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SECRETARIA DE SALUD DE CUNDINAMARCA

MANUAL TARIFARIO DE MEDICAMENTOS E INSUMOS

UNIDAD DE TARIFA 2011


CODIGO ATC DESCRIPCION MEDICAMENTO
PAGO (pesos)

J05AA03711 Abacavir 300 mg. Tableta Tableta 14,519.99


NO POS Abacavir + lamivudina + zidovudina Tableta (300 + 150 + 300) mg Tableta 21,051.97
J05AA037201 Abacavir 20 mgImL solución oral Frasco x 240 mL 227,500.00

Valor x mL
NO POS Aceite de oliva purificado y Aceite de soya purificado 20 g.. Frasco 144.00
NO POS Aceite mineral + fenolftaleina Emulsión oral (28.2 + 1.3)% Fco x 240 mL 14,130.00
NO POS Acetaminofen + codeina Tableta (500 + 30) mg Tableta 1,012.50
N02BA001221 Acetaminofén Jarabe 150 mg/5 mL (3 %) Valor x mL 13.16
N02BA001201 Acetaminofén Solución oral 100 mg/mL (10%) Valor x mL 54.11
N02BA00111 Acetaminofen Tableta 500 mg Tableta 36.94
S01EA00211 Acetazolamida Tableta 250 mg Tableta 483.30
N02BA00311 Acetil salicilico acido Tableta 100 mg Tableta 21.60
N02BA003142 Acetil salicilico acido Tableta 500 mg Tableta 57.04
NO POS Acetilcisteina Polvo 200 mg/3 g Sobre 312.98
NO POS Acetilcisteina Polvo para reconstituir 100 mg Sobre x 5 g 408.04
NO POS Acetilcisteina Polvo para reconstituir 200 mg Sobre x 3 g 432.00
NO POS Acetilcisteina Polvo para reconstituir 600 mg Sobre x 1,5 g 801.45
R05CA005701 Acetilcisteina Solucion inyectable 10% (300 mg/3 mL) Ampolla x 3 mL 3,351.60
R05CA005451 Acetilcisteina Solucion para inhalar 0,1 g/mL (10%) Fco x 25 mL 11,183.74
NO POS Aciclovir 200 mg Polvo para suspensión oral Fco x 90 mL 5,184.15
J05AA006721 Aciclovir Polvo para inyeccion 250 mg Fco vial x 10 mL 14,772.07
J05AA00611 Aciclovir Tableta 200 mg Tableta 114.75
S01AA006611 Aciclovir Unguento oftalmico 3% Valor x gramo 64.20
NO POS Aciclovir Unguento tópico 5% Valor x gramo 97.50
NO POS Acido Transretinoico (Tretonoína) 10 mg. Cápsula Cápsula 19,753.00
B05BA039731 Ácidos grasos 20%. Emulsiòn inyectable Valor x mL 156.00
NO POS Acitretina Tableta 10 mg Tableta 15,498.95
NO POS Adenosina Solucion inyectable 3 mg/mL Ampolla x 2 mL 98,144.01
C01CE004701 Epinefrina clorhidrato Solucion inyectable 1 mg/mL Ampolla x 1 mL 433.46
NO POS Agua esteril para inyeccion Bolsa x 500 mL 1,891.40
NO POS Agua esteril para inyeccion Bolsa x 250 mL 1,822.73
NO POS Agua esteril para irrigacion Bolsa x 3.000 mL 19,025.95
P02CA008231 Albendazol Suspension oral 100 mg/5 mL (2%) Valor x mL 58.05
P02CA00811 Albendazol Tableta 200 mg Tableta 117.45
B05AA009701 Albúmina humana Solución inyectable 20% Valor x mL 2,140.88
V03AA010701 Alcohol etílico Solución inyectable 96% Ampolla 7,101.58
NO POS Alcohol polivinilico Gotas oftalmicas 1.4% Fco gotero x 15 mL 3,704.51
NO POS Alendronato sodico Tableta 70 mg Tableta 707.85
C02AA01111 Alfametildopa Tableta 250 mg Tableta 153.90
M04AA01311 Alopurinol Tableta 100 mg Tableta 148.50
M04AA01312 Alopurinol Tableta 300 mg Tableta 284.85
N05BA01411 Alprazolam Tableta 0.25 mg Tableta 290.25
N05BA01412 Alprazolam Tableta 0.50 mg Tableta 378.00
NO POS Alprostadil Solucion inyectable 10 mcg/mL Ampolla x 1 mL 117,602.08

NO POS Alprostadil Solucion inyectable 500 mcg/mL (Prostaglandina E1) Ampolla x 1 mL


793,396.22
D05AA015371 Alquitran de hulla + alantoina Locion (5 + 2) % Fco x 120 mL 3,118.05
NO POS Aluminio acetato Crema 0.05% Tubo x 60 g 12,176.36
NO POS Aluminio acetato Locion 0.05% Fco x 120 mL 4,378.73
D08AA016311 Aluminio acetato Polvo 2,2 g Sobre x 2,2 g 181.35
A02AA018231 Aluminio hidróxido + Magnesio hidróxido con o sin simeticona
Valor x mL
Suspensión oral 2 - 6% + 1 - 4% suspensión oral 15.62
A02AA01811 Aluminio hidróxido + Magnesio hidróxido con o sin simeticona
Tableta
Tableta 200 - 400 mg + 200 - 400 mg tableta 139.19
A02AA017231 Aluminio hidroxido Suspension oral 6% Valor x mL 13.16
A02AA01711 Aluminio hidróxido Tableta 234 mg Tableta 139.19
N04BA019101 Amantadina sulfato o clorhidrato Tableta 100 mg Tableta 321.30
J01GA020702 Amikacina Solucion inyectable 250 mg/mL (500 mg/2 mL) Ampolla x 2 mL 2,378.26

Secretaría Distrital de Salud


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Manual Tarifario de medicamentos 2010
SECRETARIA DE SALUD DE CUNDINAMARCA

MANUAL TARIFARIO DE MEDICAMENTOS E INSUMOS

UNIDAD DE TARIFA 2011


CODIGO ATC DESCRIPCION MEDICAMENTO
PAGO (pesos)

J01GA020701 Amikacina Solucion inyectable 50 mg/mL (100 mg/2 mL) Ampolla x 2 mL 955.70

B05BA021701 Aminoacidos esenciales con electrolitos 10 % Solucion inyectable Fco x 500 mL


44,953.08

B05BA021701 Aminoacidos esenciales con electrolitos 8.5 % Solucion inyectable Fco x 500 mL
56,878.27
B05BA021701 Aminoacidos esenciales pediátricos 10% Solución inyectable Valor x mL 421.99

B05BA021701 Aminoacidos esenciales sin electrolitos 10% Solucion inyectable Valor x mL


220.92
R03DA022701 Aminofilina Solucion inyectable 24 mg/mL Ampolla x 10 mL 1,055.88
R03DA02211 Aminofilina Tableta 100 mg Tableta 280.80
C01BA023721 Amiodarona Solucion inyectable 50 mg/mL Ampolla x 3 mL 3,806.01
C01BA02311 Amiodarona Tableta 200 mg Tableta 498.28
N06AA02411 Amitriptilina clorhidrato Tableta 25 mg Tableta 71.31
NO POS Amlodipino Tableta 10 mg Tableta 473.31
C08CA03711 Amlodipino Tableta 5 mg Tableta 982.17
Amoxicilina + clavulanico acido Suspension oral (125 + 31.25) mg/5
NO POS Fco x 60 mL
mL 33,807.11
J01CA025231 Amoxicilina Suspension oral 125 mg/5 mL de base (2,5%) Valor x mL 30.71
J01CA025232 Amoxicilina Suspensión oral 250 mg/5 mL de base (5%) Valor x mL 62.89
NO POS Amoxicilina Suspensión oral 500 mg/5 mL de base (10 %) Valor x mL 61.07
J01CA025142 Amoxicilina Tableta o Capsula 500 mg Cápsula 136.35
J01CA026722 Ampicilina (sal sodica) Polvo para inyeccion 1 g de base Fco Vial 2,221.66
J01CA026721 Ampicilina (sal sodica) Polvo para inyeccion 500 mg de base Fco Vial 1,852.91
J01CA027231 Ampicilina anhidra o trihidrato Suspension oral 125 mg/5 mL Valor x mL 39.49
J01CA027232
Ampicilina anhidra o trihidrato Suspensión oral 250 mg/5 mL (5%) Valor x mL
33.64
J01CA027142 Ampicilina anhidra o trihidrato Tableta o Capsula 500 mg Cápsula 172.68
NO POS Ampicilina Capsula 1 g Cápsula 263.25
J01CA028721 Ampicilina sulbactam Polvo para inyeccion 1.5 g Fco Vial 4,169.50
NO POS Ampicilina sulbactam Suspension 250 mg/5 mL Fco x 60 mL 18,144.00
NO POS Ampicilina sulbactam Tableta 375 mg Tableta 1,170.00
NO POS Ampicilina sulbactam Tableta 750 mg Tableta 11,755.95
J02AA029721 Anfotericina B Polvo para inyeccion 50 mg Fco Vial 68,816.07
J06AA030701 Antitoxina tetánica y diftérica Solución inyectable Fco Vial 11,646.58
NO POS Aprotinina Solucion inyectable 500.000 U.I. Fco Vial x 50 mL 309,981.01
NO POS Aripiprazol Tableta 15 mg Tableta 23,759.03
A11GA031201 Ascorbico acido Gotas orales 100 mg/mL Fco x 30 mL 2,262.60
A11GA031701 Ascorbico acido Solucion inyectable 100 mg/mL Ampolla x 5 mL 3,820.50
A11GA03111 Ascorbico acido Tableta 500 mg Tableta 117.45
L01CA032721 Asparaginasa Polvo para inyección 10.000 U.I. Fco Vial 236,837.53
J05AA038101 Atazanavir 150 mg. Cápsula Cápsula 24,090.73
J05AA038102 Atazanavir 200 mg. Cápsula Cápsula 24,184.03
NO POS Atorvastatina 10 mg. Tableta Tableta 233.00
NO POS Atorvastatina 20 mg. Tableta Tableta 264.00
N07AA033701 Atropina sulfato Solucion inyectable 1 mg/mL Ampolla x 1 mL 419.85
S01FA033602 Atropina sulfato Solución oftálmica 10 mg/mL (1%) Fco gotero 19,252.37
S01FA033601 Atropina sulfato Solución oftálmica 5 mgImL (0,5%) Fco gotero 11,610.00
L04AA03411 Azatioprina Tableta 50 mg Tableta 1,231.20
J01DA035722 Aztreonam Polvo para inyeccion 1 g Ampolla 40,810.74
V03AA036701 Azul de metileno Solución inyectable 10 mg/mL Ampolla 7,101.58
NO POS Baclofeno Capsula 10 mg Cápsula 1,681.88
V08BB001251 Bario sulfato Suspensión oral 200 g Fco x 200 ml 26,593.25
Beclometasona dipropionato + salbutamol Aerosol (50 + 100)
NO POS Fco x 200 dosis
mcg/dosis 25,195.39
R03BB002452 Beclometasona dipropionato Aerosol 250 mcg/dosis Fco x 200 dosis 11,232.01
R03BB002451 Beclometasona dipropionato Aerosol 50 mcg/ dosis Fco x 200 dosis 8,432.14
P03AB003371 Bencilo benzoato Locion 25% Fco x 120 mL 2,065.50
H02AB005701 Betametasona (fosfato disodico) Solucion inyectable 4 mg/mL Ampolla x 1 mL 1,059.75

Secretaría Distrital de Salud


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Manual Tarifario de medicamentos 2010
SECRETARIA DE SALUD DE CUNDINAMARCA

MANUAL TARIFARIO DE MEDICAMENTOS E INSUMOS

UNIDAD DE TARIFA 2011


CODIGO ATC DESCRIPCION MEDICAMENTO
PAGO (pesos)

H02AB005701 Betametasona (fosfato disodico) Solucion inyectable 4 mg/mL Ampolla x 2 mL 1,314.25


NO POS Betametasona + calcipotriol Unguento ( 0,005 + 0,05)% Tubo x 30 g 156,007.40
D07AB004321 Betametasona Crema 0,05% Valor x gramo 159.41
H02AB006711 Betametasona fosfato + betametasona acetato Suspensión
Ampolla
inyectable (3 mg de base + 3 mg)/mL suspensión inyectable 15,154.76
D07AB004332 Betametasona Ungüento 0,05% Tubo x 40 g 6,748.03
NO POS Betametasona valerato Crema 0,1% Tubo x 20 g 6,936.64
NO POS Betametildigoxina Gotas orales 0,6 mg/mL Fco x 10 mL 54,243.00
C01AB007701 Betametildigoxina Solucion inyectable 0,2 mg/2 mL Ampolla x 2 mL 8,915.71
NO POS Betametildigoxina Tableta 0.1 mg Tableta 928.87
NO POS Bevacizumab Polvo para inyeccion 100 mg Fco Vial x 4 mL 1,952,978.58
NO POS Bimatoprost Solucion oftalmica 0.03% Fco gotero x 2.5 mL 161,460.00
N04BB00811 Biperideno clorhidrato Tableta 2 mg Tableta 152.91
N04BB009701 Biperideno lactato Solucion inyectable 5 mg/mL Ampolla x 1 mL 5,223.15
A06AB01021 Bisacodilo Tableta recubierta 5 mg Tableta 147.15
L01DB011721 Bleomicina (sulfato) Polvo para inyeccion 15 U.I. de base Fco vial x 5 mL 130,417.69
NO POS Bromazepam Tableta 3 mg Tableta 1,847.83
NO POS Bromazepam Tableta 6 mg Tableta 5,064.84
G02CB01211 Bromocriptina Tableta 2.5 mg Tableta 788.27
NO POS Budesonida Aerosol 100 mcg/dosis Fco x 200 dosis 49,140.00
NO POS Bupivacaina + dextrosa Solucion inyectable 0.5% Fco vial x 4 mL 1,759.80
NO POS Bupivacaina + dextrosa Solucion inyectable 0.75% Amp x 4 mL 3,242.25
N01BB013701 Bupivacaína clorhidrato con epinefrina Solución inyectable 50 mg/10
Valor x mL
mL (0.5%) 328.09

NO POS Bupivacaina clorhidrato con preservativos Solucion inyectable 0,5% Ampolla x 20 mL


12,105.02
N01BB013701
Bupivacaina clorhidrato Solucion inyectable 50 mg/10 mL (0.5%) Valor x mL
498.53
NO POS Bupivacaina simple Solucion inyectable 0,5% Ampolla x 20 mL 4,259.25
NO POS Buspirona Tableta 10 mg Tableta 86.64
L01AB01511 Busulfan Tableta 2 mg Tableta 880.60
A12A11 Calcio carbonato + vitamina D Tableta (600 mg + 200 U.I.) Tableta 220.26
A12A11 Calcio carbonato Tableta 600 mg (como calcio) Tableta 55.11
NO POS Calcio caseinato, módulo de proteína Lata x 275 g 39,528.46
V03AF015701 Calcio folinato Solución inyectable 50mg/5mL Ampolla 53,599.85
V03AF01511 Calcio folinato Tableta 15 mg Tableta 2,123.37
A12AC002701 Calcio gluconato Solucion inyectable 10% Ampolla x 10 mL 770.90
A11CC003101 Calcitriol Capsula 0,25 mcg Cápsula 426.09
A11CC003102 Calcitriol Cápsula 0,50 mcg Cápsula 508.47
NO POS Candesartan cilexetilo. Tableta 16 mg Tableta 4,442.75
NO POS Candesartan Tableta 8 mg Tableta 999.90
C09AC00411 Captopril Tableta 25 mg Tableta 32.96
C09AC00412 Captopril Tableta 50 mg Tableta 47.72
N03AC005231 Carbamazepina Suspension oral 100 mg/5 mL (2%) Valor x mL 43.88
N03AC00511 Carbamazepina Tableta 200 mg Tableta 313.14
NO POS Carbamazepina Tableta 400 mg Tableta 630.34
N04BL00311 Carbidopa + levodopa Tableta (25 + 250) mg Tableta 398.56
A07BC006251 Carbón activado Polvo Sobre x 50 g 7,101.58
L01XC007721 Carboplatino Polvo para inyección 450 mg Fco Vial 173,953.08
NO POS Carboximetil celulosa Gotas oftalmicas 1% Fco x 15 mL 35,781.75
NO POS Carboximetilcisteína Solución oral 50 mg/mL Fco x 30 mL 6,387.16
NO POS Carboximetilcisteína Suspensión 250 mg/5 mL Fco x 150 mL 18,891.61
NO POS Carvedilol Tableta 12.5 mg Tableta 2,458.46
NO POS Carvedilol Tableta 25 mg Tableta 2,458.46
NO POS Caspofungina 50 mg. Polvo para inyección Fco Vial 796,484.64
J01DC008231 Cefalexina Suspension oral 125 mg/5 mL (2,5%) Valor x mL 52.65
J01DC008232 Cefalexina Suspensión oral 250 mg/5 mL (5%) Valor x mL 52.65
J01DC008142 Cefalexina Tableta o Capsula 500 mg Cápsula 304.78

Secretaría Distrital de Salud


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Manual Tarifario de medicamentos 2010
SECRETARIA DE SALUD DE CUNDINAMARCA

MANUAL TARIFARIO DE MEDICAMENTOS E INSUMOS

UNIDAD DE TARIFA 2011


CODIGO ATC DESCRIPCION MEDICAMENTO
PAGO (pesos)

J01DC043721 Cefalotina sodica Polvo para inyeccion 1 g Fco vial x 5 mL 3,245.82


J01DC044721 Cefazolina Polvo para inyeccion 1 g Fco Vial 2,972.93
NO POS Cefepima Clorhidrato Polvo para inyeccion 2 g Fco Vial 80,047.86
NO POS Cefepime clorhidrato Polvo para inyeccion 1 g Fco Vial 22,770.00
NO POS Cefotaxima Polvo para inyeccion 1 g Fco Vial 4,680.00
J01DC009722 Cefradina Polvo para inyeccion 1 g Fco Vial 3,077.06
NO POS Cefradina Polvo para inyeccion 500 mg Fco Vial 2,430.00
J01DC009141 Cefradina Tableta 500 mg Tableta 397.80
NO POS Ceftazidima Polvo para inyección 1 g Fco Vial 22,915.36
J01DC011723 Ceftriaxona (sal sodica) Polvo para inyeccion 1 g Fco Vial 6,961.98
J01DC011722 Ceftriaxona (sal sodica) Polvo para inyeccion 500 mg Fco vial x 5 mL 11,002.50
NO POS Cefuroxima sodica Polvo para inyeccion 750 mg Fco Vial 7,874.55
NO POS Cefuroxima sodica Suspension oral 250 mg/5 mL Fco x 70 mL 113,734.24
B03BC012701 Cianocobalamina Solución inyectable 1 mg/mL Ampolla 727.20
L01AC013722 Ciclofosfamida Polvo para inyeccion 1 g Ampolla 42,215.06
L01AC013721 Ciclofosfamida Polvo para inyeccion 500 mg Ampolla 35,487.56
L01AC01311 Ciclofosfamida Tableta 50 mg Tableta 1,379.14
L04AC014103 Ciclosporina Cápsula 100 mg Cápsula 8,134.14
NO POS Ciclosporina Capsula 25 mg Cápsula 3,773.25
L04AC014102 Ciclosporina Cápsula 50 mg Cápsula 7,876.77
NO POS Ciclosporina Solución inyectable 50 mg/mL Ampolla 21,901.26
L04AC014241 Ciclosporina Solucion oral 100 mg/mL Valor x mL 11,453.30
NO POS Ciprofloxacina (clorhidrato) Solucion inyectable 100 mg Bolsa x 100 mL 3,206.25
J01MC015701 Ciprofloxacina (clorhidrato) Solucion inyectable 100 mg/10 mL de
Fco vial x 10 mL
base 2,643.44
NO POS Ciprofloxacina (clorhidrato) Solución inyectable 200 mg Fco Vial 3,810.71
NO POS Ciprofloxacina (clorhidrato) Solucion oftalmica (0,3%) Fco gotero x 5 mL 1,882.24
J01MC01511 Ciprofloxacina (clorhidrato) Tableta 250 mg de base Tableta 1,566.72
J01MC01512 Ciprofloxacina (clorhidrato) Tableta 500 mg de base Tableta 226.81
G03HC01611 Ciproterona acetato Tableta 50 mg Tableta 3,105.00
L01XC017721 Cisplatino Polvo para inyección 50 mg Fco x 50 mL 35,901.30
L01BC018721 Citarabina Polvo para inyección 100 mg Fco x 5 mL 23,683.75
L01BC018722 Citarabina Polvo para inyección 500 mg Fco x 25 mL 37,567.33
J01FC046721 Claritromicina Polvo para inyeccion 500 mg Fco vial x 15 mL 55,989.82
NO POS Claritromicina Solucion oral 250mg/5 mL Fco x 50 mL 27,405.00
NO POS Claritromicina Tableta 500 mg Tableta 893.70
NO POS Clemastina Solucion inyectable 2 mg/2 mL Ampolla x 2 mL 7,651.80
NO POS Clemastina Tableta 1 mg Tableta 1,254.83
J01FC019701 Clindamicina Solucion inyectable 150 mg/mL (600 mg/4 mL) Ampolla x 4 mL 3,223.79
NO POS Clindamicina Tableta 300 mg Tableta 417.15
NO POS Clobazan Tableta 10 mg Tableta 2,225.74
NO POS Clobazan Tableta 20 mg Tableta 4,117.33
NO POS Clobetazol 17-propionato Crema 0,05% Valor x gramo 693.11
NO POS Clobetazol Loción 0.05 g/100 mL Fco x 60 mL 19,860.26
NO POS Clomipramina Tableta 75 mg Tableta 4,877.55
NO POS Clonazepam Solución inyectable 1 mg/mL Ampolla 22,983.54
N03AC021201 Clonazepam Solución oral 2,5 mg/mL Fco x 30 mL 17,964.43
N03AC02111 Clonazepam Tableta 0.5 mg Tableta 545.40
N03AC02112 Clonazepam Tableta 2 mg Tableta 572.98
C02AC04711 Clonidina Tableta 0.150 mg Tableta 188.79
M05BC048701 Clodronato Disodico 300 mg solucion inyectable Ampolla 269,309.00
NO POS Clopidrogel Tableta 75 mg Tableta 1,186.51
L01AC02211 Clorambucilo Tableta 2 mg Tableta 2,139.64
J01BC023101 Cloranfenicol Cápsula 250 mg Cápsula 343.72
J01BC025721
Cloranfenicol succinato sodico Polvo para inyeccion 1 g de base Fco vial x 10 mL
4,363.20
S01AC025601 Cloranfenicol succinato sódico Solución oftálmica 0,5% Valor x mL 6,071.85
S01AC023611 Cloranfenicol Ungüento oftálmico1% Tubo x 5 g 7,893.40

Secretaría Distrital de Salud


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Manual Tarifario de medicamentos 2010
SECRETARIA DE SALUD DE CUNDINAMARCA

MANUAL TARIFARIO DE MEDICAMENTOS E INSUMOS

UNIDAD DE TARIFA 2011


CODIGO ATC DESCRIPCION MEDICAMENTO
PAGO (pesos)

R06AC026221 Clorfeniramina Jarabe 2 mg/5 mL Valor x mL 16.09


R06AC02711 Clorfeniramina maleato Tableta 4 mg Tableta 65.81
P01BC028141
Cloroquina (difosfato o sulfato) Tableta o Capsula 150 mg de base Tableta o Cápsula
136.01

NO POS Cloroquina (difosfato o sulfato) Tableta o Capsula 250 mg de base Tableta o Cápsula
245.70
D01AC031321 Clotrimazol Crema 1% Tubo x 40 g 1,984.50
G01AC031511 Clotrimazol Crema vaginal 1% Valor x gramo 93.60
G01AC031501 Clotrimazol Óvulo o Tableta vaginal 100 mg Óvulo o Tableta vag 133.65
NO POS Clotrimazol Óvulo o Tableta vaginal 200 mg Óvulo o Tableta vag 273.49
D01AC031301 Clotrimazol Solucion topica 10 mg/mL (1%) Fco x 30 mL 1,662.86
N05AC03213 Clozapina Tableta 100 mg Tableta 669.03
N05AC03211 Clozapina Tableta 25 mg Tableta 473.23
R05DC033141 CodeIna fosfato 30 mg tableta o cápsula Tableta 126.50
NO POS Colagenasa Ungüento 320 mg/100 g Valor x gramo 2,570.40
M04AC03411 Colchicina Tableta 0,5 mg Tableta 82.35
B04AC035251 Colestiramina 4 g Polvo Sobre 1,200.71
S02CC036401 Colistina + Corticoide + Neomicina 0,15% + 0,05% + 0,5% solución
Fco gotero x 15 mL
ótica 5,735.23
NO POS Complejo B Solución inyectable Valor x mL 370.01
NO POS Complejo B Tableta recubierta Tableta recubierta 68.74
S01CC038601 Corticoide + Neomicina + Polimixina Suspension oftalmica 0,1% +
Fco x 5 mL
0,35% + 6.000 UI/mL 3,066.27
C05AC040531 Corticoide con o sin anestésico Supositorio Supositorio 2,769.61
C05AC040521 Corticoide con o sin anestésico Ungüento proctológico Valor x gramo 2,181.00
S01BC037601 Corticoide Suspensión oftálmica 0,1 - 1% Fco gotero 9,041.73
D04AC042371 Crotamiton Locion 10% Fco x 60 mL 4,296.83
L01AD001721 Dacarbazina Polvo para inyección 200 mg Ampolla 60,026.77
Dalteparina sódica (Heparina de bajo peso molecular) Solucion
B01AD034703 Jeringa prellenada
inyectable 10.000 U.I./4 mL 28,827.34
Dalteparina sódica (Heparina de bajo peso molecular) Solución
B01AD034701 Jeringa prellenada
inyectable 2.500 U.I 19,976.73
Dalteparina sódica (Heparina de bajo peso molecular) Solucion
B01AD034702 Jeringa prellenada
inyectable 5.000 U.I 25,305.75
G03XD002101 Danazol Capsula 200 mg Cápsula 1,092.49
NO POS Deferasirox 500 mg. Tableta Tableta 109,130.90
V03AD004721 Deferoxamina mesilato Polvo para inyeccion 500 mg Fco Vial 97,128.00
NO POS Desflurano Sustancia pura Fco x 250 mL 909,465.30
NO POS Desmopresina acetato 0.1 mg, Spray nasal Valor x mL 69,116.00
NO POS Desogestrel 75 mcgr Tableta recubierta 1,437.36
NO POS Desonida Crema 0,05% Valor x gramo 568.13
H02AD006701 Dexametasona acetato Solucion inyectable 4 mg/mL de base Ampolla x 2 mL 615.60
H02AD006701 Dexametasona fosfato Solucion inyectable 4 mg/mL de base Ampolla x 1 mL 470.60
H02AD005711 Dexametasona Suspension inyectable 8 mg/mL de base Ampolla x 2 mL 946.35
NO POS Dexmedetomidina Solucion inyectable 100 mcg/mL Fco Vial x 2 mL 108,965.11
B05AD008701 Dextrano de bajo peso molecular Solución inyectable 10% (menor
Fco x 500 mL
de 40.000) en dextrosa al 5 % 41,371.74
B05AD007701 Dextrano de bajo peso molecular Solución inyectable 10% (menor
Fco x 250 mL
de 40.000) en sodio cloruro 0.9 % 23,884.43
B05AD007701 Dextrano de bajo peso molecular Solución inyectable 10% (menor
Fco x 500 mL
de 40.000) en sodio cloruro 0.9 % 33,921.30
B05BD010701 Dextrosa + sodio cloruro Solucion inyectable (5 + 0,9)% Bolsa x 500 mL 2,139.64
B05BD010701 Dextrosa + sodio cloruro Solución inyectable (5 + 0,9)% Bolsa x 250 mL 2,307.01
B05BD010701 Dextrosa + sodio cloruro Solución inyectable (5 + 0,9)% Bolsa x 1.000 mL 7,247.87
B05BD009702 Dextrosa en agua destilada Solucion inyectable 10% Bolsa x 500 mL 1,975.05
B05BD009702 Dextrosa en agua destilada Solucion inyectable 10% Bolsa x 250 mL 2,066.40
B05BD009702 Dextrosa en agua destilada Solucion inyectable 10% Bolsa x 1.000 mL 4,647.83
B05BD009703 Dextrosa en agua destilada Solución inyectable 33% Bolsa x 500 mL 4,556.37
B05BD009701 Dextrosa en agua destilada Solucion inyectable 5% Bolsa x 500 mL 1,816.43

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CODIGO ATC DESCRIPCION MEDICAMENTO
PAGO (pesos)

B05BD009701 Dextrosa en agua destilada Solucion inyectable 5% Bolsa x 250 mL 1,878.03


B05BD009701 Dextrosa en agua destilada Solución inyectable 5% Bolsa x 100 mL 3,622.94
B05BD009701 Dextrosa en agua destilada Solución inyectable 5% Bolsa x 50 mL 4,004.72
B05BD009701 Dextrosa en agua destilada Solución inyectable 5% Bolsa x 1.000 mL 7,136.51
B05BD009704 Dextrosa en agua destilada Solucion inyectable 50% Bolsa x 500 mL 6,082.13
N03AD013701 Diazepam Solucion inyectable 10 mg/2 mL Ampolla x 2 mL 2,305.80
N05BD013142 Diazepam Tableta 10 mg Tableta 69.60
N05BD013141 Diazepam Tableta o Cápsula 5 mg Tableta o Cápsula 82.52

NO POS Diclofenaco + colestiramina Capsula 140 mg (Diclofenaco 75 mg) Cápsula


3,509.71
NO POS Diclofenaco sodico + codeina Tableta recubierta (50 + 50) mg Tableta 4,750.57
NO POS Diclofenaco sodico Gel topico 1% Tubo x 50 g 4,789.69
M01AD015701 Diclofenaco sodico Solucion inyectable 75 mg/3 mL Ampolla x 3 mL 490.35
NO POS Diclofenaco sodico Tableta recubierta 100 mg Tableta 242.78
M01AD01521 Diclofenaco sodico Tableta recubierta 50 mg Tableta 98.50
J01CD016101 Dicloxacilina Cápsula 250 mg Cápsula 722.94
J01CD016102 Dicloxacilina Capsula 500 mg Cápsula 264.96
J01CD016231 Dicloxacilina Suspension oral 125 mg/5 mL (2,5%) Valor x mL 41.19
J01CD016232 Dicloxacilina Suspension oral 250 mg/5 mL (5%) Valor x mL 45.34
J05AA038133 Didanosina Tableta o Capsula 400 mg Tableta de liberación
Tableta o Cápsula
programada 21,822.38
NO POS Didanosina Tableta o Cápsula 100 mg Tableta o Cápsula 3,544.01
NO POS Didanosina Tableta o Capsula 250 mg Tableta o Cápsula 19,058.66
J05AD017141 Didanosina Tableta o Capsula 25 mg Tableta o Cápsula 3,862.16
R06AD018101 Difenhidramina Capsula 50 mg Cápsula 155.25
R06AD018221 Difenhidramina Jarabe 12.5 mg/5 mL Fco x 120 mL 2,076.75
C01AD01911 Digoxina Tableta 0,25 mg Tableta 144.79
R05DD020201 Dihidrocodeina bitartrato 13,6 mg/mL (1,36%) solución oral Fco x 30 mL 6,310.46
R05DD020221 Dihidrocodeina bitartrato 2,42 mg/mL (0,242%) jarabe Fco x 120 mL 4,006.71
N02CD02111 Dihidroergotoxina mesilato Tableta 4,5 mg Tableta 553.92
N02AD02211 Dihidromorfona clorhidrato 2,5 mg tableta Tableta 273.50
N02AD022701 Dihidromorfona clorhidrato 2 mg/mL Solución inyectable 736.00
NO POS Diltiazem clorhidrato Tableta 60 mg Tableta 64.35
NO POS Diltiazem clorhidrato Tableta 90 mg Cápsula 1,136.25
N07CD02311 Dimenhidrinato Tableta 50 mg Tableta 93.60
G02AD02511 Dinoprostona Tableta vaginal 3 mg Tableta vaginal 44,875.48
NO POS Dipiridamol 75 mg. Gragea Gragea 632.30
Dipirona + Isomethepteno clorhidrato + Cafeina Solucion oral (300 +
NO POS Fco x 30 mL
50 + 30) mg/mL 14,167.64
N02BD026701 Dipirona magnesica Solucion inyectable 2 g/5 mL Ampolla x 5 mL 1,067.69
N02BD026701 Dipirona sódica Solución inyectable 1 g/2 mL Valor x mL 209.96
NO POS Dipirona sódica Tableta 500 mg Tableta 79.54
P01AD02711 Diyodohidroxiquinoleina Tableta 650 mg Tableta 286.15
C01CD028701 Dobutamina Solucion inyectable 12.5 mg/mL (250 mg) Fco vial x 20 mL 10,366.85
NO POS Domperidona 1 mg/ml. Suspensión Valor x mL 24,238.50
NO POS Domperidona 10 mg. Tableta Tableta 785.00
NO POS Donepecilo clorhidrato Tableta 5 mg Tableta 10,252.71
C01CD029701 Dopamina clorhidrato Solucion inyectable 200 mg/5 mL (4%) Fco vial x 5 mL 1,569.94
Dorzolamida clorhidrato + timolol maleato Solucion oftalmica (20 + 5)
NO POS Fco gotero x 5 mL
mg/mL 47,250.00
NO POS Dorzolamida clorhidrato Solucion oftalmica 20 mg/mL (2%) Fco gotero x 5 mL 54,599.51
NO POS Doxazosina 2 mg. Tableta Tableta 1,742.00
J01AD031141 Doxiciclina Capsula 100 mg Cápsula 151.20
L01DD032721 Doxorrubicina clorhidrato Polvo para inyección 10 mg Fco Vial 15,516.94
J05AA038162 Efavirenz 600 mg tableta o tableta recubierta Tableta 4,900.06
J05AE021102 Efavirenz 200 mg cápsula Tableta 1,726.37
NO POS Efedrina Solucion inyectable 60 mg/mL Ampolla x 1 mL 5,633.90
B05BM028701 Elementos traza Inyectable Fco x 5 mL 8,535.00

