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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 />

0493211 TEVAGRASTIM 30 MIO U 5 SRG 0,5 ML SCIV RR C<br />

0 0 298,92 325,70 100<br />

0493256 TEVAGRASTIM 48 MIO U 5 SRG 0,8 ML SCIV RR C<br />

0 0 421,64 455,78 100<br />

0511239 ZARZIO 30 MIO U 5 SRG 0,5 ML RR C<br />

0 0 298,92 325,70 0<br />

0511287 ZARZIO 48 MIO U 5 SRG 0,5 ML RR C<br />

0 0 421,64 455,78 0<br />

L03AA10 lenograstim<br />

0246417 GRANOCYTE 33,6 MIO U PDR 5 FL+SRG 1 ML RR C<br />

0 0 370,07 401,13 100<br />

L03AA13 pegfilgrastim<br />

0529359 NEULASTA 6 MG 1 SRG SECURISEE 0,6 ML SC RR C<br />

0 0 1.155,56 1.233,64 100<br />

L03AB03 interferon gamma<br />

0185356 IMMUKINE 2 MIO U 6 FL 0,5 ML SC RR C<br />

0 0 483,87 521,73 100<br />

L03AB04 interferon alfa-2a<br />

0274022 ROFERON A 3 MIO U 6 SRG 0,5 ML IMSC RR C<br />

0 0 91,57 105,95 100<br />

0274067 ROFERON A 6 MIO U 6 SRG 0,5 ML IMSC RR C<br />

0 0 174,99 194,36 100<br />

0274084 ROFERON A 9 MIO U 6 SRG 0,5 ML IMSC RR C<br />

0 0 262,35 286,95 100<br />

L03AB05 interferon alfa-2b<br />

0208724 INTRON A 10 MIO U PDR 1 FL+S IMSC RR C<br />

0 0 62,83 76,31 100<br />

0175508 INTRON A 10 MIO U PDR 6 FL+S IMIVSC RR C<br />

0 0 363,37 396,34 100<br />

0278052 INTRON A ALB FREE 25 MIO U 2 FL 2,5 ML RR C<br />

0 0 269,29 294,31 100<br />

0243415 INTRON A PEN 18 MIO U 1 STYLO MTD 1,2 ML RR C<br />

0 0 89,60 103,86 100<br />

0243429 INTRON A PEN 30 MIO U 1 STYLO MTD 1,2 ML RR C<br />

0 0 167,60 186,54 100<br />

0243432 INTRON A PEN 60 MIO U 1 STYLO MTD 1,2 ML RR C<br />

0 0 323,14 351,39 100<br />

L03AB07 interferon beta-1a<br />

0233629 AVONEX 30 MCG (6MIO) PDR 4 FL UD 3 ML IM RR C<br />

0 0 738,83 791,95 100<br />

0624134 AVONEX 30 MCG 4 PEN 0,5ML+4AIG+4CAPUC RR C<br />

0 0 924,97 989,07 100<br />

0355375 AVONEX 30 MCG 4 SRG PRER 0,5 ML + 4 AIG RR C<br />

0 0 885,12 964,34 100<br />

0265216 REBIF 12 MIO U/0,5 ML (44MCG) 12 SRG SC RR C<br />

0 0 1.049,23 1.120,95 100<br />

0513118 REBIF 12 MIO U/0,5ML (44MCG) 4 CRT 1,5ML RR C<br />

0 0 1.049,23 1.120,95 100<br />

0249971 REBIF 6 MIO U/0,5 ML (22MCG) 12 SRG SC RR C<br />

0 0 783,57 839,38 100<br />

0513104 REBIF 6 MIO U/0,5 ML (22MCG) 4 CRT 1,5ML RR C<br />

0 0 783,57 839,38 100<br />

L03AB08 interferon beta-1b<br />

0274957 BETAFERON 8 MIO U PDR 15 FL + 15 SRG SC RR C<br />

0 0 828,60 891,72 100<br />

0217138 BETAFERON 8 MIO U PDR 15 FL + S 2 ML SC RR C<br />

0 0 840,36 901,01 100<br />

0441456 BETAFERON 8 MIO U PDR 15FL+15SRG+15ADAPT RR C<br />

0 0 671,20 720,28 100<br />

L03AB10 peginterferon alfa-2b<br />

0282591 PEGINTRON 100 MCG PSV 1 FL + S + 1 SET RR C<br />

0 0 182,97 204,24 100<br />

0320139 PEGINTRON 100 MCG PSV 1 STYLO + 1 AIG RR C<br />

0 0 178,40 197,97 100<br />

0282623 PEGINTRON 100 MCG PSV 4 FL + S + 4 SETS RR C<br />

0 0 713,58 765,19 0<br />

0320142 PEGINTRON 100 MCG PSV 4 STYLOS + 4 AIG RR C<br />

0 0 713,58 765,19 100<br />

0282654 PEGINTRON 120 MCG PSV 1 FL + S + 1 SET RR C<br />

0 0 219,55 243,19 100<br />

0320187 PEGINTRON 120 MCG PSV 1 STYLO + 1 AIG RR C<br />

0 0 214,06 235,77 100<br />

Page 137 of 230

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