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

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Numéro national Dénomination abrégée Prise en charge conditionnelle Prix public T<strong>au</strong>x 0230059 MERCED 600 MG 14 CPR 0 0 6,90 80 % J01FA15 telithromycin 0306711 KETEK 400 MG 10 CPR 0 0 17,96 80 % 0306739 KETEK 400 MG 20 CPR 0 0 31,58 80 % J01FF01 clindamycin 0027763 DALACIN C 150 MG 16 CAPS 0 0 11,81 80 % 0027780 DALACIN C 300 MG 16 CAPS 0 0 21,00 80 % 0155991 DALACIN C 300 MG 3 AMP 2 ML 0 0 21,54 80 % 0156001 DALACIN C 600 MG 3 AMP 4 ML 0 0 33,69 80 % 0156015 DALACIN C 900 MG 3 AMP 6 ML 0 0 43,08 80 % 0027794 DALACIN C SIR 80 ML 0 0 9,65 80 % J01FF02 lincomycin 0065781 LINCOCIN 500 MG 16 CAPS 0 0 12,78 80 % 0139398 LINCOCIN 600 MG 6 SRG 2 ML IM 0 0 20,30 80 % J01GB01 tobramycin 0081284 OBRACIN 80 MG 3 FL 2 ML 0 0 18,22 80 % 0287549 TOBI 300 MG 4*14 AMP UD 5 ML IH 0 0 2.447,22 80 % J01GB03 gentamicin 0201481 GENTAMICIN HEXAL SF 80 MG 20 AMP IMIV 0 0 50,80 80 % 0201477 GENTAMICIN HEXAL SF 80 MG 5 AMP IMIV 0 0 19,98 80 % 0048973 GEOMYCINE 80 MG 3 AMP 2 ML IMIV 0 0 13,98 80 % 0048990 GEOMYCINE DS 80 MG 3 SRG 2 ML 0 0 13,98 80 % J01GB06 amikacin 0224731 AMUKIN 1 G 2 FL 4 ML IMIV 0 0 50,03 80 % 0005573 AMUKIN 100 MG 2 FL 2 ML IMIV 0 0 7,87 80 % 0005590 AMUKIN 500 MG 2 FL 2 ML IMIV 0 0 29,69 80 % J01GB09 dibekacin 0028239 DEBEKACYL 75 MG 1 SRG 1,5 ML IMIVSC 0 0 3,17 80 % J01MA01 ofloxacin 0321234 DOCOFLOXACINE 400 MG 10 CPR 0 0 19,68 80 % 0369918 OFLOXACINE EG 200 MG 10 CPR 0 0 11,04 80 % 0369773 OFLOXACINE EG 400 MG 10 CPR 0 0 19,68 80 % 0369742 OFLOXACINE EG 400 MG 5 CPR 0 0 11,04 80 % 0113486 TARIVID 200 MG 10 CPR 0 0 15,68 80 % 0258936 TARIVID 400 MG 10 CPR SEC 0 0 26,51 80 % 0217531 TARIVID 400 MG 5 CPR 0 0 15,68 80 % J01MA02 ciprofloxacin 0316881 CIPROFLOXACIN RATIO 250 MG 10 CPR 0 0 8,45 80 % 0316895 CIPROFLOXACIN RATIO 250 MG 20 CPR 0 0 15,38 80 % 0316851 CIPROFLOXACIN RATIO 500 MG 10 CPR 0 0 13,98 80 % 0316864 CIPROFLOXACIN RATIO 500 MG 20 CPR 0 0 23,00 80 % 0316816 CIPROFLOXACIN RATIO 750 MG 10 CPR 0 0 21,45 80 % 0316833 CIPROFLOXACIN RATIO 750 MG 20 CPR 0 0 37,35 80 % 0358959 CIPROFLOXACINE EG 250 MG 10 CPR 0 0 9,85 80 % 0359083 CIPROFLOXACINE EG 500 MG 20 CPR 0 0 26,34 80 % 0359178 CIPROFLOXACINE EG 750 MG 20 CPR 0 0 36,80 80 % 0316928 CIPROHEXAL 250 MG 10 CPR 0 0 8,50 80 % 0316539 CIPROHEXAL 250 MG 20 CPR 0 0 15,40 80 % 0316591 CIPROHEXAL 500 MG 10 CPR 0 0 14,00 80 % 0316637 CIPROHEXAL 500 MG 20 CPR 0 0 23,00 80 % 0316704 CIPROHEXAL 750 MG 10 CPR 0 0 21,44 80 % 0316735 CIPROHEXAL 750 MG 20 CPR 0 0 33,82 80 % 0135645 CIPROXIN 250 MG 10 CPR 0 0 10,28 80 % 0135709 CIPROXIN 500 MG 20 CPR 0 0 28,33 80 % 0321282 CIPROXINE 5% 2 FL MICROCPS + S 0 0 33,30 80 % 0327384 DOCCIPROFLO 250 MG 10 CPR 0 0 10,02 80 % 0327465 DOCCIPROFLO 500 MG 20 CPR 0 0 27,88 80 % 0327336 DOCCIPROFLO 750 MG 20 CPR 0 0 36,80 80 % J01MA04 enoxacin 0195545 ENOXOR 200 MG 10 CPR 0 0 9,12 80 % J01MA06 norfloxacin 0286202 NORFLOXACINE EG 400 MG 20 CPR 0 0 4,08 80 % 0286183 NORFLOXACINE EG 400 MG 6 CPR 0 0 1,52 80 % 0131193 ZOROXIN 400 MG 20 CPR 0 0 4,26 80 % Page 46 of 86