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CODIGO ATC DESCRIPCION MEDICAMENTO
PAGO (pesos)

B05BM028701 Elementos traza Inyectable Fco x 10 mL 10,201.36


B05BM028701 Elementos traza Neonatal Solucion Inyectable Fco Vial x 2 mL 43,745.70
C09AE00212 Enalapril maleato Tableta 20 mg Tableta 47.41
C09AE00211 Enalapril maleato Tableta 5 mg Tableta 50.09
N01AE003901 Enflurano Sustancia pura Liquido para inhalar Fco x 250 mL 263,250.00
Enoxaparina (Heparina de bajo peso molecular) Solucion inyectable
B01AE020701 Jeringa prellenada
20 mg 16,650.61
Enoxaparina (Heparina de bajo peso molecular) Solucion inyectable
B01AE020702 Jeringa prellenada
40 mg 25,740.33
Enoxaparina (Heparina de bajo peso molecular) Solucion inyectable
B01AE020703 Jeringa prellenada
60 mg 30,095.60
Enoxaparina (Heparina de bajo peso molecular) Solucion inyectable
B01AE020704 Jeringa prellenada
80 mg 44,378.52
C01CE004701 Epinefrina (tartrato o clorhidrato) Solución inyectable 1 mg/mL Ampolla 490.01
NO POS Epinefrina racemica Solucion para nebulizacion 2,25 % Fco x 15 mL 144,999.70
G02AE005701
Ergometrina (Ergonovina) maleato Solución inyectable 0,2 mg/mL Ampolla
5,488.10
G02AE005161 Ergometrina (Ergonovina) maleato Tableta o Tableta recubierta 0,2
Tableta o Tableta re
mg 1,527.12
N02CE006141 Ergotamina + cafeina Tableta (1 + 100) mg Tableta 405.00
J01FE007231 Eritromicina (etilsuccinato o estearato) Suspension oral 250 mg/5 mL
Fco x 60 mL
de base (5%) 5,552.55
J01FE007141 Eritromicina (etilsuccinato o estearato) Tableta 500 mg Tableta 334.80
B03XE20771 Eritropoyetina Solucion inyectable 1.000 U.I. Fco Vial 29,648.77
B03XE20772 Eritropoyetina Solucion inyectable 2.000 U.I. Fco. Vial - Jeringa 7,258.00
B03XE20773 Eritropoyetina Solucion inyectable 4.000 U.I. Fco. Vial - Jeringa 16,387.00
NO POS Esmolol Solucion inyectable 100 mg/10 mL Fco vial x 10 mL 229,632.48
J01FE01811 Espiramicina 3.000.000 U.I. tableta Tableta 7,208.15
C03DE00812 Espironolactona Tableta 100 mg Tableta 251.10
C03DE00811 Espironolactona Tableta 25 mg Tableta 137.09
B02BG001661 Gelatina absorbible estéril Esponja Unidad 37,205.00
J05AE019101 Estavudina 30 mg. Cápsula Cápsula 6,439.49
J05AE019102 Estavudina 40 mg. Cápsula Cápsula 1,990.35
J05AE019201 Estavudina 1 mg/mL Solución oral Fco x 200 mL 60,907.48
NO POS Estradiol enantato + algestona acetofénido (10 + 150) mg Ampolla 14,782.64
NO POS Estradiol enantato + dihidroxiprogesterona (10 + 150) mg Ampolla 16,425.94
G03CE017361 Estradiol Sistema transdérmico 25 mcg/día 25 mcg/día 10,449.26
G03CE017361 Estradiol Sistema transdérmico 50 mcg/día 50 mcg/día 11,000.34
G03CE017161 Estradiol valerato Tableta o Tableta recubierta 2 mg Tableta o Tableta re 1,132.19
B01AE010722 Estreptoquinasa Polvo para inyeccion 1.5000.000 U.I. Fco Vial 1,237,146.78
B01AE010721 Estreptoquinasa Polvo para inyeccion 750.000 U.I. Fco Vial 562,409.39
G03CE011511 Estrogenos conjugados Crema vaginal 0,625 mg/g (0.0625%) Tubo x 40 g 33,378.75
G03CE012161 Estrogenos conjugados o asociados Tableta o Tableta recubierta
Tableta o Tableta re
0,625 mg 299.70
G03CE012162 Estrógenos conjugados o asociados Tableta o Tableta recubierta
Tableta o Tableta re
1,25 mg 1,276.86
G03CE011721 Estrógenos conjugados 25 mg Polvo inyectable Fco Vial 47,714.00
NO POS Etilefrina Solucion inyectable 10 mg/mL Ampolla x 1 mL 6,820.37
NO POS Etinilestradiol + desogestrel (20 + 150) mcgr Tableta recubierta 1,849.25
NO POS Etinilestradiol + desogestrel (30 + 150) mcgr Tableta recubierta 1,876.24
NO POS Etomidato Solucion inyectable 2 mg/mL Ampolla x 10 mL 10,238.40
NO POS Etopósido Solución inyectable 100 mg/5 mL Fco x 5 mL 19,763.68
B02BF002721 Factor antihemofilico factor IX Polvo para inyeccion Valor x U.I. 3,948.75
B02BF001721 Factor antihemofílico factor VIII Polvo para inyección Valor x U.I. 1,475.66
NO POS Fenilefrina Gotas oftalmicas 10 % Fco gotero x 10 mL 37,396.69
N03AF002701 Fenitoina sodica Solucion inyectable 250 mg/5 mL Ampolla x 5 mL 5,013.98
N03AF002231 Fenitoina sodica Suspension oral 125 mg/5 mL (2,5%) Valor x mL 89.21
N03AF002141 Fenitoina sodica Tableta o Capsula 100 mg Tableta o Cápsula 185.57

Secretaría Distrital de Salud


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CODIGO ATC DESCRIPCION MEDICAMENTO
PAGO (pesos)

N03AF003211 Fenobarbital Elíxir 20 mg/5 mL (0,4%) Fco x 120 mL 11,135.27


N03AF004701 Fenobarbital sódico Solución inyectable 40 mg/mL Ampolla 852.19
N03AF004702 Fenobarbital Solución inyectable 200 mg/mL Ampolla 2,004.35
N03AF00311 Fenobarbital Tableta 10 mg Tableta 83.80
N03AF00313 Fenobarbital Tableta 100 mg Tableta 120.73
N03AF00312 Fenobarbital Tableta 50 mg Tableta 83.80
N01AF005701 Fentanilo citrato Solucion inyectable 0.05 mg/mL Valor x mL 535.16
NO POS Finasteride Tableta 5 mg Tableta 4,996.35
B02BF008701 Fitomenadiona (vitamina K1) Solucion inyectable 1 mg/0,5 mL Ampolla x 1 mL 847.60
B02BF008701 Fitomenadiona (vitamina K1) Solucion inyectable 1 mg/0,5 mL Ampolla x 0,5 mL 902.97
B02BF008701 Fitomenadiona (vitamina K1) Solucion inyectable 10 mg/mL Ampolla x 1 mL 1,108.35
B02BF008701 Fitomenadiona (vitamina K1) Solucion inyectable 10 mg/mL (2
Ampolla x 0,2 mL
mg/0,2 mL) 9,857.13
J02AF009101 Fluconazol Capsula 200 mg Cápsula 1,472.32
J02AF009701 Fluconazol Solucion inyectable 2 mg/mL Fco x 100 mL 34,204.06
J02AF009231 Fluconazol Suspensión oral 1%-4% Suspensión oral Fco x 100 mL 63,644.61
J02AF009231 Fluconazol Suspensión oral 1%-4% Suspensión oral Fco x 50 mL 23,577.23
J02AF009231 Fluconazol Suspensión oral 1%-4% Suspensión oral Fco x 20 mL 22,824.46
NO POS Fludrocortisona 0,01 mg. Tableta Tableta 1,255.00
NO POS Flumazenil Solucion inyectable 0.5 mg/5 mL Ampolla x 5 mL 272,864.36
NO POS Flunarizina Tableta 10 mg Tableta 42.41
NO POS Flunarizina Tableta 5 mg Tableta 284.06
S01JF010601 Fluoresceína sódica Solución oftálmica 2% Fco 3,890.24
S01BF011601 Fluorometalona Suspension oftalmica 0,1% Fco x 5 mL 15,076.91
L01BF012701 Fluorouracilo Solución inyectable 500 mg/10 mL Fco x 10 mL 6,975.17
L01BF012331 Fluorouracilo Ungüento 5% Tubo x 15 g 40,096.91
N06AF013201 Fluoxetina Solucion oral 20 mg/5 mL Fco x 70 mL 46,624.95
N06AF013141 Fluoxetina Tableta 20 mg Tableta 129.79
NO POS Flutamida Tableta 250 mg Tableta 1,468.61
NO POS Fluticasona propionato 50 mcg. Aerosol nasal Frasco x 120 dosis 35,230.00
NO POS Fólico ácido Solución inyectable 1 mg Ampolla 1,927.37
B03BF01411 Folico acido Tableta 1 mg Tableta 20.98
Fórmula completa con alto contenido en proteina para procesos de
NO POS Valor x mL
recuperacion de tejido 44.54
NO POS Fórmula completa y balanceada a base de soya Valor x gramo 96.54
NO POS Fórmula completa y balanceada Líquido oral Valor x mL 48.50
Fórmula completa y balanceada para prematuros y bajo peso al
NO POS Valor x gramo
nacer 79.15
Fórmula completa y balanceada para prematuros y bajo peso al
NO POS Valor x mL
nacer 312.03
NO POS Fórmula de iniciación (0-6 meses) Polvo Valor x gramo 62.69
NO POS Fórmula elemental a base de peptidos Valor x mL 118.79

NO POS Fórmula enteral para pacientes con estres metabolico pediatrico Valor x gramo
92.37
Fórmula especial para pacientes con enfermedad pulmonar. Liquido
NO POS Valor x mL
oral 69.39
Fórmula especializada con fibra, para paciente con intolerancia a los
NO POS Valor x mL
carbohidratos 45.28
NO POS Fórmula láctea antireflujo Polvo Valor x gramo 71.27
NO POS Formula lactea con hierro 6 a 12 meses Valor x gramo 57.43
Fórmula libre de lactosa para problemas de intolerancia a la lactosa
NO POS Valor x gramo
Polvo 88.67
Fórmula oligomerica con inmunomoduladores especializada para
NO POS Valor x mL
pacientes con estres metabolico 135.42
Fórmula polimerica completa especializada para pacientes con
NO POS Valor x mL
enfermedad renal 74.95
NO POS Fórmula polimérica completa y balanceada Polvo Valor x gramo 92.59

Secretaría Distrital de Salud


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CODIGO ATC DESCRIPCION MEDICAMENTO
PAGO (pesos)

Fórmula polimerica completa y balanceada, con alto contenido de


NO POS Valor x mL
proteinas y calorias 1 Cal/ml 44.43
Fórmula polimerica completa y balanceada, con alto contenido de
NO POS Valor x gramo
proteinas y calorias 1 Cal/ml 102.27
Fórmula polimerica completa y balanceada, con alto contenido de
NO POS Valor x mL
proteinas y calorias 1.5 Cal/ml 38.55
Fórmula polimerica completa y balanceada, sin lactosa para uso
NO POS Valor x gramo
pediatrico 90.79
Fórmula polimerica enteral liquida isotonica con alto contenido de
NO POS Valor x mL
fosforo y enriquecida con fibra 30.51
Fórmula polimerica isotonica alta en nitrogeno para nutricion por
NO POS Valor x mL
sonda 38.42
J05AF01811 Fosamprenavir 700mg tableta Tableta 12,216.00
NO POS Fosfato de sodio disodico-monofasico Enema Bolsa x 133 mL 9,195.12
B05AP019771 Fracción protéica del plasma humano Solución inyectable No menos
Fco x 500 mL
del 4% 33,728.66
P01AF016231 Furazolidona Suspensión oral 50 mg/15 mL (0,33%) Valor x mL 52.55
P01AF01611 Furazolidona Tableta 100 mg Tableta 516.26
C03CF017701 Furosemida Solucion inyectable 20 mg/ 2mL Ampolla x 2 mL 476.81
C03CF01711 Furosemida Tableta 40 mg Tableta 21.60
NO POS Fusidico acido Crema 2% Tubo x 15 g 2,632.50
NO POS Gabapentina Capsula 300 mg Cápsula 698.65
NO POS Gabapentina Capsula 400 mg Cápsula 779.51
NO POS Gadolinio x 15 ml Frasco x 15 mL 111,000.00
NO POS Ganciclovir Polvo para inyeccion 500 mg Fco Vial x 10 mL 267,808.92
B04AG00211 Gemfibrozil Tableta 600 mg Tableta 101.50
J01GG003701 Gentamicina (sulfato) Solucion inyectable 10 mg/mL de base (20
Ampolla x 2 mL
mg/2 mL) 596.70
J01GG003702 Gentamicina (sulfato) Solucion inyectable 40 mg/mL de base Ampolla x 1 mL 531.90
J01GG003703 Gentamicina (sulfato) Solucion inyectable 40 mg/mL de base (80
Ampolla x 2 mL
mg/2 mL) 426.09
J01GG003704 Gentamicina (sulfato) Solucion inyectable 80 mg/mL de base (160
Ampolla x 2 mL
mg/2 mL) 508.83
S01AG003601 Gentamicina (sulfato) Solución oftálmica 0.3% de base Valor x mL 2,687.85
S01AG003611 Gentamicina (sulfato) Unguento oftalmico 0,3% Tubo x 5 g 15,979.95
NO POS Gestodeno + etinilestradiol Tableta recubierta (0.06 + 0.015) mg Tableta recubierta 2,610.54
NO POS Gingko biloba Tableta 80 mg Tableta 520.07
NO POS Glibenclamida + metformina Tableta (5 + 500) mg Tableta 1,780.42
A10BG00411 Glibenclamida Tableta 5 mg Tableta 22.95
A06AG005531 Glicerina Supositorio Adulto Supositorio 472.39
A06AG005531 Glicerina Supositorio Pediatrico Supositorio 357.92
NO POS Glicina Solucion esteril para irrigacion 1.5% Bolsa x 3.000 mL 23,548.32
NO POS Glucosamina + condroitina Polvo (1,5 + 1,2) g Sobre x 4 g 734.30
NO POS Glucosamina sulfato Polvo 1.5 g Sobre x 2 g 604.01
G03GG006701 Gonadotropina coriónica 1.000 UI/ mL Solución inyectable Ampolla 15.62
G03GG006701 Gonadotropina coriónica 5.000 UI/ mL Solución inyectable Ampolla 15.62
NO POS Griseofulvina Tableta 500 mg Tableta 762.71
N05AH001701 Haloperidol Solucion inyectable 5 mg/mL Ampolla x 1 mL 8,772.90
N05AH001201 Haloperidol solución oral 2 mg/mL (0.2%) Fco x 30 mL 6,110.33
N05AH00112 Haloperidol Tableta 10 mg Tableta 341.41
N05AH00111 Haloperidol Tableta 5 mg Tableta 204.53
N01AH002901 Halotano Sustancia pura Fco x 250 mL 188,731.46
Heparina sódica + dextrosa Solución inyectable (50 U.I. + 50
NO POS Bolsa x 250 mL
mg)/mL 45,137.61
B01AH004701 Heparina sodica Solucion inyectable 5.000 U.I./mL Fco x 5 mL 4,653.06
NO POS Hialorunato sódico Solución inyectable 10 mg/mL Ampolla 196,003.47
NO POS Hidralazina 20 mg Solución inyectable Ampolla 43,745.70
C03AH00611 Hidroclorotiazida Tableta 25 mg Tableta 14.85

Secretaría Distrital de Salud


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CODIGO ATC DESCRIPCION MEDICAMENTO
PAGO (pesos)

D07AH007321 Hidrocortisona (acetato) Crema 1% Tubo x 15 g 1,845.45


D07AH007371 Hidrocortisona (acetato) Loción 0,5% Valor x mL 183.22
NO POS Hidrocortisona + lidocaina Unguento proctologico Valor x gramo 1,076.40
H02AH008721 Hidrocortisona succinato sodico Polvo para inyeccion 100 mg Fco vial x 2 mL 5,093.21
NO POS Hidromorfona clorhidrato Solución inyectable 2 mg/mL Ampolla 2,339.26
NO POS Hidromorfona clorhidrato Tableta 2.5 mg Tableta 286.90
NO POS Hidroxicina Jarabe 12,5 mg/5 mL Fco x 120 mL 1,396.69
R06AH014701 Hidroxicina Solucion inyectable 100 mg/2 mL Ampolla x 2 mL 14,807.81
NO POS Hidroxicina Tableta 25 mg Tableta 68.74
B03BH009701 Hidroxicobalamina Solución inyectable 1 mg/mL Fco Vial 3,292.29
G03DH010701 Hidroxiprogesterona caproato Solución inyectable 250 mg/mL Ampolla 36,972.22
NO POS Hidroxipropilmetilcelulosa Solucion oftalmica 20 mg/mL (2%) Jeringa x 2 mL 53,229.04
NO POS Hidroxiúrea 500 mg. Tableta Tableta 1,282.83
B03AH012701
Hierro parenteral Solución inyectable Mínimo 20 mg de hierro/mL Ampolla
28,068.95
A03BH013701 Hioscina N-butil bromuro Solucion inyectable 20 mg/mL Ampolla x 1 mL 662.11
A03BH01321 Hioscina N-butil bromuro Tableta recubierta 10 mg Tableta recubierta 78.30
NO POS Hioscina N-butilbromuro + acetaminofen Tableta (10 + 500) mg Tableta 222.75
A03DH013701 Hioscina N-butilbromuro + dipirona Solucion inyectable (20 mg + 2.5
Ampolla x 5 mL
g)/5 mL 789.60
M05BI021701 Ibandrónico ácido 6 mg solucion inyectable Ampolla 869,515.00
C01CI00111 Ibopamina clorhidrato Tableta 50 mg Tableta 1,651.83
NO POS Ibuprofeno Suspension oral 100 mg/5 mL (2%) Valor x mL 36.56
M01AI00211 Ibuprofeno Tableta recubierta 400 mg Tableta recubierta 34.09
S01AI003601 Idoxuridina Solución oftálmica 1 mg/mL (0,1%) Fco x 15 mL 24,554.41
J01DI004721 Imipenem + cilastatina Polvo para inyeccion (500 + 500) mg Fco Vial 66,990.00
N06AI00521 Imipramina clorhidrato Tableta recubierta 10 mg Tableta recubierta 595.24
N06AI00522 Imipramina clorhidrato Tableta recubierta 25 mg Tableta recubierta 423.14
J05AI006141 Indinavir 200 mg tableta o cápsula 2,408.06
J05AI006142 Indinavir 400 mg tableta o cápsula 1,243.35
J06BI007701 Inmunoglobulina anti RH Solucion inyectable 250 mcg/2 mL Fco vial x 2 mL 204,314.77
J06BI007701 Inmunoglobulina anti RH Solucion inyectable 300 mcg/2 mL Fco vial x 2 mL 300,538.32
Inmunoglobulina humana hiperinmune contra hepatitis B Polvo para
NO POS Fco Vial x 10 mL
inyeccion 500 U.I. 2,171,767.78
Inmunoglobulina humana hiperinmune contra varicela zoster
NO POS Fco vial x 20 mL
Solucion inyectable 10% 1,560,271.61
Inmunoglobulina humana hiperinmune para la profilaxis y el
NO POS Valor x mL
tratamiento de infecciones por CMV Solución inyectable 10% 395,918.96

NO POS Inmunoglobulina IgG enriquecida con IgM Solucion inyectable 5% Fco x 50 mL


2,281,658.09

NO POS Inmunoglobulina IgG enriquecida con IgM Solucion inyectable 5% Fco x 100 mL
1,967,472.33

NO POS Inmunoglobulina IgG enriquecida con IgM Solucion inyectable 5% Fco x 10 mL


614,521.66
NO POS Inmunoglobulina IgG polivalente Solucion inyectable IV 3 % Fco Vial x 100 mL 668,844.00

NO POS Inmunoglobulina IgG polivalente Solucion inyectable IV 5 % (0,5 g) Fco x 10 mL


147,891.70
NO POS Inmunoglobulina IgG polivalente Solucion inyectable IV 5 % (1 g) Fco x 20 mL 400,300.87

NO POS Inmunoglobulina IgG polivalente Solucion inyectable IV 5 % (10 g) Fco x 200 mL


3,497,981.85

NO POS Inmunoglobulina IgG polivalente Solucion inyectable IV 5 % (2,5 g) Fco x 50 mL


788,120.63
NO POS Inmunoglobulina IgG polivalente Solucion inyectable IV 6 g Fco Vial x 250 mL 1,086,750.00
NO POS Inmunoglobulina IgG Solución inyectable Valor x mL 21,208.23
NO POS Inmunoglobulina IgM Solución inyectable Valor x mL 57,010.54
NO POS Insulina Lispro Solucion inyectable 100 U.I./mL Fco x 10 mL 97,461.68
A10AI009711 Insulina N:P:H: de origen humano o bovino (Insulina Zinc NPH)
Valor x mL
Suspension inyectable 80 - 100 U.I./mL 2,919.81

Secretaría Distrital de Salud


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CODIGO ATC DESCRIPCION MEDICAMENTO
PAGO (pesos)

A10AI008701 Insulina regular o Cristalina de origen humano o bovino 80 - 100


Valor x mL
UI/mL solución inyectable 3,118.50
Insulina Zinc NPH + Insulina zinc cristalina Suspension inyectable
NO POS Fco x 10 mL
(70 + 30) U.I./mL 39,554.68
L03AI010721 Interferon alfa 2B Polvo para inyección Valor x 1.000.000 U. 76,580.54
NO POS Interferon Beta 1A Solucion inyectable 6 M U.I. Jeringa prellenada 1,362,005.42
V08AI011702 Iodamida meglumínica Solución inyectable 65% Fco. X 40 ml 37,993.43
V08AI014701 Iohexol/Iopamidol Solución inyectable 180 mg de yodo/mL Valor x mL 1,276.86
V08AI014702 Iohexol/Iopamidol Solución inyectable 300 mg de yodo/mL Valor x mL 1,391.91
V08AI021701 Ioversol solución inyectable 6 mg/mL Valor x mL 1,514.06
NO POS Ipratropio bromuro + fenoterol Aerosol (20 + 50) mcg Fco x 200 dosis 77,137.42
Ipratropio bromuro + fenoterol Solucion para inhalar (0,25 + 0,5)
NO POS Fco x 20 mL
mg/mL 40,188.15
Ipratropio bromuro + fenoterol Solución para inhalar (28,6 + 71,4)
NO POS Fco x 10 mL
mg/100 mL 36,101.57
NO POS Ipratropio bromuro Aerosol 20 mcg/dosis Fco x 200 dosis (10 7,742.33
NO POS Ipratropio bromuro Aerosol bucal 20 mcg/dosis Fco x 200 dosis (17 10,401.30
R01AI017471 Ipratropio bromuro Solucion para inhalar 0.02 mg/dosis. Aerosol Fco x 20 mL 14,067.02
NO POS Ipratropio bromuro Solución para nebulizar 0.025% Fco x 200 dosis 15,820.89
N01AI018901 Isoflurano Sustancia pura Valor x mL 303.28
C01DI02011 Isosorbide dinitrato Tableta 10 mg Tableta 116.10
C01DI02061 Isosorbide dinitrato Tableta sublingual 5 mg Tableta 155.03
NO POS Isotretinoina Capsula 20 mg Cápsula 3,496.60
NO POS Isradipino Tableta 2.5 mg Tableta 3,064.32
NO POS Itraconazol Capsula 100 mg Cápsula 10,142.21
NO POS Ivermectina Solucion oral 0.6 % Fco gotero x 5 mL 3,531.94
N01AK001701 Ketamina clorhidrato Solución inyectable 200 mg/20 mL Ampolla 16,538.15
N01AK001702 Ketamina clorhidrato Solucion inyectable 500 mg/10mL Ampolla x 10 mL 10,256.42
NO POS Ketoconazol Champu 2% Fco x 120 mL 7,650.34
J02AK002231 Ketoconazol Suspension oral 100 mg/5 mL (2%) Valor x mL 57.04
J02AK00211 Ketoconazol Tableta 200 mg Tableta 136.01
NO POS Ketoprofeno Solución inyectable 100 mg Ampolla x 2 mL 681.75
R03DK003221 Ketotifeno Jarabe 1 mg/5 mL (0,02%) Fco x 100 mL 1,798.88
R03DK00311 Ketotifeno Tableta 1 mg Tableta 59.96
NO POS Labetalol clorhidrato Solucion inyectable 100 mg/20 mL Ampolla 88,764.01
NO POS Lactulosa Jarabe 60 g/100 mL Sobre x 15 mL 5,415.66
J05AL01911 Lamivudina + zidovudina Tableta (150 + 300) mg Tableta 1,289.81
J05AL001201 Lamivudina Solucion oral 10 mg/mL Valor x mL 647.69
J05AL001141 Lamivudina Tableta o Capsula 150 mg Tableta o Cápsula 922.84
NO POS Lamotrigina 100 mg Tableta Tableta 8,996.75
NO POS Lamotrigina 25 mg Tableta Tableta 2,523.79
NO POS Lamotrigina 50 mg Tableta Tableta 4,695.24
NO POS Leuprolida acetato Polvo para inyeccion 11.25 mg Fco Vial 1,000,770.70
NO POS Leuprolida acetato Polvo para inyeccion 3,75 mg Fco Vial 406,912.38
NO POS Leuprolide acetato Solución inyectable 3.75 mg Ampolla 539,009.54
P02CL00211 Levamisol (clorhidrato) Tableta 150 mg de base Tableta 5,387.25
NO POS Levetiracetam 100 mg. Solución Oral. Frasco x 300 mL 314,402.90
NO POS Levetiracetam 500 mg. Tableta Tableta 6,927.00
NO POS Levofloxacina Solucion inyectable 5 mg/mL Fco x 100 mL 116,583.30
NO POS Levofloxacina Tableta 500 mg Tableta 32,814.96
N05AL004201 Levomepromazina Gotas orales 4 mg/mL (0,4%) Valor x mL 1,416.05
N05AL004701 Levomepromazina Solución inyectable 25 mg/mL Ampolla 3,198.55
N05AL00412 Levomepromazina Tableta 100 mg Tableta 1,265.40
N05AL00411 Levomepromazina Tableta 25 mg Tableta 648.43

NO POS Levonorgestrel + etinilestradiol Tableta recubierta (100 + 20) mcg Tableta recubierta
947.21

G03AL005161 Levonorgestrel + etinilestradiol Tableta recubierta (150 + 30) mcg Tableta recubierta
251.52

Secretaría Distrital de Salud


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CODIGO ATC DESCRIPCION MEDICAMENTO
PAGO (pesos)

G03AL005162 Levonorgestrel + etinilestradiol Tableta recubierta (250 + 50) mcg Tableta recubierta
842.40
G03AC03TNPOA2 Levonorgestrel 0,75 mg Tableta recubierta 14,884.14
G03AA07IPMPA1 Levonorgestrel 75 mg Implante subdermico Implante 154,180.66
G03AC03TNPOA1 Levonorgestrel Tableta 0,03 mg Tableta 799.35
NO POS Levosimendan Solucion inyectable 2.5 mg/mL Fco Vial x 5 mL 3,471,981.60
H03AL00711 Levotiroxina sódica + liotironina Tableta (120 + 30) mcg Tableta 191.74
H03AL00612 Levotiroxina sodica Tableta 100 mcg Tableta 109.41
H03AL00611 Levotiroxina sodica Tableta 50 mcg Tableta 72.50
N01BL009701 Lidocaina clorhidrato + Dextrosa (Pesada) Solución inyectable (5 +
Bolsa x 250 mL
7.5)% 4,523.62
N01BL009701 Lidocaina clorhidrato + Dextrosa (Pesada) Solución inyectable (5 +
Bolsa x 500 mL
7.5)% 7,028.26
N01BL008471 Lidocaina clorhidrato Aerosol 10 % Fco x 80 mL 38,055.15
N01BL011701 Lidocaína clorhidrato C/E Solución inyectable 1% Valor x mL 402.30
N01BL011702 Lidocaina clorhidrato C/E Solucion inyectable 2% Cárpula 608.33
N01BL011702 Lidocaína clorhidrato C/E Solución inyectable 2% Valor x mL 185.74
N01BL008341 Lidocaina clorhidrato Jalea 2% Tubo x 30 g 8,481.14
N01BL011701 Lidocaína clorhidrato S/E Solución inyectable 1% Valor x mL 224.10
N01BL011702 Lidocaína clorhidrato S/E Solución inyectable 2% Valor x mL 99.90
N01BL008471 Lidocaina clorhidrato Solución 10 % con atomizador Fco x 50 mL 25,262.06
C01BL010701 Lidocaína clorhidrato Solución cardiológica inyectable 2% Fco x 2 mL 12,456.16
N01BL008331 Lidocaina clorhidrato Unguento 5% Valor x gramo 675.68
NO POS Linezolide 2 mg/ml. Solución inyectable Valor x mL 478.30
H03AL013161 Liotironina Tableta o Tableta recubierta 25 mcg Tableta o Tableta re 69.60
NO POS Lípidos MCT-LCT 20% Valor x mL 247.06
N05AL014141 Litio carbonato Capsula 300 mg Cápsula 160.82
A07DL015141 Loperamida clorhidrato Tableta 2 mg Tableta 83.36
J05AL02012 Lopinavir + ritonavir Tableta (200+50) mg Tableta 9,743.36
J05AL020221 Lopinavir + ritonavir solucion oral (400+100 ) mg/5ml Fco x 160 ml 205,000.00
J05AL020101 Lopinavir + ritonavir Cápsula (133.3 + 33.3) mg Cápsula 25,407.69
R06AL016221 Loratadina Jarabe 5 mg/5 mL (0,1%) Valor x mL 13.16
R06AL01611 Loratadina Tableta 10 mg Tableta 79.97
N05BL01711 Lorazepam Tableta 1 mg Tableta 396.27
N05BL01712 Lorazepam Tableta 2 mg Tableta 47.25
C09CL021161 Losartan potasico Tableta 50 mg Tableta 87.75
C09CL021162 Losartan potasico Tableta 50 mg Tableta 433.00
B04AL01811 Lovastatina Tableta 20 mg Tableta 49.82
N03AM001701 Magnesio sulfato Solucion inyectable 20% Ampolla x 10 mL 699.05
NO POS Magnesio valproato Suspension oral 200 mg/5 mL Fco x 120 mL 19,043.15
NO POS Magnesio valproato Tableta 500 mg Tableta 1,342.53
NO POS Maltodextrinas, módulo de carbohidratos Lata x 450 g 17,526.27
B05BM002702 Manitol Solucion inyectable 20% Bolsa x 500 mL 5,960.95
B05BM002702 Manitol Solución inyectable 20% Bolsa x 250 mL 8,821.58
P02CM003231 Mebendazol Suspension oral 100 mg/5 mL (2%) Fco x 30 mL 1,243.13
P02CM00311 Mebendazol Tableta 100 mg Tableta 109.69
G03DM004711 Medroxiprogesterona acetato Suspension inyectable 50 mg/mL Ampolla x 3 mL 7,457.57
G03DM00411 Medroxiprogesterona acetato Tableta 5 mg Tableta 270.00
G03AA08SHIMC1 Medroxiprogesterona acetato+ estradiol cipionato ( 25 + 5) mg Ampolla 24,943.00
NO POS Mefenámico ácido Tableta 500 mg Tableta 445.98
P01CM006701 Meglumina antimoniato Solución inyectable 1,5 g/5 mL Ampolla 22,395.53
V08AD011701 Meglumina diatrizoato Solución inyectable 60% Ampolla x 50 mL 41,723.17
V08AI013701 Meglumina yodotalamato (Iodotalamato de meglumina) Solucion
Valor x mL
inyectable 60% 987.12
L01AM00711 Melfalan Tableta 2 mg Tableta 2,381.87
NO POS Meloxicam Tableta 7.5 mg Tableta 102.38
N02AM008701 Meperidina clorhidrato Solución inyectable 100 mg/2ml Ampolla 2,028.21
L01BM00911 Mercaptopurina Tableta 50 mg Tableta 2,292.39

