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 />
L04AB01 etanercept<br />
0443951 ENBREL 25 MG PDR 4 SRG PREREMPL 0,5 ML 0 0<br />
571,16 100 %<br />
0462263 ENBREL 25 MG PDR 4FL+4SRG+20AIG+4ADAPT 0 0<br />
571,16 100 %<br />
0443996 ENBREL 50 MG PDR 4 SRG PREREMPL 1 ML 0 0<br />
1.133,50 100 %<br />
0399979 ENBREL 50 MG PDR 4FL+4SRG+4ADAPT+4AIG SC 0 0<br />
1.139,43 100 %<br />
0440199 ENBREL PED 25 MG 4 SRG PREREMPL 1 ML 0 0<br />
571,16 100 %<br />
L04AB04 adalimumab<br />
0353001 HUMIRA 40 MG 2 SRG 0,8 ML SC 0 0<br />
1.091,84 100 %<br />
0444301 HUMIRA 40 MG 2 STYLOS 0,8 ML + 2 TAMP 0 0<br />
1.091,84 100 %<br />
L04AD01 ciclosporin<br />
0170661 SANDIMMUN 100 MG 50 CAPS 0 0<br />
207,40 100 %<br />
0102238 SANDIMMUN 100 MG/ML GTTS 50 ML 0 0<br />
207,40 100 %<br />
0170644 SANDIMMUN 25 MG 50 CAPS 0 0<br />
62,97 100 %<br />
0306563 SANDIMMUN INF 250 MG 10 AMP 5 ML PERF 0 0<br />
160,44 100 %<br />
0266051 SANDIMMUN OPTORAL 10 MG 100 CAPS 0 0<br />
55,28 100 %<br />
0317164 SANDIMMUN OPTORAL 100 MG 50 CAPS 0 0<br />
239,96 100 %<br />
0317097 SANDIMMUN OPTORAL 25 MG 50 CAPS 0 0<br />
64,81 100 %<br />
0317133 SANDIMMUN OPTORAL 50 MG 50 CAPS 0 0<br />
122,72 100 %<br />
0198131 SANDIMMUN OPTORAL GTTS 50 ML 0 0<br />
239,96 100 %<br />
L04AD02 tacrolimus<br />
0477719 ADVAGRAF 0,5 MG 50 CAPS 0 0<br />
89,88 100 %<br />
0477767 ADVAGRAF 1 MG 100 CAPS 0 0<br />
262,09 100 %<br />
0477784 ADVAGRAF 5 MG 50 CAPS 0 0<br />
607,81 100 %<br />
0308912 PROGRAFT 0,5 MG 50 CAPS 0 0<br />
89,88 100 %<br />
0250504 PROGRAFT 1 MG 50 CAPS 0 0<br />
134,54 100 %<br />
0250535 PROGRAFT 5 MG 50 CAPS 0 0<br />
604,33 100 %<br />
L04AX01 azathioprine<br />
0056443 IMURAN 50 MG 100 CPR 0 0<br />
32,24 100 %<br />
0168114 IMURAN MITIS 25 MG 100 CPR 0 0<br />
20,98 100 %<br />
M01AB01 indometacin<br />
0034530 DOLCIDIUM 100 MG 12 SUPP 0 0<br />
7,93 80 %<br />
0034544 DOLCIDIUM GE 50 MG 12 SUPP 0 0<br />
6,56 80 %<br />
0056684 INDOCID 100 MG 12 SUPP 0 0<br />
2,53 80 %<br />
0056653 INDOCID 25 MG 100 CAPS 0 0<br />
4,66 80 %<br />
0056605 INDOCID 50 MG 30 CAPS 0 0<br />
2,81 80 %<br />
0056703 INDOCID RET 75 MG 30 CAPS 0 0<br />
4,26 80 %<br />
0056717 INDOCID RET 75 MG 50 CAPS 0 0<br />
5,72 80 %<br />
0185911 INDOMET RATIO 100 MG 10 SUPP 0 0<br />
4,17 80 %<br />
0185924 INDOMET RATIO 100 MG 50 SUPP 0 0<br />
18,24 80 %<br />
0056877 INDOMET RATIO 25 MG 100 CAPS 0 0<br />
6,95 80 %<br />
0056846 INDOMET RATIO 25 MG 20 CAPS 0 0<br />
2,03 80 %<br />
0056863 INDOMET RATIO 25 MG 50 CAPS 0 0<br />
4,68 80 %<br />
0056913 INDOMET RATIO 50 MG 100 CAPS 0 0<br />
9,80 80 %<br />
0056880 INDOMET RATIO 50 MG 20 CAPS 0 0<br />
2,36 80 %<br />
0056894 INDOMET RATIO 50 MG 50 CAPS 0 0<br />
5,30 80 %<br />
0056927 INDOMET RATIO RET 75 MG 20 CAPS RET 0 0<br />
4,50 80 %<br />
0056930 INDOMET RATIO RET 75 MG 50 CAPS RET 0 0<br />
9,09 80 %<br />
M01AB05 diclofenac<br />
0154525 CATAFLAM 50 MG 30 DRG 0 0<br />
10,28 80 %<br />
0031895 DICLAC 100 MG 10 SUPP 0 0<br />
3,47 80 %<br />
0031928 DICLAC 25 MG 100 CPR 0 0<br />
5,45 80 %<br />
0162365 DICLAC 25 MG 20 CPR 0 0<br />
1,49 80 %<br />
0031914 DICLAC 25 MG 50 CPR 0 0<br />
2,98 80 %<br />
0031959 DICLAC 50 MG 10 SUPP 0 0<br />
1,93 80 %<br />
0031945 DICLAC 50 MG 100 CPR 0 0<br />
9,11 80 %<br />
0162379 DICLAC 50 MG 20 CPR 0 0<br />
1,86 80 %<br />
0208335 DICLAC 50 MG 30 SUPP 0 0<br />
4,88 80 %<br />
0031931 DICLAC 50 MG 50 CPR 0 0<br />
4,88 80 %<br />
0031878 DICLAC 75 MG 1 AMP 3 ML IM 0 0<br />
0,77 80 %<br />
0031881 DICLAC 75 MG 5 AMP 3 ML IM 0 0<br />
2,93 80 %<br />
0155519 DICLAC RET 100 MG 100 CPR 0 0<br />
14,00 80 %<br />
0155486 DICLAC RET 100 MG 20 CPR 0 0<br />
3,09 80 %<br />
0155505 DICLAC RET 100 MG 50 CPR 0 0<br />
7,50 80 %<br />
0451886 DICLOFENAC EG 100 MG 12 SUPP 0 0<br />
4,00 80 %<br />
0451872 DICLOFENAC EG 100 MG 30 CPR 0 0<br />
10,86 80 %<br />
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