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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 09/11/2023 às 14h00min.
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)
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)
RITUXIMABE
(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
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%
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)
IBRUTINIBE
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)
ACEBROFILINA
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
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
607023020084517 ACEBROFILINA 5 MG/ML XPE CT FR PLAS AMB X 120 ML + COP 18.14 20.61 21.86 21.99 22.12 22.40 22.68 22.96 23.26
(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
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
506409801136113 ACEBROFILINA 10 MG/ML XPE CT FR PLAS AMB X 120 ML + CP 22.62 25.70 27.25 27.42 27.59 27.93 28.28 28.63 29.00
(CIMED INDUSTRIA S.A) MED
17.75 20.17 21.38 21.52 21.65 21.92 22.19 22.47 22.76
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
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) 25.95 29.49 31.26 31.45 31.65 32.04 32.44 32.85 33.27
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
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
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
aplicável o CAP.
Medicamentos
ACEBROFILINA
538820101132116 ACEBROFILINA 5 MG/ML XPE CT FR VD AMB X 120 ML + CP 18.14 20.61 21.86 21.99 22.12 22.40 22.68 22.96 23.26
(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
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
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
(MYLAN LABORATORIOS LTDA) 13.32 15.13 16.05 16.14 16.24 16.44 16.64 16.86 17.08
ACECLOFENACO
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
607023030087417 ACEFLOR 100 MG COM REV CT BL AL PLAS OPC X 6 14.28 16.23 17.20 17.31 17.41 17.63 17.85 18.08 18.31
607023030087517 ACEFLOR 100 MG COM REV CT BL AL AL X 6 14.28 16.23 17.20 17.31 17.41 17.63 17.85 18.08 18.31
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
(RANBAXY FARMACÊUTICA LTDA) 20.83 23.67 25.09 25.24 25.40 25.72 26.04 26.36 26.70
(CIMED INDUSTRIA S.A) 19.35 21.99 23.31 23.45 23.60 23.89 24.19 24.50 24.81
(UNICHEM FARMACÊUTICA DO BRASIL LTDA) 19.81 22.51 23.87 24.02 24.16 24.46 24.76 25.08 25.40
ACEPONATO DE METILPREDNISOLONA
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
ACETATO DE ABIRATERONA
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
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) 8213.00 9490.84 10149.04 10219.92 10291.80 10438.66 10589.77 10745.33 10905.54
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
aplicável o CAP.
Medicamentos
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
(SUN FARMACÊUTICA DO BRASIL LTDA) 5946.43 6871.63 7348.17 7399.50 7451.54 7557.87 7667.28 7779.91 7895.90
C CAP
507523100020004 BALEFIO 500 MG COM REV CT FR PLAS PEAD OPC X 60 11657.45 13471.21 14405.44 14506.05 14608.08 14816.53 15031.01 15251.81 15479.22
(DR. REDDYS FARMACÊUTICA DO BRASIL LTDA) 9147.60 10570.86 11303.95 11382.90 11462.96 11626.53 11794.83 11968.09 12146.54
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
(TEVA FARMACÊUTICA LTDA.) 8462.23 9778.85 10457.01 10530.05 10604.11 10755.43 10911.12 11071.40 11236.48
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
ACETATO DE CASPOFUNGINA
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
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 CIPROTERONA;ETINILESTRADIOL
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
(EMS S/A) TRANS X 21
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
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
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) TRANS X 21
15.95 18.13 19.22 19.33 19.45 19.70 19.94 20.19 20.45
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
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
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
542820050007107 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 + 21 PLACEBOS
87.52 99.45 105.44 106.08 106.73 108.05 109.39 110.78 112.20
ACETATO DE DESMOPRESSINA
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
aplicável o CAP.
Medicamentos
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
ACETATO DE DEXAMETASONA
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
(LABORATÓRIO GLOBO SA) 3.01 3.42 3.63 3.65 3.67 3.72 3.77 3.81 3.86
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
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
(GREENPHARMA QUÍMICA E FARMACÊUTICA LTDA) 6.14 6.98 7.39 7.44 7.49 7.57 7.68 7.77 7.87
(PRATI DONADUZZI & CIA LTDA) 5.98 6.80 7.20 7.25 7.29 7.38 7.48 7.57 7.67
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
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) 6.05 6.87 7.29 7.34 7.38 7.47 7.57 7.66 7.75
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
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) 7.74 8.80 9.33 9.38 9.45 9.57 9.68 9.80 9.93
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
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) ML
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 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
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 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
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
aplicável o CAP.
Medicamentos
ACETATO DE LANREOTIDA
(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
ACETATO DE LEUPRORRELINA
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
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
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 MEDROXIPROGESTERONA;CIPIONATO DE ESTRADIOL

567223100000403 CYCLOFEMINA 25 MG + 5 MG SUS INJ CX 50 AMP VD INC X 0,5 1258.00 1429.55 1515.66 1524.85 1534.15 1553.09 1572.50 1592.41 1612.82
(HEMAFARMA COM. E IND. FARM. LTDA) ML
987.15 1121.77 1189.34 1196.55 1203.85 1218.71 1233.94 1249.57 1265.58
567223100000303 CYCLOFEMINA 25 MG+ 5 MG SUS INJ CX 2 AMP VD INC X 0,5 ML 50.32 57.18 60.63 60.99 61.37 62.12 62.90 63.70 64.51
(HEMAFARMA COM. E IND. FARM. LTDA) 39.49 44.87 47.58 47.86 48.16 48.74 49.36 49.99 50.62
567223100000503 CYCLOFEMINA 25 MG+ 5 MG SUS INJ CX 3 AMP VD INC X 0,5 ML 75.48 85.77 90.94 91.49 92.05 93.19 94.35 95.54 96.77
(HEMAFARMA COM. E IND. FARM. LTDA) 59.23 67.30 71.36 71.79 72.23 73.13 74.04 74.97 75.94
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 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
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) 12.48 14.19 15.04 15.13 15.22 15.41 15.61 15.80 16.01
ACETATO DE PREDNISOLONA
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
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
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
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 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
aplicável o CAP.
Medicamentos
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
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
(VASCONCELOS INDUSTRIA FARMACEUTICA E COMERCIO LTDA) ML
403.31 458.31 485.92 488.86 491.84 497.92 504.14 510.53 517.07
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
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
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
ACETILCISTEÍNA
508022100169407 ACETILCISTEÍNA 20 MG/ML XPE CT FR VD AMB X 120 ML + COP 20.73 23.96 25.62 25.80 25.98 26.35 26.73 27.12 27.53
(EUROFARMA LABORATÓRIOS S.A.) 16.27 18.80 20.10 20.25 20.39 20.68 20.98 21.28 21.60
Liberado
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
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
(GERMED FARMACEUTICA LTDA) 21.68 25.06 26.79 26.98 27.17 27.56 27.96 28.37 28.79
Liberado
526120110125807 ACETILCISTEÍNA 600 MG GRAN CT 16 ENV AL PLAS PE X 5 G 39.11 45.20 48.33 48.67 49.01 49.71 50.43 51.17 51.93
Liberado
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
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
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
aplicável o CAP.
Medicamentos
ACETILCISTEÍNA
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
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
Liberado
Liberado
ACETILRACEMETIONINA;BETAÍNA;CITRATO DE COLINA
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
ACICLOVIR
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
526520020095107 ACICLOVIR 200 MG COM CT BL AL PLAS TRANS X 25 45.43 51.63 54.73 55.07 55.40 56.09 56.79 57.51 58.24
(NOVARTIS BIOCIENCIAS S.A) 35.65 40.51 42.95 43.21 43.47 44.01 44.56 45.13 45.70
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
541820110152907 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
(EMS S/A) 89.79 102.03 108.18 108.83 109.50 110.85 112.24 113.66 115.11
(EMS S/A) 224.46 255.07 270.43 272.07 273.73 277.11 280.57 284.13 287.77
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) 20.53 23.72 25.37 25.54 25.72 26.09 26.47 26.86 27.26
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
aplicável o CAP.
Medicamentos
ACICLOVIR
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
125.45 142.56 151.14 152.06 152.98 154.88 156.81 158.80 160.83
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
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
(SANOFI MEDLEY FARMACÊUTICA LTDA.) 13.14 15.18 16.24 16.35 16.46 16.70 16.93 17.18 17.44
ACICLOVIR SÓDICO
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
(BLAU FARMACÊUTICA S.A.) 346.55 393.81 417.54 420.07 422.63 427.84 433.19 438.68 444.31
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
aplicável o CAP.
Medicamentos
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
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
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
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
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
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
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
(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%
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

(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
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
aplicável o CAP.
Medicamentos
ADALIMUMABE
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
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
543718020003203 HUMIRA 100 MG/ML SOL INJ CT 2 BL X SER PREENC VD 8617.00

(ABBVIE FARMACÊUTICA LTDA.) TRANS X 0,4 ML + ENV LEN 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
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
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;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
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
AESCULUS HIPPOCASTANUM L.
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
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
aplicável o CAP.
Medicamentos
32.70 37.78 40.40 40.69 40.98 41.56 42.16 42.78 43.42
Liberado
46.65 53.91 57.64 58.05 58.46 59.29 60.15 61.03 61.94
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
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
(HERBARIUM LABORATORIO BOTANICO LTDA) 21.48 24.82 26.54 26.73 26.92 27.30 27.69 28.10 28.52
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
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
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
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
2165.23 2460.49 2608.71 2624.52 2640.52 2673.13 2706.54 2740.80 2775.94
ICMS0%
AGOMELATINA
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
(LABORATÓRIOS SERVIER DO BRASIL LTDA) 14
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
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
47.00 54.32 58.08 58.49 58.90 59.74 60.60 61.50 62.42
Em Análise Recursal
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
ALBENDAZOL
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
(LABORATÓRIO TEUTO BRASILEIRO S/A) 5.45 6.20 6.57 6.61 6.66 6.73 6.82 6.91 6.99
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
aplicável o CAP.
Medicamentos
ALBENDAZOL
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
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
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
510405502116411 ALBEL 400 MG COM MAST CT BL AL PLAS TRANS X 1 6.04 6.86 7.28 7.32 7.37 7.46 7.55 7.65 7.74
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
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
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
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
(TAKEDA PHARMA LTDA.) 254.84 289.59 307.04 308.90 310.78 314.62 318.55 322.58 326.72
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
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
aplicável o CAP.
Medicamentos
ALBUMINA HUMANA
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
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
ALENDRONATO DE SÓDIO
526519120094107 ALENDRONATO DE SÓDIO 70 MG COM REV CT BL AL/AL X 4 12.02
(NOVARTIS BIOCIENCIAS S.A) 9.43
526219070017506 ALENDRONATO DE SÓDIO 70 MG COM CT ENV AL E POLIET X 4 22.74

(1FARMA INDUSTRIA FARMACEUTICA LTDA) 17.84
506419070037306 ALENDRONATO DE SÓDIO 70 MG COM CT ENV AL E POLIET X 4 22.74

(CIMED INDUSTRIA S.A) 17.84
ALENDRONATO DE SÓDIO TRI-HIDRATADO

514007101114410 ENDROSTAN 70 MG COM CT BL AL PLAS TRANS X 4 42.29
(CELLERA FARMACÊUTICA S.A.) 33.18
526122302112119 ALENDRONATO DE SÓDIO 70 MG COM CT BL AL PLAS OPC X 4 105.17

(GERMED FARMACEUTICA LTDA) 82.53

(MULTILAB INDUSTRIA E COMERCIO DE PRODUTOS FARMACEUTICOS 32.79

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

538800402110419 BONAGRAN 70 MG COM CT BL AL PLAS OPC X 4 61.41

(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) 48.19
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
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
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
ALFA1ANTITRIPSINA
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
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
544115100002617 ARANESP 500 MCG/ML SOL INJ IV/SC CT SER PREENC VD 1149.00 1327.77 1419.85 1429.77 1439.82 1460.37 1481.51 1503.27 1525.69
(AMGEN BIOTECNOLOGIA DO BRASIL LTDA.) TRANS X 0,3 ML + AGUL + DISP
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
ALFAEPOETINA
552919040075917 HEMAX ERITRON 3.000 UI PO LIOF SOL INJ CT FA VD TRANS + 123.91
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) AMP DIL X 2 ML
97.23
C CAP
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

(BLAU FARMACÊUTICA S.A.) 67.13
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

C CAP

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
aplicável o CAP.
Medicamentos
ALFAEPOETINA
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
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
504412438156411 ALFAEPOETINA 4000 UI/ML SOL INJ CX FA VD INC X 1 ML 182.35

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

C CAP

C CAP
504420110067507 ALFAEPOETINA 10000 UI/ML SOL INJ CT 12 AMP VD TRANS X 1 5614.84

4405.96
C CAP

C CAP

C CAP
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
aplicável o CAP.
Medicamentos
ALFAEPOETINA
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
526601504157414 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) 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
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
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%
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
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
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
aplicável o CAP.
Medicamentos
(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
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
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
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 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
ALFAVELAGLICERASE
aplicável o CAP.
Medicamentos
ALFAVELAGLICERASE
501121020037817 VPRIV 400 U PO LIOF INJ CT FA VD INC X 1 4504.56
(TAKEDA PHARMA LTDA.) 3534.73
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
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)
25.61 29.10 30.86 31.04 31.23 31.62 32.02 32.42 32.84
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
(ASPEN PHARMA INDÚSTRIA FARMACÊUTICA LTDA) 29.95 34.04 36.09 36.31 36.53 36.97 37.44 37.92 38.40
525071002119114 ALOPURINOL 100 MG COM CT BL AL PLAS TRANS X 30 7.10 8.07 8.55 8.61 8.66 8.77 8.88 8.99 9.10
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
ALPRAZOLAM
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
552919060077917 ALPRAZOLAM 0,5 MG COM CT BL AL PLAS TRANS X 30 26.04 29.59 31.37 31.56 31.76 32.15 32.55 32.96 33.38
aplicável o CAP.
Medicamentos
ALPRAZOLAM
526118403112116 ALPRAZOLAM 1 MG COM CT BL AL PLAS TRANS X 20 21.38 24.30 25.76 25.92 26.07 26.40 26.73 27.06 27.41
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
(LABORATÓRIOS BAGÓ DO BRASIL S/A) 15.71 17.85 18.93 19.05 19.15 19.40 19.64 19.88 20.14
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
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
(ZYDUS NIKKHO FARMACÊUTICA LTDA) 9.21 10.47 11.10 11.17 11.24 11.37 11.52 11.66 11.81
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
525070208112117 ALPRAZOLAM 0,5 MG COM CT BL AL PLAS OPC X 30 8.04 9.14 9.69 9.75 9.80 9.93 10.05 10.18 10.31
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
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
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
aplicável o CAP.
Medicamentos
ALPRAZOLAM
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
ALTEPLASE
504500101153319 ACTILYSE 50 MG PO LIOF SOL INJ CT FA VD TRANS + FA 2611.48 3264.35 3305.67 3348.05
(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
(GLAXOSMITHKLINE BRASIL LTDA) 1526.01 1763.44 1885.74 1898.91 1912.27 1939.55 1967.63 1996.54 2026.30
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
AMINOFILINA
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
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
AMOXICILINA
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
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
528528609132116 AMOXICILINA 50 MG/ML PO SUS OR CT FR VD AMB X 60 ML + 14.38 16.34 17.33 17.43 17.54 17.75 17.98 18.20 18.44
(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

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
AMOXICILINA TRI-HIDRATADA
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
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) SER DOS X 10 ML
30.47 34.63 36.71 36.94 37.15 37.62 38.09 38.57 39.06
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
aplicável o CAP.
Medicamentos
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
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
506408702134114 AMOXICILINA 50 MG/ML PO SUS CT FR VD AMB X 150 ML + 23.25 26.42 28.01 28.18 28.35 28.70 29.06 29.43 29.81
(CIMED INDUSTRIA S.A) COP
18.24 20.73 21.98 22.11 22.25 22.52 22.80 23.09 23.39
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
AMOXICILINA TRIHIDRATADA
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
(NOVA QUIMICA FARMACÊUTICA S/A) 33.62 38.20 40.50 40.75 40.99 41.50 42.02 42.55 43.10
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
(CIMED INDUSTRIA S.A) 21
10.83 12.30 13.05 13.13 13.21 13.37 13.54 13.71 13.88
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
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
aplicável o CAP.
Medicamentos
500102503119114 AMOXICILINA 500 MG CAP DURA CT BL AL PLAS PVC TRANS X 17.01 19.33 20.49 20.62 20.74 21.00 21.26 21.53 21.81
(AUROBINDO PHARMA INDÚSTRIA FARMACÊUTICA LIMITADA) 21
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
AMOXICILINA TRIHIDRATADA;CLAVULANATO DE POTÁSSIO

526520040095207 AMOXICILINA + CLAVULANATO DE POTÁSSIO (500+125) MG COM REV CT STR AL/AL X 12 42.62 48.43 51.35 51.66 51.98 52.62 53.28 53.95 54.64
526520040095307 AMOXICILINA + CLAVULANATO DE POTÁSSIO (500+125) MG COM REV CT STR AL/AL X 18 64.09 72.83 77.22 77.68 78.16 79.12 80.11 81.13 82.17
552919050077416 AMOXICILINA + CLAVULANATO DE POTÁSSIO 875 MG + 125 MG COM REV CT FR VD AMB X 14 123.96 140.86 149.35 150.25 151.17 153.04 154.95 156.91 158.92
526128001114111 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
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
aplicável o CAP.
Medicamentos

AMOXICILINA TRIHIDRATADA;LANSOPRAZOL;CLARITROMICINA
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;SULBACTAM PIVOXILA

536500809111310 TRIFAMOX 875 MG + 125 MG COM REV CT BL AL PLAS 89.39 101.58 107.70 108.35 109.01 110.36 111.74 113.15 114.60
(LABORATÓRIOS BAGÓ DO BRASIL S/A) PVC/PVDC TRANS X 14
70.14 79.71 84.51 85.02 85.54 86.60 87.68 88.79 89.93
AMPICILINA
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
20.01 22.74 24.11 24.26 24.40 24.70 25.02 25.33 25.65
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
(PRATI DONADUZZI & CIA LTDA) 12
16.46 18.70 19.83 19.95 20.06 20.32 20.57 20.83 21.09
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
(PRATI DONADUZZI & CIA LTDA) X 21
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
(PRATI DONADUZZI & CIA LTDA) X 840
403.19 458.17 485.77 488.71 491.69 497.76 503.98 510.36 516.91
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
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
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
(ASTRAZENECA DO BRASIL LTDA) 633.28 719.63 762.99 767.61 772.29 781.82 791.60 801.62 811.89
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

