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 0301083 OXYGENE LIQ MED VIVISOL 1 REC CRYOGEN R 0 0 4,94 6,56 0 0296503 OXYGENE MED GAZ BTG BT 0,213 M3 R 0 0 0,94 1,27 0 0296517 OXYGENE MED GAZ BTG BT 0,425 M3 R 0 0 1,89 2,56 0 0296521 OXYGENE MED GAZ BTG BT 1,125 M3 R 0 0 4,99 6,74 0 0296565 OXYGENE MED GAZ BTG BT 10,61 M3 R 0 0 47,08 59,40 0 0296534 OXYGENE MED GAZ BTG BT 2,12 M3 R 0 0 9,41 12,72 0 0296548 OXYGENE MED GAZ BTG BT 4,33 M3 R 0 0 19,21 25,99 0 0296551 OXYGENE MED GAZ BTG BT 6,37 M3 R 0 0 28,27 37,36 0 0298332 OXYGENE MED GAZ HOEK LOOS 1 BT 150 10L R 0 0 0,00 9,90 0 0298315 OXYGENE MED GAZ HOEK LOOS 1 BT 150 2,8L R 0 0 0,00 2,77 0 0298346 OXYGENE MED GAZ HOEK LOOS 1 BT 150 20 L R 0 0 0,00 19,80 0 0298329 OXYGENE MED GAZ HOEK LOOS 1 BT 150 4 L R 0 0 0,00 3,95 0 0298363 OXYGENE MED GAZ HOEK LOOS 1 BT 150 40 L R 0 0 29,28 40,08 0 0298377 OXYGENE MED GAZ HOEK LOOS 1 BT 200 1 L R 0 0 0,00 1,32 0 0298461 OXYGENE MED GAZ HOEK LOOS 1 BT 200 10 L R 0 0 0,00 13,20 0 0298381 OXYGENE MED GAZ HOEK LOOS 1 BT 200 2 L R 0 0 0,00 2,65 0 0298394 OXYGENE MED GAZ HOEK LOOS 1 BT 200 2,5L R 0 0 0,00 3,30 0 0298413 OXYGENE MED GAZ HOEK LOOS 1 BT 200 2,8L R 0 0 0,00 3,66 0 0298475 OXYGENE MED GAZ HOEK LOOS 1 BT 200 20 L R 0 0 16,01 26,40 0 0298427 OXYGENE MED GAZ HOEK LOOS 1 BT 200 3 L R 0 0 0,00 3,95 0 0298489 OXYGENE MED GAZ HOEK LOOS 1 BT 200 30 L R 0 0 29,28 40,08 0 0298431 OXYGENE MED GAZ HOEK LOOS 1 BT 200 4 L R 0 0 0,00 5,28 0 0298444 OXYGENE MED GAZ HOEK LOOS 1 BT 200 5 L R 0 0 0,00 6,60 0 0298508 OXYGENE MED GAZ HOEK LOOS 1 BT 200 50 L R 0 0 48,81 60,17 0 0298458 OXYGENE MED GAZ HOEK LOOS 1 BT 200 6,6L R 0 0 0,00 8,70 0 0298301 OXYGENE MED GAZ HOEK LOOS 1 BT 250 2,2L R 0 0 0,00 2,17 0 0338536 OXYGENE MED GAZ MESSER 1 CITERNE R 0 0 4,94 6,38 0 0296582 OXYGENE MED GAZ MESSER BT 0,4 M3 R 0 0 1,77 2,41 0 0296596 OXYGENE MED GAZ MESSER BT 1 M3 R 0 0 4,44 6,00 0 0296629 OXYGENE MED GAZ MESSER BT 10,6 M3 R 0 0 47,04 58,34 0 0296601 OXYGENE MED GAZ MESSER BT 2,2 M3 R 0 0 9,76 13,20 0 0296615 OXYGENE MED GAZ MESSER BT 4,3 M3 R 0 0 19,08 25,80 0 0296422 OXYGENE MED GAZ VIVISOL BT 0,2 R 0 0 0,94 1,27 0 0296436 OXYGENE MED GAZ VIVISOL BT 0,4 R 0 0 1,89 2,56 0 0296453 OXYGENE MED GAZ VIVISOL BT 1,1 R 0 0 4,99 6,74 0 0296498 OXYGENE MED GAZ VIVISOL BT 10 R 0 0 47,08 59,40 0 0296467 OXYGENE MED GAZ VIVISOL BT 2,1 R 0 0 9,41 12,72 0 0296471 OXYGENE MED GAZ VIVISOL BT 4,3 R 0 0 19,21 25,99 0 0296484 OXYGENE MED GAZ VIVISOL BT 6,3 R 0 0 28,27 37,36 0 0296579 OXYGENE MED LIQ GAZ 1 CITERNE R H 0 0 0,65 0,00 0 0243155 OXYGENE MEDICAL BT 100 L R 0 0 0,00 5,60 80 0243205 OXYGENE MEDICAL BT 1000 L R 0 0 0,00 5,60 80 0243236 OXYGENE MEDICAL BT 10500 L R 0 0 0,00 55,26 80 0243169 