Secretaría Distrital de Salud


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MANUAL TARIFARIO DE MEDICAMENTOS E INSUMOS

UNIDAD DE TARIFA 2011


CODIGO ATC DESCRIPCION MEDICAMENTO
PAGO (pesos)

J01CM026722 Meropenem Polvo para inyeccion 1 g Fco Vial 78,374.84


J01CM026721 Meropenem Polvo para inyeccion 500 mg Fco Vial 62,368.81
A07EM026531 Mesalazina Supositorio 500 mg Supositorio 5,897.25
A07EM02631 Mesalazina Tableta 500 mg Tableta 2,641.28
NO POS Mesna Solucion Inyectable 400 mg/4 mL Ampolla x 4 mL 12,373.59
N02AM01012 Metadona clorhidrato Tableta 10 mg Tableta 1,653.25
NO POS Metadona clorhidrato Tableta 40 mg Tableta 5,087.57
A10BM01111 Metformina Tableta 850 mg Tableta 237.05
N06BM01211 Metilfenidato Tableta 10 mg Tableta 944.51
NO POS Metilfenidato Tableta 18 mg Tableta 14,099.47
NO POS Metilfenidato Tableta 36 mg Tableta 16,762.56
NO POS
use Metilprednisolona (acetato) Polvo para inyeccion 40 mg de base Fco Vial 11,880.00
r:
Metilprednisolona (succinato sodico) Polvo para inyeccion 40 mg de
NO POS
NO Fco Vial
COI base 28,843.32
NCI
H02AM013721 Metilprednisolona (succinato sodico) Polvo para inyeccion 500 mg
DE Fco Vial
CO de base 42,967.82
N
NO POS Metilprednisolona Tableta 4 mg Tableta 756.48
ATC
H03BM01411
DE Metimazol Tableta 5 mg Tableta 229.50
INV
M03BM01511 Metocarbamol Tableta 750 mg Tableta 94.50
IMA
A03FM016201
Metoclopramida (clorhidrato) Gotas orales 4 mg/mL de base (0,4%) Fco x 30 mL
3,203.55
A03FM016201
Metoclopramida (clorhidrato) Gotas orales 4 mg/mL de base (0,4%) Fco x 10 mL
1,027.35
A03FM016701 Metoclopramida (clorhidrato) Solucion inyectable 10 mg/ 2mL de
Ampolla x 2 mL
base 371.15
A03FM01611 Metoclopramida (clorhidrato) Tableta 10 mg de base Tableta 51.30
NO POS Metoprolol Solucion inyectable 1 mg/mL Ampolla x 5 mL 5,378.68
C07AM017162 Metoprolol tartrato Tableta 100 mg Tableta 48.60
C07AM017161 Metoprolol tartrato Tableta 50 mg Tableta 138.71
L01BM018721
Metotrexato sodico Polvo para inyeccion 25 mg/mL (50 mg/2 mL) Fco Vial x 2 mL
13,908.38
L01BM018722 Metotrexato sódico Polvo para inyección 500 mg Fco Vial 61,978.29
L01BM01811 Metotrexato sódico Tableta 2,5 mg de base Tableta 357.23
D05BM01911 Metoxaleno Tableta 10 mg Tableta 441.72
P01AM022231 Metronidazol (benzoilo) Suspension oral 125 mg/5 mL de base
Fco x 120 mL
(2,5%) 1,848.60
P01AM022232
Metronidazol (benzoilo) Suspension oral 250 mg/5 mL de base (5%) Valor x mL
16.09
NO POS Metronidazol + nistatina ovulo (500 mg + 100,000 U.I) Ovulo 468.00
G01AM020501 Metronidazol ovulo o Tableta vaginal 500 mg Óvulo o tableta vagi 116.10
J01XM021701 Metronidazol Solucion inyectable 500 mg/100 mL Bolsa x 100 mL 2,344.18
P01AM02011 Metronidazol Tableta 250 mg Tableta 63.91
P01AM02012 Metronidazol Tableta 500 mg Tableta 57.69
NO POS Micofenolato Tableta 360 mg Tableta 16,675.23
NO POS Midazolam Solucion inyectable 15 mg/3 mL Ampolla x 3 mL 7,204.90
N01AM023701 Midazolam Solucion inyectable 5 mg / 5 mL Ampolla x 5 mL 3,752.04
N05BM02311 Midazolam Tableta 7.5 mg Tableta 2,329.76
NO POS Milrinona Solucion inyectable 1 mg/mL Ampolla x 10 mL 140,812.76
C02DM026161 Minoxidil Tableta 10 mg Tableta 1,012.38
NO POS Misoprostol Tableta 200 mcg Tableta 2,196.35
NO POS Mitomicina Solucion inyectable 5 mg Fco Vial 83,088.43
NO POS Mometasona furoato Aerosol nasal 50 mg/dosis Tubo x 10 g 23,599.08
NO POS Montelukast sodico Tableta 4 mg Tableta 2,288.13
N02AM024701 Morfina Solución inyectable 10 mg/mL Ampolla 1,136.25
N02AM024201 Morfina Solución oral 30 mg/mL (3%) Fco 11,595.45
N02AM025151 Morfina sulfato Tableta de liberación programada 30 mg Tableta 4,973.01
N02AM025152 Morfina sulfato Tableta de liberación programada 60 mg Tableta 9,525.11
B05BM027701 Multivitaminas concentradas parenterales Inyectable Fco vial x 5 mL 36,857.74

Secretaría Distrital de Salud


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CODIGO ATC DESCRIPCION MEDICAMENTO
PAGO (pesos)

B05BM027701 Multivitaminas concentradas parenterales Inyectable Fco vial x 10 ml 42,711.71


NO POS Multivitaminas Solución oral Fco gotero 8,443.67
NO POS Multivitaminico Tabletas Tableta 63.91
NO POS N-Acetil cisteína Granulado para reconstituir 200 mg Sobre x 3 g 396.27
NO POS N-Acetil cisteina Granulado para reconstituir 600 mg Sobre x 1,5 g 778.33
B01AN015701 Nadroparina cálcica (Heparina de bajo peso molecular) Solucion
Jeringa prellenada
(B01AH003701) inyectable 20 mg 1.950 U.I 10,766.42
Nadroparina cálcica (Heparina de bajo peso molecular) Solucion
B01AN015702 Jeringa prellenada
inyectable 30 mg 2850 U.I 15,421.78
Nadroparina cálcica (Heparina de bajo peso molecular) Solucion
B01AN015703 Jeringa prellenada
inyectable 40 mg 3850 U.I 14,619.53
Nadroparina cálcica (Heparina de bajo peso molecular) Solucion
B01AN015704 Jeringa prellenada
inyectable 60 mg 5700 U.I 22,108.30
NO POS Nalbufina clorhidrato Solucion inyectable 10 mg/2 mL Ampolla 6,597.34
NO POS Nalidixico ácido Suspensión 250 mg Fco x 120 mL 30,430.25
V03AN001701 Naloxona clorhidrato Solucion inyectable 0,4 mg/mL Ampolla x 1 mL 26,294.14
NO POS Naproxeno Suspensión oral 125 mg/5 mL Fco x 60 mL 2,208.59
M01AN002231 Naproxeno Suspension oral 150 mg/5 mL (3%) Valor x mL 42.41
M01AN002141 Naproxeno Tableta o Capsula 250 mg Tableta o Cápsula 66.86
NO POS Naproxeno Tableta o Capsula 500 mg Tableta o Cápsula 301.28
S01AN003601 Neomicina (sulfato) + Polimixina Solución oftálmica B (0,3% de base
Valor x mL
+ 5.000 U.I.)/mL - (0,5% de base + 20.000 U.I.)/mL 3,070.72
N07AN004701 Neostigmina metilsulfato Solucion inyectable 0,5 mg/mL Ampolla x 1 mL 1,027.87
J05AN01411 Nevirapina Capsula 200 mg Cápsula 3,266.91
J05AN014251 Nevirapina Suspensión oral 50 mg/5 mL Fco x 240 mL 558,484.25
NO POS Nifedipina Capsula 10 mg Cápsula 116.10
C08CN006151 Nifedipina Capsula de liberacion programada 30 mg Cápsula 842.58
J05AN013251 Nelfinavir Suspensión oral 50 mg/mL Fco x 144 g 269,129.37
J05AN01311 Nelfinavir Tableta 250 mg Tableta o Cápsula 2,194.93
NO POS Nimesulida Tableta 100 mg Tableta 326.67
C08CN008701 Nimodipino Solucion inyectable 10 mg/50 mL Ampolla x 50 mL 47,934.45
C08CN008141 Nimodipino Tableta o Capsula 30 mg Cápsula 629.31
NO POS Nistatina + zinc óxido Crema 100.000 U.I./g Valor x gramo 193.05
D01AN009321 Nistatina Crema 100.000 U.I./g Tubo x 30 g 9,882.55
G01AN009501 Nistatina ovulo o Tableta vaginal 100.000 U.I. Óvulo o Tableta vag 460.35
J02AN009231 Nistatina Suspension oral 100.000 U.I./mL Valor x mL 2,100.60
J02AN00921 Nistatina Tableta recubierta 500.000 U.I. Tableta recubierta 537.30
G04AN010141 Nitrofurantoina Capsula 50 mg Cápsula 888.30
G04AN010142 Nitrofurantoina Tableta 100 mg Tableta 237.60
NO POS Nitrofurazona Crema 0.2% Tubo x 40 g 9,848.25
NO POS Nitrofurazona Crema 454 mg Pote x 500 g 73,294.97
C01DN011701 Nitroglicerina Solución inyectable 0,5% Valor x mL 441.15
NO POS Nitroprusiato de sodio Polvo para inyeccion 50 mg Fco vial x 2 mL 15,700.07
NO POS Noradrenalina Solucion inyectable 1 mg/mL Ampolla x 4 mL 9,183.83
Norestisterona enantato + estradiol valerato Solucion inyectable (50
NO POS Ampolla x 1 mL
+ 5) mg/mL 14,882.55
Norestisterona enantato + estradiol valerato Solucion inyectable (50
NO POS Jeringa prellenada
+ 5) mg/mL 19,862.37
J01MN012141 Norfloxacina Tableta 400 mg Tableta 91.80
NO POS Octreotide Solucion inyectable 0.1 mg/mL (100 mcg) Ampolla x 1 mL 48,285.03
NO POS Olanzapina Tableta 10 mg Tableta 5,603.33
NO POS Olanzapina Tableta 5 mg Tableta 580.61
NO POS Omeprazol Polvo para inyeccion 40 mg Fco Vial 11,770.97
A02BO002101 Omeprazol Tableta o Capsula 20 mg Tableta 44.58
A04AO008701 Ondansetron clorhidrato Solucion inyectable 8 mg/ 4 mL Ampolla x 4 mL 4,168.13
A04AO00811 Ondansetron Tableta 8 mg Tableta 5,324.76
J01XO008701 Ornidazol Solucion inyectable 1 g/6 mL Ampolla x 6 mL 27,728.81
J01CO004721 Oxacilina sodica Polvo para inyeccion 1 g Fco Vial 1,153.20

Secretaría Distrital de Salud


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SECRETARIA DE SALUD DE CUNDINAMARCA

MANUAL TARIFARIO DE MEDICAMENTOS E INSUMOS

UNIDAD DE TARIFA 2011


CODIGO ATC DESCRIPCION MEDICAMENTO
PAGO (pesos)

NO POS Oxcarbazepina Suspension 300 mg/5 mL Fco x 100 mL 59,717.25


NO POS Oxcarbazepina Tableta 300 mg Tableta 1,158.90
NO POS Oxcarbazepina Tableta 600 mg Tableta 1,968.07
NO POS Oxibutinino Tableta 5 mg Tableta 989.55
NO POS Oxibutino cloruro Jarabe 5 mg/5 mL Fco x 120 mL 23,200.85
N02AO00941 Oxicodona Tableta de liberación programada 10 mg Tableta 9,013.32
N02AO00942 Oxicodona Tableta de liberación programada 20 mg Tableta 14,264.22
N02AO00943 Oxicodona Tableta de liberación programada 40 mg Tableta 22,540.40
V07AO005901 Oxigeno gaseoso m3 11,028.54
NO POS Oximetazolina Gotas oftalmicas 0,25 mg/mL (0,025%) Fco x 15 mL 1,784.25
R01AO006421 Oximetazolina Solucion nasal 0.25 mg/mL (0,025%) Fco x 15 mL 2,133.00
R01AO006422 Oximetazolina Solucion nasal 0.5 mg/mL (0,05%) Fco x 15 mL 2,133.00
R01AO006422 Oximetazolina Solucion nasal 0.5 mg/mL (0,05%) Fco x 30 mL 2,240.55
H01BO007702 Oxitocina Solucion inyectable 10 U.I./mL Ampolla x 1 mL 1,504.92
H01BO007701 Oxitocina Solucion inyectable 5 U.I./mL Ampolla 1,602.93
L01CP038701 Paclitaxel Solución inyectable 30 mg Fco x 5 mL 79,688.96
NO POS Palivizumab Polvo para inyeccion 50 mg Fco Vial 2,593,276.68
M03AP001701 Pancuronio bromuro 4 mgI2 mL solución inyectable Ampolla x 2 mL 6,669.00
NO POS Papaina Gel 0.5% Tubo x 60 g 27,580.50
NO POS Paroxetina Tableta 20 mg Tableta 1,682.10
D09AP002351 Pasta de Unna Preparación magistral Tubo x 60 g 35,791.94
M01CP003141 Penicilamina Tableta o Capsula 250 mg Tableta o Cápsula 3,175.20
J01CP004231 Penicilina fenoximetílica (y sales) Suspensión oral 250 mg/5 mL
Valor x mL
(5%) 100.84
J01CP004141
Penicilina Fenoximetílica (y sales) Tableta o Cápsula 500 a 650 mg Tableta o Cápsula
700.22
J01CP005721 Penicilina G benzatinica Polvo para inyeccion 1,200.000 M U.I. Fco Vial 1,174.52
J01CP005722 Penicilina G benzatinica Polvo para inyeccion 2,400.000 M U.I. Fco Vial 1,368.90
J01CP006721 Penicilina G procainica Polvo para inyeccion 400.000 U.I. Fco Vial 1,142.21
J01CP006722 Penicilina G procainica Polvo para inyeccion 800.000 U.I. Fco Vial 1,310.85
J01CP007721 Penicilina G sodica cristalina Polvo para inyeccion 1.000.000 U.I. Fco Vial 1,024.63
J01CP007722 Penicilina G sodica cristalina Polvo para inyeccion 5.000.000 U.I. Fco Vial 1,279.08
P01CP008721 Pentamidina isetionato Polvo para inyección 200 mg Fco Vial 58,673.21
P01CP008461 Pentamidina isetionato Solución para nebulización 5-10 % Fco 343,602.60
NO POS Pentoxifilina Solución inyectable 100 mg/5 mL Ampolla 5,188.41
NO POS Pentoxifilina Tableta 400 mg Tableta 371.48
NO POS Permetrina Champu 1% Fco x 120 mL 16,246.91
S01EP009601
Pilocarpina clorhidrato o nitrato Solución oftálmica 10 mg/mL (1%) Fco gotero
8,152.61
S01EP009602
Pilocarpina clorhidrato o nitrato Solución oftálmica 20 mg/mL (2%) Fco gotero
28,319.66
S01EP009603
Pilocarpina clorhidrato o nitrato Solución oftálmica 40 mg/mL (4%) Fco x 15 mL
20,544.86
J01CP037721 Piperacilina tazobactam Polvo para inyeccion 4,5 g Fco Vial 49,029.95
P02CP010221 Piperazina Jarabe 1g/5 mL (20%) Valor x mL 66.75
N05AP011701 Pipotiazina palmitato Solucion inyectable 25 mg/mL Ampolla x 1 mL 19,864.99
P02CP012141 Pirantel (embonato o pamoato) Tableta 250 mg como base Tableta 253.01
P02CP012231 Pirantel pamoato Suspension oral 250 mg/5 mL Valor x mL 92.39
N07AP01411 Piridostigmina bromuro Tableta 60 mg Tableta 2,654.05
A11HP015141
Piridoxina clorhidrato Tableta, Tableta recubierta o Capsula 50 mg Tableta, Tableta rec
463.05
D08AP020321 Plata sulfadiazina Crema 1% Valor x gramo 50.63
D06BP021301 Podofilina Solucion topica 20% Fco x 5 mL 27,388.24

NO POS Polietilenglicol Solución de electrolitos para lavado gastrointestinal Fco x 255 g


23,653.57
NO POS Poligelina Solución inyectable 35 g/100 mL Fco x 500 mL 35,507.88
Polimixina B + neomicina + betametasona + lidocaina Gotas oticas
NO POS Fco x 8 mL
(10.000 U.I. + 3,75 mg + 1 mg + 40 mg)/mL 7,443.87

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 15 de 64
Manual Tarifario de medicamentos 2010
SECRETARIA DE SALUD DE CUNDINAMARCA

MANUAL TARIFARIO DE MEDICAMENTOS E INSUMOS

UNIDAD DE TARIFA 2011


CODIGO ATC DESCRIPCION MEDICAMENTO
PAGO (pesos)

A12BP022701 Potasio cloruro Solución inyectable 2 meq/mL Valor x mL 51.30


Potasio Fosfato dibasico (1.55 g/10 ml) - Potasio fosfato monobásico
NO POS
(0.3 g/10 ml). Solución inyectable. Ampolla Fco Vial x 10 mL 13,110.00
B05BP039701 Potasio fosfato Solucion inyectable Fco Vial x 15 mL 13,251.60
A12BP023211 Potasio gluconato Elixir 31% Fco x 180 mL 4,545.01
NO POS Pravastatina Tableta 20 mg Tableta 3,416.15
P02BP02511 Praziquantel Tableta 150 mg Tableta 3,756.73
P02BP02512 Praziquantel Tableta 600 mg Tableta 14,771.28
C02CP02611 Prazosina Tableta 1 mg Tableta 352.68
S01BP028601 Prednisolona + fenilefrina Suspensión oftálmica (1 + 0,12)% Fco x 5 mL 22,635.56
H02AP02711 Prednisolona o prednisolona Tableta 5 mg Tableta 35.59
H02AP02712 Prednisolona o prednisolona Tableta 50 mg Tableta 668.36
NO POS Prednisolona Suspension oftalmica 0,1 - 1% Fco x 5 mL 18,208.80
Prilocaina + felipresina Solucion inyectable (54 mg + 0,054 U.I.) (al
NO POS Cárpula
3%) 1,307.13
NO POS Prilocaina Solucion inyectable 4% Cárpula 1,333.80
N03AP03011 Primidona Tableta 250 mg Tableta 200.26
NO POS Prometazina Solucion inyectable 50 mg/2 mL Ampolla x 2 mL 6,038.66
NO POS Prometazina Tableta 25 mg Tableta 367.72
NO POS Propafenona 150 mg Tableta Tableta 365.63
S01HP033601 Proparacaína clorhidrato Solución oftálmica 5 mg/mL (0,5%) Fco x 5 mL 14,481.53
H03BP03711 Propiltiouracilo 50 mg tableta 298.47
NO POS Propofol Solucion inyectable 10 mg/mL Fco vial x 10 mL 14,971.95
NO POS Propofol Solucion inyectable 10 mg/mL Fco vial x 20 mL 8,784.10
NO POS Propofol Solucion inyectable 20 mg/mL Fco vial x 50 mL 20,976.96
C07AP03511 Propranolol clorhidrato Tableta 40 mg Tableta 27.00
C07AP03512 Propranolol clorhidrato Tableta 80 mg Tableta 66.15
NO POS Prostaglandina E2 Tableta 0.5 mg Tableta 12,813.83
B02AP036701 Protamina Solucion inyectable 5.000 U.I. Ampolla x 5 mL 24,963.89
A02BR001701 Ranitidina Solucion inyectable 50 mg/2 mL Ampolla x 2 mL 313.14
A02BR00111 Ranitidina Tableta 150 mg Tableta 51.13
A02BR00112 Ranitidina Tableta 300 mg Tableta 72.90
NO POS Remifentanil Polvo para inyeccion 2 mg Fco vial x 5 mL 47,609.30
V07AR002251 Resinas intercambiadoras de potasio Polvo o gránulos para
Polvo y suspensión
reconstituír 81,448.20
D10AR003321 Retinoico ácido Crema 0.05% Pote x 30 gr 12,690.51
D10AR003371 Retinoico ácido Loción 0,05% Fco x 60 mL 6,488.00
A06AR004271 Ricino aceite Sustancia pura USP Valor x mL 184.64
NO POS Rifamicina Aerosol 1 g/mL Fco atomizador x 2 18,464.10
NO POS Riluzole Tableta 50 mg Tableta 45,208.63
B05XR007701 Ringer lactato (solucion Hartman) Solucion inyectable Bolsa x 500 mL 1,502.91
B05XR007701 Ringer lactato (solucion Hartman) Solucion inyectable Bolsa x 1.000 mL 2,895.85
B05XR007701 Ringer lactato (solucion Hartman) Solucion inyectable Bolsa x 250 mL 1,871.84
B05XR007701 Ringer lactato (solucion Hartman) Solucion inyectable Bolsa x 3.000 mL 12,313.81
NO POS Ringer Solucion inyectable estandar Bolsa x 500 mL 2,093.04
NO POS Ringer Solución inyectable estándar Bolsa x 250 mL 3,745.37
NO POS Ringer Solución inyectable estándar Bolsa x 1.000 mL 6,550.49
NO POS Risperidona 0,5 mg tableta orodispersable Tableta 4,327.50
NO POS Risperidona Solución inyectable 25 mg Fco Vial 346,726.23
NO POS Risperidona Solución oral 1 mg/mL Fco x 60 mL 429,247.60
NO POS Risperidona Tableta 1 mg Tableta 3,972.95
NO POS Risperidona Tableta 2 mg Tableta 10,047.90
NO POS Risperidona Tableta 3 mg Tableta 13,049.42
J05AR009221 Ritonavir Solucion oral 80 mg/mL Fco x 240 mL 1,008,382.79
J05AR009141 Ritonavir Tableta o Capsula 100 mg Tableta o Cápsula 2,863.59
NO POS Rivastigmina Tableta 4,5 mg Tableta 9,973.23
NO POS Rocuronio bromuro Solucion inyectable 50 mg Fco Vial 37,459.06
R03CS001221 Salbutamol (sulfato) Jarabe 2 mg/5 mL (0,04%) Valor x mL 12.78

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 16 de 64
Manual Tarifario de medicamentos 2010
SECRETARIA DE SALUD DE CUNDINAMARCA

MANUAL TARIFARIO DE MEDICAMENTOS E INSUMOS

UNIDAD DE TARIFA 2011


CODIGO ATC DESCRIPCION MEDICAMENTO
PAGO (pesos)

R03AS001471 Salbutamol (sulfato) 100 mcgIdosis solución para inhalación


Fco x 200 dosis
(aerosol) 4,034.40
R03AS001461 Salbutamol (sulfato) Solucion para nebulizacion 0,5% Fco x 15 mL 9,988.97
R03AS001461 Salbutamol (sulfato) Solucion para nebulizacion 0,5% Fco x 10 mL 8,094.48
R03CS00111 Salbutamol (sulfato) Tableta 2 mg Tableta 44.03
R03CS00112 Salbutamol (sulfato) Tableta 4 mg Tableta 63.91
A07CS002251 Sales de rehidratacion oral Polvo para reconstituir Sobre x 27,9 g 356.61
NO POS Sales de rehidratacion oral Solucion oral Fco x 100 mL 3,256.67
J05AS025101 Saquinavir Tableta 200 mg Tableta 4,589.47
J05AS025162 Saquinavir Tableta o tableta recubierta 500 mg Tableta o Tableta recu 7,198.60
NO POS Secnidazol 1 g. Tableta Tableta 949.38
NO POS Secnidazol 500 mg. Tableta Tableta 403.38
NO POS Sertralina Tableta 100 mg Tableta 504.21
NO POS Sertralina Tableta 50 mg Tableta 218.73
V03AS02411 Sevelamer clorhidrato 800 mg. Tableta Tableta 4,422.25
NO POS Sevoflurano Sustancia pura Liquido para inhalar Valor x mL 1,789.00
NO POS Sildenafil Tableta 50 mg Tableta 579.49
NO POS Silimarina Capsula 150 mg Cápsula 117.89
NO POS Simeticona Tableta 125 mg Tableta 568.13
Sodio alginato + sodio bicarbonato Suspension oral (25 + 26,7)
NO POS Fco x 360 mL
mg/mL 24,003.32
B05XS003701 Sodio bicarbonato10 mEq / 10 mL solución inyectable Ampolla x 10 mL 844.32
NO POS Sodio cloruro Enema Bolsa x 1.000 mL 16,873.34
B05BS004701 Sodio cloruro Solucion inyectable 0,9% Bolsa x 500 mL 1,416.76
B05BS004701 Sodio cloruro Solucion inyectable 0,9% Bolsa x 100 mL 1,236.39
B05BS004701 Sodio cloruro Solucion inyectable 0,9% Bolsa x 25 mL 1,477.56
B05BS004701 Sodio cloruro Solucion inyectable 0,9% Bolsa x 1.000 mL 2,850.97
B05BS004701 Sodio cloruro Solucion inyectable 0,9% Bolsa x 250 mL 1,821.06
B05BS004701 Sodio cloruro Solucion inyectable 0,9% Bolsa x 50 mL 1,541.81
B05BS004701 Sodio cloruro Solucion inyectable 0,9% Fco x 10 mL 803.68
B05XS004702 Sodio cloruro 20 mEq / 10 mL solución inyectable Ampolla x 10 mL 622.75
S01GC041601 Sodio cromoglicato Gotas oftalmicas 20 mg/mL (2%) Valor x mL 447.40
S01GC041602 Sodio cromoglicato Gotas oftalmicas 40 mg/mL (4%) Valor x mL 397.69
R01AC041421 Sodio cromoglicato Solución nasal 20 mg/mL Valor x mL 575.23
R01AC041422 Sodio cromoglicato Solución nasal 40 mg/mL Valor x mL 610.74
V08AD012701 Sodio diatrizoato + meglumina diatrizoato Solucion inyectable (10 +
Valor x mL
66)% 710.16
V08AD012231
Sodio diatrizoato + meglumina diatrizoato Solución oral (10 + 66)% Valor x mL
906.16
B05XS008702 Sodio lactato Solución inyectable 2 molar Bolsa x 250 mL 2,498.33
B05XS008702 Sodio lactato Solución inyectable 2 molar Bolsa x 500 mL 3,296.55
B05XS008702 Sodio lactato Solución inyectable 2 molar Bolsa x 1.000 mL 4,496.72
C02DS010721 Sodio nitroprusiato Polvo para inyección 50 mg Fco x 2 mL 26,947.64
NO POS Solucion cardioplegica de electrolitos Bolsa x 1.000 mL 422,286.94
B05DS011751 Solucion para dialisis peritoneal con dextrosa Solucion inyectable
Bolsa x 2.000 mL
1.5% 15,386.27
B05DS011751 Solucion para dialisis peritoneal con dextrosa Solucion inyectable
Bolsa x 2.500 mL
1.5% 18,847.80
B05DS011751 Solucion para dialisis peritoneal con dextrosa Solucion inyectable
Bolsa x 2.500 mL
2.5% 24,751.83
B05DS011751 Solucion para dialisis peritoneal Solucion inyectable 1.5% Bolsa x 2.000 mL 24,751.83
B05DS011751 Solucion para dialisis peritoneal Solucion inyectable 2.5% Bolsa x 2.000 mL 22,847.84
B05DS011751 Solucion para dialisis peritoneal Solucion inyectable 4.25% Bolsa x 2.000 mL 22,847.84
NO POS Somatostatina Polvo para inyeccion 3 mg Fco Vial 462,367.16
NO POS Somatropina Solucion inyectable 16 U.I. Ampolla x 2 mL 407,084.13
M03AS013701 Succinilcolina Polvo para inyeccion 1 g Ampolla x 20 mL 11,289.54
NO POS Sucralfato Suspension oral 1g/5 mL Sobre x 10 mL 717.26
A02BS01411 Sucralfato Tableta 1 g Tableta 103.57

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 17 de 64
Manual Tarifario de medicamentos 2010
SECRETARIA DE SALUD DE CUNDINAMARCA

MANUAL TARIFARIO DE MEDICAMENTOS E INSUMOS

UNIDAD DE TARIFA 2011


CODIGO ATC DESCRIPCION MEDICAMENTO
PAGO (pesos)

J06AS017701 Suero antiofídico polivalente Solución inyectable Fco vial x 10 mL 73,782.52


J06AS016701 Suero antiofIdico monovalente (Bothrops) Fco vial 73,782.52
J06AS018701 Suero antirrabico Solucion inyectable Fco Vial 373,652.10
NO POS Sulbactam + cefoperazona Solución inyectable (1 + 0.5) g Fco Vial 86,267.75
S01AS019602 Sulfacetamida sodica Gotas oftalmicas 30% Fco x 15 mL 5,320.50
S01AS019601 Sulfacetamida sódica Solución oftálmica 10% Valor x mL 369.72
A07ES02011 Sulfasalazina Tableta 500 mg Tableta 207.15
NO POS Sulfato ferroso Jarabe 5.3 mg de Fe/mL Fco x 120 mL 1,457.90
B03AH011201 Sulfato ferroso Solucion oral 20-25 mg de Fe/mL (2 - 2,5%) Valor x mL 52.44
B03AH011161 Sulfato ferroso Tableta 100 mg Tableta 51.13
B03AH011161 Sulfato ferroso Tableta recubierta 200 mg Tableta 41.19
B03AH011161 Sulfato ferroso Tableta recubierta 300 mg Tableta 45.89
R07AS023711 Surfactante pulmonar Solucion inyectable 25 mg/mL Fco vial x 8 mL 1,333,319.72
R07AS023711 Surfactante pulmonar Solucion inyectable 25 mg/mL Fco vial x 4 mL 847,272.32
R07AS023711 Surfactante pulmonar Solucion inyectable 80 mg/mL Fco vial x 1,5 mL 1,518,273.91
R07AS023711 Surfactante pulmonar Solucion inyectable 80 mg/mL Fco vial x 3 mL 2,654,355.63
NO POS Sustituto del plasma humano Solucion inyectable 3.5% Fco x 500 mL 27,395.91
NO POS Sustituto del plasma humano Solucion inyectable 4% Fco x 500 mL 37,312.77
NO POS Tacrolimus 1 mg. Cápsula Cápsula 13,100.75
NO POS Tacrolimus 5 mg. Cápsula Cápsula 66,114.75
NO POS Tacrolimus Unguento 0,03% Tubo x 10 g 97,484.17
L04AT00111 Talidomida Tableta 100 mg Tableta 13,252.19
L02BT00211 Tamoxifeno (citrato) Tableta 10 mg de base Tableta 886.28
L02BT00212 Tamoxifeno (citrato) Tableta 20 mg de base Tableta 413.31
NO POS Tamsulosina Capsula 0.4 mg Cápsula 2,116.98
P01AT00311 Teclozán Tableta 500 mg Tableta 6,175.53
R03DT004151 Teofilina Capsula o tableta de liberación programada 125 mg Cápsula 146.84
R03DT004141 Teofilina Capsula o Tableta de liberación programada300 mg Tableta o Cápsula 217.64
R03DT004211 Teofilina Elixir 80 mg/5 mL Fco x 240 mL 2,201.49
NO POS Terazosin 5 mg. Tableta Tableta 1,980.25
NO POS Terazosin Tableta 2 mg Tableta 2,069.40
NO POS Terbinafina Tableta 250 mg Tableta 3,269.78
NO POS Terbutalina + guayacolato Jarabe (1,5 + 66,5) mg/5 mL Fco x 120 mL 5,860.22
R03CT005221 Terbutalina sulfato Jarabe 1,5 mg/5 mL (0,03%) Fco x 120 mL 5,533.55
R03CT005701 Terbutalina sulfato Solucion inyectable 0,5 mg/mL Ampolla x 1 mL 1,040.98
R03AT005461 Terbutalina sulfato Solución para nebulización 10 mg/mL (1%) Valor x mL 1,018.69
R03CT00511 Terbutalina sulfato Tableta 2,5 mg Tableta 284.50
G03BT006701 Testosterona éster Solución inyectable 250 mg/mL Ampolla 18,212.70
J01AT008101 Tetraciclina clorhidrato Capsula 500 mg Cápsula 191.41
NO POS Tetraciclina Tableta 250 mg Tableta 332.35
A11DT009701 Tiamina Solucion inyectable 100 mg/mL Fco x 10 mL 2,252.62
A11DT009141 Tiamina Tableta recubierta 300 mg Tableta 66.86
NO POS Tigeciclina Polvo para inyeccion 50 mg Fco Vial x 5 mL 225,349.86
S01ET011601 Timolol maleato Gotas oftalmicas 2,5 mg/mL (0,25%) Valor x mL 352.24
S01ET011602 Timolol maleato Solución oftálmica 5 mg/mL (0,5%) Valor x mL 561.57
P01AT012231 Tinidazol 1 g/5 mL (20%) suspensión oral Valor x mL 1,417.47
P01AT01211 Tinidazol Tableta 500 mg Tableta 70.80
L01BT01411 Tioguanina Tableta 40 mg Tableta 12,449.06
N01AT015721 Tiopental sodico Polvo para inyeccion 1 g Fco Vial 10,038.79
N05AT01641 Tioridazina clorhidrato Tableta de liberación programada 200 mg Tableta 2,839.21
N05AT01621 Tioridazina clorhidrato Tableta recubierta 25 mg Tableta recubierta 450.24
NO POS Tiotropio bromuro Capsula 18 mcg Cápsula 5,696.56
NO POS Tirofiban clorhidrato monohidrato 0,25 mg/ml. Solución inyectable Frasco vial x 50 ml 935,019.09
NO POS Tobramicina Gotas oftalmicas 0.3% Fco gotero x 15 mL 8,475.02
NO POS Topiramato 100 mg. Tableta Tableta 8,762.00
NO POS Topiramato 25 mg. Tableta Tableta 3,860.00
NO POS Topiramato 50 mg. Tableta Tableta 4,807.00
NO POS Toxina botulinica Solucion inyectable 100 U.I. Fco Vial 978,019.09