545318080002907 VACINA ADSORVIDA DIFTERIA E TÉTANO INFANTIL (DT) SUSP INJ IM CT 50 FA VD TRANS X 0,5 ML 810.77
(INSTITUTO BUTANTAN) 636.21 722.97 766.52 771.16 775.86 785.45 795.26 805.33 815.66
ICMS0%
ANFOTERICINA B
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
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
APIXABANA
511523020078606 APIXABANA 2,5 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
(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
(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
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
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
aplicável o CAP.
Medicamentos
ARIPIPRAZOL
(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
(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
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
(SUPERA FARMA LABORATÓRIOS S.A) 106.55 121.08 128.37 129.15 129.94 131.54 133.19 134.87 136.60
aplicável o CAP.
Medicamentos
ARIPIPRAZOL
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
552921010135707 ARIPIPRAZOL 10 MG COM CT BL AL/AL X 30 425.85 483.92 513.07 516.18 519.33 525.74 532.31 539.05 545.96
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
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
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;ÁCIDO ASCÓRBICO

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
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
(CAZI QUIMICA FARMACEUTICA INDUSTRIA E COMERCIO LTDA) 14.14 16.34 17.48 17.59 17.72 17.97 18.23 18.50 18.78
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
ATENOLOL
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
(VITAMEDIC INDUSTRIA FARMACEUTICA LTDA) HOSP)
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
552920020109217 ATENOLOL 50 MG COM CT BL AL PLAS TRANS X 30 20.12 22.86 24.24 24.39 24.54 24.84 25.15 25.47 25.79
526113601110119 ATENOLOL 25 MG COM CT BL AL PLAS OPC X 30 11.92

526113603113115 ATENOLOL 50 MG COM CT BL AL PLAS OPC X 30 16.82 19.11 20.27 20.39 20.51 20.77 21.03 21.29 21.56
(BIOSINTÉTICA FARMACÊUTICA LTDA) 15.79 17.94 19.02 19.14 19.26 19.49 19.74 19.99 20.24


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
528526311111110 ATENOLOL 25 MG COM CT BL AL PLAS TRANS X 30 15.50

(PRATI DONADUZZI & CIA LTDA) 12.16

510402807110412 TELOL 25 MG COM CT BL AL PLAS TRANS PVC X 30 16.35

(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) 12.83
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


(SANOFI MEDLEY FARMACÊUTICA LTDA.) 3.29
aplicável o CAP.
Medicamentos
ATENOLOL;CLORTALIDONA
520723050117906 ATENOLOL + CLORTALIDONA 50 MG + 12,5 MG COM CT BL AL PLAS TRANS X 22.09 25.10 26.61 26.78 26.94 27.27 27.61 27.96 28.32
(LABORATÓRIO TEUTO BRASILEIRO S/A) 30
17.33 19.70 20.88 21.02 21.14 21.40 21.67 21.94 22.22
520723050117806 ATENOLOL + CLORTALIDONA 100 MG + 25 MG COM CT BL AL PLAS TRANS X 35.18 39.98 42.39 42.64 42.90 43.43 43.98 44.53 45.10
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
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
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
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) 30
17.50 19.88 21.08 21.21 21.34 21.60 21.88 22.15 22.43
29.27 33.26 35.26 35.48 35.70 36.14 36.59 37.05 37.52
(SANOFI MEDLEY FARMACÊUTICA LTDA.) 30
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
ATORVASTATINA CÁLCICA
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
aplicável o CAP.
Medicamentos
526133202114115 ATORVASTATINA CÁLCICA 10 MG COM REV CT BL AL / AL X 30 112.09
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
607023050096117 ATORVASTATINA CÁLCICA 10 MG COM REV CT BL AL AL X 30 56.03

C CAP

C CAP

C CAP

C CAP

C CAP
aplicável o CAP.
Medicamentos
525314060043403 TORVILIP 40 MG COM REV CT BL AL / AL X 30 112.12
(NOVA QUIMICA FARMACÊUTICA S/A) 87.98
C CAP
531622802110416 LIPISTAT 10 MG COM REV CT BL AL / AL X 30 172.48

C CAP

C CAP

C CAP

C CAP

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
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
AXETILCEFUROXIMA
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
504621010079707 AXETILCEFUROXIMA 500 MG COM CT BL AL/AL X 10 86.98 98.84 104.80 105.43 106.07 107.38 108.73 110.10 111.51
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) 68.25 77.56 82.24 82.73 83.23 84.26 85.32 86.40 87.50
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
AZACITIDINA
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
AZITROMICINA
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
AZITROMICINA DI-HIDRATADA
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
aplicável o CAP.
Medicamentos
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
526119010103506 AZITROMICINA 40 MG/ML PO SUS CT FR PLAS OPC X 22,5 ML + 29.03 32.99 34.98 35.19 35.40 35.84 36.29 36.75 37.22
(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
526119010103606 AZITROMICINA 40 MG/ML PO SUS CT FR PLAS OPC X 37,5 ML + 29.03 32.99 34.98 35.19 35.40 35.84 36.29 36.75 37.22
(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
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
528105401112118 AZITROMICINA 500 MG COM REV CT BL AL PLAS PVC TRANS X 16.38 18.61 19.73 19.85 19.98 20.22 20.48 20.73 21.00
(PHARMASCIENCE INDUSTRIA FARMACEUTICA S.A) 3
12.85 14.60 15.48 15.58 15.68 15.87 16.07 16.27 16.48
528105402119116 AZITROMICINA 500 MG COM REV CT BL AL PLAS PVC TRANS X 32.82 37.30 39.54 39.78 40.02 40.52 41.03 41.54 42.08
25.75 29.27 31.03 31.21 31.40 31.80 32.20 32.60 33.02
525903301137419 AZITROLAB 1000 MG COM REV CT BL AL PLAS TRANS X 1 21.57 24.51 25.99 26.15 26.30 26.63 26.96 27.30 27.65
525903302117411 AZITROLAB 500 MG COM REV CT BL AL PLAS TRANS X 3 24.51 27.85 29.53 29.71 29.89 30.26 30.64 31.03 31.42
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
529900802111118 AZITROMICINA 500 MG COM REV CT BL AL PLAS TRANS X 3 51.74 58.80 62.34 62.72 63.10 63.88 64.68 65.49 66.33
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
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
855.51 972.17 1030.73 1036.98 1043.31 1056.19 1069.39 1082.93 1096.81
598.90 680.57 721.56 725.93 730.37 739.38 748.63 758.10 767.82
427.66 485.98 515.26 518.38 521.53 527.98 534.58 541.34 548.29
531600405119416 AZI 500 MG COM REV CT BL AL PLAS OPC X 5 46.35 52.67 55.84 56.18 56.52 57.22 57.94 58.67 59.42
527900301116418 AZITROPHAR 500 MG COM REV CT BL AL PLAS PVC TRANS X 29.02 32.98 34.96 35.18 35.39 35.83 36.28 36.73 37.21
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) 3
22.77 25.88 27.43 27.61 27.77 28.12 28.47 28.82 29.20
527900304115412 AZITROPHAR 500 MG COM REV CT BL AL PLAS PVC TRANS X 3385.53 3847.19 4078.95 4103.67 4128.69 4179.67 4231.91 4285.48 4340.42
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
aplicável o CAP.
Medicamentos
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
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
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
510423020189903 AZITROMICINA DIIDRATADA 500 MG COM REV CT BL AL PVC TRANS X 5 26.88 30.55 32.39 32.58 32.78 33.19 33.60 34.03 34.46
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
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
(SANOFI MEDLEY FARMACÊUTICA LTDA.) TRANS X 2
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
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
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
(GEYER MEDICAMENTOS S/A) 20.17 23.31 24.92 25.09 25.27 25.63 26.01 26.38 26.78
Liberado
BACITRACINA;SULFATO DE NEOMICINA
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
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
520722120116206 BACLOFENO 10 MG COM CT BL AL PLAS TRANS X 60 62.38 70.89 75.16 75.61 76.07 77.01 77.98 78.96 79.97
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
aplicável o CAP.
Medicamentos
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 BENZILA
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
(PHARMASCIENCE INDUSTRIA FARMACEUTICA S.A) 7.65 8.69 9.22 9.28 9.33 9.45 9.57 9.68 9.81
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
(ORGANON FARMACÊUTICA LTDA.) 16.56 18.82 19.95 20.07 20.19 20.44 20.70 20.96 21.23
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
BENZOILMETRONIDAZOL
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
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
BESILATO DE ANLODIPINO
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
(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
607023080100517 BESILATO DE ANLODIPINO 5 MG COM CT BL AL PLAS LAR X 30 32.00 36.36 38.55 38.79 39.02 39.51 40.00 40.51 41.03
aplicável o CAP.
Medicamentos
BESILATO DE ANLODIPINO
607023080100617 BESILATO DE ANLODIPINO 10 MG COM CT BL AL PLAS LAR X 30 62.98 71.57 75.88 76.34 76.80 77.75 78.73 79.72 80.74
529900901111116 BESILATO DE ANLODIPINO 10 MG COM CT BL AL PLAS OPC X 30 66.13 75.15 79.67 80.16 80.65 81.64 82.66 83.71 84.78
529900902116111 BESILATO DE ANLODIPINO 5 MG COM CT BL AL PLAS OPC X 30 33.04 37.55 39.81 40.05 40.29 40.79 41.30 41.82 42.36
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
528529003114113 BESILATO DE ANLODIPINO 10 MG COM CT BL AL/AL X 30 67.66 76.89 81.52 82.01 82.51 83.53 84.58 85.65 86.74
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
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
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
(AUROBINDO PHARMA INDÚSTRIA FARMACÊUTICA LIMITADA) 15.20 17.27 18.31 18.43 18.53 18.76 19.00 19.24 19.48
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
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
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
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
525001202119117 BESILATO DE ANLODIPINO 10 MG COM CT BL AL PLAS PVC OPC X 30 65.51 74.44 78.93 79.41 79.89 80.88 81.89 82.92 83.99
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

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
(DAIICHI SANKYO BRASIL FARMACÊUTICA LTDA) 9.31 10.58 11.21 11.28 11.35 11.49 11.64 11.78 11.94
aplicável o CAP.
Medicamentos
BESILATO DE ANLODIPINO;OLMESARTANA MEDOXOMILA

531623100099003 OLMY ANLO 40 MG + 5 MG COM REV CT BL AL/AL X 60 114.94 130.61 138.48 139.32 140.17 141.90 143.68 145.49 147.36
531623100099103 OLMY ANLO 40 MG + 10 MG COM REV CT BL AL/AL X 60 114.92 130.59 138.46 139.30 140.15 141.88 143.65 145.47 147.33
504623100094706 OLMESARTANA MEDOXOMILA + BESILATO DE (20 + 5) MG COM REV CT BL AL AL X 30 33.04 37.55 39.81 40.05 40.29 40.79 41.30 41.82 42.36
BESILATO DE ATRACÚRIO
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
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
(ASPEN PHARMA INDÚSTRIA FARMACÊUTICA LTDA) ML
88.79 100.90 106.98 107.62 108.28 109.61 110.99 112.39 113.83
BESILATO DE CISATRACÚRIO
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
(ACCORD FARMACÊUTICA LTDA) 8.70 9.89 10.48 10.55 10.61 10.74 10.88 11.02 11.16
BESILATO DE LEVANLODIPINO
541818100091004 ATELOP 2,5 MG COM CT BL AL PLAS PVC/PVDC OPC X 44.40 51.31 54.87 55.25 55.64 56.43 57.25 58.09 58.96
(EMS S/A) 30
34.84 40.26 43.06 43.35 43.66 44.28 44.92 45.58 46.27
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) 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
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
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) X 30
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
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) X 60
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
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
(SANOFI MEDLEY FARMACÊUTICA LTDA.) ML
10482.31 11911.72 12629.29 12705.83 12783.30 12941.13 13102.89 13268.75 13438.86
aplicável o CAP.
Medicamentos
BETAINTERFERONA 1A
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
BETAMETASONA
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
BETAMETASONA;CETOCONAZOL
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
BETAMETASONA;MALEATO DE DEXCLORFENIRAMINA
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
525306201132111 MALEATO DE DEXCLORFENIRAMINA + BETAMETASONA 0,4 MG/ML + 0,05 MG/ML XPE CT FR VD AMB X 29.61 34.22 36.59 36.85 37.10 37.63 38.18 38.74 39.32
(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
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
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
(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
538820060078307 MALEATO DE DEXCLORFENIRAMINA + BETAMETASONA 0,4 MG/ML + 0,05 MG/ML XPE CT FR PLAS AMB X 22.83 26.38 28.21 28.41 28.61 29.02 29.44 29.87 30.31
(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
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
BEVACIZUMABE
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%
aplicável o CAP.
Medicamentos
BEVACIZUMABE
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
526114301110111 BEZAFIBRATO 200 MG COM REV CT BL AL PLAS OPC X 20 22.20
C CAP
538807701113115 BEZAFIBRATO 200 MG COM REV CT BL AL PLAS OPC X 20 20.96

C CAP
BICALUTAMIDA
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
538001701117110 BICALUTAMIDA 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
BICARBONATO DE SÓDIO
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
(HALEX ISTAR INDÚSTRIA FARMACÊUTICA SA) TRANS SIST FECH X 250 ML
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
508601902170412 FARMACART PO SOL HD CX FR PLAS PP TRANS X 720 G 14.16 17.70 17.92 18.15
(FARMARIN INDUSTRIA E COMERCIO LTDA) 11.11 12.63 13.39 13.46 13.55 13.72 13.89 14.06 14.24
ICMS0%
508601903177410 FARMACART PO SOL HD CX FR PLAS PP TRANS X 900 G 17.71 22.14 22.42 22.71
(FARMARIN INDUSTRIA E COMERCIO LTDA) 13.90 15.80 16.75 16.85 16.95 17.15 17.37 17.59 17.82
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%
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
BICARBONATO DE SÓDIO;CARBONATO DE SÓDIO
aplicável o CAP.
Medicamentos
BICARBONATO DE SÓDIO;CARBONATO DE SÓDIO

517300401139417 ESTOMANOL 0,462G/G + 0,09G/G GRAN EFEV CT 50 ENV 49.94 57.71 61.71 62.14 62.58 63.47 64.39 65.34 66.31
(LABORATÓRIO FARMACÊUTICO VITAMED LTDA) AL/PLAS PE 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%
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
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
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
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
526131201171119 BIMATOPROSTA 0,3 MG/ML SOL OFT CT FR PLAS OPC GOT X 3 73.15
57.40
526131202176114 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
86.12 97.87 103.76 104.39 105.02 106.32 107.65 109.01 110.42
510422110188704 BIMAGAN 0,3 MG/ML SOL OFT CT FR GOT PLAS OPC X 5 136.82
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) ML
107.36
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
538804301173116 BIMATOPROSTA 0,3 MG/ML SOL OFT CT FR PLAS OPC GOT X 3 73.15
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) ML
57.40
538804302171117 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
86.12 97.87 103.76 104.39 105.02 106.32 107.65 109.01 110.42
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
BISACODIL
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
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
BISSULFATO DE CLOPIDOGREL
aplicável o CAP.
Medicamentos
BISSULFATO DE CLOPIDOGREL
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
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
529923030079006 BISSULFATO DE CLOPIDOGREL 75 MG COM REV CT BL AL/AL X 30 142.59 162.03 171.80 172.84 173.89 176.04 178.24 180.49 182.81
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
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
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
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
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
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
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

(RANBAXY FARMACÊUTICA LTDA) 1483.85
C CAP
529920120070407 BOSENTANA 125 MG COM REV CT BL AL PLAS PVC/PE/PVDC 3782.00

2967.74
C CAP
529920120070607 BOSENTANA 125 MG COM REV CT FR PLAS PEAD OPC X 60 3782.00

C CAP
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
(PFIZER BRASIL LTDA) 11342.32 13107.05 14016.02 14113.92 14213.18 14416.00 14624.69 14839.53 15060.78
aplicável o CAP.
Medicamentos
BOSUTINIBE MONOIDRATADO
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
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
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
526120003118119 BROMAZEPAM 3 MG COM CT BL AL PLAS TRANS X 30 14.04 15.95 16.92 17.02 17.12 17.33 17.55 17.77 18.00
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
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) TRANS X 20
19.23 21.85 23.17 23.31 23.45 23.75 24.04 24.35 24.65
BROMETO DE IPRATRÓPIO
aplicável o CAP.
Medicamentos
BROMETO DE IPRATRÓPIO
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
(LABORATÓRIO TEUTO BRASILEIRO S/A) ML
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
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
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 N-BUTILESCOPOLAMINA;DIPIRONA MONOIDRATADA;METILBROMETO DE HOMATROPINA;BROMIDRATO DE HIOSCIAMINA

531625802111417 TROPINAL 300 MG + 1 MG + 0,0065 MG + 0,104 MG COM CT 15.55 17.97 19.22 19.35 19.49 19.76 20.05 20.34 20.65
(EMS SIGMA PHARMA LTDA) BL AL PVDC OPC X 20
12.20 14.10 15.08 15.18 15.29 15.50 15.73 15.96 16.20
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
BROMIDRATO DE CITALOPRAM
532723070059203 ALCYTAM 20 MG COM REV CT BL AL AL X 30 112.63 127.99 135.70 136.52 137.35 139.05 140.79 142.57 144.40
(TORRENT DO BRASIL LTDA) 88.38 100.43 106.48 107.13 107.78 109.11 110.48 111.87 113.31
532723070059306 BROMIDRATO DE CITALOPRAM 20 MG COM REV CT BL AL AL X 30 73.21 83.19 88.20 88.74 89.28 90.38 91.51 92.67 93.86
607023050099217 BROMIDRATO DE CITALOPRAM 20 MG COM REV CT BL AL PLAS OPC X 30 142.75 162.22 171.99 173.03 174.09 176.23 178.44 180.70 183.01
528520120178107 NYPRAM 20 MG COM REV CT BL AL PLAS PVDC 90 75.34 85.61 90.77 91.32 91.88 93.01 94.18 95.37 96.59
(PRATI DONADUZZI & CIA LTDA) TRANS X 15
59.12 67.18 71.23 71.66 72.10 72.98 73.90 74.84 75.79
500102202119115 BROMIDRATO DE CITALOPRAM 20 MG COM REV CT BL AL PVC/PVDC TRANS X 46.04 52.32 55.47 55.81 56.15 56.84 57.55 58.28 59.03
36.13 41.06 43.53 43.79 44.06 44.60 45.16 45.73 46.32
536201501115116 CITALOPRAM 20 MG COM REV CT BL AL PLAS TRANS X 30 54.40 61.82 65.54 65.94 66.34 67.16 68.00 68.86 69.74
538807801118119 BROMIDRATO DE CITALOPRAM 20 MG COM REV CT BL AL PLAS PVDC OPC X 28 132.74 150.84 159.93 160.90 161.88 163.88 165.93 168.03 170.18
538819301115416 CITAFORIN 20 MG COM REV CT BL AL PLAS PVDC OPC X 142.22 161.61 171.35 172.39 173.44 175.58 177.78 180.03 182.33
111.60 126.82 134.46 135.27 136.10 137.78 139.51 141.27 143.07
525071402117410 ZOXIPAN 20 MG COM REV CT BL AL PLAS TRANS X 30 56.44 64.14 68.00 68.41 68.83 69.68 70.55 71.44 72.36
BROMIDRATO DE DEXTROMETORFANO;GUAIFENESINA
528700801131419 XAROPE 44 E 1,30 MG/ML + 13,30 MG/ML XPE FR PLAS TRANS 21.57 24.93 26.65 26.84 27.03 27.42 27.81 28.22 28.64
(PROCTER & GAMBLE DO BRASIL LTDA) X 120 ML
16.93 19.56 20.91 21.06 21.21 21.52 21.82 22.14 22.47
Liberado
BROMIDRATO DE ELETRIPTANA
596323030003602 ZEFORUS 20 MG COM REV CT BL AL PLAS PVC/PCTFE 12.31 14.23 15.21 15.32 15.43 15.65 15.87 16.11 16.35
(UPJOHN BRASIL IMPORTADORA E DISTRIBUIDORA DE OPC X 2
9.66 11.17 11.94 12.02 12.11 12.28 12.45 12.64 12.83
19.32 22.32 23.87 24.04 24.21 24.55 24.91 25.27 25.65
19.32 22.32 23.87 24.04 24.21 24.55 24.91 25.27 25.65
aplicável o CAP.
Medicamentos
BROMIDRATO DE ELETRIPTANA
20.98 24.24 25.92 26.10 26.29 26.66 27.05 27.44 27.85
41.94 48.47 51.83 52.19 52.56 53.30 54.08 54.87 55.69
BROMIDRATO DE FENOTEROL
504500606174313 BEROTEC 2 MG/ML SOL AER DOSIF CT TB ACO INOX X 10 19.44
(BOEHRINGER INGELHEIM DO BRASIL QUÍMICA E FARMACÊUTICA ML + BOCAL
15.25
C CAP
520729601133110 BROMIDRATO DE FENOTEROL 5 MG/ML SOL OR CT FR VD AMB X 20 ML + CGT 3.78 4.30 4.55 4.58 4.61 4.67 4.73 4.78 4.85
511611502132118 BROMIDRATO DE FENOTEROL 5 MG/ML SOL OR CX 200 FR PLAS OPC GOT X 713.51 810.81 859.65 864.86 870.13 880.88 891.89 903.18 914.76
(HIPOLABOR FARMACEUTICA LTDA) 20ML
559.89 636.24 674.57 678.66 682.79 691.23 699.87 708.73 717.81
528524201139111 BROMIDRATO DE FENOTEROL 5 MG/ML SOL OR CT FR PLAS OPC GOT X 20 ML 3.71 4.22 4.47 4.50 4.52 4.58 4.64 4.70 4.76
BROMIDRATO DE GALANTAMINA
528521010178903 ELATIUM 8 MG CAP DURA LIB PROL CT BL AL PLAS 64.94
(PRATI DONADUZZI & CIA LTDA) PVDC/PVC TRANS X 7
50.96
C CAP

