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 Taux délivrance prescription 0416954 GLIMEPIRID HEXAL 2 MG 30 CPR R 0 0 0,96 7,37 100 0417044 GLIMEPIRID HEXAL 3 MG 120 CPR R 0 0 13,29 23,63 100 0417013 GLIMEPIRID HEXAL 3 MG 30 CPR R 0 0 0,00 9,00 100 0417092 GLIMEPIRID HEXAL 4 MG 120 CPR R 0 0 18,95 29,83 100 0417061 GLIMEPIRID HEXAL 4 MG 30 CPR R 0 0 2,80 10,57 100 0417142 GLIMEPIRID HEXAL 6 MG 120 CPR R 0 0 0,00 44,10 100 0417111 GLIMEPIRID HEXAL 6 MG 30 CPR R 0 0 8,77 15,64 100 A10BD Combinations of oral blood glucose lowering drugs 0644347 KOMBOGLYZE 2,5/1000 MG 196 CPR RR 0 0 112,02 127,61 0 0644302 KOMBOGLYZE 2,5/1000 MG 56 CPR RR 0 0 36,96 47,10 0 0644266 KOMBOGLYZE 2,5/850 MG 196 CPR RR 0 0 112,02 127,61 0 0644235 KOMBOGLYZE 2,5/850 MG 56 CPR RR 0 0 36,96 47,10 0 A10BD02 metformin and sulfonamides 0325748 GLUCOVANCE 500/2,5 MG 120 CPR R 0 0 8,20 14,40 100 0325877 GLUCOVANCE 500/5 MG 120 CPR R 0 0 8,20 14,40 100 A10BD07 metformin and sitagliptin 0488161 JANUMET 50/1000 MG 196 CPR RR 0 0 125,01 141,39 100 0488131 JANUMET 50/1000 MG 56 CPR RR 0 0 40,39 50,89 100 0488081 JANUMET 50/850 MG 196 CPR RR 0 0 125,01 141,39 100 0488094 JANUMET 50/850 MG 50 CPR UD RR 0 0 35,10 0,00 0 0488046 JANUMET 50/850 MG 56 CPR RR 0 0 40,39 50,89 100 A10BD08 metformin and vildagliptin 0474961 EUCREAS 50/1000 MG 180 CPR BLIST RR 0 0 114,80 130,58 100 0474944 EUCREAS 50/1000 MG 60 CPR BLIST RR 0 0 43,28 54,07 100 0474863 EUCREAS 50/850 MG 180 CPR BLIST RR 0 0 114,80 130,58 100 0474832 EUCREAS 50/850 MG 60 CPR BLIST RR 0 0 43,28 54,07 100 A10BF01 acarbose 0173114 GLUCOBAY 100 MG 60 CPR R 0 0 11,23 19,30 100 0173101 GLUCOBAY 50 MG 120 CPR R 0 0 15,36 25,73 100 A10BG03 pioglitazone 0287809 ACTOS 15 MG 28 CPR RR 0 0 24,97 33,80 100 0287826 ACTOS 15 MG 98 CPR RR 0 0 71,62 84,69 100 0287843 ACTOS 30 MG 28 CPR RR 0 0 39,63 49,94 100 0287861 ACTOS 30 MG 98 CPR RR 0 0 112,47 127,97 100 A10BH01 sitagliptin 0453636 JANUVIA 100 MG 28 CPR RR 0 0 35,12 45,09 100 0453671 JANUVIA 100 MG 98 CPR RR 0 0 122,93 139,19 100 0453491 JANUVIA 25 MG 28 CPR RR 0 0 35,12 45,08 100 0453524 JANUVIA 25 MG 98 CPR RR 0 0 122,93 139,18 100 0453572 JANUVIA 50 MG 28 CPR RR 0 0 35,12 45,08 100 Page 20 of 230
Numéro national Dénomination abrégée mode de conditions de OD RMP PCC Prix ex-usine Prix public Taux délivrance prescription 0453619 JANUVIA 50 MG 98 CPR RR 0 0 122,93 139,18 100 A10BH02 vildagliptin 0470363 GALVUS 50 MG 180 CPR RR 0 0 114,48 130,23 100 0470329 GALVUS 50 MG 60 CPR RR 0 0 43,28 54,07 100 A10BH03 saxagliptin 0603974 ONGLYZA 2,5 MG 28 CPR RR 0 0 36,96 47,10 100 0604002 ONGLYZA 2,5 MG 98 CPR RR 0 0 112,02 127,61 100 0528897 ONGLYZA 5 MG 28 CPR RR 0 0 36,96 47,10 100 0528933 ONGLYZA 5 MG 30*1 CPR UD RR 0 0 35,52 0,00 0 0528916 A10BH05 ONGLYZA 5 MG 98 CPR RR 0 0 112,02 127,61 100 0622028 TRAJENTA 5 MG 100 CPR RR 0 0 112,00 127,59 100 0621955 TRAJENTA 5 MG 30 CPR RR 0 0 33,60 43,41 100 A10BX02 repaglinide 0256381 NOVONORM 0,5 MG 120 CPR RR 0 0 6,64 12,46 100 0256461 NOVONORM 1 MG 120 CPR RR 0 0 6,64 12,46 100 0256539 NOVONORM 2 MG 120 CPR RR 0 0 6,64 12,46 100 A10BX03 nateglinide 0297836 STARLIX 120 MG 120 CPR RR 0 0 45,32 58,68 100 0297805 STARLIX 120 MG 30 CPR RR 0 0 11,33 21,48 100 0297755 STARLIX 60 MG 120 CPR RR 0 0 45,32 58,68 100 0297724 STARLIX 60 MG 30 CPR RR 0 0 11,33 21,48 100 A10BX04 exenatide 0454163 BYETTA 10 MCG 1 STYLO 2,4 ML SC RR 0 0 87,62 101,65 100 0454177 BYETTA 10 MCG 3 STYLOS 2,4 ML SC RR 0 0 87,62 101,65 0 0454132 BYETTA 5 MCG 1 STYLO 1,2 ML SC RR 0 0 87,62 101,65 100 A10BX07 liraglutide 0533852 VICTOZA 6 MG/ML 2 STYLOS 3 ML SC RR 0 0 88,60 102,81 100 A11AB Multivitamins, other combinations 0189923 MERZ SPEZIAL SN 120 DRG P 0 0 0,00 12,88 0 A11CC03 alfacalcidol 0258953 1 ALPHA LEO 0,25 MCG 30 CAPS R 0 0 3,32 8,31 80 0258967 1 ALPHA LEO 0,25 MCG 50 CAPS R 0 0 0,00 11,30 80 0258971 1 ALPHA LEO 1 MCG 50 CAPS BLIST R 0 0 18,46 26,73 80 0559876 1 ALPHA LEO 2 MCG/ML 10 AMP 0,5 ML RR 0 0 34,65 45,60 80 0559909 1 ALPHA LEO 2 MCG/ML GTTS 1 FL 10 ML R 0 0 8,52 14,79 80 A11CC04 calcitriol 0330202 ROCALTROL 0,25 MCG 30 CAPS BLIST R 0 0 5,80 11,40 80 0330216 ROCALTROL 0,5 MCG 30 CAPS BLIST R 0 0 9,30 15,77 80 Page 21 of 230
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Liste des médicaments commercialisés au Luxembourg - CNS

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