14.03 Liste Comm

Liste des mdicaments commercialiss valable au 1er mars 2014
Cette liste se base sur des donnes qui sont de la comptence de la Direction de la Sant, Division de la Pharmacie
et des Mdicaments, du Ministre de la scurit sociale et de la Caisse nationale de sant.
mode de dlivrance P: mdicament non soumis prescription mdicale
mode de dlivrance R ou RR: mdicament soumis prescription mdicale
mode de dlivrance S: mdicament soumis prescription mdicale spciale (stupfiants)
conditions de prescription restreinte H: usage strictement hospitalier
conditions de prescription restreinte D: dlivrance partir de l'hpital vers l'ambulatoire
conditions de prescription restreinte C: prescription rserve certains mdecins spcialistes
OD: mdicament orphelin
RPM: plan de gestion du risque obligatoire
PCC: Prise en charge conditionnelle de la CNS
Numro national
Dnomination abrge
A01AA01
sodium fluoride
0045694
0131307
0131324
FLUOR SMB GTTS 30 ML

ZYMAFLUOR 0,25 MG 250 CPR
ZYMAFLUOR 1 MG 250 CPR
A01AA03
olaflur
mode de
dlivrance
0038624
ELMEX FLUID 50 ML
A01AA30
combinations
0444332
0141883
0136124
0141866
0136111
ELMEX GELEE 38 G
FLUOCARIL BIFL 250 ANIS 125 ML
FLUOCARIL BIFL 250 ANIS 75 ML
FLUOCARIL BIFL 250 MENTHE 125 ML
FLUOCARIL BIFL 250 MENTHE 75 ML
A01AB03
chlorhexidine
0302502
0248151
0207727
0207731
BAXIL 0,2% SPRAY 30 ML

CORSODYL GEL 50 G
CORSODYL SOL 200 ML
CORSODYL SPRAY 60 ML
A01AB09
miconazole
0027634
0477056
DAKTARIN GEL ORAL 40 G

LORAMYC 50 MG 14 CPR
A01AB11
various
0022204
0140788
0731151
0038834
CIONAL KREUSSLER SOL BUCC 30 ML

COLLUDOL 2 MG/ML AER 30 ML
DOLI MAL GORGE HEXAMID/TETRACAINE 60 ML
ELUDRIL COLLU SPRAY 55 ML
17392
conditions de
prescription
OD
PCC
Prix public
Taux
P
P
P
0 0
0 0
0 0
3,06
4,62
6,95
80
80
80
0 0
16,16
R
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0,00
5,33
3,88
5,33
3,88
0
0
0
0
0
P
P
P
P
0
0
0
0
0
0
0
0
5,78
4,47
4,71
5,88
0
0
40
0
R
RR
0 0
0 0
7,67
69,04
80
0
P
P
P
P
0
0
0
0
4,47
7,73
3,47
3,40
0
0
0
0
Page 1 of 243
RMP
0
0
0
0
Numro national
Dnomination abrge
0264303
0358699
0229643
0229609
0103199
0111366
ELUDRIL PRO BAIN BOUCHE 200 ML P

ELUDRIL PRO BAIN BOUCHE 500 ML
GIVALEX SOL 125 ML
GIVALEX SPRAY 50 ML
SEDEMOL LIQ 200 ML
SULFASEDEMOL LIQ 200 ML
A01AB12
hexetidine
0053603
0368339
0219146
HEXTRIL SOL BUCC 200 ML

HEXTRIL SOL BUCC 400 ML
HEXTRIL SPRAY 40 ML
A01AD11
various
0438853
0048536
0048522
0049483
0152937
0258869
0095942
0180329
DENTINOX N GEL 10 G
GELFOAM 1 EPONGE ST 100 CM2 (8*12,5 CM)
GELFOAM 4 EPONGES ST 12 CM2 (2*6 CM)
GLANDOSANE SPRAY 50 ML
35141-01
HERVIROS 10 ML
PANSORAL GEL 15 G
PYRALVEX GTTS 10 ML
TEEJEL 30 G
A02AA01
magnesium carbonate
0368602
MAG 2 100 MG 60 CPR
A02AB10
combinations
0655811
0655838
MAALOX ANTACID 230/400 20 SACH 4,3 ML

MAALOX ANTACID SS SUCRE 200/400 40 CPR
A02AC01
calcium carbonate
0415733
0415747
0415751
ZIRKULIN MAGENPASTILLEN 500 MG 10 CPR

A02AD01
ordinary salt combinations
0300279
0643421
0643434
0643451
0643448
0643479
0643482
0643496
0176245
0399593
0602106
0404242
GELOX 30 SACH
MAALOX ANTACID 200/400 MG 100 CPR
MAALOX ANTACID 200/400 MG 40 CPR
MAALOX ANTACID 220/380 20 SACH 10 ML
MAALOX ANTACID 220/380 SUSP BUV 355 ML
MAALOX ANTACID FORTE 600/400 MG 40 CPR
MAALOX ANTACID FORTE 900/600 20SACH 10ML
MAALOX ANTACID FORTE 900/600 SUSP 355 ML
MAGLID 48 CPR A SUCER
MOXYDAR 30 CPR
RENNIE COOL MINT 36 PAST
RENNIE SANS SUCRE 48 PAST
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
6,54
11,89
5,75
8,63
4,45
5,24
0
0
0
0
0
0
P
P
P
0 0
0 0
0 0
5,29
9,53
6,12
40
0
0
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4,57
0,00
0,00
9,23
5,33
5,63
5,87
7,23
0
0
0
0
0
0
0
0
0 0
8,13
80
P
P
0 0
0 0
8,16
5,24
80
80
P
P
P
0 0
0 0
0 0
1,78
3,87
7,35
0
0
0
P
P
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
5,68
9,59
4,79
7,38
8,48
8,36
10,01
13,66
5,05
4,21
5,35
5,05
80
80
80
80
80
0
80
80
80
0
0
0
Page 2 of 243
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0255285
0529491
0311272
RENNIE SANS SUCRE 96 PAST

RENNIE SANS SUCRE MENTHE 120 PAST
RENNIE SANS SUCRE MENTHE 60 PAST
A02AD02
magaldrate
0255299
0100197
0511791
0628021
GASTRICALM 50 CPR A CROQUER

RIOPAN SUSP BUV 800 MG 20 SACH 10 ML
RIOPAN SUSP BUV 800 MG 50 SACH 10 ML
RIOPAN SUSP BUV 800 MG/10 ML 250 ML
A02AD04
hydrotalcite
0688274
0253862
0253845
0253859
RENNIELIQUO HYDROTALC SS SUCRE 20 SACH

TALIDAT 100 CPR
TALIDAT 20 CPR
TALIDAT 50 CPR
A02AF
Antacids with antiflatulents
0252977
KESTOMATINE 16 CPR
A02AH
Antacids with sodium bicarbonate
0048150
0267161
0069083
0069097
GASTROPAX PDR 100 G

MAGNESIE COMP LEHNING PDR 100 G
MAGNESIE PLUS 40 PAST
MAGNESIE PLUS 80 PAST
A02AX
Antacids, other combinations
0074813
0074827
0156595
0176603
MUTHESA 50 CPR
MUTHESA SIR 170 ML
SYNGEL SIR 300 ML
SYNGEL SIR 6*50 ML
A02BA01
cimetidine
0183561
0178951
0178947
0301195
0301178
0301201
0301214
0182435
CIMEHEXAL 200 MG 10 AMP 2 ML IV

CIMEHEXAL 800 MG 100 CPR
CIMEHEXAL 800 MG 50 CPR
CIMETIDINE EG 200 MG 100 CPR
H2 BLOCKER RATIO 200 MG 10 AMP INJ 2 ML
A02BA02
ranitidine
0541353
0218555
0218538
0218541
0218524
0218507
ACIDINE 75 MG 20 CPR EFF (TUBE)

RANITIC 150 MG 100 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
P
P
0 0
0 0
0 0
8,21
11,59
7,25
0
0
0
P
P
P
P
0
0
0
0
0
0
0
0
5,93
8,70
17,39
8,69
80
80
80
80
P
P
P
P
0
0
0
0
0
0
0
0
11,19
16,02
4,50
9,51
0
80
80
80
0 0
3,64
P
P
P
P
0
0
0
0
0
0
0
0
7,01
4,80
4,22
6,14
0
0
0
0
P
P
R
R
0
0
0
0
0
0
0
0
3,73
4,97
11,91
0,00
80
80
80
0
RR
R
R
R
R
R
R
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9,72
17,44
12,99
12,28
6,34
14,54
14,54
9,72
80
80
80
80
80
80
80
80
P
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
8,18
16,76
10,28
12,89
25,19
12,25
80
80
80
80
80
80
Page 3 of 243
Numro national
Dnomination abrge
0218511
0446628
0543926
0286314
0543909
0286328
0544047
0446631
0544064
0336383
0130828
0154167
0130831
0130845
0418511
0419293

RANITIDINE EG 150 MG 112 CPR
RANITIDINE EG 150 MG 112 CPR EFF (TUBE)
RANITIDINE MYLAN 75 MG 20 CPR
ZANTAC 150 MG 56 CPR
ZANTAC 150 MG/10 ML SIR 2*280 ML
ZANTAC 300 MG 28 CPR
ZANTAC 50 MG 5 AMP 2 ML IV UD
ZANTAC SOLUBLE 150 MG 4*14 CPR EFF
ZANTAC SOLUBLE 300 MG 2*14 CPR EFF
A02BB01
misoprostol
0027262
CYTOTEC 200 MCG 112 CPR
A02BC01
omeprazole
0680004
0680035
0680097
0251904
0279077
0279081
0279113
0409543
0279144
0286037
0285981
0285995
0286023
0615085
0615054
0615068
0615071
0615149
0615104
0615118
0615121
0615135
0615216
0615166
ACIDCARE 10 MG 14 CAPS (FL)

LOSEC 40 MG PERF 5 FL IV
LOSEC MUPS 10 MG 28 CPR
OMEP 20 MG 100 CAPS
OMEP 20 MG 15 CAPS
OMEP 20 MG 30 CAPS
OMEP 20 MG 60 CAPS
OMEPRAZOL RATIO NT 10 MG 100 CAPS
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
R
P
R
R
R
RR
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
17,08
10,32
18,52
8,99
14,77
7,67
14,77
8,36
18,52
7,66
9,01
14,77
7,68
7,50
14,77
14,77
80
80
80
80
0
80
80
80
80
0
80
80
80
80
80
80
RR
0 0
37,12
80
P
P
P
RR
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7,29
14,24
14,10
0,00
17,81
22,54
27,99
34,78
44,09
0,00
11,80
15,56
24,34
19,65
10,32
11,65
13,70
25,64
10,87
12,98
16,22
17,96
35,09
11,77
0
0
0
0
80
80
80
80
80
0
80
80
80
80
80
80
80
80
80
80
80
80
80
80
Page 4 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
0615183
0615197
0615202
0393671
0393796
0393698
0393721
0393829
0393846
0450746
0446838
0446886
0446841
0446936
0446953
0450732
0378612
0714228
0378545
0714262
0378576
0714195
0714651
0421498
0714407
0421288
0714424
0421307
0714621
0421471
0714925
0421744
0714696
0421551
0421727
0714892
0321895
0321901
0321928
0395921
0395952
0354736
0354753
0354767
Dnomination abrge
OMEPRAZOL TEVA 10 MG 14 CAPS
OMEPRAZOL TEVA 10 MG 28 CAPS (FL)
OMEPRAZOL TEVA 10 MG 28 CAPS BLIST
OMEPRAZOL TEVA 20 MG 28 CAPS (FL)
OMEPRAZOL TEVA 20 MG 28 CAPS BLIST
OMEPRAZOLE EG 10 MG 100 CAPS
OMEPRAZOLE EG 10 MG 100 CAPS (FL)
OMEPRAZOLE EG 10 MG 28 CAPS BLIST
OMEPRAZOLE FAR 20 MG 28 CPR
OMEPRAZOLE RATIO 10 MG 28 CAPS
mode de
dlivrance
conditions de
prescription
OD
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
RMP
PCC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Page 5 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Prix public
15,09
20,20
22,97
10,73
15,47
13,67
21,88
14,46
24,20
23,13
91,24
32,10
91,24
23,77
36,15
52,70
0,00
18,51
8,51
8,51
14,16
14,16
25,86
25,86
8,38
8,38
13,12
13,12
20,58
20,58
47,86
47,86
20,68
20,68
40,24
40,24
23,30
13,43
31,93
9,74
18,03
9,49
14,69
24,05
Taux
80
80
80
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
80
0
80
0
0
80
0
80
0
80
0
80
0
80
0
80
80
0
80
0
80
80
80
80
80
80
Numro national
Dnomination abrge
0396056
0396091
0370919
0370922
0370936
0482073
0370953
0370967
0370971
0389387

SEDACID 10 MG 14 CPR
SEDACID 20 MG 7 CPR
A02BC02
pantoprazole
0643417
0489804
0489723
0489835
0489754
0490061
0489978
0523372
0490013
0490139
0573991
0573956
0573987
0574077
0574032
0574063
0491153
0490965
0490996
0491024
0490903
0490711
0490741
0490772
0493967
0493971
0493998
0494009
0494012
0494026
0493953
0493757
0493761
MAALOX CONTROL 20 MG 14 CPR

PANTOMED 20 MG 100 CPR
PANTOMED IV 40 MG PDR 1*10 ML
PANTOPRAL 20 MG 100 CPR
PANTOPRAZOL HEXAL 20 MG 100 CPR (FL)
PANTOPRAZOL HEXAL 20 MG 15 CPR BLIST
PANTOPRAZOL HEXAL 40 MG 100 CPR (FL)
PANTOPRAZOL RATIO 20 MG 14 CPR GR BLIST
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
24,91
45,35
6,88
8,27
13,34
24,33
8,27
12,94
19,60
11,66
80
80
80
80
80
80
80
80
80
0
P
R
R
R
R
R
R
R
R
RR
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9,53
20,51
9,29
0,00
14,94
34,02
14,73
0,00
26,94
0,00
22,31
11,27
18,26
36,44
14,15
22,80
0,00
11,61
13,35
21,33
0,00
12,48
17,08
26,03
9,41
10,08
11,10
11,86
18,26
19,22
9,37
9,94
10,65
0
0
80
0
80
0
80
0
80
0
80
80
80
80
80
80
0
0
80
80
0
0
80
80
0
0
0
80
0
80
0
0
0
Page 6 of 243
Numro national
Dnomination abrge
0493774
0493788
0493807
0493743
0670168
0670171
0670185
0670235
0670249
0670252
0519626
0519643
0529636
0519691
0519707
0529975
0272451
0272465
0218121

PANTOPRAZOL SDZ 20 MG 28 CPR (FL)
PANTOPRAZOLE EG 20 MG 28 CPR BLIST
PANTOZOL 20 MG 28 CPR BLIST
PANTOZOL 20 MG 56 CPR BLIST
PANTOZOL 40 MG 28 CPR (FL)
A02BC03
lansoprazole
0240119
0240122
0204837
0231879
0397411
0397439
0397473
0397716
0397747
0397778
0410186
0410205
0492519
0410236
0410253
0410267
DAKAR 15 MG 28 CAPS
DAKAR 15 MG 56 CAPS
DAKAR 30 MG 28 CAPS
DAKAR 30 MG 28 CAPS UD
LANSOPRAZOL RATIO 15 MG 14 CAPS
LANSOPRAZOLE EG 15 MG 28 CAPS
A02BC04
rabeprazole
0256587
0256591
0256671
0256685
0671473
0671487
PARIET 10 MG 28 CPR
PARIET 10 MG 56 CPR
96110
PARIET 20 MG 28 CPR
96114
PARIET 20 MG 4*14 CPR
RABEPRAZOL RATIO 10 MG 14 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14,03
14,88
22,63
9,87
8,13
11,87
17,27
12,62
22,60
29,25
8,28
12,81
17,27
12,66
24,03
29,27
20,35
29,27
31,82
0
80
0
0
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11,18
17,84
18,03
0,00
7,33
11,85
15,64
10,92
13,45
19,43
11,18
17,43
21,55
18,03
28,08
39,52
0
80
80
0
80
80
80
80
80
80
80
80
80
80
80
80
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
12,44
17,25
35,26
60,31
10,38
11,82
80
80
80
80
80
80
Page 7 of 243
Numro national
Dnomination abrge
0671523
0671537
0671554
0671568
0671599
0671604

mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
15,23
21,17
11,00
13,27
18,65
28,03
80
80
80
80
80
80
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7,15
7,15
11,02
11,02
16,98
17,06
22,05
22,05
8,23
8,23
13,05
13,05
20,97
23,91
28,87
33,39
8,58
11,28
18,08
21,08
16,44
28,24
11,77
16,47
8,97
13,18
0,00
19,18
27,82
42,30
18,72
0,00
0,00
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
0
80
80
0
80
0
0
0 0
0 0
12,13
19,41
0
0
A02BC05
esomeprazole
0572721
0630274
0572749
0630291
0572783
0630324
0572797
0630338
0572881
0630422
0572901
0630453
0572931
0630484
0572945
0630498
0700074
0700088
0700091
0700107
0700138
0630051
0629905
0630095
0284158
0284161
0284131
0284175
0284189
0284239
0284242
0284306
0366611
ESOMEPRAZOL RATIO 20 MG 15 CAPS

ESOMEPRAZOL RATIO 20 MG 15 CPR
ESOMEPRAZOL SDZ 20 MG 14 CPR
ESOMEPRAZOLE MYLAN 20 MG 100 CAPS (FL)
ESOMEPRAZOLE MYLAN 20 MG 28 CAPS
ESOMEPRAZOLE MYLAN 40 MG 28 CAPS
NEXIAM 20 MG 14 CPR BLIST
NEXIAM 20 MG 50 CPR UD BLIST
NEXIAM 40 MG 50 CPR UD BLIST
NEXIAM IV 40 MG PDR 1 FL PERF
A02BX
Other drugs for peptic ulcer and gastro-oesophageal reflux disease (GORD)
0603358
0603361
GAVISCON ANTIACIDE-ANTIREFLUX SUSP 300ML

GAVISCON ANTIACIDE-ANTIREFLUX SUSP 600ML
P
P
Page 8 of 243
Numro national
Dnomination abrge
0681659
GAVISCON ANTIACIDE-ANTIREFLUX UD 24 SACH
A02BX02
sucralfate
0139157
0150185
0190163
0122275
0122261
KEAL 1 G 30 CPR
KEAL 1 G 30 SACH
KEAL 2 G 15 SACH
ULCOGANT 1 G/5 ML SUSP 250 ML
ULCOGANT 1 G/5 ML SUSP 50 SACH
A02BX13
alginic acid
0364858
0282851
0592397
0592402
0631433
0730381
0679861
0436828
0482218
0305258
0482235
0258984
0118174
GAVISCON ADVANCE SUSP 300 ML

GAVISCON ADVANCE SUSP 500 ML
GAVISCON ANTIACIDE-ANTIREFLUX 32 CPR
GAVISCON ANTIACIDE-ANTIREFLUX 48 CPR
GAVISCON BABY 500/267MG/10ML SUSP 150 ML
GAVISCON FRAISE 250 MG 48 CPR BLIST
GAVISCON INSTANT FRUIT PASSION 12 SACH
GAVISCON MENTHE 250 MG 48 CPR
GAVISCON MENTHE SUSP 300 ML
GAVISCON MENTHE SUSP 500 ML
GAVISCON SUSP 300 ML (ANIS)
GAVISCON SUSP 500 ML (ANIS)
TOPAAL 42 CPR
A03AA04
mebeverine
0195481
0037434
0400873
0238687
0255738
DUSPATALIN 135 MG 120 DRG

DUSPATALIN 135 MG 40 DRG
DUSPATALIN RET 200 MG 60 CAPS
MEBEVERINE EG 135 MG 120 CPR
MEBEVERINE EG 135 MG 40 CPR
A03AB02
glycopyrronium
0100488
ROBINUL 0,2 MG 5 AMP 1 ML IMIV
A03AB06
otilonium bromide
0151523
0206845
SPASMOMEN 40 MG 30 CPR
SPASMOMEN 40 MG 60 CPR
A03AX
Other drugs for functional bowel disorders
0682723
TEMPOCOL 60 CAPS
A03AX08
alverine
0285799
0348921
0348935
SPASMINE 60 MG 40 CAPS
SPASMINE FORTE 120 MG 20 CAPS
SPASMINE FORTE 120 MG 40 CAPS
A03AX13
silicones
0466066
IMONOGAS 240 MG 30 CAPS
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
0 0
12,75
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
8,03
8,03
7,71
22,57
20,86
80
80
80
80
80
P
P
P
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10,95
16,22
9,01
11,83
6,07
8,53
7,73
8,53
9,33
13,82
9,33
13,82
3,41
0
80
0
0
0
0
0
0
0
0
0
80
80
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
13,52
9,27
21,12
9,40
6,80
80
80
0
80
80
0 0
22,00
R
R
0 0
0 0
11,28
15,44
80
80
0 0
15,50
R
R
R
0 0
0 0
0 0
12,14
18,27
19,83
80
0
80
0 0
9,48
Page 9 of 243
Numro national
Dnomination abrge
A03BA01
atropine
0575673
0575691
0575687
0009152
0196381
0196394
0196431
ATROPINE SULFATE STRP 0,25 MG 10 AMP 1ML

ATROPINE SULFATE STRP 0,5 MG 100 AMP 1ML
ATROPINE SULFATE STRP 1 MG 10 AMP 1 ML
ATROPINSULFAT BRN 0,5 MG 10 AMP 1 ML V
STELLATROPINE 0,25 MG 100 AMP 1 ML IMIVS
STELLATROPINE 0,5 MG 10 AMP 1 ML IMIVSC
STELLATROPINE 1 MG 100 AMP 1 ML IMIVSC
A03BB01
butylscopolamine
0016451
0016482
0722829
0016465
BUSCOPAN 10 MG 50 DRG
BUSCOPAN 10 MG 6 SUPP
BUSCOPAN 20 MG 30 CPR
BUSCOPAN 20 MG 6 AMP 1 ML IMIVSC
A03DB04
butylscopolamine and analgesics
0016532
BUSCOPAN COMP 3 AMP 5 ML IMIV
A03FA01
metoclopramide
0031783
0031802
0047931
0047945
0235668
0235637
0070036
0252946
0137068
0070053
0136995
0137006
0173372
0173386
0178317
0152131
0093724
0152145
0182564
DIBERTIL 10 MG 30 CAPS
DIBERTIL 5 MG 30 CAPS
GASTRONERTON 20 CPR
GASTRONERTON 50 CPR
MCP HEXAL 10 MG 20 CPR
MCP HEXAL INJEKT 10 MG 5 AMP 2 ML
MCP RATIO 10 MG 20 CPR
MCP RATIO 10 MG 25 SUPP
MCP RATIO 10 MG 5 SUPP
MCP RATIO 10 MG 50 CPR
MCP RATIO RET 30 MG 10 CAPS
MCP RATIO RET 30 MG 50 CAPS
MCP RATIO SF 10 MG 5 AMP 2 ML IMIVSC
MCP RATIO SF 10 MG 50 AMP 2 ML IMIVSC
METOCLOPRAMIDE EG 10 MG 30 CAPS
PRIMPERAN 10 MG 30 CPR
PRIMPERAN 10 MG 6 AMP 2 ML IMIV
PRIMPERAN 5 MG/5 ML SIR 200 ML
PROKINYL LP 15 MG 30 CAPS
A03FA03
domperidone
0457747
0560931
0073685
0073654
0073640
0073699
DOMPERIDONE EG 10 MG 30 CPR
DOMPERIDONE EG 10 MG 30 CPR ORODISP
MOTILIUM 1 MG/ML SIR 200 ML
17482
MOTILIUM 10 MG 100 CPR
MOTILIUM 10 MG 30 CPR
17473
MOTILIUM 10 MG 6 SUPP BB
17483
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8,93
0,00
10,37
2,23
0,00
9,18
0,00
0
0
0
80
0
0
0
R
R
R
RR
0
0
0
0
0
0
0
0
10,64
3,99
12,37
5,68
80
80
0
80
RR
0 0
5,98
80
R
R
R
R
R
RR
R
R
R
R
R
R
RR
RR
R
R
RR
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6,60
3,64
9,91
11,08
2,45
10,20
4,12
9,55
4,50
9,27
9,92
13,15
10,09
0,00
5,79
7,84
5,92
6,61
2,83
80
80
80
80
80
80
80
0
80
80
80
80
80
0
80
80
80
80
80
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
6,88
8,90
5,88
0,00
8,60
3,13
80
80
80
0
80
80
Page 10 of 243
Numro national
Dnomination abrge
0073704
0073718
0482283
0235591
0509633
MOTILIUM 30 MG 6 SUPP ENF

17484
MOTILIUM 60 MG 6 SUPP AD
17485
MOTILIUM INSTANT 10 MG 30 CPR FONDANTS
MOTILIUM PED 1 MG/ML SOL 100 ML 63138
OROPERIDYS 10 MG 30 CPR
A03FA05
alizapride
0066632
0488306
0066663
LITICAN 50 MG 20 CPR
LITICAN 50 MG 20 CPR UD
LITICAN 50 MG 6 AMP 2 ML
A04A
ANTIEMETICS AND ANTINAUSEANTS
0451435
0451421
EMESAN K 20 MG 10 SUPP
EMESAN K 20 MG 5 SUPP
A04AA01
ondansetron
0471603
0465797
0465802
0500137
0596219
0230806
0161693
0162061
0275677
ONDANSETRON EG 4 MG 5 AMP 2 ML IMIV

ONDANSETRON EG 8 MG 10 CPR
ONDANSETRON EG 8 MG 15 CPR
ONDANSETRON EG 8 MG 5 AMP 4 ML IMIV
SETOFILM 8 MG 10 FILMS ORODISP
ZOFRAN 16 MG 5 SUPP
ZOFRAN 4 MG 5 AMP 2 ML IV
ZOFRAN 8 MG 5 AMP 4 ML IV
ZOFRAN ZYDIS 8 MG 10 LYO
A04AA02
granisetron
0472483
0220781
0185986
GRANISETRON IPS 3 MG 1 AMP 3 ML IV

KYTRIL 1 MG 10 CPR
KYTRIL 3 MG 1 AMP 3 ML IV
A04AA03
tropisetron
0185549
0185552
0185583
NAVOBAN 5 MG 1 AMP 5 ML IV
NAVOBAN 5 MG 5 AMP 5 ML IV
NAVOBAN 5 MG 5 CAPS
A04AA05
palonosetron
0400534
0697757
0697743
ALOXI 250 MCG 1 FL V 5 ML IV

ALOXI 500 MCG 1 CAPS
ALOXI 500 MCG 5 CAPS
A04AD01
scopolamine
0266034
SCOPODERM TTS 5 PATCH
A04AD12
aprepitant
0359603
0359598
0359571
EMEND 125 MG 1 CAPS + 80 MG 2 CAPS

EMEND 125 MG 5 CAPS
EMEND 80 MG 5 CAPS
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
4,85
7,82
11,12
4,72
8,75
80
80
80
80
80
R
R
R
0 0
0 0
0 0
9,43
0,00
7,35
80
0
80
P
P
0 0
0 0
5,73
3,42
40
40
0
0
0
0
0
0
0
0
0
0,00
52,55
0,00
0,00
52,55
44,45
0,00
0,00
52,55
0
0
0
0
100
100
0
0
100
0 0
0 0
0 0
0,00
55,85
0,00
0
100
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
RR
RR
RR
RR
RR
RR
H
H
0 0
0 0
0 0
0,00
0,00
91,36
0
0
100
RR
RR
RR
H
H
H
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
0 0
25,95
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
H
H
RR
RR
RR
D
D
D
Page 11 of 243
Numro national
Dnomination abrge
0575785
IVEMEND 150 MG PDR 1 FL 10 ML IV
A05A
BILE THERAPY
0052671
HEPADIAL 50 MG 40 CPR
A05AA02
ursodeoxycholic acid
0139773
0228311
0228307
0293076
0123823
URSOCHOL 150 MG 50 CPR

URSOFALK 250 MG 100 CAPS
URSOFALK 250 MG 50 CAPS
A05AX02
hymecromone
0018344
0018358
CANTABILINE 30 CAPS
CANTABILINE 90 CAPS
A05B
LIVER THERAPY, LIPOTROPICS
0143231
0041616
ESSENTIALE KAPSEL 300 MG 100 CAPS

ESSENTIALE KAPSEL 300 MG 30 CAPS
A05BA03
silymarin
0301018
0301004
0064820
0487195
CEFASILYMARIN 105 MG 100 CPR

CEFASILYMARIN 105 MG 60 CPR
LEGALON FORTE 140 MG 60 CAPS
LEGALON PROTECT MADAUS 100 CAPS
A05BA06
ornithine oxoglurate
0052735
0246093
0052718
HEPAMERZ 10 AMP 10 ML PERF

HEPAMERZ GRAN 3000 30 SACH 5 G
HEPAMERZ GRAN 3000 50 SACH 5 G
A06A
LAXATIVES
0154699
FUCA 30 DRG
A06AA01
liquid paraffin
0269151
LANSOYL PARAFFINE GELEE 225 G
A06AA02
docusate sodium
0163765
NORGALAX GEL RECT 6 TUBES 10 G
A06AB02
bisacodyl
0451418
0245664
0245647
0207677
0207663
0216712
0197151
BISOLAX 5 MG 40 CPR
DULCOLAX BISACODYL 10 MG 10 SUPP
DULCOLAX BISACODYL 5 MG 40 DRG
LAXANS RATIO 10 MG 10 SUPP
LAXANS RATIO 10 MG 5 SUPP
LAXANS RATIO 5 MG 30 CPR
PURGO PIL 10 MG 30 DRG
mode de
dlivrance
PCC
Prix public
Taux
0 0
0,00
0 0
4,49
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
21,39
54,90
24,65
43,70
27,22
80
80
0
80
80
P
P
0 0
0 0
6,88
16,76
40
40
P
P
0 0
0 0
54,01
14,23
0
0
P
P
P
P
0
0
0
0
0
0
0
0
42,07
25,88
43,07
36,47
40
40
40
0
RR
P
P
0 0
0 0
0 0
86,09
45,10
70,12
40
40
40
0 0
4,04
0 0
5,77
40
0 0
6,60
80
P
P
P
P
P
P
P
0
0
0
0
0
0
0
3,30
6,61
6,30
3,30
1,71
2,03
6,03
40
40
40
40
40
40
40
RR
conditions de
prescription
OD
HC
Page 12 of 243
RMP
0
0
0
0
0
0
0
Numro national
Dnomination abrge
A06AB06
senna glycosides
0268932
0459979
0462246
0621258
BEKUNIS SENNA TEE INST 240 ML

GRAINS DE VALS SENNA 20 CPR
SENOKOT 7,5 MG 40 CPR
SIDROGA ABFUEHRTEE 20 SACH
A06AB07
cascara
0592822
LAXAFYTOL 25 MG 20 CAPS (FL)
A06AB08
sodium picosulfate
0064266
0090381
LAXOBERON 0,75% GTTS 15 ML

VICHY NF 30 PILULES
A06AB09
bisoxatin
0130134
WYLAXINE 20 CPR
A06AB20
contact laxatives in combination
0169241
0179183
PREPACOL SET 4 CPR + SOL 30 ML

SOFTENE 30 CPR
A06AB56
senna glycosides, combinations
0281934
0158152
0209492
0264611
AGIOLAX GRAN 100 G

AGIOLAX GRAN 250 G
MIDRO 100 CPR
MIDRO N TEE 48 G
A06AB57
cascara, combinations
0036146
REX 40 DRG
A06AB58
sodium picosulfate, combinations
0709083
0581328
CITRA FLEET PDR 2 SACH

PICOPREP PDR 2 SACH
A06AC01
ispaghula (psylla seeds)
0175976
0182578
AGIOCUR GRAN 250 G

PSYLIA PDR 20 SACH
A06AC03
sterculia
0225421
0079921
NORMACOL GRAN 30 SACH 10 G

NORMACOL GRAN 375 G
A06AC51
ispaghula, combinations
0374161
0496651
PARAPSYLLIUM PDR 10 SACH

PARAPSYLLIUM PDR 30 SACH
A06AD
Osmotically acting laxatives
0578997
MOVIPREP ORANGE PDR 4 SACH
A06AD11
lactulose
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
P
P
P
0
0
0
0
0
0
0
0
7,02
4,45
5,07
3,99
0
0
40
0
0 0
7,58
P
P
0 0
0 0
5,64
4,22
40
0
0 0
4,29
40
R
P
0 0
0 0
7,44
4,05
40
40
P
P
P
P
0
0
0
0
0
0
0
0
5,64
9,45
2,64
2,99
40
40
0
0
0 0
6,76
40
R
R
0 0
0 0
16,72
16,93
0
40
P
P
0 0
0 0
17,20
3,53
40
40
P
P
0 0
0 0
10,79
10,79
40
40
P
P
0 0
0 0
3,58
0,00
40
0
0 0
17,95
40
Page 13 of 243
Numro national
Dnomination abrge
0013317
0203888
0398064
0306421
0156127
0037059
0037062
0444458
0235171
0235184
0216757
0216726
0216743
BIFITERAL 500 ML
DUPHALAC DRY PDR 20 SACH
DUPHALAC FRUIT 10 G 20 SACH 15 ML
DUPHALAC SIR 1000 ML
DUPHALAC SIR 20 SACH 15 ML
DUPHALAC SIR 300 ML
DUPHALAC SIR 500 ML
LACTULOSE EG 670 MG/ML 20 SACH 15 ML
LACTULOSE EG 670 MG/ML SIR 300 ML
LACTULOSE EG 670 MG/ML SIR 500 ML
LACTULOSE RATIO SIR 1000 ML
A06AD12
lactitol
0143423
IMPORTAL PDR 20 SACH 10 G
A06AD15
macrogol
0297125
0360988
FORLAX 20 SACH 10 G
FORLAX JR 4 G 20 SACH
A06AD17
sodium phosphate
0511581
FLEET PHOSPHO SODA SOL 45 ML
mode de
dlivrance
A06AD18
sorbitol
0249775
SORBITOL DELALANDE 20 SACH 5 G
A06AD65
macrogol, combinations
0344273
0608601
0608614
0399772
0399769
0184958
0498821
0498848
0498767
0498784
0693521
0693548
0603487
0603506
0578398
0578403
0233663
0516462
0399688
COLOFORT 4 SACH
CURAPEG 13,7 G PDR 30 SACH
CURAPEG 13,7 G PDR 50 SACH
ENDOFALK 12*6 SACH
ENDOFALK 6 SACH
KLEAN PREP SHAKER 4 SACH
LAXIDO NATURAL PDR 20 SACH
LAXIDO NATURAL PDR 50 SACH
LAXIDO ORANGE PDR 20 SACH
LAXIDO ORANGE PDR 50 SACH
MACROGOL+EL EG 6,9 G 30 SACH
MACROGOL+EL EG 6,9 G 60 SACH
MACROGOL+ELEKTROL SDZ PDR SOL BUV 20SACH
MACROGOL+ELEKTROL SDZ PDR SOL BUV 50SACH
MOLAXOLE PDR 20 SACH
MOLAXOLE PDR 30 SACH
MOVICOL 20 SACH-DOSES
MOVICOL CHOCOLAT 20 SACH
MOVICOL JR AROME PDR 30 SACH
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
P
P
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9,11
11,79
10,04
19,48
10,04
8,00
11,47
8,84
7,05
10,08
15,75
4,25
8,99
40
40
40
0
40
40
40
40
40
40
40
40
40
0 0
14,45
40
P
P
0 0
0 0
13,51
9,62
40
0
0 0
7,85
40
0 0
3,30
R
P
P
R
R
R
P
P
P
P
R
R
P
P
P
P
P
P
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
16,15
14,58
22,34
0,00
12,42
16,63
10,00
22,79
10,00
22,79
10,76
20,85
9,62
22,77
9,70
14,14
13,86
13,86
13,86
40
0
0
0
40
40
40
40
40
40
0
0
40
40
40
40
40
40
40
Page 14 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0445861
0625274
0516266
0697807
0453295
MOVICOL JR NEUTRAL 30 SACH

MOVICOL LIQ ORANGE 500 ML
MOVICOL NEUTRAL 20 SACH
MOVICOL PI-UK 20 SACH-DOSES
MOVIPREP PDR 4 SACH
A06AG01
sodium phosphate
0045081
0045095
0092694
FLEET ENEMA AD SOL 133 ML

FLEET ENEMA PEDIATRIC SOL 66,6 ML
PRACTOCLYSS 1 LAV 120 ML
A06AG11
laurilsulfate, incl. combinations
0298041
0298038
0298055
MICROLAX GEL 12 TUBES

mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
P
P
P
R
0
0
0
0
0
0
0
0
0
0
13,86
13,86
13,86
12,31
17,95
40
40
40
0
40
P
P
P
0 0
0 0
0 0
2,70
2,51
1,69
80
80
80
P
P
P
0 0
0 0
0 0
13,86
5,33
0,00
0
0
0
0 0
2,97
80
RR
RR
0 0
0 0
41,62
191,22
80
80
A06AG20
combinations
0229366
LAVEMENT AU PHOSPHATE NORGINE 130 ML
A06AH01
methylnaltrexone bromide
0486928
0486945
RELISTOR 12 MG 1 FL 0,6 ML SC
RELISTOR 12 MG 7 FL 0,6 ML+7 SRG+14 TAMP
A06AX02
carbon dioxide producing drugs
0182547
0182533
EDUCTYL 12 SUPP AD
EDUCTYL 12 SUPP ENF
P
P
0 0
0 0
2,16
1,24
40
40
0553371
0553385
RESOLOR 1 MG 28 CPR
RESOLOR 2 MG 28 CPR
RR
RR
0 0
0 0
59,86
73,36
0
0
R
RR
RR
0 0
0 0
0 0
5,86
6,98
7,05
80
80
80
RR
0 0
9,32
80
1 1
314,46
100
0 0
0,00
0 0
0 0
0 0
4,00
3,38
2,83
80
80
80
A06AX05
A07AA02
nystatin
0017977
0078745
0081205
CANDIO HERMAL SUSP BUV 24 ML

NILSTAT GTTS OR 30 ML
NYSTATINE SUSP 24 ML
A07AA06
paromomycin
0047380
GABBRORAL 250 MG 16 CAPS
A07AA11
rifaximin
0688551
TARGAXAN 550 MG 56 CPR
RR
0703532
DIFICLIR 200 MG 2*10 CPR (ALU)
RR
A07AX03
nifuroxazide
0231848
0182595
0182601
BACIFURANE 200 MG 16 CAPS

PANFUREX 200 MG 28 CAPS
PANFUREX GE 4% SUSP 90 ML
RM
A07AA12
R
R
R
Page 15 of 243
Numro national
Dnomination abrge
mode de
dlivrance
A07BA01
medicinal charcoal
0512589
0290253
0290267
0079899
0244913
CARBACTIVE 120 MG 30 CAPS

KOHLE COMPRETTEN 250 MG 30 CPR
KOHLE COMPRETTEN 250 MG 60 CPR
NORIT 200 MG 30 CAPS
NORIT CARBOMIX GRAN 50 G
A07BA51
medicinal charcoal, combinations
0018540
0018554
0018604
0134178
0134164
0380154
0380168
0380171
CARBOBEL SIMPLEX 30 CPR

CARBOBEL SIMPLEX GRAN 70 G
CARBOLACTANOSE 30 CAPS
CARBOSYLANE 24 D 48 CAPS
CARBOSYLANE 48 D 96 CAPS
CARBOSYMAG 24 CAPS VERTES+24 CAPS ORANGE
A07BC04
attapulgite
0000482
ACTAPULGITE 30 SACH
A07BC05
diosmectite
0105632
SMECTA 30 SACH
A07CA
Oral rehydration salt formulations
0038736
0203938
0229383
ELOTRANS 10 SACH
3660851
ORALPAEDON 240 10 BTL
3550521
ORALPAEDON 240 ERDBEERE 10 SACH 3552521
A07DA03
loperamide
0224888
0056135
0164857
0056149
0233968
0233971
0056166
0176309
0197571
0176312
0187512
0187526
0182497
0182502
0182516
0259799
0205168
DYSPAGON 2 MG 6 CAPS
IMODIUM 2 MG 20 CAPS
17469
52344
17471
IMODIUM INSTANT 2 MG 20 CPR
140829
IMODIUM INSTANT 2 MG 60 CPR
140831
IMODIUM SOL BUV 100 ML
27231
LOPEDIUM 2 MG 10 CAPS
LOPEDIUM 2 MG/ML SOL 10 ML
LOPEDIUM 2 MG/ML SOL 20 ML
LOPERAMID RATIO 2 MG 10 CPR PELLIC
LOPERAMID RATIO AKUT 2 MG 10 CPR
LOPERAMIDE EG 2 MG 20 CAPS
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
8,84
7,34
12,11
6,15
13,36
0
80
80
80
0
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5,53
6,33
6,71
4,15
6,75
4,09
6,42
0,00
80
80
40
80
80
0
0
0
0 0
5,82
80
0 0
5,63
80
P
P
P
0 0
0 0
0 0
4,07
4,07
4,07
80
80
80
P
P
P
P
P
P
R
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
8,08
0,00
11,75
10,10
18,31
6,83
1,90
3,80
7,11
3,87
6,99
3,08
5,43
9,52
2,57
5,91
0
80
0
80
80
80
80
80
80
80
80
80
80
80
80
80
80
Page 16 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0252722
0205171

A07DA53
loperamide, combinations
0474233
IMODIUM DUO 2/125 MG 18 CPR
A07E
INTESTINAL ANTIINFLAMMATORY AGENTS
0567475
0567458
0567461
0651582
0651596
0651615
0651579
0651601
MUTAFLOR 100 CAPS

MUTAFLOR 20 CAPS
MUTAFLOR 50 CAPS
MUTAFLOR SUSPENSION 100 MUFC/ML 10FL 1ML
A07EA06
budesonide
0286278
0286264
0227991
0190213
BUDENOFALK 3 MG 100 CAPS

BUDENOFALK 3 MG 50 CAPS
ENTOCORT 3 MG 100 CAPS
ENTOCORT ENEMA LAVT 7 CPR + 7 FL P
A07EA07
beclometasone
0503206
CLIPPER 5 MG 30 CPR
A07EC01
sulfasalazine
0101776
0101809
0101812
SALAZOPYRINE 500 MG 100 CPR

SALAZOPYRINE EC 500 MG 100 DRG
SALAZOPYRINE EC 500 MG 300 DRG
A07EC02
mesalazine
0022865
0022896
0022882
0151281
0296985
0285639
0150771
0296999
0150784
0210817
0314548
0023974
0024002
0023988
0023991
0168051
CLAVERSAL 250 MG 100 CPR

CLAVERSAL 250 MG 120 SUPP
CLAVERSAL FOAM MOUSSE US RECT 1 FL 14 D
COLITOFALK 250 MG 10 SUPP
COLITOFALK 250 MG 100 CPR
COLITOFALK 250 MG 200 DRG
mode de
dlivrance
conditions de
prescription
OD
PCC
Prix public
Taux
P
P
0 0
0 0
0,00
8,40
0
80
0 0
11,17
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
83,75
19,29
44,26
36,66
84,27
182,05
19,42
39,68
0
0
0
0
0
0
0
0
RR
RR
RR
RR
0
0
0
0
0
0
0
0
73,67
46,26
65,19
45,48
80
80
80
80
RR
0 0
67,29
RR
RR
RR
0 0
0 0
0 0
12,36
13,81
29,98
100
100
100
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
19,79
37,68
14,56
39,15
34,30
84,00
16,43
68,05
45,21
35,44
8,19
19,18
45,11
36,30
16,43
12,34
100
100
100
100
100
0
100
100
100
100
0
100
100
0
100
100
Page 17 of 243
RMP
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0168101
0168081
0189503
0168064
0189517
0344015
0176925
0136852
0206988
0298525
0274103
0298511
0149198
0557001
0556986
0667081
0181262
0181245

COLITOFALK 500 MG 300 DRG
COLITOFALK 500 MG 50 SACH
COLITOFALK SUSP 2 G 7 LAV 60 G
COLITOFALK SUSP 4 G 7 LAV 60 G
PENTASA 1 G 14 SUPP
PENTASA 1 G 150 SACH
PENTASA 1 G 28 SUPP
PENTASA 1 G 50 SACH
PENTASA 10 MG/ML 7 LAVT 100 ML
PENTASA 2 G 120 SACH
PENTASA 2 G 60 SACH
PENTASA 500 MG 100 CPR
A07FA01
lactic acid producing organisms
0211554
LACTEOL 20 CAPS
A07FA02
saccharomyces boulardii
0428812
0635981
0428861
0428826
0635995
0428874
0428843
ENTEROL 250 MG 10 CAPS

ENTEROL 250 MG 10 CAPS BLIST
ENTEROL 250 MG 10 SACH
ENTEROL 250 MG 20 CAPS BLIST
ENTEROL 250 MG 20 SACH
A07XA01
albumin tannate
0434045
TANNALBIN 250 MG 20 CAPS
A07XA04
racecadotril
0640334
0640379
0640432
TIORFIX 100 MG 20 CAPS

TIORFIX BABY 10 MG GRAN 16 SACH
TIORFIX JUNIOR 30 MG GRAN 16 SACH
A07XA51
albumin tannate, combinations
0394342
0394356
TANNACOMP 20 CPR
TANNACOMP 50 CPR
A08AB01
orlistat
0601367
0601336
0585313
ALLI 27 MG 120 CPR CROQ

ALLI 27 MG 84 CPR CROQ
ALLI 60 MG 120 CAPS
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
29,82
71,20
10,91
23,90
61,47
32,67
29,84
35,55
27,18
103,85
47,86
41,11
27,66
196,95
89,14
30,98
118,33
31,29
100
100
100
100
100
0
100
100
100
100
100
100
100
100
100
0
100
100
0 0
8,07
40
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8,89
8,89
8,89
16,47
16,47
16,47
35,91
40
40
40
40
40
40
40
0 0
4,68
R
R
R
0 0
0 0
0 0
16,04
16,04
16,04
0
0
0
P
P
0 0
0 0
8,18
18,16
0
0
P
P
P
0 0
0 0
0 0
58,54
46,40
65,22
0
0
0
Page 18 of 243
Numro national
Dnomination abrge
0511886
0511919
0253618
ALLI 60 MG 42 CAPS
ALLI 60 MG 84 CAPS
XENICAL 120 MG 84 CAPS BLIST
A09AA
Enzyme preparations
0044344
FERMENTO DUODENAL 50 CAPS
A09AA02
multienzymes (lipase, protease etc.)
0024369
0024355
0685014
0685045
0685076
0167876
0167751
0251286
0251272
COMBIZYM 100 DRG

COMBIZYM 50 DRG
CREON 10000 150 MG 100 CAPS (FL)
CREON 25000 300 MG 100 CAPS (FL)
CREON 40000 400 MG 100 CAPS
PANZYTRAT 10000 100 CAPS
PANZYTRAT 10000 50 CAPS
PANZYTRAT 25000 U 100 CAPS
PANZYTRAT 25000 U 50 CAPS
A10AB01
insulin (human)
0147016
0202474
0365032
0365046
HUMULINE REGULAR 100 U 1*10 ML

HUMULINE REGULAR 100 U 5*3 ML CRT
INSUL ACTRAPID 100 U 1*10 ML
INSUL ACTRAPID PF 100 U 5*3 ML
A10AB04
insulin lispro
0221869
0221872
0235265
HUMALOG 100 U 1*10 ML

HUMALOG 100 U 5*1,5 ML CRT
HUMALOG 100 U 5*3 ML CRT
A10AB05
insulin aspart
0268946
0291474
0268977
INSUL NOVORAPID 100 U 1*10 ML

INSUL NOVORAPID FLEXPEN 100U 5STYLOS 3ML
INSUL NOVORAPID PF 100 U 5*3 ML
A10AB06
insulin glulisine
0388801
0388881
0470928
APIDRA 100 U/ML 1 FL 10 ML SC

APIDRA 100 U/ML 5 CRT 3 ML SC
APIDRA 100 U/ML 5 STYLOS SOLOSTAR 3ML SC
A10AC01
insulin (human)
0146974
0202491
0336711
0336769
HUMULINE NPH 100 U 1*10 ML

HUMULINE NPH 100 U 5*3 ML CRT
INSUL INSULATARD 100 U 1*10 ML
INSUL INSULATARD PF 100 U 5*3 ML
A10AD01
insulin (human)
0146795
0202538
HUMULINE 30/70 100 U 1*10 ML

HUMULINE 30/70 100 U 5*3 ML CRT
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
P
RR
0 0
0 0
0 0
32,06
50,06
77,64
0
0
0
0 0
25,93
80
P
P
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
22,48
13,39
19,42
40,30
61,01
22,74
12,79
46,48
26,13
80
80
80
80
80
80
80
80
80
R
R
R
R
0
0
0
0
0
0
0
0
21,90
32,24
15,52
27,75
100
100
100
100
R
R
R
0 0
0 0
0 0
24,58
38,23
38,23
100
100
100
R
R
R
0 0
0 0
0 0
24,81
41,56
38,45
100
100
100
R
R
R
0 0
0 0
0 0
23,90
36,85
39,81
100
100
100
R
R
R
R
0
0
0
0
0
0
0
0
21,90
32,24
15,52
27,75
100
100
100
100
R
R
0 0
0 0
21,83
32,24
100
100
Page 19 of 243
Numro national
Dnomination abrge
A10AD04
Insulin lispro
0511953
0259639
0511971
0259656
0511998
HUMALOG KWIKPEN 100 U 5*3 ML

HUMALOG MIX 25 100 U 5*3 ML CRT
HUMALOG MIX 25 KWIKPEN 100 U 5*3 ML
HUMALOG MIX 50 100 U 5*3 ML CRT
HUMALOG MIX 50 KWIKPEN 100 U 5*3 ML
A10AD05
insulin aspart
0291426
0287678
0468348
0468334
0468365
0468351
INSUL NOVOMIX 30 FLEXPEN 100U 5*3 ML

INSUL NOVOMIX 30 PF 100U 5*3 ML
A10AE04
insulin glargine
0282167
0441408
LANTUS 100 U/ML 5 CRT 3 ML SC

LANTUS 100U/ML 5CRT SOLOSTAR 3ML+5STYLOS
A10AE05
insulin detemir
0382386
0382422
LEVEMIR 100 U/ML 5 CRT PF 3 ML SC

LEVEMIR 100 U/ML 5 STYLOS PRER FLEX 3ML
A10BA02
metformin
0194484
0194498
0289297
0290396
0289283
0662041
0662295
GLUCOPHAGE 500 MG 60 CPR

GLUCOPHAGE 850 MG 100 CPR
METFORMAX 850 MG 120 CPR
METFORMAX 850 MG 120 CPR UD
METFORMAX 850 MG 40 CPR
METFORMINE SDZ 500 MG 60 CPR
METFORMINE SDZ 850 MG 100 CPR
A10BB01
glibenclamide
0027892
0027889
0042370
DAONIL 5 MG 100 CPR

DAONIL 5 MG 30 CPR
EUGLUCON 5 100 CPR
A10BB07
glipizide
0049614
0072450
GLIBENESE 5 MG 100 CPR

MINIDIAB 5 MG 90 CPR
A10BB08
gliquidone
0154069
0254436
0154055
GLURENORM 30 MG 100 CPR

GLURENORM 30 MG 100 CPR UD
GLURENORM 30 MG 40 CPR
A10BB09
gliclazide
0569841
DIAMICRON 60 MG 30 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
41,34
38,23
41,34
38,23
41,34
100
100
100
100
100
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
41,56
38,45
41,56
38,45
41,56
38,45
100
100
100
100
100
100
R
R
0 0
0 0
58,09
58,09
100
100
R
R
0 0
0 0
62,61
64,48
100
100
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6,03
7,59
8,46
0,00
6,17
6,03
7,59
100
100
100
0
100
100
100
R
R
R
0 0
0 0
0 0
16,49
8,64
16,27
100
100
100
R
R
0 0
0 0
15,44
14,32
100
100
R
R
R
0 0
0 0
0 0
8,90
0,00
6,67
100
0
100
0 0
11,43
100
Page 20 of 243
Numro national
Dnomination abrge
0569886
DIAMICRON 60 MG 90 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
0 0
32,34
100
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7,50
13,74
9,08
10,68
17,54
7,37
23,63
9,00
29,83
10,57
44,10
15,64
100
100
100
100
100
100
100
100
100
100
100
100
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
127,73
47,22
0,00
127,73
47,22
0,00
100
100
0
100
100
0
R
R
0 0
0 0
8,32
8,32
100
100
RR
RR
RR
RR
0
0
0
0
0
0
0
0
139,57
50,35
139,57
50,35
100
100
100
100
A10BB12
glimepiride
0244636
0244653
0351233
0351328
0416985
0416954
0417044
0417013
0417092
0417061
0417142
0417111
AMARYLLE 2 MG 30 CPR
GLIMEPIRID HEXAL 2 MG 120 CPR
A10BD
Combinations of oral blood glucose lowering drugs
0644347
0644302
0644351
0644266
0644235
0644283
KOMBOGLYZE 2,5/1000 MG 196 CPR

KOMBOGLYZE 2,5/1000 MG 60 CPR UD
KOMBOGLYZE 2,5/850 MG 60 CPR UD
A10BD02
metformin and sulfonamides
0325748
0325877
GLUCOVANCE 500/2,5 MG 120 CPR

GLUCOVANCE 500/5 MG 120 CPR
A10BD07
metformin and sitagliptin
0488161
0488131
0488081
0488046
JANUMET 50/1000 MG 196 CPR

A10BD08
metformin and vildagliptin
0474961
0474944
0474863
0474832
EUCREAS 50/1000 MG 180 CPR BLIST

RR
RR
RR
RR
0
0
0
0
0
0
0
0
130,69
54,18
130,69
54,18
100
100
100
100
JENTADUETO 2,5/1000 MG 180 CPR

RR
RR
RR
RR
0
0
0
0
0
0
0
0
119,66
44,85
119,66
44,85
100
100
100
100
VIPDOMET 12,5/1000 MG 196 CPR
RR
0 0
125,34
A10BD11
0665672
0665591
0665526
0665431
A10BD13
0720399
Page 21 of 243
Numro national
Dnomination abrge
0720337
0720533
0720452

A10BF01
acarbose
0173114
0173101
GLUCOBAY 100 MG 60 CPR

GLUCOBAY 50 MG 120 CPR
A10BG03
pioglitazone
0287809
0287826
0287843
0287861
ACTOS 15 MG 28 CPR
ACTOS 15 MG 98 CPR
ACTOS 30 MG 28 CPR
ACTOS 30 MG 98 CPR
A10BH01
sitagliptin
0453636
0453671
0453491
0453524
0453572
0453619
JANUVIA 100 MG 28 CPR

A10BH02
vildagliptin
0470363
0470329
GALVUS 50 MG 180 CPR

GALVUS 50 MG 60 CPR
A10BH03
saxagliptin
0603974
0604002
0528897
0528933
0528916
ONGLYZA 2,5 MG 28 CPR

ONGLYZA 2,5 MG 98 CPR
ONGLYZA 5 MG 28 CPR
ONGLYZA 5 MG 30*1 CPR UD
ONGLYZA 5 MG 98 CPR
A10BH04
alogliptin
0720662
0720726
0720774
0720824
0720578
0720628
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
0 0
0 0
0 0
49,69
125,34
49,69
0
0
0
R
R
0 0
0 0
19,30
25,73
100
100
RR
RR
RR
RR
0
0
0
0
0
0
0
0
27,14
65,68
39,25
98,41
100
100
100
100
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
44,63
137,40
25,85
74,16
25,85
74,16
100
100
100
100
100
100
RR
RR
0 0
0 0
125,19
50,83
100
100
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
47,10
127,62
47,22
0,00
127,73
100
100
100
0
100
VIPIDIA 12,5 MG 28 CPR

VIPIDIA 25 MG 28 CPR
VIPIDIA 25 MG 98 CPR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
40,19
95,83
49,69
125,34
40,19
95,83
0
0
0
0
0
0
0622028
0621955
TRAJENTA 5 MG 100 CPR

TRAJENTA 5 MG 30 CPR
RR
RR
0 0
0 0
127,71
43,52
100
100
A10BX02
repaglinide
0256381
0256461
NOVONORM 0,5 MG 120 CPR

NOVONORM 1 MG 120 CPR
RR
RR
0 0
0 0
12,07
12,07
100
100
A10BH05
Page 22 of 243
Numro national
Dnomination abrge
0256539
NOVONORM 2 MG 120 CPR
A10BX03
nateglinide
0297755
0297724
STARLIX 60 MG 120 CPR

STARLIX 60 MG 30 CPR
A10BX04
exenatide
0617014
0454163
0454177
0454132
BYDUREON 2 MG PSV 4 KIT UD

BYETTA 10 MCG 1 STYLO 2,4 ML SC
BYETTA 10 MCG 3 STYLOS 2,4 ML SC
BYETTA 5 MCG 1 STYLO 1,2 ML SC
A10BX07
liraglutide
0533852
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
0 0
12,07
100
RR
RR
0 0
0 0
59,10
21,91
100
100
RR
RR
RR
RR
0
0
0
0
0
0
0
0
102,87
101,88
101,65
101,88
100
100
0
100
VICTOZA 6 MG/ML 2 STYLOS 3 ML SC
RR
0 0
102,92
100
0679441
0679468
0679454
FORXIGA 10 MG 28 CPR (CALENDRIER)

FORXIGA 10 MG 30 CPR UD
FORXIGA 10 MG 98 CPR (CALENDRIER)
RR
RR
RR
0 0
0 0
0 0
56,10
0,00
142,80
100
0
100
A11AB
Multivitamins, other combinations

P
0 0
12,88
R
R
R
R
RR
RR
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7,29
11,30
20,91
21,02
45,60
11,96
12,01
80
80
0
80
80
0
80
R
R
0 0
0 0
11,46
15,83
80
80
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
11,42
4,95
6,75
3,88
1,78
6,76
6,24
6,48
5,94
2,17
0
80
0
80
80
80
80
80
80
80
A10BX09
0189923
MERZ SPEZIAL SN 120 DRG
A11CC03
alfacalcidol
0258953
0258967
0314596
0258971
0559876
0559893
0559909
1 ALPHA LEO 0,25 MCG 30 CAPS

1 ALPHA LEO 0,25 MCG 50 CAPS
1 ALPHA LEO 1 MCG 50 CAPS
1 ALPHA LEO 1 MCG 50 CAPS BLIST
1 ALPHA LEO 2 MCG/ML 10 AMP 0,5 ML
1 ALPHA LEO 2 MCG/ML 10 AMP 1 ML
1 ALPHA LEO 2 MCG/ML GTTS 1 FL 10 ML
A11CC04
calcitriol
0330202
0330216
ROCALTROL 0,25 MCG 30 CAPS BLIST

ROCALTROL 0,5 MCG 30 CAPS BLIST
A11CC05
colecalciferol
0720841
0233341
0702583
0176729
0193683
0643532
0127562
0643529
0127576
0241617
D CURE 25000 U/ML 12 AMP BUV

D CURE 25000 U/ML 4 AMP BUV
D CURE FORTE 100000 U 3 AMP BUV
D CURE GTTS 10 ML
UVEDOSE 100000 U 1 AMP BUV 2 ML
VIGANTOLETTEN 1000 U 100 CPR
VITAM D3 B.O.N. 200000 U 1 AMP 1 ML
A11CC20
combinations
Page 23 of 243
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0045713
0045727
FLUOR VIGANTOLETTEN 1000 90 CPR

FLUOR VIGANTOLETTEN 500 90 CPR
mode de
dlivrance
PCC
Prix public
Taux
R
R
0 0
0 0
6,38
5,34
80
80
P
P
0 0
0 0
3,69
7,13
80
80
A11DA01
thiamine (vit B1)
0011987
0012760
BENERVA 300 MG 20 CPR

BETAMINE 500 MG 50 DRG
A11DB
Vitamin B1 in combination with vitamin B6 and/or vitamin B12
0269281
0226561
0278245
0078048
0172666
0172327
0205512
0107086
BEFACT FORTE B1 B2 B6 B12 100 DRG

BEFACT FORTE B1 B2 B6 B12 30 DRG
BETAPYR 50 DRG
NEUROBION 3 AMP 3 ML
NEUROBION N FORTE 100 DRG
NEUROBION N FORTE 50 DRG
NEUROTRAT S FORTE 60 DRG
SOPALAMIN PDR 6 FL + S 2 ML IM
A11EB
Vitamin B-complex with vitamin C
0454048
0415621
BECOZYME 30 CPR EFF

BECOZYME 60 CPR
A11GA01
ascorbic acid (vit C)
0310146
0326373
0326391
0153724
0355599
0512575
0506239
ADDITIVA VIT C 1000 MG 20 CPR EFF

C WILL 500 MG 20 CAPS
C WILL 500 MG 60 CAPS
CETAMINE 500 MG 50 CPR
VITAMINE C QLPHR 500 MG 60 PAST
VITASCORBOL 1 G 2*10 CPR EFF
VITASCORBOL SS SUCRE TAMP 500MG 2*12 CPR
A11GB
Ascorbic acid (vitamin C), combinations
0189047
0189033
0307977
0307963
0415702
0415666
0314145
REVITALOSE C 1000 14*2 AMP BUV

REVITALOSE C 1000 7*2 AMP BUV
REVITALOSE C 1000 GRAN 14*2 SACH-DOSES
REVITALOSE C 1000 GRAN 7*2 SACH-DOSES
SARGENOR VIT C 20 AMP BUV 5 ML
SARGENOR VIT C 20 CPR A CROQUER
SARGENOR VIT C 20 CPR EFF
A11GB01
ascorbic acid (vit C) and calcium
0117907
0136723
TONICALCIUM 20 AMP AD
TONICALCIUM 20 AMP ENF
A11HA01
nicotinamide
0166073
UCEMINE PP 100 MG 50 CPR
A11HA02
pyridoxine (vit B6)
0096046
PYRIDOXINE 250 MG 20 CPR
conditions de
prescription
OD
RMP
P
P
P
R
P
P
P
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
21,87
8,41
10,11
7,77
21,61
12,54
10,58
6,98
80
80
0
80
80
80
80
80
P
P
0 0
0 0
17,74
24,85
0
0
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4,81
5,58
13,55
7,37
7,77
6,30
5,70
0
0
0
0
0
0
0
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14,48
7,38
14,08
7,38
14,74
14,74
14,74
0
0
0
0
0
0
0
P
P
0 0
0 0
5,58
3,97
0
0
0 0
4,76
80
0 0
4,91
80
RM
Page 24 of 243
Numro national
Dnomination abrge
A11HA03
tocopherol (vit E)
0136057
0136061
0286376
E VITAMIN RATIO 400 U 30 CAPS

E VITAMIN RATIO 400 U 60 CAPS
KLOSTERFRAU VIT E 800 U 50 CAPS
A11JA
Combinations of vitamins
0241679
0241665
0095102
HYDROSOL POLYVIT BON 20 CAPS

HYDROSOL POLYVIT BON GTTS 20 ML
PROTOVIT GTTS 15 ML
A11JC
Vitamins, other combinations
0229741
0245423
0246188
0085915
0085901
0105856
ARGINOTRI B 24 CPR
CYSTINE B6 BAILLEUL 20 CPR
CYSTINE B6 BAILLEUL 60 CPR
PANTOVIGAR 300 CAPS
PANTOVIGAR 90 CAPS
SOLACY 45 CAPS
A12AA04
calcium carbonate
0211473
0241696
0281609
CALCICHEW 500 MG 100 CPR (FL)

CALPEROS 500 MG 60 CPR
STEOCAR ORANGE 500 MG 60 CPR A CROQ
A12AA12
calcium acetate anhydrous
0428907
0428911
0428938
0428941
CALCIUMACETAT NEFRO 500 MG 100 CPR

A12AA20
calcium (different salts in combination)
0134151
0017087
0017073
0017400
CALCIFORTE 500 MG 30 AMP BUV 10 ML

CALCIPOT 200 CPR
CALCIPOT 50 CPR
CALCIUM SDZ FORT 1000 MG 20 CPR EFF
A12AX
Calcium, combinations with other drugs
0219048
0219021
0421257
0421243
0647691
0647643
0380106
0525671
0525685
0241648
0252798
CACIT VIT D3 1 G/880 U GRAN 30 SACH

CACIT VIT D3 500 MG/440 U GRAN 30 SACH
CAD 1000 MG 880 U CITROEN 30 SACH
CAD 500 MG 440 U CITRON 30 SACH
CALCI BONE D3 1000/880 ORANGE 3*30 CPR
CALCI BONE D3 1000/880 ORANGE 30 CPR
CALCIFORTE VIT D3 500 MG 400 U 60 CPR
CALCIGEN D FORTE 1000MG 880U 20 CPR EFF
CALCIGEN D FORTE 1000MG 880U 40 CPR EFF
CALPEROS D3 60 CPR A SUCER
D VITAL 500/440 GRAN EFF 30 SACH
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
P
P
0 0
0 0
0 0
7,94
13,50
22,13
0
0
0
P
P
P
0 0
0 0
0 0
7,93
6,20
4,26
0
0
0
P
P
P
P
P
R
0
0
0
0
0
0
0
0
0
0
0
0
4,88
4,60
13,50
77,79
27,31
6,40
0
0
0
0
0
0
P
P
P
0 0
0 0
0 0
23,52
7,90
14,70
80
80
0
0
0
0
0
0
0
0
0
8,63
15,72
10,77
19,63
80
80
80
80
P
P
P
P
0
0
0
0
0
0
0
0
6,79
12,76
4,36
8,40
80
80
80
80
P
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18,06
9,04
15,65
8,91
30,08
13,55
8,10
10,71
18,78
8,04
10,64
80
80
80
80
0
0
80
80
80
80
80
RR
RR
RR
RR
C
C
C
C
Page 25 of 243
Numro national
Dnomination abrge
0252803
0462666
0435011
0450831
0685532
0685546
0468902
0487052
0554897
0554933
0505147
0505164
D VITAL FORTE 1000/880 GRAN EFF 30 SACH

D VITAL FORTE 1000/880 GRAN EFF 90 SACH
EPTAVIT 1000 MG 880 U 30 CPR EFF
EPTAVIT 1000 MG 880 U 90 CPR EFF
SANDOZ CALCIUM D3 1000MG-880U 30 CPR
SANDOZ CALCIUM D3 1000MG-880U 90 CPR
STEOVIT D3 CITRON 500 MG/400 U 60 CPR
STEOVIT D3 ORANGE 500MG/200U 60 CPR CROQ
STEOVIT FORTE CITRON 1000MG/800U 28 CPR
STEOVIT FORTE CITRON 1000MG/800U 84 CPR
STEOVIT FORTE ORANGE 1000MG/880U 2*15CPR
STEOVIT FORTE ORANGE 1000MG/880U 6*15CPR
A12BA01
potassium chloride
0021384
0060947
0203861
CHLOROPOTASSURYL 1 G 10 AMP BUV

KALINOR RET P 600 MG 50 CAPS
KALITRANS RET 600 MG 50 CAPS 3501501
A12BA04
potassium hydrogencarbonate
0060883
0060897
KALINOR 15 CPR EFF

KALINOR 30 CPR EFF
A12BA05
potassium gluconate
0122552
ULTRA K SOL 200 ML
A12CB
Zinc
0362237
0362206
0362223
ZINKASPART 19,2 MG 100 CAPS

A12CB02
zinc gluconate
0329585
0329568
0329571
0329618
0329599
0329604
CEFAZINK 10 MG 100 CPR

A12CC02
magnesium sulfate
0107976
0107962
SPASMAG 30 AMP BUV 5 ML

SPASMAG 60 CAPS
A12CC03
magnesium gluconate
0122700
ULTRA MAGNESIUM 162 MG 40 SACH
A12CC05
magnesium aspartate
0215195
0272238
MAGIUM 20 CPR A MACHER

MAGNEROT A 100 MG 20 SACH
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
P
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
16,84
39,36
8,04
23,00
13,59
30,12
15,54
14,70
14,67
35,47
15,72
37,36
80
80
80
80
80
80
0
0
80
80
80
80
R
R
R
0 0
0 0
0 0
4,47
7,46
6,72
80
80
80
R
R
0 0
0 0
7,52
14,29
80
80
0 0
4,45
80
P
P
P
0 0
0 0
0 0
20,34
4,85
11,51
0
0
0
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
12,94
4,15
7,75
16,71
5,41
10,73
0
0
0
0
0
0
P
P
0 0
0 0
5,50
5,50
80
80
0 0
13,83
80
P
P
0 0
0 0
3,30
5,48
80
80
Page 26 of 243
Numro national
Dnomination abrge
0272241
0272269
0272272
0272305
0272319
0210137

MAGNESIUM SDZ 20 CPR EFF
A12CC06
magnesium lactate
0069004
MAGNE B6 50 DRG
mode de
dlivrance
02610
A12CC08
magnesium pidolate
0215794
0068914
0415084
0068931
MAG 2 184 MG 30 SACH

MAG 2 30 AMP BUV
MAG 2 SANS SUCRE 30 AMP BUV 10 ML
MAGINJECTABLE 0,8% 12 AMP 10 ML
A12CC10
magnesium oxide
0335324
MAGNOSANOL 50 CAPS
A12CC30
magnesium (different salts in combination)
0013799
BIOMAGNESIN 100 CPR
A12CD01
sodium fluoride
0137881
0075953
NATRIUMFLUORID BAER 25 MG 100 DRG

NATRIUMFLUORID BAER 25 MG 50 DRG
A12CE
Selenium
0337069
0337072
0337086
0313537
0313541
0330846
0313604
0313599
SELENASE PERORAL 100 MCG 20 AMP 2 ML

SELENASE PRO INJ 100 MCG 10 AMP 2 ML
SELENASE PRO INJ 100 MCG 50 AMP 2 ML
SELENASE T PERORAL 500 MCG 10 FL 10 ML V
SELENASE T PRO INJ 500 MCG 10 AMP 10 ML
SELENASE T PRO INJ 500 MCG 2 AMP 10 ML
A12CE02
sodium selenite
0301066
0301049
0301052
0368213
0368194
0368227
0512043
CEFASEL 100 MCG 100 CPR

A12CX
Other mineral products
0182693
0182709
OLIGOSTIM AL 40 CPR
OLIGOSTIM CO 40 CPR
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
12,15
8,75
20,25
16,68
36,04
5,73
80
80
80
80
80
80
0 0
5,35
P
P
P
RR
0
0
0
0
0
0
0
0
3,99
6,92
6,92
4,21
80
80
80
80
0 0
8,63
80
0 0
6,92
80
R
R
0 0
0 0
12,68
3,17
80
80
P
P
P
RR
RR
P
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
24,33
54,12
66,22
22,43
75,53
48,46
83,30
25,61
0
0
0
0
0
0
0
0
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40,89
16,69
24,44
0,00
16,62
0,00
27,94
0
0
0
0
0
0
0
P
P
0 0
0 0
5,21
8,14
0
0
Page 27 of 243
Numro national
Dnomination abrge
0168731
0168713
0182712
0182726
0168646
0168663
0168681
0168727
0168677
0182761
0182743
0182757
0182869
0182774
0168694
0250762
OLIGOSTIM CU 40 CPR SL
OLIGOSTIM CU-AU-AG 40 CPR SL
OLIGOSTIM F 40 CPR
OLIGOSTIM K 40 CPR
OLIGOSTIM LI 40 CPR SL
OLIGOSTIM MG 40 CPR SL
OLIGOSTIM MN 40 CPR SL
OLIGOSTIM MN-CO 40 CPR SL
OLIGOSTIM MN-CU 40 CPR SL
OLIGOSTIM MN-CU-CO 40 CPR
OLIGOSTIM P 40 CPR
OLIGOSTIM S 40 CPR
OLIGOSTIM ZN 40 CPR
OLIGOSTIM ZN-CU 40 CPR
OLIGOSTIM ZN-NI-CO 40 CPR SL
STIMUPLEX GTTS 30 ML
A13A
TONICS
0188425
0319219
0319205
0102580
0186627
0415649
0236021
0211425
0462523
ACTI 5 30 AMP BUV 5 ML

BIOVITAL CLASSIC SOL 1000 ML
BIOVITAL CLASSIC SOL 650 ML
SARGENOR 20 AMP BUV 5 ML
SARGENOR 40 AMP BUV 5 ML
SARGENOR ENF 0,5 G 40 AMP BUV 5 ML
SARGENOR SANS SUCRE 1 G 20 CPR EFF
SARGENOR SANS SUCRE 1 G 40 CPR EFF
STIMOL 1 G 18 AMP BUV 10 ML
A14AB01
nandrolone
0368387
DECA DURABOLIN 25 MG 1 AMP 1 ML IM
A16AA01
levocarnitine
0399528
0399545
0399531
0399501
0399514
NEFROCARNIT 1 G 10 AMP 5 ML IV
NEFROCARNIT 1 G/3,3 ML 1 FL 50 ML
NEFROCARNIT 1 G/3,3 ML 3 FL 50 ML
A16AB02
imiglucerase
0244264
0244278
0276769
0276786
0276772
CEREZYME 200 U PDR 1 FL PERF

CEREZYME 200 U PDR 25 FL PERF
CEREZYME 400 U PDR 1 FL IV
A16AB04
agalsidase beta
0450696
FABRAZYME 35 MG PDR 1 FL V IV
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8,14
8,92
8,14
8,14
8,14
8,14
8,14
8,92
8,92
8,92
8,14
8,14
8,14
8,92
8,92
7,98
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15,37
21,42
14,97
7,73
14,74
8,53
7,73
14,74
6,59
0
0
0
0
0
0
0
0
0
RR
0 0
4,59
RR
RR
RR
R
R
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
28,94
77,92
0
0
0
0
0
RR
RR
RR
RR
RR
H
H
H
H
H
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
RR
0 0
0,00
X
Page 28 of 243
Numro national
Dnomination abrge
mode de
dlivrance
0450715
0450701
0338097
0338116
0338102
A16AB05
laronidase
0349252
0349266
0349283
ALDURAZYME 500 U 1 FL 5 ML PERF

A16AB07
alglucosidase alfa
0432671
0432684
0432698
MYOZYME 50 MG PDR 1 FL 20 ML IV
A16AB09
idursulfase
0453461
ELAPRASE 2 MG/ML PERF 1 FL DIL 3 ML IV
A16AX02
anethole trithione
0111335
SULFARLEM S25 60 DRG
A16AX06
miglustat
0361941
ZAVESCA 100 MG 84 CAPS
A16AX07
sapropterin
0558963
KUVAN 100 MG 120 CPR (FL)
B01AA
Vitamin K antagonists
0218295
PREVISCAN 20 MG 30 CPR
B01AA03
warfarin
0069620
MAREVAN 5 MG 25 CPR
B01AA04
phenprocoumon
0069603
MARCOUMAR 3 MG 25 CPR
conditions de
prescription
OD
RMP
B01AA07
acenocoumarol
SINTROM 1 MG 100 CPR
SINTROM 4 MG 20 CPR
B01AB01
heparin
0156645
0154833
0154816
0154802
0242709
0053018
0231865
HEPARIN CA RATIO 12500 U 5 AMP 0,5 ML IV

HEPARIN CA RATIO 5000 U 10 SRG 0,2 ML IV
HEPARIN CA RATIO 5000 U 20 AMP 0,2ML IVS
HEPARIN CA RATIO 5000 U 5 AMP 0,2 ML IVS
HEPARIN LEO 100 U/ ML 10 FL 10 ML IV
HEPARIN LEO 25000 U 1 AMP 5 ML
HEPARIN LEO 25000 U 50 FL 5 ML IMIVSC
102241
Prix public
Taux
RR
RR
RR
RR
RR
H
H
H
H
H
X
X
X
X
X
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
RR
RR
RR
H
H
H
X
X
X
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
RR
RR
RR
H
H
H
X
X
X
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
RR
0 0
0,00
0 0
5,75
40
0252624
0105291
PCC
RR
DC
0 0
0,00
RR
DC
0 0
0,00
RR
0 0
4,55
100
RR
0 0
5,92
100
RR
0 0
5,94
100
RR
RR
0 0
0 0
6,53
6,08
100
100
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
11,08
14,97
17,74
5,13
0,00
3,73
0,00
80
80
80
80
0
80
0
Page 29 of 243
0
0
0
0
0
0
0
Numro national
0053021
0053035
0173968
0154508
0154492
0154489
Dnomination abrge
HEPARIN NA BRN 25000 U 10 FL 5 ML IVSC
HEPARIN NA BRN 5000 U 10 AMP 0,5 ML IVSC
HEPARIN NA RATIO 25000 U 5 FL 5 ML IVSC
HEPARIN NA RATIO 5000 U 10 SRG 0,2 ML IV
HEPARIN NA RATIO 5000 U 20 AMP 0,2 ML
HEPARIN NA RATIO 5000 U 5 AMP 0,2 ML IVS
B01AB04
dalteparin
0206523
0261914
0261931
0261959
0191742
0191756
0219972
FRAGMIN 10000 U 10 SRG 1 ML IV

FRAGMIN 12500 U 5 SRG 0,5 ML SC
B01AB05
enoxaparin
0190485
0316492
0316489
0173128
0173145
0267613
0190454
CLEXANE 100 MG 10 SRG 1 ML IVSC

CLEXANE 120 MG 10 SRG 0,8 ML SCIV
CLEXANE 150 MG 10 SRG 1 ML SCIV
CLEXANE 20 MG 10 SRG 0,2 ML IVSCVI
CLEXANE 40 MG 10 SRG 0,4 ML IVSCVI
CLEXANE 60 MG 10 SRG 0,6 ML IVSC
CLEXANE 80 MG 10 SRG 0,8 ML IVSC
B01AB06
nadroparin
0163829
0046531
0163846
0217741
0630615
0046609
0300637
0300641
0300654
0699572
0699619
FRAXIPARINE 10000U 10 SRG 0,4 ML SC

FRAXIPARINE 20000 U 10 SRG 0,8 ML SC
FRAXIPARINE 25000 U 10 SRG 1 ML SC
FRAXIPARINE 47500 U 10 FL MTD 5 ML IVSC
FRAXODI 19000 U 10 AMP SRG 0,6 ML
FRAXODI 19000 U 10 AMP SRG 0,8 ML
FRAXODI 19000 U 10 AMP SRG 1 ML
FRAXODI PI-NL 19000 U 10 AMP SRG 0,6 ML
FRAXODI PI-NL 19000 U 10 AMP SRG 0,8 ML
B01AB09
danaparoid
0239703
ORGARAN 750 U 10 AMP 0.6 ML SC
B01AB10
tinzaparin
0243978
0636037
0243981
0636041
0243995
INNOHEP 10000 U 10 SRG 0.5 ML SC

INNOHEP 10000 U 30 SRG 0,5 ML SC
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
2,38
2,03
21,97
14,97
15,56
4,33
80
80
80
80
80
80
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
73,62
47,59
54,40
63,85
25,40
40,11
54,40
80
80
80
80
80
80
80
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
56,30
77,44
80,86
23,80
37,96
44,08
50,17
80
80
80
80
80
80
80
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
28,89
36,83
46,89
57,01
0,00
23,55
86,83
112,79
138,71
86,78
112,71
80
80
80
80
0
80
80
80
80
0
0
0 0
0,00
72,05
186,83
97,31
257,91
117,51
80
80
80
80
80
RR
RR
RR
RR
RR
RR
0
0
0
0
0
Page 30 of 243
0
0
0
0
0
Numro national
Dnomination abrge
0642441
0203857
0243916
0243947
0243964