50.96
C CAP

218.45
C CAP

251.16
C CAP
BROMIDRATO DE VORTIOXETINA
541823100198504 VOGNUS 5 MG COM REV CT BL AL PLAS PVC/PVDC OPC 55.38 64.00 68.43 68.91 69.40 70.39 71.41 72.46 73.54
(EMS S/A) X 10
43.46 50.22 53.70 54.07 54.46 55.24 56.04 56.86 57.71
(EMS S/A) X 30
130.37 150.65 161.10 162.23 163.37 165.70 168.10 170.57 173.11
(EMS S/A) X 60
260.74 301.31 322.21 324.46 326.73 331.40 336.20 341.13 346.22
(EMS S/A) X 10
83.78 96.82 103.53 104.26 104.98 106.48 108.03 109.61 111.25
(EMS S/A) X 30
251.35 290.46 310.60 312.77 314.96 319.46 324.08 328.84 333.75
(EMS S/A) X 60
502.69 580.91 621.19 625.53 629.93 638.92 648.17 657.69 667.50
524220120005007 BRINTELLIX 20MG COM REV CT BL AL PLAS TRANS X 30 518.22 598.85 640.38 644.85 649.39 658.65 668.19 678.00 688.11
(LUNDBECK BRASIL LTDA) 406.65 469.92 502.51 506.01 509.58 516.84 524.33 532.03 539.96
BROMOPRIDA
508502802135412 PRIDECIL 4 MG/ML SOL GOT CT FR GOT PLAS OPC X 10 14.38 16.62 17.77 17.89 18.02 18.28 18.54 18.81 19.09
(CHIESI FARMACÊUTICA LTDA) ML
11.28 13.04 13.94 14.04 14.14 14.34 14.55 14.76 14.98
533004602119414 DIGESTINA 10 MG COM CT BL AL PLAS TRANS X 20 27.37 31.63 33.82 34.06 34.30 34.79 35.29 35.81 36.34
533004603158413 DIGESTINA 5 MG/ML SOL INJ CX 6 AMP VD AMB X 2 ML 30.34 35.06 37.49 37.75 38.02 38.56 39.12 39.69 40.29
533004601139411 DIGESTINA 4 MG/ML SOL OR CT FR VD AMB CGT X 20 ML 22.64 26.16 27.98 28.17 28.37 28.78 29.19 29.62 30.06
533022120083603 DIGESTINA 5 MG/ML SOL INJ CX 50 AMP VD AMB X 2 ML 160.25 185.18 198.03 199.41 200.81 203.68 206.62 209.66 212.79
aplicável o CAP.
Medicamentos
BROMOPRIDA
511608701154111 BROMOPRIDA 5 MG/ML SOL INJ CX 100 AMP VD AMB X 2 ML 320.34 370.18 395.85 398.62 401.42 407.15 413.04 419.11 425.36
526305301158118 BROMOPRIDA 5MG/ML SOL INJ IM/IV CX 50 AMP VD AMB X 2 160.24 185.17 198.01 199.40 200.80 203.66 206.61 209.65 212.77
125.74 145.30 155.38 156.47 157.57 159.81 162.13 164.51 166.96
607023020083717 BROMOPRIDA 4 MG/ML SOL OR CT FR GOT VD AMB X 20ML 14.92 17.24 18.44 18.57 18.70 18.96 19.24 19.52 19.81
607023010080817 DIGESIGMA GOTAS 4 MG/ML SOL OR CT FR VD CGT X 20 ML 14.92 17.24 18.44 18.57 18.70 18.96 19.24 19.52 19.81
528522301136118 BROMOPRIDA 4 MG/ML SOL OR CX 200 FR PLAS OPC GOT X 721.16 833.36 891.16 897.38 903.69 916.59 929.86 943.52 957.58
(PRATI DONADUZZI & CIA LTDA) 20 ML
565.89 653.94 699.29 704.17 709.12 719.25 729.66 740.38 751.41
528522302132116 BROMOPRIDA 4 MG/ML SOL OR CT FR PLAS OPC GOT X 20 ML 17.13 19.80 21.17 21.32 21.47 21.77 22.09 22.41 22.75
528522303112119 BROMOPRIDA 10 MG COM CT BL AL PLAS TRANS X 20 19.35 22.36 23.91 24.08 24.25 24.59 24.95 25.32 25.69
540000101150411 BROMOGEX 5 MG/ML SOL INJ CT 5 AMP VD AMB X 2 ML 23.14 26.74 28.59 28.79 29.00 29.41 29.84 30.27 30.73
(WASSER FARMA LTDA) 18.16 20.98 22.43 22.59 22.76 23.08 23.42 23.75 24.11
540000102157411 BROMOGEX 5 MG/ML SOL INJ CT 50 AMP VD AMB X 2 ML 190.92 220.62 235.93 237.57 239.24 242.66 246.17 249.79 253.51
(WASSER FARMA LTDA) 149.81 173.12 185.13 186.42 187.73 190.42 193.17 196.01 198.93
537101401133111 BROMOPRIDA 4MG/ML SOL OR CT FR PLAS OPC X 20 ML 12.87 14.87 15.90 16.01 16.13 16.36 16.59 16.84 17.09
(UNITHER INDUSTRIA FARMACEUTICA LTDA.) 10.10 11.67 12.48 12.56 12.66 12.84 13.02 13.21 13.41
537101403136118 BROMOPRIDA 4MG/ML SOL OR CX 96 FR PLAS OPC X 20 ML 1235.82 1428.10 1527.14 1537.80 1548.62 1570.72 1593.46 1616.86 1640.97
(UNITHER INDUSTRIA FARMACEUTICA LTDA.) (EMB HOSP)
969.75 1120.63 1198.35 1206.71 1215.20 1232.54 1250.39 1268.75 1287.67
538805801110111 BROMOPRIDA 10 MG CAP DURA CT BL AL PLAS PVDC OPC X 20.15 23.29 24.90 25.07 25.25 25.61 25.98 26.36 26.76
15.81 18.28 19.54 19.67 19.81 20.10 20.39 20.68 21.00
538805803131116 BROMOPRIDA 4 MG/ML SOL OR CT FR VD AMB X 20 ML + CGT 13.54 15.65 16.73 16.85 16.97 17.21 17.46 17.71 17.98
525001502112118 BROMOPRIDA 10 MG CAP DURA CT BL AL PLAS TRANS X 20 16.10 18.60 19.90 20.03 20.18 20.46 20.76 21.06 21.38
BUDESONIDA
526520110096407 MIFLONIDE BRIZZ 400 MCG CAP DURA INAL OR 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) PVC/PVDC TRANS X 60 + INAL
44.60 50.68 53.74 54.07 54.40 55.06 55.75 56.46 57.18
C CAP
502303102177311 PULMICORT 0,25 MG/ML SUS P/ NEBULIZACAO CT 5 FR PLAS 32.48 36.91 39.13 39.37 39.61 40.10 40.60 41.11 41.64
(ASTRAZENECA DO BRASIL LTDA) X 2 ML
25.49 28.96 30.71 30.89 31.08 31.47 31.86 32.26 32.67
502303101170311 PULMICORT 0,25 MG/ML SUS P/ NEBULIZACAO CT 20 FR 130.18 147.93 156.84 157.79 158.76 160.72 162.73 164.78 166.90
(ASTRAZENECA DO BRASIL LTDA) PLAS X 2 ML
102.15 116.08 123.07 123.82 124.58 126.12 127.70 129.30 130.97
31.86 36.21 38.39 38.61 38.85 39.33 39.82 40.33 40.84
127.69 145.11 153.85 154.78 155.72 157.65 159.62 161.64 163.71
502301001179310 BUDECORT AQUA 32 MCG/DOSE SUS INAL NAS CT FR SPR VD 25.62 29.11 30.87 31.05 31.24 31.63 32.03 32.43 32.85
(ASTRAZENECA DO BRASIL LTDA) AMB X 120 DOSES
20.10 22.84 24.22 24.36 24.51 24.82 25.14 25.45 25.78
502301002175319 BUDECORT AQUA 64 MCG/DOSE SUS INAL NAS CT FR SPR VD 45.39 51.58 54.69 55.02 55.35 56.04 56.74 57.46 58.19
(ASTRAZENECA DO BRASIL LTDA) AMB X 120 DOSES
35.62 40.47 42.92 43.17 43.43 43.98 44.52 45.09 45.66
BUDESONIDA MICRONIZADA
504118060063417 ENTOCORT 3 MG CAP GEL MICROG CT FR PLAS OPC X 45 258.17 293.38 311.05 312.93 314.84 318.73 322.71 326.80 330.99
(BIOLAB SANUS FARMACÊUTICA LTDA) 202.59 230.22 244.08 245.56 247.05 250.11 253.23 256.44 259.73
aplicável o CAP.
Medicamentos
BUDESONIDA MICRONIZADA;FUMARATO DE FORMOTEROL DIIDRATADO

502303902173319 SYMBICORT TURBUHALER 6 MCG/INAL + 100 MCG/INAL PO INAL CT TB 92.01 104.56 110.86 111.53 112.21 113.59 115.01 116.47 117.96
(ASTRAZENECA DO BRASIL LTDA) PLAS 60 DOSES
72.20 82.05 86.99 87.52 88.05 89.13 90.25 91.39 92.56
502303903171311 SYMBICORT TURBUHALER 6 MCG/INAL + 200 MCG/INAL PO INAL CT TB 108.74 123.57 131.01 131.81 132.61 134.25 135.93 137.65 139.41
(ASTRAZENECA DO BRASIL LTDA) PLAS 60 DOSES
85.33 96.97 102.80 103.43 104.06 105.35 106.67 108.01 109.39
C CAP
BUDESONIDA;FUMARATO DE FORMOTEROL DI-HIDRATADO

552923050159703 BRONX 6 MCG + 100 MCG CAP DURA PO INAL CT FR 82.82 94.11 99.78 100.39 101.00 102.25 103.53 104.84 106.18
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) PLAS OPC X 60 + INAL
64.99 73.85 78.30 78.78 79.25 80.24 81.24 82.27 83.32
552923050159803 BRONX 6 MCG + 200 MCG CAP DURA PO INAL CT FR 20.45

16.05
C CAP

(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) PLAS OPC X 60
64.20
C CAP

64.20
C CAP

19.74
C CAP

19.74
C CAP

78.95
C CAP

78.95
C CAP
502306101139311 VANNAIR 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
502306102135311 VANNAIR 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
BUSSULFANO
538022100043606 BUSSULFANO 6,0 MG/ML SOL DIL INFUS IV CT FA VD TRANS X 1061.42 1206.16 1278.82 1286.57 1294.41 1310.40 1326.78 1343.57 1360.79
(ACCORD FARMACÊUTICA LTDA) 10 ML
832.90 946.47 1003.49 1009.57 1015.72 1028.27 1041.13 1054.30 1067.81
538022100043706 BUSSULFANO 6,0 MG/ML SOL DIL INFUS IV CT 10 FA VD 10614.28 12061.69 12788.29 12865.79 12944.24 13104.05 13267.85 13435.80 13608.05
(ACCORD FARMACÊUTICA LTDA) TRANS X 10 ML
8329.03 9464.81 10034.97 10095.79 10157.34 10282.75 10411.28 10543.07 10678.24
BUTILBROMETO DE ESCOPOLAMINA
511820110011607 BUTILBROMETO DE ESCOPOLAMINA 20 MG/ML SOL INJ IV/IM/SC CX 100 AMP VD AMB 115.42 133.38 142.63 143.62 144.63 146.70 148.82 151.01 153.26
(HYPOFARMA - INSTITUTO DE HYPODERMIA E FARMÁCIA LTDA) X 1 ML
90.57 104.66 111.92 112.70 113.49 115.12 116.78 118.50 120.26
511606302155118 BUTILBROMETO DE ESCOPOLAMINA 20MG/ML SOL INJ CX 100 EST AMP VD AMB X 115.34 133.29 142.53 143.52 144.53 146.60 148.72 150.90 153.15
(HIPOLABOR FARMACEUTICA LTDA) 1ML (EMB HOSP)
90.51 104.59 111.84 112.62 113.41 115.04 116.70 118.41 120.18
511606303135110 BUTILBROMETO DE ESCOPOLAMINA 10 MG/ML SOL OR CT FR PLAS OPC GOT X 20ML 20.10 23.23 24.84 25.01 25.19 25.55 25.92 26.30 26.69
Liberado
528500801136116 BUTILBROMETO DE ESCOPOLAMINA 10 MG/ML SOL OR CT FR PLAS OPC GOT X 20 7.82 9.04 9.66 9.73 9.80 9.94 10.08 10.23 10.38
(PRATI DONADUZZI & CIA LTDA) ML
6.14 7.09 7.58 7.63 7.69 7.80 7.91 8.03 8.14
Liberado
540923060060407 BUSCOPAN 10 MG/ML SOL GOT OR CT FR GOT VD AMB X 20 13.37 15.45 16.52 16.64 16.75 16.99 17.24 17.49 17.75
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) ML
10.49 12.12 12.96 13.06 13.14 13.33 13.53 13.72 13.93
Liberado
540923010058507 BUSCOPAN PEDIÁTRICO 10 MG/ML SOL GOT OR CT FR GOT VD AMB X 20 13.95 16.12 17.24 17.36 17.48 17.73 17.99 18.25 18.52
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) ML + SER DOS
10.95 12.65 13.53 13.62 13.72 13.91 14.12 14.32 14.53
Liberado
BUTILBROMETO DE ESCOPOLAMINA;DIPIRONA
511801902158411 HYPOCINA COMPOSTA 4 MG/ML + 500 MG/ML SOL INJ CX 50 AMP VD 87.29 100.87 107.87 108.62 109.38 110.94 112.55 114.20 115.91
(HYPOFARMA - INSTITUTO DE HYPODERMIA E FARMÁCIA LTDA) AMB X 5 ML (EMB HOSP)
68.50 79.15 84.65 85.23 85.83 87.05 88.32 89.61 90.96
503401301113414 BELSPAN 250 MG + 10 MG COM REV CT BL AL PLAS 11.17 12.91 13.80 13.90 14.00 14.20 14.40 14.61 14.83
(BELFAR LTDA) TRANS X 20
8.77 10.13 10.83 10.91 10.99 11.14 11.30 11.46 11.64
aplicável o CAP.
Medicamentos
BUTILBROMETO DE ESCOPOLAMINA;DIPIRONA
505501801114417 BINOSPAN COMPOSTO 250 MG + 10 MG COM REV CT FR VD AMB X 20 18.80 21.73 23.23 23.39 23.56 23.89 24.24 24.60 24.96
Liberado
511606402133116 DIPIRONA MONOIDRATADA + BUTILBROMETO DE (333,4 + 6,67) MG/ML SOL OR CT FR PLAS OPC 24.46 28.27 30.23 30.44 30.65 31.09 31.54 32.00 32.48
(HIPOLABOR FARMACEUTICA LTDA) GOT X 20 ML
19.19 22.18 23.72 23.89 24.05 24.40 24.75 25.11 25.49
Liberado
CABAZITAXEL
507517050006306 CABAZITAXEL 60 MG SOL INJ CT FR AMP VD TRANS X1,5ML + 12971.98 14740.89 15628.89 15723.61 15819.49 16014.79 16214.98 16420.23 16630.74
(DR. REDDYS FARMACÊUTICA DO BRASIL LTDA) DIL FR AMP VD TRANS X 4,5 ML
10179.11 11567.18 12263.99 12338.32 12413.55 12566.81 12723.90 12884.95 13050.14
507517050006406 CABAZITAXEL 60 MG SOL INJ CT BAND 5 FR AMP VD TRANS 64872.96 73719.30 78160.17 78633.88 79113.35 80090.08 81091.20 82117.68 83170.44
(DR. REDDYS FARMACÊUTICA DO BRASIL LTDA) X1,5ML + DIL 5 FR AMP VD TRANS X 4,5 ML
50905.81 57847.53 61332.29 61704.01 62080.25 62846.69 63632.26 64437.74 65263.84
507517030006004 CABAZRED 60 MG SOL INJ CT FR AMP VD TRANS X1,5ML + 19956.69 22678.06 24044.20 24189.92 24337.42 24637.89 24945.86 25261.64 25585.49
(DR. REDDYS FARMACÊUTICA DO BRASIL LTDA) DIL FR AMP VD TRANS X 4,5 ML
15660.01 17795.47 18867.48 18981.83 19097.57 19333.35 19575.02 19822.81 20076.93
507517030006104 CABAZRED 60 MG SOL INJ CT BAND 5 FR AMP VD TRANS 99785.88 113393.08 120223.92 120952.56 121690.08 123192.45 124732.35 126311.26 127930.59
(DR. REDDYS FARMACÊUTICA DO BRASIL LTDA) X1,5ML + DIL 5 FR AMP VD TRANS X 4,5 ML
78301.98 88979.55 94339.71 94911.47 95490.21 96669.11 97877.48 99116.45 100387.13
538018110026403 CABAZITAXEL 60 MG SOL DIL INJ IV CT FR VD TRANS X 1,5 ML 12972.28 14741.23 15629.25 15723.97 15819.85 16015.16 16215.35 16420.61 16631.12
(ACCORD FARMACÊUTICA LTDA) + DIL X 4,5 ML
10179.35 11567.44 12264.27 12338.60 12413.84 12567.10 12724.19 12885.25 13050.44
538018020025204 CAAB 60 MG SOL DIL INJ IV CT FR VD TRANS X 1,5 ML 19957.34 22678.80 24044.98 24190.71 24338.22 24638.69 24946.68 25262.46 25586.33
(ACCORD FARMACÊUTICA LTDA) + DIL X 4,5 ML
15660.52 17796.05 18868.10 18982.45 19098.20 19333.98 19575.66 19823.45 20077.59
576720050064517 JEVTANA 60 MG SOL INJ CX FA VD TRANS X 1,5 ML + DIL 19957.37 24946.71 25262.50 25586.37
(SANOFI MEDLEY FARMACÊUTICA LTDA.) X 4,5 ML
15660.55 17796.09 18868.13 18982.48 19098.22 19334.01 19575.68 19823.48 20077.63
ICMS0%
CABERGOLINA
607023040094807 CABERGOLINA 0,5 MG COM CT FR VD AMB X 2 56.01
C CAP

