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| | | | 1 | | | DO1.PCCNTR.2129242 ContractData Container |
| | | 1.1 | | | | | | | | | | 243,890.30 | 0.00 | 0.00 | 0.00 | 243,890.30 | 243,890.30 |
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| | | | | | | 1 | | 2.3.4.1.01 | ACTIVIA 5 MG. X 30 COMP. | 1 | UD | 3,015.5 | 3,015.5 | 3,015.50 | | 0.00 | | | 0.00 | | 0.00 | 3,015.50 | 3,015.50 | |
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| | | | | | | 2 | | 2.3.4.1.01 | ACULAR LS GOTAS. | 1 | UD | 1,956 | 1,956 | 1,956.00 | | 0.00 | | | 0.00 | | 0.00 | 1,956.00 | 1,956.00 | |
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| | | | | | | 3 | | 2.3.4.1.01 | AFUMIX 37.5/500 MG. X 4 TAB. | 1 | UD | 1,527.31 | 1,527.31 | 1,527.31 | | 0.00 | | | 0.00 | | 0.00 | 1,527.31 | 1,527.31 | |
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| | | | | | | 4 | | 2.3.4.1.01 | ARACURE 16 MG. X 30 TAB. | 1 | UD | 1,793 | 1,793 | 1,793.00 | | 0.00 | | | 0.00 | | 0.00 | 1,793.00 | 1,793.00 | |
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| | | | | | | 5 | | 2.3.4.1.01 | ARAVA 20 MG. X 30 TAB. | 1 | UD | 7,747.85 | 7,747.85 | 7,747.85 | | 0.00 | | | 0.00 | | 0.00 | 7,747.85 | 7,747.85 | |
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| | | | | | | 6 | | 2.3.4.1.01 | BETAUNO-10 MG. X 30 TAB. | 1 | UD | 1,369.2 | 1,369.2 | 1,369.20 | | 0.00 | | | 0.00 | | 0.00 | 1,369.20 | 1,369.20 | |
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| | | | | | | 7 | | 2.3.4.1.01 | BLOQ 10 MG. X 30 TAB. | 3 | UD | 2,620.22 | 2,620.22 | 7,860.66 | | 0.00 | | | 0.00 | | 0.00 | 7,860.66 | 7,860.66 | |
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| | | | | | | 8 | | 2.3.4.1.01 | BRILINTA 90 MG. X 30 COMP. | 1 | UD | 5,517.55 | 5,517.55 | 5,517.55 | | 0.00 | | | 0.00 | | 0.00 | 5,517.55 | 5,517.55 | |
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| | | | | | | 9 | | 2.3.4.1.01 | CANDERSIL 32 MG. X 30 TAB. | 6 | UD | 3,115.4 | 3,115.4 | 18,692.40 | | 0.00 | | | 0.00 | | 0.00 | 18,692.40 | 18,692.40 | |
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| | | | | | | 10 | | 2.3.4.1.01 | CLOCARD 75 MG. X 30 TAB. | 2 | UD | 1,841.9 | 1,841.9 | 3,683.80 | | 0.00 | | | 0.00 | | 0.00 | 3,683.80 | 3,683.80 | |
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| | | | | | | 11 | | 2.3.4.1.01 | CONCOR 5 MG. X 30 TAB. | 1 | UD | 4,661.8 | 4,661.8 | 4,661.80 | | 0.00 | | | 0.00 | | 0.00 | 4,661.80 | 4,661.80 | |
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| | | | | | | 12 | | 2.3.4.1.01 | CORADONA 10 MG. X 30 TAB. | 3 | UD | 2,481.68 | 2,481.68 | 7,445.04 | | 0.00 | | | 0.00 | | 0.00 | 7,445.04 | 7,445.04 | |
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| | | | | | | 13 | | 2.3.4.1.01 | CORALAT 81 MG. X 30 TAB. | 1 | UD | 707.84 | 707.84 | 707.84 | | 0.00 | | | 0.00 | | 0.00 | 707.84 | 707.84 | |
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| | | | | | | 14 | | 2.3.4.1.01 | CURA-CLEAN SPRAY | 1 | UD | 482.74 | 482.74 | 482.74 | | 0.00 | | | 0.00 | | 0.00 | 482.74 | 482.74 | |
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| | | | | | | 15 | | 2.3.4.1.01 | DEMILOS X 30 COMP. | 1 | UD | 2,068.84 | 2,068.84 | 2,068.84 | | 0.00 | | | 0.00 | | 0.00 | 2,068.84 | 2,068.84 | |
