open telematic procedure the three-year supply, in administration, of supplements and medical devices for rare diseases and cystic fibrosis for eligible users dispensed by the Hospital Pharmacies of Direct Distribution of the Asp of Agrigento

n. 7440 sachets of about 2.6 gr Food supplement of live lactic acid bacteria such as to

counteract intestinal inflammatory action

oxalic acid, in patients with cystic fibrosis.

No 10620 tablets/capsules Food for special medical purposes based on 1 gram Sodium chloride ce 26.3 grams Magnesium indicated

for the dietary treatment of subjects with cystic fibrosis.

n. 1308 powder jar 400 grams Protein-free food with high energy value based on carbohydrates and fats, indicated in diets with reduced protein content and low in sodium, potassium and phosphorus (aminoacidopathies, chronic renal failure CRF, Parkinson's disease). Neutral taste.

n. 1386 400 gram powder jar Dietary food for special medical purposes containing extensive casein hydrolysate with the addition of medium chain triglycerides (MCT 55% of total fat). indicated for the dietary management of infants with cow's milk / soy allergy and / or with maldigestion / malabsorption problems from birth onwards with the addition of DHA and ARA). Lactose-free.

n. 396 bottle ml 7.5 drops Food supplement of DHA, Vitamin A, Vitamin D3, Vitamin E, Folic acid and Zinc in solution intended for infants and children. Formulation in oral drops. GLUTEN FREE

n. 37752 sachets of gr5 and 52980 oral solution of ml200 Food for special medical purposes for oral rehydration containing: Glucose, sodium citrate, flavoring, potassium chloride, sodium chloride, zinc gluconate. Gluten free.

n. 9720 sachets Dietary food for special medical purposes containing 1513 mg of Potassium Citrate equal to 547 mg of Potassium (14 mEq), 581 mg of Magnesium Citrate, equal to 90 mg of Magnesium (7 mEq) for a total of 21 mEq of Citrate per single unit.

n. 7560 tablets/capsules complete multivitamin and multimineral food supplement, specially formulated for children aged 4 and over. Sugar-free, gluten-free and colour-free With sweetener.

n. 5652 sachets Multivitamin and multimineral supplement balanced and specific for children d 1 to 6 years. Containing: Folic acid; pantothenic acid; vitamin A; biotin; vitamin B1 vitamin B2; pyridoxine; cobalamin; vitamin C; vitamin D; vitamin E; niacin; calcium; iron; phosphorus; iodine; magnesium; manganese; potassium; copper; selenium; zinc. Without: added sucrose, preservatives, sweeteners and artificial flavors.

n. 5760 tablets Food supplement for special medical purposes based on Palmitoyl ethanolamide. Without: gluten, lactose, sugars.

n. 6840 tablets Food supplement based on vitamins and minerals containing: Coenzyme Q10; vitamins: A,D,E,K,C,B1,B2,Niacin,B6,Folic acid,B12, biotin,pantothenic acid; Minerals: calcium, magnesium, iron, copper, manganese, selenium, molybdenum, iodine, zinc.

n. 1956 bottle ml 50 and 8640 capsules Vitamin supplement (A- K-D-E) for subjects suffering from cystic fibrosis, indicated in children.

n. 246 500 ml oil solution Dietary food for special medical purposes containing a mixture of glycerol trioleate (GTO) and glycerol trierucate (GTE) free of hexacosanoic acid (C26:0). Fatty acid ratio n6/n3 20:1 in 100 ml. Indicated in children and adults.

n. 12240 sachets Food intended for special medical purposes useful in food management in metabolic conditions in which the use of a long-acting starch is indicated, starting from 2 years of age. Containing maize starch with a high content of amylopectins, hydrothermally treated. Can be mixed with food and beverages. It can also be administered through nutritional probes. Neutral taste.

n. 12660 sachets PEAPol (Palmitoylethanolamide-Polydatin in comchoronized form) Ultramicronized palmitoylethanolamide (PEA-um) 440 mg + 200 mg

n. 696 bottle ml 50 Specific exfoliating cream for the reduction of thickened and excessive areas. Containing 30% urea

n. 216 bottle lt 1 Shower oil for daily cleansing of dry, irritated, very dry and itchy skin. cointenent plant biolipids and vitamin PP. Able to prevent the adhesion of bacteria that cause worsening irritation. Not greasy. Hypoallergenic. Also suitable for children and infants.

