ANEXO DE ALTERNATIVAS TERAPEUTICAS SEMPRE 2011 ... - ISS

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Clas ATC Genérico Producto Comercial Tipo Present. Tamaño Present. Presentación PVP MF AUT N04BC05.A040 PRAMIPEXOL DICLORHIDRATO SIFROL Comprimido 1 mg 1 Envase x 100 comp 753.55 450.00 U N04BC05.A041 PRAMIPEXOL DICLORHIDRATO SIFROL ER Comprimido 1 .5 mg 1 Envase x 30 comp 339.72 210.00 U N04BC05.A042 PRAMIPEXOL DICLORHIDRATO SIFROL ER Comprimido 3 mg 1 Envase x 30 comp 679.46 420.00 U N04BC06.A CABERGOLINA -USO NORMATIZADO- 50 N04BC06.A001 CABERGOLINA CABERTRIX Comprimido 0.50 mg 1 Envase x 2 comp 60.72 32.50 U N04BC06.A002 CABERGOLINA DOSTINEX Comprimido 0.50 mg 1 Envase x 2 comp 57.20 32.50 U N04BC06.A003 CABERGOLINA LAC STOP Comprimido 0.50 mg 1 Envase x 2 comp 67.90 32.50 U N04BC06.A004 CABERGOLINA LACTAMAX Comprimido 0.50 mg 1 Envase x 2 comp 75.03 32.50 U N04BC06.A005 CABERGOLINA CABERTRIX Comprimido 0.50 mg 1 Envase x 8 comp 197.73 99.50 U N04BC06.A006 CABERGOLINA DOSTINEX Comprimido 0.50 mg 1 Envase x 8 comp 179.88 99.50 U N04BC06.A007 CABERGOLINA LAC STOP Comprimido 0.50 mg 1 Envase x 8 comp 208.24 99.50 U N04BC06.A008 CABERGOLINA LACTAMAX Comprimido 0.50 mg 1 Envase x 8 comp 211.38 99.50 U N04BC06.A009 CABERGOLINA CABERPAR Comprimido 1 mg 1 Envase x 10 comp 139.74 118.00 U N04BC06.A010 CABERGOLINA CABASER Comprimido 1 mg 1 Envase x 30 comp 344.65 170.00 U N04BC06.A011 CABERGOLINA CABERTEMIS Comprimido 1 mg 1 Envase x 30 comp 272.49 170.00 U N04BC06.A012 CABERGOLINA TRIASPAR Comprimido 1 mg 1 Envase x 30 comp 400.62 170.00 U N04BC06.A013 CABERGOLINA CABASER Comprimido 2 mg 1 Envase x 30 comp 430.90 207.00 U N04BC06.A014 CABERGOLINA CABERPAR Comprimido 2 mg 1 Envase x 30 comp 398.59 207.00 U N04BC06.A015 CABERGOLINA CABERTEMIS Comprimido 2 mg 1 Envase x 30 comp 326.95 207.00 U N04BC06.A016 CABERGOLINA TRIASPAR Comprimido 2 mg 1 Envase x 30 comp 500.41 207.00 U N04BC06.A017 CABERGOLINA CABERPAR Comprimido 4 mg 1 Envase x 30 comp 652.13 301.00 U N04BC06.A018 CABERGOLINA CABERTEMIS Comprimido 4 mg 1 Envase x 30 comp 468.64 301.00 U N04BC06.A019 CABERGOLINA TRIASPAR Comprimido 4 mg 1 Envase x 30 comp 685.96 301.00 U N04BX OTROS AGENTES DOPAMINERGICOS N04BX02.A ENTACAPONA -USO NORMATIZADO- 70 N04BX02.A001 ENTACAPONA