OXYGENE MEDICAL BT 200 L R 0 0 0,00 5,60 80 Page 216 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 0243219 OXYGENE MEDICAL BT 2100 L R 0 0 0,00 11,80 80 0243172 OXYGENE MEDICAL BT 300 L R 0 0 0,00 5,60 80 0243186 OXYGENE MEDICAL BT 400 L R 0 0 0,00 5,60 80 0243222 OXYGENE MEDICAL BT 4200 L R 0 0 0,00 23,60 80 0243141 OXYGENE MEDICAL BT 74 L R 0 0 0,00 5,60 80 V03AN05 medical air 0611427 AIR SYNTH MED SOL 21,75% 1 CYL 1 L RR HC 0 0 5,60 0,00 0 0611461 AIR SYNTH MED SOL 21,75% 1 CYL 10 L RR HC 0 0 15,46 0,00 0 0611431 AIR SYNTH MED SOL 21,75% 1 CYL 2 L RR HC 0 0 6,63 0,00 0 0611475 AIR SYNTH MED SOL 21,75% 1 CYL 20 L RR HC 0 0 26,53 0,00 0 0611444 AIR SYNTH MED SOL 21,75% 1 CYL 3 L RR HC 0 0 7,81 0,00 0 0611489 AIR SYNTH MED SOL 21,75% 1 CYL 30 L RR HC 0 0 37,51 0,00 0 0611492 AIR SYNTH MED SOL 21,75% 1 CYL 40 L RR HC 0 0 49,05 0,00 0 0611458 AIR SYNTH MED SOL 21,75% 1 CYL 5 L RR HC 0 0 9,98 0,00 0 0611508 AIR SYNTH MED SOL 21,75% 1 CYL 50 L RR HC 0 0 60,59 0,00 0 0611525 AIR SYNTH MED SOL 21,75% 12 CYL 40 L RR HC 0 0 588,60 0,00 0 0611556 AIR SYNTH MED SOL 21,75% 12 CYL 50 L RR HC 0 0 727,08 0,00 0 0611539 AIR SYNTH MED SOL 21,75% 16 CYL 40 L RR HC 0 0 784,80 0,00 0 0611573 AIR SYNTH MED SOL 21,75% 16 CYL 50 L RR HC 0 0 969,44 0,00 0 0611511 AIR SYNTH MED SOL 21,75% 8 CYL 40 L RR HC 0 0 392,40 0,00 0 0611542 AIR SYNTH MED SOL 21,75% 8 CYL 50 L RR HC 0 0 484,72 0,00 0 V04 DIAGNOSTIC AGENTS 0206022 OCTREOSCAN 111 10 MCG 1 FL A + 1 FL B IV RR HC 0 0 707,06 0,00 0 V04CF01 tuberculin 0568987 TUBERCULIN PPD SSI 10U/0,1 ML 1 FL 1,5ML R 0 0 24,84 35,50 0 0423721 TUBERCULIN PPD SSI 10U/0,1 ML 10FL 1,5ML R 0 0 224,33 240,97 0 0568973 TUBERCULIN PPD SSI 2 U/0,1 ML 1 FL 1,5ML R 0 0 10,60 18,21 0 0423735 TUBERCULIN PPD SSI 2 U/0,1 ML 10FL 1,5ML R 0 0 81,13 93,48 0 V04CJ01 thyrotropin 0278571 THYROGEN 0,9 MG PDR 2 FL IM RR DC 0 0 1.101,47 0,00 0 V04CX Other diagnostic agents 0137975 BLEU PATENTE 5 AMP 2 ML SC R H 0 0 23,95 0,00 0 0330877 HELICOBACTER TEST INFAI 45 MG 1 KIT RR P 0 0 15,55 24,06 0 0240914 HELICOBACTER TEST INFAI 75MG 1KIT (SACS) RR P 0 0 23,21 34,46 0 0502551 HELICOBACTER TEST INFAI 75MG 1KIT (TUBES RR P 0 0 23,21 34,46 0 0414994 HEXVIX 85 MG PDR 1 FL + S PP R P 0 0 405,00 0,00 0 V07AB Solvents and diluting agents, incl. irrigating solutions 0282752 AMPUWA 1000 ML PLASTIPUR PS 1088811 RR 0 0 2,30 3,89 0 0280338 AMPUWA 20 AMP 10 ML P B314063 RR 0 0 4,62 8,75 0 0280355 AMPUWA 20 AMP 20 ML P B314391 RR 0 0 5,04 9,65 0 0007340 AQUA AD INJ BRN 10 AMP 20 ML P RR 0 0 0,00 7,46 80 Page 217 of 230
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Liste des médicaments commercialisés au Luxembourg - CNS

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