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LISTE EXAUSTIVE DES SPECIALITES PHARMACEUTIQUES SOUMISESA L'ACCORD PREALABLE (CLASSEES PAR DCI)
mercredi 26 Septembre 2018
Page 1
FRACTION PHOSPHOLIPIDIQUE DE POUMON DE PORC
FENTANYL
MORPHINE
ANASTROZOLE
BICALUTAMIDE
EXEMESTANE
GOSERELINE
LANREOTIDE
Médicaments d'urgence des états de choc
Morphine et morphinomimétiques
Agents cytostatiques
ANESTHESIOLOGIE
ANTALGIQUES
CANCEROLOGIE
850952
502107502104502105502106
502042502440502443502444502441502442500051500052500053
104899104283504962104962
504805501637
508896504981
506491501274
857860852336
CUROSURF 120mg 1.5 ml Bt 1 #
DUROGESIC TTD 10mg/40cm² Bt 5DUROGESIC TTD 2,5mg/10cm² Bt 5DUROGESIC TTD 5,0mg/20cm² Bt 5DUROGESIC TTD 7,5mg/30cm² Bt 5
MORPHINE Fl inj 10mg/ml vracMOSCONTIN Comp enr LP 10mg Bt 14MOSCONTIN Comp enr LP 100mg Bt 14MOSCONTIN Comp enr LP 200mg Bt 14MOSCONTIN Comp enr LP 30mg Bt 14MOSCONTIN Comp enr LP 60mg Bt 14SKENAN LP Gélule Ret. 10mg Bt 14SKENAN LP Gélule Ret. 30mg Bt 14SKENAN LP Gélule Ret. 60mg Bt 14
ANASTROZOLE ZENTIVA Comp Pell 1 MG BT30ARIMIDEX Comp Pell 1 mg Bt 30AVOMIN Comp Pell 1 MG BT 28AVOMIN Comp Pell 1MG BT 28
BICAMIDE Comp Pell 50 MG BT 28CASODEX Comp Enr 50 mg BT 30
AROMASINE Comp Enr 25mg Bt 30EXEMESTANE -GENEPHARM Comp Pell 25 MG BT 30
ZOLADEX IMPLANT Implant inj 3.6mg Bt 1ZOLADEX 10,8mg/Implant Bt 1 Seringue
SOMATULINE LP Amp inj 30 mg Bt 1SOMATULINE LP Amp Inj 90mg Bt1
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LISTE EXAUSTIVE DES SPECIALITES PHARMACEUTIQUES SOUMISESA L'ACCORD PREALABLE (CLASSEES PAR DCI)
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Page 2
LANREOTIDE
LETROZOLE
MEGESTROL
OCTREOTIDE
TRETINOINE
TRIPTORELINE
AMSICRINE
ASPARAGINASE ( L )
BEVACIZUMAB
BLEOMYCINE
Agents cytostatiques
Cytotoxiques
CANCEROLOGIE
853099855058
502114504955504807
854517
854563854562854561503355503350
854649
502295501578501263504468
857789
850605852849854367
860001852893
506240504059
SOMATULINE LP sol inj 120 MG BT 1 SER / 0.5MLSOMATULINE LP sol inj 60 MG BT 1 SER / 0.5ML
FEMARA Comp 2,5mg Bt 30GYNOTRIL Comp Pell 2.5 MG BT 30LEFFTARA Comp Pell 2,5mg Bt 30
MEGACE Comp 160 MG BT 30
SANDOSTATINE LAR Pde P Susp INJ 20 MG BT 1 FLSANDOSTATINE LAR Pdre P Sus Inj 30 MG BT 1 FLSANDOSTATINE LAR Pdre P Susp Inj 10 MG BT 1 FLSANDOSTATINE 0.05 mg /ml Sol Inj Bt 5SANDOSTATINE 100 µG 1 ML Amp Inj Bt 5
VESANOID Capsule 10 MG BT 100
DECAPEPTYL LP 11.25 Pdre pp Inj Bt 1DECAPEPTYL SC Sol inj 100µg/Dose Bt 7 +SolvDECAPEPTYL Sol inj LP 3mg + SerGONAPEPTYL Pdre P Pre Inj /ML 3.75 MG BT 1
AMSALYO (AMSIDINE )Amp inj 75 mg Bt 5
ERWINASE 10000 UI Bt 5KIDROLASE 10000 UI Fl Inj Bt 1KIDROLASE 10000 UI Pdre Inj BT 10
AVASTIN inj 100mg Bt 1AVASTIN inj 400mg Bt 1
BLEOMYCINE Fl inj 15mg Bt 10 Sans SolvantBLEOMYCINE Fl inj 15mg vrac
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mercredi 26 Septembre 2018
Page 3
CAPECITABINE
CARBOPLATINE
CARMUSTINE
CETUXIMAB
CHLORAMBUCIL
CISPLATINE
CLADRIBINE
CYCLOPHOSPHAMIDE
CYTARABINE
DACARBAZINE
Cytotoxiques
CANCEROLOGIE
504954504806851331
501931502354504836504398506451
854547806249
853449
851967
503611501816
854908853432
500394500798504064506267500291
503286503287501712507864
854049506269503043
CAPECITABINE ZENTIVA Comp Pell 500mg Bt 120DIROGIT Comp Enro 500 MG BT 120XELODA Comp 500mg Bt 120
CARBOPLATIN MERCK 150 MG Sol Inj Bt1CARBOPLATINE-EBEWE Fl Inj 150mg Bt 1KARBOTEEN Sol Inj P Perf 150mg/15ml Bt 1FL/15mlMEGAPLATIN Sol Inj 150mg/15ml Bt 1 Fl 15 mlPARAPLATINE Fl Inj 150mg Bt 1
BICNU IV 100mg Pdre.Prép.Inj. Bt 1+S/3ml (F)BICNU Pdre inj 100mg Bt 1
ERBITUX 100 MG (5 MG/ML) Inj FL 20 ML
CHLORAMINOPHENE Comp 2mg Bt 30
CISPLATIN -EBEWE Sol Inj 25 mg/50 ml Bt 1 FLCISPLATINE MYLAN Fl Inj 25mg Bt 1+1 (EX MERCK GENERIQUE)
LITAK Sol Inj 10 MG (2 MG/ML ) BT 1FL /5MLLITAK Sol Inj 2 MG/ML BT 5 FL
ENDOXAN Comp drag 50mg Bt 50ENDOXAN pdre inj 1gr/Fl Bt 1ENDOXAN Pdre/prép inj 200mg Fl vracENDOXAN Pdre/prép inj 200mg/Fl Bt 10ENDOXAN Pdre/Prép inj 500mg/Fl Bt 1
ALEXAN 1gr/20ml Sol I nj Bt 1ALEXAN 100mg/5ml Sol Inj Bt 1ARACYTINE Fl inj 100mg Bt 1+1(5ml)ARACYTINE Pdre P Prep Inj 1 gr Bt 1
DACIN Sol Inj 200 MG BT 12 FLDETICENE Fl inj 100mg Bt 10+10DETICENE Fl inj 100mg vrac
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Page 4
DACTINOMYCINE
DASATINIB
DAUNORUBICINE
DOCETAXEL
DOXORUBICINE
EPIRUBICINE
ETOPOSIDE
Cytotoxiques
CANCEROLOGIE
856855
850134853621850047
506391
352298352299504656504657504106504110504109504111854109854111808243808242
504297504298502005507324
504950503087503088504949504412506890506891504413
500917502448501818506442
COSMOGEN Pdre inj 0,5mg Fl
SPRYCEL Comp Pell 70 mg Bt 60SPRYCEL Comp Pell 20 mg Bt 60SPRYCEL Comp Pell 50 mg Bt 60
CERUBIDINE 20mg Fl inj Bt 1+1(4ml)
CYTOTERE Sol Inj P Perf 20mg/ml Bt 1Fl/1mlCYTOTERE Sol Inj P Perf 80mg/4ml Bt 1Fl/4mlDOCETAXEL HOSPIRA 20 MG/2ML Sol Inj BT 1DOCETAXEL HOSPIRA 80MG/8ML Sol Inj BT 1 FLDOXETAL 20 MG Sol Inj BT 1 FLDOXETAL 80 MG Sol Inj BT 1 FLERIOX Sol P Perf 20 MG Bt 1 FLERIOX Sol P Perf 80 MG Bt 1 FLERIOX 20 MG Sol P Perf Bt 1 Fl /0.5 ML +SolERIOX 80 MG Sol P Perf Bt 1 Fl /2 ML + SolTAXOTERE Pdre Inj 20mg Bt 1Fl+solv.TAXOTERE Pdre Inj 80mg Bt 1Fl+solv.
