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 0299147 PARACOD MYLAN 500 MG/30 MG 30 CPR RR 0 0 2,53 4,82 80 0266003 TALVOSILEN FORTE 10 SUPP RR 0 0 3,23 11,77 80 N02AB02 pethidine 0034429 DOLANTINE 100 MG 5 AMP 2 ML IMIVSC S 0 0 1,26 5,91 80 N02AB03 fentanyl 0403813 ACTIQ 600 MCG 30 CPR A SUCER S 0 0 262,80 288,26 0 0403827 ACTIQ 800 MCG 3 CPR A SUCER S 0 0 26,28 36,97 0 0492621 DUROGESIC 100 MCG/H (16,8 MG) 10 PATCH S 0 0 95,31 0,00 0 0227943 DUROGESIC 100 MCG/H (16,8 MG) 5 PATCH S 0 0 52,37 64,07 80 0409803 DUROGESIC 12 MCG/H (2,1 MG) 10 PATCH S 0 0 21,62 0,00 0 0409798 DUROGESIC 12 MCG/H (2,1 MG) 5 PATCH S 0 0 10,96 17,83 80 0492598 DUROGESIC 25 MCG/H (4,2 MG) 10 PATCH S 0 0 29,42 0,00 0 0227909 DUROGESIC 25 MCG/H (4,2 MG) 5 PATCH S 0 0 14,93 22,79 80 0492603 DUROGESIC 50 MCG/H (8,4 MG) 10 PATCH S 0 0 56,00 0,00 0 0227912 DUROGESIC 50 MCG/H (8,4 MG) 5 PATCH S 0 0 28,79 38,11 80 0492617 DUROGESIC 75 MCG/H (12,6 MG) 10 PATCH S 0 0 77,64 0,00 0 0227926 DUROGESIC 75 MCG/H (12,6 MG) 5 PATCH S 0 0 41,24 51,82 80 0540504 INSTANYL 100 MCG/D SPRAY 10 D 1 FL 1,8ML S C RM 0 0 87,60 102,69 0 0540535 INSTANYL 200 MCG/D SPRAY 10 D 1 FL 1,8ML S C RM 0 0 87,60 102,69 0 0540471 INSTANYL 50 MCG/D SPRAY 10 D 1 FL 1,8 ML S C RM 0 0 87,60 102,69 0 0472337 MATRIFEN 100 (11 MG) 5 PATCH S 0 0 51,36 62,97 80 0477204 MATRIFEN 12 (1,38 MG) 2 PATCH S 0 0 4,30 9,54 80 0472113 MATRIFEN 12 (1,38 MG) 5 PATCH S 0 0 10,75 17,57 80 0477235 MATRIFEN 25 (2,75 MG) 2 PATCH S 0 0 5,86 11,48 80 0472161 MATRIFEN 25 (2,75 MG) 5 PATCH S 0 0 14,64 22,43 80 0472211 MATRIFEN 50 (5,5 MG) 5 PATCH S 0 0 28,24 37,52 80 0472273 MATRIFEN 75 (8,25 MG) 5 PATCH S 0 0 40,45 50,96 80 N02AC03 piritramide 0033242 DIPIDOLOR 20 MG 30 AMP 2 ML IMSCIV S 0 0 10,45 0,00 0 0033239 DIPIDOLOR 20 MG 5 AMP 2 ML IMSCIV S 0 0 1,92 6,64 80 N02AD01 pentazocine 0045985 FORTAL 30 MG 10 AMP 1 ML IMIVSC S 0 0 3,96 9,10 80 0045968 FORTAL 50 MG 100 CPR S 0 0 8,91 15,28 80 0045954 FORTAL 50 MG 30 CPR S 0 0 3,34 8,34 80 N02AE01 buprenorphine 0413871 NORSPAN 10 MG 4 PATCH S 0 0 58,15 71,32 0 0413921 NORSPAN 20 MG 4 PATCH S 0 0 110,78 127,36 0 0413823 NORSPAN 5 MG 4 PATCH S 0 0 30,44 41,75 0 0114189 TEMGESIC 0,3 MG 5 AMP 1 ML IVIM S 0 0 7,14 12,26 0 0114211 TEMGESIC SL 0,2 MG 50 CPR S 0 0 8,42 14,66 80 0314873 TRANSTEC 35 (20 MG) 10 PATCH S 0 0 48,96 60,32 0 Page 156 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 0314856 TRANSTEC 35 (20 MG) 5 PATCH S 0 0 27,64 