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Câmara de Regulação do Mercado de Medicamentos- CMED
Secretaria Executiva
PREÇOS MÁXIMOS DE MEDICAMENTOS POR PRINCÍPIO ATIVO, PARA COMPRAS PÚBLICAS
PREÇO FÁBRICA - PF (PREÇO PARA LABORATÓRIOS E DISTRIBUIDORES)
PREÇO MÁXIMO DE VENDA AO GOVERNO (PMVG)
Publicada em 02/10/2023 às 21h00min, atualizada em 09/10/2023 às 12:30.
Esta lista apresenta os preços provisórios dos medicamentos Utiliza-se o PF como referência quando a aquisição dos medicamentos Ainda em cumprimento ao citado Acórdão, a Nota Técnica nº
REGULADOS, nos termos da Resolução CMED nº 13, de 27 de não for determinada por ordem judicial, e os medicamentos não se 17/2012/DAF/SCTIE/MS determina que, para os medicamentos constantes
dezembro de 2022, definidos na 4ª reunião extraordinária do CTECMED. encontrarem relacionados no rol anexo ao Comunicado nº 6, de 2013, nos demais convênios relacionados ao setor farmacêutico no âmbito do
que regulamenta o artigo 4º da Resolução nº 3, de 2011. CONFAZ, citando como os principais Convênios: ICMS 76/94, ICMS 162/94,
Para as aquisições públicas de medicamentos existem em vigor dois ICMS 95/98, ICMS 01/99, ICMS 140/01, ICMS 10/02, ICMS 87/02, ICMS
tetos máximos de preços: o Preço Fábrica – PF e o Preço Máximo de Já o PMVG, é utilizado como referência quando a compra for motivada 21/03, ICMS 56/05, ICMS 34/06, ICMS161/06 e ICMS 17/07, o Preço
Venda ao Governo – PMVG. por ordem judicial, e sempre que a aquisição contemplar medicamentos Fábrica e o Preço Máximo de Venda ao Governo devem ser calculados
relacionados no rol anexo ao Comunicado nº 6, de 2013. aplicando-se a desoneração do imposto. Acrescenta ainda que, quando
• Preço Fábrica - PF é o teto de preço pelo qual um laboratório ou houver a recusa de uma empresa produtora de medicamentos, distribuidora,
distribuidor pode comercializar um medicamento no mercado brasileiro. O PMVG DEVERÁ SER, PORTANTO, UTILIZADO COMO farmácia ou drogaria, em conceder a isenção prevista no Convênio ICMS
• Preço Máximo de Venda ao Governo – PMVG é o resultado da aplicação REFERÊNCIA, OBRIGATORIAMENTE, PARA TODOS OS 87/02, deverá ser encaminhada denúncia, acompanhada de todos os
do Coeficiente de Adequação de Preços (CAP) sobre o Preço Fábrica – PF, PRODUTOS DESTACADOS COM O SÍMBOLO CAP. documentos comprobatórios ao Ministério Público Federal e Estadual, para
PMVG = PF*(1-CAP). O CAP, regulamentado pela Resolução nº. 3, de 2 de as medidas judiciais cabíveis
março de 2011, é um desconto mínimo obrigatório a ser aplicado sempre PARA AS DEMAIS APRESENTAÇÕES, O PMVG DEVERÁ SER
que forem realizadas vendas de medicamentos constantes do rol anexo ao UTILIZADO COMO REFERÊNCIA SOMENTE EM
C COMPRAS POR Já o Acórdão TCU 3016/2012, de 8 de novembro de 2012, com fulcro no art.
Comunicado nº 15, de 31 de agosto de 2017 - Versão Consolidada ou para FORÇA DE DECISÃO JUDICIAL. NOS DEMAIS CASOS, DEVERÁ SER 250, inciso II, do Regimento Interno do TCU, e com fundamento no art. 15 da
atender ordem judicial. UTILIZADO COMO REFERÊNCIA O PREÇO FÁBRICA – PF. Lei 8.666/1993, determina ao Ministério da Saúde que alerte aos gestores
públicos estaduais e municipais, quanto à possibilidade de os preços fábrica
Conforme o Comunicado Nº 5, de 21 de dezembro de 2020, o CAP é de Além dessa facilidade, a lista especifica os Preços Máximos de Venda registrados na Tabela CMED estarem distorcidos, em patamares
21,53%. ao Governo e os Preços Fábrica nas diversas alíquotas de ICMS. Para significativamente superiores aos praticados, tanto nas compras
os medicamentos isentos de ICMS, conforme convênios do CONFAZ governamentais, quanto nas vendas à rede privada, TORNANDO-SE
São esses os preços máximos que devem ser observados, tanto pelos ou regulamentação de Laboratórios Oficiais, são disponibilizados IMPRESCINDÍVEL A REALIZAÇÃO DE PESQUISA DE PREÇOS PRÉVIA À
vendedores, como pelos compradores, nas aquisições de apenas os preços na alíquota de ICMS 0%. LICITAÇÃO, E QUE A AQUISIÇÃO DE MEDICAMENTOS POR PREÇOS
medicamentos destinados ao Sistema Único de Saúde – SUS (entes da ABAIXO DO PREÇO-FÁBRICA REGISTRADO NÃO EXIME O GESTOR DE
Administração Pública direta e indireta da União, Estados, Distrito O Acórdão Nº 140/2012 - TCU – Plenário, de 1º de fevereiro de 2012 com POSSÍVEIS SANÇÕES.
Federal e Municípios). fulcro no art. 250, inciso II, do Regimento Interno do TCU e com
fundamento na Cláusula Primeira do Convênio - Confaz 87/2002, determina As pesquisas de preços praticados em licitações podem ser feitas através do
O artigo 4º da Resolução nº 3, de 2011, necessita de regulamentação, pois que o Ministério da Saúde deve orientar os gestores federais, estaduais e Banco de Preços em Saúde do Ministério da Saúde em
não é autoaplicável, exceto quando a compra derivar de ordem judicial. municipais acerca da aplicação da isenção do ICMS nas aquisições de www.bps.saude.gov.br.
Assim, o CAP deverá ser aplicado apenas para parte dos produtos descritos medicamentos, alertando aos entes que as propostas dos licitantes devem
no inciso I, constantes do “Programa de Componente Especializado da contemplar a isenção do tributo. Para maiores informações, recomenda-se a leitura das normas relacionadas
Assistência Farmacêutica”, e para alguns medicamentos referentes ao inciso a esse assunto: Comunicado nº. 9, de 28 de agosto de 2012, Comunicado nº
II, que trata de produtos do “Programa Nacional de DST/AIDS”, listados no Na oportunidade, o aludido acórdão, recomendou ainda ao CONFAZ, a 3, de 16 de março de 2012 e Resolução nº 3, de 2 de março de 2011.
anexo do Comunicado nº 9, de 28 de agosto de 2012. Dessa maneira, os alteração do § 6º da Cláusula Primeira do Convênio ICMS 87/02, tendo
demais produtos do Programa de Sangue e Hemoderivados, os em vista a inconstitucionalidade do dispositivo, ao afrontar o art. 37, O campo “Análise Recursal” destina-se a prestar informações sobre
Antineoplásicos e Adjuvantes no tratamento do câncer e os classificados nas inciso XXI, da Carta Magna, de forma a prever expressamente que as produtos cuja análise de preço ainda esteja em curso no âmbito da CMED,
categorias I, II e V da Resolução nº 2, de 2004 não estão sujeitos à propostas dos licitantes contemplem o preço isento do ICMS e que a tanto em sede de pedido de reconsideração como de recurso ao
aplicação do CAP, salvo se adquiridos por ordem judicial, ou venham a ser competição entre eles considere este valor. CTE/CMED.
incluídos em novo rol.
PREÇOS MÁXIMOS DE MEDICAMENTOS POR PRINCÍPIO ATIVO Câmara de Regulação do Mercado de

Medicamentos
PREÇO FÁBRICA - PF (PREÇO PARA LABORATÓRIOS E DISTRIBUIDORES) - CMED -
PREÇO MÁXIMO DE VENDA AO GOVERNO (PMVG) Secretaria Executiva
GGREM Medicamento Apresentação ICMS 0% ICMS 12% ICMS 17% ICMS 17,5% ICMS 18% ICMS 19% ICMS 20% ICMS 21% ICMS 22%
Laboratório PF 0% PF 12% PF 17% PF 17,5% PF 18% PF 19% PF 20% PF 21% PF 22%
Dec. Jud./Anl. Rec. CAP Reg. Preço ICMS0%
PMVG 0% PMVG 12% PMVG 17% PMVG 17,5% PMVG 18% PMVG 19% PMVG 20% PMVG 21% PMVG 22%
BUTILBROMETO DE ESCOPOLAMINA
540921040046917 BUSCOPAN 20 MG SOL INJ CT 5 AMP VD TRANS X 1 ML 8.88 10.26 10.97 11.05 11.13 11.29 11.45 11.62 11.79
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) 6.97 8.05 8.61 8.67 8.73 8.86 8.98 9.12 9.25
Dec. Judicial (9)
DIPIRONA MONOIDRATADA;BUTILBROMETO DE ESCOPOLAMINA

540922040053814 BUSCOPAN COMPOSTO (4,0 + 500,0) MG/ML SOL INJ IV/IM CT 3 AMP VD 12.32 14.24 15.22 15.33 15.44 15.66 15.89 16.12 16.36
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) AMB X 5 ML
9.67 11.17 11.94 12.03 12.12 12.29 12.47 12.65 12.84
Dec. Judicial (9)
SULFATO DE MAGNÉSIO HEPTAIDRATADO

540620050002007 SULFATO DE MAGNÉSIO HEPTAHIDRATADO 10% SOL INJ IV CX 50 FR AMP VD TRANS X 50 375.00 426.14 451.81 454.55 457.32 462.96 468.75 474.68 480.77
(VASCONCELOS INDUSTRIA FARMACEUTICA E COMERCIO LTDA) ML
294.26 334.39 354.54 356.69 358.86 363.28 367.83 372.48 377.26
Dec. Judicial (8)
CIPIONATO DE TESTOSTERONA
(i) O PMVG é o teto de preço para compra dos medicamentos inseridos na lista de produtos sujeitos ao CAP (Comunicado nº 6, de 5 de setembro de 2013) ou ainda de qualquer medicamento adquirido por força de decisão judicial. O Preço Fábrica é o teto de preço para compra de qualquer medicamento por entes da Administração Pública, quando não
aplicável o CAP.
(ii) Alíquotas de ICMS 21% - PI; ICMS 17% - ES, GO, MT, MS , RS , SC; ICMS 12% - Medicamentos Genéricos de SP e MG; ICMS 17,5% - RO; ICMS 18% - AP, CE, DF , MG, PB , PE, SP; ICMS 19% - AC, AL , BA , PA, PR, SE; ICMS 20% - AM, MA, RJ, RN , RR , TO; Áreas de Livre Comércio – ALC -: Manaus/Tabatinga (AM), Boa Vista/Bonfim (RR),
Macapá/Santana (AP), Guajará-Mirim (RO), Brasiléia/Epitaciolândia/ Cruzeiro do Sul (AC);
C Medicamento constante na lista doCAP, regulamentado pela Resolução nº. 3, de 2 de março de 2011, possui um desconto mínimo obrigatório a ser aplicado nas vendas de medicamentos constantes do rol anexo ao Comunicado nº 15, de 31 de agosto de 2017 - Versão Consolidada ou para atender ordem judicial.
Medicamento com preço liberado dos critérios de estabelecimento e ajuste de PF, mas sujeito ao monitoramento do PMC nos termos da Resolução CMED nº 2, de 20 de março de 2019.
Laboratório protocolizou pedido para que a que a CMED reconsiderasse a decisão do preço do medicamento.
Medicamento isento de cobrança de ICMS somente deve ser comercializado pela alíquota ICMS 0%, portanto as demais alíquotas são omitidas.
Medicamento tem o seu preço definido por uma das decisões judiciais abaixo de acordo com a numeração atribuída ao medicamento:
(1) O preço da apresentação de Código GGREM 511518120069307 foi alterado em virtude de decisão judicial (Processo nº 1033925-38.2019.4.01.0000 - 6ª Turma do Tribunal Regional Federal da 1ª Região).
(2) Os preços das apresentações de Código GGREM 504402406154416, 504402409153410, 504416120060007, 504416120060307, 504416120060907, 504417100064907 estão em conformidade com decisão judicial do Processo nº 5005914-14.2019.4.03.6130 da 1ª Vara Federal de Osasco).
(3) Os preços das apresentações de Código GGREM 511519060070807 e 511519060070907 foram alterados em virtude de decisão judicial (Processo nº 1004519-83.2021.4.01.3400 - 17ª Vara Federal Cível da SJDF.
(4) Os preços das apresentações de Código GGREM 506718801157410, 506718802153419, 506718803151411 e 506714120054403 foram alterados em virtude de decisão judicial (Processo nº 5000764-90.2021.4.03.6127 - 1ª Vara Federal de São João da Boa Vista/SP).
(5) O preço da apresentação de Código GGREM 514521030038805 foi alterado em virtude de decisão judicial (Agravo de Instrumento nº 1027309-76.2021.4.01.0000 - 5ª Turma do TRF da 1ª Região/DF).
(6) Preço alterado por Tutela Antecipada Antecedente n. 1023508-21.2022.4.01.0000 - TRF 1ª Região - Ação Ordinária nº 1001907-75.2021.4.01.3400 - 9ª Vara Federal Cível da Seção Judiciária do Distrito Federal.
(7) A apresentação de Código GGREM 531624901159411, teve seu preço alterado em decorrência de decisão judicial proferida pelo Desembargador Federal Daniel Paes Ribeiro, nos autos da Tutela Antecipada Antecedente n. 1023508-21.2022.4.01.0000, Tribunal Regional Federal da 1ª Região, autorizando o reajuste do medicamento (PF 0%) para o valor de R$ 151,23 (cento e cinquenta e um reais e vinte e três centavos).
(8) Preço definitivo estabelecido pelo Comitê Técnico-Executivo da CMED.
(9) Preço alterado a partir de parecer de força executória nº. 00471/2023/CORESPNE/PRU3R/PGU/AGU
(10) A apresentação com GGREM nº 540922010051117 teve o seu valor alterado conforme decisão judicial processo 5001930-72.2022.4.03.6144 2ª vara Federal de Barueri.
(11) As apresentações com GGREM nº 511520070072207 e 511520070072107 tiveram os seus valores alterados em virtude da Ação Ordinária 1061532-40.2021.4.01.3400, 5ª Vara Federal Cível da SJDF.
(12) Preço alterado por força de decisão judicial proferida na Ação Ordinária nº 1016643-30.2023.4.01.3400, 4ª Vara Federal Cível da Seção Judiciária do Distrito Federal
(13) Preço alterado a partir de Parecer de Força Executória n. 01702/2023/CORESPAP/PRU1R/PGU/AGU para alteração de preço do medicamento REMSIMA.
(14) Preço alterado a partir de Parecer de Força Executória n. 01769/2023/CORESPAP/PRU1R/PGU/AGU
(15) Preço alterado a partir de Parecer de Força Executória n. 00638/2023/CORESPNE/PRU3R/PGU/AGU.
(16) Preço alterado a partir de Parecer de Força Executória n. 01570/2023/CORESPGN/PRU1/PGU/AGU
Medicamentos
CIPIONATO DE TESTOSTERONA
531624901159411 DEPOSTERON 100 MG/ML SOL INJ CX 3 AMP VD AMB X 2 ML 159.70 184.55 197.35 198.72 200.12 202.98 205.92 208.94 212.06
(EMS SIGMA PHARMA LTDA) 125.32 144.82 154.86 155.93 157.03 159.28 161.59 163.96 166.40
Dec. Judicial (7)
CLORIDRATO DE ESCETAMINA
514521030038805 SPRAVATO 140 MG/ML SOL SPR NAS CT FR VD TRANS X 0,2 1754.22 2027.16 2167.74 2182.88 2198.23 2229.60 2261.88 2295.10 2329.32
(JANSSEN-CILAG FARMACÊUTICA LTDA) ML + DISP INAL (28 MG)
1376.54 1590.71 1701.03 1712.91 1724.95 1749.57 1774.90 1800.96 1827.82
Dec. Judicial (5)
ATORVASTATINA CÁLCICA
510416020117606 ATORVASTATINA CÁLCICA 20 MG COM REV CT BL AL AL X 500 (EMB HOSP) 934.16
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) 733.04
Dec. Judicial (3) C CAP
RITUXIMABE
511519060070907 RIXIMYO 10 MG/ML SOL DIL INFUS CT 1 FR VD TRANS X 8818.48 11023.10 11162.63 11305.74
(SANDOZ DO BRASIL INDÚSTRIA FARMACÊUTICA LTDA) 50 ML
6919.86 7863.48 8337.18 8387.70 8438.85 8543.04 8649.83 8759.31 8871.61
Dec. Judicial (3) C CAP ICMS0%
ACEBROFILINA
520715080095006 ACEBROFILINA 10 MG/ML XPE CT FR PET AMB X 120 ML + COP 23.84 27.09 28.72 28.90 29.07 29.43 29.80 30.18 30.56
(LABORATÓRIO TEUTO BRASILEIRO S/A) 18.71 21.26 22.54 22.68 22.81 23.09 23.38 23.68 23.98
Dec. Judicial (2)
520715080094906 ACEBROFILINA 5MG/ML XPE CT FR PET AMB X 120ML + COP 17.09 19.42 20.59 20.72 20.84 21.10 21.36 21.63 21.91
Dec. Judicial (2)
506414100028606 ACEBROFILINA 5 MG/ML XPE CX 50 FR PLAS AMB X 120 ML + 50 414.17 470.65 499.00 502.02 505.09 511.32 517.71 524.27 530.99
(CIMED INDUSTRIA S.A) CP MED (EMB HOSP)
325.00 369.32 391.57 393.93 396.35 401.23 406.25 411.40 416.67
Dec. Judicial (2)
DECANOATO DE TESTOSTERONA;FEMPROPIONATO DE TESTOSTERONA;ISOCAPROATO DE TESTOSTERONA;PROPIONATO DE TESTOSTERONA

505618100044317 DURATESTON (30 + 60 + 100 + 60) MG SOL INJ IM CT AMP VD 33.26 37.80 40.07 40.32 40.56 41.06 41.58 42.10 42.64
(ASPEN PHARMA INDÚSTRIA FARMACÊUTICA LTDA) TRANS X 1 ML
26.10 29.66 31.44 31.64 31.83 32.22 32.63 33.04 33.46
Dec. Judicial (16)
ACETATO DE ABIRATERONA
514512020025102 ZYTIGA 250 MG COM CT FR PLAS OPC X 120 11828.79 13669.21 14617.17 14719.26 14822.79 15034.30 15251.94 15475.98 15706.73
(JANSSEN-CILAG FARMACÊUTICA LTDA) 9282.05 10726.23 11470.09 11550.20 11631.44 11797.42 11968.20 12144.00 12325.07
514519020035403 ZYTIGA® 500 MG COM REV CT FR PLAS PEAD OPC X 60 11828.79 13669.21 14617.17 14719.26 14822.79 15034.30 15251.94 15475.98 15706.73
APALUTAMIDA
514519010035302 ERLEADA 60 MG COM REV CT FR PLAS PEAD/PP OPC X 11710.37 13532.36 14470.83 14571.90 14674.39 14883.79 15099.25 15321.05 15549.49
(JANSSEN-CILAG FARMACÊUTICA LTDA) 120
9189.13 10618.84 11355.26 11434.57 11514.99 11679.31 11848.38 12022.43 12201.69
Dec. Judicial (15)
IBRUTINIBE
514515110028201 IMBRUVICA 140 MG CAP DURA CT FR PLAS OPC X 120 54341.15 62795.98 67150.88 67619.90 68095.49 69067.17 70066.99 71096.27 72156.30
Dec. Judicial (15)
514515110028301 IMBRUVICA 140 MG CAP DURA CT FR PLAS OPC X 90 40755.85 47096.97 50363.15 50714.91 51071.60 51800.36 52550.23 53322.18 54117.21
Dec. Judicial (15)
INFLIXIMABE
545116050000007 REMSIMA 10 MG/ML PO LIOF CT FA VD INC X 10 ML 4311.81
(CELLTRION HEALTHCARE DISTRIBUICAO DE PRODUTOS 3383.48
ABATACEPTE
505107701157215 ORENCIA 250 MG PO LIOF SOL INJ CT 1 FA + SER 1935.10 2198.98 2331.45 2345.58 2359.88 2389.01 2418.88 2449.49 2480.90
(BRISTOL-MYERS SQUIBB FARMACÊUTICA LTDA) DESCARTÁVEL
1518.47 1725.54 1829.49 1840.58 1851.80 1874.66 1898.10 1922.11 1946.76
505113030019605 ORENCIA 125 MG/ML SOL INJ SC CT SER PREENCHIDA 1536.24 1745.73 1850.89 1862.11 1873.46 1896.59 1920.30 1944.61 1969.54
(BRISTOL-MYERS SQUIBB FARMACÊUTICA LTDA) 1205.49 1369.87 1452.39 1461.20 1470.10 1488.25 1506.86 1525.94 1545.50
ACEBROFILINA
508017401132117 ACEBROFILINA 5 MG/ML XPE CT FR VD AMB X 120 ML + COP 17.09 19.42 20.59 20.72 20.84 21.10 21.36 21.63 21.91
(EUROFARMA LABORATÓRIOS S.A.) 13.41 15.24 16.16 16.26 16.35 16.56 16.76 16.97 17.19
aplicável o CAP.
Medicamentos
ACEBROFILINA
517113100013304 LISOMUC 5 MG / ML XPE CT FR PET AMB X 120 ML + COP 20.41 23.19 24.59 24.74 24.89 25.20 25.51 25.84 26.17
(LABORATÓRIO FARMACÊUTICO ELOFAR LTDA) 16.02 18.20 19.30 19.41 19.53 19.77 20.02 20.28 20.54
526116090097106 ACEBROFILINA 5 MG/ML XPE CT FR PLAS AMB X 120 ML + COP 17.30 19.66 20.84 20.97 21.10 21.36 21.63 21.90 22.18
(GERMED FARMACEUTICA LTDA) 13.58 15.43 16.35 16.46 16.56 16.76 16.97 17.19 17.40
(MULTILAB INDUSTRIA E COMERCIO DE PRODUTOS FARMACEUTICOS 14.23 16.17 17.15 17.26 17.36 17.58 17.80 18.02 18.25
506414100028706 ACEBROFILINA 10 MG/ML XPE CX 50 FR PLAS AMB X 120 ML + 423.33 481.06 510.04 513.13 516.26 522.63 529.16 535.86 542.73
(CIMED INDUSTRIA S.A) 50 CP MED (EMB HOSP)
332.19 377.49 400.23 402.65 405.11 410.11 415.23 420.49 425.88
ACECLOFENACO
508011303163310 PROFLAM 15 MG/G CREM CT TB AL X 30 G 28.59 33.04 35.33 35.58 35.83 36.34 36.86 37.41 37.96
Liberado
508011302116319 PROFLAM 100 MG COM REV CT BL AL/AL X 12 43.90 49.89 52.89 53.21 53.54 54.20 54.88 55.57 56.28
508011305115313 PROFLAM 100 MG COM REV CT BL AL / AL X 6 21.15 24.03 25.48 25.64 25.79 26.11 26.44 26.77 27.12
607023010081117 ACECLOFENACO 100 MG COM REV CT BL AL AL X 12 28.53 32.42 34.37 34.58 34.79 35.22 35.66 36.11 36.58
607023030087117 ACEFLOR 100 MG COM REV CT BL AL PLAS OPC X 16 38.04 43.23 45.83 46.11 46.39 46.96 47.55 48.15 48.77
607023030087017 ACEFLOR 100 MG COM REV CT BL AL AL X 16 38.04 43.23 45.83 46.11 46.39 46.96 47.55 48.15 48.77
ACETATO DE CASPOFUNGINA
508016110114504 BERK 50 MG PO LIOF SOL INFUS IV CT FA VD TRANS 3576.52 4064.23 4309.06 4335.17 4361.61 4415.46 4470.65 4527.24 4585.28
507523040019704 KAZFONA 50 MG PO LIOF SOL INFUS IV CT FA VD TRANS 3576.52 4064.23 4309.06 4335.17 4361.61 4415.46 4470.65 4527.24 4585.28
(DR. REDDYS FARMACÊUTICA DO BRASIL LTDA) 2806.50 3189.20 3381.32 3401.81 3422.56 3464.81 3508.12 3552.52 3598.07
507523040019804 KAZFONA 70 MG PO LIOF SOL INFUS IV CT FA VD TRANS 4607.30 5235.57 5550.96 5584.61 5618.66 5688.03 5759.13 5832.03 5906.79
ACETATO DE CETRORRELIX
525421701150311 CETROTIDE 0,25 MG PO LIOF SOL SC INJCT FA VD TRANS + 241.23 274.13 290.64 292.40 294.18 297.81 301.54 305.35 309.27
(MERCK S/A) 1 SER DIL + 2 AGU+ 2 LEN
189.29 215.11 228.07 229.45 230.84 233.69 236.62 239.61 242.68
ACETATO DE CIPROTERONA;ETINILESTRADIOL
508014103114418 SELENE (0,035 + 2) MG COM REV CT BL AL PLAS 20.20 22.95 24.34 24.48 24.63 24.94 25.25 25.57 25.90
(EUROFARMA LABORATÓRIOS S.A.) PVC/ACLAR OPC X 21
15.85 18.01 19.10 19.21 19.33 19.57 19.81 20.06 20.32
525403301111418 DICLIN (2 + 0,035) MG COM REV CT BL AL PLAS PVC 13.89 15.78 16.73 16.84 16.94 17.15 17.36 17.58 17.81
(MERCK S/A) TRANS X 21
10.90 12.38 13.13 13.22 13.29 13.46 13.62 13.79 13.98
525403302118416 DICLIN (2 + 0,035) MG COM REV CT BL AL PLAS PVC 33.53 38.10 40.40 40.64 40.89 41.40 41.91 42.44 42.99
26.31 29.90 31.70 31.89 32.09 32.49 32.89 33.30 33.73
525420010051107 ACETATO DE CIPROTERONA + ETINILESTRADIOL (2 + 0,035)MG COM REV CT BL AL PLAS PVC 12.86 14.61 15.49 15.59 15.68 15.88 16.08 16.28 16.49
10.09 11.46 12.16 12.23 12.30 12.46 12.62 12.78 12.94
525420010051207 ACETATO DE CIPROTERONA + ETINILESTRADIOL (2 + 0,035)MG COM REV CT BL AL PLAS PVC 32.38 36.80 39.01 39.25 39.49 39.98 40.48 40.99 41.51
25.41 28.88 30.61 30.80 30.99 31.37 31.77 32.17 32.57
541818070086104 JAQUE 2,00 MG + 0,035 MG COM REV CT BL AL PLAS 16.20 18.41 19.52 19.64 19.76 20.00 20.25 20.51 20.77
(EMS S/A) TRANS X 21
12.71 14.45 15.32 15.41 15.51 15.69 15.89 16.09 16.30
aplicável o CAP.
Medicamentos
506317020030104 SISSY 2 MG + 0,035 MG COM REV CT BL AL PLAS 52.56 59.73 63.33 63.71 64.10 64.89 65.70 66.53 67.38
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) TRANS X 63
41.24 46.87 49.70 49.99 50.30 50.92 51.55 52.21 52.87
540516060004306 ACETATO DE CIPROTERONA+ETINILESTRADIOL 2 MG + 0,035 MG COM REV CT BL AL PLAS 15.19 17.26 18.30 18.41 18.52 18.75 18.99 19.23 19.47
(MABRA FARMACEUTICA LTDA) TRANS X 21
11.92 13.54 14.36 14.45 14.53 14.71 14.90 15.09 15.28
ACETATO DE CIPROTERONA;VALERATO DE ESTRADIOL

533022100081617 CLIMENE 2 MG COM REV X 11 + (2 + 1) MG COM REV X 10 23.64 26.86 28.48 28.65 28.83 29.19 29.55 29.92 30.31
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) CT BL AL PLAS PVC TRANS
18.55 21.08 22.35 22.48 22.62 22.91 23.19 23.48 23.78
ACETATO DE CLORMADINONA;ETINILESTRADIOL
508023020172503 AMORA (2,0 + 0,03) MG COM REV CT BL AL PLAS 76.87 87.35 92.61 93.18 93.74 94.90 96.09 97.30 98.55
(EUROFARMA LABORATÓRIOS S.A.) PVC/PVDC TRANS X 63
60.32 68.54 72.67 73.12 73.56 74.47 75.40 76.35 77.33
534218050015304 LIBERFEM 2 MG + 0,03 MG COM REV CT BL AL PLAS 36.92 41.95 44.48 44.75 45.02 45.58 46.15 46.73 47.33
(ADIUM S.A.) TRANS X 21
28.97 32.92 34.90 35.12 35.33 35.77 36.21 36.67 37.14
542820010005607 BELARA 2 MG + 0,03 MG COM REV CT BL CALEND AL 111.53 126.74 134.37 135.19 136.01 137.69 139.41 141.18 142.99
(GRÜNENTHAL DO BRASIL FARMACÊUTICA LTDA.) PLAS TRANS X 63
87.52 99.45 105.44 106.08 106.73 108.05 109.39 110.78 112.20
542820010005707 BELARINA 2 MG + 0,02 MG COM REV CT BL CALEND AL 111.53 126.74 134.37 135.19 136.01 137.69 139.41 141.18 142.99
(GRÜNENTHAL DO BRASIL FARMACÊUTICA LTDA.) PLAS TRANS X 72 + 12 PLACEBO
87.52 99.45 105.44 106.08 106.73 108.05 109.39 110.78 112.20
ACETATO DE DEGARELIX
521416070006103 FIRMAGON 80 MG PO LIOF SOL INJ SC CT FA VD TRANS + 546.80 621.36 658.80 662.79 666.83 675.06 683.50 692.15 701.03
(LABORATÓRIOS FERRING LTDA) DIL SER PRENC VD TRANS X 4,2 ML + ADAPT +
429.07 487.58 516.96 520.09 523.26 529.72 536.34 543.13 550.10
AGU
521416070006203 FIRMAGON 120 MG PO LIOF SOL INJ SC CT 2 FA VD TRANS 995.43 1131.17 1199.31 1206.58 1213.94 1228.93 1244.29 1260.04 1276.19
(LABORATÓRIOS FERRING LTDA) + 2 DIL SER PRENC VD TRANS X 3 ML + 2
781.11 887.63 941.10 946.80 952.58 964.34 976.39 988.75 1001.43
ADAPT + 2 AGU
ACETATO DE DEXAMETASONA
511622100048617 ACETATO DE DEXAMETASONA 1 MG/G CREM DERM CX 50 BG AL X 10 G 384.18 436.57 462.87 465.67 468.51 474.30 480.23 486.30 492.54
(HIPOLABOR FARMACEUTICA LTDA) 301.47 342.58 363.21 365.41 367.64 372.18 376.84 381.60 386.50
607022110076406 ACETATO DE DEXAMETASONA 1 MG/G CREM DERM CT BG AL X 20 G 15.42 17.52 18.58 18.69 18.80 19.04 19.28 19.52 19.77
ACETATO DE FLUORMETOLONA
500901601170311 FLORATE 1,0 MG/ML SUS OFT CT FR GOT PLAS OPC X 5 23.15 26.75 28.61 28.81 29.01 29.42 29.85 30.29 30.74
(NOVARTIS BIOCIENCIAS S.A) ML
18.17 20.99 22.45 22.61 22.76 23.09 23.42 23.77 24.12
ACETATO DE GANIRRELIX
527302501154311 ORGALUTRAN 0,5 MG/ML SOL INJ SC CT SER PREENC VD 280.79 319.08 338.30 340.35 342.43 346.65 350.99 355.43 359.99
(MERCK SHARP & DOHME FARMACEUTICA LTDA.) TRANS X 0,5 ML
220.34 250.38 265.46 267.07 268.71 272.02 275.42 278.91 282.48
ACETATO DE GLATIRÂMER
559123010009504 GLAMETIX 20 MG/ML SOL INJ SC CT 28 SER PREENC VD 5443.34
(LABORATÓRIOS BAGÓ DO BRASIL S/A) TRANS X 1 ML
4271.39
C CAP
ACETATO DE HIDROCORTISONA
538912050014013 BERLISON 10 MG/G POM DERM CT BG AL X 30 G 23.04 26.62 28.47 28.67 28.87 29.28 29.71 30.14 30.59
(BAYER S.A.) 18.08 20.89 22.34 22.50 22.65 22.98 23.31 23.65 24.00
Liberado
ACETATO DE LEUPRORRELINA
511513501158415 LECTRUM 3,75 MG PO LIOF SUS INJ CT FA VD TRANS AMP 583.58
(SANDOZ DO BRASIL INDÚSTRIA FARMACÊUTICA LTDA) DIL X 1,5 ML + SER + 2 AGU
457.94
C CAP
511513502154413 LECTRUM 7,50 MG PO LIOF SUS INJ CT FA VD TRANS AMP 1509.66 1715.52 1818.87 1829.89 1841.05 1863.78 1887.08 1910.96 1935.46
(SANDOZ DO BRASIL INDÚSTRIA FARMACÊUTICA LTDA) DIL X 1,5 ML + SER + 2 AGU
1184.63 1346.17 1427.27 1435.91 1444.67 1462.51 1480.79 1499.53 1518.76
543715070001117 LUPRON 3,75 MG PO LIOF SUS INJ CT FA VD TRANS + 614.34

(ABBVIE FARMACÊUTICA LTDA.) SOL DIL AMP VD TRANS X 2 ML + SER + 2 AGU +
482.07
C CAP 2 SACHETS DE ÁLCOOL
aplicável o CAP.
Medicamentos
543715070001217 LUPRON 11,25 MG PO LIOF SUS INJ CT FA VD TRANS + 1983.26
(ABBVIE FARMACÊUTICA LTDA.) SOL DIL AMP VD TRANS X 2 ML + SER + 2 AGU+
1556.26
C CAP 2 SACHETS DE ÁLCOOL
ACETATO DE MEDROXIPROGESTERONA;CIPIONATO DE ESTRADIOL

567223050000203 LYNDAVELUNO 25 MG/0,5ML + 5 MG/0,5ML SUS INJ CT AMP VD 25.16 28.59 30.31 30.50 30.68 31.06 31.45 31.85 32.26
(HEMAFARMA COM. E IND. FARM. LTDA) INC
19.74 22.43 23.78 23.93 24.07 24.37 24.68 24.99 25.32
ACETATO DE NOMEGESTROL;ESTRADIOL HEMI-HIDRATADO

525514060016607 STEZZA (2,5 + 1,5) MG COM REV CT BL AL PVC CALEND 34.66 40.05 42.83 43.13 43.43 44.05 44.69 45.35 46.02
(ORGANON FARMACÊUTICA LTDA.) X 24 + 4 PLACEBO
27.20 31.43 33.61 33.84 34.08 34.57 35.07 35.59 36.11
525514060016707 STEZZA (2,5 + 1,5) MG COM REV CT BL AL PVC CALEND 121.31 140.18 149.91 150.95 152.01 154.18 156.42 158.71 161.08
(ORGANON FARMACÊUTICA LTDA.) X 72 + 12 PLACEBO
95.19 110.00 117.63 118.45 119.28 120.98 122.74 124.54 126.40
ACETATO DE NORETISTERONA;ESTRADIOL HEMI-HIDRATADO

523703201116416 NATIFA PRO 1 MG + 0,5 MG COM REV CT BL AL PLAS TRANS 54.31 61.72 65.43 65.83 66.23 67.05 67.89 68.75 69.63
(LIBBS FARMACÊUTICA LTDA) CALEND X 28
42.62 48.43 51.34 51.66 51.97 52.61 53.27 53.95 54.64
ACETATO DE OCTREOTIDA
526514110079603 SANDOSTATIN 10 MG PO SUS INJ CT FA VD TRANS + 1 SER DIL 4180.05
(NOVARTIS BIOCIENCIAS S.A) X 2 ML + SIST APLIC
3280.09
C CAP

5045.93
C CAP

6811.97
C CAP
ACETATO DE PREDNISOLONA
501004501179311 PRED 1,2 MG/ML SUS OC FR PLAS OPC GOT X 10 ML 33.78 39.04 41.74 42.03 42.33 42.93 43.56 44.20 44.85
(ALLERGAN PRODUTOS FARMACÊUTICOS LTDA) 26.51 30.63 32.75 32.98 33.22 33.69 34.18 34.68 35.19
501004502175318 PRED 1,2 MG/ML SUS OFT FR PLAS OPC GOT X 5 ML 16.89 19.52 20.87 21.02 21.17 21.47 21.78 22.10 22.43
510423030190003 VISIOPRED 10MG/ML SUSP OFT CT FR PLAS OPC GOT X 21.19 24.49 26.19 26.37 26.55 26.93 27.32 27.72 28.14
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) 5ML
16.63 19.22 20.55 20.69 20.83 21.13 21.44 21.75 22.08
ACETATO DE RACEALFATOCOFEROL
511520020070807 VITAMINA E 400 MG CAP GEL MOLE CT BL AL PLAS TRANS X 32.45 37.50 40.10 40.38 40.66 41.24 41.84 42.46 43.09
(SANDOZ DO BRASIL INDÚSTRIA FARMACÊUTICA LTDA) 60
25.46 29.43 31.47 31.69 31.91 32.36 32.83 33.32 33.81
Liberado
ACETATO DE RETINOL;COLECALCIFEROL
525917060050704 METOSAD 50000 + 10000 UI/ML SOL OR CT FR PLAS AMB 6.52 7.53 8.06 8.11 8.17 8.29 8.41 8.53 8.66
(MULTILAB INDUSTRIA E COMERCIO DE PRODUTOS FARMACEUTICOS GOT X 10 ML
5.12 5.91 6.32 6.36 6.41 6.51 6.60 6.69 6.80
10.26 11.85 12.67 12.76 12.85 13.03 13.22 13.42 13.61
ACETATO DE SÓDIO TRIIDRATADO;CLORETO DE CÁLCIO DIIDRATADO;CITRATO DE SÓDIO DI-HIDRATADO;CLORETO DE MAGNÉSIO HEXAIDRATADO;

511216110032103 SOLUÇÃO SALINA BALANCEADA - HALEX ISTAR SOL OFT CX 50 BOLS PP TRANS SIST FECH X 3459.87 3998.18 4275.46 4305.32 4335.60 4397.47 4461.13 4526.66 4594.15
(HALEX ISTAR INDÚSTRIA FARMACÊUTICA SA) 250 ML
2714.96 3137.37 3354.95 3378.38 3402.15 3450.70 3500.65 3552.07 3605.03
511216110032203 SOLUÇÃO SALINA BALANCEADA - HALEX ISTAR SOL OFT CX 30 BOLS PP TRANS SIST FECH X 2842.31 3284.54 3512.32 3536.85 3561.73 3612.55 3664.85 3718.69 3774.13
(HALEX ISTAR INDÚSTRIA FARMACÊUTICA SA) 500 ML
2230.36 2577.38 2756.12 2775.37 2794.89 2834.77 2875.81 2918.06 2961.56
ACETILCISTEÍNA
508022110170307 AIRES 20 MG/ML XPE CT FR VD AMB X 120 ML + CP 21.06 24.34 26.02 26.21 26.39 26.77 27.15 27.55 27.96
(EUROFARMA LABORATÓRIOS S.A.) MED
16.53 19.10 20.42 20.57 20.71 21.01 21.30 21.62 21.94
Liberado
533800601155318 FLUIMUCIL 100 MG/ML SOL INJ CT 5 AMP VD AMB X 3 ML 21.24 24.54 26.25 26.43 26.62 27.00 27.39 27.79 28.20
(ZAMBON LABORATÓRIOS FARMACÊUTICOS LTDA.) 16.67 19.26 20.60 20.74 20.89 21.19 21.49 21.81 22.13
533800602135329 FLUIMUCIL 20 MG/G GRAN CT 16 ENV AL PE X 5 G 33.61 38.84 41.53 41.82 42.12 42.72 43.34 43.97 44.63
Liberado
aplicável o CAP.
Medicamentos
ACETILCISTEÍNA
533800603131327 FLUIMUCIL 40 MG/G GRAN SOL CT 16 ENV AL PE X 5 G 36.67 42.38 45.31 45.63 45.95 46.61 47.28 47.98 48.69
Liberado
533800605134323 FLUIMUCIL 120 MG/G GRAN SOL CT 16 ENV AL PE X 5 G 46.25 53.45 57.15 57.55 57.96 58.78 59.63 60.51 61.41
Liberado
533800608133328 FLUIMUCIL 40 MG/ML XPE CT FR VD AMB X 120ML + COP 26.65 30.80 32.93 33.16 33.40 33.87 34.36 34.87 35.39
(ZAMBON LABORATÓRIOS FARMACÊUTICOS LTDA.) SBR MORANGO C/ ROMÃ
20.91 24.17 25.84 26.02 26.21 26.58 26.96 27.36 27.77
Liberado
533800611134321 FLUIMUCIL 20 MG/ML XPE CT FR VD AMB X 120 ML + COP 19.04 22.00 23.53 23.69 23.86 24.20 24.55 24.91 25.28
(ZAMBON LABORATÓRIOS FARMACÊUTICOS LTDA.) SBR FRAMBOESA
14.94 17.26 18.46 18.59 18.72 18.99 19.26 19.55 19.84
Liberado
533800615172317 FLUIMUCIL 11,50 MG/ML SOL NAS CT FR VD AMB X 20 ML + 31.68 36.61 39.15 39.42 39.70 40.27 40.85 41.45 42.07
(ZAMBON LABORATÓRIOS FARMACÊUTICOS LTDA.) MICRONEBULIZADOR
24.86 28.73 30.72 30.93 31.15 31.60 32.06 32.53 33.01
Liberado
533800616136314 FLUIMUCIL 600 MG COM EFEV CT BL AL/AL X 16 41.63 48.11 51.44 51.80 52.17 52.91 53.68 54.47 55.28
Liberado
Liberado
533023070086807 FLUCISTEIN 40 MG/G GRAN CT 15 ENV AL/PLAS PE X 5 G 29.77 34.40 36.79 37.04 37.31 37.84 38.39 38.95 39.53
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) 23.36 26.99 28.87 29.06 29.28 29.69 30.13 30.56 31.02
Liberado
533023020084107 FLUCISTEIN 20 MG/ML XPE CT FR VD AMB X 100 ML + COP 21.44 24.78 26.49 26.68 26.87 27.25 27.64 28.05 28.47
Liberado
504617060063417 CETILPLEX 200MG GRAN CT 16 ENV KRAFT POLIET X 5G 26.26 30.35 32.45 32.68 32.91 33.38 33.86 34.36 34.87
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) 20.61 23.82 25.46 25.64 25.83 26.19 26.57 26.96 27.36
Liberado
538819040067706 ACETILCISTEÍNA 200 MG GRAN CT 16 ENV AL PLAS PE X 5 G 12.36 14.28 15.27 15.38 15.49 15.71 15.94 16.17 16.41
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) 9.70 11.21 11.98 12.07 12.16 12.33 12.51 12.69 12.88
Liberado
Liberado
538819040067306 ACETILCISTEÍNA 40 MG/ML XPE CT FR VD AMB X 100 ML + COP 24.12 27.87 29.81 30.01 30.23 30.66 31.10 31.56 32.03
Liberado
Liberado
Liberado
Liberado
543520030012007 AIRES 600 MG GRAN CT 16 ENV PAPEL AL POLIET X 5 52.21 60.33 64.52 64.97 65.42 66.36 67.32 68.31 69.33
(MOMENTA FARMACÊUTICA LTDA.) G
40.97 47.34 50.63 50.98 51.33 52.07 52.83 53.60 54.40
Liberado
ACETILRACEMETIONINA;BETAÍNA;CITRATO DE COLINA
533023070086707 XANTINON COMPLEX 40MG/ML + 53MG/ML + 50MG/ML SOL OR CT 6 533023070086707. 615955063515357. 658671532352106. 663272054470024.63 667937072379423. 677468057895643. 687275149362169 697371139332681. 707768820360862.
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) FLAC PLAS PP TRANS X 10ML
418263203097038. 483339938340501. 516859551436697. 520469581142628.33 524130220696133. 531609185030711. 539304809704494 547227133034355. 555386193337169.
Liberado
ACICLOVIR
511504804119417 HERPESIL 200 MG COM CT BL AL PLAS TRANS X 25 27.63 31.40 33.29 33.49 33.70 34.11 34.54 34.97 35.42
(SANDOZ DO BRASIL INDÚSTRIA FARMACÊUTICA LTDA) 21.68 24.64 26.12 26.28 26.45 26.77 27.10 27.44 27.79
511504803163412 HERPESIL 50 MG/G CREM DERM CT BG AL X 10 G 17.64 20.38 21.80 21.95 22.10 22.42 22.74 23.08 23.42
511518030066206 ACICLOVIR 200 MG COM CT BL AL PLAS PP/PVDC TRANS X 92.81 105.47 111.82 112.50 113.18 114.58 116.01 117.48 118.99
72.83 82.76 87.75 88.28 88.81 89.91 91.03 92.19 93.37
513423040029006 ACICLOVIR 50 MG/G CREM DERM CT BG AL X 10 G 26.17 30.24 32.34 32.56 32.79 33.26 33.74 34.24 34.75
(INSTITUTO BIOCHIMICO INDÚSTRIA FARMACÊUTICA LTDA) 20.54 23.73 25.38 25.55 25.73 26.10 26.48 26.87 27.27
525400201116111 ACICLOVIR 200 MG COM CT FR PLAS OPC X 25 87.41 99.33 105.31 105.95 106.60 107.91 109.26 110.65 112.06
(MERCK S/A) 68.59 77.94 82.64 83.14 83.65 84.68 85.74 86.83 87.93
(MERCK S/A) 134.67 153.03 162.25 163.23 164.23 166.26 168.34 170.47 172.66
aplicável o CAP.
Medicamentos
ACICLOVIR
(MERCK S/A) 13.30 15.37 16.44 16.55 16.67 16.90 17.15 17.41 17.66
510609305165318 ZOVIRAX 0,03 G/G POM OFT CT BG AL AL X 4,5 G 77.54 88.11 93.42 93.99 94.56 95.73 96.93 98.15 99.41
(GLAXOSMITHKLINE BRASIL LTDA) 60.85 69.14 73.31 73.75 74.20 75.12 76.06 77.02 78.01
510609301119311 ZOVIRAX 200 MG COM CT BL AL/PAP PLAS PVC /PVDC 238.86 271.43 287.78 289.53 291.29 294.89 298.58 302.35 306.23
(GLAXOSMITHKLINE BRASIL LTDA) OPC X 25
187.43 212.99 225.82 227.19 228.57 231.40 234.30 237.25 240.30
510609302158310 ZOVIRAX 250 MG PO LIOF SOL INJ CT 5 FA VD TRANS 679.45 772.10 818.61 823.58 828.60 838.83 849.31 860.06 871.09
510609304169311 ZOVIRAX 50 MG/G CREM DERM CT BG AL X 10 G 40.25 46.51 49.74 50.09 50.44 51.16 51.90 52.66 53.45
607023050098317 ACICLOVIR 200 MG COM CT BL AL PLAS PVC/PVDC TRANS 114.21 129.78 137.60 138.44 139.28 141.00 142.76 144.57 146.42
(MULTILAB INDUSTRIA E COMERCIO DE PRODUTOS FARMACEUTICOS X 25
89.62 101.84 107.97 108.63 109.29 110.64 112.02 113.44 114.90
(MULTILAB INDUSTRIA E COMERCIO DE PRODUTOS FARMACEUTICOS X 30
125.45 142.56 151.14 152.06 152.98 154.88 156.81 158.80 160.83
607023050098517 ACICLOVIR 400 MG COM CT BL AL PLAS PVDC OPC X 20 114.42 130.02 137.86 138.69 139.54 141.26 143.03 144.84 146.69
529919120062907 ACICLOVIR 200 MG COM CT BL AL PLAS TRANS X 30 83.89 95.33 101.07 101.68 102.30 103.57 104.86 106.19 107.55
(RANBAXY FARMACÊUTICA LTDA) 65.83 74.81 79.31 79.79 80.27 81.27 82.28 83.33 84.39
528520010163407 ACICLOVIR 400 MG COM CT BL AL PLAS PVC TRANS X 10 37.17 42.24 44.78 45.05 45.33 45.89 46.46 47.05 47.65
(PRATI DONADUZZI & CIA LTDA) 29.17 33.15 35.14 35.35 35.57 36.01 36.46 36.92 37.39
528520010163707 ACICLOVIR 400 MG COM CT BL AL PLAS PVC OPC X 10 37.17 42.24 44.78 45.05 45.33 45.89 46.46 47.05 47.65
528520010163507 ACICLOVIR 400 MG COM CT BL AL PLAS PVC OPC X 30 111.53 126.74 134.37 135.19 136.01 137.69 139.41 141.18 142.99
527917120031603 HERVIRAX 200 MG COM CT BL AL PLAS TRANS X 500 791.96 899.95 954.17 959.95 965.80 977.73 989.95 1002.48 1015.33
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) 621.45 706.19 748.74 753.27 757.86 767.23 776.81 786.65 796.73
510420050181507 FASYS 200 MG COM CT BL AL PLAS PVC/PVDC TRANS 186.31 211.72 224.47 225.83 227.21 230.01 232.89 235.84 238.86
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) X 30
146.20 166.14 176.14 177.21 178.29 180.49 182.75 185.06 187.43
540814040001804 ZELNIN 50 MG/G CREM DERM CT BG AL X 10 G 12.50 14.44 15.45 15.55 15.66 15.89 16.12 16.35 16.60
(INDÚSTRIA FARMACÊUTICA MELCON DO BRASIL S.A.) 9.81 11.33 12.12 12.20 12.29 12.47 12.65 12.83 13.03
540814040001704 ZELNIN 200 MG COM CT BL AL PLAS TRANS X 25 56.81 64.56 68.45 68.86 69.28 70.14 71.01 71.91 72.83
ACIDO ACETILSALICILICO;ACIDO CITRICO;BICARBONATO DE SÓDIO;CARBONATO DE SÓDIO

597223050002717 SONRISAL (325 + 1644 + 1507,8 + 400) MG COM EFEV CT 8.39 9.70 10.37 10.44 10.51 10.66 10.82 10.98 11.14
(PF CONSUMER HEALTHCARE BRAZIL IMPORTADORA E STR AL PLAS X 10 (SBR LIMÃO)
6.58 7.61 8.14 8.19 8.25 8.36 8.49 8.62 8.74
Liberado
597223050002817 SONRISAL (325 + 1644 + 1507,8 + 400) MG COM EFEV CT 50.56 58.43 62.48 62.91 63.36 64.26 65.19 66.15 67.14
(PF CONSUMER HEALTHCARE BRAZIL IMPORTADORA E STR AL PLAS X 60 (SBR LIMÃO)
39.67 45.85 49.03 49.36 49.72 50.42 51.15 51.91 52.69
Liberado
ADALIMUMABE
aplicável o CAP.
Medicamentos
ADALIMUMABE
544120010004307 AMGEVITA 50 MG/ML SOL INJ CT SER PREENC VD TRANS X 699.73 795.15 843.05 848.16 853.33 863.86 874.66 885.73 897.09
(AMGEN BIOTECNOLOGIA DO BRASIL LTDA.) 0,4 ML + AGU
549.08 623.95 661.54 665.55 669.61 677.87 686.35 695.03 703.95
544120010004407 AMGEVITA 50 MG/ML SOL INJ CT SER PREENC VD TRANS X 1262.85

(AMGEN BIOTECNOLOGIA DO BRASIL LTDA.) 0,8 ML + AGU
990.96
C CAP
544120010004507 AMGEVITA 50 MG/ML SOL INJ CT 2 SER PREENC VD TRANS 2525.64

(AMGEN BIOTECNOLOGIA DO BRASIL LTDA.) X 0,8 ML + AGU
1981.87
C CAP
544120010004607 AMGEVITA 50 MG/ML SOL INJ CT SER PREENC VD TRANS X 1262.85

(AMGEN BIOTECNOLOGIA DO BRASIL LTDA.) 0,8 ML ACOPLADA EM CAN APLIC
990.96
C CAP
544120010004707 AMGEVITA 50 MG/ML SOL INJ CT 2 SER PREENC VD TRANS 2525.64

(AMGEN BIOTECNOLOGIA DO BRASIL LTDA.) X 0,8 ML ACOPLADA EM CAN APLIC
1981.87
C CAP
541923070010507 BIO-MANGUINHOS ADALIMUMABE 50 MG/ML SOL INJ CT FA VD TRANS X 0,8 ML + 2 1506.64 1883.30 1907.14 1931.59
(FUNDAÇÃO OSWALDO CRUZ) LEN + 1 SER + 1 AGU + 1 ADAPT
1182.26 1343.48 1424.41 1433.04 1441.79 1459.58 1477.83 1496.53 1515.72
C CAP ICMS0%
541923070010607 BIO-MANGUINHOS ADALIMUMABE 50 MG/ML SOL INJ CT 2 SER PREENC VC TRANS 3013.30 3766.63 3814.30 3863.20
(FUNDAÇÃO OSWALDO CRUZ) X 0,8 ML + 2 LEN
2364.54 2686.98 2848.84 2866.10 2883.59 2919.18 2955.68 2993.08 3031.45
C CAP ICMS0%
545323070003707 INSTITUTO BUTANTAN - ADALIMUMABE 40 MG SOL INJ CT BL PLAS X 2 SER VD PREENC 8617.00 10771.25 10907.60 11047.43
(INSTITUTO BUTANTAN) C/ AGU X 0,8 ML
6761.76 7683.82 8146.70 8196.07 8246.04 8347.85 8452.20 8559.19 8668.92
C CAP ICMS0%
541523020026907 HULIO 50 MG/ML SOL INJ CT BL X SER PREENC PLAS 1118.74

(MYLAN LABORATORIOS LTDA) X 0,8 ML + SIST APLIC PLAST PEN + 2 LEN
877.88
C CAP ALCOOL
541523020027007 HULIO 50 MG/ML SOL INJ CT BL X 2 SER PREENC PLAS 2237.46

1755.73
C CAP ALCOOL

5267.22
C CAP ALCOOL
541523020027307 HULIO 50 MG/ML SOL INJ CT BL X SER PREENC PLAS 1118.74

(MYLAN LABORATORIOS LTDA) TRANS X 0,8 ML + 2 LEN ALCOOL
877.88
C CAP

1755.73
C CAP

5267.22
C CAP
543715100001917 HUMIRA 50 MG/ML SOL INJ CT 2 BL X SER PREENC VD 8617.00

(ABBVIE FARMACÊUTICA LTDA.) TRANS X 0,8 ML + ENV LEN ALCOOL
6761.76
C CAP

(ABBVIE FARMACÊUTICA LTDA.) TRANS X 0,8 ML + SIST APLIC PLAST (PEN) +
6761.76
C CAP ENV LEN ALCOOL.
ADAPALENO
552920020117717 DALAP 1,0 MG/G GEL DERM CTBG POLIET OPC X 30 G 68.57 79.24 84.73 85.33 85.93 87.15 88.41 89.71 91.05
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) 53.81 62.18 66.49 66.96 67.43 68.39 69.37 70.39 71.45
AESCULUS HIPPOCASTANUM L.
515120010011407 PROCTOCAPS 250 MG CAP DURA CT FR VD AMB X 20 19.47 22.50 24.06 24.23 24.40 24.75 25.10 25.47 25.85
(KLEY HERTZ FARMACEUTICA S.A) 15.28 17.66 18.88 19.01 19.15 19.42 19.70 19.99 20.28
596522090000407 PLASMOVE 170 MG COM REV CT BL AL PLAS PVC TRANS X 39.92 46.13 49.33 49.67 50.02 50.74 51.47 52.23 53.01
(PHYTOLAB INDUSTRIA FARMACEUTICA LTDA - EPP) 45
31.33 36.20 38.71 38.98 39.25 39.82 40.39 40.99 41.60
Liberado
AGOMELATINA
531323080012403 AGOXOM 25 MG COM REV CT BL AL PLAS PVC TRANS X 59.90 69.22 74.02 74.54 75.06 76.13 77.23 78.37 79.54
(LABORATÓRIOS SERVIER DO BRASIL LTDA) 14
47.00 54.32 58.08 58.49 58.90 59.74 60.60 61.50 62.42
Em Análise Recursal
531323080012503 AGOXOM 25 MG COM REV CT BL AL PLAS PVC TRANS X 119.81 138.45 148.05 149.09 150.14 152.28 154.48 156.75 159.09
94.01 108.64 116.17 116.99 117.82 119.49 121.22 123.00 124.84
537523040011804 ELENCOS 25 MG COM REV CT BL AL AL DESSEC X 14 72.20 83.43 89.22 89.84 90.47 91.77 93.09 94.46 95.87
(TEVA FARMACÊUTICA LTDA.) 56.66 65.47 70.01 70.50 70.99 72.01 73.05 74.12 75.23
aplicável o CAP.
Medicamentos
AGOMELATINA
ALANILGLUTAMINA
509515080029603 DIPEPTIVEN 200 MG/ML SOL INJ IV CX 10 FR VD TRANS X 100 5668.59 6441.58 6829.62 6871.02 6912.91 6998.26 7085.74 7175.43 7267.42
(FRESENIUS KABI BRASIL LTDA) ML
4448.14 5054.71 5359.20 5391.69 5424.56 5491.53 5560.18 5630.56 5702.74
513214110001004 ALAGLU 200 MG/ML SOL INJ IV BOLS X 100 ML 501.59 569.99 604.33 607.99 611.70 619.25 626.99 634.92 643.06
(INPHARMA LABORATORIOS LTDA) 393.60 447.27 474.22 477.09 480.00 485.93 492.00 498.22 504.61
ALBENDAZOL
510608802130311 ZENTEL 40 MG/ML SUS OR CT FR PLAS AMB X 10 ML 12.07 13.72 14.54 14.63 14.72 14.90 15.09 15.28 15.47
526116010096106 ALBENDAZOL 400 MG COM MAST CT BL AL PLAS OPC X 1 6.82 7.75 8.22 8.27 8.32 8.42 8.53 8.63 8.74
607023020086917 ALBENDAZOL 40 MG/ML SUS OR CT FR VD AMB X 10 ML + 7.84 8.91 9.45 9.50 9.56 9.68 9.80 9.92 10.05
(MULTILAB INDUSTRIA E COMERCIO DE PRODUTOS FARMACEUTICOS COP
6.15 6.99 7.42 7.45 7.50 7.60 7.69 7.78 7.89
510823020018103 BENZOL 40 MG/ML SUS OR CT 50 FR VD AMB X 10 ML 218.59 248.40 263.36 264.96 266.57 269.86 273.24 276.70 280.24
(GREENPHARMA QUÍMICA E FARMACÊUTICA LTDA) 171.53 194.92 206.66 207.91 209.18 211.76 214.41 217.13 219.90
510415120116603 ALBEL 400 MG COM MAST CT BL AL PLAS TRANS X 3 18.14 20.61 21.86 21.99 22.12 22.40 22.68 22.96 23.26
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) 14.23 16.17 17.15 17.26 17.36 17.58 17.80 18.02 18.25
510423080191406 ALBENDAZOL 400 MG COM MAST CT BL AL PLAS TRANS X 1 6.86 7.80 8.27 8.32 8.37 8.47 8.58 8.68 8.79
510423090191706 ALBENDAZOL 40 MG/ML SUS CT FR PLAS AMB X 10 ML 6.51 7.40 7.84 7.89 7.94 8.04 8.14 8.24 8.35
ALBUMINA HUMANA
502618070008007 BERIBUMIN 200 MG/ML SOL INJ CT FA VD INC X 50 ML 239.41 272.06 288.45 290.19 291.96 295.57 299.26 303.05 306.94
(CSL BEHRING COMÉRCIO DE PRODUTOS FARMACÊUTICOS LTDA) 187.87 213.49 226.35 227.71 229.10 231.93 234.83 237.80 240.86
504416090059407 ALBUMAX 200 MG/ML SOL INJ CT 1 FA VD INC X 50ML 290.04 329.59 349.45 351.56 353.71 358.07 362.55 367.14 371.85
(BLAU FARMACÊUTICA S.A.) 227.59 258.63 274.21 275.87 277.56 280.98 284.49 288.09 291.79
504416090059507 ALBUMAX 200 MG/ML SOL INJ CX 10 FA VD INC X 50 ML 2900.39 3295.90 3494.44 3515.62 3537.06 3580.73 3625.49 3671.38 3718.45
ALENDRONATO DE SÓDIO
511516301117418 BONEPREV 70 MG COM REV CT BL AL AL X 4 11.79
(SANDOZ DO BRASIL INDÚSTRIA FARMACÊUTICA LTDA) 9.25
511516202119110 ALENDRONATO DE SÓDIO 70 MG COM REV CT BL AL/AL X 4 42.73


ALENDRONATO DE SÓDIO TRI-HIDRATADO

510015030041206 ALENDRONATO DE SODIO 70 MG COM CT BL AL PLAS OPC X 12 308.38
(FUNDAÇÃO PARA O REMÉDIO POPULAR - FURP) 241.99 274.98 291.55 293.31 295.10 298.75 302.49 306.31 310.24
ICMS0%
510015030041306 ALENDRONATO DE SODIO 70 MG COM CT BL AL PLAS OPC X 70 1799.21

ICMS0%
ALENDRONATO DE SÓDIO;COLECALCIFEROL
aplicável o CAP.
Medicamentos
ALENDRONATO DE SÓDIO;COLECALCIFEROL
525503502119315 FOSAMAX D 70 MG/5600 UI COM CT BL AL AL X 4 127.33 144.69 153.41 154.34 155.28 157.20 159.16 161.18 163.24
(ORGANON FARMACÊUTICA LTDA.) 99.92 113.54 120.38 121.11 121.85 123.36 124.89 126.48 128.09
ALFACORIFOLITROPINA
527304702157314 ELONVA 100 MCG SOL INJ SC CT SER PREENC VD 1253.08 1423.96 1509.73 1518.88 1528.15 1547.01 1566.35 1586.18 1606.51
983.29 1117.38 1184.69 1191.86 1199.14 1213.94 1229.11 1244.68 1260.63
1343.72 1526.96 1618.94 1628.76 1638.68 1658.91 1679.65 1700.92 1722.71
ALFACORIOGONADOTROPINA
525413070044403 OVIDREL 250 MCG SOL INJ CT CAN APLIC CAR VD TRANS 345.14 392.20 415.83 418.35 420.90 426.10 431.43 436.89 442.49
(MERCK S/A) X 0,5 ML
270.83 307.76 326.30 328.28 330.28 334.36 338.54 342.83 347.22
ALFADARBEPOETINA
544115100002817 ARANESP 500 MCG/ML SOL INJ IV/SC CT SER PREENC VD 3386.62 3913.54 4184.94 4214.17 4243.81 4304.37 4366.68 4430.82 4496.89
(AMGEN BIOTECNOLOGIA DO BRASIL LTDA.) TRANS X 1,0 ML + AGUL + DISP
2657.48 3070.95 3283.92 3306.86 3330.12 3377.64 3426.53 3476.86 3528.71
ALFADORNASE
529204301157318 PULMOZYME 1 MG/ML SOL P/ INALACAO CX 6 AMP PLAS X 2,5 1276.68
(PRODUTOS ROCHE QUÍMICOS E FARMACÊUTICOS S.A.) ML
1001.81
C CAP
ALFAELOSULFASE
542417020000102 VIMIZIM 5 MG SOL INJ IV CT FA VD TRANS X 5 ML 4222.27 4879.20 5217.58 5254.02 5290.97 5366.47 5444.16 5524.13 5606.49
(BIOMARIN BRASIL FARMACÊUTICA LTDA) 3313.22 3828.71 4094.24 4122.83 4151.82 4211.07 4272.03 4334.78 4399.41
ALFAEPOETINA
504416030054703 ALFAEPOETINA 2000 UI/ML SOL INJ CX FA VD INC X 1 ML 106.98
(BLAU FARMACÊUTICA S.A.) 83.95
C CAP
ALFAEPTACOGUE ATIVADO
526617110008407 NOVOSEVEN 1 MG (50 KUI) PO LIOF INJ CT FR VD TRANS + 3804.86 4323.71 4584.17 4611.95 4640.07 4697.36 4756.08 4816.28 4878.02
(NOVO NORDISK FARMACÊUTICA DO BRASIL LTDA) SER PREENC DIL X 1 ML
2985.67 3392.82 3597.20 3619.00 3641.06 3686.02 3732.10 3779.34 3827.78
5971.36 6785.64 7194.41 7238.02 7282.15 7372.05 7464.21 7558.68 7655.59
14928.68 16964.41 17986.36 18095.37 18205.71 18430.48 18660.86 18897.07 19139.34
ALFAINTERFERONA 2A
529205304151319 ROFERON A 3 MUI/0,5 ML SOL INJ SC CT SER PREENCH VD 122.74 153.43 155.37 157.36
(PRODUTOS ROCHE QUÍMICOS E FARMACÊUTICOS S.A.) TRANS X 0,5 ML + AG 16-5/10
96.31 109.45 116.04 116.75 117.45 118.91 120.40 121.92 123.48
ICMS0%
529205306152312 ROFERON A 4,5 MUI/0,5 ML SOL INJ CT SER PRE-ENCH VD 180.99 226.24 229.10 232.04
(PRODUTOS ROCHE QUÍMICOS E FARMACÊUTICOS S.A.) INC X 0,5 ML + AG 16-5/10
142.02 161.39 171.11 172.15 173.20 175.33 177.53 179.77 182.08
ICMS0%
529205308155319 ROFERON A 9 MUI/0,5 ML SOL INJ CT SER PRE-ENCH VD INC 303.95 379.94 384.75 389.68
(PRODUTOS ROCHE QUÍMICOS E FARMACÊUTICOS S.A.) X 0,5 ML + AG 16-5/10
238.51 271.04 287.36 289.10 290.86 294.46 298.14 301.91 305.78
ICMS0%
ALFALUTROPINA;ALFAFOLITROPINA
525421101110319 PERGOVERIS 150 UI/75 UI PÓ LIOF INJ SC CT FA VD TRANS + 303.47 350.69 375.01 377.63 380.28 385.71 391.29 397.04 402.96
(MERCK S/A) FA DIL X 1 ML
238.13 275.19 294.27 296.33 298.41 302.67 307.04 311.56 316.20
525419030052007 PERGOVERIS 300 UI/150 UI SOL INJ SC CT CAN APLIC CAR VD 606.96 701.40 750.04 755.28 760.59 771.44 782.61 794.11 805.95
(MERCK S/A) TRANS X 0,48 ML
476.28 550.39 588.56 592.67 596.84 605.35 614.11 623.14 632.43
525419030052107 PERGOVERIS 450 UI/ 225 UI SOL INJ SC CT CAN APLIC CAR VD 910.43 1052.08 1125.04 1132.90 1140.87 1157.15 1173.90 1191.14 1208.90
714.41 825.57 882.82 888.99 895.24 908.02 921.16 934.69 948.62
525419030052207 PERGOVERIS 900 UI/ 450 UI SOL INJ SC CT CAN APLIC CAR VD 1820.88 2104.19 2250.11 2265.83 2281.76 2314.32 2347.83 2382.32 2417.84
1428.84 1651.16 1765.66 1778.00 1790.50 1816.05 1842.34 1869.41 1897.28
ALFAMOROCTOCOGUE
aplicável o CAP.
Medicamentos
ALFAMOROCTOCOGUE
522723070092407 XYNTHA 2000 UI PO LIOF SOL INJ IV CT FA VD TRANS + 6244.21 7095.70 7523.14 7568.74 7614.89 7708.90 7805.26 7904.06 8005.40
(PFIZER BRASIL LTDA) SER PREENC DIL X 4ML + ADAP + CONJ INFUS +
4899.83 5568.00 5903.41 5939.19 5975.40 6049.17 6124.79 6202.31 6281.84
2 LENÇOS + CURATIVO + GAZE
ALFAPEGINTERFERONA 2A
529204002151210 PEGASYS 180 MCG SOL INJ CT 1 SER PREENCHIDA VD 2215.39
(PRODUTOS ROCHE QUÍMICOS E FARMACÊUTICOS S.A.) TRANS 0,5 ML
1738.42 1975.47 2094.47 2107.17 2120.02 2146.19 2173.02 2200.53 2228.74
C CAP ICMS0%
ALFAPORACTANTO
508501201154414 CUROSURF 80 MG/ML SUS INJ CT FA VD INC X 1,5 ML 1337.24 1519.59 1611.13 1620.90 1630.78 1650.91 1671.55 1692.71 1714.41
(CHIESI FARMACÊUTICA LTDA) 1049.33 1192.42 1264.25 1271.92 1279.67 1295.47 1311.67 1328.27 1345.30
508501202150412 CUROSURF 80 MG/ML SUS INJ CT FA VD INC X 3,0 ML 1809.47 2056.22 2180.08 2193.30 2206.67 2233.91 2261.84 2290.47 2319.83
ALFATALIGLICERASE
541916040006504 BIO-MANGUINHOS ALFATALIGLICERASE 200 U PÓ LIOF INJ CT FA VD TRANS 1787.33
(FUNDAÇÃO OSWALDO CRUZ) 1402.52 1593.77 1689.78 1700.02 1710.39 1731.50 1753.14 1775.34 1798.10
ICMS0%
ALFATUROCTOCOGUE PEGOL
526623020010707 ESPUROCT 500 UI PO LIOF INJ CT FA VD TRANS + SER 1299.41 1501.58 1605.72 1616.93 1628.30 1651.54 1675.45 1700.06 1725.41
(NOVO NORDISK FARMACÊUTICA DO BRASIL LTDA) PREENC DIL X 4 ML + 1 HASTE EMBOLO + 1
1019.65 1178.29 1260.01 1268.80 1277.73 1295.96 1314.73 1334.04 1353.93
ADAPTADOR FA
2039.29 2356.59 2520.01 2537.62 2555.46 2591.93 2629.45 2668.07 2707.85
ADAPTADOR FA
3058.95 3534.89 3780.03 3806.43 3833.21 3887.90 3944.19 4002.12 4061.80
ADAPTADOR FA
4078.60 4713.18 5040.04 5075.24 5110.94 5183.87 5258.92 5336.16 5415.73
ADAPTADOR FA
6117.91 7069.78 7560.07 7612.87 7666.42 7775.81 7888.37 8004.25 8123.59
ADAPTADOR FA
ALOPURINOL
511518010065706 ALOPURINOL 300 MG COM CT BL AL PLAS TRANS X 60 30.69 34.88 36.98 37.20 37.43 37.89 38.36 38.85 39.35
ALPRAZOLAM
508018804117114 ALPRAZOLAM 1,0 MG COM CT BL AL PLAS OPC X 30 32.26 36.66 38.87 39.10 39.34 39.83 40.33 40.84 41.36
508023030172606 ALPRAZOLAM 1 MG COM CT BL AL AL X 30 32.26 36.66 38.87 39.10 39.34 39.83 40.33 40.84 41.36
521112010051806 ALPRAZOLAM 1,0 MG COM CT BL AL PLAS TRANS X 30 46.27 52.58 55.75 56.08 56.43 57.12 57.84 58.57 59.32
(BIOSINTÉTICA FARMACÊUTICA LTDA) 36.31 41.26 43.75 44.00 44.28 44.82 45.39 45.96 46.55
607023050095817 ALPRAZOLAM 1 MG COM CT BL AL PLAS TRANS X 30 43.85 49.83 52.83 53.15 53.48 54.14 54.81 55.51 56.22
aplicável o CAP.
Medicamentos
ALPRAZOLAM
540915110017117 APRAZ 0,25 MG COM CT STRIP AL/AL X 30 15.30 17.39 18.43 18.55 18.66 18.89 19.13 19.37 19.62
540915110017417 APRAZ 0,5 MG COM CT STRIP AL/AL X 30 29.82 33.89 35.93 36.15 36.37 36.81 37.28 37.75 38.23
540915110017617 APRAZ 1 MG COM CT STRIP AL/AL X 30 53.05 60.28 63.92 64.30 64.70 65.49 66.31 67.15 68.01
540915110017317 APRAZ 2 MG COM CT STRIP AL/AL X 30 89.02 101.16 107.25 107.90 108.56 109.90 111.28 112.68 114.13
541523050027717 FRONTAL 0,25 MG COM CT BL AL PLAS TRANS X 30 20.55 23.35 24.76 24.91 25.06 25.37 25.69 26.01 26.35
(MYLAN LABORATORIOS LTDA) 16.13 18.32 19.43 19.55 19.66 19.91 20.16 20.41 20.68
541523050027817 FRONTAL 0,5 MG COM CT BL AL PLAS TRANS X 30 40.08 45.55 48.29 48.58 48.88 49.48 50.10 50.73 51.38
541523050027917 FRONTAL 1 MG COM CT BL AL PLAS TRANS X 30 71.23 80.94 85.82 86.34 86.87 87.94 89.04 90.16 91.32
541523050028017 FRONTAL 2 MG COM CT FR VD AMB X 30 112.68 128.05 135.76 136.58 137.41 139.11 140.85 142.63 144.46
541523050028117 FRONTAL 0,5 MG COM LIB PROL CT BL AL/AL X 30 40.08 45.55 48.29 48.58 48.88 49.48 50.10 50.73 51.38
541523050028217 FRONTAL 1 MG COM LIB PROL CT BL AL/AL X 30 71.23 80.94 85.82 86.34 86.87 87.94 89.04 90.16 91.32
541523050028317 FRONTAL 2 MG COM LIB PROL CT BL AL/AL X 30 112.68 128.05 135.76 136.58 137.41 139.11 140.85 142.63 144.46
ALPROSTADIL
522720030084207 CAVERJECT 10 MCG PO LIOF SOL INJ IC CT FA VD TRANS TP 66.71 77.09 82.44 83.01 83.60 84.79 86.02 87.28 88.58
(PFIZER BRASIL LTDA) BRBU + DIL SER VD TRANS X 1 ML + 2 AG + 2
52.35 60.49 64.69 65.14 65.60 66.54 67.50 68.49 69.51
LEN
522720030084107 CAVERJECT 20 MCG PO LIOF SOL INJ IC CT FA VD TRANS TP 93.97 108.59 116.12 116.93 117.75 119.44 121.16 122.94 124.78
(PFIZER BRASIL LTDA) BRBU + DIL SER VD TRANS X 1 ML + 2 AG + 2
73.74 85.21 91.12 91.75 92.40 93.73 95.07 96.47 97.92
LEN
ALTEPLASE
504512030018303 ACTILYSE 20 MG PO LIOF SOL INJ CT FA VD TRANS + FA 1044.58 1305.73 1322.25 1339.20
(BOEHRINGER INGELHEIM DO BRASIL QUÍMICA E FARMACÊUTICA DIL 20 ML + CANUL TRANS
819.68 931.45 987.57 993.56 999.61 1011.96 1024.61 1037.57 1050.87
ICMS0%
AMINAFTONA
521000801113310 CAPILAREMA 75 MG COM CT BL AL PLAS INC X 30 37.45 43.28 46.28 46.60 46.93 47.60 48.29 49.00 49.73
(LABORATÓRIOS BALDACCI LTDA) 29.39 33.96 36.32 36.57 36.83 37.35 37.89 38.45 39.02
AMINOFILINA
504615070030317 ASMAPEN 100 MG COM CT BL AL PLAS TRANS X 20 4.85 5.51 5.84 5.88 5.91 5.99 6.06 6.14 6.22
504615070030517 ASMAPEN 200 MG COM CT 2 BL AL PLAS TRANS X 10 6.95 7.90 8.37 8.42 8.48 8.58 8.69 8.80 8.91
AMISSULPRIDA
576720010051617 SOCIAN 50 MG COM CT BL AL PLAS PVC TRANS X 20 80.87 91.90 97.43 98.02 98.62 99.84 101.09 102.37 103.68
(SANOFI MEDLEY FARMACÊUTICA LTDA.) 63.46 72.11 76.45 76.92 77.39 78.34 79.33 80.33 81.36
aplicável o CAP.
Medicamentos
AMISSULPRIDA
576720010051717 SOCIAN 200 MG COM CT BL AL PLAS PVC TRANS X 20 152.34 173.11 183.54 184.65 185.78 188.07 190.43 192.84 195.31
AMOXICILINA
508000305151111 AMOXICILINA 50 MG/ML PO SUS OR CT FR VD AMB X 150 ML + 19.48 22.14 23.47 23.61 23.76 24.05 24.35 24.66 24.97
(EUROFARMA LABORATÓRIOS S.A.) COP
15.29 17.37 18.42 18.53 18.65 18.87 19.11 19.35 19.59
AMOXICILINA TRI-HIDRATADA
508027702119419 SINOT 875 MG COM REV CT STR AL X 14 32.64 37.09 39.33 39.56 39.80 40.30 40.80 41.32 41.85
508027701139416 SINOT 80 MG/ML PO SUS OR CT FR VD AMB X 100 ML + 23.44 26.64 28.24 28.41 28.59 28.94 29.30 29.67 30.05
(EUROFARMA LABORATÓRIOS S.A.) SER DOS
18.39 20.90 22.16 22.29 22.44 22.71 22.99 23.28 23.58
520717010107206 AMOXICILINA 500 MG CAP DURA CT BL AL PLAS PVDC TRANS 19.15 21.76 23.07 23.21 23.35 23.64 23.94 24.24 24.55
(LABORATÓRIO TEUTO BRASILEIRO S/A) X 21
15.03 17.08 18.10 18.21 18.32 18.55 18.79 19.02 19.26
607023040095417 AMOXICILINA 875 MG COM REV CT BL AL AL X 14 50.91 57.85 61.34 61.71 62.09 62.85 63.64 64.44 65.27
607023080100303 OCYLIN 50 MG/ML PO SUS OR CT FR PLAS OPC X 150 20.17 22.92 24.30 24.45 24.60 24.90 25.21 25.53 25.86
(MULTILAB INDUSTRIA E COMERCIO DE PRODUTOS FARMACEUTICOS ML + COP
15.83 17.99 19.07 19.19 19.30 19.54 19.78 20.03 20.29
AMOXICILINA TRIHIDRATADA
508000301113116 AMOXICILINA 500 MG CAP DURA CT BL AL PLAS PVC TRANS X 17.12 19.45 20.63 20.75 20.88 21.14 21.40 21.67 21.95
(EUROFARMA LABORATÓRIOS S.A.) 15
13.43 15.26 16.19 16.28 16.38 16.59 16.79 17.00 17.22
23.11 26.26 27.84 28.01 28.18 28.53 28.88 29.25 29.63
18.37 20.87 22.13 22.27 22.40 22.68 22.96 23.25 23.55
508000309114111 AMOXICILINA 875 MG COM REV CT STR AL X 14 45.44 51.64 54.75 55.08 55.41 56.10 56.80 57.52 58.26
510600605115312 AMOXIL 500 MG CAP GEL DURA CT BL AL PLAS INC X 15 51.12 58.09 61.59 61.96 62.34 63.11 63.90 64.71 65.54
506419120037607 AMOXICILINA 50 MG/ML PO SUS CX 50 FR PLAS OPC X 60 ML 533.51

(CIMED INDUSTRIA S.A) + 50 COP
418.65
AMOXICILINA TRIHIDRATADA;CLAVULANATO DE POTÁSSIO

510602009110310 CLAVULIN 500 MG + 125 MG COM REV CT BL AL PLAS 240.02 272.75 289.18 290.93 292.71 296.32 300.03 303.82 307.72
(GLAXOSMITHKLINE BRASIL LTDA) TRANS + ENV X 30
188.34 214.03 226.92 228.29 229.69 232.52 235.43 238.41 241.47
(GLAXOSMITHKLINE BRASIL LTDA) TRANS + ENV X 20
200.77 228.14 241.88 243.35 244.83 247.85 250.95 254.13 257.39
AMOXICILINA;AMOXICILINA TRI-HIDRATADA
508000306131112 AMOXICILINA 100 MG/ML PO SUS OR CT FR VD AMB X 150 ML 30.65 34.83 36.93 37.15 37.38 37.84 38.31 38.80 39.29
(EUROFARMA LABORATÓRIOS S.A.) + COP
24.05 27.33 28.98 29.15 29.33 29.69 30.06 30.45 30.83
23.05 26.20 27.78 27.94 28.12 28.46 28.82 29.18 29.56
21.36 24.27 25.74 25.89 26.05 26.36 26.70 27.04 27.39
AMPICILINA ANIDRA
508000404117319 AMPLACILINA 500 MG CAP GEL DURA CT BL AL PLAS INC X 12 21.05 23.92 25.36 25.52 25.67 25.99 26.31 26.65 26.99
aplicável o CAP.
Medicamentos
AMPICILINA ANIDRA
504617070063817 AMPICILINA 50 MG/ML PÓ P/ SUS OR CT FR VD AMB X 60 ML 13.35 15.17 16.08 16.18 16.28 16.48 16.69 16.90 17.12
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) + CP MED X 5 ML
10.48 11.90 12.62 12.70 12.77 12.93 13.10 13.26 13.44
504617070063717 AMPICILINA 50 MG/ML PÓ P/ SUS OR CT FR VD AMB X 150 36.23 41.17 43.65 43.92 44.18 44.73 45.29 45.86 46.45
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) ML + CP MED X 5 ML
28.43 32.31 34.25 34.47 34.67 35.10 35.54 35.99 36.45
AMPICILINA SÓDICA
504414010047218 CILINON 1000 MG PO INJ CX 100 FA VD TRANS + 100 DIL 482.69 548.51 581.55 585.08 588.65 595.91 603.36 611.00 618.83
(BLAU FARMACÊUTICA S.A.) X 5 ML
378.77 430.42 456.34 459.11 461.91 467.61 473.46 479.45 485.60
504414050051318 CILINON 500 MG PÓ INJ CX 100 FA VD TRANS 351.72 399.68 423.76 426.33 428.93 434.22 439.65 445.22 450.92
504414050051218 CILINON 1000 MG PÓ INJ CX 100 FA VD TRANS 426.23 484.35 513.53 516.64 519.79 526.21 532.79 539.53 546.45
ANASTROZOL
506723020097404 CERMAZ 1 MG COM REV CT BL AL PLAS PVC/PVDC 754.81 857.74 909.41 914.92 920.50 931.86 943.51 955.46 967.70
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) TRANS X 30
592.30 673.07 713.61 717.94 722.32 731.23 740.37 749.75 759.35
504422120077406 ANASTROZOL 1 MG COM REV CT BL AL PLAS PVC TRANS X 30 562.03 638.67 677.14 681.25 685.40 693.86 702.54 711.43 720.55
504422120077706 ANASTROZOL 1 MG COM REV CT BL AL PLAS PVC TRANS X 5620.37 6386.79 6771.53 6812.57 6854.11 6938.73 7025.46 7114.39 7205.60
(BLAU FARMACÊUTICA S.A.) 300
4410.30 5011.71 5313.62 5345.82 5378.42 5444.82 5512.88 5582.66 5654.23
504422120077506 ANASTROZOL 1 MG COM REV CT BL AL PLAS PVDC/PVC 562.03 638.67 677.14 681.25 685.40 693.86 702.54 711.43 720.55
(BLAU FARMACÊUTICA S.A.) TRANS X 30
441.02 501.16 531.35 534.58 537.83 544.47 551.28 558.26 565.42
504422120077606 ANASTROZOL 1 MG COM REV CT BL AL PLAS PVDC/PVC 5620.37 6386.79 6771.53 6812.57 6854.11 6938.73 7025.46 7114.39 7205.60
4410.30 5011.71 5313.62 5345.82 5378.42 5444.82 5512.88 5582.66 5654.23
569923080008704 HANAZ 1 MG COM REV CT BL AL PLAS PVC TRANS X 338.55 423.19 428.54 434.04
(CAMBER FARMACEUTICA LTDA) 14
265.66 301.89 320.07 322.01 323.98 327.97 332.08 336.27 340.59
ICMS0%
569923080008804 HANAZ 1 MG COM REV CT BL AL PLAS PVC TRANS X 28 677.08 846.35 857.06 868.05
(CAMBER FARMACEUTICA LTDA) 531.30 603.76 640.13 644.00 647.94 655.93 664.13 672.53 681.16
ICMS0%
569923080008904 HANAZ 1 MG COM REV CT BL AL PLAS PVC TRANS X 6771.02 8463.78 8570.91 8680.79
(CAMBER FARMACEUTICA LTDA) 280
5313.22 6037.75 6401.46 6440.27 6479.53 6559.53 6641.53 6725.59 6811.82
ICMS0%
ANATOXINA TETÂNICA;ANATOXINA DIFTÉRICA;ANTÍGENO PERTUSSIS

545316020001102 VACINA ADSORVIDA DIFTERIA, TÉTANO E PERTUSSIS SUS INJ IM CT 20 FA VD TRANS X 5 ML 4092.07
(INSTITUTO BUTANTAN) 3211.05 3648.92 3868.73 3892.17 3915.91 3964.26 4013.81 4064.62 4116.72
ICMS0%
ANTIMONIATO DE MEGLUMINA
576720020056217 GLUCANTIME 300 MG/ML SOL INJ CX 50 AMP VD TRANS X 5 375.28
(SANOFI MEDLEY FARMACÊUTICA LTDA.) ML
294.48
APIXABANA
552922110152506 APIXABANA 2,5 MG COM REV CT BL AL PLAS PVC/PVDC 50.10 56.93 60.36 60.73 61.10 61.85 62.63 63.42 64.23
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) TRANS X 20
39.31 44.67 47.36 47.66 47.95 48.53 49.15 49.77 50.40
117.94 134.03 142.09 142.96 143.83 145.61 147.43 149.29 151.20
39.31 44.67 47.36 47.66 47.95 48.53 49.15 49.77 50.40
117.94 134.03 142.09 142.96 143.83 145.61 147.43 149.29 151.20
(ACCORD FARMACÊUTICA LTDA) TRANS X 10
19.63 22.31 23.65 23.80 23.94 24.24 24.55 24.85 25.17
39.29 44.65 47.34 47.62 47.91 48.50 49.11 49.73 50.37
117.94 134.03 142.09 142.96 143.83 145.61 147.43 149.29 151.20
aplicável o CAP.
Medicamentos
APIXABANA
196.53 223.33 236.78 238.22 239.67 242.63 245.66 248.77 251.96
393.07 446.67 473.58 476.46 479.36 485.27 491.34 497.56 503.93
19.63 22.31 23.65 23.80 23.94 24.24 24.55 24.85 25.17
39.29 44.65 47.34 47.62 47.91 48.50 49.11 49.73 50.37
117.94 134.03 142.09 142.96 143.83 145.61 147.43 149.29 151.20
196.53 223.33 236.78 238.22 239.67 242.63 245.66 248.77 251.96
393.07 446.67 473.58 476.46 479.36 485.27 491.34 497.56 503.93
APROTININA;TROMBINA;FIBRINOGÊNIO
503215110023903 TISSEEL KIT 2 FA VD INC PÓ LIOF + 2 FA DIL X 1 ML + 646.97 747.63 799.48 805.06 810.73 822.29 834.20 846.45 859.07
(BAXTER HOSPITALAR LTDA) SIST REC E APLIC
507.68 586.67 627.35 631.73 636.18 645.25 654.60 664.21 674.11
964.55 1114.62 1191.91 1200.24 1208.68 1225.93 1243.68 1261.95 1280.76
2315.05 2675.24 2860.77 2880.75 2901.01 2942.41 2985.00 3028.85 3074.01
503215110023603 TISSEEL SOL TOP CT SER PREENC X 2 ML + SIST APLIC 646.97 747.63 799.48 805.06 810.73 822.29 834.20 846.45 859.07
(BAXTER HOSPITALAR LTDA) 507.68 586.67 627.35 631.73 636.18 645.25 654.60 664.21 674.11
ARIPIPRAZOL
541823030194806 ARIPIPRAZOL 10 MG COM CT BL AL AL X 10 141.96 161.32 171.04 172.07 173.12 175.26 177.45 179.70 182.00
(EMS S/A) 111.40 126.59 134.22 135.02 135.85 137.53 139.25 141.01 142.82
(EMS S/A) 334.17 379.74 402.61 405.05 407.53 412.56 417.72 423.00 428.42
(EMS S/A) 668.34 759.48 805.24 810.12 815.05 825.12 835.43 846.01 856.85
(EMS S/A) 167.09 189.88 201.31 202.54 203.77 206.29 208.87 211.51 214.22
(EMS S/A) 501.29 569.65 603.96 607.62 611.33 618.88 626.61 634.55 642.68
(EMS S/A) 1002.56 1139.27 1207.90 1215.22 1222.64 1237.73 1253.21 1269.07 1285.34
(EMS S/A) 222.79 253.18 268.42 270.06 271.69 275.05 278.49 282.01 285.63
(EMS S/A) 668.36 759.50 805.25 810.13 815.08 825.14 835.46 846.02 856.87
(EMS S/A) 1336.71 1518.99 1610.49 1620.26 1630.14 1650.26 1670.89 1692.04 1713.74
(EMS S/A) 334.17 379.74 402.61 405.05 407.53 412.56 417.72 423.00 428.42
(EMS S/A) 1002.52 1139.24 1207.86 1215.18 1222.59 1237.68 1253.16 1269.02 1285.29
aplicável o CAP.
Medicamentos
ARIPIPRAZOL
(EMS S/A) 2005.05 2278.46 2415.72 2430.37 2445.18 2475.37 2506.32 2538.04 2570.57
541823020191504 ARPEJO 10 MG COM CT BL AL AL X 10 157.22 178.66 189.42 190.57 191.73 194.10 196.53 199.01 201.56
(EMS S/A) 123.37 140.19 148.64 149.54 150.45 152.31 154.22 156.16 158.16
(EMS S/A) 370.10 420.56 445.90 448.60 451.34 456.91 462.62 468.47 474.49
(EMS S/A) 740.20 841.14 891.80 897.21 902.68 913.83 925.25 936.96 948.98
(EMS S/A) 180.65 205.29 217.65 218.97 220.31 223.03 225.82 228.68 231.60
(EMS S/A) 541.95 615.86 652.96 656.91 660.92 669.07 677.44 686.02 694.81
(EMS S/A) 1083.91 1231.71 1305.91 1313.82 1321.83 1338.16 1354.89 1372.03 1389.63
(EMS S/A) 338.24 384.37 407.53 409.99 412.49 417.59 422.80 428.16 433.65
(EMS S/A) 1014.73 1153.11 1222.57 1229.98 1237.48 1252.76 1268.42 1284.48 1300.94
(EMS S/A) 2029.47 2306.22 2445.14 2459.96 2474.96 2505.52 2536.84 2568.95 2601.89
(EMS S/A) 494.22 561.61 595.45 599.06 602.70 610.15 617.78 625.59 633.61
(EMS S/A) 1482.65 1684.83 1786.33 1797.15 1808.11 1830.43 1853.31 1876.77 1900.83
(EMS S/A) 2965.30 3369.67 3572.65 3594.30 3616.22 3660.87 3706.63 3753.55 3801.67
552923080161003 OPTARY 1 MG/ML SUS OR CT FR PLAS PET AMB X 100 180.18 204.75 217.08 218.40 219.73 222.44 225.23 228.08 231.00
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) ML + SER DOS
141.39 160.67 170.34 171.38 172.42 174.55 176.74 178.98 181.27
552923080161103 OPTARY 1 MG/ML SUS OR CR FR PLAS PET AMB X 150 270.25 307.10 325.60 327.58 329.57 333.64 337.81 342.09 346.47
212.07 240.98 255.50 257.05 258.61 261.81 265.08 268.44 271.87
552919110085407 ARISTAB 1 MG/ML SUS OR CT FR PLAS PET AMB X 100 180.19 204.76 217.10 218.41 219.74 222.46 225.24 228.09 231.01
141.40 160.68 170.36 171.39 172.43 174.57 176.75 178.98 181.27
552919110085307 ARISTAB 1 MG/ML SUS OR CR FR PLAS PET AMB X 150 270.25 307.10 325.60 327.58 329.57 333.64 337.81 342.09 346.47
212.07 240.98 255.50 257.05 258.61 261.81 265.08 268.44 271.87
aplicável o CAP.
Medicamentos
ARIPIPRAZOL
504618110072606 ARIPIPRAZOL 10 MG COM CT BL AL X AL X 30 425.85 483.92 513.07 516.18 519.33 525.74 532.31 539.05 545.96
538616030001606 ARIPIPRAZOL 10 MG COM CT BL AL/AL X 10 119.74 136.07 144.27 145.14 146.02 147.83 149.68 151.57 153.51
(UNICHEM FARMACÊUTICA DO BRASIL LTDA) 93.96 106.77 113.21 113.89 114.58 116.00 117.45 118.94 120.46
(ZYDUS NIKKHO FARMACÊUTICA LTDA) 167.08 189.86 201.30 202.51 203.76 206.27 208.85 211.49 214.20
ASPARTATO DE ARGININA
536214070005614 REFORGAN 250 MG COM REV CT BL AL PLAS TRANS X 20 43.88 50.71 54.22 54.60 54.99 55.77 56.58 57.41 58.27
ASPARTATO DE ORNITINA;CLORIDRATO DE ARGININA;CITRULINA

521001501113410 ORNITARGIN 185 MG + 60 MG + 5 MG COM REV CT BL AL 8.99 10.39 11.11 11.19 11.27 11.43 11.59 11.76 11.94
(LABORATÓRIOS BALDACCI LTDA) PLAS INC X 20
7.05 8.15 8.72 8.78 8.84 8.97 9.09 9.23 9.37
Liberado
ATENOLOL
511500702117110 ATENOLOL 25 MG COM REV CT BL AL PLAS TRANS X 30 12.79
511500703113119 ATENOLOL 50 MG COM REV CT BL AL PLAS TRANS X 30 14.99 17.03 18.06 18.17 18.28 18.51 18.74 18.97 19.22
511500705116115 ATENOLOL 25 MG COM REV CT BL AL PLAS TRANS X 60 11.20

511500706112113 ATENOLOL 50 MG COM REV CT BL AL PLAS TRANS X 60 15.75 17.90 18.98 19.09 19.21 19.44 19.69 19.94 20.19
504114070052003 ABLOK 25 MG COM CT BL AL PLAS TRANS X 90 40.39

(BIOLAB SANUS FARMACÊUTICA LTDA) 31.69
504114070052103 ABLOK 50 MG COM CT BL AL PLAS TRANS X 90 63.38 72.02 76.36 76.82 77.29 78.25 79.23 80.23 81.26
(BIOLAB SANUS FARMACÊUTICA LTDA) 49.73 56.51 59.92 60.28 60.65 61.40 62.17 62.96 63.77
506415100029406 ATENOLOL 25 MG COM CT BL AL PLAS TRANS X 30 5.35

(CIMED INDUSTRIA S.A) 4.20
506415100029506 ATENOLOL 50 MG COM CT BL AL PLAS TRANS X 30 9.61 10.92 11.58 11.65 11.72 11.86 12.01 12.16 12.32
(CIMED INDUSTRIA S.A) 7.54 8.57 9.09 9.14 9.20 9.31 9.42 9.54 9.67
aplicável o CAP.
Medicamentos
ATENOLOL
504616030037306 ATENOLOL 50MG COM CT BL AL PLAS INC X 30 29.93 34.01 36.06 36.28 36.50 36.95 37.41 37.89 38.37
504616030037406 ATENOLOL 100MG COM CT BL AL PLAS INC X 30 51.84 58.91 62.46 62.84 63.22 64.00 64.80 65.62 66.46
504616030037206 ATENOLOL 25MG COM CT BL AL PLAS INC X 30 19.46

(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) 15.27
ATENOLOL;CLORTALIDONA
508022903116114 ATENOLOL + CLORTALIDONA 100 MG + 25 MG COM CT BL AL PLAS TRANS X 33.52 38.09 40.39 40.63 40.88 41.38 41.90 42.43 42.97
26.30 29.89 31.69 31.88 32.08 32.47 32.88 33.29 33.72
508022904112112 ATENOLOL + CLORTALIDONA 50 MG + 12,5 MG COM CT BL AL PLAS TRANS X 22.20 25.23 26.75 26.91 27.07 27.41 27.75 28.10 28.46
17.42 19.80 20.99 21.12 21.24 21.51 21.78 22.05 22.33
(LABORATÓRIO TEUTO BRASILEIRO S/A) 30
17.33 19.70 20.88 21.02 21.14 21.40 21.67 21.94 22.22
27.61 31.37 33.26 33.46 33.66 34.08 34.51 34.94 35.39
520723030117103 ATELIDONA 50 MG + 12,5 MG COM CT BL AL PLAS TRANS X 23.56 26.77 28.39 28.56 28.73 29.09 29.45 29.82 30.21
18.49 21.01 22.28 22.41 22.54 22.83 23.11 23.40 23.71
520723030117203 ATELIDONA 100 MG + 25 MG COM CT BL AL PLAS TRANS X 37.73 42.88 45.46 45.73 46.01 46.58 47.16 47.76 48.37
29.61 33.65 35.67 35.88 36.10 36.55 37.01 37.48 37.96
533523060033903 ATENOCLOR (50,0 + 12,5) MG COM CT BL AL PLAS TRANS X 15.57 17.69 18.76 18.87 18.99 19.22 19.46 19.71 19.96
(VITAMEDIC INDUSTRIA FARMACEUTICA LTDA) 30
12.22 13.88 14.72 14.81 14.90 15.08 15.27 15.47 15.66
20.86 23.70 25.13 25.28 25.43 25.74 26.08 26.41 26.74
504117020057803 ABLOK PLUS 25 MG + 12,5 MG COM CT BL AL PLAS TRANS X 29.01 32.97 34.95 35.16 35.38 35.81 36.26 36.72 37.19
(BIOLAB SANUS FARMACÊUTICA LTDA) 60
22.76 25.87 27.43 27.59 27.76 28.10 28.45 28.81 29.18
42.04 47.78 50.65 50.97 51.27 51.91 52.56 53.22 53.90
504114020051403 ABLOK PLUS 100 MG + 25 MG COM CT BL AL PLAS TRANS X 86.42 98.20 104.12 104.75 105.39 106.69 108.03 109.39 110.79
67.81 77.06 81.70 82.20 82.70 83.72 84.77 85.84 86.94
511515100060506 ATORVASTATINA CALCICA 10 MG COM REV CT AL/AL X 30 33.59
C CAP

C CAP
542615060004503 ATEROMA 20 MG COM REV CT BL AL/AL X 10 17.94

(SUPERA FARMA LABORATÓRIOS S.A) 14.08
C CAP
607023050096117 ATORVASTATINA CÁLCICA 10 MG COM REV CT BL AL AL X 30 56.03

(MULTILAB INDUSTRIA E COMERCIO DE PRODUTOS FARMACEUTICOS 43.97
C CAP

C CAP

C CAP

C CAP

C CAP
506415120030406 ATORVASTATINA CÁLCICA 10 MG COM REV CT STR AL X 30 37.35

C CAP

C CAP
aplicável o CAP.
Medicamentos
C CAP

C CAP
510416020118106 ATORVASTATINA CÁLCICA 40 MG COM REV CT BL AL AL X 500 (EMB HOSP) 1868.41

C CAP
AXETILCEFUROXIMA
510609102132318 ZINNAT 50 MG/ML PO SUS OR CT FR VD AMB X 50 ML 115.55 131.31 139.22 140.06 140.91 142.65 144.44 146.27 148.14
510609106111315 ZINNAT 500 MG COM REV CT BL AL AL X 20 259.68 295.09 312.87 314.76 316.68 320.59 324.60 328.71 332.92
510609109137315 ZINNAT 250 MG PO SUS OR CT ENV AL/PLAS X 14 155.59 176.81 187.46 188.59 189.74 192.09 194.49 196.95 199.47
520723070118306 AXETILCEFUROXIMA 500 MG COM CT BL AL/AL X 10 82.53 93.78 99.43 100.04 100.65 101.89 103.16 104.47 105.81
AXICABTAGENO CILOLEUCEL
546823080001407 YESCARTA 1,0 A 2,0 X 10E6 CELS T CAR POSITIVAS/KG SUS 1762452.86 2036669.38 2177912.35 2193124.08 2208549.07 2240063.49 2272490.86 2305873.48 2340253.64
(GILEAD SCIENCES FARMACEUTICA DO BRASIL LTDA) INJ IV CASSETE ALU BOLS
1382996.76 1598174.46 1709007.82 1720944.47 1733048.46 1757777.82 1783223.58 1809418.92 1836397.03
AXITINIBE
522720020083617 INLYTA 1 MG COM REV CT FR PLAS OPC X 180 12505.38 14210.66 15066.72 15158.03 15250.46 15438.74 15631.73 15829.60 16032.53
(PFIZER BRASIL LTDA) 9812.97 11151.10 11822.86 11894.51 11967.04 12114.78 12266.22 12421.49 12580.73
522720020083717 INLYTA 5 MG COM REV CT FR PLAS OPC X 60 20834.08 23675.10 25101.30 25253.43 25407.41 25721.09 26042.60 26372.26 26710.35
AZILSARTANA MEDOXOMILA POTÁSSICA

501114090023201 EDARBI 80 MG COM CT BL AL AL X 60 186.20 215.17 230.09 231.70 233.33 236.66 240.08 243.61 247.24
(TAKEDA PHARMA LTDA.) 146.11 168.84 180.55 181.82 183.09 185.71 188.39 191.16 194.01
AZITROMICINA
511510102112417 ZIMICINA 500 MG COM REV CT BL AL PLAS TRANS X 3 15.42 17.52 18.58 18.69 18.80 19.04 19.28 19.52 19.77
511510105111411 ZIMICINA 500 MG COM REV CT BL AL PLAS TRANS X 5 21.76 24.73 26.22 26.38 26.54 26.86 27.20 27.54 27.90
520716040101503 TEUTRAZI 500 MG COM REV CT BL AL PLAS INC X 3 22.30 25.34 26.87 27.03 27.20 27.53 27.88 28.23 28.59
520716040101403 TEUTRAZI 500 MG COM REV CT BL AL PLAS INC X 5 37.17 42.24 44.78 45.05 45.33 45.89 46.46 47.05 47.65
528514110126506 AZITROMICINA 500 MG COM REV CT BL AL PLAS PVC OPC X 5 34.25 38.92 41.27 41.52 41.77 42.28 42.81 43.35 43.91
aplicável o CAP.
Medicamentos
AZITROMICINA
501315070019506 AZITROMICINA MONOIDRATADA 500MG PO LIOF SOL INFUS CT FA VD TRANS 120.88 137.36 145.64 146.52 147.41 149.23 151.10 153.01 154.97
(ANTIBIÓTICOS DO BRASIL LTDA) 94.85 107.79 114.28 114.97 115.67 117.10 118.57 120.07 121.60
501315070019606 AZITROMICINA MONOIDRATADA 500MG PO LIOF SOL INFUS CX 5 FA VD TRANS 604.50 686.93 728.31 732.73 737.20 746.30 755.63 765.19 775.00
501315070020006 AZITROMICINA MONOIDRATADA 500MG PO LIOF SOL INFUS CX 100 FA VD 12090.32 13739.00 14566.65 14654.93 14744.29 14926.32 15112.90 15304.21 15500.41
(ANTIBIÓTICOS DO BRASIL LTDA) TRANS
9487.27 10780.99 11430.45 11499.72 11569.84 11712.68 11859.09 12009.21 12163.17
504614070022306 AZITROMICINA DI-HIDRATADA 500 MG COM REV CT BL AL PLAS TRANS X 5 34.30 38.98 41.33 41.58 41.83 42.35 42.88 43.42 43.97
AZITROMICINA DI-HIDRATADA
508018901112113 AZITROMICINA 500 MG COM REV CT BL AL PLAS PVC TRANS X 30.73 34.92 37.02 37.25 37.48 37.94 38.41 38.90 39.40
24.11 27.40 29.05 29.23 29.41 29.77 30.14 30.53 30.92
258.03 293.22 310.88 312.77 314.67 318.56 322.54 326.62 330.81
34.36 39.05 41.40 41.65 41.90 42.42 42.96 43.50 44.05
508000701111412 ASTRO 500 MG COM REV CT BL AL PLAS PVC TRANS X 9.39 10.67 11.31 11.38 11.45 11.59 11.74 11.89 12.04
7.37 8.37 8.87 8.93 8.98 9.09 9.21 9.33 9.45
11.05 12.56 13.31 13.40 13.47 13.64 13.81 13.98 14.16
(EUROFARMA LABORATÓRIOS S.A.) 60 (EMB FRAC)
216.61 246.14 260.98 262.55 264.15 267.42 270.76 274.19 277.71
18.40 20.91 22.17 22.30 22.44 22.72 23.00 23.29 23.59
508000702134416 ASTRO 600 MG PÓ SUS OR CT FR PLAS OPC + FLAC 31.36 35.64 37.78 38.01 38.24 38.72 39.20 39.70 40.21
(EUROFARMA LABORATÓRIOS S.A.) SOL DIL X 9 ML + SER DOS
24.61 27.97 29.65 29.83 30.01 30.38 30.76 31.15 31.55
508000707136417 ASTRO 900 MG PÓ SUS OR CT FR PLAS OPC + FLAC 44.66 50.75 53.81 54.13 54.46 55.14 55.83 56.53 57.26
(EUROFARMA LABORATÓRIOS S.A.) SOL DIL X 12 ML + SER DOS
35.04 39.82 42.22 42.48 42.73 43.27 43.81 44.36 44.93
508000709139413 ASTRO 1500 MG PÓ SUS OR CT FR PLAS OPC + FR VD 44.66 50.75 53.81 54.13 54.46 55.14 55.83 56.53 57.26
(EUROFARMA LABORATÓRIOS S.A.) AMB SOL DIL X 22ML + SER DOS
35.04 39.82 42.22 42.48 42.73 43.27 43.81 44.36 44.93
525402404111412 CLINDAL AZ 500 MG COM REV CT BL AL PLAS PVC TRANS X 26.52 30.14 31.95 32.15 32.34 32.74 33.15 33.57 34.00
(MERCK S/A) 3
20.81 23.65 25.07 25.23 25.38 25.69 26.01 26.34 26.68
(MERCK S/A) 2
14.44 16.41 17.40 17.50 17.61 17.83 18.05 18.28 18.51
(MERCK S/A) 5
31.20 35.45 37.59 37.81 38.05 38.52 39.00 39.49 40.00
525115090028506 AZITROMICINA 500 MG COM REV CT BL AL PLAS PVDC TRANS 16.71 18.99 20.13 20.25 20.38 20.63 20.89 21.15 21.42
(MEDQUIMICA INDUSTRIA FARMACEUTICA LTDA.) X3
13.11 14.90 15.80 15.89 15.99 16.19 16.39 16.60 16.81
(MEDQUIMICA INDUSTRIA FARMACEUTICA LTDA.) X 300
917.68 1042.81 1105.63 1112.34 1119.12 1132.93 1147.10 1161.62 1176.51
525915070024403 AZITROLAB 500 MG COM REV CT BL AL PLAS TRANS X 5 38.62 43.89 46.53 46.81 47.10 47.68 48.28 48.89 49.51
527920050036607 AZITROPHAR 500 MG COM REV CT BL AL PLAS PVC TRANS X 43.88 49.86 52.87 53.19 53.51 54.17 54.85 55.54 56.26
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) 5
34.43 39.13 41.49 41.74 41.99 42.51 43.04 43.58 44.15
aplicável o CAP.
Medicamentos
32.79 37.27 39.51 39.74 39.99 40.48 40.99 41.51 42.04
AZTREONAM
513415090024606 AZTREONAM 1,0 G PO INJ CX 25 FA VD INC 2276.77 2587.24 2743.10 2759.72 2776.55 2810.83 2845.96 2881.99 2918.94
BACLOFENO
526508601113419 LIORESAL 10 MG COM CT BL AL PLAS TRANS X 20 33.59 38.17 40.47 40.72 40.96 41.47 41.99 42.52 43.06
(NOVARTIS BIOCIENCIAS S.A) 26.36 29.95 31.76 31.95 32.14 32.54 32.95 33.37 33.79
533015080061906 BACLOFENO 10 MG COM CT BL AL PLAS TRANS X 20 16.05 18.24 19.34 19.45 19.57 19.81 20.06 20.32 20.58
BACOPA MONNIERI (L.) WETTST.

