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| |
| | | | 1 | | | DO1.PCCNTR.1783706 ContractData Container |
| | | 1.1 | | | | | | | | | | 3,489,348.90 | 0.00 | 0.00 | 0.00 | 4,008,568.80 | 3,489,348.90 |
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| | | | | | | 305 | | 2.3.4.1.01 | Nifedipina 30 mg | 4 | CAJ | 1,863 | 1,620 | 6,480.00 | | 0.00 | | | 0.00 | | 0.00 | 7,452.00 | 6,480.00 | |
|
| | | | | | | 306 | | 2.3.4.1.01 | Nifedipina 30 mg | 1 | CAJ | 2,656.5 | 2,310 | 2,310.00 | | 0.00 | | | 0.00 | | 0.00 | 2,656.50 | 2,310.00 | |
|
| | | | | | | 307 | | 2.3.4.1.01 | Nifedipina 60 mg | 3 | CAJ | 4,105.5 | 3,570 | 10,710.00 | | 0.00 | | | 0.00 | | 0.00 | 12,316.50 | 10,710.00 | |
|
| | | | | | | 308 | | 2.3.4.1.01 | Nifedipina 30 mg | 2 | CAJ | 2,656.5 | 2,310 | 4,620.00 | | 0.00 | | | 0.00 | | 0.00 | 5,313.00 | 4,620.00 | |
|
| | | | | | | 309 | | 2.3.4.1.01 | Nifedipina 30 mg | 6 | CAJ | 1,650.25 | 1,435 | 8,610.00 | | 0.00 | | | 0.00 | | 0.00 | 9,901.50 | 8,610.00 | |
|
| | | | | | | 310 | | 2.3.4.1.01 | Nifedipina 60 mg | 3 | CAJ | 2,386.25 | 2,075 | 6,225.00 | | 0.00 | | | 0.00 | | 0.00 | 7,158.75 | 6,225.00 | |
|
| | | | | | | 311 | | 2.3.4.1.01 | Nitrendipina 20Mg, Atenolol 50Mg,
Clortalidona 12.5Mg | 3 | CAJ | 1,075.25 | 935 | 2,805.00 | | 0.00 | | | 0.00 | | 0.00 | 3,225.75 | 2,805.00 | |
|
| | | | | | | 312 | | 2.3.4.1.01 | Isosorbide 20 mg | 3 | CAJ | 1,196 | 1,040 | 3,120.00 | | 0.00 | | | 0.00 | | 0.00 | 3,588.00 | 3,120.00 | |
|
| | | | | | | 313 | | 2.3.4.1.01 | Clopidogrel 75 mg | 4 | CAJ | 1,679 | 1,460 | 5,840.00 | | 0.00 | | | 0.00 | | 0.00 | 6,716.00 | 5,840.00 | |
|
| | | | | | | 314 | | 2.3.4.1.01 | Candesartan 32 mg | 3 | CAJ | 2,392 | 2,080 | 6,240.00 | | 0.00 | | | 0.00 | | 0.00 | 7,176.00 | 6,240.00 | |
|
| | | | | | | 315 | | 2.3.4.1.01 | Candesartan 32 mg, Hidroclorotiazida 25 mg | 9 | CAJ | 2,765.75 | 2,405 | 21,645.00 | | 0.00 | | | 0.00 | | 0.00 | 24,891.75 | 21,645.00 | |
|
| | | | | | | 316 | | 2.3.4.1.01 | Citidin-5 Monofosfato, Uridin 5 | 3 | CAJ | 2,012.5 | 1,750 | 5,250.00 | | 0.00 | | | 0.00 | | 0.00 | 6,037.50 | 5,250.00 | |
|
| | | | | | | 317 | | 2.3.4.1.01 | Colágeno hidrolizado, Vitamina D3, Vitamina
C, HMB(beta-hidroxi-beta-metilbutirato), | 3 | CAJ | 5,947.8 | 5,172 | 15,516.00 | | 0.00 | | | 0.00 | | 0.00 | 17,843.40 | 15,516.00 | |
|
| | | | | | | 318 | | 2.3.4.1.01 | Clopidogrel 75 mg | 3 | CAJ | 2,528.85 | 2,199 | 6,597.00 | | 0.00 | | | 0.00 | | 0.00 | 7,586.55 | 6,597.00 | |
|
| | | | | | | 319 | | 2.3.4.1.01 | Olanzapina 5 mg | 3 | CAJ | 2,961.25 | 2,575 | 7,725.00 | | 0.00 | | | 0.00 | | 0.00 | 8,883.75 | 7,725.00 | |
|
| | | | | | | 320 | | 2.3.4.1.01 | Olmersar 20 mg, Hidroclorotiazida 25 mg | 4 | CAJ | 2,035.5 | 1,770 | 7,080.00 | | 0.00 | | | 0.00 | | 0.00 | 8,142.00 | 7,080.00 | |
|
| | | | | | | 321 | | 2.3.4.1.01 | Olmesartan 20 mg, Amlodipina 5 mg | 3 | CAJ | 2,811.75 | 2,445 | 7,335.00 | | 0.00 | | | 0.00 | | 0.00 | 8,435.25 | 7,335.00 | |
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| | | | | | | 322 | | 2.3.4.1.01 | Omeprazol 40 mg | 12 | UD | 402.5 | 350 | 4,200.00 | | 0.00 | | | 0.00 | | 0.00 | 4,830.00 | 4,200.00 | |
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| | | | | | | 323 | | 2.3.4.1.01 | Citicolina 500 mg | 9 | CAJ | 2,489.75 | 2,165 | 19,485.00 | | 0.00 | | | 0.00 | | 0.00 | 22,407.75 | 19,485.00 | |
|
| | | | | | | 324 | | 2.3.4.1.01 | Neomicina 42 mg,Sulfato de Polimixina B
100,000 UI,Tetracaína 200 mg,Clotrimazol | 4 | UD | 833.75 | 725 | 2,900.00 | | 0.00 | | | 0.00 | | 0.00 | 3,335.00 | 2,900.00 | |
|
| | | | | | | 325 | | 2.3.4.1.01 | Pramipexol 0.25 mg | 4 | CAJ | 3,220 | 2,800 | 11,200.00 | | 0.00 | | | 0.00 | | 0.00 | 12,880.00 | 11,200.00 | |
|
| | | | | | | 326 | | 2.3.4.1.01 | Núcleo: carbonato de sodio (anhidro),
manitol, crospovidona, povidona K90, | 3 | CAJ | 5,301.5 | 4,610 | 13,830.00 | | 0.00 | | | 0.00 | | 0.00 | 15,904.50 | 13,830.00 | |
|
| | | | | | | 327 | | 2.3.4.1.01 | Serenoa repens 160 mg | 3 | CAJ | 8,242.05 | 7,167 | 21,501.00 | | 0.00 | | | 0.00 | | 0.00 | 24,726.15 | 21,501.00 | |
|
| | | | | | | 328 | | 2.3.4.1.01 | Mesalazina 2 gr | 9 | CAJ | 8,242.05 | 7,167 | 64,503.00 | | 0.00 | | | 0.00 | | 0.00 | 74,178.45 | 64,503.00 | |
|
| | | | | | | 329 | | 2.3.4.1.01 | Nebivolol 5 mg | 3 | CAJ | 2,946.3 | 2,562 | 7,686.00 | | 0.00 | | | 0.00 | | 0.00 | 8,838.90 | 7,686.00 | |
|
| | | | | | | 330 | | 2.3.4.1.01 | Amlodipina 10 mg, Valsartan 320,
Hidroclorotiazida 25 mg | 4 | CAJ | 3,369.5 | 2,930 | 11,720.00 | | 0.00 | | | 0.00 | | 0.00 | 13,478.00 | 11,720.00 | |
|
| | | | | | | 331 | | 2.3.4.1.01 | Clopidogrel 75 mg | 6 | CAJ | 2,405.8 | 2,092 | 12,552.00 | | 0.00 | | | 0.00 | | 0.00 | 14,434.80 | 12,552.00 | |
|
| | | | | | | 332 | | 2.3.4.1.01 | Memantina HCI 10 mg | 3 | CAJ | 2,075.75 | 1,805 | 5,415.00 | | 0.00 | | | 0.00 | | 0.00 | 6,227.25 | 5,415.00 | |
|
| | | | | | | 333 | | 2.3.4.1.01 | Pioglitazona 30 mg | 2 | CAJ | 856.75 | 745 | 1,490.00 | | 0.00 | | | 0.00 | | 0.00 | 1,713.50 | 1,490.00 | |
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| | | | | | | 334 | | 2.3.4.1.01 | Bisoprolol 2.5 mg, Candersatan 8 mg,
Hidroclorotiazida 6.25 mg, Rosuvastatina 10 mg, Acido saliciatico 81 mg | 3 | CAJ | 2,167.75 | 1,885 | 5,655.00 | | 0.00 | | | 0.00 | | 0.00 | 6,503.25 | 5,655.00 | |
|
| | | | | | | 335 | | 2.3.4.1.01 | Pregabalina 75 mg | 3 | CAJ | 3,254.5 | 2,830 | 8,490.00 | | 0.00 | | | 0.00 | | 0.00 | 9,763.50 | 8,490.00 | |
|
| | | | | | | 336 | | 2.3.4.1.01 | Amlodipina 5 mg | 3 | CAJ | 1,376.55 | 1,197 | 3,591.00 | | 0.00 | | | 0.00 | | 0.00 | 4,129.65 | 3,591.00 | |
|
| | | | | | | 337 | | 2.3.4.1.01 | Amlodipina 5 mg, Lisinopril 10 mg | 3 | CAJ | 1,518 | 1,320 | 3,960.00 | | 0.00 | | | 0.00 | | 0.00 | 4,554.00 | 3,960.00 | |
|
| | | | | | | 338 | | 2.3.4.1.01 | Prednisnona 5 mg | 1 | CAJ | 2,415 | 2,100 | 2,100.00 | | 0.00 | | | 0.00 | | 0.00 | 2,415.00 | 2,100.00 | |
|
| | | | | | | 339 | | 2.3.4.1.01 | Pregabalina 75 mg | 2 | CAJ | 1,788.25 | 1,555 | 3,110.00 | | 0.00 | | | 0.00 | | 0.00 | 3,576.50 | 3,110.00 | |
|
| | | | | | | 340 | | 2.3.4.1.01 | pregabalina 150 mg | 3 | CAJ | 2,518.5 | 2,190 | 6,570.00 | | 0.00 | | | 0.00 | | 0.00 | 7,555.50 | 6,570.00 | |
|
| | | | | | | 341 | | 2.3.4.1.01 | Pregabalina 150 mg | 3 | CAJ | 3,693.8 | 3,212 | 9,636.00 | | 0.00 | | | 0.00 | | 0.00 | 11,081.40 | 9,636.00 | |
|
| | | | | | | 342 | | 2.3.4.1.01 | Lisinopril 20 mg, Hidroclorotiazida 25 mg | 6 | CAJ | 1,535.25 | 1,335 | 8,010.00 | | 0.00 | | | 0.00 | | 0.00 | 9,211.50 | 8,010.00 | |
|
| | | | | | | 343 | | 2.3.4.1.01 | Nifedipina 30 mg | 12 | CAJ | 764.75 | 665 | 7,980.00 | | 0.00 | | | 0.00 | | 0.00 | 9,177.00 | 7,980.00 | |
|
| | | | | | | 344 | | 2.3.4.1.01 | Nifedipina 60 mg | 3 | CAJ | 1,366.2 | 1,188 | 3,564.00 | | 0.00 | | | 0.00 | | 0.00 | 4,098.60 | 3,564.00 | |
|
| | | | | | | 345 | | 2.3.4.1.01 | Losartan 50 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 2,139 | 1,860 | 5,580.00 | | 0.00 | | | 0.00 | | 0.00 | 6,417.00 | 5,580.00 | |
|
| | | | | | | 346 | | 2.3.4.1.01 | Amlodipina 10 mg | 3 | CAJ | 1,536.4 | 1,336 | 4,008.00 | | 0.00 | | | 0.00 | | 0.00 | 4,609.20 | 4,008.00 | |
|
| | | | | | | 347 | | 2.3.4.1.01 | Bisoprolol 5 mg | 3 | CAJ | 1,613.45 | 1,403 | 4,209.00 | | 0.00 | | | 0.00 | | 0.00 | 4,840.35 | 4,209.00 | |
|
| | | | | | | 348 | | 2.3.4.1.01 | Clonidina 0.1 mg | 3 | CAJ | 1,075.25 | 935 | 2,805.00 | | 0.00 | | | 0.00 | | 0.00 | 3,225.75 | 2,805.00 | |
|
| | | | | | | 349 | | 2.3.4.1.01 | Losartan 50, Hidrocloroiazida 12.5 mg | 3 | CAJ | 2,018.25 | 1,755 | 5,265.00 | | 0.00 | | | 0.00 | | 0.00 | 6,054.75 | 5,265.00 | |
|
| | | | | | | 350 | | 2.3.4.1.01 | Bisoprolol 10 mg, Hidroclorotiazida 25 mg | 4 | CAJ | 2,236.75 | 1,945 | 7,780.00 | | 0.00 | | | 0.00 | | 0.00 | 8,947.00 | 7,780.00 | |
|
| | | | | | | 351 | | 2.3.4.1.01 | Rifaximina 550 mg | 3 | CAJ | 6,578 | 5,720 | 17,160.00 | | 0.00 | | | 0.00 | | 0.00 | 19,734.00 | 17,160.00 | |
|
| | | | | | | 352 | | 2.3.4.1.01 | Serenoa repens | 3 | CAJ | 3,099.25 | 2,695 | 8,085.00 | | 0.00 | | | 0.00 | | 0.00 | 9,297.75 | 8,085.00 | |
|
| | | | | | | 353 | | 2.3.4.1.01 | Quetiapina 25 mg | 3 | CAJ | 1,496.15 | 1,301 | 3,903.00 | | 0.00 | | | 0.00 | | 0.00 | 4,488.45 | 3,903.00 | |
|
| | | | | | | 354 | | 2.3.4.1.01 | Quetiapina 25 mg | 3 | CAJ | 2,047 | 1,780 | 5,340.00 | | 0.00 | | | 0.00 | | 0.00 | 6,141.00 | 5,340.00 | |
|
| | | | | | | 355 | | 2.3.4.1.01 | Quetiapina 25 mg | 3 | CAJ | 1,886 | 1,640 | 4,920.00 | | 0.00 | | | 0.00 | | 0.00 | 5,658.00 | 4,920.00 | |
|
| | | | | | | 356 | | 2.3.4.1.01 | Rosuvastatina 20 mg | 3 | CAJ | 1,725 | 1,500 | 4,500.00 | | 0.00 | | | 0.00 | | 0.00 | 5,175.00 | 4,500.00 | |
|
| | | | | | | 357 | | 2.3.4.1.01 | Ramipril 5 mg | 3 | CAJ | 1,922.8 | 1,672 | 5,016.00 | | 0.00 | | | 0.00 | | 0.00 | 5,768.40 | 5,016.00 | |
|
| | | | | | | 358 | | 2.3.4.1.01 | Ramipril 2.5 mg | 3 | CAJ | 1,408.75 | 1,225 | 3,675.00 | | 0.00 | | | 0.00 | | 0.00 | 4,226.25 | 3,675.00 | |
|
| | | | | | | 359 | | 2.3.4.1.01 | Ciprofibrato 100 mg | 6 | CAJ | 1,238.55 | 1,077 | 6,462.00 | | 0.00 | | | 0.00 | | 0.00 | 7,431.30 | 6,462.00 | |
|
| | | | | | | 360 | | 2.3.4.1.01 | Carboximetilcelulosa Sódica al 0.5%, Purite. | 2 | UD | 724.5 | 630 | 1,260.00 | | 0.00 | | | 0.00 | | 0.00 | 1,449.00 | 1,260.00 | |
|
| | | | | | | 361 | | 2.3.4.1.01 | Citicolona 500 mg | 6 | CAJ | 3,400.55 | 2,957 | 17,742.00 | | 0.00 | | | 0.00 | | 0.00 | 20,403.30 | 17,742.00 | |
|
| | | | | | | 362 | | 2.3.4.1.01 | Risperidona 3 mg | 3 | CAJ | 2,210.3 | 1,922 | 5,766.00 | | 0.00 | | | 0.00 | | 0.00 | 6,630.90 | 5,766.00 | |
|
| | | | | | | 363 | | 2.3.4.1.01 | Metoprolol 50 mg | 3 | CAJ | 1,026.95 | 893 | 2,679.00 | | 0.00 | | | 0.00 | | 0.00 | 3,080.85 | 2,679.00 | |
