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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<br />

délivrance prescription<br />

L01AD05 fotemustine<br />

0198709 MUPHORAN 200 MG PDR 1 FL + S 4 ML IV RR H<br />

0 0 425,05 0,00 0<br />

L01AX03 temozolomide<br />

0512138 TEMODAL 100 MG 5 CAPS UD RR C<br />

0 0 240,66 263,97 100<br />

0512155 TEMODAL 140 MG 5 CAPS UD RR C<br />

0 0 331,80 360,56 100<br />

0512172 TEMODAL 180 MG 5 CAPS UD RR C<br />

0 0 420,26 454,31 100<br />

0512091 TEMODAL 2,5 MG/0,1 ML PDR 1 FL G IV RR HC<br />

0 0 281,98 0,00 0<br />

0512124 TEMODAL 20 MG 20 CAPS UD RR C<br />

0 0 214,36 236,09 100<br />

0512111 TEMODAL 20 MG 5 CAPS UD RR C<br />

0 0 53,59 65,43 100<br />

0512205 TEMODAL 250 MG 5 CAPS UD RR C<br />

0 0 567,55 610,43 100<br />

0524576 TEMODAL 5 MG 20 CAPS UD RR C<br />

0 0 56,96 69,13 100<br />

0524562 TEMODAL 5 MG 5 CAPS UD RR C<br />

0 0 14,24 21,93 100<br />

0568411 TEMOZOLOMIDE SANDOZ 100 MG 5 CAPS (FL) RR C<br />

0 0 383,12 414,78 0<br />

0568407 TEMOZOLOMIDE SANDOZ 20 MG 20 CAPS (FL) RR C<br />

0 0 323,83 351,94 0<br />

0568391 TEMOZOLOMIDE SANDOZ 20 MG 5 CAPS (FL) RR C<br />

0 0 80,96 94,53 0<br />

0568472 TEMOZOLOMIDE SANDOZ 250 MG 5 CAPS (FL) RR C<br />

0 0 903,53 966,33 0<br />

0568388 TEMOZOLOMIDE SANDOZ 5 MG 20 CAPS (FL) RR C<br />

0 0 85,31 99,14 0<br />

0568374 TEMOZOLOMIDE SANDOZ 5 MG 5 CAPS (FL) RR C<br />

0 0 21,33 29,71 0<br />

L01BA01 methotrexate<br />

0501067 EMTHEXATE 1000 MG 1 FL 40 ML RR H<br />

0 0 82,68 0,00 0<br />

0500946 EMTHEXATE 5 MG 1 FL 2 ML RR<br />

0 0 1,38 6,03 0<br />

0500963 EMTHEXATE 5 MG 10 FL 2 ML RR<br />

0 0 13,74 21,30 0<br />

0501019 EMTHEXATE 50 MG 1 FL 2 ML RR H<br />

0 0 7,25 0,00 0<br />

0501036 EMTHEXATE 500 MG 1 FL 20 ML RR H<br />

0 0 45,92 0,00 0<br />

0500994 EMTHEXATE 5000 MG 1 FL 50 ML RR H<br />

0 0 358,06 0,00 0<br />

0341643 LEDERTREXATE 2,5 MG 30 CPR RR<br />

0 0 2,76 7,61 100<br />

0283102 LEDERTREXATE 5 MG 1 FL 2 ML RR C<br />

0 0 1,97 6,69 100<br />

0216953 LEDERTREXATE CONC 1 G 1 FL 10 ML RR HC<br />

0 0 83,13 0,00 0<br />

0216967 LEDERTREXATE CONC 5 G 1 FL 50 ML RR HC<br />

0 0 374,10 0,00 0<br />

L01BA03 raltitrexed<br />

0230031 TOMUDEX 2 MG PDR 3 FL PERF RR HC<br />

0 0 279,55 0,00 0<br />

L01BA04 pemetrexed<br />

0386466 ALIMTA 500 MG PDR 1 FL PERF RR HC<br />

0 0 1.253,39 0,00 0<br />

L01BB02 mercaptopurine<br />

0095679 PURI NETHOL 25 CPR RR C<br />

0 0 7,24 13,09 100<br />

L01BB04 cladribine<br />

0222348 LEUSTATIN 10 MG 7 FL 10 ML PERF RR HC<br />

0 0 2.160,39 0,00 0<br />

0369708 LITAK 10 MG 1 FL 5 ML SC RR H<br />

X 0 0<br />

330,00 0,00 0<br />

0369711 LITAK 10 MG 5 FL 5 ML SC RR H<br />

X 0 0<br />

1.590,00 0,00 0<br />

L01BB05 fludarabine<br />

Page 125 of 230

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