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Formulario Teraputico Ambulatorio - IAPOS

DROGA

NOMBRE COMERCIAL

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

ACARBOSE
Comprimidos

50 mg GLUCOBAY 50 mg COM x 30

Bayer (PH)

34,19

22,80

22,80

100 mg GLUCOBAY 100 mg COM x 30

Bayer (PH)

59,43

38,44

21,19

ACENOCUMAROL
Comprimidos

1 mg AZECAR 1 mg COM x 30

Bag

26,31

9,26

6,47

SINTROM 1 mg COM x 30

Novartis

36,87

24,22

14,93

4 mg SINTROM 4 mg COM x 20

Novartis

57,36

35,24

20,00

Bag

118,36

79,31

68,16

Investi

84,94

56,81

56,81

Temis-Lostalo

81,15

40,73

40,73

AZECAR 4 mg COM x 30

ACETIL CISTEINA
Comprimidos

200 mg ACEMUK 200 mg EFERV. TAB x 10


BRONCOLIUM 200 mg COM x 12
600 mg ACC EXPECTORANTE 600 mg EFERV. COM x 10

Lquido

Sandoz

83,63

55,21

55,21

ACEMUK 600 mg EFERV. TAB x 10

Investi

94,27

63,17

63,17

BRONCOLIUM 600 mg EFERV. COM x 12

Temis-Lostalo

96,60

60,81

60,81

ACC EXPECTORANTE 600 mg EFERV. COM x 20

Sandoz

136,01

69,36

69,36

ACEMUK 600 mg EFERV. TAB x 20

Investi

153,21

91,20

91,20

BRONCOLIUM 600 mg EFERV. COM x 24

Temis-Lostalo

167,99

87,97

87,97

Casasco

68,86

40,65

40,65

Investi

78,82

52,82

52,82

2000 mg TOFLUX JBE x 100


ACEMUK JBE x 100

Sobres

200 mg TOFLUX 200 mg SOB x 20

Casasco

124,80

83,24

83,24

600 mg TOFLUX 600 mg SOB x 10

Casasco

87,32

58,51

58,51

TOFLUX 600 mg SOB x 20

Casasco

140,83

80,90

80,90

ACETIL SALICLICO, CIDO


Comprimidos

100 mg ASPIRINA PREVENT CUB.ENTERICA COM x 20

Bayer (PH)

21,99

14,73

14,73

ASPIRINA PREVENT CUB.ENTERICA COM x 50

Bayer (PH)

48,02

31,40

31,40

MSD Arrgentina SR

33,79

22,64

22,64

ASPIRINA PREVENT 325 CUB.ENTER COM x 30

Bayer Consumer

44,62

29,90

29,90

ECOTRIN 325 GRA x 50

MSD Arrgentina SR

61,08

38,62

38,62

ASPIRINA PREVENT 325 CUB.ENTER COM x 60

Bayer Consumer

79,46

53,24

53,24

Elea

103,11

69,09

69,09

ZOVIRAX 200 mg COM x 25

GlaxoSmithkline

147,03

97,07

97,07

XICLOVIR 200 mg COM x 30

Lazar

137,42

86,70

86,70

325 mg ECOTRIN 325 GRA x 25

ACICLOVIR
Comprimidos

200 mg LISOVYR 200 CAP x 20

400 mg ACERPES 400 mg COM x 20

Investi

111,47

62,03

62,03

POVIRAL 400 mg COM x 20

Roemmers

139,19

93,27

93,27

LISOVYR 400 mg COM x 20

Elea

139,20

93,28

93,28

POVIRAL 400 mg COM x 40

Roemmers

232,03

136,26

136,26

800 mg ACICLOVIR NORTHIA 800 mg COM x 20

Northia

189,95

123,47

123,47

ACERPES 800 mg COM x 20

Investi

204,53

133,51

133,51

POVIRAL 800 mg COM x 20

Roemmers

207,38

137,10

137,10

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 1 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

Crema

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

800 mg LISOVYR 800 CAP x 20

A CARGO A CARGO
REF
AFILIADO CRONICO

Elea

225,47

151,08

151,08

XICLOVIR 800 mg COM x 20

Lazar

225,46

151,08

151,08

POVIRAL 800 mg COM x 40

Roemmers

392,37

245,73

245,73

LISOVYR 800 CAP x 40

Elea

416,85

276,81

276,81

XICLOVIR 800 mg COM x 40

Lazar

425,24

284,95

284,95

Investi

29,20

14,30

14,30 INF

Elea

31,94

18,09

18,09 INF

Northia

37,31

25,00

25,00

Roemmers

52,28

35,03

35,03 INF

GlaxoSmithkline

58,41

29,34

29,34 INF

5000 mg ACERPES 5% CRE x


LISOVYR 5% CRE x

5
5

ACICLOVIR NORTHIA 5% CRE x


POVIRAL DERMICA 5% CRE x

5
5

ZOVIRAX 5% CRE x 10
Lquido

PRECIO

8000 mg LISOVYR 8% SUS x 120

Elea

170,54

113,11

113,11

XICLOVIR 8% SUS x 120

Lazar

175,04

117,29

117,29

POVIRAL 8% SUS x 125

Roemmers

178,36

118,72

118,72

Roemmers

39,24

26,17

26,17 INF

Lazar

44,55

29,85

29,85 INF

Elea

60,73

31,88

31,88 INF

Pomada

3000 mg POVIRAL OFTALMICO 3% PDA x

Ungento

5000 mg XICLOVIR 5% DERMICO UNG x

5
5

LISOVYR 5% UNG x 10

ACITRETINA
Comprimidos

10 mg NEOTIGASON 10 mg CAP x 30

Sandoz

176,62

116,04

116,04

25 mg NEOTIGASON 25 mg CAP x 30

Sandoz

372,03

244,44

244,44

Elisium

51,18

33,63

33,63

ALENDRONATO
Comprimidos

5 mg MARVIL 5 mg COM x 30
10 mg SILIDRAL 10 mg COM x 30

Spedrog Caillon

MARVIL 10 mg COM x 30
35 mg ARENDAL 35 mg COM x

70 mg ALENDRONATO 70 mg COM x
OSTEONATE 70 mg COM x
ACTIMAX 70 mg COM x

OSTEOBON 70 mg COM x

OSTEOFENE 70 mg COM x
ALENATO 70 mg COM x

OSTEOMAR 70 mg COM x

ALENDRONATO NORTHIA 70 mg COM x


DRONAT 70 mg COM x

FINDECLIN 70 mg COM x
BREK 70 mg COM x

REGENESIS 70 mg COM x
MARVIL 70 mg COM x

81,55

54,39

54,39

107,67

71,82

71,82

Ivax Argentina

75,57

50,41

50,41

Lepetit

30,00

6,80

6,80

Raffo

62,68

14,00

14,00

Investi

71,78

17,65

17,65

Bag

81,76

20,10

20,10

Astrazeneca

85,02

21,02

21,02

Investi

86,62

22,55

22,55

Ferring

88,59

24,44

24,44

Northia

87,52

27,13

27,13

Fortbenton Co.

92,77

28,75

28,75

Finadiet

110,80

52,94

52,94

Trb-Pharma

142,71

95,38

95,38

Elea

151,56

101,56

101,56

Elisium

154,04

103,23

103,23

Elisium

ARENDAL 70 mg COM x

Ivax Argentina

166,29

111,43

111,43

FOSAMAX 70 mg COM x

Merck Sharp & Dhome

188,97

126,63

126,63

Spedrog Caillon

205,75

137,88

137,88

SILIDRAL 70 mg COM x

OSTEONATE 70 mg COM x

Raffo

112,07

25,03

25,03

ACTIMAX 70 mg COM x

Investi

128,92

31,70

31,70

ALENATO 70 mg COM x

Investi

156,30

38,44

38,44

Trb-Pharma

200,67

74,75

74,75

Finadiet

206,00

82,89

82,89

BREK 70 mg COM x

FINDECLIN 70 mg COM x

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 2 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

Comprimidos

70 mg OSTEONATE 70 mg COM x 12

Raffo

Lquido

70 mg MARVIL 70 MG/ 75 ML BEBIBLE SOL x

MARVIL 70 MG/100 ML BEBIBLE SOL x

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

138,38

27,68

27,68

Elisium

66,13

43,45

43,45

Elisium

131,88

87,97

87,97

Gador

27,19

18,22

18,22

ALLOPURINOL PHOENIX 100 mg COM x 40

Phoenix

39,21

26,27

26,27

ALLOPURINOL GADOR 100 mg COM x 60

Gador

48,88

30,95

30,95

ALLOPURINOL PHOENIX 100 mg COM x 100

Phoenix

82,67

53,12

53,12

ALLOPURINOL
Comprimidos

100 mg ALLOPURINOL GADOR 100 mg COM x 30

300 mg ALLOPURINOL CRAVERI 300 mg COM x 20

Craveri

58,06

38,90

38,90

ALLOPURINOL PHOENIX 300 mg CAP x 20

Phoenix

64,58

42,63

42,63

ALLOPURINOL GADOR 300 mg COM x 30

Gador

63,69

40,52

40,52

ALLOPURINOL HOUDE 300 mg COM x 30

Spedrog Caillon

77,48

51,92

51,92

ALLOPURINOL CRAVERI 300 mg COM x 30

Craveri

78,75

52,77

52,77

ALLOPURINOL GADOR RETARD 300 mg COM x


30

Gador

85,78

57,48

57,48

ALFADIMAN 300 mg COM x 40

Lazar

51,50

11,50

11,50

ALLOPURINOL CRAVERI 300 mg COM x 40

Craveri

92,32

61,86

61,86

ALLOPURINOL PHOENIX 300 mg COM x 40

Phoenix

97,50

64,37

64,37

ALLOPURINOL GADOR 300 mg COM x 60

Gador

96,57

38,46

38,46

ALLOPURINOL CRAVERI 300 mg COM x 60

Craveri

121,64

70,03

70,03

ALLOPURINOL PHOENIX 300 mg COM x 100

Phoenix

219,44

144,87

144,87

ALLOPURINOL CRAVERI 300 mg COM x 100

Craveri

224,69

150,56

150,56

COLPURIL A RETARD 300 MICROGRA CAP x 20

Nova Argentia

57,43

38,48

38,48

ALLOPURINOL CRAVERI RETARD 300 COM x 20

Craveri

69,61

46,65

46,65

COLPURIL A RETARD 300 MICROGRA CAP x 50

Nova Argentia

122,52

82,10

82,10

ALLOPURINOL CRAVERI RETARD 300 COM x 50

Craveri

147,48

98,83

98,83

ALLOPURINOL GADOR RETARD 300 mg COM x


60

Gador

130,60

82,97

82,97

ALPRAZOLAM
Comprimidos

0,25 mg TENSIUM 0.25 mg COM x 30

Baliarda

15,34

9,14

9,14

ALPLAX 0.25 mg COM x 30

Gador

17,37

11,64

11,64

PRINOX 0.25 mg COM x 30

Andromaco

17,68

11,67

11,67

PLASEDAN 0.25 mg COM x 30

Eurofarma

20,76

14,83

14,83

TRANQUINAL 0.25 mg COM x 50

Bag

26,62

16,61

16,61

PRINOX 0.25 mg COM x 50

Andromaco

41,08

27,12

27,12

ALPLAX 0.25 mg COM x 60

Gador

32,35

20,45

20,45

TRANQUINAL 0.25 mg COM x 100

Bag

45,00

22,06

22,06

0,5 mg ANSIELIX 0.5 mg COM x 10

Craveri

6,41

1,79

1,79

DROXOL 0.50 mg COM x 10

Bernabo

11,28

7,33

7,33

DROXOL 0.50 mg COM x 30

Bernabo

13,45

2,69

2,69

ISOPROXAL 0.5 mg COM x 30

Lazar

18,08

4,21

4,21

EMERAL 0.5 mg COM x 30

Nova Argentia

17,84

4,38

4,38

XANAX 0.50 mg COM x 30

Pfizer

18,79

4,94

4,94

ANSIELIX 0.5 mg COM x 30

Craveri

19,16

5,29

5,29

CALMOL 0.5 mg COM x 30

Temis-Lostalo

21,79

8,24

8,24

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 3 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
0,5 mg PRINOX 0.5 mg COM x 30

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Andromaco

23,30

10,81

10,81

AMZIAX 0.50 mg COM x 30

Soubeiran Chobet

24,47

12,19

12,19

ALPRAZOL 0.5 mg COM x 30

Casasco

24,56

12,32

12,32

TRANQUINAL 0.5 mg COM x 30

Bag

30,32

19,96

19,96

TENSIUM 0.5 mg COM x 30

Baliarda

31,45

21,08

21,08

PLASEDAN 0.5 mg COM x 30

Eurofarma

32,78

22,27

22,27

ALPLAX 0.50 mg COM x 30

Gador

36,11

24,20

24,20

PRENADONA 0.5 mg COM x 50

Ariston

18,83

3,77

3,77

EMERAL 0.5 mg COM x 50

Nova Argentia

26,84

6,60

6,60

TRANQUINAL 0.5 mg COM x 50

Bag

40,83

20,37

20,37

PRINOX 0.5 mg COM x 50

Andromaco

54,14

35,74

35,74

DROXOL 0.50 mg COM x 60

Bernabo

24,54

4,91

4,91

ISOPROXAL 0.5 mg COM x 60

Lazar

33,96

6,79

6,79

XANAX 0.50 mg COM x 60

Pfizer

35,04

8,62

8,62

AMZIAX 0.50 mg COM x 60

Soubeiran Chobet

46,53

20,89

20,89

ALPRAZOL 0.5 mg COM x 60

Casasco

47,30

22,02

22,02

TENSIUM 0.5 mg COM x 60

Baliarda

55,45

33,24

33,24

PLASEDAN 0.5 mg COM x 60

Eurofarma

63,38

42,36

42,36

TRANQUINAL 0.5 mg COM x 60

Bag

63,30

42,42

42,42

ALPLAX 0.50 mg COM x 60

Gador

65,53

43,91

43,91

TRANQUINAL 0.5 mg COM x 100

Bag

87,29

48,55

48,55

ALPLAX XR 0.5 mg COM x 20

Gador

42,34

28,25

28,25

ALPLAX XR 0.5 mg COM x 30

Gador

46,20

18,89

18,89

1 mg DROXOL 1 mg COM x 30

Bernabo

20,87

4,17

4,17

ISOPROXAL 1 mg COM x 30

Lazar

29,13

6,39

6,39

EMERAL 1 mg COM x 30

Nova Argentia

27,09

6,67

6,67

XANAX 1 mg COM x 30

Pfizer

29,27

7,20

7,20

ANSIELIX 1 mg COM x 30

Craveri

29,72

7,31

7,31

CALMOL 1 mg COM x 30

Temis-Lostalo

33,51

10,66

10,66

PRINOX 1 mg COM x 30

Andromaco

35,80

14,12

14,12

AMZIAX 1 mg COM x 30

Soubeiran Chobet

38,11

17,03

17,03

TENSIUM 1 mg COM x 30

Baliarda

48,15

30,70

30,70

TRANQUINAL 1 mg COM x 30

Bag

50,65

33,85

33,85

ALPLAX 1 mg COM x 30

Gador

56,60

37,93

37,93

PLASEDAN 1 mg COM x 30

Eurofarma

57,91

40,90

40,90

PRENADONA 1 mg COM x 50

Ariston

29,07

5,81

5,81

EMERAL 1 mg COM x 50

Nova Argentia

40,70

10,00

10,00

PRINOX 1 mg COM x 50

Andromaco

81,89

53,88

53,88

TRANQUINAL 1 mg COM x 50

Bag

92,02

61,66

61,66

DROXOL 1 mg COM x 60

Bernabo

37,61

7,52

7,52

ISOPROXAL 1 mg COM x 60

Lazar

53,19

10,64

10,64

XANAX 1 mg COM x 60

Pfizer

52,83

13,00

13,00

AMZIAX 1 mg COM x 60

Soubeiran Chobet

72,83

29,00

29,00

ALPRAZOL 1 mg COM x 60

Casasco

73,27

29,66

29,66

TENSIUM 1 mg COM x 60

Baliarda

90,30

53,61

53,61

ALPLAX 1 mg COM x 60

Gador

104,64

70,12

70,12

PLASEDAN 1 mg COM x 60

Eurofarma

104,90

70,59

70,59

TRANQUINAL 1 mg COM x 60

Bag

107,55

72,07

72,07

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 4 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

1 mg TRANQUINAL 1 mg COM x 100

A CARGO A CARGO
REF
AFILIADO CRONICO

Bag

136,78

70,71

70,71

ALPLAX XR 1 mg COM x 20

Gador

47,78

32,02

32,02

ALPLAX XR 1 mg COM x 30

Gador

54,85

25,90

25,90

Bernabo

31,16

6,23

6,23

EMERAL 2 mg COM x 30

Nova Argentia

39,49

9,71

9,71

ANSIELIX 2 mg COM x 30

Craveri

48,07

11,83

11,83

CALMOL 2 mg COM x 30

Temis-Lostalo

53,83

17,34

17,34

PRINOX 2 mg COM x 30

Andromaco

55,75

20,41

20,41

ALPRAZOL 2 mg COM x 30

Casasco

57,18

21,73

21,73

AMZIAX 2 mg COM x 30

Soubeiran Chobet

59,17

24,73

24,73

TENSIUM 2 mg COM x 30

Baliarda

71,82

42,47

42,47

TRANQUINAL 2 mg COM x 30

Bag

74,03

45,37

45,37

PLASEDAN 2 mg COM x 30

Eurofarma

81,95

53,83

53,83

ALPLAX 2 mg COM x 30

Gador

84,48

56,61

56,61

EMERAL 2 mg COM x 50

Nova Argentia

64,57

15,88

15,88

PRINOX 2 mg COM x 50

Andromaco

126,60

80,82

80,82

TRANQUINAL 2 mg COM x 50

Bag

135,37

90,71

90,71

TENSIUM 2 mg COM x 60

Baliarda

99,59

26,70

26,70

ALPRAZOL 2 mg COM x 60

Casasco

118,18

49,23

49,23

ALPLAX 2 mg COM x 60

Gador

170,06

113,96

113,96

TRANQUINAL 2 mg COM x 60

Bag

173,62

116,34

116,34

TRANQUINAL 2 mg COM x 100

Bag

228,31

126,68

126,68

ALPLAX XR 2 mg COM x 20

Gador

56,90

38,13

38,13

ALPLAX XR 2 mg COM x 30

Gador

63,74

28,99

28,99

2 mg DROXOL 2 mg COM x 30

0,5 mg TENSIUM SL 0.5 mg COM x 15

Gotas

PRECIO

Baliarda

12,00

2,40

2,40

TRANQUINAL 0.5 mg SUBLINGUAL COM x 15

Bag

19,74

9,11

9,11

TENSIUM SL 0.5 mg COM x 30

Baliarda

25,11

6,17

6,17

TRANQUINAL 0.5 mg SUBLINGUAL COM x 30

Bag

56,63

37,95

37,95

Bag

28,90

19,28

19,28

233 mg PEPSAMAR 233 mg COM x 50

Gador

41,27

27,53

27,53

100 mg VIROSOL 100 mg COM x 10

Phoenix

47,21

31,63

31,63

1 mg TRANQUINAL 1MG/ML GTS x 30

ALUMINIO HIDRXIDO
Comprimidos

AMANTADINA
Comprimidos

AMPAKINE 100 mg COM x 30

Astrazeneca

122,90

76,22

76,22

ACTISON 100 mg COM x 30

Buxton

135,12

89,21

89,21

VIROSOL 100 mg COM x 30

Phoenix

134,90

90,39

90,39

AMPAKINE 100 mg COM x 60

Astrazeneca

235,29

138,68

138,68

ACTISON 100 mg COM x 60

Buxton

260,68

172,10

172,10

48,45

14,53

14,53

158,77

50,86

50,86

AMIDOTRIZOICO AC SAL
METILGLUCAMINICA
Ampollas

60000 HYPAQUE M 60% 50 ML F.A x


mg

Fortbenton Co.

AMIDOTRIZOICO AC SAL
METILGLUCAMINICA + SODIO
AMIDOTRIZOATO
Ampollas

40000 TRIYOSOM 76 M F.A x 25


mg

Gobbi

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 5 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Ampollas

NOMBRE COMERCIAL

LABORATORIO

66000 TRIYOSOM C 50 ml F.A x 1


mg
TRIYOSOM C 100 ml F.A x 1
TOMORAY 76 C F.A x 100

Lquido

03/02/2015

3960 mg TRIYOSOM TOMOGRAFICO SOL x 250


66000 TRIYOSOM GI SOL x 120
mg

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Gobbi

195,29

62,57

62,57

Gobbi

377,24

120,86

120,86

Varifarma

103,84

31,15

31,15

Gobbi

264,65

84,79

84,79

Gobbi

295,35

94,62

94,62

Temis-Lostalo

137,54

46,78

46,78

AMIDOTRIZOICO AC SAL
METILGLUCAMINICA + SODIO
DIATRIZOATO
Ampollas

66000 TEMISTAC 25 ML F.A x


mg

AMIODARONA
Comprimidos

200 mg RITMONIL 200 mg COM x 20

Lepetit

17,00

4,40

4,40

BATMOTROPIN COM x 20

Bag

21,12

5,19

5,19

ATLANSIL 200 mg COM x 20

Roemmers

38,03

16,36

9,35

RITMOCARDYL 200 mg COM x 20

Sanofi Aventis

40,13

19,42

10,55

RITMONIL 200 mg COM x 50

Lepetit

48,00

10,40

10,40

ATLANSIL 200 mg COM x 50

Roemmers

141,32

94,70

81,38

BATMOTROPIN COM x 60

Bag

60,45

14,87

14,87

RITMOCARDYL 200 mg COM x 60

Sanofi Aventis

107,70

39,38

26,48

AMITRIPTILINA
Comprimidos

10 mg TRYPTALGIN 10 mg COM x 30

Craveri

51,04

34,05

34,05

25 mg TRYPTANOL 25 mg COM x 30

Bag

42,95

27,41

27,41

TRYPTALGIN 25 mg COM x 30

Craveri

68,58

45,96

45,96

TRYPTANOL 25 mg COM x 100

Bag

124,90

67,18

67,18

UXEN RETARD 25 mg CAP x 20

Sanofi Aventis

38,68

25,92

25,92

Craveri

88,21

58,84

58,84

75 mg TRYPTALGIN 75 mg COM x 30

AMLODIPINA
Comprimidos

5 mg AMLODIPINA RICHET 5 mg COM x 20

Richet

21,56

4,81

4,81

CALPRES 5 mg COM x 20

Temis-Lostalo

28,74

7,07

7,07

AMLOC 5 mg TAB x 20

Pfizer

110,15

73,81

63,43

AMZE 5 mg COM x 28

Richmond

98,85

63,77

43,59

TENSIMED 5 mg COM x 30

Lepetit

33,00

7,40

7,40

AMLODIPINA TECHSPHERE 5 mg COM x 30

Techsphere

41,46

10,20

10,20

AMLODICORD 5 mg COM x 30

Geminis Farmaceutica

46,50

10,38

10,38

HIPERTENSAL 5 mg COM x 30

Finadiet

44,27

10,89

10,89

ZUNDIC 5 mg COM x 30

Raffo

46,71

11,49

11,49

CARDIVAS 5 mg COM x 30

Sidus

55,86

12,48

12,48

ANEXA 5 mg COM x 30

Microsules Argentina

75,10

32,50

32,50

SINOP 5 mg COM x 30

Craveri

87,99

47,90

28,31

COROVAL 5 mg COM x 30

Nova Argentia

90,43

51,21

25,49

TERVALON 5 mg COM x 30

Lazar

95,06

57,37

29,07

ILDUC 5 mg COM x 30

Baliarda

100,29

64,13

36,79

AMLODINE 5 mg COM x 30

Eurofarma

104,30

67,59

40,77

ARTERIOSAN 5 mg COM x 30

Bernabo

103,90

68,59

43,28

PELMEC 5 mg COM x 30

Casasco

106,81

71,57

46,12

CALPRES 5 mg COM x 30

Temis-Lostalo

112,67

75,50

54,16

TERLOC 5 mg COM x 30

Ivax Argentina

115,41

77,34

66,46

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 6 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
5 mg CARDIOREX 5 mg COM x 30

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Bag

121,15

81,18

69,76

CARDIOREX CDO 5 mg COM x 30

Bag

145,38

96,97

96,97

AMLOC 5 mg TAB x 30

Pfizer

152,51

102,20

87,82

AMLODICORD 5 mg COM x 60

Geminis Farmaceutica

92,98

20,76

20,76

TERLOC 5 mg COM x 60

Ivax Argentina

203,12

131,49

77,27

CALPRES 5 mg COM x 60

Temis-Lostalo

233,96

156,77

119,82

AMLOC 5 mg TAB x 60

Pfizer

289,51

194,00

166,71

Richet

30,14

6,73

6,73

10 mg AMLODIPINA RICHET 10 mg COM x 20


CALPRES 10 mg COM x 20

Temis-Lostalo

57,48

14,14

14,14

AMLOC 10 mg TAB x 20

Pfizer

152,84

102,42

88,01

AMZE 10 mg COM x 28

Richmond

167,81

109,26

75,63

TENSIMED 10 mg COM x 30

Lepetit

44,00

9,60

9,60

AMLODIPINA TECHSPHERE 10 mg COM x 30

Techsphere

62,77

15,43

15,43

AMLODICORD 10 mg COM x 30

Geminis Farmaceutica

77,52

17,31

17,31

ZUNDIC 10 mg COM x 30

Raffo

75,33

18,53

18,53

HIPERTENSAL 10 mg COM x 30

Finadiet

77,00

18,94

18,94

CARDIVAS 10 mg COM x 30

Sidus

87,09

19,45

19,45

ANEXA 10 mg COM x 30

Microsules Argentina

131,02

62,71

62,71

COROVAL 10 mg COM x 30

Nova Argentia

145,98

78,48

41,15

CALPRES 10 mg COM x 30

Temis-Lostalo

161,19

98,82

48,05

SINOP 10 mg COM x 30

Craveri

161,83

99,66

52,07

ILDUC 10 mg COM x 30

Baliarda

163,01

101,19

49,71

AMLODINE 10 mg COM x 30

Eurofarma

167,77

104,46

54,62

TERLOC 10 mg COM x 30

Ivax Argentina

181,57

121,67

76,60

TERVALON 10 mg COM x 30

Lazar

183,11

122,70

78,77

ARTERIOSAN 10 mg COM x 30

Bernabo

188,40

124,38

106,09

PELMEC 10 mg COM x 30

Casasco

203,82

136,57

117,35

CARDIOREX 10 mg COM x 30

Bag

224,56

150,48

129,31

CARDIOREX CDO 10 mg COM x 30

Bag

258,25

172,26

172,26

AMLOC 10 mg TAB x 30

Pfizer

261,73

175,38

150,71

AMLODICORD 10 mg COM x 60

Geminis Farmaceutica

149,38

33,36

33,36

TERLOC 10 mg COM x 60

Ivax Argentina

319,60

194,02

93,55

CALPRES 10 mg COM x 60

Temis-Lostalo

329,99

207,50

104,87

AMLOC 10 mg TAB x 60

Pfizer

424,61

284,53

235,39

Lazar

176,72

118,42

76,89

EXFORGE 5/320 mg COM x 14

Novartis

207,07

136,71

113,48

EXFORGE 5/160 mg COM x 14

Novartis

211,27

139,48

118,97

EXFORGE 5/80 mg COM x 14

Novartis

211,44

139,59

115,70

DISARVAL 5/160 mg COM x 15

Baliarda

135,45

61,21

29,41

NOSTER 5/160 mg COM x 28

Raffo

285,63

154,06

80,44

SIMULTAN A 5/160 mg COM x 28

Lazar

317,13

196,09

101,12

RACORVAL A 160/ 5 mg COM x 28

Nova Argentia

324,02

204,97

111,44

EXFORGE 5/320 mg COM x 28

Novartis

350,98

230,61

142,14

EXFORGE 5/80 mg COM x 28

Novartis

358,28

234,92

144,59

EXFORGE 5/160 mg COM x 28

Novartis

358,03

236,37

164,12

DISARVAL 5/160 mg COM x 30

Baliarda

289,76

142,29

79,21

Lazar

176,22

117,92

83,92

AMLODIPINA + VALSARTAN
Comprimidos

5 mg SIMULTAN A 5/160 mg COM x 14

10 mg SIMULTAN A 10/160 mg COM x 14


MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 7 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

10 mg EXFORGE 10/160 mg COM x 14

Novartis

211,27

139,48

118,97

EXFORGE 10/320 mg COM x 14

Novartis

211,27

139,48

115,68

DISARVAL 10/160 mg COM x 15

Baliarda

142,55

76,13

33,94

RACORVAL A 160/10 mg COM x 28

Nova Argentia

259,22

126,25

69,33

NOSTER 10/160 mg COM x 28

Raffo

285,55

162,71

80,42

SIMULTAN A 10/160 mg COM x 28

Lazar

309,27

193,92

106,35

EXFORGE 10/320 mg COM x 28

Novartis

358,03

234,81

144,68

EXFORGE 10/160 mg COM x 28

Novartis

358,03

236,37

178,57

DISARVAL 10/160 mg COM x 30

Baliarda

299,62

165,77

84,44

Richet

13,75

9,08

9,08

Bag

19,00

12,68

12,68

Richet

20,41

10,87

10,87

Roemmers

26,27

17,52

17,52

Bag

28,98

19,42

19,42

Northia

13,04

3,54

3,54

Bag

15,99

6,19

6,19

Nova Argentia

17,01

7,72

7,72

Bernabo

17,00

7,93

7,93

Richet

18,70

11,13

11,13

AMOXIPENIL 500 COM x 16

Montpellier

38,37

21,54

21,54

TELMOX 500 mg TAB x 16

Sandoz

38,73

22,42

22,42

BIOXILINA NORTHIA 500 mg COM x 16

Northia

39,97

25,38

25,38

AMOXICLER 500 COM x 16

Monserrat

41,40

25,92

25,92

NOBACTAM 500 mg COM x 16

Microsules Argentina

40,69

26,36

26,36

AMOXICILINA FECOFAR 500 mg COM x 16

Fecofar

42,13

27,19

27,19

AMOXICILINA RICHET 500 mg COM x 16

Richet

44,19

29,17

29,17

GRINSIL 500 mg COM x 16

Nova Argentia

44,74

29,81

29,81

AMIXEN 500 mg COM x 16

Bernabo

47,79

31,55

31,55

TRIFAMOX 500 mg COM x 16

Bag

55,19

36,98

36,98

GRINSIL 500 mg COM x 21

Nova Argentia

36,04

9,57

9,57

AMOXI 500 mg MAR COM x 21

Mar

36,44

9,95

9,95

AMIXEN 500 mg COM x 21

Bernabo

48,16

26,18

26,18

AMOXIDAL 500 mg RECUB. COM x 21

Roemmers

61,15

40,98

40,98

TRIFAMOX 500 mg COM x 21

Bag

61,28

41,06

41,06

TRIFAMOX 500 mg MASTICABLE COM x 21

Bag

66,51

44,57

44,57

Bernabo

61,82

39,40

39,40

Bag

71,91

48,19

48,19

AMOXICILINA
Ampollas

500 mg AMOXICILINA RICHET 500 MG+SOL F.A x


TRIFAMOX 500 mg AMP x

1000 mg AMOXICILINA RICHET 1 g LIOF F.A x


AMOXIDAL 1 g AMP x

TRIFAMOX 1000 mg AMP x


Comprimidos

500 mg BIOXILINA NORTHIA 500 mg COM x


TRIFAMOX 500 mg COM x
GRINSIL 500 mg COM x
AMIXEN 500 mg COM x

8
8

AMOXICILINA RICHET 500 mg COM x

750 mg AMIXEN 750 mg COM x 16


TRIFAMOX 750 mg COM x 16
875 mg AMOXI DUO MAR 875 mg COM x 14

Mar

63,51

33,93

33,93

AMOXICILINA FECOFAR DUO 875 mg COM x 14

Fecofar

68,92

41,85

41,85

AMIXEN DUO COM x 14

Bernabo

69,28

42,32

42,32

TRIFAMOX DUO 875 mg MASTICABLE COM x 14

Bag

68,49

43,03

43,03

TRIFAMOX DUO 875 mg COM x 14

Bag

77,17

49,33

49,33

GRINSIL DUO 875 mg COM x 14

Nova Argentia

75,29

49,42

49,42

AMOXIDAL DUO 875 mg COM x 14

Roemmers

79,04

52,96

52,96

Bag

42,72

10,50

10,50

Richet

53,78

18,11

18,11

1000 mg TRIFAMOX 1000 mg COM x

AMOXICILINA RICHET 1000 mg COM x

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 8 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

Lquido

03/02/2015

NOMBRE COMERCIAL
1000 mg NOBACTAM 1000 mg COM x

LABORATORIO
8

Microsules Argentina

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

69,69

36,88

36,88

BIOXILINA NORTHIA 1 g COM x 16

Northia

98,10

26,77

26,77

AMOXICILINA RICHET 1000 mg COM x 16

Richet

130,38

69,19

69,19

TRIFAMOX 1000 mg COM x 16

Bag

155,52

96,08

96,08

NOBACTAM 1000 mg COM x 16

Microsules Argentina

156,87

104,49

104,49

AMOXIDAL 1 g COM x 16

Roemmers

170,21

114,06

114,06

125 mg AMOXIDAL 125 mg SUS x 60

Roemmers

10,96

7,31

250 mg BIOXILINA NORTHIA PED.FORTE SUS x 60

7,31 INF

Northia

14,71

2,94

2,94 INF

AMOXICILINA FECOFAR 250 mg JBE x 60

Fecofar

27,82

13,54

13,54 INF

AMOXICILINA RICHET 250 mg JBE x 60

Richet

31,26

19,32

19,32 INF

GRINSIL 250 mg JBE x 90

Nova Argentia

21,23

5,22

5,22 INF

AMOXICILINA FECOFAR 250 mg SUS x 90

Fecofar

39,29

16,77

16,77 INF

AMOXIPENIL 250 SUS x 90

Montpellier

48,46

28,56

28,56 INF

AMOXICILINA RICHET 250 mg JBE x 90

Richet

49,18

32,11

32,11 INF

NOBACTAM 250 mg PED. SUS x 90

Microsules Argentina

52,74

35,34

35,34 INF

AMOXIDAL 250 mg SUS x 90

Roemmers

62,83

42,10

42,10 INF

TELMOX 250 mg SUS x 100

Sandoz

43,57

17,87

17,87

AMOXI 250 mg MAR SUS x 105

Mar

30,88

7,59

7,59 INF

GRINSIL 250 mg JBE x 120

Nova Argentia

30,10

7,40

7,40 INF

NOBACTAM 250 mg PED. SUS x 120

Microsules Argentina

39,19

8,33

8,33 INF

AMOXICILINA FECOFAR 250 mg JBE x 120

Fecofar

50,96

19,44

19,44 INF

AMOXIDAL 250 mg SUS x 120

Roemmers

53,69

22,77

22,77 INF

AMOXICILINA RICHET 250 mg JBE x 120

Richet

55,18

28,12

28,12 INF

TRIFAMOX 250 mg JBE x 120

Bag

58,11

29,19

29,19 INF

Cassara

28,90

12,18

12,18

AMOXICILINA RICHET 500 mg POL SUS x 60

Richet

32,21

18,52

18,52

AMOXICILINA FECOFAR 500 mg JBE x 60

Fecofar

33,06

18,63

18,63

AMOXIDAL 500 mg SUS x 60

Roemmers

34,68

20,11

20,11

TRIFAMOX 500 mg JBE x 60

Bag

44,97

30,13

30,13

AMOXOL 500 mg ORAL SUS x 90

Cassara

34,90

14,98

14,98

AMOXICILINA FECOFAR 500 mg JBE x 90

Fecofar

45,84

22,77

22,77

BIOXILINA NORTHIA 500 mg SUS x 90

Northia

45,39

22,88

22,88

AMOXIDAL 500 mg SUS x 90

Roemmers

48,57

25,47

25,47

AMOXICILINA RICHET 500 mg POL SUS x 90

Richet

47,54

26,68

26,68

AMOXICLER 500 PEDIATRICO SUS x 90

Monserrat

52,45

31,24

31,24

GRINSIL 500 mg SUS x 90

Nova Argentia

69,52

46,58

46,58

TELMOX 500 mg SUS x 100

Sandoz

53,74

28,60

28,60

AMOXI 500 mg MAR SUS x 105

Mar

44,02

12,81

12,81

NOBACTAM 500 mg PED. SUS x 120

Microsules Argentina

34,93

6,99

6,99

BIOXILINA NORTHIA 500 mg SUS x 120

Northia

45,47

11,93

11,93

GRINSIL 500 mg SUS x 120

Nova Argentia

55,05

19,72

19,72

AMOXICILINA FECOFAR 500 mg JBE x 120

Fecofar

70,67

43,26

43,26

AMOXIPENIL 500 SUS x 120

Montpellier

74,04

46,37

46,37

AMOXICILINA RICHET 500 mg POL SUS x 120

Richet

83,11

54,87

54,87

TRIFAMOX 500 mg JBE x 120

Bag

92,97

62,30

62,30

AMOXIDAL 500 mg SUS x 120

Roemmers

97,25

65,17

65,17

500 mg AMOXOL 500 mg ORAL SUS x 60

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 9 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Lquido

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

500 mg AMOXI 500 mg MAR SUS x 150

Mar

63,98

19,35

19,35

750 mg AMOXI DUO MAR SUS x 70

Mar

57,86

38,77

38,77

GRINSIL DUO 750 mg SUS x 70

Nova Argentia

73,93

42,50

42,50

AMOXICILINA FECOFAR DUO 750 mg JBE x 70

Fecofar

78,94

49,76

49,76

AMOXIDAL DUO 750 MG/5 ML SUS x 70

Roemmers

91,64

61,41

61,41

AMOXI DUO MAR SUS x 100

Mar

72,72

44,41

44,41

GRINSIL DUO 750 mg SUS x 120

Nova Argentia

105,42

42,62

42,62

AMOXIDAL DUO 750 MG/5 ML SUS x 120

Roemmers

133,60

81,91

81,91

1000 mg TRIFAMOX DUO SUS x 50

Bag

68,00

45,57

45,57

TRIFAMOX DUO SUS x 90

Bag

120,05

79,69

79,69

Montpellier

68,18

29,91

29,91

AMOXICILINA +
CLAVULNICO, CIDO
Comprimidos

500 mg ULTRABIOTIC 500 mg COM x

AMIXEN CLAVULANICO 500 mg COM x

Bernabo

82,26

50,19

50,19

TIBIMOX CLAVULANICO 500 mg COM x

Savant

82,41

51,11

51,11

Richet

83,25

54,96

54,96

Roemmers

87,62

56,37

56,37

AMOXICILINA CLAVUL. 500 RICHET COM x


OPTAMOX 500 mg COM x

CLAVULOX 500 mg COM x 14

Phoenix

135,41

75,11

75,11

ULTRABIOTIC 500 mg COM x 16

Montpellier

136,39

59,86

59,86

BIOXILINA PLUS 500 mg COM x 16

Northia

138,37

68,64

68,64

GRINSIL CLAVULANICO 500 mg COM x 16

Nova Argentia

155,04

86,23

86,23

AMOCLAV 500 mg COM x 16

Casasco

156,31

87,95

87,95

TIBIMOX CLAVULANICO 500 mg COM x 16

Savant

168,21

103,71

103,71

AMOXICILINA CLAVUL. 500 RICHET COM x 16

Richet

162,75

105,19

105,19

AMIXEN CLAVULANICO 500 mg COM x 16

Bernabo

175,09

113,94

113,94

OPTAMOX 500 mg COM x 16

Roemmers

192,65

129,09

129,09

625 mg BIOCLAVID 500/125 mg COM x 16

Sandoz

143,02

71,27

71,27

875 mg AMOXI PLUS MAR 875/125 mg COM x 14

Mar

122,59

61,28

61,28

ULTRABIOTIC DUO COM x 14

Montpellier

158,13

80,57

80,57

AMOXICILINA CLAVUL.7:1 875/125 COM x 14

Richet

172,51

113,89

113,89

TIBIMOX CLAVULANICO DUO 875/125 mg COM x


14

Savant

183,24

114,33

114,33

BIOCLAVID 875/125 mg COM x 14

Sandoz

174,45

115,17

115,17

AMIXEN CLAVULANICO 1 g COM x 14

Bernabo

189,78

124,18

124,18

AMOCLAV DUO COM x 14

Casasco

192,84

126,57

126,57

GRINSIL CLAV DUO 875 COM x 14

Nova Argentia

189,85

127,22

127,22

OPTAMOX DUO 1 g COM x 14

Roemmers

203,98

136,69

136,69

AMOXI PLUS MAR 875/125 mg COM x 20

Mar

159,79

39,29

39,29

Phoenix

171,29

98,63

98,63

BIOXILINA PLUS 1000 mg COM x 16

Northia

96,58

19,32

19,32

AMOXICILINA CLAVUL. 1000 RICHE COM x 16

Richet

175,48

94,53

94,53

1000 mg CLAVULOX 1 g COM x 14

Lquido

125 mg OPTAMOX LACTANTES SUS x 60

Roemmers

36,64

24,44

24,44 INF

250 mg ULTRABIOTIC SUS x 60

Montpellier

59,42

25,05

25,05 INF

AMOCLAV 250 mg SUS x 60

Casasco

65,99

34,52

34,52 INF

AMOXICILINA CLAVUL. 250 RICHET SUS x 60

Richet

69,81

43,50

43,50 INF

OPTAMOX 250 mg PEDIATRICA SUS x 60

Roemmers

84,96

56,93

56,93 INF

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 10 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Lquido

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

250 mg BIOXILINA PLUS 250 mg SUS x 90

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Northia

57,51

11,50

11,50 INF

GRINSIL CLAVULANICO 250 mg SUS x 90

Nova Argentia

62,98

15,49

15,49 INF

AMOXICILINA CLAVUL. 250 RICHET SUS x 90

Richet

OPTAMOX 250 mg PEDIATRICA SUS x 90

Roemmers

400 mg CLAVULOX DUO 400 mg SUS x 70

99,70

58,24

58,24 INF

120,96

80,64

80,64 INF

Phoenix

86,72

36,33

36,33

ULTRABIOTIC DUO SUS x 70

Montpellier

91,18

42,89

42,89

AMOXI PLUS MAR SUS x 70

Mar

94,67

47,87

47,87

AMOCLAV DUO SUS x 70

Casasco

101,04

56,67

56,67

TIBIMOX CLAVULANICO DUO SUS x 70

Savant

100,67

58,21

58,21

BIOCLAVID 400/57 MG/5 ML SUS x 70

Sandoz

101,34

59,10

59,10

AMOXICILINA CLAVUL.7:1 400/57. SUS x 70

Richet

103,30

65,23

65,23

OPTAMOX DUO SUS x 70

Roemmers

125,00

83,76

83,76

GRINSIL CLAVULANICO DUO SUS x 70

Nova Argentia

132,96

89,09

89,09

ULTRABIOTIC DUO SUS x 120

Montpellier

147,13

59,98

59,98

AMOCLAV DUO SUS x 140

Casasco

178,68

80,42

80,42

GRINSIL CLAV DUO SUS x 140

Nova Argentia

193,79

101,96

101,96

OPTAMOX DUO SUS x 140

Roemmers

234,92

155,99

155,99

Richet

177,03

103,06

103,06

Nova Argentia

219,60

147,15

147,15

500 mg AMOXICILINA CLAVUL.FTE.500/125 SUS x 90


GRINSIL CLAV 500 mg SUS x 90

AMOXICILINA + SULBACTAM
Comprimidos

250 mg TRIFAMOX IBL 500 mg COM x

Bag

61,79

41,40

41,40

TRIFAMOX IBL 500 mg COM x 16

Bag

117,97

78,36

78,36

Bag

114,64

76,47

76,47

875 mg TRIFAMOX IBL DUO COM x 14

Bag

133,21

88,86

88,86

125 mg TRIFAMOX IBL 250 mg JBE x 60

Bag

48,23

32,17

32,17 INF

250 mg TRIFAMOX IBL 500 mg JBE x 60

Bag

97,14

65,09

65,09

TRIFAMOX IBL 500 mg JBE x 120

Bag

163,46

94,65

94,65

1000 mg TRIFAMOX IBL DUO SUS x 30

Bag

94,24

63,15

63,15

TRIFAMOX IBL DUO SUS x 60

Bag

172,19

112,61

112,61

500 mg TRIFAMOX IBL 1000 mg COM x

Lquido

AMPICILINA
Ampollas

Comprimidos

500 mg TRIFACILINA 500 mg AMP x

Bag

28,97

19,33

19,33

1000 mg TRIFACILINA 1000 mg AMP x

Bag

32,36

21,59

21,59

Fecofar

45,50

10,16

10,16

Bag

93,03

62,05

62,05

Bag

64,89

32,52

32,52

TRIFACILINA 1000 mg COM x 16

Bag

169,70

113,71

113,71

250 mg TRIFACILINA FUERTE JBE x 120

Bag

70,92

47,30

47,30 INF

Sanofi Pasteur

69,51

40,59

40,59 MAT

Biol

66,02

43,38

43,38

Sanofi Pasteur

59,64

34,58

34,58

500 mg AMPICILINA FECOFAR 500 mg COM x 16


TRIFACILINA 500 mg COM x 16
1000 mg TRIFACILINA 1000 mg COM x

Lquido

ANATOXINA TETNICA
Ampollas

40 ui TETAVAX 0.5 ML JPR x

ANTITOXINA DIFTRICA +
TETNICO TOXOIDE
Ampollas

2,8 ui VACUNA BIOL DOBLE AMP x

2 ui IMOVAX DT ADULTO 0.5 ML JPR x

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 11 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Ampollas

NOMBRE COMERCIAL

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

2 ui

ATENOLOL
Comprimidos

25 mg VERICORDIN 25 mg COM x 28

Lazar

25,50

16,66

10,18

ATENOLOL GADOR 25 mg COM x 28

Gador

26,90

18,03

12,14

PLENACOR 25 mg COM x 30

Bag

22,03

10,79

5,98

ATENOLOL MP GADOR 25 mg CAP x 30

Gador

27,90

17,70

11,72

PLENACOR 25 mg COM x 40

Bag

34,86

21,80

12,25

VERICORDIN 25 mg COM x 56

Lazar

48,48

30,11

16,67

ATENOLOL GADOR 25 mg COM x 56

Gador

53,14

35,61

23,36

ATENOLOL MP GADOR 25 mg CAP x 60

Gador

53,71

34,52

20,45

PLENACOR 25 mg COM x 60

Bag

54,46

35,48

21,54

Astrazeneca

26,82

17,97

13,10

ATENOLOL MICROSULES 50 mg COM x 28

Microsules Argentina

29,85

18,88

18,88

VERICORDIN 50 mg COM x 28

Lazar

31,00

19,12

10,48

ATENOLOL GADOR 50 mg COM x 28

Gador

32,25

20,73

12,32

PRENORMINE 50 COM x 28

Astrazeneca

47,13

31,58

27,14

ATENOLOL BIOTENK 50 mg COM x 30

Biotenk

25,85

10,60

5,78

ATENOLOL MP GADOR 50 mg CAP x 30

Gador

32,58

19,66

10,28

PLENACOR 50 mg COM x 30

Bag

41,20

27,61

22,25

PLENACOR 50 mg COM x 40

Bag

51,87

34,24

26,16

ATENOLOL MICROSULES 50 mg COM x 56

Microsules Argentina

56,37

33,13

33,13

VERICORDIN 50 mg COM x 56

Lazar

60,37

36,11

18,51

ATENOLOL GADOR 50 mg COM x 56

Gador

65,67

42,94

26,32

PRENORMINE 50 COM x 56

Astrazeneca

131,73

88,27

75,85

ATENOLOL QUESADA 50 mg COM x 60

Eurofarma

26,63

5,94

5,94

ATENOLOL MP GADOR 50 mg CAP x 60

Gador

68,51

43,65

25,54

PLENACOR 50 mg COM x 60

Bag

85,41

57,23

49,18

100 mg ATENOLOL GADOR 100 mg COM x 14

50 mg PRENORMINE 50 COM x 14

Gador

16,32

4,02

4,02

PRENORMINE 100 COM x 14

Astrazeneca

22,70

11,30

6,08

PLENACOR 100 mg COM x 20

Bag

22,04

5,42

5,42

VERICORDIN 100 mg COM x 28

Lazar

39,55

15,85

9,73

ATENOLOL GADOR 100 mg COM x 28

Gador

58,72

39,35

29,36

PRENORMINE 100 COM x 28

Astrazeneca

60,40

40,47

31,58

PLENACOR 100 mg COM x 30

Bag

43,24

18,28

10,63

PLENACOR 100 mg COM x 40

Bag

56,76

23,02

13,97

VERICORDIN 100 mg COM x 56

Lazar

112,57

75,43

52,16

ATENOLOL GADOR 100 mg COM x 56

Gador

116,31

77,94

57,21

PRENORMINE 100 COM x 56

Astrazeneca

143,79

96,35

82,80

PLENACOR 100 mg COM x 60

Bag

84,96

34,27

20,90

Baliarda

98,53

39,76

19,71

ATORVASTATIN
Comprimidos

10 mg TORIVAS 10 mg COM x 20
LIPONORM 10 mg COM x 20

Lazar

138,97

92,20

55,52

VASTINA 10 mg COM x 28

Richmond

200,61

134,43

82,23

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 12 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
10 mg NORMOLIPOL 10 mg COM x 30

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Lepetit

71,00

15,80

15,80

ATARVA 10 mg COM x 30

Duncan

91,96

20,54

20,54

ATORVASTATINA NORTHIA 10 mg COM x 30

Northia

115,36

28,37

28,37

ATORMAX 10 mg COM x 30

Geminis Farmaceutica

126,99

32,48

28,36

ATORVASTAN 10 mg COM x 30

Biotenk

161,50

77,61

41,75

FINLIPOL 10 mg COM x 30

Microsules Argentina

159,76

79,77

79,77

LIPOCAMBI 10 mg COM x 30

Bernabo

191,48

118,31

61,13

LIPAREX 10 mg COM x 30

Finadiet

198,48

125,67

68,74

TECOPLAX 10 mg COM x 30

Sandoz

197,72

126,32

70,41

LIPODREN 10 mg COM x 30

Sanofi Aventis

200,43

128,16

71,63

LIPIFEN 10 mg COM x 30

Raffo

201,87

130,00

73,77

LIPOKEMIA 10 mg COM x 30

Fecofar

209,81

138,52

87,79

ATEROCLAR 10 mg COM x 30

Beta

210,10

140,36

85,62

PLAN 10 mg COM x 30

Craveri

212,19

142,19

86,81

LIPONORM 10 mg COM x 30

Lazar

213,55

143,10

90,50

VASTINA 10 mg COM x 30

Richmond

214,95

144,04

97,37

TORIVAS 10 mg COM x 30

Baliarda

215,36

144,31

93,04

NORMALIP 10 mg COM x 30

Eurofarma

216,64

146,95

93,94

AMPLIAR 10 mg COM x 30

Casasco

244,91

164,12

132,63

ZARATOR 10 mg COM x 30

Elea

250,57

167,90

144,28

LIPITOR 10 mg COM x 30

Pfizer

271,23

181,75

156,18

LIPIBEC 10 mg COM x 30

Ivax Argentina

278,56

186,66

160,41

ATORMAX 10 mg COM x 60

Geminis Farmaceutica

202,97

45,32

45,32

FINLIPOL 10 mg COM x 60

Microsules Argentina

305,61

138,33

138,33

ATEROCLAR 10 mg COM x 60

Beta

346,46

184,21

97,64

TORIVAS 10 mg COM x 60

Baliarda

357,80

199,74

100,84

LIPAREX 10 mg COM x 60

Finadiet

376,94

225,33

111,43

LIPONORM 10 mg COM x 60

Lazar

388,16

239,99

124,31

AMPLIAR 10 mg COM x 60

Casasco

416,43

276,00

165,87

LIPITOR 10 mg COM x 60

Pfizer

425,99

285,45

179,44

ZARATOR 10 mg COM x 60

Elea

430,77

288,65

186,15

LIPIBEC 10 mg COM x 60

Ivax Argentina

507,14

339,83

292,03

LIPONORM 10 mg COM x 100

Lazar

454,20

137,82

101,42

Richmond

346,88

232,44

161,66

NORMOLIPOL 20 mg COM x 30

Lepetit

100,00

22,40

22,40

ATORMAX 20 mg COM x 30

Geminis Farmaceutica

126,99

28,36

28,36

ATARVA 20 mg COM x 30

Duncan

133,60

29,83

29,83

TECOPLAX 20 mg COM x 30

Sandoz

197,72

46,27

44,15

ATORVASTATINA NORTHIA 20 mg COM x 30

Northia

197,62

54,81

54,81

ATORVASTAN 20 mg COM x 30

Biotenk

247,55

107,57

55,28

FINLIPOL 20 mg COM x 30

Microsules Argentina

308,25

201,41

201,41

NORMALIP 20 mg COM x 30

Eurofarma

321,29

202,48

106,83

LIPOCAMBI 20 mg COM x 30

Bernabo

347,34

229,31

150,35

ATEROCLAR 20 mg COM x 30

Beta

342,94

229,80

140,01

TORIVAS 20 mg COM x 30

Baliarda

347,48

232,84

146,43

LIPODREN 20 mg COM x 30

Sanofi Aventis

350,99

235,20

151,36

LIPAREX 20 mg COM x 30

Finadiet

358,70

240,36

162,07

LIPONORM 20 mg COM x 30

Lazar

359,29

240,76

162,88

VASTINA 20 mg COM x 30

Richmond

364,58

244,30

186,12

LIPIFEN 20 mg COM x 30

Raffo

365,20

244,72

171,01

20 mg VASTINA 20 mg COM x 28

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 13 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

20 mg AMPLIAR 20 mg COM x 30

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Casasco

381,24

255,46

192,53

PLAN 20 mg COM x 30

Craveri

385,61

258,39

195,82

ZARATOR 20 mg COM x 30

Elea

460,88

308,83

265,39

LIPIBEC 20 mg COM x 30

Ivax Argentina

466,42

312,55

268,58

LIPITOR 20 mg COM x 30

Pfizer

467,65

313,37

269,29

ATORMAX 20 mg COM x 60

Geminis Farmaceutica

255,57

57,07

57,07

TORIVAS 20 mg COM x 60

Baliarda

590,74

342,67

166,49

LIPAREX 20 mg COM x 60

Finadiet

628,13

391,75

195,20

AMPLIAR 20 mg COM x 60

Casasco

663,38

436,65

247,64

FINLIPOL 20 mg COM x 60

Microsules Argentina

670,43

449,25

449,25

LIPONORM 20 mg COM x 60

Lazar

674,61

450,71

263,89

ZARATOR 20 mg COM x 60

Elea

789,45

529,00

420,41

LIPITOR 20 mg COM x 60

Pfizer

811,10

543,51

448,29

LIPIBEC 20 mg COM x 60

Ivax Argentina

877,74

588,16

505,43

Bernabo

321,60

164,65

83,71

ATEROCLAR 40 mg COM x 30

Beta

356,94

209,19

107,28

LIPAREX 40 mg COM x 30

Finadiet

384,82

245,49

146,62

TORIVAS 40 mg COM x 30

Baliarda

397,40

261,43

164,64

AMPLIAR 40 mg COM x 30

Casasco

423,85

284,02

201,27

LIPIFEN 40 mg COM x 30

Raffo

439,62

294,59

253,15

LIPITOR 40 mg COM x 30

Pfizer

467,81

313,48

259,03

ZARATOR 40 mg COM x 30

Elea

474,85

318,19

267,98

LIPIBEC 40 mg COM x 30

Ivax Argentina

506,54

339,43

291,68

Bayer Consumer

69,18

45,46

45,46

Poen

74,68

49,81

49,81

Pharmadorf

80,87

53,39

53,39

Pharmadorf

143,79

94,48

94,48

Gador

68,99

46,23

46,23

Fortbenton Co.

32,78

9,30

9,30

Northia

33,67

11,62

11,62

Raffo

36,44

13,27

13,27

Takeda

48,33

29,98

29,98

Beta

54,25

36,35

36,35

Richet

59,75

39,45

39,45

Craveri

63,72

42,70

42,70

Lazar

64,26

43,06

43,06

Baliarda

64,32

43,10

43,10

Bernabo

65,97

43,56

43,56

40 mg LIPOCAMBI 40 mg COM x 30

AZELAICO, CIDO
Crema

20000 CUTACELAN CRE x 30


mg

AZELASTINA
Lquido

50 mg BRIXIA OFT. SOL x

ALLERGODIL OFT. SOL x


Spray

1000 mg ALLERGODIL NASAL SPR x 10

AZITROMICINA
Comprimidos

500 mg AZITRIN 500 mg COM x

OROBIOTIC 500 mg COM x

AZITROMICINA NORTHIA 500 mg COM x


DOYLE 500 mg COM x

ARZOMICIN 500 mg COM x


TRIAMID 500 mg COM x

AZITROMICINA RICHET 500 mg COM x


SUMIR 500 COM x

NEBLIC 500 mg COM x

AZIBIOTIC 500 mg COM x

MISULTINA 500 mg COM x

CRONOPEN 500 mg COM x

Elea

70,60

47,31

47,31

MACROMAX 500 mg COM x

Investi

73,43

49,20

49,20

Sidus

78,09

51,56

51,56

Pfizer

98,49

66,00

66,00

Gador

103,48

69,34

69,34

Astrazeneca

43,89

12,58

12,58

Raffo

42,27

10,40

10,40

TRITAB 500 mg COM x

ZITROMAX 500 mg TAB x


AZITRIN 500 mg COM x

NAXOCINA 500 mg CAP x


DOYLE 500 mg COM x

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 14 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

500 mg ARZOMICIN 500 mg COM x

55,59

16,42

16,42

Baliarda

77,32

45,74

45,74

Bernabo

77,88

47,20

47,20

Beta

80,44

49,83

49,83

Elea

81,24

50,86

50,86

Sidus

87,09

57,50

57,50

Trb-Pharma

42,08

10,34

10,34

Astrazeneca

51,62

12,69

12,69

Fortbenton Co.

77,23

34,24

34,24

Northia

81,61

43,00

43,00

Investi

93,90

56,36

56,36

Richet

90,94

57,30

57,30

Bernabo

94,86

58,46

58,46

Elea

97,09

60,52

60,52

Lazar

103,40

68,54

68,54

Sidus

105,09

69,38

69,38

Baliarda

107,87

63,54

63,54

Fortbenton Co.

109,90

42,47

42,47

OROBIOTIC 500 mg COM x 12

Fortbenton Co.

130,86

36,80

36,80

MISULTINA 500 mg COM x


TRIAMID 500 mg COM x

CRONOPEN 500 mg COM x


TRITAB 500 mg COM x

CETAXIM 500 mg COM x

NAXOCINA 500 mg CAP x

OROBIOTIC 500 mg COM x

AZITROMICINA NORTHIA 500 mg COM x


MACROMAX 500 mg COM x

MISULTINA 500 mg COM x

TRITAB 500 mg COM x

CRONOPEN 500 mg COM x


NEBLIC 500 mg COM x

AZITROMICINA RICHET 500 mg COM x

6
6

AZIBIOTIC 500 mg COM x

OROBIOTIC 500 mg COM x

Lquido

A CARGO A CARGO
REF
AFILIADO CRONICO

Takeda

AZIBIOTIC 500 mg COM x

PRECIO

100 mg ARZOMICIN LACTANTES SUS x 15

Takeda

20,40

13,19

13,19

200 mg TRITAB ORAL 200 MG/5 ML SUS x 15

Sidus

42,65

23,29

23,29

AZITROMICINA RICHET ORAL SUS x 15

Richet

51,44

33,93

33,93

MISULTINA SUS x 15

Bernabo

51,41

33,94

33,94

NEBLIC 600 mg POLVO P/ SUS x 15

Lazar

52,60

35,25

35,25

CRONOPEN ORAL 200 mg 5 ML SUS x 15

Elea

55,70

37,32

37,32

ARZOMICIN 200 mg / 5 ML SUS x 15

Takeda

60,40

40,47

40,47

AZITRIN 200 mg/5 ml SUS x 15

Gador

84,25

56,20

56,20

ZITROMAX 600 mg SUS x 15

Pfizer

111,49

74,71

74,71

AZITRIN 200 mg/5 ml SUS x 20

Gador

99,59

66,43

66,43

ZITROMAX 900 mg ORAL SUS x 22

Pfizer

167,22

112,05

112,05

ARZOMICIN 200 mg / 5 ML SUS x 30

Takeda

55,90

11,18

11,18

NEBLIC 1.2 POLVO SUS x 30

Lazar

72,28

26,68

26,68

TRITAB ORAL 200 MG/5 ML SUS x 30

Sidus

86,13

47,71

47,71

MISULTINA SUS x 30

Bernabo

105,60

69,72

69,72

CRONOPEN ORAL 200 mg 5 ML SUS x 30

Elea

109,75

73,54

73,54

MACROMAX PEDIATRICO 200 mg/5ml SUS x 30

Investi

113,55

76,09

76,09

AZITRIN 200 mg/5 ml SUS x 30

Gador

149,36

99,63

99,63

Sidus

87,92

57,77

57,77

Dominguez

290,42

193,72

193,72

3,75 mg TRITAB AZYDROP MONODS. OFT. SOL x

BARIO SULFATO
Comprimidos

24000 SITZMARKS CAP x


mg

Enema

66000 GASTROPAQUE F ENE x 500


mg

Temis-Lostalo

340,41

115,80

115,80

Frasco

95700 GASTROPAQUE S POLVO FCO x 300


mg

Temis-Lostalo

196,47

66,83

66,83

Lquido

46000 EZ CAT SUS x 225


mg

Temis-Lostalo

190,78

64,90

64,90

66000 GASTROPAQUE F SUS x 300


mg

Temis-Lostalo

204,24

69,48

69,48

66700 BARIOFARMA ORAL SUS x 100


mg

Varifarma

37,73

11,32

11,32

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 15 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Lquido

Sobres

NOMBRE COMERCIAL

03/02/2015
LABORATORIO

66700 BARIOFARMA ORAL SUS x 300


mg

Varifarma

94000 BARIO DIF CITRATADO POLVO SUS x 266


mg

Temis-Lostalo

66700 BARIOFARMA RECTAL SUS x 500


mg
BARIOFARMA RECTAL C/ACCESOR. SUS x 500

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

42,90

12,87

12,87

184,68

62,83

62,83

Varifarma

66,90

20,07

20,07

Varifarma

129,00

38,70

38,70

98000 BARIOFARMA RECTAL POLVO SUS x 403


Varifarma
mg
BARIOFARMA RECTAL POLVO C/ACCE SUS x 403 Varifarma

54,01

16,20

16,20

117,43

35,23

35,23

Temis-Lostalo

229,33

78,02

78,02

Temis-Lostalo

241,72

82,23

82,23

95000 ENTERO VU 95 g SOB x


mg

BARIO SULFATO +
SIMETICONA
Frasco

94700 GASTROPAQUE S EZEM POLVO FCO x 340


mg

BECLOMETASONA
Aerosol

0,05 mg RINOSOL SUSP. NASAL AER x 200

Cassara

38,90

28,43

28,43

0,05 mg EGOSONA BRONQUIAL 50 mcg AER x 250

Takeda

24,40

15,78

4,88

Takeda

38,50

24,90

11,38

Takeda

74,20

47,99

14,84

0,1 mg EGOSONA 100 AER x 250


0,25 mg EGOSONA FORTE AER x 250

BENZNIDAZOL
Comprimidos

50 mg ABARAX 50 mg COM x 100

Elea

452,51

301,84

301,84

100 mg ABARAX 100 mg COM x 100

Elea

736,60

491,33

491,33

BENZOILO PERXIDO
Gel

2500 mg PEROXIDO DE BENZOILO 2.5% DEFU GEL x 60

Raymos

66,68

43,13

43,13

4000 mg SOLUGEL 4% ACUOSO GEL x 45

GlaxoSmithkline

92,14

60,54

60,54

5000 mg VIXIDERM E 5% GEL x 40

Investi

80,14

53,70

53,70

ACNESAN 5% GEL x 40

Ingens S.A.

