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| | | | 1 | | | DO1.PCCNTR.1688555 ContractData Container |
| | | 1.1 | | | | | | | | | | 4,250,219.00 | 0.00 | 0.00 | 0.00 | 4,250,219.00 | 4,250,219.00 |
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| | | | | | | 1 | | 51151738 - Fumarato de fo(...)51151738 - Fumarato de formoterol |
| 2.3.4.1.01 | Fumarato de formoterol / 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 | | 2.3.4.1.01 | Irbesartán 300 mg / amlodipina 10 mg x 28 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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| | | | | | | 3 | | 51121735 - Candesartán ci(...)51121735 - Candesartán cilexetilo |
| 2.3.4.1.01 | Candesartán cilexetilo 32 mg / amlodipina 5 mg / hidroclorotiazida 25 mg x 30 tb | 10 | UD | 2,441 | 2,441 | 24,410.00 | | 0.00 | | | 0.00 | | 0.00 | 24,410.00 | 24,410.00 | |
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| | | | | | | 4 | | 51142002 - Ácido acetilsa(...)51142002 - Ácido acetilsalicílico |
| 2.3.4.1.01 | Ácido acetilsalicílico 81 mg x 30 tb | 100 | UD | 528 | 528 | 52,800.00 | | 0.00 | | | 0.00 | | 0.00 | 52,800.00 | 52,800.00 | |
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| | | | | | | 5 | | 2.3.4.1.01 | Atorvastatina 40 mg x 14 tb | 5 | UD | 5,456 | 5,456 | 27,280.00 | | 0.00 | | | 0.00 | | 0.00 | 27,280.00 | 27,280.00 | |
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| | | | | | | 6 | | 2.3.4.1.01 | Bicalutamida 150 mg x 30 tb | 5 | UD | 3,744 | 3,744 | 18,720.00 | | 0.00 | | | 0.00 | | 0.00 | 18,720.00 | 18,720.00 | |
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| | | | | | | 7 | | 51121735 - Candesartán ci(...)51121735 - Candesartán cilexetilo |
| 2.3.4.1.01 | Candesartán cilexetilo 32 mg / hidroclorotiazida 25 mg x 30 tb | 10 | UD | 2,861 | 2,861 | 28,610.00 | | 0.00 | | | 0.00 | | 0.00 | 28,610.00 | 28,610.00 | |
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| | | | | | | 8 | | 2.3.4.1.01 | Glucosamina 1500 mg / condroitin sódico 1200 mg x 30 sobres | 5 | UD | 5,279 | 5,279 | 26,395.00 | | 0.00 | | | 0.00 | | 0.00 | 26,395.00 | 26,395.00 | |
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| | | | | | | 9 | | 2.3.4.1.01 | Glucosamina1500 mg / meloxicam 15 mg x 30 sobres | 5 | UD | 4,675 | 4,675 | 23,375.00 | | 0.00 | | | 0.00 | | 0.00 | 23,375.00 | 23,375.00 | |
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| | | | | | | 10 | | 2.3.4.1.01 | Carvedilol 12.5 mg x 30 tb | 15 | UD | 1,402 | 1,402 | 21,030.00 | | 0.00 | | | 0.00 | | 0.00 | 21,030.00 | 21,030.00 | |
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| | | | | | | 11 | | 2.3.4.1.01 | Celecoxib 400 mg x 30 tb | 5 | UD | 4,548 | 4,548 | 22,740.00 | | 0.00 | | | 0.00 | | 0.00 | 22,740.00 | 22,740.00 | |
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| | | | | | | 12 | | 51131709 - Bisulfato de c(...)51131709 - Bisulfato de clopidogrel |
| 2.3.4.1.01 | Bisulfato de clopidogrel 75 mg x 30 tb | 83 | UD | 2,345 | 2,345 | 194,635.00 | | 0.00 | | | 0.00 | | 0.00 | 194,635.00 | 194,635.00 | |