INNOHEP 20000 U 10 FL 2 ML SC
B01AC04
clopidogrel
0629551
0629581
0629601
0560488
0560524
0560541
0537141
0537073
0708203
0537316
0537252
0531407
0531357
0531361
0482008
0253117
0297559
0253134
CLOPIDOGREL (HCL) SDZ 75 MG 28 CPR

CLOPIDOGREL EG 75 MG 28 CPR
CLOPIDOGREL MYLAN 75 MG 100 CPR
CLOPIDOGREL MYLAN 75 MG 28 CPR
CLOPIDOGREL MYLAN PHARMA 75 MG 28 CPR
CLOPIDOGREL RATIO GMBH 75 MG 100 CPR
CLOPIDOGREL RATIO GMBH 75 MG 28 CPR
GREPID 75 MG 100 CPR
GREPID 75 MG 28 CPR
GREPID 75 MG 30 CPR
PLAVIX 300 MG 30 CPR
PLAVIX 75 MG 28 CPR
PLAVIX 75 MG 50 CPR UD
PLAVIX 75 MG 84 CPR
B01AC05
ticlopidine
0116829
0171218
0451354
0451368
0451371
TICLID 250 MG 30 DRG

TICLID 250 MG 60 DRG
TICLOPIDINE EG 250 MG 30 CPR
B01AC06
acetylsalicylic acid
0169271
0187543
0475911
0475924
0251952
0254534
0207128
0207131
0517456
0244667
0517487
0311791
ASAFLOW 160 MG 56 CPR

ASAFLOW 160 MG 8*7 CPR UD
ASAFLOW 80 MG 56 CPR UD
CARDEGIC 160 PDR 30 SACH
CARDEGIC 300 PDR 30 SACH
CARDIOASPIRINE 100 MG 28 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
329,15
0,00
24,94
31,00
36,38
80
0
80
80
80
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10,50
34,15
33,99
12,95
34,18
34,01
50,28
13,62
13,05
44,32
19,56
0,00
21,88
23,45
0,00
22,50
0,00
45,13
80
0
80
80
80
0
0
0
80
80
80
0
0
0
0
80
0
80
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
15,81
23,46
13,36
15,90
25,40
80
80
80
80
80
P
P
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10,50
0,00
7,61
9,28
6,47
0,00
4,09
4,51
3,60
3,95
6,08
6,69
80
0
0
0
80
0
80
80
80
80
80
80
Page 31 of 243
Numro national
Dnomination abrge
0517506
0189405
0189386

HERZ ASS RATIO 100 MG 100 CPR
HERZ ASS RATIO 100 MG 50 CPR
B01AC07
dipyridamole
0134648
0088917
0274327
0231669
0088982
0231672
0135208
DIPYRIDAMOLE EG 75 MG 100 DRG

PERSANTINE 50 MG 25 AMP 10 ML PERF
PERSANTINE 75 MG 100 DRG UD
PERSANTINE RET 200 MG 50 CAPS UD
PERSANTINE RET 200 MG 60 CAPS
PERSANTINE RET GE 150 MG 50 CAPS UD
PERSANTINE RET GE 150 MG 60 CAPS
B01AC09
epoprostenol
0286233
0232926
FLOLAN 1,5 MG PDR 1 FL + S 2*50 ML IV(H)

FLOLAN 500 MCG PSV 1 FL + S 50 ML IV (H)
B01AC11
iloprost
0433289
VENTAVIS 10 MCG 168 AMP 1 ML INH
B01AC13
abciximab
0436733
REOPRO 10 MG 1 FL 5 ML IV
B01AC16
eptifibatide
0266762
0266759
INTEGRILIN 20 MG 1 FL 10 ML PERF
INTEGRILIN 75 MG 1 FL 100 ML PERF
B01AC17
tirofiban
0454181
0267871
AGGRASTAT 0,05 MG/ML 1 PP 250 ML PERF

AGGRASTAT 0,25 MG/ML 1 FL 50 ML PERF
mode de
dlivrance
conditions de
prescription
OD
RMP
P
P
P
R
RR
R
R
R
R
R
PCC
Prix public
Taux
0 0
0 0
0 0
9,12
3,42
2,40
80
80
80
0
0
0
0
0
0
0
6,47
0,00
0,00
0,00
12,81
0,00
10,11
80
0
0
0
80
0
80
0
0
0
0
0
0
0
RR
RR
DC
DC
0 0
0 0
0,00
0,00
0
0
RR
DC
0 0
0,00
RR
0 0
0,00
RR
RR
H
H
0 0
0 0
0,00
0,00
0
0
RR
RR
H
H
0 0
0 0
0,00
0,00
0
0
RR
RR
RR
RR
DC
DC
DC
DC
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0
0
0
0
1
1
0
1
1
1
1
0
1
1
55,64
151,23
161,40
55,64
151,23
80
80
0
80
80
0 0
1 1
1 1
0,00
196,86
71,59
0
80
80
B01AC21
treprostinil
0415246
0415229
0415263
0415232
REMODULIN 100 MG PERF 1 FL 20 ML SC

B01AC22
prasugrel
0516977
0517005
0517019
0516641
0516672
EFIENT 10 MG 28 CPR
EFIENT 10 MG 84 CPR
EFIENT 10 MG 90 CPR
EFIENT 5 MG 28 CPR
EFIENT 5 MG 84 CPR
RR
RR
RR
RR
RR
BRILIQUE 90 MG 100 CPR UD

BRILIQUE 90 MG 168 CPR
BRILIQUE 90 MG 56 CPR
RR
RR
RR
RM
RM
RM
RM
RM
B01AC24
0591311
0591307
0591291
Page 32 of 243
Numro national
Dnomination abrge
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
B01AC30
combinations
0289008
AGGRENOX 60 CAPS
0 0
14,66
80
0628715
0628729
0628746
0628777
0628732
0628763
0628781
ASPAXA 81/20 MG 10 CAPS

ASPAXA 81/20 MG 30 CAPS (FL)
ASPAXA 81/20 MG 30 CAPS UD
ASPAXA 81/20 MG 90 CAPS (FL)
ASPAXA 81/20 MG 90 CAPS UD
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
17,01
0,00
0,00
34,01
0,00
0,00
0
0
0
0
0
0
0
B01AD02
alteplase
0138633
0138647
ACTILYSE 20 MG PDR 1 FL+S 20 ML IV

ACTILYSE 50 MG PDR 1 FL+S 50 ML IV
B01AD04
urokinase
0145204
0177161
ACTOSOLV 100000 U PDR 1 FL 2 ML IV

ACTOSOLV 600000 U PDR 1 FL IV
B01AD07
reteplase
B01AC56
0228873
RAPILYSIN 10 U 1 FL + SRG 10 ML IV
B01AD11
tenecteplase
0297349
0297335
METALYSE 10000 U PDR 1 FL + SRG IV

METALYSE 8000 U PDR 1 FL + SRG IV
B01AD12
protein C
0311417
0311403
CEPROTIN 1000 U PDR 1 FL + S 10 ML IV

CEPROTIN 500 U PDR 1 FL + S 5 ML IV
B01AE06
bivalirudin
RR
RR
H
H
0 0
0 0
0,00
0,00
0
0
RR
RR
H
H
0 0
0 0
0,00
0,00
0
0
RR
0 0
0,00
RR
RR
H
H
0 0
0 0
0,00
0,00
0
0
RR
RR
H
H
0 0
0 0
0,00
0,00
0
0
RR
HC
0 0
0,00
0385388
ANGIOX 250 MG PDR 10 FL PERF
B01AE07
dabigatran etexilate
0481871
0622045
0481885
0481899
0622093
0622076
0481837
0481841
0481854
PRADAXA 110 MG 10 CAPS

PRADAXA 110 MG 3*60 CAPS
PRADAXA 150 MG 3*60 CAPS
RR
RR
RR
RR
RR
RR
RR
RR
RR
RM
RM
RM
RM
RM
RM
RM
RM
RM
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
19,00
234,31
91,94
84,11
234,31
84,11
19,00
91,94
84,11
80
80
0
80
80
80
80
0
80
XARELTO 10 MG 10 CPR
XARELTO 10 MG 100 CPR UD
RR
RR
RM
RM
0 0
0 0
32,51
0,00
80
0
B01AF01
0494253
0494271
Page 33 of 243
Numro national
0494267
0635513
0635463
0635477
0635481
0635561
0635531
0635544
Dnomination abrge
mode de
dlivrance
RR
RR
RR
RR
RR
RR
RR
RR
0679552
0612391
0612407
0612411
0679521
0679535
0679504
ELIQUIS 2,5 MG 168 CPR

ELIQUIS 2,5 MG 60 CPR UD
ELIQUIS 5 MG 100 CPR UD
ELIQUIS 5 MG 168 CPR
ELIQUIS 5 MG 56 CPR
RR
RR
RR
RR
RR
RR
RR
conditions de
prescription
OD
RMP
RM
PCC
Prix public
Taux
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
84,08
0,00
92,40
122,08
242,71
0,00
92,40
242,71
80
0
80
80
80
0
80
80
0
0
0
0
0
0
0
0
0
0
0
0
0
0
219,29
48,02
84,11
128,12
0,00
219,29
79,10
80
80
80
0
0
80
80
0 0
0,00
B01AF02
B01AX05
fondaparinux
0316381
ARIXTRA 2,5 MG 10 SRG 0,5 ML SC
B02AA02
tranexamic acid
0043378
0043350
0218301
0173825
0043381
0699409
EXACYL 10 AMP BUV 10 ML

EXACYL 250 MG 100 CPR
EXACYL 500 MG 5 AMP 5 ML IV
EXACYL 500 MG 6 AMP 5 ML IV
B02BA01
phytomenadione
0138499
0234254
0307994
KONAKION 10 MG 10 AMP 1 ML IMIV

KONAKION PED 2 MG 5 AMP 0,2 ML IMIVPO
VITAMON K GTTS 25 ML
B02BB01
human fibrinogen
0594603
RIASTAP PDR 1 FL 1 G IV
B02BC
Local hemostatics
0572556
0572539
0572542
0382503
0382484
0382498
0702664
0702616
0702647
ARTISS COLLE 1 SRG DBL CHAMBRE 10 ML

TACHOSIL 1 EPONGE 3*2,5 CM
TACHOSIL 1 EPONGE 9,5*4,8 CM
TACHOSIL 2 EPONGES 4,8*4,8 CM
TISSEEL S/D 1 SYST DBL SRG 10 ML
RR
RM
RM
RM
R
R
R
R
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
12,99
19,21
13,01
12,50
10,41
11,58
80
80
80
80
80
0
RR
RR
R
0 0
0 0
0 0
0,00
10,99
8,41
0
80
0
RR
HC
0 0
0,00
RR
RR
RR
RR
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
Page 34 of 243
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0169108
0169111
0169125
0169139
TISSUCOL KIT 0,5 PSV 1 KIT

TISSUCOL KIT 1 PSV 1 KIT
B02BC02
oxidized cellulose
0084269
OUATE HEMOSTATIQUE QUALIPHAR 10 G
B02BD01
coagulation factor IX, II, VII and X in combination
0525864
0376926
0435316
CONFIDEX 500 U PSV 1 FL + S IV

OCTAPLEX 500 U PDR 1 FL+S+SET 20 ML IV
PPSB SOLV DETERGENT 4% PDR 1 FL 20 ML IV
B02BD02
coagulation factor VIII
0370693
0370709
0482638
0370662
0482655
0370676
0287181
0476143
0287163
0287177
0381005
0287146
0287129
0380981
0380994
0287132
0450097
0450083
0477347
0512687
0190714
0190695
0190701
0636071
0636085
0264463
0684695
0636099
0636068
ADVATE 1000 U PDR 1 FL + S + KIT IV

ADVATE 2000 U PSV 1 FL + S + KIT IV
ADVATE 3000 U PSV 1 FL + S + KIT IV
HELIXATE NEXGEN 1000 U PSV 1 FL+S+NECESS
HELIXATE NEXGEN 2000 U/ML PSV 1FL+S+SET
KOGENATE 1000 U PDR 1 FL+SRG 2,5ML+ADAPT
KOGENATE 1000 U PDR 1 FL+SRG 2,5ML+DISP
KOGENATE 250 U PDR 1 FL+SRG 2,5 ML+DISP
KOGENATE 500 U PDR 1 FL+SRG 2,5ML+DISP
OCTANATE 1000 U 1 FL + S 10 ML IV
OCTANATE CRL 1000 U 1 FL 10 ML IV
RECOMBINATE 1000 U PDR 1 FL + S 10 ML IV
REFACTO AF 1000 U 1 SRG PRER + S 4 ML
REFACTO AF 250 U 1 FL + S 4 ML
REFACTO AF 250 U 1 SRG PREREMPL + S 4 ML
B02BD04
coagulation factor IX
0271701
MONONINE 1000 U PDR 1 FL + S 10 ML IV
mode de
dlivrance
RR
RR
RR
RR
conditions de
prescription
OD
H
H
H
H
RMP
PCC
Prix public
Taux
0
0
0
0
0,00
0,00
0,00
0,00
0
0
0
0
0 0
7,78
80
0
0
0
0
RR
RR
RR
DC
DC
DC
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
DC
DC
DC
DC
DC
DC
DC
DC
DC
DC
DC
DC
DC
DC
DC
DC
DC
DC
DC
DC
DC
DC
DC
DC
DC
DC
DC
DC
DC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RR
DC
0 0
0,00
Page 35 of 243
Numro national
Dnomination abrge
mode de
dlivrance
PCC
Prix public
Taux
DC
DC
DC
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
RR
RR
RR
RR
DC
DC
DC
DC
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0
0
0
0
RR
DC
0 0
0,00
RR
RR
RR
RR
RR
RR
DC
DC
DC
DC
DC
DC
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
RR
RR
RR
DC
DC
DC
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
0 0
0 0
0 0
11,52
8,62
8,59
80
80
80
100
100
0271681
0311918
0311904
MONONINE 500 U PDR 1 FL + S 5 ML IV

OCTANINE 1000 U 1 FL 10 ML
OCTANINE 500 U 1 FL 5 ML
B02BD06
von Willebrand factor and coagulation factor VIII in combination
0137538
0137541
0469538
0469541
HAEMATE P 1200U/500U PDR 1 FL+S 10 ML IV

HAEMATE P 2400U/1000U PDR 1 FL+S 15ML IV
WILATE 450/400 U PDR 1 FL + S + SET IV
WILATE 900/800 U PDR 1 FL + S + SET IV
B02BD07
coagulation factor XIII
0044828
FIBROGAMMIN 250U PSV 1 FL+S 4 ML IV
B02BD08
eptacog alfa (activated)
0487343
0220201
0220214
0487357
0487326
0220195
NOVOSEVEN 100000 U PDR 1 FL+S 2,1 ML IV

NOVOSEVEN 120000 U PDR 1 FL+S 4,3ML IV
NOVOSEVEN 240000 U PDR 1 FL+S 8,5ML IV
B02BD09
nonacog alfa
0467421
0467435
0467418
BENEFIX 1000 U PSV 1FL + 1COF + 1SRG 5ML

BENEFIX 2000U PSV 1FL + 1COF + 1SRG 5 ML
BENEFIX 500 U PSV 1FL + 1COF + 1SRG 5ML
B02BX01
etamsylate
0032357
0032360
0032374
DICYNONE 250 MG 20 CPR

DICYNONE 50 CPR
DICYNONE 6 AMP 2 ML IMIV
B02BX04
romiplostim
0547956
0547973
NPLATE 250 MCG PDR 1 FL + KIT SC

NPLATE 500 MCG PDR 1 FL + KIT SC
B02BX05
eltrombopag
0557918
0557966
REVOLADE 25 MG 28 CPR
REVOLADE 50 MG 28 CPR
B03
ANTIANEMIC PREPARATIONS
0665283
0665848
RIENSO 30 MG/ML 10 FL 17 ML IV
RIENSO 30 MG/ML 6 FL 17 ML IV
B03AA01
ferrous glycine sulfate
0410155
0044599
0272613
FERROSANOL 30 MG/ML GTTS 30 ML

FERROSANOL DUODENAL 50 CAPS
FERROSANOL GYN 50 CAPS
B03AA03
ferrous gluconate
RR
RR
RR
conditions de
prescription
OD
RMP
RM
RM
RM
RM
RM
RM
P
P
RR
RR
RR
IC
IC
X
X
RM
RM
1 5
1 5
615,65
1.222,29
RR
RR
DC
DC
X
X
RM
RM
0 0
0 0
0,00
0,00
0
0
RR
RR
H
H
0 0
0 0
0,00
0,00
0
0
0 0
0 0
0 0
3,67
12,54
11,23
80
80
80
R
R
R
Page 36 of 243
Numro national
Dnomination abrge
0592285
0341609
0180959
FERROSANOL SIROP 200 ML

LOSFERRON 80 MG 30 CPR EFF
LOSFERRON 80 MG 60 CPR EFF
B03AA07
ferrous sulfate
0044537
0044540
0044361
0044375
0196489
FEROGRAD 500 (525 MG) 30 CPR

FEROGRAD 500 (525 MG) 60 CPR
FEROGRADUMET 30 CPR
FEROGRADUMET 60 CPR
TARDYFERON 80 MG 30 CPR
B03AB02
saccharated iron oxide
0191581
0273865
0273882
0355411
0196041
FERRICURE 150 MG 28 CAPS

FERRICURE 150 MG 56 CAPS
FERRICURE 150 MG 90 CAPS UD
FERRICURE GTTS 200 ML
FERRICURE GTTS 60 ML
B03AC01
dextriferron
0580303
0580284
INJECTAFER 50 MG/ML 5 FL 10 ML IV
INJECTAFER 50 MG/ML 5 FL 2 ML IV
B03AC02
saccharated iron oxide
0574922
0302404
FERMED 100 MG PERF 5 AMP 5 ML IV

VENOFER 100 MG 5 AMP 5 ML IV
B03AD03
ferrous sulfate
0198774
TARDYFERON B 9 30 CPR
B03BB01
folic acid
0309002
FOLAVIT 4 MG 40 CPR
B03XA01
erythropoietin
0470704
0470864
0470721
0539615
0470749
0539713
0470752
0539792
0470797
0470816
0470847
0226333
0226378
0226347
0449391
BINOCRIT 1000 U 6 SRG 0,5 ML IVSC

BINOCRIT 10000 U 6 SRG 1 ML IVSC
BINOCRIT 2000 U 6 SRG 1 ML IVSC
BINOCRIT 20000 U/ML 1 SRG 0,5 ML
BINOCRIT 30000 U/ML 1 SRG 0,75 ML
BINOCRIT 40000 U/ML 1 SRG 1 ML
EPREX 1000 U 6 SRG 0,5 ML SC
EPREX 10000 U 6 SRG 1 ML SC
EPREX 20000 U 1 SRG 0,5 ML SCIV
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
0 0
0 0
0 0
5,40
9,42
17,78
0
0
80
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
7,57
14,37
4,04
7,82
3,59
80
80
80
80
80
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
10,10
16,57
0,00
20,69
8,85
80
80
0
80
80
RR
RR
H
H
0 0
0 0
0,00
0,00
0
0
RR
RR
H
H
0 0
0 0
0,00
0,00
0
0
0 0
3,76
80
0 0
7,42
80
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
58,41
508,38
108,88
175,48
0
0
0
0
0
0
0
0
0
0
0
100
100
100
100
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
C
C
C
C
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
Page 37 of 243
0
0
0
0
0
0
0
0
0
0
0
1
1
1
1
0
0
0
0
0
0
0
0
0
0
0
5
5
5
5
Numro national
Dnomination abrge
0226351
0226364
0449356
0293434
0293448
0293465
0248943
0248862
0248845
0364536
0279368
0248912
0248828
0279341
0476756
0476918
0476787
0476921
0476806
0476935
0476837
0476949
0476854
0476871
0476899

EPREX 40000 U 1 SRG 1 ML SCIV
EPREX 5000 U 6 SRG 0,5 ML
NEORECORMON 10000 U 6 SRG 0,6 ML SCIV
NEORECORMON 30000 U PDR 4 SRG 0,6ML IVSC
NEORECORMON 4000 U PDR 6 SRG SC
NEORECORMON 6000 U PDR 6 SRG SC
RETACRIT 1000 U 6 SRG 0,3 ML SCIV
RETACRIT 10000 U 6 SRG 1 ML SCIV
RETACRIT 40000 U 1 SRG 1 ML SCIV
B03XA02
darbepoetin alfa
0302564
0302726
0530394
0302757
0530444
0530265
0530282
0530458
0302774
0530301
0530329
0530475
0368441
0530346
0302709
0530377
ARANESP 10 MCG 4 SRG 0,4 ML SCIV

ARANESP 100 MCG 1 STYLO 0,5 ML (SURCLIC)
ARANESP 100 MCG 4 SRG SECURISEES SC
ARANESP 300 MCG 1 SRG SECURISEE SC
ARANESP 500 MCG 1 SRG SECURISEE SC
ARANESP 500 MCG 1 STYLO 1 ML (SURCLIC)
B03XA03
methoxy polyethylene glycol-epoetin beta
mode de
dlivrance
conditions de
prescription
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
OD
RMP
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
Page 38 of 243
PCC
Prix public
Taux
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
158,82
208,75
323,45
258,71
308,64
408,50
502,14
112,27
163,93
995,33
206,24
33,30
255,56
304,86
53,08
439,09
98,93
152,23
137,86
224,01
180,90
265,47
223,93
266,96
353,04
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
5
5
5
5
5
5
5
5
5
5
5
5
5
5
0
5
104,14
242,84
971,08
359,58
1.376,31
198,33
306,28
685,45
685,45
387,47
504,47
1.092,97
1.092,99
603,55
196,99
801,73
100
100
100
100
100
100
100
100
100
100
100
100
100
100
0
100
Numro national
Dnomination abrge
mode de
dlivrance
0459674
0488385
0459688
0459691
0459707
0488354
0459657
0459661
MIRCERA 100 MCG/ML 1 SRG 0,3 ML IVSC

MIRCERA 120 MCG 1 SRG 0,3 ML IVSC
B05
BLOOD SUBSTITUTES AND PERFUSION SOLUTIONS
0605318
RUCONEST 2100 U PDR 1 FL V IV
B05AA01
albumin
0539596
0539579
0539521
0539548
0539565
0370614
0370631
0370645
0370659
0474006
0457537
0457568
0512642
0512639
0435283
0435297
0435302
ALBUNORM 20% PERF 1 FL 100 ML IV

ALBUREX 20% 1 FL 100 ML PERF
FLEXBUMIN 20% 1 PP 100 ML IV
HUMAN ALBUMIN BXT 5% 1 FL V 250 ML IV
HUMAN ALBUMIN BXT 5% 10 FL V 500 ML IV
OCTALBINE CRL 20% 1 FL 100 ML PERF
OCTALBINE CRL 5% 1 FL 250 ML PERF
SOPP SSPP 4% PERF 1 FL 100 ML IV
B05AA02
other plasma protein fractions
0345205
OCTAPLAS LG 45-70 MG/ML 1 PP 200 ML PERF
B05AA07
hydroxyethylstarch
0198466
0198452
0198421
0198418
0512321
0297416
0297451
HEMOHES 10% 10 FL 500 ML P PERF

HEMOHES 10% 10 FL 500 ML V PERF
HEMOHES 6% 10 FL 500 ML P PERF
HEMOHES 6% 10 FL 500 ML V PERF
PLASMA VOLUME REDIBAG 6% PERF 10*500 ML
VOLUVEN 500 ML FREEFLEX
1361521
VOLUVEN 500 ML P
1361221
B05BA01
amino acids
0190678
0143762
0143809
AMINOPLASMAL BRN 12,5% 1*500 ML PERF

PRIMENE SOL 10% FL 100 ML G PERF
PRIMENE SOL 10% FL 250 ML G PERF
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
RR
C
C
C
C
C
C
C
C
RM
RM
RM
RM
RM
RM
RM
RM
1
1
1
1
1
1
1
1
5
5
5
5
5
5
5
5
200,45
381,25
296,19
391,93
487,68
102,36
104,71
152,56
RR
DC
RM
0 0
0,00
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RR
0 0
0,00
RR
RR
RR
RR
RR
RR
RR
H
H
H
H
H
H
H
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
RR
RR
RR
H
H
H
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
Page 39 of 243
100
100
100
100
100
100
100
100
Numro national
Dnomination abrge
0196296
VAMINOLACT 1 FL 500 ML PERF
B05BA02
fat emulsions
0389181
0389227
0389194
0187669
0066551
0245387
0229352
CLINOLEIC 20% 10 PP 100 ML PERF

INTRALIPID 20% 1 FL 500 ML V
LIPOVENOES 20% 500 ML G
2159091
LIPOVENOES MCT 20% 250 ML G
2193061
LIPOVENOES MCT 20% 500 ML G
2193091
B05BA03
carbohydrates
0050162
0050176
0162155
0162169
0050288
0155066
0155066
0155097
0155116
0155147
0155178
0155195
0275064
0154976
0154959
0643594
0275095
0182081
0275078
0154962
0182094
0275081
0155049
0179748
0155231
0155245
GLUCOSE 20% 1 PP 500 ML

GLUCOSE 30% 1 PP 500 ML
GLUCOSE 5% BRN 1 FL 250 ML V
GLUCOSE 5% BRN 1 FL 500 ML V
GLUCOSE 5% BRN 10 AMP 10 ML P
GLUCOSTERIL 10% 100 ML FREKA INJ 2710021
GLUCOSTERIL 10% 100 ML INF
GLUCOSTERIL 10% 250 ML G
2710061
GLUCOSTERIL 10% 500 ML P
2710221
2720221
2730221
GLUCOSTERIL 5% 100 ML FREEFLEX B248081
GLUCOSTERIL 5% 100 ML FREKA INJ-FLASCHE
GLUCOSTERIL 5% 100 ML GLAS-INF 2700031
GLUCOSTERIL 5% 100 ML KABIPAC PK042E010D
GLUCOSTERIL 5% 1000 ML FREEFLEX 2700531
2700231
GLUCOSTERIL 5% 250 ML GLAS INF 2700061
GLUCOSTERIL 5% 250 ML KABIPAC PK042E025D
2700091
2700221
2262091
B05BA10
combinations
0168582
0291782
0291765
0291832
0291829
0291653
CERNEVIT PDR 10 FL + S 5 ML IMIV

CLINIMIX N14G30E 4 PP DBL 2 L
CLINIMIX N17G35E 6 PP DBL 1,5 L
CLINIMIX N9G15E 6 PP DBL 1,5 L
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
0 0
0,00
RR
RR
RR
RR
RR
RR
RR
H
H
H
H
H
H
H
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
H
H
H
H
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
1,74
2,50
7,11
0,00
0,00
0,00
0,00
0,00
0,00
0,00
2,74
1,78
2,49
3,20
4,37
4,32
2,20
2,58
2,15
4,61
2,86
2,74
0,00
0,00
0
0
80
80
80
0
0
0
0
0
0
0
0
80
80
0
0
80
0
80
80
0
80
80
0
0
H
H
H
H
H
H
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
RR
RR
RR
RR
RR
RR
H
H
H
H
H
H
H
Page 40 of 243
Numro national
0291636
0217558
0217544
0625291
0267062
0267076
0267143
0267157
0267093
0267109
0267112
0267126
0573781
0573763
0573777
0573844
0573858
0573831
0573875
0573889
0573861
0573908
0573911
0573892
0574287
0574256
0574273
0574242
0521865
0530511
0521882
0514566
0514597
0585281
0514549
0514485
0514504
0514468
0124798
0149525
0193098
0193103
Dnomination abrge
KABIMIX 14 1 PP PERF
KABIMIX 9 1 PP PERF
NUMETZAH G16%E 6 PP 3 COMP 500 ML IV
NUTRIFLEX BASAL 5 PP 1 L PERF
NUTRIFLEX BASAL 5 PP 2 L PERF
NUTRIFLEX PERI 5 PP 1 L PERF
NUTRIFLEX PERI 5 PP 2 L PERF
NUTRIFLEX PLUS 5 PP 1 L PERF
NUTRIFLEX PLUS 5 PP 2 L PERF
NUTRIFLEX SPEC 5 TWINFLEX 1 L
NUTRIFLEX SPEC 5 TWINFLEX 1,5 L
OLIMEL N5E 2 PP A 3 COMPART 2500 ML
OLIMEL N9 4 PP A 3 COMPART 1500 ML
PERIOLIMEL N4E 2 PP A 3 COMPART 2500 ML
SMOFKABIVEN PERIPHER 1206 ML IV
SMOFKABIVEN ZENTRAL 1477 ML IV A 1
SMOFKABIVEN ZENTRAL 1970 ML IV A 1
SMOFKABIVEN ZENTRAL 493 ML IV
SMOFKABIVEN ZENTRAL 986 ML IV
SMOFKABIVEN ZENTRAL EL-FREI 1477ML IV A1
SMOFKABIVEN ZENTRAL EL-FREI 1970 ML IV
SMOFKABIVEN ZENTRAL EL-FREI 986 ML IV
VAMIN GLUCOSE 1 FL 1000 ML PERF
VAMIN GLUCOSE 1 FL 750 ML PERF
VITALIPID N ADULT 10*10 ML AMP 497560
VITALIPID N INFANT 10*10 ML AMP 497552
B05BB01
electrolytes
0363945
HARTMANN VIAFLO 10 * 1 L PERF
mode de
dlivrance
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
conditions de
prescription
OD
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
RMP
PCC
Prix public
Taux
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
7,04
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RR
Page 41 of 243
Numro national
0363931
0245325
0182127
0275159
0165322
0165238
0643577
0165451
0165465
0165479
0275193
0165482
0165211
0275162
0165367
0165371
0165224
0643546
0275176
0165403
0165417
0165421
0075922
0075936
0075855
0075841
0161533
0161547
0062700
0062714
0177497
0353708
0353692
0353689
0353661
0538358
0538344
0142099
0142085
0340565
0392009
0340551
0145946
0145977
Dnomination abrge
HARTMANN VIAFLO 20 * 500 ML PERF
JONOSTERIL 1000 ML P
1340231
KOCHSALZLSG ISOT 10 ML 20 AMP P B314083
KOCHSALZLSG ISOT 100 ML FREEFLEX B248361
KOCHSALZLSG ISOT 100 ML INF G 1310031
KOCHSALZLSG ISOT 100 ML INJ G
KOCHSALZLSG ISOT 100 ML KABIPAC
KOCHSALZLSG ISOT 1000 ML G
KOCHSALZLSG ISOT 1000 ML GS
1310151
KOCHSALZLSG ISOT 1000 ML P
1310231
KOCHSALZLSG ISOT 1000ML FREEFLEX 1310531
KOCHSALZLSG ISOT 1000ML PS PLASTIPUR
KOCHSALZLSG ISOT 20 ML 20 AMP P B314403
KOCHSALZLSG ISOT 250 ML FREEFLEX
B101354
KOCHSALZLSG ISOT 250 ML KABIPAC (P)
1310011
KOCHSALZLSG ISOT 50/100 ML KABIPAC
KOCHSALZLSG ISOT 500 ML FREEFLEX 1310521
1310091
KOCHSALZLSG ISOT 500 ML GS
1310101
KOCHSALZLSG ISOT 500 ML KABIPAC 1310221
NA CHLORID 0,9% BRN 10 AMP 10 ML P
NA CHLORID 0,9% BRN 10 AMP 20 ML P
NA CHLORID 0,9% BRN 100 ML
NA CHLORID 0,9% BRN 50 ML
NA HYDROGENCARBONAT 8,4% 250ML G 2941061
NA HYDROGENCARBONAT 8.4% 100ML G 2941031
NACL BRN 0,9% 1 FL 250 ML V
NACL BRN 0,9% 1 FL 500 ML V
NACL BRN 0,9% 1 MINIFL 100 ML
NACL VIAFLO 0,9% 10 PP 1 L
NACL VIAFLO 0,9% 20 PP 500 ML
PLASMALYTE A VIAFLO 10 PP 1 L PERF
PLASMALYTE A VIAFLO 20 PP 500 ML PERF
RINGERINFUSLSG BRN 1 FL 1 L G
RINGERINFUSLSG BRN 1 FL 500 ML G
RINGERLACTAT 1000 ML P
2620231
RINGERLACTAT 500 ML FREEFLEX 2620521
RINGERLACTAT 500 ML P
2620221
RINGERLACTATINFUSLSG BRN 1000 ML V
RINGERLACTATINFUSLSG BRN 500 ML P
mode de
dlivrance
conditions de
prescription
OD
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RMP
PCC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Page 42 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Prix public
6,68
7,22
8,79
2,58
5,33
5,03
2,15
4,19
4,45
3,85
3,87
3,87
9,59
2,06
2,38
2,01
4,62
2,15
2,20
2,57
2,75
2,46
7,06
7,31
1,36
1,29
6,53
7,76
2,11
2,26
2,13
6,52
6,06
5,83
5,74
46,85
76,10
4,29
2,26
7,51
7,51
5,34
3,89
3,47
Taux
0
0
80
80
80
80
0
80
80
80
0
80
80
0
80
80
0
0
0
80
80
80
80
80
80
80
0
0
80
80
80
0
0
0
0
0
0
80
80
0
0
0
80
80
Numro national
Dnomination abrge
0275307
0149458
0149444
0149511
0275291
0149475
0149492
0149508
0109922
0109919
RINGERLOESUNG 1000 ML FREEFLEX 2600531

RINGERLOESUNG 1000 ML GS
2600151
RINGERLOESUNG 1000 ML P
2600231
RINGERLOESUNG 250 ML G
2600061
RINGERLOESUNG 500 ML FREEFLEX 2600521
RINGERLOESUNG 500 ML G
2600091
RINGERLOESUNG 500 ML GS
2600101
RINGERLOESUNG 500 ML P
2600221
STEROFUNDIN G 5 1000 ML
STEROFUNDIN G5 500 ML
B05BB02
electrolytes with carbohydrates
0342444
0342431
0342427
0342413
0353742
0353725
0050369
0363993
0363976
0055432
0182077
0150011
0422948
0422884
0422871
0374841
0374854
0374904
0374918
0538389
0538375
GLUCION 10% 1 PP 1 L PERF

GLUCION 10% 1 PP 500 ML PERF
GLUCION 5% 1 PP 1 L PERF
GLUCION 5% 1 PP 500 ML PERF
GLUCOSE 5% + KCL 0,15% VIAFLO 10 PP 1 L
GLUCOSE 5% + KCL 0,3% VIAFLO 10 PP 1 L
GLUCOSE 5% + NACL 0,45% BXT 1 L
HARTMANN + GLC 5% VIAFLO 10*1 L PERF
HARTMANN + GLC 5% VIAFLO 20*500 ML PERF
HYPOTONAX 48 250 ML PP PERF
JONOSTERIL D 5 1000 ML P
1381231
JONOSTERIL D 5 500 ML P
1381221
NACL+GLC VIAFLO 0,3/3,3% 20 PP 500 ML
NACL+GLC VIAFLO 0,9/5% 10 PP 1 L
NACL+GLC VIAFLO 0,9/5% 20 PP 500 ML
PAEDIATRISCHE ELEKTROLYTLSG I 250 ML P
PAEDIATRISCHE ELEKTROLYTLSG I 500 ML P
PAEDIATRISCHE ELEKTROLYTLSG II 250 ML P
PAEDIATRISCHE ELEKTROLYTLSG II 500 ML P
PLASMALYTE 148 + GLC 5% 10 PP 1 L PERF
PLASMALYTE 148 + GLC 5% 20 PP 500ML PERF
B05BC01
mannitol
0573245
0083941
MANNITOL 15% W/V 20 VIAFLO 500 ML

OSMOSTERIL 20% 250 ML G
2360061
B05CA02
chlorhexidine
0145834
UROTAINER CHLORHEXIDINE 10*100 ML
B05CA06
mandelic acid
0145817
UROTAINER AC,MANDEL 1% 10*100 ML PP
B05CB01
sodium chloride
0294901
0294896
MINIBAG NACL 0,9% 1 PP VFLX 100 ML

MINIBAG NACL 0,9% 1 PP VFLX 50 ML
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6,71
9,69
6,71
6,49
3,59
6,69
3,64
4,01
0,00
0,00
0
80
80
80
0
80
80
80
0
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
H
H
H
H
H
H
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8,75
8,06
8,59
7,92
6,69
6,79
6,57
7,71
7,05
8,01
6,08
4,58
6,00
6,53
6,14
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RR
RR
H
H
0 0
0 0
0,00
0,00
0
0
0 0
27,21
80
0 0
27,22
80
RR
RR
0 0
0 0
5,43
5,30
0
0
Page 43 of 243
Numro national
Dnomination abrge
B05CX10
combinations
0342461
GLUCOSE 5% NACL 0.3% KCL 0,3% BXT 1L P
B05XA01
potassium chloride
0180587
KAL CHLORID 7,46% 20 ML 20 AMP P B314415
B05XA02
sodium bicarbonate
0645358
BICARBONATE NA VIAFLO 1,4% 20VIAFL 500ML
B05XA03
sodium chloride
0179779
0284869
0284824
0284841
0284811
0284855
0440462
0440476
0440459
0284791
0284757
0284807
0284774
0284743
0284788
0291135
0291118
0291149
0291121
0291023
0291068
0291041
0291054
0291006
0290947
0290981
0290964
0290978
0290933
NA CHLORID 5,85% 20 ML 20 AMP P B314425

NACL MACO 0,9% 1 MACOPERF 1 L
NACL MACO 0,9% 1 MACOPERF 100 ML
NACL MACO 0,9% 1 MACOPERF DUO 100+100 ML
NACL MACO 0,9% 1 PP 1 L
NACL MACO 0,9% 1 PP 100 ML
NACL MACO 0,9% 1 PP 2 L
NACL MACO 0,9% 1PP BILUER 1L
NACL MACO 0,9% 1PP BILUER 250ML
NACL MACO 0,9% 1PP BILUER 2L
NACL MACO 0,9% 1PP BILUER 500ML
NACL MACO 0,9% 1PP MONOLUER 100ML
NACL MACO 0,9% 1PP MONOLUER 1L
NACL MACO 0,9% 1PP POLYOLE 100ML
NACL MACO 0,9% 1PP POLYOLE 1L
B05XA31
electrolytes in combination with other drugs
0252607
0274281
0249498
ADDAMEL N 10 ML 20 AMP
57422128
NONAN NOVUM PERF 1 FL 40 ML
TRACITRANS PLUS 10 ML 10 AMP G
mode de
dlivrance
conditions de
prescription
OD
RR
RMP
PCC
Prix public
Taux
0 0
8,59
RR
0 0
0,00
RR
0 0
0,00
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15,72
6,02
5,02
5,02
5,02
5,39
21,00
22,00
20,00
2,55
1,95
4,28
1,95
1,95
2,10
3,28
2,55
5,02
2,77
2,35
3,05
2,48
2,61
2,31
2,22
2,81
2,22
2,35
2,22
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RR
RR
RR
0 0
0 0
0 0
0,00
2,80
30,00
0
80
80
B06AC01
Page 44 of 243
Numro national
0555717
Dnomination abrge
mode de
dlivrance
conditions de
prescription
PCC
Prix public
Taux
0 0
0,00
0 0
0,00
R
R
R
R
RR
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7,10
6,10
7,13
6,21
4,85
0,00
0,00
100
100
100
100
100
0
0
0 0
2,36
100
R
R
0 0
0 0
13,75
13,95
100
100
RR
0 0
9,82
100
R
R
R
R
0
0
0
0
0
0
0
0
19,34
14,42
29,22
19,78
100
100
100
100
R
R
R
R
R
R
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
25,96
35,45
44,55
24,72
38,48
20,31
30,81
100
100
100
100
100
100
100
0
0
0
0
0
0
0
0
0
0
9,79
0,00
0,00
9,00
14,10
100
0
0
100
100
0 0
1 1
0,00
89,27
0
100
BERINERT 500 U PDR 1 FL 10 ML + 1 SET IV
RR
DC
0492746
FIRAZYR 30 MG 1 SRG 3 ML + 1 AIG
RR
DC
OD
RMP
B06AC02
C01AA05
digoxin
0063515
0063451
0063482
0063479
0192087
0446601
0063465
LANOXIN 0,05 MG/ML ELIXIR PED 60 ML

LANOXIN 0,125 MG 60 CPR
LANOXIN 0,5 MG 5 AMP 2 ML UD IMIV
LANOXIN 0.25 MG 25*10 CPR UD
LANOXIN 0.25 MG 50*5 CPR UD
C01AA08
metildigoxin
0063367
LANITOP 0,1 MG 50 CPR
C01BA03
disopyramide
0203308
0201544
RYTHMODAN 100 MG 120 CAPS

RYTHMODAN LA 250 MG 40 CPR
C01BB01
lidocaine
0207856
XYLOCARD 100 MG 2% 5 AMP 5 ML IMIV
C01BC03
propafenone
0101681
0101678
0101700
0101695
RYTMONORM 150 MG 100 CPR

C01BC04
flecainide
0363851
0363914
0363881
0465668
0113276
0113262
0113293
APOCARD RET 100 MG 60 CAPS

FLECAINIDE EG 100 MG 100 CPR BLIST
TAMBOCOR 100 MG 100 CPR
TAMBOCOR 100 MG 40 CPR
TAMBOCOR 150 MG 5 AMP 15 ML IV
C01BD01
amiodarone
0153559
0025030
0571805
0024999
0025013
AMIODARONE EG 200 MG 60 CPR

CORDARONE 150 MG 24 AMP 3 ML IV
CORDARONE 150 MG 6 AMP 3 ML IV
CORDARONE 200 MG 20 CPR
CORDARONE 200 MG 60 CPR
R
RR
RR
R
R
MULTAQ 400 MG 100 CPR

MULTAQ 400 MG 60 CPR
RR
RR
H
H
C01BD07
0539324
0539311
C
C
RM
RM
Page 45 of 243
Numro national
Dnomination abrge
mode de
dlivrance
C01BG07
cibenzoline
0158149
0158135
CIPRALAN 130 MG 100 CPR

CIPRALAN 130 MG 40 CPR
RR
RR
BRINAVESS 500 MG PERF 1 FL 25 ML
RR
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
0 0
0 0
27,54
16,19
100
100
0 0
0,00
R
P
0 0
0 0
13,57
8,43
80
80
RR
0 0
9,54
80
RR
0 0
21,39
80
C01BG11
0575771
C01CA01
etilefrine
0038199
0038185
EFFORTIL 0,75% GTTS 50 ML

EFFORTIL 5 MG 50 CPR
C01CA02
isoprenaline
0060351
ISUPREL 0,2 MG 5 AMP 1 ML PERF
C01CA03
norepinephrine
0065263
LEVOPHED 8 MG 10 AMP 4 ML IV
C01CA04
dopamine
0037630
0037644
DYNATRA 200 MG 10 AMP 5 ML IV

DYNATRA 50 MG 10 AMP 1,25 ML IV
C01CA07
dobutamine
0198533
0229531
0250759
0149381
DOBUTAMIN HEXAL 250 MG PDR 1 FL IV

DOBUTAMIN LIQ FRSN 250 MG 10FL 50ML PERF
DOBUTAMINE EG 250 MG 10*20 ML PERF
DOBUTREX 250 MG 1 AMP 20 ML PERF
C01CA24
epinephrine
0389468
0389454
0656477
0164244
ANAPEN 0,15 MG 1 SRG PREREMPL 0,3 ML IM

ANAPEN 0,3 MG 1 SRG PREREMPL 0,3 ML IM
FASTJEKT JUNIOR AUTOINJECTOR A 1 IM
FASTJEKT SENIOR AUTOINJECTOR A 1 IM
C01CE02
milrinone
0149735
COROTROPE 10 MG 10 AMP 10 ML IV ( U.H.)
C01DA02
glyceryl trinitrate
0268401
0268395
0268378
0268364
0380509
0380512
0380493
0380526
0190955
0190969
0190941
DEPONIT NT 10 100 PATCH

DIAFUSOR 10 (80 MG) 30 PATCH
DIAFUSOR 7,5 (60 MG) 30 PATCH
MINITRAN 10 MG 30 PATCH
HC
RM
RR
RR
H
H
0 0
0 0
0,00
0,00
0
0
RR
RR
RR
RR
H
H
H
H
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
0
44,24
44,24
83,50
83,50
0
0
80
80
0 0
0,00
77,53
29,36
63,48
25,93
11,96
15,57
9,27
10,62
23,21
31,09
16,54
80
80
80
80
0
0
0
0
80
80
80
RR
RR
RR
RR
RR
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
Page 46 of 243
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0253747
0236391
0368485
0088741
0223426
0223457
0223409
NATISPRAY 0,3 MG/D SPRAY BU 18 ML

NITRODERM TTS 10 100 PATCH
NITROLINGUAL PUMPSPRAY 0,4 MG 250 D SL
PERLINGANIT 10 MG/10 ML 1 FL 50 ML PERF
TRINIPATCH 10 30 PATCH
C01DA08
isosorbide dinitrate
0019565
0019551
0059235
0248635
0314758
0248974
0314744
0234965
0314808
0248649
0314761
0248652
0314775
0059302
0248666
0314789
0170045
CEDOCARD 5 MG 180 CPR

CEDOCARD 5 MG 60 CPR
ISOKET 10 MG 10 AMP 10 ML IV
ISOKET 10 MG 60 CPR
ISOKET 10 MG 98 CPR
ISOKET 5 MG 60 CPR
ISOKET 5 MG 98 CPR
ISOKET RET 120 MG 60 CAPS
ISOKET RET 120 MG 98 CAPS
ISOKET RET 20 MG 60 CPR
ISOKET SPRAY 300 D 15 ML
C01DX12
molsidomine
0335291
0355649
0353211
0156452
0025822
0160648
0025853
0025836
0337234
CORUNO 16 MG 28 CPR
CORUNO 16 MG 42 CPR
CORUNO 16 MG 42 CPR UD
CORVATON 2 MG 100 CPR
CORVATON 20 MG 1 AMP 10 ML PERF
MOLSIKET RET 8 MG 98 CPR
C01EA01
alprostadil
0211828
0094878
PROSTAVASIN 20 MCG PDR 15 AMP IAIV

PROSTIN VR 0,5 MG 1 AMP 1 ML IV
C01EB
Other cardiac preparations
0125327
VASTAREL 20 MG/ML GTTS 60 ML
C01EB10
adenosine
0197018
ADENOCOR 6 MG 6 FL 2 ML IV
mode de
dlivrance
R
R
R
RR
R
R
R
R
R
RR
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
RR
R
R
R
RR
RR
conditions de
prescription
OD
H
H
RR
H
Page 47 of 243
RMP
PCC
Prix public
Taux
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6,57
83,02
9,45
0,00
25,30
33,55
18,10
100
80
100
0
80
80
80
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8,85
6,31
0,00
6,15
9,13
4,61
11,56
20,62
25,97
11,94
13,38
14,00
16,47
25,33
15,88
19,14
24,05
100
100
0
100
100
100
100
100
100
100
100
100
100
100
100
100
100
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
32,11
41,09
0,00
16,58
10,80
0,00
37,65
25,08
13,93
80
80
0
80
80
0
80
80
80
0 0
0 0
0,00
0,00
0
0
0 0
12,22
0 0
0,00
Numro national
Dnomination abrge
C01EB15
trimetazidine
0125313
VASTAREL 20 MG 60 CPR
C01EB17
ivabradine
0423833
0423797
0423901
0423878
PROCORALAN 5 MG 100 CPR

PROCORALAN 5 MG 56 CPR
PROCORALAN 7,5 MG 100 CPR
PROCORALAN 7,5 MG 56 CPR
C01EX
Other cardiac combination products
0303009
0311501
KORODIN GTTS 10 ML
KORODIN GTTS 40 ML
C02AC01
clonidine
0217883
0019193
0241777
CATAPRESSAN 150 0,15 MG 100 CPR

CATAPRESSAN 150 0,15 MG 5 AMP IMIVSC
CATAPRESSAN 150 0.15MG 50 CPR UD
C02AC05
moxonidine
0285396
0285432
0374949
0455921
0375154
0455935
MOXON 0,2 MG 28 CPR

MOXON 0,4 MG 28 CPR
MOXONIDINE EG 0,2 MG 28 CPR
C02AC06
rilmenidine
0136951
HYPERIUM 1 MG 30 CPR
C02CA01
prazosin
0072500
0072528
0072545
MINIPRESS 1 MG 100 CPR

C02CA06
urapidil
0037952
EBRANTIL 50 MG 5 AMP 10 ML IV
C02KX01
bosentan
0328302
0328283
TRACLEER 125 MG 56 CPR

TRACLEER 62,5 MG 56 CPR
mode de
dlivrance
C02KX02
ambrisentan
0485451
0485433
VOLIBRIS 10 MG 30 CPR
VOLIBRIS 5 MG 30 CPR
C02LA51
reserpine and diuretics, combinations with other drugs
0203342
BRISERIN N 100 DRG
C03BA04
chlortalidone
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
0 0
12,22
RR
RR
RR
RR
0
1
0
1
0
1
0
1
98,15
52,79
98,15
52,79
0
80
0
80
P
P
0 0
0 0
4,72
11,99
0
0
R
R
R
0 0
0 0
0 0
12,94
6,91
0,00
100
100
0
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
11,05
14,60
8,66
12,99
11,29
18,75
100
100
100
100
100
100
0 0
15,47
100
R
R
R
0 0
0 0
0 0
11,45
16,28
28,56
100
100
100
0 0
0,00
RR
RR
RR
DC
DC
X
X
RM
RM
0 0
0 0
0,00
0,00
0
0
RR
RR
DC
DC
X
X
RM
RM
0 0
0 0
0,00
0,00
0
0
0 0
40,71
80
Page 48 of 243
Numro national
Dnomination abrge
0181679
0236617
0236621
HYGROTON 50 MG 100 CPR

C03BA11
indapamide
0224499
0224485
0045565
0585778
0585781
0205185
0205199
FLUDEX 1,5 MG 100 CPR LP UD

FLUDEX 1,5 MG 30 CPR LP
FLUDEX 2,5 MG 30 CPR
INDAPAMIDE DOC 2,5 MG 20 CPR
INDAPAMIDE DOC 2,5 MG 60 CPR
INDAPAMIDE EG 2,5 MG 20 DRG
INDAPAMIDE EG 2,5 MG 60 DRG
C03BX03
cicletanine
0136012
TENSTATEN 50 MG 30 CAPS
mode de
dlivrance
02480
02478
02479
C03CA01
furosemide
0170417
0047265
0136172
0143616
0136219
0156029
0047296
0047301
0136947
0304832
0063935
0689075
0063952
0063899
0063904
0656544
0063921
0064039
FURORESE 20 MG 5 AMP 2 ML IMIV

FURORESE 40 MG 20 CPR
FUROSEMID RATIO 20 MG 5 AMP 2 ML IMIV
FUROSEMID RATIO 20 MG 50 AMP 2 ML IMIV
FUROSEMID RATIO 250 MG 5 AMP 25 ML PERF
FUROSEMID RATIO 40 MG 100 CPR
FUROSEMIDE EG 40 MG 50 CPR SEC
FUROSEMIDE MYLAN 40 MG 50 CPR
LASIX 20 MG 5 AMP 2 ML IMIV
LASIX 20 MG 6 AMP 2 ML IMIV
LASIX 250 MG 5 AMP 25 ML PERF
LASIX 40 MG 12 CPR
LASIX 40 MG 50 CPR
LASIX 40 MG 50 CPR UD
LASIX 500 MG 20 CPR
LASIX P 30 MG 30 CAPS
C03CA02
bumetanide
0248568
0400311
0160571
0160553
0400324
BURINEX 1 MG 30 CPR
BURINEX 1 MG 50 CPR UD
BURINEX 2 MG 5 AMP 4 ML IMIV
BURINEX 5 MG 20 CPR
BURINEX 5 MG 50 CPR UD
C03CA04
torasemide
0361291
0361261
0361274
TORASEMID HEXAL 10 MG 100 CPR

conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
0 0
0 0
0 0
15,64
8,78
12,35
0
80
80
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
12,79
12,79
0,00
8,46
6,22
8,60
0
80
80
0
80
80
80
0 0
16,76
80
RR
R
RR
RR
RR
R
R
R
R
R
RR
RR
RR
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2,58
9,63
5,20
0,00
11,27
11,59
2,55
8,21
6,93
6,95
6,31
6,60
0,00
5,88
9,52
9,52
22,05
8,01
80
80
80
0
80
80
80
80
80
80
80
0
0
80
80
0
80
80
R
R
RR
R
R
0
0
0
0
0
0
0
0
0
0
7,66
0,00
8,81
12,00
0,00
80
0
80
80
0
R
R
R
0 0
0 0
0 0
17,71
10,71
13,51
0
0
0
Page 49 of 243
Numro national
Dnomination abrge
0361095
0361047
0361078
0361386
0361355
0361369
0361193
0361159
0361162
0268574
0275758
TORASEMID HEXAL 2,5 MG 100 CPR

TORREM 10 MG 20 CPR
TORREM 2,5 MG 56 CPR
C03DA01
spironolactone
0002554
0002568
0002599
0229593
0156046
0108908
0108911
0178271
0202393
0178298
0292759
0292745
ALDACTONE 100 MG 30 CPR

SPIRONOLACTON RATIO 100 MG 100 CPR
SPIRONOLACTONE EG 100 MG 30 CPR
SPIRONOLACTONE MYLAN 100 MG 50 CPR
SPIRONOLACTONE MYLAN 25 MG 50 CPR
C03DA02
potassium canrenoate
0106142
SOLDACTONE 200 MG 6 AMP
C03DA04
eplerenone
0385245
INSPRA 25 MG 30 CPR
C03DB02
triamterene
0350219
DYTAC 50 MG 28 CAPS
C03EA
Low-ceiling diuretics and potassium-sparing agents
0195464
0028855
DEHYDROSANOL TRI 30 DRG

DEHYDROSANOL TRI 50 DRG
C03EA01
hydrochlorothiazide and potassium-sparing agents
0004321
0225594
0004318
0037787
0037773
0073170
0073167
AMILORETIK 100 CPR

AMILORETIK 30 CPR
AMILORETIK 50 CPR
DYTENZIDE 112 CPR
DYTENZIDE 28 CPR
MODURETIC 112 CPR (EMB CALENDRIER)
MODURETIC 56 CPR (EMB CALENDRIER)
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11,00
2,60
6,72
22,05
13,22
15,91
14,64
10,15
11,81
10,90
9,22
0
0
0
0
0
0
0
0
0
80
80
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
13,16
17,58
8,79
9,67
25,51
7,16
15,63
11,28
15,29
7,77
12,66
7,75
80
80
80
80
80
80
80
80
80
80
80
80
RR
0 0
13,16
80
6 6
71,71
80
0 0
8,58
80
RR
RR
0 0
0 0
15,71
19,58
80
80
R
R
R
R
R
R
R
0
0
0
0
0
0
0
12,99
1,00
2,00
14,83
7,59
7,46
6,03
80
80
80
80
80
80
80
RR
IC
Page 50 of 243
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0292731
SPIRONOLACTON HCTZ MYLAN 56 CPR
C03EA03
epitizide and potassium-sparing agents
0037742
0037756
DYTA URESE 28 CAPS

DYTA URESE 56 CAPS
C03EA04
altizide and potassium-sparing agents
0002537
0002540
ALDACTAZINE 28 CPR
ALDACTAZINE 98 CPR
C03EB01
furosemide and potassium-sparing agents
0142328
0150526
0108780
0108763
0108777
0193961
0194193
FRUSAMIL 28 CPR
FRUSAMIL 56 CPR
SPIRO COMP FORTE RATIO 100 CPR
SPIRO COMP RATIO 20 CPR
SPIRO COMP RATIO 50 CPR
C04AD03
pentoxifylline
0132612
0132593
0132609
0467595
PENTOXIFYLLIN RATIO RET 400 MG 100 CAPS

TORENTAL 400 MG 60 CPR
C04AE01
ergoloid mesylates
0166611
0110193
IBEXONE 4,5 MG 30 CPR

STOFILAN FORTE 30 CPR
C04AE54
dihydroergocristine, combinations
0058899
ISKEDYL 6 AMP 2,5 ML IMIV
C04AX21
naftidrofuryl
0135175
0171963
0231476
PRAXILENE 100 MG 50 CPR

C05AA
Corticosteroids
0119929
0119915
TRIANAL 10 SUPP
TRIANAL POM 20 G
C05AA04
prednisolone
0052556
0311434
0102689
HEMOSEDAN POM 30 G
SCHERIPROCT POM 10*30 G
SCHERIPROCT POM 30 G
C05AA08
fluocortolone
0122728
ULTRAPROCT POM 30 GR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
0 0
10,63
80
R
R
0 0
0 0
8,80
11,49
80
80
RR
RR
0 0
0 0
8,94
17,30
80
80
R
R
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8,33
10,95
39,64
15,63
24,94
12,86
18,33
80
80
80
80
80
80
80
R
R
R
R
0
0
0
0
0
0
0
0
16,63
5,94
12,81
18,75
0
0
0
0
R
R
0 0
0 0
10,96
14,16
0
0
RR
0 0
3,31
R
R
R
0 0
0 0
0 0
14,43
24,73
29,72
0
0
0
RR
RR
0 0
0 0
6,90
8,99
80
80
RR
RR
RR
0 0
0 0
0 0
7,53
0,00
9,09
80
0
80
RR
0 0
8,10
80
Page 51 of 243
Numro national
Dnomination abrge
C05AD
Local anesthetics
0059123
0097317
ISOCHINOL SALBE 30 G
RECTOVASOL POM 20 G QUALIPHAR
C05AD03
benzocaine
0519612
0512592
SEDORRHOIDE CRISE HEMORROID 8 SUPP

SEDORRHOIDE CRISE HEMORROID CREME 30 G
C05AE01
glyceryl trinitrate
0460899
RECTOGESIC 0,4% POM 30 G
C05AX02
bismuth preparations, combinations
0389289
ANUSOL 18 SUPP
C05AX03
other preparations, combinations
0288773
COSE ANAL POM 20 G
C05BA01
organo-heparinoid
0264446
0054032
0338522
0054015
0338519
HEMERAN CREME 50 G
HIRUDOID CREME 100 G
HIRUDOID CREME 50 G
HIRUDOID GEL 100 G
HIRUDOID GEL 50 G
C05BA03
heparin
0052850
0206828
0547133
0547147
HEPARIN RATIO 30000 POM 100 G

HEPARIN RATIO 30000 POM 150 G
THROMBONOR 60000 U CREME 100 G
THROMBONOR 60000 U GEL 100 G
C05BB
Sclerosing agents for local injection
0444038
SCLEREMO 5 AMP 2 ML IV
C05BB02
polidocanol
0001395
0001400
0001414
0001428
AETHOXYSKLEROL 0,5% 5 AMP 2 ML

AETHOXYSKLEROL 1% 5 AMP 2 ML
C05C
CAPILLARY STABILIZING AGENTS
0329652
0597068
MEDIAVEN FORTE 30 MG 30 CPR

MEDIAVEN FORTE 30 MG 60 CPR
C05CA
Bioflavonoids
0275341
0136558
0170031
0170028
CEMAFLAVONE 20 AMP BUV

CYCLO 3 CREME 100 G
CYCLO 3 FORT 30 AMP BUV 5 ML
CYCLO 3 FORT 30 CAPS
mode de
dlivrance
conditions de
prescription
OD
PCC
Prix public
Taux
P
P
0 0
0 0
5,18
6,31
80
0
P
P
0 0
0 0
7,02
11,98
0
0
0 0
55,09
0 0
10,34
0 0
7,05
80
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
8,22
14,05
8,91
14,05
8,91
0
0
0
0
0
P
P
P
P
0
0
0
0
0
0
0
0
6,31
8,58
9,11
9,11
0
0
0
0
RR
0 0
7,90
RR
RR
RR
RR
0
0
0
0
0
0
0
0
13,86
16,64
21,27
25,39
0
0
0
0
P
P
0 0
0 0
22,30
37,85
0
0
P
P
P
P
0
0
0
0
3,89
6,18
6,10
7,05
0
0
0
0
Page 52 of 243
RMP
0
0
0
0
Numro national
Dnomination abrge
0141544
0136074
0413613
0377937
0492763
0699362
0699376
0699393
0300878
CYCLO 3 FORT 60 CAPS

DAFLON 500 MG 30 CPR
DAFLON 500 MG 30 CPR UD
DAFLON 500 PI-RO 500 MG 30 CPR
GINKOR FORT 30 CAPS
C05CA01
rutoside
0339841
0339855
0684728
0126095
0585327
0585331
0126145
0126159
VENORUTON 1 G 14 SACH
VENORUTON 2% GEL 100 G
VENORUTON FORTE 500 MG 10 CPR
C05CA03
diosmin
0209749
0147646
DIOSMIL 300 MG 30 CPR

DIOSMIL 300 MG 60 CPR
C05CA04
troxerutin
0235931
0125568
VEINAMITOL 1 G 14 SACH
VEINAMITOL 1 G 30 SACH
C05CA54
troxerutin, combinations
0297111
GINKOR FORT 30 SACH
C05CX
Other capillary stabilizing agents
0005234
0005248
0244135
0196492
0196508
0278505
0302421
0144286
0532466
0532483
0098359
0338469
AMPECYCLAL 300 MG 30 CAPS

DIFRAREL 100 MG 20 CPR
DIFRAREL 100 MG 4*20 CPR
DIFRAREL E 24 CPR
ESCINOGEL GEL 45 G
MEDIAVEN 10 MG 100 CPR
REPARIL DRAGEES 20 MG 20 CPR
REPARIL DRAGEES 20 MG 50 CPR
REPARIL GEL N 100 G
VENOSTASIN CREME 50 G
C07AA05
propranolol
0056474
INDERAL 10 MG 50 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
13,44
13,83
0,00
22,11
29,85
12,24
19,54
29,91
7,86
0
0
0
0
0
0
0
0
0
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14,23
26,02
44,48
11,47
36,67
39,15
16,40
25,79
0
0
0
0
0
0
0
0
P
P
0 0
0 0
6,22
12,05
0
0
P
P
0 0
0 0
8,79
15,08
0
0
0 0
7,86
P
P
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5,53
15,74
9,67
7,74
30,02
8,20
2,33
25,14
5,96
12,38
11,94
6,17
0
0
0
0
0
0
0
0
0
0
0
0
0 0
5,93
100
Page 53 of 243
Numro national
Dnomination abrge
0056507
0056569
0056572
0246739
0167961
0167957
INDERAL 40 MG 100 CPR

INDERAL RET 160 MG 56 CAPS
INDERAL RET MITIS 80 MG 42 CAPS
INDERAL RET MITIS 80 MG 42 CAPS UD
PROPRANOLOL EG 40 MG 100 CPR
PROPRANOLOL RET EG 160 MG 56 CAPS
C07AA07
sotalol
0530203
SOTALEX 160 MG 50 CPR
C07AB02
metoprolol
0211974
0167281
0208451
0167263
0204336
0208464
0204322
0401576
0401559
0401562
0401711
0401691
0401707
0401173
0401142
0401156
0401304
0401285
0401299
0401451
0401433
0401447
0527581
0527614
0527631
0527662
0213111
0213092
0213108
0213142
0213125
0213139
0237046
0236942
METOHEXAL 100 MG 30 CPR

METOHEXAL RET 200 MG 100 CPR
METOHEXAL SUCC 142,5 MG 100 CPR BLIST
METOHEXAL SUCC 190 MG 100 CPR BLIST
METOPROLOL EG 100 MG 28 CPR
METOPROLOL RATIO 100 MG 100 CPR
PRELIS 200 MG 100 CPR
02191
02947
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
8,60
13,66
9,52
0,00
7,66
11,68
100
100
100
0
100
100
0 0
10,88
100
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10,40
10,96
4,31
10,33
17,00
9,90
12,00
19,97
12,00
15,00
21,27
12,00
15,74
12,59
6,30
11,12
13,58
6,30
10,00
16,50
9,60
13,00
8,13
10,71
9,87
13,26
15,09
6,27
10,52
9,30
4,30
6,93
17,12
22,34
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
Page 54 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0236956
0103560
0103607
0135726
0404971
0152193
0183057

02163
SELOKEN 100 MG 100 CPR
SELOKEN 5 MG 5 AMP 5 ML IV
SELOZOK 190 MG 28 CPR
SELOZOK 95 MG 28 CPR UD
C07AB03
atenolol
0155617
0208304
0155603
0237967
0237971
0237998
0238009
0238026
0238043
0299018
0298993
0215844
0229786
0219695
0231851
0215827
0320853
ATEHEXAL 100 MG 100 CPR

ATENOLOL EG 100 MG 28 CPR
DOCATENO 100 MG 56 CPR
DOCATENO 50 MG 56 CPR
TENORMIN 100 MG 56 CPR
TENORMIN 100 MG 56 CPR UD
TENORMIN MINOR 25 MG 56 CPR
TENORMIN MINOR 25 MG 56 CPR UD
TENORMIN MITIS 50 MG 56 CPR
TENORMIN MITIS 50 MG 56 CPR UD
C07AB04
acebutolol
0102966
0102983
0150378
0150381
SECTRAL 400 MG 28 CPR

SECTRAL 400 MG 70 CPR
SECTRAL GE 200 MG 28 CPR
SECTRAL GE 200 MG 56 CPR
C07AB05
betaxolol
0204742
0204756
KERLON 20 MG 28 CPR
KERLON 20 MG 56 CPR
C07AB07
bisoprolol
0301584
0301598
0301567
0301571
0686252
0686204
0686218
0686249
BISOPROLOL EG 10 MG 28 CPR
BISOPROLOL RATIO 10 MG 100 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
RR
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
13,59
15,35
14,16
12,61
8,51
9,91
0,00
100
100
100
100
100
100
0
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
19,17
9,84
14,61
9,74
13,45
6,06
7,47
7,31
10,05
12,19
9,30
18,18
0,00
8,35
0,00
12,00
0,00
100
100
100
100
100
100
100
100
100
100
100
100
0
100
0
100
0
R
R
R
R
0
0
0
0
0
0
0
0
12,49
19,60
9,14
11,71
100
100
100
100
R
R
0 0
0 0
12,02
17,02
100
100
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
9,21
10,54
6,98
7,41
14,32
11,41
12,30
14,26
100
100
100
100
0
0
0
0
Page 55 of 243
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0686168
0686106
0686123
0686154
0659949
0659983
0660015
0659644
0659563
0659613
0659791
0659837
0659868
0024579
0024551
0024601
0024582
0273588
0273561

BISOPROLOL SDZ 10 MG 28 CPR
BISOPROLOL SDZ 2,5 MG 100 CPR
CONCOR 10 MG 100 CPR
CONCOR 10 MG 30 CPR
CONCOR 5 MG 100 CPR
CONCOR 5 MG 30 CPR
CONCOR COR 2,5 MG 100 CPR
CONCOR COR 2,5 MG 30 CPR
C07AB08
celiprolol
0137099
0137104
0226297
SELECTOL 200 MG 28 CPR

C07AB09
esmolol
0607679
BREVIBLOC 100 MG 5 FL V 10 ML IV
C07AB12
nebivolol
0486539
0486573
0486591
0495264
0495183
0495197
0530508
0628701
0306482
0306496
0306501
NEBIVOLOL EG 5 MG 28 CPR
NEBIVOLOL HEXAL 5 MG 100 CPR
NOBITEN 5 MG 100 CPR
NOBITEN 5 MG 100 CPR UD
NOBITEN 5 MG 28 CPR
NOBITEN 5 MG 56 CPR
NOBITEN 5 MG 56 CPR UD
C07AG01
labetalol
0118756
0118725
0118739
TRANDATE 100 MG 5 AMP 20 ML IV

TRANDATE 100 MG 75 CPR
TRANDATE 200 MG 75 CPR
C07AG02
carvedilol
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12,16
10,53
11,06
12,13
8,96
9,86
17,01
10,03
5,84
6,57
6,92
7,37
10,38
25,08
15,93
19,27
13,93
15,50
12,31
0
0
0
0
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
R
R
R
0 0
0 0
0 0
8,99
11,81
11,81
100
100
100
0 0
0,00
RR
HC
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11,17
13,94
0,00
12,85
10,05
10,95
25,65
0,00
11,87
16,41
0,00
100
100
0
100
100
100
100
0
100
100
0
RR
R
R
0 0
0 0
0 0
0,00
12,28
17,08
0
100
100
Page 56 of 243
Numro national
Dnomination abrge
mode de
dlivrance
0396249
0396283
0395093
0395126
0171669
0234092
0164549
0234089
CARVEDILOL EG 25 MG 56 CPR
CARVEDILOL EG 25 MG 98 CPR
CARVEDILOL EG 6,25 MG 56 CPR
CARVEDILOL EG 6,25 MG 98 CPR
DIMITONE 25 MG 56 CPR
KREDEX 12,5 MG 14 CPR
KREDEX 25 MG 56 CPR
KREDEX 6,25 MG 56 CPR
C07BB
Beta blocking agents, selective, and thiazides
0522831
0522859
0522862
0522909
0522926
0522943
NOBIRETIC 5/12,5 MG 28 CPR

NOBIRETIC 5/25 MG 28 CPR
C07BB02
metoprolol and thiazides
0193281
0193263
0193277
0206121
METOHEXAL COMP 100 CPR

ZOKZID 28 CPR
C07BB04
acebutolol and thiazides
0102997
0103008
SECTRAZIDE 28 CPR
SECTRAZIDE 70 CPR
C07BB07
bisoprolol and thiazides
0348272
0348319
0348031
0348062
0194968
0194937
COBISOPROLOL EG 10/25 MG 28 CPR

COBISOPROLOL EG 10/25 MG 56 CPR
COBISOPROLOL EG 5/12,5 MG 28 CPR
COBISOPROLOL EG 5/12,5 MG 56 CPR
CONCOR 10 PLUS 30 CPR
CONCOR 5 PLUS 30 CPR
C07CB02
metoprolol and other diuretics
0237032
0236746
0236763
PRELIS COMP 100 CPR

PRELIS COMP 30 CPR
PRELIS COMP 50 CPR
C07CB03
atenolol and other diuretics
0238061
0238074
0218622
0218653
ATENOLOL/CHLORTALIDONE EG 28 CPR
ATENOLOL/CHLORTALIDONE EG 56 CPR
TENORETIC 100/25 56 CPR
TENORETIC MITIS 50/12,5 56 CPR
C07FB02
metoprolol and other antihypertensives
0209007
LOGIMAT 10 MG 28 CPR PL
02206
02949
02203
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14,98
24,34
7,79
10,50
18,26
6,59
18,26
8,81
100
100
100
100
100
100
100
100
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
17,07
24,58
35,54
17,07
24,58
35,54
100
100
100
100
100
100
R
R
R
R
0
0
0
0
0
0
0
0
17,20
10,61
11,72
9,88
100
100
100
100
R
R
0 0
0 0
13,94
23,32
100
100
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
9,35
11,07
7,52
8,03
17,63
14,02
100
100
100
100
100
100
R
R
R
0 0
0 0
0 0
129,42
51,59
72,81
80
80
80
R
R
R
R
0
0
0
0
0
0
0
0
9,61
14,95
19,18
12,62
100
100
100
100
0 0
9,65
100
Page 57 of 243
Numro national
Dnomination abrge
0208996
LOGIMAT 5 MG 28 CPR PL
C07FB03
atenolol and other antihypertensives
0154394
TENIF 28 CAPS
C08CA01
amlodipine
0445388
0445309
0445343
0445245
0445361
0445276
0445777
0445696
0445729
0445648
0445746
0445679
0445584
0445505
0445536
0445441
0445567
0445472
0491508
0491427
0491458
0491329
0491248
0491279
0657748
0657801
0657703
0657541
0657619
0657507
0657572
0657538
0657605
0466732
0466679
0466536
0466571
0466598
0418993
AMLODIPIN HEXAL 10 MG 100 CPR

AMLODIPIN HEXAL 10 MG 100 CPR BLIST
AMLODIPIN HEXAL 7,5 MG 100 CPR
AMLODIPIN HEXAL 7,5 MG 100 CPR BLIST
AMLODIPIN N RATIO 10 MG 100 CPR
AMLODIPINE BESILAAT SDZ 10 MG 100 CPR
AMLODIPINE BESILAAT SDZ 10 MG 100 CPR(FL
AMLODIPINE BESILAAT SDZ 5 MG 100 CPR (FL
AMLODIPINE BESILAAT SDZ 5 MG 30 CPR (FL)
AMLODIPINE BESILAAT SDZ 5 MG 60 CPR (FL)
AMLODIPINE BESILATE EG 10 MG 100 CPR
AMLODIPINE EG 10 MG 100 CPR
mode de
dlivrance
conditions de
prescription
OD
PCC
Prix public
Taux
0 0
7,63
100
0 0
10,88
100
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14,02
14,99
9,58
10,37
11,47
11,47
12,40
13,26
8,00
8,00
10,67
11,23
13,63
13,63
9,50
9,50
11,10
11,10
12,70
6,88
11,10
11,68
7,51
9,95
24,69
28,73
10,09
12,37
13,78
10,21
10,39
11,03
12,02
24,68
10,10
10,24
11,05
12,40
24,68
0
100
0
100
0
100
0
100
0
100
0
100
0
100
0
100
0
100
100
100
100
100
100
100
100
0
100
100
0
100
0
100
0
100
100
100
100
100
0
Page 58 of 243
RMP
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0418895
0418671
0418718
0418766
0512061
0512074
0590019
0158314
0291461
0158301
0291457
0589991
0622188
AMLOGAL DIVULE 10 MG 28 CPR
AMLOGAL DIVULE 10 MG 98 CPR
AMLOR 10 MG 100 CAPS
AMLOR 10 MG 30 CAPS
AMLOR 10 MG 30 CAPS UD
AMLOR 5 MG 28 CAPS
AMLOR 5 MG 30 CAPS UD
AMLOR 5 MG 56 CAPS
AMLOR 5 MG 98 CAPS
C08CA02
felodipine
0325409
0325412
0325362
0325376
0333333
0333395
0333171
0333235
0239931
0239894
0143681
0181973
0151331
0181987
FELODIPIN RATIO 10 MG 20 CPR PL

FELODIPINE EG 10 MG 28 CPR PL
PLENDIL RET 10 MG 28 CPR
PLENDIL RET 5 MG 28 CPR
RENEDIL 10 MG 28 CPR PL
RENEDIL 10 MG 28 CPR PL UD
RENEDIL 5 MG 28 CPR PL
RENEDIL-5CPR.L1*28 CPR.U.D.
C08CA04
nicardipine
0192865
0181151
RYDENE 5 MG 10 AMP 5 ML IV
RYDENE RET 45 MG 60 CAPS
C08CA05
nifedipine
0183544
0380141
0000787
0260755
0260769
0078633
0078602
0078616
0135953
0156032
0419083
ADALAT OROS 30 MG 28 CPR

ADALAT OROS 60 MG 56 CPR
ADALAT RET 20 MG 30 CPR
HYPAN 40 MG 28 CPR
HYPAN 40 MG 56 CPR
NIFEDIPIN RATIO 10 MG 100 CAPS
NIFEDIPIN RATIO 20 MG/ML GTTS 30 ML
NIFEDIPIN RATIO GTTS 100 ML
NIFEDIPINE RET MYLAN 30 MG 56 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10,10
10,24
11,05
12,40
9,94
27,80
28,22
10,35
0,00
10,49
0,00
11,35
13,41
0
0
0
0
0
0
100
100
0
100
0
100
100
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9,32
21,40
5,91
17,97
11,15
23,97
7,77
16,61
14,08
9,70
16,38
0,00
12,15
0,00
100
100
100
100
100
100
100
100
100
100
0
0
0
0
0 0
0 0
0,00
17,76
0
100
0
0
0
0
0
0
0
0
0
0
0
12,28
28,33
10,41
14,64
20,32
12,09
6,00
7,99
8,12
22,26
17,00
100
100
100
100
100
100
100
100
100
100
100
RR
R
R
R
R
R
R
R
R
R
R
R
R
Page 59 of 243
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0417187
NIFEDIPINE RET MYLAN 30 MG 98 CPR
C08CA06
nimodipine
0078762
0078759
NIMOTOP 10 MG 1 FL 50 ML PERF
NIMOTOP 30 MG 50 CPR
C08CA07
nisoldipine
0237824
0246001
0259866
0237838
0246014
0259883
0231011
0231025
SULAR 10 MG 28 CPR
SULAR 10 MG 56 CPR
SULAR 10 MG 56 CPR UD
SULAR 20 MG 28 CPR
SULAR 20 MG 56 CPR
SULAR 20 MG 56 CPR UD
SYSCOR 10 MG 28 CPR PL
SYSCOR 20 MG 28 CPR PL
C08CA08
nitrendipine
0011116
0011133
BAYPRESS 20 MG 14 CPR
BAYPRESS MITIS 10 MG 28 CPR
C08CA09
lacidipine
0181696
0230238
MOTENS 4 MG 28 CPR
MOTENS 4 MG 50 CPR UD
C08CA12
barnidipine
0288675
0288689
0288692
0288708
VASEXTEN 10 MG 28 CAPS
C08CA13
lercanidipine
0566948
0566996
0567055
0567119
0228941
0524853
0376845
0524867
LERCANIDIPINE EG 10 MG 28 CPR
ZANIDIP 10 MG 28 CPR
C08DA01
verapamil
0059817
0059803
0059834
0059820
0182971
0182967
0059882
ISOPTIN 120 MG 100 DRG

ISOPTIN KHK RET 120 MG 100 CPR
ISOPTIN KHK RET 120 MG 50 CPR
ISOPTIN MITE 40 MG 100 DRG
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
0 0
23,69
100
0 0
0 0
0,00
19,63
0
0
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
13,99
19,82
0,00
19,82
28,46
0,00
13,99
19,82
100
100
0
100
100
0
100
100
R
R
0 0
0 0
12,01
12,01
100
100
R
R
0 0
0 0
13,93
0,00
100
0
R
R
R
R
0
0
0
0
0
0
0
0
20,10
28,86
29,06
42,58
100
100
100
100
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10,71
17,10
15,75
21,47
11,29
16,85
16,20
23,37
100
100
100
100
100
100
100
100
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
17,19
13,75
14,62
12,26
20,74
15,34
11,99
100
100
100
100
100
100
100
RR
R
Page 60 of 243
Numro national
Dnomination abrge
0059879
0059896
0328753
ISOPTIN MITE 40 MG 50 DRG

ISOPTIN RR RET 240 MG 50 CPR
ISOPTIN RR RET 240 MG 98 CPR
C08DA51
verapamil, combinations
0392317
0392334
TARKA 180/2 MG 28 CPR

TARKA 180/2 MG 98 CPR
C08DB01
diltiazem
0191501
0191496
0723454
0723468
0723549
0723597
0723602
0723695
0253151
0253165
0364567
0253179
0488578
0231333
0364553
0253182
0116992
0116989
0231896
0180641
0246191
0241522
0245132
0241536
0245146
0241553
0245163
0241567
0246207
0241571
DILTAHEXAL RET 90 MG 100 CPR

