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| | | | 1 | | | DO1.PCCNTR.1455867 ContractData Container |
| | | 1.1 | | | | | | | | | | 5,124,526.55 | 0.00 | 0.00 | 0.00 | 5,124,526.55 | 5,124,526.55 |
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| | | | | | | 1 | | 51151738 - Fumarato de fo(...)51151738 - Fumarato de formoterol |
| 2.3.4.1.01 | Formoterol Fumarato / Dihidrato Budesonida x 60 tb | 20 | UD | 2,400 | 2,400 | 48,000.00 | | 0.00 | | | 0.00 | | 0.00 | 48,000.00 | 48,000.00 | |
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| | | | | | | 2 | | 51161502 - Nedocromil sód(...)51161502 - Nedocromil sódico |
| 2.3.4.1.01 | Umeclidino 62.5 mg / Vilanterol 25 mg x 30 dosis | 2 | UD | 4,530 | 4,530 | 9,060.00 | | 0.00 | | | 0.00 | | 0.00 | 9,060.00 | 9,060.00 | |
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| | | | | | | 3 | | 2.3.4.1.01 | Irbesartán 300 mg / Amlodipina 10 mg x 30 tb | 5 | UD | 4,500 | 4,500 | 22,500.00 | | 0.00 | | | 0.00 | | 0.00 | 22,500.00 | 22,500.00 | |
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| | | | | | | 4 | | 51121735 - Candesartán ci(...)51121735 - Candesartán cilexetilo |
| 2.3.4.1.01 | Candesartán Cilexetilo 32 mg / Amlodipina 5 mg / Hidroclorotiazida 25 mg x 30 tb | 7 | UD | 2,309 | 2,309 | 16,163.00 | | 0.00 | | | 0.00 | | 0.00 | 16,163.00 | 16,163.00 | |
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| | | | | | | 5 | | 51142002 - Ácido acetilsa(...)51142002 - Ácido acetilsalicílico |
| 2.3.4.1.01 | Ácido acetilsalicílico 81 mg x 30 tb | 140 | UD | 417.5 | 417.5 | 58,450.00 | | 0.00 | | | 0.00 | | 0.00 | 58,450.00 | 58,450.00 | |
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| | | | | | | 6 | | 2.3.4.1.01 | Bicalutamida 150 mg x 30 tb | 5 | UD | 3,675 | 3,675 | 18,375.00 | | 0.00 | | | 0.00 | | 0.00 | 18,375.00 | 18,375.00 | |
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| | | | | | | 7 | | 51121710 - Losartán potás(...)51121710 - Losartán potásico |
| 2.3.4.1.01 | Losartán potásico 100 mg / Hidroclorotiazida 25 mg x 30 tb | 50 | UD | 1,794.17 | 1,794.17 | 89,708.50 | | 0.00 | | | 0.00 | | 0.00 | 89,708.50 | 89,708.50 | |
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| | | | | | | 8 | | 51121710 - Losartán potás(...)51121710 - Losartán potásico |
| 2.3.4.1.01 | Losartán potásico 50 mg / Hidroclorotiazida 12.5 mg x 30 tb | 50 | UD | 1,438.83 | 1,438.83 | 71,941.50 | | 0.00 | | | 0.00 | | 0.00 | 71,941.50 | 71,941.50 | |
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| | | | | | | 9 | | 51121710 - Losartán potás(...)51121710 - Losartán potásico |
| 2.3.4.1.01 | Losartán potásico 50 mg x 30 tb | 50 | UD | 1,333 | 1,333 | 66,650.00 | | 0.00 | | | 0.00 | | 0.00 | 66,650.00 | 66,650.00 | |
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| | | | | | | 10 | | 51161608 - Clorhidrato de(...)51161608 - Clorhidrato de betahistina |
| 2.3.4.1.01 | Betahistina Diclorhidrato 16 mg x 20 tb | 30 | UD | 775 | 775 | 23,250.00 | | 0.00 | | | 0.00 | | 0.00 | 23,250.00 | 23,250.00 | |
