAIANTAMINA 8ROMIDRATO 1034752042 REMINYL'56CPR RIV 12MG PT 85

145 N06DA04 GAIANTAMINA 8ROMIDRATO 1034752081 REMINYL'56CPR RIV 4MG PT 85

146 IN06DA04 GALANTAMINA 8ROMIDRATO 034752030 REMINYL'56CPR RIV 8MG PT 85

147 L02AE03 G05ERELIN ACETATO 026471019 ZOLADEX'SC 151R 3.6MG RP PT 51

148 L02AE03 GOSERELIN ACETATO 026471021 ZOIADEX'SC SIR 10.8MG RP PT 51

149 D068B10 IMIQUIMOD 041393012 ! 'MUNOCARE'CR 5% 128UST 250MG PT

150 A10AE06 INSULINA OEGLUOEC 10426580Z9 TRESIBA'FLEXT 5PEN 3ML l00u/ML I PT

151 IA10AE05 INSULINA DETEMIR 036850055 ILEVEMIR'FLEX 5PEN 3MLI00UI/ML I-

152 A10AE04 INSULINA GLARGINE 043658071 ABASAGIAR'SC 5 KWlKPENl00uI/ML

153 :A10AE04 INSULINA GIARGINE 043658032 r BASAGLAR'SC5CART 1ooUI/M13ML 154 AI0AE04 INSULINA GLARGINE 1035724121 LANTUS'SC lFL l00uI/ML 10ML

155 AI0AE04 INSULINA GIARGINE 035724069 IANTUS'SC 5CART 100UI/ML3ML

156 r 10AE04 INSULINA GLARGINE 035724246 LANTUS'SOLOST 5PEN 100uI/M13ML

157 L03A804 INTERFERONE ALFA 2A ,025839111 r OFERON A'SC 151R 3MUI/0.5ML TA

158 L03A811 INTERFERONE ALFA 2A PEGIIATO r 35683097 PEGASYS'5C PEN 0.SML135MCG TA

159 L03A811 INTERFERONE ALFA 2A PEGILATO 0356831Z3 PEGASYS'SC PEN O.SML 180MCG TA

160 IL03AB11 INTERFERONE ALFA 2A PEGIIATO 035683059 PEGASYS'SC SIR 0.5ML 135MCG+AG TA

161 L03A811 INTERFERONE ALFA 2A PEGIIATO 035683073 PEGASYS'SC SIR 0.SMLI80MCG+AG TA

162 L03A805 INTERFERONE ALFA 28 034832319 INTRONA'SC IV lPEN 18MUI+12KIT TA

163 L03ABOS INTERFERONE ALFA 28 034832345 INTRONA'SC IV lPEN 30MUI+12KIT TA

164 L03ABlO INTERFERONE ALFA 28 PEGIIATO 034852119 PEGINTRON'SC lFL looMCG+1F TA

165 jL03A810 INTERFERONE ALFA 2B PEGIIATO 034852160 PEGINTRON'5C lFL 120MCG+IF TA

166 L03ABI0 INTERFERONE ALFA 28 PEGIIATO 034852210 ( EGINTRON'SC lFL 150MCG+IF TA

167 L03ABI0 INTERFERONE ALFA 28 PEGILATO 1034852018 PEGINTRON'SC lFL 50MCG+IF TA

168 L03ABlO INTERFERONE ALFA 2B PEGIIATO 034852069 PEGINTRON'SC lFL 80MCG+IF TA

169 L03ABI0 INTERFERONE ALFA 28 PEGILATO 034852398 PEGINTRON'SC lPEN l00MCG+l.\GO+ TA

170 IL03ABI0 INTERFERONE ALFA ZB PEGIIATO 034852436 PEGINTRON'SC lPEN 120MCG+IAGO+ TA

171 L03A810 INTERFERONE ALFA 2B PEGIIATO 1034852311 IPEGINTRON'SC lPEN SOMCG+IAGO,·2 TA

172 L03ABI0 INTERFERONE ALFA 2B PEGILATO 1034852350 PEGINTRON'SC lPEN 80MCG+IAGO+2 TA

173 L03A801 INTERFERONE ALFA N3 026518011 ALFAFERONE'IF l000000UIIML TA

174 IL03ABOI INTERFERONE ALFA N3 026518062 ALFAFERONE'lF 3000000UIIML -j TA

175 L03ABOl INTERFERONE ALFA N3 026518050 ALFAFERONE'IF 6000000UIIML TA

176 C01E817 IVABRADINA CLORIDRATO 037060035 CORLENTOR'56CPR RIV 5MG ALl/PV 177 C01EB17 IVABRADINA CLORIDRATO 037060100 CORLENTOR'56CPR RIV 7.5MG All/ 178 PROCORAlAN'56CPR RIV 5MG ALl/P • C01EB17 IVA8RADINA CLORIDRATO 037061037

