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 0083051 ORAP 1 MG 75 CPR 17495 R 0 0 5,39 10,89 80 0083082 ORAP FORTE 4 MG 20 CPR 17499 R 0 0 5,39 10,89 80 0083096 ORAP FORTE 4 MG 240 CPR R 0 0 58,28 0,00 0 N05AG03 penfluridol 0103669 SEMAP 20 MG 12 CPR 17554 RR 0 0 3,88 8,82 80 N05AH02 clozapine 0212727 LEPONEX 100 MG 20 CPR RR C 0 0 9,15 19,09 80 0212677 LEPONEX 25 MG 20 CPR RR C 0 0 2,50 11,82 80 0212681 LEPONEX 25 MG 50 CPR RR C 0 0 6,12 15,42 80 N05AH03 olanzapine 0655046 FIONAPEL 10 MG 28 CPR ORODIS RR 0 0 54,14 66,04 0 0655077 FIONAPEL 10 MG 56 CPR ORODIS RR 0 0 86,62 100,71 0 0657251 FIONAPEL 10 MG 98 CPR ORODIS RR 0 0 151,58 169,56 0 0654696 FIONAPEL 5 MG 28 CPR ORODIS RR 0 0 27,06 36,21 0 0654729 FIONAPEL 5 MG 56 CPR ORODIS RR 0 0 47,10 58,27 0 0657247 FIONAPEL 5 MG 98 CPR ORODIS RR 0 0 75,77 89,20 0 0635057 OLANZAPIN RATIO 10 MG 35 CPR RR 0 0 45,28 54,64 80 0635061 OLANZAPIN RATIO 10 MG 70 CPR RR 0 0 88,02 102,28 80 0635107 OLANZAPIN RATIO 15 MG 35 CPR RR 0 0 69,28 80,95 80 0635111 OLANZAPIN RATIO 15 MG 70 CPR RR 0 0 132,61 151,08 80 0635155 OLANZAPIN RATIO 2,5 MG 35 CPR RR 0 0 13,12 17,60 0 0635169 OLANZAPIN RATIO 2,5 MG 70 CPR RR 0 0 25,81 31,54 0 0635219 OLANZAPIN RATIO 20 MG 35 CPR RR 0 0 80,50 94,06 80 0635222 OLANZAPIN RATIO 20 MG 70 CPR RR 0 0 146,73 166,32 80 0635271 OLANZAPIN RATIO 5 MG 35 CPR RR 0 0 21,31 26,71 80 0635284 OLANZAPIN RATIO 5 MG 70 CPR RR 0 0 41,08 49,89 80 0635321 OLANZAPIN RATIO 7,5 MG 35 CPR RR 0 0 42,52 52,00 80 0635334 OLANZAPIN RATIO 7,5 MG 70 CPR RR 0 0 66,48 77,88 80 0650036 OLANZAPINE SDZ 10 MG 28 CPR RR 0 0 58,90 71,27 0 0650358 OLANZAPINE SDZ 10 MG 28 FILMS ORODISP RR 0 0 58,90 71,27 0 0650084 OLANZAPINE SDZ 10 MG 56 CPR RR 0 0 116,34 132,20 0 0650392 OLANZAPINE SDZ 10 MG 56 FILMS ORODISP RR 0 0 94,24 108,78 0 0650117 OLANZAPINE SDZ 10 MG 98 CPR RR 0 0 164,91 183,68 0 0650425 OLANZAPINE SDZ 10 MG 98 FILMS ORODISP RR 0 0 164,91 183,68 0 0650506 OLANZAPINE SDZ 15 MG 28 FILMS ORODISP RR 0 0 88,35 102,53 0 0650554 OLANZAPINE SDZ 15 MG 56 FILMS ORODISP RR 0 0 141,35 158,70 0 0650585 OLANZAPINE SDZ 15 MG 98 FILMS ORODISP RR 0 0 247,36 271,06 0 0650652 OLANZAPINE SDZ 20 MG 28 FILMS ORODISP RR 0 0 117,79 133,73 0 0650702 OLANZAPINE SDZ 20 MG 56 FILMS ORODISP RR 0 0 188,47 208,64 0 0650747 OLANZAPINE SDZ 20 MG 98 FILMS ORODISP RR 0 0 329,82 358,46 0 0649729 OLANZAPINE SDZ 5 MG 28 CPR RR 0 0 29,44 38,83 0 0650196 OLANZAPINE SDZ 5 MG 28 FILMS ORODISP RR 0 0 29,44 38,83 0 Page 170 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 0649777 OLANZAPINE SDZ 5 MG 56 CPR RR 0 0 47,10 58,27 0 0650232 