ADRIABLASTINE Sol O Perf 10mg/5 ml Bt 1 Fl 5mlADRIABLASTINE Sol Per 50 mg/25ml Bt 1 FL 25 mlDOXORUBICIN EBEWE Fl inj 10mg Bt 1/5mlDOXORUBICIN EBEWE Sol inj 50mg/25ml 1Fl 25ml
EPIRUBICIN THMOORGAN Sol Inj P Perf 50 MG/25 ML bt 1 FL /25 MLEPIRUBICINE EBEWE 2MG/ML Sol/Per 10mg Bt 1(5ml)EPIRUBICINE EBEWE 2MG/ML Sol/Per 50mg Bt 1(25)EPIRUBICINE THYMOORGAN Sol Inj P Per 10MG/5ML Bt 1FL /5mlFARMORUBICINE Sol P Perfu 10 MG//5ML BT 1 FL/5MLFARMORUBICINE RD 10 Fl inj 10mg Bt1+1(5ml)FARMORUBICINE RD 50 Fl inj 50mg Bt 1 Sans solv.FARMORUBICINE Sol P Per 50 MG/25ML BT 1 FL /25 ML
ETOPOSIDE EBEWE 100MG Sol Inj Bt1ETOPOSIDE MERCK Sol/perfusion 100mg/5ml Bt 10ETOPOSIDE MYLAN Sol/perfusion 100mg/5ml BT 10 / 5mlVEPESIDE Amp Inj 100 MG BT 5
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LISTE EXAUSTIVE DES SPECIALITES PHARMACEUTIQUES SOUMISESA L'ACCORD PREALABLE (CLASSEES PAR DCI)
mercredi 26 Septembre 2018
Page 5
FLUDARABINE PHOSPHATE
FLUOROURACILE
GEMCITABINE
HYDROXYCARBAMIDE
IDARUBICINE
IFOSFAMIDE
IMATINIB MESILATE
IRINOTECAN CHLORHYDRATE
Cytotoxiques
CANCEROLOGIE
854618850220
352221352220504359504477501906504323504453504503
853967853966504300504301504952808791808792854113854112
504818506545
506944
507301
504635504636853356852896
502657502906504401504400503987
FLUDARA Comp 10 MG BT 20FLUDARA Pdre inj 50 mg Bt 5
CYTOFLU Sol Inj Per 1 GR/20ML ( 50 MG/ML) BT 1 FL/20 MLCYTOFLU Sol Inj 250 MG/5 ML (50 MG/ML) BT 1 FL/5 MLFLUORACILO-5 250 MG Sol Inj 250 MG BT 25FLUOROURACILE 250 MG Sol Inj bt 1 FLFLUORO-URACILE inj 250mg/5ml Bt 1 FlFLUOROURACILE 250 MG SOL INJ BT 125-FLUOROURACIL 250 MG Sol Inj BT 1 FL5-FLUOROURACILE EBEWE 1000 MG:20 ml Sol P PERF BT 1 /20 ML
GEMCITABIN EBEWE 10 MG/ML (1000 MG) Sol P Perf Bt 1 FLGEMCITABIN EBEWE 10 MG/ML (200 MG) Sol P Perfu Bt 1 FlGEMCITABINE HOSPIRA 1 GR Pdre P Pre Inj Bt 1 FLGEMCITABINE HOSPIRA 200 MG Pdre P Pre Inj Bt 1GEMCITABINE KABI Pdre P Inj 200 MG BT 1 FLGEMZAR Pdre Prép. Inj IV 1gr Bt 1GEMZAR Pdre Prép. Inj IV 200mg Bt 1GEZT 1 GR pdre P Prep Inj Bt 1 FLGEZT 200 MG Poudre P Pr Inj Bt 1 Fl
CUREAMIL Gel 500 MG BT 30HYDREA Gélule 500mg Bt 20
ZAVEDOS Pdre Prép inj 10mg Bt 1
HOLOXAN Pdre Prép.Inj 1grI Bt 1
CEMIVIL Comp Pell Sec 100 MG BT 30 (IMATINIB)CEMIVIL Comp Pell Sec 400 MG BT 30 (IMATINIB)GLIVEC Comp Pell 400 MG BT 30 (IMATINIB)GLIVEC 100MG Comp Bt 60 (IMATINIB)
CAMPTO Sol Inj 100mg/5ml Bt 1 Fl 5mlCAMPTO Sol P Per 40 mg/2ml Bt 1 FL 2 MLIRINOTECAN KABI Sol P Per 100 MG BT 1 FL/ 5 mlIRINOTECAN KABI Sol P Per 40 MG BT 1 FL 2 MLIRINOTESIN 40MG/2ML Sol P Per BT 1 FL
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LISTE EXAUSTIVE DES SPECIALITES PHARMACEUTIQUES SOUMISESA L'ACCORD PREALABLE (CLASSEES PAR DCI)
mercredi 26 Septembre 2018
Page 6
IRINOTECAN CHLORHYDRATE
MELPHALAN
MERCAPTOPURINE
METHOTREXATE
MITOXANTRONE
NILOTINIB
OXALIPLATINE
Cytotoxiques
CANCEROLOGIE
503985
507927850312
504543
503614501662504396504397506351506350502678502652501972501973502497503456503089502288504387
503288503289504333500307507989
853835
352326352322508476508475504303504304503312503313
IRINOTESIN 100MG/5ML Sol P Per BT 1 FL
ALKERAN Comp 2mg Bt 50ALKERAN Fl inj 50 MG BT 1
PURINETHOL Comp Sec 50 MG BT 25
EBETREXAT Sol P Per 5000mg/50 ml BT 1METHOTREXATE Amp inj 20mg Bt 10METHOTREXATE BIODIM Sol Inj 5 MG/2 ml BT 1METHOTREXATE BIODIM Sol Inj 25 MG/ML BT 1METHOTREXATE EBEWE Amp inj 50mg Bt 5/5mlMETHOTREXATE Fl inj 20mg Bt 1 vracMETHOTREXATE Fl Inj 25mg Bt 1METHOTREXATE Fl Inj 5gr Bt 10METHOTREXATE Fl inj 5gr B/1 Fl + SolvantMETHOTREXATE Fl inj 500mg Bt 1 Fl 5ml #METHOTREXATE MYLAN 5 MG/2 ML Sol Inj BT 10 FL/2 MLMETHOTREXATE MYLAN 50 MG/2ML Sol Inj BT 10 FL/2MLMETHOTREXATE MYLAN 25 MG/ ML Sol Inj BT 10 FL 20 MLMETHOTREXATE 5 mg amp.inj. Bt 1METHOTREXATE 5 MG/2 ML Sol inj BT 1
EBEXANTRON 2MG/ML Sol Inj Bt 1(5ml)MITOXANTRON EBEWE 20MG/10ML Sol Inj Bt 1 FL (10ml)MITOXANTRONE Sol Inj 20 MG/10ML BT 1NOVANTRONE Sol inj 10mg/5ml Fl 5mlNOVANTRONE Sol inj 20mg/10ml Fl 10ml
TASIGNA Gelule 200 mg Bt 28
CYTOXALINE Sol Inj P Perf 100 MG/20ML BT 1FL/20MLCYTOXALINE Sol Inj P Perf 50 MG/10ML BT 1FL/10MLELOXATINE Pdre inj 100mg Fl 50mlELOXATINE Pdre inj 50mg Fl 36mlOXALIPLATIN ACTAVIS 5 MG/ML( 100 MG) Pdre Pre Inj BT 1FL 20 MLOXALIPLATIN ACTAVIS 5 MG/ML (50 MG) Pdre P Pre Inj bt 1 FL 10 MLOXALIPLATIN EBEWE 5MG/ML Pdre P P Inj (100mg) Bt (20ml)OXALIPLATIN EBEWE 5MG/ML(50mg) Pdre P Pr Inj Bt(10ml)
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LISTE EXAUSTIVE DES SPECIALITES PHARMACEUTIQUES SOUMISESA L'ACCORD PREALABLE (CLASSEES PAR DCI)
mercredi 26 Septembre 2018
Page 7
OXALIPLATINE
PACLITAXEL
PAZOPANIB
PEMETREXED
PROCARBAZINE
STREPTOZOCINE
SUNITINIB
TRASTUZUMAB
VINBLASTINE
Cytotoxiques
CANCEROLOGIE
504659504660504091504092
504448504114504449503267503268503266504093504173504306504305807704
854927854928
503383504948
501879
857039
854460854459853236
851875855212
507246504584504597504371
