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ANEXO DE ALTERNATIVAS TERAPEUTICAS SEMPRE 2011 ... - ISS

ANEXO DE ALTERNATIVAS TERAPEUTICAS SEMPRE 2011 ... - ISS

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Clas ATC Genérico Producto Comercial Tipo Present. Tamaño Present. Presentación PVP MF AUT<br />

R03AK06.A019 SALMETEROL Y FLUTICASONA PROPIONATO SERETI<strong>DE</strong> AEROSOL Aerosol ( 25 - 250) mcg/ds 1 Envase x 120 dosis 187.10 95.00 A<br />

R03AK06.A020 SALMETEROL Y FLUTICASONA PROPIONATO SERETI<strong>DE</strong> CD Aerosol ( 25 - 250) mcg/ds 1 Envase x 120 dosis 185.40 95.00 A<br />

R03AK06.A021 SALMETEROL Y FLUTICASONA PROPIONATO FLUTIVENT Aerosol ( 25 - 250) mcg/ds 1 Envase x 150 dosis 104.06 104.06 A<br />

R03AK06.A022 SALMETEROL Y FLUTICASONA PROPIONATO NEUMOTI<strong>DE</strong> CAPSULAS C/APL Inhalable (50 - 100) mcg/ds 1 Envase x 60 cápsulas 131.49 120.00 A<br />

R03AK06.A023 SALMETEROL Y FLUTICASONA PROPIONATO SERETI<strong>DE</strong> DISKUS Inhalable ( 50 - 100) mcg/ds 1 Envase x 60 discos 179.90 120.00 A<br />

R03AK06.A024 SALMETEROL Y FLUTICASONA PROPIONATO NEUMOTI<strong>DE</strong> CAPSULAS C/APL Inhalable (50 - 250) mcg/ds 1 Envase x 60 cápsulas 149.61 128.00 A<br />

R03AK06.A025 SALMETEROL Y FLUTICASONA PROPIONATO PROAIR BRONQUIAL C/APL Inhalable ( 50 - 250) mcg/ds 1 Envase x 60 cápsulas 153.64 128.00 A<br />

R03AK06.A026 SALMETEROL Y FLUTICASONA PROPIONATO SERETI<strong>DE</strong> DISKUS Inhalable ( 50 - 250) mcg/ds 1 Envase x 60 discos 205.02 128.00 A<br />

R03AK06.A027 SALMETEROL Y FLUTICASONA PROPIONATO SERETI<strong>DE</strong> DISKUS Inhalable ( 50 - 500) mcg/ds 1 Envase x 60 discos 208.97 135.00 A<br />

R03AK06.A028 SALMETEROL Y FLUTICASONA PROPIONATO NEUMOTI<strong>DE</strong> CAPSULAS C/APL Inhalable (50 - 500) mcg/ds 1 Envase x 60 cápsulas 152.60 146.00 A<br />

R03AK06.A029 SALMETEROL Y FLUTICASONA PROPIONATO PROAIR BRONQUIAL C/APL Inhalable (50 - 500) mcg/ds 1 Envase x 60 cápsulas 157.12 146.00 A<br />

R03AK07.A BU<strong>DE</strong>SONIDA Y FORMOTEROL FUMARATO 70<br />

R03AK07.A001 BU<strong>DE</strong>SONIDA Y FORMOTEROL FUMARATO FREVIA Aerosol (80-4,5) mcg/dosis 1 Envase x 120 dosis 226.56 125.00 A<br />

R03AK07.A002 BU<strong>DE</strong>SONIDA Y FORMOTEROL FUMARATO SYMBICORT-M Inhalable (80-4,5) mcg/dosis 1 Envase x 120 dosis 226.57 125.00 A<br />

R03AK07.A003 BU<strong>DE</strong>SONIDA Y FORMOTEROL FUMARATO NEUMOTEROL PEDIATRICO Inhalable (100-6) mcg/dosis 1 Envase x 60 caps. Inh. c/ aplic. 103.84 85.00 A<br />

