Formulario Terapéutico Ambulatorio Monotributistas - OSPRERA

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NOMBRE Y PRESENTACION Concentracion Monodroga y Forma LABORATORIO PVP MF Monotributista % Cob NEUMOCORT 200 mcg aer.x 200 dosis budesonide 200mcg aerosol x 200ds Cassará 37,57 14,68 39% NEUMOCORT C/AEROMED 200 mcg aer.x 200 dosis budesonide 200mcg aerosol x 200ds Cassará 46,13 18,03 39% INFLAMMIDE 200mcg aer.x15ml/300 ds. budesonide 200mcg aerosol x 300ds Boehringer Ingel 61,01 23,36 38% AEROVENT 200mcg aer.bronq.x 60ds. budesonide 200mcg aerosol x 60ds Cassará 14,9 5,96 40% NEUMOTEX BRONQUIAL FORTE 400 mcg aer.x 100 dosis budesonide 400mcg aerosol x 100ds Phoenix 133,6 46,32 35% BUDESON FORTE 400 mcg aer.x 150 dosis budesonide 400mcg aerosol x 150ds Nycomed 115,49 32,55 28% NEUMOCORT FORTE 400 mcg aer.x 150 dosis budesonide 400mcg aerosol x 150ds Cassará 56,41 22,05 39% SPIROCORT TURBUHALER 400 mcg env.x 200 dosis budesonide 400mcg aerosol x 200ds AstraZeneca 172,94 59,96 35% PULMOLISOFLAM PEDIATRICO aer.x 200 dosis budesonide 50mcg aerosol x 200ds Pfizer 67,79 25,24 37% PULMOLISOFLAM PEDIATRICO C/OPTICHAMBER aer.x 200 dosis budesonide 50mcg aerosol x 200ds Pfizer 145,23 43,43 30% BUDESON AQUA 50mcg spray nas.x 100ds. budesonide 50mcg spray x 100ds Nycomed 61,99 23,10 37% BUDESON NASAL aer.nasal x 200 dosis budesonide 50mcg spray x 200ds Nycomed 53,73 21,49 40% BUDEZONIL BRONQUIAL PEDIATRICO 50 mcg aer. x 200 dosis budesonide 50mcg spray x 200ds Sandoz 63,57 22,20 35% BUDEZONIL NASAL 50 mcg aer.nasalx 200ds. budesonide 50mcg spray x 200ds Sandoz 56,49 19,72 35% HYPERSOL B 50 spray nasal x 200 dosis budesonide 50mcg spray x 200ds Cassará 36,85 14,40 39% RINO-B 50 aerosol x 200 dosis budesonide 50mcg spray x 200ds Cassará 32,69 12,78 39% BUDESON NEBU sol.x 20 ml budesonide sol. nebu x 20ml Nycomed 85,3 18,19 21% BUDESONIDA DF NEBU env.x 20 ml budesonide sol. nebu x 20ml Denver Farma 51,15 18,61 36% PROETZONIDE NEBU fco.x 20 ml budesonide sol. nebu x 20ml Dallas 50,74 18,19 36% RINO-B NEBU gts.p/nebulizar x 20 ml budesonide sol. nebu x 20ml Cassará 14,9 5,96 40% NEUMOTEROL PEDIATRICO caps.x 120+aplic. budesonide+formoterol 100mcg aerosol x 120ds Phoenix 136,36 50,76 37% NEUMOTEROL PEDIATRICO caps.x 60+aplic. budesonide+formoterol 100mcg aerosol x 60ds Phoenix 99,16 36,92 37% FREVIA 160/4.5 mcg x 120 dosis budesonide+formoterol 160mcg aerosol x 120ds AstraZeneca 201,45 67,23 33% SYMBICORT TURBUHALER 160/4.5 