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| | | | | | | 11 | | 51161608 - Clorhidrato de(...)51161608 - Clorhidrato de betahistina |
| 2.3.4.1.01 | Betahistina Diclorhidrato 24 mg x 20 tb | 30 | UD | 1,187.5 | 1,187.5 | 35,625.00 | | 0.00 | | | 0.00 | | 0.00 | 35,625.00 | 35,625.00 | |
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| | | | | | | 12 | | 51121735 - Candesartán ci(...)51121735 - Candesartán cilexetilo |
| 2.3.4.1.01 | Candesartán Cilexetilo 32 mg / Hidroclorotiazida 25 mg x 30 tb | 50 | UD | 2,584 | 2,584 | 129,200.00 | | 0.00 | | | 0.00 | | 0.00 | 129,200.00 | 129,200.00 | |
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| | | | | | | 13 | | 2.3.4.1.01 | Atenolol 50 mg / Nitrendipina 20 mg / Clortalidona 12.5 mg x 30 tb | 10 | UD | 850 | 850 | 8,500.00 | | 0.00 | | | 0.00 | | 0.00 | 8,500.00 | 8,500.00 | |
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| | | | | | | 14 | | 2.3.4.1.01 | Carvedilol 12.5 mg x 30 tb | 35 | UD | 1,323 | 1,323 | 46,305.00 | | 0.00 | | | 0.00 | | 0.00 | 46,305.00 | 46,305.00 | |
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| | | | | | | 15 | | 2.3.4.1.01 | Celecoxib 400 mg x 30 tb | 25 | UD | 4,548 | 4,548 | 113,700.00 | | 0.00 | | | 0.00 | | 0.00 | 113,700.00 | 113,700.00 | |
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| | | | | | | 16 | | 51131709 - Bisulfato de c(...)51131709 - Bisulfato de clopidogrel |
| 2.3.4.1.01 | Clopidogrel 75 mg x 30 tb | 140 | UD | 2,213 | 2,213 | 309,820.00 | | 0.00 | | | 0.00 | | 0.00 | 309,820.00 | 309,820.00 | |
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| | | | | | | 17 | | 51141722 - Fumarato de qu(...)51141722 - Fumarato de quetiapina |
| 2.3.4.1.01 | Quetiapina 100 mg x 30 tb | 35 | UD | 2,781 | 2,781 | 97,335.00 | | 0.00 | | | 0.00 | | 0.00 | 97,335.00 | 97,335.00 | |
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| | | | | | | 18 | | 51141722 - Fumarato de qu(...)51141722 - Fumarato de quetiapina |
| 2.3.4.1.01 | Quetiapina 25 mg x 30 tb | 35 | UD | 2,086 | 2,086 | 73,010.00 | | 0.00 | | | 0.00 | | 0.00 | 73,010.00 | 73,010.00 | |
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| | | | | | | 19 | | 51121718 - Clorhidrato de(...)51121718 - Clorhidrato de clonidina |
| 2.3.4.1.01 | Clonidina 0.100 mg x 30 tb | 10 | UD | 625 | 625 | 6,250.00 | | 0.00 | | | 0.00 | | 0.00 | 6,250.00 | 6,250.00 | |
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| | | | | | | 20 | | 2.3.4.1.01 | Dutasteride 0.5 mg / Tamsulosina 0.4 mg x 30 tb | 5 | UD | 3,317.5 | 3,317.5 | 16,587.50 | | 0.00 | | | 0.00 | | 0.00 | 16,587.50 | 16,587.50 | |
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| | | | | | | 21 | | 51121725 - Bisoprolol fum(...)51121725 - Bisoprolol fumarato |
| 2.3.4.1.01 | Bisoprolol fumarato 5 mg x 30 tb | 5 | UD | 4,013 | 4,013 | 20,065.00 | | 0.00 | | | 0.00 | | 0.00 | 20,065.00 | 20,065.00 | |