! 179 C01E817 IVA8RADINA CLORIDRATO 037061102 PROCORALAN'S6CPR RIV 7.5MG ALL

180 J05AFOS LAMIVUDINA 034506016 ZEFFIX'28CPR RIV 100MG TA

181 iJ05AF05 •

!ZEFFIX'OS FL 240M L 5MG/ML LAMIVUDINA 034506030 TA

182 H01C803 IANREOTIDE ACETATO r 29399110 IP5TYL '5C 151R 60MG TA 40 183 H01C803 LANREOTIDE ACETATO 029399134 IPSTYL 'SC SIR 120MG PT 40 184 H01CB03 IANREOTIDE ACETATO 029399122 IP5TYL 'SC SIR 90MG PT 40

185 1V03AE03 LANTANIO CARBONATO IDRATO 037097209 FOZNOL'FL90CPR MAST 1oo0MG PT

186 V03AE03 IANTANIO CAR80NATO IDRATO .037097134 FOZNOL 'Fl9OCPR MAST SOOMG PT 187 IV03AE03 LANTANIO CAR80NATO IDRATO 037097096 FOZNOl'Fl90CPR MAST 750MG

l PT

188 L04AA13 LEFLUNOMIOE 040419172 LEFLUNOMIOE 5A'FL3OCPR RIV20MG PT

189 L03AA10 LENOGRASTlM 029059096 MYElOSTIM 34'F 33.6MIU+SIR lML TA

190 L02AE02 LEUPRORELINA ACETATO 036967038 ELiGARO'INIET SIR+SIR 7.SMGKIT PT 51 191 L02AE02 LEUPRORELINA ACETATO 1036967040 ELiGARD'INIET 5IR+SIR22.5MGKIT PT 51 192 L02AE02 LEUPRORELINA ACETATO 027066137 ENANTONE'IM SC SIR11.25MG/MLRP PT 51 193 L02AE02 LEUPRORELINA ACETATO 027066125 ENANTONE'IM SC 5IR3.75MG/ML RP PT 51

• 194 1A16AA01 LEVOCARNITINA 018610079 CARNlTENE'0510FL 2G MONOO PT 8 195 N048A03 LEVOOOPNCAR8100PA/ENTACAPONE 036825077 STALEVO'100CPR 100+25+200MG PT

PT'" Piano terapeutico fA'" Template AlFA 3

ASP di Trapani Elenco OPC aggiornato al 16_11_2016

PT/TA Nota

N. ATC Principio Attivo AlC Descrizione AlFA

196 1N04BA03 ILEVODOPA/CARBIDOPA/ENTACAPONE '036B2s2ss STALEVO"100CPR 12s+31.2s+200MG PT

197 N04BA03 LEVOOOPA/CARBIOOPA/ENTACAPONE 036825115 STALEVO"10OCPR ls0>37.s+2ooMG PT

198 N04BA03 LEVODOPA/CARBIDOPA/ENTACAPONE 036825216 sTALEVO"100CPR 200+s0+200MG PT

199 N04BA03 LEVOOOPA/CARBIDOPA/ENTACAPONE 036825038 STALEVO"100CPR sO>12.s+200MG PT

200 N04BA03 LEVODOPA/CARBIDOPA/ENTACAPONE 036825242 sTAlEVO"l00cPR 7s+18.7S+200MG PT

201 AI08HOs lINAGLIPTIN 041401035 TRAJENTA"28CPR RIV sMG PT

202 L03AA14 lIPEGFILGRASTIM 042919011 LONQUEX"SC lSlR 6MG 0.6ML+DISP TA

203 AI0BX07 ' lIRAGLUTIDE 039365010 VICTOZA"SC 2PEN 3ML6MG/ML PT , LYXUMIA"1PEN 3MLI0MCG TA 204 AI0BXI0 lIXISENATlDE 042657015 .

