Wijzigingen aan de terugbetalingsmodaliteiten

Wijzigingen aan de terugbetalingsmodaliteiten Wijzigingen op 1 september 2012 De volgende specialiteiten zijn vergoedbaar vanaf 1 september 2012: B-20 2837409 AMLOR 5 MG 98 CAPS R 25,67 25,67 7,05 4,19 CS-7 2915387 BELLOZAL 20 MG 30 COMP 11,37 11,37 5,85 5,85 CS-7 2915361 BELLOZAL 20 MG 50 COMP 15,53 15,53 9,29 9,29 CS-7 2970168 DESLORATADINE APOTEX 5 MG 30 COMP G 11,67 11,67 6,10 6,10 CS-7 2970176 DESLORATADINE APOTEX 5 MG 50 COMP G 16,01 16,01 9,68 9,68 CS-7 2970283 DESLORATADINE APOTEX 5 MG 100 COMP G 23,47 23,47 15,72 15,72 B-73 2840031 ESCITALOPRAM EG 10 MG COMP 98 X 10 MG G 47,32 47,32 12,20 7,25 B-73 2935278 ESCITALOPRAM SANDOZ (IMPORT) 10 MG 28 COMP R 17,63 17,63 4,59 2,76 B-73 2935286 ESCITALOPRAM SANDOZ (IMPORT) 10 MG 56 COMP R 25,42 25,42 6,99 4,16 B-73 2935294 ESCITALOPRAM SANDOZ (IMPORT) 20 MG 28 COMP R 26,11 26,11 7,15 4,26 B-73 2803740 ESCITALOPRAM TEVA 10 MG FILMOMH TABL 28 X 10 MG G 17,52 17,52 4,56 2,73 B-73 2803773 ESCITALOPRAM TEVA 10 MG FILMOMH TABL 56 X 10 MG G 25,31 25,31 6,96 4,14 B-73 2803781 ESCITALOPRAM TEVA 10 MG FILMOMH TABL 98 X 10 MG G 39,45 39,45 10,33 6,14 B-73 2803807 ESCITALOPRAM TEVA 15 MG FILMOMH TABL 28 X 15 MG G 23,93 23,93 6,63 3,95 B-73 2839322 ESCITALOPRAM TEVA 15 MG FILMOMHULDE 56 X 15 MG G 34,40 34,40 9,13 5,43 B-73 2803815 ESCITALOPRAM TEVA 15 MG FILMOMH TABL 98 X 15 MG G 55,35 55,35 14,10 8,38 B-73 2803823 ESCITALOPRAM TEVA 20 MG FILMOMH TABL 28 X 20 MG G 26,11 26,11 7,15 4,26 B-73 2839330 ESCITALOPRAM TEVA 20 MG FILMOMH TABL 56 X 20 MG G 43,73 43,73 11,30 6,74 B-73 2803849 ESCITALOPRAM TEVA 20 MG FILMOMH TABL 98 X 20 MG G 71,65 71,65 14,10 9,30 B-73 2803724 ESCITALOPRAM TEVA 5 MG FILMOMH TABL 28 X 5 MG G 10,85 10,85 2,26 1,36 B-73 2839298 ESCITALOPRAM TEVA 5 MG FILMOMH TABL 56 X 5 MG G 14,84 14,84 3,63 2,18 B-73 2839306 ESCITALOPRAM TEVA 5 MG FILMOMH TABL 98 X 5 MG G 22,82 22,82 6,40 3,81 A-12 2953198 GLIMEPIRIDE SANDOZ 2 MG 90 COMP G 12,21 12,21 0,00 0,00 A-12 2968295 GLIMEPIRIDE SANDOZ 2 MG 100 COMP G 13,08 13,08 0,00 0,00 A-12 2953214 GLIMEPIRIDE SANDOZ 2 MG 120 COMP G 14,84 14,84 0,00 0,00 A-12 2953222 GLIMEPIRIDE SANDOZ 3 MG 90 COMP G 16,15 16,15 0,00 0,00 A-12 2968311 GLIMEPIRIDE SANDOZ 3 MG 100 COMP G 17,47 17,47 0,00 0,00 A-12 2953248 GLIMEPIRIDE SANDOZ 3 MG 120 COMP G 20,10 20,10 0,00 0,00 A-12 2953263 GLIMEPIRIDE SANDOZ 4 MG 90 COMP G 20,09 20,09 0,00 0,00 A-12 2968287 GLIMEPIRIDE SANDOZ 4 MG 100 COMP G 21,85 21,85 0,00 0,00 A-12 2953164 GLIMEPIRIDE SANDOZ 4 MG 120 COMP G 25,20 25,20 0,00 0,00 CS-7 2924520 ILEXEL 20 MG 30 COMP 11,37 11,37 5,85 5,85 CS-7 2924538 ILEXEL 20 MG 50 COMP 15,53 15,53 9,29 9,29 B-168 2928992 LATAGLAUCON 50 MCG/ML - 5 MG/ML FL 2,5 ML G 11,43 11,43 2,46 1,47 B-168 2928976 LATAGLAUCON 50 MCG/ML - 5 MG/ML 3 FL 2,5 ML G 25,46 25,46 7,00 4,16 B-168 2969954 LATANOPROST-TIMOLOL APOTEX 0,005%-0,5% 3 FL 2,5 ML G 23,12 23,12 6,46 3,85 B-168 2969897 LATANOPROST-TIMOLOL MYLAN 0,005%-0,5% 3 FL 2,5 ML G 25,46 25,46 7,00 4,16 B-168 2889533 LATANOTEARS 50 MCG/ML COLLYRE 3 FL 2,5 ML G 23,48 23,48 6,54 3,89 CS-7 2948354 LEVOCETIRIZINE MYLAN 5 MG 100 COMP G 17,84 17,84 11,20 11,20 B-6 2948206 NIFEDIPINE RETARD EG 30 MG 28 COMP PROL G 11,64 11,64 2,53 1,52 B-6 2948214 NIFEDIPINE RETARD EG 30 MG 98 COMP PROL G 24,75 24,75 6,83 4,06 B-6 2969855 NIFEDIPINE RETARD EG 60 MG 56 COMP PROL G 26,63 26,63 7,27 4,33 B-6 2948198 NIFEDIPINE RETARD EG 60 MG 98 COMP PROL G 41,66 41,66 10,85 6,45 B-184 2969962 NUTRIFLEX OMEGA PLUS 1250 ML 5 ZAKKEN 233,03 233,03 11,30 7,50

