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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 />

0217592 KAPANOL 100 MG 20 CAPS UD 0 0<br />

34,32 80 %<br />

0217575 KAPANOL 20 MG 20 CAPS UD 1 11<br />

10,00 80 %<br />

0217589 KAPANOL 50 MG 20 CAPS UD 1 11<br />

22,49 80 %<br />

0249789 MS CONTIN 10 MG 30 CPR 0 0<br />

8,25 80 %<br />

0249811 MS CONTIN 100 MG 30 CPR 0 0<br />

48,34 80 %<br />

0204675 MS CONTIN 200 MG 14 CPR 0 0<br />

39,82 80 %<br />

0249792 MS CONTIN 30 MG 30 CPR 1 11<br />

20,09 80 %<br />

0073928 MS CONTIN 30 MG 56 CPR 1 11<br />

30,19 80 %<br />

0249808 MS CONTIN 60 MG 30 CPR 1 11<br />

33,87 80 %<br />

0073945 MS CONTIN 60 MG 56 CPR 1 11<br />

50,34 80 %<br />

0270376 MS DIRECT 10 MG 56 CPR 0 0<br />

12,50 80 %<br />

0210266 STELLORPHINE SINE CONSERV 10 MG 10 AMP 0 0<br />

7,44 80 %<br />

N02AA03 hydromorphone<br />

0366222 PALLADONE IR 1,3 MG 28 CAPS 0 0<br />

9,30 80 %<br />

0366271 PALLADONE IR 2,6 MG 28 CAPS 0 0<br />

18,60 80 %<br />

0334893 PALLADONE SR 16 MG 30 CAPS 0 0<br />

70,02 80 %<br />

0334912 PALLADONE SR 24 MG 30 CAPS 0 0<br />

86,46 80 %<br />

0334845 PALLADONE SR 4 MG 30 CAPS 0 0<br />

25,65 80 %<br />

0334862 PALLADONE SR 8 MG 30 CAPS 0 0<br />

41,39 80 %<br />

N02AA05 oxycodone<br />

0354302 OXYCONTIN 10 MG 30 CPR 0 0<br />

18,27 80 %<br />

0354395 OXYCONTIN 20 MG 30 CPR 0 0<br />

31,01 80 %<br />

0354476 OXYCONTIN 40 MG 30 CPR 0 0<br />

49,89 80 %<br />

0415554 OXYCONTIN 5 MG 30 CPR 0 0<br />

10,97 80 %<br />

0354574 OXYCONTIN 80 MG 30 CPR 0 0<br />

82,02 80 %<br />

0495721 OXYNORM INSTANT 10 MG 28 CPR ORODISP 0 0<br />

15,01 80 %<br />

0495667 OXYNORM INSTANT 20 MG 28 CPR ORODISP 0 0<br />

28,04 80 %<br />

0495698 OXYNORM INSTANT 5 MG 28 CPR ORODISP 0 0<br />

7,50 80 %<br />

N02AA59 codeine, combinations excl. psycholeptics<br />

0211439 ALGISEDAL 16 CPR 0 0<br />

2,48 80 %<br />

0281089 COMBAREN 20 CPR 0 0<br />

19,55 80 %<br />

0277072 DAFALGAN CODEINE 30 CPR 0 0<br />

5,91 80 %<br />

0138485 DAFALGAN CODEINE 32 CPR EFF 0 0<br />

7,53 80 %<br />

0299147 DOCPARACOD 500 MG/30 MG 30 CPR 0 0<br />

4,88 80 %<br />

0364603 DOLVIRAN N 20 CPR 0 0<br />

14,53 40 %<br />

0076186 NEDOLON P 20 CPR 0 0<br />

4,02 80 %<br />

0185759 PANADOL CODEINE 20 CPR 0 0<br />

4,12 80 %<br />

0282959 PERDOLAN CODEINE 20 CAPS 96141 0 0<br />

3,94 80 %<br />

0266003 TALVOSILEN FORTE 10 SUPP 0 0<br />

3,68 80 %<br />

N02AB02 pethidine<br />

0034429 DOLANTINE 100 MG 5 AMP 2 ML IMIVSC 0 0<br />

5,81 80 %<br />

N02AB03 fentanyl<br />

0227943 DUROGESIC 100 MCG/H (16,8 MG) 5 PATCH 0 0<br />

71,93 80 %<br />

0409798 DUROGESIC 12 MCG/H (2,1 MG) 5 PATCH 0 0<br />

19,60 80 %<br />

0227909 DUROGESIC 25 MCG/H (4,2 MG) 5 PATCH 0 0<br />

25,01 80 %<br />

0227912 DUROGESIC 50 MCG/H (8,4 MG) 5 PATCH 0 0<br />

42,38 80 %<br />

0227926 DUROGESIC 75 MCG/H (12,6 MG) 5 PATCH 0 0<br />

57,97 80 %<br />

0472337 MATRIFEN 100 (11 MG) 5 PATCH 0 0<br />

71,93 80 %<br />

0477204 MATRIFEN 12 (1,38 MG) 2 PATCH 0 0<br />

10,21 80 %<br />

0472113 MATRIFEN 12 (1,38 MG) 5 PATCH 0 0<br />

19,46 80 %<br />

0477235 MATRIFEN 25 (2,75 MG) 2 PATCH 0 0<br />

12,53 80 %<br />

0472161 MATRIFEN 25 (2,75 MG) 5 PATCH 0 0<br />

25,01 80 %<br />

0472211 MATRIFEN 50 (5,5 MG) 5 PATCH 0 0<br />

42,38 80 %<br />

0472273 MATRIFEN 75 (8,25 MG) 5 PATCH 0 0<br />

57,97 80 %<br />

N02AC03 piritramide<br />

0033239 DIPIDOLOR 20 MG 5 AMP 2 ML IMSC 0 0<br />

6,55 80 %<br />

N02AC04 dextropropoxyphene<br />

0029978 DEPRONAL LA 150 MG 30 CAPS 0 0<br />

7,15 80 %<br />

N02AC54 dextropropoxyphene, comb. excl. psycholeptics<br />

0298671 ALGOPHENE 30/400 MG 30 CAPS 0 0<br />

6,10 80 %<br />

N02AD01 pentazocine<br />

0045985 FORTAL 30 MG 10 AMP 1 ML IMIVSC 0 0<br />

9,05 80 %<br />

0045968 FORTAL 50 MG 100 CPR 0 0<br />

15,31 80 %<br />

0045954 FORTAL 50 MG 30 CPR 0 0<br />

8,27 80 %<br />

Page 59 of 85

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