OLANZAPINE SDZ 5 MG 56 FILMS ORODISP RR 0 0 47,10 58,27 0 0649813 OLANZAPINE SDZ 5 MG 98 CPR RR 0 0 82,43 96,26 0 0650277 OLANZAPINE SDZ 5 MG 98 FILMS ORODISP RR 0 0 82,43 96,26 0 0649925 OLANZAPINE SDZ 7,5 MG 56 CPR RR 0 0 84,14 98,07 0 0649956 OLANZAPINE SDZ 7,5 MG 98 CPR RR 0 0 147,24 164,96 0 0502243 ZYPADHERA 210 MG PDR 1 FL + S 3 ML IM RR HC RM 0 0 125,07 0,00 0 0502257 ZYPADHERA 300 MG PDR 1 FL + S 3 ML IM RR HC RM 0 0 182,64 0,00 0 0502261 ZYPADHERA 405 MG PDR 1 FL + S 3 ML IM RR HC RM 0 0 250,14 0,00 0 0319267 ZYPREXA 10 MG 1 FL IM RR 0 0 3,50 8,42 0 0319271 ZYPREXA 10 MG 10 FL IM RR 0 0 4,22 9,31 0 0226462 ZYPREXA 10 MG 28 CPR RR 0 0 54,14 65,92 80 0585439 ZYPREXA 10 MG 70 CPR RR 0 0 117,79 133,62 80 0585442 ZYPREXA 10 MG 98 CPR RR 0 0 151,58 169,44 80 0226414 ZYPREXA 5 MG 28 CPR RR 0 0 27,06 36,09 80 0585411 ZYPREXA 5 MG 70 CPR RR 0 0 58,87 71,13 80 0585425 ZYPREXA 5 MG 98 CPR RR 0 0 75,77 89,09 80 0226431 ZYPREXA 7,5 MG 56 CPR RR 0 0 77,34 90,76 80 0277251 ZYPREXA VELOTAB 10 MG 28 CPR DISP RR 0 0 54,14 65,92 80 0459156 ZYPREXA VELOTAB 10 MG 70 CPR DISP RR 0 0 117,79 133,62 80 0585408 ZYPREXA VELOTAB 10 MG 98 CPR DISP RR 0 0 151,58 169,44 80 0277265 ZYPREXA VELOTAB 15 MG 28 CPR DISP RR 0 0 158,01 176,25 0 0277279 ZYPREXA VELOTAB 20 MG 28 CPR DISP RR 0 0 210,68 232,08 0 0277248 ZYPREXA VELOTAB 5 MG 28 CPR DISP RR 0 0 27,06 36,09 80 0459139 ZYPREXA VELOTAB 5 MG 70 CPR DISP RR 0 0 58,87 71,13 80 0585392 ZYPREXA VELOTAB 5 MG 98 CPR DISP RR 0 0 75,77 89,09 80 N05AH04 quetiapine 0653525 QUETIAPINE SDZ 100 MG 100 CPR RR 0 0 38,15 48,42 0 0653489 QUETIAPINE SDZ 100 MG 30 CPR RR 0 0 14,28 21,97 0 0653508 QUETIAPINE SDZ 100 MG 60 CPR RR 0 0 28,62 37,93 0 0653993 QUETIAPINE SDZ 200 MG 100 CPR RR 0 0 76,31 89,78 0 0653945 QUETIAPINE SDZ 200 MG 30 CPR RR 0 0 28,60 37,91 0 0653962 QUETIAPINE SDZ 200 MG 60 CPR RR 0 0 57,23 69,45 0 0654519 QUETIAPINE SDZ 300 MG 100 CPR RR 0 0 111,60 127,19 0 0654097 QUETIAPINE SDZ 300 MG 30 CPR RR 0 0 41,83 52,48 0 0654116 QUETIAPINE SDZ 300 MG 60 CPR RR 0 0 83,70 97,62 0 0272949 SEROQUEL 100 MG 100 CPR RR 0 0 38,16 48,43 80 0277542 SEROQUEL 100 MG 60 CPR RR 0 0 28,62 37,93 80 0635012 SEROQUEL 200 MG 100 CPR RR 0 0 76,31 89,78 80 0277556 SEROQUEL 200 MG 60 CPR RR 0 0 57,23 69,45 80 0274795 SEROQUEL 200 MG 60 CPR UD RR 0 0 102,40 0,00 0 0274747 SEROQUEL 25 MG 6 CPR RR 0 0 0,00 6,17 0 0274751 SEROQUEL 25 MG 60 CPR UD RR 0 0 28,71 0,00 0 Page 171 of 230
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Liste des médicaments commercialisés au Luxembourg - CNS

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