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 0329179 OLICLINOMEL N5-800E 4 PP 2 L RR H 0 0 43,90 0,00 0 0329182 OLICLINOMEL N5-800E 6 PP 1 L RR H 0 0 35,55 0,00 0 0425712 OLICLINOMEL N6-900 1 PP 1 L RR H 0 0 35,43 0,00 0 0425726 OLICLINOMEL N6-900 1 PP 1,5 L RR H 0 0 39,35 0,00 0 0425743 OLICLINOMEL N6-900 1 PP 2 L RR H 0 0 43,73 0,00 0 0425757 OLICLINOMEL N6-900 1 PP 2,5 L RR H 0 0 48,59 0,00 0 0330362 OLICLINOMEL N6-900 2 PP 2,5 L RR H 0 0 48,59 0,00 0 0330376 OLICLINOMEL N6-900 4 PP 1,5 L RR H 0 0 39,35 0,00 0 0330393 OLICLINOMEL N6-900 4 PP 2 L RR H 0 0 43,73 0,00 0 0330409 OLICLINOMEL N6-900 6 PP 1 L RR H 0 0 35,43 0,00 0 0425761 OLICLINOMEL N6-900E 1 PP 1 L RR H 0 0 36,16 0,00 0 0425774 OLICLINOMEL N6-900E 1 PP 1,5 L RR H 0 0 40,14 0,00 0 0425788 OLICLINOMEL N6-900E 1 PP 2 L RR H 0 0 44,61 0,00 0 0425791 OLICLINOMEL N6-900E 1 PP 2,5 L RR H 0 0 49,58 0,00 0 0329331 OLICLINOMEL N6-900E 2 PP 2,5 L RR H 0 0 49,58 0,00 0 0329344 OLICLINOMEL N6-900E 4 PP 1,5 L RR H 0 0 40,15 0,00 0 0329358 OLICLINOMEL N6-900E 4 PP 2 L RR H 0 0 44,62 0,00 0 0329361 OLICLINOMEL N6-900E 6 PP 1 L RR H 0 0 36,16 0,00 0 0425807 OLICLINOMEL N7-1000 1 PP 1 L RR H 0 0 35,82 0,00 0 0425811 OLICLINOMEL N7-1000 1 PP 1,5 L RR H 0 0 39,81 0,00 0 0425824 OLICLINOMEL N7-1000 1 PP 2 L RR H 0 0 44,21 0,00 0 0425838 OLICLINOMEL N7-1000 1 PP 2,5 L RR H 0 0 49,10 0,00 0 0329411 OLICLINOMEL N7-1000 2 PP 2,5 L RR H 0 0 49,10 0,00 0 0329425 OLICLINOMEL N7-1000 4 PP 1,5 L RR H 0 0 38,26 0,00 0 0329439 OLICLINOMEL N7-1000 4 PP 2 L RR H 0 0 42,49 0,00 0 0329442 OLICLINOMEL N7-1000 6 PP 1 L RR H 0 0 34,42 0,00 0 0425841 OLICLINOMEL N7-1000E 1 PP 1 L RR H 0 0 36,55 0,00 0 0425855 OLICLINOMEL N7-1000E 1 PP 1,5 L RR H 0 0 40,62 0,00 0 0425869 OLICLINOMEL N7-1000E 1 PP 2 L RR H 0 0 45,11 0,00 0 0425872 OLICLINOMEL N7-1000E 1 PP 2,5 L RR H 0 0 50,10 0,00 0 0329506 OLICLINOMEL N7-1000E 2 PP 2,5 L RR H 0 0 50,10 0,00 0 0329523 OLICLINOMEL N7-1000E 4 PP 1,5 L RR H 0 0 40,62 0,00 0 0329537 OLICLINOMEL N7-1000E 4 PP 2 L RR H 0 0 45,11 0,00 0 0329541 OLICLINOMEL N7-1000E 6 PP 1 L RR H 0 0 36,55 0,00 0 0350396 OLICLINOMEL N8-800 4 PP 2 L RR H 0 0 42,95 0,00 0 0573781 OLIMEL N5E 2 PP A 3 COMPART 2500 ML RR H 0 0 52,55 0,00 0 0573763 OLIMEL N5E 4 PP A 3 COMPART 1500 ML RR H 0 0 42,55 0,00 0 0573777 OLIMEL N5E 4 PP A 3 COMPART 2000 ML RR H 0 0 47,30 0,00 0 0573844 OLIMEL N7E 4 PP A 3 COMPART 1500 ML RR H 0 0 45,76 0,00 0 0573858 OLIMEL N7E 4 PP A 3 COMPART 2000 ML RR H 0 0 47,82 0,00 0 0573831 OLIMEL N7E 6 PP A 3 COMPART 1000 ML RR H 0 0 38,74 0,00 0 0573875 OLIMEL N9 4 PP A 3 COMPART 1500 ML RR H 0 0 48,11 0,00 0 0573889 OLIMEL N9 4 PP A 3 COMPART 2000 ML RR H 0 0 50,28 0,00 0 0573861 OLIMEL N9 6 PP A 3 COMPART 1000 ML RR H 0 0 40,48 0,00 0 Page 40 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 0573908 OLIMEL N9E 4 PP A 3 COMPART 1500 ML RR H 0 0 49,08 