COMTAN Comprimido 200 mg 1 Envase x 30 comp 188.34 132.00 U N04BX02.A002 ENTACAPONA COMTAN Comprimido 200 mg 1 Envase x 60 comp 360.47 252.00 U N05 PSICOLEPTICOS N05A ANTIPSICOTICOS N05AD DERIVADOS DE LA BUTIROFENONA N05AD06.A BROMPERIDOL 70 N05AD06.A001 BROMPERIDOL ERODIUM Comprimido 1 mg 1 Envase x 20 comp 18.01 12.50 A N05AD06.A002 BROMPERIDOL ERODIUM Comprimido 1 mg 1 Envase x 60 comp 39.94 28.00 A N05AD06.A003 BROMPERIDOL ERODIUM Comprimido 5 mg 1 Envase x 20 comp 49.16 35.00 A N05AD06.A004 BROMPERIDOL BROMODOL Comprimido 5 mg 1 Envase x 50 comp 111.71 82.00 A N05AD06.A005 BROMPERIDOL ERODIUM Comprimido 5 mg 1 Envase x 60 comp 116.11 96.00 A N05AD06.A006 BROMPERIDOL ERODIUM Comprimido 10 mg 1 Envase x 20 comp 86.08 59.00 A N05AD06.A007 BROMPERIDOL ERODIUM Comprimido 10 mg 1 Envase x 60 comp 201.42 141.00 A N05AD06.A008 BROMPERIDOL ERODIUM Solucion 2 mg/1 ml 1 Fco.Gotero x 20 ml 21.05 21.05 A N05AD06.A009 BROMPERIDOL BROMODOL Solucion 2 mg/1 ml 1 Fco.Gotero x 30 ml 90.73 63.50 A N05AD06.A010 BROMPERIDOL ERODIUM 10 AC Solucion 10 mg/1 ml 1 Fco.Gotero x 20 ml 101.25 71.00 A N05AD06.A011 BROMPERIDOL BROMODOL DECANOATO Inyectable 50 mg/1 ml 1 Ampolla x 1 ml 92.39 65.00 A N05AG DERIVADOS DE LA DIFENILBUTILPIPERIDINA N05AG02.A PIMOZIDA 70 N05AG02.A001 PIMOZIDA ORAP FORTE Comprimido 4 mg 1 Envase x 20 comp 62.39 44.00 A N05AH DIAZEPINAS, OXAZEPINAS Y TIAZEPINAS N05AH03.A OLANZAPINA -USO NORMATIZADO- 100 N05AH03.A001 OLANZAPINA APSICO Comprimido 2.50 mg 1 Envase x 28 comp 219.45 P.E. U N05AH03.A002 OLANZAPINA MIDAX Comprimido 2.50 mg 1 Envase x 28 comp 256.8 P.E. U N05AH03.A003 OLANZAPINA ZYPREXA Comp.rec 2.50 mg 1 Envase x 28 comp 247.13 P.E. U N05AH03.A004 OLANZAPINA APSICO Comprimido 5 mg 1 Envase x 14 comp 162.39 P.E. U N05AH03.A005 OLANZAPINA MIDAX Comprimido 5 mg 1 Envase x 14 comp 193.29 P.E. U N05AH03.A006 OLANZAPINA SIMINA Comp.rec 5 mg 1 Envase x 14 comp 173.24 P.E. U N05AH03.A007 OLANZAPINA TIANTREX Comp.rec 5 mg 1 Envase x 14 comp 111.22 P.E. U N05AH03.A008 OLANZAPINA ZYPREXA Comp.rec 5 mg 1 Envase x 14 comp 192.16 P.E. U