82,08

55,77

55,77

ACNESAN 5% GEL x 60

Ingens S.A.

93,00

51,54

51,54

Atlas

87,11

58,10

58,10

105,69

71,50

71,50

8000 mg ACNEPAS TOPICO 8% GEL x 40


10000 ACNESAN 10 % GEL x 40
mg

Ingens S.A.

0,5 mg BUTASONA FABRA COM x 20

BETAMETASONA
Comprimidos

Fabra

24,70

9,07

9,07

CELESTONE COM x 20

MSD Arrgentina SR

47,37

27,56

27,56

METAMAR 0.5 mg COM x 30

Mar

53,08

35,13

35,13

0,6 mg DICASONE 0.6 mg COM x 30

Gotas

Baliarda

63,33

25,84

25,84

DEPOCORT 0.6 mg COM x 30

Nova Argentia

73,62

40,56

40,56

CORTICAS 0.6 mg COM x 30

Casasco

78,76

47,44

47,44

NOVOCORT 0.6 mg COM x 30

Andromaco

86,18

56,90

56,90

CORTEROID 0.6 mg COM x 30

Montpellier

91,23

61,13

61,13

1,2 mg NOVOCORT 1.2 mg COM x 30

Andromaco

114,74

75,75

75,75

CORTEROID 1.2 mg COM x 30

Montpellier

114,66

76,34

76,34

Lafedar

41,62

27,48

27,48 INF

BETACORT ORAL GTS x 15

Cassara

28,90

11,06

11,06 INF

BETAMETASONA LAFEDAR GTS x 15

Lafedar

52,51

34,66

34,66 INF

CELESTONE GTS x 15

MSD Arrgentina SR

64,18

43,00

43,00 INF

BETAMETASONA LAFEDAR GTS x 20

Lafedar

55,11

36,38

36,38 INF

0,5 mg BETAMETASONA LAFEDAR GTS x 10

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 16 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Gotas

0,5 mg

03/02/2015
LABORATORIO

METAMAR ORAL GTS x 30

Mar

45,51

11,19

11,19 INF

Andromaco

69,12

34,49

34,49

Nova Argentia

55,31

36,90

36,90 INF

Baliarda

88,86

56,63

56,63

Mar

50,85

12,51

12,51

Nova Argentia

75,45

50,33

50,33

Cevallos

49,98

11,16

11,16

Cassara

28,90

12,98

12,98

0,6 mg NOVOCORT GTS x 30


DEPOCORT 0.6 MG/ML ORAL GTS x 30

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

NOMBRE COMERCIAL

BETAMETASONA ACETATO +
BETAMETASONA FOSFATO
DISDICO
Ampollas

3 mg CRONODICASONE 2 ML F.A x

METAMAR RETARD 2 ML + JGA. F.A x


DEPOCORT RETARD 2 ML F.A x
6 mg CEVICORT NC 2 ML F.A x

BETACORT 2 ML AMP x

BETAMETASONA LAFEDAR RETD 2ML F.A x

Lafedar

72,64

38,88

38,88

CELESTONE CRONODOSE 2 ML AMP x

MSD Arrgentina SR

90,04

57,40

57,40

CELESTONE CRONODOSE 2 ML JPR x

MSD Arrgentina SR

133,64

89,55

89,55

CORTICAS RETARD 2 ML F.A x

Casasco

89,36

59,61

59,61

Sanofi Aventis

104,42

69,97

69,97

Montpellier

105,92

70,98

70,98

Montpellier

109,64

73,47

73,47

Montpellier

155,19

103,52

103,52

0,5 mg NOVOCORT CRE x 15

Andromaco

51,62

33,92

33,92

64 mg BETACORT 0.05% CRE x 15

DELTISONA RETARD 2 ml + Jga. F.A x


CORTEROID RETARD 2 ML F.A x

CORTEROID RETARD 2 ML JPR x

15 mg CORTEROID RETARD 5 ML F.A x

BETAMETASONA
DIPROPIONATO
Crema

Medisol

28,90

12,16

12,16

DIPROSONE CRE x 15

MSD Arrgentina SR

98,76

66,18

66,18

BLACOR CRE x 30

Raymos

60,54

24,96

24,96

Gel

25 mg DERMIZOL GEL x 30

Roux Ocefa

65,28

44,17

44,17

Locin

50 mg DERMIZOL LOC x 15

Roux Ocefa

50,37

34,09

34,09

64 mg DIPROSONE LOC x 30

MSD Arrgentina SR

143,53

95,74

95,74

BETAMETASONA
DIPROPIONATO +
BETAMETASONA FOSFATO
DISDICO
Ampollas

2 mg DEPOCORT CRONO 2 ML F.A x

CRONODICASONE DEPOT 2 ML F.A x


10 mg CRONO CORTICAS 2 ML F.A x
12,8 mg CRONOCORTEROID AMP x

CRONOCORTEROID 2 ML JPR x

Nova Argentia
1

88,34

37,44

37,44

Baliarda

110,26

67,81

67,81

Casasco

105,13

61,06

61,06

Montpellier

121,43

81,37

81,37

Montpellier

124,31

83,30

83,30

CRONOLEVEL 2 ML AMP x

MSD Arrgentina SR

131,09

89,10

89,10

CRONOLEVEL 2 ML JPR x

MSD Arrgentina SR

187,41

125,58

125,58

Casasco

39,95

25,94

25,94

Mar

28,51

19,02

19,02 INF

MSD Arrgentina SR

41,79

27,88

27,88 INF

Montpellier

41,41

27,75

27,75

Montpellier

51,37

34,42

34,42

BETAMETASONA FOSFATO
DISDICO
Ampollas

8 mg CORTICAS 2 ML F.A x

4 mg METAMAR 1 ML + JGA. F.A x


5,3 mg CELESTONE 1 ML AMP x
8 mg CORTEROID 2 ML F.A x
CORTEROID 2 ML JPR x

2
1
1

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 17 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Ampollas
Gotas

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

8 mg
0,6 mg CORTICAS GTS x 20

Casasco

56,71

37,83

37,83 INF

Baliarda

57,67

32,08

32,08 INF

Montpellier

67,85

45,30

45,30 INF

Klonal

29,91

12,16

12,16 INF

100 mg LAZAR CORT CRE x 15

Lazar

34,39

22,59

22,59

122 mg BETAMETASONA LAFEDAR CRE x 15

Lafedar

43,15

28,48

28,48

BETNOVATE CRE x 15

GlaxoSmithkline

44,97

29,69

29,69

TRANSDERMA B CRE x 20

Szama

90,14

61,68

61,68

CORTEROID CRE x 30

Montpellier

47,97

30,88

30,88

BETNOVATE CRE x 30

GlaxoSmithkline

78,41

50,49

50,49

12000 CORTICAS CRE x 20


mg

Casasco

72,51

48,58

48,58

Locin

122 mg BETNOVATE CAPILAR LOC x 30

GlaxoSmithkline

57,09

37,51

37,51

Ungento

122 mg BETNOVATE UNG x 30

GlaxoSmithkline

54,44

17,07

17,07

Fada Pharma

70,40

47,17

47,17

Alcon

101,53

67,72

67,72

Alcon

86,68

57,24

57,24

Elea

205,07

136,79

136,79

BEZACUR RETARD 400 mg COM x 30

Investi

193,01

127,17

127,17

BEZALIP RETARD GRA x 30

Sandoz

205,71

135,81

135,81

Bag

53,08

35,57

28,75

BIPERIDENO ROSPAW 2 mg COM x 20

Rospaw

53,66

36,54

36,54

BIPERIDENO ROSPAW 2 mg COM x 60

Rospaw

127,77

81,81

81,81

AKINETON COM x 60

Bag

135,34

87,04

53,87

4 mg AKINETON RETARD COM x 30

Bag

118,61

79,12

50,10

5 mg MODATON COM x 20

Montpellier

20,91

9,59

9,59

MODATON COM x 50

Montpellier

39,65

9,75

9,75

Omega

62,18

42,45

42,45

ENGALAX GRA x 10

Omega

95,83

65,43

65,43

DICASONE 0.6 mg ORAL GTS x 30


60 mg CORTEROID GTS x 30

BETAMETASONA FOSFATO
SDICO
Lquido

50 mg BETASONE G SOL x 15

BETAMETASONA VALERATO
Crema

BETAMETASONA VALERATO +
FENILEFRINA + LIDOCAINA
Crema

50 mg PROCTO-METADYNE RECTAL CRE x 20

BETAXOLOL
Lquido

250 mg BETASEL S 0.25% OFT. SOL x


500 mg BETASEL 0.5% OFT. SOL x

BEZAFIBRATO
Comprimidos

400 mg ELPI LIP COM x 30

BIPERIDENO
Comprimidos

2 mg AKINETON COM x 20

BISACODILO
Comprimidos

BISACODILO + CASANTRANOL
Comprimidos

5 mg ENGALAX GRA x

BISACODILO + SODIO
DIOCTILSULFOSUCCINATO +
SODIO
LAURILSULFOACETATO
MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 18 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

03/02/2015

NOMBRE COMERCIAL

Comprimidos

LABORATORIO

10 mg NIGALAX RADIOLOGICO KIT Supos.x 2 + GRA x


6

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Sanofi Aventis

30,63

20,53

20,53

Soubeiran Chobet

50,31

33,56

33,56

Soubeiran Chobet

34,52

23,13

23,13

CREMA DE BISMUTO CHOBET C/PECT SUS x 120 Soubeiran Chobet

44,96

30,09

30,09

CREMA DE BISMUTO CHOBET C/PECT SUS x 240 Soubeiran Chobet

86,87

56,34

56,34

Elea

41,00

27,35

27,35

Roemmers

51,82

32,50

18,28

LOSTAPROLOL 2.5 mg COM x 30

Temis-Lostalo

78,23

52,42

45,05

DROMIN 2.5 mg COM x 30

Roux Ocefa

78,92

52,88

45,44

CONCOR 2.50 mg COM x 30

Elea

86,38

57,88

49,74

BISMUTO HIDRXIDO +
PECTINA
Comprimidos
Lquido

600 mg BISMUTO CHOBET CON PECTINA COM x 20


3000 mg CREMA DE BISMUTO CHOBET C/PECT SUS x 90

BISMUTO RESORCINA
COMPUESTO +
HIDROCORTISONA ACETATO
Supositorios

49,88 mg ANUSOL HC SUP x 12

BISOPROLOL
Comprimidos

2,5 mg CORBIS 2.5 mg COM x 30

5 mg DROMIN 5 mg COM x 30

Roux Ocefa

110,50

68,70

38,02

CORBIS 5 mg COM x 30

Roemmers

117,77

77,95

48,71

LOSTAPROLOL 5 mg COM x 30

Temis-Lostalo

122,27

81,93

55,00

CONCOR 5 mg COM x 30

Elea

125,86

84,34

59,91

10 mg DROMIN 10 mg COM x 30

Roux Ocefa

153,12

98,85

59,04

CONCOR 10 mg COM x 30

Elea

153,81

99,73

60,06

CORBIS 10 mg COM x 30

Roemmers

159,30

106,63

67,86

LOSTAPROLOL 10 mg COM x 30

Temis-Lostalo

160,33

107,43

69,30

77,44

51,65

51,65

BISOPROLOL +
HIDROCLOROTIAZIDA
Comprimidos

2,5 mg ZIAC 2.5/6.25 mg COM x 30

Elea

5 mg ZIAC 5/6.25 mg COM x 30

Elea

97,75

43,30

43,30

CORBIS D 5/12.5 mg COM x 30

Roemmers

130,23

86,95

86,95

CONCOR PLUS 5/12.5 mg COM x 30

Elea

141,18

94,60

94,60

Elea

106,97

56,02

56,02

Elea

154,47

103,51

103,51

Allergan-Loa

138,34

92,28

58,42

58,86

11,77

11,77

Poen

157,67

105,17

83,79

Atlas

114,47

33,55

33,55

Raymos

139,44

68,28

68,28

Allergan-Loa

188,11

126,05

126,05

Ariston

13,42

3,69

3,69

EQUISEDIN 3 mg COM x 20

Lazar

13,57

3,84

3,84

CREOSEDIN 3 mg COM x 20

Astrazeneca

17,38

8,91

8,91

LEXOTANIL 3 mg COM x 20

Investi

22,41

15,02

15,02

ATEMPERATOR 3 mg COM x 30

Ivax Argentina

28,86

17,16

17,16

10 mg ZIAC 10/6.25 mg COM x 30


CONCOR PLUS 10/25 mg COM x 30

BRIMONIDINA
Lquido

150 mg ALPHAGAN P OFT. SOL x


200 mg OFTALMOTONIL SOL x

BRIMOPRESS OFT. SOL x

Bausch & Lomb Argentina


5

BRIMONIDINA + TIMOLOL
Lquido

200 mg TIMOBRIM OFT. SOL x


BRIT OFT. SOL x

COMBIGAN 0.2/0.5% OFT. SOL x

BROMAZEPAM
Comprimidos

3 mg BENEDORM 3 mg COM x 20

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 19 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

3 mg LEXOTANIL 3 mg COM x 30

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Investi

32,93

22,07

22,07

NEUROZEPAN 3 mg COM x 30

Nova Argentia

40,45

27,10

27,10

BENEDORM 3 mg COM x 50

Ariston

22,34

4,47

4,47

SIPCAR 3 mg COM x 50

Bernabo

27,49

6,14

6,14

BROMAZEPAM TEMIS 3 mg COM x 50

Temis-Lostalo

34,02

9,77

9,77

CREOSEDIN 3 mg COM x 50

Astrazeneca

39,97

17,26

17,26

LEXOTANIL 3 mg COM x 50

Investi

49,42

30,33

30,33

OCTANYL 3 mg COM x 50

Bag

67,51

45,24

45,24

EQUISEDIN 3 mg COM x 60

Lazar

30,41

6,08

6,08

ATEMPERATOR 3 mg COM x 60

Ivax Argentina

50,21

24,00

24,00

BROMAZEPAM TEMIS 3 mg COM x 60

Temis-Lostalo

60,28

37,66

37,66

6 mg CREOSEDIN 6 mg COM x 20

Astrazeneca

22,57

15,06

15,06

CREOSEDIN 6 mg COM x 50

Astrazeneca

42,35

28,25

28,25

200 mg BISOLVON SOL x 40

Boheringer Ingelheim

28,46

19,06

19,06

2,5 mg PARLODEL 2.5 mg COM x 28

Novartis

79,89

52,49

52,49

BROMHEXINA
Lquido

BROMOCRIPTINA
Comprimidos

BROMPERIDOL
Comprimidos

5 mg BROMODOL 5 mg COM x 50

Janssen-Cilag

120,89

80,64

41,20

Gotas

2 mg BROMODOL GTS x 30

Janssen-Cilag

135,17

89,24

75,61

Janssen-Cilag

141,78

94,57

57,46

BROMPERIDOL DECANOATO
Ampollas

50 mg BROMODOL DECANOATO 1 ML AMP x

BUDESONIDE
Aerosol

0,05 mg BUDESON NASAL AER x 200

Takeda

53,73

10,75

10,75

RINO B 50 AER x 200

Cassara

48,96

11,59

11,59

NEUMOTEX NASAL 50 mcg AER x 200

Phoenix

109,95

40,32

27,04

Cassara

30,63

6,84

6,84

167,84

111,96

70,88

0,1 mg RINO B 100 AER x 100


SPIROCORT NASAL AQUA 64 mcg AER x 120
0,05 mg PULMOLISOFLAM PEDIATRICO AER x 200

Astrazeneca
Pfizer

92,70

62,12

41,68

PULMOLISOFLAM C/AEROCAMARA INF AER x


200

Pfizer

198,59

133,07

111,45

NEUMOTEX BRONQUIAL PEDIATRICO AER x 200

Phoenix

237,24

158,97

136,61

NEUMOTEX BRONQUIAL PED C/AEROC AER x


200

Phoenix

313,60

210,14

180,58

92,70

62,12

37,08

0,2 mg PULMOLISOFLAM ADULTOS AER x 100

Pfizer

NEUMOTEX BRONQUIAL 200 mcg AER x 100

Phoenix

164,84

110,46

94,93

PULMOLISOFLAM C/AEROCAMARA AD. AER x


100

Pfizer

194,47

130,31

111,98

249,72

167,34

143,80

58,64

37,92

NEUMOTEX BRONQUIAL 200 C/AEROC AER x 100 Phoenix


BUDESON MDI 200 mcg AER x 150

Takeda

87,96

NEUMOCORT 200 mcg AER x 200

Cassara

45,25

9,11

9,11

NEUMOCORT 200 mcg c/AEROMED AER x 200

Cassara

54,20

10,84

10,84

NEUMOCORT 200 mcg HFA AER x 200

Cassara

78,73

29,38

29,38

NEUMOCORT 200 mcg HFA + AEROMED AER x


200

Cassara

123,27

81,38

81,38

AEROVIAL HFA AER x 200

Atlas

146,08

97,88

84,11

NEUMOTEX BRONQUIAL 200 mcg AER x 200

Phoenix

247,65

165,95

142,60

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 20 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Aerosol

Inhahaldor con
sistemas

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

0,4 mg NEUMOTEX BRONQUIAL FORTE 400 AER x 100

Phoenix

284,95

190,94

158,91

NEUMOCORT 400 mcg FORTE AER x 150

Cassara

66,28

13,26

13,26

0,1 mg SPIROCORT NASAL TURBUHALER 100 INH x 200

Astrazeneca

249,53

167,21

143,69

0,1 mg SPIROCORT TURBUHALER 100 mcg INH x 200

Astrazeneca

222,39

149,02

128,06

0,2 mg AEROVIAL 200 + APLIC. INH x 60

Atlas

153,82

97,79

49,45

NEUMOTEX 200 CAPSULAS INH x 60

Phoenix

165,08

110,62

68,45

SPIROCORT TURBUHALER 200 mcg INH x 200

Astrazeneca

298,23

199,84

171,73

Atlas

153,82

97,12

48,67

NEUMOTEX 400 CAPSULAS INH x 60

Phoenix

165,08

110,11

67,06

SPIROCORT TURBUHALER 400 mcg INH x 200

Astrazeneca

365,68

167,75

89,93

Astrazeneca

69,99

46,69

30,89

SPIROCORT P/NEB 0.25 mg MONODS SUS x 10

Astrazeneca

137,24

89,94

57,95

Astrazeneca

96,72

64,74

41,56

SPIROCORT P/NEB 0.50 mg MONODS SUS x 10

Astrazeneca

190,46

125,76

78,92

25 mg SPIROCORT P/NEB 0.25 mg MONODS SUS x

50 mg SPIROCORT P/NEB 0.50 mg MONODS SUS x

100 mg RINO B NEBU SOL x 20

Spray

A CARGO A CARGO
REF
AFILIADO CRONICO

0,2 mg

0,4 mg AEROVIAL 400 + APLIC. INH x 60

Lquido

PRECIO

Medisol

38,90

9,69

9,69

PROETZONIDE NEBU SOL x 20

Dallas

92,69

62,11

47,02

AEROVIAL SOL x 20

Atlas

95,97

64,31

51,51

RINO B NEBU C/DILUYENTE SOL x 20

Cassara

126,83

83,73

83,73

BUDESON NEBU SOL x 20

Takeda

162,15

108,66

93,37

NEUMOTEX NEBU SOL x 20

Phoenix

193,61

129,73

111,48

0,05 mg BUDESON AQUA NASAL 50 mcg SPR x 100

Takeda

67,01

44,90

23,34

HYPERSOL B 50 NASAL SPR x 200

Cassara

63,84

14,26

14,26

0,1 mg HYPERSOL B 100 NASAL SPR x 100

Cassara

67,05

44,26

44,26

BUDESON AQUA NASAL 100 mcg SPR x 100

Takeda

78,18

52,39

32,01

PROETZONIDE NASAL SPR x 100

Dallas

82,67

55,40

37,45

NASTIZOL HIDROSPRAY SPR x 200

Bag

134,31

90,00

66,26

PROETZONIDE NASAL SPR x 200

Dallas

140,20

93,95

74,06

Astrazeneca

503,96

336,16

212,83

Astrazeneca

503,96

336,16

212,83

Astrazeneca

505,29

332,06

200,85

Cassara

311,94

94,00

94,00

0,16 mg SYMBICORT TURBUHALER 160/4,5 INH x 60

Astrazeneca

374,96

251,26

215,92

SYMBICORT TURBUHALER 160/4,5 INH x 120

Astrazeneca

505,29

332,06

200,85

0,2 mg FORMOVENT + BUDE Cps. s/Aplic. INH x 60

Atlas

195,17

97,83

56,27

FORMOVENT + BUDE Cps.+ Aplic. INH x 60

Atlas

206,07

112,98

59,47

NEUMOTEROL 200 S/APLIC. CAPS INH x 60

Phoenix

312,32

209,28

179,84

NEUMOTEROL 200 CAPS + APLIC INH x 60

Phoenix

336,06

225,19

193,52

NEUMOTEROL 200 S/APLIC. CAPS INH x 120

Phoenix

416,45

231,85

117,35

NEUMOTEROL 200 CAPS + APLIC INH x 120

Phoenix

462,10

292,05

167,60

Astrazeneca

503,96

336,16

212,83

BUDESONIDE + FORMOTEROL
Aerosol

0,08 mg FREVIA 80/4.5 mcg AER x 120


SYMBICORT-M 80/4.5 mcg AER x 120
0,16 mg FREVIA 160/4.5 mcg AER x 120
0,2 mg NEUMOCORT PLUS /INHAL. AER x 150

Inhahaldor con
sistemas

0,32 mg SYMBICORT FTE TURBOHALER 320/9 INH x 60


MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 21 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Inhahaldor con
sistemas

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

0,32 mg
0,4 mg NEUMOTEROL 400 C/APLIC. CAPS INH x 60

Phoenix

380,06

253,52

160,51

0,5 mg CABERTRIX 0.5 mg COM x

LACTAMAX 0.5 mg COM x

Raffo

92,78

57,33

57,33

Beta

148,36

99,42

99,42

Raffo

302,14

134,80

134,80

Astrazeneca

329,34

167,17

167,17

Beta

434,19

290,95

290,95

Astrazeneca

220,43

147,71

147,71

CABERTEMIS 1 mg COM x 30

Temis-Lostalo

287,72

70,76

70,76

CABASER 1 mg COM x 30

Pfizer

450,82

236,99

236,99

TRIASPAR 1 mg COM x 30

Beta

747,29

500,75

500,75

CABERGOLINA
Comprimidos

CABERTRIX 0.5 mg COM x


LAC STOP 0.5 mg COM x

LACTAMAX 0.5 mg COM x

1 mg CABERPAR 1 mg COM x 10

2 mg CABERTEMIS 2 mg COM x 30

Temis-Lostalo

345,25

89,21

89,21

CABASER 2 mg COM x 30

Pfizer

569,11

379,61

379,61

CABERPAR 2 mg COM x 30

Astrazeneca

628,75

421,32

421,32

TRIASPAR 2 mg COM x 30

Beta

933,41

625,47

625,47

Temis-Lostalo

494,87

330,10

330,10

1.035,88

690,96

690,96

Raffo

57,34

37,86

37,86

ULTRACALCIUM MASTICABLE COM x 30

Temis-Lostalo

43,79

14,32

14,32

CALCIONAL-MAST. NARANJA COM x 60

Spedrog Caillon

91,08

33,15

33,15

RAFFO-CA 500 mg EFERV. COM x 60

Raffo

172,12

113,63

113,63

1000 mg CALCIO BASE DUPOMAR FTE 1G MAS COM x 60

Investi

95,76

63,87

63,87

1260 mg CALCIONAL NARANJA COM x 30

Spedrog Caillon

57,25

33,32

33,32

CALCIO BASE DUPOMAR COM x 30

Investi

69,68

46,69

46,69

CALCIO BASE DUPOMAR COM x 60

Investi

120,32

77,54

77,54

500 mg CALCIONAL CITRATO NARANJA MAST COM x 30 Spedrog Caillon

76,88

51,52

51,52

CALCIONAL CITRATO NARANJA MAST COM x 60 Spedrog Caillon

133,89

85,37

85,37

Gador

104,32

69,58

69,58

Gador

76,88

51,28

51,28

Sanofi Aventis

58,79

39,22

39,22

1132 mg CALCIUM SANDOZ 1000 mg EFERV. COM x 10

Sandoz

41,08

26,70

26,70

CALCIUM SANDOZ 1000 mg EFERV. COM x 30

Sandoz

111,03

72,95

72,95

Baliarda

50,18

32,45

32,45

Baliarda

53,23

35,51

35,51

4 mg CABERTEMIS 4 mg COM x 30
TRIASPAR 4 mg COM x 30

Beta

CALCIO CARBONATO
Comprimidos

500 mg RAFFO-CA 500 mg EFERV. COM x 20

CALCIO CITRATO
Comprimidos

950 mg CALCIMAX COM x 60


1905 mg CALCIMAX FORTE COM x 30

CALCIO HEPARINATO
Ampollas

12500 ui CALCIPARINE 0.5 ML AMP x

CALCIO LACTATO
GLUCONATO + CALCIO
CARBONATO
Comprimidos

CALCIO PIDOLATO
Lquido
Sobres

10000 REGUCAL LIQUIDO SOL x 250


mg
1000 mg REGUCAL GRANULADO EFERVESCENTE SOB x
30

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 22 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

CALCIO PIDOLATO + CALCIO


CARBONATO
Sobres

2000 mg REGUCAL 1 GR GRANULADO SOB x 20

Baliarda

42,63

27,63

27,63

REGUCAL 1 GR GRANULADO SOB x 30

Baliarda

67,57

45,04

45,04

CALCIPOTRIOL
Ungento

0,05 mg DAIVONEX UNG x 30


CUTANIT UNG x 30

Andromaco

147,84

96,14

96,14

Lazar

158,09

105,93

105,93

Novartis

158,05

103,84

103,84

Novartis

304,80

200,27

200,27

Novartis

1.009,59

663,34

663,34

64,77

CALCITONINA
Ampollas

50 ui CALCITONINA SANDOZ MINOR 1 CC AMP x


100 ui CALCITONINA SANDOZ 100 UI 1 ML AMP x

Spray

5
5

100 ui CALCITONINA SANDOZ NASAL 100UI SPR x 28

CANDESARTAN CILEXETIL
Comprimidos

8 mg DACTEN 8 mg COM x 15

Phoenix

115,60

64,77

TIADYL 8 mg COM x 15

Abbott

125,12

77,38

77,38

ATACAND 8 mg DIVIS. COM x 15

Astrazeneca

187,31

125,51

125,51

RONAR 8 mg COM x 30

Roux Ocefa

217,10

107,41

107,41

TIADYL 8 mg COM x 30

Abbott

245,93

149,15

149,15

DACTEN 8 mg COM x 30

Phoenix

256,58

162,93

162,93

ATACAND 8 mg DIVIS. COM x 30

Astrazeneca

315,46

211,38

211,38

16 mg DACTEN 16 mg COM x 15

Phoenix

214,26

138,43

138,43

ATACAND 16 mg DIVIS. COM x 15

Astrazeneca

314,48

210,73

210,73

RONAR 16 mg COM x 30

Roux Ocefa

297,28

96,83

96,83

TIADYL 16 mg COM x 30

Abbott

368,84

198,10

198,10

ATACAND 16 mg DIVIS. COM x 30

Astrazeneca

434,18

284,01

284,01

DACTEN 16 mg COM x 30

Phoenix

449,91

301,48

301,48

Astrazeneca

670,94

447,53

447,53

32 mg ATACAND 32 mg DIVIS. COM x 30

CARBAMAZEPINA
Comprimidos

200 mg ACTINERVAL 200 mg COM x 30

Bag

78,57

41,48

22,15

CARBAMAT 200 mg COM x 30

Astrazeneca

99,95

66,97

45,35

CONFORMAL 200 mg COM x 30

Ivax Argentina

101,99

68,34

47,43

TEGRETOL 200 mg COM x 30

Novartis

109,71

72,43

58,68

ACTINERVAL 200 mg COM x 60

Bag

106,48

26,19

26,19

CARBAMAT 200 mg COM x 60

Astrazeneca

175,28

107,32

55,30

CONFORMAL 200 mg COM x 60

Ivax Argentina

191,43

127,90

77,34

TEGRETOL 200 mg COM x 60

Novartis

221,54

146,26

120,10

Ivax Argentina

239,16

160,26

103,79

TEGRETOL LC 400 mg COM x 30

Novartis

256,73

169,49

130,21

TEGRETOL LC 400 mg COM x 60

Novartis

436,11

273,50

152,92

Novartis

46,73

30,70

18,92

4 mg OMEGA 100 COM x 20

Omega

88,01

60,09

60,09

OMEGA 100 COM x 50

Omega

147,35

75,04

75,04

Gotas

80 mg OMEGA 100 GTS x 20

Omega

116,59

79,61

79,61

Lquido

80 mg OMEGA 100 JBE x 120

Omega

108,44

29,82

29,82

400 mg CONFORMAL 400 mg AP COM x 30

Lquido

2000 mg TEGRETOL JBE x 100

CARBINOXAMINA
Comprimidos

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 23 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Lquido

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

80 mg

CARBINOXAMINA + AMONIO
CLORURO
Lquido

50 mg OMEGA 100 EXPECTORANTE JBE x 120

Omega

112,28

76,33

76,33

CARTEOLOL CLORHIDRATO
Colirio

1000 mg GLAUTEOLOL 1% COL x

Raymos

56,87

36,78

36,78

2000 mg GLAUTEOLOL 2% COL x

Raymos

110,03

72,63

72,63

Bausch & Lomb Argentina

53,13

10,63

10,63

Atlas

97,10

65,07

65,07

Poen

74,19

23,22

23,22

Gotas

2000 mg SINGLAUC 2% OFTALM. GTS x

Lquido

2000 mg CARTENS 2% OFT.LIB.PROL. SOL x


POENGLAUCOL 2% OFT. SOL x

CARVEDILOL
Comprimidos

3,125 mg CORAFEN 3.125 mg COM x 28

Bernabo

32,80

16,67

8,42

FILTEN 3.125 mg COM x 28

Gador

37,37

23,32

13,98

VERATEN 3.125 mg COM x 28

Elea

39,41

25,14

14,53

CORITENSIL 3.125 mg COM x 28

Roux Ocefa

41,37

27,61

17,34

BIDECAR 3.125 mg COM x 28

Baliarda

41,65

27,91

17,73

DILATREND 3.125 mg COM x 28

Nova Argentia

46,14

30,92

23,83

CARVEDIL 3.125 mg COM x 28

Bag

46,39

31,08

26,16

DILATREND 3.125 mg COM x 56

Nova Argentia

47,58

11,70

11,70

FILTEN 3.125 mg COM x 56

Gador

53,79

17,54

13,22

BIDECAR 3.125 mg COM x 56

Baliarda

57,70

20,83

14,19

6,25 mg DUOBLOC 6.25 mg COM x 28

Sidus

43,09

12,67

9,63

RUDOXIL 6.25 mg COM x 28

Phoenix

49,67

21,10

12,21

CORAFEN 6.25 mg COM x 28

Bernabo

51,52

24,49

12,93

CORUBIN 6.25 COM x 28

Lazar

58,75

33,88

18,52

VICARDOL 6.25 mg COM x 28

Richmond

68,62

45,98

30,59

VERATEN 6.25 mg COM x 28

Elea

69,88

46,83

30,60

DILATREND 6.25 mg COM x 28

Nova Argentia

70,58

46,84

32,08

BIDECAR 6.25 mg COM x 28

Baliarda

71,83

48,13

33,29

FILTEN 6.25 mg COM x 28

Gador

74,02

49,60

36,25

CORITENSIL 6.25 mg RANURADO COM x 28

Roux Ocefa

74,22

49,74

36,52

CARVEDIL 6.25 mg COM x 28

Bag

85,26

57,13

49,09

ISOBLOC 6.25 mg COM x 30

Casasco

45,28

12,79

11,12

ANTIBLOC 6.25 mg COM x 30

Craveri

55,30

24,07

17,32

PLUSCOR 6.25 mg COM x 30

Sandoz

59,93

30,28

15,60

FILTEN 6.25 mg COM x 56

Gador

92,39

31,55

22,72

BIDECAR 6.25 mg COM x 56

Baliarda

DILATREND 6.25 mg COM x 56

Nova Argentia

10 mg CARVEDIL RETARD 10 mg CAP x 28

93,39

33,11

22,97

117,55

67,83

33,13

Bag

70,55

33,69

17,88

BIDECAR CR 10 mg COM x 28

Baliarda

80,86

47,88

24,12

VERATEN UD 10 mg LIB.EXT. CAP x 28

Elea

75,35

49,03

31,01

FILTEN LP 10 mg CAP x 28

Gador

98,66

66,11

48,84

DILATREND AP 10 mg COM x 30

Nova Argentia

88,54

59,33

43,96

FILTEN LP 10 mg CAP x 30

Gador

105,83

70,91

53,60

Sidus

53,46

15,54

11,94

RUDOXIL 12.5 mg COM x 28

Phoenix

62,13

26,58

15,27

CORAFEN 12.5 mg COM x 28

Bernabo

62,64

28,20

13,99

12,5 mg DUOBLOC 12.5 mg COM x 28

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 24 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
12,5 mg CORUBIN 12.5 COM x 28

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Lazar

71,81

40,29

22,16

VICARDOL 12.50 mg COM x 28

Richmond

86,66

58,07

39,54

VERATEN 12.5 mg COM x 28

Elea

87,34

58,52

39,62

CORITENSIL 12.5 mg COM x 28

Roux Ocefa

88,99

59,63

41,87

BIDECAR 12.5 mg COM x 28

Baliarda

89,65

60,07

42,77

DILATREND 12.5 mg COM x 28

Nova Argentia

91,71

60,87

46,12

FILTEN 12.5 mg COM x 28

Gador

92,22

61,79

46,22

CARVEDIL 12.50 mg COM x 28

Bag

95,94

64,29

51,10

ANTIBLOC 12.5 mg COM x 30

Craveri

69,46

32,71

17,08

PLUSCOR 12.5 mg COM x 30

Sandoz

74,19

40,23

19,31

ISOBLOC 12.50 mg COM x 30

Casasco

89,81

59,86

37,19

RODIPAL 12.5 mg COM x 30

Eurofarma

91,79

61,51

61,51

FILTEN 12.5 mg COM x 56

Gador

115,27

39,40

28,36

BIDECAR 12.5 mg COM x 56

Baliarda

123,27

51,68

30,32

CARVEDIL 12.50 mg COM x 56

Bag

143,55

80,47

40,45

DILATREND 12.5 mg COM x 56

Nova Argentia

152,63

92,56

47,40

RODIPAL 12.5 mg COM x 60

Eurofarma

165,22

110,71

110,71

Baliarda

124,49

76,50

40,35

VERATEN UD 20 mg LIB.EXT. CAP x 28

Elea

119,28

78,55

48,48

CARVEDIL RETARD 20 mg CAP x 28

Bag

130,33

84,01

49,00

FILTEN LP 20 mg CAP x 28

Gador

148,17

99,29

73,78

ISOBLOC CR 20 mg CAP x 30

Casasco

104,74

42,03

25,75

DILATREND AP 20 mg COM x 30

Nova Argentia

134,01

89,80

60,64

FILTEN LP 20 mg CAP x 30

Gador

159,29

106,74

82,45

Lepetit

39,00

9,00

9,00

DUOBLOC 25 mg COM x 28

Sidus

64,00

17,37

14,29

RUDOXIL 25 mg COM x 28

Phoenix

74,62

29,88

18,35

CORAFEN 25 mg COM x 28

Bernabo

86,57

47,99

22,44

CORUBIN 25 COM x 28

Lazar

99,10

63,59

36,32

BIDECAR 25 mg COM x 28

Baliarda

107,68

72,15

48,51

VICARDOL 25 mg COM x 28

Richmond

109,83

73,59

53,35

CARVEDIL 25 mg COM x 28

Bag

110,74

74,21

52,69

FILTEN 25 mg COM x 28

Gador

110,78

74,23

52,74

VERATEN 25 mg COM x 28

Elea

111,26

74,56

53,39

CORITENSIL 25 mg COM x 28

Roux Ocefa

110,57

75,16

51,27

DILATREND 25 mg COM x 28

Nova Argentia

113,89

75,59

57,63

ANTIBLOC 25 mg COM x 30

Craveri

84,43

38,66

20,77

PLUSCOR 25 mg COM x 30

Sandoz

85,59

41,45

22,27

ISOBLOC 25 mg COM x 30

Casasco

118,73

79,56

56,57

FILTEN 25 mg COM x 56

Gador

138,41

44,87

34,03

BIDECAR 25 mg COM x 56

Baliarda

148,30

58,32

36,47

CARVEDIL 25 mg COM x 56

Bag

177,32

99,80

49,98

DILATREND 25 mg COM x 56

Nova Argentia

200,60

123,22

76,14

20 mg BIDECAR CR 20 mg COM x 28

25 mg VEDILEP 25 mg COM x 28

40 mg BIDECAR CR 40 mg COM x 28

Baliarda

156,57

96,36

53,88

VERATEN UD 40 mg LIB.EXT. CAP x 28

Elea

149,26

98,97

61,81

CARVEDIL RETARD 40 mg CAP x 28

Bag

160,05

100,86

59,02

FILTEN LP 40 mg CAP x 28

Gador

185,28

124,16

94,01

ISOBLOC CR 40 mg CAP x 30

Casasco

132,11

53,64

32,49

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 25 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

40 mg DILATREND AP 40 mg COM x 30

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Nova Argentia

167,51

112,24

76,80

Gador

199,38

133,60

102,31

Bernabo

102,35

33,94

22,85

FILTEN 50 mg COM x 28

Gador

107,38

40,05

26,42

CORITENSIL 50 mg COM x 28

Roux Ocefa

134,34

77,13

40,68

BIDECAR 50 mg COM x 28

Baliarda

134,20

78,28

37,82

DILATREND 50 mg COM x 28

Nova Argentia

155,66

104,30

64,16

CARVEDIL 50 mg COM x 28

Bag

201,38

134,94

115,96

FILTEN LP 40 mg CAP x 30
50 mg CORAFEN 50 mg COM x 28

80 mg BIDECAR CR 80 mg COM x 28

Baliarda

173,43

92,77

48,88

CARVEDIL RETARD 80 mg CAP x 28

Bag

181,29

103,47

51,09

VERATEN UD 80 mg LIB.EXT. CAP x 28

Elea

179,20

118,98

74,84

FILTEN LP 80 mg CAP x 28

Gador

223,00

149,43

105,68

DILATREND AP 80 mg COM x 30

Nova Argentia

201,02

134,70

92,72

FILTEN LP 80 mg CAP x 30

Gador

239,49

160,48

116,53

CARVEDILOL +
HIDROCLOROTIAZIDA
Comprimidos

25 mg BIDECAR D 25/12.5 mg COM x 28

62,06

12,41

12,41

CORITENSIL D 25/12.5 mg COM x 28

Baliarda
Roux Ocefa

117,34

70,29

36,61

DILATREND D 25/12.5 mg COM x 28

Nova Argentia

127,44

84,29

52,55

FILTEN D 25/12.5 mg COM x 28

Gador

128,68

85,84

54,31

CARVEDIL D 25/12.5 mg COM x 28

Bag

135,51

90,80

63,76

ISOBLOC D COM x 30

Casasco

108,45

52,94

29,18

Montpellier

57,41

29,93

29,93

Nova Argentia

79,47

53,25

53,25

CEFAMAR 500 mg COM x 14

Mar

59,71

14,69

14,69

CEFACILINA 500 mg COM x 16

Montpellier

111,71

55,51

55,51

CEFACAR 500 mg COM x 16

Nova Argentia

156,16

103,64

103,64

CEFADROXILO
Comprimidos

500 mg CEFACILINA 500 mg COM x


CEFACAR 500 mg COM x

1000 mg CEFACILINA 1000 mg COM x

64,83

15,94

15,94

Nova Argentia

161,37

108,13

108,13

CEFACAR 1000 mg COM x 16

Nova Argentia

317,76

212,93

212,93

Nova Argentia

43,36

26,47

26,47

CEFAMAR 250 MG/5 ML SUS x 70

Mar

45,74

24,38

24,38

CEFACAR 250 mg SUS x 90

Nova Argentia

55,97

27,36

27,36

CEFACILINA 250 mg JBE x 90

Montpellier

82,29

55,15

55,15

Nova Argentia

79,28

37,87

37,87

CEFAMAR 500 MG/5 ML SUS x 70

Mar

63,02

15,50

15,50

CEFACILINA 500 mg JBE x 90

Montpellier

158,48

106,19

106,19

CEFACAR 500 mg SUS x 90

Nova Argentia

206,21

138,18

138,18

CEFACAR 1000 mg COM x

Lquido

Montpellier

250 mg CEFACAR 250 mg SUS x 60

500 mg CEFACAR 500 mg SUS x 60

CEFALEXINA
Comprimidos

500 mg CEFALEXINA NORTHIA 500 mg COM x


CEPOREXIN 500 mg COM x
SEPTILISIN 500 mg COM x

CEFALEXINA FECOFAR 500 mg COM x


KEFORAL 500 mg COM x

Northia

27,53

7,96

7,96

Investi

38,34

20,58

20,58

Bag

40,25

23,17

23,17

Fecofar

43,37

27,63

27,63

Ivax Argentina

45,32

29,75

29,75

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 26 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

500 mg CEFALEXINA RICHET 500 mg COM x

A CARGO A CARGO
REF
AFILIADO CRONICO

Richet

45,98

30,36

30,36

Nova Argentia

58,57

39,25

39,25

OSPEXIN 500 mg COM x 16

Sandoz

48,49

9,70

9,70

SEPTILISIN 500 mg COM x 16

Bag

52,87

12,99

12,99

CEPOREXIN 500 mg COM x 16

Investi

62,88

21,07

21,07

CEFALEXINA NORTHIA 500 mg COM x 16

Northia

71,56

36,97

36,97

CEFALEXINA RICHET 500 mg COM x 16

Richet

72,86

39,88

39,88

KEFORAL 500 mg COM x 16

Ivax Argentina

80,27

46,03

46,03

CEFALEXINA FECOFAR 500 mg COM x 16

Fecofar

81,97

49,07

49,07

CEFALEXINA ARGENTIA 500 mg COM x 16

Nova Argentia

105,43

69,97

69,97

KEFORAL 500 mg COM x 24

Ivax Argentina

80,27

19,74

19,74

CEFALEXINA ARGENTIA 500 mg COM x 24

Nova Argentia

140,64

93,34

93,34

Northia

47,58

10,30

10,30

Ivax Argentina

73,76

40,21

40,21

Richet

80,75

53,31

53,31

SEPTILISIN DUO 1000 mg COM x 14

Bag

141,06

86,36

86,36

CEPOREXIN DUO 1 g COM x 14

Investi

149,75

97,51

97,51

CEFALEXINA ARGENTIA DUO 1 g COM x 14

Nova Argentia

160,20

106,32

106,32

KEFORAL 1000 mg COM x 16

Ivax Argentina

121,74

42,85

42,85

CEFALEXINA RICHET 1000 mg COM x 16

Richet

149,11

90,67

90,67

CEFALEXINA NORTHIA 1 g COM x 16

Northia

155,28

97,48

97,48

CEFALEXINA ARGENTIA DUO 1 g COM x 16

Nova Argentia

178,67

118,58

118,58

CEFALEXINA ARGENTIA 500 mg COM x

1000 mg CEFALEXINA NORTHIA 1 g COM x


KEFORAL 1000 mg COM x

CEFALEXINA RICHET 1000 mg COM x

Lquido

PRECIO

250 mg CEFALEXINA RICHET 250 mg JBE x 12

Richet

39,16

25,85

25,85 INF

CEFALEXINA RICHET 250 mg JBE x 18

Richet

58,70

38,75

38,75 INF

CEFALEXINA RICHET 250 mg JBE x 24

Richet

58,11

33,74

33,74 INF

KEFORAL 250 mg JBE x 60

Ivax Argentina

35,42

23,62

23,62 INF

CEPOREXIN 250 mg JBE x 90

Investi

45,41

25,42

25,42 INF

CEFALEXINA ARGENTIA 250 mg SUS x 90

Nova Argentia

61,60

41,28

41,28 INF

KEFORAL 250 mg JBE x 100

Ivax Argentina

55,99

35,53

35,53 INF

CEFALEXINA ARGENTIA 250 mg SUS x 120

Nova Argentia

50,88

20,06

20,06 INF

500 mg CEFALEXINA RICHET 500 mg SUS x 12

Richet

71,90

47,47

47,47

CEFALEXINA RICHET 500 mg SUS x 24

Richet

136,14

89,88

89,88

KEFORAL 500 mg JBE x 60

Ivax Argentina

72,23

48,40

48,40

SEPTILISIN 500 mg SUS x 60

Bag

74,57

49,97

49,97

CEPOREXIN 500 mg SUS x 90

Investi

64,82

21,89

21,89

SEPTILISIN 500 mg SUS x 90

Bag

81,76

46,40

46,40

CEFALEXINA NORTHIA 500 mg JBE x 90

Northia

92,61

62,06

62,06

CEFALEXINA ARGENTIA 500 mg SUS x 90

Nova Argentia

104,06

69,73

69,73

KEFORAL 500 mg JBE x 100

Ivax Argentina

127,08

85,16

85,16

CEPOREXIN 500 mg SUS x 120

Investi

70,65

17,38

17,38

CEFALEXINA ARGENTIA 500 mg SUS x 120

Nova Argentia

142,46

95,46

95,46

93,08

56,30

56,30

110,09

73,77

73,77

750 mg CEPOREXIN DUO 750 mg PED. SUS x 90


CEFALEXINA ARGENTIA DUO 750 mg SUS x 90

Investi
Nova Argentia

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 27 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

CEFAZOLINA
Ampollas

500 mg CEFALOMICINA 500 LIOF. AMP x

Bag

39,71

26,49

26,49

1000 mg CEFAMEZIN 1000 LIOF. AMP x

Gador

23,26

5,72

5,72

CEFALOMICINA 1000 mg F.A x

Bag

80,53

53,72

53,72

CEFIXIMA
Comprimidos

400 mg NOVACEF COM x

Gador

56,85

15,02

15,02

NOVACEF COM x

Gador

80,67

24,69

24,69

Bag

297,53

199,37

199,37

Gador

178,68

71,22

71,22

100 mg NOVACEF ORAL SUS x 30

Gador

49,95

15,88

15,88

VIXCEF SUS x 30

Bag

107,31

71,91

71,91

NOVACEF ORAL SUS x 60

Gador

94,55

26,64

26,64

VIXCEF SUS x 60

Bag

202,74

135,85

135,85

Investi

64,45

42,99

42,99

Investi

163,24

109,39

109,39

Richmond

57,33

11,47

11,47

Duncan

96,36

31,64

31,64

Fabra

114,84

52,64

52,64

Richet

141,27

93,27

93,27

Richet

118,16

76,80

76,80

250 mg CEFUROX 250 mg COM x 14

Phoenix

149,59

99,78

99,78

500 mg CEFUROX 500 mg COM x

Phoenix

142,29

95,34

95,34

CEFUROX 500 mg COM x 14

Phoenix

243,00

161,48

161,48

250 mg CEFUROX 250 mg SABOR MEJORADO SUS x 50

Phoenix

269,44

179,72

179,72

200 mg CELECOXIB RICHET 200 mg CAP x 10

Richet

21,80

4,36

4,36

CELEBREX 200 mg COM x 10

Pfizer

47,50

13,21

13,21

CELECOXIB RICHET 200 mg CAP x 20

Richet

41,00

8,20

8,20

CELEBREX 200 mg COM x 20

Pfizer

151,61

101,13

101,13

GlaxoSmithkline

45,28

20,61

20,61

STOPALER COM x 10

Raymos

47,52

23,83

23,83

SALVALERG 10 mg COM x 10

GlaxoSmithkline

66,00

43,58

43,58

CETRILER COM x 10

Roux Ocefa

68,81

46,11

46,11

CABAL COM x 10

Dallas

74,48

49,91

49,91

CETIZINE 10 mg COM x 10

Lazar

75,90

50,86

50,86

STOPALER COM x 20

Raymos

85,54

33,76

33,76

CETIZINE 10 mg COM x 20

Lazar

133,54

89,49

89,49

ZYRTEC 10 mg COM x 30

GlaxoSmithkline

138,48

65,66

65,66

CABAL COM x 30

Dallas

172,40

109,85

109,85

SALVALERG 10 mg COM x 30

GlaxoSmithkline

174,06

113,34

113,34

VIXCEF 400 mg COM x


NOVACEF COM x
Lquido

CEFTRIAXONA
Ampollas

500 mg ACANTEX 500 mg IM F.A x


1000 mg ACANTEX 1 g IM F.A x

1000 mg SOLTRIMOX 1 g F.A x

CEFTRIAZONA DUNCAN 1000 mg IM F.A x


CEFTRIAXONA FABRA 1000 mg F.A x

CEFTRIAXONA RICHET IM 1000 mg AMP x


2000 mg CEFTRIAXONA RICHET 2000 mg AMP x

CEFUROXIMA
Comprimidos

Lquido

CELECOXIB
Comprimidos

CETIRIZINA
Comprimidos

10 mg ZYRTEC 10 mg COM x 10

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 28 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos
Gotas

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

10 mg CETRILER COM x 30

Roux Ocefa

1000 mg ZYRTEC GTS x 10

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

183,77

122,83

122,83

GlaxoSmithkline

42,86

13,51

13,51

CABAL GTS x 10

Dallas

47,16

19,31

19,31

CETRILER GTS x 10

Roux Ocefa

68,81

46,11

46,11

CETIZINE GTS x 10

Lazar

78,94

52,90

52,90

Poen

59,21

39,50

39,50

Alcon

93,47

61,71

61,71

109,54

73,23

73,23

CICLOPENTOLATO
Lquido

1000 mg CICLOPENTOLATO POEN 1% OFT. SOL x


CICLOPENAL 1% OFT. SOL x

CILOSTAZOL
Comprimidos

50 mg TROMBONOT 50 mg COM x 28

Richmond

POLICOR 50 mg COM x 30

Gador

55,57

13,67

13,67

CILOSTAL 50 mg COM x 30

Elea

74,72

21,90

21,90

CIBROGAN 50 mg COM x 30

Roux Ocefa

84,57

33,91

33,91

CILOVAS 50 mg COM x 30

Baliarda

89,38

41,04

41,04

ACLUSIN 50 mg COM x 30

Casasco

90,16

42,18

42,18

LICUAGEN 50 mg COM x 30

Elea

109,57

68,59

68,59

CILAAL 50 mg COM x 30

Craveri

111,06

70,50

70,50

CIBROGAN 100 mg COM x 30

Roux Ocefa

158,17

75,33

75,33

TRASTOCIR 50 mg COM x 30

Ivax Argentina

154,50

103,53

103,53

TRASTOCIR 50 mg COM x 60

Ivax Argentina

271,89

182,19

182,19

Richmond

208,05

139,41

139,41

POLICOR 100 mg COM x 30

Gador

103,83

25,53

25,53

CILOSTAL 100 mg COM x 30

Elea

105,01

25,83

25,83

CILOVAS 100 mg COM x 30

Baliarda

172,63

95,56

95,56

ACLUSIN 100 mg COM x 30

Casasco

185,26

112,41

112,41

LICUAGEN 100 mg COM x 30

Elea

214,87

143,98

143,98

CILAAL 100 mg COM x 30

Craveri

221,30

148,29

148,29

TRASTOCIR 100 mg COM x 30

Ivax Argentina

288,18

193,11

193,11

CILOSTAL 100 mg COM x 60

Elea

248,11

64,89

64,89

TRASTOCIR 100 mg COM x 60

Ivax Argentina

507,21

339,88

339,88

100 mg TROMBONOT 100 mg COM x 28

CINCOCAINA CLOROHIDRATO
+ EXTRACTO SECO DE BEXA
OELLANA
Pomada

Supositorios

1000 mg PROCTYL PDA x 10

Takeda

46,91

31,43

31,43

PROCTYL PDA x 30

Takeda

107,67

65,18

65,18

2,5 mg PROCTYL SUP x 10

Takeda

44,98

30,01

30,01

100 mg FIXERIL 100 mg COM x 30

CIPROFIBRATO
Comprimidos

Lazar

254,33

154,63

154,63

ESTAPROL 100 mg CAP x 30

Sanofi Aventis

323,75

216,94

216,94

FIXERIL 100 mg COM x 60

Lazar

476,57

266,55

266,55

ESTAPROL 100 mg CAP x 60

Sanofi Aventis

625,88

419,39

419,39

CIPROFLOXACINA
Comprimidos

250 mg REXNER 250 mg COM x 10

Casasco

46,53

28,60

28,60

CIRIAX 250 mg COM x 10

Roemmers

50,42

33,55

33,55

CIPROFLOXACINA LAZAR 250 mg COM x 10

Lazar

51,74

34,67

34,67

Baliarda

71,30

34,70

34,70

500 mg EXERTIAL 500 COM x

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 29 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

500 mg REXNER 500 mg COM x

75,25

38,51

38,51

ULTRAMICINA 500 mg COM x 10

Ariston

60,81

12,16

12,16

BIOTIC PHARMA 500 mg COM x 10

Trb-Pharma

59,20

14,56

14,56

ATIBAX 500 mg COM x 10

Savant

66,98

16,47

16,47

NEXOFLOXACIN 500 mg COM x 10

Nexo Pharmaceutical
Group

76,09

20,75

20,75

NOVIDAT 500 mg COM x 10

Temis-Lostalo

101,30

31,09

31,09

SAFOXEN 500 mg COM x 10

GlaxoSmithkline

114,57

48,48

48,48

CIPROFLOXACINA NORTHIA 500 mg COM x 10

Northia

112,08

51,31

51,31

CIPROFLOXACINA RICHET 500 mg COM x 10

Richet

116,46

57,98

57,98

EXERTIAL 500 COM x 10

Baliarda

123,33

61,22

61,22

MICROSULF 500 mg COM x 10

Microsules Argentina

121,12

63,20

63,20

SEPTICIDE 500 mg COM x 10

Bag

134,61

76,79

76,79

MEDAFLOX 500 mg COM x 10

Eurolab

137,15

80,17

80,17

ARGEFLOX 500 mg COM x 10

Nova Argentia

152,07

100,24

100,24

CIPROFLOXACINA LAZAR 500 mg COM x 10

Lazar

153,75

101,60

101,60

REXNER 500 mg COM x 10

Casasco

160,13

107,30

107,30

CIRIAX 500 mg COM x 10

Roemmers

185,10

124,03

124,03

CIPRO (EX BAYTERIN) 500 mg COM x 10

Bayer (PH)

203,05

136,06

136,06

EXERTIAL 500 COM x 14

Baliarda

170,89

83,18

83,18

CIRIAX 500 mg COM x 16

Roemmers

250,42

167,81

167,81

MEDAFLOX 500 mg COM x 20

Eurolab

206,35

65,78

65,78

CIPROFLOXACINA LAZAR 500 mg COM x 20

Lazar

254,26

133,11

133,11

REXNER 500 mg COM x 20

Casasco

265,81

148,97

148,97

ARGEFLOX 500 mg COM x 20

Nova Argentia

283,19

173,74

173,74

REXNER XR 500 mg COM x

Casasco

90,34

60,53

60,53

Lazar

220,35

146,98

146,98

1000 mg REXNER XR 1000 mg COM x

Casasco

198,80

132,11

132,11

Bayer (PH)

200,62

134,38

134,38

Biosintex-Ofar

45,00

9,00

9,00

Amhof

70,69

18,27

18,27

Novoplos

78,11

25,67

25,67

Bayer (PH)

500,53

333,87

333,87

Pharmadorf

75,04

22,34

22,34

Alcon

124,04

83,12

83,12

Investi

49,68

33,14

33,14

Sidus

50,04

11,18

11,18

Elea

60,72

17,60

17,60

Allergan-Loa

71,25

30,96

30,96

Pharmadorf

78,98

42,89

42,89

Novoplos

84,36

50,12

50,12

Poen

98,02

65,68

65,68

Alcon

127,64

85,53

85,53

Elea

80,28

48,16

48,16

Poen

85,96

55,50

55,50

CIPRO XR 1000 mg COM x


300 mg OMAFLAXINA OFT. GTS x
FLORAXINA OFT. GTS x
CIFLOXIN OFT. GTS x
Lquido

A CARGO A CARGO
REF
AFILIADO CRONICO

Casasco

750 mg CIPROFLOXACINA LAZAR 750 mg COM x 10

Gotas

PRECIO

5000 mg CIPRO 50 MG/ML SUS x 100


300 mg CIPROFLOXACINA DORF OFT. SOL x
CILOXAN OFT. SOL x

CIPROFLOXACINA +
DEXAMETASONA
Gotas

300 mg OTOSPORIN DEXA OTICO GTS x

Lquido

300 mg DECADRON C/CIPROFLOXACINA OFT. SOL x


FOTAMICIN OFT. SUS x
AIBREX OFT. SOL x

CIPROFLOXACINA D DORF OFT. SOL x


CIFLOXIN DEX OFT. SOL x
QUIDEX OFT. SOL x

CILOXADEX OFT. SOL x


Ungento

300 mg FOTAMICIN OFT. UNG x 3,5


QUIDEX OFT. UNG x 3,5

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 30 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Ungento

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

300 mg CILOXADEX OFT. UNG x 3,5

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Alcon

134,33

90,01

90,01

Lundbeck

107,83

72,26

72,26

ZENTIUS COM x 15

Roemmers

68,96

19,83

19,83

PSICONOR 20 mg COM x 15

Ivax Argentina

96,44

52,95

52,95

SEROPRAM 20 mg COM x 28

Lundbeck

198,30

129,32

129,32

HUMORAP 20 mg COM x 28

Bag

218,85

146,65

146,65

PSICONOR 20 mg COM x 30

Ivax Argentina

190,80

110,44

110,44

ZENTIUS COM x 30

Roemmers

205,25

129,36

129,36

Bag

339,75

226,62

226,62

CITALOPRAM
Comprimidos

20 mg SEROPRAM 20 mg COM x 14

40 mg HUMORAP 40 mg COM x 28

CLARITROMICINA
Comprimidos

250 mg FADA CLARITROMICINA 250 mg COM x

Fada Pharma

18,33

3,67

3,67

Richet

42,09

13,05

13,05

Beta

50,55

21,46

21,46

Abbott

70,49

47,23

47,23

FADA CLARITROMICINA 250 mg COM x 16

Fada Pharma

36,78

7,36

7,36

CLARITROMICINA RICHET 250 mg COM x 16

Richet

80,32

22,24

22,24

CLAROVIL 250 mg COM x 16

Beta

94,37

32,63

32,63

CLARIBIOTIC 250 mg COM x 16

Baliarda

94,63

36,10

36,10

ISET 250 mg COM x 16

Casasco

133,15

86,58

86,58

KLARICID 250 mg COM x 16

Abbott

151,95

101,82

101,82

Baliarda

75,00

26,16

26,16

Beta

79,66

30,87

30,87

CLARITROMICINA RICHET 250 mg COM x


CLAROVIL 250 mg COM x

KLARICID 250 mg COM x

500 mg CLARIBIOTIC 500 mg COM x


CLAROVIL 500 mg COM x

CLARITROMICINA RICHET 500 mg COM x

97,11

60,94

60,94

Montpellier

113,39

75,98

75,98

Gador

121,24

81,25

81,25

Abbott

123,91

83,03

83,03

TUCLARIT 500 mg COM x 14

Mar

136,53

49,60

49,60

CLARITROMICINA SANDOZ 500 mg COM x 16

Sandoz

75,57

15,11

15,11

CLAROVIL 500 mg COM x 16

Beta

149,53

48,53

48,53

CLARITROM 500 mg COM x 16

Trb-Pharma

190,15

105,99

105,99

CLARITROMICINA RICHET 500 mg COM x 16

Richet

187,96

113,22

113,22

KLARICID 500 mg COM x 16

Abbott

204,53

125,11

125,11

AEROXINA 500 mg COM x 16

Elea

207,76

129,30

129,30

CLARIMAX 500 mg COM x 16

Montpellier

208,54

130,31

130,31

CLARIBIOTIC 500 mg COM x 16

Baliarda

209,94

132,11

132,11

WINDAR 500 mg COM x 16

Gador

220,89

146,02

146,02

CLARITROMICINA NORTHIA 500 mg COM x 16

Northia

221,62

148,50

148,50

QUOTAL 500 mg COM x 16

Nova Argentia

233,67

156,58

156,58

ISET 500 mg COM x 16

Casasco

236,89

158,73

158,73

TUCLARIT 500 mg COM x 20

Mar

163,15

40,13

40,13

CLARIMAX 500 mg COM x


WINDAR 500 mg COM x

KLARICID 500 mg COM x

CLARITROMICINA SANDOZ UD 500 COM x


CLAROVIL UD 500 mg LIB.PROL. COM x
QUOTAL UD COM x

CLARIMAX UD 500 mg COM x

CLARIBIOTIC UD 500 mg COM x


ISET UD 500 mg COM x

4
4

Richet

Sandoz

23,37

4,67

4,67

Beta

40,71

16,77

16,77

Nova Argentia

46,46

25,55

25,55

Montpellier

59,53

39,89

39,89

Baliarda

59,68

39,99

39,99

Casasco

60,79

40,73

40,73

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 31 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

