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Liste Positive - CNS

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Numéro national<br />

Dénomination abrégée Prise en charge conditionnelle Prix public Taux<br />

0289283 METFORMAX 850 MG 40 CPR 0 0<br />

6,31 100<br />

A10BB01 glibenclamide<br />

0027892 DAONIL 5 MG 100 CPR 0 0<br />

16,48 100<br />

0027889 DAONIL 5 MG 30 CPR 0 0<br />

8,75 100<br />

0042370 EUGLUCON 5 100 CPR 0 0<br />

19,29 100<br />

A10BB07 glipizide<br />

0049614 GLIBENESE 5 MG 100 CPR 0 0<br />

15,42 100<br />

0072450 MINIDIAB 5 MG 90 CPR 0 0<br />

14,27 100<br />

A10BB08 gliquidone<br />

0154069 GLURENORM 30 MG 100 CPR 0 0<br />

14,55 100<br />

0154055 GLURENORM 30 MG 40 CPR 0 0<br />

9,35 100<br />

A10BB09 gliclazide<br />

0569841 DIAMICRON 60 MG 30 CPR 0 0<br />

11,43 100<br />

0569886 DIAMICRON 60 MG 90 CPR 0 0<br />

32,34 100<br />

0031444 DIAMICRON 80 MG 60 CPR 0 0<br />

18,96 100<br />

0290592 DIAMICRON MR 30 MG 60 CPR MODIF RELEASE 0 0<br />

18,98 100<br />

A10BB12 glimepiride<br />

0244636 AMARYLLE 2 MG 30 CPR 0 0<br />

8,75 100<br />

0244653 AMARYLLE 2 MG 90 CPR 0 0<br />

17,92 100<br />

0351233 AMARYLLE 3 MG 30 CPR 0 0<br />

11,07 100<br />

0351328 AMARYLLE 4 MG 30 CPR 0 0<br />

13,38 100<br />

0416937 GLIMEPIRID HEXAL 1 MG 120 CPR 0 0<br />

11,67 100<br />

0416891 GLIMEPIRID HEXAL 1 MG 30 CPR 0 0<br />

4,80 100<br />

0416985 GLIMEPIRID HEXAL 2 MG 120 CPR 0 0<br />

17,18 100<br />

0416954 GLIMEPIRID HEXAL 2 MG 30 CPR 0 0<br />

6,60 100<br />

0417044 GLIMEPIRID HEXAL 3 MG 120 CPR 0 0<br />

23,96 100<br />

0417013 GLIMEPIRID HEXAL 3 MG 30 CPR 0 0<br />

9,00 100<br />

0417092 GLIMEPIRID HEXAL 4 MG 120 CPR 0 0<br />

29,68 100<br />

0417061 GLIMEPIRID HEXAL 4 MG 30 CPR 0 0<br />

12,34 100<br />

0417142 GLIMEPIRID HEXAL 6 MG 120 CPR 0 0<br />

44,10 100<br />

0417111 GLIMEPIRID HEXAL 6 MG 30 CPR 0 0<br />

15,64 100<br />

A10BD02 metformin and sulfonamides<br />

0474961 EUCREAS 50/1000 MG 180 CPR BLIST 0 0<br />

132,11 100<br />

0474944 EUCREAS 50/1000 MG 60 CPR BLIST 0 0<br />

54,59 100<br />

0474863 EUCREAS 50/850 MG 180 CPR BLIST 0 0<br />

132,11 100<br />

0474832 EUCREAS 50/850 MG 60 CPR BLIST 0 0<br />

54,59 100<br />

0325748 GLUCOVANCE 500/2,5 MG 120 CPR 0 0<br />

17,00 100<br />

0325877 GLUCOVANCE 500/5 MG 120 CPR 0 0<br />

17,00 100<br />

A10BD07 metformin and sitagliptin<br />

0488161 JANUMET 50/1000 MG 196 CPR 0 0<br />

143,12 100<br />

0488131 JANUMET 50/1000 MG 56 CPR 0 0<br />

51,44 100<br />

0488081 JANUMET 50/850 MG 196 CPR 0 0<br />

143,12 100<br />

0488046 JANUMET 50/850 MG 56 CPR 0 0<br />

51,44 100<br />

A10BF01 acarbose<br />

0173114 GLUCOBAY 100 MG 60 CPR 0 0<br />

19,55 100<br />

0173101 GLUCOBAY 50 MG 120 CPR 0 0<br />

26,07 100<br />

A10BG03 pioglitazone<br />

0287809 ACTOS 15 MG 28 CPR 0 0<br />

34,79 100<br />

0287826 ACTOS 15 MG 98 CPR 0 0<br />

87,32 100<br />

0287843 ACTOS 30 MG 28 CPR 0 0<br />

51,47 100<br />

0287861 ACTOS 30 MG 98 CPR 0 0<br />

132,06 100<br />

A10BH01 sitagliptin<br />

0453636 JANUVIA 100 MG 28 CPR 0 0<br />

46,36 100<br />

0453671 JANUVIA 100 MG 98 CPR 0 0<br />

143,58 100<br />

A10BH02 vildagliptin<br />

0470363 GALVUS 50 MG 180 CPR 0 0<br />

131,75 100<br />

0470329 GALVUS 50 MG 60 CPR 0 0<br />

54,59 100<br />

A10BH03 saxagliptin<br />

0528897 ONGLYZA 5 MG 28 CPR 0 0<br />

47,61 100<br />

0528916 ONGLYZA 5 MG 98 CPR 0 0<br />

129,17 100<br />

A10BX02 repaglinide<br />

0256381 NOVONORM 0,5 MG 120 CPR 0 0<br />

25,69 100<br />

0256461 NOVONORM 1 MG 120 CPR 0 0<br />

25,69 100<br />

Page 9 of 85

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