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 0253134 PLAVIX 75 MG 84 CPR RR 0 0 44,02 54,89 80 B01AC05 ticlopidine 0116829 TICLID 250 MG 30 DRG RR 0 0 9,34 15,81 80 0171218 TICLID 250 MG 60 DRG RR 0 0 15,78 23,77 80 0451354 TICLOPIDINE EG 250 MG 30 CPR RR 0 0 7,47 13,49 80 0451368 TICLOPIDINE EG 250 MG 60 CPR RR 0 0 9,56 16,09 80 0451371 TICLOPIDINE EG 250 MG 90 CPR RR 0 0 17,58 25,76 80 B01AC06 acetylsalicylic acid 0169271 ASAFLOW 160 MG 56 CPR P 0 0 6,11 10,49 80 0187543 ASAFLOW 160 MG 8*7 CPR UD P 0 0 6,11 0,00 0 0475911 ASAFLOW 80 MG 112 CPR P 0 0 2,22 6,96 0 0475924 ASAFLOW 80 MG 168 CPR P 0 0 3,33 8,32 0 0251952 ASAFLOW 80 MG 56 CPR P 0 0 1,39 6,04 80 0254534 ASAFLOW 80 MG 56 CPR UD P 0 0 1,11 0,00 0 0207128 CARDEGIC 160 PDR 30 SACH P 0 0 2,38 4,09 80 0207131 CARDEGIC 300 PDR 30 SACH P 0 0 2,62 4,51 80 0517456 CARDIOASPIRINE 100 MG 28 CPR P 0 0 2,09 3,60 80 0244667 CARDIOASPIRINE 100 MG 30 CPR P 0 0 2,30 3,95 80 0517487 CARDIOASPIRINE 100 MG 56 CPR P 0 0 3,54 6,08 80 0311791 CARDIOASPIRINE 100 MG 60 CPR P 0 0 3,89 6,69 80 0517506 CARDIOASPIRINE 100 MG 84 CPR P 0 0 5,31 9,12 80 0189405 HERZ ASS RATIO 100 MG 100 CPR P 0 0 1,55 3,10 80 0189386 HERZ ASS RATIO 100 MG 50 CPR P 0 0 0,90 1,86 80 B01AC07 dipyridamole 0134648 DIPYRIDAMOLE EG 75 MG 100 DRG R 0 0 1,71 6,39 80 0088917 PERSANTINE 50 MG 25 AMP 10 ML PERF RR H 0 0 10,69 0,00 0 0088934 PERSANTINE 75 MG 100 DRG R 0 0 4,10 9,29 80 0274327 PERSANTINE 75 MG 100 DRG UD R 0 0 15,20 0,00 0 0231669 PERSANTINE RET 200 MG 50 CAPS UD R 0 0 6,36 0,00 0 0088982 PERSANTINE RET 200 MG 60 CAPS R 0 0 6,84 12,70 80 0231672 PERSANTINE RET GE 150 MG 50 CAPS UD R 0 0 4,77 0,00 0 0135208 PERSANTINE RET GE 150 MG 60 CAPS R 0 0 4,73 10,08 80 B01AC09 epoprostenol 0286233 FLOLAN 1,5 MG PDR 1 FL + S 50 ML PERF(H) RR DC 0 0 304,68 0,00 0 0232926 FLOLAN 500 MCG PDR 1 FL+S 50 ML PERF(H) RR DC 0 0 125,41 0,00 0 B01AC11 iloprost 0433289 VENTAVIS 10 MCG 168 AMP 1 ML INH RR DC 0 0 2.396,92 0,00 0 B01AC13 abciximab 0436733 REOPRO 10 MG 1 FL 5 ML IV RR H 0 0 200,48 0,00 0 B01AC16 eptifibatide Page 30 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 0266762 INTEGRILIN 20 MG 1 FL 10 ML PERF RR H 0 0 20,00 0,00 0 0266759 INTEGRILIN 75 MG 1 FL 100 ML PERF RR H 0 0 63,00 0,00 0 B01AC17 tirofiban 0454181 AGGRASTAT 0,05 MG/ML 1 PP 250 ML PERF RR H 0 0 186,51 0,00 0 0267871 AGGRASTAT 0,25 MG/ML 1 FL 50 ML PERF RR H 0 0 186,51 0,00 0 B01AC21 treprostinil 0415246 REMODULIN 100 MG PERF 1 FL 20 ML SC RR DC 0 0 13.000,00 0,00 0 0415229 REMODULIN 20 MG PERF 1 FL 20 ML SC RR DC 0 0 2.600,00 0,00 0 0415263 REMODULIN 200 MG PERF 1 FL 20 ML SC RR DC 0 0 26.000,00 0,00 0 0415232 REMODULIN 50 MG PERF 1 FL 20 ML SC RR DC 0 0 6.500,00 0,00 0 B01AC22 prasugrel 0516977 EFIENT 10 MG 28 CPR RR RM 1 1 44,80 55,64 80 0517005 EFIENT 10 MG 84 CPR RR RM 1 1 134,40 151,23 80 0517019 EFIENT 10 MG 90 CPR RR RM 0 0 144,00 161,40 0 0516641 EFIENT 5 MG 28 CPR RR RM 1 1 44,80 55,64 80 0516672 B01AC24 EFIENT 5 MG 84 CPR RR RM 1 1 134,40 151,23 80 0591311 BRILIQUE 90 MG 100 CPR UD RR 0 0 105,50 0,00 0 0591307 BRILIQUE 90 MG 168 CPR RR 1 1 177,24 196,75 80 0591291 BRILIQUE 90 MG 56 CPR RR 1 1 59,08 71,47 80 B01AC30 combinations 0289008 B01AC56 AGGRENOX 60 CAPS R 0 0 10,02 16,66 80 0628729 ASPAXA 81/20 MG 30 CAPS R 0 0 9,90 17,00 0 0628732 ASPAXA 81/20 MG 90 CAPS R 0 0 23,40 34,01 0 B01AD02 alteplase 0138633 ACTILYSE 20 MG PDR 1 FL+S 20 ML IV RR H 0 0 156,56 0,00 0 0138647 ACTILYSE 50 MG PDR 1 FL+S 50 ML IV RR H 0 0 391,42 0,00 0 B01AD04 urokinase 0145204 ACTOSOLV 100000 U PDR 1 FL 2 ML IV RR H 0 0 60,52 0,00 0 0177161 ACTOSOLV 600000 U PDR 1 FL IV RR H 0 0 335,15 0,00 0 B01AD07 reteplase 0228873 RAPILYSIN 10 U 1 FL + SRG 10 ML IV RR H 0 0 942,96 0,00 0 B01AD11 tenecteplase 0297349 METALYSE 10000 U PDR 1 FL + SRG IV RR H 0 0 870,42 0,00 0 0297335 METALYSE 8000 U PDR 1 FL + SRG IV RR H 0 0 812,14 0,00 0 B01AD12 protein C 0311417 CEPROTIN 1000 U PDR 1 FL + S 10 ML IV RR H 0 0 1.990,40 0,00 0 Page 31 of 230
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Liste des médicaments commercialisés au Luxembourg - CNS

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