OXALIPLATINE KABI Sol Inj P Perf 5 MG/ML (100 MG) BT 1 FL /20 MLOXALIPLATINE KABI Sol Inj P Perf 5 MG/ML (50 MG) BT 1 FLXALIPAT Pdre P Prep Inj 100 MG BT 1 FLXALIPAT Pdre P Prep Inj 50 MG BT 1 FL
DRIFEN 150 MG Sol Inj BT 1 FLDRIFEN 100 MG Sol Perf Bt 1 FlDRIFEN 30 MG Sol Inj BT 1 FLEBETAXEL 100MG Sol P PERFUSION Bt 1 (16.7ml)EBETAXEL 150MG Sol P PERFUSION Bt (25ml)EBETAXEL 30MG Sol P Perfusion Bt (5ml)PACLITAXEL STRAGEN 6 MG/ML (150 mg ) Sol P Perf Bt 1 FL 25 MLPACLITAXEL STRAGEN 6 MG/ML (30 MG) Sol PPerf Bt 1 FL 5 MLSINDAXEL Sol P Perf 6 MG/ML ( 30 MG ) BT 1 FL 5 mlSINDAXEL 6 MG/ML ( 100 MG) Sol P Per BT 1 FL /16.7 MLTAXOL Sol Inj 30mg 5ml Bt 1
VOTRIENT Comp Pell 200 MG FL 30VOTRIENT Comp Pell 400 MG FL 30
ALIMTA Pdre P Pre Inj 500mg Bt 1TREXAM Pdre P Perf Inj 500 MG BT 1 FL de lyophilisat
NATULAN Caps 50mg Bt 50
ZANOZAR Fl Inj 1gr Bt 1
SUTENT Gelule 12.5 MG BT 28SUTENT Gelule 25 MG BT 28SUTENT Gelule 50 MG BT 28
HERCEPTIN pdre perf 150mg Fl 15ml Bt 1HERTRAZ 150 MG Pdre P Prep Inj BT 1 FL de lyoph +1 Fl de Solv (F)
VINBLASTINE Fl inj 10mg vracVINBLASTINE Pdre/prép Inj 1 MG Bt1+ S/10 ML(FL )VINBLASTINE Pdre/prép Inj 1 MG Bt5+ S/10 ML(FL )VINBLASTINE Pdre/prép Inj 10 MG Bt1 (FL )
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Page 8
VINBLASTINE
VINCRISTINE
VINORELBINE DITARTRATE
BCG
INTERFERON ALFA 2A
INTERFERON ALPHA 2B
PEGINTERFERON ALFA - 2A
PEGINTERFERON ALPHA 2b
RITUXIMAB
Cytotoxiques
Modificateurs de la réponse immunitaire
CANCEROLOGIE
508209
504800504799506431
857686857687507023807023507160807160504127504150854127854150
999999
503019502349502618
507136502155
502855508922508889
508893508888508874
802297802303
VINBLASTINE Pdre/prép Inj 10 MG Bt10+ S/5 ML(FL )
CELLCRISTIN Sol INJ 1 MG BT 1FLCELLCRISTIN Sol Inj 1 MG BT 10 FLVINCRISTINE Fl Inj 1mg Bt 1+1
NAVELBINE Inj 10mg 1ml Bt 1 ( vrac )NAVELBINE Inj 50mg 5ml Bt 1 ( vrac )NAVELBINE Sol Inj 10 MG/ML BT 10 /1MLNAVELBINE Sol inj 10MG/ML BT 10/1MLNAVELBINE Sol Inj 50 MG BT 10 /5 MLNAVELBINE Sol INJ 50MG/5ML BT 10/5MLVINOREL Sol Inj 10 MG / 1 ML Bt 1 Fl/ 1MLVINOREL Sol Inj 50 MG / 5 ML Bt 1 Fl/ 5MLVINOREL 10 MG/1ML Sol INJ Bt 1 FL /1 MLVINOREL 50 MG/5 ML Sol INJ BT 1 FL /5 ML
IMMUN BCG 75mg/ml Bt 1
ALFAFERONE Sol INJ 3 MUI/ML Bt 1FL 1 MLROFERON A Fl inj 3MUI vracROFERON A Fl inj 9 MUI vrac
INTRONA STYLO 30 MUI (6 doses de 5MUI)INTRONA 18Mui STYLO Inj (6DOSES X3MUI)
PEGASYS Sol Inj 135 µgr /0.5 ML BT 4 SeringuesPEGASYS Sol inj 135µgr BT 1 FLPEGASYS Sol inj 180µGR Fl 1ml
VIRAFERON PEG 100µG/5ml FL + solvVIRAFERON PEG 120µG/5ml FL + solv #VIRAFERON PEG 80µG/5ml FL + solv
MABTHERA Amp inj 100mg Bt 2MABTHERA Amp inj 500mg Bt 1
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LISTE EXAUSTIVE DES SPECIALITES PHARMACEUTIQUES SOUMISESA L'ACCORD PREALABLE (CLASSEES PAR DCI)
mercredi 26 Septembre 2018
Page 9
TOCILIZUMAB
ACIDE IIBANDRONIQUE
DOLASETRON
FOLINATE DE CALCIUM
GRANISETRON
LEVOFOLINATE DE CALCIUM
MESNA
ONDANSETRONE
Modificateurs de la réponse immunitaire
Traitements associés
CANCEROLOGIE
854540854539854541
503144
501935501936
507943504321502121508516851383
507123
502077351529
501174501181507302
351538350738350739351537351446350834351337502734501928500361506603500374506576
ACTEMRA Sol Inj P Per 200 MG/10ML BT 1 FLACTEMRA Sol Inj P Per 400 MG/20ML BT 1 FLACTEMRA Sol Inj P Per 80 MG/4ML BT 1 FL
BONDRONAT Sol/perfusion 6mg/6ml
ANZEMET Amp inj 100mg/5ml Bt 1ANZEMET Amp inj 12.5 mg/0.625ml Bt 1
CALCIUMFOLINAT-EBEWE Amp Inj 30mg/3ml Bt 5FOLINATE DE CALCIUM AGUETTANT Pdre P Pre Inj 200 mg Bt 1 FLFOLINATE DE CALCIUM Pdre inj 50 mg Bt 10FOLINATE DE CALCIUM sol inj 25mg/10ml Bt 10LEDERFOLINE Comp 25mg Bt 30
KYTRIL Amp inj 3mg/3ml Bt 5
ELVORINE Pdre inj Fl 100mg Bt 1 #LEVOFOLINA 50 SOL INJ 10 MG/1 ML BT 1 AMPOULE 5 ML
UROMITEXAN Comp 400mg Bt 10UROMITEXAN Comp 600mg Bt 10UROMITEXAN inj 400mg 4ml Bt 15
ONDANSETRON AIPH Sol Inj 8 MG/4 ML BT 5 /4MLONDANSETRON MEDIS sol inj 4mg/2ml Bt 5ONDANSETRON MEDIS sol inj 8mg/4ml Bt 5ONDANSETRON SAIPH Sol Inj 4 MG/2ML BT 5ONDANSETRON UNIMED Sol INJ 8 MG/4ML BT 10ONDANSETRON 8MG Comp Pell Bt 10ONDOFREN Sol Inj 8 MG/4ML BT 50 /4MLSETRON sol inj 8mg/4ml Bt 5ZEMITRON Comp enr. 8mg Bt 10ZOPHREN Sol inj 4mg/2ml Bt 1 Amp 2mlZOPHREN Sol inj 4mg/2ml Bt 5 Amp 2mlZOPHREN Sol inj 8mg/4ml Bt 1 Amp 4mlZOPHREN Sol inj 8mg/4ml Bt 5 Amp 4ml
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Page 10
RASBURICASE
ZOLEDRONIQUE ACIDE
AMLODIPINE+ATORVASTATINE
CLOPIDOGREL
IVABRADINE
Traitements associés
Antihypertenseurs
Prévention cardiovasculaire
Traitement de l'insuffisance coronarienne
CANCEROLOGIE
CARDIOLOGIE ET ANGIOLOGIE
852859852857
351814504637854999
103487103486302498302497
301812302241309111309112309056301505301506301507301550301282300885301379301755302684301424
104843104816
FASTURTEC pdre ing 1.5 mg Bt 3+3FASTURTEC pdre ing 7.5 mg Bt 1+1
ZOLEDRA Pdre P Prep I nj 4 MG BT 1 FLZOLEDRONIC ACID HIKMA Pdre P Pre Inj 4 MG BT 1 FL/10 MLZOMETA Sol Inj 4mg Bt 1
