Liste positive des médicaments valable au 1er avril 2010 ... - CNS

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Numéro national Dénomination abrégée Prise en charge conditionnelle Prix public Taux R03AC13 formoterol 0449485 NOVOLIZER FORMOTEROL 12 MCG 1 CRT 60 D 0 0 32,05 100 % 0232621 OXIS TURBOHALER 4,5 MCG/D 60 D IH 0 0 25,08 100 % 0232635 OXIS TURBOHALER 9 MCG/D 60 D IH 0 0 27,57 100 % R03AK03 fenoterol and other drugs for obstructive airway diseases 0305499 DUOVENT HFA 200 D 10 ML INH 0 0 11,40 100 % 0213187 DUOVENT SOL INH 20 FL UD 0 0 13,49 100 % R03AK04 salbutamol and other drugs for obstructive airway diseases 0306806 COMBIVENT 60 FL UD INH 0 0 26,06 100 % 0250701 COMBIVENT SOL 20 FL UD INH 0 0 12,33 100 % R03AK06 salmeterol and other drugs for obstructive airway diseases 0296291 SERETIDE 25/125 AER 120 D 0 0 47,96 100 % 0296307 SERETIDE 25/250 AER 120 D 0 0 62,74 100 % 0296288 SERETIDE 25/50 AER 120 D 0 0 37,79 100 % 0261041 SERETIDE 50/100 DISKUS 60 D 0 0 37,79 100 % 0261072 SERETIDE 50/250 DISKUS 60 D 0 0 47,96 100 % 0261119 SERETIDE 50/500 DISKUS 60 D 0 0 62,74 100 % R03AK07 formoterol and other drugs for obstructive airway diseases 0472967 INUVAIR 100/6 MCG SOL INH 120 D 0 0 46,49 100 % 0339404 SYMBICORT FORTE TURBO 320/9 MCG 1*60 D 0 0 57,39 100 % 0294672 SYMBICORT TURBOHALER 1*120 D 0 0 57,39 100 % 0294624 SYMBICORT TURBOHALER 1*60 D 0 0 39,90 100 % R03BA01 beclometasone 0286931 QVAR AUTOHALER 100 MCG/D 200D IH 0 0 34,08 100 % 0286927 QVAR AUTOHALER 50 MCG/D 200 D IH 0 0 19,13 100 % R03BA02 budesonide 0398002 NOVOLIZER BUDESONIDE 200MCG/D INH+200 D 0 0 23,23 100 % 0230322 PULMICORT 50 1 MG/ML AER 200 D IH 0 0 12,89 100 % 0162706 PULMICORT SUSP 0,5 MG/ML 20 UD 2 ML 0 0 45,00 100 % 0509552 PULMICORT SUSP 100 MCG/D 120 D 0 0 11,43 100 % 0416243 PULMICORT TURBOHALER 200 MCG PDR 100 D 0 0 16,93 100 % R03BA05 fluticasone 0257035 FLIXOTIDE 250 MCG/D AER SS CFC 120 D 0 0 37,73 100 % 0275632 FLIXOTIDE 50 MCG/D AER SS CFC 120 D 0 0 12,96 100 % 0216811 FLIXOTIDE DISKUS 100 MCG 60 D 0 0 12,96 100 % 0216824 FLIXOTIDE DISKUS 250 MCG 60 D 0 0 23,78 100 % 0216807 FLIXOTIDE DISKUS 50 MCG 60 D 0 0 10,75 100 % 0216838 FLIXOTIDE DISKUS 500 MCG 60 D 0 0 37,73 100 % 0270068 FLIXOTIDE NEBULES 0,5 MG 10 AMP 2 ML