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| | | | | | | 13 | | 51141722 - Fumarato de qu(...)51141722 - Fumarato de quetiapina |
| 2.3.4.1.01 | Fumarato de quetiapina 200 mg x 30tb | 15 | UD | 3,986 | 3,986 | 59,790.00 | | 0.00 | | | 0.00 | | 0.00 | 59,790.00 | 59,790.00 | |
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| | | | | | | 14 | | 51141722 - Fumarato de qu(...)51141722 - Fumarato de quetiapina |
| 2.3.4.1.01 | Fumarato de quetiapina 25 mg x 30 tb | 15 | UD | 2,211 | 2,211 | 33,165.00 | | 0.00 | | | 0.00 | | 0.00 | 33,165.00 | 33,165.00 | |
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| | | | | | | 15 | | 2.3.4.1.01 | Clofibrato 100 mg x 30 tb | 5 | UD | 1,646 | 1,646 | 8,230.00 | | 0.00 | | | 0.00 | | 0.00 | 8,230.00 | 8,230.00 | |
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| | | | | | | 16 | | 51121718 - Clorhidrato de(...)51121718 - Clorhidrato de clonidina |
| 2.3.4.1.01 | Clorhidrato de clonidina 0.100 mg x 30 tb | 10 | UD | 676 | 676 | 6,760.00 | | 0.00 | | | 0.00 | | 0.00 | 6,760.00 | 6,760.00 | |
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| | | | | | | 17 | | 51121735 - Candesartán ci(...)51121735 - Candesartán cilexetilo |
| 2.3.4.1.01 | Candesartán cilexetilo 16 mg x 30 tb | 35 | UD | 1,975 | 1,975 | 69,125.00 | | 0.00 | | | 0.00 | | 0.00 | 69,125.00 | 69,125.00 | |
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| | | | | | | 18 | | 51121735 - Candesartán ci(...)51121735 - Candesartán cilexetilo |
| 2.3.4.1.01 | Candesartán cilexetilo 8 mg x 30 tb | 35 | UD | 1,523 | 1,523 | 53,305.00 | | 0.00 | | | 0.00 | | 0.00 | 53,305.00 | 53,305.00 | |
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| | | | | | | 19 | | 51121735 - Candesartán ci(...)51121735 - Candesartán cilexetilo |
| 2.3.4.1.01 | Candesartán cilexetilo 16 mg / hidroclorotiazida 12.5 mg x 30 tb | 20 | UD | 2,213 | 2,213 | 44,260.00 | | 0.00 | | | 0.00 | | 0.00 | 44,260.00 | 44,260.00 | |
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| | | | | | | 20 | | 51121735 - Candesartán ci(...)51121735 - Candesartán cilexetilo |
| 2.3.4.1.01 | Candesartán cilexetilo 32 mg / hidroclorotiazida 25 mg x 30 tb | 20 | UD | 2,803 | 2,803 | 56,060.00 | | 0.00 | | | 0.00 | | 0.00 | 56,060.00 | 56,060.00 | |
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| | | | | | | 21 | | 2.3.4.1.01 | Levetiracetam 1000 mg x 30 tb | 10 | UD | 5,022 | 5,022 | 50,220.00 | | 0.00 | | | 0.00 | | 0.00 | 50,220.00 | 50,220.00 | |
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| | | | | | | 22 | | 51181517 - Hidrocloruro d(...)51181517 - Hidrocloruro de metformina |
| 2.3.4.1.01 | Hidrocloruro de metformina 850 mg x 30 tb | 30 | UD | 1,537 | 1,537 | 46,110.00 | | 0.00 | | | 0.00 | | 0.00 | 46,110.00 | 46,110.00 | |
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| | | | | | | 23 | | 51141525 - Fenitoína sódi(...)51141525 - Fenitoína sódica |
| 2.3.4.1.01 | Fenitoína sódica 100 mg x 100 tb | 3 | UD | 2,688 | 2,688 | 8,064.00 | | 0.00 | | | 0.00 | | 0.00 | 8,064.00 | 8,064.00 | |
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| | | | | | | 24 | | 51141533 - Divalproex sód(...)51141533 - Divalproex sódico |
