Liste Positive - CNS

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Numéro national Dénomination abrégée Prise en charge conditionnelle Prix public Taux 0218538 RANITIC 150 MG 20 CPR 0 0 3,40 80 0218541 RANITIC 150 MG 50 CPR 0 0 6,50 80 0218524 RANITIC 300 MG 100 CPR 0 0 13,00 80 0218507 RANITIC 300 MG 20 CPR 0 0 5,00 80 0218511 RANITIC 300 MG 50 CPR 0 0 6,50 80 0446628 RANITIDINE EG 150 MG 112 CPR 0 0 10,43 80 0286314 RANITIDINE EG 150 MG 56 CPR 0 0 9,34 80 0286328 RANITIDINE EG 300 MG 28 CPR 0 0 8,75 80 0446631 RANITIDINE EG 300 MG 56 CPR 0 0 8,38 80 0130828 ZANTAC 150 MG 56 CPR 0 0 9,34 80 0154167 ZANTAC 150 MG/10 ML SIR 2*280 ML 0 0 15,70 80 0130831 ZANTAC 300 MG 28 CPR 0 0 8,75 80 0130845 ZANTAC 50 MG 5 AMP 2 ML IV UD 0 0 8,24 80 0418511 ZANTAC SOLUBLE 150 MG 4*14 CPR EFF 0 0 15,70 80 0419293 ZANTAC SOLUBLE 300 MG 2*14 CPR EFF 0 0 15,70 80 A02BB01 misoprostol 0027262 CYTOTEC 200 MCG 112 CPR 0 0 37,38 80 A02BC01 omeprazole 0350995 DOCOMEPRA 20 MG 28 CAPS BLIST 0 0 13,45 80 0351037 DOCOMEPRA 20 MG 56 CAPS BLIST 0 0 26,87 80 0279077 LOSEC MUPS 10 MG 28 CPR 0 0 17,22 80 0279081 LOSEC MUPS 10 MG 56 CPR 0 0 24,89 80 0279113 LOSEC MUPS 20 MG 28 CPR 0 0 25,95 80 0409543 LOSEC MUPS 20 MG 56 CPR 0 0 37,70 80 0279144 LOSEC MUPS 40 MG 28 CPR 0 0 43,40 80 0285981 OMEP 20 MG 15 CAPS 0 0 9,00 80 0285995 OMEP 20 MG 30 CAPS 0 0 14,40 80 0286023 OMEP 20 MG 60 CAPS 0 0 19,20 80 0378545 OMEPRAZOLE EG 10 MG 28 CAPS 0 0 11,58 80 0378576 OMEPRAZOLE EG 10 MG 56 CAPS 0 0 18,39 80 0421498 OMEPRAZOLE EG 20 MG 100 CAPS 0 0 40,58 80 0421288 OMEPRAZOLE EG 20 MG 14 CAPS BLIST 0 0 13,55 80 0421307 OMEPRAZOLE EG 20 MG 28 CAPS BLIST 0 0 19,20 80 0315661 OMEPRAZOLE EG 20 MG 28 CPR 0 0 12,90 80 0421471 OMEPRAZOLE EG 20 MG 56 CAPS 0 0 27,68 80 0315691 OMEPRAZOLE EG 20 MG 56 CPR 0 0 28,92 80 0421744 OMEPRAZOLE EG 40 MG 100 CAPS 0 0 78,24 80 0421551 OMEPRAZOLE EG 40 MG 28 CAPS BLIST 0 0 31,60 80 0421727 OMEPRAZOLE EG 40 MG 56 CAPS 0 0 46,72 80 0421582 OMEPRAZOLE EG 40 MG 56 CAPS BLIST 0 0 53,38 80 0321895 OMEPRAZOLE FAR 20 MG 28 CPR 0 0 23,61 80 0321928 OMEPRAZOLE FAR 20 MG 56 CPR 0 0 32,35 80 0395921 OMEPRAZOLE RATIO 10 MG 28 CAPS 0 0 10,88 80 0395952 OMEPRAZOLE RATIO 10 MG 56 CAPS 0 0 18,39 80 0354736 OMEPRAZOLE RATIO 20 MG 14 CAPS 0 0 9,00 80 0354753 OMEPRAZOLE RATIO 20 MG 28 CAPS 0 0 13,44 80 0354767 OMEPRAZOLE RATIO 20 MG 56 CAPS 0 0 18,00 80 0396056 OMEPRAZOLE RATIO 40 MG 28 CAPS 0 0 18,65 80 0396091 OMEPRAZOLE RATIO 40 MG 56 CAPS 0 0 35,20 80 0370919 SEDACID 10 MG 14 CPR 0 0 9,69 80 0370922 SEDACID 10 MG 28 CPR 0 0 13,03 80 0370936 SEDACID 10 MG 56 CPR 0 0 18,39 80 0482073 SEDACID 20 MG 100 CPR 0 0 31,72 80 0370953 SEDACID 20 MG 14 CPR 0 0 13,55 80 0370967 SEDACID 20 MG 28 CPR 0 0 18,51 80 0370971 SEDACID 20 MG 56 CPR 0 0 26,10 80 A02BC02 pantoprazole 0489723 PANTOMED 20 MG 28 CPR 0 0 13,36 80 0489754 PANTOMED 20 MG 56 CPR 0 0 18,91 80 0489771 PANTOMED 20 MG 84 CPR 0 0 38,01 80 0489978 PANTOMED 40 MG 28 CPR 0 0 20,54 80 0490013 PANTOMED 40 MG 56 CPR 0 0 29,60 80 0490031 PANTOMED 40 MG 84 CPR 0 0 62,33 80 0490996 PANTOPRAZOL HEXAL 20 MG 30 CPR 0 0 11,90 80 0491024 PANTOPRAZOL HEXAL 20 MG 60 CPR 0 0 19,20 80 0490741 PANTOPRAZOL HEXAL 40 MG 30 CPR 0 0 15,00 80 Page 2 of 85