INH 0 0 14,61 100 % 0270054 FLIXOTIDE NEBULES 2 MG 10 AMP 2 ML INH 0 0 22,82 100 % R03BB01 ipratropium bromide 0214556 ATROVENT 0,25 MG 20 FL 2 ML UD IH 0 0 9,78 100 % 0306787 ATROVENT 0,25 MG 60 FL UD 2 ML INH 0 0 19,54 100 % 0214573 ATROVENT 0,5 MG 20 FL 2 ML UD IH 0 0 13,23 100 % 0345222 ATROVENT HFA 20 MCG/D AER 10 ML 0 0 10,21 100 % R03BB04 tiotropium bromide 0316041 SPIRIVA 18 MCG 30 CAPS + HANDIHALER 0 0 49,24 100 % R03BC01 cromoglicic acid 0170791 CROMOHEXAL 1% 20 MG 50 AMP 2 ML 0 0 19,36 80 % 0256315 LOMUDAL INHAL CFC-FREE 5MG/D AER 12 ML 0 0 12,39 80 % 0067254 LOMUDAL SOL NEB 48 AMP 2 ML V IH 0 0 13,83 80 % R03CC02 salbutamol 0126288 VENTOLIN 2 MG 100 CPR 0 0 8,09 100 % 0126274 VENTOLIN 2 MG 50 CPR 0 0 3,51 100 % 0126310 VENTOLIN 2 MG/5 ML SIR 150 ML 0 0 6,09 100 % 0126291 VENTOLIN 4 MG 50 CPR 0 0 7,98 100 % 0126338 VENTOLIN 500 MCG 3 AMP 1 ML IMSC 0 0 6,50 100 % R03DA04 theophylline 0115754 THEOLAIR LA 250 MG 100 CPR 0 0 9,54 100 % 0115771 THEOLAIR LA 350 MG 100 CPR 0 0 11,22 100 % 0115964 THEOSTAT 300 MG 30 CPR LP 0 0 3,31 100 % 0160617 XANTHIUM 200 MG 60 CAPS 0 0 7,47 100 % 0182551 XANTHIUM 300 MG 60 CAPS 0 0 8,69 100 % Page 76 of 85
Numéro national Dénomination abrégée Prise en charge conditionnelle Prix public Taux 0160603 XANTHIUM 400 MG 60 CAPS 0 0 9,54 100 % R03DA05 aminophylline 0222382 EUPHYLLIN 200 MG 5 AMP 10 ML IV 0 0 5,25 100 % R03DC01 zafirlukast 0228744 ACCOLATE 20 MG 56 CPR 0 0 25,64 80 % 0251823 RESMA 20 MG 56 CPR 0 0 25,64 80 % R03DC03 montelukast 0246904 SINGULAIR 10 MG 28 CPR 0 0 42,04 80 % 0246918 SINGULAIR 10 MG 56 CPR 0 0 80,95 80 % 0433292 SINGULAIR 4 MG 28 CPR CROQ 0 0 42,04 80 % 0512706 SINGULAIR 4 MG 28 SACH 0 0 42,04 80 % 0246935 SINGULAIR 5 MG 28 CPR CROQ 0 0 42,04 80 % R05CB01 acetylcysteine 0148383 ACC 100 MG 100 SACH 0 0 10,51 40 % 0195108 ACC 100 MG 20 CPR EFF 0 0 2,60 40 % 0197763 ACC 100 MG 20 SACH 0 0 2,60 40 % 0195111 ACC 100 MG 50 CPR EFF 0 0 5,82 40 % 0197777 ACC 100 MG 50 SACH 0 0 5,82 40 % 0204353 ACC 100 MG TABS 20 CPR 0 0 2,43 40 % 0175637 ACC 200 MG 100 CPR EFF 0 0 13,26 40 % 0148402 ACC 200 MG 100 SACH 0 0 13,26 40 % 0195531 ACC 200 MG 20 CPR EFF 0 0 3,76 40 % 0197781 ACC 200 MG 20 SACH 0 0 3,76 40 % 0166915 ACC 200 MG 50 CPR EFF 0 0 7,58 40 % 0197794 ACC 200 