Numéro national Dénomination abrégée Prise en charge conditionnelle Prix public T<strong>au</strong>x 0131176 ZOROXIN 400 MG 6 CPR 0 0 1,58 80 % J01MA12 levofloxacin 0247087 TAVANIC 250 MG 10 CPR 0 0 31,38 80 % 0247137 TAVANIC 500 MG 10 CPR 0 0 44,78 80 % J01MA14 moxifloxacin 0281075 AVELOX 400 MG 10 CPR 0 0 44,63 80 % 0292924 AVELOX 400 MG 5 CPR 0 0 27,03 80 % 0288868 PROFLOX 400 MG 10 CPR 0 0 43,26 80 % 0288854 PROFLOX 400 MG 5 CPR 0 0 26,37 80 % J01XA02 teicoplanin 0158461 TARGOCID 200 MG PDR 1 FL+S 3,2 ML IMIV 0 0 21,28 80 % 0158474 TARGOCID 400 MG PDR 1 FL+S 3,2ML IMIV 0 0 34,36 80 % J01XB01 colistin 0023831 COLIMYCINE 1 MIO U PDR 1 FL IM 0 0 1,61 80 % 0023800 COLIMYCINE 1,5 MIO U 10 CPR 0 0 4,39 80 % J01XC01 fusidic acid 0047007 FUCIDIN 250 MG 36 DRG 0 0 46,94 80 % J01XD01 metronidazole 0044912 FLAGYL 500 MG 20 CPR 0 0 4,40 80 % 0187042 METRONIDAZOLE 500 MG 100 ML G 2270031 0 0 11,87 80 % J01XD02 tinidazole 0043896 FASIGYN 500 MG 4 CPR 0 0 4,73 80 % J01XD03 ornidazole 0171204 TIBERAL 500 MG 10 CPR 0 0 10,16 80 % 0116751 TIBERAL 500 MG 3 CPR 0 0 3,47 80 % J01XE01 nitrofurantoin 0078986 NITROFURANTOIN RATIO RET 100 MG 50 CAPS 0 0 12,54 80 % J01XE02 nifurtoinol 0123191 URFADYN 100 MG 50 CAPS PL 0 0 9,04 80 % J01XX01 fosfomycin 0219258 MONURIL 3 G PDR 1 SACH 0 0 7,31 80 % J01XX04 spectinomycin 0120981 TROBICIN 2 G 1 FL 3,2 ML IM 0 0 13,46 80 % J02AA01 amphotericin B 0047122 FUNGIZONE BRISTOL 50 MG 1 FL PERF 0 0 9,48 80 % J02AB02 ketoconazole 0079255 NIZORAL 200 MG 10 CPR 22958 0 0 11,41 80 % 0079269 NIZORAL 200 MG 30 CPR 27335 0 0 26,45 80 % J02AC01 fluconazole 0434161 CANDIZOLE 150 MG 1 CAPS 0 0 5,94 80 % 0434143 CANDIZOLE 200 MG 10 CAPS 0 0 62,47 80 % 0434157 CANDIZOLE 200 MG 20 CAPS 0 0 97,33 80 % 0434188 CANDIZOLE 50 MG 10 CAPS 0 0 22,21 80 % 0163068 DIFLUCAN 150 MG 1 CAPS 0 0 8,02 80 % 0178222 DIFLUCAN 200 MG 10 CAPS 0 0 62,47 80 % 0178236 DIFLUCAN 200 MG 20 CAPS 0 0 111,41 80 % 0244703 DIFLUCAN 200 MG/5 ML PDR SIR 1 FL 35 ML 0 0 46,58 80 % 0165918 DIFLUCAN 50 MG 10 CAPS 0 0 25,22 80 % 0244717 DIFLUCAN 50 MG/5 ML PDR SIR 1 FL 35 ML 0 0 17,73 80 % 0353997 FLUCONAZOL HEXAL 100 MG 20 CAPS 0 0 75,09 80 % 0418637 FLUCONAZOL HEXAL 100 MG 50 CAPS 0 0 171,61 80 % 0377209 FLUCONAZOL HEXAL 150 MG 1 CAPS 0 0 5,80 80 % 0377261 FLUCONAZOL HEXAL 200 MG 20 CAPS 0 0 96,40 80 % 0377288 FLUCONAZOL HEXAL 200 MG 50 CAPS 0 0 240,00 80 % 0353921 FLUCONAZOL HEXAL 50 MG 20 CAPS 0 0 39,20 80 % 0353949 FLUCONAZOL HEXAL 50 MG 50 CAPS 0 0 92,67 80 % 0335341 FLUCONAZOL RATIO 150 MG 1 CAPS 0 0 5,82 80 % 0335484 FLUCONAZOL RATIO 200 MG 20 CAPS 0 0 96,50 80 % 0335372 FLUCONAZOL RATIO 50 MG 14 CAPS 0 0 30,43 80 % 0438661 FLUCONAZOLE TEVA 150 MG 1 CAPS 0 0 5,86 80 % 0438738 FLUCONAZOLE TEVA 200 MG 10 CAPS 0 0 56,01 80 % 0438755 FLUCONAZOLE TEVA 200 MG 20 CAPS 0 0 92,48 80 % 0438576 FLUCONAZOLE TEVA 50 MG 10 CAPS 0 0 19,64 80 % Page 47 of 86
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Liste positive des médicaments valable au 1er janvier 2010 ... - CNS

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