CADUET Comp Pell 5mg/10mg Bt 30CADUET Comp Pell 10mg/10mg Bt 30LIPTA 10 MG/10 MG COMP PELL BT 30LIPTA 5 MG/10 MG COMP PELL BT 30
CLOPIDOGREL PFIZER Comp Pell 75 MG BT 30CLOPIDOGREL PFIZER Comp Pell 75 MG BT 90CLOPIX Comp Pell 75 mg Bt 60CLOPIX Comp Pell 75 mg Bt 90CLOPIX Comp Pell 75mg Bt 30COPIGREL Comp Pell 75 mg Bt 30COPIGREL Comp Pell 75 mg Bt 60COPIGREL Comp Pell 75 mg Bt 90PIDOGREL Comp Pell 75 MG Bt 90PIDOGREL Comp Pell 75 mg Bt 60PIDOGREL Comp Pell 75mg Bt 30PLAGREL Comp Pell 75 mg Bt 28PLAGREL Comp Pell 75 MG BT 90PLAGREL 75 mg Comp. Pell. BT/30PLAVIX Comp Pell 75 mg Bt 28
PROCORALAN Comp Pell 5 MG BT 56PROCORALAN Comp Pell 7.5 MG BT 56
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Page 11
ACITRETINE
CALCIPOTRIOL
CALCIPOTRIOL + BETAMETHASONE
THALIDOMIDE
SOMATROPINE
CETRORELIX
DANAZOL
FSH
Médicaments du psoriasis
thalidomide
Hormones de croissance
Médicaments de l'axe hypophyso-gonadique
DERMATOLOGIE
ENDOCRINOLOGIE
104866104865
107131107132107333
104627104925103204302116104235
853433854050852590
502978503598504552
504875
501992
109708
103671103670
104528101860
NOVATRETIN Caps 25 MG BT 60NOVATRETIN Capsule 10 MG BT 60
DAIVONEX Crème derm 0.005% Tb 30grDAIVONEX Lotion 0.005% Fl 60mlDAIVONEX Pde derm Tb 30gr
DAIVOBET Gel Dermique 50 mcg/0.5mg/ gr TBE 60 GRDAIVOBET Gel Derm 50µg/0.5MG/G FL 30 grDAIVOBET Pde Der 50µG/0.5MG Tbe 60PSORIASONE Pde Derm 50 mcg/0.5mg TBE 60 GRXAMIOL Gel Dermique 50 mcg/0.5 mg/ gr Fl 60 gr
MYRIN ( THALIDOMIDE ) 50 mg Comp Bt 30MYRIN (THALIDOMIDE ) 100 mg Comp Bt 30THALIDOMIDE comp 50mg Bt 100
GENOTONORM 1.3 mg (4UI) Pdre +Sol Fl 1HHT Pdre P Inj 4 UI Bt 1Fl /1 ml (SOMATROPINE) ( 4 UI /FL )NORDITROPIN NORDILET 5mg/1.5ml BT 1 STYLO/ 1.5 ml (15 UISOMATROPINE)OMNITROPE 5 MG/1.5 ML Inj BT 5 CARTOUCHES Pre -remplies /1.5 ML (15UI/FL)SAIZEN 4UI Pdre/prép inj Bt 1Fl+Solv/1ml
CETROTIDE Pdre P Inj 0.25mg Bt 1 +ser 1ml
DANATROL Gélule 200mg Bt 100DANATROL Gélule 200mg Bt 40
FOSTIMON Pdre P Pre Inj 75 UI BT 1 FLGONAL F Pdre/Prep 75 UI Bt 1+1
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Page 12
FSH+LH
LUTROPINE ALFA
NORETHANDROLONE
GOLIMUMAB
INFLIXIMAB
ERYTHROPOIETINE HUMAINE
FER
FILGRASTIM
Médicaments de l'axe hypophyso-gonadique
Médicaments de la rectocolite hémorragique
Antianémiques
Antineutropéniques
ENDOCRINOLOGIE
GASTRO-ENTEROLOGIE
HEMATOLOGIE ET HEMOSTASE
103283104529
103259
502806
855063855062
854313855166
351982351828503205503192502157504299
301405351350
503504501929501930504383504384504473
MENOPUR Pdre P Inj 75 UI Bt 5MERIONAL Pdre P Prepation Inj 75 UI /ML BT 1 Fl +Amp solvant
LUVERIS 75 UI P.P.P.Inj Bt 1 + S
NILEVAR Comp 10mg Bt 30
SIMPONI 50 MG Sol Inj BT 1 Ser Pre-rempli/0.5ML (F)SIMPONI 50 MG Sol Inj BT 1 STYLO Pre-rempli/0.5ML (F)
REMICADE Pdre P Prep IN 100 MG BT 1 FLREMSIMA 100 MG PDRE P. PREP. INJ. BT 1FL/20 ML
EPOMAX Sol Inj (IV/SC) 200 UI/ML BT 10 FLEPOMAX Sol Inj 2000 UI / ML Bt 1 FLEPOTIN 2000 UI Sol Inj Bt 1 ( vrac )EPOTIN 2000 UI Sol Inj BT 10 FlHEMAX pdre inj 2000 UI Bt 1IOR EPOCIM 2000UI Sol Inj Bt 10 FL
FER PLUS Sol Inj 62.5 mg/5ml Bt 10IV-FER Sol P Perf 100 mg/5 ml Bt 5
IOR LEUKOCIM Sol Inj 30 MUI/ML Bt 10 Fl/1 ML (GCSF)NEUPOGEN 30 MU Sol inj Bt 1 ser. 0,5ml (GCSF)NEUPOGEN 48 MU Sol inj Bt 1 ser. 0,5ml ( GCSF)NEUTROMAX Sol Inj 30 MU BT 1 FL/1ML (GCSF)NEUTROMAX Sol Inj 48 MU Bt 1FL /1 ML ( GCSF)ZARZIO 48 MU SOL INJ BT 5 Seri 0.5 ml (GCSF )
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LENOGRASTIM
FACTEUR DE COAGULATION PLASMATIQUE COURT CIRCUITANT L'ACTIVITE DESFATEURS ANTIHEMOPHILIQUES
FACTEUR IX
FACTEUR VII A
FACTEUR VIII
OCTREOTIDE
URSODESOXYCHOLIQUE ACIDE
CICLOSPORINE
Antineutropéniques
Facteurs sanguins de la coagulation
Traitement de la Cirrhose
Immunosuppresseurs
HEMATOLOGIE ET HEMOSTASE
HEPATOLOGIE
IMMUNOLOGIE
508373
551305
551363550009550008
551337
550014550013
551291551371
550299550298550057551330551329
506849506486
854932106963
501856501854
GRANOCYTE 34 Pdre/Prép Inj 263µG Bt 5fl+Solv1ml (G CSF)
FEIBA Pdre P P Inj 500 UI/20 ML BT 1 FL
MONONINE 500UI Pdre.P.Prép.Inj. 1Fl+Solv./5ml+ Kit (F)NANOTIV 500 UIOCTANINE F 250UI Lyophilise + Solv.+ Jeu de Perfusion Bt 1FL
NOVOSEVEN 1mg (50 KUI) Pdre. P. Prép. Inj. Bt 1Fl Pdre +Solv/1.12ml
HAEMOCTIN SDH 250 50 UI/ml Pdre.P.Prép.Inj. Fl/Pdre+Fl/5ml Solv+ Kit Perf(F)HAEMOCTIN SDH 500 50 UI/ml Pdre. Prép. Inj. Fl/Pdre+FL/5ml Solv + KitdePerfusion (F)IMMUNATE 250UI Pdre.P.Prép.Inj. 1Fl +Sol/5ml+ Kit de Perfusin (F)IMMUNATE 500UI Pdre.Prép.Inj. Bt 1Fl Pdre+1Fl Solv./5ml+ Kit d'administration(F)KOGENATE FS 1000UI Pdre.Prep.Inj. Bt 1Fl+Solv. 2.5ml (F)KOGENATE FS 500UI Pdre.Prép.Inj. Bt 1 Fl. lyoph.+solv. (F)OCTANATE 50UI/ml 250UI Pdre. P. Prép. Inj. Bt 1Fl + S/5ml +Set de transfert (F)REFACTO AF PDRE P Inj 1000UI (FACTEUR VIII) Bt 1 FLREFACTO AF 500UI Pdre.P.Prép.Inj. Bt 1Fl+Ser./4ml (F)
SANDOSTATINE 100 Amp inj 100µg/ml Bt 6SANDOSTATINE 50 Amp inj 50µg/ml Bt 6