C CAP

C CAP

C CAP
CAFEÍNA ANIDRA;CITRATO DE ORFENADRINA;DIPIRONA

528120110017507 DORTRIRELAX 35 MG + 300 MG + 50 MG COM CT BL AL PLAS 41.32 47.75 51.06 51.42 51.78 52.52 53.28 54.06 54.87
(PHARMASCIENCE INDUSTRIA FARMACEUTICA S.A) LARANJA X 100
32.42 37.47 40.07 40.35 40.63 41.21 41.81 42.42 43.06
Liberado
528120110017607 DORTRIRELAX 35 MG + 300 MG + 50 MG COM CT BL AL PLAS 124.06 143.36 153.30 154.38 155.46 157.68 159.96 162.31 164.73
(PHARMASCIENCE INDUSTRIA FARMACEUTICA S.A) LARANJA X 300
97.35 112.49 120.29 121.14 121.99 123.73 125.52 127.36 129.26
Liberado
CAFEÍNA ANIDRA;ÁCIDO ACETILSALICÍLICO;CLORIDRATO DE FENILEFRINA;MALEATO DE DEXCLORFENIRAMINA

540919040038403 CORISTINA D 1 MG + 10 MG + 30 MG + 400 MG COM CT BL AL 184.91 213.68 228.50 230.09 231.71 235.02 238.42 241.92 245.53
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) PLAS TRANS X 120
145.10 167.67 179.30 180.55 181.82 184.42 187.09 189.83 192.67
Liberado
CAFEÍNA;CITRATO DE ORFENADRINA;DIPIRONA
527902202115411 FENAFLEX - ODC 35 MG + 300 MG + 50 MG COM CT BL AL PLAS 78.96 91.25 97.57 98.25 98.95 100.36 101.81 103.31 104.85
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) PVC AMB X 200
61.96 71.60 76.56 77.10 77.65 78.75 79.89 81.07 82.28
Liberado
CAFEÍNA;HIDRÓXIDO DE ALUMÍNIO;MALEATO DE MEPIRAMINA;ÁCIDO ACETILSALICÍLICO

540900801132413 ENGOV 15 MG + 150 MG +150 MG + 50 MG COM CT ENV 139.58 161.30 172.48 173.69 174.91 177.41 179.97 182.62 185.34
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) AL PLAS X 150
109.53 126.57 135.35 136.30 137.25 139.21 141.22 143.30 145.44
Liberado
CAFEÍNA;ÁCIDO ACETILSALICÍLICO
538902202110418 CAFIASPIRINA 650 MG + 65 MG COM CT BL AL/AL X 100 104.67 120.96 129.34 130.25 131.16 133.03 134.96 136.94 138.98
(BAYER S.A.) 82.13 94.92 101.49 102.21 102.92 104.39 105.90 107.46 109.06
Liberado
540902101111411 DORIL (500 + 30) MG COM CT BL AL PLAS TRANS X 150 172.06 198.83 212.62 214.10 215.61 218.69 221.85 225.11 228.47
Liberado
CALCIPOTRIOL
aplicável o CAP.
Medicamentos
CALCIPOTRIOL
541100301168316 DAIVONEX 50 MCG/G POM DERM CT BG AL X 30 G 78.31 90.49 96.77 97.45 98.13 99.53 100.97 102.46 103.98
(LEO PHARMA LTDA) 61.45 71.01 75.94 76.47 77.00 78.10 79.23 80.40 81.59
C CAP
CALCITRIOL
505605001114411 OSTRIOL 0,25 MCG CAP GEL MOLE CT BL AL PLAS AMB X 76.91
(ASPEN PHARMA INDÚSTRIA FARMACÊUTICA LTDA) 30
60.35
C CAP
CANDESARTANA CILEXETILA
502300304119219 ATACAND 8 MG COM CT BL AL PLAS TRANS X 30 117.61 133.65 141.70 142.56 143.43 145.20 147.01 148.87 150.78
CAPECITABINA
541819070110704 COAMA 150 MG COM REV CT BL AL PLAS PVC/PVDC 457.40 519.77 551.08 554.42 557.80 564.69 571.75 578.99 586.41
(EMS S/A) OPC X 60
358.92 407.86 432.43 435.05 437.70 443.11 448.65 454.33 460.16
(EMS S/A) OPC X 60
1144.02 1300.03 1378.34 1386.69 1395.15 1412.37 1430.03 1448.13 1466.69
(EMS S/A) OPC X 120
717.81 815.70 864.83 870.08 875.38 886.18 897.27 908.62 920.27
(EMS S/A) OPC X 120
2288.01 2600.02 2756.64 2773.35 2790.26 2824.71 2860.02 2896.22 2933.35
552921020135904 CAPZAT 150 MG COM REV CT BL AL PLAS PVC TRANS X 434.35 493.58 523.31 526.48 529.70 536.23 542.94 549.81 556.86
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) 60
340.83 387.31 410.64 413.13 415.66 420.78 426.05 431.44 436.97
552921020136004 CAPZAT 500 MG COM REV CT BL AL PLAS PVC TRANS X 2427.69 2758.74 2924.93 2942.65 2960.60 2997.15 3034.61 3073.03 3112.42
1905.01 2164.78 2295.19 2309.10 2323.18 2351.86 2381.26 2411.41 2442.32
CAPTOPRIL
513423050030506 CAPTOPRIL 25 MG COM CT BL AL PLAS PVDC TRANS X 30 4.27
(INSTITUTO BIOCHIMICO INDÚSTRIA FARMACÊUTICA LTDA) 3.35
513423050030606 CAPTOPRIL 50 MG COM CT BL AL PLAS PVDC TRANS X 30 9.69 11.01 11.67 11.75 11.82 11.96 12.11 12.27 12.42
520723601115113 CAPTOPRIL 50 MG COM CT BL AL PLAS TRANS X 30 26.47 30.08 31.89 32.08 32.28 32.68 33.09 33.51 33.94
503401902117414 CAPTOMIDO 25 MG COM CT BL AL PLAS PVDC TRANS X 30 9.95 11.31 11.99 12.06 12.13 12.28 12.44 12.59 12.76
(BELFAR LTDA) 7.81 8.87 9.41 9.46 9.52 9.64 9.76 9.88 10.01
503401903113412 CAPTOMIDO 50 MG COM CT BL AL PLAS PVDC TRANS X 30 17.19 19.53 20.71 20.84 20.96 21.22 21.49 21.76 22.04
(BELFAR LTDA) 13.49 15.33 16.25 16.35 16.45 16.65 16.86 17.08 17.30
528526501113114 CAPTOPRIL 25 MG COM CT BL AL PLAS TRANS X 30 27.27


527900604119413 CAPTOSEN 25 MG COM CT BL AL PLAS TRANS X 30 15.98 18.16 19.25 19.37 19.49 19.73 19.98 20.23 20.49
aplicável o CAP.
Medicamentos
CAPTOPRIL
506420100043107 CAPTOPRIL 25 MG COM CT BL AL PLAS PVC TRANS X 30 8.47

504614110024317 CAPOTRINEO 25 MG COM CT BL AL PLAS INC X 30 21.27 24.17 25.63 25.78 25.94 26.26 26.59 26.92 27.27
504614110024417 CAPOTRINEO 50 MG COM CT BL AL PLAS INC X 30 46.04 52.32 55.47 55.81 56.15 56.84 57.55 58.28 59.03
538820203113110 CAPTOPRIL 25 MG COM CT BL AL PLAS OPC X 30 22.61

538820201110114 CAPTOPRIL 50 MG COM CT BL AL PLAS OPC X 30 35.16 39.95 42.36 42.62 42.88 43.41 43.95 44.51 45.08

CARBACOL
527200101157418 OPHTCOL 0,1 MG/ML SOL IVIT CX FA VD TRANS X 2 ML 33.79 38.40 40.71 40.96 41.21 41.72 42.24 42.77 43.32
(OPHTHALMOS LTDA) 26.52 30.13 31.95 32.14 32.34 32.74 33.15 33.56 33.99
CARBAMAZEPINA
526101803112119 CARBAMAZEPINA 400 MG COM CT BL AL PLAS TRANS X 20 17.14 19.48 20.65 20.78 20.90 21.16 21.43 21.70 21.97
526101801111115 CARBAMAZEPINA 200 MG COM CT BL AL PLAS TRANS X 20 10.72 12.18 12.92 12.99 13.07 13.23 13.40 13.57 13.74
530808004135111 CARBAMAZEPINA 20 MG/ML SUS OR CX 50 FR PLAS AMB X 100 ML 589.24 669.59 709.93 714.23 718.59 727.46 736.55 745.87 755.44
(SANVAL COMÉRCIO E INDÚSTRIA LTDA) 462.38 525.43 557.08 560.46 563.88 570.84 577.97 585.28 592.79
525068101136114 CARBAMAZEPINA 20 MG/ML SUS OR CT FR VD AMB X 100 ML + 13.09 14.88 15.77 15.87 15.96 16.16 16.36 16.57 16.78
(SANOFI MEDLEY FARMACÊUTICA LTDA.) COP
10.27 11.68 12.37 12.45 12.52 12.68 12.84 13.00 13.17
CARBOCISTEÍNA
528501107136113 CARBOCISTEINA 20 MG/ML XPE CT FR PLAS OPC X 100 ML + CP 11.59 13.39 14.32 14.42 14.52 14.73 14.94 15.16 15.39
9.09 10.51 11.24 11.31 11.39 11.56 11.72 11.90 12.08
Liberado
528501108132111 CARBOCISTEINA 20 MG/ML XPE CX 50 FR PLAS OPC X 80 ML + 149.42 172.67 184.64 185.93 187.24 189.91 192.66 195.49 198.41
(PRATI DONADUZZI & CIA LTDA) COP (EMB HOSP)
117.25 135.49 144.89 145.90 146.93 149.02 151.18 153.40 155.69
Liberado
528501109139111 CARBOCISTEINA 50 MG/ML XPE CT FR PLAS OPC X 100 ML + COP 17.75 20.51 21.93 22.09 22.24 22.56 22.89 23.22 23.57
Liberado
528501110137117 CARBOCISTEINA 50 MG/ML XPE CX 50 FR PLAS OPC X 80 ML + 50 205.68 237.68 254.16 255.94 257.74 261.42 265.20 269.10 273.11
(PRATI DONADUZZI & CIA LTDA) COP (EMB HOSP)
161.40 186.51 199.44 200.84 202.25 205.14 208.10 211.16 214.31
Liberado
(PRATI DONADUZZI & CIA LTDA) 50 COP (EMB HOSP)
174.56 201.71 215.71 217.21 218.73 221.86 225.08 228.38 231.79
Liberado
(PRATI DONADUZZI & CIA LTDA) 50 COP
223.18 257.91 275.80 277.72 279.67 283.67 287.77 292.00 296.35
Liberado
525305401138113 CARBOCISTEINA 20 MG/ML XPE CT FR VD AMB X 100 ML + CP 13.43 15.52 16.60 16.71 16.83 17.07 17.32 17.57 17.83
(NOVA QUIMICA FARMACÊUTICA S/A) MED
10.54 12.18 13.03 13.11 13.21 13.39 13.59 13.79 13.99
Liberado
(NOVA QUIMICA FARMACÊUTICA S/A) MED
15.95 18.43 19.71 19.85 20.00 20.28 20.57 20.87 21.18
Liberado
531627002139410 MUCOTOSS 20 MG/ML XPE CT FR VD AMB X 100 ML 19.59 22.64 24.21 24.38 24.55 24.90 25.26 25.63 26.01
Liberado
531627001132412 MUCOTOSS 50 MG/ML XPE CT FR VD AMB X 100 ML 23.43 27.08 28.95 29.16 29.36 29.78 30.21 30.65 31.11
Liberado
506401402135428 CARBOCIN 50 MG/ML XPE ADU CT FR VD AMB X 100 ML 16.26 18.79 20.09 20.23 20.38 20.67 20.97 21.27 21.59
Liberado
aplicável o CAP.
Medicamentos
CARBOCISTEÍNA
506401401139421 CARBOCIN 20 MG/ML XPE PED CT FR VD AMB X 100 ML 10.90 12.60 13.47 13.56 13.66 13.85 14.05 14.26 14.47
Liberado
506420100042007 CARBOCIN 50 MG/ML XPE ADU CT FR PLAS AMB X 100 ML 16.26 18.79 20.09 20.23 20.38 20.67 20.97 21.27 21.59
Liberado
506420100041907 CARBOCIN 20 MG/ML XPE PED CT FR PLAS AMB X 100 ML 10.90 12.60 13.47 13.56 13.66 13.85 14.05 14.26 14.47
Liberado
510408602138111 CARBOCISTEÍNA 20 MG/ML XPE CT FR VD AMB X 100 ML + CP 13.94 16.11 17.23 17.35 17.47 17.72 17.97 18.24 18.51
10.94 12.64 13.52 13.62 13.71 13.91 14.10 14.31 14.52
Liberado
510408601131111 CARBOCISTEÍNA 50 MG/ML XPE CT FR VD AMB X 100 ML + CP 20.36 23.53 25.16 25.34 25.51 25.88 26.25 26.64 27.03
15.98 18.46 19.74 19.89 20.02 20.31 20.60 20.90 21.21
Liberado
525002002131121 CARBOCISTEINA 50 MG/ML SOL OR CT FR VD AMB X 20 ML + CGT 12.29 14.20 15.19 15.29 15.40 15.62 15.85 16.08 16.32
Liberado
(SANOFI MEDLEY FARMACÊUTICA LTDA.) MED
12.66 14.63 15.64 15.75 15.86 16.09 16.32 16.56 16.81
Liberado
(SANOFI MEDLEY FARMACÊUTICA LTDA.) MED
19.18 22.16 23.70 23.86 24.04 24.37 24.73 25.10 25.46
Liberado
CARBONATO CÁLCIO;COLECALCIFEROL
540401801110416 OSTEOFIX 1500 MG + 200 UI COM REV CT FR PLAS OPC X 44.04 50.89 54.42 54.80 55.19 55.97 56.78 57.62 58.48
(NATULAB LABORATÓRIO S.A) 60
34.56 39.93 42.70 43.00 43.31 43.92 44.55 45.21 45.89
Liberado
CARBONATO DE CÁLCIO
576720070076417 OSCAL 500 500 MG COM REV CT FR PLAS OPC X 60 62.39 72.10 77.10 77.64 78.18 79.30 80.45 81.63 82.84
Liberado
CARBONATO DE CÁLCIO 90%;HIDRÓXIDO DE ALUMÍNIO;HIDRÓXIDO DE MAGNÉSIO

540902006119417 ESTOMAZIL PASTILHAS (230+141,47+185) MG COM MAST CT BL AL PLAS 132.54 153.16 163.78 164.93 166.09 168.46 170.90 173.41 175.99
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) TRANS X 250 (EMB MULT) (ABACAXI)
104.00 120.18 128.52 129.42 130.33 132.19 134.11 136.08 138.10
Liberado
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) TRANS X 250 (EMB MULT) (LIMÃO)
104.00 120.18 128.52 129.42 130.33 132.19 134.11 136.08 138.10
Liberado
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) TRANS X 250 (EMB MULT) (MENTA)
104.00 120.18 128.52 129.42 130.33 132.19 134.11 136.08 138.10
Liberado
CARBONATO DE CÁLCIO;CARBONATO BÁSICO DE BISMUTO;BICARBONATO DE SÓDIO;CARBONATO DE MAGNÉSIO

540901401138412 BISUISAN (649 + 146,67 + 146,67 + 35,8) MG/G PO OR CT 15.73 18.18 19.44 19.57 19.71 19.99 20.28 20.58 20.89
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) FR PLAS OPC X 50 G
12.34 14.27 15.25 15.36 15.47 15.69 15.91 16.15 16.39
Liberado
540901403130419 BISUISAN (586,742 + 134,34 + 134,34 + 32,495) MG/G GRAN 19.99 23.10 24.70 24.87 25.05 25.41 25.77 26.15 26.54
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) OR CT 12 ENV AL/PLAS X 5,5 G
15.69 18.13 19.38 19.51 19.66 19.94 20.22 20.52 20.83
Liberado
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) OR CT 25 ENV AL/PLAS X 5,5 G
32.63 37.70 40.32 40.60 40.88 41.47 42.07 42.69 43.32
Liberado
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) OR CT 25 ENV AL/PLAS X 5,5 G - (EMB MULT)
32.63 37.70 40.32 40.60 40.88 41.47 42.07 42.69 43.32
Liberado
CARBONATO DE CÁLCIO;COLECALCIFEROL
32.92 38.04 40.68 40.96 41.25 41.84 42.44 43.06 43.71
Liberado
540413050006703 OSTEOFIX 1250 MG + 200 UI COM REV CX 50 FR PLAS OPC 2218.86 2564.09 2741.91 2761.06 2780.48 2820.15 2860.98 2903.01 2946.29
(NATULAB LABORATÓRIO S.A) X 60 (EMB HOSP)
1741.14 2012.04 2151.58 2166.60 2181.84 2212.97 2245.01 2277.99 2311.95
Liberado
48.17 55.67 59.53 59.94 60.37 61.23 62.12 63.03 63.97
Liberado
537800202113419 CALDROX D 600 MG + 400 UI COM MAST CT FR PLAS OPC X 54.94 63.49 67.89 68.37 68.85 69.83 70.84 71.88 72.95
(DROXTER INDUSTRIA, COMÉRCIO E PARTICIPAÇÕES LTDA) 60 (SABOR MENTA)
43.11 49.82 53.27 53.65 54.03 54.80 55.59 56.40 57.24
Liberado
CARBONATO DE CÁLCIO;HIDRÓXIDO DE ALUMÍNIO;HIDRÓXIDO DE MAGNÉSIO
aplicável o CAP.
Medicamentos
CARBONATO DE CÁLCIO;HIDRÓXIDO DE ALUMÍNIO;HIDRÓXIDO DE MAGNÉSIO