511420010007307 COGNITUS 225 MG COM REV CT BL AL PVDC TRANS X 60 82.29 95.09 101.69 102.40 103.12 104.59 106.10 107.66 109.27
(HERBARIUM LABORATORIO BOTANICO LTDA) 64.57 74.62 79.80 80.35 80.92 82.07 83.26 84.48 85.74
Liberado
BASILIXIMAB
526513901154419 SIMULECT 20 MG PÓ LIOF INJ CT FA VD TRANS + AMP VD 5504.45 6255.06 6631.87 6672.06 6712.74 6795.62 6880.56 6967.66 7056.99
(NOVARTIS BIOCIENCIAS S.A) TRANS DIL X 5 ML
4319.34 4908.35 5204.03 5235.57 5267.49 5332.52 5399.17 5467.52 5537.62
BEMIPARINA SÓDICA
541815070012002 HIBOR 2500 UI SOL INJ CX 2 SER PREENC X 0,2 ML 15.72 18.17 19.43 19.56 19.70 19.98 20.27 20.57 20.87
(EMS S/A) 12.34 14.26 15.25 15.35 15.46 15.68 15.91 16.14 16.38
(EMS S/A) 61.80 71.42 76.37 76.91 77.45 78.55 79.69 80.85 82.06
(EMS S/A) 23.64 27.32 29.21 29.41 29.61 30.04 30.48 30.93 31.38
(EMS S/A) 118.17 136.55 146.02 147.05 148.08 150.19 152.37 154.60 156.91
(EMS S/A) 30.05 34.72 37.13 37.39 37.65 38.19 38.74 39.31 39.89
(EMS S/A) 45.05 52.06 55.67 56.06 56.45 57.26 58.08 58.94 59.82
(EMS S/A) 65.50 75.69 80.94 81.51 82.08 83.25 84.46 85.70 86.97
BENRALIZUMABE
502318100033702 FASENRA 30 MG/ML SOL INJ CT SER PREECH VD TRANS X 11965.34 13827.00 14785.91 14889.18 14993.90 15207.85 15428.00 15654.64 15888.05
(ASTRAZENECA DO BRASIL LTDA) 1ML
9389.20 10850.05 11602.50 11683.54 11765.71 11933.60 12106.35 12284.20 12467.35
BENZILPENICILINA BENZATINA
508000906155314 BENZETACIL 300.000 U/ML SUS INJ IM CX 50 FA VD TRANS X 586.40 666.36 706.51 710.79 715.12 723.95 733.00 742.28 751.79
(EUROFARMA LABORATÓRIOS S.A.) 4 ML
460.15 522.89 554.40 557.76 561.15 568.08 575.19 582.47 589.93
508000904152415 BENZETACIL 300.000 U/ML SUS INJ IM CX 10 FA VD TRANS X 117.28 133.27 141.30 142.16 143.02 144.79 146.60 148.46 150.36
(EUROFARMA LABORATÓRIOS S.A.) 4 ML
92.03 104.58 110.88 111.55 112.23 113.62 115.04 116.50 117.99
510015010024803 FURP-BENZILPENICILINA BENZATINA 1200000 UI PO INJ CX 50 FA VD TRANS 365.72 457.15 462.94 468.87
ICMS0%
510015010024703 FURP-BENZILPENICILINA BENZATINA 600000 UI PO INJ CX 50 FA VD TRANS 287.23 359.04 363.58 368.24
ICMS0%
BENZILPENICILINA POTÁSSICA
504414010040418 ARICILINA 5.000.000 UI PO INJ CX 50 FA 401.79 456.58 484.08 487.02 489.99 496.04 502.24 508.60 515.12
BENZILPENICILINA POTÁSSICA;BENZILPENICILINA PROCAÍNA
aplicável o CAP.
Medicamentos

510015010030603 FURP-BENZILPENICILINA PROCAINA + 300.000 UI + 100.000 UI PO INJ CX 50 FA VD 171.25 214.06 216.77 219.55
(FUNDAÇÃO PARA O REMÉDIO POPULAR - FURP) TRANS
134.38 152.70 161.91 162.89 163.88 165.90 167.97 170.10 172.28
ICMS0%
BENZNIDAZOL
517006102111316 LAFEPE BENZNIDAZOL 100 MG COM CT BL AL PLAS TRANS X 100 76.71 87.17 92.42 92.98 93.55 94.70 95.89 97.10 98.35
(LABORATORIO FARMACEUTICO DO ESTADO DE PERNAMBUCO 60.19 68.40 72.52 72.96 73.41 74.31 75.25 76.19 77.18
BENZOATO DE ALOGLIPTINA
501114030021802 NESINA 6,25 MG COM REV CT BL AL AL X 30 46.10 53.27 56.97 57.36 57.77 58.59 59.44 60.31 61.21
501114030022302 NESINA 25MG COM REV CT BL AL AL X 10 59.75 69.05 73.83 74.35 74.87 75.94 77.04 78.17 79.34
BENZOATO DE ALOGLIPTINA;CLORIDRATO DE METFORMINA

501115110025205 NESINA MET (12,5 + 500,0) MG COM REV CT BL AL AL X 60 181.95 210.26 224.84 226.41 228.00 231.26 234.60 238.05 241.60
BENZOCAÍNA
507200302174418 BENZOTOP 200 MG/G GEL CT PT PLAS OPC X 12 G (SABOR 9.54 10.84 11.49 11.56 11.63 11.78 11.93 12.08 12.23
(DFL INDÚSTRIA E COMÉRCIO S/A) PINA COLADA)
7.49 8.51 9.02 9.07 9.13 9.24 9.36 9.48 9.60
Liberado
(DFL INDÚSTRIA E COMÉRCIO S/A) TUTTI-FRUTTI)
7.49 8.51 9.02 9.07 9.13 9.24 9.36 9.48 9.60
Liberado
(DFL INDÚSTRIA E COMÉRCIO S/A) MENTA)
7.49 8.51 9.02 9.07 9.13 9.24 9.36 9.48 9.60
Liberado
BESILATO DE ANLODIPINO
511500408111410 AMLOVASC 5 MG COM CT BL AL PLAS PVC OPC X 30 11.80 13.41 14.22 14.30 14.39 14.57 14.75 14.94 15.13
511500406119414 AMLOVASC 10 MG COM CT BL AL PLAS PVC OPC X 30 14.55 16.53 17.53 17.64 17.74 17.96 18.19 18.42 18.65
511512002115119 BESILATO DE ANLODIPINO 5 MG COM CT BL AL PLAS PVC OPC X 30 21.15 24.03 25.48 25.64 25.79 26.11 26.44 26.77 27.12
525401004111115 BESILATO DE ANLODIPINO 5 MG COM CT BL AL PLAS PVC/PVDC OPC X 60 51.28 58.27 61.78 62.16 62.54 63.31 64.10 64.91 65.74
(MERCK S/A) 40.24 45.72 48.48 48.78 49.08 49.68 50.30 50.93 51.59
(MERCK S/A) 32.13 36.50 38.71 38.94 39.18 39.66 40.16 40.66 41.19
(MERCK S/A) 20.11 22.86 24.23 24.38 24.53 24.83 25.14 25.46 25.79
552820020062817 NORVASC 5 MG COM CT BL AL PLAS PVC OPC X 10 14.22 16.16 17.13 17.24 17.34 17.56 17.78 18.00 18.23
(LABORATÓRIOS PFIZER LTDA) 11.16 12.68 13.44 13.53 13.61 13.78 13.95 14.12 14.30
aplicável o CAP.
Medicamentos
533514060026003 AMLODIL 5 MG COM CT BL AL PLAS AMB X 20 19.50 22.16 23.49 23.64 23.78 24.07 24.38 24.68 25.00
(VITAMEDIC INDUSTRIA FARMACEUTICA LTDA) 15.30 17.39 18.43 18.55 18.66 18.89 19.13 19.37 19.62
526216030011006 BESILATO DE ANLODIPINO 5 MG COM CT BL AL PLAS OPC X 30 14.80 16.82 17.83 17.94 18.05 18.27 18.50 18.73 18.97
(1FARMA INDUSTRIA FARMACEUTICA LTDA) 11.61 13.20 13.99 14.08 14.16 14.34 14.52 14.70 14.88
525319120064007 ANLUSBED 5 MG COM CT BL AL PLAS LAR X 20 26.01 29.56 31.34 31.53 31.72 32.11 32.51 32.92 33.35
(NOVA QUIMICA FARMACÊUTICA S/A) 20.41 23.20 24.59 24.74 24.89 25.20 25.51 25.83 26.17
506414040028206 BESILATO DE ANLODIPINO 5 MG COM CT BL AL PLAS PVC/PE/PVDC OPC X 16.90 19.20 20.36 20.48 20.61 20.86 21.13 21.39 21.67
(CIMED INDUSTRIA S.A) 30
13.26 15.07 15.98 16.07 16.17 16.37 16.58 16.78 17.01
BESILATO DE LEVANLODIPINO
504112070049702 NOVANLO 2,5 MG COM CT BL AL PLAS AMB X 60 88.82 102.64 109.76 110.52 111.30 112.89 114.52 116.21 117.94
BETAEPOETINA
529204402158212 RECORMON 10.000 UI SOL INJ CT 6 SER PREENCHIDAS X 0,6 2161.44 2456.18 2604.14 2619.93 2635.90 2668.44 2701.80 2736.00 2771.08
(PRODUTOS ROCHE QUÍMICOS E FARMACÊUTICOS S.A.) ML + 6 AGULHAS
1696.08 1927.36 2043.47 2055.86 2068.39 2093.92 2120.10 2146.94 2174.47
BETAINTERFERONA 1A
525420402151415 REBIF 22 MCG SOL INJ CT 12 SER PREENC VD TRANS 10155.18
7968.77
C CAP
525420401153414 REBIF 44 MCG SOL INJ CT 12 SER PREENC VD TRANS 11553.25

9065.84
C CAP
BETAMETASONA
506412060026004 DEXMINE 0,05 MG/ML + 0,40 MG/ML XPE CT FR PET AMB X 22.46 25.95 27.75 27.95 28.14 28.55 28.96 29.39 29.82
(CIMED INDUSTRIA S.A) 120 ML
17.62 20.36 21.78 21.93 22.08 22.40 22.72 23.06 23.40
540917030026917 CELESTONE 2 MG COM CT BL AL PLAS TRANS X 10 17.09 19.42 20.59 20.72 20.84 21.10 21.36 21.63 21.91
540917030026617 CELESTONE 0,1 MG/ML ELX CT FR VD AMB X 120 ML 27.52 31.27 33.16 33.36 33.56 33.98 34.40 34.84 35.28
BETAMETASONA;FOSFATO DISSÓDICO DE BETAMETASONA
aplicável o CAP.
Medicamentos
BETAMETASONA;FOSFATO DISSÓDICO DE BETAMETASONA

540917030027017 CELESTONE 4 MG/ML SOL INJ CT CAMA AMP VD TRANS X 1 6.67 7.58 8.04 8.08 8.13 8.23 8.34 8.44 8.55
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) ML
5.23 5.95 6.31 6.34 6.38 6.46 6.54 6.62 6.71
BETAMETASONA;MALEATO DE DEXCLORFENIRAMINA
520715110097503 LESTALGYN 0,4 MG/ML + 0,05 MG/ML XPE CT FR PET AMB X 23.38 27.02 28.89 29.09 29.30 29.72 30.15 30.59 31.04
(LABORATÓRIO TEUTO BRASILEIRO S/A) 120 ML + COP MED
18.35 21.20 22.67 22.83 22.99 23.32 23.66 24.00 24.36
540917050030417 CELESTAMINE 0,25 MG + 2 MG COM CT BL AL PLAS TRANS X 22.61 26.13 27.94 28.13 28.33 28.74 29.15 29.58 30.02
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) 20
17.74 20.50 21.92 22.07 22.23 22.55 22.87 23.21 23.56
540917050030117 CELESTAMINE 0,05 MG/ML + 0,4 MG/ML XPE CT FR PLAS AMB X 39.78 45.97 49.16 49.50 49.85 50.56 51.29 52.05 52.82
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) 120 ML + DOSAD
31.22 36.07 38.58 38.84 39.12 39.67 40.25 40.84 41.45
540917050030317 CELESTAMINE 0,25 MG + 2 MG COM CT BL AL PLAS TRANS X 11.32 13.08 13.99 14.09 14.19 14.39 14.60 14.81 15.03
8.88 10.26 10.98 11.06 11.14 11.29 11.46 11.62 11.79
540917050030217 CELESTAMINE 0,05 MG/ML + 0,4 MG/ML XPE CT FR PLAS AMB X 9.96 11.51 12.31 12.39 12.48 12.66 12.84 13.03 13.23
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) 30 ML + DOSAD
7.82 9.03 9.66 9.72 9.79 9.93 10.08 10.22 10.38
540917050030517 CELESTAMINE 0,25 MG/ML + 2 MG/ML SOL OR CT FR GOT PLAS 33.15 38.31 40.96 41.25 41.54 42.13 42.74 43.37 44.02
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) OPC X 20 ML
26.01 30.06 32.14 32.37 32.60 33.06 33.54 34.03 34.54
BEVACIZUMABE
529207901139218 AVASTIN 25 MG/ML SOL DIL INFUS IV CT FA VD TRANS X 1804.37
(PRODUTOS ROCHE QUÍMICOS E FARMACÊUTICOS S.A.) 4 ML
1415.89 1608.96 1705.89 1716.22 1726.69 1748.01 1769.86 1792.26 1815.24
ICMS0%
529207902151211 AVASTIN 25 MG/ML SOL DIL INFUS IV CT FA VD TRANS X 6986.34

5482.18 6229.76 6605.04 6645.07 6685.59 6768.12 6852.73 6939.47 7028.43
ICMS0%
BICALUTAMIDA
538017120024206 BYCAL 50 MG COM REV CT BL AL PLAS TRANS X 28 580.14 659.25 698.96 703.20 707.49 716.22 725.18 734.35 743.77
(ACCORD FARMACÊUTICA LTDA) 455.24 517.31 548.47 551.80 555.17 562.02 569.05 576.24 583.64
BICARBONATO DE SÓDIO
509506801158417 BICARBONATO DE SÓDIO 84 MG/ML SOL INJ FR VD INC X 250 ML 63.81 72.51 76.88 77.35 77.82 78.78 79.76 80.77 81.81
(FRESENIUS KABI BRASIL LTDA) 50.07 56.90 60.33 60.70 61.07 61.82 62.59 63.38 64.20
511216020031003 SOLUÇÃO DE BICARBONATO DE SÓDIO 8,4% HALEX 84 MG/ML SOL INFUS IV CX 45 BOLS PLAS 1267.21 1440.01 1526.76 1536.01 1545.38 1564.46 1584.01 1604.06 1624.63
(HALEX ISTAR INDÚSTRIA FARMACÊUTICA SA) TRANS SIST FECH X 250 ML
994.38 1129.98 1198.05 1205.31 1212.66 1227.63 1242.97 1258.71 1274.85
BIMATOPROSTA
501003601171312 LUMIGAN 0,3 MG/ML SOL OFT CT FR PLAS OPC GOT X 3 112.58 127.93 135.64 136.46 137.29 138.99 140.73 142.51 144.33
(ALLERGAN PRODUTOS FARMACÊUTICOS LTDA) ML
88.34 100.39 106.44 107.08 107.73 109.07 110.43 111.83 113.26
132.54 150.61 159.68 160.65 161.63 163.63 165.67 167.77 169.92
71.36 81.09 85.98 86.50 87.02 88.10 89.21 90.33 91.49
118.91 135.12 143.26 144.13 145.00 146.79 148.63 150.51 152.44
501006901131310 LATISSE 0,3 MG/ML SOL TOP 1 FR PLAS OPC GOT X 5 ML 158.01 179.56 190.37 191.53 192.70 195.07 197.51 200.01 202.58
(ALLERGAN PRODUTOS FARMACÊUTICOS LTDA) + 10 BAND 10 APLIC ESTÉRIL + CX
123.99 140.90 149.38 150.29 151.21 153.07 154.99 156.95 158.97
aplicável o CAP.
Medicamentos
BISSULFATO DE CLOPIDOGREL
508028501117417 PLAQ 75 MG COM REV CT BL AL PLAS TRANS X 10 21.38 24.30 25.76 25.92 26.07 26.40 26.73 27.06 27.41
508028502113415 PLAQ 75 MG COM REV CT BL AL PLAS TRANS X 30 64.23 72.99 77.39 77.85 78.33 79.30 80.29 81.30 82.35
508030001118114 BISSULFATO DE CLOPIDOGREL 75 MG COM REV CT BL AL PLAS INC X 30 85.41 97.06 102.90 103.53 104.16 105.44 106.76 108.11 109.50
511511801111418 PLAGREL 75 MG COM REV CT BL AL AL X 14 22.80

C CAP

C CAP
511511601112119 BISSULFATO DE CLOPIDOGREL 75 MG COM REV CT BL AL/ AL X 14 30.09

C CAP

C CAP
525417110049217 CUORE 75 MG COM REV CT BL AL AL X 14 84.69

(MERCK S/A) 66.46
C CAP
525417110049117 CUORE 75 MG COM REV CT BL AL AL X 28 169.38

(MERCK S/A) 132.91
C CAP
526114060092903 CLOPIPLAX 75 MG COM REV CT BL AL AL X 28 174.34 198.11 210.05 211.32 212.61 215.23 217.93 220.68 223.51
C CAP
531614080075404 CUORE 75 MG COM REV CT BL AL AL X 14 84.69 96.24 102.04 102.65 103.28 104.56 105.86 107.20 108.58
C CAP
531614080075504 CUORE 75 MG COM REV CT BL AL AL X 28 169.38 192.48 204.07 205.31 206.56 209.11 211.73 214.41 217.15
C CAP
506416110032306 BISSULFATO DE CLOPIDOGREL 75 MG COM REV CT STR AL X 30 54.65 62.10 65.84 66.24 66.65 67.47 68.31 69.18 70.06
C CAP
BORATO DE SÓDIO;CLORETO DE CETILPIRIDÍNIO;BENZOCAÍNA

516301202174411 MALVONA 0,2 MG /ML+ 60 MG /ML+ 1 MG/ML SOL TOP CT 14.96 17.29 18.49 18.62 18.75 19.01 19.29 19.57 19.86
(MEGALABS FARMACEUTICA S.A.) FR VD AMB X 100 ML
11.74 13.57 14.51 14.61 14.71 14.92 15.14 15.36 15.58
Liberado
516301201178411 MALVONA 0,2 MG/ML + 60 MG/ML + 1 MG/ML SOL TOP CT 23.91 27.63 29.55 29.75 29.96 30.39 30.83 31.28 31.75
(MEGALABS FARMACEUTICA S.A.) FR VD AMB X 200 ML
18.76 21.68 23.19 23.34 23.51 23.85 24.19 24.54 24.91
Liberado
BOSENTANA MONOIDRATADA
514519120034317 BOSENTANA 62,5 MG COM REV CX FR PLAS OPC X 60 1891.01
(JANSSEN-CILAG FARMACÊUTICA LTDA) 1483.88
514519120034417 BOSENTANA 125 MG COM REV CX FR PLAS OPC X 60 3782.02 4297.75 4556.65 4584.27 4612.22 4669.16 4727.53 4787.37 4848.74
BRINZOLAMIDA
500900401178310 AZOPT 10 MG/ML SUS OFT CT FR PLAS TRANS GOT X 5 60.80 69.09 73.25 73.70 74.15 75.06 76.00 76.96 77.95
47.71 54.21 57.48 57.83 58.19 58.90 59.64 60.39 61.17
BROMAZEPAM
504616020033917 BROMAZEPAM (PORTARIA 344/98 - LISTA B1) 3 MG COM CT BL AL PLAS INC X 20 12.26 13.93 14.77 14.86 14.95 15.14 15.33 15.52 15.72
BROMETO DE IPRATRÓPIO
aplicável o CAP.
Medicamentos
520715110096603 AERODIVENT 0,25 MG/ML SOL INAL CT FR VD AMB GOT X 20 7.55 8.58 9.10 9.15 9.21 9.32 9.44 9.56 9.68
(LABORATÓRIO TEUTO BRASILEIRO S/A) ML
5.92 6.73 7.14 7.18 7.23 7.31 7.41 7.50 7.60
531614060074304 IPRAVENT 0,25 MG/ML SOL INAL CT FR VD AMB CGT X 20 13.82 15.70 16.65 16.75 16.85 17.06 17.28 17.49 17.72
(EMS SIGMA PHARMA LTDA) ML
10.84 12.32 13.07 13.14 13.22 13.39 13.56 13.72 13.91
BROMETO DE N-BUTILESCOPOLAMINA;DIPIRONA
520716050102003 HIOSPAN COMPOSTO 4,0 MG/ML + 500 MG/ML SOL INJ CT 120 AMP VD 332.62 384.37 411.03 413.90 416.81 422.76 428.88 435.18 441.67
(LABORATÓRIO TEUTO BRASILEIRO S/A) AMB X 5 ML ( EMB HOSP)
261.01 301.62 322.54 324.79 327.07 331.74 336.54 341.49 346.58
BROMETO DE OTILÔNIO
501604102119311 LONIUM 40 MG COM REV CT BL AL PLAS TRANS X 30 47.18 54.52 58.30 58.71 59.12 59.97 60.83 61.73 62.65
(APSEN FARMACEUTICA S/A) 37.02 42.78 45.75 46.07 46.39 47.06 47.73 48.44 49.16
501616070016203 LONIUM 40 MG COM REV CT BL AL PVC/PVDC OPC X 10 14.70 16.99 18.17 18.29 18.42 18.68 18.95 19.23 19.52
BROMETO DE ROCURÔNIO
508026001151113 BROMETO DE ROCURÔNIO 10 MG/ML SOL INJ IV CT 12 FA VD TRANS X 5 ML 446.96 507.91 538.51 541.77 545.07 551.80 558.70 565.77 573.03
527316010017803 ESMERON 10 MG/ML SOL INJ CT 10 FA VD TRANS X 5 ML 1146.01 1302.28 1380.73 1389.10 1397.57 1414.83 1432.51 1450.65 1469.24
(MERCK SHARP & DOHME FARMACEUTICA LTDA.) 899.27 1021.90 1083.46 1090.03 1096.67 1110.22 1124.09 1138.33 1152.91
BROMIDRATO DE CITALOPRAM
523704005116415 PROCIMAX 20 MG COM REV CT BL AL PLAS TRANS X 7 25.72 29.23 30.99 31.18 31.37 31.75 32.15 32.56 32.97
(LIBBS FARMACÊUTICA LTDA) 20.18 22.94 24.32 24.47 24.62 24.91 25.23 25.55 25.87
511510202117119 CITALOPRAM 20 MG COM REV CT BL AL PLAS TRANS X 30 100.67 114.40 121.29 122.02 122.77 124.28 125.84 127.43 129.06
520715090095906 BROMIDRATO DE CITALOPRAM 20 MG COM REV CT BL AL PVC TRANS X 30 150.74 171.30 181.61 182.72 183.83 186.10 188.43 190.81 193.26
520715090095806 BROMIDRATO DE CITALOPRAM 20 MG COM REV CT BL AL PVC TRANS X 240 1205.90 1370.34 1452.89 1461.70 1470.61 1488.77 1507.38 1526.46 1546.03
532715120021706 BROMIDRATO DE CITALOPRAM 20 MG COM REV CT BL AL AL X 28 140.40 159.55 169.16 170.18 171.22 173.33 175.50 177.72 180.00
(TORRENT DO BRASIL LTDA) 110.17 125.20 132.74 133.54 134.36 136.01 137.71 139.46 141.25
528519010149206 BROMIDRATO DE CITALOPRAM 20 MG COM REV CT BL AL PLAS ACLAR TRANS 1507.09 1712.60 1815.77 1826.78 1837.91 1860.61 1883.86 1907.71 1932.17
(PRATI DONADUZZI & CIA LTDA) X 300
1182.61 1343.88 1424.83 1433.48 1442.21 1460.02 1478.26 1496.98 1516.17
1971.03 2239.81 2374.74 2389.13 2403.70 2433.37 2463.79 2494.98 2526.96
2365.24 2687.78 2849.69 2866.97 2884.44 2920.05 2956.55 2993.97 3032.36
527916030027106 BROMIDRATO DE CITALOPRAM 20 MG COM REV CT BL AL PVC/PVDC TRANS X 51.86 58.93 62.48 62.86 63.24 64.02 64.83 65.65 66.49
40.69 46.24 49.03 49.33 49.62 50.24 50.87 51.52 52.18
BROMIDRATO DE DARIFENACINA
534217010012104 FENAZIC 7,5 MG COM REV LIB PROL CT BL AL AL X 14 103.84 120.00 128.32 129.21 130.12 131.98 133.89 135.86 137.88
(ADIUM S.A.) 81.48 94.16 100.69 101.39 102.10 103.56 105.06 106.61 108.19
(ADIUM S.A.) 162.98 188.34 201.40 202.80 204.23 207.15 210.15 213.23 216.41
(ADIUM S.A.) 325.93 376.63 402.76 405.56 408.42 414.25 420.25 426.42 432.78
(ADIUM S.A.) 570.39 659.14 704.85 709.77 714.76 724.96 735.46 746.26 757.38
aplicável o CAP.
Medicamentos
BROMIDRATO DE DARIFENACINA
534217010012504 FENAZIC 15 MG COM REV LIB PROL CT BL AL AL X 07 51.92 60.00 64.16 64.61 65.06 65.99 66.95 67.93 68.94
(ADIUM S.A.) 40.74 47.08 50.35 50.70 51.05 51.78 52.54 53.30 54.10
(ADIUM S.A.) 81.48 94.16 100.69 101.39 102.10 103.56 105.06 106.61 108.19
(ADIUM S.A.) 162.97 188.32 201.39 202.79 204.22 207.13 210.13 213.21 216.40
(ADIUM S.A.) 325.93 376.63 402.76 405.56 408.42 414.25 420.25 426.42 432.78
(ADIUM S.A.) 570.39 659.14 704.85 709.77 714.76 724.96 735.46 746.26 757.38
BROMIDRATO DE FENOTEROL
504616010032717 BROMIFEN 5 MG/ML SOL OR CX 50 FR VD AMB X 20 ML + 290.11 329.67 349.53 351.65 353.79 358.16 362.64 367.23 371.94
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) CONTA GOTAS (EMB HOSP)
227.65 258.69 274.28 275.94 277.62 281.05 284.56 288.17 291.86
BROMIDRATO DE GALANTAMINA
523715080031906 BROMIDRATO DE GALANTAMINA 8 MG CAP DURA LIB PROL CT FR PLAS PEAD 92.80
(LIBBS FARMACÊUTICA LTDA) OPC X 10
72.82
C CAP
218.47
C CAP
251.43
C CAP
270.36
C CAP
523715080032304 COGLIVE 8 MG CAP DURA LIB PROL CT FR PLAS PEAD 44.64

35.03
C CAP

105.17
C CAP

116.86
C CAP

128.53
C CAP
541819110111907 GAUDY 16 MG CAP DURA LIB PROL CT BL AL PLAS OPC 204.87

(EMS S/A) X 28
160.76
C CAP

(EMS S/A) X 56
321.55
C CAP

(EMS S/A) X7
43.21
C CAP

(EMS S/A) X 14
86.45
C CAP

(EMS S/A) X 28
172.88
C CAP

(EMS S/A) X 56
345.78
C CAP
552920050124017 BROMIDRATO DE GALANTAMINA 8 MG CAP DURA LIB PROL CT BL AL PLAS 250.65

196.69
C CAP

172.27
C CAP

185.23
C CAP
504120020066707 COGIT 8 MG CAP DURA LIB PROL CT BL AL PLAS 47.85

(BIOLAB SANUS FARMACÊUTICA LTDA) TRANS X 10
37.55
aplicável o CAP.
Medicamentos
BROMIDRATO DE GALANTAMINA
112.64

43.23

129.71

154.65

(PRATI DONADUZZI & CIA LTDA) PVDC/PVC TRANS X 30
218.45
C CAP

2039.04
C CAP

251.16
C CAP

2344.19
C CAP

270.09
C CAP

2521.01
C CAP
528519120162307 ELATIUM 8 MG CAP DURA LIB PROL CT BL AL PLAS 278.39

218.45
C CAP

251.16
C CAP

270.09
C CAP
BROMIDRATO DE VORTIOXETINA
524216010002902 BRINTELLIX 5MG COM REV CT BL AL PLAS TRANS X 10 55.52 64.16 68.61 69.09 69.57 70.57 71.59 72.64 73.72
(LUNDBECK BRASIL LTDA) 43.57 50.35 53.84 54.22 54.59 55.38 56.18 57.00 57.85
BROMOPRIDA
523703701119414 PLAMET 10 MG COM CT BL AL PLAS PVC TRANS X 20 29.80 34.44 36.82 37.08 37.34 37.88 38.42 38.99 39.57
523703705157418 PLAMET 5 MG/ML SOL INJ CX 50 AMP VD AMB X 2 ML 341.49 394.62 421.99 424.94 427.92 434.03 440.31 446.78 453.44
523703704150411 PLAMET 5 MG/ML SOL INJ CT 5 AMP VD AMB X 2 ML 43.40 50.15 53.63 54.01 54.39 55.16 55.96 56.78 57.63
523703703138416 PLAMET 4 MG/ML SOL OR CT FR GOT PLAS OPC X 20 ML 28.56 33.00 35.29 35.54 35.79 36.30 36.83 37.37 37.92
508028101135418 FÁGICO 4 MG/ML SOL OR CT FR PLAS OPC GOT X 20 ML 16.84 19.46 20.81 20.96 21.10 21.40 21.71 22.03 22.36
520716050102406 BROMOPRIDA 10 MG COM CT BL AL PLAS PVDC 250/120 19.42 22.44 24.00 24.17 24.34 24.68 25.04 25.41 25.79
(LABORATÓRIO TEUTO BRASILEIRO S/A) BRANCO OPC X 20
15.24 17.61 18.83 18.97 19.10 19.37 19.65 19.94 20.24
aplicável o CAP.
Medicamentos
BROMOPRIDA
542012060001804 DIGEVITA 4 MG/ML SOL OR CT FR PLAS OPC GOT X 20 ML 16.27 18.80 20.11 20.25 20.39 20.68 20.98 21.29 21.60
(NATIVITA IND. COM. LTDA.) 12.77 14.75 15.78 15.89 16.00 16.23 16.46 16.71 16.95
504615070030017 DIGESPRID 4 MG/ML SOL OR CT FR PLAS OPC GOT X 20 ML 18.58 21.47 22.96 23.12 23.28 23.62 23.96 24.31 24.67
504615080031006 BROMOPRIDA 4 MG/ML SOL OR CT FR PLAS OPC GOT X 20 ML 17.62 20.36 21.77 21.93 22.08 22.39 22.72 23.05 23.40
504615080030906 BROMOPRIDA 10 MG CAP GEL DURA CT BL AL PLAS INC X 20 20.17 23.31 24.92 25.10 25.28 25.64 26.01 26.39 26.78
BUDESONIDA
508020205179416 NOEX 50 MCG / DOSE SUS NAS CT FR PLAS OPC NEB 44.21 50.24 53.27 53.59 53.91 54.58 55.26 55.96 56.68
(EUROFARMA LABORATÓRIOS S.A.) X 200 DOSES
34.69 39.42 41.80 42.05 42.30 42.83 43.36 43.91 44.48
508020206175414 NOEX 64 MCG / DOSE SUS NAS CT FR PLAS OPC NEB 44.95 51.08 54.16 54.48 54.82 55.49 56.19 56.90 57.63
(EUROFARMA LABORATÓRIOS S.A.) X 120 DOSES
35.27 40.08 42.50 42.75 43.02 43.54 44.09 44.65 45.22
508020207171412 NOEX 100 MCG / DOSE SUS NAS CT FR PLAS OPC 44.21 50.24 53.27 53.59 53.91 54.58 55.26 55.96 56.68
(EUROFARMA LABORATÓRIOS S.A.) NEB X 100 DOSES
34.69 39.42 41.80 42.05 42.30 42.83 43.36 43.91 44.48
526510601117416 MIFLONIDE 200 MCG CAP GEL DURA P/ INAL CT BL AL PLAS 30.62
(NOVARTIS BIOCIENCIAS S.A) TRANS X 60 + INAL
24.03
C CAP
526510602113414 MIFLONIDE 400 MCG CAP GEL DURA P/ INAL CT BL AL PLAS 56.84 64.59 68.48 68.90 69.32 70.17 71.05 71.95 72.87
(NOVARTIS BIOCIENCIAS S.A) TRANS X 60 + INAL
44.60 50.68 53.74 54.07 54.40 55.06 55.75 56.46 57.18
C CAP
BUDESONIDA;FUMARATO DE FORMOTEROL DI-HIDRATADO

502316030030703 SYMBICORT 6 MCG/DOSE + 100 MCG/DOSE SUS AER CT TB 114.85 130.51 138.37 139.21 140.06 141.79 143.56 145.38 147.24
(ASTRAZENECA DO BRASIL LTDA) AL X 120 DOSES + VALV DOSAD
90.12 102.41 108.58 109.24 109.90 111.26 112.65 114.08 115.54
502316030030803 SYMBICORT 6 MCG/DOSE + 200 MCG/DOSE SUS AER CT TB 120.98 137.48 145.76 146.64 147.54 149.36 151.23 153.14 155.10
(ASTRAZENECA DO BRASIL LTDA) AL X 120 DOSES + VALV DOSAD
94.93 107.88 114.38 115.07 115.78 117.20 118.67 120.17 121.71
BUPRENORFINA
556717040001017 RESTIVA 20 MG ADES TRANSD CT ENV X 2 163.86 189.35 202.49 203.90 205.33 208.26 211.28 214.38 217.58
(MUNDIPHARMA BRASIL PRODUTOS MÉDICOS E FARMACÊUTICOS 128.58 148.58 158.89 160.00 161.12 163.42 165.79 168.22 170.74
BUSSULFANO
507003901156311 BUSILVEX 6MG/ML SOL INJ CT 8 FA VD TRANS X 10ML 8041.13 9137.65 9688.11 9746.82 9806.25 9927.32 10051.41 10178.65 10309.14
(LABORATÓRIOS PIERRE FABRE DO BRASIL LTDA) 6309.87 7170.31 7602.26 7648.33 7694.96 7789.97 7887.34 7987.19 8089.58
BUTILBROMETO DE ESCOPOLAMINA
504414010048618 HIOARISTON 4 MG/ML + 500 MG/ML SOL INJ CX 50 AMP VD 205.30 237.24 253.69 255.47 257.26 260.93 264.71 268.60 272.61
(BLAU FARMACÊUTICA S.A.) AMB X 5 ML
161.10 186.16 199.07 200.47 201.87 204.75 207.72 210.77 213.92
BUTILBROMETO DE ESCOPOLAMINA;DIPIRONA
504616030036817 NEOCOPAN COMPOSTO (10,0 + 250,0) MG COM REV CT BL AL PLAS PVC 10.33 11.94 12.77 12.85 12.94 13.13 13.32 13.52 13.72
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) TRANS X 20
8.11 9.37 10.02 10.08 10.15 10.30 10.45 10.61 10.77
Liberado
504616030036717 NEOCOPAN COMPOSTO (6,67 + 333,4) MG/ML SOL GOT OR FR GOT PLAS 8.95 10.34 11.06 11.14 11.22 11.38 11.54 11.71 11.88
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) PEAD/PEBD OPC X 20 ML
7.02 8.11 8.68 8.74 8.81 8.93 9.06 9.19 9.32
Liberado
504620080077607 NEOCOPAN COMPOSTO (10,0 + 250,0) MG COM REV CT BL AL PLAS PVC 50.70 58.59 62.65 63.09 63.53 64.44 65.37 66.33 67.32
39.78 45.98 49.16 49.51 49.85 50.57 51.30 52.05 52.83
Liberado
CABAZITAXEL
508017040116306 CABAZITAXEL 60MG SOL INJ IV CT FA VD TRANS X 1,5ML + DIL 12972.28 14741.23 15629.25 15723.97 15819.85 16015.16 16215.35 16420.61 16631.12
(EUROFARMA LABORATÓRIOS S.A.) FA VD TRANS X 4,5ML
10179.35 11567.44 12264.27 12338.60 12413.84 12567.10 12724.19 12885.25 13050.44
508017010115604 PROAZITAX 60MG SOL INJ IV CT FA VD TRANS X 1,5ML + DIL 19957.37 22678.84 24045.02 24190.75 24338.25 24638.73 24946.71 25262.50 25586.37
(EUROFARMA LABORATÓRIOS S.A.) FA VD TRANS X 4,5ML
15660.55 17796.09 18868.13 18982.48 19098.22 19334.01 19575.68 19823.48 20077.63
CABERGOLINA
508019110127907 CABERGOLINA 0,5 MG COM OR CT FR VD AMB X 2 55.25
(EUROFARMA LABORATÓRIOS S.A.) 43.35
C CAP
aplicável o CAP.
Medicamentos
CABERGOLINA
508019110128007 CABERGOLINA 0,5 MG COM OR CT FR VD AMB X 8 191.02
C CAP
541915030005906 CABERGOLINA 0,5 MG COM CT FR VD AMB X 8 182.95

C CAP ICMS0%
522718030076017 DOSTINEX 0,5 MG COM CT FR VD AMB X 2 86.17

(PFIZER BRASIL LTDA) 67.62
C CAP
522718030076117 DOSTINEX 0,5 MG COM CT FR VD AMB X 8 297.89

C CAP
CAFEÍNA ANIDRA;DIPIRONA
504616020034417 DORONA CAFI 500 MG + 65 MG COM CT BL AL PLAS AMB X 16 23.22 26.83 28.69 28.89 29.10 29.51 29.94 30.38 30.83
Liberado
504616020034517 DORONA CAFI 500 MG + 65 MG COM CT BL AL PLAS AMB X 100 147.33 170.25 182.06 183.33 184.62 187.26 189.97 192.76 195.63
Liberado
CAFEÍNA ANIDRA;ÁCIDO ACETILSALICÍLICO;CLORIDRATO DE FENILEFRINA;MALEATO DE DEXCLORFENIRAMINA

540917040027317 CORISTINA D 1 MG + 10 MG + 30 MG + 400 MG COM CT BL AL 22.14 25.58 27.36 27.55 27.74 28.14 28.55 28.97 29.40
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) PLAS TRANS X 16
17.37 20.07 21.47 21.62 21.77 22.08 22.40 22.73 23.07
Liberado
CAFEÍNA;HIDRÓXIDO DE ALUMÍNIO;MALEATO DE MEPIRAMINA;ÁCIDO ACETILSALICÍLICO

540914090013503 ENGOV 15 MG + 150 MG +150 MG + 50 MG COM CT ENV 540914090013503. 625073831450523. 668422686624206. 673091316135112.58 677825396250910. 687497481094442. 697449759436600 707695213215546. 718246824369439.
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) AL PLAS X 24
424455286433595. 490495435539226. 524511282194014. 528174755771222.85 531889588438089. 539479273414808. 547288826229900 555328433810239. 563608283082699.
Liberado
CAFEÍNA;ÁCIDO ACETIL SALICILICO

516120020003207 ALICURA 400 + 50MG/COM CT ENV KRAFT E POLI X 200 139.89 161.66 172.87 174.07 175.30 177.80 180.37 183.02 185.75
(LABORATORIO CATARINENSE LTDA) 109.77 126.85 135.65 136.59 137.56 139.52 141.54 143.62 145.76
Liberado
CANAQUINUMABE
526532001155318 ILARIS 150 MG PO LIOF INJ CT 1 FA VD INC 49967.28 57741.59 61745.97 62177.23 62614.55 63508.01 64427.36 65373.79 66348.50
CANDESARTANA CILEXETILA
511516402118118 CANDESARTANA CILEXETILA 8 MG COM CT BL AL/AL X 30 63.36 72.00 76.34 76.80 77.27 78.22 79.20 80.20 81.23
511516401111111 CANDESARTANA CILEXETILA 16 MG COM CT BL AL/AL X 30 63.36 72.00 76.34 76.80 77.27 78.22 79.20 80.20 81.23
500516020062404 CADENZA 8 MG COM CT BL AL PLAS TRANS X 20 70.54 80.16 84.99 85.50 86.02 87.09 88.18 89.29 90.44
525314090043803 CANDECOR 8 MG COM CT BL AL PLAS OPC X 30 80.09 91.01 96.49 97.08 97.67 98.88 100.11 101.38 102.68
525314090043903 CANDECOR 16 MG COM CT BL AL PLAS OPC X 30 86.59 98.40 104.33 104.96 105.60 106.90 108.24 109.61 111.01
531615060078104 CANDESSA 8 MG COM CT BL AL PLAS OPC X 30 100.00 113.64 120.48 121.21 121.95 123.46 125.00 126.58 128.21
aplicável o CAP.
Medicamentos
CANDESARTANA CILEXETILA
531615120079403 CANDESSA 16 MG COM CT BL AL PLAS OPC X 20 71.26 80.98 85.86 86.38 86.90 87.98 89.08 90.20 91.36
CAPECITABINA
529206703112315 XELODA 150 MG COM REV CT BL AL PLAS PVC/PVDC 457.39 519.76 551.07 554.41 557.79 564.68 571.74 578.97 586.40
(PRODUTOS ROCHE QUÍMICOS E FARMACÊUTICOS S.A.) TRANS X 60
358.91 407.86 432.42 435.05 437.70 443.10 448.64 454.32 460.15
529206704119313 XELODA 500 MG COM REV CT BL AL PLAS PVC/PVDC 2915.77 3313.38 3512.98 3534.27 3555.82 3599.72 3644.71 3690.85 3738.17
(PRODUTOS ROCHE QUÍMICOS E FARMACÊUTICOS S.A.) TRANS X 120
2288.00 2600.01 2756.64 2773.34 2790.25 2824.70 2860.00 2896.21 2933.34
532415080013806 CAPECITABINA 500 MG COM REV CT BL AL PVC OPC X 120 1895.31 2153.76 2283.51 2297.35 2311.35 2339.89 2369.14 2399.13 2429.88
(SUN FARMACÊUTICA DO BRASIL LTDA) 1487.25 1690.06 1791.87 1802.73 1813.72 1836.11 1859.06 1882.60 1906.73
532415100015503 CAPECARE 500 MG COM REV CT BL AL PVC OPC X 120 1895.31 2153.76 2283.51 2297.35 2311.35 2339.89 2369.14 2399.13 2429.88
CAPSAICINA
501601902165313 MOMENT 0,75 MG/G CREM DERM CT BG AL X 50 G 64.98 75.09 80.30 80.86 81.43 82.59 83.78 85.02 86.28
Liberado
501601901169315 MOMENT 0,25 MG/G CREM DERM CT BG AL X 50 G 54.15 62.58 66.91 67.38 67.86 68.82 69.82 70.85 71.90
Liberado
501601903171317 MOMENT 0,25 MG/ML LOC TOP CT FR PLAS OPC X 60 ML 39.99 46.21 49.42 49.76 50.11 50.83 51.56 52.32 53.10
Liberado
CAPTOPRIL
511501101117114 CAPTOPRIL 12,5 MG COM CT BL AL PLAS PP TRANS X 30 11.12 12.64 13.40 13.48 13.56 13.73 13.90 14.08 14.26
511501104116119 CAPTOPRIL 25 MG COM CT BL AL PLAS PP TRANS X 30 25.67

511501105112117 CAPTOPRIL 25 MG COM CT BL AL PLAS PP TRANS X 60 28.90

511501107115113 CAPTOPRIL 50 MG COM CT BL AL PLAS PP TRANS X 30 36.50 41.48 43.98 44.24 44.51 45.06 45.63 46.20 46.79
511501108111111 CAPTOPRIL 50 MG COM CT BL AL PLAS PP TRANS X 60 46.64 53.00 56.19 56.53 56.88 57.58 58.30 59.04 59.79
520716050102203 TEUSIL 25 MG COM CT BL AL PLAS INC X 30 13.24

(LABORATÓRIO TEUTO BRASILEIRO S/A) 10.39
520716050102108 TEUSIL 50 MG COM CT BL AL PLAS INC X 30 26.47 30.08 31.89 32.08 32.28 32.68 33.09 33.51 33.94
526215110010006 CAPTOPRIL 25 MG COM CT BL AL PLAS PVC TRANS X 30 7.23

(1FARMA INDUSTRIA FARMACEUTICA LTDA) 5.67
517615070022306 CAPTOPRIL 25 MG COM CT BL AL PLAS TRANS X 30 9.24

(LABORATÓRIO GLOBO SA) 7.25
517615070022506 CAPTOPRIL 50 MG COM CT BL AL PLAS TRANS X 30 13.52 15.36 16.29 16.39 16.49 16.69 16.90 17.11 17.33
(LABORATÓRIO GLOBO SA) 10.61 12.05 12.78 12.86 12.94 13.10 13.26 13.43 13.60

525115120029506 CAPTOPRIL 25 MG COM CT BL AL PLAS INC X 500 (EMB 130.84

(MEDQUIMICA INDUSTRIA FARMACEUTICA LTDA.) HOSP)
102.67
525115120029306 CAPTOPRIL 25 MG COM CT BL AL PLAS INC X 30 10.46

(MEDQUIMICA INDUSTRIA FARMACEUTICA LTDA.) 8.21
525115120029406 CAPTOPRIL 25 MG COM CT BL AL PLAS INC X 60 18.30

(MEDQUIMICA INDUSTRIA FARMACEUTICA LTDA.) 14.36
510016030044406 CAPTOPRIL 25 MG COM CT BL AL PLAS OPC X 450 20.03

ICMS0%
aplicável o CAP.
Medicamentos
CAPTOPRIL
528515090128606 CAPTOPRIL 50 MG COM CT BL AL PLAS TRANS X 300 169.82 192.98 204.60 205.84 207.10 209.65 212.28 214.96 217.72

(PRATI DONADUZZI & CIA LTDA) 51.08
506415100029603 CAPTOMED 25 MG COM CT BL AL PLAS PVC TRANS X 30 7.23

CARBAMAZEPINA
526515004117311 TEGRETOL 400 MG COM CT BL AL PLAS PVC TRANS X 20 37.02 42.07 44.60 44.87 45.15 45.70 46.28 46.86 47.46
526515001134310 TEGRETOL 20 MG/ML SUS OR CT FR VD AMB X 100 ML + 20.18 22.93 24.31 24.46 24.61 24.91 25.23 25.54 25.87
(NOVARTIS BIOCIENCIAS S.A) SER DOS
15.84 17.99 19.08 19.19 19.31 19.55 19.80 20.04 20.30
526515005113318 TEGRETOL 200 MG COM LIB PROL CT BL AL PLAS PVDC 20.09 22.83 24.20 24.35 24.50 24.80 25.11 25.43 25.76
(NOVARTIS BIOCIENCIAS S.A) TRANS X 20
15.76 17.91 18.99 19.11 19.23 19.46 19.70 19.95 20.21
33.37 37.92 40.20 40.44 40.69 41.19 41.71 42.23 42.77
41.53 47.19 50.03 50.34 50.65 51.26 51.91 52.57 53.24
100.10 113.76 120.61 121.34 122.08 123.58 125.13 126.71 128.34
541815030010406 CARBAMAZEPINA 400 MG COM CT BL AL PLAS TRANS X 20 24.07 27.35 29.00 29.18 29.35 29.72 30.09 30.47 30.86
(EMS S/A) 18.89 21.46 22.76 22.90 23.03 23.32 23.61 23.91 24.22
506716100064703 TEGRETARD 400 MG COM CX BL AL PLAS TRANS X 200 233.44 265.27 281.25 282.96 284.68 288.20 291.80 295.49 299.28
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) 183.18 208.16 220.70 222.04 223.39 226.15 228.98 231.87 234.84
520716040101806 CARBAMAZEPINA 200 MG COM CT BL AL PLAS TRANS X 30 14.26 16.20 17.18 17.28 17.39 17.60 17.83 18.05 18.28
533014110061003 UNI-CARBAMAZ 200 MG COM CT BL AL PLAS PVC TRANS X 200 114.74 130.39 138.24 139.08 139.93 141.65 143.43 145.24 147.10
530820070022307 CARBAMAZEPINA 20 MG/ML SUS OR CX 50 FR PLAS AMB X 100 ML 560.06 636.43 674.77 678.86 683.00 691.43 700.08 708.94 718.03
(SANVAL COMÉRCIO E INDÚSTRIA LTDA) + COP
439.48 499.41 529.49 532.70 535.95 542.56 549.35 556.31 563.44
504616100046217 CARBAMAZEPINA 200 MG COM CT BL AL PLAS PVC INC X 20 11.17 12.69 13.46 13.54 13.62 13.79 13.96 14.14 14.32
504616100046317 CARBAMAZEPINA 200 MG COM CT BL AL PLAS PVC INC X 30 15.33 17.42 18.47 18.58 18.70 18.93 19.16 19.41 19.65
CARBIDOPA (PORT. 344/98 LISTA C 1);LEVODOPA

506714060053103 PARKIDOPA 250 MG + 25 MG COM CX BL AL PLAS INC X 30 33.22
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) 26.07
520715080095203 CARBIDOL 25 MG + 250 MG COM CT BL AL PLAS PVDC 49.46

(LABORATÓRIO TEUTO BRASILEIRO S/A) TRANS X 30
38.81
CARBOCISTEÍNA
552920040121817 CARBOCISTEINA 20 MG/ML XPE CT FR VD AMB X 100 ML + COP 12.49 14.43 15.43 15.54 15.65 15.87 16.10 16.34 16.58
Liberado
552920040121917 CARBOCISTEINA 50 MG/ML XPE CT FR VD AMB X 100 ML + COP 18.74 21.66 23.16 23.32 23.48 23.82 24.16 24.52 24.88
Liberado
CARBONATO DE CÁLCIO
aplicável o CAP.
Medicamentos
CARBONATO DE CÁLCIO
542515100000304 NESH CÁLCIO 1.250 MG COM CT BL AL PLAS PVDC TRANS X 42.89 49.56 53.00 53.37 53.75 54.51 55.30 56.11 56.95
(NUNESFARMA DISTRIBUIDORA DE PRODUTOS FARMACÊUTICOS 60
33.66 38.89 41.59 41.88 42.18 42.77 43.39 44.03 44.69
Liberado
542515100000404 NESH CÁLCIO 1.250 MG COM CT BL AL PLAS PVDC TRANS X 118.79 137.27 146.79 147.82 148.86 150.98 153.17 155.42 157.73
(NUNESFARMA DISTRIBUIDORA DE PRODUTOS FARMACÊUTICOS 200
93.21 107.72 115.19 115.99 116.81 118.47 120.19 121.96 123.77
Liberado
CARBONATO DE CÁLCIO 90%;SULFATO DE COBRE PENTAHIDRATADO;CARBONATO HIDRÓXIDO DE MAGNÉSIO;COLECALCIFEROL CRISTALIZADO;SULFATO

552817080001417 CALTRATE 600 + M COM REV CT FR PLAS OPC X 60 46.08 53.25 56.94 57.34 57.74 58.57 59.42 60.29 61.19
Liberado
CARBONATO DE CÁLCIO;COLECALCIFEROL
543615110000204 CALCIMEC D3 1250 MG + 200 UI COM CT FR PLAS X 60 35.00 40.45 43.25 43.55 43.86 44.48 45.13 45.79 46.47
(IMEC - INDÚSTRIA DE MEDICAMENTOS CUSTÓDIA LTDA) 27.46 31.74 33.94 34.17 34.42 34.90 35.41 35.93 36.46
Liberado
543615120000304 CALCIMEC D3 1250 MG + 200 UI COM CX 50 FR PLAS X 60 1424.12 1645.70 1759.82 1772.12 1784.58 1810.05 1836.25 1863.22 1891.00
(IMEC - INDÚSTRIA DE MEDICAMENTOS CUSTÓDIA LTDA) (EMB HOSP)
1117.51 1291.38 1380.93 1390.58 1400.36 1420.35 1440.91 1462.07 1483.87
Liberado
543615120000404 CALCIMEC D3 1500 MG + 400 UI COM CX 50 FR PLAS X 60 2221.69 2567.36 2745.40 2764.58 2784.02 2823.75 2864.63 2906.71 2950.05
(IMEC - INDÚSTRIA DE MEDICAMENTOS CUSTÓDIA LTDA) (EMB HOSP)
1743.36 2014.61 2154.32 2169.37 2184.62 2215.80 2247.88 2280.90 2314.90
Liberado
576720040062717 OSCAL D 500 MG + 400 UI COM REV CT FR PLAS OPC X 8 8.57 9.90 10.59 10.66 10.74 10.89 11.05 11.21 11.38
576720040062817 OSCAL D 500 MG + 400 UI COM REV CT FR PLAS OPC X 66.49 76.84 82.16 82.74 83.32 84.51 85.73 86.99 88.29
(SANOFI MEDLEY FARMACÊUTICA LTDA.) 60
52.17 60.30 64.47 64.93 65.38 66.32 67.27 68.26 69.28
Liberado
CARBONATO DE LODENAFILA
506714120054603 HELLEVA 80 MG COM CT BL AL PLAS TRANS X 10 161.64 186.79 199.74 201.14 202.55 205.44 208.42 211.48 214.63
CARBONATO DE LÍTIO
508001404110312 CARBOLITIUM 450 MG COM LIB PROL CT BL AL PLAS 14.08 16.00 16.96 17.07 17.17 17.38 17.60 17.82 18.05
11.05 12.56 13.31 13.40 13.47 13.64 13.81 13.98 14.16
508001402118413 CARBOLITIUM 450 MG COM LIB PROL CT BL AL PLAS 42.25 48.01 50.90 51.21 51.52 52.16 52.81 53.48 54.17
33.15 37.67 39.94 40.18 40.43 40.93 41.44 41.97 42.51
508001405117310 CARBOLITIUM 300 MG COM REV CT BL AL PLAS PVC TRANS X 15.13 17.19 18.23 18.34 18.45 18.68 18.91 19.15 19.40
11.87 13.49 14.31 14.39 14.48 14.66 14.84 15.03 15.22
508001406113319 CARBOLITIUM 300 MG COM REV CT BL AL PLAS PVC TRANS X 30.34 34.48 36.55 36.78 37.00 37.46 37.93 38.41 38.90
23.81 27.06 28.68 28.86 29.03 29.40 29.76 30.14 30.53
542615100006104 CARLIT 450 MG COM LIB PROL CT BL AL PLAS 14.08 16.00 16.96 17.07 17.17 17.38 17.60 17.82 18.05
(SUPERA FARMA LABORATÓRIOS S.A) PVC/PVDC TRANS X 10
11.05 12.56 13.31 13.40 13.47 13.64 13.81 13.98 14.16
542615100006204 CARLIT 450 MG COM LIB PROL CT BL AL PLAS 42.24 48.00 50.89 51.20 51.51 52.15 52.80 53.47 54.15
(SUPERA FARMA LABORATÓRIOS S.A) PVC/PVDC TRANS X 30
33.15 37.67 39.93 40.18 40.42 40.92 41.43 41.96 42.49
542615100006304 CARLIT 300 MG COM REV CT BL AL PLAS PVC TRANS X 14.66 16.66 17.66 17.77 17.88 18.10 18.33 18.56 18.79
(SUPERA FARMA LABORATÓRIOS S.A) 25
11.50 13.07 13.86 13.94 14.03 14.20 14.38 14.56 14.74
542615100006404 CARLIT 300 MG COM REV CT BL AL PLAS PVC TRANS X 29.28 33.27 35.28 35.49 35.71 36.15 36.60 37.06 37.54
(SUPERA FARMA LABORATÓRIOS S.A) 50
22.98 26.11 27.68 27.85 28.02 28.37 28.72 29.08 29.46
CARBOPLATINA
523707206155412 FAULDCARBO 10 MG / ML SOL INJ CT FA VD AMB X 5 ML 367.86 418.02 443.20 445.89 448.61 454.15 459.83 465.65 471.62
CARBÔMER 340
501004903161415 REFRESH GEL 0,3 PCC GEL OFT CT BG AL X 10 G 40.81 47.16 50.43 50.78 51.14 51.87 52.62 53.39 54.19
Liberado
aplicável o CAP.
Medicamentos
CARISOPRODOL;PARACETAMOL;CAFEÍNA ANIDRA;DICLOFENACO SÓDICO

511509401111419 TRILAX (300,0 + 125,0 + 50,0 + 30,0) MG COM CT BL AL 10.67 12.33 13.19 13.28 13.37 13.56 13.76 13.96 14.17
(SANDOZ DO BRASIL INDÚSTRIA FARMACÊUTICA LTDA) PLAS PVC TRANS X 12
8.37 9.68 10.35 10.42 10.49 10.64 10.80 10.95 11.12
(SANDOZ DO BRASIL INDÚSTRIA FARMACÊUTICA LTDA) PLAS PVC TRANS X 30
17.62 20.36 21.77 21.93 22.07 22.39 22.72 23.05 23.39
(SANDOZ DO BRASIL INDÚSTRIA FARMACÊUTICA LTDA) PLAS PVC TRANS X 100 (EMB FRAC)
49.10 56.74 60.67 61.10 61.53 62.41 63.31 64.24 65.19
504615010027917 TORSILAX (125 + 50 + 300 + 30) MG COM CT BL AL PLAS 28.68 33.14 35.44 35.69 35.94 36.45 36.98 37.52 38.08
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) PVC TRANS X 30
22.51 26.00 27.81 28.01 28.20 28.60 29.02 29.44 29.88
71.85 83.03 88.78 89.40 90.03 91.32 92.64 94.00 95.40
8.81 10.19 10.89 10.96 11.04 11.20 11.36 11.53 11.70
540915100016317 MIOFLEX A (125 + 50 + 300 + 30) MG COM CT BL AL PLAS 15.09 17.44 18.65 18.78 18.91 19.18 19.46 19.74 20.04
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) PVC TRANS X 12
11.84 13.69 14.63 14.74 14.84 15.05 15.27 15.49 15.73
CARMELOSE SÓDICA
540916030019104 LACRILAX 5 MG/ML SOL OFT CT FR PLAS OPC GOT X 10 23.76 27.46 29.36 29.57 29.77 30.20 30.64 31.09 31.55
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) ML
18.64 21.55 23.04 23.20 23.36 23.70 24.04 24.40 24.76
Liberado
CARVEDILOL
529201204118317 COREG 6,250 MG COM CT BL AL/AL X 14 49.44 56.18 59.57 59.93 60.29 61.04 61.80 62.58 63.38
(PRODUTOS ROCHE QUÍMICOS E FARMACÊUTICOS S.A.) 38.80 44.08 46.74 47.03 47.31 47.90 48.49 49.11 49.73
529201201119312 COREG 12,5 MG COM CT BL AL/AL X 14 55.04 62.55 66.31 66.72 67.12 67.95 68.80 69.67 70.56
529201202115310 COREG 25 MG COM CT BL AL/AL X 14 61.72 70.14 74.36 74.81 75.27 76.20 77.15 78.13 79.13
521000905113414 DIVELOL 6,25 MG COM REV CT BL AL PLAS INC X 14 22.38 25.43 26.96 27.13 27.29 27.63 27.98 28.33 28.69
521000907116410 DIVELOL 6,25 MG COM REV CT BL AL PLAS INC X 28 22.87 25.99 27.55 27.72 27.89 28.23 28.59 28.95 29.32
521000906111415 DIVELOL 12,5 MG COM CT BL AL PLAS INC X 28 25.14 28.57 30.29 30.47 30.66 31.04 31.43 31.82 32.23
521000902114411 DIVELOL 25 MG COM CT BL AL PLAS INC X 28 25.14 28.57 30.29 30.47 30.66 31.04 31.43 31.82 32.23
521000904117416 DIVELOL 3,125 MG COM CT BL AL PLAST INC X 28 25.14 28.57 30.29 30.47 30.66 31.04 31.43 31.82 32.23
521000909119417 DIVELOL 25 MG COM CT BL AL PLAS INC X 60 41.97 47.69 50.57 50.87 51.18 51.81 52.46 53.13 53.81
504116030055003 ICTUS 12,5 MG COM CT BL AL PLAS INC X 90 111.91 127.17 134.83 135.65 136.48 138.16 139.89 141.66 143.47
510014120015506 CARVEDILOL 6,25 MG COM CT BL AL AL X 60 137.64

ICMS0%
510014120016006 CARVEDILOL 12,5 MG COM CT BL AL AL X 60 153.29

ICMS0%
536220020010607 CARVEDILOL 3,125 MG COM REV CT BL AL AL X 15 8.64 9.82 10.41 10.47 10.54 10.67 10.80 10.94 11.08
aplicável o CAP.
Medicamentos
CARVEDILOL
536220020010507 CARVEDILOL 25 MG COM REV CT BL AL AL X 15 42.34 48.11 51.01 51.32 51.63 52.27 52.93 53.59 54.28
CARVÃO VEGETAL ATIVADO

533020030069407 CARVEROL 250MG COM CT BL AL PLAS TRANS X 20 20.91 24.16 25.84 26.02 26.20 26.58 26.96 27.36 27.77
Liberado
CEFADROXILA
508001502139110 CEFADROXILA 50 MG/ML PO SUS OR CT FR VD AMB X 100 ML + 49.23 55.94 59.31 59.67 60.04 60.78 61.54 62.32 63.12
38.63 43.90 46.54 46.82 47.11 47.69 48.29 48.90 49.53
CEFALEXINA MONOIDRATADA
526115080095506 CEFALEXINA 500MG COM REV CT BL AL PLAS LEIT X 10 21.10 23.98 25.42 25.58 25.73 26.05 26.38 26.71 27.05
CEFAZOLINA SÓDICA
513401103157411 CEZOLIN 1 G PO SOL INJ CX 50 FA VD TRANS (EMB 328.47 373.26 395.75 398.15 400.57 405.52 410.59 415.78 421.12
(INSTITUTO BIOCHIMICO INDÚSTRIA FARMACÊUTICA LTDA) HOSP)
257.75 292.90 310.55 312.43 314.33 318.21 322.19 326.26 330.45
513415110025206 CEFAZOLINA SÓDICA 1 G PÓ SOL INJ CX 50 FA VD TRANS (EMB 567.99 645.44 684.33 688.47 692.67 701.22 709.99 718.97 728.19
(INSTITUTO BIOCHIMICO INDÚSTRIA FARMACÊUTICA LTDA) HOSP)
445.70 506.48 536.99 540.24 543.54 550.25 557.13 564.17 571.41
CEFTAZIDIMA
501314070018603 KEFADIM 1 G PO SOL INJ CX 50 FA VD TRANS TIPO I 1962.62 2230.25 2364.60 2378.93 2393.44 2422.99 2453.28 2484.33 2516.18
CEFTAZIDIMA PENTAIDRATADA
513400902153417 CEFAZIMA 1 G PO SOL INJ CX 50 FA VD TRANS 678.31 770.81 817.24 822.19 827.21 837.42 847.89 858.62 869.63
CEFTRIAXONA DISSÓDICA HEMIEPTAIDRATADA

508002206150111 CEFTRIAXONA DISSÓDICA HEMIEPTAIDRATADA 1 G PO SOL INJ IV CT 50 FA VD TRANS + 50 DIL 2108.55 2396.08 2540.42 2555.82 2571.40 2603.15 2635.69 2669.05 2703.27
(EUROFARMA LABORATÓRIOS S.A.) AMP PLAS TRANS X 10 ML
1654.58 1880.20 1993.47 2005.55 2017.78 2042.69 2068.23 2094.40 2121.26
508002203151117 CEFTRIAXONA DISSÓDICA HEMIEPTAIDRATADA 500 MG PO SOL INJ IM CT FA VD TRANS+ DIL 17.74 20.16 21.37 21.50 21.63 21.90 22.18 22.46 22.74
(EUROFARMA LABORATÓRIOS S.A.) AMP VD TRANS X 2 ML
13.92 15.82 16.77 16.87 16.97 17.18 17.41 17.63 17.84
508002201159110 CEFTRIAXONA DISSÓDICA HEMIEPTAIDRATADA 1G PO SOL INJ IM CT FA VD TRANS + DIL AMP 26.67 30.31 32.13 32.33 32.52 32.93 33.34 33.76 34.19
(EUROFARMA LABORATÓRIOS S.A.) VD TRANS X 3,5 ML
20.93 23.78 25.21 25.37 25.52 25.84 26.16 26.49 26.83
513400302156415 AMPLOSPEC 1 G PO INJ CX 50 FA VD TRANS 416.64 473.45 501.98 505.02 508.10 514.37 520.80 527.39 534.15
529205103154310 ROCEFIN 500 MG IM PO ESTÉRIL CT FA VD TRANS + AMP 83.89 95.33 101.07 101.68 102.30 103.57 104.86 106.19 107.55
(PRODUTOS ROCHE QUÍMICOS E FARMACÊUTICOS S.A.) DIL X 2 ML
65.83 74.81 79.31 79.79 80.27 81.27 82.28 83.33 84.39
529205101151314 ROCEFIN 1 G IM PO ESTÉRIL CT FA VD TRANS + AMP DIL 143.69 163.28 173.12 174.17 175.23 177.40 179.61 181.89 184.22
(PRODUTOS ROCHE QUÍMICOS E FARMACÊUTICOS S.A.) X 3,5 ML
112.75 128.13 135.85 136.67 137.50 139.21 140.94 142.73 144.56
529205105157317 ROCEFIN 500 MG IV PO ESTÉRIL CT FA VD TRANS + AMP 43.88 49.86 52.87 53.19 53.51 54.17 54.85 55.54 56.26
(PRODUTOS ROCHE QUÍMICOS E FARMACÊUTICOS S.A.) DIL X 5,0 ML
34.43 39.13 41.49 41.74 41.99 42.51 43.04 43.58 44.15
529205104150319 ROCEFIN 1 G IV PO ESTÉRIL CT FA VD TRANS + AMP DIL 66.16 75.18 79.71 80.19 80.68 81.68 82.70 83.75 84.82
(PRODUTOS ROCHE QUÍMICOS E FARMACÊUTICOS S.A.) X 10 ML
51.92 58.99 62.55 62.92 63.31 64.09 64.89 65.72 66.56
504416060056706 CEFTRIAXONA DISSÓDICA HEMIEPTAIDRATADA 1000 MG PO SOL INJ/INFUS IV CT FA VD III 43.01 48.88 51.82 52.13 52.45 53.10 53.76 54.44 55.14
(BLAU FARMACÊUTICA S.A.) TRANS + DIL AMP VD TRANS X 10 ML
33.75 38.36 40.66 40.91 41.16 41.67 42.18 42.72 43.27
504416060057206 CEFTRIAXONA DISSÓDICA HEMIEPTAIDRATADA 1000 MG PO SOL INJ/INFUS IV CX 100 FA VD III 4302.01 4888.65 5183.14 5214.56 5246.35 5311.12 5377.51 5445.58 5515.40
(BLAU FARMACÊUTICA S.A.) TRANS
3375.79 3836.12 4067.21 4091.87 4116.81 4167.64 4219.73 4273.15 4327.94
504416060057306 CEFTRIAXONA DISSÓDICA HEMIEPTAIDRATADA 1000 MG PO SOL INJ/INFUS IV CT FA VD I 43.01 48.88 51.82 52.13 52.45 53.10 53.76 54.44 55.14
(BLAU FARMACÊUTICA S.A.) TRANS + DIL AMP VD TRANS X 10 ML
33.75 38.36 40.66 40.91 41.16 41.67 42.18 42.72 43.27
aplicável o CAP.
Medicamentos
CEFTRIAXONA DISSÓDICA HEMIEPTAIDRATADA

504416060057806 CEFTRIAXONA DISSÓDICA HEMIEPTAIDRATADA 1000 MG PO SOL INJ/INFUS IV CX 100 FA VD I 4302.01 4888.65 5183.14 5214.56 5246.35 5311.12 5377.51 5445.58 5515.40
(BLAU FARMACÊUTICA S.A.) TRANS
3375.79 3836.12 4067.21 4091.87 4116.81 4167.64 4219.73 4273.15 4327.94
541515060003703 CELLTRIAXON 1 G PÓ SOL INJ IV CT 50 FA VD TRANS 1562.61 1775.69 1882.66 1894.07 1905.62 1929.15 1953.26 1977.99 2003.35
CEFUROXIMA SÓDICA
513416020027006 CEFUROXIMA SÓDICA 750 MG PÓ INJ IM/IV CX 50 FA VD TRANS 1550.84 1762.32 1868.48 1879.81 1891.27 1914.62 1938.55 1963.09 1988.26
510609001158311 ZINACEF 750 MG PO INJ CT FA VD TRANS + DIL X 6 ML 47.14 53.57 56.80 57.14 57.49 58.20 58.93 59.67 60.44
CEPA INFLUENZA TIPO A (H3N2);CEPA INFLUENZA TIPO A (H1N1);CEPA INFLUENZA TIPO B

545315080000204 VACINA INFLUENZA TRIVALENTE ( FRAGMENTADA E SUS INJ CT 20 FA VD INC X 5 ML 7823.26
ICMS0%
545315080000304 VACINA INFLUENZA TRIVALENTE ( FRAGMENTADA E SUS INJ IM SC CT 10 FA VD INC X 5 ML 3911.61

ICMS0%
CEPA INFLUENZA TIPO A (H3N2);CEPA INFLUENZA TIPO A (H1N1);CEPA INFLUENZA TIPO B;CEPA INFLUENZA TIPO B
510615110054302 FLUARIX TETRA SUS INJ IM CT SER PREENC VD TRANS X 0,5 ML 45.64
(GLAXOSMITHKLINE BRASIL LTDA) + AGU REMOVÍVEL
35.81
510615110054402 FLUARIX TETRA SUS INJ IM CT 10 SER PREENC VD TRANS X 0,5 456.43
(GLAXOSMITHKLINE BRASIL LTDA) ML + AGU REMOVÍVEL
358.16
CETOCONAZOL
526215080009306 CETOCONAZOL 200 MG COM CT BL AL PLAS TRANS X 10 17.24 19.59 20.77 20.90 21.02 21.28 21.55 21.82 22.10
517616070023003 CETOMICOSS 200 MG COM CT BL AL PLAS TRANS X 10 27.51 31.26 33.14 33.35 33.55 33.96 34.39 34.82 35.27
517616070023103 CETOMICOSS 200 MG COM CT BL AL PLAS TRANS X 30 67.78 77.02 81.66 82.16 82.66 83.68 84.73 85.80 86.90
526119100058707 CETOCONAZOL 20 MG/G CREM DERM CT BG AL X 30 G 12.94 14.95 15.99 16.10 16.22 16.45 16.68 16.93 17.18
Liberado
504616020033517 CETONEO 20 MG/G CREM DERM CT BG AL X 30 G 21.76 25.15 26.89 27.08 27.27 27.66 28.06 28.47 28.89
Liberado
504616020033617 CETONEO 20 MG/ML XAMP CT FR PLAS OPC X 100 ML 48.12 55.61 59.46 59.88 60.30 61.16 62.05 62.96 63.90
Liberado
504617050062617 CETONEO 20 MG/G CREM DERM CX 50 BG AL X 30 G 799.51 923.90 987.98 994.88 1001.87 1016.17 1030.88 1046.02 1061.62
Liberado
504616110047406 CETOCONAZOL 20 MG/G CREM DERM CT BG AL X 30 G 15.35 17.74 18.97 19.10 19.24 19.51 19.79 20.08 20.38
Liberado
CETOCONAZOL;DIPROPIONATO DE BETAMETASONA
508015002168111 CETOCONAZOL + DIPROPIONATO DE BETAMETASONA 20 MG/G + 0,64 MG/G POM DERM CT BG AL X 30 16.20 18.72 20.02 20.16 20.30 20.59 20.89 21.19 21.51
(EUROFARMA LABORATÓRIOS S.A.) G
12.71 14.69 15.71 15.82 15.93 16.16 16.39 16.63 16.88
508015001161113 CETOCONAZOL + DIPROPIONATO DE BETAMETASONA 20 MG/G + 0,64 MG/G CREM DERM CT BG AL X 16.58 19.16 20.49 20.63 20.78 21.07 21.38 21.69 22.02
(EUROFARMA LABORATÓRIOS S.A.) 30 G
13.01 15.03 16.08 16.19 16.31 16.53 16.78 17.02 17.28
aplicável o CAP.
Medicamentos
CETOCONAZOL;DIPROPIONATO DE BETAMETASONA
525119120031207 BETAPRO 20 MG/G +0,64MG/G CREM DERM CT BG AL X 8.44 9.75 10.43 10.50 10.58 10.73 10.88 11.04 11.21
(MEDQUIMICA INDUSTRIA FARMACEUTICA LTDA.) 10G
6.62 7.65 8.18 8.24 8.30 8.42 8.54 8.66 8.80
525119120031307 BETAPRO 20 MG/G +0,64MG/G CREM DERM CT BG AL X 30 21.05 24.33 26.01 26.19 26.38 26.75 27.14 27.54 27.95
(MEDQUIMICA INDUSTRIA FARMACEUTICA LTDA.) G
16.52 19.09 20.41 20.55 20.70 20.99 21.30 21.61 21.93
CETOPROFENO
508002302151115 CETOPROFENO 100 MG PO LIOF SOL INJ IV CT 50 FA VD TRANS 439.95 499.94 530.06 533.27 536.52 543.15 549.94 556.90 564.04
526118080099706 CETOPROFENO 150 MG COM LIB PROL CT BL AL PLAS 29.94 34.02 36.07 36.29 36.51 36.96 37.43 37.90 38.38
(GERMED FARMACEUTICA LTDA) PVC/PVDC OPC X 10
23.49 26.70 28.30 28.48 28.65 29.00 29.37 29.74 30.12
511618070044806 CETOPROFENO 50 MG/ML SOL INJ IM CX 50 AMP VD AMB X 2 ML 122.61 139.33 147.72 148.62 149.52 151.37 153.26 155.20 157.19
CETOROLACO TROMETAMINA
501000101176310 ACULAR 5 MG/ML SOL OFT CT FR GOT PLAS PE OPC X 5 53.14 60.39 64.02 64.41 64.80 65.60 66.43 67.27 68.13
41.70 47.39 50.24 50.54 50.85 51.48 52.13 52.79 53.46
501006201131318 ACULAR 4 MG/ML SOL OFT CT FR GOT PLAS PE OPC X 42.54 48.34 51.25 51.56 51.88 52.52 53.18 53.85 54.54
(ALLERGAN PRODUTOS FARMACÊUTICOS LTDA) 5 ML
33.38 37.93 40.22 40.46 40.71 41.21 41.73 42.26 42.80
501006202136313 ACULAR 4 MG/ML SOL OFT CT FR GOT PLAS PE OPC X 85.01 96.60 102.42 103.04 103.67 104.95 106.26 107.61 108.99
66.71 75.80 80.37 80.85 81.35 82.35 83.38 84.44 85.53
501007302177311 ACULAR 4,5 MG/ML SOL OFT CT 10 FLAC PLAS PEBD 38.25 43.47 46.08 46.36 46.65 47.22 47.81 48.42 49.04
(ALLERGAN PRODUTOS FARMACÊUTICOS LTDA) TRANS X 0,4 ML
30.01 34.11 36.16 36.38 36.61 37.05 37.52 38.00 38.48
60.06 68.25 72.37 72.81 73.24 74.15 75.08 76.03 77.00
90.07 102.35 108.52 109.18 109.84 111.19 112.59 114.01 115.47
506715100059403 TEROLAC 5 MG/ML SOL OFT CT FR GOT PLAS PEAD/PEBD 32.33 36.74 38.95 39.19 39.43 39.91 40.41 40.92 41.45
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) OPC X 5 ML
25.37 28.83 30.56 30.75 30.94 31.32 31.71 32.11 32.53
506715100059503 TEROLAC 5 MG/ML SOL OFT CX 25 FR GOT PLAS 807.96 918.14 973.45 979.35 985.32 997.48 1009.95 1022.73 1035.85
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) PEAD/PEBD OPC X 5 ML
634.01 720.46 763.87 768.50 773.18 782.72 792.51 802.54 812.83
506715100059603 TEROLAC 5 MG/ML SOL OFT CX 50 FR GOT PLAS 1615.89 1836.24 1946.85 1958.65 1970.60 1994.93 2019.86 2045.43 2071.65
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) PEAD/PEBD OPC X 5 ML
1267.99 1440.90 1527.69 1536.95 1546.33 1565.42 1584.98 1605.05 1625.62
509017020014207 TORADOL 30 MG/ML SOL INJ CT 10 AMP VD TRANS X 1 ML 97.65 110.97 117.65 118.36 119.09 120.56 122.06 123.61 125.19
(FARMOQUÍMICA S/A) 76.63 87.08 92.32 92.88 93.45 94.60 95.78 97.00 98.24
CETUXIMABE
525419505137314 ERBITUX 5 MG/ML SOL INJ CT FA VD TRANS X 20 ML 991.60 1126.82 1194.70 1201.94 1209.27 1224.20 1239.50 1255.19 1271.28
(MERCK S/A) 778.11 884.22 937.48 943.16 948.91 960.63 972.64 984.95 997.57
525419504130316 ERBITUX 5 MG/ML SOL INJ CT FA VD TRANS X 100 ML 4957.96 5634.05 5973.44 6009.65 6046.29 6120.94 6197.45 6275.90 6356.36
(MERCK S/A) 3890.51 4421.04 4687.36 4715.77 4744.52 4803.10 4863.14 4924.70 4987.84
CICLOPIROX
512118100009403 MICOLAMINA 80 MG/G ESM DERM CT FR VD TRANS X 3 G 71.12 82.19 87.88 88.50 89.12 90.39 91.70 93.05 94.44
(THERASKIN FARMACEUTICA LTDA.) 55.81 64.49 68.96 69.45 69.93 70.93 71.96 73.02 74.11
512103201179411 MICOLAMINA 80 MG/G ESM DERM CT FR VD TRANS X 6 G 142.49 164.66 176.08 177.31 178.56 181.10 183.73 186.42 189.20
512118120009603 MICOLAMINA 10 MG/ML SOL SPR DERM CT FR SPR PLAS 24.83 28.69 30.68 30.90 31.11 31.56 32.02 32.49 32.97
(THERASKIN FARMACEUTICA LTDA.) PEAD OPC X 15 ML
19.48 22.51 24.07 24.25 24.41 24.77 25.13 25.50 25.87
512103202175418 MICOLAMINA 10 MG/ML SOL SPR DERM CT FR SPR PLAS 50.79 58.69 62.76 63.20 63.65 64.55 65.49 66.45 67.44
(THERASKIN FARMACEUTICA LTDA.) PEAD OPC X 30 ML
39.85 46.05 49.25 49.59 49.95 50.65 51.39 52.14 52.92
CICLOPIROX OLAMINA
512103203171416 MICOLAMINA 10 MG/G CREM DERM CT BG AL X 20 G 32.95 38.08 40.72 41.00 41.29 41.88 42.49 43.11 43.75
aplicável o CAP.
Medicamentos
CICLOSPORINA
526513301157311 SANDIMMUN/SANDIMMUN NEORAL 50 MG/ML SOL DIL INFUS IV CT 10 AMP VD 216.06 245.52 260.31 261.89 263.49 266.74 270.08 273.49 277.00
(NOVARTIS BIOCIENCIAS S.A) TRANS X 1 ML
169.54 192.66 204.27 205.50 206.76 209.31 211.93 214.61 217.36
526513302153318 SANDIMMUN/SANDIMMUN NEORAL 50 MG/ML SOL DIL INFUS IV CT 10 AMP VD 976.77 1109.97 1176.83 1183.96 1191.18 1205.89 1220.96 1236.42 1252.27
(NOVARTIS BIOCIENCIAS S.A) TRANS X 5 ML
766.47 870.99 923.46 929.05 934.72 946.26 958.09 970.22 982.66
526513404118317 SANDIMMUN/SANDIMMUN NEORAL 25 MG CAP MOLE CT BL AL AL X 50 129.47

(NOVARTIS BIOCIENCIAS S.A) 101.60
C CAP

C CAP

C CAP
526513403138314 SANDIMMUN/SANDIMMUN NEORAL 100 MG/ML SOL OR CT FR VD TRANS X 50 ML + 449.56

(NOVARTIS BIOCIENCIAS S.A) SER DOS
352.77
C CAP
501005002176313 RESTASIS 0,5 MG/G EMUL OCU CT CAMA PLAS 30 FLAC 168.83 191.85 203.41 204.64 205.89 208.43 211.04 213.71 216.45
(ALLERGAN PRODUTOS FARMACÊUTICOS LTDA) PLAS INC X 0,4 ML
132.48 150.54 159.62 160.58 161.56 163.55 165.60 167.70 169.85
CILASTATINA SÓDICA;IMIPENÉM MONOIDRATADO

513403404154416 TIEPEM 500 MG + 500 MG PO SOL INJ IV CT 10 FA VD 1376.11 1563.76 1657.96 1668.01 1678.18 1698.90 1720.14 1741.91 1764.24
(INSTITUTO BIOCHIMICO INDÚSTRIA FARMACÊUTICA LTDA) TRANS
1079.83 1227.08 1301.00 1308.89 1316.87 1333.13 1349.79 1366.88 1384.40
CILAZAPRIL
529206202113319 VASCASE 1 MG COM REV CT BL AL/AL X 28 52.63 59.81 63.41 63.79 64.18 64.98 65.79 66.62 67.47
529206206119311 VASCASE 2,5 MG COM REV CT BL AL/AL X 28 107.65 122.33 129.70 130.48 131.28 132.90 134.56 136.27 138.01
529206210116313 VASCASE 5 MG COM REV CT BL AL/AL X 28 181.89 206.69 219.14 220.47 221.82 224.56 227.36 230.24 233.19
CILOSTAZOL
523700902113311 CEBRALAT 50 MG COM CT BL AL PLAS TRANS X 30 21.47 24.40 25.87 26.02 26.18 26.51 26.84 27.18 27.53
508024802112111 CILOSTAZOL 50 MG COM CT BL AL PLAS PVC/PVDC TRANS X 24.49 27.83 29.51 29.68 29.87 30.23 30.61 31.00 31.40
19.22 21.84 23.16 23.29 23.44 23.72 24.02 24.33 24.64
508024804115116 CILOSTAZOL 50 MG COM CT BL AL PLAS PVC/PVDC TRANS X 29.55 33.58 35.60 35.82 36.04 36.48 36.94 37.41 37.88
23.19 26.35 27.94 28.11 28.28 28.63 28.99 29.36 29.72
CIMETIDINA
504617070064417 CIMETIDINA 400 MG COM CT BL AL PLAS TRANS X 16 21.47 24.40 25.87 26.02 26.18 26.51 26.84 27.18 27.53
CIPROFIBRATO
504616030036917 LIPNEO 100 MG COM CT BL AL PLAS TRANS X 30 71.69
C CAP
504617090065117 CIPROFIBRATO 100 MG COM CT BL AL PLAS INC X 30 71.69

C CAP
CIPROFLOXACINO
aplicável o CAP.
Medicamentos
CIPROFLOXACINO
509515110030406 CIPROFLOXACINO 2,0 MG/ML SOL INJ CX FR PLAS PE TRANS SIST 93.68 106.45 112.87 113.55 114.24 115.65 117.10 118.58 120.10
(FRESENIUS KABI BRASIL LTDA) FECH X 100 ML
73.51 83.53 88.57 89.10 89.64 90.75 91.89 93.05 94.24
509515110029806 CIPROFLOXACINO 2,0 MG/ML SOL INJ CX 24 FR PLAS PE TRANS 2249.32 2556.05 2710.02 2726.45 2743.07 2776.94 2811.65 2847.24 2883.74
(FRESENIUS KABI BRASIL LTDA) SIST FECH X 100 ML
1765.04 2005.73 2126.55 2139.45 2152.49 2179.07 2206.30 2234.23 2262.87
3677.18 4178.62 4430.34 4457.19 4484.37 4539.73 4596.48 4654.66 4714.34
5883.52 6685.82 7088.57 7131.53 7175.01 7263.60 7354.40 7447.49 7542.97
509515110030006 CIPROFLOXACINO 2,0 MG/ML SOL INJ IV CX BOLS PLAS POLF 93.68 106.45 112.87 113.55 114.24 115.65 117.10 118.58 120.10
(FRESENIUS KABI BRASIL LTDA) TRANS SIST FECH X 100 ML
73.51 83.53 88.57 89.10 89.64 90.75 91.89 93.05 94.24
509515110030306 CIPROFLOXACINO 2,0 MG/ML SOL INJ CX FR PLAS TRANS SIST 159.68 181.45 192.39 193.55 194.73 197.14 199.60 202.13 204.72
125.30 142.38 150.97 151.88 152.80 154.70 156.63 158.61 160.64
509515110030206 CIPROFLOXACINO 2,0 MG/ML SOL INJ IV CX 80 BOLS PLAS TRANS 7497.79 8520.22 9033.48 9088.23 9143.64 9256.53 9372.24 9490.88 9612.55
5883.52 6685.82 7088.57 7131.53 7175.01 7263.60 7354.40 7447.49 7542.97
509515110030106 CIPROFLOXACINO 2,0 MG/ML SOL INJ CX 48 FR PLAS TRANS SIST 7665.65 8710.97 9235.72 9291.70 9348.35 9463.77 9582.06 9703.36 9827.75
6015.24 6835.50 7247.27 7291.20 7335.65 7426.22 7519.04 7614.23 7711.83
511220020040507 CIPROFLOXACINO 2 MG/ML SOL INJ IV CX 36 ENV PLAS BOLS PLAS 4239.06 4817.12 5107.30 5138.25 5169.58 5233.41 5298.83 5365.90 5434.69
(HALEX ISTAR INDÚSTRIA FARMACÊUTICA SA) TRANS SIST FECH X 200ML
3326.39 3779.99 4007.70 4031.98 4056.57 4106.66 4157.99 4210.62 4264.60
511219020038817 CIPROFLOXACINO 2 MG/ML SOL INFUS IV ENV AL BOLS PLAS 159.70 181.48 192.41 193.58 194.76 197.16 199.63 202.15 204.74
(HALEX ISTAR INDÚSTRIA FARMACÊUTICA SA) PEBD TRANS SIST FECH X 200 ML
125.32 142.41 150.98 151.90 152.83 154.71 156.65 158.63 160.66
511219020038917 CIPROFLOXACINO 2 MG/ML SOL INFUS IV CX 32 ENV AL BOLS 4867.33 5531.06 5864.25 5899.79 5935.77 6009.05 6084.16 6161.18 6240.17
(HALEX ISTAR INDÚSTRIA FARMACÊUTICA SA) PLAS PEBD TRANS SIST FECH X 200 ML
3819.39 4340.22 4601.68 4629.56 4657.80 4715.30 4774.24 4834.68 4896.66
538915100025017 CIPRO 0,2% SOL INJ ENV AL BOLS PO X 200 ML ( REST 252.85 287.33 304.64 306.48 308.35 312.16 316.06 320.06 324.17
(BAYER S.A.) HOSP)
198.41 225.47 239.05 240.49 241.96 244.95 248.01 251.15 254.38
538915100024917 CIPRO 0,2% SOL INJ ENV AL BOLS PO X 100 ML ( REST 146.95 166.99 177.05 178.12 179.21 181.42 183.69 186.01 188.40
(BAYER S.A.) HOSP)
115.31 131.04 138.93 139.77 140.63 142.36 144.14 145.96 147.84
CIPROFLOXACINO;CLORIDRATO DE CIPROFLOXACINO
538915100024317 CIPRO 500 MG COM REV MULT LIB PROL CT BL AL 74.13
(BAYER S.A.) PLAS(PP) INC X 3
58.17
538915100024417 CIPRO 500 MG COM REV MULT LIB PROL CT BL AL 172.99

(BAYER S.A.) PLAS(PP) INC X 7
135.75
CITRATO DE CAFEÍNA
508513060011102 PEYONA 20 MG/ML SOL DIL INFUS IV/OR CT 10 AMP VD 907.98 1049.25 1122.02 1129.85 1137.80 1154.04 1170.74 1187.94 1205.65
(CHIESI FARMACÊUTICA LTDA) TRANS X 1 ML
712.49 823.35 880.45 886.59 892.83 905.58 918.68 932.18 946.07
CITRATO DE CÁLCIO;COLECALCIFEROL
508502501135316 MIOCALVEN D 2370 MG + 200 UI PO SUS OR CT 30 ENV 58.50 67.60 72.29 72.80 73.31 74.35 75.43 76.54 77.68
(CHIESI FARMACÊUTICA LTDA) PAP/PE/AL X 4 G
45.90 53.05 56.73 57.13 57.53 58.34 59.19 60.06 60.96
Liberado
508502502131314 MIOCALVEN D 2370 MG + 200 UI PO SUS OR CT 60 ENV 110.85 128.10 136.98 137.94 138.91 140.89 142.93 145.03 147.19
(CHIESI FARMACÊUTICA LTDA) PAP/PE/AL X 4 G
86.98 100.52 107.49 108.24 109.00 110.56 112.16 113.81 115.50
Liberado
CITRATO DE FENTANILA;DROPERIDOL
506713120052103 NILPERIDOL 0,0785 MG/ML + 2,5 MG/ML SOL INJ CX 50 AMP 597.34 678.80 719.69 724.05 728.46 737.46 746.68 756.13 765.82
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) VD AMB X 2 ML
468.73 532.65 564.74 568.16 571.62 578.69 585.92 593.34 600.94
CITRATO DE POTÁSSIO MONOIDRATADO

501601601114310 LITOCIT 1080 MG COM LIB PROL CT FR PLAS PVC OPC X 49.24 56.90 60.85 61.27 61.70 62.58 63.49 64.42 65.38
(APSEN FARMACEUTICA S/A) 60
38.64 44.65 47.75 48.08 48.42 49.11 49.82 50.55 51.30
501601602110319 LITOCIT 540 MG COM LIB PROL CT FR PLAS PVC OPC X 39.24 45.35 48.49 48.83 49.17 49.87 50.60 51.34 52.10
30.79 35.59 38.05 38.32 38.58 39.13 39.71 40.29 40.88
540412030003804 HIDRALYTE (2,05 + 0,98 + 22,75 + 2,16) MG/ML SOL OR FR 15.26 17.63 18.86 18.99 19.12 19.40 19.68 19.97 20.26
(NATULAB LABORATÓRIO S.A) PLAS X 500 ML (SABOR LARANJA)
11.97 13.83 14.80 14.90 15.00 15.22 15.44 15.67 15.90
Liberado
aplicável o CAP.
Medicamentos
CITRATO DE SILDENAFILA
508029001118412 DEJAVÚ 50 MG COM REV CT BL AL PLAS INC X 1 10.37 11.98 12.81 12.90 12.99 13.18 13.37 13.57 13.77
C CAP
C CAP
C CAP
511516702111119 CITRATO DE SILDENAFILA 25 MG COM CT BL AL PLAS TRANS X 4 27.56 31.85 34.06 34.29 34.54 35.03 35.54 36.06 36.60
C CAP
C CAP
C CAP
C CAP
C CAP
511517003111411 VIDENFIL 50 MG COM CT BL AL PLAS TRANS X 1 5.11 5.91 6.31 6.36 6.40 6.49 6.59 6.69 6.79
C CAP
C CAP
C CAP
C CAP
552819120061317 VIAGRA 25 MG COM REV CT BL AL PLAS PVC TRANS X 65.99 76.26 81.55 82.12 82.69 83.87 85.09 86.34 87.62
(LABORATÓRIOS PFIZER LTDA) 4
51.78 59.84 63.99 64.44 64.89 65.81 66.77 67.75 68.75
C CAP
14.22 16.43 17.57 17.70 17.82 18.07 18.33 18.61 18.88
C CAP
552819120061517 VIAGRA 50 MG COM REV CT BL AL PLAS PVC TRANS X 8 145.05 167.62 179.24 180.49 181.76 184.36 187.03 189.77 192.60
C CAP
56.92 65.78 70.34 70.84 71.33 72.35 73.39 74.48 75.58
C CAP
89.11 102.98 110.12 110.89 111.66 113.25 114.90 116.58 118.33
552820090070117 REVATIO 20 MG COM REV CT BL AL PLAS PVC TRANS X 2301.20

1805.75
C CAP
552916090064904 PRILO 50 MG COM REV CT BL AL PLAS TRANS X 1 14.02 16.20 17.32 17.45 17.57 17.82 18.08 18.34 18.62
C CAP
C CAP
C CAP
552920020117817 CITRATO DE SILDENAFILA 50 MG COM REV CT BL AL PLAS TRANS X 1 13.79 15.94 17.04 17.16 17.28 17.53 17.78 18.04 18.31
C CAP
C CAP
C CAP
aplicável o CAP.
Medicamentos
CITRATO DE SILDENAFILA
524717020015406 CITRATO DE SILDENAFILA 20 MG COM REV CT BL AL PLAS OPC X 15 291.84
(LABORATÓRIO FARMACÊUTICO DA MARINHA) 229.01 260.24 275.91 277.59 279.27 282.73 286.26 289.88 293.59
C CAP ICMS0%

(LABORATÓRIO FARMACÊUTICO DA MARINHA) (EMB FRAC)
3053.31 3469.67 3678.68 3700.97 3723.54 3769.52 3816.63 3864.95 3914.49
C CAP ICMS0%