| 2.3.4.1.01 | Divalproex sódico 500 mg x 30 tb | 5 | UD | 2,106 | 2,106 | 10,530.00 | | 0.00 | | | 0.00 | | 0.00 | 10,530.00 | 10,530.00 | |
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| | | | | | | 25 | | 2.3.4.1.01 | Hidroxiurea 50 mg x 100 tb | 3 | UD | 4,225 | 4,225 | 12,675.00 | | 0.00 | | | 0.00 | | 0.00 | 12,675.00 | 12,675.00 | |
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| | | | | | | 26 | | 2.3.4.1.01 | Lisinopril 10 mg x 30 tb | 10 | UD | 2,395 | 2,395 | 23,950.00 | | 0.00 | | | 0.00 | | 0.00 | 23,950.00 | 23,950.00 | |
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| | | | | | | 27 | | 51131506 - Eritropoyetina |
| 2.3.4.1.01 | Eritropoyetina 2000 U.I. | 15 | UD | 624 | 624 | 9,360.00 | | 0.00 | | | 0.00 | | 0.00 | 9,360.00 | 9,360.00 | |
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| | | | | | | 28 | | 51131506 - Eritropoyetina |
| 2.3.4.1.01 | Eritropoyetina 4000 U.I. | 15 | UD | 1,164 | 1,164 | 17,460.00 | | 0.00 | | | 0.00 | | 0.00 | 17,460.00 | 17,460.00 | |
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| | | | | | | 29 | | 51191507 - Espironolacton(...)51191507 - Espironolactona |
| 2.3.4.1.01 | Espironolactona 25 mg x 30 tb | 5 | UD | 998 | 998 | 4,990.00 | | 0.00 | | | 0.00 | | 0.00 | 4,990.00 | 4,990.00 | |
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| | | | | | | 30 | | 51102302 - Clorhidrato de(...)51102302 - Clorhidrato de amantadina |
| 2.3.4.1.01 | Clorhidrato de amantadina 10 mg x 30 tb | 5 | UD | 3,391 | 3,391 | 16,955.00 | | 0.00 | | | 0.00 | | 0.00 | 16,955.00 | 16,955.00 | |
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| | | | | | | 31 | | 2.3.4.1.01 | Levotiroxina 125 mg x 50 tb | 5 | UD | 2,112 | 2,112 | 10,560.00 | | 0.00 | | | 0.00 | | 0.00 | 10,560.00 | 10,560.00 | |
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| | | | | | | 32 | | 51161701 - Acetilcisteína |
| 2.3.4.1.01 | Acetilcisteína 600 mg x 20 sobres | 7 | UD | 1,976 | 1,976 | 13,832.00 | | 0.00 | | | 0.00 | | 0.00 | 13,832.00 | 13,832.00 | |
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| | | | | | | 33 | | 51181517 - Hidrocloruro d(...)51181517 - Hidrocloruro de metformina |
| 2.3.4.1.01 | Hidrocloruro de metformina 750 mg x 30 tb | 30 | UD | 1,445 | 1,445 | 43,350.00 | | 0.00 | | | 0.00 | | 0.00 | 43,350.00 | 43,350.00 | |
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| | | | | | | 34 | | 51181517 - Hidrocloruro d(...)51181517 - Hidrocloruro de metformina |
| 2.3.4.1.01 | Hidrocloruro de metformina 1000 mg / vildagliptina 50 mg x 56 tb | 15 | UD | 4,466 | 4,466 | 66,990.00 | | 0.00 | | | 0.00 | | 0.00 | 66,990.00 | 66,990.00 | |
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| | | | | | | 35 | | 51181517 - Hidrocloruro d(...)51181517 - Hidrocloruro de metformina |
| 2.3.4.1.01 | Hidrocloruro de metformina 500 mg / vildagliptina 50 mg x 56 tb | 15 | UD | 4,466 | 4,466 | 66,990.00 | | 0.00 | | | 0.00 | | 0.00 | 66,990.00 | 66,990.00 | |
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| | | | | | | 36 | | 51181517 - Hidrocloruro d(...)51181517 - Hidrocloruro de metformina |