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| | | | | | | 22 | | 51121735 - Candesartán ci(...)51121735 - Candesartán cilexetilo |
| 2.3.4.1.01 | Candesartán cilexetilo 16 mg x 30 tb | 50 | UD | 1,863 | 1,863 | 93,150.00 | | 0.00 | | | 0.00 | | 0.00 | 93,150.00 | 93,150.00 | |
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| | | | | | | 23 | | 51121735 - Candesartán ci(...)51121735 - Candesartán cilexetilo |
| 2.3.4.1.01 | Candesartán cilexetilo 8 mg x 30 tb | 50 | UD | 1,438 | 1,438 | 71,900.00 | | 0.00 | | | 0.00 | | 0.00 | 71,900.00 | 71,900.00 | |
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| | | | | | | 24 | | 51121735 - Candesartán ci(...)51121735 - Candesartán cilexetilo |
| 2.3.4.1.01 | Candesartán Cilexetilo 16 mg / Hidroclorotiazida 12.5 mg x 30 tb | 35 | UD | 2,088 | 2,088 | 73,080.00 | | 0.00 | | | 0.00 | | 0.00 | 73,080.00 | 73,080.00 | |
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| | | | | | | 25 | | 51121735 - Candesartán ci(...)51121735 - Candesartán cilexetilo |
| 2.3.4.1.01 | Candesartán Cilexetilo 32 mg / Hidroclorotiazida 12.5 mg x 30 tb | 20 | UD | 2,438 | 2,438 | 48,760.00 | | 0.00 | | | 0.00 | | 0.00 | 48,760.00 | 48,760.00 | |
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| | | | | | | 26 | | 51151903 - Dantroleno sód(...)51151903 - Dantroleno sódico |
| 2.3.4.1.01 | Acido Ibandronico 150 mg x 1 tb | 5 | UD | 4,362 | 4,362 | 21,810.00 | | 0.00 | | | 0.00 | | 0.00 | 21,810.00 | 21,810.00 | |
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| | | | | | | 27 | | 51181517 - Hidrocloruro d(...)51181517 - Hidrocloruro de metformina |
| 2.3.4.1.01 | Metformina Clorhidrato 850 mg x 30 tb | 50 | UD | 975 | 975 | 48,750.00 | | 0.00 | | | 0.00 | | 0.00 | 48,750.00 | 48,750.00 | |
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| | | | | | | 28 | | 51141525 - Fenitoína sódi(...)51141525 - Fenitoína sódica |
| 2.3.4.1.01 | Fenitoína sódica 100 mg c 100 tb | 3 | UD | 2,688.75 | 2,688.75 | 8,066.25 | | 0.00 | | | 0.00 | | 0.00 | 8,066.25 | 8,066.25 | |
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| | | | | | | 29 | | 2.3.4.1.01 | Dutasteride 0.5 x 30 tb | 3 | UD | 1,486.25 | 1,486.25 | 4,458.75 | | 0.00 | | | 0.00 | | 0.00 | 4,458.75 | 4,458.75 | |
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| | | | | | | 30 | | 2.3.4.1.01 | Lisinopril 10 mg x 30 tb | 50 | UD | 942 | 942 | 47,100.00 | | 0.00 | | | 0.00 | | 0.00 | 47,100.00 | 47,100.00 | |
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| | | | | | | 31 | | 2.3.4.1.01 | Amlodipina 10 mg / Lisinopril 20 mg x 30 tb | 25 | UD | 1,612 | 1,612 | 40,300.00 | | 0.00 | | | 0.00 | | 0.00 | 40,300.00 | 40,300.00 | |
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| | | | | | | 32 | | 51131506 - Eritropoyetina |
| 2.3.4.1.01 | Eritropoyetina 2000 UI | 25 | UD | 624 | 624 | 15,600.00 | | 0.00 | | | 0.00 | | 0.00 | 15,600.00 | 15,600.00 | |
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| | | | | | | 33 | | 51131506 - Eritropoyetina |