B-184 2969970 NUTRIFLEX OMEGA PLUS 1875 ML 5 ZAKKEN 261,94 261,94 11,30 7,50 B-184 2969988 NUTRIFLEX OMEGA PLUS 2500 ML 5 ZAKKEN 270,51 270,51 11,30 7,50 B-184 2970002 NUTRIFLEX OMEGA SPECIAL 1250 ML 5 ZAKKEN 259,21 259,21 11,30 7,50 B-184 2970036 NUTRIFLEX OMEGA SPECIAL 1875 ML 5 ZAKKEN 276,50 276,50 11,30 7,50 B-184 2970044 NUTRIFLEX OMEGA SPECIAL 2500 ML 5 ZAKKEN 301,20 301,20 11,30 7,50 B-184 2969996 NUTRIFLEX OMEGA SPECIAL 625 ML 5 DRIEKAMERZAKKEN 187,69 187,69 11,30 7,50 B-72 2970077 OLANZAPINE SANDOZ 10 MG 28 COMP ORODISP G 67,96 67,96 11,30 7,50 B-72 2970085 OLANZAPINE SANDOZ 10 MG 56 COMP ORODISP G 103,64 103,64 11,30 7,50 B-72 2970093 OLANZAPINE SANDOZ 10 MG 98 COMP ORODISP G 174,50 174,50 14,10 9,30 B-72 2970051 OLANZAPINE SANDOZ 5 MG 28 COMP ORODISP G 37,26 37,26 9,81 5,83 B-72 2970069 OLANZAPINE SANDOZ 5 MG 98 COMP ORODISP G 91,80 91,80 14,10 9,30 A-61 2953115 REPAGLINIDE SANDOZ 0,5 MG 270 COMP G 19,62 19,62 0,00 0,00 A-61 2953131 REPAGLINIDE SANDOZ 1 MG 270 COMP G 19,62 19,62 0,00 0,00 A-61 2953149 REPAGLINIDE SANDOZ 2 MG 270 COMP G 19,62 19,62 0,00 0,00 Vanaf 1 september 2012 worden de volgende specialiteiten vergoedbaar in het kader van de controle a posteriori (hoofdstuk 2, code T in het Tarief): B-96 2970101 SALBUPHAR 1 MG/ML 15 AMPULLEN 2,5 ML G 5,89 5,89 0,48 0,29 B-96 2970119 SALBUPHAR 1 MG/ML 30 AMPULLEN 2,5 ML G 7,10 7,10 0,96 0,58 B-96 2970127 SALBUPHAR 1 MG/ML 60 AMPULLEN 2,5 ML G 9,87 9,87 1,92 1,15 B-96 2970135 SALBUPHAR 2 MG/ML 15 AMPULLEN 2,5 ML G 7,10 7,10 0,96 0,58 B-96 2970143 SALBUPHAR 2 MG/ML 30 AMPULLEN 2,5 ML G 9,87 9,87 1,92 1,15 B-96 2970150 SALBUPHAR 2 MG/ML 60 AMPULLEN 2,5 ML G 15,43 15,43 3,84 2,30 Vanaf 1 september 2012 zijn de volgende specialiteiten vergoedbaar mits melding van de arts op het voorschrift volgens onderstaande voorwaarden: «Zorgtraject Diabetes» of «ZTD» A-97 2934347 KOMBOGLYZE 2,5 MG / 1000 MG 56 COMP 48,47 48,47 0,00 0,00 A-97 2934313 KOMBOGLYZE 2,5 MG / 1000 MG 196 COMP 131,33 131,33 0,00 0,00 A-97 2934321 KOMBOGLYZE 2,5 MG / 850 MG 56 COMP 48,47 48,47 0,00 0,00 A-97 2934339 KOMBOGLYZE 2,5 MG / 850 MG 196 COMP 131,33 131,33 0,00 0,00 A-97 2859684 TRAJENTA 5 MG 30 COMP 44,67 44,67 0,00 0,00 A-97 2859676 TRAJENTA 5 MG 100 COMP 131,31 131,31 0,00 0,00 Volgende specialiteiten zijn vergoedbaar mits machtiging van de adviserende arts type b of d (code? in het Tarief) vanaf 1 september 2012: A-20 2963742 EVIPLERA 200 MG / 25 MG / 245 MG 30 COMP 838,45 838,45 0,00 0,00 A-5 2936383 LEVETIRACETAM SANDOZ 1000 MG 200 COMP G 172,07 172,07 0,00 0,00 A-5 2936359 LEVETIRACETAM SANDOZ 250 MG 200 COMP G 48,92 48,92 0,00 0,00 A-5 2936367 LEVETIRACETAM SANDOZ 500 MG 200 COMP G 90,62 90,62 0,00 0,00 A-5 2936375 LEVETIRACETAM SANDOZ 750 MG 200 COMP G 131,33 131,33 0,00 0,00

Volgende specialiteit zijn vergoedbaar mits machtiging van de adviserende arts type e (code E in het Tarief) vanaf 1 september 2012: A-91 2934313 KOMBOGLYZE 2,5 MG / 1000 MG 196 COMP 131,33 131,33 0,00 0,00 A-91 2934347 KOMBOGLYZE 2,5 MG / 1000 MG 56 COMP 48,47 48,47 0,00 0,00 A-91 2934339 KOMBOGLYZE 2,5 MG / 850 MG 196 COMP 131,33 131,33 0,00 0,00 A-91 2934321 KOMBOGLYZE 2,5 MG / 850 MG 56 COMP 48,47 48,47 0,00 0,00 A-91 2859676 TRAJENTA 5 MG 100 COMP 131,31 131,31 0,00 0,00 A-91 2859684 TRAJENTA 5 MG 30 COMP 44,67 44,67 0,00 0,00 