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1908-Liste-Comm.Pdf Liste des médicaments commercialisés valable au 1er août 2019 Cette liste se base sur des données qui sont de la compétence de la Direction de la Santé, Division de la Pharmacie et des Médicaments, du Ministère de la sécurité sociale et de la Caisse nationale de santé. mode de délivrance P: médicament non soumis à prescription médicale mode de délivrance R ou RR: médicament soumis à prescription médicale mode de délivrance S: médicament soumis à prescription médicale spéciale (stupéfiants) conditions de prescription restreinte H: usage strictement hospitalier conditions de prescription restreinte D: délivrance à partir de l'hôpital vers l'ambulatoire conditions de prescription restreinte C: prescription réservée à certains médecins spécialistes OD: médicament orphelin RPM: plan de gestion du risque obligatoire PCC: Prise en charge conditionnelle de la CNS Numéro Dénomination abrégée mode de conditions de OD RMP PCC Prix ex-us. Prix d'achat pharm. Prix public Taux national délivrance prescription A01AA01 sodium fluoride 0045694 FLUOR SMB GTTES 5,5 MG / 1 ML 1*1 GTTES 30 ML P 0 0 1,78 2,05 3,06 80 0131307 ZYMAFLUOR CPR. 0,25 MG 1*250 CPR. P 0 0 2,32 2,77 4,62 80 0131324 ZYMAFLUOR CPR. 1 MG 1*250 CPR. P 0 0 3,61 4,30 6,95 80 A01AA30 combinations 0444332 ELMEX GEL 1,25 PC 1*1 GEL 38 G R 0 0 4,15 4,98 14,05 0 0141883 FLUOCARIL BIFLUORE 250 GOÛT ANIS PATE DENTIFRICE 1*1 P 0 0 3,11 3,58 5,33 0 TUBE 125 ML 0136124 FLUOCARIL BIFLUORE 250 GOÛT ANIS PATE DENTIFRICE 1*1 P 0 0 2,26 2,61 3,88 0 TUBE 75 ML A01AB03 chlorhexidine 0248151 CORSODYL GEL DENTAIRE 1*1 TUBE 50 G P 0 0 3,20 3,68 5,49 0 0207727 CORSODYL SOL. BAIN BOUCHE 10 MG / 5 ML 1*1 SOL. 200 ML P 0 0 3,25 3,74 5,58 40 0207731 CORSODYL SOL.PULV.BUCC. 10 MG / 5 ML 1*1 SPRAY 60 ML P 0 0 4,19 4,82 7,19 0 A01AB09 miconazole 0027634 DAKTARIN GEL ORAL 20 MG / 1 G 1*1 GEL 40 G R 0 0 2,65 3,05 7,71 80 A01AB11 various 0022204 CIONAL SOL.BUCC.GTTES 1*1 SOL. 30 ML P 0 0 0,00 2,89 4,47 0 0140788 COLLUDOL SOL.PULV.BUCC. 2 MG / 1 ML 1*1 AER. 30 ML P 0 0 4,70 5,42 8,09 0 0264303 ELUDRIL PRO SOL. BAIN BOUCHE 1*1 FL. PET 200 ML P 0 0 3,96 4,65 7,54 0 0636748 ELUDRIL PRO SOL. BAIN BOUCHE 1*1 FL. PET 500 ML P 0 0 6,82 8,00 12,97 0 0038834 ELUDRIL SOL.PULV.BUCC. 1*1 