URSOBILANE Capsule 300 MG BT 60URSOLVAN Gel 200 MG Bt 30
CONSUPREN Caps 100mg Bt 50CONSUPREN Caps 25mg Bt 50
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CICLOSPORINE
FINGOLIMOD
MYCOPHENOLATE MOFETIL
NATALIZUMAB
SIROLIMUS
TACROLIMUS
Immunosuppresseurs
IMMUNOLOGIE
501855501670502374502375502377502381352321352323352324352325852672507341507342507340504440856445
370002854480
500023502739351718351806350912351564
503415
852785
508482502075351770351769
CONSUPREN Caps 50mg Bt 50CONSUPREN Sol Buv 100mg/ml Fl 50mlEQUORAL Caps molle 100mg Bt 50EQUORAL Caps molle 25mg Bt50EQUORAL Caps molle 50mg Bt 50EQUORAL Sol buv 100mg/ml Fl 50mlIMMUPRY 100 Gelule 100 MG BT 50IMMUPRY 100 Sol Buv 100 MG/ML FL 50 MLIMMUPRY 25 Gelule 25 MG BT 50IMMUPRY 50 Gelule 50 MG BT 50SANDIMMUM Sol Inj 250 MG BT 10 / 5MLSANDIMMUM NEORAL Capsule Molle 25 MG BT 50SANDIMMUM NEORAL Capsule molle 100 MG BT 50SANDIMMUM NEORAL Capsule Molle 50 MG BT 50SANDIMMUM NEORAL Sol Buvable 100 MG/ML FL 50 MLSANDIMMUM Sol Inj 50 MG BT 10 /1ML
FINGOLINE Gelule 0.5 MG BT 30GILENYA GELULE 0.5 MG BT 28
CELLCEPT Comp pell.500mg Bt 50CELLCEPT 500MG Comp Pell Bt 150LOFEPAL Comp Pell 250 MG BT 100LOFEPAL Comp Pell 500 MG BT 50MMF comp pell 500 mg Bt 56MMF 250 MG Comp Pell BT 100
TYSABRI 300mg Sol P Perfusion Bt 1 (Fl 15ml)
RAPAMUNE Comp 1mg Bt 30
PROGRAF Gélule 1mg Bt 100PROGRAF Gélule 5mg Bt 100TACROLIMUS MEDIS Gelule 5 MG BT 100TACROLIMUS MEDIS Gelule 1 MG BT 100
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ITRACONAZOLE
VORICONAZOLE
ACICLOVIR
DIDANOSINE
EFAVIRENZ
ENTECAVIR
INDINAVIR
LAMIVUDINE
LAMIVUDINE+ZIDOVUDINE
Antifongiques systémiques
Anti-viraux
INFECTIOLOGIE
301273301433103457503457351776301776857064
802917802919802921503460370003370004
300933302327103608
858863
853527
352050351681
850044
500046501877501751502098
501878
ITRA Gelule 100 mg Bt 32ITRA SKIN Gelule 100 mg Bt 28ITRACONAZOL-CIMEX Gelule 100 mg Bt 30ITRACONAZOL-CIMEX Gelule 100 MG BT 30ITRAZOL Gelule 100 MG BT 32ITRAZOL Gelule 100 MG BT 32SPORANOX Sol Buv 10mg/ml Fl 150ml
VFEND comp pell 200mg Bt 14VFEND comp pell 50mg Bt 28VFEND pdre inj 200mg Bt 1VFEND Pdre P Sus Buv 40mg/ml fl 45 grVORICO Comp Pell 50 MG BT 30VORICOComp Pell 200 MG BT 30
ACICLOVIR Comp 200mg Bt 30ANTIVIR Comp 200MG BT 30ZOVIRAX Comp 200 mg Bt 25
VIDEX Comp soluble 100mg Fl 60
STOCRIN Comp Pell 200 mg Bt 90
ENEBRA Comp Pell 0.5 MG FL 30ENEBRA Comp Pell 1 MG FL 30
CRIXIVAN Gélule 400mg Bt 180
EPIVIR Comp pell. 150mg Fl 60EPIVIR Susp or.10mg Fl 240mlZEFFIX Comp pell 100mg Bt 28ZEFFIX Sol Buv 5mg/ml Fl 240ml
COMBIVIR Comp 150mg/300mg Fl 60
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LOPINAVIR+RITONAVIR
RIBAVIRINE
STAVUDINE
ZIDOVUDINE
IMMUNOGLOBULINES HUMAINES POLYVALENTES A USAGE IM
IMMUNOGLOBULINES HUMAINES POLYVALENTES A USAGE IV
L_CARNITINE
Anti-viraux
Immunoglobulines humaines
Divers
INFECTIOLOGIE
METABOLISME ET NUTRITION
802429
852067502067508830501377808830801374801377503067
853112
808427
550004550003550015550016
550105550103550012550011551361550122551281
857933
KALETRA caps molles 133.33/33.3 MG Bt 180
COPEGUS Comp 200 mg BT 28COPEGUS comp 200mg Bt 168 (Lié à l'achat de Pégasys)REBETOL Gelule 200 MG BT 140 (lié à l'achat de VIRAFERON-PEG)REBETOL Gelule 200 MG Bt 84 (lié à l'achat de VIRAFERON -PEG)REBETOL Gelule 200mg Bt 140REBETOL Gélule 200mg Bt 168REBETOL Gélule 200mg Bt 84RIBAVIRINE Comp 200 MG BT 100
ZERIT Gelule 40mg Fl 60
RETROVIR Comp 100mg Bt 100
BERIGLOBIN P 2mlBERIGLOBIN P 5mlINTRAGLOBIN Fl 2.5gr Bt 1INTRAGLOBIN Fl 5gr Bt 1
INTRATEC 5GRINTRATECT 2.5gr Sol. Perf. Bt 1Fl/ 50ml (F)OCTAGAM 2.5gr IV Sol.P.Perf Bt 1 Fl 50ml (F)OCTAGAM 5gr Sol.P.Perf. Bt 1Fl 100mlTEGELINE Pdre P PREP Inj 50 MG/ML FL+S/200ML +Set de TransfertTEGELINE PERFUSION 50mg/ml Pdre.P.Prép.Inj. Fl +S/50ml+Set de transfertTEGELINE 5GR
LEVOCARNIL sol buv 100mg/ml Fl 10ml Bt 10
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Page 17
ATORVASTATINE
Hypolipidémiants/Hypocholestérolémiants
METABOLISME ET NUTRITION
302463301267302464301562300894302459302460301268302465302467301563300898302461301196301195301392301393301197301394302479302480302478301514301515301516301551301552301553301852302206301151300884301685301164301632103416300789302004302003302314302006302313302007309119309121
