ANEXO DE ALTERNATIVAS TERAPEUTICAS SEMPRE 2011 ... - ISS

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Clas ATC Genérico Producto Comercial Tipo Present. Tamaño Present. Presentación PVP MF AUT N03AG04.A001 VIGABATRIN SABRIL Comprimido 500 mg 1 Envase x 60 comp 367.15 257.00 U N03AX OTROS ANTIEPILEPTICOS N03AX11.A TOPIRAMATO -USO NORMATIZADO- 70 N03AX11.A001 TOPIRAMATO TOPAMAC SPRIKLE Caps.disp 15 mg 1 Envase x 60 caps 158.08 80.00 A N03AX11.A002 TOPIRAMATO NEUTOP Comp.rec 25 mg 1 Envase x 28 comp 59.92 48.00 A N03AX11.A003 TOPIRAMATO TOPAMAC Comprimido 25 mg 1 Envase x 28 comp 100.25 48.00 A N03AX11.A004 TOPIRAMATO TOPICTAL Comp.rec 25 mg 1 Envase x 28 comp 57.47 48.00 A N03AX11.A005 TOPIRAMATO ZINALOW Comprimido 25 mg 1 Envase x 28 comp 54.70 48.00 A N03AX11.A006 TOPIRAMATO TOPICTAL Comp.rec 25 mg 1 Envase x 56 comp 103.41 85.00 A N03AX11.A007 TOPIRAMATO TOPAMAC SPRIKLE Caps.disp 25 mg 1 Envase x 60 caps 272.40 89.00 A N03AX11.A008 TOPIRAMATO NEUTOP Comp.rec 50 mg 1 Envase x 28 comp 109.39 83.00 A N03AX11.A009 TOPIRAMATO TOPAMAC Comprimido 50 mg 1 Envase x 28 comp 184.50 83.00 A N03AX11.A010 TOPIRAMATO TOPICTAL Comp.rec 50 mg 1 Envase x 28 comp 114.40 83.00 A N03AX11.A011 TOPIRAMATO ZINALOW Comprimido 50 mg 1 Envase x 28 comp 99.03 83.00 A N03AX11.A012 TOPIRAMATO TOPIRAMATO CEVALLOS Comprimido 50 mg 1 Envase x 30 comp 83.06 83.06 A N03AX11.A013 TOPIRAMATO TOPICTAL Comp.rec 50 mg 1 Envase x 56 comp 205.93 143.50 A N03AX11.A014 TOPIRAMATO NEUTOP Comp.rec 100 mg 1 Envase x 28 comp 169.31 127.5 U N03AX11.A015 TOPIRAMATO TOPAMAC Comprimido 100 mg 1 Envase x 28 comp 281.16 127.5 U N03AX11.A016 TOPIRAMATO TOPICTAL Comp.rec 100 mg 1 Envase x 28 comp 177.01 127.5 U N03AX11.A017 TOPIRAMATO ZINALOW Comprimido 100 mg 1 Envase x 28 comp 153.90 127.5 U N03AX11.A018 TOPIRAMATO TOPIRAMATO CEVALLOS Comprimido 100 mg 1 Envase x 30 comp 130.52 129.00 U N03AX11.A019 TOPIRAMATO NEUTOP Comprimido 100 mg 1 Envase x 56 comp 321.55 262.00 U N03AX11.A020 TOPIRAMATO TOPAMAC Comprimido 100 mg 1 Envase x 56 comp 329.28 262.00 U N03AX11.A021 TOPIRAMATO TOPICTAL Comp.rec 100 mg 1 Envase x 56 comp 317.73 262.00 U N03AX11.A022 TOPIRAMATO TOPAMAC Comprimido 100 mg 1 Envase x 60 comp 527.44 270.00 U N03AX12.A GABAPENTINA -USO NORMATIZADO- 70 N03AX12.A001 GABAPENTINA ABAGLIN Capsula 100 mg 1 Envase x 30 caps 56.88 55.00 U N03AX12.A002 GABAPENTINA ALIDIAL Capsula 100 mg 1 Envase x 30 caps 83.86 55.00 U N03AX12.A003 GABAPENTINA ELIFER Comprimido 100 mg 1 Envase x 30 comp 75.37 55.00 U N03AX12.A004 