Liste des médicaments commercialisés au Luxembourg - CNS

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Numéro national Dénomination abrégée mode de conditions de OD RMP PCC Prix ex-usine Prix public Taux délivrance prescription H01AX01 pegvisomant 0340579 SOMAVERT 10 MG PDR 30 FL + S 8 ML RR DC X 1 5 2.250,00 0,00 0 0340582 SOMAVERT 15 MG PDR 30 FL + S 8 ML RR DC X 1 5 3.375,50 0,00 0 0353207 SOMAVERT 20 MG PDR 1 FL + S 8 ML RR DC X 0 0 4.495,00 0,00 0 0340596 SOMAVERT 20 MG PDR 30 FL + S 8 ML RR DC X 1 5 4.500,00 0,00 0 H01BA02 desmopressin 0459559 DESMOPRESSING FERRING 0,2 MG 100 CPR RR 0 0 66,67 79,55 80 0459531 DESMOPRESSING FERRING 0,2 MG 15 CPR RR 0 0 11,15 19,16 80 0209069 MINIRIN 0,1 MG/ML 1 FL 2,5 ML IN RR 0 0 12,78 20,10 80 0192821 MINIRIN SPRAY 0,1 MG/ML 1 FL 2,5 ML IN RR 0 0 12,59 19,87 80 H01BA04 terlipressin 0188635 GLYPRESSIN 1 MG PDR 5 FL+S 5 ML IV RR H 0 0 93,52 0,00 0 H01BB02 oxytocin 0112735 SYNTOCINON 10 U 100 AMP 1 ML RR H 0 0 88,36 0,00 0 0112718 SYNTOCINON 3 U 100 AMP 1 ML RR H 0 0 31,66 0,00 0 H01BB03 carbetocin 0476174 PABAL 100 MCG 5 AMP 1 ML IV RR HC 0 0 125,00 0,00 0 H01CA Gonadotropin-releasing hormones 0285205 DECAPEPTYL 0,1 MG PDR 7 FL + S SC RR 0 0 30,13 40,95 80 H01CA03 histrelin 0554754 VANTASSE 50 MG 1 IMPLANT + 1 DISPO RR 0 0 1.228,39 1.310,71 100 H01CB02 octreotide 0182824 SANDOSTATIN 100 MCG 5 AMP 1 ML SC RR C 0 0 60,36 75,14 100 0182838 SANDOSTATIN 500 MCG 5 AMP 1 ML SC RR C 0 0 298,75 336,01 100 0246241 SANDOSTATIN LAR 20 MG 1 FL+SRG 2 ML(C) RR C 0 0 1.838,55 1.999,71 100 0246272 SANDOSTATIN LAR 30 MG 1 FL+SRG 2 ML(C) RR C 0 0 2.362,43 2.555,49 100 H01CB03 lanreotide 0340811 SOMATULINE AUTOGEL 120 MG 1 SRG 0,5ML SC RR C 0 0 1.252,24 1.335,93 100 0340792 SOMATULINE AUTOGEL 60 MG 1 SRG 0,3 ML SC RR C 0 0 818,85 876,59 100 0340808 SOMATULINE AUTOGEL 90 MG 1 SRG 0,3 ML SC RR C 0 0 981,26 1.048,73 100 0314467 SOMATULINE PR 40 MG PDR 1 COFFERT 1 FL RR C 0 0 409,41 442,65 100 H01CC01 ganirelix 0282184 ORGALUTRAN 0,25 MG 1 SRG 0,5 ML SC RR C 0 0 37,87 48,92 80 0282198 ORGALUTRAN 0,25 MG 5 SRG 0,5 ML SC RR C 0 0 189,30 204,88 80 H01CC02 cetrorelix 0264981 CETROTIDE 0,25 MG 7 FL + 7 SRG SC RR C 0 0 235,18 252,15 80 0264978 CETROTIDE 0,25 MG PDR 1 FL + SRG SC RR C 0 0 40,90 52,03 80 0264995 CETROTIDE 3 MG PDR 1 FL + SRG SC RR C 0 0 233,70 250,62 0 Page 100 of 230