DILTAHEXAL RET 90 MG 50 CPR
DILTIAZEM SDZ 200 MG 28 CAPS
DILTIAZEM SDZ 200 MG 28*1 CAPS
DILTIAZEM SDZ 300 MG 28*1 CAPS
PROGOR 120 MG 28 CAPS
PROGOR 300 MG 28 CAPS PL
TILDIEM 60 MG 100 CPR
TILDIEM 60 MG 50 CPR
TILDIEM RET 200 MG 28 CAPS
TILDIEM RET 300 MG 28 CAPS
VIAZEM 120 MG 3 CAPS
C09AA01
captopril
0230577
0230581
0214184
0214167
0214171
CAPOTEN 25 MG 60 CPR
CAPOTEN 50 MG 60 CPR
CAPTOHEXAL 25 MG 100 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
0 0
0 0
0 0
10,80
20,79
30,06
100
100
100
R
R
0 0
0 0
27,94
65,79
100
100
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15,27
12,14
11,17
0,00
23,53
12,76
0,00
27,47
8,53
10,27
12,14
11,53
15,86
12,20
17,25
13,18
11,36
10,07
13,96
15,93
0,00
12,88
0,00
18,10
0,00
21,94
0,00
24,94
0,00
26,92
100
100
0
0
0
0
0
0
100
100
100
100
100
100
100
100
100
100
100
100
0
100
0
100
0
100
0
100
0
100
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
9,30
11,71
11,17
4,21
6,22
100
100
100
100
100
Page 61 of 243
Numro national
Dnomination abrge
0214217
0214198
0214203
0214248
0214221
0214234
0451385
0451404
0455949
0482414
0708461
0708475
0298816
0298847

CAPTOHEXAL COR 12,5 MG 100 CPR
CAPTOPRIL EG 100 MG 30 CPR
CAPTOPRIL MYLAN 100 MG 30 CPR
CAPTOPRIL MYLAN 100 MG 60 CPR
DOCCAPTOPRI 25 MG 60 CPR
DOCCAPTOPRI 50 MG 60 CPR
C09AA02
enalapril
0419214
0419231
0419245
0419151
0098233
0229917
0252851
0098247
ENALAPRIL EG 20 MG 28 CPR
RENITEC 20 MG 28 CPR
RENITEC 5 MG 28 CPR
C09AA03
lisinopril
0351829
0351863
0351881
0351671
0351703
0309274
0309257
0309261
0309338
0309311
0309324
0146201
0211571
0328509
0146196
0246791
LISINOPRIL EG 20 MG 28 CPR
LISINOPRIL RATIO 20 MG 100 CPR
ZESTRIL 20 MG 28 CPR
ZESTRIL 20 MG 56 CPR
ZESTRIL 20 MG 56 CPR UD
ZESTRIL 5 MG 28 CPR
ZESTRIL 5 MG 28 CPR UD
C09AA04
perindopril
0406278
0406281
COVERSYL 10 MG 60 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12,22
5,40
9,84
7,31
2,95
4,24
9,53
12,74
7,45
9,36
8,96
12,74
10,31
14,56
100
100
100
100
100
100
100
100
100
100
100
100
100
100
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9,70
10,40
15,00
6,11
10,22
13,81
20,17
6,23
100
100
100
100
100
100
100
100
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10,71
16,20
23,34
5,45
7,63
13,43
10,30
11,27
11,46
5,99
10,46
11,90
19,50
0,00
6,72
0,00
100
100
100
100
100
100
100
100
100
100
100
100
100
0
100
0
R
R
0 0
0 0
31,52
40,93
100
100
Page 62 of 243
Numro national
Dnomination abrge
0279709
0406121
0406152
0353581
COVERSYL 4 MG 30 CPR UD
C09AA05
ramipril
0365922
0492781
0368471
0196928
0196931
0492777
0241987
TRITACE 10 MG 28 CPR BLIST

TRITACE 10 MG 50 CPR UD
TRITACE 10 MG 56 CPR
TRITACE 2,5 MG 28 CPR
TRITACE 5 MG 28 CPR
TRITACE 5 MG 50 CPR UD
TRITACE 5 MG 56 CPR
C09AA06
quinapril
0163881
0249663
0273087
0286846
0163877
0248117
0412499
0412521
0412535
0412275
0412308
ACCUPRIL 20 MG 28 CPR
ACCUPRIL 20 MG 28 CPR UD
QUINAPRIL EG 20 MG 28 CPR
C09AA07
benazepril
0215181
0236584
0236567
0236571
0254811
0254825
0257116
0215178
0236201
0236181
0236195
CIBACEN 10 MG 28 CPR
CIBACEN 5 MG 28 CPR
CIBACEN 5 MG 42 CPR
CIBACEN 5 MG 98 CPR
C09AA08
cilazapril
0523582
0182192
INHIBACE 0,5 MG 30 CPR SEC

INHIBACE 5 MG 28 CPR SEC
C09AA09
fosinopril
0185021
FOSINIL 20 MG 28 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
0
0
0
0
0
0
0
0
0,00
12,30
23,81
58,94
0
100
100
0
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18,07
0,00
26,49
8,60
11,93
0,00
16,85
100
0
0
100
100
0
0
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10,63
0,00
25,42
0,00
5,51
0,00
10,57
15,31
25,91
5,47
7,71
100
0
100
0
100
0
100
100
100
100
100
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10,58
0,00
11,54
15,08
11,47
12,82
17,74
9,90
0,00
10,56
13,05
100
0
100
100
100
100
100
100
0
100
100
R
R
0 0
0 0
6,73
16,87
100
100
0 0
21,06
100
Page 63 of 243
Numro national
Dnomination abrge
C09AA10
trandolapril
0425953
0425922
UDRIK 2 MG 100 CAPS

UDRIK 2 MG 20 CAPS
C09BA02
enalapril and diuretics
0350558
0350589
0350625
0247963
0252834
CO ENALAPRIL EG 20/12,5 MG 28 CPR

CO RENITEC 56 CPR
CO RENITEC 98 CPR
C09BA03
lisinopril and diuretics
0420053
0420098
0358184
0358153
0358167
0358072
0358024
0358038
0166798
0248084
0262875
COLISINOPRIL EG 20/12,5 MG 28 CPR

COLISINOPRIL EG 20/12,5 MG 56 CPR
LISINOPRIL RATIO COMP 10/12,5 MG 100 CPR
ZESTORETIC 28 CPR
ZESTORETIC 56 CPR
ZESTORETIC 56 CPR UD
C09BA04
perindopril and diuretics
0544261
0544274
0471987
0472029
0471875
0471911
0471763
0471813
0252445
0471651
0471696
COVERSYL PLUS 10/2,5 MG 60 CPR (FL)

COVERSYL PLUS 10/2,5 MG 90 CPR (FL)
COVERSYL PLUS 2,5/0,625 MG 30 CPR
COVERSYL PLUS 2,5/0,625 MG 90 CPR
COVERSYL PLUS 5/1,25 MG 30 CPR
COVERSYL PLUS 5/1,25 MG 90 CPR
PRETERAX 2,5/0,625 MG 30 CPR
PRETERAX 2,5/0,625 MG 90 CPR
PRETERAX 2/0,625 MG 30 CPR SEC
PRETERAX 5/1,25 MG 30 CPR
PRETERAX 5/1,25 MG 90 CPR
C09BA05
ramipril and diuretics
0209038
0230627
TRITAZIDE 28 CPR
TRITAZIDE 56 CPR
C09BA06
quinapril and diuretics
0197201
0197214
0419763
0419813
ACCURETIC 10/12,5 28 CPR

ACCURETIC 20/12,5 28 CPR
COQUINAPRIL 20/12,5 MG 28 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
0 0
0 0
24,24
10,40
100
100
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
7,97
9,47
13,48
12,54
18,07
0
0
0
100
100
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11,57
14,53
0,00
11,74
13,89
0,00
12,08
14,51
12,27
19,51
0,00
100
100
0
100
100
0
100
100
100
100
0
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30,51
39,58
18,12
36,20
15,60
30,53
25,93
48,89
16,87
27,48
52,71
100
100
100
100
100
100
0
0
80
0
0
R
R
0 0
0 0
12,55
17,50
100
100
R
R
R
R
0
0
0
0
9,77
10,03
9,95
13,99
80
100
100
100
Page 64 of 243
0
0
0
0
Numro national
0419827
Dnomination abrge
C09BA07
benazepril and diuretics
0254842
0254856
0254873
CIBADREX 10/12,5 MG 28 CPR

C09BA08
cilazapril and diuretics
0206408
CO INHIBACE 5/12,5 MG 28 CPR
C09BB02
enalapril and lercanidipine
0514227
0514115
0514129
0514132
0514146
0514163
0514177
0514181
0514101
0514194
0514213
0514096
0514003
0514017
0514021
0514034
0514048
0514051
0514065
0513992
0514079
0514082
0505228
0505276
0505309
0505357
0505407
0505424
LERCAPREL 10/10 MG 100 CPR

ZANICOMBO 10/10 MG 28 CPR
C09BB04
perindopril and amlodipine
0500252
0500266
0500722
0500736
0500381
COVERAM 10/10 MG 60 CPR

mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
0 0
22,18
R
R
R
0 0
0 0
0 0
12,22
14,42
23,83
100
100
100
0 0
19,36
100
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
22,02
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
22,02
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
17,06
24,54
38,08
17,06
24,54
38,08
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100
100
0
100
100
0
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
60,64
87,14
54,06
77,65
28,25
100
100
100
100
100
Page 65 of 243
Numro national
Dnomination abrge
0500428
0500543
0500588

C09BB05
ramipril and felodipine
0446595
0444427
TAZKO 5/5 MG 28 CPR

TAZKO 5/5 MG 98 CPR
C09CA01
losartan
0329683
0329702
0341447
0697967
0511466
0209171
0209184
0249646
0698107
0345284
0252915
0562112
0562059
0562062
0562076
0508295
0479758
0479761
0508278
0479873
0479887
COZAAR 100 MG 28 CPR

COZAAR 100 MG 98 CPR
COZAAR 100 MG 98 CPR UD
COZAAR 100 PI-IT 100 MG 98 CPR UD
COZAAR 2,5 MG/ML PSV 200 ML
COZAAR 50 MG 28 CPR
COZAAR 50 MG 56 CPR
COZAAR 50 MG 98 CPR
COZAAR 50 PI-PL 50 MG 98 CPR
LOORTAN 100 MG 98 CPR
LOORTAN 50 MG 98 CPR
LOSARTAN EG 100 MG 98 CPR
LOSARTAN RATIO 100 MG 28 CPR
C09CA02
eprosartan
0281643
0328705
TEVETEN 600 MG 28 CPR

TEVETEN 600 MG 98 CPR
C09CA03
valsartan
0567492
0310938
0310941
0310972
0311001
0634421
0634483
0634533
0634578
0634337
DIOVAN 3 MG/ML SOL 160 ML

DIOVAN 80 MG 28 CPR
DIOVAN 80 MG 98 CPR
DIOVAN PROTECT 160 MG 28 CPR
DIOVAN PROTECT 160 MG 98 CPR
VALSARTAN EG 160 MG 28 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
0 0
0 0
0 0
58,69
22,43
45,01
100
100
100
R
R
0 0
0 0
19,42
43,97
100
100
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14,28
29,02
0,00
0,00
62,51
14,02
22,21
29,02
36,34
29,02
29,02
23,37
13,62
19,56
23,37
23,73
27,93
36,15
14,01
17,82
25,45
100
100
0
0
0
100
100
100
0
100
100
100
100
100
100
100
100
100
100
100
100
R
R
0 0
0 0
22,64
51,88
100
100
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
17,26
24,34
63,72
27,50
75,26
14,95
27,33
12,62
30,59
13,15
0
100
100
100
100
100
100
100
100
100
Page 66 of 243
0
0
0
0
0
0
0
0
0
0
Numro national
0634385
0575236
0575267
0575284
0621339
0621356
0621391
0574998
0575111
0575138
0575155
Dnomination abrge
VALSARTAN RATIO 160 MG 28 CPR
C09CA04
irbesartan
0240959
0730901
0240993
0730929
0241018
0240928
0692781
0692831
0692876
0692943
0684891
0684972
0543103
0543121
0543165
0543196
0543229
0543263
0543005
0543022
0543084
0631822
0631853
0631898
0631982
0632007
0632041
0631661
0631688
0631724
APROVEL 150 MG 28 CPR

APROVEL 150 MG 56*1 CPR
APROVEL 300 MG 56*1 CPR
IRBESARTAN EG 150 MG 28 CPR
IRBESARTAN MYLAN 150 MG 28 CPR (CALENDR)
IRBESARTAN MYLAN 300 MG 98 CPR (CALENDR)
IRBESARTAN RATIO 150 MG 28 CPR
IRBESARTAN SDZ 150 MG 28 CPR
C09CA06
candesartan
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
25,50
20,56
32,03
37,68
24,19
38,77
46,55
14,78
18,19
27,73
31,90
100
100
100
100
100
100
100
100
100
100
100
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14,42
0,00
14,42
0,00
29,99
29,02
14,00
29,99
14,00
22,26
14,42
29,99
15,37
27,54
37,69
22,33
39,32
53,44
15,32
23,97
37,14
14,42
23,97
29,99
14,42
23,97
29,99
14,42
23,97
29,99
100
0
100
0
100
0
0
0
0
0
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
Page 67 of 243
Numro national
Dnomination abrge
0245096
0272112
0319432
0319446
0382209
0245082
0272093
0342525
0342539
0637258
0637308
0637499
0637065
0637115
0602591
0602611
0602641
0602672
0602705
0602736
0602414
0602431
0602462
0602509
0602526
0602561
ATACAND 16 MG 28 CPR
ATACAND 16 MG 98 CPR UD
ATACAND 8 MG 28 CPR
ATACAND 8 MG 56 CPR
ATACAND 8 MG 98 CPR
ATACAND 8 MG 98 CPR UD
CANDESARTAN EG 16 MG 28 CPR
CANDESARTAN RATIO 16 MG 28 CPR
C09CA07
telmisartan
0353434
0353353
0353398
0353403
0353417
0260965
0338571
0704204
0261007
0338567
0704235
0261011
0261024
0672471
0672565
0672629
KINZALMONO 20 MG 28 CPR
MICARDIS 40 MG 28 CPR
MICARDIS 40 MG 28 CPR UD
TELMISARTAN MYLAN 40 MG 28 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
16,61
23,94
32,32
0,00
45,13
14,07
19,94
26,92
0,00
15,16
27,30
33,40
13,59
22,76
14,89
20,16
34,17
20,55
32,17
39,44
15,21
22,04
28,01
13,71
18,66
20,93
100
100
100
0
100
100
100
100
0
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
16,45
22,77
32,67
48,32
72,39
20,85
0,00
0,00
29,95
0,00
0,00
43,97
65,53
15,70
15,70
38,02
0
100
100
100
100
100
0
0
100
0
0
100
100
0
0
0
Page 68 of 243
Numro national
Dnomination abrge
C09CA08
olmesartan medoxomil
0359701
0359732
0359763
0359794
0359781
0359827
0359858
0359844
0357254
0357268
0357299
0357304
0357318
0357349
0357335
0357352
0357366
0357402
0357397
BELSAR 10 MG 28 CPR
BELSAR 10 MG 50 CPR UD
BELSAR 20 MG 28 CPR
BELSAR 20 MG 98 CPR
BELSAR 40 MG 28 CPR
BELSAR 40 MG 98 CPR
OLMETEC 10 MG 14 CPR
OLMETEC 10 MG 50 CPR UD
C09D
ANGIOTENSIN II ANTAGONISTS, COMBINATIONS
0447351
0447396
EXFORGE 10/160 MG 28 CPR

C09DA01
losartan and diuretics
0539954
0244345
0244359
0249632
0315545
0315562
0264589
0322991
0562286
0562157
0562174
0562207
0562417
0578319
0578322
0578336
0566755
0566786
0566805
COZAAR PLUS 100/12,5 MG 98 CPR

COZAAR PLUS 28 CPR
COZAAR PLUS 56 CPR
COZAAR PLUS 98 CPR
COZAAR PLUS FORTE 100/25 MG 28 CPR
COZAAR PLUS FORTE 100/25 MG 98 CPR
LOORTAN PLUS 50/12,5 MG 98 CPR
LOORTAN PLUS FORTE 100/25 MG 98 CPR
LOSARTAN PLUS EG 100/12,5 MG 98 CPR
LOSARTAN PLUS FORTE EG 100/25 MG 98 CPR
LOSARTAN RATIO COMP 100/12,5 MG 28 CPR
LOSARTAN RATIO COMP 100/25MG 28CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
22,89
0,00
26,15
0,00
61,50
30,74
0,00
74,29
16,02
22,77
0,00
19,14
26,04
0,00
61,39
23,61
30,62
0,00
74,18
100
0
100
0
100
100
0
100
0
100
0
0
100
0
100
0
100
0
100
R
R
0 0
0 0
44,11
110,28
100
100
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
29,02
14,28
22,21
29,02
14,28
29,02
29,02
29,02
26,19
13,67
19,56
23,37
23,37
25,60
41,24
58,75
26,33
48,47
59,21
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
Page 69 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0566562
0566609
0566612
LOSARTAN RATIO COMP 50/12,5MG 28CPR

C09DA02
eprosartan and diuretics
0389681
0389695
0389701
TEVETEN PLUS 600/12,5 MG 28 CPR

C09DA03
valsartan and diuretics
0353841
0353868
0253523
0253541
0389731
0389759
0690739
0690787
0690837
0690871
0690658
0690692
0646789
0646825
0646873
0646968
0647013
0647058
0646601
0646646
0646694
0627296
0627315
0627346
0627431
0627458
0627489
0641197
0641233
0641278
0641328
0641359
0641409
0627171
0627198
CODIOVAN 160/12,5 MG 28 CPR

CODIOVAN FORTE 160/25 MG 28 CPR
CODIOVAN FORTE 160/25 MG 98 CPR
COVALSARTAN EG 160/12,5 MG 28 CPR
COVALSARTAN EG 160/25 MG 28 CPR
COVALSARTAN EG 160/25 MG 98 CPR
COVALSARTAN SDZ 160/12,5 MG 28 CPR
COVALSARTAN SDZ 160/25 MG 28 CPR
VALSARTAN RATIO COMP 160/12,5 MG 28 CPR
VALSARTAN RATIO COMP 160/25 MG 28 CPR
VALSARTAN RATIO COMP 320/12,5MG 28 CPR
VALSARTAN RATIO COMP 320/25MG 28 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
0 0
0 0
0 0
15,83
24,43
37,69
100
100
100
R
R
R
0 0
0 0
0 0
24,08
64,44
61,35
100
0
100
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
31,43
83,82
27,70
71,14
36,06
99,54
15,16
27,95
15,16
27,95
11,66
26,70
15,16
23,64
30,37
15,16
23,64
30,37
15,32
19,62
26,68
21,96
33,78
41,95
25,19
38,33
49,81
26,29
40,24
52,41
28,98
43,87
58,98
19,34
29,66
100
100
100
100
100
100
0
0
0
0
0
0
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
Page 70 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0627217
0627221

C09DA04
irbesartan and diuretics
0258273
0258306
0730994
0258337
0441491
0441541
0441537
0693002
0693051
0693095
0693145
0693212
0693274
COAPROVEL 150/12,5 28 CPR

COAPROVEL 300/12,5 56*1 CPR
COAPROVEL 300/25 28 CPR
COAPROVEL 300/25 56 CPR UD
COAPROVEL 300/25 98 CPR
IRBESARTAN HCT EG 150/12,5 MG 28 CPR
IRBESARTAN HCT EG 300/25 MG 28 CPR
IRBESARTAN HCT EG 300/25 MG 98 CPR
C09DA06
candesartan and diuretics
0278621
0278634
0278648
0347857
0629158
0629175
0629208
0660239
0660256
0660291
0660371
0660399
0660421
0629063
0629081
0629127
0636881
0636944
0661043
0661088
0661124
0660886
0660936
0661253
ATACAND PLUS 16/12,5 28 CPR

ATACAND PLUS 16/12,5 98 CPR UD
CANDESARTAN COMP RATIO 16/12,5 MG 28 CPR
CANDESARTAN COMP RATIO 32/12,5 28 CPR
CANDESARTAN COMP RATIO 32/25 28 CPR
CANDESARTAN PLUS HCT EG 16/12,5MG 28 CPR
CANDESARTAN PLUS HCT EG 16/12,5MG 98 CPR
COCANDESARTAN SDZ 16/12,5 MG 28 CPR
C09DA07
telmisartan and diuretics
0353286
KINZALKOMB 40/12,5 MG 28 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
0 0
0 0
12,58
34,94
0
100
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15,16
15,16
0,00
36,48
15,16
0,00
36,48
14,69
36,48
14,69
27,42
14,69
27,42
100
100
0
100
100
0
100
0
0
0
0
0
0
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18,94
29,21
33,28
0,00
18,95
27,76
40,78
26,04
40,59
53,53
28,66
45,21
59,94
20,44
31,05
40,23
15,16
26,64
15,16
23,64
26,64
15,16
23,97
36,48
100
100
100
0
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
0 0
28,62
100
Page 71 of 243
Numro national
Dnomination abrge
0353305
0353319
0353238
0353241
0353255
0492696
0492665
0492679
0492682
0319951
0320027
0320044
0704297
0320013
0319995
0482123
0482154
0482171

KINZALKOMB 80/25 MG 28 CPR
KINZALKOMB 80/25 MG 28 CPR UD
MICARDIS PLUS 40/12,5 28 CPR
MICARDIS PLUS 80/12,5 28 CPR UD
MICARDIS PLUS 80/12,5 30 CPR UD
MICARDIS PLUS 80/25 28 CPR
C09DA08
olmesartan medoxomil and diuretics
0422528
0422545
0422478
0422495
0569581
0569601
0569631
0569659
0422741
0422755
0422772
0422691
0422707
0422724
0570288
0570307
0570338
0570355
BELSAR PLUS 20/12,5 MG 28 CPR

BELSAR PLUS 20/25 MG 28 CPR
OLMETEC PLUS 20/12,5 MG 14 CPR
OLMETEC PLUS 20/25 MG 14 CPR
C09DB01
valsartan and amlodipine
0447284
0447321
0447222

C09DB02
olmesartan medoxomil and amlodipine
0497191
FORZATEN 20/5 MG 28 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
56,11
92,26
40,28
56,23
92,37
40,28
41,99
56,23
92,37
27,92
39,20
0,00
0,00
58,75
89,70
39,20
54,63
89,70
0
0
100
100
100
100
0
100
100
100
100
0
0
100
100
100
100
100
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
26,15
61,50
26,15
61,50
30,74
74,29
30,74
74,29
18,84
26,04
61,39
18,84
26,04
61,39
30,62
74,18
30,62
74,18
100
100
100
100
100
100
100
100
0
100
100
0
100
100
100
100
100
100
R
R
R
0 0
0 0
0 0
40,50
100,57
75,57
100
100
100
0 0
30,06
100
Page 72 of 243
Numro national
Dnomination abrge
0497211
0497305
0497322
0497241
0497269
0495961
0495989
0496065
0496082
0496017
0496034

SEVIKAR 20/5 MG 28 CPR
C09DB04
telmisartan and amlodipine
0575964
0576006
0575883
0575933
0576118
0576152
0576041
0576085
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
72,53
42,35
105,55
38,92
96,29
29,94
72,42
42,24
105,44
38,81
96,18
100
100
100
100
100
100
100
100
100
100
100
TWYNSTA 40/10 MG 28 CPR

R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
27,91
66,51
25,86
60,76
35,95
88,34
33,15
80,74
100
100
100
100
100
100
100
100
FORZATEN HCT 20/5/12,5 MG 28 CPR

FORZATEN HCT 40/10/25 MG 28 CPR
SEVIKAR HCT 20/5/12,5 MG 28 CPR
SEVIKAR HCT 40/10/25 MG 28 CPR
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30,06
72,53
42,35
105,55
42,35
105,55
38,92
96,29
38,92
96,29
29,94
72,42
42,25
105,45
42,25
105,45
38,82
96,18
38,82
96,18
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
RR
0 0
36,88
80
C09DX03
0612083
0612178
0612469
0612567
0612794
0612889
0612245
0612343
0612634
0612715
0605352
0605451
0605691
0605772
0606007
0606086
0605528
0605612
0605853
0605934
C09XA02
aliskiren
0468043
RASILEZ 150 MG 28 CPR
Page 73 of 243
Numro national
Dnomination abrge
0468107
0468141
0468219

C09XA52
aliskiren and hydrochlorothiazide
0502579
0502596
0502629
0502646
0502681
0502713
0512964
0513037
RASILEZ HCT 150/12,5 MG 28 CPR PELLIC

RASILEZ HCT 150/25 MG 28 CPR PELLIC
C10A
LIPID MODIFYING AGENTS, PLAIN
0066517
0066503
0066470
LIPOSTABIL 300 MG 100 CAPS

LIPOSTABIL 300 MG 50 CAPS
LIPOSTABIL N IV 250 MG 5 AMP 5 ML
C10AA01
simvastatin
0310776
0310745
0310762
0310695
0310664
0310681
0310602
0310566
0310597
0310521
0310485
0310504
0310874
0310843
0310861
0324771
0324723
0324737
0324463
0324401
0324415
0324284
0324222
0324236
0324589
0328431
SIMVAHEXAL 10 MG 100 CPR

SIMVASTATIN RATIO 10 MG 100 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
0 0
0 0
0 0
90,84
36,88
90,84
80
80
80
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
36,88
90,84
36,88
90,84
36,88
90,84
36,88
90,84
80
80
80
80
80
80
80
80
P
P
RR
0 0
0 0
0 0
52,93
25,02
34,76
0
0
0
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14,72
10,51
11,61
20,93
10,30
14,34
25,09
12,60
16,35
24,00
12,36
17,22
13,07
9,42
10,89
12,51
9,98
10,67
16,83
7,80
12,65
24,00
11,40
15,84
11,40
9,69
80
80
80
80
80
80
0
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
Page 74 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0328445
0626173
0626108
0626111
0626299
0626237
0626241
0626416
0626349
0626352
0626531
0626478
0626481
0448748
0448815
0448931
0449021
0494303
0494321
0494365
0494379
0158541
0223152
0249534
0252879

SIMVASTATIN RATIO GMBH 10 MG 100 CPR
SIMVASTATINE EG 20 MG 28 CPR
SIMVASTATINE MYLAN 20 MG 28 CPR
ZOCOR 20 MG 28 CPR
ZOCOR 20 MG 84 CPR
ZOCOR 40 MG 28 CPR
ZOCOR 40 MG 98 CPR
C10AA02
lovastatin
0328669
0328624
0328638
0325099
0325054
0325068
0325202
0325152
0325166
LOVAHEXAL 10 MG 100 CPR

C10AA03
pravastatin
0516574
0516588
0516607
0516611
0180119
0275311
0253005
PRAREDUCT 20 MG 28 CPR
PRAVASINE 20 MG 28 CPR
PRAVASINE 20 MG 50 CPR UD
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10,15
12,94
10,40
11,09
17,25
9,33
13,07
23,23
11,41
16,47
38,02
16,90
22,62
9,45
13,61
11,18
19,63
9,28
13,39
10,93
19,43
9,46
16,70
11,19
23,59
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15,99
10,30
11,84
22,38
11,87
14,61
31,52
14,33
18,97
80
80
80
80
80
80
80
80
80
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14,32
31,54
20,41
46,62
13,57
0,00
34,29
80
80
80
80
80
0
80
Page 75 of 243
Numro national
Dnomination abrge
0259531
0275324
0259835
0366981
0366852
0366897
0367149
0367041
0367071
0367328
0367202
0367247
0367507
0367376
0367412
0413207
0413241
0413305
0413353
PRAVASINE 40 MG 50 CPR UD
PRAVASTATIN HEXAL 10 MG 100 CPR
PRAVASTATINE EG 20 MG 28 CPR
C10AA04
fluvastatin
0259785
0309761
0309744
0309758
LOCOL 40 MG 100 CAPS

LOCOL 80 MG 100 CPR
LOCOL 80 MG 30 CPR
LOCOL 80 MG 50 CPR
C10AA05
atorvastatin
0658096
0673349
0658194
0673366
0673416
0644932
0644865
0645067
0644981
0645165
0645263
0590456
0590389
0590392
0590618
0590541
0590554
0590778
ATORASAT 10 MG 28 CPR
ATORSTATINE EG 10 MG 100 CPR
ATORVASTATINE RATIO 10 MG 100 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
22,91
0,00
47,91
15,99
9,58
11,84
20,93
10,93
14,34
26,41
11,26
16,53
30,26
12,36
18,68
9,07
25,90
18,06
37,44
80
0
80
0
0
0
80
80
80
80
80
80
80
80
80
80
80
80
80
R
R
R
R
0
0
0
0
0
0
0
0
21,35
30,68
14,79
19,11
80
80
80
80
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9,84
14,99
12,93
26,88
26,88
19,50
9,69
29,00
12,76
33,99
33,99
14,72
10,52
11,61
20,93
11,97
14,33
28,98
80
80
80
80
80
0
0
0
0
0
0
80
80
80
80
80
80
80
Page 76 of 243
Numro national
Dnomination abrge
0590697
0590702
0590943
0590859
0590862
0658521
0658678
0658759
0658907
0659143
0659371
0628049
0233713
0577616
0241925
0698818
0628066
0233731
0577633
0241939
0698964
0628097
0241942
0699104
0628116
0312896
0699328
0640625
0640639
0640561
0640799
0640804
0640737
0640964
0640978
0641121
0641135

ATORVASTATINE SDZ 10 MG 28 CPR
LIPITOR 10 MG 100 CPR UD
LIPITOR 10 MG 28 CPR
LIPITOR 10 MG 30 CPR CROQUER
LIPITOR 10 PI-PL 10 MG 84 CPR
LIPITOR 20 MG 30 CPR CROQUER
TOTALIP 10 MG 100 CPR
C10AA07
rosuvastatin
0346721
0346636
0346717
0346881
0346796
0346877
CRESTOR 10 MG 100 CPR BLIST

CRESTOR 10 MG 28 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14,05
18,12
44,84
18,18
25,43
9,84
14,99
12,93
26,88
26,88
26,88
0,00
11,60
35,33
19,88
39,81
0,00
15,75
49,71
33,85
58,67
0,00
36,18
94,39
0,00
41,13
108,61
22,84
0,00
11,34
35,83
0,00
15,35
41,84
0,00
41,84
0,00
80
80
80
80
80
80
80
80
80
80
80
0
80
0
80
0
0
80
0
80
0
0
80
0
0
80
0
80
0
80
80
0
80
80
0
80
0
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0,00
28,50
74,20
0,00
40,94
113,31
0
80
80
0
80
80
Page 77 of 243
Numro national
Dnomination abrge
0347051
0346975
0347048
0412129

CRESTOR 5 MG 28 CPR
C10AB02
bezafibrate
0389373
0389356
0268591
0268588
BEZAFIBRAT HEXAL RET 400 MG 100 CPR

BEZAFIBRAT HEXAL RET 400 MG 30 CPR
CEDUR 200 MG 60 CPR
EULITOP 400 MG 30 CPR
C10AB05
fenofibrate
0336061
0336058
0500915
0500929
0301097
0301102
0400422
0400471
0192994
0270667
0270671
0270619
0270622
0430144
0430175
FEGENOR 200 MG 30 CAPS

FEGENOR 67 MG 60 CAPS
FENOFIBRATE EG 200 MG 30 CAPS
FENOFIBRATE EG 200 MG 90 CAPS
FENOGAL 200 MG LIDOSE 30 CAPS
LIPANTHYL MICRON 200 MG 30 CAPS
LIPANTHYL NANO 145 MG 30 CPR
LIPANTHYL NANO 145 MG 90 CPR
C10AB08
ciprofibrate
0055253
HYPERLIPEN 100 MG 30 CAPS
C10AC01
colestyramine
0096337
QUESTRAN 50 SACH 4 G
C10AC02
colestipol
0023652
COLESTID PDR 50 SACH 5 G
C10AC04
colesevelam
0371061
CHOLESTAGEL 625 MG 180 CPR
C10AD06
acipimox
0209458
OLBETAM 250 MG 90 CAPS
C10AX06
omega-3-triglycerides incl. other esters and acids
0347258
OMACOR 1 G 28 CAPS
C10AX09
ezetimibe
0348515
EZETROL 10 MG 98 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
0
0
0
0
0
0
0
0
0,00
68,44
175,88
24,74
0
80
80
0
R
R
R
R
0
0
0
0
0
0
0
0
24,61
13,73
9,90
9,90
80
80
80
80
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10,75
8,18
8,16
15,40
8,68
13,66
8,97
18,40
11,36
12,61
22,70
7,08
10,68
11,36
21,09
80
0
80
80
80
80
80
80
80
80
80
80
80
80
80
0 0
11,88
80
0 0
25,15
80
0 0
23,78
80
RR
0 0
135,42
80
0 0
23,37
80
0 0
31,53
RR
0 0
133,66
80
Page 78 of 243
Numro national
Dnomination abrge
C10BA02
simvastatin and ezetimibe
0390035
0390195
0390343
INEGY 10/20 MG 98 CPR

C10BA03
pravastatin and fenofibrate
0622594
0622627
PRAVAFENIX 40/160 MG 30 CAPS (FL)

PRAVAFENIX 40/160 MG 90 CAPS (FL)
DERMATOLOGICALS
0413421
LIPACTIN GEL 3 G
D01AA01
nystatin
0017915
CANDIO HERMAL CREME 20 G
D01AA20
combinations
0074939
MYCOLOG POM 15 G
D01AC01
clotrimazole
0183267
0152517
ANTIFUNGOL 1% 1 FL DOS 30 ML
FUNGIZID RATIO 1% SPRAY 40 ML
D01AC02
miconazole
0027620
0027651
0347911
0027679
DAKTARIN CREME 30 G
17398
DAKTARIN PDR 20 G
17397
DAKTARIN SPRAY 2%/D 1 FL 8 G
DAKTARIN TEINTURE 30 ML
17395
D01AC03
econazole
0269215
0256167
0256136
0256153
0089427
DERMAZOL 1% PDR 30 G
DERMAZOL 1% SOL 30 G
DERMAZOL GE 1% CREME 30 G
DERMAZOL GE 1% EMULSION 30 G
PEVARYL 1% LAIT 30 ML
D01AC05
isoconazole
0119350
TRAVOGENE CREME 20 G
D01AC08
ketoconazole
0503092
NIZORAL 2% CREME 30 G
D01AC09
sulconazole
0043431
0180122
MYK 1 1% CREME 30 G
MYK 1 1% SOL 20 ML
D01AC10
bifonazole
0385147
CANESTENE DERM BIFONAZOLE 1% CREME 15 G
D01AC20
combinations
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
0 0
0 0
0 0
164,81
190,78
201,16
80
80
80
R
R
0 0
0 0
23,11
46,43
0
0
0 0
7,68
0 0
6,16
80
RR
0 0
7,70
P
P
0 0
0 0
3,93
5,33
80
80
P
P
P
P
0
0
0
0
0
0
0
0
7,28
6,36
7,65
7,05
80
80
80
80
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
5,68
3,92
3,07
3,35
3,92
80
80
80
80
80
0 0
6,51
80
0 0
7,44
80
P
P
0 0
0 0
7,39
4,24
80
80
0 0
10,09
80
Page 79 of 243
Numro national
Dnomination abrge
0027584
0027598
0089461
0119347
DAKTACORT CREME 15 G
DAKTACORT CREME 30 G
PEVISONE 15 G CREME
TRAVOCORT CREME 15 G
D01AC52
miconazole, combinations
0177631
DAKTOZIN 0,25% PATE 90 G
D01AE12
salicylic acid
0104599
SICOMBYL GRAN 10 G
D01AE13
selenium sulfide
0655726
SELSUN SHAMP 2,5 % 120 ML
mode de
dlivrance
17396
27332
191216
52490
D01AE14
ciclopirox
0154381
0247381
0154363
0214346
MYCOSTER 1% CREME 30 G
MYCOSTER 1% PDR 30 G
MYCOSTER 1% SOL 30 ML
MYCOSTER 8% SOL 3 ML
D01AE15
terbinafine
0174237
0468236
0262312
0458212
LAMISIL 1% CREME 15 G
03337
LAMISIL 1% SPRAY 15 ML
LAMISIL DERMGEL 1% GEL 15 G
LAMISIL ONCE 1% TUBE 4 G
D01AE16
amorolfine
0205087
LOCERYL 5% VERNIS 5 ML
D01BA02
terbinafine
0174156
0174173
0705487
0400503
0400517
0409378
LAMISIL 250 MG 14 CPR

MYCONORMIN 250 MG 14 CPR
D02AB
Zinc products
0258341
0257097
0270023
0230305
CALAMINE GEL 50 ML
INOTYOL POM 90 G
MITOSYL POM 150 G
MITOSYL POM 65 G
D02AC
Soft paraffin and fat products
0010637
0010640
0357206
BALNEUM HERMAL F HUILEUSE 200 ML

BALNEUM HERMAL F HUILEUSE 500 ML
DEXERYL CREME 250 G
D02AE
Carbamide products
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
R
RR
RR
0
0
0
0
0
0
0
0
6,63
7,91
6,33
3,47
80
80
80
0
0 0
8,46
80
0 0
4,81
80
0 0
8,06
R
R
R
R
0
0
0
0
0
0
0
0
4,97
4,88
4,98
14,97
80
80
80
80
P
P
P
P
0
0
0
0
0
0
0
0
9,70
10,36
10,50
13,09
80
80
80
0
0 0
41,89
80
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
20,82
129,55
53,26
20,23
31,36
42,64
80
80
80
80
80
80
P
P
P
P
0
0
0
0
0
0
0
0
6,00
8,01
8,16
4,83
80
80
80
80
P
P
P
0 0
0 0
0 0
9,39
17,22
4,38
0
0
0
Page 80 of 243
Numro national
Dnomination abrge
0219728
0231981
0219714
OPTIDERM CREME 100 G

OPTIDERM CREME 200 G SPENDER
OPTIDERM CREME 50 G
D02BB01
betacarotene
0019002
CAROTABEN 100 CAPS
D03A
CICATRIZANTS
0287731
0287728
0076706
0622238
0076690
BIAFINE 186 G
BIAFINE 93 G
NEOCUTIGENOL POM 100 G
D03AA
Cod-liver oil ointments
0122924
0122907
0122910
0292065
UNGUENTOLAN POM 100 G

VITAMURUINE 445000 U POM 45 G
D03AX
Other cicatrizants
0151246
0297661
0024761
0180881
0180895
CONTRACTUBEX COMP GEL 100 G

MADECASSOL 1% CREME 25 G
MADECASSOL 1% CREME 40 G
D03AX03
dexpanthenol
0645294
BEPANTHEN AUGEN-UND NASENSALBE 5% 2*5 G
D03AX10
enoxolone
0334697
0334683
DERMANOX 20 MG/G CREME 100 G

DERMANOX 20 MG/G CREME 40 G
D03BA52
collagenase, combinations
0283391
IRUXOL POM 30 G
D04AA13
dimetindene
0151179
0151182
FENISTIL 0,1% GEL 20 G

FENISTIL 0,1% GEL 50 G
D04AA15
bamipine
0394387
0394391
SOVENTOL 2% GEL 20 G
SOVENTOL 2% GEL 50 G
D04AA22
isothipendyl
0512608
SEDERMYL 0,75% CREME 35 G
D04AA32
diphenhydramine
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
P
P
0 0
0 0
0 0
15,58
30,29
9,08
0
0
0
0 0
36,52
80
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
7,79
5,94
5,93
9,42
3,99
0
0
80
80
80
P
P
P
P
0
0
0
0
0
0
0
0
9,28
3,49
5,95
5,07
80
80
80
80
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
30,47
16,43
24,19
7,47
9,57
0
0
0
0
0
0 0
5,09
P
P
0 0
0 0
14,48
6,24
0
0
0 0
23,47
80
P
P
0 0
0 0
4,74
9,07
40
40
P
P
0 0
0 0
4,25
8,63
40
40
0 0
7,20
Page 81 of 243
Numro national
Dnomination abrge
0016921
0016935
0316461
CALADRYL CREME 42 G
CALADRYL LOT 100 ML
DIPHAMINE MOUSSE 60 G
D04AA34
chlorphenoxamine
0112783
0112766
SYSTRAL CREME 20 G
SYSTRAL GEL 20 G
D04AB01
lidocaine
0179586
0130456
0130442
0130487
0130568
XYLOCAINE ASTRA 2% GEL 10 SRG 10 G

XYLOCAINE ASTRA 2% GEL 10*30 ML
XYLOCAINE ASTRA 2% GEL 30 ML
XYLOCAINE ASTRA 5% POM 35 G
XYLOCAINE ASTRA SPRAY 10% 1 FL PULV 50ML
D05A
ANTIPSORIATICS FOR TOPICAL USE
0517361
0517375
QUALIPHAR BITHIOL 10% POM 22 G

QUALIPHAR BITHIOL 20% POM 22 G
D05AX04
tacalcitol
0428017
0428034
CURATODERM EMULSION 4 MCG/G 20 ML

CURATODERM EMULSION 4 MCG/G 50 ML
D05AX52
calcipotriol, combinations
0501098
0501121
0501103
0501117
0313392
0313358
0313361
0313375
0500803
DOVOBET 50 MCG/G 0,5 MG/G GEL 15 G

DOVOBET 50 MCG/G 0,5 MG/G GEL 2*60 G
DOVOBET POM 120 G
DOVOBET POM 15 G
DOVOBET POM 30 G
DOVOBET POM 60 G
XAMIOL 50 MCG/G 0,5 MG/G GEL 60 G
D05BB02
acitretin
0147999
0148013
NEOTIGASON 10 MG 30 CAPS
NEOTIGASON 25 MG 30 CAPS
D06AA03
oxytetracycline
0076429
0180685
NEOBACITRACINE POM 20 G
TERRAMYCINE POM 15 G
D06AA04
tetracycline
0140032
IMEX 3% SALBE 20 G
D06AX01
fusidic acid
0656527
0656531
0154248
AFFUSINE 20 MG/G CREME 15 G

AFFUSINE 20 MG/G CREME 30 G
FUCIDIN 2% CREME 15 G
mode de
dlivrance
conditions de
prescription
OD
PCC
Prix public
Taux
P
P
P
0 0
0 0
0 0
5,68
6,07
7,00
40
40
0
P
P
0 0
0 0
4,28
4,28
40
40
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
23,15
0,00
5,66
6,34
23,70
80
0
80
80
80
P
P
0 0
0 0
6,26
6,80
0
0
R
R
0 0
0 0
25,01
48,03
0
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18,88
78,90
26,66
46,89
78,90
18,88
26,66
46,89
46,89
0
0
0
80
0
0
0
80
80
0 0
0 0
26,33
46,46
80
80
RR
RR
0 0
0 0
5,46
5,59
80
80
RR
0 0
19,01
80
RR
RR
RR
0 0
0 0
0 0
7,23
12,76
8,50
80
80
80
RR
RR
RMP
RM
RM
Page 82 of 243
Numro national
Dnomination abrge
0278231
0281657
0144692
FUCIDIN 2% CREME 30 G
FUCIDIN 2% POM 30 G
FUCIDIN POM 15 G (ONGUENT)
D06AX08
tyrothricin
0281559
0122079
TYROSUR GEL 5 G
TYROSUR PDR 5 G
D06AX09
mupirocin
0485139
0187977
BACTROBAN 2% POM 15 G
BACTROBAN 2% POM NAS 3 G
D06AX13
retapamulin
mode de
dlivrance
0467323
ALTARGO 1% POM 5 G
D06BA
Sulfonamides
0006388
0092128
ANTEBOR SOLUTION 200 ML

POLYSEPTOL POM 22 G
D06BA01
silver sulfadiazine
0044991
0045002
0045033
FLAMMACERIUM CREME 500 G

FLAMMAZINE CREME 50 G
FLAMMAZINE CREME 500 G (POT)
D06BB02
tromantadine
0128203
VIRU MERZ SEROL 5 G
D06BB03
aciclovir
0455997
0455952
0455966
0539471
0539498
0539484
0576278
0657301
0311496
0205476
0231008
ACICLOVIR EG 5% CREME 15 G
ACICLOVIR RATIO 5% CREME 2 G
ACICLOVIR RATIO LIPHERPES 5% CREME 2 G
ACICLOVIR SDZ 50 MG/G CREME 2 G
ZOVIRAX 5% CREME 10 G
ZOVIRAX LABIALIS 5% CREME 2 G
ZOVIRAX LABIALIS 5% POMPE 2 G
D06BB06
penciclovir
0228891
VECTAVIR 1% CREME 2 G
D06BB10
imiquimod
0256749
ALDARA 5% CREME 12 SACH 250 MG
D06BX01
metronidazole
0389034
0247039
ROSACED 0,75% CREME 30 G

ROZEX 0,75% CREME 30 G
141062
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
0 0
0 0
0 0
15,31
15,31
8,50
80
80
80
P
P
0 0
0 0
4,28
4,97
80
80
RR
RR
0 0
0 0
9,16
12,78
80
0
0 0
17,50
P
P
0 0
0 0
8,86
7,78
80
80
RR
P
P
0 0
0 0
0 0
0,00
9,57
0,00
0
80
0
0 0
17,91
R
P
P
P
R
R
P
P
R
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
37,61
7,14
11,03
3,95
18,00
11,86
3,98
5,78
28,96
8,11
8,31
0
0
0
0
0
0
0
0
0
0
0
0 0
8,82
0 0
73,11
80
0 0
0 0
7,53
8,00
80
80
RR
R
R
Page 83 of 243
Numro national
0544551
0275548
0544565
0194873
Dnomination abrge
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
ROZEX 0,75% CREME 50 G

ROZEX 0,75% EMULS 30 G TUBE
ROZEX 0,75% EMULS 50 G TUBE
ROZEX 0,75% GEL 30 G
R
R
R
R
0
0
0
0
0
0
0
0
13,50
8,00
13,50
8,00
0
80
0
80
0684602
0684616
PICATO 150 MCG/G GEL 3 TUBES

PICATO 500 MCG/G GEL 2 TUBES
RR
RR
0 0
0 0
82,13
82,13
80
80
D07AA02
hydrocortisone
0512625
0026220
0568925
0278201
0596298
CORTISEDERMYL 0,5% CREME 15 G

CREMICORT H 1% CREME 20 G
PANNOCORT 1% CREME 30 G
PANNOCORT 1% CREME 5 G
SOVENTOL 0,5% SPRAY 30 ML
R
R
R
R
P
0
0
0
0
0
0
0
0
0
0
6,92
7,76
7,90
1,59
8,57
0
0
0
80
0
RR
RR
0 0
0 0
8,74
8,74
80
80
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
11,09
6,87
6,87
6,87
6,87
6,87
80
80
80
80
80
80
RR
RR
RR
0 0
0 0
0 0
12,70
17,07
12,70
80
80
80
RR
RR
0 0
0 0
2,61
3,11
80
80
RR
0 0
10,19
80
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
6,76
6,76
6,76
7,75
7,75
7,75
7,75
80
80
80
80
80
80
80
D06BX02
D07AB01
clobetasone
0042515
0042529
EUMOVATE CREME 30 G
EUMOVATE ONG 30 G
D07AB02
hydrocortisone butyrate
0212131
0203924
0067027
0067030
0067044
0067058
LOCOID CRELO 0,1% EMUL 100 G

LOCOID CRELO 0,1% EMUL 30 G
LOCOID CREME 30 G
LOCOID LIPOCREME 30 G
LOCOID LOT 0,1% 30 ML
LOCOID ONG DERM 30 G
D07AB07
fluprednidene
0028547
0028550
0028564
DECODERM CREME 20 G
DECODERM CREME 50 G
DECODERM SALBE 20 G
D07AB08
desonide
0243897
0243852
LOCAPRED 0,1% CREME 15 G

LOCATOP 0,1 % CREME 30 G
D07AB09
triamcinolone
0028984
DELPHI 0,1% CREME 30 G
D07AC01
betamethasone
0012886
0012919
0012936
0033337
0033418
0033421
0033435
BETNELAN V 0,1% CREME 30 G

BETNELAN V 0,1% LOTION 30 ML
BETNELAN V 0,1% ONG 30 G
DIPROLENE 0,05% CREME 30 G
DIPROSONE CREME 30 G
DIPROSONE LOTION 30 ML
DIPROSONE POM 30 G
Page 84 of 243
0
0
0
0
0
0
0
Numro national
Dnomination abrge
D07AC06
diflucortolone
0077605
0077619
0077636
0077667
NERISONA CREME 15 G
NERISONA CREME 30 G
NERISONA POM 30 G
NERISONA POM GRASSE 30 G
D07AC11
amcinonide
0004299
AMICLA CREME 30 G
D07AC13
mometasone
0182872
0182905
0182886
ELOCOM 0,1% CREME 20 G

ELOCOM 0,1% LOT 20 ML
ELOCOM 0,1% ONG 20 G
D07AC14
methylprednisolone aceponate
0186059
0186031
0186045
ADVANTAN 0,1% CREME 15 G

ADVANTAN 0,1% POM 15 G
ADVANTAN 0,1% POM GRASSE 15 G
D07AC17
fluticasone
0192767
0192736
CUTIVATE 0,005% POM 30 G

CUTIVATE 0,05% CREME 30 G
D07AD01
clobetasol
0426186
0457599
0030268
0030271
0030299
CLARELUX 0,5 MG/G MOUSSE 100 G

CLOBEX 500 MCG/G SHAMP 125 ML
DERMOVATE 0,05% CREME 30 G
DERMOVATE 0,05% LOTION 30 ML
DERMOVATE 0,05% ONG 30 G
D07CA01
hydrocortisone and antibiotics
0253666
0180671
FUCIDIN HYDROCORTISONE CREME 15 G

TERRACORTRIL POM 15 G
D07CB02
fluprednidene and antibiotics
0028600
0028614
0028631
0028645
DECODERM COMP CREME 20 G

DECODERM COMP CREME 50 G
DECODERM COMP SALBE 20 G
DECODERM COMP SALBE 50 G
D07CC01
betamethasone and antibiotics
0158281
0158295
0711095
0711101
FUCICORT CREME 15 G
FUCICORT CREME 30 G
FUCICORT LIPID CREME 15 G
FUCICORT LIPID CREME 30 G
D07XB03
fluprednidene
0444217
DECODERM TRI CREME 25 G
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
0
0
0
0
0
0
0
0
6,07
6,89
6,89
6,89
80
80
80
80
RR
0 0
7,40
80
RR
RR
RR
0 0
0 0
0 0
7,24
7,24
7,24
80
80
80
RR
RR
RR
0 0
0 0
0 0
6,74
6,74
6,74
80
80
80
RR
RR
0 0
0 0
7,97
7,97
80
80
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
15,04
20,13
8,12
8,12
8,12
80
80
80
80
80
RR
RR
0 0
0 0
8,55
8,28
80
80
RR
RR
RR
RR
0
0
0
0
0
0
0
0
21,20
35,43
21,20
35,43
80
80
80
80
RR
RR
RR
RR
0
0
0
0
0
0
0
0
8,90
15,14
14,88
21,34
80
0
0
0
RR
0 0
20,41
Page 85 of 243
Numro national
Dnomination abrge
0192137
DECODERM TRI CREME 50 G
D07XC01
betamethasone
0033399
0033404
0067898
DIPROSALIC LOTION 30 ML
DIPROSALIC ONG 30 G
LOTRIDERM CREME 30 G
D08AC02
chlorhexidine
0137412
0511046
0212159
0212176
0212162
0212193
0258919
0258886
0053729
0053746
0053732
0053830
0183321
0139286
ASTREXINE PDR 30 G
CEDIUM CHLORHEXIDINI 0,05% 20*10 ML
HIBIDIL 0,05% SOL 10*15 ML UD
HIBISCRUB 4% 24 FL UD 25 ML
HIBISCRUB 4% 4 FL UD 25 ML
HIBISCRUB 4% SOL 250 ML
HIBISCRUB 4% SOL 5 L
HIBISCRUB 4% SOL 500 ML
HIBITANE ANTISEPT LUBRIF 250 ML
MEFREN 0,5% SOL 50 ML
SEPTEAL 0,5 % SOL 250 ML
D08AC04
hexamidine
0053584
0053570
0053598
HEXOMEDINE SOL 250 ML

HEXOMEDINE SOL 45 ML
HEXOMEDINE TRANSCUT SOL 45 ML
D08AC52
chlorhexidine, combinations
0182211
0027164
0027178
0051402
0051416
CETAVLEX CREME 60 G
CYTEAL SOL ANTISEPTIQUE 250 ML
CYTEAL SOL ANTISEPTIQUE 500 ML
HAC SOL 250 ML
HAC SOL 5 L
D08AE
Phenol and derivatives
0077216
0077202
NEOSABENYL 10 L
NEOSABENYL 200 ML
D08AE05
chloroxylenol
0524223
0524191
0524241
0524237
0524206
DETTOLMEDICAL CHLOROXYLENOL 4,9% 1 L

DETTOLMEDICAL CHLOROXYLENOL 4,9% 100 ML
DETTOLMEDICAL CHLOROXYLENOL 4,9% 500 ML
D08AE06
biphenylol
0235394
KODAN TCT FORTE FARBLOS 2 L
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
0 0
32,11
80
RR
RR
RR
0 0
0 0
0 0
7,83
7,83
8,38
80
80
80
P
P
P
P
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3,69
9,42
6,75
0,00
0,00
16,20
0,00
5,29
5,84
0,00
0,00
4,88
5,06
3,67
80
0
80
0
0
80
0
80
80
0
0
80
80
80
P
P
P
0 0
0 0
0 0
6,38
3,64
5,60
0
0
80
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
4,23
3,78
6,80
5,18
0,00
80
80
80
80
0
P
P
0 0
0 0
0,00
7,97
0
0
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
12,31
3,40
0,00
0,00
7,69
0
0
0
0
0
0 0
0,00
Page 86 of 243
Numro national
Dnomination abrge
0235377
0235413
0235363
0235332
KODAN TCT FORTE FARBLOS 250 ML + POMPE

KODAN TCT FORTE FARBLOS 5*6 ML
KODAN TCT FORTE GEFAERBT 2 L
KODAN TCT FORTE GEFAERBT 250 ML
D08AF01
nitrofural
0047167
0462331
0047170
0161984
0047136
FURACINE 200 MG/100 ML SOL 200 ML

FURACINE POM 30 G
FURACINE POM 375 G
D08AG02
povidone-iodine
0014944
0014927
0014958
0014992
0014989
0186594
0015065
0015048
0015115
0015101
0174657
0058384
0269943
0269957
0404466
0194727
0194758
0059056
0393636
0621762
0389437
0059025
0059090
0306112
0059106
0241746
0241763
BRAUNODERM 1/100 G SOL 1000 ML

BRAUNODERM 1/100 G SOL 150 ML
BRAUNODERM 9 MG/ML SOL 5 L
BRAUNOL 7,5/100 G SOL 1000 ML
BRAUNOVIDON 10% 10*20 CM 10 GAZES
BRAUNOVIDON 10% 7,5*10 CM 10 GAZES
BRAUNOVIDON POM 100 G
BRAUNOVIDON POM 20 G
IODEX DERMAL 10% SOL 30 ML
IODEX SIMPLE POM 23 G
ISOBETADINE 10% GEL 100 G
ISOBETADINE 10% GEL 30 G
ISOBETADINE DERM 10% SOL 10*5 ML UD
ISOBETADINE DERM 10% SOL 125 ML
ISOBETADINE DERM 10% SOL 50*10 ML UD
ISOBETADINE DERM 10% SOL 500 ML
ISOBETADINE HYDROALCOOLIQUE 5% 125 ML
ISOBETADINE HYDROALCOOLIQUE 5% 40*10MLUD
ISOBETADINE SAV GERM 7,5% 125 ML
ISOBETADINE SAV GERM 7,5% 500 ML
ISOBETADINE TULLE 10% 10*10 CM 10 COMPR
ISOBETADINE UNIWASH 7,5% 10 FL UD 10 ML
ISOBETADINE UNIWASH 7,5% 50 FL UD 10 ML
D08AJ
Quaternary ammonium compounds
0321394
BIOGAZE SPRAY 40 ML
D08AJ01
benzalkonium
0019548
CEDIUM BENZAL SOL 30 ML
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
P
P
P
0
0
0
0
0
0
0
0
7,52
10,82
0,00
9,22
0
0
0
0
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
7,98
11,02
0,00
8,71
0,00
0
0
0
0
0
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11,70
2,83
0,00
8,30
6,42
2,12
35,05
23,80
10,31
3,97
4,47
6,61
8,26
6,60
5,46
5,61
0,00
10,96
6,09
0,00
7,07
10,16
11,88
7,31
0,00
7,85
0,00
80
80
0
80
80
80
80
80
80
80
80
80
80
0
80
80
0
0
80
0
80
80
80
0
0
80
0
0 0
6,42
0 0
4,67
Page 87 of 243
Numro national
Dnomination abrge
0199138
CEDIUM BENZAL SPRAY 50 ML
D08AJ57
octenidine, combinations
0334764
0345706
0235251
0409381
0235234
0477981
0477994
OCTENIDERM FARBLOS SOL 1 L

OCTENIDERM FARBLOS SOL 250 ML
OCTENISEPT SOL 1 L
OCTENISEPT SOL 15 ML (UROLOGIE)
OCTENISEPT SOL 250 ML
OCTENISEPT SOL 50 ML SPRUEFLASCHE
OCTENISEPT SOL 500 ML
D08AK04
mercurochrome
0070196
0186367
MEDICHROME ALC 30 ML
MEDICHROME AQUEUX 30 ML
D08AX02
eosin
0168503
EOSINE CPB 2% SOL 100 ML
D08AX03
propanol
0334751
0334733
0478005
SENSIVA HANDDESINFEKTION SOL 1 L

SENSIVA HANDDESINFEKTION SOL 10 L
SENSIVA HANDDESINFEKTION SOL 500 ML
D08AX04
tosylchloramide sodium
0020860
0021241
CHLORAMINE PURA 250 MG 60 CPR

CHLORAZOL 500 MG 20 CPR
D08AX07
sodium hypochlorite
0181276
DAKIN COOPER STABILISE 250 ML
D09AA02
fusidic acid
0046982
0046996
FUCIDIN INTERTULLE COMPR 10*10 A 10

FUCIDIN INTERTULLE COMPR 10*30
D10AD01
tretinoin
0066856
0066873
LOCACID CREME 30 G
LOCACID LOT 15 ML
D10AD03
adapalene
0252025
0380459
0217169
0380462
DIFFERIN 0,1% CREME 30 G

DIFFERIN 0,1% CREME 60 G
DIFFERIN 0,1% GEL 30 G
DIFFERIN 0,1% GEL 60 G
D10AD51
tretinoin, combinations
0181486
WIDMER CARBAMID VAS CREME 30 G
D10AD53
adapalene, combinations
0479288
EPIDUO 0,1%/2,5% GEL 30 G
mode de
dlivrance
conditions de
prescription
OD
PCC
Prix public
Taux
0 0
8,06
P
P
P
P
P
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
11,02
21,02
2,31
9,82
4,86
14,51
0
0
0
0
0
0
0
P
P
0 0
0 0
4,76
4,56
0
0
0 0
3,26
P
P
P
0 0
0 0
0 0
0,00
0,00
11,22
0
0
0
P
P
0 0
0 0
3,55
4,76
80
80
0 0
5,34
80
RR
RR
0 0
0 0
10,98
13,24
80
80
RR
RR
0 0
0 0
5,75
5,35
80
80
RR
RR
RR
RR
0
0
0
0
0
0
0
0
9,83
17,68
9,83
17,68
80
80
80
80
RR
0 0
15,45
80
RR
0 0
24,20
Page 88 of 243
RMP
Numro national
Dnomination abrge
D10AE01
benzoyl peroxide
0001980
0001994
0145221
0183107
0183111
0227876
0038042
0038056
0102708
0102711
AKNEROXID 100 MG/G GEL 50 G

AKNEROXID 50 MG/G GEL 50 G
AKNEROXID L 40 MG/G SUSP 100 G
BENZAC 10% GEL 40 G
BENZAC 5% GEL 40 G
BENZAC WASH 5 % 100 G
ECLARAN 10 GEL 45 G
ECLARAN 5 GEL 45 G
SCHEROGEL 10% GEL 30 G
SCHEROGEL 5% GEL 30 G
D10AE51
benzoyl peroxide, combinations
0269277
ACNEPLUS CREME 30 G
D10AF01
clindamycin
0239748
0343648
DALACIN TOPICAL 1% LOTIO 30 ML

ZINDACLIN 1% GEL 30 G
D10AF02
erythromycin
0196279
0001977
0146473
0040913
0259107
0161189
ACNERYNE 4% GEL 30 G
AKNEMYCIN 2% SOL 25 ML
AKNEMYCIN 2000 POM 2% 25 G
ERYFLUID LOTION 100 ML
ERYTHROMYCINE BAILLEUL 4% SOL 100 ML
INDERM SOL 50 ML
D10AF03
chloramphenicol
0254503
CHLORAMPHENICOL ERFA 1% CREME 20 G
D10AF51
clindamycin, combinations
0713783
0713797
TRECLINAX GEL 30 G
TRECLINAX GEL 60 G
D10AF52
erythromycin, combinations
0523579
0131128
BENZADERMINE GEL 1 POT + S

ZINERYT LOT 30 ML
D10AX03
azelaic acid
0163071
SKINOREN 20% CREME 30 G
D10BA01
isotretinoin
0472984
0427927
0427975
0427863
0100393
0100409
CURACNE 40 MG 30 CAPS
CURACNE GE 10 MG 30 CAPS MOLLES
ROACCUTANE 10 MG 30 CAPS
ROACCUTANE 20 MG 30 CAPS
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7,44
6,75
9,75
9,24
8,68
11,33
3,22
3,22
3,76
3,61
80
80
0
80
80
0
80
80
80
80
0 0
8,51
80
RR
RR
0 0
0 0
11,85
16,82
80
80
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
15,88
12,41
12,41
7,73
4,56
17,59
80
80
80
80
80
0
RR
0 0
4,03
80
RR
RR
0 0
0 0
28,39
39,47
0
0
RR
RR
0 0
0 0
24,05
18,86
80
80
0 0
14,95
80
0
0
0
0
0
0
49,47
16,56
28,29
10,02
15,87
24,33
80
80
80
80
80
80
RR
RR
RR
RR
RR
RR
C
C
C
C
C
C
RM
RM
RM
RM
RM
RM
Page 89 of 243
0
0
0
0
0
0
Numro national
Dnomination abrge
D11AA
Antihidrotics
0006696
ANTIHYDRAL POM 70 G
D11AC30
others
0144532
NIZORAL 2% SHAMP 100 ML
D11AF
Wart and anti-corn preparations
0007130
0178785
0444221
0130084
APORIL SOL 10 ML
DUOFILM SOL 15 G
VERRUMAL 14 ML
W TROPFEN 10 ML
D11AH01
tacrolimus
0317004
0317018
0317021
0317035
PROTOPIC 0,03% POM 30 G

D11AH02
pimecrolimus
0334473
0334439
0334442
mode de
dlivrance
47042
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
0 0
5,84
0 0
11,63
P
P
RR
P
0
0
0
0
0
0
0
0
6,97
6,79
19,86
4,43
0
80
80
0
RR
RR
RR
RR
C
C
C
C
0
0
0
0
0
0
0
0
27,60
43,92
29,68
48,25
80
80
80
80
ELIDEL 1% CREME 100 G

RR
RR
RR
C
C
C
0 0
0 0
0 0
136,79
25,63
39,14
0
80
80
0501974
0501988
TOCTINO 10 MG 30 CAPS MOLLES

TOCTINO 30 MG 30 CAPS
RR
RR
C
C
0 0
0 0
483,41
483,41
80
80
D11AX
Other dermatologicals
0010587
0010590
0140614
0140628
0026315
0026301
0028581
0341495
0232201
0181472
0154797
0154783
0154766
0227961
0227974
0227988
BALNEUM HERMAL 200 ML

BALNEUM HERMAL 500 ML
BALNEUM HERMAL PLUS 200 ML
BALNEUM HERMAL PLUS 500 ML
CRINOHERMAL FEM 225 ML
CRINOHERMAL FEM 95 ML
DECODERM BASISCREME 50 G
PERCUTAFEINE 5% GEL 200 ML
PERCUTAFEINE 5% GEL 75 ML
PIGMANORM CREME 15 G
ROCHE POSAY CERAT INALTERABLE 50 ML
ROCHE POSAY COLD CREAM POT 100 ML
ROCHE POSAY COLD CREAM TUBE 50 ML
TANNOSYNT FLUESSIG BADEZUSATZ 100 G
D11AX01
minoxidil
0182306
ALOPEXY 2% 1 FL 60 ML
D11AH04
RM
RM
P
P
P
P
R
R
P
P
P
RR
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9,22
16,32
9,73
19,26
33,23
23,36
5,27
13,96
9,62
17,49
4,09
7,44
4,09
9,91
18,40
30,60
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
18,76
Page 90 of 243
Numro national
Dnomination abrge
0233193
0501893
0501909
0433387
0433356
0252591
MINOXIDIL BAILLEUL 2% 3*60 ML
MINOXIDIL BAILLEUL 5% 3*60 ML
NEOXIDIL 2 % SOL 1 FL HDPE 60 ML
D11AX04
lithium succinate
0233453
EFALITH LIPOCREME 20 G
D11AX10
finasteride
0321802
PROPECIA 1 MG 28 CPR
D11AX18
diclofenac
0348367
SOLARAZE 3% GEL 25 G
G01AA10
clindamycin
0203289
DALACIN VAG 2% CREME 40 G
G01AC05
dequalinium
0603327
FLUOMIZIN 10 MG 6 CPR VAG
G01AD01
lactic acid
0063112
LACTAGYNECOGEL POM 60 G + APPL
G01AF01
metronidazole
0044926
FLAGYL 500 MG 10 OV
G01AF02
clotrimazole
0051223
0051187
0146294
0146313
0217155
0146246
0146277
0169237
CANESTENE GYN CLOTRIMAZ 2% CR 20G +3APPL

CANESTENE GYN CLOTRIMAZOLE 100 MG 6 CPR
FUNGIZID RATIO 1% CREME 20 G
FUNGIZID RATIO 1% CREME 50 G
FUNGIZID RATIO 1% CREME VAG 35 G + APPL
FUNGIZID RATIO 100 MG 6 CPR VAG + APPL
FUNGIZID RATIO 200 MG 3 CPR VAG + APPL
FUNGIZID RATIO KOMBI 3 CPR+CR 20 G+APPL
G01AF04
miconazole
0051240
0051254
0051237
GYNODAKTARIN 1200 MG 1 OV
34198
GYNODAKTARIN 200 MG 7 OV
17442
GYNODAKTARIN CREME VAG 78 G
17399
G01AF12
fenticonazole
0431091
0431088
0431074
GYNOXIN 2% CREME VAG 35 G

GYNOXIN 200 MG 3 OV
GYNOXIN 600 MG 1 OV
G01AF15
butoconazole
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
33,50
23,32
43,26
32,94
40,81
28,66
0
0
0
0
0
0
0 0
10,20
RR
0 0
56,47
0 0
42,70
RR
0 0
25,23
80
0 0
11,52
0 0
9,25
80
RR
0 0
6,40
80
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8,26
7,88
3,72
7,35
11,71
11,99
5,54
6,60
80
80
80
80
80
80
80
80
R
P
P
0 0
0 0
0 0
8,77
10,32
11,01
80
80
80
R
R
R
0 0
0 0
0 0
8,28
8,09
8,13
80
80
80
Page 91 of 243
Numro national
Dnomination abrge
0199253
0199267
GYNOMYK 100 MG 3 OV
GYNOMYK 2% CREME VAG 20 G + 3 APPL
G01AX11
povidone-iodine
0391953
0217012
ISOBETADINE GYN 10% SOL 500 ML P

ISOBETADINE UNIGYN SOL VAG 5 FL UD 10 ML
G01AX14
lactobacillus fermentum
0235539
GYNOFLOR 12 CPR VAG
G01BD
Antiseptics and corticosteroids
0435611
TERGYNAN 10 CPR
G02AB01
methylergometrine
0071677
METHERGIN 0,2 MG 5 AMP 1 ML
G02AD02
dinoprostone
0141737
0242811
0094833
0094847
0094850
0139241
PREPIDIL GEL 1 SRG 3 G

PROPESS 10 MG 5 DISPOS VAG
PROSTIN E2 0,5 MG 10 CPR OR
PROSTIN E2 1 MG 1 AMP 1 ML PERF
PROSTIN E2 10 MG 1 AMP 1 ML PERF
PROSTIN E2 3 MG 4 CPR VAG
G02AD04
carboprost
0152713
PROSTIN 15M 0,25 MG 1 AMP 1 ML IM
G02BA03
plastic IUD with progestogen
0687652
0205333
JAYDESS 13,5 MG 1 SYST

MIRENA 1 PO + DISP IU
G02BB01
vaginal ring with progestogen and estrogen
0591503
0305177
0305181
CIRCLET 0,12 MCG/0,015 MG 3 ANNEAUX VA

NUVARING 1 DISPO VAG
NUVARING 3 DISPO VAG
G02CA01
ritodrine
0342606
0342591
PREPAR 10 MG 40 CPR
PREPAR 50 MG 10 AMP 5 ML IV
G02CB01
bromocriptine
0086392
0086411
0086408
PRAVIDEL 2,5 MG 10 CPR

G02CB03
cabergoline
0656981
0191319
0235766
CABERGOLINE TEVA 0,5 MG 2 CPR

DOSTINEX 0,5 MG 2 CPR
SOSTILAR 0,5 MG 8 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
0 0
0 0
8,00
8,26
80
80
P
P
0 0
0 0
10,73
11,30
80
80
RR
0 0
13,88
80
RR
0 0
3,74
0 0
12,67
80
RR
RR
RR
RR
RR
RR
H
H
H
H
H
H
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
RR
0 0
0,00
R
RR
C
C
0 0
0 0
143,32
143,40
0
0
6 14
6 14
6 14
38,07
17,44
38,07
80
80
80
0 0
0 0
19,41
0,00
0
0
0 0
0 0
0 0
13,29
54,59
22,75
80
100
80
0 0
0 0
0 0
21,71
28,67
33,33
0
80
80
R
R
R
R
RR
RR
RR
RR
RR
R
RR
Page 92 of 243
Numro national
Dnomination abrge
mode de
dlivrance
G02CB04
quinagolide
0205039
0205025
0205042
NORPROLAC 150 MCG 30 CPR

001786
NORPROLAC 25/50 MCG 3 + 3 CPR 001789
NORPROLAC 75 MCG 30 CPR
001783
G02CX01
atosiban
0275601
0275615
TRACTOCILE 7,5 MG/ML 1 FL 0,9 ML IV

TRACTOCILE 7,5 MG/ML 1 FL DIL 5 ML IV
G03AA
Progestogens and estrogens, fixed combinations
0704171
0669458
0669461
LOUISE 2/0,03 MG 13*21 CPR

G03AA05
norethisterone and estrogen
0084482
OVYSMEN 3*21 CPR
193051
G03AA07
levonorgestrel and estrogen
0319138
0357612
0433616
0433633
0575737
0072075
0072092
0596271
0596253
0596267
0109550
LOWETTE 0,02/0,1 MG 3*21 CPR

LUDEAL 0,03/0,15 MG 3*21 CPR
MICROGYNON 20 0,02/0,1 MG 21 CPR
MICROGYNON 20 0,02/0,1 MG 3*21 CPR
NORANELLE 20/100 MG 13*21 CPR
STEDIRIL 30 3*21 DRG
G03AA09
desogestrel and estrogen
0517263
0517232
0517246
0525901
0525881
0525895
0339872
0339886
0339905
0339919
0419312
0069715
0069729
0399741
0139191
DESO 20 0,15/0,02 MG 13*21 CPR

DESO 20 0,15/0,02 MG 3*21 CPR
DESO 20 0,15/0,02 MG 6*21 CPR
DESO 30 0,03/0,15 MG 13*21 CPR
DESO 30 0,03/0,15 MG 3*21 CPR
DESO 30 0,03/0,15 MG 6*21 CPR
DESORELLE 0,02/0,15 MG 21 CPR
DESORELLE 0,02/0,15 MG 3*21 CPR
DESORELLE 0,03/0,15 MG 21 CPR
DESORELLE 0,03/0,15 MG 3*21 CPR
MARVELON 13*21 CPR
MARVELON 3*21 CPR
MARVELON 6*21 CPR
MERCILON 13*21 CPR
MERCILON 3*21 CPR
conditions de
prescription
OD
RR
RR
RR
RMP
PCC
Prix public
Taux
0 0
0 0
0 0
111,92
8,59
36,98
80
80
80
0 0
0 0
0,00
0,00
0
0
R
R
R
6 14
6 14
6 14
67,51
24,34
38,94
80
80
80
6 14
9,97
80
R
R
R
R
R
R
R
R
R
R
R
6
6
0
6
6
6
6
6
6
6
6
14
14
0
14
14
14
14
14
14
14
14
23,48
5,10
6,59
17,79
31,42
9,61
9,43
35,08
12,65
20,24
9,53
80
80
0
80
80
80
80
80
80
80
80
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
6
6
6
6
6
6
0
6
0
6
6
6
6
6
6
14
14
14
14
14
14
0
14
0
14
14
14
14
14
14
27,35
11,09
15,17
25,45
10,32
14,18
0,00
11,07
0,00
10,06
48,91
13,76
27,95
52,86
14,62
80
80
80
80
80
80
0
80
0
80
80
80
80
80
80
RR
RR
H
H
Page 93 of 243
Numro national
Dnomination abrge
mode de
dlivrance
G03AA10
gestodene and estrogen
0526097
0526102
0526116
0526133
0526147
0526151
0517439
0143521
0143535
0467399
0443626
0467385
0467371
0443643
0443657
0467368
0223667
0572234
0213884
0213898
0147971
0284385
DOCGESTRADIOL 20/75 MCG 21 CPR

DOCGESTRADIOL 20/75 MCG 3*21 CPR
DOCGESTRADIOL 30/75 MCG 21 CPR
FEMODENE 13*21 DRG
FEMODENE 3*21 DRG
FEMODENE 6*21 DRG
GESTODELLE 0,075/0,02 MG 13*21 CPR
GESTOFEME 0,075/0,03 MG 13*21 CPR
GESTOFEME 0,075/0,03 MG 21 CPR
HARMONET 3*21 DRG
MELIANE 13*21 DRG
MELIANE 3*21 DRG
MELIANE 6*21 DRG
MINULET 3*21 DRG
MIRELLE 3*28 CPR
G03AA11
norgestimate and estrogen
0153501
CILEST 3*21 CPR
G03AA12
drospirenone and estrogen
0645331
0645344
0645327
0614821
0614804
0614818
0614691
0614673
0614687
0687084
0687067
0687071
0687134
0687117
0687121
0687182
0687165
ANNABELLE 0,02/3 MG 13*21 CPR

ANNAIS 0,03/3 MG 13*21 CPR
DAYLETTE 0,02/3 MG 13*28 CPR
DROSEFFIK 0,02/3 MG 13*28 CPR
DROSPIBEL 0,02/3 MG 13*21 CPR
193044
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
6
6
0
6
6
6
6
6
6
6
6
6
0
6
6
6
6
6
6
6
6
0
14
14
0
14
14
14
14
14
14
14
14
14
0
14
14
14
14
14
14
14
14
0,00
10,05
18,16
0,00
10,05
18,16
52,89
17,00
29,74
33,02
11,10
17,00
33,02
12,50
11,10
17,00
14,99
52,89
17,00
29,74
14,99
24,19
0
80
80
0
80
80
80
80
80
80
80
80
80
0
80
80
80
80
80
80
80
80
6 14
14,04
80
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
74,92
25,42
40,67
80,53
26,59
42,56
79,00
25,33
41,80
81,11
25,33
41,82
74,97
23,95
39,03
77,73
23,56
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
Page 94 of 243
14
14
14
14
14
14
14
14
14
14
14
14
14
14
14
14
14
Numro national
Dnomination abrge
mode de
dlivrance
0687179
0547178
0287115
0547164
0446032
0446015
0446029
0572221
0492536
0492553

YASMIN 3/0,03 MG 13*21 CPR
YASMINELLE 3/0,02 MG 13*21 CPR
YAZ 3/0,02 MG 13*28 CPR
YAZ 3/0,02 MG 3*28 CPR
YAZ 3/0,02 MG 6*28 CPR
G03AA13
norelgestromin and estrogen
0342024
EVRA 6/0,6 MG 9 PATCH
G03AA14
nomegestrol and estrogen
0656883
0635396
0656866
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
R
R
6
6
6
6
6
6
6
6
6
6
14
14
14
14
14
14
14
14
14
14
38,94
112,76
33,25
57,37
104,65
31,77
53,63
113,54
33,82
57,74
80
80
80
80
80
80
80
80
80
80
6 14
33,09
80
ZOELY 2,5/1,5 MG 13*28 CPR

ZOELY 2,5/1,5 MG 3*28 CPR
ZOELY 2,5/1,5 MG 6*28 CPR
R
R
R
6 14
6 14
6 14
110,33
33,08
56,26
80
80
80
0704476
0530556
0530573
0530587
0530591
0530606
0638305
0638272
0638286
0575561
0575575
0575589
BELLINA 0,03/2 MG 13*21 CPR

BELLISSIMA 0,03/2 MG 21 CPR
BELLISSIMA 0,03/2 MG 3*21 CPR
BELLISSIMA 0,03/2 MG 6*21 CPR
HELEN 0,03/2 MG 13*21 CPR
VERANA RATIO 2/0,03 MG 21 CPR
VERANA RATIO 2/0,03 MG 3*21 CPR
VERANA RATIO 2/0,03 MG 6*21 CPR
R
R
R
R
R
R
R
R
R
R
R
R
6
6
6
0
6
6
6
6
6
0
6
6
14
14
14
0
14
14
14
14
14
0
14
14
67,51
24,25
38,82
14,81
26,67
40,81
66,69
24,05
38,48
12,60
23,90
40,25
80
80
80
0
80
80
80
80
80
0
80
80
G03AB03
levonorgestrel and estrogen
0357593
0120186
0120530
DAILY 3*21 CPR

TRIGYNON 3*21 CPR
TRINORDIOL 3*21 DRG
R
R
R
6 14
6 14
6 14
5,10
12,25
14,18
80
80
80
G03AB04
0120575
TRINOVUM 3*21 CPR
6 14
13,09
80
G03AB05
desogestrel and estrogen
0195612
0436621
0192607
GRACIAL 1*22 CPR

GRACIAL 13*22 CPR
GRACIAL 3*22 CPR
R
R
R
0 0
6 14
6 14
8,44
60,17
24,08
0
80
80
G03AB06
gestodene and estrogen
0148061
TRIMINULET 3*21 DRG
6 14
17,24
80
G03AA15
193054
Page 95 of 243
Numro national
0145025
Dnomination abrge
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
TRIODENE 3*21 DRG
6 14
13,50
80
QLAIRA 3*28 CPR
6 14
38,21
80
6 14
10,15
80
RR
RR
0 0
0 0
8,40
22,33
0
0
0 0
139,53
G03AB08
0519921
G03AC03
levonorgestrel
0072139
MICROLUT 3*35 DRG
G03AC06
medroxyprogesterone
0029835
0590795
DEPO PROVERA 150 MG 1 SRG 1 ML IM

