İlaç Data | Online İlaç Bilgi Kaynağı

Etiket Fiyatı

1.666,99

İndirimler

%28

Kamu Fiyatı

1.200,23

Kamu Ödenen

1.050,73 (149,50)

Eşdeğer Kodu

E364A

Depocu Fiyatı

1.257,20 + KDV (905,18 + KDV)

İmalatçı Fiyatı

1.186,32 + KDV (854,15 + KDV)

Fiyat Tarihi

1.4.2026

F. Kademe

3.Kademe

Gebelik K.

Etkin Madde	Miktar	Birim
Memantin hidroklorür (Memantin)	10	mg

Gizli	Barkod	Mustahzar Adı	Firma	PSF	K.Fiyatı	K.Ödenen	Fark
8,8876800000	8699565090285	ANGETIN FILM TABLET 10 mg 30 tablet	ANGELINI	370,32	266,63	266,63
9,9125770000	8699566091168	COGITO FILM KAPLI TABLET 10 mg 100 tablet	SANTA FARMA	1.468,53	991,26	991,26
9,9780000000	8699514096436	DEMAX FILM TABLET 10 mg 30 tablet	ABDI IBRAHIM	415,75	299,34	299,34
9,9780000000	8699514080541	DEMAX EASYTAB AGIZDA DAGILAN TABLET 10 mg 30 tablet	ABDI IBRAHIM	415,75	299,34	299,34
10,0211760000	8699514080053	DEMAX EASYTAB AGIZDA DAGILAN TABLET 10 mg 100 tablet	ABDI IBRAHIM	1.391,83	1.002,12	1.002,12
10,1381760000	8699543090658	MELANDA FILM TABLET 10 mg 100 tablet	ALI RAIF	1.408,08	1.013,82	1.013,82
10,3042800000	8699514096467	DEMAX FILM TABLET 10 mg 100 tablet	ABDI IBRAHIM	1.431,15	1.030,43	1.030,43
10,3800470000	8699795091151	EBIXA FILM TABLET 10 mg 100 tablet	LUNDBECK	1.584,74	1.038,00	1.038,00
10,4073120000	8699543090641	MELANDA FILM TABLET 10 mg 50 tablet	ALI RAIF	722,73	520,37	520,37
10,5073710000	8699543070308	MELANDA RAPID AGIZDA DAGILAN TABLET 10 mg 28 tablet	ALI RAIF	408,62	294,21	294,21
10,5124800000	8699566091120	COGITO FILM KAPLI TABLET 10 mg 30 tablet	SANTA FARMA	438,02	315,37	315,22	0,15
10,5255360000	8699540090866	MEXIA FILM TABLET 10 mg 100 tablet	NOBEL ILAC SANAYI	1.461,88	1.052,55	1.050,73	1,82
10,5853870000	8699293090014	ALMENTA FILM KAPLI TABLET 10 mg 100 tablet	GENVEON	1.666,99	1.058,54	1.050,73	7,81
10,9272860000	8699540090842	MEXIA FILM TABLET 10 mg 28 tablet	NOBEL ILAC SANAYI	424,95	305,96	294,21	11,75
11,0893040000	8699795091144	EBIXA FILM TABLET 10 mg 50 tablet	LUNDBECK	827,56	554,47	525,37	29,10
12,0023280000	8699569090687	ALZANT FILM KAPLI TABLET 10 mg 100 tablet	BILIM	1.666,99	1.200,23	1.050,73	149,50
13,5666720000	8699569090670	ALZANT FILM KAPLI TABLET 10 mg 50 tablet	BILIM	942,13	678,33	525,37	152,96
16,1066160000	8680881024528	EMAXIN EFERVESAN TABLET 10 mg 100 tablet	NEUTEC ILAC SAN.	2.237,03	1.610,66	1.050,73	559,93

Başında bulunan ilaçlar birim fiyatı en ucuz ilaçlardır.
Arka font sarı rekli olan ilaçlar eşdeğer bant hesabına dahil değildir.
%6 Alanında işareti bulunan ilaçlar kamu tarafından tam ödenmektedir.
Eczane iskonto oranına göre fiyat farkı tutarı değişmektedir.