506313603139411 GASTROLIV (35,6 + 37,0 + 46,0)MG/G PO EFEV DISP 100 193.62 223.74 239.26 240.93 242.63 246.09 249.65 253.32 257.10
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) SACH AL/POLIET X 5 G (SABOR ABACAXI)
151.93 175.57 187.75 189.06 190.39 193.11 195.90 198.78 201.75
Liberado
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) SACH AL/POLIET X 5 G (SABOR LARANJA)
151.93 175.57 187.75 189.06 190.39 193.11 195.90 198.78 201.75
Liberado
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) SACH AL/POLIET X 5 G (SABOR LIMÃO)
151.93 175.57 187.75 189.06 190.39 193.11 195.90 198.78 201.75
Liberado
506315060028803 GASTROLIV (35,6 + 37,0 + 46,0)MG/G PO EFEV DISP 50 SACH 96.82 111.88 119.64 120.48 121.33 123.06 124.84 126.67 128.56
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) AL/POLIET X 5 G (SABOR ABACAXI)
75.97 87.79 93.88 94.54 95.21 96.57 97.96 99.40 100.88
Liberado
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) AL POLIET X 5 G (SABOR LARANJA)
75.97 87.79 93.88 94.54 95.21 96.57 97.96 99.40 100.88
Liberado
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) AL/POLIET X 5 G (SABOR LIMÃO)
75.97 87.79 93.88 94.54 95.21 96.57 97.96 99.40 100.88
Liberado
528101202131411 GASTROFTAL (35,6 + 37 + 47,6) MG/ML SUS OR CT FR PLAS 29.10 33.63 35.96 36.21 36.47 36.99 37.52 38.07 38.64
(PHARMASCIENCE INDUSTRIA FARMACEUTICA S.A) AMB X 240 ML
22.83 26.39 28.22 28.41 28.62 29.03 29.44 29.87 30.32
Liberado
504619070074103 GASTROL 37 MG/G + 47 MG/G + 35,6 MG/G PO EFEV CT 25 55.09 63.66 68.08 68.55 69.03 70.02 71.03 72.08 73.15
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) ENV AL X 5 G LIMÃO
43.23 49.95 53.42 53.79 54.17 54.94 55.74 56.56 57.40
Liberado
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) ENV AL X 5 G LARANJA
43.23 49.95 53.42 53.79 54.17 54.94 55.74 56.56 57.40
Liberado
504619070074303 GASTROL 37 MG/G + 47 MG/G + 35,6 MG/G PO EFERV CT 55.09 63.66 68.08 68.55 69.03 70.02 71.03 72.08 73.15
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) 25 ENV AL X 5 G ABACAXI
43.23 49.95 53.42 53.79 54.17 54.94 55.74 56.56 57.40
Liberado
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) ENV AL X 5 G LARANJA
7.58 8.76 9.37 9.43 9.50 9.64 9.78 9.92 10.07
Liberado
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) ENV AL X 5 G ABACAXI
7.58 8.76 9.37 9.43 9.50 9.64 9.78 9.92 10.07
Liberado
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) TRANS X 20 (ABACAXI)
7.82 9.04 9.67 9.74 9.80 9.94 10.09 10.23 10.39
Liberado
CARBONATO DE LÍTIO
513423080032206 CARBONATO DE LÍTIO 300 MG COM CT BL AL PLAS PVC TRANS X 60 23.63 26.85 28.47 28.64 28.82 29.17 29.54 29.91 30.29
511611603117114 CARBONATO DE LÍTIO 300 MG COM CT BL AL PLAS AMB X 500 197.12 224.00 237.49 238.93 240.39 243.36 246.40 249.52 252.72
CARBOPLATINA
504401302150416 B -PLATIN 10 MG / ML SOL INJ CT FA VD AMB X 5 ML 112.40 127.73 135.42 136.24 137.07 138.77 140.50 142.28 144.10
538000202151110 CARBOPLATINA 10 MG/ML SOL INJ IV CT FA VD AMB X 15 ML 510.88 580.55 615.52 619.25 623.02 630.72 638.60 646.68 654.97
538000203156116 CARBOPLATINA 10 MG/ML SOL INJ IV CT FA VD AMB X 45 ML 1323.79 1504.31 1594.93 1604.59 1614.38 1634.31 1654.74 1675.68 1697.17
537500703151411 TEVACARBO 10 MG/ML SOL INJ IV CT FA VD AMB X 15 ML 594.10 675.11 715.78 720.12 724.51 733.46 742.63 752.03 761.67
537500701157412 TEVACARBO 10 MG/ML SOL INJ IV CT FA VD AMB X 45 ML 1614.53 1834.69 1945.22 1957.01 1968.94 1993.25 2018.16 2043.71 2069.91
CARBOXIMETILCELULOSE SÓDICA
533018001171411 LACRIFILM 5 MG/ML SOL OFT CT FR GOT PLAS OPC X 15 24.13 27.88 29.82 30.03 30.24 30.67 31.11 31.57 32.04
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) ML
18.93 21.88 23.40 23.57 23.73 24.07 24.41 24.77 25.14
Liberado
aplicável o CAP.
Medicamentos
CARBOXIMETILCELULOSE SÓDICA
533020100072107 LIRIS 5 MG/ML SOL OFT CT FR GOT PLAS OPC X 10 23.09 26.68 28.53 28.73 28.93 29.35 29.77 30.21 30.66
18.12 20.94 22.39 22.54 22.70 23.03 23.36 23.71 24.06
Liberado
CARBÔMER 340
503100701163411 VIDISIC GEL 2 MG/G GEL OFT CT TB PLAS PEAD OPC X 10 G 32.56 37.63 40.24 40.52 40.80 41.38 41.98 42.60 43.23
(BL INDÚSTRIA OTICA LTDA) 25.55 29.53 31.58 31.80 32.02 32.47 32.94 33.43 33.92
Liberado
CARBÔMER;SORBITOL
503100901162419 LIPOSIC 2,0 MG/G + 48,5 MG/G GEL OFT CT BG PLAS 32.56 37.63 40.24 40.52 40.80 41.38 41.98 42.60 43.23
(BL INDÚSTRIA OTICA LTDA) LAMINADO X 10 G
25.55 29.53 31.58 31.80 32.02 32.47 32.94 33.43 33.92
CARISOPRODOL;PARACETAMOL;CAFEÍNA;DICLOFENACO SÓDICO
516320100003007 BESEROL 300 MG + 125 MG + 50 MG + 30 MG COM CT BL 27.82 32.15 34.38 34.62 34.86 35.36 35.87 36.40 36.94
(MEGALABS FARMACEUTICA S.A.) AL PLAS PVC/PE/PVDC TRANS X 30
21.83 25.23 26.98 27.17 27.35 27.75 28.15 28.56 28.99
533023070086306 PARACETAMOL + CARISOPRODOL + DICLOFENACO (300 + 125 + 50 + 30) MG COM CT BL AL PLAS 12.27 14.18 15.16 15.27 15.38 15.60 15.82 16.05 16.29
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) PVC TRANS X 15
9.63 11.13 11.90 11.98 12.07 12.24 12.41 12.59 12.78
533023070086406 PARACETAMOL + CARISOPRODOL + DICLOFENACO (300 + 125 + 50 + 30) MG COM CT BL AL PLAS 24.54 28.36 30.32 30.54 30.75 31.19 31.64 32.11 32.59
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) PVC TRANS X 30
19.26 22.25 23.79 23.97 24.13 24.47 24.83 25.20 25.57
510405601114417 FLEXALGIN (300,0 + 125,0 + 50,0 + 30,0) MG COM CT BL AL 27.24 31.48 33.66 33.90 34.13 34.62 35.12 35.64 36.17
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) PLAS TRANS X 30
21.38 24.70 26.41 26.60 26.78 27.17 27.56 27.97 28.38
510405602110415 FLEXALGIN (300,0 + 125,0 + 50,0 + 30,0) MG COM CT BL AL 83.99 97.06 103.79 104.51 105.25 106.75 108.30 109.89 111.53
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) PLAS TRANS X 100
65.91 76.16 81.44 82.01 82.59 83.77 84.98 86.23 87.52
538821010100107 TORFLAY 300 MG + 30 MG + 125 MG + 50 MG COM CT BL 27.82 32.15 34.38 34.62 34.86 35.36 35.87 36.40 36.94
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) AL PLAS PVC TRANS X 30
21.83 25.23 26.98 27.17 27.35 27.75 28.15 28.56 28.99
538821010100207 TORFLAY 300 MG + 30 MG + 125 MG + 50 MG COM CT 50 185.39 214.23 229.09 230.69 232.31 235.63 239.04 242.55 246.17
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) BL AL PLAS PVC TRANS X 4
145.48 168.11 179.77 181.02 182.29 184.90 187.57 190.33 193.17
10.91 12.60 13.48 13.58 13.67 13.87 14.06 14.27 14.49
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) AL PLAS PVC TRANS X 100 (EMB FRAC)
72.74 84.06 89.89 90.51 91.15 92.45 93.80 95.17 96.59
145.48 168.11 179.77 181.02 182.29 184.90 187.57 190.33 193.17
174.57 201.73 215.72 217.23 218.76 221.88 225.09 228.39 231.80
2.92 3.37 3.61 3.63 3.66 3.71 3.77 3.82 3.88
CARMELOSE SÓDICA
506719070079317 ECOFILM 5,0 MG/ML SOL OFT CT FR GOT PLAS OPC X 5 14.04 16.22 17.35 17.47 17.59 17.84 18.10 18.37 18.64
11.02 12.73 13.61 13.71 13.80 14.00 14.20 14.42 14.63
Liberado
506719070079417 ECOFILM 5,0 MG/ML SOL OFT CT FR GOT PLAS OPC X 15 41.21 47.62 50.92 51.28 51.64 52.38 53.14 53.92 54.72
32.34 37.37 39.96 40.24 40.52 41.10 41.70 42.31 42.94
Liberado
506720060083307 PLENIGELL 5 MG/ML SOL OFT CT FR GOT PLAS OPC X 5 ML 20.51 23.70 25.34 25.52 25.70 26.07 26.45 26.83 27.23
Liberado
506720060083407 PLENIGELL 5 MG/ML SOL OFT CT FR GOT PLAS OPC X 15 51.71 59.76 63.90 64.35 64.80 65.72 66.67 67.65 68.66
40.58 46.89 50.14 50.50 50.85 51.57 52.31 53.08 53.88
Liberado
CARVEDILOL
607023020085817 CARDBET 3,125 MG COM CT BL AL AL X 30 61.33 69.69 73.89 74.34 74.79 75.72 76.66 77.63 78.63
aplicável o CAP.
Medicamentos
CARVEDILOL
607023020086117 CARDBET 25 MG COM CT BL AL AL X 30 85.98 97.70 103.59 104.22 104.85 106.15 107.48 108.84 110.23
607023020084917 CARVEDILOL 3,125 MG COM CT BL AL AL X 15 30.67 34.85 36.95 37.18 37.40 37.86 38.34 38.82 39.32
607023020085617 CARVEDILOL 25 MG COM CT BL AL AL X 15 42.99 48.85 51.80 52.11 52.43 53.07 53.74 54.42 55.12
607023020085717 CARVEDILOL 25 MG COM CT BL AL AL X 30 85.99 97.72 103.60 104.23 104.87 106.16 107.49 108.85 110.24
531608203116411 CARVEDILAT 3,125 MG COM CT BL AL AL X 30 28.43 32.31 34.25 34.46 34.67 35.10 35.54 35.99 36.45
531608202111416 CARVEDILAT 25 MG COM CT BL AL AL X 30 45.45 51.65 54.76 55.09 55.43 56.11 56.81 57.53 58.27
538812090044803 CARVEGRAN 6,25 MG COM CT BL AL AL X 15 34.44 39.14 41.49 41.75 42.00 42.52 43.05 43.59 44.15
525071507113113 CARVEDILOL 6,25 MG COM CT BL AL/AL X 30 26.18 29.75 31.54 31.73 31.93 32.32 32.73 33.14 33.56
525071503118110 CARVEDILOL 12,5 MG COM CT BL AL/AL X 30 30.33 34.47 36.54 36.76 36.99 37.44 37.91 38.39 38.88
525071504114119 CARVEDILOL 25 MG COM CT BL AL/AL X 30 50.94 57.89 61.37 61.75 62.12 62.89 63.68 64.48 65.31
CASSIA ANGUSTIFOLIA, VAHL

540419120011707 NATULAXE 34 MG CAP DURA CT BL AL PLAS TRANS X 20 36.72 42.43 45.38 45.69 46.01 46.67 47.35 48.04 48.76
Liberado
CASSIA FISTULA L.;SENNA ALEXANDRINA MILL.