Numéro national Dénomination abrégée mode de conditions de OD RMP PCC Prix ex-usine Prix public Taux délivrance prescription H02AA02 fludrocortisone 0195772 ASTONIN H 50 CPR R 0 0 24,71 36,14 80 H02AB01 betamethasone 0019873 CELESTONE 0,5 MG 30 CPR RR 0 0 1,13 5,77 80 0019890 CELESTONE 0,5 MG/ML GTTS 30 ML RR 0 0 1,59 6,28 80 0019906 CELESTONE 1 AMP 4 MG 1 ML IMIV RR 0 0 0,76 5,36 80 0019923 CELESTONE CHRONODOSE 1 FL 1 ML IM M.D. RR 0 0 2,79 7,66 80 0230045 DIPROPHOS 2 MG + 5 MG 1 FL 5 ML IMIAID RR 0 0 12,39 21,28 0 0033371 DIPROPHOS DS 2MG+5MG 1 SRG 1 ML IMIAID RR 0 0 2,83 7,70 80 0033385 DIPROPHOS DS 4MG+10MG 1 SRG 2 ML IMIAID RR 0 0 4,42 9,68 80 H02AB02 dexamethasone 0311384 AACIDEXAM 5 MG 1 AMP 1 ML IMIV RR 0 0 1,65 6,34 80 0197391 FORTECORTIN 0,5 MG 20 CPR RR 0 0 1,69 10,93 80 0197411 FORTECORTIN 4 MG 20 CPR RR 0 0 10,51 20,59 80 0235038 FORTECORTIN 8 MG 20 CPR RR 0 0 17,38 28,11 80 0046139 FORTECORTIN INJEKT 100MG 10ML FERTIGSPR RR 0 0 31,30 43,35 80 0046173 FORTECORTIN INJEKT 40 MG 5ML 1 FERTIGSPR RR 0 0 13,39 23,74 80 0046142 FORTECORTIN INJEKT 4MG 3 AMP 1ML RR 0 0 1,48 10,72 80 0046187 FORTECORTIN INJEKT 8 MG 3 AMP 2 ML RR 0 0 2,33 11,63 80 H02AB04 methylprednisolone 0029611 DEPO MEDROL 200 MG 1 AMP 5 ML IMTO RR 0 0 15,19 23,12 80 0029589 DEPO MEDROL 40 MG 1 AMP 1 ML IMTO RR 0 0 4,01 9,16 80 0029639 DEPO MEDROL 40 MG 1 SRG 1 ML IMTO RR 0 0 4,01 9,16 80 0029592 DEPO MEDROL 40 MG 3 AMP 1 ML IMTO RR 0 0 10,76 17,58 80 0029625 DEPO MEDROL 40 MG 3 SRG 1 ML IMTO RR 0 0 10,76 17,58 80 0029608 DEPO MEDROL 80 MG 1 AMP 2 ML IMTO RR 0 0 7,61 13,66 80 0029642 DEPO MEDROL 80 MG 1 SRG 2 ML IMTO RR 0 0 7,61 13,66 80 0029673 DEPO MEDROL LIDO 40 MG 1 FL 1 ML IMTO RR 0 0 4,11 9,30 80 0029690 DEPO MEDROL LIDO 40 MG 3 FL 1 ML IMTO RR 0 0 11,03 17,92 80 0029687 DEPO MEDROL LIDO 80 MG 1 FL 2 ML IMTO RR 0 0 7,80 13,90 80 0070280 MEDROL 32 MG 20 CPR RR 0 0 11,43 18,41 80 0070327 MEDROL 4 MG 100 CPR UD RR 0 0 8,27 0,00 0 0070313 MEDROL 4 MG 30 CPR RR 0 0 2,92 7,82 80 0070330 MEDROL A 16 MG 14 CPR RR 0 0 5,20 10,65 80 0070344 MEDROL A 16 MG 50 CPR RR 0 0 14,84 22,68 80 0070361 MEDROL PACK 4 MG 21 CPR RR 0 0 2,18 6,91 80 0551685 METHYLPREDNISOLONE ORION 16MG 50CPR (FL) RR 0 0 15,42 23,27 0 0106576 SOLUMEDROL 1 G PDR + S 16 ML IV RR 0 0 56,65 68,80 80 0134858 SOLUMEDROL 125 MG 1 MIX 2 ML IMIV RR 0 0 8,71 15,04 80 0106609 SOLUMEDROL 40 MG 1 MIX 1 ML IMIV RR 0 0 3,65 8,73 80 0106612 SOLUMEDROL 40 MG 3 MIX 1 ML IMIV RR 0 0 9,36 15,84 80 0106626 SOLUMEDROL 500 MG PDR 1 FL + S 8 ML IV RR 0 0 31,48 41,07 80 Page 101 of 230
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Liste des médicaments commercialisés au Luxembourg - CNS

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