042657039 LYXUMIA"ZPEN 3MLZOMCG TA 205 AI0BXI0 lIXlsENATIDE 206 G03GA07 LUTROPINA ALFA '034951044 LUVERIS"SC lFL7sUI+lFLSOLV PT 74

~

207 G03GA07 LUTROPINA ALFA (349S10S7 LUVERIS"SC 3FL 7SUI+3FL SOLV PT 74

208 N06DXOl MEMANTINA CLORIDRATO 035681055 EBIXA "05 sOLUZ sMG/EROGAlIONE

1

PT 85

209 N06DXOl MEMANTINA CLORIDRATO 042776221 MEMANTINA MYL"28CPR RIV 20MG PT 85

210 IN06DXOl IMEMANTINA CLORIDRATO 042776094 MEMANTINA MYL"s6CPR RIV 10MG PT 85

211 G03GA02 MENOTROPINA 036749024 MEROPUR"SC 1M 10F 75UI+I0F 7SU PT 74

212 G03GA02 MENOTROPINA 036749036 MEROPUR"SC 1M Fl6OOUI+SIR lML PT 74

213 G03GA02 MENOTROPINA 036749048 MEROPUR"SC 1M FllZooUI+2sIRlML PT 74

214 1A10BD16 rETFORMINA CLORIDRATO/CANAGlIFlOZIN EMIIDRATO 043375118 VOKANAMET"60CPR RIV 150>1oooMG TA

215 A10BD16 METFORMINA CLORIDRATO/CANAGlIFlOZIN EMIIDRATO 1043375082 VOKANAMET"60CPR RIV 1s0>8s0MG TA

216 'A10BD16 METFORMINA CLORIDRATO/CANAGlIFLDZIN EMIIDRAlO 043375056 VOKANAMET"6OCPR RIV sO+1000MG lA

217 A10BD16 METFORMINA CLORIDRATO/CANAGlIFlOZIN EMIIDRATO 043375029 VOKANAMET"60CPR RIV sO+850MG TA

218 1A10BDls METFORMINA CLORIDRATO/DAPAGlIFLOZlN 043208091 XIGDUO"S6CPR RIV SMG+I000MG TA

219 AI08D1S METFORMINA CLORIDRATO/DAPAGlIFlOZIN 043208038 XIGDUO"S6CPR RIV SMG+8S0MG TA

220 A10BD11 METFDRMINA CLORIDRATO/lINAGlIPTlN 1042203190 JENTADUETO"S6CPR RIV2.S+1000MG PT

221 'AI0BD11 METFORMINA CLORIDRATO/lINAGLIPTIN 0422030S1 JENTADUETO"S6CPR RIV2,S+8S0MG PT

222 A10BD10 METFORMINA CLORIDRATO/SAXAGlIPTlN CLORIDRATO 41689086 KOMBOGLYZE"S6CPR RIV2.S+1000MG PT , '041689023 KOMBOGLYZE"S6CPR RIV2.S+8SOMG PT 223 r10BD10 METFORMINA CLORIDRATO/SAXAGlIPTIN CLORIDRATO

224 B03XA03 METOSSIPOllETILENGlICOlE·EPOETINA BETA 038348102 MIRCERA"IV SC SIR 100MCG 0.3ML TA

22S B03XA03 METOSSIPOllETILENGlICOLE·EPOETINA BETA 1038348203 MIRCERA"IV SC SIR 120MCG 0.3ML lA

226 B03XA03 METOSSIPOlIETILENGlICOlE·EPOETINA BETA .038348114 MIRCERA"IV SC SIR lS0MCG 0.3ML TA

227 B03XA03 METOSSIPOllETILENGlICOLE·EPOETINA BETA 038348126 MIRCERA"IV SC SIR 2DDMCG 0.3ML TA

228 B03XA03 METOSSIPOLIETILENGlICOLE·EPOETINA BETA 038348138 MIRCERA"IV SCSIR 2S0MCG 0.3ML TA

229 B03XA03 METOSSIPOllETILENGlICOlE·EPOETINA BETA r 38348177 MIRCERA"IV SC SIR 30MCG 0.3ML TA

230 B03XA03 METOSSIPDLIETILENGlICOLE·EPOETINA BETA 03834821S MIRCERA"IV SC SIR 360MCG 0.6ML TA

231 B03XA03 METOSSIPOllETILENGlICOLE·EPOETINA BETA 03B348088 MIRCERA"IV SC SIR sOMCG 0.3ML TA

232 1B03XA03 IMETOSSIPOllETILENGlICOLE.EPOETINA BETA 038348090 MIRCERA"IV SCSIR 75MCG 0.3ML TA

233 N06BA07 MODAFINIL 1034369013 PROVlGIL"3OCPR 100MG PT

234 i BOIAB06 NADROPARINA CALCICA 026738070 SELEPARINA"10SIR S700Ul/0.6ML

235 BOlAB06 NADROPARINA CALCICA 026738094 SElEPARINA"10SIR 7600UI/0.8ML , 236 B01AB06 r ADROPARINA CALCICA 026738017 SElEPARINA"65IR 0.3ML28s0UI

