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 0437193 BARACLUDE 1 MG 30 CPR RR C 0 0 459,55 495,96 100 J05AG Non-nucleoside reverse transcriptase inhibitors 0634998 EDURANT 25 MG 30 CPR (FL) RR C 0 0 234,18 257,10 0 J05AG01 nevirapine 0627914 VIRAMUNE 100 MG 90 CPR RR C 0 0 175,86 195,17 100 0547987 VIRAMUNE 200 MG 14 CPR RR C 0 0 54,69 66,63 100 0247154 VIRAMUNE 200 MG 60 CPR RR C 0 0 234,38 257,31 100 0627931 VIRAMUNE 400 MG 30 CPR RR C 0 0 234,38 257,19 100 0265152 VIRAMUNE 50 MG/5 ML SIR 240 ML RR C 0 0 46,91 58,06 100 J05AG03 efavirenz 0266597 STOCRIN 100 MG 30 CAPS RR C 0 0 43,38 54,61 100 0517067 STOCRIN 200 MG 90 CPR RR C 0 0 234,18 257,10 100 0266583 STOCRIN 50 MG 30 CAPS RR C 0 0 21,69 31,75 100 0333591 STOCRIN 600 MG 30 CPR (FL) RR C 0 0 234,18 257,10 100 J05AG04 etravirine 0488341 INTELENCE 100 MG 120 CPR RR C 0 0 387,52 419,61 100 0635009 INTELENCE 200 MG 60 CPR (FL) RR C 0 0 387,52 419,61 0 J05AH01 zanamivir 0268218 RELENZA 5 MG 5 RTD + 5 DISKHALER RR 0 0 17,01 27,41 0 J05AH02 oseltamivir 0467192 TAMIFLU 30 MG 10 CAPS RR 0 0 9,10 15,63 0 0467208 TAMIFLU 45 MG 10 CAPS RR 0 0 18,20 28,66 0 0320562 TAMIFLU 75 MG 10 CAPS RR 0 0 18,20 28,66 0 J05AR01 zidovudine and lamivudine 0252753 COMBIVIR 150 MG 60 CPR BLIST RR C 0 0 354,92 385,06 100 J05AR02 lamivudine and abacavir 0391824 KIVEXA 600/300 MG 30 CPR RR C 0 0 366,84 397,70 0 0391838 KIVEXA 600/300 MG 30 CPR BLIST RR C 0 0 366,84 397,52 100 J05AR03 tenofovir disoproxil and emtricitabine 0396624 TRUVADA 200/245 MG 30 CPR RR C 0 0 513,30 552,93 100 J05AR04 zidovudine, lamivudine and abacavir 0293935 TRIZIVIR 60 CPR BLIST RR C 0 0 615,09 660,81 100 J05AR06 emtricitabine, tenofovir disoproxil and efavirenz 0476353 J05AR08 ATRIPLA 30 CPR RR C 0 0 776,09 831,28 100 0635365 EVIPLERA 25/200/245 MG 30 CPR (FL) RR C 0 0 760,31 814,72 100 J05AX05 inosine pranobex Page 120 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 0059798 ISOPRINOSINE 500 MG 40 CPR R 0 0 10,25 16,96 80 J05AX07 enfuvirtide 0347714 FUZEON 90 MG/ML PDR 60 FL + S + 60 SRG RR C 0 0 1.650,00 1.757,68 100 J05AX08 raltegravir 0472676 ISENTRESS 400 MG 60 CPR RR C 0 0 720,90 772,96 100 J05AX09 maraviroc 0467113 CELSENTRI 150 MG 60 CPR RR C 0 0 840,00 899,18 100 0467161 CELSENTRI 300 MG 60 CPR RR C 0 0 840,00 899,18 100 J06BA01 immunoglobulins, normal human, for extravascular adm. 0624036 HIZENTRA 200 MG/ML 1 FL 10 ML SC RR DC 0 0 84,08 0,00 0 0624103 HIZENTRA 200 MG/ML 1 FL 20 ML SC RR DC 0 0 168,16 0,00 0 0624005 HIZENTRA 200 MG/ML 1 FL 5 ML SC RR DC 0 0 42,04 0,00 0 0482803 VIVAGLOBIN 16% 1 FL 10 ML SC RR DC 0 0 61,46 0,00 0 J06BA02 immunoglobulins, normal human, for intravascular adm. 0340954 MULTIGAM 1 AMP 20 ML IVIT RR H 0 0 35,05 0,00 0 0341562 MULTIGAM 1 FL 100 ML IVIT RR H 0 0 171,05 0,00 0 0340968 MULTIGAM 1 FL 50 ML IVIT RR H 0 0 85,82 0,00 0 0485688 PRIVIGEN 100 MG/ML 1 FL 100 ML IV RR H 0 0 420,40 0,00 0 0485691 PRIVIGEN 100 MG/ML 1 FL 200 ML IV RR H 0 0 840,80 0,00 0 0525394 PRIVIGEN 100 MG/ML 1 FL 25 ML IV RR H 0 0 105,10 0,00 0 0485674 PRIVIGEN 100 MG/ML 1 FL 50 ML IV RR H 0 0 210,20 0,00 0 J06BB01 anti-D (rh) immunoglobulin 0268771 RHOGAM ULTRA FILTERED 300 MCG 1FL 1ML IM RR 0 0 31,48 40,90 80 J06BB09 cytomegalovirus immunoglobulin 0214315 IVEGAM CMV 1 AMP 10 ML IV RR H 0 0 79,55 0,00 0 0214329 IVEGAM CMV 1 AMP 20 ML IV RR H 0 0 169,51 0,00 0 0214332 IVEGAM CMV 1 FL 50 ML IV RR H 0 0 429,65 0,00 0 J06BB16 palivizumab 0268526 SYNAGIS 100 MG PDR 1 FL + S 1 ML IM RR DC 0 0 905,00 0,00 0 0268512 SYNAGIS 50 MG PDR 1 FL + S 1 ML IM RR DC 0 0 545,00 0,00 0 J07AE01 cholera, inactivated, whole cell 0375283 DUKORAL 2 SACH 5,6 G + 2 FL V R 0 0 27,53 38,27 0 J07AG01 hemophilus influenzae B, purified antigen conjugated 0182984 ACT HIB 1 FL 1 D+S 0,5 ML IM R 0 0 14,57 22,22 0 0234058 HIBERIX 1 FL UD + S 0,5 ML IM R 0 0 0,00 18,40 0 J07AG52 hemophilus influenzae B, combinations with pertussis and toxoids 0253456 INFANRIX HIB 1 FL 1 D + SRG IM R 0 0 18,84 29,32 0 J07AH Meningococcal vaccines Page 121 of 230
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Liste des médicaments commercialisés au Luxembourg - CNS

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