|
| | | | | | | 364 | | 2.3.4.1.01 | Rosuvastatina 40 mg | 3 | CAJ | 2,357.5 | 2,050 | 6,150.00 | | 0.00 | | | 0.00 | | 0.00 | 7,072.50 | 6,150.00 | |
|
| | | | | | | 365 | | 2.3.4.1.01 | Rosuvastatina 20 mg | 3 | CAJ | 2,173.5 | 1,890 | 5,670.00 | | 0.00 | | | 0.00 | | 0.00 | 6,520.50 | 5,670.00 | |
|
| | | | | | | 366 | | 2.3.4.1.01 | Rosuvastatina 10 mg | 3 | CAJ | 2,530 | 2,200 | 6,600.00 | | 0.00 | | | 0.00 | | 0.00 | 7,590.00 | 6,600.00 | |
|
| | | | | | | 367 | | 2.3.4.1.01 | Rosuvastatina 20 mg | 6 | CAJ | 3,008.4 | 2,616 | 15,696.00 | | 0.00 | | | 0.00 | | 0.00 | 18,050.40 | 15,696.00 | |
|
| | | | | | | 368 | | 2.3.4.1.01 | Rosuvastatina 40 mg | 3 | CAJ | 3,254.5 | 2,830 | 8,490.00 | | 0.00 | | | 0.00 | | 0.00 | 9,763.50 | 8,490.00 | |
|
| | | | | | | 369 | | 2.3.4.1.01 | Rosuvstatina 20 mg, Ezetimiba 10 mg | 6 | CAJ | 2,392 | 2,080 | 12,480.00 | | 0.00 | | | 0.00 | | 0.00 | 14,352.00 | 12,480.00 | |
|
| | | | | | | 370 | | 2.3.4.1.01 | Rosuvastatina 20 mg | 2 | CAJ | 956.8 | 832 | 1,664.00 | | 0.00 | | | 0.00 | | 0.00 | 1,913.60 | 1,664.00 | |
|
| | | | | | | 371 | | 2.3.4.1.01 | Rosuvastatina 40 mg | 5 | CAJ | 1,667.5 | 1,450 | 7,250.00 | | 0.00 | | | 0.00 | | 0.00 | 8,337.50 | 7,250.00 | |
|
| | | | | | | 372 | | 2.3.4.1.01 | Rosuvastatina 20 mg | 3 | CAJ | 2,656.5 | 2,310 | 6,930.00 | | 0.00 | | | 0.00 | | 0.00 | 7,969.50 | 6,930.00 | |
|
| | | | | | | 373 | | 2.3.4.1.01 | Rosuvastatina 20 mg | 6 | CAJ | 3,007.25 | 2,615 | 15,690.00 | | 0.00 | | | 0.00 | | 0.00 | 18,043.50 | 15,690.00 | |
|
| | | | | | | 374 | | 2.3.4.1.01 | Rosuvastatina 20 mg | 3 | CAJ | 2,547.25 | 2,215 | 6,645.00 | | 0.00 | | | 0.00 | | 0.00 | 7,641.75 | 6,645.00 | |
|
| | | | | | | 375 | | 2.3.4.1.01 | Rosuvastatina 20 mg | 3 | CAJ | 1,813.55 | 1,577 | 4,731.00 | | 0.00 | | | 0.00 | | 0.00 | 5,440.65 | 4,731.00 | |
|
| | | | | | | 376 | | 2.3.4.1.01 | Rosuvastatina 40 mg | 6 | CAJ | 2,175.8 | 1,892 | 11,352.00 | | 0.00 | | | 0.00 | | 0.00 | 13,054.80 | 11,352.00 | |
|
| | | | | | | 377 | | 2.3.4.1.01 | Rosuvastatina 20 mg | 3 | CAJ | 3,478.75 | 3,025 | 9,075.00 | | 0.00 | | | 0.00 | | 0.00 | 10,436.25 | 9,075.00 | |
|
| | | | | | | 378 | | 2.3.4.1.01 | Propionato de Fluticasona 250 mg,Salmetero 50 mg | 3 | UD | 2,433.4 | 2,116 | 6,348.00 | | 0.00 | | | 0.00 | | 0.00 | 7,300.20 | 6,348.00 | |
|
| | | | | | | 379 | | 2.3.4.1.01 | Ciclosporina 25 mg | 4 | CAJ | 12,086.5 | 10,510 | 42,040.00 | | 0.00 | | | 0.00 | | 0.00 | 48,346.00 | 42,040.00 | |
|
| | | | | | | 380 | | 2.3.4.1.01 | Mexazolam 1 mg | 1 | CAJ | 1,811.25 | 1,575 | 1,575.00 | | 0.00 | | | 0.00 | | 0.00 | 1,811.25 | 1,575.00 | |
|
| | | | | | | 381 | | 2.3.4.1.01 | Serenoa repens 320,00 mg; Gelatina 109,25
mg, Glicerina 50,23 mg, Óxido de hierro rojo
0,496 mg. | 3 | CAJ | 3,532.8 | 3,072 | 9,216.00 | | 0.00 | | | 0.00 | | 0.00 | 10,598.40 | 9,216.00 | |
|
| | | | | | | 382 | | 2.3.4.1.01 | Simvastatina 40 mg | 3 | CAJ | 891.25 | 775 | 2,325.00 | | 0.00 | | | 0.00 | | 0.00 | 2,673.75 | 2,325.00 | |
|
| | | | | | | 383 | | 2.3.4.1.01 | Rosuvastatina 10 mg | 3 | CAJ | 2,271.25 | 1,975 | 5,925.00 | | 0.00 | | | 0.00 | | 0.00 | 6,813.75 | 5,925.00 | |
|
| | | | | | | 384 | | 2.3.4.1.01 | Rosuvastatina 10 Mg | 7 | CAJ | 2,294.25 | 1,995 | 13,965.00 | | 0.00 | | | 0.00 | | 0.00 | 16,059.75 | 13,965.00 | |
|
| | | | | | | 385 | | 2.3.4.1.01 | Atenolol 100 mg, Clortalidona 25 mg | 3 | CAJ | 563.5 | 490 | 1,470.00 | | 0.00 | | | 0.00 | | 0.00 | 1,690.50 | 1,470.00 | |
|
| | | | | | | 386 | | 2.3.4.1.01 | Bisoprolol 5 mg | 3 | CAJ | 1,799.75 | 1,565 | 4,695.00 | | 0.00 | | | 0.00 | | 0.00 | 5,399.25 | 4,695.00 | |
|
| | | | | | | 387 | | 2.3.4.1.01 | Bisoprolol 10 mg, Amlodipina 10 mg | 3 | CAJ | 2,162 | 1,880 | 5,640.00 | | 0.00 | | | 0.00 | | 0.00 | 6,486.00 | 5,640.00 | |
|
| | | | | | | 388 | | 2.3.4.1.01 | Bisoprolol 10 mg, Amlodipina 5 mg,
Hidroclorotiazida 12.5 mg | 3 | CAJ | 2,282.75 | 1,985 | 5,955.00 | | 0.00 | | | 0.00 | | 0.00 | 6,848.25 | 5,955.00 | |
|
| | | | | | | 389 | | 2.3.4.1.01 | Acetato de Prednisolona 10 mg; Vehículo
c.b.p. 1 ml | 3 | UD | 1,026.95 | 893 | 2,679.00 | | 0.00 | | | 0.00 | | 0.00 | 3,080.85 | 2,679.00 | |
|
| | | | | | | 390 | | 2.3.4.1.01 | Espironolactona 25 mg | 3 | CAJ | 1,449 | 1,260 | 3,780.00 | | 0.00 | | | 0.00 | | 0.00 | 4,347.00 | 3,780.00 | |
|
| | | | | | | 391 | | 2.3.4.1.01 | Sulfato de glucosamina 1500 mg | 3 | CAJ | 4,981.8 | 4,332 | 12,996.00 | | 0.00 | | | 0.00 | | 0.00 | 14,945.40 | 12,996.00 | |
|
| | | | | | | 392 | | 2.3.4.1.01 | Budesonida 160 mg, Formoterol fumarato | 3 | UD | 3,593.75 | 3,125 | 9,375.00 | | 0.00 | | | 0.00 | | 0.00 | 10,781.25 | 9,375.00 | |
|
| | | | | | | 393 | | 2.3.4.1.01 | Polietilenglicol, propilenglicol,
aminometilpropanol, ácido bórico, hidroxipropil-guar, polyquad (polyquaternium- | 3 | UD | 937.25 | 815 | 2,445.00 | | 0.00 | | | 0.00 | | 0.00 | 2,811.75 | 2,445.00 | |
|
| | | | | | | 394 | | 2.3.4.1.01 | Levotiroxina 100 mg | 4 | CAJ | 1,144.25 | 995 | 3,980.00 | | 0.00 | | | 0.00 | | 0.00 | 4,577.00 | 3,980.00 | |
|
| | | | | | | 395 | | 2.3.4.1.01 | Levotiroxina 112 mg | 3 | CAJ | 1,144.25 | 995 | 2,985.00 | | 0.00 | | | 0.00 | | 0.00 | 3,432.75 | 2,985.00 | |
|
| | | | | | | 396 | | 2.3.4.1.01 | Levotiroxina 75 mg | 6 | CAJ | 1,144.25 | 995 | 5,970.00 | | 0.00 | | | 0.00 | | 0.00 | 6,865.50 | 5,970.00 | |
|
| | | | | | | 397 | | 2.3.4.1.01 | Levotiroxina 50 mg | 3 | CAJ | 1,144.25 | 995 | 2,985.00 | | 0.00 | | | 0.00 | | 0.00 | 3,432.75 | 2,985.00 | |
|
| | | | | | | 398 | | 2.3.4.1.01 | Clorhidrato de Tamsulosina 0.4 mg | 3 | CAJ | 3,018.75 | 2,625 | 7,875.00 | | 0.00 | | | 0.00 | | 0.00 | 9,056.25 | 7,875.00 | |
|
| | | | | | | 399 | | 2.3.4.1.01 | Clorhidrato de Tamsulosina 0.4 mg, Dutasterida 0.5 mg | 3 | CAJ | 3,271.75 | 2,845 | 8,535.00 | | 0.00 | | | 0.00 | | 0.00 | 9,815.25 | 8,535.00 | |
|
| | | | | | | 400 | | 2.3.4.1.01 | Montelukast Sódico 10 mg | 3 | CAJ | 1,883.7 | 1,638 | 4,914.00 | | 0.00 | | | 0.00 | | 0.00 | 5,651.10 | 4,914.00 | |
|
| | | | | | | 401 | | 2.3.4.1.01 | Lisinopril 20 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 2,219.5 | 1,930 | 5,790.00 | | 0.00 | | | 0.00 | | 0.00 | 6,658.50 | 5,790.00 | |
|
| | | | | | | 402 | | 2.3.4.1.01 | Lisinopril 20 mg | 6 | CAJ | 1,932 | 1,680 | 10,080.00 | | 0.00 | | | 0.00 | | 0.00 | 11,592.00 | 10,080.00 | |
|
| | | | | | | 403 | | 2.3.4.1.01 | Lisinopril 20 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 925.75 | 805 | 2,415.00 | | 0.00 | | | 0.00 | | 0.00 | 2,777.25 | 2,415.00 | |
|
| | | | | | | 404 | | 2.3.4.1.01 | Bisoprolol 2.5 mg | 3 | CAJ | 1,690.5 | 1,470 | 4,410.00 | | 0.00 | | | 0.00 | | 0.00 | 5,071.50 | 4,410.00 | |
|
| | | | | | | 405 | | 2.3.4.1.01 | Bisoprolol 10 mg, Hidroclorotiazida 6.25 mg | 3 | CAJ | 2,409.25 | 2,095 | 6,285.00 | | 0.00 | | | 0.00 | | 0.00 | 7,227.75 | 6,285.00 | |
|
| | | | | | | 406 | | 2.3.4.1.01 | Terazosina 5 mg | 4 | CAJ | 1,932 | 1,680 | 6,720.00 | | 0.00 | | | 0.00 | | 0.00 | 7,728.00 | 6,720.00 | |
|
| | | | | | | 407 | | 2.3.4.1.01 | Sulfato de Tobramicina equivalente a 3 mg de Tobramicina Dexametasona 1 mg. | 3 | UD | 1,426 | 1,240 | 3,720.00 | | 0.00 | | | 0.00 | | 0.00 | 4,278.00 | 3,720.00 | |
|
| | | | | | | 408 | | 2.3.4.1.01 | Zinc 3Mg, Hierro 2.1Mg, Selenio 0.03Mg, Acido pantoténico (Vit. B5) 4.5Mg | 3 | CAJ | 2,058.5 | 1,790 | 5,370.00 | | 0.00 | | | 0.00 | | 0.00 | 6,175.50 | 5,370.00 | |
|
| | | | | | | 409 | | 2.3.4.1.01 | Candesartan 32 mg | 4 | CAJ | 2,127.5 | 1,850 | 7,400.00 | | 0.00 | | | 0.00 | | 0.00 | 8,510.00 | 7,400.00 | |
|
| | | | | | | 410 | | 2.3.4.1.01 | Simvastatina 20 mg | 7 | CAJ | 2,089.55 | 1,817 | 12,719.00 | | 0.00 | | | 0.00 | | 0.00 | 14,626.85 | 12,719.00 | |
|
| | | | | | | 411 | | 2.3.4.1.01 | Amitriptilina 25 mg | 8 | CAJ | 1,063.75 | 925 | 7,400.00 | | 0.00 | | | 0.00 | | 0.00 | 8,510.00 | 7,400.00 | |
|
| | | | | | | 412 | | 2.3.4.1.01 | Clorhidrato de Tamsulosina 0.4 mg,
Dutasterida 0.5 mg | 6 | CAJ | 3,061.3 | 2,662 | 15,972.00 | | 0.00 | | | 0.00 | | 0.00 | 18,367.80 | 15,972.00 | |
|
| | | | | | | 413 | | 2.3.4.1.01 | Glucosamina 1500 mg, Condrotin 1200 mg | 3 | CAJ | 6,376.75 | 5,545 | 16,635.00 | | 0.00 | | | 0.00 | | 0.00 | 19,130.25 | 16,635.00 | |
|
| | | | | | | 414 | | 2.3.4.1.01 | Valsartan 320 mg, Amlodipina 10 mg,
Hidroclorotiazida 25 mg | 3 | CAJ | 2,771.5 | 2,410 | 7,230.00 | | 0.00 | | | 0.00 | | 0.00 | 8,314.50 | 7,230.00 | |
|
| | | | | | | 415 | | 2.3.4.1.01 | Valsartan 320 mg,Hidroclorotiazida 25 mg | 1 | CAJ | 1,995.25 | 1,735 | 1,735.00 | | 0.00 | | | 0.00 | | 0.00 | 1,995.25 | 1,735.00 | |
|
| | | | | | | 416 | | 2.3.4.1.01 | Valsartan 80 mg | 3 | CAJ | 1,523.75 | 1,325 | 3,975.00 | | 0.00 | | | 0.00 | | 0.00 | 4,571.25 | 3,975.00 | |
|
| | | | | | | 417 | | 2.3.4.1.01 | Valsartan 160 mg, Hidroclorotiazida 12.5mg | 3 | CAJ | 1,886 | 1,640 | 4,920.00 | | 0.00 | | | 0.00 | | 0.00 | 5,658.00 | 4,920.00 | |
|
| | | | | | | 418 | | 2.3.4.1.01 | Valsartan 160 mg, Amlodipina 5 mg,
Hidroclorotiazida 12.5 mg | 3 | CAJ | 2,294.25 | 1,995 | 5,985.00 | | 0.00 | | | 0.00 | | 0.00 | 6,882.75 | 5,985.00 | |
|
| | | | | | | 419 | | 2.3.4.1.01 | Valsartan 320 mg, Amlodipina 5 mg,
Hidroclorotiazida 25 mg | 4 | CAJ | 2,622 | 2,280 | 9,120.00 | | 0.00 | | | 0.00 | | 0.00 | 10,488.00 | 9,120.00 | |
|
| | | | | | | 420 | | 2.3.4.1.01 | Valsartan 320 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 2,806 | 2,440 | 7,320.00 | | 0.00 | | | 0.00 | | 0.00 | 8,418.00 | 7,320.00 | |
|
| | | | | | | 421 | | 2.3.4.1.01 | Valsartan 320 mg, Amlodipina 10 mg,
Hidroclorotiazida 12.5 mg | 3 | CAJ | 2,673.75 | 2,325 | 6,975.00 | | 0.00 | | | 0.00 | | 0.00 | 8,021.25 | 6,975.00 | |
|