FL. PRESSURISÉ 55 ML P 0 0 1,91 2,20 3,40 0 A01AB12 hexetidine 0053603 HEXTRIL SOL. BAIN BOUCHE 5 MG / 5 ML 1*1 FLACON 200 ML P 0 0 3,30 3,80 5,67 40 0368339 HEXTRIL SOL. BAIN BOUCHE 5 MG / 5 ML 1*1 FLACON 400 ML P 0 0 5,92 6,82 10,18 0 A01AD11 various 0438853 DENTINOX GEL N GEL 1*1 GEL 10 G P 0 0 2,75 3,21 4,15 0 0049483 GLANDOSAN SPRAY 1*1 SPRAY 50 ML P 0 0 4,82 5,71 9,23 0 0258869 PANSORAL GEL BUCC. 1*1 TUBE 15 G P 0 0 0,00 3,64 5,63 0 0095942 PYRALVEX SOL.BUCC. 1*1 FLACON 10 ML P 0 0 3,50 4,03 6,02 0 0180329 TEEJEL GEL BUCC. 1*1 TUBE 30 G P 0 0 4,74 5,45 8,14 0 0436103 XOGEL ADULTE GEL 1*1 GEL 50 G R P 0 0 70,00 72,18 82,01 0 0436117 XOGEL ENFANT GEL 1*1 GEL 50 G R 0 0 70,00 72,18 82,01 0 A02AB10 combinations Page 1 of 221 Numéro Dénomination abrégée mode de conditions de OD RMP PCC Prix ex-us. Prix d'achat pharm. Prix public Taux national délivrance prescription 0655811 MAALOX ANTACID CITRON SP.BUV. 230 MG / 4,3 ML + 400 MG P 0 0 5,41 6,23 9,29 40 / 4,3 ML 1*20 SACH. 0655838 MAALOX ANTACID SANS SUCRE CITRON CPR. CROQUER 200 P 0 0 3,45 3,97 5,92 40 MG + 400 MG 1*40 CPR.SS BLIST. A02AC01 calcium carbonate 0415733 ZIRKULIN MAGEN PASTILLEN CPR. SUCER 500 MG 1*10 CPR. P 0 0 1,00 1,15 1,78 0 0415747 ZIRKULIN MAGEN PASTILLEN CPR. SUCER 500 MG 1*40 CPR. P 0 0 2,17 2,50 3,87 0 0415751 ZIRKULIN MAGEN PASTILLEN CPR. SUCER 500 MG 1*90 CPR. P 0 0 4,13 4,75 7,35 0 A02AD Combinations and complexes of aluminium, calcium and magnesium compounds 0399612 MOXYDAR SUSP. 1*30 SACH. 20 ML P 0 0 2,57 2,87 3,42 0 A02AD01 ordinary salt combinations 0643421 MAALOX ANTACID- 200MG/400MG CPR. CROQUER 1*100 P 0 0 5,98 6,88 10,27 40 CPR.SS BLIST. 0643434 MAALOX ANTACID- 200MG/400MG CPR. CROQUER 1*40 P 0 0 3,00 3,45 5,15 40 CPR.SS BLIST. 0790765 MAALOX ANTACID- 230MG/400MG SP.BUV. 230 MG / 10 ML + P 0 0 5,19 5,97 8,92 40 400 MG / 10 ML 1*1 FLACON 250 ML 0643448 MAALOX ANTACID- 230MG/400MG SP.BUV. 230 MG / 10 ML + P 0 0 4,93 5,67 8,48 40 400 MG / 10 ML 1*1 FLACON 355 ML 0176245 MAGLID CPR. CROQUER 200 MG + 200 MG 1*48 CPR.A SUCER P 0 0 2,93 3,38 5,05 40 0399593 MOXYDAR CPR.DISP. 1*30 CPR.SS BLIST. P 0 0 2,57 2,87 3,42 0 0848431 NEUTRICID SP.BUV.SACH. 1*18 SACHETS 20 ML P 0 0 4,41 5,20 6,46 0 A02AD02 magaldrate 0255299 GASTRICALM CPR. CROQUER 1*50 CPR.SS BLIST. P 0 0 5,04 5,81 8,66 40 0628021 