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 18 de 64
Manual Tarifario de medicamentos 2010
SECRETARIA DE SALUD DE CUNDINAMARCA

MANUAL TARIFARIO DE MEDICAMENTOS E INSUMOS

UNIDAD DE TARIFA 2011


CODIGO ATC DESCRIPCION MEDICAMENTO
PAGO (pesos)

NO POS Toxoide diftérico-tetánico Solución inyectable Ampolla 6,398.95


NO POS Toxoide tetánico Solucion inyectable 3.000 U.I. Fco Vial 7,048.26
NO POS Toxoide tetánico Solucion inyectable 40 U.I. Fco vial X mL 30,797.25
NO POS Tramadol Capsula 50 mg Cápsula 167.60
N02AT020201 Tramadol clorhidrato Gotas orales 100 mg/mL (10%) Fco x 10 mL 1,767.86
N02AT020701 Tramadol clorhidrato Solucion inyectable 50 mg/mL Ampolla x 1 mL 502.45
N02AT020702 Tramadol clorhidrato Solucion inyectable 100 mg/2 mL Ampolla x 2 mL 648.97
B02AT021701 Tranexamico acido Solucion inyectable 500 mg/5 mL Ampolla x 5 mL 4,982.37
B02AT02111 Tranexamico acido Tableta 500 mg Tableta 1,095.06
N06AT02311 Trazodona clorhidrato Tableta 50 mg Tableta 135.04
NO POS Triamcinolona acetonida Suspension Inyectable 10 mg/mL Ampolla x 5 mL 11,308.55
N04AT02411 Trihexifenidilo clorhidrato Tableta 2 mg Tableta 697.37
NO POS Trimebutina maleato Tableta 200 mg Tableta 122.15
J01ET025231
Trimetoprim + sulfametoxazol Suspension oral (40 + 200) mg/5 mL Valor x mL
53.97
J01ET025701
Trimetoprim + sulfametoxazol Suspension oral (80 + 400) mg/5 mL Ampolla
27,919.57
J01ET025231
Trimetoprim + sulfametoxazol Suspension oral (80 + 400) mg/5 mL Valor x mL
35.51
J01ET02512 Trimetoprim + sulfametoxazol Tableta (160 + 800) mg Tableta 958.38
J01ET02511 Trimetoprim + sulfametoxazol Tableta (80 + 400) mg Tableta 60.31
NO POS Triptorelina 3,75 mg. Polvo para inyección. Fco Vial 325,700.00
S01FT026601 Tropicamida Solución oftálmica 10 mg/mL (1%) Fco x 15 mL 11,915.02
M03AT027701 Tubocurarina Solución inyectable 0.3% Ampolla 104,768.70
NO POS Ursodeoxicolico ácido Tableta 300 mg Tableta 3,593.07
NO POS Vacuna anti varicela virus vivo atenuado Solucion inyectable Fco Vial 87,902.64
J07BV001701 Vacuna antiamarílica Solución inyectable Fco Vial 59,506.94
J07BV004201 Vacuna antipoliomielítica Solución oral Fco 14,757.07
J07BV005701 Vacuna antirrábica Solución inyectable Fco Vial 6,522.09
J07BV006701 Vacuna antirrubeólica (ANTIRUBEOLA) Solución inyectable Fco Vial 11,635.22
J07BV007701 Vacuna antisarampionosa Solución inyectable Fco Vial 10,131.11
J07AV008701 Vacuna contra el Haemophyllus influenzae Solucion inyectable 0.5
Fco vial unidosis
mL/dosis 31,964.95
J07AV008701 Vacuna contra el Haemophyllus influenzae Solucion inyectable
Ampolla
Adulto 31,983.31
J07AV009701 Vacuna contra la difteria, tetano y tosferina (D.P.T) Solucion
Fco vial x 10 dosis
inyectable 0.5 mL/dosis 97,842.66
NO POS Vacuna contra la hepatitis A Solucion inyectable Fco Vial 77,953.01
J07BV002701 Vacuna contra la hepatitis B derivada del plasma o recombinante
Ampolla x 3 mL
solucion inyectable 20 mcg 26,104.52
J07AV010701 Vacuna contra la tuberculosis (B.C.G) Solución inyectable Fco Vial 45,986.96
REVISAR Vacuna contra neumococo pediatrica 0.5 mL/dosis Fco vial unidosis 296,203.96
REVISAR Vacuna contra neumococo polisacaridica 0.5 mL/dosis Fco vial unidosis 92,697.19
N03AV012221 Valproico sòdico 250 mgI5 mL como ácido (5%)
Fco x 120 mL
jarabe 7,773.27
NO POS Valproico ácido Solucion inyectable 500 mg/mL Fco vial x 5 mL 33,508.45
NO POS Valproico acido Tableta 500 mg Tableta o Cápsula 2,140.96
N03AV011141 Valproico acido Tableta o Capsula 250 mg Tableta o Cápsula 861.34
J01XV013721 Vancomicina clorhidrato Polvo para inyeccion 500 mg Fco Vial 10,046.43
NO POS Vasopresina Solucion inyectable 20 U.I. Ampolla 33,148.90
H01BV014711 Vasopresina tanato Suspensión inyectable 5 U.I./ mL Ampolla 42,791.25
M03AV015721 Vecuronio bromuro Polvo para inyeccion 10 mg Fco Vial 44,418.71
NO POS Vecuronio bromuro Polvo para inyeccion 4 mg Fco vial x 1 mL 11,733.99
NO POS Venlafaxina Cápsulas 150 mg Cápsula 6,316.14
NO POS Venlafaxina Cápsulas 75 mg Cápsula 6,820.35
C08DV01611 Verapamilo clorhidrato Tableta 120 mg Tableta 214.85
NO POS Verapamilo clorhidrato Tableta recubierta 40 mg Tableta recubierta 137.77
C08DV016141 Verapamilo clorhidrato Tableta recubierta 80 mg Tableta 61.62
NO POS Vigabatrin Tableta recubierta 500 mg Tableta recubierta 6,559.23

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 19 de 64
Manual Tarifario de medicamentos 2010
SECRETARIA DE SALUD DE CUNDINAMARCA

MANUAL TARIFARIO DE MEDICAMENTOS E INSUMOS

UNIDAD DE TARIFA 2011


CODIGO ATC DESCRIPCION MEDICAMENTO
PAGO (pesos)

L01CV017721 Vinblastina sulfato Polvo para inyección 10 mg Fco Vial 58,311.03


L01CV018701 Vincristina sulfato Solución inyectable 1 mg/mL Ampolla 25,608.28
Vitamina A (acetato o palmitato) Tableta, Tableta recubierta o
NO POS Tableta, Tableta rec
Capsula 100.000 U.I. 409.05
A11CV019141 Vitamina A (acetato o palmitato) Tableta, Tableta recubierta o
Tableta, Tableta rec
Capsula 50.000 U.I. 184.86
NO POS Vitamina A + Vitamina E Tableta (50.000 U.I. + 100 mg) Tableta 121.93
NO POS Vitamina E Perla 100 U.I. Perla 247.13
NO POS Vitamina E Perla 400 U.I. Perla 382.06
NO POS Vitaminas y minerales Jarabe Fco x 120 mL 15,339.40
NO POS Voriconazol Tableta 200 mg Tableta 102,960.93
NO POS Warfarina sódica Tableta 2.5 mg Tableta 967.23
B01AW00111 Warfarina sodica Tableta 5 mg Tableta 633.24
D08AO012301 Yodopovidona Solución tópica 10% Valor x mL 78.12
J05AZ001701 Zidovudina Solucion inyectable 10 mg/mL (1%) Ampolla x 20 mL 83,973.39
J05AZ001201 Zidovudina Solución oral 10 mg/mL Valor x mL 572.45
J05AZ001141 Zidovudina Tableta o Capsula 100 mg Tableta o Cápsula 558.29
J05AZ001142 Zidovudina Tableta o Capsula 300 mg Tableta o Cápsula 1,617.01
NO POS Ziprasidona (como mesilato) Solución inyectable 20 mg/mL Fco Vial 91,141.61

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 20 de 64
Manual Tarifario de medicamentos 2010
CRETARIA DE SALUD DE CUNDINAMARCA

ARIFARIO DE MEDICAMENTOS E INSUMOS AÑO 2011

TARIFA 2011
TARIFA 2011 TARIFA 2011
(ajustada a TARIFA 2011 TARIFA 2011 TARIFA 2011 TARIFA 2011
GRUPO 1 RED GRUPO 1 RED
centena o GRUPO 2 GRUPO 3 GRUPO 4 GRUPO 5
ADSCRITA NO ADSCRITA
decena)

14,500 15,950.00 15,225 16,675 17,400 18,125 18,850


21,100 23,210.00 22,155 24,265 25,320 26,375 27,430
227,500 250,250.00 238,875 261,625 273,000 284,375 295,750

150 165.00 158 173 180 188 195


14,100 15,510.00 14,805 16,215 16,920 17,625 18,330
1,000 1,100.00 1,050 1,150 1,200 1,250 1,300
50 55.00 53 58 60 63 65
50 55.00 53 58 60 63 65
50 55.00 53 58 60 63 65
500 550.00 525 575 600 625 650
50 55.00 53 58 60 63 65
100 110.00 105 115 120 125 130
300 330.00 315 345 360 375 390
400 440.00 420 460 480 500 520
500 550.00 525 575 600 625 650
800 880.00 840 920 960 1,000 1,040
3,400 3,740.00 3,570 3,910 4,080 4,250 4,420
11,200 12,320.00 11,760 12,880 13,440 14,000 14,560
5,200 5,720.00 5,460 5,980 6,240 6,500 6,760
14,800 16,280.00 15,540 17,020 17,760 18,500 19,240
100 110.00 105 115 120 125 130
100 110.00 105 115 120 125 130
100 110.00 105 115 120 125 130
19,800 21,780.00 20,790 22,770 23,760 24,750 25,740
150 165.00 158 173 180 188 195
15,500 17,050.00 16,275 17,825 18,600 19,375 20,150
98,100 107,910.00 103,005 112,815 117,720 122,625 127,530
400 440.00 420 460 480 500 520
1,900 2,090.00 1,995 2,185 2,280 2,375 2,470
1,800 1,980.00 1,890 2,070 2,160 2,250 2,340
19,000 20,900.00 19,950 21,850 22,800 23,750 24,700
100 110.00 105 115 120 125 130
100 110.00 105 115 120 125 130
2,000 2,200.00 2,100 2,300 2,400 2,500 2,600
7,100 7,810.00 7,455 8,165 8,520 8,875 9,230
3,700 4,070.00 3,885 4,255 4,440 4,625 4,810
700 770.00 735 805 840 875 910
200 220.00 210 230 240 250 260
100 110.00 105 115 120 125 130
300 330.00 315 345 360 375 390
300 330.00 315 345 360 375 390
400 440.00 420 460 480 500 520
117,600 129,360.00 123,480 135,240 141,120 147,000 152,880

793,400 872,740.00 833,070 912,410 952,080 991,750 1,031,420


3,100 3,410.00 3,255 3,565 3,720 3,875 4,030
12,200 13,420.00 12,810 14,030 14,640 15,250 15,860
4,400 4,840.00 4,620 5,060 5,280 5,500 5,720
200 220.00 210 230 240 250 260

50 55.00 53 58 60 63 65

150 165.00 158 173 180 188 195


50 55.00 53 58 60 63 65
150 165.00 158 173 180 188 195
300 330.00 315 345 360 375 390
2,400 2,640.00 2,520 2,760 2,880 3,000 3,120

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 21 de 64
Manual Tarifario de medicamentos 2010
CRETARIA DE SALUD DE CUNDINAMARCA

ARIFARIO DE MEDICAMENTOS E INSUMOS AÑO 2011

TARIFA 2011
TARIFA 2011 TARIFA 2011
(ajustada a TARIFA 2011 TARIFA 2011 TARIFA 2011 TARIFA 2011
GRUPO 1 RED GRUPO 1 RED
centena o GRUPO 2 GRUPO 3 GRUPO 4 GRUPO 5
ADSCRITA NO ADSCRITA
decena)

1,000 1,100.00 1,050 1,150 1,200 1,250 1,300

45,000 49,500.00 47,250 51,750 54,000 56,250 58,500

56,900 62,590.00 59,745 65,435 68,280 71,125 73,970


400 440.00 420 460 480 500 520

300 330.00 315 345 360 375 390


1,000 1,100.00 1,050 1,150 1,200 1,250 1,300
300 330.00 315 345 360 375 390
3,800 4,180.00 3,990 4,370 4,560 4,750 4,940
500 550.00 525 575 600 625 650
100 110.00 105 115 120 125 130
500 550.00 525 575 600 625 650
1,000 1,100.00 1,050 1,150 1,200 1,250 1,300

33,800 37,180.00 35,490 38,870 40,560 42,250 43,940


50 55.00 53 58 60 63 65
100 110.00 105 115 120 125 130
100 110.00 105 115 120 125 130
100 110.00 105 115 120 125 130
2,300 2,530.00 2,415 2,645 2,760 2,875 2,990
1,900 2,090.00 1,995 2,185 2,280 2,375 2,470
50 55.00 53 58 60 63 65

50 55.00 53 58 60 63 65
200 220.00 210 230 240 250 260
300 330.00 315 345 360 375 390
4,200 4,620.00 4,410 4,830 5,040 5,250 5,460
18,150 19,965.00 19,058 20,873 21,780 22,688 23,595
1,200 1,320.00 1,260 1,380 1,440 1,500 1,560
11,800 12,980.00 12,390 13,570 14,160 14,750 15,340
68,800 75,680.00 72,240 79,120 82,560 86,000 89,440
11,600 12,760.00 12,180 13,340 13,920 14,500 15,080
310,000 341,000.00 325,500 356,500 372,000 387,500 403,000
23,800 26,180.00 24,990 27,370 28,560 29,750 30,940
2,300 2,530.00 2,415 2,645 2,760 2,875 2,990
3,800 4,180.00 3,990 4,370 4,560 4,750 4,940
100 110.00 105 115 120 125 130
236,800 260,480.00 248,640 272,320 284,160 296,000 307,840
24,100 26,510.00 25,305 27,715 28,920 30,125 31,330
24,200 26,620.00 25,410 27,830 29,040 30,250 31,460
250 275.00 263 288 300 313 325
300 330.00 315 345 360 375 390
400 440.00 420 460 480 500 520
19,300 21,230.00 20,265 22,195 23,160 24,125 25,090
11,600 12,760.00 12,180 13,340 13,920 14,500 15,080
1,200 1,320.00 1,260 1,380 1,440 1,500 1,560
40,800 44,880.00 42,840 46,920 48,960 51,000 53,040
7,100 7,810.00 7,455 8,165 8,520 8,875 9,230
1,700 1,870.00 1,785 1,955 2,040 2,125 2,210
26,600 29,260.00 27,930 30,590 31,920 33,250 34,580

25,200 27,720.00 26,460 28,980 30,240 31,500 32,760


11,200 12,320.00 11,760 12,880 13,440 14,000 14,560
8,400 9,240.00 8,820 9,660 10,080 10,500 10,920
2,000 2,200.00 2,100 2,300 2,400 2,500 2,600
1,000 1,100.00 1,050 1,150 1,200 1,250 1,300

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 22 de 64
Manual Tarifario de medicamentos 2010
CRETARIA DE SALUD DE CUNDINAMARCA

ARIFARIO DE MEDICAMENTOS E INSUMOS AÑO 2011

TARIFA 2011
TARIFA 2011 TARIFA 2011
(ajustada a TARIFA 2011 TARIFA 2011 TARIFA 2011 TARIFA 2011
GRUPO 1 RED GRUPO 1 RED
centena o GRUPO 2 GRUPO 3 GRUPO 4 GRUPO 5
ADSCRITA NO ADSCRITA
decena)

1,300 1,430.00 1,365 1,495 1,560 1,625 1,690


156,000 171,600.00 163,800 179,400 187,200 195,000 202,800
200 220.00 210 230 240 250 260

15,200 16,720.00 15,960 17,480 18,240 19,000 19,760


6,700 7,370.00 7,035 7,705 8,040 8,375 8,710
6,900 7,590.00 7,245 7,935 8,280 8,625 8,970
54,200 59,620.00 56,910 62,330 65,040 67,750 70,460
8,900 9,790.00 9,345 10,235 10,680 11,125 11,570
900 990.00 945 1,035 1,080 1,125 1,170
1,953,000 2,148,300.00 2,050,650 2,245,950 2,343,600 2,441,250 2,538,900
161,500 177,650.00 169,575 185,725 193,800 201,875 209,950
200 220.00 210 230 240 250 260
5,000 5,500.00 5,250 5,750 6,000 6,250 6,500
100 110.00 105 115 120 125 130
130,400 143,440.00 136,920 149,960 156,480 163,000 169,520
1,800 1,980.00 1,890 2,070 2,160 2,250 2,340
5,000 5,500.00 5,250 5,750 6,000 6,250 6,500
800 880.00 840 920 960 1,000 1,040
49,100 54,010.00 51,555 56,465 58,920 61,375 63,830
1,800 1,980.00 1,890 2,070 2,160 2,250 2,340
3,300 3,630.00 3,465 3,795 3,960 4,125 4,290

300 330.00 315 345 360 375 390

12,100 13,310.00 12,705 13,915 14,520 15,125 15,730

500 550.00 525 575 600 625 650


4,300 4,730.00 4,515 4,945 5,160 5,375 5,590
100 110.00 105 115 120 125 130
900 990.00 945 1,035 1,080 1,125 1,170
300 330.00 315 345 360 375 390
100 110.00 105 115 120 125 130
39,500 43,450.00 41,475 45,425 47,400 49,375 51,350
53,600 58,960.00 56,280 61,640 64,320 67,000 69,680
2,000 2,200.00 2,100 2,300 2,400 2,500 2,600
800 880.00 840 920 960 1,000 1,040
400 440.00 420 460 480 500 520
500 550.00 525 575 600 625 650
4,400 4,840.00 4,620 5,060 5,280 5,500 5,720
1,000 1,100.00 1,050 1,150 1,200 1,250 1,300
50 55.00 53 58 60 63 65
50 55.00 53 58 60 63 65
50 55.00 53 58 60 63 65
300 330.00 315 345 360 375 390
600 660.00 630 690 720 750 780
400 440.00 420 460 480 500 520
7,100 7,810.00 7,455 8,165 8,520 8,875 9,230
174,000 191,400.00 182,700 200,100 208,800 217,500 226,200
35,800 39,380.00 37,590 41,170 42,960 44,750 46,540
6,400 7,040.00 6,720 7,360 7,680 8,000 8,320
18,900 20,790.00 19,845 21,735 22,680 23,625 24,570
2,500 2,750.00 2,625 2,875 3,000 3,125 3,250
2,500 2,750.00 2,625 2,875 3,000 3,125 3,250
796,500 876,150.00 836,325 915,975 955,800 995,625 1,035,450
50 55.00 53 58 60 63 65
50 55.00 53 58 60 63 65
300 330.00 315 345 360 375 390

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 23 de 64
Manual Tarifario de medicamentos 2010
CRETARIA DE SALUD DE CUNDINAMARCA

ARIFARIO DE MEDICAMENTOS E INSUMOS AÑO 2011

TARIFA 2011
TARIFA 2011 TARIFA 2011
(ajustada a TARIFA 2011 TARIFA 2011 TARIFA 2011 TARIFA 2011
GRUPO 1 RED GRUPO 1 RED
centena o GRUPO 2 GRUPO 3 GRUPO 4 GRUPO 5
ADSCRITA NO ADSCRITA
decena)

3,300 3,630.00 3,465 3,795 3,960 4,125 4,290


2,500 2,750.00 2,625 2,875 3,000 3,125 3,250
80,000 88,000.00 84,000 92,000 96,000 100,000 104,000
22,800 25,080.00 23,940 26,220 27,360 28,500 29,640
4,700 5,170.00 4,935 5,405 5,640 5,875 6,110
3,000 3,300.00 3,150 3,450 3,600 3,750 3,900
2,400 2,640.00 2,520 2,760 2,880 3,000 3,120
400 440.00 420 460 480 500 520
22,900 25,190.00 24,045 26,335 27,480 28,625 29,770
7,000 7,700.00 7,350 8,050 8,400 8,750 9,100
11,000 12,100.00 11,550 12,650 13,200 13,750 14,300
7,900 8,690.00 8,295 9,085 9,480 9,875 10,270
113,700 125,070.00 119,385 130,755 136,440 142,125 147,810
700 770.00 735 805 840 875 910
42,200 46,420.00 44,310 48,530 50,640 52,750 54,860
35,500 39,050.00 37,275 40,825 42,600 44,375 46,150
1,400 1,540.00 1,470 1,610 1,680 1,750 1,820
8,100 8,910.00 8,505 9,315 9,720 10,125 10,530
3,800 4,180.00 3,990 4,370 4,560 4,750 4,940
7,900 8,690.00 8,295 9,085 9,480 9,875 10,270
21,900 24,090.00 22,995 25,185 26,280 27,375 28,470
11,500 12,650.00 12,075 13,225 13,800 14,375 14,950
3,200 3,520.00 3,360 3,680 3,840 4,000 4,160

2,600 2,860.00 2,730 2,990 3,120 3,250 3,380


3,800 4,180.00 3,990 4,370 4,560 4,750 4,940
1,900 2,090.00 1,995 2,185 2,280 2,375 2,470
1,600 1,760.00 1,680 1,840 1,920 2,000 2,080
250 275.00 263 288 300 313 325
3,000 3,300.00 3,150 3,450 3,600 3,750 3,900
35,900 39,490.00 37,695 41,285 43,080 44,875 46,670
23,700 26,070.00 24,885 27,255 28,440 29,625 30,810
37,600 41,360.00 39,480 43,240 45,120 47,000 48,880
56,000 61,600.00 58,800 64,400 67,200 70,000 72,800
27,400 30,140.00 28,770 31,510 32,880 34,250 35,620
900 990.00 945 1,035 1,080 1,125 1,170
7,700 8,470.00 8,085 8,855 9,240 9,625 10,010
1,300 1,430.00 1,365 1,495 1,560 1,625 1,690
3,300 3,630.00 3,465 3,795 3,960 4,125 4,290
400 440.00 420 460 480 500 520
2,300 2,530.00 2,415 2,645 2,760 2,875 2,990
4,100 4,510.00 4,305 4,715 4,920 5,125 5,330
700 770.00 735 805 840 875 910
19,900 21,890.00 20,895 22,885 23,880 24,875 25,870
4,900 5,390.00 5,145 5,635 5,880 6,125 6,370
23,000 25,300.00 24,150 26,450 27,600 28,750 29,900
18,000 19,800.00 18,900 20,700 21,600 22,500 23,400
500 550.00 525 575 600 625 650
600 660.00 630 690 720 750 780
200 220.00 210 230 240 250 260
269,300 296,230.00 282,765 309,695 323,160 336,625 350,090
1,200 1,320.00 1,260 1,380 1,440 1,500 1,560
2,000 2,200.00 2,100 2,300 2,400 2,500 2,600
350 385.00 368 403 420 438 455

4,400 4,840.00 4,620 5,060 5,280 5,500 5,720


6,100 6,710.00 6,405 7,015 7,320 7,625 7,930
7,900 8,690.00 8,295 9,085 9,480 9,875 10,270

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 24 de 64
Manual Tarifario de medicamentos 2010
CRETARIA DE SALUD DE CUNDINAMARCA

ARIFARIO DE MEDICAMENTOS E INSUMOS AÑO 2011

TARIFA 2011
TARIFA 2011 TARIFA 2011
(ajustada a TARIFA 2011 TARIFA 2011 TARIFA 2011 TARIFA 2011
GRUPO 1 RED GRUPO 1 RED
centena o GRUPO 2 GRUPO 3 GRUPO 4 GRUPO 5
ADSCRITA NO ADSCRITA
decena)

50 55.00 53 58 60 63 65
100 110.00 105 115 120 125 130

150 165.00 158 173 180 188 195

250 275.00 263 288 300 313 325


2,000 2,200.00 2,100 2,300 2,400 2,500 2,600
100 110.00 105 115 120 125 130
100 110.00 105 115 120 125 130
300 330.00 315 345 360 375 390
1,700 1,870.00 1,785 1,955 2,040 2,125 2,210
700 770.00 735 805 840 875 910
500 550.00 525 575 600 625 650
150 165.00 158 173 180 188 195
2,500 2,750.00 2,625 2,875 3,000 3,125 3,250
100 110.00 105 115 120 125 130
1,200 1,320.00 1,260 1,380 1,440 1,500 1,560

5,700 6,270.00 5,985 6,555 6,840 7,125 7,410


400 440.00 420 460 480 500 520
100 110.00 105 115 120 125 130

3,100 3,410.00 3,255 3,565 3,720 3,875 4,030


2,500 2,750.00 2,625 2,875 3,000 3,125 3,250
2,000 2,200.00 2,100 2,300 2,400 2,500 2,600
9,000 9,900.00 9,450 10,350 10,800 11,250 11,700
4,300 4,730.00 4,515 4,945 5,160 5,375 5,590
60,000 66,000.00 63,000 69,000 72,000 75,000 78,000

28,800 31,680.00 30,240 33,120 34,560 36,000 37,440

20,000 22,000.00 21,000 23,000 24,000 25,000 26,000

25,300 27,830.00 26,565 29,095 30,360 31,625 32,890


1,000 1,100.00 1,050 1,150 1,200 1,250 1,300
109,100 120,010.00 114,555 125,465 130,920 136,375 141,830
97,100 106,810.00 101,955 111,665 116,520 121,375 126,230
909,500 1,000,450.00 954,975 1,045,925 1,091,400 1,136,875 1,182,350
69,100 76,010.00 72,555 79,465 82,920 86,375 89,830
1,400 1,540.00 1,470 1,610 1,680 1,750 1,820
600 660.00 630 690 720 750 780
600 660.00 630 690 720 750 780
500 550.00 525 575 600 625 650
900 990.00 945 1,035 1,080 1,125 1,170
109,000 119,900.00 114,450 125,350 130,800 136,250 141,700

41,400 45,540.00 43,470 47,610 49,680 51,750 53,820

23,900 26,290.00 25,095 27,485 28,680 29,875 31,070

33,900 37,290.00 35,595 38,985 40,680 42,375 44,070


2,000 2,200.00 2,100 2,300 2,400 2,500 2,600
2,300 2,530.00 2,415 2,645 2,760 2,875 2,990
7,200 7,920.00 7,560 8,280 8,640 9,000 9,360
2,000 2,200.00 2,100 2,300 2,400 2,500 2,600
2,000 2,200.00 2,100 2,300 2,400 2,500 2,600
4,600 5,060.00 4,830 5,290 5,520 5,750 5,980
4,600 5,060.00 4,830 5,290 5,520 5,750 5,980
1,800 1,980.00 1,890 2,070 2,160 2,250 2,340

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 25 de 64
Manual Tarifario de medicamentos 2010
CRETARIA DE SALUD DE CUNDINAMARCA

ARIFARIO DE MEDICAMENTOS E INSUMOS AÑO 2011

TARIFA 2011
TARIFA 2011 TARIFA 2011
(ajustada a TARIFA 2011 TARIFA 2011 TARIFA 2011 TARIFA 2011
GRUPO 1 RED GRUPO 1 RED
centena o GRUPO 2 GRUPO 3 GRUPO 4 GRUPO 5
ADSCRITA NO ADSCRITA
decena)

1,900 2,090.00 1,995 2,185 2,280 2,375 2,470


3,600 3,960.00 3,780 4,140 4,320 4,500 4,680
4,000 4,400.00 4,200 4,600 4,800 5,000 5,200
7,100 7,810.00 7,455 8,165 8,520 8,875 9,230
6,100 6,710.00 6,405 7,015 7,320 7,625 7,930
2,300 2,530.00 2,415 2,645 2,760 2,875 2,990
100 110.00 105 115 120 125 130
100 110.00 105 115 120 125 130

3,500 3,850.00 3,675 4,025 4,200 4,375 4,550


4,800 5,280.00 5,040 5,520 5,760 6,000 6,240
4,800 5,280.00 5,040 5,520 5,760 6,000 6,240
500 550.00 525 575 600 625 650
300 330.00 315 345 360 375 390
100 110.00 105 115 120 125 130
700 770.00 735 805 840 875 910
300 330.00 315 345 360 375 390
50 55.00 53 58 60 63 65
50 55.00 53 58 60 63 65

21,800 23,980.00 22,890 25,070 26,160 27,250 28,340


3,500 3,850.00 3,675 4,025 4,200 4,375 4,550
19,100 21,010.00 20,055 21,965 22,920 23,875 24,830
3,900 4,290.00 4,095 4,485 4,680 4,875 5,070
150 165.00 158 173 180 188 195
2,000 2,200.00 2,100 2,300 2,400 2,500 2,600
150 165.00 158 173 180 188 195
6,300 6,930.00 6,615 7,245 7,560 7,875 8,190
4,000 4,400.00 4,200 4,600 4,800 5,000 5,200
600 660.00 630 690 720 750 780
280 308.00 294 322 336 350 364
740 814.00 777 851 888 925 962
100 110.00 105 115 120 125 130
1,200 1,320.00 1,260 1,380 1,440 1,500 1,560
100 110.00 105 115 120 125 130
44,900 49,390.00 47,145 51,635 53,880 56,125 58,370
650 715.00 683 748 780 813 845

14,200 15,620.00 14,910 16,330 17,040 17,750 18,460


1,100 1,210.00 1,155 1,265 1,320 1,375 1,430
250 275.00 263 288 300 313 325
100 110.00 105 115 120 125 130
300 330.00 315 345 360 375 390
10,400 11,440.00 10,920 11,960 12,480 13,000 13,520
24,200 26,620.00 25,410 27,830 29,040 30,250 31,460
800 880.00 840 920 960 1,000 1,040
10,300 11,330.00 10,815 11,845 12,360 12,875 13,390
1,600 1,760.00 1,680 1,840 1,920 2,000 2,080

47,250 51,975.00 49,613 54,338 56,700 59,063 61,425


54,600 60,060.00 57,330 62,790 65,520 68,250 70,980
1,750 1,925.00 1,838 2,013 2,100 2,188 2,275
150 165.00 158 173 180 188 195
15,550 17,105.00 16,328 17,883 18,660 19,438 20,215
4,900 5,390.00 5,145 5,635 5,880 6,125 6,370
1,750 1,925.00 1,838 2,013 2,100 2,188 2,275
5,600 6,160.00 5,880 6,440 6,720 7,000 7,280
8,500 9,350.00 8,925 9,775 10,200 10,625 11,050

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 26 de 64
Manual Tarifario de medicamentos 2010
CRETARIA DE SALUD DE CUNDINAMARCA

ARIFARIO DE MEDICAMENTOS E INSUMOS AÑO 2011

TARIFA 2011
TARIFA 2011 TARIFA 2011
(ajustada a TARIFA 2011 TARIFA 2011 TARIFA 2011 TARIFA 2011
GRUPO 1 RED GRUPO 1 RED
centena o GRUPO 2 GRUPO 3 GRUPO 4 GRUPO 5
ADSCRITA NO ADSCRITA
decena)

10,200 11,220.00 10,710 11,730 12,240 12,750 13,260


43,800 48,180.00 45,990 50,370 52,560 54,750 56,940
50 55.00 53 58 60 63 65
50 55.00 53 58 60 63 65
263,200 289,520.00 276,360 302,680 315,840 329,000 342,160

16,700 18,370.00 17,535 19,205 20,040 20,875 21,710

25,750 28,325.00 27,038 29,613 30,900 32,188 33,475

30,100 33,110.00 31,605 34,615 36,120 37,625 39,130

44,400 48,840.00 46,620 51,060 53,280 55,500 57,720


500 550.00 525 575 600 625 650
145,000 159,500.00 152,250 166,750 174,000 181,250 188,500

