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 0220889 NAROPIN 150 MG 5 AMP 20 ML RR HC 0 0 28,83 0,00 0 0229982 NAROPIN 200 MG 5 AMP 20 ML RR HC 0 0 38,50 0,00 0 0220858 NAROPIN 200 MG 5 PP 100 ML RR HC 0 0 65,07 0,00 0 0230001 NAROPIN 40 MG 5 AMP 20 ML RR HC 0 0 17,08 0,00 0 0220861 NAROPIN 400 MG 5 PP 200 ML RR HC 0 0 102,50 0,00 0 0378075 NAROPIN 50 MG 5 AMP 10 ML RR HC 0 0 21,36 0,00 0 N01BB10 levobupivacaine 0271809 CHIROCAINE 25 MG 10 AMP 10 ML IV RR H 0 0 32,85 0,00 0 0271762 CHIROCAINE 50 MG 10 AMP 10 ML IV RR H 0 0 36,74 0,00 0 0271843 CHIROCAINE 75 MG 10 AMP 10 ML IV RR H 0 0 55,11 0,00 0 N01BB20 combinations 0057437 INSTILLAGEL 10*11 ML RR 0 0 12,79 19,18 80 0057406 INSTILLAGEL 10*6 ML RR 0 0 9,97 15,20 80 0057423 INSTILLAGEL 11 ML RR 0 0 2,13 3,56 80 0057390 INSTILLAGEL 6 ML RR 0 0 1,82 3,04 80 N01BB51 bupivacaine, combinations 0069598 MARCAINE ADREN 0,5% 5 FL 20 ML RR H 0 0 16,53 0,00 0 N01BB52 lidocaine, combinations 0227859 EMLA 5 % 2 PATCH R 0 0 0,00 5,54 80 0157754 EMLA 5% CREME 5 G + 2 PANSEM R 0 0 0,00 5,47 80 0473933 RAPYDAN 70/70 MG 1 PATCH RR H 0 0 8,25 0,00 0 0473947 RAPYDAN 70/70 MG 2 PATCH RR H 0 0 16,51 0,00 0 0473978 RAPYDAN 70/70 MG 25 PATCH RR H 0 0 165,05 0,00 0 0130408 XYLOCAINE ADREN ASTRA 1% 1 FL 20 ML IMSC RR P 0 0 0,00 3,63 0 0598861 XYLOCAINE ADREN ASTRA 1% 1FL 20MLPNSCIRE RR P 0 0 2,50 4,29 0 0130425 XYLOCAINE ADREN ASTRA 2% 1 FL 20 ML IMSC RR P 0 0 0,00 3,63 0 0598874 XYLOCAINE ADREN ASTRA 2% 1FL 20MLPNSCIRE RR P 0 0 2,50 4,29 0 N01BX04 capsaicin 0523261 QUTENZA 179 MG 1 PATCH + 1 SET RR H 0 0 284,35 0,00 0 N02AA01 morphine 0575706 MORPHINE HCL 10 MG 10 AMP 1 ML STRP S 0 0 4,28 7,35 80 0249789 MS CONTIN 10 MG 30 CPR S 0 0 4,68 10,00 80 0073881 MS CONTIN 10 MG 56 CPR (UD) S 0 0 0,00 22,83 0 0249811 MS CONTIN 100 MG 30 CPR S 0 0 31,75 41,37 80 0073900 MS CONTIN 100 MG 56 CPR (UD) S 0 0 98,85 111,72 0 0204675 MS CONTIN 200 MG 14 CPR S 0 0 28,54 39,31 80 0249792 MS CONTIN 30 MG 30 CPR S 6 11 10,53 17,31 80 0073928 MS CONTIN 30 MG 56 CPR S 6 11 17,11 25,24 80 0249808 MS CONTIN 60 MG 30 CPR S 6 11 20,63 29,13 80 0073945 MS CONTIN 60 MG 56 CPR S 6 11 33,33 43,10 80 0270376 MS DIRECT 10 MG 56 CPR S 0 0 10,56 18,13 80 Page 154 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 0243589 ORAMORPH 10 MG 30*5 ML UD S 0 0 15,00 25,77 0 0243494 ORAMORPH 2 MG/ML SOL OR 1 FL 100 ML S 0 0 