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| | | | | | | 16 | | 2.3.4.1.01 | DOLOESPAM-C TAB. | 21 | UD | 40.13 | 40.13 | 842.73 | | 0.00 | | | 0.00 | | 0.00 | 842.73 | 842.73 | |
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| | | | | | | 17 | | 2.3.4.1.01 | DOXALAM D 50/12.5 MG. X 30 TAB. | 1 | UD | 2,887.24 | 2,887.24 | 2,887.24 | | 0.00 | | | 0.00 | | 0.00 | 2,887.24 | 2,887.24 | |
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| | | | | | | 18 | | 2.3.4.1.01 | ENTEROGERMINA X 10 AMP. | 1 | UD | 1,312.98 | 1,312.98 | 1,312.98 | | 0.00 | | | 0.00 | | 0.00 | 1,312.98 | 1,312.98 | |
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| | | | | | | 19 | | 2.3.4.1.01 | EZOLIUM 40 MG. X 30 CAPS. | 1 | UD | 5,492.81 | 5,492.81 | 5,492.81 | | 0.00 | | | 0.00 | | 0.00 | 5,492.81 | 5,492.81 | |
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| | | | | | | 20 | | 2.3.4.1.01 | FAPRIS 50 MG. X 30 TAB. | 1 | UD | 5,741.25 | 5,741.25 | 5,741.25 | | 0.00 | | | 0.00 | | 0.00 | 5,741.25 | 5,741.25 | |
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| | | | | | | 21 | | 2.3.4.1.01 | FIXEM 400 MG. X 10 TAB. | 2 | UD | 2,507.69 | 2,507.69 | 5,015.38 | | 0.00 | | | 0.00 | | 0.00 | 5,015.38 | 5,015.38 | |
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| | | | | | | 22 | | 2.3.4.1.01 | FLUOTOS JBE. 120 ML. | 1 | UD | 818.26 | 818.26 | 818.26 | | 0.00 | | | 0.00 | | 0.00 | 818.26 | 818.26 | |
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| | | | | | | 23 | | 2.3.4.1.01 | FURONASAL SPRAY | 1 | UD | 2,771 | 2,771 | 2,771.00 | | 0.00 | | | 0.00 | | 0.00 | 2,771.00 | 2,771.00 | |
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| | | | | | | 24 | | 2.3.4.1.01 | FUSIDEX CREMA. | 1 | UD | 1,253.84 | 1,253.84 | 1,253.84 | | 0.00 | | | 0.00 | | 0.00 | 1,253.84 | 1,253.84 | |
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| | | | | | | 25 | | 2.3.4.1.01 | GLIFORT SR 500 MG. X 30 TAB. | 1 | UD | 1,153.53 | 1,153.53 | 1,153.53 | | 0.00 | | | 0.00 | | 0.00 | 1,153.53 | 1,153.53 | |
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| | | | | | | 26 | | 2.3.4.1.01 | GLIPIRIDE COMPUESTO 4/1000 MG. X 30 | 6 | UD | 1,617.47 | 1,617.47 | 9,704.82 | | 0.00 | | | 0.00 | | 0.00 | 9,704.82 | 9,704.82 | |
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| | | | | | | 27 | | 2.3.4.1.01 | IBERTAN ULTRA 300/10/25 MG. X 30 TAB. | 2 | UD | 3,496.09 | 3,496.09 | 6,992.18 | | 0.00 | | | 0.00 | | 0.00 | 6,992.18 | 6,992.18 | |
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| | | | | | | 28 | | 2.3.4.1.01 | INLOSEP 32 MG. X 30 TAB. | 2 | UD | 2,200.5 | 2,200.5 | 4,401.00 | | 0.00 | | | 0.00 | | 0.00 | 4,401.00 | 4,401.00 | |
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| | | | | | | 29 | | 2.3.4.1.01 | LAGRICEL PF GOTAS. | 1 | UD | 1,263.87 | 1,263.87 | 1,263.87 | | 0.00 | | | 0.00 | | 0.00 | 1,263.87 | 1,263.87 | |
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| | | | | | | 30 | | 2.3.4.1.01 | LIPITOR 80 MG. X 14 TAB. | 1 | UD | 5,613.28 | 5,613.28 | 5,613.28 | | 0.00 | | | 0.00 | | 0.00 | 5,613.28 | 5,613.28 | |
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| | | | | | | 31 | | 2.3.4.1.01 | LOPRAXIN EZ 20/10 MG. X 30 TAB. | 2 | UD | 4,107.6 | 4,107.6 | 8,215.20 | | 0.00 | | | 0.00 | | 0.00 | 8,215.20 | 8,215.20 | |