0,00 0 0573911 OLIMEL N9E 4 PP A 3 COMPART 2000 ML RR H 0 0 51,28 0,00 0 0573892 OLIMEL N9E 6 PP A 3 COMPART 1000 ML RR H 0 0 41,29 0,00 0 0574287 PERIOLIMEL N4E 2 PP A 3 COMPART 2500 ML RR H 0 0 50,83 0,00 0 0574256 PERIOLIMEL N4E 4 PP A 3 COMPART 1500 ML RR H 0 0 41,20 0,00 0 0574273 PERIOLIMEL N4E 4 PP A 3 COMPART 2000 ML RR H 0 0 45,76 0,00 0 0574242 PERIOLIMEL N4E 6 PP A 3 COMPART 1000 ML RR H 0 0 37,09 0,00 0 0521865 SMOFKABIVEN PERIPHER 1206 ML IV RR H 0 0 74,65 0,00 0 0530511 SMOFKABIVEN PERIPHER 1448 ML IV RR H 0 0 82,80 0,00 0 0521882 SMOFKABIVEN PERIPHER 1904 ML IV RR H 0 0 91,01 0,00 0 0514566 SMOFKABIVEN ZENTRAL 1477 ML IV A 1 RR H 0 0 126,53 0,00 0 0514597 SMOFKABIVEN ZENTRAL 1970 ML IV A 1 RR H 0 0 88,63 0,00 0 0585281 SMOFKABIVEN ZENTRAL 493 ML IV RR H 0 0 72,69 0,00 0 0514549 SMOFKABIVEN ZENTRAL 986 ML IV RR H 0 0 93,82 0,00 0 0514485 SMOFKABIVEN ZENTRAL EL-FREI 1477ML IV A1 RR H 0 0 126,53 0,00 0 0514504 SMOFKABIVEN ZENTRAL EL-FREI 1970 ML IV RR H 0 0 163,63 0,00 0 0514468 SMOFKABIVEN ZENTRAL EL-FREI 986 ML IV RR H 0 0 93,82 0,00 0 0124798 VAMIN GLUCOSE 1 FL 1000 ML PERF RR H 0 0 19,29 0,00 0 0149525 VAMIN GLUCOSE 1 FL 750 ML PERF RR H 0 0 15,69 0,00 0 0193098 VITALIPID N ADULT 10*10 ML AMP 497560 RR H 0 0 24,67 0,00 0 0193103 VITALIPID N INFANT 10*10 ML AMP 497552 RR H 0 0 24,67 0,00 0 B05BB01 electrolytes 0363945 HARTMANN VIAFLO 10 * 1 L PERF RR 0 0 2,44 7,04 0 0363931 HARTMANN VIAFLO 20 * 500 ML PERF RR 0 0 2,11 6,68 0 0245325 JONOSTERIL 1000 ML P 1340231 RR 0 0 4,73 7,22 0 0182127 KOCHSALZLSG ISOT 10 ML 20 AMP P B314085 RR 0 0 0,00 8,79 80 0275159 KOCHSALZLSG ISOT 100 ML FREEFLEX B248361 RR 0 0 0,00 2,58 80 0165322 KOCHSALZLSG ISOT 100 ML INF G 1310031 RR 0 0 2,69 5,33 80 0165238 KOCHSALZLSG ISOT 100 ML INJ G (1310021) RR 0 0 2,52 5,03 80 0643577 KOCHSALZLSG ISOT 100 ML KABIPAC RR 0 0 1,05 2,16 0 0165451 KOCHSALZLSG ISOT 1000 ML G (OLD 1310141) RR 0 0 0,00 4,19 80 0165465 KOCHSALZLSG ISOT 1000 ML GS 1310151 RR 0 0 0,00 4,45 80 0165479 KOCHSALZLSG ISOT 1000 ML P 1310231 RR 0 0 0,00 3,85 80 0275193 KOCHSALZLSG ISOT 1000ML FREEFLEX 1310531 RR 0 0 2,38 3,87 0 0165482 KOCHSALZLSG ISOT 1000ML PS PLASTIPUR RR 0 0 0,00 3,87 80 0165211 KOCHSALZLSG ISOT 20 ML 20 AMP P B314401 RR 0 0 0,00 9,59 80 0275162 KOCHSALZLSG ISOT 250 ML FREEFLEX RR 0 0 1,34 2,06 0 0165367 KOCHSALZLSG ISOT 250 ML G 1310061 RR 0 0 0,00 2,38 80 0165371 KOCHSALZLSG ISOT 250 ML KABIPAC (P) RR 0 0 0,00 2,01 80 0165224 KOCHSALZLSG ISOT 50 ML G 1310011 RR 0 0 2,32 4,62 0 0643546 KOCHSALZLSG ISOT 50/100 ML KABIPAC RR 0 0 1,05 2,16 0 0275176 KOCHSALZLSG ISOT 500 ML FREEFLEX 1310521 RR 0 0 1,39 2,21 0 0165403 KOCHSALZLSG ISOT 500 ML G B101353 RR 0 0 0,00 2,57 80 Page 41 of 230
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Liste des médicaments commercialisés au Luxembourg - CNS

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