mcg dosis x 120 budesonide+formoterol 160mcg aerosol x 120ds AstraZeneca 201,46 67,23 33% SYMBICORT TURBUHALER 160/4.5 mcg dosis x 60 budesonide+formoterol 160mcg aerosol x 60ds AstraZeneca 149,5 49,90 33% SYMBICORT-FORTE TURBUHALER 320/9 mcg dosis x 60 budesonide+formoterol 320mcg aerosol x 60ds AstraZeneca 201,46 67,24 33% FREVIA 80/4.5 mcg x 120 dosis budesonide+formoterol 80mcg aerosol x 120ds AstraZeneca 201,45 67,23 33% SYMBICORT-M TURBUHALER 80/4.5 mcg dosis x 120 budesonide+formoterol 80mcg aerosol x 120ds AstraZeneca 201,46 67,23 33% LOFTON 150 mg comp.x 60 buflomedil 150 mg comp.x 60 Abbott 40,7 15,15 37% LOFTON 300 mg comp.x 20 buflomedil 300 mg comp.x 20 Abbott 36,19 13,47 37% ARTERIOL 300 mg comp.x 40 buflomedil 300 mg comp.x 40 Gador 30,51 11,35 37% LOFTON 300 mg comp.x 40 buflomedil 300 mg comp.x 40 Abbott 71,64 19,01 27% LOFTON 300 mg comp.x 60 buflomedil 300 mg comp.x 60 Abbott 107,43 40,00 37% LOFTON 50 mg iny.a.x 6 buflomedil 50 mg iny.a.x 6 Abbott 113,23 45,29 40% LOFTON 600 mg comp.x 20 buflomedil 600 mg comp.x 20 Abbott 79,42 29,56 37% LOFTON 600 mg comp.x 30 buflomedil 600 mg comp.x 30 Abbott 127,54 47,48 37% CABERTRIX 0.5 mg comp.x 2 cabergolina 0.5mg comp. x 2 Raffo 55,42 19,21 35% DOSTINEX 0.5 mg comp.x 2 cabergolina 0.5mg comp. x 2 Pfizer 54,71 20,37 37% CABERTRIX 0.5 mg comp.x 8 cabergolina 0.5mg comp. x 8 Raffo 180,49 62,57 35% DOSTINEX 0.5 mg comp.x 8 cabergolina 0.5mg comp. x 8 Pfizer 172,07 63,31 37%

NOMBRE Y PRESENTACION Concentracion Monodroga y Forma LABORATORIO PVP MF Monotributista % Cob CABASER 1 mg comp.x 30 cabergolina 1mg comp. x 30 Pfizer 329,68 109,93 33% CABERTEMIS 1 mg comp.x 30 cabergolina 1mg comp. x 30 Temis-Lostaló 260,47 97,14 37% CABASER 2 mg comp.x 30 cabergolina 2 mg comp.x 30 Pfizer 412,18 135,00 33% CABERTEMIS 2 mg comp.x 30 cabergolina 2 mg comp.x 30 Temis-Lostaló 312,55 116,56 37% CABERTEMIS 4 mg comp.x 30 cabergolina 4 mg comp.x 30 Temis-Lostaló 447,98 167,07 37% REGUCAL gran.sob.x 30 calcio sobres x 30 Baliarda 46,8 17,45 37% REGUCAL sol.x 250 ml calcio sol. x 250ml Baliarda 49,14 18,32 37% CALCIO BASE DUPOMAR FORTE 1 g comp.mast.x 60 calcio 1.000mg comp. x 60 Dupomar 55,47 14,73 27% CALCIO BASE DUPOMAR comp.x 30 calcio 1.250mg comp. x 30 Dupomar 28,99 10,07 35% ULTRACALCIUM blist.comp.mast.x 30 calcio 1.250mg comp. x 30 Temis-Lostaló 39,63 14,78 37% CALCIO BASE DUPOMAR comp.x 60 calcio 1.250mg comp. x 60 Dupomar 51,98 15,03 29% CALCIO BASE VANNIER 1.250 