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 0007337 AQUA AD INJ BRN 10 MINI PL 10 ML RR 0 0 0,00 7,06 80 0007256 AQUA AD INJ BRN 100 ML V RR 0 0 0,00 1,39 80 0334165 EAU POUR INJ VIAFLO 1000 ML PP RR 0 0 1,92 6,46 0 0334151 EAU POUR INJ VIAFLO 500 ML PP RR 0 0 1,54 6,03 0 V08AA01 diatrizoic acid 0171137 GASTROGRAFIN SOL OR 5 FL 100 ML R H 0 0 20,66 0,00 0 0144174 UROGRAFINE 30% 10 FL 250 ML PERF RR H 0 0 68,33 0,00 0 0123434 UROGRAFINE 76% 1 FL 100 ML PERF RR HC 0 0 6,60 0,00 0 V08AA05 ioxitalamic acid 0142717 TELEBRIX 12 SODIUM 1 FL INJ 250 ML RR H 0 0 7,54 0,00 0 0113830 TELEBRIX 30 MEGLUMINE 1 FL 100 ML RR H 0 0 7,97 0,00 0 0113844 TELEBRIX 30 MEGLUMINE 1 FL 140 ML RR H 0 0 10,25 0,00 0 0113827 TELEBRIX 30 MEGLUMINE 1 FL 30 ML RR H 0 0 2,81 0,00 0 0113861 TELEBRIX 35 1 FL 100 ML RR H 0 0 7,81 0,00 0 0113875 TELEBRIX 35 1 FL 200 ML RR H 0 0 14,14 0,00 0 0113858 TELEBRIX 35 1 FL 50 ML RR H 0 0 4,57 0,00 0 0152694 TELEBRIX GASTRO 300 MG/ML 1 FL 100 ML R H 0 0 6,64 0,00 0 0152681 TELEBRIX GASTRO 300 MG/ML 1 FL 50 ML R H 0 0 3,91 0,00 0 0209931 TELEBRIX HYSTERO 5 G 1 FL 20 ML IV RR H 0 0 1,78 0,00 0 V08AB02 iohexol 0081768 OMNIPAQUE 180 MG/ML 1 FL 15 ML IV RR HC 0 0 4,07 0,00 0 0081785 OMNIPAQUE 240 MG/ML 1 FL 10 ML IV RR HC 0 0 2,99 0,00 0 0081804 OMNIPAQUE 240 MG/ML 1 FL 20 ML IV RR HC 0 0 4,97 0,00 0 0081852 OMNIPAQUE 240 MG/ML 1 FL 200 ML IV RR HC 0 0 49,66 0,00 0 0081835 OMNIPAQUE 240 MG/ML 1 FL 50 ML IV RR HC 0 0 12,34 0,00 0 0456073 OMNIPAQUE 240 MG/ML 1 FL PP 10 ML IV RR HC 0 0 3,45 0,00 0 0456087 OMNIPAQUE 240 MG/ML 1 FL PP 15 ML IV RR HC 0 0 4,58 0,00 0 0456042 OMNIPAQUE 240 MG/ML 1 FL PP 20 ML IV RR HC 0 0 5,71 0,00 0 0081883 OMNIPAQUE 300 MG/ML 1 FL 10 ML IV RR HC 0 0 3,67 0,00 0 0081964 OMNIPAQUE 300 MG/ML 1 FL 100 ML IV RR HC 0 0 29,82 0,00 0 0478067 OMNIPAQUE 300 MG/ML 1 FL 150 ML IV RR HC 0 0 44,38 0,00 0 0081902 OMNIPAQUE 300 MG/ML 1 FL 20 ML IV RR HC 0 0 6,06 0,00 0 0081947 OMNIPAQUE 300 MG/ML 1 FL 50 ML IV RR HC 0 0 15,12 0,00 0 0478084 OMNIPAQUE 300 MG/ML 1 FL 500 ML IV RR HC 0 0 142,77 0,00 0 0180394 OMNIPAQUE 300 MG/ML 1 FL PLAST 50 ML IV RR HC 0 0 15,41 0,00 0 0456106 OMNIPAQUE 300 MG/ML 1 FL PP 10 ML IV RR HC 0 0 4,22 0,00 0 0456123 OMNIPAQUE 300 MG/ML 1 FL PP 20 ML IV RR HC 0 0 6,97 0,00 0 0081978 OMNIPAQUE 300 MG/ML 10 FL 100 ML IV RR HC 0 0 41,20 0,00 0 0082040 OMNIPAQUE 350 MG/ML 1 FL 100 ML RR HC 0 0 33,43 0,00 0 0478103 OMNIPAQUE 350 MG/ML 1 FL 150 ML IV RR HC 0 0 46,91 0,00 0 0081981 OMNIPAQUE 350 MG/ML 1 FL 20 ML IV RR HC 0 0 7,45 0,00 0 0082068 OMNIPAQUE 350 MG/ML 1 FL 200 ML IV RR HC 0 0 63,51 0,00 0 Page 218 