| | | | | | | 422 | | 2.3.4.1.01 | Losartan 100 mg, Hidroclorotiazida 25 mg | 6 | CAJ | 2,342.55 | 2,037 | 12,222.00 | | 0.00 | | | 0.00 | | 0.00 | 14,055.30 | 12,222.00 | |
|
| | | | | | | 423 | | 2.3.4.1.01 | Acido Valproico 500 mg | 6 | CAJ | 1,932 | 1,680 | 10,080.00 | | 0.00 | | | 0.00 | | 0.00 | 11,592.00 | 10,080.00 | |
|
| | | | | | | 424 | | 2.3.4.1.01 | Valsartan 320 mg | 2 | CAJ | 4,709.25 | 4,095 | 8,190.00 | | 0.00 | | | 0.00 | | 0.00 | 9,418.50 | 8,190.00 | |
|
| | | | | | | 425 | | 2.3.4.1.01 | Valsartan 160, Amlodipina 5 mg,
Hidroclorotiazida 12.5 mg | 3 | CAJ | 2,466.75 | 2,145 | 6,435.00 | | 0.00 | | | 0.00 | | 0.00 | 7,400.25 | 6,435.00 | |
|
| | | | | | | 426 | | 2.3.4.1.01 | Valsartan 320 mg, Hidroclorotiazida 25 mg | 4 | CAJ | 2,961.25 | 2,575 | 10,300.00 | | 0.00 | | | 0.00 | | 0.00 | 11,845.00 | 10,300.00 | |
|
| | | | | | | 427 | | 2.3.4.1.01 | Valsartan 160 mg, Hidroclorotiazida 25 mg | 3 | CAJ | 2,449.5 | 2,130 | 6,390.00 | | 0.00 | | | 0.00 | | 0.00 | 7,348.50 | 6,390.00 | |
|
| | | | | | | 428 | | 2.3.4.1.01 | Valsarrtan 320 mg | 3 | CAJ | 3,599.5 | 3,130 | 9,390.00 | | 0.00 | | | 0.00 | | 0.00 | 10,798.50 | 9,390.00 | |
|
| | | | | | | 429 | | 2.3.4.1.01 | Valsartan 160 mg, Amlodipina 5 mg | 3 | CAJ | 3,139.5 | 2,730 | 8,190.00 | | 0.00 | | | 0.00 | | 0.00 | 9,418.50 | 8,190.00 | |
|
| | | | | | | 430 | | 2.3.4.1.01 | Valsartan 320 mg, Amlodipina 10 mg,
Hidroclorotiazida 25 mg | 6 | CAJ | 3,496 | 3,040 | 18,240.00 | | 0.00 | | | 0.00 | | 0.00 | 20,976.00 | 18,240.00 | |
|
| | | | | | | 431 | | 2.3.4.1.01 | Valsartán 50 mg,Sacubitril 50 mg | 3 | CAJ | 2,991.15 | 2,601 | 7,803.00 | | 0.00 | | | 0.00 | | 0.00 | 8,973.45 | 7,803.00 | |
|
| | | | | | | 432 | | 2.3.4.1.01 | Valsartan 320 mg, Amlodipina 5 mg,
Hidroclorotiazida 25 mg | 3 | CAJ | 3,289 | 2,860 | 8,580.00 | | 0.00 | | | 0.00 | | 0.00 | 9,867.00 | 8,580.00 | |
|
| | | | | | | 433 | | 2.3.4.1.01 | Trimetazidina 35 mg | 3 | CAJ | 2,369 | 2,060 | 6,180.00 | | 0.00 | | | 0.00 | | 0.00 | 7,107.00 | 6,180.00 | |
|
| | | | | | | 434 | | 2.3.4.1.01 | Diosmina 450 mg, Hesperidina 50 mg | 3 | CAJ | 2,484 | 2,160 | 6,480.00 | | 0.00 | | | 0.00 | | 0.00 | 7,452.00 | 6,480.00 | |
|
| | | | | | | 435 | | 2.3.4.1.01 | Tenofovir alafenamida fumarato 25 mg | 4 | CAJ | 3,622.5 | 3,150 | 12,600.00 | | 0.00 | | | 0.00 | | 0.00 | 14,490.00 | 12,600.00 | |
|
| | | | | | | 436 | | 2.3.4.1.01 | Carbamazepina 400 mg | 6 | CAJ | 1,788.25 | 1,555 | 9,330.00 | | 0.00 | | | 0.00 | | 0.00 | 10,729.50 | 9,330.00 | |
|
| | | | | | | 437 | | 2.3.4.1.01 | Vildagliptina 50 mg, metformina 850 mg | 3 | CAJ | 1,537.55 | 1,337 | 4,011.00 | | 0.00 | | | 0.00 | | 0.00 | 4,612.65 | 4,011.00 | |
|
| | | | | | | 438 | | 2.3.4.1.01 | Vildagliptina 50 mg, metformina 850 mg | 3 | CAJ | 1,753.75 | 1,525 | 4,575.00 | | 0.00 | | | 0.00 | | 0.00 | 5,261.25 | 4,575.00 | |
|
| | | | | | | 439 | | 2.3.4.1.01 | Vildagliptina 50 mg, metformina 1000 mg | 3 | CAJ | 1,840 | 1,600 | 4,800.00 | | 0.00 | | | 0.00 | | 0.00 | 5,520.00 | 4,800.00 | |
|
| | | | | | | 440 | | 2.3.4.1.01 | Dexametasona, Moxifloxacino | 9 | UD | 1,431.75 | 1,245 | 11,205.00 | | 0.00 | | | 0.00 | | 0.00 | 12,885.75 | 11,205.00 | |
|
| | | | | | | 441 | | 2.3.4.1.01 | Vildagliptina 50 mg, Metformina 1000 mg | 3 | CAJ | 1,558.25 | 1,355 | 4,065.00 | | 0.00 | | | 0.00 | | 0.00 | 4,674.75 | 4,065.00 | |
|
| | | | | | | 442 | | 2.3.4.1.01 | Vildagliptina 50 mg | 3 | CAJ | 1,991.8 | 1,732 | 5,196.00 | | 0.00 | | | 0.00 | | 0.00 | 5,975.40 | 5,196.00 | |
|
| | | | | | | 443 | | 2.3.4.1.01 | Vildagliptina 50 mg | 2 | CAJ | 2,549.55 | 2,217 | 4,434.00 | | 0.00 | | | 0.00 | | 0.00 | 5,099.10 | 4,434.00 | |
|
| | | | | | | 444 | | 2.3.4.1.01 | Vildagliptina 50 mg, Metformina 1000 mg | 3 | CAJ | 2,549.55 | 2,217 | 6,651.00 | | 0.00 | | | 0.00 | | 0.00 | 7,648.65 | 6,651.00 | |
|
| | | | | | | 445 | | 2.3.4.1.01 | Vildagliptina 50 mg, Metformina 1000 mg | 2 | CAJ | 3,501.75 | 3,045 | 6,090.00 | | 0.00 | | | 0.00 | | 0.00 | 7,003.50 | 6,090.00 | |
|
| | | | | | | 446 | | 2.3.4.1.01 | Vitamina D 5000 ui | 1 | CAJ | 1,207.5 | 1,050 | 1,050.00 | | 0.00 | | | 0.00 | | 0.00 | 1,207.50 | 1,050.00 | |
|
| | | | | | | 447 | | 2.3.4.1.01 | Sacubitrilo 24 mg, Valsartán 26 mg | 6 | CAJ | 3,116.5 | 2,710 | 16,260.00 | | 0.00 | | | 0.00 | | 0.00 | 18,699.00 | 16,260.00 | |
|
| | | | | | | 448 | | 2.3.4.1.01 | Sacubitrilo 45.60 mg, Valsartan 51.40 mg | 4 | CAJ | 3,116.5 | 2,710 | 10,840.00 | | 0.00 | | | 0.00 | | 0.00 | 12,466.00 | 10,840.00 | |
|
| | | | | | | 449 | | 2.3.4.1.01 | Warfarina 5 mg | 3 | CAJ | 894.7 | 778 | 2,334.00 | | 0.00 | | | 0.00 | | 0.00 | 2,684.10 | 2,334.00 | |
|
| | | | | | | 450 | | 2.3.4.1.01 | Latanoprost, Maleato de timolol | 3 | CAJ | 2,167.75 | 1,885 | 5,655.00 | | 0.00 | | | 0.00 | | 0.00 | 6,503.25 | 5,655.00 | |
|
| | | | | | | 451 | | 2.3.4.1.01 | Rivaroxaban 20 mg | 6 | CAJ | 5,597.05 | 4,867 | 29,202.00 | | 0.00 | | | 0.00 | | 0.00 | 33,582.30 | 29,202.00 | |
|
| | | | | | | 452 | | 2.3.4.1.01 | Dapagliflozina10 mg, Metformina 100 mg | 3 | CAJ | 6,327.3 | 5,502 | 16,506.00 | | 0.00 | | | 0.00 | | 0.00 | 18,981.90 | 16,506.00 | |
|
| | | | | | | 453 | | 2.3.4.1.01 | Candesartan 16 mg | 3 | CAJ | 1,270.75 | 1,105 | 3,315.00 | | 0.00 | | | 0.00 | | 0.00 | 3,812.25 | 3,315.00 | |
|
| | | | | | | 454 | | 2.3.4.1.01 | Candesartan 16 mg, Hidroclorotiazida 12.5 mg | 2 | CAJ | 1,449 | 1,260 | 2,520.00 | | 0.00 | | | 0.00 | | 0.00 | 2,898.00 | 2,520.00 | |
|
| | | | | | | 455 | | 2.3.4.1.01 | Povidona, Ácido Bórico, Borato de Sodio Decahidratado, Sulfito de Sodio, Polisorbato 80, Edetato Disódico Dihidratado, Cloruro de Benzalconio Solución al 50%, Ácido Clorhídrico, Hidróxido de Sodio, Agua para Inyectables | 3 | UD | 1,454.75 | 1,265 | 3,795.00 | | 0.00 | | | 0.00 | | 0.00 | 4,364.25 | 3,795.00 | |
|
| | | | | | | 456 | | 2.3.4.1.01 | Bisoprolol 5 mg | 3 | CAJ | 1,834.25 | 1,595 | 4,785.00 | | 0.00 | | | 0.00 | | 0.00 | 5,502.75 | 4,785.00 | |
|
| | | | | | | 457 | | 2.3.4.1.01 | Bisoprolol 10 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 1,859.55 | 1,617 | 4,851.00 | | 0.00 | | | 0.00 | | 0.00 | 5,578.65 | 4,851.00 | |
|
| | | | | | | 458 | | 2.3.4.1.01 | Alprazolam 2 mg | 9 | CAJ | 1,750.3 | 1,522 | 13,698.00 | | 0.00 | | | 0.00 | | 0.00 | 15,752.70 | 13,698.00 | |
|
| | | | | | | 459 | | 2.3.4.1.01 | Tramadol clorhidrato 25 mg, Diclofenaco de
sodio 25 mg | 3 | CAJ | 1,725 | 1,500 | 4,500.00 | | 0.00 | | | 0.00 | | 0.00 | 5,175.00 | 4,500.00 | |
|
| | | | | | | 460 | | 2.3.4.1.01 | Clonazepam 2,5 mg. | 6 | UD | 941.85 | 819 | 4,914.00 | | 0.00 | | | 0.00 | | 0.00 | 5,651.10 | 4,914.00 | |
|
| | | | | | | 461 | | 2.3.4.1.01 | Metilfenidato 27 mg | 3 | CAJ | 9,430 | 8,200 | 24,600.00 | | 0.00 | | | 0.00 | | 0.00 | 28,290.00 | 24,600.00 | |
|
| | | | | | | 462 | | 2.3.4.1.01 | Clonazepam | 3 | CAJ | 1,207.5 | 1,050 | 3,150.00 | | 0.00 | | | 0.00 | | 0.00 | 3,622.50 | 3,150.00 | |
|
| | | | | | | 1 | | 2.3.4.1.01 | Candesartán Cilexetilo 8 mg | 3 | CAJ | 833.75 | 725 | 2,175.00 | | 0.00 | | | 0.00 | | 0.00 | 2,501.25 | 2,175.00 | |
|
| | | | | | | 2 | | 2.3.4.1.01 | Acido Folico 5 mg | 2 | CAJ | 1,495 | 1,300 | 2,600.00 | | 0.00 | | | 0.00 | | 0.00 | 2,990.00 | 2,600.00 | |
|
| | | | | | | 3 | | 2.3.4.1.01 | Clorhidrato de Glucosamina 902.63 mg, Meloxicam 7.5 mg | 4 | CAJ | 2,439.15 | 2,121 | 8,484.00 | | 0.00 | | | 0.00 | | 0.00 | 9,756.60 | 8,484.00 | |
|
| | | | | | | 4 | | 2.3.4.1.01 | Nepafenaco 1 mg | 6 | UD | 1,244.3 | 1,082 | 6,492.00 | | 0.00 | | | 0.00 | | 0.00 | 7,465.80 | 6,492.00 | |
|
| | | | | | | 5 | | 2.3.4.1.01 | Candesartann16 mg,Amlodipina 5 mg,
Hidroclorotiazida 12.5 mg | 3 | CAJ | 2,801.4 | 2,436 | 7,308.00 | | 0.00 | | | 0.00 | | 0.00 | 8,404.20 | 7,308.00 | |
|
| | | | | | | 6 | | 2.3.4.1.01 | Fenofibrato 160 mg | 3 | CAJ | 1,569.75 | 1,365 | 4,095.00 | | 0.00 | | | 0.00 | | 0.00 | 4,709.25 | 4,095.00 | |
|
| | | | | | | 7 | | 2.3.4.1.01 | Formoterol Fumarato 6 mg,
Dihidrato/Budesonida 100 mg | 5 | CAJ | 2,334.5 | 2,030 | 10,150.00 | | 0.00 | | | 0.00 | | 0.00 | 11,672.50 | 10,150.00 | |
|
| | | | | | | 8 | | 2.3.4.1.01 | Candesartan 16 mg, Amlodipina 5 mg | 3 | CAJ | 1,679 | 1,460 | 4,380.00 | | 0.00 | | | 0.00 | | 0.00 | 5,037.00 | 4,380.00 | |
|
| | | | | | | 9 | | 2.3.4.1.01 | Candesartan 32 mg, Hidroclorotiazida 25 mg | 3 | CAJ | 1,920.5 | 1,670 | 5,010.00 | | 0.00 | | | 0.00 | | 0.00 | 5,761.50 | 5,010.00 | |
|
| | | | | | | 10 | | 2.3.4.1.01 | Alopurinol 300 | 5 | UD | 193.2 | 168 | 840.00 | | 0.00 | | | 0.00 | | 0.00 | 966.00 | 840.00 | |
|
| | | | | | | 11 | | 2.3.4.1.01 | Amlodipina 5 mg, Lisinopril 20 mg | 3 | CAJ | 1,075.25 | 935 | 2,805.00 | | 0.00 | | | 0.00 | | 0.00 | 3,225.75 | 2,805.00 | |
|
| | | | | | | 12 | | 2.3.4.1.01 | Amlodipina 5 mg, Lisinopril 20 mg | 3 | CAJ | 1,480.05 | 1,287 | 3,861.00 | | 0.00 | | | 0.00 | | 0.00 | 4,440.15 | 3,861.00 | |
|
| | | | | | | 13 | | 2.3.4.1.01 | Amlodipina 10 mg, Lisinopril 20 mg | 6 | CAJ | 1,480.05 | 1,287 | 7,722.00 | | 0.00 | | | 0.00 | | 0.00 | 8,880.30 | 7,722.00 | |
|
| | | | | | | 14 | | 2.3.4.1.01 | Amlopina 10 mg, Valsartan 160 mg | 3 | CAJ | 2,300 | 2,000 | 6,000.00 | | 0.00 | | | 0.00 | | 0.00 | 6,900.00 | 6,000.00 | |
|
| | | | | | | 15 | | 2.3.4.1.01 | Amiodarona 200 mg | 7 | CAJ | 1,546.75 | 1,345 | 9,415.00 | | 0.00 | | | 0.00 | | 0.00 | 10,827.25 | 9,415.00 | |
|
| | | | | | | 16 | | 2.3.4.1.01 | Amlodipina 5 mg | 9 | UD | 299 | 260 | 2,340.00 | | 0.00 | | | 0.00 | | 0.00 | 2,691.00 | 2,340.00 | |
|
| | | | | | | 17 | | 2.3.4.1.01 | Amlodipina 10 mg | 9 | UD | 392.15 | 341 | 3,069.00 | | 0.00 | | | 0.00 | | 0.00 | 3,529.35 | 3,069.00 | |
|
| | | | | | | 18 | | 2.3.4.1.01 | Amitriptilina 25 mg | 3 | CAJ | 603.75 | 525 | 1,575.00 | | 0.00 | | | 0.00 | | 0.00 | 1,811.25 | 1,575.00 | |