n, 288 jar gr 400 Food for special medical purposes suitable for feeding the infant from birth to the 6th month of life. With hypoallergenic formula based on extensively hydrolyzed casein for the dietary management of cow's milk protein allergy containing the probiotic Lactobacillus rhamnosus.

n, 828 jar gr 400 Food for special medical purposes suitable for feeding infants from the 6th month of life onwards. With hypoallergenic formula based on extensively hydrolyzed casein for the dietary management of cow's milk protein allergy containing the probiotic Lactobacillus rhamnosus.

n. 18270 bottles ml 125 Food for special medical purposes with high energy density from 1 to 1.5 kcal/ml, with proteins from 2.6 g/100 ml to 2.8 g/100 ml, suitable from birth up to 9 kg body weight, for the dietary treatment of infants and children with growth problems, with a mixture of GOS/FOS to help the development of intestinal bacterial flora and with LCP and nucleotides to support the development of cognitive and immune function. Gluten free.

n. 2232 jar gr 400 Food for special medical purposes indicated for the dietary management of glucose and galactose malabsorption for infants and children. Usable as a sole nutritional source for children under one year of age and as a supplement for children.

n. 12240 sachets gr 25 Food for special medical purposes based on glutamine and essential amino acids to reactivate the synthesis of muscle and plasma proteins in protein malnutrition and in acute and chronic diseases accompanied by significant tissue damage (surgical wounds, burns, bedsores, etc.) or loss of muscle mass (senile or neoplastic sarcopenia).

n. 8640 sachets Food for special medical purposes contains: Whey protein isolate 79.4% (milk protein; soy lecithin) L-Arginine L-Aspartate; FOS (fructooligosaccharides); MCT (Medium chain triglycerides with caprylic and capric acid) sodium caseinate; lactose content ≤ 1 %.

No 10080 Ascorbic acid capsule/tablet 300 mg

n. 8100 edible films Food for special medical purposes to supplement the daily intake of vitamin D in subjects suffering from Cystic Fibrosis, Osteogenesis Imperfecta, Ehlers-Danlos Syndrome and Rickets deficiency. Each film contains vitamin D3 at a dosage of 5000 IU.

n. 312 bottle ml 20 drops Food supplement of melatonin in drops. Melatonin of purity not less than 99% in liquid form, which promotes falling asleep contributing to the reduction of the time required to fall asleep. Melatonin naturally present in the body maintains the physiological rhythms of the sleep-wake cycle; Its supplementation (1 mg) can be useful to promote falling asleep. The formulation in drops allows flexibility of dosage.

n. 216 bottles 30 ml drops and 6960 capsules Food supplement based on sucrosomial iron and vitamin C, useful in case of dietary deficiency of these nutrients or increased needs.

In particular, an increase in iron levels is required in case of sideremia, iron deficiency anemia resulting from acute or chronic blood loss, reduced intestinal absorption of iron, anemia due to infectious diseases.

Gluten free

n. 5640 sachets Food supplement based on Sucrosomal® Magnesium useful to fill food deficiencies or increased organic needs of this nutrient, enclosed within the Sucrossome, a protective matrix that allows the mineral to resist in the gastric environment and immediately become bioavailable to the body.

n. 12900 sachets of gr 3 food supplement based on Monobasic Phosphate and Dibasic Potassium Phosphate useful to integrate Phosphorus and Potassium, in case of reduced dietary intake or increased need. GLUTEN-FREE COLORABTI FREE 250MG PHOSPHORUS AND 250 MG POTASSIUM Phosphorus contributes to normal energy metabolism and the maintenance of normal bones and teeth. Phosphorus supplementation may be useful in case of hypophosphoremia.

n. 19500 tablets food supplement based on Potassium Citrate and Zinc, useful to supplement these nutrients in case of reduced dietary intake or increased need. GLUTEN FREE LACTOSE FREE 15 Meq of potassium and 15 Mep of Citrate

N. 306 BOTTLE OF 7.5 ML DROPS Food supplement of DHA, Vitamin A, Vitamin D3, Vitamin E, Zinc and folic acid, indicated in particular during growth. Zinc contributes to normal cognitive function. Vitamin A contributes to the maintenance of normal vision. Vitamin D contributes to the maintenance of normal bones. Folic acid contributes to the normal formation of blood cells. Vitamins A and D, folic acid and zinc promote the normal function of the immune system.

