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 0341951 LEVITRA 10 MG 8 CPR RR 0 0 29,19 39,98 0 0342007 LEVITRA 20 MG 12 CPR RR 0 0 106,17 119,27 0 0341982 LEVITRA 20 MG 4 CPR RR 0 0 35,77 46,75 0 0341996 LEVITRA 20 MG 8 CPR RR 0 0 69,02 79,95 0 0341921 LEVITRA 5 MG 12 CPR RR 0 0 24,43 35,07 0 0341903 LEVITRA 5 MG 4 CPR RR 0 0 6,80 11,69 0 G04BX Other urologicals 0246174 CYSTINOL LONG 60 CAPS P 0 0 12,76 21,61 0 G04CA01 alfuzosin 0225398 XATRAL RET 5 MG 56 CPR R 0 0 24,24 34,86 80 0304961 XATRAL UNO 10 MG 30 CPR R 0 0 25,98 36,66 80 G04CA02 tamsulosin 0437131 DOCTAMSULOSINE 0,4 MG 90 CAPS R 0 0 24,32 36,81 80 0410995 OMIC OCAS 0,4 MG 30 CPR R 0 0 28,54 39,31 80 0411041 OMIC OCAS 0,4 MG 90 CPR R 0 0 76,12 88,31 80 0414493 TAMSULOSIN EG 0,4 MG 30 CAPS R 0 0 0,00 18,95 80 0414543 TAMSULOSIN EG 0,4 MG 90 CAPS R 0 0 26,61 37,31 80 0414817 TAMSULOSIN HEXAL 0,4 MG 100 CAPS R 0 0 15,22 25,74 80 0414736 TAMSULOSIN HEXAL 0,4 MG 20 CAPS R 0 0 3,71 13,16 80 0414771 TAMSULOSIN HEXAL 0,4 MG 50 CAPS R 0 0 7,72 17,53 80 0433423 TAMSULOSINE HCL YAMA-PH 0,4 MG 30 CAPS R 0 0 13,01 22,35 80 0433454 TAMSULOSINE HCL YAMA-PH 0,4 MG 90 CAPS R 0 0 37,08 48,10 80 0433809 TAMSULOSINE RATIO 0,4 MG 100 CAPS R 0 0 15,22 25,74 80 0433762 TAMSULOSINE RATIO 0,4 MG 20 CAPS R 0 0 3,71 13,16 80 0433793 TAMSULOSINE RATIO 0,4 MG 50 CAPS R 0 0 7,72 17,53 80 G04CA03 terazosin 0055480 HYTRIN 1 MG 10 CPR R 0 0 1,56 6,01 80 0055494 HYTRIN 10 MG 28 CPR R 0 0 18,25 26,39 80 0055513 HYTRIN 2 MG 28 CPR R 0 0 6,24 11,84 80 0055527 HYTRIN 5 MG 28 CPR R 0 0 12,24 19,33 80 0296923 TERAZOSAB 1 MG 10 CPR R 0 0 0,00 2,35 80 0296954 TERAZOSAB 10 MG 28 CPR R 0 0 17,34 27,77 80 0296937 TERAZOSAB 2 MG 28 CPR R 0 0 0,00 11,38 80 0296941 TERAZOSAB 5 MG 28 CPR R 0 0 0,00 21,66 80 0272501 UROHYTRIN 10 MG 28 CPR R 0 0 30,12 40,93 0 0272482 UROHYTRIN 2 MG 28 CPR R 0 0 0,00 16,48 0 0272496 UROHYTRIN 5 MG 28 CPR R 0 0 20,13 30,64 0 0272515 UROHYTRIN STARTER 3*1 MG+11*2 MG CPR R 0 0 0,00 8,58 0 G04CA04 silodosin 0557631 SILODYX 4 MG 30 CAPS RR RM 0 0 15,00 25,36 0 0557708 SILODYX 8 MG 30 CAPS RR RM 0 0 15,00 25,36 0 Page 98 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 0557725 SILODYX 8 MG 90 CAPS RR RM 0 0 36,00 46,99 0 G04CA52 tamsulosin and dutasteride 0569081 COMBODART 0,5/0,4 MG 30 CAPS (FL) R 0 0 32,67 43,56 