SAYANA 104 MG 1 SRG PREREMPLIE 0,65 ML
G03AC08
etonogestrel
0262651
IMPLANON NXT 68 MG 1 SET
G03AC09
desogestrel
0643689
0574645
0574659
0643675
0679681
0252414
0252428
0681131
0681144
0669475
0669489
0669492
CELEA 75 MCG 13*28 CPR

CELEA 75 MCG 28 CPR
CERAZETTE 0,075 MG 13*28 CPR
CERAZETTE 0,075 MG 28 CPR
CERAZETTE 0,075 MG 3*28 CPR
DESOGESTREL BESINS 75 MCG 3*28 CPR
DESOGESTREL BESINS 75 MCG 6*28 CPR
LUEVA 75 MCG 28 CPR
LUEVA 75 MCG 3*28 CPR
LUEVA 75 MCG 6*28 CPR
R
R
R
R
R
R
R
R
R
R
R
R
6
0
6
6
6
0
6
6
6
0
6
6
14
0
14
14
14
0
14
14
14
0
14
14
55,03
8,27
19,18
31,75
74,40
10,34
25,97
20,78
31,64
7,45
19,28
32,57
80
0
80
80
80
0
80
80
80
0
80
80
NORLEVO 0,75 MG 2 CPR

NORLEVO 1,5 MG 1 CPR
POSTINOR 0,75 MG 2 CPR
POSTINOR 1,5 MG 1 CPR
P
P
P
P
0
0
0
0
0
0
0
0
9,57
9,58
8,69
9,57
0
0
0
0
0520756
ELLAONE 30 MG 1 CPR
RR
0 0
29,06
G03BA03
testosterone
0326552
0326597
0465851
0456981
0689805
0482428
0398582
0338411
ANDROGEL 50 MG 10 SACH 5 G
ANDROGEL 50 MG 30 SACH 5 G
ITNOGEN 2% GEL 60 G
NEBIDO 250 MG/ML 1 AMP 4 ML IM
NEBIDO 250 MG/ML 1 FL 6 ML IM
SUSTANON 250 MG 1 AMP 1 ML
TESTIM 50 MG GEL 30 TUBES 5 G
TESTOCAPS 40 MG 60 CAPS
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
29,30
55,09
49,10
112,91
112,91
10,20
55,09
31,50
0
0
0
80
0
80
0
80
G03BB01
mesterolone
RR
RM
G03AD01
0280209
0409736
0295523
0421761
G03AD02
C
C
Page 96 of 243
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0095164
PROVIRON 25 MG 50 CPR
G03BB02
androstanolone
0143969
ANDRACTIM 2,5% GEL 80 G
mode de
dlivrance
G03CA03
estradiol
0290821
0260447
0220729
0226168
0350321
0350334
0269071
0269098
0256928
0256864
0256895
0262505
0238575
0176438
0444346
0081513
0328462
0328476
0539341
0589973
0589987
0157625
0183754
AERODIOL 150 MCG/D SPRAY 3 FL 60 D

CLIMARA 50 12 PATCH
CLIMARA 50 4 PATCH
DERMESTRIL 100 8 PATCH
DERMESTRIL SEPTEM 25 12 PATCH
DERMESTRIL SEPTEM 50 12 PATCH
ESTRAMON 100 8 MG 6 PATCH
ESTREVA 0,1 % GEL 50 G
ESTROFEM 1 MG 3*28 CPR
ESTROFEM 2 MG 3*28 CPR
OESTROGEL 0,06% GEL 2*100 G
OESTROGEL 0,06% GEL 80 G
PROGYNOVA 1 MG 3*28 DRG
PROGYNOVA 2 MG 3*28 DRG
SYSTEN TTS 3,2 MG 24 PATCH
VAGIFEM 10 MCG 18 CPR VAG + APPL
ZUMENON 2 MG 3*28 CPR
G03CA04
estriol
0000112
0000076
0000109
0186689
AACIFEMINE 0,5 MG 15 OV
AACIFEMINE 2 MG 30 CPR
AACIFEMINE CREME 15 G
ORTHOGYNEST DEPOT 6 OV
G03CX01
tibolone
0500821
0508541
0508555
0524884
0211618
0441331
HERIA 2,5 MG 28 CPR

HERIA 2,5 MG 3*28 CPR
HERIA 2,5 MG 6*28 CPR
LIVIAL 2,5 MG 28 CPR
LIVIAL 2,5 MG 3*28 CPR
LIVIAL 2,5 MG 6*28 CPR
G03DA02
medroxyprogesterone
0095116
0139496
PROVERA 10 MG 30 CPR
PROVERA 5 MG 24 CPR
193552
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
0 0
10,21
80
RR
0 0
20,60
80
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
39,42
28,59
12,98
16,83
22,30
28,70
18,91
25,80
15,76
12,35
13,78
7,07
26,77
26,77
12,03
6,81
8,27
9,27
30,80
23,21
28,47
19,34
25,60
0
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
RR
RR
RR
RR
0
0
0
0
0
0
0
0
6,41
8,33
10,26
9,33
80
80
80
80
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
20,90
46,64
74,63
24,89
47,11
74,62
0
0
0
0
0
0
RR
RR
0 0
0 0
10,01
7,14
80
80
Page 97 of 243
Numro national
Dnomination abrge
G03DA04
progesterone
0252981
0094251
0123966
0123983
0461879
0262441
CRINONE 8% GEL VAG 15 APPL

PROGESTOGEL GEL 80 G
UTROGESTAN 100 MG 30 CAPS
UTROGESTAN VAGINAL 100 MG 90 CAPS
G03DB01
dydrogesterone
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
48,54
5,54
9,57
20,27
20,27
20,48
0
80
80
80
80
80
RR
0 0
15,98
80
0171624
DUPHASTON 10 MG 42 CPR
G03DB04
nomegestrol
0309999
0525279
0497921
0497949
0497966
LUTENYL 5 MG 30 CPR
LUTENYL 5 MG 90 CPR
NOGEST 5 MG 30 CPR
NOGEST 5 MG 60 CPR
NOGEST 5 MG 90 CPR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
12,32
23,18
11,51
16,09
19,34
80
80
80
80
80
0554771
VISANNETTE 2 MG 84 CPR
RR
0 0
130,42
RR
0 0
7,94
80
RR
0 0
6,83
80
RR
RR
RR
RR
0
0
0
0
0
0
0
0
47,10
47,10
47,10
41,02
80
0
0
80
RR
RR
0 0
0 0
41,18
40,54
80
80
RR
0 0
39,84
80
RR
RR
0 0
0 0
28,30
52,51
0
0
RR
RR
0 0
0 0
47,84
48,54
0
0
G03DB08
G03DC02
norethisterone
0093674
PRIMOLUT NOR FORTE 10 MG 30 CPR
G03DC03
lynestrenol
0083289
ORGAMETRIL 5 MG 30 CPR
G03FA01
0252543
0536207
0536211
0200533
ACTIVELLE 3*28 CPR

ACTIVELLE MINOR 0,5/0,1 MG 28 CPR
ACTIVELLE MINOR 0,5/0,1 MG 3*28 CPR
KLIOGEST 3*28 CPR
G03FA14
dydrogesterone and estrogen
0293062
0569967
FEMOSTON CONTI 3*28 CPR

FEMOSTON LOW 0,5/2,5 MG 84 CPR
G03FA15
dienogest and estrogen
0308473
CLIMODIEN 2/2 3*28 CPR
G03FA17
drospirenone and estrogen
0354798
0354803
ANGELIQ 1/2 MG 28 CPR

ANGELIQ 1/2 MG 3*28 CPR
G03FB
Progestogens and estrogens, sequential preparations
0370273
0370287
NAEMIS 1,5/3,75 MG 24 CPR

NAEMIS 1,5/3,75 MG 3*24 CPR
G03FB01
norgestrel and estrogen

Page 98 of 243
Numro national
0026864
Dnomination abrge
CYCLOCUR 3*21 DRG
G03FB05
0310911
0255805
NOVOFEM 3*28 CPR

TRISEQUENS 2 MG 3*28 CPR
G03FB06
medroxyprogesterone and estrogen
0250258
0173811
DIVIPLUS 3*28 CPR

DIVIVA 3*21 CPR
G03FB08
dydrogesterone and estrogen
0305471
0229921
FEMOSTON 1/10 3*28 CPR

FEMOSTON 2/10 3*28 CPR
G03GA01
chorionic gonadotrophin
0093206
0511761
PREGNYL 1500 U 3 AMP + S 1 ML IM

PREGNYL 5000 U 1 AMP + S 1 ML IM
G03GA02
human menopausal gonadotrophin
0330913
MENOPUR FERRING 75 U PSV 10 FL + S IMSC
G03GA04
urofollitropin
0434001
0434028
0433969
0433986
0693839
0693825
FOSTIMON 150 U/ML PSV 1 FL + S IMSC

MENOPUR 1200U PSV 1FL PDR 2ML+2SRG PRER
MENOPUR 600U PSV 1FL PDR 2ML+1SRG PRER
G03GA05
follitropin alfa
0365239
0365242
0215231
0365256
GONAL F 300 U 1 STYLO 0,5 ML + 8 AIG

GONAL F 75 U PDR 1 AMP+S 1 ML SC
G03GA06
follitropin beta
0279435
0279449
0389082
PUREGON 300 U 1 CRT 0,36 ML + AIG SC

PUREGON 600 U 1 CRT 0,72 ML + AIG SC
PUREGON 900 U 1 CRT 1,08 ML + AIG
G03GA08
choriogonadotropin alfa
0297061
OVITRELLE 250 MCG SOL 1 FL + S SC
G03GA09
corifollitropin alfa
0555815
0558767
ELONVA 100 MCG 1 SRG 0,5 ML + 1 AIG SC

ELONVA 150 MCG 1 SRG 0,5 ML + 1 AIG SC
G03GA30
combinations
0462733
PERGOVERIS 150 U PDR 10 FL + S 1 ML SC
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
0 0
8,60
80
RR
RR
0 0
0 0
32,61
15,61
0
80
RR
RR
0 0
0 0
13,05
11,24
80
80
RR
RR
0 0
0 0
30,80
30,80
80
80
RR
RR
C
C
0 0
0 0
9,99
8,96
80
80
RR
0 0
189,15
80
RR
RR
RR
RR
RR
RR
C
C
C
C
C
C
0
0
0
0
0
0
0
0
0
0
0
0
44,41
360,90
22,75
184,97
311,03
160,47
80
80
80
80
80
80
RR
RR
RR
RR
C
C
C
C
0
0
0
0
0
0
0
0
114,37
165,54
35,02
317,85
80
80
80
80
RR
RR
RR
C
C
C
0 0
0 0
0 0
104,29
190,04
280,48
80
80
80
RR
0 0
68,16
80
RR
RR
C
C
0 0
0 0
570,79
570,79
80
80
RR
0 0
756,04
80
Page 99 of 243
Numro national
Dnomination abrge
G03GB02
clomifene
0023070
0088495
0088481
CLOMID 50 MG 10 CPR
PERGOTIME 50 MG 10 CPR
PERGOTIME 50 MG 5 CPR
G03HA01
cyproterone
0006049
0006035
0442548
ANDROCUR 10 MG 45 CPR
ANDROCUR 50 MG 50 CPR
CYPROPLEX 50 MG 50 CPR
G03HB01
cyproterone and estrogen
0186093
0450911
0381281
0409137
0139997
0426205
CLIMEN 3*21 DRG

DAPHNE 2 MG 13*21 CPR
DIANE 35 3*21 DRG
DIANE 35 6*21 DRG
mode de
dlivrance
PCC
Prix public
Taux
0 0
0 0
0 0
9,08
7,13
9,17
80
0
80
RR
RR
RR
0 0
0 0
0 0
19,51
28,15
26,50
80
80
0
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
29,51
0,00
13,28
19,06
23,35
25,26
80
0
80
80
80
0
0 0
4,41
0 0
0,00
RR
RR
0 0
0 0
25,94
42,72
80
80
P
P
P
0 0
0 0
0 0
22,20
39,94
46,19
80
80
80
R
R
0 0
0 0
14,17
9,25
80
80
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
12,52
7,88
12,48
44,51
8,68
6,11
80
80
80
80
80
80
R
R
0 0
0 0
25,87
38,67
0
0
RR
RR
RR
conditions de
prescription
C
C
C
G03X
OTHER SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM
0434062
ABUFENE 400 MG 30 CPR
G03XB01
mifepristone
0286894
MIFEGYNE 200 MG 3 CPR
G03XC01
raloxifene
0254033
0254051
EVISTA 60 MG 14 CPR
EVISTA 60 MG 84 CPR
G04BC
Urinary concrement solvents
0366804
0366818
0335016
BLANEL 48 CPR EFF

BLANEL 96 CPR EFF
URALYT U GRAN 280 G
G04BD02
flavoxate
0123319
0141835
URISPAS 200 MG 100 DRG

URISPAS 200 MG 40 DRG
G04BD04
oxybutynin
0134522
0134519
0134505
0400257
0395532
0395482
DITROPAN 5 MG 100 CPR

DITROPAN 5 MG 30 CPR
DITROPAN 5 MG/5 ML SIR 473 ML
KENTERA 36 MG 8 PATCH
OXYBUTYNINE EG 5 MG 100 CPR
OXYBUTYNINE EG 5 MG 30 CPR
G04BD06
propiverine
0488418
0482543
MICTONORM 15 MG 28 CPR
OD
RR
DC
Page 100 of 243
RMP
Numro national
Dnomination abrge
0482557
G04BD07
tolterodine
0244474
0303706
0509082
0509034
0509048
0509258
0509194
0509213
0703739
0703756
0703773
0678524
0678538
0678569
0678586
DETRUSITOL 2 MG 56 CPR
DETRUSITOL RET 4 MG 28 CAPS
TOLTERODIN RATIO 1 MG 100 CPR
TOLTERODIN RATIO 4 MG 28 CAPS
UROLINA 2 MG 28 CAPS
G04BD08
solifenacin
0386418
0386449
0386306
0386341
VESICARE 10 MG 30 CPR
G04BD09
trospium
0234903
0234934
0197889
0197875
0224861
0224857
SPASMEX 15 MG 30 CPR
SPASMEX 5 MG 30 CPR
SPASMO URGENIN TC 100 DRG
SPASMO URGENIN TC 50 DRG
SPASMOLYT 20 MG 100 DRG
SPASMOLYT 20 MG 50 DRG
G04BD11
fesoterodine
0467922
0477817
0467984
0477821
TOVIAZ 4 MG 28 CPR
TOVIAZ 4 MG 84 CPR
TOVIAZ 8 MG 28 CPR
TOVIAZ 8 MG 84 CPR
G04BE01
alprostadil
0211599
0236049
0211585
0236052
0244586
CAVERJECT 10 MCG PSV 1 FL + SRG 1 ML

CAVERJECT 10 MCG PSV 5 FL + 5 SRG 1 ML
CAVERJECT 20 MCG PSV 5 FL + 5 SRG 1 ML
G04BE03
sildenafil
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
0 0
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
R
R
R
R
Prix public
Taux
65,07
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
46,11
49,68
0,00
27,35
36,40
0,00
29,29
39,24
49,45
78,84
140,70
12,12
23,02
22,58
45,34
80
80
0
0
0
0
0
0
0
0
0
0
0
80
80
0
0
0
0
0
0
0
0
77,74
151,21
53,17
111,90
0
0
80
80
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
22,79
20,51
41,15
27,19
48,69
31,45
80
80
80
80
80
80
RR
RR
RR
RR
0
0
0
0
0
0
0
0
48,77
106,93
53,99
118,69
80
80
80
80
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
16,51
56,36
24,98
79,32
12,43
0
0
0
0
0
Page 101 of 243
Numro national
Dnomination abrge
0679793
0420541
0557546
0557581
0557563
0557577
0557496
0557479
0557532
0557515
0557529
0713766
0713735
0713749
0713752
0688842
0688856
0688825
0688727
0688792
0688775
0255061
0255044
0254954
0255027
0254999
REVATIO 10 MG/ML PDR 1 FL V

REVATIO 20 MG 90 CPR
SILDENAFIL RATIO 100 MG 1 CPR
VERVENTI 100 MG 12 CPR
VIAGRA 100 MG 12 CPR
VIAGRA 100 MG 4 CPR
VIAGRA 25 MG 4 CPR
VIAGRA 50 MG 12 CPR
VIAGRA 50 MG 4 CPR
G04BE04
yohimbine
0365953
0365936
YOCORAL 5 MG 100 CPR

YOCORAL 5 MG 50 CPR
G04BE08
tadalafil
0617501
0340632
0459464
0389096
0340615
0340629
0459481
0719871
ADCIRCA 20 MG 56 CPR
CIALIS 10 MG 4 CPR
CIALIS 2,5 MG 28 CPR
CIALIS 20 MG 12 CPR
CIALIS 20 MG 4 CPR
CIALIS 20 MG 8 CPR
CIALIS 5 MG 28 CPR
CIALIS 5 MG 84 CPR
G04BE09
vardenafil
0345379
0341948
0341951
0342007
LEVITRA 10 MG 12 CPR
LEVITRA 10 MG 4 CPR
LEVITRA 10 MG 8 CPR
LEVITRA 20 MG 12 CPR
mode de
dlivrance
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
conditions de
prescription
OD
DC
DC
X
X
R
R
RR
RR
RR
RR
RR
RR
RR
RR
RMP
DC
RR
RR
RR
RR
Page 102 of 243
PCC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Prix public
Taux
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
12,03
43,19
21,60
34,54
22,46
12,94
25,93
17,22
22,46
38,87
12,03
20,68
29,34
52,47
86,28
19,24
19,24
52,47
19,24
124,11
47,97
37,22
110,52
43,44
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
0 0
33,81
24,80
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
54,10
87,16
135,86
54,10
93,87
93,43
230,36
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
59,63
23,38
39,98
119,27
0
0
0
0
Numro national
Dnomination abrge
0341982
0341996
0341921
0341903
0344581
0344564
0344628
0344601
0344547
0344516
LEVITRA 20 MG 4 CPR
LEVITRA 20 MG 8 CPR
LEVITRA 5 MG 12 CPR
LEVITRA 5 MG 4 CPR
VIVANZA 10 MG 12 CPR
VIVANZA 10 MG 4 CPR
VIVANZA 20 MG 12 CPR
VIVANZA 20 MG 4 CPR
VIVANZA 5 MG 12 CPR
VIVANZA 5 MG 4 CPR
G04BX
Other urologicals
0246174
CYSTINOL LONG 60 CAPS
G04BX14
dapoxetine
0688145
0688159
0688193
0688209
PRILIGY 30 MG 3 CPR
PRILIGY 30 MG 6 CPR
PRILIGY 60 MG 3 CPR
PRILIGY 60 MG 6 CPR
G04CA01
alfuzosin
0225398
0304961
XATRAL RET 5 MG 56 CPR

XATRAL UNO 10 MG 30 CPR
G04CA02
tamsulosin
0411068
0410995
0411041
0698785
0414493
0414543
0414817
0414736
0414771
0433423
0433454
0433809
0433762
0433793
OMIC OCAS 0,4 MG 200 CPR

OMIC OCAS PI-PL 0,4 MG 90 CPR
TAMSULOSIN EG 0,4 MG 30 CAPS
TAMSULOSIN EG 0,4 MG 90 CAPS
TAMSULOSIN HEXAL 0,4 MG 100 CAPS
TAMSULOSINE HCL YAMA-PH 0,4 MG 30 CAPS
TAMSULOSINE HCL YAMA-PH 0,4 MG 90 CAPS
TAMSULOSINE RATIO 0,4 MG 100 CAPS
G04CA03
terazosin
0055480
0055494
0055513
0055527
0296923
0296954
HYTRIN 1 MG 10 CPR
HYTRIN 10 MG 28 CPR
HYTRIN 2 MG 28 CPR
HYTRIN 5 MG 28 CPR
TERAZOSAB 1 MG 10 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
46,75
79,95
35,07
11,69
59,64
23,38
83,49
32,72
35,07
11,69
0
0
0
0
0
0
0
0
0
0
0 0
21,61
RR
RR
RR
RR
0
0
0
0
0
0
0
0
26,13
42,35
31,00
52,09
0
0
0
0
R
R
0 0
0 0
34,86
36,66
80
80
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
39,31
88,31
88,31
18,95
37,31
25,74
13,15
17,53
22,35
48,10
25,74
13,15
17,53
0
80
80
0
80
80
80
80
80
80
80
80
80
80
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
6,01
26,39
11,84
19,33
2,35
27,77
80
80
80
80
80
80
Page 103 of 243
Numro national
0296937
0296941
0272501
0272482
0272496
0272515
Dnomination abrge
UROHYTRIN 10 MG 28 CPR
UROHYTRIN STARTER 3*1 MG+11*2 MG CPR
G04CA04
silodosin
0557631
0557708
0557725
SILODYX 4 MG 30 CAPS
G04CA52
tamsulosin and dutasteride
0569081
0569094
COMBODART 0,5/0,4 MG 30 CAPS (FL)

COMBODART 0,5/0,4 MG 90 CAPS (FL)
G04CB01
finasteride
0467046
0467015
0467029
0460255
0460211
0460238
0187882
FINASTERID RATIO 5 MG 100 CPR

FINASTERIDE EG 5 MG 100 CPR
PROSCAR 5 MG 28 CPR
G04CB02
dutasteride
0343438
0698463
AVODART 0,5 MG 30 CAPS

AVODART PI-IT 0,5 MG 30 CAPS
G04CX02
serenoa repens
0183933
0219244
0219231
0233095
PERMIXON 160 MG 60 CAPS

PROSTA URGENIN UNO 320 MG 120 CAPS
PROSTA URGENIN UNO 320 MG 60 CAPS
PROSTASERENE 320 MG 30 CAPS
H01AA02
tetracosactide
0112377
0112394
SYNACTHEN 0,25 MG 1 AMP

SYNACTHEN DEP 1 MG 1 AMP
H01AC01
somatropin
0607195
0180136
0607178
0607181
0164311
0198208
0198192
0377954
GENOTONORM 12 MG 1 GOQUICK SC
GENOTONORM 12 MG PSV 1 FL 2 CPT SC P PEN
GENOTONORM 5,3 MG 1 GOQUICK SC
GENOTONORM 5,3 MG 5 GOQUICK SC
GENOTONORM 5,3 MG PSV 1 FL 2CPT SC P PEN
HUMATROPE 12 MG PDR 1 CRT+SRG S IMSC
HUMATROPE 6 MG PDR 1 CRT + SRG S IMSC
NORDITROPIN NORDIFLEX 15 MG 1 PEN 1,5 ML
mode de
dlivrance
conditions de
prescription
OD
RMP
R
R
R
R
R
R
PCC
0
0
0
0
0
0
Prix public
Taux
0
0
0
0
0
0
11,38
21,66
40,93
16,48
30,64
8,58
80
80
0
0
0
0
0 0
0 0
0 0
25,36
25,36
46,99
0
0
0
R
R
0 0
0 0
43,56
90,67
80
80
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
55,30
24,12
33,31
57,62
27,73
38,48
37,00
80
80
80
80
80
80
80
R
R
0 0
0 0
39,65
43,62
80
0
R
P
P
P
0
0
0
0
0
0
0
0
31,98
36,04
20,39
17,78
80
80
80
80
RR
RR
0 0
0 0
5,72
6,05
80
80
282,58
282,58
144,06
684,23
144,06
230,37
128,62
388,75
100
100
100
100
100
100
100
100
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RM
RM
RM
C
C
C
C
C
C
C
C
1
1
1
1
1
1
1
1
Page 104 of 243
5
5
5
5
5
5
5
5
Numro national
0274196
0274179
0364889
0364892
0455644
0455631
0707559
0707545
0575852
0575849
0707593
0707576
0194517
Dnomination abrge
NORDITROPIN SPXX 10 MG 3 CRT 1,5 ML SC
NORDITROPIN SPXX 5 MG 3 CRT 1,5 ML SC
NUTROPIN AQ 10 MG 1 CRT 2 ML SC
NUTROPIN AQ 10 MG 3 CRT 2 ML SC
OMNITROPE 3,3 MG SOL 10 CRT 1,5 ML SC
OMNITROPE 3,3MG SOL 10CRT(SUREPAL5)1,5ML
OMNITROPE 3,3MG SOL 5CRT (SUREPAL5)1,5ML
OMNITROPE 6,7MG SOL 10CRT(SUREPAL5)1,5ML
OMNITROPE 6,7MG SOL 5CRT (SUREPAL5)1,5ML
ZOMACTON 4 MG PDR 12 U 1 FL + S 3,5 ML
H01AC03
mecasermin
0469118
INCRELEX 10 MG/ML 1 FL 4 ML V SC
H01AX01
pegvisomant
0340579
0340582
0353207
0340596
SOMAVERT 10 MG PDR 30 FL + S 8 ML
H01BA02
desmopressin
0459559
0459531
0209069
0607956
0607861
0192821
DESMOPRESSING FERRING 0,2 MG 100 CPR

DESMOPRESSING FERRING 0,2 MG 15 CPR
MINIRIN 0,1 MG/ML 1 FL 2,5 ML IN
MINIRIN MELT 120 MCG 30 CPR
MINIRIN MELT 60 MCG 30 CPR
MINIRIN SPRAY 0,1 MG/ML 1 FL 2,5 ML IN
H01BA04
terlipressin
0188635
GLYPRESSIN 1 MG PDR 5 FL+S 5 ML IV
H01BB02
oxytocin
0112735
0112718
SYNTOCINON 10 U 100 AMP 1 ML

SYNTOCINON 3 U 100 AMP 1 ML
H01BB03
carbetocin
0476174
PABAL 100 MCG 5 AMP 1 ML IV
H01CA
Gonadotropin-releasing hormones
0285205
DECAPEPTYL 0,1 MG PSV 7 FL + S SC
H01CB02
octreotide
0556911
0556938
0182824
OCTREOTIDE HOSPIRA 0,1 MG 5 FL 1 ML

OCTREOTIDE HOSPIRA 0,5 MG 5 FL 1 ML
SANDOSTATIN 100 MCG 5 AMP 1 ML SC
mode de
dlivrance
conditions de
prescription
OD
RMP
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
C
C
C
C
C
C
C
C
C
C
C
C
C
RR
RR
RR
RR
RR
DC
DC
DC
DC
X
X
X
X
PCC
1
1
1
1
0
1
0
0
0
1
0
0
1
RR
RR
RR
RR
RR
RR
RM
Prix public
Taux
5
5
5
5
0
5
0
0
0
5
0
0
5
768,50
388,75
207,35
604,15
998,29
503,65
1.078,45
543,70
1.987,59
998,30
2.147,97
1.078,46
108,33
100
100
100
100
0
100
0
0
0
100
0
0
100
0 0
643,22
1
1
0
1
5
5
0
5
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
74,11
19,16
20,17
48,03
30,52
19,97
80
80
80
0
0
80
RR
0 0
0,00
RR
RR
H
H
0 0
0 0
0,00
0,00
0
0
RR
HC
0 0
0,00
0 0
40,95
80
0 0
0 0
0 0
31,46
121,72
75,56
0
0
100
RR
RR
RR
RR
C
C
C
Page 105 of 243
Numro national
Dnomination abrge
0182838
0246241
0246272
SANDOSTATIN 500 MCG 5 AMP 1 ML SC

SANDOSTATIN LAR 20 MG 1 FL+SRG 2 ML(C)
SANDOSTATIN LAR 30 MG 1 FL+SRG 2 ML(C)
H01CB03
lanreotide
0340811
0340792
0340808
0314467
SOMATULINE AUTOGEL 120 MG 1 SRG 0,5ML SC

SOMATULINE AUTOGEL 60 MG 1 SRG 0,3 ML SC
SOMATULINE AUTOGEL 90 MG 1 SRG 0,3 ML SC
SOMATULINE PR 40 MG PDR 1 COFFERT 1 FL
H01CC01
ganirelix
0282184
0282198
ORGALUTRAN 0,25 MG 1 SRG 0,5 ML SC

ORGALUTRAN 0,25 MG 5 SRG 0,5 ML SC
H01CC02
cetrorelix
0264981
0264978
0264995
CETROTIDE 0,25 MG 7 FL + 7 SRG SC

CETROTIDE 0,25 MG PDR 1 FL + SRG SC
CETROTIDE 3 MG PDR 1 FL + SRG SC
H02AA02
fludrocortisone
0195772
ASTONIN H 50 CPR
H02AB01
betamethasone
0019873
0019890
0019906
0019923
0140645
0230045
0033371
0033385
CELESTONE 0,5 MG 30 CPR

CELESTONE 0,5 MG/ML GTTS 30 ML
CELESTONE 1 AMP 4 MG 1 ML IMIV
CELESTONE CHRONODOSE 1 FL 1 ML IM M.D.
DIPROPHOS 1 AMP 1 ML IMIRID
DIPROPHOS 25 MG + 10 MG 1 FL 5 ML IMIAID
DIPROPHOS DS 2MG+5MG 1 SRG 1 ML IMIAID
DIPROPHOS DS 4MG+10MG 1 SRG 2 ML IMIAID
H02AB02
dexamethasone
0311384
0197391
0197411
0235038
0046139
0046173
0046142
0046187
AACIDEXAM 5 MG 1 AMP 1 ML IMIV

FORTECORTIN 0,5 MG 20 CPR
FORTECORTIN 4 MG 20 CPR
FORTECORTIN 8 MG 20 CPR
FORTECORTIN INJEKT 100MG 10ML FERTIGSPR
FORTECORTIN INJEKT 40 MG 5ML 1 FERTIGSPR
FORTECORTIN INJEKT 4MG 3 AMP 1ML
FORTECORTIN INJEKT 8 MG 3 AMP 2 ML
H02AB04
methylprednisolone
0029611
0029589
0029639
0029592
0029625
DEPO MEDROL 200 MG 1 AMP 5 ML IMTO

DEPO MEDROL 40 MG 1 SRG 1 ML IMTO
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
C
C
C
0 0
0 0
0 0
336,44
2.000,13
2.555,91
100
100
100
RR
RR
RR
RR
C
C
C
C
0
0
0
0
0
0
0
0
1.335,93
876,59
1.048,73
442,65
100
100
100
100
RR
RR
C
C
0 0
0 0
48,92
204,88
80
80
RR
RR
RR
C
C
C
0 0
0 0
0 0
252,15
52,03
250,62
80
80
0
0 0
36,13
80
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5,88
6,39
5,48
7,77
4,86
21,28
7,81
9,80
80
80
80
80
0
0
80
80
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5,54
10,93
20,59
28,11
43,34
23,74
10,71
11,63
80
80
80
80
80
80
80
80
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
23,23
9,28
9,28
17,70
17,70
80
80
80
80
80
Page 106 of 243
Numro national
Dnomination abrge
0029608
0029642
0029673
0029690
0029687
0070280
0070327
0070313
0070330
0070344
0070361
0551699
0551654
0551668
0551671
0551685
0106576
0134858
0106609
0106612
0106626
0106531
0106562
0106559

DEPO MEDROL LIDO 40 MG 1 FL 1 ML IMTO
MEDROL 32 MG 20 CPR
MEDROL 4 MG 100 CPR UD
MEDROL 4 MG 30 CPR
MEDROL A 16 MG 14 CPR
MEDROL A 16 MG 50 CPR
MEDROL PACK 4 MG 21 CPR
METHYLPREDNISOLONE ORION 16MG 100CPR(FL)
METHYLPREDNISOLONE ORION 16MG 10CPR (FL)
SOLUMEDROL 1 G PDR + S 16 ML IV
SOLUMEDROL 125 MG 1 MIX 2 ML IMIV
SOLUMEDROL 500 MG PDR 1 FL + S 8 ML IV
SOLUMEDROL SAB 125 MG PDR 1 FL + S 2 ML
SOLUMEDROL SAB 40 MG 3 MIX 1 ML IMIV
SOLUMEDROL SAB 40 MG PDR 1 FL + S 1 ML
H02AB06
prednisolone
0106321
0106352
SOLUDECORTIN H 25 MG 3 AMP IMIVSC

SOLUDECORTIN H 50 MG 3 AMP IMIVSC
H02AB07
prednisone
0514275
0514261
0514308
0514292
0514339
0514325
LODOTRA 1 MG 100 CPR

LODOTRA 1 MG 30 CPR
LODOTRA 2 MG 30 CPR
LODOTRA 5 MG 30 CPR
H02AB08
triamcinolone
0002201
0061961
ALBICORT 10 MG 1 FL 5 ML IM
KENACORT A 10 50 MG 1 FL 5 ML IR
H02AB09
hydrocortisone
0288577
0106285
0106304
HYDROCORTISONE ERFA 20 MG 20 CPR

SOLUCORTEF 100 MG 1 FL 2 ML IMIV
SOLUCORTEF 250 MG 1 FL 2 ML IMIV
H02AB13
deflazacort
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
13,77
13,77
9,41
18,04
14,01
17,67
0,00
7,61
10,24
21,24
6,83
0,00
0,00
0,00
0,00
23,27
68,91
15,15
8,84
15,95
41,19
15,15
15,95
8,84
80
80
80
80
80
80
0
80
80
80
80
0
0
0
0
0
80
80
80
80
80
80
80
80
RR
RR
0 0
0 0
13,04
16,96
80
80
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
67,83
27,28
67,83
27,28
67,83
27,28
0
0
0
0
0
0
RR
RR
0 0
0 0
9,62
9,02
80
80
RR
RR
RR
0 0
0 0
0 0
7,61
6,82
9,66
80
80
80
Page 107 of 243
Numro national
Dnomination abrge
0063546
0156063
0063563
0154749
CALCORT 30 MG 10 CPR
CALCORT 30 MG 20 CPR
CALCORT 6 MG 20 CPR
CALCORT 6 MG 60 CPR
H03AA01
levothyroxine sodium
0192025
0192039
0192042
0300671
0192056
0192851
0192008
0192011
0195451
0277847
0305809
0277851
0277864
0366382
0704462
0277878
0277816
0305776
0277833
0305793
0366379
0704459
EUTHYROX 100 MCG 100 DRG

EUTHYROX 125 MCG 100 CPR
JODTHYROX 100 MCG 100 CPR
L THYROXINE CHRST 100 MCG 112 CPR
L THYROXINE CHRST 100 MCG 112 CPR UD
H03AA03
combinations of levothyroxine and liothyronine
0080645
0192981
NOVOTHYRAL 100 MCG 100 CPR

NOVOTHYRAL 75 MCG 100 CPR
H03BA02
propylthiouracil
0094718
PROPYLTHIOURACIL CHRST 50 MG 60 CPR
H03BB02
thiamazole
0110646
0192915
0192932
0192946
0192882
STRUMAZOL 10 MG 100 CPR

THYROZOL 10 MG 50 CPR
H03CA
Iodine therapy
0140341
0244832
JODID MERCK 100 MCG 100 CPR

JODID MERCK 200 MCG 100 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
0
0
0
0
0
0
0
0
30,46
57,87
15,24
43,46
80
80
80
80
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
13,25
13,81
14,34
14,87
15,39
10,89
11,79
12,52
19,28
8,88
0,00
9,66
10,46
11,44
0,00
11,79
6,49
0,00
7,13
0,00
8,18
0,00
80
80
80
80
80
80
80
80
80
80
0
80
80
80
0
80
80
0
80
0
80
0
R
R
0 0
0 0
27,48
25,19
80
80
0 0
8,40
80
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
9,00
12,59
11,07
13,34
11,98
80
80
80
80
80
R
R
0 0
0 0
3,76
5,82
80
80
Page 108 of 243
Numro national
Dnomination abrge
H04AA01
glucagon
0225501
0225496
GLUCAGEN 1 MG PSV 10 FL + S IMIVSC

GLUCAGEN HYPOKIT 1 MG PDR + SRG IMIVSC
H05AA02
teriparatide
0350429
FORSTEO 20 MCG/D 1 STYLO SC
H05BX01
cinacalcet
0386709
0386757
0386791
MIMPARA 30 MG 28 CPR
H05BX02
paricalcitol
0396381
ZEMPLAR 5 MCG 5 AMP 1 ML IV
J01AA02
doxycycline
0304815
0340941
0304801
0169805
0169819
0169822
0245101
0185843
0185857
0238091
0238088
0170384
0170398
0170367
0170371
0036034
0036048
0176083
0307915
0127271
DOCDOXYCY DISPERS 100 MG 10 CPR

DOXY M RATIO 100 MG 10 CPR
DOXYCYCLIN RATIO SF 2 AMP 5 ML IV
DOXYCYCLIN RATIO SF 5 AMP 5 ML IV
DOXYCYCLINE EG 100 MG 10 CPR
DOXYCYCLINE EG 200 MG 10 CPR
DOXYHEXAL TABS 100 MG 10 CPR
DOXYLETS 100 MG 10 CAPS
DOXYLETS 200 MG 10 CAPS
DOXYTAB 100 MG 10 CAPS
DOXYTAB 100 MG 10 CPR
VIBRATAB 100 MG 10 CPR
J01AA04
lymecycline
0302435
0223931
TETRALYSAL 300 MG 28 CAPS

TETRALYSAL 300 MG 56 CAPS
J01AA08
minocycline
0248331
0072626
0191899
0251305
0251319
KLINOTAB 100 MG 30 CPR

MINO 50 MG 20 CPR
MINO 50 MG 42 CPR
MINOCIN 100 MG 10 CAPS MICROGRAN
MINOCIN 100 MG 20 CAPS MICROGRAN
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
0 0
0 0
0,00
23,64
0
80
RR
0 0
347,93
80
100
100
100
RR
RR
RR
C
C
C
0 0
0 0
0 0
189,17
346,04
492,82
RR
HC
0 0
0,00
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6,25
0,00
8,49
6,66
10,38
9,85
11,31
9,49
22,53
6,66
8,43
6,66
10,39
9,86
11,32
6,77
8,50
8,67
8,67
6,66
80
0
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
0
80
RR
RR
0 0
0 0
16,21
27,46
80
80
RR
RR
RR
RR
RR
0
0
0
0
0
11,94
7,54
11,89
7,50
23,22
80
80
80
80
0
Page 109 of 243
0
0
0
0
0
Numro national
Dnomination abrge
0693999
0457331
0457344
0406331
0145624
MINOCYCLINE EG 100 MG 30 CPR

MINOCYCLINE EG 50 MG 20 CAPS
MINOCYCLINE EG 50 MG 42 CAPS
MINOCYCLINE MYLAN 100 MG 30 CPR
MINOTAB 100 MG 10 CPR
J01AA12
tigecycline
0435607
TYGACIL 50 MG PDR 10 FL IV
J01BA02
thiamphenicol
0123238
0123210
URFAMYCINE 500 MG PDR 3 AMP IMIV

URFAMYCINE 750 MG PDR 3 AMP IMIV
J01CA01
ampicillin
0088058
0139451
0088111
PENTREXYL 1 G PDR 25 FL IMIV

PENTREXYL 2 G 1 AMP IV
PENTREXYL 250 MG PDR 25 FL IMIV
J01CA04
amoxicillin
0149573
0005105
0267255
0005086
0218216
0005122
0005153
0249985
0237936
0458629
0475701
0146134
0459304
0139823
0197682
0005203
0162351
0157741
0157723
0325247
0208125
0022705
0140466
0022624
0022722
0385049
0196623
AMOXICILLIN 250 TS RATIO GRAN 100G=200ML

AMOXICILLIN 250 TS RATIO GRAN 50G=100ML
AMOXICILLIN RATIO 1 G 14 CPR
AMOXICILLIN RATIO 1 G 20 CPR PELLIC
AMOXICILLIN RATIO 1 G 30 CPR
AMOXICILLIN RATIO 500 MG 20 CPR PELLIC
AMOXICILLINE EG 1 G 8 CPR
AMOXICILLINE EG 1 G 8 CPR EFF
AMOXICILLINE EG 250 MG/5 ML PDR 100 ML
AMOXICILLINE EG 500 MG 16 CAPS
AMOXICILLINE EG 500 MG 30 CAPS
AMOXIHEXAL 250 MG/5 ML SIR 100 ML
AMOXIHEXAL 250 MG/5 ML SIR 2*100 ML
AMOXIHEXAL 500 MG 10 CPR PELLIC
AMOXIHEXAL 500 MG 20 CPR PELLIC
AMOXYPEN 250 MG/5 ML SIR 80 ML
AMOXYPEN 500 MG 16 CAPS
AMOXYPEN 750 MG 16 CPR
CLAMOXYL 1 G PDR 30 FL + S 5 ML IMIV
CLAMOXYL 125 MG/5 ML SIR 80 ML
CLAMOXYL 250 MG/5 ML SIR 80 ML
CLAMOXYL 500 MG 16 CAPS
CLAMOXYL 500 MG 16 SACH
CLAMOXYL TABS 1 G 24 CPR
CLAMOXYL TABS 1 G 8 CPR
mode de
dlivrance
conditions de
prescription
OD
RR
RR
RR
RR
RR
RMP
PCC
Taux
0
0
0
0
0
12,84
7,65
11,93
12,48
7,50
0
80
80
80
80
0 0
0,00
RR
RR
0 0
0 0
8,31
10,33
80
80
RR
RR
RR
0 0
0 0
0 0
0,00
7,13
0,00
0
80
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8,65
4,49
9,57
10,94
16,37
8,17
12,52
15,12
7,51
7,51
6,95
6,61
12,14
10,49
11,95
7,50
8,17
4,69
8,18
11,56
0,00
5,98
6,95
6,61
6,61
13,92
7,51
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
0
0
80
80
80
80
80
80
RR
0
0
0
0
0
Prix public
HC
Page 110 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0389292
0193702
0331678
0459271
0341661
0242158
0242144
0050744
0141589
0050758
0050761
FLEMOXIN 250 MG/5 ML SUSP 100 ML

FLEMOXIN 250 MG/5 ML SUSP 80 ML
FLEMOXIN SOLUTAB 1 G 20 CPR
FLEMOXIN SOLUTAB 1 G 24 CPR
FLEMOXIN SOLUTAB 500 MG 30 CPR
GRAMIDIL 1 G PDR 14 SACH
GRAMIDIL 1 G PDR 6 SACH
GRAMIDIL 500 MG 12 CAPS
GRAMIDIL 500 MG/5 ML PDR SIR 60 ML
GRAMIDIL PDR 125 MG/5 ML SIR 60 ML
GRAMIDIL PDR SUSP 250 MG 60 ML
J01CA17
temocillin
0076205
0076219
NEGABAN 1 G PDR 1 FL IMIV

NEGABAN 2 G PDR 1 FL IV
J01CE01
benzylpenicillin
0297562
0297576
0142751
PENICILLINE CNTL 1 MIO U PDR 100 FL IMIV

PENICILLINE CNTL 2 MIO U PDR 100 FL IMIV
PENICILLINE CNTL 5 MIO U PDR 100 FL
J01CE02
phenoxymethylpenicillin
0306157
0211991
0087663
PENHEXAL MEGA 1 MIO U 10 CPR

PENHEXAL MEGA 1 MIO U 30 CPR
PENI ORAL 1 MIO U 15 CPR
J01CE08
benzathine benzylpenicillin
0087212
PENADUR LA 1,2 MIO U PSV 1 FL+S 5 ML I
J01CF04
oxacillin
0087808
PENSTAPHO 1 G PDR 25 FL IM
J01CF05
flucloxacillin
0267319
0196573
0267336
0193801
0267322
0174416
0109306
FLOXAPEN 1 G PSV 10 FL IMIV

FLOXAPEN 1 G PSV 3 FL + S IMIV
FLOXAPEN 250 MG PSV 10 FL IMIV
FLOXAPEN 500 MG 16 CAPS
FLOXAPEN 500 MG PSV 10 FL IMIV
STAPHYCID 250 MG/5 ML SIR 1 FL 80 ML
STAPHYCID 500 MG 16 CAPS
J01CR02
amoxicillin and enzyme inhibitor
0657975
0666991
0658021
0658017
0658048
0657881
AMOXICLAV SDZ 125MG+31,25MG/5ML 100 ML

AMOXICLAV SDZ 250MG+62,5MG/5ML 2*60 ML
AMOXICLAV SDZ 500/125 MG 16 CPR
mode de
dlivrance
conditions de
prescription
OD
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RMP
PCC
Taux
0
0
0
0
0
0
0
0
0
0
0
6,92
4,89
12,95
13,92
12,01
5,54
2,70
2,07
2,49
1,88
2,01
80
80
80
80
80
80
80
80
80
80
80
0 0
0 0
0,00
0,00
0
0
RR
RR
RR
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
RR
RR
RR
0 0
0 0
0 0
3,85
11,15
7,94
0
80
80
RR
0 0
18,68
80
0,00
RR
RR
0
0
0
0
0
0
0
0
0
0
0
Prix public
H
H
RR
0 0
RR
RR
RR
RR
RR
RR
RR
D
D
H
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
14,18
0,00
9,82
13,57
0
0
0
80
0
80
80
0
0
0
0
0
0
0
0
0
0
0
0
6,42
5,83
8,14
7,05
7,00
10,24
80
80
80
0
80
80
RR
RR
RR
RR
RR
RR
Page 111 of 243
Numro national
Dnomination abrge
0657927
0451659
0451709
0451533
0451449
0451564
0451483
0134571
0009300
0134536
0009314
0009328
0187834
0697788
0265569
0311773
0134567
0134831
0340033
0340047
0340471
0376036
AMOXICLAV SDZ 500/125 MG 30 CPR

AMOXICLAV TEVA 500/125 MG 16 CPR
AMOXICLAV TEVA 500/125 MG 16 CPR (FL)
AUGMENTIN 1000/200 MG AD PDR 1 FL IV
AUGMENTIN 125/31,25 MG/5 ML SIR 80 ML
AUGMENTIN 2000/200 MG AD PDR 1 FL PERF
AUGMENTIN 250/62,5 MG/5 ML SIR 80 ML
AUGMENTIN 500/125 MG 16 CPR (PLAQU.)
AUGMENTIN 500/125 MG 16 SACH
AUGMENTIN 875 PI-ES 875/125MG 20 CPR
AUGMENTIN P 1000/100 MG PDR 1 FL PERF
AUGMENTIN P 500/50 MG PDR 1 FL IV/PERF
AUGMENTIN RET 1 G/62,5 MG 28 CPR
AUGMENTIN RET 1 G/62,5 MG 40 CPR
CLAVUCID SOLUTAB 500/125 MG 20 CPR
CLAVUCID SOLUTAB 875/125 MG 20 CPR
J01CR05
piperacillin and enzyme inhibitor
0604064
0540776
0540826
0633536
0633472
0267174
0267188
PIPERACILLIN/TAZ KABI 4/0,5 G 10 FL 50ML

PIPERACILLINE/TAZ EG 2/0,25G PDR 1*20ML
PIPERACILLINE/TAZ EG 4/0,5G PDR 1*50ML
PIPERACILLINE/TAZ SDZ 2/0,25 G 10 FL
PIPERACILLINE/TAZ SDZ 4/0,5 G 10 FL
TAZOCIN 2 G/250 MG PDR 1 FL IMIV
TAZOCIN 4 G/500 MG PDR 1 FL IMIV
J01DB01
cefalexin
0061748
0061734
KEFORAL 500 MG 100 CPR

KEFORAL 500 MG 16 CPR
J01DB04
cefazolin
0586792
0587304
0061832
0273039
CEPHAZOLIN FRES 1 G PDR 10 FL 15 ML IV

CEPHAZOLIN FRES 2 G PDR 10 FL 15 ML IV
KEFZOL 1 G PDR 3 AMP IM
KEFZOL 2 G PDR 1 FL IMIV
J01DB05
cefadroxil
0037305
0037286
0217608
DURACEF 500 MG 100 CAPS

DURACEF 500 MG 16 CAPS
DURACEF 500 MG/5 ML PDR SIR 80 ML
mode de
dlivrance
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14,00
10,25
9,71
9,65
9,63
14,35
18,44
0,00
6,46
0,00
8,01
10,35
10,35
14,76
9,76
14,54
0,00
0,00
17,75
23,05
11,69
14,35
80
0
0
0
0
0
0
0
80
0
80
80
80
0
80
80
0
0
80
80
80
80
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
RR
RR
0 0
0 0
0,00
11,15
0
80
RR
RR
RR
RR
0
0
0
0
0
0
0
0
59,52
110,26
12,31
0,00
0
0
80
0
0 0
0 0
0 0
0,00
11,38
10,80
0
80
80
RR
RR
RR
RR
RR
RR
RR
H
H
H
H
HC
HC
HC
HC
HC
HC
HC
RR
RR
RR
Page 112 of 243
Numro national
Dnomination abrge
0037322
DURACEF HD 250 MG/5 ML SIR 80 ML
J01DB09
cefradine
0265829
ZEEFRA GE 500 MG 12 CAPS
J01DC02
cefuroxime
0508488
0501232
0508474
0501229
0611685
0611685
0611685
0611704
0611654
0394454
0394485
0394521
0394552
0211121
0513345
0211151
0154301
0238804
0157771
0274974
CEFURIM 1500 MG PDR 1 FL IV

CEFURIM 1500 MG PDR 10 FL IV
CEFURIM 750 MG PDR 1 FL IVIM
CEFURIM 750 MG PDR 10 FL IVIM
CEFUROXIM FRES 1500 MG PDR 1 FL 20ML INJ
CEFUROXIM FRES 1500 MG PDR 1 FL 50ML INF
CEFUROXIM FRES 1500 MG PDR 10 FL 20 ML
CEFUROXIM FRES 1500 MG PDR 10 FL 50 ML
CEFUROXIM FRES 750 MG PDR 1 FL
CEFUROXIM MYLAN 250 MG 10 CPR
ZINACEF BOLUS 1,5 G 1 FL UD IV
ZINACEF BOLUS 750 MG PDR 1 FL IMIV
ZINACEF PERF 1,5 G PDR 1 FL UD IV
ZINNAT 250 MG 10 CPR
ZINNAT 250 MG/5 ML SIR 100 ML
J01DC03
cefamandole
0069407
MANDOL 1 G PDR 3 FL 10 ML MTD PERF
J01DC04
cefaclor
0220066
0220083
0496826
0496843
CEC 125 MG/5 ML GRAN 1 FL 100 ML

CEC FORTE 250 MG/5 ML GRAN 1 FL 100 ML
DOCCEFACLO 250 MG/5 ML PDR SUSP 100 ML
DOCCEFACLO 500 MG 15 CAPS
J01DD01
cefotaxime
0476045
0476059
0476076
0476093
0206716
0206733
CEFOTAXIME TEVA 1000 MG PDR 1 FL IVIM

CLAFORAN 1000 MG PDR 1 FL + S IMIV
CLAFORAN 2000 MG PDR 1 FL + S IV
J01DD02
ceftazidime
0525797
0525816
CEFTAZIDIM KABI 1 G PDR 10 FL 10 ML INJ

CEFTAZIDIM KABI 2 G PDR 10 FL 50 ML PERF
mode de
dlivrance
PCC
Prix public
Taux
RR
0 0
8,71
80
RR
0 0
5,13
80
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7,84
4,63
6,21
2,31
83,11
83,11
83,11
83,11
54,70
7,49
12,29
11,02
18,82
7,84
6,21
7,84
7,56
11,02
10,74
16,41
0
0
0
0
0
0
0
0
0
80
80
80
80
80
80
80
80
80
80
80
RR
0 0
18,00
80
RR
RR
RR
RR
0
0
0
0
0
0
0
0
12,47
15,05
8,08
12,05
80
80
0
80
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
10,76
15,64
0
0
0
0
80
80
0 0
0 0
0,00
0,00
0
0
RR
RR
RR
RR
RR
RR
conditions de
prescription
OD
H
H
H
H
RR
RR
Page 113 of 243
RMP
Numro national
Dnomination abrge
0211201
0211215
0211196
0211179
0211182
GLAZIDIM BOLUS 1 G PDR 1 FL IMIV

GLAZIDIM BOLUS 2 G PDR 1 FL IV
GLAZIDIM BOLUS 500 MG PDR 1 FL IMIV
GLAZIDIM PERF 1 G PDR 1 FL UD IMIV
GLAZIDIM PERF 2 G PDR 1 FL UD IV
J01DD04
ceftriaxone
0100622
0100619
0100636
ROCEPHINE 1 G PDR 1 FL + S 10 ML IV
ROCEPHINE 1 G PDR 1 FL + S 3,5 ML IM
ROCEPHINE 2 G PDR 1 FL PERF
J01DE01
cefepime
0200757
0200761
MAXIPIME 1 G 3 FL IMIV
MAXIPIME 2 G 3 FL IMIV
J01DF01
aztreonam
0009880
0009894
0536224
AZACTAM 1 G PDR 1 FL IMIV

AZACTAM 2 G PDR 1 FL IV
CAYSTON 75 MG PDR 84 FL + S IH
J01DH02
meropenem
0206764
0206781
0603957
0603943
MERONEM 1 G PDR 1 FL IV
MERONEM 500 MG PDR 1 FL IV
MEROPENEM HOSPIRA 1 G PDR 10 FL 30 ML
MEROPENEM HOSPIRA 500 MG PDR 10 FL 20 ML
J01DH03
ertapenem
0322858
INVANZ 1 G 1 FL IMIV
J01DH04
doripenem
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
9,38
14,36
6,95
9,38
14,36
80
80
80
80
80
RR
RR
RR
0 0
0 0
0 0
10,25
10,25
16,14
80
80
80
RR
RR
0 0
0 0
28,62
50,27
80
80
0 0
0 0
0 0
14,53
0,00
0,00
0
0
0
RR
RR
RR
H
DC
RR
RR
RR
RR
H
H
HC
HC
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0
0
0
0
RR
0 0
0,00
RR
HC
0 0
0,00
0492648
DORIBAX 500 MG PDR 10 FL 20 ML IV
J01DH51
imipenem and enzyme inhibitor
0488001
TIENAM 500 PDR 1 FL UD 20 ML PERF IV
RR
HC
0 0
0,00
0684289
ZINFORO 600 MG PDR 10 FL V 20 ML IV
RR
0 0
0,00
J01EE01
sulfamethoxazole and trimethoprim
0010346
0010315
0025996
0026007
0203504
0203518
0043039
0042966
0042983
0043056
BACTRIM FORTE 10 CPR

BACTRIM SIR 100 ML
COTRIM FORTE RATIO 10 CPR
COTRIM FORTE RATIO 20 CPR
COTRIM HEXAL FORTE 10 CPR
COTRIM HEXAL FORTE 20 CPR
EUSAPRIM 10 AMP 5 ML IV
EUSAPRIM 20 CPR AD
EUSAPRIM 50 CPR AD
EUSAPRIM FORTE 10 CPR
6,95
6,28
5,85
10,38
1,90
3,61
0,00
6,86
6,68
6,86
80
80
80
80
80
80
0
80
80
80
J01DI02
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
Page 114 of 243
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0043087
0043073
0043025

EUSAPRIM SIR PED 100 ML
J01FA01
erythromycin
0040832
0040846
0040863
0183236
0183253
0140001
0187221
0167232
0198001
0208352
0198015
0041020
0252963
0169447
0041101
0041115
0167974
0167988
0168016
0167991
0168002
ERY 125 MG 24 SACH

ERY 250 MG 24 SACH
ERY 500 MG 20 CPR SEC
ERYHEXAL 1000 MG 12 SACH
ERYHEXAL 1000 MG 20 SACH
ERYHEXAL 200 MG/5 ML GRAN P SIR 100 ML
ERYHEXAL 200 MG/5 ML GRAN P SIR 2*100 ML
ERYHEXAL 500 MG 10 CPR
ERYTHROCINE 1 G PDR 1 FL + S 20 ML IV
ERYTHROCINE 250 MG/5 ML SIR 80 ML
ERYTHROFORTE 1000 MG 10 SACH
ERYTHROFORTE 500 MG 16 CPR
ERYTHROFORTE 500 MG 16 SACH
ERYTHROMYCINE RATIO 1000 DB 12 SACH
J01FA02
spiramycin
0101194
ROVAMYCINE 1,5 MIO U 16 CPR
J01FA06
roxithromycin
0315402
0183981
0199691
ROXITHROMYCIN EG 150 MG 10 CPR

RULID 100 MG 10 CPR
RULID 150 MG 10 CPR
J01FA09
clarithromycin
0205509
0225465
0171154
0221323
0221337
0289395
0409509
0409512
0378853
0378867
BICLAR 125 BEBE SIR 60 ML

BICLAR 125 JR SIR 120 ML
BICLAR 250 MG 10 CPR
BICLAR 500 MG PDR 1 FL IV
BICLAR FORTE 500 MG 10 CPR
BICLAR KIDS 250 MG/5 ML GRAN SUSP 80 ML
BICLAR UNO 500 MG 10 CPR
BICLAR UNO 500 MG 20 CPR
CLARITHROMYCIN HEXAL 250 MG 10 CPR
mode de
dlivrance
conditions de
prescription
OD
PCC
Prix public
Taux
RR
RR
RR
0 0
0 0
0 0
0,00
7,11
6,23
0
80
80
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3,40
3,40
4,04
14,76
18,13
11,14
12,81
10,68
13,15
15,25
18,84
12,69
7,24
13,18
10,31
10,31
14,39
18,82
5,21
10,55
12,67
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
RR
0 0
9,29
80
RR
RR
RR
0 0
0 0
0 0
7,96
9,79
9,19
80
80
80
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
8,13
10,43
8,77
14,53
10,90
12,48
12,82
20,64
9,11
10,70
80
80
80
80
80
80
80
80
80
80
Page 115 of 243
RMP
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0378903
0378979
0379007
0375347
0375351
0375395
0375607
0375638
0399853
0400341
0400355
0398114
0398324
0398369
0221291
0221341
0496441

CLARITHROMYCIN RATIO 250 MG 10 CPR
CLARITHROMYCINE ABBOTT FORTE 500MG 10CPR
CLARITHROMYCINE ABBOTT UNO 500 MG 10 CPR
CLARITHROMYCINE ABBOTT UNO 500 MG 20 CPR
CLARITHROMYCINE EG 250 MG 10 CPR
HELICLAR 500 MG 21 CPR
MACLAR 500 MG 60 CPR
MONOCLARIUM 200 MG 10 CAPS
J01FA10
azithromycin
0420571
0420604
0483246
0483327
0483331
0305504
0252297
0252333
0206165
0206179
AZITHROMYCIN RATIO 250 MG 6 CPR

AZITHROMYCIN RATIO 500 MG 3 CPR
AZITHROMYCINE EG 250 MG 6 CPR
ZITROMAX 1500 MG PDR SUSP 37,5 ML
ZITROMAX 250 MG 6 CPR
ZITROMAX 500 MG 3 CPR SEC
ZITROMAX 600 MG PDR SUSP 15 ML
ZITROMAX 900 MG PDR SUSP 22,5 ML
J01FA15
telithromycin
0306711
0306739
KETEK 400 MG 10 CPR

KETEK 400 MG 20 CPR
J01FF01
clindamycin
0519187
0519206
0519206
0519237
0027763
0027780
0676131
0665705
0665753
0665798
0027794
CLINDAMYCIN KABI 300 MG 10 AMP 2 ML

DALACIN C 150 MG 16 CAPS
DALACIN C 300 MG 16 CAPS
DALACIN C 300 MG 32 CAPS UD
DALACIN C 300 MG 5 AMP 2 ML
DALACIN C SIR 80 ML
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12,97
14,52
16,48
8,71
14,40
12,92
14,12
15,99
10,90
12,82
20,64
8,77
10,71
23,54
23,19
64,29
10,22
80
80
80
80
0
80
80
80
0
80
80
80
80
80
80
0
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8,90
8,90
9,37
9,37
0,00
10,41
9,37
9,37
6,79
7,96
80
80
80
80
0
80
80
80
80
80
RR
RR
0 0
0 0
15,36
26,06
80
80
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
8,60
11,18
0,00
0,00
0,00
0,00
9,51
0
0
0
0
80
80
0
0
0
0
80
Page 116 of 243
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
J01FF02
lincomycin
0065781
0139398
LINCOCIN 500 MG 16 CAPS

LINCOCIN 600 MG 6 SRG 2 ML IM
J01GB01
tobramycin
0081298
0081284
0287549
0627122
0492794
OBRACIN 80 MG 25 FL 2 ML
OBRACIN 80 MG 3 FL 2 ML
TOBI 300 MG 4*14 AMP UD 5 ML IH
TOBI PODHALER 28 MG 4*56 CAPS + 5 INH
TOBRAMYCINE HSP 80 MG 5 FL 2 ML IMIV
J01GB03
gentamicin
0204935
0201481
0201477
DURACOLL 130 MG 1 IMPLANT

GENTAMICIN HEXAL SF 80 MG 20 AMP IMIV
GENTAMICIN HEXAL SF 80 MG 5 AMP IMIV
J01GB06
amikacin
0224731
0005573
0005590
AMUKIN 1 G 2 FL 4 ML IMIV
AMUKIN 100 MG 2 FL 2 ML IMIV
AMUKIN 500 MG 2 FL 2 ML IMIV
J01GB09
dibekacin
0028239
DEBEKACYL 75 MG 1 SRG 1,5 ML IMIVSC
J01MA01
ofloxacin
0369918
0369773
0369787
0369742
0113486
0258936
0217531
0177709
0217527
OFLOXACINE EG 200 MG 10 CPR

TARIVID 200 MG 10 CPR
TARIVID 400 MG 10 CPR SEC
TARIVID 400 MG 5 CPR
TARIVID IV 200 MG 5 FL 100 ML PERF
TARIVID IV 400 MG 5 FL 200 ML PERF
J01MA02
ciprofloxacin
0587044
0587044
0587191
0587191
0316881
0316895
0316851
0316864
0316816
0316833
0358959
CIPROFLOXACIN KABI 200 MG 1 FL 100 ML

CIPROFLOXACIN KABI 200 MG 1 FL 100 ML P
CIPROFLOXACIN KABI 400 MG 1 FL 200 ML
CIPROFLOXACIN KABI 400 MG 1 FL 200 ML P
CIPROFLOXACIN RATIO 250 MG 10 CPR
CIPROFLOXACINE EG 250 MG 10 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
RR
RR
0 0
0 0
RR
RR
RR
RR
RR
0
0
0
1
0
Prix public
Taux
13,33
18,65
80
80
0
0
0
5
0
0,00
12,23
1.984,38
2.024,69
0,00
0
80
80
80
0
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
RR
RR
RR
0 0
0 0
0 0
33,38
7,94
19,52
80
80
80
RR
0 0
3,17
80
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9,35
11,59
23,09
9,18
9,35
11,79
9,29
0,00
0,00
80
80
0
80
80
80
80
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
8,45
13,43
13,43
16,75
15,56
37,35
8,53
0
0
0
0
80
80
80
80
80
80
80
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
X
X
H
H
H
H
H
H
Page 117 of 243
Numro national
Dnomination abrge
0359083
0359178
0555721
0555751
0555734
0555748
0316928
0316539
0316591
0316637
0316704
0316735
0135601
0135645
0321282
0676547
0180346
0135709
0286409
0286426

CIPROFLOXACINE TEVA 200 MG 1 PP 100 ML
CIPROHEXAL 250 MG 10 CPR
CIPROXINE 0,2% 1 FL 100 ML IV
CIPROXINE 250 MG 10 CPR
CIPROXINE 5% 2 FL MICROCPS + S
CIPROXINE 500 MG 100 CPR UD
CIPROXINE 500 MG 120 CPR UD
CIPROXINE 500 MG 20 CPR
CIPROXINE IV FLEXI GLC 5% 200 MG 100 ML
CIPROXINE IV FLEXI GLC 5% 400 MG 200 ML
J01MA04
enoxacin
0195545
ENOXOR 200 MG 10 CPR
J01MA06
norfloxacin
0286202
0286183
NORFLOXACINE EG 400 MG 20 CPR

NORFLOXACINE EG 400 MG 6 CPR
J01MA12
levofloxacin
0625078
0632332
0632265
0632282
0546704
0546721
0546735
0546752
0247087
0247141
0247137
LEVOFLOXACINE ACTAVIS 500MG PERF 5*100ML

LEVOFLOXACINE EG 5 MG/ML PERF 1 PP 100ML
LEVOFLOXACINE EG 500 MG 10 CPR
LEVOFLOXACINE EG 500 MG 30 CPR
LEVOFLOXACINE TEVA 250 MG PERF 1*50 ML
LEVOFLOXACINE TEVA 500 MG PERF 10*100ML
TAVANIC 250 MG 10 CPR
TAVANIC 500 MG 1 FL 100 ML PERF
TAVANIC 500 MG 10 CPR
J01MA14
moxifloxacin
0281075
0292924
0339385
0292986
AVELOX 400 MG 10 CPR

AVELOX 400 MG 5 CPR
AVELOX 400 MG 5 FL PERF
AVELOX 400 MG 80 CPR UD
mode de
dlivrance
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
conditions de
prescription
OD
RMP
PCC
Taux
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
16,56
24,32
0,00
0,00
0,00
0,00
8,85
13,89
13,89
18,05
16,04
22,57
0,00
8,74
25,31
0,00
0,00
16,56
0,00
0,00
80
80
0
0
0
0
80
80
80
80
80
80
0
80
80
0
0
80
0
0
RR
0 0
9,12
80
RR
RR
0 0
0 0
6,46
5,31
80
80
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Prix public
H
H
H
H
H
H
HC
HC
HC
HC
HC
HC
HC
Page 118 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
19,49
51,93
0,00
0,00
0,00
0,00
13,75
0,00
19,98
0
0
0
0
0
0
0
0
80
0
80
0
0
0
0
0
0
0
0
40,40
23,44
0,00
0,00
80
80
0
0
Numro national
Dnomination abrge
0288868
0288854
0292911
PROFLOX 400 MG 10 CPR

PROFLOX 400 MG 5 CPR
PROFLOX 400 MG 80 CPR UD
J01XA01
vancomycin
0595984
0364701
0176732
0176746
0641457
0641461
0674797
0674783
0634726
0634676
VAMYSIN 1000 MG PDR 1 FL IV

VAMYSIN 500 MG PDR 1 FL IV
VANCOCIN 1000 MG PDR 1 FL IV
VANCOCIN 500 MG PDR 1 FL IV
VANCOMYCIN ACTAVIS 500 MG PDR 1 FL IV
VANCOMYCIN ACTAVIS 500 MG PDR 10 FL IV
VANCOMYCIN KABI 1 G PDR 1 FL 20 ML IV
VANCOMYCIN KABI 500 MG PDR 1 FL 10 ML IV
VANCOMYCINE SDZ 1000 MG PDR 10 FL IV
VANCOMYCINE SDZ 500 MG PDR 10 FL IV
J01XA02
teicoplanin
0158461
0158474
TARGOCID 200 MG PDR 1 FL+S 3,2 ML IMIV

TARGOCID 400 MG PDR 1 FL+S 3,2ML IMIV
J01XC01
fusidic acid
0247008
FUCIDIN IV 500 MG PDR 1 FL+S 10 ML PERF
J01XD01
metronidazole
0044957
0044960
0044912
FLAGYL 0,5% 1 POCHE VIAFLEX 100 ML

FLAGYL 0,5% 1 POCHE VIAFLEX 300 ML
FLAGYL 500 MG 20 CPR
J01XD02
tinidazole
0043896
FASIGYN 500 MG 4 CPR
J01XD03
ornidazole
0137264
0171204
0181794
0116751
TIBERAL 1 G 1 AMP 6 ML IV
TIBERAL 500 MG 10 CPR
TIBERAL 500 MG 10 CPR UD
TIBERAL 500 MG 3 CPR
J01XE01
nitrofurantoin
0047198
0047203
0078986
FURADANTINE MC 100 MG 50 CAPS

FURADANTINE MC 50 MG 50 CAPS
NITROFURANTOIN RATIO RET 100 MG 50 CAPS
J01XE02
nifurtoinol
0123191
URFADYN 100 MG 50 CAPS PL
J01XX01
fosfomycin
0219258
MONURIL 3 G PDR 1 SACH
J01XX04
spectinomycin
mode de
dlivrance
conditions de
prescription
OD
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RMP
PCC
0 0
0 0
0 0
D
D
D
D
D
D
D
D
D
D
Taux
39,39
22,84
0,00
80
80
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0 0
0 0
19,34
31,87
80
80
0
0
0
0
0
0
0
0
0
0
RR
RR
Prix public
RR
0 0
0,00
RR
RR
RR
H
H
0 0
0 0
0 0
0,00
0,00
7,41
0
0
80
0 0
7,63
80
0
0
0
0
0,00
10,03
0,00
3,43
0
80
0
80
R
R
R
0 0
0 0
0 0
9,73
7,46
9,45
80
80
80
0 0
10,43
80
RR
0 0
9,13
80
RR
RR
RR
RR
RR
0
0
0
0
Page 119 of 243
Numro national
Dnomination abrge
0120981
TROBICIN 2 G 1 FL 3,2 ML IM
J01XX05
methenamine
0297688
MICTASOL 50 CPR
J01XX08
linezolid
0307333
0307316
0307185
ZYVOXID 2 MG/ML 300 ML PERF

ZYVOXID 20 MG/ML GRAN SIR 150 ML
ZYVOXID 600 MG 20 CPR BL
J02AA01
amphotericin B
0342265
0319074
ABELCET 100 MG 10 AMP 20 ML IV

AMBISOME 50 MG PDR 10 FL PERF
J02AC01
fluconazole
0434161
0434143
0434157
0434188
0163068
0178222
0178236
0481918
0471083
0244703
0471097
0165918
0244717
0353997
0418637
0377209
0377261
0377288
0353921
0353949
0608841
0608869
0335341
0335484
0335372
0449096
0449115
0449129
0449079
0460112
0460143
CANDIZOLE 150 MG 1 CAPS

DIFLUCAN 150 MG 1 CAPS
DIFLUCAN 200 MG PERF 1 FL 100 ML IV
DIFLUCAN 200 MG PERF 1 FLEXBAG 100 ML IV
DIFLUCAN 200 MG/5 ML PDR SIR 1 FL 35 ML
DIFLUCAN 400 MG PERF 1 FLEXBAG 200 ML IV
DIFLUCAN 50 MG/5 ML PDR SIR 1 FL 35 ML
FLUCONAZOL HEXAL 100 MG 20 CAPS
FLUCONAZOL KABI 200 MG PERF 1FL 100ML KP
FLUCONAZOL KABI 400 MG PERF 1FL 200ML KP
FLUCONAZOL RATIO 150 MG 1 CAPS
FLUCONAZOLE EG 150 MG 1 CAPS
FLUCONAZOLE REDIBAG 100 MG 10 FL 50 ML
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
0 0
13,81
80
0 0
6,76
RR
RR
RR
H
DC
DC
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
RR
RR
H
H
0 0
0 0
0,00
0,00
0
0
6,21
31,20
70,79
12,61
6,52
31,20
70,79
0,00
0,00
31,63
0,00
12,61
12,70
74,49
168,99
13,01
77,25
220,00
42,89
91,71
0,00
0,00
5,78
65,81
13,55
6,44
31,20
70,79
12,49
0,00
0,00
80
80
80
80
80
80
80
0
0
80
0
80
80
80
80
80
80
80
80
80
0
0
80
80
80
80
0
0
0
0
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
HC
HC
HC
HC
HC
HC
HC
Page 120 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0460161
0438661
0531276
0531312
0531293
0531309
0438576

FLUCONAZOLE TEVA 150 MG 1 CAPS
FLUCONAZOLE TEVA 2 MG/ML 1 PO 100 ML IV
FLUCONAZOLE TEVA 50 MG 10 CAPS
J02AC02
itraconazole
0422609
0422612
0422643
0422657
0431365
0431396
0431317
0431429
0246899
0151229
0225532
0151201
0239671
ITRACONAZOL RATIO 100 MG 14 CAPS

ITRACONAZOLE EG 100 MG 15 CAPS
SPORANOX 1% SOL 150 ML
87572
SPORANOX 100 MG 15 CAPS
52083
87578
52082
J02AC03
voriconazole
0318029
0318001
0317942
0317956
0365564
0317827
0317831
VFEND 10 MG/ML 1 FL V PERF

VFEND 200 MG 30 CPR
VFEND 200 MG 30 CPR BLIST
VFEND 40 MG/ML PDR 1 FL 45 G
J02AC04
posaconazole
0416825
NOXAFIL 40 MG/ML SUSP 105 ML
J02AX04
caspofungin
0350061
0350074
0350088
CANCIDAS 50 MG PDR 1 FL 10 ML + 1 SDT

CANCIDAS 50 MG PDR 1 FL 10 ML PERF
CANCIDAS 70 MG PDR 1 FL 10 ML PERF
J02AX06
anidulafungin
0467354
ECALTA 100 MG PERF 1 FL + S 30 ML IV
J04AB02
rifampicin
0099745
0201091
RIFADINE 150 MG 100 CAPS

RIFADINE 300 MG 50 CAPS
J04AB03
rifamycin
mode de
dlivrance
RR
RR
RR
RR
RR
RR
RR
conditions de
prescription
OD
HC
HC
HC
HC
HC
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RMP
PCC
Prix public
Taux
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
6,52
0,00
0,00
0,00
0,00
12,61
0
80
0
0
0
0
80
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
19,50
19,50
20,96
20,96
15,01
20,81
7,36
46,90
50,94
15,02
20,82
7,51
46,92
0
0
0
0
80
80
80
80
80
80
80
80
80
RR
RR
RR
RR
RR
RR
RR
HC
DC
DC
DC
DC
DC
DC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
RR
DC
0 0
0,00
RR
RR
RR
HC
HC
HC
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
RR
HC
0 0
0,00
0 0
0 0
31,17
31,17
100
100
RR
RR
Page 121 of 243
Numro national
Dnomination abrge
0099857
RIFOCINE 500 MG 2 AMP 10 ML IV
J04AB04
rifabutin
0225899
MYCOBUTIN 150 MG 100 CAPS
J04AC01
isoniazid
0358461
NICOTIBINE 300 MG 30 CAPS
J04AK01
pyrazinamide
0113729
TEBRAZID 500 MG 100 CPR
J04AK02
ethambutol
0074861
MYAMBUTOL 400 MG 100 CPR
J05AB01
aciclovir
0301438
0459965
0459948
0301469
0536109
0536076
0536093
0298878
0298881
0539517
0657328
0657331
0217642
0217673
0444431
0131260
0190731
0444444
ACICLOVIR EG 200 MG 25 CPR

ACICLOVIR EG 250 MG PDR 10 FL IV
ACICLOVIR EG 500 MG PDR 10 FL IV
ACICLOVIR EG 800 MG 35 CPR
ACICLOVIR HOSPIRA 1 G 1 FL 40 ML PERF
ACICLOVIR HOSPIRA 250 MG 5 FL 10 ML PERF
ACICLOVIR HOSPIRA 500 MG 5 FL 20 ML PERF
ACICLOVIR MYLAN 200 MG 25 CPR
ACICLOVIR MYLAN 800 MG 35 CPR
ACICLOVIR RATIO 800 MG 35 CPR
ACICLOVIR SDZ 200 MG 25 CPR
ACICLOVIR SDZ 800 MG 35 CPR
ACICLOVIR VON CT 200 MG 25 CPR
ACICLOVIR VON CT 800 MG 35 CPR
ZOVIRAX 200 MG 25 CPR
ZOVIRAX 250 MG PDR 5 FL PERF/IV
ZOVIRAX 400 MG/5 ML SIR 100 ML
ZOVIRAX 800 MG 35 CPR
J05AB04
ribavirin
0336612
0445925
0264544
0264558
0264531
0186076
COPEGUS 200 MG 168 CPR

COPEGUS 400 MG 56 CPR
REBETOL 200 MG 140 CAPS
VIRAZOLE PDR 6 G 3 FL INH
J05AB06
ganciclovir
0467581
CYMEVENE 500 MG PDR 1 FL PERF
J05AB11
valaciclovir
0220357
0218703
ZELITREX 500 MG 10 CPR

ZELITREX 500 MG 42 CPR
mode de
dlivrance
PCC
Prix public
Taux
RR
0 0
8,90
100
RR
0 0
229,31
100
0 0
8,57
100
RR
0 0
15,43
100
RR
0 0
29,10
100
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11,94
0,00
0,00
21,16
0,00
0,00
0,00
11,95
21,23
21,85
11,94
21,16
11,54
22,47
19,59
0,00
20,66
65,97
80
0
0
80
0
0
0
80
80
80
80
80
80
80
80
0
80
80
100
100
100
100
100
0
R
RR
RR
R
RR
RR
RR
R
R
R
R
R
R
R
R
RR
R
R
conditions de
prescription
OD
H
H
H
H
H
RMP
RR
RR
RR
RR
RR
RR
C
C
C
C
C
HC
0
0
0
0
0
0
0
0
0
0
0
0
351,60
235,71
555,04
345,02
336,78
0,00
RR
0 0
0,00
0 0
0 0
38,06
59,61
80
80
RR
RR
Page 122 of 243
Numro national
Dnomination abrge
J05AB12
cidofovir
0235542
VISTIDE 375 MG 1 FL 5 ML PERF
J05AB14
valganciclovir
0321072
VALCYTE 450 MG 60 CPR
J05AB15
brivudine
0316203
ZERPEX 125 MG 7 CPR
J05AD01
foscarnet
0192395
FOSCAVIR 24 MG/ML 1 FL 250 ML PERF
J05AE
Protease inhibitors
0627749
0617482
INCIVO 375 MG 4*42 CPR (FL)

VICTRELIS 200 MG 4*84 CAPS
J05AE01
saquinavir
0402234
INVIRASE 500 MG 120 CPR
J05AE02
indinavir
0226526
0226557
CRIXIVAN 200 MG 360 CAPS

CRIXIVAN 400 MG 180 CAPS
J05AE03
ritonavir
0568942
0226185
0481935
NORVIR 100 MG 3*30 CPR (FL)

NORVIR 80 MG/ML SOL BUV 5*90 ML
NORVIR 80 MG/ML SOL BUV 5*90 ML + DOS
J05AE07
fosamprenavir
0377971
0377968
TELZIR 50 MG/ML SUSP BUV 225ML + SRG DOS

TELZIR 700 MG 60 CPR
J05AE08
atazanavir
0364942
0364973
0481983
REYATAZ 150 MG 60 CAPS

J05AE09
tipranavir
0416842
APTIVUS 250 MG 120 CAPS
J05AE10
darunavir
0679292
0524089
0508393
0508409
0524075
0684633
PREZISTA 100 MG/ML SIR 200 ML

PREZISTA 150 MG 240 CPR (FL)
PREZISTA 400 MG 60 CPR
PREZISTA 600 MG 60 CPR
PREZISTA 75 MG 480 CPR (FL)
PREZISTA 800 MG 30 CPR (FL PEHD)
J05AF01
zidovudine
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
0 0
0,00
RR
0 0
1.284,41
100
0 0
82,79
80
0 0
0,00
RR
RR
RR
RR
C
C
RR
RR
RR
RM
RM
8.841,26
3.185,48
100
100
0 0
251,23
100
C
C
0 0
0 0
255,14
255,14
100
100
RR
RR
RR
C
C
C
0 0
0 0
0 0
71,19
267,14
305,32
100
100
0
RR
RR
C
C
0 0
0 0
98,00
354,03
100
100
RR
RR
RR
C
C
C
0 0
0 0
0 0
390,66
390,66
390,66
100
100
100
RR
0 0
740,31
100
RR
RR
RR
RR
RR
RR
C
C
C
C
C
C
0
0
0
0
0
0
397,63
708,52
443,79
708,52
708,52
443,79
0
100
100
100
100
100
Page 123 of 243
6 29
6 29
0
0
0
0
0
0
Numro national
Dnomination abrge
0172165
0133671
0205493
0134892
RETROVIR 10 MG/ML SIR 200 ML + SRG 10 ML