B-303 2888659 XARELTO 15 MG FILMOMHULDE TABL 28 X 15 MG 94,98 94,98 11,30 7,50 B-303 2888667 XARELTO 15 MG FILMOMHULDE TABL 98 X 15 MG 249,66 249,66 14,10 9,30 B-303 2888675 XARELTO 20 MG FILMOMHULDE TABL 28 X 20 MG 94,98 94,98 11,30 7,50 B-303 2888683 XARELTO 20 MG FILMOMHULDE TABL 98 X 20 MG 249,66 249,66 14,10 9,30 Volgende specialiteiten dalen in prijs vanaf 1 september 2012: C-27 1328087 ACETYLCYSTEINE TEVA 600MG PDR SACH 30 X 600MG C 7,89 7,89 2,47 2,47 B-6 2341469 ADALAT OROS PI PHARMA COMP 28 X 30 MG PIP R 12,69 11,64 3,58 2,57 B-6 2341477 ADALAT RETARD PI PHARMA COMP 30 X 20 MG PIP R 10,76 8,64 3,62 3,02 B-230 2616498 ALENDRONATE EG PI PHARMA 70MG COMP 12X70MG PIP G 27,59 27,59 7,50 4,46 B-230 2612828 ALENDRONATE MYLAN PI PHARMA 70MG COMP 12X70MG G 27,59 27,59 7,50 4,46 B-68 2646925 ALLOPURINOL EG PI PHARMA CAPS 90X300MG PIP G 10,54 10,54 2,15 1,29 B-20 2430361 AMLODIPINE BESILATE EG COMP 28 X 5 MG G 11,45 11,45 2,46 1,48 B-20 2630770 AMLODIPINE EG 10 MG PI PHARMA COMP 100 X 10 MG PIP C 29,82 29,82 8,03 4,78 B-20 2155794 AMLODIPINE EG COMP 28 X 5 MG C 11,45 11,45 2,46 1,48 B-20 2155786 AMLODIPINE EG COMP 30 X 10 MG C 12,60 12,60 2,86 1,72 B-20 2375756 AMLODIPINE SANDOZ PI PHARMA C0MP 100X 10MG PIP C 31,83 31,83 8,51 5,06 B-107 2646933 AMOXICILLINE EG PI PHARMA CAPS 16 X 500 MG G 6,86 6,86 0,86 0,52 B-107 1480714 AMOXICILLINE MYLAN 500 MG CAPS 16 X 500 MG G 7,08 7,08 0,95 0,57 B-107 0688176 AMOXYPEN CAPS 16 X 500 MG R 6,74 6,74 0,82 0,49 B-107 1597160 AMOXYPEN COMP DISP 16 X 750 MG C 11,67 11,67 2,54 1,52 B-73 2326916 ANAFRANIL RETARD PI PHARMA 42X75MG 15,94 15,94 4,01 2,41 A-28 2681401 ANASTROZOL SANDOZ 1 MG FILMOMH TABL 28 X 1 MG G 60,96 60,96 0,00 0,00 A-28 2681419 ANASTROZOL SANDOZ 1 MG FILMOMH TABL 98 X 1 MG G 155,64 155,64 0,00 0,00 A-28 2664639 ANASTROZOLE EG 1 MG FILMOMH TABL 28 X 1 MG G 63,55 63,55 0,00 0,00 A-28 2664621 ANASTROZOLE EG 1 MG FILMOMH TABL 98 X 1 MG G 162,54 162,54 0,00 0,00 B-15 2342673 ATENOLOL EG 100 MG PI PHARMA COMP 28X100MG PIP G 10,05 10,05 1,98 1,19 B-15 2342731 ATENOLOL EG 100 MG PI PHARMA COMP 56X100MG G 15,83 15,83 3,97 2,38 B-15 1334721 ATENOLOL EG COMP 56X 50MG G 10,39 10,39 2,10 1,26 B-15 1384353 ATENOLOL EG COMP 56X100MG G 13,98 13,98 3,34 2,00 B-41 2813244 ATORVASTATINE TEVA 10 MG FILMOMH TABL 30 X 10 MG G 11,24 11,24 2,39 1,43 A-45 2813244 ATORVASTATINE TEVA 10 MG FILMOMH TABL 30 X 10 MG G 11,24 11,24 0,00 0,00 B-41 2813251 ATORVASTATINE TEVA 10 MG FILMOMH TABL 100 X 10 MG G 15,82 15,82 3,97 2,38 A-45 2813251 ATORVASTATINE TEVA 10 MG FILMOMH TABL 100 X 10 MG G 15,82 15,82 0,00 0,00 B-107 1723824 AUGMENTIN PI PHARMA COMP 10 X 875 MG PIP R 10,07 10,07 1,99 1,19 B-107 1764455 AUGMENTIN PI PHARMA COMP 20 X 875 MG PIP R 15,13 15,13 3,73 2,24 B-60 2326874 BIOFENAC PI PHARMA COMP 20X100MG R 10,19 8,17 3,36 2,82 B-60 2326882 BIOFENAC PI PHARMA COMP 60X100MG R 17,30 13,89 6,72 5,39 B-279 2090686 BONDRONAT 50 MG COMP PELL 84 X 50 MG R 398,61 398,61 14,10 9,30 B-63 2195576 BREXINE PI PHARMA COMP 30 X 20 MG R 14,11 11,43 5,14 4,15 B-25 2195584 BURINEX AKTUAPHARMA COMP 30 X 1 MG 7,96 7,96 1,26 0,76