R03AK07.A004 BU<strong>DE</strong>SONIDA Y FORMOTEROL FUMARATO NEUMOTEROL PEDIATRICO Inhalable (100-6) mcg/dosis 1 Envase x 120 caps. Inh. c/ aplic. 142.79 135.00 A<br />

R03AK07.A005 BU<strong>DE</strong>SONIDA Y FORMOTEROL FUMARATO SYMBICORT Inhalable (160-4,5) mcg/dosis 1 Envase x 60 dosis 168.13 95.00 A<br />

R03AK07.A006 BU<strong>DE</strong>SONIDA Y FORMOTEROL FUMARATO FREVIA Aerosol (160-4,5) mcg/dosis 1 Envase x 120 dosis 226.56 140.00 A<br />

R03AK07.A007 BU<strong>DE</strong>SONIDA Y FORMOTEROL FUMARATO SYMBICORT Inhalable (160-4,5) mcg/dosis 1 Envase x 120 dosis 226.57 140.00 A<br />

R03AK07.A008 BU<strong>DE</strong>SONIDA Y FORMOTEROL FUMARATO NEUMOTEROL 200 Inhalable (200-6) mcg/dosis 1 Envase x 60 caps. Inh. 140.73 120.00 A<br />

R03AK07.A009 BU<strong>DE</strong>SONIDA Y FORMOTEROL FUMARATO NEUMOTEROL 200 Inhalable (200-6) mcg/dosis 1 Envase x 60 caps. Inh. c/ aplic. 137.92 137.92 A<br />

R03AK07.A010 BU<strong>DE</strong>SONIDA Y FORMOTEROL FUMARATO NEUMOTEROL 200 Inhalable (200-6) mcg/dosis 1 Envase x 120 caps. Inh. 187.65 160.00 A<br />

R03AK07.A011 BU<strong>DE</strong>SONIDA Y FORMOTEROL FUMARATO NEUMOTEROL 200 Inhalable (200-6) mcg/dosis 1 Envase x 120 caps. Inh. c/ aplic. 199.95 180.00 A<br />

R03AK07.A012 BU<strong>DE</strong>SONIDA Y FORMOTEROL FUMARATO SYMBICORT FORTE TURBUHALER Inhalable (320-9) mcg/dosis 1 Envase x 60 dosis 226.57 145.00 A<br />

R03AK07.A013 BU<strong>DE</strong>SONIDA Y FORMOTEROL FUMARATO NEUMOTEROL 400 Inhalable (400-12) mcg/dosis 1 Envase x 60 caps. Inh. c/ aplic. 182.44 170.00 A<br />

R03B OTROS ANTIASMATICOS, INHALANTES<br />

R03BA GLUCOCORTICOI<strong>DE</strong>S<br />

R03BA05.A FLUTICASONA PROPIONATO 70<br />

R03BA05.A001 FLUTICASONA PROPIONATO CRIVANIL Inhalable 50 mcg/ds 1 Envase x 120 dosis 100.01 82.50 A<br />

R03BA05.A002 FLUTICASONA PROPIONATO FLIXOTI<strong>DE</strong> Inhalable 50 mcg/ds 1 Envase x 120 dosis 146.99 82.50 A<br />

R03BA05.A003 FLUTICASONA PROPIONATO RINISONA BRONQUIAL Inhalable 50 mcg/ds 1 Envase x 120 dosis 106.58 82.50 A<br />

R03BA05.A004 FLUTICASONA PROPIONATO FLUTICORT Inhalable 50 mcg/ds 1 Aerosol x 150 dosis 68.87 68.87 A<br />

R03BA05.A005 FLUTICASONA PROPIONATO FLIXOTI<strong>DE</strong> Inhalable 125 mcg/ds 1 Envase x 60 dosis 109.50 66.00 A<br />

