|
1.
|
Choriomon
|
Trockensub 1000 IE c Solv (Spritze)
|
Durchstf 3 Stk
|
6.47
|
15.65
|
|
|
L
|
Nein
|
33524183
|
IBSA Institut Biochimique SA
|
Gonadotropinum chorionicum (HCG)
|
17071
|
01.09.2013
|
|
|
|
|
07.08.10.
|
G03GA01
|
|
2.
|
Choriomon
|
Trockensub 2000 IE c Solv (Spritze)
|
Durchstf 3 Stk
|
8.17
|
17.60
|
|
|
L
|
Nein
|
33524184
|
IBSA Institut Biochimique SA
|
Gonadotropinum chorionicum (HCG)
|
17071
|
01.09.2013
|
|
|
|
|
07.08.10.
|
G03GA01
|
|
3.
|
Fostimon
|
Trockensub 75 IE c solv
|
Fertigspr 1 Stk
|
26.33
|
46.60
|
|
|
L
|
Nein
|
52974098
|
IBSA Institut Biochimique SA
|
Urofollitropinum (hFSH)
|
16792
|
01.09.2010
|
|
|
|
|
07.08.10.
|
G03GA04
|
|
4.
|
Fostimon
|
Trockensub 75 IE c solv
|
Fertigspr 10 Stk
|
260.67
|
315.65
|
|
|
L
|
Nein
|
52974099
|
IBSA Institut Biochimique SA
|
Urofollitropinum (hFSH)
|
16792
|
01.09.2010
|
|
|
|
|
07.08.10.
|
G03GA04
|
|
5.
|
Fostimon
|
Trockensub 150 IE c Solv
|
Fertigspr 1 Stk
|
45.59
|
68.75
|
|
|
L
|
Nein
|
52974100
|
IBSA Institut Biochimique SA
|
Urofollitropinum (hFSH)
|
16792
|
01.09.2010
|
|
|
|
|
07.08.10.
|
G03GA04
|
|
6.
|
Fostimon
|
Trockensub 150 IE c Solv
|
Fertigspr 10 Stk
|
443.95
|
526.05
|
|
|
L
|
Nein
|
52974101
|
IBSA Institut Biochimique SA
|
Urofollitropinum (hFSH)
|
16792
|
01.09.2010
|
|
|
|
|
07.08.10.
|
G03GA04
|
|
7.
|
Gonal F
|
Trockensub 75 IE (5.5 mcg)
|
Inj kit 1 Stk
|
35.21
|
56.80
|
|
|
L
|
Nein
|
52971012
|
Merck (Schweiz) AG
|
Follitropinum alfa
|
16546
|
15.03.1998
|
|
|
|
|
07.08.10.
|
G03GA05
|
|
8.
|
Gonal F
|
Trockensub 450 IE (33 mcg)
|
Inj kit 1 Stk
|
189.49
|
233.95
|
|
|
L
|
Nein
|
52971114
|
Merck (Schweiz) AG
|
Follitropinum alfa
|
16546
|
01.12.2003
|
|
|
|
|
07.08.10.
|
G03GA05
|
|
9.
|
Gonal F
|
Trockensub 1050 IE (77 mcg)
|
Inj kit 1 Stk
|
435.82
|
516.70
|
|
|
L
|
Nein
|
52971106
|
Merck (Schweiz) AG
|
Follitropinum alfa
|
16546
|
01.04.2002
|
|
|
|
|
07.08.10.
|
G03GA05
|
|
10.
|
Gonal f Pen
|
Inj Lös 300 E/0.5ml
|
1 Stk
|
121.94
|
156.40
|
|
|
L
|
Nein
|
56689007
|
Merck (Schweiz) AG
|
Follitropinum alfa
|
18012
|
01.06.2004
|
|
|
|
|
07.08.10.
|
G03GA05
|