36,85 80 0314906 TRANSTEC 52,5 (30 MG) 10 PATCH S 0 0 71,51 84,68 0 0314891 TRANSTEC 52,5 (30 MG) 5 PATCH S 0 0 40,31 50,79 80 0314941 TRANSTEC 70 (40 MG) 10 PATCH S 0 0 94,85 109,42 0 0314937 TRANSTEC 70 (40 MG) 5 PATCH S 0 0 53,33 65,13 80 N02AX Other opioids 0135291 VALTRAN GTTS 10 ML RR 0 0 1,71 6,39 80 0135306 VALTRAN GTTS 20 ML RR 0 0 3,10 8,05 80 0269121 VALTRAN GTTS 60 ML RR 0 0 8,19 14,38 80 0284614 VALTRAN RET 100/8 MG 30 CPR RR 0 0 10,23 16,93 80 0284645 VALTRAN RET 150/12 MG 30 CPR RR 0 0 14,12 21,78 80 0284581 VALTRAN RET 50/4 MG 30 CPR RR 0 0 5,79 11,39 80 N02AX02 tramadol 0481448 CONTRAMAL UNO 100 MG 30 CPR RR 0 0 6,43 12,19 80 0481529 CONTRAMAL UNO 200 MG 30 CPR RR 0 0 12,18 19,37 80 0481613 CONTRAMAL UNO 300 MG 30 CPR RR 0 0 18,44 26,71 80 0212906 DOLZAM 100 MG 10 AMP 2 ML RR 0 0 5,47 10,99 80 0212891 DOLZAM 100 MG 5 AMP 2 ML RR 0 0 3,40 8,41 80 0212856 DOLZAM 100 MG/ML GTTS 10 ML RR 0 0 3,20 8,16 80 0212873 DOLZAM 100 MG/ML GTTS 3*10 ML RR 0 0 7,38 13,38 80 0245261 DOLZAM 100 MG/ML GTTS 5*10 ML RR 0 0 10,56 17,34 80 0220441 DOLZAM 50 MG 30 CAPS RR 0 0 4,46 9,74 80 0212842 DOLZAM 50 MG 60 CAPS RR 0 0 7,38 13,38 80 0371317 DOLZAM RET 100 MG 56 CPR RR 0 0 11,88 18,99 80 0371284 DOLZAM RET 150 MG 56 CPR RR 0 0 16,75 24,85 80 0371253 DOLZAM RET 200 MG 56 CPR RR 0 0 21,12 29,67 80 0371348 DOLZAM RET 75 MG 56 CPR RR 0 0 9,26 15,72 80 0279712 DOLZAM UNO 150 MG 28 CPR RR 0 0 9,26 15,72 80 0279726 DOLZAM UNO 200 MG 28 CPR RR 0 0 10,89 17,74 80 0272188 DOLZAM UNO 300 MG 14 CPR RR 0 0 9,26 15,72 80 0272191 DOLZAM UNO 400 MG 14 CPR RR 0 0 10,89 17,74 80 0230949 TRADONAL 100 MG 10 AMP 2 ML IMIV RR 0 0 4,23 9,33 80 0230899 TRADONAL 100 MG/ML GTTS 10 ML RR 0 0 2,06 6,67 80 0230904 TRADONAL 100 MG/ML GTTS 30 ML RR 0 0 5,56 10,99 80 0230918 TRADONAL 50 MG 30 CAPS RR 0 0 3,09 7,91 80 0290284 TRADONAL 50 MG 30 CPR EFF RR 0 0 4,66 9,86 80 0230921 TRADONAL 50 MG 60 CAPS RR 0 0 5,56 10,99 80 0386001 TRADONAL ODIS 50 MG 100 CPR RR 0 0 11,40 0,00 0 0385942 TRADONAL ODIS 50 MG 30 CPR RR 0 0 2,87 7,57 80 0248411 TRADONAL RET 100 MG 60 CAPS RR 0 0 13,31 20,65 80 0248425 TRADONAL RET 150 MG 60 CAPS RR 0 0 18,99 27,20 80 0248442 TRADONAL RET 200 MG 60 CAPS RR 0 0 23,67 32,37 80 0248392 TRADONAL RET 50 MG 60 CAPS RR 0 0 7,75 13,72 80 Page 157 of 230
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Liste des médicaments commercialisés au Luxembourg - CNS

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