| 2.3.4.1.01 | Eritropoyetina 4000 UI | 25 | UD | 1,164 | 1,164 | 29,100.00 | | 0.00 | | | 0.00 | | 0.00 | 29,100.00 | 29,100.00 | |
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| | | | | | | 34 | | 2.3.4.1.01 | Levotiroxina 150 mg x 50 tb | 10 | UD | 2,349 | 2,349 | 23,490.00 | | 0.00 | | | 0.00 | | 0.00 | 23,490.00 | 23,490.00 | |
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| | | | | | | 35 | | 51142947 - Clorhidrato de(...)51142947 - Clorhidrato de cincocaína |
| 2.3.4.1.01 | Cincocaina / Policresuleno 20 gr | 10 | UD | 1,693.75 | 1,693.75 | 16,937.50 | | 0.00 | | | 0.00 | | 0.00 | 16,937.50 | 16,937.50 | |
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| | | | | | | 36 | | 51181517 - Hidrocloruro d(...)51181517 - Hidrocloruro de metformina |
| 2.3.4.1.01 | Metformina Clorhidrato 750 mg x 30 tb | 35 | UD | 1,363 | 1,363 | 47,705.00 | | 0.00 | | | 0.00 | | 0.00 | 47,705.00 | 47,705.00 | |
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| | | | | | | 37 | | 2.3.4.1.01 | Pregabalina 150 mg x 30 tb | 40 | UD | 2,851 | 2,851 | 114,040.00 | | 0.00 | | | 0.00 | | 0.00 | 114,040.00 | 114,040.00 | |
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| | | | | | | 38 | | 2.3.4.1.01 | Pregabalina 300 mg x 30 tb | 40 | UD | 3,613 | 3,613 | 144,520.00 | | 0.00 | | | 0.00 | | 0.00 | 144,520.00 | 144,520.00 | |
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| | | | | | | 39 | | 2.3.4.1.01 | Pregabalina 75 mg x 30 tb | 25 | UD | 2,231 | 2,231 | 55,775.00 | | 0.00 | | | 0.00 | | 0.00 | 55,775.00 | 55,775.00 | |
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| | | | | | | 40 | | 2.3.4.1.01 | Magaldrato 800 mg / Simeticona 60 mg x 200 ml | 25 | UD | 826 | 826 | 20,650.00 | | 0.00 | | | 0.00 | | 0.00 | 20,650.00 | 20,650.00 | |
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| | | | | | | 41 | | 51181517 - Hidrocloruro d(...)51181517 - Hidrocloruro de metformina |
| 2.3.4.1.01 | Vildagliptina 50 mg / Metformina 1000 mg x 56 tb | 40 | UD | 4,350 | 4,350 | 174,000.00 | | 0.00 | | | 0.00 | | 0.00 | 174,000.00 | 174,000.00 | |
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| | | | | | | 42 | | 51181517 - Hidrocloruro d(...)51181517 - Hidrocloruro de metformina |
| 2.3.4.1.01 | Vildagliptina 50 mg / Metformina 500 mg x 56 tb | 40 | UD | 4,350 | 4,350 | 174,000.00 | | 0.00 | | | 0.00 | | 0.00 | 174,000.00 | 174,000.00 | |
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| | | | | | | 43 | | 51181517 - Hidrocloruro d(...)51181517 - Hidrocloruro de metformina |
| 2.3.4.1.01 | Vildagliptina 50 mg / Metformina 850 mg x 56 tb | 40 | UD | 4,350 | 4,350 | 174,000.00 | | 0.00 | | | 0.00 | | 0.00 | 174,000.00 | 174,000.00 | |
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| | | | | | | 44 | | 2.3.4.1.01 | Glimepirida 2 mg x 30 tb | 40 | UD | 737.5 | 737.5 | 29,500.00 | | 0.00 | | | 0.00 | | 0.00 | 29,500.00 | 29,500.00 | |
