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 0497191 FORZATEN 20/5 MG 28 CPR R 0 0 21,38 29,94 100 0497211 FORZATEN 20/5 MG 98 CPR R 0 0 59,94 72,42 100 0497305 FORZATEN 40/10 MG 28 CPR R 0 0 32,54 42,24 100 0497322 FORZATEN 40/10 MG 98 CPR R 0 0 91,09 105,44 100 0497241 FORZATEN 40/5 MG 28 CPR R 0 0 29,42 38,81 100 0497269 FORZATEN 40/5 MG 98 CPR R 0 0 82,36 96,18 100 0495961 SEVIKAR 20/5 MG 28 CPR R 0 0 21,38 29,94 100 0495989 SEVIKAR 20/5 MG 98 CPR R 0 0 59,94 72,42 100 0496065 SEVIKAR 40/10 MG 28 CPR R 0 0 32,54 42,24 100 0496082 SEVIKAR 40/10 MG 98 CPR R 0 0 91,09 105,44 100 0496017 SEVIKAR 40/5 MG 28 CPR R 0 0 29,42 38,81 100 0496034 SEVIKAR 40/5 MG 98 CPR R 0 0 82,36 96,18 100 C09DB04 telmisartan and amlodipine 0575964 TWYNSTA 40/10 MG 28 CPR R 0 0 23,41 32,17 100 0576006 TWYNSTA 40/10 MG 98 CPR R 0 0 65,63 78,45 100 0575883 TWYNSTA 40/5 MG 28 CPR R 0 0 21,17 29,71 100 0575933 TWYNSTA 40/5 MG 98 CPR R 0 0 59,34 71,76 100 0576118 TWYNSTA 80/10 MG 28 CPR R 0 0 32,21 41,88 100 0576152 TWYNSTA 80/10 MG 98 CPR R 0 0 90,18 104,48 100 0576041 TWYNSTA 80/5 MG 28 CPR R 0 0 29,13 38,48 100 0576085 C09DX03 TWYNSTA 80/5 MG 98 CPR R 0 0 81,54 95,31 100 0612083 FORZATEN HCT 20/5/12,5 MG 28 CPR R 0 0 21,38 29,83 0 0612178 FORZATEN HCT 20/5/12,5 MG 98 CPR R 0 0 59,94 72,30 0 0612469 FORZATEN HCT 40/10/12,5 MG 28 CPR R 0 0 32,54 42,12 0 0612567 FORZATEN HCT 40/10/12,5 MG 98 CPR R 0 0 91,09 105,33 0 0612794 FORZATEN HCT 40/10/25 MG 28 CPR R 0 0 32,54 42,12 0 0612889 FORZATEN HCT 40/10/25 MG 98 CPR R 0 0 91,09 105,33 0 0612245 FORZATEN HCT 40/5/12,5 MG 28 CPR R 0 0 29,42 38,70 0 0612343 FORZATEN HCT 40/5/12,5 MG 98 CPR R 0 0 82,36 96,07 0 0612634 FORZATEN HCT 40/5/25 MG 28 CPR R 0 0 29,42 38,70 0 0612715 FORZATEN HCT 40/5/25 MG 98 CPR R 0 0 82,36 96,07 0 0605352 SEVIKAR HCT 20/5/12,5 MG 28 CPR R 0 0 21,38 29,94 0 0605451 SEVIKAR HCT 20/5/12,5 MG 98 CPR R 0 0 59,94 72,42 0 0605691 SEVIKAR HCT 40/10/12,5 MG 28 CPR R 0 0 32,55 42,25 0 0605772 SEVIKAR HCT 40/10/12,5 MG 98 CPR R 0 0 91,10 105,45 0 0606007 SEVIKAR HCT 40/10/25 MG 28 CPR R 0 0 32,55 42,25 0 0606086 SEVIKAR HCT 40/10/25 MG 98 CPR R 0 0 91,10 105,45 0 0605528 SEVIKAR HCT 40/5/12,5 MG 28 CPR R 0 0 29,43 38,82 0 0605612 SEVIKAR HCT 40/5/12,5 MG 98 CPR R 0 0 82,36 96,18 0 0605853 SEVIKAR HCT 40/5/25 MG 28 CPR R 0 0 29,43 38,82 0 0605934 SEVIKAR HCT 40/5/25 MG 98 CPR R 0 0 82,36 96,18 0 Page 70 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 C09XA02 aliskiren 