504623020091617 NATURETTI (5,778 + 3,9) MG/G GEL OR CX FR VD TRANS X 46.87 54.16 57.92 58.32 58.73 59.57 60.43 61.32 62.24
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) 130 G
36.78 42.50 45.45 45.76 46.08 46.74 47.42 48.12 48.84
Liberado
504623020091717 NATURETTI (28,889 + 19,5) MG CAP DURA CT BL AL PLAS 37.46 43.29 46.29 46.61 46.94 47.61 48.30 49.01 49.74
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) PVC/ACLAR TRANS X 16
29.39 33.97 36.32 36.57 36.83 37.36 37.90 38.46 39.03
Liberado
CEFACLOR
531600707131419 CECLOR 50 MG/ML SUS OR CT FR VD AMB X 100 ML + 68.40 77.73 82.41 82.91 83.41 84.44 85.50 86.58 87.69
(EMS SIGMA PHARMA LTDA) SER DOS + COL
53.67 60.99 64.67 65.06 65.45 66.26 67.09 67.94 68.81
aplicável o CAP.
Medicamentos
CEFACLOR
531600706135410 CECLOR 75 MG/ML SUS OR CT FR VD AMB X 100 ML + 92.92 105.59 111.95 112.63 113.32 114.72 116.15 117.62 119.13
(EMS SIGMA PHARMA LTDA) SER DOS + COL
72.91 82.86 87.85 88.38 88.92 90.02 91.14 92.30 93.48
525065305131116 CEFACLOR MONOIDRATADO 50 MG/ML SUS OR CT FR VD AMB X 80 ML + 49.60 56.36 59.76 60.12 60.49 61.23 62.00 62.78 63.59
38.92 44.23 46.89 47.18 47.47 48.05 48.65 49.26 49.90
525065306136111 CEFACLOR MONOIDRATADO 75 MG/ML SUS OR CT FR VD AMB X 80 ML + 67.43 76.63 81.24 81.73 82.23 83.25 84.29 85.35 86.45
52.91 60.13 63.75 64.13 64.53 65.33 66.14 66.97 67.84
CEFACLOR MONOIDRATADO
526120302115111 CEFACLOR 500 MG CAP DURA CT BL AL PLAS TRANS X 10 59.90 68.07 72.17 72.61 73.05 73.95 74.88 75.82 76.79
531600804110412 CECLOR 500 MG COM REV LIB PROL CT BL AL PVDC X 10 59.82 67.98 72.07 72.51 72.95 73.85 74.78 75.72 76.69
531600803114317 CECLOR 750 MG COM REV LIB PROL CT BL AL PVDC X 125.72 142.86 151.47 152.39 153.32 155.21 157.15 159.14 161.18
(EMS SIGMA PHARMA LTDA) 14
98.65 112.10 118.86 119.58 120.31 121.79 123.32 124.88 126.48
CEFADROXILA
538818401116416 CEDROXIL 500 MG CAP DURA CT BL AL PLAS TRANS X 8 41.38 47.02 49.86 50.16 50.46 51.09 51.73 52.38 53.05
525063802136111 CEFADROXILA 50 MG/ML PÓ P/ SUS OR CT 1 FR VD AMB X 100 53.97 61.33 65.02 65.42 65.82 66.63 67.46 68.32 69.19
42.35 48.13 51.02 51.34 51.65 52.28 52.94 53.61 54.29
525063801131114 CEFADROXILA 100 MG/ML PÓ P/ SUS OR CT 1 FR VD AMB X 100 111.70 126.93 134.58 135.39 136.22 137.90 139.63 141.39 143.21
87.65 99.60 105.60 106.24 106.89 108.21 109.57 110.95 112.38
CEFALEXINA
520722100115703 LEXIN 500 MG COM CT BL AL PLAS TRANS X 10 17.79 20.22 21.43 21.56 21.70 21.96 22.24 22.52 22.81
529923080079706 CEFALEXINA 500 MG COM REV CT BL AL PLAS TRANS X 10 22.08 25.09 26.60 26.76 26.93 27.26 27.60 27.95 28.31
525064301130117 CEFALEXINA 50 MG/ML SUS OR CT FR VD AMB X 100ML + 36.97 42.01 44.54 44.81 45.09 45.64 46.21 46.80 47.40
(SANOFI MEDLEY FARMACÊUTICA LTDA.) SER DOSAD
29.01 32.97 34.95 35.16 35.38 35.81 36.26 36.72 37.20
CEFALEXINA MONOIDRATADA
541822120189307 CEFALEXINA MONOIDRATADA 1G COM REV CT BL AL PLAS LEIT X 8 57.31 65.13 69.05 69.47 69.89 70.75 71.64 72.54 73.47
(EMS S/A) 44.97 51.11 54.18 54.51 54.84 55.52 56.22 56.92 57.65
525903901118415 CEFAGEL 500 MG CAP DURA CT BL AL PLAS TRANS X 10 23.76 27.00 28.63 28.80 28.98 29.33 29.70 30.08 30.46
506409001113119 CEFALEXINA 500 MG CAP DURA CT BL AL PLAS PVC TRANS X 18.91 21.49 22.78 22.92 23.06 23.35 23.64 23.94 24.24
14.84 16.86 17.88 17.99 18.09 18.32 18.55 18.79 19.02
500100801112111 CEFALEXINA 500 MG COM REV CT BL AL PVC/PVDC TRANS X 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
500100803115118 CEFALEXINA 500 MG CAP GEL DURA CT BL AL PVC/PE/PVDC 230.38 261.80 277.57 279.25 280.95 284.42 287.98 291.62 295.36
(AUROBINDO PHARMA INDÚSTRIA FARMACÊUTICA LIMITADA) TRANS X 100
180.78 205.43 217.81 219.13 220.46 223.18 225.98 228.83 231.77
501300404115414 KEFORAL 500 MG CAP DURA CT BL AL PLAS TRANS X 200 708.88 805.55 854.07 859.25 864.49 875.16 886.10 897.32 908.82
(ANTIBIÓTICOS DO BRASIL LTDA) 556.26 632.12 670.19 674.25 678.37 686.74 695.32 704.13 713.15
aplicável o CAP.
Medicamentos
CEFALEXINA MONOIDRATADA
501300402112418 KEFORAL 500 MG CAP DURA CT BL AL PLAS TRANS X 8 29.82 33.89 35.93 36.15 36.37 36.81 37.28 37.75 38.23
501301806136112 CEFALEXINA 50 MG/ML SUS OR CT FR VD AMB X 60 ML + COL 29.21 33.19 35.19 35.41 35.62 36.06 36.51 36.97 37.45
501301805131117 CEFALEXINA 50 MG/ML SUS OR CT FR VD AMB X 100 ML + 53.25 60.51 64.16 64.55 64.94 65.74 66.56 67.41 68.27
(ANTIBIÓTICOS DO BRASIL LTDA) COL
41.79 47.48 50.35 50.65 50.96 51.59 52.23 52.90 53.57
501301809119111 CEFALEXINA 500 MG COM REV CT BL AL PLAS PVC TRANS X 29.59 33.63 35.65 35.87 36.09 36.53 36.99 37.46 37.94
(ANTIBIÓTICOS DO BRASIL LTDA) 8
23.22 26.39 27.97 28.15 28.32 28.66 29.03 29.40 29.77
75.10 85.34 90.48 91.03 91.59 92.72 93.88 95.07 96.29
120.71 137.17 145.44 146.32 147.21 149.02 150.89 152.80 154.76
501301802114114 CEFALEXINA 1 G COM REV CT BL AL PLAS TRANS X 8 57.34 65.16 69.08 69.50 69.93 70.79 71.68 72.58 73.51
579.71 658.76 698.45 702.68 706.97 715.69 724.64 733.81 743.22
536501505132316 KEFLEX 1,5 G PÓ SUS OR CT FR VD AMB (CAPAC 15ML) 26.63 30.26 32.08 32.28 32.48 32.88 33.29 33.71 34.14
(LABORATÓRIOS BAGÓ DO BRASIL S/A) + CGT + BICO DOS
20.90 23.75 25.17 25.33 25.49 25.80 26.12 26.45 26.79
536501503131312 KEFLEX 50 MG/ML SUS OR CT FR VD AMB X 100 ML + 81.96 93.14 98.75 99.35 99.95 101.19 102.45 103.75 105.08
(LABORATÓRIOS BAGÓ DO BRASIL S/A) COL DOS
64.31 73.09 77.49 77.96 78.43 79.40 80.39 81.41 82.46
536501504136318 KEFLEX 100 MG/ML SUS OR CT FR VD AMB X 100 ML + 147.62 167.75 177.86 178.93 180.02 182.25 184.53 186.86 189.26
(LABORATÓRIOS BAGÓ DO BRASIL S/A) BICO ADPT + SER DOS
115.84 131.63 139.57 140.41 141.26 143.01 144.80 146.63 148.51
536501501110318 KEFLEX 500 MG COM REV CT BL AL PLAS TRANS X 8 45.63 51.85 54.98 55.31 55.65 56.33 57.04 57.76 58.50
536501506112319 KEFLEX 1 G COM REV CT BL AL PLAS TRANS X 8 88.22 100.25 106.29 106.93 107.59 108.91 110.28 111.67 113.10
CEFALOTINA SODICA
500100106155118 CEFALOTINA SÓDICA 1G PO SOL INJ CT 50 FA VD TRANS 276.97 314.74 333.70 335.72 337.77 341.94 346.21 350.59 355.09
501300301154311 KEFLIN NEUTRO 1 G PO SOL INJ CX 50 FA VD TRANS X 10 ML 426.10 484.20 513.37 516.48 519.63 526.05 532.63 539.37 546.28
CEFAZOLINA SÓDICA
504422110074416 CEFAZOLINA SÓDICA 1 G PO SOL INJ CT 50 FA VD TRANS 592.57 673.38 713.94 718.27 722.65 731.57 740.71 750.09 759.70
504422110074516 CEFAZOLINA SÓDICA 1 G PO SOL INJ CT 50 FA VD TRANS + 50 AMP 592.57 673.38 713.94 718.27 722.65 731.57 740.71 750.09 759.70
(BLAU FARMACÊUTICA S.A.) DIL X 3 ML
464.99 528.40 560.23 563.63 567.06 574.06 581.23 588.60 596.14
504422110074616 CEFAZOLINA SÓDICA 1 G PO SOL INJ CT 50 FA VD TRANS + 50 AMP 592.57 673.38 713.94 718.27 722.65 731.57 740.71 750.09 759.70
(BLAU FARMACÊUTICA S.A.) DIL X 10 ML
464.99 528.40 560.23 563.63 567.06 574.06 581.23 588.60 596.14
504422110074716 CEFAZOLINA SÓDICA 1 G PO SOL INJ CT 10 FA VD TRANS + 10 BOLS 118.51 134.67 142.78 143.65 144.52 146.31 148.14 150.01 151.94
(BLAU FARMACÊUTICA S.A.) PVC TRANS SIST FECH X 100 ML + CONECTOR
92.99 105.68 112.04 112.72 113.40 114.81 116.25 117.71 119.23
504422110074816 CEFAZOLINA SÓDICA 1 G PO SOL INJ CT 10 FA VD TRANS + 10 BOLS 118.51 134.67 142.78 143.65 144.52 146.31 148.14 150.01 151.94
(BLAU FARMACÊUTICA S.A.) PP TRANS SIST FECH X 100 ML + CONECTOR
92.99 105.68 112.04 112.72 113.40 114.81 116.25 117.71 119.23
500100204157115 CEFAZOLINA SÓDICA 1 G PO SOL INJ CT 50 FA VD TRANS 546.93 621.51 658.95 662.95 666.99 675.22 683.66 692.32 701.19
501300201151319 KEFAZOL 1 G PO SOL INJ CT 50 FA VD TRANS X 10 ML 911.66 1035.98 1098.39 1105.04 1111.78 1125.51 1139.58 1154.00 1168.79
aplicável o CAP.
Medicamentos
CEFOTAXIMA SÓDICA
500100310151117 CEFOTAXIMA SÓDICA 1 G PO SOL INJ CT 50 FA VD TRANS 2024.66 2300.75 2439.35 2454.13 2469.10 2499.58 2530.83 2562.86 2595.72
CEFOXITINA SÓDICA
504422110076203 CEFTON 1000 MG PO SOL INJ CT 1 FA VD TRANS 41.29 46.92 49.75 50.05 50.35 50.98 51.61 52.27 52.94
504422110076303 CEFTON 1000 MG PO SOL INJ CX 20 FA VD TRANS 825.77 938.38 994.90 1000.93 1007.04 1019.47 1032.21 1045.28 1058.68
504422110076603 CEFTON 1000 MG PO SOL INJ CX 25 FA VD TRANS (EMB 1032.22 1172.98 1243.64 1251.18 1258.80 1274.35 1290.28 1306.61 1323.36
(BLAU FARMACÊUTICA S.A.) FRAC)
809.98 920.44 975.88 981.80 987.78 999.98 1012.48 1025.30 1038.44
504422110076703 CEFTON 1000 MG PO SOL INJ CX 40 FA VD TRANS (EMB 1651.54 1876.75 1989.81 2001.87 2014.07 2038.94 2064.43 2090.56 2117.36
(BLAU FARMACÊUTICA S.A.) FRAC)
1295.96 1472.69 1561.40 1570.87 1580.44 1599.96 1619.96 1640.46 1661.49
501300901151419 KEFOX 1 G PO INJ CX 25 FA VD INC X 10 ML 1163.49 1322.15 1401.79 1410.29 1418.89 1436.41 1454.36 1472.77 1491.65
CEFTAZIDIMA PENTAIDRATADA
500100902156114 CEFTAZIDIMA 1 G PO SOL INJ CT 50 FA VD TRANS 1597.94 1815.84 1925.23 1936.90 1948.71 1972.77 1997.43 2022.71 2048.64
501300802153413 KEFADIM 1 G PO SOL INJ CT 25 FA VD TRANS TIPO I 981.30 1115.11 1182.29 1189.45 1196.71 1211.48 1226.63 1242.15 1258.08
CEFTAZIDIMA PENTAIDRATADA;AVIBACTAM SÓDICO

522723050092206 CEFTAZIDIMA PENTAIDRATADA + AVIBACTAM SODICO 2000 MG + 500 MG PO SOL INFUS CT FA VD 4060.75 4692.55 5017.98 5053.03 5088.57 5161.18 5235.89 5312.81 5392.02
(PFIZER BRASIL LTDA) TRANS X 10
3186.47 3682.24 3937.61 3965.11 3993.00 4049.98 4108.60 4168.96 4231.12
522723030092103 RYAMBIC 2000 MG + 500 MG PO SOL INFUS CT FA VD 6247.31 7219.32 7719.98 7773.90 7828.57 7940.28 8055.23 8173.56 8295.42
(PFIZER BRASIL LTDA) TRANS X 10
4902.26 5665.00 6057.87 6100.18 6143.08 6230.74 6320.94 6413.79 6509.42
CEFTOBIPROL MEDOCARILA SÓDICO

533223010003902 ZEVTERA 500 MG PO LIOF SOL INFUS IV CT 10 FA VD 2098.41 2424.90 2593.06 2611.18 2629.54 2667.06 2705.67 2745.42 2786.35
(UNITED MEDICAL LTDA) TRANS
1646.62 1902.82 2034.77 2048.99 2063.40 2092.84 2123.14 2154.33 2186.45
CEFTRIAXONA DISSÓDICA HEMIEPTAIDRATADA

526320040015007 CEFTRIONA 500MG PO SOL INJ IV CX 50 FA VD AMB 661.86 752.11 797.42 802.25 807.15 817.11 827.33 837.80 848.54
526320040015107 CEFTRIONA 1G PO SOL INJ IV CX 50 FA VD AMB 3038.16 3452.46 3660.43 3682.62 3705.07 3750.82 3797.70 3845.77 3895.08
501300703155418 KEFTRON 1 G PO SOL INJ CT 50 FA VD TRANS X 10 ML 2263.27 2571.90 2726.83 2743.36 2760.08 2794.16 2829.09 2864.90 2901.63
501320040026507 CEFTRIAXONA DISSÓDICA HEMIEPTAIDRATADA 1 G PO SOL INJ CT 25 FA VD TRANS X 10 ML 1015.44 1153.91 1223.42 1230.84 1238.34 1253.63 1269.30 1285.37 1301.85
501320040026607 CEFTRIAXONA DISSÓDICA HEMIEPTAIDRATADA 1 G PO SOL INJ CT 25 FA VD TRANS X 10 ML + 1015.44 1153.91 1223.42 1230.84 1238.34 1253.63 1269.30 1285.37 1301.85
(ANTIBIÓTICOS DO BRASIL LTDA) 25 AMP PLAS TRANS DIL X 10 ML
796.82 905.47 960.02 965.84 971.73 983.72 996.02 1008.63 1021.56
501320040026707 CEFTRIAXONA DISSÓDICA HEMIEPTAIDRATADA 1 G PO SOL INJ CT FA VD TRANS X 10 ML 40.62 46.16 48.94 49.24 49.54 50.15 50.78 51.42 52.08
501320040026807 CEFTRIAXONA DISSÓDICA HEMIEPTAIDRATADA 1 G PO SOL INJ CT FA VD TRANS X 10 ML + AMP 40.62 46.16 48.94 49.24 49.54 50.15 50.78 51.42 52.08
(ANTIBIÓTICOS DO BRASIL LTDA) PLAS TRANS DIL X 10 ML
31.87 36.22 38.40 38.64 38.87 39.35 39.85 40.35 40.87
501320040026907 CEFTRIAXONA DISSÓDICA HEMIEPTAIDRATADA 1 G PO SOL INJ CT 50 FA VD TRANS X 10 ML 2030.88 2307.82 2446.84 2461.67 2476.68 2507.26 2538.60 2570.73 2603.69
501320040027007 CEFTRIAXONA DISSÓDICA HEMIEPTAIDRATADA 1 G PO SOL INJ CT 50 FA VD TRANS X 10 ML + 2030.88 2307.82 2446.84 2461.67 2476.68 2507.26 2538.60 2570.73 2603.69
(ANTIBIÓTICOS DO BRASIL LTDA) 50 AMP PLAS TRANS DIL X 10 ML
1593.63 1810.95 1920.04 1931.67 1943.45 1967.45 1992.04 2017.25 2043.12
aplicável o CAP.
Medicamentos
CEFTRIAXONA DISSÓDICA HEMIEPTAIDRATADA

501320040027107 CEFTRIAXONA DISSÓDICA HEMIEPTAIDRATADA 1 G PO SOL INJ CT FA VD TRANS X 10 ML + 40.62 46.16 48.94 49.24 49.54 50.15 50.78 51.42 52.08
(ANTIBIÓTICOS DO BRASIL LTDA) BOLS PLAS TRANS SIST FECH X 100 ML
31.87 36.22 38.40 38.64 38.87 39.35 39.85 40.35 40.87
501320040027207 CEFTRIAXONA DISSÓDICA HEMIEPTAIDRATADA 1 G PO SOL INJ CX 25 FA VD TRANS X 10 ML + 1015.44 1153.91 1223.42 1230.84 1238.34 1253.63 1269.30 1285.37 1301.85
(ANTIBIÓTICOS DO BRASIL LTDA) 25 BOLS PLAS TRANS SIST FECH X 100 ML
796.82 905.47 960.02 965.84 971.73 983.72 996.02 1008.63 1021.56
501320040027307 CEFTRIAXONA DISSÓDICA HEMIEPTAIDRATADA 1 G PO SOL INJ CX 50 FA VD TRANS X 10 ML + 2030.88 2307.82 2446.84 2461.67 2476.68 2507.26 2538.60 2570.73 2603.69
(ANTIBIÓTICOS DO BRASIL LTDA) 50 BOLS PLAS TRANS SIST FECH X 100 ML
1593.63 1810.95 1920.04 1931.67 1943.45 1967.45 1992.04 2017.25 2043.12
CEFTRIAXONA SÓDICA
500101103151111 CEFTRIAXONA SÓDICA 1 G PÓ P/ SOL INJ IV CT 50 FA VD TRANS 1957.30 2224.21 2358.19 2372.48 2386.95 2416.42 2446.63 2477.60 2509.36
CEFUROXIMA SÓDICA
513423100035003 MONOCEF 750 MG PÓ INJ IM/IV CX 50 FA VD TRANS 1472.53 1673.33 1774.13 1784.88 1795.77 1817.94 1840.66 1863.96 1887.86
500101002159115 CEFUROXIMA SÓDICA 750 MG PÓ SOL INJ CT 25 FA VD TRANS 736.26 836.66 887.06 892.44 897.88 908.96 920.33 931.97 943.92
501301203156413 KEROXIME 750 MG PO SOL INJ CT 50 FA VD TRANS X 10 1842.46 2093.71 2219.83 2233.28 2246.90 2274.64 2303.08 2332.23 2362.13
(ANTIBIÓTICOS DO BRASIL LTDA) ML
1445.78 1642.93 1741.90 1752.45 1763.14 1784.91 1807.23 1830.10 1853.56
CELECOXIBE
508020110137407 COQUES 200 MG CAP DURA CT BL AL PLAS PVC/PCTFE 6.04 6.86 7.28 7.32 7.37 7.46 7.55 7.65 7.74
(EUROFARMA LABORATÓRIOS S.A.) TRANS X 2
4.74 5.38 5.71 5.74 5.78 5.85 5.92 6.00 6.07
552820050065617 DICOXIBE 200 MG CAP DURA CT BL AL PLAS TRANS X 4 12.32 14.00 14.84 14.93 15.02 15.21 15.40 15.59 15.79
(LABORATÓRIOS PFIZER LTDA) 9.67 10.99 11.64 11.71 11.79 11.94 12.08 12.23 12.39
552820030064117 CELEBRA 100 MG CAP DURA CT BL AL PLAS TRANS X 20 46.50 52.84 56.02 56.36 56.71 57.41 58.13 58.86 59.62
542621020015903 CIBEX 200 MG CAP DURA CT BL AL PLAS PVC/PCTFE 6.76 7.68 8.14 8.19 8.24 8.35 8.45 8.56 8.67
(SUPERA FARMA LABORATÓRIOS S.A) TRANS X 2
5.30 6.03 6.39 6.43 6.47 6.55 6.63 6.72 6.80
500223020048004 MOVYDIA 100 MG CAP DURA CT BL AL PLAS PVC TRANS X 46.50 52.84 56.02 56.36 56.71 57.41 58.13 58.86 59.62
36.49 41.46 43.96 44.22 44.50 45.05 45.62 46.19 46.78
10.39 11.81 12.52 12.59 12.67 12.83 12.99 13.15 13.32
25.98 29.53 31.30 31.49 31.69 32.08 32.48 32.89 33.31
77.94 88.56 93.90 94.47 95.04 96.22 97.42 98.65 99.92
504620100078807 CELECOXIBE 200 MG CAP DURA CT BL AL PLAS PVC TRANS X 28.74 32.66 34.63 34.84 35.05 35.48 35.93 36.38 36.85
22.55 25.63 27.17 27.34 27.50 27.84 28.20 28.55 28.92
33.84 38.46 40.77 41.02 41.28 41.79 42.30 42.84 43.39
67.68 76.91 81.55 82.04 82.53 83.55 84.60 85.67 86.77
536220110011907 CELECOXIBE 200 MG CAP DURA CT BL AL AL X 30 85.13 96.74 102.57 103.19 103.82 105.10 106.41 107.76 109.14
aplicável o CAP.
Medicamentos
CEMIPLIMABE
576719080000001 LIBTAYO 350 MG SOL DIL INFUS CT FA VD TRANS X 7 ML 34433.51 39790.95 42550.45 42847.65 43149.01 43764.72 44398.26 45050.46 45722.16
CENTELLA ASIATICA (L.) URB.