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| | | | | | | 45 | | 2.3.4.1.01 | Glimepirida 4 mg x 30 tb | 40 | UD | 1,111.25 | 1,111.25 | 44,450.00 | | 0.00 | | | 0.00 | | 0.00 | 44,450.00 | 44,450.00 | |
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| | | | | | | 46 | | 2.3.4.1.01 | Glimepirida 4 mg / Metformina 1000 mg x 30 tb | 5 | UD | 1,350 | 1,350 | 6,750.00 | | 0.00 | | | 0.00 | | 0.00 | 6,750.00 | 6,750.00 | |
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| | | | | | | 47 | | 51181517 - Hidrocloruro d(...)51181517 - Hidrocloruro de metformina |
| 2.3.4.1.01 | Metformina 500 mg / Glibenclamida 2.5 mg x 30 tb | 5 | UD | 1,495 | 1,495 | 7,475.00 | | 0.00 | | | 0.00 | | 0.00 | 7,475.00 | 7,475.00 | |
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| | | | | | | 48 | | 51191515 - Hidroclorotiaz(...)51191515 - Hidroclorotiazida |
| 2.3.4.1.01 | Hidroclorotiazida 25 mg x 30 tb | 50 | UD | 338.75 | 338.75 | 16,937.50 | | 0.00 | | | 0.00 | | 0.00 | 16,937.50 | 16,937.50 | |
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| | | | | | | 49 | | 51142148 - Hialuronato de(...)51142148 - Hialuronato de sodio |
| 2.3.4.1.01 | Sulfato sodico condroitina 1.8 mg / Hialuronato de sodio 1.0 mg x 15 ml | 15 | UD | 875 | 875 | 13,125.00 | | 0.00 | | | 0.00 | | 0.00 | 13,125.00 | 13,125.00 | |
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| | | | | | | 50 | | 2.3.4.1.01 | Irbesartán 300 mg x 30 tb | 20 | UD | 2,495 | 2,495 | 49,900.00 | | 0.00 | | | 0.00 | | 0.00 | 49,900.00 | 49,900.00 | |
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| | | | | | | 51 | | 51131515 - Hemina o hemat(...)51131515 - Hemina o hematina |
| 2.3.4.1.01 | Suero de leche con cisteina consolidada x 30 sobres | 5 | UD | 10,149 | 10,149 | 50,745.00 | | 0.00 | | | 0.00 | | 0.00 | 50,745.00 | 50,745.00 | |
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| | | | | | | 52 | | 51121614 - Mononitrato de(...)51121614 - Mononitrato de isosorbida |
| 2.3.4.1.01 | Mononitrato de isosorbida 20 mg x 30 tb | 10 | UD | 912.5 | 912.5 | 9,125.00 | | 0.00 | | | 0.00 | | 0.00 | 9,125.00 | 9,125.00 | |
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| | | | | | | 53 | | 2.3.4.1.01 | Insulina Glargina | 7 | UD | 2,922.5 | 2,922.5 | 20,457.50 | | 0.00 | | | 0.00 | | 0.00 | 20,457.50 | 20,457.50 | |
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| | | | | | | 54 | | 51131607 - Enoxaparina só(...)51131607 - Enoxaparina sódica |
| 2.3.4.1.01 | Edoxaban 60 mg x 28 tb | 5 | UD | 8,100 | 8,100 | 40,500.00 | | 0.00 | | | 0.00 | | 0.00 | 40,500.00 | 40,500.00 | |
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| | | | | | | 55 | | 51121743 - Besilato de am(...)51121743 - Besilato de amlodipina |
| 2.3.4.1.01 | Amlodipina 10 mg x 30 tb | 60 | UD | 2,050 | 2,050 | 123,000.00 | | 0.00 | | | 0.00 | | 0.00 | 123,000.00 | 123,000.00 | |
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| | | | | | | 56 | | 51121743 - Besilato de am(...)51121743 - Besilato de amlodipina |
