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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 />

N04BA02 levodopa and decarboxylase inhibitor<br />

0094461 PROLOPA 125 MG 100 CAPS 0 0<br />

18,13 100 %<br />

0094508 PROLOPA 250 MG 100 CAPS 0 0<br />

27,59 100 %<br />

0094489 PROLOPA 250 MG 100 CPR SEC 0 0<br />

27,59 100 %<br />

0094475 PROLOPA 250 MG 30 CPR SEC 0 0<br />

12,51 100 %<br />

0235962 PROLOPA DISP 125 MG 100 CPR SEC 0 0<br />

18,13 100 %<br />

0166771 PROLOPA HBS 125 MG 100 CAPS 0 0<br />

18,13 100 %<br />

0105100 SINEMET 25/250 MG 100 CPR 0 0<br />

12,23 100 %<br />

0180752 SINEMET CONTROL 50/200 MG 100 CPR 0 0<br />

14,90 100 %<br />

N04BB01 amantadine<br />

0003873 AMANTAN 100 MG 60 CAPS 0 0<br />

5,23 80 %<br />

0171199 PK MERZ 100FILMTABL 0 0<br />

21,46 100 %<br />

0091215 PK MERZ INFUSIONSLSG 10*500 ML 0 0<br />

177,04 100 %<br />

0218359 PK MERZ INFUSIONSLSG 500 ML 0 0<br />

23,15 100 %<br />

N04BC01 bromocriptine<br />

0086439 PRAVIDEL 10 MG 100 CAPS 0 0<br />

219,40 100 %<br />

0086425 PRAVIDEL 10 MG 30 CAPS 0 0<br />

74,21 100 %<br />

0086442 PRAVIDEL 5 MG 100 CAPS 0 0<br />

107,14 100 %<br />

N04BC02 pergolide<br />

0173727 PERMAX 0,05 MG 30 CPR 0 0<br />

5,01 100 %<br />

0173744 PERMAX 0,25 MG 100 CPR 0 0<br />

31,09 100 %<br />

0173775 PERMAX 1 MG 100 CPR 0 0<br />

80,89 100 %<br />

N04BC04 ropinirole<br />

0229031 REQUIP 0,25 MG 126 CPR 0 0<br />

18,58 100 %<br />

0229108 REQUIP 1 MG 84 CPR 0 0<br />

31,14 100 %<br />

0229559 REQUIP 2 MG 84 CPR 0 0<br />

45,89 100 %<br />

0229111 REQUIP 5 MG 84 CPR 0 0<br />

95,63 100 %<br />

N04BC05 pramipexole<br />

0248196 MIRAPEXIN 0,18 MG 30 CPR 0 0<br />

21,05 100 %<br />

0248215 MIRAPEXIN 0,7 MG 100 CPR 0 0<br />

143,89 100 %<br />

N04BD01 selegiline<br />

0300699 ELDEPRYL 10 MG 30 CPR 0 0<br />

47,11 100 %<br />

0237791 ELDEPRYL 5 MG 60 CPR 0 0<br />

47,11 100 %<br />

N04BD02 rasagiline<br />

0396561 AZILECT 1 MG 28 CPR 0 0<br />

104,60 100 %<br />

N05AA02 levomepromazine<br />

0080712 NOZINAN 100 MG 20 CPR 0 0<br />

6,97 80 %<br />

0080743 NOZINAN 25 MG 20 CPR 0 0<br />

5,40 80 %<br />

0080760 NOZINAN 4% GTTS 30 ML 0 0<br />

5,93 80 %<br />

N05AD01 haloperidol<br />

0051786 HALDOL 10 MG/ML GTTS 30 ML 38114 0 0<br />

17,19 80 %<br />

0051724 HALDOL 2 MG 25 CPR 38109 0 0<br />

6,77 80 %<br />

0051805 HALDOL 2 MG/ML GTTS 15 ML 17449 0 0<br />

5,77 80 %<br />

0051819 HALDOL 2 MG/ML GTTS 30 ML 17454 0 0<br />

6,88 80 %<br />

0051741 HALDOL 20 MG 20 CPR 38112 0 0<br />

22,11 80 %<br />

0051769 HALDOL 5 MG 25 CPR 17455 0 0<br />

10,27 80 %<br />

0051853 HALDOL 5 MG 5 AMP 1 ML IMIV 17448 0 0<br />

7,26 80 %<br />

0051870 HALDOL DEC 100 MG 1 AMP 1 ML 30135 0 0<br />

14,99 80 %<br />

0051898 HALDOL DEC 150 MG 1 AMP 3 ML 22952 0 0<br />

20,39 80 %<br />

0051917 HALDOL DEC 50 MG 1 AMP 1 ML 22951 0 0<br />

10,89 80 %<br />

N05AD03 melperone<br />

0259271 BURONIL 25 MG 50 DRG 0 0<br />

4,71 80 %<br />

N05AD05 pipamperone<br />

0033290 DIPIPERON 4% GTTS 60 ML 17425 0 0<br />

7,97 80 %<br />

0033256 DIPIPERON 40 MG 20 CPR 17421 0 0<br />

5,94 80 %<br />

0033273 DIPIPERON 40 MG 60 CPR 17424 0 0<br />

8,27 80 %<br />

N05AD07 benperidol<br />

0046688 FRENACTIL GTTS 15 ML 17438 0 0<br />

5,70 80 %<br />

0056362 IMPROMEN 0,2% GTTS 30 ML 22890 0 0<br />

8,25 80 %<br />

0056412 IMPROMEN DEC 50 MG 1 AMP 1 ML 34199 0 0<br />

11,92 80 %<br />

N05AE03 sertindole<br />

0237855 SERDOLECT 12 MG 28 CPR 1 1<br />

114,50 80 %<br />

0237869 SERDOLECT 16 MG 28 CPR 1 1<br />

114,50 80 %<br />

Page 65 of 85

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