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 0558963 KUVAN 100 MG 120 CPR (FL) RR DC X 0 0 2.660,00 0,00 0 B01AA Vitamin K antagonists 0218295 PREVISCAN 20 MG 30 CPR RR 0 0 2,55 4,55 100 B01AA03 warfarin 0069620 MAREVAN 5 MG 25 CPR RR 0 0 1,53 6,20 100 B01AA04 phenprocoumon 0069603 MARCOUMAR 3 MG 25 CPR RR 0 0 1,26 5,91 100 B01AA07 acenocoumarol 0252624 SINTROM 1 MG 100 CPR 102241 RR 0 0 1,73 6,41 100 0105291 SINTROM 4 MG 20 CPR RR 0 0 1,31 5,97 100 B01AB01 heparin 0156645 HEPARIN CA RATIO 12500 U 5 AMP 0,5 ML IV RR 0 0 0,00 11,08 80 0154833 HEPARIN CA RATIO 5000 U 10 SRG 0,2 ML IV RR 0 0 0,00 14,97 80 0154816 HEPARIN CA RATIO 5000 U 20 AMP 0,2ML IVS RR 0 0 0,00 17,74 80 0154802 HEPARIN CA RATIO 5000 U 5 AMP 0,2 ML IVS RR 0 0 0,00 5,13 80 0242709 HEPARIN LEO 100 U/ ML 10 FL 10 ML IV RR 0 0 22,14 32,72 0 0053018 HEPARIN LEO 25000 U 1 AMP 5 ML RR 0 0 0,00 3,73 80 0231865 HEPARIN LEO 25000 U 50 FL 5 ML IMIVSC RR 0 0 126,71 0,00 0 0053021 HEPARIN NA BRN 25000 U 10 FL 5 ML IVSC RR 0 0 0,00 2,38 80 0053035 HEPARIN NA BRN 5000 U 10 AMP 0,5 ML IVSC RR 0 0 0,00 2,03 80 0173968 HEPARIN NA RATIO 25000 U 5 FL 5 ML IVSC RR 0 0 12,70 21,97 80 0154508 HEPARIN NA RATIO 5000 U 10 SRG 0,2 ML IV RR 0 0 0,00 14,97 80 0154492 HEPARIN NA RATIO 5000 U 20 AMP 0,2 ML RR 0 0 0,00 15,56 80 0154489 HEPARIN NA RATIO 5000 U 5 AMP 0,2 ML IVS RR 0 0 0,00 4,33 80 0309601 MONO EMBOLEX 3000 IE 2 SRG 0,3 ML RR 0 0 6,00 15,66 0 B01AB04 dalteparin 0206506 FRAGMIN 10000 U 10 FL 4 ML IV RR 0 0 60,97 73,51 0 0206523 FRAGMIN 10000 U 10 SRG 1 ML IV RR 0 0 60,97 73,51 80 0261914 FRAGMIN 12500 U 5 SRG 0,5 ML SC RR 0 0 37,29 47,48 80 0261931 FRAGMIN 15000 U 5 SRG 0,6 ML SC RR 0 0 43,48 54,29 80 0261959 FRAGMIN 18000 U 5 SRG 0,72 ML SC RR 0 0 52,06 63,73 80 0191742 FRAGMIN 2500 U 10 SRG 0,2 ML SC RR 0 0 17,14 25,28 80 0191756 FRAGMIN 5000 U 10 SRG 0,2 ML SC RR 0 0 30,50 40,00 80 0219972 FRAGMIN 7500 U 10 SRG 0,75 ML SC RR 0 0 43,48 54,29 80 B01AB05 enoxaparin 0190485 CLEXANE 100 MG 10 SRG 1 ML IVSC RR 0 0 45,20 56,18 80 0316492 CLEXANE 120 MG 10 SRG 0,8 ML SCIV RR 0 0 64,56 77,32 80 0316489 CLEXANE 150 MG 10 SRG 1 ML SCIV RR 0 0 67,79 80,74 80 0173128 CLEXANE 20 MG 10 SRG 0,2 ML IVSCVI RR 0 0 15,70 23,69 80 0173145 CLEXANE 40 MG 10 SRG 0,4 ML IVSCVI RR 0 0 28,55 37,84 80 Page 28 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 0267613 CLEXANE 60 MG 10 SRG 0,6 ML IVSC RR 0 0 34,11 43,97 80 0190454 CLEXANE 80 MG 10 SRG 0,8 ML IVSC RR 0 0 39,64 50,06 