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 0082023 OMNIPAQUE 350 MG/ML 1 FL 50 ML IV RR HC 0 0 17,28 0,00 0 0478121 OMNIPAQUE 350 MG/ML 1 FL 500 ML IV RR HC 0 0 142,90 0,00 0 0180427 OMNIPAQUE 350 MG/ML 1 FL PLAST 50 ML RR HC 0 0 17,36 0,00 0 0456091 OMNIPAQUE 350 MG/ML 1 FL PP 20 ML IV RR HC 0 0 8,05 0,00 0 V08AB03 ioxaglic acid 0053455 HEXABRIX 200 1 FL 100 ML IA RR H 0 0 20,56 0,00 0 0053441 HEXABRIX 200 1 FL 50 ML IA RR H 0 0 9,78 0,00 0 0140971 HEXABRIX 320 1 FL 10 ML RR H 0 0 3,87 0,00 0 0053505 HEXABRIX 320 1 FL 100 ML RR H 0 0 31,60 0,00 0 0053472 HEXABRIX 320 1 FL 20 ML RR H 0 0 6,45 0,00 0 0140984 HEXABRIX 320 1 FL 200 ML RR H 0 0 56,90 0,00 0 0053486 HEXABRIX 320 1 FL 50 ML RR H 0 0 16,04 0,00 0 V08AB04 iopamidol 0374241 SCANLUX 300 MG/ML 100 ML IAIV RR HC 0 0 39,61 0,00 0 0374255 SCANLUX 300 MG/ML 200 ML IAIV RR HC 0 0 76,31 0,00 0 0374224 SCANLUX 300 MG/ML 50 ML IAIV RR HC 0 0 21,80 0,00 0 0374238 SCANLUX 300 MG/ML 75 ML IAIV RR HC 0 0 30,52 0,00 0 0374191 SCANLUX 370 MG/ML 100 ML IAIV RR HC 0 0 45,71 0,00 0 0374207 SCANLUX 370 MG/ML 200 ML IAIV RR HC 0 0 87,21 0,00 0 0374174 SCANLUX 370 MG/ML 50 ML IAIV RR HC 0 0 25,14 0,00 0 0374188 SCANLUX 370 MG/ML 75 ML IAIV RR HC 0 0 37,72 0,00 0 V08AB05 iopromide 0192316 ULTRAVIST 240 1 FL 200 ML IVIA RR H 0 0 47,58 0,00 0 0132111 ULTRAVIST 240 1 FL 50 ML IVIA RR H 0 0 11,69 0,00 0 0132031 ULTRAVIST 300 1 AMP 20 ML IVIA RR HC 0 0 6,35 0,00 0 0132304 ULTRAVIST 300 1 AMP INJ 10 ML RR HC 0 0 3,82 0,00 0 0132075 ULTRAVIST 300 1 FL 100 ML IVIA RR HC 0 0 30,18 0,00 0 0192333 ULTRAVIST 300 1 FL 150 ML IVIA RR HC 0 0 43,78 0,00 0 0192347 ULTRAVIST 300 1 FL 200 ML IVIA RR HC 0 0 58,37 0,00 0 0132058 ULTRAVIST 300 1 FL 50 ML IVIA RR HC 0 0 14,71 0,00 0 0223071 ULTRAVIST 300 1 FL 500 ML IVIA RR HC 0 0 145,92 0,00 0 0132044 ULTRAVIST 300 10 AMP 20 ML IVIA RR HC 0 0 6,64 0,00 0 0132061 ULTRAVIST 300 10 FL 50 ML IVIA RR HC 0 0 15,37 0,00 0 0132268 ULTRAVIST 370 1 FL 100 ML IVIA RR H 0 0 35,72 0,00 0 0341481 ULTRAVIST 370 1 FL 150 ML IVIA RR H 0 0 53,77 0,00 0 0132285 ULTRAVIST 370 1 FL 200 ML IVIA RR H 0 0 68,93 0,00 0 0132139 ULTRAVIST 370 1 FL 50 ML IVIA RR H 0 0 17,99 0,00 0 0371074 ULTRAVIST 370 1 FL 500 ML IVIA RR H 0 0 172,35 0,00 0 V08AB07 ioversol 0268056 OPTIJECT 300 1 SRG 50 ML IVIA RR H 0 0 15,32 0,00 0 0267935 OPTIJECT 300 1 SRG PERF EL 125 ML RR H 0 0 39,29 0,00 0 0268008 OPTIJECT 300 1 SRG PERF EL 50 ML RR H 0 0 15,70 0,00 0 Page 219 of 230
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Liste des médicaments commercialisés au Luxembourg - CNS

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