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

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Numéro national Dénomination abrégée Prise en charge conditionnelle Prix public T<strong>au</strong>x 0256461 NOVONORM 1 MG 120 CPR 0 0 25,36 100 0256539 NOVONORM 2 MG 120 CPR 0 0 25,36 100 A10BX03 nateglinide 0297836 STARLIX 120 MG 120 CPR 0 0 58,94 100 0297805 STARLIX 120 MG 30 CPR 0 0 21,08 100 0297755 STARLIX 60 MG 120 CPR 0 0 58,94 100 0297724 STARLIX 60 MG 30 CPR 0 0 21,08 100 A10BX04 exenatide 0454163 BYETTA 10 MCG 1 STYLO 2,4 ML SC 0 0 102,51 100 0454132 BYETTA 5 MCG 1 STYLO 1,2 ML SC 0 0 101,65 100 A10BX07 liraglutide 0533852 VICTOZA 6 MG/ML 2 STYLOS 3 ML SC 0 0 102,63 100 A11CC03 alfacalcidol 0258953 1 ALPHA LEO 0,25 MCG 30 CAPS 0 0 8,72 80 0258967 1 ALPHA LEO 0,25 MCG 50 CAPS 0 0 11,30 80 0258971 1 ALPHA LEO 1 MCG 50 CAPS BLIST 0 0 29,15 80 0559876 1 ALPHA LEO 2 MCG/ML 10 AMP 0,5 ML 0 0 45,60 80 0559893 1 ALPHA LEO 2 MCG/ML 10 AMP 1 ML 0 0 106,37 80 0559909 1 ALPHA LEO 2 MCG/ML GTTS 1 FL 10 ML 0 0 16,00 80 A11CC04 calcitriol 0330202 ROCALTROL 0,25 MCG 30 CAPS BLIST 0 0 11,22 80 0330216 ROCALTROL 0,5 MCG 30 CAPS BLIST 0 0 15,60 80 A11CC05 colecalciferol 0233341 D CURE 25000 U/ML 4 AMP 0 0 3,89 80 0176729 D CURE GTTS 10 ML 0 0 2,96 80 0193683 UVEDOSE 100000 U 1 AMP BUV 2 ML 0 0 1,78 80 0127562 VIGANTOLETTEN 1000 U 90 CPR 0 0 6,20 80 0127576 VIGANTOLETTEN 500 U 90 CPR 0 0 5,30 80 0241617 VITAM D3 B.O.N. 200000 U 1 AMP 1 ML 0 0 1,84 80 A11CC20 combinations 0045713 FLUOR VIGANTOLETTEN 1000 90 CPR 0 0 6,10 80 0045727 FLUOR VIGANTOLETTEN 500 90 CPR 0 0 5,02 80 A11DA01 thiamine (vit B1) 0011987 BENERVA 300 MG 20 CPR 0 0 3,50 80 0012760 BETAMINE 500 MG 50 DRG 0 0 7,13 80 A11DB Vitamin B1 in combination with vitamin B6 and/or vitamin B12 0269281 BEFACT FORTE B1 B2 B6 B12 100 DRG 0 0 19,40 80 0226561 BEFACT FORTE B1 B2 B6 B12 30 DRG 0 0 7,66 80 0078048 NEUROBION 3 AMP 3 ML 0 0 7,77 80 0172666 NEUROBION N FORTE 100 DRG 0 0 21,61 80 0172327 NEUROBION N FORTE 50 DRG 0 0 12,54 80 0205512 NEUROTRAT S FORTE 60 DRG 0 0 10,51 80 0107086 SOPALAMIN PDR 6 FL + S 2 ML IM 0 0 6,98 80 A11HA01 nicotinamide 0166073 UCEMINE PP 100 MG 50 CPR 0 0 4,62 80 A11HA02 pyridoxine (vit B6) 0096046 PYRIDOXINE 250 MG 20 CPR 0 0 4,91 80 A11HA04 riboflavin (vit B2) 0145302 BERIVINE 50 MG 40 DRG 0 0 5,05 80 0099647 RIBON 10 A 50 CPR 0 0 2,33 80 A12AA04 calcium carbonate 0211473 CALCICHEW 500 MG 100 CPR (FL) 0 0 23,52 80 0241696 CALPEROS 500 MG 60 CPR 0 0 7,90 80 A12AA12 calcium acetate anhydrous 0428907 CALCIUMACETAT NEFRO 500 MG 100 CPR 0 0 8,58 80 0428911 CALCIUMACETAT NEFRO 500 MG 200 CPR 0 0 15,62 80 0428938 CALCIUMACETAT NEFRO 700 MG 100 CPR 0 0 10,71 80 0428941 CALCIUMACETAT NEFRO 700 MG 200 CPR 0 0 19,51 80 A12AA20 calcium (different salts in combination) 0134151 CALCIFORTE 500 MG 30 AMP BUV 10 ML 0 0 6,79 80 0017087 CALCIPOT 200 CPR 0 0 12,76 80 0017073 CALCIPOT 50 CPR 0 0 4,36 80 0017400 CALCIUM SDZ FORT 1000 MG 20 CPR EFF 0 0 8,40 80 Page 10 of 85