C CAP ICMS0%
542114070001903 BLUPILL 50 MG COM REV CT BL AL PLAS TRANS X 20 142.93 165.17 176.62 177.86 179.11 181.66 184.29 187.00 189.79
(ALTHAIA S.A INDÚSTRIA FARMACÊUTICA) (EMB FRAC)
112.16 129.61 138.59 139.57 140.55 142.55 144.61 146.74 148.93
C CAP
500120010027907 CITRATO DE SILDENAFILA 25 MG COM REV CT BL AL PLAS PVC/PVDC 95.49 110.35 118.00 118.82 119.66 121.37 123.12 124.93 126.80
(AUROBINDO PHARMA INDÚSTRIA FARMACÊUTICA LIMITADA) TRANS X 8
74.93 86.59 92.59 93.24 93.90 95.24 96.61 98.03 99.50
C CAP
500120010028007 CITRATO DE SILDENAFILA 25 MG COM REV CT BL AL PLAS PVC/PVDC 120.30 139.02 148.66 149.70 150.75 152.90 155.11 157.39 159.74
(AUROBINDO PHARMA INDÚSTRIA FARMACÊUTICA LIMITADA) TRANS X 10
94.40 109.09 116.65 117.47 118.29 119.98 121.71 123.50 125.35
C CAP
C CAP
C CAP
C CAP
C CAP
C CAP
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) (EMB FRAC)
432.79 500.13 534.81 538.55 542.34 550.07 558.04 566.24 574.68
C CAP
504614110024817 VIRINEO 50 MG COM REV CT BL AL PLAS TRANS X 1 19.40 22.42 23.97 24.14 24.31 24.66 25.01 25.38 25.76
C CAP
CITRATO DE SUFENTANILA
506715100060103 FASTFEN 5 MCG/ML SOL INJ CX 36 AMP VD TRANS X 2 337.22 383.20 406.29 408.75 411.24 416.32 421.53 426.86 432.33
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) ML
264.62 300.70 318.82 320.75 322.70 326.69 330.78 334.96 339.25
506715100060203 FASTFEN 50 MCG/ML SOL INJ CX 36 AMP VD TRANS X 1 783.56 890.41 944.05 949.77 955.56 967.36 979.45 991.85 1004.56
614.86 698.70 740.80 745.28 749.83 759.09 768.57 778.31 788.28
CITRATO DE SÓDIO DI-HIDRATADO;CLORETO DE POTÁSSIO;GLICOSE;CLORETO DE SÓDIO

508011403133413 REHIDRAT (48,93 + 64,30 + 57,50 + 791,55) MG/G PO SOL OR 20.33 23.49 25.12 25.30 25.48 25.84 26.21 26.60 26.99
(EUROFARMA LABORATÓRIOS S.A.) CT 04 ENV X 7,625 G (SABOR LARANJA)
15.95 18.43 19.71 19.85 20.00 20.28 20.57 20.87 21.18
Liberado
508011402137415 REHIDRAT (50,84 + 66,82 + 59,77 + 822,64) MG/G PO SOL OR 20.76 23.99 25.65 25.83 26.01 26.39 26.77 27.16 27.57
(EUROFARMA LABORATÓRIOS S.A.) CT 04 ENV X 7,340 G
16.29 18.82 20.13 20.27 20.41 20.71 21.01 21.31 21.64
Liberado
508011401130417 REHIDRAT (53,76 + 103,94 + 125,45 + 716,84) MG/G PO SOL 26.00 30.05 32.13 32.35 32.58 33.05 33.52 34.02 34.52
(EUROFARMA LABORATÓRIOS S.A.) OR CT 04 ENV X 13,95 G
20.40 23.58 25.21 25.38 25.57 25.94 26.30 26.70 27.09
Liberado
CITRATO DE TAMOXIFENO
511502101110118 CITRATO DE TAMOXIFENO 10 MG COM REV CT BL AL PLAS OPC X 30 61.15 69.49 73.67 74.12 74.57 75.49 76.44 77.41 78.40
511502102117116 CITRATO DE TAMOXIFENO 20 MG COM REV CT BL AL PLAS OPC X 30 117.09 133.06 141.07 141.93 142.79 144.56 146.36 148.22 150.12
504415070053006 CITRATO DE TAMOXIFENO 10 MG COM REV CT BL AL AL X 30 75.95 86.31 91.51 92.06 92.62 93.77 94.94 96.14 97.37
504415070053106 CITRATO DE TAMOXIFENO 10 MG COM REV CT BL AL AL X 250 (EMB HOSP) 632.95 719.26 762.59 767.21 771.89 781.42 791.19 801.20 811.47
aplicável o CAP.
Medicamentos
CITRATO DE TAMOXIFENO
504415070053706 CITRATO DE TAMOXIFENO 20 MG COM REV CT BL AL AL X 250 (EMB HOSP) 1297.15 1474.03 1562.83 1572.30 1581.89 1601.42 1621.44 1641.96 1663.01
CLARITROMICINA
541815110014206 CLARITROMICINA 50 MG/ML GRAN SUS OR CT FR PLAS OPC X 60 87.99 99.99 106.01 106.65 107.30 108.63 109.99 111.38 112.81
(EMS S/A) ML + SER DOS
69.05 78.46 83.19 83.69 84.20 85.24 86.31 87.40 88.52
CLAVULANATO DE POTÁSSIO
504414010043718 DOCLAXIN (1000,0 + 200,0) MG PO SOL INJ/INFUS IV CX 100 5312.13 6138.63 6564.35 6610.20 6656.69 6751.67 6849.41 6950.03 7053.65
(BLAU FARMACÊUTICA S.A.) FA VD TRANS
4168.43 4816.98 5151.05 5187.02 5223.50 5298.03 5374.73 5453.69 5535.00
CLAVULANATO DE POTÁSSIO;AMOXICILINA
511512201134113 AMOXICILINA + CLAVULANATO DE POTÁSSIO 50 MG/ML + 12,5 MG/ML PÓ P/ SUSP ORAL CT 43.92 49.91 52.92 53.24 53.56 54.22 54.90 55.59 56.31
(SANDOZ DO BRASIL INDÚSTRIA FARMACÊUTICA LTDA) FR VD AMB X 75 ML + COL
34.46 39.16 41.53 41.78 42.03 42.55 43.08 43.62 44.19
511512211131117 AMOXICILINA + CLAVULANATO DE POTÁSSIO (80+11,4) MG/ML PO SUS OR CT FR VD AMB X 70 56.11 63.76 67.60 68.01 68.43 69.27 70.14 71.03 71.94
(SANDOZ DO BRASIL INDÚSTRIA FARMACÊUTICA LTDA) ML + COL
44.03 50.03 53.05 53.37 53.70 54.36 55.04 55.74 56.45
CLAVULANATO DE POTÁSSIO;AMOXICILINA SÓDICA

508000204150118 AMOXICILINA SÓDICA + CLAVULANATO DE POTÁSSIO (1000,0 + 200,0) MG PO SOL INJ IV CT 10 FA VD 424.82 482.75 511.83 514.93 518.07 524.47 531.03 537.75 544.64
(EUROFARMA LABORATÓRIOS S.A.) TRANS
333.36 378.81 401.63 404.06 406.53 411.55 416.70 421.97 427.38
CLAVULANATO DE POTÁSSIO;AMOXICILINA TRI-HIDRATADA

511519040070506 AMOXICILINA + CLAVULANATO DE POTÁSSIO (500+125) MG COM REV CT STR AL/AL X 30 110.14 125.16 132.70 133.50 134.32 135.98 137.68 139.42 141.21
510602102137411 CLAVULIN (80 + 11,4) MG/ML PO SUS OR CT FR VD TRANS 110.54 125.61 133.18 133.99 134.80 136.47 138.18 139.92 141.72
(GLAXOSMITHKLINE BRASIL LTDA) X 70 ML + SER DOS
86.74 98.57 104.51 105.14 105.78 107.09 108.43 109.79 111.21
510602101130411 CLAVULIN (40 + 5,7) MG/ML PO SUS OR CT FR VD TRANS X 62.77 71.33 75.63 76.08 76.55 77.49 78.46 79.46 80.47
(GLAXOSMITHKLINE BRASIL LTDA) 70 ML + SER DOS
49.26 55.97 59.35 59.70 60.07 60.81 61.57 62.35 63.14
(GLAXOSMITHKLINE BRASIL LTDA) TRANS+ ENV X 21
131.84 149.81 158.84 159.80 160.78 162.76 164.79 166.88 169.02
(GLAXOSMITHKLINE BRASIL LTDA) TRANS+ ENV X 14
149.66 170.07 180.31 181.41 182.51 184.77 187.07 189.44 191.87
510602008130318 CLAVULIN (50,0 + 12,5) MG/ML PO SUS OR CT FR VD 102.00 115.91 122.89 123.64 124.39 125.93 127.50 129.11 130.77
(GLAXOSMITHKLINE BRASIL LTDA) TRANS X 100 ML + SER DOS
80.04 90.95 96.43 97.02 97.61 98.82 100.05 101.31 102.62
78.63 89.35 94.73 95.30 95.89 97.07 98.28 99.53 100.80
138.69 157.60 167.09 168.11 169.13 171.22 173.36 175.55 177.81
531616110080203 SIGMA-CLAV BD 80 MG/ML + 11,4 MG/ML PÓ SUS OR CT FR PLAS 50.67 57.58 61.05 61.42 61.79 62.56 63.34 64.14 64.96
(EMS SIGMA PHARMA LTDA) OPC X 70 ML + SER DOS + COP
39.76 45.18 47.91 48.20 48.49 49.09 49.70 50.33 50.97
541518070006504 EMYCLAM 875 MG + 125 MG COM REV CT FR VD AMB X 4 28.27 32.13 34.06 34.27 34.48 34.90 35.34 35.78 36.24
CLIOQUINOL;SULFATO DE GENTAMICINA;TOLNAFTATO;VALERATO DE BETAMETASONA

512015110005617 CREMEDERME 0,5 MG/G + 1,0 MG/G + 10,0 MG/G + 10,0 MG/G 22.47 25.97 27.77 27.96 28.16 28.56 28.97 29.40 29.84
(VALEANT FARMACÊUTICA DO BRASIL LTDA) POM DERM CT BG AL X 20 G
17.63 20.38 21.79 21.94 22.10 22.41 22.73 23.07 23.42
aplicável o CAP.
Medicamentos
CLIOQUINOL;SULFATO DE GENTAMICINA;TOLNAFTATO;VALERATO DE BETAMETASONA

540917070031717 QUADRIDERM 0,50 MG/G + 1 MG/G + 10 MG/G + 10 MG/G POM 17.20 19.88 21.25 21.40 21.55 21.86 22.18 22.50 22.84
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) DERM CT BG AL X 10 G
13.50 15.60 16.67 16.79 16.91 17.15 17.41 17.66 17.92
540917070031617 QUADRIDERM 0,50 MG/G + 1 MG/G + 10 MG/G + 10 MG/G CREM 34.33 39.67 42.42 42.72 43.02 43.63 44.26 44.92 45.58
26.94 31.13 33.29 33.52 33.76 34.24 34.73 35.25 35.77
540917070031817 QUADRIDERM 0,50 MG/G + 1 MG/G + 10 MG/G + 10 MG/G POM 34.44 39.80 42.56 42.86 43.16 43.77 44.41 45.06 45.73
27.03 31.23 33.40 33.63 33.87 34.35 34.85 35.36 35.88
CLOBAZAM
576720030060817 URBANIL 10 MG COM CT BL AL PLAS TRANS X 20 11.09
(SANOFI MEDLEY FARMACÊUTICA LTDA.) 8.70
C CAP
CLONAZEPAM
529204803136317 RIVOTRIL 2,5 MG/ML SOL OR CT FR VD CGT X 20 ML 17.38 19.75 20.94 21.07 21.20 21.46 21.73 22.00 22.28
529917030053606 CLONAZEPAM 2 MG COM CT BL AL PLAS TRANS X 500 207.04 235.27 249.45 250.96 252.49 255.60 258.80 262.08 265.44
527918010031706 CLONAZEPAM 2 MG COM CT BL AL PLAS PVC/PE/PVDC TRANS 12.49 14.19 15.05 15.14 15.23 15.42 15.61 15.81 16.01
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) X 30
9.80 11.13 11.81 11.88 11.95 12.10 12.25 12.41 12.56
527920010036207 CLONAZEPAM 2 MG COM CT BL AL PLAS PVC/PE/PVDC TRANS 24.97 28.38 30.08 30.27 30.45 30.83 31.21 31.61 32.01
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) X 60
19.59 22.27 23.60 23.75 23.89 24.19 24.49 24.80 25.12
532415050011606 CLONAZEPAM 0,5 MG COM CT BL AL PVC X 30 7.12 8.09 8.58 8.63 8.68 8.79 8.90 9.01 9.13
532415050011906 CLONAZEPAM 0,5 MG COM CT BL AL PVC X 500 ( EMB HOSP ) 119.44 135.73 143.90 144.78 145.66 147.46 149.30 151.19 153.13
532415050012106 CLONAZEPAM 2,0 MG COM CT BL AL PVC X 30 12.50 14.20 15.06 15.15 15.24 15.43 15.63 15.82 16.03
532415050012506 CLONAZEPAM 2,0 MG COM CT BL AL PVC X 500 ( EMB HOSP ) 208.63 237.08 251.36 252.88 254.43 257.57 260.79 264.09 267.47
510415100114804 ZILEPAM 0,5 MG COM CX BL AL PLAS TRANS X 480 171.31 194.67 206.40 207.65 208.91 211.49 214.14 216.85 219.63
510415100115304 ZILEPAM 2 MG COM CX BL AL PLAS TRANS X 480 279.97 318.15 337.31 339.36 341.43 345.64 349.96 354.39 358.94
525014110105506 CLONAZEPAM 2 MG COM CT BL AL PLAS OPC X 30 9.83 11.17 11.84 11.92 11.99 12.14 12.29 12.44 12.60
CLORANFENICOL;FIBRINOLISINA;DESOXIRRIBONUCLEASE
506713050050503 FIBRINASE COM CLORANFENICOL 666 U/G + 1U/G + 10M/G POM DERM CX 10 BG AL 227.00 257.95 273.49 275.15 276.83 280.25 283.75 287.34 291.03
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) X 10 G (EMB HOSP)
178.13 202.41 214.61 215.91 217.23 219.91 222.66 225.48 228.37
CLORANFENICOL;LEVOMETIONINA;ACETATO DE RETINOL
501002401169316 EPITEZAN POM OFT CT BG X 3,5 G 10.50 12.13 12.98 13.07 13.16 13.35 13.54 13.74 13.94
CLORETO DE AMÔNIO;CITRATO DE SÓDIO;CLORIDRATO DE DIFENIDRAMINA

506312040027003 BENATUX (2,5 + 25,0 + 11,25) MG/ML XPE CT FR VD AMB X 12.27 14.12 15.06 15.17 15.27 15.48 15.69 15.79 15.89
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) 120 ML + COP
9.63 11.08 11.82 11.90 11.98 12.15 12.31 12.39 12.47
Liberado
CLORETO DE CETILPIRIDÍNIO;BENZOCAÍNA
504616050039718 NEOPIRIDIN 1,466 MG + 10 MG PAS DURA CT ENV AL X 12 8.81 10.18 10.89 10.96 11.04 11.20 11.36 11.53 11.70
Liberado
CLORETO DE CÁLCIO DIIDRATADO;CLORETO DE MAGNÉSIO HEXAIDRATADO;BICARBONATO DE SÓDIO;CLORETO DE POTÁSSIO;CLORETO DE SÓDIO;

520906603176317 DUOSOL COM POTÁSSIO SOL INJ IV CX 2 BOLS PLAS SIST FECH X 5000 97.53 121.91 123.46 125.04
(LABORATÓRIOS B. BRAUN S/A) ML COM 2 MMOL/L DE POTÁSSIO
76.53 86.97 92.21 92.77 93.33 94.49 95.66 96.88 98.12
ICMS0%
aplicável o CAP.
Medicamentos
CLORETO DE CÁLCIO DIIDRATADO;CLORETO DE MAGNÉSIO HEXAIDRATADO;BICARBONATO DE SÓDIO;CLORETO DE POTÁSSIO;CLORETO DE SÓDIO;

520906602171311 DUOSOL COM POTÁSSIO SOL INJ IV CX 2 BOLS PLAS SIST FECH X 5000 97.53 121.91 123.46 125.04
(LABORATÓRIOS B. BRAUN S/A) ML COM 4 MMOL/L DE POTÁSSIO
76.53 86.97 92.21 92.77 93.33 94.49 95.66 96.88 98.12
ICMS0%
CLORETO DE CÁLCIO DIIDRATADO;CLORETO DE MAGNÉSIO HEXAIDRATADO;BICARBONATO DE SÓDIO;CLORETO DE SÓDIO;GLICOSE MONOIDRATADA

520906501179317 DUOSOL SEM POTÁSSIO SOL INJ IV CX 2 BOLS PLAS TRANS SIST FECH X 97.53 121.91 123.46 125.04
(LABORATÓRIOS B. BRAUN S/A) 5000 ML
76.53 86.97 92.21 92.77 93.33 94.49 95.66 96.88 98.12
ICMS0%
CLORETO DE CÁLCIO DIIDRATADO;CLORETO DE POTÁSSIO;CLORETO DE SÓDIO

509507102156413 RINGER (8,6+0,33+0,30)MG/ML SOL INJ IV CX BOLS PLAS 7.04 8.00 8.48 8.53 8.59 8.69 8.80 8.91 9.03
(FRESENIUS KABI BRASIL LTDA) POLIEF SIST FECH X 500ML
5.52 6.28 6.65 6.69 6.74 6.82 6.91 6.99 7.09
511214090029103 RINGER 8,6 + 0,3 + 0,33 MG/ML SOL INJ IV BOLS PP 7.08 8.05 8.53 8.58 8.63 8.74 8.85 8.96 9.08
5.56 6.32 6.69 6.73 6.77 6.86 6.94 7.03 7.13
511214090029403 RINGER 8,6 + 0,3 + 0,33 MG/ML SOL INJ IV BOLS PP 10.66 12.11 12.84 12.92 13.00 13.16 13.33 13.49 13.67
8.36 9.50 10.08 10.14 10.20 10.33 10.46 10.58 10.73
511216120033503 RINGER 8,6 + 0,3 + 0,33 MG/ML SOL INJ IV CX 30 BOLS 212.48 241.45 256.00 257.55 259.12 262.32 265.60 268.96 272.41
(HALEX ISTAR INDÚSTRIA FARMACÊUTICA SA) PP TRANS SIST FECH X 500 ML
166.73 189.47 200.88 202.10 203.33 205.84 208.42 211.05 213.76
511216120033603 RINGER 8,6 + 0,3 + 0,33 MG/ML SOL INJ IV CX 15 BOLS 159.92 181.73 192.67 193.84 195.02 197.43 199.90 202.43 205.03
(HALEX ISTAR INDÚSTRIA FARMACÊUTICA SA) PP TRANS SIST FECH X 1000 ML
125.49 142.60 151.19 152.11 153.03 154.92 156.86 158.85 160.89
CLORETO DE CÁLCIO DIIDRATADO;LACTATO DE SÓDIO;CLORETO DE MAGNÉSIO HEXAIDRATADO;GLICOSE;CLORETO DE MAGNÉSIO

509505703152416 SOLUÇÃO P/ DIÁLISE PERITONEAL (15+5,6+5+0,20+0,15) MG/ML SOL DP CX FR 10.54 13.18 13.34 13.51
(FRESENIUS KABI BRASIL LTDA) PLAS TRANS SIST FECH X 1000 ML
8.27 9.40 9.97 10.03 10.08 10.21 10.34 10.47 10.60
ICMS0%
CLORETO DE CÁLCIO DIIDRATADO;LACTATO DE SÓDIO;CLORETO DE MAGNÉSIO HEXAIDRATADO;GLICOSE;CLORETO DE SÓDIO

511214100029703 DIÁLISE PERITONEAL SOL INJ DIA PER CX 10 BOLS PVC TRANS SIST 78.58 98.23 99.47 100.74
(HALEX ISTAR INDÚSTRIA FARMACÊUTICA SA) FECH X 1000 ML
61.66 70.07 74.29 74.74 75.20 76.12 77.08 78.05 79.05
ICMS0%
CLORETO DE CÁLCIO DIIDRATADO;LACTATO DE SÓDIO;CLORETO DE POTÁSSIO;CLORETO DE SÓDIO

509506103159418 SOLUÇÃO RINGER COM LACTATO SOL INJ CX FR PLAS TRANS SIST FECH X 500 7.43 8.44 8.95 9.01 9.06 9.17 9.29 9.41 9.53
5.83 6.62 7.02 7.07 7.11 7.20 7.29 7.39 7.48
509506104155416 SOLUÇÃO RINGER COM LACTATO SOL INJ CX FR PLAS TRANS SIST FECH X 1000 11.17 12.69 13.46 13.54 13.62 13.79 13.96 14.14 14.32
8.77 9.96 10.56 10.62 10.69 10.82 10.95 11.10 11.24
508030903154416 SOLUÇÃO FISIOLÓGICA DE RINGER COM LACTATO 6 MG/ML + 0,3 MG/ML + 0,2 MG/ML + 3 MG/ML 7.50 8.52 9.04 9.09 9.15 9.26 9.38 9.49 9.62
(EUROFARMA LABORATÓRIOS S.A.) SOL INJ IV FA PLAS PP TRANS SIST FECH X 500
5.89 6.69 7.09 7.13 7.18 7.27 7.36 7.45 7.55
ML
508030902158418 SOLUÇÃO FISIOLÓGICA DE RINGER COM LACTATO 6 MG/ML + 0,3 MG/ML + 0,2 MG/ML + 3 MG/ML 7.50 8.52 9.04 9.09 9.15 9.26 9.38 9.49 9.62
(EUROFARMA LABORATÓRIOS S.A.) SOL INJ IV BOLS PLAS PP TRANS SIST FECH X
5.89 6.69 7.09 7.13 7.18 7.27 7.36 7.45 7.55
500 ML
508314100020704 RINGER COM LACTATO (0,006+0,0003+0,0002+0,0031)G/ML SOL INJ FA 7.47 8.49 9.00 9.05 9.11 9.22 9.34 9.46 9.58
(FARMACE INDÚSTRIA QUÍMICO-FARMACÊUTICA CEARENSE LTDA) PLAS TRANS SIST FECH X 500 ML
5.86 6.66 7.06 7.10 7.15 7.23 7.33 7.42 7.52
CLORETO DE CÁLCIO;GELATINA;CLORETO DE POTÁSSIO;CLORETO DE SÓDIO

509504103151410 HISOCEL SOL INJ IV BOLS PLAS SIST FECH X 500 ML 36.75 42.47 45.41 45.73 46.05 46.71 47.39 48.08 48.80
CLORETO DE MAGNÉSIO HEXAIDRATADO

508314060020407 FARMACE CPHD - FRAÇÃO ÁCIDA COM CÁLCIO 2,5 (210,7+5,22+6,43+3,55+10,83) G/L SOL HEMO 19.33 24.16 24.47 24.78
(FARMACE INDÚSTRIA QUÍMICO-FARMACÊUTICA CEARENSE LTDA) BOMBO PLAS TRANS X 5 L
15.17 17.24 18.28 18.39 18.49 18.72 18.96 19.20 19.44
ICMS0%
CLORETO DE OXIBUTININA
501602401135312 RETEMIC 1 MG/ML XPE CT FR VD AMB X 120 ML + COL 34.30 39.64 42.39 42.68 42.98 43.60 44.23 44.88 45.54
CLORETO DE POTÁSSIO
508620020011207 CLORETO DE POTÁSSIO 19,1% 191 MG / ML SOL INJ IV CX 200 AMP PLAS 129.59 147.26 156.13 157.08 158.04 159.99 161.99 164.04 166.14
(FARMARIN INDUSTRIA E COMERCIO LTDA) TRANS X 10 ML
101.69 115.55 122.52 123.26 124.01 125.54 127.11 128.72 130.37
507914060011004 SOLUÇÃO DE CLORETO DE POTASSIO 100 MG/ML SOL INJ IV CX 200 AMP PE X 10 ML 79.07 89.85 95.27 95.84 96.43 97.62 98.84 100.09 101.37
(EQUIPLEX INDÚSTRIA FARMACÊUTICA LTDA) 62.05 70.51 74.76 75.21 75.67 76.60 77.56 78.54 79.54
aplicável o CAP.
Medicamentos
CLORETO DE POTÁSSIO
CLORETO DE SÓDIO
523706901135418 MAXIDRATE 4,5 MG/G GEL NASAL CT FR PLAS OPC 22.58 26.09 27.90 28.10 28.30 28.70 29.11 29.54 29.98
(LIBBS FARMACÊUTICA LTDA) DOSADOR X 30 G
17.72 20.47 21.89 22.05 22.21 22.52 22.84 23.18 23.52
523715080032703 MAXIDRATE 6,0 MG/G GEL NASAL CT FR APLIC PLAS OPC X 30.12 34.81 37.22 37.48 37.74 38.28 38.84 39.41 39.99
(LIBBS FARMACÊUTICA LTDA) 30G
23.64 27.32 29.21 29.41 29.61 30.04 30.48 30.93 31.38
Liberado
7.89 9.13 9.75 9.82 9.90 10.04 10.18 10.33 10.48
Liberado
3.94 4.55 4.87 4.91 4.94 5.01 5.08 5.16 5.23
Liberado
509505504151411 CLORETO DE SÓDIO 9 MG/ML SOL INJ IV CX FR PLAS TRANS SIST 6.89 7.83 8.30 8.35 8.40 8.51 8.61 8.72 8.83
5.41 6.14 6.51 6.55 6.59 6.68 6.76 6.84 6.93
4.28 4.86 5.16 5.19 5.22 5.28 5.34 5.41 5.49
5.13 5.83 6.18 6.22 6.26 6.33 6.42 6.50 6.57
7.02 7.97 8.45 8.51 8.55 8.66 8.77 8.88 8.99
4.97 5.65 6.00 6.03 6.07 6.14 6.22 6.30 6.38
509505509151418 CLORETO DE SÓDIO 9 MG/ML SOL INJ IV CX BOLS PLAS TRANS SIST 6.34 7.20 7.64 7.68 7.73 7.83 7.93 8.03 8.13
4.97 5.65 6.00 6.03 6.07 6.14 6.22 6.30 6.38
508030410158414 CLORETO DE SÓDIO 0,9% 9 MG/ML SOL INJ IV CX FA PLAS PP TRANS SIST 5.48 6.23 6.60 6.64 6.68 6.77 6.85 6.94 7.03
(EUROFARMA LABORATÓRIOS S.A.) FECH X 250 ML
4.30 4.89 5.18 5.21 5.24 5.31 5.38 5.45 5.52
5.20 5.91 6.27 6.31 6.35 6.43 6.51 6.58 6.67
7.08 8.04 8.53 8.58 8.63 8.74 8.85 8.96 9.07
508030406150412 CLORETO DE SÓDIO 0,9% 9 MG/ML SOL INJ IV CX BOLS PLAS PP TRANS 5.48 6.23 6.60 6.64 6.68 6.77 6.85 6.94 7.03
(EUROFARMA LABORATÓRIOS S.A.) SIST FECH X 250 ML
4.30 4.89 5.18 5.21 5.24 5.31 5.38 5.45 5.52
5.20 5.91 6.27 6.31 6.35 6.43 6.51 6.58 6.67
7.08 8.04 8.53 8.58 8.63 8.74 8.85 8.96 9.07
5.01 5.69 6.03 6.07 6.10 6.18 6.26 6.34 6.42
5.01 5.69 6.03 6.07 6.10 6.18 6.26 6.34 6.42
520100901154419 SOLUÇÃO FISIOLÓGICA A 0,9% 9 G/L SOL INJ IV CX 80 BOLS PLAS SIST FECH X 417.65 474.60 503.19 506.24 509.33 515.62 522.06 528.67 535.45
(LABORATÓRIO SANOBIOL LTDA) 100 ML
327.73 372.42 394.85 397.25 399.67 404.61 409.66 414.85 420.17
141.14 160.38 170.04 171.07 172.12 174.24 176.43 178.65 180.94
84.72 96.27 102.07 102.69 103.32 104.60 105.90 107.24 108.62
69.24 78.68 83.42 83.93 84.44 85.49 86.55 87.65 88.77
aplicável o CAP.
Medicamentos
CLORETO DE SÓDIO
520101101151413 SOLUÇÃO FISIOLÓGICA A 0,9% 9 G/L SOL INJ IV CX 40 FR PLAS TRANS SIST 160.31 182.17 193.14 194.32 195.50 197.91 200.39 202.92 205.53
(LABORATÓRIO SANOBIOL LTDA) FECH X 250 ML
125.80 142.95 151.56 152.48 153.41 155.30 157.25 159.23 161.28
75.51 85.81 90.98 91.53 92.08 93.22 94.39 95.58 96.81
61.71 70.12 74.35 74.80 75.25 76.19 77.14 78.11 79.11
514918060010303 CLORETO DE SÓDIO JP FISIOLÓGICO 9 MG/ML SOL INJ IV CX 20 BOLS PVC SIST FECH 126.27 143.49 152.13 153.05 153.99 155.89 157.84 159.84 161.88
(JP INDUSTRIA FARMACEUTICA S/A) X 500 ML
99.08 112.60 119.38 120.10 120.84 122.33 123.86 125.43 127.03
533015110062204 CONIDRIN 3% 30 MG/ML SOL NAS CT FR SPR PLAS PET OPC X 15.77 18.22 19.49 19.62 19.76 20.04 20.33 20.63 20.94
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) 60 ML
12.37 14.30 15.29 15.40 15.51 15.72 15.95 16.19 16.43
Liberado
508314040020303 CLORETO DE SODIO 100 MG/ML SOL INJ IV CX 200 AMP PLAS TRANS 146.57 166.56 176.59 177.66 178.74 180.95 183.21 185.53 187.91
(FARMACE INDÚSTRIA QUÍMICO-FARMACÊUTICA CEARENSE LTDA) X 10 ML
115.01 130.70 138.57 139.41 140.26 141.99 143.76 145.59 147.45
507914060011803 SOLUCAO FISIOLOGICA DE CLORETO DE SODIO 9 MG/ML SOL INJ IV CX 200 AMP PLAS PE 91.48 103.95 110.22 110.88 111.56 112.94 114.35 115.80 117.28
(EQUIPLEX INDÚSTRIA FARMACÊUTICA LTDA) TRANS X 10 ML
71.78 81.57 86.49 87.01 87.54 88.62 89.73 90.87 92.03
540915100016217 RINOSORO SIC 30 MG/ML SOL NASAL CT FR PLAS OPC SPRAY 19.53 22.57 24.13 24.30 24.47 24.82 25.18 25.55 25.93
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) X 50 ML
15.33 17.71 18.93 19.07 19.20 19.48 19.76 20.05 20.35
Liberado
CLORETO DE SÓDIO;GLICOSE MONOIDRATADA

508030504152411 GLICOSE + CLORETO DE SÓDIO 50 MG/ML + 9 MG/ML SOL INJ IV BOLS PP 7.51 8.53 9.05 9.10 9.16 9.27 9.39 9.51 9.63
(EUROFARMA LABORATÓRIOS S.A.) TRANS SIST FECH X 500 ML
5.89 6.69 7.10 7.14 7.19 7.27 7.37 7.46 7.56
CLORIDRATO DE ONDANSETRONA DI-HIDRATADO

506715110060303 NAUSEDRON 2 MG/ML SOL INJ IV/IM CX 10 AMP VD AMB X 4 413.28 469.64 497.93 500.95 504.00 510.22 516.60 523.14 529.85
324.30 368.53 390.73 393.10 395.49 400.37 405.38 410.51 415.77
511816010010206 CLORIDRATO DE ONDANSETRONA 2 MG/ML SOL INJ CX 50 AMP VD AMB X 2 ML 1751.18 1989.98 2109.85 2122.64 2135.59 2161.95 2188.98 2216.68 2245.10
(HYPOFARMA - INSTITUTO DE HYPODERMIA E FARMÁCIA LTDA) 1374.15 1561.54 1655.60 1665.64 1675.80 1696.48 1717.69 1739.43 1761.73
511816010010306 CLORIDRATO DE ONDANSETRONA 2 MG/ML SOL INJ CX 50 AMP VD AMB X 4 ML 3502.34 3979.93 4219.69 4245.26 4271.15 4323.88 4377.93 4433.34 4490.18
(HYPOFARMA - INSTITUTO DE HYPODERMIA E FARMÁCIA LTDA) 2748.29 3123.05 3311.19 3331.26 3351.57 3392.95 3435.36 3478.84 3523.44
552919120087807 ANSENTRON 4 MG SOL INJ CT 100 AMP VD AMB X 2 ML 5870.76 6671.32 7073.20 7116.07 7159.46 7247.85 7338.45 7431.34 7526.61
552919120087907 ANSENTRON 8 MG SOL INJ CT 100 AMP VD AMB X 4 ML 11769.66 13374.62 14180.31 14266.25 14353.24 14530.45 14712.08 14898.31 15089.30
CLORIDRATO DE AMBROXOL
533514060025903 MUCOVIT 3 MG/ML XPE CT FR PLAS PET AMB X 120 ML + 19.59 22.64 24.21 24.38 24.55 24.90 25.26 25.63 26.01
(VITAMEDIC INDUSTRIA FARMACEUTICA LTDA) COP
15.37 17.77 19.00 19.13 19.26 19.54 19.82 20.11 20.41
Liberado
532317060009006 CLORIDRATO DE AMBROXOL 6MG/ML XPE CT 1 FR PLAS AMB X 100 ML + COP 11.77 13.60 14.54 14.65 14.75 14.96 15.18 15.40 15.63
(THEODORO F SOBRAL & CIA LTDA) 15ML
9.24 10.67 11.41 11.50 11.57 11.74 11.91 12.08 12.27
Liberado
532317060009106 CLORIDRATO DE AMBROXOL 6MG/ML XPE CT 60 FR PLAS AMB X 100 ML + 406.36 469.58 502.15 505.66 509.21 516.48 523.96 531.65 539.58
(THEODORO F SOBRAL & CIA LTDA) COP 15ML
318.87 368.48 394.04 396.79 399.58 405.28 411.15 417.18 423.41
Liberado
540415070009003 BRONQTRAT 3 MG/ML XPE CT FR PLAS AMB X 100 ML + SER 49.10 56.74 60.67 61.10 61.53 62.41 63.31 64.24 65.20
(NATULAB LABORATÓRIO S.A) DOS
38.53 44.52 47.61 47.95 48.28 48.97 49.68 50.41 51.16
Liberado
504617030055417 CLORIDRATO DE AMBROXOL 6 MG/ML XPE CT FR VD AMB X 120 ML + CP MED 504617030055417. 583129384527679. 623569393316320. 627924742902728.64 632341151149773. 641364208264194. 650648657000184 660206608166463. 670050172571754.
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) 395972983484485. 457581628038869. 489314902935316. 492732545755771.17 496198101307227. 503278494224913. 510564001148044 518064125428224. 525788370417056.
Liberado
CLORIDRATO DE AMILORIDA;CLORTALIDONA
508006402116411 DIUPRESS (25,0 + 5,0) MG COM CT BL AL PLAS LARANJA X 17.08 19.41 20.58 20.70 20.83 21.09 21.35 21.62 21.90
13.40 15.23 16.15 16.24 16.35 16.55 16.75 16.97 17.19
CLORIDRATO DE AMIODARONA
523700202111413 ANCORON 200 MG COM REV CT BL AL AL X 20 25.66 29.16 30.92 31.10 31.29 31.68 32.08 32.48 32.90
521000101111412 AMIOBAL 100 MG COM CT BL AL PLAS INC X 30 19.82 22.52 23.88 24.02 24.17 24.47 24.78 25.09 25.41
aplicável o CAP.
Medicamentos
CLORIDRATO DE AMIODARONA
521000102118410 AMIOBAL 200 MG COM CT BL AL PLAS INC X 30 25.62 29.11 30.87 31.05 31.24 31.63 32.03 32.43 32.85
552920050124417 CLORIDRATO DE AMIODARONA 200 MG COM CT BL AL PLAS TRANS X 30 27.05 30.74 32.59 32.79 32.99 33.40 33.81 34.24 34.68
552920050124517 CLORIDRATO DE AMIODARONA 200 MG COM CT BL AL PLAS TRANS X 20 17.56 19.95 21.16 21.28 21.41 21.68 21.95 22.23 22.51
510415090113803 AMIORON 100 MG COM CT BL AL PLAS TRANS X 30 20.43 23.22 24.61 24.76 24.91 25.22 25.54 25.86 26.19
510415090114103 AMIORON 200 MG COM CT BL AL PLAS TRANS X 30 35.42 40.25 42.67 42.93 43.20 43.73 44.28 44.84 45.41
CLORIDRATO DE AMITRIPTILINA
506714060053303 AMYTRIL 25 MG COM REV CT BL AL PLAS PVDC TRANS X 26.53 30.15 31.96 32.16 32.35 32.75 33.16 33.58 34.01
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) 30
20.82 23.66 25.08 25.24 25.38 25.70 26.02 26.35 26.69
504615110032017 CLORIDRATO DE AMITRIPTILINA 25 MG COM CT BL AL PLAS TRANS X 20 12.84 14.59 15.47 15.56 15.66 15.85 16.05 16.25 16.46
538818080053906 CLORIDRATO DE AMITRIPTILINA 25 MG COM REV CT BL AL PLAS OPC X 30 17.23 19.58 20.76 20.88 21.01 21.27 21.54 21.81 22.09
CLORIDRATO DE BAMIFILINA
508500701110418 BAMIFIX 300 MG COM REV CT BL AL PLAS TRANS X 20 25.31 28.76 30.49 30.68 30.87 31.25 31.64 32.04 32.45
508500702117416 BAMIFIX 600 MG COM REV CT BL AL PLAS TRANS X 20 40.39 45.90 48.66 48.96 49.26 49.86 50.49 51.13 51.78
CLORIDRATO DE BENAZEPRIL;BESILATO DE ANLODIPINO

504116120056903 PRESS PLUS 2,5 MG + 10 MG CAP DURA CT BL AL PLAS 145.57 165.42 175.39 176.45 177.52 179.72 181.96 184.27 186.63
114.23 129.81 137.63 138.46 139.30 141.03 142.78 144.60 146.45
504116120057303 PRESS PLUS 5 MG + 20 MG CAP DURA CT BL AL PLAS TRANS 233.51 265.35 281.34 283.04 284.77 288.28 291.89 295.58 299.37
(BIOLAB SANUS FARMACÊUTICA LTDA) X 100
183.24 208.22 220.77 222.10 223.46 226.21 229.05 231.94 234.92
CLORIDRATO DE BENSERAZIDA;LEVODOPA
529204102111318 PROLOPA (200 + 50) MG COM CT FR VD AMB X 30 72.68
(PRODUTOS ROCHE QUÍMICOS E FARMACÊUTICOS S.A.) 57.03
529204103118316 PROLOPA (100 + 25) MG CAP DURA LIB PROL CT FR VD 53.97

(PRODUTOS ROCHE QUÍMICOS E FARMACÊUTICOS S.A.) AMB X 30
42.35
529204101115311 PROLOPA (100 + 25) MG COM SUS CT FR VD AMB X 30 53.97

(PRODUTOS ROCHE QUÍMICOS E FARMACÊUTICOS S.A.) 42.35
529214080025905 PROLOPA (150 MG +50MG + 50 MG) COM LIB MOD CT FR 73.99

(PRODUTOS ROCHE QUÍMICOS E FARMACÊUTICOS S.A.) VD AMB X 30
58.06
552920010105507 LEVODOPA+CLORIDRATO DE BENSERAZIDA 100 MG + 25 MG COM CT FR VD AMB X 30 23.63

(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) 18.54
CLORIDRATO DE BENZIDAMINA
508000604116413 ANGINO RUB 3 MG PAST SBR MEL E LIMÃO CT STR AL X 16 12.29 14.20 15.19 15.29 15.40 15.62 15.85 16.08 16.32
Liberado
508000601117419 ANGINO RUB 3 MG PAST SBR MORANGO CT STR AL X 16 12.29 14.20 15.19 15.29 15.40 15.62 15.85 16.08 16.32
Liberado
508000605112411 ANGINO RUB 3 MG PAST SBR MENTA CT STR AL X 16 12.29 14.20 15.19 15.29 15.40 15.62 15.85 16.08 16.32
Liberado
CLORIDRATO DE BETAISTINA
508014010102206 DICLORIDRATO DE BETAISTINA 24 MG COM CT BL AL PLAS TRANS X 30 23.33 26.96 28.83 29.03 29.24 29.65 30.08 30.52 30.98
aplicável o CAP.
Medicamentos
CLORIDRATO DE BETAISTINA
501618010018403 LABIRIN 8 MG COM CT BL AL PLAS PVC/CTFE TRANS X 22.17 25.62 27.40 27.59 27.78 28.18 28.59 29.01 29.44
17.40 20.10 21.50 21.65 21.80 22.11 22.44 22.77 23.10
57.78 66.77 71.40 71.89 72.41 73.43 74.50 75.59 76.72
21.03 24.30 25.99 26.17 26.35 26.73 27.12 27.51 27.93
28.15 32.53 34.79 35.03 35.27 35.77 36.29 36.83 37.38
55.75 64.42 68.90 69.37 69.86 70.86 71.89 72.95 74.03
542616060007604 DEBET 16 MG COM CT BL AL PLAS TRANS X 20 11.43 13.21 14.12 14.22 14.32 14.53 14.74 14.95 15.18
(SUPERA FARMA LABORATÓRIOS S.A) 8.97 10.37 11.08 11.16 11.24 11.40 11.57 11.73 11.91
542616060007204 DEBET 24 MG COM CT BL AL PLAS TRANS X 30 24.15 27.91 29.84 30.05 30.26 30.69 31.14 31.60 32.07
500214100032517 BETASERC 16 MG COM CT BL AL PLAS INC X 30 27.50 31.78 33.98 34.22 34.46 34.95 35.46 35.98 36.52
(ABBOTT LABORATÓRIOS DO BRASIL LTDA) 21.58 24.94 26.66 26.85 27.04 27.42 27.83 28.23 28.66
(ALTHAIA S.A INDÚSTRIA FARMACÊUTICA) 11.30 13.06 13.96 14.06 14.15 14.36 14.57 14.78 15.00
500118060025806 DICLORIDRATO DE BETAISTINA 16 MG COM CT BL AL AL X 120 71.47 82.59 88.32 88.93 89.56 90.84 92.15 93.51 94.90
(AUROBINDO PHARMA INDÚSTRIA FARMACÊUTICA LIMITADA) 56.08 64.81 69.30 69.78 70.28 71.28 72.31 73.38 74.47
CLORIDRATO DE BETAXOLOL
500900501172314 BETOPTIC 5,0 MG/ML SOL OFT CT FR PLAS TRANS GOT X 23.62 26.84 28.46 28.63 28.80 29.16 29.53 29.90 30.28
(NOVARTIS BIOCIENCIAS S.A) 5 ML
18.53 21.06 22.33 22.47 22.60 22.88 23.17 23.46 23.76
510420070182707 VISOPTIC 5 MG/ML SOL OFT CT FR PLAS OPC GOT X 5 ML 13.40 15.23 16.14 16.24 16.34 16.54 16.75 16.96 17.18
CLORIDRATO DE BROMEXINA
524715070012404 LFM-BROMEXINA 0,08% 0,8 MG/ML XPE CX 50 FR PLAS AMB X 150 ML 264.75 305.94 327.16 329.44 331.76 336.50 341.37 346.38 351.55
Liberado
504614090022606 CLORIDRATO DE BROMEXINA 0,8MG/ML XPE CT FR PLAS AMB X 120ML + CP 12.42 14.35 15.35 15.45 15.56 15.79 16.01 16.25 16.49
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) MED
9.75 11.26 12.05 12.12 12.21 12.39 12.56 12.75 12.94
Liberado
CLORIDRATO DE BUPIVACAÍNA;HEMITARTARATO DE EPINEFRINA

506720010080007 NEOCAÍNA COM VASOCONSTRITOR 5,0MG/ML + 9,1MCG/ML SOL INJ CX 25 CARP 132.73 153.38 164.02 165.16 166.33 168.70 171.14 173.65 176.24
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) PLAS TRANP X 1,8 ML
104.15 120.36 128.71 129.60 130.52 132.38 134.29 136.26 138.29
Liberado
CLORIDRATO DE BUPROPIONA
523705701116411 ZETRON 150 MG COM REV LIB PROL CT BL AL PLAS 102.08 116.00 122.99 123.73 124.49 126.02 127.60 129.22 130.87
(LIBBS FARMACÊUTICA LTDA) TRANS X 30
80.10 91.03 96.51 97.09 97.69 98.89 100.13 101.40 102.69
508022103111411 BUP 150 MG COM REV LIB PROL CT BL AL/AL X 12 31.85 36.19 38.37 38.61 38.84 39.32 39.81 40.32 40.83
aplicável o CAP.
Medicamentos
CLORIDRATO DE BUPROPIONA
510608601119319 WELLBUTRIN 150 MG COM REV LIB PROL CT BL AL AL X 30 141.44 160.73 170.41 171.44 172.49 174.62 176.80 179.04 181.33
510611901111313 WELLBUTRIN 150 MG COM REV LIB PROL CT FR PLAS OPC X 34.10 38.75 41.08 41.33 41.59 42.10 42.63 43.16 43.72
(GLAXOSMITHKLINE BRASIL LTDA) 7
26.76 30.41 32.24 32.43 32.64 33.04 33.45 33.87 34.31
114.68 130.32 138.16 139.00 139.85 141.58 143.35 145.16 147.02
53.52 60.81 64.48 64.87 65.26 66.07 66.90 67.74 68.62
229.34 260.61 276.31 277.98 279.67 283.13 286.68 290.30 294.02
510609401113315 ZYBAN 150 MG COM REV LIB PROL CT BL AL AL X 30 116.36 132.23 140.19 141.04 141.90 143.65 145.45 147.29 149.18
533016030062604 SETH 150 MG COM REV LIB PROL CT BL AL AL X 30 65.50 74.43 78.92 79.39 79.88 80.86 81.88 82.91 83.97
533016030062704 SETH 150 MG COM REV LIB PROL CT BL AL AL X 60 104.82 119.11 126.29 127.05 127.83 129.41 131.03 132.68 134.38
533018030066906 CLORIDRATO DE BUPROPIONA 150 MG COM REV LIB PROL CT STRIP AL/PLAS X 160.11 181.94 192.90 194.07 195.26 197.67 200.14 202.67 205.27
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) 60
125.64 142.77 151.37 152.29 153.22 155.11 157.05 159.03 161.08
CLORIDRATO DE CEFEPIMA
513406105158112 CLORIDRATO DE CEFEPIMA 1 G PO SOL INJ IM/IV CX 50 FA VD TRANS 2967.00 3371.59 3574.70 3596.36 3618.29 3662.96 3708.75 3755.70 3803.85
513406101152111 CLORIDRATO DE CEFEPIMA 2 G PO SOL INJ IM/IV CX 50 FA VD TRANS 5395.17 6130.88 6500.20 6539.60 6579.47 6660.70 6743.96 6829.33 6916.88
CLORIDRATO DE CICLOBENZAPRINA
508021804114115 CLORIDRATO DE CICLOBENZAPRINA 5 MG COM REV CT BL AL PLAS TRANS X 15 11.75 13.58 14.52 14.62 14.72 14.93 15.15 15.37 15.60
508022704113417 MUSCULARE 5 MG COM REV CT BL AL PLAS TRANS X 15 11.75 13.58 14.52 14.62 14.72 14.93 15.15 15.37 15.60
508022702110410 MUSCULARE 10 MG COM REV CT BL AL PLAS TRANS X 15 13.09 15.13 16.18 16.29 16.40 16.64 16.88 17.13 17.38
501601802111319 MIOSAN 5 MG COM REV CT BL AL PLAS TRANS X 30 36.25 41.89 44.80 45.11 45.43 46.07 46.74 47.43 48.13
534215010011002 MITRUL 15 MG CAP DURA LIB PROL CT BL AL PLAS 7.22 8.34 8.92 8.98 9.05 9.18 9.31 9.45 9.59
5.67 6.54 7.00 7.05 7.10 7.20 7.31 7.42 7.53
534215010011102 MITRUL 15 MG CAP DURA LIB PROL CT BL AL PLAS 18.00 20.80 22.24 22.40 22.56 22.88 23.21 23.55 23.90
14.12 16.32 17.45 17.58 17.70 17.95 18.21 18.48 18.75
aplicável o CAP.
Medicamentos
CLORIDRATO DE CICLOBENZAPRINA
540916100023717 CIZAX 5 MG COM CT BL AL PLAS TRANS X 10 11.93 13.79 14.74 14.85 14.95 15.16 15.38 15.61 15.84
CLORIDRATO DE CICLOBENZAPRINA;LISINATO DE CLONIXINA

509014090012703 DOLAMIN FLEX 125 MG + 5,0 MG COM REV CT BL AL PLAS 31.41 36.30 38.81 39.09 39.36 39.92 40.50 41.09 41.71
(FARMOQUÍMICA S/A) TRANS X 12
24.65 28.48 30.45 30.67 30.89 31.32 31.78 32.24 32.73
CLORIDRATO DE CICLOPENTOLATO
501001401173315 CICLOPLÉGICO 10 MG/ML SOL OFT CT FR PLAS TRANS GOT X 5 7.91 9.14 9.77 9.84 9.91 10.05 10.20 10.35 10.50
6.21 7.17 7.67 7.72 7.78 7.89 8.00 8.12 8.24
CLORIDRATO DE CINACALCETE
541819120114007 MISSORT 30 MG COM REV CT BL AL AL X 60 1501.83 1735.50 1855.85 1868.82 1881.96 1908.81 1936.45 1964.89 1994.19
(EMS S/A) 1178.49 1361.85 1456.29 1466.46 1476.77 1497.84 1519.53 1541.85 1564.84
C CAP
(EMS S/A) 1964.14 2269.74 2427.15 2444.10 2461.29 2496.41 2532.55 2569.75 2608.07
C CAP
(EMS S/A) 2304.79 2663.39 2848.09 2867.98 2888.16 2929.37 2971.78 3015.43 3060.39
C CAP
541819120114307 MISSORT 60 MG COM REV CTBL AL AL X 100 4895.27 5656.92 6049.22 6091.47 6134.32 6221.85 6311.92 6404.64 6500.13
(EMS S/A) 3841.32 4438.99 4746.82 4779.98 4813.60 4882.29 4952.96 5025.72 5100.65
C CAP
CLORIDRATO DE CIPROEPTADINA;NICOTINAMIDA;CLORIDRATO DE TIAMINA;MONOFOSFATO DE RIBOFLAVINA SÓDICA;CLORIDRATO DE PIRIDOXINA;ÁCIDO

504902301130411 PETIVIT -BC 4,00 + 0,60 + 0,75 + 0,670+ 6,67 +21,67 MG/ML 25.89 29.92 31.99 32.22 32.44 32.91 33.38 33.87 34.38
(BRASTERAPICA INDUSTRIA FARMACEUTICA LTDA) XPE CT FR VD AMB X 240 ML
20.32 23.48 25.10 25.28 25.46 25.83 26.19 26.58 26.98
CLORIDRATO DE CIPROFLOXACINO
511501903116411 CIPROBIOT 500 MG COM REV CT BL AL PLAS PVC TRANS X 25.03
19.64
511501902111416 CIPROBIOT 500 MG COM REV CT BL AL PLAS PVC TRANS X 16.80

13.18
511502004115119 CLORIDRATO DE CIPROFLOXACINO 500 MG COM REV CT BL AL PLAS TRANS X 6 49.44



533801101172416 OTOFOXIN 5,8 MG/ML SOL OTO CT FR VD AMB GOT X 10 26.72 30.36 32.19 32.39 32.59 32.99 33.40 33.82 34.26
(ZAMBON LABORATÓRIOS FARMACÊUTICOS LTDA.) ML
20.97 23.82 25.26 25.42 25.57 25.89 26.21 26.54 26.88
501000903175413 BIAMOTIL 3,5 MG/ML SOL OFT CT FR PLAST OPC GOT X 5 19.15 21.76 23.07 23.21 23.35 23.64 23.94 24.24 24.55
15.03 17.08 18.10 18.21 18.32 18.55 18.79 19.02 19.26
501000901164414 BIAMOTIL 3,5 MG/G POM OFT CT BG AL X 3,5 G 18.27 20.76 22.01 22.15 22.28 22.56 22.84 23.13 23.42
aplicável o CAP.
Medicamentos
CLORIDRATO DE CIPROFLOXACINO ;DEXAMETASONA

501001102176312 BIAMOTIL D 3,5 MG/ML + 1,0 MG/ML SOL OFT CT FR PLAS 29.35 33.35 35.36 35.58 35.79 36.23 36.69 37.15 37.63
(ALLERGAN PRODUTOS FARMACÊUTICOS LTDA) OPC GOT X 5 ML
23.03 26.17 27.75 27.92 28.08 28.43 28.79 29.15 29.53
501001101161311 BIAMOTIL D 3,5 MG/G + 1,0 MG/G POM OFT CT BG AL X 3,5 G 32.20 36.59 38.80 39.03 39.27 39.75 40.25 40.76 41.28
CLORIDRATO DE CIPROFLOXACINO MONOIDRATADO

500900803179311 CILOXAN 3MG/ML SOL OFT CT FR GOT PLAS TRANS X 5 18.81 21.38 22.66 22.80 22.94 23.22 23.51 23.81 24.12
14.76 16.78 17.78 17.89 18.00 18.22 18.45 18.68 18.93
504118070063703 QUINOFLOX 500 MG COM REV CT BL AL PLAS TRANS X 28 99.99

CLORIDRATO DE CLOMIPRAMINA
526501001110314 ANAFRANIL 75 MG COM LIB LENTA CT BL AL PLAS TRANS X 72.42 82.30 87.25 87.78 88.32 89.41 90.53 91.67 92.85
(NOVARTIS BIOCIENCIAS S.A) 20
56.83 64.58 68.47 68.88 69.31 70.16 71.04 71.93 72.86
541814110009206 CLORIDRATO DE CLOMIPRAMINA 25 MG COM REV CT BL AL PLAS PVDC OPC X 20 22.05 25.06 26.57 26.73 26.89 27.22 27.56 27.91 28.27
(EMS S/A) 17.30 19.66 20.85 20.98 21.10 21.36 21.63 21.90 22.18
510015010028006 CLORIDRATO DE CLOMIPRAMINA 25 MG COM REV CT BL AL PLAS PVDC OPC X 20 21.97

ICMS0%
510015010028106 CLORIDRATO DE CLOMIPRAMINA 25 MG COM REV CT BL AL PLAS PVDC OPC X 552.47

(FUNDAÇÃO PARA O REMÉDIO POPULAR - FURP) 500
433.52 492.64 522.32 525.48 528.68 535.21 541.91 548.76 555.79
ICMS0%
CLORIDRATO DE DELAPRIL;DICLORIDRATO DE MANIDIPINO

508503101114311 HIPERTIL 30 MG + 10 MG COM CT FR VD AMB X 28 93.85 106.65 113.07 113.76 114.45 115.86 117.31 118.80 120.32
CLORIDRATO DE DEXMEDETOMIDINA
533016030062804 EXTODIN 100 MCG/ML SOL INJ CT 5 FA VD TRANS X 2 ML 653.27 742.35 787.07 791.84 796.67 806.51 816.59 826.92 837.53
571618080000006 CLORIDRATO DE DEXMEDETOMIDINA 100 MCG/ML SOL INJ CT FA VD TRANS X 2 ML 110.99 126.13 133.72 134.53 135.35 137.02 138.74 140.49 142.29
(VOLPHARMA DISTRIBUIDORA DE PRODUTOS HOSPITALARES E 87.09 98.97 104.93 105.56 106.21 107.52 108.87 110.24 111.65
571618080000106 CLORIDRATO DE DEXMEDETOMIDINA 100 MCG/ML SOL INJ CT 5 FA VD TRANS X 2 ML 555.04 630.73 668.72 672.78 676.88 685.23 693.80 702.58 711.59
CLORIDRATO DE DIFENIDRAMINA;CÂNFORA (2-BORNANONA);CALAMINA

504617050062507 CALAMYN 80 MG/ML + 10 MG/ML + 1 MG/ML LOC CT FR 20.39 23.56 25.20 25.37 25.55 25.92 26.29 26.68 27.07
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) PLAS OPC X 120 ML
16.00 18.49 19.77 19.91 20.05 20.34 20.63 20.94 21.24
Liberado
CLORIDRATO DE DILTIAZEM
541815030010806 CLORIDRATO DE DILTIAZEM 30 MG COM CT BL AL PLAS OPC X 50 14.93 16.97 17.99 18.10 18.21 18.43 18.66 18.90 19.14
(EMS S/A) 11.72 13.32 14.12 14.20 14.29 14.46 14.64 14.83 15.02
CLORIDRATO DE DONEPEZILA
511517701119416 ZILEDON 5 MG COM REV CT BL AL AL X 10 17.89
C CAP

C CAP

C CAP

C CAP
511517501111111 CLORIDRATO DE DONEPEZILA 5MG COM REV CT BL AL AL X 30 137.45

C CAP
511517502116115 CLORIDRATO DE DONEPEZILA 10MG COM REV CT BL AL AL X 30 174.86

C CAP
aplicável o CAP.
Medicamentos
CLORIDRATO DE DONEPEZILA
506716030062106 CLORIDRATO DE DONEPEZILA 10 MG COM REV CT BL AL PLAS TRANS X 30 358.69
542614060002104 SENES 5 MG COM REV CT BL AL PLAS TRANS X 10 74.81

500513020047804 DONILA 10 MG COM REV CT BL AL PLAS TRANS X 30 460.08

C CAP
510014050013603 FURP-DONEPEZILA 5 MG COM REV CX BL AL PLAS TRANS X 250 2692.57

(FUNDAÇÃO PARA O REMÉDIO POPULAR - FURP) (EMB HOSP)
2112.86 2400.98 2545.61 2561.04 2576.66 2608.47 2641.07 2674.51 2708.79
ICMS0%
529912060038506 CLORIDRATO DE DONEPEZILA 5 MG COM REV BL AL PLAS TRANS X 30 103.56

(RANBAXY FARMACÊUTICA LTDA) 81.26
510420020180307 CLORIDRATO DE DONEPEZILA 5 MG COM REV CT BL AL PLAS PVC TRANS X 30 322.80

C CAP
510420020180407 CLORIDRATO DE DONEPEZILA 5 MG COM REV CT BL AL PLAS PVC TRANS X 4842.03

(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) 450
3799.54
C CAP

281.46
C CAP

4222.07
C CAP
536219120010107 CLORIDRATO DE DONEPEZILA 5 MG COM REV CT BL AL PLAS PVC/PVDC 301.28

(ZYDUS NIKKHO FARMACÊUTICA LTDA) TRANS X 30
236.41
536219120010007 CLORIDRATO DE DONEPEZILA 10 MG COM REV CT BL AL PLAS PVC/PVDC 334.77

262.69
CLORIDRATO DE DORZOLAMIDA
525502401173413 TRUSOPT 20 MG/ML SOL OFT CT FR PLAS TRANS X 5 ML 71.00 80.68 85.54 86.06 86.59 87.65 88.75 89.87 91.03
CLORIDRATO DE DOXICICLINA
527916030023606 HICLATO DE DOXICICLINA 100 MG COM REV CT BL AL PLAS PVC TRANS X 24.55 27.90 29.58 29.76 29.94 30.31 30.69 31.08 31.47
19.26 21.89 23.21 23.35 23.49 23.78 24.08 24.39 24.69
CLORIDRATO DE DOXORRUBICINA
523708101152314 FAULDOXO 2 MG/ML SOL INJ IV/IVES CT FA VD TRANS X 5 103.76 117.91 125.01 125.77 126.54 128.10 129.70 131.34 133.03
(LIBBS FARMACÊUTICA LTDA) ML
81.42 92.52 98.10 98.69 99.30 100.52 101.78 103.06 104.39
523708102159312 FAULDOXO 2 MG/ML SOL INJ IV/IVES CT FA VD TRANS X 25 435.95 495.40 525.24 528.42 531.65 538.21 544.94 551.84 558.91
(LIBBS FARMACÊUTICA LTDA) ML
342.09 388.74 412.16 414.65 417.19 422.33 427.61 433.03 438.58
514515100028103 CAELYX 2 MG/ML SUS INJ CT FA TRANS X 25 ML 7268.91 8260.13 8757.72 8810.80 8864.52 8973.96 9086.14 9201.15 9319.11
508618080006317 EVORUBICIN 10 MG PÓ LIOF INJ CT FA VD AMB 56.66 64.39 68.27 68.68 69.10 69.95 70.83 71.72 72.64
(FARMARIN INDUSTRIA E COMERCIO LTDA) 44.46 50.53 53.57 53.89 54.22 54.89 55.58 56.28 57.00
508618080006217 EVORUBICIN 10 MG PÓ LIOF INJ CT 5 FA VD AMB 283.36 322.00 341.40 343.47 345.56 349.83 354.20 358.68 363.28
508618080006417 EVORUBICIN 50 MG PÓ LIOF INJ CT 5 FA VD AMB 1177.32 1337.86 1418.46 1427.05 1435.76 1453.48 1471.65 1490.28 1509.38
CLORIDRATO DE DULOXETINA
509017070015904 ABRETIA 30 MG CAP DURA LIB RETARD CT BL AL PLAS 26.58 30.20 32.02 32.22 32.41 32.81 33.23 33.65 34.08
20.86 23.70 25.13 25.28 25.43 25.74 26.08 26.41 26.74
44.71 50.81 53.87 54.20 54.53 55.20 55.90 56.60 57.32
89.39 101.58 107.70 108.35 109.02 110.36 111.74 113.15 114.61
aplicável o CAP.
Medicamentos
CLORIDRATO DE DULOXETINA
178.79 203.17 215.42 216.72 218.05 220.74 223.49 226.32 229.23
42.83 48.67 51.60 51.92 52.23 52.87 53.54 54.22 54.90
91.73 104.24 110.52 111.19 111.87 113.25 114.67 116.11 117.60
366.97 417.01 442.14 444.81 447.53 453.05 458.72 464.52 470.47
500515110061804 DUAL 60 MG CAP DURA LIB RETARD CT BL AL PLAS 60.08 68.27 72.39 72.82 73.27 74.17 75.10 76.05 77.03
47.14 53.57 56.80 57.14 57.50 58.20 58.93 59.68 60.45
500515110061904 DUAL 60 MG CAP DURA LIB RETARD CT BL AL PLAS 257.42 292.52 310.14 312.02 313.93 317.80 321.78 325.85 330.03
202.00 229.54 243.37 244.84 246.34 249.38 252.50 255.69 258.98
507614060018003 CYMBALTA 30 MG CAP DURA C/ MGRAN RETARD CT BL AL 177.08 201.23 213.35 214.64 215.95 218.62 221.35 224.15 227.03
(ELI LILLY DO BRASIL LTDA) AL X 28
138.95 157.91 167.42 168.43 169.46 171.55 173.69 175.89 178.15
507620020020607 CYMBALTA 30 MG CAP DURA C/ MGRAN RETARD CT BL AL 62.77 71.33 75.63 76.08 76.55 77.49 78.46 79.46 80.47
(ELI LILLY DO BRASIL LTDA) AL X 10
49.26 55.97 59.35 59.70 60.07 60.81 61.57 62.35 63.14
531616020079803 CYMBI 30 MG CAP DURA LIB RETARD CT BL AL AL X 60 374.14 425.16 450.77 453.50 456.27 461.90 467.68 473.60 479.67
531616020079903 CYMBI 60 MG CAP DURA LIB RETARD CT BL AL AL X 60 760.99 864.76 916.86 922.41 928.04 939.49 951.24 963.28 975.63
CLORIDRATO DE EPINASTINA
501006101135311 RELESTAT 0,5 MG/ML SOL OFT CT FR GOT PLAS PEBD 47.25 54.60 58.39 58.80 59.21 60.05 60.92 61.82 62.74
(ALLERGAN PRODUTOS FARMACÊUTICOS LTDA) OPC X 5 ML
37.08 42.84 45.82 46.14 46.46 47.12 47.80 48.51 49.23
501006102131311 RELESTAT 0,5 MG/ML SOL OFT CT FR GOT PLAS PEBD 94.50 109.20 116.78 117.59 118.42 120.11 121.85 123.64 125.48
(ALLERGAN PRODUTOS FARMACÊUTICOS LTDA) OPC X 10 ML
74.15 85.69 91.64 92.27 92.92 94.25 95.62 97.02 98.46
CLORIDRATO DE ERLOTINIBE
529208001115213 TARCEVA 25 MG COM REV CT BL AL PVC X 30 2637.77 3297.21 3338.95 3381.76
C CAP ICMS0%
C CAP ICMS0%
C CAP ICMS0%
CLORIDRATO DE ESCETAMINA
506716040062203 KETAMIN 50 MG/ML SOL INJ IM/IV CX 5 FA VD AMB X 10 387.45 440.28 466.81 469.64 472.50 478.33 484.31 490.44 496.73
304.03 345.49 366.31 368.53 370.77 375.34 380.04 384.85 389.78
506716030061903 KETAMIN 50 MG/ML SOL INJ IM/IV CX 25 AMP VD AMB X 2 352.92 401.05 425.20 427.78 430.39 435.70 441.15 446.73 452.46
276.94 314.70 333.65 335.68 337.73 341.89 346.17 350.55 355.05
3040.19 3454.76 3662.88 3685.08 3707.54 3753.31 3800.23 3848.34 3897.68
506716030062003 KETAMIN 50 MG/ML SOL INJ IM/IV CX 36 AMP VD AMB X 2 508.20 577.50 612.29 616.00 619.76 627.41 635.25 643.29 651.54
398.78 453.16 480.46 483.38 486.33 492.33 498.48 504.79 511.26
1452.35 1650.40 1749.83 1760.43 1771.16 1793.03 1815.44 1838.43 1861.99
CLORIDRATO DE ESMOLOL
506714120053803 BREVIBLOC 10 MG/ML SOL INJ CX 25 FA VD AMB X 10 ML 1447.81 1645.24 1744.35 1754.92 1765.62 1787.42 1809.76 1832.67 1856.17
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) (EMB. HOSP.)
1136.10 1291.02 1368.79 1377.09 1385.48 1402.59 1420.12 1438.10 1456.54
CLORIDRATO DE FENILEFRINA
501002601176316 COLÍRIO FENILEFRINA 10% OCULUM 10% SOL OFT CT FR PLAS OPC GOT X 5ML 8.95 10.17 10.78 10.85 10.91 11.05 11.19 11.33 11.47
aplicável o CAP.
Medicamentos
CLORIDRATO DE FENILEFRINA
506717030066803 FENILEFRIN 10 MG/ML SOL INJ CX 25 AMP VD TRANS X 1 ML 238.50 271.02 287.35 289.09 290.85 294.44 298.13 301.90 305.77
CLORIDRATO DE FEXOFENADINA
538614060001406 CLORIDRATO DE FEXOFENADINA 120 MG COM REV CT BL AL AL X 10 26.06 30.11 32.20 32.43 32.66 33.12 33.60 34.10 34.60
538614060001506 CLORIDRATO DE FEXOFENADINA 180 MG COM REV CT BL AL AL X 10 39.78 45.97 49.16 49.50 49.85 50.56 51.29 52.05 52.82
CLORIDRATO DE FINGOLIMODE
526532501115315 GILENYA 0,5 MG CAP GEL DURA CT BL AL PLAS TRANS X 7529.16 8700.61 9303.99 9368.98 9434.87 9569.50 9708.03 9850.64 9997.51
(NOVARTIS BIOCIENCIAS S.A) 28
5908.13 6827.37 7300.84 7351.84 7403.54 7509.19 7617.89 7729.80 7845.05
C CAP
CLORIDRATO DE FLUOXETINA
508007401113417 FLUXENE 20 MG CAP DURA CT BL AL PLAS TRANS X 14 33.03 37.53 39.80 40.04 40.28 40.78 41.29 41.81 42.35
508015120110206 CLORIDRATO DE FLUOXETINA 20 MG CAP DURA CT BL AL PLAS TRANS X 28 34.45 39.15 41.51 41.76 42.01 42.53 43.06 43.61 44.17
525415120047106 CLORIDRATO DE FLUOXETINA 20 MG COM REV CT BL AL PLAS INC X 28 32.29 36.69 38.90 39.14 39.38 39.86 40.36 40.87 41.40
(MERCK S/A) 25.34 28.79 30.52 30.71 30.90 31.28 31.67 32.07 32.49
510015020035306 CLORIDRATO DE FLUOXETINA 20MG COM REV CT BL AL PLAS TRANS X 30 33.95

ICMS0%
543114040000206 CLORIDRATO DE FLUOXETINA 20 MG CAP GEL DURA CT BL AL PLAS TRANS X 41.70 47.39 50.24 50.55 50.85 51.48 52.13 52.78 53.46
(BLISFARMA INDÚSTRIA FARMACÊUTICA LTDA - ME) 28
32.72 37.19 39.42 39.67 39.90 40.40 40.91 41.42 41.95
(BLISFARMA INDÚSTRIA FARMACÊUTICA LTDA - ME) 70 (EMB HOSP)
81.81 92.97 98.57 99.17 99.78 101.01 102.27 103.56 104.89
(AUROBINDO PHARMA INDÚSTRIA FARMACÊUTICA LIMITADA) 30
27.23 30.94 32.81 33.00 33.21 33.62 34.04 34.46 34.91
CLORIDRATO DE GENCITABINA
523708701151416 GENLIBBS 200 MG PÓ LIÓF INJ CT FA VD TRANS 215.91 245.35 260.13 261.71 263.30 266.56 269.89 273.30 276.81
523708702156411 GENLIBBS 1 G PÓ LIÓF INJ CT FA VD TRANS 1074.69 1221.24 1294.81 1302.65 1310.60 1326.78 1343.36 1360.37 1377.81
CLORIDRATO DE GRANISETRONA
508014003152113 CLORIDRATO DE GRANISETRONA 1 MG/ML SOL INJ CT 10 AMP VD TRANS X 3 ML 1259.28 1431.00 1517.20 1526.40 1535.71 1554.67 1574.10 1594.03 1614.46
511818090010806 CLORIDRATO DE GRANISETRONA 1 MG/ML SOL INJ IV CX 10 AMP VD TRANS X 3 1557.37 1769.74 1876.35 1887.72 1899.23 1922.68 1946.71 1971.35 1996.63
(HYPOFARMA - INSTITUTO DE HYPODERMIA E FARMÁCIA LTDA) ML
1222.07 1388.71 1472.37 1481.29 1490.33 1508.73 1527.58 1546.92 1566.76
aplicável o CAP.
Medicamentos
CLORIDRATO DE GRANISETRONA
559118080008717 KYTRIL 1 MG/ML SOL INJ CT AMP VD TRANS X 3 ML 193.74 220.16 233.42 234.84 236.27 239.19 242.18 245.24 248.38
(LABORATÓRIOS BAGÓ DO BRASIL S/A) 152.03 172.76 183.16 184.28 185.40 187.69 190.04 192.44 194.90
559118080008617 KYTRIL 1 MG/ML SOL INJ CT AMP VD TRANS X 1 ML 96.43 109.58 116.18 116.88 117.60 119.05 120.54 122.06 123.63
CLORIDRATO DE HIDRALAZINA
526501202116417 APRESOLINA 50 MG COM REV CT BL AL PLAS TRANS X 20 7.70 8.75 9.28 9.33 9.39 9.51 9.63 9.75 9.87
CLORIDRATO DE HIDROXIZINA
540920020042407 DRICS 10MG/5ML SOL ORAL CT FR VD AMB X 22.58 26.09 27.90 28.10 28.30 28.70 29.11 29.54 29.98
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) 100ML+COPO MEDIDA
17.72 20.47 21.89 22.05 22.21 22.52 22.84 23.18 23.52
540920020042507 DRICS 10MG/5ML SOL ORAL CT FR VD AMB X 27.09 31.30 33.48 33.71 33.95 34.43 34.93 35.44 35.97
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) 120ML+COPO MEDIDA
21.26 24.56 26.27 26.45 26.64 27.02 27.41 27.81 28.23
CLORIDRATO DE HIDROXOCOBALAMINA;FOSFATO DISSÓDICO DE DEXAMETASONA;DIPIRONA

508006001154411 DEXALGEN 5 MG/ML SOL INJ CX 3 AMP VD AMB X 1 ML +1,5 36.36 42.02 44.93 45.24 45.56 46.21 46.88 47.57 48.28
(EUROFARMA LABORATÓRIOS S.A.) MG/ML +500MG/ML SOL INJ 3 AMP VD AMB X 1
28.53 32.97 35.26 35.50 35.75 36.26 36.79 37.33 37.89
ML
508006002150418 DEXALGEN 5 MG/ML SOL INJ CX AMP VD AMB X 1 ML + 1,5 11.61 13.42 14.35 14.45 14.55 14.76 14.97 15.19 15.42
(EUROFARMA LABORATÓRIOS S.A.) MG/ML + 500 MG/ML SOL INJ AMP VD AMB X 1
9.11 10.53 11.26 11.34 11.42 11.58 11.75 11.92 12.10
ML
CLORIDRATO DE IMIPRAMINA
505615110041117 TOFRANIL 10 MG COM REV CT BL AL PLAS PVC/PE/PVDC 9.30 10.57 11.20 11.27 11.34 11.48 11.63 11.77 11.92
(ASPEN PHARMA INDÚSTRIA FARMACÊUTICA LTDA) TRANS X 20
7.30 8.29 8.79 8.84 8.90 9.01 9.13 9.24 9.35
505615110041217 TOFRANIL 25 MG COM REV CT BL AL PLAS PVC/PE/PVDC 11.33 12.88 13.65 13.73 13.82 13.99 14.16 14.34 14.53
(ASPEN PHARMA INDÚSTRIA FARMACÊUTICA LTDA) TRANS X 20
8.89 10.11 10.71 10.77 10.85 10.98 11.11 11.25 11.40
CLORIDRATO DE IOIMBINA
501603301118317 YOMAX 5,4 MG COM CT BL AL PLAS TRANS X 60 62.61 72.35 77.37 77.91 78.46 79.58 80.73 81.91 83.14
CLORIDRATO DE IRINOTECANO TRIIDRATADO

519513090021104 TREBYXAN 20 MG/ML SOL DIL INFUS IV CT 10 FA VD AMB X 7635.79 8677.04 9199.74 9255.50 9311.94 9426.90 9544.74 9665.56 9789.47
(LABORATÓRIO QUÍMICO FARMACÊUTICO BERGAMO LTDA) 2 ML
5991.80 6808.87 7219.04 7262.79 7307.08 7397.29 7489.76 7584.57 7681.80
CLORIDRATO DE ISOXSUPRINA
501601101111312 INIBINA 10 MG COM CT BL AL PLAS INC X 20 67.99 78.57 84.02 84.60 85.20 86.41 87.67 88.95 90.28
501601102150311 INIBINA 5 MG/ML SOL INJ CT 5 AMP X 2 ML 65.58 75.78 81.04 81.61 82.18 83.35 84.56 85.80 87.08
501601103157311 INIBINA 5 MG/ML SOL INJ CX 25 AMP X 2 ML 324.23 374.68 400.66 403.46 406.30 412.09 418.06 424.20 430.53
CLORIDRATO DE LEVAMISOL
514516020032103 ASCARIDIL 150 MG COM CT BL AL PLAS TRANS X 100 266.06 307.46 328.78 331.07 333.40 338.16 343.06 348.09 353.28
Liberado
514516020032003 ASCARIDIL 80 MG COM CT BL AL PLAS TRANS X 100 250.03 288.93 308.97 311.13 313.32 317.79 322.39 327.12 332.00
Liberado
CLORIDRATO DE LEVOBUNOLOL
501000802174314 BETAGAN 5 MG/ML SOL OFT CT FR PLAS OPC GOT X 5 ML 24.39 27.72 29.39 29.56 29.74 30.11 30.49 30.87 31.27
501000801178316 BETAGAN 5 MG/ML SOL OFT CT FR PLAS OPC GOT X 10 42.35 48.13 51.02 51.33 51.65 52.28 52.94 53.61 54.29
33.23 37.77 40.04 40.28 40.53 41.02 41.54 42.07 42.60
CLORIDRATO DE LEVOMEPROMAZINA
aplicável o CAP.
Medicamentos
CLORIDRATO DE LEVOMEPROMAZINA
576720030060517 NEOZINE 40 MG/ML SOL OR CT FR GOT VD AMB X 20 ML 11.55 13.13 13.92 14.00 14.09 14.26 14.44 14.62 14.81
CLORIDRATO DE LIDOCAINA
506720020080607 XYLESTESIN 20 MG/ML SOL INJ CX 50 CARP PLAS TRANS X 168.54 194.76 208.27 209.72 211.20 214.21 217.31 220.51 223.79
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) 1,8 ML
132.25 152.83 163.43 164.57 165.73 168.09 170.52 173.03 175.61
Liberado
506715120061403 XYLESTESIN ISOBÁRICO 20 MG/ML SOL INJ CX 40 EST PLAS X 1 AMP VD 129.22 146.84 155.69 156.63 157.59 159.53 161.53 163.57 165.67
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) TRANS X 5 ML
101.40 115.23 122.17 122.91 123.66 125.18 126.75 128.35 130.00
512015120006103 LIDIAL 50 MG/G POM DERM CT BG AL X 25 G 10.75 12.22 12.95 13.03 13.11 13.27 13.44 13.61 13.78
(VALEANT FARMACÊUTICA DO BRASIL LTDA) 8.44 9.59 10.16 10.22 10.29 10.41 10.55 10.68 10.81
CLORIDRATO DE LIDOCAINA;HEMITARTARATO DE NOREPINEFRINA

506720080084907 XYLESTESIN COM NOREPINEFRINA 20 MG/ML + 0,04 MG/ML SOL INJ CX 50 CARP 168.54 194.76 208.27 209.72 211.20 214.21 217.31 220.51 223.79
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) PLAS OPC X 1,8 ML USO PROFISSIONAL
132.25 152.83 163.43 164.57 165.73 168.09 170.52 173.03 175.61
Liberado
CLORIDRATO DE LISINA
536214070004914 GABALLON 10 MG + 10 MG + 0,4 MG + 0,8 MG + 0,8 MG XPE 27.33 31.58 33.77 34.01 34.25 34.74 35.24 35.76 36.29
(ZYDUS NIKKHO FARMACÊUTICA LTDA) CT FR VD AMB X 100 ML
21.45 24.78 26.50 26.69 26.88 27.26 27.65 28.06 28.48
CLORIDRATO DE LOPERAMIDA
511503001111412 DIASEC 2 MG COM CT BL AL PLAS TRANS X 12 5.11 5.91 6.31 6.36 6.40 6.49 6.59 6.69 6.79
527920010036007 CLORIDRATO DE LOPERAMIDA 2,0 MG COM CT BL AL PLAS TRANS X 12 4.17 4.82 5.15 5.19 5.23 5.30 5.38 5.46 5.54
527920010036107 CLORIDRATO DE LOPERAMIDA 2,0 MG COM CT BL AL PLAS TRANS X 200 (EMB 69.46 80.27 85.83 86.43 87.04 88.28 89.56 90.88 92.23
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) FRAC)
54.51 62.99 67.35 67.82 68.30 69.27 70.28 71.31 72.37
CLORIDRATO DE LURASIDONA
530418030014102 LATUDA® 80 MG COM REV CT BL AL AL X 7 72.01 83.21 88.98 89.61 90.24 91.52 92.85 94.21 95.62
(DAIICHI SANKYO BRASIL FARMACÊUTICA LTDA) 56.51 65.29 69.82 70.32 70.81 71.81 72.86 73.93 75.03
CLORIDRATO DE MEBEVERINA
500214050031608 DUSPATALIN 200 MG CAP DURA LIB PROL CT BL AL/AL X 30 122.46 141.51 151.33 152.38 153.46 155.65 157.90 160.22 162.61
500216020034303 DUSPATALIN 200 MG CAP DURA LIB PROL CT BL AL/AL X 60 244.91 283.02 302.64 304.76 306.90 311.28 315.78 320.42 325.20
CLORIDRATO DE MEMANTINA
523716020033903 ZIDER 10 MG COM REV CT BL AL PLAS TRANS X 120 168.09 191.01 202.52 203.75 204.99 207.52 210.11 212.77 215.50
C CAP
508029602111412 HEIMER 10 MG COM REV CT BL AL PLAS TRANS X 15 27.77 31.56 33.46 33.66 33.87 34.28 34.71 35.15 35.60
aplicável o CAP.
Medicamentos
CLORIDRATO DE MEMANTINA
508029801114111 CLORIDRATO DE MEMANTINA 10 MG COM REV CT BL AL PLAS TRANS X 30 71.86 81.66 86.58 87.10 87.63 88.72 89.83 90.96 92.13
508029802110118 CLORIDRATO DE MEMANTINA 10 MG COM REV CT BL AL PLAS TRANS X 60 142.34 161.75 171.49 172.53 173.59 175.73 177.93 180.18 182.49
501603901115319 ALOIS 10 MG COM REV CT BL AL PLAS PVC/PVDC 75.07 85.31 90.45 90.99 91.55 92.68 93.84 95.03 96.24
(APSEN FARMACEUTICA S/A) TRANS X 30
58.91 66.94 70.98 71.40 71.84 72.73 73.64 74.57 75.52
501603902111414 ALOIS 10 MG COM REV CT BL AL PLAS PVC/PVDC 148.68 168.95 179.13 180.22 181.32 183.56 185.85 188.20 190.62
116.67 132.58 140.56 141.42 142.28 144.04 145.84 147.68 149.58
509017070015704 DESIRÉE 10 MG COM REV CT BL AL PLAS TRANS X 30 81.96 93.14 98.75 99.35 99.95 101.19 102.45 103.75 105.08
(FARMOQUÍMICA S/A) 64.31 73.09 77.49 77.96 78.43 79.40 80.39 81.41 82.46
C CAP
509017070015804 DESIRÉE 10 MG COM REV CT BL AL PLAS TRANS X 60 163.94 186.30 197.52 198.72 199.93 202.40 204.93 207.52 210.18
(FARMOQUÍMICA S/A) 128.64 146.19 154.99 155.94 156.89 158.82 160.81 162.84 164.93
C CAP
576720020056607 CLORIDRATO DE MEMANTINA 10 MG COM REV CT BL AL PLAS PVC/PVDC 48.09 54.65 57.94 58.29 58.65 59.37 60.11 60.87 61.65
(SANOFI MEDLEY FARMACÊUTICA LTDA.) TRANS X 30
37.74 42.88 45.47 45.74 46.02 46.59 47.17 47.76 48.38
C CAP
576720020056707 CLORIDRATO DE MEMANTINA 10 MG COM REV CT BL AL PLAS PVC/PVDC 94.22 107.07 113.52 114.21 114.90 116.32 117.78 119.27 120.79
73.93 84.02 89.08 89.62 90.16 91.28 92.42 93.59 94.78
C CAP
CLORIDRATO DE MEMANTINA;CLORIDRATO DE DONEPEZILA

500515020059405 DONILA DUO 10MG+15MG COM REV CT BL AL PLAS TRANS X 559.67 646.75 691.60 696.43 701.33 711.34 721.63 732.23 743.15
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) 30
439.17 507.50 542.70 546.49 550.33 558.19 566.26 574.58 583.15
CLORIDRATO DE MEPIVACAÍNA
507201201150414 MEPISV 30MG/ML SOL INJ CT BL TRANS X 50 CARP VD 128.83 146.40 155.22 156.16 157.11 159.05 161.04 163.08 165.17
(DFL INDÚSTRIA E COMÉRCIO S/A) TRANS X 1,8ML
101.09 114.88 121.80 122.54 123.28 124.81 126.37 127.97 129.61
Liberado
506720030082007 MEPICAIN 3% 30MG/ML SOL INJ CX 50 CARP PLAS TRANS X 193.82 223.98 239.51 241.18 242.88 246.34 249.91 253.58 257.36
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) 1,8 ML
152.09 175.76 187.94 189.25 190.59 193.30 196.10 198.98 201.95
Liberado
CLORIDRATO DE MEPIVACAÍNA;HEMITARTARATO DE NOREPINEFRINA

507200601155415 MEPINOR 20 MG/ML + 18 MCG/ML SOL INJ CT 50 CARP VD 62.48 71.00 75.28 75.73 76.20 77.14 78.10 79.09 80.10
(DFL INDÚSTRIA E COMÉRCIO S/A) TRANS X 1,8 ML
49.03 55.71 59.07 59.42 59.80 60.53 61.29 62.06 62.85
Liberado
CLORIDRATO DE METFORMINA
525404902119411 GLIFAGE 500 MG COM REV EST BL AL PLAS TRANS X 30 16.80 19.09 20.24 20.36 20.49 20.74 21.00 21.27 21.54
(MERCK S/A) 13.18 14.98 15.88 15.98 16.08 16.27 16.48 16.69 16.90
525404901112413 GLIFAGE 1 G COM REV EST BL AL PLAS TRANS X 30 32.07 36.44 38.64 38.87 39.11 39.59 40.09 40.59 41.12
(MERCK S/A) 25.17 28.59 30.32 30.50 30.69 31.07 31.46 31.85 32.27
525402603114111 CLORIDRATO DE METFORMINA 850 MG COM REV CT BL AL PLAS PVC TRANS X 14.26
(MERCK S/A) 30
11.19
525402602118111 CLORIDRATO DE METFORMINA 500 MG COM REV CT BL AL PLAS PVC TRANS X 10.49 11.92 12.64 12.72 12.79 12.95 13.11 13.28 13.45
(MERCK S/A) 30
8.23 9.35 9.92 9.98 10.04 10.16 10.29 10.42 10.55
525402601111113 CLORIDRATO DE METFORMINA 500 MG COM REV CT BL AL PLAS PVC TRANS X 19.52 22.18 23.52 23.66 23.80 24.10 24.40 24.71 25.03
(MERCK S/A) 60
15.32 17.40 18.46 18.57 18.67 18.91 19.15 19.39 19.64
525402604110118 CLORIDRATO DE METFORMINA 850 MG COM REV CT BL AL PLAS PVC TRANS X 26.52
(MERCK S/A) 60
20.81
525402605117108 CLORIDRATO DE METFORMINA 1G COM REV CT BL AL PLAS PVC TRANS X 30 19.59 22.26 23.60 23.75 23.89 24.19 24.49 24.80 25.12
(MERCK S/A) 15.37 17.47 18.52 18.64 18.75 18.98 19.22 19.46 19.71
525420305111315 GLIFAGE XR 500 MG COM LIB PROL CT BL AL PLAS TRANS X 6.63

(MERCK S/A) 30
5.20
aplicável o CAP.
Medicamentos
CLORIDRATO DE METFORMINA
525420301116312 GLIFAGE XR 750 MG COM LIB PROL CT BL AL PLAS TRANS X 7.61 8.65 9.17 9.22 9.28 9.40 9.51 9.63 9.76
(MERCK S/A) 10
5.97 6.79 7.20 7.23 7.28 7.38 7.46 7.56 7.66
525420302112310 GLIFAGE XR 750 MG COM LIB PROL CT BL AL PLAS TRANS X 22.88 26.00 27.57 27.73 27.90 28.25 28.60 28.96 29.33
(MERCK S/A) 30
17.95 20.40 21.63 21.76 21.89 22.17 22.44 22.72 23.01
525420303119319 GLIFAGE XR 1 G COM LIB PROL CT BL AL PLAS TRANS X 10 10.61 12.06 12.78 12.86 12.94 13.10 13.26 13.43 13.60
(MERCK S/A) 8.33 9.46 10.03 10.09 10.15 10.28 10.40 10.54 10.67
525420304115317 GLIFAGE XR 1 G COM LIB PROL CT BL AL PLAS TRANS X 30 31.81 36.15 38.33 38.56 38.79 39.27 39.76 40.27 40.78
(MERCK S/A) 24.96 28.37 30.08 30.26 30.44 30.81 31.20 31.60 32.00
525415070045706 CLORIDRATO DE METFORMINA 500 MG COM LIB PROL CT BL AL PLAS TRANS X 7.50
(MERCK S/A) 30
5.89
525415070045806 CLORIDRATO DE METFORMINA 750 MG COM LIB PROL CT BL AL PLAS TRANS X 14.87 16.90 17.92 18.02 18.13 18.36 18.59 18.82 19.06
(MERCK S/A) 30
11.67 13.26 14.06 14.14 14.23 14.41 14.59 14.77 14.96
541815020010006 CLORIDRATO DE METFORMINA 500 MG COM REV CT BL AL PLAS PVC OPC X 8.67 9.85 10.45 10.51 10.57 10.70 10.84 10.97 11.12
(EMS S/A) 30
6.80 7.73 8.20 8.25 8.29 8.40 8.51 8.61 8.73
541816060016206 CLORIDRATO DE METFORMINA 1000 MG COM LIB PROL CT BL AL PLAS OPC X 20.69 23.51 24.93 25.08 25.23 25.54 25.86 26.19 26.53
(EMS S/A) 30
16.24 18.45 19.56 19.68 19.80 20.04 20.29 20.55 20.82
526215120010203 CLORIDRATO DE METFORMINA 850 MG COM CT BL AL PLAS TRANS X 30 5.75

528516060129706 CLORIDRATO DE METFORMINA 850 MG COM REV CT BL AL PLAS TRANS X 60 23.98

528516060129606 CLORIDRATO DE METFORMINA 500 MG COM REV CT BL AL PLAS TRANS X 60 18.49 21.01 22.28 22.41 22.55 22.83 23.11 23.41 23.71
(PRATI DONADUZZI & CIA LTDA) 30
6.93
528515030127006 CLORIDRATO DE METFORMINA 750 MG COM LIB PROL CT BL AL PLAS TRANS X 14.85 16.88 17.89 18.00 18.11 18.33 18.56 18.80 19.04
11.65 13.25 14.04 14.12 14.21 14.38 14.56 14.75 14.94
11.75
CLORIDRATO DE METFORMINA;DAPAGLIFLOZINA
505116010022505 XIGDUO XR 10MG + 1000MG COM REV LIB PROL CT BL 149.45 172.70 184.68 185.97 187.28 189.95 192.70 195.53 198.45
(BRISTOL-MYERS SQUIBB FARMACÊUTICA LTDA) AL/AL X 30
117.27 135.52 144.92 145.93 146.96 149.05 151.21 153.43 155.72
502317110032217 XIGDUO XR (5 + 1000) MG COM REV LIB PROL CT BL AL/AL X 34.91 40.34 43.14 43.44 43.75 44.37 45.01 45.67 46.35
(ASTRAZENECA DO BRASIL LTDA) 14
27.39 31.65 33.85 34.09 34.33 34.82 35.32 35.84 36.37
117.23 135.47 144.87 145.88 146.90 149.01 151.17 153.38 155.67
54.72 63.23 67.62 68.09 68.57 69.55 70.55 71.59 72.66
502317110032517 XIGDUO XR (10 + 1000) MG COM REV LIB PROL CT BL AL/AL 69.73 80.58 86.17 86.77 87.38 88.63 89.91 91.23 92.59
(ASTRAZENECA DO BRASIL LTDA) X 14
54.72 63.23 67.62 68.09 68.57 69.55 70.55 71.59 72.66
502317110032617 XIGDUO XR (10 + 1000) MG COM REV LIB PROL CT BL AL/AL 149.47 172.73 184.70 185.99 187.30 189.98 192.73 195.56 198.47
(ASTRAZENECA DO BRASIL LTDA) X 30
117.29 135.54 144.93 145.95 146.97 149.08 151.24 153.46 155.74
CLORIDRATO DE METFORMINA;GLIMEPIRIDA
532717010025605 AZULIX MF 2 MG + 1000 MG COM LIB PROL CT BL AL/AL X 137.88 156.68 166.12 167.13 168.15 170.22 172.35 174.53 176.77
(TORRENT DO BRASIL LTDA) 60
108.19 122.95 130.35 131.15 131.95 133.57 135.24 136.95 138.71
CLORIDRATO DE METILFENIDATO
526513204119311 RITALINA 20 MG CAP DURA LIB PROL CT FR PLAS PEAD 209.27 241.83 258.60 260.41 262.24 265.98 269.83 273.79 277.88
(NOVARTIS BIOCIENCIAS S.A) OPC X 30
164.21 189.76 202.92 204.34 205.78 208.71 211.74 214.84 218.05
172.43 199.26 213.08 214.57 216.08 219.16 222.33 225.59 228.96
aplicável o CAP.
Medicamentos
CLORIDRATO DE METILFENIDATO
181.02 209.19 223.69 225.26 226.84 230.08 233.41 236.84 240.37
61.60 71.18 76.12 76.65 77.19 78.29 79.43 80.59 81.80
526513207118314 RITALINA 10 MG COM CT BL AL AL X 60 61.52 71.09 76.02 76.55 77.09 78.19 79.32 80.49 81.69
CLORIDRATO DE METOCLOPRAMIDA
530700701153411 METOCLOSANTISA 10 MG SOL INJ CX PAP 100 AMP VD INC X 2 ML 44.86 51.84 55.43 55.82 56.21 57.02 57.84 58.69 59.57
(SANTISA LABORATÓRIO FARMACÊUTICO S/A) 35.20 40.68 43.50 43.80 44.11 44.74 45.39 46.05 46.75
506414110028906 CLORIDRATO DE METOCLOPRAMIDA 4 MG/ML SOL OR CT FR GOT PLAS OPC X 10 ML 4.59 5.30 5.67 5.71 5.75 5.83 5.92 6.01 6.09
CLORIDRATO DE METOCLOPRAMIDA MONOIDRATADO

576720020056517 PLASIL 10 MG COM CT BL AL PLAS TRANS X 20 8.04 9.29 9.94 10.00 10.08 10.22 10.37 10.52 10.68
CLORIDRATO DE MIDAZOLAM
529201401150310 DORMONID 5 MG/ML SOL INJ CX C/ 5 AMP VD TRANS X 3 ML 81.42 92.52 98.10 98.69 99.29 100.52 101.78 103.06 104.38
529201404151318 DORMONID 1 MG/ML SOL INJ CX 5 AMP VD TRANS X 5 ML 37.92 43.09 45.69 45.96 46.24 46.81 47.40 48.00 48.62
529201405156313 DORMONID 5 MG/ML SOL INJ CX C/ 5 AMP VD TRANS X 10 191.71 217.85 230.98 232.38 233.79 236.68 239.64 242.67 245.78
150.43 170.95 181.25 182.35 183.45 185.72 188.05 190.42 192.86
506715100059903 DORMIRE 1 MG/ML SOL INJ IV/IM/RET CX 10 AMP VD AMB 73.30 83.30 88.31 88.85 89.39 90.49 91.63 92.78 93.97
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) X 5 ML
57.52 65.37 69.30 69.72 70.14 71.01 71.90 72.80 73.74
506715100059803 DORMIRE 5 MG/ML SOL INJ IV/IM/RET CX 10 AMP VD AMB 370.66 421.20 446.58 449.28 452.02 457.60 463.33 469.19 475.21
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) X 10 ML
290.86 330.52 350.43 352.55 354.70 359.08 363.58 368.17 372.90
CLORIDRATO DE MOXIFLOXACINO
508015100108506 CLORIDRATO DE MOXIFLOXACINO 1,60 MG/ML SOL INFUS IV CT ENVOL BOLS PLAS 127.87 145.31 154.06 154.99 155.94 157.86 159.84 161.86 163.94
(EUROFARMA LABORATÓRIOS S.A.) PP TRANS SIST FECH X 250ML
100.34 114.02 120.89 121.62 122.37 123.87 125.43 127.01 128.64
500904201130317 VIGAMOX 5 MG/ML SOL OFT CT FR PLAS TRANS GOT X 5 30.53 34.69 36.78 37.01 37.23 37.69 38.16 38.65 39.14
23.96 27.22 28.86 29.04 29.21 29.58 29.94 30.33 30.71
528520020164307 CLORIDRATO DE MOXIFLOXACINO 400 MG COM REV CT BL AL PLAS PVC/PCTFE 100.51 114.22 121.10 121.83 122.57 124.09 125.64 127.23 128.86
(PRATI DONADUZZI & CIA LTDA) TRANS X 5
78.87 89.63 95.03 95.60 96.18 97.37 98.59 99.84 101.12
528520020164407 CLORIDRATO DE MOXIFLOXACINO 400 MG COM REV CT BL AL PLAS PVC/PCTFE 127.17 144.51 153.22 154.15 155.09 157.00 158.96 160.97 163.04
99.79 113.40 120.23 120.96 121.70 123.20 124.74 126.31 127.94
528520020164507 CLORIDRATO DE MOXIFLOXACINO 400 MG COM REV CT BL AL AL X 5 100.51 114.22 121.10 121.83 122.57 124.09 125.64 127.23 128.86
528520020164207 CLORIDRATO DE MOXIFLOXACINO 400 MG COM REV CT BL AL AL X 7 127.17 144.51 153.22 154.15 155.09 157.00 158.96 160.97 163.04
CLORIDRATO DE NAFAZOLINA
500901101178410 CLAROFT 0,12 MG/ML SOL OFT CT FR PLAS OPC GOT X 15 8.32 9.61 10.28 10.35 10.43 10.57 10.73 10.89 11.05
6.53 7.54 8.07 8.12 8.19 8.29 8.42 8.55 8.67
512016100006817 NOVO RINO 0,5 MG/ML SOL NAS CT FR PLAS OPC GOT X 15 7.06 8.16 8.72 8.79 8.85 8.97 9.10 9.24 9.37
(VALEANT FARMACÊUTICA DO BRASIL LTDA) ML
5.54 6.40 6.84 6.90 6.95 7.04 7.14 7.25 7.35
506420040038507 NARIX 0,5 MG/ML SOL NAS CT FR GOT PLAS 5.67 6.55 7.01 7.06 7.11 7.21 7.31 7.42 7.53
(CIMED INDUSTRIA S.A) PEAD/PEBD TRANSL X 30 ML
4.45 5.14 5.50 5.54 5.58 5.66 5.74 5.82 5.91
CLORIDRATO DE NAFAZOLINA;MALEATO DE FENIRAMINA

500901001173311 CLARIL 0,25 MG/ML + 3,0 MG/ML SOL OFT CT FR PLAS 12.94 14.95 15.99 16.10 16.22 16.45 16.68 16.93 17.18
(NOVARTIS BIOCIENCIAS S.A) TRANS GOT X 15 ML
10.15 11.73 12.55 12.63 12.73 12.91 13.09 13.29 13.48
Liberado
aplicável o CAP.
Medicamentos
CLORIDRATO DE NAFAZOLINA;SULFATO DE ZINCO

