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Liste positive des médicaments valable au 1er juin 2011 ... - CNS

Liste positive des médicaments valable au 1er juin 2011 ... - CNS

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Numéro national<br />

Dénomination abrégée Prise en charge conditionnelle Prix public T<strong>au</strong>x<br />

B03XA03 methoxy polyethylene glycol-epoetin beta<br />

0459674 MIRCERA 100 MCG/ML 1 SRG 0,3 ML IVSC 1 5<br />

323,44 100<br />

0488385 MIRCERA 120 MCG 1 SRG 0,3 ML IVSC 1 5<br />

386,23 100<br />

0459688 MIRCERA 150 MCG 1 SRG 0,3 ML IVSC 1 5<br />

480,40 100<br />

0459691 MIRCERA 200 MCG/ML 1 SRG 0,3 ML IVSC 1 5<br />

637,35 100<br />

0459707 MIRCERA 250 MCG 1 SRG 0,3 ML IVSC 1 5<br />

794,31 100<br />

0488354 MIRCERA 30 MCG 1 SRG 0,3 ML IVSC 1 5<br />

103,70 100<br />

0459657 MIRCERA 50 MCG/ML 1 SRG 0,3 ML IVSC 1 5<br />

166,48 100<br />

0459661 MIRCERA 75 MCG/ML 1 SRG 0,3 ML IVSC 1 5<br />

244,97 100<br />

B05BA03 carbohydrates<br />

0162155 GLUCOSE 5% BRN 1 FL 250 ML V 0 0<br />

1,74 80<br />

0162169 GLUCOSE 5% BRN 1 FL 500 ML V 0 0<br />

2,50 80<br />

0050288 GLUCOSE 5% BRN 10 AMP 10 ML P 0 0<br />

7,11 80<br />

0154976 GLUCOSTERIL 5% 100 ML FREKA INJ-FLASCHE 0 0<br />

1,78 80<br />

0154959 GLUCOSTERIL 5% 100 ML GLAS-INF 2700031 0 0<br />

2,49 80<br />

0182081 GLUCOSTERIL 5% 1000 ML P 2700231 0 0<br />

4,32 80<br />

0154962 GLUCOSTERIL 5% 250 ML GLAS INF 2700061 0 0<br />

2,58 80<br />

0182094 GLUCOSTERIL 5% 250 ML KABIPAC PK042E025 0 0<br />

2,15 80<br />

0155049 GLUCOSTERIL 5% 500 ML G 2700091 0 0<br />

2,86 80<br />

0179748 GLUCOSTERIL 5% 500 ML P 2700221 0 0<br />

2,74 80<br />

B05BB01 electrolytes<br />

0182127 KOCHSALZLSG ISOT 10 ML 20 AMP P B314085 0 0<br />

8,79 80<br />

0275159 KOCHSALZLSG ISOT 100 ML FREEFLEX B248361 0 0<br />

2,58 80<br />

0165322 KOCHSALZLSG ISOT 100 ML INF G 1310031 0 0<br />

1,84 80<br />

0165238 KOCHSALZLSG ISOT 100 ML INJ G (1310021) 0 0<br />

2,03 80<br />

0165451 KOCHSALZLSG ISOT 1000 ML G 1310141 0 0<br />

4,19 80<br />

0165465 KOCHSALZLSG ISOT 1000 ML GS 1310151 0 0<br />

4,45 80<br />

0165479 KOCHSALZLSG ISOT 1000 ML P 1310231 0 0<br />

3,85 80<br />

0165482 KOCHSALZLSG ISOT 1000ML PS PLASTIPUR 0 0<br />

3,87 80<br />

0165211 KOCHSALZLSG ISOT 20 ML 20 AMP P B314405 0 0<br />

9,59 80<br />

0165367 KOCHSALZLSG ISOT 250 ML G 1310061 0 0<br />

2,38 80<br />

0165371 KOCHSALZLSG ISOT 250 ML KABIPAC (P) 0 0<br />

2,01 80<br />

0165403 KOCHSALZLSG ISOT 500 ML G 1310091 0 0<br />

2,57 80<br />

0165417 KOCHSALZLSG ISOT 500 ML GS 1310101 0 0<br />

2,75 80<br />

0165421 KOCHSALZLSG ISOT 500 ML KABIPAC 1310221 0 0<br />

2,46 80<br />

0165417 KOCHSALZLSG ISOT 500 ML PLASTIPUR 0 0<br />

2,75 80<br />

0217284 MINIBAG PLUS NACL 0,9% 1 PP VFLX 50 ML 0 0<br />

5,49 80<br />

0075922 NA CHLORID 0,9% BRN 10 AMP 10 ML P 0 0<br />

7,06 80<br />

0075936 NA CHLORID 0,9% BRN 10 AMP 20 ML P 0 0<br />

7,31 80<br />

0075855 NA CHLORID 0,9% BRN 100 ML 0 0<br />

1,36 80<br />

0075841 NA CHLORID 0,9% BRN 50 ML 0 0<br />

1,29 80<br />

0062700 NACL BRN 0,9% 1 FL 250 ML V 0 0<br />

2,11 80<br />

0062714 NACL BRN 0,9% 1 FL 500 ML V 0 0<br />

2,26 80<br />

0177497 NACL BRN 0,9% 1 MINIFL 100 ML 0 0<br />

2,13 80<br />

0142099 RINGERINFUSLSG BRN 1 FL 1 L G 0 0<br />

4,29 80<br />

0142085 RINGERINFUSLSG BRN 1 FL 500 ML G 0 0<br />

2,26 80<br />

0145946 RINGERLACTATINFUSLSG BRN 1000 ML V 0 0<br />

3,89 80<br />

0145977 RINGERLACTATINFUSLSG BRN 500 ML P 0 0<br />

3,47 80<br />

0149458 RINGERLOESUNG 1000 ML GS 2600151 0 0<br />

9,69 80<br />

0149444 RINGERLOESUNG 1000 ML P 2600231 0 0<br />

9,69 80<br />

0149511 RINGERLOESUNG 250 ML G 2600061 0 0<br />

6,49 80<br />

0149475 RINGERLOESUNG 500 ML G 2600091 0 0<br />

6,69 80<br />

0149492 RINGERLOESUNG 500 ML GS 2600101 0 0<br />

3,64 80<br />

0149508 RINGERLOESUNG 500 ML P 2600221 0 0<br />

6,69 80<br />

0149475 RINGERLOESUNG 500 ML PLASTIPUR B231552 0 0<br />

6,69 80<br />

B05CA02 chlorhexidine<br />

0145834 UROTAINER CHLORHEXIDINE 10*100 ML 0 0<br />

27,57 80<br />

B05CA06 mandelic acid<br />

0145817 UROTAINER AC,MANDEL 1% 10*100 ML PP 0 0<br />

27,57 80<br />

B05XA31 electrolytes in combination with other drugs<br />

0274281 NONAN NOVUM 1 FL 40 ML PERF 0 0<br />

2,84 80<br />

0249498 TRACITRANS PLUS 10 ML 10 AMP G 0 0<br />

30,00 80<br />

C01AA05 digoxin<br />

0063451 LANOXINE 0,125 MG 60 CPR 0 0<br />

5,92 100<br />

0063482 LANOXINE 0,250 MG 120 CPR 0 0<br />

7,05 100<br />

Page 15 of 84

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