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 0220343 FLUORESCEINE SOD CHVN 2% COLLY 20 MIN R 0 0 0,00 16,53 80 S01LA01 verteporfin 0286041 VISUDYNE 15 MG PDR 1 FL PERF RR HC 0 0 1.057,50 0,00 0 S01LA03 pegaptanib 0439668 MACUGEN 0,3 MG 1 SRG RR HC RM 0 0 544,00 0,00 0 S01LA04 ranibizumab 0450729 LUCENTIS 10 MG/ML 1 FL 0,23 ML+AIG+SRG RR HC RM 0 0 935,00 0,00 0 S01XA12 dexpanthenol 0187561 CORNEREGEL 10 G P 0 0 2,51 4,47 80 S01XA20 artificial tears and other indifferent preparations 0223782 ALCON EYE GEL 10 G P 0 0 0,00 6,50 40 0182341 ARTELAC COLLY 1 FL 10 ML 450 P 0 0 2,34 4,18 40 0225451 ARTELAC EDO COLLY 120 * 0,6 ML P 0 0 18,90 31,83 40 0225434 ARTELAC EDO COLLY 30 * 0,6 ML P 0 0 6,49 11,57 40 0225448 ARTELAC EDO COLLY 60 * 0,6 ML P 0 0 11,66 19,70 40 0164017 DISPATENOL COLLY 10 ML P 0 0 0,00 4,45 40 0233226 DISPATENOL COLLY 3*10 ML P 0 0 0,00 6,40 40 0223636 DURATEARS 3,5 G POM OPHT P 0 0 3,17 5,45 0 0160746 ISOPTO TEARS COLLY 15 ML P 0 0 0,00 4,09 40 0066596 LIQUIFILM TEARS 15 ML P 0 0 0,00 4,95 40 0410111 OCUGEL 0,25% 20*0,4 G MND P 0 0 5,24 9,01 0 0294168 OCUGEL 0,25% GEL 10 G P 0 0 4,53 7,77 40 0444279 OCULOTECT FLUID PVD COLLY 10 ML P 0 0 1,63 3,49 0 0444282 OCULOTECT FLUID PVD COLLY 3*10 ML P 0 0 3,15 6,22 0 0419469 PVP AUGENTROPFEN DR MANN 10 ML P 0 0 0,00 2,95 40 0224681 SICCAGENT 2 % COLLY 10 ML P 0 0 0,00 4,82 40 0166851 TEARS NATURAL 15 ML P 0 0 3,22 5,54 40 0222186 THILO TEARS GEL OPHT 10 G P 0 0 0,00 6,50 40 0279273 VIDISIC EDO GEL 120*0,6 ML P 0 0 18,90 31,83 40 0279242 VIDISIC EDO GEL 30*0,6 ML P 0 0 6,49 11,57 40 0279256 VIDISIC EDO GEL 60*0,6 ML P 0 0 11,66 19,70 40 0140273 VIDISIC GEL 10 G 431 P 0 0 2,34 4,18 40 0140287 VIDISIC GEL 3*10 G 432 P 0 0 4,78 8,52 40 S02AA Antiinfectives 0144448 OTOFA GTTS 200000 U 1 FL 10 ML RR 0 0 2,25 3,51 80 S02AA30 antiinfectives, combinations 0076432 NEOBACITRACINE INSTILLATION RR 0 0 1,96 6,68 80 S02CA06 dexamethasone and antiinfectives 0092050 POLYDEXA GTTS AURICUL 10 ML RR 0 0 1,37 2,44 80 Page 212 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 S02CA07 fludrocortisone and antiinfectives 0131906 PANOTILE GTTS OTIQUES 10 ML RR 0 0 3,36 5,78 0 S02DA Analgesics and anesthetics 0511631 OTOCALMINE 2% GTTS 18 ML P 0 0 3,11 5,34 0 S02DA01 lidocaine 0084112 OTIPAX 16 G P 0 0 0,00 2,63 80 S02DC Indifferent preparations 0020308 CERULYX GTTS 10 ML P 0 0 4,01 6,88 80 S03AA30 antiinfectives, combinations 0512558 CIELLA 0,1% COLLY 20*5 ML UD P 0 0 3,04 7,84 0 S03CA01 dexamethasone and antiinfectives 0380123 SPACES AURICULARUM PDR 1 FL RR 0 0 4,95 8,17 0 0437775 ACOMPLIA 20 MG 84 CPR RR 0 0 203,39 226,21 0 0536126 CHONDROCELECT SUSP 1 FL 1 ML RR HC RM 0 0 19.837,00 0,00 0 0363993 HARTMANN + GLC 5% VIAFLO 10*1 L PERF RR 0 0 2,97 7,71 0 0363976 HARTMANN + GLC 5% VIAFLO 20*500 ML PERF RR 0 0 2,45 7,05 0 0303009 KORODIN GTTS 10 ML P 0 0 2,19 4,37 0 0311501 KORODIN GTTS 40 ML P 0 0 5,81 11,12 0 0355652 MAXILASE 20000 U SIR 200 ML P 0 0 0,00 4,80 0 0299908 MEGAMYLASE 200 U/ML SIR 125 ML P 0 0 2,42 4,31 0 0299911 MEGAMYLASE 200 U/ML SIR 250 ML P 0 0 3,81 6,79 0 0299925 MEGAMYLASE 3000 U 24 CPR P 0 0 3,30 5,88 0 0297688 MICTASOL 50 CPR P 0 0 0,00 5,15 0 V01AA02 grass pollen 0640271 PURETHAL GRAESER 500 MCG/ML 1 FL 6 ML RR 0 0 292,00 318,12 0 0570891 PURETHAL GRAESER+GETREIDE 500MCG/ML 1FL RR 0 0 292,00 318,12 0 V01AA05 tree pollen 0640284 PURETHAL BAEUME 500 MCG/ML 1 FL 6 ML RR 0 0 292,00 318,12 0 0640317 PURETHAL BIRKE 500 MCG/ML 1 FL 6 ML RR 0 0 292,00 318,12 0 V01AA20 various 0213206 ALLERGOVIT 1 FL B (ENTRETIEN) 1*3 ML RR 0 0 224,47 244,82 80 0213191 ALLERGOVIT ST A+B / 2*3 ML RR 0 0 245,10 266,70 80 0305518 ALUSTAL 1 COFFRET CURE SC RR 0 0 0,00 79,10 0 0305521 ALUSTAL 1 FL DIL SEP 5 ML SC RR 0 0 0,00 51,90 0 0305535 ALUSTAL 1 FL EXTR CONC 5 ML RR 0 0 0,00 51,90 0 0536062 NOVO-HELISEN DEPOT EB ST 0-3 4*4,5 ML RR 0 0 127,61 139,13 80 0536059 NOVO-HELISEN DEPOT EB ST 1-3 3*4,5 ML RR 0 0 120,92 132,03 80 0536031 NOVO-HELISEN DEPOT FL ENTRETIEN 1*4,5 ML RR 0 0 90,57 99,84 80 Page 213 of 230
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Liste des médicaments commercialisés au Luxembourg - CNS

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