237 1801A806 NADROPARINA CALOCA 0267380S6 SElEPARINA"6SIR 0.4ML3800UI

238 IH01CB02 OCTREOTIDE ACETATO 027104090 LONGASTATINA LAR"FL2OMG+SIR+2 PT 40

239 H01CB02 OCTREOTIDE ACETATO 040014021 OCTREOTIDE BIO.1."10F 0.1MG/ML PT 40

240 r 01CB02 OCTREOTIDE ACETATO 038113039 OCTREOTIDE HOSP"lFL O,2MG/MLS ML PT 40

241 H01CB02 IOCTREOTlDE ACETATO 038113041 OCTREOTIDE HOSP"SFL 0.SMG/1ML PT 40

242 H01CB02 OCTREOTIDE ACETATO 1027083082 SANOOSTATINA LAR"FLI0MG+SIR+2 PT 40

243 H01CB02 OCTREOTIDE ACETATO 027083106 SANDOST/\TINA LAR"FL30MG+SIR+2 PT 40

244 H01CB02 OCTREOTIDE ACETATO 039100019 TREOJECT"sSIR 1ML O.OsMG/ML PT 40

24S NOSAH03 OLANZAPINA 040470270 OLANZAPINA TEVA"28CPR ORO 10MG

246 NOSAH03 OLANZAPINA 1040470231 OLANZAPINA TEVA"28CPR ORO SMG

247 NOSAH03 OLANZAPINA 040470128 OLANZAPINA TEVA"28CPR RIV 10MG

248 NOsAH03 OLANZAPINA 040470041 OLANZAPINA TEVA"Z8CPR RIV SMG

249 1NOSAH03 IOLANZAPINA 04047OO1S OLANZAPINA TEVA"Z8CPR RIV2.SMG ZSO V03AEOs OSSIDROSSIDO SUCROFERRICO 1043S64020 VELPHORO"FL90CPR MAST SOOMG PT

ZS1 NOsAX13 PAlIPERIDONE 1038024016 INVEGA"28CPR 3MG RP

ZS2 NOSAX13 'PAlIPERIDDNE 038024067 INVEGA"Z8CPR 6MG RP 253 ' NOSAX13 PAlIPERIDONE 038024117 INVEGA"Z8CPR 9MG RP

ZS4 1HOsBXOZ PARACALCITOLO 043129093 PARACALCITOLO TE"FL Z8CPS lMCG PT , 255 HOSBXOZ PARACALCITOLO 1043129105 PARACALCITOLO TE"FL Z8CPS 2MCG PT 2S6 ,HOSBX02 PARACALCITOlO 0363740S4 ZEMPLAR"28CPS lMCG PT

2S7 HOSBXOZ PARACALCITOLO 036374080 ZEMPLAR"28CPS 2MCG PT

2S8 1HOSBX02 IPARACALCITOLO 03637401S ZEMPLAR"INIET SF 1MLSMCG/ML PT

259 B01AB07 PARNAPARINA 1026270076 FLUXUM"SC 6SIR 0.3ML 3200UIAXA 260 B01AB07 PARNAPARINA 026270088 FLUXUM"SC 6SIR 0,4ML4250UIAXA