RETROVIR 100 MG 100 CAPS
RETROVIR 200 MG 5 AMP 20 ML PERF
RETROVIR 250 MG 40 CAPS
J05AF02
didanosine
0178141
0287745
0287759
0287762
0287776
VIDEX 2 G PDR P SOL OR 1 FL

VIDEX EC 125 MG 30 CAPS
J05AF04
stavudine
0221824
0221791
0221811
ZERIT 1 MG/ML SOL 200 ML

ZERIT 30 MG 56 CAPS BLIST
ZERIT 40 MG 56 CAPS BLIST
J05AF05
lamivudine
0224292
0224308
0309372
0724241
0724322
0724421
0266874
0266888
EPIVIR 10 MG/ML GTTS 240 ML

EPIVIR 150 MG 60 CPR
EPIVIR 300 MG 30 CPR
LAMIVUDIN SDZ 100 MG 84 CPR
ZEFFIX 100 MG 84 CPR
ZEFFIX 5 MG/ML SIR 240 ML
J05AF06
abacavir
0266793
0266776
ZIAGEN 20 MG/ML SIR 1 FL 240 ML

ZIAGEN 300 MG 60 CPR
J05AF07
tenofovir disoproxil
0330314
VIREAD 245 MG 30 CPR
J05AF08
adefovir dipivoxil
0342508
HEPSERA 10 MG 30 CPR
J05AF09
emtricitabine
0355988
EMTRIVA 200 MG 30 CAPS
J05AF10
entecavir
0437162
0437193
BARACLUDE 0,5 MG 30 CPR

BARACLUDE 1 MG 30 CPR
J05AG01
nevirapine
0694108
0627914
0547987
0247154
NEVIRAPIN SDZ 200 MG 60 CPR

VIRAMUNE 100 MG 90 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
C
C
H
C
0
0
0
0
0
0
0
0
26,88
106,91
0,00
106,91
100
100
0
100
RR
RR
RR
RR
RR
C
C
C
C
C
0
0
0
0
0
0
0
0
0
0
34,28
58,60
89,19
109,24
169,36
100
100
100
100
100
RR
RR
RR
C
C
C
0 0
0 0
0 0
22,12
136,29
144,77
100
100
100
RR
RR
RR
RR
RR
RR
RR
RR
C
C
C
C
C
C
C
C
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
43,72
124,12
124,12
85,28
76,92
76,92
138,29
30,51
100
100
100
0
0
0
100
100
RR
RR
C
C
0 0
0 0
79,81
247,75
100
100
RR
0 0
342,32
100
RR
0 0
265,76
100
RR
0 0
199,56
100
RR
RR
C
C
0 0
0 0
399,65
496,08
100
100
RR
RR
RR
RR
C
C
C
C
0
0
0
0
125,00
96,09
34,65
125,05
100
100
100
100
Page 124 of 243
0
0
0
0
Numro national
Dnomination abrge
0627931
0265152

VIRAMUNE 50 MG/5 ML SIR 240 ML
J05AG03
efavirenz
0266597
0517067
0266583
0333591
STOCRIN 100 MG 30 CAPS

STOCRIN 200 MG 90 CPR
STOCRIN 50 MG 30 CAPS
STOCRIN 600 MG 30 CPR (FL)
J05AG04
etravirine
0488341
0635009
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
C
C
0 0
0 0
125,05
30,64
100
100
RR
RR
RR
RR
C
C
C
C
0
0
0
0
0
0
0
0
54,61
173,80
31,75
173,80
100
100
100
100
INTELENCE 100 MG 120 CPR

INTELENCE 200 MG 60 CPR (FL)
RR
RR
C
C
0 0
0 0
419,73
419,73
100
100
0634998
EDURANT 25 MG 30 CPR (FL)
RR
0 0
257,21
100
J05AH01
zanamivir
RR
0 0
27,41
RR
RR
RR
0 0
0 0
0 0
15,63
28,66
28,66
0
0
0
J05AG05
0268218
RELENZA 5 MG 5 RTD + 5 DISKHALER
J05AH02
oseltamivir
0467192
0467208
0320562
TAMIFLU 30 MG 10 CAPS
J05AR01
zidovudine and lamivudine
0252753
0661835
0661818
COMBIVIR 150 MG 60 CPR BLIST

LAMIVUDINE/ZIDOV SDZ 150/300 MG 120 CPR
LAMIVUDINE/ZIDOV SDZ 150/300 MG 60 CPR
J05AR02
lamivudine and abacavir
0391824
0391838
KIVEXA 600/300 MG 30 CPR

KIVEXA 600/300 MG 30 CPR BLIST
J05AR03
tenofovir disoproxil and emtricitabine
0396624
TRUVADA 200/245 MG 30 CPR
J05AR04
zidovudine, lamivudine and abacavir
RR
RR
RR
0 0
0 0
0 0
169,31
296,58
169,26
100
100
100
RR
RR
C
C
0 0
0 0
397,81
397,52
0
100
RR
0 0
544,83
100
RR
0 0
660,93
100
0293935
TRIZIVIR 60 CPR BLIST
J05AR06
emtricitabine, tenofovir disoproxil and efavirenz
0476353
ATRIPLA 30 CPR
RR
0 0
798,90
100
EVIPLERA 25/200/245 MG 30 CPR (FL)
RR
0 0
814,72
100
STRIBILD 30 CPR (FL)
RR
0 0
988,24
100
KALETRA 200/50 MG 120 CPR
RR
0 0
370,57
100
J05AR08
0635365
J05AR09
0690028
RM
J05AR10
0436604
Page 125 of 243
Numro national
Dnomination abrge
0436618
0299195
KALETRA 200/50 MG 120 CPR BLIST

KALETRA 5 FL 60 ML + 5 SRG
J05AX05
inosine pranobex
0059798
ISOPRINOSINE 500 MG 40 CPR
J05AX07
enfuvirtide
0347714
FUZEON 90 MG/ML PDR 60 FL + S + 60 SRG
J05AX08
raltegravir
0472676
ISENTRESS 400 MG 60 CPR
J05AX09
maraviroc
0467113
0467161
CELSENTRI 150 MG 60 CPR

CELSENTRI 300 MG 60 CPR
mode de
dlivrance
J06BA01
immunoglobulins, normal human, for extravascular adm.
0511601
0511614
0511628
0624036
0624103
0624005
GAMMANORM 165 MG/ML 1 FL 10 ML

HIZENTRA 200 MG/ML 1 FL 10 ML SC
J06BA02
immunoglobulins, normal human, for intravascular adm.
0340954
0341562
0340968
0517408
0517389
0517411
0517392
0485688
0485691
0525394
0485674
MULTIGAM 1 AMP 20 ML IVIT

MULTIGAM 1 FL 100 ML IVIT
MULTIGAM 1 FL 50 ML IVIT
OCTAGAM 10% 1 FL 100 ML PERF
PRIVIGEN 100 MG/ML 1 FL 100 ML IV
J06BB01
anti-D (rh) immunoglobulin
0268771
RHOGAM ULTRA FILTERED 300 MCG 1FL 1ML IM
J06BB09
cytomegalovirus immunoglobulin
0214315
0214329
0214332
IVEGAM CMV 1 AMP 10 ML IV

IVEGAM CMV 1 AMP 20 ML IV
IVEGAM CMV 1 FL 50 ML IV
J06BB16
palivizumab
0268526
0268512
SYNAGIS 100 MG PDR 1 FL + S 1 ML IM

SYNAGIS 50 MG PDR 1 FL + S 1 ML IM
RR
RR
conditions de
prescription
OD
C
C
RMP
PCC
Prix public
Taux
0 0
0 0
389,49
370,57
0
100
0 0
17,07
80
RR
0 0
1.757,74
100
RR
0 0
773,07
100
RR
RR
C
C
0 0
0 0
899,29
899,29
100
100
RR
RR
RR
RR
RR
RR
DC
DC
DC
DC
DC
DC
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
H
H
H
H
H
H
H
H
H
H
H
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
0 0
40,90
80
RR
RR
RR
RR
H
H
H
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
RR
RR
DC
DC
0 0
0 0
0,00
0,00
0
0
Page 126 of 243
Numro national
Dnomination abrge
mode de
dlivrance
J07AE01
cholera, inactivated, whole cell
0375283
DUKORAL 2 SACH 5,6 G + 2 FL V
J07AG01
hemophilus influenzae B, purified antigen conjugated
0182984
0234058
ACT HIB 1 FL 1 D+S 0,5 ML IM

HIBERIX 1 FL UD + S 0,5 ML IM
conditions de
prescription
R
R
0 0
0 0
22,45
18,40
0
0
0 0
29,32
0 0
36,28
0 0
0 0
51,11
51,11
0
0
0 0
16,86
0 0
18,90
R
R
0 0
0 0
27,59
27,59
0
0
R
R
R
0 0
0 0
0 0
66,34
66,34
72,44
0
0
0
0 0
8,03
0 0
19,77
R
R
R
0 0
0 0
0 0
23,39
25,29
25,29
0
0
0
R
R
R
R
R
0
0
0
0
0
16,55
33,72
11,15
25,96
22,73
0
0
0
0
0
J07AH
Meningococcal vaccines
0312526
NEIS VAC C 1 SRG 0,5 ML IM
J07AH08
meningococcus, tetravalent purified polysaccharides antigen conjugated
0617479
0652031
MENVEO 5 FL PDR + 5 FL SOL 0,5 ML

NIMENRIX PSV 1 FL + 1 SRG PRER + 2 AIG
J07AJ51
pertussis, inactivated, whole cell, combinations with toxoids
R
R
0293563
BOOSTRIX 1 SRG UD 0,5 ML IM
J07AL01
pneumococcus, purified polysaccharides antigen
0508314
0303348
PNEUMO 23 25 MCG 1 SRG 0,5 ML IMSC

PNEUMOVAX 23 1 FL 0,5 ML IMSC
J07AL02
pneumococcus, purified polysaccharides antigen conjugated
0380821
0300086
0539243
PREVENAR 1 FL + SRG + 2 AIG

PREVENAR 1 FL 0,5 ML IM
PREVENAR 13 1 SRG + AIG SEP
J07AM51
tetanus toxoid, combinations with diphtheria toxoid
0195979
TEDIVAX PRO ADULTO 1 SRG 0,5 ML IM
J07AP01
typhoid, oral, live attenuated
0611041
VIVOTIF 3 CAPS
J07AP03
typhoid, purified polysaccharide antigen
0266048
0188036
0472614
TYPHERIX 1 SRG UD 0,5 ML IM

TYPHIM VI 0,025 MG 1 SRG 0,5 ML IMSC
TYPHIM VI 0,025MG 1SRG SS AIG 0,5ML+1AIG
J07AX
Other bacterial vaccines
0015986
0016000
0016014
0016028
0187865
BRONCHOVAXOM AD 10 CAPS
BRONCHOVAXOM AD 30 CAPS
BRONCHOVAXOM ENF 10 CAPS
BRONCHOVAXOM ENF 30 CAPS
LUIVAC 3 MG 28 CPR
Taux
hemophilus influenzae B, combinations with pertussis and toxoids
INFANRIX DTPA 1 SRG 0,5 ML IM
Prix public
38,26
INFANRIX HIB 1 FL 1 D + SRG IM
pertussis, purified antigen, combinations with toxoids
PCC
0 0
0253456
J07AJ52
RMP
J07AG52
0210848
OD
Page 127 of 243
0
0
0
0
0
Numro national
Dnomination abrge
0187879
0143731
0143745
LUIVAC 3 MG 56 CPR
UROVAXOM 6 MG 30 CAPS
UROVAXOM 6 MG 90 CAPS
J07BA01
encephalitis, tick borne, inactivated, whole virus
0395791
0395742
FSME IMMUN 2,4 MCG 1 SRG 0,5 ML IM

FSME IMMUN JR 1,2 MCG 1 SRG 0,25 ML IM
J07BA02
encephalitis, Japanese, inactivated, whole virus
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
0 0
0 0
0 0
42,24
39,79
81,62
0
0
0
R
R
0 0
0 0
33,52
28,80
0
0
RR
0 0
80,92
R
R
R
R
R
R
R
R
R
R
6
0
0
0
6
0
6
0
0
6
3
0
0
0
3
0
3
0
0
3
8,80
0,00
0,00
0,00
8,80
0,00
8,80
11,93
8,79
8,80
100
0
0
0
100
0
100
0
0
100
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
26,03
16,56
59,98
13,75
14,73
0
0
0
0
0
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
38,46
44,36
29,18
49,98
32,72
0
0
0
0
0
R
R
0 0
0 0
53,05
39,89
0
0
0 0
21,41
0 0
9,37
0 0
45,09
0521638
IXIARO SUSP 1 SRG 0,5 ML IMSC
J07BB02
influenza, inactivated, split virus or surface antigen
0152727
0257455
0257469
0257472
0421176
0421193
0057146
0513197
0246966
0125361
ALPHA RIX 1 SRG 0,5 ML IMSC

FLUVIRINE 1 SRG UD 0,5 ML IMSC
INFLEXAL-V 1 SRG IMSC
INFLEXAL-V 10 SRG IMSC
INFLUVAC S 1 SRG 0,5 ML UD IMSC
INTANZA 0,15 MCG 1 SRG 0,1 ML
MUTAGRIP S 1 SRG 0,5 ML IMSC
VAXIGRIP 1 SRG 0,5 ML IMSC
J07BC01
hepatitis B, purified antigen
0039599
0205459
0436327
0362058
0362075
ENGERIX B 20 MCG 1 FL 1 D 0,5 ML + SRG

ENGERIX B JR 10 MCG 1 SRG UD 0,5 ML IM
HBVAXPRO 40 MCG 1 FL 1 ML IM
HBVAXPRO 5 MCG 1 SRG + AIG 0,5 ML IM
HBVAXPRO 5 MCG 1 SRG SS AIG 0,5 ML IM
J07BC02
hepatitis A, inactivated, whole virus
0287048
0206067
0230224
0433065
0433213
EPAXAL 1 D 0,5 ML IM
HAVRIX 1440 U 1 SRG 1 ML IM
HAVRIX JR 720 U 1 SRG 0,5 ML IM
VAQTA 50 U 1 SRG SS AIG 1 ML + 1 AIG IM
VAQTA JR 25 U 1 SRG SS AIG 0,5 ML + 2AIG
J07BC20
combinations
0228162
0232215
TWINRIX AD 1 SRG UD IM
TWINRIX ENF 1 SRG UD IM
J07BD52
measles, combinations with mumps and rubella, live attenuated
0251935
PRIORIX PDR 1 D 0,5 ML SC
J07BF03
poliomyelitis, trivalent, inactivated, whole virus
0056202
IMOVAX POLIO 1 SRG 0,5 ML IMSC
J07BG01
rabies, inactivated, whole virus
0388796
RABIPUR PDR 1 FL + 1 SRG + S IM
Page 128 of 243
Numro national
Dnomination abrge
0124252
VACC RABIQUE INACTIVE PSV 1 SRG UD + S
J07BH01
rota virus, live attenuated
0488449
0430449
0488497
0436876
ROTARIX SP BUV 1 APPLIC ADM OR 1,5 ML

ROTARIX SP BUV 1 FL + 1 SRG + 1 ADAPT
ROTARIX SP BUV 1 TUBE SOUPLE 1,5 ML
ROTATEQ GTTS 2 ML
J07BK01
varicella, live attenuated
0376246
0125022
PROVARIVAX 1350 U 1 FL 0,5MG + SRG + AIG

VARILRIX PDR 1D + S
J07BK02
zoster, live attenuated
0436019
B STAVAX PDR 1 FL + 1 SRG + 2 AIG 0,65ML
J07BL01
yellow fever, live attenuated
0432944
STAMARIL PDR 10FL + 10SRG SS AIG + 20AIG
J07BM01
papillomavirus (human types 6, 11, 16, 18)
0441263
GARDASIL 1 SRG 0,5 ML + 1 DISPO + 2 AIG
J07BM02
papillomavirus (human types 16, 18)
0467483
CERVARIX 20/20 MCG 1 SRG 0,5 ML + 1 AIG
J07CA01
diphtheria-poliomyelitis-tetanus
0271714
0432846
REVAXIS 1 SRG IMSC

REVAXIS 1 SRG SS AIG + 1 AIG IMSC
J07CA02
diphtheria-pertussis-poliomyelitis-tetanus
0278522
INFANRIX IPV 1 SRG UD 0,5 ML
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
0 0
38,08
R
R
R
R
0
0
0
0
0
0
0
0
69,15
69,27
68,98
50,26
0
0
0
0
R
R
0 0
0 0
51,04
47,22
0
0
0 0
137,16
0 0
28,41
RR
6 12
115,08
100
6 12
67,16
100
R
R
0 0
0 0
11,87
19,60
0
0
0 0
29,22
0 0
15,03
0 0
32,23
0 0
0 0
0,00
0,00
0
0
J07CA05
diphtheria-hepatitis B-pertussis-tetanus
0235976
TRITANRIX HEPB 1 FL 0,5 ML IM
J07CA06
diphtheria-Hemophilus influenzae B-pertussis-poliomyelitis-tetanus
0253473
INFANRIX IPV + HIB SET 1 FL 1 D + SRG IM
L01
ANTINEOPLASTIC AGENTS
0554821
0438819
EVOLTRA 20 MG 1 FL 20 ML PERF
EVOLTRA 20 MG 4 FL 20 ML PERF
L01AA01
cyclophosphamide
0039263
0039280
0039246
0039294
ENDOXAN 1 G 1 AMP IV
ENDOXAN 200 MG 10 FL IMIV
ENDOXAN 50 MG 50 DRG
ENDOXAN 500 MG 1 AMP IMIV
L01AA02
chlorambucil
0316086
LEUKERAN 2 MG 50 CPR
L01AA03
melphalan
RR
RR
HC
HC
X
X
RR
RR
RR
RR
HC
HC
C
HC
0
0
0
0
0
0
0
0
0,00
0,00
16,84
0,00
0
0
100
0
RR
0 0
114,94
100
Page 129 of 243
Numro national
Dnomination abrge
0003050
0220231
ALKERAN 2 MG 25 CPR
ALKERAN 50 MG PDR 1 AMP+S 10 ML IVIA
L01AA06
ifosfamide
0131839
HOLOXAN 1 G PDR 1 FL IV
L01AA09
bendamustine
0592948
0592921
0592903
LEVACT 150 MG PDR PERF 5 FL 60 ML IV

L01AB01
busulfan
0075046
MYLERAN 2 MG 100 CPR
L01AD05
fotemustine
0198709
MUPHORAN 200 MG PDR 1 FL + S 4 ML IV
L01AX03
temozolomide
0512138
0512155
0512172
0512091
0512124
0512111
0512205
0524576
0524562
0568411
0568407
0568391
0568472
0568388
0568374
TEMODAL 100 MG 5 CAPS UD

TEMODAL 2,5 MG/0,1 ML PDR 1 FL V IV
TEMOZOLOMIDE SANDOZ 100 MG 5 CAPS (FL)
L01BA01
methotrexate
0501067
0500946
0500963
0501019
0501036
0500994
0341643
0283102
0216953
0216967
EMTHEXATE 1000 MG 1 FL 40 ML
LEDERTREXATE 2,5 MG 30 CPR
LEDERTREXATE 5 MG 1 FL 2 ML
LEDERTREXATE CONC 1 G 1 FL 10 ML
LEDERTREXATE CONC 5 G 1 FL 50 ML
L01BA03
raltitrexed
0230031
TOMUDEX 2 MG PDR 3 FL PERF
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
C
HC
0 0
0 0
78,91
0,00
100
0
RR
HC
0 0
0,00
RR
RR
RR
HC
HC
HC
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
RR
0 0
258,03
RR
0 0
0,00
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
C
C
C
HC
C
C
C
C
C
C
C
C
C
C
C
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
227,14
309,77
389,97
0,00
203,29
56,95
523,50
60,12
19,43
414,78
351,94
94,53
966,33
99,14
29,71
100
100
100
0
100
100
100
100
100
0
0
0
0
0
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
C
HC
HC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
6,10
21,36
0,00
0,00
0,00
7,73
6,80
0,00
0,00
0
0
0
0
0
0
100
100
0
0
RR
HC
0 0
0,00
C
C
HC
Page 130 of 243
100
Numro national
Dnomination abrge
L01BA04
pemetrexed
0386466
ALIMTA 500 MG PDR 1 FL PERF
L01BB02
mercaptopurine
0095679
PURI NETHOL 25 CPR
L01BB04
cladribine
0222348
0369708
0369711
LEUSTATIN 10 MG 7 FL 10 ML PERF
LITAK 10 MG 1 FL 5 ML SC
LITAK 10 MG 5 FL 5 ML SC
L01BB05
fludarabine
0321458
0321461
0526164
0469569
FLUDARA ORAL 10 MG 15 CPR

FLUDARA ORAL 10 MG 20 CPR
FLUDARABINE SDZ 25 MG/ML 1 FL 2 ML
FLUDARABINE TEVA 25 MG PDR 1 FL 2 ML IV
L01BB07
nelarabine
0467239
ATRIANCE 5 MG/ML PERF 6 FL 50 ML IV
L01BC01
cytarabine
0492827
0492831
0230403
0230417
0230398
0230421
0404256
CYTARABINE HSP 1 G 1 ONCOTAIN 10 ML

CYTARABINE HSP 2 G 1 ONCOTAIN 20 ML
CYTOSAR CYTOSAFE 1 G 1 FL 10 ML IV
CYTOSAR CYTOSAFE 100 MG 1 FL 5 ML IMSCTR
CYTOSAR CYTOSAFE 2 G 1 FL 20 ML IV
CYTOSAR CYTOSAFE 500 MG 1 FL 25 ML IV
DEPOCYTE 50 MG 1 FL 5 ML
L01BC02
fluorouracil
0038266
0420442
0420425
0238771
0045789
EFUDIX ONG 20 G
FLURACEDYL 1 G 1 FL 20 ML IVIA
FLURACEDYL 5 G 1 FL 100 ML IVIA
FLUROBLASTINE 1000 MG 1 FL 20 ML IV
FLUROBLASTINE 500 MG 1 FL 10 ML IV
L01BC05
gemcitabine
0566501
0566447
0566478
0555846
0556101
0540441
0540454
0540437
0540468
0612956
GEMCITABIN SDZ 1 G 1 FL 100 ML IV

GEMCITABIN SDZ 200 MG 1 FL 20 ML IV
GEMCITABIN SDZ 500 MG 1 FL 50 ML IV
GEMCITABINE ACTAVIS 1 G PDR 1 FL PERF
GEMCITABINE ACTAVIS 200 MG PDR 1 FL PERF
GEMCITABINE EG 38 MG/ML 1 FL DIL 1000 MG
GEMCITABINE HOSPIRA 38 MG/ML 1 FL 26,3ML
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
HC
0 0
0,00
RR
0 0
77,85
100
RR
RR
RR
HC
H
H
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
RR
RR
RR
RR
C
C
HC
HC
RR
HC
RR
RR
RR
RR
RR
RR
RR
X
X
0
0
0
0
0
0
0
0
403,93
535,81
0,00
0,00
0 0
0,00
HC
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
RR
RR
RR
RR
RR
C
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
20,26
0,00
0,00
0,00
0,00
80
0
0
0
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
Page 131 of 243
100
100
0
0
Numro national
Dnomination abrge
0612942
0612973
0647951
0647948
0647965
GEMCITABINE HOSPIRA 38 MG/ML 1 FL 5,3 ML

GEMCITABINE HOSPIRA 38 MG/ML 1 FL 52,6ML
GEMCITABINE TEVA 40 MG/ML 1 FL 25 ML
L01BC06
capecitabine
0690479
0690465
0667891
0667906
0297092
0297108
CAPECITABINE ACTAVIS 150 MG 60 CPR

CAPECITABINE ACTAVIS 500 MG 120 CPR
CAPECITABINE TEVA 150 MG 60 CPR
CAPECITABINE TEVA 500 MG 120 CPR
XELODA 150 MG 60 CPR
XELODA 500 MG 120 CPR
L01BC07
azacitidine
0508491
VIDAZA 100 MG PDR 1 FL 4 ML
L01BC08
decitabine
0675696
DACOGEN 5 MG/ML PERF 1 FL V 20 ML IV
mode de
dlivrance
L01BC53
tegafur, combinations
0690109
0690143
TEYSUNO 15 MG 126 CAPS

TEYSUNO 20 MG 84 CAPS
L01C
PLANT ALKALOIDS AND OTHER NATURAL PRODUCTS
0133556
0133525
0138275
0138289
0138308
0133265
0133221
0138311
0138325
0138342
0138356
HELIXOR A 100 MG 8 AMP 2 ML ROUGE

HELIXOR A 50 MG 8 AMP 1 ML ROUGE
HELIXOR A SERIE I ROUGE
HELIXOR A SERIE II ROUGE
HELIXOR A SERIE IV ROUGE
HELIXOR M 100 MG 8 AMP 2 ML VERT
HELIXOR M 50 MG 8 AMP 1 ML VERT
HELIXOR M SERIE I 7 AMP SC
HELIXOR M SERIE II 7 AMP SC VERT
HELIXOR M SERIE IV 7 AMP SC VERT
HELIXOR P SERIE I 7 AMP VIOLET
L01CA01
vinblastine
0513507
VINBLASTINE TEVA 10 MG 1 FL 10 ML IV
L01CA02
vincristine
0302971
0302984
VINCRISIN 1 MG 1 FL 1 ML IV
VINCRISIN 2 MG 1 FL 2 ML IV
L01CA03
vindesine
0038459
ELDISINE 5 MG PDR 1 FL IV
L01CA04
vinorelbine
0193974
NAVELBINE 10 MG 1 FL 1 ML IV
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
0
0
0
0
0
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
RR
RR
RR
RR
RR
RR
C
C
C
C
C
C
0
0
0
0
0
0
0
0
0
0
0
0
49,33
282,79
49,38
282,84
68,60
405,81
RR
HC
0 0
0,00
RR
HC
0 0
0,00
RR
RR
DC
DC
0 0
0 0
0,00
0,00
0
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
RR
HC
0 0
0,00
RR
RR
HC
HC
0 0
0 0
0,00
0,00
0
0
RR
HC
0 0
0,00
RR
HC
0 0
0,00
Page 132 of 243
0
0
0
0
100
100
Numro national
Dnomination abrge
0193988
0195951
0196641
0565372
0565419
0544341
0675309
0544355
0665204
VINORELBIN ACTAVIS 10 MG 1 FL DIL 1 ML
VINORELBIN ACTAVIS 10 MG 10 FL DIL 1 ML
VINORELBINE SDZ 10 MG 1 FL 1 ML IV
L01CA05
vinflunine
0538103
0538067
JAVLOR 250 MG PERF 1 FL 10 ML DIL IV

JAVLOR 50 MG PERF 1 FL 2 ML DIL IV
L01CB01
etoposide
0500879
0500896
0392298
0392267
0392271
0392284
0126419
EPOSIN 100 MG PERF 1 FL SOL A DIL 5 ML

EPOSIN 500 MG PERF 1 FL SOL A DIL 25ML
ETOPOSID SDZ 1 G 1 FL 50 ML PERF
ETOPOSID SDZ 100 MG 1 FL 5 ML PERF
VEPESID 100 MG 10 CPR
L01CD
Taxanes
0601305
JEVTANA 60 MG PERF 1 FL 1,5 ML + S
L01CD01
paclitaxel
0458663
0458677
0458646
0458681
0430032
0430046
0430029
0430063
0531682
0531665
0531701
0527757
0527761
0527743
0527774
0419584
0487598
0419571
0419598
PACLITAXEL EG 100 MG PERF 16,7 ML IV

PACLITAXEL EG 150 MG PERF 25 ML IV
PACLITAXEL HOSPIRA 100 MG 1 FL 16,7 ML
PACLITAXEL HOSPIRA 150 MG 1 FL 25 ML
PACLITAXEL HOSPIRA 30 MG 1 FL 5 ML PERF
PACLITAXEL HOSPIRA 300 MG 1 FL 50 ML
PACLITAXEL KABI 100 MG 16,7 ML 1 FL G
PACLITAXEL KABI 30 MG 5 ML 1 FL G
PACLITAXEL KABI 300 MG 50 ML 1 FL G
PACLITAXEL SDZ 100 MG 1 FL 16,7 ML DIL
PACLITAXEL SDZ 150 MG 1 FL 25 ML DIL
PACLITAXIN 100 MG 1 FL 16,7 ML PERF
PACLITAXIN 150 MG 1 FL 25 ML PERF
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
RR
RR
HC
HC
0 0
0 0
0,00
0,00
0
0
RR
RR
RR
RR
RR
RR
RR
H
H
HC
HC
HC
HC
C
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
59,04
0
0
0
0
0
0
100
RR
HC
0 0
0,00
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Page 133 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
L01CD02
docetaxel
0596785
0596768
0596771
0587299
0587271
0587285
0565792
0565825
0555765
0555779
0565579
0544727
0219065
0544731
0219079
DOCETAXEL ACTAVIS 140 MG PERF 1 FL 7 ML

DOCETAXEL HOSPIRA 160 MG PERF 1 FL 16 ML
DOCETAXEL SDZ 20 MG PERF 5 FL DIL 2 ML
DOCETAXEL SDZ 80 MG PERF 5 FL DIL 8 ML
DOCETAXEL TEVA 20 MG PERF 1 FL DIL 0,5ML
DOCETAXEL TEVA 80 MG PERF 1 FL DIL 2 ML
TAXOTERE 160 MG 1 FL A DIL 8 ML IV
TAXOTERE 20 MG/0,5 ML 1 FL + S 1.5 ML
TAXOTERE 80 MG/2 ML 1 FL + S 6 ML IV
L01CX01
trabectedin
0469636
0469653
YONDELIS 0,25 MG PDR 1 FL V PERF

YONDELIS 1 MG PDR 1 FL V PERF
L01DB01
doxorubicin
0201111
0201138
0201169
0201155
0232988
0288739
0525914
0525931
0525945
0525928
0550402
0550447
0550433
0285883
ADRIBLASTINA 10 MG PDR 5 FL IV
ADRIBLASTINA RTU 10MG 1 CYTOSAFE 5ML IV
ADRIBLASTINA RTU 200MG 1 CYTOSAFE 100ML
ADRIBLASTINA RTU 50MG 1 CYTOSAFE 25ML IV
CAELYX 2 MG/ML 1 FL 10 ML
CAELYX 2 MG/ML 1 FL 25 ML
DOXORUBICINE SDZ 10 MG 1 FL 5 ML DIL
DOXORUBICINE TEVA 10 MG 1 FL DIL 5 ML
DOXORUBICINE TEVA 200 MG 1 FL DIL 100ML
DOXORUBICINE TEVA 50 MG 1 FL DIL 25 ML
MYOCET 50 MG PDR 2 SETS IV
L01DB02
daunorubicin
0020289
CERUBIDINE 20 MG PDR 1 FL + S 4 ML IV
L01DB03
epirubicin
0561017
0560992
0560975
0561096
0561048
EPIRUBICIN ACTAVIS 2 MG/ML 1 FL 100 ML

EPIRUBICIN HOSPIRA 2 MG/ML 1 FL 100 ML
EPIRUBICIN HOSPIRA 2 MG/ML 1 FL 25 ML
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
0 0
0,00
0,00
0
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RR
RR
HC
HC
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RR
0 0
0,00
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
X
X
Page 134 of 243
0
0
0
0
0
Numro national
Dnomination abrge
0525993
0525962
0525959
0525976
0526004
0516722
0516767
0516736
0516719
0516753
0043865
0043879
0253814
0321413
0253831
EPIRUBICINE SDZ 2 MG/ML 1 FL 100 ML

EPIRUBICINE TEVA 2 MG/ML 1 FL 10 ML
FARMORUBICINE 10 MG PDR 1 FL IV
FARMORUBICINE 50 MG PDR 1 FL IV
FARMORUBICINE CYTOV 10 MG 1 FL CS 5 ML
FARMORUBICINE CYTOV 200 MG 1 CS 100 ML
FARMORUBICINE CYTOV 50 MG 1 FL CS 25 ML
L01DB06
idarubicin
0592593
0592576
0201396
IDARUBIN TEVA 1 MG/ML 1 FL 10 ML IV

IDARUBIN TEVA 1 MG/ML 1 FL 5 ML IV
ZAVEDOS 10 MG 1 FL IV
L01DB07
mitoxantrone
0401092
0401108
0368096
0368129
MITOXANTRON SDZ 10 MG 1 FL 5 ML PERF

MITOXANTRON SDZ 20 MG 1 FL 10 ML PERF
XANTROSIN 20 MG 1 FL 10 ML PERF
XANTROSIN 25 MG 1 FL 12,5 ML PERF
L01DC01
bleomycin
0014412
BLEOMYCINE 1500 U 1 AMP IMIVIA
L01DC03
mitomycin
0131887
0072898
0131891
MITOMYCINE C KYOWA 10 MG PDR 3 FL IV

MITOMYCINE C KYOWA 2 MG PDR 10FL 20ML IV
MITOMYCINE C KYOWA 20 MG PDR 2 FL IV
L01XA01
cisplatin
0492858
0492844
0511189
0511208
0511192
CISPLATINE HSP 100 MG 1 ONCOTAIN 100 ML

CISPLATINE HSP 50 MG 1 ONCOTAIN 50 ML
CISPLATINE TEVA 10 MG PERF 10 ML IV
L01XA02
carboplatin
0680682
0680696
0680679
0680701
CARBOPLATIN KABI 10 MG/ML SOL 1 FL 15 ML

mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RR
RR
RR
HC
HC
HC
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
RR
RR
RR
RR
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0
0
0
0
RR
HC
0 0
0,00
RR
RR
RR
HC
HC
HC
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
RR
RR
RR
RR
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0
0
0
0
Page 135 of 243
Numro national
Dnomination abrge
0230482
0230465
0230479
0492875
0492889
0492861
0436649
0436652
0436635
0436666
CARBOPLATIN PFIZER 150 MG 1 FL 15 ML IV

CARBOPLATINE HSP 150MG 1 ONCOTAIN 15 ML
CARBOSIN 150 MG 1 FL 15 ML PERF
L01XA03
oxaliplatin
0422335
0436599
0422321
0632993
0633004
0632976
0615247
0615251
0615233
0470881
0482771
0470878
ELOXATIN 100 MG PERF 1 FL 20 ML

OXALIPLATIN ACTAVIS 100 MG 1 FL 20 ML
OXALIPLATIN HOSPIRA 100 MG 1 FL 20 ML
OXALIPLATINE TEVA 100 MG 1 FL 20ML PERF
L01XC
Monoclonal antibodies
0685921
0617062
0617059
PERJETA 420 MG PERF 1 FL V 14 ML IV

YERVOY 200 MG PERF 1 FL 40 ML
YERVOY 50 MG PERF 1 FL 10 ML
L01XC02
rituximab
0251479
0251482
MABTHERA 100 MG 2 AMP 10 ML PERF

MABTHERA 500 MG 1 AMP 50 ML PERF
L01XC03
trastuzumab
0287955
0707402
HERCEPTIN 150 MG PDR 1 FL IV

HERCEPTIN 600 MG SOL INJ 1 FL 5 ML
L01XC04
alemtuzumab
0331664
MABCAMPATH 30 MG 3 FL 3 ML PERF
L01XC06
cetuximab
0501683
0501702
ERBITUX 100 MG PERF 1 FL 20 ML IV

ERBITUX 500 MG PERF 1 FL 100 ML IV
L01XC07
bevacizumab
0391811
0391807
AVASTIN 25 MG/ML PERF 1 FL 16 ML

AVASTIN 25 MG/ML PERF 1 FL 4 ML
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
0
RR
RR
RR
HC
HC
HC
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
RR
RR
HC
HC
0 0
0 0
0,00
0,00
0
0
RR
RR
HC
HC
0 0
0 0
0,00
0,00
0
0
RR
HC
0 0
0,00
RR
RR
HC
HC
0 0
0 0
0,00
0,00
0
0
RR
RR
HC
HC
0 0
0 0
0,00
0,00
0
0
RM
RM
RM
RM
Page 136 of 243
Numro national
Dnomination abrge
L01XC08
panitumumab
0472659
0472662
0472645
VECTIBIX 20 MG/ML PERF 1 FL 10 ML IV

L01XC09
catumaxomab
0517666
0547875
mode de
dlivrance
conditions de
prescription
OD
RMP
RM
RM
RM
PCC
Prix public
Taux
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
0 0
0 0
0,00
0,00
0
0
0 0
0,00
RR
RR
RR
HC
HC
HC
REMOVAB 10 MCG 1 SRG A DIL + 1 CAN

REMOVAB 50 MCG 1 SRG A DIL + 1 CAN
RR
RR
HC
HC
0675682
ADCETRIS 5 MG/ML PSV 1 FL V IV
RR
HC
L01XD03
methyl aminolevulinate
0313649
METVIX 16% CREME 2 G
RR
0 0
308,61
RR
0 0
0,00
RR
RR
RR
C
C
C
0 0
0 0
0 0
2.472,50
1.572,35
2.420,68
RR
DC
0 0
0,00
RR
RR
RR
C
C
C
1 5
1 5
1 5
1.901,19
2.340,08
539,33
RR
RR
RR
DC
DC
DC
0 0
0 0
0 0
0,00
0,00
0,00
RR
1 5
3.800,92
RR
RR
RR
RR
RR
RR
RR
RR
DC
DC
DC
DC
DC
DC
DC
DC
X
X
X
X
X
X
X
X
0
0
0
0
0
0
0
0
L01XC12
L01XD04
aminolevulinic acid
0704574
AMELUZ 78 MG/G GEL 2 G
L01XE01
imatinib
0685093
0359621
0359648
GLIVEC 100 MG 120 CAPS

GLIVEC 100 MG 60 CPR
GLIVEC 400 MG 30 CPR
L01XE02
gefitinib
0524187
IRESSA 250 MG 3*10 CPR
L01XE03
erlotinib
0409459
0409462
0409445
TARCEVA 100 MG 30 CPR

L01XE04
sunitinib
0441067
0441071
0441084
SUTENT 12,5 MG 30 CAPS

SUTENT 25 MG 30 CAPS
SUTENT 50 MG 30 CAPS
L01XE05
sorafenib
0439671
NEXAVAR 200 MG 112 CPR
L01XE06
dasatinib
0512271
0446533
0446497
0446547
0446551
0446502
0446564
0446578
SPRYCEL 100 MG 30 CPR BLIST

SPRYCEL 20 MG 56 CPR
SPRYCEL 20 MG 60 CPR UD
Page 137 of 243
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
100
100
100
100
100
100
0
0
0
100
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0446516
0446581
L01XE07
lapatinib
0602039
0482851
TYVERB 250 MG 140 CPR (FL)

TYVERB 250 MG 140 CPR BLIST
L01XE08
nilotinib
0598843
0474619
TASIGNA 150 MG 112 CAPS

TASIGNA 200 MG 112 CAPS
L01XE09
temsirolimus
0469071
TORISEL 25 MG/ML PERF 1 FL + S IV
mode de
dlivrance
conditions de
prescription
OD
RMP
Prix public
Taux
0 0
0 0
0,00
0,00
0
0
0 0
0 0
0,00
0,00
0
0
0 0
0 0
0,00
0,00
0
0
0 0
0,00
RR
RR
DC
DC
RR
RR
DC
DC
RR
RR
DC
DC
X
X
RR
HC
RR
RR
DC
DC
0 0
0 0
0,00
0,00
0
0
0 0
0 0
0,00
0,00
0
0
0 0
0 0
0,00
0,00
0
0
0 0
0 0
0,00
0,00
0
0
0 0
0,00
0 0
0 0
0,00
0,00
0
0
0 0
0 0
0,00
0,00
0
0
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
0 0
0,00
L01XE10
everolimus
0524125
0524092
AFINITOR 10 MG 30 CPR
AFINITOR 5 MG 30 CPR
L01XE11
pazopanib
0569032
0569063
VOTRIENT 200 MG 90 CPR (FL)

VOTRIENT 400 MG 60 CPR (FL)
RR
RR
DC
DC
CAPRELSA 100 MG 30 CPR

CAPRELSA 300 MG 30 CPR
RR
RR
DC
DC
BOSULIF 100 MG 28 CPR

BOSULIF 500 MG 28 CPR
RR
RR
DC
DC
ZELBORAF 240 MG 56 CPR
RR
DC
XALKORI 200 MG 60 CAPS

XALKORI 250 MG 60 CAPS
RR
RR
DC
DC
INLYTA 1 MG 56 CPR
INLYTA 5 MG 56 CPR
RR
RR
DC
DC
JAKAVI 15 MG 60 CPR (FL)

RR
RR
RR
DC
DC
DC
0707349
STIVARGA 40 MG 3*28 CPR (FL)
RR
DC
L01XX05
hydroxycarbamide
X
X
PCC
RM
RM
L01XE12
0646243
0646257
RM
RM
L01XE14
0689836
0689867
X
X
L01XE15
0643515
L01XE16
0675701
0675729
RM
RM
L01XE17
0673674
0674816
L01XE18
0674864
0674878
0674851
X
X
X
L01XE21
RM
Page 138 of 243
Numro national
Dnomination abrge
0054810
HYDREA 500 MG 20 CAPS
L01XX11
estramustine
0041681
0041700
ESTRACYT 140 MG 100 CAPS (FL)

ESTRACYT 300 MG PSV 10 FL + S IV
L01XX14
tretinoin
0226073
VESANOID 10 MG 100 CAPS
L01XX17
topotecan
0482199
0482204
0330881
0538621
HYCAMTIN 0,25 MG 10 CAPS

HYCAMTIN 1 MG 10 CAPS
HYCAMTIN 1 MG/ML PDR 5 FL 3 ML PERF
TOPOTECAN TEVA 1 MG 5 FL 1 ML DIL IV
L01XX19
irinotecan
0227621
0482087
0227618
0491718
0491704
0500056
0559926
0715886
0559912
0559943
0543294
0543331
0543281
0516509
0516493
0516512
0607228
0607214
0607245
CAMPTO 100 MG 1 FL 5 ML PERF

IRINOSIN 100 MG PERF 5 FL DIL 5 ML IV
IRINOSIN 40 MG PERF 5 FL DIL 2 ML IV
IRINOSIN 500 MG PERF 1 FL DIL 25 ML
IRINOTECAN ACTAVIS 100 MG 1 FL 5 ML
IRINOTECAN EG 100 MG 1 FL 5 ML DIL IV
IRINOTECAN HOSPIRA 100 MG 1 FL 5 ML IV
IRINOTECAN HOSPIRA 40 MG 1 FL 2 ML IV
IRINOTECAN HOSPIRA 500 MG 1 FL 25ML IV
IRINOTECAN KABI 100 MG 5 ML 1 FL
IRINOTECAN KABI 40 MG 2 ML FL IV
IRINOTECAN KABI 500 MG 25 ML 1 FL IV
L01XX25
bexarotene
0299634
TARGRETIN 75 MG 100 CAPS
L01XX27
arsenic trioxide
0315237
TRISENOX 1 MG/ML 10 AMP A D PERF
L01XX32
bortezomib
0569113
0368566
VELCADE 1 MG PDR 1 FL IV
VELCADE 3,5 MG PDR 1 FL IV
L01XX35
anagrelide
0389441
XAGRID 0,5 MG 100 CAPS
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
0 0
8,88
100
RR
RR
C
HC
0 0
0 0
126,93
0,00
100
0
RR
0 0
195,94
100
RR
RR
RR
RR
DC
DC
HC
HC
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0
0
0
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RR
DC
0 0
0,00
RR
HC
0 0
0,00
RR
RR
HC
HC
0 0
0 0
0,00
0,00
0
0
RR
1 5
493,12
X
Page 139 of 243
100
Numro national
Dnomination abrge
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
0 0
0,00
0 0
0,00
RR
0 0
8,79
100
RR
0 0
41,46
100
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
12,52
21,71
34,21
31,66
43,42
39,87
100
100
100
100
100
100
RR
RR
0 0
0 0
41,22
143,33
100
100
0
0
0
0
0
0
0
0
0
0
0
0
204,93
400,88
100,59
100,47
169,42
89,03
100
100
100
0
100
100
RR
RR
0 0
0 0
130,89
322,79
100
100
L01XX41
0623981
HALAVEN 0,88 MG 1 FL V 2 ML IV
RR
HC
0704185
ERIVEDGE 150 MG 28 CAPS (FL)
RR
DC
L02AA02
polyestradiol phosphate
L01XX43
0041728
ESTRADURINE 80 MG PDR 1 FL + S 2 ML IM
L02AB01
megestrol
0141186
MEGACE 160 MG 30 CPR
L02AB02
medroxyprogesterone
0029866
0095133
0095147
0144403
0450925
0144899
DEPO PROVERA 500 MG 1 AMP 3,3 ML IM

PROVERA 500 MG/5 ML SIR 100 ML
L02AE01
buserelin
0158197
0111870
SUPREFACT NASAL 0,1 MG/D 1 FL 100 D

SUPREFACT NASAL 0,1 MG/D 4 FL 100 D
L02AE02
leuprorelin
0393099
0470461
0393118
0393121
0554835
0400159
DEPO ELIGARD 22,5 MG PSV 1 SRG + S SC

DEPO ELIGARD 45 MG PSV 1 SRG + S SC
LUCRIN DEPOT 11,25 MG 1 SRG PREREMPLIE
LUCRIN DEPOT 3,75 MG 1 SRG PREREMPLIE
L02AE03
goserelin
0141818
0216841
ZOLADEX DEPOT 3,6 MG 1 SRG SC

ZOLADEX LA 10,8 MG 1 SRG SC
RR
RR
RR
RR
RR
RR
RM
C
C
C
C
C
C
L02AE04
triptorelin
0299956
0591517
0299942
DECAPEPTYL SR 11,25 MG 1 SRG + S 2 ML

DECAPEPTYL SR 22,5 MG 1 FL + S
DECAPEPTYL SR 3,75 MG 1 SRG + S 2 ML
RR
RR
RR
0 0
0 0
0 0
266,28
481,74
122,36
100
100
100
0554754
VANTASSE 50 MG 1 IMPLANT + 1 DISPO
RR
0 0
1.310,71
100
L02BA01
tamoxifen
0217768
0217771
0206697
NOLVADEX 10 MG 98 CPR
NOLVADEX D 20 MG 56 CPR
NOLVADEX D 20 MG 90 CPR UD
RR
RR
RR
0 0
0 0
0 0
18,06
22,01
0,00
100
100
0
L02AE05
Page 140 of 243
Numro national
Dnomination abrge
0172604
0209508
TAMIZAM 20 MG 60 CPR
TAMIZAM 20 MG 90 CPR
L02BA02
toremifene
0257214
FARESTON 60 MG 100 CPR
L02BA03
fulvestrant
0568939
FASLODEX 250 MG 2 SRG PRER 5 ML + 2 AIG
L02BB01
flutamide
0325006
0459285
0242354
0242368
FLUTAMIDE EG 250 MG 100 CPR

FLUTAMIDE EG 250 MG 200 CPR
FLUTAPLEX 250 MG 100 CPR
FLUTAPLEX 250 MG 200 CPR
L02BB03
bicalutamide
0461333
0461364
0628942
0628858
0519965
0519948
0466151
0329751
0329764
0216211
0216225
BICALUTAMID RATIO 50 MG 30 CPR

BICALUTAMID RATIO 50 MG 90 CPR
BICALUTAMIDE EG 150 MG 100 CPR
BICALUTAMIDE TEVA 50 MG 56 CPR
CASODEX 150 MG 28 CPR
CASODEX 150 MG 28 CPR UD
CASODEX 50 MG 28 CPR
CASODEX 50 MG 28 CPR UD
L02BG03
anastrozole
0495801
0495765
0652206
0652285
0565713
0565758
0215151
0330927
0330931
0560765
ANASTROZOL RATIO 1 MG 100 CPR

ANASTROZOL RATIO 1 MG 30 CPR
ANASTROZOL SDZ 1 MG 28 CPR
ANASTROZOL SDZ 1 MG 98 CPR
ANASTROZOLE EG 1 MG 28 CPR
ANASTROZOLE EG 1 MG 98 CPR
ARIMIDEX 1 MG 28 CPR
ARIMIDEX 1 MG 84 CPR
ARIMIDEX 1 MG 84 CPR UD
ASTROZOL 1 MG 98 CPR
L02BG04
letrozole
0231351
0231347
FEMARA 2,5 MG 100 CPR

FEMARA 2,5 MG 30 CPR
L02BG06
exemestane
0271485
0618981
0619005
AROMASIN 25 MG 30 CPR
EXEMAROM 25 MG 100 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
0 0
0 0
25,10
32,45
100
100
RR
0 0
85,36
100
RR
0 0
523,04
100
RR
RR
RR
RR
0
0
0
0
0
0
0
0
51,70
95,95
50,14
87,23
100
0
100
100
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
58,10
151,11
432,46
148,30
204,34
63,96
126,01
148,31
0,00
63,96
0,00
100
100
100
0
100
100
100
100
0
100
0
C
C
C
C
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
C
C
C
C
C
C
C
C
C
C
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
120,79
44,26
46,24
116,14
46,29
116,17
46,29
100,88
0,00
121,14
100
100
100
100
100
100
100
100
0
0
RR
RR
C
C
0 0
0 0
510,09
167,74
100
100
RR
RR
RR
C
C
C
0 0
0 0
0 0
62,84
169,22
201,25
100
100
100
Page 141 of 243
Numro national
Dnomination abrge
0618946
0647772
0647755
EXEMESTAN RATIO 25 MG 100 CPR
EXEMESTAN RATIO 25 MG 30 CPR
L02BX
Other hormone antagonists and related agents
0622631
ZYTIGA 250 MG 120 CPR (FL)
L02BX02
degarelix
0513099
0513085
FIRMAGON 120 MG PSV 2FL+2SRG+4AIG+S 6ML

FIRMAGON 80 MG PSV 1FL+1SRG+2AIG+S 6ML
L03AA02
filgrastim
0169031
0314372
0314386
0506354
0506399
0493211
0493256
0511239
0511287
NEUPOGEN 30 MIO U 5 AMP 1 ML IVSC

NEUPOGEN 30 MIO U 5 SRG PREREMPL 0,5 ML
NEUPOGEN 48 MIO U 5 SRG PREREMPL 0,5 ML
RATIOGRASTIM 30 MIO U PERF 5 SRG 0,5 ML
RATIOGRASTIM 48 MIO U PERF 5 SRG 0,8 ML
TEVAGRASTIM 30 MIO U 5 SRG 0,5 ML SCIV
TEVAGRASTIM 48 MIO U 5 SRG 0,8 ML SCIV
ZARZIO 30 MIO U 5 SRG 0,5 ML
ZARZIO 48 MIO U 5 SRG 0,5 ML
L03AA10
lenograstim
0246417
GRANOCYTE 33,6 MIO U PDR 5 FL+SRG 1 ML
L03AA13
pegfilgrastim
0529359
NEULASTA 6 MG 1 SRG SECURISEE 0,6 ML SC
L03AB03
interferon gamma
0185356
IMMUKINE 2 MIO U 6 FL 0,5 ML SC
L03AB04
interferon alfa-2a
0274022
0274067
0274084
ROFERON A 3 MIO U 6 SRG 0,5 ML IMSC

L03AB05
interferon alfa-2b
0278052
0243415
0243429
0243432
INTRON A ALB FREE 25 MIO U 2 FL 2,5 ML

INTRON A PEN 18 MIO U 1 STYLO MTD 1,2 ML
L03AB07
interferon beta-1a
0233629
0624134
0355375
0265216
0513118
0249971
AVONEX 30 MCG (6MIO) PDR 4 FL UD 3 ML IM

AVONEX 30 MCG 4 PEN 0,5ML+4AIG+4CAPUC
AVONEX 30 MCG 4 SRG PRER 0,5 ML + 4 AIG
REBIF 12 MIO U/0,5 ML (44MCG) 12 SRG SC
REBIF 12 MIO U/0,5ML (44MCG) 4 CRT 1,5ML
REBIF 6 MIO U/0,5 ML (22MCG) 12 SRG SC
mode de
dlivrance
RR
RR
RR
conditions de
prescription
OD
RMP
C
C
C
RR
RM
RM
PCC
Prix public
Taux
0 0
0 0
0 0
60,66
131,13
44,32
100
100
100
1 5
3.331,70
100
0 0
0 0
243,23
137,67
100
100
RR
RR
C
C
RR
RR
RR
RR
RR
RR
RR
RR
RR
C
C
C
C
C
C
C
C
C
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
302,03
302,03
421,67
386,92
541,36
302,06
422,37
302,06
422,37
100
100
100
100
100
100
100
100
100
RR
0 0
382,04
100
RR
0 0
1.177,79
100
RR
0 0
521,85
100
RR
RR
RR
C
C
C
0 0
0 0
0 0
106,02
194,42
287,01
100
100
100
RR
RR
RR
RR
C
C
C
C
0
0
0
0
0
0
0
0
260,17
92,58
165,33
310,39
100
100
100
100
RR
RR
RR
RR
RR
RR
C
C
C
C
C
C
0
0
0
0
0
0
0
0
0
0
0
0
646,16
989,07
964,34
925,26
925,26
698,20
100
100
100
100
100
100
Page 142 of 243
Numro national
Dnomination abrge
0513104
REBIF 6 MIO U/0,5 ML (22MCG) 4 CRT 1,5ML
L03AB08
interferon beta-1b
0274957
0217138
0441456
BETAFERON 8 MIO U PDR 15 FL + 15 SRG SC

BETAFERON 8 MIO U PDR 15 FL + S 2 ML SC
BETAFERON 8 MIO U PDR 15FL+15SRG+15ADAPT
L03AB10
peginterferon alfa-2b
0282591
0320139
0282623
0320142
0282654
0320187
0282671
0320191
0282704
0320237
0282721
0320241
0282489
0320058
0282508
0320061
0282539
0320092
0282556
0320108
PEGINTRON 100 MCG PSV 1 FL + S + 1 SET

PEGINTRON 100 MCG PSV 1 STYLO + 1 AIG
PEGINTRON 100 MCG PSV 4 FL + S + 4 SETS
PEGINTRON 100 MCG PSV 4 STYLOS + 4 AIG
L03AB11
peginterferon alfa-2a
0323578
0621678
0323595
0621701
PEGASYS 135 MCG 4 SRG 0,5 ML SC

PEGASYS 135 MCG/ML 4 STYLOS PRER 0,5 ML
PEGASYS 180 MCG 4 SRG 0,5 ML SC
PEGASYS 180 MCG/ML 4 STYLOS PRER 0,5 ML
L03AX03
BCG vaccine
0340873
0375803
IMMUCYST 81 MG SUSP 1 FL + S 3 ML VE
ONCOTICE PDR 1 FL VE
L03AX13
glatiramer acetate
0370291
COPAXONE 20 MG/ML 28 SRG PRERPL SC
L03AX15
mifamurtide
0513491
MEPACT 4 MG PDR 1 FL + FILTRE IV
L03AX16
plerixafor
0528995
MOZOBIL 20 MG/ML 1 FL 2 ML
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
0 0
698,20
100
RR
RR
RR
C
C
C
0 0
0 0
0 0
891,72
901,01
705,46
100
100
100
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
204,24
188,86
728,41
728,41
243,19
224,81
872,23
872,23
301,67
278,80
1.088,17
1.088,17
106,82
98,93
389,30
368,69
165,29
152,89
584,60
584,60
100
100
0
100
100
100
0
100
100
100
0
100
100
100
0
100
100
100
0
100
RR
RR
RR
RR
C
C
C
C
0
0
0
0
0
0
0
0
698,08
694,63
807,70
803,70
100
100
100
100
0 0
0 0
66,14
58,22
100
100
0 0
830,06
100
RR
RR
RR
RR
HC
0 0
0,00
RR
HC
0 0
0,00
Page 143 of 243
Numro national
Dnomination abrge
L04AA04
antithymocyte immunoglobulin (rabbit)
0398551
THYMOGLOBULINE 25 MG 1 FL + S 5 ML IV
L04AA06
mycophenolic acid
0264111
0224566
0224552
0257536
0479341
0479369
CELLCEPT 1 G/5 ML PDR 110 G

CELLCEPT 250 MG 3*100 CAPS
CELLCEPT 500 MG 3*50 CPR
CELLCEPT 500 MG PDR 4 FL PERF
MYFENAX 250 MG 300 CAPS
MYFENAX 500 MG 150 CPR
L04AA10
sirolimus
0317424
0344483
0301228
RAPAMUNE 1 MG 100 CPR

RAPAMUNE 2 MG 30 CPR
RAPAMUNE 60 MG 1 FL 60 ML + 1 SET
L04AA13
leflunomide
0270832
0270829
0285382
0270881
0270877
ARAVA 10 MG 100 CPR

ARAVA 10 MG 30 CPR
ARAVA 100 MG 3 CPR
ARAVA 20 MG 100 CPR
ARAVA 20 MG 30 CPR
L04AA23
natalizumab
0436909
TYSABRI 20 MG/ML PERF 1 FL DIL IV
L04AA24
abatacept
0679342
0465976
ORENCIA 125 MG 4 SRG PREREMPL + DISP

ORENCIA 250 MG PERF 1 FL + S IV
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
0,00
RR
HC
0 0
RR
RR
RR
RR
RR
RR
C
C
C
HC
C
C
0
0
0
0
0
0
0
0
0
0
0
0
78,19
154,40
154,40
0,00
154,40
154,40
100
100
100
0
100
100
RR
RR
RR
C
C
C
0 0
0 0
0 0
433,96
264,65
264,65
100
100
100
RR
RR
RR
RR
RR
C
C
C
C
C
RM
RM
RM
RM
RM
0
0
0
0
0
0
0
0
0
0
92,08
41,61
24,51
104,82
43,85
100
100
100
100
100
RR
HC
RM
0 0
0,00
RR
RR
C
HC
L04AA25
eculizumab
0466083
SOLIRIS 300 MG PERF 1 FL 30 ML IV
RR
HC
BENLYSTA 120 MG PDR 1 FL 5 ML

BENLYSTA 400 MG PDR 1 FL 20 ML
RR
RR
HC
HC
0607276
GILENYA 0,5 MG 28 CAPS
RR
DC
L04AB01
etanercept
0443951
0462263
0524903
0443996
0636054
ENBREL 25 MG PDR 4 SRG PREREMPL 0,5 ML

ENBREL 25 MG PDR 4FL+4SRG+20AIG+4ADAPT+T
ENBREL 50 MG PDR 4 MYCLIC 1 ML + 8 TAMP
ENBREL 50 MG PDR 4 SRG PREREMPL 1 ML
ENBREL PED 10 MG 4 SRG PREREMPL 1 ML
RR
RR
RR
RR
RR
C
C
C
C
C
L04AB02
infliximab
6 16
0 0
RM
1.029,40
0,00
100
0
0 0
0,00
0 0
0 0
0,00
0,00
0
0
0 0
0,00
L04AA26
0621647
0621651
L04AA27
RM
0
0
0
0
0
Page 144 of 243
0
0
0
0
0
547,42
547,42
1.085,86
1.085,86
237,43
100
100
100
100
0
Numro national
Dnomination abrge
0267417
REMICADE 100 MG PDR 1 FL V 20 ML IV
L04AB04
adalimumab
0352972
0353001
0444301
HUMIRA 40 MG 2 FL 0,8 ML + SRG SC

HUMIRA 40 MG 2 SRG 0,8 ML SC
HUMIRA 40 MG 2 STYLOS 0,8 ML + 2 TAMP
L04AB05
certolizumab pegol
0541272
CIMZIA 200 MG 2 SRG 1 ML SC
L04AB06
golimumab
0715452
0715435
0528951
0528978
SIMPONI 100 MG 1 SRG 1 ML

SIMPONI 100 MG 1 STYLO 1 ML
SIMPONI 50 MG 1 SRG 0,5 ML
SIMPONI 50 MG 1 STYLO 0,5 ML
L04AC01
daclizumab
0264107
ZENAPAX 5 MG/ML 3 FL 5 ML
L04AC05
ustekinumab
0567976
0567993
STELARA 45 MG 1 SRG PREREMPL 0,5 ML SC

STELARA 90 MG 1 SRG PREREMPL 1 ML SC
L04AC07
tocilizumab
0503142
0503187
0503139
ROACTEMRA 200 MG PERF 4 FL 10 ML IV

L04AC08
canakinumab
0535308
ILARIS 150 MG PDR 1 FL SC
L04AD01
ciclosporin
0714973
0715081
0715113
0714991
0715032
0714939
NEORAL SANDIMMUN 10 MG 60 CAPS

NEORAL SANDIMMUN 100 MG/ML SOL BUV 50 ML
SANDIMMUN 250 MG PERF 10 AMP 5 ML
L04AD02
tacrolimus
0477798
0477767
0555149
0477803
0308926
0250518
0250552
0250549
ADVAGRAF 0,5 MG 100 CAPS

ADVAGRAF 1 MG 100 CAPS
PROGRAFT 0,5 MG 100 CAPS
PROGRAFT 1 MG 100 CAPS
PROGRAFT 5 MG 10 AMP 1 ML PERF
PROGRAFT 5 MG 100 CAPS
mode de
dlivrance
conditions de
prescription
OD
RMP
RM
PCC
Prix public
Taux
0 0
0,00
0 0
0 0
0 0
1.053,50
1.028,81
1.028,81
100
100
100
RR
HC
RR
RR
RR
C
C
C
RR
RM
0 0
1.011,78
100
RR
RR
RR
RR
C
C
C
C
RM
RM
RM
RM
0
0
0
0
0
0
0
0
1.150,89
1.150,89
1.150,89
1.150,89
0
0
100
100
RR
0 0
0,00
RR
RR
C
C
RM
RM
0 0
0 0
3.188,61
3.612,56
RR
RR
RR
HC
HC
HC
RM
RM
RM
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
RR
DC
RM
0 0
0,00
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
C
C
C
C
C
C
H
C
Page 145 of 243
100
100
0
0
0
0
0
0
0
0
0
0
0
0
29,47
156,16
197,55
54,77
101,76
161,86
0
100
100
100
100
100
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
73,90
118,31
328,29
526,83
73,90
118,31
0,00
526,83
100
100
100
100
100
100
0
100
Numro national
Dnomination abrge
L04AX
Other immunosuppressants
0622644
0622658
ESBRIET 267 MG 21 CAPS + 42 CAPS

ESBRIET 267 MG 4*63 CAPS
L04AX01
azathioprine
0680147
0265992
0056443
0168114
AZATHIOPRIN SDZ 100 MG 100 CPR (FL)

IMURAN 50 MG 1 FL PERF
IMURAN 50 MG 100 CPR
IMURAN MITIS 25 MG 100 CPR
L04AX02
thalidomide
0485142
THALIDOMIDE CELGENE 50 MG 28 CAPS
L04AX04
lenalidomide
0459352
0459366
0715905
0459383
0459349
REVLIMID 10 MG 21 CAPS
REVLIMID 2,5 MG 21 CAPS
M01AB01
indometacin
0034530
0034544
0185911
0185924
0056877
0056846
0056863
0056913
0056880
0056894
0056927
0056930
DOLCIDIUM 100 MG 12 SUPP

DOLCIDIUM GE 50 MG 12 SUPP
INDOMET RATIO 100 MG 10 SUPP
INDOMET RATIO 100 MG 50 SUPP
INDOMET RATIO 25 MG 100 CAPS
INDOMET RATIO RET 75 MG 20 CAPS RET
INDOMET RATIO RET 75 MG 50 CAPS RET
M01AB05
diclofenac
0154525
0031895
0416311
0031928
0162365
0031914
0031959
0031945
0162379
0208335
0031931
CATAFLAM 50 MG 30 DRG
DICLAC 100 MG 10 SUPP
DICLAC 25 MG 100 CPR
DICLAC 25 MG 20 CPR
DICLAC 25 MG 50 CPR
DICLAC 50 MG 100 CPR
DICLAC 50 MG 20 CPR
DICLAC 50 MG 50 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
X
X
RM
RM
PCC
Prix public
Taux
0 0
0 0
0,00
0,00
0
0
0
0
0
0
33,80
0,00
25,50
16,45
100
0
100
100
RR
RR
DC
DC
RR
RR
RR
RR
C
H
C
C
RR
DC
RM
0 0
0,00
RR
RR
RR
RR
RR
DC
DC
DC
DC
DC
X
X
X
X
X
RM
RM
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8,12
6,76
4,17
18,24
6,95
2,03
4,68
9,80
2,36
5,30
4,50
9,09
80
80
80
80
80
80
80
80
80
80
80
80
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9,95
10,20
9,90
11,62
1,49
10,25
9,77
13,06
9,49
11,52
10,54
80
80
0
80
80
80
80
80
80
80
80
0
0
0
0
Page 146 of 243
RM
RM
Numro national
0031878
0175881
0031881
0162382
0175895
0155519
0155486
0155505
0451886
0451872
0182662
0182659
0182676
0451841
0451869
0304782
0032021
0032035
0032066
0032049
0032052
0032147
0032133
0032102
0032116
0032150
0173405
0267269
0173436
0173422
0304796
0032228
0032200
0032214
0345531
0235011
0176147
0236858
0705473
0337945
0337928
0337931
0237158
0705389
Dnomination abrge
DICLAC 75 MG 1 AMP 3 ML IM
DICLAC 75 MG 150 SRG 3 ML IM
DICLAC 75 MG 500 SRG 3 ML IM
DICLAC RET 100 MG 100 CPR
DICLOFENAC EG 100 MG 12 SUPP
DICLOFENAC EG 100 MG 30 CPR
DICLOFENAC EG 75 MG 6 AMP 3 ML IVIM
DICLOFENAC EG RET 75 MG 60 CPR
DICLOFENAC MYLAN 75 MG 60 CPR
DICLOFENAC RATIO 100 MG 10 SUPP
DICLOFENAC RATIO 25 MG 100 CPR PELLIC
DICLOFENAC RATIO SF 75 MG 1 AMP 2 ML IM
DICLOFENAC RATIO SF 75 MG 10 AMP 2 ML
DICLOFENAC RATIO SF 75 MG 150 AMP 2ML IM
DICLOFENAC RATIO SF 75 MG 30 AMP 2 ML IM
DICLOFENAC RET MYLAN 100 MG 30 CPR
DICLOFENAC RET RATIO 100 MG 100 CAPS RET
MOTIFENE 75 MG 28 CAPS RET
MOTIFENE 75 MG 56 CAPS RET
POLYFLAM 50 MG 50 CPR
VOLTAREN 100 MG 10 SUPP
VOLTAREN 100 MG 12 SUP
VOLTAREN RESINAT 100 CAPS
VOLTAREN RET 100 MG 100 CPR
mode de
dlivrance
conditions de
prescription
OD
R
RR
R
R
RR
R
R
R
R
RR
R
R
R
RR
RR
R
R
R
R
R
R
R
R
R
R
R
R
R
RR
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
RMP
PCC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Page 147 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Prix public
9,45
0,00
10,68
0,00
0,00
14,76
10,39
11,98
6,23
9,21
8,37
5,97
8,37
6,40
10,93
11,21
10,20
16,52
10,31
2,79
6,20
9,77
13,06
9,49
10,54
11,51
9,43
11,53
0,00
14,09
8,68
13,51
10,39
11,98
12,11
15,80
10,78
13,97
8,33
14,94
10,46
12,02
43,19
13,54
Taux
80
0
80
0
0
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
0
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
Numro national
Dnomination abrge
0237144
M01AB11
acemetacin
0096693
0096709
0096712
0096726
RANTUDIL FORTE 60 MG 20 CAPS

RANTUDIL FORTE 60 MG 50 CAPS
RANTUDIL RET 90 MG 20 CAPS
RANTUDIL RET 90 MG 50 CAPS
M01AB14
proglumetacin
0157348
TOLINDOL 150 MG 60 CAPS
M01AB15
ketorolac
0176991
TARADYL 10 MG 5 AMP 1 ML IM
M01AB16
aceclofenac
0523291
0523324
0228471
0228484
0228341
0228355
ACECLOFENAC EG 100 MG 20 CPR

ACECLOFENAC EG 100 MG 60 CPR
AIRTAL 100 MG 20 CPR
AIRTAL 100 MG 60 CPR
BIOFENAC 100 MG 20 CPR
BIOFENAC 100 MG 60 CPR
M01AB55
diclofenac, combinations
0241861
ARTHROTEC 75 30 CPR
M01AC01
piroxicam
0177662
0267627
0134201
0044019
0134195
0142622
0136481
0212503
0457358
0457375
0457361
0205669
0205641
0205655
0205719
0205686
0205705
0411071
0308991
0260349
0243804
BREXINE 20 MG 30 CPR
BREXINE DRYFIZ 20 MG 30 CPR EFF
FELDENE 10 MG 30 CAPS
FELDENE 20 MG 12 SUPP
FELDENE 20 MG 30 CAPS
FELDENE 20 MG 6 AMP 1 ML IM
FELDENE DISPERS 20 MG 30 CPR
FELDENE LYOTABS 20 MG 30 CPR
PIROXICAM EG 20 MG 30 CAPS
PIROXICAM EG 20 MG 30 CPR
PIROXICAM EG 20 MG 6 AMP 1 ML IM
PIROXICAM HEXAL 10 MG TABS 100 CPR
PIROXICAM TEVA 20 MG 30 CPR
POLYDENE 20 MG 30 CPR SEC
SOLICAM 20 MG 14 CAPS
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
0 0
25,69
80
R
R
R
R
0
0
0
0
0
0
0
0
11,20
14,97
19,33
36,13
80
80
80
80
0 0
11,63
80
RR
0 0
7,70
80
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
7,37
12,11
9,52
15,64
9,52
15,64
80
80
80
80
80
80
RR
0 0
21,66
80
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
13,19
13,19
8,50
7,99
12,30
7,71
12,30
15,37
6,08
6,08
7,01
0,00
3,99
9,45
19,28
6,83
13,82
10,67
16,89
8,02
11,76
80
80
80
80
80
80
80
80
80
80
80
0
80
80
80
80
80
80
0
80
80
Page 148 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0243818
M01AC02
tenoxicam
0140239
0158183
0181781
TILCOTIL 20 MG 30 CPR
TILCOTIL 20 MG 60 CPR
TILCOTIL 20 MG 60 CPR UD
M01AC06
meloxicam
0461771
0417903
0417836
0417853
0216256
0305356
0218264
MELOXICAM EG 15 MG 30 CPR
MELOXICAM HEXAL 15 MG 20 CPR
MELOXICAM HEXAL 7,5 MG 10 CPR
MELOXICAM HEXAL 7,5 MG 20 CPR
MOBIC 15 MG 30 CPR
MOBIC 15 MG 5 AMP 1,5 ML IM
MOBIC 15 MG 50 CPR MND
M01AE01
ibuprofen
0016109
0182368
0571917
0016126
0512057
0180718
0201978
0166719
0174741
0174738
0170627
0170631
0307929
0202782
0202779
0355246
0457751
0463792
0463775
0463789
0454339
0454311
0454325
0454373
0454342
0454356
0454406
0454387
0454391
BRUFEN 400 MG 100 DRG

BRUFEN 600 MG GRAN 20 SACH
BRUFEN 600 MG GRAN 40 SACH
BRUFEN FORTE 600 MG 30 CPR
BRUFEN FORTE 600 MG 60 CPR
BRUFEN RET 800 MG 28 CPR
BRUFEN RET 800 MG 60 CPR
DISMENOL N 200 MG 20 CPR
DOLGIT 600 MG 100 DRG
DOLGIT 600 MG 50 DRG
DOLGIT 800 MG 20 CPR
DOLGIT 800 MG 50 CPR
DOLOFIN 200 MG 30 DRG
EPSILON 400 MG 30 CPR
IBU RATIO 2% SIR 100 ML
IBU RATIO 200 MG 100 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
0 0
19,23
80
R
R
R
0 0
0 0
0 0
10,49
14,24
0,00
80
80
0
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9,49
6,54
9,92
10,32
9,70
8,59
0,00
80
80
80
80
80
80
0
P
R
R
R
R
R
R
P
R
R
R
R
P
P
P
P
P
P
P
P
P
P
P
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11,32
6,76
9,91
6,71
8,66
9,42
13,12
3,56
15,29
12,22
10,72
12,96
3,26
7,09
2,69
7,10
2,88
7,50
3,20
7,04
9,76
3,89
6,32
13,21
4,62
7,98
16,70
5,35
11,20
80
0
80
80
80
80
80
0
80
80
80
80
0
80
80
0
80
80
80
80
80
80
80
80
80
80
80
80
80
Page 149 of 243
Numro national
0518324
0518338
0155679
0155651
0155665
0155648
0155621
0155634
0200855
0200838
0200841
0176519
0176486
0176505
0619585
0619621
0386497
0386581
0692571
0692599
0692541
0136964
0202216
0301411
0301424
0499408
0213501
0340193
0472631
0211957
0487908
0445052
0345334
0444847
0253702
0588525
0521624
0588556
0588573
0505584
0524643
0614978
0525086
0571836
Dnomination abrge
IBU RATIO LYSINAT 500 MG 10 CPR
IBU RATIO LYSINAT 500 MG 20 CPR
IBUHEXAL 400 MG 100 CPR
IBUHEXAL RET 800 MG 100 CPR
IBULYSIN RATIO-684 400 MG 10 CPR
IBULYSIN RATIO-684 400 MG 20 CPR
IBUPROFEN CT 500 MG 10 SUPP
IBUPROFEN RET CT 400 MG 20 CAPS
IBUPROFEN SDZ 100 MG/5 ML 100 ML
IBUPROFEN SDZ 100 MG/5 ML 200 ML
IBUPROFEN SDZ 40 MG/ML 100 ML
IBUPROFENE EG 400 MG 100 DRG
IBUPROFENE EG 400 MG 30 DRG
IBUPROFENE EG 600 MG 30 CPR
MALAFENE 100 MG/5 ML SIR 100 ML
NUROFEN 200 MG 12 CPR FONDANTS
NUROFEN 200 MG 30 DRG
NUROFEN ENF 125 MG 10 SUPP
NUROFEN ENF 200 MG 24 CPR
NUROFEN ENF 60 MG 10 SUPP
NUROFEN ENF SS SUCRE 100MG/5ML SIR 200ML
NUROFEN ENF SS SUCRE 4% ORANGE SIR 150ML
NUROFEN ENF SS SUCRE ROUGE 2% SIR 200 ML
NUROFEN FASTCAPS 400 MG 20 CAPS MOLLES
NUROFEN FASTCAPS 400 MG 30 CAPS MOLLES
NUROFEN FASTPOWDER 400 MG 10 SACH
NUROFEN FASTTAPS 400 MG 24 CPR PELLIC
PERDOFEMINA 400 MG 30 CPR
mode de
dlivrance
conditions de
prescription
OD
P
P
P
P
P
R
R
R
R
R
R
R
R
R
P
P
R
P
P
P
P
P
P
R
R
R
P
P
P
P
P
R
P
R
P
P
P
P
P
P
P
P
P
P
RMP
PCC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Page 150 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Prix public
3,26
5,08
8,32
7,52
11,48
15,29
10,43
12,22
16,70
10,72
12,96
17,20
10,72
13,00
4,07
6,80
3,10
5,70
4,37
6,78
6,78
8,17
5,90
6,59
7,93
9,61
3,73
2,92
6,15
8,03
8,45
5,28
4,38
4,00
8,71
13,08
8,71
8,71
13,08
8,14
10,99
4,84
6,61
9,19
Taux
0
0
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
0
80
80
80
80
0
0
80
80
0
0
80
0
0
80
0
80
0
80
0
0
0
0
0
80
0
Numro national
Dnomination abrge
0198029
0427507
0300221
0339953
SCHMERZDOLGIT 400 MG 30 CAPS

SPIDIFEN 200 MG 20 CPR
SPIDIFEN 200 MG 24 SACH
SPIDIFEN 400 MG 24 CPR
M01AE02
naproxen
0685501
0007158
0169433
0314422
0176262
0176276
0148447
0148464
0148451
ALEVE 220 MG 24 CPR

APRANAX 275 MG 30 CPR
APRANAX 550 MG 30 CPR
NAPROFLAM 500 MG 30 CPR
NAPROSYNE EC 250 MG 50 CPR
NAPROSYNE EC 500 MG 30 CPR
NAPROXENE EG 250 MG 50 CPR
NAPROXENE EG 500 MG 12 SUPP
NAPROXENE EG 500 MG 30 CPR
M01AE03
ketoprofen
0140693
0614592
0100751
0197973
0100748
BIROFENID 150 MG 30 CPR

KETOPROFENE MACO 100MG PERF 10PP 100ML
ROFENID 100 MG 12 SUPP
ROFENID LA 200 MG 28 CAPS
ROFENID READY MIX 100 MG 6 AMP 2 ML IM
M01AE11
tiaprofenic acid
0395739
0391788
FLANID 100 MG 30 CPR

FLANID 200 MG 15 CPR
M01AE12
oxaprozin
0037398
0037403
DURAPROX 600 MG 30 CPR

DURAPROX 600 MG 60 CPR
M01AE16
alminoprofen
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
P
P
P
0
0
0
0
0
0
0
0
10,58
3,99
4,12
6,79
80
0
80
80
P
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5,92
9,12
11,52
11,20
11,15
12,33
8,20
7,23
8,99
0
80
80
80
80
80
80
80
80
0
0
0
0
0
0
0
0
0
0
10,43
0,00
6,54
11,76
9,52
80
0
80
80
80
R
R
0 0
0 0
3,59
3,72
0
0
R
R
0 0
0 0
12,70
17,92
0
0
0 0
4,72
80
R
RR
R
R
R
0185861
MINALFENE 300 MG 15 CPR
M01AE17
dexketoprofen
0265703
KETESSE 25 MG 30 CPR
0 0
12,38
0609741
VIMOVO 500/20 MG 60 CPR (FL)
0 0
28,17
0 0
2,60
80
RR
RR
RR
0 0
0 0
0 0
28,47
18,42
28,47
80
80
80
M01AE52
M01AG
Fenamates
0168873
RHEUMON IM 1 AMP 2 ML IM
M01AH01
celecoxib
0281108
0298011
0281125
CELEBREX 100 MG 60 CAPS

M01AH05
etoricoxib
Page 151 of 243
Numro national
Dnomination abrge
mode de
dlivrance
0332837
0332854
0476367
0656902
0332532
0332496
0332692
0332644
ARCOXIA 120 MG 14 CPR

ARCOXIA 30 MG 7 CPR
ARCOXIA 60 MG 7 CPR
ARCOXIA 90 MG 5 CPR
M01AX01
nabumetone
0472712
GAMBARAN 500 MG 60 CPR
M01AX05
glucosamine
0576233
0576251
0531164
0531228
0531231
0681726
0681774
DOLENIO 1500 MG 30 CPR

DOLENIO 1500 MG 60 CPR
DOLENIO 1500 MG 90 CPR (FL)
DONA 1500 MG PDR 30 SACH
DONA 1500 MG PDR 90 SACH
GLUCADOLOR 1500 MG 28 CPR
GLUCADOLOR 1500 MG 84 CPR
M01AX25
chondroitin sulfate
0308425
STRUCTUM 500 MG 60 CAPS
M01CC01
penicillamine
0139403
METALCAPTASE 300 MG 20 CPR
M02AA
Antiinflammatory preparations, non-steroids for topical use
0073024
0180928
MOBILISIN CREME 100 G