RIOPAN SP.BUV. 800 MG / 10 ML 1*1 BOUTEILLE 250 ML P 0 0 5,06 5,83 8,69 40 0100197 RIOPAN SP.BUV. 800 MG / 10 ML 1*20 SACH. 10 ML P 0 0 5,06 5,83 8,70 40 0511791 RIOPAN SP.BUV. 800 MG / 10 ML 1*50 SACH. 10 ML P 0 0 10,12 11,65 17,39 40 A02AD04 hydrotalcite 0253862 TALIDAT CPR. 500 MG 1*100 CPR.A MACHER P 0 0 8,91 10,51 16,02 40 0253845 TALIDAT CPR. 500 MG 1*20 CPR.A MACHER P 0 0 2,26 2,70 4,50 40 0253859 TALIDAT CPR. 500 MG 1*50 CPR.A MACHER P 0 0 4,96 5,88 9,51 40 A02AF Antacids with antiflatulents 0252977 KESTOMATINE CPR. CROQUER 1*16 CPR.SS BLIST. P 0 0 2,94 3,38 5,06 0 A02AH Antacids with sodium bicarbonate 0048150 GASTROPAX PDRE 1*1 PDRE 100 G P 0 0 4,90 5,75 8,94 0 A02AX Antacids, other combinations 0529491 RENNIE MINT SANS SUCRE CPR. CROQUER 680 MG + 80 MG P 0 0 7,00 8,06 12,02 0 1*120 CPR. 0529457 RENNIE MINT SANS SUCRE CPR. CROQUER 680 MG + 80 MG P 0 0 2,24 2,58 3,85 0 1*24 CPR. 0311272 RENNIE MINT SANS SUCRE CPR. CROQUER 680 MG + 80 MG P 0 0 4,37 5,03 7,51 0 1*60 CPR. 0156595 SYNGEL SP.BUCC. 1*1 SUSP. 300 ML P 0 0 8,20 9,44 14,09 40 A02BA02 ranitidine 0541353 ACIDINE CPR.EFF. 75 MG 1*20 CPR.(TUBE) P 0 0 4,76 5,48 8,18 80 0218555 RANITIC-150 CPR.ENR. 150 MG 1*100 CPR.SS BLIST. R 0 0 7,01 7,93 17,18 80 0218538 RANITIC-150 CPR.ENR. 150 MG 1*20 CPR.SS BLIST. R 0 0 0,99 1,72 10,59 80 0218541 RANITIC-150 CPR.ENR. 150 MG 1*50 CPR.SS BLIST. R 0 0 3,47 4,28 13,31 80 0218524 RANITIC-300 CPR.ENR. 300 MG 1*100 CPR.SS BLIST. R 0 0 14,69 15,85 25,59 80 0218507 RANITIC-300 CPR.ENR. 300 MG 1*20 CPR.SS BLIST. R 0 0 2,86 3,65 12,64 80 0218511 RANITIC-300 CPR.ENR. 300 MG 1*50 CPR.SS BLIST. R 0 0 7,30 8,23 17,50 80 0543926 RANITIDINE EG-150 CPR.EFF. 150 MG 1*112 CPR.(TUBE) R 0 0 6,15 7,07 12,06 80 Page 2 of 221 Numéro Dénomination abrégée mode de conditions de OD RMP PCC Prix ex-us. Prix d'achat pharm. Prix public Taux national délivrance prescription 0543909 RANITIDINE EG-150 CPR.EFF. 150 MG 1*56 CPR.(TUBE) R 0 0 7,71 9,10 14,04 0 0446628 RANITIDINE EG-150 CPR.ENR. 150 MG 1*112 CPR.SS BLIST. R 0 0 4,44 5,23 9,96 80 0286314 RANITIDINE EG-150 CPR.ENR. 150 MG 1*56 CPR.SS BLIST.U.D. R 0 0 3,45 4,07 8,71 80 0544047 RANITIDINE EG-300 CPR.EFF. 300 MG 1*28 CPR.(TUBE) R 0 0 2,86 3,37 7,97 80 0544064 RANITIDINE EG-300 CPR.EFF.
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