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 T<strong>au</strong>x délivrance prescription 0449079 FLUCONAZOLE EG 50 MG 10 CAPS RR 0 0 6,99 12,88 0 0460112 FLUCONAZOLE REDIBAG 100 MG 10 FL 50 ML RR HC 0 0 5,54 0,00 0 0460143 FLUCONAZOLE REDIBAG 200 MG 10 FL 100 ML RR HC 0 0 11,09 0,00 0 0460161 FLUCONAZOLE REDIBAG 400 MG 10 FL 200 ML RR HC 0 0 22,17 0,00 0 0438661 FLUCONAZOLE TEVA 150 MG 1 CAPS RR 0 0 2,53 5,78 80 0531276 FLUCONAZOLE TEVA 2 MG/ML 1 PO 100 ML IV RR HC 0 0 10,31 0,00 0 0531312 FLUCONAZOLE TEVA 2 MG/ML 1 PO 200 ML IV RR HC 0 0 20,61 0,00 0 0531293 FLUCONAZOLE TEVA 2 MG/ML 10 PO 100 ML IV RR HC 0 0 88,10 0,00 0 0531309 FLUCONAZOLE TEVA 2 MG/ML 10 PO 200 ML IV RR HC 0 0 176,10 0,00 0 0438576 FLUCONAZOLE TEVA 50 MG 10 CAPS RR 0 0 9,20 19,39 80 J02AC02 itraconazole 0422609 ITRACONAZOL RATIO 100 MG 14 CAPS RR 0 0 0,00 19,50 0 0422612 ITRACONAZOL RATIO 100 MG 15 CAPS RR 0 0 0,00 19,50 0 0422643 ITRACONAZOL RATIO 100 MG 28 CAPS RR 0 0 0,00 20,96 0 0422657 ITRACONAZOL RATIO 100 MG 30 CAPS RR 0 0 0,00 20,96 0 0431365 ITRACONAZOLE EG 100 MG 15 CAPS RR 0 0 9,01 15,40 80 0431396 ITRACONAZOLE EG 100 MG 28 CAPS RR 0 0 13,87 21,46 80 0431317 ITRACONAZOLE EG 100 MG 4 CAPS RR 0 0 2,70 7,54 80 0431429 ITRACONAZOLE EG 100 MG 60 CAPS RR 0 0 38,37 48,67 80 0246899 SPORANOX 1% SOL 150 ML 87572 RR 0 0 41,51 52,13 80 0151229 SPORANOX 100 MG 15 CAPS 52083 RR 0 0 9,01 15,40 80 0225532 SPORANOX 100 MG 28 CAPS 87578 RR 0 0 13,87 21,46 80 0151201 SPORANOX 100 MG 4 CAPS 52082 RR 0 0 2,70 7,54 80 0239671 SPORANOX 100 MG 60 CAPS RR 0 0 38,37 48,67 80 0606637 SPOZOLE 100 MG 15 CAPS RR 0 0 7,96 14,10 80 0606641 SPOZOLE 100 MG 28 CAPS RR 0 0 13,20 20,63 80 0606623 SPOZOLE 100 MG 4 CAPS RR 0 0 2,66 7,49 80 0606654 SPOZOLE 100 MG 60 CAPS RR 0 0 35,51 45,52 80 J02AC03 voriconazole 0318029 VFEND 10 MG/ML 1 FL V PERF RR HC 0 0 147,70 0,00 0 0318001 VFEND 200 MG 30 CPR RR DC 0 0 1.192,43 0,00 0 0317942 VFEND 200 MG 30 CPR BLIST RR DC 0 0 1.192,43 0,00 0 0317956 VFEND 200 MG 50 CPR BLIST RR DC 0 0 1.987,39 0,00 0 0365564 VFEND 40 MG/ML PDR 1 FL 45 G RR DC 0 0 637,00 0,00 0 0317827 VFEND 50 MG 30 CPR BLIST RR DC 0 0 341,26 0,00 0 0317831 VFEND 50 MG 50 CPR BLIST RR DC 0 0 621,05 0,00 0 J02AC04 posaconazole 0416825 NOXAFIL 40 MG/ML SUSP 105 ML RR DC 0 0 631,00 0,00 0 J02AX04 caspofungin 0350061 CANCIDAS 50 MG PDR 1 FL 10 ML + 1 SDT RR HC 0 0 477,99 0,00 0 0350074 CANCIDAS 50 MG PDR 1 FL 10 ML PERF RR HC 0 0 456,49 0,00 0 0350088 CANCIDAS 70 MG PDR 1 FL 10 ML PERF RR HC 0 0 580,64 0,00 0 Page 116 of 230