500 mg WINDAR UD AP 500 mg COM x


AEROXINA UD 500 mg COM x
KLARICID UD COM x

4
5

CLARITROMICINA SANDOZ UD 500 COM x


CLAROVIL UD 500 mg LIB.PROL. COM x
CLARIMAX UD 500 mg COM x
QUOTAL UD COM x

8
8

CLARIBIOTIC UD 500 mg COM x


KLARICID UD COM x

AEROXINA UD 500 mg COM x

WINDAR UD AP 500 mg COM x


ISET UD 500 mg COM x

AEROXINA UD 500 mg COM x 10


Lquido

Sobres

125 mg CLARITROMICINA SANDOZ PED 125 SUS x 60

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Gador

64,53

43,24

43,24

Elea

73,48

49,24

49,24

Abbott

74,74

50,08

50,08

Sandoz

40,86

8,17

8,17

Beta

74,33

23,85

23,85

Montpellier

113,48

76,04

76,04

Nova Argentia

113,55

76,09

76,09

Baliarda

115,97

77,71

77,71

Abbott

119,57

80,12

80,12

Elea

120,43

80,70

80,70

Gador

126,90

85,03

85,03

Casasco

136,73

91,61

91,61

Elea

133,32

85,27

85,27

Sandoz

32,86

6,57

6,57 INF

CLARIBIOTIC 125 MG/5 ML SUS x 60

Baliarda

78,22

46,59

46,59 INF

TUCLARIT 125 mg SUS x 60

Mar

80,46

49,52

49,52

ISET 125 mg SUS x 60

Casasco

92,06

61,68

61,68 INF

CLARITROMICINA RICHET 125 mg SUS x 60

Richet

92,91

62,63

62,63 INF

WINDAR 125 MG/5 ML ORAL SUS x 60

Gador

94,66

63,43

63,43 INF

KLARICID PEDIATRICO 125 mg JBE x 60

Abbott

106,19

71,15

71,15 INF

QUOTAL 125 MG/5 ML SUS x 70

Nova Argentia

95,83

60,31

60,31

150 mg CLARIMAX 125 mg SUS x 60

Montpellier

84,22

54,34

54,34 INF

250 mg CLARITROMICINA SANDOZ FUERTE 250 SUS x


60

Sandoz

62,37

12,47

12,47 INF

TUCLARIT 250 mg SUS x 60

Mar

133,15

56,59

CLARIBIOTIC 250 MG/5 ML SUS x 60

Baliarda

165,27

101,13

101,13 INF

56,59

CLARIMAX 250 mg SUS x 60

Montpellier

169,63

106,77

106,77 INF

CLARITROMICINA RICHET 250/5ML SUS x 60

Richet

171,87

113,47

113,47 INF

WINDAR 250 MG/5 ML ORAL SUS x 60

Gador

176,94

116,07

116,07 INF

AEROXINA 250 mg SUS x 60

Elea

181,36

121,53

121,53 INF

KLARICID PEDIATRICO FORTE JBE x 60

Abbott

188,63

126,40

126,40 INF

ISET 250 mg SUS x 60

Casasco

204,50

137,03

137,03 INF

QUOTAL 250 MG/5 ML SUS x 70

Nova Argentia

204,97

133,57

133,57 INF

TUCLARIT 250 mg SUS x 100

Mar

175,63

43,19

43,19

125 mg QUOTAL MD 125 mg SOB x 14

Nova Argentia

52,07

34,73

34,73

250 mg QUOTAL MD 250 mg SOB x 14

Nova Argentia

99,18

66,15

66,15

0,02 mg OXIBRON COM x 20

Montpellier

13,98

9,32

9,32

Bernabo

27,53

18,09

18,09

CLEMBUTEROL
Comprimidos

BRONQ C COM x 30
Gotas

0,02 mg OXIBRON GTS x 30

Montpellier

30,16

20,12

20,12

Lquido

0,05 mg BRONQ C JBE x 100

Bernabo

39,15

25,72

25,72

300 mg DALACIN C 300 mg CAP x 16

Pfizer

101,82

67,92

67,92

Cassara

27,75

18,32

18,32

Panalab

91,39

60,33

60,33

CLINDAMICINA
Comprimidos
Gel

1000 mg CLIDAN DERMICO GEL x 15


CLINDACIN GEL x 50

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 32 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

NOMBRE COMERCIAL

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Gel

1000 mg

Lquido

1000 mg CLINDACIN SOL x 50

Panalab

91,39

60,33

60,33

Locin

1000 mg CLINTOPIC LOC x 30

Investi

52,12

32,34

32,34

vulos

100 mg TORGYN 100 mg OVU x

Raffo

83,97

56,27

56,27

TORGYN 100 mg OVU x

Raffo

114,24

66,12

66,12

CLOBAZAM
Comprimidos

10 mg KARIDIUM 10 mg COM x 60

Sanofi Aventis

64,25

42,86

42,86

20 mg KARIDIUM 20 mg COM x 60

Sanofi Aventis

108,65

72,47

72,47

50 mg DERMADEX CRE x 15

GlaxoSmithkline

50,78

31,89

31,89

CLOBEPLUS CRE x 20

Raymos

35,11

7,84

7,84

CLOBESOL LA CRE x 20

Investi

55,67

25,46

25,46

CLOBEFAR CREMA CRE x 20

Hlb Pharma

66,54

42,86

42,86

SALAC CRE x 20

Andromaco

88,96

58,73

58,73

DERMADEX CRE x 30

GlaxoSmithkline

SALAC CRE x 30

Andromaco

CLOBETASOL
Crema

93,62

53,35

53,35

100,58

62,51

62,51

Gel

50 mg CLOBEPLUS GEL x 30

Raymos

49,95

11,15

11,15

Lquido

50 mg DERMADEX CAPILAR SOL x 30

GlaxoSmithkline

78,71

51,96

51,96

Locin

50 mg SALAC ROLL ON LOC x 10

Andromaco

46,52

30,71

30,71

SALAC LOC x 40

Andromaco

57,52

25,74

25,74

Shampoo

50 mg SALAC SHA x 140

Andromaco

251,50

165,25

165,25

Ungento

50 mg CLOBESOL UNG x 15

Investi

43,41

21,48

21,48

DERMADEX UNG x 15

GlaxoSmithkline

48,10

28,39

28,39

SALAC UNG x 20

Andromaco

50,08

17,83

17,83

CLOBEFAR UNGENTO UNG x 20

Hlb Pharma

66,54

42,86

42,86

CLOBEPLUS UNG x 30

Raymos

45,95

10,26

10,26

DERMADEX UNG x 30

GlaxoSmithkline

91,35

50,28

50,28

Investi

185,23

124,12

124,12

SEROPHENE 50 mg COM x 30

Merck Qumica

267,59

179,31

179,31

GENOZYM COM x 60

Investi

361,38

145,75

145,75

CLOMIFENO
Comprimidos

50 mg GENOZYM COM x 20

CLOMIPRAMINA
Ampollas

25 mg ANAFRANIL AMP x 10

Novartis

163,84

107,65

107,65

Comprimidos

25 mg ANAFRANIL GRA x 30

Novartis

62,64

41,16

41,16

75 mg ANAFRANIL 75 mg DIVITABS COM x 20

Novartis

136,49

89,68

89,68

Gador

11,98

8,02

8,02

INDUZEPAM 0.25 mg COM x 30

Finadiet

18,87

10,87

10,87

RIVOTRIL 0.25 mg COM x 30

Investi

32,43

21,73

21,73

NEURYL 0.25 mg COM x 50

Bag

43,41

29,09

29,09

CLONAZEPAM
Comprimidos

0,25 mg DIOCAM 0.25 mg COM x 10

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 33 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
0,25 mg CLONAGIN 0.25 mg COM x 60
0,5 mg SEDOVANON 0.5 mg COM x 10

03/02/2015
LABORATORIO

PRECIO

Baliarda

32,95

A CARGO A CARGO
REF
AFILIADO CRONICO
15,05

15,05

Craveri

11,73

3,47

3,47

FLOZEPAN 0.5 mg COM x 10

Lazar

18,13

11,78

11,78

LEPTIC 0.5 mg COM x 10

Soubeiran Chobet

19,35

12,96

12,96

CLONAX 0.5 mg COM x 10

Beta

37,34

25,02

25,02

CICLOX 0.5 mg COM x 30

Sandoz

16,82

3,36

3,36

PADITEX 0.5 mg COM x 30

Fada Pharma

29,11

5,82

5,82

FLOZEPAN 0.5 mg COM x 30

Lazar

30,11

6,02

6,02

CLONAZEPAM NORTHIA 0.5 mg COM x 30

Northia

30,71

7,42

7,42

SEDOVANON 0.5 mg COM x 30

Craveri

33,99

9,26

9,26

INDUZEPAM 0.50 mg COM x 30

Finadiet

36,92

12,07

12,07

LEPTIC 0.5 mg COM x 30

Soubeiran Chobet

44,11

22,39

22,39

NEURYL 0.5 mg COM x 30

Bag

47,37

26,87

26,87

CLONASEDAN 0.5 mg COM x 30

Eurofarma

50,48

30,53

30,53

DIOCAM 0.5 mg COM x 30

Gador

51,09

31,78

31,78

SENSATON 0.5 mg COM x 30

Temis-Lostalo

51,37

32,15

32,15

CLONAGIN 0.5 mg COM x 30

Baliarda

56,21

37,67

37,67

SOLFIDIN 0.5 mg COM x 30

Astrazeneca

59,68

39,99

39,99

CLONAX 0.5 mg COM x 30

Beta

70,36

47,15

47,15

RIVOTRIL 0.5 mg COM x 30

Investi

86,76

58,14

58,14

FLOZEPAN 0.5 mg COM x 50

Lazar

40,23

8,05

8,05

INDUZEPAM 0.50 mg COM x 50

Finadiet

55,83

14,65

14,65

LEPTIC 0.5 mg COM x 50

Soubeiran Chobet

68,44

30,00

30,00

CLONAGIN 0.5 mg COM x 50

Baliarda

70,37

32,82

32,82

CLONAX 0.5 mg COM x 50

Beta

72,06

35,25

35,25

DIOCAM 0.5 mg COM x 50

Gador

78,46

44,13

44,13

NEURYL 0.5 mg COM x 50

Bag

82,44

49,44

49,44

RIVOTRIL 0.5 mg COM x 50

Investi

115,37

77,31

77,31

CLONAX 0.5 mg COM x 60

Beta

47,24

11,62

11,62

CLONAZEPAM NORTHIA 0.5 mg COM x 60

Northia

81,55

38,60

38,60

DIOCAM 0.5 mg COM x 60

Gador

89,44

46,49

46,49

CLONAGIN 0.5 mg COM x 60

Baliarda

RIVOTRIL 0.5 mg COM x 60

Investi

1 mg CLONAX 1 mg COM x 30

95,48

54,75

54,75

109,92

73,39

73,39

Beta

40,22

19,68

19,68

DIOCAM 1 mg COM x 30

Gador

49,93

32,64

32,64

CLONAGIN 1 mg COM x 30

Baliarda

56,39

37,79

37,79

CLONAX 1 mg COM x 50

Beta

72,06

39,80

39,80

NEURYL 1 mg COM x 50

Bag

82,28

53,22

53,22

DIOCAM 1 mg COM x 50

Gador

82,37

53,33

53,33

DIOCAM 1 mg COM x 60

Gador

93,90

57,65

57,65

CLONAGIN 1 mg COM x 60

Baliarda

96,40

60,88

60,88

2 mg FLOZEPAN 2 mg COM x 10

Lazar

19,74

12,83

12,83

LEPTIC 2 mg COM x 10

Soubeiran Chobet

22,61

15,15

15,15

CLONAX 2 mg COM x 10

Beta

37,34

25,02

25,02

CICLOX 2 mg COM x 30

Sandoz

16,82

3,36

3,36

FLOZEPAN 2 mg COM x 30

Lazar

32,05

7,22

7,22

SEDOVANON 2 mg COM x 30

Craveri

34,58

9,73

9,73

INDUZEPAM 2 mg COM x 30

Finadiet

36,92

11,97

11,97

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 34 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
2 mg LEPTIC 2 mg COM x 30

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Soubeiran Chobet

48,21

27,85

27,85

Bag

51,70

32,42

32,42

DIOCAM 2 mg COM x 30

Gador

51,78

32,52

32,52

SENSATON 2 mg COM x 30

Temis-Lostalo

52,07

32,90

32,90

CLONASEDAN 2 mg COM x 30

Eurofarma

52,78

33,37

33,37

CLONAZEPAM NORTHIA 2 mg COM x 30

Northia

52,07

34,89

34,89

CLONAX 2 mg COM x 30

Beta

63,38

42,47

42,47

CLONAGIN 2 mg COM x 30

Baliarda

64,12

42,97

42,97

RIVOTRIL 2 mg COM x 30

Investi

77,05

51,63

51,63

SOLFIDIN 2 mg COM x 30

Astrazeneca

79,65

53,37

53,37

FLOZEPAN 2 mg COM x 50

Lazar

50,09

10,02

10,02

INDUZEPAM 2 mg COM x 50

Finadiet

53,12

13,06

13,06

LEPTIC 2 mg COM x 50

Soubeiran Chobet

76,53

41,23

41,23

CLONAX 2 mg COM x 50

Beta

81,85

48,41

48,41

DIOCAM 2 mg COM x 50

Gador

85,48

53,15

53,15

CLONAGIN 2 mg COM x 50

Baliarda

90,44

59,48

59,48

RIVOTRIL 2 mg COM x 50

Investi

94,23

63,14

63,14

NEURYL 2 mg COM x 50

Bag

97,56

65,37

65,37

CLONAX 2 mg COM x 60

Beta

47,24

11,62

11,62

CLONAGIN 2 mg COM x 60

Baliarda

96,47

55,76

55,76

RIVOTRIL 2 mg COM x 60

Investi

96,50

55,80

55,80

DIOCAM 2 mg COM x 60

Gador

97,44

57,05

57,05

CLONAZEPAM NORTHIA 2 mg COM x 60

Northia

104,85

70,26

70,26

Beta

40,22

26,27

26,27

DIOCAM SL 0.25 mg COM x 10

Gador

12,76

7,94

7,94

CLONAGIN SL 0.25 mg COM x 15

Baliarda

16,50

8,34

8,34

INDUZEPAM SUBLINGUAL 0.25 mg COM x 30

Finadiet

27,66

9,03

9,03

CLONAGIN SL 0.25 mg COM x 30

Baliarda

27,89

9,25

9,25

DIOCAM SL 0.25 mg COM x 30

Gador

39,39

25,22

25,22

RIVOTRIL 0.25 mg SUBLINGUAL COM x 30

Investi

56,64

37,95

37,95

0,5 mg SOLFIDIN FLASH 0.5 mg COM x 30

Lquido

LABORATORIO

NEURYL 2 mg COM x 30

0,25 mg CLONAX RAPID 0.25 mg SUBLING. COM x 30

Gotas

03/02/2015

Astrazeneca

45,12

23,80

23,80

INDUZEPAM RAPID 0.5 mg DIS.BUC COM x 30

Finadiet

84,88

56,88

56,88

NEURYL FLASH 0.5 mg COM x 50

Bag

INDUZEPAM RAPID 0.5 mg DIS.BUC COM x 50

Finadiet

SOLFIDIN FLASH 0.5 mg COM x 60


INDUZEPAM SUBLINGUAL 0.50 mg COM x 30

73,09

36,71

36,71

114,45

76,69

76,69

Astrazeneca

87,14

43,25

43,25

Finadiet

35,78

23,87

23,87

Baliarda

39,60

23,22

23,22

RIVOTRIL 0.25% GTS x 20

Investi

41,73

26,00

26,00

NEURYL GTS x 20

Bag

64,49

43,22

43,22

Finadiet

23,60

5,80

5,80

250 mg CLONAGIN GTS x 20

250 mg INDUZEPAM 0.25% ORAL SOL x 20

CLOPIDOGREL
Comprimidos

75 mg NADENEL 75 mg COM x 14

Geminis Farmaceutica

122,02

33,00

27,24

ANTIPLAQ 75 mg COM x 14

Richmond

182,86

113,25

58,38

PLAVIX 75 mg COM x 14

Sanofi Aventis

362,57

242,96

208,78

CLOPILEP 75 mg COM x 15

Lepetit

65,00

17,80

17,80

CLODREL 75 mg COM x 15

Baliarda

180,13

100,41

50,77

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 35 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL

03/02/2015
LABORATORIO

75 mg NABRATIN 75 mg COM x 15

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Raffo

188,97

112,25

53,22

TROKEN 75 mg COM x 15

Bag

273,18

183,05

157,30

MONREX 75 mg COM x 15

Montpellier

273,19

183,06

154,26

NEFAZAN 75 mg COM x 15

Phoenix

295,28

197,86

170,03

NADENEL 75 mg COM x 28

Geminis Farmaceutica

244,06

66,02

54,50

ANTIPLAQ 75 mg COM x 28

Richmond

372,14

234,79

122,86

PLAVIX 75 mg COM x 28

Sanofi Aventis

708,03

474,44

407,70

CLOPILEP 75 mg COM x 30

Lepetit

124,00

28,00

28,00

NADENEL 75 mg COM x 30

Geminis Farmaceutica

262,51

71,71

58,62

CLODREL 75 mg COM x 30

Baliarda

357,14

196,58

100,65

NABRATIN 75 mg COM x 30

Raffo

381,99

229,83

107,58

ANTIPLAQ 75 mg COM x 30

Richmond

398,90

251,79

148,36

PLEYAR 75 mg COM x 30

Casasco

419,40

277,78

134,34

TROKEN 75 mg COM x 30

Bag

560,40

375,52

322,70

MONREX 75 mg COM x 30

Montpellier

560,42

375,53

322,70

NEFAZAN 75 mg COM x 30

Phoenix

593,42

397,64

341,70

CLOPILEP 75 mg COM x 60

Lepetit

NEFAZAN 75 mg COM x 60

Phoenix

232,00

52,00

52,00

1.075,46

720,65

619,28

229,01

152,40

96,74

Poen

36,95

24,65

24,65

2 mg AFEME COM x 20

Cetus

68,81

45,43

45,43

4 mg ALERGITRAT COM x 20

Fecofar

42,43

27,88

27,88

50 mg ALERGITRAT JBE x 120

Fecofar

42,43

27,88

27,88

Sanofi Aventis

58,45

38,99

38,99

25 mg AMPLIACTIL 25 mg COM x 30

Sanofi Aventis

44,91

29,96

29,96

100 mg AMPLIACTIL 100 mg COM x 50

Sanofi Aventis

134,63

89,80

89,80

300 mg PLAVIX 300 mg COM x

Sanofi Aventis

CLORAMFENICOL
Lquido

500 mg POENFENICOL OFT. SOL x 10

CLORFENIRAMINA
Comprimidos

Lquido

CLOROQUINA
Comprimidos

100 mg NIVAQUINE COM x 30

CLORPROMAZINA
Comprimidos

CLORTALIDONA
Comprimidos

25 mg HYGROTON 25 mg COM x 42

Novartis

65,19

42,83

26,40

50 mg HYGROTON 50 mg COM x 28

Novartis

58,77

38,80

30,69

EURETICO 50 mg COM x 30

Casasco

34,81

10,71

8,54

100 mg EURETICO 100 mg GRA x 16

Casasco

28,19

18,80

11,90

111,28

74,57

74,57

CLOTRIMAZOL
Aerosol

Crema

1000 mg MICOMAZOL DEO AER x 110

Investi

1500 mg MICOSEP DEO AER x 110

Cassara

52,83

30,35

30,35

1000 mg CLOTRIMAZOL RAYMOS CRE x 20

Raymos

21,36

4,77

4,77

MEDIFUNGOL CRE x 20

Lab Internacional
Argentino

33,67

10,88

10,88

IKOLAN 1% CRE x 25

Investi

29,26

7,20

7,20

MICOMAZOL DERMICA CRE x 30

Investi

77,68

52,05

52,05

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 36 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Crema

NOMBRE COMERCIAL
1000 mg MEDIFUNGOL CRE x 35
IKOLAN 1% CRE x 50

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Fada Pharma

22,51

4,50

4,50

Investi

38,35

9,43

9,43

Pasta

1000 mg MICOMAZOL PTA x 30

Investi

82,32

55,16

55,16

Talco

1000 mg MEDIFUNGOL TAL x 30

Fada Pharma

26,58

6,77

6,77

Investi

73,13

48,78

48,78

25 mg CLOZAPINA ROSPAW 25 mg COM x 30

Rospaw

55,30

11,06

11,06

CLOZAPINA ROSPAW 25 mg COM x 100

Rospaw

170,20

34,04

34,04

SEQUAX 25 mg COM x 100

Ivax Argentina

306,95

83,14

75,49

LAPENAX 25 mg COM x 100

Novartis

482,48

317,01

249,62

100 mg LAPENAX 100 mg COM x 15

Novartis

254,60

168,09

136,60

CLOZAPINA ROSPAW 100 mg COM x 30

Rospaw

281,91

153,21

153,21

SEQUAX 100 mg COM x 30

Ivax Argentina

293,62

159,26

82,76

LAPENAX 100 mg COM x 30

Novartis

482,48

318,53

271,69

LAPENAX 100 mg COM x 90

Novartis

1.062,05

701,16

479,20

SEQUAX 100 mg COM x 100

Ivax Argentina

808,26

281,95

198,76

CLOZAPINA ROSPAW 100 mg COM x 100

Rospaw

792,12

304,69

304,69

Craveri

32,29

7,94

7,94

COLCHICINA HOUDE COM x 20

Spedrog Caillon

68,36

45,81

45,81

COLCHICINA PHOENIX COM x 60

Phoenix

90,50

22,26

22,26

COLCHICINA HOUDE COM x 60

Spedrog Caillon

178,96

113,31

113,31

Bristol

503,54

340,76

221,13

Poen

72,15

48,13

30,48

MICOMAZOL TAL x 50

CLOZAPINA
Comprimidos

COLCHICINA
Comprimidos

1 mg XURIC 1 mg COM x 20

COLESTIRAMINA
Sobres

4000 mg QUESTRAN POLVO SOB x 50

CROMOGLICATO DISDICO
Lquido

4000 mg CLAROFTAL OFT. SOL x 10

DANAZOL
Comprimidos

100 mg LADOGAL 100 mg CAP x 30

Sanofi Aventis

252,64

168,52

168,52

200 mg LADOGAL 200 mg CAP x 100

Sanofi Aventis

1.093,94

729,69

729,69

100 mg DAPS 100 mg COM x 100

Astrazeneca

165,82

110,61

110,61

DAPSONA
Comprimidos

DEFLAZACORT
Comprimidos

6 mg AZACORTID 6 mg COM x 10

Sanofi Aventis

35,83

24,01

24,01

DEFAS 6 mg COM x 10

Astrazeneca

54,68

36,64

36,64

AZACORTID 6 mg COM x 20

Sanofi Aventis

69,59

45,86

45,86

ZAMEN 6 mg COM x 20

Menarini

82,30

53,49

53,49

DEFAS 6 mg COM x 20

Astrazeneca

104,55

70,06

70,06

30 mg DEFAS 30 mg COM x 10

Astrazeneca

254,14

170,30

170,30

AZACORTID 30 mg COM x 10

Sanofi Aventis

263,81

176,78

176,78

AZACORTID 30 mg COM x 20

Sanofi Aventis

353,32

221,17

221,17

ZAMEN 30 mg COM x 20

Menarini

398,81

259,23

259,23

DEFAS 30 mg COM x 20

Astrazeneca

500,68

335,50

335,50

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 37 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

DESMOPRESINA ACETATO
Ampollas

Comprimidos

0,004 mg DESMOPRESIN AMP x 10

Ferring

1.265,63

844,21

844,21

0,015 mg OCTOSTIM 1 ML AMP x

Ferring

367,56

245,17

245,17

OCTOSTIM 1 ML AMP x 10

Ferring

1.837,56

1.225,70

1.225,70

276,68

169,93

169,93

1.026,75

688,02

688,02

0,1 mg DINADOM 0.1 mg COM x 30

Dominguez

DESMOPRESIN 0.1 mg COM x 100

Ferring

0,2 mg DINADOM 0.2 mg COM x 30

Dominguez

460,66

232,99

232,99

DESMOPRESIN 0.2 mg COM x 30

Ferring

660,03

442,28

442,28

DESMOPRESIN 0.2 mg COM x 100

Ferring

1.913,77

1.275,94

1.275,94

0,06 mg DESMOPRESIN MELT 60 mcg COM x 30

Ferring

320,90

214,05

214,05

DESMOPRESIN MELT 60 mcg COM x 100

Ferring

1.143,42

766,20

766,20

0,12 mg DESMOPRESIN MELT 120 mcg COM x 30

Ferring

739,69

493,39

493,39

Ferring

630,66

422,60

422,60

Dominguez

489,29

327,87

327,87

Dominguez

652,95

240,17

240,17

Lquido

0,1 mg DESMOPRESIN INTRANASAL 2.5 ML SOL x

Spray

0,1 mg DINADOM 5 mcg NASAL 2.5 ML SPR x


DINADOM NASAL SPR x

DESMOPRESIN NASAL SPR x

Ferring

930,26

620,51

620,51

DESMOPRESIN NASAL SPR x

Ferring

930,26

501,58

501,58

DESOGESTREL
Comprimidos

0,075 mg CAMELIA COM x 28

84,45

45,35

45,35

CARMIN COM x 28

Bernabo
Elea

102,05

67,53

67,53

LUMILAC COM x 28

Bag

104,98

70,35

70,35

PINK COM x 28

Craveri

108,94

73,00

73,00

CERAZETTE COM x 28

MSD Arrgentina SR

138,06

92,51

92,51

Fecofar

23,71

15,58

15,58

Sidus

71,67

46,59

46,59

Ivax Argentina

16,56

11,04

11,04

4 mg DEXAMERAL 4 mg COM x 10

Raymos

51,12

33,44

33,44

DEXAMERAL 4 mg COM x 20

Raymos

102,78

67,57

67,57

Poen

55,62

28,65

28,65

Alcon

96,98

64,02

64,02

Pharmadorf

62,97

14,06

14,06

Duncan

14,36

4,27

4,27 INF

Sidus

26,51

6,90

6,90

Duncan

17,54

11,52

11,52

Sidus

54,34

35,70

35,70

Fabra

26,47

13,26

13,26 INF

1 Richet

68,41

57,14

57,14 INF

DEXAMETASONA
Comprimidos

0,5 mg DEXAMETASONA FECOFAR COM x 20


DECADRON 0.5 mg COM x 30
1,5 mg BUTIOL 1.5 mg COM x 20

Lquido

100 mg SEDESTEROL OFT. SOL x

ISOPTO MAXIDEX OFT. SUS x

DEXAMETASONA DORF OFT. SOL x 10

DEXAMETASONA ACETATO
Ampollas

8 mg RUPEDEX 8 mg 2 ML AMP x

16 mg DECADRON AL 8 MG/ML 2ML+JGA+AG F.A x


Comprimidos

1 mg RUPEDEX 0.5 mg COM x 20

DEXAMETASONA FOSFATO
Ampollas

100 mg DECADRON SHOCK 20 mg/ml 5 ml F.A x


8 mg DEXAMETASONA FABRA 8 mg AMP x

DEXAMETASONA RICHET 8MG 2ML+JG AMP x

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 38 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

DEXTROMETORFAN
Lquido

300 mg ROMILAR JBE x 100

Bayer Consumer

46,60

30,14

30,14

20000 SALES REHIDRAT.ORAL 27.9 OCEFA SOB x 3


mg
SALES REHIDRAT.ORAL FRUTILLA SOB x 3

Roux Ocefa

34,48

23,33

23,33 INF

Roux Ocefa

41,42

27,63

27,63 INF

64000 TRIYOSOM 60 mg 50 ml F.A x


mg

Gobbi

193,13

61,88

61,88

DEXTROSA + SODIO
CLORURO
Sobres

DIATRIZOICO CIDO SAL


MEGLUMNICA
Ampollas

DIATRIZOICO CIDO SAL


SDICA + DIATRIZOICO CIDO
SAL MEGLUMNICA
Ampollas

10000 HYPAQUE 76% 50 ML F.A x 1


mg
HYPAQUE 76% 100 ML F.A x 1

Fortbenton Co.

33,38

10,01

10,01

Fortbenton Co.

68,36

20,51

20,51

10 mg PLIDAN 10 mg AMP x

Roemmers

36,72

9,02

9,02

Investi

74,58

49,97

49,97

2 mg PLIDAN 2 mg COM x 20

Roemmers

19,90

13,33

13,33

PLIDAN 2 mg COM x 50

Roemmers

34,10

19,80

19,80

Sanofi Aventis

30,03

20,03

20,03

Roemmers

22,71

12,92

12,92

VALIUM 5 mg COM x 20

Investi

29,31

19,64

19,64

DIPEZONA 5 COM x 20

Omega

63,16

43,13

43,13

LEMBROL 5 mg COM x 25

Sanofi Aventis

25,95

12,78

12,78

VALIUM 5 mg COM x 30

Investi

43,75

29,32

29,32

LEMBROL 5 mg COM x 50

Sanofi Aventis

55,14

30,09

30,09

PLIDAN 5 mg COM x 50

Roemmers

60,53

37,27

37,27

SAROMET COM x 50

Astrazeneca

70,40

47,17

47,17

DIPEZONA 5 COM x 50

Omega

133,43

91,10

91,10

VALIUM 5 mg COM x 60

Investi

86,02

57,64

57,64

LEMBROL 5 mg COM x 100

Sanofi Aventis

DIPEZONA 5 COM x 100

Omega

DIAZEPAM
Ampollas

VALIUM 10 mg 2 ML AMP x
Comprimidos

2,5 mg LEMBROL 2.5 mg COM x 50


5 mg PLIDAN 5 mg COM x 20

10 mg PLIDAN 10 mg COM x 20

26,68

26,68

129,47

129,47

Roemmers

30,23

17,99

17,99

DIPEZONA 10 COM x 20

Omega

82,22

56,14

56,14

VALIUM 10 mg COM x 30

Investi

60,40

40,47

40,47

PLIDAN 10 mg COM x 50

Roemmers

65,19

30,66

30,66

VALIUM 10 mg COM x 50

Investi

88,74

59,47

59,47

LEMBROL 10 mg COM x 50

Sanofi Aventis

102,32

68,57

68,57

Astrazeneca

70,40

46,96

46,96

15 mg SAROMET FULLTIME CAP x 20


Enema

86,03
189,62

5 mg DIACTAL 5mg/ 2,5 ml ENE x

Sidus

91,80

60,60

60,60

DIACTAL 5mg/ 2,5 ml ENE x

Sidus

212,92

125,80

125,80

81,67

44,89

44,89

133,27

89,30

89,30

DICLOFENAC POTSICO
Ampollas

75 mg VESALION 75 mg AMP x
OXA 75 3 ML AMP x

Nova Argentia
Beta

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 39 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

03/02/2015

NOMBRE COMERCIAL

Comprimidos

LABORATORIO

50 mg RODINAC 50 COM x 15

Geminis Farmaceutica

Sobres

A CARGO A CARGO
REF
AFILIADO CRONICO

33,32

16,11

16,11

OXA 50 COM x 15

Beta

121,72

81,56

81,56

DICLOMAR 50 mg COM x 20

Mar

37,26

11,29

11,29

DIOXAFLEX MIGRA 50 mg COM x 20

Bag

70,69

47,37

47,37

RODINAC 50 COM x 30

Geminis Farmaceutica

59,24

21,22

21,22

DICLOMAR 50 mg COM x 30

Mar

60,44

22,10

22,10

OXA 50 COM x 30

Beta

198,20

132,81

132,81

Biotenk

49,30

32,54

32,54

RODINAC 75 K COM x 15

Geminis Farmaceutica

67,13

44,32

44,32

DICLOMAR 75 mg COM x 20

Mar

63,45

40,68

40,68

RODINAC 75 K COM x 20

Geminis Farmaceutica

86,85

57,34

57,34

DICLOMAR 75 mg COM x 30

Mar

104,57

70,07

70,07

RODINAC 75 K COM x 30

Geminis Farmaceutica

124,40

82,13

82,13

100 mg OXA 100 COM x 15

Beta

116,78

77,43

77,43

OXA 100 COM x 30

Beta

235,70

157,53

157,53

500 mg DIOXAFLEX SUS x 90

Bag

47,31

31,35

31,35

OXA JBE x 120

Beta

64,05

42,92

42,92

Bag

77,93

51,98

51,98

Beta

64,05

42,72

42,72

Baliarda

73,19

48,97

48,97

Bag

76,15

51,03

51,03

Casasco

44,88

30,07

30,07

Mar

48,59

26,17

26,17

Casasco

69,18

43,91

43,91

Lazar

36,23

7,25

7,25

Novartis

81,99

52,06

52,06

Novartis

82,95

53,92

53,92

Amhof

83,36

55,86

55,86

75 mg BEFOL 75 mg COM x 10

Lquido

PRECIO

50 mg DIOXAFLEX MIGRA 50 mg SOB x 20

DICLOFENAC RESINATO
Gotas

1500 mg OXA ANTITERMICO PEDIATRICO GTS x 20

DICLOFENAC SDICO
Ampollas

75 mg XEDENOL 75 mg AMP x
DIOXAFLEX AMP x

75 mg BLOKIUM 75 mg 3 ML AMP x

DICLOMAR 75 mg 3 ML AMP x
BLOKIUM 75 mg 3 ML AMP x

4
5

FLOGOLISIN 75 mg 3 ML AMP x
VOLTAREN 75 mg 3 ML AMP x
Colirio

100 mg VOLTAREN COL x

NATURA FENAC COL x


Comprimidos

6
6

50 mg VESALION CB 50 mg CAP x 15

Nova Argentia

34,49

17,83

17,83

DIOXAFLEX CB 50 mg CAP x 15

Bag

40,79

26,21

26,21

XEDENOL CB 50 mg CAP x 15

Baliarda

49,16

32,94

32,94

VESALION CB 50 mg CAP x 30

Nova Argentia

55,19

16,82

16,82

XEDENOL CB 50 mg CAP x 30

Baliarda

101,20

67,81

67,81

DIOXAFLEX CB 50 mg CAP x 30

Bag

113,70

76,19

76,19

FLOGOLISIN 50 mg COM x 10

Lazar

16,42

3,67

3,67

METAFLEX 50 mg COM x 10

Montpellier

32,27

21,63

21,63

DIOXAFLEX 50 mg MASTIC. COM x 10

Bag

54,52

36,53

36,53

VIROBRON NF 50 mg COM x 15

Temis-Lostalo

26,32

7,19

7,19

DOLVAN 50 mg COM x 15

Gador

27,09

7,92

7,92

BLOKIUM 50 mg COM x 15

Casasco

32,56

15,08

15,08

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 40 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
50 mg IBUXIM DICLO 50 mg COM x 15

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Savant

39,73

24,85

24,85

VESALION 50 mg COM x 15

Nova Argentia

42,53

28,40

28,40

METAFLEX 50 CB CAP x 15

Montpellier

44,21

29,62

29,62

VOLTAREN 50 mg COM x 15

Novartis

49,70

32,30

32,30

XEDENOL 50 mg GASTRORRESIST. COM x 15

Baliarda

50,39

33,76

33,76

DICLOGESIC 50 mg COM x 15

Trb-Pharma

64,19

42,29

42,29

FLOGOLISIN 50 mg COM x 20

Lazar

31,64

6,33

6,33

TOMANIL COM x 20

Takeda

37,23

11,63

11,63

DIOXAFLEX COM x 20

Bag

55,29

36,09

36,09

VOLTAREN 50 mg COM x 20

Novartis

56,93

37,59

37,59

VOLTAREN D 50 mg DISPERS. COM x 20

Novartis

64,21

42,39

42,39

DOLVAN 50 mg COM x 30

Gador

43,97

10,80

10,80

DICLOFENAC NORTHIA 50 mg COM x 30

Northia

46,84

10,81

10,81

VESALION 50 mg COM x 30

Nova Argentia

48,65

11,97

11,97

XEDENOL 50 mg GASTRORRESIST. COM x 30

Baliarda

52,95

14,67

14,67

METAFLEX 50 mg COM x 30

Montpellier

56,27

17,85

17,85

VIARTRIL NF 50 mg COM x 30

Spedrog Caillon

83,39

54,71

54,71

VOLTAREN 50 mg COM x 30

Novartis

88,86

57,76

57,76

METAFLEX 50 CB CAP x 30

Montpellier

88,44

59,26

59,26

BLOKIUM 50 mg COM x 30

Casasco

94,71

63,47

63,47

DIOXAFLEX COM x 40

Bag

88,35

42,41

42,41

VOLTAREN 50 mg COM x 40

Novartis

101,79

61,79

61,79

75 mg DIOXAFLEX CB 75 mg CAP x 15

Bag

151,75

101,69

101,69

DIOXAFLEX CB 75 mg CAP x 30

Bag

300,20

201,16

201,16

FLOGOLISIN 75 mg COM x 10

Lazar

38,56

7,71

7,71

DICLOGESIC 75 mg COM x 10

Trb-Pharma

54,00

20,39

20,39

IGLODINE 75 mg COM x 10

Fecofar

52,01

20,44

20,44

DICLAC 75 mg RAPIRETARD COM x 10

Investi

53,39

30,72

30,72

VOLTAREN 75 mg COM x 10

Novartis

61,34

31,90

31,90

METAFLEX 75 mg COM x 10

Montpellier

62,41

32,66

32,66

DIOXAFLEX 75 mg COM x 10

Bag

63,71

34,46

34,46

DOXTRAN 75 mg COM x 10

Phoenix

59,46

39,07

39,07

DICLONEX 75 mg COM x 15

Nexo Pharmaceutical
Group

33,94

6,79

6,79

DICLOFENAC NORTHIA 75 mg COM x 15

Northia

37,73

9,27

9,27

CURINFLAM GESIC 75 mg COM x 15

Duncan

42,98

9,60

9,60

RODINAC 75 mg COM x 15

Geminis Farmaceutica

50,52

11,28

11,28

VIROBRON NF 75 mg COM x 15

Temis-Lostalo

49,53

12,17

12,17

DOLVAN 75 mg COM x 15

Gador

53,81

13,23

13,23

DIASTONE 75 mg COM x 15

Microsules Argentina

56,97

14,00

14,00

DICLOGESIC 75 mg COM x 15

Trb-Pharma

63,32

15,57

15,57

VIARTRIL NF 75 mg COM x 15

Spedrog Caillon

66,30

16,30

16,30

DICLOLAM 75 mg COM x 15

Lepetit

70,84

19,20

19,20

DISIPAN 75 mg COM x 15

Bernabo

90,69

45,99

45,99

VESALION 75 mg COM x 15

Nova Argentia

108,21

68,46

68,46

IBUXIM DICLO 75 mg COM x 15

Savant

116,46

78,04

78,04

BLOKIUM 75 mg COM x 15

Casasco

126,29

84,62

84,62

DIOXAFLEX 75 mg COM x 15

Bag

133,67

89,57

89,57

DIOXAFLEX 75 mg MAST. COM x 15

Bag

137,84

92,36

92,36

OXA 75 RAPILENT COM x 15

Beta

139,57

93,53

93,53

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 41 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

75 mg METAFLEX 75 CB CAP x 15

Montpellier

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

151,75

101,69

101,69

RODINAC 75 mg COM x 20

Geminis Farmaceutica

86,85

19,39

19,39

DICLAC 75 mg RAPIRETARD COM x 20

Investi

88,85

36,03

36,03

DOXTRAN 75 mg COM x 20

Phoenix

106,48

62,09

62,09

VOLTAREN 75 mg COM x 20

Novartis

122,78

63,92

63,92

METAFLEX 75 mg COM x 20

Montpellier

124,11

64,34

64,34

DICLOFENAC NORTHIA 75 mg COM x 30

Northia

77,70

19,11

19,11

RODINAC 75 mg COM x 30

Geminis Farmaceutica

99,50

22,22

22,22

DOLVAN 75 mg COM x 30

Gador

106,62

26,22

26,22

DICLOGESIC 75 mg COM x 30

Trb-Pharma

111,27

27,37

27,37

VIARTRIL NF 75 mg COM x 30

Spedrog Caillon

133,18

32,76

32,76

DISIPAN 75 mg COM x 30

Bernabo

165,79

69,41

69,41

VESALION 75 mg COM x 30

Nova Argentia

203,70

120,34

120,34

DIOXAFLEX 75 mg COM x 30

Bag

236,75

158,64

158,64

BLOKIUM 75 mg COM x 30

Casasco

237,98

159,47

159,47

OXA 75 RAPILENT COM x 30

Beta

269,04

180,28

180,28

METAFLEX 75 CB CAP x 30

Montpellier

300,19

201,15

201,15

METAFLEX 75 mg COM x 40

Montpellier

247,68

127,93

127,93

Baliarda

31,48

7,41

7,41

DICLOFENAC HEXA 75 RETARD COM x 15

Fada Pharma

41,87

10,30

10,30

XEDENOL 75 mg LP COM x 15

Baliarda

108,22

68,47

68,47

XEDENOL 75 mg LP COM x 30

Baliarda

207,65

125,54

125,54

Casasco

120,87

80,99

80,99

VOLTAREN RETARD COM x 10

Novartis

65,15

43,01

43,01

CURINFLAM AP CAP x 15

Duncan

37,14

8,67

8,67

DICLONEX 100 AP COM x 15

Nexo Pharmaceutical
Group

42,21

9,43

9,43

DOLVAN 100 mg AP COM x 15

Gador

62,43

41,13

41,13

OXA RETARD COM x 15

Beta

103,35

58,51

58,51

XEDENOL 100 mg LP COM x 15

Baliarda

104,82

70,24

70,24

DIOXAFLEX RETARD COM x 20

Bag

164,57

108,65

108,65

DOLVAN 100 mg AP COM x 30

Gador

117,31

72,63

72,63

OXA RETARD COM x 30

Beta

183,66

84,81

84,81

XEDENOL 75 mg LP COM x

100 mg BLOKIUM 100 mg COM x 15

150 mg DICLAC 150 mg RAPIRETARD COM x

Investi

42,95

28,78

28,78

DICLAC 150 mg RAPIRETARD COM x 10

Investi

82,55

55,32

55,32

DICLAC 150 mg RAPIRETARD COM x 20

Investi

161,81

107,72

107,72

101,05

66,39

66,39

Gotas

100 mg LEVEDAD OFT. GTS x 10

Raymos

Lquido

500 mg METAFLEX SUS x 90

Montpellier

65,09

43,42

43,42

Vannier S.A.

21,27

4,25

4,25

169,51

129,31

129,31

Novartis

35,66

23,43

23,43

Elea

45,71

30,49

30,49

100 mg PRONIX OFT. SOL x


Sobres
Supositorios

50 mg DIOXAFLEX RAPID 50 mg GRANUL. SOB x 20


100 mg VOLTAREN SUP x

Bag

DIFENHIDRAMINA
Ampollas

50 mg BENADRYL 5 ML AMP x

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 42 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Lquido

NOMBRE COMERCIAL

03/02/2015
LABORATORIO

12,5 mg BENADRYL JBE x 240

Elea

250 mg DIFENHIDRAMINA NORTHIA JBE x 120

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

176,07

117,84

117,84

Northia

30,42

6,08

6,08

Duncan

35,84

8,00

8,00

Hlb Pharma

19,95

13,37

13,37

LANOXIN DIGOXINA COM x 25

Roemmers

23,26

15,59

11,11

LANOXIN DIGOXINA COM x 50

Roemmers

43,17

28,88

17,58

LANICOR COM x 60

Hlb Pharma

55,10

36,92

36,92

LANOXIN DIGOXINA COM x 100

Roemmers

53,92

15,14

13,26

LANICOR COM x 120

Hlb Pharma

63,79

20,00

20,00

Hlb Pharma

36,03

24,14

24,14 INF

1,5 mg VIMOTADINE 1,5 mg COM x 20

Casasco

28,76

19,18

19,18

HYDERGINA 1.5 mg COM x 20

Novartis

32,48

21,11

21,11

HYDERGINA 1.5 mg COM x 40

Novartis

62,22

40,44

40,44

HISTALER JBE x 120

DIGOXINA
Comprimidos

Gotas

0,25 mg LANICOR COM x 20

0,75 mg LANICOR GTS x 10

DIHIDROERGOTOXINA
Comprimidos

DILTIAZEM
Comprimidos

60 mg ACALIX 60 mg COM x 20

Roemmers

24,12

14,28

7,14

HART 60 mg COM x 20

Ivax Argentina

26,76

17,68

10,79

HART 60 mg COM x 50

Ivax Argentina

61,46

37,23

18,97

ACALIX 60 mg COM x 50

Roemmers

66,84

44,12

26,89

TILAZEM 60 mg COM x 60

Elea

67,37

36,10

18,99

INCORIL 60 COM x 60

Bag

113,35

75,95

65,27

90 mg ACALIX 90 mg COM x 20

Roemmers

40,69

26,47

16,62

ACALIX 90 mg COM x 50

Roemmers

101,98

66,49

39,79

TILAZEM 90 mg COM x 60

Elea

129,38

86,69

57,64

INCORIL AP COM x 30

Bag

116,74

77,80

49,18

INCORIL AP COM x 60

Bag

233,90

156,12

98,94

78,55

52,64

38,35

88,88

43,85

24,59

125,87

83,54

68,10

120 mg ACALIX 120 mg COM x 20

Roemmers

TILAZEM 120 mg COM x 30

Elea

HART 120 mg COM x 30

Ivax Argentina

DILZEN G 120 mg COM x 50

Klonal

36,73

7,35

7,35

ACALIX 120 mg COM x 50

Roemmers

194,31

130,21

101,74

HART AP CAP x 20

Ivax Argentina

101,02

61,96

33,37

ACALIX AP 120 mg CAP x 30

Roemmers

168,08

112,63

73,93

INCORIL AP 120 mg COM x 30

Bag

168,71

113,05

74,81

HART AP CAP x 50

Ivax Argentina

231,63

127,03

65,28

180 mg ACALIX CRONOS 180 mg CAP x 30

Roemmers

183,27

122,81

79,29

INCORIL MONODOSIS 180 mg COM x 30

Bag

194,72

130,48

85,20

HART CD 180 mg CAP x 30

Ivax Argentina

175,98

108,16

58,14

HART AP 180 mg CAP x 30

Ivax Argentina

174,92

112,58

67,43

ACALIX CD 180 mg CAP x 30

Roemmers

192,08

128,63

81,50

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 43 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

180 mg
240 mg ACALIX CRONOS 240 mg CAP x 30

Roemmers

267,74

175,82

107,65

INCORIL MONODOSIS 240 mg COM x 30

Bag

284,23

189,59

120,04

HART CD 240 mg CAP x 30

Ivax Argentina

256,23

161,18

90,94

ACALIX CD 240 mg CAP x 30

Roemmers

276,43

185,23

119,92

300 mg ACALIX CRONOS 300 mg CAP x 30

Roemmers

294,39

196,37

124,33

INCORIL MONODOSIS 300 mg COM x 30

Bag

353,68

235,92

149,37

HART CD 300 mg CAP x 30

Ivax Argentina

252,37

105,27

50,47

Eurolab

30,15

20,19

20,19

AGIRAX COM x 10

Montpellier

36,35

18,55

18,55

DR. AMIN 50 mg COM x 12

Eurolab

54,55

36,54

36,54

DRAMAMINE COM x 12

Johnson & Johnson

57,39

38,08

38,08

AGIRAX COM x 20

Montpellier

68,02

30,37

30,37

DRAMAMINE COM x 24

Johnson & Johnson

104,42

67,94

67,94

250 mg DRAMAMINE SOL x 100

Johnson & Johnson

70,41

45,54

45,54

DIMENHIDRINATO
Comprimidos

Lquido

50 mg DR. AMIN 50 mg COM x

DIPIRONA
Ampollas

1000 mg NOVALGINA 2 ML AMP x

Sanofi Aventis

37,12

24,76

24,76

2500 mg NOVALGINA 5 ML AMP x

Sanofi Aventis

49,59

33,08

33,08

Roux Ocefa

41,49

27,67

27,67

Roux Ocefa

47,39

32,07

32,07

Janssen-Cilag

63,95

42,22

42,22

ECUAMON COM x 20

Lazar

65,12

43,64

43,64

EUCITON COM x 20

Roux Ocefa

68,81

46,11

46,11

EUCITON COM x 50

Roux Ocefa

155,10

99,20

99,20

DOMPERIDONA
Ampollas

3,9 mg EUCITON PEDIATRICO 3 ML AMP x


10 mg EUCITON ADULTOS 3 ML AMP x

Comprimidos

Gotas

10 mg MOTILIUM COM x 20

10 mg MOPERIDONA GTS x 20

Sidus

24,56

5,49

5,49

ECUAMON GTS x 20

Lazar

53,47

31,99

31,99

EUCITON GTS x 20

Roux Ocefa

60,57

40,60

40,60

DORZOLAMIDA
Lquido

2000 mg DORLAMIDA OFT. SOL x

Atlas

157,35

105,01

65,90

TRUSOPT 2% OFT. SOL x

5
5

Merck Sharp & Dhome

157,15

105,30

105,30

2 mg DORZOFLAX OFT. SOL x

Sidus

151,45

70,33

35,56

Hlb Pharma

178,38

113,22

113,22

Pharmadorf

117,65

27,67

26,27

Raymos

153,02

72,59

38,18

Bausch & Lomb Argentina

162,10

80,92

46,12

Atlas

191,19

122,29

61,94

Poen

194,70

126,74

74,49

Elea

200,61

134,16

76,19

Merck Sharp & Dhome

230,03

154,14

132,46

DORZOLAMIDA + TIMOLOL
Lquido

DOR-TIMOLOL OFT. SOL x

2000 mg DORZOLAMIDA T DORF OFT. SOL x


PRESS OUT T OFT. SOL x
TIMED D OFT. SOL x

DORLAMIDA T OFT. SOL x

GLAUCOTENSIL TD OFT. SOL x


ZOPIROL DM OFT. SOL x
COSOPT OFT. SOL x

DOXAZOSINA
MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 44 de 130

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DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

2 mg DOXASIN 2 mg COM x 30

Fortbenton Co.

200,20

129,48

129,48

4 mg DOXASIN 4 mg COM x 30

Fortbenton Co.

235,14

152,08

152,08

Pfizer

93,81

62,58

62,58

Pfizer

37,52

25,14

25,14

ASOLMICINA.DOX 100 mg COM x 15

Raymos

84,98

48,06

48,06

VIBRAMICINA 100 mg TAB x 16

Pfizer

134,69

90,25

90,25

ASOLMICINA.DOX 100 mg COM x 30

Raymos

142,08

56,43

56,43

DOXICICLINA
Comprimidos

50 mg VIBRAMICINA 50 mg CAP x 20
100 mg VIBRAMICINA 100 mg TAB x

ECONAZOL
Crema

Lquido

1000 mg MICOLIS CRE x 30

Roemmers

43,82

28,75

28,75

NOMICON CRE x 30

Casasco

49,06

32,87

32,87

MICOCIDE CRE x 30

Atlas

54,71

36,66

36,66

Roemmers

50,42

32,23

32,23

Casasco

57,02

38,20

38,20

Atlas

54,71

19,11

19,11

Roemmers

53,02

35,36

35,36

Roemmers

53,45

34,98

34,98

Casasco

59,88

40,12

40,12

Roemmers

53,45

35,29

35,29

Casasco

62,85

42,11

42,11

1000 mg MICOLIS SOL x 20


NOMICON SOL x 20

Locin
vulos
Spray

1000 mg MICOCIDE LOC x 30


150 mg MICOLIS 150 mg OVU x

1000 mg MICOLIS SPR x 60


NOMICON SPR x 60

Talco

1000 mg MICOLIS TAL x 20


NOMICON TAL x 20

ENALAPRIL
Comprimidos

2,5 mg GADOPRIL 2.5 mg COM x 20

Gador

9,79

5,65

2,79

GADOPRIL 2.5 mg COM x 30

Gador

15,11

9,05

4,54

GLIOTEN 2.5 mg COM x 30

Bag

15,70

9,81

5,34

LOTRIAL 2.5 mg COM x 30

Roemmers

17,04

11,42

7,28

GADOPRIL 2.5 mg COM x 50

Gador

26,19

16,38

8,94

LOTRIAL 2.5 mg COM x 50

Roemmers

27,64

18,23

11,62

LOTRIAL 2.5 mg COM x 60

Roemmers

33,54

22,34

13,80

GADOPRIL 2.5 mg COM x 60

Gador

33,67

22,50

13,99

GLIOTEN 2.5 mg COM x 60

Bag

34,06

22,82

14,54

Baliarda

14,42

3,43

2,88

ENALAFEL 5 mg COM x 20

Raffo

14,51

3,53

3,24

GADOPRIL 5 mg COM x 20

Gador

15,39

4,40

3,78

GLIOTEN 5 mg COM x 20

Bag

17,55

6,96

4,32

ENATRAL 5 mg COM x 30

Austral

22,00

6,00

6,00

ARTERIOPRIL 5 mg COM x 30

Pfizer

25,51

9,19

6,28

GADOPRIL 5 mg COM x 30

Gador

26,58

10,83

6,54

DEFLUIN 5 mg COM x 30

Elea

30,41

16,34

7,58

LOTRIAL 5 mg COM x 30

Roemmers

32,07

18,59

9,22

MAXEN 5 mg COM x 30

Baliarda

34,05

21,19

11,61

TENCAS 5 mg COM x 30

Casasco

39,49

26,45

19,30

KINFIL 5 mg COM x 30

Nova Argentia

39,85

26,70

19,77

GLIOTEN 5 mg COM x 30

Bag

51,25

34,34

29,51

VAPRESAN 5 mg COM x 30

Temis-Lostalo

52,55

35,21

30,26

5 mg MAXEN 5 mg COM x 20

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 45 de 130

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Comprimidos

NOMBRE COMERCIAL
5 mg ENALAFEL 5 mg COM x 50

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Raffo

34,96

7,80

7,80

LOTRIAL 5 mg COM x 50

Roemmers

49,09

25,02

13,83

TENCAS 5 mg COM x 50

Casasco

63,53

41,91

29,05

GADOPRIL 5 mg COM x 50

Gador

67,51

45,24

34,39

ENATRAL 5 mg COM x 60

Lepetit

37,00

8,20

8,20

DEFLUIN 5 mg COM x 60

Elea

62,91

35,53

17,06

MAXEN 5 mg COM x 60

Baliarda

68,51

42,92

23,83

LOTRIAL 5 mg COM x 60

Roemmers

70,63

45,63

26,94

TENCAS 5 mg COM x 60

Casasco

74,60

49,98

32,59

GADOPRIL 5 mg COM x 60

Gador

78,16

52,37

37,47

RENITEC 5 mg COM x 60

Merck Sharp & Dhome

78,41

52,54

37,80

GLIOTEN 5 mg COM x 60

Bag

100,19

67,14

57,69

KINFIL 5 mg COM x 60

Nova Argentia

102,14

68,44

58,81

VAPRESAN 5 mg COM x 60

Temis-Lostalo

103,01

69,03

59,32

Raffo

19,19

4,29

4,29

DEFLUIN 10 mg COM x 20

Elea

21,01

5,17

5,17

MAXEN 10 mg COM x 20

Baliarda

27,49

8,25

5,50

ERITRIL 10 mg COM x 20

Northia

32,48

17,24

17,24

GADOPRIL 10 mg COM x 20

Gador

36,51

20,58

10,29

GLIOTEN 10 mg COM x 20

Bag

43,17

28,92

21,55

ENATRAL 10 mg COM x 30

Lepetit

26,00

6,00

6,00

ARTERIOPRIL 10 mg COM x 30

Pfizer

45,56

17,70

11,20

MAXEN 10 mg COM x 30

Baliarda

50,17

24,49

13,50

TENCAS 10 mg COM x 30

Casasco

53,18

28,71

14,97

GADOPRIL 10 mg COM x 30

Gador

57,51

34,53

17,98

RENITEC 10 mg COM x 30

Merck Sharp & Dhome

59,14

36,65

20,42

KINFIL 10 mg COM x 30

Nova Argentia

62,35

40,75

25,09

ECAPRILAT 10 mg COM x 30

Lazar

63,13

41,73

26,20

LOTRIAL 10 mg COM x 30

Roemmers

64,05

42,88

27,50

GLIOTEN 10 mg COM x 30

Bag

69,77

46,75

35,28

VAPRESAN 10 mg COM x 30

Temis-Lostalo

75,69

50,72

43,59

ENALAFEL 10 mg COM x 50

Raffo

44,92

10,03

10,03

TENCAS 10 mg COM x 50

Casasco

82,85

39,73

21,24

GADOPRIL 10 mg COM x 50

Gador

94,01

55,10

27,99

LOTRIAL 10 mg COM x 50

Roemmers

102,69

66,37

40,06

ERITRIL 10 mg COM x 50

Northia

108,10

72,44

72,44

ENATRAL 10 mg COM x 60

Lepetit

43,00

9,40

9,40

ENALDUN 10 mg COM x 60

Duncan

50,57

11,29

11,29

MAXEN 10 mg COM x 60

Baliarda

95,19

41,50

23,41

TENCAS 10 mg COM x 60

Casasco

116,25

70,67

37,82

GADOPRIL 10 mg COM x 60

Gador

119,10

74,36

42,06

KINFIL 10 mg COM x 60

Nova Argentia

123,26

79,66

48,13

ECAPRILAT 10 mg COM x 60

Lazar

127,50

85,02

54,15

LOTRIAL 10 mg COM x 60

Roemmers

132,12

88,53

60,57

RENITEC 10 mg COM x 60

Merck Sharp & Dhome

132,72

90,21

59,92

VAPRESAN 10 mg COM x 60

Temis-Lostalo

148,08

99,23

85,27

GLIOTEN 10 mg COM x 60

Bag

149,82

100,39

86,27

TENCAS 10 mg COM x 100

Casasco

84,06

20,66

20,66

GADOPRIL 10 mg COM x 100

Gador

111,94

27,52

27,52

GLIOTEN 10 mg COM x 100

Bag

112,02

27,55

27,55

10 mg ENALAFEL 10 mg COM x 20

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 46 de 130

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Comprimidos

10 mg

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

GLIOTEN 10 mg COM x 120

Bag

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

279,81

187,50

142,47

Baliarda

23,97

4,79

4,79

ENALAFEL 20 mg COM x 20

Raffo

23,74

5,30

5,30

TENCAS 20 mg COM x 20

Casasco

24,74

6,08

6,08

GADOPRIL 20 mg COM x 20

Gador

26,58

6,54

6,54

GLIOTEN 20 mg COM x 20

Bag

30,81

7,70

7,58

ENATRAL 20 mg COM x 30

Lepetit

30,00

7,60

7,60

MAXEN 20 mg COM x 30

Baliarda

58,74

26,84

14,44

GADOPRIL 20 mg COM x 30

Gador

60,42

29,27

15,94

TENCAS 20 mg COM x 30

Casasco

64,39

34,84

18,13

KINFIL 20 mg COM x 30

Nova Argentia

67,08

38,48

19,90

ECAPRILAT 20 mg COM x 30

Lazar

67,90

39,58

23,68

VAPRESAN 20 mg COM x 30

Temis-Lostalo

76,72

50,95

33,33

LOTRIAL 20 mg COM x 30

Roemmers

80,87

54,19

39,03

GLIOTEN 20 mg COM x 30

Bag

84,29

56,48

43,57

RENITEC 20 mg COM x 30

Merck Sharp & Dhome

86,40

57,90

46,32

ENALAFEL 20 mg COM x 50

Raffo

61,08

13,64

13,64

LOTRIAL 20 mg COM x 50

Roemmers

108,87

60,18

30,42

TENCAS 20 mg COM x 50

Casasco

110,73

62,70

32,19

GADOPRIL 20 mg COM x 50

Gador

114,01

67,08

35,40

ENATRAL 20 mg COM x 60

Lepetit

47,00

10,20

10,20

MAXEN 20 mg COM x 60

Baliarda

117,34

53,47

28,86

ECAPRILAT 20 mg COM x 60

Lazar

133,67

76,31

44,00

GADOPRIL 20 mg COM x 60

Gador

134,69

77,68

40,28

LOTRIAL 20 mg COM x 60

Roemmers

156,06

104,57

70,31

RENITEC 20 mg COM x 60

Merck Sharp & Dhome

166,11

111,31

83,89

GLIOTEN 20 mg COM x 60

Bag

173,17

116,04

93,13

VAPRESAN 20 mg COM x 60

Temis-Lostalo

198,71

133,15

114,42

KINFIL 20 mg COM x 60

Nova Argentia

212,97

142,71

122,63

Elea

39,59

9,73

9,73

CO-RENITEC 10/25 mg COM x 20

Merck Sharp & Dhome

73,68

49,37

33,32

MAXEN D 10/25 mg RANUR. COM x 30

Baliarda

62,27

15,31

15,31

GADOPRIL D 10/25 mg COM x 30

Gador

82,94

39,86

21,40

TENCAS D 10/25 mg COM x 30

Casasco

87,67

46,53

24,69

KINFIL D 10 mg COM x 30

Nova Argentia

95,65

57,29

28,88

VAPRESAN DIUR COM x 30

Temis-Lostalo

105,23

69,59

42,56

GLIOTENZIDE 10 mg COM x 30

Bag

106,33

70,96

44,12

LOTRIAL D 10/25 COM x 30

Roemmers

112,42

75,33

52,58

CO-RENITEC 10/25 mg COM x 60

Merck Sharp & Dhome

205,81

131,65

75,64

Merck Sharp & Dhome

103,02

69,03

56,20

TENCAS D 20/12.5 mg COM x 30

Casasco

102,88

47,82

25,30

LOTRIAL D 20/12.5 COM x 30

Roemmers

123,40

75,90

41,40

GLIOTENZIDE 20 mg COM x 30

Bag

140,69

94,28

66,02

CO-RENITEC 20/12.5 mg COM x 60

Merck Sharp & Dhome

247,29

152,44

83,54

20 mg MAXEN 20 mg COM x 20

ENALAPRIL +
HIDROCLOROTIAZIDA
Comprimidos

10 mg DEFLUIN PLUS COM x 20

20 mg CO-RENITEC 20/12.5 mg COM x 20

ENOXAPARINA

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 47 de 130

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Ampollas

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

20 mg DILUTOL 20 mg 0.2 ML JPR x

A CARGO A CARGO
REF
AFILIADO CRONICO

Lazar

116,15

36,48

36,48

Sanofi Aventis

181,13

121,37

121,37

DILUTOL 20 mg 0.2 ML JPR x 10

Lazar

585,71

187,17

187,17

OMATEX 20 mg JPR x 10

Phoenix

797,68

481,13

481,13

CLEXANE 20 mg JPR x 10

Sanofi Aventis

905,49

606,76

606,76

Lazar

180,29

44,34

44,34

Sanofi Aventis

352,55

236,24

236,24
298,31

CLEXANE 20 mg JPR x

PRECIO

40 mg DILUTOL 40 mg 0.4 ML JPR x


CLEXANE 40 mg JPR x

DILUTOL 40 mg 0.4 ML JPR x 10

Lazar

1.060,13

298,31

OMATEX 40 mg JPR x 10

Phoenix

1.540,75

936,77

936,77

CLEXANE 40 mg JPR x 10

Sanofi Aventis

1.762,85

1.181,27

1.181,27

EPINASTINA
Comprimidos

Lquido

20 mg FLURINOL 20 mg COM x 10

Boheringer Ingelheim

42,34

28,24

28,24

FLURINOL 20 mg COM x 30

Boheringer Ingelheim

106,19

57,52

57,52

88,71

47,89

47,89

50 mg ALKET OFT. SOL x

Poen

EPIOFTAL OFT. SOL x

RELESTAT OFT. SOL x

Atlas

89,11

48,45

48,45

Allergan-Loa

162,61

108,96

108,96

Raymos

136,49

90,11

90,11

ERITROMICINA
Colirio
Comprimidos

10 mg ERITROFARM COL x

500 mg PANTOMICINA 500 ES COM x

Bag

42,12

28,22

28,22

PANTOMICINA 500 ES COM x 16

Bag

75,99

48,76

48,76

98,86

57,77

57,77

Crema

4000 mg KITACNE CRE x 30

Fortbenton Co.

