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

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Numéro national Dénomination abrégée Prise en charge conditionnelle Prix public Taux A06AD17 sodium phosphate 0511581 FLEET PHOSPHO SODA SOL 45 ML 0 0 7,95 40 A06AD65 macrogol, combinations 0344273 COLOFORT 4 SACH 0 0 13,78 40 0154007 COLOPEG PDR 1 SACH 0 0 3,43 40 0399769 ENDOFALK 6 SACH 0 0 12,58 40 0184958 KLEAN PREP SHAKER 4 SACH 0 0 16,36 40 0498821 LAXIDO NATURAL PDR 20 SACH 0 0 10,13 40 0498767 LAXIDO ORANGE PDR 20 SACH 0 0 10,13 40 0578398 MOLAXOLE PDR 20 SACH 0 0 9,82 40 0233663 MOVICOL 20 SACH 0 0 13,63 40 0516462 MOVICOL CHOCOLATE 20 SACH 0 0 13,63 40 0445861 MOVICOL JR NEUTRAL 30 SACH 0 0 13,63 40 0516266 MOVICOL NEUTRAL 20 SACH 0 0 13,63 40 0453295 MOVIPREP PDR 4 SACH 0 0 17,15 40 0279872 TRANSIPEG 2,95 30 SACH 0 0 8,62 40 0285575 TRANSIPEG PDR 20 SACH 5,9 G 0 0 8,77 40 A06AG01 sodium phosphate 0045081 FLEET ENEMA AD SOL 133 ML 0 0 2,53 80 0045095 FLEET ENEMA ENF SOL 66,6 ML 0 0 2,35 80 0229366 LAVEMENT AU PHOSPHATE NORGINE 130 ML 0 0 2,78 80 0092694 PRACTOCLYSS 1 LAV 120 ML 0 0 1,71 80 A06AG04 glycerol 0240721 BABYLAX GEL 2*3 TUBES 0 0 7,70 40 0240718 BABYLAX GEL 3 TUBES 0 0 4,26 40 A06AG10 docusate sodium, incl. combinations 0163765 NORGALAX SOL 6 TUBES 10 G 0 0 6,49 80 A06AH01 methylnaltrexone bromide 0486928 RELISTOR 12 MG 1 FL 0,6 ML SC 0 0 42,16 80 0486945 RELISTOR 12 MG 7 FL 0,6 ML+7 SRG+14 TAMP 0 0 193,72 80 A06AX02 carbon dioxide producing drugs 0182547 EDUCTYL 12 SUPP AD 0 0 2,16 40 0182533 EDUCTYL 12 SUPP ENF 0 0 1,24 40 A07AA02 nystatin 0017977 CANDIO HERMAL SUSP BUV 24 ML 0 0 5,83 80 0078745 NILSTAT GTTS OR 30 ML 0 0 4,59 80 0081205 NYSTATINE SUSP LIQ 24 D 0 0 6,91 80 A07AA06 paromomycin 0047380 GABBRORAL 250 MG 16 CAPS 0 0 9,21 80 A07AX03 nifuroxazide 0231848 BACIFURANE 200 MG 16 CAPS 0 0 4,06 80 0141673 NIFUROXAZIDE EURGN 200 MG 16 CAPS 0 0 3,42 80 0180363 NIFUROXAZIDE EURGN 200 MG 28 CAPS 0 0 5,20 80 0182595 PANFUREX 200 MG 28 CAPS 0 0 3,38 80 0182601 PANFUREX GE 4% SUSP 90 ML 0 0 2,83 80 A07BA01 medicinal charcoal 0290253 KOHLE COMPRETTEN 250 MG 30 CPR 0 0 6,44 80 0290267 KOHLE COMPRETTEN 250 MG 60 CPR 0 0 10,57 80 0079899 NORIT 200 MG 30 CAPS 0 0 5,89 80 A07BA51 medicinal charcoal, combinations 0018540 CARBOBEL SIMPLEX 30 CPR 0 0 5,60 80 0018554 CARBOBEL SIMPLEX GRAN 70 G 0 0 6,41 80 0018604 CARBOLACTANOSE 30 CAPS 0 0 6,80 40 0134178 CARBOSYLANE 24 D 48 CAPS 0 0 4,15 80 0134164 CARBOSYLANE 48 D 96 CAPS 0 0 6,75 80 A07BC04 attapulgite 0000482 ACTAPULGITE 30 SACH 0 0 2,59 80 A07BC05 diosmectite 0105632 SMECTA 30 SACH 0 0 5,63 80 A07CA Oral rehydration salt formulations 0038736 ELOTRANS 10 SACH 3660851 0 0 4,07 80 0203938 ORALPAEDON 240 10 BTL 3550521 0 0 4,07 80 0229383 ORALPAEDON 240 ERDBEERE 10 SACH 3552521 0 0 4,07 80 Page 6 of 84