Clas ATC Genérico Producto Comercial Tipo Present. Tamaño Present. Presentación PVP MF AUT N05AH03.A009 OLANZAPINA ZYPREXA ZYDIS Tableta 5 mg 1 Envase x 14 tabletas 192.16 P.E. U N05AH03.A010 OLANZAPINA SARTINA Comprimido 5 mg 1 Envase x 15 comp 192.08 P.E. U N05AH03.A011 OLANZAPINA APSICO Comprimido 5 mg 1 Envase x 28 comp 322.59 P.E. U N05AH03.A012 OLANZAPINA MIDAX Comprimido 5 mg 1 Envase x 28 comp 390.83 P.E. U N05AH03.A013 OLANZAPINA ZYPREXA Comp.rec 5 mg 1 Envase x 28 comp 384.33 P.E. U N05AH03.A014 OLANZAPINA SARTINA Comprimido 5 mg 1 Envase x 30 comp 368.55 P.E. U N05AH03.A015 OLANZAPINA TIANTREX Comp.rec 7.50 mg 1 Envase x 10 comp 119.23 P.E. U N05AH03.A016 OLANZAPINA APSICO Comprimido 10 mg 1 Envase x 14 comp 324.79 P.E. U N05AH03.A017 OLANZAPINA MIDAX Comprimido 10 mg 1 Envase x 14 comp 385.56 P.E. U N05AH03.A018 OLANZAPINA SIMINA Comp.rec 10 mg 1 Envase x 14 comp 345.54 P.E. U N05AH03.A019 OLANZAPINA TIANTREX Comp.rec 10 mg 1 Envase x 14 comp 222.45 P.E. U N05AH03.A020 OLANZAPINA ZYPREXA Comp.rec 10 mg 1 Envase x 14 comp 373.14 P.E. U N05AH03.A021 OLANZAPINA ZYPREXA ZYDIS Tableta 10 mg 1 Envase x 14 tabletas 373.14 P.E. U N05AH03.A022 OLANZAPINA SARTINA Comprimido 10 mg 1 Envase x 15 comp 368.55 P.E. U N05AH03.A023 OLANZAPINA APSICO Comprimido 10 mg 1 Envase x 28 comp 658.36 P.E. U N05AH03.A024 OLANZAPINA MIDAX Comprimido 10 mg 1 Envase x 28 comp 765.88 P.E. U N05AH03.A025 OLANZAPINA SIMINA Comp.rec 10 mg 1 Envase x 28 comp 686.4 P.E. U N05AH03.A026 OLANZAPINA TIANTREX Comp.rec 10 mg 1 Envase x 28 comp 444.91 P.E. U N05AH03.A027 OLANZAPINA ZYPREXA Comp.rec 10 mg 1 Envase x 28 comp 746.25 P.E. U N05AH03.A028 OLANZAPINA SARTINA Comprimido 10 mg 1 Envase x 30 comp 720.33 P.E. U N05B ANSIOLITICOS N05BA DERIVADOS DE BENZODIAZEPINAS N05BA12.A ALPRAZOLAM 50 N05BA12.A001 ALPRAZOLAM ALPLAX Comprimido 0.25 mg 1 Envase x 30 comp 10.83 5.00 A N05BA12.A002 ALPRAZOLAM ALPRAZOL Comprimido 0.25 mg 1 Envase x 30 comp 10.16 5.00 A N05BA12.A003 ALPRAZOLAM ALPRAZOLAM LUAR Comprimido 0.25 mg 1 Envase x 30 comp 6.50 5.00 A N05BA12.A004 ALPRAZOLAM CALMOL Comprimido 0.25 mg 1 Envase x 30 comp 8.77 5.00 A N05BA12.A005 ALPRAZOLAM MEDRONAL Comprimido 0.25 mg 1 Envase x 30 comp 7.57 5.00 A N05BA12.A006 ALPRAZOLAM PRINOX Comprimido 0.25 mg 1 Envase x 30 comp 10.59 5.00 A N05BA12.A007 ALPRAZOLAM TENSIUM Comprimido 0.25 mg 1 Envase x 30 comp 9.84 5.00 A N05BA12.A008 ALPRAZOLAM PRINOX Comprimido 0.25 mg 1 Envase x 50 comp 20.54 7.50 A