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
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Numéro national<br />
Dénomination abrégée Prise en charge conditionnelle Prix public T<strong>au</strong>x<br />
L02AA02 polyestradiol phosphate<br />
0041728 ESTRADURINE 80 MG PDR 1 FL + S 2 ML IM 0 0<br />
8,91 100 %<br />
L02AB01 megestrol<br />
0141186 MEGACE 160 MG 30 CPR 0 0<br />
45,04 100 %<br />
L02AB02 medroxyprogesterone<br />
0029866 DEPO PROVERA 500 MG 1 AMP 3,3 ML IM 0 0<br />
14,56 100 %<br />
0095133 PROVERA 100 MG 50 CPR 0 0<br />
25,92 100 %<br />
0095147 PROVERA 250 MG 40 CPR 0 0<br />
41,58 100 %<br />
0144403 PROVERA 400 MG 25 CPR 0 0<br />
38,33 100 %<br />
0450925 PROVERA 500 MG 30 CPR 0 0<br />
53,33 100 %<br />
0144899 PROVERA 500 MG/5 ML SIR 100 ML 0 0<br />
48,35 100 %<br />
L02AE01 buserelin<br />
0158197 SUPREFACT NASAL 0,1 MG/D 1 FL 100 D 0 0<br />
41,46 100 %<br />
0111870 SUPREFACT NASAL 0,1 MG/D 4 FL 100 D 0 0<br />
144,91 100 %<br />
L02AE02 leuprorelin<br />
0393099 DEPO ELIGARD 22,5 MG PDR 1 SRG + S SC 0 0<br />
269,76 100 %<br />
0470461 DEPO ELIGARD 45 MG PDR 1 SRG + S SC 0 0<br />
540,14 100 %<br />
0393118 DEPO ELIGARD 7,5 MG PDR 1 SRG + S SC 0 0<br />
130,80 100 %<br />
0400159 LUCRIN DEPOT 3,75 MG PDR 1 SRG 2 ML IMSC 0 0<br />
145,39 100 %<br />
0400162 LUCRIN TRI DEP 11,25 MG PDR 1 SRG 2ML SC 0 0<br />
299,77 100 %<br />
L02AE03 goserelin<br />
0141818 ZOLADEX DEPOT 3,6 MG 1 SRG SC 0 0<br />
135,36 100 %<br />
0216841 ZOLADEX LA 10,8 MG 1 SRG SC 0 0<br />
334,56 100 %<br />
L02AE04 triptorelin<br />
0299956 DECAPEPTYL SR 11,25 MG 1 SRG + S 2 ML 0 0<br />
292,87 100 %<br />
0299942 DECAPEPTYL SR 3,75 MG 1 SRG + S 2 ML 0 0<br />
134,02 100 %<br />
L02BA01 tamoxifen<br />
0217768 NOLVADEX 10 MG 98 CPR 0 0<br />
23,16 100 %<br />
0217771 NOLVADEX D 20 MG 56 CPR 0 0<br />
28,06 100 %<br />
0172604 TAMIZAM 20 MG 60 CPR 0 0<br />
32,88 100 %<br />
0209508 TAMIZAM 20 MG 90 CPR 0 0<br />
43,36 100 %<br />
L02BA02 toremifene<br />
0257214 FARESTON 60 MG 100 CPR 0 0<br />
86,48 100 %<br />
L02BA03 fulvestrant<br />
0368325 FASLODEX 250 MG 1 SRG 5 ML IM 0 0<br />
449,05 100 %<br />
L02BB01 flutamide<br />
0290835 EULEXIN 250 MG 84 CPR 0 0<br />
59,17 100 %<br />
0325006 FLUTAMIDE EG 250 MG 100 CPR 0 0<br />
68,78 100 %<br />
0242354 FLUTAPLEX 250 MG 100 CPR 0 0<br />
68,78 100 %<br />
0242368 FLUTAPLEX 250 MG 200 CPR 0 0<br />
105,41 100 %<br />
L02BB03 bicalutamide<br />
0461333 BICALUTAMID RATIO 50 MG 30 CPR 0 0<br />
94,53 100 %<br />
0461364 BICALUTAMID RATIO 50 MG 90 CPR 0 0<br />
255,90 100 %<br />
0466102 BICALUTAMIDE TEVA 50 MG 28 CPR 0 0<br />
106,97 100 %<br />
0466151 BICALUTAMIDE TEVA 50 MG 56 CPR 0 0<br />
165,45 100 %<br />
0329751 CASODEX 150 MG 28 CPR 0 0<br />
260,40 100 %<br />
0216211 CASODEX 50 MG 28 CPR 0 0<br />
108,67 100 %<br />
L02BG03 anastrozole<br />
0215151 ARIMIDEX 1 MG 28 CPR 0 0<br />
122,89 100 %<br />
0330927 ARIMIDEX 1 MG 84 CPR 0 0<br />
282,54 100 %<br />
L02BG04 letrozole<br />
0231351 FEMARA 2,5 MG 100 CPR 0 0<br />
519,51 100 %<br />
0231347 FEMARA 2,5 MG 30 CPR 0 0<br />
169,89 100 %<br />
L02BG06 exemestane<br />
0271485 AROMASIN 25 MG 30 CPR 0 0<br />
131,06 100 %<br />
L03AA02 filgrastim<br />
0169031 NEUPOGEN 30 MIO U 5 AMP 1 ML IVSC 0 0<br />
422,29 100 %<br />
0314372 NEUPOGEN 30 MIO U 5 SRG PREREMPL 0,5 ML 0 0<br />
422,29 100 %<br />
0314386 NEUPOGEN 48 MIO U 5 SRG PREREMPL 0,5 ML 0 0<br />
591,05 100 %<br />
L03AA10 lenograstim<br />
0246417 GRANOCYTE 33,6 MIO U PDR 5 FL+SRG 1 ML 0 0<br />
431,51 100 %<br />
L03AA13 pegfilgrastim<br />
Page 51 of 85
Change language