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| | | | | | | 32 | | 2.3.4.1.01 | MAZENIL 600 MG. X 20 TAB. EFERV. | 1 | UD | 1,793 | 1,793 | 1,793.00 | | 0.00 | | | 0.00 | | 0.00 | 1,793.00 | 1,793.00 | |
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| | | | | | | 33 | | 2.3.4.1.01 | METFCARD V 50-1000 MG. X 30 TAB. | 1 | UD | 1,890.8 | 1,890.8 | 1,890.80 | | 0.00 | | | 0.00 | | 0.00 | 1,890.80 | 1,890.80 | |
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| | | | | | | 34 | | 2.3.4.1.01 | MINAMINO SPORT JBE. | 1 | UD | 855.05 | 855.05 | 855.05 | | 0.00 | | | 0.00 | | 0.00 | 855.05 | 855.05 | |
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| | | | | | | 35 | | 2.3.4.1.01 | MP ETORICOXIB 120 MG. X 10 TAB | 3 | UD | 554.2 | 554.2 | 1,662.60 | | 0.00 | | | 0.00 | | 0.00 | 1,662.60 | 1,662.60 | |
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| | | | | | | 36 | | 2.3.4.1.01 | MP ROSUVASTATINA 20 MG. X 10 TAB. | 3 | UD | 456.4 | 456.4 | 1,369.20 | | 0.00 | | | 0.00 | | 0.00 | 1,369.20 | 1,369.20 | |
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| | | | | | | 37 | | 2.3.4.1.01 | MP VILDAGLIPTINA 50 MG. X 10 TAB. | 29 | UD | 326 | 326 | 9,454.00 | | 0.00 | | | 0.00 | | 0.00 | 9,454.00 | 9,454.00 | |
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| | | | | | | 38 | | 2.3.4.1.01 | MULTIFLORA PLUS TAB. | 30 | UD | 100.29 | 100.29 | 3,008.70 | | 0.00 | | | 0.00 | | 0.00 | 3,008.70 | 3,008.70 | |
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| | | | | | | 39 | | 2.3.4.1.01 | NEBILET 5 MG. X 28 TAB. | 1 | UD | 3,660.85 | 3,660.85 | 3,660.85 | | 0.00 | | | 0.00 | | 0.00 | 3,660.85 | 3,660.85 | |
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| | | | | | | 40 | | 2.3.4.1.01 | NEXIUM 20 MG. X 7 TAB. | 1 | UD | 1,218.42 | 1,218.42 | 1,218.42 | | 0.00 | | | 0.00 | | 0.00 | 1,218.42 | 1,218.42 | |
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| | | | | | | 41 | | 2.3.4.1.01 | NEXIUM 40 MG. AMP. | 2 | UD | 2,407.18 | 2,407.18 | 4,814.36 | | 0.00 | | | 0.00 | | 0.00 | 4,814.36 | 4,814.36 | |
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| | | | | | | 42 | | 2.3.4.1.01 | NEXIUM 40 MG. X 28 TAB. | 3 | UD | 6,903.05 | 6,903.05 | 20,709.15 | | 0.00 | | | 0.00 | | 0.00 | 20,709.15 | 20,709.15 | |
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| | | | | | | 43 | | 2.3.4.1.01 | NITENSOR 30 MG. RETARD X 10 TAB. | 10 | UD | 451.38 | 451.38 | 4,513.80 | | 0.00 | | | 0.00 | | 0.00 | 4,513.80 | 4,513.80 | |
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| | | | | | | 44 | | 2.3.4.1.01 | NIXIBER 500 MG. X 6 TAB. | 1 | UD | 774.87 | 774.87 | 774.87 | | 0.00 | | | 0.00 | | 0.00 | 774.87 | 774.87 | |
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| | | | | | | 45 | | 2.3.4.1.01 | NUTRACORT LOCION. | 1 | UD | 1,793 | 1,793 | 1,793.00 | | 0.00 | | | 0.00 | | 0.00 | 1,793.00 | 1,793.00 | |
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| | | | | | | 46 | | 2.3.4.1.01 | OKSANA GOTAS. | 1 | UD | 1,222.5 | 1,222.5 | 1,222.50 | | 0.00 | | | 0.00 | | 0.00 | 1,222.50 | 1,222.50 | |
