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 0519948 BICALUTAMIDE EG 50 MG 28 CPR RR 0 0 61,14 73,69 100 0466151 BICALUTAMIDE TEVA 50 MG 56 CPR RR 0 0 121,63 137,82 100 0329751 CASODEX 150 MG 28 CPR RR C 0 0 154,07 172,19 100 0329764 CASODEX 150 MG 28 CPR UD RR C 0 0 180,18 0,00 0 0216211 CASODEX 50 MG 28 CPR RR 0 0 61,14 73,69 100 0216225 CASODEX 50 MG 28 CPR UD RR 0 0 61,14 0,00 0 L02BG03 anastrozole 0495801 ANASTROZOL RATIO 1 MG 100 CPR RR C 0 0 102,07 120,79 100 0495765 ANASTROZOL RATIO 1 MG 30 CPR RR C 0 0 32,14 44,26 100 0652206 ANASTROZOL SDZ 1 MG 28 CPR RR C 0 0 47,97 59,23 0 0652285 ANASTROZOL SDZ 1 MG 98 CPR RR C 0 0 134,30 151,24 0 0565713 ANASTROZOLE EG 1 MG 28 CPR RR C 0 0 50,25 61,75 100 0565758 ANASTROZOLE EG 1 MG 98 CPR RR C 0 0 140,62 157,94 100 0215151 ARIMIDEX 1 MG 28 CPR RR C 0 0 48,02 59,28 100 0330927 ARIMIDEX 1 MG 84 CPR RR C 0 0 115,26 131,05 100 0330931 ARIMIDEX 1 MG 84 CPR UD RR C 0 0 115,26 0,00 0 0560765 ASTROZOL 1 MG 98 CPR RR C 0 0 71,69 121,14 0 L02BG04 letrozole 0231351 FEMARA 2,5 MG 100 CPR RR C 0 0 457,43 509,67 100 0231347 FEMARA 2,5 MG 30 CPR RR C 0 0 144,59 167,31 100 L02BG06 exemestane 0271485 AROMASIN 25 MG 30 CPR RR C 0 0 54,40 66,32 100 0618981 EXEMAROM 25 MG 100 CPR RR C 0 0 164,01 182,72 100 0619005 EXEMAROM 25 MG 120 CPR RR C 0 0 196,81 217,48 100 0618946 EXEMAROM 25 MG 30 CPR RR C 0 0 53,34 65,15 100 0647772 EXEMESTAN RATIO 25 MG 100 CPR RR C 0 0 111,53 131,13 0 0647755 EXEMESTAN RATIO 25 MG 30 CPR RR C 0 0 32,20 44,32 0 L02BX Other hormone antagonists and related agents 0622631 ZYTIGA 250 MG 120 CPR (FL) RR 1 5 3.300,00 3.506,46 100 L02BX02 degarelix 0513099 FIRMAGON 120 MG PSV 2FL+2SRG+4AIG+S 6ML RR C RM 0 0 221,00 243,12 0 0513085 L02CD02 FIRMAGON 80 MG PSV 1FL+1SRG+2AIG+S 6ML RR C RM 0 0 121,40 137,55 0 0544727 TAXOTERE 20 MG 1 FL A DIL 1 ML IV RR HC 0 0 68,43 0,00 0 L03AA02 filgrastim 0169031 NEUPOGEN 30 MIO U 5 AMP 1 ML IVSC RR C 0 0 363,94 394,62 100 0314372 NEUPOGEN 30 MIO U 5 SRG PREREMPL 0,5 ML RR C 0 0 363,94 394,62 100 0314386 NEUPOGEN 48 MIO U 5 SRG PREREMPL 0,5 ML RR C 0 0 512,50 552,07 100 0506354 RATIOGRASTIM 30 MIO U PERF 5 SRG 0,5 ML RR C 0 0 217,09 386,92 100 0506399 RATIOGRASTIM 48 MIO U PERF 5 SRG 0,8 ML RR C 0 0 303,75 541,36 100 Page 136 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 0493211 TEVAGRASTIM 30 MIO U 5 SRG 0,5 ML SCIV RR C 0 0 298,92 325,70 100 0493256 TEVAGRASTIM 48 MIO U 5 SRG 0,8 ML SCIV RR C 0 0 421,64 455,78 100 0511239 ZARZIO 30 MIO U 5 SRG 0,5 ML RR C 0 0 298,92 325,70 0 