ATOR Comp Pell 10 MG BT 30ATOR Comp Pell 10 mg Bt 56ATOR Comp Pell 10 MG BT 90ATOR Comp Pell 10 MG Bt 91ATOR Comp Pell 10mg Bt 28ATOR Comp Pell 20 MG BT 30ATOR Comp Pell 20 MG BT 90ATOR Comp Pell 40 mg Bt 56ATOR Comp Pell 40 MG BT 30ATOR Comp Pell 40 MG BT 90ATOR Comp Pell 40 MG Bt 92ATOR Comp Pell 40mg Bt 28ATOR Comp Pell 80 MG BT 30ATORVEX Comp Pell 20 mg Bt 30ATORVEX Comp Pell 10 mg Bt 30ATORVEX Comp Pell 10 mg Fl 90ATORVEX Comp Pell 20 mg Fl 90ATORVEX Comp Pell 40 mg Bt 30ATORVEX Comp Pell 40 mg Fl 90LAPTOR Comp Pell Sec 20 MG BT 30LAPTOR Comp Pell Sec 40 MG BT 30LAPTOR Comp Pell 10 MG BT 30STATINOR Comp Pell 10 mg Bt 30STATINOR Comp Pell 10 mg Bt 60STATINOR Comp Pell 10 mg Bt 90STATINOR Comp Pell 20 MG BT 30STATINOR Comp Pell 20 MG Bt 60STATINOR Comp Pell 20 MG Bt 90STATINOR Comp Pell 40 MG BT 30TAHOR Comp Pell 20 MG Bt 91TAHOR Comp Pell 10mg Bt 91TAHOR Comp Pell 10mg Bt 56TAHOR Comp Pell 20 MG BT 28TAHOR Comp Pell 40 mg BT 28TAHOR Comp Pell 40 MG BT 91TAHOR Comp Pell 80 mg Bt 28TAHOR 10 mg comp.pell.Bt/28TAVASTOR Comp Pell Sec 20 mg FL 30TAVASTOR Comp Pell Sec 10 MG FL 30TAVASTOR Comp Pell Sec 20 MG Fl 90TAVASTOR Comp Pell Sec 40 MG FL 30TAVASTOR Comp Pell 10 MG Fl 90TAVASTOR Comp Pell 80 MG FL 30TORVA Comp Pell 10 mg Bt 90TORVA Comp Pell 20 mg Bt 90
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ATORVASTATINE
FLUVASTATINE
PRAVASTATINE
ROSUVASTATINE
SIMVASTATINE
Hypolipidémiants/Hypocholestérolémiants
METABOLISME ET NUTRITION
309088309123309033309048
302341302342103519103022
301984103346301155301893
104522104521302785302786302787302788301790302732302733301508301780301509301781301658301657301778301779
300901301518301800301100301519301801300643301528301683
TORVA Comp Pell 40 mg Bt 30TORVA Comp Pell 40 mg Bt 90TORVA 10mg comp.pell Bt 30TORVA 20mg comp.pell Bt 30
FLUVASTA Gel 40MG FL 30FLUVASTA 80 LP Comp à liberation prolongée 80MG FL 30LESCOL Comp LP 80 mg Bt 28LESCOL 40mg gélu.b/28
PRAVAST Comp Sec 20 MG BT 30PRAVASTATIN Comp 20mg Bt 30PRAVASTATINE WINTHROP Comp Sec 20 mg Bt 28PRAVASTATINE ZENTIVA Comp Sec 20 MG BT 28
CRESTOR Comp Pell 10 MG BT 30CRESTOR Comp Pell 20 MG BT 30NEACREST 10 mg COMP. PELL. BT 30NEACREST 10 mg COMP. PELL. BT 90NEACREST 20 mg COMP. PELL. BT 30NEACREST 20 mg COMP. PELL. BT 90ROSUVASTATINE ZENTIVA Comp Pell Sec 10 MG BT 30ROZUVIE 10 10 mg COMP. PELL. BT/30ROZUVIE 20 20 mg COMP. PELL. BT/30SUPERSTAT Comp Pell 10 mg Bt 30SUPERSTAT Comp Pell 10 MG BT 90SUPERSTAT Comp Pell 20 mg Bt 30SUPERSTAT Comp Pell 20 MG BT 90VISSEN Comp Pell 20 mg BT 30VISSEN Comp Pell 10 MG BT 30VISSEN Comp Pell 10 MG BT 90VISSEN Comp Pell 20 mg BT 90
LIPICARD Comp Pel Sec 20mg Bt 28LIPICARD Comp Pell Sec 20 mg Bt 56LIPICARD Comp Pell Sec 20 MG BT 98LIPICARD Comp Pell Sec 40 mg Bt 28LIPICARD Comp Pell Sec 40 mg Bt 56LIPICARD Comp Pell Sec 40 MG BT 98REDULIP Comp pell 20mg Bt 30REDULIP Comp Pell Sec 20 mg Bt 90REDULIP Comp Pell Sec 40 MG BT 90
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SIMVASTATINE
INSULINE ANALOGUE : DETEMIR
INSULINE ANALOGUE : GLARGINE
INSULINE ANALOGUE : INSULINE ASPARTATE
INSULINE ANALOGUE:GLULISINE
CITALOPRAM
ESCITALOPRAM
Hypolipidémiants/Hypocholestérolémiants
Insulines
Antidepresseurs
METABOLISME ET NUTRITION
NEUROLOGIE - PSYCHATRIE
301016301414301242301243300599300600301489301488302277300659300658301461301462301463301464
103183
102258103378
102865103314
103380
301256301255
301310301667302550302551301816
REDULIP 40mg Comp Pell Sec Bt 30SIMVASTATINE ZENTIVA ( EX WINTHROP )Comp Pell 20 mg Bt 30SIMVAX Comp Pell Sec 20 mg Bt 30SIMVAX Comp Pell Sec 40 mg Bt 30VASCOR Comp enr sec 10mg Bt 30VASCOR Comp enr sec 20mg Bt 30VASCOR Comp Pell Sec 40 mg Bt 90VASCOR Comp Pell Sec 20 mg Bt 90VASCOR Comp Pell Sec 40 mg Bt 30ZOVATIN Comp 20mg Bt 30ZOVATIN Comp 40mg Bt 30ZOVATIN 20 Comp Pell Sec 20 mg Bt 60ZOVATIN 20 Comp Pell Sec 20 MG Bt 90ZOVATIN 40 Comp Pell Sec 40 mg Bt 60ZOVATIN 40 Comp Pell Sec 40 MG Bt 90
LEVEMIR FLEXPEN 100 UI/ml Sol Inj Stylo 3ml Bt 5
LANTUS Sol inj 100 UI/ml Carton.3ml Bt 5LANTUS SOLOSTAR 100UI/ML Sol Inj Bt 5 Stylos
NOVOMIX 30 FLEX-PEN Susp Inj 100UI/ml Bt 5 stylo/3mlNOVORAPID FLEXPEN 100 UI/ML Sol Inj Bt 5 Stylo/3ml
APIDRA SOLOSTAR 100 UI/ML Sol Inj Bt 5 Stylos
CELOPRAM Comp Pell Sec 20 mg Bt 30CELOPRAM Sol Buv 40 mg/ml Fl 12 ml
ESOPREX Comp Pell Sec 10 mg Bt 30ESOPREX Comp Pell 10 mg Bt 15MEDIPREX 10 MG COMP PELL SEC BT/15MEDIPREX 10 MG COMP PELL SEC BT/30PURLEX Comp Pell Sec 10 MG BT 30
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Page 20
ESCITALOPRAM
PAROXETINE
SERTRALINE
VENLAFAXINE
Antidepresseurs
NEUROLOGIE - PSYCHATRIE
301876301870301813302415103525103231
301277301276108466104720103136103139302287302383302563300927300985301417301416104005
302384309073301969301912301397301398301198301199301200301069301060301493302548
102316103518301171301173301172301388301389
PURLEX Comp Pell 20 MG BT 30RETABLISS Comp Pell 20 MG BT 30RETABLISS Comp Pell 10 MG BT 30SCITOPLEX 10 Comp Pell Sec 10 MG BT 30SEROPLEX Comp Pell Sec 10 mg Bt 14SEROPLEX Comp Pell Sec 10mg Bt 28
DEPROXYL Comp Pell Sec 20 mg Bt 30DEPROXYL Comp Pell Sec 20 mg Bt 14DEROXAT Comp pell Sec 20 mg Bt 14DEROXAT Comp Pell Sec 20 MG BT 50DIVARIUS Comp Pell Sec 20mg Bt 14DIVARIUS Comp PELL Sec 20mg Bt 28HUMOXAT Comp Pell Sec 20 MG BT 28HUMOXAT Comp Pell Sec 20 MG BT 60HUMOXAT 20 MG COMP. PELL. SEC. BT 30PAREXAT Comp Pell Sec 20mg Bt 14PAREXAT 20 mg Comp Bt 30PAROXINE Comp Pell Sec 20 mg Bt 28PAROXINE Comp Pell Sec 20 mg Bt 14PAXETIN Comp Pell Sec 20 mg Bt 30