B-125 2049831 CIPROFLOXACINE EG 500 MG COMP 20 X 500 MG G 17,78 17,78 4,65 2,79 B-125 2630788 CIPROFLOXACINE EG PI PHARMA COMP 20X500MG PIP G 18,07 18,07 4,75 2,85 B-125 1670363 CIPROFLOXACINE MYLAN 500MG COMP 20 X 500 MG G 18,01 18,01 4,72 2,83 B-125 1676626 CIPROFLOXACINE SANDOZ 500MG TABL 20 NEW SANDOZ G 17,77 17,77 4,64 2,78 B-125 2729812 CIPROFLOXACINE TEVA COMP 20 X 500 MG G 16,93 16,93 4,35 2,61 B-73 2612844 CITALOPRAM EG PI PHARMA COMP 56X20MG PIP G 23,26 23,26 6,49 3,86 B-73 2630804 CITALOPRAM SANDOZ PI PHARMA TABL 56 X 20 MG PIP G 22,74 22,74 6,35 3,81 B-107 2600286 CLAMOXYL 1 G PI PHARMA COMP DISP 8 X 1 G PIP R 7,76 7,76 1,19 0,72 B-107 2612729 CLAMOXYL 1 G PI PHARMA COMP DISP 24 X 1 G PIP R 14,66 14,66 3,57 2,14 B-107 1665371 CLAMOXYL PI PHARMA CAPS 16X500MG PIP R 6,78 6,78 0,84 0,50 B-107 1743111 CLAVUCID SOLUTAB 875 COMP 20 X 875 MG R 15,13 15,13 3,73 2,24 B-21 2765014 COVERAM 10MG/ 5MG PI PHARMA COMP 60 56,50 56,50 11,30 7,50 B-21 2765022 COVERAM 10MG/ 5MG PI PHARMA COMP 90 81,22 81,22 14,10 9,30 B-21 2765030 COVERAM 10MG/10MG PI PHARMA COMP 60 63,40 63,40 11,30 7,50 B-21 2764991 COVERAM 10MG/10MG PI PHARMA COMP 90 91,16 91,16 14,10 9,30 B-224 2866721 COZAAR PI PHARMA COMP 98 X 100MG R 64,45 64,45 14,10 9,30 B-306 2866721 COZAAR PI PHARMA COMP 98 X 100MG R 64,45 64,45 14,10 9,30 B-309 2866721 COZAAR PI PHARMA COMP 98 X 100MG R 64,45 64,45 14,10 9,30 B-310 2866721 COZAAR PI PHARMA COMP 98 X 100MG R 64,45 64,45 14,10 9,30 B-224 2883437 COZAAR PLUS PI PHARMA COMP 98 X 100 MG/25 MG R 64,45 64,45 14,10 9,30 B-306 2883437 COZAAR PLUS PI PHARMA COMP 98 X 100 MG/25 MG R 64,45 64,45 14,10 9,30 B-309 2883437 COZAAR PLUS PI PHARMA COMP 98 X 100 MG/25 MG R 64,45 64,45 14,10 9,30 B-310 2883437 COZAAR PLUS PI PHARMA COMP 98 X 100 MG/25 MG R 64,45 64,45 14,10 9,30 B-41 2630747 CRESTOR 40 MG PI PHARMA COMP 98 X 40 MG PIP 204,30 204,30 14,10 9,30 A-45 2630747 CRESTOR 40 MG PI PHARMA COMP 98 X 40 MG PIP 204,30 204,30 0,00 0,00 A-12 1589191 DAONIL PI PHARMA COMP 100X5MG PIP 16,85 16,85 0,00 0,00 A-5 2195626 DEPAKINE CHRONO PI PHARMA COMP50X300MG PIP R 9,06 9,06 0,00 0,00 CS-7 2948297 DESLORATADINE EG 5 MG FILMOMH TABL 100 X 5 MG G 22,10 22,10 14,72 14,72 B-60 1645092 DICLOFENAC RETARD SANDOZ TABL 60 X 75 MG R 11,73 11,73 2,56 1,54 B-134 2195634 DIFLUCAN PI PHARMA CAPS 1X150MG R 6,68 6,68 0,79 0,47 B-134 2195642 DIFLUCAN PI PHARMA CAPS 10X200MG R 33,17 33,17 8,83 5,25 A-53 2195642 DIFLUCAN PI PHARMA CAPS 10X200MG R 33,17 33,17 0,00 0,00 B-254 2876431 DONEPEZIL EG 10,0 MG COMP PELL 98 X 10,0MG G 136,77 136,77 14,10 9,30 B-118 0891259 DOXYLETS 100 CAPS 10X100MG R 6,90 6,90 0,88 0,53 B-77 2195840 ELDEPRYL PI PHARMA COMP 60 X 5 MG 47,22 47,22 11,30 7,24 C-31 2950822 ESOBAX RANBAXY 20MG MAAGSAPRESIST TABS 28X20MG G 11,88 11,88 5,22 5,22 B-48 2950830 ESOBAX RANBAXY 20MG MAAGSAPRESIST TABS 56X20MG G 19,23 19,23 5,14 3,09 B-48 2950848 ESOBAX RANBAXY 20MG MAAGSAPRESIST TABS 98X20MG G 25,41 25,41 6,98 4,16 B-48 2950855 ESOBAX RANBAXY 40MG MAAGSAPRESIST TABS 28X40MG G 17,15 17,15 4,43 2,66 C-31 2873750 ESOMEPRAZOLE EG 20 MG CAPS 28 X 20 MG G 11,88 11,88 5,22 5,22 B-48 2873701 ESOMEPRAZOLE EG 20 MG CAPS 56 X 20 MG G 19,23 19,23 5,14 3,09 B-48 2873719 ESOMEPRAZOLE EG 20 MG CAPS 98 X 20 MG G 25,41 25,41 6,98 4,16 B-48 2873768 ESOMEPRAZOLE EG 40 MG CAPS 28 X 40 MG G 17,15 17,15 2,66 2,66 A-12 2442093 EUGLUCON PI PHARMA COMP 100 X 5 MG 16,68 16,68 0,00 0,00 B-134 2650653 FLUCONAZOL EG PI PHARMA CAPS 1 X 150 MG PIP G 6,68 6,68 0,79 0,47 B-134 2650646 FLUCONAZOL EG PI PHARMA CAPS 10 X 50 MG PIP G 13,26 13,26 3,09 1,85 A-53 2650646 FLUCONAZOL EG PI PHARMA CAPS 10 X 50 MG PIP G 13,26 13,26 0,00 0,00 B-134 2650661 FLUCONAZOL EG PI PHARMA CAPS 10 X 200 MG PIP G 33,17 33,17 8,83 5,25 A-53 2650661 FLUCONAZOL EG PI PHARMA CAPS 10 X 200 MG PIP G 33,17 33,17 0,00 0,00 B-134 2675742 FLUCONAZOL EG PI PHARMA CAPS 20 X 200 MG PIP G 75,75 75,75 11,30 7,50 A-53 2675742 FLUCONAZOL EG PI PHARMA CAPS 20 X 200 MG PIP G 75,75 75,75 0,00 0,00

