ANNEXE
TARIF UNIFIÉ AU 1ER AVRIL 2023

|Spécialité appartenant au groupe de spécialités comparables en ce qui concerne
la visée thérapeutique à base de « facteur VIII de coagulation recombinant »|Conditionnement|Tarif unifié fixé par UCD (en euros)| |-------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------|------------------------------------| | ADVATE 1000UI INJ FL+FL2ML +D | 1 flacon | 550,800 | | ADVATE 1500UI INJ FL+FL2ML +D | 1 flacon | 826,200 | | ADVATE 2000UI INJ FL+FL5ML +D | 1 flacon | 1101,600 | | ADVATE 250UI INJ FL+FL2ML +D | 1 flacon | 137,700 | | ADVATE 3000UI INJ FL+FL5ML +D | 1 flacon | 1652,400 | | ADVATE 500UI INJ FL+FL2ML +D | 1 flacon | 275,400 | | AFSTYLA 1000UI INJ FL+FL +D+N | 1 flacon | 550,800 | | AFSTYLA 1500UI INJ FL+FL +D+N | 1 flacon | 826,200 | | AFSTYLA 2000UI INJ FL+FL +D+N | 1 flacon | 1101,600 | | AFSTYLA 2500UI INJ FL+FL +D+N | 1 flacon | 1377,000 | | AFSTYLA 250UI INJ FL+FL +D+N | 1 flacon | 137,700 | | AFSTYLA 3000UI INJ FL+FL +D+N | 1 flacon | 1652,400 | | AFSTYLA 500UI INJ FL+FL +D+N | 1 flacon | 275,400 | | ELOCTA 1000UI INJ FL+SRG | 1 flacon | 550,800 | | ELOCTA 1500UI INJ FL+SRG | 1 flacon | 826,200 | | ELOCTA 2000UI INJ FL+SRG | 1 flacon | 1101,600 | | ELOCTA 250UI INJ FL+SRG | 1 flacon | 137,700 | | ELOCTA 3000UI INJ FL+SRG | 1 flacon | 1652,400 | | ELOCTA 4000UI INJ FL+SRG | 1 flacon | 2203,200 | | ELOCTA 5000UI INJ FL+SRG | 1 flacon | 2754,000 | | ELOCTA 500UI INJ FL+SRG | 1 flacon | 275,400 | | ELOCTA 6000UI INJ FL+SRG | 1 flacon | 3304,800 | | ELOCTA 750UI INJ FL+SRG | 1 flacon | 413,100 | | KOGENATE BAY 1000UI FL+SRG | 1 flacon | 550,800 | | KOGENATE BAY 2000UI FL+SRG | 1 flacon | 1102,600 | | KOGENATE BAY 250UI FL+SRG | 1 flacon | 137,700 | | KOGENATE BAY 3000UI FL+SRG | 1 flacon | 1652,400 | | KOGENATE BAY 500UI FL+SRG | 1 flacon | 275,400 | | KOVALTRY 1000UI F.BIO+S.2,5ML | 1 flacon | 550,800 | | KOVALTRY 1000UI F.BIO+S.5ML | 1 flacon | 550,800 | | KOVALTRY 1000UI FL+SRG5ML | 1 flacon | 550,800 | | KOVALTRY 2000UI F.BIO+S.5ML | 1 flacon | 1102,600 | | KOVALTRY 2000UI FL+SRG5ML | 1 flacon | 1102,600 | | KOVALTRY 250UI F.BIO+S.2,5ML | 1 flacon | 137,700 | | KOVALTRY 250UI F.BIO+S.5ML | 1 flacon | 137,700 | | KOVALTRY 250UI FL+SRG5ML | 1 flacon | 137,700 | | KOVALTRY 3000UI F.BIO+S.5ML | 1 flacon | 1652,400 | | KOVALTRY 3000UI FL+SRG5ML | 1 flacon | 1652,400 | | KOVALTRY 500UI F.BIO+S.2,5ML | 1 flacon | 275,400 | | KOVALTRY 500UI F.BIO+S.5ML | 1 flacon | 275,400 | | KOVALTRY 500UI FL+SRG5ML | 1 flacon | 275,400 | | NOVOEIGHT 1000UI INJ FL+SRG | 1 flacon | 550,800 | | NOVOEIGHT 1500UI INJ FL+SRG | 1 flacon | 826,200 | | NOVOEIGHT 2000UI INJ FL+SRG | 1 flacon | 1102,600 | | NOVOEIGHT 250UI INJ FL+SRG | 1 flacon | 137,700 | | NOVOEIGHT 3000UI INJ FL+SRG | 1 flacon | 1652,400 | | NOVOEIGHT 500UI INJ FL+SRG | 1 flacon | 275,400 | | NUWIQ 1000UI INJ FL+SRG +N | 1 flacon | 550,800 | | NUWIQ 1500UI INJ FL+SRG 1+N | 1 flacon | 826,200 | | NUWIQ 2000UI INJ FL+SRG +N | 1 flacon | 1102,600 | | NUWIQ 2500UI INJ FL+SRG +N | 1 flacon | 1377,000 | | NUWIQ 250UI INJ FL+SRG +N | 1 flacon | 137,700 | | NUWIQ 3000UI INJ FL+SRG +N | 1 flacon | 1652,400 | | NUWIQ 4000UI INJ FL+SRG +N | 1 flacon | 2203,200 | | NUWIQ 500UI INJ FL+SRG +N | 1 flacon | 275,400 | | REFACTO AF 1000UI INJ SRG+MAT | 1 flacon | 550,800 | | REFACTO AF 2000UI INJ SRG+MAT | 1 flacon | 1102,600 | | REFACTO AF 250UI INJ SRG +MAT | 1 flacon | 137,700 | | REFACTO AF 3000UI INJ SRG +MAT | 1 flacon | 1652,400 | | REFACTO AF 500UI INJ SRG+MAT | 1 flacon | 275,400 |