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

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Numéro national Dénomination abrégée Prise en charge conditionnelle Prix public T<strong>au</strong>x 0283066 DOCRANITI 300 MG 56 CPR 0 0 9,45 80 % 0218555 RANITIC 150 MG 100 CPR 0 0 10,50 80 % 0218538 RANITIC 150 MG 20 CPR 0 0 3,40 80 % 0218541 RANITIC 150 MG 50 CPR 0 0 6,50 80 % 0218524 RANITIC 300 MG 100 CPR 0 0 14,50 80 % 0218507 RANITIC 300 MG 20 CPR 0 0 5,00 80 % 0218511 RANITIC 300 MG 50 CPR 0 0 8,50 80 % 0446628 RANITIDINE EG 150 MG 112 CPR 0 0 10,84 80 % 0286314 RANITIDINE EG 150 MG 56 CPR 0 0 7,77 80 % 0286328 RANITIDINE EG 300 MG 28 CPR 0 0 6,92 80 % 0446631 RANITIDINE EG 300 MG 56 CPR 0 0 7,31 80 % 0130828 ZANTAC 150 MG 56 CPR 0 0 9,58 80 % 0154167 ZANTAC 150 MG/10 ML SIR 2*280 ML 0 0 16,32 80 % 0130831 ZANTAC 300 MG 28 CPR 0 0 8,95 80 % 0130845 ZANTAC 50 MG 5 AMP 2 ML IV UD 0 0 8,28 80 % 0418511 ZANTAC SOLUBLE 150 MG 4*14 CPR EFF 0 0 16,32 80 % 0419293 ZANTAC SOLUBLE 300 MG 2*14 CPR EFF 0 0 16,32 80 % A02BB01 misoprostol 0027262 CYTOTEC 200 MCG 112 CPR 0 0 37,32 80 % A02BC01 omeprazole 0350995 DOCOMEPRA 20 MG 28 CAPS BLIST 0 0 23,43 80 % 0351037 DOCOMEPRA 20 MG 56 CAPS BLIST 0 0 32,51 80 % 0279077 LOSEC MUPS 10 MG 28 CPR 0 0 17,16 80 % 0279081 LOSEC MUPS 10 MG 56 CPR 0 0 24,83 80 % 0279113 LOSEC MUPS 20 MG 28 CPR 0 0 25,89 80 % 0409543 LOSEC MUPS 20 MG 56 CPR 0 0 37,63 80 % 0279144 LOSEC MUPS 40 MG 28 CPR 0 0 43,33 80 % 0285981 OMEP 20 MG 15 CAPS 0 0 12,15 80 % 0285995 OMEP 20 MG 30 CAPS 0 0 19,82 80 % 0286023 OMEP 20 MG 60 CAPS 0 0 30,00 80 % 0378545 OMEPRAZOLE EG 10 MG 28 CAPS 0 0 13,85 80 % 0378576 OMEPRAZOLE EG 10 MG 56 CAPS 0 0 22,03 80 % 0421288 OMEPRAZOLE EG 20 MG 14 CAPS BLIST 0 0 14,65 80 % 0315661 OMEPRAZOLE EG 20 MG 28 CPR 0 0 23,43 80 % 0315691 OMEPRAZOLE EG 20 MG 56 CPR 0 0 32,31 80 % 0421551 OMEPRAZOLE EG 40 MG 28 CAPS BLIST 0 0 36,62 80 % 0421582 OMEPRAZOLE EG 40 MG 56 CAPS BLIST 0 0 53,38 80 % 0321895 OMEPRAZOLE FAR 20 MG 28 CPR 0 0 23,61 80 % 0321928 OMEPRAZOLE FAR 20 MG 56 CPR 0 0 32,35 80 % 0395921 OMEPRAZOLE RATIO 10 MG 28 CAPS 0 0 10,88 80 % 0395952 OMEPRAZOLE