Eşdeğer 3

Eşdeğer 4

Eşdeğer 5

Referans 2

Referans 3

Barkod	Mustahzar Adı	Firma	Depocu.F.	Kamu.Ö.	Ambalaj
8680008091006	ALCEBA FILM TABLET 10 mg 20 tablet	HELBA	135,48		20
8699293090199	ALMENTA FILM KAPLI TABLET 10 mg 28 tablet	GENVEON	332,19		28
8699540090842	MEXIA FILM TABLET 10 mg 28 tablet	NOBEL ILAC SANAYI	301,81	294,21	28
8680008090009	ALCEBA FILM TABLET 10 mg 30 tablet	HELBA	295,28		30
8699569091943	ALZANT FILM KAPLI TABLET 10 mg 30 tablet	BILIM	201,5		30
8699828091202	ALZMEX FILM KAPLI TABLET 10 mg 30 tablet	KOCAK FARMA	201,5		30
8699565090285	ANGETIN FILM TABLET 10 mg 30 tablet	ANGELINI	263,01	266,63	30
8699772091365	CISSOR FILM TABLET 10 mg 30 tablet	TRIPHARMA	155,92		30
8699566091120	COGITO FILM KAPLI TABLET 10 mg 30 tablet	SANTA FARMA	311,09	315,22	30
8699514096436	DEMAX FILM TABLET 10 mg 30 tablet	ABDI IBRAHIM	295,28	299,34	30
8683295540110	MAXIRAM FILM TABLET 10 mg 30 tablet	DINCTAS	419,99		30
8699599090398	MAXIRAM FILM TABLET 10 mg 30 tablet	AYTAC MUHITTIN DINCER	153,04		30
8699819091518	MEMANZAKS FILM TABLET 10 mg 30 tablet	DINCSA	198,62		30
8680008090023	ALCEBA FILM TABLET 10 mg 50 tablet	HELBA	255,33		50
8699293090021	ALMENTA FILM KAPLI TABLET 10 mg 50 tablet	GENVEON	331,26		50
8699569090670	ALZANT FILM KAPLI TABLET 10 mg 50 tablet	BILIM	685,5	525,37	50
8680638090226	ALZIA FILM TABLET 10 mg 50 tablet	NOBEL SAGLIK	331,26		50
8699566091144	COGITO FILM KAPLI TABLET 10 mg 50 tablet	SANTA FARMA	331,26		50
8699514096429	DEMAX FILM TABLET 10 mg 50 tablet	ABDI IBRAHIM	472		50
8699795091144	EBIXA FILM TABLET 10 mg 50 tablet	LUNDBECK	597,24	525,37	50
8697927092533	FIXREM FILM TABLET 10 mg 50 tablet	NEUTEC ILAC SAN.	331,26		50
8699536092171	KORINT FILM TABLET 10 mg 50 tablet	SANOVEL	282,16		50
8699599090534	MAXIRAM FILM TABLET 10 mg 50 tablet	AYTAC MUHITTIN DINCER	255,62		50
8683295540127	MAXIRAM FILM TABLET 10 mg 50 tablet	DINCTAS	706,38		50
8699543090641	MELANDA FILM TABLET 10 mg 50 tablet	ALI RAIF	516,47	520,37	50
8699502092785	MEMORIX FILM TABLET 10 mg 50 tablet	ZENTIVA	321,57		50