B-33 1781392 FRAXIPARINE PI PHARMA INJ 10X15000U.AXA/0,6ML PIP 38,36 38,36 10,07 5,99 B-254 2912400 GALANTAMINE TEVA 8 MG CAPS VERLENGDE AFGIFTE 28 G 15,20 15,20 3,76 2,25 B-254 2912418 GALANTAMINE TEVA 16 MG CAPS VERLENGDE AFGIFTE 28 G 22,26 22,26 6,19 3,71 B-254 2912426 GALANTAMINE TEVA 16 MG CAPS VERLENGDE AFGIFTE 84 G 55,33 55,33 14,10 8,38 B-254 2912384 GALANTAMINE TEVA 24 MG CAPS VERLENGDE AFGIFTE 28 G 29,26 29,26 7,90 4,70 B-254 2912392 GALANTAMINE TEVA 24 MG CAPS VERLENGDE AFGIFTE 84 G 75,68 75,68 14,10 9,30 A-73 1784032 HEPSERA COMP 30 361,54 361,54 0,00 0,00 B-13 2195857 HYTRIN AKTUAPHARMA COMP 28 X 2 MG R 12,15 9,76 4,27 3,52 B-13 2195865 HYTRIN PI PHARMA COMP 28 X 5 MG R 19,68 15,80 7,84 6,26 B-224 2909281 IRBESARTAN EG 150 MG FILMOMH TABL 98 X 150 MG G 45,64 45,64 11,80 7,01 B-134 2729762 ITRACONAZOLE EG PI PHARMA CAPS 60X100MG PIP G 50,09 50,09 11,30 7,50 A-5 2883429 LAMICTAL PI PHARMA COMP DISP 30 X 200 MG PIP R 36,25 36,25 0,00 0,00 A-5 2883403 LAMICTAL PI PHARMA COMP DISP 90 X 50 MG PIP R 28,84 28,84 0,00 0,00 A-5 2883411 LAMICTAL PI PHARMA COMP DISP 90 X 100 MG PIP R 44,55 44,55 0,00 0,00 B-125 2786028 LEVOFLOXACIN APOTEX FILMOMHULDE TABL 10 X 250 MG G 15,13 15,13 3,73 2,24 B-125 2786044 LEVOFLOXACINE MYLAN COMP 10 X 250 MG G 15,13 15,13 3,73 2,24 B-41 2926947 LIPITOR 10 IMPEXECO COMP 84 X 10 MG PIP R 42,03 42,03 10,94 6,50 A-45 2926947 LIPITOR 10 IMPEXECO COMP 84 X 10 MG PIP R 42,03 42,03 0,00 0,00 B-41 2886612 LIPITOR 10 PI PHARMA COMP 84 X 10 MG PIP R 44,86 44,86 11,62 6,90 A-45 2886612 LIPITOR 10 PI PHARMA COMP 84 X 10 MG PIP R 44,86 44,86 0,00 0,00 B-41 2926954 LIPITOR 20 IMPEXECO COMP 84 X 20 MG PIP R 62,08 62,08 14,10 9,30 A-45 2926954 LIPITOR 20 IMPEXECO COMP 84 X 20 MG PIP R 62,08 62,08 0,00 0,00 B-41 2926962 LIPITOR 40 IMPEXECO COMP 84 X 40 MG PIP R 99,96 99,96 14,10 9,30 A-45 2926962 LIPITOR 40 IMPEXECO COMP 84 X 40 MG PIP R 99,96 99,96 0,00 0,00 B-41 2760593 LIPITOR 40 IMPEXECO COMP 90 X 40 MG PIP R 110,04 110,04 14,10 9,30 A-45 2760593 LIPITOR 40 IMPEXECO COMP 90 X 40 MG PIP R 110,04 110,04 0,00 0,00 B-41 2583961 LIPITOR 40 PI PHARMA COMP 84 X 40 MG PIP R 107,18 107,18 14,10 9,30 A-45 2583961 LIPITOR 40 PI PHARMA COMP 84 X 40 MG PIP R 107,18 107,18 0,00 0,00 B-41 2926970 LIPITOR 80 IMPEXECO COMP 84 X 80 MG PIP R 115,08 115,08 14,10 9,30 A-45 2926970 LIPITOR 80 IMPEXECO COMP 84 X 80 MG PIP R 115,08 115,08 0,00 0,00 B-41 2549707 LIPITOR 80 PI PHARMA COMP 98 X 80 MG PIP R 123,51 123,51 14,10 9,30 A-45 2549707 LIPITOR 80 PI PHARMA COMP 98 X 80 MG PIP R 123,51 123,51 0,00 0,00 B-224 2926780 LOSARTAN PLUS EG 100 MG/12,5 MG FILMOMH TABL 98 G 32,47 32,47 8,66 5,15 A-27 2195832 LUCRIN DEPOT PI PHARMA FL IM 3,75 MG + SOLV R 106,05 95,25 10,80 10,80 B-83 2195667 MEDROL PI PHARMA COMP 30 X 4MG R 7,89 7,89 1,24 0,74 B-63 2322774 MELOXICAM RATIOPHARM 15 MG COMP 30 X 15 MG G 10,19 10,19 2,03 1,22 B-63 2277408 MELOXICAM TEVA 15 MG TABL 30 X 15 MG G 10,19 10,19 2,03 1,22 B-3 2339091 MINITRAN 10 PI PHARMA SYSTEMS 30 PIP 24,18 24,18 6,69 3,98 B-3 2339109 MINITRAN 15 PI PHARMA SYSTEMS 30 PIP 32,44 32,44 8,66 5,15 B-73 2896116 MIRTAZAPINE APOTEX 15 MG COMP 90 G 29,19 29,19 7,89 4,69 B-73 2919868 MIRTAZAPINE