R03BA05.A006 FLUTICASONA PROPIONATO LIRTODAC Inhalable 125 mcg/ds 1 Aerosol x 60 dosis 78.40 66.00 A<br />

R03BA05.A007 FLUTICASONA PROPIONATO CRIVANIL Inhalable 125 mcg/ds 1 Envase x 120 dosis 123.53 96.50 A<br />

R03BA05.A008 FLUTICASONA PROPIONATO FLIXOTI<strong>DE</strong> Inhalable 125 mcg/ds 1 Envase x 120 dosis 186.77 96.50 A<br />

R03BA05.A009 FLUTICASONA PROPIONATO FLUTICORT Inhalable 125 mcg/ds 1 Aerosol x 120 dosis 81.10 81.10 A<br />

R03BA05.A010 FLUTICASONA PROPIONATO LIRTODAC Inhalable 125 mcg/ds 1 Aerosol x 120 dosis 133.74 96.50 A<br />

R03BA05.A011 FLUTICASONA PROPIONATO RINISONA BRONQUIAL Inhalable 125 mcg/ds 1 Envase x 120 dosis 135.41 96.50 A<br />

R03BA05.A012 FLUTICASONA PROPIONATO RINISONA BRONQUIAL C/AER Inhalable 125 mcg/ds 1 Envase x 120 dosis 187.40 110.00 A<br />

R03BA05.A013 FLUTICASONA PROPIONATO FLIXOTI<strong>DE</strong> Inhalable 250 mcg/ds 1 Envase x 60 dosis 116.30 96.50 A<br />

R03BA05.A014 FLUTICASONA PROPIONATO FLIXOTI<strong>DE</strong> Inhalable 250 mcg/ds 1 Envase x 60 dikus 118.35 76.00 A<br />

R03BA05.A015 FLUTICASONA PROPIONATO LIRTODAC Inhalable 250 mcg/ds 1 Envase x 60 dosis 97.98 76.00 A<br />

R03BA05.A016 FLUTICASONA PROPIONATO CRIVANIL Inhalable 250 mcg/ds 1 Envase x 120 dosis 123.53 110.00 A<br />

R03BA05.A017 FLUTICASONA PROPIONATO FLIXOTI<strong>DE</strong> Inhalable 250 mcg/ds 1 Envase x 120 dosis 193.84 110.00 A<br />

R03BA05.A018 FLUTICASONA PROPIONATO FLUTICORT Inhalable 250 mcg/ds 1 Envase x 120 dosis 96.40 96.40 A<br />

R03BA05.A019 FLUTICASONA PROPIONATO LIRTODAC Inhalable 250 mcg/ds 1 Aerosol x 120 dosis 138.80 110.00 A<br />

R03BA05.A020 FLUTICASONA PROPIONATO RINISONA BRONQUIAL Inhalable 250 mcg/ds 1 Envase x 120 dosis 140.66 110.00 A<br />

R03D OTROS ANTIASMATICOS <strong>DE</strong> USO SISTEMICO<br />

R03DC ANTAGONISTAS <strong>DE</strong>L RECEPTOR <strong>DE</strong> LEUCOTRIENOS<br />

R03DC03.A MONTELUKAST -USO NORMATIZADO- 70<br />

R03DC03.A001 MONTELUKAST INSPIROL Comp.mast 4 mg 1 Envase x 30 comp 139.67 115.00 U<br />

R03DC03.A002 MONTELUKAST LUKAST Comp.rec 4 mg 1 Envase x 30 comp 168.20 115.00 U<br />

R03DC03.A003 MONTELUKAST MONTRATE Granulado 4 mg 1 Envase x 30 sobres 168.12 115.00 U<br />

R03DC03.A004 MONTELUKAST SINGULAIR Granulado 4 mg 1 Envase x 30 sobres 213.96 115.00 U

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