GABAPENTINA ULTRANEURAL Comprimido 100 mg 1 Envase x 30 comp 77.13 55.00 U N03AX12.A005 GABAPENTINA ABAGLIN Capsula 100 mg 1 Envase x 50 caps 91.48 89.00 U N03AX12.A006 GABAPENTINA ABAGLIN Capsula 100 mg 1 Envase x 100 caps 166.06 166.06 U N03AX12.A007 GABAPENTINA LOGISTIC Comp.rec 100 mg 1 Envase x 100 comp 258.50 178.00 U N03AX12.A008 GABAPENTINA NEURONTIN Capsula 100 mg 1 Envase x 100 caps 355.93 178.00 U N03AX12.A009 GABAPENTINA ABAGLIN Capsula 300 mg 1 Envase x 30 caps 103.48 97.00 U N03AX12.A010 GABAPENTINA ALIDIAL Capsula 300 mg 1 Envase x 30 caps 141.34 97.00 U N03AX12.A011 GABAPENTINA ELIFER Comprimido 300 mg 1 Envase x 30 comp 119.94 97.00 U N03AX12.A012 GABAPENTINA LOGISTIC Comp.rec 300 mg 1 Envase x 30 comp 118.60 97.00 U N03AX12.A013 GABAPENTINA NEURONTIN Capsula 300 mg 1 Envase x 30 caps 222.36 97.00 U N03AX12.A014 GABAPENTINA ULTRANEURAL Comprimido 300 mg 1 Envase x 30 comp 123.30 97.00 U N03AX12.A015 GABAPENTINA ABAGLIN Capsula 300 mg 1 Envase x 50 caps 166.06 135.00 U N03AX12.A016 GABAPENTINA ABAGLIN Capsula 300 mg 1 Envase x 60 caps 172.48 167.00 U N03AX12.A017 GABAPENTINA ALIDIAL Capsula 300 mg 1 Envase x 60 caps 246.11 167.00 U N03AX12.A018 GABAPENTINA ELIFER Comprimido 300 mg 1 Envase x 60 comp 216.08 167.00 U N03AX12.A019 GABAPENTINA LOGISTIC Comp.rec 300 mg 1 Envase x 60 comp 218.80 167.00 U N03AX12.A020 GABAPENTINA NEURONTIN Capsula 300 mg 1 Envase x 60 caps 355.93 167.00 U N03AX12.A021 GABAPENTINA ULTRANEURAL Comprimido 300 mg 1 Envase x 60 comp 220.28 167.00 U N03AX12.A022 GABAPENTINA ABAGLIN Capsula 300 mg 1 Envase x 100 caps 309.66 250.00 U N03AX12.A023 GABAPENTINA ABAGLIN Capsula 400 mg 1 Envase x 30 caps 118.19 110.00 U N03AX12.A024 GABAPENTINA ALIDIAL Capsula 400 mg 1 Envase x 30 caps 167.34 110.00 U N03AX12.A025 GABAPENTINA LOGISTIC 400 Comprimido 400 mg 1 Envase x 30 comp 141.00 110.00 U N03AX12.A026 GABAPENTINA ULTRANEURAL Comprimido 400 mg 1 Envase x 30 comp 148.84 110.00 U N03AX12.A027 GABAPENTINA ABAGLIN Capsula 400 mg 1 Envase x 50 caps 196.98 160.00 U N03AX12.A028 GABAPENTINA ABAGLIN Capsula 400 mg 1 Envase x 60 caps 208.08 200.00 U N03AX12.A029 GABAPENTINA ALIDIAL Capsula 400 mg 1 Envase x 60 caps 261.62 200.00 U