'T = Piano terapeutico rA = Template AlFA 4

ASP di Trapani Elenco DPC aggiornato al 16_11_2016

N. ATe Principio Attivo

PARNAPARINA

PEGFILGRASTIM

261 80lA807

262 L03AA13

263 ,A108G03 •

264 IA108G03

265 A10BG03

266 A108G03

267 A10BOO6 268 A10BOO6

269 A108D05 270 N05AH04

iPIOGlITA20NE CLORIDRATO

PIOGlITA20NE ClORIDRATO

PIOGlITA20NE ClORIDRATO

PIOGlITA20NE CLORIDRATO

PIOGlITA20NE CLORIDRATO/GlIMEPIRIDE

'PIOGlITA20NE CLORIDRATO/GlIMEPIRIDE

I~~~~=NF~~~:~~ATO/METFORMINA 271 N05AH04 ,QUETIAPINA FUMARATO

272 N05AH04 QUETIAPINA FUMARATO

273 N05AH04 QUETIAPINA FUMARATO

274 NOSAH04 QUETIAPINA FUMARATO


276 NOSAH04 'QUETIAPINA FUMARATO , 277 NOSAH04 QUETIAPINA FUMARATO


279 C01EB1B

280 1c01E8l8

281 C01E8l8

282 N07XX02

283 N05AX08

284 N05AX08

285 N05AX08

286 NOSAX08

287 NOSAX08

RANOlA2INA

IRANOlA2INA RANOlA2INA

RILUZOLO

RI5PERIDONE

RI5PERlDONE

RI5PERIDONE

RI5PERIDONE

RISPERIDONE

288 N06DA03 RIVASTIGMINA 289 N06DA03 RIVASTIGMINA

290 N06DA03 RIVASTIGMINA

291 N06DA03 RIVASTIGMINA IDROGENO TARTRATO


293 N06DA03 . RIVASTIGMINA IDROGENO TARTRATO


295 R03DX07 ROFlUMllAST

296 A108H03 SAXAGLIPTIN ClORIDRATO

297 V03AE02 SEVELAMER CARBONATO

298 V03AE02 SEVELAMER CARBONATO

299 V03AE02 SEVELAMER CLORIDRATO

300 L04AAI0 SIROLIMUS

301 L04AA10 SIROLIMUS

302 lO4AA10 SIROllMU5

303 A10BH01 SITAGLIPTIN FOSFATO MONOIDRATO

304 A10BH01 SITAGLIPTIN F05FATO MONOIDRATO

305 I A108HOl

306 IA108D07 307 A10BD07

308 .H01ACOl

309 IHOIAC01

310 I H01AC01

311 'H01ACOl

312 H01AC01

313 H01AC01 314 H01ACOl

315 H01ACOl

316 H01ACOl 317 H01AC01

318 H01AC01

319 H01AC01

320 H01ACOl

321 HOIAC01

322 H01ACOl

323 1H01AC01 324 H01AC01

SITAGLIPTIN FOSFATO MONOIORATO

ISOMATROPINA

50MATROPINA

'SOMATROPINA

SOMATROPINA

SOMATROPINA SOMATROPINA

SOMATROPINA

SOMATROPINA

SOMATROPINA

SOMATROPINA

ISOMATROPINA

50MATROPINA

SOMATROPINA

SOMATROPINA

,SOMATROPINA

150MATROPINA


TA = Template AlFA

Aie

1026270090

j035716036

!034946044

034946121

041901113

1040675035

03B345144

03B345029

037225099

043057052

040510152

040433144 , 040433221

1040433308 040433068

040510265

040510683

0405109B6

038917011

038917035