n. 5040 sachets Food supplement with 15 mg of lutein, 60 mg of Vitamin C, 20 mg Vit. E, 10 mg Niacin, 10 mg Zinc, 0.25 Copper 25mcg Selenium

n. 25260 bottles ml 200 Food for special medical purposes with high energy density and malabsorption, 1 kcal/ml, with proteins from 2.6 g/100 ml to 2.8 g/100 ml, suitable from birth up to 9 kg body weight, for the dietary treatment of infants and children with growth problems, with LCP and nucleotides to support the development of cognitive and immune function. Gluten free.

n. 11700 tablets/capsules Food supplement, formulated with: lutein, zeaxanthin, omega-3 fatty acids, vitamins: E and C; copper, zinc. Gluten free.

n, 70380 single-dose bottles of 5 ml Sodium chloride 7% with 0.7% sodium hyaluronate. Inhalation solution sterie for the removal of mucous secretions. Complies with EC Directive 93/42 and D.Lgs. Indicated in patients with cystic fibrosis

46/97.

n. 3402 bottle 1 lt Sodium hypochlorite 1,0 g (equal to Active Chlorine 0,95 g) in 100 g. Size 1 liter. Disinfectant on intact skin, objects and surfaces. Medical and surgical device. Compliant with Regulation (EU) 528/2012 and authorized by the Ministry of Health pursuant to Presidential Decree 392 of 6 October 1998 and Provision of 5 February 1999.

n, 11430 10 ml disposable vial Sodium chloride 3% with hyaluronic acid. For adults, children and infants, with fluidifying, decongestant and also aerosol action. Complies with EC Directive 93/42 and Legislative Decree

46/97.

No. 22308 250 ml bags Sterile isotonic solution in sterile ready-to-use 250 ml bags for nasal washing. Equipped with:

- 1 long connector tube with suction cup for use with drop system.

- 1 short connector tube for use with pressure system Complies with EC Directive 93/42 and Legislative Decree

46/97.

n. 822 syringes of 500 ml Sterile solution of sodium hyaluronate 1.6%, chondroitin sulfate 2% and calcium chloride 0.87% for intravesical instillation in a 50 ml pre-filled syringe with luer lock adapter. Complies with EC Directive 93/42 and Legislative Decree 46/97.

n. 624 bottle 20 ml drops Simethicone (Emulsion 30%), Spores of Bacillus coagulans (minimum 1.5 billion / g). Indicated for meteorism, aerophagia and gaseous colic of infants, children and adults. Complies with EC Directive 93/42 and Legislative Decree 46/97. adjuvant in the treatment of Helicobacter Pylori

n. 5145 sachets ml 20 Syrup that counteracts gastroesophageal reflux containing alginate; simethicone; d-panthenol; fluid extracts of Althaea officinalis and Papaver Rhoeas; sodium bicarbonate. For adults and children. Complies with EC Directive 93/42 and Legislative Decree 46/97. gluten-free

n. 756 bottle ml 200 Cream with emollient and repairing action of the skin barrier based on fundamental lipids of the epidermis containing: ceramides, cholesterol and fatty acids. Specifically indicated for the treatment of dryness, dehydration and irritation typical of atopic dermatitis and eczema. Complies with EC Directive 93/42 and Legislative Decree 46/97.

n. 9186 spry ml 125 topical use Hyaluronic acid sodium salt 0.25%, metallic silver, kaolin, vitamin E. Indicated for the treatment of uninfected skin lesions, diabetic foot, athlete's foot and bedsores. Complies with EC Directive 93/42 and Legislative Decree 46/97.

N. 456 Bottle ML 200 Medical device for the treatment of dyspeptic syndrome in the treatment of aerophagia and intestinal meterorism, to promote gastric emptying and reduce the symptoms of nausea and vomiting. Composition: Simethicone (emulsion 30%) fructose, xanthan gum, potassium sorbate, sodium benzzoate, sorbic acid, bht, purified water, natural flavors

n. 36720 tablets/capsules Vitamin supplement (A- K-D-E) with antioxidant for subjects suffering from cystic fibrosis.

n. 597 oral emulsion 100 ml Vitamin supplement (A- K-D-E) and DHA for subjects suffering from cystic fibrosis in emulsion format 100 ml. Suitable for children.

n. 732 15 ML BOTTLE IN DROPS Supplement based on elemental iron indicated in children. IRON GLUCONATE, GLUTEN-FREE

n. 5400 sachets Food supplement of mineral salts sodium, potassium, chloride, glucose and prebiotic, indicated in case of dehydration due to diarrhea, vomiting, excessive sweating.

n. 498 bottle of 20 ml Folic acid supplement in aqueous solution, easily miscible with all liquids and foods. Gluten free. Indicated for newborns and infants in nutritional deficiency or increased need.