501005701171418 ZINCOLOK 0,5 MG/ML + 2,5 MG/ML SOL OFT CT FR PLAS 7.84 9.06 9.69 9.76 9.82 9.96 10.11 10.26 10.41
(ALLERGAN PRODUTOS FARMACÊUTICOS LTDA) OPC GOT X 10 ML
6.15 7.11 7.60 7.66 7.70 7.81 7.93 8.05 8.17
CLORIDRATO DE NARATRIPTANA
510605201111316 NARAMIG 2,5 MG COM REV CT BL AL / AL X 4 15.55 17.67 18.73 18.85 18.96 19.20 19.44 19.68 19.94
531614060074904 NARATANO 2,5MG COM REV CT BL AL PLAS OPC X 10 31.76 36.09 38.27 38.50 38.73 39.21 39.70 40.20 40.72
CLORIDRATO DE NEBIVOLOL
520717010107006 CLORIDRATO DE NEBIVOLOL 5 MG COM CT BL AL PLAS PVC/PE/PVDC TRANS 60.41 69.81 74.65 75.17 75.70 76.78 77.89 79.04 80.21
47.40 54.78 58.58 58.99 59.40 60.25 61.12 62.02 62.94
532712100010704 NEBLOCK 5 MG COM CT BL AL/AL X 7 19.46 22.49 24.05 24.22 24.39 24.73 25.09 25.46 25.84
532719120033307 NEBLOCK 5 MG COM CT BL AL/AL X 100 273.34 315.87 337.77 340.13 342.53 347.41 352.44 357.62 362.95
504116020054503 NEBILET 5 MG COM CT BL AL PLAS INC X 30 92.94 107.40 114.85 115.65 116.46 118.13 119.84 121.60 123.41
504616120048306 CLORIDRATO DE NEBIVOLOL 5 MG COM CT BL AL PLAS PVC/PE/PVDC TRANS 56.39 65.16 69.68 70.17 70.66 71.67 72.71 73.78 74.88
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) X 28
44.25 51.13 54.68 55.06 55.45 56.24 57.06 57.90 58.76
CLORIDRATO DE NORTRIPTILINA
508019806113114 CLORIDRATO DE NORTRIPTILINA (PORTARIA 344/98 - 25 MG CAP GEL DURA CT BL AL PLAS INC X 30 23.57 26.78 28.40 28.57 28.74 29.10 29.46 29.84 30.22
CLORIDRATO DE OLODATEROL
504514100019602 STRIVERDI RESPIMAT 2,5 MCG PUFF SOL INAL CT FR PLAS 4ML + 115.34 133.29 142.53 143.52 144.53 146.60 148.72 150.90 153.15
(BOEHRINGER INGELHEIM DO BRASIL QUÍMICA E FARMACÊUTICA RESPIMAT
90.51 104.59 111.84 112.62 113.41 115.04 116.70 118.41 120.18
CLORIDRATO DE OLOPATADINA
500903101175310 PATANOL 1,0 MG/ML SOL OFT CT FR GOT PLAS OPC X 5 45.71 51.94 55.07 55.41 55.74 56.43 57.14 57.86 58.60
35.87 40.76 43.21 43.48 43.74 44.28 44.84 45.40 45.98
500904601171411 PATANOL 2,0 MG/ML SOL OFT CT FR PLAS OPC X 2,5 ML 45.71 51.94 55.07 55.41 55.74 56.43 57.14 57.86 58.60
CLORIDRATO DE ONDANSETRONA
534315030001704 LISTO 4 MG COM ORODISP CT BL AL PLAS TRANS X 27.01 30.69 32.54 32.74 32.94 33.35 33.76 34.19 34.63
(AVERT LABORATÓRIOS LTDA) 10
21.19 24.08 25.53 25.69 25.85 26.17 26.49 26.83 27.17
534315030001804 LISTO 8 MG COM ORODISP CT BL AL PLAS TRANS X 53.23 60.49 64.13 64.52 64.91 65.72 66.54 67.38 68.24
(AVERT LABORATÓRIOS LTDA) 10
41.77 47.47 50.32 50.63 50.93 51.57 52.21 52.87 53.55
CLORIDRATO DE OXIBUTININA
501602402115315 RETEMIC 5 MG COM CT BL AL PLAS TRANS X 30 25.82 29.84 31.91 32.13 32.36 32.82 33.29 33.78 34.28
501602403111313 RETEMIC 5 MG COM CT BL AL PLAS TRANS X 60 42.88 49.55 52.99 53.36 53.73 54.50 55.29 56.10 56.94
501603801110315 RETEMIC 10 MG COM REV LIB PROL CT BL AL PLAS 77.59 89.66 95.88 96.55 97.23 98.62 100.04 101.51 103.03
60.88 70.36 75.24 75.76 76.30 77.39 78.50 79.65 80.85
542620020012007 NOURIN 5 MG COM CT BL AL PLAS PVC TRANS X 30 23.18 26.79 28.64 28.84 29.05 29.46 29.89 30.33 30.78
aplicável o CAP.
Medicamentos
CLORIDRATO DE OXIBUTININA
542620020012107 NOURIN 5 MG COM CT BL AL PLAS PVC TRANS X 60 39.06 45.14 48.27 48.60 48.95 49.64 50.36 51.10 51.87
CLORIDRATO DE OXICODONA
534219110019007 CLORIDRATO DE OXICODONA 10 MG COM REV LIB PROL CT BL AL AL X 14 70.63 80.26 85.10 85.61 86.13 87.20 88.29 89.41 90.55
(ADIUM S.A.) 55.42 62.98 66.78 67.18 67.59 68.43 69.28 70.16 71.05
(ADIUM S.A.) 110.87 125.99 133.58 134.39 135.20 136.87 138.59 140.34 142.14
(ADIUM S.A.) 166.28 188.96 200.33 201.55 202.77 205.28 207.85 210.48 213.18
(ADIUM S.A.) 395.91 449.90 477.00 479.89 482.82 488.78 494.90 501.16 507.58
(ADIUM S.A.) 99.40 112.95 119.75 120.48 121.22 122.71 124.25 125.82 127.44
(ADIUM S.A.) 198.79 225.90 239.51 240.96 242.43 245.41 248.48 251.63 254.85
(ADIUM S.A.) 298.19 338.85 359.26 361.44 363.64 368.14 372.73 377.45 382.29
(ADIUM S.A.) 397.58 451.80 479.02 481.92 484.86 490.85 496.98 503.27 509.73
(ADIUM S.A.) 709.95 806.76 855.36 860.54 865.79 876.48 887.44 898.67 910.19
556716100000107 OXYCONTIN 10 MG COM REV LIB PROL CT BL AL PLAS 226.77 257.69 273.22 274.87 276.55 279.96 283.46 287.05 290.73
(MUNDIPHARMA BRASIL PRODUTOS MÉDICOS E FARMACÊUTICOS PVC/PVDC TRANS X 28
177.95 202.21 214.40 215.69 217.01 219.68 222.43 225.25 228.14
319.08 362.59 384.44 386.76 389.12 393.93 398.86 403.90 409.08
542.92 616.95 654.12 658.08 662.10 670.27 678.65 687.24 696.05
CLORIDRATO DE OXIMETAZOLINA
525516020019117 AFRIN 0,5 MG SOL NAS CT FR SPR PLAS OPC X 10 ML 9.02 10.42 11.15 11.22 11.30 11.46 11.63 11.80 11.98
525516020019317 AFRIN 0,250 MG SOL NAS CT FR GOT PLAS OPC X 20 11.31 13.07 13.98 14.07 14.17 14.37 14.58 14.80 15.02
(ORGANON FARMACÊUTICA LTDA.) ML
8.87 10.26 10.97 11.04 11.12 11.28 11.44 11.61 11.79
CLORIDRATO DE PALONOSETRONA
527304601156312 ONICIT 0,05 MG/ML SOL INJ CT FA VD TRANS X 1,5 ML 90.25 104.29 111.52 112.30 113.09 114.71 116.37 118.08 119.84
CLORIDRATO DE PAROXETINA
523701004119416 CEBRILIN 30 MG COM REV CT BL AL/PLAS TRANS X 30 135.62 154.11 163.40 164.39 165.39 167.43 169.53 171.67 173.87
523701003112418 CEBRILIN 20 MG COM REV CT BL AL/PLAS TRANS X 30 123.16 139.95 148.39 149.28 150.20 152.05 153.95 155.90 157.90
523701001111414 CEBRILIN 10 MG COM REV CT BL AL PLAS INC X 30 61.32 69.68 73.88 74.33 74.78 75.70 76.65 77.62 78.62
508011006118418 PONDERA 20 MG COM REV CT BL AL PLAS PVC TRANS X 121.02 137.52 145.81 146.69 147.59 149.41 151.28 153.19 155.15
94.96 107.91 114.42 115.11 115.81 117.24 118.71 120.21 121.75
36.93 41.97 44.49 44.76 45.03 45.59 46.16 46.74 47.34
145.42 165.25 175.21 176.27 177.34 179.53 181.78 184.07 186.44
aplicável o CAP.
Medicamentos
CLORIDRATO DE PAROXETINA
15.83 17.99 19.07 19.19 19.30 19.54 19.78 20.03 20.29
31.61 35.92 38.08 38.31 38.54 39.02 39.51 40.01 40.52
508003302110115 CLORIDRATO DE PAROXETINA (PORTARIA 344/98 LISTA 20 MG COM REV CT BL AL PLAS TRANS X 30 44.49 50.56 53.60 53.93 54.26 54.93 55.61 56.32 57.04
508011010115411 PONDERA 15 MG COM REV CT BL AL PLAS TRANS X 10 20.13 22.88 24.25 24.40 24.55 24.85 25.16 25.48 25.81
510600902111311 AROPAX 20 MG COM REV CT BL AL PLAS PVC TRANS X 221.02 251.16 266.29 267.90 269.54 272.86 276.28 279.77 283.36
173.43 197.09 208.96 210.22 211.51 214.11 216.80 219.54 222.35
533015120062406 CLORIDRATO DE PAROXETINA 20 MG COM REV CT BL AL PLAS TRANS X 30 32.64 37.09 39.33 39.56 39.80 40.30 40.80 41.32 41.85
527916030026806 CLORIDRATO DE PAROXETINA 20 MG COM REV CT BL AL PVC/PVDC OPC X 30 51.38 58.39 61.90 62.28 62.66 63.43 64.23 65.04 65.87
CLORIDRATO DE PILOCARPINA
501004301171412 PILOCARPINA 10 MG/ML SOL OCU CT FR PLAS TRANS GOT X 17.64 20.05 21.25 21.38 21.51 21.78 22.05 22.33 22.62
13.84 15.73 16.67 16.78 16.88 17.09 17.30 17.52 17.75
501004302176418 PILOCARPINA 20 MG/ML SOL OCU CT FR PLAS TRANS GOT X 24.85

19.50
501004303172416 PILOCARPINA 40 MG/ML SOL OCU CT FR PLAS TRANS GOT X 36.33 41.28 43.77 44.04 44.30 44.85 45.41 45.99 46.58
28.51 32.39 34.35 34.56 34.76 35.19 35.63 36.09 36.55
CLORIDRATO DE PIOGLITAZONA
523718070037703 STANGLIT 15 MG COM CT FR PLAS OPC X 60 118.00 134.09 142.17 143.03 143.90 145.68 147.50 149.37 151.28
532712120011706 CLORIDRATO DE PIOGLITAZONA 45 MG COM CT BL AL/AL X 30 185.03 210.26 222.93 224.28 225.65 228.43 231.29 234.22 237.22
CLORIDRATO DE PIRIDOXINA;CIANOCOBALAMINA
560817070000517 NEVRIX (100 + 100 + 5) MG COM REV CT BL AL PLAS 40.73 46.28 49.07 49.37 49.67 50.28 50.91 51.56 52.22
(ARESE PHARMA LTDA) PVC TRANS X 20
31.96 36.32 38.51 38.74 38.98 39.45 39.95 40.46 40.98
CLORIDRATO DE PRILOCAÍNA;FELIPRESSINA
507200701151411 PRILONEST 30 MG/ML + 0,03 UI/ML SOL INJ 50 CARPULES 127.25 144.60 153.31 154.24 155.18 157.10 159.06 161.08 163.14
(DFL INDÚSTRIA E COMÉRCIO S/A) VD INC X 1,8 ML
99.85 113.47 120.30 121.03 121.77 123.28 124.81 126.40 128.02
Liberado
506719120079807 CITOCAINA 3 PCC + 0,03 UI / ML SOL INJ CT CX 50 CARP 168.54 194.76 208.27 209.72 211.20 214.21 217.31 220.51 223.79
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) PLAS TRANS X 1,8 ML
132.25 152.83 163.43 164.57 165.73 168.09 170.52 173.03 175.61
Liberado
CLORIDRATO DE PROPAFENONA
523715110033504 VATIS 150MG COM REV CT BL AL PLAS AMB X 15 17.70 20.11 21.33 21.45 21.59 21.85 22.13 22.41 22.69
aplicável o CAP.
Medicamentos
CLORIDRATO DE PROPAFENONA
508015120109806 CLORIDRATO DE PROPAFENONA 300 MG COM REV CT BL AL PLAS AMB X 30 54.20 61.59 65.30 65.70 66.10 66.91 67.75 68.61 69.49
508015110109204 TUNTÁ 300 MG COM REV CT BL AL PLAS AMB X 10 19.24 21.86 23.18 23.32 23.46 23.75 24.05 24.35 24.67
528519120162007 CLORIDRATO DE PROPAFENONA 300 MG COM REV CT BL AL PLAS AMB PVDC X 54.16 61.55 65.25 65.65 66.05 66.86 67.70 68.56 69.44
42.50 48.30 51.20 51.52 51.83 52.46 53.12 53.80 54.49
85.02 96.62 102.43 103.05 103.68 104.97 106.28 107.62 109.00
(PRATI DONADUZZI & CIA LTDA) 300 (EMB HOSP)
424.92 482.86 511.95 515.04 518.19 524.59 531.15 537.86 544.76
CLORIDRATO DE PROPRANOLOL
517620040025007 CLORIDRATO DE PROPRANOLOL 40MG COM CT BL AL PLAS LAR X 30 4.46
517620020024907 PROPALOL 40MG COM CT BL AL PLAS LAR X 30 4.46 5.07 5.37 5.41 5.44 5.51 5.58 5.65 5.72
541914070005004 FARMANGUINHOS - PROPRANOLOL 40 MG COM CX ENV KRAFT POLIET X 500 46.54 58.18 58.91 59.67
ICMS0%
528517010130607 CLORIDRATO DE PROPRANOLOL 40 MG COM CT BL AL PLAS OPC X 600 106.25

CLORIDRATO DE PROXIMETACAÍNA
500900301173414 ANESTALCON 5,0 MG/ML SOL OFT CT FR PLAST OPC GOT X 5 7.19 8.17 8.66 8.72 8.77 8.88 8.99 9.10 9.22
5.64 6.41 6.80 6.84 6.88 6.97 7.05 7.14 7.24
CLORIDRATO DE PSEUDOEFEDRINA;CLORIDRATO DE TRIPROLIDINA

509015070013003 ACTIFEDRIN (6,0 + 0,25) MG/ML XPE CT FR VD AMB X 100 ML 9.21 10.64 11.38 11.46 11.54 11.71 11.88 12.05 12.23
(FARMOQUÍMICA S/A) + COP
7.23 8.35 8.93 8.99 9.06 9.19 9.32 9.46 9.60
CLORIDRATO DE RANITIDINA
541818100090806 CLORIDRATO DE RANITIDINA 150 MG COM REV CT BL AL/AL X 20 26.60 30.23 32.05 32.24 32.44 32.84 33.25 33.67 34.10
(EMS S/A) 20.87 23.72 25.15 25.30 25.46 25.77 26.09 26.42 26.76
520715090095603 ANTIDIN 150 MG COM REV CX ENV AL X 100 (EMB HOSP) 101.62 115.48 122.43 123.18 123.93 125.46 127.03 128.63 130.28
504615040029104 NEOSAC 150 MG COM REV CT ENV AL X 20 27.39 31.13 33.00 33.20 33.40 33.81 34.24 34.67 35.12
504615040029204 NEOSAC 300 MG COM REV CT ENV AL X 20 50.09 56.92 60.35 60.72 61.09 61.84 62.61 63.41 64.22
525012040100106 CLORIDRATO DE RANITIDINA 300 MG COM REV CT BL AL/AL X 20 48.58 55.20 58.53 58.88 59.24 59.98 60.73 61.49 62.28
CLORIDRATO DE REMIFENTANILA
506715080057906 CLORIDRATO DE REMIFENTANILA 2 MG PO LIOF SOL INJ IV CT 1 FA VD TRANS 43.73 49.69 52.69 53.01 53.33 53.99 54.66 55.35 56.06
aplicável o CAP.
Medicamentos
CLORIDRATO DE REMIFENTANILA
506715080058006 CLORIDRATO DE REMIFENTANILA 2 MG PO LIOF SOL INJ IV CX 5 FA VD TRANS 218.62 248.43 263.40 264.99 266.61 269.90 273.28 276.73 280.28
506715080058106 CLORIDRATO DE REMIFENTANILA 5 MG PO LIOF SOL INJ IV CT 1 FA VD TRANS 99.76 113.36 120.19 120.92 121.66 123.16 124.70 126.28 127.90
506715080058206 CLORIDRATO DE REMIFENTANILA 5 MG PO LIOF SOL INJ IV CX 5 FA VD TRANS 498.80 566.82 600.96 604.61 608.29 615.80 623.50 631.39 639.49
506715120061003 REMIFAS 2 MG PO LIOF SOL INJ IV CT 1 FA VD TRANS 43.73 49.69 52.69 53.01 53.33 53.99 54.66 55.35 56.06
506715120061103 REMIFAS 2 MG PO LIOF SOL INJ IV CX 5 FA VD TRANS 218.62 248.43 263.40 264.99 266.61 269.90 273.28 276.73 280.28
506715120061203 REMIFAS 5 MG PO LIOF SOL INJ IV CT 1 FA VD TRANS 99.76 113.36 120.19 120.92 121.66 123.16 124.70 126.28 127.90
506715120061303 REMIFAS 5 MG PO LIOF SOL INJ IV CX 5 FA VD TRANS 498.80 566.82 600.96 604.61 608.29 615.80 623.50 631.39 639.49
CLORIDRATO DE ROPIVACAÍNA
508022605158110 CLORIDRATO DE ROPIVACAÍNA 7,5 MG/ ML SOL INJ CT 5 AMP VD TRANS X 20 146.22 166.16 176.17 177.24 178.32 180.52 182.78 185.09 187.46
(EUROFARMA LABORATÓRIOS S.A.) ML
114.74 130.39 138.24 139.08 139.93 141.65 143.43 145.24 147.10
508022602159116 CLORIDRATO DE ROPIVACAÍNA 10 MG/ ML SOL INJ CT 5 AMP VD TRANS X 20 ML 197.84 224.82 238.36 239.81 241.27 244.25 247.30 250.43 253.64
520716010099106 CLORIDRATO DE ROPIVACAÍNA 7,5 MG/ML SOL INJ CT 5 AMP VD TRANS X 20 ML 146.22 166.16 176.17 177.24 178.32 180.52 182.78 185.09 187.46
520716020099206 CLORIDRATO DE ROPIVACAÍNA 10,0 MG/ML SOL INJ CT 5 AMP VD TRANS X 20 197.82 224.80 238.34 239.78 241.24 244.22 247.28 250.41 253.62
155.23 176.40 187.03 188.15 189.30 191.64 194.04 196.50 199.02
520715110096904 OPIVAC 7,5 MG/ML SOL INJ CT 5 AMP VD TRANS X 20 ML 202.16 229.73 243.57 245.04 246.54 249.58 252.70 255.90 259.18
520715110097004 OPIVAC 10,0 MG/ML SOL INJ CT 5 AMP VD TRANS X 20 272.87 310.08 328.76 330.75 332.77 336.88 341.09 345.41 349.83
214.12 243.32 257.98 259.54 261.12 264.35 267.65 271.04 274.51
CLORIDRATO DE SELEGILINA
508502101110413 JUMEXIL 5 MG COM CT BL AL PLAS PVC TRANS X 20 32.33
(CHIESI FARMACÊUTICA LTDA) 25.37
C CAP
508517020011303 JUMEXIL 5 MG COM CT BL AL PLAS PVC TRANS X 50 80.82

(CHIESI FARMACÊUTICA LTDA) 63.42
C CAP
CLORIDRATO DE SERTRALINA
552820020063517 ZOLOFT 50 MG COM REV CT BL AL PLAS PVC TRANS X 46.37 52.69 55.87 56.21 56.55 57.25 57.96 58.70 59.45
36.39 41.35 43.84 44.11 44.38 44.92 45.48 46.06 46.65
44.47 50.53 53.58 53.90 54.23 54.90 55.59 56.29 57.01
53.27 60.53 64.17 64.57 64.96 65.76 66.58 67.42 68.29
57.25 65.06 68.98 69.40 69.82 70.68 71.56 72.47 73.40
57.07 64.86 68.76 69.18 69.60 70.46 71.34 72.24 73.16
122.69 139.42 147.81 148.72 149.62 151.46 153.36 155.30 157.29
532714120017603 SERENATA 100 MG COM REV CT BL AL AL X 30 173.19 196.81 208.66 209.93 211.21 213.81 216.49 219.23 222.04
aplicável o CAP.
Medicamentos
CLORIDRATO DE SERTRALINA
532715110020506 CLORIDRATO DE SERTRALINA 50 MG COM REV CT BL AL AL X 30 64.67 73.49 77.92 78.39 78.87 79.84 80.84 81.86 82.91
532715110020306 CLORIDRATO DE SERTRALINA 100 MG COM REV CT BL AL AL X 30 118.99 135.22 143.36 144.23 145.11 146.90 148.74 150.62 152.55
526118050099006 CLORIDRATO DE SERTRALINA 50 MG COM REV CT BL AL PLAS OPC X 30 53.83 61.17 64.86 65.25 65.65 66.46 67.29 68.14 69.01
510014120020406 CLORIDRATO DE SERTRALINA 50 MG COM REV CT BL AL PLAS INC X 60 110.60

ICMS0%
510014120022006 CLORIDRATO DE SERTRALINA 50 MG COM REV CT BL AL PLAS OPC X 60 110.60

ICMS0%
510014120022106 CLORIDRATO DE SERTRALINA 50 MG COM REV CT BL AL PLAS OPC X 500 922.38

ICMS0%
529918100059706 CLORIDRATO DE SERTRALINA 50 MG COM REV CT BL AL PLAS PVC/PVDC OPC 1078.59 1225.67 1299.51 1307.38 1315.35 1331.59 1348.24 1365.30 1382.81
(RANBAXY FARMACÊUTICA LTDA) X 500
846.37 961.78 1019.73 1025.90 1032.15 1044.90 1057.96 1071.35 1085.09
529918100059806 CLORIDRATO DE SERTRALINA 50 MG COM REV CT BL AL PLAS PVC/PVDC OPC 2157.22 2451.39 2599.06 2614.81 2630.76 2663.23 2696.53 2730.66 2765.67
(RANBAXY FARMACÊUTICA LTDA) X 1000
1692.77 1923.61 2039.48 2051.84 2064.36 2089.84 2115.97 2142.75 2170.22
510417040151603 TRASOLIN 50 MG COM REV CT BL AL PLAS TRANS X 490 896.68 1018.95 1080.34 1086.88 1093.51 1107.01 1120.85 1135.04 1149.59
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) (EMB HOSP)
703.62 799.57 847.74 852.87 858.08 868.67 879.53 890.67 902.08
538019120029007 CLORIDRATO DE SERTRALINA 50 MG COM REV CT BL AL PLAS PVC OPC X 10 35.28 40.09 42.51 42.76 43.02 43.56 44.10 44.66 45.23
CLORIDRATO DE SEVELÂMER
506715060057804 SEVCLOT 800 MG COM REV CT FR PLAS OPC X 180 1028.99
C CAP
541915040006106 CLORIDRATO DE SEVELAMER 800 MG COM REV CT FR PLAS OPC X 180 636.99
C CAP ICMS0%
CLORIDRATO DE SIBUTRAMINA MONOIDRATADO

508027302110414 SIBUS 10 MG CAP DURA CT BL AL PLAS TRANS X 30 35.58 41.12 43.97 44.27 44.59 45.22 45.88 46.55 47.24
508027301114416 SIBUS 15 MG CAP DURA CT BL AL PLAS TRANS X 30 40.00 46.22 49.43 49.77 50.12 50.84 51.58 52.33 53.11
CLORIDRATO DE SOTALOL
525402801110110 CLORIDRATO DE SOTALOL 160 MG COM CT FR PLAS OPC X 30 61.73 70.15 74.37 74.82 75.28 76.21 77.16 78.14 79.14
(MERCK S/A) 48.44 55.05 58.36 58.71 59.07 59.80 60.55 61.32 62.10
CLORIDRATO DE TANSULOSINA
504120020067207 CLORIDRATO DE TANSULOSINA 0,4 MG CAP DURA LIB PROL CT BL AL PLAS 85.82 97.52 103.40 104.02 104.66 105.95 107.28 108.63 110.03
67.34 76.52 81.14 81.62 82.13 83.14 84.18 85.24 86.34
CLORIDRATO DE TAPENTADOL
514516010030802 PALEXIS 150MG COM REV LIB PROL OR CT BL PVC INC 46.73 54.00 57.75 58.15 58.56 59.39 60.25 61.14 62.05
(JANSSEN-CILAG FARMACÊUTICA LTDA) PE AL X 10
36.67 42.37 45.32 45.63 45.95 46.60 47.28 47.98 48.69
219.94 254.16 271.79 273.69 275.61 279.55 283.59 287.76 292.05
aplicável o CAP.
Medicamentos
CLORIDRATO DE TAPENTADOL
53.50 61.83 66.11 66.57 67.05 68.00 68.98 69.99 71.04
CLORIDRATO DE TETRACAÍNA;CLORIDRATO DE FENILEFRINA

501000501174315 ANESTÉSICO OCULUM 10 MG/ML + 1 MG/ML SOL OFT CT FR PLAS 7.71 8.91 9.53 9.59 9.66 9.80 9.94 10.09 10.24
(ALLERGAN PRODUTOS FARMACÊUTICOS LTDA) TRANS GOT X 10 ML
6.05 6.99 7.48 7.52 7.58 7.69 7.80 7.92 8.04
CLORIDRATO DE TETRACAÍNA;ISETIONATO DE HEXAMIDINA

521115070061406 ISETIONATO DE HEXAMIDINA+CLORIDRATO DE 1 MG/ML + 0,5 MG/ML COLUT CT FR SPR VD 26.85 31.03 33.18 33.41 33.65 34.13 34.62 35.13 35.65
(BIOSINTÉTICA FARMACÊUTICA LTDA) TRANS X 50 ML
21.07 24.35 26.04 26.22 26.41 26.78 27.17 27.57 27.97
CLORIDRATO DE TETRACICLINA
525115050022303 TETRAMED 500 MG CAP CX BL AL PLAS INC X 8 9.16 10.41 11.04 11.10 11.17 11.31 11.45 11.59 11.74
(MEDQUIMICA INDUSTRIA FARMACEUTICA LTDA.) 7.19 8.17 8.66 8.71 8.76 8.88 8.98 9.09 9.21
528520020164607 CLORIDRATO DE TETRACICLINA 500 MG CAP GEL DURA CT BL AL PLAS TRANS X 101.68 115.55 122.51 123.25 124.00 125.53 127.10 128.71 130.36
(PRATI DONADUZZI & CIA LTDA) 100 (EMB HOSP)
79.79 90.67 96.13 96.71 97.30 98.50 99.74 101.00 102.29
CLORIDRATO DE TIAMINA;CLORIDRATO DE PIRIDOXINA;CIANOCOBALAMINA

560817070000017 NEVRIX IM (50 + 50 + 2,5) MG/ML SOL INJ IM CT 6 AMP VD 27.55 31.31 33.19 33.39 33.60 34.01 34.44 34.87 35.32
(ARESE PHARMA LTDA) AMB X 2 ML
21.62 24.57 26.04 26.20 26.37 26.69 27.03 27.36 27.72
11.56 13.14 13.93 14.01 14.09 14.27 14.45 14.64 14.81
3.63 4.13 4.38 4.40 4.43 4.49 4.54 4.60 4.66
7.16 8.15 8.63 8.69 8.73 8.84 8.95 9.07 9.19
CLORIDRATO DE TIZANIDINA
526514103111311 SIRDALUD 2 MG COM CT BL AL PLAS TRANS X 30 40.04 46.27 49.48 49.82 50.17 50.89 51.63 52.39 53.17
538616050002206 CLORIDRATO DE TIZANIDINA 2 MG COM CT BL AL PLAS INC X 30 23.36 26.99 28.87 29.07 29.27 29.69 30.12 30.56 31.02
CLORIDRATO DE TRAMADOL
525313090039906 CLORIDRATO DE TRAMADOL 50 MG CAP DURA CT BL AL PLAS OPC X 10 31.74 36.07 38.24 38.47 38.71 39.19 39.68 40.18 40.69
532412070007714 RAPITRAM 50 MG/ML SOL INJ CT 5 AMP VD TRANS X 1 ML 34.79 39.53 41.92 42.17 42.43 42.95 43.49 44.04 44.60
504616020033417 CLORIDRATO DE TRAMADOL 50 MG CAP DURA CT BL AL PLAS PVC OPC X 10 24.83 28.22 29.92 30.10 30.28 30.65 31.04 31.43 31.83
542815070000913 TRAMAL 50 MG/ML SOL INJ CT 5 AMP VD INC X 1ML 39.64 45.05 47.76 48.05 48.34 48.94 49.55 50.18 50.82
(GRÜNENTHAL DO BRASIL FARMACÊUTICA LTDA.) 31.11 35.35 37.48 37.71 37.93 38.40 38.88 39.38 39.88
542815070001013 TRAMAL 50 MG/ML SOL INJ CT 5 AMP VD INC X 2ML 56.65 64.38 68.25 68.67 69.09 69.94 70.81 71.71 72.63
542815070001303 TRAMAL RETARD 100 MG COM REV LIB PROL CT BL AL PLAS OPC 177.09 201.24 213.36 214.65 215.96 218.63 221.36 224.16 227.04
(GRÜNENTHAL DO BRASIL FARMACÊUTICA LTDA.) X 20
138.96 157.91 167.42 168.43 169.46 171.56 173.70 175.90 178.16
542815070000813 TRAMAL 100 MG/ML SOL OR GOT CT FR VD AMB X 10 ML 88.75 100.85 106.93 107.58 108.23 109.57 110.94 112.34 113.78
542815070000613 TRAMAL 50 MG CAP DURA CT BL AL PLAS PVC/PVDC 48.84 55.50 58.84 59.20 59.56 60.30 61.05 61.82 62.62
(GRÜNENTHAL DO BRASIL FARMACÊUTICA LTDA.) OPC X 10
38.32 43.55 46.17 46.45 46.74 47.32 47.91 48.51 49.14
542815070001103 TRAMAL 50 MG CAP DURA CT BL AL PLAS PVC/PVDC 97.65 110.97 117.65 118.36 119.09 120.56 122.06 123.61 125.19
(GRÜNENTHAL DO BRASIL FARMACÊUTICA LTDA.) OPC X 20
76.63 87.08 92.32 92.88 93.45 94.60 95.78 97.00 98.24
CLORIDRATO DE TRAMADOL;PARACETAMOL
aplicável o CAP.
Medicamentos
CLORIDRATO DE TRAMADOL;PARACETAMOL
530416120013604 DAISAN (37,5 + 325,0) MG COM REV CT BL AL PLAS 12.97 14.99 16.03 16.14 16.25 16.48 16.72 16.97 17.22
(DAIICHI SANKYO BRASIL FARMACÊUTICA LTDA) TRANS X 4
10.18 11.76 12.58 12.67 12.75 12.93 13.12 13.32 13.51
24.80 28.67 30.65 30.86 31.08 31.53 31.98 32.46 32.93
50.85 58.76 62.84 63.27 63.72 64.63 65.56 66.53 67.51
CLORIDRATO DE TRAZODONA
501600601110317 DONAREN 50 MG COM REV CT BL AL PLAS TRANS X 60 72.59 82.49 87.46 87.99 88.52 89.62 90.74 91.89 93.06
532715100018806 CLORIDRATO DE TRAZODONA 50 MG COM CT BL AL AL X 30 23.52 26.73 28.34 28.51 28.68 29.04 29.40 29.77 30.15
532715110019903 LOREDON 50 MG COM CT BL AL AL X 30 34.44 39.14 41.49 41.75 42.00 42.52 43.05 43.59 44.15
CLORIDRATO DE VALACICLOVIR
510608402116311 VALTREX 500 MG COM REV CT BL AL PLAS TRANS X 42 528.15 600.17 636.33 640.18 644.09 652.04 660.19 668.54 677.12
510608401111314 VALTREX 500 MG COM REV CT BL AL PLAS TRANS X 10 140.04 159.14 168.72 169.75 170.78 172.89 175.05 177.27 179.54
526120050110717 HERPSTAL 500 MG COM REV CT BL AL PLAS OPC X 10 145.41 165.24 175.19 176.25 177.33 179.52 181.76 184.06 186.42
526120050110817 HERPSTAL 500 MG COM REV CT BL AL PLAS OPC X 42 532.01 604.56 640.98 644.86 648.79 656.80 665.01 673.43 682.06
CLORIDRATO DE VANCOMICINA
501316010022103 VANCOCINA CP 500 MG PO SOL INJ INFUS IV CX 10 FA VD 394.51 448.31 475.31 478.19 481.11 487.05 493.14 499.38 505.78
(ANTIBIÓTICOS DO BRASIL LTDA) TRANS + 10 BOLS PLAS TRANS SIST FECH X
309.57 351.79 372.98 375.23 377.53 382.19 386.97 391.86 396.89
100 ML
CLORIDRATO DE VENLAFAXINA
508014120106203 VENLAXIN XR 37,5 MG CAP DURA LIB PROL CT BL AL PLAS 28.70 32.61 34.58 34.79 35.00 35.43 35.88 36.33 36.79
(EUROFARMA LABORATÓRIOS S.A.) TRANS X 30
22.52 25.59 27.13 27.30 27.46 27.80 28.16 28.51 28.87
508014120106303 VENLAXIN XR 75 MG CAP DURA LIB PROL CT BL AL PLAS 67.25 76.42 81.02 81.52 82.01 83.02 84.06 85.13 86.22
52.77 59.97 63.58 63.97 64.35 65.14 65.96 66.80 67.66
508014120106403 VENLAXIN XR 150 MG CAP DURA LIB PROL CT BL AL PLAS 95.31 108.31 114.83 115.53 116.23 117.67 119.14 120.65 122.19
74.79 84.99 90.11 90.66 91.21 92.34 93.49 94.68 95.88
508020606114110 CLORIDRATO DE VENLAFAXINA 75 MG CAP DURA LIB PROL CT BL AL PLAS 111.71 126.94 134.59 135.41 136.23 137.91 139.64 141.41 143.22
87.66 99.61 105.61 106.26 106.90 108.22 109.58 110.97 112.39
aplicável o CAP.
Medicamentos
CLORIDRATO DE VENLAFAXINA
149.60 170.00 180.24 181.33 182.44 184.69 186.99 189.36 191.79
508020605118112 CLORIDRATO DE VENLAFAXINA 37,5 MG CAP DURA LIB PROL CT BL AL PLAS 57.47 65.31 69.24 69.66 70.09 70.95 71.84 72.75 73.68
45.10 51.25 54.33 54.66 55.00 55.67 56.37 57.09 57.82
48.33 54.92 58.22 58.58 58.94 59.67 60.41 61.17 61.96
93.92 106.73 113.15 113.84 114.53 115.96 117.40 118.89 120.41
160.27 182.12 193.09 194.26 195.44 197.86 200.33 202.87 205.47
506717050069004 VENSATE LP 37,5 MG CAP DURA LIB PROL CT BL AL PLAS 25.81 29.33 31.10 31.28 31.48 31.86 32.26 32.67 33.09
20.25 23.02 24.40 24.54 24.70 25.00 25.31 25.64 25.97
506717050068804 VENSATE LP 150 MG CAP DURA LIB PROL CT BL AL PLAS 85.70 97.39 103.25 103.88 104.51 105.80 107.13 108.48 109.87
67.25 76.42 81.02 81.51 82.01 83.02 84.07 85.12 86.21
552920060125417 CLORIDRATO DE VENLAFAXINA (PORT. 344/98 L-C1) 37,5 MG COM CT BL AL PLAS TRANS X 28 81.47 92.58 98.16 98.75 99.35 100.58 101.84 103.13 104.45
552920060125517 CLORIDRATO DE VENLAFAXINA (PORT. 344/98 L-C1) 75 MG COM CT BL AL PLAS TRANS X 28 119.69 136.01 144.20 145.08 145.96 147.77 149.61 151.51 153.45
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) TRANS X 07
18.98 21.57 22.87 23.01 23.15 23.43 23.73 24.03 24.33
22.52 25.59 27.13 27.30 27.46 27.80 28.16 28.51 28.87
52.77 59.97 63.58 63.97 64.35 65.14 65.96 66.80 67.66
CLORIDRATO DE ZIPRASIDONA MONOIDRATADO

541814110009006 CLORIDRATO DE ZIPRASIDONA 40 MG CAP DURA CT BL AL AL X 30 241.90
(EMS S/A) 189.82
C CAP

(EMS S/A) 315.93
C CAP

C CAP ICMS0%

C CAP ICMS0%
CLORTALIDONA
533515030028503 CLORDILON 25 MG COM CT BL AL PLAS INC X 42 14.28 16.23 17.20 17.31 17.41 17.63 17.85 18.08 18.31
CLOTRIMAZOL
538915070023917 CANESTEN 10 MG/G CREM DERM CT BG AL X 20 G 18.08 20.89 22.34 22.50 22.66 22.98 23.31 23.65 24.01
(BAYER S.A.) 14.19 16.39 17.53 17.66 17.78 18.03 18.29 18.56 18.84
Liberado
538915070023817 CANESTEN 500 MG COM VAG CT BL AL AL + APLIC 56.90 65.75 70.31 70.80 71.30 72.32 73.37 74.44 75.55
(BAYER S.A.) 44.65 51.59 55.17 55.56 55.95 56.75 57.57 58.41 59.28
Liberado
538915070023617 CANESTEN 20 MG/G CREM VAG CT BG AL X 20 G + 3 APLIC 51.21 59.18 63.28 63.72 64.17 65.09 66.03 67.00 68.00
(BAYER S.A.) 40.18 46.44 49.66 50.00 50.35 51.08 51.81 52.57 53.36
Liberado
CLOZAPINA
536219120009707 XYNAZ 25 MG COM CT BL AL PLAS TRANS X 30 33.78
(ZYDUS NIKKHO FARMACÊUTICA LTDA) 26.51
C CAP
536219120009807 XYNAZ 100 MG COM CT BL AL PLAS TRANS X 30 140.54

(ZYDUS NIKKHO FARMACÊUTICA LTDA) 110.28
C CAP
COLCHICINA
aplicável o CAP.
Medicamentos
COLCHICINA
501600304116310 COLCHIS 0,5 MG COM CT BL AL PLAS AMB X 30 46.30 52.61 55.78 56.12 56.46 57.16 57.88 58.61 59.36
525914090020617 COCICHIMIL 0,5 MG COM CT BL AL PLAS OPC X 20 15.47 17.58 18.64 18.75 18.87 19.10 19.34 19.58 19.83
525915040023706 COLCHICINA 0,5 MG COM CT BL AL PLAS OPC X 20 18.84 21.41 22.70 22.84 22.98 23.26 23.55 23.85 24.15
COLECALCIFEROL
506720010080107 GRAN-D 22400 UI COM REV CT BL AL PLAS OPC X 1 24.85 28.72 30.71 30.92 31.14 31.58 32.04 32.51 33.00
500516020063304 SANY D 1000 UI COM REV CT BL AL PLAS OPC X 30 32.55 37.61 40.22 40.50 40.79 41.37 41.97 42.59 43.22
575220050004717 DPREV 1000 UI COM REV CT BL AL PLAS PVDC OPC X 27.43 31.70 33.90 34.13 34.37 34.86 35.37 35.89 36.42
(MYRALIS INDÚSTRIA FARMACÊUTICA LTDA) 30
21.52 24.87 26.60 26.78 26.97 27.35 27.76 28.16 28.58
43.50 50.26 53.75 54.12 54.51 55.28 56.08 56.91 57.75
30.76 35.55 38.01 38.28 38.54 39.09 39.66 40.25 40.84
62.14 71.81 76.79 77.32 77.86 78.98 80.13 81.30 82.51
DARATUMUMABE
514517040033102 DALINVI 100 MG SOL DIL INJ CT FA VD TRANS X 5 ML 1978.35 2286.16 2444.70 2461.78 2479.09 2514.47 2550.87 2588.34 2626.93
Dec. Judicial (15)
514517040033202 DALINVI 400 MG SOL DIL INJ CT FA VD TRANS X 20 ML 7913.41 9144.64 9778.82 9847.12 9916.38 10057.88 10203.48 10353.37 10507.73
Dec. Judicial (15)
514520120038307 DALINVI 1800 MG SOL INJ CT FA VD TRANS X 15 ML 23736.33 27429.42 29331.65 29536.52 29744.26 30168.69 30605.41 31055.00 31518.02
Dec. Judicial (15)
ERDAFITINIBE
514520030036507 ERFANDEL 3 MG COM REV CT BL AL PLAS PVC/PCTFE 37584.60 43432.31 46444.34 46768.74 47097.68 47769.73 48461.24 49173.13 49906.30
(JANSSEN-CILAG FARMACÊUTICA LTDA) TRANS X 56
29492.64 34081.33 36444.87 36699.43 36957.55 37484.91 38027.53 38586.15 39161.47
Dec. Judicial (15)
44238.97 51122.02 54667.33 55049.16 55436.34 56227.37 57041.33 57879.26 58742.23
Dec. Judicial (15)
9830.88 11360.45 12148.29 12233.14 12319.19 12494.97 12675.85 12862.05 13053.82
Dec. Judicial (15)
19661.76 22720.90 24296.60 24466.29 24638.37 24989.95 25351.70 25724.11 26107.66
Dec. Judicial (15)
39323.52 45441.79 48593.18 48932.58 49276.73 49979.88 50703.40 51448.22 52215.30
Dec. Judicial (15)
24577.20 28401.13 30370.74 30582.87 30797.97 31237.43 31689.62 32155.15 32634.57
Dec. Judicial (15)
aplicável o CAP.
Medicamentos
IBRUTINIBE
514523030039303 IMBRUVICA 140 MG COM REV CT BL AL PLAS PVC/PCTFE 13585.27 15698.97 16787.70 16904.95 17023.85 17266.77 17516.72 17774.04 18039.05
10660.36 12318.98 13173.31 13265.31 13358.61 13549.23 13745.37 13947.29 14155.24
Dec. Judicial (15)
514523030039403 IMBRUVICA 420 MG COM REV CT BL AL PLAS PVC/PCTFE 40755.85 47096.97 50363.15 50714.91 51071.60 51800.36 52550.23 53322.18 54117.21
31981.12 36956.99 39519.96 39795.99 40075.88 40647.74 41236.17 41841.91 42465.78
Dec. Judicial (15)
TRASTUZUMABE
544120010004807 KANJINTI 150 MG PO LIOF SOL INJ IV CT FA VD TRANS 4448.75
(AMGEN BIOTECNOLOGIA DO BRASIL LTDA.) 3490.93
Dec. Judicial (14)
544120010004907 KANJINTI 440 MG PO LIOF SOL INJ IV CT FA VD TRANS 13049.69 14829.20 15722.51 15817.80 15914.25 16110.73 16312.11 16518.60 16730.37
(AMGEN BIOTECNOLOGIA DO BRASIL LTDA.) 10240.09 11636.47 12337.45 12412.23 12487.91 12642.09 12800.11 12962.15 13128.32
Dec. Judicial (14)
544120010005007 KANJINTI 440 MG PO LIOF SOL INJ IV CT FA VD TRANS DIL 13049.69 14829.20 15722.51 15817.80 15914.25 16110.73 16312.11 16518.60 16730.37
(AMGEN BIOTECNOLOGIA DO BRASIL LTDA.) FA VD TRANS X 20 ML
10240.09 11636.47 12337.45 12412.23 12487.91 12642.09 12800.11 12962.15 13128.32
Dec. Judicial (14)
545120010000207 HERZUMA 440 MG PO LIOF SOL INJ IV CT FA VD TRANS + 13049.69 14829.20 15722.51 15817.80 15914.25 16110.73 16312.11 16518.60 16730.37
(CELLTRION HEALTHCARE DISTRIBUICAO DE PRODUTOS DIL FA VD TRANS X 20 ML
10240.09 11636.47 12337.45 12412.23 12487.91 12642.09 12800.11 12962.15 13128.32
Dec. Judicial (12)
545120020000307 HERZUMA 150 MG PO LIOF SOL INJ IV CT FA VD TRANS 4448.75

(CELLTRION HEALTHCARE DISTRIBUICAO DE PRODUTOS 3490.93
Dec. Judicial (12)
ADALIMUMABE
511520070072107 HYRIMOZ 40 MG SOL INJ CT BL PLAS X 2 SER VD 8617.00
(SANDOZ DO BRASIL INDÚSTRIA FARMACÊUTICA LTDA) PREENCH C/ AGU X 0,8 ML
6761.76
511520070072207 HYRIMOZ 40 MG SOL INJ CT 2 CANETA PREENCH X 0,8ML 8617.00

FRUTOSE;DIMENIDRINATO;CLORIDRATO DE PIRIDOXINA;GLICOSE
540922010051117 DRAMIN B6 DL 3 MG/ML + 5 MG/ML + 100 MG/ML + 100 MG/ML 654.78 756.66 809.13 814.78 820.51 832.22 844.27 856.67 869.44
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) SOL INJ CX 100 AMP VD AMB X 10ML (EMB
513.81 593.75 634.92 639.36 643.85 653.04 662.50 672.23 682.25
Dec. Judicial (10) FRAC)
21-ACETATO DE DEXAMETASONA;CLOTRIMAZOL
538912020009303 BAYCUTEN N 10 MG/G + 0,443 MG/G CREM DERM CT BG AL X 27.64 31.94 34.16 34.39 34.64 35.13 35.64 36.16 36.70
(BAYER S.A.) 40 G
21.69 25.06 26.81 26.98 27.18 27.57 27.97 28.37 28.80
ABATACEPTE
505113100020505 ORENCIA 125 MG/ML SOL INJ SC CT 4 SER PREENC VD 6145.04
(BRISTOL-MYERS SQUIBB FARMACÊUTICA LTDA) TRANS + DISPOSITIVO ULTRASAFE PASSIVE +
4822.01
EXTENSORES DE APOIO
ABCIXIMABE
514517110034217 REOPRO 2 MG/ML SOL INJ CT FA VD INC X 5 ML 2504.84 2846.41 3017.88 3036.17 3054.68 3092.40 3131.05 3170.68 3211.33
507602501155210 REOPRO 2 MG/ML SOL INJ CT FA VD INC X 5 ML 2504.84 2846.41 3017.88 3036.17 3054.68 3092.40 3131.05 3170.68 3211.33
(ELI LILLY DO BRASIL LTDA) 1965.55 2233.58 2368.13 2382.48 2397.01 2426.61 2456.93 2488.03 2519.93
ABEMACICLIBE
507619060021902 VERZENIOS 50 MG COM REV CT BL AL AL X 30 2910.17 3362.96 3596.18 3621.30 3646.77 3698.80 3752.35 3807.47 3864.24
aplicável o CAP.
Medicamentos
ABEMACICLIBE
ACALABRUTINIBE
502319040034002 CALQUENCE 100 MG CAP DURA CT BL AL AL X 60 40168.96 46418.77 49637.91 49984.61 50336.17 51054.43 51793.50 52554.34 53337.91
(ASTRAZENECA DO BRASIL LTDA) 31520.58 36424.81 38950.87 39222.92 39498.79 40062.41 40642.36 41239.39 41854.26
ACARBOSE
531619040086803 AGLUCOSE 50 MG COM CT BL AL AL X 30 24.54 27.89 29.57 29.75 29.93 30.30 30.68 31.06 31.46
531619040086903 AGLUCOSE 100 MG COM CT BL AL AL X 30 37.25 42.33 44.88 45.15 45.43 45.99 46.56 47.15 47.76
538912050014213 GLUCOBAY 50 MG COM CT BL AL/AL X 30 38.99 44.31 46.98 47.26 47.55 48.14 48.74 49.35 49.99
(BAYER S.A.) 30.60 34.77 36.87 37.08 37.31 37.78 38.25 38.72 39.23
538912050014313 GLUCOBAY 100 MG COM CT BL AL/AL X 30 58.19 66.13 70.11 70.53 70.96 71.84 72.74 73.66 74.60
(BAYER S.A.) 45.66 51.89 55.02 55.34 55.68 56.37 57.08 57.80 58.54
ACEBROFILINA
508013120101205 FILINAR G 5 MG/ML GEL OR CT FR PLAS TRANS X 120ML + 17.09 19.42 20.59 20.72 20.84 21.10 21.36 21.63 21.91
(EUROFARMA LABORATÓRIOS S.A.) COL
13.41 15.24 16.16 16.26 16.35 16.56 16.76 16.97 17.19
508015902134418 FILINAR 5 MG/ML XPE CT FR VD AMB X 120 ML + COP 17.71 20.13 21.34 21.47 21.60 21.86 22.14 22.42 22.71
508015901138411 FILINAR 10 MG/ML XPE CT FR VD AMB X 120 ML + COP 24.27 27.58 29.24 29.42 29.60 29.96 30.34 30.72 31.12
(EMS S/A) 13.39 15.22 16.13 16.23 16.32 16.53 16.74 16.94 17.16
(EMS S/A) 18.90 21.49 22.77 22.91 23.05 23.34 23.63 23.92 24.23
(EMS S/A) 13.39 15.22 16.13 16.23 16.32 16.53 16.74 16.94 17.16
(EMS S/A) 18.90 21.49 22.77 22.91 23.05 23.34 23.63 23.92 24.23
520733801133414 DILABRONCO 10MG/ML XPE CT FR PLAS OPC X 120ML + COP 22.70 25.80 27.35 27.52 27.68 28.02 28.38 28.73 29.10
517120090013307 LISOMUC 5 MG / ML XPE CT FR VD AMB X 100 ML + COP 17.00 19.32 20.48 20.61 20.73 20.99 21.25 21.52 21.79
517120090013207 LISOMUC 10 MG / ML XPE CT FR VD AMB X 100 ML + COP 24.62 27.98 29.66 29.84 30.02 30.40 30.78 31.16 31.56
517113100013604 LISOMUC 10 MG / ML XPE CT FR PET AMB X 120 ML + COP 29.55 33.58 35.60 35.82 36.04 36.48 36.94 37.41 37.88
517609502138419 RESPIRAN 10 MG/ML XPE CT FR PLAS AMB X 120 ML + CP 30.25 34.38 36.45 36.67 36.89 37.35 37.81 38.29 38.78
(LABORATÓRIO GLOBO SA) MED
23.74 26.98 28.60 28.78 28.95 29.31 29.67 30.05 30.43
517618010025206 ACEBROFILINA 5 MG/ML XPE CT FR PLAS AMB X 120 ML + CP 13.89 15.78 16.73 16.84 16.94 17.15 17.36 17.58 17.81
10.90 12.38 13.13 13.22 13.29 13.46 13.62 13.79 13.98
12.97 14.74 15.63 15.73 15.82 16.02 16.21 16.42 16.63
552922100151103 MELYSSE 10 MG/ML XPE CT FR PLAS AMB X 120 ML + COP 30.09 34.19 36.25 36.47 36.70 37.15 37.61 38.09 38.58
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) X 10 ML
23.61 26.83 28.45 28.62 28.80 29.15 29.51 29.89 30.27
17.73 20.14 21.36 21.48 21.62 21.89 22.16 22.43 22.72
aplicável o CAP.
Medicamentos
ACEBROFILINA
11.83 13.44 14.25 14.34 14.42 14.59 14.78 14.97 15.16
552922100151403 MELYSSE 5 MG/ML XPE CT FR PLAS AMB X 60 ML + COP X 11.29 12.83 13.60 13.68 13.77 13.94 14.11 14.29 14.47
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) 10 ML
8.86 10.07 10.67 10.73 10.81 10.94 11.07 11.21 11.35
500501201132417 BRONDILAT 10 MG/ML XPE CT FR PLAS AMB X 120 ML + COP 41.29 46.92 49.75 50.05 50.35 50.98 51.61 52.27 52.94
32.40 36.82 39.04 39.27 39.51 40.01 40.50 41.02 41.54
21.87 24.85 26.35 26.51 26.67 27.00 27.34 27.68 28.04
16.17 18.38 19.48 19.60 19.72 19.96 20.21 20.47 20.73
500501203135316 BRONDILAT 5 MG/ML XPE CT FR PLAS AMB X 60 ML + COP X 13.95 15.85 16.81 16.91 17.01 17.22 17.44 17.66 17.88
10.95 12.44 13.19 13.27 13.35 13.51 13.69 13.86 14.03
552920020116317 ACEBROFILINA 5 MG/ML XPE CT FR VD AMB X 120 ML + CP 17.29 19.65 20.83 20.96 21.09 21.35 21.61 21.89 22.17
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) MED
13.57 15.42 16.35 16.45 16.55 16.75 16.96 17.18 17.40
19.21 21.83 23.14 23.28 23.42 23.71 24.01 24.32 24.62
13.57 15.42 16.35 16.45 16.55 16.75 16.96 17.18 17.40
19.21 21.83 23.14 23.28 23.42 23.71 24.01 24.32 24.62
(MEDQUIMICA INDUSTRIA FARMACEUTICA LTDA.) MED
13.45 15.29 16.20 16.31 16.40 16.60 16.82 17.03 17.24
(MEDQUIMICA INDUSTRIA FARMACEUTICA LTDA.) MED
19.92 22.64 24.00 24.15 24.29 24.60 24.91 25.22 25.54
(BIOSINTÉTICA FARMACÊUTICA LTDA) MED
19.21 21.83 23.14 23.28 23.42 23.71 24.01 24.32 24.62
528525712137112 ACEBROFILINA 5 MG/ ML XPE CX 50 FR PLAS OPC X 120 ML + 520.47 591.44 627.07 630.87 634.72 642.56 650.59 658.82 667.27
(PRATI DONADUZZI & CIA LTDA) 50 COP
408.41 464.10 492.06 495.04 498.06 504.22 510.52 516.98 523.61
(CIMED INDUSTRIA S.A) MED
17.75 20.17 21.38 21.52 21.65 21.92 22.19 22.47 22.76
(CIMED INDUSTRIA S.A) MED
12.81 14.56 15.43 15.52 15.62 15.81 16.01 16.21 16.42
510413402133412 BRONTEK 10 MG/ML XPE CT FR VD AMB X 120 ML + COP 33.07 37.58 39.84 40.08 40.33 40.83 41.34 41.86 42.40
510413401137414 BRONTEK 5 MG/ML XPE CT FR VD AMB X 120 ML + COP 23.74 26.98 28.60 28.78 28.95 29.31 29.68 30.05 30.44
510413301132119 ACEBROFILINA 10MG/ML XPE CT FR VD AMB X 120ML + COP 26.80 30.45 32.29 32.48 32.68 33.09 33.50 33.92 34.36
510413302139117 ACEBROFILINA 5MG/ML XPE CT FR VD AMB X 120ML + COP 18.13 20.60 21.84 21.98 22.11 22.38 22.66 22.95 23.24
504617030057317 BRONDYNEO 10 MG/ ML XPE CT FR VD AMB X 120 ML + COP 34.34 39.02 41.37 41.62 41.88 42.40 42.93 43.47 44.03
504617030057417 BRONDYNEO 5 MG / ML XPE CT FR VD AMB X 120 ML + COP 25.28 28.73 30.46 30.64 30.83 31.21 31.60 32.00 32.41
538808901132413 BRONCOLEX 5 MG/ML XPE INF CT FR VD AMB X 120 ML + 17.97 20.42 21.65 21.78 21.91 22.19 22.46 22.75 23.04
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) COP
14.10 16.02 16.99 17.09 17.19 17.41 17.62 17.85 18.08
aplicável o CAP.
Medicamentos
ACEBROFILINA
538808902139411 BRONCOLEX 10 MG/ML XPE AD CT FR VD AMB X 120 ML + 24.48 27.82 29.49 29.67 29.85 30.22 30.60 30.99 31.38
19.21 21.83 23.14 23.28 23.42 23.71 24.01 24.32 24.62
538820020071607 BRONCOLEX 5 MG/ML XPE INF CT FR PLAS AMB X 120 ML + 17.97 20.42 21.65 21.78 21.91 22.19 22.46 22.75 23.04
14.10 16.02 16.99 17.09 17.19 17.41 17.62 17.85 18.08
538820020071707 BRONCOLEX 10 MG/ML XPE AD CT FR PLAS AMB X 120 ML + 24.48 27.82 29.49 29.67 29.85 30.22 30.60 30.99 31.38
19.21 21.83 23.14 23.28 23.42 23.71 24.01 24.32 24.62
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) MED
14.23 16.17 17.15 17.26 17.36 17.58 17.80 18.02 18.25
18.39 20.90 22.15 22.29 22.42 22.70 22.98 23.27 23.57
14.23 16.17 17.15 17.26 17.36 17.58 17.80 18.02 18.25
18.39 20.90 22.15 22.29 22.42 22.70 22.98 23.27 23.57
525064501131117 ACEBROFILINA 5 MG/ML XPE CT FR VD AMB X 120 ML + 17.05 19.38 20.54 20.67 20.79 21.05 21.31 21.58 21.86
(SANOFI MEDLEY FARMACÊUTICA LTDA.) DOSADOR
13.38 15.21 16.12 16.22 16.31 16.52 16.72 16.93 17.15
541518090008304 DISMUCAL 5 MG/ML GEL OR CT FR PLAS INC X 60ML + COL 7.71 8.76 9.29 9.35 9.40 9.52 9.64 9.76 9.88
(MYLAN LABORATORIOS LTDA) MED
6.05 6.87 7.29 7.34 7.38 7.47 7.57 7.66 7.75
541518090008404 DISMUCAL 5 MG/ML GEL OR CT FR PLAS INC X 120ML + 15.41 17.51 18.57 18.68 18.79 19.02 19.26 19.51 19.76
(MYLAN LABORATORIOS LTDA) COL MED
12.09 13.74 14.57 14.66 14.74 14.92 15.11 15.31 15.51
541518100011904 DISMUCAL 5 MG/ML XPE CT FR VD AMB X 120 ML + COP 16.97 19.28 20.45 20.57 20.70 20.95 21.21 21.48 21.76
541518100012004 DISMUCAL 10 MG/ML XPE CT FR VD AMB X 120 ML + COP 23.43 26.63 28.23 28.40 28.57 28.93 29.29 29.66 30.04
(GALLIA INDUSTRIA FARMACEUTICA LTDA) MED
14.84 16.86 17.88 17.99 18.09 18.32 18.55 18.79 19.02
(GALLIA INDUSTRIA FARMACEUTICA LTDA) MED
21.41 24.33 25.80 25.96 26.11 26.44 26.77 27.10 27.46
ACECLOFENACO
508022060163106 ACECLOFENACO 100 MG COM REV CT BL AL/AL X 12 28.02 31.84 33.76 33.96 34.17 34.59 35.03 35.47 35.92
507737301162115 ACECLOFENACO 15 MG/G CREM DERM CT BG AL X 30 G 18.26 21.10 22.56 22.72 22.88 23.21 23.54 23.89 24.25
(EMS S/A) 14.33 16.56 17.70 17.83 17.95 18.21 18.47 18.75 19.03
Liberado
541812090003803 FEBUPEN 100 MG COM REV CT BL AL AL X 12 28.53 32.42 34.37 34.58 34.79 35.22 35.66 36.11 36.58
(EMS S/A) 22.39 25.44 26.97 27.13 27.30 27.64 27.98 28.33 28.70
(EMS S/A) 22.39 25.44 26.97 27.13 27.30 27.64 27.98 28.33 28.70
533512090023004 CECOFLAN 100 MG COM REV CT ENV AL X 12 37.19 42.26 44.81 45.08 45.35 45.91 46.49 47.08 47.68
533514080027106 ACECLOFENACO 100 MG COM REV CT ENV AL X 12 25.75 29.26 31.02 31.21 31.40 31.79 32.19 32.59 33.01
526127601169113 ACECLOFENACO 15 MG/G CREM DERM CT BG AL X 30 G 18.70 21.61 23.11 23.27 23.43 23.77 24.11 24.47 24.83
Liberado
aplicável o CAP.
Medicamentos
ACECLOFENACO
529900101113114 ACECLOFENACO 100 MG COM REV CT STR AL X 12 26.54 30.16 31.98 32.17 32.37 32.77 33.18 33.59 34.03
536218030008706 ACECLOFENACO 100 MG COM CT BL AL/AL X 12 28.50 32.39 34.34 34.55 34.76 35.19 35.63 36.08 36.54
538813080046904 ACECLO-GRAN 100 MG COM REV CT BL AL AL X 12 33.87 38.49 40.81 41.05 41.30 41.81 42.34 42.87 43.42
ACEPONATO DE METILPREDNISOLONA
538912050016413 ADVANTAN 1 MG/G CREM DERM CT BG AL X 15 G 48.73 56.31 60.22 60.64 61.06 61.94 62.83 63.76 64.71
(BAYER S.A.) 38.24 44.19 47.25 47.58 47.91 48.61 49.30 50.03 50.78
538912050012613 ADVANTAN 1 MG/ML SOL TOP CT FR PLAS OPC GOT X 20 66.75 77.14 82.48 83.06 83.65 84.84 86.07 87.33 88.63
(BAYER S.A.) ML
52.38 60.53 64.72 65.18 65.64 66.57 67.54 68.53 69.55
538912050012713 ADVANTAN 1 MG/G EMU DERM CT BG AL X 20 G 62.43 72.14 77.15 77.69 78.23 79.35 80.50 81.68 82.90
(BAYER S.A.) 48.99 56.61 60.54 60.96 61.39 62.27 63.17 64.09 65.05
541121020002517 ADVANTAN 1 MG/G CREM DERM CT BG AL X 15 G 48.73 56.31 60.22 60.64 61.06 61.94 62.83 63.76 64.71
(LEO PHARMA LTDA) 38.24 44.19 47.25 47.58 47.91 48.61 49.30 50.03 50.78
541121020002617 ADVANTAN 1 MG/ML SOL TOP CT FR PLAS OPC GOT X 20 66.75 77.14 82.48 83.06 83.65 84.84 86.07 87.33 88.63
(LEO PHARMA LTDA) ML
52.38 60.53 64.72 65.18 65.64 66.57 67.54 68.53 69.55
541121020002717 ADVANTAN 1 MG/G EMU DERM CT BG AL X 20 G 62.43 72.14 77.15 77.69 78.23 79.35 80.50 81.68 82.90
(LEO PHARMA LTDA) 48.99 56.61 60.54 60.96 61.39 62.27 63.17 64.09 65.05
523719020039704 ZOSTIDE 250 MG COM CT BL AL PLAS PVC/PVDC TRANS 11253.76 13004.71 13906.59 14003.72 14102.21 14303.44 14510.50 14723.65 14943.18
(LIBBS FARMACÊUTICA LTDA) X 120
8830.83 10204.80 10912.50 10988.72 11066.00 11223.91 11386.39 11553.65 11725.91
C CAP
508018120124204 MATIZ 250 MG COM CT BL AL PLAS TRANS X 120 11516.62 13308.47 14231.41 14330.81 14431.60 14637.53 14849.43 15067.56 15292.22
C CAP
511520020070707 ACETATO DE ABIRATERONA 250 MG COM CT FR PLAS PEAD OPC X 120 7577.97 8757.01 9364.31 9429.72 9496.04 9631.54 9770.97 9914.50 10062.32
C CAP
aplicável o CAP.
Medicamentos
506723010097304 ABMETHA 250 MG COM CT FR PLAS PEAD OPC X 120 10466.42 12094.87 12933.65 13023.98 13115.59 13302.74 13495.31 13693.55 13897.72
C CAP
529921010070707 VENOMY 250 MG COM CT FR PLAS PEAD OPC X 120 11402.26 13176.31 14090.09 14188.50 14288.30 14492.18 14701.97 14917.94 15140.37
C CAP
532418120023506 ACETATO DE ABIRATERONA 250 MG COM CT FR PLAS PEAD OPC X 120 7577.97 8757.01 9364.31 9429.72 9496.04 9631.54 9770.97 9914.50 10062.32
C CAP
532419070024903 ABBA 250 MG COM CT FR PLAS PEAD OPC X 120 7577.97 8757.01 9364.31 9429.72 9496.04 9631.54 9770.97 9914.50 10062.32
C CAP
507518030008206 ACETATO DE ABIRATERONA 250 MG COM REV CT FR PLAS PEAD OPC X 30 1894.50 2189.26 2341.09 2357.44 2374.02 2407.89 2442.75 2478.63 2515.59
C CAP
C CAP
C CAP
507518100008703 BALEFIO 250 MG COM REV CT FR PLAS PEAD OPC X 120 6544.25 7562.46 8086.91 8143.40 8200.67 8317.69 8438.10 8562.05 8689.71
C CAP
537519060007704 RARIJA 250 MG COM REV CT FR PLAS PEAD OPC X 120 10784.03 12461.90 13326.13 13419.20 13513.59 13706.42 13904.83 14109.09 14319.46
C CAP
C CAP
ACETATO DE ATOSIBANA
521401102151314 TRACTOCILE 7,5 MG/ML SOL INJ CT FA VD TRANS X 0,9 ML 251.19 285.44 302.64 304.47 306.33 310.11 313.99 317.96 322.04
(LABORATÓRIOS FERRING LTDA) 197.11 223.98 237.48 238.92 240.38 243.34 246.39 249.50 252.71
521401101155316 TRACTOCILE 7,5 MG/ML SOL DIL INFUS CT FA VD TRANS X 5 781.10 887.61 941.08 946.79 952.56 964.32 976.38 988.73 1001.41
(LABORATÓRIOS FERRING LTDA) ML
612.93 696.51 738.47 742.95 747.47 756.70 766.17 775.86 785.81
521419110007907 ACETATO DE ATOSIBANA 7,5 MG/ML SOL DIL INFUS CT FA VD TRANS X 5 507.72 576.95 611.71 615.42 619.17 626.81 634.65 642.68 650.92
398.41 452.73 480.01 482.92 485.86 491.86 498.01 504.31 510.78
538018050025806 ACETATO DE ATOSIBANA 7,50 MG/ML SOL DIL INJ CT FA VD TRANS X 5 ML 497.31 565.13 599.17 602.80 606.48 613.96 621.64 629.51 637.58
538018030025304 ATTOSY 7,50 MG/ML SOL DIL INJ CT FA VD TRANS X 5 ML 781.04 887.55 941.01 946.71 952.49 964.25 976.30 988.66 1001.33
ACETATO DE BAZEDOXIFENO;ESTROGÊNIOS CONJUGADOS

522718110082501 DUAVIVE 0,45 MG + 20 MG COM REV LIB PROL CT ENV AL 65.04 75.16 80.37 80.93 81.50 82.67 83.86 85.09 86.36
(PFIZER BRASIL LTDA) BL AL PLAS TRANS X 30
51.04 58.98 63.07 63.51 63.95 64.87 65.80 66.77 67.77
ACETATO DE CASPOFUNGINA
508019120125807 ACETATO DE CASPOFUNGINA 50 MG PO LIOF SOL INFUS IV CT FA VD TRANS 2324.73 2641.74 2800.88 2817.85 2835.04 2870.04 2905.91 2942.70 2980.42
508019120125907 ACETATO DE CASPOFUNGINA 70 MG PO LIOF SOL INFUS IV CT FA VD TRANS 2994.73 3403.10 3608.11 3629.98 3652.11 3697.20 3743.41 3790.80 3839.40
508019050125903 BERK 70 MG PO LIOF SOL INFUS IV CT FA VD TRANS 4607.30 5235.57 5550.96 5584.61 5618.66 5688.03 5759.13 5832.03 5906.79
527322080022707 CANCIDAS 50 MG PO LIOF SOL INFUS IV CT FA VD TRANS 3576.52 4064.23 4309.06 4335.17 4361.61 4415.46 4470.65 4527.24 4585.28
527322080023307 CANCIDAS 70 MG PO LIOF SOL INFUS IV CT FA VD TRANS 4607.30 5235.57 5550.96 5584.61 5618.66 5688.03 5759.13 5832.03 5906.79
ACETATO DE CIPROTERONA
519508101118111 ACETATO DE CIPROTERONA 50 MG COM CT BL AL PLAS TRANS X 20 85.17
(LABORATÓRIO QUÍMICO FARMACÊUTICO BERGAMO LTDA) 66.83
aplicável o CAP.
Medicamentos
ACETATO DE CIPROTERONA
538912050012813 ANDROCUR 50 MG COM CT BL AL PLAS TRANS X 20 137.17
(BAYER S.A.) 107.64
C CAP
538912050012913 ANDROCUR 100 MG COM CT BL AL PLAS TRANS X 20 258.29 293.51 311.19 313.08 314.99 318.88 322.86 326.95 331.14
(BAYER S.A.) 202.68 230.32 244.19 245.67 247.17 250.23 253.35 256.56 259.85
C CAP
508014104110416 SELENE (0,035 + 2) MG COM REV CT BL AL PLAS 41.72 47.41 50.27 50.57 50.88 51.51 52.15 52.81 53.49
(EUROFARMA LABORATÓRIOS S.A.) PVC/ACLAR OPC X 63
32.74 37.20 39.45 39.68 39.93 40.42 40.92 41.44 41.97
541822090184603 JAQUE 2,00 MG + 0,035 MG COM REV CT BL AL PLAS 48.60 55.23 58.55 58.91 59.27 60.00 60.75 61.52 62.31
38.14 43.34 45.94 46.23 46.51 47.08 47.67 48.27 48.90
541822120189906 ACETATO DE CIPROTERONA+ETINILESTRADIOL 2,00 MG + 0,035 MG COM REV CT BL AL PLAS 13.00 14.77 15.66 15.76 15.85 16.05 16.25 16.46 16.67
10.20 11.59 12.29 12.37 12.44 12.59 12.75 12.92 13.08
30.60 34.77 36.87 37.08 37.31 37.78 38.25 38.72 39.23
533021070074103 TESS (2 + 0,035) MG COM REV CT BL AL PLAS 15.50 17.61 18.67 18.79 18.90 19.14 19.38 19.62 19.87
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) PVC/PVDC TRANS X 21
12.16 13.82 14.65 14.74 14.83 15.02 15.21 15.40 15.59
552922020142217 ACETATO DE CIPROTERONA + ETINILESTRADIOL (2,0 + 0,035) MG COM REV CT BL AL PLAS 15.21 17.28 18.33 18.44 18.55 18.78 19.01 19.25 19.50
11.94 13.56 14.38 14.47 14.56 14.74 14.92 15.10 15.30
552922020142317 ACETATO DE CIPROTERONA + ETINILESTRADIOL (2,0 + 0,035) MG COM REV CT BL AL PLAS 32.38 36.80 39.01 39.25 39.49 39.98 40.48 40.99 41.51
25.41 28.88 30.61 30.80 30.99 31.37 31.77 32.17 32.57
552922020142817 DUNIA 35 2,0 MG + 0,035 MG COM REV CT BL AL PLAS 16.57 18.83 19.96 20.08 20.21 20.46 20.71 20.97 21.24
13.00 14.78 15.66 15.76 15.86 16.06 16.25 16.45 16.67
552922020142917 DUNIA 35 2,0 MG + 0,035 MG COM REV CT BL AL PLAS 37.60 42.73 45.30 45.58 45.85 46.42 47.00 47.59 48.21
29.50 33.53 35.55 35.77 35.98 36.43 36.88 37.34 37.83
506317020030004 SISSY 2 MG + 0,035 MG COM REV CT BL AL PLAS 17.50 19.89 21.08 21.21 21.34 21.60 21.88 22.15 22.44
13.73 15.61 16.54 16.64 16.75 16.95 17.17 17.38 17.61
506321030038106 ACETATO DE CIPROTERONA + ETINILESTRADIOL 2 MG + 0,035 MG COM REV CT BL AL PLAS 15.19 17.26 18.30 18.41 18.52 18.75 18.99 19.23 19.47
11.92 13.54 14.36 14.45 14.53 14.71 14.90 15.09 15.28
506320120036617 FERANE 35 2 MG + 0,035 MG COM REV CT BL AL PLAS 20.33 23.10 24.49 24.64 24.79 25.10 25.41 25.73 26.06
15.95 18.13 19.22 19.33 19.45 19.70 19.94 20.19 20.45
506320120036717 FERANE 35 2 MG + 0,035 MG COM REV CT BL AL PLAS 59.28 67.36 71.42 71.85 72.29 73.19 74.10 75.04 76.00
46.52 52.86 56.04 56.38 56.73 57.43 58.15 58.88 59.64
595921080000104 LEILA (2,0 + 0,035) MG COM REV CT BL AL PLAS 16.37 18.60 19.72 19.84 19.96 20.21 20.46 20.72 20.99
(DKT DO BRASIL PRODUTOS DE USO PESSOAL LTDA) PVC/PVDC TRANS X 21
12.85 14.60 15.47 15.57 15.66 15.86 16.05 16.26 16.47
531606401115415 ARTEMIDIS 35 2,00 MG + 0,035 MG COM REV CT BL AL PLAS 12.97 14.74 15.63 15.72 15.82 16.01 16.21 16.42 16.63
(EMS SIGMA PHARMA LTDA) TRANS X 21
10.18 11.57 12.26 12.34 12.41 12.56 12.72 12.89 13.05
(INDÚSTRIA FARMACÊUTICA MELCON DO BRASIL S.A.) TRANS X 63
25.41 28.88 30.61 30.80 30.99 31.37 31.77 32.17 32.57
536217060007704 DUELLE (2 + 0,035)MG COM REV CT BL AL PLAS PVC 17.19 19.53 20.71 20.84 20.96 21.22 21.49 21.76 22.04
13.49 15.33 16.25 16.35 16.45 16.65 16.86 17.08 17.30
536217060007604 DUELLE (2 + 0,035)MG COM REV CT BL AL PLAS PVC 49.81 56.60 60.01 60.38 60.74 61.49 62.26 63.05 63.86
39.09 44.41 47.09 47.38 47.66 48.25 48.85 49.48 50.11
538808401113411 REPOPIL 35 2,00 MG + 0,035 MG COM REV CT BL AL PLAS 19.38 22.02 23.35 23.49 23.63 23.93 24.23 24.53 24.85
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) TRANS X 21
15.21 17.28 18.32 18.43 18.54 18.78 19.01 19.25 19.50
538808402111410 REPOPIL 35 2,00 MG + 0,035 MG COM REV CT BL AL PLAS 58.14 66.07 70.05 70.47 70.90 71.78 72.68 73.59 74.54
45.62 51.85 54.97 55.30 55.63 56.33 57.03 57.75 58.49
538822040112406 ACETATO DE CIPROTERONA + ETINILESTRADIOL 2,00 MG + 0,035 MG COM REV CT BL AL PLAS 13.00 14.77 15.66 15.76 15.85 16.05 16.25 16.46 16.67
10.20 11.59 12.29 12.37 12.44 12.59 12.75 12.92 13.08
538822040112506 ACETATO DE CIPROTERONA + ETINILESTRADIOL 2,00 MG + 0,035 MG COM REV CT BL AL PLAS 39.00 44.32 46.99 47.27 47.56 48.15 48.75 49.37 50.00
30.60 34.78 36.87 37.09 37.32 37.78 38.25 38.74 39.24
aplicável o CAP.
Medicamentos
538912080018214 DIANE 35 (2,000+ 0,035) MG COM REV CT BL CALEND AL 23.38 26.57 28.17 28.34 28.51 28.86 29.23 29.59 29.97
(BAYER S.A.) PLAS TRANS X 21
18.35 20.85 22.10 22.24 22.37 22.65 22.94 23.22 23.52
538912080018304 DIANE 35 (2,000+ 0,035) MG COM REV CT BL CALEND AL 49.83 56.63 60.04 60.40 60.77 61.52 62.29 63.08 63.88
39.10 44.44 47.11 47.40 47.69 48.28 48.88 49.50 50.13
508020070132607 ACETATO DE CLORMADINONA + ETINILESTRADIOL (2,0 + 0,03) MG COM REV CT BL AL PLAS 24.17 27.47 29.12 29.30 29.48 29.84 30.21 30.59 30.99
18.97 21.56 22.85 22.99 23.13 23.42 23.71 24.00 24.32
508020050131407 AMORA (2,0 + 0,03) MG COM REV CT BL AL PLAS 27.09 30.78 32.64 32.84 33.04 33.44 33.86 34.29 34.73
21.26 24.15 25.61 25.77 25.93 26.24 26.57 26.91 27.25
541822080183706 ACETATO DE CLORMADINONA + ETINILESTRADIOL (2 + 0,03) MG COM REV CT BL AL PLAS 24.17 27.47 29.12 29.30 29.48 29.84 30.21 30.59 30.99
(EMS S/A) PVC/PVDC OPC X 21
18.97 21.56 22.85 22.99 23.13 23.42 23.71 24.00 24.32
37.92 43.10 45.69 45.97 46.25 46.82 47.40 48.01 48.62
56.89 64.65 68.54 68.96 69.37 70.24 71.12 72.01 72.94
75.86 86.20 91.39 91.95 92.51 93.65 94.82 96.02 97.26
541822060181304 BELADIOL (2 + 0,03) MG COM REV CT BL AL PLAS 34.72 39.45 41.83 42.08 42.34 42.86 43.40 43.95 44.51
27.24 30.96 32.82 33.02 33.22 33.63 34.06 34.49 34.93
54.49 61.92 65.65 66.05 66.45 67.27 68.11 68.98 69.86
81.73 92.88 98.47 99.07 99.67 100.90 102.17 103.46 104.79
108.97 123.83 131.29 132.09 132.89 134.53 136.22 137.93 139.71
509022070028917 CHERRY (2,00+0,03) MG COM REV CT BL AL PLAS 32.89 37.38 39.63 39.87 40.11 40.60 41.11 41.63 42.17
(FARMOQUÍMICA S/A) PVC/PVDC TRANSL X 21
25.81 29.33 31.10 31.29 31.47 31.86 32.26 32.67 33.09
(FARMOQUÍMICA S/A) PVC/PVDC TRANSL X 21 + 7 PLACEBOS
25.81 29.33 31.10 31.29 31.47 31.86 32.26 32.67 33.09
526122030152104 EMILY (2 + 0,03) MG COM REV CT BL AL PLAS 35.20 40.00 42.41 42.67 42.93 43.46 44.00 44.56 45.13
27.62 31.39 33.28 33.48 33.69 34.10 34.53 34.97 35.41
55.24 62.77 66.55 66.95 67.36 68.19 69.05 69.92 70.81
82.86 94.16 99.83 100.43 101.05 102.29 103.57 104.88 106.22
110.47 125.54 133.09 133.90 134.72 136.38 138.09 139.83 141.63
18.97 21.56 22.85 22.99 23.13 23.42 23.71 24.00 24.32
37.92 43.10 45.69 45.97 46.25 46.82 47.40 48.01 48.62
56.89 64.65 68.54 68.96 69.37 70.24 71.12 72.01 72.94
75.86 86.20 91.39 91.95 92.51 93.65 94.82 96.02 97.26
534220010019707 ACETATO DE CLORMADINONA + ETINILESTRADIOL 2 MG + 0,03 MG COM REV CT BL AL PLAS 24.17 27.47 29.12 29.30 29.48 29.84 30.21 30.59 30.99
18.97 21.56 22.85 22.99 23.13 23.42 23.71 24.00 24.32
534220010019807 ACETATO DE CLORMADINONA + ETINILESTRADIOL 2 MG + 0,03 MG COM REV CT BL AL PLAS 72.50 82.39 87.35 87.88 88.41 89.51 90.63 91.77 92.95
56.89 64.65 68.54 68.96 69.37 70.24 71.12 72.01 72.94
aplicável o CAP.
Medicamentos
534218050015404 LIBERFEM 2 MG + 0,03 MG COM REV CT BL AL PLAS 101.56 115.41 122.36 123.10 123.85 125.38 126.95 128.56 130.21
79.69 90.56 96.02 96.60 97.18 98.39 99.62 100.88 102.18
525322030106304 BEZIANY (2 + 0,03) MG COM REV CT BL AL PLAS 35.20 40.00 42.41 42.67 42.93 43.46 44.00 44.56 45.13
(NOVA QUIMICA FARMACÊUTICA S/A) PVC/PVDC OPC X 21
27.62 31.39 33.28 33.48 33.69 34.10 34.53 34.97 35.41
55.24 62.77 66.55 66.95 67.36 68.19 69.05 69.92 70.81
82.86 94.16 99.83 100.43 101.05 102.29 103.57 104.88 106.22
110.47 125.54 133.09 133.90 134.72 136.38 138.09 139.83 141.63
18.97 21.56 22.85 22.99 23.13 23.42 23.71 24.00 24.32
37.92 43.10 45.69 45.97 46.25 46.82 47.40 48.01 48.62
56.89 64.65 68.54 68.96 69.37 70.24 71.12 72.01 72.94
75.86 86.20 91.39 91.95 92.51 93.65 94.82 96.02 97.26
543820070056707 ACETATO DE CLORMADINONA + ETINILESTRADIOL (2,0 + 0,03) MG COM REV CT BL CALEND AL 22.98 26.11 27.69 27.85 28.02 28.37 28.73 29.09 29.46
(ALTHAIA S.A INDÚSTRIA FARMACÊUTICA) PLAS TRANS X 21
18.03 20.49 21.73 21.85 21.99 22.26 22.55 22.83 23.12
36.05 40.96 43.43 43.69 43.96 44.51 45.07 45.63 46.22
54.07 61.45 65.15 65.55 65.95 66.75 67.59 68.45 69.33
72.11 81.94 86.87 87.40 87.93 89.02 90.13 91.28 92.45
90.12 102.41 108.58 109.24 109.90 111.26 112.65 114.08 115.54
(EXELTIS LABORATORIO FARMACEUTICO LTDA) PVC/PVDC TRANSL X 63
85.88 97.59 103.47 104.09 104.73 106.02 107.35 108.70 110.10
(EXELTIS LABORATORIO FARMACEUTICO LTDA) PVC/PVDC TRANSL X 63 + 21 PLACEBOS
85.88 97.59 103.47 104.09 104.73 106.02 107.35 108.70 110.10
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) PVC/PVDC OPC X 21
18.97 21.56 22.85 22.99 23.13 23.42 23.71 24.00 24.32
37.92 43.10 45.69 45.97 46.25 46.82 47.40 48.01 48.62
56.89 64.65 68.54 68.96 69.37 70.24 71.12 72.01 72.94
75.86 86.20 91.39 91.95 92.51 93.65 94.82 96.02 97.26
538822080114404 LOLITA (2 + 0,03) MG COM REV CT BL AL PLAS 34.96 39.73 42.12 42.38 42.63 43.16 43.70 44.25 44.82
27.43 31.18 33.05 33.26 33.45 33.87 34.29 34.72 35.17
54.87 62.36 66.11 66.51 66.92 67.74 68.59 69.46 70.35
82.31 93.53 99.16 99.77 100.37 101.61 102.88 104.18 105.52
109.74 124.70 132.21 133.02 133.83 135.48 137.17 138.92 140.69
525013060102904 AIXA 2 MG + 0,03 MG COM REV CT BL AL PLAS 37.19 42.26 44.81 45.08 45.35 45.91 46.49 47.08 47.68
29.18 33.16 35.16 35.37 35.59 36.02 36.48 36.94 37.41
aplicável o CAP.
Medicamentos
525013060103004 AIXA 2 MG + 0,03 MG COM REV CT BL AL PLAS 101.56 115.41 122.36 123.10 123.85 125.38 126.95 128.56 130.21
79.69 90.56 96.02 96.60 97.18 98.39 99.62 100.88 102.18
(GRÜNENTHAL DO BRASIL FARMACÊUTICA LTDA.) PLAS TRANS X 21
29.18 33.15 35.15 35.37 35.58 36.02 36.47 36.93 37.41
(GRÜNENTHAL DO BRASIL FARMACÊUTICA LTDA.) PLAS TRANS X 21 + 7 PLACEBOS
29.18 33.15 35.15 35.37 35.58 36.02 36.47 36.93 37.41
(GRÜNENTHAL DO BRASIL FARMACÊUTICA LTDA.) PLAS TRANS X 63 + 21 PLACEBOS
87.52 99.45 105.44 106.08 106.73 108.05 109.39 110.78 112.20
542817040001507 BELARINA 2 MG + 0,02 MG COM REV CT BL CALEND AL 37.18 42.25 44.80 45.07 45.34 45.90 46.48 47.06 47.67
(GRÜNENTHAL DO BRASIL FARMACÊUTICA LTDA.) PLAS TRANS X 24 + 4 PLACEBO
29.18 33.15 35.15 35.37 35.58 36.02 36.47 36.93 37.41
ACETATO DE DESMOPRESSINA
519507902176111 ACETATO DE DESMOPRESSINA 0,1 MG/ML SOL NAS CT FR SPR VD AMB X 2,5 144.90
(LABORATÓRIO QUÍMICO FARMACÊUTICO BERGAMO LTDA) ML
113.70
C CAP
510005601133416 FURP-DESMOPRESSINA 0,1 MG/ML SOL NAS CT FR VD AMB X 5ML + CAN 308.18
ICMS0%
521400201113315 DDAVP 0,1 MG COM CT FR PLAS PEAD OPC X 30 162.46 184.61 195.73 196.92 198.12 200.57 203.08 205.65 208.28
521400204112311 DDAVP 0,2 MG COM CT FR PLAS PEAD OPC X 30 162.46 184.61 195.73 196.92 198.12 200.57 203.08 205.65 208.28
521400203175318 DDAVP 0,1MG/ML SOL NAS CT FR VD AMB 2,5ML + 2 222.92

(LABORATÓRIOS FERRING LTDA) TUB
174.93
C CAP
521400205151319 DDAVP 4 MCG/ML SOL INJ CT 10 AMP VD TRANS X 1 ML 240.97 273.83 290.33 292.08 293.87 297.49 301.21 305.03 308.94
521400202179311 DDAVP 0,1 MG/ML SOL SPR NAS CT FR SPR VD AMB 222.92
(LABORATÓRIOS FERRING LTDA) 2,5ML
174.93
C CAP
521400212158315 DDAVP 15 MCG /ML SOL INJ CT 10 AMP VD TRANS X 903.72 1026.95 1088.82 1095.42 1102.10 1115.70 1129.65 1143.95 1158.62
(LABORATÓRIOS FERRING LTDA) 1ML
709.15 805.85 854.40 859.58 864.82 875.49 886.44 897.66 909.17
(EMS S/A) 6.04 6.87 7.28 7.32 7.37 7.46 7.56 7.65 7.74
533024801168118 ACETATO DE DEXAMETASONA 1 MG/ G CREM DERM CT BG AL X 10 G 6.77 7.69 8.16 8.21 8.26 8.36 8.46 8.57 8.68
522101202167413 METADEX 1 MG/G CREM CT BG AL X 10 G 11.32 12.86 13.64 13.72 13.80 13.98 14.15 14.33 14.51
(LABORATÓRIOS OSÓRIO DE MORAES LTDA) 8.88 10.09 10.70 10.77 10.83 10.97 11.10 11.24 11.39
517620010024807 DEXAMETRAT 1 MG/G CREM DERM CT BG AL X 10 G 3.84 4.36 4.63 4.65 4.68 4.74 4.80 4.86 4.92
500507801158416 DECADRONAL 8 MG/ML SUS INJ CT FA INC X 2 ML 13.90 15.80 16.75 16.85 16.95 17.16 17.38 17.59 17.82
526129201168116 ACETATO DE DEXAMETASONA 1 MG/G CREM CT BG AL X 10 G 7.71 8.76 9.29 9.35 9.40 9.52 9.64 9.76 9.88
510001801162417 FURP-DEXAMETASONA 1 MG/G CR DERM CX 50 BG AL X 10 G 198.03 247.54 250.67 253.88

ICMS0%
525921120067907 CORTITOP 1 MG/G CREM DERM CT BG AL X 10 G 11.93 13.56 14.37 14.46 14.55 14.73 14.91 15.10 15.29
aplicável o CAP.
Medicamentos
510802401162419 DEXAGREEN 1 MG/G CREM DERM CT BG AL X 10 G 7.82 8.89 9.42 9.48 9.54 9.65 9.78 9.90 10.03
510822010017903 DEXAGREEN 1 MG/G CREM DERM CT 50 BG AL X 10 G (EMB 128.45 145.97 154.76 155.70 156.65 158.58 160.56 162.59 164.68
(GREENPHARMA QUÍMICA E FARMACÊUTICA LTDA) HOSP)
100.79 114.54 121.44 122.18 122.92 124.44 125.99 127.58 129.22
528524002160110 ACETATO DE DEXAMETASONA 1 MG/G CREM DERM CX 100 BG AL X 10 G (EMB 499.29 567.38 601.55 605.20 608.89 616.41 624.11 632.01 640.12
(PRATI DONADUZZI & CIA LTDA) HOSP)
391.79 445.22 472.04 474.90 477.80 483.70 489.74 495.94 502.30
506410101169111 ACETATO DE DEXAMETASONA 1,0 MG/G CREM DERM CT BG AL X 10 G 6.10 6.93 7.35 7.39 7.44 7.53 7.63 7.72 7.82
510408201168115 ACETATO DE DEXAMETASONA 1,00 MG/G CREM DERM CT BG AL X 10 G 7.13 8.10 8.59 8.64 8.70 8.80 8.91 9.03 9.14
510408701160415 CETADEX 1 MG/G CREM DERM CT BG AL X 10 G 11.62 13.20 14.00 14.08 14.17 14.35 14.53 14.71 14.90
538811101168413 DEXADERMIL 1MG/G CREM DERM CT BG AL X 10 G 9.87 11.22 11.89 11.96 12.04 12.19 12.34 12.49 12.65
ACETATO DE DEXTROALFATOCOFEROL;ÁCIDO FÓLICO

504113501115313 DTN-FOL 400 MCG + 10 MG CAP MOLE CT FR PLAS X 90 84.09 97.17 103.91 104.64 105.37 106.88 108.42 110.02 111.66
Liberado
ACETATO DE FLUDROCORTISONA
505618010042617 FLORINEFE 0,1 MG COM CT FR VD AMB X 100 236.02
(ASPEN PHARMA INDÚSTRIA FARMACÊUTICA LTDA) 185.20
C CAP
ACETATO DE FLUORMETOLONA
506719050078317 FLUTINOL 1 MG/ML SUS OFT CT FR GOT PLAS TRANS X 5 26.02 30.07 32.15 32.38 32.61 33.07 33.55 34.04 34.55
20.42 23.60 25.23 25.41 25.59 25.95 26.33 26.71 27.11
523401901131412 FLUTINOL 1 MG/ML SUS OFT CT FR GOT PLAS TRANS X 5 17.52 20.25 21.65 21.80 21.95 22.27 22.59 22.92 23.26
(LATINOFARMA INDUSTRIAS FARMACEUTICAS LTDA) ML
13.75 15.89 16.99 17.11 17.22 17.48 17.73 17.98 18.25
ACETATO DE GANIRRELIX
525522070024717 ORGALUTRAN 0,5 MG/ML SOL INJ SC CT SER PREENC VD 280.79 319.08 338.30 340.35 342.43 346.65 350.99 355.43 359.99
(ORGANON FARMACÊUTICA LTDA.) TRANS X 0,5 ML
220.34 250.38 265.46 267.07 268.71 272.02 275.42 278.91 282.48
ACETATO DE GLATIRÂMER
537500101151219 COPAXONE 20 MG/ML SOL INJ CT 28 SER PREENC VD 5443.34
(TEVA FARMACÊUTICA LTDA.) TRANS X 1 ML
4271.39
C CAP
537517120007103 COPAXONE 40 MG/ML SOL INJ SC CT 12 SER PREENC VD 4665.72 5301.96 5621.35 5655.42 5689.90 5760.15 5832.15 5905.98 5981.69
(TEVA FARMACÊUTICA LTDA.) TRANS X 1 ML
3661.19 4160.45 4411.07 4437.81 4464.86 4519.99 4576.49 4634.42 4693.83
ACETATO DE GOSSERRELINA
502320020033607 ZOLADEX 3,6 MG DEPOT + SER PREENC PLAS TRANS BS 773.55
(ASTRAZENECA DO BRASIL LTDA) CT ENV AL POLIET X 1
607.00
C CAP
502320020033707 ZOLADEX 10,8 MG DEPOT + SER PREENC PLAS TRANS BS 1980.60

(ASTRAZENECA DO BRASIL LTDA) CT ENV AL POLIET X 1
1554.18
C CAP
aplicável o CAP.
Medicamentos
520729802163114 ACETATO DE HIDROCORTISONA 10 MG/G CREM DERM CT BG AL X 15 G 8.78 10.15 10.85 10.93 11.00 11.16 11.32 11.49 11.66
Liberado
533017110066203 CORTIGEN 10 MG/G CREM DERM CT BG AL X 20 G 13.21 15.27 16.32 16.44 16.55 16.79 17.03 17.28 17.54
Liberado
538912050013713 BERLISON 10 MG/G CREM DERM CT BG AL X 15 G 12.83 14.83 15.85 15.97 16.08 16.31 16.54 16.79 17.04
(BAYER S.A.) 10.07 11.64 12.44 12.53 12.62 12.80 12.98 13.18 13.37
Liberado
538912050013813 BERLISON 10 MG/G CREM DERM CT BG AL X 30 G 23.04 26.62 28.47 28.67 28.87 29.28 29.71 30.14 30.59
(BAYER S.A.) 18.08 20.89 22.34 22.50 22.65 22.98 23.31 23.65 24.00
Liberado
538912050013913 BERLISON 10 MG/G POM DERM CT BG AL X 15 G 12.83 14.83 15.85 15.97 16.08 16.31 16.54 16.79 17.04
(BAYER S.A.) 10.07 11.64 12.44 12.53 12.62 12.80 12.98 13.18 13.37
Liberado
ACETATO DE ICATIBANTO
501121040039017 FIRAZYR 10 MG/ML CT 1 SER X 3 ML + AGULHA 6999.10 8088.08 8648.98 8709.39 8770.65 8895.80 9024.58 9157.15 9293.68
ACETATO DE LANREOTIDA
539214010000603 SOMATULINE AUTOGEL 60 MG SOL INJ LIB PROL CT ENV SER PRENC 3078.37
(BEAUFOUR IPSEN FARMACÊUTICA LTDA) PLAS TRANS AG RETRÁTIL X 0,5 ML
2415.60
C CAP
(BEAUFOUR IPSEN FARMACÊUTICA LTDA) PLAS TRANS X 0,5 ML
2595.96
C CAP
(BEAUFOUR IPSEN FARMACÊUTICA LTDA) PLAS TRANS AG RETRÁTIL X 0,5 ML
2595.96
C CAP
539220120001507 SOMATULINE AUTOGEL 60 MG SOL INJ LIB PROL CT ENV AL/PLAS SER 3078.37
(BEAUFOUR IPSEN FARMACÊUTICA LTDA) PREENC PLAS TRANS AG RETRÁTIL X 0,5 ML
2415.60
C CAP
2595.96
C CAP
2595.96
C CAP
534213080009803 ELIGARD 45 MG PO LIOF SUS INJ SC LIB PROL CT BL AL 8963.53 10185.83 10799.43 10864.88 10931.13 11066.09 11204.41 11346.24 11491.70
(ADIUM S.A.) PLAS TRANS SER B + AGU DISP SEGUR + BL AL
7033.68 7992.82 8474.31 8525.67 8577.66 8683.56 8792.10 8903.39 9017.54
PLAS TRANS DIL SER A + EMB + 2 DESSEC
534214090010603 ELIGARD 7,5 MG PO LIOF SUS INJ SC LIB PROL CT BL AL 1692.10 1922.84 2038.67 2051.03 2063.54 2089.01 2115.13 2141.90 2169.36
(ADIUM S.A.) PLAS TRANS SER B + AGU DISP SEGUR +
1327.79 1508.85 1599.74 1609.44 1619.26 1639.25 1659.74 1680.75 1702.30
DESSEC + BL AL PLAS TRANS DIL SER A + EMB
+ DESSEC
534214090010703 ELIGARD 22,5 MG PO LIOF SUS INJ SC LIB PROL CT BL AL 3887.22 4417.30 4683.40 4711.78 4740.51 4799.04 4859.03 4920.53 4983.61
(ADIUM S.A.) PLAS TRANS SER B + AGU DISP SEGUR +
3050.30 3466.26 3675.06 3697.33 3719.88 3765.81 3812.88 3861.14 3910.64
DESSEC + BL AL PLAS TRANS DIL SER A + EMB
+ DESSEC
543715070001407 LUPRON 5,0 MG/ML SOL INJ PT PLAS OPC FA VD TRANS 731.10 830.80 880.84 886.18 891.59 902.59 913.88 925.44 937.31
(ABBVIE FARMACÊUTICA LTDA.) X 2,8 ML + 14 SER + 15 SACHETS ALCOOL
573.69 651.93 691.20 695.39 699.63 708.26 717.12 726.19 735.51
ACETATO DE MEDROXIPROGESTERONA
533026207158411 DEMEDROX 150 MG/ML SUS INJ CT SER PREENC VD TRANS 29.76
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) X 1 ML
23.35
533026204159417 DEMEDROX 150 MG/ML SUS INJ CT AMP VD TRANS X 1 ML 29.23

(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) 22.94
526103001153413 CONTRACEP 150 MG/ML SUSP INJ CT FA VD INC X 1 ML 18.81 21.38 22.66 22.80 22.94 23.22 23.51 23.81 24.12
aplicável o CAP.
Medicamentos
ACETATO DE MEDROXIPROGESTERONA
526115020094803 CONTRACEP 150 MG/ML SUS INJ CT AMP VD INC X 1 ML 18.81 21.38 22.66 22.80 22.94 23.22 23.51 23.81 24.12
522717100060617 DEPO-PROVERA 150 MG/ML SUS INJ CT FA VD TRANS X 1 ML 29.29

522717100060717 DEPO-PROVERA 150 MG/ML SUS INJ CT BL PLAS PLAS TRANS X 37.95
(PFIZER BRASIL LTDA) SER VD TRANS PREENC X 1 ML + AG DESC
29.78
522718030075303 DEPO-PROVERA 160 MG/ML SUS INJ SC CT ENVOL SER PREENC 35.39 40.22 42.64 42.90 43.16 43.69 44.24 44.80 45.37
(PFIZER BRASIL LTDA) PLAS PEBD TRANS X 0,65 ML + AGU
27.77 31.56 33.46 33.66 33.87 34.28 34.72 35.16 35.60
522717120067907 PROVERA 10 MG COM CT BL AL PLAS TRANS X 14 25.16 28.59 30.31 30.50 30.68 31.06 31.45 31.85 32.26
522718060081503 SAYANA 160 MG/ML SUS INJ SC CT ENVOL SER PREENC 33.51 38.08 40.37 40.62 40.87 41.37 41.89 42.42 42.96
(PFIZER BRASIL LTDA) PLAS PEBD TRANS X 0,65 ML + AGU
26.30 29.88 31.68 31.87 32.07 32.46 32.87 33.29 33.71
ACETATO DE MEGESTROL
519507001111419 FEMIGESTROL 160 MG COM CT BL AL PLAS TRANS X 30 199.90 227.16 240.84 242.30 243.78 246.79 249.88 253.04 256.28
(LABORATÓRIO QUÍMICO FARMACÊUTICO BERGAMO LTDA) 156.86 178.25 188.99 190.13 191.29 193.66 196.08 198.56 201.10
ACETATO DE METILPREDNISOLONA
533022701158416 PREDI-MEDROL 40 MG/ML SUS INJ CT FA VD INC X 2 ML 15.63 17.76 18.83 18.95 19.06 19.30 19.54 19.78 20.04
522718040079917 DEPO-MEDROL 40 MG/ML SUS INJ CT FA VD TRANS X 2 ML 16.08 18.27 19.37 19.49 19.61 19.85 20.10 20.35 20.62
ACETATO DE NOMEGESTROL
537512080004304 LUTENIL 5 MG COM CT CART BL AL PLAS TRANS X 10 43.66 49.61 52.60 52.92 53.24 53.90 54.58 55.27 55.97
537512080004404 LUTENIL 5 MG COM CT CART BL AL PLAS TRANS X 14 58.27 66.22 70.20 70.63 71.06 71.94 72.84 73.76 74.71
ACETATO DE NOMEGESTROL;ESTRADIOL HEMI-HIDRATADO

523720050043707 IZIZ (2,5 + 1,5) MG COM REV CT BL AL PLAS 34.66 40.05 42.83 43.13 43.43 44.05 44.69 45.35 46.02
(LIBBS FARMACÊUTICA LTDA) PVC/PVDC TRANS CALEND X 24 + 4 PLACEBO
27.20 31.43 33.61 33.84 34.08 34.57 35.07 35.59 36.11
523720050043807 IZIZ (2,5 + 1,5) MG COM REV CT BL AL PLAS 106.48 123.05 131.58 132.50 133.43 135.34 137.29 139.31 141.39
(LIBBS FARMACÊUTICA LTDA) PVC/PVDC TRANS CALEND X 72 + 12 PLACEBO
83.55 96.56 103.25 103.97 104.70 106.20 107.73 109.32 110.95
576821090000917 STEZZA (2,5 + 1,5) MG COM REV CT BL AL PLAS PVC 34.66 40.05 42.83 43.13 43.43 44.05 44.69 45.35 46.02
(FARMA VISION IMPORTAÇÃO E EXPORTAÇÃO DE MEDICAMENTOS TRANS X 24 + 4 PLACEBOS
27.20 31.43 33.61 33.84 34.08 34.57 35.07 35.59 36.11
576821090001017 STEZZA (2,5 + 1,5) MG COM REV CT BL AL PLAS PVC 121.31 140.18 149.91 150.95 152.01 154.18 156.42 158.71 161.08
(FARMA VISION IMPORTAÇÃO E EXPORTAÇÃO DE MEDICAMENTOS TRANS X 72 + 12 PLACEBOS
95.19 110.00 117.63 118.45 119.28 120.98 122.74 124.54 126.40
ACETATO DE NORETISTERONA
533022100080817 PRIMOLUT-NOR 10 MG COM CT BL AL PLAS TRANS X 30 15.91 18.08 19.17 19.28 19.40 19.64 19.89 20.14 20.40
538912050011814 CLIANE 2 MG + 1 MG COM REV CT BL CALEND AL PLAS 43.70 49.66 52.65 52.97 53.29 53.95 54.63 55.32 56.03
(BAYER S.A.) INC X 28
34.29 38.97 41.31 41.57 41.82 42.33 42.87 43.41 43.97
538912050016013 PRIMOLUT-NOR 10 MG COM CT BL AL PLAS TRANS X 30 15.91 18.08 19.17 19.28 19.40 19.64 19.89 20.14 20.40
(BAYER S.A.) 12.48 14.19 15.04 15.13 15.22 15.41 15.61 15.80 16.01