8699540090859	MEXIA FILM TABLET 10 mg 50 tablet	NOBEL ILAC SANAYI	331,26		50
8680008090016	ALCEBA FILM TABLET 10 mg 100 tablet	HELBA	744,45		100
8699844090296	ALIOS FILM TABLET 10 mg 100 tablet	VEM ILAC	489,32		100
8699293090014	ALMENTA FILM KAPLI TABLET 10 mg 100 tablet	GENVEON	1257,2	1050,73	100
8699569090687	ALZANT FILM KAPLI TABLET 10 mg 100 tablet	BILIM	1257,2	1050,73	100
8680053090030	ALZER FILM TABLET 10 mg 100 tablet	TRIOZER	591,05		100
8680638090233	ALZIA FILM TABLET 10 mg 100 tablet	NOBEL SAGLIK	582,93		100
8699828091172	ALZMEX FILM KAPLI TABLET 10 mg 100 tablet	KOCAK FARMA	574,92		100
8699565090025	ANGETIN FILM TABLET 10 mg 100 tablet	ANGELINI	788,29		100
8699724090262	CERAMIN FILM TABLET 10 mg 100 tablet	ASET	591,05		100
8699772090870	CISSOR FILM TABLET 10 mg 100 tablet	TRIPHARMA	551,16		100
8699566091168	COGITO FILM KAPLI TABLET 10 mg 100 tablet	SANTA FARMA	1097,54	991,26	100
8699514096467	DEMAX FILM TABLET 10 mg 100 tablet	ABDI IBRAHIM	1067,46	1030,43	100
8699578090869	EBITEX FILM TABLET 10 mg 100 tablet	BIOFARMA	591,05		100
8699795091151	EBIXA FILM TABLET 10 mg 100 tablet	LUNDBECK	1191,03	1038	100
8697927092540	FIXREM FILM TABLET 10 mg 100 tablet	CELTIS	591,05		100
8699536091792	KORINT FILM TABLET 10 mg 100 tablet	SANOVEL	591,05		100
8699599090541	MAXIRAM FILM TABLET 10 mg 100 tablet	AYTAC MUHITTIN DINCER	454,69		100
8683295540134	MAXIRAM FILM TABLET 10 mg 100 tablet	AYTAC MUHITTIN DINCER	1257,2		100
8699543090658	MELANDA FILM TABLET 10 mg 100 tablet	ALI RAIF	1048,9	1013,82	100
8699819091532	MEMANZAKS FILM TABLET 10 mg 100 tablet	DINCSA	552,03		100
8699502092792	MEMORIX FILM TABLET 10 mg 100 tablet	ZENTIVA	591,05		100
8699559090277	MEMOTEC FILM TABLET 10 mg 100 tablet	RECORDATI	591,05		100
8680530620071	MENTAX FILM TABLET 10 mg 100 tablet	SENTINUS	820,26		100
8699540090866	MEXIA FILM TABLET 10 mg 100 tablet	NOBEL ILAC SANAYI	1092,18	1050,73	100
8699540090347	VIXIMEM FILM TABLET 10 mg 100 tablet	NOBEL ILAC SANAYI	591,05		100
8699525096388	XEIMER FILM TABLET 10 mg 100 tablet	DEVA	572,33		100

