Formulario Terapéutico Ambulatorio Monotributistas - OSPRERA

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NOMBRE Y PRESENTACION Concentracion Monodroga y Forma LABORATORIO PVP MF Monotributista % Cob RUBIFEN-10 comp.x 30 metilfenidato 10mg comp. x 30 Neuropharma 89 31,60 36% CONCERTA 18 mg comp.x 10 metilfenidato 18mg comp. x 10 Janssen-Cilag 132,55 50,26 38% CONCERTA 18 mg comp.x 20 metilfenidato 18mg comp. x 20 Janssen-Cilag 289,6 100,55 35% RITALINA LA 20 mg caps.x 30 metilfenidato 20mg comp. x 30 Novartis 275,26 102,62 37% RITALINA LA 30 mg caps.x 30 metilfenidato 30mg comp. x 30 Novartis 306 114,08 37% CONCERTA 36 mg comp.x 20 metilfenidato 36mg comp. x 20 Janssen-Cilag 402,1 139,61 35% RITALINA LA 40 mg caps.x 30 metilfenidato 40mg comp. x 30 Novartis 306 114,08 37% CONCERTA 54 mg comp.x 20 metilfenidato 54mg comp. x 20 Janssen-Cilag 563,14 195,52 35% DANANTIZOL 20 mg comp.x 30 metimazol 20mg comp. x 30 Gador 22,04 8,20 37% DANANTIZOL 5 mg comp.x 100 metimazol 5mg comp. x 100 Gador 15,14 5,63 37% RELIVERAN SUBLINGUAL comp.x 10 metoclopramida 10mg comp. x 10 Novartis 30,61 11,41 37% METOCLOPRAMIDA VANNIER comp.x 20 metoclopramida 10mg comp. x 20 Vannier 5,86 2,22 38% RELIVERAN comp.x 20 metoclopramida 10mg comp. x 20 Novartis 9,78 3,19 33% RILAQUIN 10 mg comp.x 20 metoclopramida 10mg comp. x 20 Microsules Arg. 10,36 3,19 31% RELIVERAN a.x 3 metoclopramida 10mg iny. x 3 Novartis 21,01 7,83 37% RELIVERAN a.x 6 metoclopramida 10mg iny. x 6 Novartis 34,43 12,84 37% MIDATENK 0.2% Ped.gts.x 20 ml metoclopramida 2% gotas x 20ml Biotenk 9,45 3,47 37% NOVOMIT 0.2% Nñ.gts.x 20 ml metoclopramida 2% gotas x 20ml Klonal 8,01 3,05 38% PRIMAVERA-N Ped.gts.x 20 ml metoclopramida 2% gotas x 20ml Fabra 7,16 2,72 38% RELIVERAN Nñ.gts.x 20 ml metoclopramida 2% gotas x 20ml Novartis 13,14 3,47 26% RUPEMET 0.2% gts.x 20 ml metoclopramida 2% gotas x 20ml Duncan 7,85 2,90 37% METOCLOPRAMIDA VANNIER Ad.gts.x 20 ml metoclopramida 5% gotas x 20ml Vannier 12,24 4,54 37% RELIVERAN Ad.gts.x 20 ml metoclopramida 5% gotas x 20ml Novartis 26,99 6,32 23% RILAQUIN Ad.gts.x 20 ml metoclopramida 5% gotas x 20ml Microsules Arg. 20,62 6,32 31% RUPEMET 0.5% gts.x 20 ml metoclopramida 5% gotas x 20ml Duncan 8,63 3,19 37% RELIVERAN Ad.gts.x 60 ml metoclopramida 5% gotas x 60ml Novartis 70,74 26,38 37% LOPRESOR RETARD DIVITABS comp.x 20 metoprolol 100mg comp. x 20 Novartis 31,73 11,83 37% LOPRESOR 100 mg comp.x 30 metoprolol 100mg comp. x 30 Novartis 28,81 10,74 37% BELOZOK 25 mg comp.lib.prol.x 30 metoprolol 25mg comp. x 30 AstraZeneca 47 16,30 35% BELOZOK 50 mg comp.lib.prol.x 30 metoprolol 50mg comp. x 30 AstraZeneca 55,89 19,38 35% ARTRAIT 10 mg comp.ran.x 10 metotrexato 10mg comp. x 10 Trb-Pharma 54,32 18,83 35% ERVEMIN 10 mg comp.x 10 metotrexato 10mg comp. x 10 Ivax Arg. 51,86 17,98 35% METODIK 10 mg comp.x 10 metotrexato 10mg comp. x 10 Sandoz 50,07 17,48 35% TRIXATE 10 mg comp.x 4 metotrexato 10mg comp. x 4 Rontag 25,77 9,35 36% ERVEMIN 15 mg iny.a.x 5 metotrexato 15 mg amp x 5 Ivax Arg. 84,67 29,35 35% ARTRAIT 15 mg comp.ran.x 4 metotrexato 15mg comp. x 4 Trb-Pharma 50,16 17,25 34% ERVEMIN 15 mg comp.x 4 metotrexato 15mg comp. x 4 Ivax Arg. 49,34 17,10 35% ARTRAIT 2.5 mg comp.x 20 metotrexato 2.5mg comp. x 20 Trb-Pharma 31,56 10,94 35% ERVEMIN 2.5 mg comp.x 20 metotrexato 2.5mg comp. x 20 Ivax Arg. 33,19 10,65 32% METODIK 2.5 mg comp.x 20 metotrexato 2.5mg comp. x 20 Sandoz 27,25 9,51 35%