523720090044607 NATIFA PRO UBD (0,5 + 0,1) MG COM REV CT BL AL PLAS PCTFE 54.31 61.72 65.43 65.83 66.23 67.05 67.89 68.75 69.63
42.62 48.43 51.34 51.66 51.97 52.61 53.27 53.95 54.64
523720090044507 NATIFA PRO UBD (0,5 + 0,1) MG COM REV CT BL AL PLAS PCTFE 162.93 185.15 196.30 197.49 198.70 201.15 203.66 206.24 208.88
127.85 145.29 154.04 154.97 155.92 157.84 159.81 161.84 163.91
576821040000317 SYSTEN CONTI 3,2 MG + 11,2 MG ADES TRANSD CT 8 ENV X 1 94.63 107.53 114.01 114.70 115.40 116.83 118.29 119.78 121.32
(FARMA VISION IMPORTAÇÃO E EXPORTAÇÃO DE MEDICAMENTOS 74.26 84.38 89.46 90.00 90.55 91.68 92.82 93.99 95.20
aplicável o CAP.
Medicamentos

576821050000717 SYSTEN SEQUI 3,2 MG ADES CT 4 ENV X 1 / (3,2 + 11,2) MG 86.69 98.51 104.45 105.08 105.72 107.02 108.36 109.73 111.14
(FARMA VISION IMPORTAÇÃO E EXPORTAÇÃO DE MEDICAMENTOS ADES CT 4 ENV X 1
68.03 77.30 81.96 82.46 82.96 83.98 85.03 86.10 87.21
ACETATO DE OCTREOTIDA
532412070006214 OCTRIDE 0,10 MG/ML SOL INJ CT 5 AMP VD TRANS X 1 ML 318.34
C CAP ICMS0%
ACETATO DE PREDNISOLONA
501004601173313 PRED 10 MG/ML SUS OC FR PLAS OPC GOT X 5 ML 32.62 37.70 40.31 40.59 40.88 41.46 42.06 42.68 43.31
506719070079517 OFTPRED 10 MG/ML SUS OFT CT FR GOT PLAS OPC X 5 31.28 36.15 38.65 38.92 39.20 39.76 40.33 40.92 41.53
24.55 28.37 30.33 30.54 30.76 31.20 31.65 32.11 32.59
533022904172413 STER 1,2 MG/ML SUS OFT CT FR GOT PLAS OPC X 10 30.68 35.45 37.91 38.18 38.45 38.99 39.56 40.14 40.74
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) ML
24.07 27.82 29.75 29.96 30.17 30.59 31.04 31.50 31.97
533022902171411 STER 10 MG/ML SUS OFT CT FR GOT PLAS OPC X 5 18.65 21.55 23.05 23.21 23.37 23.70 24.05 24.40 24.76
14.63 16.91 18.09 18.21 18.34 18.60 18.87 19.15 19.43
510412110079704 PREDOPTIC 10MG/ML SUSP OFT CT FR PLAS OPC GOT X 27.52 31.80 34.01 34.24 34.49 34.98 35.48 36.01 36.54
21.59 24.95 26.69 26.87 27.07 27.45 27.84 28.26 28.67
510412100078006 ACETATO DE PREDNISOLONA 10MG/ML SUSP OFT CT FR PLAS OPC GOT X 21.19 24.49 26.19 26.37 26.55 26.93 27.32 27.72 28.14
16.63 19.22 20.55 20.69 20.83 21.13 21.44 21.75 22.08
ACETATO DE RACEALFATOCOFEROL
508022030153017 EMAMA 400 MG CAP MOLE CT BL AL PLAS TRANS X 30 28.21 32.60 34.86 35.10 35.35 35.85 36.37 36.91 37.46
Liberado
511519120070007 VITAMINA E 400 MG CAP GEL MOLE CT BL AL PLAS TRANS X 18.02 20.82 22.27 22.42 22.58 22.90 23.23 23.58 23.93
14.14 16.34 17.48 17.59 17.72 17.97 18.23 18.50 18.78
Liberado
520722901115412 TEUTOVIT E 400 MG CAP MOLE CT FR PLAS PEAD OPC X 30 25.64 29.63 31.68 31.91 32.13 32.59 33.06 33.55 34.05
Liberado
500507601116418 VITA E 400 MG CAP MOLE CT FR PLAS OPC X 30 27.02 31.22 33.39 33.62 33.86 34.34 34.84 35.35 35.88
Liberado
531625901111415 E-TABS 1.000 UI CAP GEL MOLE CT FR PLAS OPC X 30 52.12 60.23 64.41 64.86 65.31 66.24 67.20 68.19 69.21
531625902116410 E-TABS 400 UI CAP GEL MOLE CT FR PLAS OPC X 30 24.31 28.09 30.04 30.25 30.46 30.90 31.35 31.81 32.28
540419120011207 VITAMIN E 400 MG CAP GEL MOLE CT FR PLAS OPC X 30 38.45 44.43 47.51 47.85 48.18 48.87 49.58 50.31 51.06
(NATULAB LABORATÓRIO S.A) 30.17 34.86 37.28 37.55 37.81 38.35 38.91 39.48 40.07
Liberado
538920090031707 EPHYNAL 400 MG CAP GEL MOLE CT BL AL PLAS INC X 30 39.79 45.98 49.17 49.51 49.86 50.57 51.30 52.06 52.83
(BAYER S.A.) 31.22 36.08 38.58 38.85 39.12 39.68 40.25 40.85 41.45
Liberado
ACETATO DE RACEALFATOCOFEROL;BETACAROTENO;SELÊNIO;COBRE;ÁCIDO ASCÓRBICO;ZINCO

524820030010007 VITERGAN ZINCO COM REV CT BL AL PLAS PVC/PE/PVDC TRANS 66.44 76.78 82.10 82.68 83.26 84.44 85.67 86.93 88.22
(MARJAN INDÚSTRIA E COMÉRCIO LTDA) X 30
52.14 60.25 64.42 64.88 65.33 66.26 67.23 68.21 69.23
Liberado
ACETATO DE RACEALFATOCOFEROL;PALMITATO DE RETINOL;COLECALCIFEROL

517700103135419 ADEFORTE 11,76 + 0,04 + 30 MG/ML SOL OR CT FR VD AMB 57.01 65.88 70.45 70.94 71.44 72.46 73.51 74.59 75.70
(LABORATÓRIO GROSS S. A.) CGT X 15 ML
44.74 51.70 55.28 55.67 56.06 56.86 57.68 58.53 59.40
Liberado
517700101132412 ADEFORTE 10 + 0,02 + 15 MG/ML SOL OR CT AMP VD INC X 15.45 17.85 19.09 19.23 19.36 19.64 19.92 20.21 20.52
(LABORATÓRIO GROSS S. A.) 3 ML
12.12 14.01 14.98 15.09 15.19 15.41 15.63 15.86 16.10
Liberado
517700104131417 ADEFORTE 10 + 0,02 + 15 MG/ML SOL OR CT 25 AMP VD INC 386.25 446.35 477.30 480.63 484.01 490.92 498.03 505.34 512.88
(LABORATÓRIO GROSS S. A.) X 3 ML
303.09 350.25 374.54 377.15 379.80 385.22 390.80 396.54 402.46
Liberado
ACETATO DE RACEALFATOCOFEROL;ÁCIDO FÓLICO

504120100070007 ENVID 800 MCG + 20 MG CAP MOLE CT BL AL PLAS 50.32 58.15 62.18 62.62 63.06 63.96 64.88 65.84 66.82
(BIOLAB SANUS FARMACÊUTICA LTDA) OPC X 30
39.49 45.63 48.79 49.14 49.48 50.19 50.91 51.67 52.43
Liberado
aplicável o CAP.
Medicamentos
ACETATO DE RETINOL;CLORIDRATO DE PIRIDOXINA;COLECALCIFEROL

517300701132310 HAAR INTERN 60 MG COM REV CT BL AL PLAS INC X 60 45.02 52.02 55.63 56.02 56.42 57.22 58.05 58.90 59.78
(LABORATÓRIO FARMACÊUTICO VITAMED LTDA) 35.33 40.82 43.65 43.96 44.27 44.90 45.55 46.22 46.91
Liberado
ACETATO DE RETINOL;COLECALCIFEROL
501120120031907 AD-TIL (50000 + 10000) UI/ML SOL OR CT FR GOT PLAS 6.52 7.53 8.06 8.11 8.17 8.29 8.41 8.53 8.66
(TAKEDA PHARMA LTDA.) AMB X 10 ML
5.12 5.91 6.32 6.36 6.41 6.51 6.60 6.69 6.80
(TAKEDA PHARMA LTDA.) AMB X 20 ML
10.26 11.86 12.68 12.78 12.86 13.04 13.24 13.43 13.63
15.36 17.76 18.99 19.11 19.26 19.53 19.81 20.10 20.40
540420050012107 AD-VITAM (50000 + 10000) UI/ML SOL CT FR GOT PLAS 10.42 12.04 12.88 12.97 13.06 13.24 13.44 13.63 13.84
(NATULAB LABORATÓRIO S.A) AMB X 20 ML
8.18 9.45 10.11 10.18 10.25 10.39 10.55 10.69 10.86
Liberado
540420050012207 AD-VITAM (50000 + 10000) UI/ML SOL CT 200 FR GOT PLAS 3091.92 3572.99 3820.77 3847.46 3874.52 3929.81 3986.69 4045.26 4105.57
(NATULAB LABORATÓRIO S.A) AMB X 10 ML (EMB HOSP)
2426.23 2803.73 2998.16 3019.10 3040.34 3083.72 3128.35 3174.32 3221.64
Liberado
5.12 5.91 6.32 6.36 6.41 6.51 6.60 6.69 6.80
10.26 11.86 12.68 12.78 12.86 13.04 13.24 13.43 13.63
ACETATO DE SÓDIO TRIHIDRATADO

540620080003107 ACETATO DE SÓDIO 2 MEQ/ML SOL INJ IV CX 10 FA VD TRANS X 50 340.26 386.66 409.95 412.44 414.95 420.07 425.33 430.71 436.23
267.00 303.41 321.69 323.64 325.61 329.63 333.76 337.98 342.31
667.51 758.54 804.23 809.10 814.04 824.09 834.40 844.95 855.79
1335.03 1517.08 1608.46 1618.22 1628.08 1648.18 1668.78 1689.91 1711.57
ACETATO DE SÓDIO TRIIDRATADO

540600401155417 ACETATO DE SÓDIO 2 MEQ/ML SOL INJ IV CX 50 AMP VD TRANS X 10 513.97 584.06 619.24 622.99 626.79 634.53 642.46 650.60 658.94
403.31 458.31 485.92 488.86 491.84 497.92 504.14 510.53 517.07
ACETATO DE SÓDIO TRIIDRATADO;CLORETO DE CÁLCIO DIIDRATADO;CITRATO DE SÓDIO DI-HIDRATADO;CLORETO DE MAGNÉSIO HEXAIDRATADO;

511204302150416 SOLUÇÃO SALINA BALANCEADA - HALEX ISTAR SOL OFT CX 10 BOLS TRILAMINADA PP TRANS 947.43 1094.84 1170.77 1178.94 1187.23 1204.18 1221.61 1239.55 1258.03
(HALEX ISTAR INDÚSTRIA FARMACÊUTICA SA) SIST FECH X 500 ML
743.45 859.12 918.70 925.11 931.62 944.92 958.60 972.67 987.18
511204301154418 SOLUÇÃO SALINA BALANCEADA - HALEX ISTAR SOL OFT CX 20 BOLS TRILAMINADA PP TRANS 1383.95 1599.28 1710.19 1722.13 1734.24 1758.99 1784.45 1810.67 1837.66
(HALEX ISTAR INDÚSTRIA FARMACÊUTICA SA) SIST FECH X 250 ML
1085.99 1254.96 1341.99 1351.36 1360.86 1380.28 1400.26 1420.83 1442.01
ACETATO DE SÓDIO TRIIDRATADO;CLORETO DE CÁLCIO DIIDRATADO;HIDROXIETILAMIDO;CLORETO DE MAGNÉSIO HEXAIDRATADO;CLORETO DE

511212050022505 ISTARHES (60 + 6 + 0,40 + 0,134 + 0,20 + 3,70) MG/ML SOL 34.93 39.69 42.08 42.34 42.60 43.12 43.66 44.22 44.78
(HALEX ISTAR INDÚSTRIA FARMACÊUTICA SA) INJ IV CT BOLS PP TRANS SIST FECH X 500 ML
27.41 31.14 33.02 33.22 33.43 33.84 34.26 34.70 35.14
511217020033903 ISTARHES (60 + 6 + 0,40 + 0,134 + 0,20 + 3,70) MG/ML SOL 1048.05 1190.97 1262.71 1270.36 1278.11 1293.89 1310.06 1326.65 1343.65
(HALEX ISTAR INDÚSTRIA FARMACÊUTICA SA) INJ IV CX 30 BOLS PP TRANS SIST FECH X 500
822.40 934.55 990.85 996.85 1002.93 1015.32 1028.00 1041.02 1054.36
ML
ACETATO DE SÓDIO TRIIDRATADO;GLICONATO DE SÓDIO;CLORETO DE MAGNÉSIO HEXAIDRATADO;CLORETO DE POTÁSSIO;CLORETO DE SÓDIO

520916120014704 PLASMAFUNDIN SOL INJ IV CX FA PLAS TRANS SIST FECH X 500 135.21 156.25 167.08 168.25 169.43 171.85 174.34 176.90 179.54
(LABORATÓRIOS B. BRAUN S/A) ML
106.10 122.61 131.11 132.03 132.95 134.85 136.80 138.81 140.89
511218060034904 PLASMAISTAR SOL INFUS IV CX 30 BOLS PLAS TRANS SIST 4056.48 4687.62 5012.71 5047.72 5083.22 5155.75 5230.39 5307.22 5386.35
(HALEX ISTAR INDÚSTRIA FARMACÊUTICA SA) FECH X 500ML
3183.12 3678.38 3933.47 3960.95 3988.80 4045.72 4104.29 4164.57 4226.67
ACETATO DE SÓDIO TRIIDRATADO;GLICONATO DE SÓDIO;CLORETO DE POTÁSSIO;CLORETO DE SÓDIO;CLORETO DE MAGNÉSIO

503202601151317 PLASMA LYTE SOL INJ IV CX BOLS PLAS TRANS SIST FECH X 135.21 156.25 167.08 168.25 169.43 171.85 174.34 176.90 179.54
(BAXTER HOSPITALAR LTDA) 500 ML
106.10 122.61 131.11 132.03 132.95 134.85 136.80 138.81 140.89
ACETATO DE TERLIPRESSINA
521400302157318 GLYPRESSIN 1 MG PO LIOF INJ CT FA VD TRANS + DIL AMP 305.36 347.00 367.90 370.13 372.39 376.99 381.70 386.53 391.49
(LABORATÓRIOS FERRING LTDA) VD TRANS X 5 ML
239.62 272.29 288.69 290.44 292.21 295.82 299.52 303.31 307.20
aplicável o CAP.
Medicamentos
ACETATO DE TERLIPRESSINA
521418020006303 GLYPRESSIN 0,12 MG/ML SOL INJ CT 1 AMP VD TRANS X 8,5 305.36 347.00 367.90 370.13 372.39 376.99 381.70 386.53 391.49
239.62 272.29 288.69 290.44 292.21 295.82 299.52 303.31 307.20
571622060000804 TERGLY 1 MG PO LIOF SOL INJ IV CT FA VD TRANS 305.34 346.98 367.88 370.11 372.37 376.96 381.68 386.51 391.46
571622060000904 TERGLY 1 MG PO LIOF SOL INJ IV CT 10 FA VD TRANS 3053.42 3469.80 3678.82 3701.11 3723.68 3769.65 3816.78 3865.09 3914.64
ACETATO DE TOCOFEROL;ÁCIDO FÓLICO

504117080058303 DTN-FOL 400 MCG + 10 MG CAP MOLE CT FR PLAS X 30 19.51 22.55 24.11 24.28 24.45 24.80 25.16 25.53 25.91
Liberado
504118030059803 DTN-FOL 400 MCG + 10 MG CAP MOLE CT BL AL PLAS 19.51 22.55 24.11 24.28 24.45 24.80 25.16 25.53 25.91
15.31 17.69 18.92 19.05 19.19 19.46 19.74 20.03 20.33
Liberado
504118030059903 DTN-FOL 400 MCG + 10 MG CAP MOLE CT BL AL PLAS 88.30 102.04 109.11 109.88 110.65 112.23 113.85 115.53 117.25
69.29 80.07 85.62 86.22 86.83 88.07 89.34 90.66 92.01
Liberado
ACETATO DE TRIPTORRELINA
521400401155410 GONAPEPTYL DEPOT 3,75 MG PO SUS INJ LIB PROL IM/SC CT SER 651.01
(LABORATÓRIOS FERRING LTDA) PREENC VD TRANS + DIL SER PREENC VD
510.85
C CAP TRANS X 1ML + ADAPT + 2 AGU
521401501153418 GONAPEPTYL DAILY 0,1MG/ML SOL INJ CT 7 SER VD 1ML 275.95 313.58 332.47 334.48 336.52 340.68 344.94 349.30 353.78
ACETATO DE ULIPRISTAL
565618040000217 ULIP 30 MG COM CT BL AL PVC/PE/PVDC TRANS X 1 29.61 34.22 36.59 36.85 37.10 37.63 38.18 38.74 39.32
(EXELTIS LABORATORIO FARMACEUTICO LTDA) 23.23 26.85 28.71 28.92 29.11 29.53 29.96 30.40 30.85
ACETATO DE ZINCO
540621050003407 ACETATO DE ZINCO 0,5 MEQ/ML 0,5 MEQ/ML (54 MG/ML) SOL INJ IV CX 50 AMP 375.45 426.65 452.35 455.09 457.87 463.52 469.31 475.25 481.35
(VASCONCELOS INDUSTRIA FARMACEUTICA E COMERCIO LTDA) VD TRANS X 5 ML
294.62 334.79 354.96 357.11 359.29 363.72 368.27 372.93 377.72
ACETAZOLAMIDA
533020501119410 DIAMOX 250 MG COM CT FR VD AMB X 25 12.89 14.65 15.53 15.62 15.72 15.91 16.11 16.32 16.53
C CAP
533022020077303 DIAMOX 250 MG COM CT BL AL PLAS PVC/PVDC TRANS 15.47

(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) X 30
12.14
C CAP
ACETILCISTEÍNA
Liberado
Liberado
508017601115127 ACETILCISTEINA 100 MG GRAN CT 16 ENV PAPEL AL POLIET X 5 20.76 23.99 25.65 25.83 26.01 26.39 26.77 27.16 27.57
16.29 18.82 20.13 20.27 20.41 20.71 21.01 21.31 21.64
Liberado
18.19 21.02 22.47 22.63 22.80 23.12 23.46 23.80 24.15
Liberado
40.48 46.78 50.02 50.38 50.73 51.45 52.20 52.97 53.75
Liberado
Liberado
Liberado
508022020150417 AIRES 600 MG GRAN CT 16 ENV PAPEL AL POLIET X 5 55.13 63.71 68.13 68.60 69.08 70.07 71.08 72.13 73.20
43.26 49.99 53.46 53.83 54.21 54.98 55.78 56.60 57.44
Liberado
508022070165907 AIRES 20 MG/ML XPE CT FR VD AMB X 100 ML + CP 21.06 24.34 26.02 26.21 26.39 26.77 27.15 27.55 27.96
(EUROFARMA LABORATÓRIOS S.A.) MED
16.53 19.10 20.42 20.57 20.71 21.01 21.30 21.62 21.94
Liberado
aplicável o CAP.
Medicamentos
ACETILCISTEÍNA
Liberado
Liberado
541819040104003 FLUITEÍNA 20 MG/ML XPE CT FR VD AMB X 100 ML + COP 20.87 24.12 25.79 25.97 26.15 26.53 26.91 27.30 27.71
(EMS S/A) 16.38 18.93 20.24 20.38 20.52 20.82 21.12 21.42 21.74
Liberado
541820090147907 FLUITEÍNA 200 MG GRAN CT 16 ENV AL PLAS PE X 5 G 22.62 26.14 27.95 28.15 28.35 28.75 29.17 29.59 30.04
(EMS S/A) 17.75 20.51 21.93 22.09 22.25 22.56 22.89 23.22 23.57
Liberado
(EMS S/A) 4.91 5.67 6.07 6.11 6.15 6.25 6.33 6.43 6.52
Liberado
(EMS S/A) 11.57 13.37 14.31 14.40 14.50 14.71 14.93 15.15 15.37
Liberado
(EMS S/A) 28.66 33.11 35.41 35.66 35.91 36.43 36.95 37.49 38.05
Liberado
(EMS S/A) 21.71 25.09 26.83 27.02 27.20 27.60 28.00 28.41 28.83
Liberado
(EMS S/A) 28.94 33.44 35.76 36.01 36.26 36.78 37.31 37.86 38.43
Liberado
(EMS S/A) 38.58 44.59 47.68 48.02 48.35 49.03 49.75 50.48 51.23
Liberado
(EMS S/A) 7.38 8.52 9.12 9.18 9.24 9.38 9.51 9.65 9.79
Liberado
(EMS S/A) 30.34 35.06 37.49 37.75 38.02 38.56 39.12 39.69 40.28
Liberado
(EMS S/A) 16.61 19.19 20.53 20.67 20.82 21.12 21.42 21.74 22.06
Liberado
(EMS S/A) 36.53 42.21 45.14 45.45 45.77 46.42 47.10 47.79 48.50
Liberado
(EMS S/A) 15.87 18.35 19.62 19.75 19.89 20.17 20.46 20.77 21.08
Liberado
(EMS S/A) 23.55 27.21 29.10 29.30 29.51 29.93 30.36 30.81 31.27
Liberado
(EMS S/A) 30.61 35.37 37.83 38.09 38.36 38.91 39.47 40.05 40.65
Liberado
(EMS S/A) 18.02 20.83 22.27 22.43 22.58 22.90 23.24 23.58 23.93
Liberado
520712080083104 PNEUMUCIL 20MG/ML XPE CT FR VD AMB X 120ML + COP 20.72 23.94 25.60 25.78 25.96 26.33 26.72 27.11 27.51
(LABORATÓRIO TEUTO BRASILEIRO S/A) MED
16.26 18.79 20.09 20.23 20.37 20.66 20.97 21.27 21.59
Liberado
520712120085806 ACETILCISTEÍNA 20MG/ML XPE CT FR VD AMB X 120ML + COP 25.34 29.28 31.31 31.53 31.75 32.21 32.67 33.15 33.65
Liberado
Liberado
Liberado
533005901152411 FLUCISTEIN 100 MG/ML SOL DIL INFUS IV/INAL CT 5 AMP VD 22.56 26.07 27.88 28.07 28.27 28.67 29.09 29.52 29.96
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) AMB X 3 ML
17.70 20.46 21.88 22.03 22.18 22.50 22.83 23.17 23.51
533019304151113 ACETILCISTEINA 100 MG/ML SOL INJ IV/INAL CT 5 AMP VD AMB X 13.72 15.85 16.95 17.07 17.19 17.44 17.69 17.95 18.22
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) 3 ML
10.77 12.44 13.30 13.39 13.49 13.69 13.88 14.09 14.30
552920030120617 ACETILCISTEINA 20 MG/ML XPE CT FR VD AMB X 120 ML + COP 19.48 22.51 24.07 24.24 24.41 24.76 25.12 25.49 25.87
Liberado
aplicável o CAP.
Medicamentos
ACETILCISTEÍNA
552920030120717 ACETILCISTEINA 40 MG/ML XPE CT FR VD AMB X 120 ML + COP 29.45 34.03 36.39 36.65 36.90 37.43 37.97 38.53 39.10
Liberado
526113205134112 ACETILCISTEINA 20 MG/ML XPE CT FR VD AMB X 120 ML + CP 20.73 23.96 25.62 25.80 25.98 26.35 26.73 27.12 27.53
(GERMED FARMACEUTICA LTDA) MED
16.27 18.80 20.10 20.25 20.39 20.68 20.98 21.28 21.60
Liberado
526113203131116 ACETILCISTEÍNA 600 MG GRAN CT 16 ENV AL POLIET X 5 G 39.13 45.22 48.35 48.69 49.03 49.73 50.45 51.20 51.96
Liberado
Liberado
Liberado
Liberado
Liberado
Liberado
Liberado
Liberado
Liberado
Liberado
Liberado
Liberado
Liberado
506320090035407 PULMONARE 600 MG GRAN SOL OR CT 16 ENV AL/PLAS 43.77 50.58 54.09 54.47 54.85 55.63 56.44 57.27 58.12
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) PE/PAP
34.35 39.69 42.44 42.74 43.04 43.65 44.29 44.94 45.61
Liberado
506320090035507 PULMONARE 20 MG/ML SOL OR CT FR VD AMB X 120ML + 23.00 26.58 28.42 28.62 28.82 29.23 29.66 30.09 30.54
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) COP
18.05 20.86 22.30 22.46 22.61 22.94 23.28 23.61 23.96
Liberado
506320090035207 PULMONARE 20 MG/ML SOL OR CX 50 FR VD AMB X 120 ML + 977.11 1129.14 1207.44 1215.88 1224.43 1241.90 1259.88 1278.38 1297.44
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) 50 COP
766.74 886.04 947.48 954.10 960.81 974.52 988.63 1003.14 1018.10
Liberado
506320090035307 PULMONARE 40 MG/ML SOL OR CT FR VD AMB X 120ML + 30.11 34.79 37.21 37.47 37.73 38.27 38.82 39.39 39.98
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) COP
23.63 27.30 29.20 29.40 29.61 30.03 30.46 30.91 31.37
Liberado
506320090035607 PULMONARE 40 MG/ML SOL OR CX 50 FR VD AMB X 120ML + 1279.64 1478.74 1581.29 1592.33 1603.53 1626.41 1649.96 1674.19 1699.16
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) 50 COP
1004.13 1160.37 1240.84 1249.50 1258.29 1276.24 1294.72 1313.74 1333.33
Liberado
504413702159112 ACETILCISTEINA 100 MG/ML SOL INJ CX 100 AMP VD AMB X 3 277.04 320.14 342.35 344.74 347.16 352.12 357.21 362.46 367.86
(BLAU FARMACÊUTICA S.A.) ML (EMB HOSP)
217.39 251.21 268.64 270.52 272.42 276.31 280.30 284.42 288.66
504414010041518 BROMUC 100 MG/ML SOL INJ CT 5 AMP VD AMB X 3 ML 19.98 23.09 24.69 24.86 25.04 25.39 25.76 26.14 26.53
504414010041418 BROMUC 100 MG/ML SOL INJ CX 100 AMP VD AMB X 3 ML 338.02 390.61 417.70 420.62 423.58 429.62 435.84 442.24 448.84
528500102130119 ACETILCISTEÍNA 20 MG/ML XPE CT FR VD AMB X 100 ML + CP 17.91 20.70 22.13 22.29 22.44 22.76 23.09 23.43 23.78
(PRATI DONADUZZI & CIA LTDA) MED
14.05 16.24 17.37 17.49 17.61 17.86 18.12 18.39 18.66
Liberado
20.53 23.72 25.37 25.54 25.72 26.09 26.47 26.86 27.26
Liberado
aplicável o CAP.
Medicamentos
ACETILCISTEÍNA
528500106136111 ACETILCISTEÍNA 40 MG/G GRAN CT C/ 16 ENV X 5 G 20.04 23.16 24.76 24.94 25.11 25.47 25.84 26.22 26.61
Liberado
Liberado
Liberado
Liberado
Liberado
Liberado
531612302131417 NAC 200 MG GRAN CT 16 ENV AL PLAS PE X 5 G 16.95 19.59 20.95 21.09 21.24 21.54 21.86 22.18 22.51
Liberado
531612306137411 NAC 40 MG/ML XPE CT FR VD AMB X 150 ML + COP 26.50 30.62 32.75 32.98 33.21 33.68 34.17 34.67 35.19
Liberado
531612304134413 NAC 600 MG GRAN CT 16 ENV AL PLAS PE X 5 G 38.64 44.65 47.75 48.08 48.42 49.11 49.82 50.55 51.31
Liberado
531612305130411 NAC 20 MG/ML XPE CT FR VD AMB X 150 ML + COP 18.42 21.29 22.76 22.92 23.08 23.41 23.75 24.10 24.46
Liberado
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) MED
22.43 25.92 27.72 27.90 28.10 28.50 28.92 29.34 29.78
Liberado
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) MED
15.07 17.42 18.63 18.75 18.89 19.16 19.44 19.72 20.02
Liberado
510413207136416 CISTEIL 40 MG/ML XPE CT FR VD AMB X 120 ML + COP 26.25 30.33 32.44 32.66 32.89 33.36 33.85 34.34 34.86
Liberado
510413206131410 CISTEIL 20 MG/ML XPE CT FR VD AMB X 120 ML + COP 18.24 21.08 22.54 22.70 22.86 23.18 23.52 23.86 24.22
Liberado
510419020177103 CISTEIL 20 MG/G GRAN SOL CT 16 ENV AL/PAP X 5G 8.05 9.30 9.95 10.02 10.09 10.23 10.38 10.53 10.69
Liberado
Liberado
Liberado
Liberado
Liberado
510422030186807 CISTEIL 20 MG/ML XPE CX 24 FR VD AMB X 120 ML + 24 437.57 505.65 540.72 544.49 548.32 556.15 564.20 572.49 581.02
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) COP
343.36 396.78 424.30 427.26 430.27 436.41 442.73 449.23 455.93
Liberado
510422030186707 CISTEIL 40 MG/ML XPE CX 24 FR VD AMB X 120 ML + 24 630.09 728.12 778.62 784.06 789.57 800.84 812.43 824.37 836.66
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) COP
494.43 571.36 610.98 615.25 619.57 628.42 637.51 646.88 656.53
Liberado
510420050181007 ACETILCISTEÍNA 120 MG/G GRAN SOL OR CT 16 ENV AL/PAP X 5 37.01 42.77 45.73 46.05 46.38 47.04 47.72 48.42 49.14
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) G
29.04 33.56 35.88 36.13 36.39 36.91 37.45 37.99 38.56
Liberado
504617060063317 CETILPLEX 100MG GRAN CT 16 ENV KRAFT POLIET X 5G 23.44 27.09 28.97 29.17 29.37 29.79 30.22 30.67 31.12
Liberado
504617020052803 CETILPLEX 20MG/ML XPE CT FR VD AMB X 100ML + CP MED 27.99 32.34 34.59 34.83 35.07 35.58 36.09 36.62 37.17
Liberado
504617030056204 CETILPLEX 600MG GRAN CT 16 ENV AL POLIET X 5G 59.39 68.63 73.39 73.90 74.42 75.48 76.58 77.70 78.86
Liberado
aplicável o CAP.
Medicamentos
ACETILCISTEÍNA
Liberado
Liberado
Liberado
Liberado
Liberado
Liberado
ACETILRACEMETIONINA;BETAÍNA;CITRATO DE COLINA
533021120076617 XANTINON COMPLEX 40MG/ML + 53MG/ML + 50MG/ML SOL OR CT FR 10.18 11.76 12.58 12.67 12.76 12.94 13.13 13.32 13.52
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) VD AMB X 100 ML
7.99 9.23 9.87 9.94 10.01 10.15 10.30 10.45 10.61
Liberado
533021120076517 XANTINON COMPLEX 40MG/ML + 53MG/ML + 50MG/ML SOL OR CT 12 24.41 28.21 30.16 30.37 30.59 31.02 31.47 31.94 32.41
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) FLAC PLAS PP TRANS X 10ML
19.15 22.14 23.67 23.83 24.00 24.34 24.69 25.06 25.43
Liberado
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) FLAC PLAS PP TRANS X 10 ML
99.27 114.72 122.67 123.53 124.40 126.17 128.00 129.88 131.81
Liberado
(TAKEDA PHARMA LTDA.) FLAC PLAS PVC/PVDC/PE TRANS X 10ML
17.26 19.94 21.32 21.47 21.63 21.93 22.25 22.58 22.91
Liberado
(TAKEDA PHARMA LTDA.) FLAC PLAS PVC/PVDC/PE TRANS X 10ML
90.63 104.73 111.98 112.77 113.56 115.19 116.85 118.57 120.33
Liberado
501120120032007 XANTINON COMPLEX 40 MG/ML + 53 MG/ML + 50 MG/ML SOL OR CT 10.16 11.74 12.55 12.64 12.73 12.91 13.10 13.29 13.49
(TAKEDA PHARMA LTDA.) FR PLAS PET AMB X 100 ML
7.97 9.21 9.85 9.92 9.99 10.13 10.28 10.43 10.59
Liberado
ACETONIDA DE TRIANCINOLONA
576720090089117 NASACORT 550 MCG/ML SUS NAS CT FR PLAS OPC SPRAY 59.59 67.72 71.80 72.23 72.67 73.57 74.49 75.43 76.40
(SANOFI MEDLEY FARMACÊUTICA LTDA.) X 16,5 ML
46.76 53.14 56.34 56.68 57.02 57.73 58.45 59.19 59.95
576720090089017 ALLENASAL 550 MCG/ML SUS NAS CT FR SPR PLAS OPC X 41.94 47.66 50.53 50.84 51.15 51.78 52.43 53.09 53.77
(SANOFI MEDLEY FARMACÊUTICA LTDA.) 16,5 ML
32.91 37.40 39.65 39.89 40.14 40.63 41.14 41.66 42.19
ACICLOVIR
511500101113110 ACICLOVIR 200 MG COM CT BL AL PLAS PP/PVDC TRANS X 89.97 102.24 108.40 109.05 109.72 111.07 112.46 113.89 115.35
70.60 80.23 85.06 85.57 86.10 87.16 88.25 89.37 90.52
511500102111111 ACICLOVIR 400 MG COM CT BL AL PLAS PP/PVC OPC X 30 171.58 194.98 206.72 207.98 209.24 211.83 214.48 217.19 219.97
511520090072307 ACICLOVIR 400 MG COM CT BL AL PLAS PP/PVC OPC X 60 141.10 160.34 170.00 171.03 172.07 174.20 176.38 178.61 180.90
526520060095607 ACICLOVIR 400 MG COM CT BL AL PLAS OPC X 30 70.55 80.17 85.00 85.52 86.04 87.10 88.19 89.30 90.45
(MERCK S/A) X 30
82.32 93.54 99.18 99.77 100.39 101.63 102.90 104.19 105.53
(MERCK S/A) X 30
134.67 153.03 162.25 163.23 164.23 166.26 168.34 170.47 172.66
541816100017803 ANTIVIRAX 200 MG COM CT BL AL PLAS PVC/PVDC TRANS 94.85 107.78 114.28 114.97 115.67 117.10 118.56 120.06 121.60
(EMS S/A) X 25
74.43 84.57 89.68 90.22 90.77 91.89 93.03 94.21 95.42
aplicável o CAP.
Medicamentos
ACICLOVIR
507702502161415 ANTIVIRAX 50 MG/G CREM DERM CT BG AL X 10 G 24.12 27.87 29.81 30.01 30.23 30.66 31.10 31.56 32.03
(EMS S/A) 18.93 21.87 23.39 23.55 23.72 24.06 24.40 24.77 25.13
507702501114413 ANTIVIRAX 200 MG COM CT BL AL PLAS PVC/PVDC TRANS 113.83 129.35 137.14 137.98 138.82 140.53 142.29 144.09 145.94
(EMS S/A) X 30
89.32 101.50 107.61 108.27 108.93 110.27 111.66 113.07 114.52
541820110152607 ANTIVIRAX 400 MG COM CT BL AL PLAS PVDC OPC X 20 114.42 130.02 137.86 138.69 139.54 141.26 143.03 144.84 146.69
(EMS S/A) 89.79 102.03 108.18 108.83 109.50 110.85 112.24 113.66 115.11
(EMS S/A) 134.67 153.03 162.25 163.23 164.23 166.26 168.34 170.47 172.66
(EMS S/A) 224.46 255.07 270.43 272.07 273.73 277.11 280.57 284.13 287.77
(EMS S/A) X 25
121.82 138.44 146.78 147.66 148.57 150.40 152.28 154.21 156.19
(EMS S/A) 15.95 18.43 19.71 19.85 20.00 20.28 20.57 20.87 21.18
(EMS S/A) X 30
146.20 166.14 176.14 177.21 178.29 180.49 182.75 185.06 187.43
(EMS S/A) 89.79 102.03 108.18 108.83 109.50 110.85 112.24 113.66 115.11
(EMS S/A) 134.67 153.03 162.25 163.23 164.23 166.26 168.34 170.47 172.66
(EMS S/A) 224.46 255.07 270.43 272.07 273.73 277.11 280.57 284.13 287.77
520710101119411 EZOPEN 200 MG COM CT BL AL PLAS TRANS X 25 91.27 103.72 109.96 110.63 111.30 112.68 114.09 115.53 117.01
520710102166411 EZOPEN 50 MG/G CREM DERM CT BG AL X 10 G 22.81 26.36 28.19 28.38 28.58 28.99 29.41 29.84 30.29
520715030093606 ACICLOVIR 200 MG COM CT BL AL PLAS INC X 25 155.24 176.41 187.04 188.17 189.32 191.65 194.05 196.51 199.03
520700101167115 ACICLOVIR 50MG/G CREM DERM CT BG AL X 10 G 18.43 21.30 22.77 22.93 23.09 23.42 23.76 24.11 24.47
533507701168411 ZICLOVIR 50 MG/G CREM DERM CT BG AL X 10 G 16.18 18.70 19.99 20.13 20.28 20.56 20.86 21.17 21.48
526216080013306 ACICLOVIR 50 MG/G CREM DERM CT BG X 10 G 10.97 12.47 13.22 13.30 13.38 13.54 13.71 13.89 14.06
533013202152413 UNI-VIR 250 MG PO LIOF P/ SOL INJ CT 5 FA VD TRANS + 430.77 489.51 519.00 522.15 525.33 531.81 538.46 545.28 552.27
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) 5 AMP DIL
338.03 384.12 407.26 409.73 412.23 417.31 422.53 427.88 433.37
533013050059804 UNI-VIR 200 MG COM CT BL AL PLAS PVC TRANS X 25 68.96 78.36 83.08 83.59 84.10 85.14 86.20 87.29 88.41
533013050059904 UNI-VIR 200 MG COM CT BL AL PLAS PVC TRANS X 200 551.94 627.20 664.99 669.02 673.10 681.41 689.93 698.66 707.62
552918100074203 HPMIX 50 MG/G CREM DERM CT BG AL X 10 G 26.16 30.23 32.33 32.55 32.78 33.25 33.73 34.23 34.74
552918100074303 HPMIX 200MG COM CT BL AL PLAS INC X 25 155.25 176.42 187.05 188.18 189.33 191.67 194.06 196.52 199.04
aplicável o CAP.
Medicamentos
ACICLOVIR
552919110084217 ACICLOVIR 200MG COM CT BL AL PLAS INC X 25 155.25 176.42 187.05 188.18 189.33 191.67 194.06 196.52 199.04
(GERMED FARMACEUTICA LTDA) X 25
121.82 138.44 146.78 147.66 148.57 150.40 152.28 154.21 156.19
(GERMED FARMACEUTICA LTDA) X 30
146.50 166.48 176.51 177.58 178.66 180.86 183.13 185.45 187.83
515100203167410 ACICLOR 50 MG/G CREM CT BG AL X 10 G 15.48 17.89 19.13 19.26 19.40 19.67 19.96 20.25 20.55
515122020013004 ACICLOR 200 MG COM CT BL AL PLAS PVC TRANS X 25 25.45 29.41 31.45 31.67 31.89 32.35 32.82 33.30 33.79
505503102167410 CLOVIR 50 MG/G CREM CT BG AL X 10 G 26.20 30.28 32.38 32.60 32.83 33.30 33.78 34.28 34.79
(CAZI QUIMICA FARMACEUTICA INDUSTRIA E COMERCIO LTDA) 20.56 23.76 25.41 25.58 25.76 26.13 26.51 26.90 27.30
506300102160414 ACIVIRAX 50 MG/G CREM DERM CT BG AL X 10 G 16.11 18.62 19.91 20.05 20.19 20.48 20.77 21.08 21.39
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) 12.64 14.61 15.62 15.73 15.84 16.07 16.30 16.54 16.78
506314050028404 ACIVIRAX 200 MG COM CT BL AL PLAS TRANS X 25 59.16 67.23 71.28 71.71 72.15 73.04 73.95 74.89 75.85
504417040061406 ACICLOVIR 50 MG/G CREM DERM CT BG AL X 10G 25.72 29.72 31.78 32.00 32.23 32.69 33.16 33.65 34.15
aplicável o CAP.
Medicamentos
ACICLOVIR
528523302160118 ACICLOVIR 50MG/G CREM DERM CT BG AL X 10 G 17.87 20.65 22.08 22.24 22.39 22.71 23.04 23.38 23.73
528523301164111 ACICLOVIR 50MG/G CREM DERM CX 100 BG AL X 10 G 1473.70 1702.99 1821.09 1833.81 1846.71 1873.06 1900.18 1928.09 1956.84
528523307111115 ACICLOVIR 200 MG COM CT BL AL PLAS TRANS X 280 (EMB 523.88 595.32 631.18 635.01 638.88 646.77 654.85 663.14 671.64
(PRATI DONADUZZI & CIA LTDA) FRAC)
411.09 467.15 495.29 498.29 501.33 507.52 513.86 520.37 527.04
524715070013004 LFM-ACICLOVIR 200 MG COM CX BL AL PVC X 500 (EMB HOSP) 179.90 224.88 227.72 230.64
ICMS0%
525319010055003 HERZOV 200 MG COM CT BL AL PLAS PVC/PVDC TRANS 133.22 151.39 160.51 161.48 162.46 164.47 166.53 168.63 170.79
(NOVA QUIMICA FARMACÊUTICA S/A) X 25
104.54 118.80 125.95 126.71 127.48 129.06 130.68 132.32 134.02
525319010055203 HERZOV 400 MG COM CT 7 BL AL PLAS INC X 10 26.16 30.23 32.33 32.55 32.78 33.25 33.73 34.23 34.74
525319010055103 HERZOV 50 MG/G CREM CT BG AL X 10 G 159.87 181.67 192.61 193.78 194.96 197.37 199.84 202.37 204.96
527902602164418 HERVIRAX 50 MG/G CREM DERM CT BG AL X 10 G 22.88 26.44 28.27 28.47 28.67 29.08 29.50 29.93 30.38
527902601117416 HERVIRAX 200 MG COM CT BL AL PLAS TRANS X 25 68.28 77.59 82.27 82.76 83.27 84.30 85.35 86.43 87.54
527902603160416 HERVIRAX 30 MG/G POM OFT CT BG AL X 4,5 88.28 100.32 106.36 107.01 107.66 108.99 110.35 111.75 113.18
527916030022606 ACICLOVIR 30 MG/G POM OFT CT BG AL X 4,5 50.41 57.28 60.73 61.10 61.48 62.23 63.01 63.81 64.63
506400101166415 ACICLOMED 50 MG/G CREM DERM CT BG X 10 G 10.44 12.06 12.90 12.99 13.08 13.27 13.46 13.66 13.86
506416040031504 ACICLOMED 200 MG COM CT BL AL PLAS TRANS X 30 66.30 75.34 79.88 80.36 80.85 81.85 82.88 83.92 85.00
506421060048707 ACICLOVIR 50 MG/G CREM DERM CT BG X 10 G 17.98 20.78 22.22 22.37 22.53 22.85 23.18 23.52 23.87
146.20 166.14 176.14 177.21 178.29 180.49 182.75 185.06 187.43
974.61 1107.51 1174.23 1181.34 1188.55 1203.22 1218.25 1233.67 1249.49
2436.50 2768.75 2935.55 2953.34 2971.35 3008.03 3045.62 3084.18 3123.72
aplicável o CAP.
Medicamentos
ACICLOVIR
504617030056417 HECLIVIR 50 MG/G CREM DERM CT BG AL X 10 G 24.10 27.85 29.78 29.99 30.20 30.63 31.07 31.53 32.00
504617100067317 HECLIVIR 200 MG COM CT BL AL PLAS TRANS X 25 88.14 100.16 106.19 106.84 107.49 108.81 110.18 111.57 113.00
504616020035606 ACICLOVIR 200 MG COM CT BL AL PLAS INC X 25 155.24 176.41 187.04 188.17 189.32 191.65 194.05 196.51 199.03
538819040065703 CLOVANTAX 200 MG COM CT BL AL PLAS TRANS X 25 155.25 176.42 187.05 188.18 189.33 191.67 194.06 196.52 199.04
538818120057903 CLOVANTAX 50 MG/G CREM CT BG AL X 10 G 18.60 21.49 22.98 23.15 23.31 23.64 23.98 24.33 24.70
538819040065603 CLOVANTAX 200 MG COM CT BL AL PLAS TRANS X 30 186.31 211.72 224.47 225.83 227.21 230.01 232.89 235.84 238.86
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) X 25
121.82 138.44 146.78 147.66 148.57 150.40 152.28 154.21 156.19
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) X 30
146.20 166.14 176.14 177.21 178.29 180.49 182.75 185.06 187.43
ACICLOVIR SÓDICO
509521060031217 ZYNVIR 250 MG PO SOL INJ IV CX 50 FA VD TRANS X 20 3963.62 4504.12 4775.44 4804.39 4833.68 4893.36 4954.53 5017.24 5081.56
3110.25 3534.38 3747.29 3770.01 3792.99 3839.82 3887.82 3937.03 3987.50
520715030093706 ACICLOVIR 250 MG PO LIOF SOL INJ IV CX 50 FA VD AMB X 3858.15 4384.26 4648.37 4676.54 4705.06 4763.15 4822.69 4883.74 4946.35
(LABORATÓRIO TEUTO BRASILEIRO S/A) 20 ML (EMB HOSP)
3027.49 3440.33 3647.58 3669.68 3692.06 3737.64 3784.37 3832.27 3881.40
533018100068003 UNI-VIR 250MG PO LIOF P/ SOL INJ CT 5 FA VD TRANS 430.78 489.52 519.01 522.16 525.34 531.83 538.48 545.29 552.28
526304901151418 ZYNVIR 250 MG PO SOL INJ IV CX 50 FA VD TRANS X 20 3963.62 4504.12 4775.44 4804.39 4833.68 4893.36 4954.53 5017.24 5081.56
(NOVAFARMA INDÚSTRIA FARMACÊUTICA LTDA) ML
3110.25 3534.38 3747.29 3770.01 3792.99 3839.82 3887.82 3937.03 3987.50
504420100067307 ACICLOVIR SÓDICO 250 MG PO SOL INJ IV CT 5 FA VD TRANS 441.64 501.86 532.10 535.32 538.59 545.23 552.05 559.04 566.21
504420100067407 ACICLOVIR SÓDICO 250 MG PO SOL INJ IV CT 50 FA VD TRANS 4416.42 5018.66 5320.99 5353.24 5385.88 5452.37 5520.53 5590.41 5662.08
ACIDO ACETILSALICILICO
526221060018307 ÁCIDO ACETILSALICÍLICO 100 MG COM CT BL AL PLAS PVDC TRANS X 30 4.95 5.72 6.12 6.16 6.20 6.29 6.38 6.48 6.57
Liberado
506420100042807 ÁCIDO ACETILSALICÍLICO 100 MG COM CT BL AL PLAS PVDC TRANS X 200 37.85 43.74 46.77 47.10 47.43 48.11 48.80 49.52 50.26
(CIMED INDUSTRIA S.A) (EMB MULT)
29.70 34.32 36.70 36.96 37.22 37.75 38.29 38.86 39.44
Liberado
aplicável o CAP.
Medicamentos
ACIDO ACETILSALICILICO
540923010058717 AAS 100 MG COM CT BL AL PLAS TRANS X 30 14.57 16.84 18.00 18.13 18.26 18.52 18.79 19.06 19.35
Liberado
540923010058817 AAS 100 MG COM CT FR PLAS OPC X 120 51.77 59.82 63.97 64.42 64.87 65.80 66.75 67.73 68.74
Liberado
Liberado
Liberado
576720070076217 AAS 100 MG COM CT FR PLAS OPC X 120 51.77 59.82 63.97 64.42 64.87 65.80 66.75 67.73 68.74
Liberado
Liberado
ACIDO ACETILSALICILICO;HIDROXIDO DE ALUMÍNIO;CAFEÍNA;MALEATO DE MEPIRAMINA

528120050015717 ENJOY (150,0+150,0+15,0+50,0) MG COM CT STR AL X 147.86 170.87 182.71 183.99 185.28 187.93 190.65 193.45 196.33
(PHARMASCIENCE INDUSTRIA FARMACEUTICA S.A) 200
116.03 134.08 143.37 144.38 145.39 147.47 149.60 151.80 154.06
Liberado
ACIDO CITRICO;BICARBONATO DE SÓDIO;CARBONATO DE SÓDIO

510620060055007 SAL DE FRUTA ENO PO EFEV 2 ENV AL POLIET X 5 G (TUTTI-FRUTTI) 2.03 2.35 2.51 2.53 2.54 2.58 2.62 2.66 2.70
Liberado
597221080000617 SAL DE FRUTA ENO PO EFEV CT 60 ENV AL PLAS PE TRANS X 5 G 79.47 91.83 98.20 98.89 99.58 101.01 102.47 103.97 105.52
(PF CONSUMER HEALTHCARE BRAZIL IMPORTADORA E 62.36 72.06 77.06 77.60 78.14 79.26 80.41 81.58 82.80
Liberado
(PF CONSUMER HEALTHCARE BRAZIL IMPORTADORA E (LARANJA)
62.36 72.06 77.06 77.60 78.14 79.26 80.41 81.58 82.80
Liberado
(PF CONSUMER HEALTHCARE BRAZIL IMPORTADORA E (LIMÃO)
62.36 72.06 77.06 77.60 78.14 79.26 80.41 81.58 82.80
Liberado
(PF CONSUMER HEALTHCARE BRAZIL IMPORTADORA E (ABACAXI)
62.36 72.06 77.06 77.60 78.14 79.26 80.41 81.58 82.80
Liberado
597221080001517 SAL DE FRUTA ENO PO EFEV FR PLAS PEAD OPC X 100 G 16.58 19.16 20.49 20.63 20.78 21.07 21.38 21.69 22.02
(PF CONSUMER HEALTHCARE BRAZIL IMPORTADORA E (ABACAXI)
13.01 15.03 16.08 16.19 16.31 16.53 16.78 17.02 17.28
Liberado
597221080001617 SAL DE FRUTA ENO PO EFEV FR PLAS PEAD OPC X 100 G (TUTTI- 16.58 19.16 20.49 20.63 20.78 21.07 21.38 21.69 22.02
(PF CONSUMER HEALTHCARE BRAZIL IMPORTADORA E FRUTTI)
13.01 15.03 16.08 16.19 16.31 16.53 16.78 17.02 17.28
Liberado
(PF CONSUMER HEALTHCARE BRAZIL IMPORTADORA E (TUTTI-FRUTTI)
62.36 72.06 77.06 77.60 78.14 79.26 80.41 81.58 82.80
Liberado
597221080001817 SAL DE FRUTA ENO PO EFEV FR PLAS PEAD OPC X 100 G 16.58 19.16 20.49 20.63 20.78 21.07 21.38 21.69 22.02
(PF CONSUMER HEALTHCARE BRAZIL IMPORTADORA E (CAMOMILA)
13.01 15.03 16.08 16.19 16.31 16.53 16.78 17.02 17.28
Liberado
(PF CONSUMER HEALTHCARE BRAZIL IMPORTADORA E (CAMOMILA)
62.36 72.06 77.06 77.60 78.14 79.26 80.41 81.58 82.80
Liberado
597222060002107 SAL DE FRUTA ENO PO EFEV FR PLAS PEAD OPC X 100 G (TÔNICA) 16.58 19.16 20.49 20.63 20.78 21.07 21.38 21.69 22.02
(PF CONSUMER HEALTHCARE BRAZIL IMPORTADORA E 13.01 15.03 16.08 16.19 16.31 16.53 16.78 17.02 17.28
Liberado
597222060002207 SAL DE FRUTA ENO PO EFEV CT 2 ENV AL PLAS PE TRANS X 5G 2.34 2.70 2.89 2.91 2.93 2.97 3.02 3.06 3.11
(PF CONSUMER HEALTHCARE BRAZIL IMPORTADORA E (TÔNICA)
1.84 2.12 2.27 2.28 2.30 2.33 2.37 2.40 2.44
Liberado
597222060002307 SAL DE FRUTA ENO PO EFEV CT 60 ENV AL PLAS PE TRANS X 5G 79.47 91.83 98.20 98.89 99.58 101.01 102.47 103.97 105.52
62.36 72.06 77.06 77.60 78.14 79.26 80.41 81.58 82.80
Liberado
31.17 36.02 38.51 38.79 39.05 39.61 40.18 40.78 41.38
Liberado
ACIDO LÁCTICO;ÁCIDO SALICÍLICO

522601101173312 DUOFILM (165,0 + 145,2) MG/ML SOL TOP CT FR PLAS PET 24.40 28.20 30.15 30.36 30.58 31.01 31.46 31.92 32.40
(LABORATÓRIOS STIEFEL LTDA) AMB OPC X 15 ML + APLIC
19.15 22.13 23.66 23.82 24.00 24.33 24.69 25.05 25.42
Liberado
ACITRETINA
aplicável o CAP.
Medicamentos
ACITRETINA
521913030018914 NEOTIGASON 10 MG CAP DURA CT BL AL PLAS AMB X 100 447.67
(GLENMARK FARMACÊUTICA LTDA) 351.29
C CAP
521920090020207 ACITRETINA 10 MG CAP DURA CT BL AL AL X 30 96.80

C CAP

C CAP

C CAP

C CAP

(TEVA FARMACÊUTICA LTDA.) 351.29
C CAP

C CAP

C CAP

C CAP
ACTAEA RACEMOSA L.
524820010008107 APLAUSE 20 MG COM REV CT BL AL PLAS PVC/PE/PVDC 55.34 63.95 68.39 68.86 69.35 70.34 71.35 72.40 73.48
(MARJAN INDÚSTRIA E COMÉRCIO LTDA) TRANS X 20
43.43 50.18 53.67 54.03 54.42 55.20 55.99 56.81 57.66
Liberado
62.64 72.39 77.41 77.95 78.50 79.61 80.77 81.95 83.18
Liberado
106.49 123.06 131.59 132.51 133.45 135.35 137.31 139.32 141.40
Liberado
511420080009207 CLIFEMIN 160 MG COM REV CT BL AL PLAS PVDC TRANS 48.68 56.25 60.16 60.58 61.00 61.87 62.77 63.69 64.64
(HERBARIUM LABORATORIO BOTANICO LTDA) X 15
38.20 44.14 47.21 47.54 47.87 48.55 49.26 49.98 50.72
Liberado
511420080009307 CLIFEMIN 160 MG COM REV CT BL AL PLAS PVDC TRANS 81.13 93.75 100.25 100.95 101.66 103.12 104.61 106.14 107.73
63.66 73.57 78.67 79.21 79.77 80.92 82.09 83.29 84.54
Liberado
500420050006607 TEPEMEN 80 MG CAP GEL DURA CT BL AL PLAS INC X 45 59.83 69.14 73.93 74.45 74.97 76.04 77.14 78.28 79.44
(AIRELA INDÚSTRIA FARMACÊUTICA LTDA.) 46.95 54.25 58.01 58.42 58.83 59.67 60.53 61.43 62.34
Liberado
500420050006507 TEPEMEN 80 MG CAP GEL DURA CT BL AL PLAS INC X 30 62.40 72.11 77.11 77.65 78.19 79.31 80.46 81.64 82.86
Liberado
ADALIMUMABE
509520120028207 IDACIO 50 MG/ML SOL INJ SC CT FA VD TRANS X 0,8 ML 1506.64
(FRESENIUS KABI BRASIL LTDA) + 2 LEN + 1 SER + 1 AGU + 1 ADAPT
1182.26
509520120028107 IDACIO 50 MG/ML SOL INJ SC CT 2 SER PREENC VD 3013.30

(FRESENIUS KABI BRASIL LTDA) TRANS X 0,8 ML + 2 LEN
2364.54
C CAP
509520120028307 IDACIO 50 MG/ML SOL INJ SC CT 2 CAN APLIC X 0,8 ML 3013.30

(FRESENIUS KABI BRASIL LTDA) + 2 LEN
2364.54
522720100090207 XILBRILADA 40MG SOL INJ CT X 1 FA VD TRANS X 0,8 ML + 1 4308.49

(PFIZER BRASIL LTDA) SER + 1 ADAPT + 1 AGU + 2 LEN ALCOOL
3380.87
C CAP
522720100090307 XILBRILADA 40MG SOL INJ CT X 2 SER PREENC VD TRANS X 8617.00

(PFIZER BRASIL LTDA) 0,8ML + SIST APLIC PLAST PEN + 2 ENV LEN
6761.76
C CAP ALCOOL
522720100090107 XILBRILADA 40MG SOL INJ CT 2 BL X SER PREENC VD 8617.00

(PFIZER BRASIL LTDA) TRANS X 0,8 ML + 2 ENV LEN ALCOOL
6761.76
C CAP
522720100090407 XILBRILADA 40MG SOL INJ CT BL X SER PREENC VD TRANS 4308.49

(PFIZER BRASIL LTDA) X 0,8 ML + 2 ENV LEN ALCOOL
3380.87
C CAP
569723010000507 HADLIMA 40 MG SOL INJ CT 1 SER PREENCH VD TRANS X 1173.48

(SAMSUNG BIOEPIS BR PHARMACEUTICAL LTDA.) 0,8 ML
920.83
C CAP
aplicável o CAP.
Medicamentos
ADALIMUMABE
(SAMSUNG BIOEPIS BR PHARMACEUTICAL LTDA.) 0,8 ML + CAN APLIC
920.83
C CAP

(SAMSUNG BIOEPIS BR PHARMACEUTICAL LTDA.) 0,8 ML
1841.66
C CAP

(SAMSUNG BIOEPIS BR PHARMACEUTICAL LTDA.) 0,8 ML + CAN APLIC
1841.66
C CAP
543715110002403 HUMIRA 50 MG/ML SOL INJ CT 2 CX X 1 FA VD TRANS X 8617.00

(ABBVIE FARMACÊUTICA LTDA.) 0,8 ML + 1 SER + 1 AGU + 1 ADPT + 2 LEN
6761.76
C CAP ALCOOL

6761.76
C CAP

(ABBVIE FARMACÊUTICA LTDA.) TRANS X 0,4 ML + CAN APLIC + ENV LEN
6761.76
C CAP ALCOOL

(ABBVIE FARMACÊUTICA LTDA.) TRANS X 0,4 ML + CAN APLIC (ADVANCE) + ENV
6761.76
C CAP LEN ALCOOL
543718020002903 HUMIRA 100 MG/ML SOL INJ CT BL X SER PREENC VD 8617.00 9792.05 10381.93 10444.85 10508.53 10638.27 10771.25 10907.60 11047.43
6761.76 7683.82 8146.70 8196.07 8246.04 8347.85 8452.20 8559.19 8668.92
543718020003003 HUMIRA 100 MG/ML SOL INJ CT BLX SER PREENC VD 8617.00 9792.05 10381.93 10444.85 10508.53 10638.27 10771.25 10907.60 11047.43
(ABBVIE FARMACÊUTICA LTDA.) TRANS X 0,8 ML + CAN APLIC + ENV LEN
6761.76 7683.82 8146.70 8196.07 8246.04 8347.85 8452.20 8559.19 8668.92
ALCOOL
543718020003103 HUMIRA 100 MG/ML SOL INJ CT BL X SER PREENC VD 8617.00 9792.05 10381.93 10444.85 10508.53 10638.27 10771.25 10907.60 11047.43
(ABBVIE FARMACÊUTICA LTDA.) TRANS X 0,8 ML + CAN APLIC (ADVANCE) + ENV
6761.76 7683.82 8146.70 8196.07 8246.04 8347.85 8452.20 8559.19 8668.92
LEN ALCOOL
543718050003403 HUMIRA 100 MG/ML SOL INJ CT 2 BL X SER PREENC VD 4308.49 4896.01 5190.95 5222.41 5254.26 5319.12 5385.61 5453.79 5523.70
3380.87 3841.90 4073.34 4098.02 4123.02 4173.91 4226.09 4279.59 4334.45
ADAPALENO
507730602167119 ADAPALENO 1 MG/G GEL CT BG AL X 30 G 49.47 57.17 61.13 61.56 61.99 62.88 63.79 64.72 65.69
(EMS S/A) 38.82 44.86 47.97 48.31 48.64 49.34 50.06 50.79 51.55
509014020012604 BELPELE 3 MG/G GEL CT BG AL X 30 G 73.28 84.68 90.55 91.19 91.83 93.14 94.49 95.87 97.30
(FARMOQUÍMICA S/A) 57.50 66.45 71.05 71.56 72.06 73.09 74.15 75.23 76.35
509017020013303 BELPELE 3 MG/G GEL CT BG AL X 10 G 24.40 28.20 30.15 30.36 30.58 31.01 31.46 31.92 32.40
(FARMOQUÍMICA S/A) 19.15 22.13 23.66 23.82 24.00 24.33 24.69 25.05 25.42
526119902163113 ADAPALENO 1 MG/G GEL CT BG AL X 30 G 47.78 55.21 59.04 59.46 59.87 60.73 61.61 62.51 63.44
521902902169412 ADACNE 1,0 MG/G GEL CT BG PLAS LAM X 30 G 31.02 35.85 38.33 38.60 38.87 39.43 40.00 40.58 41.19
(GLENMARK FARMACÊUTICA LTDA) 24.34 28.13 30.08 30.29 30.50 30.94 31.39 31.84 32.32
521905501173316 DERIVA MICRO 1 MG/G GEL DERM LIB PROL CT BG AL REV X 64.21 74.20 79.35 79.90 80.46 81.61 82.79 84.01 85.26
(GLENMARK FARMACÊUTICA LTDA) 30G
50.39 58.22 62.27 62.70 63.14 64.04 64.96 65.92 66.90
510100602168316 DIFFERIN 1 MG/G GEL CT BL PLAST LAM X 30 G 64.74 74.81 80.00 80.56 81.13 82.28 83.48 84.70 85.96
(GALDERMA BRASIL LTDA) 50.80 58.70 62.78 63.22 63.66 64.56 65.51 66.46 67.45
510100601161318 DIFFERIN 1,0 MG/G CREM DERM CT BG AL X 30 G 64.74 74.81 80.00 80.56 81.13 82.28 83.48 84.70 85.96
510100605167310 DIFFERIN 3 MG/G GEL DERM CT BG PLAS LAM X 45 G 110.11 127.24 136.07 137.02 137.98 139.95 141.97 144.06 146.21
510100604160312 DIFFERIN 3 MG/G GEL DERM CT BG PLAS LAM X 30 G 73.42 84.84 90.73 91.36 92.00 93.32 94.67 96.06 97.49
525014030103903 ADAPEL 1 MG/G GEL CT BG PLAS OPC X 20 G 28.03 32.39 34.64 34.88 35.12 35.63 36.14 36.67 37.22
525071701165115 ADAPALENO 1 MG/G GEL CT BG PLAS OPC X 30 G 35.60 41.14 43.99 44.30 44.61 45.25 45.90 46.58 47.27
ADAPALENO;FOSFATO DE CLINDAMICINA
521904503172319 ADACNE CLIN 1 MG/G + 10 MG/G GEL DERM CT BG AL REV 46.10 53.27 56.97 57.36 57.77 58.59 59.44 60.31 61.21
(GLENMARK FARMACÊUTICA LTDA) PLAS X 45 G
36.17 41.80 44.70 45.01 45.33 45.97 46.64 47.32 48.03
aplicável o CAP.
Medicamentos
ADAPALENO;FOSFATO DE CLINDAMICINA
521905701172313 DERIVA C MICRO (1,00 + 10,00) MG/G GEL DERM LIB PROL CT BG 28.90 33.40 35.71 35.96 36.21 36.73 37.26 37.81 38.37
(GLENMARK FARMACÊUTICA LTDA) PLAS LAM X 30 G
22.68 26.21 28.02 28.22 28.41 28.82 29.24 29.67 30.11
ADAPALENO;PERÓXIDO DE BENZOÍLA
510102001171319 EPIDUO 1MG/G + 25MG/G GEL TOP CT BG AL/PLAS OPC 81.33 93.98 100.50 101.20 101.92 103.37 104.87 106.41 107.99
(GALDERMA BRASIL LTDA) X 30G
63.82 73.75 78.86 79.41 79.98 81.11 82.29 83.50 84.74
510102003172312 EPIDUO 1MG/G + 25MG/G GEL TOP CT BG AL/PLAS OPC 146.10 168.83 180.54 181.80 183.08 185.69 188.38 191.15 194.00
(GALDERMA BRASIL LTDA) X 60G
114.64 132.48 141.67 142.66 143.66 145.71 147.82 150.00 152.23
510123050005803 EPIDUO (3 + 25) MG/G GEL DERM CT FR PLAS 118.20 136.59 146.06 147.08 148.12 150.23 152.41 154.64 156.95
(GALDERMA BRASIL LTDA) PP/PEAD/PEMBD OPC X 45 G
92.75 107.18 114.61 115.41 116.23 117.89 119.60 121.34 123.16
ADENOSINA
523700101153315 ADENOCARD 3 MG/ML SOL INJ CT 2 AMP VD AMB X 2 ML 48.04 54.59 57.88 58.23 58.59 59.31 60.05 60.81 61.59
523700102151316 ADENOCARD 3 MG/ML SOL INJ CT 50 AMP VD AMB X 2 ML 846.30 961.70 1019.64 1025.82 1032.07 1044.81 1057.88 1071.27 1085.00
511222090047806 ADENOSINA 3 MG/ML SOL INJ IV CT 5 AMP VD AMB X 2 ML 33.84 38.45 40.77 41.02 41.27 41.78 42.30 42.84 43.38
(HALEX ISTAR INDÚSTRIA FARMACÊUTICA SA) 26.55 30.17 31.99 32.19 32.38 32.79 33.19 33.62 34.04
511222090048106 ADENOSINA 3 MG/ML SOL INJ IV CX 50 AMP VD AMB X 2 ML 338.45 384.60 407.77 410.24 412.74 417.84 423.06 428.42 433.91
511222090048206 ADENOSINA 3 MG/ML SOL INJ IV CX 100 AMP VD AMB X 2 ML 676.89 769.19 815.53 820.47 825.48 835.67 846.11 856.82 867.81
511220090042807 LOWE 3 MG/ML SOL INJ IV CT 5 AMP VD AMB X 2 ML 57.29 65.10 69.02 69.44 69.87 70.73 71.61 72.52 73.45
511220090043107 LOWE 3 MG/ML SOL INJ IV CX 50 AMP VD AMB X 2 ML 572.91 651.03 690.25 694.44 698.67 707.30 716.14 725.20 734.50
511220090043207 LOWE 3 MG/ML SOL INJ IV CX 100 AMP VD AMB X 2 ML 1145.83 1302.08 1380.52 1388.88 1397.35 1414.61 1432.29 1450.42 1469.01
511620070045207 ADENOSINA 3 MG/ML SOL INJ CT 2 AMP VD AMB X 2 ML 20.40 23.18 24.58 24.73 24.88 25.19 25.50 25.82 26.15
511613103154114 ADENOSINA 3 MG/ML SOL INJ CX 50 AMP VD AMB X 2 ML 531.32 603.77 640.14 644.02 647.95 655.95 664.15 672.56 681.18
516120030003507 FITOVEIN 300 MG CAP DURA CT BL AL PLAS PVC/PVDC 34.88 40.31 43.10 43.40 43.71 44.33 44.97 45.63 46.32
(LABORATORIO CATARINENSE LTDA) TRANS X 45
27.37 31.63 33.82 34.06 34.30 34.79 35.29 35.80 36.35
Liberado
508220050000207 CASTANHA DA ÍNDIA ATALAIA 100 MG DRG CT BL AL PLAS INC X 30 32.37 37.41 40.00 40.28 40.56 41.14 41.74 42.35 42.98
(FARMABRAZ BETA ATALAIA FARMACEUTICA LTDA) 25.40 29.36 31.39 31.61 31.83 32.28 32.75 33.23 33.73
Liberado
517620070025307 CASTANHA DA INDIA GLOBO 100 MG COM REV BL AL PLAS TRANS X 30 21.07 24.35 26.04 26.22 26.40 26.78 27.17 27.57 27.98
Liberado
500220010044007 VENOCUR FIT 263,2 MG COM REV LIB RET BL AL PLAS INC X 26.83 31.00 33.15 33.39 33.62 34.10 34.59 35.10 35.63
(ABBOTT LABORATÓRIOS DO BRASIL LTDA) 20
21.05 24.33 26.01 26.20 26.38 26.76 27.14 27.54 27.96
Liberado
32.70 37.78 40.40 40.69 40.98 41.56 42.16 42.78 43.42
Liberado
aplicável o CAP.
Medicamentos
46.65 53.91 57.64 58.05 58.46 59.29 60.15 61.03 61.94
Liberado
503420050018207 CASTANHA DA ÍNDIA 100 MG COM REV CT BL AL PLAS INC X 30 24.01 27.75 29.67 29.88 30.09 30.52 30.96 31.41 31.88
(BELFAR LTDA) 18.84 21.78 23.28 23.45 23.61 23.95 24.29 24.65 25.02
Liberado
503420050018307 CASTANHA DA ÍNDIA 100 MG COM REV CT BL AL PLAS INC X 60 37.96 43.87 46.91 47.24 47.57 48.25 48.95 49.66 50.40
(BELFAR LTDA) 29.79 34.42 36.81 37.07 37.33 37.86 38.41 38.97 39.55
Liberado
515120110012707 VARICAPS AH 100 MG CAP DURA CT BL AL PLAS TRANS X 30 11.63 13.44 14.37 14.47 14.57 14.78 15.00 15.22 15.44
Liberado
501920010000507 CASTANHA DA ÍNDIA EC 500 MG CAP GEL DURA CT FR PLAS OPC X 50 34.48 39.67 42.33 42.62 42.91 43.50 44.10 44.37 44.66
(AS ERVAS CURAM INDUSTRIA FARMACEUTICA LTDA) 27.06 31.13 33.22 33.44 33.67 34.14 34.60 34.82 35.05
Liberado
528120080015907 VARINATI 250 MG CAP DURA CT BL PLAS TRANS X 60 55.37 63.71 67.98 68.43 68.90 69.85 70.82 71.26 71.71
(PHARMASCIENCE INDUSTRIA FARMACEUTICA S.A) 43.45 49.99 53.34 53.70 54.07 54.81 55.57 55.92 56.27
Liberado
528120080016007 VARINATI 250 MG CAP DURA CT BL PLAS TRANS X 30 26.09 30.02 32.03 32.25 32.47 32.91 33.37 33.58 33.79
Liberado
511420010007807 CASTANHA DA ÍNDIA HERBARIUM 100 MG COM REV CT BL AL PLAS INC X 30 27.37 31.63 33.82 34.06 34.30 34.79 35.29 35.81 36.34
Liberado
511420010007907 CASTANHA DA ÍNDIA HERBARIUM 100 MG COM REV CT BL AL PLAS INC X 45 34.22 39.54 42.29 42.58 42.88 43.49 44.12 44.77 45.44
Liberado
557820030001107 VARILESS BIONATUS 170 MG COM REV CT BL AL PLAS INC X 30 29.27 33.82 36.17 36.42 36.68 37.20 37.74 38.29 38.87
(BIONATUS LABORATÓRIO BOTÂNICO LTDA) 22.97 26.54 28.38 28.58 28.78 29.19 29.61 30.05 30.50
Liberado
540420050013407 VARIVAX 100 MG COM REV CT BL AL PLAS INC X 30 55.09 63.66 68.08 68.55 69.03 70.02 71.03 72.08 73.15
Liberado
540420050013507 VARIVAX 100 MG COM REV CX BL AL PLAS INC X 500 291.98 337.41 360.81 363.33 365.88 371.10 376.48 382.01 387.70
(NATULAB LABORATÓRIO S.A) (EMB HOSP)
229.12 264.77 283.13 285.11 287.11 291.20 295.42 299.76 304.23
Liberado
540420110014707 VARIVAX 300 MG COM REV CX BL AL PLAS INC X 30 59.33 68.56 73.32 73.83 74.35 75.41 76.50 77.62 78.78
Liberado
500420060007107 FLUXOLIV 100 MG CAP DURA CT BL AL PLAS TRANS X 30 35.83 41.40 44.28 44.59 44.90 45.54 46.20 46.88 47.58
Liberado
581220070001307 VITATRAT 250 MG CAP GEL DURA CT FR PLAS OPC X 45 35.51 41.03 43.88 44.19 44.50 45.13 45.79 46.46 47.15
(LABORATORIO VITALAB LTDA) 27.86 32.20 34.43 34.68 34.92 35.41 35.93 36.46 37.00
Liberado
541220020000607 VARICELL PHYTO 500 MG CAP DURA CT BL AL PLAS AMB X 20 32.89 38.01 40.64 40.93 41.21 41.80 42.41 43.03 43.67
(VIDFARMA INDÚSTRIA DE MEDICAMENTOS LTDA) 25.81 29.83 31.89 32.12 32.34 32.80 33.28 33.77 34.27
Liberado
541220070000807 VARICELL PHYTO 500 MG CAP DURA CT BL AL PLAS AMB X 30 32.89 38.01 40.64 40.93 41.21 41.80 42.41 43.03 43.67
(VIDFARMA INDÚSTRIA DE MEDICAMENTOS LTDA) 25.81 29.83 31.89 32.12 32.34 32.80 33.28 33.77 34.27
Liberado
AFLIBERCEPTE
538913020021302 EYLIA 40 MG/ML SOL INJ IVIT CT 1 FA VD TRANS X 4143.06
(BAYER S.A.) 0,278 ML + AGU
3251.06
C CAP
538913020021402 EYLIA 40 MG/ML SOL INJ IVIT CT SER PREENC VD 4143.06 4708.02 4991.64 5021.89 5052.51 5114.89 5178.83 5244.38 5311.61
(BAYER S.A.) TRANS X 0,165 ML
3251.06 3694.38 3916.94 3940.68 3964.70 4013.65 4063.83 4115.26 4168.02
C CAP
576720050068217 ZALTRAP 25 MG/ML SOL DIL INFUS IV CT FA VD TRANSP X 1379.65 1724.56 1746.39 1768.78
(SANOFI MEDLEY FARMACÊUTICA LTDA.) 4 ML
1082.61 1230.24 1304.35 1312.25 1320.26 1336.56 1353.26 1370.39 1387.96
ICMS0%
576720050068317 ZALTRAP 25 MG/ML SOL DIL INFUS IV CT FA VD TRANSP X 2759.31 3449.14 3492.80 3537.58
(SANOFI MEDLEY FARMACÊUTICA LTDA.) 8 ML
2165.23 2460.49 2608.71 2624.52 2640.52 2673.13 2706.54 2740.80 2775.94
ICMS0%
AGOMELATINA
541818100089306 AGOMELATINA 25 MG COM REV CT BL AL PLAS PVDC OPC X 7 27.16 31.39 33.56 33.80 34.03 34.52 35.02 35.53 36.06
(EMS S/A) 21.31 24.63 26.33 26.52 26.70 27.09 27.48 27.88 28.30
(EMS S/A) 42.63 49.26 52.68 53.05 53.42 54.18 54.97 55.78 56.61
(EMS S/A) 45.69 52.79 56.45 56.85 57.25 58.07 58.91 59.77 60.67
aplicável o CAP.
Medicamentos
AGOMELATINA
(EMS S/A) 60.92 70.40 75.28 75.80 76.34 77.43 78.55 79.70 80.89
(EMS S/A) 85.29 98.56 105.39 106.13 106.88 108.40 109.97 111.58 113.25
(EMS S/A) 91.38 105.60 112.92 113.71 114.50 116.14 117.82 119.56 121.34
(EMS S/A) 170.56 197.10 210.77 212.24 213.74 216.78 219.92 223.15 226.48
(EMS S/A) 182.75 211.18 225.83 227.41 229.01 232.27 235.64 239.10 242.66
531302301110312 VALDOXAN 25 MG COM REV CT BL AL PLAS PVC TRANS X 83.59 96.60 103.29 104.02 104.75 106.24 107.78 109.36 110.99
65.59 75.80 81.05 81.63 82.20 83.37 84.57 85.81 87.09
131.19 151.60 162.12 163.25 164.40 166.75 169.16 171.65 174.20
214.17 247.49 264.66 266.50 268.37 272.20 276.14 280.20 284.38
ALANILGLUTAMINA
509503302150319 DIPEPTIVEN 200 MG/ML SOL INJ IV CX FR VD TRANS X 50 ML 321.03 364.81 386.78 389.13 391.50 396.33 401.29 406.37 411.58
509503301154418 DIPEPTIVEN 200 MG/ML SOL INJ IV CX FR VD TRANS X 100 566.81 644.10 682.90 687.04 691.23 699.77 708.51 717.48 726.68
444.78 505.43 535.87 539.12 542.41 549.11 555.97 563.01 570.23
509515080029503 DIPEPTIVEN 200 MG/ML SOL INJ IV CX 10 FR VD TRANS X 50 3022.41 3434.56 3641.46 3663.53 3685.87 3731.37 3778.01 3825.84 3874.88
2371.69 2695.10 2857.45 2874.77 2892.30 2928.01 2964.60 3002.14 3040.62
ALANTOÍNA;ACETATO DE RACEALFATOCOFEROL;PALMITATO DE RETINOL;COLECALCIFEROL

506715202163419 VITADERME CREM DERM CT TB PLAS X 50 G 46.31 53.52 57.23 57.63 58.03 58.86 59.71 60.59 61.49
Liberado
ALANTOÍNA;HEPARINA SÓDICA SUÍNA

504101401161311 CONTRACTUBEX GEL CT BG AL REV X 20 G 54.70 63.21 67.59 68.07 68.55 69.52 70.53 71.57 72.63
Liberado
504113050050903 CONTRACTUBEX GEL CT BG AL REV X 50 G 127.49 147.33 157.54 158.64 159.76 162.04 164.38 166.80 169.29
Liberado
ALBENDAZOL
510608803110312 ZENTEL 400 MG COM MAST CT BL AL PLAS TRANS X 1 10.82 12.30 13.04 13.12 13.20 13.36 13.53 13.70 13.87
507700801137110 ALBENDAZOL 40 MG/ML SUS OR CT FR VD AMB X 10 ML 7.52 8.55 9.06 9.12 9.17 9.28 9.40 9.52 9.64
(EMS S/A) 5.90 6.71 7.11 7.16 7.20 7.28 7.38 7.47 7.56
(EMS S/A) COP
5.90 6.71 7.11 7.16 7.20 7.28 7.38 7.47 7.56
(EMS S/A) 5.51 6.26 6.64 6.68 6.72 6.80 6.89 6.98 7.06
(EMS S/A) 5.51 6.26 6.64 6.68 6.72 6.80 6.89 6.98 7.06
520700502137111 ALBENDAZOL 40 MG/ML SUSPENSÃO ORAL 40 MG/ML SUS OR CT FR VD AMB X 10 ML 5.16 5.86 6.22 6.25 6.29 6.37 6.45 6.53 6.62
520718060109906 ALBENDAZOL 40 MG/ML SUSPENSÃO ORAL 40 MG/ML SUS OR CX 100 FR VD AMB X 10 ML 605.40 687.95 729.40 733.82 738.29 747.41 756.75 766.33 776.15
(LABORATÓRIO TEUTO BRASILEIRO S/A) (EMB. HOSP.)
475.06 539.83 572.36 575.83 579.34 586.49 593.82 601.34 609.04
aplicável o CAP.
Medicamentos
ALBENDAZOL
520717080108303 ALBENTEL 400 MG COM MAST CT BL AL PLAS TRANS X 3 19.65 22.33 23.67 23.82 23.96 24.26 24.56 24.87 25.19
520700605130411 ALBENTEL 40 MG/ML SUS OR CT FR VD AMB X 10 ML 6.95 7.90 8.37 8.42 8.48 8.58 8.69 8.80 8.91
500506301119413 PARASIN 400 MG COM MAST CT BL AL PLAS INC X 1 9.65 10.97 11.63 11.70 11.77 11.91 12.06 12.22 12.37
500506302131417 PARASIN 40 MG/ML SUS OR CT FR VD AMB X 10 ML 9.75 11.08 11.75 11.82 11.89 12.04 12.19 12.34 12.50
552919120100017 ALBENDAZOL 400 MG COM MAST CT BL AL PLAS INC X 1 7.02 7.98 8.46 8.51 8.56 8.67 8.78 8.89 9.00
552919120100117 ALBENDAZOL 40 MG/ML SUS OR CT FR VD AMB X 10 ML 7.85 8.92 9.46 9.52 9.57 9.69 9.81 9.94 10.06
510800902131412 BENZOL 40 MG/ML SUS OR CT FR VD AMB X 10 ML 4.37 4.97 5.27 5.30 5.33 5.40 5.46 5.53 5.60
510800903111415 BENZOL 400 MG COM CT BL AL PLAS INC X 1 4.38 4.98 5.28 5.31 5.34 5.41 5.48 5.54 5.62
528500205134117 ALBENDAZOL 40 MG/ML SUS OR CT FR PLAS OPC X 10 ML 5.44 6.18 6.55 6.59 6.63 6.72 6.80 6.89 6.97
528500206130115 ALBENDAZOL 40 MG/ML SUS OR CX 200 FR PLAS OPC X 10 ML 403.70 458.75 486.39 489.33 492.32 498.40 504.63 511.01 517.56
528500201112119 ALBENDAZOL 400 MG COM MAST CT BL AL PLAS PVC TRANS 5.55 6.31 6.69 6.73 6.77 6.85 6.94 7.03 7.12
(PRATI DONADUZZI & CIA LTDA) X1
4.36 4.95 5.25 5.28 5.31 5.37 5.45 5.52 5.59
(PRATI DONADUZZI & CIA LTDA) X 100 (EMB FRAC)
73.14 83.12 88.12 88.66 89.20 90.29 91.42 92.59 93.77
11.99 13.62 14.45 14.53 14.62 14.80 14.99 15.18 15.37
20.11 22.86 24.23 24.38 24.53 24.83 25.14 25.46 25.79
528522080182906 ALBENDAZOL 400 MG COM MAST CT BL AL PLAS PVC/PVDC 1252.94 1423.80 1509.57 1518.71 1527.98 1546.84 1566.18 1586.00 1606.33
983.18 1117.26 1184.56 1191.73 1199.01 1213.81 1228.98 1244.53 1260.49
506412050025403 MEBENIX 40 MG/ML SUS OR CT FR PET AMB X 10 ML 6.98 7.93 8.41 8.46 8.51 8.62 8.73 8.84 8.95
506420110043907 MEBENIX 40 MG/ML SUS OR CT FR PLAS OPC X 10 ML 6.18 7.02 7.45 7.49 7.54 7.63 7.73 7.82 7.92
506420110044207 MEBENIX 400 MG COM MAST CT BL AL PLAS TRANS X1 7.49 8.51 9.02 9.08 9.13 9.25 9.36 9.48 9.60
510405503139415 ALBEL 40 MG/ML SUS CT FR PLAS AMB X 10 ML 6.87 7.81 8.28 8.33 8.38 8.48 8.59 8.70 8.81
aplicável o CAP.
Medicamentos
ALBENDAZOL
510405506138411 ALBEL 40 MG/ML SUS CX 60 FR PLAS AMB X 10 ML 542.68 616.68 653.83 657.79 661.80 669.98 678.35 686.94 695.74
5.44 6.18 6.55 6.59 6.63 6.72 6.79 6.88 6.97
538818002114411 MONOZOL 400 MG COM MAST CT BL AL PLAS OPC X 1 9.80 11.14 11.81 11.88 11.95 12.10 12.25 12.41 12.56
ALBUMINA HUMANA
502601804153413 ALBUREX 20 200G/L SOL INJ IV CT FA VD TRANS X 50ML 239.49 272.15 288.54 290.29 292.06 295.67 299.36 303.15 307.04
(CSL BEHRING COMÉRCIO DE PRODUTOS FARMACÊUTICOS LTDA) 187.93 213.56 226.42 227.79 229.18 232.01 234.91 237.88 240.93
501121010034817 ALBUMINA SÉRICA HUMANA NORMAL 20 PCC SOL INJ BOLSA PLÁSTICA X 50 ML 324.76 369.05 391.28 393.65 396.05 400.94 405.95 411.09 416.36
501121010034917 ALBUMINA SÉRICA HUMANA NORMAL 20 PCC SOL INJ CX 24 BOLSA PLÁSTICA X 50 7794.22 8857.07 9390.62 9447.54 9505.14 9622.49 9742.78 9866.10 9992.59
(TAKEDA PHARMA LTDA.) ML
6116.12 6950.14 7368.82 7413.49 7458.68 7550.77 7645.16 7741.93 7841.19
524614020001804 ALBIOMIN 200 G/L SOL INJ IV CT FA VD TRANS X 100 ML 591.01 671.60 712.06 716.38 720.74 729.64 738.76 748.11 757.70
(BIOTEST FARMACÊUTICA LTDA) 463.77 527.00 558.75 562.14 565.56 572.55 579.70 587.04 594.57
524614020001704 ALBIOMIN 200 G/L SOL INJ IV CT FA VD TRANS X 50 ML 290.37 329.97 349.84 351.96 354.11 358.48 362.96 367.56 372.27
(BIOTEST FARMACÊUTICA LTDA) 227.85 258.93 274.52 276.18 277.87 281.30 284.81 288.42 292.12
504400601154415 BLAUBIMAX 20 % SOL INJ CT FA VD TRANS 50ML + EQP 297.32 337.86 358.22 360.39 362.59 367.06 371.65 376.35 381.18
504416090059107 BLAUBIMAX 20 % SOL INJ CT FA VD TRANS X 50 ML 297.32 337.86 358.22 360.39 362.59 367.06 371.65 376.35 381.18
504416090059007 BLAUBIMAX 20 % SOL INJ CX 10 FA VD TRANS X 50 ML 2973.41 3378.88 3582.42 3604.13 3626.11 3670.88 3716.76 3763.81 3812.06
504416090058907 BLAUBIMAX 20 % SOL INJ CX 100 FA VD TRANS X 50 ML 29734.19 33788.86 35824.32 36041.44 36261.20 36708.88 37167.74 37638.22 38120.75
510900101155417 ALBUMINA HUMANA GRIFOLS 0,2G/ML SOL INJ FA VD INC 10ML 01 71.23 80.94 85.82 86.34 86.87 87.94 89.04 90.16 91.32
(GRIFOLS BRASIL LTDA) 55.89 63.51 67.34 67.75 68.17 69.01 69.87 70.75 71.66
510900102151415 ALBUMINA HUMANA GRIFOLS 0,2G/ML SOL INJ FA VD INC 50ML 356.41 405.01 429.41 432.01 434.65 440.01 445.51 451.15 456.94
C CAP
C CAP
aplicável o CAP.
Medicamentos
ALBUMINA HUMANA
C CAP
535319060003506 OCTALBIN 20 % SOL INJ CT 10 FA VD INC X 50 ML 3045.63 3460.94 3669.43 3691.67 3714.18 3760.04 3807.04 3855.23 3904.65
(OCTAPHARMA BRASIL LTDA) 2389.91 2715.80 2879.40 2896.85 2914.52 2950.50 2987.38 3025.20 3063.98
535300301159317 OCTALBIN 20 % SOL INJ CT FA VD INC X 50 ML 304.56 346.09 366.94 369.16 371.41 376.00 380.70 385.52 390.46
(OCTAPHARMA BRASIL LTDA) 238.99 271.58 287.94 289.68 291.44 295.05 298.74 302.52 306.39
539400201159410 VIALEBEX 20 PCC SOL INJ IV CT 1 FA VD TRANS X 50 ML 260.20 295.68 313.49 315.39 317.32 321.23 325.25 329.37 333.59
(LFB - HEMODERIVADOS E BIOTECNOLOGIA LTDA) 204.18 232.02 246.00 247.49 249.00 252.07 255.22 258.46 261.77
565717120000007 UMAN ALBUMIN 0,2 G/ML SOL INFUS IV CT FR VD TRANS X 50 141.10 160.34 170.00 171.03 172.07 174.20 176.38 178.61 180.90
(KEDRION BRASIL DISTRIBUIDORA DE PRODUTOS HOSPITALARES ML
110.72 125.82 133.40 134.21 135.02 136.70 138.41 140.16 141.95
565717120000107 UMAN ALBUMIN 0,2 G/ML SOL INFUS IV CT FR VD TRANS X 100 279.87 318.03 337.19 339.24 341.30 345.52 349.84 354.27 358.81
(KEDRION BRASIL DISTRIBUIDORA DE PRODUTOS HOSPITALARES ML
219.61 249.56 264.59 266.20 267.82 271.13 274.52 278.00 281.56
542922060001507 ALBUMINA HUMANA HEMOBRÁS 20 % SOL INJ CT 10 FA VD INC X 50 ML 2562.12 2911.50 3086.89 3105.60 3124.54 3163.11 3202.65 3243.19 3284.77
(EMPRESA BRASILEIRA DE HEMODERIVADOS E BIOTECNOLOGIA) 2010.50 2284.65 2422.28 2436.96 2451.83 2482.09 2513.12 2544.93 2577.56
542922060001607 ALBUMINA HUMANA HEMOBRÁS 20 % SOL INJ CT FA VD INC X 50 ML 256.21 291.15 308.69 310.56 312.45 316.31 320.26 324.32 328.47
(EMPRESA BRASILEIRA DE HEMODERIVADOS E BIOTECNOLOGIA) 201.05 228.47 242.23 243.70 245.18 248.21 251.31 254.49 257.75
ALCAFTADINA
501012030011902 LASTACAFT 2,5 MG/ML SOL OFT CT FR PLAS GOT X 3 ML 44.50 51.42 54.99 55.37 55.76 56.56 57.38 58.22 59.09
ALENDRONATO DE SÓDIO
508017100119806 ALENDRONATO DE SÓDIO 70 MG COM CT BL AL PVC TRANS X 4 24.31

541717090016303 ENDROSTAN 70 MG COM CT BL AL PLAS OPC X 4 37.28

(CELLERA FARMACÊUTICA S.A.) 29.25
541718070019406 ALENDRONATO DE SÓDIO 70 MG COM CT BL AL PLAS TRANS X 4 42.29

526219070017506 ALENDRONATO DE SÓDIO 70 MG COM CT ENV AL E POLIET X 4 22.74

532902702114411 MINUSORB 10 MG COM CT BL AL PLAS TRANS X 30 93.67

(UCI - FARMA INDÚSTRIA FARMACÊUTICA LTDA) 73.50
532902703110418 MINUSORB 70 MG COM CT BL AL PLAS TRANS X 4 55.29

(UCI - FARMA INDÚSTRIA FARMACÊUTICA LTDA) 43.39
552919120094817 ALENDRONATO DE SODIO 70 MG COM CT BL AL/AL X 4 102.81

506419070037306 ALENDRONATO DE SÓDIO 70 MG COM CT ENV AL E POLIET X 4 22.74


507731501119419 ALENDRONATO DE SÓDIO 70 MG COM CT BL AL PLAS OPC X 2 51.41
(EMS S/A) 40.34

(EMS S/A) 88.33
520714060091604 OSTRAZIL 70 MG COM CT BL AL PVC TRANS X 4 40.94

520714060091306 ALENDRONATO DE SODIO 70 MG COM CT BL AL PVC TRANS X 4 40.94

517115050014004 OSTEOFAR 70 MG COM CT ENV AL E POLIET X 4 43.32

(LABORATÓRIO FARMACÊUTICO ELOFAR LTDA) 33.99
aplicável o CAP.
Medicamentos

517115050014204 OSTEOFAR 70 MG COM CX ENV AL E POLIET X 300 1630.10
(LABORATÓRIO FARMACÊUTICO ELOFAR LTDA) 1279.14
514007101114410 ENDROSTAN 70 MG COM CT BL AL PLAS TRANS X 4 42.29

533021110076406 ALENDRONATO DE SÓDIO 70 MG COM CT BL AL PLAS PVC/PVDC TRANS X 27.77

21.79
500513120053303 LEDAR 70 MG COM CT BL AL/AL X 4 102.82


(GERMED FARMACEUTICA LTDA) 82.53


531602805114418 OSTEOFORM 70 MG COM CT BL AL PLAS OPC X 4 43.91

(EMS SIGMA PHARMA LTDA) 34.46
531602806110416 OSTEOFORM 70 MG COM CT BL AL PLAS OPC X 8 87.82

504613110018206 ALENDRONATO DE SÓDIO 70 MG COM CT BL AL PLAS TRANS X 4 102.82

540813100000404 OSTELOX 70 MG COM CT BL AL/AL X 4 21.84

(INDÚSTRIA FARMACÊUTICA MELCON DO BRASIL S.A.) 17.14

(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) 93.06
538800402110419 BONAGRAN 70 MG COM CT BL AL PLAS OPC X 4 61.41

ALENDRONATO SÓDICO TRIHIDRATADO

509000406118415 ALENDIL 70 MG COM CT BL AL PLAS TRANS X 4 112.04
(FARMOQUÍMICA S/A) 87.92
509000407114413 ALENDIL 70 MG COM CT BL AL PLAS TRANS X 8 167.79

(FARMOQUÍMICA S/A) 131.66
ALENTUZUMABE
576720030060017 LEMTRADA 10 MG/ML SOL DIL INFUS IV CT FA VD TRANS 37866.44
ALFA-ALBUTREPENONACOGUE
502619030008507 IDELVION 250 UI PÓ LIOF SOL INJ IV CT FA VD TRANS + FA 2218.62 2563.81 2741.61 2760.76 2780.18 2819.85 2860.67 2902.69 2945.97
(CSL BEHRING COMÉRCIO DE PRODUTOS FARMACÊUTICOS LTDA) VD TRANS DIL X 2,5 ML + DISP TRANSF C/
1740.95 2011.82 2151.34 2166.37 2181.61 2212.74 2244.77 2277.74 2311.70
FILTRO + SER 5 ML + 2 COMPRESSAS + 1
CURATIVO + 1 KPV
502619030008607 IDELVION 500 UI PÓ LIOF SOL INJ IV CT FA VD TRANS + FA 4437.24 5127.62 5483.22 5521.52 5560.35 5639.70 5721.34 5805.38 5891.94
3481.90 4023.64 4302.68 4332.74 4363.21 4425.47 4489.54 4555.48 4623.41
CURATIVO + 1 KPV
502619030008707 IDELVION 1000 UI PÓ LIOF SOL INJ IV CT FA VD TRANS + 8874.49 10255.25 10966.46 11043.05 11120.72 11279.41 11442.69 11610.78 11783.89
(CSL BEHRING COMÉRCIO DE PRODUTOS FARMACÊUTICOS LTDA) FA VD TRANS DIL X 2,5 ML + DISP TRANSF C/
6963.81 8047.29 8605.38 8665.48 8726.43 8850.95 8979.08 9110.98 9246.82
CURATIVO + 1 KPV
502619030008807 IDELVION 2000 UI PÓ LIOF SOL INJ IV CT FA VD TRANS + 17748.95 20510.47 21932.87 22086.07 22241.40 22558.77 22885.34 23221.52 23567.75
(CSL BEHRING COMÉRCIO DE PRODUTOS FARMACÊUTICOS LTDA) FA VD TRANS DIL X 5 ML + DISP TRANSF C/
13927.60 16094.57 17210.72 17330.94 17452.83 17701.87 17958.13 18221.93 18493.61
CURATIVO + 1 KPV
ALFA-ALGLICOSIDASE
576720050065717 MYOZYME 50 MG PO LIOF SOL INJ IV CT FA VD TRANS 2012.73 2287.19 2424.98 2439.67 2454.55 2484.85 2515.91 2547.76 2580.42
C CAP
ALFA-ASFOTASE
aplicável o CAP.
Medicamentos
ALFA-ASFOTASE
565518120000201 STRENSIQ 40 MG/ML SOL INJ SC CT 12 FA VD TRANS X 65202.39 75347.10 80572.42 81135.18 81705.83 82871.72 84071.37 85306.37 86578.28
(ALEXION SERVICOS E FARMACEUTICA DO BRASIL LTDA) 0,45 ML
51164.32 59124.87 63225.18 63666.78 64114.56 65029.44 65970.80 66939.91 67937.98
565518120000301 STRENSIQ 40 MG/ML SOL INJ SC CT 12 FA VD TRANS X 0,7 101425.96 117206.62 125334.90 126210.31 127097.99 128911.58 130777.72 132698.83 134677.35
(ALEXION SERVICOS E FARMACEUTICA DO BRASIL LTDA) ML
79588.95 91972.03 98350.30 99037.23 99733.79 101156.92 102621.28 104128.77 105681.32
565518120000401 STRENSIQ 40 MG/ML SOL INJ SC CT 12 FA VD TRANS X 1 144894.22 167438.02 179049.84 180300.43 181568.54 184159.39 186825.30 189569.74 192396.20
113698.49 131388.61 140500.41 141481.75 142476.83 144509.87 146601.81 148755.37 150973.30
565518120000501 STRENSIQ 100 MG/ML SOL INJ SC CT 12 FA VD TRANS X 289788.46 334876.07 358099.71 360600.88 363137.11 368318.81 373650.63 379139.52 384792.42
(ALEXION SERVICOS E FARMACEUTICA DO BRASIL LTDA) 0,8 ML
227397.00 262777.25 281000.84 282963.51 284953.69 289019.77 293203.65 297510.78 301946.61
ALFA-AVALGLICOSIDASE
576722040097702 NEXVIAZYME 100 MG PO LIOF SOL INJ IV CT FA VD TRANS 4508.50 5209.97 5571.28 5610.19 5649.65 5730.27 5813.22 5898.61 5986.56
ALFA1ANTITRIPSINA
502612090006104 ZEMAIRA 1000 MG PO LIOF SOL INJ IV CT FA VD TRANS + 1608.31 1827.63 1937.72 1949.47 1961.35 1985.57 2010.39 2035.84 2061.94
(CSL BEHRING COMÉRCIO DE PRODUTOS FARMACÊUTICOS LTDA) FA VD TRANS DIL X 20 ML + DISP TRANSF
1262.04 1434.14 1520.53 1529.75 1539.07 1558.08 1577.55 1597.52 1618.01
502618080008207 ZEMAIRA 1000 MG PO LIOF SOL INJ IV CT FA VD TRANS + 1608.31 1827.63 1937.72 1949.47 1961.35 1985.57 2010.39 2035.84 2061.94
(CSL BEHRING COMÉRCIO DE PRODUTOS FARMACÊUTICOS LTDA) FA VD TRANS DIL X 20 ML + DISP TRANSF COM
1262.04 1434.14 1520.53 1529.75 1539.07 1558.08 1577.55 1597.52 1618.01
FILTRO
527600401158415 VENTIA 1000 MG SOL INJ IV CT FA VD TRANS X 50 ML + 1471.18 1671.80 1772.51 1783.25 1794.12 1816.27 1838.98 1862.25 1886.13
(PANAMERICAN MEDICAL SUPPLY SUPRIMENTOS MÉDICOS LTDA) AGULHA COM FILTRO
1154.43 1311.86 1390.89 1399.32 1407.85 1425.23 1443.05 1461.31 1480.05
510900702159311 TRYPSONE 1,0 G PO LIOF INJ CX + DIL X 50 ML + KIT INFUS 1682.75 1912.22 2027.41 2039.70 2052.13 2077.47 2103.44 2130.06 2157.37
510918100005307 PROLASTIN-C 1G PÓ LIOF INJ IV CX FA VD TRANS + DIL X 20 1682.75 1912.22 2027.41 2039.70 2052.13 2077.47 2103.44 2130.06 2157.37
(GRIFOLS BRASIL LTDA) ML
1320.45 1500.52 1590.91 1600.55 1610.31 1630.19 1650.57 1671.46 1692.89
ALFACALCIDOL
531614050073803 SIGMACALCIDOL 0,25 MCG CAP MOLE CT FR VD AMB X 30 77.87
C CAP
531614050073903 SIGMACALCIDOL 1,00 MCG CAP MOLE CT FR VD AMB X 30 196.81