Yakın Eşdeğer İlaç Listesi

Barkod	Firma	Mustahzar Adı	PSF	İsk.	KamuF.	Fark	EşdeğeK.
8680881026263	NEUTEC ILAC SAN.	EMAXIN BASLANGIC PAKETI 28 tablet	348,7
8699772080024	TRIPHARMA	CISSOR EASYTAB AGIZDA DAGILAN TABLET 10 mg 100 tablet	1073,51
8699566081077	SANTA FARMA	COGITO AGIZDA DAGILAN TABLET 10 mg 100 tablet	1284,46
8699566081053	SANTA FARMA	COGITO AGIZDA DAGILAN TABLET 10 mg 50 tablet	674,13
8699514080053	ABDI IBRAHIM	DEMAX EASYTAB AGIZDA DAGILAN TABLET 10 mg 100 tablet	1391,83	%28	1002,12		E364A
8699514080541	ABDI IBRAHIM	DEMAX EASYTAB AGIZDA DAGILAN TABLET 10 mg 30 tablet	415,75	%28	299,34		E364A
8699514080046	ABDI IBRAHIM	DEMAX EASYTAB AGIZDA DAGILAN TABLET 10 mg 50 tablet	664,58	%28			E364A
8699543070308	ALI RAIF	MELANDA RAPID AGIZDA DAGILAN TABLET 10 mg 28 tablet	408,62	%28	294,21		E364A
8699543070315	ALI RAIF	MELANDA RAPID AGIZDA DAGILAN TABLET 20 mg 28 tablet	836,44	%28	602,24		E364C
8680881026096	NEUTEC ILAC SAN.	EMAXIN EFERVESAN TABLET 15 mg 10 tablet	127,45
8680881026065	NEUTEC ILAC SAN.	EMAXIN EFERVESAN TABLET 5 mg 10 tablet	56
8680881024542	NEUTEC ILAC SAN.	EMAXIN EFERVESAN TABLET 20 mg 100 tablet	5092,38	%28	3666,51	1515,59	E364C
8680881024528	NEUTEC ILAC SAN.	EMAXIN EFERVESAN TABLET 10 mg 100 tablet	2237,03	%28	1610,66	559,93	E364A
8680881024511	NEUTEC ILAC SAN.	EMAXIN EFERVESAN TABLET 10 mg 50 tablet	765,31
8680008090016	HELBA	ALCEBA FILM TABLET 10 mg 100 tablet	1001,05
8680008091006	HELBA	ALCEBA FILM TABLET 10 mg 20 tablet	190,75
8680008090009	HELBA	ALCEBA FILM TABLET 10 mg 30 tablet	415,75
8680008090023	HELBA	ALCEBA FILM TABLET 10 mg 50 tablet	359,51
8699844090296	VEM ILAC	ALIOS FILM TABLET 10 mg 100 tablet	672,78
8699293090014	GENVEON	ALMENTA FILM KAPLI TABLET 10 mg 100 tablet	1666,99	%36,5	1058,54	7,81	E364A
8699293090199	GENVEON	ALMENTA FILM KAPLI TABLET 10 mg 28 tablet	467,73
8699293090021	GENVEON	ALMENTA FILM KAPLI TABLET 10 mg 50 tablet	466,42
8699569090687	BILIM	ALZANT FILM KAPLI TABLET 10 mg 100 tablet	1666,99	%28	1200,23	149,5	E364A
8699569091943	BILIM	ALZANT FILM KAPLI TABLET 10 mg 30 tablet	283,71
8699569090670	BILIM	ALZANT FILM KAPLI TABLET 10 mg 50 tablet	942,13	%28	678,33	152,96	E364A
8680053090030	TRIOZER	ALZER FILM TABLET 10 mg 100 tablet	804,82
8680638090233	NOBEL SAGLIK	ALZIA FILM TABLET 10 mg 100 tablet	794,28
8680638090226	NOBEL SAGLIK	ALZIA FILM TABLET 10 mg 50 tablet	466,42
8680638090264	NOBEL SAGLIK	ALZIA FILM TABLET 20 mg 84 tablet	1585,3
