|
1.
|
Gonal F
|
Trockensub 75 IE (5.5 mcg)
|
Inj kit 1 Stk
|
35.21
|
56.80
|
01.12.2020
|
|
|
L
|
Nein
|
52971012
|
Merck (Schweiz) AG
|
Follitropinum alfa
|
16546
|
15.03.1998
|
|
|
|
|
07.08.10.
|
G03GA05
|
|
2.
|
Gonal F
|
Trockensub 450 IE (33 mcg)
|
Inj kit 1 Stk
|
189.49
|
233.95
|
01.12.2020
|
|
|
L
|
Nein
|
52971114
|
Merck (Schweiz) AG
|
Follitropinum alfa
|
16546
|
01.12.2003
|
|
|
|
|
07.08.10.
|
G03GA05
|
|
3.
|
Gonal F
|
Trockensub 1050 IE (77 mcg)
|
Inj kit 1 Stk
|
435.82
|
516.70
|
01.12.2020
|
|
|
L
|
Nein
|
52971106
|
Merck (Schweiz) AG
|
Follitropinum alfa
|
16546
|
01.04.2002
|
|
|
|
|
07.08.10.
|
G03GA05
|
|
4.
|
Gonal f Pen
|
Inj Lös 300 E/0.5ml
|
1 Stk
|
121.94
|
156.40
|
01.12.2020
|
|
|
L
|
Nein
|
56689007
|
Merck (Schweiz) AG
|
Follitropinum alfa
|
18012
|
01.06.2004
|
|
|
|
R
|
07.08.10.
|
G03GA05
|
|
5.
|
Gonal f Pen
|
Inj Lös 450 E/0.75ml
|
1 Stk
|
182.97
|
226.45
|
01.12.2020
|
|
|
L
|
Nein
|
56689008
|
Merck (Schweiz) AG
|
Follitropinum alfa
|
18012
|
01.06.2004
|
|
|
|
R
|
07.08.10.
|
G03GA05
|
|
6.
|
Gonal f Pen
|
Inj Lös 900 E/1.5 ml
|
1 Stk
|
360.85
|
430.65
|
01.12.2020
|
|
|
L
|
Nein
|
56689009
|
Merck (Schweiz) AG
|
Follitropinum alfa
|
18012
|
01.06.2004
|
|
|
|
R
|
07.08.10.
|
G03GA05
|
|
7.
|
Ovaleap
|
Inj Lös 300 IE/0.5 ml Patrone m 10 Nadeln
|
1 Stk
|
92.05
|
122.05
|
01.11.2018
|
|
|
L
|
Nein
|
66255001
|
Future Health Pharma GmbH
|
Follitropinum alfa
|
20850
|
01.11.2018
|
|
|
|
BioS
|
07.08.10.
|
G03GA05
|
|
8.
|
Ovaleap
|
Inj Lös 450 IE/0.75 ml Patrone m 10 Nadeln
|
1 Stk
|
138.12
|
174.95
|
01.11.2018
|
|
|
L
|
Nein
|
66255002
|
Future Health Pharma GmbH
|
Follitropinum alfa
|
20850
|
01.11.2018
|
|
|
|
BioS
|
07.08.10.
|
G03GA05
|
|
9.
|
Ovaleap
|
Inj Lös 900 IE/1.5 ml Patrone m 20 Nadeln
|
1 Stk
|
272.39
|
329.10
|
01.11.2018
|
|
|
L
|
Nein
|
66255003
|
Future Health Pharma GmbH
|
Follitropinum alfa
|
20850
|
01.11.2018
|
|
|
|
BioS
|
07.08.10.
|
G03GA05
|
|
10.
|
Pergoveris Pen
|
Inj Lös 300IE/150IE
|
Fertpen 0.48 ml
|
160.59
|
200.75
|
01.12.2020
|
|
|
L
|
Nein
|
66608001
|
Merck (Schweiz) AG
|
Follitropinum alfa
|
19192
|
01.08.2018
|
|
|
|
|
07.08.10.
|
G03GA30
|