C CAP
ALFACERLIPONASE
542418120000201 BRINEURA 30 MG/ML SOL INFUS IT CT 2 FA VD TRANS X 5 134384.35 155292.94 166062.50 167222.38 168398.51 170801.43 173273.97 175819.35 178440.78
(BIOMARIN BRASIL FARMACÊUTICA LTDA) ML + FA VD SOL LAV X 5 ML
105451.40 121858.37 130309.24 131219.40 132142.31 134027.88 135968.08 137965.44 140022.48
ALFACORIFOLITROPINA
983.29 1117.38 1184.69 1191.86 1199.14 1213.94 1229.11 1244.68 1260.63
1343.72 1526.96 1618.94 1628.76 1638.68 1658.91 1679.65 1700.92 1722.71
ALFADAMOCTOCOGUE PEGOL
538920060031207 JIVI 500 UI PÓ LIOF INJ IV CT FA VD TRANS + SER 1163.41 1322.06 1401.70 1410.19 1418.79 1436.31 1454.26 1472.67 1491.55
(BAYER S.A.) VD TRANS PREENC DIL X 2,5 ML + EQP +
912.93 1037.42 1099.91 1106.58 1113.32 1127.07 1141.16 1155.60 1170.42
ADAPTADOR
1853.55 2106.31 2233.19 2246.72 2260.42 2288.34 2316.94 2346.26 2376.35
ADAPTADOR
3847.26 4371.89 4635.25 4663.35 4691.78 4749.70 4809.07 4869.95 4932.38
ADAPTADOR
5770.89 6557.83 6952.87 6995.01 7037.67 7124.55 7213.61 7304.92 7398.58
ADAPTADOR
ALFADARBEPOETINA
544115100001017 ARANESP 100 MCG/ML SOL INJ CT SER PREENC. VD 229.84 265.60 284.02 286.00 288.02 292.12 296.35 300.71 305.19
(AMGEN BIOTECNOLOGIA DO BRASIL LTDA.) TRANS X 0,3 ML + AGU+ DISPOSITIVO DE
180.36 208.42 222.87 224.42 226.01 229.23 232.55 235.97 239.48
SEGURANÇA
aplicável o CAP.
Medicamentos
ALFADARBEPOETINA
901.62 1041.90 1114.16 1121.94 1129.83 1145.95 1162.54 1179.62 1197.21
1594.49 1842.57 1970.35 1984.11 1998.07 2026.58 2055.91 2086.12 2117.22
ALFAEFMOROCTOCOGUE
576720070079717 ELOCTATE 250 UI PO LIOF SOL INJ IV CT FA VD TRANS + 879.51 999.44 1059.65 1066.07 1072.57 1085.81 1099.39 1113.30 1127.58
(SANOFI MEDLEY FARMACÊUTICA LTDA.) SER PREENC DIL X 3 ML + ADAPT + CONJ INFUS
690.15 784.26 831.51 836.54 841.65 852.03 862.69 873.61 884.81
+ 2 LENÇOS + 2 CURATIVOS + GAZE
1380.30 1568.52 1663.01 1673.08 1683.28 1704.07 1725.37 1747.21 1769.61
2070.45 2352.79 2494.52 2509.64 2524.95 2556.11 2588.07 2620.83 2654.43
2760.60 3137.04 3326.02 3346.18 3366.58 3408.15 3450.75 3494.43 3539.22
4140.89 4705.56 4989.02 5019.26 5049.86 5112.20 5176.11 5241.63 5308.82
5521.20 6274.09 6652.04 6692.36 6733.17 6816.29 6901.50 6988.86 7078.46
8281.79 9411.13 9978.06 10038.53 10099.74 10224.43 10352.23 10483.28 10617.67
ALFAEFTRENONACOGUE
576720070079117 ELPROLIX 250 UI PO LIOF SOL INJ IV CT FA VD TRANS + 1287.58 1463.16 1551.30 1560.70 1570.22 1589.61 1609.48 1629.85 1650.74
1010.36 1148.14 1217.31 1224.68 1232.15 1247.37 1262.96 1278.94 1295.33
2020.75 2296.31 2434.64 2449.39 2464.34 2494.76 2525.94 2557.91 2590.70
4041.47 4592.58 4869.24 4898.76 4928.62 4989.47 5051.84 5115.79 5181.37
8082.98 9185.21 9738.54 9797.55 9857.29 9978.99 10103.73 10231.62 10362.80
12124.47 13777.81 14607.79 14696.32 14785.94 14968.48 15155.59 15347.44 15544.19
ALFAEPOETINA
552919040075717 HEMAX ERITRON 1.000 UI PO LIOF SOL INJ CT FA VD TRANS + 41.30
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) AMP DIL X 2 ML
32.41
C CAP

113.20
C CAP

64.81
C CAP

97.23
C CAP

32.41
C CAP

365.21
C CAP
541912100001704 ALFAEPOETINA 2000 UI SOL INJ IV/SC CT 10 FA VD TRANS X 1 262.58 328.23 332.38 336.64
(FUNDAÇÃO OSWALDO CRUZ) ML
206.05 234.15 248.25 249.75 251.28 254.38 257.56 260.82 264.16
ICMS0%
541912100001804 ALFAEPOETINA 4000 UI SOL INJ IV/SC CT 10 FA VD TRANS X 1 491.34 614.18 621.95 629.92
385.55 438.13 464.53 467.34 470.19 475.99 481.95 488.04 494.30
ICMS0%
541916020006303 ALFAEPOETINA 10.000 UI SOL INJ IV/SC CT 10 FA VD TRANS X 1 920.31

722.17 820.65 870.08 875.36 880.69 891.57 902.71 914.14 925.85
C CAP ICMS0%
aplicável o CAP.
Medicamentos
ALFAEPOETINA
514500610152412 EPREX 3000 UI SOL INJ CT 6 SER PREENCHIDA X 0,3 594.15
(JANSSEN-CILAG FARMACÊUTICA LTDA) ML + 1 DISPOSITIVO
466.23
C CAP

642.00
C CAP

1817.36
C CAP
514500613151417 EPREX 40000 UI SOL INJ CT SER PREENCHIDA X 1,0 1412.16 1604.73 1701.40 1711.71 1722.15 1743.41 1765.20 1787.54 1810.46
1108.12 1259.23 1335.09 1343.18 1351.37 1368.05 1385.15 1402.68 1420.67

200.33
C CAP

328.74
C CAP
504401909152415 ERITROMAX 1000 UI/ML SOL INJ CX FA VD INC X 1 ML 85.55

C CAP
504401910150412 ERITROMAX 1000 UI/ML SOL INJ CX 12 FA VD INC X 1 ML 604.31

C CAP

C CAP

C CAP
504417070063607 ERITROMAX 2000 UI PO LIOF INJ CX FA VD INC + DIL X 1 ML 119.36

C CAP

C CAP

C CAP
504417070063707 ERITROMAX 4000 UI PO LIOF INJ CX FA VD INC + DIL X 1 ML 200.58

C CAP

C CAP

C CAP
504401911157410 ERITROMAX 4000 UI/ML SOL INJ CT SER PRE-ENCH X 0,5 ML 70.13
C CAP
504401904150414 ERITROMAX 4000 UI/ML SOL INJ CT SER PRE-ENCH X 1 ML 216.05

C CAP
504401917155411 ERITROMAX 10000 UI/ML SOL INJ CT SER PRE-ENCH X 1 ML 570.48

C CAP

C CAP

C CAP
504401951159414 ERITROMAX 2000 UI/ML SOL INJ CT 1 SER PREENCH X 0,5 47.01 53.42 56.64 56.98 57.33 58.04 58.76 59.51 60.27
(BLAU FARMACÊUTICA S.A.) ML + SISTEMA SEGURANÇA
36.89 41.92 44.45 44.71 44.99 45.54 46.11 46.70 47.29
C CAP
443.41 503.88 534.23 537.46 540.74 547.42 554.27 561.28 568.48
C CAP
55.03 62.53 66.30 66.71 67.11 67.94 68.79 69.66 70.55
C CAP
661.20 751.37 796.63 801.46 806.35 816.30 826.51 836.97 847.70
C CAP
aplicável o CAP.
Medicamentos
ALFAEPOETINA
504401955154417 ERITROMAX 4000 UI/ML SOL INJ CT 1 SER PREENCH X 1 ML 196.36 223.14 236.58 238.01 239.46 242.42 245.45 248.56 251.74
(BLAU FARMACÊUTICA S.A.) + SISTEMA SEGURANÇA
154.08 175.10 185.64 186.77 187.90 190.23 192.60 195.05 197.54
C CAP
1849.15 2101.31 2227.90 2241.40 2255.06 2282.90 2311.44 2340.70 2370.71
C CAP
504401945159416 ERITROMAX 10000 UI/ML SOL INJ CT 1 SER PREENCH X 0,3 66.19
51.94
C CAP
623.73
C CAP
504401947151412 ERITROMAX 10000 UI/ML SOL INJ CT 1 SER PREENCH X 1 ML 570.48

447.66
C CAP
504401950152416 ERITROMAX 10000 UI/ML SOL INJ CT 12 SER PREENCH X 1 5714.89

4484.47
C CAP
78.23
C CAP
939.82
C CAP
1108.11 1259.22 1335.08 1343.17 1351.35 1368.05 1385.15 1402.67 1420.66
C CAP
504401958153411 ERITROMAX 40000 UI/ML SOL INJ CT 12 SER PREENCH X 1 16946.00 19256.82 20416.86 20540.60 20665.85 20920.99 21182.50 21450.64 21725.64
13297.53 15110.83 16021.11 16118.21 16216.49 16416.70 16621.91 16832.32 17048.11
C CAP
504412423159411 ALFAEPOETINA 2000 UI/ML SOL INJ CX 12 FA VD INC X 1 ML 1284.24

C CAP

C CAP

C CAP

C CAP

C CAP
504412440150417 ALFAEPOETINA 40000 UI/ML SOL INJ CT 1 SER PREENCHIDA X 1 1412.15 1604.72 1701.39 1711.70 1722.13 1743.40 1765.19 1787.53 1810.45
(BLAU FARMACÊUTICA S.A.) ML
1108.11 1259.22 1335.08 1343.17 1351.35 1368.05 1385.15 1402.67 1420.66
504418050065906 ALFAEPOETINA 1000 UI/ML SOL INJ CT12 AMP VD TRANS X 1 591.94
464.50
C CAP
504418050066006 ALFAEPOETINA 2000 UI/ML SOL INJ CT 12 AMP VD TRANS X 1 1257.96

987.12
C CAP

1151.35
C CAP

1682.18
C CAP

C CAP

C CAP

4405.96
C CAP

C CAP

C CAP
aplicável o CAP.
Medicamentos
ALFAEPOETINA
539500107154415 ERITROPOIETINA 2000 UI/ML SOL INJ IV/SC CT 20 FA VD TRANS X 1222.55 1389.26 1472.95 1481.88 1490.91 1509.32 1528.19 1547.53 1567.37
(CHRON EPIGEN INDÚSTRIA E COMÉRCIO LTDA) 1 ML
959.33 1090.15 1155.82 1162.83 1169.92 1184.36 1199.17 1214.35 1229.91
1119.23 1271.86 1348.48 1356.64 1364.91 1381.77 1399.04 1416.75 1434.91
1635.11 1858.08 1970.01 1981.96 1994.04 2018.66 2043.89 2069.76 2096.29
539500104155410 ERITROPOIETINA 10000 UI/ML SOL INJ IV/SC CT 20 FA VD TRANS 5980.19 6795.67 7205.05 7248.71 7292.91 7382.95 7475.24 7569.86 7666.91
(CHRON EPIGEN INDÚSTRIA E COMÉRCIO LTDA) X 1 ML
4692.66 5332.56 5653.80 5688.06 5722.75 5793.40 5865.82 5940.07 6016.22
ALFAEPTACOGUE ATIVADO
(NOVO NORDISK FARMACÊUTICA DO BRASIL LTDA) FR VD TRANS DIL X 1,1 ML
2985.67 3392.82 3597.20 3619.00 3641.06 3686.02 3732.10 3779.34 3827.78
5971.36 6785.64 7194.41 7238.02 7282.15 7372.05 7464.21 7558.68 7655.59
14929.13 16964.92 17986.90 18095.91 18206.26 18431.03 18661.41 18897.63 19139.91
ALFAESTRADIOL
523717100036204 TEGAN 0,25 MG/ML SOL CAPI CT FR PLAS OPC X 100 136.87 158.17 169.13 170.32 171.51 173.96 176.48 179.07 181.74
(LIBBS FARMACÊUTICA LTDA) ML + APLIC
107.40 124.12 132.72 133.65 134.58 136.51 138.48 140.52 142.61
519513070020904 ALOZEX 0,25 MG/ML SOL CAP CT FR PLAS OPC X 100ML 136.16 157.34 168.26 169.43 170.62 173.06 175.56 178.14 180.80
(LABORATÓRIO QUÍMICO FARMACÊUTICO BERGAMO LTDA) + APLIC
106.84 123.46 132.03 132.95 133.88 135.80 137.76 139.79 141.87
519513090021606 ALFAESTRADIOL 0,25 MG/ML SOL CAP CT FR APLIC PLAS OPC X 88.97 102.81 109.94 110.71 111.49 113.08 114.72 116.40 118.14
(LABORATÓRIO QUÍMICO FARMACÊUTICO BERGAMO LTDA) 100 ML
69.81 80.68 86.27 86.87 87.49 88.73 90.02 91.34 92.70
504119010066017 ALOZEX 0,25 MG/ML SOL CAP CT FR PLAS OPC X 100ML 119.25 137.80 147.36 148.39 149.43 151.57 153.76 156.02 158.34
(BIOLAB SANUS FARMACÊUTICA LTDA) + APLIC
93.58 108.13 115.63 116.44 117.26 118.94 120.66 122.43 124.25
Liberado
504121080071504 ALFAESTRADIOL 0,25 MG/ML SOL CAP CT FR PLAS OPC X 100ML 88.99 102.84 109.97 110.74 111.51 113.11 114.74 116.43 118.16
(BIOLAB SANUS FARMACÊUTICA LTDA) + APLIC
69.83 80.70 86.29 86.90 87.50 88.76 90.04 91.36 92.72
510100201171316 AVICIS 0,25 MG/ML SOL CAPI CT FR PLAS OPC X 100 136.90 158.20 169.17 170.35 171.55 174.00 176.52 179.11 181.78
(GALDERMA BRASIL LTDA) ML + APLIC
107.43 124.14 132.75 133.67 134.62 136.54 138.52 140.55 142.64
Liberado
ALFAFOLITROPINA
525413010043803 GONAL F 300 UI (22 MCG) SOL INJ SC CT CAN APLIC 741.48 842.59 893.35 898.76 904.24 915.41 926.85 938.58 950.62
(MERCK S/A) CARVD TRANS X 0,5 ML
581.84 661.18 701.01 705.26 709.56 718.32 727.30 736.50 745.95
525413010043903 GONAL F 450 UI (33 MCG) SOL INJ SC CT CAN APLIC CAR 1112.26 1263.93 1340.07 1348.19 1356.41 1373.16 1390.33 1407.92 1425.97
(MERCK S/A) VD TRANS X 0,75 ML
872.79 991.81 1051.55 1057.92 1064.37 1077.52 1090.99 1104.79 1118.96
525413010044003 GONAL F 900 UI (66 MCG) SOL INJ SC CT CAN APLIC CAR 2224.50 2527.84 2680.12 2696.36 2712.80 2746.30 2780.63 2815.82 2851.92
(MERCK S/A) VD TRANS X 1,5 ML
1745.57 1983.60 2103.09 2115.83 2128.73 2155.02 2181.96 2209.57 2237.90
ALFAGALSIDASE
501121010034717 REPLAGAL 1 MG/ML SOL INJ CT FA VD TRANS X 3,5 ML 6180.03 7022.76 7445.82 7490.94 7536.62 7629.67 7725.04 7822.82 7923.11
ALFAINTERFERONA 2A
539500208155417 INTERFERON ALFA 2A HUMANO RECOMBINANTE 3000000 UI PO LIOF INJ CT 20 FA VD INC 1325.49 1656.86 1677.84 1699.35
(CHRON EPIGEN INDÚSTRIA E COMÉRCIO LTDA) 1040.11 1181.95 1253.15 1260.74 1268.43 1284.09 1300.14 1316.60 1333.48
ICMS0%
ALFAINTERFERONA 2B
552919040076517 ALFAINTERFERONA 2B (RECOMBINANTE) 10 000 000 UI PO LIOF SOL INJ CT 5 FA VD INC + 2121.68
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) 5 DIL AMP VD TRANS X 1 ML
1664.88 1891.91 2005.88 2018.04 2030.34 2055.41 2081.10 2107.44 2134.46
C CAP ICMS0%
552919040076417 ALFAINTERFERONA 2B (RECOMBINANTE) 5 000 000 UI PO LIOF SOL INJ CT 5 FA VD TRANS 1115.90
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) + 5 DIL AMP VD TRANS X 1 ML
875.65 995.05 1055.00 1061.39 1067.86 1081.04 1094.56 1108.41 1122.62
C CAP ICMS0%
552919040076317 ALFAINTERFERONA 2B (RECOMBINANTE) 3 000 000 UI PO LIOF SOL INJ CT 5 FA VD TRANS 746.42
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) + 5 DIL AMP VD TRANS X 1 ML
585.72 665.58 705.68 709.96 714.29 723.11 732.15 741.42 750.92
C CAP ICMS0%
aplicável o CAP.
Medicamentos
ALFAINTERFERONA 2B
541914050004504 ALFAINTERFERONA 2B 3000000 UI PO LIOF SOL INJ IV/IM/SC/IT/IP CT 3 162.37 202.96 205.53 208.17
(FUNDAÇÃO OSWALDO CRUZ) FA VD TRANS X 1 DOS + 3 AMP SOL DIL
127.41 144.78 153.51 154.44 155.38 157.30 159.26 161.28 163.35
ICMS0%
214.73 244.00 258.71 260.27 261.86 265.10 268.41 271.80 275.29
ICMS0%
436.43 495.95 525.83 529.01 532.24 538.81 545.55 552.45 559.53
ICMS0%
ALFALONOCTOCOGUE
502620090009807 AFSTYLA 250 UI PÓ LIOF SOL INJ IV CT FA VD TRANS + FA 779.63 885.94 939.31 945.01 950.77 962.51 974.54 986.87 999.53
611.78 695.20 737.08 741.55 746.07 755.28 764.72 774.40 784.33
FILTRO + SER 5 ML + 1 KPV + 2 COMPRESSAS +
1 CURATIVO
502620090009407 AFSTYLA 500 UI PÓ LIOF SOL INJ IV CT FA VD TRANS + FA 1559.29 1771.92 1878.66 1890.05 1901.57 1925.05 1949.11 1973.79 1999.09
1223.57 1390.43 1474.18 1483.12 1492.16 1510.59 1529.47 1548.83 1568.69
1 CURATIVO
502620090009507 AFSTYLA 1000 UI PÓ LIOF SOL INJ IV CT FA VD TRANS + 3118.56 3543.82 3757.30 3780.07 3803.12 3850.07 3898.20 3947.54 3998.15
2447.13 2780.84 2948.35 2966.22 2984.31 3021.15 3058.92 3097.63 3137.35
1 CURATIVO
4894.28 5561.68 5896.71 5932.46 5968.62 6042.32 6117.84 6195.28 6274.71
FILTRO + SER 10 ML + 1 KPV + 2 COMPRESSAS
+ 1 CURATIVO
7341.40 8342.51 8845.06 8898.67 8952.92 9063.46 9176.75 9292.91 9412.05
FILTRO + SER 10 ML + 1 KPV + 2 COMPRESSAS
+ 1 CURATIVO
ALFAMOROCTOCOGUE
625.45 710.73 753.55 758.11 762.74 772.15 781.80 791.70 801.85
1204.81 1369.11 1451.58 1460.38 1469.28 1487.42 1506.02 1525.08 1544.64
2438.34 2770.84 2937.75 2955.56 2973.58 3010.29 3047.92 3086.51 3126.07
ALFANONACOGUE
522720050085517 BENEFIX 250 UI PÓ LIOF INJ CT 1 FA VD TRANS + 1 SER 868.06 986.43 1045.86 1052.19 1058.61 1071.68 1085.08 1098.81 1112.90
(PFIZER BRASIL LTDA) PREENCH DIL X 5 ML + 1 ADAPT + 1 CONJ
681.17 774.05 820.69 825.65 830.69 840.95 851.46 862.24 873.29
INFUS + 2 LENÇOS + 1 CURATIVO + 1 GAZE
1294.20 1470.68 1559.28 1568.73 1578.29 1597.77 1617.74 1638.23 1659.22
2459.05 2794.37 2962.71 2980.66 2998.83 3035.86 3073.81 3112.72 3152.62
3886.05 4415.96 4681.98 4710.36 4739.08 4797.58 4857.56 4919.05 4982.11
ALFAOCTOCOGUE
501121010033917 ADVATE 250 UI PÓ LIOF INJ CT 1 FA VD INC + 1 FA DIL X 1020.11 1159.22 1229.05 1236.50 1244.04 1259.40 1275.14 1291.28 1307.83
(TAKEDA PHARMA LTDA.) 5 ML + CONJ REC E INFUS
800.48 909.64 964.44 970.28 976.20 988.25 1000.60 1013.27 1026.25
1520.89 1728.29 1832.40 1843.50 1854.74 1877.65 1901.12 1925.17 1949.86
2889.77 3283.83 3481.64 3502.75 3524.10 3567.62 3612.21 3657.93 3704.83
4564.94 5187.43 5499.92 5533.26 5567.00 5635.72 5706.17 5778.41 5852.48
542914010000004 HEMO-8R 250 UI PÓ LIOF SOL INJ CT FA VD TRANS + FA 555.33 631.06 669.07 673.13 677.23 685.59 694.16 702.95 711.96
(EMPRESA BRASILEIRA DE HEMODERIVADOS E BIOTECNOLOGIA) DIL X 5 ML + CONJ REC E INFUS
435.77 495.19 525.02 528.21 531.42 537.98 544.71 551.60 558.67
839.13 953.56 1011.01 1017.14 1023.34 1035.97 1048.92 1062.19 1075.82
1703.72 1936.05 2052.68 2065.12 2077.71 2103.36 2129.66 2156.61 2184.26
aplicável o CAP.
Medicamentos
ALFAOCTOCOGUE
2517.40 2860.69 3033.01 3051.40 3070.01 3107.91 3146.76 3186.59 3227.44
ALFAOLIPUDASE
576722120100401 XENPOZYME 20 MG PO LIOF SOL INJ CT FA VD TRANS 21065.01 24342.47 26030.62 26212.43 26396.80 26773.46 27161.03 27560.03 27970.94
ALFAOXOFENILPROPIONATO DE CÁLCIO;RACEALFAOXOGAMAMETILPENTANOATO DE CÁLCIO;TRIPTOFANO;RACEALFA-

509504301158411 KETOSTERIL COM REV CT BL AL PLAS PVC/PVDC TRANS X 421.69 487.30 521.09 524.73 528.42 535.96 543.72 551.71 559.94
(FRESENIUS KABI BRASIL LTDA) 100
330.90 382.38 408.90 411.75 414.65 420.57 426.66 432.93 439.39
509504302154312 KETOSTERIL COM REV CT BL AL PLAS PVC/PVDC TRANS X 101.12 116.85 124.96 125.83 126.71 128.52 130.38 132.30 134.27
(FRESENIUS KABI BRASIL LTDA) 20
79.35 91.69 98.06 98.74 99.43 100.85 102.31 103.82 105.36
ALFAPEGINTERFERONA 2A
604922060000117 PEGASYS 180 MCG SOL INJ CT 1 SER PREENCHIDA VD 2215.39
(INNOVATIVE MEDICINES BRASIL SP DISTRIBUICAO DE TRANS 0,5 ML
1738.42 1975.47 2094.47 2107.17 2120.02 2146.19 2173.02 2200.53 2228.74
C CAP ICMS0%
ALFARURIOCTOCOGUE PEGOL
501121010035017 ADYNOVATE 250 UI PO LIOF CT 1 FA VD INC + 1 FA DIL X 2 ML 859.33 976.51 1035.34 1041.61 1047.96 1060.90 1074.16 1087.76 1101.70
(TAKEDA PHARMA LTDA.) + DISP REC BJ3 + CONJ INFUS
674.32 766.27 812.43 817.35 822.33 832.49 842.89 853.57 864.50
(TAKEDA PHARMA LTDA.) + DISP REC BJ2HF + CONJ INFUS
674.32 766.27 812.43 817.35 822.33 832.49 842.89 853.57 864.50
674.32 766.27 812.43 817.35 822.33 832.49 842.89 853.57 864.50
1348.63 1532.53 1624.85 1634.70 1644.68 1664.98 1685.80 1707.13 1729.02
1348.63 1532.53 1624.85 1634.70 1644.68 1664.98 1685.80 1707.13 1729.02
1348.63 1532.53 1624.85 1634.70 1644.68 1664.98 1685.80 1707.13 1729.02
2022.95 2298.81 2437.29 2452.06 2467.01 2497.46 2528.69 2560.70 2593.52
2022.95 2298.81 2437.29 2452.06 2467.01 2497.46 2528.69 2560.70 2593.52
2022.95 2298.81 2437.29 2452.06 2467.01 2497.46 2528.69 2560.70 2593.52
501121010035917 ADYNOVATE 1000 UI PO LIOF CT 1 FA VD INC + 1 FA DIL X 2 3437.31 3906.04 4141.34 4166.44 4191.84 4243.59 4296.64 4351.03 4406.81
(TAKEDA PHARMA LTDA.) ML + DISP REC BJ3 + CONJ INFUS
2697.26 3065.07 3249.71 3269.41 3289.34 3329.94 3371.57 3414.25 3458.02
(TAKEDA PHARMA LTDA.) ML + DISP REC BJ2HF + CONJ INFUS
2697.26 3065.07 3249.71 3269.41 3289.34 3329.94 3371.57 3414.25 3458.02
2697.26 3065.07 3249.71 3269.41 3289.34 3329.94 3371.57 3414.25 3458.02
4045.89 4597.60 4874.56 4904.11 4934.01 4994.93 5057.36 5121.38 5187.04
4045.89 4597.60 4874.56 4904.11 4934.01 4994.93 5057.36 5121.38 5187.04
4045.89 4597.60 4874.56 4904.11 4934.01 4994.93 5057.36 5121.38 5187.04
5394.52 6130.14 6499.42 6538.81 6578.68 6659.91 6743.16 6828.51 6916.06
5394.52 6130.14 6499.42 6538.81 6578.68 6659.91 6743.16 6828.51 6916.06
aplicável o CAP.
Medicamentos
ALFARURIOCTOCOGUE PEGOL
8091.80 9195.22 9749.15 9808.23 9868.04 9989.88 10114.74 10242.78 10374.10
8091.80 9195.22 9749.15 9808.23 9868.04 9989.88 10114.74 10242.78 10374.10
ALFASIMOCTOCOGUE
535317040002308 NUWIQ 250UI PO LIOF SOL INJ IV FA VD TRANS + DIL 713.97 811.33 860.20 865.42 870.69 881.44 892.46 903.76 915.35
(OCTAPHARMA BRASIL LTDA) SER PREEN VD TRANS X 2,5ML + 1 CONJ INFUS
560.25 636.65 675.00 679.10 683.23 691.66 700.31 709.18 718.28
1080.40 1227.73 1301.68 1309.57 1317.56 1333.83 1350.50 1367.59 1385.13
2193.59 2492.72 2642.88 2658.89 2675.10 2708.13 2741.98 2776.69 2812.29
(OCTAPHARMA BRASIL LTDA) SER PREENC VD TRANS X 2,5ML + 1 CONJ
4399.08 4998.96 5300.10 5332.23 5364.74 5430.96 5498.86 5568.46 5639.85
INFUS
ALFASSEBELIPASE
565518060000101 KANUMA 2 MG/ML SOL DIL INFUS CT 1 FA VD TRANS X 10 38990.29 45056.71 48181.39 48517.92 48859.16 49556.35 50273.73 51012.24 51772.83
30595.68 35356.00 37807.94 38072.01 38339.78 38886.87 39449.80 40029.30 40626.14
ALFATIROTROPINA
576720020055217 THYROGEN 1,1 MG PÓ LIÓF SOL INJ CT 2 FA VD TRANS 4643.70 5366.20 5738.35 5778.43 5819.07 5902.11 5987.54 6075.50 6166.09
ALFATUROCTOCOGUE
526618040009407 ZONOVATE 250UI PO LIOF INJ CT FR VD TRANS + SER 696.11 791.03 838.69 843.77 848.91 859.40 870.14 881.15 892.45
(NOVO NORDISK FARMACÊUTICA DO BRASIL LTDA) PREENC DIL X 4 ML + 1 HASTE ÊMBOLO + 1
546.24 620.72 658.12 662.11 666.14 674.37 682.80 691.44 700.31
ADAPTADOR FR
1092.52 1241.51 1316.30 1324.27 1332.34 1348.79 1365.65 1382.94 1400.67
ADAPTADOR FR
2185.08 2483.05 2632.63 2648.58 2664.74 2697.63 2731.35 2765.93 2801.39
ADAPTADOR FR
3277.65 3724.61 3948.98 3972.91 3997.14 4046.49 4097.07 4148.93 4202.11
ADAPTADOR FR
4370.22 4966.16 5265.33 5297.23 5329.54 5395.34 5462.77 5531.93 5602.84
ADAPTADOR FR
6555.30 7449.20 7897.95 7945.82 7994.26 8092.97 8194.12 8297.85 8404.22
ADAPTADOR FR
ALFAVELAGLICERASE
501121020037817 VPRIV 400 U PO LIOF INJ CT FA VD INC X 1 4504.56
(TAKEDA PHARMA LTDA.) 3534.73
C CAP
ALFAVELMANASE
508520080013407 LAMZEDE 10 MG PO SOL INFUS CT FA VD TRANS X 1 8258.38 9543.28 10205.11 10276.39 10348.67 10496.33 10648.28 10804.70 10965.80
ALFAVESTRONIDASE
597321070000117 MEPSEVII 10 MG SOL INJ CT FA VD TRANS X 5 ML 11556.36 13354.39 14280.52 14380.26 14481.40 14688.04 14900.67 15119.56 15344.99
(ULTRAGENYX BRASIL FARMACEUTICA LTDA) 9068.28 10479.19 11205.92 11284.19 11363.55 11525.70 11692.56 11864.32 12041.21
C CAP
ALIROCUMABE
576720040063617 PRALUENT 75 MG/ML SOL INJ SC CT SER PREENC VD 1074.44 1241.61 1327.72 1336.99 1346.39 1365.60 1385.37 1405.72 1426.68
(SANOFI MEDLEY FARMACÊUTICA LTDA.) TRANS X 1,0 ML + CAN APLIC
843.11 974.29 1041.86 1049.14 1056.51 1071.59 1087.10 1103.07 1119.52
aplicável o CAP.
Medicamentos
ALIROCUMABE
576720040063717 PRALUENT 75 MG/ML SOL INJ SC CT 2 SER PREENC VD 2148.88 2483.22 2655.43 2673.98 2692.79 2731.21 2770.75 2811.45 2853.37
(SANOFI MEDLEY FARMACÊUTICA LTDA.) TRANS X 1,0 ML + 2 CAN APLIC
1686.23 1948.58 2083.72 2098.27 2113.03 2143.18 2174.21 2206.15 2239.04
5058.67 5845.74 6251.14 6294.80 6339.07 6429.53 6522.61 6618.42 6717.10
576720040063917 PRALUENT 150 MG/ML SOL INJ SC CT SER PREENC VD 1027.49 1187.36 1269.70 1278.57 1287.56 1305.93 1324.84 1344.30 1364.34
(SANOFI MEDLEY FARMACÊUTICA LTDA.) TRANS X 1,0 ML + CAN APLIC
806.27 931.72 996.33 1003.29 1010.35 1024.76 1039.60 1054.87 1070.60
1612.54 1863.43 1992.67 2006.58 2020.70 2049.53 2079.20 2109.75 2141.19
4837.60 5590.28 5977.96 6019.72 6062.06 6148.56 6237.56 6329.19 6423.56
ALOPURINOL
528530001111110 ALOPURINOL 100 MG COM CT BL AL PLAS PVC TRANS X 30 8.04 9.14 9.69 9.75 9.80 9.93 10.05 10.18 10.31
(PRATI DONADUZZI & CIA LTDA) (EMB FRAC)
17.11 19.44 20.61 20.73 20.87 21.12 21.38 21.65 21.93
25.61 29.10 30.86 31.04 31.23 31.62 32.02 32.42 32.84
50.42 57.30 60.75 61.12 61.50 62.25 63.04 63.83 64.64
505609601116310 ZYLORIC 100 MG COM CT BL AL PLAS PVC TRANS X 30 12.93 14.69 15.58 15.67 15.77 15.96 16.16 16.37 16.58
(ASPEN PHARMA INDÚSTRIA FARMACÊUTICA LTDA) 10.15 11.53 12.23 12.30 12.38 12.52 12.68 12.85 13.01
505609602112319 ZYLORIC 300 MG COM CT BL AL PLAS PVC TRANS X 30 38.17 43.38 45.99 46.27 46.55 47.12 47.71 48.32 48.94
ALOÍNA
522101501113412 PÍLULAS DE ERVA DE BICHO COMPOSTAS IMESCARD (10+10+10+30) MG COM REV CT BL AL PLAS 21.70 25.08 26.82 27.00 27.19 27.58 27.98 28.39 28.81
(LABORATÓRIOS OSÓRIO DE MORAES LTDA) PVC TRANS X 36
17.03 19.68 21.05 21.19 21.34 21.64 21.96 22.28 22.61
Liberado
ALPELISIBE
526520020094707 PIQRAY 150 MG COM REV CT BL AL PLAS PVC/PCTFE 18356.04 21212.02 22683.07 22841.50 23002.16 23330.38 23668.11 24015.79 24373.87
14403.98 16645.07 17799.41 17923.72 18049.80 18307.35 18572.37 18845.19 19126.18
14403.98 16645.07 17799.41 17923.72 18049.80 18307.35 18572.37 18845.19 19126.18
526520020094607 PIQRAY 200 MG + 50 MG COM REV CT BL AL PLAS 18356.04 21212.02 22683.07 22841.50 23002.16 23330.38 23668.11 24015.79 24373.87
(NOVARTIS BIOCIENCIAS S.A) PVC/PCTFE TRANS X 56
14403.98 16645.07 17799.41 17923.72 18049.80 18307.35 18572.37 18845.19 19126.18
aplicável o CAP.
Medicamentos
ALPELISIBE
7201.99 8322.54 8899.71 8961.86 9024.90 9153.67 9286.19 9422.60 9563.08
526520020095007 PIQRAY 200 MG + 50MG COM REV CT BL AL PLAS 9178.02 10606.01 11341.54 11420.75 11501.08 11665.19 11834.06 12007.90 12186.93
(NOVARTIS BIOCIENCIAS S.A) PVC/PCTFE TRANS X 28
7201.99 8322.54 8899.71 8961.86 9024.90 9153.67 9286.19 9422.60 9563.08
ALPRAZOLAM
(EMS S/A) 10.11 11.49 12.18 12.25 12.33 12.48 12.63 12.79 12.95
(EMS S/A) 7.02 7.97 8.45 8.51 8.55 8.66 8.77 8.88 8.99
(EMS S/A) 24.15 27.45 29.10 29.28 29.46 29.82 30.20 30.57 30.96
(EMS S/A) 13.75 15.62 16.57 16.67 16.77 16.97 17.18 17.41 17.62
(EMS S/A) 44.08 50.09 53.10 53.42 53.75 54.42 55.09 55.79 56.51
520731803112116 ALPRAZOLAM 1,0 MG COM CT BL AL PLAS INC X 30 46.31 52.63 55.80 56.13 56.48 57.17 57.89 58.62 59.37
500120070036107 ALPRAZOLAM 0,25 MG COM CT BL AL AL X 20 8.09 9.19 9.75 9.81 9.87 9.99 10.11 10.24 10.37
aplicável o CAP.
Medicamentos
ALPRAZOLAM
536502101116317 TRANQUINAL SLG 0.5 MG COM SUBL BL AL PLAS TRANS X 15 20.02 22.75 24.12 24.27 24.41 24.72 25.03 25.34 25.67
536502102112315 TRANQUINAL SLG 0.5 MG COM SUBL BL AL PLAS TRANS X 30 40.01 45.47 48.20 48.50 48.79 49.40 50.01 50.65 51.29
536512010006903 TRANQUINAL 0,25 MG COM CT BL AL PLAS X 30 15.50 17.61 18.67 18.79 18.90 19.14 19.38 19.62 19.87
536512010007003 TRANQUINAL 0,5 MG COM CT BL AL PLAS X 30 30.10 34.20 36.27 36.48 36.71 37.16 37.63 38.10 38.59
536512010007103 TRANQUINAL 1 MG COM CT BL AL PLAS X 30 53.62 60.93 64.60 64.99 65.39 66.20 67.03 67.87 68.74
536512010007203 TRANQUINAL 2 MG COM CT BL AL PLAS X 30 91.05 103.47 109.70 110.36 111.04 112.41 113.81 115.25 116.73
536201802115115 ALPRAZOLAM 0,5 MG COM CT STRIP AL/AL X 30 11.74 13.34 14.14 14.23 14.32 14.49 14.68 14.86 15.05
536201801119117 ALPRAZOLAM 1 MG COM CT STRIP AL/AL X 30 21.09 23.97 25.41 25.56 25.72 26.04 26.36 26.70 27.04
525070212111111 ALPRAZOLAM 1 MG COM CT BL AL PLAS OPC X 30 14.98 17.02 18.05 18.16 18.27 18.49 18.73 18.96 19.21
525070214112115 ALPRAZOLAM 2 MG COM CT BL AL PLAS OPC X 30 39.34 44.70 47.40 47.68 47.98 48.57 49.18 49.80 50.44
ALPROSTADIL ALFACICLODEXTRINA
aplicável o CAP.
Medicamentos
ALPROSTADIL ALFACICLODEXTRINA
552919120086617 PROSTAVASIN 20 MCG PO LIOF SOL INJ/INFUS IV/IAR CX 10 791.74 899.70 953.90 959.68 965.54 977.46 989.68 1002.20 1015.05
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) AMP VD TRANS
621.28 705.99 748.53 753.06 757.66 767.01 776.60 786.43 796.51
ALTEPLASE
(BOEHRINGER INGELHEIM DO BRASIL QUÍMICA E FARMACÊUTICA DIL 10 ML
409.84 465.73 493.78 496.78 499.81 505.97 512.30 518.79 525.43
ICMS0%
(BOEHRINGER INGELHEIM DO BRASIL QUÍMICA E FARMACÊUTICA DIL 50 ML + CANUL TRANS
2049.23 2328.67 2468.95 2483.91 2499.06 2529.91 2561.54 2593.96 2627.21
ICMS0%
AMBRISENTANA
510612201111211 VOLIBRIS 5 MG COM REV CT BL AL PVC X 30 1944.71 2247.28 2403.13 2419.92 2436.94 2471.71 2507.49 2544.33 2582.26
C CAP
510612202118211 VOLIBRIS 10 MG COM REV CT BL AL PVC X 30 3889.45 4494.60 4806.30 4839.87 4873.91 4943.46 5015.02 5088.69 5164.56
C CAP
AMINAFTONA
AMINOFILINA
520701002111111 AMINOFILINA 100 MG COM CT BL AL PLAS PVC TRANS X 20 3.65 4.15 4.40 4.42 4.45 4.51 4.56 4.62 4.68
520701003118118 AMINOFILINA 200 MG COM CT BL AL PLAS PVC TRANS X 20 4.12 4.68 4.96 4.99 5.02 5.09 5.15 5.22 5.28
533509003115112 AMINOFILINA 100 MG COM CT BL AL PLAS INC X 20 3.89 4.42 4.69 4.72 4.74 4.80 4.86 4.92 4.99
533509004111110 AMINOFILINA 100 MG COM CT BL AL PLAS INC X 500 ( EMB 97.47 110.76 117.43 118.15 118.87 120.33 121.84 123.38 124.96
(VITAMEDIC INDUSTRIA FARMACEUTICA LTDA) HOSP)
76.48 86.91 92.15 92.71 93.28 94.42 95.61 96.82 98.06
533509002119114 AMINOFILINA 200 MG COM CT BL AL PLAS INC X 20 4.34 4.93 5.23 5.26 5.29 5.36 5.43 5.49 5.56
505520120021807 ASMAFIN 240 MG/ML SOL OR CT FR PLAS OPC GOT X 10 7.11 8.08 8.57 8.62 8.67 8.78 8.89 9.00 9.12
(CAZI QUIMICA FARMACEUTICA INDUSTRIA E COMERCIO LTDA) ML
5.58 6.34 6.72 6.76 6.80 6.89 6.98 7.06 7.16
511600706114112 AMINOFILINA 100 MG COM CT BL AL PLAS TRANS X 500 38.35 43.58 46.20 46.48 46.77 47.35 47.94 48.54 49.17
AMIVANTAMABE
514522020039107 RYBREVANT 350 MG SOL DIL INFUS CT FA VD TRANS X 7 ML 8490.29 9811.28 10491.69 10564.97 10639.28 10791.09 10947.30 11108.12 11273.74
AMOROLFINA
510100901165319 LOCERYL 2,5 MG/G CREM DERM CT BG AL X 20 G 48.34 55.86 59.74 60.15 60.58 61.44 62.33 63.24 64.19
Liberado
510114110005703 LOCERYL 50 MG/ML ESM CT FR VD AMB X 2,5 ML + (10 113.75 131.45 140.56 141.55 142.54 144.58 146.67 148.82 151.04
(GALDERMA BRASIL LTDA) ESP + 30 COMPRESS + 30 LIXAS)
89.26 103.15 110.30 111.08 111.85 113.45 115.09 116.78 118.52
Liberado
510115030005903 LOCERYL 50 MG/ML ESM CT FR VD AMB X 1,25 ML + (10 49.97 57.74 61.75 62.18 62.62 63.51 64.43 65.38 66.35
(GALDERMA BRASIL LTDA) ESP)
39.21 45.31 48.46 48.79 49.14 49.84 50.56 51.30 52.06
Liberado
AMOXICILINA
510613020049703 AMOXIL 125 MG/5 ML PO SUS OR CT FR VD TRANS X 150 42.43 48.22 51.12 51.43 51.74 52.38 53.04 53.71 54.40
(GLAXOSMITHKLINE BRASIL LTDA) ML
33.29 37.84 40.11 40.36 40.60 41.10 41.62 42.15 42.69
46.85 53.24 56.45 56.80 57.14 57.85 58.57 59.31 60.07
69.83 79.36 84.14 84.65 85.15 86.21 87.29 88.40 89.53
aplicável o CAP.
Medicamentos
AMOXICILINA
10.66 12.12 12.85 12.92 13.00 13.17 13.33 13.50 13.67
590.27 670.77 711.17 715.48 719.84 728.74 737.85 747.18 756.77
526216050011503 NEMOXIL 50 MG/ML PO SUS OR CT FR VD AMB X 150 ML 19.58 22.25 23.59 23.73 23.88 24.17 24.48 24.78 25.10
526217060014003 NEMOXIL 500 MG CAP GEL DURA CT BL AL PLAS INC X 21 24.27 27.58 29.24 29.42 29.60 29.96 30.34 30.72 31.12
526116090097506 AMOXICILINA 50 MG/ML PO SUS OR CT FR PLAS OPC X 150 18.56 21.09 22.36 22.50 22.63 22.91 23.20 23.49 23.79
(GERMED FARMACEUTICA LTDA) ML + COP
14.56 16.55 17.55 17.66 17.76 17.98 18.21 18.43 18.67
529900409134116 AMOXICILINA 50 MG/ML PO SUS OR CT FR PLAS PEAD 29.73 33.78 35.82 36.04 36.26 36.70 37.16 37.63 38.12
(RANBAXY FARMACÊUTICA LTDA) TRANSL X 150 ML + COL
23.33 26.51 28.11 28.28 28.45 28.80 29.16 29.53 29.91
529921080073006 AMOXICILINA 500 MG CAP DURA CT BL AL PLAS PVC/PVDC 12.38 14.07 14.92 15.01 15.10 15.28 15.48 15.67 15.87
(RANBAXY FARMACÊUTICA LTDA) TRANS X 6
9.71 11.04 11.71 11.78 11.85 11.99 12.15 12.30 12.45
32.38 36.80 39.02 39.25 39.49 39.98 40.48 40.99 41.52
34.01 38.65 40.98 41.22 41.47 41.99 42.52 43.05 43.60
44.76 50.86 53.92 54.25 54.58 55.26 55.95 56.65 57.39
485.95 552.22 585.48 589.03 592.62 599.93 607.44 615.13 623.01
971.90 1104.43 1170.96 1178.05 1185.24 1199.88 1214.87 1230.25 1246.03
323.96 368.14 390.32 392.68 395.08 399.95 404.95 410.09 415.33
809.91 920.36 975.80 981.72 987.69 999.89 1012.39 1025.20 1038.35
1619.82 1840.71 1951.60 1963.42 1975.40 1999.78 2024.79 2050.41 2076.70
24.29 27.60 29.26 29.44 29.61 29.98 30.36 30.75 31.14
528528617119115 AMOXICILINA 500 MG CAP DURA CT BL AL PLAS TRANS X 480 334.84 380.50 403.42 405.87 408.34 413.38 418.55 423.85 429.28
156.29 177.60 188.30 189.44 190.60 192.95 195.36 197.83 200.37
(PRATI DONADUZZI & CIA LTDA) COP
11.28 12.82 13.60 13.68 13.76 13.93 14.11 14.28 14.47
528528612133111 AMOXICILINA 50 MG/ML PO SUS OR CX 50 FR VD AMB X 60 ML 418.59 475.67 504.33 507.38 510.48 516.78 523.24 529.86 536.65
(PRATI DONADUZZI & CIA LTDA) + 50 COP
328.47 373.26 395.75 398.14 400.57 405.52 410.59 415.78 421.11
19.12 21.73 23.04 23.18 23.32 23.61 23.90 24.21 24.51
528528604130115 AMOXICILINA 50 MG/ML PO SUS OR CX 50 FR VD AMB X 150 732.54 832.43 882.58 887.93 893.34 904.37 915.68 927.27 939.15
(PRATI DONADUZZI & CIA LTDA) ML + 50 COP
574.82 653.21 692.56 696.76 701.00 709.66 718.54 727.63 736.95
AMOXICILINA SÓDICA;SULBACTAM SÓDICO

536500803156312 TRIFAMOX 500 MG + 250 MG PO SOL INJ CT FA VD TRANS + 40.42 45.93 48.70 48.99 49.29 49.90 50.53 51.16 51.82
(LABORATÓRIOS BAGÓ DO BRASIL S/A) DIL AMP VD TRANS X 5 ML
31.72 36.04 38.21 38.44 38.68 39.16 39.65 40.14 40.66
aplicável o CAP.
Medicamentos
AMOXICILINA SÓDICA;SULBACTAM SÓDICO

536500804152310 TRIFAMOX 1000 MG + 500 MG PO SOL INJ CT FA VD TRANS 76.87 87.35 92.61 93.18 93.74 94.90 96.09 97.30 98.55
(LABORATÓRIOS BAGÓ DO BRASIL S/A) + DIL AMP VD TRANS X 5 ML
60.32 68.54 72.67 73.12 73.56 74.47 75.40 76.35 77.33
508016080111603 SINOT 875 MG COM REV CT STR AL X 20 54.63 62.08 65.82 66.22 66.62 67.44 68.29 69.15 70.04
173.47 197.12 209.00 210.26 211.55 214.15 216.84 219.57 222.39
(EMS S/A) ML + COP
23.76 27.00 28.63 28.80 28.98 29.33 29.70 30.08 30.46
(EMS S/A) ML + COP
45.39 51.58 54.69 55.02 55.35 56.04 56.73 57.46 58.18
507701803133110 AMOXICILINA 400 MG/5ML PÓ PARA SUS OR CT FR VD AMB X 30.23 34.35 36.42 36.64 36.87 37.32 37.79 38.27 38.76
(EMS S/A) 100 ML + SER PLAS DOS
23.72 26.95 28.58 28.75 28.93 29.28 29.65 30.03 30.42
(EMS S/A) ML + SER DOS
23.72 26.95 28.58 28.75 28.93 29.28 29.65 30.03 30.42
541820120155307 AMOX-EMS 500 MG CAP DURA CT BL AL PLAS TRANS X 21 37.18 42.25 44.80 45.07 45.34 45.90 46.48 47.06 47.67
(EMS S/A) 29.18 33.15 35.15 35.37 35.58 36.02 36.47 36.93 37.41
520723404131116 AMOXICILINA 50 MG/ML PÓ SUS OR CT FR VD AMB X 150 ML + 27.28 31.00 32.87 33.07 33.27 33.68 34.10 34.53 34.97
(LABORATÓRIO TEUTO BRASILEIRO S/A) COP
21.41 24.33 25.79 25.95 26.11 26.43 26.76 27.10 27.44
(CELLERA FARMACÊUTICA S.A.) 50.90 57.85 61.33 61.70 62.08 62.85 63.63 64.43 65.26
(CELLERA FARMACÊUTICA S.A.) SER DOS
23.04 26.18 27.75 27.93 28.09 28.45 28.80 29.16 29.54
533017501138113 AMOXICILINA 50 MG/ML PO SUS CT FR VD AMB X 150 ML + 28.48 32.36 34.31 34.52 34.73 35.16 35.60 36.05 36.51
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) COP X 15 ML
22.35 25.39 26.92 27.09 27.25 27.59 27.94 28.29 28.65
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) COP X 15 ML
30.31 34.44 36.51 36.73 36.96 37.41 37.89 38.36 38.85
500505901139417 NOVOCILIN 50 MG/ML PÓ SUS OR CT FR VD AMB X 150 ML + 41.18 46.80 49.61 49.92 50.22 50.84 51.48 52.13 52.79
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) SER DOS X 10 ML
32.31 36.72 38.93 39.17 39.41 39.89 40.40 40.91 41.42
500505902135415 NOVOCILIN 80 MG/ML PÓ SUS OR CT FR VD AMB X 100 ML + 49.03 55.72 59.07 59.43 59.79 60.53 61.29 62.06 62.86
38.47 43.72 46.35 46.63 46.92 47.50 48.09 48.70 49.33
30.47 34.63 36.71 36.94 37.15 37.62 38.09 38.57 39.06
552920020109817 AMOXICILINA TRIIDRATADA 400 MG/ 5 ML PO SUS OR CT FR VD AMB X 100 38.90 44.20 46.87 47.15 47.44 48.02 48.63 49.24 49.87
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) ML + SER DOS X 10 ML
30.52 34.68 36.78 37.00 37.23 37.68 38.16 38.64 39.13
(GERMED FARMACEUTICA LTDA) ML + SER DOS
22.51 25.58 27.13 27.29 27.46 27.79 28.14 28.50 28.86
513000201131411 IQUEGO-AMOXICILINA 50 MG/ML PO SUS CX 50 FR VD AMB X 80 ML (60 263.08 328.85 333.01 337.28
(INDÚSTRIA QUÍMICA DO ESTADO DE GOIÁS S/A - IQUEGO) ML APÓS RECONSTITUIÇÃO) + COP
206.44 234.59 248.72 250.22 251.76 254.86 258.05 261.31 264.66
ICMS0%
510000402132419 FURP - AMOXICILINA 50 MG/ML PO SUS OR CX 50 FR VD AMB X 60 ML 340.03 425.04 430.42 435.94
(FUNDAÇÃO PARA O REMÉDIO POPULAR - FURP) + 50 COP
266.82 303.21 321.47 323.42 325.39 329.41 333.53 337.75 342.08
ICMS0%
510000405131413 FURP - AMOXICILINA 50 MG/ML PO SUS OR PACK 30 FR VD AMB X 498.83 623.54 631.43 639.53
(FUNDAÇÃO PARA O REMÉDIO POPULAR - FURP) 150 ML + 30 COP
391.43 444.81 471.60 474.46 477.36 483.25 489.29 495.48 501.84
ICMS0%
510015020037603 FURP - AMOXICILINA 50 MG/ML PO SUS OR CX 30 FR VD AMB X 150 498.83 623.54 631.43 639.53
(FUNDAÇÃO PARA O REMÉDIO POPULAR - FURP) ML + 30 COP
391.43 444.81 471.60 474.46 477.36 483.25 489.29 495.48 501.84
ICMS0%
525912050015706 AMOXICILINA TRIIDRATADA 50 MG/ML PO SUS OR CT FR VD AMB X 7,5 G 31.06 35.30 37.42 37.65 37.88 38.35 38.83 39.32 39.82
(MULTILAB INDUSTRIA E COMERCIO DE PRODUTOS FARMACEUTICOS (150 ML) + COP
24.37 27.70 29.36 29.54 29.72 30.09 30.47 30.86 31.25
aplicável o CAP.
Medicamentos
607022080072907 OCYLIN 500 MG CAP DURA CT BL AL PLAS TRANS X 15 15.51 17.63 18.69 18.80 18.91 19.15 19.39 19.63 19.88
528502703131418 DUZIMICIN 50 MG/ML PO SUS OR CT FR VD AMB X 150 ML 27.39 31.13 33.00 33.20 33.40 33.81 34.24 34.67 35.12
531604205130419 VELAMOX BD 80 MG/ML PO SUS OR CT FR PLAS OPC X 100 26.78 30.43 32.27 32.46 32.66 33.06 33.48 33.90 34.33
(EMS SIGMA PHARMA LTDA) ML + SER DOS
21.01 23.88 25.32 25.47 25.63 25.94 26.27 26.60 26.94
531604203138412 VELAMOX 100 MG/ML PO SUS OR CT FR PLAS OPC X 150 28.28 32.14 34.07 34.28 34.49 34.91 35.35 35.80 36.26
(EMS SIGMA PHARMA LTDA) ML + COP
22.19 25.22 26.73 26.90 27.06 27.39 27.74 28.09 28.45
531604207117411 VELAMOX BD 875 MG COM REV CT BL AL AL X 14 36.93 41.97 44.49 44.76 45.04 45.59 46.16 46.75 47.35
(CIMED INDUSTRIA S.A) COP
18.24 20.73 21.98 22.11 22.25 22.52 22.80 23.09 23.39
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) COP X 10 ML
16.99 19.30 20.46 20.59 20.72 20.98 21.23 21.51 21.78
504613010015616 AMOXICILINA 500 MG CAP DURA CT BL AL PVC TRANS X 15 21.05 23.92 25.36 25.52 25.67 25.99 26.31 26.65 26.99
504613010015716 AMOXICILINA 500 MG CAP DURA CT BL AL PVC TRANS X 21 27.09 30.78 32.64 32.84 33.04 33.44 33.86 34.29 34.73
504620120079307 AMOXICILINA 500 MG CAP DURA CT BL AL PVDC TRANS X 15 21.05 23.92 25.36 25.52 25.67 25.99 26.31 26.65 26.99
504620120079407 AMOXICILINA 500 MG CAP DURA CT BL AL PVDC TRANS X 21 27.09 30.78 32.64 32.84 33.04 33.44 33.86 34.29 34.73
504613050017414 NEO MOXILIN 500 MG CAP DURA CT BL AL PLAS TRANS X 21 35.54 40.39 42.82 43.08 43.34 43.88 44.43 44.99 45.56
504617110067517 NEO MOXILIN 250 MG/5ML PO SUS OR CT FR VD AMB X 150 45.88 52.14 55.28 55.61 55.95 56.64 57.35 58.08 58.82
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) ML
36.00 40.91 43.38 43.64 43.90 44.44 45.00 45.58 46.16
504617110067717 NEO MOXILIN 250 MG/5ML PO SUS OR CX 50 FR VD AMB X 60 568.55 646.08 685.00 689.15 693.35 701.91 710.69 719.68 728.91
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) ML (EMB HOSP)
446.14 506.98 537.52 540.78 544.07 550.79 557.68 564.73 571.98
504617110067617 NEO MOXILIN 250 MG/5ML PO SUS OR CX 50 FR VD AMB X 1421.48 1615.32 1712.63 1723.01 1733.51 1754.91 1776.85 1799.34 1822.41
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) 150 ML (EMB HOSP)
1115.44 1267.54 1343.90 1352.05 1360.28 1377.08 1394.29 1411.94 1430.05
aplicável o CAP.
Medicamentos
538821050104604 POLIMOXIL 50 MG/ML PO SUS OR CT FR PLAS OPC X 150 23.46 26.66 28.27 28.44 28.61 28.96 29.33 29.70 30.08
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) ML + COP
18.41 20.92 22.18 22.32 22.45 22.72 23.02 23.31 23.60
525000603136111 AMOXICILINA 250 MG/5 ML PO P/ SUS OR CT FR VD AMB X 150 30.30 34.43 36.51 36.73 36.95 37.41 37.88 38.35 38.85
(SANOFI MEDLEY FARMACÊUTICA LTDA.) ML + SER DOS
23.78 27.02 28.65 28.82 28.99 29.36 29.73 30.09 30.49
525000605139118 AMOXICILINA 500 MG/5 ML PO P/ SUS OR CT FR VD AMB X 150 41.61 47.28 50.13 50.44 50.74 51.37 52.01 52.67 53.35
32.65 37.10 39.34 39.58 39.81 40.31 40.81 41.33 41.86
525000604132111 AMOXICILINA 400 MG/5ML PÓ P/ SUS OR CT FR VD AMB X 100 31.60 35.91 38.07 38.30 38.54 39.01 39.50 40.00 40.51
24.80 28.18 29.87 30.05 30.24 30.61 31.00 31.39 31.79
510619040060603 AMOXIL 50 MG/ML PO SUS OR CT FR VD TRANS TP AL 59.72 67.86 71.95 72.39 72.83 73.73 74.65 75.59 76.56
(GLAXOSMITHKLINE BRASIL LTDA) PLAS POLF X 150ML
46.86 53.25 56.46 56.80 57.15 57.86 58.58 59.31 60.08
510619040060503 AMOXIL 100 MG/ML PO SUS OR CT FR VD TRANS TP AL 88.99 101.13 107.22 107.87 108.52 109.86 111.24 112.65 114.09
(GLAXOSMITHKLINE BRASIL LTDA) PLAS POLF X 150ML
69.83 79.36 84.14 84.65 85.15 86.21 87.29 88.40 89.53
(EMS S/A) 20.28 23.05 24.44 24.58 24.73 25.04 25.35 25.68 26.00
(EMS S/A) 28.10 31.93 33.85 34.06 34.27 34.69 35.12 35.57 36.03
(EMS S/A) 39.34 44.71 47.40 47.69 47.99 48.57 49.19 49.81 50.44
(EMS S/A) 35.48 40.32 42.74 43.00 43.26 43.79 44.34 44.91 45.48
520723406134112 AMOXICILINA 50 MG/ML PÓ SUS OR CT FR VD AMB X 60 ML + 10.90 12.39 13.13 13.21 13.29 13.46 13.63 13.80 13.97
(LABORATÓRIO TEUTO BRASILEIRO S/A) COP
8.55 9.72 10.30 10.37 10.43 10.56 10.70 10.83 10.96
526221080018406 AMOXICILINA TRIHIDRATADA 500 MG CAP DURA CT BL AL PLAS TRANS X 21 13.80 15.68 16.63 16.73 16.83 17.04 17.25 17.47 17.69
526221080018506 AMOXICILINA TRIHIDRATADA 50 MG/ML PO SUS OR CT FR PLAS OPC X 150 13.80 15.68 16.63 16.73 16.83 17.04 17.25 17.47 17.69
(1FARMA INDUSTRIA FARMACEUTICA LTDA) ML + COP
10.83 12.30 13.05 13.13 13.21 13.37 13.54 13.71 13.88
17.99 20.44 21.67 21.80 21.93 22.21 22.48 22.76 23.05
500505906114412 NOVOCILIN 500 MG CAP DURA CT BL AL PLAS PVC TRANS X 36.28 41.23 43.71 43.98 44.24 44.79 45.35 45.92 46.51
28.47 32.35 34.30 34.51 34.71 35.15 35.59 36.03 36.50
500505905118414 NOVOCILIN 875 MG COM CT BL AL PLAS PVDC TRANS X 14 68.25 77.56 82.23 82.73 83.23 84.26 85.31 86.39 87.50
500505904111416 NOVOCILIN 875 MG COM CT BL AL PLAS PVDC TRANS X 20 91.90 104.43 110.72 111.39 112.07 113.46 114.88 116.33 117.82
500505903115418 NOVOCILIN 500 MG CAP DURA CT BL AL PLAS PVC TRANS 50.85 57.78 61.27 61.64 62.01 62.78 63.56 64.37 65.19
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) X 21
39.90 45.34 48.08 48.37 48.66 49.26 49.87 50.51 51.15
552919070080516 AMOXICILINA TRI-HIDRATADA 500 MG CAP DURA CT BL AL PLAS TRANS X 15 30.96 35.18 37.30 37.53 37.76 38.22 38.70 39.19 39.69
552919060078817 AMOXICILINA TRI-HIDRATADA 875 MG COM CT BL AL PLAS TRANS X 14 53.73 61.06 64.73 65.13 65.52 66.33 67.16 68.01 68.88
aplicável o CAP.
Medicamentos
513004101115417 IQUEGO-AMOXICILINA 500 MG CAP DURA CX BL AL PVC TRANS X 500 153.10 191.38 193.80 196.28
(INDÚSTRIA QUÍMICA DO ESTADO DE GOIÁS S/A - IQUEGO) 120.14 136.52 144.75 145.63 146.51 148.32 150.18 152.08 154.02
ICMS0%
510000404119411 FURP - AMOXICILINA 500 MG CAP DURA CX 50 BL AL PLAS TRANS X 182.83 228.54 231.43 234.40
(FUNDAÇÃO PARA O REMÉDIO POPULAR - FURP) 350
143.47 163.03 172.85 173.90 174.96 177.12 179.34 181.60 183.93
ICMS0%
531620080091407 VELAMOX 50 MG/ML PO SUS OR CT FR PLAS OPC X 150 13.78 15.66 16.60 16.70 16.80 17.01 17.23 17.44 17.67
(EMS SIGMA PHARMA LTDA) ML + COP
10.81 12.29 13.03 13.10 13.18 13.35 13.52 13.68 13.87
506400503116412 AMOXIMED 500 MG CAP GEL DURA CT BL AL PLAS TRANS X 13.80 15.68 16.63 16.73 16.83 17.04 17.25 17.47 17.69
10.83 12.30 13.05 13.13 13.21 13.37 13.54 13.71 13.88
506421040047703 AMOXIMED 50 MG/ML PO SUS OR CT FR PLAS OPC X 150 12.54 14.25 15.11 15.20 15.29 15.48 15.68 15.87 16.08
(CIMED INDUSTRIA S.A) ML + COP
9.84 11.18 11.86 11.93 12.00 12.15 12.31 12.45 12.62
506420110044307 AMOXICILINA 50 MG/ML PO SUS CT FR PLAS OPC X 150 ML + 16.16 18.36 19.47 19.59 19.71 19.95 20.20 20.46 20.72
12.68 14.41 15.28 15.37 15.47 15.65 15.85 16.06 16.26
506418050034606 AMOXICILINA 50 MG/ML PO SUS CX 50 FR PLAS OPC X 150 536.35 609.49 646.20 650.12 654.09 662.16 670.44 678.92 687.63
(CIMED INDUSTRIA S.A) ML + 50 COP
420.87 478.27 507.07 510.15 513.27 519.60 526.09 532.75 539.58
506420110045807 AMOXICILINA 50 MG/ML PO SUS CT FR PLAS OPC X 60 ML + 7.75 8.81 9.34 9.39 9.45 9.57 9.69 9.81 9.94
6.08 6.91 7.33 7.37 7.42 7.51 7.60 7.70 7.80
13.35 15.17 16.08 16.18 16.27 16.48 16.68 16.89 17.11
191.18 217.24 230.33 231.73 233.14 236.02 238.97 241.99 245.10
(AUROBINDO PHARMA INDÚSTRIA FARMACÊUTICA LIMITADA) 350 (EMB FRAC)
182.07 206.89 219.36 220.69 222.03 224.77 227.59 230.47 233.42
aplicável o CAP.
Medicamentos

508000206110113 AMOXICILINA + CLAVULANATO DE POTÁSSIO 875 MG + 125 MG COM REV CT FR VD AMB X 14 108.45 123.24 130.66 131.45 132.26 133.89 135.56 137.28 139.04
507701603118118 AMOXICILINA + CLAVULANATO DE POTASSIO 500 MG + 125 MG COM REV CT BL AL AL X 12 61.09 69.42 73.60 74.05 74.50 75.42 76.36 77.33 78.32
(EMS S/A) 47.94 54.47 57.75 58.11 58.46 59.18 59.92 60.68 61.46
507701604114116 AMOXICILINA + CLAVULANATO DE POTASSIO 500 MG + 125 MG COM REV CT BL AL AL X 18 91.41 103.88 110.13 110.80 111.48 112.85 114.26 115.71 117.19
(EMS S/A) 71.73 81.51 86.42 86.94 87.48 88.55 89.66 90.80 91.96
507701606117112 AMOXICILINA + CLAVULANATO DE POTÁSSIO 875 MG + 125 MG COM REV CT BL AL/ AL X 12 99.78 113.39 120.22 120.95 121.68 123.19 124.73 126.30 127.92
(EMS S/A) 78.30 88.98 94.34 94.91 95.48 96.67 97.88 99.11 100.38
(EMS S/A) 94.32 107.18 113.64 114.33 115.03 116.45 117.90 119.39 120.92
500505705119417 NOVAMOX 875 MG + 125 MG COM REV CT FR VD AMB X 14 145.02 164.80 174.72 175.78 176.85 179.04 181.28 183.57 185.92
500505706115415 NOVAMOX 875 MG + 125 MG COM REV CT FR VD AMB X 20 197.09 223.97 237.46 238.90 240.35 243.32 246.36 249.48 252.68
529920110068707 AMOXICILINA + CLAVULANATO DE POTÁSSIO (500,0 + 125,0) MG COM REV CT ENVOL BL AL 31.20 35.45 37.59 37.82 38.05 38.52 39.00 39.49 40.00
(RANBAXY FARMACÊUTICA LTDA) PLAS PVC/PVDC TRANS X 6
24.48 27.82 29.50 29.68 29.86 30.23 30.60 30.99 31.39
48.95 55.63 58.98 59.33 59.69 60.43 61.19 61.96 62.75
73.45 83.46 88.49 89.02 89.57 90.68 91.81 92.97 94.16
408.06 463.70 491.64 494.62 497.63 503.78 510.08 516.53 523.15
1224.20 1391.14 1474.95 1483.88 1492.93 1511.36 1530.25 1549.63 1569.49
2448.41 2782.29 2949.89 2967.78 2985.87 3022.74 3060.52 3099.26 3138.99
80.63 91.62 97.15 97.74 98.32 99.54 100.79 102.06 103.37
97.26 110.52 117.19 117.89 118.62 120.07 121.58 123.12 124.70
130.48 148.27 157.21 158.16 159.12 161.08 163.10 165.16 167.28
57.13 64.92 68.83 69.24 69.67 70.53 71.41 72.31 73.24
85.68 97.37 103.23 103.85 104.49 105.78 107.10 108.46 109.85
aplicável o CAP.
Medicamentos

AMOXICILINA TRIHIDRATADA;ESOMEPRAZOL MAGNÉSICO TRI-HIDRATADO;CLARITROMICINA

541820020118607 ESOGASTRO IBP 500 MG CAP DURA + 500 MG COM REV + 20 MG 207.92 240.27 256.93 258.73 260.55 264.26 268.09 272.03 276.08
(EMS S/A) COM REV LIB RETARD CT BL AL AL X 28 +14 +
163.15 188.54 201.61 203.03 204.45 207.36 210.37 213.46 216.64
42
541821070163303 ESOGASTRO IBP 500 MG CAP DURA + 500 MG COM REV + 20 MG 173.26 200.22 214.10 215.60 217.11 220.21 223.40 226.68 230.06
(EMS S/A) COM REV LIB RETARD CT BL AL AL X 28 +14 +
135.96 157.11 168.00 169.18 170.37 172.80 175.30 177.88 180.53
28
AMOXICILINA TRIHIDRATADA;LANSOPRAZOL;CLARITROMICINA
520731102114112 LANSOPRAZOL + CLARITROMICINA + AMOXICILINA 30 MG CAP LIB RETARD + 500 MG COM REV + 152.09 172.83 183.24 184.35 185.48 187.77 190.11 192.52 194.99
(LABORATÓRIO TEUTO BRASILEIRO S/A) 500 MG CAP CT BL AL PLAS TRANS X 14 + 14 +
119.35 135.62 143.79 144.66 145.55 147.34 149.18 151.07 153.01
28
520731101118114 LANSOPRAZOL + CLARITROMICINA + AMOXICILINA 30 MG CAP LIB RETARD + 500 MG COM REV + 162.31 184.44 195.55 196.74 197.94 200.38 202.89 205.46 208.09
(LABORATÓRIO TEUTO BRASILEIRO S/A) 500 MG CAP CT BL AL PLAS TRANS X 28 + BL AL
127.36 144.73 153.45 154.38 155.32 157.24 159.21 161.23 163.29
PLAS TRANS X 14 + 14 + 28
528531701117111 LANZOPRAZOL + CLARITROMICINA + AMOXICILINA 30 MG CAP DURA LIB RETARD + 500 MG COM 152.07 172.81 183.22 184.33 185.45 187.74 190.09 192.49 194.96
(PRATI DONADUZZI & CIA LTDA) REV + 500 MG CAP DURA CT 7 BL AL PLAS
119.33 135.60 143.77 144.64 145.52 147.32 149.16 151.05 152.98
TRANS X 2 + 2+ 4
528531704116114 LANZOPRAZOL + CLARITROMICINA + AMOXICILINA 30 MG CAP DURA LIB RETARD + 500 MG COM 162.26 184.39 195.49 196.68 197.88 200.32 202.83 205.39 208.03
(PRATI DONADUZZI & CIA LTDA) REV + 500 MG CAP DURA CT 7 BL AL PLAS
127.33 144.69 153.40 154.34 155.28 157.19 159.16 161.17 163.24
TRANS X 2 + 2+ 4 + 30 MG CAP DURA LIB
RETARD BL AL PLAS TRANS X 28
AMOXICILINA TRIHIDRATADA;OMEPRAZOL;CLARITROMICINA
500506103112412 OMEPRAMIX 20 MG CAP DURA LIB RETARD + 500 MG COM 237.19 269.53 285.77 287.50 289.26 292.83 296.49 300.24 304.09
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) REV + 500 MG CAP DURA CT BL AL PLAS TRANS
186.12 211.50 224.24 225.60 226.98 229.78 232.66 235.60 238.62
X 14 + BL AL PLAS TRANS X 14 + BL AL PLAS
TRANS X 28
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) REV + 500 MG CAP DURA CT BL AL PLAS
191.18 217.25 230.34 231.74 233.15 236.03 238.98 242.01 245.11
TRANS X 28 + BL AL PLAS TRANS X 14 + BL AL
PLAS TRANS X 28
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) REV + 500 MG CAP DURA CT BL AL PLAS TRANS
205.61 233.65 247.73 249.23 250.75 253.84 257.02 260.27 263.61
X 42 + BL AL PLAS TRANS X 14 + BL AL PLAS
TRANS X 28
AMPICILINA
507701906137119 AMPICILINA 50 MG/ML PO P/ SUS OR CT FR VD AMB X 60 ML 16.08 18.27 19.37 19.49 19.61 19.85 20.10 20.35 20.62
(EMS S/A) 12.62 14.34 15.20 15.29 15.39 15.58 15.77 15.97 16.18
507701907133117 AMPICILINA 50 MG/ML PO P/ SUS OR CT FR VD AMB X 150 43.96 49.95 52.96 53.28 53.61 54.27 54.95 55.65 56.36
(EMS S/A) ML
34.50 39.20 41.56 41.81 42.07 42.59 43.12 43.67 44.23
541819040106206 AMPICILINA 500 MG COM CT BL AL PLAS TRANS X 6 11.76 13.36 14.17 14.25 14.34 14.52 14.70 14.89 15.08
(EMS S/A) 9.23 10.48 11.12 11.18 11.25 11.39 11.54 11.69 11.83
(EMS S/A) 18.46 20.98 22.25 22.38 22.52 22.80 23.08 23.37 23.68
(EMS S/A) 36.04 40.95 43.43 43.68 43.95 44.49 45.05 45.62 46.20
541819040106406 AMPICILINA 50 MG/ML PO SUS OR CT FR PLAS OPC X 60 16.08 18.27 19.37 19.49 19.61 19.85 20.10 20.35 20.62
(EMS S/A) ML + CP MED
12.62 14.34 15.20 15.29 15.39 15.58 15.77 15.97 16.18
541819040106506 AMPICILINA 50 MG/ML PO SUS OR CT FR PLAS OPC X 150 43.96 49.95 52.96 53.28 53.61 54.27 54.95 55.65 56.36
(EMS S/A) ML + CP MED
34.50 39.20 41.56 41.81 42.07 42.59 43.12 43.67 44.23
525919020051403 AMPICILAB 500 MG CAP GEL DURA CT BL AL PLAS OPC X 24.70 28.07 29.76 29.94 30.12 30.49 30.88 31.27 31.67
(MULTILAB INDUSTRIA E COMERCIO DE PRODUTOS FARMACEUTICOS 10
19.38 22.03 23.35 23.49 23.63 23.92 24.23 24.54 24.85
525912040015406 AMPICILINA 500 MG CAP GEL DURA CT BL AL PLAS LEIT X 11.39 12.94 13.72 13.81 13.89 14.06 14.24 14.42 14.60
(MULTILAB INDUSTRIA E COMERCIO DE PRODUTOS FARMACEUTICOS 10
8.94 10.15 10.77 10.84 10.90 11.03 11.17 11.32 11.46
528528714130111 AMPICILINA 50 MG/ ML SUS OR CT FR PLAS AMB X 150 ML + 25.50 28.98 30.72 30.91 31.10 31.48 31.88 32.28 32.69
(PRATI DONADUZZI & CIA LTDA) CP MED
20.01 22.74 24.11 24.26 24.40 24.70 25.02 25.33 25.65
528512030112806 AMPICILINA 50 MG/ ML SUS OR CX 50 FR PLAS OPC X 60 ML 336.12 381.95 404.96 407.42 409.90 414.96 420.15 425.47 430.92
(PRATI DONADUZZI & CIA LTDA) + 50 CP MED (EMB HOSP)
263.75 299.72 317.77 319.70 321.65 325.62 329.69 333.87 338.14
528528708114116 AMPICILINA 500 MG CAP DURA CT BL AL PLAS PVC TRANS X 20.97 23.83 25.27 25.42 25.57 25.89 26.21 26.54 26.88
16.46 18.70 19.83 19.95 20.06 20.32 20.57 20.83 21.09
aplicável o CAP.
Medicamentos
AMPICILINA
528528710119111 AMPICILINA 500 MG CAP DURA CT BL AL PLAS PVC TRANS 32.56 37.00 39.23 39.47 39.71 40.20 40.70 41.22 41.74
25.55 29.03 30.78 30.97 31.16 31.55 31.94 32.35 32.75
528528713118116 AMPICILINA 500 MG CAP DURA CT BL AL PLAS PVC TRANS 513.81 583.88 619.05 622.80 626.60 634.33 642.26 650.39 658.73
403.19 458.17 485.77 488.71 491.69 497.76 503.98 510.36 516.91
AMPICILINA ANIDRA
508017801114116 AMPICILINA 500 MG CAP DURA CT BL AL PLAS PVC TRANS X 21.05 23.92 25.36 25.52 25.67 25.99 26.31 26.65 26.99
16.52 18.77 19.90 20.03 20.14 20.39 20.64 20.91 21.18
525915070024306 AMPICILINA 500 MG CAP GEL DURA CX BL AL PLAS LEIT X 683.44 776.64 823.42 828.41 833.46 843.75 854.30 865.11 876.20
(MULTILAB INDUSTRIA E COMERCIO DE PRODUTOS FARMACEUTICOS 600 (EMB HOSP)
536.30 609.43 646.14 650.05 654.02 662.09 670.37 678.85 687.55
AMPICILINA SÓDICA
509521040028817 AMPLATIL 500 MG PO SOL INJ IM/IV CX 50 FA VD TRANS 227.00 257.95 273.49 275.15 276.83 280.25 283.75 287.34 291.03
509521040028917 AMPLATIL 1 G PO SOL INJ IM/IV CX 50 FA VD TRANS 251.58 285.89 303.11 304.95 306.80 310.59 314.48 318.46 322.54
520715050094106 AMPICILINA SÓDICA 500 MG PÓ SOL INJ CX FA VD TRANS X 50 155.02 176.16 186.77 187.90 189.05 191.38 193.78 196.23 198.74
520715050094206 AMPICILINA SÓDICA 1 G PÓ SOL INJ CX FA VD TRANS X 50 561.80 638.41 676.87 680.97 685.12 693.58 702.25 711.14 720.26
510000602158411 FURP-AMPICILINA 100 MG/ML PÓ INJ CX 50 FA VD TRANS + DIL CX 233.94 292.43 296.13 299.92
(FUNDAÇÃO PARA O REMÉDIO POPULAR - FURP) 50 AMP VD INC X 5 ML
183.57 208.60 221.18 222.51 223.87 226.63 229.47 232.37 235.35
ICMS0%
510000601151413 FURP-AMPICILINA 200 MG/ML PÓ INJ CX 50 FA VD TRANS + DIL CX 278.60 348.25 352.66 357.18
(FUNDAÇÃO PARA O REMÉDIO POPULAR - FURP) 50 AMP VD INC X 5 ML
218.62 248.43 263.39 264.99 266.61 269.90 273.27 276.73 280.28
ICMS0%
510018020045503 FURP-AMPICILINA 100 MG/ML PÓ INJ CX 50 FA VD TRANS 233.94 292.43 296.13 299.92
ICMS0%
510018020045603 FURP-AMPICILINA 200 MG/ML PÓ INJ CX 50 FA VD TRANS 278.60 348.25 352.66 357.18
ICMS0%
504414010047118 CILINON 500MG PO INJ CX 100 FA VD TRANS + 100 DIL X 409.21 465.01 493.02 496.01 499.04 505.20 511.51 517.99 524.63
(BLAU FARMACÊUTICA S.A.) 5 ML
321.11 364.89 386.87 389.22 391.60 396.43 401.38 406.47 411.68
504414010047318 CILINON 500MG PO INJ CT FA VD TRANS + AMP DIL PLAS 4.09 4.65 4.93 4.96 4.99 5.05 5.11 5.18 5.24
(BLAU FARMACÊUTICA S.A.) X 5 ML
3.21 3.65 3.87 3.89 3.92 3.96 4.01 4.07 4.11
504414010047408 CILINON 1000 MG PO INJ CT FA VD TRANS + AMP DIL 4.80 5.45 5.78 5.82 5.85 5.93 6.00 6.08 6.15
(BLAU FARMACÊUTICA S.A.) PLAS X 5ML
3.77 4.28 4.54 4.57 4.59 4.65 4.71 4.77 4.83
504414010047518 CILINON 1000 MG PO INJ CX 100 FA VD TRANS + 100 AMP 482.69 548.51 581.55 585.08 588.65 595.91 603.36 611.00 618.83
(BLAU FARMACÊUTICA S.A.) DIL PLAS X 5 ML
378.77 430.42 456.34 459.11 461.91 467.61 473.46 479.45 485.60
500119010026906 AMPICILINA SÓDICA 1 G PÓ P/ SOL INJ CT 50 FA VD TRANS 424.75 482.67 511.75 514.85 517.99 524.38 530.94 537.66 544.55
ANANAS COMOSUS (L.) MERRIL.

505620050045107 MELXI 0,66 G/ML SUS OR CT FR PLAS PET AMB X 100 38.49 44.48 47.56 47.90 48.23 48.92 49.63 50.36 51.11
(ASPEN PHARMA INDÚSTRIA FARMACÊUTICA LTDA) ML
30.20 34.90 37.32 37.59 37.85 38.39 38.94 39.52 40.11
Liberado
ANASTROZOL
523713010026903 ANASTROLIBBS 1 MG COM REV CT BL AL PLAS TRANS X 30 773.65 879.15 932.11 937.76 943.48 955.12 967.06 979.30 991.86
508020402111113 ANASTROZOL 1 MG COM REV CT BL AL PLAS TRANS PVDC X 562.09 638.74 677.22 681.32 685.48 693.94 702.61 711.51 720.63
441.07 501.22 531.41 534.63 537.90 544.54 551.34 558.32 565.48
511518080067806 ANASTROZOL 1 MG COM VER CT BL AL PLAS TRANS X 30 562.06 638.70 677.18 681.28 685.44 693.90 702.58 711.47 720.59
541817100083106 ANASTROZOL 1 MG COM REV CT BL AL PLAS PVDC OPC X 28 524.61 596.15 632.06 635.89 639.77 647.67 655.76 664.06 672.58
(EMS S/A) 411.66 467.80 495.98 498.98 502.03 508.23 514.57 521.09 527.77
aplicável o CAP.
Medicamentos
ANASTROZOL
541817110083706 ANASTROZOL 1 MG COM REV CT BL AL PLAS PVDC OPC X 30 562.09 638.74 677.22 681.32 685.48 693.94 702.61 711.51 720.63
(EMS S/A) 441.07 501.22 531.41 534.63 537.90 544.54 551.34 558.32 565.48
541818010084303 ARAZABI 1 MG COM REV CT BL AL PLAS PVDC OPC X 30 562.09 638.74 677.22 681.32 685.48 693.94 702.61 711.51 720.63
(EMS S/A) 441.07 501.22 531.41 534.63 537.90 544.54 551.34 558.32 565.48
502300201115318 ARIMIDEX 1 MG COM REV CT BL AL PLAS PVC TRANS X 28 807.03 917.08 972.33 978.22 984.18 996.33 1008.79 1021.56 1034.65
532418100023304 ANYA 1 MG COM REV CT BL AL PLAS PVC TRANS X 28 677.08 769.41 815.76 820.70 825.71 835.90 846.35 857.06 868.05
532420030027307 ANYA 1 MG COM REV CT BL AL PLAS PVC TRANS X 4836.43 5495.94 5827.02 5862.34 5898.08 5970.90 6045.54 6122.06 6200.55
(SUN FARMACÊUTICA DO BRASIL LTDA) 200
3795.15 4312.66 4572.46 4600.18 4628.22 4685.36 4743.94 4803.98 4865.57
532420030027407 ANYA 1 MG COM REV CT BL AL PLAS PVC TRANS X 12091.10 13739.89 14567.59 14655.88 14745.24 14927.29 15113.88 15305.19 15501.41
9487.89 10781.69 11431.19 11500.47 11570.59 11713.45 11859.86 12009.98 12163.96
2940.31 3341.26 3542.54 3564.01 3585.74 3630.01 3675.39 3721.91 3769.63
7350.81 8353.19 8856.40 8910.07 8964.41 9075.08 9188.52 9304.82 9424.11
ANATOXINA TETÂNICA;ANATOXINA DIFTÉRICA

545318080002907 VACINA ADSORVIDA DIFTERIA E TÉTANO INFANTIL (DT) SUSP INJ IM CT 50 FA VD TRANS X 0,5 ML 810.77
ICMS0%
545318080003007 VACINA ADSORVIDA DIFTERIA E TÉTANO ADULTO (DT) SUSP INJ IM CT 20 FA VD TRANS X 5 ML 2704.37
ICMS0%
ANFOTERICINA B
506716030061803 ANFORICIN B 50 MG PO LIOF INJ CX FA VD TRANS + SOL DIL 28.13 31.97 33.89 34.10 34.30 34.73 35.16 35.61 36.06
506700501151414 ANFORICIN B 50 MG PO LIOF INJ CX 25 FA VD TRANS + SOL 703.10 798.98 847.11 852.24 857.44 868.02 878.88 890.00 901.41
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) DIL
551.72 626.96 664.73 668.75 672.83 681.13 689.66 698.38 707.34
533200101151412 AMBISOME 50 MG PO LIOF SOL INF IV CT 10 FA VD TRANS 20791.34 23626.53 25049.80 25201.62 25355.29 25668.32 25989.18 26318.16 26655.56
(UNITED MEDICAL LTDA) X 20 ML + 10 FILTROS 5 MICRA
16314.96 18539.74 19656.58 19775.71 19896.30 20141.93 20393.71 20651.86 20916.62
537516030006817 ABELCET 5 MG/ML SUS INJ IV CT FA VD TRANS X 20 ML + 3187.90 3622.61 3840.84 3864.12 3887.68 3935.68 3984.88 4035.32 4087.05
(TEVA FARMACÊUTICA LTDA.) AGU
2501.55 2842.66 3013.91 3032.17 3050.66 3088.33 3126.94 3166.52 3207.11
ANFOTERICINA B;TETRACICLINA
533503802164417 FUNGITRIN (25,0 + 12,5) MG/G CREM VAG CT BG AL X 45 G + 45.46 52.53 56.18 56.57 56.97 57.78 58.62 59.48 60.36
(VITAMEDIC INDUSTRIA FARMACEUTICA LTDA) 10 APLIC
35.67 41.22 44.08 44.39 44.71 45.34 46.00 46.67 47.36
ANIDULAFUNGINA
522712120030006 ANIDULAFUNGINA 100 MG PO LIOF SOL INJ IV CT 1 FA VD TRANS 289.05 328.47 348.25 350.36 352.50 356.85 361.31 365.89 370.58
522718020073317 ECALTA 100 MG PO LIOF SOL INJ CT FA VD TRANS + 830.44 943.68 1000.53 1006.59 1012.73 1025.23 1038.05 1051.19 1064.67
(PFIZER BRASIL LTDA) SOL DIL FA VD TRANS X 30 ML
651.65 740.51 785.12 789.87 794.69 804.50 814.56 824.87 835.45
522718020073417 ECALTA 100 MG PO LIOF SOL INJ CT 1 FA VD TRANS 480.67 546.22 579.12 582.63 586.18 593.42 600.84 608.44 616.24
ANIFROLUMABE
aplicável o CAP.
Medicamentos
ANIFROLUMABE
502323030035802 SAPHNELO 150 MG/ML SOL DIL INFUS IV CT FA VD TRANS X 4263.83 4927.23 5268.93 5305.74 5343.05 5419.29 5497.74 5578.51 5661.68
(ASTRAZENECA DO BRASIL LTDA) 2 ML
3345.83 3866.40 4134.53 4163.42 4192.69 4252.52 4314.08 4377.46 4442.72
ANTÍGENO DE SUPERFÍCIE DA HEPATITE B

510602505150317 ENGERIX B 20 MCG SUS INJ CT FA VD TRANS X 1 ML 77.89 88.51 93.84 94.41 94.99 96.16 97.36 98.59 99.86
510602503158310 ENGERIX B 10 MCG SUS INJ CT SER PREENC VD TRANS X 41.33 46.97 49.80 50.10 50.40 51.02 51.66 52.32 52.99
(GLAXOSMITHKLINE BRASIL LTDA) 0,5 ML
32.43 36.86 39.08 39.31 39.55 40.03 40.54 41.06 41.58
545318040001507 VACINA ADSORVIDA HEPATITE B (RECOMBINANTE) 20 MCG/ML SUS INJ IM CT 50 FA VD TRANS X 10 35921.27
(INSTITUTO BUTANTAN) ML
28187.42 32031.17 33960.74 34166.57 34374.90 34799.29 35234.28 35680.29 36137.71
ICMS0%
576720060071517 EUVAX B 20MCG/ML SUS INJ CT FA VD TRANS X 0,5 ML 33.73

576720060071617 EUVAX B 20MCG/ML SUS INJ CT FA VD TRANS X 1,0 ML 48.41

576720060071717 EUVAX B 20MCG/ML SUS INJ CT FA VD TRANS X 10 ML 733.47

576720060071817 EUVAX B 20MCG/ML SUS INJ CT 20 FA VD TRANS X 10 14668.81

11510.62
576720060071917 EUVAX B 20MCG/ML SUS INJ CT 50 FA VD TRANS X 10 36672.02

28776.53
ANTÍGENO HBS
527322060020017 RECOMBIVAX® HB 10 MCG/1,0 ML SUS INJ CT FA VD INC X 1,0 ML 69.63
(MERCK SHARP & DOHME FARMACEUTICA LTDA.) 54.64
527322060019917 RECOMBIVAX® HB 5 MCG/0,5 ML SUS INJ CT FA VD INC X 0,5 ML 37.44

(MERCK SHARP & DOHME FARMACEUTICA LTDA.) 29.38
APIXABANA
(SANDOZ DO BRASIL INDÚSTRIA FARMACÊUTICA LTDA) TRANS X 20
30.30 34.43 36.50 36.72 36.95 37.41 37.87 38.35 38.84
81.81 92.97 98.57 99.17 99.78 101.01 102.27 103.56 104.89
511523020078706 APIXABANA 5 MG COM REV CT BL AL PLAS PVC/PVDC 38.61 43.88 46.52 46.80 47.09 47.67 48.26 48.87 49.50
30.30 34.43 36.50 36.72 36.95 37.41 37.87 38.35 38.84
81.81 92.97 98.57 99.17 99.78 101.01 102.27 103.56 104.89
541822090184104 XAKILIS 2,5 MG COM REV CT BL AL PLAS PVC/PE/PVDC 38.53 43.78 46.42 46.70 46.99 47.57 48.16 48.77 49.40
30.23 34.35 36.43 36.64 36.87 37.33 37.79 38.27 38.76
60.48 68.73 72.88 73.31 73.76 74.67 75.61 76.56 77.54
181.44 206.18 218.60 219.93 221.27 224.00 226.80 229.67 232.62
541822090184404 XAKILIS 5 MG COM REV CT BL AL PLAS PVC/PE/PVDC 77.08 87.59 92.87 93.43 94.00 95.16 96.35 97.57 98.82
60.48 68.73 72.88 73.31 73.76 74.67 75.61 76.56 77.54
541822090184504 XAKILIS 5 MG COM REV CT BL AL PLAS PVC/PE/PVDC 231.22 262.75 278.58 280.27 281.98 285.46 289.03 292.68 296.44
181.44 206.18 218.60 219.93 221.27 224.00 226.80 229.67 232.62
552922100152104 ATIVOR 2,5 MG COM REV CT BL AL PLAS PVC/PVDC 77.07 87.58 92.86 93.42 93.99 95.15 96.34 97.56 98.81
60.48 68.72 72.87 73.31 73.75 74.66 75.60 76.56 77.54
181.45 206.20 218.62 219.94 221.29 224.02 226.82 229.69 232.63
60.48 68.72 72.87 73.31 73.75 74.66 75.60 76.56 77.54
aplicável o CAP.
Medicamentos
APIXABANA
181.45 206.20 218.62 219.94 221.29 224.02 226.82 229.69 232.63
504122080080204 EMBO 2,5 MG COM REV CT BL AL PLAS PVC/PE/PVDC 77.07 87.58 92.86 93.42 93.99 95.15 96.34 97.56 98.81
60.48 68.72 72.87 73.31 73.75 74.66 75.60 76.56 77.54
504122080080304 EMBO 2,5 MG COM REV CT BL AL PLAS PVC/PE/PVDC 231.25 262.78 278.61 280.30 282.01 285.49 289.06 292.72 296.47
181.46 206.20 218.63 219.95 221.29 224.02 226.82 229.70 232.64
504122080080404 EMBO 5 MG COM REV CT BL AL PLAS PVC/PE/PVDC 77.07 87.58 92.86 93.42 93.99 95.15 96.34 97.56 98.81
60.48 68.72 72.87 73.31 73.75 74.66 75.60 76.56 77.54
504122080080504 EMBO 5 MG COM REV CT BL AL PLAS PVC/PE/PVDC 231.25 262.78 278.61 280.30 282.01 285.49 289.06 292.72 296.47
181.46 206.20 218.63 219.95 221.29 224.02 226.82 229.70 232.64
522720030084817 ELIQUIS 2,5 MG COM REV CT BL AL PLAS TRANS X 20 77.07 87.58 92.86 93.42 93.99 95.15 96.34 97.56 98.81
538022080042604 APIXORD 2,5 MG COM REV CT BL AL PLAS PVC/PVDC 38.52 43.77 46.41 46.69 46.98 47.56 48.15 48.76 49.38
30.23 34.35 36.42 36.64 36.87 37.32 37.78 38.26 38.75
60.46 68.71 72.84 73.28 73.73 74.64 75.57 76.53 77.51
181.45 206.19 218.61 219.94 221.28 224.01 226.81 229.68 232.62
302.36 343.59 364.29 366.49 368.73 373.28 377.95 382.74 387.64
604.73 687.19 728.59 733.00 737.48 746.58 755.91 765.48 775.29
30.23 34.35 36.42 36.64 36.87 37.32 37.78 38.26 38.75
60.46 68.71 72.84 73.28 73.73 74.64 75.57 76.53 77.51
181.45 206.19 218.61 219.94 221.28 224.01 226.81 229.68 232.62
302.36 343.59 364.29 366.49 368.73 373.28 377.95 382.74 387.64
604.73 687.19 728.59 733.00 737.48 746.58 755.91 765.48 775.29
39.31 44.67 47.36 47.66 47.95 48.53 49.15 49.77 50.40
117.94 134.03 142.09 142.96 143.83 145.61 147.43 149.29 151.20
39.31 44.67 47.36 47.66 47.95 48.53 49.15 49.77 50.40
117.94 134.03 142.09 142.96 143.83 145.61 147.43 149.29 151.20
35.44 40.27 42.70 42.95 43.21 43.75 44.30 44.85 45.43
106.36 120.86 128.14 128.92 129.70 131.30 132.95 134.63 136.36
aplicável o CAP.
Medicamentos
APIXABANA
35.44 40.27 42.70 42.95 43.21 43.75 44.30 44.85 45.43
106.36 120.86 128.14 128.92 129.70 131.30 132.95 134.63 136.36
536222080015703 HARTERYA 2,5 MG COM REV CT BL AL PLAS PVC/PVDC 45.16 51.32 54.41 54.74 55.07 55.75 56.45 57.16 57.90
35.44 40.27 42.70 42.95 43.21 43.75 44.30 44.85 45.43
536222080015803 HARTERYA 2,5 MG COM REV CT BL AL PLAS PVC/PVDC 135.52 154.00 163.28 164.27 165.27 167.31 169.40 171.54 173.74
106.34 120.84 128.13 128.90 129.69 131.29 132.93 134.61 136.33
536222080015903 HARTERYA 5 MG COM REV CT BL AL PLAS PVC/PVDC 45.16 51.32 54.41 54.74 55.07 55.75 56.45 57.16 57.90
35.44 40.27 42.70 42.95 43.21 43.75 44.30 44.85 45.43
536222080016003 HARTERYA 5 MG COM REV CT BL AL PLAS PVC/PVDC 135.52 154.00 163.28 164.27 165.27 167.31 169.40 171.54 173.74
106.34 120.84 128.13 128.90 129.69 131.29 132.93 134.61 136.33
540922060054804 PICBAM 2,5 MG COM RV CT BL AL PLAS PVC/PVDC 36.79 41.81 44.33 44.59 44.87 45.42 45.99 46.57 47.17
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) TRANS X 10
28.87 32.81 34.79 34.99 35.21 35.64 36.09 36.54 37.02
540922060054904 PICBAM 2,5 MG COM REV CT BL AL PLAS PVC/PVDC 77.07 87.58 92.86 93.42 93.99 95.15 96.34 97.56 98.81
60.48 68.72 72.87 73.31 73.75 74.66 75.60 76.56 77.54
540922060055004 PICBAM 2,5 MG COM REV CT BL AL PLAS PVC/PVDC 231.24 262.77 278.60 280.29 282.00 285.48 289.05 292.71 296.46
181.45 206.20 218.62 219.94 221.29 224.02 226.82 229.69 232.63
540922060055104 PICBAM 5 MG COM REV CT BL AL PLAS PVC/PVDC 38.53 43.78 46.42 46.70 46.99 47.57 48.16 48.77 49.40
30.23 34.35 36.43 36.64 36.87 37.33 37.79 38.27 38.76
60.48 68.72 72.87 73.31 73.75 74.66 75.60 76.56 77.54
181.45 206.19 218.61 219.94 221.28 224.01 226.81 229.68 232.62
573021040004006 APIXABANA 2,5 MG COM REV CT BL AL PLAS PVC/PE/PVDC 25.05 28.47 30.18 30.36 30.55 30.93 31.31 31.71 32.12
(NATCOFARMA DO BRASIL LTDA) TRANS X 10
19.66 22.34 23.68 23.82 23.97 24.27 24.57 24.88 25.21
39.31 44.67 47.36 47.66 47.95 48.53 49.15 49.77 50.40
117.93 134.01 142.09 142.95 143.82 145.59 147.41 149.28 151.20
196.54 223.35 236.80 238.23 239.69 242.64 245.68 248.79 251.98
393.10 446.71 473.62 476.48 479.40 485.31 491.38 497.60 503.98
573021040004506 APIXABANA 5 MG COM REV CT BL AL PLAS PVC/PE/PVDC 50.10 56.93 60.36 60.73 61.10 61.85 62.63 63.42 64.23
39.31 44.67 47.36 47.66 47.95 48.53 49.15 49.77 50.40
117.93 134.01 142.09 142.95 143.82 145.59 147.41 149.28 151.20
196.54 223.35 236.80 238.23 239.69 242.64 245.68 248.79 251.98
393.10 446.71 473.62 476.48 479.40 485.31 491.38 497.60 503.98
39.31 44.67 47.36 47.66 47.95 48.53 49.15 49.77 50.40
117.94 134.03 142.09 142.96 143.83 145.61 147.43 149.29 151.20
39.31 44.67 47.36 47.66 47.95 48.53 49.15 49.77 50.40
117.94 134.03 142.09 142.96 143.83 145.61 147.43 149.29 151.20
aplicável o CAP.
Medicamentos
APIXABANA
576722080099104 BANXA 2,5 MG COM REV CT BL AL PLAS PVC/PVDC 77.07 87.58 92.86 93.42 93.99 95.15 96.34 97.56 98.81
60.48 68.72 72.87 73.31 73.75 74.66 75.60 76.56 77.54
181.45 206.19 218.61 219.94 221.28 224.01 226.81 229.68 232.62
60.48 68.72 72.87 73.31 73.75 74.66 75.60 76.56 77.54
181.45 206.19 218.61 219.94 221.28 224.01 226.81 229.68 232.62
APREMILASTE
544120110005217 OTEZLA 30 MG COM REV CT BL AL PLAS TRANS X 56 3498.49 4042.81 4323.18 4353.38 4384.00 4446.55 4510.92 4577.19 4645.43
(AMGEN BIOTECNOLOGIA DO BRASIL LTDA.) 2745.27 3172.39 3392.40 3416.10 3440.13 3489.21 3539.72 3591.72 3645.27
544120110005317 OTEZLA 10 MG COM REV CT BL AL PLAS TRANS X 4 + 20 1686.78 1949.22 2084.40 2098.96 2113.72 2143.88 2174.92 2206.87 2239.77
(AMGEN BIOTECNOLOGIA DO BRASIL LTDA.) MG COM REV CT BL AL PLAS TRANS X 4 + 30
1323.62 1529.55 1635.63 1647.05 1658.64 1682.30 1706.66 1731.73 1757.55
MG COM REV CT BL AL PLAS TRANS X 19
ARIPIPRAZOL
511516080062804 CONFILIFY 15 MG COM CT BL AL/AL X 30 144.01 163.65 173.51 174.56 175.62 177.79 180.01 182.29 184.63
541820070134607 ARPEJO 20 MG/ML SUS GOT OR CT ENVOL FR GOT PLAS 1081.08 1228.50 1302.51 1310.40 1318.39 1334.67 1351.35 1368.46 1386.00
(EMS S/A) PEAD/PEBD OPC X 30 ML
848.32 964.00 1022.08 1028.27 1034.54 1047.32 1060.40 1073.83 1087.59
506717080071804 SENSAZ 15 MG COM CT BL AL X AL X 30 248.17 282.01 299.00 300.81 302.65 306.38 310.21 314.14 318.17
aplicável o CAP.
Medicamentos
ARIPIPRAZOL
506720100085907 SENSAZ 10 MG COM CT BL AL AL X 10 55.39 62.94 66.73 67.14 67.55 68.38 69.24 70.11 71.01
542621020016104 BIQUIZ 10 MG COM CT BL AL AL X 10 135.78 154.30 163.59 164.58 165.59 167.63 169.73 171.87 174.08
509021070025704 HEDD 10 MG COM CT BL AL/AL X 30 155.40 176.59 187.23 188.36 189.51 191.85 194.25 196.71 199.23
(FARMOQUÍMICA S/A) 121.94 138.57 146.92 147.81 148.71 150.54 152.43 154.36 156.34
509021070025806 HEDD 10 MG COM CT BL AL/AL X 10 50.13 56.97 60.40 60.76 61.13 61.89 62.66 63.46 64.27
(FARMOQUÍMICA S/A) 39.34 44.70 47.40 47.68 47.97 48.57 49.17 49.80 50.43
532718100030604 TOARIP 10 MG COM CT BL AL/AL X 10 212.41 241.38 255.92 257.47 259.04 262.23 265.51 268.87 272.32
552922100150503 OPTARY 10 MG COM CT BL AL/AL X 10 187.82 213.43 226.29 227.66 229.05 231.88 234.78 237.75 240.79
aplicável o CAP.
Medicamentos
ARIPIPRAZOL
500512050042204 ARISTAB 10 MG COM CT BL AL/AL X 10 218.39 248.17 263.12 264.72 266.33 269.62 272.99 276.44 279.99
552920020109417 ARIPIPRAZOL 10 MG COM CT BL AL/AL X10 141.96 161.32 171.04 172.07 173.12 175.26 177.45 179.70 182.00
528521010178607 HARIP 10 MG COM CT BL AL AL X 15 202.37 229.97 243.82 245.30 246.79 249.84 252.96 256.16 259.45
aplicável o CAP.
Medicamentos
ARIPIPRAZOL
536217080008403 KAVIUM 10 MG COM CT BL AL X AL X 10 141.92 161.27 170.99 172.02 173.07 175.21 177.40 179.65 181.95
540918110037804 AIPRI 10 MG COM CT BL AL X AL X 10 209.34 237.89 252.22 253.75 255.29 258.44 261.68 264.99 268.38
ARMODAFINILA
537521030009907 NUVIGIL 150 MG COM CT FR PLAS PEAD OPC X 30 238.20 275.26 294.35 296.41 298.49 302.75 307.13 311.64 316.29
537521030009807 NUVIGIL 250 MG COM CT FR PLAS PEAD OPC X 30 397.02 458.79 490.61 494.04 497.51 504.61 511.91 519.43 527.18
ASCORBATO DE SÓDIO;CITRATO DE ZINCO TRI-HIDRATADO;COLECALCIFEROL