APOTEX 15 MG COMP ORODISP 30 G 13,33 13,33 3,11 1,87 B-73 2896124 MIRTAZAPINE APOTEX 30 MG COMP 90 G 42,80 42,80 11,13 6,61 B-73 2919876 MIRTAZAPINE APOTEX 30 MG COMP ORODISP 30 G 21,80 21,80 6,03 3,62 B-73 2896132 MIRTAZAPINE APOTEX 45 MG COMP 90 G 39,62 39,62 10,37 6,16 B-63 2732758 MOBIC PI PHARMA COMP 30X15MG PIP R 10,38 10,38 2,09 1,26 B-60 1558675 NAPROFLAM 500 TABL 30X500MG R 8,98 8,98 1,61 0,97 B-15 2594034 NOBITEN PI PHARMA COMP 28 X 5 MG R 13,00 13,00 3,00 1,80 B-15 2804466 NOBITEN PI PHARMA COMP 100 X 5 MG R 28,51 28,51 7,72 4,59 B-15 2630903 NOBITEN PI PHARMA COMP 56 X 5 MG R 18,17 18,17 4,78 2,87 B-72 2805240 OLANZAPINE EG 5 MG FILMOMH TABL 56 X 5,0 MG G 62,75 62,75 11,30 7,50 B-72 2805257 OLANZAPINE EG 5 MG FILMOMH TABL 98 X 5,0 MG G 91,80 91,80 14,10 9,30

B-72 2805224 OLANZAPINE EG 10 MG FILMOMH TABL 98 X 10,0 MG G 174,50 174,50 14,10 9,30 B-72 2745198 OLANZAPINE INSTANT 10MG EG COMP ORODI 98 X 10MG G 174,50 174,50 14,10 9,30 B-72 2769453 OLANZAPINE INSTANT 5 MG EG COMP ORODISP 56 X 5MG G 62,75 62,75 11,30 7,50 B-72 2745214 OLANZAPINE INSTANT 5 MG EG COMP ORODISP 98 X 5MG G 91,80 91,80 14,10 9,30 B-48 2753218 OMEPRAZOL EG 20 MG PI PHARMA CAPS 100X20MG PIP G 27,54 27,54 7,49 4,46 B-48 2753200 OMEPRAZOL EG 20 MG PI PHARMA CAPS 56X20MG PIP G 22,60 22,60 6,31 3,78 B-48 2669273 OMEPRAZOL EG 40 MG PI PHARMA CAPS 100X40MG PIP G 51,36 51,36 13,16 7,82 B-48 2600559 OMEPRAZOL EG 40 MG PI PHARMA CAPS 56X40MG G PIP G 43,08 43,08 11,19 6,65 B-48 2647089 OMEPRAZOL SANDOZ 20 MG PI PHARMA CAPS 56 X 20 MG G 23,08 23,08 6,45 3,84 B-48 2647097 OMEPRAZOL SANDOZ 40 MG PI PHARMA CAPS 56 X 40 MG G 43,08 43,08 11,19 6,65 B-48 2669240 OMEPRAZOL SANDOZ 40 MG PI PHARMA CAPS 98 X 40 MG G 70,46 70,46 14,10 9,30 C-31 1767250 OMEPRAZOL SANDOZ CAPS ENTER 28 X 10 MG G 9,39 9,39 3,51 3,51 B-48 1767342 OMEPRAZOL SANDOZ CAPS ENTER 28 X 40 MG G 22,77 22,77 6,39 3,80 B-48 2417749 OMEPRAZOLE MYLAN CAPS 100 X 20 MG G 28,68 28,68 7,76 4,62 C-31 1712223 OMEPRAZOLE MYLAN CAPS 14 X 20 MG G 9,04 9,04 3,27 3,27 C-31 1712215 OMEPRAZOLE MYLAN CAPS 28 X 10 MG G 9,49 9,49 3,58 3,58 C-31 1705441 OMEPRAZOLE MYLAN CAPS 28 X 20 MG G 14,52 14,52 7,04 7,04 B-48 1712231 OMEPRAZOLE MYLAN CAPS 28 X 40 MG G 22,78 22,78 6,39 3,81 B-48 1712249 OMEPRAZOLE MYLAN CAPS 56 X 10 MG G 16,13 16,13 4,08 2,45 B-48 1705466 OMEPRAZOLE MYLAN CAPS 56 X 20 MG G 23,32 23,32 6,50 3,87 B-48 2119584 OMEPRAZOLE MYLAN CAPS 56 X 40 MG G 45,61 45,61 11,30 7,01 B-73 2233674 PAROXETINE TEVA TABL 56 X 20 MG G 20,06 20,06 5,43 3,26 B-41 2727378 PRAVASTATINE EG 20 MG PI PHARMA COMP 98 X 20 MG G 29,26 29,26 7,90 4,70 A-45 2727378 PRAVASTATINE EG 20 MG PI PHARMA COMP 98 X 20 MG G 29,26 29,26 0,00 0,00 B-41 2199347 PRAVASTATINE EG COMP 28 X 20 MG G 9,40 9,40 1,76 1,06 A-45 2199347 PRAVASTATINE EG COMP 28 X 20 MG G 9,40 9,40 0,00 0,00 B-41 2199321 PRAVASTATINE EG COMP 98 X 20 MG G 27,26 27,26 7,42 4,42 A-45 2199321 PRAVASTATINE EG COMP 98 X 20 MG G 27,26 27,26 0,00 0,00 B-41 2614899 PRAVASTATINE SANDOZ 30 MG TABL 28 R 15,73 15,73 3,94 2,36 A-45 2614899 PRAVASTATINE SANDOZ 30 MG TABL 28 R 15,73 15,73 0,00 0,00 B-41 2614907 PRAVASTATINE SANDOZ 30 MG TABL 98 R 36,09 36,09 9,53 5,66 A-45 2614907 PRAVASTATINE SANDOZ 30 MG TABL 98 R 36,09 36,09 0,00 0,00 B-220 2866614 QUETIAPINE EG COMP PELL 100 X 100 MG G 49,84 49,84 12,80 7,61 B-220 2866648 QUETIAPINE EG COMP PELL 100 X 200 MG G 92,39 92,39 14,10 9,30 B-220 2866671 QUETIAPINE EG COMP