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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 />

L04AA10 sirolimus<br />

0317424 RAPAMUNE 1 MG 100 CPR RR C<br />

0 0 402,00 434,96 100<br />

0344483 RAPAMUNE 2 MG 30 CPR RR C<br />

0 0 241,20 264,54 100<br />

0301228 RAPAMUNE 60 MG 1 FL 60 ML + 1 SET RR C<br />

0 0 241,20 264,54 100<br />

L04AA13 leflunomide<br />

0270832 ARAVA 10 MG 100 CPR RR C<br />

RM 0 0<br />

85,52 99,53 100<br />

0270829 ARAVA 10 MG 30 CPR RR C<br />

RM 0 0<br />

32,07 41,61 100<br />

0285382 ARAVA 100 MG 3 CPR RR C<br />

RM 0 0<br />

17,83 26,04 100<br />

0270881 ARAVA 20 MG 100 CPR RR C<br />

RM 0 0<br />

98,64 113,45 100<br />

0270877 ARAVA 20 MG 30 CPR RR C<br />

RM 0 0<br />

36,98 47,13 100<br />

L04AA23 natalizumab<br />

0436909 TYSABRI 20 MG/ML 1 FL PERF RR HC<br />

RM 0 0<br />

1.579,12 0,00 0<br />

L04AA24 abatacept<br />

0465976 ORENCIA 250 MG PERF 1 FL + S IV RR HC<br />

RM 0 0<br />

347,24 0,00 0<br />

L04AA25 eculizumab<br />

0466083<br />

L04AA26<br />

SOLIRIS 300 MG PERF 1 FL 30 ML IV RR HC X RM 0 0<br />

4.450,00 0,00 0<br />

0621647 BENLYSTA 120 MG PDR 1 FL 5 ML RR HC<br />

0 0 130,20 0,00 0<br />

0621651<br />

L04AA27<br />

BENLYSTA 400 MG PDR 1 FL 20 ML RR HC<br />

0 0 434,00 0,00 0<br />

0607276 GILENYA 0,5 MG 28 CAPS RR DC<br />

RM 0 0<br />

1.690,71 0,00 0<br />

L04AB01 etanercept<br />

0443951 ENBREL 25 MG PDR 4 SRG PREREMPL 0,5 ML RR C<br />

0 0 508,01 547,31 100<br />

0462263 ENBREL 25 MG PDR 4FL+4SRG+20AIG+4ADAPT+T RR C<br />

0 0 508,01 547,31 100<br />

0524903 ENBREL 50 MG PDR 4 MYCLIC 1 ML + 8 TAMP RR C<br />

0 0 1.016,02 1.085,75 100<br />

0443996 ENBREL 50 MG PDR 4 SRG PREREMPL 1 ML RR C<br />

0 0 1.016,02 1.085,75 100<br />

0636054 ENBREL PED 10 MG 4 SRG PREREMPL 1 ML RR C<br />

0 0 220,89 237,42 0<br />

L04AB02 infliximab<br />

0267417 REMICADE 100 MG PDR 1 FL V 20 ML IV RR HC<br />

0 0 547,72 0,00 0<br />

L04AB04 adalimumab<br />

0353001 HUMIRA 40 MG 2 SRG 0,8 ML SC RR C<br />

0 0 988,47 1.056,43 100<br />

0444301 HUMIRA 40 MG 2 STYLOS 0,8 ML + 2 TAMP RR C<br />

0 0 988,47 1.056,43 100<br />

L04AB05 certolizumab pegol<br />

0541272 CIMZIA 200 MG 2 SRG 1 ML SC RR C<br />

RM 0 0<br />

946,40 1.011,78 100<br />

L04AB06 golimumab<br />

0528951 SIMPONI 50 MG 1 SRG 0,5 ML RR C<br />

RM 0 0<br />

1.077,38 1.150,67 100<br />

0528978 SIMPONI 50 MG 1 STYLO 0,5 ML RR C<br />

RM 0 0<br />

1.077,38 1.150,78 100<br />

Page 139 of 230

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