80 0569094 COMBODART 0,5/0,4 MG 90 CAPS (FL) R 0 0 78,41 90,67 80 G04CB01 finasteride 0467046 FINASTERID RATIO 5 MG 100 CPR R 0 0 42,23 55,30 80 0467015 FINASTERID RATIO 5 MG 30 CPR R 0 0 13,74 24,12 80 0467029 FINASTERID RATIO 5 MG 50 CPR R 0 0 22,13 33,31 80 0460255 FINASTERIDE EG 5 MG 100 CPR R 0 0 45,36 57,62 80 0460211 FINASTERIDE EG 5 MG 30 CPR R 0 0 17,30 27,73 80 0460238 FINASTERIDE EG 5 MG 60 CPR R 0 0 27,74 38,48 80 0187882 PROSCAR 5 MG 28 CPR R 0 0 26,30 37,00 80 G04CB02 dutasteride 0343438 AVODART 0,5 MG 30 CAPS R 0 0 28,87 39,65 80 G04CX02 serenoa repens 0183933 PERMIXON 160 MG 60 CAPS R 0 0 0,00 31,98 80 0219244 PROSTA URGENIN UNO 320 MG 120 CAPS P 0 0 20,22 36,04 80 0219231 PROSTA URGENIN UNO 320 MG 60 CAPS P 0 0 11,44 20,39 80 0233095 PROSTASERENE 320 MG 30 CAPS P 0 0 10,34 17,78 80 H01AA02 tetracosactide 0112377 SYNACTHEN 0,25 MG 1 AMP RR 0 0 1,25 5,72 80 0112394 SYNACTHEN DEP 1 MG 1 AMP RR 0 0 1,65 6,05 80 H01AC01 somatropin 0607195 GENOTONORM 12 MG 1 GOQUICK SC RR C 1 5 279,04 304,52 100 0180136 GENOTONORM 12 MG PDR 1 FL 2 CPT SC P PEN RR C 1 5 279,04 304,64 100 0607178 GENOTONORM 5,3 MG 1 GOQUICK SC RR C 1 5 137,75 154,78 100 0607181 GENOTONORM 5,3 MG 5 GOQUICK SC RR C 1 5 688,72 738,73 100 0164311 GENOTONORM 5,3 MG PDR 1 FL 2CPT SC P PEN RR C 1 5 137,75 154,89 100 0198208 HUMATROPE 12 MG PDR 1 CRT+SRG S IMSC RR C 1 5 225,80 248,09 100 0198192 HUMATROPE 6 MG PDR 1 CRT + SRG S IMSC RR C 1 5 122,00 138,08 100 0377954 NORDITROPIN NORDIFLEX 15 MG 1 PEN 1,5 ML RR C 0 0 387,34 419,25 100 0274196 NORDITROPIN SPXX 10 MG 3 CRT 1,5 ML SC RR C 1 5 774,69 829,97 100 0274179 NORDITROPIN SPXX 5 MG 3 CRT 1,5 ML SC RR C 1 5 387,34 419,42 100 0364889 NUTROPIN AQ 10 MG 1 CRT 2 ML SC RR C 1 5 204,79 225,95 100 0364892 NUTROPIN AQ 10 MG 3 CRT 2 ML SC RR C 1 5 614,40 660,07 100 0455631 OMNITROPE 3,3 MG SOL INJ 5 CRT 1,5 ML SC RR C 1 5 504,54 543,52 100 0575849 OMNITROPE 6,7 MG SOL INJ 5 CRT 1,5 ML SC RR C 1 5 1.009,09 1.078,28 100 0194517 ZOMACTON 4 MG PDR 12 U 1 FL + S 3,5 ML RR C 1 5 103,32 118,40 100 H01AC03 mecasermin 0469118 INCRELEX 10 MG/ML 1 FL 4 ML V SC RR C X RM 0 0 598,50 643,23 0 Page 99 of 230
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Liste des médicaments commercialisés au Luxembourg - CNS

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