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

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 />

0031895 DICLAC 100 MG 10 SUPP 0 0<br />

3,47 80 %<br />

0031928 DICLAC 25 MG 100 CPR 0 0<br />

5,45 80 %<br />

0162365 DICLAC 25 MG 20 CPR 0 0<br />

1,49 80 %<br />

0031914 DICLAC 25 MG 50 CPR 0 0<br />

2,98 80 %<br />

0031959 DICLAC 50 MG 10 SUPP 0 0<br />

1,93 80 %<br />

0031945 DICLAC 50 MG 100 CPR 0 0<br />

9,11 80 %<br />

0162379 DICLAC 50 MG 20 CPR 0 0<br />

1,86 80 %<br />

0208335 DICLAC 50 MG 30 SUPP 0 0<br />

4,88 80 %<br />

0031931 DICLAC 50 MG 50 CPR 0 0<br />

4,88 80 %<br />

0031878 DICLAC 75 MG 1 AMP 3 ML IM 0 0<br />

0,77 80 %<br />

0031881 DICLAC 75 MG 5 AMP 3 ML IM 0 0<br />

2,93 80 %<br />

0155519 DICLAC RET 100 MG 100 CPR 0 0<br />

14,00 80 %<br />

0155486 DICLAC RET 100 MG 20 CPR 0 0<br />

3,09 80 %<br />

0155505 DICLAC RET 100 MG 50 CPR 0 0<br />

7,50 80 %<br />

0451886 DICLOFENAC EG 100 MG 12 SUPP 0 0<br />

4,00 80 %<br />

0451872 DICLOFENAC EG 100 MG 30 CPR 0 0<br />

10,86 80 %<br />

0182662 DICLOFENAC EG 25 MG 100 CPR 0 0<br />

9,04 80 %<br />

0182659 DICLOFENAC EG 25 MG 30 CPR 0 0<br />

3,36 80 %<br />

0182676 DICLOFENAC EG 50 MG 50 CPR 0 0<br />

9,04 80 %<br />

0451841 DICLOFENAC EG 75 MG 6 AMP 3 ML IVIM 0 0<br />

4,11 80 %<br />

0451869 DICLOFENAC EG 75 MG 60 CPR 0 0<br />

14,67 80 %<br />

0032021 DICLOFENAC RATIO 100 MG 10 SUPP 0 0<br />

5,52 80 %<br />

0032035 DICLOFENAC RATIO 100 MG 50 SUPP 0 0<br />

17,50 80 %<br />

0032083 DICLOFENAC RATIO 25 MG 10 SUPP 0 0<br />

4,45 80 %<br />

0032066 DICLOFENAC RATIO 25 MG 100 CPR PELLIC 0 0<br />

10,31 80 %<br />

0032049 DICLOFENAC RATIO 25 MG 20 CPR PELLIC 0 0<br />

2,79 80 %<br />

0032052 DICLOFENAC RATIO 25 MG 50 CPR PELLIC 0 0<br />

6,20 80 %<br />

0032097 DICLOFENAC RATIO 25 MG 50 SUPP 0 0<br />

11,43 80 %<br />

0032147 DICLOFENAC RATIO 50 MG 10 SUPP 0 0<br />

9,14 80 %<br />

0032133 DICLOFENAC RATIO 50 MG 100 CPR PELLIC 0 0<br />

11,75 80 %<br />

0032102 DICLOFENAC RATIO 50 MG 20 CPR PELLIC 0 0<br />

4,19 80 %<br />

0032116 DICLOFENAC RATIO 50 MG 50 CPR PELLIC 0 0<br />

8,83 80 %<br />

0032150 DICLOFENAC RATIO 50 MG 50 SUPP 0 0<br />

12,66 80 %<br />

0173405 DICLOFENAC RATIO SF 75 MG 1 AMP 2 ML IM 0 0<br />

1,35 80 %<br />

0267269 DICLOFENAC RATIO SF 75 MG 10 AMP 2 ML 0 0<br />

10,99 80 %<br />

0173422 DICLOFENAC RATIO SF 75 MG 30 AMP 2 ML IM 0 0<br />

13,69 80 %<br />

0032228 DICLOFENAC RET RATIO 100 MG 100 CAPS RET 0 0<br />

13,51 80 %<br />

0032200 DICLOFENAC RET RATIO 100 MG 20 CAPS RET 0 0<br />

7,30 80 %<br />

0032214 DICLOFENAC RET RATIO 100 MG 50 CAPS RET 0 0<br />

10,67 80 %<br />

0304796 DOCDICLOFE 100 MG 30 CPR 0 0<br />

10,28 80 %<br />

0304782 DOCDICLOFE 75 MG 60 CPR 0 0<br />

14,20 80 %<br />

0345531 MOTIFENE 75 MG 28 CAPS RET 0 0<br />

13,10 80 %<br />

0235011 MOTIFENE 75 MG 56 CAPS RET 0 0<br />

20,01 80 %<br />

0176147 POLYFLAM 50 MG 50 CPR 0 0<br />

10,92 80 %<br />

0236858 VOLTAREN 100 MG 10 SUPP 0 0<br />

7,26 80 %<br />

0236472 VOLTAREN 25 MG 100 DRG 0 0<br />

14,68 80 %<br />

0236469 VOLTAREN 25 MG 20 DRG 0 0<br />

4,08 80 %<br />

0237189 VOLTAREN 25 MG 50 DRG 0 0<br />

7,69 80 %<br />

0237242 VOLTAREN 50 MG 100 DRG 0 0<br />

25,15 80 %<br />

0237239 VOLTAREN 50 MG 20 DRG 0 0<br />

5,74 80 %<br />

0236939 VOLTAREN 50 MG 50 DRG 0 0<br />

13,58 80 %<br />

0264317 VOLTAREN DISPERS 46,5 MG 20 CPR 0 0<br />

2,00 80 %<br />

0264321 VOLTAREN DISPERS 46,5 MG 50 CPR 0 0<br />

4,67 80 %<br />

0269182 VOLTAREN INJEKT 75 MG 1 AMP 3 ML IM 0 0<br />

1,86 80 %<br />

0337945 VOLTAREN RESINAT 100 CAPS 0 0<br />

8,83 80 %<br />

0337928 VOLTAREN RESINAT 20 CAPS 0 0<br />

1,55 80 %<br />

0337931 VOLTAREN RESINAT 50 CAPS 0 0<br />

4,10 80 %<br />

0237158 VOLTAREN RET 100 MG 100 DRG 0 0<br />

42,69 80 %<br />

0236729 VOLTAREN RET 100 MG 20 DRG 0 0<br />

11,63 80 %<br />

0237144 VOLTAREN RET 100 MG 50 DRG 0 0<br />

24,95 80 %<br />

M01AB11 acemetacin<br />

0096693 RANTUDIL FORTE 60 MG 20 CAPS 0 0<br />

11,20 80 %<br />

0096709 RANTUDIL FORTE 60 MG 50 CAPS 0 0<br />

14,97 80 %<br />

0096712 RANTUDIL RET 90 MG 20 CAPS 0 0<br />

19,33 80 %<br />

0096726 RANTUDIL RET 90 MG 50 CAPS 0 0<br />

34,78 80 %<br />

M01AB14 proglumetacin<br />

Page 54 of 86

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