20.11.2012 Views

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

SHOW MORE
SHOW LESS

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 />

0204725 TRIFLUMANN COLLY 5 ML 0 0<br />

19,61 80 %<br />

S01AD03 aciclovir<br />

0131257 ZOVIRAX 3% ONG OPHT 4,5 G 0 0<br />

14,44 80 %<br />

S01AD09 ganciclovir<br />

0435821 VIRGAN 0,15% GEL 5 G 0 0<br />

14,86 80 %<br />

S01AX07 sodium borate<br />

0002523 ALCASOL COLLY 9 ML 0 0<br />

5,62 80 %<br />

S01AX08 hexamidine<br />

0082443 OPHTAMEDINE SOL 10 ML 0 0<br />

5,64 80 %<br />

S01AX13 ciprofloxacin<br />

0197181 CILOXAN 0,3% COLLY 5 ML 0 0<br />

3,96 80 %<br />

S01AX17 lomefloxacin<br />

0221922 OKACIN 0,3% COLLY 5 ML 0 0<br />

6,54 80 %<br />

S01BA01 dexamethasone<br />

0069956 MAXIDEX COLLY 5 ML 0 0<br />

5,36 80 %<br />

0108536 SPERSADEX 0,1% DISP COLLY 0 0<br />

10,28 80 %<br />

S01BA04 prednisolone<br />

0092923 PRED FORTE COLLY 5 ML 0 0<br />

7,73 80 %<br />

0122535 ULTRACORTENOL POM OPHT 5 G 0 0<br />

11,12 80 %<br />

S01BA07 fluorometholone<br />

0408076 FLUACORT 0,1% COLLY 5 ML 0 0<br />

6,65 80 %<br />

0045551 FLUCON 1 MG/ML COLLY 5 ML 0 0<br />

6,66 80 %<br />

0045792 FML LIQUIFILM 0,1% COLLY 5 ML 0 0<br />

6,83 80 %<br />

S01BA13 rimexolone<br />

0247882 VEXOLON 1% COLLY 1 FL CPT-GTTS 5 ML 0 0<br />

7,61 80 %<br />

S01BB Corticosteroids and mydriatics in combination<br />

0038140 EFEMOLINE COLLY 5 ML 0 0<br />

11,12 80 %<br />

S01BC01 indometacin<br />

0286815 INDOCOLLYRE 0,1% SOL 5 ML 0 0<br />

5,67 80 %<br />

S01BC03 diclofenac<br />

0458694 DICLOABAK 0,1% COLLY 10 ML 0 0<br />

9,48 80 %<br />

0187091 VOLTAREN OPHTA SINE COLLY 20*0,3 ML 0 0<br />

24,01 80 %<br />

S01BC05 ketorolac<br />

0238205 ACULARE 0,5% COLLY 10 ML 0 0<br />

8,48 80 %<br />

S01BC09 pranoprofen<br />

0170918 PRANOX 0,1% COLLY 1 FL 5 ML 0 0<br />

7,52 80 %<br />

S01CA01 dexamethasone and antiinfectives<br />

0279807 DEXAGENTA POS 5 MG COLLY 5 ML 0 0<br />

6,80 80 %<br />

0243639 DEXAGRANE COLLY 5 ML 0 0<br />

2,50 80 %<br />

0030934 DEXAMYTREX COLLY 5 ML 555 0 0<br />

7,44 80 %<br />

0030948 DEXAMYTREX POM OPHT 3 G 556 0 0<br />

5,72 80 %<br />

0265698 FRAKIDEX COLLY 1 FL 5 ML 0 0<br />

1,84 80 %<br />

0172814 FRAKIDEX POM 5 G 0 0<br />

1,84 80 %<br />

0070019 MAXITROL COLLY 5 ML 0 0<br />

5,86 80 %<br />

0070022 MAXITROL POM OPHT 3,5 G 0 0<br />

4,36 80 %<br />

0156872 TOBRADEX POM OPH 3,5 G 0 0<br />

4,36 80 %<br />

0156869 TOBRADEX SUSP 5 ML 0 0<br />

6,10 80 %<br />

S01CA02 prednisolone and antiinfectives<br />

0092940 PREDMYCINE P LIQUIFILM 5 ML 0 0<br />

7,08 80 %<br />

S01CA03 hydrocortisone and antiinfectives<br />

0114726 TERRACORTRIL POM OPHT 3,5 G 0 0<br />

6,11 80 %<br />

0114743 TERRACORTRIL SUSP OPHT 5 ML 0 0<br />

6,63 80 %<br />

S01EA02 dipivefrine<br />

0156659 PROPINE 0,1% COLLY 5 ML 0 0<br />

7,34 80 %<br />

S01EA03 apraclonidine<br />

0204899 IOPIDINE 0,5% COLLY 5 ML 0 0<br />

13,25 80 %<br />

S01EA05 brimonidine<br />

0250471 ALPHAGAN 0,2% COLLY 5 ML 0 0<br />

18,55 80 %<br />

S01EB01 pilocarpine<br />

0059929 ISOPTO CARPINE 1% COLLY 15 ML 0 0<br />

1,74 80 %<br />

0059932 ISOPTO CARPINE 2% COLLY 15 ML 0 0<br />

2,38 80 %<br />

Page 81 of 85

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!