Numéro national Dénomination abrégée Prise en charge conditionnelle Prix public Taux 0490772 PANTOPRAZOL HEXAL 40 MG 60 CPR 0 0 24,00 80 0494009 PANTOPRAZOL RATIO 20 MG 30 CPR GR BLIST 0 0 11,86 80 0494026 PANTOPRAZOL RATIO 20 MG 60 CPR GR BLIST 0 0 19,22 80 0493788 PANTOPRAZOL RATIO 40 MG 30 CPR GR BLIST 0 0 14,89 80 0519626 PANTOPRAZOLE EG 20 MG 28 CPR 0 0 12,98 80 0519643 PANTOPRAZOLE EG 20 MG 56 CPR 0 0 18,32 80 0529636 PANTOPRAZOLE EG 20 MG 98 CPR BLIST 0 0 23,31 80 0519691 PANTOPRAZOLE EG 40 MG 28 CPR 0 0 19,88 80 0519707 PANTOPRAZOLE EG 40 MG 56 CPR 0 0 28,24 80 0529975 PANTOPRAZOLE EG 40 MG 98 CPR BLIST 0 0 38,09 80 0272451 PANTOZOL 20 MG 28 CPR BLIST 0 0 20,82 80 0272465 PANTOZOL 20 MG 56 CPR BLIST 0 0 30,00 80 0218121 PANTOZOL 40 MG 28 CPR 0 0 32,62 80 A02BC03 lansoprazole 0240122 DAKAR 15 MG 56 CAPS 0 0 22,40 80 0204837 DAKAR 30 MG 28 CAPS 0 0 24,30 80 0453071 DOCLANSOPRAZOLE 30 MG 28 CAPS 0 0 20,28 80 0453099 DOCLANSOPRAZOLE 30 MG 56 CAPS 0 0 28,65 80 0453197 LANSOPRAZOL DOC 15 MG 28 CAPS 0 0 10,67 80 0453216 LANSOPRAZOL DOC 15 MG 56 CAPS 0 0 17,35 80 0397411 LANSOPRAZOL RATIO 15 MG 14 CAPS 0 0 5,16 80 0397439 LANSOPRAZOL RATIO 15 MG 28 CAPS 0 0 9,82 80 0397473 LANSOPRAZOL RATIO 15 MG 56 CAPS 0 0 18,68 80 0397716 LANSOPRAZOL RATIO 30 MG 14 CAPS 0 0 12,13 80 0397747 LANSOPRAZOL RATIO 30 MG 28 CAPS 0 0 17,08 80 0397778 LANSOPRAZOL RATIO 30 MG 56 CAPS 0 0 28,45 80 0410186 LANSOPRAZOLE EG 15 MG 28 CAPS 0 0 11,87 80 0410205 LANSOPRAZOLE EG 15 MG 56 CAPS 0 0 18,66 80 0410236 LANSOPRAZOLE EG 30 MG 28 CAPS 0 0 20,28 80 0410253 LANSOPRAZOLE EG 30 MG 56 CAPS 0 0 29,24 80 0410267 LANSOPRAZOLE EG 30 MG 98 CAPS 0 0 41,36 80 A02BC04 rabeprazole 0256587 PARIET 10 MG 28 CPR 0 0 25,88 80 0256591 PARIET 10 MG 56 CPR 96110 0 0 42,82 80 0256671 PARIET 20 MG 28 CPR 96114 0 0 42,82 80 0256685 PARIET 20 MG 4*14 CPR 0 0 74,51 80 A02BC05 esomeprazole 0284158 NEXIAM 20 MG 14 CPR BLIST 0 0 8,86 80 0284161 NEXIAM 20 MG 28 CPR BLIST 0 0 13,59 80 0284175 NEXIAM 20 MG 56 CPR BLIST 0 0 19,20 80 0284189 NEXIAM 20 MG 98 CPR BLIST 0 0 29,69 80 0284242 NEXIAM 40 MG 28 CPR BLIST 0 0 18,73 80 A02BX02 sucralfate 0139157 KEAL 1 G 30 CPR 0 0 8,03 80 0150185 KEAL 1 G 30 SACH 0 0 8,03 80 0190163 KEAL 2 G 15 SACH 0 0 7,71 80 0122275 ULCOGANT 1 G/5 ML SUSP 250 ML 0 0 18,02 80 0122261 ULCOGANT 1 G/5 ML SUSP 50 SACH 0 0 18,02 80 A02BX13 alginic acid 0282851 GAVISCON ADVANCE SUSP 500 ML 0 0 16,43 80 0048391 GAVISCON PDR 50 G 0 0 9,25 80 0258984 GAVISCON SUSP 500 ML (ANIS) 0 0 14,00 80 0118174 TOPAAL 42 CPR 0 0 3,41 80 A03AA04 mebeverine 0195481 DUSPATALIN 135 MG 120 DRG 0 0 13,78 80 0037434 DUSPATALIN 135 MG 40 DRG 0 0 9,27 80 0238687 MEBEVERINE EG 135 MG 120 CPR 0 0 9,49 80 0255738 MEBEVERINE EG 135 MG 40 CPR 0 0 6,73 80 A03AB06 otilonium bromide 0151523 SPASMOMEN 40 MG 30 CPR 0 0 11,44 80 0206845 SPASMOMEN 40 MG 60 CPR 0 0 15,81 80 A03AX08 alverine 0285799 SPASMINE 60 MG 40 CAPS 0 0 12,30 80 0348935 SPASMINE FORTE 120 MG 40 CAPS 0 0 20,09 80 Page 3 of 85
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