511420020008107 CENTELLA HERBARIUM 66 MG CAP GEL DURA CT BL AL PLAS INC X 45 35.14 40.61 43.42 43.73 44.03 44.66 45.31 45.97 46.66
Liberado
CEPA INFLUENZA TIPO A (H3N2);CEPA INFLUENZA TIPO A (H1N1);CEPA INFLUENZA TIPO B;CEPA INFLUENZA TIPO B
576720050064917 VAXIGRIP TETRA SUS INJ CT 1 SER PREENC VD TRANS X 0,5 ML 45.64
576720050065217 VAXIGRIP TETRA SUS INJ CT 1 SER PREENC VD TRANS C/ AGU 45.64
(SANOFI MEDLEY FARMACÊUTICA LTDA.) ACOPLADA X 0,5 ML
35.81
358.18
716.35
CEPA INFLUENZA TIPO B

576720050067717 FLUQUADRI SUS INJ CT 5 SER PREENC VD TRANS X 0,25 ML 114.13
576720050067817 FLUQUADRI SUS INJ CT 10 SER PREENC VD TRANS X 0,25 228.21

179.08


576720050068117 FLUQUADRI SUS INJ CT 1 FA VD TRANS X 5 ML 456.45

CEREUS JAMACARU;HIMATANTHUS LANCIFOLIUS;DORSTENIA MULTIFORMIS;ERYTHRINA VELUTINA

501919120000107 FLOR DA NOITE COMPOSTA (0,1+0,04+0,04+0,02)ML/ML TINT CT FR VD AMB 17.80 20.48 21.85 22.00 22.15 22.45 22.77 22.91 23.05
(AS ERVAS CURAM INDUSTRIA FARMACEUTICA LTDA) X 100 ML + CP MED
13.97 16.07 17.15 17.26 17.38 17.62 17.87 17.98 18.09
Liberado
501919120000207 FLOR DA NOITE COMPOSTA 500 MG CAP GEL DURA CT FR PLAS OPC X 50 29.80 34.29 36.58 36.83 37.08 37.59 38.12 38.35 38.59
(AS ERVAS CURAM INDUSTRIA FARMACEUTICA LTDA) 23.38 26.91 28.70 28.90 29.10 29.50 29.91 30.09 30.28
Liberado
CETOCONAZOL
504923050014507 CETOCONAZOL-MICRONIZADO 20 MG/G CREM DERM CT BG AL X 20 G 8.82 10.19 10.90 10.98 11.05 11.21 11.37 11.54 11.71
(BRASTERAPICA INDUSTRIA FARMACEUTICA LTDA) 6.92 8.00 8.55 8.62 8.67 8.80 8.92 9.06 9.19
Liberado
533523040033807 CETOCONAZOL 20 MG/G CREM DERM CT BG AL X 30 G 14.91 17.23 18.42 18.55 18.68 18.95 19.22 19.51 19.80
(VITAMEDIC INDUSTRIA FARMACEUTICA LTDA) 11.70 13.52 14.45 14.56 14.66 14.87 15.08 15.31 15.54
Liberado
526120501118110 CETOCONAZOL 200 MG COM CT BL AL PLAS OPC X 10 24.32 27.64 29.30 29.48 29.66 30.02 30.40 30.78 31.18
514500203166414 CETONAX 20 MG/G CREM DERM CT BG AL X 30 G 33.46 38.67 41.35 41.64 41.93 42.53 43.14 43.78 44.43
(JANSSEN-CILAG FARMACÊUTICA LTDA) 26.26 30.34 32.45 32.68 32.90 33.37 33.85 34.35 34.86
511608902168111 CETOCONAZOL 20 MG/G CREM DERM CX 100 BG AL X 30 G 1172.49 1354.92 1448.88 1459.00 1469.26 1490.23 1511.80 1534.01 1556.88
506301803162411 CETONIN 20 MG/G CREM DERM CT BG AL X 30 G 23.33 26.96 28.83 29.03 29.24 29.65 30.08 30.52 30.98
529902001116118 CETOCONAZOL 200 MG COM CT STR AL X 10 25.36 28.82 30.55 30.74 30.93 31.31 31.70 32.10 32.51
aplicável o CAP.
Medicamentos
CETOCONAZOL
529902002112116 CETOCONAZOL 200 MG COM CT STR AL X 30 67.78 77.02 81.66 82.16 82.66 83.68 84.73 85.80 86.90
528501203161115 CETOCONAZOL 20 MG/G CREM CT BG AL X 30 G 16.79 19.40 20.75 20.89 21.04 21.34 21.65 21.97 22.29
528501204166110 CETOCONAZOL 20 MG/G CREM CX 100 BG AL X 30 G (EMB 562.34 649.83 694.90 699.75 704.67 714.73 725.08 735.73 746.70
(PRATI DONADUZZI & CIA LTDA) HOSP)
441.27 509.92 545.29 549.09 552.95 560.85 568.97 577.33 585.94
528501205170111 CETOCONAZOL 20 MG/G SHAMP CT FR PLAS OPC X 100 36.00 41.60 44.49 44.80 45.11 45.76 46.42 47.10 47.80
(PRATI DONADUZZI & CIA LTDA) ML 01
28.25 32.64 34.91 35.16 35.40 35.91 36.43 36.96 37.51
Liberado
528501207114111 CETOCONAZOL 200 MG COM CT BL AL PLAS TRANS X 10 22.99 26.13 27.70 27.87 28.04 28.38 28.74 29.10 29.47
528501212118111 CETOCONAZOL 200 MG COM CT BL AL PLAS TRANS X 80 (EMB 209.92 238.55 252.92 254.45 256.00 259.16 262.40 265.72 269.13
164.72 187.19 198.47 199.67 200.88 203.36 205.91 208.51 211.19
527903801160410 TRICORTID (20,0 + 0,64 + 2,5) MG/G CREM DERM CT BG AL X 23.48 27.13 29.01 29.22 29.42 29.84 30.27 30.72 31.18
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) 30 G
18.42 21.29 22.76 22.93 23.09 23.41 23.75 24.11 24.47
527903802167419 TRICORTID (20,0 + 0,64 + 2,5) MG/G POM DERM CT BG AL X 22.29 25.76 27.54 27.74 27.93 28.33 28.74 29.16 29.60
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) 30 G
17.49 20.21 21.61 21.77 21.92 22.23 22.55 22.88 23.23
527904601165115 CETOCONAZOL 20 MG/ G CREM DERM CT BG AL X 30 G 14.75 17.04 18.23 18.35 18.48 18.75 19.02 19.30 19.59
527905802113412 IZONAX 200 MG COM CT BL AL PLAS TRANS X 10 31.97 36.33 38.52 38.75 38.99 39.47 39.96 40.47 40.99
527923100043403 IZONAX 200 MG COM CT BL AL PLAS TRANS X 30 95.91 108.99 115.55 116.25 116.96 118.41 119.89 121.41 122.96
527905801168418 IZONAX 20 MG/G CREM DERM CT BG AL X 30 G 22.54 26.05 27.85 28.05 28.25 28.65 29.06 29.49 29.93
Liberado
506401702112415 CETOMED 200 MG COM CT BL AL PLAS TRANS X 10 14.86 16.89 17.90 18.01 18.12 18.35 18.58 18.81 19.05
Liberado
506408502161411 CLEARTOP 20 MG/ G CREM CT BG AL X 30 G 11.44 13.22 14.14 14.24 14.34 14.54 14.75 14.97 15.19
Liberado
506408501171411 CLEARTOP 20 MG/ ML XAMP CT FR PLAS OPC X 100 ML 19.29 22.29 23.84 24.00 24.17 24.52 24.87 25.24 25.61
Liberado
506408101173115 CETOCONAZOL 20 MG/ML XAMP CT FR PLAS OPC X 100 ML 18.94 21.89 23.40 23.57 23.73 24.07 24.42 24.78 25.15
Liberado
500419050006004 CETOP 20MG /G XAMP CT FR PLAS OPC X 100 ML 21.43 24.76 26.48 26.67 26.85 27.24 27.63 28.04 28.46
(AIRELA INDÚSTRIA FARMACÊUTICA LTDA.) 16.82 19.43 20.78 20.93 21.07 21.38 21.68 22.00 22.33
510403202115413 ZOLMICOL 200 MG COM CT BL AL PLAS TRANS X 30 77.88 88.50 93.83 94.40 94.98 96.15 97.35 98.58 99.85
510403203162415 ZOLMICOL 20 MG/G CREM DERM CT 1 BG AL X 30 G 24.46 28.27 30.23 30.44 30.65 31.09 31.54 32.00 32.48
504612801114111 CETOCONAZOL 200 MG COM CT BL AL PLAS INC X 10 29.98 34.07 36.12 36.34 36.56 37.01 37.48 37.95 38.44
538807902119110 CETOCONAZOL 200 MG COM CT BL AL PLAS OPC X 10 22.98 26.11 27.69 27.85 28.02 28.37 28.73 29.09 29.46
Liberado
aplicável o CAP.
Medicamentos
CETOCONAZOL
525002201167116 CETOCONAZOL 20,0 MG/G CREM DERM CT BG AL X 30 G 17.94 20.73 22.17 22.32 22.48 22.80 23.13 23.47 23.82
Liberado
525002202171117 CETOCONAZOL 20 MG/G XAMP CT FR PLAS OPC X 110 ML 27.77 32.09 34.32 34.56 34.80 35.30 35.81 36.33 36.87
Liberado
CETOCONAZOL;DIPROPIONATO DE BETAMETASONA
508022110170607 TROK 20 MG/G + 0,64 MG/G CREM DERM CT BG AL X 23.13 26.73 28.58 28.78 28.98 29.40 29.82 30.26 30.71
(EUROFARMA LABORATÓRIOS S.A.) 30 G
18.15 20.98 22.43 22.58 22.74 23.07 23.40 23.74 24.10
508022110170707 TROK 20 MG/G + 0,64 MG/G CREM DERM CT BG AL X 11.63 13.44 14.37 14.47 14.57 14.78 15.00 15.22 15.44
(EUROFARMA LABORATÓRIOS S.A.) 10 G
9.13 10.55 11.28 11.35 11.43 11.60 11.77 11.94 12.12
508022110170407 TROK 20 MG/G + 0,64 MG/G POM DERM CT BG AL X 30 23.13 26.73 28.58 28.78 28.98 29.40 29.82 30.26 30.71
(EUROFARMA LABORATÓRIOS S.A.) G
18.15 20.98 22.43 22.58 22.74 23.07 23.40 23.74 24.10
508022110170507 TROK 20 MG/G + 0,64 MG/G POM DERM CT BG AL X 10 11.30 13.06 13.96 14.06 14.16 14.36 14.57 14.78 15.00
8.87 10.25 10.95 11.03 11.11 11.27 11.43 11.60 11.77
506301702161411 FUNGICORT 20 MG/G + 0,5 MG/G POM DERM CT BG AL X 30 30.61 35.37 37.83 38.09 38.36 38.91 39.47 40.05 40.65
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) G
24.02 27.75 29.69 29.89 30.10 30.53 30.97 31.43 31.90
506301701165411 FUNGICORT 20 MG/G+ 0,5 MG/G CREM DERM CT BG AL X 30 30.00 34.67 37.07 37.33 37.59 38.13 38.68 39.25 39.84
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) G
23.54 27.21 29.09 29.29 29.50 29.92 30.35 30.80 31.26
607023020084117 CETOCONAZOL + DIPROPIONATO DE BETAMETASONA 20 MG/G + 0,644 MG/G CREM DERM CT BG AL X 23.70 27.39 29.29 29.49 29.70 30.12 30.56 31.01 31.47
(MULTILAB INDUSTRIA E COMERCIO DE PRODUTOS FARMACEUTICOS 30 G
18.60 21.49 22.98 23.14 23.31 23.63 23.98 24.33 24.69
528522605161112 CETOCONAZOL + DIPROPIONATO DE BETAMETASONA (20,0 + 0,64) MG/G CREM DERM CT BG AL X 30 19.16 22.14 23.68 23.84 24.01 24.35 24.70 25.07 25.44
(PRATI DONADUZZI & CIA LTDA) G
15.03 17.37 18.58 18.71 18.84 19.11 19.38 19.67 19.96
528522601164117 CETOCONAZOL + DIPROPIONATO DE BETAMETASONA (20,0 + 0,64) MG/G POM DERM CT BG AL X 30 G 19.16 22.14 23.68 23.84 24.01 24.35 24.70 25.07 25.44
525305502163113 CETOCONAZOL + DIPROPIONATO DE BETAMETASONA 20 MG/G + 0,5 MG/G POM DERM CT BG AL X 30 23.16 26.76 28.62 28.82 29.02 29.44 29.86 30.30 30.75
(NOVA QUIMICA FARMACÊUTICA S/A) G
18.17 21.00 22.46 22.62 22.77 23.10 23.43 23.78 24.13
531613902167119 CETOCONAZOL + DIPROPIONATO DE BETAMETASONA 20 MG/G + 0,5 MG/G CREM DERM CT BG AL X 21.22 24.52 26.22 26.41 26.59 26.97 27.36 27.76 28.18
(EMS SIGMA PHARMA LTDA) 30G
16.65 19.24 20.57 20.72 20.86 21.16 21.47 21.78 22.11
510407701167411 CONACORT 20 MG/G + 0,5 MG/G CREM DERM CT BG AL X 30 22.92 26.49 28.32 28.52 28.72 29.13 29.55 29.99 30.43
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) G
17.99 20.79 22.22 22.38 22.54 22.86 23.19 23.53 23.88
510407702163411 CONACORT 20 MG/G + 0,5 MG/G POM DERM CT BG AL X 30 22.92 26.49 28.32 28.52 28.72 29.13 29.55 29.99 30.43
17.99 20.79 22.22 22.38 22.54 22.86 23.19 23.53 23.88
538816801168417 CANDIGRAN 20 MG/G + 0,644 MG/G CREM DERM CT BG AL X 15.27 17.65 18.87 19.00 19.14 19.41 19.69 19.98 20.28
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) 30 G
11.98 13.85 14.81 14.91 15.02 15.23 15.45 15.68 15.91
538814601161110 CETOCONAZOL + DIPROPIONATO DE BETAMETASONA 20 MG/G + 0,644 MG/G POM DERM CT BG AL X 21.22 24.52 26.22 26.41 26.59 26.97 27.36 27.76 28.18
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) 30 G
16.65 19.24 20.57 20.72 20.86 21.16 21.47 21.78 22.11
525002302168118 CETOCONAZOL + DIPROPIONATO DE BETAMETASONA 20 MG/G + 0,5 MG/G POM DERM CT BG AL X 30 19.47 22.50 24.06 24.23 24.40 24.75 25.10 25.47 25.85
(SANOFI MEDLEY FARMACÊUTICA LTDA.) G
15.28 17.66 18.88 19.01 19.15 19.42 19.70 19.99 20.28
CETOPROFENO
520723040117704 CETOFENID 50 MG/ML SOL INJ IM CT ENVOL 60 AMP VD AMB 153.23 174.13 184.61 185.73 186.87 189.17 191.54 193.96 196.45
(LABORATÓRIO TEUTO BRASILEIRO S/A) X 2 ML
120.24 136.64 144.86 145.74 146.64 148.44 150.30 152.20 154.15
520723020116803 CETOFENID 100 MG PO SOL INFUS IV CT 50 FA VD AMB 127.69 145.10 153.84 154.78 155.72 157.64 159.61 161.63 163.71
533000602157410 ARTRINID 50 MG/ML SOL INJ IM CT 50 AMP VD AMB X 2 ML 148.45 168.69 178.86 179.94 181.04 183.27 185.56 187.91 190.32
533000601118411 ARTRINID 50 MG CAP DURA CT BL AL PLAS PVC TRANS X 34.17 38.83 41.17 41.42 41.67 42.19 42.71 43.25 43.81
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) 24
26.81 30.47 32.31 32.50 32.70 33.11 33.51 33.94 34.38
aplicável o CAP.
Medicamentos
CETOPROFENO
533000604151411 ARTRINID 100 MG PO LIOF SOL INJ IV CT 50 FA VD TRANS 526.55 598.35 634.40 638.24 642.13 650.06 658.19 666.52 675.06
538813701111419 FLAMADOR 50 MG CAP DURA CT BL AL PLAS TRANS X 24 25.25 28.69 30.42 30.61 30.79 31.17 31.56 31.96 32.37
525002503112111 CETOPROFENO 100 MG COM REV LIB RETARD CT BL AL PLAS 24.73 28.10 29.80 29.98 30.16 30.53 30.91 31.30 31.71
(SANOFI MEDLEY FARMACÊUTICA LTDA.) PVC TRANS X 20
19.41 22.05 23.38 23.53 23.67 23.96 24.25 24.56 24.88
525002501160117 CETOPROFENO 25 MG/G GEL CT BG AL X 30 G 14.77 16.78 17.80 17.90 18.01 18.23 18.46 18.70 18.94
525002502132117 CETOPROFENO 20 MG/ML SOL OR CT FR GOT PLAS OPC X 20 12.67 14.40 15.27 15.36 15.45 15.64 15.84 16.04 16.24
9.94 11.30 11.98 12.05 12.12 12.27 12.43 12.59 12.74
576720050066217 PROFENID 50 MG CAP DURA CT BL AL PLAS TRANS X 24 37.77 42.92 45.51 45.78 46.06 46.63 47.21 47.81 48.42
576720050065917 PROFENID 100 MG COM REV LIB RETARD CT BL AL PLAS 45.80 52.05 55.18 55.52 55.85 56.54 57.25 57.97 58.72
35.94 40.84 43.30 43.57 43.82 44.37 44.92 45.49 46.08
29.85 33.92 35.96 36.18 36.40 36.85 37.31 37.78 38.27
576720050065817 PROFENID 100 MG PO LIOF SOL INJ CX 50 FA VD TRANS 697.44 792.55 840.29 845.38 850.54 861.04 871.80 882.84 894.15
576720050066117 PROFENID 50 MG/ML SOL INJ IM CX 6 AMP VD AMB X 2 ML 22.65 25.74 27.29 27.45 27.62 27.96 28.31 28.67 29.04
576720050066417 PROFENID 25 MG/G GEL DERM CT BG AL X 30 G 22.25 25.28 26.81 26.97 27.13 27.47 27.81 28.16 28.53
576720050066817 PROFENID 1 MG/ML XPE CT FR VD AMB X 150 ML + SER 18.14 20.61 21.86 21.99 22.12 22.40 22.68 22.96 23.26
(SANOFI MEDLEY FARMACÊUTICA LTDA.) DOS
14.23 16.17 17.15 17.26 17.36 17.58 17.80 18.02 18.25
576720050065517 PROFENID 150 MG COM LIB PROL CT BL AL PLAS TRANS X 46.06 52.34 55.49 55.83 56.17 56.86 57.58 58.30 59.05
36.14 41.07 43.54 43.81 44.08 44.62 45.18 45.75 46.34
576720050065617 PROFENID 150 MG COM LIB PROL CT BL AL PLAS TRANS X 18.43 20.94 22.20 22.34 22.48 22.75 23.04 23.33 23.63
14.46 16.43 17.42 17.53 17.64 17.85 18.08 18.31 18.54
5.38 6.12 6.49 6.53 6.57 6.65 6.73 6.81 6.90
576720050066317 PROFENID 20 MG/ML SOL OR CT BG PLAS OPC GOT X 20 24.60 27.95 29.64 29.82 30.00 30.37 30.75 31.14 31.54
19.30 21.93 23.26 23.40 23.54 23.83 24.13 24.44 24.75
576720050066617 PROFENID 200 MG COM REV LIB RETARD CT BL AL/AL X 10 38.04 43.23 45.83 46.11 46.39 46.96 47.55 48.15 48.77
CETOROLACO TROMETAMINA
507706101171110 TROMETAMOL CETOROLACO 5 MG/ML SOL GOT OFT CT FR GOT PLAS OPC X 32.06 36.43 38.63 38.86 39.10 39.58 40.08 40.58 41.10
(EMS S/A) 5ML
25.16 28.59 30.31 30.49 30.68 31.06 31.45 31.84 32.25
507323020007903 DEOCIL 10 MG COM SUB-LING CT BL PVC ACLAR AL X 71.87 81.67 86.59 87.12 87.65 88.73 89.84 90.97 92.14
(DIFFUCAP - CHEMOBRÁS QUÍMICA E FARMACÊUTICA LTDA) 30
56.40 64.09 67.95 68.36 68.78 69.63 70.50 71.38 72.30
531613203153410 TORAGESIC 30 MG/ML SOL INJ IM CT 3 AMP VD AMB X 1 ML 29.25 33.24 35.24 35.45 35.67 36.11 36.56 37.03 37.50
531613201134419 TORAGESIC 20 MG/ML SOL OR CT FR GOT VD AMB X 10 ML 42.28 48.05 50.94 51.25 51.56 52.20 52.85 53.52 54.21
510412501170113 TROMETAMOL CETOROLACO 5 MG/ML SOL OFT CT FR GOT PLAS OPC X 5 ML 32.55 36.99 39.22 39.45 39.70 40.19 40.69 41.20 41.73
538809601175115 TROMETAMOL CETOROLACO 5 MG/ML SOL GOT OFT CT FR GOT PLAS OPC X 21.96 24.95 26.46 26.62 26.78 27.11 27.45 27.80 28.15
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) 5ML
17.23 19.58 20.76 20.89 21.01 21.27 21.54 21.82 22.09
CETRIMIDA
503100101174315 ARTELAC 3,2 MG/ML SOL GOT OFT CT FR GOT PLAS 14.70 16.99 18.17 18.29 18.42 18.68 18.95 19.23 19.52
(BL INDÚSTRIA OTICA LTDA) PEAD OPC X 10 ML
11.54 13.33 14.26 14.35 14.45 14.66 14.87 15.09 15.32
Liberado
aplicável o CAP.
Medicamentos
CICLESONIDA
562620040000617 OMNARIS 50 MCG/DOSE SUS NAS CT FR VD AMB SPR X 44.65 50.74 53.80 54.12 54.45 55.12 55.81 56.52 57.24
(MOKSHA8 BRASIL INDUSTRIA E COMERCIO DE MEDICAMENTOS LTDA) 120
35.04 39.82 42.22 42.47 42.73 43.25 43.79 44.35 44.92
CICLOPIROX
532919010019404 FUNGIROX 10 MG/G CREM CT BG AL X 20G 23.68 27.36 29.26 29.47 29.67 30.10 30.53 30.98 31.44
(UCI - FARMA INDÚSTRIA FARMACÊUTICA LTDA) 18.58 21.47 22.96 23.13 23.28 23.62 23.96 24.31 24.67
528501302176110 CICLOPIROX OLAMINA 10 MG/ML SOL TOP CT FR PLAS X 15 ML 19.64 22.70 24.27 24.44 24.61 24.96 25.32 25.70 26.08
CICLOPIROX OLAMINA
528501303164116 CICLOPIROX OLAMINA 10 MG/G CREM DERM CT BG AL X 20 G 23.84 27.55 29.46 29.67 29.87 30.30 30.74 31.19 31.66
538801502178110 CICLOPIROX OLAMINA 10 MG/ML SOL TOP CT FR GOT PLAS TRANS X 20.12 23.25 24.86 25.04 25.21 25.57 25.94 26.32 26.72
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) 15 ML
15.79 18.24 19.51 19.65 19.78 20.06 20.35 20.65 20.97
525066702175118 CICLOPIROX OLAMINA 10 MG/ML SOL DERM CT FR GOT PLAS PE 15.68 18.12 19.38 19.51 19.65 19.93 20.22 20.51 20.82
(SANOFI MEDLEY FARMACÊUTICA LTDA.) TRANS X 15 ML
12.30 14.22 15.21 15.31 15.42 15.64 15.87 16.09 16.34
525066701160117 CICLOPIROX OLAMINA 10 MG/G CREM DERM CT BG AL X 20G 20.68 23.90 25.55 25.73 25.91 26.28 26.66 27.06 27.46
CICLOSPORINA
526523100102803 SANDIMMUN 100 MG/ML SOL OR CT FR VD TRANS X 50 ML + 449.56
(NOVARTIS BIOCIENCIAS S.A) 2 SER DOS
352.77
C CAP
CILASTATINA SÓDICA;IMIPENÉM MONOIDRATADO