5,500 6,050.00 5,775 6,325 6,600 6,875 7,150

1,550 1,705.00 1,628 1,783 1,860 1,938 2,015


400 440.00 420 460 480 500 520

5,600 6,160.00 5,880 6,440 6,720 7,000 7,280


400 440.00 420 460 480 500 520
29,600 32,560.00 31,080 34,040 35,520 37,000 38,480
7,300 8,030.00 7,665 8,395 8,760 9,125 9,490
16,400 18,040.00 17,220 18,860 19,680 20,500 21,320
229,600 252,560.00 241,080 264,040 275,520 287,000 298,480
7,200 7,920.00 7,560 8,280 8,640 9,000 9,360
250 275.00 263 288 300 313 325
100 110.00 105 115 120 125 130
37,200 40,920.00 39,060 42,780 44,640 46,500 48,360
6,400 7,040.00 6,720 7,360 7,680 8,000 8,320
2,000 2,200.00 2,100 2,300 2,400 2,500 2,600
69,900 76,890.00 73,395 80,385 83,880 87,375 90,870
14,800 16,280.00 15,540 17,020 17,760 18,500 19,240
16,400 18,040.00 17,220 18,860 19,680 20,500 21,320
10,400 11,440.00 10,920 11,960 12,480 13,000 13,520
11,000 12,100.00 11,550 12,650 13,200 13,750 14,300
1,200 1,320.00 1,260 1,380 1,440 1,500 1,560
1,237,100 1,360,810.00 1,298,955 1,422,665 1,484,520 1,546,375 1,608,230
562,400 618,640.00 590,520 646,760 674,880 703,000 731,120
33,400 36,740.00 35,070 38,410 40,080 41,750 43,420

300 330.00 315 345 360 375 390

1,300 1,430.00 1,365 1,495 1,560 1,625 1,690


47,700 52,470.00 50,085 54,855 57,240 59,625 62,010
6,800 7,480.00 7,140 7,820 8,160 8,500 8,840
1,800 1,980.00 1,890 2,070 2,160 2,250 2,340
1,900 2,090.00 1,995 2,185 2,280 2,375 2,470
10,200 11,220.00 10,710 11,730 12,240 12,750 13,260
19,800 21,780.00 20,790 22,770 23,760 24,750 25,740
3,950 4,345.00 4,148 4,543 4,740 4,938 5,135
1,500 1,650.00 1,575 1,725 1,800 1,875 1,950
37,400 41,140.00 39,270 43,010 44,880 46,750 48,620
5,000 5,500.00 5,250 5,750 6,000 6,250 6,500
100 110.00 105 115 120 125 130
200 220.00 210 230 240 250 260

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 27 de 64
Manual Tarifario de medicamentos 2010
CRETARIA DE SALUD DE CUNDINAMARCA

ARIFARIO DE MEDICAMENTOS E INSUMOS AÑO 2011

TARIFA 2011
TARIFA 2011 TARIFA 2011
(ajustada a TARIFA 2011 TARIFA 2011 TARIFA 2011 TARIFA 2011
GRUPO 1 RED GRUPO 1 RED
centena o GRUPO 2 GRUPO 3 GRUPO 4 GRUPO 5
ADSCRITA NO ADSCRITA
decena)

11,150 12,265.00 11,708 12,823 13,380 13,938 14,495


900 990.00 945 1,035 1,080 1,125 1,170
2,000 2,200.00 2,100 2,300 2,400 2,500 2,600
100 110.00 105 115 120 125 130
150 165.00 158 173 180 188 195
100 110.00 105 115 120 125 130
540 594.00 567 621 648 675 702
5,000 5,500.00 5,250 5,750 6,000 6,250 6,500
850 935.00 893 978 1,020 1,063 1,105
900 990.00 945 1,035 1,080 1,125 1,170
1,200 1,320.00 1,260 1,380 1,440 1,500 1,560

9,900 10,890.00 10,395 11,385 11,880 12,375 12,870


1,400 1,540.00 1,470 1,610 1,680 1,750 1,820
34,200 37,620.00 35,910 39,330 41,040 42,750 44,460
63,600 69,960.00 66,780 73,140 76,320 79,500 82,680
23,600 25,960.00 24,780 27,140 28,320 29,500 30,680
22,800 25,080.00 23,940 26,220 27,360 28,500 29,640
1,300 1,430.00 1,365 1,495 1,560 1,625 1,690
272,900 300,190.00 286,545 313,835 327,480 341,125 354,770
50 55.00 53 58 60 63 65
300 330.00 315 345 360 375 390
3,900 4,290.00 4,095 4,485 4,680 4,875 5,070
15,100 16,610.00 15,855 17,365 18,120 18,875 19,630
6,900 7,590.00 7,245 7,935 8,280 8,625 8,970
40,100 44,110.00 42,105 46,115 48,120 50,125 52,130
46,600 51,260.00 48,930 53,590 55,920 58,250 60,580
100 110.00 105 115 120 125 130
1,400 1,540.00 1,470 1,610 1,680 1,750 1,820
35,200 38,720.00 36,960 40,480 42,240 44,000 45,760
1,900 2,090.00 1,995 2,185 2,280 2,375 2,470
50 55.00 53 58 60 63 65

50 55.00 53 58 60 63 65
100 110.00 105 115 120 125 130
50 55.00 53 58 60 63 65

100 110.00 105 115 120 125 130

300 330.00 315 345 360 375 390


100 110.00 105 115 120 125 130
100 110.00 105 115 120 125 130

100 110.00 105 115 120 125 130

100 110.00 105 115 120 125 130

50 55.00 53 58 60 63 65
100 110.00 105 115 120 125 130
100 110.00 105 115 120 125 130

100 110.00 105 115 120 125 130

100 110.00 105 115 120 125 130

100 110.00 105 115 120 125 130


100 110.00 105 115 120 125 130

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 28 de 64
Manual Tarifario de medicamentos 2010
CRETARIA DE SALUD DE CUNDINAMARCA

ARIFARIO DE MEDICAMENTOS E INSUMOS AÑO 2011

TARIFA 2011
TARIFA 2011 TARIFA 2011
(ajustada a TARIFA 2011 TARIFA 2011 TARIFA 2011 TARIFA 2011
GRUPO 1 RED GRUPO 1 RED
centena o GRUPO 2 GRUPO 3 GRUPO 4 GRUPO 5
ADSCRITA NO ADSCRITA
decena)

50 55.00 53 58 60 63 65

100 110.00 105 115 120 125 130

50 55.00 53 58 60 63 65

100 110.00 105 115 120 125 130

50 55.00 53 58 60 63 65

50 55.00 53 58 60 63 65
12,200 13,420.00 12,810 14,030 14,640 15,250 15,860
9,200 10,120.00 9,660 10,580 11,040 11,500 11,960

33,700 37,070.00 35,385 38,755 40,440 42,125 43,810


50 55.00 53 58 60 63 65
500 550.00 525 575 600 625 650
500 550.00 525 575 600 625 650
50 55.00 53 58 60 63 65
2,600 2,860.00 2,730 2,990 3,120 3,250 3,380
700 770.00 735 805 840 875 910
800 880.00 840 920 960 1,000 1,040
111,000 122,100.00 116,550 127,650 133,200 138,750 144,300
267,800 294,580.00 281,190 307,970 321,360 334,750 348,140
100 110.00 105 115 120 125 130

600 660.00 630 690 720 750 780


500 550.00 525 575 600 625 650

400 440.00 420 460 480 500 520

500 550.00 525 575 600 625 650


2,700 2,970.00 2,835 3,105 3,240 3,375 3,510
16,000 17,600.00 16,800 18,400 19,200 20,000 20,800
2,500 2,750.00 2,625 2,875 3,000 3,125 3,250
500 550.00 525 575 600 625 650
1,800 1,980.00 1,890 2,070 2,160 2,250 2,340
50 55.00 53 58 60 63 65
500 550.00 525 575 600 625 650
400 440.00 420 460 480 500 520
23,500 25,850.00 24,675 27,025 28,200 29,375 30,550
700 770.00 735 805 840 875 910
600 660.00 630 690 720 750 780
50 55.00 53 58 60 63 65
50 55.00 53 58 60 63 65
800 880.00 840 920 960 1,000 1,040
8,800 9,680.00 9,240 10,120 10,560 11,000 11,440
6,100 6,710.00 6,405 7,015 7,320 7,625 7,930
400 440.00 420 460 480 500 520
200 220.00 210 230 240 250 260
188,700 207,570.00 198,135 217,005 226,440 235,875 245,310

45,100 49,610.00 47,355 51,865 54,120 56,375 58,630


4,700 5,170.00 4,935 5,405 5,640 5,875 6,110
196,000 215,600.00 205,800 225,400 235,200 245,000 254,800
43,700 48,070.00 45,885 50,255 52,440 54,625 56,810
50 55.00 53 58 60 63 65

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 29 de 64
Manual Tarifario de medicamentos 2010
CRETARIA DE SALUD DE CUNDINAMARCA

ARIFARIO DE MEDICAMENTOS E INSUMOS AÑO 2011

TARIFA 2011
TARIFA 2011 TARIFA 2011
(ajustada a TARIFA 2011 TARIFA 2011 TARIFA 2011 TARIFA 2011
GRUPO 1 RED GRUPO 1 RED
centena o GRUPO 2 GRUPO 3 GRUPO 4 GRUPO 5
ADSCRITA NO ADSCRITA
decena)

1,800 1,980.00 1,890 2,070 2,160 2,250 2,340


200 220.00 210 230 240 250 260
1,000 1,100.00 1,050 1,150 1,200 1,250 1,300
5,000 5,500.00 5,250 5,750 6,000 6,250 6,500
2,300 2,530.00 2,415 2,645 2,760 2,875 2,990
300 330.00 315 345 360 375 390
1,400 1,540.00 1,470 1,610 1,680 1,750 1,820
14,800 16,280.00 15,540 17,020 17,760 18,500 19,240
100 110.00 105 115 120 125 130
3,300 3,630.00 3,465 3,795 3,960 4,125 4,290
37,000 40,700.00 38,850 42,550 44,400 46,250 48,100
53,200 58,520.00 55,860 61,180 63,840 66,500 69,160
1,300 1,430.00 1,365 1,495 1,560 1,625 1,690

28,100 30,910.00 29,505 32,315 33,720 35,125 36,530


700 770.00 735 805 840 875 910
100 110.00 105 115 120 125 130
300 330.00 315 345 360 375 390

800 880.00 840 920 960 1,000 1,040


870,000 957,000.00 913,500 1,000,500 1,044,000 1,087,500 1,131,000
1,700 1,870.00 1,785 1,955 2,040 2,125 2,210
50 55.00 53 58 60 63 65
50 55.00 53 58 60 63 65
24,600 27,060.00 25,830 28,290 29,520 30,750 31,980
67,000 73,700.00 70,350 77,050 80,400 83,750 87,100
600 660.00 630 690 720 750 780
400 440.00 420 460 480 500 520
2,400 2,640.00 2,520 2,760 2,880 3,000 3,120
1,200 1,320.00 1,260 1,380 1,440 1,500 1,560
204,300 224,730.00 214,515 234,945 245,160 255,375 265,590
300,500 330,550.00 315,525 345,575 360,600 375,625 390,650

2,171,800 2,388,980.00 2,280,390 2,497,570 2,606,160 2,714,750 2,823,340

1,560,300 1,716,330.00 1,638,315 1,794,345 1,872,360 1,950,375 2,028,390

395,900 435,490.00 415,695 455,285 475,080 494,875 514,670

2,281,700 2,509,870.00 2,395,785 2,623,955 2,738,040 2,852,125 2,966,210

1,967,500 2,164,250.00 2,065,875 2,262,625 2,361,000 2,459,375 2,557,750

614,500 675,950.00 645,225 706,675 737,400 768,125 798,850


668,800 735,680.00 702,240 769,120 802,560 836,000 869,440

147,900 162,690.00 155,295 170,085 177,480 184,875 192,270


400,300 440,330.00 420,315 460,345 480,360 500,375 520,390

3,498,000 3,847,800.00 3,672,900 4,022,700 4,197,600 4,372,500 4,547,400

788,100 866,910.00 827,505 906,315 945,720 985,125 1,024,530


1,086,700 1,195,370.00 1,141,035 1,249,705 1,304,040 1,358,375 1,412,710
21,200 23,320.00 22,260 24,380 25,440 26,500 27,560
57,000 62,700.00 59,850 65,550 68,400 71,250 74,100
97,500 107,250.00 102,375 112,125 117,000 121,875 126,750

2,500 2,750.00 2,625 2,875 3,000 3,125 3,250

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 30 de 64
Manual Tarifario de medicamentos 2010
CRETARIA DE SALUD DE CUNDINAMARCA

ARIFARIO DE MEDICAMENTOS E INSUMOS AÑO 2011

TARIFA 2011
TARIFA 2011 TARIFA 2011
(ajustada a TARIFA 2011 TARIFA 2011 TARIFA 2011 TARIFA 2011
GRUPO 1 RED GRUPO 1 RED
centena o GRUPO 2 GRUPO 3 GRUPO 4 GRUPO 5
ADSCRITA NO ADSCRITA
decena)

3,000 3,300.00 3,150 3,450 3,600 3,750 3,900

39,600 43,560.00 41,580 45,540 47,520 49,500 51,480


76,600 84,260.00 80,430 88,090 91,920 95,750 99,580
1,362,000 1,498,200.00 1,430,100 1,566,300 1,634,400 1,702,500 1,770,600
38,000 41,800.00 39,900 43,700 45,600 47,500 49,400
1,300 1,430.00 1,365 1,495 1,560 1,625 1,690
1,400 1,540.00 1,470 1,610 1,680 1,750 1,820
1,500 1,650.00 1,575 1,725 1,800 1,875 1,950
77,100 84,810.00 80,955 88,665 92,520 96,375 100,230

40,200 44,220.00 42,210 46,230 48,240 50,250 52,260

36,100 39,710.00 37,905 41,515 43,320 45,125 46,930


7,700 8,470.00 8,085 8,855 9,240 9,625 10,010
10,400 11,440.00 10,920 11,960 12,480 13,000 13,520
14,000 15,400.00 14,700 16,100 16,800 17,500 18,200
15,800 17,380.00 16,590 18,170 18,960 19,750 20,540
300 330.00 315 345 360 375 390
100 110.00 105 115 120 125 130
200 220.00 210 230 240 250 260
3,500 3,850.00 3,675 4,025 4,200 4,375 4,550
3,000 3,300.00 3,150 3,450 3,600 3,750 3,900
10,200 11,220.00 10,710 11,730 12,240 12,750 13,260
3,500 3,850.00 3,675 4,025 4,200 4,375 4,550
16,500 18,150.00 17,325 18,975 19,800 20,625 21,450
10,300 11,330.00 10,815 11,845 12,360 12,875 13,390
7,700 8,470.00 8,085 8,855 9,240 9,625 10,010
100 110.00 105 115 120 125 130
100 110.00 105 115 120 125 130
700 770.00 735 805 840 875 910
1,800 1,980.00 1,890 2,070 2,160 2,250 2,340
100 110.00 105 115 120 125 130
88,800 97,680.00 93,240 102,120 106,560 111,000 115,440
5,000 5,500.00 5,250 5,750 6,000 6,250 6,500
1,300 1,430.00 1,365 1,495 1,560 1,625 1,690
800 880.00 840 920 960 1,000 1,040
900 990.00 945 1,035 1,080 1,125 1,170
9,000 9,900.00 9,450 10,350 10,800 11,250 11,700
2,500 2,750.00 2,625 2,875 3,000 3,125 3,250
4,700 5,170.00 4,935 5,405 5,640 5,875 6,110
1,000,800 1,100,880.00 1,050,840 1,150,920 1,200,960 1,251,000 1,301,040
406,900 447,590.00 427,245 467,935 488,280 508,625 528,970
539,000 592,900.00 565,950 619,850 646,800 673,750 700,700
5,000 5,500.00 5,250 5,750 6,000 6,250 6,500
314,400 345,840.00 330,120 361,560 377,280 393,000 408,720
6,900 7,590.00 7,245 7,935 8,280 8,625 8,970
116,600 128,260.00 122,430 134,090 139,920 145,750 151,580
32,800 36,080.00 34,440 37,720 39,360 41,000 42,640
1,400 1,540.00 1,470 1,610 1,680 1,750 1,820
3,200 3,520.00 3,360 3,680 3,840 4,000 4,160
1,300 1,430.00 1,365 1,495 1,560 1,625 1,690
600 660.00 630 690 720 750 780

900 990.00 945 1,035 1,080 1,125 1,170

300 330.00 315 345 360 375 390

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 31 de 64
Manual Tarifario de medicamentos 2010
CRETARIA DE SALUD DE CUNDINAMARCA

ARIFARIO DE MEDICAMENTOS E INSUMOS AÑO 2011

TARIFA 2011
TARIFA 2011 TARIFA 2011
(ajustada a TARIFA 2011 TARIFA 2011 TARIFA 2011 TARIFA 2011
GRUPO 1 RED GRUPO 1 RED
centena o GRUPO 2 GRUPO 3 GRUPO 4 GRUPO 5
ADSCRITA NO ADSCRITA
decena)

800 880.00 840 920 960 1,000 1,040


14,900 16,390.00 15,645 17,135 17,880 18,625 19,370
154,200 169,620.00 161,910 177,330 185,040 192,750 200,460
800 880.00 840 920 960 1,000 1,040
3,472,000 3,819,200.00 3,645,600 3,992,800 4,166,400 4,340,000 4,513,600
200 220.00 210 230 240 250 260
100 110.00 105 115 120 125 130
100 110.00 105 115 120 125 130

4,500 4,950.00 4,725 5,175 5,400 5,625 5,850

7,000 7,700.00 7,350 8,050 8,400 8,750 9,100


38,100 41,910.00 40,005 43,815 45,720 47,625 49,530
400 440.00 420 460 480 500 520
600 660.00 630 690 720 750 780
200 220.00 210 230 240 250 260
8,500 9,350.00 8,925 9,775 10,200 10,625 11,050
300 330.00 315 345 360 375 390
100 110.00 105 115 120 125 130
25,300 27,830.00 26,565 29,095 30,360 31,625 32,890
12,500 13,750.00 13,125 14,375 15,000 15,625 16,250
700 770.00 735 805 840 875 910
500 550.00 525 575 600 625 650
100 110.00 105 115 120 125 130
300 330.00 315 345 360 375 390
200 220.00 210 230 240 250 260
100 110.00 105 115 120 125 130
9,700 10,670.00 10,185 11,155 11,640 12,125 12,610
205,000 225,500.00 215,250 235,750 246,000 256,250 266,500
25,400 27,940.00 26,670 29,210 30,480 31,750 33,020
50 55.00 53 58 60 63 65
100 110.00 105 115 120 125 130
400 440.00 420 460 480 500 520
50 55.00 53 58 60 63 65
100 110.00 105 115 120 125 130
400 440.00 420 460 480 500 520
50 55.00 53 58 60 63 65
700 770.00 735 805 840 875 910
19,000 20,900.00 19,950 21,850 22,800 23,750 24,700
1,300 1,430.00 1,365 1,495 1,560 1,625 1,690
17,500 19,250.00 18,375 20,125 21,000 21,875 22,750
6,000 6,600.00 6,300 6,900 7,200 7,500 7,800
8,800 9,680.00 9,240 10,120 10,560 11,000 11,440
1,200 1,320.00 1,260 1,380 1,440 1,500 1,560
100 110.00 105 115 120 125 130
7,400 8,140.00 7,770 8,510 8,880 9,250 9,620
300 330.00 315 345 360 375 390
24,900 27,390.00 26,145 28,635 29,880 31,125 32,370
400 440.00 420 460 480 500 520
22,400 24,640.00 23,520 25,760 26,880 28,000 29,120
41,700 45,870.00 43,785 47,955 50,040 52,125 54,210

1,000 1,100.00 1,050 1,150 1,200 1,250 1,300


2,400 2,640.00 2,520 2,760 2,880 3,000 3,120
100 110.00 105 115 120 125 130
2,000 2,200.00 2,100 2,300 2,400 2,500 2,600
2,300 2,530.00 2,415 2,645 2,760 2,875 2,990

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 32 de 64
Manual Tarifario de medicamentos 2010
CRETARIA DE SALUD DE CUNDINAMARCA

ARIFARIO DE MEDICAMENTOS E INSUMOS AÑO 2011

TARIFA 2011
TARIFA 2011 TARIFA 2011
(ajustada a TARIFA 2011 TARIFA 2011 TARIFA 2011 TARIFA 2011
GRUPO 1 RED GRUPO 1 RED
centena o GRUPO 2 GRUPO 3 GRUPO 4 GRUPO 5
ADSCRITA NO ADSCRITA
decena)

78,400 86,240.00 82,320 90,160 94,080 98,000 101,920


62,400 68,640.00 65,520 71,760 74,880 78,000 81,120
5,900 6,490.00 6,195 6,785 7,080 7,375 7,670
2,500 2,750.00 2,625 2,875 3,000 3,125 3,250
12,400 13,640.00 13,020 14,260 14,880 15,500 16,120
1,700 1,870.00 1,785 1,955 2,040 2,125 2,210
5,000 5,500.00 5,250 5,750 6,000 6,250 6,500
300 330.00 315 345 360 375 390
900 990.00 945 1,035 1,080 1,125 1,170
14,100 15,510.00 14,805 16,215 16,920 17,625 18,330
16,800 18,480.00 17,640 19,320 20,160 21,000 21,840
11,900 13,090.00 12,495 13,685 14,280 14,875 15,470

28,800 31,680.00 30,240 33,120 34,560 36,000 37,440

43,000 47,300.00 45,150 49,450 51,600 53,750 55,900


800 880.00 840 920 960 1,000 1,040
300 330.00 315 345 360 375 390
100 110.00 105 115 120 125 130

3,200 3,520.00 3,360 3,680 3,840 4,000 4,160

1,000 1,100.00 1,050 1,150 1,200 1,250 1,300

400 440.00 420 460 480 500 520


50 55.00 53 58 60 63 65
5,000 5,500.00 5,250 5,750 6,000 6,250 6,500
50 55.00 53 58 60 63 65
100 110.00 105 115 120 125 130

13,900 15,290.00 14,595 15,985 16,680 17,375 18,070


62,000 68,200.00 65,100 71,300 74,400 77,500 80,600
400 440.00 420 460 480 500 520
400 440.00 420 460 480 500 520

1,800 1,980.00 1,890 2,070 2,160 2,250 2,340

50 55.00 53 58 60 63 65
500 550.00 525 575 600 625 650
100 110.00 105 115 120 125 130
2,300 2,530.00 2,415 2,645 2,760 2,875 2,990
100 110.00 105 115 120 125 130
100 110.00 105 115 120 125 130
16,700 18,370.00 17,535 19,205 20,040 20,875 21,710
7,200 7,920.00 7,560 8,280 8,640 9,000 9,360
3,800 4,180.00 3,990 4,370 4,560 4,750 4,940
2,300 2,530.00 2,415 2,645 2,760 2,875 2,990
140,800 154,880.00 147,840 161,920 168,960 176,000 183,040
1,000 1,100.00 1,050 1,150 1,200 1,250 1,300
2,200 2,420.00 2,310 2,530 2,640 2,750 2,860
83,100 91,410.00 87,255 95,565 99,720 103,875 108,030
23,600 25,960.00 24,780 27,140 28,320 29,500 30,680
2,300 2,530.00 2,415 2,645 2,760 2,875 2,990
1,200 1,320.00 1,260 1,380 1,440 1,500 1,560
11,600 12,760.00 12,180 13,340 13,920 14,500 15,080
5,000 5,500.00 5,250 5,750 6,000 6,250 6,500
9,500 10,450.00 9,975 10,925 11,400 11,875 12,350
36,900 40,590.00 38,745 42,435 44,280 46,125 47,970

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 33 de 64
Manual Tarifario de medicamentos 2010
CRETARIA DE SALUD DE CUNDINAMARCA

ARIFARIO DE MEDICAMENTOS E INSUMOS AÑO 2011

TARIFA 2011
TARIFA 2011 TARIFA 2011
(ajustada a TARIFA 2011 TARIFA 2011 TARIFA 2011 TARIFA 2011
GRUPO 1 RED GRUPO 1 RED
centena o GRUPO 2 GRUPO 3 GRUPO 4 GRUPO 5
ADSCRITA NO ADSCRITA
decena)

42,700 46,970.00 44,835 49,105 51,240 53,375 55,510


8,400 9,240.00 8,820 9,660 10,080 10,500 10,920
100 110.00 105 115 120 125 130
400 440.00 420 460 480 500 520
800 880.00 840 920 960 1,000 1,040

10,800 11,880.00 11,340 12,420 12,960 13,500 14,040

15,400 16,940.00 16,170 17,710 18,480 19,250 20,020

14,600 16,060.00 15,330 16,790 17,520 18,250 18,980

22,100 24,310.00 23,205 25,415 26,520 27,625 28,730


6,600 7,260.00 6,930 7,590 7,920 8,250 8,580
30,400 33,440.00 31,920 34,960 36,480 38,000 39,520
26,300 28,930.00 27,615 30,245 31,560 32,875 34,190
2,300 2,530.00 2,415 2,645 2,760 2,875 2,990
50 55.00 53 58 60 63 65
100 110.00 105 115 120 125 130
300 330.00 315 345 360 375 390

3,000 3,300.00 3,150 3,450 3,600 3,750 3,900


1,000 1,100.00 1,050 1,150 1,200 1,250 1,300
3,300 3,630.00 3,465 3,795 3,960 4,125 4,290
558,500 614,350.00 586,425 642,275 670,200 698,125 726,050
100 110.00 105 115 120 125 130
800 880.00 840 920 960 1,000 1,040
269,100 296,010.00 282,555 309,465 322,920 336,375 349,830
2,000 2,200.00 2,100 2,300 2,400 2,500 2,600
400 440.00 420 460 480 500 520
47,900 52,690.00 50,295 55,085 57,480 59,875 62,270
600 660.00 630 690 720 750 780
200 220.00 210 230 240 250 260
9,900 10,890.00 10,395 11,385 11,880 12,375 12,870
500 550.00 525 575 600 625 650
2,000 2,200.00 2,100 2,300 2,400 2,500 2,600
500 550.00 525 575 600 625 650
900 990.00 945 1,035 1,080 1,125 1,170
300 330.00 315 345 360 375 390
9,800 10,780.00 10,290 11,270 11,760 12,250 12,740
73,300 80,630.00 76,965 84,295 87,960 91,625 95,290
400 440.00 420 460 480 500 520
15,700 17,270.00 16,485 18,055 18,840 19,625 20,410
9,200 10,120.00 9,660 10,580 11,040 11,500 11,960

14,900 16,390.00 15,645 17,135 17,880 18,625 19,370

19,900 21,890.00 20,895 22,885 23,880 24,875 25,870


100 110.00 105 115 120 125 130
48,300 53,130.00 50,715 55,545 57,960 60,375 62,790
5,600 6,160.00 5,880 6,440 6,720 7,000 7,280
600 660.00 630 690 720 750 780
11,800 12,980.00 12,390 13,570 14,160 14,750 15,340
50 55.00 53 58 60 63 65
4,200 4,620.00 4,410 4,830 5,040 5,250 5,460
5,000 5,500.00 5,250 5,750 6,000 6,250 6,500
27,700 30,470.00 29,085 31,855 33,240 34,625 36,010
1,200 1,320.00 1,260 1,380 1,440 1,500 1,560

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 34 de 64
Manual Tarifario de medicamentos 2010
CRETARIA DE SALUD DE CUNDINAMARCA

ARIFARIO DE MEDICAMENTOS E INSUMOS AÑO 2011

TARIFA 2011
TARIFA 2011 TARIFA 2011
(ajustada a TARIFA 2011 TARIFA 2011 TARIFA 2011 TARIFA 2011
GRUPO 1 RED GRUPO 1 RED
centena o GRUPO 2 GRUPO 3 GRUPO 4 GRUPO 5
ADSCRITA NO ADSCRITA
decena)

59,700 65,670.00 62,685 68,655 71,640 74,625 77,610


1,200 1,320.00 1,260 1,380 1,440 1,500 1,560
2,000 2,200.00 2,100 2,300 2,400 2,500 2,600
1,000 1,100.00 1,050 1,150 1,200 1,250 1,300
23,200 25,520.00 24,360 26,680 27,840 29,000 30,160
9,000 9,900.00 9,450 10,350 10,800 11,250 11,700
14,300 15,730.00 15,015 16,445 17,160 17,875 18,590
22,500 24,750.00 23,625 25,875 27,000 28,125 29,250
11,000 12,100.00 11,550 12,650 13,200 13,750 14,300
1,800 1,980.00 1,890 2,070 2,160 2,250 2,340
2,000 2,200.00 2,100 2,300 2,400 2,500 2,600
2,000 2,200.00 2,100 2,300 2,400 2,500 2,600
2,300 2,530.00 2,415 2,645 2,760 2,875 2,990
1,500 1,650.00 1,575 1,725 1,800 1,875 1,950
1,600 1,760.00 1,680 1,840 1,920 2,000 2,080
79,700 87,670.00 83,685 91,655 95,640 99,625 103,610
2,593,300 2,852,630.00 2,722,965 2,982,295 3,111,960 3,241,625 3,371,290
6,700 7,370.00 7,035 7,705 8,040 8,375 8,710
27,600 30,360.00 28,980 31,740 33,120 34,500 35,880
1,700 1,870.00 1,785 1,955 2,040 2,125 2,210
35,800 39,380.00 37,590 41,170 42,960 44,750 46,540
3,200 3,520.00 3,360 3,680 3,840 4,000 4,160

100 110.00 105 115 120 125 130

700 770.00 735 805 840 875 910


1,200 1,320.00 1,260 1,380 1,440 1,500 1,560
1,400 1,540.00 1,470 1,610 1,680 1,750 1,820
1,200 1,320.00 1,260 1,380 1,440 1,500 1,560
1,300 1,430.00 1,365 1,495 1,560 1,625 1,690
1,000 1,100.00 1,050 1,150 1,200 1,250 1,300
1,300 1,430.00 1,365 1,495 1,560 1,625 1,690
58,700 64,570.00 61,635 67,505 70,440 73,375 76,310
343,600 377,960.00 360,780 395,140 412,320 429,500 446,680
5,000 5,500.00 5,250 5,750 6,000 6,250 6,500
400 440.00 420 460 480 500 520
16,200 17,820.00 17,010 18,630 19,440 20,250 21,060

8,200 9,020.00 8,610 9,430 9,840 10,250 10,660

28,300 31,130.00 29,715 32,545 33,960 35,375 36,790

20,500 22,550.00 21,525 23,575 24,600 25,625 26,650


49,000 53,900.00 51,450 56,350 58,800 61,250 63,700
100 110.00 105 115 120 125 130
19,900 21,890.00 20,895 22,885 23,880 24,875 25,870
300 330.00 315 345 360 375 390
100 110.00 105 115 120 125 130
2,700 2,970.00 2,835 3,105 3,240 3,375 3,510

500 550.00 525 575 600 625 650


100 110.00 105 115 120 125 130
27,400 30,140.00 28,770 31,510 32,880 34,250 35,620

23,700 26,070.00 24,885 27,255 28,440 29,625 30,810


35,500 39,050.00 37,275 40,825 42,600 44,375 46,150

7,400 8,140.00 7,770 8,510 8,880 9,250 9,620

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 35 de 64
Manual Tarifario de medicamentos 2010
CRETARIA DE SALUD DE CUNDINAMARCA

ARIFARIO DE MEDICAMENTOS E INSUMOS AÑO 2011

TARIFA 2011
TARIFA 2011 TARIFA 2011
(ajustada a TARIFA 2011 TARIFA 2011 TARIFA 2011 TARIFA 2011
GRUPO 1 RED GRUPO 1 RED
centena o GRUPO 2 GRUPO 3 GRUPO 4 GRUPO 5
ADSCRITA NO ADSCRITA
decena)

50 55.00 53 58 60 63 65

13,100 14,410.00 13,755 15,065 15,720 16,375 17,030


13,300 14,630.00 13,965 15,295 15,960 16,625 17,290
4,500 4,950.00 4,725 5,175 5,400 5,625 5,850
3,400 3,740.00 3,570 3,910 4,080 4,250 4,420
3,800 4,180.00 3,990 4,370 4,560 4,750 4,940
14,800 16,280.00 15,540 17,020 17,760 18,500 19,240
400 440.00 420 460 480 500 520
22,600 24,860.00 23,730 25,990 27,120 28,250 29,380
50 55.00 53 58 60 63 65
700 770.00 735 805 840 875 910
18,200 20,020.00 19,110 20,930 21,840 22,750 23,660

1,300 1,430.00 1,365 1,495 1,560 1,625 1,690


1,300 1,430.00 1,365 1,495 1,560 1,625 1,690
200 220.00 210 230 240 250 260
6,000 6,600.00 6,300 6,900 7,200 7,500 7,800
400 440.00 420 460 480 500 520
400 440.00 420 460 480 500 520
14,500 15,950.00 15,225 16,675 17,400 18,125 18,850
300 330.00 315 345 360 375 390
15,000 16,500.00 15,750 17,250 18,000 18,750 19,500
8,800 9,680.00 9,240 10,120 10,560 11,000 11,440
21,000 23,100.00 22,050 24,150 25,200 26,250 27,300
50 55.00 53 58 60 63 65
100 110.00 105 115 120 125 130
12,800 14,080.00 13,440 14,720 15,360 16,000 16,640
25,000 27,500.00 26,250 28,750 30,000 31,250 32,500
300 330.00 315 345 360 375 390
50 55.00 53 58 60 63 65
100 110.00 105 115 120 125 130
47,600 52,360.00 49,980 54,740 57,120 59,500 61,880