RATIO 10 MG 56 CAPS 0 0 18,73 80 % 0354736 OMEPRAZOLE RATIO 20 MG 14 CAPS 0 0 10,56 80 % 0354753 OMEPRAZOLE RATIO 20 MG 28 CAPS 0 0 20,01 80 % 0354767 OMEPRAZOLE RATIO 20 MG 56 CAPS 0 0 24,53 80 % 0396056 OMEPRAZOLE RATIO 40 MG 28 CAPS 0 0 33,00 80 % 0396091 OMEPRAZOLE RATIO 40 MG 56 CAPS 0 0 49,00 80 % 0370919 SEDACID 10 MG 14 CPR 0 0 9,94 80 % 0370922 SEDACID 10 MG 28 CPR 0 0 13,49 80 % 0370936 SEDACID 10 MG 56 CPR 0 0 19,15 80 % 0482073 SEDACID 20 MG 100 CPR 0 0 33,78 80 % 0370953 SEDACID 20 MG 14 CPR 0 0 14,04 80 % 0370967 SEDACID 20 MG 28 CPR 0 0 18,51 80 % 0370971 SEDACID 20 MG 56 CPR 0 0 26,10 80 % A02BC02 pantoprazole 0489723 PANTOMED 20 MG 28 CPR 0 0 14,26 80 % 0489754 PANTOMED 20 MG 56 CPR 0 0 20,39 80 % 0489771 PANTOMED 20 MG 84 CPR 0 0 38,01 80 % 0489978 PANTOMED 40 MG 28 CPR 0 0 22,22 80 % 0490013 PANTOMED 40 MG 56 CPR 0 0 31,99 80 % 0490031 PANTOMED 40 MG 84 CPR 0 0 62,33 80 % 0494009 PANTOPRAZOL RATIO 20 MG 30 CPR GR BLIST 0 0 11,90 80 % 0494026 PANTOPRAZOL RATIO 20 MG 60 CPR GR BLIST 0 0 19,57 80 % 0493788 PANTOPRAZOL RATIO 40 MG 30 CPR GR BLIST 0 0 15,04 80 % 0272451 PANTOZOL 20 MG 28 CPR BLIST 0 0 21,16 80 % 0272465 PANTOZOL 20 MG 56 CPR BLIST 0 0 30,51 80 % 0218121 PANTOZOL 40 MG 28 CPR 0 0 33,20 80 % Page 2 of 85
Numéro national Dénomination abrégée Prise en charge conditionnelle Prix public T<strong>au</strong>x A02BC03 lansoprazole 0240122 DAKAR 15 MG 56 CAPS 0 0 23,97 80 % 0204837 DAKAR 30 MG 28 CAPS 0 0 26,08 80 % 0453197 DOCLANSOPRAZOLE 15 MG 28 CAPS 0 0 14,13 80 % 0453216 DOCLANSOPRAZOLE 15 MG 56 CAPS 0 0 22,60 80 % 0453071 DOCLANSOPRAZOLE 30 MG 28 CAPS 0 0 25,09 80 % 0453099 DOCLANSOPRAZOLE 30 MG 56 CAPS 0 0 34,13 80 % 0397411 LANSOPRAZOL RATIO 15 MG 14 CAPS 0 0 5,16 80 % 0397439 LANSOPRAZOL RATIO 15 MG 28 CAPS 0 0 9,82 80 % 0397473 LANSOPRAZOL RATIO 15 MG 56 CAPS 0 0 18,68 80 % 0397716 LANSOPRAZOL RATIO 30 MG 14 CAPS 0 0 15,34 80 % 0397747 LANSOPRAZOL RATIO 30 MG 28 CAPS 0 0 27,37 80 % 0397778 LANSOPRAZOL RATIO 30 MG 56 CAPS 0 0 47,48 80 % 0410186 LANSOPRAZOLE EG 15 MG 28 CAPS 0 0 14,13 80 % 0410205 LANSOPRAZOLE EG 15 MG 56 CAPS 0 0 22,60 80 % 0410236 LANSOPRAZOLE EG 30 