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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 />

J04AK01 pyrazinamide<br />

0113729 TEBRAZID 500 MG 100 CPR 0 0<br />

16,15 100 %<br />

J04AK02 ethambutol<br />

0074861 MYAMBUTOL 400 MG 100 CPR 0 0<br />

33,07 100 %<br />

J05AB01 aciclovir<br />

0301438 ACICLOVIR EG 200 MG 25 CPR 0 0<br />

21,84 80 %<br />

0301469 ACICLOVIR EG 800 MG 35 CPR 0 0<br />

73,86 80 %<br />

0217642 ACICLOVIR VON CT 200 MG 25 CPR 0 0<br />

11,54 80 %<br />

0217673 ACICLOVIR VON CT 800 MG 35 CPR 0 0<br />

22,47 80 %<br />

0298878 DOCACICLO 200 MG 25 CPR 0 0<br />

16,62 80 %<br />

0298881 DOCACICLO 800 MG 35 CPR 0 0<br />

26,47 80 %<br />

0444431 ZOVIRAX 200 MG 25 CPR 0 0<br />

22,40 80 %<br />

0190731 ZOVIRAX 400 MG/5 ML SIR 100 ML 0 0<br />

23,66 80 %<br />

0190745 ZOVIRAX 400 MG/5 ML SIR 200 ML 0 0<br />

44,07 80 %<br />

0444444 ZOVIRAX 800 MG 35 CPR 0 0<br />

77,39 80 %<br />

J05AB04 ribavirin<br />

0336612 COPEGUS 200 MG 168 CPR 0 0<br />

656,46 100 %<br />

0445925 COPEGUS 400 MG 56 CPR 0 0<br />

437,43 100 %<br />

0264544 REBETOL 200 MG 140 CAPS 0 0<br />

562,30 100 %<br />

0264558 REBETOL 200 MG 168 CAPS 0 0<br />

599,85 100 %<br />

0264531 REBETOL 200 MG 84 CAPS 0 0<br />

341,18 100 %<br />

J05AB09 famciclovir<br />

0242371 FAMVIR 125 MG 10 CPR 0 0<br />

43,56 80 %<br />

0289154 FAMVIR 250 MG 15 CPR 0 0<br />

142,31 80 %<br />

0289171 FAMVIR ZOSTER 250 MG 21 CPR 0 0<br />

195,92 80 %<br />

J05AB11 valaciclovir<br />

0220357 ZELITREX 500 MG 10 CPR 0 0<br />

38,56 80 %<br />

0218703 ZELITREX 500 MG 42 CPR 0 0<br />

80,46 80 %<br />

J05AB14 valganciclovir<br />

0321072 VALCYTE 450 MG 60 CPR 0 0<br />

1.538,34 80 %<br />

J05AB15 brivudine<br />

0316203 ZERPEX 125 MG 7 CPR 0 0<br />

82,79 80 %<br />

J05AE01 saquinavir<br />

0402234 INVIRASE 500 MG 120 CPR 0 0<br />

337,39 100 %<br />

J05AE02 indinavir<br />

0226526 CRIXIVAN 200 MG 360 CAPS 0 0<br />

264,18 100 %<br />

0226557 CRIXIVAN 400 MG 180 CAPS 0 0<br />

264,18 100 %<br />

J05AE03 ritonavir<br />

0273655 NORVIR 100 MG 4*84 CAPS MOLLES 0 0<br />

284,75 100 %<br />

0481949 NORVIR 100 MG 84 CAPS MOLLES 0 0<br />

76,44 100 %<br />

0226185 NORVIR 80 MG/ML SOL 5 FL 90 ML 0 0<br />

311,34 100 %<br />

J05AE06 lopinavir<br />

0299178 KALETRA 2*90 CAPS (FL) 0 0<br />

427,59 100 %<br />

0436604 KALETRA 200/50 MG 120 CPR 0 0<br />

427,59 100 %<br />

0299195 KALETRA 5 FL 60 ML + 5 SRG 0 0<br />

424,97 100 %<br />

J05AE07 fosamprenavir<br />

0377971 TELZIR 50 MG/ML SUSP BUV 225ML + SRG DOS 0 0<br />

98,99 100 %<br />

0377968 TELZIR 700 MG 60 CPR 0 0<br />

358,37 100 %<br />

J05AE08 atazanavir<br />

0364942 REYATAZ 150 MG 60 CAPS 0 0<br />

397,97 100 %<br />

0364973 REYATAZ 200 MG 60 CAPS 0 0<br />

397,97 100 %<br />

0481983 REYATAZ 300 MG 30 CAPS 0 0<br />

397,97 100 %<br />

J05AE09 tipranavir<br />

0416842 APTIVUS 250 MG 120 CAPS 0 0<br />

749,70 100 %<br />

J05AE10 darunavir<br />

0450571 PREZISTA 300 MG 120 CPR 0 0<br />

717,49 100 %<br />

0508393 PREZISTA 400 MG 60 CPR 0 0<br />

481,38 100 %<br />

0508409 PREZISTA 600 MG 60 CPR 0 0<br />

717,49 100 %<br />

J05AF01 zidovudine<br />

0172165 RETROVIR 10 MG/ML SIR 200 ML + SRG 10 ML 0 0<br />

32,10 100 %<br />

0133671 RETROVIR 100 MG 100 CAPS 0 0<br />

132,82 100 %<br />

0134892 RETROVIR 250 MG 40 CAPS 0 0<br />

132,82 100 %<br />

Page 48 of 85

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