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Liste positive des médicaments valable au 1er janvier 2010 ... - CNS

Liste positive des médicaments valable au 1er janvier 2010 ... - CNS

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Numéro national<br />

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

0043378 EXACYL 10 AMP BUV 10 ML 0 0<br />

12,29 80 %<br />

0043350 EXACYL 250 MG 100 CPR 0 0<br />

21,08 80 %<br />

0218301 EXACYL 250 MG 50 CPR 0 0<br />

12,50 80 %<br />

0173825 EXACYL 500 MG 20 CPR 0 0<br />

11,61 80 %<br />

0043381 EXACYL 500 MG 5 AMP 5 ML IV 0 0<br />

8,65 80 %<br />

B02BA01 phytomenadione<br />

0234254 KONAKION PED 2 MG 5 AMP 0,2 ML IMIVPO 0 0<br />

8,25 80 %<br />

B02BC02 oxidized cellulose<br />

0084269 OUATE HEMOSTATIQUE QUALIPHAR 10 G 0 0<br />

7,38 80 %<br />

B02BD02 coagulation factor VIII<br />

0370693 ADVATE 1000 U PDR 1 FL + S + KIT IV 0 0<br />

968,73 100 %<br />

0370709 ADVATE 1500 U PDR 1 FL + S + KIT IV 0 0<br />

1.475,02 100 %<br />

0370662 ADVATE 250 U PDR 1 FL + S + KIT IV 0 0<br />

253,85 100 %<br />

0370676 ADVATE 500 U PDR 1 FL + S + KIT IV 0 0<br />

492,16 100 %<br />

0287181 HELIXATE NEXGEN 1000 U PDR 1 FL+S+NECESS 0 0<br />

952,97 100 %<br />

0287163 HELIXATE NEXGEN 250 U PDR 1 FL+S+NECESS 0 0<br />

249,77 100 %<br />

0287177 HELIXATE NEXGEN 500 U PDR 1 FL+S+NECESS 0 0<br />

484,22 100 %<br />

0287146 KOGENATE 1000 U PDR 1 FL+S 2,5ML+NECESS 0 0<br />

968,97 100 %<br />

0380981 KOGENATE 250 U PDR 1 FL + SRG IV 0 0<br />

254,68 100 %<br />

0287129 KOGENATE 250 U PDR 1 FL+S 2,5 ML+NECESS 0 0<br />

253,90 100 %<br />

0380994 KOGENATE 500 U PDR 1 FL + SRG IV 0 0<br />

493,90 100 %<br />

0287132 KOGENATE 500 U PDR 1 FL+S 2,5ML+NECESS 0 0<br />

492,30 100 %<br />

0264481 REFACTO 1000 U 1 FL + S 0 0<br />

807,75 100 %<br />

0350172 REFACTO 2000 U 1 FL + S 0 0<br />

1.606,05 100 %<br />

0264463 REFACTO 250 U 1 FL + S 0 0<br />

209,08 100 %<br />

0264477 REFACTO 500 U 1 FL + S 0 0<br />

408,63 100 %<br />

B02BD04 coagulation factor IX<br />

0271701 MONONINE 1000 U PDR 1 FL + S 10 ML IV 0 0<br />

539,41 100 %<br />

0271681 MONONINE 500 U PDR 1 FL + S 5 ML IV 0 0<br />

271,56 100 %<br />

B02BD06 von Willebrand factor and coagulation factor VIII in combination<br />

0137541 HAEMATE P 1000U PDR 1 FL+S 30 ML IV 0 0<br />

528,81 100 %<br />

0137829 HAEMATE P 250U PDR 1 FL+S 10 ML IV 0 0<br />

139,37 100 %<br />

0137538 HAEMATE P 500U PDR 1 FL+S 20 ML IV 0 0<br />

269,19 100 %<br />

B02BD09 nonacog alfa<br />

0467421 BENEFIX 1000U PDR 1FL + 1COF + 1SRG 5 ML 0 0<br />

753,85 100 %<br />

0467435 BENEFIX 2000U PDR 1FL + 1COF + 1SRG 5 ML 0 0<br />

1.498,18 100 %<br />

0467418 BENEFIX 500 U PDR 1FL + 1COF + 1SRG 5 ML 0 0<br />

381,69 100 %<br />

B02BX01 etamsylate<br />

0032357 DICYNONE 20 CPR 0 0<br />

3,91 80 %<br />

0032360 DICYNONE 50 CPR 0 0<br />

8,73 80 %<br />

0032374 DICYNONE 6 AMP 2 ML IMIV 0 0<br />

2,46 80 %<br />

B03AA01 ferrous glycine sulfate<br />

0410155 FERROSANOL 30 MG/ML GTTS 30 ML 0 0<br />

3,70 80 %<br />

0044599 FERROSANOL DUODENAL 50 CAPS 0 0<br />

12,72 80 %<br />

0272613 FERROSANOL GYN 50 CAPS 0 0<br />

11,16 80 %<br />

B03AA03 ferrous gluconate<br />

0180959 LOSFERRON 80 MG 60 CPR EFF 0 0<br />

16,52 80 %<br />

B03AA07 ferrous sulfate<br />

0044537 FEROGRAD 500 (525 MG) 30 CPR 0 0<br />

7,67 80 %<br />

0044540 FEROGRAD 500 (525 MG) 60 CPR 0 0<br />

14,56 80 %<br />

0044361 FEROGRADUMET 30 CPR 0 0<br />

4,10 80 %<br />

0044375 FEROGRADUMET 60 CPR 0 0<br />

7,92 80 %<br />

0196489 TARDYFERON 80 MG 30 CPR 0 0<br />

3,49 80 %<br />

B03AB02 saccharated iron oxide<br />

0191581 FERRICURE 150 MG 28 CAPS 0 0<br />

10,24 80 %<br />

0273865 FERRICURE 150 MG 56 CAPS 0 0<br />

16,79 80 %<br />

0355411 FERRICURE GTTS 200 ML 0 0<br />

20,97 80 %<br />

0196041 FERRICURE GTTS 60 ML 0 0<br />

8,97 80 %<br />

B03AD03 ferrous sulfate<br />

0198774 TARDYFERON B 9 30 CPR 0 0<br />

3,67 80 %<br />

B03BB01 folic acid<br />

0309002 FOLAVIT 4 MG 40 CPR 0 0<br />

7,52 80 %<br />

B03XA01 erythropoietin<br />

Page 13 of 86

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