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Numéro national<br />
Dénomination abrégée Prise en charge conditionnelle Prix public Taux<br />
B01AA04 phenprocoumon<br />
0069603 MARCOUMAR 3 MG 25 CPR 0 0<br />
5,85 100<br />
B01AA07 acenocoumarol<br />
0252624 SINTROM 1 MG 100 CPR 102241 0 0<br />
6,32 100<br />
0105291 SINTROM 4 MG 20 CPR 0 0<br />
5,87 100<br />
B01AB01 heparin<br />
0156645 HEPARIN CA RATIO 12500 U 5 AMP 0,5 ML IV 0 0<br />
11,08 80<br />
0154833 HEPARIN CA RATIO 5000 U 10 SRG 0,2 ML IV 0 0<br />
14,97 80<br />
0154816 HEPARIN CA RATIO 5000 U 20 AMP 0,2ML IVS 0 0<br />
17,74 80<br />
0154802 HEPARIN CA RATIO 5000 U 5 AMP 0,2 ML IVS 0 0<br />
5,13 80<br />
0053018 HEPARIN LEO 25000 U 1 AMP 5 ML 0 0<br />
3,78 80<br />
0053021 HEPARIN NA BRN 25000 U 10 FL 5 ML IVSC 0 0<br />
2,38 80<br />
0053035 HEPARIN NA BRN 5000 U 10 AMP 0,5 ML IVSC 0 0<br />
2,03 80<br />
0173968 HEPARIN NA RATIO 25000 U 5 FL 5 ML IVSC 0 0<br />
21,97 80<br />
0154508 HEPARIN NA RATIO 5000 U 10 SRG 0,2 ML IV 0 0<br />
14,97 80<br />
0154492 HEPARIN NA RATIO 5000 U 20 AMP 0,2 ML 0 0<br />
15,56 80<br />
0154489 HEPARIN NA RATIO 5000 U 5 AMP 0,2 ML IVS 0 0<br />
4,33 80<br />
0164518 MONO EMBOLEX 3000 IE 10 SRG 0,3 ML 0 0<br />
43,67 80<br />
0164485 MONO EMBOLEX NM 20 AMP 0,5 ML SC 0 0<br />
79,56 80<br />
B01AB04 dalteparin<br />
0206523 FRAGMIN 10000 U 10 SRG 1 ML IV 0 0<br />
74,36 80<br />
0261914 FRAGMIN 12500 U 5 SRG 0,5 ML SC 0 0<br />
47,98 80<br />
0261931 FRAGMIN 15000 U 5 SRG 0,6 ML SC 0 0<br />
54,89 80<br />
0261959 FRAGMIN 18000 U 5 SRG 0,72 ML SC 0 0<br />
64,46 80<br />
0191742 FRAGMIN 2500 U 10 SRG 0,2 ML SC 0 0<br />
25,51 80<br />
0191756 FRAGMIN 5000 U 10 SRG 0,2 ML SC 0 0<br />
40,40 80<br />
0219972 FRAGMIN 7500 U 10 SRG 0,75 ML SC 0 0<br />
54,89 80<br />
B01AB05 enoxaparin<br />
0190485 CLEXANE 100 MG 10 SRG 1 ML IVSC 0 0<br />
56,81 80<br />
0316492 CLEXANE 120 MG 10 SRG 0,8 ML SCIV 0 0<br />
78,22 80<br />
0316489 CLEXANE 150 MG 10 SRG 1 ML SCIV 0 0<br />
81,69 80<br />
0173128 CLEXANE 20 MG 10 SRG 0,2 ML IVSCVI 0 0<br />
23,88 80<br />
0173145 CLEXANE 40 MG 10 SRG 0,4 ML IVSCVI 0 0<br />
38,22 80<br />
0267613 CLEXANE 60 MG 10 SRG 0,6 ML IVSC 0 0<br />
44,43 80<br />
0190454 CLEXANE 80 MG 10 SRG 0,8 ML IVSC 0 0<br />
50,60 80<br />
B01AB06 nadroparin<br />
0163829 FRAXIPARINE 10000U 10 SRG 0,4 ML SC 0 0<br />
30,89 80<br />
0046531 FRAXIPARINE 15000U 10 SRG 0,6 ML SC 0 0<br />
39,58 80<br />
0163846 FRAXIPARINE 20000 U 10 SRG 0,8 ML SC 0 0<br />
50,59 80<br />
0217741 FRAXIPARINE 25000 U 10 SRG 1 ML SC 0 0<br />
61,68 80<br />
0046609 FRAXIPARINE 7500U 10 SRG 0,3 ML SC 0 0<br />
25,02 80<br />
0300637 FRAXODI 19000 U/ML 10 AMP SRG 0,6 ML 0 0<br />
87,73 80<br />
0300641 FRAXODI 19000 U/ML 10 AMP SRG 0,8 ML 0 0<br />
114,03 80<br />
0300654 FRAXODI 19000 U/ML 10 AMP SRG 1 ML 0 0<br />
140,30 80<br />
B01AB10 tinzaparin<br />
0243978 INNOHEP 10000 U 10 SRG 0.5 ML SC 0 0<br />
72,76 80<br />
0243981 INNOHEP 14000 U 10 SRG 0.7 ML SC 0 0<br />
98,30 80<br />
0243995 INNOHEP 18000 U 10 SRG 0.9 ML SC 0 0<br />
123,89 80<br />
0243916 INNOHEP 2500 U 10 SRG 0,25 ML SC 0 0<br />
25,03 80<br />
0243947 INNOHEP 3500 U 10 SRG 0.35 ML SC 0 0<br />
31,18 80<br />
0243964 INNOHEP 4500 U 10 SRG 0.45 ML SC 0 0<br />
36,63 80<br />
B01AC04 clopidogrel<br />
0541837 CLOPIDOGREL DOC 75 MG 28 CPR 0 0<br />
13,22 80<br />
0541868 CLOPIDOGREL DOC 75 MG 84 CPR 0 0<br />
29,51 80<br />
0560488 CLOPIDOGREL EG 75 MG 28 CPR 0 0<br />
29,73 80<br />
0560524 CLOPIDOGREL EG 75 MG 84 CPR 0 0<br />
42,21 80<br />
0537316 CLOPIDOGREL RATIO GMBH 75 MG 100 CPR 0 0<br />
49,16 80<br />
0537252 CLOPIDOGREL RATIO GMBH 75 MG 28 CPR 0 0<br />
24,49 80<br />
0253117 PLAVIX 75 MG 28 CPR 0 0<br />
31,13 80<br />
0253134 PLAVIX 75 MG 84 CPR 0 0<br />
65,82 80<br />
B01AC05 ticlopidine<br />
0116829 TICLID 250 MG 30 DRG 0 0<br />
15,90 80<br />
0171218 TICLID 250 MG 60 DRG 0 0<br />
23,97 80<br />
0451354 TICLOPIDINE EG 250 MG 30 CPR 0 0<br />
15,90 80<br />
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