|
| | | | | | | 19 | | 2.3.4.1.01 | Irbersartan 300 mg | 3 | CAJ | 4,330.9 | 3,766 | 11,298.00 | | 0.00 | | | 0.00 | | 0.00 | 12,992.70 | 11,298.00 | |
|
| | | | | | | 20 | | 2.3.4.1.01 | Candesartan 32 mg, Amlopina 5 mg | 6 | CAJ | 2,139 | 1,860 | 11,160.00 | | 0.00 | | | 0.00 | | 0.00 | 12,834.00 | 11,160.00 | |
|
| | | | | | | 21 | | 2.3.4.1.01 | Candesartan 32 mg, Hidroclorotiazida 25 mg | 6 | CAJ | 2,197.65 | 1,911 | 11,466.00 | | 0.00 | | | 0.00 | | 0.00 | 13,185.90 | 11,466.00 | |
|
| | | | | | | 22 | | 2.3.4.1.01 | Candesartan 16 mg, Amlodipina 5 mg,
Hidroclorotiazida 12.5 mg | 6 | CAJ | 2,179.25 | 1,895 | 11,370.00 | | 0.00 | | | 0.00 | | 0.00 | 13,075.50 | 11,370.00 | |
|
| | | | | | | 23 | | 2.3.4.1.01 | Candesartan 32 mg, Amlodipina 5 mg,
Hidroclorotiazida 25 mg | 12 | CAJ | 2,357.5 | 2,050 | 24,600.00 | | 0.00 | | | 0.00 | | 0.00 | 28,290.00 | 24,600.00 | |
|
| | | | | | | 24 | | 2.3.4.1.01 | Irbersartan 150mg, Amlodipina 5 mg,
Hidroclorotiazida 12.5 mg | 3 | CAJ | 2,357.5 | 2,050 | 6,150.00 | | 0.00 | | | 0.00 | | 0.00 | 7,072.50 | 6,150.00 | |
|
| | | | | | | 25 | | 2.3.4.1.01 | Candesartan 16 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 2,524.25 | 2,195 | 6,585.00 | | 0.00 | | | 0.00 | | 0.00 | 7,572.75 | 6,585.00 | |
|
| | | | | | | 26 | | 2.3.4.1.01 | Candesartan 16 mg, Amlodipina 5 mg | 3 | CAJ | 2,535.75 | 2,205 | 6,615.00 | | 0.00 | | | 0.00 | | 0.00 | 7,607.25 | 6,615.00 | |
|
| | | | | | | 27 | | 2.3.4.1.01 | Etoricoxib 120 mg | 4 | CAJ | 11,270 | 9,800 | 39,200.00 | | 0.00 | | | 0.00 | | 0.00 | 45,080.00 | 39,200.00 | |
|
| | | | | | | 28 | | 2.3.4.1.01 | Rosuvastatina 20 mg | 3 | CAJ | 2,898 | 2,520 | 7,560.00 | | 0.00 | | | 0.00 | | 0.00 | 8,694.00 | 7,560.00 | |
|
| | | | | | | 29 | | 2.3.4.1.01 | Colágeno hidrolizado 89,9 g,Ácido
cítrico,Carbonato de magnesio 132 mg,Aroma | 4 | UD | 4,674.75 | 4,796.7 | 19,186.80 | | 0.00 | | | 0.00 | | 0.00 | 18,699.00 | 19,186.80 | |
|
| | | | | | | 30 | | 2.3.4.1.01 | Rosuvastatina 20 mg | 3 | CAJ | 2,072.3 | 1,802 | 5,406.00 | | 0.00 | | | 0.00 | | 0.00 | 6,216.90 | 5,406.00 | |
|
| | | | | | | 31 | | 2.3.4.1.01 | Atorvastatina 40 mg | 3 | CAJ | 2,432.25 | 2,115 | 6,345.00 | | 0.00 | | | 0.00 | | 0.00 | 7,296.75 | 6,345.00 | |
|
| | | | | | | 32 | | 2.3.4.1.01 | Atorvastatina 80 mg | 3 | CAJ | 3,340.75 | 2,905 | 8,715.00 | | 0.00 | | | 0.00 | | 0.00 | 10,022.25 | 8,715.00 | |
|
| | | | | | | 33 | | 2.3.4.1.01 | Amlodipina 5 mg, Hidroclorotiazida 12.5 mg | 6 | CAJ | 1,529.5 | 1,330 | 7,980.00 | | 0.00 | | | 0.00 | | 0.00 | 9,177.00 | 7,980.00 | |
|
| | | | | | | 34 | | 2.3.4.1.01 | Candesartan 16 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 4,600 | 4,000 | 12,000.00 | | 0.00 | | | 0.00 | | 0.00 | 13,800.00 | 12,000.00 | |
|
| | | | | | | 35 | | 2.3.4.1.01 | Candesartan 32 mg, Hidroclorotiazida 25 mg | 6 | CAJ | 2,875 | 2,500 | 15,000.00 | | 0.00 | | | 0.00 | | 0.00 | 17,250.00 | 15,000.00 | |
|
| | | | | | | 36 | | 2.3.4.1.01 | Atenolol 50 mg | 2 | CAJ | 1,086.75 | 945 | 1,890.00 | | 0.00 | | | 0.00 | | 0.00 | 2,173.50 | 1,890.00 | |
|
| | | | | | | 37 | | 2.3.4.1.01 | Atorvastatina 40 mg | 3 | CAJ | 2,587.5 | 2,250 | 6,750.00 | | 0.00 | | | 0.00 | | 0.00 | 7,762.50 | 6,750.00 | |
|
| | | | | | | 38 | | 2.3.4.1.01 | Losartan 100 mg, Hidroclorotiazida 25 mg | 3 | CAJ | 2,357.5 | 2,050 | 6,150.00 | | 0.00 | | | 0.00 | | 0.00 | 7,072.50 | 6,150.00 | |
|
| | | | | | | 39 | | 2.3.4.1.01 | Deflazacort 30 mg | 3 | CAJ | 2,512.75 | 2,185 | 6,555.00 | | 0.00 | | | 0.00 | | 0.00 | 7,538.25 | 6,555.00 | |
|
| | | | | | | 40 | | 2.3.4.1.01 | Candesartan 16 mg | 3 | CAJ | 2,012.5 | 1,750 | 5,250.00 | | 0.00 | | | 0.00 | | 0.00 | 6,037.50 | 5,250.00 | |
|
| | | | | | | 41 | | 2.3.4.1.01 | Candesartan 8 mg | 3 | CAJ | 1,020.05 | 887 | 2,661.00 | | 0.00 | | | 0.00 | | 0.00 | 3,060.15 | 2,661.00 | |
|
| | | | | | | 42 | | 2.3.4.1.01 | Etoricoxib 90 mg | 6 | CAJ | 1,961.9 | 1,706 | 10,236.00 | | 0.00 | | | 0.00 | | 0.00 | 11,771.40 | 10,236.00 | |
|
| | | | | | | 43 | | 2.3.4.1.01 | Diclorhidrato de betahistina 24 mg | 6 | CAJ | 845.25 | 735 | 4,410.00 | | 0.00 | | | 0.00 | | 0.00 | 5,071.50 | 4,410.00 | |
|
| | | | | | | 44 | | 2.3.4.1.01 | Metoprolol 100 mg | 3 | CAJ | 4,163 | 3,620 | 10,860.00 | | 0.00 | | | 0.00 | | 0.00 | 12,489.00 | 10,860.00 | |
|
| | | | | | | 45 | | 2.3.4.1.01 | Bisoprolol fumarato 2.5 mg | 6 | CAJ | 908.5 | 790 | 4,740.00 | | 0.00 | | | 0.00 | | 0.00 | 5,451.00 | 4,740.00 | |
|
| | | | | | | 46 | | 2.3.4.1.01 | Bisoprolol fumarato 5 mg | 12 | CAJ | 991.3 | 862 | 10,344.00 | | 0.00 | | | 0.00 | | 0.00 | 11,895.60 | 10,344.00 | |
|
| | | | | | | 47 | | 2.3.4.1.01 | Bisoprolol fumarato 10 mg | 3 | CAJ | 1,201.75 | 1,045 | 3,135.00 | | 0.00 | | | 0.00 | | 0.00 | 3,605.25 | 3,135.00 | |
|
| | | | | | | 48 | | 2.3.4.1.01 | Bisoprolol 5 mg, Almodipina 5 mg,
Hidroclorotiazida 12.5 mg | 1 | CAJ | 1,874.5 | 1,630 | 1,630.00 | | 0.00 | | | 0.00 | | 0.00 | 1,874.50 | 1,630.00 | |
|
| | | | | | | 49 | | 2.3.4.1.01 | Bisoprolol 2.5 mg | 3 | CAJ | 1,184.5 | 1,030 | 3,090.00 | | 0.00 | | | 0.00 | | 0.00 | 3,553.50 | 3,090.00 | |
|
| | | | | | | 50 | | 2.3.4.1.01 | Bisoprolol 5 mg,Hidroclorotiazida 6.25 mg | 4 | CAJ | 1,631.85 | 1,419 | 5,676.00 | | 0.00 | | | 0.00 | | 0.00 | 6,527.40 | 5,676.00 | |
|
| | | | | | | 51 | | 2.3.4.1.01 | Bisoprolol 2.5 mg | 3 | CAJ | 1,667.5 | 1,450 | 4,350.00 | | 0.00 | | | 0.00 | | 0.00 | 5,002.50 | 4,350.00 | |
|
| | | | | | | 52 | | 2.3.4.1.01 | Bisoprolol 5 mg | 10 | CAJ | 1,851.5 | 1,610 | 16,100.00 | | 0.00 | | | 0.00 | | 0.00 | 18,515.00 | 16,100.00 | |
|
| | | | | | | 53 | | 2.3.4.1.01 | Bisoprolol 5 mg, Hidroclorotiazida 12.5 mg | 1 | CAJ | 2,047 | 1,780 | 1,780.00 | | 0.00 | | | 0.00 | | 0.00 | 2,047.00 | 1,780.00 | |
|
| | | | | | | 54 | | 2.3.4.1.01 | Bisoprolol 5 mg, Amlodipina 5 mg | 3 | CAJ | 2,173.5 | 1,890 | 5,670.00 | | 0.00 | | | 0.00 | | 0.00 | 6,520.50 | 5,670.00 | |
|
| | | | | | | 55 | | 2.3.4.1.01 | Bisoprolol 2.5 mg | 6 | CAJ | 437 | 380 | 2,280.00 | | 0.00 | | | 0.00 | | 0.00 | 2,622.00 | 2,280.00 | |
|
| | | | | | | 56 | | 2.3.4.1.01 | Bisoprolol 5 mg | 3 | CAJ | 546.25 | 475 | 1,425.00 | | 0.00 | | | 0.00 | | 0.00 | 1,638.75 | 1,425.00 | |
|
| | | | | | | 57 | | 2.3.4.1.01 | Bisiprolol 5 mg | 4 | CAJ | 1,788.25 | 1,555 | 6,220.00 | | 0.00 | | | 0.00 | | 0.00 | 7,153.00 | 6,220.00 | |
|
| | | | | | | 58 | | 2.3.4.1.01 | Bisoprolol 2.5 mg | 4 | CAJ | 1,213.25 | 1,055 | 4,220.00 | | 0.00 | | | 0.00 | | 0.00 | 4,853.00 | 4,220.00 | |
|
| | | | | | | 59 | | 2.3.4.1.01 | Dorzolamida 20 mg, Tartrato de Brimonidina
2 mg, Timolol 5 mg | 4 | UD | 2,197.65 | 1,911 | 7,644.00 | | 0.00 | | | 0.00 | | 0.00 | 8,790.60 | 7,644.00 | |
|
| | | | | | | 60 | | 2.3.4.1.01 | Bisoprolol 2.5 mg | 2 | CAJ | 1,730.75 | 1,505 | 3,010.00 | | 0.00 | | | 0.00 | | 0.00 | 3,461.50 | 3,010.00 | |
|
| | | | | | | 61 | | 2.3.4.1.01 | Bisoprolol 5 mg | 3 | CAJ | 1,891.75 | 1,645 | 4,935.00 | | 0.00 | | | 0.00 | | 0.00 | 5,675.25 | 4,935.00 | |
|
| | | | | | | 62 | | 2.3.4.1.01 | Bisoprolol 5 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 2,357.5 | 2,050 | 6,150.00 | | 0.00 | | | 0.00 | | 0.00 | 7,072.50 | 6,150.00 | |
|
| | | | | | | 63 | | 2.3.4.1.01 | Bisoprolol 10 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 2,357.5 | 2,050 | 6,150.00 | | 0.00 | | | 0.00 | | 0.00 | 7,072.50 | 6,150.00 | |
|
| | | | | | | 64 | | 2.3.4.1.01 | Bisoprolol 10 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 2,409.25 | 2,095 | 6,285.00 | | 0.00 | | | 0.00 | | 0.00 | 7,227.75 | 6,285.00 | |
|
| | | | | | | 65 | | 2.3.4.1.01 | Losartan 100 mg | 1 | CAJ | 1,690.5 | 1,470 | 1,470.00 | | 0.00 | | | 0.00 | | 0.00 | 1,690.50 | 1,470.00 | |
|
| | | | | | | 66 | | 2.3.4.1.01 | Losartan 100 mg, Hidroclorotiazida 25 mg | 3 | CAJ | 1,840 | 1,600 | 4,800.00 | | 0.00 | | | 0.00 | | 0.00 | 5,520.00 | 4,800.00 | |
|
| | | | | | | 67 | | 2.3.4.1.01 | Losartan 100 mg, Amlodipina 5 mg,
Hidroclorotiazida 25 mg | 6 | CAJ | 2,265.5 | 1,970 | 11,820.00 | | 0.00 | | | 0.00 | | 0.00 | 13,593.00 | 11,820.00 | |
|
| | | | | | | 68 | | 2.3.4.1.01 | Candesartan 16 mg, Hidroclorotiazida 12.5 mg | 6 | CAJ | 2,121.75 | 1,845 | 11,070.00 | | 0.00 | | | 0.00 | | 0.00 | 12,730.50 | 11,070.00 | |
|
| | | | | | | 69 | | 2.3.4.1.01 | Betahistina Diclorhidrato 16 mg | 2 | CAJ | 2,374.75 | 2,065 | 4,130.00 | | 0.00 | | | 0.00 | | 0.00 | 4,749.50 | 4,130.00 | |
|
| | | | | | | 70 | | 2.3.4.1.01 | Betahistina Diclorhidrato 24 mg | 4 | CAJ | 3,139.5 | 2,730 | 10,920.00 | | 0.00 | | | 0.00 | | 0.00 | 12,558.00 | 10,920.00 | |
|
| | | | | | | 71 | | 2.3.4.1.01 | citrato de calcio tetrahidrato 1.500mg,
equivalente a 315mg de calcio elemental, vitamina D3 (equivalente a 10mcg de | 6 | CAJ | 862.5 | 750 | 4,500.00 | | 0.00 | | | 0.00 | | 0.00 | 5,175.00 | 4,500.00 | |
|
| | | | | | | 72 | | 2.3.4.1.01 | Citrato de Calcio 1500 mg, Vitamina D3 | 3 | CAJ | 1,437.5 | 1,250 | 3,750.00 | | 0.00 | | | 0.00 | | 0.00 | 4,312.50 | 3,750.00 | |
|
| | | | | | | 73 | | 2.3.4.1.01 | Calcitriol 0.25 mg | 6 | CAJ | 2,041.25 | 1,775 | 10,650.00 | | 0.00 | | | 0.00 | | 0.00 | 12,247.50 | 10,650.00 | |
|
| | | | | | | 74 | | 2.3.4.1.01 | Metoprolol Tartrato 50 mg | 4 | CAJ | 1,029.25 | 895 | 3,580.00 | | 0.00 | | | 0.00 | | 0.00 | 4,117.00 | 3,580.00 | |
|
| | | | | | | 75 | | 2.3.4.1.01 | Bifonazol 100 mg | 3 | UD | 575 | 500 | 1,500.00 | | 0.00 | | | 0.00 | | 0.00 | 1,725.00 | 1,500.00 | |
|
| | | | | | | 76 | | 2.3.4.1.01 | Candesartan 8 mg | 1 | CAJ | 1,669.8 | 1,452 | 1,452.00 | | 0.00 | | | 0.00 | | 0.00 | 1,669.80 | 1,452.00 | |
|
| | | | | | | 77 | | 2.3.4.1.01 | Condesartan 16 mg, Hidroclorotiazida 12.5 mg | 15 | CAJ | 2,639.25 | 2,295 | 34,425.00 | | 0.00 | | | 0.00 | | 0.00 | 39,588.75 | 34,425.00 | |