538921030033407 REDOXON TRIPLA AÇÃO CR 1000MG + 455UI + 10MG COM REV CT BL AL 538921030033407. 620091698813948. 661622570151413. 666083758438029.59 670605844801039. 679837023124482. 689326344621310 693575736943123. 697964170890685.
422891332267214. 486585956059305. 519175230797813. 522675925246321.83 526224406415376. 533468112045781. 540914382624342 544248880779269. 547692484897921.
Liberado
ASPARAGINASE
559119070009007 SPECTRILA 10.000 U PO LIOF SOL INJ IV CT FR VD TRANS 1613.46 1833.48 1943.93 1955.71 1967.63 1991.93 2016.83 2042.35 2068.54
559119070009107 SPECTRILA 10.000 U PO LIOF SOL INJ IV CT 5 FR VD TRANS 8067.33 9167.42 9719.67 9778.58 9838.21 9959.67 10084.16 10211.81 10342.73
ASPARTATO DE ARGININA
536217070008203 REFORGAN 250 MG COM REV CT BL AL PLAS TRANS X 30 65.83 76.07 81.35 81.92 82.49 83.67 84.88 86.13 87.41
540917050030917 FORVITAL 1 G COM REV CT BL AL PLAS TRANS X 15 31.08 35.92 38.41 38.67 38.95 39.50 40.07 40.66 41.27
Liberado
540917050031017 FORVITAL 1 G COM REV CT BL AL PLAS TRANS X 30 135.62 156.72 167.59 168.76 169.95 172.37 174.87 177.44 180.08
Liberado
540917050030817 FORVITAL 1 G COM REV CT FRAS PLAS OPC X 30 56.45 65.23 69.76 70.24 70.74 71.75 72.79 73.86 74.96
Liberado
576720070081917 TARGIFOR 1500 MG COM EFEV CT STR AL/AL X 32 57.31 66.23 70.82 71.31 71.82 72.84 73.89 74.98 76.10
Liberado
ASPARTATO DE ARGININA;ÁCIDO ASCÓRBICO

506320050033307 ASPARGIL C 1G + 1G COM EFEV CT TB PLAS PP OPC X 10 27.56 31.85 34.06 34.29 34.54 35.03 35.54 36.06 36.60
Liberado
aplicável o CAP.
Medicamentos
ASPARTATO DE ARGININA;ÁCIDO ASCÓRBICO

506320050033407 ASPARGIL C 1G + 1G COM EFEV CT TB PLAS PP OPC X 16 34.99 40.43 43.24 43.54 43.85 44.47 45.12 45.78 46.46
Liberado
531619120086007 SUPLEVIT C FOR 1000 MG + 1000 MG COM EFEV CT TB PLAS X 16 47.66 55.08 58.89 59.31 59.72 60.58 61.45 62.36 63.28
Liberado
540400101131412 STARFOR C 1G + 1G COM EFEV CT TB PLAS X 10 28.01 32.37 34.61 34.85 35.10 35.60 36.12 36.65 37.19
Liberado
510420120184307 ARGEVIT C 250 MG/G + 250 MG/G PO EFEV CT 10 ENV PAP 19.92 23.02 24.62 24.79 24.96 25.32 25.68 26.06 26.45
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) AL X 4 G
15.63 18.06 19.32 19.45 19.59 19.87 20.15 20.45 20.76
Liberado
510420120184407 ARGEVIT C 250 MG/G + 250 MG/G PO EFEV CT 50 ENV PAP 95.03 109.82 117.43 118.25 119.08 120.78 122.53 124.33 126.18
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) AL X 4 G (EMB MULT)
74.57 86.18 92.15 92.79 93.44 94.78 96.15 97.56 99.01
Liberado
540521040007607 ASPARTOL 1G + 1G COM EFEV CT TB PLAS PP OPC X 10 25.81 29.83 31.89 32.12 32.34 32.80 33.28 33.77 34.27
(MABRA FARMACEUTICA LTDA) 20.25 23.41 25.02 25.21 25.38 25.74 26.11 26.50 26.89
Liberado
540521040007707 ASPARTOL 1G + 1G COM EFEV CT TB PLAS PP OPC X 16 32.77 37.87 40.49 40.78 41.06 41.65 42.25 42.87 43.51
(MABRA FARMACEUTICA LTDA) 25.71 29.72 31.77 32.00 32.22 32.68 33.15 33.64 34.14
Liberado
576720040061217 TARGIFOR C 1 G + 1 G COM EFEV CT TB PLAS PP OPC X 16 27.49 31.77 33.97 34.21 34.45 34.94 35.45 35.97 36.50
Liberado
576720040061317 TARGIFOR C 500MG + 500MG COM REV CT FR PLAS X 30 38.92 44.98 48.09 48.43 48.77 49.47 50.18 50.92 51.68
Liberado
576720040061417 TARGIFOR C 500MG + 500MG COM REV CT FR PLAS X 60 65.70 75.92 81.19 81.75 82.33 83.50 84.71 85.96 87.24
Liberado
ASPARTATO DE MAGNÉSIO;CLORIDRATO DE TIAMINA;ASPARTATO DE POTÁSSIO;ACETATO DE TOCOFEROL;RIBOFLAVINA;CLORIDRATO DE PIRIDOXINA

505519120020607 CAZIGERAN DRG CT FR VD AMB X 20 18.02 20.82 22.27 22.42 22.58 22.90 23.23 23.58 23.93
Liberado
505519120020707 CAZIGERAN DRG CT FR VD AMB X 60 53.36 61.66 65.94 66.40 66.87 67.82 68.80 69.81 70.85
Liberado
ASPARTATO DE ORNITINA
504109202117316 HEPA-MERZ 0,6 G/G GRAN SOL CT 10 ENV AL PLAS PE X 5 G 82.45 95.28 101.89 102.60 103.32 104.79 106.31 107.87 109.48
504109201153319 HEPA-MERZ 0,5 G/ML SOL INJ CT 5 AMP VD AMB X 10 ML 245.47 283.66 303.33 305.45 307.60 311.99 316.51 321.16 325.94
ATALURENO
586020050000307 TRANSLARNA 125 MG GRAN SUS OR CT 30 ENV AL 19236.30 22229.24 23770.83 23936.86 24105.22 24449.18 24803.11 25167.47 25542.71
(PTC FARMACEUTICA DO BRASIL LTDA.) 15094.72 17443.28 18652.97 18783.25 18915.37 19185.27 19463.00 19748.91 20043.36
ATENOLOL
511500806117419 ATENOPRESS 50 MG COM BL AL PLAS TRANS X 30 9.15 10.40 11.02 11.09 11.16 11.30 11.44 11.58 11.73
541819110109907 ATENOLOL 25 MG COM CT BL AL PLAS OPC X 30 12.97

(EMS S/A) 10.18

(EMS S/A) 19.40
541819120112707 ATENOLOL 50 MG COM CT BL AL PLAS OPC X 30 21.01 23.88 25.31 25.47 25.62 25.94 26.26 26.59 26.94
(EMS S/A) 16.49 18.74 19.86 19.99 20.10 20.36 20.61 20.86 21.14
(EMS S/A) 29.75 33.80 35.84 36.06 36.28 36.72 37.19 37.66 38.14
aplicável o CAP.
Medicamentos
ATENOLOL
(EMS S/A) 28.88 32.82 34.80 35.01 35.23 35.66 36.10 36.56 37.03
(EMS S/A) 52.88 60.09 63.71 64.09 64.49 65.29 66.10 66.93 67.80
533506803110412 TENOLON 50 MG COM CT BL AL PLAS INC X 504 (EMB 84.83 96.40 102.20 102.82 103.45 104.73 106.04 107.38 108.76
66.57 75.65 80.20 80.68 81.18 82.18 83.21 84.26 85.34
66.77 75.87 80.45 80.93 81.43 82.43 83.46 84.52 85.60
533506806111411 TENOLON 25 MG COM CT BL AL PLAS INC X 504 (EMB 62.93

49.38
533514090027503 TENOLON 25 MG COM CT BL AL PLAS INC X 30 6.21

(VITAMEDIC INDUSTRIA FARMACEUTICA LTDA) 4.87
533514100027603 TENOLON 50 MG COM CT BL AL PLAS INC X 30 13.42 15.25 16.17 16.27 16.37 16.57 16.78 16.99 17.21
218.39 248.17 263.12 264.72 266.33 269.61 272.99 276.44 279.99

(VITAMEDIC INDUSTRIA FARMACEUTICA LTDA) 4.68


552920020118117 ANGIPRESS 25 MG COM CT BL AL PLAS TRANS X 28 25.58

552920020118217 ANGIPRESS 50 MG COM CT BL AL PLAS TRANS X 28 38.59 43.85 46.49 46.78 47.06 47.64 48.24 48.85 49.47

526113602117117 ATENOLOL 100 MG COM CT BL AL PLAS INC X 30 29.28 33.27 35.28 35.49 35.71 36.15 36.60 37.06 37.54
aplicável o CAP.
Medicamentos
ATENOLOL



504119060067206 ATENOLOL 50 MG COM CT 10 BL AL PLAS INC X 10 51.83 58.90 62.45 62.82 63.21 63.99 64.79 65.61 66.45

(BIOSINTÉTICA FARMACÊUTICA LTDA) 15.58
502315030023903 ATENOL 25MG COM CT BL AL PLAS INC X 30 29.96

(ASTRAZENECA DO BRASIL LTDA) 23.51
502315030024103 ATENOL 50 MG COM CT BL AL PLAS INC X 30 46.06 52.34 55.49 55.83 56.17 56.86 57.58 58.30 59.05
502315030024303 ATENOL 100 MG COM CT BL AL PLAS INC X 30 79.72 90.59 96.05 96.63 97.22 98.42 99.65 100.91 102.21


aplicável o CAP.
Medicamentos
ATENOLOL
525921010060207 ATENOLAB 25 MG COM CT BL AL PLAS OPC X 30 10.75

525921010059703 ATENOLAB 25 MG COM CT BL AL PLAS OPC X 60 20.18

525921010059803 ATENOLAB 50 MG COM CT BL AL PLAS OPC X 28 13.37 15.19 16.11 16.21 16.30 16.51 16.71 16.92 17.14


528512040116806 ATENOLOL 25 MG COM CT BL AL PLAS TRANS X 280 (EMB 145.03

(PRATI DONADUZZI & CIA LTDA) FRAC)
113.81

(NOVA QUIMICA FARMACÊUTICA S/A) 14.24
510402807110412 TELOL 25 MG COM CT BL AL PLAS TRANS PVC X 30 16.35

510402809113419 TELOL 50 MG COM CT BL AL PLAS TRANS PVC X 30 19.61 22.28 23.63 23.77 23.91 24.21 24.51 24.82 25.14
510418020167403 TELOL 100 MG COM CT BL AL PLAS TRANS PVC X 30 26.23 29.81 31.60 31.79 31.99 32.38 32.79 33.20 33.63
510419010174106 ATENOLOL 25 MG COM CT BL AL PLAS TRANS PVC X 30 19.47


aplicável o CAP.
Medicamentos
ATENOLOL

510419010174906 ATENOLOL 50 MG COM CT BL AL PLAS TRANS PVC X 30 29.94 34.02 36.07 36.29 36.51 36.96 37.43 37.90 38.38
510419010174506 ATENOLOL 25 MG COM CT BL AL PLAS TRANS PVDC X 14 9.10




510419010175306 ATENOLOL 50 MG COM CT BL AL PLAS TRANS PVDC X 14 13.98 15.89 16.84 16.95 17.05 17.26 17.48 17.70 17.92
504616090044117 ATENEUM 50MG COM CT BL AL PLAS INC X 30 15.83 17.99 19.07 19.19 19.30 19.54 19.79 20.04 20.29
504616090043917 ATENEUM 100MG COM CT BL AL PLAS INC X 30 28.73 32.65 34.61 34.82 35.04 35.47 35.91 36.37 36.83
504616090044017 ATENEUM 25MG COM CT BL AL PLAS INC X 30 14.37

aplicável o CAP.
Medicamentos
ATENOLOL

ATENOLOL;BESILATO DE ANLODIPINO
541818110093506 BESILATO DE ANLODIPINO+ATENOLOL (5,0 + 50,0) MG CAP DURA CT BL AL PLAS PVDC 10.04 11.41 12.10 12.17 12.24 12.40 12.55 12.71 12.87
(EMS S/A) OPC X 7
7.88 8.95 9.49 9.55 9.60 9.73 9.85 9.97 10.10
541818110093606 BESILATO DE ANLODIPINO+ATENOLOL (5,0+ 50,0) MG CAP DURA CT BL AL PLAS PVDC 20.10 22.84 24.22 24.36 24.51 24.81 25.13 25.44 25.77
(EMS S/A) OPC X 14
15.77 17.92 19.01 19.11 19.23 19.47 19.72 19.96 20.22
541818110093706 BESILATO DE ANLODIPINO+ATENOLOL (5,0 + 50,0 )MG CAP DURA CT BL AL PLAS PVDC 21.53 24.47 25.94 26.10 26.26 26.58 26.91 27.25 27.60
(EMS S/A) OPC X 15
16.89 19.20 20.36 20.48 20.61 20.86 21.12 21.38 21.66
(EMS S/A) OPC X 30
33.80 38.41 40.73 40.98 41.23 41.74 42.26 42.79 43.34
(EMS S/A) OPC X 60
67.61 76.83 81.46 81.95 82.45 83.47 84.51 85.58 86.68
(EMS S/A) OPC X 7
6.70 7.61 8.07 8.12 8.17 8.27 8.38 8.48 8.59
(EMS S/A) OPC X 14
13.41 15.24 16.16 16.26 16.35 16.56 16.76 16.97 17.19
(EMS S/A) OPC X 15
14.37 16.33 17.31 17.41 17.52 17.73 17.96 18.19 18.42
(EMS S/A) OPC X 30
28.74 32.65 34.62 34.83 35.05 35.48 35.92 36.37 36.84
541818110093406 BESILATO DE ANLODIPINO+ATENOLOL (5,0 + 25,0) MG CAP DURA CT BL AL PLAS 73.22 83.20 88.22 88.75 89.29 90.40 91.53 92.68 93.87
(EMS S/A) PVDC OPC X 60
57.46 65.29 69.23 69.64 70.07 70.94 71.82 72.73 73.66
552919120092317 BETALOR 5 MG + 25 MG CAP DURA CT BL AL PLAS TRANS 56.33 64.01 67.87 68.28 68.70 69.54 70.41 71.30 72.22
44.20 50.23 53.26 53.58 53.91 54.57 55.25 55.95 56.67
52.00 59.10 62.65 63.04 63.42 64.20 65.01 65.83 66.67
552919120092517 BETALOR 5 MG + 25 MG CAP DURA CT BL AL PLAS 13.14 14.93 15.83 15.93 16.02 16.22 16.43 16.63 16.85
10.31 11.72 12.42 12.50 12.57 12.73 12.89 13.05 13.22
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) X7
12.14 13.80 14.63 14.71 14.81 14.99 15.18 15.36 15.56
508022050162117 DIUBLOK 50 MG + 12,5 MG COM CT BL AL PLAS TRANS X 20.99 23.85 25.29 25.44 25.60 25.91 26.24 26.57 26.91
16.47 18.72 19.85 19.96 20.09 20.33 20.59 20.85 21.12
508022050162217 DIUBLOK 50 MG + 12,5 MG COM CT BL AL PLAS TRANS X 6.98 7.93 8.41 8.46 8.51 8.62 8.73 8.84 8.95
5.48 6.22 6.60 6.64 6.68 6.76 6.85 6.94 7.02
511500903112418 ATENORESE 100 MG + 25 MG COM CT BL AL PLAS 32.24 36.64 38.84 39.08 39.32 39.80 40.30 40.81 41.33
(SANDOZ DO BRASIL INDÚSTRIA FARMACÊUTICA LTDA) PVC/PE/PVDC TRANS X 30
25.30 28.75 30.48 30.67 30.86 31.23 31.62 32.02 32.43
511500904119416 ATENORESE 50 MG + 12,5 MG COM CT BL AL PLAS 19.52 22.18 23.52 23.66 23.80 24.10 24.40 24.71 25.03
15.32 17.40 18.46 18.57 18.67 18.91 19.15 19.39 19.64
aplicável o CAP.
Medicamentos
511516070062406 ATENOLOL + CLORTALIDONA 100 MG + 25 MG COM CT BL AL PLAS 37.88 43.05 45.64 45.92 46.20 46.77 47.35 47.95 48.56
29.72 33.78 35.81 36.03 36.25 36.70 37.16 37.63 38.10
511516070062506 ATENOLOL + CLORTALIDONA 50 MG + 12,5 MG COM CT BL AL PLAS 21.24 24.14 25.59 25.75 25.90 26.22 26.55 26.89 27.23
16.67 18.94 20.08 20.21 20.32 20.57 20.83 21.10 21.37
(EMS S/A) 30
18.59 21.12 22.40 22.54 22.67 22.95 23.23 23.53 23.83
(EMS S/A) 60
37.19 42.26 44.81 45.07 45.35 45.91 46.49 47.07 47.68
(EMS S/A) 30
29.76 33.81 35.85 36.06 36.28 36.73 37.19 37.67 38.15
509020110024807 REVERT 100 MG + 25 MG COM CT BL AL PLAS 38.43 43.67 46.30 46.58 46.87 47.44 48.04 48.65 49.27
(FARMOQUÍMICA S/A) PVC/PE/PVDC TRANS X 30
30.16 34.27 36.33 36.55 36.78 37.23 37.70 38.18 38.66
509020110024907 REVERT 50 MG + 12,5 MG COM CT BL AL PLAS 24.94 28.34 30.05 30.23 30.41 30.79 31.18 31.57 31.97
19.57 22.24 23.58 23.72 23.86 24.16 24.47 24.77 25.09
509020110025007 REVERT 50 MG + 12,5 MG COM CT BL AL PLAS 16.62 18.89 20.02 20.15 20.27 20.52 20.78 21.04 21.31
13.04 14.82 15.71 15.81 15.91 16.10 16.31 16.51 16.72
16.30 18.52 19.63 19.76 19.88 20.12 20.37 20.63 20.90
22.26 25.30 26.82 26.99 27.15 27.48 27.82 28.18 28.54
533519050032006 ATENOLOL + CLORTALIDONA (50,0 + 12,5) MG COM CT BL AL PLAS TRANS X 16.71 18.99 20.13 20.25 20.38 20.63 20.89 21.15 21.42
13.11 14.90 15.80 15.89 15.99 16.19 16.39 16.60 16.81
533519050031906 ATENOLOL + CLORTALIDONA (100,0 + 25,0) MG COM CT BL AL PLAS TRANS X 24.09 27.38 29.02 29.20 29.38 29.74 30.11 30.49 30.88
18.90 21.49 22.77 22.91 23.05 23.34 23.63 23.92 24.23
18.56 21.09 22.36 22.50 22.63 22.91 23.20 23.49 23.79
29.72 33.77 35.81 36.02 36.24 36.68 37.15 37.62 38.10
552920010101217 ANGIPRESS CD 50 MG + 12,5 MG COM CT BL AL PLAS TRANS X 37.64 42.77 45.35 45.62 45.90 46.47 47.05 47.65 48.26
29.54 33.56 35.59 35.80 36.02 36.47 36.92 37.39 37.87
552920010101317 ANGIPRESS CD 100 MG + 25 MG COM CT BL AL PLAS TRANS X 59.83 67.99 72.08 72.52 72.96 73.86 74.79 75.73 76.71
46.95 53.35 56.56 56.91 57.25 57.96 58.69 59.42 60.20
21.46 24.39 25.86 26.01 26.17 26.50 26.83 27.17 27.51
11.19 12.71 13.48 13.56 13.65 13.81 13.99 14.16 14.34
21.72 24.68 26.17 26.33 26.49 26.81 27.15 27.50 27.85
12.32 14.00 14.85 14.93 15.03 15.21 15.40 15.59 15.80
23.71 26.95 28.57 28.74 28.92 29.28 29.65 30.01 30.40
19.65 22.32 23.67 23.82 23.97 24.25 24.56 24.88 25.19
37.80 42.95 45.54 45.82 46.09 46.67 47.25 47.84 48.46
(GERMED FARMACEUTICA LTDA) 30
17.50 19.88 21.08 21.21 21.34 21.60 21.88 22.15 22.43
(GERMED FARMACEUTICA LTDA) 30
26.30 29.88 31.68 31.87 32.07 32.46 32.87 33.29 33.71
aplicável o CAP.
Medicamentos
11.38 12.93 13.71 13.80 13.87 14.05 14.23 14.40 14.59
33.90 38.52 40.84 41.09 41.34 41.85 42.37 42.91 43.46
21.01 23.88 25.32 25.47 25.63 25.94 26.27 26.60 26.94
101.74 115.61 122.57 123.32 124.07 125.60 127.17 128.78 130.43
63.06 71.66 75.97 76.44 76.90 77.85 78.82 79.82 80.85
34.15 38.80 41.14 41.39 41.64 42.16 42.69 43.23 43.78
(BIOSINTÉTICA FARMACÊUTICA LTDA) 15
11.19 12.71 13.48 13.56 13.65 13.81 13.99 14.16 14.34
21.72 24.68 26.17 26.33 26.49 26.81 27.15 27.50 27.85
12.32 14.00 14.85 14.93 15.03 15.21 15.40 15.59 15.80
23.71 26.95 28.57 28.74 28.92 29.28 29.65 30.01 30.40
19.65 22.32 23.67 23.82 23.97 24.25 24.56 24.88 25.19
37.80 42.95 45.54 45.82 46.09 46.67 47.25 47.84 48.46
510412060075904 TELOL C 50 MG + 12,5 MG COM CT BL PLAS TRANS X 30 26.08 29.64 31.42 31.61 31.80 32.20 32.60 33.01 33.44
510412070076406 ATENOLOL + CLORTALIDONA 50 MG + 12,5 MG COM CT BL PLAS TRANS X 30 22.76 25.86 27.42 27.59 27.76 28.10 28.45 28.81 29.18
510412070076806 ATENOLOL + CLORTALIDONA 100 MG + 25 MG COM CT BL PLAS TRANS X 30 35.40 40.23 42.65 42.91 43.17 43.70 44.25 44.81 45.38
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) 30
17.50 19.88 21.08 21.21 21.34 21.60 21.88 22.15 22.43
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) 30
29.27 33.26 35.26 35.48 35.70 36.14 36.59 37.05 37.52
18.53 21.06 22.33 22.47 22.60 22.88 23.17 23.46 23.76
29.66 33.70 35.74 35.96 36.18 36.62 37.08 37.55 38.03
29.66 33.70 35.74 35.96 36.18 36.62 37.08 37.55 38.03
50.46 57.35 60.80 61.17 61.54 62.31 63.08 63.88 64.70
ATEZOLIZUMABE
529218020027002 TECENTRIQ 1200 MG SOL DIL INFUS IV CT FA VD TRANS X 26189.94 30264.78 32363.64 32589.69 32818.90 33287.20 33769.07 34265.14 34776.02
20551.25 23748.77 25395.75 25573.13 25752.99 26120.46 26498.59 26887.86 27288.74
529219110026507 TECENTRIQ 840 MG SOL DIL INFUS IV CT FA VD TRANS X 14 18332.96 21185.35 22654.55 22812.78 22973.23 23301.05 23638.35 23985.60 24343.22
14385.87 16624.14 17777.03 17901.19 18027.09 18284.33 18549.01 18821.50 19102.12
508013100099303 VAST 10 MG COM REV CT BL AL/AL X 10 17.57 19.97 21.17 21.30 21.43 21.69 21.96 22.24 22.53
aplicável o CAP.
Medicamentos
508013090099006 ATORVASTATINA CÁLCICA 10 MG COM REV CT BL AL/AL X 30 44.99 51.13 54.20 54.53 54.87 55.54 56.24 56.95 57.68

C CAP
511518010065803 LUMIRARTE 10 MG COM REV CT AL/AL X 30 39.85

C CAP
511518010065903 LUMIRARTE 20 MG COM REV CT AL/AL X 30 39.85

C CAP
526518070093706 ATORVASTATINA CÁLCICA 10 MG COM REV CT AL/AL X 30 24.18

C CAP
526518070093806 ATORVASTATINA CÁLCICA 20 MG COM REV CT AL/AL X 30 24.18

C CAP
552820020061917 LIPITOR 10 MG COM REV CT BL AL/AL X 10 58.38

(LABORATÓRIOS PFIZER LTDA) 45.81
C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP
552820050067817 CITALOR 40 MG COM REV CT BL AL/AL X 10 54.45 61.88 65.60 66.00 66.40 67.22 68.06 68.92 69.81
C CAP
552820050068117 CITALOR 10 MG COM REV CT BL AL/AL X 20 54.45

C CAP

C CAP

C CAP
aplicável o CAP.
Medicamentos
C CAP

C CAP

C CAP
C CAP
C CAP
C CAP
C CAP
C CAP
507743401114117 ATORVASTATINA CÁLCICA 10 MG COM REV CT BL AL / AL X 30 112.09

(EMS S/A) 87.96
C CAP

(EMS S/A) 175.93
C CAP

(EMS S/A) 154.13
C CAP

(EMS S/A) 308.24
C CAP

(EMS S/A) 158.64
C CAP

(EMS S/A) 317.26
C CAP

(EMS S/A) 158.64
C CAP
507743202111411 KOLEVAS 20 MG COM REV CT BL AL / AL X 30 302.15

(EMS S/A) 237.10
C CAP
507743201115411 KOLEVAS 40 MG COM REV CT BL AL / AL X 30 310.98

(EMS S/A) 244.03
C CAP
520722060115006 ATORVASTATINA CÁLCICA 10 MG COM REV CT BL AL/AL X 30 50.54

C CAP
520722060115106 ATORVASTATINA CÁLCICA 20 MG COM REV CT BL AL/AL X 30 50.54

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP
aplicável o CAP.
Medicamentos
C CAP

C CAP
526120060114207 ATORLESS 10 MG COM REV CT BL AL / AL X 30 86.22

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP
aplicável o CAP.
Medicamentos
C CAP
525314060043003 TORVILIP 10 MG COM REV CT BL AL / AL X 30 56.03

C CAP

C CAP

C CAP
531619060087403 LIPISTAT 10 MG COM REV CT BL AL / AL X 20 57.50

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP
506417080033706 ATORVASTATINA CÁLCICA 20 MG COM REV CT BL AL PLAS OPC X 90 130.91

C CAP




C CAP
510417020147603 AT-LOR 10 MG COM REV CT BL AL AL X 10 18.69

C CAP

C CAP

C CAP
510417020147903 AT-LOR 10 MG COM REV CT BL AL AL X 200 (EMB HOSP) 373.69

C CAP

C CAP

C CAP

C CAP
aplicável o CAP.
Medicamentos
C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP
510417020149403 AT-LOR 80 MG COM REV CT BL AL AL X 200( EMB HOSP) 747.34

C CAP

C CAP

C CAP

C CAP
504614050021806 ATORVASTATINA CÁLCICA 10 MG COM REV CT BL AL PLAS TRANS X 30 56.03

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP
504614030020304 ATORVASTEROL 10 MG COM REV CT BL AL PLAS TRANS X 30 86.22

C CAP

C CAP

C CAP

C CAP
aplicável o CAP.
Medicamentos
C CAP

C CAP

C CAP
525073504111116 ATORVASTATINA CALCICA 10 MG COM REV CT BL AL AL X 30 54.67

C CAP

C CAP

C CAP

C CAP

(MYLAN LABORATORIOS LTDA) 135.35
C CAP

C CAP

C CAP

C CAP

C CAP

C CAP

C CAP
C CAP
C CAP
ATROPA BELLADONNA
532319120009007 THEOGÓRICO SOBRAL 0,067 ML/ML ELX CT FR PLAS OPC GOT X 30 ML 4.73 5.47 5.84 5.89 5.93 6.01 6.10 6.19 6.28
(THEODORO F SOBRAL & CIA LTDA) 3.71 4.29 4.58 4.62 4.65 4.72 4.79 4.86 4.93
Liberado
523320080001207 COLEGÓRICO 0,2 ML/ML ELX CT FR PLAS OPC GOT X 30 ML 7.69 8.85 9.44 9.50 9.57 9.70 9.84 9.90 9.96
(LAPON INDUSTRIA FARMACEUTICA LTDA - EPP) 6.03 6.94 7.41 7.45 7.51 7.61 7.72 7.77 7.82
Liberado
523320080001307 COLEGÓRICO 0,2 ML/ML ELX CT 12 FR PLAS OPC GOT X 30 76.92 88.51 94.43 95.07 95.72 97.03 98.39 98.99 99.62
(LAPON INDUSTRIA FARMACEUTICA LTDA - EPP) ML (EMB MULT)
60.36 69.45 74.10 74.60 75.11 76.14 77.21 77.68 78.17
Liberado
562720050003307 ELIXIR CÓLICO 0,2 ML/ML ELX CT FR PLAS OPC GOT X 30 ML 562720050003307. 650272537143221. 695368921950486. 700225758702065.09 705150684579694. 715212681793803. 725566167993813 736224648460926. 747201628476341.
(IFAL INDUSTRIA E COMERCIO DE PRODUTOS FARMAC LTDA) 441566423237595. 510268859896285. 545655993054546. 549467152853510.48 553331742189685. 561227391403597. 569351772024745 577715481647289. 586329117865384.
Liberado
AVELUMABE
525418100050401 BAVENCIO 20 MG/ML SOL DIL INF IV CT FA VD TRANS X 10 5984.89 6916.07 7395.70 7447.35 7499.73 7606.75 7716.86 7830.22 7946.97
(MERCK S/A) ML
4696.34 5427.04 5803.41 5843.94 5885.04 5969.02 6055.42 6144.37 6235.99
AXETIL CEFUROXIMA
aplicável o CAP.
Medicamentos
AXETIL CEFUROXIMA
AXETILCEFUROXIMA
552919120097807 MEFEX 250 MG COM REV CT BL AL PLAS TRANS X 10 92.65 105.28 111.63 112.30 112.99 114.38 115.81 117.28 118.78
529900705132114 AXETIL CEFUROXIMA 50 MG/ML PO SUS OR CT FR PLAS TRANS X 50 61.43 69.81 74.01 74.46 74.91 75.84 76.79 77.76 78.76
(RANBAXY FARMACÊUTICA LTDA) ML + COP
48.20 54.78 58.08 58.43 58.78 59.51 60.26 61.02 61.80
529900706139112 AXETIL CEFUROXIMA 50 MG/ML PO SUS OR CT FR PLAS TRANS X 70 86.00 97.73 103.61 104.24 104.88 106.17 107.50 108.86 110.26
(RANBAXY FARMACÊUTICA LTDA) ML + COP
67.48 76.69 81.30 81.80 82.30 83.31 84.36 85.42 86.52
529920080067307 AXETILCEFUROXIMA 250 MG COM REV CT BL AL PLAS TRANS X 10 64.37 73.15 77.55 78.02 78.50 79.47 80.46 81.48 82.53
AZACITIDINA
aplicável o CAP.
Medicamentos
AZACITIDINA
504423040082806 AZACITIDINA 100 MG PO LIOF SUS INJ SC CT FA VD TRANS 1245.66 1439.47 1539.30 1550.05 1560.95 1583.22 1606.14 1629.74 1654.04
533200701159317 VIDAZA 100MG/200MG PO LIOF SUS INJ SC FA VD INC X 1916.40 2214.57 2368.15 2384.69 2401.46 2435.73 2470.99 2507.29 2544.67
(UNITED MEDICAL LTDA) 200MG
1503.80 1737.77 1858.29 1871.27 1884.43 1911.32 1938.99 1967.47 1996.80
533217020002206 AZACITIDINA 100MG/200MG PO LIOF SUS INJ SC FA VD INC X 1245.64 1439.45 1539.27 1550.02 1560.93 1583.20 1606.12 1629.71 1654.01
(UNITED MEDICAL LTDA) 200MG
977.45 1129.54 1207.87 1216.30 1224.86 1242.34 1260.32 1278.83 1297.90
507519120011807 WINDUZA 100 MG PO LIOF SUS INJ SC CT FA VD TRANS 1916.40 2214.57 2368.15 2384.69 2401.46 2435.73 2470.99 2507.29 2544.67
573021070005106 AZACITIDINA 100 MG PO LIOF SUS INJ SC CT FA VD TRANS 1245.66 1439.47 1539.30 1550.05 1560.95 1583.22 1606.14 1629.74 1654.04
(NATCOFARMA DO BRASIL LTDA) 977.47 1129.55 1207.89 1216.32 1224.88 1242.35 1260.34 1278.86 1297.93
573022060005303 XPREZA 100 MG PO LIOF SUS INJ SC CT FA VD TRANS 1245.66 1439.47 1539.30 1550.05 1560.95 1583.22 1606.14 1629.74 1654.04
(NATCOFARMA DO BRASIL LTDA) 977.47 1129.55 1207.89 1216.32 1224.88 1242.35 1260.34 1278.86 1297.93
AZATIOPRINA
506713050050703 IMUNEN 50 MG COM REV CX BL AL PLAS TRANS X 200 506.29 575.33 609.99 613.68 617.43 625.05 632.86 640.87 649.09
526115010094703 IMUSSUPREX 50 MG COM REV CT BL AL PLAS PVDC OPC X 50 104.49

C CAP
510000701113416 FURP-AZATIOPRINA 50 MG COM CX ENV AL POLIET X 500 313.36

C CAP ICMS0%
505612040035714 IMURAN 50 MG COM REV CT BL AL PLAS BR OPC X 50 160.35 182.22 193.19 194.36 195.55 197.96 200.44 202.97 205.58
505613110039803 IMURAN 50 MG COM REV CT BL AL PLAS BR OPC X 100 320.72 364.45 386.41 388.75 391.12 395.95 400.90 405.97 411.18
AZITROMICINA
541819020102506 AZITROMICINA 500 MG COM REV CT BL AL PLAS OPC X 2 24.76 28.14 29.83 30.01 30.20 30.57 30.95 31.34 31.74
(EMS S/A) 19.43 22.08 23.41 23.55 23.70 23.99 24.29 24.59 24.91
(EMS S/A) 44.78 50.89 53.96 54.29 54.62 55.29 55.98 56.69 57.42
(EMS S/A) 26.90 30.56 32.41 32.60 32.80 33.21 33.62 34.05 34.49
507703304134118 AZITROMICINA 40 MG/ML PO SUS CT FR PLAS OPC X 22,5 ML + 53.38 60.66 64.31 64.70 65.10 65.90 66.73 67.57 68.44
(EMS S/A) FR PLAS DIL X 12 ML + SER DOS
41.89 47.60 50.46 50.77 51.08 51.71 52.36 53.02 53.71
507703303138111 AZITROMICINA 40 MG/ML PO SUS CT FR PLAS OPC X 15 ML + 43.36 49.27 52.24 52.56 52.88 53.53 54.20 54.89 55.59
(EMS S/A) FR PLAS DIL X 9 ML + SER DOS
34.02 38.66 40.99 41.24 41.50 42.00 42.53 43.07 43.62
(EMS S/A) FR PLAS DIL X 20 ML + SER PLAS
20.67 23.49 24.90 25.06 25.20 25.52 25.84 26.16 26.50
507712101119415 AZINOSTIL 500 MG COM REV CT BL AL PLAS OPC X 3 42.73 48.56 51.48 51.79 52.11 52.75 53.41 54.09 54.78
(EMS S/A) 33.53 38.11 40.40 40.64 40.89 41.39 41.91 42.44 42.99
531619110074907 AZI 500 MG COM REV CT BL AL PLAS OPC X 3 28.70 32.61 34.58 34.79 35.00 35.43 35.88 36.33 36.79
508014050104206 AZITROMICINA 600 MG PÓ SUS CT FR PLAS OPC + FLAC SOL 38.88 44.18 46.84 47.13 47.41 48.00 48.60 49.22 49.85
(EUROFARMA LABORATÓRIOS S.A.) DIL X 9 ML + SER DOS
30.51 34.67 36.76 36.98 37.20 37.67 38.14 38.62 39.12
aplicável o CAP.
Medicamentos
37.56 42.68 45.25 45.52 45.80 46.37 46.95 47.54 48.15
62.59 71.13 75.41 75.87 76.33 77.27 78.23 79.22 80.24
508015060107506 AZITROMICINA 1500 MG PÓ SUS CT FR PLAS OPC + FR VD AMB 79.76 90.64 96.10 96.68 97.27 98.47 99.70 100.96 102.26
(EUROFARMA LABORATÓRIOS S.A.) SOL DIL X 22ML + SER DOS
62.59 71.13 75.41 75.87 76.33 77.27 78.23 79.22 80.24
508017060117604 ASTRO IV 500MG PO LIOF SOL INFUS CT 10 FA VD TRANS 1711.35 1944.72 2061.87 2074.36 2087.01 2112.78 2139.19 2166.27 2194.04
506716110065006 AZITRIMICINA DI-HIDRATADA 500MG PO LIOF SOL INFUS CT 1 FA VD TRANS 120.88 137.36 145.64 146.52 147.41 149.23 151.10 153.01 154.97
506716110064906 AZITRIMICINA DI-HIDRATADA 500MG PO LIOF SOL INFUS CT 10 FA VD TRANS 1209.04 1373.91 1456.67 1465.50 1474.44 1492.64 1511.30 1530.43 1550.05
506716080064304 AZICIN 500MG PO LIOF SOL INFUS CT 1 FA VD TRANS 185.99 211.35 224.08 225.44 226.82 229.62 232.49 235.43 238.45
506716080064404 AZICIN 500MG PO LIOF SOL INFUS CT 10 FA VD TRANS 1860.03 2113.67 2241.00 2254.58 2268.33 2296.33 2325.04 2354.47 2384.65
520727502111112 AZITROMICINA 500 MG COM REV CT BL AL PLAS TRANS X 3 23.27 26.44 28.04 28.21 28.38 28.73 29.09 29.46 29.83
520721040113306 AZITROMICINA DI-HIDRATADA 500 MG PO SOL INFUS IV CX 10 FA VD TRANS 1208.99 1373.85 1456.61 1465.44 1474.38 1492.58 1511.24 1530.37 1549.99
(CELLERA FARMACÊUTICA S.A.) 3
24.10 27.39 29.03 29.21 29.39 29.75 30.13 30.50 30.89
(CELLERA FARMACÊUTICA S.A.) 5
34.33 39.02 41.36 41.61 41.86 42.38 42.92 43.46 44.01
541718090021106 AZITROMICINA 900 MG PÓ SUS OR CT FR PLAS OPC + FLAC 29.00 32.95 34.94 35.15 35.37 35.80 36.25 36.71 37.18
(CELLERA FARMACÊUTICA S.A.) SOL DIL X 12 ML + SER DOS
22.76 25.86 27.42 27.58 27.76 28.09 28.45 28.81 29.18
541718090021206 AZITROMICINA 1500 MG PÓ SUS OR CT FR PLAS OPC + FR VD 29.00 32.95 34.94 35.15 35.37 35.80 36.25 36.71 37.18
(CELLERA FARMACÊUTICA S.A.) AMB SOL DIL X 22ML + SER DOS
22.76 25.86 27.42 27.58 27.76 28.09 28.45 28.81 29.18
(LABORATÓRIO GLOBO SA) 3
12.83 14.58 15.46 15.55 15.65 15.84 16.04 16.24 16.45
22.52 25.59 27.13 27.30 27.46 27.80 28.16 28.51 28.87
517616020022803 ZOLPROX 500 MG COM REV CT BL AL PLAS PVC TRANS X 20.82 23.66 25.08 25.24 25.39 25.70 26.03 26.35 26.69
16.34 18.57 19.68 19.81 19.92 20.17 20.43 20.68 20.94
503406003110418 TROMIZIR 500 MG COM REV CT BL AL PLAS INC X 3 21.60 24.55 26.02 26.18 26.34 26.67 27.00 27.34 27.69
(BELFAR LTDA) 16.95 19.26 20.42 20.54 20.67 20.93 21.19 21.45 21.73
552920020115107 AZITROMICINA DI-HIDRATADA 500 MG COM REV CT BL AL PLAST PVC/PVDC 17.12 19.45 20.63 20.75 20.88 21.14 21.40 21.67 21.95
13.43 15.26 16.19 16.28 16.38 16.59 16.79 17.00 17.22
552920020115207 AZITROMICINA DI-HIDRATADA 500 MG COM REV CT BL AL PLAST PVC/PVDC 34.28 38.95 41.30 41.55 41.80 42.32 42.85 43.39 43.95
26.90 30.56 32.41 32.60 32.80 33.21 33.62 34.05 34.49
552919110085907 ZIRK 500 MG COM REV CT BL AL PLAST PVC/PVDC 18.49 21.01 22.28 22.41 22.55 22.83 23.11 23.41 23.71
14.51 16.49 17.48 17.58 17.70 17.92 18.13 18.37 18.61
aplicável o CAP.
Medicamentos
24.18 27.48 29.14 29.32 29.50 29.86 30.24 30.61 31.00
246.22 279.80 296.66 298.45 300.27 303.98 307.78 311.68 315.67
(GERMED FARMACEUTICA LTDA) FR PLAS DIL X 12 ML + SER DOS
22.78 25.89 27.45 27.61 27.78 28.12 28.48 28.84 29.21
526119010103406 AZITROMICINA 40 MG/ML PO SUS CT FR PLAS OPC X 15 ML + 20.40 23.18 24.58 24.73 24.88 25.19 25.50 25.82 26.15
(GERMED FARMACEUTICA LTDA) FR PLAS DIL X 9 ML + SER DOS
16.01 18.19 19.29 19.41 19.52 19.77 20.01 20.26 20.52
(GERMED FARMACEUTICA LTDA) FR PLAS DIL X 20 ML + SER PLAS
22.78 25.89 27.45 27.61 27.78 28.12 28.48 28.84 29.21
525100501114417 AZITROMED 500 MG COM REV CT BL AL PLAS PVDC TRANS 16.71 18.99 20.13 20.25 20.38 20.63 20.89 21.15 21.42
13.11 14.90 15.80 15.89 15.99 16.19 16.39 16.60 16.81
16.75 19.03 20.17 20.30 20.42 20.68 20.94 21.19 21.47
600622060000106 AZITROMICINA DI-HIDRATADA 500 MG PO LIOF SOL INFUS IV CT FA VD TRANS 103.24 119.30 127.58 128.47 129.37 131.22 133.12 135.07 137.09
(MANDALA BRASIL IMPORTAÇÃO E DISTRIBUIÇÃO DE PRODUTO 81.01 93.61 100.11 100.81 101.52 102.97 104.46 105.99 107.58
(HIPOLABOR FARMACEUTICA LTDA) 3
13.36 15.18 16.09 16.19 16.29 16.49 16.70 16.90 17.12
506315301113112 AZITROMICINA 1000 MG COM REV CT BL AL PLAS PVC TRANS 15.50 17.61 18.67 18.79 18.90 19.14 19.38 19.62 19.87
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) X1
12.16 13.82 14.65 14.74 14.83 15.02 15.21 15.40 15.59
12.85 14.60 15.48 15.58 15.68 15.87 16.07 16.27 16.48
25.75 29.27 31.03 31.21 31.40 31.80 32.20 32.60 33.02
1223.73 1390.61 1474.37 1483.31 1492.36 1510.78 1529.66 1549.03 1568.89
522717080056817 ZITROMAX 500 MG COM REV CT BL AL PLAS TRANS X 2 24.63 27.99 29.67 29.85 30.04 30.41 30.79 31.18 31.58
522717080056617 ZITROMAX 40 MG/ML PO SUS OR CT FR PLAS OPC X 15 ML 59.83 67.99 72.08 72.52 72.96 73.86 74.79 75.73 76.71
(PFIZER BRASIL LTDA) + DIL + SER DOS
46.95 53.35 56.56 56.91 57.25 57.96 58.69 59.42 60.20
522717080056717 ZITROMAX 40 MG/ML PO SUS OR CT FR PLAS OPC X 22,5 71.58 81.34 86.24 86.76 87.29 88.37 89.48 90.61 91.77
(PFIZER BRASIL LTDA) ML + DIL + SER DOS
56.17 63.83 67.67 68.08 68.50 69.34 70.22 71.10 72.01
522717080056517 ZITROMAX 500 MG PO LIOF SOL INFUS IV CT FA VD TRANS 185.99 211.35 224.08 225.44 226.82 229.62 232.49 235.43 238.45
522717080057317 ZITROMAX 500 MG PO LIOF SOL INFUS IV CT 10 FA VD 1860.05 2113.69 2241.02 2254.61 2268.35 2296.36 2325.06 2354.49 2384.68
(PFIZER BRASIL LTDA) TRANS
1459.58 1658.61 1758.53 1769.19 1779.97 1801.95 1824.47 1847.57 1871.26
aplicável o CAP.
Medicamentos
528528505116114 AZITROMICINA 500 MG COM REV CT BL AL PLAS PVC OPC X 3 29.10 33.07 35.06 35.27 35.49 35.93 36.38 36.84 37.31
528528507119110 AZITROMICINA 500 MG COM REV CT BL AL PLAS PVC OPC X 1670.41 1898.19 2012.54 2024.74 2037.09 2062.23 2088.01 2114.44 2141.55
1310.77 1489.51 1579.24 1588.81 1598.51 1618.23 1638.46 1659.20 1680.47
528528518110111 AZITROMICINA 500 MG COM REV CT BL AL PLAS PVC OPC X 665.31 756.03 801.58 806.44 811.35 821.37 831.64 842.16 852.96
(PRATI DONADUZZI & CIA LTDA) 150 (EMB FRAC)
522.07 593.26 629.00 632.81 636.67 644.53 652.59 660.84 669.32
528512030112206 AZITROMICINA 40 MG/ML PO SUS OR CT FR PLAS OPC X 22,5 45.16 51.32 54.41 54.74 55.07 55.75 56.45 57.16 57.90
(PRATI DONADUZZI & CIA LTDA) ML + DIL FR PLAS OPC X 13,8 ML + SER DOS
35.44 40.27 42.70 42.95 43.21 43.75 44.30 44.85 45.43
528512030112406 AZITROMICINA 40 MG/ML PO SUS OR CX 50 FR PLAS OPC X 1223.01 1389.78 1473.51 1482.44 1491.48 1509.89 1528.76 1548.11 1567.96
(PRATI DONADUZZI & CIA LTDA) 22,5 ML + 50 DIL FR PLAS OPC X 13,8 ML + 50
959.70 1090.56 1156.26 1163.27 1170.37 1184.81 1199.62 1214.80 1230.38
SER DOS
528512030112306 AZITROMICINA 40 MG/ML PO SUS OR CT FR PLAS OPC X 15 ML 36.64 41.64 44.14 44.41 44.68 45.23 45.80 46.38 46.97
(PRATI DONADUZZI & CIA LTDA) + DIL FR PLAS OPC X 9,2 ML + SER DOS
28.75 32.67 34.64 34.85 35.06 35.49 35.94 36.39 36.86
528512030112506 AZITROMICINA 40 MG/ML PO SUS OR CX 50 FR PLAS OPC X 15 986.27 1120.76 1188.28 1195.48 1202.77 1217.62 1232.84 1248.44 1264.45
(PRATI DONADUZZI & CIA LTDA) ML + 50 DIL FR PLAS OPC X 9,2 ML + 50 SER
773.93 879.46 932.44 938.09 943.81 955.47 967.41 979.65 992.21
DOS
528528511116112 AZITROMICINA 1 G COM REV CT BL AL PLAS PVC OPC X 1 15.54 17.66 18.72 18.84 18.95 19.19 19.43 19.67 19.92
737.30 837.85 888.32 893.70 899.15 910.25 921.63 933.30 945.27
598.90 680.57 721.56 725.93 730.37 739.38 748.63 758.10 767.82
525316100046606 AZITROMICINA DI-HIDRATADA 500 MG COM REV CT BL AL PLAS OPC X 3 17.12 19.45 20.63 20.75 20.88 21.14 21.40 21.67 21.95
531618070082504 AZI IV 500MG PO LIOF SOL INFUS CT 10 FA VD TRANS 1700.06 1931.89 2048.26 2060.68 2073.24 2098.84 2125.08 2151.98 2179.56
22.77 25.88 27.43 27.61 27.77 28.12 28.47 28.82 29.20
2656.63 3018.89 3200.75 3220.15 3239.78 3279.79 3320.78 3362.82 3405.93
527900307130412 AZITROPHAR 600 MG PO SUS OR EXT CT FR PLAS TRANS X 26.11 29.67 31.46 31.65 31.84 32.23 32.64 33.05 33.47
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) 15 ML + SER DOSAD 5 ML
20.49 23.28 24.69 24.84 24.98 25.29 25.61 25.93 26.26
527900311138414 AZITROPHAR 900 MG PO SUS OR EXT CT FR PLAS TRANS X 35.73 40.60 43.05 43.31 43.57 44.11 44.66 45.23 45.81
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) 22,5 ML + SER DOSAD 5 ML
28.04 31.86 33.78 33.99 34.19 34.61 35.04 35.49 35.95
527900309133419 AZITROPHAR 600 MG PO SUS OR EXT CX 50 FR PLAS TRANS 1174.78 1334.98 1415.40 1423.98 1432.66 1450.35 1468.48 1487.06 1506.13
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) X 15 ML + 50 SER DOSAD 5 ML
921.85 1047.56 1110.66 1117.40 1124.21 1138.09 1152.32 1166.90 1181.86
527900314137419 AZITROPHAR 900 MG PO SUS OR EXT CX 50 FR PLAS TRANS 1608.14 1827.43 1937.52 1949.26 1961.15 1985.36 2010.18 2035.62 2061.72
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) X 22,5 ML + 50 SER DOSAD 5 ML
1261.91 1433.98 1520.37 1529.58 1538.92 1557.91 1577.39 1597.35 1617.83
527916030027506 AZITROMICINA DI-HIDRATADA 500 MG COM REV CT BL AL PLAS INC X 3 9.15 10.40 11.02 11.09 11.16 11.30 11.44 11.58 11.73
527916030027706 AZITROMICINA DI-HIDRATADA 600 MG PO SUS OR EXT CT FR PLAS TRANS X 26.11 29.67 31.46 31.65 31.84 32.23 32.64 33.05 33.47
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) 15 ML + SER DOSAD 5 ML
20.49 23.28 24.69 24.84 24.98 25.29 25.61 25.93 26.26
527916030027906 AZITROMICINA DI-HIDRATADA 900 MG PO SUS OR EXT CT FR PLAS TRANS X 35.73 40.60 43.05 43.31 43.57 44.11 44.66 45.23 45.81
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) 22,5 ML + SER DOSAD 5 ML
28.04 31.86 33.78 33.99 34.19 34.61 35.04 35.49 35.95
aplicável o CAP.
Medicamentos
7.23 8.22 8.72 8.77 8.82 8.93 9.05 9.16 9.28
1207.49 1372.15 1454.80 1463.62 1472.54 1490.73 1509.36 1528.47 1548.06
527918030032406 AZITROMICINA 600 MG PO SUS OR CT FR PLAS TRANS X 15 ML 19.81 22.51 23.87 24.01 24.16 24.46 24.76 25.08 25.40
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) + SER DOSAD 5 ML
15.54 17.66 18.73 18.84 18.96 19.19 19.43 19.68 19.93
527918030032606 AZITROMICINA 900 MG PO SUS OR CT FR PLAS TRANS X 22,5 28.21 32.06 33.99 34.19 34.40 34.83 35.26 35.71 36.17
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) ML + SER DOSAD 5 ML
22.14 25.16 26.67 26.83 26.99 27.33 27.67 28.02 28.38
527918030032506 AZITROMICINA 600 MG PO SUS OR CX 50 FR PLAS TRANS X 15 969.28 1101.45 1167.81 1174.88 1182.05 1196.64 1211.60 1226.94 1242.67
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) ML + 50 SER DOSAD 5 ML
760.59 864.31 916.38 921.93 927.55 939.00 950.74 962.78 975.12
C CAP
527918030032706 AZITROMICINA 900 MG PO SUS OR CX 50 FR PLAS TRANS X 1326.82 1507.75 1598.58 1608.27 1618.07 1638.05 1658.53 1679.52 1701.05
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) 22,5 ML + 50 SER DOSAD 5 ML
1041.16 1183.13 1254.41 1262.01 1269.70 1285.38 1301.45 1317.92 1334.81
13.06 14.84 15.73 15.83 15.92 16.12 16.32 16.53 16.74
20.00 22.73 24.10 24.25 24.40 24.69 25.00 25.32 25.64
1528.85 1737.33 1841.98 1853.15 1864.45 1887.46 1911.06 1935.25 1960.06
506423080052906 AZITROMICINA 500 MG COM REV CX BL AL PLAS PVC TRANS X 1948.32 2214.00 2347.37 2361.60 2376.00 2405.33 2435.40 2466.23 2497.85
1528.85 1737.33 1841.98 1853.15 1864.45 1887.46 1911.06 1935.25 1960.06
510414902113117 AZITROMICINA DIIDRATADA 500 MG COM REV CT BL AL PVC TRANS X 3 16.13 18.33 19.43 19.55 19.67 19.91 20.16 20.42 20.68
537518100007504 TEVAZI 500 MG PO LIOF SOL INJ INFUS IV CT FA VD 1483.39 1685.67 1787.22 1798.05 1809.01 1831.35 1854.24 1877.71 1901.78
(TEVA FARMACÊUTICA LTDA.) TRANS X 10
1164.02 1322.75 1402.43 1410.93 1419.53 1437.06 1455.02 1473.44 1492.33
504614110025817 ZITRONEO 600MG PO SUS OR CT FR VD AMB X 15 ML + FR 42.99 48.85 51.80 52.11 52.43 53.07 53.74 54.42 55.12
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) DIL X 11,5ML
33.73 38.33 40.65 40.89 41.14 41.64 42.17 42.70 43.25
504614110025917 ZITRONEO 900MG PO SUS OR CT FR VD AMB X 22,5 ML + 45.56 51.77 54.89 55.22 55.56 56.25 56.95 57.67 58.41
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) FR DIL X 17ML
35.75 40.62 43.07 43.33 43.60 44.14 44.69 45.25 45.83
504614110025617 ZITRONEO 500 MG COM REV CT BL AL PLAS TRANS X 3 26.35 29.94 31.75 31.94 32.13 32.53 32.94 33.35 33.78
504615030028103 ZITRONEO 500 MG COM REV CT BL AL PLAS TRANS X 5 52.74 59.93 63.54 63.93 64.32 65.11 65.93 66.76 67.62
504617030059317 AZITROMICINA DI-HIDRATADA 600MG PO SUS OR CT FR VD AMB X 15 ML + FR 38.86 44.16 46.82 47.10 47.39 47.98 48.58 49.19 49.82
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) DIL X 11,5ML
30.49 34.65 36.74 36.96 37.19 37.65 38.12 38.60 39.09
504617030059217 AZITROMICINA DI-HIDRATADA 900MG PO SUS OR CT FR VD AMB X 22,5 ML + 47.86 54.39 57.66 58.01 58.37 59.09 59.83 60.58 61.36
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) FR DIL X 17ML
37.56 42.68 45.25 45.52 45.80 46.37 46.95 47.54 48.15
504622080087906 AZITROMICINA DI-HIDRATADA 500 MG PO LIOF SOL INFUS IV CT FA VD TRANS 120.89 137.38 145.65 146.53 147.43 149.25 151.11 153.03 154.99
525069501111117 AZITROMICINA DIIDRATADA 500 MG COM REV CT BL AL PLAS PVC/PVDC 12.57 14.28 15.14 15.24 15.33 15.52 15.71 15.91 16.12
9.86 11.21 11.88 11.96 12.03 12.18 12.33 12.48 12.65
14.78 16.79 17.80 17.91 18.02 18.24 18.47 18.71 18.94
24.35 27.67 29.34 29.51 29.69 30.06 30.44 30.82 31.21
AZITROMICINA DI-HIDRATADA;AZITROMICINA
aplicável o CAP.
Medicamentos
AZITROMICINA DI-HIDRATADA;AZITROMICINA
531600408134416 AZI 40 MG/ML PO SUS OR CT FR PLAS OPC X 900 39.23 44.58 47.27 47.55 47.84 48.43 49.04 49.66 50.29
(EMS SIGMA PHARMA LTDA) MG + FLAC X 12 ML
30.78 34.98 37.09 37.31 37.54 38.00 38.48 38.97 39.46
531600407138418 AZI 40 MG/ML SUS OR CT FR PLAS OPC X 1500 MG 44.64 50.73 53.78 54.11 54.44 55.11 55.80 56.51 57.23
(EMS SIGMA PHARMA LTDA) + FLAC X 20 ML
35.03 39.81 42.20 42.46 42.72 43.24 43.79 44.34 44.91
AZITROMICINA MONOIDRATADA
529620050000907 AZITROMICINA MONOIDRATADA 500 MG PO LIOF SOL INJ IV CT FA VD TRANS X 118.59 134.76 142.88 143.75 144.62 146.41 148.24 150.11 152.04
(QUIMICA HALLER LTDA) 10 ML
93.06 105.75 112.12 112.80 113.48 114.89 116.32 117.79 119.31
529620050000807 AZITROMICINA MONOIDRATADA 500 MG PO LIOF SOL INJ IV CT 10 FA VD TRANS 1185.91 1347.63 1428.81 1437.47 1446.23 1464.09 1482.39 1501.15 1520.40
(QUIMICA HALLER LTDA) X 10 ML
930.58 1057.49 1121.19 1127.98 1134.86 1148.87 1163.23 1177.95 1193.06
AZTREONAM
509521040029617 AZEUS 1 G PO SOL INJ IM IV CT FA VD TRANS 146.13 166.06 176.06 177.13 178.21 180.41 182.66 184.97 187.35
513413100021103 AZANEM 1,0 G PO INJ CX 10 FA VD INC 1401.13 1592.19 1688.11 1698.34 1708.69 1729.79 1751.41 1773.58 1796.32
BACILLUS CEREUS
510500101131415 BIOVICERIN 1 X 10^6 END/ML SUS OR CX 100 FLAC X 5 ML 438.50 506.73 541.87 545.65 549.49 557.33 565.40 573.70 582.26
(GEYER MEDICAMENTOS S/A) 344.09 397.63 425.21 428.17 431.18 437.34 443.67 450.18 456.90
Liberado
510500102138413 BIOVICERIN 1 X 10^6 END/ML SUS OR CT 6 FLAC X 5 ML 25.70 29.70 31.76 31.98 32.20 32.66 33.14 33.62 34.13
Liberado
Liberado
Liberado
BACITRACINA ZÍNCICA
532313090007104 NEOCETHEO 5MG + 250UI/G POM DERM CT BG AL X 10G 9.08 10.32 10.94 11.01 11.07 11.21 11.35 11.49 11.64
Liberado
532313090007204 NEOCETHEO 5MG + 250UI/G POM DERM CX 100 BG AL X 10G 248.82 282.75 299.78 301.60 303.44 307.19 311.03 314.96 319.00
(THEODORO F SOBRAL & CIA LTDA) (EMB HOSP)
195.25 221.87 235.24 236.67 238.11 241.05 244.07 247.15 250.32
Liberado
532313090007304 NEOCETHEO 5MG + 250UI/G POM DERM CX 100 BG AL X 15G 314.17 357.01 378.52 380.81 383.13 387.86 392.71 397.68 402.78
(THEODORO F SOBRAL & CIA LTDA) (EMB HOSP)
246.53 280.15 297.02 298.82 300.64 304.35 308.16 312.06 316.06
Liberado
BACITRACINA;SULFATO DE NEOMICINA
515100501168415 BACTODERM 5,0 MG/G + 250 UI/G POM DERM CT BG AL X 15 9.73 11.24 12.02 12.11 12.19 12.37 12.55 12.73 12.92
(KLEY HERTZ FARMACEUTICA S.A) G
7.64 8.82 9.43 9.50 9.56 9.71 9.85 9.99 10.14
Liberado
515114040011103 BACTODERM 5,0 MG/G + 250 UI/G POM DERM CT BG AL X 50 14.64 16.92 18.09 18.22 18.35 18.61 18.88 19.15 19.44
(KLEY HERTZ FARMACEUTICA S.A) G
11.49 13.28 14.20 14.30 14.40 14.60 14.82 15.03 15.25
Liberado
511612404169112 SULFATO DE NEOMICINA + BACITRACINA ZÍNCICA 5 MG/G + 250 UI/G POM CX 100 BG AL X 10 G 366.69 416.69 441.80 444.47 447.18 452.70 458.36 464.16 470.12
506423030052007 NEBACIMED (5 MG + 250 UI)/G POM DERM CT BG AL X 50 G 20.09 23.12 24.66 24.83 25.00 25.34 25.70 25.86 26.02
Liberado
525011801163110 SULFATO DE NEOMICINA + BACITRACINA 5 MG/G + 250 UI/G POM DERM CT BG AL X 15 G 7.99 9.23 9.87 9.94 10.01 10.16 10.30 10.45 10.61
Liberado
525011802161111 SULFATO DE NEOMICINA + BACITRACINA 5 MG/G + 250 UI/G POM DERM CT BG AL X 50 G 17.21 19.89 21.27 21.42 21.57 21.87 22.19 22.52 22.85
Liberado
BACLOFENO
520702701110412 BACLOFEN 10 MG COM CT BL AL PLAS TRANS X 20 16.32 18.55 19.66 19.78 19.90 20.15 20.40 20.66 20.92
520722120116103 BACLOFEN 10 MG COM CT BL AL PLAS TRANS X 60 48.95 55.63 58.98 59.33 59.70 60.43 61.19 61.96 62.76
aplicável o CAP.
Medicamentos
BACLOFENO
533000901111412 BACLON 10 MG COM CT BL AL PLAS TRANS X 20 17.51 19.90 21.10 21.22 21.35 21.62 21.89 22.16 22.45
BACOPA MONNIERI (L.) WETTST.

511420070008907 COGNITUS 225 MG COM REV CT BL AL PVDC TRANS X 30 66.85 77.25 82.61 83.19 83.77 84.97 86.20 87.46 88.77
Liberado
BALOXAVIR MARBOXILA
529223080027402 XOFLUZA 20 MG COM REV CT BL AL AL X 2 112.24 129.70 138.70 139.67 140.65 142.66 144.72 146.85 149.04
BARICITINIBE
507619020021501 OLUMIANT 2 MG COM REV CT BL AL AL X 15 1445.75 1670.69 1786.55 1799.03 1811.69 1837.54 1864.14 1891.52 1919.72
BASILIXIMAB
526518070093607 SIMULECT 20 MG PÓ LIOF INJ CT FA VD TRANS 6883.35 7821.99 8293.19 8343.45 8394.33 8497.96 8604.19 8713.10 8824.81
BELIMUMABE
510613030050002 BENLYSTA 120 MG PO LIOF INJ IN CT FA VD INC 730.94 844.67 903.24 909.55 915.95 929.02 942.47 956.31 970.57
510613030050102 BENLYSTA 400 MG PO LIOF INJ CT FA VD INC 2436.45 2815.53 3010.79 3031.82 3053.14 3096.71 3141.54 3187.69 3235.21
510620100056007 BENLYSTA 200 MG/ML SOL INJ CT 4 SER PREENC VD 4872.92 5631.09 6021.60 6063.66 6106.31 6193.44 6283.10 6375.40 6470.45
(GLAXOSMITHKLINE BRASIL LTDA) TRANS X 1ML
3823.78 4418.72 4725.15 4758.15 4791.62 4859.99 4930.35 5002.78 5077.36
510620100056107 BENLYSTA 200 MG/ML SOL INJ CT 4 SER PREENC VD 4872.92 5631.09 6021.60 6063.66 6106.31 6193.44 6283.10 6375.40 6470.45
(GLAXOSMITHKLINE BRASIL LTDA) TRANS X 1ML + CAN APLIC
3823.78 4418.72 4725.15 4758.15 4791.62 4859.99 4930.35 5002.78 5077.36
BELINOSTATE
576120110000307 BELEODAQ 500 MG PO LIOF SOL INJ IV CT FR AMP VD 11196.46 12938.49 13835.78 13932.42 14030.41 14230.61 14436.61 14648.69 14867.10
(PINT PHARMA PRODUTOS MEDICO-HOSPITALARES E TRANS
8785.86 10152.83 10856.94 10932.77 11009.66 11166.76 11328.41 11494.83 11666.21
BELZUTIFANO
527323080024101 WELIREG 40 MG COM REV CT FR PLAS PEAD OPC X 90 81283.99 93930.80 100444.90 101146.46 101857.86 103311.30 104806.85 106346.45 107932.05
BENDAMUSTINA
514517090033302 RIBOMUSTIN 25 MG PO LIOF SOL INFUS IV CT FA VD AMB 327.21 371.83 394.23 396.62 399.04 403.96 409.01 414.19 419.50
aplicável o CAP.
Medicamentos
BENDAMUSTINA
514517090033402 RIBOMUSTIN 100 MG PO LIOF SOL INFUS IV CT FA VD AMB 1308.83 1487.31 1576.90 1586.46 1596.13 1615.84 1636.04 1656.75 1677.99
BENFOTIAMINA
540917020026317 MILGAMMA 150 MG COM REV CT BL AL PLAS PVC/PVDC 53.86 62.24 66.56 67.02 67.49 68.46 69.45 70.47 71.52
42.26 48.84 52.23 52.59 52.96 53.72 54.50 55.30 56.12
BENZBROMARONA
504917100010613 ZILARICINA 100 MG COM CT BL AL PLAS TRANS X 20 21.22 24.11 25.57 25.72 25.88 26.20 26.53 26.86 27.21
(BRASTERAPICA INDUSTRIA FARMACEUTICA LTDA) 16.65 18.92 20.06 20.18 20.31 20.56 20.82 21.08 21.35
BENZENO;MENTOL
522100201132413 AURIS-SEDINA (18,6+1,30) MG/ML SOL OTO CT FR GOT PLAS 17.89 20.67 22.11 22.26 22.42 22.74 23.07 23.41 23.76
(LABORATÓRIOS OSÓRIO DE MORAES LTDA) PE OPC X 10 ML
14.04 16.22 17.35 17.47 17.59 17.84 18.10 18.37 18.65
Liberado
BENZILPENICILINA BENZATINA
508012050091603 BENZETACIL 300.000 U/ML SUS INJ IM CT 1 FA VD TRANS X 4 11.73 13.33 14.13 14.22 14.30 14.48 14.66 14.85 15.04
9.20 10.46 11.09 11.16 11.22 11.36 11.50 11.65 11.80
BENZILPENICILINA POTÁSSICA
509521060031617 CRISTACILINA 1.000.000 UI PÓ SOL INJ CX 50 FA VD TRANS 270.72 307.64 326.17 328.15 330.15 334.22 338.40 342.68 347.08
509521060031717 CRISTACILINA 5.000.000 UI PÓ SOL INJ CX 50 FA VD TRANS 651.45 740.28 784.88 789.64 794.45 804.26 814.31 824.62 835.19

509521050030317 WONILIN 300.000 UI + 100.000 UI PO LIOF SUS INJ IM CX 360.82 410.02 434.72 437.36 440.02 445.46 451.03 456.73 462.59
(FRESENIUS KABI BRASIL LTDA) 50 FA VD TRANS
283.14 321.74 341.12 343.20 345.28 349.55 353.92 358.40 362.99
504414010049318 PENKARON 400000 U INJ CX 50 FA + 50 DIL 237.38 269.75 286.00 287.73 289.49 293.06 296.73 300.48 304.33
504414010049418 PENKARON 400000 U INJ CX 100 FA + 100 DIL 441.27 501.44 531.65 534.87 538.13 544.78 551.59 558.57 565.73
504414010049218 PENKARON 400000 U INJ CX 100 FA VD TRANS 473.71 538.31 570.73 574.19 577.70 584.83 592.14 599.63 607.32
BENZNIDAZOL
517022110005703 LAFEPE BENZNIDAZOL 12,5 MG COM CX 24 BL AL PVC CRISTAL X 10 23.02 28.78 29.14 29.51
(LABORATORIO FARMACEUTICO DO ESTADO DE PERNAMBUCO 18.06 20.53 21.76 21.89 22.03 22.30 22.58 22.87 23.16
ICMS0%
BENZOATO DE ALOGLIPTINA

aplicável o CAP.
Medicamentos

BENZOATO DE ALOGLIPTINA;CLORIDRATO DE PIOGLITAZONA

501116070027205 NESINA PIO (25,0 + 15,0) MG COM REV CT BL AL AL X 30 180.67 208.78 223.26 224.82 226.40 229.63 232.95 236.38 239.90
BENZOATO DE BENZILA
517601601171419 BENZIN 0,1 G/G SAB CT PLAS INC X 60 G 12.39 14.32 15.31 15.42 15.53 15.75 15.98 16.21 16.45
Liberado
515102502171416 SANASAR 0,10 G/G SAB CT FILME POLIEST X 80 G 13.03 15.06 16.10 16.21 16.33 16.56 16.80 17.05 17.30
Liberado
515112020010903 SANASAR 250 MG/ML LOC EMU TOP CT FR VD AMB X 100 13.13 15.17 16.23 16.34 16.45 16.69 16.93 17.18 17.43
(KLEY HERTZ FARMACEUTICA S.A) ML
10.30 11.90 12.74 12.82 12.91 13.10 13.29 13.48 13.68
Liberado
528100602179413 BENZODERM 9,0 G SAB CT FILME POLIEST X 60 G 9.75 11.08 11.75 11.82 11.89 12.04 12.19 12.34 12.50
Liberado
528112060013603 BENZODERM 0,25 G/ML EMU TOP CT FR PET AMB X 100 ML 12.94 14.95 15.99 16.10 16.22 16.45 16.68 16.93 17.18
Liberado
528113010015403 BENZODERM 100 MG/G SAB CT FIL PP X 60 G 11.42 13.20 14.11 14.21 14.31 14.51 14.72 14.94 15.16
Liberado
562717070000904 ESCAB-IFAL 250 MG/ML EMUL TOP CT FR PLAS OPC X 100 8.86 10.24 10.95 11.03 11.10 11.26 11.42 11.59 11.76
(IFAL INDUSTRIA E COMERCIO DE PRODUTOS FARMAC LTDA) ML
6.95 8.04 8.59 8.66 8.71 8.84 8.96 9.09 9.23
Liberado
562717070001004 ESCAB-IFAL 250 MG/ML EMUL TOP CT FR PLAS OPC X 60 ML 562717070001004. 650269093488320. 695365239478200. 700222050509379.33 705146950306028. 715208894234716. 725562325605664 736220749628553. 747197671513063.
Liberado
562717070001104 ESCAB-IFAL 250 MG/ML EMU FR PLAS OPC X 100 ML 8.82 10.19 10.90 10.98 11.05 11.21 11.37 11.54 11.71
(IFAL INDUSTRIA E COMERCIO DE PRODUTOS FARMAC LTDA) 6.92 8.00 8.55 8.62 8.67 8.80 8.92 9.06 9.19
Liberado
562717070001204 ESCAB-IFAL 250 MG/ML EMU FR PLAS OPC X 60 ML 562717070001204. 650269093488551. 695365239478447. 700222050509628.20 705146950306278. 715208894234970. 725562325605922 736220749628815. 747197671513328.
Liberado
BENZOATO DE RIZATRIPTANA
525501401110219 MAXALT 10 MG COM CT BL AL AL X 2 21.10 23.98 25.42 25.58 25.73 26.05 26.38 26.71 27.05
536223070016904 ZYPTAN 10 MG COM CT BL AL AL X 2 21.10 23.98 25.42 25.58 25.73 26.05 26.38 26.71 27.05
536223070017004 ZYPTAN 10 MG COM CT BL AL AL X 8 84.40 95.91 101.69 102.30 102.93 104.20 105.50 106.84 108.21
BENZOATO DE SÓDIO
536214100006117 EACA BALSÂMICO XPE CT FR VD AMB X 100 ML 35.33 40.83 43.66 43.96 44.27 44.90 45.55 46.22 46.91
aplicável o CAP.
Medicamentos
BENZOATO DE SÓDIO
540912100008214 TIRATOSSE (0,332 + 6,66 + 6,66 + 6,66) MG/ML XPE CT FR VD 17.32 20.01 21.40 21.55 21.70 22.01 22.33 22.66 23.00
13.59 15.70 16.79 16.91 17.03 17.27 17.52 17.78 18.05
Liberado
540912100008114 TIRATOSSE (0,165 + 5,00 + 5,00 + 2,00) MG/ML XPE CT FR VD 16.90 19.53 20.88 21.03 21.18 21.48 21.79 22.11 22.44
13.26 15.33 16.38 16.50 16.62 16.86 17.10 17.35 17.61
Liberado
BENZOILMETRONIDAZOL
507733701131117 BENZOILMETRONIDAZOL 40 MG/ML SUS OR CT FR VD AMB X 120 ML 10.20 11.59 12.29 12.36 12.44 12.59 12.75 12.91 13.08
(EMS S/A) 8.00 9.09 9.64 9.70 9.76 9.88 10.00 10.13 10.26
541819050108806 BENZOILMETRONIDAZOL 40 MG/ML SUS OR CT FR VD AMB X 120 ML + 10.21 11.60 12.30 12.38 12.45 12.60 12.76 12.92 13.09
(EMS S/A) COP
8.01 9.10 9.65 9.72 9.77 9.89 10.01 10.14 10.27
503402905136418 FLAGIMAX 40 MG/ML SUS OR CT FR PLAS AMB X 100 ML + 11.92 13.55 14.36 14.45 14.54 14.72 14.90 15.09 15.28
(BELFAR LTDA) COP MED
9.35 10.63 11.27 11.34 11.41 11.55 11.69 11.84 11.99
503419120017207 FLAGIMAX 40 MG/ML SUS OR CT 50 FR PLAS AMB X 100 ML 596.62 677.98 718.82 723.18 727.59 736.57 745.78 755.22 764.90
(BELFAR LTDA) + 50 COP MED
468.17 532.01 564.06 567.48 570.94 577.99 585.21 592.62 600.22
503419120017307 FLAGIMAX 40 MG/ML SUS OR CT 100 FR PLAS AMB X 100 1193.24 1355.95 1437.64 1446.35 1455.17 1473.14 1491.55 1510.43 1529.79
(BELFAR LTDA) ML + 100 COP MED
936.34 1064.01 1128.12 1134.95 1141.87 1155.97 1170.42 1185.23 1200.43
503420110021507 BENZOILMETRONIDAZOL 40 MG/ML SUS OR CT FR PLAS AMB X 100 ML + 9.07 10.31 10.93 10.99 11.06 11.20 11.34 11.48 11.63
(BELFAR LTDA) COP MED
7.12 8.09 8.58 8.62 8.68 8.79 8.90 9.01 9.13
503420110021607 BENZOILMETRONIDAZOL 40 MG/ML SUS OR CT 50 FR PLAS AMB X 100 ML 454.00 515.91 546.99 550.30 553.66 560.49 567.50 574.68 582.05
(BELFAR LTDA) + 50 COP MED
356.25 404.83 429.22 431.82 434.46 439.82 445.32 450.95 456.73
503420110021707 BENZOILMETRONIDAZOL 40 MG/ML SUS OR CT 100 FR PLAS AMB X 100 908.00 1031.82 1093.98 1100.61 1107.32 1120.99 1135.00 1149.37 1164.10
(BELFAR LTDA) ML + 100 COP MED
712.51 809.67 858.45 863.65 868.91 879.64 890.63 901.91 913.47
510004202138416 FURP METRONIDAZOL 40 MG/ML SUS OR CX 50 FR VD AMB X 100 ML 396.36 495.45 501.72 508.15
(FUNDAÇÃO PARA O REMÉDIO POPULAR - FURP) +50 COP
311.02 353.44 374.73 377.00 379.30 383.98 388.78 393.70 398.74
ICMS0%
528528304137114 BENZOILMETRONIDAZOL 40 MG/ML SUS OR CX 50 FR PLAS AMB X 80 ML 264.16 300.18 318.26 320.19 322.15 326.12 330.20 334.38 338.67
207.29 235.55 249.74 251.25 252.79 255.91 259.11 262.39 265.76
528528301138111 BENZOILMETRONIDAZOL 40 MG/ML SUS OR CX 50 FR PLAS AMB X 100 ML 337.33 383.33 406.42 408.88 411.38 416.46 421.66 427.00 432.47
264.70 300.80 318.92 320.85 322.81 326.80 330.88 335.07 339.36
528528302134118 BENZOILMETRONIDAZOL 40 MG/ML SUS OR CT FR PLAS AMB X 100 ML + 11.42 12.98 13.76 13.84 13.93 14.10 14.28 14.46 14.64
8.96 10.19 10.80 10.86 10.93 11.06 11.21 11.35 11.49
BERACTANTO
543714090000017 SURVANTA 25 MG/ML LIQ CT FA VD INC X 8 ML 2394.03 2720.49 2884.37 2901.85 2919.55 2955.59 2992.54 3030.42 3069.27
(ABBVIE FARMACÊUTICA LTDA.) 1878.60 2134.77 2263.37 2277.08 2290.97 2319.25 2348.25 2377.97 2408.46
543714090000117 SURVANTA 25 MG/ML LIQ CT FA VD INC X 4 ML 1196.93 1360.15 1442.08 1450.82 1459.67 1477.69 1496.16 1515.10 1534.53
(ABBVIE FARMACÊUTICA LTDA.) 939.23 1067.31 1131.60 1138.46 1145.40 1159.54 1174.04 1188.90 1204.15
513423050030306 BESILATO DE ANLODIPINO 5 MG COM CT BL AL PLAS AMB X 30 32.48 36.91 39.13 39.37 39.61 40.10 40.60 41.11 41.64
525407802115419 ROXFLAN 5 MG COM CT BL AL PLAS PVC/PVDC OPC X 20 11.45 13.01 13.80 13.88 13.96 14.14 14.31 14.49 14.68
(MERCK S/A) 8.98 10.21 10.83 10.89 10.95 11.10 11.23 11.37 11.52
aplicável o CAP.
Medicamentos
(MERCK S/A) 26.62 30.26 32.08 32.28 32.47 32.87 33.28 33.70 34.13
(MERCK S/A) 13.47 15.31 16.24 16.33 16.43 16.64 16.84 17.05 17.27
541819020102806 BESILATO DE ANLODIPINO 5 MG COM CT BL AL PLAS LAR X 30 49.18 55.89 59.25 59.61 59.98 60.72 61.48 62.25 63.05
(EMS S/A) 38.59 43.86 46.49 46.78 47.07 47.65 48.24 48.85 49.48
(EMS S/A) 83.95 95.40 101.14 101.75 102.37 103.63 104.94 106.26 107.62
C CAP
520703702110112 BESILATO DE ANLODIPINO 5 MG COM BL AL PLAS OPC X 30 25.69 29.19 30.95 31.14 31.33 31.72 32.11 32.52 32.94
520716090105103 TENLOPIN 5 MG COM BL AL PLAS OPC X 30 25.69 29.19 30.95 31.14 31.33 31.72 32.11 32.52 32.94
520716090105003 TENLOPIN 10 MG COM CT BL AL PLAS AMB X 30 54.60 62.05 65.78 66.18 66.59 67.41 68.25 69.11 70.00
507301104114413 NEMODINE 5 MG COM CT BL AL PLAS AMB X 30 34.28 38.95 41.30 41.55 41.80 42.32 42.85 43.39 43.95
(DIFFUCAP - CHEMOBRÁS QUÍMICA E FARMACÊUTICA LTDA) 26.90 30.56 32.41 32.60 32.80 33.21 33.62 34.05 34.49
aplicável o CAP.
Medicamentos
507301103118415 NEMODINE 10 MG COM CT BL AL PLAS AMB X 30 60.14 68.34 72.46 72.90 73.34 74.25 75.18 76.13 77.10
(DIFFUCAP - CHEMOBRÁS QUÍMICA E FARMACÊUTICA LTDA) 47.19 53.63 56.86 57.21 57.55 58.26 58.99 59.74 60.50
552922100149503 KOPREXX 5 MG COM CT BL AL PLAS AMB X 30 49.23 55.94 59.31 59.67 60.04 60.78 61.54 62.32 63.12
552919120090117 CORDAREX 5 MG COM CT BL AL PLAS AMB X 20 89.53 101.74 107.87 108.52 109.18 110.53 111.91 113.33 114.78
552919120090317 CORDAREX 2,5 MG COM CT BL AL PLAS AMB X 20 51.96 59.05 62.60 62.98 63.37 64.15 64.95 65.77 66.62
aplicável o CAP.
Medicamentos
504118050062103 PRESSAT 5 MG COM CT BL AL PLAS AMB X 20 35.07 39.85 42.25 42.51 42.77 43.30 43.84 44.39 44.96
504118050062603 PRESSAT 2,5 MG COM CT BL AL PLAS AMB X 30 23.13 26.28 27.87 28.04 28.21 28.56 28.91 29.28 29.65
528529006113118 BESILATO DE ANLODIPINO 5 MG COM CT BL AL/AL X 30 41.32 46.95 49.78 50.08 50.39 51.01 51.65 52.30 52.97
531605506118416 ANLO 5 MG COM CT BL AL PLAS LAR X 30 27.40 31.14 33.01 33.21 33.41 33.83 34.25 34.68 35.13
531605505111418 ANLO 10 MG COM CT BL AL PLAS LAR X 30 49.93 56.74 60.16 60.52 60.89 61.64 62.41 63.20 64.01
527917060031006 BESILATO DE ANLODIPINO 5 MG COM CT BL AL PLAS INC X 30 31.99 36.35 38.54 38.78 39.01 39.49 39.99 40.49 41.01
527917060031106 BESILATO DE ANLODIPINO 10 MG COM CT BL AL PLAS INC X 30 62.92 71.50 75.81 76.27 76.73 77.68 78.65 79.65 80.67
506414060028306 BESILATO DE ANLODIPINO 10 MG COM CT BL AL PLAS PVC/PE/PVDC OPC 21.68 24.64 26.12 26.28 26.44 26.77 27.10 27.44 27.79
(CIMED INDUSTRIA S.A) X 30
17.01 19.34 20.50 20.62 20.75 21.01 21.27 21.53 21.81
aplicável o CAP.
Medicamentos
506414060028403 ALIVPRESS 5 MG COM CT BL AL PLAS OPC X 30 11.66 13.25 14.05 14.13 14.22 14.40 14.58 14.76 14.95
506414060028503 ALIVPRESS 10 MG COM CT BL AL PLAS OPC X 30 20.54 23.34 24.75 24.90 25.05 25.36 25.68 26.00 26.33
500103304111111 BESILATO DE ANLODIPINO 5 MG COM CT BL AL PLAS TRANS X 30 19.37 22.01 23.34 23.48 23.62 23.91 24.21 24.52 24.83
500103303113110 BESILATO DE ANLODIPINO 10 MG COM CT BL AL PLAS TRANS X 30 37.86 43.02 45.61 45.89 46.17 46.74 47.33 47.92 48.54
510412100077803 BESILAPIN 5 MG COM CT BL AL PLAS OPC X 30 32.01 36.38 38.57 38.80 39.04 39.52 40.01 40.52 41.04
510401306118412 BESILAPIN 5 MG COM CX BL AL PLAS OPC X 500 (EMB 533.45 606.19 642.71 646.61 650.55 658.58 666.81 675.25 683.91
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) HOSP)
418.60 475.68 504.33 507.40 510.49 516.79 523.25 529.87 536.66
510412100077903 BESILAPIN 10 MG COM CT BL AL PLAS OPC X 30 62.94 71.52 75.83 76.29 76.76 77.70 78.68 79.67 80.69
510401305111414 BESILAPIN 10 MG COM CX BL AL PLAS OPC X 500 (EMB 1049.27 1192.35 1264.18 1271.84 1279.60 1295.40 1311.59 1328.19 1345.22
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) HOSP)
823.36 935.64 992.00 998.01 1004.10 1016.50 1029.21 1042.23 1055.59
504617070064017 BESILATO DE ANLODIPINO 5 MG COM CT BL AL PLAS PVC AMB X 30 41.53 47.19 50.04 50.34 50.65 51.27 51.91 52.57 53.24
504617070063917 BESILATO DE ANLODIPINO 10 MG COM CT BL AL PLAS PVC AMB X 30 83.04 94.36 100.05 100.65 101.27 102.52 103.80 105.11 106.46
504617090066018 TENSALIV 5 MG COM CT BL AL PLAS AMB X 20 25.54 29.02 30.77 30.96 31.15 31.53 31.93 32.33 32.74
504622060085607 TENSALIV 5 MG COM CT BL AL PLAS PVC AMB X 30 36.17 41.10 43.58 43.84 44.11 44.65 45.21 45.78 46.37
504622060085707 TENSALIV 10 MG COM CT BL AL PLAS PVC AMB X 30 63.32 71.95 76.29 76.75 77.22 78.17 79.15 80.15 81.18
525001204111113 BESILATO DE ANLODIPINO 5,0 MG COM CT BL AL PLAS PVC OPC X 30 16.44 18.68 19.81 19.93 20.05 20.30 20.55 20.81 21.08
aplicável o CAP.
Medicamentos
BESILATO DE ANLODIPINO;HEMIFUMARATO DE BISOPROLOL

525421020052105 CONCOR ANLO (5,0 + 5,0) MG COM CT BL AL AL X 30 56.30 65.06 69.57 70.06 70.55 71.56 72.59 73.66 74.76
(MERCK S/A) 44.18 51.05 54.59 54.98 55.36 56.15 56.96 57.80 58.66
(MERCK S/A) 49.26 56.93 60.88 61.30 61.73 62.61 63.52 64.46 65.41
(MERCK S/A) 49.26 56.93 60.88 61.30 61.73 62.61 63.52 64.46 65.41
(MERCK S/A) 54.37 62.83 67.19 67.66 68.14 69.11 70.10 71.13 72.20
BESILATO DE ANLODIPINO;OLMESARTANA MEDOXOMILA

541816080016706 OLMESARTANA MEDOXOMILA+BESILATO DE 20 MG + 5 MG COM REV CT BL AL/AL X 30 33.03 37.53 39.80 40.04 40.28 40.78 41.29 41.81 42.35
(EMS S/A) 25.92 29.45 31.23 31.42 31.61 32.00 32.40 32.81 33.23
(EMS S/A) 29.33 33.33 35.34 35.55 35.78 36.21 36.67 37.13 37.60
(EMS S/A) 29.33 33.33 35.34 35.55 35.78 36.21 36.67 37.13 37.60
530402101115311 BENICARANLO 20 MG + 5 MG COM REV CT BL AL/AL X 7 11.86 13.48 14.29 14.38 14.46 14.64 14.83 15.01 15.21
aplicável o CAP.
Medicamentos
BESILATO DE ANLODIPINO;OLMESARTANA MEDOXOMILA

522717110063017 OLMETECANLO (20,0 + 5,0) MG COM REV CT BL AL AL X 7 22.49 25.56 27.10 27.26 27.43 27.77 28.11 28.47 28.83
531616110080404 OLMY ANLO 20 MG + 5 MG COM REV CT BL AL/AL X 10 16.93 19.24 20.40 20.52 20.65 20.90 21.16 21.43 21.71
546716120110304 FLUXOCOR ANLO 20 MG + 5 MG COM REV CT BL AL/AL X 30 42.19 47.94 50.83 51.14 51.45 52.09 52.74 53.41 54.09
BESILATO DE ANLODIPINO;PERINDOPRIL ARGININA
aplicável o CAP.
Medicamentos
BESILATO DE ANLODIPINO;PERINDOPRIL ARGININA

531317040008105 ACERTANLO 3,5 MG + 2,5 MG COM CT TB PLAS PP OPC X 10 12.47 14.41 15.41 15.52 15.63 15.85 16.08 16.31 16.56
(LABORATÓRIOS SERVIER DO BRASIL LTDA) 9.79 11.31 12.09 12.18 12.27 12.44 12.62 12.80 13.00
531317040008405 ACERTANLO 7 MG + 5 MG COM CT TB PLAS PP OPC X 10 16.96 19.60 20.96 21.10 21.25 21.56 21.87 22.19 22.52
BESILATO DE ANLODIPINO;TELMISARTANA
504505601111314 MICARDIS ANLO 40MG + 5MG COM CT BL AL/AL X 10 25.18 29.10 31.12 31.33 31.55 32.00 32.47 32.94 33.43
(BOEHRINGER INGELHEIM DO BRASIL QUÍMICA E FARMACÊUTICA 19.76 22.83 24.42 24.58 24.76 25.11 25.48 25.85 26.23
BESILATO DE ATRACÚRIO
509521070035806 BESILATO DE ATRACÚRIO 10 MG/ML SOL INJ/DIL INFUS IV CX 25 AMP VD 359.65 408.69 433.31 435.94 438.60 444.01 449.56 455.25 461.09
(FRESENIUS KABI BRASIL LTDA) AMB X 2,5 ML
282.22 320.70 340.02 342.08 344.17 348.41 352.77 357.23 361.82
509521070035906 BESILATO DE ATRACÚRIO 10 MG/ML SOL INJ/DIL INFUS IV CX 25 AMP VD 719.31 817.40 866.64 871.89 877.21 888.04 899.14 910.52 922.19
(FRESENIUS KABI BRASIL LTDA) AMB X 5 ML
564.44 641.41 680.05 684.17 688.35 696.85 705.56 714.49 723.64
506714502155413 TRACUR 10 MG/ML SOL INJ CX 25 AMP VD TRANS X 5 ML 1208.30 1373.07 1455.78 1464.61 1473.54 1491.73 1510.38 1529.49 1549.10
506714501159415 TRACUR 10 MG/ML SOL INJ CX 25 AMP VD TRANS X 2,5 636.59 723.40 766.98 771.62 776.33 785.91 795.74 805.81 816.14
499.53 567.65 601.85 605.49 609.19 616.70 624.42 632.32 640.42
526305402159111 BESILATO DE ATRACÚRIO 10 MG/ML SOL INJ IV CX 25 AMP VD TRANS X 2,5 352.05 400.06 424.16 426.73 429.33 434.63 440.06 445.63 451.35
276.25 313.93 332.84 334.86 336.90 341.05 345.31 349.69 354.18
526305401152111 BESILATO DE ATRACÚRIO 10 MG/ML SOL INJ IV CX 25 AMP VD TRANS X 5 673.18 764.98 811.06 815.98 820.95 831.09 841.48 852.13 863.05
528.24 600.28 636.44 640.30 644.20 652.16 660.31 668.67 677.24
505618010042517 TRACRIUM 10 MG/ML SOL INJ IV CT 5 AMP VD TRANS X 5 216.35 245.85 260.66 262.24 263.84 267.10 270.44 273.86 277.37
169.77 192.92 204.54 205.78 207.03 209.59 212.21 214.90 217.65
505618010042417 TRACRIUM 10 MG/ML SOL INJ IV CT 5 AMP VD TRANS X 2,5 113.15 128.58 136.33 137.15 137.99 139.69 141.44 143.23 145.06
88.79 100.90 106.98 107.62 108.28 109.61 110.99 112.39 113.83
500122040041606 BESILATO DE ATRACÚRIO 10 MG/ML SOL INJ IV CT 5 AMP VD TRANS X 2,5 64.87 73.72 78.16 78.63 79.11 80.09 81.09 82.11 83.17
(AUROBINDO PHARMA INDÚSTRIA FARMACÊUTICA LIMITADA) ML
50.90 57.85 61.33 61.70 62.08 62.85 63.63 64.43 65.26
260.22 295.71 313.52 315.42 317.34 321.26 325.28 329.39 333.61
aplicável o CAP.
Medicamentos
BESILATO DE ATRACÚRIO
509.02 578.43 613.27 616.99 620.75 628.42 636.27 644.32 652.59
500122040041206 BESILATO DE ATRACÚRIO 10 MG/ML SOL INJ IV CT 5 AMP VD TRANS X 5 126.80 144.09 152.77 153.70 154.63 156.54 158.50 160.51 162.56
99.50 113.07 119.88 120.61 121.34 122.84 124.37 125.95 127.56
497.56 565.42 599.47 603.10 606.79 614.27 621.95 629.82 637.90
995.13 1130.83 1198.96 1206.23 1213.58 1228.56 1243.91 1259.66 1275.81
(EUGIA PHARMA INDUSTRIA FARMACEUTICA LTDA) ML
2.67 3.03 3.22 3.23 3.26 3.30 3.33 3.37 3.42
260.22 295.71 313.52 315.42 317.34 321.26 325.28 329.39 333.61
509.02 578.43 613.27 616.99 620.75 628.42 636.27 644.32 652.59
101.81 115.69 122.66 123.40 124.16 125.68 127.26 128.87 130.52
497.56 565.42 599.47 603.10 606.79 614.27 621.95 629.82 637.90
995.13 1130.83 1198.96 1206.23 1213.58 1228.56 1243.91 1259.66 1275.81
BESILATO DE CISATRACÚRIO
506714010052204 CIS 2 MG/ML SOL INJ IV CT 5 AMP VD TRANS X 5 ML 170.80 194.09 205.78 207.03 208.29 210.86 213.50 216.20 218.97
506714010052304 CIS 2 MG/ML SOL INJ IV CX 20 AMP VD TRANS X 5 683.21 776.38 823.14 828.13 833.18 843.47 854.01 864.82 875.91
536.11 609.23 645.92 649.83 653.80 661.87 670.14 678.62 687.33
506714010052404 CIS 2 MG/ML SOL INJ IV CT 5 AMP VD TRANS X 10 334.78 380.43 403.35 405.79 408.27 413.31 418.48 423.77 429.21
262.70 298.52 316.51 318.42 320.37 324.32 328.38 332.53 336.80
506714010052504 CIS 2 MG/ML SOL INJ IV CX 20 AMP VD TRANS X 10 1339.15 1521.76 1613.43 1623.21 1633.11 1653.27 1673.94 1695.13 1716.86
1050.83 1194.13 1266.06 1273.73 1281.50 1297.32 1313.54 1330.17 1347.22
533021070073404 CISAUNI 2 MG/ML SOL INJ/DIL INFUS IV CT AMP VD 32.82 37.30 39.54 39.78 40.02 40.52 41.03 41.54 42.08
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) TRANS X 5 ML
25.75 29.27 31.03 31.21 31.40 31.80 32.20 32.60 33.02
533021070073504 CISAUNI 2 MG/ML SOL INJ/DIL INFUS IV CX 5 AMP VD 164.16 186.55 197.78 198.98 200.20 202.67 205.20 207.80 210.46
128.82 146.39 155.20 156.14 157.10 159.04 161.02 163.06 165.15
515.26 585.52 620.79 624.56 628.36 636.12 644.07 652.23 660.58
533021070073704 CISAUNI 2 MG/ML SOL INJ/DIL INFUS IV CT AMP VD 61.62 70.02 74.24 74.69 75.15 76.07 77.03 78.00 79.00
48.35 54.94 58.26 58.61 58.97 59.69 60.45 61.21 61.99
241.79 274.76 291.31 293.08 294.87 298.51 302.23 306.06 309.99
967.17 1099.06 1165.27 1172.33 1179.48 1194.04 1208.97 1224.27 1239.97
1288.20 1463.87 1552.05 1561.46 1570.98 1590.38 1610.25 1630.64 1651.54
2417.97 2747.69 2913.21 2930.87 2948.74 2985.15 3022.46 3060.71 3099.96
552919120091117 NOSINT 2 MG/ML SOL INJ CT 5 AMP VD AMB X 5 ML 171.05 194.38 206.08 207.33 208.60 211.17 213.81 216.52 219.29
552919120091217 NOSINT 2 MG/ML SOL INJ CT 5 AMP VD AMB X 10 ML 335.31 381.03 403.99 406.44 408.91 413.96 419.14 424.44 429.88
aplicável o CAP.
Medicamentos
BESILATO DE CISATRACÚRIO
505618030042917 NIMBIUM 2 MG/ML SOL INJ IV CT 5 AMP VD TRANS X 5 ML 173.09 196.69 208.54 209.81 211.09 213.69 216.36 219.10 221.91
505618030043017 NIMBIUM 2 MG/ML SOL INJ IV CT 5 AMP VD TRANS X 10 336.68 382.59 405.64 408.10 410.59 415.65 420.85 426.18 431.64
264.19 300.22 318.31 320.24 322.19 326.16 330.24 334.42 338.71
538018120026606 BESILATO DE CISATRACÚRIO 2 MG/ML SOL INJ IV CT FA VD TRANS X 2,5 ML 11.09 12.60 13.36 13.44 13.52 13.69 13.86 14.04 14.22
538018120026706 BESILATO DE CISATRACÚRIO 2 MG/ML SOL INJ IV CT FA VD TRANS X 5 ML 22.49 25.56 27.10 27.26 27.43 27.77 28.11 28.47 28.83
571618080000206 BESILATO DE CISATRACÚRIO 2 MG/ML SOL INJ CT FA VD TRANS X 5 ML 21.54 24.48 25.95 26.11 26.27 26.59 26.93 27.27 27.62
571618080000306 BESILATO DE CISATRACÚRIO 2 MG/ML SOL INJ CT 5 FA VD TRANS X 5 ML 107.81 122.51 129.89 130.68 131.48 133.10 134.76 136.47 138.22
571620080000507 VOLCIS 2 MG/ML SOL INJ CT FA VD TRANS X 5 ML 21.54 24.48 25.95 26.11 26.27 26.59 26.93 27.27 27.62
571620080000607 VOLCIS 2 MG/ML SOL INJ CT 5 FA VD TRANS X 5 ML 107.81 122.51 129.89 130.68 131.48 133.10 134.76 136.47 138.22
541818100090904 ATELOP 2,5 MG COM CT BL AL PLAS PVC/PVDC OPC X 29.59 34.19 36.57 36.82 37.08 37.61 38.15 38.71 39.29
(EMS S/A) 20
23.22 26.83 28.70 28.89 29.10 29.51 29.94 30.37 30.83
(EMS S/A) 30
34.84 40.26 43.06 43.35 43.66 44.28 44.92 45.58 46.27
(EMS S/A) 60
69.68 80.53 86.11 86.71 87.32 88.56 89.85 91.17 92.52
541818100091204 ATELOP 5 MG COM CT BL AL PLAS PVC/PVDC OPC X 20 57.50 66.45 71.05 71.55 72.05 73.08 74.14 75.23 76.35
(EMS S/A) 45.12 52.14 55.75 56.15 56.54 57.35 58.18 59.03 59.91
(EMS S/A) 67.69 78.22 83.64 84.23 84.82 86.04 87.27 88.56 89.88
(EMS S/A) 135.39 156.46 167.31 168.47 169.66 172.09 174.57 177.14 179.78
541823030193603 LEFOR 2,5 MG COM CT BL AL PLAS PVC/PVDC OPC X 29.60 34.21 36.58 36.83 37.09 37.62 38.17 38.73 39.30
(EMS S/A) 20
23.23 26.84 28.70 28.90 29.10 29.52 29.95 30.39 30.84
(EMS S/A) 30
34.83 40.26 43.04 43.35 43.65 44.27 44.92 45.58 46.25
(EMS S/A) 60
69.67 80.51 86.10 86.70 87.30 88.55 89.84 91.16 92.52
(EMS S/A) 90
104.51 120.77 129.15 130.06 130.97 132.83 134.76 136.74 138.77
541823030194003 LEFOR 5 MG COM CT BL AL PLAS PVC/PVDC OPC X 20 57.51 66.46 71.07 71.56 72.07 73.09 74.15 75.24 76.36
(EMS S/A) 45.13 52.15 55.77 56.15 56.55 57.35 58.18 59.04 59.92
(EMS S/A) 67.69 78.22 83.64 84.23 84.82 86.04 87.27 88.56 89.88
(EMS S/A) 135.38 156.44 167.29 168.46 169.65 172.06 174.56 177.11 179.76
(EMS S/A) 203.06 234.66 250.93 252.69 254.46 258.10 261.83 265.68 269.64
aplicável o CAP.
Medicamentos
504112070050102 NOVANLO 5 MG COM CT BL AL PLAS AMB X 30 86.26 99.68 106.59 107.34 108.09 109.64 111.22 112.86 114.54
504118040060117 COR-SELECT 2,5 MG COM CT BL AL PLAS AMB X 30 44.40 51.31 54.87 55.25 55.64 56.43 57.25 58.09 58.96
504118040060207 COR-SELECT 2,5 MG COM CT BL AL PLAS AMB X 60 88.82 102.64 109.76 110.52 111.30 112.89 114.52 116.21 117.94
504118040060317 COR-SELECT 5 MG COM CT BL AL PLAS AMB X 30 86.26 99.68 106.59 107.34 108.09 109.64 111.22 112.86 114.54
504118040060407 COR-SELECT 5 MG COM CT BL AL PLAS AMB X 60 172.54 199.39 213.21 214.70 216.21 219.30 222.47 225.74 229.11
BESILATO DE LEVANLODIPINO HEMIPENTAIDRATADO

