11.11.2012 Views

Liste des médicaments commercialisés au Luxembourg - CNS

Liste des médicaments commercialisés au Luxembourg - CNS

Liste des médicaments commercialisés au Luxembourg - CNS

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

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 />

L04AC01 daclizumab<br />

0264107 ZENAPAX 5 MG/ML 3 FL 5 ML RR H<br />

0 0 949,88 0,00 0<br />

L04AC02 basiliximab<br />

0257083 SIMULECT 20 MG PDR 1 FL + S PERF RR H<br />

0 0 1.022,58 0,00 0<br />

L04AC05 ustekinumab<br />

0567976 STELARA 45 MG 1 SRG PREREMPL 0,5 ML SC RR C<br />

RM 0 0<br />

3.000,00 3.188,50 100<br />

0567993 STELARA 90 MG 1 SRG PREREMPL 1 ML SC RR C<br />

RM 0 0<br />

3.400,00 3.612,44 100<br />

L04AC07 tocilizumab<br />

0503142 ROACTEMRA 200 MG PERF 4 FL 10 ML IV RR HC<br />

RM 0 0<br />

1.397,19 0,00 0<br />

0503187 ROACTEMRA 400 MG PERF 4 FL 20 ML IV RR HC<br />

RM 0 0<br />

2.794,54 0,00 0<br />

0503139 ROACTEMRA 80 MG PERF 4 FL 4 ML IV RR HC<br />

RM 0 0<br />

558,68 0,00 0<br />

L04AC08 canakinumab<br />

0535308 ILARIS 150 MG PDR 1 FL SC RR C<br />

X RM 0 0<br />

11.000,00 3.156,34 0<br />

L04AD01 ciclosporin<br />

0170661 SANDIMMUN 100 MG 50 CAPS RR<br />

0 0 178,16 204,04 100<br />

0170644 SANDIMMUN 25 MG 50 CAPS RR<br />

0 0 48,92 62,61 100<br />

0306563 SANDIMMUN INF 250 MG 10 AMP 5 ML PERF RR<br />

0 0 136,14 161,44 100<br />

0266051 SANDIMMUN OPTORAL 10 MG 100 CAPS RR<br />

0 0 34,27 46,58 100<br />

0317164 SANDIMMUN OPTORAL 100 MG 50 CAPS RR<br />

0 0 171,84 197,13 100<br />

0317097 SANDIMMUN OPTORAL 25 MG 50 CAPS RR<br />

0 0 41,36 54,34 100<br />

0317133 SANDIMMUN OPTORAL 50 MG 50 CAPS RR<br />

0 0 84,30 101,34 100<br />

0198131 SANDIMMUN OPTORAL GTTS 50 ML RR<br />

0 0 171,84 197,13 100<br />

L04AD02 tacrolimus<br />

0477798 ADVAGRAF 0,5 MG 100 CAPS RR C<br />

0 0 65,14 77,94 100<br />

0477767 ADVAGRAF 1 MG 100 CAPS RR C<br />

0 0 109,70 125,16 100<br />

0555149 ADVAGRAF 3 MG 100 CAPS RR C<br />

0 0 320,48 348,56 100<br />

0477803 ADVAGRAF 5 MG 100 CAPS RR C<br />

0 0 519,76 559,78 100<br />

0308926 PROGRAFT 0,5 MG 100 CAPS RR C<br />

0 0 65,14 77,94 100<br />

0250518 PROGRAFT 1 MG 100 CAPS RR C<br />

0 0 109,70 125,16 100<br />

0250552 PROGRAFT 5 MG 10 AMP 1 ML PERF RR H<br />

0 0 455,28 0,00 0<br />

0250549 PROGRAFT 5 MG 100 CAPS RR C<br />

0 0 519,76 559,78 100<br />

L04AX Other immunosuppressants<br />

0622644 ESBRIET 267 MG 21 CAPS + 42 CAPS RR DC X RM 0 0<br />

692,30 0,00 0<br />

0622658 ESBRIET 267 MG 4*63 CAPS RR DC X RM 0 0<br />

2.769,23 0,00 0<br />

L04AX01 azathioprine<br />

0265992 IMURAN 50 MG 1 FL PERF RR H<br />

0 0 6,61 0,00 0<br />

0056443 IMURAN 50 MG 100 CPR RR C<br />

0 0 18,07 26,29 100<br />

0168114 IMURAN MITIS 25 MG 100 CPR RR C<br />

0 0 10,23 16,93 100<br />

L04AX02 thalidomide<br />

Page 140 of 230

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!