NETRAL Comp Pell Sec 100 MG BT 30NETRAL 50 Comp Pell 50mg Bt 30SERTRALINE ZENTIVA Comp Pell Sec 50 MG BT 15SERVAL Gelule 100 MG BT 30SERVAL Gelule 25 mg Bt 30SERVAL Gelule 50 mg Bt 30SOLOTIK Comp Pell Sec 50 MG fL 15SOLOTIK Comp Pell Sec 50 mg Fl 30SOLOTIK Comp Pell Se 100 mg Fl 15ZOLIT Comp Pell Sec 50 mg Bt 15ZOLIT Comp Pell Sec 50mg Bt 30ZOLOFT Comp Pell Sec 50 MG Bt 15ZOLOFT 50 MG COMP PELL SEC BT/30
EFFEXOR GELULE LP 37,5mg Bt 30EFFEXOR LP Gelule 75 mg Bt 30TEDEMA Comp Pell 25 mg Bt 30TEDEMA Comp Pell 50 mg Bt 30TEDEMA Geule LP 37.5 MG Bt 30ZENEXOR LP Gelule LP 37.5 mg Bt 30ZENEXOR LP Gelule LP 75 MG Bt 30
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GABAPENTINE
LAMOTRIGINE
LEVETIRACETAM
PREGABALINE
Antiépileptiques
NEUROLOGIE - PSYCHATRIE
301761301143301008301907301311301576302190301460
103392100923103171101844103174302566302567302564302565
302375302376301960301961101721301809301810
302488302487302381302382301881301882301880302017301977302782302800302802302781302726302725302724
GABA Gelule 300 MG BT 50GABA Gelule 300mg Bt 90GABENTIN 300mg Gelule Bt 45GABINOR Gelule 300 MG BT 50GABOREX Gelule 300 mg Bt 48GABOREX Gelule 300 MG BT 96NEURALGIN Gelule 300 MG BT 50NEURALGIN Gelule 300 mg Bt 90
LAMICTAL Comp Dis 50 mg Bt 30LAMICTAL Comp Disp 100mg Bt 30LAMICTAL Comp Disp 25mg Bt 30LAMICTAL Comp Disp 5mg Bt 30LAMICTAL Comp Disper 200mg Bt 30THYMOREG 100 100 MG COMP. DISP. BT 30THYMOREG 200 200 MG COMP. DISP. BT 30THYMOREG 25 25 MG COMP. DISP. BT 30THYMOREG 50 50 MG COMP. DISP. BT 30
ANTIOMAL 250 Comp Pell 250 MG BT 30ANTIOMAL 500 Comp Pell 500 MG BT 30EPITAM Comp Pell 250 MG BT 60EPITAM Comp Pell 500 MG BT 60KEPPRA Comp Pell 500 mg Bt 60LEVET Comp Pell 500 MG BT 60LEVET Sol Buv 100 MG/ML FL 300 ML
ACIRYL Gelule 150 MG BT 60ACIRYL Gelule 75 MG BT 15DOLICASAIPH 150 mg Gelule BT 60 (EX DOLICA Gelule 150 MG BT 60)DOLICASAIPH 75 mg Gelule BT 15 (EX DOLICA Gelule 75 MG BT 15)EDGAR Gelule 150 MG BT 30EDGAR Gelule 150 MG BT 60EDGAR Gelule 75 MG BT 15EDGAR Gelule 75 MG BT 30EDGAR Gelule 75 MG BT 60GABAMIM 150 mg GEL. BT 60GABAMIM 75 MG Gel BT 14GABAMIM 75 MG Gel BT 60GABAMIM 75 mg GELULE BT 30LYDOL 150 mg GEL. BT/56LYDOL 150 mg GELULE BT/14LYDOL 75 mg GEL. BT/56
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PREGABALINE
VIGABATRIN
ATOMOXETINE
ENTACAPONE
PRAMIPEXOLE
ROPINIROLE
Antiépileptiques
Antiparkinsoniens
NEUROLOGIE - PSYCHATRIE
302723103290104781103291302331302330302745302746302743302744302708302703302274302102301874301873302084301970301971302239
500270
853811853812853813853814853815
103568
104239104236104238
101007101005101004
LYDOL 75 mg GELULE BT/14LYRICA Gelule 150mg Bt 56LYRICA Gelule 75 MG BT 56LYRICA Gelule 75mg Bt 14NERVICA Gelule 150 MG BT 56NERVICA Gelule 75 MG BT 14NEUROMED 150 mg GEL. BT/30NEUROMED 150 mg GEL. BT/90NEUROMED 75 mg GEL. BT/15NEUROMED 75 mg GEL. BT/30NEURYL 150 mg GEL. BT/60NEURYL 75 mg GEL. BT/14PREGAB Gél 75 mg BT 14PREGAB Gelule 150 MG BT 30PREGAB Gelule 150 MG BT 60PREGAB Gelule 75 MG BT 30PRERICA Gelule 150 MG BT 32PRERICA Gelule 150 MG BT 56PRERICA Gelule 75 MG BT 14PRERICA Gelule 75 MG BT 56
SABRIL Comp 500mg Bt 60
STRATTERA Gelule 10 mg Bt 28STRATTERA Gelule 18 mg Bt 28STRATTERA Gelule 25 mg Bt 28STRATTERA Gelule 40 mg Bt 28STRATTERA Gelule 60 mg Bt 28
COMTAN Comp Pell 200 mg Fl 30
SIFROL Comp 0.18 mg BT 100SIFROL Comp 0.18 mg Bt 30SIFROL Comp 0.70 mg Bt 100
REQUIP Comp pell 2mg Bt 21REQUIP Comp pell 5mg Bt 21REQUIP Comp 0.5mg Bt 21
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DONEPEZIL
RIVASTIGMINE
AMISULPRIDE
ARIPIPRAZOLE
Maladie d'ALZHEIMER
Neuroleptiques
NEUROLOGIE - PSYCHATRIE
302503302502102046102045301764301763301546301543351005351004301005301004
508904502479502480502481352390
302417302419301981302404302446302447103164102415302402302400302401301121301122300795300754
302500302501103420103421104756104757
ALZHECEPT 10 10 MG COMP PELL BT 30ALZHECEPT 5 5MG COMP PELL BT 30ARICEPT Comp Pell 10mg Bt 28ARICEPT Comp Pell 5 mg Bt 28ARIZIL Comp Pell 10 MG BT 30ARIZIL Comp Pell 5 MG BT 30BRAVAL Comp Pell 10 mg Bt 30BRAVAL Comp Pell 5 MG Bt 30DOPEZIL Comp Pell 10 mg BT 30DOPEZIL Comp Pell 5 MG Bt 30DOPEZIL 10mg Comp Pell Bt 30DOPEZIL 5mg Comp Pell Bt 30
EXELON Gélule 1.5 mg Bt 28EXELON Gélule 3 mg Bt 28EXELON Gélule 4.5 mg Bt 28EXELON Gélule 6 mg Bt 28VITACHOLINE Gélule 1.5 mg Bt 30
AMIPRIDE 200 Comp Pell 200 MG BT 30AMIPRIDE 400 Comp Pell Sec 400 MG BT 30SOLARID Comp Sec 200 MG BT 30SOLARID Comp Sec 200 MG BT 60SOLARID 100 Comp Sec 100 MG BT 30SOLARID 400 Comp Pell Sec 400 MG BT 30SOLIAN Comp Sec 100mg Bt 30SOLIAN Comp Pell Sec 400mg Bt 30ZOFRID Comp Pell Sec 400 MG BT 30ZOFRID Comp Sec 100 MG BT 30ZOFRID Comp Sec 200 MG BT 30ZOLEN Comp Pell Sec 100 mg Bt 30ZOLEN Comp Pell Sec 400 mg Bt 30ZOLEN 200 mg comp.Bt 20ZOLEN 200 mg comp.sec. Bt/60
ABILICARE 10 MG COMP BT 30ABILICARE 15 MG COMP BT 30ABILIFY Comp 15 mg Bt 28ABILIFY Comp 10 mg Bt 28ABILIFY Comp 10 mg Bt 28 ( Laboratoire ABDI IBRAHIM)ABILIFY Comp 15 mg Bt 28 (Laboratoire ABDI IBRAHIM)