PELL 100 X 300 MG G 130,89 130,89 14,10 9,30 B-21 1665447 RENITEC PI PHARMA COMP. 28 X 20 MG PIP R 10,65 10,20 2,48 1,67 B-21 1665454 RENITEC PI PHARMA COMP. 56 X 20 MG PIP R 14,49 13,77 3,98 2,68 B-160 2125367 ROACCUTANE PI PHARMA CAPS 30 X 10 MG PIP R 17,04 17,04 4,39 2,64 B-160 2125359 ROACCUTANE PI PHARMA CAPS 30 X 20 MG PIP R 26,14 26,14 7,16 4,26 B-8 2195675 RYTMONORM PI PHARMA COMP 50X150MG PIP 10,50 10,50 2,14 1,28 B-8 2125342 RYTMONORM PI PHARMA COMP 50X300MG PIP 15,59 15,59 3,89 2,34 B-8 2195683 RYTMONORM PI PHARMA COMP 100X150MG PIP 14,63 14,63 3,56 2,13 B-8 2125334 RYTMONORM PI PHARMA COMP 100X300MG PIP 23,37 23,37 6,51 3,88 B-55 2354439 SALAZOPYRINE EC PI PHARMA COMP 300 X 500 MG 30,74 30,74 8,25 4,91 C-32 2339117 SIMVASTATINE PI PHARMA TABL 98 X 20 MG G 22,43 22,43 12,50 9,30 A-45 2339117 SIMVASTATINE PI PHARMA TABL 98 X 20 MG G 22,43 22,43 0,00 0,00 C-32 2339158 SIMVASTATINE PI PHARMA TABL 98 X 40 MG G 23,36 23,36 13,02 9,30 A-45 2339158 SIMVASTATINE PI PHARMA TABL 98 X 40 MG G 23,36 23,36 0,00 0,00 B-134 1729425 SPORANOX PI PHARMA CAPS 15 X 100 MG PIP R 15,85 15,85 3,98 2,39 B-125 2631067 TAVANIC 500 MG PI PHARMA TABL 10 X 500 MG R 21,88 21,88 6,06 3,63 B-13 2805612 TERAZOSAB PI PHARMA COMP 84 X 5 MG G 35,31 35,31 9,34 5,55

B-13 2805620 TERAZOSAB PI PHARMA COMP 84 X 10 MG G 49,97 49,97 12,83 7,62 B-134 2713097 TERBINAFINE SANDOZ PI PHARMA COMP 56 X 250 MG G 52,11 52,11 11,30 7,50 A-1 2442184 TICLID 250 MG PI PHARMA DRAG 60 X 250 MG R 24,46 24,46 0,00 0,00 C-25 2442184 TICLID 250 MG PI PHARMA DRAG 60 X 250 MG R 24,46 24,46 13,52 9,30 B-217 2442184 TICLID 250 MG PI PHARMA DRAG 60 X 250 MG R 24,46 24,46 6,76 4,02 B-63 1589167 TILCOTIL PI PHARMA COMP SEC 30X20MG PIP 10,87 10,87 2,26 1,36 B-56 1754738 TRAMADOL EG COMP EFF 30 X 50 MG C 7,48 7,48 1,10 0,66 B-56 1754746 TRAMADOL EG COMP EFF 60 X 50 MG C 10,05 10,05 1,98 1,19 B-224 2879278 VALSARTAN APOTEX 80 MG FILMOMH TABL 98 X 80 MG G 35,83 35,83 9,47 5,63 B-20 2125318 ZANIDIP PI PHARMA COMP 28 X 10 MG PIP R 11,90 11,90 2,62 1,57 C-30 1665496 ZANTAC PI PHARMA COMP 28 X 300 MG PIP R 8,12 8,12 2,63 2,63 C-30 1665504 ZANTAC PI PHARMA COMP 56 X 300 MG PIP R 9,60 9,60 3,66 3,66 C-30 1665488 ZANTAC PI PHARMA COMP 112 X 150 MG PIP R 12,17 12,17 5,43 5,43 B-41 1516640 ZOCOR PI PHARMA COMP 28 X 20 MG PIP R 10,10 10,10 2,00 1,20 A-45 1516640 ZOCOR PI PHARMA COMP 28 X 20 MG PIP R 10,10 10,10 0,00 0,00 B-41 1516657 ZOCOR PI PHARMA COMP 84 X 20 MG PIP R 18,24 18,24 4,80 2,88 A-45 1516657 ZOCOR PI PHARMA COMP 84 X 20 MG PIP R 18,24 18,24 0,00 0,00 B-68 0137810 ZYLORIC 100 COMP 100 X 100 MG R 7,05 7,05 0,94 0,56 B-68 0866236 ZYLORIC 300 COMP 90 X 300 MG R 10,40 10,40 2,10 1,26 B-68 2195816 ZYLORIC PI PHARMA COMP 100 X 100 MG R 7,05 7,05 0,94 0,56 B-72 2839470 ZYPREXA 5 MG PI PHARMA COMP 28 X 5 MG R 37,26 37,26 9,81 5,83 B-72 2839488 ZYPREXA 10 MG PI PHARMA COMP 28 X 10 MG R 67,96 67,96 11,30 7,50 De volgende specialiteiten worden geschrapt van terugbetaling vanaf 1 september 2012: Crit CNK Benaming B-224 2903755 CANDESARTAN TEVA TABL 28 X 4 MG B-224 2903771 CANDESARTAN TEVA TABL 28 X 8 MG B-224 2903748 CANDESARTAN TEVA TABL 28 X 32 MG B-224 2903763 CANDESARTAN TEVA TABL 98 X 4 MG B-21 1622786 CAPTOPRIMED 25 RANBAXY COMP 60X 25MG B-21 1622802 CAPTOPRIMED 50 RANBAXY COMP 60X 50MG B-21 1622828 CAPTOPRIMED 100 RANBAXY COMP 30X100MG B-111 1574292 CEFURIM 750 MG PULV VIAL 1X 750MG B-111 1574300 CEFURIM 1500 MG PULV