| 2.3.4.1.01 | Hidrocloruro de metformina 850 mg / vildagliptina 50 mg x 56 tb | 15 | UD | 4,466 | 4,466 | 66,990.00 | | 0.00 | | | 0.00 | | 0.00 | 66,990.00 | 66,990.00 | |
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| | | | | | | 37 | | 2.3.4.1.01 | Glimepirida 4 mg x 30 tb | 20 | UD | 1,966 | 1,966 | 39,320.00 | | 0.00 | | | 0.00 | | 0.00 | 39,320.00 | 39,320.00 | |
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| | | | | | | 38 | | 2.3.4.1.01 | Nizatidina, vitamina B1, B2, B6, B12, silimarina x 50 tb | 5 | UD | 1,722 | 1,722 | 8,610.00 | | 0.00 | | | 0.00 | | 0.00 | 8,610.00 | 8,610.00 | |
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| | | | | | | 39 | | 51191515 - Hidroclorotiaz(...)51191515 - Hidroclorotiazida |
| 2.3.4.1.01 | Hidroclorotiazida 25 mg x 30 tb | 25 | UD | 357 | 357 | 8,925.00 | | 0.00 | | | 0.00 | | 0.00 | 8,925.00 | 8,925.00 | |
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| | | | | | | 40 | | 51121820 - Sulfato de con(...)51121820 - Sulfato de condroitina a |
| 2.3.4.1.01 | Sulfato de condroitina 1.8 mg / Hialuronato de Sodio 1.0 x 15 ml | 10 | UD | 915 | 915 | 9,150.00 | | 0.00 | | | 0.00 | | 0.00 | 9,150.00 | 9,150.00 | |
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| | | | | | | 41 | | 2.3.4.1.01 | Irbesartán 150 mg x 30 tb | 35 | UD | 2,567 | 2,567 | 89,845.00 | | 0.00 | | | 0.00 | | 0.00 | 89,845.00 | 89,845.00 | |
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| | | | | | | 42 | | 2.3.4.1.01 | Irbesartán 300 mg x 30 tb | 35 | UD | 2,615 | 2,615 | 91,525.00 | | 0.00 | | | 0.00 | | 0.00 | 91,525.00 | 91,525.00 | |
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| | | | | | | 43 | | 2.3.4.1.01 | Irbesartán 300 mg / Hidroclorotiazida 25 mg x 30 tb | 20 | UD | 2,738 | 2,738 | 54,760.00 | | 0.00 | | | 0.00 | | 0.00 | 54,760.00 | 54,760.00 | |
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| | | | | | | 44 | | 2.3.4.1.01 | Irbesartán 150 mg / Hidroclorotiazida 12.5 mg x 30 tb | 20 | UD | 2,740 | 2,740 | 54,800.00 | | 0.00 | | | 0.00 | | 0.00 | 54,800.00 | 54,800.00 | |
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| | | | | | | 45 | | 51121759 - Olmesartán med(...)51121759 - Olmesartán medoxomilo |
| 2.3.4.1.01 | Olmezartán medoxomilo 20 mg / Amlodipino 5 mg x 28 tb | 5 | UD | 3,846 | 3,846 | 19,230.00 | | 0.00 | | | 0.00 | | 0.00 | 19,230.00 | 19,230.00 | |
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| | | | | | | 46 | | 51161705 - Bromuro de ipr(...)51161705 - Bromuro de ipratropio |
| 2.3.4.1.01 | Bromuro de ipratropio 62.5 mg x 30 dosis | 3 | UD | 3,954 | 3,954 | 11,862.00 | | 0.00 | | | 0.00 | | 0.00 | 11,862.00 | 11,862.00 | |
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| | | | | | | 47 | | 51131515 - Hemina o hemat(...)51131515 - Hemina o hematina |
| 2.3.4.1.01 | Hemina o hematina x 30 sobres | 10 | UD | 10,149 | 10,149 | 101,490.00 | | 0.00 | | | 0.00 | | 0.00 | 101,490.00 | 101,490.00 | |
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| | | | | | | 48 | | 2.3.4.1.01 | Gliclazida 100 mg x 28 tb | 3 | UD | 6,190 | 6,190 | 18,570.00 | | 0.00 | | | 0.00 | | 0.00 | 18,570.00 | 18,570.00 | |
