Formulario Terapéutico Ambulatorio Monotributistas - OSPRERA

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NOMBRE Y PRESENTACION Concentracion Monodroga y Forma LABORATORIO PVP MF Monotributista % Cob REDIUN-E 50 50 mg comp.ran.x 30 espironolactona 50 mg comp.x 30 Baliarda 41,26 15,38 37% HORMODIOL gel monodosis sob.x 30 estradiol gel x 30ds Omega 37,88 12,95 34% GINATEX gel transd.x35g c/dosif. estradiol gel x 35 gr Baliarda 77,84 27,18 35% GINATEX gel transd.0.5mg sob.x30 estradiol 0.5mg sist. transd. x 30 Baliarda 47,26 16,50 35% GINATEX gel transd.0.5mg sob.x60 estradiol 0.5mg sist. transd. x 60 Baliarda 85,99 30,03 35% TRANSDIOL 100 mcg parches x 6 estradiol 100mcg sist. transd. x 6 Investi 45,77 18,31 40% PROGYNOVA 1 mg comp.x 28 estradiol 1mg comp. x 28 Bayer (BSP) 37,68 12,25 33% RONFASE 1 mg comp.x 28 estradiol 1mg comp. x 28 Pfizer 30,53 11,36 37% TRANSDIOL 25 mcg parches x 6 estradiol 25mcg sist. transd. x 6 Investi 31,07 12,43 40% EVOREL 25 sistemas x 8 estradiol 25mcg sist. transd. x 8 Janssen-Cilag 116,92 44,33 38% ESTROFEM 2 MG comp.x 28 estradiol 2mg comp. x 28 Novo Nordisk 46,37 16,82 36% PROGYNOVA 2 mg comp.x 28 estradiol 2mg comp. x 28 Bayer (BSP) 59,37 20,71 35% RONFASE 2 mg comp.x 28 estradiol 2mg comp. x 28 Pfizer 58,36 19,75 34% LINDISC 50 mcg/día sist.trasd.x4 estradiol 50mcg sist. transd. x 4 Bayer (BSP) 113,24 39,50 35% TRANSDIOL 50 mcg parches x 6 estradiol 50mcg sist. transd. x 6 Investi 33,83 13,53 40% EVOREL 50 sistemas x 8 estradiol 50mcg sist. transd. x 8 Janssen-Cilag 133,78 46,45 35% PRIMOSISTON IM iny.a.x 1 ml estradiol+hidroxiprogesterona iny. x 1 Bayer (BSP) 50,8 17,72 35% DOS DIAS N iny.a.x 2 estradiol+hidroxiprogesterona iny. x 2 Elea 43,64 15,12 35% GINEDIOL iny.IM a.x 1 ml estradiol+noretisterona iny. x 1 Elea 14,43 5,37 37% MESIGYNA iny.IM a.x 1 ml estradiol+noretisterona iny. x 1 Bayer (BSP) 25,39 7,11 28% ESTRAGEST TTS sistemas x 8 estradiol+noretisterona 50/150mcg parches x 8 Novartis 126,69 47,23 37% EVOREL CONTI sistemas x 8 estradiol+noretisterona 50/250mcg parches x 8 Janssen-Cilag 140,31 48,71 35% EVOREL SEQUI sistemas x (4+4) estradiol+noretisterona 50/250mcg parches x 8 Janssen-Cilag 122,53 46,46 38% PREFEST comp.x 30 estradiol+norgestimato comp. x 30 Janssen-Cilag 68,72 27,49 40% MENSTROGEN FORTE a.x 1 x 1 ml estradiol+progesterona f.a. x 1 Organon 88,48 35,39 40% ESTREPTOMICINA 1 g iny.f.a. estreptomicina 1000mg f.a. x 1 Rontag 9,57 3,47 36% ESTREPTOMICINA RICHET 1 g iny.f.a. estreptomicina 1000mg f.a. x 1 Richet 9,31 3,20 34% COLPOESTRIOL cr.x 15 g estriol crema x 15gr Temis-Lostaló 69,48 24,31 35% ORGESTRIOL cr.vag.x 15 g c/aplic. estriol crema x 15gr Organon 85,74 28,07 33% COLPOESTRIOL ov.x 10 estriol ovulos x 10 Temis-Lostaló 69,65 24,37 35% ORGESTRIOL 1000 mcg comp.x 30 estriol 1000mcg comp. x 30 Organon 80,15 29,94 37% PREMARIN CD 0.3 mg grag.x 28 estrogenos conjugados nat. 0,3mg comp. x 28 Wyeth 105,9 35,74 34% BELESTAR 0.625 mg comp.x 28 estrogenos conjugados nat. 0.625mg comp. x 28 Biol 86,84 30,12 35% PREMARIN CD 0.625 mg grag.x 28 estrogenos conjugados nat. 0.625mg comp. x 28 Wyeth 97,94 33,06 34% PREMARIN CREMA cr.vag.x 21 g c/aplic. estrógenos conjugados nat. Crema vag x 21 Wyeth 59,94 20,23 34% ETAMBUTOL RICHET 400 mg comp.x 50 etambutol 400mg comp. x 50 Richet 91,43 31,78 35% CUIDAFEM comp.rec.x 21 etinilestradiol+gestodeno comp. x 21 Laboratorios Ber 31,16 10,80 35% FEMIANE grag.x 21 etinilestradiol+gestodeno comp. x 21 Bayer (BSP) 38,48 12,97 34% GINELEA grag.x 21 etinilestradiol+gestodeno comp. x 21 Elea 38,68 13,26 34% GINELEA MD comp.x 21 etinilestradiol+gestodeno comp. x 21 Elea 29,94 11,37 38%