8699828091172	KOCAK FARMA	ALZMEX FILM KAPLI TABLET 10 mg 100 tablet	783,88
8699828091202	KOCAK FARMA	ALZMEX FILM KAPLI TABLET 10 mg 30 tablet	283,71
8699565090025	ANGELINI	ANGETIN FILM TABLET 10 mg 100 tablet	1075,55	%28			E364A
8699565090285	ANGELINI	ANGETIN FILM TABLET 10 mg 30 tablet	370,32	%28	266,63		E364A
8699565090292	ANGELINI	ANGETIN FILM TABLET 20 mg 30 tablet	802,4
8699724090262	ASET	CERAMIN FILM TABLET 10 mg 100 tablet	804,82
8699772090870	TRIPHARMA	CISSOR FILM TABLET 10 mg 100 tablet	753,05
8699772091365	TRIPHARMA	CISSOR FILM TABLET 10 mg 30 tablet	219,54
8699566091168	SANTA FARMA	COGITO FILM KAPLI TABLET 10 mg 100 tablet	1468,53	%32,5	991,26		E364A
8699566091120	SANTA FARMA	COGITO FILM KAPLI TABLET 10 mg 30 tablet	438,02	%28	315,37	0,15	E364A
8699566091137	SANTA FARMA	COGITO FILM KAPLI TABLET 20 mg 30 tablet	846,47	%28	609,46		E364C
8699566091144	SANTA FARMA	COGITO FILM KAPLI TABLET 10 mg 50 tablet	466,42
8699566091151	SANTA FARMA	COGITO FILM KAPLI TABLET 20 mg 90 tablet	2609,81	%28	1879,06		E364C
8699514096467	ABDI IBRAHIM	DEMAX FILM TABLET 10 mg 100 tablet	1431,15	%28	1030,43		E364A
8699514091974	ABDI IBRAHIM	DEMAX FILM TABLET 20 mg 28 tablet	794,64	%28	572,14		E364C
8699514096436	ABDI IBRAHIM	DEMAX FILM TABLET 10 mg 30 tablet	415,75	%28	299,34		E364A
8699514096429	ABDI IBRAHIM	DEMAX FILM TABLET 10 mg 50 tablet	664,58	%28			E364A
8699514091981	ABDI IBRAHIM	DEMAX FILM TABLET 20 mg 84 tablet	2067,44
8699578090869	BIOFARMA	EBITEX FILM TABLET 10 mg 100 tablet	804,82
8699795091151	LUNDBECK	EBIXA FILM TABLET 10 mg 100 tablet	1584,74	%34,5	1038		E364A
8699795091168	LUNDBECK	EBIXA FILM TABLET 20 mg 28 tablet	794,64	%28	572,14		E364C
8699795091144	LUNDBECK	EBIXA FILM TABLET 10 mg 50 tablet	827,56	%33	554,47	29,1	E364A
8699795091175	LUNDBECK	EBIXA FILM TABLET 20 mg 84 tablet	2512,38	%28	1808,91	2,14	E364C
8697927092199	CELTIS	FIXREM FILM TABLET 15 mg 10 tablet	127,45
8697927092168	CELTIS	FIXREM FILM TABLET 5 mg 10 tablet	56
8697927092182	CELTIS	FIXREM FILM TABLET 5 mg 100 tablet	421,27
8697927092212	CELTIS	FIXREM FILM TABLET 15 mg 100 tablet	1172,1
8697927092380	CELTIS	FIXREM FILM TABLET 20 mg 100 tablet	2445,12
8697927092540	CELTIS	FIXREM FILM TABLET 10 mg 100 tablet	804,82
8697927092373	CELTIS	FIXREM FILM TABLET 20 mg 50 tablet	652,98
8697927092205	CELTIS	FIXREM FILM TABLET 15 mg 50 tablet	677,65
8697927092533	NEUTEC ILAC SAN.	FIXREM FILM TABLET 10 mg 50 tablet	466,42
8699536091792	SANOVEL	KORINT FILM TABLET 10 mg 100 tablet	804,82