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| | | | | | | 49 | | 51181520 - Clorhidrato de(...)51181520 - Clorhidrato de pioglitazona |
| 2.3.4.1.01 | Clorhidrato de pioglitazona 10 mg x 28 tb | 5 | UD | 2,925 | 2,925 | 14,625.00 | | 0.00 | | | 0.00 | | 0.00 | 14,625.00 | 14,625.00 | |
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| | | | | | | 50 | | 2.3.4.1.01 | Insulina | 15 | UD | 2,922 | 2,922 | 43,830.00 | | 0.00 | | | 0.00 | | 0.00 | 43,830.00 | 43,830.00 | |
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| | | | | | | 51 | | 51111807 - Acetato de leu(...)51111807 - Acetato de leuprolide |
| 2.3.4.1.01 | Acetato de leuprolide 22.5 mg | 3 | UD | 62,000 | 62,000 | 186,000.00 | | 0.00 | | | 0.00 | | 0.00 | 186,000.00 | 186,000.00 | |
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| | | | | | | 52 | | 51111807 - Acetato de leu(...)51111807 - Acetato de leuprolide |
| 2.3.4.1.01 | Acetato de leuprolide 7.5 mg | 3 | UD | 24,500 | 24,500 | 73,500.00 | | 0.00 | | | 0.00 | | 0.00 | 73,500.00 | 73,500.00 | |
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| | | | | | | 53 | | 51131607 - Enoxaparina só(...)51131607 - Enoxaparina sódica |
| 2.3.4.1.01 | Enoxaparina sódica 5 mg x 60 tb | 5 | UD | 6,025 | 6,025 | 30,125.00 | | 0.00 | | | 0.00 | | 0.00 | 30,125.00 | 30,125.00 | |
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| | | | | | | 54 | | 2.3.4.1.01 | Betahistina 6 mg x 100 tb | 5 | UD | 2,829 | 2,829 | 14,145.00 | | 0.00 | | | 0.00 | | 0.00 | 14,145.00 | 14,145.00 | |
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| | | | | | | 55 | | 51142403 - Tartrato de er(...)51142403 - Tartrato de ergotamina |
| 2.3.4.1.01 | Tartrato de ergotamina 100 mg / Lisina 125 mg x 100 tb | 3 | UD | 4,562 | 4,562 | 13,686.00 | | 0.00 | | | 0.00 | | 0.00 | 13,686.00 | 13,686.00 | |
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| | | | | | | 56 | | 2.3.4.1.01 | Indapamida 1.5 mg x 30 tb | 5 | UD | 2,845 | 2,845 | 14,225.00 | | 0.00 | | | 0.00 | | 0.00 | 14,225.00 | 14,225.00 | |
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| | | | | | | 57 | | 51121710 - Losartán potás(...)51121710 - Losartán potásico |
| 2.3.4.1.01 | Losartán potásico 100 mg x 28 tb | 40 | UD | 2,517 | 2,517 | 100,680.00 | | 0.00 | | | 0.00 | | 0.00 | 100,680.00 | 100,680.00 | |
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| | | | | | | 58 | | 51121710 - Losartán potás(...)51121710 - Losartán potásico |
| 2.3.4.1.01 | Losartán potásico 50 mg x 28 tb | 40 | UD | 2,100 | 2,100 | 84,000.00 | | 0.00 | | | 0.00 | | 0.00 | 84,000.00 | 84,000.00 | |
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| | | | | | | 59 | | 51121710 - Losartán potás(...)51121710 - Losartán potásico |
| 2.3.4.1.01 | Losartán potásico 50 mg / Hidroclorotiazida 12.5 mg x 30 tb | 30 | UD | 2,862 | 2,862 | 85,860.00 | | 0.00 | | | 0.00 | | 0.00 | 85,860.00 | 85,860.00 | |
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| | | | | | | 60 | | 51121710 - Losartán potás(...)51121710 - Losartán potásico |
| 2.3.4.1.01 | Losartán potásico 100 mg / Hidroclorotiazida 25 mg x 28 tb | 30 | UD | 2,497 | 2,497 | 74,910.00 | | 0.00 | | | 0.00 | | 0.00 | 74,910.00 | 74,910.00 | |