| 2.3.4.1.01 | Amlodipina 5 mg x 30 tb | 60 | UD | 1,331 | 1,331 | 79,860.00 | | 0.00 | | | 0.00 | | 0.00 | 79,860.00 | 79,860.00 | |
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| | | | | | | 57 | | 51111807 - Acetato de leu(...)51111807 - Acetato de leuprolide |
| 2.3.4.1.01 | Acetato de leuprorelina 22.5 mg amp | 5 | UD | 62,000 | 62,000 | 310,000.00 | | 0.00 | | | 0.00 | | 0.00 | 310,000.00 | 310,000.00 | |
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| | | | | | | 58 | | 51131610 - Ardeparina de (...)51131610 - Ardeparina de sodio |
| 2.3.4.1.01 | Apixabán 2.5 mg x 30 tb | 5 | UD | 2,906.25 | 2,906.25 | 14,531.25 | | 0.00 | | | 0.00 | | 0.00 | 14,531.25 | 14,531.25 | |
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| | | | | | | 59 | | 2.3.4.1.01 | Metoprolol 100 mg x 100 tb | 3 | UD | 3,800 | 3,800 | 11,400.00 | | 0.00 | | | 0.00 | | 0.00 | 11,400.00 | 11,400.00 | |
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| | | | | | | 60 | | 2.3.4.1.01 | Minoxidil 10 mg x 30 tb | 1 | UD | 2,930 | 2,930 | 2,930.00 | | 0.00 | | | 0.00 | | 0.00 | 2,930.00 | 2,930.00 | |
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| | | | | | | 61 | | 51121511 - Clorhidrato de(...)51121511 - Clorhidrato de amiodarona |
| 2.3.4.1.01 | Clorhidrato de amiodarona 200 mg x 30 tb | 10 | UD | 1,119 | 1,119 | 11,190.00 | | 0.00 | | | 0.00 | | 0.00 | 11,190.00 | 11,190.00 | |
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| | | | | | | 62 | | 2.3.4.1.01 | Nifedipina 30 mg x 50 tb | 75 | UD | 1,843 | 1,843 | 138,225.00 | | 0.00 | | | 0.00 | | 0.00 | 138,225.00 | 138,225.00 | |
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| | | | | | | 63 | | 2.3.4.1.01 | Nifedipina 60 mg x 50 tb | 75 | UD | 2,534 | 2,534 | 190,050.00 | | 0.00 | | | 0.00 | | 0.00 | 190,050.00 | 190,050.00 | |
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| | | | | | | 64 | | 2.3.4.1.01 | Nifedipina 20 mg x 200 tb | 5 | UD | 2,730 | 2,730 | 13,650.00 | | 0.00 | | | 0.00 | | 0.00 | 13,650.00 | 13,650.00 | |
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| | | | | | | 65 | | 2.3.4.1.01 | Nitrendipina 15 mg x 30 tb | 15 | UD | 976 | 976 | 14,640.00 | | 0.00 | | | 0.00 | | 0.00 | 14,640.00 | 14,640.00 | |
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| | | | | | | 66 | | 2.3.4.1.01 | Citidin 5 - Monofosfato Disodico 5 mg / uridin 5 - Trifosfato trisodico 3 mg x 30 tb | 5 | UD | 2,082.5 | 2,082.5 | 10,412.50 | | 0.00 | | | 0.00 | | 0.00 | 10,412.50 | 10,412.50 | |
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| | | | | | | 67 | | 51142135 - Fenoprofen cál(...)51142135 - Fenoprofen cálcico |
| 2.3.4.1.01 | Colágeno hidrolizado 100 % x 30 sobres | 5 | UD | 4,692 | 4,692 | 23,460.00 | | 0.00 | | | 0.00 | | 0.00 | 23,460.00 | 23,460.00 | |
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| | | | | | | 68 | | 2.3.4.1.01 | Acetazolamida 250 mg x 24 tb | 5 | UD | 1,150 | 1,150 | 5,750.00 | | 0.00 | | | 0.00 | | 0.00 | 5,750.00 | 5,750.00 | |