80 B01AB06 nadroparin 0163829 FRAXIPARINE 10000U 10 SRG 0,4 ML SC RR 0 0 21,97 30,60 80 0046531 FRAXIPARINE 15000U 10 SRG 0,6 ML SC RR 0 0 29,76 39,18 80 0163846 FRAXIPARINE 20000 U 10 SRG 0,8 ML SC RR 0 0 39,63 50,05 80 0217741 FRAXIPARINE 25000 U 10 SRG 1 ML SC RR 0 0 49,57 60,99 80 0046609 FRAXIPARINE 7500U 10 SRG 0,3 ML SC RR 0 0 16,72 24,82 80 0300637 FRAXODI 19000 U/ML 10 AMP SRG 0,6 ML RR 0 0 73,43 86,71 80 0300641 FRAXODI 19000 U/ML 10 AMP SRG 0,8 ML RR 0 0 97,92 112,67 80 0300654 FRAXODI 19000 U/ML 10 AMP SRG 1 ML RR 0 0 122,38 138,59 80 B01AB09 danaparoid 0239703 ORGARAN 750 U 10 AMP 0.6 ML SC RR H 0 0 119,89 0,00 0 B01AB10 tinzaparin 0243978 INNOHEP 10000 U 10 SRG 0.5 ML SC RR 0 0 59,50 71,93 80 0636037 INNOHEP 10000 U 30 SRG 0,5 ML SC RR 0 0 167,89 186,83 0 0243981 INNOHEP 14000 U 10 SRG 0.7 ML SC RR 0 0 83,27 97,15 80 0636041 INNOHEP 14000 U 30 SRG 0,7 ML SC RR 0 0 234,95 257,91 0 0243995 INNOHEP 18000 U 10 SRG 0.9 ML SC RR 0 0 107,09 122,40 80 0642441 INNOHEP 18000 U 30 SRG 0.9 ML SC RR 0 0 302,16 329,14 0 0203857 INNOHEP 20000 U 10 FL 2 ML SC RR 0 0 96,17 0,00 0 0243916 INNOHEP 2500 U 10 SRG 0,25 ML SC RR 0 0 16,73 24,83 80 0243947 INNOHEP 3500 U 10 SRG 0.35 ML SC RR 0 0 22,24 30,89 80 0243964 INNOHEP 4500 U 10 SRG 0.45 ML SC RR 0 0 27,11 36,26 80 B01AC04 clopidogrel 0629551 CLOPIDOGREL (HCL) SDZ 75 MG 28 CPR RR 0 0 6,11 10,49 80 0629581 CLOPIDOGREL (HCL) SDZ 75 MG 84 CPR RR 0 0 30,08 39,53 0 0629601 CLOPIDOGREL (HCL) SDZ 75 MG 98 CPR RR 0 0 24,11 34,74 80 0541837 CLOPIDOGREL DOC 75 MG 28 CPR RR 0 0 7,26 13,05 80 0560488 CLOPIDOGREL EG 75 MG 28 CPR RR 0 0 7,13 13,06 80 0560524 CLOPIDOGREL EG 75 MG 84 CPR RR 0 0 30,19 39,65 80 0560541 CLOPIDOGREL EG 75 MG 98 CPR RR 0 0 23,40 34,01 0 0537141 CLOPIDOGREL MYLAN 75 MG 100 CPR RR 0 0 39,95 50,29 0 0537073 CLOPIDOGREL MYLAN 75 MG 28 CPR RR 0 0 7,67 13,61 0 0537316 CLOPIDOGREL RATIO GMBH 75 MG 100 CPR RR 0 0 27,58 32,28 80 0537252 CLOPIDOGREL RATIO GMBH 75 MG 28 CPR RR 0 0 13,74 18,63 80 0531407 GREPID 75 MG 100 CPR RR 0 0 28,15 0,00 0 0531357 GREPID 75 MG 28 CPR RR 0 0 13,12 21,88 0 0531361 GREPID 75 MG 30 CPR RR 0 0 14,06 23,45 0 0482008 PLAVIX 300 MG 30 CPR RR 0 0 76,09 89,44 0 0253117 PLAVIX 75 MG 28 CPR RR 0 0 18,33 26,60 80 0297559 PLAVIX 75 MG 50 CPR UD RR 0 0 26,21 0,00 0 Page 29 of 230
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Liste des médicaments commercialisés au Luxembourg - CNS

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