0468043 RASILEZ 150 MG 28 CPR RR 0 0 22,83 34,08 80 0468107 RASILEZ 150 MG 98 CPR RR 0 0 79,89 96,51 80 0468141 RASILEZ 300 MG 28 CPR RR 0 0 27,39 39,05 80 0468219 RASILEZ 300 MG 98 CPR RR 0 0 95,87 114,00 80 C09XA52 aliskiren and hydrochlorothiazide 0502579 RASILEZ HCT 150/12,5 MG 28 CPR PELLIC RR 0 0 22,83 34,08 80 0502596 RASILEZ HCT 150/12,5 MG 98 CPR PELLIC RR 0 0 79,89 96,51 80 0502629 RASILEZ HCT 150/25 MG 28 CPR PELLIC RR 0 0 22,83 34,08 80 0502646 RASILEZ HCT 150/25 MG 98 CPR PELLIC RR 0 0 79,89 96,51 80 0502681 RASILEZ HCT 300/12,5 MG 28 CPR PELLIC RR 0 0 27,39 39,05 80 0502713 RASILEZ HCT 300/12,5 MG 98 CPR PELLIC RR 0 0 95,87 114,00 80 0512964 RASILEZ HCT 300/25 MG 28 CPR PELLIC RR 0 0 27,39 39,05 80 0513037 RASILEZ HCT 300/25 MG 98 CPR PELLIC RR 0 0 95,87 114,00 80 C10A LIPID MODIFYING AGENTS, PLAIN 0066517 LIPOSTABIL 300 MG 100 CAPS P 0 0 34,37 52,93 0 0066503 LIPOSTABIL 300 MG 50 CAPS P 0 0 0,00 25,02 0 0066470 LIPOSTABIL N IV 250 MG 5 AMP 5 ML RR 0 0 19,50 34,76 0 C10AA01 simvastatin 0310776 SIMVAHEXAL 10 MG 100 CPR R 0 0 5,15 14,72 80 0310745 SIMVAHEXAL 10 MG 30 CPR R 0 0 1,30 10,51 80 0310762 SIMVAHEXAL 10 MG 50 CPR R 0 0 2,31 11,61 80 0310695 SIMVAHEXAL 20 MG 100 CPR R 0 0 10,82 20,93 80 0310664 SIMVAHEXAL 20 MG 30 CPR R 0 0 2,27 10,30 80 0310681 SIMVAHEXAL 20 MG 50 CPR R 0 0 4,80 14,33 80 0310602 SIMVAHEXAL 30 MG 100 CPR R 0 0 14,63 25,09 0 0310566 SIMVAHEXAL 30 MG 30 CPR R 0 0 7,07 12,60 80 0310597 SIMVAHEXAL 30 MG 50 CPR R 0 0 6,63 16,35 80 0310521 SIMVAHEXAL 40 MG 100 CPR R 0 0 15,35 24,00 80 0310485 SIMVAHEXAL 40 MG 30 CPR R 0 0 4,15 12,36 80 0310504 SIMVAHEXAL 40 MG 50 CPR R 0 0 8,08 17,22 80 0310874 SIMVAHEXAL 5 MG 100 CPR R 0 0 3,65 13,07 80 0310843 SIMVAHEXAL 5 MG 30 CPR R 0 0 5,29 9,42 80 0310861 SIMVAHEXAL 5 MG 50 CPR R 0 0 1,65 10,89 80 0324771 SIMVASTATIN RATIO 10 MG 100 CPR R 0 0 3,13 12,52 80 0324723 SIMVASTATIN RATIO 10 MG 30 CPR R 0 0 0,81 9,98 80 0324737 SIMVASTATIN RATIO 10 MG 50 CPR R 0 0 1,44 10,67 80 0324463 SIMVASTATIN RATIO 20 MG 100 CPR R 0 0 7,08 16,83 80 0324401 SIMVASTATIN RATIO 20 MG 30 CPR R 0 0 1,84 7,80 80 0324415 SIMVASTATIN RATIO 20 MG 50 CPR R 0 0 3,26 12,65 80 0324284 SIMVASTATIN RATIO 40 MG 100 CPR R 0 0 13,82 24,00 80 0324222 SIMVASTATIN RATIO 40 MG 30 CPR R 0 0 3,59 11,40 80 Page 71 of 230
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Liste des médicaments commercialisés au Luxembourg - CNS

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