MG 50 SACH 0 0 7,58 40 % 0204403 ACC 200 MG TABS 100 CPR 0 0 13,26 40 % 0204384 ACC 200 MG TABS 20 CPR 0 0 3,17 40 % 0204398 ACC 200 MG TABS 50 CPR 0 0 7,21 40 % 0204417 ACC 600 MG TABS 20 CPR 0 0 5,00 40 % 0204421 ACC 600 MG TABS 50 CPR 0 0 11,00 40 % 0208268 ACC AKUT 600 MG 6 CPR EFF 0 0 2,65 40 % 0166977 ACC INJEKT 300 MG 5 AMP 3 ML IMIV 0 0 1,70 80 % 0462599 ACC KINDERSAFT GRAN 20 MG/ML 100 ML 0 0 3,79 40 % 0468379 ACC KINDERSAFT GRAN 20 MG/ML 200 ML 0 0 6,70 40 % 0175668 ACC LONG 600 MG 10 CPR EFF 0 0 3,76 40 % 0197813 ACC LONG 600 MG 100 CPR EFF 0 0 17,53 40 % 0166946 ACC LONG 600 MG 20 CPR EFF 0 0 5,00 40 % 0166963 ACC LONG 600 MG 50 CPR EFF 0 0 11,00 40 % 0136799 ACETYLCYSTEINE EG 200 MG 30 CAPS 0 0 5,93 40 % 0240461 ACETYLCYSTEINE EG 600 MG 30 CPR EFF 0 0 7,08 40 % 0455904 ACETYLCYSTEINE EG 600 MG 60 CPR EFF 0 0 12,73 40 % 0455918 ACETYLCYSTEINE EG 600 MG 60 SACH 0 0 12,73 40 % 0347518 DOCACETYL 600 MG 30 SACH 0 0 8,36 40 % 0173839 EXOMUC 200 MG 30 SACH 0 0 4,35 40 % 0068637 LYSOMUCIL 200 MG 30 CAPS 0 0 7,95 40 % 0068623 LYSOMUCIL 200 MG 30 CPR EFF 0 0 5,86 40 % 0068654 LYSOMUCIL 300 MG 20 AMP 3 ML IMIVIH 0 0 8,74 80 % 0378013 LYSOMUCIL 4% SOL BUV 150 ML 0 0 6,64 40 % 0277591 LYSOMUCIL 600 MG 14 CPR EFF 0 0 7,86 40 % 0265586 LYSOMUCIL 600 MG 14 SACH 0 0 7,86 40 % 0187686 LYSOMUCIL 600 MG 30 CPR EFF 0 0 11,09 40 % 0265605 LYSOMUCIL 600 MG 30 SACH 0 0 10,37 40 % 0235993 LYSOMUCIL GRAN 200 MG 30 SACH 0 0 7,38 40 % 0305227 LYSOMUCIL JR 2% SIR 150 ML 0 0 6,40 40 % 0296162 LYSOX 2% SIR 180 ML 0 0 6,99 40 % 0187008 LYSOX 200 MG 30 SACH 0 0 7,09 40 % 0188019 LYSOX 200 MG/15 G SOL 30 FL 0 0 7,95 40 % 0222169 LYSOX 400 MG 30 SACH 0 0 9,11 40 % 0251001 LYSOX 600 MG 30 SACH 0 0 11,22 40 % 0230613 LYSOX JR 100 MG 30 SACH 0 0 4,90 40 % 0193568 NAC RATIO 200 MG 20 BRAUSETABL 0 0 3,88 40 % 0193523 NAC RATIO 200 MG 20 SACH 2 G 0 0 3,88 40 % 0190888 NAC RATIO 200 MG 20 TRINKTABL 0 0 3,88 40 % 0206571 NAC RATIO 200 MG 30 SACH 0 0 6,35 40 % 0193571 NAC RATIO 200 MG 50 BRAUSETABL 0 0 7,81 40 % 0193537 NAC RATIO 200 MG 50 SACH 0 0 7,81 40 % Page 77 of 85
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Liste positive des médicaments valable au 1er avril 2010 ... - CNS

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