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 0024369 COMBIZYM 100 DRG P 0 0 0,00 22,48 80 0024355 COMBIZYM 50 DRG P 0 0 0,00 13,39 80 0277539 CREON 150 MG 100 CAPS R 0 0 12,38 19,49 80 0298296 CREON FORTE 300 MG 100 CAPS R 0 0 33,83 43,55 80 0167876 PANZYTRAT 10000 100 CAPS R 0 0 13,39 22,68 80 0167751 PANZYTRAT 10000 50 CAPS R 0 0 6,92 12,70 80 0251286 PANZYTRAT 25000 U 100 CAPS R 0 0 30,01 46,65 80 0251272 PANZYTRAT 25000 U 50 CAPS R 0 0 15,43 26,13 80 A10AB01 insulin (human) 0147016 HUMULINE REGULAR 100 U 1*10 ML R 0 0 14,31 21,90 100 0202474 HUMULINE REGULAR 100 U 5*3 ML CRT R 0 0 23,57 32,24 100 0365032 INSUL ACTRAPID 100 U 1*10 ML R 0 0 10,36 17,09 100 0365046 INSUL ACTRAPID PF 100 U 5*3 ML R 0 0 22,15 30,79 100 A10AB04 insulin lispro 0221869 HUMALOG 100 U 1*10 ML R 0 0 16,62 24,58 100 0221872 HUMALOG 100 U 5*1,5 ML CRT R 0 0 29,00 38,23 100 0235265 HUMALOG 100 U 5*3 ML CRT R 0 0 29,00 38,23 100 A10AB05 insulin aspart 0268946 INSUL NOVORAPID 100 U 1*10 ML R 0 0 16,62 24,70 100 0291474 INSUL NOVORAPID FLEXPEN 100U 5STYLOS 3ML R 0 0 31,82 41,44 100 0268977 INSUL NOVORAPID PF 100 U 5*3 ML R 0 0 29,00 38,33 100 A10AB06 insulin glulisine 0388801 APIDRA 100 U/ML 1 FL 10 ML SC R 0 0 15,79 23,79 100 0388881 APIDRA 100 U/ML 5 CRT 3 ML SC R 0 0 27,55 36,74 100 0470928 APIDRA 100 U/ML 5 STYLOS SOLOSTAR 3ML SC R 0 0 30,23 39,69 100 A10AC01 insulin (human) 0146974 HUMULINE NPH 100 U 1*10 ML R 0 0 14,31 21,90 100 0202491 HUMULINE NPH 100 U 5*3 ML CRT R 0 0 23,57 32,24 100 0336711 INSUL INSULATARD 100 U 1*10 ML R 0 0 10,36 17,09 100 0336769 INSUL INSULATARD PF 100 U 5*3 ML R 0 0 22,15 30,79 100 A10AD01 insulin (human) 0146795 HUMULINE 30/70 100 U 1*10 ML R 0 0 14,31 21,83 100 0202538 HUMULINE 30/70 100 U 5*3 ML CRT R 0 0 23,57 32,24 100 A10AD04 Insulin lispro 0511953 HUMALOG KWIKPEN 100 U 5*3 ML R 0 0 31,82 41,34 100 0259639 HUMALOG MIX 25 100 U 5*3 ML CRT R 0 0 29,00 38,23 100 0511971 HUMALOG MIX 25 KWIKPEN 100 U 5*3 ML R 0 0 31,82 41,34 100 0259656 HUMALOG MIX 50 100 U 5*3 ML CRT R 0 0 29,00 38,23 100 0511998 HUMALOG MIX 50 KWIKPEN 100 U 5*3 ML R 0 0 31,82 41,34 100 A10AD05 insulin aspart Page 18 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 0291426 INSUL NOVOMIX 30 FLEXPEN 100U 5*3 ML R 0 0 31,82 41,44 100 0287678 INSUL NOVOMIX 30 PF 100U 5*3 ML R 0 0 29,00 38,33 100 0468348 INSUL NOVOMIX 50 FLEXPEN 100U 5*3 ML R 0 0 31,82 41,44 100 0468334 INSUL NOVOMIX 50 PF 100U 5*3 ML R 0 0 29,00 38,33 100 0468365 INSUL NOVOMIX 70 FLEXPEN 100U 5*3 ML R 0 0 31,82 41,44 100 0468351 INSUL NOVOMIX 70 PF 100U 5*3 ML R 0 0 29,00 38,33 100 A10AE04 insulin glargine 0282167 LANTUS 100 U/ML 5 CRT 3 ML SC R 0 0 46,83 57,98 100 0441408 LANTUS 100U/ML 5CRT SOLOSTAR 3ML+5STYLOS R 0 0 46,83 57,98 100 A10AE05 insulin detemir 0382386 LEVEMIR 100 U/ML 5 CRT PF 3 ML SC R 0 0 52,50 64,22 100 0382422 LEVEMIR 100 U/ML 5 STYLOS PRER FLEX 3ML R 0 0 55,04 67,02 100 A10BA02 metformin 0194484 GLUCOPHAGE 500 MG 60 CPR R 0 0 1,37 6,02 100 0194498 GLUCOPHAGE 850 MG 100 CPR R 0 0 2,74 7,59 100 0289297 METFORMAX 850 MG 120 CPR R 0 0 3,35 8,35 100 0290396 METFORMAX 850 MG 120 CPR UD R 0 0 3,35 0,00 0 0289283 METFORMAX 850 MG 40 CPR R 0 0 1,40 6,05 100 A10BB01 glibenclamide 0027892 DAONIL 5 MG 100 CPR R 0 0 9,79 16,37 100 0027889 DAONIL 5 MG 30 CPR R 0 0 3,68 8,64 100 0042370 EUGLUCON 5 100 CPR R 0 0 9,66 16,21 100 A10BB07 glipizide 0049614 GLIBENESE 5 MG 100 CPR R 0 0 8,95 15,32 100 0072450 MINIDIAB 5 MG 90 CPR R 0 0 8,04 14,21 100 A10BB08 gliquidone 0154069 GLURENORM 30 MG 100 CPR R 0 0 6,61 12,41 100 0254436 GLURENORM 30 MG 100 CPR UD R 0 0 6,61 0,00 0 0154055 GLURENORM 30 MG 40 CPR R 0 0 3,32 8,31 100 A10BB09 gliclazide 0569841 DIAMICRON 60 MG 30 CPR R 0 0 6,41 11,43 100 0569886 DIAMICRON 60 MG 90 CPR R 0 0 18,14 32,34 100 A10BB12 glimepiride 0244636 AMARYLLE 2 MG 30 CPR R 0 0 2,57 7,38 100 0244653 AMARYLLE 2 MG 90 CPR R 0 0 7,63 13,68 100 0351233 AMARYLLE 3 MG 30 CPR R 0 0 3,85 8,97 100 0351328 AMARYLLE 4 MG 30 CPR R 0 0 5,13 10,57 100 0416937 GLIMEPIRID HEXAL 1 MG 120 CPR R 0 0 6,55 11,67 100 0416891 GLIMEPIRID HEXAL 1 MG 30 CPR R 0 0 0,00 4,80 100 0416985 GLIMEPIRID HEXAL 2 MG 120 CPR R 0 0 7,73 17,54 100 Page 19 of 230
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Liste des médicaments commercialisés au Luxembourg - CNS

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