MG 28 CAPS 0 0 24,99 80 % 0410253 LANSOPRAZOLE EG 30 MG 56 CAPS 0 0 34,13 80 % 0410267 LANSOPRAZOLE EG 30 MG 98 CAPS 0 0 47,59 80 % A02BC04 rabeprazole 0256587 PARIET 10 MG 28 CPR 0 0 25,81 80 % 0256591 PARIET 10 MG 56 CPR 96110 0 0 42,76 80 % 0256671 PARIET 20 MG 28 CPR 96114 0 0 42,76 80 % A02BC05 esomeprazole 0284158 NEXIAM 20 MG 14 CPR BLIST 0 0 15,58 80 % 0284161 NEXIAM 20 MG 28 CPR BLIST 0 0 26,13 80 % 0284175 NEXIAM 20 MG 56 CPR BLIST 0 0 45,97 80 % 0284242 NEXIAM 40 MG 28 CPR BLIST 0 0 34,21 80 % A02BX02 sucralfate 0139157 KEAL 1 G 30 CPR 0 0 8,03 80 % 0150185 KEAL 1 G 30 SACH 0 0 8,03 80 % 0190163 KEAL 2 G 15 SACH 0 0 7,71 80 % 0122275 ULCOGANT 1 G/5 ML SUSP 250 ML 0 0 18,02 80 % 0122261 ULCOGANT 1 G/5 ML SUSP 50 SACH 0 0 18,02 80 % A02BX13 alginic acid 0282851 GAVISCON ADVANCE SUSP 500 ML 0 0 16,43 80 % 0048391 GAVISCON PDR 50 G 0 0 9,25 80 % 0281612 GAVISCON SUSP 200 ML (ANIS) 0 0 7,00 80 % 0258984 GAVISCON SUSP 500 ML (ANIS) 0 0 14,00 80 % 0118174 TOPAAL 42 CPR 0 0 3,41 80 % A03AA04 mebeverine 0195481 DUSPATALIN 135 MG 120 DRG 0 0 14,22 80 % 0037434 DUSPATALIN 135 MG 40 DRG 0 0 9,43 80 % 0238687 MEBEVERINE EG 135 MG 120 CPR 0 0 10,75 80 % 0255738 MEBEVERINE EG 135 MG 40 CPR 0 0 5,13 80 % A03AB06 otilonium bromide 0151523 SPASMOMEN 40 MG 30 CPR 0 0 11,55 80 % 0206845 SPASMOMEN 40 MG 60 CPR 0 0 16,03 80 % A03AX08 alverine 0285799 SPASMINE 60 MG 40 CAPS 0 0 11,94 80 % 0348935 SPASMINE FORTE 120 MG 40 CAPS 0 0 19,51 80 % A03AX12 phloroglucinol 0107959 SPASFON 10 SUPP 0 0 2,81 80 % 0107931 SPASFON 30 DRG 0 0 4,91 80 % A03AX13 silicones 0104781 SILI MET SAN 60 CPR 0 0 6,57 80 % A03BA01 atropine 0009152 ATROPINSULFAT BRN 0,5 MG 10 AMP 1 ML V 0 0 2,23 80 % A03BB01 butylscopolamine 0016451 BUSCOPAN 10 MG 50 DRG 0 0 7,28 80 % 0016482 BUSCOPAN 10 MG 6 SUPP 0 0 3,30 80 % 0016465 BUSCOPAN 20 MG 6 AMP 1 ML IMIVSC 0 0 3,99 80 % A03DB04 butylscopolamine and analgesics 0016532 BUSCOPAN COMP 3 AMP 5 ML IMIV 0 0 5,55 80 % Page 3 of 85
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Liste positive des médicaments valable au 1er avril 2010 ... - CNS

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