MOBILISIN CREME 50 G
M02AA06
etofenamate
0098989
0161161
0199592
0119235
0199608
0364598
RHEUMON CREME 100 G

RHEUMON LOTIO 100 G
THERMORHEUMON CREME 100 G
TRAUMON 10% GEL 100 G
M02AA07
piroxicam
0164861
FELDENE GEL 0,5% 50 G
M02AA08
felbinac
0181911
0173534
0197066
FLEXFREE GEL 100 G

FLEXFREE GEL 50 G
FLEXFREE MOUSSE SPRAY 100 G
M02AA10
ketoprofen
0306143
FASTUM 2,5% GEL 30 G
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
25,37
40,85
22,01
8,10
40,85
12,90
39,59
9,21
80
80
80
0
80
0
80
0
0 0
12,31
80
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
13,12
22,58
29,15
42,92
111,74
12,59
30,08
0
0
0
0
0
0
0
0 0
16,51
0 0
16,03
100
P
P
0 0
0 0
13,26
8,29
40
40
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
8,62
8,62
9,98
8,62
5,06
8,53
40
40
40
40
40
40
0 0
8,11
40
P
P
P
0 0
0 0
0 0
14,38
8,39
12,78
40
40
40
0 0
6,67
RM
Page 152 of 243
Numro national
Dnomination abrge
mode de
dlivrance
0195707
0239734
FASTUM 2,5% GEL 60 G

FASTUM 2,5% GEL DISP 120 G
M02AA13
ibuprofen
0700057
0700043
0700012
0700026
0223622
0223779
0223765
DOLGIT SCHMERZCREME 5% 100 G

DOLGIT SCHMERZCREME 5% 50 G
DOLGIT SCHMERZGEL 5% 100 G
DOLGIT SCHMERZGEL 5% 50 G
DOLOFIN 5% GEL 50 G
IBUTOP 5% GEL 100 G
IBUTOP 5% GEL 50 G
M02AA15
diclofenac
0302273
0302256
0309906
0329635
0329621
0627802
0627797
0729122
FLECTOR TISSUGEL 10 COMPR

FLECTOR TISSUGEL 5 COMPR
PENNSAID 1,5% 30 ML
VOLTAPATCH TISSUGEL 1% 10 COMPR
VOLTAPATCH TISSUGEL 1% 5 COMPR
VOLTAREN EMULGEL 1% 120 G
VOLTAREN EMULGEL 1% 60 G
VOLTAREN EMULGEL FORTE 2% 100 G
M02AA17
niflumic acid
0231042
NIFLUGEL 2,5% GEL 60 G
conditions de
prescription
OD
R
R
M02AA23
indometacin
0136253
0136236
0469068
0469054
INDOMET RATIO 1% GEL 100 G

INDOMET RATIO 1% GEL 50 G
SPORTFLEX 1% SPRAY 100 ML
SPORTFLEX 1% SPRAY 50 ML
M02AB
Capsaicin and similar agents
0345415
0347907
0434918
HANSAPLAST ABC WAERMEPFLASTER A 1

HANSAPLAST ABC WAERMEPFLASTER A 2
HANSAPLAST WAERME CREME 0,075% 50 G
M02AB01
capsaicin
0367605
HANSAMEDIC 2 EMPLATRES
M02AC
Preparations with salicylic acid derivatives
46944
0274859
0138888
0002828
0002909
0002893
0289364
0592156
0072982
ALGESAL CREME 100 G

ALGESAL MOUSSE 100 G
ALGESAL MOUSSE 50 G
ALGIPAN POM 140 G
ALGIPAN POM 80 G
DOLAL LINIMENT 50 G
EMERXIL SOL PULV CUT 150 ML
MOBILAT CREME 100 G
RMP
RM
RM
PCC
Prix public
Taux
0 0
0 0
9,96
16,82
40
40
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11,49
6,48
11,49
6,48
6,82
14,18
8,97
40
40
40
40
40
40
40
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
24,47
14,00
12,03
24,87
14,37
18,73
13,21
19,12
0
0
0
0
0
40
40
0
0 0
8,14
P
P
P
P
0
0
0
0
0
0
0
0
6,58
4,17
17,16
10,83
40
40
40
40
P
P
P
0 0
0 0
0 0
5,77
5,77
7,77
0
0
0
0 0
4,37
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
6,79
11,97
6,84
10,59
6,87
6,12
9,23
13,11
0
0
0
0
0
0
0
0
Page 153 of 243
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0072979
0073007
0072996
0088285
0096547
0487696
0666988
0197991
0199124
MOBILAT CREME 50 G
MOBILAT GEL 100 G
MOBILAT GEL 50 G
PERCUTALGINE GEL 80 G
RADOSALIL STICK 25 G
REFLEXGEL TUBE 50 G
REFLEXSPRAY 130 ML
REFLEXSPRAY 150 ML
STILENE 180 ML
M02AX10
various
0586789
0141575
0541305
0541319
ALGIS SPRAY 150 ML

KLOSTERFRAU FRANZBRANNTWEIN GEL 100 G
KLOSTERFRAU LATSCHENKIEFER FRANZB 200 ML
KLOSTERFRAU LATSCHENKIEFER FRANZB 400 ML
M03AB01
suxamethonium
0571948
CELOCURINE 100 MG 10 AMP 2 ML IV
M03AC03
vecuronium
0172801
0611301
NORCURON 4 MG PDR 10 AMP + S 1 ML IV

NORCURON 4 MG PDR 10 AMP IV
M03AC04
atracurium
0118532
0192414
TRACRIUM 25 MG 10 AMP 2,5 ML IV

TRACRIUM 50 MG 5 AMP 5 ML IV
M03AC09
rocuronium bromide
0231445
0481952
ESMERON 100 MG 10 AMP 10 ML IV

ESMERON 50 MG 10 AMP 5 ML IV
M03AC10
mivacurium chloride
0220746
0220763
MIVACRON 10 MG 5 AMP 5 ML IV
MIVACRON 20 MG 5 AMP 10 ML IV
M03AC11
cisatracurium
0645411
0645408
0645487
0645456
0217222
0217236
CISATRACURIUM ACTAVIS 2 MG/ML 1 FL 10 ML

CISATRACURIUM ACTAVIS 2 MG/ML 1 FL 5 ML
CISATRACURIUM HOSPIRA 2 MG/ML 5 FL 10 ML
CISATRACURIUM HOSPIRA 2 MG/ML 5 FL 5 ML
NIMBEX 10 MG 5 AMP 5 ML IV
NIMBEX 20 MG 5 AMP 10 ML IV
M03AX01
botulinum toxin
0519769
0209041
0312493
0312509
AZZALURE 10 U/0,05 ML PDR 2 FL 3 ML IM

BOTOX 100 U PDR 1 FL IMSC
DYSPORT 500 U PDR 1 FL SCIM
DYSPORT 500 U PDR 2 FL SCIM
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
P
P
RR
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8,18
13,11
8,18
6,53
9,23
8,98
9,71
9,72
6,75
0
0
0
0
0
0
0
0
0
P
P
P
P
0
0
0
0
0
0
0
0
9,96
5,76
5,83
10,60
0
0
0
0
RR
0 0
0,00
RR
RR
HC
HC
0 0
0 0
0,00
0,00
0
0
RR
RR
HC
HC
0 0
0 0
0,00
0,00
0
0
RR
RR
HC
HC
0 0
0 0
0,00
0,00
0
0
RR
RR
HC
HC
0 0
0 0
0,00
0,00
0
0
RR
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
RR
RR
RR
RR
C
C
C
C
0
0
0
0
0
0
0
0
246,81
182,61
249,24
397,26
0
0
0
0
Page 154 of 243
Numro national
Dnomination abrge
0436084
0461199
VISTABEL 4 U/0,1 ML PDR 1 FL 50 U

XEOMIN 100 U PDR 1 FL IM
M03BX01
baclofen
0066050
0216046
0066064
0216063
0705375
0236682
0289218
0236701
0236679
0289221
LIORESAL 10 MG 50 CPR
LIORESAL 10 MG 50 CPR UD
LIORESAL 25 MG 50 CPR
LIORESAL 25 MG 50 CPR UD
LIORESAL INTRATHECAL 0,05 MG 1 AMP 1 ML
LIORESAL INTRATHECAL 10 MG 1 AMP 5 ML
M03BX02
tizanidine
0105467
SIRDALUD 4 MG 100 CPR
M04AA01
allopurinol
0136804
0576301
0576295
0149606
0149587
0149591
0219874
0131288
0131291
0139644
ALLOPURINOL EG 300 MG 90 CPR

ALLOPURINOL RATIO 100 MG 100 CPR
ALPURIC 300 MG 90 CAPS
ZYLORIC 100 MG 100 CPR
M04AA03
febuxostat
0492729
0492732
0492701
0492715
ADENURIC 120 MG 28 CPR

M04AC01
colchicine
0362397
COLCHICINE OPOCALCIUM 1 MG 20 CPR
M05BA02
clodronic acid
0206389
0244538
BONEFOS 300 MG 5 AMP 5 ML PERF

BONEFOS 800 MG 50 CPR
M05BA03
pamidronic acid
0414011
0414042
0414087
0414123
PAMIDRIN 15 MG 1 FL 5 ML PERF
mode de
dlivrance
RR
RR
conditions de
prescription
OD
RMP
PCC
0 0
0 0
H
H
H
H
H
H
0
0
0
0
0
0
0
0
0
0
Taux
131,56
352,10
0
0
0
0
0
0
0
0
0
0
0
0
9,83
0,00
15,64
0,00
0,00
0,00
0,00
0,00
0,00
0,00
80
0
80
0
0
0
0
0
0
0
0 0
23,12
80
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10,21
7,53
6,41
12,01
3,52
9,79
12,21
6,77
7,76
9,71
80
80
80
80
80
80
80
80
80
80
RR
RR
RR
RR
0
0
0
0
0
0
0
0
34,92
91,01
34,92
91,01
80
80
80
80
0 0
5,43
80
0,00
118,78
0
80
0,00
0,00
0,00
0,00
0
0
0
0
R
R
R
R
RR
RR
RR
RR
RR
RR
C
C
Prix public
RR
RR
0 0
0 0
RR
RR
RR
RR
HC
HC
HC
HC
0
0
0
0
Page 155 of 243
0
0
0
0
Numro national
Dnomination abrge
0447432
0447477
0447513
0447544
PAMINJECT 15 MG 1 FL 5 ML PERF
M05BA04
alendronic acid
0463839
0463811
0409719
0409686
0486797
0486783
0212808
0252669
0303481
0303463
0565632
0565615
ALENDRON HEXAL 70 MG 12 CPR

ALENDRON HEXAL 70 MG 4 CPR
ALENDRONSAEURE RATIO 70 MG 12 CPR
ALENDRONSAEURE RATIO 70 MG 4 CPR
BEENOS 70 MG 12 CPR
BEENOS 70 MG 4 CPR
FOSAMAX 10 MG 28 CPR
FOSAMAX 10 MG 98 CPR
FOSAMAX 70 MG HEBDOMADAIRE 12 CPR
FOSAMAX 70 MG HEBDOMADAIRE 4 CPR
OSTACID 70 MG 12 CPR
OSTACID 70 MG 4 CPR
M05BA06
ibandronic acid
0665199
0243401
0355716
0355683
0409414
0432247
0596978
0624358
0624375
0677169
0624215
0624281
ACIDE IBANDRONIQUE SDZ 50 MG 84 CPR

BONDRONAT 2 MG 1 AMP 2 ML PERF
BONDRONAT 50 MG 84 CPR
BONDRONAT 6 MG 5 FL 6 ML PERF
BONVIVA 150 MG 3 CPR
BONVIVA 3 MG PERF 1 SRG 3 ML IV
IBANDRONATE EG 150 MG 3 CPR
IBANDRONSAEURE RATIO 150 MG 1 CPR
IBANDRONSAEURE RATIO 3 MG/ML 1 SRG 3 ML
M05BA07
risedronic acid
0280761
0283083
0338621
0609575
0636684
0609513
0594634
ACTONEL 30 MG 28 CPR
ACTONEL 5 MG 84 CPR
ACTONEL HEBDO 35 MG 12 CPR
RISEDREENOS 35 MG 12 CPR
RISEDRONSAEURE RATIO 35 MG 12 CPR
M05BA08
zoledronic acid
0405608
0684437
0696357
ACLASTA 5 MG 1 FL 100 ML PERF

ZOLEDRONIC ACID TEVA 4 MG/5 ML 1 FL V
ZOLEDRONSAEURE KABI 4 MG SOL 10*5 ML IV
mode de
dlivrance
RR
RR
RR
RR
conditions de
prescription
OD
HC
HC
HC
HC
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
C
H
C
H
C
C
C
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
C
HC
HC
Page 156 of 243
RMP
PCC
Prix public
Taux
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
27,01
14,74
35,75
14,74
25,93
13,43
16,07
78,88
37,72
16,07
23,97
13,19
80
80
80
80
80
80
80
80
80
80
80
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
387,39
0,00
47,57
52,69
31,33
29,09
41,43
46,53
239,12
346,08
0
0
80
0
80
80
0
0
80
80
0
80
0
0
0
0
0
0
0
0
0
0
0
0
0
0
117,87
48,47
48,47
16,11
17,49
16,11
51,65
80
80
80
80
0
80
80
0 0
0 0
0 0
357,37
0,00
0,00
80
0
0
Numro national
Dnomination abrge
0704493
0348675
0348692
ZOMETA 4 MG 1 FL 100 ML IV
ZOMETA 4 MG 1 FL 5 ML IV
ZOMETA 4 MG 10 FL 5 ML IV =>CF 1 FLACON
M05BB02
risedronic acid and calcium, sequential
mode de
dlivrance
PCC
Prix public
Taux
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
RR
0 0
103,64
RR
RR
0 0
0 0
56,92
60,91
80
0
RR
RR
RR
conditions de
prescription
OD
RMP
HC
HC
HC
0431561
ACTONEL COMBI 35/500 MG 12+72 CPR
M05BB03
alendronic acid and colecalciferol
0471133
0408921
FOSAVANCE 70 MG/5600 U 12 CPR

FOSAVANCE 70 MG/70 MCG (2800 U) 12 CPR
M05BB04
risedronic acid, calcium and colecalciferol, sequential
0480857
ACTONEL COMBI D 12 CPR + 72 SACH
RR
0 0
64,73
80
0722491
0722488
ALENDRONAAT+CA/VIT D SDZ 70 MG 12+72 CPR

ALENDRONAAT+CA/VIT D SDZ 70 MG 4+24 CPR
RR
RR
0 0
0 0
26,36
11,77
0
0
0 0
0,00
0 0
103,15
80
0 0
0 0
0 0
208,37
349,47
1.370,86
80
100
100
0 0
0,00
0 0
31,69
0 0
0,00
M05BB05
M05BC01
dibotermin alfa
0352888
INDUCTOS 12 MG 1 KIT P IMPLANT
M05BX03
strontium ranelate
0388779
PROTELOS 2 G 84 SACH
M05BX04
denosumab
0569015
0627587
0627591
PROLIA 60 MG 1 SRG 1 ML SC
XGEVA 120 MG 1 FL V 1,7 ML SC
XGEVA 120 MG 4 FL V 1,7 ML SC
RR
RR
RR
C
C
0607309
XIAPEX 0,9 MG PSV 1 FL + S
RR
HC
M09AX01
hyaluronic acid
0388152
HYALGAN 20 MG 1 SRG 2 ML IR
RR
0536126
CHONDROCELECT SUSP 1 FL 1 ML
RR
HC
N01AB06
isoflurane
0294865
0294879
0045923
0189792
AERRANE ISOFLURANE 1 FL 100 ML IH

AERRANE ISOFLURANE 1 FL 250 ML IH
FORENE 100% SOL 100 ML INH
FORENE 100% SOL 250 ML INH
RR
RR
RR
RR
H
H
H
H
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0
0
0
0
RR
0 0
0,00
RR
HC
0 0
0,00
RR
HC
RR
M09AB02
RM
M09AX02
N01AB07
desflurane
0295053
SUPRANE DESFLURANE 240 ML IH
N01AB08
sevoflurane
0341402
SEVORANE 100% SOL 1 FL PEN QUICK 250 ML
N01AF03
thiopental
RM
Page 157 of 243
Numro national
Dnomination abrge
0419262
0087923
0206554
PENTOTHAL PDR 1 G 1 FL 20 ML IV
N01AH01
fentanyl
0044215
0044232
FENTANYL 0,1 MG 30 AMP 2 ML IV

FENTANYL 0,5 MG 50 AMP 10 ML IV
N01AH02
alfentanil
0306109
0096807
RAPIFEN 1 MG 30 AMP 2 ML IMIVSC (H)

RAPIFEN 5 MG 50 AMP 10 ML IMIVSC
N01AH03
sufentanil
0111030
0111061
0111092
SUFENTA 0,01 MG 5 AMP 2 ML IV (H)

SUFENTA 0,05 MG 5 AMP 10 ML IV (H)
SUFENTA FORTE 0,25 MG 5 AMP 5 ML IV (H)
N01AH06
remifentanil
0633571
0633584
0633598
0570941
0570954
0570968
0570971
0570985
0570999
0227571
0227585
0227599
REMIFENTANIL HOSPIRA 1 MG SOL 5 FL IV

REMIFENTANIL TEVA 1MG PDR 1FL DIL 4ML IV
REMIFENTANIL TEVA 5MG PDR 1FL DIL 12,5ML
REMIFENTANIL TEVA 5MG PDR 5FL DIL 12,5ML
ULTIVA 1 MG PDR 5 FL IV
N01AX03
ketamine
0260304
KETALAR 500 MG 1 FL 10 ML IV
N01AX07
etomidate
0055320
HYPNOMIDATE 20 MG 50 AMP 10 ML IV
N01AX10
propofol
0259043
0219664
0033323
0151781
0211375
0398811
0404516
0398842
0404502
DIPRIVAN 1 G 1 FL 50 ML IV
DIPRIVAN 1 G 1 SRG 50 ML IV
DIPRIVAN 200 MG 5 AMP 20 ML IV
DIPRIVAN 500 MG 1 FL 50 ML IV
DIPRIVAN 500 MG 1 SRG 50 ML IV
PROPOFOL FRSN MCT 1% 1 FL 50 ML IV
PROPOFOL FRSN MCT 1% 5 AMP 20 ML G
PROPOFOL FRSN MCT 2% 1 FL 50 ML IV
PROPOFOL MCT FRSN 1% 5 FL 20 ML G
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
H
H
H
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
S
S
H
H
0 0
0 0
0,00
0,00
0
0
S
S
H
H
0 0
0 0
0,00
0,00
0
0
S
S
S
H
H
H
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
S
S
S
S
S
S
S
S
S
S
S
S
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
0
0 0
0,00
RR
0 0
0,00
RR
RR
RR
RR
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
Page 158 of 243
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
N01AX13
nitrous oxide
0336576
0336559
KALINOX 170 BAR GAZ 1 BTL B20 6 M3

KALINOX 170 BAR GAZ 1 BTL B5 1,5 M3
N01BA02
procaine
0346054
PROCAINE STRP 1% 10 AMP 10 ML IMSC
N01BB01
bupivacaine
0286717
0069567
MARCAINE 0,5% 5 FL 20 ML + 5 BOUCHONS

MARCAINE HYPERBARE 0,5% 5 AMP 4 ML
N01BB02
lidocaine
0065649
0478491
0478537
0286765
0286703
LIDOCAIN BRN 2% 10 AMP 5 ML V

VERSATIS 5% 10 EMPLATRES
VERSATIS 5% 30 EMPLATRES
XYLOCAINE ASTRA 1% 1 FL 20ML + 1 BOUCHON
XYLOCAINE ASTRA 2% 1 FL 20ML + 1 BOUCHON
N01BB03
mepivacaine
0286734
0286748
SCANDICAINE 1% 5 FL 20 ML + 5 BOUCHONS
SCANDICAINE 2% 5 FL 20 ML + 5 BOUCHONS
N01BB04
prilocaine
0368423
0368437
CITANEST 1% 50 ML IM
CITANEST 2% 50 ML IM
N01BB09
ropivacaine
0220889
0229982
0220858
0230001
0220861
0378075
NAROPIN 150 MG 5 AMP 20 ML

NAROPIN 200 MG 5 PP 100 ML
NAROPIN 400 MG 5 PP 200 ML
N01BB10
levobupivacaine
0271809
0271762
0271843
CHIROCAINE 25 MG 10 AMP 10 ML IV
N01BB20
combinations
0057437
0057406
0057423
0057390
INSTILLAGEL 10*11 ML
INSTILLAGEL 10*6 ML
INSTILLAGEL 11 ML
INSTILLAGEL 6 ML
N01BB51
bupivacaine, combinations
0069598
MARCAINE ADREN 0,5% 5 FL 20 ML
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
HC
HC
0 0
0 0
0,00
0,00
0
0
RR
0 0
11,34
R
R
P
H
0 0
0 0
26,94
0,00
0
0
RR
R
R
RR
RR
P
P
0
0
0
0
0
0
0
0
0
0
3,79
38,07
100,12
3,47
3,63
0
80
80
0
0
RR
RR
P
P
0 0
0 0
20,09
21,40
0
0
RR
RR
P
P
0 0
0 0
0,00
0,00
0
0
RR
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
RR
RR
RR
H
H
H
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
0
0
0
0
19,18
15,20
3,55
3,04
80
80
80
80
0 0
0,00
RR
RR
RR
RR
RR
0
0
0
0
Page 159 of 243
Numro national
Dnomination abrge
N01BB52
lidocaine, combinations
0227859
0157754
0694271
0473933
0473947
0473978
0598861
0598874
EMLA 5 % 2 PATCH
EMLA 5% CREME 5 G + 2 PANSEM
PLIAGLIS 70 MG/G+70 MG/G CREME 30 G
RAPYDAN 70/70 MG 1 PATCH
XYLOCAINE ADREN ASTRA 1% 1FL 20MLPNSCIRE
XYLOCAINE ADREN ASTRA 2% 1FL 20MLPNSCIRE
N01BX04
capsaicin
0523261
QUTENZA 179 MG 1 PATCH + 1 SET
N02AA01
morphine
0575706
0249789
0073881
0249811
0073900
0204675
0249792
0073928
0249808
0073945
0270376
0243589
0243494
0243544
0243592
0210283
MORPHINE HCL 10 MG 10 AMP 1 ML STRP

MS CONTIN 10 MG 30 CPR
MS DIRECT 10 MG 56 CPR
ORAMORPH 10 MG 30*5 ML UD
ORAMORPH 2 MG/ML SOL OR 100 ML
ORAMORPH 20 MG/ML SOL OR 20 ML
ORAMORPH 30 MG 30*5 ML UD
STELLORPHINE SINE CONSERV 10 MG 100 AMP
N02AA03
hydromorphone
0538263
0538246
0538277
0538281
0441098
0366222
0441103
0366271
0334893
0334912
0334845
0334862
PALLADONE INJEKT 10 MG 5 AMP 1 ML IVSC

PALLADONE IR 1,3 MG 14 CAPS
PALLADONE SR 16 MG 30 CAPS
N02AA05
oxycodone
mode de
dlivrance
R
R
RR
RR
RR
RR
RR
RR
RR
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
H
H
H
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7,58
6,80
48,53
0,00
0,00
0,00
4,29
4,29
80
80
0
0
0
0
0
0
0 0
0,00
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
0
0
0
0
0
0
6
6
6
6
0
0
0
0
0
0
0
0
0
0
0
0
11
11
11
11
0
0
0
0
0
0
7,35
9,77
22,83
38,75
111,72
39,31
16,46
23,75
27,31
40,33
18,13
25,77
8,41
12,03
25,77
0,00
80
80
0
80
0
80
80
80
80
80
80
0
0
0
0
0
S
S
S
S
S
S
S
S
S
S
S
S
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
54,17
21,95
102,61
257,11
5,05
9,66
10,10
15,03
68,28
84,58
22,93
39,11
0
0
0
0
0
80
0
80
80
80
80
80
Page 160 of 243
Numro national
Dnomination abrge
0354302
0354395
0354476
0415554
0354574
0544596
0544601
0538232
0495721
0495667
0495698
OXYCONTIN 10 MG 30 CPR
OXYNORM 10 MG 5 AMP 1 ML IVSC
OXYNORM 10 MG/ML 5 AMP 2 ML IVSC
OXYNORM 50 MG PERF 5 AMP 1 ML DIL
OXYNORM INSTANT 10 MG 28 CPR ORODISP
N02AA55
oxycodone, combinations
0509356
0509485
0533513
0533382
TARGINACT LP 10/5 MG 30 CPR

TARGINACT LP 5/2,5 MG 30 CPR
N02AA59
codeine, combinations excl. psycholeptics
0211439
0459741
0277072
0138485
0364603
0185759
0299147
0266003
0266017
0313845
0313859
ALGISEDAL 16 CPR
ALGISEDAL 48 CPR
DAFALGAN CODEINE 30 CPR
DAFALGAN CODEINE 32 CPR EFF
DOLVIRAN N 20 CPR
PANADOL CODEINE 20 CPR
PARACOD MYLAN 500 MG/30 MG 30 CPR
TALVOSILEN FORTE 10 SUPP
TALVOSILEN FORTE 50 SUPP
TALVOSILEN FORTE 500 MG/30 MG 10 CPR
TALVOSILEN FORTE 500 MG/30 MG 20 CPR
N02AB02
pethidine
0034429
DOLANTINE 100 MG 5 AMP 2 ML IMIVSC
N02AB03
fentanyl
0492621
0227943
0409803
0409798
0492598
0227909
0492603
0227912
0492617
0227926
0691963
DUROGESIC 100 MCG/H (16,8 MG) 10 PATCH

FENTANYL MATRIX EG 100 MCG/G 10 PATCH
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
S
S
S
S
S
S
S
S
S
S
S
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10,45
15,95
22,16
7,99
34,80
11,15
21,89
71,82
14,17
23,97
9,22
80
80
80
80
80
0
0
0
80
80
80
S
S
S
S
0
0
0
0
0
0
0
0
24,93
41,84
72,62
15,75
0
0
0
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2,68
7,15
6,13
7,81
14,92
4,07
4,82
11,77
0,00
0,00
0,00
80
0
80
80
40
80
80
80
0
0
0
0 0
6,03
80
S
S
S
S
S
S
S
S
S
S
S
0
0
0
0
0
0
0
0
0
0
0
0,00
56,44
0,00
16,13
0,00
20,39
0,00
33,97
0,00
45,84
101,44
0
80
0
80
0
80
0
80
0
80
0
Page 161 of 243
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0691611
0691705
0691798
0691879
0540504
0540535
0540471
0472341
0472337
0472081
0472127
0477204
0472113
0472175
0477235
0472161
0472225
0472211
0472287
0472273
FENTANYL MATRIX EG 12 MCG/H 10 PATCH

INSTANYL 100 MCG/D SPRAY 10 D 1 FL 1,8ML
INSTANYL 200 MCG/D SPRAY 10 D 1 FL 1,8ML
INSTANYL 50 MCG/D SPRAY 10 D 1 FL 1,8 ML
MATRIFEN 100 (11 MG) 10 PATCH
MATRIFEN 100 (11 MG) 5 PATCH
MATRIFEN 12 (1,38 MG) 1 PATCH
N02AC03
piritramide
0033242
0033239
DIPIDOLOR 20 MG 30 AMP 2 ML IMSCIV

DIPIDOLOR 20 MG 5 AMP 2 ML IMSCIV
N02AD01
pentazocine
0045985
0045968
0045954
FORTAL 30 MG 10 AMP 1 ML IMIVSC

FORTAL 50 MG 100 CPR
FORTAL 50 MG 30 CPR
N02AE01
buprenorphine
0413871
0413921
0413823
0114189
0114211
0314873
0314856
0314906
0314891
0314941
0314937
NORSPAN 10 MG 4 PATCH
TEMGESIC 0,3 MG 5 AMP 1 ML IVIM
TEMGESIC SL 0,2 MG 50 CPR
TRANSTEC 35 (20 MG) 10 PATCH
TRANSTEC 52,5 (30 MG) 10 PATCH
TRANSTEC 52,5 (30 MG) 5 PATCH
N02AX
Other opioids
0135291
0135306
VALTRAN GTTS 10 ML
VALTRAN GTTS 20 ML
mode de
dlivrance
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
conditions de
prescription
OD
RMP
PCC
Taux
0
0
0
0
1
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
27,91
31,30
62,94
84,30
102,69
102,69
102,69
101,44
59,28
28,81
28,29
9,29
16,78
36,16
11,10
21,32
62,94
35,52
84,30
48,08
0
0
0
0
80
80
80
0
80
0
0
80
80
0
80
80
0
80
0
80
S
S
0 0
0 0
0,00
6,55
0
80
S
S
S
0 0
0 0
0 0
9,22
15,40
8,45
80
80
80
S
S
S
S
S
S
S
S
S
S
S
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
71,32
127,36
41,75
12,26
14,28
58,57
35,90
82,16
49,37
106,06
63,22
0
0
0
0
80
0
80
0
80
0
80
RR
RR
0 0
0 0
6,47
8,04
80
80
C
C
C
RM
RM
RM
Page 162 of 243
0
0
0
0
1
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
Prix public
Numro national
Dnomination abrge
0269121
0284614
0284645
0284581
VALTRAN GTTS 60 ML
VALTRAN RET 100/8 MG 30 CPR
N02AX02
tramadol
0481448
0481529
0481613
0212906
0212891
0212856
0212873
0245261
0220441
0212842
0371317
0371284
0371253
0371348
0279712
0279726
0272188
0272191
0230949
0230899
0230904
0230918
0290284
0230921
0386001
0385942
0248411
0248425
0248442
0248392
0321721
0321641
0321668
0321671
0371382
0574936
0371396
0574953
0485724
CONTRAMAL UNO 100 MG 30 CPR

DOLZAM 100 MG 10 AMP 2 ML
DOLZAM 100 MG 5 AMP 2 ML
DOLZAM 100 MG/ML GTTS 10 ML
DOLZAM 100 MG/ML GTTS 3*10 ML
DOLZAM 100 MG/ML GTTS 5*10 ML
DOLZAM 50 MG 30 CAPS
DOLZAM 50 MG 60 CAPS
DOLZAM RET 100 MG 56 CPR
DOLZAM UNO 150 MG 28 CPR
TRADONAL 100 MG 10 AMP 2 ML IMIV
TRADONAL 100 MG/ML GTTS 10 ML
TRADONAL 100 MG/ML GTTS 30 ML
TRADONAL 50 MG 30 CAPS
TRADONAL 50 MG 30 CPR EFF
TRADONAL 50 MG 60 CAPS
TRADONAL ODIS 50 MG 100 CPR
TRADONAL ODIS 50 MG 30 CPR
TRADONAL RET 100 MG 60 CAPS
TRAMADOL EG 100 MG 10 AMP 2 ML IMIVSC
TRAMADOL EG 100 MG/ML GTTS 10 ML
TRAMADOL EG 50 MG 30 CPR
TRAMADOL EG 50 MG 30 CPR EFF
TRAMADOL EG 50 MG 60 CPR
TRAMADOL EG 50 MG 60 CPR EFF
TRAMADOL RET EG 100 MG 30 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
0
0
0
0
0
0
0
0
14,24
16,79
21,53
11,39
80
80
80
80
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11,81
18,45
24,98
10,91
8,38
8,20
13,26
17,02
9,71
13,26
18,60
24,10
28,87
15,60
15,60
17,60
15,60
17,60
9,33
6,80
10,91
7,96
9,95
10,91
0,00
7,70
20,25
26,48
31,58
13,65
8,46
6,42
9,74
14,22
7,31
7,33
9,74
9,74
9,74
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
0
80
80
80
80
80
0
0
0
0
0
0
0
0
80
Page 163 of 243
Numro national
Dnomination abrge
0485741
0485755
0486171
0486203
0486217
0485948
0485979
0485982
0501148
0501151
0508507
0508511
0508524
0508538
0149542
0216628
0216631
0197908
0144367
0205347
0198628
0211697
0211795
0144336
0144353
0206859
0207887
0216595
0216601
0216614
0232506
0232523
0235721
0232537
0232541
0232554
0349414
0349459
0349509
0329862

TRAMADOL RET MYLAN 100 MG 30 CPR
TRAMAL 100 MG 10 AMP 2 ML IMIVSC
TRAMAL 100 MG 10 SUPP
TRAMAL 100 MG 20 SUPP
TRAMAL 100 MG/ML 1 FL DOS 96 ML
TRAMAL 100 MG/ML GTTS 1 FL DOS 100 ML
TRAMAL 100 MG/ML GTTS 1 FL DOS 50 ML
TRAMAL 100 MG/ML GTTS 10 ML
TRAMAL 50 MG 10 CAPS
TRAMAL LONG 100 MG 10 CPR
TRAMIUM 100 MG 30 CAPS
ZUMALGIC GE 50 MG 2*15 CPR EFF
N02AX06
tapentadol
0579123
0583403
PALEXIA 50 MG 30 CPR
YANTIL 50 MG 30 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
13,81
0,00
9,74
20,38
0,00
10,84
23,55
0,00
9,69
13,18
9,63
20,55
10,83
23,72
12,51
11,61
13,99
0,00
10,87
0,00
0,00
22,34
15,19
10,15
9,91
11,58
13,34
8,80
22,53
19,20
13,19
33,79
25,61
17,58
45,04
32,23
11,04
14,42
16,60
7,25
80
0
80
80
0
80
80
0
80
80
80
80
80
80
80
80
80
0
80
0
0
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
0
S
S
0 0
0 0
25,55
25,55
0
0
Page 164 of 243
Numro national
Dnomination abrge
N02AX52
tramadol, combinations
0337993
0502422
0338035
0502471
ZALDIAR 37,5/325 MG 20 CPR

ZALDIAR 37,5/325 MG 20 CPR EFF BLIST
ZALDIAR 37,5/325 MG 60 CPR
ZALDIAR 37,5/325 MG 60 CPR EFF BLIST
N02BA01
acetylsalicylic acid
0131419
0441294
0285481
0008351
0285494
0008382
0285513
0008334
0311899
0008480
0529511
0458808
0311885
0529538
0601661
0247981
0318998
ACENTERINE 500 MG 100 CPR

ALKA SELTZER 30 CPR EFF
ASPEGIC 100 30 SACH BB
ASPEGIC 1000 20 SACH
ASPEGIC 250 30 SACH ENF
ASPEGIC 500 20 SACH
ASPEGIC 500 30 SACH
ASPEGIC 6 AMP 5 ML IMIV
ASPIRINE 100 MG 30 CPR
ASPIRINE 500 MG 36 CPR EFF
ASPIRINE INSTANT 500 MG 20 SACH
SEDERGINE 325 MG 2*10 CPR EFF
SEDERGINE FORTE 1 G 20 CPR EFF
mode de
dlivrance
N02BA51
acetylsalicylic acid, combinations excl. psycholeptics
0569161
0008513
0147291
0147355
0218989
0218958
0092114
ASPIRINE CAFEINE 650/65 MG 30 CPR

ASPIRINE VIT C 20 CPR EFF
ASS + C RATIO 10 CPR EFF
ASS + C RATIO 20 CPR EFF
MIGPRIV PDR 20 SACH
MIGPRIV PDR 6 SACH
POLYPIRINE 20 CAPS LHL
N02BB02
metamizole sodium
0080239
0080208
0235847
NOVALGINE 1 G 10 AMP 2 ML IMIV

NOVALGINE 500 MG 20 CPR
NOVALGINE 500 MG GTTS 20 ML
N02BE01
paracetamol
0657345
0334814
0362173
0667033
0657443
0731005
ALGOSTASE MONO 1 G 10 CPR

ALGOSTASE MONO 1 G 20 CPR EFF
ALGOSTASE MONO 1 G 90 CPR
ALGOSTASE MONO 1 G 90 CPR (FL)
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
0
0
0
0
0
0
0
0
8,47
8,47
15,45
15,45
80
80
80
80
P
P
P
P
P
P
P
RR
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7,33
8,26
4,76
7,87
5,63
3,26
6,12
7,27
3,45
3,26
5,62
8,21
6,02
8,91
8,50
2,51
6,52
80
0
80
80
80
80
80
80
0
0
0
0
0
0
0
0
80
P
P
P
P
R
R
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7,20
7,52
3,76
6,48
29,10
11,51
0,00
0
0
40
40
0
40
0
RR
RR
RR
0 0
0 0
0 0
7,88
3,49
3,44
80
80
80
P
R
R
R
R
P
0
0
0
0
0
0
2,14
5,35
9,23
8,63
10,33
10,28
0
80
80
80
80
0
Page 165 of 243
0
0
0
0
0
0
Numro national
0341674
0400176
0259155
0259111
0262486
0259124
0259138
0259141
0156601
0602351
0602364
0027312
0138132
0298198
0298167
0704753
0380073
0311627
0380087
0311631
0380091
0525248
0525251
0298184
0298171
0277735
0298203
0344113
0205395
0205381
0260674
0260688
0260691
0556194
0167523
0593623
0593699
0593749
0593833
0593881
0593959
0594018
0594097
0276934
Dnomination abrge
ALGOSTASE MONO 500 MG 32 CPR EFF
ALGOSTASE MONO 500 MG 32 SACH
BENURON 1 G 10 SUPP
BENURON 125 MG 10 SUPP
BENURON 200 MG/5 ML SIR 100 ML
BENURON 500 MG 20 CPR
CROIX BLANCHE MONO 500 MG 20 SACH
DAFALGAN 500 MG 20 CPR
DAFALGAN 500 MG 20 CPR EFF
DAFALGAN 500 MG 30 CPR
DAFALGAN 500 MG 32 CPR EFF
DAFALGAN AD 600 MG 12 SUPP
DAFALGAN BB 80 MG 12 SUPP
DAFALGAN FORTE 1 G 10 CPR
DAFALGAN FORTE 1 G 16 CPR EFF
DAFALGAN GD ENF 300 MG 12 SUPP
DAFALGAN J ENF 150 MG 12 SUPP
DAFALGAN ODIS 500 MG 16 CPR
DAFALGAN PED 3% 90 ML
DOLOL INSTANT 500 MG 20 CPR ORODISP
DOLPRONE 500 MG 100 CPR
DOLPRONE 500 MG 16 CPR
ENELFA DR HENK 125 MG 10 SUPP
LEMSIP 500 MG 10 SACH
LEMSIP 650 MG 12 SACH
MOBISTIX FORTE INST 1000 MG 12 SACH
MOBISTIX FORTE INST 1000 MG 48 SACH
MOBISTIX INST CAPPUCCINO 500 MG 12 SACH
MOBISTIX INST CAPPUCCINO 500 MG 48 SACH
MOBISTIX INST FRAISE/VAN 500 MG 12 SACH
MOBISTIX INST FRAISE/VAN 500 MG 48 SACH
MOBISTIX JUNIOR INST 250 MG 12 SACH
MOBISTIX JUNIOR INST 250 MG 48 SACH
PANADOL 1 G 100 CPR
mode de
dlivrance
conditions de
prescription
OD
R
R
P
P
P
P
P
P
P
P
P
R
R
P
P
P
R
R
R
R
R
P
P
P
P
P
P
P
R
P
P
P
P
P
P
R
R
P
R
P
R
P
R
R
RMP
PCC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Page 166 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Prix public
4,61
3,74
4,68
1,91
4,28
2,13
2,52
1,69
2,38
3,15
4,13
4,52
5,88
3,49
2,12
3,15
4,90
6,14
8,83
10,97
11,98
2,45
3,07
2,74
2,46
3,94
2,65
4,68
0,00
2,95
1,43
1,71
1,98
5,03
6,04
4,68
0,00
2,80
0,00
2,80
0,00
2,80
0,00
0,00
Taux
80
80
80
80
80
80
80
80
80
0
0
80
80
80
80
0
80
80
80
80
80
0
0
80
80
80
80
80
0
80
80
80
80
0
80
80
0
80
0
80
0
80
0
0
Numro national
0276917
0276921
0143258
0085574
0143261
0547651
0547679
0366321
0460367
0594262
0594228
0598021
0597958
0598048
0597975
0598051
0597989
0598065
0597992
0598034
0597961
0598079
0598003
0598082
0598017
0170241
0633083
0086005
0086019
0086036
0482526
0086022
0633178
0150171
0726781
0732033
0726814
0726859
0726876
0732016
0726683
0726751
0726702
0462358
Dnomination abrge
PANADOL 1 G 20 CPR
PANADOL 1 G 50 CPR
PANADOL 500 MG 20 CPR
PANADOL RET 8H 665 MG 48 CPR
PANADOL RET 8H 665 MG 96 CPR
PANADOL ZAPP 500 MG 16 CPR
PARACETAMOL EG 500 MG 30 CPR
PARACETAMOL KABI 10 MG/ML 1*100 ML
PARACETAMOL KABI 10 MG/ML 1*50 ML
PARACETAMOL MACO 10 MG/ML 1 PP 100 ML
PARACETAMOL RATIO 1 G 10 SUPP
PARACETAMOL RATIO 1000 MG 10 CPR
PARACETAMOL RATIO 125 MG 10 SUPP
PARACETAMOL RATIO LOESUNG 100 ML
PARACETAMOL SDZ 1 G 10 CPR
PARACETAMOL SDZ 500 MG 120 CPR
PE TAM 500 MG 20 CPR
mode de
dlivrance
R
R
P
R
R
R
R
P
R
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
P
P
P
P
P
P
R
P
P
P
R
R
R
R
R
P
R
R
P
conditions de
prescription
OD
RMP
PCC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
H
H
H
H
H
H
H
H
H
H
H
H
H
H
Page 167 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Prix public
4,27
5,35
3,40
4,21
7,16
10,11
16,17
3,84
3,44
2,46
2,25
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
2,17
1,91
1,05
1,27
1,52
1,99
1,89
1,70
2,72
2,41
11,88
7,21
8,54
10,19
8,54
2,96
12,73
3,11
1,94
Taux
80
80
80
80
80
0
0
0
80
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
80
80
80
80
80
80
80
80
80
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0333817
0290852
0297514
0290883
0311451
0290866
0297495
PERDOLAN 500 MG 20 CPR EFF

PERDOLAN AD 500 MG 12 SUPP
96147
PERDOLAN AD 500 MG 30 CPR
96157
PERDOLAN BB 100 MG 12 SUPP
96153
PERDOLAN ENF 32 MG/ML SIR 200 ML 96145
PERDOLAN ENF 350 MG 12 SUPP
96149
PERDOLAN J ENF 200 MG 12 SUPP
N02BE51
paracetamol, combinations excl. psycholeptics
0131758
0364911
0242046
0193196
0368583
0285642
0174545
0152101
0558428
0429546
0429563
0067321
0191837
0399805
0399819
0334103
0309579
0342394
0309596
0121149
AFEBRYL 16 CPR EFF

AFEBRYL 32 CPR EFF
ALGOSTASE 30 CAPS
ALGOSTASE 32 CPR EFF
ALGOSTASE PDR 32 SACH
ANTIGRIPHINE 20 CPR
CROIX BLANCHE 20 CPR
CROIX BLANCHE 20 SACH
EXCEDRYN 32 CPR
GRIPPAL + C RATIO 10 CPR EFF
GRIPPAL + C RATIO 20 CPR EFF
LONARID N 30 CPR
MELABON K 20 CPR
MIGRAENERTON 20 CAPS
MIGRAENERTON 50 CAPS
PANADOL PLUS 20 CPR
PERDOLAN COMP 20 CPR
PERDOLAN COMP 30 CPR
PERDOLAN COMP AD 12 SUPP
TROPHIRES COMP SUPP ENF
N02BG06
nefopam
0000661
ACUPAN 30 MG 30 CPR
N02CC01
sumatriptan
0248537
0229271
0172215
0205351
0427197
0427166
0461042
0461056
0461008
0461011
0461073
0461025
IMITREX 10 MG SPRAY 6 FL 0,1 ML IN

IMITREX 20 MG SPRAY 6 FL 0,1 ML IN
IMITREX 6 MG 2 SRG 0,5 ML SC
IMITREX 6 MG 4 SRG 0,5 ML SC
IMITREX INSTANT 100 MG 6 CPR
IMITREX INSTANT 50 MG 12 CPR
SUMATRIPTAN TEVA 100 MG 12 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
P
R
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4,38
4,80
4,96
3,35
7,24
4,61
3,93
80
80
80
80
80
80
80
P
P
R
R
R
P
P
P
P
P
P
R
P
R
R
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3,45
6,07
4,81
5,83
3,89
3,83
2,52
2,81
9,28
2,99
5,11
5,41
4,31
25,15
44,75
3,83
4,36
6,22
5,61
0,00
40
40
40
40
40
0
40
40
40
40
40
40
40
0
0
0
40
0
40
0
0 0
8,45
80
RR
RR
RR
RR
R
R
R
R
R
R
R
R
6
6
6
6
6
6
0
0
0
0
0
0
43,53
65,49
35,72
65,03
65,01
65,01
15,70
0,00
9,17
0,00
0,00
0,00
80
80
80
80
80
80
0
0
0
0
0
0
Page 168 of 243
7
7
7
7
7
7
0
0
0
0
0
0
Numro national
0461087
0461039
0460949
0460952
0460904
0460966
0460918
0460983
0460921
0460997
0460935
Dnomination abrge
N02CC02
naratriptan
0250115
NARAMIG 2,5 MG 12 CPR
N02CC03
zolmitriptan
0279967
0279936
0279953
0338831
0240024
0240007
ZOMIG INSTANT 2,5 MG 12 CPR ORODISP

ZOMIG NASAL 5 MG SPRAY IN 2 FL
ZOMIG ORAL 2,5 MG 12 CPR
ZOMIG ORAL 2,5 MG 3 CPR
N02CC04
rizatriptan
0253389
0699846
0253313
0253327
0253331
0253375
0253277
0253281
0253294
MAXALT LYO 10 MG 12 CPR

N02CC05
almotriptan
0441053
0285897
ALMOGRAN 12,5 MG 12 CPR

ALMOGRAN 12,5 MG 3 CPR
N02CC06
eletriptan
0308621
RELERT 40 MG 6 CPR
N02CX02
clonidine
0136741
DIXARIT 0,025 MG 100 DRG
N02CX06
oxetorone
0079482
NOCERTONE 60 MG 30 CPR
N03AA02
phenobarbital
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
12,41
15,70
0,00
9,17
0,00
0,00
0,00
0,00
0,00
12,41
0
0
0
0
0
0
0
0
0
0
0
6 7
58,25
80
RR
RR
RR
RR
RR
RR
6
6
6
0
6
6
7
7
7
0
7
7
65,06
19,20
40,95
27,71
65,06
27,17
80
80
80
0
80
80
R
R
R
R
R
R
R
R
R
0
0
0
6
6
0
0
0
0
0
0
0
7
7
0
0
0
0
79,82
65,07
19,40
27,12
44,35
79,82
19,40
28,21
44,93
0
80
0
80
80
0
0
0
0
R
R
6 7
6 7
60,83
26,24
80
80
6 7
40,92
80
0 0
15,78
80
0 0
8,86
80
Page 169 of 243
Numro national
Dnomination abrge
0047833
GARDENAL 100 MG 20 CPR
N03AA03
primidone
0238981
MYSOLINE 250 MG 90 CPR
N03AB02
phenytoin
0033189
0033211
0039991
DIPHANTOINE 100 MG 100 CPR

DIPHANTOINE 250 MG 5 AMP IV
EPANUTIN 100 MG 100 CAPS
N03AB52
phenytoin, combinations
0126999
VETHOINE 100 CPR
N03AD01
ethosuximide
0254579
ZARONTIN 250 MG/5 ML SIR 200 ML
N03AE01
clonazepam
0100328
0100314
0100345
0100331
0100359
RIVOTRIL 0,5 MG 150 CPR

RIVOTRIL 0,5 MG 50 CPR
RIVOTRIL 2 MG 100 CPR
RIVOTRIL 2 MG 30 CPR
RIVOTRIL 2,5 MG/ML GTTS 10 ML
N03AF01
carbamazepine
0236831
0236908
0236911
0705361
0699863
0331714
0699877
0331728
0699881
0331731
TEGRETAL 200 MG 50 CPR

TEGRETAL RET 200 MG 100 CPR
TEGRETAL RET 400 MG 50 CPR
TEGRETOL 2% SIR 250 ML
TEGRETOL 200 MG 50 CPR
TEGRETOL 200 MG 50 CPR UD
TEGRETOL CR 200 MG 50 CPR
TEGRETOL CR 200 MG 50 CPR UD
TEGRETOL CR 400 MG 50 CPR
TEGRETOL CR 400 MG 50 CPR UD
N03AF03
rufinamide
0458534
0637762
INOVELON 200 MG 60 CPR

INOVELON 400 MG 200 CPR
N03AG01
valproic acid
0024937
0024940
0029317
0196069
0029320
0210611
0210686
0029334
CONVULEX 300 MG 100 CAPS

CONVULEX 500 MG 100 CAPS
DEPAKINE 30% GTTS 60 ML
DEPAKINE 400 MG PSV 1 FL + S 4 ML IV
DEPAKINE 6% SIR 300 ML
DEPAKINE CHRONO 300 MG 50 CPR
DEPAKINE CHRONO 500 MG 50 CPR
DEPAKINE EC 150 MG 100 DRG
mode de
dlivrance
PCC
Prix public
Taux
RR
0 0
1,30
80
0 0
20,05
80
R
RR
R
0 0
0 0
0 0
10,09
12,77
11,40
100
100
100
RR
0 0
11,45
100
0 0
6,59
100
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
10,79
4,00
14,68
5,62
3,94
100
100
100
100
100
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12,22
17,44
16,59
7,43
8,68
0,00
8,95
0,00
11,86
0,00
80
80
80
80
80
0
80
0
80
0
0 0
0 0
0,00
0,00
0
0
12,39
18,25
9,86
10,83
9,22
8,92
12,08
8,33
100
100
100
0
100
100
100
100
RR
RR
conditions de
prescription
OD
DC
DC
RMP
X
X
R
R
R
RR
R
R
R
R
0
0
0
0
0
0
0
0
Page 170 of 243
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0145297
0029348
0447995
0447964
0448121
0448099
0478666
0478635
0478831
0478801
DEPAKINE EC 300 MG 100 CPR

DEPAKINE EC 500 MG 100 CPR
VALPROAT RATIO CHRONO 300MG 100CPR BLIST
VALPROATE RET EG 300 MG 100 CPR BLIST
N03AG04
vigabatrin
0172778
SABRIL 500 MG 100 CPR
N03AG06
tiagabine
0233937
0233954
0233891
GABITRIL 10 MG 100 CPR

N03AX09
lamotrigine
0390603
0390651
0390519
0390553
0390522
0218765
0312543
0228887
0218751
0511824
0511838
0218748
0229285
0511841
0407695
0407701
0407826
0407714
0407728
0407843
0407731
0407745
0407759
0407857
0407762
0407776
LAMBIPOL 100 MG 60 CPR DISP

LAMBIPOL STARTER PACK 25 MG 42 CPR DISP
LAMICTAL 100 MG 90 CPR DISP/CROQ
LAMICTAL 25 MG STARTERPACK ADD-ON 21 CPR
LAMICTAL 25 MG STARTERPACK MONO 42 CPR
LAMICTAL 50 MG STARTERPACK ADD-ON 42 CPR
LAMOTRIGIN CT 100 MG 1 CPR
LAMOTRIGIN CT 100 MG 30 CPR UD
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10,26
14,73
11,50
7,95
17,92
13,40
12,91
8,92
18,53
12,08
100
100
0
0
0
0
0
0
0
0
RR
0 0
57,32
100
R
R
R
0 0
0 0
0 0
65,16
96,67
28,19
100
100
100
RR
RR
RR
RR
RR
R
R
R
R
R
R
R
R
R
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
39,90
73,28
16,10
23,21
12,57
43,40
6,72
35,34
9,38
7,80
11,43
6,72
28,14
15,67
0,00
0,00
26,18
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
15,13
80
80
80
80
80
80
80
80
80
80
80
80
80
80
0
0
80
0
0
0
0
0
0
0
0
80
Page 171 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
0407861
0407793
0407809
0407812
0407874
0407888
0408001
0407891
0407907
0408014
0407911
0407924
0407938
0408028
0407941
0407955
0408031
0407969
0407972
0407986
0407339
0407342
0407471
0407356
0407373
0407485
0407387
0407391
0407406
0407499
0407423
0407437
0407504
0407441
0407454
0407468
0407163
0407177
0407292
0407181
0407194
0407308
0407213
0407227
Dnomination abrge
mode de
dlivrance
conditions de
prescription
OD
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RMP
PCC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Page 172 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Prix public
0,00
0,00
0,00
0,00
0,00
0,00
45,71
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
10,17
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
Taux
0
0
0
0
0
0
80
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
80
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0407231
0407311
0407244
0407258
0407325
0407261
0407275
0407289
0407518
0407521
0407651
0407535
0407549
0407664
0407552
0407566
0407583
0407678
0407597
0407602
0407681
0407616
0407633
0407647
0613113
0613127
0613094
0613158
0613161
0613015
0612987
0613063
0613077
0613046
0424411
0424245
0424293
0424617
0424536
LAMOTRIGIN RATIO 100 MG 100 CPR DISPERS
LAMOTRIGIN RATIO 200 MG 100 CPR
LAMOTRIGINE EG DISP 100 MG 90 CPR
N03AX10
felbamate
0219485
0218992
TALOXA 600 MG/5 ML SIR 230 ML

TALOXA TABS 600 MG 100 CPR
N03AX11
topiramate
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
10,50
0,00
0,00
0,00
0,00
0,00
0,00
17,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
11,83
0,00
0,00
0,00
0,00
26,43
0,00
15,38
45,96
0,00
10,43
9,57
17,24
0,00
12,08
42,49
31,26
65,92
10,12
27,59
0
0
0
0
0
0
0
0
0
0
80
0
0
0
0
0
0
0
0
80
0
0
0
0
80
0
80
80
0
80
80
80
0
80
0
0
80
0
0
RR
RR
0 0
0 0
51,71
95,98
100
100
Page 173 of 243
Numro national
Dnomination abrge
mode de
dlivrance
0242497
0273221
0273235
0242404
0273249
0242449
TOPAMAX 100 MG 60 CPR

TOPAMAX 15 MG 60 CAPS
140602
140381
140379
140600
140380
140601
N03AX12
gabapentin
0402377
0402797
0402718
0403133
0403049
0234501
0234481
0234464
0296128
0296159
GABAPENTINE EG 100 MG 90 CAPS

NEURONTIN 100 MG 90 CAPS
NEURONTIN 600 MG 90 CPR
NEURONTIN 800 MG 90 CPR
N03AX14
levetiracetam
0525363
0525346
0341688
0433955
0288482
0676242
0288272
0676211
0288353
0676189
0289963
0290091
0648508
0648248
0648329
0648413
0648511
0652674
KEPPRA 100 MG/ML 1 FL 150 ML + SRG 1 ML

KEPPRA 100 MG/ML 1 FL 150 ML + SRG 3 ML
KEPPRA 100 MG/ML 1 FL 300 ML + SRG
KEPPRA 100 MG/ML PERF 10 FL 5 ML
KEPPRA 1000 MG 100 CPR
KEPPRA 1000 MG 100*1 CPR UD
LEVETIRACETAM EG 1000 MG 200 CPR
LEVETIRACETAM SDZ 100 MG/ML BUV 300 ML
LEVETIRACETAM TEVA 100 MG/ML 10 FL 5 ML
N03AX15
zonisamide
0434272
0434336
0434305
0434319
ZONEGRAN 100 MG 56 CAPS

N03AX16
pregabalin
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
33,53
10,88
15,84
15,84
23,34
23,34
80
80
80
80
80
80
RR
RR
RR
RR
RR
R
R
R
R
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11,73
0,00
21,27
0,00
26,50
11,79
21,45
26,70
37,62
47,59
0
0
0
0
0
80
80
80
80
80
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
22,55
22,55
36,84
0,00
106,43
0,00
31,79
0,00
57,12
0,00
38,08
82,05
159,69
47,72
85,73
123,13
36,84
0,00
100
100
100
0
100
0
100
0
100
0
0
100
100
100
100
100
0
0
0
0
0
0
0
0
0
0
81,94
136,37
21,06
30,96
100
100
100
100
RR
RR
RR
RR
Page 174 of 243
Numro national
Dnomination abrge
0379296
0377811
0377825
0379363
0377887
0377891
0379234
0377758
0377761
LYRICA 150 MG 100 CAPS UD

LYRICA 150 MG 14 CAPS
N03AX18
lacosamide
0699667
0493601
0679911
0493631
0679924
0493662
0679938
0493502
0679907
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
31,21
82,12
0,00
44,09
121,47
0,00
18,78
48,71
0
0
80
0
0
80
0
0
80
VIMPAT 10 MG/ML SIROP 200 ML

VIMPAT 100 MG 56 CPR
VIMPAT 100 MG 56 CPR UD
VIMPAT 50 MG 56 CPR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
34,55
84,39
0,00
122,24
0,00
160,07
0,00
45,54
0,00
0
100
0
100
0
100
0
100
0
0607361
0607388
0607407
0607424
0607312
0607441
0607326
TROBALT 100 MG 84 CPR

TROBALT 50 MG 21 CPR + 100 MG 42 CPR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
45,07
83,21
120,32
157,43
9,74
30,61
25,79
100
100
100
100
100
100
100
N04AA01
trihexyphenidyl
0007886
0007919
ARTANE 2 MG 50 CPR
ARTANE 5 MG 50 CPR
R
R
0 0
0 0
6,13
7,90
100
100
N04AA02
biperiden
R
0 0
12,52
100
0 0
8,03
100
0,00
13,60
19,29
9,86
13,60
13,60
0
100
100
100
100
100
N03AX21
0205462
AKINETON 2 MG 60 CPR
N04AA04
procyclidine
0061913
KEMADRIN 5 MG 100 CPR
N04BA02
levodopa and decarboxylase inhibitor
0416176
0094461
0094489
0094475
0235962
0166771
DUODOPA 20/5 MG/ML GEL 7 SACH 100 ML

PROLOPA 125 MG 100 CAPS
PROLOPA 250 MG 100 CPR SEC
PROLOPA 250 MG 30 CPR SEC
PROLOPA DISP 125 MG 100 CPR SEC
PROLOPA HBS 125 MG 100 CAPS
RR
R
R
R
R
R
RM
RM
RM
RM
RM
RM
RM
DC
Page 175 of 243
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
N04BB01
amantadine
0171199
0091215
0380476
0218359
PK MERZ 100 FILMTABL

PK MERZ INFUSIONSLSG 10*500 ML
PK MERZ INFUSIONSLSG 2*500 ML
PK MERZ INFUSIONSLSG 500 ML
N04BC01
bromocriptine
0086439
0086425
0086442
PRAVIDEL 10 MG 100 CAPS

N04BC04
ropinirole
0229108
0229559
0229111
0483084
0483148
0483067
0712805
0712853
0712951
0713055
0694643
0694965
0695203
REQUIP 1 MG 84 CPR
REQUIP 2 MG 84 CPR
REQUIP 5 MG 84 CPR
REQUIP MODUTAB 2 MG 28 CPR
ROPINIROL SDZ 2 MG 28 CPR
ROPINIROLE RET EG 2 MG 28 CPR
N04BC05
pramipexole
0248196
0248215
0529183
0529264
0529251
0529295
0529281
0529328
0564151
0564134
0564277
MIRAPEXIN 0,18 MG 30 CPR

MIRAPEXIN 0,7 MG 100 CPR
MIRAPEXIN LP 0,26 MG 30 CPR
PRAMIPEXOL RATIO 0,18 MG 100 CPR
N04BC08
piribedil
0120916
0170997
TRIVASTAL 20 MG 30 CPR
TRIVASTAL L.P. 50 MG 30 CPR
N04BC09
rotigotine
0493323
0493291
NEUPRO 1 MG/24 H 2,25 MG 28 PATCH

mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
0
0
0
0
0
0
0
0
18,11
175,82
43,91
21,73
100
100
0
100
RR
RR
RR
0 0
0 0
0 0
219,40
74,21
107,14
100
100
100
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
23,89
34,21
69,62
14,74
56,98
106,17
14,14
33,22
56,98
106,17
14,24
65,39
122,35
100
100
100
100
100
100
0
0
0
0
0
0
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
16,09
87,79
20,40
118,70
55,59
218,08
93,88
317,45
28,98
12,70
75,02
100
100
100
100
100
100
100
100
80
80
80
R
R
0 0
0 0
2,50
13,53
0
0
RR
RR
0 0
0 0
143,73
42,58
0
0
Page 176 of 243
Numro national
0431111
0431107
0493418
0493399
0431155
0431141
0431138
0431172
0431169
0431219
0431205
Dnomination abrge
mode de
dlivrance

NEUPRO 4 MG/24 H 9 MG 100 PATCH
N04BD01
selegiline
0300699
0237709
0237693
0237791
ELDEPRYL 10 MG 30 CPR
N04BD02
rasagiline
0396561
AZILECT 1 MG 28 CPR
N04BX01
tolcapone
0240878
0240851
0240901
0240881
TASMAR 100 MG 100 CPR

N04BX02
entacapone
0255657
COMTAN 200 MG 100 CPR (FL)
N05AA02
levomepromazine
0080712
0080743
0080760
NOZINAN 100 MG 20 CPR

NOZINAN 25 MG 20 CPR
NOZINAN 4% GTTS 30 ML
N05AD01
haloperidol
0051724
0051738
0051805
0051819
0051755
0051741
0051769
0051772
0051853
0051870
0051898
HALDOL 2 MG 25 CPR
HALDOL 2 MG 250 CPR
HALDOL 2 MG/ML GTTS 15 ML
HALDOL 2 MG/ML GTTS 30 ML
HALDOL 20 MG 100 CPR
HALDOL 20 MG 20 CPR
HALDOL 5 MG 25 CPR
HALDOL 5 MG 250 CPR
HALDOL 5 MG 5 AMP 1 ML IMIV
HALDOL DEC 100 MG 1 AMP 1 ML
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
172,41
49,59
201,81
57,26
734,72
230,66
64,55
262,74
72,63
290,02
79,62
0
0
0
0
0
0
0
0
0
0
0
R
R
R
R
0
0
0
0
0
0
0
0
44,70
86,47
31,36
44,70
100
100
100
100
RR
0 0
95,79
100
0
0
0
0
136,29
44,25
186,56
64,22
100
0
0
0
RR
0 0
79,87
100
R
R
R
0 0
0 0
0 0
7,17
5,62
6,14
80
80
80
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
6,97
0,00
5,86
7,08
0,00
22,11
10,42
0,00
7,46
15,09
20,41
80
0
80
80
0
80
80
0
80
80
80
RR
RR
RR
RR
17448
conditions de
prescription
C
C
C
C
0
0
0
0
Page 177 of 243
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
mode de
dlivrance
0051917
N05AD03
melperone
0259271
BURONIL 25 MG 50 DRG
N05AD05
pipamperone
0033290
0033256
0033273
DIPIPERON 4% GTTS 60 ML
DIPIPERON 40 MG 20 CPR
DIPIPERON 40 MG 60 CPR
N05AD06
bromperidol
0056362
IMPROMEN 0,2% GTTS 30 ML
17425
17421
17424
22890
N05AD07
benperidol
0046688
0056412
0056426
FRENACTIL GTTS 15 ML
17438
IMPROMEN DEC 50 MG 1 AMP 1 ML
34199
IMPROMEN DECANOAS 50 MG 5 AMP 1 ML IM
N05AD08
droperidol
0665141
0349056
0349073
DEHYDROBENZPERIDOL 1,25 MG 10 AMP 2,5 ML

DEHYDROBENZPERIDOL 2,5 MG 10 AMP 1 ML
DEHYDROBENZPERIDOL 5 MG 10 AMP 2 ML
N05AE03
sertindole
0237855
0237869
0237872
0237841
SERDOLECT 12 MG 28 CPR
N05AF01
flupentixol
FLUANXOL 1 MG 50 DRG
FLUANXOL DEPOT 100 MG 1 AMP 1 ML IM
FLUANXOL DEPOT 20 MG 1 AMP 1 ML IM
N05AF05
zuclopenthixol
0023117
0023098
0023151
0023134
0165997
0023179
CLOPIXOL 10 MG 100 CPR

CLOPIXOL 2% GTTS 20 ML
CLOPIXOL ACUTARD 50 MG 1 AMP 1 ML IM
CLOPIXOL DEPOT 200 MG 1 AMP 1 ML IM
N05AG01
fluspirilene
0056023
IMAP 12 MG 1 FL 6 ML IM
N05AG02
pimozide
0083051
0083082
0083096
ORAP 1 MG 75 CPR
ORAP FORTE 4 MG 20 CPR
ORAP FORTE 4 MG 240 CPR
17463
17495
17499
OD
RMP
PCC
Prix public
Taux
RR
0 0
11,03
80
RR
0 0
4,64
80
RR
RR
RR
0 0
0 0
0 0
8,16
6,15
8,45
80
80
80
RR
0 0
8,44
80
RR
RR
RR
0 0
0 0
0 0
5,91
12,05
0,00
80
80
0
0 0
0 0
0 0
45,03
45,03
50,69
0
0
0
1
1
1
1
106,64
106,64
106,64
33,65
80
80
80
80
R
RR
RR
0 0
0 0
0 0
7,14
12,86
6,90
80
80
80
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
12,56
6,44
9,60
20,61
11,06
8,04
80
80
80
80
80
80
RR
0 0
15,48
80
R
R
R
0 0
0 0
0 0
11,01
11,01
0,00
80
80
0
RR
RR
RR
RR
RR
RR
RR
0045419
0045467
0045484
conditions de
prescription
RM
C
C
C
C
1
1
1
1
Page 178 of 243
Numro national
Dnomination abrge
mode de
dlivrance
N05AG03
penfluridol
0103669
SEMAP 20 MG 12 CPR
N05AH02
clozapine
0212727
0704364
0212677
0704851
0212681
LEPONEX 100 MG 20 CPR

N05AH03
olanzapine
0635057
0635061
0635107
0635111
0635155
0635169
0635219
0635222
0635271
0635284
0635321
0635334
0649262
0649276
0649293
0649309
0650036
0655046
0650358
0650084
0655077
0650392
0650117
0657251
0650425
0650506
0650554
0650585
0650652
0650702
0650747
0649729
0654696
0650196
OLANZAPIN RATIO 10 MG 35 CPR

OLANZAPIN RATIO 2,5 MG 35 CPR
OLANZAPINE LILLY 5 MG 28 CPR
OLANZAPINE SDZ 10 MG 28 CPR
OLANZAPINE SDZ 10 MG 28 CPR ORODIS
OLANZAPINE SDZ 10 MG 28 FILMS ORODISP
17554
conditions de
prescription
OD
RR
RR
RR
RR
RR
RR
C
C
C
C
C
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
Page 179 of 243
RMP
PCC
Prix public
Taux
0 0
8,82
80
0
0
0
0
0
0
0
0
0
0
19,52
14,79
12,25
7,01
15,42
80
80
80
80
80
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
54,64
102,28
80,95
151,08
17,60
31,54
94,06
166,32
26,71
49,89
52,00
77,88
0,00
0,00
0,00
0,00
49,40
49,40
65,55
99,38
93,15
108,78
126,78
126,78
169,07
102,54
158,70
271,07
133,74
208,65
358,46
27,53
27,53
35,08
80
80
80
80
0
0
80
80
80
80
80
80
0
0
0
0
80
80
80
0
80
80
80
80
80
0
0
0
0
0
0
80
80
80
Numro national
Dnomination abrge
0649777
0654729
0650232
0649813
0657247
0650277
0649925
0649956
0502243
0502257
0502261
0319267
0319271
0226462
0585439
0585442
0226414
0585411
0585425
0226431
0277251
0459156
0585408
0277265
0277279
0277248
0459139
0585392

OLANZAPINE SDZ 7,5 MG 56 CPR
OLANZAPINE SDZ 7,5 MG 98 CPR
ZYPADHERA 210 MG PDR 1 FL + S 3 ML IM
ZYPREXA 10 MG 1 FL IM
ZYPREXA 10 MG 10 FL IM
ZYPREXA 10 MG 28 CPR
ZYPREXA 5 MG 28 CPR
ZYPREXA 5 MG 70 CPR
ZYPREXA 5 MG 98 CPR
ZYPREXA 7,5 MG 56 CPR
ZYPREXA VELOTAB 10 MG 28 CPR DISP
N05AH04
quetiapine
0712402
0712383
0712514
0712495
0712626
0712609
0653525
0708136
0653489
0653508
0653993
0708153
0653945
0653962
0654519
QUETIAPIN RET SDZ 200 MG 100 CPR

QUETIAPINE SDZ 100 MG 100 CPR
mode de
dlivrance
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
conditions de
prescription
OD
HC
HC
HC
RMP
RM
RM
RM
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
Page 180 of 243
PCC
Prix public
Taux
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
46,50
46,50
58,28
67,68
67,68
88,71
68,58
164,95
0,00
0,00
0,00
8,42
9,31
53,07
133,62
134,45
29,79
71,13
71,67
73,01
53,07
133,62
134,45
176,25
232,08
29,79
71,13
71,67
80
80
80
80
80
80
80
0
0
0
0
0
0
80
80
80
80
80
80
80
80
80
80
0
0
80
80
80
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
89,84
69,50
130,26
97,67
170,71
130,25
47,33
79,98
21,64
36,83
87,86
150,96
20,22
67,97
124,33
0
0
0
0
0
0
80
0
80
80
80
0
80
80
80
Numro national
Dnomination abrge
0708167
0654097
0654116
0272949
0272921
0277542
0635012
0277556
0274795
0274747
0274751
0323841
0323824
0323886
0479565
0479551
0479615
0479601
0479677
0479663
0479471
0482686
0479484

SEROQUEL 100 MG 100 CPR
SEROQUEL 200 MG 60 CPR UD
SEROQUEL XR 200 MG 100 CPR
SEROQUEL XR 50 MG 100 CPR UD
N05AH05
asenapine
0598423
0598406
0598387
0598373
SYCREST 10 MG 100 CPR SL

N05AL01
sulpiride
0034379
0034348
0034365
0034351
0180704
0071128
0502789
0502792
0502808
0134603
DOGMATIL 100 MG 6 AMP 2 ML IM

DOGMATIL 200 MG 12 CPR
DOGMATIL 25 MG/5 ML SIR 200 ML
DOGMATIL 50 MG 30 CAPS
MERESA FORTE 200 MG 100 CPR
MERESA FORTE 200 MG 50 CPR
MERESASUL 50 MG 100 CAPS
SULPIRIDE EG 200 MG 12 CPR
N05AL03
tiapride
0116748
0116720
0116734
TIAPRIDAL 100 MG 12 AMP 2 ML IMIV

TIAPRIDAL 100 MG 20 CPR
TIAPRIDAL 100 MG 60 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
221,91
20,22
95,51
47,50
21,67
37,24
87,86
67,97
0,00
6,17
0,00
127,30
95,51
0,00
87,86
115,38
127,30
164,16
166,71
220,84
15,50
0,00
28,04
0
80
80
80
80
80
80
80
0
0
0
80
80
0
80
0
80
0
80
0
0
0
0
RR
RR
RR
RR
0
0
0
0
0
0
0
0
167,75
95,07
167,75
95,07
0
80
0
80
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6,82
10,05
5,67
8,41
30,86
20,83
16,00
10,68
12,69
7,18
80
80
80
80
80
80
80
80
80
80
RR
R
R
0 0
0 0
0 0
7,38
9,45
16,66
80
80
80
Page 181 of 243
Numro national
Dnomination abrge
0233002
TIAPRIDAL GTTS 30 ML
N05AL05
amisulpride
0335985
0446291
0265846
0265832
0336031
0265863
SOLIAN 100 MG 60 CPR

SOLIAN 100 MG/ML GTTS 60 ML
SOLIAN 50 MG 30 CPR
N05AN01
lithium
0140726
0069438
0093478
CAMCOLIT 400 MG 100 CPR

MANIPREX 250 MG 100 DRG
PRIADEL 100 CPR
N05AX07
prothipendyl
0035359
DOMINAL FORTE 80 MG 50 CPR
N05AX08
risperidone
0439895
0471181
0439864
0204434
0245616
0238916
0306322
0439945
0471151
0204448
0204451
0440008
0471164
0204479
0204482
0440056
0471178
0204515
0440137
0360425
0360439
0360442
0347213
0347231
0588847
0589004
0588959
RISPERDAL 1 MG 100 CPR

RISPERDAL 1 MG 100 CPR UD
72249
63122
RISPERDAL 1 MG/ML GTTS 100 ML
87530
RISPERDAL 1 MG/ML GTTS 30 ML
96471
82196
63125
82197
63128
RISPERDAL CONSTA 25 MG PDR 1 FL + S IM
RISPERDAL CONSTA 37,5 MG PDR 1 FL + S IM
RISPERDAL CONSTA 50 MG PDR 1 FL + S IM
RISPERDAL INSTASOLV 1 MG 28 CPR
RISPERDAL INSTASOLV 2 MG 28 CPR
RISPERIDON RATIO 0,25 MG 20 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
0 0
R
R
R
R
R
R
0
0
0
0
0
0
Prix public
Taux
13,96
80
0
0
0
0
0
0
35,27
35,27
106,34
35,27
106,34
12,23
80
0
80
80
80
80
RR
RR
RR
0 0
0 0
0 0
8,64
10,79
10,62
80
80
80
RR
0 0
10,55
80
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
32,38
0,00
10,85
6,39
21,87
32,38
14,17
58,26
0,00
17,48
37,56
83,70
0,00
23,76
53,08
108,57
0,00
68,59
98,63
105,45
139,23
163,35
14,88
25,19
7,77
23,76
8,20
80
0
80
80
80
80
80
80
0
80
80
80
0
80
80
80
0
80
80
80
80
80
80
80
0
0
0
Page 182 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0588976
0571075
0571058
0589133
0589083
0589102
0589245
0589201
0589228
0532502
0532595
0533321
0533303
0532662
0532726
0532807
0532855
0532998
0666778
0666814
0666859
0663731
0663759
0663776
0663857
0663874
0663891

RISPERIDON RATIO 1 MG/ML SOL BUCC 100 ML
RISPERIDON RATIO 1 MG/ML SOL BUCC 30 ML
RISPERIDON RATIO 4 MG 100 CPR
RISPERIDONE EG 1 MG 6 CPR
RISPERIDONE EG 1 MG/ML 1 FL 100 ML
RISPERIDONE EG 1 MG/ML 1 FL 30 ML
RISPERIDONE MYLAN 1 MG 100 CPR
RISPERIDONE SDZ 1 MG 28 CPR UD ORODIS
N05AX12
aripiprazole
0375882
0375932
0375994
0375834
0482091
ABILIFY 10 MG 28 CPR
ABILIFY 5 MG 28 CPR BLIST
ABILIFY 7,5 MG/ML 1 FL 1,3 ML
N05AX13
paliperidone
0462747
0462778
0462814
0462845
0462893
0462926
0601269
0601272
0601286
INVEGA 3 MG 28 CPR
INVEGA 3 MG 56 CPR
INVEGA 6 MG 28 CPR
INVEGA 6 MG 56 CPR
INVEGA 9 MG 28 CPR
INVEGA 9 MG 56 CPR
XEPLION 100 MG 1 SRG + 2 AIG
XEPLION 150/100 MG 1SRG+2AIG+1SRG+2AIG
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15,82
29,75
13,25
96,18
28,57
60,73
166,48
38,10
85,39
6,30
21,85
32,37
14,17
17,47
37,55
23,75
55,27
68,58
28,52
47,80
67,19
14,85
26,44
41,40
25,18
46,29
76,00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
80
80
80
80
80
80
80
80
80
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
118,36
118,36
136,98
119,27
8,84
80
80
80
0
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100,16
191,30
107,58
206,14
107,58
206,14
365,16
527,97
884,11
80
80
80
80
80
80
80
80
80
Page 183 of 243
Numro national
Dnomination abrge
0601238
0601241
0601255

N05BA01
diazepam
0171185
0154542
0699913
0031606
0031623
0214038
0031637
0206201
0031640
0031654
0031668
0031671
0031685
0031699
0124574
0246045
0124669
0124655
0124624
0246031
DIAZEPAM EG 10 MG 100 CPR

DIAZEPAM RATIO 10 MG 10 CPR
DIAZEPAM RATIO 10 MG 5 AMP 2 ML IMIV
DIAZEPAM RATIO 10 MG GTTS 25 ML
VALIUM 10 MG 100 CPR
VALIUM 10 MG 30 CPR
VALIUM 10 MG 50 AMP 2 ML IMIV
VALIUM 10 MG 6 AMP 2 ML IMIV
VALIUM 5 MG 100 CPR
VALIUM 5 MG 30 CPR
N05BA04
oxazepam
0084580
0689139
OXAZEPAM EG 15 MG 50 CPR
OXAZEPAM EG 15 MG 60 CPR
N05BA05
potassium clorazepate
0118935
0118983
0118966
0118952
0118997
0123014
TRANXENE 10 MG 30 CAPS
TRANXENE 20 MG PDR 5 FL + S IMIV
TRANXENE 50 MG PDR 5 FL + S IMIV
UNI TRANXENE 15 MG 30 CAPS
N05BA06
lorazepam
0187901
0187932
0067822
0690157
0067819
0689108
0304877
LAURACALM 1 MG 30 CPR
LAURACALM 2,5 MG 30 CPR
LORAZEPAM EG 1 MG 50 CPR
LORAZEPAM EG 1 MG 60 CPR
LORAZEPAM EG 2,5 MG 50 CPR
LORAZEPAM EG 2,5 MG 60 CPR
LORAZEPAM MYLAN 1 MG 50 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
RR
RR
RR
0 0
0 0
0 0
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Prix public
Taux
124,20
232,12
304,84
80
80
80
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12,10
3,75
12,91
0,71
1,19
2,47
2,65
1,54
0,31
0,53
1,27
0,53
0,88
1,94
20,29
7,43
0,00
7,00
13,24
5,37
40
40
0
40
40
40
40
40
40
40
40
40
40
40
40
40
0
40
40
40
RR
RR
0 0
0 0
4,40
5,27
40
40
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
4,70
9,33
9,54
3,84
12,63
7,51
40
40
40
40
40
40
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3,32
5,52
4,04
4,85
6,93
8,32
3,69
40
40
40
40
40
40
40
Page 184 of 243
Numro national
Dnomination abrge
0304894
0067853
0104148
0104151
0104179
0114032
0114046
0173016
0114063
0114077
0173047
0114080
0114127
0114161
LORAZEPAM MYLAN 2,5 MG 50 CPR

LORIDEM 2,5 MG 50 CPR
SERENASE 1 MG 20 CPR
SERENASE 1 MG 50 CPR
SERENASE 2,5 MG 50 CPR
TEMESTA 1 MG 20 CPR
TEMESTA 1 MG 50 CPR
TEMESTA 1 MG 500 CPR UD
TEMESTA 2,5 MG 20 CPR
TEMESTA 2,5 MG 50 CPR
TEMESTA 2,5 MG 500 CPR UD
TEMESTA 4 MG 10 AMP 1 ML IMIV
TEMESTA EXPIDET 1 MG 50 CPR
TEMESTA EXPIDET 2,5 MG 50 CPR
N05BA08
bromazepam
0015583
0689092
0015597
0689089
0065330
0065358
0065361
BROMAZEPAM EG 12 MG 50 CPR
LEXOTAN 3 MG 50 CPR
LEXOTAN 6 MG 20 CPR
LEXOTAN 6 MG 50 CPR
N05BA09
clobazam
0046755
0046769
0046805
FRISIUM 10 MG 20 CPR
N05BA11
prazepam
0068511
0068525
0068542
0231929
0540874
0540907
0699684
0540924
0699698
0540938
LYSANXIA 10 MG 20 CPR
LYSANXIA 10 MG 50 CPR
LYSANXIA 20 MG 50 CPR BISEC
LYSANXIA GTTS 15 MG/ML 20 ML
PRAZEPAM EG 10 MG 20 CPR
PRAZEPAM EG GTTS 15 MG/ML 1 FL 20 ML
N05BA12
alprazolam
0206263
0206277
0488581
0206281
ALPRAZ 0,5 MG 14 CPR