NOMBRE Y PRESENTACION Concentracion Monodroga y Forma LABORATORIO PVP MF Monotributista % Cob GINELEA T grag.x 21 etinilestradiol+gestodeno comp. x 21 Elea 34,85 12,97 37% GYNOVIN blist.grag.x 21 etinilestradiol+gestodeno comp. x 21 Bayer (BSP) 50,73 13,26 26% LIVIANNE comp.rec.x 21 etinilestradiol+gestodeno comp. x 21 Bagó 37,99 13,26 35% ALELI comp.rec.x 28 etinilestradiol+gestodeno comp. x 28 Laboratorios Ber 38,44 13,33 35% GINELEA MD 28 comp.x 28 etinilestradiol+gestodeno comp. x 28 Elea 29,42 10,94 37% LIVIANNE 28 comp.rec.x 28 etinilestradiol+gestodeno comp. x 28 Bagó 37,99 13,53 36% MIRELLE comp.x 28 etinilestradiol+gestodeno comp. x 28 Bayer (BSP) 44,38 13,70 31% SECRET 28 comp.rec.x 28 etinilestradiol+gestodeno comp. x 28 Elea 43,37 13,70 32% CILEST comp.x 21 etinilestradiol+norgestimato comp. x 21 Janssen-Cilag 53,34 18,52 35% ZARONTIN caps.x 25 etosuximida caps. x 25 Elea 60,7 20,30 33% ZARONTIN liq.x 120 ml etosuximida sol. x 120ml Elea 60,7 20,30 33% ALIN 10 mg comp.x 10 ezetimibe comp. x 10 Lazar 26,28 7,82 30% IXACOR 10 mg comp.x 15 ezetimibe comp. x 15 Roemmers 38,9 11,60 30% VADEL 10 mg comp.x 15 ezetimibe comp. x 15 Ivax Arg. 41,79 12,49 30% ZETIA 10 mg comp.x 28 ezetimibe comp. x 28 Schering-Plough 151,29 42,17 28% ALIN 10 mg comp.x 30 ezetimibe comp. x 30 Lazar 78,72 21,83 28% ALIPAS 10 mg comp.x 30 ezetimibe comp. x 30 Laboratorios Ber 67,2 18,63 28% EZETROL 10 mg comp.x 30 ezetimibe comp. x 30 Merck Sharp & Do 135,17 23,46 17% IXACOR 10 mg comp.x 30 ezetimibe comp. x 30 Roemmers 74,02 20,68 28% TRILIP 10 mg comp.x 30 ezetimibe comp. x 30 Elea 66,75 19,87 30% VADEL 10 mg comp.x 30 ezetimibe comp. x 30 Ivax Arg. 79,65 22,09 28% EPAMIN liq.x 120 ml fenitoina susp. x 120ml Elea 31,8 11,83 37% EPAMIN caps.x 100 fenitoina 100mg caps. x 100 Elea 215,34 74,63 35% EPAMIN caps.x 30 fenitoina 100mg caps. x 30 Elea 69,9 24,22 35% EPAMIN caps.x 50 fenitoina 100mg caps. x 50 Elea 111,87 29,27 26% FENITENK 100 mg comp.rec.x 50 fenitoina 100mg caps. x 50 Biotenk 69,3 23,80 34% FENITOINA DENVER FARMA 100 mg caps.x 50 fenitoina 100mg caps. x 50 Denver Farma 69,36 25,24 36% EPAMIN caps.x 60 fenitoina 100mg caps. x 60 Elea 140,95 38,40 27% FENIGRAMON caps.x 60 fenitoina 100mg caps. x 60 Gramón 78,62 27,96 36% EPAMIN 100 mg a.x 2 ml fenitoina 100mg iny. x 1 Elea 20,43 4,82 24% FENIGRAMON iny.a.x 1 fenitoina 100mg iny. x 1 Gramón 5,11 2,04 40% LUMINAL comp.x 20 fenobarbital 100mg comp. x 20 Bayer (BSP) 28,2 9,45 34% GARDENAL comp.x 60 fenobarbital 100mg comp. x 60 Sanofi-Aventis 58,19 21,66 37% LUMINAL comp.x 60 fenobarbital 100mg comp. x 60 Bayer (BSP) 74,67 23,34 31% LUMINALETAS comp.x 30 fenobarbital 15mg comp. x 30 Bayer (BSP) 30,75 10,30 34% BEROTEC jbe.x 120 ml fenoterol jbe. x 120ml Boehringer Ingel 13,8 5,52 40% BEROTEC 0.5% sol.x 20 ml fenoterol 0.5% sol. nebu. x 20ml Boehringer Ingel 25,88 9,03 35% BEROTEC 100 mcg aer.compl.x 10ml fenoterol 100mcg aerosol x 200ds Boehringer Ingel 24,86 8,38 34% ASMOPUL 100 100mcg aer.x250ds.+adap. fenoterol 100mcg aerosol x 250ds Cassará 15,76 6,30 40% BEROTEC HFA aerosol HFA x 10 ml fenoterol aerosol HFA x 10 ml Boehringer Ingel 38,13 13,66 36%

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