0,00 8,41 0 0243544 ORAMORPH 20 MG/ML SOL OR 1 FL 20 ML S 0 0 0,00 12,03 0 0243592 ORAMORPH 30 MG 30*5 ML UD S 0 0 15,00 25,77 0 0210283 STELLORPHINE SINE CONSERV 10 MG 100 AMP S 0 0 20,33 0,00 0 N02AA03 hydromorphone 0538263 PALLADONE INJEKT 10 MG 5 AMP 1 ML IVSC S 0 0 42,97 55,05 0 0538246 PALLADONE INJEKT 2 MG 5 AMP 1 ML IVSC S 0 0 12,78 21,95 0 0538277 PALLADONE INJEKT 20 MG 5 AMP 1 ML IVSC S 0 0 90,00 105,24 0 0538281 PALLADONE INJEKT 50 MG 5 AMP 1 ML IVSC S 0 0 240,00 264,96 0 0441098 PALLADONE IR 1,3 MG 14 CAPS S 0 0 0,00 5,05 0 0366222 PALLADONE IR 1,3 MG 28 CAPS S 0 0 4,31 9,55 80 0441103 PALLADONE IR 2,6 MG 14 CAPS S 0 0 0,00 10,10 0 0366271 PALLADONE IR 2,6 MG 28 CAPS S 0 0 8,62 14,92 80 0334893 PALLADONE SR 16 MG 30 CAPS S 0 0 56,07 68,16 80 0334912 PALLADONE SR 24 MG 30 CAPS S 0 0 71,31 84,47 80 0334845 PALLADONE SR 4 MG 30 CAPS S 0 0 14,96 22,82 80 0334862 PALLADONE SR 8 MG 30 CAPS S 0 0 29,59 38,99 80 N02AA05 oxycodone 0354302 OXYCONTIN 10 MG 30 CPR S 0 0 10,17 16,85 80 0354395 OXYCONTIN 20 MG 30 CPR S 0 0 19,47 27,85 80 0354476 OXYCONTIN 40 MG 30 CPR S 0 0 36,33 46,41 80 0415554 OXYCONTIN 5 MG 30 CPR S 0 0 6,10 11,79 80 0354574 OXYCONTIN 80 MG 30 CPR S 0 0 65,11 77,91 80 0544596 OXYNORM 10 MG 5 AMP 1 ML IVSC S 0 0 6,49 11,15 0 0544601 OXYNORM 10 MG/ML 5 AMP 2 ML IVSC S 0 0 12,74 21,89 0 0538232 OXYNORM 50 MG PERF 5 AMP 1 ML DIL S 0 0 60,11 73,42 0 0495721 OXYNORM INSTANT 10 MG 28 CPR ORODISP S 0 0 8,36 14,59 80 0495667 OXYNORM INSTANT 20 MG 28 CPR ORODISP S 0 0 16,71 24,80 80 0495698 OXYNORM INSTANT 5 MG 28 CPR ORODISP S 0 0 4,18 9,39 80 N02AA55 oxycodone, combinations 0509356 TARGINACT LP 10/5 MG 30 CPR S 0 0 16,72 24,82 0 0509485 TARGINACT LP 20/10 MG 30 CPR S 0 0 32,07 41,72 0 0533513 TARGINACT LP 40/20 MG 30 CPR S 0 0 60,02 72,50 0 0533382 TARGINACT LP 5/2,5 MG 30 CPR S 0 0 9,19 15,63 0 N02AA59 codeine, combinations excl. psycholeptics 0211439 ALGISEDAL 16 CPR RR 0 0 1,70 2,67 80 0459741 ALGISEDAL 48 CPR RR 0 0 4,01 7,15 0 0277072 DAFALGAN CODEINE 30 CPR RR 0 0 3,57 6,13 80 0138485 DAFALGAN CODEINE 32 CPR EFF RR 0 0 4,54 7,80 80 0364603 DOLVIRAN N 20 CPR RR 0 0 8,38 14,92 40 0185759 PANADOL CODEINE 20 CPR RR 0 0 0,00 4,07 80 Page 155 of 230
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Liste des médicaments commercialisés au Luxembourg - CNS

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