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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 />

0219406 RETROVIR 300 MG 60 CPR 0 0<br />

209,69 100 %<br />

J05AF02 didanosine<br />

0178141 VIDEX 2 G PDR P SOL OR 1 FL 0 0<br />

37,29 100 %<br />

0287745 VIDEX EC 125 MG 30 CAPS 0 0<br />

62,22 100 %<br />

0287759 VIDEX EC 200 MG 30 CAPS 0 0<br />

94,06 100 %<br />

0287762 VIDEX EC 250 MG 30 CAPS 0 0<br />

112,77 100 %<br />

0287776 VIDEX EC 400 MG 30 CAPS 0 0<br />

174,70 100 %<br />

J05AF04 stavudine<br />

0221824 ZERIT 1 MG/ML SOL 200 ML 0 0<br />

28,03 100 %<br />

0221791 ZERIT 30 MG 56 CAPS BLIST 0 0<br />

143,74 100 %<br />

0221811 ZERIT 40 MG 56 CAPS BLIST 0 0<br />

152,69 100 %<br />

J05AF05 lamivudine<br />

0224292 EPIVIR 10 MG/ML GTTS 240 ML 0 0<br />

63,08 100 %<br />

0224308 EPIVIR 150 MG 60 CPR 0 0<br />

184,45 100 %<br />

0309372 EPIVIR 300 MG 30 CPR 0 0<br />

184,45 100 %<br />

0266874 ZEFFIX 100 MG 84 CPR 0 0<br />

166,62 100 %<br />

0266888 ZEFFIX 5 MG/ML SIR 240 ML 0 0<br />

35,59 100 %<br />

J05AF06 abacavir<br />

0266793 ZIAGEN 20 MG/ML SIR 1 FL 240 ML 0 0<br />

80,56 100 %<br />

0266776 ZIAGEN 300 MG 60 CPR 0 0<br />

250,70 100 %<br />

J05AF07 tenofovir disoproxil<br />

0330314 VIREAD 245 MG 30 CPR 0 0<br />

407,70 100 %<br />

J05AF08 adefovir dipivoxil<br />

0342508 HEPSERA 10 MG 30 CPR 0 0<br />

460,97 100 %<br />

J05AF09 emtricitabine<br />

0355988 EMTRIVA 200 MG 30 CAPS 0 0<br />

202,33 100 %<br />

J05AF10 entecavir<br />

0437162 BARACLUDE 0,5 MG 30 CPR 0 0<br />

430,90 100 %<br />

0437193 BARACLUDE 1 MG 30 CPR 0 0<br />

505,26 100 %<br />

J05AG01 nevirapine<br />

0247154 VIRAMUNE 200 MG 6*10 CPR 0 0<br />

220,86 100 %<br />

0265152 VIRAMUNE 50 MG/5 ML SIR 240 ML 0 0<br />

58,64 100 %<br />

J05AG03 efavirenz<br />

0266597 STOCRIN 100 MG 30 CAPS 0 0<br />

55,32 100 %<br />

0517067 STOCRIN 200 MG 90 CPR 0 0<br />

288,21 100 %<br />

0266583 STOCRIN 50 MG 30 CAPS 0 0<br />

32,16 100 %<br />

0333591 STOCRIN 600 MG 30 CPR (FL) 0 0<br />

288,21 100 %<br />

J05AG04 etravirine<br />

0488341 INTELENCE 100 MG 120 CPR 0 0<br />

424,92 100 %<br />

J05AR01 zidovudine and lamivudine<br />

0252753 COMBIVIR 150 MG 60 CPR BLIST 0 0<br />

402,72 100 %<br />

J05AR02 lamivudine and abacavir<br />

0391838 KIVEXA 600/300 MG 30 CPR BLIST 0 0<br />

405,26 100 %<br />

J05AR04 zidovudine, lamivudine and abacavir<br />

0293935 TRIZIVIR 60 CPR BLIST 0 0<br />

669,27 100 %<br />

J05AX05 inosine pranobex<br />

0059798 ISOPRINOSINE 500 MG 40 CPR 0 0<br />

17,00 80 %<br />

J05AX07 enfuvirtide<br />

0347714 FUZEON 90 MG/ML PDR 60 FL + S + 60 SRG 0 0<br />

1.780,47 100 %<br />

J05AX08 raltegravir<br />

0472676 ISENTRESS 400 MG 60 CPR 0 0<br />

878,55 100 %<br />

J05AX09 maraviroc<br />

0467113 CELSENTRI 150 MG 60 CPR 0 0<br />

915,67 100 %<br />

0467161 CELSENTRI 300 MG 60 CPR 0 0<br />

915,67 100 %<br />

J06BB01 anti-D (rh) immunoglobulin<br />

0268771 RHOGAM ULTRA FILTERED 300 MCG 1FL 1ML IM 0 0<br />

43,42 80 %<br />

J06BB02 tetanus immunoglobulin<br />

0399738 TETABULINE S/D 250 U 1 SRG 1 ML IM 0 0<br />

10,05 80 %<br />

J07BB02 influenza, purified antigen<br />

0152727 ALPHA RIX 1 SRG 0,5 ML IMSC 1 3<br />

8,91 100 %<br />

0421176 INFLEXAL-V 1 SRG IMSC 1 3<br />

11,79 100 %<br />

Page 49 of 85

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