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Liste positive des médicaments valable au 1er juin 2012 ... - CNS

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Numéro national<br />

0421176<br />

0057146<br />

0523582<br />

0182192<br />

0243978<br />

0243981<br />

0243995<br />

0243916<br />

0243947<br />

0243964<br />

0257097<br />

0385245<br />

0057437<br />

0057406<br />

0057423<br />

0057390<br />

0365032<br />

0365046<br />

0336711<br />

0336769<br />

0291426<br />

0287678<br />

0468348<br />

0468334<br />

0468365<br />

0468351<br />

0268946<br />

0291474<br />

0268977<br />

0488341<br />

0208724<br />

0175508<br />

0278052<br />

0243415<br />

0243429<br />

0243432<br />

0383514<br />

0472967<br />

0462747<br />

0462778<br />

0462814<br />

0462845<br />

0462893<br />

0462926<br />

0402234<br />

0174612<br />

0174657<br />

0058384<br />

0384685<br />

0383495<br />

0383495<br />

0383187<br />

0383495<br />

0383495<br />

0384685<br />

0383495<br />

0204899<br />

0383514<br />

0384332<br />

0383223<br />

0383514<br />

0383223<br />

0383514<br />

0384332<br />

0383223<br />

0383514<br />

Dénomination abrégée Prise en charge conditionnelle Prix public T<strong>au</strong>x<br />

INFLEXAL-V 1 SRG IMSC 6<br />

8,79 100 %<br />

INFLUVAC S 1 SRG 0,5 ML UD IMSC 6<br />

8,79 100 %<br />

INHIBACE 0,5 MG 30 CPR SEC 0<br />

6,67 100 %<br />

INHIBACE 5 MG 28 CPR SEC 0<br />

16,81 100 %<br />

INNOHEP 10000 U 10 SRG 0.5 ML SC 0<br />

71,93 80 %<br />

INNOHEP 14000 U 10 SRG 0.7 ML SC 0<br />

97,15 80 %<br />

INNOHEP 18000 U 10 SRG 0.9 ML SC 0<br />

122,40 80 %<br />

INNOHEP 2500 U 10 SRG 0,25 ML SC 0<br />

24,83 80 %<br />

INNOHEP 3500 U 10 SRG 0.35 ML SC 0<br />

30,89 80 %<br />

INNOHEP 4500 U 10 SRG 0.45 ML SC 0<br />

36,26 80 %<br />

INOTYOL POM 90 G 0<br />

7,09 80 %<br />

INSPRA 25 MG 30 CPR 6<br />

71,71 80 %<br />

INSTILLAGEL 10*11 ML 0<br />

19,18 80 %<br />

INSTILLAGEL 10*6 ML 0<br />

15,20 80 %<br />

INSTILLAGEL 11 ML 0<br />

3,56 80 %<br />

INSTILLAGEL 6 ML 0<br />

3,04 80 %<br />

INSUL ACTRAPID 100 U 1*10 ML 0<br />

17,09 100 %<br />

INSUL ACTRAPID PF 100 U 5*3 ML 0<br />

30,79 100 %<br />

INSUL INSULATARD 100 U 1*10 ML 0<br />

17,09 100 %<br />

INSUL INSULATARD PF 100 U 5*3 ML 0<br />

30,79 100 %<br />

INSUL NOVOMIX 30 FLEXPEN 100U 5*3 ML 0<br />

41,44 100 %<br />

INSUL NOVOMIX 30 PF 100U 5*3 ML 0<br />

38,33 100 %<br />

INSUL NOVOMIX 50 FLEXPEN 100U 5*3 ML 0<br />

41,44 100 %<br />

INSUL NOVOMIX 50 PF 100U 5*3 ML 0<br />

38,33 100 %<br />

INSUL NOVOMIX 70 FLEXPEN 100U 5*3 ML 0<br />

41,44 100 %<br />

INSUL NOVOMIX 70 PF 100U 5*3 ML 0<br />

38,33 100 %<br />

INSUL NOVORAPID 100 U 1*10 ML 0<br />

24,70 100 %<br />

INSUL NOVORAPID FLEXPEN 100U 5STYLOS 3ML 0<br />

41,44 100 %<br />

INSUL NOVORAPID PF 100 U 5*3 ML 0<br />

38,33 100 %<br />

INTELENCE 100 MG 120 CPR 0<br />

419,61 100 %<br />

INTRON A 10 MIO U PDR 1 FL+S IMSC 0<br />

76,31 100 %<br />

INTRON A 10 MIO U PDR 6 FL+S IMIVSC 0<br />

396,34 100 %<br />

INTRON A ALB FREE 25 MIO U 2 FL 2,5 ML 0<br />

294,31 100 %<br />

INTRON A PEN 18 MIO U 1 STYLO MTD 1,2 ML 0<br />

103,86 100 %<br />

INTRON A PEN 30 MIO U 1 STYLO MTD 1,2 ML 0<br />

186,54 100 %<br />

INTRON A PEN 60 MIO U 1 STYLO MTD 1,2 ML 0<br />

351,39 100 %<br />

INULA HELENIUM 5 CH GRAN LHL 0<br />

1,83 80 %<br />

INUVAIR 100/6 MCG SOL INH 120 D 0<br />

45,89 100 %<br />

INVEGA 3 MG 28 CPR 0<br />

100,05 80 %<br />

INVEGA 3 MG 56 CPR 0<br />

191,19 80 %<br />

INVEGA 6 MG 28 CPR 0<br />

107,47 80 %<br />

INVEGA 6 MG 56 CPR 0<br />

206,03 80 %<br />

INVEGA 9 MG 28 CPR 0<br />

107,47 80 %<br />

INVEGA 9 MG 56 CPR 0<br />

206,03 80 %<br />

INVIRASE 500 MG 120 CPR 0<br />

278,08 100 %<br />

IODEX BUCCAL 1% COLLU 200 ML 0<br />

4,66 40 %<br />

IODEX DERMAL 10% 1 FL 30 ML 0<br />

4,47 80 %<br />

IODEX SIMPLE POM 23 G 0<br />

6,61 80 %<br />

IODUM 15 CH DOSES LHL 0<br />

1,56 80 %<br />

IODUM 15 CH GRAN LHL 0<br />

1,83 80 %<br />

IODUM 4 CH GRAN LHL 0<br />

1,83 80 %<br />

IODUM 5 CH GRAN DOL 0<br />

1,79 80 %<br />

IODUM 5 CH GRAN LHL 0<br />

1,83 80 %<br />

IODUM 7 CH GRAN LHL 0<br />

1,83 80 %<br />

IODUM 9 CH DOSES LHL 0<br />

1,56 80 %<br />

IODUM 9 CH GRAN LHL 0<br />

1,83 80 %<br />

IOPIDINE 0,5% COLLY 5 ML 0<br />

13,08 80 %<br />

IPECA 12 CH GRAN LHL 0<br />

1,83 80 %<br />

IPECA 15 CH DOSES LHL 0<br />

1,56 80 %<br />

IPECA 15 CH GRAN DOL 0<br />

1,79 80 %<br />

IPECA 15 CH GRAN LHL 0<br />

1,83 80 %<br />

IPECA 4 CH GRAN DOL 0<br />

1,79 80 %<br />

IPECA 4 CH GRAN LHL 0<br />

1,83 80 %<br />

IPECA 5 CH DOSES LHL 0<br />

1,56 80 %<br />

IPECA 5 CH GRAN DOL 0<br />

1,79 80 %<br />

IPECA 5 CH GRAN LHL 0<br />

1,83 80 %<br />

Page 56 of 117

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