8699536092171	SANOVEL	KORINT FILM TABLET 10 mg 50 tablet	397,28
8699599090541	AYTAC MUHITTIN DINCER	MAXIRAM FILM TABLET 10 mg 100 tablet	627,83
8683295540134	AYTAC MUHITTIN DINCER	MAXIRAM FILM TABLET 10 mg 100 tablet	1666,99
8699599090398	AYTAC MUHITTIN DINCER	MAXIRAM FILM TABLET 10 mg 30 tablet	215,49
8683295540110	DINCTAS	MAXIRAM FILM TABLET 10 mg 30 tablet	591,34
8683295540127	DINCTAS	MAXIRAM FILM TABLET 10 mg 50 tablet	969,24
8699599090534	AYTAC MUHITTIN DINCER	MAXIRAM FILM TABLET 10 mg 50 tablet	359,91
8699543090658	ALI RAIF	MELANDA FILM TABLET 10 mg 100 tablet	1408,08	%28	1013,82		E364A
8699543091594	ALI RAIF	MELANDA FILM TABLET 20 mg 28 tablet	794,64	%28,5	568,17		E364C
8699543090641	ALI RAIF	MELANDA FILM TABLET 10 mg 50 tablet	722,73	%28	520,37		E364A
8699543091570	ALI RAIF	MELANDA FILM TABLET 20 mg 84 tablet	2521,25	%30,5	1752,27		E364C
8699819091532	DINCSA	MEMANZAKS FILM TABLET 10 mg 100 tablet	754,17
8699819091518	DINCSA	MEMANZAKS FILM TABLET 10 mg 30 tablet	279,65
8699502092792	ZENTIVA	MEMORIX FILM TABLET 10 mg 100 tablet	804,82
8699502093423	ZENTIVA	MEMORIX FILM TABLET 20 mg 100 tablet	2186,24
8699502092785	ZENTIVA	MEMORIX FILM TABLET 10 mg 50 tablet	452,77
8699559090277	RECORDATI	MEMOTEC FILM TABLET 10 mg 100 tablet	804,82
8680530620071	SENTINUS	MENTAX FILM TABLET 10 mg 100 tablet	1117,05
8699540090866	NOBEL ILAC SANAYI	MEXIA FILM TABLET 10 mg 100 tablet	1461,88	%28	1052,55	1,82	E364A
8699540090842	NOBEL ILAC SANAYI	MEXIA FILM TABLET 10 mg 28 tablet	424,95	%28	305,96	11,75	E364A
8699540090873	NOBEL ILAC SANAYI	MEXIA FILM TABLET 20 mg 28 tablet	794,64	%28	572,14		E364C
8699540090880	NOBEL ILAC SANAYI	MEXIA FILM TABLET 20 mg 50 tablet	652,98
8699540090859	NOBEL ILAC SANAYI	MEXIA FILM TABLET 10 mg 50 tablet	466,42
8699540090897	NOBEL ILAC SANAYI	MEXIA FILM TABLET 20 mg 84 tablet	2552,99
8699540090347	NOBEL ILAC SANAYI	VIXIMEM FILM TABLET 10 mg 100 tablet	804,82
8699540090378	NOBEL ILAC SANAYI	VIXIMEM FILM TABLET 20 mg 84 tablet	2010,61
8699525096388	DEVA	XEIMER FILM TABLET 10 mg 100 tablet	780,52
8699566091106	SANTA FARMA	COGITO TEDAVIYE BASLAMA PAKETI 28 tablet	1146,12	%28	825,21	201,03	E364D
8699514091998	ABDI IBRAHIM	DEMAX TEDAVI BASLANGIC PAKETI 28 tablet	817,85	%28	588,85		E364D
8699543091587	ALI RAIF	MELANDA BASLANGIC PAKETI 4x7 tablet	866,91	%28	624,18		E364D
8699540090835	NOBEL ILAC SANAYI	MEXIA TEDAVIYE BASLAMA PAKETI 28 tablet	817,85	%28	588,85		E364D
