|
1.
|
Eylea
|
Inj Lös 2 mg/0.05ml Durchstfl
|
Durchstf 1 Stk
|
913.48
|
1063.35
|
|
|
L
|
62397001
|
Bayer (Schweiz) AG
|
Afliberceptum
|
19958
|
01.12.2012
|
|
|
11.99.
|
S01LA05
|
|
2.
|
Jetrea
|
Inj Konz 0.5 mg/0.2ml
|
Durchstf 0.500 ml
|
3170.08
|
3495.35
|
|
|
L
|
63053001
|
mmpharm GmbH
|
Ocriplasminum
|
20223
|
01.07.2014
|
A: 30.09.2022
L: 30.09.2022
|
|
11.99.
|
S01XA22
|
|
3.
|
Jetrea
|
Inj Lös 0.375 mg/0.3ml
|
Durchstf 0.300 ml
|
3170.08
|
3495.35
|
|
|
L
|
66337001
|
mmpharm GmbH
|
Ocriplasminum
|
20984
|
01.10.2019
|
A: 30.09.2022
L: 30.09.2022
|
|
11.99.
|
S01XA22
|
|
4.
|
Lucentis
|
Inj Lös 1.650 mg/0.165 ml
|
Fertspr 0.165 ml
|
874.34
|
1020.15
|
|
|
L
|
63277001
|
Novartis Pharma Schweiz AG
|
Ranibizumabum
|
20214
|
01.04.2014
|
|
|
11.99.
|
S01LA04
|
|
5.
|
Lucentis
|
Inj Lös 2.3000 mg/0.23ml m Filternadel
|
0.230 ml
|
874.34
|
1020.15
|
|
|
L
|
57664004
|
Novartis Pharma Schweiz AG
|
Ranibizumabum
|
18483
|
01.01.2017
|
|
|
11.99.
|
S01LA04
|
|
6.
|
Ozurdex intravitreales
|
Implant in Applikator
|
1 Stk
|
1091.66
|
1258.80
|
|
|
L
|
60324001
|
Allergan AG
|
Dexamethasonum
|
19470
|
01.01.2012
|
|
|
11.99.
|
S01BA01
|
|
7.
|
Visudyne
|
Trockensub 15 mg
|
Durchstf 1 Stk
|
1265.63
|
1449.60
|
|
|
L
|
55269002
|
CPS Cito Pharma Services GmbH
|
Verteporfinum
|
17451
|
15.04.2000
|
|
|
11.99.
|
S01LA01
|
|
8.
|
Vitamin A Blache
|
Augensalbe
|
5 g
|
3.85
|
8.50
|
|
|
|
22398024
|
Bausch & Lomb Swiss AG Division Pharma
|
Retinoli palmitas
|
12348
|
15.03.1985
|
|
|
11.99.
|
S01XA02
|