| Pharmacode | GTIN | Nom de produit | Taille des présentations | Status | Société | PPUB | | | |
|---|
| Montants Maximaux: 5040.00 ( par an (prorata) ) MiGel Code: 29.01.01.00.1 | |
|
| 4527997 | 5709817524178 | DANSAC NL2 plaq base 25-35mm anneau 43mm déc | 5 pce | A | Dansac Liberty Medical | 86.40 | G | |  |
| 4528011 | 5709817524192 | DANSAC NL2 plaq base 30-35mm anneau 43mm déc | 5 pce | A | Dansac Liberty Medical | 86.40 | G | |  |
| 4528123 | 5709817524215 | DANSAC NL2 plaq base 10-47mm anneau 55mm déc | 5 pce | A | Dansac Liberty Medical | 86.40 | G | |  |
| 4528169 | 5709817524239 | DANSAC NL2 plaq base 35-47mm anneau 55mm déc | 5 pce | A | Dansac Liberty Medical | 86.40 | G | |  |
| 4528198 | 5709817524253 | DANSAC NL2 plaq base 40-47mm anneau 55mm déc | 5 pce | A | Dansac Liberty Medical | 86.40 | G | |  |
| 4528241 | 5709817524277 | DANSAC NL2 plaq base 10-62mm anneau 70mm déc | 5 pce | A | Dansac Liberty Medical | 86.40 | G | |  |
| 4528264 | 5709817524291 | DANSAC NL2 plaq base 45-62mm anneau 70mm déc | 5 pce | A | Dansac Liberty Medical | 86.40 | G | |  |
| 4528301 | 5709817524314 | DANSAC NL2 plaq base 50-62mm anneau 70mm déc | 5 pce | A | Dansac Liberty Medical | 86.40 | G | |  |
| 4528376 | 5709817521399 | DANSAC NL2 colo 36mm fermé opaque | 30 pce | A | Dansac Liberty Medical | 149.75 | G | |  |
| 4528407 | 5709817521412 | DANSAC NL2 colo 43mm fermé opaque | 30 pce | A | Dansac Liberty Medical | 149.75 | G | |  |
| 4528442 | 5709817521436 | DANSAC NL2 colo 55mm fermé opaque | 30 pce | A | Dansac Liberty Medical | 149.75 | G | |  |
| 4528471 | 5709817521450 | DANSAC NL2 colo 70mm fermé opaque | 30 pce | A | Dansac Liberty Medical | 149.75 | G | |  |
| 4528560 | 5709817521474 | DANSAC NL2 colo 36mm fermé transp | 30 pce | A | Dansac Liberty Medical | 149.75 | G | |  |
| 4528614 | 5709817521498 | DANSAC NL2 colo 43mm fermé transp | 30 pce | A | Dansac Liberty Medical | 149.75 | G | |  |
| 4528643 | 5709817521511 | DANSAC NL2 colo 55mm fermé transp | 30 pce | A | Dansac Liberty Medical | 149.75 | G | |  |
| 4528666 | 5709817521535 | DANSAC NL2 colo 70mm fermé transp | 30 pce | A | Dansac Liberty Medical | 149.75 | G | |  |
| 4528703 | 5709817521559 | DANSAC NL2 colo 36mm fermé mini opaque | 30 pce | A | Dansac Liberty Medical | 149.75 | G | |  |
| 4528749 | 5709817521573 | DANSAC NL2 colo 43mm fermé mini opaque | 30 pce | A | Dansac Liberty Medical | 149.75 | G | |  |
| 4528784 | 5709817521597 | DANSAC NL2 colo 55mm fermé mini opaque | 30 pce | A | Dansac Liberty Medical | 149.75 | G | |  |
| 4715902 | 768455115525 | ESTEEM SYNERGY support plat mod 13-22/48mm | 10 pce | A | Convatec (Switzerland) GmbH | 168.35 | G | |  |
| 4715960 | 768455115532 | ESTEEM SYNERGY support plat mod 22-33/48mm | 10 pce | A | Convatec (Switzerland) GmbH | 168.35 | G | |  |
| 4715983 | 768455115549 | ESTEEM SYNERGY support plat mod 33-45/61mm | 10 pce | A | Convatec (Switzerland) GmbH | 168.35 | G | |  |
| 4718757 | 10610075123176 | HOLLISTER lotion nettoyante | vapo 237 ml | A | Hollister Liberty Medical | 19.55 | G | |  |
| 4883568 | 768455116508 | ESTEEM post op set 100mm colo/ileo stéril | 5 pce | A | Convatec (Switzerland) GmbH | 118.70 | G | |  |
| 4883574 | 768455116546 | NATURA post op set 45mm colo/ileo stéril | 5 pce | A | Convatec (Switzerland) GmbH | 99.50 | G | |  |
| 4883580 | 768455116584 | NATURA post op set 57mm colo/ileo stéril | 5 pce | A | Convatec (Switzerland) GmbH | 99.50 | G | |  |
| 4883597 | 768455116621 | NATURA post op set 70mm colo/ileo stéril | 5 pce | A | Convatec (Switzerland) GmbH | 99.50 | G | |  |
| 4883605 | 768455116645 | NATURA post op set 100mm colo/ileo stéril | 5 pce | A | Convatec (Switzerland) GmbH | 135.50 | G | |  |
| 4964597 | 4046963775964 | ASKINA BARRIER FILM foam swab | 25 x 1 ml | A | B.Braun Medical AG (Bereich OPM) | | G | |  |