Gel

4000 mg ERYACNE 4 GEL x 30

Galderma

113,18

73,57

73,57

Novoplos

125,80

82,66

82,66

Atlas

96,23

49,11

49,11

Elea

131,92

88,40

88,40

Atlas

148,33

99,40

99,40

ERITROVIS OFT. GTS x 10

Hlb Pharma

134,97

33,69

33,69

ERITROMED OFTALMICO GTS x 10

Bausch & Lomb Argentina

150,63

43,20

43,20

Gotas

50 mg ROXACINA OFT. Polvo + Solv. GTS x


1000 mg ERITROMICINA ATLAS OFT. GTS x
ERITROMICINA ELEA OFT. GTS x

5
5

OFTALMOLETS Oft. Prep. Extemp. GTS x

Lquido

200 mg PANTOMICINA 200 ES JBE x 100

Bag

73,88

49,28

49,28 INF

400 mg PANTOMICINA 400 ES JBE x 60

Bag

84,59

56,42

56,42

Medisol

38,90

25,28

25,28

Investi

89,58

57,93

57,93

Atlas

103,25

68,87

68,87

4000 mg ERISOL 4% DERMICO SOL x 50


ILOTICINA 4% SOL x 120
6000 mg ATLAMICIN TOP.DERM. SOL x 45
Ungento

500 mg ERITROMED OFT. UNG x 3,5

Bausch & Lomb Argentina

128,73

84,39

84,39

ERITROMICINA ELEA OFT. UNG x 3,5

Elea

132,98

89,11

89,11

ERITROMED OFT. PDA. UNG x

Bausch & Lomb Argentina

70,02

14,00

14,00

ERITROMED UNIDOSIS OFT. UNG x 20

Bausch & Lomb Argentina

59,33

11,87

11,87

ERITROVIS OFT. UNIDOSIS UNG x 20

Hlb Pharma

147,43

36,26

36,26

ERITROFARM OFT.UNIDOSIS UNG x 20

Raymos

143,30

94,15

94,15

91,79

56,41

56,41

ESCITALOPRAM
Comprimidos

10 mg TALPRAM 10 mg COM x 10

Richmond

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

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Comprimidos

NOMBRE COMERCIAL
10 mg COVERFAX 10 mg COM x 14

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Buxton

131,47

83,89

83,89

ESCIPROX 10 mg COM x 14

Hlb Pharma

139,17

93,26

93,26

LEXAPRO 10 mg COM x 14

Lundbeck

181,44

121,58

121,58

EX3 10 mg COM x 15

Ariston

86,43

19,31

19,31

ESCITEROKAM 10 mg COM x 15

Raymos

93,58

26,03

26,03

AXIOMAT 10 mg COM x 15

Beta

95,75

28,23

28,23

MERIDIAN 10 mg COM x 15

Roemmers

119,73

60,33

60,33

OPTISER 10 mg Ran. COM x 15

Baliarda

120,78

61,81

61,81

COVERFAX 10 mg COM x 28

Buxton

267,09

173,05

173,05

ESCIPROX 10 mg COM x 28

Hlb Pharma

271,94

182,22

182,22

NOVO HUMORAP 10 mg COM x 28

Bag

297,81

199,56

199,56

LEXAPRO 10 mg COM x 28

Lundbeck

342,45

229,47

229,47

EX3 10 mg COM x 30

Ariston

172,76

38,57

38,57

AXIOMAT 10 mg COM x 30

Beta

231,11

108,75

108,75

ESCITEROKAM 10 mg COM x 30

Raymos

231,65

112,51

112,51

E-PSICONOR 10 mg COM x 30

Ivax Argentina

238,37

119,13

119,13

TALPRAM 10 mg COM x 30

Richmond

262,63

152,44

152,44

OPTISER 10 mg Ran. COM x 30

Baliarda

264,47

154,89

154,89

ARAMIX 10 mg COM x 30

Elea

269,75

161,88

161,88

ZENVAS 10 mg COM x 30

Astrazeneca

281,52

177,18

177,18

MERIDIAN 10 mg COM x 30

Roemmers

288,78

186,45

186,45

LEXTOR 10 mg COM x 30

Casasco

303,11

203,11

203,11

BEAPLEN 10 mg COM x 30

Temis-Lostalo

315,44

211,38

211,38

15 mg LEXAPRO 15 mg COM x 28

Lundbeck

386,88

258,06

258,06

20 mg TALPRAM 20 mg COM x 10

Richmond

152,57

90,58

90,58

COVERFAX 20 mg COM x 14

Buxton

256,82

169,55

169,55

EX3 20 mg COM x 15

Ariston

166,67

47,89

47,89

ESCITEROKAM 20 mg COM x 15

Raymos

184,75

71,18

71,18

AXIOMAT 20 mg COM x 15

Beta

187,10

71,86

71,86

OPTISER 20 mg Ran. COM x 15

Baliarda

227,05

119,67

119,67

MERIDIAN 20 mg COM x 15

Roemmers

233,89

129,10

129,10

COVERFAX 20 mg COM x 28

Buxton

502,96

332,05

332,05

ESCIPROX 20 mg COM x 28

Hlb Pharma

512,03

343,11

343,11

NOVO HUMORAP 20 mg COM x 28

Bag

560,55

375,62

375,62

LEXAPRO 20 mg COM x 28

Lundbeck

614,84

412,00

412,00

EX3 20 mg COM x 30

Ariston

333,36

95,80

95,80

AXIOMAT 20 mg COM x 30

Beta

391,90

170,36

170,36

ESCITEROKAM 20 mg COM x 30

Raymos

438,32

241,30

241,30

E-PSICONOR 20 mg COM x 30

Ivax Argentina

448,13

249,92

249,92

TALPRAM 20 mg COM x 30

Richmond

485,76

299,84

299,84

OPTISER 20 mg Ran. COM x 30

Baliarda

498,92

316,80

316,80

ARAMIX 20 mg COM x 30

Elea

507,71

328,00

328,00

MERIDIAN 20 mg COM x 30

Roemmers

513,09

334,81

334,81

ZENVAS 20 mg COM x 30

Astrazeneca

529,79

355,01

355,01

LEXTOR 20 mg COM x 30

Casasco

534,05

357,87

357,87

BEAPLEN 20 mg COM x 30

Temis-Lostalo

594,86

398,61

398,61

Sanofi Aventis

338,68

225,91

225,91 MAT

ESPIRAMICINA
Comprimidos

1000 mg ROVAMYCINE 3 MUI COM x 20

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 49 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

1000 mg

ESPIRONOLACTONA
Comprimidos

25 mg ALDACTONE A 25 mg COM x 20

Pfizer

128,78

86,29

74,15

REDIUN-E 25 mg COM x 30

Baliarda

46,68

11,48

11,48

DRIMUX A 25 mg COM x 30

Gador

58,95

14,49

14,49

NORMITAL 25 mg COM x 30

Phoenix

64,41

15,84

15,84

EXPAL 25 mg COM x 30

Bag

65,07

15,99

15,99

LANX 25 mg COM x 30

Elea

80,00

26,20

19,67

ALDACTONE A 25 mg COM x 30

Pfizer

163,77

109,74

94,30

ALDACTONE A 25 mg COM x 60

Pfizer

216,31

131,26

66,01

50 mg REDIUN-E 50 mg COM x 30

Baliarda

47,00

11,56

11,56

DRIMUX A 50 mg COM x 30

Gador

59,34

14,60

14,60

ALDACTONE A 50 mg COM x 30

Pfizer

210,69

141,18

121,32

Baliarda

48,06

11,82

11,82

DRIMUX A 100 mg COM x 30

Gador

59,83

14,72

14,72

NORMITAL 100 mg COM x 30

Phoenix

65,64

16,15

16,15

EXPAL 100 mg COM x 30

Bag

66,33

16,31

16,31

LANX 100 mg COM x 30

Elea

126,83

84,24

59,84

ALDACTONE A 100 mg COM x 30

Pfizer

164,06

109,94

94,47

ALDACTONE A 100 mg COM x 60

Pfizer

222,65

128,42

65,49

100 mg REDIUN-E 100 mg COM x 30

ESPIRONOLACTONA +
FUROSEMIDA
Comprimidos

25 mg LASILACTON 25 mg CAP x 30

68,73

16,91

16,91

ALDACTONE D 25/40 COM x 30

Sanofi Aventis
Pfizer

175,38

116,98

74,07

ALDACTONE D 25/20 COM x 30

Pfizer

175,32

117,48

95,73

50 mg LASILACTON 50 mg CAP x 30

Sanofi Aventis

95,05

23,38

23,38

100 mg LASILACTON 100 mg COM x 30

Sanofi Aventis

93,70

23,04

23,04

1 mg PROGYNOVA 1 mg COM x 28

Bayer (PH)

62,82

42,10

42,10

2 mg PROGYNOVA 2 mg COM x 28

Bayer (PH)

98,97

66,32

66,32

Janssen-Cilag

126,52

42,62

42,62

Bayer (PH)

188,77

107,62

107,62

Elea

30,90

19,98

19,98

Elea

19,28

4,74

4,74

1 mg RONFASE 1 mg COM x 28

Pfizer

41,34

15,82

15,82

2 mg RONFASE 2 mg COM x 28

Pfizer

81,35

50,73

50,73

Beta

220,38

147,00

147,00

Beta

197,36

131,64

131,64

Beta

197,36

131,64

131,64

Beta

185,14

123,49

123,49

ESTRADIOL
Comprimidos

Parches

0,77 mg EVOREL 25 SISTEMAS PAR x

3,8 mg LINDISC 50 mcg SIST.TRASD. PAR x

ESTRADIOL (3-17
DIUNDECILENATO)
Ampollas

10 mg ETROSTERON 2 ML AMP x

ESTRADIOL + NORETINDRONA
Ampollas

5 mg GINEDIOL IM 1 ML AMP x

ESTRADIOL 17 BETA
Comprimidos

Gel
Parches

60 mg TRIAL GEL x 80
0,014 mg TRIAL SAT L.A. 0.014 mg PAR x
0,025 mg TRIAL SAT L.A. 0.025 PAR x
TRIAL SAT 0.025 PAR x

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 50 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Parches

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

Beta

276,43

185,23

185,23

Janssen-Cilag

223,94

147,80

147,80

Beta

226,63

151,17

151,17

Beta

262,17

174,87

174,87

Beta

251,13

167,51

167,51

0,78 mg HORMODIOL GEL MONODOSIS SOB x 30

Omega

105,37

71,63

71,63

HORMODIOL GEL MONODOSIS SOB x 60

Omega

168,01

114,22

114,22

Ferring

331,50

221,12

221,12

2 mg FARLUDIOL CICLO COM x 28

Pfizer

139,16

93,25

93,25

FARLUDIOL COM x 30

Pfizer

147,67

98,50

98,50

Beta

223,06

148,79

148,79

Beta

214,11

142,82

142,82

Beta

237,97

158,73

158,73

Craveri

111,29

74,23

74,23

48,09

32,08

32,08

MSD Arrgentina SR

119,01

79,38

79,38

100 mg COLPOESTRIOL CRE x 15

Temis-Lostalo

163,19

109,35

109,35

100 mg ORGESTRIOL VAGINAL CRE x 15

MSD Arrgentina SR

127,32

80,55

80,55

0,5 mg COLPOESTRIOL OVU x 10

49,85

EVOREL 50 SISTEMAS PAR x


TRIAL SAT 0.05 PAR x

0,1 mg TRIAL SAT L.A. 0.100 PAR x


TRIAL SAT 0.100 PAR x

Spray

A CARGO A CARGO
REF
AFILIADO CRONICO

0,025 mg
0,05 mg TRIAL SAT L.A. 0.050 PAR x

Sobres

PRECIO

60 mg RONTAGEL SPR x 80

ESTRADIOL 17 BETA +
MEDROXIPROGESTERONA
ACETATO
Comprimidos

ESTRADIOL 17 BETA +
NORETINDRONA
Parches

1,5 mg TRIAL GEST 25/125 mcg SAT PAR x


3 mg TRIAL COMBI L.A. SIST. 2+2 PAR x
TRIAL GEST 50/250 mcg SAT PAR x

8
4
8

ESTRADIOL 17HEMISUCCINATO
Ampollas

200 mg EUTOCOL 10 ML AMP x

ESTRADIOL VALERIANATO +
NORETINDRONA
Ampollas

5 mg MESIGYNA AMP x

Bayer (PH)

ESTRIOL
Comprimidos
Crema

vulos

1 mg ORGESTRIOL 1000 COM x 30

Temis-Lostalo

112,95

49,85

ORGESTRIOL OVU x 10

MSD Arrgentina SR

130,37

74,32

74,32

MENOCLIM OVU x 10

Beta

159,95

107,18

107,18

COLPOESTRIOL OVU x 15

Temis-Lostalo

258,16

173,00

173,00

0,3 mg PREMARIN CD 0.3 mg GRA x 28

Pfizer

197,73

132,50

132,50

0,625 mg PREMARIN CD 0.625 mg GRA x 28

Pfizer

188,25

126,15

126,15

Pfizer

113,03

75,74

75,74

Gador

31,98

21,33

21,33

Janssen-Cilag

87,55

57,80

57,80

138,07

92,09

92,09

ESTRGENOS CONJUGADOS
Comprimidos

Crema

1 mg PREMARIN C/APLICADOR VAGINAL CRE x 26

ETINILESTRADIOL +
NORGESTIMATO
Comprimidos

0,035 mg TRIDETTE COM x 21


CILEST COM x 21

ETOSUXIMIDA
Comprimidos

250 mg ZARONTIN CAP x 25

Elea

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 51 de 130

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DROGA
Lquido

NOMBRE COMERCIAL
5000 mg ZARONTIN SOL x 120

03/02/2015
LABORATORIO

PRECIO

Elea

138,07

A CARGO A CARGO
REF
AFILIADO CRONICO
92,09

92,09

EZETIMIBE
Comprimidos

10 mg ALIN 10 mg COM x 10

Lazar

28,62

8,14

8,14

CORACIL 10 mg COM x 10

Gador

34,05

15,08

15,08

ACOTRAL 10 mg COM x 10

Phoenix

48,11

32,24

32,24

CERCLEROL 10 mg COM x 15

Beta

50,76

22,15

22,15

ACOTRAL 10 mg COM x 20

Phoenix

93,71

62,80

62,80

ZETIA 10 mg COM x 28

MSD Arrgentina SR

270,33

181,14

181,14

CERCLEROL 10 mg COM x 30

Beta

103,18

46,73

46,73

TRILIP 10 mg COM x 30

Elea

106,73

51,86

51,86

CORACIL 10 mg COM x 30

Gador

107,99

53,66

53,66

ACOTRAL 10 mg COM x 30

Phoenix

112,88

60,50

60,50

NALECOL 10 mg COM x 30

Casasco

132,64

86,51

86,51

ALIPAS 10 mg COM x 30

Bernabo

139,83

92,31

92,31

VADEL 10 mg COM x 30

Ivax Argentina

139,62

93,56

93,56

ALIN 10 mg COM x 30

Lazar

150,93

101,14

101,14

IXACOR 10 mg COM x 30

Roemmers

163,86

109,80

109,80

76,73

18,87

18,87

EZETIMIBE + ATORVASTATIN
Comprimidos

10 mg ATEROCLAR DUO 10/10 mg (15+15) COM x 30

Beta

TORIMIBE 10/10 mg COM x 30

Baliarda

146,05

58,38

58,38

LIPOCAMBI PLUS 10/10 mg COM x 30

Bernabo

166,19

89,41

89,41

LIPOCAMBI PLUS 20/10 mg COM x 30

Bernabo

191,48

99,39

99,39

TORIMIBE 10/20 mg COM x 30

Baliarda

209,39

121,65

121,65

ATEROCLAR COMBI 10/10 mg COM x 30

Beta

207,48

139,03

139,03

NORMALIP DUO 10/10 COM x 30

Eurofarma

220,78

145,76

145,76

LIPAREX PLUS 10/10 mg COM x 30

Finadiet

230,23

154,28

154,28

ZARATOR PLUS 10/10 mg COM x 30

Elea

257,28

172,40

172,40

COLMIBE 10/10 mg COM x 30

Raffo

275,05

184,31

184,31

AMPLIAR PLUS 10/10 mg COM x 30

Casasco

275,81

184,82

184,82

ATEROCLAR COMBI 20/10 mg COM x 30

Beta

280,65

188,06

188,06

LIPONORM PLUS 10/10 mg COM x 30

Lazar

283,14

189,73

189,73

NORMALIP DUO 20/10 COM x 30

Eurofarma

306,76

202,52

202,52

LIPIBEC PLUS 10/10 COM x 30

Ivax Argentina

307,16

205,83

205,83

LIPAREX PLUS 20/10 mg COM x 30

Finadiet

338,59

226,89

226,89

ZARATOR PLUS 20/10 mg COM x 30

Elea

342,92

229,79

229,79

AMPLIAR PLUS 20/10 mg COM x 30

Casasco

358,60

240,29

240,29

COLMIBE 20/10 mg COM x 30

Raffo

384,75

257,82

257,82

LIPONORM PLUS 20/10 mg COM x 30

Lazar

403,17

270,16

270,16

LIPIBEC PLUS 20/10 COM x 30

Ivax Argentina

437,08

292,88

292,88

COLMIBE 40/10 mg COM x 30

Raffo

478,85

319,41

319,41

LIPONORM DUO 10/10 mg COM x 60

Lazar

153,10

30,62

30,62

ATEROCLAR DUO 10/10 mg (30+30) COM x 60

Beta

139,94

34,42

34,42

LIPAREX DUO 10/10 mg (30+30) COM x 60

Finadiet

157,07

38,63

38,63

LIPONORM DUO 20/10 mg COM x 60

Lazar

220,42

44,08

44,08

ATEROCLAR DUO 20/10 mg (30+30) COM x 60

Beta

204,33

50,24

50,24

AMPLIAR DUO 20/10 mg COM x 60

Casasco

210,42

51,74

51,74

LIPIBEC DUO 20/10 mg (30+30) COM x 60

Ivax Argentina

267,92

53,63

53,63

LIPAREX DUO 20/10 mg (30+30) COM x 60

Finadiet

233,26

57,36

57,36

AMPLIAR DUO 10/10 mg COM x 60

Casasco

237,49

58,40

58,40

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 52 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

10 mg PLAN DUO 10/10 mg (30 + 30) COM x 60

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Craveri

252,10

69,72

69,72

Ivax Argentina

264,77

81,86

81,86

20 mg PLAN DUO 10/20 mg (30 + 30) COM x 60

Craveri

368,04

171,54

171,54

20 mg ULCELAC 20 mg COM x 30

Bag

36,21

24,15

24,15

757,75

505,44

505,44

LIPIBEC DUO 10/10 mg (30+30) COM x 60

FAMOTIDINA
Comprimidos

FELBAMATO
Lquido

600 mg FELBAMYL 600 mg 5 ML SUS x 230

MSD Arrgentina SR

10000 POEN EFRINA 10% OFT. SOL x


mg

Poen

36,66

24,45

24,45

120 mg PREFRIN LIQUIFILM OFT. SOL x 15

Allergan-Loa

73,49

49,02

49,02

100 mg LOTOQUIS SIMPLE COM x 50

Beta

185,40

97,07

52,26

LOTOQUIS SIMPLE COM x 100

Beta

477,89

320,23

196,75

100 mg EPAMIN 100 mg CAP x 30

Elea

159,42

106,44

77,59

EPAMIN 100 mg CAP x 60

Elea

315,27

208,41

150,06

EPAMIN 100 mg CAP x 90

Elea

480,93

322,26

236,61

Elea

48,23

32,17

20,37

Bayer (PH)

65,87

43,94

27,82 INF

Spedrog Caillon

42,62

18,55

10,49

FENILEFRINA
Lquido

FENILEFRINA + LIQUIFILM
Lquido

FENITONA CLCICA
Comprimidos

FENITONA SDICA
Comprimidos

Lquido

2500 mg EPAMIN JBE x 120

FENOBARBITAL
Comprimidos

15 mg LUMINALETAS COM x 30
100 mg ALEPSAL COM x 20
GARDENAL 0.10 GR COM x 60

Sanofi Aventis

77,38

19,03

19,03

ALEPSAL COM x 60

Spedrog Caillon

106,16

28,95

26,10

LUMINAL COM x 60

Bayer (PH)

172,66

115,70

92,82

Beta

491,32

327,72

327,72

100 mg LOTOQUIS COM x 100

Beta

494,68

329,96

329,96

100 mg FENOBRATE 100 mg COM x 50

Sanofi Aventis

50,54

33,87

26,01

PROCETOKEN 100 mg COM x 60

Bernabo

54,08

35,70

22,90

FENOBRATE 100 mg COM x 100

Sanofi Aventis

86,06

54,23

31,20

185,02

117,14

FENOBARBITAL + FENITONA
CLCICA
Comprimidos

50 mg LOTOQUIS 5 COM x 100

FENOFIBRATE
Comprimidos

160 mg CONTROLIP 160 mg CAP x 30

Abbott

277,37

200 mg PROCETOKEN 200 mg CAP x 30

Bernabo

145,73

37,59

32,55

DAUNLIP CAP x 30

Montpellier

211,24

123,10

59,53

CRAVERIL COM x 30

Craveri

229,03

146,29

74,28

LIPTUIN 200 mg CAP x 30

Temis-Lostalo

290,11

194,41

160,90

MINUSLIP 200 mg CAP x 30

Ivax Argentina

295,63

198,10

167,91

DAUNLIP CAP x 60

Montpellier

412,82

233,24

116,34

MINUSLIP 200 mg CAP x 60

Ivax Argentina

520,37

348,69

242,97

Bernabo

193,77

127,31

78,47

300 mg PROCETOKEN 300 mg COM x 30


MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 53 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

300 mg
350 mg SCLEROFIN UD COM x 30

Ivax Argentina

131,01

87,39

56,95

SCLEROFIN UD COM x 60

Ivax Argentina

225,66

127,70

64,85

FENOTEROL BROMHIDRATO
Aerosol

0,1 mg BEROTEC HFA 10 ML AER x 200

Boheringer Ingelheim

79,24

52,95

52,95

Lquido

500 mg BEROTEC 0.5% SOL x 20

Boheringer Ingelheim

50,96

33,99

33,99

500000 ui PEN-ORAL 500.000 U COM x 18

Sanofi Aventis

38,02

25,36

25,36

1000000 PEN-ORAL 1.000.000 U COM x 18


ui

Sanofi Aventis

63,20

42,16

42,16

Sandoz

29,79

5,96

5,96

1500000 PEN-ORAL 1.500.000 U COM x 18


ui

Sanofi Aventis

94,78

63,22

63,22

300000 ui PEN-ORAL CONCENTRADO 60 g 24DS JBE x 120

Sanofi Aventis

83,50

55,95

55,95 INF

PEN-ORAL CONCENTRADO 90 g 36DS JBE x 180

Sanofi Aventis

101,99

65,20

65,20 INF

3000000 GRAMPENIL NF 300000 UI/5ml JBE x 120


ui

Nova Argentia

70,22

46,28

46,28

GRAMPENIL NF 300000 UI/5ml JBE x 180

Nova Argentia

87,80

46,36

46,36 INF

Casasco

27,39

9,60

9,60

103,59

69,42

69,42

FENOXIMETILPENICILINA
Comprimidos

PENICILINA V SANDOZ 1 MILL UI COM x 30

Lquido

FEXOFENADINA
Comprimidos

60 mg ALERCAS 60 mg COM x 10
ALLEGRA 60 mg CAP x 20
120 mg ALERCAS 120 mg COM x 10

Casasco

63,43

31,40

31,40

ALERFEDINE 120 mg COM x 10

Lazar

83,18

54,75

54,75

ALLEGRA 120 mg COM x 10

Sanofi Aventis

104,30

69,89

69,89

TERFEMAX 120 mg COM x 10

Temis-Lostalo

105,09

70,41

70,41

ALERFEDINE 120 mg COM x 30

Lazar

228,61

145,66

145,66

ALERCAS 120 mg COM x 30

Casasco

236,37

155,49

155,49

ALLEGRA 120 mg COM x 30

Sanofi Aventis

265,14

177,67

177,67

TERFEMAX 120 mg COM x 30

Temis-Lostalo

276,30

185,15

185,15
80,51

180 mg ALERFEDINE 180 mg COM x 10

Lquido

Sanofi Aventis

Lazar

128,68

80,51

ALERCAS 180 mg COM x 10

Casasco

136,90

90,96

90,96

ALLEGRA 180 mg COM x 10

Sanofi Aventis

151,72

101,67

101,67

TERFEMAX 180 mg COM x 10

Temis-Lostalo

157,48

105,52

105,52

ALERFEDINE 180 mg COM x 20

Lazar

188,89

64,51

64,51

62,69

38,38

38,38

Sanofi Aventis

120,13

80,50

80,50

Gobbi

116,72

76,96

51,30

30 mg ALERCAS SUS x 90
ALLEGRA SUS x 150

Casasco

FINASTERIDE
Comprimidos

5 mg PROSTANOVAG 5 mg COM x 15
NASTERIL 5 mg COM x 30

Asofarma

84,18

16,84

16,84

UROTOTAL 5 mg COM x 30

Fortbenton Co.

89,13

21,86

21,86

AVERTEX 5 mg COM x 30

Beta

110,02

27,05

27,05

PROSTANIL 5 mg COM x 30

Lepetit

137,35

30,67

30,67

Q-PROST 5 mg COM x 30

Ariston

169,04

65,95

37,74

FINTERAC 5 mg COM x 30

Eurolab

205,35

115,50

58,28

PROSTENE 5 mg COM x 30

Ivax Argentina

217,44

131,57

71,94

TEALEP 5 mg COM x 30

Raffo

228,25

147,39

109,80

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 54 de 130

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DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

5 mg PROSTANOVAG 5 mg COM x 30
FINASTERIN 5 mg COM x 30

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Gobbi

229,28

148,69

92,27

Finadiet

328,24

219,95

189,01

FLECAINIDA ACETATO
Comprimidos

100 mg DIONDEL COM x 20

Roemmers

63,60

42,62

30,56

DIONDEL COM x 50

Roemmers

147,64

97,66

60,68

Janssen-Cilag

30,76

20,52

20,52

Janssen-Cilag

31,65

21,11

21,11

Raffo

18,46

3,69

3,69

Lazar

98,77

65,88

65,88

Raffo

80,06

34,22

34,22

MUTUM 50 mg COM x 15

Raffo

88,40

17,68

17,68

Lazar

302,78

199,56

199,56

MUTUM 100 mg COM x 15

Raffo

582,08

387,87

387,87

MUTUM 100 mg COM x 30

Raffo

342,83

68,57

68,57

FUNGOCINA 100 mg COM x 30

Lazar

700,46

176,38

176,38

Roemmers

37,41

21,04

21,04

Biol

38,68

23,10

23,10

Geminis Farmaceutica

43,16

28,49

28,49

Investi

44,43

29,77

29,77

Casasco

48,86

32,74

32,74

Raymos

52,94

34,95

34,95

Baliarda

52,58

35,23

35,23

Ingens S.A.

52,48

35,66

35,66

Lazar

60,46

40,51

40,51

FLUBENDAZOL
Comprimidos
Lquido

100 mg FLUMOXAL COM x

2000 mg FLUMOXAL ORAL SUS x 30

FLUCONAZOL
Comprimidos

50 mg MUTUM 50 mg COM x

FUNGOCINA 50 mg COM x
MUTUM 50 mg COM x

100 mg FUNGOCINA 100 mg COM x

150 mg MICOLIS NOVO 150 mg CAP x


DAMICOL 150 mg CAP x
NIMIC 150 mg COM x

MICORAL FLUCO CAP x

ANTIMICON 150 mg COM x

HONGUIL PLUS ORAL CAP x

FLUCOGINKAN 150 mg COM x


PERIPLUM 150 mg CAP x
FUNGOCINA 150 mg COM x
MUTUM 150 mg COM x

1
1

FEMIXOL 150 mg COM x

Raffo

61,98

41,53

41,53

Omega

92,35

63,05

63,05

Sandoz

55,41

15,90

15,90

Raymos

62,50

25,39

25,39

Szama

63,65

26,18

26,18

FUNGICIL 150 mg CAP x


FLUZOL 150 mg COM x

PROSEDA F 150 mg COM x


NAXO C 150 mg CAP x

Astrazeneca

70,42

36,01

36,01

MICOLIS NOVO 150 mg CAP x

2
2

Roemmers

74,27

41,32

41,32

FLUCOGINKAN 150 mg COM x

Baliarda

77,20

45,26

45,26

MICORAL FLUCO CAP x

Investi

77,77

46,02

46,02

DAMICOL 150 mg CAP x

Biol

78,50

47,70

47,70

Andromaco

83,36

53,94

53,94

Geminis Farmaceutica

83,42

54,02

54,02

Casasco

92,95

62,28

62,28

Raymos

101,21

66,82

66,82

Ingens S.A.

100,82

68,50

68,50

Pfizer

115,20

77,19

77,19

Lazar

117,77

78,92

78,92

FLUPEC 150 mg COM x


NIMIC 150 mg COM x

ANTIMICON 150 mg COM x

HONGUIL PLUS ORAL CAP x


PERIPLUM 150 mg CAP x

TRIFLUCAN 150 mg CAP x

FUNGOCINA 150 mg COM x


MUTUM 150 mg COM x

Raffo

121,27

81,26

81,26

FEMIXOL 150 mg COM x

Omega

173,10

118,19

118,19

FUNGICIL 150 mg CAP x

Sandoz

91,54

18,31

18,31

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 55 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

150 mg PROSEDA F 150 mg COM x

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Szama

106,09

27,55

27,55

Roemmers

118,36

39,30

39,30

Raymos

118,49

40,78

40,78

Baliarda

125,85

50,17

50,17

Investi

135,87

64,95

64,95

Geminis Farmaceutica

138,01

69,71

69,71

Andromaco

147,17

82,34

82,34

Ingens S.A.

151,92

85,69

85,69

Casasco

155,85

92,44

92,44

Raymos

175,43

115,82

115,82

Lazar

194,19

130,13

130,13

Raffo

213,86

143,30

143,30

Pfizer

216,64

145,17

145,17

Geminis Farmaceutica

211,14

53,84

53,84

Raymos

227,43

69,42

69,42

Andromaco

245,29

94,42

94,42

Ingens S.A.

267,76

120,63

120,63

Raffo

372,07

249,32

249,32

Lazar

510,99

332,14

332,14

MUTUM 200 mg COM x 10

Raffo

652,89

437,50

437,50

FUNGOCINA 200 mg COM x 30

Lazar

1.377,40

555,60

555,60

MUTUM 200 mg COM x 30

Raffo

1.665,56

963,61

963,61

Investi

47,85

31,92

31,92

Sandoz

51,84

33,70

33,70

187 mg ULTRAPROCT PDA x 10

Bayer Consumer

54,33

35,87

35,87

ULTRAPROCT PDA x 30

Bayer Consumer

128,95

81,76

81,76

1,24 mg ULTRAPROCT FOLIA SUP x 12

Bayer Consumer

52,47

34,47

34,47

100 mg FLAREX OFT. SUS x

Alcon

140,99

94,47

94,47

49,71

12,23

12,23

128,17

85,49

85,49

23,37

4,67

4,67

102,65

68,78

68,78

MICOLIS NOVO 150 mg CAP x


FLUZOL 150 mg COM x

FLUCOGINKAN 150 mg COM x


MICORAL FLUCO CAP x
NIMIC 150 mg COM x

FLUPEC 150 mg COM x

PERIPLUM 150 mg CAP x

ANTIMICON 150 mg COM x

HONGUIL PLUS ORAL CAP x

FUNGOCINA 150 mg COM x


MUTUM 150 mg COM x

TRIFLUCAN 150 mg COM x


NIMIC 150 mg COM x

HONGUIL PLUS ORAL CAP x


FLUPEC 150 mg COM x

PERIPLUM 150 mg CAP x


MUTUM 150 mg COM x

200 mg FUNGOCINA 200 mg COM x

FLUNITRAZEPAN
Comprimidos

1 mg ROHYPNOL 1 mg COM x 30
PRIMUM 1 mg COM x 30

FLUOCORTOLONA +
CINCOCAINA CLOROHIDRATO
Pomada

Supositorios

FLUOROMETALONA
Lquido

FML LIQUIFILM OFT. SOL x 10

Allergan-Loa

FLUOXETINA
Comprimidos

10 mg FOXETIN 10 mg COM x 30

Gador

20 mg MITILASE 20 mg COM x 10

Spedrog Caillon

PROZAC 20 mg CAP x 14

Eli Lilly

ALENTAL 20 mg COM x 20

Soubeiran Chobet

61,91

18,76

18,76

FOXETIN 20 mg COM x 20

Gador

90,30

57,10

57,10

PROZAC 20 mg CAP x 28

Eli Lilly

260,78

174,75

174,75

PROZAC DISPER. 20 mg COM x 28

Eli Lilly

260,78

174,75

174,75

FLUOXIRAM 20 mg COM x 30

Ariston

36,16

7,23

7,23

MITILASE 20 mg COM x 30

Spedrog Caillon

57,37

11,47

11,47

NEURO LAZ 20 mg COM x 30

Lazar

61,18

12,24

12,24

ANIMEX-ON 20 mg COM x 30

Bernabo

69,41

15,50

15,50

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 56 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

20 mg NEUPAX 20 mg COM x 30

Bag

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

80,36

19,76

19,76

SAURAT 20 mg COM x 30

Ivax Argentina

104,08

42,33

42,33

FOXETIN 20 mg COM x 30

Gador

156,29

104,73

104,73

EQUILIBRANE 20 mg COM x 30

Temis-Lostalo

156,41

104,81

104,81

ALENTAL 20 mg COM x 40

Soubeiran Chobet

118,33

32,26

32,26

FOXETIN 20 mg COM x 40

Gador

179,10

105,72

105,72

FLUOXIRAM 20 mg COM x 60

Ariston

66,38

13,28

13,28

EQUILIBRANE 20 mg COM x 60

Temis-Lostalo

299,48

200,68

200,68

FOXETIN 20 mg COM x 60

Gador

300,58

201,41

201,41

Eli Lilly

189,03

127,92

127,92

Gador

72,64

48,45

48,45

Savant

32,09

21,50

21,50

Gador

35,18

23,57

23,57

CLINADOL FORTE FEM 100 mg COM x 10

Gador

61,06

40,92

40,92

FLURBIXIM 100 mg COM x 16

Savant

48,31

23,95

23,95

CLINADOL FORTE 100 mg COM x 16

Gador

52,34

29,52

29,52

Gador

60,41

40,29

40,29

90 mg PROZAC DURAPAC 90 mg LIB.RET. CAP x

FLURBIPROFENO
Colutorio

100 mg CLINADOL CLT x 150

Comprimidos

100 mg FLURBIXIM 100 mg COM x

CLINADOL FORTE 100 mg COM x

200 mg CLINADOL FORTE AP 200 mg COM x

FLUTICASONA
Aerosol

0,05 mg FLIXOTIDE 50 mcg INHAL. AER x 120

GlaxoSmithkline

211,93

139,91

139,91

0,0275 ALENYS NASAL AER x 120


mg

GlaxoSmithkline

171,62

112,76

112,76

0,05 mg RINISONA BRONQUIAL 50 mcg AER x 120

Phoenix

166,13

111,32

111,32

GlaxoSmithkline

186,19

122,92

122,92

RINISONA BRONQUIAL 125 mcg AER x 120

Phoenix

217,26

75,02

75,02

FLUTICORT 125 mcg HFA AER x 120

Cassara

166,49

109,92

109,92

RINISONA BRONQUIAL 125 C/AEROC AER x 120

Phoenix

300,67

191,79

191,79

FLIXOTIDE 125 mcg INHAL. AER x 120

GlaxoSmithkline

317,55

209,64

209,64

0,25 mg FLIXOTIDE 250 mcg INHAL. AER x 60

GlaxoSmithkline

186,55

123,16

123,16

RINISONA BRONQUIAL 250 mcg AER x 120

Phoenix

221,38

72,21

72,21

FLUTICORT 250 mcg HFA AER x 120

Cassara

188,80

123,27

123,27

FLIXOTIDE 250 mcg INHAL. AER x 120

GlaxoSmithkline

329,58

217,59

217,59

Inhahaldor con
sistemas

0,25 mg FLIXOTIDE 250 mcg DISKUS INH x 60

GlaxoSmithkline

170,64

112,66

112,66

Lquido

0,05 mg FLIXONASE ACUOSO NASAL SOL x 120

GlaxoSmithkline

154,38

101,92

101,92

Spray

0,05 mg FLUTICORT 50 mcg NASAL SPR x 60

Cassara

51,85

33,26

33,26

PROAIR NASAL ACUOSO SPR x 60

Montpellier

55,97

35,86

35,86

INHALAN NASAL SPR x 60

Casasco

54,92

35,97

35,97

BALIVENT NASAL SPR x 60

Baliarda

56,32

37,72

37,72

RINISONA NASAL 50 mcg SPR x 60

Phoenix

58,55

39,11

39,11

BRONQUILAIR NASAL SPR x 120

Atlas

84,89

34,50

34,50

FLUTI-K 50 mcg NASAL SPR x 120

Raffo

105,46

64,89

64,89

PROAIR NASAL ACUOSO SPR x 120

Montpellier

111,85

71,60

71,60

BALIVENT NASAL SPR x 120

Baliarda

112,21

74,90

74,90

INHALAN NASAL SPR x 120

Casasco

112,78

75,57

75,57

RINISONA NASAL 50 mcg SPR x 120

Phoenix

117,13

78,25

78,25

0,125 mg FLIXOTIDE 125 mcg INHAL. AER x 60

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 57 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Spray

NOMBRE COMERCIAL

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

0,05 mg
50 mg LIDIL CORT NASAL SPR x 60

Roemmers

61,62

41,29

41,29

LIDIL CORT NASAL SPR x 120

Roemmers

117,84

79,00

79,00

80 mg LESCOL XL 80 mg COM x 28

Novartis

150,97

99,19

99,19

1 mg ARISFOLIC 1 mg COM x 30

FLUVASTATINA
Comprimidos

FOLICO, CIDO
Comprimidos

Ariston

19,76

3,95

3,95

CONACID 1 mg COM x 30

Purissimus

24,66

6,67

6,67 MAT

COFLIC 1 mg COM x 30

Baliarda

25,65

7,68

7,68 MAT

BERNAFOLIC 1 mg COM x 30

Bernabo

30,63

14,71

14,71 MAT

GYNOFOL 1 mg COM x 30

P.Fabre Medicamentos

32,93

17,93

17,93 MAT

EGESTAN FOLICO 1 mg COM x 30

Elea

39,99

26,79

26,79 MAT

RONFOLIC 1 mg COM x 30

Astrazeneca

41,43

27,76

27,76

ACIFOL 1 mg COM x 30

Dominguez

42,85

28,71

28,71 MAT

BIOLFOLIC 1 mg COM x 30

Biol

44,93

29,66

29,66

NEXOVITAL FOLICO 1 mg COM x 30

Andromaco

45,60

30,11

30,11 MAT

TANVIMIL FOLICO 1 mg COM x 30

Raymos

52,21

34,47

34,47 MAT

FOLINEMIC 1 mg COM x 30

Bag

59,89

40,13

40,13

ACIDO FOLICO OMEGA 1 mg COM x 30

Omega

88,15

60,19

60,19

BERNAFOLIC 1 mg COM x 60

Bernabo

49,28

13,37

13,37

EGESTAN FOLICO 1 mg COM x 60

Elea

60,38

27,34

27,34 MAT

RONFOLIC 1 mg COM x 60

Astrazeneca

71,00

42,07

42,07

ACIFOL 1 mg COM x 60

Dominguez

72,82

44,46

44,46 MAT

NEXOVITAL FOLICO 1 mg COM x 60

Andromaco

77,45

51,00

51,00

TANVIMIL FOLICO 1 mg COM x 60

Raymos

82,11

54,18

54,18 MAT

FOLINEMIC 1 mg COM x 60

Bag

100,95

67,64

67,64

Trb-Pharma

23,40

15,68

15,68

ARISFOLIC 5 mg COM x 30

Ariston

24,86

4,97

4,97

CONACID 5 mg COM x 30

Purissimus

32,45

9,29

9,29 MAT

AZOLAC FOLICO 5 mg COM x 30

Takeda

32,68

9,59

9,59 MAT

COFLIC 5 mg COM x 30

Baliarda

34,12

10,97

10,97 MAT

ANFOLIC 5 mg COM x 30

Trb-Pharma

36,49

14,11

14,11 MAT

BERNAFOLIC 5 mg COM x 30

Bernabo

38,61

17,80

17,80 MAT

SUPRAFOL 5 mg COM x 30

Investi

42,83

23,26

23,26 MAT

GYNOFOL 5 mg COM x 30

P.Fabre Medicamentos

42,60

23,41

23,41 MAT

EGESTAN FOLICO 5 mg COM x 30

Elea

50,58

33,40

33,40 MAT

RONFOLIC 5 mg COM x 30

Astrazeneca

53,26

35,69

35,69

ACIFOL 5 mg COM x 30

Dominguez

55,99

37,52

37,52 MAT

BIOLFOLIC 5 mg COM x 30

Biol

57,68

38,08

38,08

NEXOVITAL FOLICO 5 mg COM x 30

Andromaco

59,91

39,55

39,55

TANVIMIL FOLICO 5 mg COM x 30

Raymos

68,49

45,22

45,22 MAT

FOLINEMIC 5 mg COM x 30

Bag

78,19

52,39

52,39

ACIDO FOLICO OMEGA 5 mg COM x 30

Omega

101,85

69,54

69,54

AZOLAC FOLICO 5 mg COM x 60

Takeda

55,75

13,71

13,71

BERNAFOLIC 5 mg COM x 60

Bernabo

63,93

17,74

17,74 MAT

GYNOFOL 5 mg COM x 60

P.Fabre Medicamentos

72,44

28,51

28,51 MAT

EGESTAN FOLICO 5 mg COM x 60

Elea

84,62

45,09

45,09 MAT

RONFOLIC 5 mg COM x 60

Astrazeneca

91,71

54,66

54,66

ACIFOL 5 mg COM x 60

Dominguez

95,32

59,37

59,37 MAT

5 mg ANFOLIC 5 mg COM x 10

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 58 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

03/02/2015

NOMBRE COMERCIAL

Comprimidos

LABORATORIO

5 mg NEXOVITAL FOLICO 5 mg COM x 60

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Andromaco

100,00

66,02

66,02

TANVIMIL FOLICO 5 mg COM x 60

Raymos

105,95

69,95

69,95

FOLINEMIC 5 mg COM x 60

Bag

133,11

89,20

89,20

10 mg COFLIC 10 mg COM x 30

Baliarda

46,17

11,35

11,35

TANVIMIL FOLICO 10 mg COM x 30

Raymos

79,53

45,91

45,91 MAT

ACIFOL 10 mg COM x 30

Dominguez

102,88

68,94

68,94 MAT

TANVIMIL FOLICO 10 mg COM x 60

Raymos

132,35

54,12

54,12 MAT

ACIFOL 10 mg COM x 60

Dominguez

175,23

111,44

111,44 MAT

5 mg ACIFOL GTS x 10

Dominguez

64,73

43,37

43,37

5 mg TANVIMIL FOLICO GTS x 20

Raymos

65,32

16,14

16,14

0,006 mg XANOL 6 mcg CAP x 30

Phoenix

113,20

75,50

75,50

XANOL 6 mcg CAP x 60

Phoenix

131,11

87,45

87,45

0,0045 FORMOVENT INH x 30


mg

Atlas

126,69

83,64

83,64

FORMOVENT INH x 60

Atlas

190,66

112,07

112,07

OXIS TURBUHALER 4.5 mcg INH x 60

Astrazeneca

191,08

127,46

127,46

Astrazeneca

257,92

172,04

172,04

Monserrat

32,85

21,29

21,29

Gador

34,35

22,92

22,92

Sanitas

172,82

113,51

113,51

Gador

41,76

27,98

27,98

48 mg COLONIL ORAL SOL x 45

Eurofarma

91,12

53,55

53,55

48000 GADOLAX ORAL SOL x 45


mg
FOSFO DOM SOL x 45

Gador

89,36

59,79

59,79

Dominguez

102,97

69,00

69,00

100 mg UROFURAN 100 mg CAP x 30

Eurolab

123,25

51,99

51,99

FURADANTINA MC 100 mg CAP x 36

Bag

211,26

141,55

141,55

URODANTINA 100 mg CAP x 40

Boheringer Ingelheim

99,66

24,50

24,50

Eurolab

125,85

75,40

75,40

Bag

141,78

95,01

95,01

Gotas

FORMOTEROL
Comprimidos

Inhahaldor con
sistemas

0,009 mg OXIS TURBUHALER 9 mcg INH x 60

FOSFATO MONOSDICO +
FOSFATO DISDICO
Enema

Frasco
Lquido

18000 KRITEL ENE x 135


mg
ENEMOL ENE x 135
48000 FOSFACOL 2F 45 ML FCO x
mg
0

ENEMOL DH BISODICA 31 g SOL x 135

FURADANTINA
Comprimidos

Lquido

25 mg UROFURAN 25 MG/5 ML ORAL SUS x 120


500 mg FURADANTINA SUS x 120

FUROSEMIDA
Ampollas

20 mg LASIX 20 MG/2 ML AMP x 10

Sanofi Aventis

80,88

53,95

34,16

Comprimidos

25 mg NURIBAN 25 mg COM x 45

Roux Ocefa

68,07

45,41

28,75

40 mg FUROTRAL 40 mg COM x 30

Lepetit

34,00

10,00

10,00

FUROSEMIDA FECOFAR COM x 30

Fecofar

58,08

23,45

23,45

LASIX 40 mg COM x 30

Sanofi Aventis

108,93

72,99

62,72

DAFIL 40 mg COM x 40

Sidus

74,16

23,76

16,56

KOLKIN FUROSEMIDA 40 mg COM x 50

Duncan

35,28

7,88

7,88

FABOFUROX 40 mg COM x 50

Savant

39,60

7,92

7,92

FUROSEMIDA VANNIER COM x 50

Vannier S.A.

46,84

10,46

10,46

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 59 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

Gotas

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

40 mg RETEP 40 mg COM x 50

Lab Internacional
Argentino

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

70,18

17,26

17,26

ERROLON COM x 50

Nova Argentia

77,85

19,15

19,15

LASIX 40 mg COM x 50

Sanofi Aventis

139,60

91,22

71,41

LASIX 40 mg COM x 60

Sanofi Aventis

217,86

145,99

125,45

50 mg NURIBAN 50 mg COM x 45

Roux Ocefa

83,16

56,27

36,52

20 mg NURIBAN GTS x 15

Roux Ocefa

54,56

36,92

23,96 INF

FUSDICO, CIDO
Crema

Gotas

2000 mg ARZIMOL 2% CRE x 15

Lazar

63,22

24,10

24,10

FUSITOP CRE x 15

Hlb Pharma

81,36

53,05

53,05

GELBIOTIC CRE x 15

Raymos

87,22

57,31

57,31

ACIFUSIN CRE x 15

Andromaco

89,92

59,36

59,36

Bausch & Lomb Argentina

31,55

20,40

20,40

Casasco

120,94

62,56

62,56

ULTRANEURAL 100 mg COM x 30

Raffo

123,72

66,41

66,41

ARAPENTIN 100 mg CAP x 30

Ariston

124,75

69,17

69,17

NEURONTIN 100 mg CAP x 90

Pfizer

580,78

389,18

389,18

LOGISTIC 100 mg COM x 100

Craveri

435,41

252,57

252,57

NEURONTIN 100 mg CAP x 100

Pfizer

645,30

432,41

432,41

Ariston

191,83

121,14

121,14

ELIFER 300 mg COM x 30

Casasco

196,33

125,30

125,30

ULTRANEURAL 300 mg COM x 30

Raffo

209,64

140,48

140,48

LOGISTIC 300 mg COM x 30

Craveri

233,52

156,48

156,48

NEURONTIN 300 mg CAP x 30

Pfizer

403,15

270,15

270,15

ARAPENTIN 300 mg CAP x 60

Ariston

354,11

203,64

203,64

ELIFER 300 mg COM x 60

Casasco

360,74

208,94

208,94

ULTRANEURAL 300 mg COM x 60

Raffo

374,54

227,18

227,18

LOGISTIC 300 mg COM x 60

Craveri

431,22

288,96

288,96

NEURONTIN 300 mg CAP x 60

Pfizer

645,30

432,41

432,41

Raffo

209,78

137,83

137,83

LOGISTIC 400 mg COM x 30

Craveri

215,36

143,65

143,65

ULTRANEURAL 400 mg COM x 60

Raffo

359,92

236,48

236,48

LOGISTIC 400 mg COM x 60

Craveri

376,09

250,86

250,86

NEURONTIN 400 mg CAP x 60

Pfizer

830,01

553,64

553,64

1000 mg BIOFUCID OFT. VISCOSAS GTS x

GABAPENTIN
Comprimidos

100 mg ELIFER 100 mg COM x 30

300 mg ARAPENTIN 300 mg CAP x 30

400 mg ULTRANEURAL 400 mg COM x 30

600 mg ARAPENTIN 600 mg COM x 30

Ariston

248,15

142,55

142,55

ELIFER 600 mg COM x 30

Casasco

252,72

146,16

146,16

ULTRANEURAL 600 mg COM x 30

Raffo

264,01

161,07

161,07

LOGISTIC 600 mg COM x 30

Craveri

281,62

183,67

183,67

NEURONTIN 600 mg COM x 30

Pfizer

497,73

333,52

333,52

Raffo

279,46

183,62

183,62

Craveri

303,66

202,55

202,55

Purissimus

36,04

23,31

23,31 INF

Hemoderivados

60,71

40,08

40,08 INF

800 mg ULTRANEURAL 800 mg COM x 30


LOGISTIC 800 mg COM x 30

GAMMAGLOBULINA
INESPECFICA
Ampollas

320 mg IGG IM 320 mg 2 ML AMP x

330 mg GAMMAGLOBULINA T 16.5% 2ML AMP x

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 60 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Ampollas

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

330 mg
800 mg IGG IM 800 mg 5 ML AMP x

Purissimus

825 mg GAMMAGLOBULINA T 16.5% 5ML AMP x

89,74

58,04

58,04

Hemoderivados

151,17

99,80

99,80

64,69

GEMFIBROZIL
Comprimidos

600 mg LOPID 600 mg COM x 30

Pfizer

150,76

101,02

GEMFIBROZIL 600 mg COM x 30

Roux Ocefa

153,78

104,52

68,28

HIPOLIXAN 600 COM x 30

Bag

220,83

147,98

127,16

LOPID 600 mg COM x 60

Pfizer

255,54

144,49

72,02

GEMFIBROZIL 600 mg COM x 60

Roux Ocefa

297,72

196,87

122,76

HIPOLIXAN 600 COM x 60

Bag

401,97

269,35

231,46

Roux Ocefa

203,42

138,27

92,53

HIPOLIXAN 900 COM x 30

Bag

232,19

155,59

131,16

LOPID UD 900 mg COM x 15

Pfizer

103,02

69,03

48,35

LOPID UD 900 mg COM x 30

Pfizer

193,14

127,43

78,98

Richet

58,61

32,65

32,65

MSD Arrgentina SR

76,98

51,58

51,58

Bag

40,26

9,90

9,90

Bag

80,97

54,01

54,01

Andromaco

13,68

3,06

3,06

101,08

67,73

67,73

Medisol

24,90

4,98

4,98

Poen

43,48

29,00

900 mg GEMFIBROZIL R.O. 900 mg COM x 30

GENTAMICINA
Ampollas

80 mg GENTAMICINA RICHET 80 mg AMP x


GENTAMINA 80 mg 2 ML AMP x
GLEVOMICINA 80 mg AMP x

400 mg GLEVOMICINA 400 MULTIDOSIS AMP x


Crema

100 mg GENTAREN CRE x 15


GENTAMINA CRE x 20
1000 mg GENTADERM 0.1% CRE x 15

Lquido

300 mg PROVISUAL OFT. SOL x 10

MSD Arrgentina SR

29,00 INF

GLIBENCLAMIDA
Comprimidos

5 mg GLITRAL 5 mg COM x 30

Lepetit

17,00

3,40

3,40

BENCLAMID 5 mg COM x 30

Craveri

21,00

5,16

5,16

GARDOTON 5 mg COM x 30

Raffo

21,51

5,29

5,29

GLIBENCLAMIDA TECHSPHERE 5 mg COM x 30

Techsphere

22,11

5,44

5,44

DIABE PASS 5 mg COM x 30

Francelab

28,27

7,68

7,68

GLIBEMIDA 5 mg COM x 30

Temis-Lostalo

30,76

8,87

7,56

DAONIL COM x 30

Sanofi Aventis

34,15

12,66

8,40

GLIDANIL 5 mg COM x 30

Montpellier

35,02

14,00

8,60

PIRA 5 mg COM x 30

Omega

54,24

37,03

32,12

EUGLUCON 5 mg COM x 30

Investi

63,44

42,51

36,53

GLIBENCLAMIDA TECHSPHERE 5 mg COM x 60

Techsphere

41,06

10,10

10,10

BENCLAMID 5 mg COM x 60

Craveri

42,48

10,45

10,45

GARDOTON 5 mg COM x 60

Raffo

42,67

10,49

10,49

DIABE PASS 5 5 mg COM x 60

Francelab

52,35

12,87

12,87

DAONIL COM x 60

Sanofi Aventis

64,39

20,49

15,83

GLIDANIL 5 mg COM x 60

Montpellier

69,58

27,28

17,12

PIRA 5 mg COM x 60

Omega

86,58

50,16

26,79

EUGLUCON 5 mg COM x 60

Investi

115,33

77,28

66,41

BENCLAMID 5 mg COM x 100

Craveri

60,50

14,88

14,88

GLICLAZIDA

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 61 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

30 mg TRADON MR 30 mg COM x 30

Craveri

85,26

57,13

57,13

TRADON MR 30 mg COM x 60

Craveri

168,71

112,18

112,18

60 mg DIAMICRON MR 60 mg COM x 30

Servier

164,39

107,00

107,00

TRADON MR 60 mg COM x 30

Craveri

179,11

120,02

120,02

TRADON MR 60 mg COM x 60

Craveri

352,86

236,45

236,45

Investi

62,35

41,78

41,78

AGLUCIDE 80 mg COM x 30

Beta

49,56

27,61

27,61

UNAVA COM x 60

Investi

156,38

104,79

104,79

Baliarda

63,79

15,69

15,69

GLEMAZ 2 mg COM x 30

Montpellier

91,76

46,65

46,65

DIABUTIL 2 mg COM x 30

Elea

95,32

51,59

51,59

HIPOGLUT 2 mg COM x 30

Gador

110,15

71,14

71,14

ISLOPIR 2 mg COM x 30

Craveri

113,82

75,76

75,76

ADIUVAN 2 mg COM x 30

Lazar

113,86

75,81

75,81

AMARYL 2 mg COM x 30

Sanofi Aventis

124,03

83,11

83,11

ENDIAL 2 mg COM x 30

Roemmers

126,45

84,73

84,73

ISLOPIR 2 mg COM x 60

Craveri

199,48

115,17

115,17

AMARYL 2 mg COM x 60

Sanofi Aventis

218,79

140,35

140,35

ENDIAL 2 mg COM x 60

Roemmers

223,04

145,74

145,74

80 mg UNAVA COM x 20

GLIMEPIRIDE
Comprimidos

2 mg GLIMEPLIC 2 mg COM x 30

4 mg DIABUTIL 4 mg COM x 15

Elea

51,75

10,35

10,35

GLIMEPLIC 4 mg COM x 15

Baliarda

55,14

11,03

11,03

GLEMAZ 4 mg TRIRRAN. COM x 15

Montpellier

97,73

63,05

63,05

ENDIAL 4 mg COM x 15

Roemmers

97,99

63,38

63,38

ISLOPIR 4 mg COM x 15

Craveri

109,52

73,39

73,39

AMARYL 4 mg COM x 15

Sanofi Aventis

116,69

78,19

78,19

GLIMEPLIC 4 mg COM x 30

Baliarda

118,48

29,14

29,14

DIABUTIL 4 mg COM x 30

Elea

168,46

90,47

90,47

GLEMAZ 4 mg TRIRRAN. COM x 30

Montpellier

186,15

114,14

114,14

ADIUVAN 4 mg COM x 30

Lazar

202,72

135,25

135,25

HIPOGLUT 4 mg COM x 30

Gador

206,84

138,60

138,60

AMARYL 4 mg COM x 30

Sanofi Aventis

218,79

146,61

146,61

ISLOPIR 4 mg COM x 30

Craveri

222,48

149,08

149,08

ENDIAL 4 mg COM x 30

Roemmers

223,98

150,09

150,09

GLEMAZ 4 mg TRIRRAN. COM x 60

Montpellier

336,93

180,95

180,95

GLIMEPIRIDE + METFORMINA
Comprimidos

2 mg AMARYL M 2 MG/1 g COM x 15

Sanofi Aventis

58,90

36,37

36,37

ENDIAL MET 2/1000 mg COM x 15

Roemmers

60,32

38,20

38,20

HIPOGLUT MET 2 MG/ 500 mg COM x 30

Gador

113,13

66,59

66,59

AMARYL M 2 MG/1 g COM x 30

Sanofi Aventis

118,13

73,16

73,16

GLEMAZ MET 2/1000 mg COM x 30

Montpellier

120,36

76,03

76,03

HIPOGLUT MET 2 MG/1000 mg COM x 30

Gador

124,76

81,63

81,63

MECTIN PLUS 1000/2 mg COM x 30

Ivax Argentina

132,29

88,65

88,65

ADIUVAN MET 2/1000 COM x 30

Lazar

137,09

91,86

91,86

ENDIAL MET 2/1000 mg COM x 30

Roemmers

146,54

98,19

98,19

GLEMAZ MET 2/1000 mg COM x 60

Montpellier

229,93

138,05

138,05

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 62 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

2 mg

03/02/2015
LABORATORIO

AMARYL MET 2/500 mg (30+60) COM x 90

Sanofi Aventis

102,26

68,22

68,22

Roemmers

101,46

58,53

58,53

AMARYL M 4 MG/1 g COM x 15

Sanofi Aventis

111,13

71,15

71,15

GLEMAZ MET 4/1000 mg COM x 30

Montpellier

213,40

130,87

130,87

AMARYL M 4 MG/1 g COM x 30

Sanofi Aventis

218,79

137,84

137,84

MECTIN PLUS 1000/4 mg COM x 30

Ivax Argentina

228,38

150,03

150,03

HIPOGLUT MET 4 MG/1000 mg COM x 30

Gador

230,87

153,16

153,16

ADIUVAN MET 4/1000 COM x 30

Lazar

243,97

163,48

163,48

ENDIAL MET 4/1000 mg COM x 30

Roemmers

258,51

173,23

173,23

GLEMAZ MET 4/1000 mg COM x 60

Montpellier

405,80

234,02

234,02

AMARYL MET 4/850 mg (30+60) COM x 90

Sanofi Aventis

180,39

120,34

120,34

4 mg ENDIAL MET 4/1000 mg COM x 15

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

NOMBRE COMERCIAL

GLIPIZIDA
Comprimidos

5 mg GLIPIZIDA TECHSPHERE 5 mg COM x 30

Techsphere

41,80

24,46

11,98

MINODIAB 5 mg COM x 30

Pfizer

49,09

32,89

21,96

GLIPIZIDA TECHSPHERE 5 mg COM x 90

Techsphere

114,49

58,50

28,15

MINODIAB 5 mg COM x 90

Pfizer

140,39

92,73

56,21

GLUCAGON
Ampollas

1 mg GLUCAGEN HYPOKIT 1 mg VIAL F.A x

Novo Nordisk

448,97

148,53

148,53

GLUCAGON ORIGEN ADNR 1 mg JPR x

1
1

Eli Lilly

900,89

612,34

612,34

5000 ui GONACOR 5000 IM LIOFILIZADO AMP x

Ferring

263,69

175,89

175,89

MSD Arrgentina SR

434,90

291,42

291,42

Buxton

467,52

308,65

308,65

Investi

182,43

121,69

121,69

Ivax Argentina

46,21

11,36

11,36

Janssen-Cilag

237,10

155,79

96,03

GONADOTROFINA CORINICA
/ HCG
Ampollas

PREGNYL INY. X 1 ML AMP x

DINARON 5000 UI + SOLV. F.A x

GRISEOFULVINA
Comprimidos

500 mg GRISOVIN FP 500 mg COM x 24

HALOPERIDOL
Ampollas

5 mg LIMERIX AMP x

5 mg HALOPIDOL 5 mg 1 ML AMP x
Comprimidos

1 mg NEUPRAM 1 mg COM x 30

Sidus

50,90

33,60

28,66

NEUPRAM 1 mg COM x 60

Sidus

75,70

49,97

41,23

LIMERIX 1 mg COM x 100

Ivax Argentina

46,34

11,40

11,40

HALOPIDOL 1 mg COM x 100

Janssen-Cilag

105,73

68,07

47,42

41,38

20,86

5 mg NEUPRAM 5 mg COM x 30

Sidus

84,84

NEUPRAM 5 mg COM x 60

Sidus

163,17

73,36

36,44

HALOPIDOL 5 mg COM x 60

Janssen-Cilag

223,15

147,32

124,73

LIMERIX 5 mg COM x 100

Ivax Argentina

166,64

40,98

40,98

Sidus

117,46

44,17

26,23

ENABRAN 10 mg COM x 60

Casasco

159,26

39,16

39,16

NEUPRAM 10 mg COM x 60

Sidus

208,86

56,82

46,64

HALOPIDOL 10 mg COM x 60

Janssen-Cilag

418,43

276,25

235,62

LIMERIX 10 mg COM x 100

Ivax Argentina

311,86

76,69

76,69

Ivax Argentina

28,79

7,08

7,08

10 mg NEUPRAM 10 mg COM x 30

Gotas

2 mg LIMERIX GTS x 20

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 63 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

03/02/2015

NOMBRE COMERCIAL

Gotas

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

2 mg

Lquido

200 mg HALOPIDOL 2 MG/ML SOL x 15

Janssen-Cilag

49,88

32,93

28,09

HALOPIDOL 2 MG/ML SOL x 20

Janssen-Cilag

21,25

5,22

5,22

HALOPIDOL 2 MG/ML SOL x 50

Janssen-Cilag

39,25

9,65

9,65

HALOPIDOL 2 MG/ML SOL x 100

Janssen-Cilag

209,08

93,49

46,68

Janssen-Cilag

237,21

155,86

96,07

1000 mg HALOPIDOL FORTE 10 mg SOL x 30

HALOPERIDOL DECANOATO
Ampollas

150 mg HALOPIDOL DECANOATO 3 ML AMP x

Janssen-Cilag

258,40

172,36

109,12

50 mg HALOPIDOL DECANOATO 1 ML AMP x

Janssen-Cilag

139,25

91,49

56,39

Merck Sharp & Dhome

343,76

229,30

229,30

Merck Sharp & Dhome

455,54

305,25

305,25

Sanofi Pasteur

344,19

232,92

232,92

Sanofi Pasteur

432,17

288,27

288,27

GlaxoSmithkline

382,41

248,71

248,71

GlaxoSmithkline

421,37

276,86

276,86

Novartis Vacunas

368,88

180,46

180,46

Novartis Vacunas

469,36

305,08

305,08

Merck Sharp & Dhome

188,39

97,69

97,69

12,90

8,38

8,38

HEPATITIS A ANTIGENO
Ampollas

25 ui VAQTA 25 PED. 0.5 ML JPR x


50 ui VAQTA 50 AD. 1.0 ML JPR x

1
1

80 ui AVAXIM 80 U PEDIAT 0.5 ML JPR x


160 ui AVAXIM 0.5 ML JPR x

720 ui HAVRIX MONODOSIS 720 EL.U. JPR x


1440 ui HAVRIX ADULTOS 1440 EL.U JPR x

250 ui VIROHEP A JUNIOR 0.25 ML JPR x


500 ui VIROHEP-A 0.5 ML JPR x

HEPATITIS B ANTIGENO
SUPERF. DEL VIRUS
Ampollas

0,005 mg HB VAX PRO IM 5 mcg 1 ML F.A x

0,01 mg AG B 10 mcg UNIJECT X 0.5 ML JPR x

Cassara

ENGERIX-B PEDIATRICO 0.5 ML JPR x

GlaxoSmithkline

115,19

58,06

58,06

Cia.Arg. Investigaciones
Farmaceuticas

111,28

74,23

74,23

Sanofi Pasteur

179,31

92,97

92,97

BIOVAC HB 10 mcg F.A x

HEPATIVAX JUNIOR 0.5 ML F.A x

0,02 mg AG B 20 mcg UNIJECT X 1 ML JPR x


BIOVAC HB 20 mcg F.A x

Cassara

18,90

3,78

3,78

Cia.Arg. Investigaciones
Farmaceuticas

147,48

78,81

78,81

ENGERIX-B 1 ML JPR x

GlaxoSmithkline

158,77

95,55

95,55

HEPATIVAX 1 ML F.A x

Sanofi Pasteur

221,35

148,33

148,33

Merck Sharp & Dhome

283,74

189,26

189,26

Bag

660,09

419,18

419,18

0,04 mg HB VAX PRO IM 40 mcg 1 ML F.A x

HIALURONICO, CIDO
Ampollas

20 mg HYALART 2 ML JPR x

CRUZAL 20 2 ml + aguja JPR x

Finadiet

734,97

492,50

492,50

40 mg CRUZAL 40 2 ml + aguja JPR x

Finadiet

1.405,01

937,18

937,18

Gel

3 mg HYALOMB VISC OFT. GEL x 10

Bausch & Lomb Argentina

74,85

48,41

48,41

Lquido

3 mg HYALOMB OFT. SOL x 10

Bausch & Lomb Argentina

140,47

95,49

95,49

HIDROCLOROTIAZIDA
Comprimidos

12,5 mg DIUREX 12.5 mg COM x 30

Bag

66,02

44,04

27,88

25 mg DIUREX 25 mg COM x 30

Bag

70,98

47,35

29,98

50 mg DIURAL 50 mg COM x 15

Lepetit

23,00

6,20

6,20

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 64 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
50 mg DIURAL 50 mg COM x 30

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Lepetit

45,00

10,90

9,80

TANDIUR COM x 30

Raymos

64,85

37,07

17,56

DIUREX 50 mg COM x 60

Bag

152,71

102,33

65,37

12,5 mg DIUREX A 12.5/1.25 mg COM x 30

Bag

37,68

25,14

15,92

25 mg DIUREX A 25/2.5 mg COM x 30

Bag

36,54

24,37

15,43

50 mg MODURETIC 50/5 mg COM x 30

HIDROCLOROTIAZIDA +
AMILORIDA
Comprimidos

Merck Sharp & Dhome

35,37

22,28

12,18

DIUREX A 50/5 mg COM x 30

Bag

46,46

31,13

26,75

MODURETIC 50/5 mg COM x 50

Merck Sharp & Dhome

49,56

23,85

13,27

HIDRENOX A COM x 50

Ivax Argentina

74,30

49,79

41,30

10 mg HIDROTISONA 10 mg COM x 30

Sanofi Aventis

49,23

32,84

32,84

Roemmers

46,40

30,95

30,95

Cassara

28,90

14,58

14,58

DEMACORT 1% CRE x 15

Andromaco

43,21

28,53

28,53

MICROSONA 1% CRE x 15

Roemmers

49,15

32,93

32,93

TRANSDERMA H CRE x 20

Szama

91,46

62,58

62,58

ALFACORT 1% CRE x 30

Cassara

40,15

13,03

13,03

MEDROCIL 1% BOMBA DISP. CRE x 30

Fortbenton Co.