81,400 89,540.00 85,470 93,610 97,680 101,750 105,820


12,700 13,970.00 13,335 14,605 15,240 15,875 16,510
6,500 7,150.00 6,825 7,475 7,800 8,125 8,450
200 220.00 210 230 240 250 260
18,500 20,350.00 19,425 21,275 22,200 23,125 24,050
45,200 49,720.00 47,460 51,980 54,240 56,500 58,760
1,500 1,650.00 1,575 1,725 1,800 1,875 1,950
2,900 3,190.00 3,045 3,335 3,480 3,625 3,770
1,900 2,090.00 1,995 2,185 2,280 2,375 2,470
12,300 13,530.00 12,915 14,145 14,760 15,375 15,990
2,000 2,200.00 2,100 2,300 2,400 2,500 2,600
3,700 4,070.00 3,885 4,255 4,440 4,625 4,810
6,600 7,260.00 6,930 7,590 7,920 8,250 8,580
4,300 4,730.00 4,515 4,945 5,160 5,375 5,590
346,700 381,370.00 364,035 398,705 416,040 433,375 450,710
429,200 472,120.00 450,660 493,580 515,040 536,500 557,960
4,000 4,400.00 4,200 4,600 4,800 5,000 5,200
10,000 11,000.00 10,500 11,500 12,000 12,500 13,000
13,000 14,300.00 13,650 14,950 15,600 16,250 16,900
1,000,400 1,100,440.00 1,050,420 1,150,460 1,200,480 1,250,500 1,300,520
2,900 3,190.00 3,045 3,335 3,480 3,625 3,770
10,000 11,000.00 10,500 11,500 12,000 12,500 13,000
37,500 41,250.00 39,375 43,125 45,000 46,875 48,750
50 55.00 53 58 60 63 65

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 36 de 64
Manual Tarifario de medicamentos 2010
CRETARIA DE SALUD DE CUNDINAMARCA

ARIFARIO DE MEDICAMENTOS E INSUMOS AÑO 2011

TARIFA 2011
TARIFA 2011 TARIFA 2011
(ajustada a TARIFA 2011 TARIFA 2011 TARIFA 2011 TARIFA 2011
GRUPO 1 RED GRUPO 1 RED
centena o GRUPO 2 GRUPO 3 GRUPO 4 GRUPO 5
ADSCRITA NO ADSCRITA
decena)

4,000 4,400.00 4,200 4,600 4,800 5,000 5,200


10,000 11,000.00 10,500 11,500 12,000 12,500 13,000
8,100 8,910.00 8,505 9,315 9,720 10,125 10,530
50 55.00 53 58 60 63 65
100 110.00 105 115 120 125 130
400 440.00 420 460 480 500 520
3,300 3,630.00 3,465 3,795 3,960 4,125 4,290
4,600 5,060.00 4,830 5,290 5,520 5,750 5,980
7,200 7,920.00 7,560 8,280 8,640 9,000 9,360
1,000 1,100.00 1,050 1,150 1,200 1,250 1,300
400 440.00 420 460 480 500 520
500 550.00 525 575 600 625 650
300 330.00 315 345 360 375 390
4,400 4,840.00 4,620 5,060 5,280 5,500 5,720
1,800 1,980.00 1,890 2,070 2,160 2,250 2,340
600 660.00 630 690 720 750 780
100 110.00 105 115 120 125 130
600 660.00 630 690 720 750 780

24,000 26,400.00 25,200 27,600 28,800 30,000 31,200


800 880.00 840 920 960 1,000 1,040
16,900 18,590.00 17,745 19,435 20,280 21,125 21,970
1,400 1,540.00 1,470 1,610 1,680 1,750 1,820
1,200 1,320.00 1,260 1,380 1,440 1,500 1,560
1,400 1,540.00 1,470 1,610 1,680 1,750 1,820
2,900 3,190.00 3,045 3,335 3,480 3,625 3,770
1,800 1,980.00 1,890 2,070 2,160 2,250 2,340
1,500 1,650.00 1,575 1,725 1,800 1,875 1,950
800 880.00 840 920 960 1,000 1,040
600 660.00 630 690 720 750 780
400 440.00 420 460 480 500 520
400 440.00 420 460 480 500 520
600 660.00 630 690 720 750 780
600 660.00 630 690 720 750 780

700 770.00 735 805 840 875 910

900 990.00 945 1,035 1,080 1,125 1,170


2,500 2,750.00 2,625 2,875 3,000 3,125 3,250
3,300 3,630.00 3,465 3,795 3,960 4,125 4,290
4,500 4,950.00 4,725 5,175 5,400 5,625 5,850
26,900 29,590.00 28,245 30,935 32,280 33,625 34,970
422,300 464,530.00 443,415 485,645 506,760 527,875 548,990

15,400 16,940.00 16,170 17,710 18,480 19,250 20,020

18,800 20,680.00 19,740 21,620 22,560 23,500 24,440

24,800 27,280.00 26,040 28,520 29,760 31,000 32,240


24,800 27,280.00 26,040 28,520 29,760 31,000 32,240
22,800 25,080.00 23,940 26,220 27,360 28,500 29,640
22,800 25,080.00 23,940 26,220 27,360 28,500 29,640
462,400 508,640.00 485,520 531,760 554,880 578,000 601,120
407,100 447,810.00 427,455 468,165 488,520 508,875 529,230
11,300 12,430.00 11,865 12,995 13,560 14,125 14,690
700 770.00 735 805 840 875 910
100 110.00 105 115 120 125 130

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 37 de 64
Manual Tarifario de medicamentos 2010
CRETARIA DE SALUD DE CUNDINAMARCA

ARIFARIO DE MEDICAMENTOS E INSUMOS AÑO 2011

TARIFA 2011
TARIFA 2011 TARIFA 2011
(ajustada a TARIFA 2011 TARIFA 2011 TARIFA 2011 TARIFA 2011
GRUPO 1 RED GRUPO 1 RED
centena o GRUPO 2 GRUPO 3 GRUPO 4 GRUPO 5
ADSCRITA NO ADSCRITA
decena)

73,800 81,180.00 77,490 84,870 88,560 92,250 95,940


73,800 81,180.00 77,490 84,870 88,560 92,250 95,940
373,700 411,070.00 392,385 429,755 448,440 467,125 485,810
86,300 94,930.00 90,615 99,245 103,560 107,875 112,190
5,000 5,500.00 5,250 5,750 6,000 6,250 6,500
400 440.00 420 460 480 500 520
200 220.00 210 230 240 250 260
1,400 1,540.00 1,470 1,610 1,680 1,750 1,820
50 55.00 53 58 60 63 65
50 55.00 53 58 60 63 65
50 55.00 53 58 60 63 65
50 55.00 53 58 60 63 65
1,333,300 1,466,630.00 1,399,965 1,533,295 1,599,960 1,666,625 1,733,290
847,300 932,030.00 889,665 974,395 1,016,760 1,059,125 1,101,490
1,518,300 1,670,130.00 1,594,215 1,746,045 1,821,960 1,897,875 1,973,790
2,654,400 2,919,840.00 2,787,120 3,052,560 3,185,280 3,318,000 3,450,720
24,700 27,170.00 25,935 28,405 29,640 30,875 32,110
37,300 41,030.00 39,165 42,895 44,760 46,625 48,490
13,100 14,410.00 13,755 15,065 15,720 16,375 17,030
66,100 72,710.00 69,405 76,015 79,320 82,625 85,930
97,500 107,250.00 102,375 112,125 117,000 121,875 126,750
13,300 14,630.00 13,965 15,295 15,960 16,625 17,290
900 990.00 945 1,035 1,080 1,125 1,170
400 440.00 420 460 480 500 520
2,200 2,420.00 2,310 2,530 2,640 2,750 2,860
6,200 6,820.00 6,510 7,130 7,440 7,750 8,060
100 110.00 105 115 120 125 130
300 330.00 315 345 360 375 390
2,300 2,530.00 2,415 2,645 2,760 2,875 2,990
2,000 2,200.00 2,100 2,300 2,400 2,500 2,600
2,000 2,200.00 2,100 2,300 2,400 2,500 2,600
3,300 3,630.00 3,465 3,795 3,960 4,125 4,290
5,900 6,490.00 6,195 6,785 7,080 7,375 7,670
5,500 6,050.00 5,775 6,325 6,600 6,875 7,150
1,000 1,100.00 1,050 1,150 1,200 1,250 1,300
1,000 1,100.00 1,050 1,150 1,200 1,250 1,300
300 330.00 315 345 360 375 390
18,200 20,020.00 19,110 20,930 21,840 22,750 23,660
200 220.00 210 230 240 250 260
350 385.00 368 403 420 438 455
2,300 2,530.00 2,415 2,645 2,760 2,875 2,990
100 110.00 105 115 120 125 130
225,300 247,830.00 236,565 259,095 270,360 281,625 292,890
400 440.00 420 460 480 500 520
600 660.00 630 690 720 750 780
1,400 1,540.00 1,470 1,610 1,680 1,750 1,820
100 110.00 105 115 120 125 130
12,400 13,640.00 13,020 14,260 14,880 15,500 16,120
10,000 11,000.00 10,500 11,500 12,000 12,500 13,000
2,500 2,750.00 2,625 2,875 3,000 3,125 3,250
500 550.00 525 575 600 625 650
5,700 6,270.00 5,985 6,555 6,840 7,125 7,410
935,000 1,028,500.00 981,750 1,075,250 1,122,000 1,168,750 1,215,500
8,500 9,350.00 8,925 9,775 10,200 10,625 11,050
8,800 9,680.00 9,240 10,120 10,560 11,000 11,440
3,900 4,290.00 4,095 4,485 4,680 4,875 5,070
4,800 5,280.00 5,040 5,520 5,760 6,000 6,240
978,000 1,075,800.00 1,026,900 1,124,700 1,173,600 1,222,500 1,271,400

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 38 de 64
Manual Tarifario de medicamentos 2010
CRETARIA DE SALUD DE CUNDINAMARCA

ARIFARIO DE MEDICAMENTOS E INSUMOS AÑO 2011

TARIFA 2011
TARIFA 2011 TARIFA 2011
(ajustada a TARIFA 2011 TARIFA 2011 TARIFA 2011 TARIFA 2011
GRUPO 1 RED GRUPO 1 RED
centena o GRUPO 2 GRUPO 3 GRUPO 4 GRUPO 5
ADSCRITA NO ADSCRITA
decena)

6,400 7,040.00 6,720 7,360 7,680 8,000 8,320


7,000 7,700.00 7350 8050 8,400 8,750 9,100
30,800 33,880.00 32340 35420 36,960 38,500 40,040
200 220.00 210 230 240 250 260
1,800 1,980.00 1890 2070 2,160 2,250 2,340
500 550.00 525 575 600 625 650
600 660.00 630 690 720 750 780
5,000 5,500.00 5250 5750 6,000 6,250 6,500
1,000 1,100.00 1050 1150 1,200 1,250 1,300
150 165.00 157.5 172.5 180 188 195
11,300 12,430.00 11865 12995 13,560 14,125 14,690
700 770.00 735 805 840 875 910
100 110.00 105 115 120 125 130

50 55.00 52.5 57.5 60 63 65

27,900 30,690.00 29295 32085 33,480 34,875 36,270

50 55.00 52.5 57.5 60 63 65


1,000 1,100.00 1050 1150 1,200 1,250 1,300
100 110.00 105 115 120 125 130
325,700 358,270.00 341985 374555 390,840 407,125 423,410
11,900 13,090.00 12495 13685 14,280 14,875 15,470
104,800 115,280.00 110040 120520 125,760 131,000 136,240
3,600 3,960.00 3780 4140 4,320 4,500 4,680
87,900 96,690.00 92295 101085 105,480 109,875 114,270
59,500 65,450.00 62475 68425 71,400 74,375 77,350
14,800 16,280.00 15540 17020 17,760 18,500 19,240
6,500 7,150.00 6825 7475 7,800 8,125 8,450
11,600 12,760.00 12180 13340 13,920 14,500 15,080
10,100 11,110.00 10605 11615 12,120 12,625 13,130

32,000 35,200.00 33600 36800 38,400 40,000 41,600

32,000 35,200.00 33600 36800 38,400 40,000 41,600

97,800 107,580.00 102690 112470 117,360 122,250 127,140


78,000 85,800.00 81900 89700 93,600 97,500 101,400

26,100 28,710.00 27405 30015 31,320 32,625 33,930


46,000 50,600.00 48300 52900 55,200 57,500 59,800
296,200 325,820.00 311010 340630 355,440 370,250 385,060
92,700 101,970.00 97335 106605 111,240 115,875 120,510

7,800 8,580.00 8190 8970 9,360 9,750 10,140


33,500 36,850.00 35175 38525 40,200 41,875 43,550
2,000 2,200.00 2100 2300 2,400 2,500 2,600
900 990.00 945 1035 1,080 1,125 1,170
10,000 11,000.00 10500 11500 12,000 12,500 13,000
33,200 36,520.00 34860 38180 39,840 41,500 43,160
42,800 47,080.00 44940 49220 51,360 53,500 55,640
44,400 48,840.00 46620 51060 53,280 55,500 57,720
11,700 12,870.00 12285 13455 14,040 14,625 15,210
6,300 6,930.00 6615 7245 7,560 7,875 8,190
6,800 7,480.00 7140 7820 8,160 8,500 8,840
250 275.00 262.5 287.5 300 313 325
150 165.00 157.5 172.5 180 188 195
100 110.00 105 115 120 125 130
6,600 7,260.00 6930 7590 7,920 8,250 8,580

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 39 de 64
Manual Tarifario de medicamentos 2010
CRETARIA DE SALUD DE CUNDINAMARCA

ARIFARIO DE MEDICAMENTOS E INSUMOS AÑO 2011

TARIFA 2011
TARIFA 2011 TARIFA 2011
(ajustada a TARIFA 2011 TARIFA 2011 TARIFA 2011 TARIFA 2011
GRUPO 1 RED GRUPO 1 RED
centena o GRUPO 2 GRUPO 3 GRUPO 4 GRUPO 5
ADSCRITA NO ADSCRITA
decena)

58,300 64,130.00 61215 67045 69,960 72,875 75,790


25,600 28,160.00 26880 29440 30,720 32,000 33,280

400 440.00 420 460 480 500 520

200 220.00 210 230 240 250 260


100 110.00 105 115 120 125 130
300 330.00 315 345 360 375 390
400 440.00 420 460 480 500 520
15,300 16,830.00 16065 17595 18,360 19,125 19,890
103,000 113,300.00 108150 118450 123,600 128,750 133,900
1,000 1,100.00 1050 1150 1,200 1,250 1,300
600 660.00 630 690 720 750 780
100 110.00 105 115 120 125 130
84,000 92,400.00 88200 96600 100,800 105,000 109,200
600 660.00 630 690 720 750 780
600 660.00 630 690 720 750 780
1,600 1,760.00 1680 1840 1,920 2,000 2,080
91,100 100,210.00 95655 104765 109,320 113,875 118,430

Secretaría Distrital de Salud


Dirección de Desarrollo de Servicios de Salud 40 de 64
Manual Tarifario de medicamentos 2010
TARIFA 2011 TARIFA 2011
ELEMENTO GRUPO 1 RED GRUPO 1 RED
ADSCRITA NO ADSCRITA