N05BA12.A009 ALPRAZOLAM TRANQUINAL Comprimido 0.25 mg 1 Envase x 50 comp 19.17 7.50 A N05BA12.A010 ALPRAZOLAM ALPLAX Comprimido 0.25 mg 1 Envase x 60 comp 20.18 8.50 A N05BA12.A011 ALPRAZOLAM ALPRAZOL Comprimido 0.25 mg 1 Envase x 60 comp 19.09 8.50 A N05BA12.A012 ALPRAZOLAM ALPRAZOLAM LUAR Comprimido 0.25 mg 1 Envase x 60 comp 12.50 8.50 A N05BA12.A013 ALPRAZOLAM AMZIAX CHOBET Comprimido 0.50 mg 1 Envase x 10 comp 6.17 3.00 A N05BA12.A014 ALPRAZOLAM ANSIELIX Comprimido 0.50 mg 1 Envase x 10 comp 4.40 3.00 A N05BA12.A015 ALPRAZOLAM ISOPROXAL Comprimido 0.50 mg 1 Envase x 15 comp 6.87 4.50 A N05BA12.A016 ALPRAZOLAM TENSIUM SL Comp.subl 0.50 mg 1 Envase x 15 comp 12.28 4.50 A N05BA12.A017 ALPRAZOLAM TRANQUINAL Comp.subl 0.50 mg 1 Envase x 15 comp 14.77 4.50 A N05BA12.A018 ALPRAZOLAM ALPLAX XR Comprimido 0.50 mg 1 Envase x 20 comp 26.41 6.00 A N05BA12.A019 ALPRAZOLAM BESTROL Comprimido 0.50 mg 1 Envase x 20 comp 13.95 6.00 A N05BA12.A020 ALPRAZOLAM PRENADONA Comprimido 0.50 mg 1 Envase x 20 comp 8.86 6.00 A N05BA12.A021 ALPRAZOLAM ALPLAX Comprimido 0.50 mg 1 Envase x 30 comp 17.33 8.00 A N05BA12.A022 ALPRAZOLAM ALPLAX XR Comprimido 0.50 mg 1 Envase x 30 comp 34.48 8.00 A N05BA12.A023 ALPRAZOLAM ALPRAZOL Comprimido 0.50 mg 1 Envase x 30 comp 16.09 8.00 A N05BA12.A024 ALPRAZOLAM ALPRAZOLAM CEVALLOS Comprimido 0.50 mg 1 Envase x 30 comp 14.12 8.00 A N05BA12.A025 ALPRAZOLAM ALPRAZOLAM DENVER FARMA 0.5 Comprimido 0.50 mg 1 Envase x 30 comp 15.05 8.00 A N05BA12.A026 ALPRAZOLAM ALPRAZOLAM L.B.A. Comprimido 0.50 mg 1 Envase x 30 comp 24.00 8.00 A N05BA12.A027 ALPRAZOLAM ALPRAZOLAM LUAR Comprimido 0.50 mg 1 Envase x 30 comp 8.00 8.00 A N05BA12.A028 ALPRAZOLAM ALPRAZOLAM MICROSULES Comprimido 0.50 mg 1 Envase x 30 comp 17.97 8.00 A N05BA12.A029 ALPRAZOLAM ALPRAZOLAM NORTHIA Comp.rec 0.50 mg 1 Envase x 30 comp 13.07 8.00 A N05BA12.A030 ALPRAZOLAM ALPRAZOLAM PUNTANOS Comprimido 0.50 mg 1 Envase x 30 comp 11.25 8.00 A N05BA12.A031 ALPRAZOLAM AMZIAX CHOBET Comprimido 0.50 mg 1 Envase x 30 comp 14.74 8.00 A N05BA12.A032 ALPRAZOLAM ANSIELIX Comprimido 0.50 mg 1 Envase x 30 comp 12.80 8.00 A
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ANEXO DE ALTERNATIVAS TERAPEUTICAS SEMPRE 2011 ... - ISS

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