NOMBRE Y PRESENTACION Concentracion Monodroga y Forma LABORATORIO PVP MF Monotributista % Cob ARTRAIT 7.5 mg comp.ran.x 10 metotrexato 7,5mg comp. x 10 Trb-Pharma 50,83 17,52 34% ERVEMIN 7.5 mg comp.x 10 metotrexato 7,5mg comp. x 10 Ivax Arg. 54,08 17,52 32% METODIK 7.5 mg comp.x 10 metotrexato 7,5mg comp. x 10 Sandoz 46,38 16,20 35% METRAL 1% cr.x 30 g metronidazol 1% crema x 30g Cassará 32,13 12,56 39% PADET 1 % cr.x 30 g metronidazol 1% crema x 30g Pharmatrix 39,55 14,56 37% REPLIGEN 1% cr.x 30 g metronidazol 1% crema x 30g Panalab 48,2 14,87 31% TRICOFIN 1 g comp.x 4 metronidazol 1000mg comp. x 4 Raymos 38,04 14,11 37% TRICOFIN 1 g comp.x 8 metronidazol 1000mg comp. x 8 Raymos 67,52 25,04 37% FLAGYL susp.beb.x 100 ml metronidazol 125mg susp. x 120ml Sanofi-Aventis 48,98 11,15 23% METRONIDAZOL FABRA 125 mg/5 ml susp.x 120ml metronidazol 125mg susp. x 120ml Fabra 16,93 6,45 38% METRONIDAZOL VANNIER susp.x 120 ml metronidazol 125mg susp. x 120ml Vannier 23,07 8,76 38% COLPOFILIN 500 mg comp.x 10 metronidazol 500mg comp. x 10 Lazar 19,3 5,33 28% METRAL 500 mg comp.x 10 metronidazol 500mg comp. x 10 Austral 10,9 3,96 36% BEXON 500 tab.x 20 metronidazol 500mg comp. x 20 Gobbi 15,47 5,90 38% COLPOFILIN 500 mg comp.x 20 metronidazol 500mg comp. x 20 Lazar 37,13 12,87 35% FLAGYL 500 mg comp.x 20 metronidazol 500mg comp. x 20 Sanofi-Aventis 48,98 12,49 26% GINKAN 500 comp.rec.x 20 metronidazol 500mg comp. x 20 Baliarda 43,25 12,49 29% METRONIDAZOL VANNIER 500 mg comp.x 20 metronidazol 500mg comp. x 20 Vannier 23,13 8,58 37% OVUFEM comp.rec.x 20 metronidazol 500mg comp. x 20 Laboratorios Ber 38,96 12,49 32% GINKAN 500 comp.rec.x 8 metronidazol 500mg comp. x 8 Baliarda 17,37 5,77 33% OVUFEM comp.rec.x 8 metronidazol 500mg comp. x 8 Laboratorios Ber 16,49 5,72 35% TOLBIN 500 mg comp.x 8 metronidazol 500mg comp. x 8 Elea 13,79 5,12 37% COLPOFILIN 500 mg ov.x 10 metronidazol 500mg ovulos x 10 Lazar 37,13 12,87 35% FLAGYL 500 mg ov.x 10 metronidazol 500mg ovulos x 10 Sanofi-Aventis 42,8 13,77 32% METRONIDAZOL VANNIER 500 mg ov.x 10 metronidazol 500mg ovulos x 10 Vannier 33,73 12,52 37% NALOX ov.x 12 metronidazol 500mg ovulos x 12 Omega 40,93 13,99 34% NALOX ov.x 6 metronidazol 500mg ovulos x 6 Omega 24,32 8,31 34% METRONIDAZOL BIOL 500 mg ov.x 8 metronidazol 500mg ovulos x 8 Biol 34,2 12,41 36% METRONIDAZOL RICHET 500 mg ov.x 8 metronidazol 500mg ovulos x 8 Richet 29,67 10,09 34% TRICOFIN 500 mg ov.x 8 metronidazol 500mg ovulos x 8 Raymos 35,22 11,85 34% BEXON tab.vag.x 10 metronidazol+asoc. 500mg ovulos x 10 Gobbi 17,46 6,66 38% PELVICILLIN NF comp.vag.x 10 metronidazol+asoc. 500mg ovulos x 10 Temis-Lostaló 29,48 10,99 37% NAXO TV ov.x 6 metronidazol+asoc. 500mg ovulos x 6 Rontag 32,77 11,89 36% PELVICILLIN NF ov.x 6 metronidazol+asoc. 500mg ovulos x 6 Temis-Lostaló 35,56 12,44 35% COLPOFILIN MAX ov.vag.x 7 metronidazol+asoc. 500mg ovulos x 7 Lazar 38,62 13,38 35% GYNOTRAN ov.vag.x 7 metronidazol+asoc. 500mg ovulos x 7 Bayer (BSP) 58,02 16,77 29% LERIVON 30 mg comp.x 30 mianserina 30mg comp.x 30 Organon 66,76 24,47 37% LERIVON 60 mg comp.x 30 mianserina 60mg comp.x 30 Organon 130,14 47,71 37% DAKTARIN cr.x 30 g miconazol crema x 30g Janssen-Cilag 30,02 8,45 28% MICOTRAL 2% cr.x 30 g miconazol crema x 30g Austral 14,3 5,72 40%

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