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 0146294 FUNGIZID RATIO 1% CREME 20 G P 0 0 1,87 3,72 80 0146313 FUNGIZID RATIO 1% CREME 50 G P 0 0 3,84 7,36 80 0217155 FUNGIZID RATIO 1% CREME VAG 35 G + APPL P 0 0 2,39 11,71 80 0146246 FUNGIZID RATIO 100 MG 6 CPR VAG + APPL P 0 0 2,66 11,99 80 0146277 FUNGIZID RATIO 200 MG 3 CPR VAG + APPL P 0 0 2,79 5,54 80 0169237 FUNGIZID RATIO KOMBI 3 CPR+CR 20 G+APPL P 0 0 3,36 6,60 80 G01AF04 miconazole 0051240 GYNODAKTARIN 1200 MG 1 OV 34198 R 0 0 3,59 8,65 80 0051254 GYNODAKTARIN 200 MG 7 OV 17442 P 0 0 4,84 10,20 80 0051237 GYNODAKTARIN CREME VAG 78 G 17399 P 0 0 5,39 10,89 80 G01AF12 fenticonazole 0431091 GYNOXIN 2% CREME 35 G R 0 0 3,27 8,25 80 0431088 GYNOXIN 200 MG 3 OV R 0 0 3,11 8,06 80 0431074 GYNOXIN 600 MG 1 OV R 0 0 3,14 8,08 80 G01AF15 butoconazole 0199253 GYNOMYK 100 MG 3 OV R 0 0 3,09 7,91 80 0199267 GYNOMYK 2% CREME VAG 20 G + 3 APPL R 0 0 3,29 8,16 80 G01AX11 povidone-iodine 0391953 ISOBETADINE GYN 10% SOL 500 ML P P 0 0 6,07 10,43 80 0217012 ISOBETADINE UNIGYN SOL VAG 5 FL UD 10 ML P 0 0 6,39 10,97 80 G01AX14 lactobacillus fermentum 0235539 GYNOFLOR 12 CPR VAG RR 0 0 8,08 13,88 80 G01BD Antiseptics and corticosteroids 0435611 TERGYNAN 10 CPR RR 0 0 0,00 3,74 0 G02AB01 methylergometrine 0071680 METHERGIN 0,2 MG 100 AMP 1 ML R 0 0 46,01 0,00 0 0071677 METHERGIN 0,2 MG 5 AMP 1 ML R 0 0 2,89 12,25 80 G02AD02 dinoprostone 0141737 PREPIDIL GEL 1 SRG 3 G RR H 0 0 24,67 0,00 0 0242811 PROPESS 10 MG 5 DISPOS VAG RR H 0 0 323,92 0,00 0 0094833 PROSTIN E2 0,5 MG 10 CPR OR RR H 0 0 22,62 0,00 0 0094847 PROSTIN E2 1 MG 1 AMP 1 ML PERF RR H 0 0 15,24 0,00 0 0094850 PROSTIN E2 10 MG 1 AMP 1 ML PERF RR H 0 0 35,33 0,00 0 0139241 PROSTIN E2 3 MG 4 CPR VAG RR H 0 0 43,95 0,00 0 G02AD04 carboprost 0152713 PROSTIN 15M 0,25 MG 1 AMP 1 ML IM RR H 0 0 17,10 0,00 0 G02BA03 plastic IUD with progestogen 0205333 MIRENA 1 PO + DISP IU RR 0 0 127,03 140,75 0 Page 88 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 G02BB Intravaginal contraceptives 0176634 PHARMATEX 10 OV P 0 0 0,00 7,73 0 0176648 PHARMATEX 20 OV P 0 0 0,00 14,08 0 0176651 PHARMATEX 6 TAMP P 0 0 0,00 11,45 0 0176621 PHARMATEX CREME GYN 6*4,5 G UD P 0 0 0,00 6,72 0 0176617 PHARMATEX CREME GYN 72 G P 0 0 0,00 7,09 0 G02BB01 vaginal ring with progestogen and estrogen 0305177 NUVARING 1 DISPO VAG R 6 14 10,15 17,44 80 0305181 NUVARING 3 DISPO VAG R 6 14 26,04 36,73 80 G02CA01 ritodrine 0342606 PREPAR 10 MG 40 CPR R 0 0 17,45 25,51 0 0342591 PREPAR 50 MG 10 AMP 5 ML IV RR H 0 0 27,50 0,00 0 G02CB01 bromocriptine 0086392 PRAVIDEL 2,5 MG 10 CPR RR 0 0 0,00 13,29 80 0086411 PRAVIDEL 2,5 MG 100 CPR RR 0 0 41,42 54,59 100 0086408 PRAVIDEL 2,5 MG 30 CPR RR 0 0 12,81 22,75 80 G02CB03 cabergoline 0191319 DOSTINEX 0,5 MG 2 CPR R 0 0 18,22 28,67 80 0235766 SOSTILAR 0,5 MG 8 CPR RR 0 0 24,35 33,22 80 G02CB04 quinagolide 0205039 NORPROLAC 150 MCG 30 CPR 001786 RR 0 0 0,00 111,92 80 0205025 NORPROLAC 25/50 MCG 3 + 3 CPR 001789 RR 0 0 3,45 8,47 80 0205042 NORPROLAC 75 MCG 30 CPR 001783 RR 0 0 27,66 36,87 80 G02CX01 atosiban 0275601 TRACTOCILE 7,5 MG/ML 1 FL 0,9 ML IV RR H 0 0 25,57 0,00 0 0275615 TRACTOCILE 7,5 MG/ML 1 FL DIL 5 ML IV RR H 0 0 79,32 0,00 0 G03AA05 norethisterone and estrogen 0084482 OVYSMEN 3*21 CPR 193051 R 6 14 4,56 9,85 80 G03AA07 levonorgestrel and estrogen 0319138 LOWETTE 0,02/0,1 MG 3*21 CPR R 6 14 13,67 23,48 80 0357612 LUDEAL 0,03/0,15 MG 3*21 CPR R 6 14 0,00 5,10 80 0433616 MICROGYNON 20 0,02/0,1 MG 21 CPR R 0 0 0,00 6,59 0 0433633 MICROGYNON 20 0,02/0,1 MG 3*21 CPR R 6 14 10,36 17,79 80 0575737 MICROGYNON 30 0,03/0,15 MG 13*21 DRG R 6 14 20,89 31,42 80 0072075 MICROGYNON 30 0,03/0,15 MG 3*21 DRG R 6 14 4,39 9,65 80 0072092 MICROGYNON 50 0,05/0,125 MG 3*21 DRG R 6 14 4,21 9,42 80 0596271 NORANELLE 20/100 MG 13*21 CPR R 6 14 24,44 35,08 80 0596253 NORANELLE 20/100 MG 3*21 CPR R 6 14 7,36 12,65 80 0596267 NORANELLE 20/100 MG 6*21 CPR R 6 14 11,78 20,24 80 Page 89 of 230
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Liste des médicaments commercialisés au Luxembourg - CNS

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