0511287 ZARZIO 48 MIO U 5 SRG 0,5 ML RR C 0 0 421,64 455,78 0 L03AA10 lenograstim 0246417 GRANOCYTE 33,6 MIO U PDR 5 FL+SRG 1 ML RR C 0 0 370,07 401,13 100 L03AA13 pegfilgrastim 0529359 NEULASTA 6 MG 1 SRG SECURISEE 0,6 ML SC RR C 0 0 1.155,56 1.233,64 100 L03AB03 interferon gamma 0185356 IMMUKINE 2 MIO U 6 FL 0,5 ML SC RR C 0 0 483,87 521,73 100 L03AB04 interferon alfa-2a 0274022 ROFERON A 3 MIO U 6 SRG 0,5 ML IMSC RR C 0 0 91,57 105,95 100 0274067 ROFERON A 6 MIO U 6 SRG 0,5 ML IMSC RR C 0 0 174,99 194,36 100 0274084 ROFERON A 9 MIO U 6 SRG 0,5 ML IMSC RR C 0 0 262,35 286,95 100 L03AB05 interferon alfa-2b 0208724 INTRON A 10 MIO U PDR 1 FL+S IMSC RR C 0 0 62,83 76,31 100 0175508 INTRON A 10 MIO U PDR 6 FL+S IMIVSC RR C 0 0 363,37 396,34 100 0278052 INTRON A ALB FREE 25 MIO U 2 FL 2,5 ML RR C 0 0 269,29 294,31 100 0243415 INTRON A PEN 18 MIO U 1 STYLO MTD 1,2 ML RR C 0 0 89,60 103,86 100 0243429 INTRON A PEN 30 MIO U 1 STYLO MTD 1,2 ML RR C 0 0 167,60 186,54 100 0243432 INTRON A PEN 60 MIO U 1 STYLO MTD 1,2 ML RR C 0 0 323,14 351,39 100 L03AB07 interferon beta-1a 0233629 AVONEX 30 MCG (6MIO) PDR 4 FL UD 3 ML IM RR C 0 0 738,83 791,95 100 0624134 AVONEX 30 MCG 4 PEN 0,5ML+4AIG+4CAPUC RR C 0 0 924,97 989,07 100 0355375 AVONEX 30 MCG 4 SRG PRER 0,5 ML + 4 AIG RR C 0 0 885,12 964,34 100 0265216 REBIF 12 MIO U/0,5 ML (44MCG) 12 SRG SC RR C 0 0 1.049,23 1.120,95 100 0513118 REBIF 12 MIO U/0,5ML (44MCG) 4 CRT 1,5ML RR C 0 0 1.049,23 1.120,95 100 0249971 REBIF 6 MIO U/0,5 ML (22MCG) 12 SRG SC RR C 0 0 783,57 839,38 100 0513104 REBIF 6 MIO U/0,5 ML (22MCG) 4 CRT 1,5ML RR C 0 0 783,57 839,38 100 L03AB08 interferon beta-1b 0274957 BETAFERON 8 MIO U PDR 15 FL + 15 SRG SC RR C 0 0 828,60 891,72 100 0217138 BETAFERON 8 MIO U PDR 15 FL + S 2 ML SC RR C 0 0 840,36 901,01 100 0441456 BETAFERON 8 MIO U PDR 15FL+15SRG+15ADAPT RR C 0 0 671,20 720,28 100 L03AB10 peginterferon alfa-2b 0282591 PEGINTRON 100 MCG PSV 1 FL + S + 1 SET RR C 0 0 182,97 204,24 100 0320139 PEGINTRON 100 MCG PSV 1 STYLO + 1 AIG RR C 0 0 178,40 197,97 100 0282623 PEGINTRON 100 MCG PSV 4 FL + S + 4 SETS RR C 0 0 713,58 765,19 0 0320142 PEGINTRON 100 MCG PSV 4 STYLOS + 4 AIG RR C 0 0 713,58 765,19 100 0282654 PEGINTRON 120 MCG PSV 1 FL + S + 1 SET RR C 0 0 219,55 243,19 100 0320187 PEGINTRON 120 MCG PSV 1 STYLO + 1 AIG RR C 0 0 214,06 235,77 100 Page 137 of 230
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Liste des médicaments commercialisés au Luxembourg - CNS

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