|
| | | | | | | 78 | | 2.3.4.1.01 | Candesartan 16 mg, Amlodipina 5 mg | 10 | CAJ | 2,635.8 | 2,292 | 22,920.00 | | 0.00 | | | 0.00 | | 0.00 | 26,358.00 | 22,920.00 | |
|
| | | | | | | 79 | | 2.3.4.1.01 | Candesartan 8 mg, Amlodipina 5 mg | 3 | CAJ | 2,463.3 | 2,142 | 6,426.00 | | 0.00 | | | 0.00 | | 0.00 | 7,389.90 | 6,426.00 | |
|
| | | | | | | 80 | | 2.3.4.1.01 | Candesartan 16 mg, Amlodipina 5 mg,
Hidroclorotiazida 12.5 mg | 3 | CAJ | 2,915.25 | 2,535 | 7,605.00 | | 0.00 | | | 0.00 | | 0.00 | 8,745.75 | 7,605.00 | |
|
| | | | | | | 81 | | 2.3.4.1.01 | Candesartan 16 mg | 3 | CAJ | 2,116 | 1,840 | 5,520.00 | | 0.00 | | | 0.00 | | 0.00 | 6,348.00 | 5,520.00 | |
|
| | | | | | | 82 | | 2.3.4.1.01 | Candesartan 16 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 2,559.9 | 2,226 | 6,678.00 | | 0.00 | | | 0.00 | | 0.00 | 7,679.70 | 6,678.00 | |
|
| | | | | | | 83 | | 2.3.4.1.01 | Espironolactona 25 mg | 3 | CAJ | 1,038.45 | 903 | 2,709.00 | | 0.00 | | | 0.00 | | 0.00 | 3,115.35 | 2,709.00 | |
|
| | | | | | | 84 | | 2.3.4.1.01 | Bisoprolol 10 mg | 3 | CAJ | 1,679 | 1,460 | 4,380.00 | | 0.00 | | | 0.00 | | 0.00 | 5,037.00 | 4,380.00 | |
|
| | | | | | | 85 | | 2.3.4.1.01 | Bisoprolol 5 mg | 6 | CAJ | 1,437.5 | 1,250 | 7,500.00 | | 0.00 | | | 0.00 | | 0.00 | 8,625.00 | 7,500.00 | |
|
| | | | | | | 86 | | 2.3.4.1.01 | Lisinopril 5 mg | 3 | CAJ | 1,644.5 | 1,430 | 4,290.00 | | 0.00 | | | 0.00 | | 0.00 | 4,933.50 | 4,290.00 | |
|
| | | | | | | 87 | | 2.3.4.1.01 | Amlodipina 10 mg, Lisinopril 20 mg | 3 | CAJ | 2,052.75 | 1,785 | 5,355.00 | | 0.00 | | | 0.00 | | 0.00 | 6,158.25 | 5,355.00 | |
|
| | | | | | | 88 | | 2.3.4.1.01 | Amlodipina 5 mg, Lisnopril 20 mg | 3 | CAJ | 1,897.5 | 1,650 | 4,950.00 | | 0.00 | | | 0.00 | | 0.00 | 5,692.50 | 4,950.00 | |
|
| | | | | | | 89 | | 2.3.4.1.01 | Amlodipina 5 mg, Lisinopril 10 mg,
Hidroclorotiazida 12.5 mg | 3 | CAJ | 1,874.5 | 1,630 | 4,890.00 | | 0.00 | | | 0.00 | | 0.00 | 5,623.50 | 4,890.00 | |
|
| | | | | | | 90 | | 2.3.4.1.01 | Losartan 100 mg | 3 | CAJ | 2,530 | 2,200 | 6,600.00 | | 0.00 | | | 0.00 | | 0.00 | 7,590.00 | 6,600.00 | |
|
| | | | | | | 91 | | 2.3.4.1.01 | Valsartan 160 mg | 3 | CAJ | 3,122.25 | 2,715 | 8,145.00 | | 0.00 | | | 0.00 | | 0.00 | 9,366.75 | 8,145.00 | |
|
| | | | | | | 92 | | 2.3.4.1.01 | Valsartan 160 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 3,139.5 | 2,730 | 8,190.00 | | 0.00 | | | 0.00 | | 0.00 | 9,418.50 | 8,190.00 | |
|
| | | | | | | 93 | | 2.3.4.1.01 | Valsartan 160 mg, Amlodipina 5 mg,
Hidroclorotiazida 12.5 mg | 3 | CAJ | 3,461.5 | 3,010 | 9,030.00 | | 0.00 | | | 0.00 | | 0.00 | 10,384.50 | 9,030.00 | |
|
| | | | | | | 94 | | 2.3.4.1.01 | Valsartan 300 mg, Hidroclorotiazida 25 mg | 3 | CAJ | 3,598.35 | 3,129 | 9,387.00 | | 0.00 | | | 0.00 | | 0.00 | 10,795.05 | 9,387.00 | |
|
| | | | | | | 95 | | 2.3.4.1.01 | Lisinopril 20 mg | 4 | CAJ | 1,495 | 1,300 | 5,200.00 | | 0.00 | | | 0.00 | | 0.00 | 5,980.00 | 5,200.00 | |
|
| | | | | | | 96 | | 2.3.4.1.01 | Lisinopril 20 mg, Amlodipina 5 mg | 6 | CAJ | 2,052.75 | 1,785 | 10,710.00 | | 0.00 | | | 0.00 | | 0.00 | 12,316.50 | 10,710.00 | |
|
| | | | | | | 97 | | 2.3.4.1.01 | Lisinopril 20 mg, Amlodipina 10
mg,Clortalidona 12. 5 mg | 3 | CAJ | 2,288.5 | 1,990 | 5,970.00 | | 0.00 | | | 0.00 | | 0.00 | 6,865.50 | 5,970.00 | |
|
| | | | | | | 98 | | 2.3.4.1.01 | Nitrendipina 20 mg,Atenolol 50 mg,
Clortalidona 12.5 mg | 3 | CAJ | 853.3 | 742 | 2,226.00 | | 0.00 | | | 0.00 | | 0.00 | 2,559.90 | 2,226.00 | |
|
| | | | | | | 99 | | 2.3.4.1.01 | Cardesartan 32 mg, Amlodipina 10 mg,
Hidroclorotiazida 25 mg | 3 | CAJ | 2,162 | 1,880 | 5,640.00 | | 0.00 | | | 0.00 | | 0.00 | 6,486.00 | 5,640.00 | |
|
| | | | | | | 100 | | 2.3.4.1.01 | Candesartan 16 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 2,101.05 | 1,827 | 5,481.00 | | 0.00 | | | 0.00 | | 0.00 | 6,303.15 | 5,481.00 | |
|
| | | | | | | 101 | | 2.3.4.1.01 | Candesartan 32 mg, Amlodipina 10 mg,
Hidroclorotiazida 25 mg | 3 | CAJ | 3,004.95 | 2,613 | 7,839.00 | | 0.00 | | | 0.00 | | 0.00 | 9,014.85 | 7,839.00 | |
|
| | | | | | | 102 | | 2.3.4.1.01 | Lisinopril 10 mg | 3 | CAJ | 1,086.75 | 945 | 2,835.00 | | 0.00 | | | 0.00 | | 0.00 | 3,260.25 | 2,835.00 | |
|
| | | | | | | 103 | | 2.3.4.1.01 | Lisinopril 20 mg, Amlodipina 5 mg,
Clortalidona 12.5 mg | 6 | CAJ | 2,288.5 | 1,990 | 11,940.00 | | 0.00 | | | 0.00 | | 0.00 | 13,731.00 | 11,940.00 | |
|
| | | | | | | 104 | | 2.3.4.1.01 | Carvedilol 25 mg | 3 | CAJ | 1,075.25 | 935 | 2,805.00 | | 0.00 | | | 0.00 | | 0.00 | 3,225.75 | 2,805.00 | |
|
| | | | | | | 105 | | 2.3.4.1.01 | Carvedilol 6.25 mg | 6 | CAJ | 713 | 620 | 3,720.00 | | 0.00 | | | 0.00 | | 0.00 | 4,278.00 | 3,720.00 | |
|
| | | | | | | 106 | | 2.3.4.1.01 | Carvedilol 25 mg, Clortalidona 12.5 mg | 6 | CAJ | 1,184.5 | 1,030 | 6,180.00 | | 0.00 | | | 0.00 | | 0.00 | 7,107.00 | 6,180.00 | |
|
| | | | | | | 107 | | 2.3.4.1.01 | Carvedilol 3.125 mg | 4 | CAJ | 848.7 | 738 | 2,952.00 | | 0.00 | | | 0.00 | | 0.00 | 3,394.80 | 2,952.00 | |
|
| | | | | | | 108 | | 2.3.4.1.01 | Clortalidona 0.2 mg | 6 | CAJ | 1,075.25 | 935 | 5,610.00 | | 0.00 | | | 0.00 | | 0.00 | 6,451.50 | 5,610.00 | |
|
| | | | | | | 109 | | 2.3.4.1.01 | Celecoxib 400 mg | 3 | CAJ | 3,444.25 | 2,995 | 8,985.00 | | 0.00 | | | 0.00 | | 0.00 | 10,332.75 | 8,985.00 | |
|
| | | | | | | 110 | | 2.3.4.1.01 | Micofenolato mofetilo 500 mg | 4 | CAJ | 5,652.25 | 4,915 | 19,660.00 | | 0.00 | | | 0.00 | | 0.00 | 22,609.00 | 19,660.00 | |
|
| | | | | | | 111 | | 2.3.4.1.01 | Ciprofibrato 100 mg | 3 | CAJ | 1,753.75 | 1,525 | 4,575.00 | | 0.00 | | | 0.00 | | 0.00 | 5,261.25 | 4,575.00 | |
|
| | | | | | | 112 | | 2.3.4.1.01 | Rosuvastina 40 mg | 3 | CAJ | 7,130 | 6,200 | 18,600.00 | | 0.00 | | | 0.00 | | 0.00 | 21,390.00 | 18,600.00 | |
|
| | | | | | | 113 | | 2.3.4.1.01 | Bisoprolol 5 mg, Hidroclorotiazida 6.25 mg | 6 | CAJ | 1,414.5 | 1,230 | 7,380.00 | | 0.00 | | | 0.00 | | 0.00 | 8,487.00 | 7,380.00 | |
|
| | | | | | | 114 | | 2.3.4.1.01 | Citicolina 500 mg | 3 | CAJ | 2,863.5 | 2,490 | 7,470.00 | | 0.00 | | | 0.00 | | 0.00 | 8,590.50 | 7,470.00 | |
|
| | | | | | | 115 | | 2.3.4.1.01 | Citrato de Magnesio 400 mg | 1 | CAJ | 1,035 | 900 | 900.00 | | 0.00 | | | 0.00 | | 0.00 | 1,035.00 | 900.00 | |
|
| | | | | | | 116 | | 2.3.4.1.01 | Citrato de Calcio, Vitamina D3 | 6 | CAJ | 1,633 | 1,420 | 8,520.00 | | 0.00 | | | 0.00 | | 0.00 | 9,798.00 | 8,520.00 | |
|
| | | | | | | 117 | | 2.3.4.1.01 | Clonidina 100 mg | 6 | CAJ | 655.5 | 570 | 3,420.00 | | 0.00 | | | 0.00 | | 0.00 | 3,933.00 | 3,420.00 | |
|
| | | | | | | 118 | | 2.3.4.1.01 | Clopidofrel 75 mg | 5 | CAJ | 3,450 | 3,000 | 15,000.00 | | 0.00 | | | 0.00 | | 0.00 | 17,250.00 | 15,000.00 | |
|
| | | | | | | 119 | | 2.3.4.1.01 | Clopidogrel 75 mg | 6 | CAJ | 2,012.5 | 1,750 | 10,500.00 | | 0.00 | | | 0.00 | | 0.00 | 12,075.00 | 10,500.00 | |
|
| | | | | | | 120 | | 2.3.4.1.01 | Irbesartan 300 mg, Hidroclorotiazida 25 mg | 3 | CAJ | 4,335.5 | 3,770 | 11,310.00 | | 0.00 | | | 0.00 | | 0.00 | 13,006.50 | 11,310.00 | |
|
| | | | | | | 121 | | 2.3.4.1.01 | Colchicina 0.5 mg | 2 | CAJ | 2,083.8 | 1,812 | 3,624.00 | | 0.00 | | | 0.00 | | 0.00 | 4,167.60 | 3,624.00 | |
|
| | | | | | | 122 | | 2.3.4.1.01 | Ezetimiba 10 mg, Simvastatina 20 mg | 4 | CAJ | 1,748 | 1,520 | 6,080.00 | | 0.00 | | | 0.00 | | 0.00 | 6,992.00 | 6,080.00 | |
|
| | | | | | | 123 | | 2.3.4.1.01 | Bisoprolol 5 mg, Amlodipina 5 mg | 3 | CAJ | 5,031.25 | 4,375 | 13,125.00 | | 0.00 | | | 0.00 | | 0.00 | 15,093.75 | 13,125.00 | |
|
| | | | | | | 124 | | 2.3.4.1.01 | Clopidogrel 75 mg, Ácido Acetilsalicílico 100
mg | 3 | CAJ | 4,174.5 | 3,630 | 10,890.00 | | 0.00 | | | 0.00 | | 0.00 | 12,523.50 | 10,890.00 | |
|
| | | | | | | 125 | | 2.3.4.1.01 | Amlodipina 5 mg, Lisinopril 10 mg | 3 | CAJ | 1,316.75 | 1,145 | 3,435.00 | | 0.00 | | | 0.00 | | 0.00 | 3,950.25 | 3,435.00 | |
|
| | | | | | | 126 | | 2.3.4.1.01 | Bisoprolol 10 mg, Amlodipina 5 mg | 3 | CAJ | 2,265.5 | 1,970 | 5,910.00 | | 0.00 | | | 0.00 | | 0.00 | 6,796.50 | 5,910.00 | |
|
| | | | | | | 127 | | 2.3.4.1.01 | Candesartan16 mg, Amlodipina 5 mg | 3 | CAJ | 2,236.75 | 1,945 | 5,835.00 | | 0.00 | | | 0.00 | | 0.00 | 6,710.25 | 5,835.00 | |
|
| | | | | | | 128 | | 2.3.4.1.01 | Candesartan Mabo 8 mg | 4 | CAJ | 966 | 840 | 3,360.00 | | 0.00 | | | 0.00 | | 0.00 | 3,864.00 | 3,360.00 | |
|
| | | | | | | 129 | | 2.3.4.1.01 | Candesartan 16 mg | 3 | CAJ | 2,041.25 | 1,775 | 5,325.00 | | 0.00 | | | 0.00 | | 0.00 | 6,123.75 | 5,325.00 | |
|
| | | | | | | 130 | | 2.3.4.1.01 | Candesartan 16 mg, Amlodipina 5 mg | 3 | CAJ | 2,139 | 1,860 | 5,580.00 | | 0.00 | | | 0.00 | | 0.00 | 6,417.00 | 5,580.00 | |
|
| | | | | | | 131 | | 2.3.4.1.01 | Clopidogrel 75 mg | 3 | CAJ | 1,759.5 | 1,530 | 4,590.00 | | 0.00 | | | 0.00 | | 0.00 | 5,278.50 | 4,590.00 | |
|
| | | | | | | 132 | | 2.3.4.1.01 | Timolol, Dorzolamida | 3 | UD | 1,748 | 1,520 | 4,560.00 | | 0.00 | | | 0.00 | | 0.00 | 5,244.00 | 4,560.00 | |
|
| | | | | | | 133 | | 2.3.4.1.01 | Diosmina 500 mg | 3 | CAJ | 9,533.5 | 8,290 | 24,870.00 | | 0.00 | | | 0.00 | | 0.00 | 28,600.50 | 24,870.00 | |
|
| | | | | | | 134 | | 2.3.4.1.01 | Vildagliptina 50 mg, Metformina 850 mg | 6 | CAJ | 1,322.5 | 1,150 | 6,900.00 | | 0.00 | | | 0.00 | | 0.00 | 7,935.00 | 6,900.00 | |
|
| | | | | | | 135 | | 2.3.4.1.01 | Furosemida 40 mg | 6 | CAJ | 1,546.75 | 1,345 | 8,070.00 | | 0.00 | | | 0.00 | | 0.00 | 9,280.50 | 8,070.00 | |
|
| | | | | | | 136 | | 2.3.4.1.01 | Glimepirida 4 mg, Metformina 850 mg | 6 | CAJ | 1,569.75 | 1,365 | 8,190.00 | | 0.00 | | | 0.00 | | 0.00 | 9,418.50 | 8,190.00 | |
|
| | | | | | | 137 | | 2.3.4.1.01 | Vildagliptina 50 mg Metformina 850 mg | 6 | CAJ | 2,052.75 | 1,785 | 10,710.00 | | 0.00 | | | 0.00 | | 0.00 | 12,316.50 | 10,710.00 | |