67,46

25,97

25,97

Roemmers

61,17

40,99

40,99

Fortbenton Co.

98,13

53,76

53,76

Cassara

83,87

55,37

55,37

Monserrat

56,45

23,20

23,20

HIDROCORTISONA
Comprimidos
Crema

500 mg MICROSONA 0.5% CRE x 15


1000 mg LACTID HC 1% CRE x 15

2000 mg MICROSONA 2% CRE x 15


MEDROCIL 2% BOMBA DISP. CRE x 30
Emulsin

1000 mg ALFACORT 1% EMU x 100

HIDROCORTISONA +
LIDOCAINA
Pomada

250 mg XILOCLER RECTAL PDA x 15


5000 mg LIDOCORT PROCT PDA x 10

Northia

31,08

20,20

20,20

PROCTYL HC PDA x 10

Takeda

55,68

37,31

37,31

PROCTYL HC PDA x 30

Takeda

113,97

67,86

67,86

Andromaco

23,64

15,61

15,61

Elea

49,56

33,21

33,21

Cassara

56,26

37,14

37,14

250 mg XYLOPROCTO PDA x 10

Astrazeneca

56,52

37,87

37,87

XYLOPROCTO PDA x 30

Astrazeneca

115,72

64,00

64,00

5 mg XYLOPROCTO SUP x 12

Astrazeneca

86,85

57,93

57,93

Elea

55,23

37,01

37,01

HIDROCORTISONA +
VITAMINA A
Pomada

1000 mg HIPOGLOS C/HIDROCORTISONA PDA x 10

HIDROCORTISONA ACETATO
Crema
Pomada

1116 mg ANUSOL HC CRE x 10


350 mg ALFACORT OFTAL. UNIDOSIS PDA x 20

HIDROCORTISONA ACETATO
+ LIDOCAINA
Pomada

Supositorios

HIDROCORTISONA ACETATO
+ PRAMOXINA
Crema

1000 mg ANUSOL DUO CRE x 10

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 65 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

03/02/2015

NOMBRE COMERCIAL

Supositorios

LABORATORIO

5 mg ANUSOL DUO S SUP x 12

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Elea

47,11

31,43

31,43

2,5 mg ORALSONE COM x 12

Gramn-Millet

65,27

43,09

43,09

10 mg ATARAXONE 10 mg COM x 20

Lazar

69,72

46,50

46,50

25 mg ATARAXONE 25 mg COM x 20

Lazar

95,06

63,41

63,41

50 mg ATARAXONE 50 mg COM x 20

Lazar

185,93

124,02

124,02

1000 mg ATARAXONE GTS x 20

Lazar

61,47

41,00

41,00

200 mg ATARAXONE JBE x 120

Lazar

98,56

65,74

65,74

200 mg NARBON 200 mg COM x 30

Buxton

157,27

103,83

103,83

AXOKINE 200 mg COM x 30

Astrazeneca

171,62

115,00

115,00

METIREL 200 mg COM x 30

Astrazeneca

221,31

148,30

148,30

EVOQUIN COM x 60

Ivax Argentina

241,65

142,94

142,94

POLIRREUMIN 200 mg COM x 60

Trb-Pharma

265,71

173,99

173,99

NARBON 200 mg COM x 60

Buxton

302,53

199,73

199,73

AXOKINE 200 mg COM x 60

Astrazeneca

298,69

200,15

200,15

METIREL 200 mg COM x 60

Astrazeneca

410,08

274,79

274,79

PLAQUENIL 200 mg COM x 60

Sanofi Aventis

411,33

275,63

275,63

Bayer (PH)

117,75

78,54

78,54

73,25

47,37

47,37

122,23

81,91

81,91

HIDROCORTISONA
HEMISUCCINATO
Comprimidos

HIDROXICINA
Comprimidos

Gotas
Lquido

HIDROXICLOROQUINA
Comprimidos

HIDROXIPROGESTERONA
Ampollas

500 mg PROLUTON DEPOT 500 IM 2 ML AMP x

HIDROXIPROPILMETILCELULO
SA
Gel

300 mg GENTEAL OFT. GEL x 10

Gotas

3 mg LATLAS TEARS OFT. GTS x 15


300 mg GENTEAL OFT. GTS x 10

Lquido

Novartis
Atlas
Novartis

45,22

22,22

22,22

ARTELAC GTS x 10

Bausch & Lomb Argentina

72,10

48,76

48,76

GENTEAL OFT. GTS x 15

Novartis

67,48

31,96

31,96

NATURA LAGRIMAS OFT. GTS x 15

Amhof

86,97

57,26

57,26

GENTEAL OFT. GTS x 25

Novartis

86,04

19,77

19,77

Pharmadorf

70,39

46,47

46,47

Raymos

90,18

42,92

42,92

Elea

77,69

51,56

51,56

Alcon

115,15

77,16

77,16

77,89

51,42

51,42

3 mg LAGRIMA DORF OFT. SOL x 10


300 mg COOL TEARS OFT. SOL x 20

HIDROXIPROPILMETILCELULO
SA + DEXTRAN
Gotas

300 mg PH LAGRIMAS OFT. GTS x 15

Lquido

3 mg TEARS NATURALE FORTE OFT. SOL x 15


300 mg BIO EYES LAGRIMAS OFT. SOL x 10

Novoplos

ALCON LAGRIMAS OFT. SOL x 15

Alcon

74,52

40,98

40,98

ALCON LAGRIMAS II OFT. SOL x 15

Alcon

109,13

73,13

73,13

54,34 MAT

HIERRO + FOLICO, CIDO


Comprimidos

0,5 mg YECTAFER TABS 40/0.5 mg COM x 20

Astrazeneca

82,83

54,34

YECTAFER TABS 40/0.5 mg COM x 40

Astrazeneca

164,53

107,25

107,25

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 66 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

03/02/2015

NOMBRE COMERCIAL

Comprimidos

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

1 mg YECTAFER TABS 80/1 mg COM x 20

Astrazeneca

164,53

110,25

110,25

YECTAFER TABS 80/1 mg COM x 40

Astrazeneca

294,18

176,31

176,31 MAT

40 mg ZENTRAFERIN 40 mg COM x 20

Ariston

31,58

6,32

HIERROQUICK 40 COM x 20

Raymos

89,34

58,98

ZENTRAFERIN 40 mg COM x 40

Ariston

61,78

12,36

12,36 MAT

HIERROQUICK 40 COM x 40

Raymos

159,30

101,90

101,90 MAT

80 mg ZENTRAFERIN 80 mg COM x 20

6,32
58,98 MAT

Ariston

61,99

12,40

12,40 MAT

HIERROQUICK 80 COM x 20

Raymos

179,04

118,20

118,20 MAT

ZENTRAFERIN 80 mg COM x 40

Ariston

110,84

22,17

22,17 MAT

HIERROQUICK 80 COM x 40

Raymos

322,29

212,77

212,77 MAT

Astrazeneca

185,62

123,80

123,80 MAT

YECTAFER AMP x 10

Astrazeneca

371,31

247,68

247,68 MAT

60 mg FERRETAB COMPUESTO CAP x 30

Biol

189,98

125,42

125,42 MAT

FERRETAB COMPUESTO CAP x 60

Biol

336,69

203,21

203,21 MAT

Takeda

139,74

93,64

93,64 MAT

FERRANIN IM 2 ML AMP x 10

Takeda

252,13

161,40

161,40 MAT

100 mg FERRANIN COM x 15

Takeda

35,37

23,70

23,70 MAT

FERRANIN COM x 20

Takeda

45,19

25,35

25,35 MAT

MALTOFER MASTICABLE COM x 20

Bag

61,88

41,46

41,46 MAT

VITALIX 100 mg COM x 30

Roemmers

51,32

21,29

21,29 MAT

SIDERBLUT POLI COM x 30

Investi

75,62

50,67

50,67 MAT

FERRANIN COM x 30

Takeda

107,50

72,03

72,03 MAT

FERRANIN COM x 40

Takeda

45,23

9,05

9,05 MAT

SIDERBLUT POLI COM x 60

Investi

136,12

88,33

88,33 MAT

FERRANIN COM x 100

Takeda

116,70

23,34

23,34 MAT

5 mg SIDERBLUT ORAL GTS x 20

Investi

61,72

41,20

41,20 MAT

Bag

69,23

30,39

30,39 MAT

Takeda

43,00

26,72

26,72 MAT

Roemmers

61,82

41,33

41,33 MAT

100 mg MALTOFER FOL MASTICABLE COM x 20

Bag

74,79

49,89

49,89

369 mg HIERRO DUPOFOL COM x 30

Ferring

53,20

13,09

13,09 MAT

Investi

113,92

75,99

75,99 MAT

HIERRO DEXTRANO
Ampollas

600 mg YECTAFER AMP x

HIERRO FUMARATO + FOLICO,


CIDO
Comprimidos

HIERRO POLIMALTOSATO
Ampollas

Comprimidos

Gotas

100 mg FERRANIN IM 2 ML AMP x

179 mg MALTOFER GTS x 30


5000 mg FERRANIN GTS x 15
50 mg VITALIX GTS x 20

HIERRO POLIMALTOSATO +
FOLICO, CIDO
Comprimidos

HIERRO POLIMALTOSATO +
FOLICO, CIDO + VITAMINA
B12
Comprimidos

100 mg SIDERBLUT FOLIC COM x 30

HIERRO SULFATO

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 67 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

Gotas

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

A CARGO A CARGO
REF
AFILIADO CRONICO

200 mg SIDERBLUT COM x 30

Investi

86,89

58,22

58,22

SIDERBLUT COM x 60

Investi

156,43

100,29

100,29

81,86

53,79

53,79 MAT

256,26 TARDYFERON GRA x 30


mg

P.Fabre Medicamentos

12500 MEDIFER BEB. GTS x 20


mg
FACTOFER GTS x 20

Cassara

6,90

1,38

1,38 INF

Raymos

44,25

12,30

12,30 INF

Andromaco

70,00

46,21

46,21 INF

1800 mg FER-IN-SOL JBE x 120

Investi

45,78

30,53

30,53 MAT

12500 FER-IN-SOL SOL x 20


mg

Investi

69,81

46,00

46,00 INF

125,77

83,89

83,89 MAT

FERDROMACO PEDIATRICO ORAL GTS x 20


Lquido

PRECIO

HIERRO SULFATO + FOLICO,


CIDO
Comprimidos

150 mg FEFOL SPANSULE CAP x 30

MSD Arrgentina SR

HOMATROPINA
Comprimidos
Gotas

1 mg PARATROPINA TAB x 24

Lazar

31,86

21,25

21,25

200 mg PARATROPINA GTS x 20

Lazar

21,60

13,97

13,97

Merck Serono

674,60

443,24

443,24

HORMONA FOLCULO ESTIM.


RECOMBINATE / FSHR
Ampollas

75 ui GONAL F 75 LIOF + JGA. SOLV. AMP x

HORMONA FOLCULO
ESTIMULANTE / FSH
Ampollas

75 ui FOLLITRIN 75 UI LIOF.+SOLV. F.A x

Ferring

370,66

247,24

247,24

FOLLITRIN 75 UI LIOF.+SOLV. F.A x

Ferring

2.223,97

1.483,46

1.483,46

150 ui FOLLITRIN 150 UI + SOLV. F.A x

Ferring

741,20

494,39

494,39

FOLLITRIN 150 UI + SOLV. F.A x

Ferring

4.447,33

2.966,52

2.966,52

Ferring

212,77

141,93

141,93

Pfizer

27,27

11,81

11,81

FEBRATIC PED. MAST. COM x 20

Roemmers

25,09

16,74

16,74

IBUPIRETAS JR. MAST. COM x 20

Pfizer

37,34

25,02

25,02

HORMONA HIPOTALAMICA
LIBER. TIROTROFINA
Ampollas

0,2 mg TRH FERRING 200 mcg 1 ML AMP x

IBUPROFENO
Comprimidos

120 mg IBUPIRETAS COM x 20

400 mg IBUMAR 400 mg COM x 10

Mar

10,50

4,67

4,67

BUTIDIONA COM x 10

Roux Ocefa

11,95

6,71

6,71

VEFREN 400 mg COM x 10

Baliarda

13,90

9,24

9,24

IBUCLER 400 mg COM x 10

Monserrat

14,20

9,37

9,37

FEBRATIC 400 mg COM x 10

Roemmers

14,36

9,62

9,62

DOLORSYN 400 mg COM x 10

Omega

46,14

31,50

31,50

OXIBUT 400 mg COM x 20

Bernabo

24,76

14,81

14,81

VEFREN 400 mg COM x 20

Baliarda

25,59

15,66

15,66

FEBRATIC 400 mg COM x 20

Roemmers

26,99

17,46

17,46

IBU NOVALGINA 400 mg COM x 30

Sanofi Aventis OTC

48,64

32,59

32,59

DOLORSYN 400 mg COM x 30

Omega

77,27

52,76

52,76

VEFREN 400 mg COM x 50

Baliarda

52,02

24,06

24,06

IBU NOVALGINA 400 mg COM x 60

Sanofi Aventis OTC

83,21

55,21

55,21

Savant

31,10

19,03

19,03

600 mg IBUXIM 600 RAPIDA ACCION CB CAP x 10

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 68 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

Gotas
Lquido

NOMBRE COMERCIAL
600 mg IBUPIRAC 600 mg BLANDAS CAP x 10

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Pfizer

37,32

25,01

25,01

ACTRON 600 RAPIDA ACCION BLAND CAP x 10

Bayer Consumer

39,78

27,03

27,03

IBUXIM 600 RAPIDA ACCION CB CAP x 20

Savant

65,88

41,71

41,71

IBUPIRAC 600 mg BLANDAS CAP x 20

Pfizer

71,85

48,14

48,14

ACTRON 600 RAPIDA ACCION BLAND CAP x 20

Bayer Consumer

75,55

51,33

51,33

MATRIX 600 mg RAPIDA ACCION COM x 30

Genomma Lab.

55,12

11,02

11,02

IBUPIRAC 600 mg BLANDAS CAP x 50

Pfizer

183,80

123,16

123,16

IBUPROFENO ELISIUM 600 mg COM x 10

Elisium

24,34

8,85

8,85

MATRIX 600 mg RAPIDA ACCION COM x 10

Genomma Lab.

24,52

9,89

9,89

IBUTENK 600 mg COM x 10

Biotenk

29,25

17,57

17,57

IBUCLER 600 mg COM x 10

Monserrat

30,60

18,09

18,09

IBUPIRAC 600 mg COM x 10

Pfizer

35,38

23,71

23,71

DRUISEL 600 mg COM x 20

Northia

29,22

5,84

5,84

IBUFIX 600 mg COM x 20

Investi

26,57

5,93

5,93

IBUMAR 600 mg COM x 20

Mar

33,44

8,22

8,22

VEFREN 600 mg COM x 20

Baliarda

39,74

9,77

9,77

IBUPROFENO ELISIUM 600 mg COM x 20

Elisium

46,11

14,63

14,63

IBUXIM 600 mg COM x 20

Savant

48,33

17,15

17,15

IBUCLER 600 mg COM x 20

Monserrat

58,40

32,44

32,44

IBUTENK 600 mg COM x 20

Biotenk

57,20

33,30

33,30

IBUPIRAC 600 mg COM x 20

Pfizer

69,84

46,72

46,72

TONAL 600 mg COM x 30

Beta

39,75

9,77

9,77

VEFREN 600 mg COM x 50

Baliarda

91,15

22,41

22,41

IBUPROFENO ELISIUM 600 mg COM x 50

Elisium

108,93

30,49

30,49

IBUPIRAC 600 mg COM x 50

Pfizer

174,90

117,17

117,17

TONAL 600 mg COM x 60

Beta

76,32

18,77

18,77

800 mg IBUPIRAC 800 mg COM x 20

Pfizer

84,94

56,92

56,92

IBUPIRAC 800 mg COM x 50

Pfizer

169,13

92,18

92,18

Pfizer

54,04

36,21

36,21

20 mg AFEBRIL 20 MG/ML SUS x 100

Bag

43,45

29,11

29,11

25 mg IBUSOL ORAL SUS x 20

Cassara

9,80

5,44

5,44

40 mg AFEBRIL FORTE 40 MG/ML SUS x 100

Bag

56,51

34,05

34,05

Pfizer

133,48

89,45

89,45

5000 mg IBUPIRAC ORAL GTS x 30

200 mg IBUPIRAC 4% SUS x 200


2000 mg IBUMAR SUS x 90

Mar

25,15

9,60

9,60

IBUCLER 2% SUS x 90

Monserrat

38,45

25,39

25,39

IBUPIRAC 2% ANANA SUS x 90

Pfizer

41,22

27,62

27,62

IBUPIRAC 2% SUS x 90

Pfizer

42,43

28,43

28,43

IBUSOL PEDIATRICO SUS x 100

Medisol

18,90

3,78

3,78

FEBRATIC PED. 2% SUS x 100

Roemmers

34,42

19,89

19,89

IBUMULTIN 2% SUS x 100

Lazar

37,88

24,40

24,40

DOLORSYN TERMICO ORAL SUS x 120

Omega

87,85

59,98

59,98

IBUPIRAC 2% SUS x 200

Pfizer

81,98

54,94

54,94

Mar

45,58

23,50

23,50

Monserrat

51,30

31,68

31,68

4000 mg IBUMAR 4 g/100 ml SUS x 90


IBUCLER 4% SUS x 90
MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 69 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Lquido

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

4000 mg IBUFULL 4 g SUS x 90

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Lafedar

62,81

42,48

42,48

IBUPIRAC 4% SUS x 90

Pfizer

65,64

43,99

43,99

FEBRATIC 4% SUS x 100

Roemmers

51,32

27,25

27,25

ACTRON PEDIATRICO 4% ORAL SUS x 100

Bayer Consumer

68,02

45,90

45,90

IDOXURIDINA
Gotas

100 mg IDULEA C\ADHEFILM GTS x 10

Biotechno Pharma

108,43

77,17

77,17

Ungento

100 mg IDULEA DERMICO UNG x 10

Biotechno Pharma

83,60

57,09

57,09

10 mg TOFRANIL 10 mg GRA x 60

Novartis

19,96

12,91

12,91

25 mg TOFRANIL 25 mg GRA x 50

Novartis

38,94

25,18

25,18

1,5 mg NATRILIX SR 1.5 mg COM x 30

Servier

90,93

60,03

60,03

Nova Argentia

84,24

51,67

51,67

IMIPRAMINA
Comprimidos

INDAPAMIDA
Comprimidos

NORANAT SR 1.5 Mg. Recub. LP COM x 30


2,5 mg BAJATEN GRA x 30

Elea

33,13

8,15

8,15

NORANAT COM x 30

Nova Argentia

67,15

44,99

44,99

INDAPAMIDA DUREMID COM x 50

Soubeiran Chobet

71,18

31,94

31,94

NORANAT COM x 60

Nova Argentia

95,27

52,26

52,26

Montpellier

105,85

70,61

70,61

INDOMETACINA
Ampollas

50 mg IM.75 MONTPELLIER 2 ML F.A x

Comprimidos

75 mg IM.75 MONTPELLIER CAP x 24

Montpellier

128,68

86,23

86,23

IM.75 MONTPELLIER CAP x 50

Montpellier

233,82

142,54

142,54

47,24

31,51

31,51

Supositorios

50 mg INDOTEX 50 mg SUP x 10

Astrazeneca

100 mg INDOTEX 100 mg SUP x 10

Astrazeneca

IM.75 MONTPELLIER SUP x 10

77,98

24,58

24,58

Montpellier

118,08

78,76

78,76

INMUNOGLOBULINA
ANTITETNICA + TETNICO
TOXOIDE
Ampollas

250 ui TETABULIN S/D 250 UI JPR x

Gobbi

430,58

137,95

137,95 INF

500 ui TETABULIN S/D 500 UI JPR x

Gobbi

700,46

224,40

224,40 MAT

Purissimus

107,44

21,49

21,49 MAT

Gador

367,67

125,07

125,07 MAT

Purissimus

186,22

37,24

37,24 MAT

Gador

692,12

235,45

235,45 MAT

Fada Pharma

703,43

696,77

696,77

Fada Pharma

27,40

17,72

17,72

Bacon

420,00

126,00

126,00

Bacon

479,55

143,86

143,86

Bacon

450,00

135,00

135,00

Bacon

517,80

155,34

155,34

250 ui IT SD-T 250 UI AMP x

GAMMATET T 250 UI + TOXOIDE JPR x


500 ui IT SD-T 500 UI AMP x

GAMMATET T 500 UI + TOXOIDE JPR x

IODOPOVIDONA
Jabn

5000 mg FADA IODOPOVIDONA 5% Lquido 120 ml JAB x


1
FADA IODOPOVIDONA 5% + Dosif. JAB x 250

IOPAMIDOL
Ampollas

300 mg OPACRILE 300 mg 50 ml F.A x

OPACRILE 300 mg 100 ml F.A x


370 mg OPACRILE 370 mg 50 ml F.A x
OPACRILE 370 mg 100 ml F.A x

1
1
1

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 70 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

IPRATROPIO BROMURO
Aerosol

0,02 mg ATROVENT HFA 10 ML AER x 200

Lquido

Boheringer Ingelheim

89,27

AEROTROP + ADAPT. BUCAL AER x 250

Cassara

33,06

6,61

6,61

AEROTROP HFA 12.5 ml AER x 250

Cassara

91,80

60,32

60,32

25 mg ATROVENT SOL x 20

Boheringer Ingelheim

36,08

24,40

16,36

ATROVENT SOL x 40

Boheringer Ingelheim

62,23

37,46

18,78

Cassara

55,92

36,92

36,92

Cassara

55,33

36,53

36,53

Sanofi Aventis

342,21

229,31

229,31

ADANA 150 mg COM x 30

Sandoz

119,70

23,94

23,94

APROVEL 150 mg COM x 56

Sanofi Aventis

512,60

233,03

233,03

300 mg APROVEL 300 mg COM x 28

Sanofi Aventis

449,88

300,08

300,08

ADANA 300 mg COM x 30

Sandoz

175,22

35,04

35,04

APROVEL 300 mg COM x 56

Sanofi Aventis

723,79

368,11

368,11

25 mg AEROTROP P/NEB.UNIDOSIS 2.5 ML SOL x 24


Spray

0,021 mg AEROTROP NASAL SPR x 120

59,66

37,89

IRBESARTAN
Comprimidos

150 mg APROVEL 150 mg COM x 28

ISOCONAZOL
Crema

Lquido

1000 mg MUPATEN CRE x 20

Bayer Consumer

53,30

36,21

36,21

1000 mg MUPATEN VAGINAL CRE x 40

Bayer (PH)

76,58

41,09

41,09

1000 mg MUPATEN SOL x 50

Bayer Consumer

58,16

38,22

38,22

Bayer (PH)

76,58

51,08

51,08

Sanofi Aventis

18,26

12,18

12,18

5 mg ISORDIL 5 mg COM x 25

Pfizer

60,67

40,65

34,93

ISORDIL 5 mg COM x 50

Pfizer

91,95

61,62

45,44

Roemmers

49,15

30,13

18,30

vulos

600 mg MUPATEN VAGINAL OVU x

ISONIACIDA
Comprimidos

300 mg NICOTIBINA 300 mg COM x 30

ISOSORBIDE DINITRATO
Comprimidos

5 mg MEDOCOR SUBLINGUAL 5 mg COM x 30

ISOSORBIDE MONONITRATO
Comprimidos

20 mg MONOTRIN 20 COM x 20

Bag

19,96

7,47

4,90

MEDOCOR COM x 20

Roemmers

27,07

17,33

10,31

MONOTRIN 20 COM x 30

Bag

38,38

23,13

12,16

MONOTRIN 20 COM x 40

Bag

52,01

31,93

17,49

MEDOCOR COM x 40

Roemmers

57,89

38,79

25,93

40 mg MONOTRIN 40 COM x 20

Bag

39,43

24,89

15,14

MONOTRIN 40 COM x 30

Bag

62,67

41,80

26,47

121,31

80,92

51,23

60 mg MEDOCOR AP CAP x 30

Roemmers

100 mg MONOTRIN 100 RETARD COM x 20

Bag

67,45

31,41

16,58

MONOTRIN 100 RETARD COM x 30

Bag

131,65

87,82

55,60

Raffo

371,30

241,98

241,98

ISOTRETINOINA
Comprimidos

10 mg ISOCUTAN 10 mg CAP x 30

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 71 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

Gel

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

10 mg ROACCUTAN 10 mg CAP x 30

Investi

384,20

257,45

257,45

20 mg FLEXRESAN 20 mg CAP x 30

Raymos

656,22

413,90

413,90

ROACCUTAN 20 mg CAP x 30

Investi

702,18

466,74

466,74

ISOCUTAN 20 mg CAP x 30

Raffo

719,32

482,01

482,01

40 mg ISOCUTAN 40 mg CAP x 30

Raffo

1.258,82

839,67

839,67

50 mg ATLACNE TOPICO GEL x 25

Atlas

118,29

78,90

78,90

Raffo

24,60

15,91

15,91 MAT

Omega

107,59

72,04

72,04 MAT

DUVADILAN 10 mg COM x 20

Raffo

110,22

73,85

73,85 MAT

UTERINE 10 mg COM x 40

Omega

180,36

98,65

98,65 MAT

Raffo

173,70

114,09

114,09 MAT

Omega

193,26

131,95

131,95 MAT

ISOXSUPRINA CLORHIDRATO
Ampollas

10 mg DUVADILAN 2 ML 10 mg AMP x

Comprimidos

10 mg UTERINE 10 mg COM x 20

20 mg DUVADILAN 20 mg COM x 20
UTERINE 20 mg COM x 20

ITRACONAZOL
Comprimidos

100 mg SPORANOX CAP x

Janssen-Cilag

81,50

53,80

53,80

SPORANOX CAP x 10

Janssen-Cilag

141,94

95,12

95,12

ITRAC 100 CAP x 15

Cassara

102,62

53,80

53,80

PANASTAT CAP x 15

Panalab

161,40

106,55

106,55

SPORANOX CAP x 15

Janssen-Cilag

196,19

131,47

131,47

SPORANOX PULSO CAP x 28

Janssen-Cilag

355,18

238,00

238,00

PANASTAT CAP x 30

Panalab

273,04

180,26

180,26

IVERMECTINA
Comprimidos

6 mg DETEBENCIL 6 mg COM x
SECURO COM x

DETEBENCIL 6 mg COM x
IVER P 6 mg COM x
SECURO COM x

2
6

Roux Ocefa

92,64

62,08

62,08

Raymos

117,69

77,70

77,70

Roux Ocefa

133,17

41,73

41,73

Elea

154,37

70,82

70,82

Raymos

165,49

88,52

88,52

KETOCONAZOL
Comprimidos

Crema

Lquido
vulos

200 mg MICORAL COM x 10

Investi

48,10

32,23

32,23

ORIFUNGAL M COM x 10

Janssen-Cilag

65,74

43,40

43,40

FITONAL 200 mg COM x 20

Andromaco

39,69

14,73

14,73

MICORAL COM x 30

Investi

88,79

59,50

59,50

ORIFUNGAL M COM x 30

Janssen-Cilag

160,08

105,69

105,69

2000 mg QUADION CRE x 15

Fortbenton Co.

40,53

26,76

26,76

KETOLEF 2% CRE x 15

Biosintex-Ofar

45,00

30,30

30,30

ORIFUNGAL CRE x 15

Janssen-Cilag

71,09

46,93

46,93

KEDUO 2% CRE x 15

Raymos

76,80

50,70

50,70

FITONAL CRE x 30

Andromaco

41,74

23,14

23,14

MICORAL CRE x 30

Investi

45,37

27,55

27,55

Janssen-Cilag

133,01

88,72

88,72

Janssen-Cilag

76,88

20,30

20,30

125,69

83,84

83,84

20 mg ORIFUNGAL SUS x 100


400 mg ORIFUNGAL OVU x
FANGAN OVU x

Lazar

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 72 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Shampoo

Talco

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

2000 mg ORIFUNGAL SHA x 60

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Janssen-Cilag

57,64

38,63

38,63

EUMICEL 2% SHA x 100

Cassara

51,90

29,96

29,96

KEDUO 2% SHA x 100

Raymos

81,39

53,73

53,73

MICORAL SHA x 100

Investi

98,62

66,08

66,08

PITYLIS KETOCONAZOL 2% SHA x 120

Raymos

58,26

28,41

28,41

ORIFUNGAL SHA x 120

Janssen-Cilag

109,90

73,64

73,64

QUADION SHA x 250

Fortbenton Co.

89,07

19,89

19,89

Janssen-Cilag

57,88

38,03

38,03

Finadiet

42,41

26,95

26,95

5,10

1,02

1,02

2000 mg ORIFUNGAL TAL x 20

KETOROLAC
Ampollas

30 mg KERAMIX 30 mg AMP x

30 mg FADA KETOROLAC 30 mg 1 ML AMP x


SINALGICO 30 mg AMP x

Fada Pharma
Bernabo

27,86

8,29

8,29

Casasco

33,46

15,79

15,79

Roemmers

38,29

22,16

22,16

Raffo

26,76

5,35

5,35

Bag

83,83

54,49

54,49

Pfizer

87,28

58,49

58,49

Raffo

15,80

3,16

3,16

Bernabo

27,34

10,82

10,82

Pfizer

48,64

32,59

32,59

Bernabo

70,69

18,57

18,57

Roemmers

102,11

59,75

59,75

Casasco

117,08

78,45

78,45

Bag

127,71

83,01

83,01

Pfizer

126,67

84,88

84,88

Fada Pharma

12,50

2,50

2,50

KETOROLAC AHIMSA COM x 10

Fada Pharma

14,85

2,97

2,97

KETOROLAC NORTHIA 10 mg COM x 10

Northia

24,57

4,91

4,91

UNICALM 10 mg COM x 10

Raffo

26,95

6,63

6,63

KERAMIX 10 mg COM x 10

Finadiet

42,41

24,22

24,22

DORIXINA FORTE NF 10 mg COM x 10

Roemmers

53,24

35,68

35,68

DOLTEN 10 mg COM x 10

Pfizer

60,83

40,76

40,76

KEMANAT 10 mg COM x 10

Microsules Argentina

61,67

41,32

41,32

ZERODOL 10 mg COM x 10

Bag

67,53

45,25

45,25

KETOROLAC NORTHIA 10 mg COM x 20

Northia

40,98

8,20

8,20

KETOROLAC FABRA 10 mg COM x 20

Fabra

61,54

20,04

20,04

TELEDOL 10 mg COM x 20

Casasco

77,16

37,84

37,84

KEMANAT 10 mg COM x 20

Microsules Argentina

83,08

49,60

49,60

SINALGICO 10 mg COM x 20

Bernabo

86,88

52,00

52,00

DOLTEN 10 mg COM x 20

Pfizer

91,89

57,72

57,72

TELEDOL 30 mg 2 ML AMP x

DORIXINA FORTE NF 30 mg AMP x


UNICALM 30 mg 1 ML AMP x
ZERODOL 30 mg AMP x
DOLTEN 30 mg AMP x

SINALGICO 60 mg AMP x
DOLTEN 60 mg AMP x

SINALGICO 60 mg AMP x

DORIXINA FORTE NF 60 mg AMP x


TELEDOL 60 mg 2 ML AMP x
ZERODOL 60 mg AMP x
DOLTEN 60 mg AMP x

60 mg UNICALM 60 mg 2 ML AMP x

Comprimidos

3
3

10 mg FADA KETOROLAC 10 mg COM x 10

20 mg UNICALM 20 mg COM x 10

Raffo

35,57

8,75

8,75

KETOROLAC RICHET 20 mg COM x 10

Richet

70,03

44,49

44,49

TENKDOL 20 mg COM x 10

Biotenk

73,64

48,61

48,61

KEMANAT 20 mg COM x 10

Microsules Argentina

81,87

54,86

54,86

KERAMIX 20 mg COM x 10

Finadiet

83,57

56,00

56,00

TELEDOL 20 mg COM x 10

Casasco

85,06

57,00

57,00

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 73 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

20 mg SINALGICO 20 mg COM x 10

Lquido

A CARGO A CARGO
REF
AFILIADO CRONICO

Bernabo

88,42

58,38

58,38

DUPRAC 20 mg COM x 10

Savant

88,05

59,00

59,00

DOLTEN 20 mg COM x 10

Pfizer

91,89

61,58

61,58

ZERODOL 20 mg COM x 10

Bag

97,29

64,90

64,90

DORIXINA FORTE NF 20 mg COM x 10

Roemmers

99,54

66,70

66,70

KETOROLAC NORTHIA 20 mg COM x 20

Northia

64,32

12,86

12,86

UNICALM 20 mg COM x 20

Raffo

59,06

14,52

14,52

KETOROLAC RICHET 20 mg COM x 20

Richet

82,16

18,34

18,34

DIPGIX 20 mg COM x 20

Northia

87,97

21,63

21,63

KETOROLAC FABRA 20 mg COM x 20

Fabra

114,20

51,55

51,55

TENKDOL 20 mg COM x 20

Biotenk

123,75

65,95

65,95

TELEDOL 20 mg COM x 20

Casasco

133,89

73,18

73,18

KERAMIX 20 mg COM x 20

Finadiet

140,11

81,58

81,58

SINALGICO 20 mg COM x 20

Bernabo

140,89

83,96

83,96

DOLTEN 20 mg COM x 20

Pfizer

144,40

87,25

87,25

KEMANAT 20 mg COM x 20

Microsules Argentina

142,45

90,73

90,73

Finadiet

59,54

31,88

31,88

KETOROLAC NORTHIA 10 mg SUBLIN COM x 10

Northia

26,75

5,35

5,35

UNICALM 10 mg SUBL. COM x 10

Raffo

32,25

7,93

7,93

DIPGIX SL 10 mg COM x 10

Lab Internacional
Argentino

43,00

11,07

11,07

CALMOFAR SL 10 mg COM x 10

Wunderpharm S.R.L.

47,41

15,48

15,48

KEMANAT SL SUBLINGUAL COM x 10

Microsules Argentina

49,09

17,16

17,16

TENKDOL SL 10 mg COM x 10

Biotenk

51,69

20,76

20,76

KETOROLAC RICHET 10 mg SUBLIN. COM x 10

Richet

67,88

44,32

44,32

TELEDOL 10 mg SL COM x 10

Casasco

79,57

53,32

53,32

DUPRAC SL 10 mg COM x 10

Savant

79,94

53,57

53,57

SINALGICO SL 10 mg SUBLINGUAL COM x 10

Bernabo

82,12

54,22

54,22

ZERODOL SL 10 mg COM x 10

Bag

85,27

55,43

55,43

DOLTEN SL 10 mg COM x 10

Pfizer

85,41

57,23

57,23

DORIXINA FORTE NF SUBL. 10 mg COM x 10

Roemmers

91,70

61,45

61,45

SINALGICO SL 10 mg SUBLINGUAL COM x 20

Bernabo

134,88

81,57

81,57

DORIXINA FORTE NF SUBL. 10 mg COM x 20

Roemmers

154,13

103,28

103,28

Raymos

74,14

18,21

18,21

Poen

74,51

49,70

49,70

184,58

123,68

123,68

99,30

57,56

57,56

10 mg KERAMIX RAPID 10 mg Subl. COM x 10

Gotas

PRECIO

500 mg KETOPHARM OFTALMICO GTS x


5 mg POENKERAT OFT. SOL x

450 mg ACUVAIL Viales Unids. 0.4 ml OFT. SOL x 30

Allergan-Loa

500 mg KLENAC OFT. SOL x

Klonal

ACULAR OFT. SOL x

ACULAR LS OFT. SOL x

Allergan-Loa

129,00

86,44

86,44

Allergan-Loa

175,51

117,07

117,07

32,72

18,37

18,37

116,49

77,91

77,91

80,81

53,09

53,09

KETOTIFENO
Comprimidos

1 mg ZADITEN COM x 20

Novartis

RESPIMEX COM x 60
Gotas

Lquido

0,25 mg ZADITEN 0.025% OFT. GTS x

Pfizer
5

Novartis

50 mg FARMOFTAL OFT. GTS x 10

Hlb Pharma

149,14

99,94

99,94

20 mg RESPIMEX JBE x 200

Pfizer

132,90

88,64

88,64

50 mg ANTILERG OFTL SOL x 10

Raymos

97,25

63,27

63,27

114,17

77,95

77,95

HYALCROM NF OFT SOL x 10

Bausch & Lomb Argentina

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 74 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Lquido

NOMBRE COMERCIAL

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

50 mg

LACTULOSA
Lquido

Sobres

65000 MEDIXIN JBE x 120


mg
GENOCOLAN LACTULOSA JBE x 120

Elea

51,16

31,99

31,99

Craveri

51,68

32,66

32,66

TENUALAX JBE x 120

Bag

52,58

33,80

33,80

LACTULON JBE x 120

Lazar

64,19

43,01

43,01

GENOCOLAN LACTULOSA JBE x 250

Craveri

78,22

26,64

26,64

LACTULON JBE x 250

Lazar

107,09

67,30

67,30

Lazar

48,31

23,34

23,34

LACTULON 10 g SOB x 16

Lazar

130,18

87,23

87,23

10000 LACTULON 10 g SOB x


mg

LAMOTRIGINA
Comprimidos

25 mg LAGOTRAN 25 mg COM x 30

Beta

107,75

56,58

56,58

LAMOCAS 25 mg COM x 30

Casasco

111,22

61,36

61,36

LATRIGIN 25 mg RANUR. COM x 30

Baliarda

119,90

72,94

72,94

LAMIRAX 25 mg COM x 30

Elea

125,23

79,82

79,82

50 mg LAMOCAS 50 mg COM x 30

Casasco

173,75

101,04

101,04

LATRIGIN 50 mg RANUR. COM x 30

Baliarda

179,29

108,36

108,36

LAGOTRAN 50 mg COM x 30

Beta

180,51

109,96

109,96

LAMIRAX 50 mg COM x 30

Elea

183,12

113,35

113,35

Beta

127,04

64,62

64,62

LATRIGIN 100 mg RANUR. COM x 30

Baliarda

281,86

167,09

167,09

LAGOTRAN 100 mg COM x 30

Beta

282,39

167,79

167,79

LAMIRAX 100 mg COM x 30

Elea

292,58

181,12

181,12

LAMOCAS 100 mg COM x 30

Casasco

298,88

189,25

189,25

LAMIRAX 100 mg COM x 60

Elea

585,16

362,25

362,25

100 mg LAGOTRAN 100 mg COM x 15

200 mg LAGOTRAN 200 mg COM x 30

Beta

473,67

288,29

288,29

LATRIGIN 200 mg RANUR. COM x 30

Baliarda

475,68

290,91

290,91

LAMOCAS 200 mg COM x 30

Casasco

488,65

307,70

307,70

LAMIRAX 200 mg COM x 30

Elea

503,66

326,85

326,85

GlaxoSmithkline

151,82

99,75

99,75

Ivax Argentina

118,96

71,71

71,71

GlaxoSmithkline

250,20

165,18

165,18

Ivax Argentina

173,47

100,66

100,66

GlaxoSmithkline

429,01

283,23

283,23

Ivax Argentina

287,18

174,09

174,09

GlaxoSmithkline

648,02

427,82

427,82

Ivax Argentina

503,79

327,02

327,02

1.043,27

688,76

688,76

5 mg LAMICTAL DISPERSABLE 5 mg COM x 30


25 mg EPILEPAX 25 mg DISPERS. COM x 30
LAMICTAL DISPERSABLE 25 mg COM x 30
50 mg EPILEPAX 50 mg DISPERS. COM x 30
LAMICTAL DISPERSABLE 50 mg COM x 30
100 mg EPILEPAX 100 mg DISPERS. COM x 30
LAMICTAL DISPERSABLE 100 mg COM x 30
200 mg EPILEPAX 200 mg DISPERS. COM x 30
LAMICTAL DISPERSABLE 200 mg COM x 30

GlaxoSmithkline

LANSOPRAZOL
Comprimidos

Sobres

15 mg LANZOPRAL MD 15 mg CAP x 30

Roemmers

129,97

86,80

86,80

30 mg LANZOPRAL 30 mg CAP x 15

Roemmers

132,33

88,67

88,67

LANZOPRAL 30 mg CAP x 30

Roemmers

249,65

166,16

166,16

15 mg LANZOPRAL MD SUSP. SOB x 15

Roemmers

88,77

59,49

59,49

LANZOPRAL MD SUSP. SOB x 30

Roemmers

175,31

116,78

116,78

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 75 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Sobres

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

15 mg
30 mg LANZOPRAL SUSP. SOB x 15

Roemmers

88,77

59,49

59,49

LANZOPRAL SUSP. SOB x 30

Roemmers

175,31

116,84

116,84

87,67

19,58

19,58

Pharmadorf

127,78

70,14

32,50

TANAMOF OFT. SOL x 2,5

Amhof

119,20

56,66

29,32

GLAUCOGESIC OFT. SOL x 2,5

Atlas

125,64

65,78

36,26

GLAUCOSTAT 50 MCG/ML OFT. SOL x 2,5

Raymos

140,06

86,45

42,32

LOUTEN OFT. SOL x 2,5

Poen

158,92

106,49

70,79

XALATAN OFT. SOL x 2,5

Pfizer

163,49

109,55

73,71

OCUPROST OFT. SOL x 2,5

Bausch & Lomb Argentina

162,10

110,68

64,55

96,44

25,68

21,54

LATANOPROST
Lquido

0,005 mg LATANOFLAX 50 MCG/ML OFT. SOL x 2,5


0,05 mg LATANOPROST DORF 50 MCG/ML OFT SOL x

Sidus
2

LATANOPROST + TIMOLOL
Lquido

0,05 mg LATIMODORF OFT. SOL x 2,5

Pharmadorf

GLAUCOGESIC T OFT. SOL x 2,5

Atlas

105,98

34,94

26,07

GLAUCOSTAT T OFT. SOL x 2,5

Raymos

140,39

84,80

41,90

LOUTEN T OFT. SOL x 2,5

Poen

156,99

104,77

64,54

XALACOM OFT. SOL x 2,5

Pfizer

176,63

118,36

101,14

95,30

19,06

19,06

LEFLUNOMIDA
Comprimidos

20 mg LEFLUNOMIDA SC 20 mg COM x 15

Spedrog Caillon

LEFLUAR 20 mg COM x 30

Astrazeneca

299,26

151,79

151,79

AFIANCEN 20 mg COM x 30

Buxton

310,34

184,16

184,16

INMUNOARTRO 20 mg RECUB. COM x 30

Beta

334,21

199,35

199,35

FILARTROS 20 mg RECUB. COM x 30

Ivax Argentina

448,05

300,23

300,23

LEFLUNOMIDA SC 20 mg COM x 30

Spedrog Caillon

457,38

306,48

306,48

ARAVA 20 mg COM x 30

Sanofi Aventis

574,45

384,94

384,94

100 mg INMUNOARTRO 100 mg RECUB. COM x


FILARTROS 100 mg RECUB. COM x

Beta
Ivax Argentina

99,10

43,36

43,36

132,59

88,44

88,44

LEUCOCIANIDOL +
HIDROCORTISONA ACETATO
+ LIDOCAINA
Pomada

1000 mg PROCTO IKATRAL PDA x 10

Baliarda

41,42

27,76

27,76

PROCTO IKATRAL PDA x 30

Baliarda

98,22

58,82

58,82

Investi

216,16

144,18

91,34

Investi

104,42

58,80

33,39

Investi

260,57

174,60

138,81

200 mg MADOPAR 250 COM x 30

Investi

169,74

113,74

72,84

MADOPAR 250 COM x 50

Investi

280,31

186,63

117,75

Pfizer

54,48

36,51

24,55

PARKINEL 100/25 mg COM x 30

Bag

64,56

43,26

37,18

LEBOCAR 100-25 COM x 60

Pfizer

91,62

53,12

25,92

367,02

244,81

155,01

LEVODOPA + BENSERAZIDA
Comprimidos

50 mg MADOPAR DISPERSABLE 62.5 mg TAB x 100


100 mg MADOPAR HBS 125 mg CAP x 50
MADOPAR DISPERSABLE 125 mg TAB x 100

LEVODOPA + CARBIDOPA
Comprimidos

100 mg LEBOCAR 100-25 COM x 30

200 mg SINEMET CR COM x 30

Merck Sharp & Dhome

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 76 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

250 mg PRIKAP 250/25 mg COM x 30

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Elea

62,72

27,60

15,42

LEBOCAR 250-25 COM x 30

Pfizer

75,30

45,07

22,30

PARKINEL 250/25 mg COM x 30

Bag

94,99

63,65

48,02

SINEMET 250/25 mg COM x 30

Merck Sharp & Dhome

183,52

122,98

105,68

SINEMET 250/25 mg COM x 50

MSD Arrgentina SR

305,85

204,95

176,12

LEBOCAR 250-25 COM x 60

Pfizer

136,20

70,63

38,38

PARKINEL 250/25 mg COM x 60

Bag

213,18

142,85

122,76

SINEMET 250/25 mg COM x 60

Merck Sharp & Dhome

367,02

245,94

211,34

Sanofi Aventis

36,20

24,26

18,93

Ivax Argentina

43,06

24,85

12,14

Sanofi Aventis

118,56

79,45

56,18

Ivax Argentina

170,80

103,98

55,42

100 mg NOZINAN 100 mg COM x 50

Sanofi Aventis

183,80

122,60

77,62

10 mg NOZINAN MINOR GTS x 30

Sanofi Aventis

65,45

43,66

27,64

Bayer (PH)

81,11

54,10

54,10

Elea

34,13

22,77

22,77

LEVOMEPROMAZINA
Comprimidos

2 mg NOZINAN 2 mg COM x 30
TOGREL 2 mg COM x 50
25 mg NOZINAN 25 mg COM x 30
TOGREL 25 mg COM x 50

Gotas

LEVONORGESTREL
Comprimidos

0,03 mg MICROLUT GRA x 35


0,75 mg SECUFEM 0.75 mg COM x

1,5 mg MARPLAN 1.5 mg COM x

Astrazeneca

34,36

23,02

23,02

SECUFEM 1.5 mg COM x

Elea

53,45

35,65

35,65

Elea

60,98

40,86

40,86

LEVONORGESTREL +
ETINILESTRADIOL
Comprimidos

0,09 mg FEMEXIN MD CONSTANTE COM x 28


0,1 mg MIRANOVA CAP x 21

Bayer (PH)

31,22

20,92

20,92

APRIL COM x 21

Gador

34,69

23,24

23,24

FEMEXIN COM x 21

Elea

40,01

26,81

26,81

NORFEN (21+7) COM x 28

Bag

29,04

10,77

10,77

APRIL 28 COM x 28

Gador

34,69

18,96

18,96

FEMEXIN 28 COM x 28

Elea

40,01

25,95

25,95

ELEKTRA COM x 28

Craveri

40,60

26,69

26,69

Gador

50,21

31,58

31,58

Bayer (PH)

69,63

46,66

46,66

0,125 mg TRIDESTAN N COM x 21


TRIQUILAR GRA x 21
0,15 mg EVELEA MD COM x 21

Elea

14,56

3,58

3,58

NORGESTREL PLUS GRA x 21

Biotenk

29,84

14,83

14,83

MICROVLAR COM x 21

Bayer (PH)

42,49

28,47

28,47

MICROGYNON GRA x 21

Bayer (PH)

61,84

41,44

41,44

NORDETTE GRA x 21

Pfizer

75,39

50,52

50,52

ELEKTRA MAX COM x 28

Craveri

45,30

25,28

25,28

Bayer (PH)

77,64

51,79

51,79

Elea

105,94

70,66

70,66

Elea

24,71

6,08

6,08

GlaxoSmithkline

46,95

31,00

26,44

0,25 mg NEOGYNON GRA x 21


2 mg DOS DIAS N COM x

LEVOTIROXINA
Comprimidos

0,025 mg EUTHYROX 25 mcg COM x 50


LEVOTIROXINA GSK 25 mcg COM x 50

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 77 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

0,05 mg EUTHYROX 50 mcg COM x 50

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Elea

25,23

6,74

6,21

L-T 50 mcg COM x 50

Craveri

26,34

7,80

6,48

T4 MONTPELLIER 50 mcg COM x 50

Montpellier

36,95

22,12

10,96

LEVOTIROXINA GSK 50 mcg COM x 50

GlaxoSmithkline

46,95

31,00

26,44

SYNTHROID 50 mcg COM x 60

Abbott

42,71

24,38

11,48

0,075 mg EUTHYROX 75 mcg COM x 50

Elea

34,30

13,71

8,44

T4 MONTPELLIER 75 mcg COM x 50

Montpellier

47,18

31,27

18,61

LEVOTIROXINA GSK 75 mcg COM x 50

GlaxoSmithkline

48,83

32,24

22,13

SYNTHROID 75 mcg COM x 60

Abbott

44,42

21,25

10,92

0,088 mg EUTHYROX 88 mcg COM x 50

Elea

38,92

18,46

9,69

LEVOTIROXINA GSK 88 mcg COM x 50

GlaxoSmithkline

49,77

32,86

21,30

T4 MONTPELLIER 88 mcg COM x 50

Montpellier

49,97

33,20

20,98

0,1 mg EUTHYROX 100 mcg COM x 50

Elea

37,80

13,69

9,30

L-T 100 mcg COM x 50

Craveri

39,87

16,84

9,81

LEVOTIROXINA GSK 100 mcg COM x 50

GlaxoSmithkline

55,07

36,36

25,09

T4 MONTPELLIER 100 mcg COM x 50

Montpellier

54,41

36,46

22,85

SYNTHROID 100 mcg COM x 60

Abbott

50,09

23,51

12,32

0,112 mg EUTHYROX 112 mcg COM x 50

Elea

55,38

25,64

13,62

T4 MONTPELLIER 112 mcg COM x 50

Montpellier

68,36

43,27

24,56

LEVOTIROXINA GSK 112 mcg COM x 50

GlaxoSmithkline

74,86

49,42

34,63

0,125 mg EUTHYROX 125 mcg COM x 50

Elea

56,09

22,30

13,79

T4 MONTPELLIER 125 mcg COM x 50

Montpellier

77,30

51,23

32,17

LEVOTIROXINA GSK 125 mcg COM x 50

GlaxoSmithkline

79,51

52,49

36,16

Elea

60,25

24,13

14,82

T4 MONTPELLIER 137 mcg COM x 50

Montpellier

80,97

52,56

31,40

LEVOTIROXINA GSK 137 mcg COM x 50

GlaxoSmithkline

86,89

57,36

40,66

0,137 mg EUTHYROX 137 mcg COM x 50

0,15 mg EUTHYROX 150 mcg COM x 50

Elea

57,70

20,02

14,19

L-T 150 mcg COM x 50

Craveri

59,52

22,83

14,64

T4 MONTPELLIER 150 mcg COM x 50

Montpellier

83,25

55,30

34,49

LEVOTIROXINA GSK 150 mcg COM x 50

GlaxoSmithkline

89,59

59,15

44,15

Elea

66,55

27,28

16,37

0,175 mg EUTHYROX 175 mcg COM x 50


T4 MONTPELLIER 175 mcg COM x 50

Montpellier

LEVOTIROXINA GSK 175 mcg COM x 50

GlaxoSmithkline

0,2 mg EUTHYROX 200 mcg COM x 50


T4 MONTPELLIER 200 mcg COM x 50

88,64

57,51

33,60

101,86

67,25

52,81

Elea

72,63

35,94

20,26

Montpellier

93,57

62,70

41,44

101,95

67,99

67,99

LIDOCAINA
Apsitos

4000 mg LMX 4 CREMA x 5 g + APO x

Eurolab

Gel

5000 mg INDICAN 5% GEL x 18

Sidus

36,81

10,05

10,05

Gotas

4000 mg XYLOCAINA 4% GTS x 25

Astrazeneca

87,12

58,11

58,11

Jalea

2000 mg XYLOCAINA JAL x 25

Astrazeneca

51,45

34,47

34,47

Lquido

2000 mg XYLOCAINA VISCOSA FCO.GOT. SOL x 50

Astrazeneca

48,85

25,03

25,03

Pomada

2000 mg XYLOCAINA PDA x 30

Astrazeneca

98,85

65,94

65,94

0,02 mg TRI-IODO-TIRONINA COM x 20

GlaxoSmithkline

20,31

13,34

8,23

LIOTIRONINA
Comprimidos

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 78 de 130

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Comprimidos

NOMBRE COMERCIAL

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

0,02 mg

LIOTIRONINA + LEVOTIROXINA
Comprimidos

0,01 mg LEVOTRIN COM x 50

GlaxoSmithkline

35,94

23,61

23,61

0,03 mg EUTROID 2 g TAB x 15

Elea

36,31

24,33

24,33

125 mg LAZALGINA 125 mg COM x 20

Lazar

24,27

11,69

11,69

DOLEX COM x 20

Ivax Argentina

28,02

16,28

16,28

DORIXINA COM x 20

Roemmers

31,95

21,34

21,34

5 mg TENSOPRIL 5 mg COM x 20

Ivax Argentina

68,99

46,23

46,23

TENSOPRIL 5 mg COM x 40

Ivax Argentina

106,99

68,01

68,01

LISINA CLONIXINATO
Comprimidos

LISINOPRIL
Comprimidos

10 mg TERSIF MD 10 mg MULTIRRAN. COM x 20

Baliarda

34,45

8,47

8,47

SEDOTENSIL 10 COM x 20

Sanofi Aventis

43,29

8,66

8,66

TENSOPRIL 10 mg COM x 20

Ivax Argentina

117,41

78,68

78,68

LISINAL 10 mg COM x 30

Beta

80,91

19,89

19,89

ZESTRIL 10 mg COM x 30

Astrazeneca

87,29

24,62

24,62

DOXAPRIL 10 mg COM x 30

Bag

114,08

54,49

54,49

TENSOPRIL 10 mg COM x 40

Ivax Argentina

193,28

129,52

129,52

SEDOTENSIL 10 COM x 50

Sanofi Aventis

99,92

19,98

19,98

ZESTRIL 10 mg COM x 60

Astrazeneca

233,98

128,05

128,05

20 mg TERSIF MD 20 mg MULTIRRAN. COM x 20

Baliarda

TENSOPRIL 20 mg COM x 20

Ivax Argentina

LISINAL 20 mg COM x 30

Beta

ZESTRIL 20 mg COM x 30

Astrazeneca

TENSOPRIL 20 mg COM x 40

Ivax Argentina

ZESTRIL 20 mg COM x 60

Astrazeneca

43,98

10,81

10,81

128,57

86,16

86,16

99,64

27,69

27,69

149,88

87,25

87,25

229,65

153,89

153,89

339,98

227,82

227,82

LITIO CARBONATO
Comprimidos

300 mg CEGLUTION 300 mg TAB x 20

Ariston

57,09

37,69

32,15

CEGLUTION 300 mg TAB x 50

Ariston

127,56

84,22

69,25

CEGLUTION 300 mg TAB x 90

Ariston

186,99

118,05

66,56

GlaxoSmithkline

135,33

81,70

38,09

CEGLUTION XR 450 mg COM x 30

Ariston

107,29

70,83

59,41

CEGLUTION XR 450 mg COM x 60

Ariston

194,22

128,22

92,24

2,63

450 mg ESKALIT SR 450 mg COM x 50

LOPERAMIDA
Comprimidos

2 mg ELCOMAN COM x 10

Sandoz

13,15

2,63

COLIFILM COM x 10

Eurofarma

28,42

7,62

7,62

VILTAR COM x 10

Dallas

35,93

11,53

11,53

CUSTEY 2 mg COM x 10

Microsules Argentina

35,11

12,23

12,23

DOTALSEC 2 mg COM x 10

Fada Pharma

38,26

16,17

16,17

SUPRASEC COM x 10

Janssen-Cilag

42,92

21,92

21,92

LANSEKA 2 mg TAB x 10

Investi

43,98

22,89

22,89

REGULANE COM x 10

Finadiet

66,32

44,44

44,44

VILTAR COM x 20

Dallas

44,97

11,07

11,07

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 79 de 130

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NOMBRE COMERCIAL
2 mg LANSEKA 2 mg TAB x 20

03/02/2015
LABORATORIO
Investi

REGULANE COM x 20

Finadiet

COLIFILM COM x 50

Eurofarma

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

68,81

20,13

20,13

116,60

78,13

78,13

80,61

21,59

21,59

LORATADINA
Comprimidos

Lquido

10 mg FADA LORATADINA 10 mg COM x 10

7,10

1,42

1,42

DEVEDRYL 10 mg COM x 10

Klonal

13,80

3,08

3,08

HISPLEX 10 mg COM x 10

Biotenk

14,00

3,10

3,10

NILTRO 10 mg COM x 10

Duncan

17,01

3,80

3,80

DEXITIS 10 mg COM x 10

Savant

18,56

4,57

4,57

LORATADINA ILAB 10 mg COM x 10

Inmunolab

22,60

6,67

6,67

SINALER 10 mg COM x 10

Cassara

18,90

6,98

6,98

BEDIX COM x 10

Bernabo

33,92

20,70

20,70

BILOINA COM x 10

Andromaco

40,86

26,98

26,98

LISALER COM x 10

Fortbenton Co.

41,52

27,41

27,41

OMEGA 100 L COM x 10

Omega

62,48

42,66

42,66

ALERPRIV 10 mg COM x 10

Montpellier

66,43

44,51

44,51

CLARITYNE COM x 10

MSD Arrgentina SR

110,76

74,22

74,22

VAGRAN 10 mg COM x 12

Finadiet

46,48

31,15

31,15

SINALER 10 mg COM x 20

Cassara

28,77

6,43

6,43

VAGRAN 10 mg COM x 20

Finadiet

65,79

36,04

36,04

HISPLEX 10 mg COM x 30

Biotenk

38,90

8,68

8,68

BILOINA COM x 30

Andromaco

70,56

19,67

19,67

BEDIX COM x 30

Bernabo

77,37

27,69

27,69

VAGRAN 10 mg COM x 30

Finadiet

93,65

50,27

50,27

LISALER COM x 30

Fortbenton Co.

115,64

76,35

76,35

ALERPRIV 10 mg COM x 30

Montpellier

160,59

107,61

107,61

CLARITYNE COM x 30

MSD Arrgentina SR

270,90

181,53

181,53

Cassara

24,90

9,68

9,68

BILOINA JBE x 60

Andromaco

26,85

6,74

6,74

LISALER JBE x 60

Fortbenton Co.

