| 1. | Actemra | Inf Konz 80 mg/4ml | Durchstf 4 ml | 129.76 | 157.55 | 01.03.2024 |  |  | L | Nein | 58868001 | Roche Pharma (Schweiz) AG | Tocilizumabum | 19015 | 01.05.2009 |  |  |  |  | 07.15. | L04AC07 | 
						| 2. | Actemra | Inj Lös 162 mg/0.9ml | Fertspr 4 Stk | 962.96 | 1063.70 | 01.03.2024 |  |  | L | Nein | 63166001 | Roche Pharma (Schweiz) AG | Tocilizumabum | 20240 | 01.11.2014 |  |  |  |  | 07.15. | L04AC07 | 
						| 3. | Actemra | Inj Lös 162 mg/0.9ml Fertigpen | Fertpen 4 Stk | 962.96 | 1063.70 | 01.03.2024 |  |  | L | Nein | 66931001 | Roche Pharma (Schweiz) AG | Tocilizumabum | 20893 | 01.03.2019 |  |  |  |  | 07.15. | L04AC07 | 
						| 4. | Actemra | Inf Konz 200 mg/10ml | Durchstf 10 ml | 324.39 | 369.20 | 01.03.2024 |  |  | L | Nein | 58868002 | Roche Pharma (Schweiz) AG | Tocilizumabum | 19015 | 01.05.2009 |  |  |  |  | 07.15. | L04AC07 | 
						| 5. | Actemra | Inf Konz 400 mg/20ml | Durchstf 20 ml | 648.78 | 722.00 | 01.03.2024 |  |  | L | Nein | 58868003 | Roche Pharma (Schweiz) AG | Tocilizumabum | 19015 | 01.05.2009 |  |  |  |  | 07.15. | L04AC07 |