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 0250759 DOBUTAMINE EG 250 MG 10*20 ML PERF RR H 0 0 41,60 0,00 0 0149381 DOBUTREX 250 MG 1 AMP 20 ML PERF RR H 0 0 5,30 0,00 0 C01CA24 epinephrine 0389468 ANAPEN 0,15 MG 1 SRG PREREMPL 0,3 ML IM RR 0 0 0,00 44,24 0 0389454 ANAPEN 0,3 MG 1 SRG PREREMPL 0,3 ML IM RR 0 0 0,00 44,24 0 0656477 FASTJEKT JUNIOR AUTOINJECTOR A 1 IM RR 0 0 68,00 83,50 0 0164244 FASTJEKT SENIOR AUTOINJECTOR A 1 IM RR 0 0 68,00 83,50 80 C01CE02 milrinone 0149735 COROTROPE 10 MG 10 AMP 10 ML IV ( U.H.) RR H 0 0 149,39 0,00 0 C01DA02 glyceryl trinitrate 0268401 DEPONIT NT 10 100 PATCH R 0 0 62,54 77,53 80 0268395 DEPONIT NT 10 30 PATCH R 0 0 18,53 29,36 80 0268378 DEPONIT NT 5 100 PATCH R 0 0 49,70 63,48 80 0268364 DEPONIT NT 5 30 PATCH R 0 0 15,39 25,92 80 0380509 DIAFUSOR 10 (80 MG) 30 PATCH R 0 0 11,21 18,15 0 0380512 DIAFUSOR 15 (120 MG) 30 PATCH R 0 0 16,46 24,53 0 0380493 DIAFUSOR 5 (40 MG) 30 PATCH R 0 0 7,27 13,23 0 0380526 DIAFUSOR 7,5 (60 MG) 30 PATCH R 0 0 9,23 15,67 0 0190955 MINITRAN 10 MG 30 PATCH R 0 0 15,52 23,50 80 0190969 MINITRAN 15 MG 30 PATCH R 0 0 22,80 31,52 80 0190941 MINITRAN 5 MG 30 PATCH R 0 0 10,07 16,72 80 0253747 NATISPRAY 0,3 MG/D SPRAY BU 18 ML R 0 0 4,10 6,57 100 0236391 NITRODERM TTS 10 100 PATCH R 0 0 67,17 82,60 80 0236361 NITRODERM TTS 5 100 PATCH R 0 0 54,34 68,54 80 0368485 NITROLINGUAL PUMPSPRAY 0,4 MG 250 D SL R 0 0 4,46 9,62 100 0223426 TRINIPATCH 10 30 PATCH R 0 0 17,39 25,44 80 0223457 TRINIPATCH 15 30 PATCH R 0 0 25,04 33,86 80 0223409 TRINIPATCH 5 30 PATCH R 0 0 11,30 18,15 80 C01DA08 isosorbide dinitrate 0019565 CEDOCARD 5 MG 180 CPR R 0 0 3,72 8,80 100 0019551 CEDOCARD 5 MG 60 CPR R 0 0 1,55 6,22 100 0248635 ISOKET 10 MG 60 CPR R 0 0 3,46 6,15 100 0314758 ISOKET 10 MG 98 CPR R 0 0 5,13 9,13 100 0248974 ISOKET 5 MG 60 CPR R 0 0 2,59 4,61 100 0314744 ISOKET 5 MG 98 CPR R 0 0 3,87 6,88 100 0234965 ISOKET RET 120 MG 60 CAPS R 0 0 12,44 22,33 100 0314808 ISOKET RET 120 MG 98 CAPS R 0 0 18,33 28,97 100 0248649 ISOKET RET 20 MG 60 CPR R 0 0 3,20 5,69 100 0314761 ISOKET RET 20 MG 98 CPR R 0 0 5,22 9,29 100 0248652 ISOKET RET 40 MG 60 CPR R 0 0 5,50 9,78 100 0314775 ISOKET RET 40 MG 98 CPR R 0 0 8,00 14,23 100 0059302 ISOKET RET 60 MG 100 CPR R 0 0 14,25 25,33 100 Page 46 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 0248666 ISOKET RET 60 MG 60 CPR R 0 0 6,91 12,29 100 0314789 ISOKET RET 60 MG 98 CPR R 0 0 13,24 23,55 100 0248683 ISOKET RET 80 MG 60 CPR R 0 0 8,54 15,19 100 0314792 ISOKET RET 80 MG 98 CPR R 0 0 16,14 28,71 100 0170045 ISOKET SPRAY 300 D 15 ML R 0 0 12,20 22,05 100 C01DA14 isosorbide mononitrate 0038400 ELANTAN LONG 50 MG 100 CAPS R 0 0 26,72 47,54 100 C01DX12 molsidomine 0335291 CORUNO 16 MG 28 CPR R 0 0 23,54 32,32 80 0355649 CORUNO 16 MG 42 CPR R 0 0 31,79 41,41 80 0353211 CORUNO 16 MG 42 CPR UD R 0 0 31,79 0,00 0 0156452 CORVATON 2 MG 100 CPR R 0 0 10,01 16,65 80 0025822 CORVATON 2 MG 50 CPR R 0 0 5,32 10,81 80 0160648 CORVATON 20 MG 1 AMP 10 ML PERF RR H 0 0 5,28 0,00 0 0025853 CORVATON 4 MG 120 CPR R 0 0 26,95 37,65 80 0025836 CORVATON 4 MG 60 CPR R 0 0 14,72 25,08 80 0337234 MOLSIKET RET 8 MG 98 CPR R 0 0 10,35 18,41 80 C01EA01 alprostadil 0211828 PROSTAVASIN 20 MCG PDR 15 AMP IAIV RR H 0 0 227,74 0,00 0 0094878 PROSTIN VR 0,5 MG 1 AMP 1 ML IV RR H 0 0 69,64 0,00 0 C01EB10 adenosine 0197018 ADENOCOR 6 MG 6 FL 2 ML IV RR H 0 0 21,11 0,00 0 C01EB15 trimetazidine 0125313 VASTAREL 20 MG 60 CPR R 0 0 0,00 12,22 0 C01EB17 ivabradine 0423833 PROCORALAN 5 MG 100 CPR RR 0 0 83,34 98,15 0 0423797 PROCORALAN 5 MG 56 CPR RR 1 1 45,77 56,81 80 0423901 PROCORALAN 7,5 MG 100 CPR RR 0 0 83,34 98,15 0 0423878 PROCORALAN 7,5 MG 56 CPR RR 1 1 45,77 56,81 80 C01EB19 icatibant 0492746 FIRAZYR 30 MG 1 SRG 3 ML + 1 AIG RR DC X 0 0 1.743,11 0,00 0 C02AC01 clonidine 0217883 CATAPRESSAN 150 0,15 MG 100 CPR R 0 0 6,94 12,83 100 0019193 CATAPRESSAN 150 0,15 MG 5 AMP IMIVSC R 0 0 2,07 6,80 100 0241777 CATAPRESSAN 150 0.15MG 50 CPR UD R 0 0 3,51 0,00 0 C02AC05 moxonidine 0285396 MOXON 0,2 MG 28 CPR R 0 0 5,54 10,96 100 0285432 MOXON 0,4 MG 28 CPR R 0 0 8,43 14,57 100 0374949 MOXONIDINE EG 0,2 MG 28 CPR R 0 0 3,60 8,66 100 Page 47 of 230
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Liste des médicaments commercialisés au Luxembourg - CNS

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