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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 />

A09AA02 multienzymes (lipase, protease etc.)<br />

0024369 COMBIZYM 100 DRG 0 0<br />

22,48 80<br />

0024355 COMBIZYM 50 DRG 0 0<br />

13,39 80<br />

0277539 CREON 150 MG 100 CAPS 0 0<br />

20,05 80<br />

0298296 CREON FORTE 300 MG 100 CAPS 0 0<br />

44,86 80<br />

0167876 PANZYTRAT 10000 100 CAPS 0 0<br />

23,23 80<br />

0167751 PANZYTRAT 10000 50 CAPS 0 0<br />

12,79 80<br />

0251286 PANZYTRAT 25000 U 100 CAPS 0 0<br />

48,93 80<br />

0251272 PANZYTRAT 25000 U 50 CAPS 0 0<br />

26,92 80<br />

A10AB01 insulin (human)<br />

0147016 HUMULINE REGULAR 100 U 1*10 ML 0 0<br />

22,12 100<br />

0202474 HUMULINE REGULAR 100 U 5*3 ML CRT 0 0<br />

32,59 100<br />

0365032 INSUL ACTRAPID 100 U 1*10 ML 0 0<br />

17,91 100<br />

0365046 INSUL ACTRAPID PF 100 U 5*3 ML 0 0<br />

32,49 100<br />

A10AB04 insulin lispro<br />

0221869 HUMALOG 100 U 1*10 ML 0 0<br />

24,85 100<br />

0221872 HUMALOG 100 U 5*1,5 ML CRT 0 0<br />

24,37 100<br />

0235265 HUMALOG 100 U 5*3 ML CRT 0 0<br />

38,66 100<br />

A10AB05 insulin aspart<br />

0268946 INSUL NOVORAPID 100 U 1*10 ML 0 0<br />

24,85 100<br />

0291474 INSUL NOVORAPID FLEXPEN 100U 5STYLOS 3ML 0 0<br />

41,81 100<br />

0268977 INSUL NOVORAPID PF 100 U 5*3 ML 0 0<br />

38,66 100<br />

A10AB06 insulin glulisine<br />

0388801 APIDRA 100 U/ML 1 FL 10 ML SC 0 0<br />

23,98 100<br />

0388881 APIDRA 100 U/ML 5 CRT 3 ML SC 0 0<br />

37,10 100<br />

0440994 APIDRA 100 U/ML 5 CRT 3 ML SC OPTICLICK 0 0<br />

38,66 100<br />

0388975 APIDRA 100 U/ML 5 STYLOS OPTISET 3 ML SC 0 0<br />

43,79 100<br />

0470928 APIDRA 100 U/ML 5 STYLOS SOLOSTAR 3ML SC 0 0<br />

40,10 100<br />

A10AC01 insulin (human)<br />

0146974 HUMULINE NPH 100 U 1*10 ML 0 0<br />

22,12 100<br />

0202491 HUMULINE NPH 100 U 5*3 ML CRT 0 0<br />

32,59 100<br />

0336711 INSUL INSULATARD 100 U 1*10 ML 0 0<br />

17,91 100<br />

0336769 INSUL INSULATARD PF 100 U 5*3 ML 0 0<br />

32,49 100<br />

A10AD01 insulin (human)<br />

0146795 HUMULINE 30/70 100 U 1*10 ML 0 0<br />

22,12 100<br />

0202538 HUMULINE 30/70 100 U 5*3 ML CRT 0 0<br />

32,59 100<br />

0365077 INSUL MIXTARD 30 100 U 1*10 ML 0 0<br />

19,12 100<br />

0365113 INSUL MIXTARD 30 PF 100 U 5*3 ML 0 0<br />

34,79 100<br />

A10AD04 Insulin lispro<br />

0511953 HUMALOG KWIKPEN 100 U 5*3 ML 0 0<br />

41,81 100<br />

0259639 HUMALOG MIX 25 100 U 5*3 ML CRT 0 0<br />

38,66 100<br />

0511971 HUMALOG MIX 25 KWIKPEN 100 U 5*3 ML 0 0<br />

41,81 100<br />

0259656 HUMALOG MIX 50 100 U 5*3 ML CRT 0 0<br />

38,66 100<br />

0511998 HUMALOG MIX 50 KWIKPEN 100 U 5*3 ML 0 0<br />

41,81 100<br />

A10AD05 insulin aspart<br />

0291426 INSUL NOVOMIX 30 FLEXPEN 100U 5*3 ML 0 0<br />

41,81 100<br />

0287678 INSUL NOVOMIX 30 PF 100U 5*3 ML 0 0<br />

38,66 100<br />

0468348 INSUL NOVOMIX 50 FLEXPEN 100U 5*3 ML 0 0<br />

41,81 100<br />

0468334 INSUL NOVOMIX 50 PF 100U 5*3 ML 0 0<br />

38,66 100<br />

0468365 INSUL NOVOMIX 70 FLEXPEN 100U 5*3 ML 0 0<br />

41,81 100<br />

0468351 INSUL NOVOMIX 70 PF 100U 5*3 ML 0 0<br />

38,66 100<br />

A10AE04 insulin glargine<br />

0282167 LANTUS 100 U/ML 5 CRT 3 ML SC 0 0<br />

58,62 100<br />

0471018 LANTUS 100 U/ML 5 CRT OPTICLICK 3 ML SC 0 0<br />

58,56 100<br />

0441408 LANTUS 100U/ML 5CRT SOLOSTAR 3ML+5STYLOS 0 0<br />

58,62 100<br />

A10AE05 insulin detemir<br />

0382386 LEVEMIR 100 U/ML 5 CRT PF 3 ML SC 0 0<br />

64,88 100<br />

0382422 LEVEMIR 100 U/ML 5 STYLOS PRER FLEX 3ML 0 0<br />

67,72 100<br />

A10BA02 metformin<br />

0194484 GLUCOPHAGE 500 MG 60 CPR 0 0<br />

6,38 100<br />

0194498 GLUCOPHAGE 850 MG 100 CPR 0 0<br />

8,50 100<br />

0289297 METFORMAX 850 MG 120 CPR 0 0<br />

9,15 100<br />

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

6,31 100<br />

Page 8 of 84

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