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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 />

0282671 PEGINTRON 120 MCG PSV 4 FL + S + 4 SETS RR C<br />

0 0 856,26 916,42 0<br />

0320191 PEGINTRON 120 MCG PSV 4 STYLOS + 4 AIG RR C<br />

0 0 856,26 916,42 100<br />

0282704 PEGINTRON 150 MCG PSV 1 FL + S + 1 SET RR C<br />

0 0 274,47 301,67 100<br />

0320237 PEGINTRON 150 MCG PSV 1 STYLO + 1 AIG RR C<br />

0 0 267,61 292,53 100<br />

0282721 PEGINTRON 150 MCG PSV 4 FL + S + 4 SETS RR C<br />

0 0 1.070,44 1.143,43 0<br />

0320241 PEGINTRON 150 MCG PSV 4 STYLOS + 4 AIG RR C<br />

0 0 1.070,44 1.143,43 100<br />

0282489 PEGINTRON 50 MCG PSV 1 FL + S + 1 SET RR C<br />

0 0 91,48 106,82 100<br />

0320058 PEGINTRON 50 MCG PSV 1 STYLO + 1 AIG RR C<br />

0 0 89,19 103,42 100<br />

0282508 PEGINTRON 50 MCG PSV 4 FL + S + 4 SETS RR C<br />

0 0 356,77 389,30 0<br />

0320061 PEGINTRON 50 MCG PSV 4 STYLOS + 4 AIG RR C<br />

0 0 356,77 387,03 100<br />

0282539 PEGINTRON 80 MCG PSV 1 FL + S + 1 SET RR C<br />

0 0 146,39 165,29 100<br />

0320092 PEGINTRON 80 MCG PSV 1 STYLO + 1 AIG RR C<br />

0 0 142,73 160,17 100<br />

0282556 PEGINTRON 80 MCG PSV 4 FL + S + 4 SETS RR C<br />

0 0 570,93 614,01 0<br />

0320108 PEGINTRON 80 MCG PSV 4 STYLOS + 4 AIG RR C<br />

0 0 570,93 614,01 100<br />

L03AB11 peginterferon alfa-2a<br />

0323578 PEGASYS 135 MCG 4 SRG 0,5 ML SC RR C<br />

0 0 650,20 698,02 100<br />

0621678 PEGASYS 135 MCG/ML 4 STYLOS PRER 0,5 ML RR C<br />

0 0 714,51 766,07 100<br />

0323595 PEGASYS 180 MCG 4 SRG 0,5 ML SC RR C<br />

0 0 753,62 807,64 100<br />

0621701 PEGASYS 180 MCG/ML 4 STYLOS PRER 0,5 ML RR C<br />

0 0 828,16 886,53 100<br />

L03AC01 al<strong>des</strong>leukin<br />

0161273 PROLEUKIN S 18 MIO U/ML PDR 1 FL IVSC RR H<br />

0 0 296,92 0,00 0<br />

L03AX03 BCG vaccine<br />

0340873 IMMUCYST 81 MG SUSP 1 FL + S 3 ML VE RR<br />

0 0 54,35 66,14 100<br />

0375803 ONCOTICE PDR 1 FL VE RR<br />

0 0 46,94 58,10 100<br />

L03AX13 glatiramer acetate<br />

0370291 COPAXONE 20 MG/ML 28 SRG PRERPL SC RR C<br />

0 0 774,72 830,00 100<br />

L03AX15 mifamurtide<br />

0513491 MEPACT 4 MG PDR 1 FL + FILTRE IV RR HC X 0 0<br />

2.816,46 0,00 0<br />

L03AX16 plerixafor<br />

0528995 MOZOBIL 20 MG/ML 1 FL 2 ML RR HC X 0 0<br />

5.800,62 0,00 0<br />

L04AA04 antithymocyte immunoglobulin (rabbit)<br />

0398551 THYMOGLOBULINE 25 MG 1 FL + S 5 ML IV RR HC<br />

0 0 157,66 0,00 0<br />

L04AA06 mycophenolic acid<br />

0264111 CELLCEPT 1 G/5 ML PDR 110 G RR C<br />

0 0 79,39 93,04 100<br />

0224566 CELLCEPT 250 MG 3*100 CAPS RR C<br />

0 0 145,98 163,61 100<br />

0224552 CELLCEPT 500 MG 3*50 CPR RR C<br />

0 0 145,98 163,61 100<br />

0257536 CELLCEPT 500 MG PDR 4 FL PERF RR HC<br />

0 0 43,94 0,00 0<br />

0479341 MYFENAX 250 MG 300 CAPS RR C<br />

0 0 145,98 163,61 0<br />

0479369 MYFENAX 500 MG 150 CPR RR C<br />

0 0 145,98 163,61 0<br />

Page 138 of 230

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