35,12

18,00

18,00

ALERPRIV JBE x 60

Montpellier

47,06

31,54

31,54

OMEGA 100 L JBE x 60

Omega

68,89

47,04

47,04

CLARITYNE JBE x 60

MSD Arrgentina SR

106,50

71,37

71,37

ALERPRIV JBE x 120

Montpellier

90,83

60,86

60,86

5 mg SINALER JBE x 50

Fada Pharma

LORAZEPAM
Comprimidos

1 mg KALMALIN 1 mg COM x 20

Bag

12,33

5,49

5,49

LORAZEPAN CHOBET 1 mg COM x 20

Soubeiran Chobet

12,54

5,80

5,80

SIDENAR 1 mg COM x 20

Ivax Argentina

14,86

8,99

8,99

EMOTIVAL 1 mg COM x 30

Ivax Argentina

21,11

11,92

11,92

TRAPAX 1 mg COM x 30

Pfizer

30,56

20,48

20,48

KALMALIN 1 mg COM x 40

Bag

17,19

4,23

4,23

SIDENAR 1 mg COM x 50

Ivax Argentina

29,86

12,29

12,29

LORAZEPAN CHOBET 1 mg COM x 50

Soubeiran Chobet

31,37

14,53

14,53

APLACASSE 1 mg COM x 50

Menarini

49,74

32,84

32,84

TRAPAX 1 mg COM x 50

Pfizer

53,11

35,59

35,59

EMOTIVAL 1 mg COM x 60

Ivax Argentina

36,91

16,37

16,37

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 80 de 130

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Comprimidos

NOMBRE COMERCIAL

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

1 mg TRAPAX 1 mg COM x 60

Pfizer

58,69

39,33

39,33

2 mg LORAZEPAN CHOBET 2 mg COM x 20

Soubeiran Chobet

18,99

12,71

12,71

EMOTIVAL 2 mg COM x 30

Ivax Argentina

28,41

18,97

18,97

LORAZEPAN CHOBET 2 mg COM x 50

Soubeiran Chobet

47,51

31,81

31,81

EMOTIVAL 2 mg COM x 60

Ivax Argentina

55,60

36,41

36,41

2,5 mg SIDENAR 2.5 mg COM x 20

Ivax Argentina

16,58

5,71

5,71

KALMALIN 2.5 mg COM x 20

Bag

21,58

12,36

12,36

TRAPAX 2.5 mg COM x 30

Pfizer

43,97

29,46

29,46

KALMALIN 2.5 mg COM x 40

Bag

50,92

34,12

34,12

SIDENAR 2.5 mg COM x 50

Ivax Argentina

42,62

16,08

16,08

APLACASSE 2.5 mg COM x 50

Menarini

54,66

33,55

33,55

TRAPAX 2.5 mg COM x 50

Pfizer

67,69

45,36

45,36

TRAPAX 2.5 mg COM x 60

Pfizer

86,92

58,24

58,24

Pfizer

60,09

40,08

40,08

Gador

111,59

74,78

49,00

PRISONIL 50 mg COM x 15

Lepetit

37,00

10,60

10,60

CARTAN 50 mg COM x 15

Eurofarma

53,70

10,74

10,74

TEMISARTAN 50 mg COM x 15

Temis-Lostalo

60,20

13,45

13,45

LOSARTAN 50 mg NORTHIA COM x 15

Northia

62,37

13,56

13,56

LOPLAC 50 mg COM x 15

Casasco

91,62

45,75

25,80

NITEN 50 mg COM x 15

Ivax Argentina

123,62

82,84

66,73

TACARDIA 50 mg COM x 28

Richmond

217,46

145,72

91,36

PAXON 50 mg COM x 28

Gador

246,02

164,86

128,65

PRISONIL 50 mg COM x 30

Lepetit

66,00

14,80

14,80

VASEXTEN 50 mg COM x 30

Bernabo

130,56

29,15

29,15

LOSARTAN 50 mg NORTHIA COM x 30

Northia

188,74

107,21

107,21

CARTAN 50 mg COM x 30

Eurofarma

217,63

135,22

69,30

LOPLAC 50 mg COM x 30

Casasco

216,59

136,37

69,53

TACARDIA 50 mg COM x 30

Richmond

232,97

156,11

99,75

FENSARTAN 50 mg COM x 30

Elea

236,51

158,48

98,58

TEMISARTAN 50 mg COM x 30

Temis-Lostalo

240,52

161,17

104,22

NITEN 50 mg COM x 30

Ivax Argentina

248,03

166,20

114,60

LOSACOR 50 mg COM x 30

Roemmers

251,31

168,48

118,99

COZAAREX 50 mg COM x 30

Merck Sharp & Dhome

262,93

176,19

134,60

PAXON 50 mg COM x 30

Gador

266,58

178,63

141,72

TACARDIA 50 mg COM x 56

Richmond

388,44

233,93

114,83

PAXON 50 mg COM x 56

Gador

450,27

301,72

201,39

TACARDIA 50 mg COM x 60

Richmond

424,11

260,99

147,02

PAXON 50 mg COM x 60

Gador

493,40

330,62

230,78

LOSACOR 50 mg COM x 60

Roemmers

494,60

331,43

260,17

1 mg TRAPAX 1 mg SUBLING. COM x 30

LOSARTN
Comprimidos

50 mg PAXON 50 mg COM x 14

100 mg TACARDIA 100 mg COM x 28

Richmond

265,62

177,99

112,69

PAXON 100 mg COM x 28

Gador

316,14

211,85

178,14

PRISONIL 100 mg COM x 30

Lepetit

90,00

20,40

20,40

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 81 de 130

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NOMBRE COMERCIAL

03/02/2015
LABORATORIO

100 mg VASEXTEN 100 mg COM x 30

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Bernabo

164,14

38,32

36,65

LOSACOR 100 mg COM x 30

Roemmers

278,82

185,45

107,25

CARTAN 100 mg COM x 30

Eurofarma

283,44

188,45

111,42

LOPLAC 100 mg COM x 30

Casasco

282,79

189,49

112,97

FENSARTAN 100 mg COM x 30

Elea

288,87

193,57

121,59

NITEN 100 mg COM x 30

Ivax Argentina

303,37

203,29

141,68

TEMISARTAN 100 mg COM x 30

Temis-Lostalo

317,88

213,01

161,17

PAXON 100 mg COM x 30

Gador

330,21

221,27

180,05

FENSARTAN CRONOS 100 mg COM x 30

Elea

341,93

228,08

144,41

COZAAREX 100 mg COM x 30

Merck Sharp & Dhome

348,24

233,35

200,26

PAXON 100 mg COM x 56

Gador

564,21

378,07

267,51

PAXON 100 mg COM x 60

Gador

520,10

323,18

166,57

Lepetit

36,00

9,60

9,60

LOSARTN +
HIDROCLOROTIAZIDA
Comprimidos

50 mg PRISONIL D 50/12.5 mg COM x 15


TACARDIA D 50/12.5 mg COM x 28

Richmond

259,36

172,28

97,73

PAXON D 50/12.5 mg COM x 28

Gador

301,48

202,02

155,85

PRISONIL D 50/12.5 mg COM x 30

Lepetit

80,00

17,60

17,60

VASEXTEN D 50/12.5 mg COM x 30

Bernabo

157,90

35,26

35,26

CARTAN D 50/12.5 mg COM x 30

Eurofarma

255,61

153,03

75,67

LOPLAC D 50/12.5 mg COM x 30

Casasco

253,58

153,50

71,48

NITEN D 50/12.5 mg COM x 30

Ivax Argentina

280,61

187,99

105,34

LOSACOR D 50/12.5 mg COM x 30

Roemmers

294,82

197,65

125,53

TEMISARTAN DIUR 50/12.5 mg COM x 30

Temis-Lostalo

295,74

198,18

126,93

PAXON D 50/12.5 mg COM x 30

Gador

322,97

216,42

166,92

COZAAREX D 50/12.5 mg COM x 30

Merck Sharp & Dhome

331,98

217,76

175,78

PAXON D 50/12.5 mg COM x 56

Gador

538,02

358,87

218,08

PAXON D 50/12.5 mg COM x 60

Gador

472,86

261,20

123,28

100 mg PAXON D 100/12.5 mg COM x 28

Gador

316,14

211,85

162,65

PAXON D 100/25 mg COM x 28

Gador

321,21

215,24

167,81

PRISONIL D 100/25 mg COM x 30

Lepetit

97,00

21,80

21,80

VASEXTEN D 100/25 mg COM x 30

Bernabo

168,87

37,70

37,70

CARTAN D 100/25 mg COM x 30

Eurofarma

281,69

173,15

88,12

COZAAREX D 100/12.5 mg COM x 30

Merck Sharp & Dhome

297,81

181,44

109,72

LOPLAC D 100/25 mg COM x 30

Casasco

292,25

189,91

104,65

FENSARTAN D COM x 30

Elea

283,46

189,94

109,47

LOSACOR D 100/25 mg COM x 30

Roemmers

299,20

198,66

114,79

TEMISARTAN DIUR 100/25 mg COM x 30

Temis-Lostalo

307,70

206,19

126,96

NITEN D 100/25 mg COM x 30

Ivax Argentina

313,88

210,33

135,66

COZAAREX D 100/25 mg COM x 30

Merck Sharp & Dhome

371,95

249,24

214,18

Bausch & Lomb Argentina

106,89

64,97

64,97

99,50

57,49

57,49

Poen

106,60

65,87

65,87

Elea

119,03

79,76

79,76

Bausch & Lomb Argentina

129,35

88,32

88,32

LOTEPREDNOL
Lquido

200 mg ALREX OFT. SUS x


500 mg LOTEVIS Oft. SUS x

5
5

LOTESOFT OFT. SOL x


LOPRED OFT. SUS x
LOTEMAX OFT. SUS x

Raymos
5

5
5

LOVASTATIN
MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 82 de 130

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NOMBRE COMERCIAL

Comprimidos

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

10 mg HIPOVASTIN 10 mg COM x 30

Gador

78,60

52,43

52,43

20 mg HIPOVASTIN 20 mg COM x 20

Gador

95,16

63,47

63,47

55 mg TOTAL MAGNESIANO GRAGEAS Blist. GRA x 30

Temis-Lostalo

146,75

98,34

98,34

TOTAL MAGNESIANO GRAGEAS Blist. GRA x 60

Temis-Lostalo

273,09

180,83

180,83

240 mg TOTAL MAGNESIANO LIMON GRL x 50

Temis-Lostalo

61,58

41,26

41,26

TOTAL MAGNESIANO LIMON GRL x 100

Temis-Lostalo

90,29

39,48

39,48

302 mg TOTAL MAGNESIANO EFERV. COM x 24

Temis-Lostalo

105,02

70,05

70,05

528 mg HOLOMAGNESIO GRA x 20

Phoenix

110,31

73,92

73,92

HOLOMAGNESIO GRA x 50

Phoenix

176,54

82,39

82,39

HOLOMAGNESIO GRA x 100

Phoenix

365,18

182,11

182,11

MAGNESIO
Comprimidos

Granulado

MAGNESIO CARBONATO +
MAGNESIO FLUORURO
Comprimidos

MAGNESIO CITRATO
Comprimidos

MAGNESIO CLORURO +
MAGNESIO FLUORURO
Granulado

Sobres

99945 TOTAL MAGNESIANO GRL x 50


mg

Temis-Lostalo

80,72

23,67

23,67

TOTAL MAGNESIANO GRL x 100

Temis-Lostalo

149,22

36,70

36,70

1500 mg TOTAL MAGNESIANO EFERV. POLVO SOB x 24

Temis-Lostalo

64,69

43,35

43,35

TOTAL MAGNESIANO EFERV. POLVO SOB x 30

Temis-Lostalo

123,29

82,62

82,62

TOTAL MAGNESIANO EFERV. POLVO SOB x 48

Temis-Lostalo

121,15

80,69

80,69

MAGNESIO PIDOLATO
Comprimidos

1000 mg BIOMAG COM x 20

Baliarda

52,36

12,88

12,88

Sobres

1500 mg BIOMAG GRANULADO SOB x 15

Baliarda

39,09

25,41

25,41

BIOMAG GRANULADO SOB x 30

Baliarda

70,43

44,48

44,48

200 mg LOGICAL 200 COM x 30

Ivax Argentina

73,78

49,44

35,15

LOGICAL 200 COM x 60

Ivax Argentina

136,68

89,96

55,18

400 mg LOGICAL 400 COM x 30

Ivax Argentina

128,17

85,89

57,89

LOGICAL 400 COM x 60

Ivax Argentina

247,23

164,02

103,06

Bag

43,80

10,78

10,78 INF

Janssen-Cilag

43,90

29,29

29,29

MAGNESIO VALPROATO
Comprimidos

Lquido

250 mg EXIBRAL JBE x 120

MEBENDAZOL
Comprimidos

100 mg NEMASOLE COM x

200 mg NEMASOLE 200 COM x

Janssen-Cilag

39,49

14,20

14,20

TRU M 200 mg COM x

Biotechno Pharma

55,03

34,99

34,99

MEBUTAR 200 COM x

Andromaco

55,14

35,86

35,86

Andromaco

69,46

45,86

45,86

Janssen-Cilag

70,09

46,75

46,75

Andromaco

55,14

36,31

36,31

Janssen-Cilag

40,69

16,03

16,03

Janssen-Cilag

42,62

28,01

28,01

MEBUTAR 200 MAST. COM x


500 mg NEMASOLE AD COM x
Lquido

200 mg MEBUTAR 200 SUS x 30


2000 mg NEMASOLE 200 SUS x 30
NEMASOLE SUS x 30

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 83 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Lquido

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

2000 mg
4000 mg TRU M SUS x 30

Biotechno Pharma

32,12

6,64

6,64

10 mg LIVOMEDROX 10 mg COM x 10

Varifarma

33,77

15,71

15,71

LIVOMEDROX 10 mg COM x 20

Varifarma

64,35

26,44

26,44

FARLUTALE 10 mg COM x 20

Pfizer

94,38

62,95

62,95

Temis-Lostalo

541,21

184,10

184,10

Bayer (PH)

544,59

195,43

195,43

Temis-Lostalo

142,87

48,61

48,61

Ferring

367,30

245,00

245,00

Buxton

548,14

360,15

360,15

MEDROXIPROGESTERONA
ACETATO
Comprimidos

MEGLUMINA
GADOPENTETATO
Ampollas

376,9 mg DOTAREM 15 ml F.A x

469 mg MAGNEVIST-15 ML F.A x

MEGLUMINA IOXITALAMATO
Ampollas

55050 TELEBRIX HYSTERO 20 ML AMP x


mg

MENOTROPINA (FSH+LH) /
HMG
Ampollas

75 ui HMG FERRING 75 UI + SOLV. F.A x


LIFECELL 75 UI + SOLV. F.A x

HMG FERRING 75 UI + SOLV. F.A x

Ferring

2.198,30

1.466,33

1.466,33

150 ui HMG FERRING 150 UI + SOLV. F.A x

Ferring

734,56

489,97

489,97

HMG FERRING 150 UI + SOLV. F.A x

Ferring

4.396,94

2.932,88

2.932,88

MENOTROPINA (FSH+LH)
ALTA PUREZA / HMGAP
Ampollas

75 ui MENOPUR 75 UI F.A x

Ferring

460,73

307,32

307,32

MENOPUR 75 UI F.A x

Ferring

2.303,64

1.536,59

1.536,59

MENOPUR 75 UI F.A x 10

Ferring

4.607,15

3.073,02

3.073,02

4 mg CORTIPYREN B 4 mg COM x 20

Gador

46,23

26,82

26,82

Sanofi Aventis

53,15

35,62

35,62

Varifarma

75,71

27,72

27,72

CORTIFURIL 8 mg COM x 20

Biol

89,14

44,49

44,49

CORTIPYREN B 8 mg COM x 20

Gador

99,11

57,16

57,16

DELTISONA-B 8 mg COM x 20

Sanofi Aventis

118,51

79,41

79,41

MEPREDNISONA ACETATO
Comprimidos

DELTISONA-B 4 mg COM x 20
8 mg MEPREDNISONA VARIFARMA 8 mg comp COM x
20

40 mg CORTIFURIL 40 mg COM x 20

Gotas

Biol

215,34

87,80

87,80

CORTIPYREN B 40 mg COM x 20

Gador

259,03

146,89

146,89

DELTISONA-B 40 mg COM x 20

Sanofi Aventis

314,97

211,06

211,06

Gador

38,32

18,28

18,28 INF

Sanofi Aventis

65,69

43,82

43,82 INF

520 mg PRENOLONE ORAL GTS x 15

Bag

54,75

36,69

36,69 INF

400 mg RECTOCALM 400 mg COM x 30

400 mg CORTIPYREN B ORAL GTS x 15


DELTISONA-B GTS x 20

MESALAZINA
Comprimidos

Sanitas

349,32

227,58

124,96

5-ASA 400 mg COM x 30

Dominguez

402,19

269,51

195,33

RECTOCALM 400 mg COM x 60

Sanitas

643,49

384,17

175,27

5-ASA 400 mg COM x 60

Dominguez

764,72

512,43

336,47

Nova Argentia

160,09

57,80

32,02

500 mg BUFEXAN 500 mg COM x 20


MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 84 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

500 mg

03/02/2015
LABORATORIO

5-ASA 500 mg COM x 30

Dominguez

427,28

286,32

201,59

XALAZINA 500 mg COM x 30

Hlb Pharma

439,78

294,69

294,69

SUPRIMAL 500 mg GASTRORRES. COM x 50

Temis-Lostalo

306,42

75,36

75,36

SALOFALK 500 mg COM x 50

Biotoscana

551,00

344,34

135,80

XALAZINA 500 mg COM x 50

Hlb Pharma

733,19

491,30

491,30

PENTASA 500 mg COM x 50

Ferring

752,32

504,12

433,21

BUFEXAN 500 mg COM x 60

Nova Argentia

470,75

158,55

94,15

CONDUCTASA 500 mg COM x 60

Casasco

708,55

473,38

203,74

5-ASA 500 mg COM x 60

Dominguez

769,12

515,38

282,98

SALOFALK 500 mg COM x 100

Biotoscana

949,60

484,14

267,20

XALAZINA 500 mg COM x 100

Hlb Pharma

1.246,72

835,41

835,41

PENTASA 500 mg COM x 100

Ferring

1.436,88

892,66

686,65

EXOTRAN 500 mg LIB.PROL. COM x 30

Beta

190,71

121,02

71,86

5-ASA LP 500 mg COM x 30

Dominguez

345,43

224,53

169,57

5 XR 500 mg COM x 50

Ariston

451,27

214,41

113,08

EXOTRAN 500 mg LIB.PROL. COM x 60

Beta

405,93

272,01

178,55

5-ASA LP 500 mg COM x 60

Dominguez

621,74

373,42

237,38

5 XR 500 mg COM x 100

Ariston

776,25

242,34

173,34

800 mg YOLECOL 800 mg COM x 30

Enema

Takeda

509,68

341,53

272,14

XALAZINA 800 mg COM x 30

Hlb Pharma

631,65

423,26

423,26

5-ASA 800 mg COM x 30

Dominguez

683,61

458,08

393,64

XALAZINA 800 mg COM x 50

Hlb Pharma

909,66

609,55

609,55

YOLECOL 800 mg COM x 60

Takeda

882,78

562,18

359,16

CONDUCTASA 800 mg COM x 60

Casasco

960,64

643,71

466,80

5-ASA 800 mg COM x 60

Dominguez

1.182,22

792,20

680,76

YOLECOL 800 mg COM x 90

Takeda

1.192,03

669,65

354,51

XALAZINA 800 mg COM x 100

Hlb Pharma

1.473,74

987,54

987,54

1000 mg PENTASA 1 g COM x 30

Ferring

900,07

603,13

414,58

PENTASA 1 g COM x 60

Ferring

1.693,13

1.120,44

679,52

1200 mg MEZAVANT 1200 mg COM x 30

Bag

855,31

573,14

382,84

MEZAVANT 1200 mg COM x 60

Bag

1.646,73

1.085,96

676,18

Ferring

966,90

644,95

408,34

Biotoscana

495,00

320,14

320,14

Biotoscana

1.124,75

750,30

474,86

500 mg SALOFALK Granul. LIB.PROL. SOB x 35

Biotoscana

1.050,60

700,88

443,89

SALOFALK Granul. LIB.PROL. SOB x 50

Biotoscana

629,30

419,82

247,70

1000 mg PENTASA 1 g ENE x

4000 mg SALOFALK 4 g 60 ML ENE x


Espuma
Sobres

Supositorios

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

NOMBRE COMERCIAL

1000 mg SALOFALK Rectal ESP x 14

1000 mg PENTASA 1 g SOB x 50

Ferring

1.374,37

916,74

580,43

2000 mg PENTASA 2 g SOB x 30

Ferring

1.650,35

1.100,83

696,99

400 mg 5-ASA 400 mg SUP x 10

Dominguez

188,24

126,14

86,36

5-ASA 400 mg SUP x 30

Dominguez

538,85

355,65

223,05

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 85 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Supositorios

NOMBRE COMERCIAL
500 mg SALOFALK 500 mg SUP x 10

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Biotoscana

233,80

156,45

134,35

BUFEXAN 500 mg SUP x 12

Nova Argentia

133,24

82,72

26,65

YOLECOL 500 mg SUP x 30

Takeda

367,94

245,43

103,70

SALOFALK 500 mg SUP x 30

Biotoscana

683,90

458,15

393,65

Biotoscana

370,80

169,20

90,80

1.364,58

910,21

576,29

1000 mg SALOFALK 1 g SUP x 10


PENTASA 1000 mg SUP x 28

Ferring

METFORMINA
Comprimidos

500 mg MECTIN 500 mg COM x 30

Ivax Argentina

19,60

4,82

4,82

BALIGLUC 500 mg COM x 30

Baliarda

21,05

5,18

5,18

OXEMET 500 mg COM x 30

GlaxoSmithkline

23,39

5,22

5,22

MEDOBIS 500 mg COM x 30

Lazar

21,47

5,28

5,28

DBI 500 mg COM x 30

Montpellier

23,62

5,81

5,81

METGLUCON 500 mg COM x 30

Investi

23,93

5,89

5,89

DIABESIL 500 mg COM x 30

Gador

33,20

17,38

9,37

METFORMIN TEMIS 500 mg COM x 30

Temis-Lostalo

34,60

19,31

9,87

NOGLUC 500 mg COM x 30

Beta

35,65

20,72

10,05

METFORAL 500 mg COM x 30

Menarini

35,83

21,64

12,40

ISLOTIN 500 mg COM x 30

Craveri

45,43

30,44

24,07

GLUCOPHAGE 500 mg COM x 30

Elea

46,60

31,23

25,90

OXEMET 500 mg COM x 60

GlaxoSmithkline

46,63

10,41

10,41

METGLUCON 500 mg COM x 60

Investi

47,86

11,77

11,77

DIAB DOS 500 mg COM x 60

Francelab

54,06

19,64

19,64

BALIGLUC 500 mg COM x 60

Baliarda

56,99

21,01

14,01

MECTIN 500 mg COM x 60

Ivax Argentina

59,09

24,22

14,52

METFORMIN TEMIS 500 mg COM x 60

Temis-Lostalo

62,20

28,81

15,30

MEDOBIS 500 mg COM x 60

Lazar

64,40

31,96

18,10

DIABESIL 500 mg COM x 60

Gador

72,29

42,76

22,97

DBI 500 mg COM x 60

Montpellier

73,16

43,91

24,30

NOGLUC 500 mg COM x 60

Beta

77,98

50,14

21,98

BALIGLUC 500 mg COM x 100

Baliarda

80,83

19,83

16,17

DIAB DOS 500 mg COM x 100

Francelab

94,34

38,01

38,01

DBI 500 mg COM x 100

Montpellier

122,43

73,84

41,23

GLUCOPHAGE 500 mg COM x 100

Elea

138,18

92,59

63,71

ISLOTIN 500 mg COM x 100

Craveri

151,48

101,51

80,27

BALIGLUC AP 500 mg COM x 30

Baliarda

57,50

36,87

33,11

MECTIN XR 500 mg COM x 30

Ivax Argentina

57,34

37,44

29,68

DBI AP 500 mg COM x 30

Montpellier

57,32

38,41

33,00

DIABESIL AP 500 mg COM x 30

Gador

57,78

38,72

33,27

GLUCOPHAGE XR LP 500 mg COM x 30

Elea

63,56

42,59

36,60

METGLUCON 500 AP COM x 30

Investi

68,38

45,82

39,38

ISLOTIN XR COM x 30

Craveri

72,08

48,30

41,51

BALIGLUC AP 500 mg COM x 60

Baliarda

111,63

69,55

64,28

MECTIN XR 500 mg COM x 60

Ivax Argentina

111,87

71,47

55,58

DBI AP 500 mg COM x 60

Montpellier

109,18

73,16

62,87

DIABESIL AP 500 mg COM x 60

Gador

111,45

74,68

64,17

GLUCOPHAGE XR LP 500 mg COM x 60

Elea

120,74

80,67

64,99

METGLUCON 500 AP COM x 60

Investi

129,93

87,07

74,19

ISLOTIN XR COM x 60

Craveri

136,98

91,79

78,88

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 86 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL

03/02/2015
LABORATORIO

500 mg DBI AP 500 mg COM x 100

Montpellier

750 mg GLUCOPHAGE XR LP 750 mg COM x 30

Elea

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

172,77

115,77

99,49

96,13

62,56

38,48

ISLOTIN XR 750 COM x 30

Craveri

112,85

75,62

59,33

GLUCOPHAGE XR LP 750 mg COM x 60

Elea

182,58

112,71

62,84

ISLOTIN XR 750 COM x 60

Craveri

210,82

141,27

100,07

850 mg OXEMET 850 mg COM x 30

GlaxoSmithkline

43,54

10,86

9,72

MECTIN 850 mg COM x 30

Ivax Argentina

57,53

28,50

14,15

MEDOBIS 850 mg COM x 30

Lazar

64,40

37,91

19,16

METFORMIN TEMIS 850 mg COM x 30

Temis-Lostalo

65,44

39,28

20,15

METFORAL 850 mg COM x 30

Menarini

71,79

46,66

31,72

GLUCAMINOL FORTE 850 COM x 30

Investi

71,88

47,55

29,61

OXEMET 850 mg COM x 60

GlaxoSmithkline

87,03

21,67

19,43

MECTIN 850 mg COM x 60

Ivax Argentina

114,87

56,72

28,25

MEDOBIS 850 mg COM x 60

Lazar

125,42

71,31

35,34

METFORMIN TEMIS 850 mg COM x 60

Temis-Lostalo

128,94

76,01

38,45

GLUCAMINOL FORTE 850 COM x 60

Investi

142,60

93,64

57,57

DIAB DOS 850 mg COM x 60

Francelab

143,55

96,19

96,19

DIAB DOS 850 mg COM x 100

Francelab

192,85

104,70

104,70

METGLUCON 850 mg AP COM x 30

Investi

40,18

9,88

9,88

BALIGLUC AP 850 mg COM x 30

Baliarda

62,52

35,40

17,62

MEDOBIS 850 mg AP COM x 30

Lazar

73,01

48,92

31,20

DBI AP 850 mg COM x 30

Montpellier

75,13

50,35

34,15

GLUCOPHAGE 850 mg COM x 30

Elea

78,30

52,47

38,45

DIABESIL AP 850 mg COM x 30

Gador

81,41

54,56

42,56

MECTIN XR 850 mg COM x 30

Ivax Argentina

83,20

55,75

44,80

NOGLUC AP 850 mg COM x 30

Beta

84,67

56,74

23,87

ISLOTIN RETARD 850 mg COM x 30

Craveri

88,03

58,99

49,89

QUEXEL SR 850 mg COM x 30

Sanofi Aventis

97,96

65,34

41,41

METGLUCON 850 mg AP COM x 60

Investi

80,36

19,76

19,76

BALIGLUC AP 850 mg COM x 60

Baliarda

123,11

68,18

34,70

MEDOBIS 850 mg AP COM x 60

Lazar

140,24

90,66

54,18

DBI AP 850 mg COM x 60

Montpellier

149,24

100,01

66,89

GLUCOPHAGE 850 mg COM x 60

Elea

153,46

102,83

72,67

DIABESIL AP 850 mg COM x 60

Gador

158,91

106,49

79,99

MECTIN XR 850 mg COM x 60

Ivax Argentina

160,40

107,48

81,57

NOGLUC AP 850 mg COM x 60

Beta

167,10

111,97

47,09

ISLOTIN RETARD 850 mg COM x 60

Craveri

179,12

120,03

103,14

BALIGLUC AP 850 mg COM x 100

Baliarda

161,66

55,27

32,33

DBI AP 850 mg COM x 100

Montpellier

248,14

166,28

110,67

ISLOTIN RETARD 850 mg COM x 100

Craveri

294,71

197,48

167,92

Craveri

84,46

56,60

48,64

OXEMET 1000 mg COM x 30

GlaxoSmithkline

59,44

17,84

13,28

METFORMIN TEMIS 1 g COM x 30

Temis-Lostalo

71,18

33,65

17,55

MECTIN 1000 mg COM x 30

Ivax Argentina

79,23

44,87

23,17

MEDOBIS 1000 mg COM x 30

Lazar

81,77

50,38

33,98

GLUCOPHAGE 1000 mg COM x 30

Elea

95,94

64,29

45,31

ISLOTIN 1000 mg COM x 50

Craveri

184,10

123,36

104,61

1000 mg ISLOTIN 1000 mg COM x 20

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 87 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

Lquido

NOMBRE COMERCIAL
1000 mg OXEMET 1000 mg COM x 60

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

GlaxoSmithkline

103,96

23,21

23,21

METFORMIN TEMIS 1 g COM x 60

Temis-Lostalo

127,78

45,45

31,43

MECTIN 1000 mg COM x 60

Ivax Argentina

143,03

68,26

35,17

DIAB DOS 1000 mg COM x 60

Francelab

157,79

95,51

95,51

GLUCOPHAGE 1000 mg COM x 60

Elea

180,83

118,82

75,31

DIAB DOS 1000 mg COM x 100

Francelab

210,99

81,61

81,61

ISLOTIN 1000 mg COM x 100

Craveri

341,66

228,94

177,49

METGLUCON 1000 mg AP COM x 30

Investi

73,43

36,86

20,69

QUEXEL SR 500 mg COM x 30

Sanofi Aventis

65,23

43,51

27,61

MEDOBIS 1000 mg AP COM x 30

Lazar

88,96

55,45

37,58

BALIGLUC AP 1000 mg COM x 30

Baliarda

90,12

59,04

37,24

DBI AP FORTE 1000 mg COM x 30

Montpellier

93,36

62,56

41,77

MECTIN XR 1000 mg COM x 30

Ivax Argentina

104,59

70,09

46,72

DIABESIL AP 1000 mg COM x 30

Gador

104,69

70,15

56,87

NOGLUC AP 1000 mg COM x 30

Beta

105,83

70,91

29,82

GLUCOPHAGE XR LP 1000 COM x 30

Elea

128,03

85,79

73,72

QUEXEL SR 1000 mg COM x 30

Sanofi Aventis

130,58

87,10

55,39

ISLOTIN XR 1000 COM x 30

Craveri

150,22

100,66

86,50

METGLUCON 1000 mg AP COM x 60

Investi

137,20

59,76

33,74

BALIGLUC AP 1000 mg COM x 60

Baliarda

160,67

92,70

47,43

DBI AP FORTE 1000 mg COM x 60

Montpellier

177,57

114,70

70,68

MEDOBIS 1000 mg AP COM x 60

Lazar

181,18

119,26

75,81

DIABESIL AP 1000 mg COM x 60

Gador

187,03

125,32

83,98

NOGLUC AP 1000 mg COM x 60

Beta

200,52

134,37

56,51

MECTIN XR 1000 mg COM x 60

Ivax Argentina

202,14

135,46

85,00

GLUCOPHAGE XR LP 1000 COM x 60

Elea

257,97

172,86

148,55

ISLOTIN XR 1000 COM x 60

Craveri

280,71

188,10

161,64

DBI AP FORTE 1000 mg COM x 100

Montpellier

285,37

177,61

102,43

500 mg DBI METFORMINA ORAL SOL x 150

Montpellier

68,14

45,66

32,33

DBI METFORMINA ORAL SOL x 500

Montpellier

211,49

139,67

86,04

Lazar

33,98

12,22

12,22

Montpellier

49,42

32,97

32,97

400 mg AUFER 400 MG/25 mg COM x 30

Casasco

46,58

31,07

31,07

500 mg ISLOGLIB 500/2.5 mg COM x 30

METFORMINA +
GLIBENCLAMIDA
Comprimidos

250 mg MEDOBIS g 250/1.25 COM x 30


DBI DUO 250/1.25 COM x 30

Craveri

48,74

29,58

29,58

MEDOBIS g 500/2.5 mg COM x 30

Lazar

48,82

29,69

29,69

METFORMIN TEMIS DUO 500/5 mg COM x 30

Temis-Lostalo

49,79

31,44

31,44

DBI DUO 500/2.5 COM x 30

Montpellier

51,86

33,60

33,60

MEDOBIS g 500/5 mg COM x 30

Lazar

51,52

33,64

33,64

ISLOGLIB 500/5 mg COM x 30

Craveri

53,18

35,64

35,64

DBI DUO 500/5 COM x 30

Montpellier

55,25

37,03

37,03

GLUCOVANCE 500 MG/2,5 mg COM x 30

Elea

57,28

38,38

38,38

METGLUCON DUO COM x 30

Investi

58,51

39,21

39,21

GLUCOVANCE 500 MG/5 mg COM x 30

Elea

65,05

43,59

43,59

METGLUCON DUO COM x 60

Investi

89,71

49,85

49,85

DBI DUO 500/5 COM x 60

Montpellier

96,88

59,39

59,39

GLUCOVANCE 500 MG/5 mg COM x 60

Elea

112,68

75,51

75,51

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 88 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

METIL ERGOMETRINA
Ampollas
Comprimidos

0,2 mg BASOFORTINA 1 CC AMP x

0,125 mg BASOFORTINA GRA x 15

Novartis

60,50

39,75

39,75

Novartis

59,34

38,99

38,99

Techsphere

60,15

38,72

25,40 MAT

133,29

88,00

75,06

96,91

64,91

64,91 MAT

METILDOPA
Comprimidos

250 mg ALDOMET 250 mg COM x 30


HIPERMET 250 mg COM x 50
500 mg ALDOMET 500 mg COM x 30

Raymos
Techsphere

HIPERMET 500 mg COM x 40

Raymos

144,22

95,21

95,21 MAT

ALDOMET 500 mg COM x 100

Techsphere

300,77

188,16

188,16 MAT

Bag

102,92

68,65

68,65

Novartis

144,05

71,17

71,17

METHYLIN 10 mg COM x 30

Astrazeneca

184,41

123,01

123,01

RUBIFEN 10 COM x 30

Bag

212,32

142,27

142,27

RITALINA LA 10 mg CAP x 30

Novartis

385,56

253,33

253,33

18 mg CONCERTA 18 mg COM x 10

Janssen-Cilag

143,43

37,54

37,54

CONCERTA 18 mg COM x 20

Janssen-Cilag

496,61

327,86

327,86

CONCERTA 18 mg COM x 30

Janssen-Cilag

685,34

450,29

450,29

Astrazeneca

356,87

209,86

209,86

RITALINA LA 20 mg CAP x 30

Novartis

374,33

226,98

226,98

RUBIFEN 20 mg COM x 30

Bag

402,45

268,44

268,44

RUBIFEN SR 20 mg COM x 30

Bag

485,38

325,25

325,25

METHYLIN ER 20 mg COM x 30

Astrazeneca

576,54

386,34

386,34

30 mg RITALINA LA 30 mg CAP x 30

Novartis

428,62

281,62

281,62

36 mg CONCERTA 36 mg COM x 20

Janssen-Cilag

710,19

475,88

475,88

CONCERTA 36 mg COM x 30

Janssen-Cilag

980,17

653,80

653,80

40 mg RITALINA LA 40 mg CAP x 30

Novartis

428,62

281,62

281,62

54 mg CONCERTA 54 mg COM x 20

Janssen-Cilag

994,71

663,50

663,50

METILFENIDATO
Comprimidos

5 mg RUBIFEN 5 mg COM x 30
10 mg RITALINA 10 mg COM x 30

20 mg METHYLIN 20 mg COM x 30

METIMAZOL
Comprimidos

5 mg DANANTIZOL 5 mg COM x 100

Gador

26,58

17,73

11,23

20 mg DANANTIZOL 20 mg COM x 30

Gador

38,67

25,79

16,33

10 mg RELIVERAN AMP x

Novartis

31,78

20,66

20,66

RELIVERAN AMP x

Novartis

45,67

24,41

24,41

10 mg RELIVERAN COM x 20

Novartis

15,22

10,00

10,00

10 mg RELIVERAN SUBLINGUAL 10 mg COM x 10

Novartis

47,67

31,32

31,32

200 mg RELIVERAN NIOS GTS x 20

Novartis

20,45

13,44

13,44

500 mg NOVOMIT ADULTOS GTS x 20

METOCLOPRAMIDA
Ampollas

Comprimidos

Gotas

Klonal

20,94

4,68

4,68

METOCLOPRAMIDA VANNIER ADULTOS GTS x


20

Vannier S.A.

23,90

6,47

6,47

PRIMAVERA-N AD. GTS x 20

Fabra

26,85

9,42

9,42

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 89 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Gotas

Lquido

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

500 mg MIDATENK 0.5 % GTS x 20

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Biotenk

37,73

24,91

24,91

RELIVERAN ADULTOS GTS x 20

Novartis

42,02

27,74

27,74

RELIVERAN ADULTOS GTS x 60

Novartis

110,14

66,41

66,41

Raymos

19,93

3,99

3,99

500 mg FONDERYL SOL x 20

METOPROLOL
Comprimidos

25 mg BELOZOK 25 mg COM x 30

Astrazeneca

107,10

71,44

71,44

50 mg BELOZOK 50 mg COM x 30

Astrazeneca

127,34

84,94

84,94

100 mg LOPRESOR 100 mg COM x 30


BELOZOK 100 mg COM x 30

Novartis

44,20

9,87

9,87

Astrazeneca

158,64

106,30

106,30

Astrazeneca

148,25

82,74

82,74

Ivax Argentina

154,22

90,75

90,75

Trb-Pharma

175,05

117,30

117,30

Ivax Argentina

166,01

95,03

95,03

Trb-Pharma

191,13

127,49

127,49

METOTREXATE
Ampollas

15 mg TRIXATE 15 mg 3 ML F.A x
ERVEMIN 15 mg AMP x
ARTRAIT 15 mg F.A x

20 mg ERVEMIN 20 mg AMP x
ARTRAIT 20 mg F.A x
Comprimidos

4
4

2,5 mg METODIK 2.5 mg COM x 20

Nova Argentia

36,33

9,79

9,79

ARTRAIT 2,5 mg COM x 20

Trb-Pharma

54,94

34,38

34,38

TRIXATE 2.5 mg COM x 20

Astrazeneca

55,22

34,74

34,74

ERVEMIN 2,5 mg COM x 20

Ivax Argentina

60,44

40,50

40,50

Astrazeneca

41,38

26,40

26,40

METODIK 7.5 mg COM x 10

Nova Argentia

61,84

13,04

13,04

TRIXATE 7.5 mg COM x 10

Astrazeneca

89,66

47,72

47,72

ERVEMIN 7,5 mg COM x 10

Ivax Argentina

103,43

65,98

65,98

ARTRAIT 7,5 mg COM x 10

Trb-Pharma

110,29

73,90

73,90

Astrazeneca

51,75

34,68

34,68

METODIK 10 mg COM x 10

Nova Argentia

66,76

13,55

13,55

ERVEMIN 10 mg COM x 10

Ivax Argentina

99,22

53,99

53,99

TRIXATE 10 mg COM x 10

Astrazeneca

103,43

59,69

59,69

ARTRAIT 10 mg COM x 10

Trb-Pharma

121,59

81,48

81,48

7,5 mg TRIXATE 7.5 mg COM x

10 mg TRIXATE 10 mg COM x

15 mg ERVEMIN 15 mg COM x

Ivax Argentina

89,88

56,51

56,51

ARTRAIT 15 mg COM x

Trb-Pharma

112,30

75,25

75,25

ARTRAIT 15 mg COM x

Trb-Pharma

181,68

115,48

115,48

Investi

671,95

448,21

448,21

Bernabo

27,62

17,27

17,27

Baliarda

30,31

20,31

20,31

COLPOFILIN 500 mg COM x 10

Lazar

42,14

28,24

28,24

NALOX 500 mg COM x 10

Omega

63,63

43,44

43,44

BEXON 500 TAB x 20

Gobbi

23,99

5,36

5,36

TRICOFIN 500 mg COM x 20

Raymos

44,83

11,15

11,15

METRONIDAZOL BIOL 500 mg COM x 20

Biol

57,57

27,65

27,65

OVUFEM COM x 20

Bernabo

65,22

38,18

38,18

FLAGYL 500 mg COM x 20

Sanofi Aventis

75,23

50,41

50,41

METOXSALEN
Comprimidos

10 mg OXSORALEN ULTRA BLANDAS CAP x 30

METRONIDAZOL
Comprimidos

500 mg OVUFEM COM x

GINKAN 500 COM x

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 90 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Baliarda

78,12

52,35

52,35

COLPOFILIN 500 mg COM x 20

Lazar

81,08

54,33

54,33

NALOX 500 mg COM x 20

Omega

107,33

73,29

73,29

500 mg METROCEV VAG. TAB x 12

Cevallos

19,31

5,09

5,09

Crema

750 mg ROZEX 0.75% CRE x 30

Galderma

148,43

96,48

96,48

Gel

750 mg MITIDERM GEL x 45

Andromaco

168,87

108,13

108,13

Fabra

27,06

14,81

14,81

Vannier S.A.

35,35

23,34

23,34

Sanofi Aventis

75,23

50,18

50,18

176,38

115,89

115,89

Lquido

500 mg GINKAN 500 COM x 20

PRECIO

2500 mg METRONIDAZOL FABRA 125MG/5ML SUS x 120


METRONIDAZOL VANNIER SUS x 120
4000 mg FLAGYL BEBIBLE SUS x 100

Locin

750 mg ROZEX 0.75% LOC x 30

Galderma

vulos

500 mg NALOX OVU x

Omega

81,20

55,44

55,44

Raymos

51,37

28,62

28,62

FLAGYL 500 mg OVU x 10

Sanofi Aventis

65,74

37,16

37,16

COLPOFILIN 500 mg OVU x 10

Lazar

81,08

54,33

54,33

NALOX COMBI Comp.x 4 + OVU x 12

Omega

37,96

24,55

24,55

NALOX OVU x 12

Omega

129,56

88,46

88,46

TRICOFIN 500 mg OVU x

MICONAZOL
Crema

2000 mg DERALBINE CRE x 40

Valuge

70,66

53,35

53,35

Locin

2000 mg DERALBINE LOC x 40

Valuge-Lic

56,84

43,84

43,84

vulos

400 mg NEDIS 400 mg OVU x

Omega

125,67

85,43

85,43

Spray

1320 mg DERALBINE POLVO SPR x 90

Valuge-Lic

112,20

80,14

80,14

Talco

2000 mg DERALBINE TAL x 40

Valuge-Lic

66,39

51,21

51,21

50 mg SEBOCLEAR COM x 10

Raymos

63,91

42,19

42,19

MEIBI 50 mg COM x 30

Raymos

107,01

29,39

29,39

SEBOCLEAR COM x 30

Raymos

140,62

75,16

75,16

ACNECLIN COM x 30

Investi

182,30

122,16

122,16

100 mg SEBOCLEAR 100 mg COM x 10

Raymos

134,19

88,59

88,59

MEIBI 100 mg COM x 30

Raymos

299,85

173,15

173,15

SEBOCLEAR 100 mg COM x 30

Raymos

339,88

224,39

224,39

ACNECLIN 100 AP CAP x 30

Investi

346,63

230,71

230,71

MINOCICLINA CLORHIDRATO
Comprimidos

MOMETASONA FUROATO
Crema

Inhahaldor con
sistemas

1 mg ELOCON CRE x 15

MSD Arrgentina SR

117,64

79,96

79,96

NOVASONE CRE x 15

MSD Arrgentina SR

149,71

100,32

100,32

METASON CRE x 20

Fortbenton Co.

82,97

40,36

40,36

METASON CRE x 40

Fortbenton Co.

129,96

33,44

33,44

100 mg MOMETAX CRE x 15

Investi

63,94

31,92

31,92

MOMETAX CRE x 30

Investi

115,88

46,27

46,27

0,2 mg HEXALER BRONQUIAL 200 mcg CAP. INH x 30

Investi

184,76

123,24

123,24

HEXALER BRONQUIAL 200 mcg CAP. INH x 60

Investi

179,26

44,08

44,08

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 91 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

NOMBRE COMERCIAL

Inhahaldor con
sistemas

0,4 mg HEXALER BRONQUIAL 400 mcg CAP. INH x 30

Locin

1 mg METASON LOC x 30

03/02/2015
LABORATORIO
Investi
Fortbenton Co.

PRECIO
188,96

A CARGO A CARGO
REF
AFILIADO CRONICO
126,04

126,04

82,08

18,33

18,33

ELOCON LOC x 30

MSD Arrgentina SR

172,05

115,29

115,29

NOVASONE LOC x 30

MSD Arrgentina SR

227,14

152,20

152,20

100 mg MOMETAX LOC x 30

Investi

105,70

44,22

44,22

Pomo

100 mg SUAVICORT PMO x 15

Cassara

28,90

12,98

12,98

Spray

0,05 mg SUAVICORT NASAL SPR x 60

Cassara

34,90

6,98

6,98

METASON NASAL MINI SPR x 60

Fortbenton Co.

107,16

70,75

70,75

NASONEX MINI ACUOSO SPR x 60

MSD Arrgentina SR

197,94

132,64

132,64

HEXALER NASAL SPR x 120

Investi

148,70

67,09

67,09

METASON NASAL SPR x 120

Fortbenton Co.

153,03

75,30

75,30

NASONEX NASAL ACUOSO SPR x 140

MSD Arrgentina SR

323,22

216,59

216,59

MONTELUKAST SDICO
Comprimidos

4 mg INSPIROL 4 mg COM x 30

Lazar

289,43

166,40

166,40

ASMAVITAN 4 mg MAST COM x 30

Montpellier

291,76

169,51

169,51

PLENAIR 4 mg MAST. COM x 30

Nova Argentia

312,68

196,90

196,90

MONTRATE 4 mg COM x 30

Casasco

314,18

198,82

198,82

AMISPED PEDIATRICO 4 mg Mast. COM x 30

Sanofi Aventis

314,28

198,95

198,95

ROLAST NIOS 4 mg MAST. COM x 30

Phoenix

331,53

220,78

220,78

LUKAST 4 mg COM x 30

Bag

341,81

229,04

229,04

SINGULAIR NIOS 4 mg COM x 30

Merck Sharp & Dhome

448,95

300,84

300,84

5 mg INSPIROL 5 mg COM x 30

Lazar

289,43

159,19

159,19

AMISPED PEDIATRICO 5 mg Mast. COM x 30

Sanofi Aventis

314,28

192,31

192,31

ASMAVITAN 5 mg COM x 30

Montpellier

314,97

193,21

193,21

ROLAST NIOS 5 mg MAST. COM x 30

Phoenix

331,53

214,49

214,49

MONTRATE 5 mg COM x 30

Casasco

333,34

216,78

216,78

PLENAIR 5 mg MAST. COM x 30

Nova Argentia

335,80

219,88

219,88

LUKAST 5 mg COM x 30

Bag

348,09

233,25

233,25

SINGULAIR 5 mg MAST. COM x 30

Merck Sharp & Dhome

448,95

300,84

300,84

10 mg INSPIROL 10 mg COM x 30

Sobres

Lazar

289,43

149,54

149,54

ASMAVITAN 10 mg COM x 30

Montpellier

319,97

190,96

190,96

ROLAST 10 mg COM x 30

Phoenix

331,53

206,06

206,06

AMISPED 10 mg COM x 30

Sanofi Aventis

345,71

224,21

224,21

PLENAIR 10 mg MAST. COM x 30

Nova Argentia

348,44

227,66

227,66

MONTRATE 10 mg COM x 30

Casasco

352,34

232,56

232,56

LUKAST 10 mg COM x 30

Bag

353,56

234,10

234,10

SINGULAIR 10 mg COM x 30

Merck Sharp & Dhome

455,52

305,24

305,24

4 mg ASMAVITAN 4 mg GRAN SOB x 30

Montpellier

291,76

181,32

181,32

MONTRATE SOB x 30

Casasco

297,30

188,44

188,44

SINGULAIR NIOS 4 mg GRAN. SOB x 30

Merck Sharp & Dhome

380,70

255,10

255,10

MUPIROCINA
Crema

2000 mg PALDAR CRE x 15

86,00

39,52

39,52

BACTROBAN CRE x 15

Investi
GlaxoSmithkline

100,24

60,18

60,18

MUPAX CRE x 15

Lazar

119,90

80,34

80,34

Pomada

2000 mg VIDOX PDA x 25

Veinfar (Larjan)

72,15

14,43

14,43

Ungento

2000 mg PALDAR UNG x 15

Investi

64,97

15,98

15,98

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 92 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Ungento

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

2000 mg MUPIROX 2% UNG x 15

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Fortbenton Co.

81,44

32,78

32,78

MUPAX DERM. UNG x 15

Lazar

98,38

56,76

56,76

MUPIROX 2% UNG x 20

Fortbenton Co.

115,97

54,62

54,62

2000 mg MUPAX NASAL 2% UNG x

Lazar

60,12

40,29

40,29

BACTROBAN NASAL UNG x

3
3

GlaxoSmithkline

83,53

55,15

55,15

MUPIROX NASAL 2% UNG x

Fortbenton Co.

82,11

53,37

53,37

GlaxoSmithkline

440,95

289,72

178,05

NADROPARINA CLCICA
Ampollas

2800 ui FRAXIPARINE 0.3 ml JPR x 10

NAFAZOLINA
Lquido

50 mg MIRASAN BAO OCULAR OFT. SOL x 90

Allergan-Loa

38,15

25,45

25,45

MIRASAN BAO OCULAR OFT. SOL x 250

Allergan-Loa

39,96

9,82

9,82

147,62

98,47

98,47

Bernabo

24,75

15,82

15,82

NAPRUX 250 mg COM x 20

Valuge-Lic

54,08

36,41

36,41

NAPRONTAG 250 mg COM x 20

Astrazeneca

62,35

41,78

41,78

NAPRUX 250 mg COM x 50

Valuge-Lic

126,13

80,76

80,76

NANDROLONA
Ampollas

50 mg DECADURABOLIN 50 mg 1 ML AMP x

MSD Arrgentina SR

NAPROXENO
Comprimidos

250 mg ALIDASE COM x 10

500 mg NAPROXENO VANNIER 500 mg COM x 10

Vannier S.A.

27,78

6,80

6,80

ALIDASE 500 mg COM x 10

Bernabo

44,80

27,44

27,44

NAPRUX 500 mg COM x 20

Valuge-Lic

104,29

70,22

70,22

NAPRONTAG 500 mg COM x 20

Astrazeneca

147,73

98,99

98,99

ALIDASE 500 mg COM x 40

Bernabo

127,26

37,78

37,78

NAPRUX 500 mg COM x 50

Valuge-Lic

223,65

134,02

134,02

NAPRONTAG 500 mg COM x 50

Astrazeneca

351,40

235,47

235,47

550 mg NAPRUX RAPID 550 mg COM x 10

Valuge-Lic

65,02

43,77

43,77

NAPRUX RAPID 550 mg COM x 20

Valuge-Lic

117,37

75,66

75,66

NAPRONTAG GESIC 550 mg COM x 10

Astrazeneca

68,18

45,69

45,69

NAPRONTAG GESIC 550 mg COM x 20

Astrazeneca

130,68

87,57

87,57

750 mg CONGEX 24 750 mg AC.PROL. COM x 10

57,28

36,59

36,59

NAPRONTAG 24 750 mg COM x 10

Buxton
Astrazeneca

131,98

88,44

88,44

CONGEX 24 750 mg AC.PROL. COM x 30

Buxton

178,74

118,00

118,00

NAPRONTAG 24 750 mg COM x 30

Astrazeneca

362,54

234,77

234,77

NEOMICINA
Comprimidos

250 mg NEOMAS BOWERS COM x

Temis-Lostalo

41,07

10,10

10,10

NEOMAS BOWERS COM x 16

Temis-Lostalo

145,83

97,72

97,72

NIFEDIPINA
Comprimidos

10 mg ADALAT CAP x 30

Bayer (PH)

34,07

22,15

14,82

ADALAT CAP x 50

Bayer (PH)

53,33

34,04

19,80

ADALAT CAP x 100

Bayer (PH)

74,42

22,66

14,88

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 93 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

10 mg ADALAT RETARD 10 mg COM x 20

Bayer (PH)

29,06

19,47

16,73

ADALAT RETARD 10 mg COM x 50

Bayer (PH)

58,21

39,01

25,35

20 mg ADALAT RETARD 20 mg COM x 20

Bayer (PH)

36,60

17,34

9,07

ADALAT OROS 20 mg COM x 30

Bayer (PH)

188,13

126,06

108,33

ADALAT RETARD 20 mg COM x 50

Bayer (PH)

64,55

15,88

15,88

Phoenix

106,29

26,13

26,13

ADALAT OROS 30 mg COM x 20

Bayer (PH)

155,77

104,38

89,70

ADALAT OROS 30 mg COM x 30

Bayer (PH)

253,80

170,07

146,15

Phoenix

131,94

32,45

32,45

Bayer (PH)

202,47

135,67

116,59

Sandoz

41,78

27,16

27,16

ACIVAL COM x 30

Geminis Farmaceutica

42,91

13,10

13,10

EUGERIAL COM x 30

Bag

43,15

13,39

13,39

MACOBAL 30 mg COM x 30

Lafedar

68,68

46,02

46,02

EXPLANER 30 mg COM x 30

Casasco

70,00

46,90

46,90

NIVAS 30 mg COM x 30

Raffo

70,38

47,16

47,16

NIMODILAT 30 mg COM x 30

Lazar

77,68

52,05

52,05

NIMOTOP 30 mg COM x 30

Bayer (PH)

93,30

60,64

60,64

EUGERIAL COM x 60

Bag

85,70

26,20

26,20

ACIVAL COM x 60

Geminis Farmaceutica

90,18

31,99

31,99

NIMODIPINA LABINCA 30 mg COM x 60

Sandoz

108,66

60,05

60,05

EXPLANER 30 mg COM x 60

Casasco

116,27

67,99

67,99

NIVAS 30 mg COM x 60

Raffo

117,06

69,04

69,04

MACOBAL 30 mg COM x 60

Lafedar

114,26

70,15

70,15

NIMODILAT 30 mg COM x 60

Lazar

127,26

82,26

82,26

NIMOTOP 30 mg COM x 60

Bayer (PH)

158,71

103,16

103,16

NIMODILAT 30 mg COM x 100

Lazar

214,15

139,69

139,69

30 mg NIFED SOL 30 mg COM x 30

60 mg NIFED SOL 60 mg COM x 30


ADALAT OROS 60 mg COM x 20

NIMODIPINA
Comprimidos

30 mg NIMODIPINA LABINCA 30 mg COM x 20

60 mg EXPLANER 60 mg COM x 30

Casasco

100,60

67,41

67,41

NIVAS FORTE 60 mg COM x 30

Raffo

115,99

77,72

77,72

NIMODILAT FORTE 60 mg COM x 30

Lazar

119,81

80,28

80,28

EXPLANER 60 mg COM x 60

Casasco

118,94

32,15

32,15

NIMODILAT FORTE 60 mg COM x 60

Lazar

140,11

57,15

57,15

NIVAS FORTE 60 mg COM x 60

Raffo

193,99

129,99

129,99

Raffo

164,88

107,91

107,91

Casasco

180,91

121,23

121,23

Bayer (PH)

96,87

62,65

62,65

500000 ui DIPNI 500000 ORAL COM x 12

Omega

89,41

61,05

61,05

DIPNI 500000 ORAL COM x 30

Omega

220,28

149,47

149,47

Omega

74,06

50,57

50,57

DIPNI 10000 VAGINAL COM x 12

Omega

118,47

71,98

71,98

120 mg NIVAS XR 120 mg COM x 30


EXPLANER LP 120 mg COM x 30
Gotas

40 mg NIMOTOP 4% GTS x 25

NISTATINA
Comprimidos

100000 ui DIPNI 10000 VAGINAL COM x

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 94 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Ungento

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

1000000 NEOSTATIN UNG x 30


ui

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Cassara

15,90

11,03

11,03

Sertex

77,22

51,45

51,45

MSD Arrgentina SR

80,95

54,24

54,24

MSD Arrgentina SR

53,50

35,69

35,69

NITROFURAZONA
Apsitos

200 mg NITROFURAZONA SERTEX X 10 CM APO x 20


FURACIN GASAS APO x 20

Pomada

200 mg FURACIN PDA x 35,5

NITROGLICERINA
Parches

5 mg NITRODERM TTS 5 mg PAR x 10

95,93

50,11

23,24

NITRO DUR II 5 mg PAR x 10

Novartis
MSD Arrgentina SR

165,03

110,58

95,03

NITRODERM TTS 5 mg PAR x 30

Novartis

253,72

100,97

56,66

NITRO DUR II 5 mg PAR x 30

MSD Arrgentina SR

440,99

295,50

253,93

10 mg NITRO DUR II 10 mg PAR x 10

MSD Arrgentina SR

206,46

138,35

118,89

NITRODERM TTS 10 mg PAR x 30

Novartis

330,62

161,45

80,09

NITRO DUR II 10 mg PAR x 30

MSD Arrgentina SR

574,95

385,27

331,07

Bayer (PH)

100,77

67,21

67,21

Omega

74,61

50,94

50,94

FLOXATRAL 400 mg COM x 10

Lepetit

28,00

5,60

5,60

WENFLOX 400 mg COM x 10

Raffo

29,03

6,05

6,05

UROSEPTAL COM x 10

Bag

59,70

38,75

38,75

NORFLOXACINA CRAVERI COM x 10

Craveri

70,35

47,14

47,14

UROXACIN 400 mg COM x 10

Lazar

71,80

48,11

48,11

UROTEM 400 mg COM x 14

Temis-Lostalo

106,34

71,26

71,26

WENFLOX 400 mg COM x 20

Raffo

35,86

7,48

7,48

FLOXATRAL 400 mg COM x 20

Lepetit

61,00

13,80

13,80

BIO-TARBUNN 400 mg COM x 20

Duncan

72,19

20,00

20,00

FLOXAMICIN 400 mg COM x 20

Biotenk

86,30

36,82

36,82

UROXACIN 400 mg COM x 20

Lazar

130,53

87,47

87,47

UROTEM 400 mg COM x 20

Temis-Lostalo

134,92

90,41

90,41

NORFLOXACINA CRAVERI COM x 20

Craveri

135,74

90,96

90,96

UROSEPTAL COM x 20

Bag

137,96

92,45

92,45

URO LINFOL COM x 20

Omega

200,44

136,86

136,86

Eli Lilly

61,54

38,19

38,19

Gador

65,42

43,64

43,64

NORETINDRONA
Comprimidos

5 mg PRIMOLUT-NOR 5 mg COM x 20

NORFLOXACINA
Comprimidos

400 mg URO LINFOL COM x

OLANZAPINA
Ampollas

10 mg ZYPREXA 10 mg IM F.A x
MIDAX 10 mg IM AMP x

Comprimidos

1
1

2,5 mg APSICO 2.5 mg COM x 28

Raymos

424,90

245,67

245,67

ZYPREXA 2.5 mg COM x 28

Eli Lilly

480,78

314,14

314,14

MIDAX 2.5 mg COM x 28

Gador

495,16

331,80

331,80

Richmond

246,28

162,10

162,10

MIDAX DISPERSABLE 5 mg TAB x 14

Gador

285,80

149,15

149,15

APSICO 5 mg COM x 14

Raymos

308,70

183,28

183,28

ZYPREXA ZYDIS 5 mg TAB x 14

Eli Lilly

314,63

185,16

185,16

SIMINA 5 mg COM x 14

Elea

323,90

200,28

200,28

ZYPREXA 5 mg COM x 14

Eli Lilly

346,24

226,11

226,11

MIDAX 5 mg COM x 14

Gador

365,84

245,15

245,15

5 mg REVERTRIX 5 mg COM x 10

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 95 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
5 mg SARTINA 5 mg COM x 15

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Temis-Lostalo

262,65

100,16

100,16

ENOLEX 5 mg COM x 28

Casasco

601,65

339,51

339,51

APSICO 5 mg COM x 28

Raymos

635,97

390,85

390,85

SIMINA 5 mg COM x 28

Elea

683,81

446,61

446,61

MIDAX 5 mg COM x 28

Gador

753,64

505,01

505,01

ZYPREXA 5 mg COM x 28

Eli Lilly

768,98

522,67

522,67

ZYPREXA ZYDIS 5 mg Dis.Inst. TAB x 28

Eli Lilly

768,98

522,67

522,67

REVERTRIX 5 mg COM x 30

Richmond

684,10

416,19

416,19

SARTINA 5 mg COM x 30

Temis-Lostalo

767,14

514,05

514,05

1.493,68

1.015,25

1.015,25

10 mg ZYPREXA ZYDIS 10 mg Dis.Inst. TAB x 28

Eli Lilly

REVERTRIX 10 mg COM x 10

Richmond

483,49

310,70

310,70

MIDAX DISPERSABLE 10 mg TAB x 14

Gador

570,10

292,79

292,79

ZYPREXA ZYDIS 10 mg TAB x 14

Eli Lilly

610,95

342,51

342,51

APSICO 10 mg COM x 14

Raymos

628,86

378,59

378,59

SIMINA 10 mg COM x 14

Elea

646,07

395,30

395,30

ZYPREXA 10 mg COM x 14

Eli Lilly

672,34

423,58

423,58

MIDAX 10 mg COM x 14

Gador

729,70

488,97

488,97

SARTINA 10 mg COM x 15

Temis-Lostalo

500,45

158,31

158,31

ENOLEX 10 mg COM x 28

Casasco

1.291,01

789,14

789,14

APSICO 10 mg COM x 28

Raymos

1.297,89

809,39

809,39

SIMINA 10 mg COM x 28

Elea

1.425,96

955,52

955,52

MIDAX 10 mg COM x 28

Gador

1.476,81

989,60

989,60

ZYPREXA 10 mg COM x 28

Eli Lilly

1.493,68

1.015,25

1.015,25

REVERTRIX 10 mg COM x 30

Richmond

1.377,31

837,78

837,78

SARTINA 10 mg COM x 30

Temis-Lostalo

1.525,40

1.022,16

1.022,16

OMEPRAZOL
Comprimidos

10 mg OMEPRASEC 10 mg CAP x 14

Hlb Pharma

27,05

5,41

5,41

REGULACID 10 mg CAP x 14

Lazar

45,24

23,66

23,66

LOSEC MUPS 10 mg COM x 14

Astrazeneca

57,18

38,32

38,32

ULSANOL 10 mg CAP x 28

Nova Argentia

53,37

10,67

10,67

ULCOZOL 10 mg CAP x 28

Bag

80,29

31,37

31,37

OMEPRASEC 10 mg CAP x 28

Hlb Pharma

91,98

52,25

52,25

REGULACID 10 mg CAP x 28

Lazar

97,05

55,28

55,28

DANLOX 10 mg CAP x 28

Casasco

109,92

72,02

72,02

TIMEZOL 10 mg CAP x 28

Richmond

110,28

72,47

72,47

ULCOZOL 10 mg COM x 28

Bag

111,03

73,41

73,41

PROCELAC 10 mg CAP x 28

Ivax Argentina

134,62

90,21

90,21

ULCOZOL 10 mg CAP x 30

Bag

107,54

63,97

63,97

GASTEC 10 mg CAP x 30

Bernabo

109,75

67,85

67,85

GASTROTEM 10 mg CAP x 30

Temis-Lostalo

139,08

93,20

93,20

Ariston

38,37

7,67

7,67

ULSANOL 20 mg CAP x 14

Nova Argentia

53,37

10,67

10,67

GASTROTEM 20 mg CAP x 14

Temis-Lostalo

60,23

16,07

16,07

REGULACID 20 mg CAP x 14

Lazar

70,26

29,73

29,73

OBLISEC 20 mg CAP x 14

Microsules Argentina

70,22

30,55

30,55

LOSEC MUPS 20 mg COM x 14

Astrazeneca

99,41

66,61

66,61

OMEPRASEC 20 mg CAP x 14

Hlb Pharma

107,99

72,36

72,36

20 mg PRYSMA 20 mg CAP x 14

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 96 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
20 mg DANLOX 20 mg CAP x 14

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Casasco

108,81

72,91

72,91

ULCOZOL 20 mg COM x 14

Bag

118,70

79,54

79,54

PROCELAC 20 mg CAP x 14

Ivax Argentina

133,17

89,24

89,24

ACIMED 20 mg CAP x 15

Sanitas

72,68

26,78

26,78

GASTEC 20 mg CAP x 15

Bernabo

111,37

73,53

73,53

ULCOZOL 20 mg CAP x 15

Bag

111,87

74,96

74,96

PRYSMA 20 mg CAP x 28

Ariston

76,73

15,35

15,35

ULSANOL 20 mg CAP x 28

Nova Argentia

106,74

21,35

21,35

LOSEC MUPS 20 mg COM x 28

Astrazeneca

173,92

102,47

102,47

OMEPRASEC 20 mg CAP x 28

Hlb Pharma

174,01

109,97

109,97

TIMEZOL 20 mg CAP x 28

Richmond

196,05

130,90

130,90

REGULACID 20 mg CAP x 28

Lazar

206,80

138,57

138,57

DANLOX 20 mg CAP x 28

Casasco

248,81

166,73

166,73

PROCELAC 20 mg CAP x 28

Ivax Argentina

254,74

170,70

170,70

ULCOZOL 20 mg COM x 28

Bag

267,46

179,22

179,22

ACIMED 20 mg CAP x 30

Sanitas

164,87

77,91

77,91

GASTROTEM 20 mg CAP x 30

Temis-Lostalo

196,24

122,73

122,73

ULCOZOL 20 mg CAP x 30

Bag

210,75

141,11

141,11

GASTEC 20 mg CAP x 30

Bernabo

232,19

153,29

153,29

30 mg ULCOZOL 30 mg CAP x 28

Bag

251,31

167,63

167,63

40 mg DANLOX 40 mg CAP x 14

Casasco

156,83

88,04

88,04

ULCOZOL 40 mg CAP x 14

Bag

186,08

124,69

124,69

PROCELAC 40 mg CAP x 14

Ivax Argentina

190,22

127,46

127,46

OMEPRASEC 40 mg CAP x 28

Hlb Pharma

295,25

163,22

163,22

DANLOX 40 mg CAP x 28

Casasco

335,30

204,82

204,82

GASTEC 40 mg CAP x 28

Bernabo

348,24

224,35

224,35

PROCELAC 40 MG CAP x 28

Ivax Argentina

362,36

239,41

239,41

ULCOZOL 40 mg CAP x 28

Bag

392,26

262,85

262,85

ULCOZOL 40 mg COM x 28

Bag

392,26

262,85

262,85

OXCARBACEPINA
Comprimidos

300 mg AURENE 300 mg COM x 30

Ivax Argentina

323,18

216,56

140,37

TRILEPTAL 300 mg COM x 30

Novartis

342,81

226,32

170,63

AURENE 300 mg COM x 60

Ivax Argentina

549,67

315,46

154,92

TRILEPTAL 300 mg COM x 60

Novartis

613,26

402,94

241,66

Ivax Argentina

583,46

384,06

218,01

TRILEPTAL 600 mg COM x 30

Novartis

685,79

452,75

364,89

AURENE 600 mg COM x 60

Ivax Argentina

969,50

507,94

273,24

TRILEPTAL 600 mg COM x 60

Novartis

1.226,43

809,68

535,54

Novartis

214,09

140,67

86,71

600 mg AURENE 600 mg COM x 30

Lquido

6000 mg TRILEPTAL JBE x 100

OXIBUTININA
Comprimidos

5 mg OXI-Q 5 mg COM x 20

Ariston

46,72

9,34

9,34

DELAK 5 mg COM x 20

Raffo

68,02

22,21

22,21

OXIBUTININA FERRING 5 mg COM x 20

Ferring

78,19

36,82

36,82

UREQUIM COM x 20

Craveri

81,62

41,70

41,70

RETEBEM 5 mg COM x 20

Gobbi

96,80

62,73

62,73

DITROPAN COM x 20

Phoenix

107,39

71,96

71,96

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 97 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
5 mg DELAK 5 mg COM x 30