|
| | | | | | | 138 | | 2.3.4.1.01 | Vildagliptina | 3 | CAJ | 1,480.05 | 1,287 | 3,861.00 | | 0.00 | | | 0.00 | | 0.00 | 4,440.15 | 3,861.00 | |
|
| | | | | | | 139 | | 2.3.4.1.01 | Glimepirida 4 mg | 3 | CAJ | 626.75 | 545 | 1,635.00 | | 0.00 | | | 0.00 | | 0.00 | 1,880.25 | 1,635.00 | |
|
| | | | | | | 140 | | 2.3.4.1.01 | Metformina 850 mg, Glimepirida 4 mg | 6 | CAJ | 1,359.3 | 1,182 | 7,092.00 | | 0.00 | | | 0.00 | | 0.00 | 8,155.80 | 7,092.00 | |
|
| | | | | | | 141 | | 2.3.4.1.01 | hidrocloruro 20 mg | 3 | CAJ | 178.25 | 155 | 465.00 | | 0.00 | | | 0.00 | | 0.00 | 534.75 | 465.00 | |
|
| | | | | | | 142 | | 2.3.4.1.01 | fenitoína sodica 100 mg | 4 | UD | 2,599 | 2,260 | 9,040.00 | | 0.00 | | | 0.00 | | 0.00 | 10,396.00 | 9,040.00 | |
|
| | | | | | | 143 | | 2.3.4.1.01 | Amlodipina 10 mg, Valsartan 160 mg,
Hidroclorotiazida 12.5 mg | 7 | CAJ | 3,417.8 | 2,972 | 20,804.00 | | 0.00 | | | 0.00 | | 0.00 | 23,924.60 | 20,804.00 | |
|
| | | | | | | 144 | | 2.3.4.1.01 | Carvedilol 12.5 mg | 3 | CAJ | 670.45 | 583 | 1,749.00 | | 0.00 | | | 0.00 | | 0.00 | 2,011.35 | 1,749.00 | |
|
| | | | | | | 145 | | 2.3.4.1.01 | Ácido valproico 500 mg | 2 | CAJ | 2,366.7 | 2,058 | 4,116.00 | | 0.00 | | | 0.00 | | 0.00 | 4,733.40 | 4,116.00 | |
|
| | | | | | | 146 | | 2.3.4.1.01 | Atenolol 50 mg, Nifedipina Retard 20 mg | 3 | CAJ | 759 | 660 | 1,980.00 | | 0.00 | | | 0.00 | | 0.00 | 2,277.00 | 1,980.00 | |
|
| | | | | | | 147 | | 2.3.4.1.01 | Glucosamina Sulfato 1500 mg, Meloxicam 15
mg | 3 | CAJ | 6,284.75 | 5,465 | 16,395.00 | | 0.00 | | | 0.00 | | 0.00 | 18,854.25 | 16,395.00 | |
|
| | | | | | | 148 | | 2.3.4.1.01 | Losartan 50 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 2,530 | 2,200 | 6,600.00 | | 0.00 | | | 0.00 | | 0.00 | 7,590.00 | 6,600.00 | |
|
| | | | | | | 149 | | 2.3.4.1.01 | Losartan 50 mg, Amlodipina 5 mg,
Hidroclorotiazida 12.5 mg | 6 | CAJ | 2,650.75 | 2,305 | 13,830.00 | | 0.00 | | | 0.00 | | 0.00 | 15,904.50 | 13,830.00 | |
|
| | | | | | | 150 | | 2.3.4.1.01 | Espironolactona 25 mg | 3 | CAJ | 437 | 380 | 1,140.00 | | 0.00 | | | 0.00 | | 0.00 | 1,311.00 | 1,140.00 | |
|
| | | | | | | 151 | | 2.3.4.1.01 | Acido ibandronato 150 mg | 3 | CAJ | 2,191.9 | 1,906 | 5,718.00 | | 0.00 | | | 0.00 | | 0.00 | 6,575.70 | 5,718.00 | |
|
| | | | | | | 152 | | 2.3.4.1.01 | Tadalifilo 5 mg | 3 | CAJ | 2,590.95 | 2,253 | 6,759.00 | | 0.00 | | | 0.00 | | 0.00 | 7,772.85 | 6,759.00 | |
|
| | | | | | | 153 | | 2.3.4.1.01 | Enalapril 20 mg | 3 | CAJ | 931.5 | 810 | 2,430.00 | | 0.00 | | | 0.00 | | 0.00 | 2,794.50 | 2,430.00 | |
|
| | | | | | | 154 | | 2.3.4.1.01 | Lisinopril 20 mg, Hidroclorotiazida 12.5 mg | 6 | CAJ | 1,053.4 | 916 | 5,496.00 | | 0.00 | | | 0.00 | | 0.00 | 6,320.40 | 5,496.00 | |
|
| | | | | | | 155 | | 2.3.4.1.01 | Citalopram 10 mg | 3 | CAJ | 2,731.25 | 2,375 | 7,125.00 | | 0.00 | | | 0.00 | | 0.00 | 8,193.75 | 7,125.00 | |
|
| | | | | | | 156 | | 2.3.4.1.01 | Venlafaxina 150 mg | 3 | CAJ | 5,025.5 | 4,370 | 13,110.00 | | 0.00 | | | 0.00 | | 0.00 | 15,076.50 | 13,110.00 | |
|
| | | | | | | 157 | | 2.3.4.1.01 | Eplerenona 25 mg | 4 | CAJ | 2,415 | 2,100 | 8,400.00 | | 0.00 | | | 0.00 | | 0.00 | 9,660.00 | 8,400.00 | |
|
| | | | | | | 158 | | 2.3.4.1.01 | Espironolactona 25 mg | 1 | CAJ | 3,139.5 | 2,730 | 2,730.00 | | 0.00 | | | 0.00 | | 0.00 | 3,139.50 | 2,730.00 | |
|
| | | | | | | 159 | | 2.3.4.1.01 | Enalapril 20 mg | 9 | UD | 241.5 | 210 | 1,890.00 | | 0.00 | | | 0.00 | | 0.00 | 2,173.50 | 1,890.00 | |
|
| | | | | | | 160 | | 2.3.4.1.01 | Nicotinato de Tocoferol 200 mg | 3 | CAJ | 2,306.9 | 2,006 | 6,018.00 | | 0.00 | | | 0.00 | | 0.00 | 6,920.70 | 6,018.00 | |
|
| | | | | | | 161 | | 2.3.4.1.01 | Esomeprazol 40 mg | 7 | CAJ | 2,369 | 2,060 | 14,420.00 | | 0.00 | | | 0.00 | | 0.00 | 16,583.00 | 14,420.00 | |
|
| | | | | | | 162 | | 2.3.4.1.01 | Esomeprazol 20 mg | 2 | CAJ | 2,012.5 | 1,750 | 3,500.00 | | 0.00 | | | 0.00 | | 0.00 | 4,025.00 | 3,500.00 | |
|
| | | | | | | 163 | | 2.3.4.1.01 | Bisoprolol 5 mg | 3 | CAJ | 1,633 | 1,420 | 4,260.00 | | 0.00 | | | 0.00 | | 0.00 | 4,899.00 | 4,260.00 | |
|
| | | | | | | 164 | | 2.3.4.1.01 | Omeprazol | 3 | CAJ | 1,086.75 | 945 | 2,835.00 | | 0.00 | | | 0.00 | | 0.00 | 3,260.25 | 2,835.00 | |
|
| | | | | | | 165 | | 2.3.4.1.01 | Etoricoxib 90 mg | 6 | CAJ | 954.5 | 830 | 4,980.00 | | 0.00 | | | 0.00 | | 0.00 | 5,727.00 | 4,980.00 | |
|
| | | | | | | 166 | | 2.3.4.1.01 | Losartan 100 mg, Hidroclorotiazida 25 mg | 3 | CAJ | 1,690.5 | 1,470 | 4,410.00 | | 0.00 | | | 0.00 | | 0.00 | 5,071.50 | 4,410.00 | |
|
| | | | | | | 167 | | 2.3.4.1.01 | Levotiroxina 100 mg | 2 | CAJ | 1,949.25 | 1,695 | 3,390.00 | | 0.00 | | | 0.00 | | 0.00 | 3,898.50 | 3,390.00 | |
|
| | | | | | | 168 | | 2.3.4.1.01 | Levotiroxina 112 mg | 3 | CAJ | 2,041.25 | 1,775 | 5,325.00 | | 0.00 | | | 0.00 | | 0.00 | 6,123.75 | 5,325.00 | |
|
| | | | | | | 169 | | 2.3.4.1.01 | Levotiroxina 125 mg | 2 | CAJ | 2,041.25 | 1,775 | 3,550.00 | | 0.00 | | | 0.00 | | 0.00 | 4,082.50 | 3,550.00 | |
|
| | | | | | | 170 | | 2.3.4.1.01 | Levotiroxina 150 mg | 3 | CAJ | 2,357.5 | 2,050 | 6,150.00 | | 0.00 | | | 0.00 | | 0.00 | 7,072.50 | 6,150.00 | |
|
| | | | | | | 171 | | 2.3.4.1.01 | Levotiroxina 75 mg | 6 | CAJ | 1,805.5 | 1,570 | 9,420.00 | | 0.00 | | | 0.00 | | 0.00 | 10,833.00 | 9,420.00 | |
|
| | | | | | | 172 | | 2.3.4.1.01 | Levotiroxina 88 mg | 2 | CAJ | 2,089.55 | 1,817 | 3,634.00 | | 0.00 | | | 0.00 | | 0.00 | 4,179.10 | 3,634.00 | |
|
| | | | | | | 173 | | 2.3.4.1.01 | Levotiroxina 50 mg | 2 | CAJ | 1,299.5 | 1,130 | 2,260.00 | | 0.00 | | | 0.00 | | 0.00 | 2,599.00 | 2,260.00 | |
|
| | | | | | | 174 | | 2.3.4.1.01 | Nifedipina 30 mg | 7 | CAJ | 1,029.25 | 895 | 6,265.00 | | 0.00 | | | 0.00 | | 0.00 | 7,204.75 | 6,265.00 | |
|
| | | | | | | 175 | | 2.3.4.1.01 | Fenofibrato 160 mg | 3 | CAJ | 1,196 | 1,040 | 3,120.00 | | 0.00 | | | 0.00 | | 0.00 | 3,588.00 | 3,120.00 | |
|
| | | | | | | 176 | | 2.3.4.1.01 | Vildagliptina 50 mg, Metformina 850 mg | 3 | CAJ | 1,811.25 | 1,575 | 4,725.00 | | 0.00 | | | 0.00 | | 0.00 | 5,433.75 | 4,725.00 | |
|
| | | | | | | 177 | | 2.3.4.1.01 | Fenofibrato 160 mg | 3 | CAJ | 1,196 | 1,040 | 3,120.00 | | 0.00 | | | 0.00 | | 0.00 | 3,588.00 | 3,120.00 | |
|
| | | | | | | 178 | | 2.3.4.1.01 | pregabalina 25 mg | 4 | CAJ | 1,593.9 | 1,386 | 5,544.00 | | 0.00 | | | 0.00 | | 0.00 | 6,375.60 | 5,544.00 | |
|
| | | | | | | 179 | | 2.3.4.1.01 | Furosemida 40 mg | 3 | CAJ | 437 | 380 | 1,140.00 | | 0.00 | | | 0.00 | | 0.00 | 1,311.00 | 1,140.00 | |
|
| | | | | | | 180 | | 2.3.4.1.01 | Flavonoica Purificada 500 mg | 3 | CAJ | 2,829 | 2,460 | 7,380.00 | | 0.00 | | | 0.00 | | 0.00 | 8,487.00 | 7,380.00 | |
|
| | | | | | | 181 | | 2.3.4.1.01 | Flunarizina 10 mg | 3 | CAJ | 1,897.5 | 1,650 | 4,950.00 | | 0.00 | | | 0.00 | | 0.00 | 5,692.50 | 4,950.00 | |
|
| | | | | | | 182 | | 2.3.4.1.01 | Pregabalina 150 mg | 3 | CAJ | 3,007.25 | 2,615 | 7,845.00 | | 0.00 | | | 0.00 | | 0.00 | 9,021.75 | 7,845.00 | |
|
| | | | | | | 183 | | 2.3.4.1.01 | Tamsulosina 0.40 Mg, Dutasterida 0.50 Mg | 3 | CAJ | 3,622.5 | 3,150 | 9,450.00 | | 0.00 | | | 0.00 | | 0.00 | 10,867.50 | 9,450.00 | |
|
| | | | | | | 184 | | 2.3.4.1.01 | Vildagliptina 50 mg, Metformina 500 mg | 3 | CAJ | 4,318.25 | 3,755 | 11,265.00 | | 0.00 | | | 0.00 | | 0.00 | 12,954.75 | 11,265.00 | |
|
| | | | | | | 185 | | 2.3.4.1.01 | Vildagliptina 50 mg, Metformina 850 mg | 2 | CAJ | 4,318.25 | 3,755 | 7,510.00 | | 0.00 | | | 0.00 | | 0.00 | 8,636.50 | 7,510.00 | |
|
| | | | | | | 186 | | 2.3.4.1.01 | Vildagliptina 50 mg, Metformina 1000 mg | 2 | CAJ | 4,318.25 | 3,755 | 7,510.00 | | 0.00 | | | 0.00 | | 0.00 | 8,636.50 | 7,510.00 | |
|
| | | | | | | 187 | | 2.3.4.1.01 | Acido Gamma-amino-butírico (GABA) 75
mg; Acido Gamma-amino-beta- | 3 | CAJ | 2,472.5 | 2,150 | 6,450.00 | | 0.00 | | | 0.00 | | 0.00 | 7,417.50 | 6,450.00 | |
|
| | | | | | | 188 | | 2.3.4.1.01 | Simeticona | 3 | CAJ | 1,178.75 | 1,025 | 3,075.00 | | 0.00 | | | 0.00 | | 0.00 | 3,536.25 | 3,075.00 | |
|
| | | | | | | 189 | | 2.3.4.1.01 | Valsartan 320, Amlodipina 5 mg | 3 | CAJ | 3,645.5 | 3,170 | 9,510.00 | | 0.00 | | | 0.00 | | 0.00 | 10,936.50 | 9,510.00 | |
|
| | | | | | | 190 | | 2.3.4.1.01 | Vlsartan 320 mg, Hidroclorotiazida 25 mg | 3 | CAJ | 3,162.5 | 2,750 | 8,250.00 | | 0.00 | | | 0.00 | | 0.00 | 9,487.50 | 8,250.00 | |
|
| | | | | | | 191 | | 2.3.4.1.01 | Dorzolamida Clorhidrato 22.26 mg (Base
equivalente 20 mg); Citrato de Sodio; Cloruro | 3 | UD | 1,449 | 1,260 | 3,780.00 | | 0.00 | | | 0.00 | | 0.00 | 4,347.00 | 3,780.00 | |
|
| | | | | | | 192 | | 2.3.4.1.01 | Metformina 850 mg | 3 | CAJ | 943 | 820 | 2,460.00 | | 0.00 | | | 0.00 | | 0.00 | 2,829.00 | 2,460.00 | |
|
| | | | | | | 193 | | 2.3.4.1.01 | Metformina 500 mg | 3 | CAJ | 1,023.5 | 890 | 2,670.00 | | 0.00 | | | 0.00 | | 0.00 | 3,070.50 | 2,670.00 | |
|
| | | | | | | 194 | | 2.3.4.1.01 | Metformina 1000 mg | 3 | CAJ | 1,420.25 | 1,235 | 3,705.00 | | 0.00 | | | 0.00 | | 0.00 | 4,260.75 | 3,705.00 | |
|
| | | | | | | 195 | | 2.3.4.1.01 | Glimepirida 4 mg, Metformina 1000 mg | 4 | CAJ | 1,305.25 | 1,135 | 4,540.00 | | 0.00 | | | 0.00 | | 0.00 | 5,221.00 | 4,540.00 | |
|
| | | | | | | 196 | | 2.3.4.1.01 | Glimepirida 4 mg, Metformina 850 mg | 3 | CAJ | 1,184.5 | 1,030 | 3,090.00 | | 0.00 | | | 0.00 | | 0.00 | 3,553.50 | 3,090.00 | |
|
| | | | | | | 197 | | 2.3.4.1.01 | Glimepirida 2 mg | 3 | CAJ | 1,040.75 | 905 | 2,715.00 | | 0.00 | | | 0.00 | | 0.00 | 3,122.25 | 2,715.00 | |
|
| | | | | | | 198 | | 2.3.4.1.01 | Glimepirida 2 mg, Metformina 500 mg | 3 | CAJ | 1,512.25 | 1,315 | 3,945.00 | | 0.00 | | | 0.00 | | 0.00 | 4,536.75 | 3,945.00 | |
|