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| | | | | | | 61 | | 51142203 - Sulfato codein(...)51142203 - Sulfato codeina |
| 2.3.4.1.01 | Sulfato codeina 150 mg x 30 tb | 20 | UD | 3,187 | 3,187 | 63,740.00 | | 0.00 | | | 0.00 | | 0.00 | 63,740.00 | 63,740.00 | |
|
| | | | | | | 62 | | 51142203 - Sulfato codein(...)51142203 - Sulfato codeina |
| 2.3.4.1.01 | Sulfato codeina 75 mg x 30 tb | 20 | UD | 2,547 | 2,547 | 50,940.00 | | 0.00 | | | 0.00 | | 0.00 | 50,940.00 | 50,940.00 | |
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| | | | | | | 63 | | 2.3.4.1.01 | Nifedipina 30 mg x 50 tb | 30 | UD | 2,750 | 2,750 | 82,500.00 | | 0.00 | | | 0.00 | | 0.00 | 82,500.00 | 82,500.00 | |
|
| | | | | | | 64 | | 2.3.4.1.01 | Nifedipina 60 mg x 50 tb | 25 | UD | 4,250 | 4,250 | 106,250.00 | | 0.00 | | | 0.00 | | 0.00 | 106,250.00 | 106,250.00 | |
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| | | | | | | 65 | | 2.3.4.1.01 | Nisoldipino 20 mg x 30 tb | 20 | UD | 1,035 | 1,035 | 20,700.00 | | 0.00 | | | 0.00 | | 0.00 | 20,700.00 | 20,700.00 | |
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| | | | | | | 66 | | 2.3.4.1.01 | Piracetam 1200 mg x 32 tb | 20 | UD | 1,843 | 1,843 | 36,860.00 | | 0.00 | | | 0.00 | | 0.00 | 36,860.00 | 36,860.00 | |
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| | | | | | | 67 | | 2.3.4.1.01 | Piracetam 800 mg x 32 tb | 20 | UD | 1,852 | 1,852 | 37,040.00 | | 0.00 | | | 0.00 | | 0.00 | 37,040.00 | 37,040.00 | |
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| | | | | | | 68 | | 2.3.4.1.01 | Idoxuridina 30 tb | 10 | UD | 2,134 | 2,134 | 21,340.00 | | 0.00 | | | 0.00 | | 0.00 | 21,340.00 | 21,340.00 | |
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| | | | | | | 69 | | 2.3.4.1.01 | Valsartán 160 mg / Amlodipina 5 mg x 30 tb | 15 | UD | 3,035 | 3,035 | 45,525.00 | | 0.00 | | | 0.00 | | 0.00 | 45,525.00 | 45,525.00 | |
|
| | | | | | | 70 | | 2.3.4.1.01 | Valsartán 320 mg x 30 tb | 30 | UD | 2,770 | 2,770 | 83,100.00 | | 0.00 | | | 0.00 | | 0.00 | 83,100.00 | 83,100.00 | |
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| | | | | | | 71 | | 2.3.4.1.01 | Valsartán 320 mg / Hidroclorotiazida 25 mg x 30 tb | 25 | UD | 2,536 | 2,536 | 63,400.00 | | 0.00 | | | 0.00 | | 0.00 | 63,400.00 | 63,400.00 | |
|
| | | | | | | 72 | | 2.3.4.1.01 | Valsartán 160 mg / Amlodipina 5 mg / Hidroclorotiazida 12.5 mg x 30 tb | 15 | UD | 3,166 | 3,166 | 47,490.00 | | 0.00 | | | 0.00 | | 0.00 | 47,490.00 | 47,490.00 | |
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| | | | | | | 73 | | 51102302 - Clorhidrato de(...)51102302 - Clorhidrato de amantadina |
| 2.3.4.1.01 | Clorhidrato de amantadina 100 mg x 30 tb | 5 | UD | 1,747 | 1,747 | 8,735.00 | | 0.00 | | | 0.00 | | 0.00 | 8,735.00 | 8,735.00 | |
|
| | | | | | | 74 | | 51121725 - Bisoprolol fum(...)51121725 - Bisoprolol fumarato |
| 2.3.4.1.01 | Bisoprolol fumarato 2.5 mg / Candesartán 8 mg / Hidroclorotiazida 6.25 mg / Rosuvastatina 10 mg / Acido Acetilsalicílico 81 mg x 30 tb | 10 | UD | 2,241 | 2,241 | 22,410.00 | | 0.00 | | | 0.00 | | 0.00 | 22,410.00 | 22,410.00 | |