LABORATORIO

A CARGO A CARGO
REF
AFILIADO CRONICO

95,09

26,67

26,67

Ariston

115,75

54,54

54,54

DITROPAN COM x 30

Phoenix

137,69

83,22

83,22

OXI-Q 5 mg COM x 50

Ariston

111,19

22,24

22,24

UREQUIM COM x 50

Craveri

194,99

91,34

91,34

OXIBUTININA FERRING 5 mg COM x 50

Ferring

205,06

105,67

105,67

RETEBEM 5 mg COM x 50

Gobbi

222,66

131,84

131,84

DITROPAN COM x 50

Phoenix

258,30

173,09

173,09

DELAK 5 mg COM x 60

Raffo

182,75

46,22

46,22

DITROPAN UD 5 mg COM x 20

Phoenix

249,70

167,32

167,32

DITROPAN UD 5 mg COM x 30

Phoenix

334,41

224,09

224,09

Ariston

192,74

53,82

53,82

DITROPAN UD 10 mg COM x 20

Phoenix

314,28

210,60

210,60

DITROPAN UD 10 mg COM x 30

Phoenix

471,42

315,90

315,90

Ariston

145,18

29,04

29,04

DITROPAN UD 15 mg COM x 20

Phoenix

315,20

188,59

188,59

DITROPAN UD 15 mg COM x 30

Phoenix

553,18

370,68

370,68

Phoenix

188,96

123,67

123,67

Ferring

253,71

170,01

170,01

15 mg OXI-Q LR 15 mg COM x 20

100 mg DITROPAN JBE x 200


OXIBUTININA FERRING 1 MG/ML JBE x 200

Raffo

PRECIO

OXI-Q 5 mg COM x 30

10 mg OXI-Q LR 10 mg COM x 20

Lquido

03/02/2015

OXIMETAZOLINA
CLORHIDRATO
Gotas

25 mg LIDIL INFANTIL GTS x 15

Roemmers

16,88

11,26

11,26

50 mg LIDIL GTS x 15

Roemmers

24,98

16,66

16,66

25 mg LIDIL OFTALMICAS GTS x 10

Roemmers

61,29

39,68

39,68

Raymos

62,97

41,57

41,57

Cassara

56,70

37,43

37,43

Bausch & Lomb Argentina

69,56

47,29

47,29

NEWCLAR OFT. GTS x 10


Spray

50 mg OXILER D SPR x 10

OXIMETAZOLINA
CLORHIDRATO +
HIALURONICO, CIDO +
VITAMINA A
Lquido

0,25 mg PANOXI OFT. SOL x 10

PANTOPRAZOL
Comprimidos

20 mg GASTROMAX 20 mg COM x 14

Gador

26,30

6,47

6,47

PANGEST 20 mg COM x 14

Beta

42,53

24,71

24,71

IBP PANTO 20 mg COM x 14

Geminis Farmaceutica

45,96

29,57

29,57

PANTOP 20 mg COM x 14

Takeda

121,18

81,20

81,20

ACTUAL 24 20 mg COM x 15

Bag

41,12

20,36

20,36

PANTOP 20 mg FRASCO COM x 15

Takeda

40,77

20,86

20,86

PANTOCAS 20 mg COM x 15

Casasco

46,09

27,18

27,18

PEPTAZOL 20 mg COM x 15

Montpellier

52,32

35,06

35,06

PAMPAR 20 mg COM x 15

Finadiet

56,32

37,74

37,74

PANTUS 20 mg GASTRORR COM x 15

Baliarda

57,53

38,55

38,55

PANGEST 20 mg COM x 15

Beta

68,60

45,97

45,97

PANTUSEC GASTR. 20 MG COM x 15

Baliarda

74,35

49,82

49,82

SUPRACAM 20 mg COM x 20

Raffo

71,03

47,60

47,60

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 98 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
20 mg GASTROMAX 20 mg COM x 28

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Gador

60,69

17,04

17,04

IBP PANTO 20 mg COM x 28

Geminis Farmaceutica

89,76

56,37

56,37

PANGEST 20 mg COM x 28

Beta

103,47

69,33

69,33

PANTOP 20 mg COM x 28

Takeda

191,51

128,33

128,33

PANTOMETYL 20 mg COM x 30

Sanitas

59,81

13,35

13,35

PANTOP 20 mg FRASCO COM x 30

Takeda

67,95

21,51

21,51

GASTROMAX 20 mg COM x 30

Gador

71,36

24,51

24,51

IBP PANTO 20 mg COM x 30

Geminis Farmaceutica

96,25

60,49

60,49

PEPTAZOL 20 mg COM x 30

Montpellier

99,66

64,05

64,05

PANTOCAS 20 mg COM x 30

Casasco

100,50

65,12

65,12

SUPRACAM 20 mg COM x 30

Raffo

105,53

70,71

70,71

PANTUS 20 mg GASTRORR COM x 30

Baliarda

105,77

70,87

70,87

PAMPAR 20 mg COM x 30

Finadiet

112,43

75,34

75,34

PANTUSEC GASTR. 20 mg COM x 30

Baliarda

133,89

89,72

89,72

PANGEST 20 mg COM x 30

Beta

150,51

100,86

100,86

GASTROMAX MAGNESICO COM x 30

Gador

153,85

103,09

103,09

GASTROMAX 20 mg COM x 42

Gador

88,32

22,97

22,97

GASTROMAX 20 mg COM x 60

Gador

138,43

44,55

44,55

40 mg GASTROMAX 40 mg COM x 14

Gador

46,20

13,03

13,03

PANGEST 40 mg COM x 14

Beta

68,66

42,84

42,84

IBP PANTO 40 mg COM x 14

Geminis Farmaceutica

72,46

47,84

47,84

PANTOSEPTO 40 mg COM x 14

Craveri

74,86

50,16

50,16

PANTOP 40 mg COM x 14

Takeda

193,50

129,66

129,66

TECTA 40 mg COM x 14

Takeda

220,86

148,00

148,00

PANTOCAS 40 mg COM x 15

Casasco

75,09

47,86

47,86

PEPTAZOL 40 mg COM x 15

Montpellier

80,86

54,18

54,18

PANTUS 40 mg GASTRORR COM x 15

Baliarda

90,26

60,48

60,48

PAMPAR 40 mg COM x 15

Finadiet

92,66

62,09

62,09

PANGEST 40 mg COM x 15

Beta

110,13

73,80

73,80

PANTUSEC GASTR. 40 mg COM x 15

Baliarda

112,01

75,06

75,06

SUPRACAM 40 mg COM x 20

Raffo

108,05

72,40

72,40

GASTROMAX 40 mg COM x 28

Gador

95,87

29,38

29,38

DUNCAN SIPAR 40 mg GASTRORR. COM x 28

Duncan

103,59

44,61

44,61

IBP PANTO 40 mg COM x 28

Geminis Farmaceutica

139,51

89,63

89,63

PANTOSEPTO 40 mg COM x 28

Craveri

143,48

93,54

93,54

PANGEST 40 mg COM x 28

Beta

161,88

108,47

108,47

PANTOP 40 mg COM x 28

Takeda

383,09

256,70

256,70

GASTROMAX 40 mg COM x 30

Gador

112,71

43,84

43,84

PANTOMETYL 40 mg COM x 30

Sanitas

117,35

52,46

52,46

IBP PANTO 40 mg COM x 30

Geminis Farmaceutica

150,33

97,20

97,20

PEPTAZOL 40 mg COM x 30

Montpellier

154,05

100,62

100,62

PANTOCAS 40 mg COM x 30

Casasco

155,99

103,07

103,07

SUPRACAM 40 mg COM x 30

Raffo

159,40

106,81

106,81

PANTUS 40 mg GASTRORR COM x 30

Baliarda

167,19

112,03

112,03

PAMPAR 40 mg COM x 30

Finadiet

185,32

124,18

124,18

PANTUSEC GASTR. 40mg COM x 30

Baliarda

200,64

134,45

134,45

PANGEST 40 mg COM x 30

Beta

234,92

157,42

157,42

TECTA 40 mg COM x 30

Takeda

437,81

293,37

293,37

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 99 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

Sobres

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

40 mg GASTROMAX 40 mg COM x 42

Gador

137,66

38,19

38,19

GASTROMAX 40 mg COM x 60

Gador

215,80

72,89

72,89

20 mg PANTUS 20 mg SOB x 15

Baliarda

72,48

47,11

47,11

PANTUS 20 mg SOB x 30

Baliarda

115,59

75,61

75,61

40 mg PANTUS 40 mg SOB x 15

Baliarda

88,96

57,82

57,82

PANTUS 40 mg SOB x 30

Baliarda

141,04

90,68

90,68

TRIMOVAX JPR x

Sanofi Pasteur

130,89

77,94

77,94

Merck Sharp & Dhome

144,18

96,17

96,17

Lazar

14,10

9,41

9,41

Raffo

15,60

9,40

9,40

TAFIROL 1 g COM x 50

Genomma Lab.

31,08

20,83

20,83

PARACETAMOL RAFFO 1 g COM x 60

Raffo

30,80

18,24

18,24

Raffo

16,84

5,80

PAPERAS VIRUS VIVO +


SARAMPION VIRUS VIVO +
RUBEOLA VIRUS VIVOS
ATENUADOS
Ampollas

5000

MMR VACUNA AMP x

PARACETAMOL
Comprimidos

500 mg PARACETAMOL LAZAR 500 mg COM x 20


1000 mg PARACETAMOL RAFFO 1 g COM x 30

Gotas

Lquido

10000 PARACETAMOL RAFFO INFANTIL GTS x 20


mg
PARACETAMOL MONSERRAT ECLAIR GTS x 20

Monserrat

21,90

13,25

13,25

PARACETAMOL FORTBENTON GTS x 20

Fortbenton Co.

23,52

15,29

15,29 INF

PARACETAMOL FECOFAR GTS x 20

Fecofar

23,37

15,43

15,43 INF

TERMOFREN GTS x 20

Roemmers

25,37

17,00

17,00 INF

PARACETAMOL LAZAR GTS x 20

Lazar

25,44

17,05

17,05 INF

Roemmers

38,68

25,80

25,80

Raffo

16,75

3,35

3,35

Phoenix

14,26

9,42

9,42 INF

CAUSALON 150 mg 0.5 GR SUP x 10

Phoenix

62,13

39,90

39,90 INF

Phoenix

28,09

18,17

18,17 INF

CAUSALON 300 mg 1 GR SUP x 10

Phoenix

62,14

40,82

40,82 INF

600 mg CAUSALON 600 mg 2 GR SUP x 10

Phoenix

62,14

40,82

40,82

2000 mg TERMOFREN SOL x 120


PARACETAMOL RAFFO JBE x 125

Supositorios

5,80 INF

150 mg CAUSALON 150 mg 0.5 GR SUP x

300 mg CAUSALON 300 mg 1 GR SUP x

PAROXETINA
Comprimidos

10 mg MEPLAR 10 mg COM x 30

Baliarda

114,59

68,58

68,58

TIARIX 10 mg COM x 30

Casasco

133,38

89,37

89,37

PSICOASTEN 10 mg COM x 30

Beta

139,19

93,27

93,27

Baliarda

198,39

130,98

130,98

12,5 mg MEPLAR LC 12.5mg COM x 30


PSICOASTEN LC 12.5 mg COM x 10

Beta

62,82

31,92

31,92

MEPLAR LC 12.5 mg COM x 10

Baliarda

54,61

35,32

35,32

TIARIX CR 12.5 mg COM x 30

Casasco

198,47

109,64

109,64

PSICOASTEN LC 12.5 mg COM x 30

Beta

220,71

139,03

139,03

PAXIL CR 12.5 mg COM x 30

GlaxoSmithkline

273,79

180,76

180,76

Astrazeneca

49,53

12,18

12,18

PAMOXET 20 mg COM x 10

Raymos

63,24

22,50

22,50

PSICOASTEN 20 mg COM x 10

Beta

69,26

30,61

30,61

20 mg DATEVAN 20 mg COM x 10

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 100 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

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NOMBRE COMERCIAL

LABORATORIO

20 mg SOSTEL 20 mg COM x 10

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Richmond

75,58

39,65

39,65

MEPLAR 20 mg RECUB. COM x 10

Baliarda

87,02

54,90

54,90

AROPAX 20 mg COM x 10

GlaxoSmithkline

105,17

69,43

69,43

AFENEXIL 20 mg COM x 15

Temis-Lostalo

45,02

10,05

10,05

OLANE 20 mg COM x 30

Phoenix

204,59

87,10

87,10

DATEVAN 20 mg COM x 30

Astrazeneca

219,02

108,10

108,10

PAMOXET 20 mg COM x 30

Raymos

242,91

143,33

143,33

NEUROTROX 20 mg COM x 30

Elea

245,73

144,72

144,72

SOSTEL 20 mg COM x 30

Richmond

247,95

147,66

147,66

PSICOASTEN 20 mg COM x 30

Beta

257,94

160,70

160,70

MEPLAR 20 mg RECUB. COM x 30

Baliarda

267,73

173,23

173,23

AFENEXIL 20 mg COM x 30

Temis-Lostalo

278,56

186,66

186,66

TIARIX 20 mg COM x 30

Casasco

300,19

201,15

201,15

AROPAX 20 mg COM x 30

GlaxoSmithkline

305,37

201,60

201,60

25 mg PSICOASTEN LC 25 mg COM x 10

Beta

69,28

27,90

27,90

MEPLAR LC 25 mg COM x 10

Baliarda

58,95

32,14

32,14

OLANE XR 25 mg COM x 30

Phoenix

167,45

41,19

41,19

TIARIX CR 25 mg COM x 30

Casasco

227,96

113,16

113,16

PSICOASTEN LC 25 mg COM x 30

Beta

234,22

121,96

121,96

MEPLAR LC 25 mg COM x 30

Baliarda

217,29

145,49

145,49

PAXIL CR 25 mg COM x 30

GlaxoSmithkline

352,90

232,98

232,98

Baliarda

246,21

164,23

164,23

Beta

207,93

138,69

138,69

Raymos

380,34

205,88

205,88

Beta

470,02

314,96

314,96

Spedrog Caillon

828,44

552,59

552,59

Spedrog Caillon

1.347,16

875,65

875,65

30 mg MEPLAR 30 mg COM x 30
37,5 mg PSICOASTEN LC 37.5 mg COM x 30
40 mg PAMOXET 40 mg COM x 30
PSICOASTEN 40 mg COM x 30

PENICILAMINA
Comprimidos

250 mg CUPRIPEN 250 mg CAP x 30


CUPRIMINE CAP x 100

PENICILINA G BENZATNICA
Ampollas

1200000 PEN DI BEN 1200000 U 5 ML AMP x


ui

Bag

57,23

38,18

38,18 INF

2400000 PEN DI BEN 2400000 U 10 ML AMP x


ui

Bag

94,48

63,02

63,02

1000 mg MANTUS PDA x 10

Investi

44,03

29,37

29,37

MANTUS PDA x 30

Investi

70,74

47,19

47,19

PENTOSANPOLISULFONICO
ESTER + TRIAMCINOLONA
Pomada

PENTOXIFILINA
Comprimidos

400 mg TRENTAL 400 mg GRA x 60

Sanofi Aventis

328,74

215,09

215,09

PENTOMIRON COM x 60

Craveri

341,87

229,08

229,08

TRENTAL 400 mg LIB.MODIFICADA COM x 30

Sanofi Aventis

197,24

132,17

132,17

TRENTAL 400 mg LIB.MODIFICADA COM x 60

Sanofi Aventis

328,74

219,20

219,20

Sanofi Aventis

328,74

219,28

219,28

Investi

130,06

86,76

86,76

Servier

154,62

101,59

101,59

600 mg TRENTAL 600 mg COM x 40


PREVISCAN RETARD 600 mg TAB x 30

PERINDOPRIL
Comprimidos

5 mg COVERENE 5 mg COM x 30

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 101 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

03/02/2015

NOMBRE COMERCIAL

Comprimidos

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

5 mg
10 mg COVERENE 10 mg COM x 30

Servier

216,95

144,71

144,71

Beta

130,22

86,86

54,99

1000 mg ISOPTO CARPINA 1% OFT. SOL x 15

Alcon

50,53

33,37

21,26

2000 mg ISOPTO CARPINA 2% OFT. SOL x 15

Alcon

59,57

38,94

25,07

2500 mg SONADRYL 2.5% OFT. SOL x 10

Allergan-Loa

22,03

14,69

7,85

Poen

87,60

58,44

36,02

Lazar

88,56

57,56

57,56

ACTOS 15 mg COM x 15

Abbott

130,99

87,78

87,78

HIGLUCEM 15 mg COM x 28

Lazar

228,55

153,15

153,15

CERELUC 15 mg COM x 30

Beta

136,52

63,20

63,20

PIOGLIT 15 mg COM x 30

Phoenix

178,08

118,76

118,76

ACTOS 15 mg COM x 30

Abbott

261,94

175,52

175,52

Lazar

88,56

43,22

43,22

CERELUC 30 mg COM x 15

Beta

98,09

48,45

48,45

ACTOS 30 mg COM x 15

Abbott

141,88

95,07

95,07

HIGLUCEM 30 mg COM x 28

Lazar

262,84

176,13

176,13

PIOGLIT 30 mg COM x 30

Phoenix

208,36

113,89

113,89

CERELUC 30 mg COM x 30

Beta

245,96

162,51

162,51

ACTOS 30 mg COM x 30

Abbott

259,86

174,13

174,13

PIOTAMAX 30 mg COM x 30

Francelab

276,58

185,33

185,33

PILOCARPINA
Comprimidos
Lquido

5 mg WETOL COM x 30

PILOCARPINA + TIMOLOL
Lquido

2500 mg GLAUCOTENSIL OFT. SUS x

PIOGLITAZONA
Comprimidos

15 mg HIGLUCEM 15 mg COM x 14

30 mg HIGLUCEM 30 mg COM x 14

45 mg CERELUC 45 mg COM x 30

Beta

160,59

65,16

65,16

PIOGLIT 45 mg COM x 30

Phoenix

178,08

90,60

90,60

HIGLUCEM 45 mg COM x 30

Lazar

280,94

188,25

188,25

PIOTAMAX 45 mg COM x 30

Francelab

284,00

190,30

190,30

Roemmers

372,20

248,27

248,27

Roemmers

291,31

194,31

194,31

47,14

30,98

30,98

PIRIDOSTGMINA BROMURO
Comprimidos

60 mg MESTINON 60 mg COM x 100


180 mg MESTINON TS 180 mg COM x 30

PIRIMETAMINA
Comprimidos

25 mg DARAPRIM COM x 20

GlaxoSmithkline

PLATA SULFADIAZINA +
VITAMINA A + LIDOCAINA
Apsitos

1000 mg PLATSUL-A GASAS APO x 10

Soubeiran Chobet

103,17

68,81

68,81

Crema

1000 mg PLATSUL-A CRE x 200

Soubeiran Chobet

167,07

111,44

111,44

Merck Sharp & Dhome

220,83

136,80

136,80

Sanofi Pasteur

249,35

169,48

169,48

Casasco

127,43

85,38

85,38

POLISACARIDOS
STEPTOCOCO PNEUMONIAE
Ampollas

0,025 mg PNEUMOVAX 23 VIAL 0.5 ML AMP x

PNEUMO 23 VAC. ANTINEUMOCOCICA AMP x

POTASIO CITRATO
Comprimidos

1500 mg UROKIT COM x 30

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 102 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

NOMBRE COMERCIAL

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Comprimidos

1500 mg UROKIT COM x 60

Casasco

247,05

165,55

165,55

Sobres

3000 mg UROKIT SOB x 20

Casasco

45,02

20,71

20,71

UROKIT SOB x 60

Casasco

197,84

132,57

132,57

600 mg CONTROL K CAP x 30

Elea

142,87

95,74

95,74

CONTROL K CAP x 60

Elea

272,19

177,41

177,41

POTASIO CLORURO
Comprimidos

POTASIO GLUCONATO
Lquido

Sobres

31200 KAON ELI x 150


mg

Montpellier

23,72

15,89

15,89

KAON ELI x 500

Montpellier

62,06

37,24

37,24

4680 mg KAON POLVO SOB x 30

Montpellier

66,34

44,25

44,25

0,125 mg PARMITAL 0.125 mg COM x 30

Raffo

45,42

29,54

29,54

PORTIV 0.125 mg COM x 30

Buxton

53,79

35,51

35,51

TREMINEL 0.125 mg COM x 30

Ivax Argentina

63,28

42,40

42,40

PRAMIPEXOL
Comprimidos

0,25 mg NULIPAR 0.25 mg COM x 30

Baliarda

88,01

43,90

43,90

NEUROSOMAT 0.25 mg COM x 30

Beta

90,55

47,46

47,46

PARMITAL 0.25 mg COM x 30

Raffo

90,79

49,46

49,46

PROATS 0.25 mg COM x 30

Richmond

92,97

50,80

50,80

PRAMIXAR 0.25 mg COM x 30

Ariston

97,47

57,82

57,82

PORTIV 0.250 mg COM x 30

Buxton

109,78

72,48

72,48

TREMINEL 0.25 mg COM x 30

Ivax Argentina

116,24

77,89

77,89

NOXOPRAN 0.25 mg COM x 30

Casasco

116,36

77,97

77,97

SIFROL 0.250 mg COM x 30

Boheringer Ingelheim

140,80

94,71

94,71

NULIPAR 0.25 mg COM x 40

Baliarda

107,02

46,56

46,56

PRAMIXAR 0.25 mg COM x 60

Ariston

193,64

113,90

113,90

NOXOPRAN 0.25 mg COM x 60

Casasco

222,84

149,32

149,32

NEUROSOMAT 0.25 mg COM x 90

Beta

261,07

127,48

127,48

PORTIV 0.250 mg COM x 100

Buxton

331,79

201,75

201,75

Baliarda

54,93

33,57

33,57

Boheringer Ingelheim

73,20

49,24

49,24

0,37 mg NULIPAR LP 0.375 mg COM x 10


0,375 mg SIFROL ER 0.375 mg COM x 10
0,5 mg NULIPAR 0.5 mg COM x 30

Baliarda

190,34

123,89

123,89

NULIPAR 0.5 mg COM x 40

Baliarda

255,63

166,16

166,16

Baliarda

275,34

149,74

149,74

Boheringer Ingelheim

366,88

246,78

246,78

Baliarda

326,33

189,14

189,14

NEUROSOMAT 1 mg COM x 30

Beta

335,77

201,65

201,65

PARMITAL 1 mg COM x 30

Raffo

344,04

217,26

217,26

PROATS 1 mg COM x 30

Richmond

339,90

226,72

226,72

PRAMIXAR 1 mg COM x 30

Ariston

365,57

241,35

241,35

PORTIV 1 mg COM x 30

Buxton

401,24

264,90

264,90

TREMINEL 1 mg COM x 30

Ivax Argentina

421,76

282,62

282,62

NOXOPRAN 1 mg COM x 30

Casasco

456,66

306,00

306,00

SIFROL 1

Boheringer Ingelheim

502,41

337,94

337,94

0,75 mg NULIPAR LP 0.75 mg COM x 30


SIFROL ER 0.75 mg COM x 30
1 mg NULIPAR 1 mg COM x 30

mg COM x 30

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 103 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

03/02/2015

NOMBRE COMERCIAL

Comprimidos

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

1 mg NULIPAR 1 mg COM x 40

Baliarda

373,04

175,44

175,44

NULIPAR 1 mg COM x 60

Baliarda

603,93

311,71

311,71

PRAMIXAR 1 mg COM x 60

Ariston

643,13

371,97

371,97

NOXOPRAN 1 mg COM x 60

Casasco

882,37

591,27

591,27

NEUROSOMAT 1 mg COM x 90

Beta

906,60

468,55

468,55

PORTIV 1 mg COM x 100

Buxton

1.182,87

764,10

764,10

SIFROL 1

Boheringer Ingelheim

1.478,17

994,27

994,27

Baliarda

509,37

248,05

248,05

Boheringer Ingelheim

678,75

456,55

456,55

Baliarda

1.018,76

493,48

493,48

Boheringer Ingelheim

1.357,46

913,08

913,08

Elea

44,91

29,95

29,95

Lepetit

63,35

41,63

41,63

190 mg SCHERIPROCT PDA x 10

Bayer Consumer

56,88

37,55

37,55

SCHERIPROCT PDA x 30

Bayer Consumer

136,69

80,29

80,29

1,3 mg SCHERIPROCT FOLIA SUP x 12

Bayer Consumer

52,47

34,47

34,47

Casasco

70,00

46,90

46,90

MSD Arrgentina SR

76,35

51,16

51,16

METILPRES 5 mg COM x 30

Trb-Pharma

73,75

44,43

44,43

METILPRES 5 mg COM x 60

Trb-Pharma

117,35

46,54

46,54

mg COM x 100

1,5 mg NULIPAR LP 1.5 mg COM x 30


SIFROL ER 1.5 mg COM x 30
3 mg NULIPAR LP 3 mg COM x 30
SIFROL ER 3 mg COM x 30

PRAMOXINA + ZINC XIDO


Ungento

1000 mg ANUSOL A UNG x 10

PRAZIQUANTEL
Comprimidos

600 mg PRAZITRAL 600 mg COM x

PREDNISOLONA +
CINCOCAINA CLOROHIDRATO
+ HEXACLOROFENO
Pomada

PREDNISOLONA +
CINOCOCAINA +
HEXACLOROFENO
Supositorios

PREDNISOLONA + RUSCUS
ACULEATUS
Pomada

150 mg PROCTO VENART PDA x 10

PREDNISONA
Comprimidos

5 mg METICORTEN 5 mg COM x 20

PREGABALINA
Comprimidos

25 mg GAVIN 25 mg CAP x 28

87,18

47,50

47,50

LINPREL 25 mg CAP x 28

Baliarda

104,31

69,81

69,81

CLASICA 25 mg CAP x 28

Craveri

119,82

80,29

80,29

LYRICA 25 mg CAP x 28

Pfizer

121,79

81,61

81,61

NEURISTAN 25 mg CAP x 30

Casasco

98,20

57,36

57,36

LUNEL 25 mg CAP x 30

Montpellier

100,23

60,05

60,05

AXUAL 25 mg CAP x 30

Ivax Argentina

117,10

78,47

78,47

PLENICA 25 mg CAP x 30

Roemmers

120,22

80,56

80,56

LYRICA 25 mg CAP x 30

Pfizer

135,80

91,00

91,00

LYRICA 25 mg CAP x 56

Pfizer

206,56

137,05

137,05

LYRICA 25 mg CAP x 60

Pfizer

228,09

152,84

152,84

Gador

172,27

78,80

78,80

Pfizer

257,96

172,85

172,85

50 mg GAVIN 50 mg CAP x 28
LYRICA 50 mg CAP x 28

Gador

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 104 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
50 mg PREBICTAL 50 mg CAP x 28
LYRICA 50 mg CAP x 30
75 mg PREBICTAL 75 mg CAP x 14

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Raffo

272,07

182,31

182,31

Pfizer

307,66

206,16

206,16

Raffo

136,47

76,42

76,42

GAVIN 75 mg CAP x 14

Gador

148,99

92,96

92,96

PREBANAL 75 mg CAP x 14

Raymos

149,51

94,89

94,89

BALFIBRO 75 mg CAP x 14

Buxton

150,80

96,54

96,54

LINPREL 75 mg CAP x 14

Baliarda

155,14

100,82

100,82

LYRICA 75 mg CAP x 14

Pfizer

160,04

106,98

106,98

PRINCIPIA 75 mg COM x 14

Elea

170,78

114,44

114,44

DOLGENAL 75 mg CAP x 15

Beta

144,53

79,58

79,58

LUNEL 75 mg CAP x 15

Montpellier

160,33

100,51

100,51

AXUAL 75 mg CAP x 15

Ivax Argentina

183,03

122,65

122,65

PLENICA 75 mg CAP x 15

Roemmers

191,59

128,38

128,38

LYRICA 75 mg CAP x 15

Pfizer

193,08

129,38

129,38

LINPREL MULTIDOSIS 75 mg Birran. COM x 15

Baliarda

193,89

129,92

129,92

PLENICA 75 PRACTIDOSIS COM x 15

Roemmers

206,78

138,56

138,56

PGB 75 mg MULTIDOSIS COM x 15

Investi

228,33

153,00

153,00

PREBANAL 75 mg CAP x 28

Raymos

274,10

157,20

157,20

GAVIN 75 mg CAP x 28

Gador

280,14

162,52

162,52

BALFIBRO 75 mg CAP x 28

Buxton

287,99

175,55

175,55

PREBICTAL 75 mg CAP x 28

Raffo

291,03

176,91

176,91

MYSTIKA 75 mg COM x 28

Richmond

296,29

183,75

183,75

LINPREL 75 mg CAP x 28

Baliarda

297,26

185,00

185,00

CLASICA 75 mg CAP x 28

Craveri

322,18

215,89

215,89

LYRICA 75 mg CAP x 28

Pfizer

332,54

222,83

222,83

PRINCIPIA 75 mg CAP x 28

Elea

338,17

226,60

226,60

LUNEL 75 mg CAP x 30

Montpellier

296,65

169,44

169,44

DOLGENAL 75 mg CAP x 30

Beta

312,18

190,01

190,01

NEURISTAN 75 mg CAP x 30

Casasco

327,53

209,81

209,81

AXUAL 75 mg CAP x 30

Ivax Argentina

336,97

221,76

221,76

GAVIN 75 mg BIRRANURADO COM x 30

Gador

338,23

223,35

223,35

LINPREL MULTIDOSIS 75 mg Birran. COM x 30

Baliarda

357,49

239,55

239,55

PREBIEN 75 mg DIVIDOSIS COM x 30

Ariston

365,76

241,47

241,47

KABIAN 75 mg CAP x 30

Temis-Lostalo

363,18

243,36

243,36

LYRICA 75 mg CAP x 30

Pfizer

368,13

246,68

246,68

PLENICA 75 mg CAP x 30

Roemmers

369,72

247,75

247,75

PGB 75 mg CAP x 30

Investi

385,17

258,10

258,10

PLENICA 75 PRACTIDOSIS COM x 30

Roemmers

401,79

269,24

269,24

PGB 75 mg MULTIDOSIS COM x 30

Investi

418,59

280,49

280,49

LYRICA 75 mg CAP x 56

Pfizer

499,99

241,81

241,81

PRINCIPIA 75 mg CAP x 56

Elea

552,07

314,03

314,03

PLENICA 75 mg CAP x 60

Roemmers

532,17

254,01

254,01

LYRICA 75 mg CAP x 60

Pfizer

546,36

274,24

274,24

Raffo

448,91

300,81

300,81

Temis-Lostalo

433,47

282,28

282,28

Raymos

439,71

256,70

256,70

Raffo

451,03

267,42

267,42

100 mg PREBICTAL 100 mg CAP x 28


KABIAN 100 mg Trirran. COM x 30
150 mg PREBANAL 150 mg CAP x 28
PREBICTAL 150 mg CAP x 28

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 105 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

150 mg MYSTIKA 150 mg CAP x 28

A CARGO A CARGO
REF
AFILIADO CRONICO

Richmond

466,13

287,21

287,21

GAVIN 150 mg CAP x 28

Gador

476,52

300,63

300,63

BALFIBRO 150 mg CAP x 28

Buxton

487,17

318,05

318,05

LINPREL 150 mg CAP x 28

Baliarda

494,64

323,69

323,69

CLASICA 150 mg CAP x 28

Craveri

504,63

336,22

336,22

LYRICA 150 mg CAP x 28

Pfizer

527,57

353,52

353,52

PRINCIPIA 150 mg COM x 28

Elea

554,91

371,84

371,84

DOLGENAL 150 mg CAP x 30

Beta

436,36

222,69

222,69

LUNEL 150 mg CAP x 30

Montpellier

481,08

283,66

283,66

NEURISTAN 150 mg CAP x 30

Casasco

530,16

347,04

347,04

AXUAL 150 mg CAP x 30

Ivax Argentina

552,23

370,05

370,05

LYRICA 150 mg CAP x 30

Pfizer

594,16

397,81

397,81

KABIAN 150 mg CAP x 30

Temis-Lostalo

596,78

399,90

399,90

PLENICA 150 mg CAP x 30

Roemmers

598,15

400,82

400,82

PGB 150 mg CAP x 30

Investi

599,60

401,79

401,79

300 mg PREBANAL 300 mg CAP x 28

Lquido

PRECIO

Raymos

515,92

236,24

236,24

CLASICA 300 mg CAP x 28

Craveri

588,50

331,35

331,35

GAVIN 300 mg CAP x 28

Gador

644,22

404,78

404,78

PREBICTAL 300 mg CAP x 28

Raffo

685,54

452,59

452,59

LINPREL 300 mg CAP x 28

Baliarda

695,31

465,92

465,92

BALFIBRO 300 mg CAP x 28

Buxton

710,47

469,05

469,05

LYRICA 300 mg CAP x 28

Pfizer

753,71

505,05

505,05

PRINCIPIA 300 mg COM x 28

Elea

777,98

521,32

521,32

LYRICA 300 mg CAP x 30

Pfizer

833,87

558,77

558,77

PLENICA 300 mg CAP x 30

Roemmers

837,86

561,44

561,44

AXUAL 300 mg CAP x 30

Ivax Argentina

843,39

565,15

565,15

Gador

516,98

344,84

344,84

Bayer (PH)

65,20

42,84

42,84

Elea

89,65

22,05

22,05

20 mg GAVIN 20mg/ml SOL x 240

PROGESTERONA
Ampollas

100 mg PROLUTON 100 IM 1 ML AMP x

Comprimidos

100 mg GESTER 100 mg COM x 30

MAFEL CAP x 30

Raymos

209,89

138,57

138,57

PROGEST CAP x 30

Elea

214,36

143,42

143,42

UTROGESTAN 100 mg CAP x 30

Ferring

255,98

171,53

171,53

Elea

227,40

141,29

141,29

MAFEL 200 mg CAP x 14

Raymos

199,84

117,52

117,52

UTROGESTAN 200 mg CAP x 14

Ferring

268,49

179,91

179,91

MAFEL 200 mg CAP x 28

Raymos

349,81

166,38

166,38

UTROGESTAN 200 mg CAP x 28

Ferring

523,57

350,84

350,84

PROGEST 200 Blandas CAP x 30

Elea

452,01

278,97

278,97

MAFEL 200 mg CAP x 42

Raymos

482,45

187,05

187,05

UTROGESTAN 200 mg CAP x 42

Ferring

767,07

514,01

514,01

Elea

53,94

35,98

35,98

Sanofi Aventis

55,65

37,12

37,12

Sanofi Aventis

31,65

21,11

21,11

200 mg PROGEST 200 Blandas CAP x 15

Gel

1000 mg GESTER GEL x 30

PROMETAZINA
Ampollas

50 mg FENERGAN AMP x

Comprimidos

25 mg FENERGAN COM x 30

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 106 de 130

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DROGA

NOMBRE COMERCIAL

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

PROPAFENONA
Comprimidos

150 mg NORMORYTMIN 150 mg COM x 20

Abbott

126,86

85,01

85,01

NORMORYTMIN 150 mg COM x 50

Abbott

271,57

177,69

177,69

300 mg NORMORYTMIN 300 mg COM x 20

Abbott

238,10

159,55

159,55

NORMORYTMIN 300 mg COM x 50

Abbott

507,32

335,62

335,62

Poen

46,92

30,67

30,67

Alcon

71,39

46,94

46,94

Lazar

17,95

11,11

11,11

SERTAL PERLAS BLANDAS CAP x 10

Roemmers

27,90

18,69

18,69

SERTAL PER x 20

Roemmers

38,60

25,36

25,36

Roemmers

25,80

17,29

17,29

Roemmers

17,76

4,37

4,37

1000 mg NOVA PARATROPINA GTS x 20

Lazar

29,30

19,04

19,04

1000 mg SERTAL R GTS x 20

Roemmers

19,95

13,31

13,31

7,74

5,16

3,27

26,42

22,71

PROPARACAINA
CLORHIDRATO
Lquido

500 mg POEN CAINA OFT. SOL x 10


ANESTALCON OFT. SOL x 15

PROPINOX
Comprimidos

10 mg NOVA PARATROPINA BLANDAS CAP x 10

20 mg SERTAL FORTE PERLAS CAP x 10


SERTAL FORTE COM x 20
Gotas

PROPRANOLOL
Comprimidos

10 mg PROPRANOLOL GADOR 10 mg COM x 20

Gador

40 mg INDERAL 40 mg COM x 20

Astrazeneca

39,43

PROPRANOLOL GADOR 40 mg COM x 50

Gador

18,51

8,34

4,56

INDERAL 40 mg COM x 50

Astrazeneca

68,74

46,06

39,58

PROPRANOLOL GADOR 40 mg COM x 100

Gador

35,56

14,52

8,74

80 mg PROPRANOLOL GADOR 80 mg COM x 50

Gador

26,77

8,55

6,57

Astrazeneca

107,69

72,16

62,01

Beta

278,25

185,60

185,60

3580 mg MOTIONAL POLVO EFERV. CAJA SOB x 12

Beta

111,93

75,00

75,00

MOTIONAL POLVO EFERV. CAJA SOB x 30

Beta

207,01

130,82

130,82

INDERAL 80 mg COM x 50

PSYLLIUM
Frasco
Sobres

49120 MOTIONAL POLVO FCO x 400


mg

QUETIAPINA
Comprimidos

25 mg QUEPAZ 25 mg COM x 10

Phoenix

101,62

48,51

48,51

DOMINIUM 25 mg COM x 10

Beta

101,63

48,52

48,52

INQUETIA 25 mg COM x 10

Ariston

106,36

56,45

56,45

QUETIAZIC 25 mg COM x 10

Raffo

112,15

63,17

63,17

ROSTRUM 25 mg COM x 10

Casasco

112,88

64,16

64,16

VESPARAX 25 mg COM x 10

Lazar

119,28

72,65

72,65

BIATRIX 25 mg COM x 10

Baliarda

117,92

78,66

78,66

SEROQUEL 25 mg COM x 10

Bag

167,26

112,08

112,08

ETIASEL 25 mg COM x 10

Astrazeneca

173,24

116,09

116,09

DENDRITEX 25 mg COM x 15

Temis-Lostalo

156,87

80,96

80,96

QUEPAZ 25 mg COM x 30

Phoenix

267,28

89,70

89,70

INQUETIA 25 mg COM x 30

Ariston

299,40

141,59

141,59

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 107 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
25 mg ATIPINA 25 mg COM x 30

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Raymos

344,64

203,85

203,85

DOMINIUM 25 mg COM x 30

Beta

350,23

207,94

207,94

BIATRIX 25 mg COM x 30

Baliarda

356,54

216,23

216,23

KEMOTER 25 mg COM x 30

Elea

362,29

223,73

223,73

VESPARAX 25 mg COM x 30

Lazar

366,12

228,69

228,69

ROSTRUM 25 mg COM x 30

Casasco

386,55

254,69

254,69

QUETIAZIC 25 mg COM x 30

Raffo

397,14

266,12

266,12

DENDRITEX 25 mg COM x 30

Temis-Lostalo

397,22

266,17

266,17

ETIASEL 25 mg COM x 30

Astrazeneca

525,24

351,96

351,96

SEROQUEL 25 mg COM x 30

Bag

530,07

355,20

355,20

BIATRIX 25 mg COM x 60

Baliarda

605,24

284,59

284,59

QUETIAZIC 25 mg COM x 60

Raffo

606,49

286,40

286,40

Astrazeneca

417,39

279,69

279,69

DOMINIUM XR 50 mg COM x 30

Beta

720,89

354,44

354,44

QUETIAZIC XR 50 mg COM x 30

Raffo

783,21

440,84

440,84

ROSTRUM XR 50 mg COM x 30

Casasco

829,81

502,83

502,83

BIATRIX XR 50 mg COM x 30

Baliarda

860,02

542,01

542,01

KEMOTER XR 50 mg COM x 30

Elea

926,52

618,01

618,01

ETIASEL XR 50 mg COM x 30

Astrazeneca

1.044,71

700,05

700,05

SEROQUEL XR 50 mg COM x 30

Bag

1.060,21

710,44

710,44

Phoenix

459,96

178,99

178,99

INQUETIA 100 mg COM x 30

Ariston

515,24

266,12

266,12

BIATRIX 100 mg COM x 30

Baliarda

589,34

360,28

360,28

DOMINIUM 100 mg COM x 30

Beta

600,22

374,40

374,40

ATIPINA 100 mg COM x 30

Raymos

600,52

379,86

379,86

KEMOTER 100 mg COM x 30

Elea

620,85

400,81

400,81

VESPARAX 100 mg COM x 30

Lazar

626,47

407,93

407,93

ROSTRUM 100 mg COM x 30

Casasco

640,34

425,37

425,37

QUETIAZIC 100 mg COM x 30

Raffo

660,57

442,64

442,64

DENDRITEX 100 mg Tirran. COM x 30

Temis-Lostalo

677,31

453,86

453,86

ETIASEL 100 mg COM x 30

Astrazeneca

819,92

540,64

540,64

SEROQUEL 100 mg COM x 30

Bag

827,95

554,80

554,80

BIATRIX 100 mg COM x 60

Baliarda

1.007,32

487,05

487,05

QUETIAZIC 100 mg COM x 60

Raffo

1.009,49

490,16

490,16

50 mg ETIASEL XR 50 mg COM x 10

100 mg QUEPAZ 100 mg COM x 30

150 mg ETIASEL XR 150 mg COM x 30


SEROQUEL XR 150 mg COM x 30
200 mg QUEPAZ 200 mg COM x 30

Astrazeneca
Bag

791,08

527,68

527,68

1.067,40

715,25

715,25

Phoenix

607,27

265,56

265,56

INQUETIA 200 mg COM x 30

Ariston

603,20

268,02

268,02

DOMINIUM 200 mg COM x 30

Beta

633,35

303,54

303,54

ATIPINA 200 mg COM x 30

Raymos

723,55

434,49

434,49

KEMOTER 200 mg COM x 30

Elea

756,62

470,94

470,94

ROSTRUM 200 mg COM x 30

Casasco

766,01

483,04

483,04

DENDRITEX 200 mg COM x 30

Temis-Lostalo

783,44

505,30

505,30

VESPARAX 200 mg COM x 30

Lazar

788,92

512,25

512,25

BIATRIX 200 mg COM x 30

Baliarda

816,15

546,44

546,44

QUETIAZIC 200 mg COM x 30

Raffo

869,56

582,69

582,69

ETIASEL 200 mg COM x 30

Astrazeneca

1.060,96

710,94

710,94

SEROQUEL 200 mg COM x 30

Bag

1.071,76

718,18

718,18

BIATRIX 200 mg COM x 60

Baliarda

1.326,23

691,29

691,29

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 108 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL

03/02/2015
LABORATORIO

200 mg QUETIAZIC 200 mg COM x 60

Raffo

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

1.327,42

692,95

692,95

DOMINIUM XR 200 mg COM x 30

Beta

732,38

365,74

365,74

ROSTRUM XR 200 mg COM x 30

Casasco

794,70

451,73

451,73

QUETIAZIC XR 200 mg COM x 30

Raffo

795,72

453,11

453,11

BIATRIX XR 200 mg COM x 30

Baliarda

824,28

491,15

491,15

KEMOTER XR 200 MG COM x 30

Elea

933,31

625,40

625,40

ETIASEL XR 200 mg COM x 30

Astrazeneca

1.056,13

707,70

707,70

SEROQUEL XR 200 mg COM x 30

Bag

1.118,52

749,51

749,51

300 mg QUETIAZIC 300 mg COM x 30

914,93

483,49

483,49

BIATRIX 300 mg COM x 30

Baliarda

1.080,64

702,38

702,38

ETIASEL 300 mg COM x 30

Astrazeneca

1.416,97

949,50

949,50

SEROQUEL 300 mg COM x 30

Bag

1.429,14

957,65

957,65

DOMINIUM XR 300 mg COM x 10

Beta

370,93

223,56

223,56

DOMINIUM XR 300 mg COM x 30

Beta

986,18

498,75

498,75

ROSTRUM XR 300 mg COM x 30

Casasco

1.070,77

614,95

614,95

QUETIAZIC XR 300 mg COM x 30

Raffo

1.071,45

615,86

615,86

BIATRIX XR 300 mg COM x 30

Baliarda

1.109,92

666,92

666,92

KEMOTER XR 300 mg COM x 30

Elea

1.246,78

835,46

835,46

ETIASEL XR 300 mg COM x 30

Astrazeneca

1.408,23

943,64

943,64

SEROQUEL XR 300 mg COM x 30

Bag

1.491,51

999,45

999,45

400 mg DOMINIUM XR 400 mg COM x 30

Raffo

Beta

1.412,19

476,88

476,88

QUETIAZIC XR 400 mg COM x 30

Raffo

1.611,03

774,50

774,50

BIATRIX XR 400 mg COM x 30

Baliarda

1.668,86

856,50

856,50

KEMOTER XR 400 MG COM x 30

Elea

1.870,05

1.247,38

1.247,38

ETIASEL XR 400 mg COM x 30

Astrazeneca

2.112,21

1.415,37

1.415,37

SEROQUEL XR 400 mg COM x 30

Bag

2.237,11

1.499,07

1.499,07

199,26

132,91

132,91

QUININA
Comprimidos

200 mg CIRCONYL 200 mg COM x 30

Trb-Pharma

RABEPRAZOL
Comprimidos

10 mg PARIET 10 mg COM x

Janssen-Cilag

27,37

15,88

15,88

PARIET 10 mg COM x 14

Janssen-Cilag

50,32

25,74

25,74

RABEC 10 mg COM x 14

Phoenix

58,20

35,26

35,26

RABEC 10 mg COM x 28

Phoenix

128,90

86,37

86,37

20 mg PARIET 20 mg COM x

Janssen-Cilag

48,53

22,23

22,23

PARIET 20 mg COM x 14

Janssen-Cilag

110,67

61,09

61,09

RABEC 20 mg COM x 14

Phoenix

125,75

80,91

80,91

RABEC 20 mg COM x 28

Phoenix

262,35

175,49

175,49

60 mg EVISTA 60 mg COM x 28

Eli Lilly

232,75

157,51

157,51

2,5 mg LOSTAPRES 2.5 mg COM x 30

Temis-Lostalo

111,53

45,48

45,48

TRITACE 2.5 mg COM x 30

Sanofi Aventis

178,75

119,78

119,78

LOSTAPRES 2.5 mg COM x 60

Temis-Lostalo

112,57

27,69

27,69

TRITACE 2.5 mg COM x 60

Sanofi Aventis

321,62

215,51

215,51

Temis-Lostalo

307,76

199,08

199,08

RALOXIFENO
Comprimidos

RAMIPRIL
Comprimidos

5 mg LOSTAPRES 5 mg COM x 30
MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 109 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

5 mg TRITACE 5 mg COM x 30

Sanofi Aventis

321,40

215,37

215,37

10 mg TRITACE 10 mg COM x 30

Sanofi Aventis

421,42

272,45

272,45

Temis-Lostalo

475,10

318,36

318,36

150 mg GASTROSEDOL RAPID EFERV. 150 mg COM x 10 Nova Argentia

43,67

29,26

29,26

LOSTAPRES 10 mg COM x 30

RANITIDINA
Comprimidos

RANITRAL 150 mg COM x 10

Lepetit

18,00

9,92

9,92

VIZERUL COM x 20

Montpellier

17,28

3,46

3,46

RATICINA 150 mg COM x 20

Bernabo

20,58

4,12

4,12

GASTROSEDOL 150 mg COM x 20

Nova Argentia

21,21

5,22

5,22

GASTRIAL 150 mg COM x 20

Sanofi Aventis OTC

27,46

8,22

8,22

RANITIDINA LAZAR 150 mg COM x 20

Lazar

43,92

28,69

28,69

VIZERUL COM x 30

Montpellier

29,84

7,34

7,34

GASTRIAL 150 mg COM x 30

Sanofi Aventis OTC

37,50

9,22

9,22

TAURAL 150 mg COM x 30

Roemmers

69,56

46,61

46,61

GASTROSEDOL 150 mg COM x 30

Nova Argentia

74,21

49,73

49,73

RATICINA 150 mg COM x 50

Bernabo

RANITIDINA LAZAR 150 mg COM x 50

Lazar

VIZERUL COM x 60
GASTRIAL 150 mg COM x 60
LUVIER 150 mg COM x 60

Casasco

TAURAL 150 mg COM x 60

Roemmers

GASTROSEDOL 150 mg COM x 60

Nova Argentia

36,16

7,23

7,23

102,49

65,96

65,96

Montpellier

64,64

15,90

15,90

Sanofi Aventis OTC

73,84

18,16

18,16

96,18

42,73

42,73

127,06

84,29

84,29

149,97

100,49

100,49

Lepetit

27,00

11,00

11,00

GASTROSEDOL 300 mg COM x 20

Nova Argentia

59,83

14,71

14,71

VIZERUL 300 COM x 30

Montpellier

72,36

17,80

17,80

LUVIER 300 mg COM x 30

Casasco

104,90

37,24

37,24

RANITIDINA LAZAR 300 mg COM x 30

Lazar

127,29

69,80

69,80

TAURAL 300 mg COM x 30

Roemmers

155,00

103,86

103,86

GASTROSEDOL 300 mg COM x 30

Nova Argentia

163,53

109,58

109,58

300 mg RANITRAL 300 mg COM x 10

Lquido

840 mg TAURAL ORAL SUS x 200

Roemmers

34,78

23,20

23,20

300 mg RIFADIN 300 mg CAP x

Sanofi Aventis

70,56

47,07

47,07

Sanofi Aventis

89,78

59,88

59,88

Beta

161,19

107,52

107,52

Buxton

101,79

39,76

39,76

Baliarda

117,02

60,46

60,46

Montpellier

130,97

79,32

79,32

Roux Ocefa

146,55

98,20

98,20

Sanofi Aventis

174,95

117,23

117,23

Beta

182,33

122,18

122,18

Baliarda

193,58

67,28

67,28

Montpellier

242,74

132,95

132,95

RIFAMPICINA
Comprimidos

RIFAMPICINA + ISONIACIDA
Comprimidos

300 mg RIFINAH CAP x 30

RISEDRONATO
Comprimidos

5 mg RIBASTAMIN 5 mg COM x 30
35 mg RISEDON 35 mg COM x
RIDRON 35 mg COM x
RENTOP 35 mg COM x

4
4
4

DUCTONAR 35 mg COM x
ACTONEL 35 mg COM x

4
4

RIBASTAMIN 35 mg COM x
RIDRON 35 mg COM x
RENTOP 35 mg COM x

8
8

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 110 de 130

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DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL
150 mg RENTOP 150 mg COM x

LABORATORIO
1

DUCTONAR 150 mg COM x

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Montpellier

195,84

121,60

121,60

Roux Ocefa

204,89

133,19

133,19

BONECUR 150 mg COM x

Ivax Argentina

226,10

151,51

151,51

RISEDON 150 mg COM x

Buxton

230,24

152,00

152,00

Beta

236,25

158,31

158,31

Ivax Argentina

465,15

195,61

195,61

Montpellier

522,05

277,32

277,32

Janssen-Cilag

1.358,65

892,68

550,24

Janssen-Cilag

2.003,04

1.316,07

811,21

Baliarda

22,19

6,05

5,45

RISPERIN 0.25 mg COM x 20

Gador

22,81

6,64

5,62

RISPERDAL 0.25 mg COM x 20

Janssen-Cilag

57,97

38,27

32,64

RIBASTAMIN 150 mg COM x


BONECUR 150 mg COM x
RENTOP 150 mg COM x

3
3

RISPERIDONA
Ampollas

25 mg RISPERDAL CONSTA 25 mg AMP x


37,5 mg RISPERDAL CONSTA 37.5 mg AMP x

Comprimidos

0,25 mg RIATUL 0.25 mg COM x 20

0,5 mg DROPICINE 0.5 mg COM x 20

1
1

Beta

37,02

9,11

9,11

DOZIC 0.5 mg COM x 20

Raffo

46,34

19,07

11,40

RESTELEA 0.50 COM x 20

Elea

53,42

29,20

15,05

RIATUL 0.5 mg COM x 20

Baliarda

53,72

29,61

15,14

RISPERIN 0.50 mg COM x 20

Gador

57,11

34,15

17,99

RISPERDAL 0.50 mg COM x 20

Janssen-Cilag

87,16

57,54

49,08

1 mg EDALEN 1 mg COM x 20

Temis-Lostalo

39,97

9,83

9,83

DROPICINE 1 mg COM x 20

Beta

55,76

18,21

13,71

DOZIC 1 mg COM x 20

Raffo

76,52

47,14

25,00

RESTELEA 1 mg COM x 20

Elea

86,69

58,09

39,58

RIATUL 1 mg COM x 20

Baliarda

86,69

58,09

39,58

SEQUINAN 1 mg COM x 20

Ivax Argentina

88,87

59,55

42,55

RISPERIN 1 mg COM x 20

Gador

95,04

63,69

50,71

RISPERDAL 1 mg COM x 20

Janssen-Cilag

142,69

94,20

80,35

RIATUL 1 mg COM x 40

Baliarda

132,79

66,93

37,42

EDALEN 1 mg COM x 60

Temis-Lostalo

87,44

21,49

21,49

DROPICINE 1 mg COM x 60

Beta

121,29

29,83

29,83

DOZIC 1 mg COM x 60

Raffo

175,71

65,84

43,21

RESTELEA 1 mg COM x 60

Elea

193,93

92,90

49,60

RIATUL 1 mg COM x 60

Baliarda

194,12

93,18

49,92

RISPERIN 1 mg COM x 60

Gador

235,44

149,01

101,14

2 mg DROPICINE 2 mg COM x 20

Beta

101,16

24,88

24,88

DOZIC 2 mg COM x 20

Raffo

148,44

77,64

41,80

SEQUINAN 2 mg COM x 20

Ivax Argentina

162,03

96,06

52,37

RIATUL 2 mg COM x 20

Baliarda

168,14

104,06

61,45

RESTELEA 2 mg COM x 20

Elea

168,65

104,72

62,20

RISPERIN 2 mg COM x 20

Gador

201,21

134,83

106,91

RISPERDAL 2 mg COM x 20

Janssen-Cilag

271,25

179,08

152,74

RIATUL 2 mg COM x 40

Baliarda

336,05

207,82

122,57

EDALEN 2 mg COM x 60

Temis-Lostalo

207,14

50,94

50,94

DROPICINE 2 mg COM x 60

Beta

331,67

86,59

81,57

DOZIC 2 mg COM x 60

Raffo

423,56

202,13

107,18

SEQUINAN 2 mg COM x 60

Ivax Argentina

457,57

249,82

128,96

RIATUL 2 mg COM x 60

Baliarda

494,09

298,71

169,10

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 111 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

NOMBRE COMERCIAL

Comprimidos

2 mg RESTELEA 2 mg COM x 60

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Elea

512,69

322,85

196,39

RISPERIN 2 mg COM x 60

Gador

587,53

393,70

299,64

RISPERDAL 2 mg COM x 60

Janssen-Cilag

770,17

508,46

433,69

3 mg DROPICINE 3 mg COM x 20

Beta

149,77

46,21

36,83

RIATUL 3 mg COM x 20

Baliarda

162,11

61,10

39,87

RESTELEA 3 mg COM x 20

Elea

167,47

69,25

41,18

RISPERIN 3 mg COM x 20

Gador

186,31

96,50

52,50

EDALEN 3 mg COM x 20

Temis-Lostalo

190,78

102,71

46,92

DOZIC 3 mg COM x 20

Raffo

224,57

147,10

77,01

RISPERDAL 3 mg COM x 20

Janssen-Cilag

405,13

267,47

228,14

SEQUINAN 3 mg COM x 30

Ivax Argentina

250,16

102,31

61,52

EDALEN 3 mg COM x 60

Temis-Lostalo

300,41

73,88

73,88

DROPICINE 3 mg COM x 60

Beta

434,00

123,98

106,74

RIATUL 3 mg COM x 60

Baliarda

473,84

179,33

94,77

DOZIC 3 mg COM x 60

Raffo

596,96

341,59

168,12

SEQUINAN 3 mg COM x 60

Ivax Argentina

683,06

453,04

244,76

RESTELEA 3 mg COM x 60

Elea

702,42

470,68

272,96

RISPERIN 3 mg COM x 60

Gador

853,02

571,60

491,20

RISPERDAL 3 mg COM x 60

Janssen-Cilag

1.138,13

751,39

640,89

4 mg RISPERIN 4 mg COM x 20

Gador

219,28

59,00

53,92

Janssen-Cilag

511,40

337,62

287,97

6 mg RISPERIN 6 mg COM x 20

Gador

434,80

290,03

290,03

1 mg RISPERIN 1 MG/ML ORAL SOL x 30

53,52

RISPERDAL 4 mg COM x 20

Lquido

03/02/2015

Gador

189,94

96,75

RIATUL 1 MG/ML ORAL SOL x 30

Baliarda

203,99

116,07

57,49

RISPERDAL ORAL SOL x 30

Janssen-Cilag

291,00

192,11

163,86

RISPERDAL ORAL SOL x 100

Janssen-Cilag

865,99

580,30

414,47

42,97

28,66

28,66 MAT

Astrazeneca

148,19

99,30

85,33

LIPEX 5 mg COM x 28

Elea

127,22

59,48

31,28

HIPOLIPOL 5 mg COM x 28

Casasco

163,22

109,37

74,48

ROSUSTATIN 5 mg COM x 28

Montpellier

177,57

118,99

89,26

ROSUVAST 5 mg COM x 28

Bag

246,46

165,15

141,92

CRESTOR 5 mg COM x 28

Astrazeneca

270,08

180,98

155,52

SINLIP 5 mg COM x 30

Gador

116,88

44,06

28,74

ARTOMEY 5 mg COM x 30

Ivax Argentina

127,78

60,28

31,43

MESOTEROL 5 mg COM x 30

Finadiet

129,13

62,23

33,56

ROXOLAN 5 mg COM x 30

Nova Argentia

150,07

90,85

42,29

REOVEX 5 mg COM x 30

Baliarda

152,00

93,37

43,79

LIPOGLUTAREN 5 mg COM x 30

Craveri

158,30

101,48

49,89

ROVARTAL 5 mg COM x 30

Roemmers

161,43

105,45

55,26

NODIS 5 mg COM x 30

Temis-Lostalo

181,54

121,65

83,90

SINLIP 5 mg COM x 60

Gador

189,05

46,49

46,49

Lazar

113,54

76,08

56,97

Bag

135,31

90,67

77,92

RITODRINE CLORHIDRATO
Comprimidos

10 mg RITOPAR CAP x 20

Elea

ROSUVASTATIN
Comprimidos

5 mg CRESTOR 5 mg COM x 14

10 mg ASTENDE 10 mg COM x 14
ROSUVAST 10 mg COM x 14

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 112 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
10 mg CRESTOR 10 mg COM x 14

03/02/2015
LABORATORIO
Astrazeneca

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

145,91

97,77

84,02

ATERONOVA 10 mg COM x 15

Beta

80,70

35,07

19,84

ROVARTAL 10 mg COM x 15

Roemmers

88,48

46,23

24,94

RABLOC 10 mg COM x 15

Phoenix

98,83

60,18

29,44

ROSUCOL 10 mg COM x 28

Geminis Farmaceutica

177,44

104,75

43,64

LIPEX 10 mg COM x 28

Elea

201,20

133,68

78,20

ROSUSTATIN 10 mg COM x 28

Montpellier

207,58

139,10

87,29

ASTENDE 10 mg COM x 28

Lazar

209,19

140,18

89,55

HIPOLIPOL 10 mg COM x 28

Casasco

209,84

140,61

93,55

BILIP 10 mg COM x 28

Richmond

211,32

141,60

92,47

CRESTOR 10 mg COM x 28

Astrazeneca

266,08

178,30

153,22

ROSUVAST 10 mg COM x 28

Bag

275,94

184,90

158,89

ARTOMEY 10 mg COM x 30

Ivax Argentina

145,99

47,95

35,90

ROSEDEX 10 mg COM x 30

Roux Ocefa

172,70

84,34

46,42

ATERONOVA 10 mg COM x 30

Beta

175,69

90,69

49,52

REOVEX 10 mg COM x 30

Baliarda

187,19

106,47

52,76

MESOTEROL 10 mg COM x 30

Finadiet

191,66

112,45

54,01

ROSUCOL 10 mg COM x 30

Geminis Farmaceutica

192,51

115,47

51,84

LIPOGLUTAREN 10 mg COM x 30

Craveri

196,66

119,04

58,88

SINLIP 10 mg COM x 30

Gador

209,07

135,04

74,31

ROVARTAL 10 mg COM x 30

Roemmers

210,20

136,47

75,97

RABLOC 10 mg COM x 30

Phoenix

211,08

137,59

77,27

ROXOLAN 10 mg COM x 30

Nova Argentia

211,36

137,94

77,66

ROSULIP 10 mg COM x 30

Eurofarma

218,00

144,65

87,19

NODIS 10 mg COM x 30

Temis-Lostalo

242,40

162,43

120,90

ROSUSTATIN 10 mg COM x 56

Montpellier

411,00

275,41

168,56

CRESTOR 10 mg COM x 56

Astrazeneca

488,93

327,63

273,08

ROSUVAST 10 mg COM x 56

Bag

497,93

333,66

284,47

SINLIP 10 mg COM x 60

Gador

373,92

212,32

105,38

RABLOC 10 mg COM x 60

Phoenix

414,40

265,32

157,04

20 mg RABLOC 20 mg COM x 15

Phoenix

167,82

88,68

47,29

ROSUCOL 20 Mg COM x 28

Geminis Farmaceutica

346,52

213,37

105,81

HIPOLIPOL 20 mg COM x 28

Casasco

350,34

215,25

109,67

LIPEX 20 mg COM x 28

Elea

379,51

252,43

146,19

ROSUSTATIN 20 mg COM x 28

Montpellier

379,57

252,51

146,28

BILIP 20 mg COM x 28

Richmond

396,46

265,66

170,24

ASTENDE 20 mg COM x 28

Lazar

404,70

271,19

181,76

CRESTOR 20 mg COM x 28

Astrazeneca

493,84

330,92

284,37

ROSUVAST 20 mg COM x 28

Bag

497,03

333,05

286,20

ARTOMEY 20 mg COM x 30

Ivax Argentina

291,40

113,12

71,66

RABLOC 20 mg COM x 30

Phoenix

296,91

121,47

73,02

ROSEDEX 20 mg COM x 30

Roux Ocefa

335,86

173,75

101,68

ATERONOVA 20 mg COM x 30

Beta

345,89

191,44

97,48

REOVEX 20 mg COM x 30

Baliarda

350,69

197,94

98,83

ROSUCOL 20 mg COM x 30

Geminis Farmaceutica

366,63

222,52

103,80

MESOTEROL 20 mg COM x 30

Finadiet

370,84

224,73

108,48

LIPOGLUTAREN 20 mg COM x 30

Craveri

383,47

241,12

120,84

SINLIP 20 mg COM x 30

Gador

391,45

251,33

134,40

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 113 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

NOMBRE COMERCIAL

Comprimidos

20 mg ROSULIP 20 mg COM x 30

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Eurofarma

401,58

261,03

149,25

ROVARTAL 20 mg COM x 30

Roemmers

404,35

267,62

153,34

ROXOLAN 20 mg COM x 30

Nova Argentia

406,53

270,35

156,50

NODIS 20 mg COM x 30

Temis-Lostalo

457,42

306,51

261,29

ROSUVAST 20 mg COM x 56

Bag

755,67

500,67

287,53

CRESTOR 20 mg COM x 56

Astrazeneca

902,33

604,64

487,41

RABLOC 20 mg COM x 60

Phoenix

583,25

226,92

143,43

SINLIP 20 mg COM x 60

Gador

629,78

295,97

154,88

Bag

619,28

402,89

244,26

Astrazeneca

679,79

455,52

328,34

800 mg PROCTO VENART PDA x 30

Casasco

132,24

72,33

72,33

500 mg MIOPROPAN PROCTOLOGICO CRE x 20

Bernabo

60,23

39,58

39,58

0,1 mg SALBUTOL 100 mcg AER x 200

40 mg ROSUVAST 40 mg COM x 28
CRESTOR 40 mg COM x 28

RUSCUS ACULEATUS +
PREDNISOLONA +
CINCOCAINA CLOROHIDRATO
+ MENTOL + ZINC XIDO
Pomada

RUSCUS ACULEATUS +
TRIMEBUTINA MALEATO
Crema

SALBUTAMOL
Aerosol

Comprimidos
Lquido

Takeda

35,37

12,05

8,70

AIRCOSALM HFA C/ADAP. AER x 200

Atlas

57,78

38,72

27,92

ASMATOL HFA 100 mg AER x 200

Roux Ocefa

70,79

48,12

41,64

VENTOLIN HFA INHL. C/APLICADOR AER x 200

GlaxoSmithkline

74,11

48,92

41,73

DUOPACK + AEROCAMARA AER x 200

Takeda

83,77

56,13

39,48

SALBUTRAL C/AEROMED AER x 250

Cassara

35,12

7,80

7,80

AIRCOSALM HFA C/ADAP. AER x 250

Atlas

56,52

32,79

16,53

SALBUTRAL AER x 250

Cassara

58,90

36,63

36,63

SALBUTAMOL DF AER x 250

Denver Farma S.