| | | | | | | 199 | | 2.3.4.1.01 | Vildagliptina 50 mg | 3 | CAJ | 1,903.25 | 1,655 | 4,965.00 | | 0.00 | | | 0.00 | | 0.00 | 5,709.75 | 4,965.00 | |
|
| | | | | | | 200 | | 2.3.4.1.01 | Vildagliptina 50 mg, Metformina 1000 mg | 3 | CAJ | 2,156.25 | 1,875 | 5,625.00 | | 0.00 | | | 0.00 | | 0.00 | 6,468.75 | 5,625.00 | |
|
| | | | | | | 201 | | 2.3.4.1.01 | Vildagliptina 50 mg, Metformina 850 mg | 12 | CAJ | 2,156.25 | 1,875 | 22,500.00 | | 0.00 | | | 0.00 | | 0.00 | 25,875.00 | 22,500.00 | |
|
| | | | | | | 202 | | 2.3.4.1.01 | Metformina 1000 mg | 9 | CAJ | 2,089.55 | 1,817 | 16,353.00 | | 0.00 | | | 0.00 | | 0.00 | 18,805.95 | 16,353.00 | |
|
| | | | | | | 203 | | 2.3.4.1.01 | Metformina 750 mg | 6 | CAJ | 1,753.75 | 1,525 | 9,150.00 | | 0.00 | | | 0.00 | | 0.00 | 10,522.50 | 9,150.00 | |
|
| | | | | | | 204 | | 2.3.4.1.01 | Gibenclamida 5 mg, Metformina 850 mg | 9 | CAJ | 1,255.8 | 1,092 | 9,828.00 | | 0.00 | | | 0.00 | | 0.00 | 11,302.20 | 9,828.00 | |
|
| | | | | | | 205 | | 2.3.4.1.01 | Glimepirida 4 mg | 3 | CAJ | 2,277 | 1,980 | 5,940.00 | | 0.00 | | | 0.00 | | 0.00 | 6,831.00 | 5,940.00 | |
|
| | | | | | | 206 | | 2.3.4.1.01 | Metformina HCI 500 mg | 3 | CAJ | 1,201.75 | 1,045 | 3,135.00 | | 0.00 | | | 0.00 | | 0.00 | 3,605.25 | 3,135.00 | |
|
| | | | | | | 207 | | 2.3.4.1.01 | Metformina 500 mg | 3 | CAJ | 1,207.5 | 1,050 | 3,150.00 | | 0.00 | | | 0.00 | | 0.00 | 3,622.50 | 3,150.00 | |
|
| | | | | | | 208 | | 2.3.4.1.01 | Glimepirida 2 mg, Metformina 500 mg | 6 | CAJ | 1,932 | 1,680 | 10,080.00 | | 0.00 | | | 0.00 | | 0.00 | 11,592.00 | 10,080.00 | |
|
| | | | | | | 209 | | 2.3.4.1.01 | Hidroclorotiazida 25 mg | 3 | CAJ | 603.75 | 525 | 1,575.00 | | 0.00 | | | 0.00 | | 0.00 | 1,811.25 | 1,575.00 | |
|
| | | | | | | 210 | | 2.3.4.1.01 | Ornitina oxoglurato | 9 | CAJ | 1,805.5 | 1,570 | 14,130.00 | | 0.00 | | | 0.00 | | 0.00 | 16,249.50 | 14,130.00 | |
|
| | | | | | | 211 | | 2.3.4.1.01 | Hidroclorotiazida 25 mg | 4 | CAJ | 345 | 300 | 1,200.00 | | 0.00 | | | 0.00 | | 0.00 | 1,380.00 | 1,200.00 | |
|
| | | | | | | 212 | | 2.3.4.1.01 | Hidroclorotiazida 50 mg | 3 | CAJ | 502.55 | 437 | 1,311.00 | | 0.00 | | | 0.00 | | 0.00 | 1,507.65 | 1,311.00 | |
|
| | | | | | | 213 | | 2.3.4.1.01 | Lispro | 3 | CAJ | 8,068.4 | 7,016 | 21,048.00 | | 0.00 | | | 0.00 | | 0.00 | 24,205.20 | 21,048.00 | |
|
| | | | | | | 214 | | 2.3.4.1.01 | Polietilen Glicol 400 4.0 mg. Propilen Glicol
3.0 mg | 3 | UD | 598 | 520 | 1,560.00 | | 0.00 | | | 0.00 | | 0.00 | 1,794.00 | 1,560.00 | |
|
| | | | | | | 215 | | 2.3.4.1.01 | Sulfato Sódico de Condroitina 1.8 mg;
Hialuronato de Sodio 1.0 mg; Vehículo c.s. | 9 | UD | 984.4 | 856 | 7,704.00 | | 0.00 | | | 0.00 | | 0.00 | 8,859.60 | 7,704.00 | |
|
| | | | | | | 216 | | 2.3.4.1.01 | Clopidogrel 75 mg | 7 | CAJ | 1,630.7 | 1,418 | 9,926.00 | | 0.00 | | | 0.00 | | 0.00 | 11,414.90 | 9,926.00 | |
|
| | | | | | | 217 | | 2.3.4.1.01 | clopidogrel 75 mg,Ácido Acetilsalicílico 100
mg | 4 | CAJ | 1,992.95 | 1,733 | 6,932.00 | | 0.00 | | | 0.00 | | 0.00 | 7,971.80 | 6,932.00 | |
|
| | | | | | | 218 | | 2.3.4.1.01 | Irbesartan 150 mg | 3 | CAJ | 2,067.7 | 1,798 | 5,394.00 | | 0.00 | | | 0.00 | | 0.00 | 6,203.10 | 5,394.00 | |
|
| | | | | | | 219 | | 2.3.4.1.01 | Ezomeprazol 40 mg | 3 | CAJ | 2,610.5 | 2,270 | 6,810.00 | | 0.00 | | | 0.00 | | 0.00 | 7,831.50 | 6,810.00 | |
|
| | | | | | | 220 | | 2.3.4.1.01 | Bisoprolol 10 mg | 4 | CAJ | 1,196 | 1,040 | 4,160.00 | | 0.00 | | | 0.00 | | 0.00 | 4,784.00 | 4,160.00 | |
|
| | | | | | | 221 | | 2.3.4.1.01 | Bisoprolol 5 mg, Amlodipina 5 mg | 9 | CAJ | 1,679 | 1,460 | 13,140.00 | | 0.00 | | | 0.00 | | 0.00 | 15,111.00 | 13,140.00 | |
|
| | | | | | | 222 | | 2.3.4.1.01 | Bisoprolol 5 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 1,449 | 1,260 | 3,780.00 | | 0.00 | | | 0.00 | | 0.00 | 4,347.00 | 3,780.00 | |
|
| | | | | | | 223 | | 2.3.4.1.01 | Ibesartan 300 mg, Hidroclorotiazida 12.5 mg | 4 | CAJ | 2,535.75 | 2,205 | 8,820.00 | | 0.00 | | | 0.00 | | 0.00 | 10,143.00 | 8,820.00 | |
|
| | | | | | | 224 | | 2.3.4.1.01 | Ibesartan 300 mg | 9 | CAJ | 2,760 | 2,400 | 21,600.00 | | 0.00 | | | 0.00 | | 0.00 | 24,840.00 | 21,600.00 | |
|
| | | | | | | 225 | | 2.3.4.1.01 | Ibesartan 150 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 2,768.05 | 2,407 | 7,221.00 | | 0.00 | | | 0.00 | | 0.00 | 8,304.15 | 7,221.00 | |
|
| | | | | | | 226 | | 2.3.4.1.01 | Irbesartan 300 mg, Amlodipina 10 mg,
Hidroclorotiazida 25 mg | 6 | CAJ | 3,139.5 | 2,730 | 16,380.00 | | 0.00 | | | 0.00 | | 0.00 | 18,837.00 | 16,380.00 | |
|
| | | | | | | 227 | | 2.3.4.1.01 | Ibesartan 150 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 1,886 | 1,640 | 4,920.00 | | 0.00 | | | 0.00 | | 0.00 | 5,658.00 | 4,920.00 | |
|
| | | | | | | 228 | | 2.3.4.1.01 | Ibesartan 300 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 2,070 | 1,800 | 5,400.00 | | 0.00 | | | 0.00 | | 0.00 | 6,210.00 | 5,400.00 | |
|
| | | | | | | 229 | | 2.3.4.1.01 | Irbesartan 150 mg | 3 | CAJ | 2,484 | 2,160 | 6,480.00 | | 0.00 | | | 0.00 | | 0.00 | 7,452.00 | 6,480.00 | |
|
| | | | | | | 230 | | 2.3.4.1.01 | Irbesartan 300 mg, Amlodipina 10 mg | 3 | CAJ | 3,013 | 2,620 | 7,860.00 | | 0.00 | | | 0.00 | | 0.00 | 9,039.00 | 7,860.00 | |
|
| | | | | | | 231 | | 2.3.4.1.01 | Irbesartan 150 mg,Amlodipina 5 mg,
Hidroclorotiazida 12.5 mg | 3 | CAJ | 3,013 | 2,620 | 7,860.00 | | 0.00 | | | 0.00 | | 0.00 | 9,039.00 | 7,860.00 | |
|
| | | | | | | 232 | | 2.3.4.1.01 | Irbesartan 150 mg | 3 | CAJ | 1,679 | 1,460 | 4,380.00 | | 0.00 | | | 0.00 | | 0.00 | 5,037.00 | 4,380.00 | |
|
| | | | | | | 233 | | 2.3.4.1.01 | Olmesartán 40 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 3,461.5 | 3,010 | 9,030.00 | | 0.00 | | | 0.00 | | 0.00 | 10,384.50 | 9,030.00 | |
|
| | | | | | | 234 | | 2.3.4.1.01 | Maleato de timolol 5.0 mg 0.5%, Cloruro de
sodio, cloruro de benzalconio como | 3 | UD | 1,178.75 | 1,025 | 3,075.00 | | 0.00 | | | 0.00 | | 0.00 | 3,536.25 | 3,075.00 | |
|
| | | | | | | 235 | | 2.3.4.1.01 | Candesartan 8 mg, Amlodipina 5 mg | 3 | CAJ | 1,972.25 | 1,715 | 5,145.00 | | 0.00 | | | 0.00 | | 0.00 | 5,916.75 | 5,145.00 | |
|
| | | | | | | 236 | | 2.3.4.1.01 | Candesartan 16 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 1,569.75 | 1,365 | 4,095.00 | | 0.00 | | | 0.00 | | 0.00 | 4,709.25 | 4,095.00 | |
|
| | | | | | | 237 | | 2.3.4.1.01 | Candesartan 32 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 1,995.25 | 1,735 | 5,205.00 | | 0.00 | | | 0.00 | | 0.00 | 5,985.75 | 5,205.00 | |
|
| | | | | | | 238 | | 2.3.4.1.01 | Eplerenona 25 mg | 3 | CAJ | 2,068.85 | 1,799 | 5,397.00 | | 0.00 | | | 0.00 | | 0.00 | 6,206.55 | 5,397.00 | |
|
| | | | | | | 239 | | 2.3.4.1.01 | Insulina humana, combinaciones acción intermedia, rápida | 6 | UD | 2,070 | 1,800 | 10,800.00 | | 0.00 | | | 0.00 | | 0.00 | 12,420.00 | 10,800.00 | |
|
| | | | | | | 240 | | 2.3.4.1.01 | Insulina glargina 100 mg | 6 | UD | 2,829 | 2,460 | 14,760.00 | | 0.00 | | | 0.00 | | 0.00 | 16,974.00 | 14,760.00 | |
|
| | | | | | | 241 | | 2.3.4.1.01 | Insulina Glargina 3.64 mg, Acido Clorhídrico;
Cloruro de Zinc; Hidróxido de Sodio; M- | 9 | CAJ | 1,914.75 | 1,665 | 14,985.00 | | 0.00 | | | 0.00 | | 0.00 | 17,232.75 | 14,985.00 | |
|
| | | | | | | 242 | | 2.3.4.1.01 | canagliflozina 300 mg | 6 | CAJ | 6,342.25 | 5,515 | 33,090.00 | | 0.00 | | | 0.00 | | 0.00 | 38,053.50 | 33,090.00 | |
|
| | | | | | | 243 | | 2.3.4.1.01 | Irbesartan 300 mg | 3 | CAJ | 1,529.5 | 1,330 | 3,990.00 | | 0.00 | | | 0.00 | | 0.00 | 4,588.50 | 3,990.00 | |
|
| | | | | | | 244 | | 2.3.4.1.01 | Vildagliptina 50 mg, Metformina 850 mg | 2 | CAJ | 3,996.25 | 3,475 | 6,950.00 | | 0.00 | | | 0.00 | | 0.00 | 7,992.50 | 6,950.00 | |
|
| | | | | | | 245 | | 2.3.4.1.01 | Sitagliptina 50 mg, Metformina 1000 mg | 3 | CAJ | 5,962.75 | 5,185 | 15,555.00 | | 0.00 | | | 0.00 | | 0.00 | 17,888.25 | 15,555.00 | |
|
| | | | | | | 246 | | 2.3.4.1.01 | Sitagliptina 100 mg | 3 | CAJ | 5,980 | 5,200 | 15,600.00 | | 0.00 | | | 0.00 | | 0.00 | 17,940.00 | 15,600.00 | |
|
| | | | | | | 247 | | 2.3.4.1.01 | Empagliflozina 10 mg. | 3 | CAJ | 2,829 | 2,460 | 7,380.00 | | 0.00 | | | 0.00 | | 0.00 | 8,487.00 | 7,380.00 | |
|
| | | | | | | 248 | | 2.3.4.1.01 | Empagliflozina 25 mg. | 3 | CAJ | 2,829 | 2,460 | 7,380.00 | | 0.00 | | | 0.00 | | 0.00 | 8,487.00 | 7,380.00 | |
|
| | | | | | | 249 | | 2.3.4.1.01 | Linagliptina 5 mg, Empagliflozina 10 mg | 3 | CAJ | 3,289 | 2,860 | 8,580.00 | | 0.00 | | | 0.00 | | 0.00 | 9,867.00 | 8,580.00 | |
|
| | | | | | | 250 | | 2.3.4.1.01 | Colageno complejo tipo II 300mg, Sulfato de
Glucosamina 1000mg, sulfato de condroitina | 3 | CAJ | 1,403 | 1,220 | 3,660.00 | | 0.00 | | | 0.00 | | 0.00 | 4,209.00 | 3,660.00 | |
|
| | | | | | | 251 | | 2.3.4.1.01 | Hidroxilina 25 mg | 2 | CAJ | 1,753.75 | 1,525 | 3,050.00 | | 0.00 | | | 0.00 | | 0.00 | 3,507.50 | 3,050.00 | |
|
| | | | | | | 252 | | 2.3.4.1.01 | Irbesartan 150 mg, Amlodipina 5 mg | 3 | CAJ | 2,593.25 | 2,255 | 6,765.00 | | 0.00 | | | 0.00 | | 0.00 | 7,779.75 | 6,765.00 | |
|
| | | | | | | 253 | | 2.3.4.1.01 | Irbesartan 300 mg, Amlodipina 5 mg | 3 | CAJ | 2,593.25 | 2,255 | 6,765.00 | | 0.00 | | | 0.00 | | 0.00 | 7,779.75 | 6,765.00 | |
|
| | | | | | | 254 | | 2.3.4.1.01 | Irbesartan 150 mg, Hidroclorotiazida 12.5 mg | 6 | CAJ | 2,593.25 | 2,255 | 13,530.00 | | 0.00 | | | 0.00 | | 0.00 | 15,559.50 | 13,530.00 | |
|
| | | | | | | 255 | | 2.3.4.1.01 | Irbesartan 300 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 2,357.5 | 2,050 | 6,150.00 | | 0.00 | | | 0.00 | | 0.00 | 7,072.50 | 6,150.00 | |
|
| | | | | | | 256 | | 2.3.4.1.01 | Levetiracetam | 3 | UD | 7,707.3 | 6,702 | 20,106.00 | | 0.00 | | | 0.00 | | 0.00 | 23,121.90 | 20,106.00 | |
|
| | | | | | | 257 | | 2.3.4.1.01 | Candesartán Cilexetilo16 mg.