Clas ATC Genérico Producto Comercial Tipo Present. Tamaño Present. Presentación PVP MF AUT N03AX12.A030 GABAPENTINA LOGISTIC 400 Comprimido 400 mg 1 Envase x 60 comp 246.30 200.00 U N03AX12.A031 GABAPENTINA NEURONTIN Capsula 400 mg 1 Envase x 60 caps 457.81 200.00 U N03AX12.A032 GABAPENTINA ULTRANEURAL Comprimido 400 mg 1 Envase x 60 comp 255.38 200.00 U N03AX12.A033 GABAPENTINA ABAGLIN Capsula 400 mg 1 Envase x 100 caps 354.48 300.00 U N03AX12.A034 GABAPENTINA LOGISTIC 600 Comprimido 600 mg 1 Envase x 30 comp 141.60 140.00 U N03AX12.A035 GABAPENTINA ALIDIAL Capsula 600 mg 1 Envase x 30 caps 168.70 140.00 U N03AX12.A036 GABAPENTINA ELIFER Comprimido 600 mg 1 Envase x 30 caps 151.38 140.00 U N03AX12.A037 GABAPENTINA NEURONTIN Comp.rec 600 mg 1 Envase x 30 comp 274.54 140.00 U N03AX12.A038 GABAPENTINA ULTRANEURAL Comprimido 600 mg 1 Envase x 30 comp 155.28 140.00 U N03AX12.A039 GABAPENTINA ALIDIAL Capsula 800 mg 1 Envase x 30 caps 256.63 170.00 U N03AX12.A040 GABAPENTINA LOGISTIC 800 Comprimido 800 mg 1 Envase x 30 comp 189.50 170.00 U N03AX12.A041 GABAPENTINA ULTRANEURAL Comprimido 800 mg 1 Envase x 30 comp 198.28 170.00 U N04 DROGAS ANTIPARKINSONIANAS N04B AGENTES DOPAMINERGICOS N04BC AGONISTAS <strong>DE</strong> LA DOPAMINA N04BC05.A PRAMIPEXOL DICLORHIDRATO -USO NORMATIZADO- 70 N04BC05.A001 PRAMIPEXOL DICLORHIDRATO NIXOL Comprimido 0.125 mg 1 Envase x 30 comp 36.97 25.00 A N04BC05.A002 PRAMIPEXOL DICLORHIDRATO PARFENO Comprimido 0.125 mg 1 Envase x 30 comp 35.86 25.00 A N04BC05.A003 PRAMIPEXOL DICLORHIDRATO PARMITAL Comprimido 0.125 mg 1 Envase x 30 comp 29.72 25.00 A N04BC05.A004 PRAMIPEXOL DICLORHIDRATO PORTIV Comprimido 0.125 mg 1 Envase x 30 comp 26.75 25.00 A N04BC05.A005 PRAMIPEXOL DICLORHIDRATO TREMINEL Comprimido 0.125 mg 1 Envase x 30 comp 41.43 25.00 A N04BC05.A006 PRAMIPEXOL DICLORHIDRATO MAXTENK Comprimido 0.25 mg 1 Envase x 30 comp 47.61 43.00 A N04BC05.A007 PRAMIPEXOL DICLORHIDRATO NEUROSOMAT 0.25 MG Comprimido 0.25 mg 1 Envase x 30 comp 57.11 43.00 A N04BC05.A008 PRAMIPEXOL DICLORHIDRATO NIXOL Comprimido 0.25 mg 1 Envase x 30 comp 71.49 43.00 A N04BC05.A009 PRAMIPEXOL DICLORHIDRATO NOXOPRAN Comprimido 0.25 mg 1 Envase x 30 comp 72.50 43.00 A N04BC05.A010 PRAMIPEXOL DICLORHIDRATO NULIPAR Comprimido 0.25 mg 1 Envase x 30 comp 52.60 43.00 A N04BC05.A011 PRAMIPEXOL DICLORHIDRATO PARFENO Comprimido 0.25 mg 1 Envase x 30 comp 69.19 43.00 A N04BC05.A012 PRAMIPEXOL DICLORHIDRATO PARMITAL Comprimido 0.25 mg 1 Envase x 30 comp 59.42 43.00 A N04BC05.A013 PRAMIPEXOL DICLORHIDRATO PORTIV Comprimido 0.25 mg 1 Envase x 30 comp 52.00 43.00 A N04BC05.A014 PRAMIPEXOL DICLORHIDRATO PROATS 0,25 Comprimido 0.25 mg 1 Envase x 30 comp 48.43 43.00 A N04BC05.A015 PRAMIPEXOL DICLORHIDRATO SIFROL Comprimido 0.25 mg 1 Envase x 30 comp 71.79 43.00 A N04BC05.A016 PRAMIPEXOL DICLORHIDRATO