|
| | | | | | | 75 | | 2.3.4.1.01 | Levodopa 200 mg / Benserazida 50 mg x 30 tb | 5 | UD | 2,971 | 2,971 | 14,855.00 | | 0.00 | | | 0.00 | | 0.00 | 14,855.00 | 14,855.00 | |
|
| | | | | | | 76 | | 2.3.4.1.01 | Ramipril 2.5 mg x 30 tb | 11 | UD | 1,383 | 1,383 | 15,213.00 | | 0.00 | | | 0.00 | | 0.00 | 15,213.00 | 15,213.00 | |
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| | | | | | | 77 | | 51241101 - Cloruro acetil(...)51241101 - Cloruro acetilcolina |
| 2.3.4.1.01 | Cloruro acetilcolina 0.5% x 15 ml | 10 | UD | 760 | 760 | 7,600.00 | | 0.00 | | | 0.00 | | 0.00 | 7,600.00 | 7,600.00 | |
|
| | | | | | | 78 | | 2.3.4.1.01 | Fluticasona 100 mcg / Vilanterol 25 mcg | 5 | UD | 3,471 | 3,471 | 17,355.00 | | 0.00 | | | 0.00 | | 0.00 | 17,355.00 | 17,355.00 | |
|
| | | | | | | 79 | | 2.3.4.1.01 | Citicolina 500 mg x 30 tb | 15 | UD | 3,521 | 3,521 | 52,815.00 | | 0.00 | | | 0.00 | | 0.00 | 52,815.00 | 52,815.00 | |
|
| | | | | | | 80 | | 2.3.4.1.01 | Ezetimiba 10 mg / Rosuvastatina 20 mg x 30 tb | 2 | UD | 2,476 | 2,476 | 4,952.00 | | 0.00 | | | 0.00 | | 0.00 | 4,952.00 | 4,952.00 | |
|
| | | | | | | 81 | | 2.3.4.1.01 | Propafenona 150 mg x 30 tb | 5 | UD | 2,703 | 2,703 | 13,515.00 | | 0.00 | | | 0.00 | | 0.00 | 13,515.00 | 13,515.00 | |
|
| | | | | | | 82 | | 2.3.4.1.01 | Meprobamato 1 mg x 60 tb | 5 | UD | 3,750 | 3,750 | 18,750.00 | | 0.00 | | | 0.00 | | 0.00 | 18,750.00 | 18,750.00 | |
|
| | | | | | | 83 | | 51121725 - Bisoprolol fum(...)51121725 - Bisoprolol fumarato |
| 2.3.4.1.01 | Bisoprolol fumarato 10 mg x 30 tb | 35 | UD | 2,237 | 2,237 | 78,295.00 | | 0.00 | | | 0.00 | | 0.00 | 78,295.00 | 78,295.00 | |
|
| | | | | | | 84 | | 51121725 - Bisoprolol fum(...)51121725 - Bisoprolol fumarato |
| 2.3.4.1.01 | Bisoprolol fumarato 5 mg x 30 tb | 35 | UD | 1,670 | 1,670 | 58,450.00 | | 0.00 | | | 0.00 | | 0.00 | 58,450.00 | 58,450.00 | |
|
| | | | | | | 85 | | 51121725 - Bisoprolol fum(...)51121725 - Bisoprolol fumarato |
| 2.3.4.1.01 | Bisoprolol fumarato 10 mg / Hidroclorotiazida 6.25 mg x 30 tb | 25 | UD | 2,107 | 2,107 | 52,675.00 | | 0.00 | | | 0.00 | | 0.00 | 52,675.00 | 52,675.00 | |
|
| | | | | | | 86 | | 51121725 - Bisoprolol fum(...)51121725 - Bisoprolol fumarato |
| 2.3.4.1.01 | Bisoprolol fumarato 5 mg / Hidroclorotiazida 6.25 mg x 30 tb | 25 | UD | 2,107 | 2,107 | 52,675.00 | | 0.00 | | | 0.00 | | 0.00 | 52,675.00 | 52,675.00 | |
|
| | | | | | | 87 | | 2.3.4.1.01 | Cinarizina 75 mg x 60 tb | 5 | UD | 3,968 | 3,968 | 19,840.00 | | 0.00 | | | 0.00 | | 0.00 | 19,840.00 | 19,840.00 | |
|
| | | | | | | 88 | | 51181601 - Levotiroxina s(...)51181601 - Levotiroxina sódica |
| 2.3.4.1.01 | Levotiroxina sódica 112 mg x 30 tb | 10 | UD | 1,325 | 1,325 | 13,250.00 | | 0.00 | | | 0.00 | | 0.00 | 13,250.00 | 13,250.00 | |
|
| | | | | | | 89 | | 51151824 - Mesilato de do(...)51151824 - Mesilato de doxazosina |
| 2.3.4.1.01 | Mesilato de doxazosina 8 mg x 30 tb | 3 | UD | 2,830 | 2,830 | 8,490.00 | | 0.00 | | | 0.00 | | 0.00 | 8,490.00 | 8,490.00 | |
|
| | | | | | | 90 | | 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 | |