Hidroclorotiazida 12.5 mg. | 3 | CAJ | 1,978 | 1,720 | 5,160.00 | | 0.00 | | | 0.00 | | 0.00 | 5,934.00 | 5,160.00 | |
|
| | | | | | | 258 | | 2.3.4.1.01 | Timolol, Brimonidina, Dorzolamida. | 10 | UD | 2,777.25 | 2,415 | 24,150.00 | | 0.00 | | | 0.00 | | 0.00 | 27,772.50 | 24,150.00 | |
|
| | | | | | | 259 | | 2.3.4.1.01 | Hidrocloruro de Tamsulosina 0.4 mg | 3 | CAJ | 2,121.75 | 1,845 | 5,535.00 | | 0.00 | | | 0.00 | | 0.00 | 6,365.25 | 5,535.00 | |
|
| | | | | | | 260 | | 2.3.4.1.01 | Lacosamida 100 mg | 3 | CAJ | 6,123.75 | 5,325 | 15,975.00 | | 0.00 | | | 0.00 | | 0.00 | 18,371.25 | 15,975.00 | |
|
| | | | | | | 261 | | 2.3.4.1.01 | Lamotrigina 100 mg | 3 | CAJ | 3,530.5 | 3,070 | 9,210.00 | | 0.00 | | | 0.00 | | 0.00 | 10,591.50 | 9,210.00 | |
|
| | | | | | | 262 | | 2.3.4.1.01 | Paroxetina 20 mg | 6 | CAJ | 2,768.05 | 2,407 | 14,442.00 | | 0.00 | | | 0.00 | | 0.00 | 16,608.30 | 14,442.00 | |
|
| | | | | | | 263 | | 2.3.4.1.01 | Furosemida 40 mg | 2 | CAJ | 3,291.3 | 2,862 | 5,724.00 | | 0.00 | | | 0.00 | | 0.00 | 6,582.60 | 5,724.00 | |
|
| | | | | | | 264 | | 2.3.4.1.01 | Levetiracetam 1000 mg | 3 | CAJ | 4,924.3 | 4,282 | 12,846.00 | | 0.00 | | | 0.00 | | 0.00 | 14,772.90 | 12,846.00 | |
|
| | | | | | | 265 | | 2.3.4.1.01 | Levetiracetam 100 mg | 4 | CAJ | 3,858.25 | 3,355 | 13,420.00 | | 0.00 | | | 0.00 | | 0.00 | 15,433.00 | 13,420.00 | |
|
| | | | | | | 266 | | 2.3.4.1.01 | Levotiroxina 150 mcg | 3 | CAJ | 833.75 | 725 | 2,175.00 | | 0.00 | | | 0.00 | | 0.00 | 2,501.25 | 2,175.00 | |
|
| | | | | | | 267 | | 2.3.4.1.01 | Linagliptina 5 mg | 3 | CAJ | 2,898 | 2,520 | 7,560.00 | | 0.00 | | | 0.00 | | 0.00 | 8,694.00 | 7,560.00 | |
|
| | | | | | | 268 | | 2.3.4.1.01 | Pregabalina 75 mg | 3 | UD | 1,618.05 | 1,407 | 4,221.00 | | 0.00 | | | 0.00 | | 0.00 | 4,854.15 | 4,221.00 | |
|
| | | | | | | 269 | | 2.3.4.1.01 | Atorvastatina 40 mg | 3 | CAJ | 9,355.25 | 8,135 | 24,405.00 | | 0.00 | | | 0.00 | | 0.00 | 28,065.75 | 24,405.00 | |
|
| | | | | | | 270 | | 2.3.4.1.01 | Lisnopril 10 mg | 1 | CAJ | 1,207.5 | 1,050 | 1,050.00 | | 0.00 | | | 0.00 | | 0.00 | 1,207.50 | 1,050.00 | |
|
| | | | | | | 271 | | 2.3.4.1.01 | Lisinopril 20 mg, Hidroclorotiazida 12.5 mg | 9 | CAJ | 281.75 | 245 | 2,205.00 | | 0.00 | | | 0.00 | | 0.00 | 2,535.75 | 2,205.00 | |
|
| | | | | | | 272 | | 2.3.4.1.01 | Lisinopril 2 mg | 3 | CAJ | 954.5 | 830 | 2,490.00 | | 0.00 | | | 0.00 | | 0.00 | 2,863.50 | 2,490.00 | |
|
| | | | | | | 273 | | 2.3.4.1.01 | Lisinopril 20 mg, Hidroclorotiazida 12.5 mg | 3 | CAJ | 1,075.25 | 935 | 2,805.00 | | 0.00 | | | 0.00 | | 0.00 | 3,225.75 | 2,805.00 | |
|
| | | | | | | 274 | | 2.3.4.1.01 | Amlodipina 10 mg, Metopolol 100 mg | 3 | CAJ | 1,630.7 | 1,418 | 4,254.00 | | 0.00 | | | 0.00 | | 0.00 | 4,892.10 | 4,254.00 | |
|
| | | | | | | 275 | | 2.3.4.1.01 | Losartan 100 mg, Amlodipina 10 mg,
Hidroclorotiazida 25 mg | 4 | CAJ | 2,940.55 | 2,557 | 10,228.00 | | 0.00 | | | 0.00 | | 0.00 | 11,762.20 | 10,228.00 | |
|
| | | | | | | 276 | | 2.3.4.1.01 | Losartan 100 mg | 2 | CAJ | 2,415 | 2,100 | 4,200.00 | | 0.00 | | | 0.00 | | 0.00 | 4,830.00 | 4,200.00 | |
|
| | | | | | | 277 | | 2.3.4.1.01 | Losartan 50 mg | 1 | CAJ | 1,725 | 1,500 | 1,500.00 | | 0.00 | | | 0.00 | | 0.00 | 1,725.00 | 1,500.00 | |
|
| | | | | | | 278 | | 2.3.4.1.01 | Losartan 100 mg, Hidroclorotiazida 25 mg | 3 | CAJ | 1,138.5 | 990 | 2,970.00 | | 0.00 | | | 0.00 | | 0.00 | 3,415.50 | 2,970.00 | |
|
| | | | | | | 279 | | 2.3.4.1.01 | Latanoprost 0,005 g Triglicéridos de cadena
media 1,000 g; Polisorbato 80 0,250 g; | 3 | UD | 2,116 | 1,840 | 5,520.00 | | 0.00 | | | 0.00 | | 0.00 | 6,348.00 | 5,520.00 | |
|
| | | | | | | 280 | | 2.3.4.1.01 | Carboximetilcelulosa Sódica 5mg | 6 | UD | 787.75 | 685 | 4,110.00 | | 0.00 | | | 0.00 | | 0.00 | 4,726.50 | 4,110.00 | |
|
| | | | | | | 281 | | 2.3.4.1.01 | Acetato de Leuprorelina 7.5 mg | 3 | UD | 18,474.75 | 16,065 | 48,195.00 | | 0.00 | | | 0.00 | | 0.00 | 55,424.25 | 48,195.00 | |
|
| | | | | | | 282 | | 2.3.4.1.01 | Rosuvastatina 40 mg | 10 | CAJ | 2,765.75 | 2,405 | 24,050.00 | | 0.00 | | | 0.00 | | 0.00 | 27,657.50 | 24,050.00 | |
|
| | | | | | | 283 | | 2.3.4.1.01 | Vitamina D3 (Colecalciferol 100.000UI) | 1 | CAJ | 2,668 | 2,320 | 2,320.00 | | 0.00 | | | 0.00 | | 0.00 | 2,668.00 | 2,320.00 | |
|
| | | | | | | 284 | | 2.3.4.1.01 | Metoprolol 50 mg | 2 | CAJ | 1,092.5 | 950 | 1,900.00 | | 0.00 | | | 0.00 | | 0.00 | 2,185.00 | 1,900.00 | |
|
| | | | | | | 285 | | 2.3.4.1.01 | Metroprolol 100 mg, Amlodipina 5 mg | 3 | CAJ | 1,449 | 1,260 | 3,780.00 | | 0.00 | | | 0.00 | | 0.00 | 4,347.00 | 3,780.00 | |
|
| | | | | | | 286 | | 2.3.4.1.01 | Posología Betahistina 6 mg | 4 | CAJ | 1,334 | 1,160 | 4,640.00 | | 0.00 | | | 0.00 | | 0.00 | 5,336.00 | 4,640.00 | |
|
| | | | | | | 287 | | 2.3.4.1.01 | Polvo de cascara de semilla de plantago 3.258
g | 3 | UD | 1,512.25 | 1,551.7 | 4,655.10 | | 0.00 | | | 0.00 | | 0.00 | 4,536.75 | 4,655.10 | |
|
| | | | | | | 288 | | 2.3.4.1.01 | Metoprolol 100 mg | 1 | CAJ | 2,656.5 | 2,310 | 2,310.00 | | 0.00 | | | 0.00 | | 0.00 | 2,656.50 | 2,310.00 | |
|
| | | | | | | 289 | | 2.3.4.1.01 | Metformina 850 mg | 9 | CAJ | 580.75 | 505 | 4,545.00 | | 0.00 | | | 0.00 | | 0.00 | 5,226.75 | 4,545.00 | |
|
| | | | | | | 290 | | 2.3.4.1.01 | Metformina 850 mg | 6 | CAJ | 477.25 | 415 | 2,490.00 | | 0.00 | | | 0.00 | | 0.00 | 2,863.50 | 2,490.00 | |
|
| | | | | | | 291 | | 2.3.4.1.01 | Metformina 500 mg | 2 | CAJ | 1,029.25 | 895 | 1,790.00 | | 0.00 | | | 0.00 | | 0.00 | 2,058.50 | 1,790.00 | |
|
| | | | | | | 292 | | 2.3.4.1.01 | Metformina 850 mg | 1 | CAJ | 1,098.25 | 955 | 955.00 | | 0.00 | | | 0.00 | | 0.00 | 1,098.25 | 955.00 | |
|
| | | | | | | 293 | | 2.3.4.1.01 | Metformina 1000 mg | 2 | CAJ | 2,087.25 | 1,815 | 3,630.00 | | 0.00 | | | 0.00 | | 0.00 | 4,174.50 | 3,630.00 | |
|
| | | | | | | 294 | | 2.3.4.1.01 | Metotrexato 2.5 mg | 6 | CAJ | 869.4 | 756 | 4,536.00 | | 0.00 | | | 0.00 | | 0.00 | 5,216.40 | 4,536.00 | |
|
| | | | | | | 295 | | 2.3.4.1.01 | Extracto soluble de hígado 350 mg,Extracto
soluble de bazo 100 mg,Extracto soluble de | 4 | UD | 885.5 | 770 | 3,080.00 | | 0.00 | | | 0.00 | | 0.00 | 3,542.00 | 3,080.00 | |
|
| | | | | | | 296 | | 2.3.4.1.01 | Candesartan 16 mg, Hidroclorotiazida 12.5 mg | 6 | CAJ | 1,644.5 | 1,430 | 8,580.00 | | 0.00 | | | 0.00 | | 0.00 | 9,867.00 | 8,580.00 | |
|
| | | | | | | 297 | | 2.3.4.1.01 | Salicilato metilo, mentol | 3 | UD | 580.75 | 505 | 1,515.00 | | 0.00 | | | 0.00 | | 0.00 | 1,742.25 | 1,515.00 | |
|
| | | | | | | 298 | | 2.3.4.1.01 | Mirtazapina | 3 | CAJ | 1,963.05 | 1,707 | 5,121.00 | | 0.00 | | | 0.00 | | 0.00 | 5,889.15 | 5,121.00 | |
|
| | | | | | | 299 | | 2.3.4.1.01 | Mirtazapina 30 mg | 3 | CAJ | 3,105 | 2,700 | 8,100.00 | | 0.00 | | | 0.00 | | 0.00 | 9,315.00 | 8,100.00 | |
|
| | | | | | | 300 | | 2.3.4.1.01 | Mometasona | 1 | UD | 2,162 | 1,880 | 1,880.00 | | 0.00 | | | 0.00 | | 0.00 | 2,162.00 | 1,880.00 | |
|
| | | | | | | 301 | | 2.3.4.1.01 | Isosorbida mononitrato | 3 | CAJ | 1,242 | 1,080 | 3,240.00 | | 0.00 | | | 0.00 | | 0.00 | 3,726.00 | 3,240.00 | |
|
| | | | | | | 302 | | 2.3.4.1.01 | Nebivolol 5 mg | 3 | CAJ | 3,254.5 | 2,830 | 8,490.00 | | 0.00 | | | 0.00 | | 0.00 | 9,763.50 | 8,490.00 | |
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| | | | | | | 303 | | 2.3.4.1.01 | Losartan 50 mg, Hidroclorotiazida 12.5 mg | 4 | CAJ | 2,234.45 | 1,943 | 7,772.00 | | 0.00 | | | 0.00 | | 0.00 | 8,937.80 | 7,772.00 | |
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| | | | | | | 304 | | 2.3.4.1.01 | Fluoxetina 20 mg | 3 | CAJ | 1,899.8 | 1,652 | 4,956.00 | | 0.00 | | | 0.00 | | 0.00 | 5,699.40 | 4,956.00 | |
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