504623070092606 BESILATO DE LEVANLODIPINO 2,5 MG COM CT BL AL PLAS PVC/PE/PVDC OPC 28.86 33.35 35.66 35.91 36.16 36.68 37.21 37.76 38.32
22.65 26.17 27.98 28.18 28.37 28.78 29.20 29.63 30.07
504623070092706 BESILATO DE LEVANLODIPINO 2,5 MG COM CT BL AL PLAS PVC/PE/PVDC OPC 57.72 66.70 71.33 71.82 72.33 73.36 74.42 75.52 76.64
45.29 52.34 55.97 56.36 56.76 57.57 58.40 59.26 60.14
504623070092806 BESILATO DE LEVANLODIPINO 5 MG COM CT BL AL PLAS PVC/PE/PVDC OPC X 56.07 64.79 69.29 69.77 70.26 71.26 72.30 73.36 74.45
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) 30
44.00 50.84 54.37 54.75 55.13 55.92 56.73 57.57 58.42
540923070060504 PERSUR 2,5 MG COM CT BL AL PLAS PVC/PE/PVDC OPC 14.80 17.10 18.29 18.42 18.55 18.81 19.08 19.36 19.65
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) X 10
11.61 13.42 14.35 14.45 14.56 14.76 14.97 15.19 15.42
34.84 40.26 43.06 43.35 43.66 44.28 44.92 45.58 46.27
69.68 80.53 86.11 86.71 87.32 88.56 89.85 91.17 92.52
540923070060804 PERSUR 5 MG COM CT BL AL PLAS PVC/PE/PVDC OPC X 28.75 33.22 35.53 35.78 36.03 36.54 37.07 37.61 38.18
22.56 26.07 27.88 28.08 28.27 28.67 29.09 29.51 29.96
540923070060904 PERSUR 5 MG COM CT BL AL PLAS PVC/PE/PVDC OPC X 86.26 99.68 106.59 107.34 108.09 109.64 111.22 112.86 114.54
67.69 78.22 83.64 84.23 84.82 86.04 87.27 88.56 89.88
BETA-AGALSIDASE
576720020056117 FABRAZYME 35 MG PÓ LIOF SOL INJ CT FA VD TRANS X 20 13358.37 15179.97 16094.42 16191.96 16290.69 16491.82 16697.96 16909.33 17126.11
10482.31 11911.72 12629.29 12705.83 12783.30 12941.13 13102.89 13268.75 13438.86
BETACIPIONATO DE ESTRADIOL;ACETATO DE MEDROXIPROGESTERONA

504110101159416 DEPOMES 25 MG /ML+ 5 MG/ML SUS INJ CT AMP VD AMB 22.83 25.94 27.51 27.67 27.84 28.19 28.54 28.90 29.27
(BIOLAB SANUS FARMACÊUTICA LTDA) X 1 ML
17.91 20.36 21.59 21.71 21.85 22.12 22.40 22.68 22.97
567217110000017 CYCLOFEMINA 25 MG/0,5ML + 5 MG/0,5ML SUS INJ CT AMP VD 25.16 28.59 30.31 30.50 30.68 31.06 31.45 31.85 32.26
(HEMAFARMA COM. E IND. FARM. LTDA) INC
19.74 22.43 23.78 23.93 24.07 24.37 24.68 24.99 25.32
BETADINUTUXIMABE
597122020000101 QARZIBA 4,5MG/ML SOL DIL INFUS CT FA VD TRANS X 60360.85 69752.27 74589.59 75110.57 75638.85 76718.16 77828.74 78972.03 80149.49
(GLOBAL REGULATORY PARTNERS BRASIL LTDA) 4,5ML
47365.16 54734.61 58530.45 58939.26 59353.81 60200.74 61072.21 61969.35 62893.30
BETAFOLITROPINA
525522040022117 PUREGON 300 UI SOL INJ CT 1 CARPULE X 0,480ML + 6 884.89 1005.56 1066.13 1072.59 1079.13 1092.46 1106.11 1120.11 1134.47
(ORGANON FARMACÊUTICA LTDA.) AGULHAS P/ INJEÇÃO
694.37 789.06 836.59 841.66 846.79 857.25 867.96 878.95 890.22
aplicável o CAP.
Medicamentos
BETAINTERFERONA 1A
541919060007507 BIO-MANGUINHOS BETAINTERFERONA 1A 22 MCG SOL INJ CT 12 SER PREENC VD TRANS 3845.45
(FUNDAÇÃO OSWALDO CRUZ) X 0,5 ML
3017.52 3487.02 3728.84 3754.88 3781.30 3835.25 3890.77 3947.93 4006.79
C CAP ICMS0%
541919060007607 BIO-MANGUINHOS BETAINTERFERONA 1A 44 MCG SOL INJ CT 12 SER PREENC VD TRANS 4341.77
(FUNDAÇÃO OSWALDO CRUZ) X 0,5 ML
3406.99 3937.08 4210.11 4239.51 4269.33 4330.25 4392.94 4457.47 4523.93
C CAP ICMS0%
538300102150413 AVONEX 60 MCG/ML SOL INJ CT 4 CT C/ SER PREENCH X 6086.51 6916.49 7333.14 7377.59 7422.57 7514.21 7608.14 7704.44 7803.22
(BIOGEN BRASIL PRODUTOS FARMACÊUTICOS LTDA) 0,5 ML EM APLIC + AGU + CAPA PROTETORA P/
4776.08 5427.37 5754.31 5789.20 5824.49 5896.40 5970.11 6045.67 6123.19
C CAP DESCARTE
BETAINTERFERONA 1B
538912040011712 BETAFERON 9,6 MUI PO LIOF INJ CT 15 CT 1 FA VD INC + 1 6418.22
(BAYER S.A.) SER VD INC DIL X 1,2 ML + ADAP COM AGULHA
5036.38
C CAP + 2 ENV LENÇO
BETAMETASONA
508022040153317 KOIDE 0,1 MG/ML ELX CT FR VD AMB X 120 ML + COP 14.52 16.50 17.49 17.60 17.71 17.93 18.15 18.38 18.62
507726503133110 BETAMETASONA 0,1 MG/ML ELX CT FR VD AMB X 120 ML 15.39 17.49 18.54 18.65 18.77 19.00 19.24 19.48 19.73
(EMS S/A) 12.08 13.72 14.55 14.63 14.73 14.91 15.10 15.29 15.48
520721202132115 MALEATO DE DEXCLORFENIRAMINA + BETAMETASONA 0,4 MG/ML + 0,05 MG/ML XPE CT FR PET AMB X 21.68 25.05 26.79 26.98 27.17 27.56 27.95 28.36 28.79
(LABORATÓRIO TEUTO BRASILEIRO S/A) 120 ML + COP
17.01 19.66 21.02 21.17 21.32 21.63 21.93 22.25 22.59
517614080021704 LERGIDRIN 0,4 MG/ML + 0,05 MG/ML XPE CT FR PLAS AMB X 17.66 20.41 21.82 21.98 22.13 22.45 22.77 23.11 23.45
(LABORATÓRIO GLOBO SA) 120 ML + COP
13.86 16.02 17.12 17.25 17.37 17.62 17.87 18.14 18.40
526113504131115 BETAMETASONA 0,1 MG/ML ELX CT FR VD AMB X 120 ML + COP 17.88 20.32 21.54 21.67 21.80 22.07 22.35 22.63 22.92
506314070028604 DEXTAMINE 2 MG + 0,25 MG COM CT BL AL PLAS OPC X 20 16.56 19.14 20.46 20.61 20.75 21.05 21.35 21.67 21.99
528500506134116 BETAMETASONA 0,1 MG/ML ELX CT FR VD AMB X 120 ML + CP 17.86 20.30 21.52 21.65 21.78 22.05 22.33 22.61 22.90
14.01 15.93 16.89 16.99 17.09 17.30 17.52 17.74 17.97
528514050125806 MALEATO DE DEXCLORFENIRAMINA + BETAMETASONA 0,4 MG/ML + 0,05 MG/ML XPE CT FR PLAS OPC X 23.21 26.82 28.68 28.88 29.08 29.50 29.93 30.37 30.82
(PRATI DONADUZZI & CIA LTDA) 120 ML + COP
18.21 21.05 22.51 22.66 22.82 23.15 23.49 23.83 24.18
528514050125906 MALEATO DE DEXCLORFENIRAMINA + BETAMETASONA 0,4 MG/ML + 0,05 MG/ML XPE CX 50 FR PLAS 331.53 383.11 409.68 412.54 415.44 421.37 427.47 433.75 440.22
(PRATI DONADUZZI & CIA LTDA) OPC X 120 ML + 50 COP
260.15 300.63 321.48 323.72 325.99 330.65 335.44 340.36 345.44
540917030026817 CELESTONE 0,5 MG/ML SOL OR GTS CT FR VD AMB X 15 ML 11.84 13.45 14.27 14.35 14.44 14.62 14.80 14.99 15.18
540917030026717 CELESTONE 0,5 MG COM CT BL AL PLAS TRANS X 20 12.62 14.34 15.20 15.30 15.39 15.58 15.78 15.97 16.18
BETAMETASONA;CETOCONAZOL
520705901161414 CETOCORT 20 MG + 0,5 MG/G CREM DERM CT BG AL X 30 G 31.23 36.09 38.59 38.86 39.13 39.69 40.27 40.86 41.47
520705902168412 CETOCORT 20 MG + 0,5 MG/G POM DERM CT BG AL X 30 G 31.06 35.89 38.38 38.65 38.92 39.48 40.05 40.64 41.24
503401501163415 BETACORTAZOL 20MG+0,5MG+2,5MG CREM DERM CT BG AL X 26.03 29.58 31.36 31.55 31.74 32.14 32.54 32.95 33.37
(BELFAR LTDA) 30 G
20.43 23.21 24.61 24.76 24.91 25.22 25.53 25.86 26.19
BETAMETASONA;DEXCLORFENIRAMINA
506401601138419 DEXMINE 0,05 MG + 0,4 MG / ML XPE CT FR VD AMB X 120 28.01 32.37 34.61 34.85 35.10 35.60 36.12 36.65 37.19
(CIMED INDUSTRIA S.A) ML
21.98 25.40 27.16 27.35 27.54 27.94 28.34 28.76 29.18
508022040156017 KOIDE D 0,25 MG/5ML + 2 MG/5ML XPE CT FR VD AMB X 29.53 34.12 36.49 36.75 37.00 37.53 38.08 38.64 39.21
(EUROFARMA LABORATÓRIOS S.A.) 120 ML + CP MED
23.17 26.77 28.63 28.84 29.03 29.45 29.88 30.32 30.77
507716901136112 MALEATO DE DEXCLORFENIRAMINA + BETAMETASONA 0,4 MG/ML + 0,05 MG/ML XPE CT FR VD AMB X 26.35 30.45 32.56 32.79 33.02 33.49 33.98 34.47 34.99
(EMS S/A) 120 ML + COP
20.68 23.89 25.55 25.73 25.91 26.28 26.67 27.05 27.46
507705402117419 CELERGIN 0,25 MG + 2 MG COM CT BL AL PLAS TRANS X 15.73 18.18 19.44 19.57 19.71 19.99 20.28 20.58 20.89
(EMS S/A) 20
12.34 14.27 15.25 15.36 15.47 15.69 15.91 16.15 16.39
aplicável o CAP.
Medicamentos
507705401137416 CELERGIN 0,25 MG/5ML + 2 MG/5ML XPE CT FR VD AMB X 21.26 24.57 26.27 26.46 26.64 27.02 27.41 27.82 28.23
(EMS S/A) 120 ML + COP
16.68 19.28 20.61 20.76 20.90 21.20 21.51 21.83 22.15
541818120098003 CELERGIN 0,25 MG/5ML + 2 MG/5ML XPE CT FR PLAS AMB 21.26 24.57 26.27 26.46 26.64 27.02 27.41 27.82 28.23
(EMS S/A) X 120 ML + COP
16.68 19.28 20.61 20.76 20.90 21.20 21.51 21.83 22.15
541819040104807 MALEATO DE DEXCLORFENIRAMINA + BETAMETASONA 2 MG + 0,25 MG COM CT BL AL PLAS TRANS X 14.69 16.98 18.15 18.28 18.41 18.67 18.94 19.22 19.51
(EMS S/A) 20
11.53 13.32 14.24 14.34 14.45 14.65 14.86 15.08 15.31
526217070014406 MALEATO DE DEXCLORFENIRAMINA + BETAMETASONA (0,4 + 0,05) MG/ML XPE CT FR PLAS PET AMB X 13.72 15.85 16.95 17.07 17.19 17.44 17.69 17.95 18.22
(1FARMA INDUSTRIA FARMACEUTICA LTDA) 120 ML + COP
10.77 12.44 13.30 13.39 13.49 13.69 13.88 14.09 14.30
526217120015906 MALEATO DE DEXCLORFENIRAMINA + BETAMETASONA (0,25 + 2,0) MG COM CT BL AL PLAS OPC X 20 11.66 13.47 14.41 14.51 14.61 14.82 15.03 15.26 15.48
533001801110412 CELESTRAT 2 MG + 0,25 MG COM CT BL AL PLAS TRANS X 12.03 13.90 14.87 14.97 15.07 15.29 15.51 15.74 15.97
9.44 10.91 11.67 11.75 11.82 12.00 12.17 12.35 12.53
533001802133416 CELESTRAT 2 MG/5ML + 0,25 MG/5ML XPE CT FR VD AMB X 21.00 24.27 25.95 26.13 26.32 26.69 27.08 27.47 27.88
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) 120 ML + COP
16.48 19.04 20.36 20.50 20.65 20.94 21.25 21.55 21.88
533019110072007 CELESTRAT 2 MG + 0,25 MG COM CT BL AL PLAS TRANS X 16.07 18.57 19.86 20.00 20.14 20.42 20.72 21.02 21.34
12.61 14.57 15.58 15.69 15.80 16.02 16.26 16.49 16.75
517608501138115 MALEATO DE DEXCLORFENIRAMINA + BETAMETASONA 0,4 MG/ML + 0,05 MG/ML XPE CT FR PLAS AMB X 15.19 17.55 18.77 18.90 19.03 19.31 19.59 19.87 20.17
(LABORATÓRIO GLOBO SA) 120 ML + CP MED
11.92 13.77 14.73 14.83 14.93 15.15 15.37 15.59 15.83
552919110130317 MALEATO DE DEXCLORFENIRAMINA + BETAMETASONA 0,4MG/ML + 0,05MG/ML XPE CT FR PLAS AMB X 25.85 29.87 31.94 32.17 32.39 32.86 33.33 33.82 34.32
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) 120 ML + COP
20.28 23.44 25.06 25.24 25.42 25.79 26.15 26.54 26.93
(GERMED FARMACEUTICA LTDA) 120 ML + COP
16.09 18.60 19.88 20.03 20.17 20.46 20.76 21.05 21.37
(GERMED FARMACEUTICA LTDA) 120 ML + COP
16.09 18.60 19.88 20.03 20.17 20.46 20.76 21.05 21.37
(MEDQUIMICA INDUSTRIA FARMACEUTICA LTDA.) 120 ML + CP MED
16.00 18.49 19.77 19.91 20.05 20.34 20.63 20.94 21.24
525117060031006 MALEATO DE DEXCLORFENIRAMINA + BETAMETASONA 0,4 MG/ML + 0,05 MG/ML XPE CT 50 FR PLAS 1019.99 1178.69 1260.43 1269.23 1278.16 1296.40 1315.17 1334.49 1354.38
(MEDQUIMICA INDUSTRIA FARMACEUTICA LTDA.) AMB X 120 ML + 50 CP MED ( EMB HOSP)
800.39 924.92 989.06 995.96 1002.97 1017.29 1032.01 1047.18 1062.78
506302902131415 DEXTAMINE (0,4 + 0,05) MG/ML XPE CT FR VD AMB X 120 29.49 34.08 36.44 36.70 36.95 37.48 38.02 38.58 39.16
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) ML + COP
23.14 26.74 28.59 28.80 28.99 29.41 29.83 30.27 30.73
506323020041203 DEXTAMINE (0,4 + 0,05) MG/ML XPE CT FR PLAS PET AMB X 29.49 34.08 36.44 36.70 36.95 37.48 38.02 38.58 39.16
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) 120 ML + COP
23.14 26.74 28.59 28.80 28.99 29.41 29.83 30.27 30.73
525320020066307 MALEATO DE DEXCLORFENIRAMINA + BETAMETASONA 2 MG + 0,25 MG COM CT BL AL PLAS TRANS X 14.71 17.00 18.18 18.30 18.43 18.70 18.97 19.25 19.53
(NOVA QUIMICA FARMACÊUTICA S/A) 20
11.54 13.34 14.27 14.36 14.46 14.67 14.89 15.11 15.32
(NOVA QUIMICA FARMACÊUTICA S/A) 120 ML + COP
23.23 26.85 28.71 28.92 29.11 29.53 29.96 30.40 30.85
527906701132118 MALEATO DE DEXCLORFENIRAMINA + BETAMETASONA 0,4 MG/ML + 0,05MG/ML XPE CT FR PLAS AMB X 20.94 24.20 25.88 26.06 26.24 26.61 27.00 27.40 27.80
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) 120 ML + CP MED
16.43 18.99 20.31 20.45 20.59 20.88 21.19 21.50 21.81
506420110044807 DEXMINE (0,25 +2,0) MG COM CT BL AL PLAS OPC X 20 9.18 10.61 11.34 11.42 11.50 11.67 11.84 12.01 12.19
506407801139116 MALEATO DE DEXCLORFENIRAMINA + BETAMETASONA (0,4 + 0,05) MG/ML XPE CT FR PLAS PET AMB X 9.07 10.48 11.21 11.29 11.37 11.53 11.69 11.87 12.04
(CIMED INDUSTRIA S.A) 120 ML + COP
7.12 8.22 8.80 8.86 8.92 9.05 9.17 9.32 9.45
506420110044907 DEXMINE (0,4 + 0,05) MG/ML XPE CT FR PLAS PET AMB X 18.40 21.26 22.74 22.90 23.06 23.39 23.72 24.07 24.43
(CIMED INDUSTRIA S.A) 120 ML + COP
14.44 16.68 17.84 17.97 18.10 18.35 18.61 18.89 19.17
506417110034106 MALEATO DE DEXCLORFENIRAMINA + BETAMETASONA (0,25 +2,0) MG COM CT BL AL PLAS OPC X 20 11.66 13.47 14.41 14.51 14.61 14.82 15.03 15.26 15.48
510405402138413 CELETIL 0,4MG/ML + 0,05MG/ML XPE CT FR VD AMB X 25.91 29.94 32.02 32.24 32.47 32.93 33.41 33.90 34.40
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) 120 ML + COP
20.33 23.49 25.13 25.30 25.48 25.84 26.22 26.60 26.99
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) 120 ML + CP MED
20.31 23.47 25.09 25.27 25.45 25.81 26.19 26.57 26.96
aplicável o CAP.
Medicamentos
504617030054217 MALEATO DE DEXCLORFENIRAMINA + BETAMETASONA 0,4 MG/ML +0,05 MG/ML XPE CT FR PET AMB X 25.85 29.87 31.94 32.17 32.39 32.86 33.33 33.82 34.32
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) 120 ML + CP MED
20.28 23.44 25.06 25.24 25.42 25.79 26.15 26.54 26.93
504617100066617 ALERGIDEX (0,4 + 0,05) MG/ML XPE CT FR PLAS PET AMB X 20.93 24.19 25.86 26.04 26.23 26.60 26.99 27.38 27.79
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) 120ML + COP
16.42 18.98 20.29 20.43 20.58 20.87 21.18 21.48 21.81
538813101130412 CELERG 0,25 MG + 2 MG / 5 ML XPE CT FR VD AMB X 120 21.26 24.57 26.27 26.46 26.64 27.02 27.41 27.82 28.23
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) ML - CP MED
16.68 19.28 20.61 20.76 20.90 21.20 21.51 21.83 22.15
538819110068707 CELERG 0,25 MG + 2 MG COM CT 1 BL AL PLAS INC X 20 15.73 18.18 19.44 19.57 19.71 19.99 20.28 20.58 20.89
538818060053603 CELERG 0,25 MG/5 ML + 2 MG / 5 ML XPE CT FR PLAS 21.26 24.57 26.27 26.46 26.64 27.02 27.41 27.82 28.23
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) AMB X 120 ML - CP MED
16.68 19.28 20.61 20.76 20.90 21.20 21.51 21.83 22.15
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) 120 ML + COP
17.91 20.70 22.14 22.29 22.45 22.77 23.10 23.44 23.78
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) 120 ML + COP
17.91 20.70 22.14 22.29 22.45 22.77 23.10 23.44 23.78
538819110068807 MALEATO DE DEXCLORFENIRAMINA + BETAMETASONA (2,0 + 0,25) MG COM CT BL AL PLAS TRANS X 20 14.71 17.00 18.18 18.30 18.43 18.70 18.97 19.25 19.53
540520110007207 DEXTAFLAM (0,4 + 0,05) MG/ML XPE CT FR VD AMB X 120 30.55 35.30 37.75 38.02 38.28 38.83 39.39 39.97 40.57
(MABRA FARMACEUTICA LTDA) ML + COP
23.97 27.70 29.62 29.84 30.04 30.47 30.91 31.36 31.84
Liberado
540523020008403 DEXTAFLAM (0,4 + 0,05) MG/ML XPE CT FR PLAS PET AMB X 30.55 35.30 37.75 38.02 38.28 38.83 39.39 39.97 40.57
(MABRA FARMACEUTICA LTDA) 120 ML + COP
23.97 27.70 29.62 29.84 30.04 30.47 30.91 31.36 31.84
(SANOFI MEDLEY FARMACÊUTICA LTDA.) 120 ML + COP X 10 ML
17.29 19.98 21.36 21.51 21.67 21.97 22.29 22.61 22.95
BETAMETASONA;SULFATO DE NEOMICINA;CETOCONAZOL
527921010039007 CETOCONAZOL + BETAMETASONA + SULFATO DE (20,0 + 0,64 + 2,5) MG/G CREM DERM CT BG AL 25.81 29.83 31.89 32.12 32.34 32.80 33.28 33.77 34.27
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) X 30 G
20.25 23.41 25.02 25.21 25.38 25.74 26.11 26.50 26.89
527921010039107 CETOCONAZOL + BETAMETASONA + SULFATO DE (20,0 + 0,64 + 2,5) MG/G POM DERM CT BG AL X 24.02 27.76 29.68 29.89 30.10 30.53 30.97 31.43 31.89
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) 30 G
18.85 21.78 23.29 23.45 23.62 23.96 24.30 24.66 25.02
BETAOCTOCOGUE
538920050030607 KOVALTRY 250 UI PÓ LIOF INJ CT FA VD INC + SER VD INC 604.18 686.57 727.93 732.34 736.80 745.90 755.23 764.78 774.59
(BAYER S.A.) PREENC DIL X 2,5 ML + EQP + ADAPTADOR
474.10 538.75 571.21 574.67 578.17 585.31 592.63 600.12 607.82
912.93 1037.42 1099.91 1106.58 1113.32 1127.07 1141.16 1155.60 1170.42
1853.55 2106.31 2233.19 2246.72 2260.42 2288.34 2316.94 2346.26 2376.35
(BAYER S.A.) PREENC DIL X 5 ML + EQP + ADAPTADOR
3847.26 4371.89 4635.25 4663.35 4691.78 4749.70 4809.07 4869.95 4932.38
(BAYER S.A.) PREENC DIL X 5 ML + EQP + ADAPTADOR
5770.89 6557.83 6952.87 6995.01 7037.67 7124.55 7213.61 7304.92 7398.58
BETAÍNA
576920010000107 CYSTADANE 1G/G PO OR CT FR PLAS PEAD OPC X 180 G + 2077.56 2390.48 2550.58 2567.78 2585.21 2620.80 2657.38 2673.76 2690.68
(RECORDATI RARE DISEASES COMÉRCIO DE MEDICAMENTOS LTDA - COL
1630.26 1875.81 2001.44 2014.94 2028.61 2056.54 2085.25 2098.10 2111.38
BEVACIZUMABE
523722080047207 ELOVIE 25 MG/ML SOL DIL INFUS IV CT FA VD TRANS X 1769.32
(LIBBS FARMACÊUTICA LTDA) 4 ML
1388.39 1577.71 1672.75 1682.89 1693.16 1714.06 1735.48 1757.45 1779.98
ICMS0%
523722080047107 ELOVIE 25 MG/ML SOL DIL INFUS IV CT FA VD TRANS X 6986.34

(LIBBS FARMACÊUTICA LTDA) 16 ML
5482.18 6229.76 6605.04 6645.07 6685.59 6768.12 6852.73 6939.47 7028.43
ICMS0%
544122080005907 MVASI 25 MG/ML SOL DIL INFUS IV CT FA VD TRANS X 515.86

(AMGEN BIOTECNOLOGIA DO BRASIL LTDA.) 4 ML
404.80 459.99 487.71 490.66 493.66 499.74 506.00 512.40 518.97
ICMS0%
aplicável o CAP.
Medicamentos
BEVACIZUMABE
544122080006007 MVASI 25 MG/ML SOL DIL INFUS IV CT FA VD TRANS X 2094.57
(AMGEN BIOTECNOLOGIA DO BRASIL LTDA.) 16 ML
1643.61 1867.74 1980.25 1992.25 2004.40 2029.15 2054.51 2080.51 2107.20
ICMS0%
522722050090607 ZIRABEV 25 MG/ML SOL DIL INFUS IV CT FA VD TRANS X 1097.31

(PFIZER BRASIL LTDA) 4 ML
861.06 978.47 1037.42 1043.71 1050.07 1063.03 1076.33 1089.95 1103.92
ICMS0%
522722050090707 ZIRABEV 25 MG/ML SOL DIL INFUS IV CT FA VD TRANS X 4037.86

(PFIZER BRASIL LTDA) 16 ML
3168.51 3600.58 3817.48 3840.61 3864.04 3911.74 3960.64 4010.78 4062.19
ICMS0%
541523020027607 ABEVMY 25 MG/ML SOL DIL INFUS IV CT FA VD TRANS X 706.66

(MYLAN LABORATORIOS LTDA) 4 ML
554.52 630.13 668.09 672.14 676.24 684.59 693.15 701.92 710.91
ICMS0%
541523020027507 ABEVMY 25 MG/ML SOL DIL INFUS IV CT FA VD TRANS X 2600.39 3250.49 3291.63 3333.83
(MYLAN LABORATORIOS LTDA) 16 ML
2040.53 2318.78 2458.47 2473.37 2488.45 2519.17 2550.66 2582.94 2616.06
ICMS0%
BEZAFIBRATO
507726801118111 BEZAFIBRATO 200 MG COM REV CT BL AL PLAS OPC X 20 23.35
(EMS S/A) 18.32
C CAP

C CAP
521920110020607 BEZAFIBRATO 400 MG COM REV LIB PROL CT BL AL PLAS 76.68

(GLENMARK FARMACÊUTICA LTDA) PVC/PVDC TRANS X 30
60.17

C CAP ICMS0%
537522090011307 CEDUR 400 MG COM REV LIB PROL CT BL AL PLAS 117.96

(TEVA FARMACÊUTICA LTDA.) TRANS X 30
92.56
C CAP

C CAP
BICALUTAMIDA
508012050091706 BICALUTAMIDA 50 MG COM REV CT BL AL PLAS TRANS X 30 621.58 706.34 748.89 753.43 758.02 767.38 776.98 786.81 796.90
502301101114318 CASODEX 50 MG COM REV CT BL AL PLAS TRANS X 28 892.52 1014.23 1075.33 1081.84 1088.44 1101.88 1115.65 1129.77 1144.26
504422110076806 BICALUTAMIDA 50 MG COM REV CT BL AL PLAS PVC TRANS X 621.57 706.33 748.88 753.42 758.01 767.37 776.96 786.80 796.88
487.75 554.26 587.65 591.21 594.81 602.16 609.68 617.40 625.31
975.50 1108.52 1175.30 1182.43 1189.64 1204.32 1219.38 1234.81 1250.64
1463.25 1662.79 1762.95 1773.64 1784.45 1806.49 1829.06 1852.22 1875.97
504422110076906 BICALUTAMIDA 50 MG COM REV CT BL AL PLAS PVC/PVDC 621.57 706.33 748.88 753.42 758.01 767.37 776.96 786.80 796.88
487.75 554.26 587.65 591.21 594.81 602.16 609.68 617.40 625.31
975.50 1108.52 1175.30 1182.43 1189.64 1204.32 1219.38 1234.81 1250.64
1463.25 1662.79 1762.95 1773.64 1784.45 1806.49 1829.06 1852.22 1875.97
538023070045103 BYCAL 150 150 MG COM REV CT BL AL PLAS PVC/PVDC 870.20 988.86 1048.43 1054.79 1061.22 1074.32 1087.75 1101.52 1115.64
682.85 775.96 822.70 827.69 832.74 843.02 853.56 864.36 875.44
1365.70 1551.93 1645.42 1655.40 1665.49 1686.04 1707.12 1728.73 1750.89
1463.19 1662.72 1762.88 1773.56 1784.38 1806.41 1828.99 1852.14 1875.89
aplicável o CAP.
Medicamentos
BICARBONATO DE POTÁSSIO;UNDECILENOIL ALGINATO DE SÓDIO/TEA

540114030001805 LUFTAGASTRO 100 MG/ML + 20 MG/ML SUS OR CT FR VD AMB 25.20 29.12 31.14 31.36 31.58 32.03 32.49 32.97 33.46
(RECKITT BENCKISER (BRASIL) LTDA) X 150 ML
19.77 22.85 24.44 24.61 24.78 25.13 25.49 25.87 26.26
Liberado
540114030001705 LUFTAGASTRO 100 MG/ML + 20 MG/ML SUS OR CT 12 ENV AL 23.89 27.61 29.52 29.73 29.94 30.36 30.80 31.26 31.72
(RECKITT BENCKISER (BRASIL) LTDA) LAM X 10 ML
18.75 21.67 23.16 23.33 23.49 23.82 24.17 24.53 24.89
Liberado
540116040002003 LUFTAGASTRO 100 MG/ML + 20 MG/ML SUS OR CT 24 ENV AL 56.80 65.64 70.19 70.68 71.18 72.19 73.24 74.31 75.42
(RECKITT BENCKISER (BRASIL) LTDA) LAM X 10 ML
44.57 51.51 55.08 55.46 55.86 56.65 57.47 58.31 59.18
Liberado
509520070027707 BICARBONATO DE SÓDIO 84 MG/ML SOL INJ CX 10 FR VD INC X 250 ML 618.36 702.68 745.01 749.53 754.10 763.41 772.95 782.73 792.77
520912090013304 SOL-CART B PO HEMO CX 10 CT PLAS X 650 G 121.17 151.46 153.38 155.35

(LABORATÓRIOS B. BRAUN S/A) 95.08 108.05 114.56 115.25 115.96 117.38 118.85 120.36 121.90
ICMS0%
520912090013504 SOL-CART B PO HEMO CX 10 CT PLAS X 760 G 141.65 177.06 179.30 181.60

(LABORATÓRIOS B. BRAUN S/A) 111.15 126.31 133.92 134.73 135.55 137.23 138.94 140.70 142.50
ICMS0%
511220120044207 SOLUÇÃO DE BICARBONATO DE SÓDIO 8,4% HALEX 84 MG/ML SOL INFUS IV CX 50 BOLS PLAS PEBD 1760.72 2000.82 2121.35 2134.21 2147.22 2173.73 2200.90 2228.76 2257.33
1381.64 1570.04 1664.62 1674.72 1684.92 1705.73 1727.05 1748.91 1771.33
511220120044307 SOLUÇÃO DE BICARBONATO DE SÓDIO 8,4% HALEX 84 MG/ML SOL INFUS IV BOLS PLAS PEBD 35.21 40.01 42.42 42.68 42.94 43.47 44.01 44.57 45.14
27.63 31.40 33.29 33.49 33.70 34.11 34.53 34.97 35.42
511800206158415 BICARBONATO DE SÓDIO 84 MG/ML SOL INJ IV CX 35 FR PLAS TRANS 1004.65 1141.65 1210.42 1217.76 1225.18 1240.31 1255.81 1271.71 1288.01
(HYPOFARMA - INSTITUTO DE HYPODERMIA E FARMÁCIA LTDA) SIST FECH X 250 ML
788.35 895.85 949.82 955.58 961.40 973.27 985.43 997.91 1010.70
514920090009307 BICARBONATO DE SÓDIO 84 MG/ML SOL INJ IV CX 40 FR PLAS SIST FECH 1112.25 1263.92 1340.06 1348.18 1356.40 1373.15 1390.31 1407.91 1425.96
(JP INDUSTRIA FARMACEUTICA S/A) X 250 ML
872.78 991.80 1051.55 1057.92 1064.37 1077.51 1090.98 1104.79 1118.95
508302401153417 BICARBONATO DE SÓDIO - FARMACE 84 MG/ML SOL INJ IV CX 100 AMP VD TRANS X 101.80 115.68 122.65 123.39 124.15 125.68 127.25 128.86 130.51
(FARMACE INDÚSTRIA QUÍMICO-FARMACÊUTICA CEARENSE LTDA) 10 ML
79.88 90.77 96.24 96.82 97.42 98.62 99.85 101.12 102.41
508302403156413 BICARBONATO DE SÓDIO - FARMACE 100 MG/ML SOL INJ IV CX 100 AMP VD TRANS X 100.46 114.16 121.04 121.77 122.51 124.02 125.58 127.16 128.79
(FARMACE INDÚSTRIA QUÍMICO-FARMACÊUTICA CEARENSE LTDA) 10 ML
78.83 89.58 94.98 95.55 96.13 97.32 98.54 99.78 101.06
508317070021603 BICARBONATO DE SÓDIO 8,4 % 84 MG/ML SOL HD BOMB PLAS TRANSL X 5000 26.42 33.03 33.44 33.87
(FARMACE INDÚSTRIA QUÍMICO-FARMACÊUTICA CEARENSE LTDA) ML
20.73 23.56 24.98 25.13 25.28 25.60 25.92 26.24 26.58
ICMS0%
508317100021703 BICARBONATO DE SÓDIO 8,4 % 84 MG/ML SOL HD BOMB PLAS TRANSL X 6000 31.70 39.63 40.13 40.64
(FARMACE INDÚSTRIA QUÍMICO-FARMACÊUTICA CEARENSE LTDA) ML
24.87 28.26 29.97 30.15 30.34 30.71 31.10 31.49 31.89
ICMS0%
508601902170412 FARMACART PO SOL HD CX FR PLAS PP TRANS X 720 G 14.16 17.70 17.92 18.15
ICMS0%
508601903177410 FARMACART PO SOL HD CX FR PLAS PP TRANS X 900 G 17.71 22.14 22.42 22.71
ICMS0%
508620090011407 FARMACART PO SOL HD CX FR PLAS PP TRANS X 650G 12.78 15.98 16.18 16.38
ICMS0%
508600801176417 CPHD FARMARIN 0,084 G/ML SOL HEMO CX 4 FR PLAS TRANS X 5 44.17 55.21 55.91 56.63
(FARMARIN INDUSTRIA E COMERCIO LTDA) L
34.66 39.38 41.76 42.01 42.27 42.79 43.32 43.87 44.44
ICMS0%
508600802172415 CPHD FARMARIN 0,084 G/ML SOL HEMO CX 4 FR PLAS TRANS X 6 53.06 66.33 67.16 68.03
(FARMARIN INDUSTRIA E COMERCIO LTDA) L
41.64 47.32 50.17 50.47 50.78 51.41 52.05 52.70 53.38
ICMS0%
530300401179411 CPHD 35 BA 84 G/L SOL HD BAS BOMB PLAS PEAD TRANS X 9.14 11.43 11.57 11.72
(SALBEGO LABORATÓRIO FARMACÊUTICO LTDA) 5L
7.17 8.15 8.64 8.69 8.75 8.85 8.97 9.08 9.20
ICMS0%
509600102152417 BIBAG 700 G PÓ SECO HD CX BOLS PLAS TRANS X 12.21 15.26 15.46 15.65
(FRESENIUS MEDICAL CARE LTDA) 1000 ML
9.58 10.89 11.54 11.61 11.68 11.82 11.97 12.13 12.28
ICMS0%
12.44 14.13 14.99 15.07 15.17 15.36 15.54 15.74 15.94
ICMS0%
509612040011403 BIBAG 900 G PÓ SECO HD CX BOLS PLAS PE TRANS 15.85 19.81 20.06 20.32
(FRESENIUS MEDICAL CARE LTDA) (CONECTOR EM GANCHO) X 1000 ML
12.44 14.13 14.99 15.07 15.17 15.36 15.54 15.74 15.94
ICMS0%
8.95 10.16 10.77 10.84 10.91 11.04 11.18 11.32 11.47
ICMS0%
aplicável o CAP.
Medicamentos
509614030014103 BIBAG 650 G PÓ HD CX BOLS PLAS PE TRANS 11.40 14.25 14.43 14.62
(FRESENIUS MEDICAL CARE LTDA) (CONECTOR EM GANCHO) X 1000 ML
8.95 10.16 10.77 10.84 10.91 11.04 11.18 11.32 11.47
ICMS0%
509603901153419 CPHD BICARBONATO DE SÓDIO 8,4 % 84 MG/ML SOL HD CX BOMBO PLAS PEAD 20.05 25.06 25.38 25.71
(FRESENIUS MEDICAL CARE LTDA) TRANS X 5000 ML
15.73 17.88 18.96 19.07 19.19 19.42 19.66 19.92 20.18
ICMS0%
539000201151414 BICARBONATO DE SÓDIO 84 MG/ML SOL INJ CX 8 CT 100 AMP PLAS PE 507.63 576.85 611.60 615.31 619.06 626.70 634.54 642.57 650.81
(SAMTEC BIOTECNOLOGIA LIMITADA) TRANS X 10 ML
398.34 452.65 479.92 482.83 485.78 491.77 497.92 504.22 510.69
539016110005403 BICARBONATO DE SÓDIO 84 MG/ML SOL INJ CX 200 AMP PLAS PE TRANS 126.90 144.20 152.89 153.82 154.76 156.67 158.63 160.63 162.69
(SAMTEC BIOTECNOLOGIA LIMITADA) X 10 ML
99.58 113.15 119.97 120.70 121.44 122.94 124.48 126.05 127.66
BICARBONATO DE SÓDIO;CARBONATO DE SÓDIO

517300401139417 ESTOMANOL 0,462G/G + 0,09G/G GRAN EFEV CT 50 ENV AL 49.94 57.71 61.71 62.14 62.58 63.47 64.39 65.34 66.31
(LABORATÓRIO FARMACÊUTICO VITAMED LTDA) POLIET X 5G
39.19 45.29 48.42 48.76 49.11 49.80 50.53 51.27 52.03
Liberado
BICARBONATO DE SÓDIO;GLICOSE;CLORETO DE SÓDIO

509603501171411 CPHD GENIUS (98 + 35 + 63) MEQ/L + 1 G/L PO SOL HD CX 24 18.34 22.93 23.22 23.51
(FRESENIUS MEDICAL CARE LTDA) BOL PLAS X 686 G
14.39 16.35 17.34 17.44 17.55 17.77 17.99 18.22 18.45
ICMS0%
509617080018403 CPHD GENIUS DS (98 + 35 + 63) MEQ/L + 1 G/L PO SOL HD CX 24 18.34 22.93 23.22 23.51
(FRESENIUS MEDICAL CARE LTDA) BOLS PLAS PEBD TRANS X 686 G
14.39 16.35 17.34 17.44 17.55 17.77 17.99 18.22 18.45
ICMS0%
509623020017103 CPHD GENIUS DS (95 + 30 + 65) MEQ/L + 1 G/L PO SOL HD CX 24 17.59 21.99 22.27 22.55
(FRESENIUS MEDICAL CARE LTDA) BOLS PLAS PEBD TRANS X 658 G
13.80 15.69 16.63 16.73 16.83 17.04 17.26 17.48 17.69
ICMS0%
BILASTINA
508022010148006 BILASTINA 20 MG COM CT BL AL AL X 15 26.25 30.33 32.44 32.66 32.89 33.36 33.85 34.34 34.86
508022010147404 HISBILA 20 MG COM CT BL AL AL X 4 10.75 12.42 13.28 13.38 13.47 13.66 13.86 14.06 14.27
508022010149504 NAIRE 20 MG COM CT BL AL AL X 4 10.77 12.45 13.31 13.40 13.50 13.69 13.89 14.09 14.30
(EMS S/A) 13.73 15.87 16.97 17.09 17.21 17.45 17.70 17.97 18.24
(EMS S/A) 20.60 23.80 25.46 25.63 25.81 26.18 26.56 26.95 27.36
(EMS S/A) 41.20 47.61 50.91 51.26 51.63 52.36 53.12 53.90 54.70
(EMS S/A) 54.93 63.47 67.88 68.36 68.83 69.81 70.83 71.86 72.94
542622010017604 TYNNA 20 MG COM CT BL AL AL X 4 10.75 12.42 13.28 13.38 13.47 13.66 13.86 14.06 14.27
aplicável o CAP.
Medicamentos
BILASTINA
504622040085006 BILASTINA 20 MG COM CT BL AL/AL X 15 26.26 30.35 32.45 32.68 32.91 33.38 33.86 34.36 34.87
504622040085106 BILASTINA 20 MG COM CT BL AL/AL X 30 52.56 60.74 64.95 65.40 65.86 66.80 67.77 68.77 69.79
504622110090406 BILASTINA 2,5 MG/ML SOL OR CT FR VD AMB X 120 ML + 32.83 37.94 40.57 40.85 41.14 41.73 42.33 42.95 43.59
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) COP
25.76 29.77 31.84 32.05 32.28 32.75 33.22 33.70 34.20
504622090088203 ALLEP 20 MG COM CT BL AL/AL X 15 26.27 30.36 32.46 32.69 32.92 33.39 33.87 34.37 34.88
504622090088303 ALLEP 20 MG COM CT BL AL/AL X 30 52.55 60.73 64.94 65.39 65.85 66.79 67.76 68.75 69.78
538822090114804 BILARGOS 20 MG COM CT BL AL AL X 10 23.50 27.16 29.04 29.24 29.45 29.87 30.30 30.75 31.20
540922010051817 ALEKTOS 20 MG COM CT BL AL/AL X 4 10.75 12.42 13.28 13.38 13.47 13.66 13.86 14.06 14.27
540922020052417 ALEKTOS PED 2,5 MG/ML SOL OR CT FR VD AMB X 120 ML + 50.51 58.37 62.42 62.85 63.29 64.20 65.13 66.08 67.07
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) COP
39.64 45.80 48.98 49.32 49.66 50.38 51.11 51.85 52.63
540923010058603 ALEKTOS PED 2,5 MG/ML SOL OR CT FR VD AMB X 30 ML + 12.63 14.60 15.61 15.72 15.83 16.05 16.29 16.52 16.77
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) COP
9.91 11.46 12.25 12.34 12.42 12.59 12.78 12.96 13.16
BIMATOPROSTA
507740201173115 BIMATOPROSTA 0,3 MG/ML SOL OFT CT FR PLAS OPC GOT X 3 73.15
(EMS S/A) ML
57.40
507740202171116 BIMATOPROSTA 0,3 MG/ML SOL OFT CT FR PLAS OPC GOT X 5 109.75 124.72 132.23 133.03 133.84 135.49 137.19 138.92 140.71
(EMS S/A) ML
86.12 97.87 103.76 104.39 105.02 106.32 107.65 109.01 110.42
541821060160806 BIMATOPROSTA 0,1 MG/ML SOL OFT CT FR GOT PLAS PEBD 59.10 67.16 71.20 71.64 72.07 72.96 73.88 74.81 75.77
(EMS S/A) OPC X 3 ML
46.38 52.70 55.87 56.22 56.55 57.25 57.97 58.70 59.46
77.29 87.83 93.12 93.68 94.26 95.42 96.62 97.84 99.09
541821110172803 BIMAPROST 0,1 MG/ML SOL OFT CT FR GOT PLAS PEBD 59.10 67.16 71.20 71.64 72.07 72.96 73.88 74.81 75.77
46.38 52.70 55.87 56.22 56.55 57.25 57.97 58.70 59.46
541821110172703 BIMAPROST 0,1 MG/ML SOL OFT CT FR GOT PLAS PEBD 98.50 111.93 118.67 119.39 120.12 121.60 123.13 124.68 126.28
77.29 87.83 93.12 93.68 94.26 95.42 96.62 97.84 99.09
506718030075204 TOPGANT 0,3 MG/ML SOL OFT CT FR PLAS OPC GOT X 3 84.05 95.51 101.27 101.88 102.50 103.77 105.06 106.39 107.76
65.95 74.95 79.47 79.95 80.43 81.43 82.44 83.48 84.56
C CAP
526132602178414 GLAMIGAN 0,3 MG/ML SOL OFT CT FR PLAS OPC GOT X 3 73.15 83.13 88.13 88.67 89.21 90.31 91.44 92.59 93.78
(GERMED FARMACEUTICA LTDA) ML
57.40 65.23 69.16 69.58 70.00 70.87 71.75 72.65 73.59
aplicável o CAP.
Medicamentos
BIMATOPROSTA
526121060142603 GLAMIGAN 0,1 MG/ML SOL OFT CT FR GOT PLAS PEBD 59.11 67.17 71.22 71.65 72.09 72.98 73.89 74.82 75.78
(GERMED FARMACEUTICA LTDA) OPC X 3 ML
46.38 52.71 55.89 56.22 56.57 57.27 57.98 58.71 59.46
526121060142703 GLAMIGAN 0,1 MG/ML SOL OFT CT FR GOT PLAS PEBD 98.51 111.94 118.69 119.41 120.13 121.62 123.14 124.70 126.29
77.30 87.84 93.14 93.70 94.27 95.44 96.63 97.85 99.10
57.40
86.12 97.87 103.76 104.39 105.02 106.32 107.65 109.01 110.42
46.38 52.71 55.89 56.22 56.57 57.27 57.98 58.71 59.46
77.30 87.84 93.14 93.70 94.27 95.44 96.63 97.85 99.10
(NOVA QUIMICA FARMACÊUTICA S/A) ML
57.41
86.14 97.88 103.78 104.40 105.05 106.34 107.67 109.03 110.43
(NOVA QUIMICA FARMACÊUTICA S/A) OPC X 3 ML
46.38 52.71 55.89 56.22 56.57 57.27 57.98 58.71 59.46
(NOVA QUIMICA FARMACÊUTICA S/A) OPC X 5 ML
77.29 87.82 93.11 93.68 94.25 95.41 96.60 97.83 99.08
57.41
86.14 97.88 103.78 104.40 105.05 106.34 107.67 109.03 110.43
531621030092607 OCUBIN 0,1 MG/ML SOL OFT CT FR GOT PLAS PEBD 23.18 26.34 27.93 28.10 28.27 28.62 28.98 29.34 29.72
(EMS SIGMA PHARMA LTDA) OPC X 3 ML
18.19 20.67 21.92 22.05 22.18 22.46 22.74 23.02 23.32
531621030092507 OCUBIN 0,1 MG/ML SOL OFT CT FR GOT PLAS PEBD 38.62 43.89 46.53 46.81 47.10 47.68 48.28 48.89 49.51
(EMS SIGMA PHARMA LTDA) OPC X 5 ML
30.31 34.44 36.51 36.73 36.96 37.41 37.89 38.36 38.85
510414030103704 BIMAGAN 0,3 MG/ML SOL OFT CT FR GOT PLAS OPC X 3 87.84 99.82 105.83 106.47 107.12 108.44 109.80 111.19 112.62
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) ML
68.93 78.33 83.04 83.55 84.06 85.09 86.16 87.25 88.37
C CAP
510422110188704 BIMAGAN 0,3 MG/ML SOL OFT CT FR GOT PLAS OPC X 5 136.82
107.36
C CAP
510414060107006 BIMATOPROSTA 0,3 MG/ML SOL OFT CT FR GOT PLAS OPC X 3 73.16
57.41
C CAP
510414060107206 BIMATOPROSTA 0,3 MG/ML SOL OFT CT FR GOT PLAS OPC X 5 109.77 124.74 132.25 133.05 133.87 135.52 137.21 138.95 140.73
86.14 97.88 103.78 104.40 105.05 106.34 107.67 109.03 110.43
C CAP
510420120185107 BIMATOPROSTA 0,3 MG/ML SOL OFT CX 50 FR GOT PLAS OPC X 5488.21
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) 5 ML
4306.60
C CAP
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) ML
57.40
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) ML
86.12 97.87 103.76 104.39 105.02 106.32 107.65 109.01 110.42
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) OPC X 3 ML
46.38 52.70 55.87 56.22 56.55 57.25 57.97 58.70 59.46
77.29 87.83 93.12 93.68 94.26 95.42 96.62 97.84 99.09
538821110107103 GLAUCUR 0,1 MG/ML SOL OFT CT FR GOT PLAS PEBD 59.10 67.16 71.20 71.64 72.07 72.96 73.88 74.81 75.77
46.38 52.70 55.87 56.22 56.55 57.25 57.97 58.70 59.46
538821110107203 GLAUCUR 0,1 MG/ML SOL OFT CT FR GOT PLAS PEBD 98.50 111.93 118.67 119.39 120.12 121.60 123.13 124.68 126.28
77.29 87.83 93.12 93.68 94.26 95.42 96.62 97.84 99.09
aplicável o CAP.
Medicamentos
BIMATOPROSTA
48.57
C CAP
66.35
C CAP
BINIMETINIBE
522723010091402 MEKTOVI 15 MG COM REV CT BL AL PLAS PVDC/PVC OPC 8950.22 10342.77 11060.04 11137.29 11215.62 11375.66 11540.33 11709.86 11884.45
(PFIZER BRASIL LTDA) X 84
7023.24 8115.97 8678.81 8739.43 8800.90 8926.48 9055.70 9188.73 9325.73
BIOTINA
552916080064207 UNTRAL 2,5 MG CAP DURA CT BL AL PLAS TRANS X 30 175.42 202.71 216.77 218.29 219.82 222.96 226.18 229.51 232.93
C CAP
C CAP
C CAP
BISACODIL
533019501119417 BISALAX 5 MG COM REV LIB RETARD CT BL AL PLAS 5.14 5.94 6.35 6.40 6.44 6.53 6.63 6.72 6.83
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) TRANS X 20
4.03 4.66 4.98 5.02 5.05 5.12 5.20 5.27 5.36
Liberado
533019502115415 BISALAX 5 MG COM REV LIB RETARD CT BL AL PLAS 38.57 44.57 47.66 47.99 48.33 49.02 49.73 50.46 51.21
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) TRANS X 150
30.27 34.97 37.40 37.66 37.92 38.47 39.02 39.60 40.18
Liberado
532312110006504 LACTON 5 MG COM REV CT BL AL/PLAS TRANS X 100 21.43 24.76 26.48 26.67 26.85 27.24 27.63 28.04 28.46
Liberado
506411301110419 DUCODIL 5 MG COM REV LIB RETARD CT BL AL PLAS 6.11 7.06 7.55 7.60 7.66 7.77 7.88 7.99 8.11
(CIMED INDUSTRIA S.A) TRANS X 20
4.79 5.54 5.92 5.96 6.01 6.10 6.18 6.27 6.36
Liberado
504617030054407 PLESONAX 5 MG COM REV CT BL AL PLAS TRANS X 20 5.61 6.48 6.93 6.98 7.03 7.13 7.23 7.34 7.45
Liberado
504617030054507 PLESONAX 5 MG COM REV CT BL AL PLAS TRANS X 100 28.08 32.45 34.70 34.94 35.19 35.69 36.21 36.74 37.29
Liberado
540912030005414 LACTO PURGA 5 MG COM REV DISP BL AL PLAS TRANS X 150 540912030005414. 625071450929896. 668420141014530. 673088752745506.96 677822814832114. 687494862840641. 697447103280710 707692518041043. 718244089010358.
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) 424453669945248. 490493567544689. 524509284654101. 528172744279399.32 531887562798760. 539477218871051. 547286741944373 555326318906806. 563606136646428.
Liberado
540912050005803 LACTO PURGA 5 MG COM REV CT BL AL PLAS TRANS X 16 540912050005803. 625071474042105. 668420165729570. 673088777633171.01 677822839894821. 687494888260975. 697447129069032 707692544208192. 718244115567655.
Liberado
540922020052807 LACTO PURGA 5 MG COM REV CT BL AL PLAS TRANS X 12 540922020052807. 625082995308783. 668432485995815. 673101183950890.86 677835333470393. 687507560110957. 697459984357908 707705588339729. 718257354184899.
Liberado
576720050064617 DULCOLAX 5 MG COM REV LIB RETARD CT BL AL PLAS 10.54 12.18 13.02 13.12 13.21 13.40 13.59 13.79 14.00
8.27 9.56 10.22 10.30 10.37 10.52 10.66 10.82 10.99
Liberado
BISGLICINATO FERROSO
531602602116416 NEUTROFER 150 MG COM REV CT FR PLAS PEAD OPC X 30 20.14 23.27 24.89 25.06 25.24 25.60 25.97 26.35 26.74
531602603139411 NEUTROFER 50 MG/ML SUS OR CT 20 FLAC PLAS PP TRANS 45.42 52.49 56.13 56.52 56.92 57.73 58.56 59.42 60.31
(EMS SIGMA PHARMA LTDA) X 5 ML
35.64 41.19 44.05 44.35 44.67 45.30 45.95 46.63 47.33
531602604135418 NEUTROFER 250 MG/ML SUS GOT OR CT FR GOT PLAS 36.78 42.50 45.45 45.77 46.09 46.75 47.42 48.12 48.84
(EMS SIGMA PHARMA LTDA) PEAD/PEBD OPC X 30 ML
28.86 33.35 35.66 35.92 36.17 36.69 37.21 37.76 38.33
BISGLICINATO FERROSO;ÁCIDO FÓLICO

531625401117414 NEUTROFER FÓLICO 150 MG + 5 MG COM REV CT FR PLAS PEAD 26.76 30.92 33.07 33.30 33.53 34.01 34.50 35.01 35.53
(EMS SIGMA PHARMA LTDA) OPC X 30
21.00 24.26 25.95 26.13 26.31 26.69 27.07 27.47 27.88
aplicável o CAP.
Medicamentos
BISOPROLOL;HIDROCLOROTIAZIDA
525412010042703 CONCOR HCT (5,0 + 12,5) MG COM REV CT BL AL AL X 30 82.11 93.31 98.93 99.53 100.13 101.37 102.64 103.94 105.27
(MERCK S/A) 64.43 73.22 77.63 78.10 78.57 79.54 80.54 81.56 82.61
525412010042803 CONCOR HCT (10,0 + 25,0) MG COM REV CT BL AL AL X 30 83.21 94.56 100.25 100.86 101.48 102.73 104.01 105.33 106.68
(MERCK S/A) 65.29 74.20 78.67 79.14 79.63 80.61 81.62 82.65 83.71
C CAP

C CAP

C CAP
521021050010304 AGREG 75 MG COM REV CT BL AL/AL X 14 64.75

(LABORATÓRIOS BALDACCI LTDA) 50.81
C CAP
521021050010404 AGREG 75 MG COM REV CT BL AL/AL X 30 138.76

(LABORATÓRIOS BALDACCI LTDA) 108.88
C CAP
507744601117118 BISSULFATO DE CLOPIDOGREL 75 MG COM REV CT BL AL AL X 14 91.22 103.66 109.90 110.57 111.24 112.62 114.03 115.47 116.95
(EMS S/A) 71.58 81.34 86.24 86.76 87.29 88.37 89.48 90.61 91.77
(EMS S/A) 136.80 155.46 164.83 165.82 166.84 168.89 171.01 173.17 175.39
507745202119417 PLAQUEVIX 75 MG COM REV CT BL AL AL X 28 174.34 198.11 210.05 211.32 212.61 215.23 217.93 220.68 223.51
(EMS S/A) 136.80 155.46 164.83 165.82 166.84 168.89 171.01 173.17 175.39
520720070110907 BISSULFATO DE CLOPIDOGREL 75 MG COM REV CT BL AL AL X 30 164.84

C CAP
C CAP
506913070027706 BISSULFATO DE CLOPIDOGREL 75MG COM REV CT BL AL AL X 100 398.82 453.20 480.51 483.42 486.37 492.37 498.53 504.84 511.31
(BIOLAB FARMA GENERICOS LTDA) 312.95 355.63 377.06 379.34 381.66 386.36 391.20 396.15 401.23
500514401119416 CLOPIN 75 MG COM REV CT BL AL/AL X15 125.20 142.27 150.84 151.76 152.68 154.57 156.50 158.48 160.51
C CAP
500514402115414 CLOPIN 75 MG COM REV CT BL AL/AL X30 250.42 284.57 301.71 303.54 305.39 309.16 313.03 316.99 321.05
C CAP
C CAP
C CAP
C CAP
504114602111419 ATEROGREL 75 MG COM REV CT BL AL PLAS TRANS X 30 235.51 267.63 283.75 285.47 287.21 290.75 294.39 298.11 301.94
504114603116414 ATEROGREL 75 MG COM REV CT BL AL PLAS TRANS X 60 471.04 535.27 567.52 570.96 574.44 581.53 588.80 596.25 603.90
C CAP

ICMS0%
aplicável o CAP.
Medicamentos
C CAP ICMS0%
C CAP
529914802119119 BISSULFATO DE CLOPIDOGREL 75 MG COM REV CT BL AL/AL X 28 132.80 150.91 160.00 160.97 161.95 163.95 166.00 168.10 170.26
C CAP
C CAP
C CAP
507501004113418 CLOPIVIX 75MG COM REV CT BL AL AL X 28 128.79 146.35 155.17 156.11 157.06 159.00 160.99 163.03 165.12
C CAP
C CAP
C CAP
C CAP
510417100160103 VIXGREL 75 MG COM REV CT BL AL/AL X 7 40.44 45.95 48.72 49.02 49.32 49.93 50.55 51.19 51.85
C CAP
C CAP
C CAP
C CAP
510417100160503 VIXGREL 75 MG COM REV CT BL AL/AL X 140 (EMB HOSP) 809.36 919.73 975.13 981.04 987.02 999.21 1011.70 1024.51 1037.64
C CAP
C CAP
C CAP
C CAP
C CAP
504616080043006 BISSULFATO DE CLOPIDOGREL 75MG COM REV CT BL ALU ALU X 14 91.26 103.70 109.95 110.62 111.29 112.67 114.08 115.52 117.00
C CAP
504616080042906 BISSULFATO DE CLOPIDOGREL 75MG COM REV CT BL ALU ALU X 28 161.86 183.93 195.01 196.19 197.39 199.83 202.33 204.89 207.51
C CAP
504616080042806 BISSULFATO DE CLOPIDOGREL 75MG COM REV CT BL ALU PLAS INC X 14 91.26 103.70 109.95 110.62 111.29 112.67 114.08 115.52 117.00
C CAP
aplicável o CAP.
Medicamentos
504616080042706 BISSULFATO DE CLOPIDOGREL 75MG COM REV CT BL ALU PLAS INC X 28 161.86 183.93 195.01 196.19 197.39 199.83 202.33 204.89 207.51
C CAP
540816080002004 VASOLEN 75 MG COM REV CT BL AL/AL X30 40.50 46.02 48.80 49.09 49.39 50.00 50.63 51.27 51.92
C CAP
538812201115417 CLOPIDO-GRAN 75 MG COM REV CT BL AL AL X 28 160.79 182.72 193.72 194.90 196.09 198.51 200.99 203.53 206.14
540920080043417 LOPIGREL 75MG COM REV CT BL ALU ALU X 14 57.21 65.01 68.93 69.35 69.77 70.63 71.51 72.42 73.35
C CAP
540920080043517 LOPIGREL 75MG COM REV CT BL ALU ALU X 28 112.91 128.31 136.04 136.86 137.70 139.40 141.14 142.92 144.76
C CAP
525069901111114 BISSULFATO DE CLOPIDOGREL 75 MG COM REV CT BL AL/AL X 14 45.90

C CAP
525069905115114 BISSULFATO DE CLOPIDOGREL 75 MG COM REV CT BL AL/AL X 28 72.26

C CAP
576720030058817 PLAVIX 75 MG COM REV CT BL AL/AL X 28 249.03

C CAP
BISSULFATO DE CLOPIDOGREL;ÁCIDO ACETILSALICÍLICO

552919120091607 CLOPIN DUO 75 MG + 100 MG COM REV CT BL AL AL X 10 89.39 101.58 107.70 108.35 109.01 110.36 111.74 113.15 114.60
552919120091707 CLOPIN DUO 75 MG + 100 MG COM REV CT BL AL AL X 30 268.17 304.74 323.10 325.05 327.04 331.07 335.21 339.46 343.81
BLINATUMOMABE
544117080004101 BLINCYTO 38,5 MCG PO LIOF SOL INJ CT FA VD TRANS + 1 11119.64 12849.72 13740.85 13836.82 13934.14 14132.97 14337.56 14548.18 14765.09
(AMGEN BIOTECNOLOGIA DO BRASIL LTDA.) FA SOL ESTABIL X 10 ML
8725.58 10083.18 10782.44 10857.75 10934.12 11090.14 11250.68 11415.96 11586.17
BORAGO OFFICINALIS L.
511420080009007 GAMALINE V 900 MG CAP MOLE CT BL AL PLAS PVDC TRANS 62.05 71.70 76.68 77.21 77.76 78.87 80.01 81.18 82.39
48.69 56.26 60.17 60.59 61.02 61.89 62.78 63.70 64.65
Liberado
511420080009107 GAMALINE V 900 MG CAP MOLE CT BL AL PLAS PVDC TRANS 99.99 115.55 123.56 124.42 125.30 127.09 128.93 130.82 132.77
78.46 90.67 96.96 97.63 98.32 99.73 101.17 102.65 104.18
Liberado
BORTEZOMIBE
523719040040004 VERAZO 1 MG PO LIOF SOL INJ CT FA VD AMB 1065.68 1211.00 1283.95 1291.73 1299.61 1315.65 1332.10 1348.96 1366.26
523719040040104 VERAZO 1,5 MG PO LIOF SOL INJ CT FA VD AMB 1598.54 1816.52 1925.95 1937.62 1949.44 1973.51 1998.18 2023.47 2049.41
523719040040204 VERAZO 3,5 MG PO LIOF SOL INJ CT FA VD AMB 3729.91 4238.54 4493.87 4521.10 4548.67 4604.83 4662.39 4721.41 4781.93
C CAP
508022090168904 ELOME 3,5 MG PO LIOF SOL INJ IV/SC CT FA VD TRANS 3626.72 4121.27 4369.54 4396.02 4422.83 4477.43 4533.40 4590.79 4649.64
506721110095404 BORMIB 3,5 MG PO LIOF SOL INJ IV/SC CT ENVOL FA VD 3887.57 4417.69 4683.82 4712.21 4740.94 4799.47 4859.46 4920.98 4984.06
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) TRANS
3050.58 3466.56 3675.39 3697.67 3720.22 3766.14 3813.22 3861.49 3910.99
552919010075204 TOVAR 3,5 MG PO LIOF SOL INJ IV SC CT FA VD TRANS 3792.49 4309.65 4569.26 4596.96 4624.99 4682.09 4740.61 4800.62 4862.17
C CAP
519518120027706 BORTEZOMIBE 3,5 MG PO LIOF SOL INJ CT FA VD TRANS 3042.94 3457.89 3666.19 3688.41 3710.90 3756.72 3803.68 3851.82 3901.20
C CAP
519518080027504 MIELOCADE 3,5 MG PO LIOF SOL INJ CT FA VD TRANS 3766.21 4279.79 4537.60 4565.10 4592.94 4649.64 4707.76 4767.36 4828.47
C CAP
aplicável o CAP.
Medicamentos
BORTEZOMIBE
514506401156317 VELCADE 3,5 MG PO LIOF SOL INJ CT FA VD TRANS 4681.43 5319.81 5640.28 5674.46 5709.06 5779.54 5851.79 5925.86 6001.83
C CAP
597422110000404 BORTECIP 3,5 MG PO LIOF SOL INJ IV/SC CT FA VD TRANS 3411.60 3876.82 4110.36 4135.27 4160.49 4211.85 4264.50 4318.48 4373.85
(CIPLA BRASIL IMPORTADORA E DISTRIBUIDORA DE MEDICAMENTOS 2677.08 3042.14 3225.40 3244.95 3264.74 3305.04 3346.35 3388.71 3432.16
504423050082906 BORTEZOMIBE 3,5 MG PO LIOF SOL INJ IV/SC CT FA VD TRANS 3042.93 3457.88 3666.18 3688.40 3710.89 3756.70 3803.66 3851.81 3901.19
C CAP
532420050028407 BORTEZOMIBE 3,5 MG PO LIOF SOL INJ CT FA VD TRANS 3042.79 3457.72 3666.01 3688.23 3710.72 3756.53 3803.49 3851.63 3901.01
C CAP
532420020026907 ZOMI 3,5 MG PO LIOF SOL INJ CT FA VD TRANS 4073.56 4629.05 4907.90 4937.65 4967.76 5029.09 5091.95 5156.41 5222.51
C CAP
507517100008106 BORTEZOMIBE 3,5 MG PÓ LIOF SOL INJ CT FA VD TRANS 3042.89 3457.83 3666.13 3688.35 3710.84 3756.65 3803.61 3851.76 3901.14
C CAP
507517090008004 BOZORED 3,5 MG PÓ LIOF SOL INJ CT FA VD TRANS 3862.17 4388.83 4653.22 4681.42 4709.96 4768.11 4827.71 4888.82 4951.50
C CAP
538014010014106 BORTEZOMIBE 3,5 MG PO LIOF INJ CT FA VD TRANS 3042.99 3457.94 3666.25 3688.47 3710.96 3756.78 3803.74 3851.89 3901.27
C CAP
538015020016403 BORTYZ 3,5 MG PO LIOF INJ CT FA VD TRANS 3042.99 3457.94 3666.25 3688.47 3710.96 3756.78 3803.74 3851.89 3901.27
C CAP
569920110001307 MIBO 3,5 MG PO LIOF SOL INJ IV/SC CT FA VD TRANS 3279.63 3726.85 3951.36 3975.31 3999.55 4048.93 4099.54 4151.43 4204.65
C CAP
569920120001607 BORTEZOMIBE 3,5 MG PO LIOF SOL INJ IV/SC CT FA VD TRANS 2806.09 3188.74 3380.83 3401.32 3422.06 3464.31 3507.61 3552.01 3597.55
C CAP
541521050018504 ZOMYLE 3,5 MG PÓ LIOF SOL INJ IV/SC CT FA VD TRANS 3459.15 3930.85 4167.65 4192.91 4218.47 4270.56 4323.94 4378.67 4434.81
C CAP
BOSENTANA
506917030030006 BOSENTANA 62,5 MG COM REV CT FR PLAS OPC X 60 1891.01
(BIOLAB FARMA GENERICOS LTDA) 1483.88
506917030030106 BOSENTANA 125 MG COM REV CT FR PLAS OPC X 60 3782.04

506918100035003 HAGIVAN 62,5 MG COM REV CT FR PLAS OPC X 60 1891.01

C CAP
506918100035103 HAGIVAN 125 MG COM REV CT FR PLAS OPC X 60 3782.02

C CAP
504121120072217 BOSENTANA 125 MG COM REV CT FR PLAS OPC X 60 3782.02

C CAP
BOSENTANA MONOIDRATADA
529920120070307 BOSENTANA 62,5 MG COM REV CT BL AL PLAS PVC/PE/PVDC 1890.98
(RANBAXY FARMACÊUTICA LTDA) OPC X 60
1483.85
C CAP
529920120070507 BOSENTANA 62,5 MG COM REV CT FR PLAS PEAD OPC X 60 1890.98

C CAP
529920120070407 BOSENTANA 125 MG COM REV CT BL AL PLAS PVC/PE/PVDC 3782.00

(RANBAXY FARMACÊUTICA LTDA) OPC X 60
2967.74
C CAP
529920120070607 BOSENTANA 125 MG COM REV CT FR PLAS PEAD OPC X 60 3782.00

C CAP
538020090031007 BOSENTANA 62,5 MG COM REV CT FR PLAS PEAD OPC X 60 1190.69

(ACCORD FARMACÊUTICA LTDA) 934.33
C CAP
538020090031107 BOSENTANA 125 MG COM REV CT FR PLAS PEAD OPC X 60 2381.38

(ACCORD FARMACÊUTICA LTDA) 1868.67
C CAP
BOSUTINIBE MONOIDRATADO
aplicável o CAP.
Medicamentos
BOSUTINIBE MONOIDRATADO
522723010091802 BOSULIF 100 MG COM REV CT FR PLAS PEAD OPC X 120 14454.34 16703.26 17861.63 17986.39 18112.89 18371.35 18637.30 18911.08 19193.04
BRENTUXIMABE VEDOTINA
501115010024502 ADCETRIS 50 MG PO LIOF INJ CX 1 FA VD TRANS 17627.65 20370.30 21782.98 21935.12 22089.40 22404.60 22728.93 23062.82 23406.68
BREXPIPRAZOL
524220080004407 REXULTI 0,5 MG COM REV CT BL AL PLAS PVC TRANS X 51.95 60.03 64.20 64.64 65.10 66.03 66.98 67.97 68.98
(LUNDBECK BRASIL LTDA) 10
40.77 47.11 50.38 50.72 51.08 51.81 52.56 53.34 54.13
524220080004807 REXULTI 0,5 MG COM REV CT BL AL PLAS PVC TRANS X 155.88 180.13 192.63 193.97 195.33 198.12 200.99 203.94 206.98
(LUNDBECK BRASIL LTDA) 30
122.32 141.35 151.16 152.21 153.27 155.46 157.72 160.03 162.42
524220080004607 REXULTI 1 MG COM REV CT BL AL PLAS PVC TRANS X 10 103.92 120.09 128.42 129.31 130.22 132.08 133.99 135.96 137.99
BRIGATINIBE
501120070031007 EVOBRIG 30 MG COM REV CT BL AL PLAS PCTFE/PVC 4239.45 4899.06 5238.81 5275.40 5312.50 5388.31 5466.31 5546.61 5629.31
(TAKEDA PHARMA LTDA.) TRANS X 28
3326.70 3844.29 4110.89 4139.61 4168.72 4228.21 4289.41 4352.43 4417.32
2495.04 2883.24 3083.19 3104.73 3126.56 3171.18 3217.08 3264.35 3313.01
19960.22 23065.79 24665.40 24837.68 25012.37 25369.28 25736.53 26114.59 26503.96
(TAKEDA PHARMA LTDA.) TRANS X 7 + 180 MG COM REV CT BL AL PLAS
17465.19 20182.56 21582.22 21732.96 21885.82 22198.11 22519.45 22850.26 23190.95
PCTFE/PVC TRANS X 21
9980.10 11532.89 12332.70 12418.84 12506.18 12684.64 12868.26 13057.29 13251.97
BRIVARACETAM
525220030023007 BRIVLERA 10 MG COM REV CT BL AL PLAS PVC/ACLAR 11.85 13.69 14.64 14.75 14.85 15.06 15.28 15.50 15.73
(UCB BIOPHARMA LTDA.) TRANS X 14
9.30 10.74 11.49 11.58 11.65 11.82 11.99 12.16 12.34
23.25 26.87 28.73 28.93 29.14 29.55 29.97 30.42 30.87
92.98 107.45 114.90 115.70 116.51 118.18 119.89 121.64 123.47
278.95 322.35 344.70 347.10 349.55 354.53 359.67 364.96 370.39
46.49 53.72 57.44 57.85 58.25 59.08 59.93 60.82 61.72
185.97 214.90 229.81 231.41 233.03 236.36 239.78 243.30 246.93
557.89 644.69 689.40 694.22 699.10 709.07 719.34 729.90 740.79
aplicável o CAP.
Medicamentos
BRIVARACETAM
69.73 80.58 86.17 86.76 87.38 88.62 89.91 91.23 92.59
278.95 322.35 344.70 347.10 349.55 354.53 359.67 364.96 370.39
836.84 967.04 1034.10 1041.32 1048.65 1063.61 1079.01 1094.86 1111.18
92.98 107.45 114.90 115.70 116.51 118.18 119.89 121.64 123.47
371.93 429.80 459.61 462.82 466.07 472.72 479.57 486.61 493.87
1115.79 1289.40 1378.81 1388.44 1398.21 1418.16 1438.68 1459.83 1481.58
525220030022907 BRIVLERA 10 MG/ML SOL INJ IV CT 10 FA VD TRANS X 5 ML 42.32 48.90 52.30 52.66 53.03 53.79 54.57 55.37 56.19
(UCB BIOPHARMA LTDA.) 33.21 38.37 41.04 41.32 41.61 42.21 42.82 43.45 44.09
525220030022807 BRIVLERA 10 MG/ML SOL OR CT FR VD AMB X 300 ML + 253.92 293.43 313.78 315.97 318.19 322.73 327.40 332.21 337.16
(UCB BIOPHARMA LTDA.) SER DOS + ADAPT
199.25 230.25 246.22 247.94 249.68 253.25 256.91 260.68 264.57
BRODALUMABE
541122090003202 KYNTHEUM 140 MG/ML SOL INJ CT 2 SER PREENC VD 5101.88 5895.67 6304.54 6348.57 6393.22 6484.45 6578.32 6674.95 6774.48
(LEO PHARMA LTDA) TRANS X 1,5 ML
4003.45 4626.33 4947.17 4981.72 5016.76 5088.35 5162.01 5237.83 5315.94
BROLUCIZUMABE
511521030072702 VSIQQ 120 MG/ML SOL INJ CT FA VD TRANS X 0,23 ML 4798.79 5545.42 5930.00 5971.42 6013.42 6099.22 6187.52 6278.41 6372.02
(SANDOZ DO BRASIL INDÚSTRIA FARMACÊUTICA LTDA) + AGU C/ FILTRO
3765.61 4351.49 4653.27 4685.77 4718.73 4786.06 4855.35 4926.67 5000.12
BROMAZEPAM
507725203111113 BROMAZEPAM 3 MG COM CT BL AL PLAS TRANS X 30 15.99 18.17 19.27 19.38 19.50 19.74 19.99 20.24 20.50
(EMS S/A) 12.55 14.26 15.12 15.21 15.30 15.49 15.69 15.88 16.09
(EMS S/A) 20.16 22.91 24.29 24.44 24.58 24.89 25.20 25.52 25.85
507301802113412 FLUXTAR 3 MG CAP GEL C/ MCGRAN AP CT BL AL PVC 27.55 31.31 33.19 33.39 33.60 34.01 34.44 34.87 35.32
(DIFFUCAP - CHEMOBRÁS QUÍMICA E FARMACÊUTICA LTDA) ACLAR PL X 30
21.62 24.57 26.04 26.20 26.37 26.69 27.03 27.36 27.72
507301804116419 FLUXTAR 6 MG CAP GEL C/ MCGRAN AP CT BL AL PVC 37.56 42.68 45.25 45.53 45.80 46.37 46.95 47.54 48.15
(DIFFUCAP - CHEMOBRÁS QUÍMICA E FARMACÊUTICA LTDA) ACLAR PL X 30
29.47 33.49 35.51 35.73 35.94 36.39 36.84 37.30 37.78
533001203116115 BROMAZEPAM 3 MG COM CT BL AL PLAS PVC TRANS X 30 16.21 18.42 19.53 19.65 19.77 20.01 20.26 20.52 20.78
533001206115111 BROMAZEPAM 6 MG COM CT BL AL PLAS PVC TRANS X 30 23.61 26.83 28.45 28.62 28.79 29.15 29.51 29.89 30.27
500506601112414 SOMALIUM 3 MG COM CT BL AL PLAS TRANS X 20 13.13 14.92 15.82 15.92 16.01 16.21 16.41 16.62 16.83
500506604138406 SOMALIUM 2,5 MG/ML SOL OR CT FR PLAS OPC GOT X 20 15.51 17.63 18.69 18.80 18.91 19.15 19.39 19.63 19.88
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) ML
12.17 13.83 14.67 14.75 14.84 15.03 15.22 15.40 15.60
aplicável o CAP.
Medicamentos
BROMAZEPAM
526120005137110 BROMAZEPAM 2,5 MG/ML SOL CT FR GOT VC AMB X 20 ML 10.10 11.48 12.17 12.24 12.32 12.47 12.63 12.78 12.95
544220070001217 LEXOTAN 3,0 MG COM CT BL AL PLAS TRANS X 30 30.66 34.84 36.94 37.16 37.39 37.85 38.33 38.81 39.31
(BLANVER FARMOQUIMICA E FARMACÊUTICA S.A.) 24.06 27.34 28.99 29.16 29.34 29.70 30.08 30.45 30.85
544220070001317 LEXOTAN 6,0 MG COM CT BL AL PLAS TRANS X 30 51.49 58.51 62.04 62.41 62.79 63.57 64.36 65.18 66.01
(BLANVER FARMOQUIMICA E FARMACÊUTICA S.A.) 40.40 45.91 48.68 48.97 49.27 49.88 50.50 51.15 51.80
527919040034207 BROMAZEPAM 3 MG CAP GEL C/ MCGRAN AP CT BL AL PVC 17.23 19.58 20.76 20.88 21.01 21.27 21.54 21.81 22.09
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) ACLAR PL X 30
13.52 15.36 16.29 16.38 16.49 16.69 16.90 17.11 17.33
527919040034307 BROMAZEPAM 6 MG CAP GEL C/ MCGRAN AP CT BL AL PVC 29.25 33.24 35.24 35.45 35.67 36.11 36.56 37.03 37.50
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) ACLAR PL X 30
22.95 26.08 27.65 27.82 27.99 28.34 28.69 29.06 29.43
504617050062417 LEZEPAN 3 MG COM CT BL AL PLAS TRANS X 20 12.36 14.05 14.89 14.98 15.07 15.26 15.45 15.65 15.85
BROMAZEPAM;SULPIRIDA
540923030059417 SULPAN (1 + 25) MG CAP DURA CT BL AL PLAS PVC 24.51 27.85 29.53 29.71 29.89 30.26 30.64 31.03 31.42
19.23 21.85 23.17 23.31 23.45 23.75 24.04 24.35 24.65
576720050064417 SULPAN (1,00+25,00) MG CAP GEL DURA CT BL AL PLAS 24.51 27.85 29.53 29.71 29.89 30.26 30.64 31.03 31.42
(SANOFI MEDLEY FARMACÊUTICA LTDA.) PVC TRANS X 20
19.23 21.85 23.17 23.31 23.45 23.75 24.04 24.35 24.65
BROMETO DE GLICOPIRRÔNIO
526515030080802 SEEBRI 50 MCG CAP C/ PÓ INAL CT BL AL/AL X 30 + 1 169.39 195.75 209.32 210.78 212.26 215.29 218.41 221.62 224.92
(NOVARTIS BIOCIENCIAS S.A) INALADOR
132.92 153.61 164.25 165.40 166.56 168.94 171.39 173.91 176.49
526516120087902 SEEBRI 50 MCG CAP C/ PÓ INAL CT BL AL/AL X 10 + 1 45.77 52.89 56.56 56.95 57.35 58.17 59.02 59.88 60.78
(NOVARTIS BIOCIENCIAS S.A) INALADOR
35.92 41.50 44.38 44.69 45.00 45.65 46.31 46.99 47.70
BROMETO DE GLICOPIRRÔNIO;DIPROPIONATO DE BECLOMETASONA;FUMARATO DE FORMOTEROL DI-HIDRATADO

508520050012707 TRIMBOW (100,0 + 6,0 +12,5) MCG SOL AER INAL OR CT FR 133.99 154.84 165.58 166.73 167.90 170.30 172.77 175.30 177.92
(CHIESI FARMACÊUTICA LTDA) AL X 60 ACIONAMENTOS + DISP INAL
105.14 121.50 129.93 130.83 131.75 133.63 135.57 137.56 139.61
508520050012807 TRIMBOW (100,0 + 6,0 +12,5) MCG SOL AER INAL OR CT FR 267.99 309.69 331.16 333.48 335.82 340.61 345.54 350.62 355.85
(CHIESI FARMACÊUTICA LTDA) AL X 120 ACIONAMENTOS + DISP INAL
210.29 243.01 259.86 261.68 263.52 267.28 271.14 275.13 279.24
aplicável o CAP.
Medicamentos
507739601171116 BROMETO DE IPRATRÓPRIO 0,25 MG/ML SOL P/ INAL CT FR VD AMB GOT X 11.30 12.84 13.61 13.70 13.78 13.95 14.13 14.30 14.49
(EMS S/A) 20 ML
8.87 10.08 10.68 10.75 10.81 10.95 11.09 11.22 11.37
504500501178319 ATROVENT 0,25 MG/ML SOL INAL CT FR VD AMB X 20 ML 17.53 19.92 21.12 21.25 21.38 21.64 21.91 22.19 22.47
504500504177313 ATROVENT 20 MCG/DOSE AER DOSIF CT FR AÇO INOX X 10 23.51 26.72 28.33 28.50 28.67 29.02 29.39 29.76 30.14
(BOEHRINGER INGELHEIM DO BRASIL QUÍMICA E FARMACÊUTICA ML + BOCAL
18.45 20.97 22.23 22.36 22.50 22.77 23.06 23.35 23.65
520724901171114 BROMETO DE IPRATRÓPIO 0,25 MG/ML SOL INAL CT FR VD AMB GOT X 20 7.55 8.58 9.10 9.15 9.21 9.32 9.44 9.56 9.68
5.92 6.73 7.14 7.18 7.23 7.31 7.41 7.50 7.60
520724902178112 BROMETO DE IPRATRÓPIO 0,25 MG/ML SOL INAL CX 100 FR VD AMB GOT X 1159.15 1317.22 1396.57 1405.03 1413.60 1431.05 1448.94 1467.28 1486.09
(LABORATÓRIO TEUTO BRASILEIRO S/A) 20 ML
909.59 1033.62 1095.89 1102.53 1109.25 1122.95 1136.98 1151.37 1166.13
533001301177119 BROMETO DE IPRATROPIO 0,25 MG/ML SOL INAL CT FR GOT VD AMB X 20 9.37 10.65 11.29 11.36 11.43 11.57 11.71 11.86 12.01
7.35 8.36 8.86 8.91 8.97 9.08 9.19 9.31 9.42
517609101176115 BROMETO DE IPRATRÓPIO 0,250 MG/ML SOL INAL CT FR VD AMB X 20 ML 8.32 9.45 10.02 10.08 10.15 10.27 10.40 10.53 10.67
552920020116717 BROMETO DE IPRATRÓPIO 0,25 MG/ML SOL P/ INAL CT FR VD AMB GOT X 11.58
9.09
526130401175111 BROMETO DE IPRATRÓPIO 0,25 MG/ML SOL P/ INAL CT FR VD AMB GOT X 11.55 13.13 13.92 14.00 14.09 14.26 14.44 14.62 14.81
(GERMED FARMACEUTICA LTDA) 20 ML
9.06 10.30 10.92 10.99 11.06 11.19 11.33 11.47 11.62
511611202171118 BROMETO DE IPRATRÓPIO 0,25 MG/ML SOL INAL CX 200 FR PLAS OPC GOT 915.76 1040.64 1103.33 1110.01 1116.78 1130.57 1144.70 1159.19 1174.05
(HIPOLABOR FARMACEUTICA LTDA) X 20 ML
718.60 816.59 865.78 871.02 876.34 887.16 898.25 909.62 921.28
607023010080417 BROMETO DE IPRATRÓPIO 0,25 MG/ ML SOL INAL CT FR GOT VD AMB X 20 11.55 13.13 13.92 14.00 14.09 14.26 14.44 14.62 14.81
(MULTILAB INDUSTRIA E COMERCIO DE PRODUTOS FARMACEUTICOS ML
9.06 10.30 10.92 10.99 11.06 11.19 11.33 11.47 11.62
528500702170111 BROMETO DE IPRATRÓPIO 0,25 MG/ML SOL INAL CT FR PLAS OPC GOT X 10.31 11.72 12.42 12.50 12.57 12.73 12.89 13.05 13.22
(PRATI DONADUZZI & CIA LTDA) 20 ML
8.09 9.20 9.75 9.81 9.86 9.99 10.12 10.24 10.37
528500701174113 BROMETO DE IPRATRÓPIO 0,25 MG/ML SOL INAL CT 200 FR PLAS OPC GOT 915.76 1040.64 1103.33 1110.01 1116.78 1130.57 1144.70 1159.19 1174.05
(PRATI DONADUZZI & CIA LTDA) X 20 ML (EMB HOSP)
718.60 816.59 865.78 871.02 876.34 887.16 898.25 909.62 921.28
525308701175116 BROMETO DE IPRATRÓPIO 0,25 MG/ ML SOL INAL CT FR GOT VD AMB X 20 11.55 13.13 13.92 14.00 14.09 14.26 14.44 14.62 14.81
9.06 10.30 10.92 10.99 11.06 11.19 11.33 11.47 11.62
527916030026006 BROMETO DE IPRATROPIO 0,250 MG/ML SOL INAL CT FR VD AMB X 20 ML 10.90

(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) 8.55
504616090044317 BROMETO DE IPRATRÓPIO 0,25 MG/ML SOL P/ INAL CT FR VD AMB GOT X 10.64
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) 20 ML
8.35
504616020035417 IPRANEO 0,25 MG/ML SOL INAL CT FR PLAS OPC X 20 ML 16.34

538801401177119 BROMETO DE IPRATRÓPIO 0,25 MG/ML SOL P/ INAL CT FR VD AMB GOT X 11.61 13.19 13.99 14.07 14.16 14.33 14.51 14.70 14.88
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) 20 ML
9.11 10.35 10.98 11.04 11.11 11.24 11.39 11.54 11.68
BROMETO DE IPRATRÓPIO;BROMIDRATO DE FENOTEROL

504505701175314 DUOVENT 0,02 MG/ 50MCL + 0,05 MG/ 50MCL SOL AER CT 13.37 15.19 16.11 16.21 16.30 16.51 16.71 16.92 17.14
(BOEHRINGER INGELHEIM DO BRASIL QUÍMICA E FARMACÊUTICA TB AÇO INOX X 10 ML + BOCAL
10.49 11.92 12.64 12.72 12.79 12.96 13.11 13.28 13.45
BROMETO DE OTILÔNIO
501604103115311 LONIUM 40 MG COM REV CT BL AL PLAS TRANS X 60 82.07 94.84 101.42 102.12 102.84 104.31 105.82 107.37 108.98
BROMETO DE PANCURÔNIO
509521060031517 BROMETO DE PANCURÔNIO 2 MG/ML SOL INJ IV CX 50 AMP VD AMB X 2 ML 262.22 297.98 315.93 317.84 319.78 323.73 327.78 331.92 336.18
506712501151418 PANCURON 2 MG/ML SOL INJ IV CX 50 AMP VD AMB X 2 ML 487.99 554.53 587.94 591.50 595.11 602.46 609.99 617.71 625.63
506715020056803 PANCURON 2 MG/ML SOL INJ IV CX 36 AMP VD AMB X 2 ML 188.81 214.56 227.48 228.86 230.26 233.10 236.01 239.00 242.06
aplicável o CAP.
Medicamentos
BROMETO DE PANCURÔNIO
526305701156112 BROMETO DE PANCURÔNIO 2 MG/ML SOL INJ IV CX 50 AMP VD AMB X 2 ML 262.22 297.98 315.93 317.84 319.78 323.73 327.78 331.92 336.18
(NOVAFARMA INDÚSTRIA FARMACÊUTICA LTDA) 205.76 233.82 247.91 249.41 250.93 254.03 257.21 260.46 263.80
BROMETO DE PINAVÉRIO
541812080003506 BROMETO DE PINAVÉRIO 100 MG COM REV CT BL AL PLAS OPC X 30 71.91 83.10 88.86 89.48 90.11 91.40 92.72 94.08 95.48
(EMS S/A) 56.43 65.21 69.73 70.21 70.71 71.72 72.76 73.82 74.92
(EMS S/A) 112.88 130.44 139.49 140.46 141.45 143.47 145.55 147.68 149.89
500218040041003 NOIBS 50MG COM REV CT BL AL PLAS TRANS X 20 38.31 44.27 47.34 47.67 48.01 48.69 49.40 50.12 50.87
C CAP
C CAP
C CAP
500218040041303 NOIBS 100 MG COM REV CT BL AL PLAS TRANS X 20 57.53 66.48 71.09 71.59 72.09 73.12 74.18 75.27 76.39
C CAP
C CAP
C CAP
501104801115410 SIILIF 50 MG COM REV CT BL AL PLAS TRANS X 30 54.20 62.63 66.98 67.44 67.92 68.89 69.88 70.91 71.97
531612090067804 SINAVEL 100 MG COM REV CT BL AL PLAS OPC X 30 68.88 79.60 85.12 85.71 86.31 87.55 88.81 90.12 91.46
531612090067904 SINAVEL 100 MG COM REV CT BL AL PLAS OPC X 60 137.76 159.19 170.23 171.42 172.63 175.09 177.63 180.24 182.92
BROMETO DE PIRIDOSTIGMINA
541718030017817 MESTINON 60 MG COM CT FR VD AMB X 60 31.01
C CAP
509521060032017 BROMETO DE ROCURÔNIO 10 MG/ML SOL INJ IV CX 10 FA VD TRANS X 5 ML 373.34 424.25 449.81 452.53 455.29 460.91 466.68 472.58 478.64
508021040139406 BROMETO DE ROCURÔNIO 10 MG/ML SOL INJ IV CT 50 AMP VD TRANS X 5 1743.91 1981.72 2101.10 2113.83 2126.72 2152.98 2179.89 2207.48 2235.78
1368.45 1555.06 1648.73 1658.72 1668.84 1689.44 1710.56 1732.21 1754.42
506717501151419 ROCURON 10 MG/ML SOL INJ CT 12 FA VD TRANS X 5 ML 630.52 716.50 759.66 764.27 768.93 778.42 788.15 798.13 808.36
506715010055003 ROCURON 10 MG/ML SOL INJ CX 25 FA VD TRANS X 5 ML 1313.55 1492.67 1582.59 1592.18 1601.89 1621.67 1641.94 1662.72 1684.04
533021080074404 UNIREZ 10MG/ML SOL INJ/DIL INFUS IV CT 25 FA VD 1281.40 1456.14 1543.86 1553.21 1562.68 1581.98 1601.75 1622.03 1642.82
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) TRANS X 5ML
1005.51 1142.63 1211.47 1218.80 1226.23 1241.38 1256.89 1272.81 1289.12
aplicável o CAP.
Medicamentos
501318050025406 BROMETO DE ROCURONIO 10 MG/ML SOL INJ IV CX 10 FA VD TRANS X 5 ML 744.90 846.48 897.47 902.91 908.41 919.63 931.13 942.91 955.00
501318050025506 BROMETO DE ROCURONIO 10 MG/ML SOL INJ IV CX 12 FA VD TRANS X 5 ML 893.89 1015.78 1076.98 1083.50 1090.11 1103.57 1117.36 1131.51 1146.01
571621060000704 MISCK 10 MG/ML SOL INJ/DIL INFUS IV CT 10 FA VD 663.10 753.52 798.92 803.76 808.66 818.64 828.88 839.37 850.13
(VOLPHARMA DISTRIBUIDORA DE PRODUTOS HOSPITALARES E TRANS X 5 ML
520.33 591.29 626.91 630.71 634.56 642.39 650.42 658.65 667.10
BROMETO DE TIOTRÓPIO
504504204135219 SPIRIVA RESPIMAT 2,5 MCG DOSE SOL INAL CT FR PLAS 4ML (60 286.79 325.90 345.53 347.62 349.74 354.06 358.49 363.03 367.68
(BOEHRINGER INGELHEIM DO BRASIL QUÍMICA E FARMACÊUTICA DOSES) + RESPIMAT

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Câmara de Regulação do Mercado de Medicamentos- CMED

PREÇOS MÁXIMOS DE MEDICAMENTOS POR PRINCÍPIO ATIVO Câmara de Regulação do Mercado de

DIPIRONA MONOIDRATADA;BUTILBROMETO DE ESCOPOLAMINA

SULFATO DE MAGNÉSIO HEPTAIDRATADO

DECANOATO DE TESTOSTERONA;FEMPROPIONATO DE TESTOSTERONA;ISOCAPROATO DE TESTOSTERONA;PROPIONATO DE TESTOSTERONA

ACETATO DE CIPROTERONA;VALERATO DE ESTRADIOL

543715070001117 LUPRON 3,75 MG PO LIOF SUS INJ CT FA VD TRANS + 614.34

ACETATO DE MEDROXIPROGESTERONA;CIPIONATO DE ESTRADIOL

ACETATO DE NOMEGESTROL;ESTRADIOL HEMI-HIDRATADO

ACETATO DE NORETISTERONA;ESTRADIOL HEMI-HIDRATADO

526514110079703 SANDOSTATIN 20 MG PO SUS INJ CT FA VD TRANS + 1 SER DIL 6430.40

526514110079803 SANDOSTATIN 30 MG PO SUS INJ CT FA VD TRANS + 1 SER DIL 8680.98

ACETATO DE SÓDIO TRIIDRATADO;CLORETO DE CÁLCIO DIIDRATADO;CITRATO DE SÓDIO DI-HIDRATADO;CLORETO DE MAGNÉSIO HEXAIDRATADO;

ACIDO ACETILSALICILICO;ACIDO CITRICO;BICARBONATO DE SÓDIO;CARBONATO DE SÓDIO

544120010004407 AMGEVITA 50 MG/ML SOL INJ CT SER PREENC VD TRANS X 1262.85

544120010004507 AMGEVITA 50 MG/ML SOL INJ CT 2 SER PREENC VD TRANS 2525.64

544120010004607 AMGEVITA 50 MG/ML SOL INJ CT SER PREENC VD TRANS X 1262.85

544120010004707 AMGEVITA 50 MG/ML SOL INJ CT 2 SER PREENC VD TRANS 2525.64

541523020026907 HULIO 50 MG/ML SOL INJ CT BL X SER PREENC PLAS 1118.74

541523020027007 HULIO 50 MG/ML SOL INJ CT BL X 2 SER PREENC PLAS 2237.46

541523020027107 HULIO 50 MG/ML SOL INJ CT BL X 6 SER PREENC PLAS 6712.40

541523020027307 HULIO 50 MG/ML SOL INJ CT BL X SER PREENC PLAS 1118.74

541523020027407 HULIO 50 MG/ML SOL INJ CT BL X 2 SER PREENC PLAS 2237.46

541523020027207 HULIO 50 MG/ML SOL INJ CT BL X 6 SER PREENC PLAS 6712.40

543715100001917 HUMIRA 50 MG/ML SOL INJ CT 2 BL X SER PREENC VD 8617.00

543715100001817 HUMIRA 50 MG/ML SOL INJ CT 2 BL X SER PREENC VD 8617.00

511516202119110 ALENDRONATO DE SÓDIO 70 MG COM REV CT BL AL/AL X 4 42.73

511516201112112 ALENDRONATO DE SÓDIO 70 MG COM REV CT BL AL/AL X 8 18.77

ALENDRONATO DE SÓDIO TRI-HIDRATADO

510015030041306 ALENDRONATO DE SODIO 70 MG COM CT BL AL PLAS OPC X 70 1799.21

506419120037607 AMOXICILINA 50 MG/ML PO SUS CX 50 FR PLAS OPC X 60 ML 533.51

AMOXICILINA TRIHIDRATADA;CLAVULANATO DE POTÁSSIO

ANATOXINA TETÂNICA;ANATOXINA DIFTÉRICA;ANTÍGENO PERTUSSIS

ASPARTATO DE ORNITINA;CLORIDRATO DE ARGININA;CITRULINA

511500705116115 ATENOLOL 25 MG COM REV CT BL AL PLAS TRANS X 60 11.20

504114070052003 ABLOK 25 MG COM CT BL AL PLAS TRANS X 90 40.39

506415100029406 ATENOLOL 25 MG COM CT BL AL PLAS TRANS X 30 5.35

504616030037206 ATENOLOL 25MG COM CT BL AL PLAS INC X 30 19.46

511515100060606 ATORVASTATINA CALCICA 20 MG COM REV CT AL/AL X 30 33.59

542615060004503 ATEROMA 20 MG COM REV CT BL AL/AL X 10 17.94

607023050096117 ATORVASTATINA CÁLCICA 10 MG COM REV CT BL AL AL X 30 56.03

607023050096217 ATORVASTATINA CÁLCICA 10 MG COM REV CT BL AL AL X 60 100.89

607023050096317 ATORVASTATINA CÁLCICA 20 MG COM REV CT BL AL AL X 30 56.03

607023050096417 ATORVASTATINA CÁLCICA 20 MG COM REV CT BL AL AL X 60 100.89

607023050096517 ATORVASTATINA CÁLCICA 40 MG COM REV CT BL AL AL X 30 112.10

506415120030406 ATORVASTATINA CÁLCICA 10 MG COM REV CT STR AL X 30 37.35

506415120030506 ATORVASTATINA CÁLCICA 20 MG COM REV CT STR AL X 30 37.35

510416020117306 ATORVASTATINA CÁLCICA 20 MG COM REV CT BL AL AL X 30 56.03

510416020118106 ATORVASTATINA CÁLCICA 40 MG COM REV CT BL AL AL X 500 (EMB HOSP) 1868.41

AZILSARTANA MEDOXOMILA POTÁSSICA

BACOPA MONNIERI (L.) WETTST.

BENZILPENICILINA POTÁSSICA;BENZILPENICILINA PROCAÍNA

BENZILPENICILINA POTÁSSICA;BENZILPENICILINA PROCAÍNA

BENZOATO DE ALOGLIPTINA;CLORIDRATO DE METFORMINA

525420401153414 REBIF 44 MCG SOL INJ CT 12 SER PREENC VD TRANS 11553.25

BETAMETASONA;FOSFATO DISSÓDICO DE BETAMETASONA

BETAMETASONA;FOSFATO DISSÓDICO DE BETAMETASONA

529207902151211 AVASTIN 25 MG/ML SOL DIL INFUS IV CT FA VD TRANS X 6986.34

511511801111418 PLAGREL 75 MG COM REV CT BL AL AL X 14 22.80

511511802118416 PLAGREL 75 MG COM REV CT BL AL AL X 28 34.79

511511601112119 BISSULFATO DE CLOPIDOGREL 75 MG COM REV CT BL AL/ AL X 14 30.09

511511602119117 BISSULFATO DE CLOPIDOGREL 75 MG COM REV CT BL AL/ AL X 28 105.22

525417110049217 CUORE 75 MG COM REV CT BL AL AL X 14 84.69