|
| | | | | | | 91 | | 51171915 - Pantoprazol só(...)51171915 - Pantoprazol sódico |
| 2.3.4.1.01 | Pantoprazol sódico 40 mg x 30 tb | 5 | UD | 4,558 | 4,558 | 22,790.00 | | 0.00 | | | 0.00 | | 0.00 | 22,790.00 | 22,790.00 | |
|
| | | | | | | 92 | | 51171501 - Carbonato de c(...)51171501 - Carbonato de calcio |
| 2.3.4.1.01 | Carbonato de calcio x 1 tb | 5 | UD | 2,762 | 2,762 | 13,810.00 | | 0.00 | | | 0.00 | | 0.00 | 13,810.00 | 13,810.00 | |
|
| | | | | | | 93 | | 2.3.4.1.01 | Valsartán 160 mg x 30 tb | 30 | UD | 2,690 | 2,690 | 80,700.00 | | 0.00 | | | 0.00 | | 0.00 | 80,700.00 | 80,700.00 | |
|
| | | | | | | 94 | | 2.3.4.1.01 | Valsartán 160 mg / Hidroclorotiazida 12.5 mg x 30 tb | 30 | UD | 2,340 | 2,340 | 70,200.00 | | 0.00 | | | 0.00 | | 0.00 | 70,200.00 | 70,200.00 | |
|
| | | | | | | 95 | | 2.3.4.1.01 | Trimetazidina 35 mg x 30 tb | 5 | UD | 2,442 | 2,442 | 12,210.00 | | 0.00 | | | 0.00 | | 0.00 | 12,210.00 | 12,210.00 | |
|
| | | | | | | 96 | | 51151817 - Hidrocloruro d(...)51151817 - Hidrocloruro de tamsulosina |
| 2.3.4.1.01 | Hidrocloruro de tamsulosina 0.4 mg x 30 tb | 20 | UD | 2,180 | 2,180 | 43,600.00 | | 0.00 | | | 0.00 | | 0.00 | 43,600.00 | 43,600.00 | |
|
| | | | | | | 97 | | 51151817 - Hidrocloruro d(...)51151817 - Hidrocloruro de tamsulosina |
| 2.3.4.1.01 | Hidrocloruro de tamsulosina 0.4 mg / Dutasteride 0.5 mg x 30 tb | 30 | UD | 3,150 | 3,150 | 94,500.00 | | 0.00 | | | 0.00 | | 0.00 | 94,500.00 | 94,500.00 | |
|
| | | | | | | 98 | | 2.3.4.1.01 | Nimodipina 200 mg x 60 tb | 10 | UD | 4,166 | 4,166 | 41,660.00 | | 0.00 | | | 0.00 | | 0.00 | 41,660.00 | 41,660.00 | |
|
| | | | | | | 99 | | 51161508 - Sulfato de sal(...)51161508 - Sulfato de salbutamol |
| 2.3.4.1.01 | Sulfato de salbutamol 100 mcg x 200 dosis | 5 | UD | 836 | 836 | 4,180.00 | | 0.00 | | | 0.00 | | 0.00 | 4,180.00 | 4,180.00 | |
|
| | | | | | | 100 | | 2.3.4.1.01 | Verapamilo 120 mg x 30 tb | 5 | UD | 3,051 | 3,051 | 15,255.00 | | 0.00 | | | 0.00 | | 0.00 | 15,255.00 | 15,255.00 | |
|
| | | | | | | 101 | | 2.3.4.1.01 | Gliclazida 50 mg x 30 tb | 15 | UD | 1,966 | 1,966 | 29,490.00 | | 0.00 | | | 0.00 | | 0.00 | 29,490.00 | 29,490.00 | |
|
| | | | | | | 102 | | 51121811 - Cerivastatina (...)51121811 - Cerivastatina sódica |
| 2.3.4.1.01 | Cerivastatina sódica 20 mg x 28 tb | 5 | UD | 8,289 | 8,289 | 41,445.00 | | 0.00 | | | 0.00 | | 0.00 | 41,445.00 | 41,445.00 | |
|
| | | | | | | 103 | | 51191602 - Electrolitos d(...)51191602 - Electrolitos de cloruro de sodio |
| 2.3.4.1.01 | Electrolitos de cloruro de sodio | 2 | UD | 31,000 | 31,000 | 62,000.00 | | 0.00 | | | 0.00 | | 0.00 | 62,000.00 | 62,000.00 | |
|
| | | | | | | 104 | | 2.3.4.1.01 | Celiprolol 20 mg x 28 tb | 5 | UD | 5,786 | 5,786 | 28,930.00 | | 0.00 | | | 0.00 | | 0.00 | 28,930.00 | 28,930.00 | |
|
| | | | | | | 105 | | 51182403 - Gluconato de c(...)51182403 - Gluconato de calcio |
| 2.3.4.1.01 | Gluconato de calcio 1500 mg / vitamina D3 400 UI x 30 tb | 5 | UD | 810 | 810 | 4,050.00 | | 0.00 | | | 0.00 | | 0.00 | 4,050.00 | 4,050.00 | |
|
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