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CLOZAPINE
OLANZAPINE
QUETIAPINE
RISPERIDONE
GLATIRAMERE
INTERFERON BETA-1A
Neuroleptiques
Sclérose en plaques: Interféron
NEUROLOGIE - PSYCHATRIE
503165503167
302008301759309092301758309091302009302738302737301861301860302369302368300871300872
302318103993
309109309977302285302286302275103532104432101346103053301126301668301723
370001
800210854817854053
LEPONEX Comp Sec 100mg Bt 50LEPONEX 25MG Comp Sec Bt 50
OLANZA 5 Comp Pell Sec 5 MG BT 90OLANZA Comp Pell 10 MG BT 30OLANZA Comp Pell 10 mg Bt 30OLANZA Comp Pell 5 MG BT 30OLANZA Comp Pell 5 mg Bt 30OLANZA 10 Comp Pell 10 MG BT 90OROZA 10 10 MG Comp Orodisp BT 30OROZA 5 5 MG Comp Orodisp BT 30POLAR Comp Pell 10 MG BT 30POLAR Comp Pell 5 MG BT 30PRANZA Comp Orodip 10 MG BT 30PRANZA Comp Orodip 5 MG BT 30VAINCOR Comp Enro Séc 5mg Bt 28VAINCOR Comp Enro Séca 10mg Bt 28
QUETAP Comp Pell 300 MG Bt 60SEROQUEL Comp Pell 300 mg Bt 60
RAXIDONE Comp Pell Sec 2 mg Bt 30RAXIDONE Comp Pell Sec 2mg Bt 60RAXIDONE Sol Buv 1 MG/ML FL 30RAXIDONE Sol Buv 1 MG/ML FL 60RAXIDONE Sol Buv 1mg/ml Fl 90 mlRESPIROX Comp 2 mg Bt 20RISDONE Sol Buv 1 MG/ML FL 100 MLRISPERDAL Comp sec 2mg Bt 60RISPERDAL 1mg/ml sol.buv. Fl 60 mlRISPERIDONE Comp Pell 2 mg Bt 60RISPERIDONE- TERIAK Comp Pell 2 MG BT 20RISPERIDONE TERIAK Sol Buv 1MG/ML FL 60 ML
GLITAXON Sol Inj 20 MG/ML BT 2
AVONEX Pdre Prép. Inj 6 Mui 1ml Bt 4AVONEX Sol Inj 30 µG / 0.5 ML Bt 4 Stylos Pré remplisBETAFERON Pdre P P Inj 250 mcg/ml Bt 15
Caisse NationaleDe
L'Assurance Maladie
LISTE EXAUSTIVE DES SPECIALITES PHARMACEUTIQUES SOUMISESA L'ACCORD PREALABLE (CLASSEES PAR DCI)
mercredi 26 Septembre 2018
Page 25
INTERFERON BETA-1A
RILUZOLE
TOXINE BOTULIQUE TYPE A
HYALURONATE DE SODIUM
HYALURONATE DE SODIUM
ADALIMUMAB
CERTOLIZUMAB
ETANERCEPT
LEFLUNOMIDE
Sclérose en plaques: Interféron
Sclérose latérale amyotrophique
Toxine botulique
produits divers d'ophtalmologie
Médic. d'appoint des affections rhumatologiques
Traitement de fond des rhumatismes inflammatoires
NEUROLOGIE - PSYCHATRIE
OPHTALMOLOGIE
RHUMATOLOGIE
854206807829808864853795854207
850710
508838807678
502052
100396105108
803592
854682
802984854490
102064102062
REBIF 22 µGR /0.5 ML Sol Inj BT 4 Cartouches /1.5 MLREBIF Inj 22 µGR 6 MUI 0.5ml Bt 3REBIF Inj 44 µGR 12 MUI BT 12 /0.5 MLREBIF 22 µGR 6MUI Sol Inj BT 12 Seringues /0.5 mlREBIF 44 µg/0.5 ml Sol Inj Bt 4 Cartouches /1.5 ml
RILUTEK Comp 50mg Bt 56
BOTOX Pdre Inj 100 U Bt 1DYSPORT Pdre Prép. Inj 500 U FL vrac
HEALON Sol IntraOcul 10mg/ml
HYALGAN 20 mg/2 ml sol.inj.fl/2 mlSTRUCTOVIAL Sol Inj 20 MG/2 ML BT 1 Seringue Pre-remplie /2 ML
HUMIRA Sol INJ 40mg BT 2 Seringues
CIMZIA Sol Inj 200 MG BT 2 Seringues
ENBREL 25 mg SOL INJ /Fl Bt 4 Seringue Pré -RempliesENBREL 50 MG Sol Inj BT 4 STYLOS Pre-Remplis
ARAVA Comp pell 10mg Bt 30ARAVA Comp pell 100mg Bt 3
Caisse NationaleDe
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LISTE EXAUSTIVE DES SPECIALITES PHARMACEUTIQUES SOUMISESA L'ACCORD PREALABLE (CLASSEES PAR DCI)
mercredi 26 Septembre 2018
Page 26
LEFLUNOMIDE
ALENDRONATE + COLECALCIFEROL
ALENDRONATE ANHYDRE
CLODRONATE
PAMIDRONATE
RALOXIFENE
RANELATE DE STRONTIUM
RISEDRONATE
ZOLEDRONIQUE ACIDE
Traitement de fond des rhumatismes inflammatoires
Traitement des ostéopathies
RHUMATOLOGIE
102063
302576103470
300954
103866508254302246301054351054
807241800944503397503396351345
101880
103284
102371301184301567301236301101
854266370005
ARAVA Comp pell 20mg Bt 30
FOSALEN D3 70 MG/5600 UI COMP. BT/4FOSAVANCE Comp 70mg/5600 UI Bt 4
FOSALEN Comp 70 mg Bt 4
BONEFOS Comp Pell 800 mg Bt 100BONEFOS Gélule 400mg Bt 100CLEDOS Comp Pell 800 MG FL 100CLEDOS Gelule 400mg Bt 50CLEDOS Gelule 400mg Bt 50
AREDIA Pdre Prép. Inj 15 mg 5ml Bt 4AREDIA Pdre Prép. Inj 90mg 10ml Bt 1OSTEPAM Sol P Perfusion 90mg/6ml Bt 1 AmpouleOSTEPAM Sol P Perfusion 15mg /ml Bt 4 AmpoulesPAMIDOS Pdre P Prepp Inj 15 MG BT 1 FL /5ML
EVISTA 60 mg comp pell Bt 28
PROTELOS Pdre Susp Orle /Sachet 2gr Bt 28
ACTONEL Comp 35mg Bt 4AKTONATE Comp Pell 35 mg BT 4AKTONATE Comp Pell 35 mg Bt 12OSTENEL Comp Pell 35 mg Bt 12OSTENEL Comp Pell 35mg Bt 4
ACLASTA Sol P Perfusion 5 MG/100ML FL 100 MLMEDISTAR 5mg/100ml Sol.Inj.P.Perf. Fl 100ml
Caisse NationaleDe
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LISTE EXAUSTIVE DES SPECIALITES PHARMACEUTIQUES SOUMISESA L'ACCORD PREALABLE (CLASSEES PAR DCI)
mercredi 26 Septembre 2018
Page 27
DEFERASIROX
DEFERIPRONE
DEFEROXAMINE
Chélateurs
TOXICOLOGIE
351924351925351926503552503553503554
502347
506270
DIFEXA Comp Disper 125 MG BT 30DIFEXA Comp Disper 250 MG BT 30DIFEXA Comp Disper 500 MG BT 28EXJADE Comp Dispersible 125 mg Bt 28EXJADE Comp Dispersible 250 mg Bt 28EXJADE Comp Dispersible 500 mg Bt 28
FERRIPROX Comp Pell 500 MG Fl 100
DESFERAL Fl inj 500mg Bt 1+1(5ml)