Numéro national Dénomination abrégée mode de conditions de OD RMP PCC Prix ex-usine Prix public T<strong>au</strong>x délivrance prescription J02AX06 anidulafungin 0467354 ECALTA 100 MG PERF 1 FL + S 30 ML IV RR HC 0 0 404,96 0,00 0 J04AB02 rifampicin 0099745 RIFADINE 150 MG 100 CAPS RR 0 0 22,39 31,06 100 0201091 RIFADINE 300 MG 50 CAPS RR 0 0 22,39 31,06 100 J04AB03 rifamycin 0099857 RIFOCINE 500 MG 2 AMP 10 ML IV RR 0 0 3,70 8,78 100 J04AB04 rifabutin 0225899 MYCOBUTIN 150 MG 100 CAPS RR 0 0 207,86 229,19 100 J04AC01 isoniazid 0358461 NICOTIBINE 300 MG 30 CAPS R 0 0 3,62 8,57 100 J04AK01 pyrazinamide 0113729 TEBRAZID 500 MG 100 CPR RR 0 0 9,17 15,43 100 J04AK02 ethambutol 0074861 MYAMBUTOL 400 MG 100 CPR RR 0 0 21,38 29,94 100 J05AB01 aciclovir 0301438 ACICLOVIR EG 200 MG 25 CPR R 0 0 11,20 18,14 80 0459965 ACICLOVIR EG 250 MG PDR 10 FL IV RR H 0 0 59,50 0,00 0 0459948 ACICLOVIR EG 500 MG PDR 10 FL IV RR H 0 0 119,00 0,00 0 0301469 ACICLOVIR EG 800 MG 35 CPR R 0 0 58,30 70,61 80 0536109 ACICLOVIR HOSPIRA 1 G 1 FL 40 ML PERF RR H 0 0 29,59 0,00 0 0536076 ACICLOVIR HOSPIRA 250 MG 5 FL 10 ML PERF RR H 0 0 36,99 0,00 0 0536093 ACICLOVIR HOSPIRA 500 MG 5 FL 20 ML PERF RR H 0 0 73,99 0,00 0 0298878 ACICLOVIR MYLAN 200 MG 25 CPR R 0 0 6,31 12,04 80 0298881 ACICLOVIR MYLAN 800 MG 35 CPR R 0 0 13,94 21,55 80 0539517 ACICLOVIR RATIO 800 MG 35 CPR R 0 0 12,37 22,04 80 0217642 ACICLOVIR VON CT 200 MG 25 CPR R 0 0 0,00 11,54 80 0217673 ACICLOVIR VON CT 800 MG 35 CPR R 0 0 0,00 22,47 80 0444431 ZOVIRAX 200 MG 25 CPR R 0 0 13,39 20,87 80 0131260 ZOVIRAX 250 MG PDR 5 FL PERF/IV RR H 0 0 23,80 0,00 0 0190731 ZOVIRAX 400 MG/5 ML SIR 100 ML R 0 0 14,34 22,05 80 0444444 ZOVIRAX 800 MG 35 CPR R 0 0 58,89 71,26 80 J05AB04 ribavirin 0336612 COPEGUS 200 MG 168 CPR RR C 0 0 588,61 632,75 100 0445925 COPEGUS 400 MG 56 CPR RR C 0 0 389,53 421,75 100 0264544 REBETOL 200 MG 140 CAPS RR C 0 0 512,42 555,04 100 0264558 REBETOL 200 MG 168 CAPS RR C 0 0 501,32 540,23 100 0264531 REBETOL 200 MG 84 CAPS RR C 0 0 307,44 336,78 100 0186076 VIRAZOLE PDR 6 G 3 FL INH RR HC 0 0 589,59 0,00 0 Page 117 of 230
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Liste des médicaments commercialisés au Luxembourg - CNS

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