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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 />

0251482 MABTHERA 500 MG 1 AMP 50 ML PERF RR HC<br />

0 0 1.283,89 0,00 0<br />

L01XC03 trastuzumab<br />

0287955 HERCEPTIN 150 MG PDR 1 FL IV RR HC<br />

0 0 623,89 0,00 0<br />

L01XC04 alemtuzumab<br />

0331664 MABCAMPATH 30 MG 3 FL 3 ML PERF RR HC<br />

RM 0 0<br />

998,87 0,00 0<br />

L01XC06 cetuximab<br />

0376389 ERBITUX 100 MG PERF 1 VIAL 50 ML IV RR HC<br />

0 0 210,94 0,00 0<br />

0450889 ERBITUX 40 MG PERF 1 FL 20 ML IV RR HC<br />

0 0 207,64 0,00 0<br />

L01XC07 bevacizumab<br />

0391811 AVASTIN 25 MG/ML PERF 1 FL 16 ML RR HC<br />

0 0 1.226,51 0,00 0<br />

0391807 AVASTIN 25 MG/ML PERF 1 FL 4 ML RR HC<br />

0 0 323,08 0,00 0<br />

L01XC08 panitumumab<br />

0472659 VECTIBIX 20 MG/ML PERF 1 FL 10 ML IV RR HC<br />

RM 0 0<br />

870,00 0,00 0<br />

0472662 VECTIBIX 20 MG/ML PERF 1 FL 20 ML IV RR HC<br />

RM 0 0<br />

1.448,30 0,00 0<br />

0472645 VECTIBIX 20 MG/ML PERF 1 FL 5 ML IV RR HC<br />

RM 0 0<br />

361,24 0,00 0<br />

L01XC09 catumaxomab<br />

0517666 REMOVAB 10 MCG 1 SRG A DIL + 1 CAN RR HC<br />

0 0 500,00 0,00 0<br />

0547875 REMOVAB 50 MCG 1 SRG A DIL + 1 CAN RR HC<br />

0 0 2.500,00 0,00 0<br />

L01XD03 methyl aminolevulinate<br />

0313649 METVIX 16% CREME 2 G RR C<br />

0 0 280,00 308,61 0<br />

L01XE Protein kinase inhibitors<br />

0643515 ZELBORAF 240 MG 56 CPR RR DC<br />

0 0 2.181,00 0,00 0<br />

L01XE01 imatinib<br />

0359621 GLIVEC 100 MG 60 CPR RR C<br />

X 1 5<br />

1.435,33 1.571,93 100<br />

0359648 GLIVEC 400 MG 30 CPR RR C<br />

X 1 5<br />

2.733,65 2.949,31 100<br />

L01XE02 gefitinib<br />

0524187 IRESSA 250 MG 3*10 CPR RR DC<br />

0 0 2.215,00 0,00 0<br />

L01XE03 erlotinib<br />

0409459 TARCEVA 100 MG 30 CPR RR C<br />

1 5 1.785,41 1.901,20 100<br />

0409462 TARCEVA 150 MG 30 CPR RR C<br />

1 5 2.199,50 2.340,08 100<br />

0409445 TARCEVA 25 MG 30 CPR RR C<br />

1 5 514,00 539,33 100<br />

L01XE04 sunitinib<br />

0441067 SUTENT 12,5 MG 30 CAPS RR C<br />

0 0 1.301,52 1.414,97 100<br />

0441071 SUTENT 25 MG 30 CAPS RR C<br />

0 0 2.603,04 2.820,52 100<br />

0441084 SUTENT 50 MG 30 CAPS RR C<br />

0 0 5.206,08 5.631,63 100<br />

L01XE05 sorafenib<br />

0439671 NEXAVAR 200 MG 112 CPR RR C<br />

X 1 5<br />

3.578,00 3.800,92 100<br />

Page 132 of 230

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