ALPRAZ 1 MG 14 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6,31
6,72
2,32
4,93
8,34
2,05
4,26
0,00
3,42
7,28
0,00
11,90
6,43
10,47
40
40
40
40
40
40
40
0
40
40
0
40
40
40
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11,93
14,68
6,22
7,81
5,86
4,66
9,82
40
40
40
40
40
40
40
RR
RR
RR
0 0
0 0
0 0
5,25
10,96
18,90
40
40
40
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5,03
10,02
15,78
11,50
4,02
8,02
10,43
12,62
16,44
9,19
40
40
40
40
40
40
0
40
0
40
RR
RR
RR
RR
0
0
0
0
0
0
0
0
3,62
5,42
8,65
5,07
40
40
40
40
Page 185 of 243
Numro national
Dnomination abrge
0206294
0457389
0457392
0699426
0457408
0457411
0699461
0457425
0457439
0699491
0457442
0457456
0699524
0298962
0298945
0298901
0130277
0279743
0130294
0279757
0244555
0130327
0154041
0221189
0221208
0221225
ALPRAZ 1 MG 28 CPR
ALPRAZOLAM EG 0,25 MG 20 CPR
ALPRAZOLAM EG 1 MG 20 CPR
ALPRAZOLAM MYLAN 0,25 MG 50 CPR
ALPRAZOLAM MYLAN 0,5 MG 50 CPR
ALPRAZOLAM MYLAN 1 MG 50 CPR
XANAX 0,25 MG 50 CPR
XANAX 0,25 MG 50 CPR UD
XANAX 0,5 MG 50 CPR
XANAX 0,5 MG 50 CPR UD
XANAX 0,75 MG/ML GTTS 20 ML
XANAX 1 MG 50 CPR
XANAX 2 MG 50 CPR
XANAX RET 0,5 MG 30 CPR
XANAX RET 1 MG 30 CPR
XANAX RET 2 MG 30 CPR
N05BA16
nordazepam
0201723
0201737
0204174
0017476
0017493
0500042
CALMDAY 10 MG 30 DRG
CALMDAY 5 MG 30 DRG
CALMDAY 5 MG 60 DRG
NORDAZ 15 MG 30 CPR
N05BA18
ethyl loflazepate
0127447
VICTAN 2 MG 30 CPR
N05BA21
clotiazepam
0023232
0023246
0023263
CLOZAN 10 MG 50 CPR
CLOZAN 5 MG 20 CPR
CLOZAN 5 MG 50 CPR
N05BA22
cloxazolam
0150591
0081608
AKTON 1 MG 50 CPR
AKTON 2 MG 20 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8,10
2,80
6,63
7,68
4,56
10,05
12,50
7,87
17,80
21,54
14,20
28,44
30,09
6,41
9,67
17,44
7,38
0,00
12,00
0,00
8,81
20,72
32,33
8,62
14,69
25,34
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
0
40
0
40
40
40
40
40
40
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
7,40
0,00
11,68
5,56
9,34
4,36
40
0
40
40
40
40
RR
0 0
5,58
40
RR
RR
RR
0 0
0 0
0 0
10,37
3,73
8,18
40
40
40
RR
RR
0 0
0 0
10,50
8,42
40
40
Page 186 of 243
Numro national
0150588
Dnomination abrge
AKTON 2 MG 50 CPR
N05BB01
hydroxyzine
0008897
ATARAX 25 MG 50 CPR
N05BX03
etifoxine
0272434
STRESAM 50 MG 60 CAPS
N05CD01
flurazepam
0109418
STAURODORM NEU 20 CPR
N05CD02
nitrazepam
0241991
MOGADON 5 MG 30 CPR
N05CD03
flunitrazepam
0233825
FLUNITRAZEPAM EG 1 MG 10 CPR
N05CD05
triazolam
0178494
0178513
0190521
HALCION 0,125 MG 10 CPR

HALCION 0,250 MG 10 CPR
HALCION 0,250 MG 250 CPR UD (H)
N05CD06
lormetazepam
0067660
0172876
0067674
0172893
0210401
0152016
0152033
0304913
0724563
0724594
0307932
0307946
0189839
0189842
0152051
LORAMET 1 MG 30 CPR
LORAMET 1 MG 500 CPR UD
LORAMET 2 MG 30 CPR
LORAMET 2 MG 500 CPR UD
LORANKA 2 MG 28 CPR
LORMETAZEPAM EG 1 MG 30 CPR
LORMETAZEPAM EG 2 MG 30 CPR
LORMETAZEPAM MYLAN 2 MG 30 CPR
LORMETAZEPAM SDZ 1 MG 30 CPR
LORMETAZEPAM SDZ 2 MG 30 CPR
NOCTACALM 1 MG 30 DRG
NOCTACALM 2 MG 30 DRG
NOCTAMID 1 MG 30 CPR
NOCTAMID 2 MG 30 CPR
STILAZE 2 MG 30 CPR
N05CD08
midazolam
0035636
0409395
0240153
DORMICUM 15 MG 2 AMP 3 ML IMIV

DORMICUM 5 MG 1 AMP 5 ML IMIV
DORMICUM 50 MG 5 AMP 10 ML PERF
N05CD09
brotizolam
0064932
0231641
LENDORMIN 0,25 MG 30 CPR

LENDORMIN 0,25 MG 50 CPR UD
N05CD11
loprazolam
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
0 0
21,16
40
RR
0 0
7,31
40
RR
0 0
6,54
40
RR
0 0
17,55
40
RR
0 0
3,61
40
0 0
2,75
40
RR
RR
RR
0 0
0 0
0 0
3,02
3,77
0,00
40
40
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5,73
0,00
9,00
0,00
7,87
5,45
8,56
8,12
5,23
8,50
5,78
8,96
7,66
12,02
9,86
40
0
40
0
40
40
40
40
0
0
0
0
40
40
40
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
0 0
0 0
13,38
0,00
40
0
RR
RR
RR
H
D
H
RR
RR
Page 187 of 243
Numro national
Dnomination abrge
mode de
dlivrance
0199513
0199527
DORMONOCT 1 MG 30 CPR
DORMONOCT 2 MG 30 CPR
N05CF01
zopiclone
0056197
0177385
0697791
0269912
IMOVANE 7,5 MG 30 CPR

IMOVANE 7,5 MG 30 CPR UD
IMOVANE PI-SE 7,5 MG 30 CPR
ZOPICLONE EG 7,5 MG 30 CPR
N05CF02
zolpidem
0149217
0323502
0679826
0679812
0326003
0517313
STILNOCT 10 MG 30 CPR
STILNOCT 10 MG 30 CPR UD
ZOLPEDUAR 10 MG 60 CPR SL
ZOLPEDUAR 5 MG 60 CPR SL
ZOLPIDEM EG 10 MG 30 CPR BLIST
ZOLPIDEM EG 10 MG 30 CPR EFF
N05CH01
melatonin
0463985
CIRCADIN 2 MG 21 CPR RET
N05CM09
valerian
0243673
0243687
0228338
RELAXINE 500 MG 15 CPR

RELAXINE 500 MG 30 CPR
VALERIAL 500 MG 30 CPR
N05CM18
dexmedetomidine
0635415
0635432
0635429
0635401
DEXDOR 100 MCG/ML 25 AMP V 2 ML IV

DEXDOR 100 MCG/ML 4 FL V 10 ML IV
DEXDOR 100 MCG/ML 4 FL V 4 ML IV
DEXDOR 100 MCG/ML 5 AMP V 2 ML IV
N06AA02
imipramine
0288949
0288921
0288935
TOFRANIL 25 MG 100 DRG

N06AA04
clomipramine
0236262
0236245
0236259
0236519
0236486
0236505
0236293
0236309
ANAFRANIL 10 MG 100 DRG

ANAFRANIL RET 75 MG 20 CPR
ANAFRANIL RET 75 MG 50 CPR
N06AA09
amitriptyline
0097351
REDOMEX 10 MG 100 CPR
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
0 0
0 0
10,53
17,71
40
40
RR
RR
RR
RR
0
0
0
0
0
0
0
0
13,85
0,00
13,91
10,80
40
0
0
40
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
12,72
12,72
16,33
8,55
10,59
10,17
40
0
0
0
40
0
RR
0 0
16,86
P
P
P
0 0
0 0
0 0
6,99
11,43
11,32
40
40
40
0
0
0
0
0,00
0,00
0,00
0,00
0
0
0
0
RR
RR
RR
RR
HC
HC
HC
HC
0
0
0
0
10366
10364
10165
RR
RR
RR
0 0
0 0
0 0
13,72
9,92
11,28
80
80
80
10351
10349
10350
10355
10353
10354
10604
10602
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11,19
9,48
10,10
13,72
9,92
11,28
17,78
24,02
80
80
80
80
80
80
80
80
RR
0 0
6,10
80
Page 188 of 243
Numro national
Dnomination abrge
0097379
0097396
0097415
REDOMEX 25 MG 100 CPR

REDOMEX DIFFUCAPS 25 MG 40 CAPS
REDOMEX DIFFUCAPS 50 MG 40 CAPS
N06AA10
nortriptyline
0080094
NORTRILEN 25 MG 50 CPR
N06AA12
doxepin
0105145
0105162
SINEQUAN 25 MG 100 CAPS

SINEQUAN 50 MG 100 CAPS
N06AA16
dosulepin
0095035
0177341
0095021
PROTHIADEN 25 MG 100 CAPS

PROTHIADEN 25 MG 30 CAPS
PROTHIADEN 75 MG 28 DRG
N06AB03
fluoxetine
0647921
0647884
0647903
0647836
0647917
0647871
0647934
0500851
0500865
0323273
0323256
0281481
0203373
0519501
FLUOXETIN RATIO 20 MG 100 CAPS

FLUOXETIN RATIO 20 MG 100 CPR
FLUOXETIN RATIO 20MG/5ML SOL BUV 70 ML
FLUOXETINE EG 20 MG 28 CAPS
FLUOXETINE EG 20 MG 56 CAPS
FLUOXONE DIVULE 20 MG 100 CPR
FLUOXONE DIVULE 20 MG 30 CPR
FONTEX 20 MG 28 CAPS
PROZAC 20 MG 28 CAPS
PROZAC DISP 20 MG 28 CPR SEC
N06AB04
citalopram
0164065
0164129
0421941
0421971
0421985
0426799
0426706
0426768
0426964
0339094
0426866
0426933
0427104
0339189
CIPRAMIL 20 MG 28 CPR
CIPRAMIL 40 MG PERF 10 AMP 1 ML
CITALOPRAM EG 20 MG 28 CPR
CITALOPRAM HEXAL 20 MG 100 CPR BLIST
CITALOPRAM HEXAL 30 MG 20 CPR
mode de
dlivrance
conditions de
prescription
OD
PCC
Prix public
Taux
RR
RR
RR
0 0
0 0
0 0
7,50
6,79
8,32
80
80
80
RR
0 0
6,61
80
RR
RR
0 0
0 0
11,73
17,31
80
80
RR
RR
RR
0 0
0 0
0 0
9,34
6,21
8,59
80
80
80
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
23,23
23,23
11,63
11,63
15,71
15,71
24,86
9,30
24,96
20,48
9,66
22,56
22,56
22,56
80
80
80
80
80
80
80
80
0
80
80
80
80
80
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
16,91
69,66
13,98
21,41
33,32
24,44
12,09
16,78
36,05
14,10
14,46
22,42
46,01
16,21
80
80
80
80
0
80
80
80
80
80
80
80
80
80
Page 189 of 243
RMP
Numro national
Dnomination abrge
0427037
0427071
0432619
0338875
0432524
0432569
0367748
0367829
0367832
0367751
0367765
0367846
0367779
0367782
0367796
0367863
0367801
0367815
0367877
0367961
0367975
0367881
0367894
0367989
0367913
0367927
0367931
0367992
0367944
0367958

CITALOPRAM VON CT 20 MG 10 CPR
CITALOPRAM VON CT 20 MG 100 CPR UD
CITALOPRAM VON CT 40 MG 100 CPR UD
N06AB05
paroxetine
0653007
0652921
0652965
0653119
0653069
0653105
0653234
0653167
0653198
0354221
0354235
0563753
0563771
PAROXETIN RATIO 20 MG 100 CPR (FL)

PAROXETIN RATIO 40 MG 100 CPR
PAROXETINE EG 20 MG 28 CPR PELLIC
PAROXETINE EG 20 MG 56 CPR PELLIC
PAROXETINE EG 30 MG 28 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
16,62
27,77
67,07
20,63
20,63
38,29
0,00
39,14
0,00
0,00
11,20
0,00
0,00
0,00
23,18
0,00
0,00
0,00
0,00
65,18
0,00
0,00
17,76
0,00
0,00
0,00
38,65
0,00
0,00
0,00
80
80
80
80
80
80
0
80
0
0
80
0
0
0
80
0
0
0
0
80
0
0
80
0
0
0
80
0
0
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
23,23
11,63
15,71
29,29
12,61
18,50
35,14
13,57
21,19
16,06
18,96
19,18
29,33
80
80
80
80
80
80
80
80
80
80
80
80
80
Page 190 of 243
Numro national
Dnomination abrge
0563865
0563915
0352181
0352311
0352194
0352213
0352227
0352325
0352231
0352339
0352244
0352258
0352261
0352342
0352275
0352289
0352292
0352308
0187137
0330474
0319401
0309632
PAROXETINE RATIO 20 MG 10 CPR
SEROXAT 20 MG 28 CPR
SEROXAT 20 MG/10 ML SUSP 150 ML
N06AB06
sertraline
0405382
0405334
0405348
0405351
0405365
0405379
0409073
0405317
0409087
0409091
0405267
0405271
0405284
0405298
0409106
0409123
0405303
0656849
0342251
0446614
0307722
DOCSERTRALI 100 MG 100 CPR

SERLAIN 100 MG 100 CPR
SERLAIN 100 MG 30 CPR UD
SERLAIN 20 MG/ML GTTS 60 ML
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
24,16
63,09
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
14,77
0,00
0,00
0,00
24,72
0,00
0,00
0,00
16,06
19,07
11,39
19,44
80
80
0
0
0
0
0
0
0
0
80
0
0
0
80
0
0
0
80
80
80
80
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
17,04
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
14,53
0,00
0,00
0,00
0,00
35,74
16,69
0,00
14,04
0
0
0
80
0
0
0
0
0
0
0
0
80
0
0
0
0
80
80
0
80
Page 191 of 243
Numro national
Dnomination abrge
0656852
0244183
0268543
0270409
0392818
0392741
0392771
0393006
0392933
0392964
0408644
0408675
0408434
0408465
0415506
0415442
0415487
0415389
0415331
0415361

SERLAIN 50 MG 30 CPR SEC
SERLAIN 50 MG 6*5 CPR UD
SERTRALIN HEXAL 100 MG 100 CPR BLIST
SERTRALIN HEXAL 100 MG 20 CPR
SERTRALIN HEXAL 50 MG 20 CPR
SERTRALIN RATIO 100 MG 20 CPR
SERTRALINE EG 100 MG 100 CPR
N06AB08
fluvoxamine
0228579
0395631
FLOXYFRAL 100 MG 30 CPR SEC

FLUVOXAMINE EG 100 MG 30 CPR
N06AB10
escitalopram
0327661
0327675
0327689
0455692
0327997
0328008
0455739
0666151
0666165
0666179
SIPRALEXA 10 MG 28 CPR
SIPRALEXA 10 MG 56 CPR CLAIR
SIPRALEXA 10 MG 98 CPR UD
SIPRALEXA 20 MG 28 CPR BLIST CLAIR
SIPRALEXA 20 MG 98 CPR UD
SIPRALEXA ODIS 10 MG 12 CPR
N06AF03
phenelzine
0075600
NARDELZINE 15 MG 100 DRG
N06AG02
moclobemide
0170448
0181813
AURORIX 150 MG 100 CPR

AURORIX 150 MG 100 CPR UD
N06AX03
mianserin
0065070
0487066
LERIVON 10 MG 90 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
31,49
14,88
0,00
34,23
49,74
9,60
23,39
30,00
8,90
15,50
11,10
23,47
8,13
21,99
34,18
16,18
28,23
29,91
14,36
16,23
80
80
0
0
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
RR
RR
0 0
0 0
17,22
13,44
80
80
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
24,18
34,80
56,07
0,00
34,80
65,23
0,00
0,00
25,45
36,84
80
80
80
0
80
80
0
0
80
80
RR
0 0
32,52
80
RR
RR
0 0
0 0
32,13
0,00
80
0
RR
RR
0 0
0 0
10,43
8,25
80
80
Page 192 of 243
Numro national
Dnomination abrge
0162981
N06AX05
trazodone
0603294
0603313
0119428
0119445
TRAZODONE MYLAN 100 MG 30 CPR

TRAZODONE MYLAN 100 MG 90 CPR
TRAZOLAN 100 MG 30 CPR
TRAZOLAN 100 MG 90 CPR
N06AX11
mirtazapine
0389065
0387477
0387401
0387673
0387561
0387608
0387897
0387785
0387821
0399013
0398954
0398985
0399206
0399142
0656611
0399402
0399366
0485254
0485223
0485299
0485318
0485352
0485383
0329991
0330041
0330085
MIRTAZAPIN RATIO 15 MG 10 CPR

MIRTAZAPINE EG 15 MG 100 CPR
MIRTAZAPINE RATIO 15 MG 48 CPR ORODISP
REMERGON SOLTAB 15 MG 5*6 CPR
N06AX12
bupropion
0463887
0463891
0463923
0463937
0281707
0280825
WELLBUTRIN XR 150 MG 30 CPR

ZYBAN 150 MG 100 CPR
ZYBAN 150 MG 30 CPR
N06AX14
tianeptine
0732002
STABLON 12,5 MG 28 CPR ENR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
0 0
15,36
80
RR
RR
RR
RR
0
0
0
0
0
0
0
0
7,37
11,75
7,70
12,50
80
80
80
80
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5,10
0,00
15,63
0,00
13,59
23,83
0,00
16,68
32,45
30,63
13,03
20,18
46,70
20,65
29,25
40,98
28,38
15,27
3,12
13,18
23,12
15,71
31,33
15,17
22,45
25,54
80
0
80
0
80
80
0
80
80
0
80
80
0
80
0
80
80
80
80
80
80
80
80
80
80
80
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
32,75
69,50
53,76
118,10
83,56
41,00
80
80
80
80
0
0
RR
0 0
9,57
Page 193 of 243
Numro national
Dnomination abrge
0139319
STABLON 12,5 MG 30 CPR ENR
N06AX16
venlafaxine
0342221
0258127
0482249
0482252
0409476
0258077
0385102
0482431
0482445
0655291
0655337
0683734
0683765
0683782
0683359
0683393
0683301
0683541
0683605
0528558
0529426
0528589
0529362
0528379
0529376
0528463
0529409
0528494
0664841
0664742
0664787
0664563
0664465
0664501
0664708
0664613
0664658
EFEXOR EXEL 150 MG 100 CAPS UD

EFEXOR EXEL 150 MG 28 CAPS
EFEXOR EXEL 37,5 MG 7 CAPS
EFEXOR EXEL 75 MG 3*28 CAPS UD
VENLAFAXIN RATIO 37,5 MG 20 CPR
VENLAFAXIN RATIO 37,5 MG 50 CPR
VENLAFAXIN RET SDZ 150 MG 28 CAPS
VENLAFAXIN RET SDZ 37,5 MG 28 CAPS
VENLAFAXINE EG 150 MG 28 CAPS
VENLAFAXINE EG 37,5 MG 14 CAPS
VENLAFAXINE RATIO 150 MG 100 CAPS
VENLAFAXINE RATIO 37,5 MG 100 CAPS
N06AX17
milnacipran
0306451
0261475
IXEL 25 MG 56 CAPS BLIST

IXEL 50 MG 56 CAPS BLIST
N06AX18
reboxetine
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
0 0
11,38
80
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
19,06
33,06
53,44
6,64
10,60
0,00
20,50
34,21
12,68
17,93
17,60
24,76
48,86
11,07
17,17
6,13
9,95
25,68
17,63
24,76
48,88
7,94
11,59
17,35
9,99
20,50
25,66
54,59
9,56
28,95
26,54
11,62
17,93
34,86
5,34
18,13
0
80
80
80
80
80
0
80
80
0
0
80
80
80
80
80
80
80
80
80
80
0
80
80
80
80
0
0
80
80
80
80
80
80
80
80
80
RR
RR
0 0
0 0
16,73
29,65
80
80
Page 194 of 243
Numro national
Dnomination abrge
0242256
EDRONAX 4 MG 60 CPR
N06AX21
duloxetine
0458842
0394602
0380185
0380204
CYMBALTA 30 MG 7 CAPS
CYMBALTA 60 MG 28 CAPS
YENTREVE 20 MG 56 CAPS
YENTREVE 40 MG 56 CAPS
N06AX22
agomelatine
0519853
0519871
0519884
VALDOXAN 25 MG 28 CPR
N06BA04
methylphenidate
0331861
0499702
0331911
0331969
0450018
0449986
0450004
0450021
0449969
0449972
0450035
0450049
0450052
0450066
0704123
0553399
0553418
0571092
CONCERTA 18 MG 30 CPR
MEDIKINET 10 MG 100 CPR
MEDIKINET RET 10 MG 50 CAPS
RILATINE 10 MG 20 CPR
RILATINE MR 20 MG 30 CAPS (FL)
N06BA07
modafinil
0264741
PROVIGIL 100 MG 90 CPR
N06BA09
atomoxetine
0431978
0518419
0432023
0432085
0432068
0432121
0432104
0432166
0518369
STRATTERA 10 MG 7 CAPS
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
0 0
29,74
RR
RR
R
R
0
0
1
1
0
0
5
5
8,59
41,50
56,06
56,06
0
80
80
80
0 0
0 0
0 0
47,40
86,93
125,69
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
1
1
1
1
1
1
54,74
60,92
67,08
80,05
42,13
6,92
21,74
34,60
3,46
10,87
23,25
38,53
54,52
70,71
8,55
26,98
32,59
56,64
0
0
0
0
0
0
0
0
0
0
80
80
80
80
80
80
80
80
1 5
76,32
80
30,09
117,48
30,09
90,66
30,09
90,66
30,09
90,66
117,48
0
0
0
0
0
0
0
0
0
RR
RR
RR
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
RM
RM
RM
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
0
0
0
0
0
0
0
0
0
0
1
1
1
1
1
1
1
1
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
C
C
C
C
C
C
C
C
C
0
0
0
0
0
0
0
0
0
Page 195 of 243
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
N06BC01
caffeine
0444492
0444508
PERCOFFEDRINOL N 50 MG 20 CPR
PERCOFFEDRINOL N 50 MG 50 CPR
N06BX03
piracetam
0143549
0299164
0299151
0149377
0429644
0427426
0468513
0427461
0162639
0079711
0176391
0451256
0451287
0451242
0451273
0451291
0178334
0149265
0221967
0245129
0221953
0091022
0091005
0091019
0091067
0091036
0246336
0554852
0554849
BRAINTOP 800 MG 60 CPR

DOCPIRACE 1200 MG 112 CPR
DOCPIRACE 1200 MG 56 CPR
NOOTROPIL 12 G 1 FL 60 ML PERF
NOOTROPIL 1200 MG 100 CPR
NOOTROPIL 20% SOL 150 ML
NOOTROPIL 2400 MG 30 SACH
NOOTROPIL 3 G 12 AMP 15 ML IMIV
PIRACEBRAL 333 MG/ML SOL 100 ML
PIRACETAM EG 1200 MG 112 CPR
PIRACETAM EG 1200 MG 112 SACH
PIRACETAM RATIO 1 G 10 AMP 5 ML IV
PIRACETAM RATIO 1200 MG 100 DRG
PIRACETAM RATIO 1200 MG 30 CPR
PIRACETAM RATIO 1200 MG 60 DRG
PIRACETAM RATIO 400 MG 100 CAPS
PIRACETAM RATIO LIQ 416,25MG/1,25ML 75ML
PIRACETAM RATIO LIQ 416,25MG/1,25ML150ML
N06BX04
deanol
0028287
DEBRUMYL 20 AMP BUV 5 ML
N06CA
Antidepressants in combination with psycholeptics
0028208
DEANXIT 30 DRG
N06DA02
donepezil
0238897
0238902
0459871
0478246
ARICEPT 10 MG 28 CPR
ARICEPT 10 MG 56 CPR ORODISP
mode de
dlivrance
PCC
Prix public
Taux
P
P
0 0
0 0
4,07
8,57
0
0
R
R
R
RR
R
R
R
R
RR
R
R
R
R
R
R
R
R
RR
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14,33
23,49
0,00
10,41
34,91
25,75
14,59
25,75
0,00
27,77
8,85
23,55
24,44
17,13
18,22
18,22
12,84
10,98
16,47
10,98
13,37
13,94
10,13
10,29
14,45
10,30
12,11
12,03
15,61
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
12,34
0 0
5,92
80
54,17
94,31
94,31
137,40
80
80
80
80
R
R
R
R
conditions de
prescription
OD
C
C
C
C
RMP
1
1
1
1
Page 196 of 243
1
1
1
1
Numro national
Dnomination abrge
0698351
0698415
0435638
0459769
0435672
0698222
0698271
0587626
0587657
0587674
0587528
0587545
0587562
0591789
0591839
0591663
0591727
0653296
0653637
0654326
0653332
0653668
0654374
0653427
0653704
0654407
0652786
0653783
0654178
0652822
0653816
0654214
0652871
0653864
0654245
ARICEPT 10 PI-UK 10 MG 56 CPR

ARICEPT 5 MG 28 CPR
ARICEPT 5 MG 28 CPR ORODISP
ARICEPT 5 MG 98 CPR
DONEPEZIL HCL RATIO 10 MG 28 CPR
DONEPEZIL RATIO 10 MG 28 CPR ORODISP
DONEPEZIL SDZ 10 MG 28 CPR ORODIS
DONEPEZIL SDZ 10 MG 28 CPR PELLIC
DONEPEZIL SDZ 10 MG 28 FILMS (SACH)
N06DA03
rivastigmine
0249941
0249937
0250146
0250181
0468267
0250227
0468303
0468321
EXELON 1,5 MG 112 CAPS

EXELON 3 MG 56 CAPS
EXELON 4,6 MG 30 PATCH
EXELON 6 MG 56 CAPS
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
0
0
1
0
1
0
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
0
1
0
1
0
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
96,42
127,46
47,50
91,69
119,43
48,49
110,84
34,99
61,85
102,60
31,50
55,29
90,88
34,99
102,60
31,50
90,88
32,29
32,29
45,12
37,67
37,67
94,31
41,21
41,21
129,92
12,10
12,10
39,71
73,61
37,67
73,61
30,80
30,80
119,44
0
0
80
0
80
0
0
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
RR
RR
RR
RR
RR
RR
RR
RR
C
C
C
C
C
C
C
C
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
194,76
102,07
102,07
102,07
84,87
102,07
105,70
298,08
80
80
80
80
80
80
80
80
Page 197 of 243
Numro national
Dnomination abrge
N06DA04
galantamine
0661589
0661611
0661691
0661737
0661477
0292793
0286135
0394701
0394728
0394745
0394762
0394681
GALANTAMINE RET MYLAN 16 MG 28 CAPS

REMINYL 4 MG 56 CPR
96472
REMINYL 4 MG/ML SOL 100 ML
96131
REMINYL RET 16 MG 28 CAPS
N06DX01
memantine
0320299
0611315
0320285
0611329
0487469
0492343
0320318
0487519
0361985
0362031
0703255
0703384
0703403
0703191
0703496
0725686
0725705
0726425
0726375
0726389
AXURA 10 MG 100 CPR (ALU)

AXURA 5 MG/HUB 1 FL 50 G
AXURA STARTERPACK 4*7 CPR (ALU)
EBIXA 10 MG 56 CPR
EBIXA 500 MG SOL 50 G
MEMANTINE MERZ 10 MG 42 CPR (ALU/PP)
MEMANTINE MERZ 5MG/0,5ML 50 ML BUV
MEMANTINE MERZ STARTER 4*7 CPR (PVDC)
MEMANTINE SDZ 10 MG 56 CPR (FL HDPE)
MEMANTINE SDZ 10 MG/ML SOL BUV 50 ML
N06DX02
ginkgo biloba
0150574
0176052
TANAKAN 4 % GTTS 90 ML
TANAKAN 40 MG 90 CPR
N07AA01
neostigmine
0249694
0249713
PROSTIGMINE 0,5 MG 5 AMP 1 ML IMIVSC

PROSTIGMINE 12,5 MG 5 AMP 5 ML IMIVSC
N07AA02
pyridostigmine
0071419
MESTINON 10 MG 50 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
C
C
C
C
C
C
C
C
C
C
C
C
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
37,96
96,70
41,48
103,81
26,71
28,36
34,21
37,96
97,18
41,48
104,40
28,36
80
80
80
80
80
80
80
80
80
80
80
80
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
C
C
C
C
C
C
C
C
C
C
C
C
C
C
0
1
1
0
1
1
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
1
1
1
1
0
0
0
0
0
0
0
0
0
0
0
0
163,80
72,53
84,93
159,54
143,59
317,53
86,12
60,34
83,74
75,71
68,76
135,56
299,04
81,51
57,29
58,02
93,86
51,51
91,62
150,44
0
80
80
0
80
80
80
80
0
0
0
0
0
0
0
0
0
0
0
0
P
P
0 0
0 0
18,47
18,47
0
0
RR
RR
0 0
0 0
8,26
32,46
0
0
0 0
7,58
80
C
C
C
C
C
Page 198 of 243
Numro national
Dnomination abrge
0071453
MESTINON 60 MG 150 DRG
N07AA51
neostigmine, combinations
0184961
ROBINUL NEOSTIGMINE 10 AMP 1 ML IV
N07AB01
carbachol
0505049
0505052
0505066
0505083
NIQUITIN MINILOZENGE 1,5 MG 20 CPR SUCER

NIQUITIN MINILOZENGE 1,5 MG 60 CPR SUCER
NIQUITIN MINILOZENGE 4 MG 20 CPR SUCER
NIQUITIN MINILOZENGE 4 MG 60 CPR SUCER
N07AB02
bethanechol
0408093
MYOCHOLINE GLENWOOD 10 MG 50 CPR
N07BA01
nicotine
0380008
0379962
0380042
0380011
0379959
0379928
0191076
0191126
0078437
0230658
0191272
0191031
0669699
0449227
0449177
0662894
0449325
0662931
0525072
0525055
0234318
0635575
0482509
0267501
0486847
0556793
0556874
0556857
0556826
0556809
0390781
NICOPATCH 14 MG 28 PATCH
NICORETTE 10 MG 14 PATCH
NICORETTE 2 MG 105 GOMMES
NICORETTE FRESHMINT 1 MG SPRAY 13,2 ML
NICORETTE FRESHMINT 2 MG 105 GOMMES
NICORETTE FRESHMINT 2 MG 4*20 CPR SUCER
NICORETTE FRESHMINT 4 MG 4*20 CPR SUCER
NICORETTE FRUIT 2 MG 105 GOMMES
NICORETTE FRUIT 4 MG 105 GOMMES
NICORETTE INHALER 10 MG 42 CRT
NICORETTE INHALER 10 MG 6 CRT
NICORETTE MICROTAB 2 MG 100 CPR SL
NICORETTE MICROTAB 2 MG 105 CPR SL
NICORETTE MICROTAB LEMON 2 MG 100 CPR
NICOTINELL 14 MG/24 H 21 PATCH
NICOTINELL CLASSIC 2 MG 96 GOMMES
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
0 0
35,10
80
RR
0 0
39,32
80
P
P
P
P
0
0
0
0
0
0
0
0
8,84
22,33
8,84
22,33
0
0
0
0
0 0
16,29
80
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
68,00
21,00
68,00
21,00
68,00
21,00
38,38
38,38
22,30
7,19
28,03
38,38
24,87
22,30
7,53
24,25
28,03
24,25
22,30
28,03
30,61
9,62
24,24
22,35
24,25
57,68
67,04
24,14
53,29
18,73
18,57
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Page 199 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0390892
0364621
0364729
0363431
0363203
0363265
0363346
0261641
0261654
0261637
0261671
0261685
0261668
0261606
0261623
0261591
0349364
0444011
0349351
0350111
0444024
0349381
0349333
0349316
0446368
0446385
0446161
0446131
NICOTINELL CLASSIC 4 MG 96 GOMMES

NICOTINELL COOL MINT 2 MG 12 GOMMES
NICOTINELL FRUIT 2 MG 12 GOMMES
NIQUITIN 14 MG 14 PATCH
NIQUITIN CLEAR 14 MG 14 PATCH
NIQUITIN LOZENGE 2 MG 72 CPR SUCER
NIQUITIN LOZENGE 4 MG 72 CPR SUCER
NIQUITIN MINT 2 MG 72 CPR SUCER BLIST
NIQUITIN MINT 4 MG 72 CPR SUCER BLIST
N07BA03
varenicline
0444167
0524786
0690014
0444119
0444122
0444105
CHAMPIX 0,5 MG 11 CPR ETUI + 1 MG 14 CPR

CHAMPIX 1 MG 140 CPR (CARTON)
CHAMPIX 1 MG 140 CPR (PVC) (CART)
CHAMPIX 1 MG 28 CPR (ETUI)
CHAMPIX 1 MG 56 CPR (ETUI)
CHAMPIX 1 MG 56 CPR (FL)
N07BB01
disulfiram
0006312
ANTABUSE 400 MG 50 CPR
N07BB03
acamprosate
0328719
0215438
CAMPRAL 333 MG 168 CPR

CAMPRAL 333 MG 84 CPR
N07BB04
naltrexone
0281965
NALOREX 50 MG 28 CPR
mode de
dlivrance
conditions de
prescription
OD
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
RMP
PCC
Prix public
Taux
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
23,80
3,08
20,33
25,87
3,08
20,33
25,87
38,52
61,64
24,06
38,52
61,64
24,06
38,52
61,64
24,06
40,67
53,17
24,05
40,67
53,17
24,05
40,67
24,05
25,67
25,67
25,67
25,67
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
48,54
191,47
191,52
53,17
86,48
86,48
0
0
0
0
0
0
RR
0 0
6,63
80
RR
RR
0 0
0 0
25,19
15,40
80
80
0 0
69,69
80
RR
RR
RR
RR
RR
RR
RR
V
V
V
V
V
V
C
Page 200 of 243
Numro national
Dnomination abrge
N07BC01
buprenorphine
0251211
0251224
SUBUTEX 2 MG 7 CPR
SUBUTEX 8 MG 7 CPR
mode de
dlivrance
N07BC02
methadone
0436439
0436361
0666649
MEPHENON 10 MG 6 AMP 1 ML IMIV

MEPHENON 5 MG 30 CPR
METHADDICT 5 MG 75 CPR
N07BC51
buprenorphine, combinations
0445973
0445956
0445991
0445987
SUBOXONE 2/0,5 MG 28 CPR

SUBOXONE 2/0,5 MG 7 CPR
SUBOXONE 8/2 MG 28 CPR
SUBOXONE 8/2 MG 7 CPR
N07CA01
betahistine
0136818
0162947
0176781
0012807
0278424
0499568
0251529
0251515
BETAHISTINE EG 6 MG 100 CPR

BETASERC 16 MG 42 CPR SEC
BETASERC 16 MG 84 CPR SEC
BETASERC 8 MG 100 CPR
LECTIL 16 MG 45 CPR
LECTIL 24 MG 60 CPR
LECTIL 8 MG 30 CPR
LECTIL 8 MG 90 CPR
N07CA02
cinnarizine
0136849
0110680
0110694
CINNARIZINE EG 75 MG 100 CAPS

STUGERON 25 MG 200 CPR
17572
STUGERON 75 MG/ML GTTS 100 ML
17578
N07CA03
flunarizine
0104568
SIBELIUM 10 MG 28 CPR
N07CA52
cinnarizine, combinations
0118451
TOURISTIL 12 CPR
N07XX
Other nervous system drugs
32232
0634984
VYNDAQEL 20 MG 30 CAPS
N07XX02
riluzole
38101
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
S
S
C
C
6 11
6 11
10,29
22,69
100
100
S
S
S
C
C
C
0 0
6 11
6 11
5,86
6,76
16,91
0
80
100
S
S
S
S
C
C
C
C
6
6
6
6
11
11
11
11
31,08
11,15
85,14
26,20
100
100
100
100
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8,38
11,60
15,36
12,04
8,38
14,08
2,78
7,53
80
80
80
80
80
80
80
80
R
R
R
0 0
0 0
0 0
13,13
13,90
18,75
0
0
0
0 0
19,35
80
0 0
7,38
0 0
0,00
0 0
251,93
0 0
0,00
0 0
0 0
130,53
254,26
0
0
RR
DC
RR
0223913
RILUTEK 50 MG 56 CPR
N07XX04
sodium oxybate
0420795
XYREM 500 MG/ML SOL 180 ML
DC
FAMPYRA 10 MG 2*14 CPR (FL)

FAMPYRA 10 MG 4*14 CPR (FL)
RR
RR
C
C
RM
RM
100
N07XX07
0623896
0623901
Page 201 of 243
Numro national
Dnomination abrge
P01AB07
secnidazole
0434031
SECNOL 2 G 1 SACH
P01AX06
atovaquone
0231249
WELLVONE 750 MG/5 ML SIR 240 ML
P01BA01
chloroquine
0079238
0079224
NIVAQUIN 100 MG 100 CPR

NIVAQUIN 100 MG 20 CPR
P01BA02
hydroxychloroquine
0091344
PLAQUENIL 200 MG 100 DRG
P01BB51
proguanil, combinations
0724918
0724935
0724739
0235511
0340521
MALAPROTEC 250/100 MG 12 CPR (PVC/AL)

MALAPROTEC 250/100 MG 24 CPR (PVC/AL)
MALAPROTEC 62,5/25 MG 12 CPR (PVC/AL)
MALARONE AD 12 CPR
MALARONE JR 12 CPR
P01BC02
mefloquine
0186658
LARIAM 250 MG 8 CPR
P01BD01
pyrimethamine
0027939
DARAPRIM 25 MG 30 CPR
P01CX01
pentamidine isethionate
0146229
PENTACARINAT 300 MG 5 FL
P02CA01
mebendazole
0304931
0126663
0126694
DOCMEBENDA 100 MG 10 CPR

VERMOX 100 MG 6 CPR
17604
VERMOX SIR 30 ML
17606
P02DA01
niclosamide
0130750
YOMESAN 500 MG 4 CPR
P03AC04
permethrin
0185888
0190728
NIX CREME RINSE 1% LOT 59 ML

ZALVOR 5% CREME 30 G
P03AC54
permethrin, combinations
0263094
PARAPLUS SPRAY 125 ML
P03AX03
malathion
0093805
0223815
PRIODERM 0,5% LOTION 100 ML

RADIKAL 0,5% LOT CAPILL ANTIPOUX 100 ML
R01
NASAL PREPARATIONS
0000627
ACTISOUFRE 30 AMP BUV 10 ML
mode de
dlivrance
conditions de
prescription
OD
PCC
Prix public
Taux
RR
0 0
8,59
RR
0 0
342,89
R
R
6 8
6 8
4,53
5,28
80
80
0 0
14,22
80
RR
RR
RR
RR
RR
0
0
0
6
6
0
0
0
8
8
25,71
46,43
15,58
30,02
17,96
0
0
0
80
80
6 8
33,29
80
0 0
4,34
80
RR
0 0
103,47
80
P
P
P
0 0
0 0
0 0
4,43
5,78
6,08
80
80
80
0 0
6,12
80
P
RR
0 0
0 0
9,27
13,11
0
80
0 0
10,64
P
P
0 0
0 0
6,95
7,48
0
0
0 0
5,18
RMP
RM
Page 202 of 243
Numro national
Dnomination abrge
R01AA
Sympathomimetics, plain
0043753
0192091
FARIAL DOSIERSPRAY 10 ML
FARIAL NASENSPRAY 10 ML
R01AA03
ephedrine
0039330
0039327
ENDRINE DOUX GTTS NAS 30 ML

ENDRINE FORT GTTS NAS 30 ML
R01AA05
oxymetazoline
0075774
0075743
0260321
0355491
0538121
0075760
0127402
NASIVIN DOSIERSPRAY 0,05% ERW 10 ML

NASIVIN NASENTROPFEN 0,05% ERW 10 ML
NASIVIN O.KONS 0,01% BABY DOSIERTROPFER
NASIVIN O.KONS 0,025% KLEINK DOSIERSPRAY
NASIVIN O.KONS 0,05% ERW DOSIERSPRAY
NASIVIN SPRAY 0,05% ERW 10 ML
VICKS SINEX SPRAY NASAL 15 ML
R01AA07
xylometazoline
0010542
0268431
0314338
0297691
0132576
0426009
0429577
0429581
0132562
0319513
0319527
0319531
0319544
0497871
BALKIS SPRAY NASAL 10 ML

NASA RHINATHIOL 0,05% SPRAY NAS ENF 10ML
NASA RHINATHIOL 0,1% SPRAY NAS AD 10 ML
NASASINUTAB 0,1% SPRAY 10 ML
NASENGEL RATIO 10 G
NASENSPRAY E HEXAL 0,1% 10 ML
NASENSPRAY RATIO ERW 0,1% 10ML KONSFREI
NASENSPRAY RATIO KIN 0,05% 10ML KONSFREI
NASENTROPFEN RATIO KINDER 0,05% 10 ML
OTRIVINE ANTIRHIN 0,05% GTTS ENF 10 ML
OTRIVINE ANTIRHIN 0,1% GTTS AD 10 ML
OTRIVINE ANTIRHIN 0,1% MICRODOS 10 ML
OTRIVINE ANTIRHIN MENTH 0,1% MICROD 10ML
OTRIVINE ANTIRHIN SINE CONS 0,05% SPRAY
R01AA08
naphazoline
0125151
0125148
VASOCEDINE NAPHA GTTS 15 ML IN

VASOCEDINE NAPHA MICRODOSEUR 15 ML IN
R01AA09
tramazoline
0231638
0099387
0311421
0099390
DEXARHINOSPRAY MICRODOS 10 ML
RHINOSPRAY CPT GTTS 15 ML
RHINOSPRAY EUCALYPTUS SPRAY 10 ML
RHINOSPRAY MICRODOSEUR 15 ML
R01AB01
phenylephrine
0189713
0127299
0189891
VIBROCIL GEL TUBE 12 G

VIBROCIL GTTS NAS 15 ML
VIBROCIL SPRAY 15 ML
mode de
dlivrance
conditions de
prescription
OD
PCC
Prix public
Taux
P
P
0 0
0 0
3,40
2,35
0
0
P
P
0 0
0 0
3,76
3,76
0
0
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5,14
3,68
4,28
4,28
5,14
4,38
4,85
0
0
0
0
0
0
0
P
P
P
P
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3,37
4,71
6,30
6,03
2,77
2,15
3,07
2,08
2,08
5,86
5,86
6,84
6,84
6,79
0
0
0
0
0
0
0
0
0
0
0
0
0
0
P
P
0 0
0 0
5,49
6,61
0
0
RR
P
P
P
0
0
0
0
0
0
0
0
11,49
5,82
6,36
7,37
0
0
0
0
P
P
P
0 0
0 0
0 0
6,24
5,48
6,84
0
0
0
Page 203 of 243
RMP
Numro national
Dnomination abrge
mode de
dlivrance
R01AB02
naphazoline
0141415
0181831
SOFRALINE GTTS 15 ML
SOFRALINE SPRAY MICRODOSEUR 15 ML
R01AB06
xylometazoline
0522974
OTRIVINE DUO SPRAY 1 FL MD 10 ML
R01AC01
cromoglicic acid
0187235
0267708
0267711
0215729
0216291
CROMOHEXAL KOMB 2% SPRAY 15 ML + COLLY

CROMOHEXAL SANFT NASENSPRAY 15 ML
CROMOHEXAL SANFT NASENSPRAY 30 ML
LOMUSOL 2% GTTS 13,5 ML IN
LOMUSOL FORTE 4% SPRAY 15 ML IN
R01AC02
levocabastine
0173985
LIVOSTIN 0,05% SPRAY 1 FL 10 ML
R01AC03
azelastine
0188716
ALLERGODIL SPRAY 10 ML
R01AC51
cromoglicic acid, combinations
0151568
VIVIDRIN SPRAY 15 ML
52017
241
R01AD04
flunisolide
0112637
SYNTHARIS NEB NAS 24 ML
R01AD05
budesonide
0298539
RHINOCORT AQUA 64 MCG/D 120 D
R01AD08
fluticasone
0251791
FLIXONASE AQUA 50 MCG/D SPRAY 150 D
R01AD09
mometasone
0726491
0730798
0253439
MOMETASONE SDZ 50 MCG/D 18 G (140 D)

MOMETASONE SDZ 50 MCG/D 18 G (3*140 D)
NASONEX 50 MCG/D SPRAY 18 G
R01AD12
fluticasone furoate
0475759
AVAMYS 27,5 MCG SPRAY 120 D
R01AD52
prednisolone, combinations
0181844
0105811
SOFRASOLONE GTTS NASALES 10 ML

SOFRASOLONE SPRAY MICRODOSEUR 10 ML
R01AX03
ipratropium bromide
0226106
ATRONASE 0,3 MG/ML MICRODOS 1 FL 15 ML
R01AX08
framycetin
0105761
0105789
SOFRAMYCINE SIMPLE GTTS NAS 15 ML

SOFRAMYCINE SPRAY MICRODOSEUR 15 ML
conditions de
prescription
OD
PCC
Prix public
Taux
P
P
0 0
0 0
4,36
5,54
0
0
0 0
7,81
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
9,39
5,97
11,21
8,22
8,91
40
40
40
40
40
0 0
12,09
40
0 0
11,86
40
0 0
6,86
40
RR
0 0
9,23
40
RR
0 0
11,36
40
RR
0 0
14,75
40
RR
RR
RR
0 0
0 0
0 0
11,57
25,38
14,83
0
0
40
RR
0 0
14,62
40
RR
RR
0 0
0 0
5,58
6,95
0
0
0 0
13,21
40
P
P
0 0
0 0
4,76
5,25
40
40
Page 204 of 243
RMP
Numro national
Dnomination abrge
R01AX10
various
0209122
PHYSIORHINE 0.9% SOL IN 18 UD 5 ML
R01AX30
combinations
0416873
ACTISOUFRE VAPO 100 ML
R01BA02
pseudoephedrine
0277685
0300851
0300847
RINOMAR 60 MG 24 CPR
90816
VASOCEDINE PSEUDOEPHEDRINE 60 MG 30 CPR
VASOCEDINE PSEUDOEPHEDRINE 60 MG 6 CPR
R01BA52
pseudoephedrine, combinations
0469328
0320349
0231154
0229884
0385469
0349011
0349039
AERINAZE 2,5/120 MG 14 CPR

CIRRUS 120/5 MG 14 CPR
CLARINASE ONCE DAILY 240/10 MG 7 CPR
CLARINASE REPETABS 120/5 MG 14 CPR
REACTINE PSEUDOEPHEDRINE 120/5 MG 14 CPR
SINUTAB 500/30 MG 15 CPR
SINUTAB FORTE 500/60 MG 20 CPR
R01BA53
phenylephrine, combinations
0259849
0311806
0259852
RHINATHIOL ANTIRHINITIS 20 CPR

RHINATHIOL ANTIRHINITIS 40 CPR
RHINATHIOL ANTIRHINITIS SIR 200 ML
R02A
THROAT PREPARATIONS
0453881
MAXILASE 3000 30 CPR
R02AA
Antiseptics
0241651
HEXASPRAY COLLU 30 G
R02AA02
dequalinium
0309941
ORORHINATHIOL 30 PAST
R02AA03
dichlorobenzyl alcohol
0391967
0247025
STREPSILS LIDOCAINE 36 PAST

STREPSILS LIDOCAINE SPRAY 20 ML
R02AA05
chlorhexidine
0375249
0179006
0677141
0651731
0651694
0614835
0544663
0544681
0183271
ANGIOCINE 1,5/5 MG 24 CPR

GOLASEPTINE 5 MG 20 PAST
GOLASEPTINE LIDOC 5 MG + 1 MG 40 CPR
MEDICA LEMON GORGE 36 CPR SUCER
MEDICA LEMON GORGE 40 CPR SUCER
MEDICA LEMON GORGE SPRAY 30 ML
MEDICA MENTHOL GORGE 36 CPR SUCER
MEDICA MENTHOL GORGE SPRAY 30 ML
MEFREN 24 PAST
mode de
dlivrance
conditions de
prescription
OD
PCC
Prix public
Taux
0 0
4,85
40
0 0
8,16
R
R
R
0 0
0 0
0 0
5,05
6,90
2,04
0
0
0
R
R
R
R
R
P
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7,72
7,72
7,44
6,79
7,73
5,78
8,49
0
0
0
0
0
0
0
P
P
P
0 0
0 0
0 0
3,03
6,45
7,29
0
0
0
0 0
5,48
0 0
5,04
0 0
6,76
P
P
0 0
0 0
8,33
7,09
0
0
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
4,34
4,62
7,29
7,47
5,09
8,26
7,47
8,26
4,86
0
0
0
0
0
0
0
0
0
Page 205 of 243
RMP
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
R02AA15
povidone-iodine
0174612
0058966
IODEX BUCCAL 1% COLLU 200 ML

ISOBETADINE BUCCAL 1% SOL 200 ML
R02AA18
hexamidine
0053536
HEXOMEDINE COLLU AER 30 G
R02AA20
various
0030108
0030111
0035622
0386483
0243481
0319107
0488533
0217446
0334652
0319111
0488547
0149704
0334649
0149671
0280176
0508461
0487942
0487911
0487956
0487939
DEQUONAL SOL 200 ML

DEQUONAL SPRAY 50 ML
DORITHRICIN 20 CPR
HEXALYSE 30 CPR
NEOGOLASEPTINE SPRAY 30 G
OROFAR LIDOCAINE MENTHE PERLES 24 CAPS
OROFAR LIDOCAINE MENTHE PERLES 36 CAPS
OROFAR LIDOCAINE PERLES 24 CAPS
OROFAR LIDOCAINE PERLES 36 CAPS
OROFAR MENTHE PERLES 24 CAPS
OROFAR MENTHE PERLES 36 CAPS
OROFAR PERLES 24 CAPS
OROFAR PERLES 36 CAPS
OROFAR SPRAY 30 ML
PATE SUISSE NOUVELLE 50 G
STREPSILS COOL MINT 36 PAST
STREPSILS MIEL CITRON 36 PAST
STREPSILS SS SUCRE CITRON 36 PAST
STREPSILS SS SUCRE FRAISE 36 PAST
STREPSILS VIT C ORANGE 36 PAST
R02AB02
tyrothricin
0248361
0260254
0248294
0253926
LEMOCIN 24 PAST
LEMOCIN 50 PAST
TYROTHRICINE LIDOC RPR CITRON 48 PAST
TYROTHRICINE LIDOC RPR MENTHE 48 PAST
R02AB03
fusafungine
0229769
LOCABIOTAL 1% 1 FL DOS 5 ML IN + BU
R02AD
Anesthetics, local
0517537
0517541
0330538
0330555
MUCOANGIN CASSIS 20 MG 30 PAST

MUCOANGIN CASSIS 20 MG 48 PAST
MUCOANGIN MENTHE 20 MG 20 PAST
MUCOANGIN MENTHE 20 MG 30 PAST
R02AX01
flurbiprofen
0557773
STREPFEN 8,75 MG 24 PAST
mode de
dlivrance
conditions de
prescription
OD
PCC
Prix public
Taux
P
P
0 0
0 0
4,66
5,46
40
40
0 0
6,42
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6,36
6,86
7,06
1,97
6,71
7,03
9,70
6,75
9,63
6,18
9,53
6,03
9,35
9,15
6,68
7,29
6,96
7,24
7,24
6,96
40
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
P
P
P
P
0
0
0
0
0
0
0
0
4,83
7,39
6,51
5,33
0
0
0
0
0 0
8,34
P
P
P
P
0
0
0
0
0
0
0
0
8,24
7,78
6,30
8,24
0
0
0
0
0 0
8,03
Page 206 of 243
RMP
Numro national
Dnomination abrge
mode de
dlivrance
R03AC02
salbutamol
0210641
0288661
0409141
0405687
0126307
0265511
0220827
0263662
AIROMIR 100 MCG AER 200 D

AIROMIR AUTOHALER 100 MCG/D 200 D
NOVOLIZER SALBUT 100 MCG 1 CRT 200D RECH
NOVOLIZER SALBUT 100 MCG 1 INH+CRT 200 D
VENTOLIN 0,5% SOL INH NEB 10 ML
VENTOLIN 100 MCG/D 200 D SPRAY SS CFC
VENTOLIN DISKUS 200 MCG 60 BLIST UD
VENTOLIN NEBULES 1 MG/ML 20 AMP 2,5 ML
R03AC03
terbutaline
0161791
BRICANYL TURBOHALER 0,5 MG/D PDR IH 200D
R03AC12
salmeterol
0214024
0458615
SEREVENT DISKUS 50 MCG 60 D

SEREVENT EVOHALER 25 MCG/D SUSP 120 D IH
R03AC13
formoterol
0692019
0691994
0449485
0232621
0232635
FORMAGAL 12 MCG PDR INHAL 180 CAPS

FORMAGAL 12 MCG PDR INHAL 60 CAPS
NOVOLIZER FORMOTEROL 12 MCG 1 CRT 60 D
OXIS TURBOHALER 4,5 MCG/D 60 D IH
OXIS TURBOHALER 9 MCG/D 60 D IH
R03AC18
indacaterol
0558834
0558865
ONBREZ BREEZHALER 150 MCG 30 CAPS + INH

ONBREZ BREEZHALER 300 MCG 30 CAPS + INH
R03AK03
fenoterol and other drugs for obstructive airway diseases
0305499
0213187
DUOVENT HFA 200 D 10 ML INH

DUOVENT SOL INH 20 FL UD
R03AK04
salbutamol and other drugs for obstructive airway diseases
0306806
0250701
COMBIVENT 60 FL UD INH
COMBIVENT SOL 20 FL UD INH
R03AK06
salmeterol and other drugs for obstructive airway diseases
0296291
0296307
0296288
0261041
0261072
0261119
SERETIDE 25/125 AER 120 D

SERETIDE 50/100 DISKUS 60 D
R03AK07
formoterol and other drugs for obstructive airway diseases
0687506
0687523
0687491
FLUTIFORM 125/5 MCG 120 D INH

conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6,97
14,68
5,19
11,56
6,50
6,53
9,59
9,51
100
0
100
100
100
100
100
100
0 0
14,69
100
RR
RR
0 0
0 0
27,61
27,61
100
100
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
43,04
21,51
26,75
24,76
23,94
100
100
100
100
100
0 0
0 0
38,23
38,23
100
100
0 0
0 0
10,66
12,46
100
100
0 0
0 0
22,37
11,66
100
100
0
0
0
0
0
0
0
0
0
0
0
0
40,63
52,74
32,30
32,30
40,63
52,74
100
100
100
100
100
100
0 0
0 0
0 0
41,76
57,94
33,34
100
100
100
RR
RR
RM
RM
R
R
R
R
RR
RR
RR
RR
RR
RR
RR
RR
RR
Page 207 of 243
Numro national
Dnomination abrge
0472967
0692621
0339404
0294672
0294624
INUVAIR 100/6 MCG SOL INH 120 D

INUVAIR NEXTHALER 100/6MCG/D 1 INH 120 D
SYMBICORT FORTE TURBO 320/9 MCG 1*60 D
SYMBICORT TURBOHALER 1*120 D
SYMBICORT TURBOHALER 1*60 D
R03BA01
beclometasone
0286931
0286927
QVAR AUTOHALER 100 MCG/D 200D IH

QVAR AUTOHALER 50 MCG/D 200 D IH
R03BA02
budesonide
0398016
0398002
0162706
0416243
NOVOLIZER BUDESONIDE 200MCG/D INH+2*200D

NOVOLIZER BUDESONIDE 200MCG/D INH+200 D
PULMICORT SUSP 0,5 MG/ML 20 UD 2 ML
PULMICORT TURBOHALER 200 MCG PDR 100 D
R03BA05
fluticasone
0257035
0275632
0216811
0216824
0216838
0270068
0270054
FLIXOTIDE 250 MCG/D AER SS CFC 120 D

FLIXOTIDE 50 MCG/D AER SS CFC 120 D
FLIXOTIDE DISKUS 100 MCG 60 D
FLIXOTIDE NEBULES 0,5 MG 10 AMP 2 ML INH
FLIXOTIDE NEBULES 2 MG 10 AMP 2 ML INH
R03BB
Anticholinergics
0667257
0676287
BRETARIS GENUAIR 322 MCG/D 3*60 D IH

SEEBRI BREEZHALER 44 MCG 30 CAPS + INH
R03BB01
ipratropium bromide
0214556
0306787
0214573
0345222
ATROVENT 0,25 MG 20 FL 2 ML UD IH
ATROVENT HFA 20 MCG/D AER 10 ML
R03BB04
tiotropium bromide
0316041
0495586
SPIRIVA 18 MCG 30 CAPS + HANDIHALER

SPIRIVA RESPIMAT 2,5 MCG/D 2 CRT + 2 INH
R03BC01
cromoglicic acid
0170791
0256315
0067254
CROMOHEXAL 1% 20 MG 50 AMP 2 ML
LOMUDAL INHAL CFC-FREE 5MG/D AER 12 ML
LOMUDAL SOL NEB 20 MG 48 AMP 2 ML V IH
R03CC02
salbutamol
0126288
0126310
0126291
VENTOLIN 2 MG 100 CPR

VENTOLIN 2 MG/5 ML SIR 150 ML
VENTOLIN 4 MG 50 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
45,53
45,53
48,37
48,37
34,37
100
0
100
100
100
RR
RR
0 0
0 0
24,79
17,09
100
100
RR
RR
RR
RR
0
0
0
0
0
0
0
0
34,72
20,64
41,58
15,37
100
100
100
100
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
36,07
12,66
12,66
22,89
36,07
14,42
21,94
100
100
100
100
100
100
100
RR
RR
0 0
0 0
38,90
43,11
0
100
R
R
R
R
0
0
0
0
0
0
0
0
9,73
17,16
12,35
10,04
100
100
100
100
R
R
0 0
0 0
48,89
50,29
100
0
R
R
R
0 0
0 0
0 0
18,96
12,03
13,33
80
80
80
R
R
R
0 0
0 0
0 0
6,80
5,68
6,75
100
100
100
Page 208 of 243
Numro national
Dnomination abrge
0126341
0126338
VENTOLIN 5 MG 1 AMP 5 ML PERF

VENTOLIN 500 MCG 3 AMP 1 ML IMSC
R03DA04
theophylline
0222396
0115754
0115771
0115964
0160617
0182551
0160603
EUPHYLLIN 200 MG 50 AMP 10 ML IV

THEOLAIR LA 250 MG 100 CPR
THEOLAIR LA 350 MG 100 CPR
THEOSTAT 300 MG 30 CPR LP
XANTHIUM 200 MG 60 CAPS
R03DC01
zafirlukast
0228744
0251823
ACCOLATE 20 MG 56 CPR
RESMA 20 MG 56 CPR
R03DC03
montelukast
0591601
0591629
0601631
0591534
0601417
0601448
0591579
0601496
0601529
0503514
0503528
0503545
0503559
0503593
0503254
0503268
0503285
0503299
0503321
0503383
0503397
0503416
0503433
0503464
0648721
0648766
0648802
0648901
0648945
MONTELUKAST MYLAN 10 MG 28 CPR

MONTELUKAST RATIO 10 MG 20 CPR
MONTELUKAST RATIO JR 5 MG 20 CPR
MONTELUKAST RATIO MINI 4 MG 20 CPR
MONTELUKAST SDZ 10 MG 28 CPR
MONTELUKAST SDZ 4 MG 28 CPR CROQ
mode de
dlivrance
RR
R
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
0 0
0 0
0,00
6,32
0
100
RR
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
9,28
10,83
3,31
7,66
8,87
9,70
0
100
100
100
100
100
100
R
R
0 0
0 0
18,62
22,10
80
80
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
22,79
38,89
57,72
22,79
38,89
57,72
22,79
38,89
57,72
18,00
24,09
42,00
41,37
59,29
18,00
24,10
42,00
41,37
59,29
18,00
24,10
42,00
41,37
65,58
22,79
37,95
55,19
22,79
37,95
80
80
80
80
80
80
80
80
80
0
80
80
0
80
0
80
80
0
80
0
80
80
0
0
80
0
80
80
0
Page 209 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
mode de
dlivrance
0648993
0649097
0649147
0649181
0368911
0246904
0246918
0433292
0512706
0246935

RHINOSINGULAIR 10 MG 28 CPR
SINGULAIR 10 MG 28 CPR
SINGULAIR 10 MG 56 CPR
SINGULAIR 4 MG 28 CPR CROQ
SINGULAIR 4 MG 28 SACH
SINGULAIR 5 MG 28 CPR CROQ
R03DX
Other systemic drugs for obstructive airway diseases
0091750
0091747
PNEUMOREL 300 MG SIR 150 ML

PNEUMOREL 80 MG 30 CPR
R03DX05
omalizumab
0558803
0558771
XOLAIR 150 MG 1 SRG PREREMPLIE SC

XOLAIR 75 MG 1 SRG PREREMPLIE 0,5 ML SC
R03DX07
roflumilast
0596481
DAXAS 500 MCG 30 CPR
R05
COUGH AND COLD PREPARATIONS
0712657
0511113
RHINATHIOL PELARGONIUM 20 MG 20 CPR

TOULARYNX THYM SIR 180 ML
R05CA03
guaifenesin
0652349
0686364
0413403
BRONCHOSEDAL MUCUS MENTHOL SIR 150 ML

BRONCHOSEDAL MUCUS MIEL CITRON SIR 150ML
VICKS EXPECT MIEL 200MG/15ML SIR 180 ML
R05CA10
combinations
0118191
TOPLEXIL SIR 150 ML
R05CB01
acetylcysteine
0148383
0195108
0197763
0195111
0197777
0204353
0175637
0148402
0195531
0197781
0166915
0197794
0204403
ACC 100 MG 100 SACH

ACC 100 MG 20 CPR EFF
ACC 100 MG 20 SACH
ACC 100 MG 50 SACH
ACC 100 MG TABS 20 CPR
ACC 200 MG 100 SACH
ACC 200 MG 20 SACH
ACC 200 MG 50 SACH
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
55,19
22,79
37,95
55,19
41,50
22,79
39,20
22,79
22,79
22,79
80
80
0
80
0
80
80
80
80
80
R
R
0 0
0 0
2,21
7,36
0
0
0 0
0 0
0,00
0,00
0
0
RR
0 0
53,54
P
P
0 0
0 0
9,67
8,55
0
0
P
P
P
0 0
0 0
0 0
7,00
7,00
7,21
0
0
0
0 0
5,10
P
P
P
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
10,51
2,61
2,60
5,82
5,82
2,61
13,69
13,26
8,96
3,76
11,49
7,58
13,69
40
40
40
40
40
40
40
40
40
40
40
40
40
RR
RR
DC
DC
Page 210 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
0204384
0204398
0204417
0204421
0229755
0208268
0175654
0166977
0175641
0462599
0468379
0175668
0197813
0166946
0166963
0136799
0501912
0240458
0240475
0240461
0240489
0455904
0455918
0347518
0657264
0657278
0657281
0657295
0173839
0696536
0696519
0696505
0068637
0068623
0235993
0068654
0378013
0378027
0693405
0277591
0265586
0187686
0265605
0277606
Dnomination abrge
ACC AKUT 600 MG 10 CPR EFF
ACC AKUT 600 MG 6 CPR EFF
ACC INJEKT 300 MG 100 AMP 3 ML IMIVIH
ACC INJEKT 300 MG 5 AMP 3 ML IMIV
ACC INJEKT 300 MG 50 AMP 3 ML IMIVIH
ACC KINDERSAFT 20 MG/ML 100 ML
ACC KINDERSAFT 20 MG/ML 200 ML
ACC LONG 600 MG 10 CPR EFF
ACETYLCYSTEINE EG 200 MG 30 CAPS
ACETYLCYSTEINE EG 200 MG 30 SACH
ACETYLCYSTEINE EG 600 MG 10 CPR EFF
ACETYLCYSTEINE MYLAN 600 MG 30 SACH
ACETYLCYSTEINE SDZ 200 MG GRAN 30 SACH
ACETYLCYSTEINE SDZ 600 MG 10 CPR EFF
EXOMUC 200 MG 30 SACH
LYSOMUCIL 2% SIR (FRAMBOISE) 100 ML
LYSOMUCIL 2% SIR (FRAMBOISE) 200 ML
LYSOMUCIL 2% SIR 150 ML
LYSOMUCIL 200 MG 30 CAPS
LYSOMUCIL 200 MG 30 CPR EFF
LYSOMUCIL 200 MG 30 SACH
LYSOMUCIL 300 MG 20 AMP 3 ML IMIVIH
LYSOMUCIL 4% SOL BUV 150 ML
LYSOMUCIL 4% SOL BUV 200 ML
LYSOMUCIL 600 MG 10 CPR
mode de
dlivrance
conditions de
prescription
OD
P
P
P
P
P
P
RR
RR
RR
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
RR
P
P
P
P
P
P
P
P
RMP
PCC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Page 211 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Prix public
4,92
11,49
11,07
13,69
5,33
2,65
0,00
1,70
0,00
3,82
6,73
8,55
17,89
11,07
13,69
5,85
5,85
6,28
5,85
7,66
7,66
10,46
10,46
10,05
5,49
5,30
7,68
11,36
4,35
5,35
8,55
6,31
7,85
5,78
7,28
8,63
6,56
8,73
5,85
7,75
7,75
10,51
10,51
14,62
Taux
40
40
40
40
0
40
0
80
0
40
40
40
40
40
40
40
40
0
0
40
0
40
40
40
40
40
40
40
40
40
40
40
40
40
40
80
40
0
0
40
40
40
40
0
Numro national
Dnomination abrge
mode de
dlivrance
0277573
0296162
0187008
0222155
0222169
0251001
0230613
0193568
0193523
0190888
0206571
0193571
0193537
0190891
0193585
0193599
0190911
0193604
0190924
0197147

LYSOX 2% SIR 180 ML
LYSOX 200 MG 30 SACH
LYSOX JR 100 MG 30 SACH
NAC RATIO 200 MG 20 BRAUSETABL
NAC RATIO 200 MG 20 SACH 2 G
NAC RATIO 200 MG 20 TRINKTABL
NAC RATIO 200 MG 30 SACH
NAC RATIO 200 MG 50 SACH
PECTOMUCIL 200 MG GRAN 30 SACH
R05CB02
bromhexine
0014328
0162687
0014295
0014314
0136821
0314095
0685496
BISOLVON 0,2% SOL INH 100 ML

BISOLVON 0,2% SOL OR 100 ML
BISOLVON 8 MG 50 CPR
BISOLVON 8 MG/5ML SIR 250 ML
BROMHEXINE EG 8 MG 50 CPR
BRONCHIMEREPRINE 8 MG 50 CPR SEC
TOULARYNX BROMHEXINE SIR 180 ML
R05CB03
carbocisteine
0525718
0525735
0314274
0334831
0314257
0314261
0105565
0340842
0340856
0143082
0346295
0209816
BALSOCLASE MUCOLYT SS SUCRE 5% 150 ML

BALSOCLASE MUCOLYT SS SUCRE 5% 150ML+DOS
MUCORHINATHIOL AD 5% SIR 250 ML
MUCORHINATHIOL AD SS SUCRE 5% SIR 250 ML
MUCORHINATHIOL ENF 2% SIR 200 ML
MUCORHINATHIOL ENF SS SUCRE 2% SIR 200ML
SIROXYL 5 % SIR 250 ML
SIROXYL ENF 100 MG/5 ML SIR 125 ML
SIROXYL ENF 100 MG/5 ML SIR 250 ML
SIROXYL GRAN 14 SACH
SIROXYL SS SUCRE 750 MG/15 ML 300 ML
SOLUDRILL EXP ENF 2% 125 ML
R05CB06
ambroxol
0004030
AMBROHEXAL 15 MG/5 ML SIR ENF 100 ML
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14,62
6,90
7,00
7,75
9,00
10,83
4,84
3,88
3,88
3,88
6,35
7,81
7,81
7,81
4,03
7,33
7,33
13,21
13,21
5,44
0
40
40
0
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7,28
7,28
9,34
8,61
7,78
4,53
8,26
80
40
40
40
40
0
40
P
P
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6,50
6,50
7,58
7,92
6,75
7,04
7,66
4,40
7,24
7,91
9,71
4,02
0
0
0
0
0
0
40
0
0
40
0
0
0 0
2,14
40
Page 212 of 243
Numro national
Dnomination abrge
0004044
0003999
0175699
0003985
0004027
0004013
0184538
0004092
0175704
0004089
0208951
0135967
0135971
0267014
0266986
0267001
0266972
0266955
0266969
0264754
0264768
0264785
0264771
0161905
0152596
0144001
0144371
0162978
0223183
AMBROHEXAL 15 MG/5 ML SIR ENF 250 ML

AMBROHEXAL 30 MG 100 CPR
AMBROHEXAL 7,5 MG/ML GTTS 100 ML
AMBROHEXAL 7,5 MG/ML GTTS 50 ML
AMBROHEXAL RET 75 MG 10 CAPS
AMBROHEXAL S 60 MG 20 CPR EFF
AMBROXOL RATIO 15 MG 10 AMP 2 ML IMIVSC
AMBROXOL RATIO 15 MG 50 AMP 2 ML IMIVSC
AMBROXOL RATIO HL 30 MG 100 CPR
AMBROXOL RATIO HL RET 75 MG 100 CAPS
AMBROXOL RATIO HUSTENSAFT 100 ML
AMBROXOL RATIO HUSTENSAFT 250 ML
AMBROXOL RATIO HUSTENTROPFEN 100 ML
AMBROXOL RATIO HUSTENTROPFEN 50 ML
MUXOL 30 MG 30 CPR
MUXOL SOL BUV 180 ML
SURBRONC 30 MG/5 ML SIR 250 ML
SURBRONC 60 MG 20 CPR SEC
SURBRONC 60 MG 20 SACH
SURBRONC 60 MG 50 CPR UD
R05CB10
combinations
0139367
0045596
FLUIMUCIL ANTIBIOTIC 1 FL+S INTO

FLUIMUCIL ANTIBIOTIC 3 FL+S INTO
R05CB13
dornase alfa (desoxyribonuclease)
0203082
PULMOZYME 1 MG 30 AMP 2,5 ML INH
R05CB15
erdosteine
0249503
0249517
MUCODOX 300 MG 14 CAPS

MUCODOX 300 MG 56 CAPS
R05DA
Opium alkaloids and derivatives
0150963
NORTUSSINE SIR 125 ML
R05DA01
ethylmorphine
0288563
CODETHYLINE ERFA 5 MG 50 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
P
P
P
P
P
P
P
P
P
P
RR
RR
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4,27
9,56
3,07
5,44
3,98
2,37
3,42
22,67
5,76
11,43
5,43
13,72
0,00
10,95
3,29
6,49
24,23
6,62
13,82
2,14
4,27
4,01
2,39
4,83
4,42
13,60
10,58
8,65
0,00
40
40
40
40
40
40
40
40
40
40
40
80
0
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
0
RR
RR
0 0
0 0
4,81
9,67
40
40
RR
0 0
490,09
80
P
P
0 0
0 0
8,94
17,00
40
40
0 0
6,38
0 0
5,32
40
Page 213 of 243
Numro national
Dnomination abrge
R05DA04
codeine
0015664
0227103
0219163
0076530
0076589
0076592
0673318
0511144
BROMOPHAR SIR 180 ML

BRONCHOSEDAL CODEIN SIR 200 ML 87957
GLOTTYL SIR 300 ML
NEOCODION 20 CPR
NEOCODION AD SIR 180 ML
NEOCODION ENF SIR 125 ML
TOULARYNX CODEINE SIR 180 ML
TOUXSAN CODEINE S SUCRE SIR 200 ML
R05DA07
noscapine
0306448
0662992
NOSCA MEREPRINE 15 MG 24 CPR

NOSCAFLEX 15 MG 20 CPR
R05DA08
pholcodine
0525851
0525847
CLARIX SIR 250 ML

CLARIX SS SUCRE SIR 250 ML
mode de
dlivrance
R05DA09
dextromethorphan
0306093
0219888
0317052
0311126
0673321
0627976
0213285
0450584
0314291
0314307
0713851
ACTIFED NEW SIR 180 ML

BRONCHOSEDAL DEXTROMETHORPHAN SIR 180 ML
HUMEX ANTITUSSIV 13,3MG/10ML SIR 200 ML
NORTUSSINE MONO 10 MG/5 ML SIR 125 ML
TOULARYNX DEXTROMETHORPHAN SIR 180 ML
TOUXIUM ANTITUSSIVUM 30 MG 18 CAPS
TOUXIUM ANTITUSSIVUM 30 MG 20 CAPS
TUSSO RHINATHIOL 10 MG 36 PAST
TUSSO RHINATHIOL AD 0,133% SIR 200 ML
TUSSO RHINATHIOL ENF 0,1% SIR 125 ML
VICKS VAPOSYRUP ANTITUSSIF MIEL 180 ML
R05DB05
pentoxyverine
0443786
BALSOCLASE ANTITUSSIVUM SS SUCRE SIR 200
R05DB13
butamirate
0651677
0467225
SINECOD 7,5 MG/5 ML SIR 200 ML

SINECOD AD 7,5 MG/5 ML SIR 125 ML
R05DB21
cloperastine
0345639
0419505
LYSOTOSSIL 0,354 G/ML SIR 200 ML

LYSOTOSSIL 10 MG 30 DRG
R05DB27
levodropropizine
0427331
LEVOTUSS 0,6% SIR 200 ML
R05FA02
opium derivatives and expectorants
0278228
0042076
BAUME PULMONAIRE SIR AD 250 ML

EUCALYPTINE PHOLCODINE 10 SUPP AD
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
RR
RR
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7,88
7,00
6,95
2,51
2,67
1,88
8,55
6,32
0
0
40
40
40
40
0
40
P
P
0 0
0 0
5,92
7,81
40
0
P
P
0 0
0 0
7,66
7,66
0
0
P
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7,37
7,00
5,01
6,38
6,99
6,24
6,80
8,69
6,95
5,40
6,79
0
0
40
0
40
40
40
0
0
0
0
0 0
6,99
40
P
P
0 0
0 0
8,26
6,80
40
40
R
R
0 0
0 0
6,31
4,67
40
40
0 0
8,42
P
P
0 0
0 0
7,10
5,74
40
0
Page 214 of 243
Numro national
Dnomination abrge
0042093
0056460
0089914
0245048
0121099
EUCALYPTINE PHOLCODINE 10 SUPP ENF

INALPIN SIR 180 ML
PHOLCO MEREPRINE SIR 200 ML
TROPHIRES SIR AD 200 ML
TROPHIRES SIR ENF 125 ML
R05FB02
cough suppressants and expectorants
0090235
PHYTOTUX SIR 250 ML
R05X
OTHER COLD COMBINATION PREPARATIONS
0241844
0174884
0017817
0340985
0260711
0429711
0230269
0429708
0487991
0355652
0299908
0299911
0299925
0076558
0400369
0635589
0180011
0179992
0651663
0249677
0249681
0181634
0487231
0105341
0105338
0571108
0105355
0121121
0303012
0268561
AEROSOL SPITZNER 30 ML
BRONCHICUM GTTS 30 ML
CALYPTOL 10 AMP 5 ML INH
EMSER NASENSPRAY 15 ML
EMSER NASENTROPFEN 15 ML
EMSER SALZ 2,95 G 100 BTL
EUFLUX POM 50 G
MAXILASE 20000 U SIR 200 ML
MEGAMYLASE 200 U/ML SIR 125 ML
MEGAMYLASE 200 U/ML SIR 250 ML
MEGAMYLASE 3000 U 24 CPR
NEOCODION BB SIR 125 ML
PINIMENTHOL ERKAELTUNGSBALSAM MILD 20 G
PINIMENTHOL ERKAELTUNGSBALSAM MILD 50 G
PINIMENTHOL ERKAELTUNGSSALBE 100 G TB
PINIMENTHOL ERKAELTUNGSSALBE 20 G TB
PINIMENTHOL ERKAELTUNGSSALBE 50 G
PROSPAN HUSTENTROPFEN 20 ML
PROSPAN HUSTENTROPFEN 50 ML
PULMEX BABY POM 20 G
PULMEX POM 40 G
SINUPRET 100 DRG
SINUPRET 50 DRG
SINUPRET SAFT 100 ML
SINUPRET TROPFEN 100 ML
TROPHIRES SUPP ENF
TUMAROL N BALSAM 50 G
VICKS VAPORUB POM 100 G
R06AA02
diphenhydramine
0446645
0438867
0438871
EMESAN 50 MG 10 CPR
EMESAN 50 MG 20 CPR
EMESAN 50 MG 50 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
R
P
P
P
0
0
0
0
0
0
0
0
0
0
4,57
7,68
7,78
4,69
2,48
0
40
0
40
40
0 0
7,30
40
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10,27
5,97
5,06
4,64
5,94
30,06
6,75
15,91
7,41
4,80
4,31
6,79
5,88
1,78
3,66
6,49
10,37
3,66
6,90
4,54
9,22
3,90
5,30
17,57
9,73
8,39
9,73
0,00
5,97
8,25
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
R
R
R
0 0
0 0
0 0
2,08
3,29
7,35
40
40
40
Page 215 of 243
Numro national
Dnomination abrge
R06AB02
dexchlorpheniramine
0091862
POLARAMINE 2 MG/5 ML SIR 100 ML
R06AB03
dimetindene
0044148
0268252
0268266
0044179
FENISTIL 1 MG 20 DRG
FENISTIL 24 STD 4 MG 20 CAPS
FENISTIL 24 STD 4 MG 50 CAPS
FENISTIL GTTS 20 ML
R06AB54
chlorphenamine, combinations
0099275
RHINOFEBRYL 20 CAPS
R06AD01
alimemazine
0116085
0116104
THERALENE 10 MG 50 CPR
THERALENE 4% GTTS 30 ML
R06AD02
promethazine
0089704
PHENERGAN 50 MG 5 AMP 2 ML
R06AE05
meclozine
0143003
0092517
AGYRAX 50 CPR
POSTAFENE 25 MG 25 CPR
R06AE07
cetirizine
0321381
0321346
0321377
0321315
0339578
0339547
0339564
0339516
0305096
0305051
0472516
0472547
0472551
0472581
0330301
0177094
0138566
0171395
0167666
CETIRIZINE EG 10 MG 100 CPR

