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 0431057 COMBIGAN 0,2/0,5% COLLY 5 ML R 0 0 32,43 42,11 0 0274801 COSOPT COLLY 1 OCUMETER PLUS 5 ML R 0 0 16,71 27,12 80 0297593 COSOPT COLLY 3 OCUMETER PLUS 5 ML R 0 0 39,67 50,10 80 0457621 COSOPT UD COLLY 20MG/ML 5MG/ML 60*0,2 ML R 0 0 17,35 25,52 80 0434997 DUOTRAV 40 MCG/ML 5 MG/ML COLLY 3*2,5 ML R 0 0 55,00 66,98 80 0436067 GANFORT 0,03/0,5% COLLY 3*3 ML R 0 0 47,48 59,84 80 0303379 XALACOM COLLY 2,5 ML R 0 0 24,16 34,80 80 0303382 XALACOM COLLY 3*2,5 ML R 0 0 59,12 71,52 80 S01EE01 latanoprost 0556034 LATANOPROST RATIO 50MCG/ML COLLY 2,5ML R 0 0 8,97 13,28 80 0556048 LATANOPROST RATIO 50MCG/ML COLLY 3*2,5ML R 0 0 14,17 20,12 80 0556051 LATANOPROST RATIO 50MCG/ML COLLY 6*2,5ML R 0 0 31,30 39,36 80 0632122 LATANOTEARS 50 MCG/ML COLLY 1*2,5 ML R 0 0 13,03 23,32 0 0632136 LATANOTEARS 50 MCG/ML COLLY 3*2,5 ML R 0 0 14,96 22,82 0 0240783 XALATAN 0,005% COLLY 2,5 ML R 0 0 8,19 14,38 80 0251868 XALATAN 0,005% COLLY 3*2,5 ML R 0 0 19,68 28,08 80 S01EE03 bimatoprost 0562465 LUMIGAN 0,1 MG/ML COLLY 3*3 ML RR 0 0 40,15 50,63 80 0565498 LUMIGAN 0,3 MG/ML COLLY 3 ML RR 0 0 17,50 27,93 80 0565484 LUMIGAN 0,3 MG/ML COLLY 3*3 ML RR 0 0 40,15 50,63 80 S01EE04 travoprost 0314677 TRAVATAN 40 MCG/ML COLLY 3 FL 2,5 ML R 0 0 40,15 50,63 80 S01EE05 tafluprost 0621231 SAFLUTAN 15 MCG/ML COLLY 30*0,3 ML UD RR 0 0 19,02 27,24 80 0621244 SAFLUTAN 15 MCG/ML COLLY 90*0,3 ML UD RR 0 0 53,25 65,06 80 S01FA04 cyclopentolate 0535986 MINIMS CYCLOPENTOLATE HCL 0,5% COLLY A20 R 0 0 0,00 16,79 80 0183091 ZYKLOLAT EDO SINE COLLY 20 X 0,5 ML R 0 0 0,00 9,27 80 S01FA06 tropicamide 0266809 MONOFREE TROPICAMIDE 0,5% COLLY 20*0,4ML R 0 0 6,85 11,77 0 0121281 TROPICOL 0,5% COLLY 10 ML R 0 0 0,00 4,90 80 S01FB01 phenylephrine 0219292 PHENYLEPHRINE CHLORH CHVN 10% 20 MIN R 0 0 0,00 16,79 80 S01GA02 tetryzoline 0193361 BERBERIL N COLLY 10 ML P 0 0 2,26 4,04 80 0277007 BERBERIL N EDO COLLY 10*0,5 ML P 0 0 2,97 5,29 80 0277011 BERBERIL N EDO COLLY 20*0,5 ML P 0 0 4,78 8,52 80 S01GA51 naphazoline, combinations 0299892 COLLYRE BLEU LAITER COLLY 10 ML P 0 0 3,04 5,42 80 Page 210 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 0072433 MINHAVEZ COLLY P 0 0 2,85 4,90 80 S01GX01 cromoglicic acid 0364571 CROMABAK 20 MG/ML COLLY 10 ML P 0 0 0,00 9,87 80 0170403 CROMOHEXAL 2% COLLY 10 ML P 0 0 2,15 4,28 80 0176553 CROMOHEXAL UD COLLY 20*0,5 ML P 0 0 2,56 5,11 80 0195528 CROMOHEXAL UD COLLY 50*0,5 ML P 0 0 5,85 11,21 80 0285172 CROMOPHTA POS 20 MG/ML COLLY 10 ML P 0 0 5,65 9,70 0 0164003 DISPACROMIL COLLY 10 ML P 0 0 0,00 4,00 80 0163992 DISPACROMIL SINE COLLY 20*0,5 ML P 0 0 0,00 4,00 80 0082619 OPTICROM 2% COLLY 10 ML P 0 0 6,15 10,56 80 0151571 VIVIDRIN COLLY 10 ML 240 P 0 0 3,02 5,38 80 S01GX02 levocabastine 0173971 LIVOSTIN 0,05% COLLY 1 FL 4 ML 52349 R 0 0 7,29 12,53 80 S01GX05 lodoxamide 0170689 ALOMIDE 1 MG/ML COLLY 5 ML R 0 0 0,00 5,68 80 S01GX06 emedastine 0263855 EMADINE 0,5 MG/ML COLLY 5 ML R 0 0 7,51 13,42 80 S01GX07 azelastine 0257553 ALLERGODIL COLLY 6 ML R 0 0 7,30 12,53 80 0645281 AZELASTIN POS 0,5 MG/ML COLLY 10 ML R 0 0 9,45 15,95 0 S01GX08 ketotifen 0576314 ALTRIABAK 0,25 MG/ML COLLY 5 ML R 0 0 7,85 13,49 80 0303544 ZADITEN OPHTA COLLY 5 ML R 0 0 7,57 13,47 80 0298721 ZADITEN OPHTA SINE 0,025% COLLY 20FL UD R 0 0 9,37 16,67 80 0298749 ZADITEN OPHTA SINE 0,025% COLLY 50FL UD R 0 0 22,37 33,53 80 S01GX09 olopatadine 0341871 OPATANOL 0,1% COLLY 1 FL 5 ML R 0 0 0,00 13,41 80 S01GX10 epinastine 0370113 RELESTAT 0,5 MG/ML COLLY 5 ML RR 0 0 0,00 10,50 0 S01HA02 oxybuprocaine 0278259 MONOFREE OXYBUPROCAINE 0,4% COLLY 20*0,4 RR 0 0 6,85 11,77 80 0033788 NOVESINE 0,4% DISPERSA COLLY 10 ML RR 0 0 0,00 4,29 80 0219275 OXYBUPROCAINE HCL CHVN 0,4% COLLY 20 MIN RR 0 0 0,00 16,79 80 0084725 UNICAINE 0,4 % COLLY 10 ML R 0 0 3,31 5,68 80 S01HA03 tetracaine 0219311 TETRACAINE CHLORH CHVN 1% COLLY 20 MIN RR 0 0 0,00 16,79 80 S01JA01 fluorescein 0598857 FLUORESCEINE 10% FAURE 10 AMP 5 ML IV RR HC 0 0 17,03 0,00 0 Page 211 of 230
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Liste des médicaments commercialisés au Luxembourg - CNS

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