|
1.
|
Boostrix Polio
|
Inj Susp
|
Fertspr 1 Stk
|
24.86
|
44.95
|
|
|
L
|
Nein
|
681001
|
GlaxoSmithKline AG
|
Vaccinum diphtheriae adsorbatum
|
18073
|
01.09.2004
|
|
|
|
|
08.08.
|
J07CA02
|
|
2.
|
Infanrix DTPa-IPV
|
Inj Susp
|
Fertspr 1 Stk
|
20.20
|
39.60
|
|
|
L
|
Nein
|
638001
|
GlaxoSmithKline AG
|
Toxoidum diphtheriae
|
17425
|
15.04.2000
|
|
|
|
|
08.08.
|
J07CA02
|
|
3.
|
Tetravac
|
Inj Susp m Nadeln
|
Fertspr 0.5 ml
|
20.21
|
39.60
|
|
|
L
|
Nein
|
612001
|
Sanofi-Aventis (Suisse) SA
|
Toxoidum diphtheriae
|
17427
|
15.04.2000
|
|
|
|
|
08.08.
|
J07CA02
|