8699540170032	NOBEL ILAC SANAYI	MEXIA XR TEDAVIYE BASLAMA PAKETI 7 mg/14 mg/21 mg/28 mg 28 kapsül	1151,35	%28	828,97
8699540170018	NOBEL ILAC SANAYI	MEXIA XR UZATILMIS SALINIMLI MIKROPELLET KAPSUL 14 mg 28 kapsül	439,87	%28	316,71
8699540170025	NOBEL ILAC SANAYI	MEXIA XR UZATILMIS SALINIMLI MIKROPELLET KAPSUL 28 mg 28 kapsül	794,64	%40	476,78
8680008590011	HELBA	ALCEBA ORAL DAMLA 10 mg/g 100 g şişe	1264,72
8699293590149	GENVEON	ALMENTA ORAL DAMLA 10 mg/g 100 g şişe	1131,91
8699569590040	BILIM	ALZANT ORAL DAMLA 10 mg/g 100 g şişe	1264,72
8699828590095	KOCAK FARMA	ALZMEX ORAL DAMLA 10 mg/g 100 g şişe	1264,72
8699724590014	ASET	CERAMIN ORAL DAMLA 10 mg/g 100 g şişe	1264,72
8699772590028	TRIPHARMA	CISSOR ORAL DAMLA 10 mg/g 100 g şişe	1180,33
8699566591200	SANTA FARMA	COGITO ORAL COZELTI 5 mg/basis 50 g şişe	928,88	%32	631,64		E364B
8699566591217	SANTA FARMA	COGITO ORAL SOLUSYON 5 mg/basis 100 g şişe	1264,53
8699514596486	ABDI IBRAHIM	DEMAX ORAL DAMLA 10 mg/g 100 g şişe	805,85
8699514596479	ABDI IBRAHIM	DEMAX ORAL DAMLA 10 mg/g 50 g şişe	447,25
8699578590819	BIOFARMA	EBITEX ORAL DAMLA 10 mg/g 100 g şişe	1264,72
8699795590685	LUNDBECK	EBIXA BASIS ORAL SOLUSYON 5 mg/basış 100 g şişe	271,98	%0
8699795590678	LUNDBECK	EBIXA BASIS ORAL SOLUSYON 5 mg/basış 50 g şişe	144,01	%0
8699536590028	SANOVEL	KORINT ORAL DAMLA 10 mg/g 100 g şişe	1264,72
8699543590035	ALI RAIF	MELANDA ORAL SOLUSYON 5 mg/basış 100 g şişe	1669,37	%28	1201,95		E364B
8699543590066	ALI RAIF	MELANDA ORAL SOLUSYON 5 mg/basis 50 g şişe	880,49	%28	633,95		E364B
8699502590397	ZENTIVA	MEMORIX ORAL DAMLA 10 mg/g 100 g şişe	1264,72
8699525596406	DEVA	XEIMER ORAL DAMLA 10 mg/g 100 g şişe	1074,2
8699525596390	DEVA	XEIMER ORAL DAMLA 10 mg/g 50 g şişe	460,86

SUT Bilgileri
Ek-4/D / ICD-10

GERİ ÖDEME DURUMU

Ödenir. (Madde 4.1.9/1)

RAPOR-REÇETE ÖZET TABLO

Ayakta Raporsuz	Ödenir
Raporsuz Reçete Yazabilecek Hekimler	Nöroloji, geriatri, psikiyatri uzman hekimleri
Ayakta Raporlu	Ödenmez
Yatan Hasta	Ödenir

SAĞLIK UYGULAMA TEBLİĞİ BİLGİLERİ (Yürürlük Tarihi : 2015-06-01)

Nöroloji, geriatri, psikiyatri uzman hekimlerince raporsuz, bu hekimlerce düzenlenecek uzman hekim raporuna dayanılarak tüm hekimlerce reçete edilebilir. (EK-4/F-7)

Madde	Rapor Kodu	End.Uyumu
10.7.5.	10.07- Memantin
11.2.5.	11.02- Memantin
Yukarıdaki bilgiler hızlı bilgilendirme amaçlı olarak SGK Medula bilgilerine dayanılarak hazırlanmıştır. Müstahzar bedelinin geri ödenmesine ilişkin esas teşkil etmemektedir.