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

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

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

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Numéro national<br />

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

0053035 HEPARIN NA BRN 5000 U 10 AMP 0,5 ML IVSC 0 0<br />

2,03 80 %<br />

0173968 HEPARIN NA RATIO 25000 U 5 FL 5 ML IVSC 0 0<br />

8,71 80 %<br />

0154508 HEPARIN NA RATIO 5000 U 10 SRG 0,2 ML IV 0 0<br />

14,97 80 %<br />

0154492 HEPARIN NA RATIO 5000 U 20 AMP 0,2 ML 0 0<br />

15,56 80 %<br />

0154489 HEPARIN NA RATIO 5000 U 5 AMP 0,2 ML IVS 0 0<br />

4,33 80 %<br />

0164485 MONO EMBOLEX NM 20 AMP 0,5 ML SC 0 0<br />

79,56 80 %<br />

0164518 MONO EMBOLEX NM FERTIGSP 10 SRG 0,3 ML 0 0<br />

43,67 80 %<br />

B01AB04 dalteparin<br />

0206523 FRAGMIN 10000 U 10 SRG 1 ML IV 0 0<br />

74,29 80 %<br />

0261914 FRAGMIN 12500 U 5 SRG 0,5 ML SC 0 0<br />

47,92 80 %<br />

0261931 FRAGMIN 15000 U 5 SRG 0,6 ML SC 0 0<br />

54,82 80 %<br />

0261959 FRAGMIN 18000 U 5 SRG 0,72 ML SC 0 0<br />

64,39 80 %<br />

0191742 FRAGMIN 2500 U 10 SRG 0,2 ML SC 0 0<br />

25,44 80 %<br />

0191756 FRAGMIN 5000 U 10 SRG 0,2 ML SC 0 0<br />

40,34 80 %<br />

0219972 FRAGMIN 7500 U 10 SRG 0,75 ML SC 0 0<br />

54,82 80 %<br />

B01AB05 enoxaparin<br />

0190485 CLEXANE 100 MG 10 SRG 1 ML IVSC 0 0<br />

57,99 80 %<br />

0316492 CLEXANE 120 MG 10 SRG 0,8 ML SCIV 0 0<br />

79,86 80 %<br />

0316489 CLEXANE 150 MG 10 SRG 1 ML SCIV 0 0<br />

83,42 80 %<br />

0173128 CLEXANE 20 MG 10 SRG 0,2 ML IVSCVI 0 0<br />

24,27 80 %<br />

0173145 CLEXANE 40 MG 10 SRG 0,4 ML IVSCVI 0 0<br />

38,96 80 %<br />

0267613 CLEXANE 60 MG 10 SRG 0,6 ML IVSC 0 0<br />

45,31 80 %<br />

0190454 CLEXANE 80 MG 10 SRG 0,8 ML IVSC 0 0<br />

51,63 80 %<br />

B01AB06 nadroparin<br />

0163829 FRAXIPARINE 10000U 10 SRG 0,4 ML SC 0 0<br />

31,42 80 %<br />

0046531 FRAXIPARINE 15000U 10 SRG 0,6 ML SC 0 0<br />

40,34 80 %<br />

0163846 FRAXIPARINE 20000 U 10 SRG 0,8 ML SC 0 0<br />

51,62 80 %<br />

0217741 FRAXIPARINE 25000 U 10 SRG 1 ML SC 0 0<br />

62,98 80 %<br />

0046609 FRAXIPARINE 7500U 10 SRG 0,3 ML SC 0 0<br />

25,42 80 %<br />

0300637 FRAXODI 19000 U/ML 10 AMP SRG 0,6 ML 0 0<br />

87,67 80 %<br />

0300641 FRAXODI 19000 U/ML 10 AMP SRG 0,8 ML 0 0<br />

113,96 80 %<br />

0300654 FRAXODI 19000 U/ML 10 AMP SRG 1 ML 0 0<br />

140,23 80 %<br />

B01AB10 tinzaparin<br />

0243978 INNOHEP 10000 U 10 SRG 0.5 ML SC 0 0<br />

74,29 80 %<br />

0243981 INNOHEP 14000 U 10 SRG 0.7 ML SC 0 0<br />

100,46 80 %<br />

0243995 INNOHEP 18000 U 10 SRG 0.9 ML SC 0 0<br />

126,65 80 %<br />

0243916 INNOHEP 2500 U 10 SRG 0,25 ML SC 0 0<br />

28,14 80 %<br />

0243947 INNOHEP 3500 U 10 SRG 0.35 ML SC 0 0<br />

31,75 80 %<br />

0243964 INNOHEP 4500 U 10 SRG 0.45 ML SC 0 0<br />

37,31 80 %<br />

B01AC04 clopidogrel<br />

0253117 PLAVIX 75 MG 28 CPR 0 0<br />

32,04 80 %<br />

0253134 PLAVIX 75 MG 84 CPR 0 0<br />

68,10 80 %<br />

B01AC05 ticlopidine<br />

0116829 TICLID 250 MG 30 DRG 0 0<br />

16,84 80 %<br />

0171218 TICLID 250 MG 60 DRG 0 0<br />

25,40 80 %<br />

0451354 TICLOPIDINE EG 250 MG 30 CPR 0 0<br />

17,96 80 %<br />

0451368 TICLOPIDINE EG 250 MG 60 CPR 0 0<br />

22,50 80 %<br />

0451371 TICLOPIDINE EG 250 MG 90 CPR 0 0<br />

32,98 80 %<br />

B01AC06 acetylsalicylic acid<br />

0169271 ASAFLOW 160 MG 56 CPR 0 0<br />

9,43 80 %<br />

0251952 ASAFLOW 80 MG 56 CPR ENTEROSOL 0 0<br />

5,95 80 %<br />

0207128 CARDEGIC 160 PDR 30 SACH 0 0<br />

4,14 80 %<br />

0207131 CARDEGIC 300 PDR 30 SACH 0 0<br />

4,57 80 %<br />

0244667 CARDIOASPIRINE 100 MG 30 CPR 0 0<br />

4,00 80 %<br />

0311791 CARDIOASPIRINE 100 MG 60 CPR 0 0<br />

6,77 80 %<br />

0189405 HERZ ASS RATIO 100 MG 100 CPR 0 0<br />

3,08 80 %<br />

0189386 HERZ ASS RATIO 100 MG 50 CPR 0 0<br />

1,85 80 %<br />

B01AC07 dipyridamole<br />

0134648 DIPYRIDAMOLE EG 75 MG 100 DRG 0 0<br />

5,16 80 %<br />

0088934 PERSANTINE 75 MG 100 DRG 0 0<br />

9,28 80 %<br />

0088982 PERSANTINE RET 200 MG 60 CAPS 0 0<br />

12,69 80 %<br />

0135208 PERSANTINE RET GE 150 MG 60 CAPS 0 0<br />

10,30 80 %<br />

B01AC30 combinations<br />

0289008 AGGRENOX 60 CAPS 0 0<br />

16,71 80 %<br />

Page 12 of 85

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