038917050

042018010

038188037

038250054

038250128

038250193

,038250270

034078283

041260023

041260062 , 1041280025 041280064

041280102

041280140 040107029

039453028

039480037

,039480064

034676080

035120070

035120094

035120017

037794144

037794029

037794082

026844249

026844252

026844264

026844276

026844187

'026844199

026844201

026844213

026844225

026844163

026844098

026844365

026844340

026962050

026962047

026962062

5

Descrizione

FlUXUM'SC 6SIR 0.6ML64ooUIAXA

NEULASTA'6MG lSIR 0.6ML SC cIP

ACT05'28CPR 30MG

ACTOS'28CPR 4SMG

I PIOGlITA20NE ACT'28CPR 30MG

I

PIOGlITA20NE SAN'28CPR lSMG

TANDEMACT'28CPR 30MG+2MG

TANDEMACT'28CPR 3OMG+4MG , COMPETACT'56CPR RIV lSMG+850MG , QUETIAPINA MY'60CPR 150MG RP

QUETIAPINA TE'3OCPR RIV 25MG

' QUETIAPINA TE'6OCPR 200MG RP

QUETIAPINA TE'60CPR 300MG RP

QUETIAPINA TE'6OCPR 400MG RP

QUETIAPINA TE'6OCPR SOMG RP

QUETIAPINA TE'60CPR RIV 100MG

' QUETIAPINA TE'6OCPR RIV 200MG

QUETIAPINA TE'6OCPR RIV 300MG

RANEXA'6OCPR 375MG RP

RANEXA'60CPR SooMG RP

IRANEXA'6OCPR 750MG RP TEGLUTIK'OS S05P F13ooMLSMG/ML

RISPERIDONE MG'05 GTT 100ML

RISPERIDONE TEVA'6OCPR RIV 1MG

RISPERIDONE TEVA'6OCPR RIV 2MG

, RI5PERIDONE TEVA'6OCPR RIV 3MG RI5PERIOONE TEVA'6OCPR RIV 4MG

EXElON'3OCER 13.3MG/24H ' RIVASTIGMINA MY'30CER 4,6MG

RIVASTIGMINA MY'30CER 9.5MG

RIVASTIGMINA ACT'S6CP5 l,SMG

RIVASTIGMINA ACT'S6CP5 3MG

RIVASTIGMINA ACT'56CPS 4.5MG

RIVASTIGMINA ACT'S6CPS 6MG

DAXA5'3OCPR RIV 500MCG

ONGLVZA'28CPR RIV 5MG

,RENVELA'FL180CPR RIV 800MG RENVELA'OS POlV 60BUST 2,4G

RENAGEL'Fl1BDCPR RIV 800MG

RAPAMUNE'looCPR RIV lMG

RAPAMUNE'3DCPR RIV 2MG

RAPAMUNE'OS FL6DMl+3D5IR DOS+

XELEVIA'28CPR RIV lOOMG

XELEVIA'28CPR RIV 2SMG

XElEVIA'2BCPR RIV 50MG

JANUMET'S6CPR RIV SOMG+1000MG JANUMET'56CPR RIV 50MG+850MG

GENOTROPIN MINI'4T8F 1,2MG(3.6

GENOTROPIN MINI'4TBF l,4MG(4,2

GENOTROPIN MINI'4T8F l,6MG(4,8

GENOTROPIN MINI'4TBF l,8MG(5,4 IGENOTROPIN MINI'4T8F 2MG(6UI)

GENOTROPIN MINI'7TBF O,2MG(O,6

GENOTROPIN MINI'7T8F 0,4MG(l,2

GENOTROPIN MINI'7TBF O,6MG(l,8

,GENOTROPIN MINI'7TBF 0.8MG(2,4

GENOTROPIN MINI'7TBF lMG(3UI)+

GENOTROPIN'ITBF 12MG(36UI)

GENOTROPIN'lTBF 5,3MG (16UI)