TREMINEL Comprimido 0.25 mg 1 Envase x 30 comp 72.47 43.00 A N04BC05.A017 PRAMIPEXOL DICLORHIDRATO NOXOPRAN Comprimido 0.25 mg 1 Envase x 60 comp 138.82 81.00 A N04BC05.A018 PRAMIPEXOL DICLORHIDRATO NEUROSOMAT 0.25 MG Comprimido 0.25 mg 1 Envase x 90 comp 164.65 118.00 A N04BC05.A019 PRAMIPEXOL DICLORHIDRATO PARFENO Comprimido 0.25 mg 1 Envase x 100 comp 224.21 135.00 A N04BC05.A020 PRAMIPEXOL DICLORHIDRATO PORTIV Comprimido 0.25 mg 1 Envase x 100 comp 157.17 135.00 A N04BC05.A021 PRAMIPEXOL DICLORHIDRATO SIFROL Comprimido 0.25 mg 1 Envase x 100 comp 214.15 135.00 A N04BC05.A022 PRAMIPEXOL DICLORHIDRATO SIFROL ER Comprimido 0.375 mg 1 Envase x 10 comp 38.63 24.00 A N04BC05.A023 PRAMIPEXOL DICLORHIDRATO SIFROL ER Comprimido 0.75 mg 1 Envase x 30 comp 183.64 135.00 A N04BC05.A024 PRAMIPEXOL DICLORHIDRATO MAXTENK Comprimido 1 mg 1 Envase x 30 comp 196.00 156.00 U N04BC05.A025 PRAMIPEXOL DICLORHIDRATO NEUROSOMAT 1 MG Comprimido 1 mg 1 Envase x 30 comp 211.76 156.00 U N04BC05.A026 PRAMIPEXOL DICLORHIDRATO NIXOL Comprimido 1 mg 1 Envase x 30 comp 250.12 156.00 U N04BC05.A027 PRAMIPEXOL DICLORHIDRATO NOXOPRAN Comprimido 1 mg 1 Envase x 30 comp 263.39 156.00 U N04BC05.A028 PRAMIPEXOL DICLORHIDRATO NULIPAR Comprimido 1 mg 1 Envase x 30 comp 195.02 156.00 U N04BC05.A029 PRAMIPEXOL DICLORHIDRATO PARFENO Comprimido 1 mg 1 Envase x 30 comp 256.33 156.00 U N04BC05.A030 PRAMIPEXOL DICLORHIDRATO PARMITAL Comprimido 1 mg 1 Envase x 30 comp 225.15 156.00 U N04BC05.A031 PRAMIPEXOL DICLORHIDRATO PORTIV Comprimido 1 mg 1 Envase x 30 comp 190.06 156.00 U N04BC05.A032 PRAMIPEXOL DICLORHIDRATO PROATS 1 Comprimido 1 mg 1 Envase x 30 comp 177.07 156.00 U N04BC05.A033 PRAMIPEXOL DICLORHIDRATO SIFROL Comprimido 1 mg 1 Envase x 30 comp 256.12 156.00 U N04BC05.A034 PRAMIPEXOL DICLORHIDRATO TREMINEL Comprimido 1 mg 1 Envase x 30 comp 263.00 156.00 U N04BC05.A035 PRAMIPEXOL DICLORHIDRATO NULIPAR Comprimido 1 mg 1 Envase x 60 comp 360.91 280.00 U N04BC05.A036 PRAMIPEXOL DICLORHIDRATO NOXOPRAN Comprimido 1 mg 1 Envase x 60 comp 481.98 280.00 U N04BC05.A037 PRAMIPEXOL DICLORHIDRATO NEUROSOMAT 1 MG Comprimido 1 mg 1 Envase x 90 comp 571.76 400.00 U N04BC05.A038 PRAMIPEXOL DICLORHIDRATO PARFENO Comprimido 1 mg 1 Envase x 100 comp 772.49 450.00 U N04BC05.A039 PRAMIPEXOL DICLORHIDRATO PORTIV Comprimido 1 mg 1 Envase x 100 comp 560.31 450.00 U
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ANEXO DE ALTERNATIVAS TERAPEUTICAS SEMPRE 2011 ... - ISS

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