ACIDO POLIGL MULT ABS RAPID 5/0 3/8 CIRC COR 16 MM $ 9,240.00 $ 8,820.00
ACIDO POLIGLI MULTIFIL 5/0 1/4 CIR ESPAT 8 MM $ 28,490.00 $ 27,195.00
ACIDO POLIGLI MULT ABS RAP 4/0 3/8 CIRC COR 16MM $ 11,770.00 $ 11,235.00
ACIDO POLIGLI MULT ABS RAPI 4/0 3/8 CIR CORT 19 MM $ 11,110.00 $ 10,605.00
ACIDO POLIGLI MULTI ABS RAPI 3/0 3/8 CIRC COR 19MM $ 12,430.00 $ 11,865.00
ACIDO POLIGLI MULTIFIL 1 MED CIRC RED 36MM $ 9,350.00 $ 8,925.00
ACIDO POLIGLI MULTIFIL 2/0 MED CIRC RED 26MM $ 13,860.00 $ 13,230.00
ACIDO POLIGLI MULTIFIL 3/0 1/2 CIRC RED 22MM $ 10,780.00 $ 10,290.00
ACIDO POLIGLI MULTIFIL 4/0 1/2 CIRC RED 17MM $ 10,780.00 $ 10,290.00
ACIDO POLIGLI MULTIFIL 4/0 3/8 CIR CORT 19 MM $ 11,770.00 $ 11,235.00
ACIDO POLIGLI MULTIFIL 5/0 1/2 CIRC RED 17MM $ 10,890.00 $ 10,395.00
ACIDO POLIGLI MULTIFIL 6/0 1/2 CIR RED 17 MM $ 9,350.00 $ 8,925.00
ACIDO POLIGLI MULTIFIL 6/0 1/4 CIRC ESP 8.7 MM $ 48,180.00 $ 45,990.00
ACIDO POLIGLI MULTIFIL 7/0 3/8 CIRC ESPAT 6.5MM $ 59,950.00 $ 57,225.00
ACIDO POLIGLI MULTIFIL 8/0 3/8 CIR ESPAT 6.5 MM $ 52,360.00 $ 49,980.00
ACOPLE TUBO TORAX $ 4,950.00 $ 4,725.00
ADAPTADOR CARDIOPLEGIA 5" $ 44,770.00 $ 42,735.00
ADAPTADOR DE TITANIO 5C4129 $ 440,220.00 $ 420,210.00
ADAPTADOR MULTIFLO $ 7,700.00 $ 7,350.00
ADAPTADOR SWANG GANZ 8.5 FR $ 33,440.00 $ 31,920.00
AGUJA BIOPSIA SEMIAUTOMATICA 18G X 150MM $ 88,660.00 $ 84,630.00
AGUJA BIOPSIA TRUCUT 14G X 11.4CM $ 92,510.00 $ 88,305.00
AGUJA DE BIOPSIA TRUCUT N 16 $ 87,450.00 $ 83,475.00
AGUJA DESECHABLE X 20 G $ 110.00 $ 105.00
AGUJA ESPINAL 18G X 31/2PULG $ 6,270.00 $ 5,985.00
AGUJA ESPINAL 20G X 31/2PULG $ 9,240.00 $ 8,820.00
AGUJA ESPINAL 22G X 90MM $ 22,990.00 $ 21,945.00
AGUJA ESPINAL 23G X 90MM $ 9,130.00 $ 8,715.00
AGUJA ESPINAL 26G X 31/2PULG $ 9,240.00 $ 8,820.00
AGUJA ESPINAL NO. 25G X 31 /2 PULG $ 9,240.00 $ 8,820.00
AGUJA ILLINOIS PARA ASPIRACIÓN MED OSEA 15Ga $ 91,080.00 $ 86,940.00
AGUJA JAMSHIDI PARA BIOPSIA 11G X 10CM $ 101,420.00 $ 96,810.00
AGUJA PARA CATETER IMPLANTABLE 20G X 15MM $ 30,910.00 $ 29,505.00
AGUJA PARA CATETER IMPLANTABLE 20G X 25MM $ 33,550.00 $ 32,025.00
AGUJA PARA CATETER IMPLANTABLE 22G X 15MM $ 29,590.00 $ 28,245.00
ALGODÓN BOLSA X 25G $ 440.00 $ 420.00
ALGODON YESO ACRILICO 3" $ 12,870.00 $ 12,285.00
APOSITO 10CM X 12CM $ 7,810.00 $ 7,455.00
AUDIFONOS WIDEX SENSO DIVA 19 $ 4,537,500.00 $ 4,331,250.00
AUDIOBOTAS PARA SISTEMA FM $ 96,800.00 $ 92,400.00
BALON ANESTESIA 1 LITRO $ 7,040.00 $ 6,720.00
BALON ANESTESIA 2 LITROS $ 42,460.00 $ 40,530.00
BARRERA COLOSTOMIA 32MM $ 13,200.00 $ 12,600.00
BARRERA COLOSTOMIA 38MM $ 14,300.00 $ 13,650.00
BARRERA COLOSTOMIA 45MM $ 14,300.00 $ 13,650.00
BARRERA COLOSTOMIA 57MM $ 20,570.00 $ 19,635.00
BARRERA COLOSTOMIA 70MM $ 17,380.00 $ 16,590.00
BARRERA DE COLOSTOMIA NO, 57 FLEXIBLE $ 22,550.00 $ 21,525.00
BARRETA DE COLOSTOMIA NO. 45 FLEXIBLE $ 22,550.00 $ 21,525.00
BOLSA COLOSTOMIA 32MM $ 8,580.00 $ 8,190.00
BOLSA COLOSTOMIA 38MM $ 7,150.00 $ 6,825.00
BOLSA COLOSTOMIA 45MM $ 11,330.00 $ 10,815.00
BOLSA COLOSTOMIA 57MM $ 12,430.00 $ 11,865.00
BOLSA COLOSTOMIA 70MM $ 11,330.00 $ 10,815.00
BOLSA CONGELAMIENTO X 500ML $ 91,080.00 $ 86,940.00
BOLSA DE DRENAJE ULTRASET X 3L $ 13,090.00 $ 12,495.00
BOLSA LB PARA CALENTAR $ 161,150.00 $ 153,825.00
BOLSA NUTRICION ENTERAL X 1.2L $ 26,950.00 $ 25,725.00
BOLSA NUTRICION ENTERAL X 1/2L $ 17,930.00 $ 17,115.00
BOLSA NUTRICION ENTERAL X 1L $ 16,060.00 $ 15,330.00
BOLSA NUTRICION PARENTERAL EVA 1/2L $ 18,700.00 $ 17,850.00
BOLSA NUTRICION PARENTERAL EVA 1L $ 19,580.00 $ 18,690.00
BOLSA NUTRICION PARENTERAL EVA 3L $ 31,130.00 $ 29,715.00
BOLSA NUTRICIÓN PARENTERAL EVA AUTOMIX 1L $ 24,860.00 $ 23,730.00
BOLSA NUTRICIÓN PARENTERAL EVA AUTOMIX 3L $ 37,510.00 $ 35,805.00
BOLSA PARA ENEMA X 1.5L $ 3,630.00 $ 3,465.00
BOLSA RECOLECTORA DE SANGRE "QUINTUPLE" $ 150,150.00 $ 143,325.00
BOLSA TRANSFER $ 19,250.00 $ 18,375.00
BOLSA UROSTOMIA 25MM $ 3,630.00 $ 3,465.00
BOLSA UROSTOMIA 45MM $ 10,780.00 $ 10,290.00
BOLSA UROSTOMIA 57MM $ 10,780.00 $ 10,290.00
BOLSA UROSTOMIA NO. 50 $ 10,780.00 $ 10,290.00
BOTON MICKEY 14FR X 0.8 MM $ 918,060.00 $ 876,330.00
BOTON MICKEY 16FR X 2.4MM $ 918,060.00 $ 876,330.00
BURETROL $ 4,070.00 $ 3,885.00
CANULA AORTICA OSTIUM 14 FRº $ 192,390.00 $ 183,645.00
CANULA ARTERIA PEDIATRICA 16FR $ 77,000.00 $ 73,500.00
CANULA ARTERIAL PED 10FR REF 77110 $ 408,100.00 $ 389,550.00
CANULA ARTERIAL PED 6FR REF 77006 $ 408,100.00 $ 389,550.00
CANULA ARTERIAL PED 8FR REF 77108 $ 408,100.00 $ 389,550.00
CANULA ARTERIAL PUNTA 4MM X 5.8C $ 52,250.00 $ 49,875.00
CANULA DE RAIZ AORTICA 7FR 10014 $ 112,750.00 $ 107,625.00
CANULA DE RAIZ AORTICA 5FR 10016 $ 112,750.00 $ 107,625.00
CANULA DE RAIZ AORTICA 7FR 10014 $ 112,750.00 $ 107,625.00
CANULA GUEDEL 0 $ 3,190.00 $ 3,045.00
CANULA GUEDEL 1 $ 3,520.00 $ 3,360.00
CANULA GUEDEL 2 $ 3,300.00 $ 3,150.00
CANULA GUEDEL 3 $ 3,410.00 $ 3,255.00
CANULA GUEDEL 4 $ 2,530.00 $ 2,415.00
CANULA GUEDEL 5 $ 3,190.00 $ 3,045.00
CANULA NASAL DE OXIGENO ADULTO $ 4,180.00 $ 3,990.00
CANULA NASAL DE OXIGENO NEONATAL $ 1,870.00 $ 1,785.00
CANULA NASAL DE OXIGENO PEDIATRICA $ 2,310.00 $ 2,205.00
CANULA OLIMPUS $ 187,110.00 $ 178,605.00
CANULA SUCCION VENTRICULAR NO. 10 $ 151,360.00 $ 144,480.00
CANULA SUCCION VENTRICULAR NO. 16 $ 151,360.00 $ 144,480.00
CANULA TRAQUEOSTOMIA NEO 3.5S/B $ 287,540.00 $ 274,470.00
CANULA TRAQUEOSTOMIA NEO 4.5S/B $ 287,980.00 $ 274,890.00
CANULA TRAQUEOSTOMIA NEON NO. 3.0 $ 287,980.00 $ 274,890.00
CANULA TRAQUEOSTOMIA NEON NO. 4.0 S/B $ 287,980.00 $ 274,890.00
CANULA TRAQUEOSTOMIA PED 00 ID 3.1MM $ 359,700.00 $ 343,350.00
CANULA TRAQUEOSTOMIA PED 3.0 ID 4.8MM $ 257,400.00 $ 245,700.00
CANULA TRAQUEOSTOMIA PED 3.0S/B $ 256,960.00 $ 245,280.00
CANULA TRAQUEOSTOMIA PED 3.5S/B $ 358,820.00 $ 342,510.00
CANULA TRAQUEOSTOMIA PED 4.0 S/B $ 249,370.00 $ 238,035.00
CANULA TRAQUEOSTOMIA PED 4.0C/B $ 248,820.00 $ 237,510.00
CANULA TRAQUEOSTOMIA PED 4.5C/B $ 286,770.00 $ 273,735.00
CANULA TRAQUEOSTOMIA PED 4.5S/B $ 215,600.00 $ 205,800.00
CANULA TRAQUEOSTOMIA PED 5.0C/B $ 358,820.00 $ 342,510.00
CANULA TRAQUEOSTOMIA PED 5.0S/B $ 377,410.00 $ 360,255.00
CANULA TRAQUEOSTOMIA PED 5.5C/B $ 48,180.00 $ 45,990.00
CANULA TRAQUEOSTOMIA PED 5.5S/B $ 358,820.00 $ 342,510.00
CANULA TRAQUEOSTOMIA PED 6.0 C/B $ 215,600.00 $ 205,800.00
CANULA TRAQUEOSTOMIA PED 6.5C/B $ 119,240.00 $ 113,820.00
CANULA TRAQUEOSTOMIA PED 6.5S/B $ 49,170.00 $ 46,935.00
CANULA TRAQUEOSTOMIA PED 7.0C/B $ 359,700.00 $ 343,350.00
CANULA TRAQUEOSTOMIA PED NO. 6.0 S/B $ 35,750.00 $ 34,125.00
CANULA VENOSA PUNTA METAL 12FR $ 223,960.00 $ 213,780.00
CANULA VENOSA PUNTA METAL 18FR $ 223,960.00 $ 213,780.00
CANULA VENOSA PUNTA METAL 22FR $ 223,960.00 $ 213,780.00
CANULA VENOSA RECTA 1/4 3/8 18 $ 68,640.00 $ 65,520.00
CANULA VENOSA RECTA 1/4 3/8 20 $ 68,640.00 $ 65,520.00
CANULA VENOSA RECTA 26FR 3/8 $ 175,890.00 $ 167,895.00
CANULA VENOSA RECTA METAL 14FR $ 175,890.00 $ 167,895.00
CANULA VENOSA UNICA NO. 34 $ 77,000.00 $ 73,500.00
CATETER NEFROSTOMIA 8.3FR X 30CM $ 818,840.00 $ 781,620.00
CATETER PARA DIALISIS PERITONEAL No 32 $ 403,810.00 $ 385,455.00
CATETER CENTRAL BILUMEN 16 7FR X 20CM $ 91,520.00 $ 87,360.00
CATETER CENTRAL BILUMEN 18 7FR X 20CM $ 81,840.00 $ 78,120.00
CATETER CENTRAL BILUMEN 20FR X 7CC $ 81,840.00 $ 78,120.00
CATETER CENTRAL BILUMEN 22 4 FR X 13CM $ 110,440.00 $ 105,420.00
CATETER CENTRAL BILUMEN 22 4 FR X 8CM $ 127,490.00 $ 121,695.00
CATETER CENTRAL MONOLUMEN 20FR X 12CM $ 90,750.00 $ 86,625.00
CATETER CENTRAL MONOLUMEN 22 FR X 10CM $ 66,880.00 $ 63,840.00
CATETER CENTRAL MONOLUMEN 24 FR X 9CM $ 114,400.00 $ 109,200.00
CATETER CENTRAL TRILUMEN 5FR X 13CM $ 123,090.00 $ 117,495.00
CATETER CENTRAL TRILUMEN 7FR X 20CM $ 121,000.00 $ 115,500.00
CATETER CENTRAL TUNELIZADO BILUMEN 9.5FR $ 903,430.00 $ 862,365.00
CATETER CENTRAL VENOSO DOBLE LUMEN X 7FR HICKMAN $ 798,270.00 $ 761,985.00
CATETER CENTRAL VENOSO TRI LUMEN X 12.5 FR HICKMAN $ 1,078,990.00 $ 1,029,945.00
CATETER CONECTOR RECTO $ 95,370.00 $ 91,035.00
CATETER DE EMBOLECT ART (FOGARTY) 3FR X 80CM $ 268,840.00 $ 256,620.00
CATETER DE EMBOLECT ART (FOGARTY) 4FR X 80CM $ 475,750.00 $ 454,125.00
CATETER DIALISIS PERITONEAL NO. 31 $ 286,000.00 $ 273,000.00
CATETER DIALISIS PERITONEAL NO. 39 $ 403,810.00 $ 385,455.00
CATETER HEMOFILTRACION 11FR X 12CM $ 243,100.00 $ 232,050.00
CATETER HEMOFILTRACIÓN 5FR X 7.6CM $ 514,800.00 $ 491,400.00
CATETER HEMOFILTRACIÓN 7FR X 10CM $ 529,870.00 $ 505,785.00
CATETER HEMOFILTRACIÓN 9FR X 12CM $ 371,800.00 $ 354,900.00
CATETER IMPLANTABLE CELSITE 4.5FR $ 1,288,650.00 $ 1,230,075.00
CATETER IMPLANTABLE CELSITE 6.5FR $ 1,288,650.00 $ 1,230,075.00
CATETER IV PERIFERICO NO 14 $ 2,310.00 $ 2,205.00
CATETER IV PERIFERICO NO. 16 $ 2,310.00 $ 2,205.00
CATETER IV PERIFERICO NO. 18 $ 1,870.00 $ 1,785.00
CATETER IV PERIFERICO NO. 20 $ 1,870.00 $ 1,785.00
CATETER IV PERIFERICO NO. 22 $ 1,870.00 $ 1,785.00
CATETER IV PERIFERICO NO. 24 $ 1,870.00 $ 1,785.00
CATETER PASADOR $ 21,450.00 $ 20,475.00
CATETER PERITONEAL CURVO 57CM $ 934,780.00 $ 892,290.00
CATETER PERITONEAL X 1.2MM $ 172,700.00 $ 164,850.00
CATETER SUPRAPUBICO 7.5FR X 25 CM $ 510,510.00 $ 487,305.00
CATETER SWAN GANG 7 FR $ 255,970.00 $ 244,335.00
CATETER UMBILICAL 3.5 FR X 38 CM $ 6,820.00 $ 6,510.00
CATETER UMBILICAL 5.0 FR X 38 CM $ 6,820.00 $ 6,510.00
CATETER URETERAL 3FR X 70CM $ 55,770.00 $ 53,235.00
CATETER URETERAL DOBLE J 3.7 FR X 10CM $ 743,600.00 $ 709,800.00
CATETER URETERAL DOBLE J 3.7 FR X 12 CM $ 743,600.00 $ 709,800.00
CATETER URETERAL DOBLE J 3.7 FR X 14 CM $ 748,000.00 $ 714,000.00
CATETER URETERAL DOBLE J 3.7 FR X 18 CM $ 743,600.00 $ 709,800.00
CATETER URETERAL DOBLE J 4.7 FR X 14 CM $ 343,200.00 $ 327,600.00
CATETER URETERAL DOBLE J 4.7 FR X 18 CM $ 343,200.00 $ 327,600.00
CATETER URETERAL DOBLE J 3.0 FR X 12CM $ 457,600.00 $ 436,800.00
CATETER URETERAL DOBLE J 3.0 X 10 CM $ 786,500.00 $ 750,750.00
CATETER VENTRICULAR X 1.5MM $ 191,620.00 $ 182,910.00
CATGUT CROMADO 0 MED CIR REDONDA 26MM $ 12,540.00 $ 11,970.00
CATGUT CROMADO 0 MED CIR REDONDA 36MM $ 12,540.00 $ 11,970.00
CATGUT CROMADO 2/0 MED CIR REDONDA 26MM $ 5,500.00 $ 5,250.00
CATGUT CROMADO 3/0 MED CIR REDONDA 26MM $ 5,940.00 $ 5,670.00
CATGUT CROMADO 4/0 MED CIR REDONDA 17MM $ 5,610.00 $ 5,355.00
CATGUT CROMADO 5/0 MED CIR REDONDA 17MM $ 5,610.00 $ 5,355.00
CATGUT SIMPLE 3/0 3/8 CIR CORTANTE 19MM $ 7,040.00 $ 6,720.00
CAUCHO SUCCION $ 8,800.00 $ 8,400.00
CERA OSEA $ 10,890.00 $ 10,395.00
CIRCUITO ANESTESIA PEDIATRICO 1L $ 42,900.00 $ 40,950.00
CIRCUITO JACKSON 1 LITRO $ 45,430.00 $ 43,365.00
CIRCUITO JACKSON 1/2 LITRO $ 46,090.00 $ 43,995.00
CLAVO DE STEIMAN LISO 2.0 $ 11,220.00 $ 10,710.00
CLAVO KIRSCHNER 1.8 MM $ 13,310.00 $ 12,705.00
CLAVO STEIMAN 20 X 28 $ 13,200.00 $ 12,600.00
CLINDAMICINA AMP X 300MG/2ML $ 7,920.00 $ 7,560.00
CONECTOR ANGULO RECTO $ 107,250.00 $ 102,375.00
CONECTOR EN Y 821520 $ 123,750.00 $ 118,125.00
CONECTOR EN Y PARA ANESTESIA $ 6,490.00 $ 6,195.00
CUCHILLA DE BISTURI NO. 10 $ 330.00 $ 315.00
CUCHILLA DE BISTURI NO. 11 $ 220.00 $ 210.00
CUCHILLA DERMATOMO PADGET $ 170,720.00 $ 162,960.00
CUELLO DE FILADELFIA MEDIANO $ 68,640.00 $ 65,520.00
CUELLO DE FILADELFIA PEQUEÑO $ 35,750.00 $ 34,125.00
CYSTOFLO ADULTO $ 7,260.00 $ 6,930.00
CYSTOFLO PEDIATRICO $ 8,250.00 $ 7,875.00
DOSIS COLOIDE $ 18,700.00 $ 17,850.00
DOSIS DE BARIO $ 7,700.00 $ 7,350.00
DOSIS MDP P $ 111,100.00 $ 106,050.00
ELECTRODOS CORTICALES $ 418,000.00 $ 399,000.00
ELECTRODOS ESFENOIDALES $ 488,290.00 $ 466,095.00
ELECTRODOS MONITOREO NEONATAL $ 4,180.00 $ 3,990.00
ELECTRODOS MONITOREO PEDIATRICO $ 330.00 $ 315.00
$ - $ -
EQUIPO ADMINISTRACIÓN DE SANGRE $ 4,180.00 $ 3,990.00
EQUIPO DE ADMINISTRACION ANNE $ 55,000.00 $ 52,500.00
EQUIPO DE BOMBA DE INFUSIÓN LC500 PRIMARIO $ 20,240.00 $ 19,320.00
EQUIPO DE BOMBA DE INFUSIÓN PATROL $ 26,070.00 $ 24,885.00
EQUIPO DE DESCONEXIÓN EN Y PARA CAPD $ 13,090.00 $ 12,495.00
EQUIPO DE DRENAJE VESICAL SUPRAPUBICO $ 120,120.00 $ 114,660.00
EQUIPO DE INFUSPARA COMPONENTES SANGUINEOS $ 36,520.00 $ 34,860.00
EQUIPO DE MICROGOTEO $ 2,310.00 $ 2,205.00
EQUIPO DE MONITOREO CARDIACO SENCILLO $ 133,540.00 $ 127,470.00
EQUIPO PARA PRESION VENOSA $ 18,260.00 $ 17,430.00
EXTENSIÓN DE ANESTESIA 75CM $ 5,280.00 $ 5,040.00
EXTENSIÓN DE MONITOREO 12PULG $ 3,960.00 $ 3,780.00
EXTENSIÓN DE MONITOREO 24PULG $ 3,410.00 $ 3,255.00
EXTENSIÓN MINICAP LARGA VIDA $ 5,830.00 $ 5,565.00
FACTOR IX RECOMBINANTE 250 U.I $ 3,520.00 $ 3,360.00
FERULA DE DENNIS BROWNE 45ª ROTACIONEXTERNA $ 103,950.00 $ 99,225.00
FERULA OTP A 90ª CON REALCE EXTERNO DE 3MM $ 161,700.00 $ 154,350.00
FILTRO DESLEUCOCITADOR PARA GLOBULOS ROJOS $ 121,770.00 $ 116,235.00
FILTRO DESLEUCOCITADOR PARA PLAQUETAS $ 209,440.00 $ 199,920.00
FILTRO PARA SEPARACION DE PLASMA $ 1,422,850.00 $ 1,358,175.00
FILTRO PARA VENTILADOR ANTIBACTERIANO VERDE $ 21,010.00 $ 20,055.00
FOLINICO ACIDO TAB X 15MG $ 5,500.00 $ 5,250.00
FRASCO SUCCIÓN PED X 1500ML $ 16,500.00 $ 15,750.00
FRASCO LINER SUCCIÓN PED X 1400ML $ 13,200.00 $ 12,600.00
GASA ESTERIL PAQUETE X 3 $ 440.00 $ 420.00
GASA PRECORTADA 7.5X7.5 PAQ X 200U $ 10,560.00 $ 10,080.00
GASA ROLLO $ 45,760.00 $ 43,680.00
GLUCOMETRO TOUCH ULTRA $ 164,780.00 $ 157,290.00
GRAPADORA SUT MECANICA LINEAL X 80MM $ 912,340.00 $ 870,870.00
GRAPADORA SUT MECANICA CIRCULAR CURVA X 21 MM $ 1,312,410.00 $ 1,252,755.00
GRAPADORA SUT MECANICA CIRCULAR CURVA X 25 MM $ 1,551,000.00 $ 1,480,500.00
GRAPADORA SUT MECANICA ENDO X 45 MM $ 1,551,000.00 $ 1,480,500.00
GRAPADORA SUT MECANICA LINEAL X 75 MM $ 912,340.00 $ 870,870.00
GRAPADORA SUT. MECANICA LINEAL X 55MM $ 540,430.00 $ 515,865.00
GUANTE CIRUGÍA No 6.5 $ 1,430.00 $ 1,365.00
GUANTE CIRUGÍA No 7.0 $ 1,540.00 $ 1,470.00
GUANTE CIRUGÍA No 7.5 $ 880.00 $ 840.00
GUANTE CIRUGÍA No 8.0 $ 990.00 $ 945.00
GUANTES ESTERILES $ 1,540.00 $ 1,470.00
GUANTES EXAMEN CAJA $ 11,990.00 $ 11,445.00
GUÍA CATETER CERTOFIX $ 8,910.00 $ 8,505.00
GUIA CORDIS 260 CM 0381 $ 105,820.00 $ 101,010.00
GUIA TUBO ENDOTRAQUEAL $ 11,000.00 $ 10,500.00
HEMOCONCENTRADOR 2.2 $ 411,840.00 $ 393,120.00
HEMOVAC 1/8 $ 58,410.00 $ 55,755.00
HOMOINJERTO DE PIEL $ 1,650.00 $ 1,575.00
HUMIDIFICADOR $ 8,580.00 $ 8,190.00
HYSTOACRYL $ 42,900.00 $ 40,950.00
IMATINIB TAB X 400MG NOPOS $ 348,040.00 $ 332,220.00
INCENTIVO RESPIRATORIO $ 14,520.00 $ 13,860.00
INFUSOR 12 HORAS 1073 $ 145,200.00 $ 138,600.00
INFUSOR 48 HORAS $ 185,350.00 $ 176,925.00
INHALOCAMARA PEDIATRICA $ 7,810.00 $ 7,455.00
INHALOCAMARA VENTILADOR $ 60,390.00 $ 57,645.00
INTRODUCTOR 4FR $ 141,020.00 $ 134,610.00
INTRODUCTOR SWAN GANZ 8.5FR $ 172,150.00 $ 164,325.00
INYECTOR OLYMPUS $ 380,930.00 $ 363,615.00
IODAMIDA MEGLUMINICA VIAL AL 26% X 250 ML $ 115,500.00 $ 110,250.00
IODAMIDA MEGLUMINICA VIAL AL 65% X 20ML $ 46,200.00 $ 44,100.00
JERINGA DE INSULINA 30 U.I,/ 3 ML $ 550.00 $ 525.00
JERINGA DESECHABLE X 10ML C/A $ 330.00 $ 315.00
JERINGA DESECHABLE X 1ML C/A $ 220.00 $ 210.00
JERINGA DESECHABLE X 20ML C/A $ 770.00 $ 735.00
JERINGA DESECHABLE X 3ML C/A $ 220.00 $ 210.00
JERINGA DESECHABLE X 50ML S/A $ 1,540.00 $ 1,470.00
JERINGA DESECHABLE X 5ML C/A $ 220.00 $ 210.00
KIT DE AFERESIS $ 382,250.00 $ 364,875.00
KIT GASTROSTOMIA 14FR $ 918,060.00 $ 876,330.00
KIT GASTROSTOMIA 18FR $ 777,920.00 $ 742,560.00
KIT GASTROSTOMIA 20FR $ 918,060.00 $ 876,330.00
KIT MICRONEBULIZACIÓN $ 7,590.00 $ 7,245.00
KIT PARA HEMOFILTRACION ADULTO $ 743,600.00 $ 709,800.00
KIT PARA HEMOFILTRACIÓN PEDIATRICO $ 743,600.00 $ 709,800.00
KIT RECOLECCION CELULAS MADRE $ 988,350.00 $ 943,425.00
KIT TRACCIÓN CUTANEA INFANTIL $ 40,040.00 $ 38,220.00
LANCETAS J - J $ 770.00 $ 735.00
LINEA TRANSFERENCIA P/ DESCONECION $ 140,250.00 $ 133,875.00
LLAVE DE TRES PASOS PARA INFUS Y MEDIC DE PVC $ 39,710.00 $ 37,905.00
LLAVE DE TRES VÍAS $ 1,540.00 $ 1,470.00
LYODURA 1.5X 3CM $ 105,600.00 $ 100,800.00
MALLA GORETEX 18CC X 24CC X 1.5 MM $ 3,581,710.00 $ 3,418,905.00
MALLA PROLENE 26 X 36 $ 374,000.00 $ 357,000.00
MANGUERA CORRUGADA $ 5,170.00 $ 4,935.00
MASCARA DE OXIGENO CON VENTURY $ 11,220.00 $ 10,710.00
MASCARA OXIGENO ADULTO $ 3,080.00 $ 2,940.00
MASCARA OXIGENO PEDIATRICA $ 5,940.00 $ 5,670.00
MASCARA PARA TRAQUEOSTOMIA ADULTO $ 11,330.00 $ 10,815.00
MASCARA PARA TRAQUEOSTOMIA PEDIATRICA $ 11,660.00 $ 11,130.00
MEROCEL NASAL RECTO 4X5 CMS $ 26,950.00 $ 25,725.00
MIDAZOLAM AMP X 15MG/3ML $ 5,500.00 $ 5,250.00
MINICAP $ 4,840.00 $ 4,620.00
MONOFIL ABS DE GLICONATO 5/0 3/08 CIR CORT 16 MM $ 63,690.00 $ 60,795.00
MONOFIL ABS DE GLICONATO 5/0 MED CIR RED 17 MM $ 6,490.00 $ 6,195.00
MONOFIL ABS POLID 4/0 MED CIR RED 17MM $ 15,510.00 $ 14,805.00
MONOFIL ABS POLID 5/0 MED CIR RED 17MM $ 15,510.00 $ 14,805.00
MONOFIL ABS POLID 6/0 3/8 CIR RED 13MM $ 42,790.00 $ 40,845.00
MONOFIL ABS POLID 7/0 3/8 CIR RED 9.0MM $ 31,680.00 $ 30,240.00
MONOFIL ABSOR POLIDIOXANONE 7/0 3/8 CIRC RED 9.3MM $ 48,290.00 $ 46,095.00
MULTIVITAMINAS VIAL X 5ML $ 25,520.00 $ 24,360.00
NARIZ DE CAMELLO ADULTO (HYGROBAC) $ 19,360.00 $ 18,480.00
NARIZ DE CAMELLO NEONATAL (HYGROBABY) $ 35,090.00 $ 33,495.00
NARIZ DE CAMELLO PEDIATRICO (HYGROBOY) $ 16,610.00 $ 15,855.00
NEBULIZADOR $ 24,860.00 $ 23,730.00
NEURO PATCH 4X5 $ 493,350.00 $ 470,925.00
OXIGENADOR 705 DIDEM $ 1,699,720.00 $ 1,622,460.00
OXIGENADOR ADULTO $ 1,649,120.00 $ 1,574,160.00
OXIGENADOR AFINITI $ 1,252,790.00 $ 1,195,845.00
OXIGENADOR MINIMAX PLUS $ 1,413,500.00 $ 1,349,250.00
OXIGENADOR OXIM 12 $ 1,315,710.00 $ 1,255,905.00
OXIGENADOR PLUS 06 $ 1,450,680.00 $ 1,384,740.00
PANEL 25 X 25 MM 1.5 LB $ 1,157,750.00 $ 1,105,125.00
PANEL 25 X 25 MM 1.5 LB $ 3,055,580.00 $ 2,916,690.00
PEDI TUBE 6FR $ 95,150.00 $ 90,825.00
PERICRANEAL NO 21 $ 770.00 $ 735.00
PERICRANEAL NO 22 $ 770.00 $ 735.00
PERICRANEAL NO 23 $ 660.00 $ 630.00
PERICRANEAL NO 25 $ 770.00 $ 735.00
PERIFASE EQUIPO ANEST EPID NO 4 $ 64,350.00 $ 61,425.00
PLACA ELE NEONATAL $ 19,910.00 $ 19,005.00
PLACA ELECTROBISTURI ADULTO $ 163,350.00 $ 155,925.00
PLACA ELECTROBISTURI NEONATAL $ 19,910.00 $ 19,005.00
POLIAMIDA MONOFIL 10/0 3/8 CIR ESP 6..5MM $ 49,060.00 $ 46,830.00
POLIAMIDA MONOFIL 10/0 3/8 CIR REDONDA 6.5MM $ 104,390.00 $ 99,645.00
POLIAMIDA MONOFIL 5/0 3/8 CIR CORT 11MM $ 43,230.00 $ 41,265.00
POLIAMIDA MONOFIL 9/0 3/8 CIR ESPATULADA 6.5MM $ 44,990.00 $ 42,945.00
POLIAMIDA MONOFIL 9/0 3/8 CIR REDONDA 6.5MM $ 63,690.00 $ 60,795.00
POLIESTER MULTF TRENZ 2/0 1/2 CIR RED 17MM PLEDGE $ 5,280.00 $ 5,040.00
POLIESTER MULTF TRENZ 4/0 1/2 CIR RED 15MM $ 18,480.00 $ 17,640.00
POLIESTER MULTF TRENZ 5/0 1/2 CIR RED 17 MM $ 5,280.00 $ 5,040.00
POLIESTER MULTF TRENZ 2/0 1/2 CIR RED 26MM $ 6,490.00 $ 6,195.00
POLIESTER MULTF TRENZ 2/0 1/2 CIR RED 26MM PLEDGET $ 59,620.00 $ 56,910.00
POLIESTER MULTF TRENZ 3/0 1/2 CIR RED 17MM $ 5,280.00 $ 5,040.00
POLIESTER MULTIFIL TRENZ 5/0 1/2 CIR RED 17MM $ 5,280.00 $ 5,040.00
POLIEXFLUROPROPILENO VDF 3/0 1/2 CIR RED 25MM $ 7,370.00 $ 7,035.00
POLIEXFLUROPROPILENO VDF 4/0 1/2 CIR RED 17MM $ 9,350.00 $ 8,925.00
POLIEXFLUROPROPILENO VDF 5/0 1/2 CIR RED 16MM $ 12,210.00 $ 11,655.00
POLIEXFLUROPROPILENO VDF 5/0 3/8 CIR RED 13MM $ 12,980.00 $ 12,390.00
POLIEXFLUROPROPILENO VDF 6/0 1/2 CIR RED 10MM $ 12,210.00 $ 11,655.00
POLIEXFLUROPROPILENO VDF 6/0 3/8 CIR RED 13MM $ 12,320.00 $ 11,760.00
POLIEXFLUROPROPILENO VDF 7/0 3/8 CIR RED 10MM $ 12,980.00 $ 12,390.00
POLIEXFLUROPROPILENO VDF 8/0 3/8 CIR RED 6MM $ 17,380.00 $ 16,590.00
POLIPROPILENE MONOFIL 0 1/2 CIR RED 37MM $ 6,050.00 $ 5,775.00
POLIPROPILENE MONOFIL 2/0 3/8 CIRC CORT 24MM $ 6,270.00 $ 5,985.00
POLIPROPILENE MONOFIL 2/0 MED CIR RED 26MM $ 6,490.00 $ 6,195.00
POLIPROPILENE MONOFIL 3/0 3/8 CIR CORT 24MM $ 5,940.00 $ 5,670.00
POLIPROPILENE MONOFIL 3/0 MED CIR RED 26MM $ 12,870.00 $ 12,285.00
POLIPROPILENE MONOFIL 4/0 3/8 CIR CORT 19 MM $ 4,950.00 $ 4,725.00
POLIPROPILENE MONOFIL 4/0 3/8 CIR CORT 24MM $ 4,950.00 $ 4,725.00
POLIPROPILENE MONOFIL 4/0 MED CIR RED 17MM $ 12,430.00 $ 11,865.00
POLIPROPILENE MONOFIL 5/0 3/8 CIR CORT 16 MM $ 6,490.00 $ 6,195.00
POLIPROPILENE MONOFIL 5/0 3/8 CIR CORT 19MM $ 6,270.00 $ 5,985.00
POLIPROPILENE MONOFIL 5/0 3/8 CIR RED 13MM $ 12,320.00 $ 11,760.00
POLIPROPILENE MONOFIL 5/0 MED CIR RED 15MM $ 12,210.00 $ 11,655.00
POLIPROPILENE MONOFIL 5/0 MED CIR RED 17MM $ 8,580.00 $ 8,190.00
POLIPROPILENE MONOFIL 6/0 3/8 CIR CORT 12MM $ 13,090.00 $ 12,495.00
POLIPROPILENE MONOFIL 6/0 3/8 CIR RED 12MM $ 12,320.00 $ 11,760.00
POLIPROPILENE MONOFIL 7/0 3/8 CIR RED 10 MM $ 14,630.00 $ 13,965.00
PROTESIS CONV POR AMPUT TRANSRADIAL DERECHA $ 6,641,250.00 $ 6,339,375.00
PROTESIS IMPLANTE COCLEAR $ 61,589,000.00 $ 58,789,500.00
RECARGA SUTURA MECANICA 45 MM $ 663,520.00 $ 633,360.00
RECARGA SUTURA MECANICA 55 MM $ 364,980.00 $ 348,390.00
RECARGA SUTURA MECANICA 75 MM $ 547,360.00 $ 522,480.00
RECARGA SUTURA MECANICA 80 MM $ 547,360.00 $ 522,480.00
RESINA INTERCAMBIADORA DE POTASIO $ 63,030.00 $ 60,165.00
RIFAMPICINA TAB X 300 MG $ 330.00 $ 315.00
SEDA 0 C/A 1/2 CIRCULO REDONDA 26 MM $ 5,060.00 $ 4,830.00
SEDA 0 S/A $ 4,730.00 $ 4,515.00
SEDA 1/0 C/A 1/2 CIRCULO REDONDA 26MM $ 5,170.00 $ 4,935.00
SEDA 1/0 S/A $ 7,810.00 $ 7,455.00
SEDA 2/0 C/A 1/2 CIRCULO REDONDA 26 MM $ 5,060.00 $ 4,830.00
SEDA 2/0 C/A 3/8 CIRCULO CORTANTE 24MM $ 5,060.00 $ 4,830.00
SEDA 2/0 C/A 3/8 CIRCULO CORTANTE 26MM $ 4,730.00 $ 4,515.00
SEDA 2/0 S/A $ 5,060.00 $ 4,830.00
SEDA 3/0 C/A 1/2 CIRCULO REDONDA 26 MM $ 5,060.00 $ 4,830.00
SEDA 3/0 C/A 1/2 CIRCULO REDONDA 26MM $ 6,710.00 $ 6,405.00
SEDA 3/0 C/A 3/8 CIRCULO CORTANTE 19MM $ 5,060.00 $ 4,830.00
SEDA 3/0 C/A 3/8 CIRCULO CORTANTE 24MM $ 5,060.00 $ 4,830.00
SEDA 3/0 S/A $ 5,060.00 $ 4,830.00
SEDA 4/0 C/A 1/2 CIRCULO REDONDA 17MM $ 5,170.00 $ 4,935.00
SEDA 4/0 C/A 3/8 CIRCULO CORTANTE 16MM $ 5,060.00 $ 4,830.00
SEDA 4/0 C/A 3/8 CIRCULO CORTANTE 19MM $ 5,060.00 $ 4,830.00
SEDA 4/0 S/A $ 5,060.00 $ 4,830.00
SEDA 5/0 C/A 1/2 CIRCULO REDONDA 17MM $ 5,060.00 $ 4,830.00
SEDA 5/0 C/A 3/8 CIRCULO CORTANTE 12MM $ 5,060.00 $ 4,830.00
SEDA 5/0 C/A 3/8 CIRCULO CORTANTE 16MM $ 5,060.00 $ 4,830.00
SEDA 5/0 C/A 3/8 CIRCULO CORTANTE 19MM $ 5,060.00 $ 4,830.00
SEDA 6/0 C/A 3/8 CIRCULO REDONDA 13MM $ 5,060.00 $ 4,830.00
SERVO NARIZ DE CAMELLO $ 24,420.00 $ 23,310.00
SET DE CRAWFORD $ 132,660.00 $ 126,630.00
SET DE VENTRICULOSTOMIA EXTERNA $ 806,410.00 $ 769,755.00
SISTEMA DE DRENAJE PLEUROVAC $ 140,910.00 $ 134,505.00
SISTEMA FM PHONAK $ 10,271,800.00 $ 9,804,900.00
SOL PARA DIALISIS PERITONEAL 1.5% BOL X 1000ML $ 7,040.00 $ 6,720.00
SOL PARA DIALISIS PERITONEAL 1.5% BOL X 5000ML $ 19,030.00 $ 18,165.00
SOL PARA DIALISIS PERITONEAL 1.5% BOL X 500ML $ 6,710.00 $ 6,405.00
SOL PARA DIALISIS PERITONEAL 2.5 % X 2.500 CC $ 15,840.00 $ 15,120.00
SOL PARA DIALISIS PERITONEAL 2.5% X 5000ML $ 19,030.00 $ 18,165.00
SOL PARA DIALISIS PERITONEAL 4.25% BOL X 2000ML $ 23,980.00 $ 22,890.00
SOL PARA DIALISIS PERITONEAL 4.25% BOL X 5000ML $ 19,030.00 $ 18,165.00
SOL PARA DIALISIS PERITONEAL 4.25% BOL X 500ML $ 5,610.00 $ 5,355.00
SOL. PARA DIALISIS PERITONEAL 2.5 X 2000 CC $ 13,750.00 $ 13,125.00
SOLUCION DIALISIS PERITONEAL 4.25 X 2500 ML $ 15,620.00 $ 14,910.00
SONDA ALIM.NASOGASTRICA PUNT TUNG 9.6FR $ 39,600.00 $ 37,800.00
SONDA ALIMEN. NASOG PUNTA TUNTG NO. 6 FR $ 94,380.00 $ 90,090.00
SONDA FOLEY N° 10FR $ 4,180.00 $ 3,990.00
SONDA FOLEY N° 12FR $ 2,200.00 $ 2,100.00
SONDA FOLEY N° 14FR $ 2,750.00 $ 2,625.00
SONDA FOLEY N° 16FR $ 2,530.00 $ 2,415.00
SONDA FOLEY N° 18FR $ 2,860.00 $ 2,730.00
SONDA FOLEY N° 20FR $ 2,860.00 $ 2,730.00
SONDA FOLEY N° 6FR $ 51,700.00 $ 49,350.00
SONDA FOLEY N° 8FR $ 3,960.00 $ 3,780.00
SONDA FOLEY NO. 14 SILICONA $ 38,170.00 $ 36,435.00
SONDA FOLEY SILICONA No 16 $ 45,760.00 $ 43,680.00
SONDA NASOGASTRICA 10FR $ 770.00 $ 735.00
SONDA NASOGASTRICA 12FR $ 770.00 $ 735.00
SONDA NASOGASTRICA 14FR $ 880.00 $ 840.00
SONDA NASOGASTRICA 5FR $ 550.00 $ 525.00
SONDA NASOGASTRICA 6FR $ 770.00 $ 735.00
SONDA NASOGASTRICA 8FR $ 770.00 $ 735.00
SONDA NELATON 10FR $ 1,100.00 $ 1,050.00
SONDA NELATON 12FR $ 660.00 $ 630.00
SONDA NELATON 14FR $ 1,100.00 $ 1,050.00
SONDA NELATON 5FR $ 1,100.00 $ 1,050.00
SONDA NELATON 6FR $ 1,100.00 $ 1,050.00
SONDA NELATON 8FR $ 1,100.00 $ 1,050.00
SONDA RECTAL N° 18 $ 1,430.00 $ 1,365.00
SONDA RECTAL N° 20 $ 1,430.00 $ 1,365.00
SONDA RECTAL N° 22 $ 1,430.00 $ 1,365.00
SONDA RECTAL N° 24 $ 1,540.00 $ 1,470.00
SONDA RECTAL N° 26 $ 1,540.00 $ 1,470.00
SONDA SUCCION CERRADA 10FR $ 120,120.00 $ 114,660.00
SONDA SUCCION CERRADA 5FR $ 120,120.00 $ 114,660.00
SONDA SUCCION CERRADA 6FR $ 120,120.00 $ 114,660.00
SONDA SUCCION CERRADA 7FR $ 120,120.00 $ 114,660.00
SONDA SUCCION CERRADA 8FR $ 120,120.00 $ 114,660.00
SONDA YEYU/POST GASTRO 12FR PUNTA DE TUSTENO $ 60,500.00 $ 57,750.00
SONDA YEYUNO/POST GASTRO 8FR $ 60,500.00 $ 57,750.00
SONDA YEYUNO/POST GASTRO 9FR $ 60,500.00 $ 57,750.00
SUCCIONADOR PORTATIL $ 1,157,860.00 $ 1,105,230.00
SUMPS DE PERICARDIO CONECTOR 1/40 $ 84,590.00 $ 80,745.00
SURGICEL HEMOSTATICO ABSORBIBLE 1/2 X 2 $ 43,230.00 $ 41,265.00
TAPABOCAS DESECHABLES $ 220.00 $ 210.00
TAPON HEPARINIZADO $ 550.00 $ 525.00
TECNECIO IOHEXOL $ 211,530.00 $ 201,915.00
TECNECIO MAG 3 $ 296,010.00 $ 282,555.00
TIRAS DE GLUCOMETRIA $ 1,210.00 $ 1,155.00
TIRAS DE GLUCOMETRIA ELITE $ 1,540.00 $ 1,470.00
TIRAS DE GLUCOMETRIA J - J $ 2,200.00 $ 2,100.00
TIRAS P/GLUCOMETRO TOUCH ULTRA $ 2,200.00 $ 2,100.00
TIRAS REACT P/UROANALISIS MULTISTIX $ 1,540.00 $ 1,470.00
TORNILLO 1.5 X 3 MM 2 X PQT 1.5 LB $ 358,270.00 $ 341,985.00
TORNILLO 1.5 X 4 MM 2 X PQT 1.5 LB $ 358,270.00 $ 341,985.00
TORNILLO 1.5 X 4 MM 4 X PQT $ 715,990.00 $ 683,445.00
TORNILLO 1.5 X 5 MM 2 X PQT 1.5 LB $ 358,380.00 $ 342,090.00
TORNILLO 1.5 X 5 MM 4 X PQT 1.5 LB $ 715,990.00 $ 683,445.00
TORNILLO 1.5 X 7 MM 2 X PQT 1.5 LB $ 433,620.00 $ 413,910.00
TUBERIA ADULTO $ 339,240.00 $ 323,820.00
TUBERIA INFANTIL $ 418,440.00 $ 399,420.00
TUBERIA NEONATAL $ 418,440.00 $ 399,420.00
TUBERIA PEDIATRICA INFANTIL $ 339,240.00 $ 323,820.00
TUBO DE GASTROSTOMIA 12FR $ 334,620.00 $ 319,410.00
TUBO DE GASTROSTOMIA 14FR $ 334,620.00 $ 319,410.00
TUBO DE GASTROSTOMIA 16FR $ 334,620.00 $ 319,410.00
TUBO DE GASTROSTOMIA 18FR $ 334,620.00 $ 319,410.00
TUBO DE GASTROSTOMIA 20FR $ 296,890.00 $ 283,395.00
TUBO DE GASTROSTOMIA 22FR $ 334,620.00 $ 319,410.00
TUBO DE TORAX NO 20 X 45 CM $ 1,870.00 $ 1,785.00
TUBO DE TORAX NO, 24 X 45 CM $ 1,870.00 $ 1,785.00
TUBO DE VENTILACION EN ORO $ 45,760.00 $ 43,680.00
TUBO DE VENTILACION EN T $ 121,550.00 $ 116,025.00
TUBO ENDOTRAQUEAL C/B 3.0 $ 3,960.00 $ 3,780.00
TUBO ENDOTRAQUEAL C/B 4.0 $ 4,620.00 $ 4,410.00
TUBO ENDOTRAQUEAL C/B 4.5 $ 7,480.00 $ 7,140.00
TUBO ENDOTRAQUEAL C/B 5.0 $ 5,170.00 $ 4,935.00
TUBO ENDOTRAQUEAL C/B 5.5 $ 5,170.00 $ 4,935.00
TUBO ENDOTRAQUEAL C/B 6.0 $ 5,170.00 $ 4,935.00
TUBO ENDOTRAQUEAL C/B 6.5 $ 5,060.00 $ 4,830.00
TUBO ENDOTRAQUEAL C/B 7.0 $ 4,840.00 $ 4,620.00
TUBO ENDOTRAQUEAL C/B 7.5 $ 5,940.00 $ 5,670.00
TUBO ENDOTRAQUEAL C/B 8.0 $ 5,830.00 $ 5,565.00
TUBO ENDOTRAQUEAL S/B 5.5 $ 3,740.00 $ 3,570.00
TUBO ENDOTRAQUEAL S/B 6.0 $ 3,520.00 $ 3,360.00
TUBO ENDOTRAQUEAL S/B 2.0 $ 2,970.00 $ 2,835.00
TUBO ENDOTRAQUEAL S/B 2.5 $ 5,500.00 $ 5,250.00
TUBO ENDOTRAQUEAL S/B 3.0 $ 3,190.00 $ 3,045.00
TUBO ENDOTRAQUEAL S/B 3.5 $ 3,190.00 $ 3,045.00
TUBO ENDOTRAQUEAL S/B 4.0 $ 3,520.00 $ 3,360.00
TUBO ENDOTRAQUEAL S/B 4.5 $ 3,630.00 $ 3,465.00
TUBO ENDOTRAQUEAL S/B 5.0 $ 3,740.00 $ 3,570.00
TUBO ENDOTRAQUEAL S/B 6.5 $ 4,620.00 $ 4,410.00
TUBO ENDOTRAQUEAL S/B 7.0 $ 5,500.00 $ 5,250.00
TUBO ENDOTRAQUEAL S/B 7.5 $ 4,510.00 $ 4,305.00
TUBO ENDOTRAQUEAL C/B 3.5 $ 9,900.00 $ 9,450.00
TUBO GASTROENTERICO No 16 $ 283,140.00 $ 270,270.00
TUBO TORAX NO 22X45CM $ 2,200.00 $ 2,100.00
TUBO TORAX NO 28X45CM $ 2,200.00 $ 2,100.00
TUBO VENTILACION EN SILICONA $ 66,110.00 $ 63,105.00
VALVULA PROGRAMABLE (HAKIM) $ 5,393,960.00 $ 5,148,780.00
VALVULA SHUNT P. MEDIA $ 1,028,500.00 $ 981,750.00
VENDA ALGODÓN 6X5 $ 3,850.00 $ 3,675.00
VENDA ELASTICA 3X5 $ 2,530.00 $ 2,415.00
VENDA ELASTICA 6X5 $ 1,540.00 $ 1,470.00
VENDA STOCKINET 2X2 $ 2,860.00 $ 2,730.00
VENDA STOCKINET 3X2 $ 2,860.00 $ 2,730.00
VENDA STOCKINET 4X2 $ 2,860.00 $ 2,730.00
VENDA STOCKINET 6X2 $ 2,860.00 $ 2,730.00
VENDA YESO 6X5 $ 7,810.00 $ 7,455.00
VENDA YESO ACRILICO 4" $ 24,310.00 $ 23,205.00
VISCOLASTICO LENTE $ 42,900.00 $ 40,950.00
TARIFA 2011 TARIFA 2011 TARIFA 2011 TARIFA 2011
GRUPO 2 GRUPO 3 GRUPO 4 GRUPO 5