CETIRIZINE HEXAL 10 MG 100 CPR
CETIRIZINE MYLAN 10 MG 100 CPR
CETIRIZINE MYLAN 10 MG 20 CPR
HYPERPOLL 10 MG 10 CPR
REACTINE 10 MG 21 CPR PL
ZYRTEC 1 MG/ML SIR 200 ML
ZYRTEC 10 MG 20 CPR
ZYRTEC 10 MG 40 CPR
ZYRTEC 10 MG/ML GTTS 20 ML
R06AE09
levocetirizine
0543358
0543506
LEVOCETIRIZINE EG 5 MG 10 CPR
mode de
dlivrance
conditions de
prescription
OD
PCC
Prix public
Taux
0 0
5,61
80
P
P
P
R
0
0
0
0
0
0
0
0
5,62
12,23
26,47
5,73
80
80
80
80
0 0
5,60
40
R
R
0 0
0 0
2,34
3,07
80
80
0 0
5,63
80
R
R
0 0
0 0
10,10
6,03
0
0
P
P
P
P
R
P
R
P
P
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18,06
7,53
13,77
4,02
24,93
5,73
13,15
2,59
18,24
7,55
5,78
9,25
12,63
14,39
10,59
10,11
10,11
14,08
10,11
80
80
80
0
0
80
80
80
0
0
0
0
80
0
0
80
80
0
80
R
R
0 0
0 0
4,84
17,13
0
80
Page 216 of 243
RMP
Numro national
Dnomination abrge
0543389
0543439
0543473
0465122
0307817
0307851
0429211
XYZALL 0,5 MG/ML GTTS 200 ML
XYZALL 5 MG 20 CPR
XYZALL 5 MG 40 CPR
XYZALL 5 MG/ML GTTS 20 ML
R06AX13
loratadine
0409364
0148191
0365001
0374126
0374112
0370998
0371026
CLARITINE 1 MG/ML SIR 100 ML

CLARITINE 10 MG 21 CPR
CLARITINE 10 MG 7 CPR
LORANO AKUT 10 MG 14 CPR
LORANO AKUT 10 MG 7 CPR
RUPTON 10 MG 10 CPR
RUPTON 10 MG 100 CPR
R06AX17
ketotifen
0130800
ZADITEN SIR 200 ML
R06AX22
ebastine
0223054
0353191
0348918
0509308
0397331
0397344
ESTIVAN 10 MG 20 CPR
ESTIVAN 5 MG/5 ML SOL 120 ML
ESTIVAN LYO 20 MG 20 LYOPH ORAUX
ESTIVAN LYO 20 MG 30 LYOPH ORAUX
R06AX25
mizolastine
0246238
MIZOLLEN 20 CPR
R06AX26
fexofenadine
0686008
0244328
ALLEGRATAB 120 MG 20 CPR

TELFAST 180 MG 20 CPR
R06AX27
desloratadine
0455496
0455211
0455255
0292003
0455353
0291961
0291989
0455398
0291992
0681094
0680794
AERIUS 0,5 MG/ML SOL BUV 150 ML

AERIUS 2,5 MG 12 CPR ORODISP
AERIUS 2,5 MG 30 CPR ORODISP
AERIUS 5 MG 100 CPR
AERIUS 5 MG 12 CPR ORODISP
AERIUS 5 MG 20 CPR
AERIUS 5 MG 30 CPR
AERIUS 5 MG 30 CPR ORODISP
AERIUS 5 MG 50 CPR
DESLORATADIN SDZ 0,5MG/ML SOL BUV 150 ML
DESLORATADIN SDZ 5 MG 10 CPR
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7,88
10,87
14,95
11,56
8,30
11,05
11,56
80
80
80
80
80
80
80
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7,83
10,53
5,34
4,97
2,59
4,03
14,74
80
80
0
80
80
80
80
0 0
17,20
80
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
10,65
14,33
14,33
7,23
17,53
16,09
80
0
80
0
0
0
0 0
10,21
80
P
R
0 0
0 0
10,88
14,35
80
80
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
9,51
6,00
13,49
22,89
8,47
13,66
13,74
19,28
18,66
6,89
6,74
80
0
0
80
0
0
80
0
80
80
80
Page 217 of 243
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0680889
0680858
0680861

R06AX28
rupatadine
0663911
0477591
0477574
0477588
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
0 0
0 0
0 0
17,07
9,45
12,50
80
80
80
RUPATALL 1 MG/ML SOL BUV 120 ML

RUPATALL 10 MG 100 CPR
R
R
R
R
0
0
0
0
0
0
0
0
9,39
34,17
15,83
21,86
80
0
80
0
0592755
0592772
BELLOZAL 20 MG 30 CPR
BELLOZAL 20 MG 50 CPR
R
R
0 0
0 0
11,17
15,20
80
80
R06AX29
R07AA02
natural phospholipids
0193005
0193019
CUROSURF 120 1 FL UD 1,5 ML

CUROSURF 240 1 FL UD 3 ML
R07AX
Other respiratory system products
0511399
0511385
VASOKINOX GAZ INHAL 1 BT 20 L

VASOKINOX GAZ INHAL 1 BT 5 L
S01AA01
chloramphenicol
0021109
0254517
0254521
CHLORAMPHENICOL BRNV 0,4% COLLY 10 ML

CHLORAMPHENICOL ERFA 0,5% COLLY 5 ML
CHLORAMPHENICOL ERFA 1% POM OPH 2,5 G
S01AA02
chlortetracycline
0009491
AUREOMYCINE 1% POM OPHT 5 G
S01AA12
tobramycin
0398792
0117518
0117521
TOBRAVISC 0,3% COLLY 5 ML

TOBREX COLLY 5 ML
TOBREX POM OPHT 3,5 G
S01AA13
fusidic acid
0154413
FUCITHALMIC 1% GEL 5 G
S01AA26
azithromycin
0477073
AZYTER 0,015% COLLY 6 UD
S01AA30
combinations of different antibiotics
0114967
TERRAMYCINE POM OPHT 3,5 G
S01AD02
trifluridine
0204725
TRIFLUMANN COLLY 5 ML
S01AD03
aciclovir
0131257
ZOVIRAX 3% ONG OPHT 4,5 G
RR
RR
H
H
0 0
0 0
0,00
0,00
0
0
RR
RR
HC
HC
0 0
0 0
0,00
0,00
0
0
RR
RR
RR
0 0
0 0
0 0
5,56
5,10
5,74
80
80
80
RR
0 0
5,44
80
RR
RR
RR
0 0
0 0
0 0
8,50
8,50
7,47
80
80
80
RR
0 0
7,31
80
RR
0 0
6,97
80
RR
0 0
5,69
80
0 0
19,61
80
0 0
11,73
80
Page 218 of 243
Numro national
Dnomination abrge
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
S01AD09
ganciclovir
0435821
VIRGAN 0,15% GEL 5 G
RR
0 0
14,35
80
OFLOXACIN POS 3 MG/ML COLLY 10 ML
RR
0 0
6,50
80
CILOXAN 0,3% COLLY 5 ML
RR
0 0
7,10
80
0571884
KANAVIG 5 MG/ML COLLY 5 ML
RR
0 0
15,62
S01AX07
sodium borate
0002523
ALCASOL COLLY 9 ML
0 0
6,07
80
P
P
0 0
0 0
6,72
5,57
0
80
0 0
0 0
0,00
0,00
0
0
0
0
0
0
0
6,26
9,96
10,85
0,00
15,67
80
80
80
0
80
0 0
0 0
7,30
11,12
80
80
0 0
97,46
RR
RR
RR
0 0
0 0
0 0
6,64
8,47
6,65
80
80
80
RR
0 0
6,62
80
0 0
8,19
80
0 0
9,32
80
S01AE01
0701457
S01AE03
0197181
S01AE07
S01AX08
hexamidine
0444198
0082443
DESOMEDINE 0,1% COLLY 10 ML

OPHTAMEDINE SOL 10 ML
S01AX18
povidone-iodine
0393653
0701555
ISOBETADINE OCULAIRE 5% 20 FL UD 20 ML
POVIDONE IODINE MINIMS 50MG/ML 20*0,5 ML
S01BA01
dexamethasone
0069956
0160763
0512348
0611024
0108536
MAXIDEX COLLY 5 ML
MAXIDEX POM OPHT 3,5 G
MONOFREE DEXAMETH 0,1% COLLY 20*0,4 ML
OZURDEX 700 MCG 1 SACH + 1 SYST APPL
SPERSADEX 0,1% DISP COLLY
S01BA04
prednisolone
0092923
0122535
PRED FORTE COLLY 5 ML

ULTRACORTENOL POM OPHT 5 G
S01BA05
triamcinolone
0634208
TRIESENCE 40 MG 1 FL V 1 ML
S01BA07
fluorometholone
0408076
0045551
0045792
FLUACORT 0,1% COLLY 5 ML

FLUCON 0,1% COLLY 5 ML
FML LIQUIFILM 0,1% COLLY 5 ML
S01BA13
rimexolone
0247882
VEXOLON 1% COLLY 1 FL CPT-GTTS 5 ML
S01BC01
indometacin
0286815
INDOCOLLYRE 0,1% SOL 5 ML
S01BC03
diclofenac
0458694
DICLOABAK 0,1% COLLY 10 ML
R
R
RR
RR
RR
RR
RR
H
H
HC
RM
RR
RR
RR
Page 219 of 243
0
0
0
0
0
Numro national
Dnomination abrge
mode de
dlivrance
0187091
VOLTAREN OPHTA SINE COLLY 20*0,3 ML
S01BC05
ketorolac
0238205
ACULARE 0,5% COLLY 10 ML
S01BC09
pranoprofen
0170918
PRANOX 0,1% COLLY 1 FL 5 ML
S01BC10
nepafenac
0474569
0704199
NEVANAC 0,1% COLLY 5 ML

NEVANAC 0,3% COLLY 3 ML
S01CA01
dexamethasone and antiinfectives
0279807
0243639
0030934
0030948
0070019
0070022
0156872
0156869
DEXAGENTA POS COLLY 5 ML

DEXAGRANE COLLY 5 ML
DEXAMYTREX COLLY 5 ML
DEXAMYTREX POM OPHT 3 G
MAXITROL COLLY 5 ML
MAXITROL POM OPHT 3,5 G
TOBRADEX POM OPH 3,5 G
TOBRADEX SUSP 5 ML
S01CA02
prednisolone and antiinfectives
0092940
PREDMYCINE P LIQUIFILM 5 ML
S01CA03
hydrocortisone and antiinfectives
0114726
0114743
TERRACORTRIL POM OPHT 3,5 G

TERRACORTRIL SUSP OPHT 5 ML
S01EA02
dipivefrine
0156659
PROPINE 0,1% COLLY 5 ML
S01EA03
apraclonidine
0204899
IOPIDINE 0,5% COLLY 5 ML
S01EA05
brimonidine
0250471
ALPHAGAN 0,2% COLLY 5 ML
S01EB01
pilocarpine
0059929
0059932
0108438
ISOPTO CARPINE 1% COLLY 15 ML

ISOPTO CARPINE 2% COLLY 15 ML
SPERSACARPIN 0,5% COLLY 10 ML
S01EB02
carbachol
0270006
MIOSTAT 0,01% COLLY 12*1,5 ML
S01EB09
acetylcholine
0213643
MIOCHOL E COLLY 20 MG 1 FL
S01EB51
pilocarpine, combinations
555
556
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
0 0
24,01
80
0 0
7,53
80
0 0
7,54
80
RR
RR
0 0
0 0
14,60
35,66
0
0
RR
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6,92
2,50
7,44
5,72
7,55
6,78
7,37
8,61
80
80
80
80
80
80
80
80
RR
0 0
5,40
80
RR
RR
0 0
0 0
6,32
6,84
80
80
0 0
7,25
80
0 0
13,08
80
0 0
18,30
80
R
R
R
0 0
0 0
0 0
5,51
5,83
10,94
80
80
80
0 0
0,00
0 0
35,47
80
Page 220 of 243
Numro national
Dnomination abrge
0157111
NORMOGLAUCON COLLY 10 ML
mode de
dlivrance
582
S01EC01
acetazolamide
0138101
0031458
DIAMOX 250 MG 25 CPR

DIAMOX 500 MG PDR 1 FL IV
S01EC03
dorzolamide
0273932
TRUSOPT 2% COLLY 1 OCUMETER PLUS 5 ML
S01EC04
brinzolamide
0278343
AZOPT 1% COLLY 5 ML
S01ED01
timolol
0213996
0214011
0500154
0289561
0289574
0322746
0322763
0195501
0167196
0195514
0167182
0241908
0241889
0311465
0311479
0338505
DISPATIM SINE 0,25% COLLY 120*0,4 ML UD

DISPATIM SINE 0,5% COLLY 120*0,4 ML UD
GELTIM 0,1% GEL OPHTAL 90*0,4 ML UD
TIMABAK 0,25% COLLY 5 ML
TIMABAK 0,5% COLLY 5 ML
TIMO COMOD 0,25% COLLY 10 ML
TIMO COMOD 0,5% COLLY 10 ML
TIMOHEXAL 0,25% COLLY 3*5 ML
TIMOHEXAL 0,25% COLLY 5 ML
TIMOHEXAL 0,5% COLLY 3*5 ML
TIMOHEXAL 0,5% COLLY 5 ML
TIMOLOL FALCON 0,25% COLLY 5 ML
TIMOLOL FALCON 0,5% COLLY 5 ML
TIMOPTOL 0,25% COLLY 1 FL OCUM PLUS 5 ML
TIMOPTOL 0,5% COLLY 1 FL OCUM PLUS 5 ML
TIMOPTOLGEL 0,5% 1 FL OCUM PLUS 2,5 ML
S01ED02
betaxolol
0013088
0193666
0231141
BETOPTIC 0,5% COLLY 5 ML

BETOPTIC SUSP 0,25% COLLY 5 ML
BETOPTIC SUSP 0,25% COLLY 60*0,25 ML
S01ED03
levobunolol
0158023
0142586
BETAGAN 0,25% COLLY 5 ML

BETAGAN 0,5% COLLY 5 ML
S01ED04
metipranolol
0012712
0012726
0218183
0012743
BETAMANN 0,1% COLLY 5 ML

BETAMANN 0,3% EDO SINE COLLY 60*0,5 ML
S01ED05
carteolol
0376554
0399786
ARTEOPTIC LA 2% COLLY 3 ML
ARTEOPTIC LA 2% COLLY 3*3 ML
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
0 0
19,35
80
R
RR
0 0
0 0
8,14
8,00
80
80
0 0
12,78
80
0 0
14,90
80
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
17,10
25,14
20,62
8,95
9,29
7,16
10,03
11,79
10,14
14,07
10,84
5,62
5,71
5,95
6,05
7,79
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
80
R
R
R
0 0
0 0
0 0
7,31
8,14
23,60
80
80
0
R
R
0 0
0 0
7,97
7,97
80
80
R
R
R
R
0
0
0
0
0
0
0
0
5,79
5,85
20,36
5,89
80
80
80
80
R
R
0 0
0 0
10,55
19,06
80
80
Page 221 of 243
Numro national
Dnomination abrge
0150431
0472953
0150445
CARTEOL 1% COLLY 5 ML
CARTEOL 2% COLLY 3*5 ML
CARTEOL 2% COLLY 5 ML
S01ED51
timolol, combinations
0502288
0436862
0431057
0274801
0297593
0457621
0638191
0638188
0434997
0436067
0661866
0661897
0672663
0303379
0303382
AZARGA 10 MG/ML 5 MG/ML COLLY 3*5 ML

COMBIGAN 0,2/0,5% COLLY 3*5 ML
COMBIGAN 0,2/0,5% COLLY 5 ML
COSOPT COLLY 1 OCUMETER PLUS 5 ML
COSOPT COLLY 3 OCUMETER PLUS 5 ML
COSOPT UD COLLY 20MG/ML 5MG/ML 60*0,2 ML
DORZOLAMIDE/TIMOLOL EG 20+5MG/ML 3*5 ML
DORZOLAMIDE/TIMOLOL EG 20+5MG/ML 5 ML
DUOTRAV 40 MCG/ML 5 MG/ML COLLY 3*2,5 ML
GANFORT 0,03/0,5% COLLY 3*3 ML
LATAGLAUCON 50MCG/5MG/ML COLLY 2,5 ML
LATAGLAUCON 50MCG/5MG/ML COLLY 3*2,5 ML
TIMOLATEARS 0,05+5 MG/ML COLLY 3*2,5 ML
XALACOM COLLY 2,5 ML
XALACOM COLLY 3*2,5 ML
S01EE01
latanoprost
0648086
0648105
0556034
0556048
0556051
0632122
0632136
0682091
0682107
0240783
0251868
LATANOPROST EG 50 MCG/ML COLLY 2,5 ML

LATANOPROST EG 50 MCG/ML COLLY 3*2,5 ML
LATANOPROST RATIO 50MCG/ML COLLY 2,5ML
LATANOPROST RATIO 50MCG/ML COLLY 3*2,5ML
LATANOPROST RATIO 50MCG/ML COLLY 6*2,5ML
LATANOTEARS 50 MCG/ML COLLY 1*2,5 ML
LATANOTEARS 50 MCG/ML COLLY 3*2,5 ML
MONOPROST 50 MCG/ML COLLY 30 UD
MONOPROST 50 MCG/ML COLLY 90 UD
XALATAN 0,005% COLLY 2,5 ML
XALATAN 0,005% COLLY 3*2,5 ML
S01EE03
bimatoprost
0562465
0565498
0565484
0730624
LUMIGAN 0,1 MG/ML COLLY 3*3 ML (LDPE)

LUMIGAN 0,3 MG/ML COLLY 3 ML (LDPE)
LUMIGAN 0,3 MG/ML COLLY 3*3 ML (LDPE)
LUMIGAN 0,3 MG/ML COLLY 30*0,4ML UD(LDPE
S01EE04
travoprost
0314677
TRAVATAN 40 MCG/ML COLLY 3 FL 2,5 ML
S01EE05
tafluprost
0621231
0621244
SAFLUTAN 15 MCG/ML COLLY 30*0,3 ML UD

SAFLUTAN 15 MCG/ML COLLY 90*0,3 ML UD
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
R
0 0
0 0
0 0
10,15
19,50
10,61
80
80
80
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
49,47
41,94
42,12
27,12
30,33
22,40
20,68
9,76
66,06
59,83
9,76
20,66
24,39
34,80
35,26
80
80
0
80
80
80
80
80
80
80
80
80
80
0
80
R
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10,24
20,06
11,54
20,12
39,36
23,32
22,11
15,59
30,53
12,26
23,42
80
80
80
80
80
0
80
80
80
80
80
RR
RR
RR
RR
0
0
0
0
0
0
0
0
50,62
27,93
50,62
28,96
80
80
80
0
0 0
49,94
80
RR
RR
0 0
0 0
27,24
65,05
80
80
Page 222 of 243
Numro national
Dnomination abrge
mode de
dlivrance
S01FA04
cyclopentolate
0535986
0183091
MINIMS CYCLOPENTOLATE HCL 0,5% COLLY A20

ZYKLOLAT EDO SINE COLLY 20*0,5 ML
S01FA06
tropicamide
0266809
0121281
MONOFREE TROPICAMIDE 0,5% COLLY 20*0,4ML

TROPICOL 0,5% COLLY 10 ML
S01FB01
phenylephrine
0219292
PHENYLEPHRINE CHLORH 10% COLLY 20 MIN
S01GA02
tetryzoline
0193361
0277007
0277011
BERBERIL N COLLY 10 ML
BERBERIL N EDO COLLY 10*0,5 ML
BERBERIL N EDO COLLY 20*0,5 ML
S01GA51
naphazoline, combinations
0299892
0072433
COLLYRE BLEU LAITER COLLY 10 ML

MINHAVEZ COLLY
S01GX01
cromoglicic acid
0285172
0364571
0170403
0176553
0195528
0164003
0163992
0082619
0151571
ALLERGO COMOD 20 MG/ML COLLY 10 ML

CROMABAK 20 MG/ML COLLY 10 ML
CROMOHEXAL 2% COLLY 10 ML
CROMOHEXAL UD COLLY 20*0,5 ML
CROMOHEXAL UD COLLY 50*0,5 ML
DISPACROMIL COLLY 10 ML
DISPACROMIL SINE COLLY 20*0,5 ML
OPTICROM 2% COLLY 10 ML
VIVIDRIN COLLY 10 ML
240
S01GX02
levocabastine
0173971
LIVOSTIN 0,05% COLLY 1 FL 4 ML
S01GX05
lodoxamide
0170689
ALOMIDE 1 MG/ML COLLY 5 ML
S01GX06
emedastine
0263855
EMADINE 0,5 MG/ML COLLY 5 ML
52349
S01GX07
azelastine
0257553
0645281
ALLERGODIL COLLY 6 ML
AZELASTIN POS 0,5 MG/ML COLLY 10 ML
S01GX08
ketotifen
0576314
0303544
0298721
ALTRIABAK 0,25 MG/ML COLLY 5 ML

ZADITEN OPHTA COLLY 5 ML
ZADITEN OPHTA SINE 0,025% COLLY 20FL UD
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
0 0
0 0
16,79
9,27
80
80
R
R
0 0
0 0
11,77
4,90
0
80
0 0
16,79
80
P
P
P
0 0
0 0
0 0
4,04
5,29
8,52
80
80
80
P
P
0 0
0 0
5,42
4,90
80
80
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9,70
9,87
4,28
5,11
11,21
4,01
4,31
10,56
5,38
0
80
80
80
80
80
80
80
80
0 0
12,92
80
0 0
5,69
80
0 0
14,79
80
R
R
0 0
0 0
12,92
10,64
80
80
R
R
R
0 0
0 0
0 0
13,49
13,47
16,67
80
80
80
Page 223 of 243
Numro national
Dnomination abrge
0298749
ZADITEN OPHTA SINE 0,025% COLLY 50FL UD
S01GX09
olopatadine
0341871
OPATANOL 0,1% COLLY 1 FL 5 ML
S01GX10
epinastine
0370113
RELESTAT 0,5 MG/ML COLLY 5 ML
S01HA02
oxybuprocaine
0278259
0033788
0219275
0084725
MONOFREE OXYBUPROCAINE 0,4% COLLY 20*0,4

NOVESINE 0,4% DISPERSA COLLY 10 ML
OXYBUPROCAINE CHLORH 0,4% COLLY 20 MIN
UNICAINE 0,4 % COLLY 10 ML
S01HA03
tetracaine
0688985
TETRACAINE CHLORH COLLY 1% 20 MIN
S01JA01
fluorescein
0598857
0688999
FLUORESCEINE 10% FAURE 10 AMP 5 ML IV

FLUORESCEINE SOD COLLY 2% 20 MIN
S01LA01
verteporfin
0286041
VISUDYNE 15 MG PDR 1 FL PERF
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
0 0
33,53
80
0 0
13,42
80
RR
0 0
10,50
RR
RR
RR
R
0
0
0
0
0
0
0
0
11,77
11,99
16,79
5,68
80
80
80
80
RR
0 0
16,79
80
RR
R
P
P
0 0
0 0
0,00
16,53
0
80
RR
HC
0 0
0,00
RR
HC
RM
0 0
0,00
S01LA03
pegaptanib
0439668
MACUGEN 0,3 MG 1 SRG
S01LA04
ranibizumab
0450729
LUCENTIS 10 MG/ML 1 FL 0,23 ML+AIG+SRG
RR
HC
RM
0 0
0,00
0679583
0679566
EYLEA 40 MG 1 FL 1 ML VT
EYLEA 40 MG 1 SRG PREREMPL 1 ML VT
RR
RR
HC
HC
RM
RM
0 0
0 0
0,00
0,00
0
0
S01XA12
dexpanthenol
P
0 0
4,47
80
P
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
9,33
4,18
31,83
11,57
19,70
4,99
7,34
5,45
4,09
4,95
9,01
40
40
40
40
40
40
40
0
40
40
0
S01LA05
0187561
CORNEREGEL 10 G
S01XA20
artificial tears and other indifferent preparations
0223782
0182341
0225451
0225434
0225448
0164017
0233226
0223636
0160746
0066596
0410111
ALCON EYE GEL 10 G

ARTELAC COLLY 1 FL 10 ML
450
ARTELAC EDO COLLY 120 * 0,6 ML
DISPATENOL COLLY 10 ML
DISPATENOL COLLY 3*10 ML
DURATEARS POM OPHT 3,5 G
ISOPTO TEARS COLLY 15 ML
LIQUIFILM TEARS 15 ML
OCUGEL 0,25% 20*0,4 G MND
Page 224 of 243
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0294168
0444279
0444282
0224681
0166851
0222186
0279273
0279242
0279256
0140273
0140287
OCUGEL 0,25% GEL 10 G

OCULOTECT FLUID PVD COLLY 10 ML
OCULOTECT FLUID PVD COLLY 3*10 ML
SICCAGENT 2 % COLLY 10 ML
TEARS NATURAL 15 ML
THILO TEARS GEL OPHT 10 G
VIDISIC EDO GEL 120*0,6 ML
VIDISIC GEL 10 G
431
VIDISIC GEL 3*10 G
432
S02AA
Antiinfectives
0144448
OTOFA GTTS 200000 U 1 FL 10 ML
S02AA30
antiinfectives, combinations
0076432
NEOBACITRACINE INSTILLATION
S02CA06
0092050
POLYDEXA GTTS AURICUL 10 ML
S02CA07
fludrocortisone and antiinfectives
0131906
PANOTILE GTTS OTIQUES 10 ML
S02DA
Analgesics and anesthetics
0511631
OTOCALMINE 2% GTTS 18 ML
S02DA01
lidocaine
0084112
OTIPAX 16 G
S02DC
Indifferent preparations
0020308
CERULYX GTTS 10 ML
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
P
P
P
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7,77
3,49
6,22
4,82
5,54
9,33
31,83
11,57
19,70
4,18
8,52
40
0
0
40
40
40
40
40
40
40
40
RR
0 0
3,51
80
RR
0 0
6,70
80
RR
0 0
2,44
80
RR
0 0
5,78
0 0
5,34
0 0
2,63
80
0 0
6,88
80
0 0
7,84
0 0
8,17
S03AA30
antiinfectives, combinations
0512558
CIELLA 0,1% COLLY 20*5 ML UD
S03CA01
0380123
AURICULARUM PDR 1 FL
RR
APROKAM 50 MG PDR 1 FL
APROKAM 50 MG PDR 10 FL
BETMIGA 25 MG 30 CPR
BETMIGA 50 MG 30 CPR
COLOBREATHE 1662500 U 56 CAPS+INH TURBO
ESMYA 5 MG 84 CPR
ICLUSIG 15 MG 60 CPR (FL PEHD)
ICLUSIG 45 MG 30 CPR (FL PEHD)
IMNOVID 1 MG 21 CAPS
RR
RR
RR
RR
RR
RR
RR
RR
RR
TBD
0686042
0686056
0689173
0689254
0674847
0679678
0704526
0704557
0715922
HC
HC
DC
DC
DC
X
X
X
Page 225 of 243
RM
RM
RM
RM
RM
0
0
0
0
0
1
0
0
0
0
0
0
0
0
1
0
0
0
0,00
0,00
53,17
53,17
1.305,50
381,02
0,00
0,00
0,00
0
0
0
0
80
100
0
0
0
Numro national
Dnomination abrge
0715936
0715953
0715967
0685935
0708069
0684647
0684664
0707366
0707352
0707397
0707383
0688582
0719174
0719001
0684566
0684597
JETREA 0,5 MG SOL 1 FL V 0,2 ML VT
LEMTRADA 12 MG PERF 1 FL 1,2 ML
LYXUMIA 10 MCG 1 STYLO PREREMPL 3 ML
LYXUMIA 20 MCG 2 STYLOS PREREMPL 3 ML
TAFINLAR 50 MG 120 CAPS (FL)
TRESIBA 100 U/ML STYLO FLEX TOUCH 5*3ML
XOFIGO 1000 KBQ/ML SOL INJ 1 FL 6 ML IV
XTANDI 40 MG 112 CAPS
ZALTRAP 25 MG/ML 1 FL 4 ML IV
ZALTRAP 25 MG/ML 1 FL 8 ML IV
VARIOUS
0680715
0680729
0682012
0682026
0682057
0682061
0682043
0682284
0682639
0684129
0684115
CUIVRE OLIGOSOL 28 AMP BUV 2 ML

CUIVRE OR ARGENT OLIGOSOL 1 FL BUV 60 ML
LITHIUM OLIGOSOL 28 AMP BUV 2 ML
MAGNESIUM OLIGOSOL 28 AMP BUV 2 ML
MANGANESE COBALT OLIGOSOL 28 AMP BUV 2ML
MANGANESE CUIVRE OLIGOSOL 28 AMP BUV 2ML
MANGANESE OLIGOSOL 14 AMP BUV 2 ML
SELENIUM OLIGOSOL 28 AMP BUV 2 ML
SOUFRE OLIGOSOL 28 AMP BUV 2 ML
ZINC NI CO OLIGOSOL 28 AMP BUV 2 ML
ZINC OLIGOSOL 14 AMP BUV 2 ML
V01AA02
grass pollen
0640271
0570891
PURETHAL GRAESER 500 MCG/ML 1 FL 6 ML

PURETHAL GRAESER+GETREIDE 500MCG/ML 1FL
V01AA05
tree pollen
0640284
0640317
PURETHAL BAEUME 500 MCG/ML 1 FL 6 ML

PURETHAL BIRKE 500 MCG/ML 1 FL 6 ML
V01AA20
various
0213206
0213191
0305518
0305521
0305535
0536059
0536031
ALLERGOVIT 1 FL B (ENTRETIEN) 1*3 ML

ALLERGOVIT ST A+B / 2*3 ML
ALUSTAL 1 COFFRET CURE SC
ALUSTAL 1 FL DIL SEP 5 ML SC
ALUSTAL 1 FL EXTR CONC 5 ML
NOVO-HELISEN DEPOT EB ST 1-3 3*4,5 ML
NOVO-HELISEN DEPOT FL ENTRETIEN 1*4,5 ML
mode de
dlivrance
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
conditions de
prescription
OD
DC
DC
DC
HC
HC
RMP
X
X
X
PCC
Prix public
Taux
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
45,28
85,50
0,00
0,00
0,00
0,00
98,72
0,00
3.273,35
0,00
0,00
P
P
R
P
P
P
P
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7,31
4,94
7,31
7,31
7,31
7,31
4,20
7,31
7,31
7,31
4,20
0
0
0
0
0
0
0
0
0
0
0
RR
RR
0 0
0 0
318,13
318,13
0
0
RR
RR
0 0
0 0
318,13
318,13
0
0
RR
RR
RR
RR
RR
RR
RR
0
0
0
0
0
0
0
244,82
266,70
79,10
51,90
51,90
132,03
99,84
80
80
0
0
0
80
80
RM
DC
DC
DC
DC
HC
HC
HC
Page 226 of 243
0
0
0
0
0
0
0
0
0
0
0
0
100
100
0
0
0
0
100
0
0
0
0
Numro national
Dnomination abrge
0536045
0080547
0640298
0640303
0291572
0311594
0380896
0380896
0380879
0380882
0291586
0380901
0291586
0291586
NOVO-HELISEN DEPOT FL ENTRETIEN 2*4,5 ML

NOVO-HELISEN ORAL EB ST 1-3 3*30 ML
PURETHAL GRAESER+BAEUME 500MCG/ML 1FL 6
PURETHAL GRAESER+BIRKE 500MCG/ML 1FL 6ML
STALORAL 0,1-1-10-100 IR 1 CURE 4 FL
STALORAL 0,1-1-10-100-300 IR 1 CURE 5 FL
STALORAL 100-100-100 IR 3 FL
STALORAL 100-100-100-100 IR 4 FL ENTRET
STALORAL 10-100-100 IR 1 CURE 3 FL
STALORAL 10-300-300 IR 1 CURE 3 FL
STALORAL 300 IR 1 FL ENTRETIEN 10 ML
STALORAL 300-300-300 IR 3 FL ENTRETIEN
STALORAL 300-300-300-300 4 FL ENTRET
STALORAL 300-300-300-300-300 5 FL ENTRET
V03AB
Antidotes
0147101
LEGALON SIL 350 MG PDR 4 FL+S 5 ML IV
V03AB14
protamine
0246028
0536112
0538215
PROTAMINE 1000 ROCHE 5000 U 5 AMP 5 ML

PROTAMINE SULF LEO 1400 U/ML 1 FL 5 ML
PROTAMINE SULF LEO 1400 U/ML 5 AMP 5 ML
V03AB25
flumazenil
0138651
ANEXATE 0,5 MG 1 AMP 5 ML IV
V03AB33
hydroxocobalamin
0502521
0602851
CYANOKIT 2,5 G PDR 2FL+SET+2DISP+1CATH

CYANOKIT 5 G PDR 1 FL + SET PERF
V03AB35
sugammadex
0496616
0496633
BRIDION 200 MG 10 FL 2 ML IV
BRIDION 500 MG 10 FL 5 ML IV
V03AC01
deferoxamine
0030545
DESFERAL 500 MG PDR 10 FL+S
V03AC02
deferiprone
0269487
FERRIPROX 500 MG 100 CPR
V03AC03
deferasirox
0441991
0442016
0442047
EXJADE 125 MG 84 CPR

V03AE01
polystyrene sulfonate
0061622
0061636
0483036
KAYEXALATE CALCIUM PDR 300 G

KAYEXALATE SODIUM PDR 450 G
RESICAL PDR 1 FL 500 G
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
R
R
R
R
R
R
R
R
R
R
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
177,61
115,78
318,13
318,13
68,72
80,57
141,38
141,38
102,81
235,66
102,69
282,81
102,69
102,69
80
0
0
0
0
0
0
0
0
0
0
0
0
0
RR
0 0
662,41
80
RR
RR
RR
0 0
0 0
0 0
9,87
6,89
45,96
80
80
0
RR
0 0
0,00
RR
RR
H
H
0 0
0 0
0,00
0,00
0
0
RR
RR
HC
HC
0 0
0 0
0,00
0,00
0
0
0 0
33,15
100
0 0
220,70
100
1 5
1 5
1 5
681,43
1.354,20
2.664,71
100
100
100
0 0
0 0
0 0
21,50
24,78
34,99
100
100
0
RR
RR
RR
RR
RR
C
C
C
X
X
X
R
R
R
Page 227 of 243
RM
RM
RM
Numro national
Dnomination abrge
0107170
SORBISTERIT CA PDRE 500G
V03AE02
sevelamer
0319379
0519593
0519545
RENAGEL 800 MG 180 CPR

RENVELA 2,4 G PDR 60 SACH
RENVELA 800 MG 180 CPR (FL)
V03AE03
lanthanum carbonate
0403665
0668871
0403522
0403603
0668867
FOSRENOL 1000 MG 90 CPR A CROQ

FOSRENOL 1000 MG PDR OR 90 SACH
FOSRENOL 750 MG PDR OR 90 SACH
V03AE04
calcium acetate and magnesium carbonate
0482865
RENEPHO 435/235 MG 180 CPR (FL)
V03AF01
mesna
0123613
UROMITEXAN 400 MG 15 AMP 4 ML IV
V03AF02
dexrazoxane
0439654
SAVENE 20 MG/ML PDR 10 FL 500 MG + S IV
V03AF03
calcium folinate
0425385
0425404
0492813
0438898
0438903
0415121
0415148
0415098
0415182
FOLINATE EG 200 MG 5 FL 20 ML IV
FOLINATE EG 500 MG 5 FL 50 ML IV
LEUCOVORIN CA HSP 100 MG 1 FL 10 ML IMIV
RESCUVOLIN 15 MG 10 CPR
RESCUVOLIN 15 MG 50 CPR
VORINA 100 MG 1 FL 4 ML IMIV
V03AF04
calcium levofolinate
0221693
0221628
0221645
0213531
ELVORINE 175 MG 1 FL 17,5 ML IMIV

ELVORINE 25 MG 1 FL 2,5 ML IMIV
ELVORINE 50 MG 1 FL 5 ML IMIV
ELVORINE 7,5 MG 10 CPR
V03AF07
rasburicase
0305664
0342492
FASTURTEC 1,5 MG PSV 3 FL + S PERF

FASTURTEC 7,5 MG PDR 1 FL + S 5 ML PERF
V03AF08
palifermin
0429725
KEPIVANCE 6,25 MG PDR 6 FL IV
V03AN
Medical gases
0297285
PROTOXYDE D'AZOTE MED BTG BT 3,75 KG
mode de
dlivrance
conditions de
prescription
OD
RMP
RR
RR
RR
RR
RR
RR
RR
RR
RM
RM
C
C
C
C
C
RR
RR
RR
HC
RR
RR
RR
RR
RR
RR
RR
RR
RR
H
H
H
RR
RR
RR
RR
PCC
Prix public
Taux
0 0
30,84
100
0 0
0 0
0 0
185,59
176,56
176,56
100
100
100
0
0
0
0
0
0
0
0
0
0
255,04
255,04
181,22
224,27
224,27
0
0
100
100
0
0 0
22,95
80
0 0
0,00
0 0
0,00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
29,16
96,17
0,00
0,00
0,00
0,00
0
0
0
100
100
0
0
0
0
H
H
H
0
0
0
0
0
0
0
0
0,00
0,00
0,00
20,24
0
0
0
100
RR
RR
HC
HC
0 0
0 0
0,00
0,00
0
0
RR
HC
0 0
0,00
HC
0 0
0,00
H
H
H
H
Page 228 of 243
Numro national
Dnomination abrge
0297304
0297318
0297299
PROTOXYDE D'AZOTE MED BTG BT 30 KG

V03AN01
oxygen
0301083
0296503
0296517
0296521
0296565
0296534
0296548
0296551
0338536
0296582
0296596
0296629
0296601
0296615
0296422
0296436
0296453
0296498
0296467
0296471
0296484
0296579
0243205
0243236
0243186
OXYGENE LIQ MED VIVISOL 1 REC CRYOGEN

OXYGENE MED GAZ BTG BT 0,213 M3
OXYGENE MED GAZ MESSER 1 CITERNE
OXYGENE MED GAZ MESSER BT 0,4 M3
OXYGENE MED GAZ MESSER BT 1 M3
OXYGENE MED GAZ VIVISOL BT 0,2
OXYGENE MED GAZ VIVISOL BT 10
OXYGENE MED LIQ GAZ 1 CITERNE
OXYGENE MEDICAL GAZ BT 1000 L
V03AN05
medical air
0611427
0611461
0611431
0611475
0611444
0611489
0611492
0611458
0611508
0611525
0611556
0611539
0611573
AIR SYNTH MED SOL 21,75% 1 CYL 1 L

mode de
dlivrance
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
conditions de
prescription
OD
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
Page 229 of 243
RMP
PCC
Prix public
Taux
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6,56
1,27
2,56
6,74
59,40
12,72
25,99
37,36
6,38
2,41
6,00
58,34
13,20
25,80
1,27
2,56
6,74
59,40
12,72
25,99
37,36
0,00
5,60
55,26
5,60
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
80
80
80
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
0611511
0611542

V04
DIAGNOSTIC AGENTS
0206022
OCTREOSCAN 111 10 MCG 1 FL A + 1 FL B IV
V04CF01
tuberculin
0568987
0423721
0568973
0423735
TUBERCULIN PPD SSI 10U/0,1 ML 1 FL 1,5ML

TUBERCULIN PPD SSI 10U/0,1 ML 10FL 1,5ML
TUBERCULIN PPD SSI 2 U/0,1 ML 1 FL 1,5ML
TUBERCULIN PPD SSI 2 U/0,1 ML 10FL 1,5ML
V04CJ01
thyrotropin
0278571
THYROGEN 0,9 MG PDR 2 FL IM
V04CX
Other diagnostic agents
0137975
0330877
0240914
0502551
0414994
BLEU PATENTE 5 AMP 2 ML SC

HELICOBACTER TEST INFAI 45 MG 1 KIT
HELICOBACTER TEST INFAI 75MG 1KIT (SACS)
HELICOBACTER TEST INFAI 75MG 1KIT (TUBES
HEXVIX 85 MG PDR 1 FL + S PP
mode de
dlivrance
V07AB
Solvents and diluting agents, incl. irrigating solutions
0282752
0280338
0280355
0007340
0007337
0007256
0334165
0334151
AMPUWA 1000 ML PLASTIPUR PS

1088811
AMPUWA 20 AMP 10 ML P
B314063
AMPUWA 20 AMP 20 ML P
B314391
AQUA AD INJ BRN 10 AMP 20 ML P
AQUA AD INJ BRN 10 MINI PL 10 ML
AQUA AD INJ BRN 100 ML V
EAU POUR INJ VIAFLO 1000 ML PP
EAU POUR INJ VIAFLO 500 ML PP
V08AA01
diatrizoic acid
0171137
0144174
0123434
GASTROGRAFIN SOL OR 5 FL 100 ML

UROGRAFINE 30% 10 FL 250 ML PERF
UROGRAFINE 76% 1 FL 100 ML PERF
V08AA05
ioxitalamic acid
0142717
0113830
0113844
0113827
0113861
0113875
0113858
0152694
0152681
0209931
TELEBRIX 12 SODIUM 1 FL INJ 250 ML

TELEBRIX 30 MEGLUMINE 1 FL 100 ML
TELEBRIX 35 1 FL 100 ML
TELEBRIX GASTRO 300 MG/ML 1 FL 100 ML
TELEBRIX GASTRO 300 MG/ML 1 FL 50 ML
TELEBRIX HYSTERO 5 G 1 FL 20 ML IV
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
HC
HC
0 0
0 0
0,00
0,00
0
0
RR
HC
0 0
0,00
0
0
0
0
35,50
240,97
18,21
93,48
0
0
0
0
0,00
R
R
R
R
0
0
0
0
RR
DC
0 0
R
RR
RR
RR
R
H
P
P
P
P
0
0
0
0
0
0
0
0
0
0
0,00
24,06
34,46
34,46
0,00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3,89
8,76
9,65
7,46
7,06
1,39
6,46
6,03
0
0
0
80
80
80
0
0
RR
RR
RR
RR
RR
RR
RR
RR
R
RR
RR
H
H
HC
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
RR
RR
RR
RR
RR
RR
RR
R
R
RR
H
H
H
H
H
H
H
H
H
H
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
Page 230 of 243
0
0
0
0
0
0
0
0
0
0
Numro national
Dnomination abrge
V08AB02
iohexol
0081768
0081785
0081804
0081852
0081835
0456073
0456087
0456042
0081883
0081964
0478067
0081902
0081947
0478084
0180394
0456106
0456123
0081978
0082040
0478103
0081981
0082068
0082023
0478121
0180427
0456091
OMNIPAQUE 180 MG/ML 1 FL 15 ML IV

OMNIPAQUE 240 MG/ML 1 FL PP 10 ML IV
OMNIPAQUE 300 MG/ML 1 FL PLAST 50 ML IV
OMNIPAQUE 350 MG/ML 1 FL 100 ML
OMNIPAQUE 350 MG/ML 1 FL PLAST 50 ML
V08AB03
ioxaglic acid
0053455
0053441
0140971
0053505
0053472
0140984
0053486
HEXABRIX 200 1 FL 100 ML IA

HEXABRIX 200 1 FL 50 ML IA
HEXABRIX 320 1 FL 10 ML
V08AB04
iopamidol
0374241
0374255
0374224
0374238
0374191
0374207
0374174
SCANLUX 300 MG/ML 100 ML IAIV

mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RR
RR
RR
RR
RR
RR
RR
H
H
H
H
H
H
H
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
RR
RR
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
Page 231 of 243
Numro national
Dnomination abrge
0374188
V08AB05
iopromide
0192316
0132111
0132304
0132075
0192333
0132031
0192347
0132058
0223071
0132044
0132061
0132268
0341481
0132285
0132139
0371074
ULTRAVIST 240 1 FL 200 ML IVIA

V08AB07
ioversol
0268056
0267935
0268008
0268199
0268171
0268137
0268123
OPTIJECT 300 1 SRG 50 ML IVIA

OPTIJECT 300 1 SRG PERF EL 125 ML
OPTIJECT 350 1 SRG 50 ML IVIA
V08AB08
iopentol
0163636
0163653
0163619
0163698
0163703
0163671
OPTIRAY 300 MG 1 FL 100 ML

V08AB09
iodixanol
0205817
0269828
0205798
0269831
0416629
0416663
0205851
0205879
VISIPAQUE 270 1 FL 100 ML IAIV

VISIPAQUE 270 1*150 ML PPR IAIV
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
HC
0 0
0,00
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
H
H
HC
HC
HC
HC
HC
HC
HC
HC
HC
H
H
H
H
H
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RR
RR
RR
RR
RR
RR
RR
H
H
H
H
H
H
H
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
RR
RR
RR
RR
RR
RR
H
H
H
H
H
H
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
RR
RR
RR
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
Page 232 of 243
Numro national
Dnomination abrge
0205834
0269859
0416713
0416744

V08AB10
iomeprol
0200032
0200127
0200144
0200094
0391886
0200208
0391905
0200225
0200189
0391919
0200287
0200306
0200256
IOMERON 250 MG/ML 1 FL 200 ML IAIVIP

V08AB11
iobitridol
0224101
0224115
0224163
0362383
0224132
0224177
0224146
0224181
0432409
0432412
0432426
0432443
0224227
0224231
0224244
0224213
0440185
0432457
0432461
0432474
0432488
XENETIX 250 MG/ML 1 FL 100 ML

XENETIX 300 MG/ML 1 PP 100 ML
V08AD01
ethyl esters of iodised fatty acids
0338441
LIPIODOL ULTRA FLUIDE 1 AMP 10 ML
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
RR
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0
0
0
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
0
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
0,00
Page 233 of 243
Numro national
Dnomination abrge
V08BA01
barium sulfate with suspending agents
0286461
0072142
0154024
0286457
MICROPAQUE COLON PDR 400 G

MICROPAQUE HD ORAL PDR 416 G
MICROPAQUE SCANNER SUSP 150 ML
MICROPAQUE SUSP 2 L
V08BA02
barium sulfate without suspending agents
0636104
0229416
MICROTRAST PATE ORALE 150 G

MICROTRAST PATE ORALE 800 G
V08CA01
gadopentetic acid
0486413
0486492
0486431
0486458
0486475
0486381
0172408
0237726
0172392
0149248
0237712
0237743
0237757
0237761
MAGNEGITA 78,63 MG/ML 1 FL 10 ML IV

MAGNEVIST 469 MG/ML 1 FL 10 ML IV
MAGNEVIST 469 MG/ML 1 SRG PRER 10 ML IV
V08CA02
gadoteric acid
0345382
0152453
0152467
0152471
0305681
0210821
0210834
ARTIREM 1 SRG 20 ML IR
DOTAREM 1 FL 10 ML IV
DOTAREM 1 SRG 15 ML IV
DOTAREM 1 SRG 20 ML IV
V08CA03
gadodiamide
0196301
0196329
0196346
0301357
0269764
0269778
0269781
OMNISCAN 1 FL 10 ML IV
OMNISCAN 287 MG/ML 1 FL P 20 ML IV
OMNISCAN 287 MG/ML 1 SRG 10 ML
V08CA04
gadoteridol
0347759
PROHANCE 279,3 MG/ML 1 FL 10 ML IV
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
R
R
RR
R
H
H
HC
H
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0
0
0
0
R
R
H
H
0 0
0 0
0,00
0,00
0
0
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RR
RR
RR
RR
RR
RR
RR
H
H
H
H
H
H
H
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
RR
RR
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
RR
HC
0 0
0,00
RM
RM
RM
RM
RM
RM
RM
Page 234 of 243
Numro national
Dnomination abrge
0347762
0347776
0347745

V08CA06
gadoversetamide
0469121
0469149
0469166
0469197
0469216
0469247
0469264
OPTIMARK 330,9 MG/ML 1 FL 10 ML IV

OPTIMARK 330,9 MG/ML 1 SRG 10 ML IV
V08CA08
gadobenic acid
0254727
0254731
0254744
MULTIHANCE 0,5 M 1 FL V 10 ML IV
V08CA09
gadobutrol
0380929
0293658
0380932
0380915
GADOVIST PFS-1 1 SRG 10 ML IV

GADOVIST PFS-1 1 SRG 7,5 ML IV
V08CB03
iron oxide, nanoparticles
0203048
ENDOREM 1 AMP 8 ML IV
V08DA
Ultrasound contrast media
0253196
ECHOGEN 2% 1 KIT + 1 FL 5 ML IV
V08DA05
sulfur hexafluoride
0299391
SONOVUE 8 MCG/ML PDR 1FL+1DISP MI+1SRG
V09CA
Technetium (99mTc) compounds
0435199
PRIMOVIST 181,43 MG/ML 1 SRG 10 ML IV
V09FX01
technetium (99mTc) pertechnetate
0647724
ELUMATIC 2-50GBQ 1 GENERATEUR AVEC ACC
V09GA01
technetium (99mTc) sestamibi
0511483
STAMICIS TROUSSE PREP RADIO 1 MG 5 FL MD
V09HA03
technetium (99mTc) antigranulocyte antibody
0557448
0557451
SCINTIMUN TROUSSE P RADIO 1MG 1 FL MTD+S

SCINTIMUN TROUSSE P RADIO 1MG 2 FL MTD+S
V09IX05
fluorodopa (18F)
0618381
DOPACIS 90 MBQ/ML 1 FL MTD
V10AA
Yttrium (90Y) compounds
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
RR
RR
HC
HC
HC
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
RR
RR
RR
RR
RR
RR
RR
HC
HC
HC
HC
HC
HC
HC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0,00
0,00
0,00
0
0
0
0
0
0
0
RR
RR
RR
HC
HC
HC
0 0
0 0
0 0
0,00
0,00
0,00
0
0
0
RR
RR
RR
RR
H
H
H
H
0
0
0
0
0
0
0
0
0,00
0,00
0,00
0,00
0
0
0
0
RR
0 0
0,00
RR
HC
0 0
0,00
RR
HC
0 0
0,00
RR
HC
0 0
0,00
RR
HC
0 0
0,00
RR
HC
0 0
0,00
RR
RR
HC
HC
0 0
0 0
0,00
0,00
0
0
RR
HC
0 0
0,00
Page 235 of 243
Numro national
Dnomination abrge
0346572
YTRACIS 1 FL 2 ML V
V10XX02
ibritumomab tiuxetan (90Y)
0362593
mode de
dlivrance
conditions de
prescription
OD
RMP
PCC
Prix public
Taux
RR
HC
0 0
0,00
ZEVALIN 1,6 MG/ML 1 SET
RR
HC
0 0
0,00
AGNOLYT GTTS 50 ML
AGNUCASTON 30 CPR
ANGIPAX 40 CPR ORODISP
ANGIPAX 60 CPR ORODISP
ARKOGELULES AUBELINE 350 MG 150 CAPS
ARNICAN CREME 35 G
BALDRIPARAN N STARK BERUHIGUNG 100 DRG
BALDRIPARAN N STARK BERUHIGUNG 40 DRG
BEKUNIS SENNA 30 DRG
BICIRKAN 30 CPR
BIOCARDE 30 ML
BOMBASTUS ABFUEHRTEE 20 SACH
BOMBASTUS ARNIKABLUETEN TEE 50 G
BOMBASTUS BAERENTRAUBENBLAETTER TEE 100G
BOMBASTUS BAERENTRAUBENBLAETTER TEE 20SA
BOMBASTUS BALDRIANWURZEL TEE 20 SACH
BOMBASTUS BALDRIANWURZEL TEE 200 G
BOMBASTUS BERUHIGUNGSTEE 20 SACH
BOMBASTUS BERUHIGUNGSTEE 75 G
BOMBASTUS BIRKENBLAETTER TEE 20 SACH
BOMBASTUS BIRKENBLAETTER TEE 50 G
BOMBASTUS BLASENNIEREN TEE 20 SACH
BOMBASTUS BLASENNIEREN TEE 75 G
BOMBASTUS BOHNENSCHALEN TEE 50 G
BOMBASTUS BRENNESSEL TEE 110 G
BOMBASTUS BRENNESSEL TEE 20 SACH
BOMBASTUS BRENNESSEL TEE 60 G
BOMBASTUS BROMBEERBLAETTER TEE 50 G
BOMBASTUS EIBISCHWURZEL TEE 100 G
BOMBASTUS EICHENRINDE TEE 75 G
BOMBASTUS ENZIANWURZEL TEE 75 G
BOMBASTUS ERKAELTUNGSTEE 20 SACH
BOMBASTUS ERKAELTUNGSTEE 75 G
BOMBASTUS FENCHEL TEE 125 G
BOMBASTUS FENCHEL TEE 20 SACH
BOMBASTUS FLOHSAMEN TEE 300 G
BOMBASTUS FRAUENMANTELKRAUT TEE 20 SACH
BOMBASTUS FRAUENMANTELKRAUT TEE 50 G
BOMBASTUS GALLENTEE 20 SACH
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
10,37
7,49
8,23
7,55
23,93
4,60
21,49
9,79
4,10
7,53
6,19
2,55
11,90
3,91
2,55
3,57
5,26
3,43
4,89
2,80
2,26
3,43
3,22
3,05
4,20
2,55
2,97
2,61
3,38
3,57
7,37
3,43
4,52
3,91
2,80
8,90
2,55
3,30
3,43
0
0
0
0
0
0
40
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
YY
0328512
0565663
0621728
0555703
0459921
0007757
0303107
0305745
0447429
0496194
0013592
0559988
0559991
0560037
0560041
0560006
0560023
0548323
0555152
0549902
0555247
0548337
0555166
0560054
0548404
0548399
0555251
0560068
0560071
0560085
0560099
0548341
0555183
0555264
0548418
0548421
0560118
0560104
0548354
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Page 236 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
0555197
0560121
0560135
0560149
0560152
0560166
0560183
0560197
0555216
0548368
0555202
0560202
0560216
0548452
0555278
0548435
0548449
0560233
0560247
0548564
0548483
0555281
0548466
0560251
0560264
0548385
0555233
0548371
0560278
0560281
0548497
0555295
0548516
0555301
0548502
0560295
0560301
0548533
0560328
0560314
0560359
0560331
0560345
0548547
Dnomination abrge
mode de
dlivrance
BOMBASTUS GALLENTEE 75 G
BOMBASTUS GOLDRUTENKRAUT TEE 100 G
BOMBASTUS HEIDELBEEREN TEE 175 G
BOMBASTUS HERZ-KREISLAUF-TEE 20 SACH
BOMBASTUS HIRTENTAESCHELKRAUT TEE 20SACH
BOMBASTUS HIRTENTAESCHELKRAUT TEE 75 G
BOMBASTUS HOLUNDERBLUETEN TEE 100 G
BOMBASTUS HOPFENZAPFEN TEE 50 G
BOMBASTUS HUSTEN-BRONCHIALTEE 100 G
BOMBASTUS HUSTEN-BRONCHIALTEE 20 SACH
BOMBASTUS HUSTEN-BRONCHIALTEE 50 G
BOMBASTUS JOHANNISKRAUT TEE 125 G
BOMBASTUS JOHANNISKRAUT TEE 20 SACH
BOMBASTUS KAMILLENBLUETEN TEE 110 G
BOMBASTUS KAMILLENBLUETEN TEE 20 SACH
BOMBASTUS KUEMMEL TEE 125 G
BOMBASTUS LAVENDELBLUETEN TEE 50 G
BOMBASTUS LEINSAMEN TEE 350 G
BOMBASTUS LINDENBLUETEN TEE 100 G
BOMBASTUS LINDENBLUETEN TEE 20 SACH
BOMBASTUS LINDENBLUETEN TEE 75 G
BOMBASTUS LOEWENZAHN TEE 150 G
BOMBASTUS LOEWENZAHN TEE 20 SACH
BOMBASTUS MAGEN-DARMTEE 20 SACH
BOMBASTUS MAGEN-DARMTEE 75 G
BOMBASTUS MAGENTEE 20 SACH
BOMBASTUS MALVENBLAETTER TEE 50 G
BOMBASTUS MARIENDISTELFRUECHTE TEE 275 G
BOMBASTUS MELISSENBLAETTER TEE 20 SACH
BOMBASTUS MELISSENBLAETTER TEE 50 G
BOMBASTUS PFEFFERMINZBLAETTER TEE 125 G
BOMBASTUS PFEFFERMINZBLAETTER TEE 20SACH
BOMBASTUS PFEFFERMINZBLAETTER TEE 50 G
BOMBASTUS RINGELBLUMENBLUETEN TEE 50 G
BOMBASTUS ROSMARINBLAETTER TEE 125 G
BOMBASTUS SALBEIBLAETTER TEE 20 SACH
BOMBASTUS SCHACHTELHALMKRAUT TEE 20 SACH
BOMBASTUS SCHACHTELHALMKRAUT TEE 75 G
BOMBASTUS SCHAFGARBENKRAUT TEE 100 G
BOMBASTUS SCHAFGARBENKRAUT TEE 20 SACH
BOMBASTUS SCHAFGARBENKRAUT TEE 70 G
BOMBASTUS SENNESBLAETTER TEE 20 SACH
conditions de
prescription
OD
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
RMP
PCC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Page 237 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Prix public
4,20
3,05
11,55
2,51
2,80
3,30
6,22
5,53
4,89
3,43
3,22
3,51
2,55
5,76
2,80
3,78
4,20
3,86
7,29
3,68
6,75
2,80
5,53
4,89
2,55
3,43
4,36
3,43
4,11
4,89
2,78
3,84
5,07
2,80
3,93
4,64
3,24
2,80
2,55
3,13
3,38
2,55
2,65
2,55
Taux
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
0555314
0560362
0560376
0560393
0560409
0560412
0548551
0555328
0560443
0560426
0560457
0560461
0353482
0015762
0328561
0328543
0328557
0018926
0018943
0018957
0018960
0018974
0018991
0298282
0298279
0431303
0431298
0431271
0431253
0431267
0300945
0300928
0300931
0501801
0501795
0300959
0300962
0300976
0368289
0368261
0368275
0368308
0368311
0368292
Dnomination abrge
mode de
dlivrance
BOMBASTUS SENNESBLAETTER TEE 30 G

BOMBASTUS SPITZWEGERICHBLAETTER TEE 20SA
BOMBASTUS SPITZWEGERICHBLAETTER TEE 65 G
BOMBASTUS STIEFMUETTERCHENKRAUT TEE 50 G
BOMBASTUS SUESSHOLZWURZEL TEE 125 G
BOMBASTUS TAUSENDGUELDENKRAUT 75 G
BOMBASTUS THYMIAN TEE 20 SACH
BOMBASTUS THYMIAN TEE 80 G
BOMBASTUS WEISSDORNBLAETTER TEE 20 SACH
BOMBASTUS WEISSDORNBLAETTER TEE 90 G
BOMBASTUS WERMUTKRAUT TEE 20 SACH
BOMBASTUS WERMUTKRAUT TEE 60 G
BRONCHICUM ELIXIR S 130 G
BRONCHICUM ELIXIR S 325 G
CARMINATIVUM HETTERICH 100 ML
CARMOL NR 1 20 ML
CARMOL NR 2 40 ML
CARMOL NR 3 80 ML
CARMOL NR 4 160 ML
CARMOL NR 5 200 ML
CAROMINTHE 90 ML
CEFACYNAR 400 MG 100 CAPS
CEFACYNAR 400 MG 50 CAPS
CEFAKLIMAN MONO 2,675 MG 100 CAPS
CEFAKLIMAN MONO 2,675 MG 50 CAPS
CEFAN 100 CPR
CEFAN 20 CPR
CEFAN 50 CPR
CEFANORM 100 CAPS
CEFANORM 30 CAPS
CEFANORM 60 CAPS
CEFASEPT N GTTS 100 ML
CEFASEPT N GTTS 50 ML
CEFATEC 480 MG 20 CPR
CEFATEC 480 MG 40 CPR EFF
CEFATEC 480 MG 80 CPR EFF
CEFATEC FT 480 MG 100 CPR
CEFAVORA GTTS 100 ML
CEFAVORA GTTS 200 ML
CEFAVORA GTTS 50 ML
conditions de
prescription
OD
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
RMP
PCC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Page 238 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Prix public
2,84
2,51
3,05
3,13
4,64
3,93
2,80
3,49
2,55
2,94
2,55
2,69
5,19
11,49
12,04
3,30
3,43
2,63
4,46
7,24
12,62
17,67
9,28
22,23
10,13
12,39
6,09
18,60
6,13
10,61
14,65
6,17
10,61
19,70
12,86
8,82
16,96
25,96
22,72
8,82
13,50
18,63
22,90
10,12
Taux
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
0257925
0471066
0289073
0289087
0514231
0514244
0314405
0569709
0414946
0030092
0031363
0321007
0320996
0206604
0206599
0320951
0416775
0309419
0142961
0335632
0309422
0335629
0335534
0335548
0309453
0309471
0231932
0246577
0335565
0385892
0309521
0246644
0335579
0142894
0246594
0309534
0309548
0335601
0393149
0309551
0246675
0041325
0380851
0409607
Dnomination abrge
CHINA OEL BIODIAET 1 FL 25 ML
CLIMAXOL 60 ML
COVICUX 200 MG 100 DRG
COVICUX 200 MG 200 DRG
CYNACTIL 28 CAPS
CYNACTIL 56 CAPS
CYNAROL 50 DRG
CYSTINOL AKUT 70 MG 60 CPR
CYSTINOL N SOL 100 ML
DEPURATUM LEHNING 60 CAPS
DIACURE LHL 60 CAPS
DOLOFYTOL 200 MG 100 CAPS
DOLOFYTOL 200 MG 50 CAPS
ECHINACIN LIQUIDUM MADAUS 100 ML
ECHINACIN LIQUIDUM MADAUS 50 ML
ECHINACIN MADAUS 100 MG 50 CPR
ECHINACIN MADAUS POM 40 G
ELUSANES ARTICHAUT 200 MG 30 CAPS
ELUSANES AUBEPINE 200 MG 30 CAPS
ELUSANES BARDANE 200 MG 30 CAPS
ELUSANES BOLDO 200 MG 30 CAPS
ELUSANES BUSSEROLE 200 MG 30 CAPS
ELUSANES ESCHSCHOLTZIA 200 MG 30 CAPS
ELUSANES FRAGON 200 MG 30 CAPS
ELUSANES FRENE 200 MG 30 CAPS
ELUSANES FUMETERRE 200 MG 30 CAPS
ELUSANES HARPAGOPHYTON 200 MG 30 CAPS
ELUSANES HARPAGOPHYTON 200 MG 60 CAPS
ELUSANES MARONNIER D'INDE 200 MG 30 CAPS
ELUSANES MILLEPERTUIS 30 CAPS
ELUSANES ORTHOSIPHON 200 MG 30 CAPS
ELUSANES ORTHOSIPHON 200 MG 60 CAPS
ELUSANES ORTIE 200 MG 30 CAPS
ELUSANES PASSIFLORE 200 MG 30 CAPS
ELUSANES PASSIFLORE 200 MG 60 CAPS
ELUSANES PRELE DES CHAMPS 200 MG 30 CAPS
ELUSANES REINE DES PRES 200 MG 30 CAPS
ELUSANES VALERIANE 200 MG 30 CAPS
ELUSANES VALERIANE 200 MG 60 CAPS
ELUSANES VIGNE ROUGE 200 MG 30 CAPS
ELUSANES VIGNE ROUGE 200 MG 60 CAPS
ESBERITOX 100 CPR
ESBERITOX 60 CPR
EUPHON 50 PAST
mode de
dlivrance
conditions de
prescription
OD
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
R
P
P
P
P
P
P
P
P
P
P
P
P
P
P
RMP
PCC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Page 239 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Prix public
6,76
11,66
5,32
9,47
7,58
12,15
8,38
11,68
8,63
8,23
8,23
12,05
8,26
16,45
9,89
9,70
7,44
6,09
6,09
6,09
6,09
6,09
6,09
6,09
6,09
6,09
6,09
13,12
6,09
9,14
6,09
10,91
6,09
6,09
10,91
6,09
6,09
6,09
13,80
6,09
10,91
11,68
7,75
5,52
Taux
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
0409624
0350401
0206862
0205607
0433311
0188151
0188263
0322781
0322813
0322794
0188277
0434791
0457473
0457487
0188281
0188179
0188182
0501084
0322715
0443661
0188327
0185177
0188196
0457491
0188201
0188313
0188294
0188215
0322827
0185146
0322777
0188246
0188165
0188229
0185132
0322831
0185115
0185101
0329666
0380798
0380784
0250695
0233209
0447141
Dnomination abrge
EUPHON SIR 200 ML
FEMICUR N 4 MG 60 CAPS
GASTRICHOLAN L GTTS 30 ML
GASTRICHOLAN L GTTS 50 ML
GYNOSOYA 175 MG 120 CAPS
H+S BAERENTRAUBENBLAETTER 20 SACH NR12
H+S BERUHIGUNGSTEE II 20 SACH
H+S BIO KINDER"ATME GUT" 20 SACH NR55
H+S BIO KINDER"WAERME DICH" 20SACH NR56
H+S BIO KINDER"WOHLIGER BAUCH"20SA NR57
H+S BLASENNIERENTEE II 20 SACH
NR 2
H+S BRENNESSELBLAETTER 20 SACH 5 G NR15
H+S DURCHFALLTEE 20 SACH
NR16
H+S DURCHSPUELUNGSTEE 20 SACH
NR13
H+S ERKAELTUNGSTEE V 20 SACH
NR 4
H+S FENCHEL 20 SACH
NR17
H+S FRAUENMANTEL 20 SACH
NR19
H+S GALLE + LEBERTEE 20 SACH
NR 5
H+S HERZKREISLAUFTEE 20 SACH
NR 7
H+S HUSTEN+BRONCHIALTEE N 20SACH 2G NR 8
H+S HUSTENBRONCHIALTEE II 20 SACH
H+S JOHANNISKRAUT 20 SACH
NR20
H+S KAMILLENBLUETEN 20 SACH
NR21
H+S KREISLAUFTEE 20 SACH
NR31
H+S LINDENBLUETEN 20 SACH
NR22
H+S MAGENDARMTEE IX 20 SACH
NR10
H+S MAGENTEE V 20 SACH
NR 9
H+S MELISSENBLAETTER 20 SACH
NR23
H+S NERVEN + SCHLAFTEE N 20 SACH NR11
H+S PFEFFERMINZTEE 20 SACH
NR25
H+S RHEUMATEE 20 SACH
NR 6
H+S SALBEIBLAETTER 20 SACH
NR26
H+S SCHACHTELHALMKRAUT 20 SACH
NR27
H+S SCHAFGARBENKRAUT 20 SACH
NR28
H+S SPITZWEGERICHKRAUT 20 SACH 5 G NR30
H+S THYMIAN 20 SACH
NR54
H+S WEISSDORNBLAETTER+BLUET 20 SACH NR32
H+S WERMUTKRAUT 20 SACH 5 G
NR33
HEBUCOL ARTICHAUT 200 MG 60 CPR
HERBESAN TIS 20 SACH
HERBESAN TIS 80 G
HEUSCHNUPFENMITTEL DHU 100 CPR
ILON ABSZESS POM 25 G
IMUPRET 50 DRG
mode de
dlivrance
conditions de
prescription
OD
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
RMP
PCC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Page 240 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Prix public
6,27
15,15
4,68
6,66
22,83
2,86
2,77
3,26
3,26
3,26
3,40
2,58
3,25
3,40
3,40
2,73
2,73
3,40
3,40
3,40
2,77
2,58
2,73
3,40
2,73
3,40
3,40
2,58
3,40
2,73
3,40
2,73
2,58
2,58
2,58
2,73
2,58
2,58
8,48
4,76
4,42
12,90
8,57
9,08
Taux
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
0447138
0334666
0229724
0229711
0242029
0228825
0303172
0423928
0061278
0061281
0509292
0189681
0231719
0062552
0062566
0062535
0062583
0062549
0062597
0215536
0215519
0540583
0540597
0540566
0432197
0431061
0422965
0422979
0306613
0306627
0473009
0281349
0392172
0081396
0403942
0365225
0089010
0089007
0089024
0210042
0090591
0090607
0133833
0209377
Dnomination abrge
IMUPRET SOL 50 ML
INHALO RHINATHIOL SOL 20 ML
JOUVENCE ABBE SOURY 180 CPR
JOUVENCE ABBE SOURY 42 CPR
JOUVENCE ABBE SOURY GEL 100 G
JOUVENCE ABBE SOURY LIQ 210 ML
KAMILLIN ROBUGEN KONZENTRAT 100 ML
KAMILLOSAN 2% CREME 40 G
KAMILLOSAN LIQ 100 ML
KAMILLOSAN LIQ 250 ML
KIRA FORTE 300 MG 60 CPR
KLOSTERFRAU AKTIV 144 CAPS
KLOSTERFRAU AKTIV 54 CAPS
KLOSTERFRAU MELISSENGEIST 155 ML
KNEIPP ARNICA SALBE S 100 G
KNEIPP BLASEN + NIEREN-TEE 10 SACH
KYTTA SALBE F 35% POM 100 G
KYTTA SEDATIVUM 100 DRG
KYTTA SEDATIVUM 40 DRG
KYTTA SEDATIVUM TAG 425 MG 30 DRG
KYTTA SEDATIVUM TAG 425 MG 60 DRG
MELROSUM HUSTENSIRUP 100 ML
MELROSUM HUSTENSIRUP 250 ML
MILPERINOL 300 MG 60 CAPS
MYRTINE INHALANTE SOL 60 ML
NATURACTIVE VOXYL 15 MG 24 PAST
ODDIBIL 40 CPR
OSCILLOCOCCINUM 6 DOSES 1 G
BOIRON
PANKREAPLEX MONO 30 CAPS
PERSKINDOL LIN 1 L
PERSKINDOL LIN 250 ML
PERSKINDOL SPRAY 150 G
PHYTOMELIS 1 FL 30 ML
PINIMENTHOL ERKAELTUNGSBAD 190 ML
PINIMENTHOL ERKAELTUNGSBAD 500 ML
REMIFEMIN 100 CPR
REMIFEMIN 60 CPR
mode de
dlivrance
conditions de
prescription
OD
P
P
P
P
P
P
P
P
P
P
R
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
R
P
P
P
P
P
P
P
P
P
P
P
P
P
RMP
PCC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Page 241 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Prix public
9,08
4,62
15,22
4,61
7,10
7,98
7,50
6,55
8,11
16,20
13,56
9,95
4,49
10,30
14,70
3,49
28,22
6,38
55,32
6,32
1,12
11,16
13,74
6,00
17,20
8,13
11,15
19,78
5,62
12,72
14,00
6,84
5,44
6,41
8,88
10,36
0,00
7,93
9,22
8,23
9,88
18,40
13,33
8,91
Taux
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
0279547
0279533
0279516
0101261
0101258
0101275
0101230
0101244
0101356
0101342
0101373
0101325
0101339
0512088
0320982
0103297
0103302
0616518
0616521
0210011
0544101
0179362
0417271
0275811
0275808
0306949
0179393
0544114
0311837
0179409
0544128
0417254
0544131
0544162
0417268
0311823
0179443
0179345
0544145
0306935
0179457
0179461
0306966
0544159
Dnomination abrge
mode de
dlivrance
ROTER GINSENG GINTEC 100 CAPS

ROTER GINSENG GINTEC 30 CAPS
ROTER IMPERIAL GINSENG GINTEC 30 SACH
ROWACHOL 10 ML
ROWACHOL 100 CAPS
ROWACHOL 20 ML
ROWACHOL 30 CAPS
ROWACHOL 50 CAPS
ROWATINEX 10 ML
ROWATINEX 100 CAPS
ROWATINEX 20 ML
ROWATINEX 30 CAPS
ROWATINEX 50 CAPS
SEDANXIO 200 MG 100 CAPS
SEDANXIO 200 MG 50 CAPS
SEDINAL GTTS 30 ML
SEDINAL GTTS 100 ML
SEDISTRESS 200 MG 42 CPR
SEDISTRESS 200 MG 98 CPR
SEDOPAL 40 CAPS
SIDROGA APPETIT ANREGUNGSTEE 20 SACH
SIDROGA BAERENTRAUBENBLAETTER 20 SACH
SIDROGA BERUHIGUNGSTEE 20 SACH
SIDROGA BIO KINDER ERKAELTUNGSTEE 20SACH
SIDROGA BIO KINDER HUSTENTEE 20 SACH
SIDROGA BLASEN-NIERENTEE 20 SACH
SIDROGA BRENNESSELBLAETTER 20 SACH
SIDROGA DURCHFALLTEE 20 SACH
SIDROGA ERKAELTUNGSTEE N 20 SACH
SIDROGA FENCHEL 20 SACH
SIDROGA FENCHEL-ANIS-KUEMMEL 20 SACH
SIDROGA FETTVERDAUUNGSTEE 20 SACH
SIDROGA FRAUENMANTELKRAUT 20 SACH
SIDROGA FRAUENTEE N 20 SACH
SIDROGA HALS-UND RACHEN-GURGELTEE 20SACH
SIDROGA HUSTEN+BRONCHIALTEE N 20 SACH
SIDROGA JOHANNISKRAUT 20 SACH
SIDROGA KAMILLENBLUETEN 20 SACH
SIDROGA LAVENDEL 20 SACH
SIDROGA LEBER-GALLENTEE N 20 SACH
SIDROGA LINDENBLUETEN 20 SACH
SIDROGA LOEWENZAHN 20 SACH
SIDROGA MAGEN-DARM ANREGUNGSTEE
SIDROGA MAGEN-DARM BERUHIGUNGSTEE N 20SA
conditions de
prescription
OD
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
RMP
PCC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Page 242 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Prix public
52,06
18,53
76,77
6,06
10,06
11,40
4,09
6,36
6,06
10,06
11,40
4,09
6,36
15,26
9,53
6,73
16,32
13,12
24,19
10,80
3,99
2,99
3,99
3,99
3,99
3,99
2,99
3,99
3,99
2,99
2,99
3,99
2,99
3,99
3,99
3,99
2,99
2,99
2,99
3,99
2,99
2,99
3,99
3,99
Taux
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Numro national
0417285
0179488
0179359
0541211
0544176
0541224
0179491
0179555
0179507
0306952
0179511
0179524
0184166
0179569
0616535
0106464
0117941
0573603
0447415
0514258
0278472
0461171
0431866
0621468
Dnomination abrge
SIDROGA MAGENHEILTEE 20 SACH
SIDROGA MELISSENBLAETTER 20 SACH
SIDROGA PFEFFERMINZBLAETTER 20 SACH
SIDROGA PROSTATATEE 20 SACH
SIDROGA REIZHUSTENTEE 20 SACH
SIDROGA RHEUMATEE 20 SACH
SIDROGA SALBEIBLAETTER 20 SACH
SIDROGA SCHACHTELHALMKRAUT 20 SACH
SIDROGA SCHAFGARBENKRAUT 20 SACH
SIDROGA SCHLAF UND NERVENTEE N 20 SACH
SIDROGA SENNESBLAETTER 20 SACH
SIDROGA SPITZWEGERICH 20 SACH
SIDROGA THYMIAN 20 SACH
SIDROGA WEISSDORN HERZKREISLAUF 20 SACH
SIDROGA WERMUT 20 SACH
SOLUDOR 90 ML
TONIQUE VEGETAL LEHNING 250 ML
TRAUMATIL 5% CREME 30 G
TWARDY WACHOLDERBEEROEL 20 MG 60 CAPS
UROCYSTIL 40 CPR
VAGOSTABYL 40 CPR
VEINOFYTOL 50 MG 40 CAPS
VOLLMERS PRAEPAR GRUENER HAFERTEE 75 G
ZIBRINE FORTE 425 MG 60 CAPS
mode de
dlivrance
conditions de
prescription
OD
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
R
RMP
PCC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Page 243 of 243
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Prix public
3,99
2,99
2,99
3,99
3,99
3,99
2,99
2,99
2,99
3,99
2,99
2,99
2,99
2,99
2,89
9,32
9,47
6,80
5,98
12,00
4,14
11,60
5,44
19,04
Taux
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

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14.03 Liste Comm

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Liste des mdicaments commercialiss valable au 1er mars 2014

FLUOR SMB GTTS 30 ML

BAXIL 0,2% SPRAY 30 ML

DAKTARIN GEL ORAL 40 G

CIONAL KREUSSLER SOL BUCC 30 ML

ELUDRIL PRO BAIN BOUCHE 200 ML P

HEXTRIL SOL BUCC 200 ML

MAG 2 100 MG 60 CPR

MAALOX ANTACID 230/400 20 SACH 4,3 ML

ZIRKULIN MAGENPASTILLEN 500 MG 10 CPR

ordinary salt combinations

RENNIE SANS SUCRE 96 PAST

GASTRICALM 50 CPR A CROQUER

RENNIELIQUO HYDROTALC SS SUCRE 20 SACH

Antacids with antiflatulents

Antacids with sodium bicarbonate

GASTROPAX PDR 100 G

Antacids, other combinations

CIMEHEXAL 200 MG 10 AMP 2 ML IV

ACIDINE 75 MG 20 CPR EFF (TUBE)

RANITIC 300 MG 50 CPR

CYTOTEC 200 MCG 112 CPR

ACIDCARE 10 MG 14 CAPS (FL)

OMEPRAZOLE RATIO 40 MG 28 CAPS

MAALOX CONTROL 20 MG 14 CPR

PANTOPRAZOL RATIO 40 MG 28 CPR GR BLIST

RABEPRAZOL RATIO 10 MG 56 CPR

ESOMEPRAZOL RATIO 20 MG 15 CAPS

GAVISCON ANTIACIDE-ANTIREFLUX SUSP 300ML

GAVISCON ANTIACIDE-ANTIREFLUX UD 24 SACH

GAVISCON ADVANCE SUSP 300 ML

DUSPATALIN 135 MG 120 DRG

ROBINUL 0,2 MG 5 AMP 1 ML IMIV

Other drugs for functional bowel disorders

IMONOGAS 240 MG 30 CAPS

ATROPINE SULFATE STRP 0,25 MG 10 AMP 1ML

butylscopolamine and analgesics

BUSCOPAN COMP 3 AMP 5 ML IMIV

MOTILIUM 30 MG 6 SUPP ENF

ANTIEMETICS AND ANTINAUSEANTS

ONDANSETRON EG 4 MG 5 AMP 2 ML IMIV

GRANISETRON IPS 3 MG 1 AMP 3 ML IV

ALOXI 250 MCG 1 FL V 5 ML IV

SCOPODERM TTS 5 PATCH

EMEND 125 MG 1 CAPS + 80 MG 2 CAPS

IVEMEND 150 MG PDR 1 FL 10 ML IV

URSOCHOL 150 MG 50 CPR

LIVER THERAPY, LIPOTROPICS

ESSENTIALE KAPSEL 300 MG 100 CAPS

CEFASILYMARIN 105 MG 100 CPR

HEPAMERZ 10 AMP 10 ML PERF

LANSOYL PARAFFINE GELEE 225 G

NORGALAX GEL RECT 6 TUBES 10 G

BEKUNIS SENNA TEE INST 240 ML

LAXAFYTOL 25 MG 20 CAPS (FL)

LAXOBERON 0,75% GTTS 15 ML

contact laxatives in combination

PREPACOL SET 4 CPR + SOL 30 ML

senna glycosides, combinations

AGIOLAX GRAN 100 G

sodium picosulfate, combinations

CITRA FLEET PDR 2 SACH

ispaghula (psylla seeds)

AGIOCUR GRAN 250 G