Numéro national Dénomination abrégée Prise en charge conditionnelle Prix public T<strong>au</strong>x A12AX Calcium, combinations with other drugs 0219048 CACIT VIT D3 1 G/880 U GRAN 30 SACH 0 0 18,06 80 0219021 CACIT VIT D3 500 MG/440 U GRAN 30 SACH 0 0 9,04 80 0421257 CAD 1000 MG 880 U CITROEN 30 SACH 0 0 15,65 80 0421243 CAD 500 MG 440 U CITROEN 30 SACH 0 0 8,91 80 0380106 CALCIFORTE VIT D3 500 MG 400 U 60 CPR 0 0 8,10 80 0525671 CALCIGEN D FORTE 1000MG 880U 20 CPR EFF 0 0 10,71 80 0525685 CALCIGEN D FORTE 1000MG 880U 40 CPR EFF 0 0 18,95 80 0241648 CALPEROS D3 60 CPR A SUCER 0 0 8,04 80 0252798 D VITAL 500/440 GRAN EFF 30 SACH 0 0 10,20 80 0252803 D VITAL FORTE 1000/880 GRAN EFF 30 SACH 0 0 16,03 80 0462666 D VITAL FORTE 1000/880 GRAN EFF 90 SACH 0 0 38,43 80 0435011 EPTAVIT 1000 MG 880 U 30 CPR EFF 0 0 8,04 80 0450831 EPTAVIT 1000 MG 880 U 90 CPR EFF 0 0 23,00 80 0554897 STEOVIT D3 CITRON 1000MG/800U 28 CPR BLI 0 0 14,67 80 0554933 STEOVIT D3 CITRON 1000MG/800U 84 CPR 0 0 35,47 80 0505147 STEOVIT D3 ORANGE 1000MG/880U 2*15CPR EF 0 0 15,72 80 0505164 STEOVIT D3 ORANGE 1000MG/880U 6*15CPR EF 0 0 35,61 80 A12BA01 potassium chloride 0021384 CHLOROPOTASSURYL 1 G 10 AMP BUV 0 0 4,47 80 0060947 KALINOR RET P 600 MG 50 CAPS 0 0 7,41 80 0203861 KALITRANS RET 600 MG 50 CAPS 3501501 0 0 6,72 80 A12BA04 potassium hydrogencarbonate 0060883 KALINOR 15 CPR EFF 0 0 7,47 80 0060897 KALINOR 30 CPR EFF 0 0 14,20 80 A12BA05 potassium gluconate 0122552 ULTRA K SOL 200 ML 0 0 4,45 80 A12CC02 magnesium sulfate 0107976 SPASMAG 30 AMP BUV 5 ML 0 0 5,50 80 0107962 SPASMAG 60 CAPS 0 0 5,50 80 A12CC03 magnesium gluconate 0122700 ULTRA MAGNESIUM 162 MG 40 SACH 0 0 13,83 80 A12CC05 magnesium aspartate 0215195 MAGIUM 20 CPR A MACHER 0 0 3,30 80 0272238 MAGNEROT A 100 MG 20 SACH 0 0 5,48 80 0272241 MAGNEROT A 100 MG 50 SACH 0 0 12,15 80 0272269 MAGNEROT A 300 MG 20 SACH 0 0 8,75 80 0272272 MAGNEROT A 300 MG 50 SACH 0 0 20,25 80 0272305 MAGNEROT A 500 MG 20 SACH 0 0 16,68 80 0272319 MAGNEROT A 500 MG 50 SACH 0 0 36,04 80 0210137 MAGNESIUM SDZ 20 CPR EFF 02610 0 0 5,73 80 A12CC08 magnesium pidolate 0068931 MAG 2 12 AMP 10 ML IV 0 0 4,21 80 0215794 MAG 2 184 MG 30 SACH 0 0 3,99 80 0068914 MAG 2 30 AMP BUV 0 0 6,92 80 0415084 MAG 2 SANS SUCRE 30 AMP BUV 10 ML 0 0 6,92 80 A12CC10 magnesium oxide 0335324 MAGNOSANOL 50 CAPS 0 0 8,58 80 A12CC30 magnesium (different salts in combination) 0013799 BIOMAGNESIN 100 CPR 0 0 6,88 80 A12CD01 sodium fluoride 0137881 NATRIUMFLUORID BAER 25 MG 100 DRG 0 0 5,79 80 0075953 NATRIUMFLUORID BAER 25 MG 50 DRG 0 0 3,17 80 A14AB01 nandrolone 0028449 DECA DURABOLIN 50 MG 1 ORGAJECT 1 ML IM 0 0 9,00 80 0028452 DECA DURABOLIN 50 MG 2 ORGAJECT 1 ML IM 0 0 14,41 80 A16AX02 anethole trithione 0111335 SULFARLEM S25 60 DRG 0 0 4,79 40 B01AA Vitamin K antagonists 0218295 PREVISCAN 20 MG 30 CPR 0 0 4,55 100 B01AA03 warfarin 0069620 MAREVANE 5 MG 25 CPR 0 0 6,05 100 Page 11 of 85
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Liste positive des médicaments valable au 1er octobre 2011 ... - CNS

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