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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 />

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

40,30 100 %<br />

A10AB05 insulin aspart<br />

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

27,38 100 %<br />

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

43,79 100 %<br />

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

40,30 100 %<br />

A10AB06 insulin glulisine<br />

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

27,38 100 %<br />

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

40,30 100 %<br />

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

40,30 100 %<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 />

43,79 100 %<br />

A10AC01 insulin (human)<br />

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

24,90 100 %<br />

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

34,63 100 %<br />

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

19,09 100 %<br />

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

34,52 100 %<br />

A10AD01 insulin (human)<br />

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

24,90 100 %<br />

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

34,63 100 %<br />

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

20,76 100 %<br />

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

36,68 100 %<br />

A10AD04 Insulin lispro<br />

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

40,30 100 %<br />

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

40,30 100 %<br />

A10AD05 insulin aspart<br />

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

40,30 100 %<br />

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

40,30 100 %<br />

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

40,30 100 %<br />

A10AE04 insulin glargine<br />

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

62,57 100 %<br />

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

62,56 100 %<br />

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

62,56 100 %<br />

A10AE05 insulin detemir<br />

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

66,01 100 %<br />

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

68,91 100 %<br />

A10BA02 metformin<br />

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

3,27 100 %<br />

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

6,53 100 %<br />

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

8,00 100 %<br />

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

3,34 100 %<br />

A10BB01 glibenclamide<br />

0189274 BEVOREN 5 MG 100 CPR 0 0<br />

21,75 100 %<br />

0197729 BEVOREN 5 MG 40 CPR 0 0<br />

9,39 100 %<br />

0027892 DAONIL 5 MG 100 CPR 0 0<br />

17,24 100 %<br />

0027889 DAONIL 5 MG 30 CPR 0 0<br />

6,47 100 %<br />

0042370 EUGLUCON 5 100 CPR 0 0<br />

21,27 100 %<br />

A10BB07 glipizide<br />

0049614 GLIBENESE 5 MG 100 CPR 0 0<br />

15,77 100 %<br />

0072447 MINIDIAB 5 MG 30 CPR 0 0<br />

5,69 100 %<br />

0072450 MINIDIAB 5 MG 90 CPR 0 0<br />

14,17 100 %<br />

A10BB08 gliquidone<br />

0154069 GLURENORM 30 MG 100 CPR 0 0<br />

14,90 100 %<br />

0154055 GLURENORM 30 MG 40 CPR 0 0<br />

7,48 100 %<br />

A10BB09 gliclazide<br />

0031444 DIAMICRON 80 MG 60 CPR 0 0<br />

18,96 100 %<br />

0290592 DIAMICRON MR 30 MG 60 CPR MODIF RELEASE 0 0<br />

18,98 100 %<br />

A10BB12 glimepiride<br />

0244636 AMARYLLE 2 MG 30 CPR 0 0<br />

7,12 100 %<br />

0244653 AMARYLLE 2 MG 90 CPR 0 0<br />

21,21 100 %<br />

0351233 AMARYLLE 3 MG 30 CPR 0 0<br />

10,67 100 %<br />

0351328 AMARYLLE 4 MG 30 CPR 0 0<br />

14,23 100 %<br />

0416937 GLIMEPIRID HEXAL 1 MG 120 CPR 0 0<br />

13,50 100 %<br />

0416891 GLIMEPIRID HEXAL 1 MG 30 CPR 0 0<br />

4,80 100 %<br />

Page 8 of 86

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