Numéro national Dénomination abrégée Prise en charge conditionnelle Prix public Taux A07DA03 loperamide 0224888 DYSPAGON 2 MG 6 CAPS 0 0 3,20 80 0056135 IMODIUM 2 MG 20 CAPS 17469 0 0 7,48 80 0056149 IMODIUM 2 MG 60 CAPS 17471 0 0 12,05 80 0233968 IMODIUM INSTANT 2 MG 20 CPR 140829 0 0 8,76 80 0233971 IMODIUM INSTANT 2 MG 60 CPR 140831 0 0 16,44 80 0056166 IMODIUM SOL BUV 100 ML 27231 0 0 6,78 80 0176309 LOPEDIUM 2 MG 10 CAPS 0 0 1,90 80 0197571 LOPEDIUM 2 MG 20 CAPS 0 0 3,80 80 0176312 LOPEDIUM 2 MG 50 CAPS 0 0 7,11 80 0187512 LOPEDIUM 2 MG/ML SOL 10 ML 0 0 3,87 80 0187526 LOPEDIUM 2 MG/ML SOL 20 ML 0 0 6,99 80 0182497 LOPERAMID RATIO 2 MG 10 CPR PELLIC 0 0 3,08 80 0182502 LOPERAMID RATIO 2 MG 20 CPR PELLIC 0 0 5,43 80 0182516 LOPERAMID RATIO 2 MG 50 CPR PELLIC 0 0 9,52 80 0259799 LOPERAMID RATIO AKUT 2 MG 10 CPR 0 0 2,57 80 0205168 LOPERAMIDE EG 2 MG 20 CAPS 0 0 5,99 80 0205171 LOPERAMIDE EG 2 MG 60 CAPS 0 0 8,42 80 A07EA06 budesonide 0286278 BUDENOFALK 3 MG 100 CAPS 0 0 88,30 80 0286264 BUDENOFALK 3 MG 50 CAPS 0 0 57,94 80 0227991 ENTOCORT 3 MG 100 CAPS 0 0 85,84 80 0190213 ENTOCORT ENEMA LAVT 7 CPR + 7 FL P 0 0 46,07 80 A07EC01 sulfasalazine 0101776 SALAZOPYRINE 500 MG 100 CPR 0 0 12,30 100 0101809 SALAZOPYRINE EC 500 MG 100 DRG 0 0 13,76 100 0101812 SALAZOPYRINE EC 500 MG 300 DRG 0 0 30,14 100 A07EC02 mesalazine 0022865 CLAVERSAL 250 MG 100 CPR 0 0 20,05 100 0022896 CLAVERSAL 250 MG 120 SUPP 0 0 39,12 100 0022882 CLAVERSAL 250 MG 30 SUPP 0 0 14,95 100 0151281 CLAVERSAL 250 MG 300 CPR 0 0 39,66 100 0296985 CLAVERSAL 500 MG 100 CPR 0 0 35,59 100 0150771 CLAVERSAL 500 MG 15 SUPP 0 0 16,90 100 0296999 CLAVERSAL 500 MG 300 CPR 0 0 70,99 100 0150784 CLAVERSAL 500 MG 60 SUPP 0 0 47,03 100 0210817 CLAVERSAL FOAM MOUSSE US RECT 1 FL 14 D 0 0 36,79 100 0023974 COLITOFALK 250 MG 100 CPR 0 0 19,79 100 0024002 COLITOFALK 250 MG 120 SUPP 0 0 46,25 100 0023991 COLITOFALK 250 MG 30 SUPP 0 0 16,66 100 0168051 COLITOFALK 500 MG 10 SUPP 0 0 12,48 100 0168101 COLITOFALK 500 MG 100 CPR 0 0 30,45 100 0168081 COLITOFALK 500 MG 120 SUPP 0 0 77,10 100 0189503 COLITOFALK 500 MG 20 CPR 0 0 11,02 100 0168064 COLITOFALK 500 MG 30 SUPP 0 0 26,32 100 0189517 COLITOFALK 500 MG 300 DRG 0 0 63,15 100 0176925 COLITOFALK SUSP 2 G 7 LAV 60 G 0 0 30,47 100 0136852 COLITOFALK SUSP 4 G 7 LAV 60 G 0 0 36,35 100 0206988 PENTASA 1 G 14 SUPP 0 0 30,09 100 0298525 PENTASA 1 G 150 SACH 0 0 131,74 100 0298511 PENTASA 1 G 50 SACH 0 0 56,30 100 0149198 PENTASA 10 MG/ML 7 LAVT 100 ML 0 0 29,08 100 0557001 PENTASA 2 G 120 SACH 0 0 199,53 100 0181262 PENTASA 500 MG 300 CPR 0 0 119,88 100 0181245 PENTASA 500 MG 90 CPR 0 0 34,95 100 A07FA01 lactic acid producing organisms 0211554 LACTEOL 20 CAPS 0 0 8,17 40 A07FA02 saccharomyces boulardii 0428812 ENTEROL 250 MG 10 CAPS 0 0 8,81 40 0428861 ENTEROL 250 MG 10 SACH 0 0 8,81 40 0428826 ENTEROL 250 MG 20 CAPS 0 0 16,24 40 0428874 ENTEROL 250 MG 20 SACH 0 0 16,24 40 0428843 ENTEROL 250 MG 50 CAPS 0 0 35,39 40 A09AA Enzyme preparations 0044344 FERMENTO DUODENAL 50 CAPS 0 0 25,93 80 Page 7 of 84
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Liste positive des médicaments valable au 1er juin 2011 ... - CNS

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