GENOTROPIN'GOQUICK 1PEN 12MG

GENOTROPIN'GOQUICK 1PEN S.3MG HUMATROPE'lCART 12MG(36U1)+5IR

HUMATROPE'lCART 6MG (18UI)+SIR

HUMATROPE'lCART 24MG(72UI)+SIR

PT /TAl Nota I AlFA

• I

TA

PT

PT

PT

PT

PT

PT

PT

PT

PT

PT PT

PT

PT

PT

PT

PT

PT

PT

PT

PT

PT

PT

PT

PT

PT

PT

PT

PT

PT

PT

PT

PT

PT

PT

PT

PT

PT

i

I 85

85

85

85

85

85

85

39

39

39

39

39 39

39

39

39

39

39

39

39

39

39

39

39

ASP di Trapani

N. ATe Principio Attivo

325 H01AC01 SOMATROPINA

326 H01AC01 SOMATRDPINA


328 H01AC01 ISOMATROPINA 329 H01AC01 SOMATROPINA


331 H01AC01 ISOMATROPINA

332 H01AC01 SOMATROPINA BIOSIMllARE

333 ( 01AC01 ,SOMATRDPINA BIOSIMILARE

334 H01AC01 ISOMATROPINA BIOSIMILARE

335 L04AD02 TACROLIMUS

336 L04AOO2 TACROUMUS

337 L04AD02 TACROLIMUS

338 L04AD02 TACROLIMUS MONOIDRATO

339 L04AOO2 ITACROLIMUS MONOIDRATO

340 L04AOO2 !TACROLIMUS MONOIDRATO 341 L04AD02 ,TACROLIMUS MONOIORATO

342 L04AD02 TACROLIMUS MONOIDRATO

343 L04AOO2 TACROLIMUS MONOIDRATO

344 L04AD02 TACROllMU5 MONOIORATO

345 L04AD02 ITACROLIMUS MONOIDRATO 346 L04AOO2 ITACROLIMUS MONOIDRATO 347 L04AD02 TACROllMU5 MONOIDRATO

I 348 L04AD02 TACROLIMUS MONOIDRATO , 349 L04AOO2 TACROLIMUS MONOIDRATO

350 IL04AD02 ITACROllMU5 MONOIDRATO

351 N04BX01 !TOLCAPONE 352 L02AE04 TRIPTORELINA

353 L02AE04 TRIPTORELINA

354 L02AE04 TRIPTORELINA EMBONATO

355 I G03X802 UliPRISTAL ACETATO

356 G03GA04 UROFOlLITROPINA

357 'JOSAB11 VALACICLOVIR CLORIDRATO

358 J05A814 VALGANCICLOVIR CLORIDRATO

359 A108H02 VILDAGLIPTIN

360 A1OBOOS VILDAGLIPTIN/METFORMINA

361 A108D08 VILDAGlIPTIN/METFORMINA

362 NOSAE04 ZIPRASIDONE CLORIDRATO

363 N05AE04 ZlPRASIDONE CLORIDRATO

364 NOSAE04 ZIPRASIDONE CLORIDRATO


TA = Template AlFA

Elenco DPC aggiornato al 16_11_2016

AIC Descrizione PT/TA Nota AlFA

027686082 NORDITROPIN SIMPLEXX"15MG/l.SM PT 39

036583033 NUTROPINAQ"SC 1CART lOMG 2ML PT 39

026863148 SAIZEN"lCART S,83MG/ML1,03ML PT 39

26863163 SAIZEN"lCART 8MG/ML1,50ML PT 39

026863011 SAIZEN"lFL1,33MG(4UI)+lF 1ML PT 39

026863100 SAIZEN"lFL8MG+ 1CART +CLlCKEASY PT 39

027743032 ZOMACTON"SC 1FL4MG+F 3,5 SOlV PT 39

r 37106109 OMNITROPE"SUREPAL CART lSMG1,5 PT 39

037106135 OMNITROPE"SUREPAL CART SMG/l,5 PT 39

037106162 OMNITROPE"SUREPAL CARTlOMG/1,5 PT 39

040254029 TACNI"3OCP50,5MG PT

040254169 TACNI"3OCPS 5MG PT

040254120 TACNI"6OCPS 1MG PT

041180062 ADOPORT"30CPS O,5MG PT

041180264 AOOPORT"3OCPS 5MG PT 041180187 ADOPORT"60CPS lMG PT

038218018 ADVAGRAF"3OCPS O,SMG RP PT

038218119 ADVAGRAF"3OCPS 3MG RP PT

r 38218071 ADVAGRAF"3OCPS SMG RP PT

0382180S7 ADVAGRAF"6OCPS 1MG RP PT 043S31019 ENVARSUS"3OCPR O,75MG RP PT

043531058 ENVARSUS"6OCPR 1MG RP PT

; ~~!!!~~! ENVAR5US"30CPR 4MG RP PT PROGRAF"30CP50,5MG PT

029485048 PROGRAF"3OCP5 SMG PT

029485075 PROGRAF"6OCP51MG PT 033280049 TASMAR"FL10OCPR RIV 100MG PT

026999021 DECAPEPTYL"FL3,7SMG+2ML+lSIR PT 51

035562014 GONAPEPTYL DEPOT"SIR 3,75MG+SO PT 51

026999058 DECAPEPTYL"FL11,25MG+2ML+1SIR PT 51

042227013 ESMYA"28CPR SMG PT 032921049 FOSTIMON"10FL 7SUI+10F PT 74

029503024 ZElITREX"21CPR RIV 1000MG 84

035739010 VALCYTE"6OCPR RIV 4S0MG PT 038144059 GALVUS"S6CPR 50MG PT

'038252096 EUCREAS"6OCPR SOMG+1000MG PT

038252033 EUCREAS"6OCPR SOMG+850MG PT

034935383 ZElDOX"S6CP52OMG

034935472 2ElOOX"56CPS 40MG

034935561 ZElDOX"55CPS 60MG

6

Documents

ASP di Trapani Elenco DPC aggiornato al 16 11 2016 ... · ASP di Trapani Elenco DPC aggiornato al 16_11_2016 Prlndpio Attivo AlC Descrizione A Non ... 036598098 MIMPARA'28CPR RIV