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 0210401 LORANKA 2 MG 28 CPR RR 0 0 4,58 7,87 40 0304913 LORMETAZEPAM DOC 2 MG 30 CPR RR 0 0 2,21 7,08 40 0152016 LORMETAZEPAM EG 1 MG 30 CPR RR 0 0 0,00 5,25 40 0152033 LORMETAZEPAM EG 2 MG 30 CPR RR 0 0 0,00 8,51 40 0307932 NOCTACALM 1 MG 30 DRG RR 0 0 0,00 5,78 0 0307946 NOCTACALM 2 MG 30 DRG RR 0 0 0,00 8,96 0 0189839 NOCTAMID 1 MG 30 CPR RR 0 0 0,00 7,66 40 0189842 NOCTAMID 2 MG 30 CPR RR 0 0 7,00 12,02 40 0152051 STILAZE 2 MG 30 CPR RR 0 0 5,74 9,86 40 N05CD08 midazolam 0035636 DORMICUM 15 MG 2 AMP 3 ML IMIV RR D 0 0 1,62 0,00 0 0409395 DORMICUM 5 MG 1 AMP 5 ML IMIV RR D 0 0 0,40 0,00 0 0240153 DORMICUM 50 MG 5 AMP 10 ML PERF RR D 0 0 12,72 0,00 0 N05CD09 brotizolam 0064932 LENDORMIN 0,25 MG 30 CPR RR 0 0 7,53 12,93 40 0231641 LENDORMIN 0,25 MG 50 CPR UD RR 0 0 11,42 0,00 0 N05CD11 loprazolam 0199513 DORMONOCT 1 MG 30 CPR RR 0 0 6,13 10,53 40 0199527 DORMONOCT 2 MG 30 CPR RR 0 0 10,31 17,71 40 N05CF01 zopiclone 0056197 IMOVANE 7,5 MG 30 CPR RR 0 0 8,05 13,85 40 0177385 IMOVANE 7,5 MG 30 CPR UD RR 0 0 8,06 0,00 0 0269912 ZOPICLONE EG 7,5 MG 30 CPR RR 0 0 0,00 9,01 40 N05CF02 zolpidem 0149217 STILNOCT 10 MG 30 CPR RR 0 0 7,40 12,72 40 0323502 STILNOCT 10 MG 30 CPR UD RR 0 0 7,40 12,72 0 0326003 ZOLPIDEM EG 10 MG 30 CPR BLIST RR 0 0 0,00 9,62 40 0517313 ZOLPIDEM EG 10 MG 30 CPR EFF RR 0 0 5,92 10,17 0 N05CF03 zaleplon 0262939 SONATA 10 MG 14 CAPS RR 0 0 0,00 8,11 40 0262908 SONATA 5 MG 14 CAPS RR 0 0 0,00 5,08 40 N05CH01 melatonin 0463985 CIRCADIN 2 MG 21 CPR RET RR 0 0 9,81 16,86 0 N05CM09 valerian 0243673 RELAXINE 500 MG 15 CPR P 0 0 0,00 6,99 40 0243687 RELAXINE 500 MG 30 CPR P 0 0 6,66 11,44 40 0228338 VALERIAL 500 MG 30 CPR P 0 0 0,00 11,32 40 N05CM18 dexmedetomidine 0635415 DEXDOR 100 MCG/ML 25 AMP V 2 ML IV RR HC 0 0 405,00 0,00 0 Page 178 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 0635432 DEXDOR 100 MCG/ML 4 FL V 10 ML IV RR HC 0 0 324,00 0,00 0 0635429 DEXDOR 100 MCG/ML 4 FL V 4 ML IV RR HC 0 0 129,60 0,00 0 0635401 DEXDOR 100 MCG/ML 5 AMP V 2 ML IV RR HC 0 0 81,00 0,00 0 N06AA02 imipramine 0288949 TOFRANIL 25 MG 100 DRG 10366 RR 0 0 4,24 13,72 80 0288921 TOFRANIL 25 MG 20 DRG 10364 RR 0 0 0,77 9,92 80 0288935 TOFRANIL 25 MG 50 DRG 10165 RR 0 0 2,01 11,28 80 N06AA04 clomipramine 0236262 ANAFRANIL 10 MG 100 DRG 10351 RR 0 0 1,92 11,18 80 0236245 ANAFRANIL 10 MG 20 DRG 10349 RR 0 0 0,36 9,48 80 0236259 ANAFRANIL 10 MG 50 DRG 10350 RR 0 0 0,93 10,10 80 0236519 ANAFRANIL 25 MG 100 DRG 10355 RR 0 0 4,24 13,72 80 0236486 ANAFRANIL 25 MG 20 DRG 10353 RR 0 0 0,77 9,92 80 0236505 ANAFRANIL 25 MG 50 DRG 10354 RR 0 0 2,01 11,28 80 0236293 ANAFRANIL RET 75 MG 20 CPR 10604 RR 0 0 7,94 17,78 80 0236309 ANAFRANIL RET 75 MG 50 CPR 10602 RR 0 0 13,65 24,02 80 N06AA09 amitriptyline 0097351 REDOMEX 10 MG 100 CPR RR 0 0 1,47 6,14 80 0097379 REDOMEX 25 MG 100 CPR RR 0 0 2,78 7,65 80 0097396 REDOMEX DIFFUCAPS 25 MG 40 CAPS RR 0 0 2,14 6,87 80 0097415 REDOMEX DIFFUCAPS 50 MG 40 CAPS RR 0 0 3,49 8,52 80 N06AA10 nortriptyline 0080094 NORTRILEN 25 MG 50 CPR RR 0 0 2,10 6,83 80 N06AA12 doxepin 0105145 SINEQUAN 25 MG 100 CAPS RR 0 0 5,97 11,62 80 0105162 SINEQUAN 50 MG 100 CAPS RR 0 0 10,45 17,20 80 N06AA16 dosulepin 0095035 PROTHIADEN 25 MG 100 CAPS RR 0 0 4,31 9,55 80 0177341 PROTHIADEN 25 MG 30 CAPS RR 0 0 1,60 6,29 80 0095021 PROTHIADEN 75 MG 28 DRG RR 0 0 3,67 8,75 80 N06AB03 fluoxetine 0293532 DOCFLUOXETINE 20 MG 28 CAPS RR 0 0 3,80 8,74 80 0293546 DOCFLUOXETINE 20 MG 60 CAPS RR 0 0 10,33 16,94 80 0647921 FLUOXETIN RATIO 20 MG 100 CAPS RR 0 0 12,69 22,97 0 0647884 FLUOXETIN RATIO 20 MG 100 CPR RR 0 0 12,69 22,97 0 0647903 FLUOXETIN RATIO 20 MG 20 CAPS RR 0 0 2,08 11,37 0 0647836 FLUOXETIN RATIO 20 MG 20 CPR RR 0 0 2,08 11,37 0 0647917 FLUOXETIN RATIO 20 MG 50 CAPS RR 0 0 5,82 15,45 0 0647871 FLUOXETIN RATIO 20 MG 50 CPR RR 0 0 5,82 15,45 0 0647934 FLUOXETIN RATIO 20MG/5ML SOL BUV 70 ML RR 0 0 14,18 24,61 0 Page 179 of 230
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Liste des médicaments commercialisés au Luxembourg - CNS

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