10,120.00 11,040.00 12,125.00 13,130.00


31,280.00 34,200.00 37,250.00 40,430.00
12,880.00 14,160.00 15,375.00 16,640.00
12,190.00 13,320.00 14,500.00 15,730.00
13,685.00 14,880.00 16,250.00 17,680.00
10,235.00 11,280.00 12,250.00 13,260.00
15,180.00 16,680.00 18,125.00 19,630.00
11,845.00 12,960.00 14,125.00 15,340.00
11,845.00 12,960.00 14,125.00 15,340.00
12,880.00 14,160.00 15,375.00 16,640.00
11,960.00 13,080.00 14,250.00 15,470.00
10,235.00 11,280.00 12,250.00 13,260.00
52,900.00 57,840.00 63,000.00 68,380.00
65,780.00 72,000.00 78,375.00 85,020.00
57,500.00 62,880.00 68,375.00 74,230.00
5,405.00 6,000.00 6,500.00 7,020.00
49,105.00 53,760.00 58,500.00 63,440.00
483,230.00 528,240.00 575,250.00 624,260.00
8,510.00 9,240.00 10,125.00 10,920.00
36,685.00 40,080.00 43,750.00 47,450.00
97,290.00 106,440.00 115,875.00 125,710.00
101,545.00 111,000.00 120,875.00 131,170.00
96,025.00 105,000.00 114,250.00 124,020.00
138.00 180.00 225.00 260.00
6,900.00 7,560.00 8,250.00 8,840.00
10,120.00 11,040.00 12,125.00 13,130.00
25,185.00 27,600.00 30,000.00 32,630.00
10,005.00 10,920.00 11,875.00 13,000.00
10,120.00 11,040.00 12,125.00 13,130.00
10,120.00 11,040.00 12,125.00 13,130.00
99,935.00 109,320.00 119,000.00 129,220.00
111,320.00 121,680.00 132,500.00 143,780.00
33,925.00 37,080.00 40,375.00 43,810.00
36,800.00 40,320.00 43,875.00 47,580.00
32,430.00 35,520.00 38,625.00 41,990.00
483.00 540.00 587.50 650.00
14,145.00 15,480.00 16,875.00 18,200.00
8,625.00 9,360.00 10,250.00 11,050.00
4,980,995.00 5,445,000.00 5,929,750.00 6,435,000.00
106,260.00 116,160.00 126,500.00 137,280.00
7,705.00 8,400.00 9,250.00 10,010.00
46,575.00 51,000.00 55,500.00 60,190.00
14,490.00 15,840.00 17,250.00 18,720.00
15,755.00 17,160.00 18,750.00 20,280.00
15,755.00 17,160.00 18,750.00 20,280.00
22,540.00 24,720.00 26,875.00 29,120.00
19,090.00 20,880.00 22,750.00 24,700.00
24,725.00 27,120.00 29,500.00 31,980.00
24,725.00 27,120.00 29,500.00 31,980.00
9,430.00 10,320.00 11,250.00 12,220.00
7,820.00 8,640.00 9,375.00 10,140.00
12,420.00 13,560.00 14,750.00 16,120.00
13,685.00 14,880.00 16,250.00 17,680.00
12,420.00 13,560.00 14,750.00 16,120.00
99,935.00 109,320.00 119,000.00 129,220.00
14,375.00 15,720.00 17,125.00 18,590.00
176,870.00 193,440.00 210,625.00 228,540.00
29,555.00 32,400.00 35,250.00 38,220.00
19,665.00 21,480.00 23,375.00 25,480.00
17,595.00 19,320.00 21,000.00 22,750.00
20,585.00 22,440.00 24,500.00 26,520.00
21,505.00 23,520.00 25,625.00 27,820.00
34,155.00 37,320.00 40,625.00 44,200.00
27,255.00 29,880.00 32,500.00 35,230.00
41,170.00 45,000.00 49,000.00 53,170.00
4,025.00 4,320.00 4,750.00 5,200.00
164,795.00 180,240.00 196,250.00 212,940.00
21,160.00 23,160.00 25,125.00 27,300.00
4,025.00 4,320.00 4,750.00 5,200.00
11,845.00 12,960.00 14,125.00 15,340.00
11,845.00 12,960.00 14,125.00 15,340.00
11,845.00 12,960.00 14,125.00 15,340.00
1,007,745.00 1,101,720.00 1,199,750.00 1,301,950.00
1,007,745.00 1,101,720.00 1,199,750.00 1,301,950.00
4,485.00 4,920.00 5,375.00 5,720.00
211,140.00 230,880.00 251,375.00 272,870.00
84,525.00 92,400.00 100,625.00 109,200.00
448,040.00 489,720.00 533,375.00 578,760.00
448,040.00 489,720.00 533,375.00 578,760.00
448,040.00 489,720.00 533,375.00 578,760.00
57,385.00 62,760.00 68,250.00 74,100.00
123,740.00 135,360.00 147,375.00 159,900.00
123,740.00 135,360.00 147,375.00 159,900.00
123,740.00 135,360.00 147,375.00 159,900.00
3,450.00 3,840.00 4,125.00 4,550.00
3,910.00 4,200.00 4,625.00 4,940.00
3,680.00 3,960.00 4,375.00 4,680.00
3,795.00 4,080.00 4,500.00 4,810.00
2,760.00 3,000.00 3,250.00 3,640.00
3,450.00 3,840.00 4,125.00 4,550.00
4,600.00 5,040.00 5,500.00 5,980.00
2,070.00 2,280.00 2,500.00 2,730.00
2,530.00 2,760.00 3,000.00 3,250.00
205,390.00 224,520.00 244,500.00 265,330.00
166,175.00 181,680.00 197,750.00 214,630.00
166,175.00 181,680.00 197,750.00 214,630.00
315,675.00 345,000.00 375,750.00 407,810.00
316,135.00 345,600.00 376,375.00 408,460.00
316,135.00 345,600.00 376,375.00 408,460.00
316,135.00 345,600.00 376,375.00 408,460.00
394,910.00 431,640.00 470,125.00 510,120.00
282,555.00 308,880.00 336,375.00 365,040.00
282,095.00 308,400.00 335,750.00 364,390.00
393,875.00 430,560.00 468,875.00 508,820.00
273,700.00 299,280.00 325,875.00 353,600.00
273,125.00 298,560.00 325,125.00 352,820.00
314,755.00 344,160.00 374,750.00 406,640.00
236,670.00 258,720.00 281,750.00 305,760.00
393,875.00 430,560.00 468,875.00 508,820.00
414,345.00 452,880.00 493,250.00 535,210.00
52,900.00 57,840.00 63,000.00 68,380.00
393,875.00 430,560.00 468,875.00 508,820.00
236,670.00 258,720.00 281,750.00 305,760.00
130,870.00 143,040.00 155,875.00 169,130.00
53,935.00 59,040.00 64,250.00 69,680.00
394,910.00 431,640.00 470,125.00 510,120.00
39,215.00 42,960.00 46,750.00 50,700.00
245,870.00 268,800.00 292,625.00 317,590.00
245,870.00 268,800.00 292,625.00 317,590.00
245,870.00 268,800.00 292,625.00 317,590.00
75,325.00 82,320.00 89,750.00 97,370.00
75,325.00 82,320.00 89,750.00 97,370.00
193,085.00 211,080.00 229,875.00 249,470.00
193,085.00 211,080.00 229,875.00 249,470.00
84,525.00 92,400.00 100,625.00 109,200.00
898,840.00 982,560.00 1,070,125.00 1,161,290.00
443,325.00 484,560.00 527,750.00 572,650.00
100,510.00 109,800.00 119,625.00 129,740.00
89,815.00 98,160.00 107,000.00 116,090.00
89,815.00 98,160.00 107,000.00 116,090.00
121,210.00 132,480.00 144,375.00 156,650.00
139,955.00 153,000.00 166,625.00 180,830.00
99,590.00 108,960.00 118,625.00 128,700.00
73,370.00 80,280.00 87,375.00 94,900.00
125,580.00 137,280.00 149,500.00 162,240.00
135,125.00 147,720.00 160,875.00 174,590.00
132,825.00 145,200.00 158,125.00 171,600.00
991,760.00 1,084,080.00 1,180,625.00 1,281,280.00
876,300.00 957,960.00 1,043,250.00 1,132,040.00
1,184,385.00 1,294,800.00 1,410,000.00 1,530,230.00
104,650.00 114,480.00 124,625.00 135,200.00
295,090.00 322,560.00 351,375.00 381,290.00
522,215.00 570,960.00 621,750.00 674,700.00
313,950.00 343,200.00 373,750.00 405,600.00
443,325.00 484,560.00 527,750.00 572,650.00
266,915.00 291,720.00 317,750.00 344,760.00
565,110.00 617,760.00 672,750.00 730,080.00
581,670.00 635,880.00 692,500.00 751,400.00
408,135.00 446,160.00 485,875.00 527,280.00
1,414,615.00 1,546,440.00 1,684,000.00 1,827,540.00
1,414,615.00 1,546,440.00 1,684,000.00 1,827,540.00
2,530.00 2,760.00 3,000.00 3,250.00
2,530.00 2,760.00 3,000.00 3,250.00
2,070.00 2,280.00 2,500.00 2,730.00
2,070.00 2,280.00 2,500.00 2,730.00
2,070.00 2,280.00 2,500.00 2,730.00
2,070.00 2,280.00 2,500.00 2,730.00
23,575.00 25,800.00 28,000.00 30,420.00
1,026,145.00 1,121,760.00 1,221,625.00 1,325,740.00
189,635.00 207,240.00 225,750.00 244,920.00
560,395.00 612,600.00 667,125.00 723,970.00
280,945.00 307,200.00 334,500.00 362,960.00
7,475.00 8,160.00 8,875.00 9,620.00
7,475.00 8,160.00 8,875.00 9,620.00
61,180.00 66,960.00 72,875.00 79,040.00
816,270.00 892,320.00 971,750.00 1,054,560.00
816,270.00 892,320.00 971,750.00 1,054,560.00
821,100.00 897,600.00 977,500.00 1,060,800.00
816,270.00 892,320.00 971,750.00 1,054,560.00
376,740.00 411,840.00 448,500.00 486,720.00
376,740.00 411,840.00 448,500.00 486,720.00
502,320.00 549,120.00 598,000.00 648,960.00
863,420.00 943,800.00 1,027,875.00 1,115,400.00
210,335.00 229,920.00 250,375.00 271,700.00
13,800.00 15,000.00 16,375.00 17,810.00
13,800.00 15,000.00 16,375.00 17,810.00
6,095.00 6,600.00 7,250.00 7,800.00
6,555.00 7,080.00 7,750.00 8,450.00
6,210.00 6,720.00 7,375.00 7,930.00
6,210.00 6,720.00 7,375.00 7,930.00
7,705.00 8,400.00 9,250.00 10,010.00
9,660.00 10,560.00 11,500.00 12,480.00
11,960.00 13,080.00 14,250.00 15,470.00
47,150.00 51,480.00 56,125.00 60,840.00
49,910.00 54,480.00 59,375.00 64,480.00
50,600.00 55,320.00 60,250.00 65,390.00
12,305.00 13,440.00 14,625.00 15,860.00
14,605.00 15,960.00 17,375.00 18,850.00
14,490.00 15,840.00 17,250.00 18,720.00
8,740.00 9,480.00 10,375.00 11,180.00
117,760.00 128,760.00 140,125.00 152,100.00
135,815.00 148,560.00 161,750.00 175,500.00
7,130.00 7,800.00 8,500.00 9,230.00
368.00 420.00 462.50 520.00
253.00 288.00 337.50 390.00
187,450.00 204,840.00 223,125.00 242,060.00
75,325.00 82,320.00 89,750.00 97,370.00
39,215.00 42,960.00 46,750.00 50,700.00
7,935.00 8,760.00 9,500.00 10,270.00
9,085.00 9,960.00 10,750.00 11,700.00
20,585.00 22,440.00 24,500.00 26,520.00
8,510.00 9,240.00 10,125.00 10,920.00
122,015.00 133,320.00 145,250.00 157,560.00
458,850.00 501,600.00 546,250.00 592,800.00
536,015.00 585,960.00 638,125.00 692,510.00
4,600.00 5,040.00 5,500.00 5,980.00
368.00 420.00 462.50 520.00
0.00 0.00 0.00 0.00
4,600.00 5,040.00 5,500.00 5,980.00
60,375.00 66,000.00 71,875.00 78,000.00
22,195.00 24,240.00 26,500.00 28,730.00
28,635.00 31,320.00 34,125.00 36,920.00
14,375.00 15,720.00 17,125.00 18,590.00
131,905.00 144,120.00 157,000.00 170,300.00
40,135.00 43,800.00 47,750.00 51,740.00
2,530.00 2,760.00 3,000.00 3,250.00
146,625.00 160,200.00 174,500.00 189,410.00
20,010.00 21,960.00 23,875.00 25,870.00
5,750.00 6,360.00 6,875.00 7,540.00
4,370.00 4,800.00 5,125.00 5,590.00
3,795.00 4,080.00 4,500.00 4,810.00
6,440.00 6,960.00 7,625.00 8,320.00
3,910.00 4,200.00 4,625.00 4,940.00
114,080.00 124,800.00 135,875.00 147,420.00
177,560.00 194,040.00 211,375.00 229,320.00
133,630.00 146,160.00 159,125.00 172,640.00
229,885.00 251,280.00 273,750.00 297,050.00
1,561,930.00 1,707,480.00 1,859,375.00 2,017,860.00
23,115.00 25,200.00 27,500.00 29,770.00
6,095.00 6,600.00 7,250.00 7,800.00
18,170.00 19,800.00 21,625.00 23,400.00
14,490.00 15,840.00 17,250.00 18,720.00
483.00 540.00 587.50 650.00
11,615.00 12,720.00 13,750.00 14,950.00
50,255.00 54,960.00 59,750.00 64,870.00
180,895.00 197,760.00 215,375.00 233,740.00
1,001,535.00 1,094,760.00 1,192,250.00 1,293,890.00
1,440,720.00 1,574,880.00 1,715,125.00 1,861,210.00
1,702,575.00 1,861,200.00 2,026,875.00 2,199,600.00
1,702,575.00 1,861,200.00 2,026,875.00 2,199,600.00
1,001,535.00 1,094,760.00 1,192,250.00 1,293,890.00
593,285.00 648,480.00 706,250.00 766,480.00
1,552.50 1,680.00 1,875.00 2,080.00
1,725.00 1,860.00 2,000.00 2,210.00
943.00 1,020.00 1,100.00 1,170.00
1,058.00 1,140.00 1,225.00 1,300.00
1,725.00 1,860.00 2,000.00 2,210.00
13,110.00 14,400.00 15,625.00 17,030.00
9,775.00 10,680.00 11,625.00 12,610.00
116,150.00 126,960.00 138,250.00 150,020.00
12,075.00 13,200.00 14,375.00 15,600.00
452,065.00 494,160.00 538,250.00 584,090.00
64,170.00 70,080.00 76,375.00 82,810.00
1,840.00 2,040.00 2,187.50 2,340.00
9,430.00 10,320.00 11,250.00 12,220.00
47,150.00 51,480.00 56,125.00 60,840.00
382,030.00 417,600.00 454,875.00 493,610.00
15,985.00 17,400.00 19,000.00 20,540.00
159,390.00 174,240.00 189,750.00 205,920.00
203,435.00 222,480.00 242,250.00 262,860.00
8,625.00 9,360.00 10,250.00 11,050.00
66,240.00 72,480.00 78,875.00 85,670.00
154,790.00 169,200.00 184,250.00 199,940.00
188,945.00 206,640.00 225,000.00 244,140.00
418,140.00 457,080.00 497,750.00 540,280.00
126,845.00 138,600.00 151,000.00 163,800.00
50,715.00 55,440.00 60,375.00 65,520.00
598.00 660.00 712.50 780.00
368.00 420.00 462.50 520.00
253.00 288.00 337.50 390.00
828.00 900.00 975.00 1,040.00
253.00 288.00 337.50 390.00
1,725.00 1,860.00 2,000.00 2,210.00
253.00 288.00 337.50 390.00
419,635.00 458,760.00 499,500.00 542,100.00
1,007,745.00 1,101,720.00 1,199,750.00 1,301,950.00
853,990.00 933,480.00 1,016,625.00 1,103,180.00
1,007,745.00 1,101,720.00 1,199,750.00 1,301,950.00
8,280.00 9,120.00 9,875.00 10,790.00
816,270.00 892,320.00 971,750.00 1,054,560.00
816,270.00 892,320.00 971,750.00 1,054,560.00
1,084,910.00 1,186,080.00 1,291,625.00 1,401,660.00
43,930.00 48,000.00 52,375.00 56,810.00
828.00 900.00 975.00 1,040.00
153,985.00 168,360.00 183,250.00 198,900.00
43,585.00 47,640.00 51,875.00 56,290.00
1,725.00 1,860.00 2,000.00 2,210.00
115,920.00 126,720.00 138,000.00 149,760.00
3,931,735.00 4,298,040.00 4,680,625.00 5,079,490.00
410,550.00 448,800.00 488,750.00 530,400.00
5,635.00 6,240.00 6,750.00 7,280.00
12,305.00 13,440.00 14,625.00 15,860.00
3,335.00 3,720.00 4,000.00 4,420.00
6,555.00 7,080.00 7,750.00 8,450.00
12,420.00 13,560.00 14,750.00 16,120.00
12,765.00 14,040.00 15,250.00 16,510.00
29,555.00 32,400.00 35,250.00 38,220.00
6,095.00 6,600.00 7,250.00 7,800.00
5,290.00 5,760.00 6,375.00 6,890.00
69,920.00 76,440.00 83,250.00 90,350.00
7,130.00 7,800.00 8,500.00 9,230.00
17,020.00 18,600.00 20,250.00 21,970.00
17,020.00 18,600.00 20,250.00 21,970.00
46,920.00 51,360.00 55,875.00 60,710.00
34,730.00 38,040.00 41,375.00 44,980.00
53,015.00 57,960.00 63,125.00 68,510.00
28,060.00 30,600.00 33,375.00 36,140.00
21,275.00 23,280.00 25,250.00 27,430.00
38,525.00 42,120.00 45,875.00 49,790.00
18,285.00 19,920.00 21,750.00 23,530.00
27,255.00 29,880.00 32,500.00 35,230.00
541,535.00 592,080.00 644,750.00 699,660.00
1,865,875.00 2,039,640.00 2,221,250.00 2,410,460.00
1,810,330.00 1,978,920.00 2,155,125.00 2,338,700.00
1,375,170.00 1,503,360.00 1,637,125.00 1,776,710.00
1,551,695.00 1,696,200.00 1,847,250.00 2,004,600.00
1,444,285.00 1,578,840.00 1,719,375.00 1,865,890.00
1,592,405.00 1,740,840.00 1,895,750.00 2,057,380.00
1,270,865.00 1,389,360.00 1,513,000.00 1,641,900.00
3,354,205.00 3,666,720.00 3,993,125.00 4,333,420.00
104,420.00 114,240.00 124,375.00 134,940.00
828.00 900.00 975.00 1,040.00
828.00 900.00 975.00 1,040.00
713.00 780.00 850.00 910.00
828.00 900.00 975.00 1,040.00
70,610.00 77,280.00 84,125.00 91,260.00
21,850.00 23,880.00 26,000.00 28,210.00
179,285.00 196,080.00 213,500.00 231,660.00
21,850.00 23,880.00 26,000.00 28,210.00
53,820.00 58,920.00 64,125.00 69,550.00
114,540.00 125,280.00 136,375.00 148,070.00
47,495.00 51,840.00 56,500.00 61,360.00
49,335.00 54,000.00 58,750.00 63,830.00
69,920.00 76,440.00 83,250.00 90,350.00
5,750.00 6,360.00 6,875.00 7,540.00
20,240.00 22,200.00 24,125.00 26,260.00
5,750.00 6,360.00 6,875.00 7,540.00
7,130.00 7,800.00 8,500.00 9,230.00
65,435.00 71,520.00 77,875.00 84,500.00
5,750.00 6,360.00 6,875.00 7,540.00
5,750.00 6,360.00 6,875.00 7,540.00
8,050.00 8,880.00 9,625.00 10,400.00
10,235.00 11,280.00 12,250.00 13,260.00
13,455.00 14,640.00 16,000.00 17,290.00
14,260.00 15,600.00 17,000.00 18,460.00
13,455.00 14,640.00 16,000.00 17,290.00
13,570.00 14,760.00 16,125.00 17,420.00
14,260.00 15,600.00 17,000.00 18,460.00
19,090.00 20,880.00 22,750.00 24,700.00
6,670.00 7,320.00 7,875.00 8,580.00
6,900.00 7,560.00 8,250.00 8,840.00
7,130.00 7,800.00 8,500.00 9,230.00
6,555.00 7,080.00 7,750.00 8,450.00
14,145.00 15,480.00 16,875.00 18,200.00
5,405.00 6,000.00 6,500.00 7,020.00
5,405.00 6,000.00 6,500.00 7,020.00
13,685.00 14,880.00 16,250.00 17,680.00
7,130.00 7,800.00 8,500.00 9,230.00
6,900.00 7,560.00 8,250.00 8,840.00
13,570.00 14,760.00 16,125.00 17,420.00
13,455.00 14,640.00 16,000.00 17,290.00
9,430.00 10,320.00 11,250.00 12,220.00
14,375.00 15,720.00 17,125.00 18,590.00
13,570.00 14,760.00 16,125.00 17,420.00
16,100.00 17,520.00 19,125.00 20,800.00
7,290,310.00 7,969,560.00 8,678,875.00 9,418,500.00
67,607,925.00 73,906,800.00 80,485,625.00 87,344,400.00
728,410.00 796,200.00 867,125.00 940,940.00
400,660.00 438,000.00 477,000.00 517,660.00
600,875.00 656,880.00 715,250.00 776,230.00
600,875.00 656,880.00 715,250.00 776,230.00
69,230.00 75,600.00 82,375.00 89,440.00
368.00 420.00 462.50 520.00
5,520.00 6,120.00 6,625.00 7,150.00
5,175.00 5,640.00 6,125.00 6,760.00
5,635.00 6,240.00 6,750.00 7,280.00
8,625.00 9,360.00 10,250.00 11,050.00
5,520.00 6,120.00 6,625.00 7,150.00
5,520.00 6,120.00 6,625.00 7,150.00
5,175.00 5,640.00 6,125.00 6,760.00
5,520.00 6,120.00 6,625.00 7,150.00
5,520.00 6,120.00 6,625.00 7,150.00
7,360.00 8,040.00 8,750.00 9,490.00
5,520.00 6,120.00 6,625.00 7,150.00
5,520.00 6,120.00 6,625.00 7,150.00
5,520.00 6,120.00 6,625.00 7,150.00
5,635.00 6,240.00 6,750.00 7,280.00
5,520.00 6,120.00 6,625.00 7,150.00
5,520.00 6,120.00 6,625.00 7,150.00
5,520.00 6,120.00 6,625.00 7,150.00
5,520.00 6,120.00 6,625.00 7,150.00
5,520.00 6,120.00 6,625.00 7,150.00
5,520.00 6,120.00 6,625.00 7,150.00
5,520.00 6,120.00 6,625.00 7,150.00
5,520.00 6,120.00 6,625.00 7,150.00
26,795.00 29,280.00 31,875.00 34,580.00
145,590.00 159,240.00 173,375.00 188,110.00
885,270.00 967,680.00 1,053,875.00 1,143,610.00
154,675.00 169,080.00 184,125.00 199,810.00
11,275,635.00 12,326,160.00 13,423,375.00 14,567,280.00
7,705.00 8,400.00 9,250.00 10,010.00
20,930.00 22,800.00 24,875.00 27,040.00
7,360.00 8,040.00 8,750.00 9,490.00
17,365.00 18,960.00 20,750.00 22,490.00
20,930.00 22,800.00 24,875.00 27,040.00
26,335.00 28,800.00 31,375.00 34,060.00
20,930.00 22,800.00 24,875.00 27,040.00
6,210.00 6,720.00 7,375.00 7,930.00
15,065.00 16,560.00 18,000.00 19,500.00
17,135.00 18,720.00 20,375.00 22,100.00
43,470.00 47,520.00 51,750.00 56,160.00
103,615.00 113,280.00 123,375.00 133,900.00
4,600.00 5,040.00 5,500.00 5,980.00
2,415.00 2,640.00 2,875.00 3,120.00
2,990.00 3,360.00 3,625.00 3,900.00
2,760.00 3,000.00 3,250.00 3,640.00
3,105.00 3,480.00 3,750.00 4,030.00
3,105.00 3,480.00 3,750.00 4,030.00
56,810.00 62,040.00 67,625.00 73,320.00
4,370.00 4,800.00 5,125.00 5,590.00
41,860.00 45,840.00 49,875.00 54,080.00
50,255.00 54,960.00 59,750.00 64,870.00
828.00 900.00 975.00 1,040.00
828.00 900.00 975.00 1,040.00
943.00 1,020.00 1,100.00 1,170.00
598.00 660.00 712.50 780.00
828.00 900.00 975.00 1,040.00
828.00 900.00 975.00 1,040.00
1,265.00 1,380.00 1,500.00 1,625.00
713.00 780.00 850.00 910.00
1,265.00 1,380.00 1,500.00 1,625.00
1,265.00 1,380.00 1,500.00 1,625.00
1,265.00 1,380.00 1,500.00 1,625.00
1,265.00 1,380.00 1,500.00 1,625.00
1,552.50 1,680.00 1,875.00 2,080.00
1,552.50 1,680.00 1,875.00 2,080.00
1,552.50 1,680.00 1,875.00 2,080.00
1,725.00 1,860.00 2,000.00 2,210.00
1,725.00 1,860.00 2,000.00 2,210.00
131,905.00 144,120.00 157,000.00 170,300.00
131,905.00 144,120.00 157,000.00 170,300.00
131,905.00 144,120.00 157,000.00 170,300.00
131,905.00 144,120.00 157,000.00 170,300.00
131,905.00 144,120.00 157,000.00 170,300.00
66,470.00 72,600.00 79,125.00 85,800.00
66,470.00 72,600.00 79,125.00 85,800.00
66,470.00 72,600.00 79,125.00 85,800.00
1,270,980.00 1,389,480.00 1,513,125.00 1,642,030.00
92,805.00 101,520.00 110,500.00 119,990.00
47,495.00 51,840.00 56,500.00 61,360.00
253.00 288.00 337.50 390.00
598.00 660.00 712.50 780.00
232,185.00 253,800.00 276,375.00 300,040.00
324,990.00 355,200.00 386,875.00 419,770.00
1,380.00 1,500.00 1,625.00 1,755.00
1,725.00 1,860.00 2,000.00 2,210.00
2,415.00 2,640.00 2,875.00 3,120.00
2,415.00 2,640.00 2,875.00 3,120.00
1,725.00 1,860.00 2,000.00 2,210.00
393,300.00 429,960.00 468,250.00 508,040.00
393,300.00 429,960.00 468,250.00 508,040.00
785,910.00 859,200.00 935,625.00 1,015,430.00
393,415.00 430,080.00 468,375.00 508,300.00
785,910.00 859,200.00 935,625.00 1,015,430.00
475,985.00 520,320.00 566,625.00 614,900.00
372,370.00 407,040.00 443,375.00 481,130.00
459,310.00 502,080.00 546,875.00 593,450.00
459,310.00 502,080.00 546,875.00 593,450.00
372,370.00 407,040.00 443,375.00 481,130.00
367,310.00 401,520.00 437,250.00 474,500.00
367,310.00 401,520.00 437,250.00 474,500.00
367,310.00 401,520.00 437,250.00 474,500.00
367,310.00 401,520.00 437,250.00 474,500.00
325,910.00 356,280.00 388,000.00 421,070.00
367,310.00 401,520.00 437,250.00 474,500.00
2,070.00 2,280.00 2,500.00 2,730.00
2,070.00 2,280.00 2,500.00 2,730.00
50,255.00 54,960.00 59,750.00 64,870.00
133,400.00 145,920.00 158,875.00 172,380.00
4,370.00 4,800.00 5,125.00 5,590.00
5,060.00 5,520.00 6,000.00 6,500.00
8,165.00 9,000.00 9,750.00 10,660.00
5,635.00 6,240.00 6,750.00 7,280.00
5,635.00 6,240.00 6,750.00 7,280.00
5,635.00 6,240.00 6,750.00 7,280.00
5,520.00 6,120.00 6,625.00 7,150.00
5,290.00 5,760.00 6,375.00 6,890.00
6,555.00 7,080.00 7,750.00 8,450.00
6,440.00 6,960.00 7,625.00 8,320.00
4,140.00 4,440.00 4,875.00 5,330.00
3,910.00 4,200.00 4,625.00 4,940.00
3,220.00 3,600.00 3,875.00 4,160.00
6,095.00 6,600.00 7,250.00 7,800.00
3,450.00 3,840.00 4,125.00 4,550.00
3,450.00 3,840.00 4,125.00 4,550.00
3,910.00 4,200.00 4,625.00 4,940.00
4,025.00 4,320.00 4,750.00 5,200.00
4,140.00 4,440.00 4,875.00 5,330.00
5,060.00 5,520.00 6,000.00 6,500.00
6,095.00 6,600.00 7,250.00 7,800.00
4,945.00 5,400.00 5,875.00 6,370.00
10,925.00 11,880.00 13,000.00 14,040.00
310,845.00 339,720.00 370,000.00 401,570.00
2,415.00 2,640.00 2,875.00 3,120.00
2,415.00 2,640.00 2,875.00 3,120.00
72,565.00 79,320.00 86,375.00 93,730.00
5,921,120.00 6,472,800.00 7,048,875.00 7,649,590.00
1,129,070.00 1,234,200.00 1,344,125.00 1,458,600.00
4,255.00 4,680.00 5,000.00 5,460.00
2,760.00 3,000.00 3,250.00 3,640.00
1,725.00 1,860.00 2,000.00 2,210.00
3,105.00 3,480.00 3,750.00 4,030.00
3,105.00 3,480.00 3,750.00 4,030.00
3,105.00 3,480.00 3,750.00 4,030.00
3,105.00 3,480.00 3,750.00 4,030.00
8,625.00 9,360.00 10,250.00 11,050.00
26,680.00 29,160.00 31,750.00 34,450.00
47,150.00 51,480.00 56,125.00 60,840.00
GRIPOS TIPO DE RED NOMBRE IPS TARIFAS
HOSPITAL DPTAL DE VILLAVICENCIO
HOSPITAL LA VICTORIA
CLINICA DE LA PAZ
ABILITAR VIDA
CLINICA LA IMACULADA
HOSPITAL OCCIDENTE DE KENNEDY – III NIVEL
HOSPITAL OCCIDENTE DE KENNEDY – III NIVEL
RED CONTRATADA NO ADSCRITA A SSC HOSPITAL SAN BLAS II NIVEL MAS EL 5%
CLINICA DE ESPECIALISTAS LA CELAD (LA DORADA
GRUPO 1 CALDAS)
INSTITUTO DE ORTOPEDIA INFANTIL ROOSEVELT
CAPRECOM - HOSPITAL DE GIRARDOT
HOSPITAL SANTA CLARA III NIVEL
INSTITUTO NACIONAL DE CANCEROLOGIA
HOSPITAL SIMON BOLIVAR
HOSPITAL DE FACATATIVA
HOSPITAL LA SAMARITANA - ZIPAQUIRA - LA VEGA
RED ADSCRITA A LA SSC HOSPITAL DE MADRID MAS EL 10%
HOSPITAL DE SOACHA
HOSPITAL DE CAQUEZA
HOSPITAL DE CHOCONTA
GRIPO 2 RED ADSCRITA A LA SSC HOSPITAL DE FUSAGASUGA MAS EL 15%
HOSPITAL DE LA MESA
HOSPITAL DE UBATE
HOSPITAL DE CHIA
HOSPITAL DE FOMEQUE
HOSPITAL DE GUATAVITA
HOSPITAL DE SESQUILE
GRUPO 3 RED ADSCRITA A LA SSC HOSPITAL DE SOPO MAS EL 20%
HOSPITAL DE TABIO
HOSPITAL DE TENJO
HOSPITAL DE TOCAIMA
HOSPITAL DE VIOTA
HOSPITAL DE ANOLAIMA
HOSPITAL DE ARBELAEZ
HOSPITAL DE EL COLEGIO
GRUPO 4 RED ADSCRITA A LA SSC HOSPITAL DE NEMOCON MAS EL 25%
HOSPITAL DE SASAIMA
HOSPITAL DE GACHETA
HOSPITAL DE PACHO
HOSPITAL CARMEN DE CARUPA
HOSPITAL DE GUACHETA
HOSPITAL DE GUADUAS
HOSPITAL DE PTO. SALGAR
GRUPO 5 RED ADSCRITA A LA SSC HOSPITAL DE S.JUAN RIO SECO MAS EL 30%
HOSPITAL DE LA PALMA
HOSPITAL DE VERGARA
GRUPO 5 RED ADSCRITA A LA SSC MAS EL 30%

HOSPITAL DE VILLETA
HOSPITAL DE MEDINA

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