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| | | | | | | 47 | | 2.3.4.1.01 | PANTOPRAZOL 40 MG. X 10 TAB. SUED | 3 | UD | 351.07 | 351.07 | 1,053.21 | | 0.00 | | | 0.00 | | 0.00 | 1,053.21 | 1,053.21 | |
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| | | | | | | 48 | | 2.3.4.1.01 | PAUXA 2.5 MG. X 30 COMP-. | 2 | UD | 2,620.53 | 2,620.53 | 5,241.06 | | 0.00 | | | 0.00 | | 0.00 | 5,241.06 | 5,241.06 | |
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| | | | | | | 49 | | 2.3.4.1.01 | PEPTO BISMOL 16 OZ. | 1 | UD | 833.81 | 833.81 | 833.81 | | 0.00 | | | 0.00 | | 0.00 | 833.81 | 833.81 | |
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| | | | | | | 50 | | 2.3.4.1.01 | PREDNEFRIN FORTE GOTAS. | 1 | UD | 1,956 | 1,956 | 1,956.00 | | 0.00 | | | 0.00 | | 0.00 | 1,956.00 | 1,956.00 | |
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| | | | | | | 51 | | 2.3.4.1.01 | SKORLAT EZ 40/10MG. X 30 TAB. | 1 | UD | 4,325.78 | 4,325.78 | 4,325.78 | | 0.00 | | | 0.00 | | 0.00 | 4,325.78 | 4,325.78 | |
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| | | | | | | 52 | | 2.3.4.1.01 | STERIMAR SPRAY NASAL 100 ML. | 1 | UD | 1,103.38 | 1,103.38 | 1,103.38 | | 0.00 | | | 0.00 | | 0.00 | 1,103.38 | 1,103.38 | |
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| | | | | | | 53 | | 2.3.4.1.01 | SUDERMAL PLUS CREMA VAGINAL | 1 | UD | 764.84 | 764.84 | 764.84 | | 0.00 | | | 0.00 | | 0.00 | 764.84 | 764.84 | |
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| | | | | | | 54 | | 2.3.4.1.01 | SYNTHROID 100 MG. X 30 TAB. | 1 | UD | 1,369.79 | 1,369.79 | 1,369.79 | | 0.00 | | | 0.00 | | 0.00 | 1,369.79 | 1,369.79 | |
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| | | | | | | 55 | | 2.3.4.1.01 | TAVEN PLUS X 30 CAPS. | 1 | UD | 2,996.69 | 2,996.69 | 2,996.69 | | 0.00 | | | 0.00 | | 0.00 | 2,996.69 | 2,996.69 | |
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| | | | | | | 56 | | 2.3.4.1.01 | TEGRETOL 200 MG. X 10 TAB. | 12 | UD | 594.46 | 594.46 | 7,133.52 | | 0.00 | | | 0.00 | | 0.00 | 7,133.52 | 7,133.52 | |
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| | | | | | | 57 | | 2.3.4.1.01 | TRAZIDEX UNG. | 1 | UD | 1,586.1 | 1,586.1 | 1,586.10 | | 0.00 | | | 0.00 | | 0.00 | 1,586.10 | 1,586.10 | |
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| | | | | | | 58 | | 2.3.4.1.01 | TRIAMIN CB CAPS. | 4 | UD | 2,934 | 2,934 | 11,736.00 | | 0.00 | | | 0.00 | | 0.00 | 11,736.00 | 11,736.00 | |
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| | | | | | | 59 | | 2.3.4.1.01 | TRIMESUL FORTE TAB. | 20 | UD | 32.6 | 32.6 | 652.00 | | 0.00 | | | 0.00 | | 0.00 | 652.00 | 652.00 | |
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| | | | | | | 60 | | 2.3.4.1.01 | VERTIFAR 500 MG. X 30 TAB. | 2 | UD | 2,728.62 | 2,728.62 | 5,457.24 | | 0.00 | | | 0.00 | | 0.00 | 5,457.24 | 5,457.24 | |
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| | | | | | | 61 | | 2.3.4.1.01 | VILDINA MET 1000/50 MG. X 30 TAB. | 2 | UD | 2,487.84 | 2,487.84 | 4,975.68 | | 0.00 | | | 0.00 | | 0.00 | 4,975.68 | 4,975.68 | |
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| | | | | | | 62 | | 2.3.4.1.01 | ZYMAR XD GOTAS. | 1 | UD | 1,956 | 1,956 | 1,956.00 | | 0.00 | | | 0.00 | | 0.00 | 1,956.00 | 1,956.00 | |
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