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| | | | | | | 69 | | 2.3.4.1.01 | Valsartán 160 mg / Hidroclorotiazida 12.5 mg x 30 tb | 50 | UD | 2,781 | 2,781 | 139,050.00 | | 0.00 | | | 0.00 | | 0.00 | 139,050.00 | 139,050.00 | |
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| | | | | | | 70 | | 2.3.4.1.01 | Valsartán 160 mg / Amlodipina 5 mg x 30 tb | 20 | UD | 2,863 | 2,863 | 57,260.00 | | 0.00 | | | 0.00 | | 0.00 | 57,260.00 | 57,260.00 | |
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| | | | | | | 71 | | 51121725 - Bisoprolol fum(...)51121725 - Bisoprolol fumarato |
| 2.3.4.1.01 | Bisoprolol 2.5 mg / Candesartán 8 mg / Hidroclorotiazida 6.25 mg / Rosuvastatina 10 mg / Acido Acetilsalicilico 81 mg x 30 tb | 10 | UD | 1,967 | 1,967 | 19,670.00 | | 0.00 | | | 0.00 | | 0.00 | 19,670.00 | 19,670.00 | |
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| | | | | | | 72 | | 2.3.4.1.01 | Levodopa 200 mg / Banserazida 50 mg x 30 tb | 5 | UD | 1,966.25 | 1,966.25 | 9,831.25 | | 0.00 | | | 0.00 | | 0.00 | 9,831.25 | 9,831.25 | |
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| | | | | | | 73 | | 2.3.4.1.01 | Ramipril 5 mg x 30 tb | 5 | UD | 2,887.5 | 2,887.5 | 14,437.50 | | 0.00 | | | 0.00 | | 0.00 | 14,437.50 | 14,437.50 | |
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| | | | | | | 74 | | 2.3.4.1.01 | Carboximetilcelulosa Sodica 0.5% x 15 ml | 15 | UD | 760 | 760 | 11,400.00 | | 0.00 | | | 0.00 | | 0.00 | 11,400.00 | 11,400.00 | |
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| | | | | | | 75 | | 2.3.4.1.01 | Citicolina 500 mg x 30 tb | 15 | UD | 3,321 | 3,321 | 49,815.00 | | 0.00 | | | 0.00 | | 0.00 | 49,815.00 | 49,815.00 | |
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| | | | | | | 76 | | 2.3.4.1.01 | Rosuvastatina 20 mg x 30 tb | 10 | UD | 1,775 | 1,775 | 17,750.00 | | 0.00 | | | 0.00 | | 0.00 | 17,750.00 | 17,750.00 | |
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| | | | | | | 77 | | 51151611 - Glicopirrolato |
| 2.3.4.1.01 | Bromuro de Glicopirronio 50 mg | 3 | UD | 4,793.75 | 4,793.75 | 14,381.25 | | 0.00 | | | 0.00 | | 0.00 | 14,381.25 | 14,381.25 | |
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| | | | | | | 78 | | 51141722 - Fumarato de qu(...)51141722 - Fumarato de quetiapina |
| 2.3.4.1.01 | Quetiapina 25 mg x 30 tb | 5 | UD | 1,500 | 1,500 | 7,500.00 | | 0.00 | | | 0.00 | | 0.00 | 7,500.00 | 7,500.00 | |
|
| | | | | | | 79 | | 51121725 - Bisoprolol fum(...)51121725 - Bisoprolol fumarato |
| 2.3.4.1.01 | Bisoprolol fumarato 10 mg x 30 tb | 75 | UD | 1,956 | 1,956 | 146,700.00 | | 0.00 | | | 0.00 | | 0.00 | 146,700.00 | 146,700.00 | |
|
| | | | | | | 80 | | 51121725 - Bisoprolol fum(...)51121725 - Bisoprolol fumarato |
| 2.3.4.1.01 | Bisoprolol fumarato 5 mg x 30 tb | 75 | UD | 1,575 | 1,575 | 118,125.00 | | 0.00 | | | 0.00 | | 0.00 | 118,125.00 | 118,125.00 | |
|