mg comp.mast.x 60 calcio 1.250mg comp. x 60 Vannier 26,6 8,92 34% RAFFO-CA 500 mg comp.efer.x 20 calcio 500mg comp. eferv. x 20 Raffo 40,39 14,00 35% RAFFO-CA 500 mg comp.efer.x 60 calcio 500mg comp. eferv. x 60 Raffo 121,25 42,03 35% LACTATO DE CALCIO 0.5 g grag.x 50 calcio 500mg comp. x 50 Merck Serono 20,55 7,66 37% CALCIO ACIDO 500 mg comp.mast.x 60 calcio 500mg comp. x 60 Biotenk 31,8 12,00 38% CALCIOCIT SIMPLE comp.ran.x 60 calcio.citrato 500mg comp. x 60 Trb-Pharma 49,69 14,51 29% PROCALCIO comp.rec.x 60 calcio.citrato 500mg comp. x 60 Finadiet 27,33 10,93 40% CALCIOCIT comp.x 30 calcio.citrato+vit.d3 200mg comp. x 30 Trb-Pharma 34,9 11,13 32% CALCIOCIT PLUS comp.ran.x 30 calcio.citrato+vit.d3 200mg comp. x 30 Trb-Pharma 38,7 11,13 29% CAVIROX CIT comp.x 30 calcio.citrato+vit.d3 200mg comp. x 30 Roux Ocefa 27,26 9,69 36% CITRAMAR D 200 comp.x 30 calcio.citrato+vit.d3 200mg comp. x 30 Dupomar 24,93 9,24 37% CALCIOCIT comp.x 60 calcio.citrato+vit.d3 200mg comp. x 60 Trb-Pharma 64,53 22,42 35% CITRAMAR D 200 comp.x 60 calcio.citrato+vit.d3 200mg comp. x 60 Dupomar 53,52 19,82 37% CALCIMAX D3 400 comp.x 30 calcio.citrato+vit.d3 400mg comp. x 30 Gador 31,97 10,70 33% CITRAMAR D 400 comp.x 30 calcio.citrato+vit.d3 400mg comp. x 30 Dupomar 30,49 11,30 37% CALCIOCIT PLUS comp.ran.x 60 calcio.citrato+vit.d3 400mg comp. x 60 Trb-Pharma 70,95 21,45 30% CITRAMAR D 400 comp.x 60 calcio.citrato+vit.d3 400mg comp. x 60 Dupomar 58,17 21,45 37% REGUCAL D comp.rec.x 60 calcio.citrato+vit.d3 400mg comp. x 60 Baliarda 48,67 18,15 37% DAIVONEX loc.x 30 ml calcipotriol locion x 30ml Andrómaco 92 36,80 40% DAIVONEX ung.x 30 g calcipotriol pomada x 30g Andrómaco 86,84 32,31 37% TEGRETOL jbe.x 100 ml carbamazepina jbe. x 100ml Novartis 22,46 7,83 35% TEGRETOL jbe.x 120 ml carbamazepina jbe. x 120ml Novartis 22,37 8,95 40% ACTINERVAL 200 mg comp.x 30 carbamazepina 200mg comp. x 30 Bagó 43,72 15,23 35% CARBAGRAMON comp.x 30 carbamazepina 200mg comp. x 30 Gramón 27,83 11,13 40% CONFORMAL 200 mg comp.x 30 carbamazepina 200mg comp. x 30 Ivax Arg. 46,55 16,14 35% TEGRETOL 200 mg comp.x 30 carbamazepina 200mg comp. x 30 Novartis 52,73 15,23 29% ACTINERVAL 200 mg comp.x 60 carbamazepina 200mg comp. x 60 Bagó 69,18 26,42 38% CONFORMAL 200 mg comp.x 60 carbamazepina 200mg comp. x 60 Ivax Arg. 87,35 30,28 35% TEGRETOL 200 mg comp.x 60 carbamazepina 200mg comp. x 60 Novartis 106,47 31,05 29%

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