57,52

37,39

37,39

SALBUDEN HFA AER x 250

Denver Farma S.

59,29

39,14

39,14

SALBUTRAL C/AEROMED HFA AER x 250

Cassara

74,09

48,91

48,91

AEROLEP C/ADAP. AER x 250

Lepetit

74,47

49,16

40,91

SALBUTOL 100 mcg AER x 300

Takeda

43,64

8,89

8,73

4 mg ASMATOL COM x 20

Roux Ocefa

22,19

14,35

7,91

40 mg ASMATOL JBE x 120

Roux Ocefa

40,84

26,41

14,56

500 mg ASMATOL SOL x 15

Roux Ocefa

41,99

28,14

23,54 INF

Atlas

53,23

35,67

30,65 INF

Medisol

22,90

6,14

6,14 INF

GlaxoSmithkline

52,00

34,33

29,28 INF

Takeda

35,37

21,05

14,28 INF

0,12 mg SALBUTRAL AC AER x 250

Cassara

36,52

8,15

8,15

120 mg SALBUTRAL AC HFA AER x 250

Cassara

117,78

77,76

77,76

2,5 mg COMBIVENT SM MONODOSIS SOL x 20

Boheringer Ingelheim

80,88

53,95

53,95

120 mg SALBUTRAL AC NEBU.MONODS.2.5ML SOL x 24

Cassara

47,99

31,68

31,68

AIRCOSALM SOL x 20
500 mg SALBUTRAL P/NEBULIZAR SOL x 20
VENTOLIN P/NEBULIZAR SOL x 20
600 mg SALBUTOL P/NEBULIZAR SOL x 20

SALBUTAMOL + IPRATROPIO
BROMURO
Aerosol

Lquido

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 114 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

NOMBRE COMERCIAL

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

SALICLICO, CIDO +
LCTICO, CIDO + COLODION
ELSTICO
Lquido

16700 VERRUTOPIC C\APLIC. TOPICO SOL x 15


mg

Valuge-Lic

94,40

74,16

74,16

SALMETEROL +
FLUTICASONA
Aerosol

0,025 mg FLUTIVENT HFA 25/250 mcg AER x 60

Cassara

110,64

36,62

36,62

FLUTIVENT HFA 125/25 mcg AER x 60

Cassara

107,33

44,85

44,85

NEUMOTIDE 25/ 50 mcg AER x 120

Phoenix

184,15

48,19

45,29

FLUTIVENT HFA 25/250 mcg AER x 120

Cassara

223,67

75,64

75,64

NEUMOTIDE 25/250 mcg AER x 120

Phoenix

260,23

113,20

63,99

NEUMOTIDE 25/125 mcg AER x 120

Phoenix

242,88

118,83

65,75

PROAIR BRONQ. 25/250 mcg AER x 120

Montpellier

292,65

159,31

82,49

PROAIR BRONQ. 25/125 mcg AER x 120

Montpellier

276,07

164,29

77,80

NEUMOTIDE 25/125 mcg C/AEROC AER x 120

Phoenix

300,21

195,45

90,05

PROAIR BRONQ. 25/125 mcg AEROC AER x 120

Montpellier

332,34

222,70

142,08

SERETIDE HFA 25/ 50 mcg AER x 120

GlaxoSmithkline

358,78

236,86

202,03

SERETIDE HFA 25/125 mcg AER x 120

GlaxoSmithkline

421,40

278,20

237,29

SERETIDE HFA 25/250 mcg AER x 120

GlaxoSmithkline

427,32

282,12

240,63

FLUTIVENT 25/125 mcg +AEROMED AER x 150

Cassara

143,86

32,12

32,12

Cassara

188,15

57,35

57,35

0,05 mg NEUMOTIDE 50/100 mcg + APLIC. CAP x 60

Phoenix

210,98

51,88

51,88

NEUMOTIDE 50/250 mcg + APLIC. CAP x 60

Phoenix

240,03

62,67

59,02

NEUMOTIDE 50/500 mcg + APLIC. CAP x 60

Phoenix

244,84

67,27

60,21

0,05 mg PROAIR BRONQUIAL 50/250 + APLI INH x 60

Montpellier

310,81

152,40

84,63

PROAIR BRONQUIAL 50/500 + APLI INH x 60

Montpellier

317,81

162,30

89,57

SERETIDE DISKUS 50/100 mcg INH x 60

GlaxoSmithkline

387,63

255,91

117,29

SERETIDE DISKUS 50/250 mcg INH x 60

GlaxoSmithkline

441,76

291,64

248,75

SERETIDE DISKUS 50/500 mcg INH x 60

GlaxoSmithkline

450,28

297,27

253,56

Baliarda

56,63

31,70

31,70

Raffo

73,18

49,04

49,04
54,43

0,125 mg FLUTIVENT HFA 125/25 mcg AER x 120


Comprimidos

Inhahaldor con
sistemas

SERTRALINA
Comprimidos

25 mg INSERTEC 25 mg COM x 30
ATENIX 25 mg RANURAD. COM x 30
50 mg ATENIX 50 mg COM x 20

Raffo

105,19

54,43

INSERTEC 50 mg COM x 20

Baliarda

117,05

69,35

69,35

ZOLOFT 50 mg TAB x 20

Pfizer

177,95

119,24

119,24

DEPRECALM 50 mg COM x 30

Lazar

105,85

21,17

21,17

SERTRALINA ROSPAW 50 mg COM x 30

Rospaw

114,14

30,66

30,66

SERLINA 50 mg COM x 30

Astrazeneca

163,23

87,36

87,36

ZOXX 50 mg COM x 30

Casasco

169,99

96,58

96,58

INSERTEC 50 mg COM x 30

Baliarda

188,18

120,39

120,39

ATENIX 50 mg COM x 30

Raffo

200,79

134,55

134,55

ASERTRAL 50 mg COM x 30

Roemmers

201,52

135,04

135,04

ZOLOFT 50 mg TAB x 30

Pfizer

297,07

199,07

199,07

INSERTEC 50 mg COM x 60

Baliarda

312,91

155,78

155,78

ATENIX 50 mg COM x 60

Raffo

323,21

170,23

170,23

Lazar

122,29

24,46

24,46

ATENIX 100 mg COM x 20

Raffo

172,07

82,85

82,85

INSERTEC 100 mg COM x 20

Baliarda

194,75

114,11

114,11

100 mg DEPRECALM 100 mg COM x 20

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 115 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

100 mg ZOLOFT 100 mg TAB x 20

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Pfizer

310,39

207,99

207,99

SERTRALINA ROSPAW 100 mg COM x 30

Rospaw

192,29

52,15

52,15

SERLINA 100 mg COM x 30

Astrazeneca

275,76

149,05

149,05

ZOXX 100 mg COM x 30

Casasco

293,62

173,15

173,15

ASERTRAL 100 mg COM x 30

Roemmers

295,64

175,82

175,82

INSERTEC 100 mg COM x 30

Baliarda

314,51

200,33

200,33

ATENIX 100 mg COM x 30

Raffo

324,37

212,83

212,83

ZOLOFT 100 mg TAB x 30

Pfizer

516,96

346,41

346,41

INSERTEC 100 mg COM x 60

Baliarda

528,57

266,14

266,14

SIMVASTATIN
Comprimidos

5 mg SIMVASTATIN TECHSPHERE 5 mg COM x 30

Techsphere

46,00

11,31

11,31

REDUSTEROL 5 mg COM x 30

Raffo

87,57

50,59

25,17

VASOTENAL 5 mg COM x 30

Roemmers

ZOCOR 5 mg COM x 30

Merck Sharp & Dhome

99,68

66,22

41,41

128,05

85,80

73,73

10 mg SISTATIN 10 mg COM x 15

Lepetit

30,00

6,80

6,80

SISTATIN 10 mg COM x 30

Lepetit

38,00

8,40

8,40

SIMVASTATIN TECHSPHERE 10 mg COM x 30

Techsphere

84,76

20,85

20,85

COLEFLUX 10 mg COM x 30

Finadiet

117,00

32,56

28,77

GEMISTATIN 10 mg COM x 30

Geminis Farmaceutica

119,81

35,10

26,75

ZOCOR 10 mg COM x 30

Merck Sharp & Dhome

132,26

49,52

32,53

LISAC 10 mg COM x 30

Bernabo

140,81

64,33

31,51

TANAVAT 10 mg COM x 30

Microsules Argentina

164,27

102,17

102,17

REDUSTEROL 10 mg COM x 30

Raffo

174,12

108,15

80,82

NIVELIPOL 10 mg COM x 30

Temis-Lostalo

200,61

134,42

112,01

VASOTENAL 10 mg COM x 30

Roemmers

218,33

146,30

125,72

20 mg SISTATIN 20 mg COM x 15

Lepetit

35,00

7,80

7,80

SISTATIN 20 mg COM x 30

Lepetit

46,00

10,00

10,00

LISAC 20 mg COM x 30

Bernabo

92,05

20,55

20,55

COLEFLUX 20 mg COM x 30

Finadiet

98,86

24,32

24,32

SIMVASTATIN TECHSPHERE 20 mg COM x 30

Techsphere

108,03

29,17

26,57

ZOCOR 20 mg COM x 30

Merck Sharp & Dhome

139,81

68,40

37,77

GEMISTATIN 20 mg COM x 30

Geminis Farmaceutica

137,84

69,05

33,90

REDUSTEROL 20 mg COM x 30

Raffo

184,23

123,45

105,48

TANAVAT 20 mg COM x 30

Microsules Argentina

190,47

127,63

127,63

VASOTENAL 20 mg COM x 30

Roemmers

212,37

142,31

122,29

NIVELIPOL 20 mg COM x 30

Temis-Lostalo

220,28

147,61

126,85

Finadiet

109,06

27,31

26,82

REDUSTEROL 40 mg COM x 30

Raffo

162,95

97,09

49,13

ZOCOR 40 mg COM x 30

Merck Sharp & Dhome

226,67

151,89

130,52

Finadiet

104,91

25,81

25,81

Merck Sharp & Dhome

339,70

227,63

195,61

Gobbi

200,85

64,35

64,35

57,85

38,59

38,59

141,89

56,29

34,89

40 mg COLEFLUX 40 mg COM x 30

80 mg COLEFLUX 80 mg COM x 30
ZOCOR 80 mg COM x 30

SODIO AMIDOTRIZOATO
Ampollas

50000 TRIYOSOM 50 ml F.A x


mg

SODIO AUROTIOSULFATO
Ampollas

37500 CRYTION 0.05 GR AMP x


mg

Temis-Lostalo

SODIO DIVALPROATO
Comprimidos

125 mg VALCOTE 125 mg COM x 50

Abbott

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 116 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

125 mg VALCOTE SPRINKLE 125 mg CAP x 50

Abbott

221,46

148,40

127,52

VALCOTE SPRINKLE 125 mg CAP x 100

Abbott

424,10

284,19

234,24
91,53

250 mg VALCAS 250 mg COM x 50

Casasco

229,35

149,96

VALNAR 250 mg COM x 50

Ivax Argentina

232,56

154,00

96,11

DIVALPREX 250 mg COM x 50

Gador

236,98

158,80

102,34

VALCOTE 250 mg COM x 50

Abbott

238,76

159,99

104,82

VALCOTE ER 250 mg COM x 50

Abbott

298,85

199,34

126,21

500 mg VALNAR 500 mg COM x 50

Ivax Argentina

411,22

264,69

158,70

DIVALPREX 500 mg COM x 50

Gador

414,75

276,65

163,78

VALCOTE 500 mg COM x 50

Abbott

421,06

277,13

172,79

VALCAS 500 mg COM x 50

Casasco

441,08

295,56

200,77

VALCOTE ER 500 mg COM x 50

Abbott

527,06

351,56

222,59

40,75

40,75

SODIO FLUORURO
Comprimidos

2,21 mg FLUORDENT COM x 30

Bernabo

62,03

Gotas

221 mg FLUORURO DE SODIO NAF GTS x 30

Naf

29,47

5,89

5,89

FLUORDENT GTS x 30

Bernabo

62,03

40,75

40,75

NEXOVITAL FLUOR GTS x 30

Andromaco

73,75

48,46

48,46

Trb-Pharma

735,62

490,68

490,68

Trb-Pharma

1.420,76

947,68

947,68

Pharmadorf

92,59

60,84

60,84

Temis-Lostalo

429,96

146,27

146,27

Temis-Lostalo

835,25

284,15

284,15

SODIO HIALURONATO
Ampollas

20 mg MAXIOSTENIL 2 ML JPR x

40 mg MAXIOSTENIL PLUS 2 ML JPR x


Lquido

4 mg HIALUDORF HD Oft. SOL x 10

SODIO IOXAGALATO +
MEGLUMINA IOXAGALATO
Ampollas

19650 HEXABRIX 50 ML AMP x 1


mg
HEXABRIX 100 ML AMP x 1

SODIO IOXITALAMATO +
MEGLUMINA IOXITALAMATO
Ampollas

9660 mg TELEBRIX CORONARIO 50 ML AMP x

Temis-Lostalo

185,28

63,03

63,03

TELEBRIX CORONARIO 100 ML AMP x

Temis-Lostalo

357,87

121,74

121,74

Cetus

52,79

34,85

34,85

Montpellier

37,55

9,24

9,24

139,89

93,74

93,74

Astrazeneca

73,58

49,08

49,08

Ivax Argentina

79,95

53,57

33,76 INF

SODIO PICOSULFATO
Comprimidos
Gotas

4 mg DAGOL CETUS COM x 20


750 mg MODATON GTS x 30
RAPILAX GTS x 50
750 mg TRALI 8 MG/ML GTS x 30

Elea

SODIO VALPROATO
Lquido

5760 mg LOGICAL JBE x 120

SOTALOL
Comprimidos

80 mg SOTACOR 80 mg COM x 20

Investi

111,28

74,22

74,22

160 mg SOTACOR 160 mg COM x 20

Investi

157,47

105,04

105,04

Frasco

20000 NETUNAL FCO x 200


mg

Elea

118,53

79,42

79,42

Lquido

20000 SUCRALMAX SUS x 200


mg
GASTROMED SUS x 200

Eurofarma

108,36

64,72

64,72

Sanitas

194,45

128,37

128,37

SUCRALFATO

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 117 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

SULFASALAZINA
Comprimidos

500 mg FLOGOSTOP 500 mg COM x 60


AZULFIDINE EN-TABS TAB x 60

Ivax Argentina

181,84

99,39

99,39

Pfizer

230,52

154,47

154,47

SULTAMICILINA
Comprimidos

375 mg AMPIGEN SB 375 mg COM x

Fabra

68,39

40,46

40,46

Pfizer

86,94

58,26

58,26

UNASYNA 375 mg TAB x 16

Pfizer

155,30

103,46

103,46

GlaxoSmithkline

178,06

116,99

116,99

UNASYNA 375 mg TAB x

SUMATRIPTN
Comprimidos

50 mg IMIGRAN 50 mg TAB x

100 mg MIGRATRIPTAN 100 mg COM x

Craveri

155,58

104,25

104,25

MIGRATRIPTAN 100 mg COM x

Craveri

297,00

196,11

196,11

Gobbi

279,98

142,32

62,52

TAMSULOSINA
Comprimidos

0,04 mg ACLOSAN 0.4 mg CAP x 40


0,4 mg PROSTOKLAR 0.4 mg COM x 30

Baliarda

183,28

113,52

60,81

TANSILOPROST 0.4 mg CAP x 30

Finadiet

233,70

136,73

68,04

BIPROKAM 0.4 mg CAP x 30

LKM Onco/Especia

240,21

147,48

83,63

URIFLUX 0.4 mg CAP x 30

Sidus

257,65

169,72

103,43

TAMSUNA 0.4 mg CAP x 30

Sandoz

264,24

174,45

114,72

ACLOSAN 0.4 mg CAP x 30

Gobbi

275,78

182,07

128,64

REDUPROST 0.4 mg CAP x 30

Raffo

289,00

193,66

143,57

SECOTEX OCAS 0.4 mg COM x 30

Boheringer Ingelheim

300,05

201,83

157,40

SECOTEX OCAS 0.4 mg COM x 50

Boheringer Ingelheim

442,70

296,08

195,06

PROSTOKLAR 0.4 mg COM x 60

Baliarda

295,21

128,74

72,60

TANSILOPROST 0.4 mg CAP x 60

Finadiet

437,48

232,90

123,30

REDUPROST 0.4 mg CAP x 60

Raffo

461,70

265,85

130,86

OMNIC 0.4 mg LIB.CONT. CAP x 30

Gador

273,89

183,53

123,04

URALOS CR 0.4 mg COM x 30

Casasco

278,58

186,67

129,48

TANSILOPROST RETARD 0.4 mg Lib. COM x 30

Finadiet

288,51

193,33

142,87

UROCETINA 0.4 mg LIB.PROL. CAP x 30

Eurolab

289,00

193,66

143,53

OMNIC OCAS 0.4 mg LIB.PROL. COM x 30

Gador

290,33

194,55

167,18

LOSTAM 0.4 mg LIB. PROL. CAP x 30

Temis-Lostalo

315,13

211,17

177,48

TANSILOPROST RETARD 0.4 mg Lib. COM x 60

Finadiet

523,16

332,81

301,25

Boheringer Ingelheim

282,23

186,00

186,00

Bag

305,66

204,82

204,82

Boheringer Ingelheim

392,66

259,70

259,70

Bag

427,60

286,53

286,53

TELMISARTAN
Comprimidos

40 mg MICARDIS 40 mg COM x 28
GLIOSARTAN 40 mg COM x 28
80 mg MICARDIS 80 mg COM x 28
GLIOSARTAN 80 mg COM x 28

TEOFILINA ANHIDRA
Comprimidos

100 mg TEOSONA 100 COM x 20

Phoenix

37,83

25,24

13,06

200 mg TEOSONA 200 COM x 20

Phoenix

40,62

27,21

19,54

TEOSONA 200 COM x 50

Phoenix

86,13

54,82

26,44

300 mg DRILYNA 300 mg COM x 20

Bag

59,30

23,03

14,59

TEOSONA 300 DIVI DOSIS COM x 20

Phoenix

92,22

61,80

47,35

DRILYNA 300 mg COM x 30

Bag

74,88

18,90

18,41

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 118 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

Lquido

300 mg

03/02/2015
LABORATORIO

DRILYNA 300 mg COM x 40

Bag

114,99

40,51

28,27

TEOSONA 300 DIVI DOSIS COM x 50

Phoenix

195,38

123,08

74,04

Phoenix

29,02

19,36

10,31

800 mg TEOSONA JBE x 200

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

NOMBRE COMERCIAL

TERAZOSINA
Comprimidos

2 mg BENAPROST 2 mg COM x 14

Bag

37,39

13,85

9,20

ISONTYN 2 mg COM x 14

Abbott

85,09

57,02

49,00

FLUMARC 2 mg COM x 20

Raffo

37,57

7,83

7,83

ANDRIN 2 mg COM x 20

Casasco

37,16

9,13

9,13

GERIPROST 2 mg COM x 20

Ivax Argentina

64,57

35,89

18,19

BLAVIN 2 mg COM x 20

Baliarda

66,68

40,00

19,53

ANDRIN 2 mg COM x 30

Casasco

87,62

40,89

21,54

FOSFOMIK 2 mg COM x 30

Finadiet

93,47

49,18

26,35

BLAVIN 2 mg COM x 30

Baliarda

120,22

80,56

55,54

BLAVIN 2 mg COM x 60

Baliarda

228,40

152,70

94,31

Abbott

142,10

95,22

81,83

FLUMARC 5 mg COM x 20

Raffo

43,59

9,09

9,09

ANDRIN 5 mg COM x 20

Casasco

43,28

10,63

10,63

GERIPROST 5 mg COM x 20

Ivax Argentina

76,20

44,53

21,75

FOSFOMIK 5 mg COM x 20

Finadiet

77,79

46,63

23,20

BLAVIN 5 mg COM x 20

Baliarda

86,24

56,06

43,78

BENAPROST 5 mg COM x 28

Bag

96,78

48,79

27,27

ISONTYN 5 mg COM x 28

Abbott

284,17

190,42

163,64

ANDRIN 5 mg COM x 30

Casasco

103,76

52,37

29,23

FOSFOMIK 5 mg COM x 30

Finadiet

130,12

87,12

53,63

BLAVIN 5 mg COM x 30

Baliarda

139,94

93,77

67,22

BLAVIN 5 mg COM x 60

Baliarda

265,88

178,16

115,46

Casasco

67,65

20,10

16,62

FLUMARC 10 mg COM x 20

Raffo

71,07

24,70

14,81

GERIPROST 10 mg COM x 20

Ivax Argentina

80,83

37,52

19,88

BLAVIN 10 mg COM x 20

Baliarda

88,73

50,49

21,13

ANDRIN 10 mg COM x 30

Casasco

101,85

30,51

25,04

BLAVIN 10 mg COM x 30

Baliarda

182,03

121,98

95,42

BLAVIN 10 mg COM x 60

Baliarda

363,15

243,34

184,42

5 mg ISONTYN 5 mg COM x 14

10 mg ANDRIN 10 mg COM x 20

TERBINAFINA
Comprimidos

Crema

250 mg FUNGUEAL 250 mg COM x 14

Lazar

176,12

100,13

100,13

LAMISIL 250 mg COM x 14

Novartis

193,35

124,31

124,31

TACNA 250 mg COM x 14

Raymos

215,24

142,10

142,10

LAMISIL 250 mg COM x 28

Novartis

342,88

191,23

191,23

TACNA 250 mg COM x 28

Raymos

420,83

277,83

277,83

FUNGUEAL 250 mg COM x 28

Lazar

450,45

301,84

301,84

10 mg FUNGUEAL 1% CRE x 15

Lazar

61,03

40,71

40,71

0,5 mg BRICANYL TURBUHALER 0.5 mg INH x 100

Astrazeneca

161,35

108,12

108,12

TERBUTALINA
Inhahaldor con
sistemas

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 119 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Inhahaldor con
sistemas

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

0,5 mg BRICANYL TURBUHALER 0.5 mg INH x 200

Astrazeneca

100 mg TESTOVIRON DEPOT 100 mg 1 ML AMP x

250 mg TESTOVIRON DEPOT 250 mg 1 ML AMP x

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

164,65

95,81

95,81

Bayer (PH)

93,36

62,27

62,27

Bayer (PH)

171,61

83,11

83,11

TESTOSTERONA
Ampollas

SUSTANON 250 mg AMP x

MSD Arrgentina SR

NEBIDO 250 MG/ML 4 ML AMP x


Comprimidos

186,32

103,61

103,61

1.127,59

755,59

755,59

392,27

261,66

261,66

Biol

45,69

10,26

10,26 MAT

Novartis Vacunas

80,19

52,94

52,94 MAT

GlaxoSmithkline

315,80

205,39

205,39

Sanofi Pasteur

260,86

123,97

123,97

Omega

100,56

68,66

68,66

Bayer (PH)

40 mg UNDESTOR TESTOCAPS CAP x 30

MSD Arrgentina SR

TETNICO TOXOIDE
Ampollas

75 ui VACUNA BIOL ANTITETANICA + JGA AMP x


75 ui TETANOL PUR 0.5 ML JPR x

TETNICO TOXOIDE +
ANTITOXINA DIFTRICA +
PERTUSSIS TOXOIDE
Ampollas

20 ui BUSTRIX 0.5 ML JPR x

Frasco

40 ui ADACEL MONODS 0.5 ML ACELULAR FCO x

TETRACICLINA
Comprimidos

250 mg TETRACICLINA OMEGA COM x 16


CICLOTETRYL GRA x 20

Ingens S.A.

75,39

51,22

51,22

CICLOTETRYL GRA x 50

Ingens S.A.

139,20

65,83

65,83

500 mg CICLOTETRYL 500 CAP x 30

Ingens S.A.

150,45

102,22

102,22

CICLOTETRYL 500 CAP x 60

Ingens S.A.

248,98

144,72

144,72

Andromaco

17,75

11,66

11,66

5000 mg FOLDAN CRE x 45

Andromaco

24,34

15,99

15,99

1,25 mg CLIMATIX 1.25 mg COM x 30

Investi

137,07

84,42

84,42

DISCRETAL 1.25 mg COM x 30

Beta

140,62

89,00

89,00

PARACLIM 1.25 mg COM x 30

Elea

159,19

106,67

106,67

TIABENDAZOL
Comprimidos
Crema

500 mg FOLDAN COM x

TIBOLONA
Comprimidos

2,5 mg CLIMALONA 2.5 mg COM x 30

Bag

111,92

27,53

27,53

TOCLINE 2.5 mg COM x 30

Astrazeneca

143,08

57,96

57,96

KLIMASTRESS COM x 30

Craveri

162,35

85,80

85,80

DISCRETAL 2.5 mg COM x 30

Beta

180,65

110,38

110,38

PARACLIM 2.5 mg COM x 30

Elea

213,89

143,33

143,33

SENALINA 2.5 mg COM x 30

Omega

253,70

173,22

173,22

TIBOFEM 2.5 mg COM x 30

MSD Arrgentina SR

275,89

184,87

184,87

Investi

164,57

88,86

88,86

3 mg CLIMATIX 2.5 mg COM x 30

TICLOPIDINA CLORHIDRATO
Comprimidos

250 mg DOSIER COM x 20

Casasco

65,36

27,90

27,90

TROMBENAL COM x 20

Bag

66,53

29,63

29,63

TICLID COM x 20

Sanofi Aventis

101,87

68,26

68,26

DOSIER COM x 40

Casasco

178,27

119,45

119,45

TROMBENAL COM x 60

Bag

182,16

62,41

62,41

TICLID COM x 60

Sanofi Aventis

272,14

182,36

182,36

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 120 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

TIMOLOL
Frasco

100 mg OFAL GEL 0.1 % GOTERO FCO x

Gel

500 mg PLOSTIM 0.50% OFT. GEL x

Gotas

250 mg GLATIM 0.25 OFT. GTS x

500 mg TIMOPTIC XE 0.50% GTS x

BIO EYES TIMO OFT. GTS x


GLATIM 0.5 OFT. GTS x

250 mg POENTIMOL 0.25% OFT. SOL x


PLOSTIM 0.25% OFT. SOL x
PROFLAX 0.25% SOL x

500 mg PROTEVIS 500 mg OFT. SOL x

ZOPIROL 0.50 % OFT. SOL x

PLOSTIM 0.50% OFT. SOL x

TIMOLOL DORF 0.5 % OFT. SOL x


OFAL OFTALMICO 0.50% SOL x

5
5

POENTIMOL 0.50% OFT. SOL x


PROFLAX 0.50% SOL x

77,62

50,20

27,67

Alcon

72,06

48,07

30,03

Amhof

37,00

24,80

18,52

148,65

99,61

85,60

Novoplos

61,78

34,98

20,23

Amhof

64,95

38,57

26,18

Bausch & Lomb Argentina

68,12

18,73

18,73

Poen

27,47

14,32

7,36

Alcon

32,16

20,73

11,98

Sidus

35,35

23,34

16,20

Allergan-Loa

20,74

5,10

5,10

Elea

36,78

9,04

9,04

Alcon

44,62

11,91

10,97

Pharmadorf

46,41

13,56

10,36

Novartis

46,85

13,98

10,46

Poen

71,92

47,54

35,50

Sidus

85,32

56,33

48,05

Merck Sharp & Dhome

TIMED 0.50% GTS x 10


Lquido

Novartis

TINIDAZOL
Comprimidos

500 mg GYNORMAL ORAL COM x

Andromaco

54,02

34,82

34,82

FASIGYN 500 ORAL TAB x

Pfizer

61,35

41,11

41,11

1000 mg FASIGYN 1 g ORAL TAB x

Pfizer

68,91

45,96

45,96

10 mg MELERIL 10 GRA x 25

Roemmers

51,62

34,43

34,43

25 mg MELERIL 25 GRA x 25

Roemmers

56,83

37,91

37,91

200 mg MELERIL RETARD 200 mg COM x 20

Roemmers

184,73

123,22

123,22

300 mg TOBREX OFT. GEL x 3,5

Alcon

91,78

61,50

61,50

Poen

56,03

26,17

26,17

Lersan

26,90

10,98

10,98

Amhof

91,08

41,12

41,12

Allergan-Loa

25,75

6,33

6,33

Pharmadorf

38,01

10,85

10,85

Atlas

47,27

23,06

23,06

Alcon

53,22

31,24

31,24

Fecofar

57,39

37,88

37,88

Novoplos

64,84

42,81

42,81

Bausch & Lomb Argentina

65,18

44,51

44,51

Poen

76,50

51,26

51,26

Alcon

81,90

27,44

27,44

Atlas

49,21

15,73

15,73

TIORIDAZINA
Comprimidos

TOBRAMICINA
Gel

GOTABIOTIC OFT. GEL x


Gotas

300 mg TOBRALER OFT. GTS x

5
5

RADINA OFT. GTS x 10


Lquido

300 mg TOBRAGAN 0.3% OFT. SOL x

TOBRAMICINA DORF OFT. SOL x

TOBRAMICINA ATLAS OFT. SOL x


TOBREX OFT. SOL x

BIDEON BIOTIC OFT. SOL x

BIO EYES BIOTIC OFT. SOL x


BIOPTIC OFTAL. SOL x
GOTABIOTIC OFT. SUS x

5
5

TOBREX OFT. SOL x 10

TOBRAMICINA +
DEXAMETASONA
Gotas

100 mg TOBRATLAS DEXA OFT. GTS x

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 121 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Gotas

NOMBRE COMERCIAL

LABORATORIO

300 mg RADINA DEX OFT. GTS x


BICRINOL OFT. GTS x

Lquido

03/02/2015

3 mg DECADRON C/TOBRAMICINA OFT. SUS x


300 mg TOBRALER DX OFT. SUS x
TOBRAGAN D OFT. SOL x
FOTADEX OFT. SOL x

5
5

BIO EYES PLUS OFT. SOL x


TOBRADEX OFT. SOL x

BIOPTIC DX OFT. SOL x

GOTABIOTIC F OFT. SOL x

Ungento

300 mg GOTABIOTIC F OFT. UNG x

FOTADEX OFT. UNG x 3,5

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Amhof

66,69

40,00

40,00

Hlb Pharma

90,00

60,31

60,31

Sidus

42,27

9,44

9,44

Lersan

26,90

6,18

6,18

Allergan-Loa

40,06

8,01

8,01

Elea

50,42

16,89

16,89

Novoplos

70,17

45,08

45,08

Alcon

77,49

51,93

51,93

Poen

85,58

57,35

57,35

Bausch & Lomb Argentina

88,02

60,10

60,10

Poen

70,99

46,66

46,66

Elea

73,45

49,22

49,22

TOPIRAMATO
Comprimidos

15 mg TOPAMAC SPRINKLE 15 mg DISPERS CAP x 60

Janssen-Cilag

260,58

171,21

171,21

25 mg TOPICTAL 25 mg COM x 28

56,39

Raffo

104,84

56,39

NEUTOP 25 mg COM x 28

Elea

119,33

75,61

75,61

TOPAMAC 25 mg COM x 28

Janssen-Cilag

165,31

109,13

109,13

TOPICTAL 25 mg COM x 56

Raffo

188,65

82,83

82,83

NEUTOP 25 mg COM x 56

Elea

226,15

134,96

134,96

TOPAMAC SPRINKLE 25 mg DISPERS CAP x 60

Janssen-Cilag

449,10

296,50

296,50

28 mg EPISTAL 25 mg COM x 28

Casasco

116,85

72,41

72,41

50 mg TOPICTAL 50 mg COM x 28

Raffo

215,37

134,99

134,99

EPISTAL 50 mg COM x 28

Casasco

215,65

135,36

135,36

NEUTOP 50 mg COM x 28

Elea

215,89

135,66

135,66

TOPAMAC 50 mg COM x 28

Janssen-Cilag

304,18

200,82

200,82

TOPICTAL 50 mg COM x 56

Raffo

387,68

212,92

212,92

NEUTOP 50 mg COM x 56

Elea

412,85

246,67

246,67

Raffo

333,24

216,24

216,24

EPISTAL 100 mg COM x 28

Casasco

335,55

219,15

219,15

NEUTOP 100 mg COM x 28

Elea

337,07

221,07

221,07

TOPAMAC 100 mg COM x 28

Janssen-Cilag

463,50

306,00

306,00

TOPICTAL 100 mg COM x 56

Raffo

598,16

343,55

343,55

EPISTAL 100 mg COM x 56

Casasco

632,57

388,97

388,97

NEUTOP 100 mg COM x 56

Elea

640,17

398,82

398,82

Sanofi Aventis

150,21

100,19

100,19

Fortbenton Co.

126,75

84,51

84,51

Poen

33,50

22,34

22,34

1 mg STELAZINE 1 mg COM x 50

MSD Arrgentina SR

62,65

41,79

41,79

2 mg CUAIT TRIFLUOPERAZINA 2 mg COM x 50

100 mg TOPICTAL 100 mg COM x 28

TRIAMCINOLONA
Aerosol
Ampollas
Pomada

0,055 mg NASACORT AQ AER x 120


30 mg FORTCINOLONA 5 ML AMP x
1000 mg TRIAMPOEN OFT. PDA x

TRIFLUOPERAZINA
Comprimidos

Ariston

25,48

16,48

16,48

STELAZINE 2 mg COM x 50

MSD Arrgentina SR

60,29

40,21

40,21

5 mg STELAZINE 5 mg COM x 25

MSD Arrgentina SR

59,47

39,85

39,85

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 122 de 130

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DROGA
Comprimidos

NOMBRE COMERCIAL

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

5 mg CUAIT TRIFLUOPERAZINA 5 mg COM x 30

Ariston

50,04

32,88

32,88

10 mg CUAIT TRIFLUOPERAZINA 10 mg COM x 30

Ariston

56,01

36,98

36,98

CUAIT TRIFLUOPERAZINA 10 mg COM x 50

Ariston

42,88

14,39

14,39

STELAZINE 10 mg COM x 50

MSD Arrgentina SR

81,17

41,29

41,29

Pfizer

135,57

86,45

86,45

Cevallos

143,30

94,61

94,61

TRIHEXIFENIDILO
CLORHIDRATO
Comprimidos

5 mg ARTANE 5 mg COM x 50
TRIHEXIFENIDILO CEVALLOS 5 mg COM x 50

TRIMEBUTINA MALEATO
Comprimidos

100 mg MIOPROPAN COM x 20

Bernabo

43,09

28,45

28,45

EUMOTIL 100 mg COM x 20

Baliarda

45,37

30,40

30,40

BIORGAN 100 mg COM x 20

Ivax Argentina

54,92

36,80

36,80

PLIDEX 100 COM x 30

Roemmers

57,01

34,00

34,00

MIOPROPAN COM x 40

Bernabo

70,62

38,85

38,85

EUMOTIL 100 mg COM x 40

Baliarda

78,93

49,14

49,14

BIORGAN 100 mg COM x 40

Ivax Argentina

95,66

64,10

64,10

Roemmers

40,34

16,79

16,79

COLIXANE 200 COM x 20

Sanitas

55,04

25,75

25,75

MIOPROPAN 200 mg COM x 20

Bernabo

59,90

31,90

31,90

EUMOTIL 200 mg COM x 20

Baliarda

69,23

43,68

43,68

BIORGAN 200 mg COM x 20

Ivax Argentina

85,32

57,17

57,17

DEBRIDAT 200 mg COM x 20

Pfizer

106,85

71,60

71,60

FENATROP 200 mg COM x 30

Gador

75,55

25,70

25,70

PLIDEX 200 COM x 30

Roemmers

81,62

34,99

34,99

EUMOTIL 200 mg COM x 30

Baliarda

89,82

46,78

46,78

PROCINET NF 200 mg COM x 30

Eurofarma

101,26

61,25

61,25

MIOPROPAN 200 mg COM x 30

Bernabo

124,30

82,06

82,06

COLIXANE 200 COM x 30

Sanitas

143,62

94,82

94,82

COLIXANE 200 COM x 40

Sanitas

97,94

33,25

33,25

EUMOTIL 200 mg COM x 40

Baliarda

130,80

77,36

77,36

BIORGAN 200 mg COM x 40

Ivax Argentina

160,15

107,32

107,32

DEBRIDAT 200 mg COM x 40

Pfizer

194,10

130,06

130,06

MIOPROPAN 200 mg COM x 60

Bernabo

215,37

142,18

142,18

Baliarda

104,99

63,19

63,19

200 mg PLIDEX 200 COM x 15

300 mg EUMOTIL 300 COM x 30

Lquido

MIOPROPAN LP 300 mg COM x 20

Bernabo

96,65

63,81

63,81

BIORGAN AP 300 mg COM x 20

Ivax Argentina

110,31

73,92

73,92

DEBRIDAT AP 300 mg LIB.PROL. COM x 20

Pfizer

140,84

94,38

94,38

FENATROP AP 300 mg COM x 30

Gador

81,50

29,93

29,93

MIOPROPAN LP 300 mg COM x 30

Bernabo

92,74

47,64

47,64

PLIDEX AP 300 mg COM x 30

Roemmers

124,65

83,52

83,52

MIOPROPAN LP 300 mg COM x 60

Bernabo

181,05

89,04

89,04

Bernabo

25,26

16,59

16,59

Investi

80,35

53,59

53,59

390 mg MIOPROPAN SUS x 250

TRIMETOPRIMA +
SULFAMETOXASOL
Comprimidos

80 mg BACTRIM COM x 20

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 123 de 130

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DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

160 mg NETOCUR COM x 10

Lquido

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Duncan

37,96

8,48

8,48

BACTRIM FORTE COM x 10

Investi

90,96

60,65

60,65

BACTICEL COM x 12

Bag

117,40

78,67

78,67

40 mg COTRIMOXAZOL VANNIER JBE x 100

Vannier S.A.

22,94

4,59

4,59

NETOCUR JBE x 100

Duncan

29,33

6,55

6,55

ADRENOL JBE x 100

Fabra

38,49

8,59

8,59

BACTRIM JBE x 100

Investi

86,60

57,78

57,78

BACTICEL JBE x 120

Bag

120,46

80,72

80,72

Alcon

87,60

58,43

58,43

26,82

TROPICAMIDA
Lquido

1000 mg ALCON MYDRIL 1% OFT. SOL x

URSODESOXICLICO, CIDO
Comprimidos

150 mg AUDECOL 150 mg COM x 20

89,48

26,82

URZAC 150 mg COM x 20

Eurofarma

135,11

86,69

86,69

DEXO 150 mg COM x 20

Dominguez

149,74

100,34

100,34

URSODIOL 150 mg COM x 20

Hlb Pharma

150,37

100,76

100,76

UTRAL 150 mg COM x 30

Sanitas

265,27

175,13

175,13

250 mg UDCA FERRING 250 mg CAP x 30

Ferring

429,16

287,58

287,58

URSOFALK CAP x 50

Biotoscana

483,10

176,27

176,27

UDCA FERRING 250 mg CAP x 60

Ferring

817,48

539,31

539,31

URSOFALK CAP x 100

Biotoscana

951,70

330,32

330,32

Dominguez

286,15

191,75

191,75

AUDECOL 300 mg COM x 30

Ariston

188,64

39,49

39,49

URZAC 300 mg COM x 30

Eurofarma

321,11

203,68

203,68

UTRAL 300 mg COM x 30

Sanitas

373,67

246,69

246,69

URSODIOL 300 mg COM x 30

Hlb Pharma

413,58

277,14

277,14

UDCA FERRING 300 mg CAP x 30

Ferring

429,16

287,58

287,58

AUDECOL 300 mg COM x 50

Ariston

428,12

208,15

208,15

URZAC 300 mg COM x 50

Eurofarma

473,23

257,17

257,17

DEXO 300 mg COM x 50

Dominguez

669,65

448,72

448,72

URSODIOL 300 mg COM x 50

Hlb Pharma

695,19

465,84

465,84

UTRAL 300 mg COM x 60

Sanitas

747,66

493,60

493,60

UDCA FERRING 300 mg CAP x 60

Ferring

817,48

547,79

547,79

300 mg DEXO 300 mg COM x 20

500 mg URZAC FORTE 500 mg COM x 30

Lquido

Ariston

Eurofarma

521,36

354,44

354,44

URSODIOL FORTE 500 mg COM x 30

Hlb Pharma

672,65

450,74

450,74

URSOFALK 500 mg COM x 50

Biotoscana

915,65

613,60

613,60

URSODIOL FORTE 500 mg COM x 50

Hlb Pharma

1.103,65

739,54

739,54

URSOFALK 500 mg COM x 100

Biotoscana

1.737,60

1.164,30

1.164,30

Biotoscana

707,60

471,98

471,98

63,17

42,75

42,75

250 mg URSOFALK Oral SUS x 250

VAC. ANTIPOLIOMIELITIS
Ampollas

0,001 ml IMOVAX POLIO AMP x

Sanofi Pasteur

VALPROICO, CIDO
Comprimidos
Lquido

250 mg DEPAKENE CAP x 50

Abbott

131,84

45,86

32,42

5000 mg DEPAKENE JBE x 120

Abbott

73,11

47,01

32,61 INF

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 124 de 130

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DROGA
Lquido

NOMBRE COMERCIAL

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

5000 mg

VALSARTAN
Comprimidos

40 mg DIOVAN IC 40 mg COM x 14

Novartis

80 mg RACORVAL 80 mg COM x 14

151,38

99,46

61,30

Nova Argentia

64,58

18,98

15,88

ALPERTAN 80 mg COM x 14

Raffo

67,69

21,96

16,64

SIMULTAN 80 mg COM x 14

Lazar

120,96

81,05

67,31

DIOVAN 80 mg COM x 14

Novartis

134,41

88,73

75,68

DIAPRESAN 80 mg COM x 15

Montpellier

82,16

37,23

20,19

SARVAL 80 mg COM x 15

Baliarda

93,62

53,28

25,73

DILCORAN 80 mg COM x 28

Casasco

152,04

67,56

37,38

HIPERVAL 80 COM x 28

Richmond

169,81

89,56

47,89

RACORVAL 80 mg COM x 28

Nova Argentia

178,44

105,49

49,98

SIMULTAN 80 mg COM x 28

Lazar

187,68

116,49

59,89

ALPERTAN 80 mg COM x 28

Raffo

192,47

122,65

67,08

DIOVAN 80 mg COM x 28

Novartis

228,02

150,54

118,70

COROSAN 80 mg COM x 28

Elea

265,81

178,12

153,06

DIAPRESAN 80 mg COM x 30

Montpellier

157,80

64,79

38,80

SARVAL 80 mg COM x 30

Baliarda

179,24

95,64

50,52

80,47

23,44

19,49

160 mg ALPERTAN 160 mg COM x 14

Raffo

RACORVAL 160 mg COM x 14

Nova Argentia

85,34

28,12

20,99

SIMULTAN 160 mg REC. COM x 14

Lazar

143,24

95,98

74,78

DIOVAN 160 mg COM x 14

Novartis

148,44

98,00

83,59

DIAPRESAN 160 mg COM x 15

Montpellier

111,57

59,09

31,44

SARVAL 160 mg COM x 15

Baliarda

122,62

73,98

37,33

DILCORAN 160 mg COM x 28

Casasco

202,56

102,35

57,06

HIPERVAL 160 COM x 28

Richmond

221,49

124,54

62,78

SIMULTAN 160 mg REC. COM x 28

Lazar

249,69

164,77

99,31

DIOVAN 160 mg COM x 28

Novartis

252,00

166,37

105,69

ALPERTAN 160 mg COM x 28

Raffo

261,83

175,45

116,43

RACORVAL 160 mg COM x 28

Nova Argentia

265,76

176,38

123,70

COROSAN 160 mg COM x 28

Elea

291,66

195,44

156,31

DIAPRESAN 160 mg COM x 30

Montpellier

214,21

105,66

59,24

SARVAL 160 mg COM x 30

Baliarda

247,33

150,69

76,62

320 mg ALPERTAN 320 mg COM x 14

Raffo

122,84

79,03

46,85

DIOVAN 320 mg COM x 14

Novartis

148,44

98,00

82,71

DIOVAN 320 mg COM x 28

Novartis

251,97

166,35

105,63

SIMULTAN 320 mg COM x 28

Lazar

256,21

171,31

110,05

ALPERTAN 320 mg COM x 28

Raffo

273,09

183,00

131,92

COROSAN 320 mg COM x 28

Elea

291,66

195,44

156,29

SARVAL 320 mg COM x 30

Baliarda

249,11

151,14

79,29

VALSARTAN +
HIDROCLOROTIAZIDA
Comprimidos

80 mg SIMULTAN D 80/12.5 mg COM x 14

Lazar

142,73

95,64

82,19

DIOVAN D 80/12.5 mg COM x 14

Novartis

158,38

104,56

89,18

ALPERTAN D 80/12.5 mg COM x 28

Raffo

172,97

80,66

42,54

SIMULTAN D 80/12.5 mg COM x 28

Lazar

249,52

167,20

121,87

RACORVAL D 80/12.5 mg COM x 28

Nova Argentia

254,89

170,80

129,03

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 125 de 130

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DROGA
Comprimidos

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

80 mg DIOVAN D 80/12.5 mg COM x 28

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Novartis

266,21

175,75

146,06

SIMULTAN D 160/25 mg COM x 28

Lazar

289,63

191,67

121,36

DILCORAN D 80/12.5 mg COM x 28

Casasco

330,35

221,36

190,22

DIAPRESAN D 80/12.5 mg COM x 30

Montpellier

174,06

69,74

42,81

SARVAL D 80/12.5 COM x 30

Baliarda

187,93

90,18

48,28

160 mg SIMULTAN D 160/12.5 mg COM x 14

98,16

44,48

24,14

DIOVAN D 160/12.5 mg COM x 14

Lazar
Novartis

171,71

113,36

96,69

DIOVAN D 160/25 mg COM x 14

Novartis

171,72

113,37

96,43

ALPERTAN D 160/12.5 mg COM x 28

Raffo

197,65

90,90

48,61

SIMULTAN D 160/12.5 mg COM x 28

Lazar

276,76

185,46

129,40

DIOVAN D 160/12.5 mg COM x 28

Novartis

288,50

190,46

147,91

DIOVAN D 160/25 mg COM x 28

Novartis

288,50

190,46

119,76

RACORVAL D 160/12.5 mg COM x 28

Nova Argentia

329,11

220,53

189,51

DILCORAN PLUS 160/5 mg COM x 28

Casasco

364,76

244,43

185,11

DILCORAN PLUS 160/10 mg COM x 28

Casasco

372,50

249,60

208,53

DILCORAN D 160/12.5 mg COM x 28

Casasco

424,61

284,53

284,53

SARVAL D 160/12.5 COM x 30

Baliarda

192,69

68,69

47,39

DIAPRESAN D 160/25 mg COM x 30

Montpellier

241,79

113,72

59,46

DIAPRESAN D 160/12.5 mg COM x 30

Montpellier

229,61

122,67

64,70

Novartis

176,94

116,81

97,85

DIOVAN D 320/25 mg COM x 14

Novartis

176,94

116,81

97,77

DIOVAN D 320/12.5 mg COM x 28

Novartis

297,36

194,91

120,21

DIOVAN D 320/25 mg COM x 28

Novartis

297,36

195,13

120,02

320 mg DIOVAN D 320/12.5 mg COM x 14

VENLAFAXINA
Comprimidos

25 mg QUILAREX 25 mg COM x 30

Ariston

46,76

9,35

9,35

SESAREN 25 mg COM x 30

Roemmers

96,32

55,34

55,34

ELAFAX 25 mg COM x 30

Gador

116,31

77,94

77,94

37,5 mg PRAMINA 37.5 mg COM x

Elea

50,33

23,02

23,02

PRAMINA 37.5 mg COM x 14

Elea

106,32

54,15

54,15

GANAVAX 37.5 mg COM x 30

Astrazeneca

140,64

34,58

34,58

MEZINE XR 37.5 mg COM x


ELAFAX LP 37.5 mg CAP x

7
7

EFEXOR XR 37,5 mg LIB.PROL. CAP x


SESAREN XR 37.5 mg CAP x

Phoenix

33,39

8,21

8,21

Gador

46,83

17,79

17,79

Pfizer

50,84

30,50

30,50

Roemmers

57,29

38,39

38,39

MEZINE XR 37.5 mg COM x 14

Phoenix

100,52

45,84

45,84

ELAFAX LP 37.5 mg CAP x 14

Gador

105,45

52,92

52,92

VENLIFAX XR 37.5 mg CAP x 14

Baliarda

115,25

77,23

77,23

SUNVEX LP 37.5 mg CAP x 28

Casasco

262,44

174,07

174,07

SESAREN XR 37.5 mg CAP x 28

Roemmers

284,80

190,84

190,84

50 mg QUILAREX 50 mg COM x 30

66,18

13,24

13,24

SESAREN 50 mg COM x 30

Ariston
Roemmers

118,44

69,71

69,71

ELAFAX 50 mg COM x 30

Gador

143,11

95,89

95,89

GANAVAX 50 mg COM x 30

Astrazeneca

152,63

102,28

102,28

75 mg PRAMINA 75 mg COM x 14

Elea

108,63

72,79

72,79

PRAMINA 75 mg COM x 28

Elea

217,66

145,85

145,85

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 126 de 130

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NOMBRE COMERCIAL
75 mg QUILAREX 75 mg COM x 30

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Ariston

142,25

40,22

40,22

SESAREN 75 mg COM x 30

Roemmers

177,34

86,21

86,21

GANAVAX 75 mg COM x 30

Astrazeneca

181,62

92,27

92,27

ELAFAX 75 mg COM x 30

Gador

186,96

99,72

99,72

ELAFAX XR 75 mg COM x 14

Gador

93,88

56,39

56,39

ELAFAX LP 75 mg CAP x 14

Gador

96,69

59,20

59,20

EFEXOR XR 75 mg LIB.PROL. CAP x 14

Pfizer

105,40

63,69

63,69

VENLIFAX XR 75 mg CAP x 14

Baliarda

111,56

72,51

72,51

SESAREN XR 75 mg CAP x 15

Roemmers

145,78

97,69

97,69

MEZINE XR 75 mg COM x 28

Phoenix

214,28

143,59

143,59

ELAFAX XR 75 mg COM x 28

Gador

229,82

151,76

151,76

EFEXOR XR 75 mg LIB.PROL. CAP x 28

Pfizer

230,53

152,64

152,64

ELAFAX LP 75 mg CAP x 28

Gador

230,05

154,16

154,16

VENLIFAX XR 75 mg CAP x 28

Baliarda

239,45

160,45

160,45

SUNVEX LP 75 mg CAP x 28

Casasco

280,65

188,06

188,06

SESAREN XR 75 mg CAP x 30

Roemmers

300,71

201,51

201,51

150 mg PRAMINA 150 mg COM x 14

Elea

158,49

89,91

89,91

PRAMINA 150 mg COM x 28

Elea

317,34

180,30

180,30

ELAFAX LP 150 mg CAP x 14

Gador

140,66

64,99

64,99

ELAFAX XR 150 mg COM x 14

Gador

140,66

64,99

64,99

EFEXOR XR 150 mg LIB.PROL. CAP x 14

Pfizer

145,26

83,64

83,64

VENLIFAX XR 150 mg CAP x 14

Baliarda

153,88

97,60

97,60

SESAREN XR 150 mg CAP x 15

Roemmers

210,44

141,01

141,01

ELAFAX LP 150 mg CAP x 28

Gador

312,95

174,36

174,36

EFEXOR XR 150 mg LIB.PROL. CAP x 28

Pfizer

306,29

188,08

188,08

ELAFAX XR 150 mg COM x 28

Gador

334,85

224,38

224,38

VENLIFAX XR 150 mg CAP x 28

Baliarda

346,82

232,40

232,40

SUNVEX LP 150 mg CAP x 28

Casasco

407,24

261,61

261,61

SESAREN XR 150 mg CAP x 30

Roemmers

436,32

292,37

292,37

225 mg SESAREN XR 225 mg CAP x 15

Roemmers

303,96

203,68

203,68

SESAREN XR 225 mg CAP x 30

Roemmers

600,77

400,53

400,53

Investi

61,48

28,65

15,12

Abbott

85,75

57,46

36,77

Abbott

153,56

102,90

77,10

Investi

96,73

23,79

23,79

Abbott

292,49

195,99

148,47

Investi

211,79

107,81

59,69

Sanofi Aventis

617,23

411,71

411,71

VERAPAMILO
Comprimidos

80 mg VERAL 80 mg TAB x 30
ISOPTINO 80 mg RECUB. COM x 30
120 mg ISOPTINO RETARD CAP x 20
VERAL RETARD 120 mg TAB x 30
240 mg ISOPTINO MD 240 mg GRA x 30
VERAL RETARD 240 mg TAB x 30

VIGABATRIN
Comprimidos

500 mg SABRIL 500 mg COM x 60

VITAMINA A
Comprimidos

50000 ui TANVIMIL A CAP x 20

Raymos

52,16

34,44

34,44

TANVIMIL A CAP x 50

Raymos

105,87

64,62

64,62

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

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DROGA

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Comprimidos

100000 ui TANVIMIL A 100000 CAP x 30

Raymos

82,40

54,14

54,14

Gotas

3000000 TANVIMIL A GTS x 10


ui

Raymos

29,84

19,30

19,30

Lepetit

43,57

28,63

28,63

Bayer Consumer

53,72

29,70

29,70 MAT

VITAMINA B1
Comprimidos

300 mg TIAMINA AUSTRAL 300 mg COM x 30

VITAMINA B1 + VITAMINA B2 +
VITAMINA B6 + VITAMINA B12
+ VITAMINA B3 + CALCIO
PANTOTENATO + VITAMINA H
Comprimidos

15 mg BECOZYM GRA x 30

VITAMINA B1 + VITAMINA B6 +
VITAMINA B12
Ampollas

Comprimidos

100 mg BAGO B1 B6 B12 10000 3 ML AMP x

Bag

104,35

66,45

66,45 MAT

BAGO B1 B6 B12 10000 3 ML AMP x

Bag

226,19

151,57

151,57 MAT

125 mg TANVIMIL B1 B6 B12 COM x 30

Raymos

BAGO B1 B6 B12 5000 COM x 30


250 mg NERVOBION FUERTE GRA x 20
COBENEXOL FUERTE COM x 30
Lquido

1000 mg BAGO B1 B6 B12 SOL x 100

84,11

28,47

28,47 MAT

Bag

130,59

87,11

87,11 MAT

Elea

68,69

33,72

33,72 MAT

Bayer Consumer

133,98

88,03

88,03 MAT

Bag

121,09

80,77

80,77 MAT

Ferring

105,32

70,25

70,25

VITAMINA B12
Ampollas
Comprimidos

10 mg LISONEURIN B12 10.000 1 ML AMP x

1 mg SL B12 COM x 15

Dominguez

61,89

41,47

41,47

SL B12 COM x 30

Dominguez

107,62

68,57

68,57

VITAMINA B6
Comprimidos

100 mg TANVIMIL B6 COM x 20

Raymos

24,65

16,27

16,27

TANVIMIL B6 COM x 100

Raymos

77,26

39,28

39,28

250 mg TANVIMIL C 250 COM x 50

Raymos

15,70

10,15

10,15

500 mg CEWIN COM x 12

Sanofi Aventis OTC

23,04

15,37

15,37

TANVIMIL C 500 COM x 20

Raymos

15,88

10,27

10,27

TANVIMIL C 500 COM x 50

Raymos

31,42

20,32

20,32

20000 REDOXON GTS x 20


mg

Bayer Consumer

51,92

35,12

35,12

20000 TANVIMIL C GTS x 20


mg

Raymos

25,93

5,19

5,19

Dominguez

84,82

56,58

56,58

DENURIX GTS x 10

Dominguez

190,83

127,29

127,29

Raymos

45,97

10,27

10,27

Roemmers

98,68

66,13

66,13

Roemmers

59,16

39,46

39,46

Trb-Pharma

146,74

96,43

96,43

VITAMINA C
Comprimidos

Gotas

VITAMINA D
Gotas

65600 ui DENURIX GTS x

15 mg TANVIMIL D GTS x 10

VITAMINA D2
Gotas

15 mg RAQUIFEROL GTS x

25 mg OSTELIN POTENCIA 100 GTS x 10

VITAMINA D3
Ampollas

50000 ui ORAVIL BEBIBLE 2 ML F.A x

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

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DROGA
Ampollas
Comprimidos

Gotas
Lquido

03/02/2015

NOMBRE COMERCIAL

LABORATORIO

100000 ui STEROGYL 2 ML BEBIBLE F.A x

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Spedrog Caillon

181,29

120,92

120,92

Spedrog Caillon

135,45

87,26

87,26

Investi

141,01

92,13

92,13

CALCITRIOL CAP x 30

Raymos

147,12

97,13

97,13

CALCIRAQUIFEROL D3 BLANDAS CAP x 30

Roemmers

169,76

113,75

113,75

Spedrog Caillon

116,34

77,60

77,60

Spedrog Caillon

210,63

140,50

140,50

Spedrog Caillon

126,87

84,62

84,62

Montpellier

152,87

102,43

102,43

0,0003 RAQUITRIOL 0.25 mcg CAP x 30


mg
CALCITRIOL ROCHE CAP x 30

20000 ui STEROGYL BC ORAL GTS x 10


0,025 mg STEROGYL 1000 Oral SOL x

400 ui STEROGYL 400 ORAL SOL x 10


100000 ui OSTEODYN Oral 2 ml AMB x

VITAMINA E
Comprimidos

200 mg TANVIMIL E CAP x 20

Raymos

33,51

22,12

22,12

TANVIMIL E CAP x 50

Raymos

67,02

44,25

44,25

TANVIMIL E CAP x 100

Raymos

117,98

70,27

70,27

62,10

33,25

33,25

Investi

128,83

86,33

86,33

Investi

72,14

48,12

48,12

Raymos

64,92

42,65

42,65

1 mg COUMADIN 1 mg COM x 30

Bristol

81,82

54,58

32,68

2 mg CIRCUVIT 2 mg COM x 20

Ariston

66,46

43,87

31,78

CIRCUVIT 2 mg COM x 50

Ariston

149,60

96,71

56,42

5 mg CIRCUVIT 5 mg COM x 20

Ariston

74,64

49,28

39,21

COUMADIN 5 mg COM x 30

Bristol

96,71

62,59

36,44

CIRCUVIT 5 mg COM x 50

Ariston

160,32

105,72

62,30

Sanofi Pasteur

431,55

292,04

292,04

Astrazeneca

225,13

150,17

150,17

94,09

62,76

62,76

Sanofi Aventis

113,88

60,87

60,87

Gador

147,22

98,20

98,20

Baliarda

62,86

15,46

15,46

SOMNIPAX 10 mg COM x 30

Ivax Argentina

66,86

17,28

17,28

ZOLODORM 10 mg COM x 30

Richmond

66,93

17,35

17,35

SUMENAN 10 mg COM x 30

Spedrog Caillon

72,39

22,58

22,58

DURNIT 10 mg COM x 30

Sanofi Aventis

72,94

23,11

23,11

NOCTE 10 mg COM x 30

Bag

77,64

28,90

28,90

FULSADEM 10 mg COM x 30

Astrazeneca

96,25

55,51

55,51

SOMIT 10 mg COM x 30

Gador

117,60

78,80

78,80

VITAMINA K1
Ampollas

10 mg VITAMINA K1 BIOL 10 mg 1 ML AMP x


10 mg KONAKION MM 10 mg AMP x

2 mg KONAKION MM 2 mg C/DOSIF.ORAL AMP x


Comprimidos

Biol

10 mg TANVIMIL K COM x 10

WARFARINA SDICA
Comprimidos

WISTAR CEPA
Ampollas

150 ui VERORAB VAC. ANTIRRABICA AMP x

ZOLMITRIPTN
Comprimidos

2,5 mg ZOMIGON 2.5 mg COM x

ZOLPIDEM
Comprimidos

5 mg SOMIT 5 mg COM x 30
6,25 mg AMBIEN CR 6.25 mg COM x 28
SOMIT CR 6.25 mg lIB. mODIF. COM x 30
10 mg DORMILAN 10 mg COM x 30

Gador

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

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DROGA
Comprimidos

NOMBRE COMERCIAL
12,5 mg AMBIEN CR 12.5 mg COM x 28
SOMIT CR 12.5 mg COM x 30
10 mg NOCTE SUBLINGUAL 10 mg COM x 30

03/02/2015
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Sanofi Aventis

148,08

87,13

87,13

Gador

179,47

120,08

120,08

Bag

148,46

99,03

99,03

MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 130 de 130