| | | | | | | 81 | | 2.3.4.1.01 | Budesonida 320 gr / Formoterol 9 gr x 60 dosis | 3 | UD | 5,240 | 5,240 | 15,720.00 | | 0.00 | | | 0.00 | | 0.00 | 15,720.00 | 15,720.00 | |
|
| | | | | | | 82 | | 2.3.4.1.01 | Centella asiatica al 2% x 5 gr | 10 | UD | 767 | 767 | 7,670.00 | | 0.00 | | | 0.00 | | 0.00 | 7,670.00 | 7,670.00 | |
|
| | | | | | | 83 | | 2.3.4.1.01 | Carbamazepina 400 mg x 30 tb | 5 | UD | 2,550 | 2,550 | 12,750.00 | | 0.00 | | | 0.00 | | 0.00 | 12,750.00 | 12,750.00 | |
|
| | | | | | | 84 | | 2.3.4.1.01 | Dexlansoprazol 60 mg x 30 tb | 5 | UD | 4,601 | 4,601 | 23,005.00 | | 0.00 | | | 0.00 | | 0.00 | 23,005.00 | 23,005.00 | |
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| | | | | | | 85 | | 51131516 - Hierro sacaros(...)51131516 - Hierro sacarosa |
| 2.3.4.1.01 | Vitamina D3 x 1 tb | 10 | UD | 2,762.5 | 2,762.5 | 27,625.00 | | 0.00 | | | 0.00 | | 0.00 | 27,625.00 | 27,625.00 | |
|
| | | | | | | 86 | | 2.3.4.1.01 | Valsartán 160 mg / Hidroclorotiazida 12.5 mg x 30 tb | 20 | UD | 2,326 | 2,326 | 46,520.00 | | 0.00 | | | 0.00 | | 0.00 | 46,520.00 | 46,520.00 | |
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| | | | | | | 87 | | 51151817 - Hidrocloruro d(...)51151817 - Hidrocloruro de tamsulosina |
| 2.3.4.1.01 | Clorhidrato Tamsulosina 0.4 mg x 30 | 50 | UD | 2,180 | 2,180 | 109,000.00 | | 0.00 | | | 0.00 | | 0.00 | 109,000.00 | 109,000.00 | |
|
| | | | | | | 88 | | 51151817 - Hidrocloruro d(...)51151817 - Hidrocloruro de tamsulosina |
| 2.3.4.1.01 | Clorhidrato Tamsulosina 0.4 mg / Dutasteride 0.5 mg x 30 tb | 50 | UD | 3,150 | 3,150 | 157,500.00 | | 0.00 | | | 0.00 | | 0.00 | 157,500.00 | 157,500.00 | |
|
| | | | | | | 89 | | 2.3.4.1.01 | Hidrosmina 200 mg x 60 tb | 25 | UD | 3,312 | 3,312 | 82,800.00 | | 0.00 | | | 0.00 | | 0.00 | 82,800.00 | 82,800.00 | |
|
| | | | | | | 90 | | 51181517 - Hidrocloruro d(...)51181517 - Hidrocloruro de metformina |
| 2.3.4.1.01 | Vildagliptina 50 mg x 30 tb | 10 | UD | 1,775 | 1,775 | 17,750.00 | | 0.00 | | | 0.00 | | 0.00 | 17,750.00 | 17,750.00 | |
|
| | | | | | | 91 | | 2.3.4.1.01 | Sacubitril 97 mg / Valsartan 103 mg x 28 tb | 7 | UD | 3,225 | 3,225 | 22,575.00 | | 0.00 | | | 0.00 | | 0.00 | 22,575.00 | 22,575.00 | |
|
| | | | | | | 92 | | 51141631 - Hidrocloruro d(...)51141631 - Hidrocloruro de bupropión |
| 2.3.4.1.01 | Hidrocloruro de bupropión 150 mg x 30 tb | 3 | UD | 4,572.5 | 4,572.5 | 13,717.50 | | 0.00 | | | 0.00 | | 0.00 | 13,717.50 | 13,717.50 | |
|
| | | | | | | 93 | | 2.3.4.1.01 | Levetiracetam 500 mg x 30 tb | 3 | UD | 2,361.6 | 2,361.6 | 7,084.80 | | 0.00 | | | 0.00 | | 0.00 | 7,084.80 | 7,084.80 | |
|
| | | | | | | 94 | | 2.3.4.1.01 | Tamoxifeno 20 mg x 30 tb | 2 | UD | 3,461.25 | 3,461.25 | 6,922.50 | | 0.00 | | | 0.00 | | 0.00 | 6,922.50 | 6,922.50 | |
|
| | | | | | | 95 | | 2.3.4.1.01 | Betacaroteno 15 mg / Vitamina E / Vitamina C / Ginseng / Selenio / Zinc x 20 tb | 2 | UD | 1,107.5 | 1,107.5 | 2,215.00 | | 0.00 | | | 0.00 | | 0.00 | 2,215.00 | 2,215.00 | |
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