VIAL 1X1500MG B-125 2308294 CIPROFLOXACINE RANBAXY 250 MG COMP. 10 X 250 MG B-125 2309797 CIPROFLOXACINE RANBAXY 500 MG COMP. 20 X 500 MG B-125 2309805 CIPROFLOXACINE RANBAXY 750 MG COMP. 20 X 750 MG B-243 2839496 CLOPIDOGREL EG 75 MG COMP PELL 100 X 75 MG B-224 2924405 CO CANDESARTAN TEVA 8MG/12,5MG COMP 28 B-224 2909190 CO CANDESARTAN TEVA 8MG/12,5MG COMP 98 B-119 0032417 DALACIN C AMP INJ 3 X 300 MG/2 ML B-119 0032813 DALACIN C AMP INJ 3 X 600 MG/4 ML B-119 0032912 DALACIN C AMP INJ 3 X 900 MG/6 ML B-60 1400589 DICLOFEMED 100 RANBAXY COMP 30 X 100 MG A-25 2566891 EPIRUBICIN EBEWE 2 MG/ML 5 ML B-73 1560135 FLUOXEMED RANBAXY CAPS 28 X 20 MG B-73 1722727 FLUOXEMED RANBAXY CAPS 56 X 20 MG A-5 2483154 GABAPENMED 600 MG RANBAXY COMP 100 X 600 MG B-262 2483154 GABAPENMED 600 MG RANBAXY COMP 100 X 600 MG

Crit CNK Benaming B-309 2483154 GABAPENMED 600 MG RANBAXY COMP 100 X 600 MG B-310 2483154 GABAPENMED 600 MG RANBAXY COMP 100 X 600 MG A-12 2775195 GLICLAZIDE SANDOZ 30 MG COMP RET 60 X 30 MG A-12 2775187 GLICLAZIDE SANDOZ 30 MG COMP RET 180 X 30 MG B-23 2308302 INDAPAMED 2,5 MG COMP 60 X 2,5 MG C-31 2489235 LANSOPRAZOLE RANBAXY CAPS 28 X 30 MG B-48 2489219 LANSOPRAZOLE RANBAXY CAPS 56 X 15 MG B-48 2489227 LANSOPRAZOLE RANBAXY CAPS 56 X 30 MG B-255 2839504 LEFLUNOMIDE APOTEX COMP 30 X 10 MG B-255 2839520 LEFLUNOMIDE APOTEX COMP 30 X 20 MG B-255 2839512 LEFLUNOMIDE APOTEX COMP 100 X 10 MG B-255 2839538 LEFLUNOMIDE APOTEX COMP 100 X 20 MG B-15 2727188 NEBIVOLOL DOC 5 MG DOCPHARMA COMP 84 X 5 MG B-72 2839421 OLANZAPINE RANBAXY 5 MG COMP 28 X 5 MG B-72 2839454 OLANZAPINE RANBAXY 5 MG TABL ORODISP 28 X 5 MG B-72 2839439 OLANZAPINE RANBAXY 10 MG COMP 28 X 10 MG B-72 2839462 OLANZAPINE RANBAXY 10 MG ORODISP TABL 28 X 10 MG B-72 2839447 OLANZAPINE RANBAXY 7,5 MG COMP 56 X 7,5 MG C-31 2409514 OMEPRAZOL TEVA CAPS ENTER 28 X 20 MG C-31 2450716 OMEPRAZOLE RANBAXY 10 MG CAPS 28 X 10 MG B-48 2450674 OMEPRAZOLE RANBAXY 10 MG CAPS 56 X 10 MG C-31 2450724 OMEPRAZOLE RANBAXY 20 MG CAPS 28 X 20 MG B-48 2450682 OMEPRAZOLE RANBAXY 20 MG CAPS 56 X 20 MG B-48 2450690 OMEPRAZOLE RANBAXY 40 MG CAPS 28 X 40 MG B-48 2450708 OMEPRAZOLE RANBAXY 40 MG CAPS 56 X 40 MG B-63 1464148 PIROXYMED RANBAXY COMP SEC 30 X 20 MG C-30 2308351 RANITIDINE RANBAXY COMP 56 X 300 MG C-30 2308336 RANITIDINE RANBAXY COMP 112 X 150 MG C-30 2308310 RANITIMED ETHIMED COMP 28 X 150 MG C-30 2308344 RANITIMED ETHIMED COMP 28 X 300 MG C-30 2308328 RANITIMED ETHIMED COMP 56 X 150 MG B-220 2489268 RISPERIDONE RANBAXY COMP 60 X 1 MG B-220 2489276 RISPERIDONE RANBAXY COMP 60 X 2 MG B-220 2489284 RISPERIDONE RANBAXY COMP 60 X 3 MG B-166 0132407 TERRA-CORTRIL UNG OPHT/OTIC 1X 3,5G B-224 2896207 VALSARTAN RANBAXY 80 MG FILMOMH TABL 28 X 80 MG B-224 2896215 VALSARTAN RANBAXY 80 MG FILMOMH TABL 56 X 80 MG B-224 2896223 VALSARTAN RANBAXY 80 MG FILMOMH TABL 90 X 80 MG B-224 2896231 VALSARTAN RANBAXY 160 MG FILMOMH TABL 28 X 160 MG B-224 2896249 VALSARTAN RANBAXY 160 MG FILMOMH TABL 56 X 160 MG B-224 2896256 VALSARTAN RANBAXY 160 MG FILMOMH TABL 90 X 160 MG A-16 1424837 VAMYSIN FL IV PULV 1X500MG B-124 1424837 VAMYSIN FL IV PULV 1X500MG A-16 1485838 VAMYSIN PDR FL 1 X 1000 MG B-124 1485838 VAMYSIN PDR FL 1 X 1000 MG B-72 2783397 ZYPREXA 5MG OMHULDE TABL 70 X 5 MG B-72 2783413 ZYPREXA 10MG OMHULDE TABL 70 X 10 MG B-72 2789055 ZYPREXA VELOTAB 5MG COMP ORODISP 70 X 5 MG B-72 2789063 ZYPREXA VELOTAB 10MG COMP ORODISP 70 X 10 MG