501301103151118 IMIPENEM + CILASTATINA 500 MG + 500 MG PO SOL INJ CX 10 FA VD 998.29 1134.42 1202.76 1210.05 1217.43 1232.46 1247.86 1263.66 1279.86
(ANTIBIÓTICOS DO BRASIL LTDA) TRANS X 20 ML
783.36 890.18 943.81 949.53 955.32 967.11 979.20 991.59 1004.31
501301102155111 IMIPENEM + CILASTATINA 500 MG + 500 MG PO SOL INJ CT FA VD TRANS 99.77 113.38 120.20 120.93 121.67 123.17 124.71 126.29 127.91
(ANTIBIÓTICOS DO BRASIL LTDA) X 20 ML + BOLS PLAS TRANS SIST FECH X 100
78.29 88.97 94.32 94.89 95.47 96.65 97.86 99.10 100.37
ML
501301104158116 IMIPENEM + CILASTATINA 500 MG + 500 MG PO SOL INJ CX 10 FA VD 998.29 1134.42 1202.76 1210.05 1217.43 1232.46 1247.86 1263.66 1279.86
(ANTIBIÓTICOS DO BRASIL LTDA) TRANS X 20 ML + 10 BOLS PLAS TRANS SIST
783.36 890.18 943.81 949.53 955.32 967.11 979.20 991.59 1004.31
FECH X 100 ML
CILOSTAZOL
552920020114317 CILOSTAZOL 50 MG COM CT BL AL PLAS TRANS X 60 16.44 18.68 19.81 19.93 20.05 20.30 20.55 20.81 21.08
CILTACABTAGENO AUTOLEUCEL
514523080039807 CARVYKTI® MÁX DE 1 X 10E8 CEL CAR-T X 1 BOLS INF X 30 2539036.07 2934079.61 3137557.96 3159472.39 3181694.03 3227094.53 3273810.26 3321902.14 3371431.12
(JANSSEN-CILAG FARMACÊUTICA LTDA) ML OU 70 ML
1992381.60 2302372.27 2462041.73 2479237.99 2496675.31 2532301.08 2568958.91 2606696.61 2645562.00
CIMETIDINA
528528003110111 CIMETIDINA 200 MG COM REV CT BL AL PLAS TRANS X 20 18.35 20.85 22.11 22.24 22.38 22.65 22.94 23.23 23.53
528528006111117 CIMETIDINA 200 MG COM REV CT BL AL PLAS TRANS X 600 180.11 204.67 217.00 218.32 219.65 222.36 225.14 227.99 230.91
CINARIZINA
529912302119113 CINARIZINA 25 MG COM CT BL AL PLAS TRANS X 30 9.92 11.27 11.95 12.02 12.10 12.25 12.40 12.56 12.72
529912301112115 CINARIZINA 75 MG COM CT BL AL PLAS TRANS X 30 13.89 15.78 16.73 16.84 16.94 17.15 17.36 17.58 17.81
aplicável o CAP.
Medicamentos
CINARIZINA
504620110079107 FLUXON 25 MG COM CT BL AL PLAS TRANS X 30 7.85 8.92 9.46 9.52 9.57 9.69 9.81 9.94 10.06
504620110079207 FLUXON 75 MG COM CT BL AL PLAS TRANS X 30 11.75 13.35 14.16 14.24 14.33 14.51 14.69 14.87 15.06
CINCHONA CALISAYA WEDD.

532319120009107 INGLESA SOBRAL 0,05 ML/ML SOL OR FR PLAS AMB X 430 ML + CP 16.53 19.10 20.43 20.57 20.71 21.01 21.31 21.63 21.95
(THEODORO F SOBRAL & CIA LTDA) 15 ML
12.97 14.99 16.03 16.14 16.25 16.49 16.72 16.97 17.22
Liberado
CIPROFIBRATO
508022110169706 CIPROFIBRATO 100 MG COM CT BL AL PLAS PVC TRANS X 30 35.19
(EUROFARMA LABORATÓRIOS S.A.) 27.61
C CAP
532908201117415 CIPROLIP 100 MG COM CT BL AL PLAS PVC TRANS X 30 46.76

(UCI - FARMA INDÚSTRIA FARMACÊUTICA LTDA) 36.69
C CAP
552922100151503 RAVUMA 100 MG COM CT BL AL PLAS TRANS X 10 23.90

(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) 18.75
C CAP
552922100151603 RAVUMA 100 MG COM CT BL AL PLAS TRANS X 30 71.70

C CAP
506420010037807 CIPROFIBRATO 100 MG COM CT BL AL PLAS PVC TRANS X 30 20.93

C CAP
576720120092007 CIPROFIBRATO 100 MG COM CT BL AL PLAS TRANS X 60 68.67

C CAP
CIPROFLOXACINO
509503603150415 FRESOFLOX 2,0 MG/ML SOL INJ IV CX BOLS PLAS POLF 120.51 136.94 145.19 146.07 146.96 148.78 150.64 152.54 154.50
(FRESENIUS KABI BRASIL LTDA) TRANS SIST FECH X 100 ML
94.56 107.46 113.93 114.62 115.32 116.75 118.21 119.70 121.24
511223030048603 HIFLOXAN 2 MG/ML SOL INFUS IV CX 60 ENVOL BOLS PLAS 4566.82 5189.57 5502.19 5535.54 5569.29 5638.05 5708.53 5780.79 5854.90
(HALEX ISTAR INDÚSTRIA FARMACÊUTICA SA) PEBD TRANS SIST FECH X 100 ML
3583.58 4072.26 4317.57 4343.74 4370.22 4424.18 4479.48 4536.19 4594.34
511223030048703 HIFLOXAN 2 MG/ML SOL INFUS IV CX 32 ENVOL BOLS PLAS 4871.28 5535.55 5869.01 5904.58 5940.58 6013.93 6089.10 6166.18 6245.23
(HALEX ISTAR INDÚSTRIA FARMACÊUTICA SA) PEBD TRANS SIST FECH X 200 ML
3822.49 4343.75 4605.41 4633.32 4661.57 4719.13 4778.12 4838.60 4900.63
503323050009606 CIPROFLOXACINO 2 MG/ML SOL INFUS IV CX 20 ENVOL BOLS PLAS 1428.06 1622.80 1720.55 1730.98 1741.54 1763.04 1785.08 1807.67 1830.85
(BEKER PRODUTOS FÁRMACO HOSPITALARES LTDA) PP TRANS SIST FECH X 100 ML
1120.60 1273.41 1350.12 1358.30 1366.59 1383.46 1400.75 1418.48 1436.67
3361.80 3820.23 4050.35 4074.90 4099.75 4150.36 4202.25 4255.44 4310.00
1661.57 1888.15 2001.90 2014.03 2026.31 2051.32 2076.97 2103.26 2130.22
4430.86 5035.07 5338.38 5370.73 5403.48 5470.19 5538.57 5608.68 5680.58
511820120011707 HYPOFLOX 2 MG/ML SOL INJ CT ENVOL BOLS PLAS TRANS 84.76 96.32 102.12 102.74 103.37 104.64 105.95 107.29 108.67
(HYPOFARMA - INSTITUTO DE HYPODERMIA E FARMÁCIA LTDA) X 100 ML
66.51 75.58 80.13 80.62 81.12 82.11 83.14 84.19 85.27
508622120011704 KINOF 2 MG/ML SOL INFUS IV CX ENVOL FA PLAS 85.05 96.65 102.47 103.09 103.72 105.00 106.31 107.66 109.04
(FARMARIN INDUSTRIA E COMERCIO LTDA) PEBD TRANSL SIST FECH X 100 ML
66.74 75.84 80.41 80.89 81.39 82.39 83.42 84.48 85.56
CISPLATINA
504401501153415 C-PLATIN 0,5 MG/ML SOL INJ CT FA VD AMB X 20 ML 63.80 72.50 76.87 77.33 77.80 78.77 79.75 80.76 81.79
504401503156411 C-PLATIN 1 MG/ML SOL INJ CT FA VD AMB X 100 ML 294.82 335.02 355.20 357.36 359.54 363.98 368.53 373.19 377.97
504401504152411 C-PLATIN 1 MG/ML SOL INJ CT FA VD AMB X 50 ML 147.43 167.53 177.63 178.70 179.79 182.01 184.29 186.62 189.01
538000303150111 CISPLATINA 1 MG/ML SOL INJ IV CT FA VD AMB X 10 ML 46.06 52.34 55.49 55.83 56.17 56.86 57.58 58.30 59.05
aplicável o CAP.
Medicamentos
CISPLATINA
538000301158113 CISPLATINA 1 MG/ML SOL INJ IV CT FA VD AMB X 50 ML 220.88 251.00 266.12 267.73 269.37 272.69 276.10 279.59 283.18
CITALOPRAM
525069802111116 CITALOPRAM (PORT. 344/98, L-C1) 20 MG COM REV CT BL AL PLAS TRANS X 30 33.77 38.38 40.69 40.93 41.18 41.69 42.21 42.75 43.29
CITARABINA
504401404158416 CITARAX 20 MG/ML SOL INJ SC/IV CT 10 FA VD TRANS X 5 145.69 165.56 175.53 176.59 177.67 179.86 182.11 184.42 186.78
114.32 129.91 137.74 138.57 139.42 141.14 142.90 144.71 146.57
504401403151418 CITARAX 50 MG/ML SOL INJ SC/IV CT 10 FA VD TRANS X 814.22 925.25 980.99 986.93 992.95 1005.21 1017.78 1030.66 1043.87
(BLAU FARMACÊUTICA S.A.) 10 ML
638.92 726.04 769.78 774.44 779.17 788.79 798.65 808.76 819.12
538000603154110 CITARABINA 100 MG/ML SOL INJ CT FA VD TRANS X 1 ML 10.39 11.81 12.52 12.59 12.67 12.83 12.99 13.15 13.32
CITRATO DE CLOMIFENO
531625101113413 INDUX 50 MG COM CT BL AL PLAS TRANS X 10 43.01 48.88 51.82 52.13 52.45 53.10 53.76 54.44 55.14
525003101115414 CLOMID 50 MG COM CT BL AL PLAS INC X 10 44.52 50.59 53.64 53.96 54.29 54.96 55.65 56.35 57.08
CITRATO DE FENTANILA
509520120028407 CITRATO DE FENTANILA 50 MCG/ML SOL INJ EPI/IM/IV CX 50 AMP VD 100.92 114.68 121.59 122.33 123.07 124.59 126.15 127.75 129.38
(FRESENIUS KABI BRASIL LTDA) AMB X 2ML
79.19 89.99 95.41 95.99 96.57 97.77 98.99 100.25 101.52
509520120028507 CITRATO DE FENTANILA 50 MCG/ML SOL INJ EPI/IM/IV CX 50 AMP VD 281.37 319.74 339.00 341.05 343.13 347.37 351.71 356.16 360.73
(FRESENIUS KABI BRASIL LTDA) AMB X 10ML
220.79 250.90 266.01 267.62 269.25 272.58 275.99 279.48 283.06
506720120087707 FENTANEST 0,05 MG/ML SOL INJ IM/IV CX 5 FA VD TRANS X 89.79 102.03 108.18 108.84 109.50 110.85 112.24 113.66 115.12
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) 10 ML
70.46 80.06 84.89 85.41 85.92 86.98 88.08 89.19 90.34
533020110072207 UNIFENTAL 50 MCG/ML SOL INJ CT 25 AMP VD TRANS X 10 166.66 189.39 200.80 202.01 203.24 205.75 208.33 210.96 213.67
130.78 148.61 157.57 158.52 159.48 161.45 163.48 165.54 167.67
511610301151117 CITRATO DE FENTANILA 50 MCG/ML SOL INJ CX 25 AMP VD AMB X 5 ML 156.98 178.39 189.13 190.28 191.44 193.80 196.23 198.71 201.26
537519070007805 FENTORA 100 MCG COM ORODISP CT BL AL PLAS PVC/PA 59.52 67.64 71.71 72.15 72.59 73.48 74.40 75.34 76.31
(TEVA FARMACÊUTICA LTDA.) OPC X 4
46.71 53.08 56.27 56.62 56.96 57.66 58.38 59.12 59.88
326.97 371.56 393.94 396.33 398.75 403.67 408.71 413.88 419.20
79.18 89.98 95.40 95.99 96.56 97.76 98.98 100.23 101.52
aplicável o CAP.
Medicamentos
CITRATO DE FENTANILA
554.29 629.87 667.82 671.87 675.96 684.31 692.86 701.63 710.62
554.29 629.87 667.82 671.87 675.96 684.31 692.86 701.63 710.62
554.29 629.87 667.82 671.87 675.96 684.31 692.86 701.63 710.62
554.29 629.87 667.82 671.87 675.96 684.31 692.86 701.63 710.62
CITRATO DE SILDENAFILA
520722100115806 CITRATO DE SILDENAFILA 50 MG COM REV CT BL AL PLAS PVC/PVDC 55.22 63.81 68.24 68.71 69.20 70.18 71.20 72.25 73.32
(LABORATÓRIO TEUTO BRASILEIRO S/A) TRANS X 4
43.33 50.07 53.55 53.92 54.30 55.07 55.87 56.70 57.53
C CAP
526133001119111 CITRATO DE SILDENAFILA 25 MG COM REV CT BL AL PLAS OPC X 4 50.22 58.03 62.06 62.49 62.93 63.83 64.75 65.70 66.68
C CAP
C CAP
C CAP
C CAP
C CAP
607023030088717 VASIFIL 50 MG COM REV CT BL AL PLAS OPC X 2 31.00 35.82 38.31 38.58 38.85 39.40 39.97 40.56 41.16
C CAP
607023030088817 VASIFIL 50 MG COM REV CT BL AL PLAS OPC X 4 62.01 71.66 76.63 77.16 77.71 78.81 79.96 81.13 82.34
C CAP
C CAP
C CAP
C CAP
C CAP
538806301111419 AH-ZUL 25 MG COM REV CT BL AL PLAS OPC X 2 38.65 44.66 47.76 48.09 48.43 49.12 49.83 50.57 51.32
C CAP
C CAP
C CAP
C CAP
C CAP
C CAP
aplicável o CAP.
Medicamentos
CITRATO DE SILDENAFILA
C CAP
525074111113111 CITRATO DE SILDENAFILA 50 MG COM REV CT BL AL PLAS TRANS X 1 6.41 7.41 7.92 7.98 8.03 8.15 8.26 8.39 8.51
C CAP
C CAP
C CAP
C CAP
CITRATO DE SÓDIO DI-HIDRATADO;CLORETO DE POTÁSSIO;GLICONATO DE ZINCO;GLICOSE;CLORETO DE SÓDIO

506322080040207 SOROZINC (749,90 + 9999,24 + 1449,96 + 1750,01 + 30,00) 20.98 24.24 25.93 26.11 26.29 26.67 27.05 27.45 27.86
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) MG PO SOL OR CT 4 ENV AL/PLAS X 14 G
16.46 19.02 20.35 20.49 20.63 20.93 21.23 21.54 21.86
Liberado (SABOR NATURAL)
CITRATO DE TAMOXIFENO
519620040003407 CITRATO DE TAMOXIFENO 20 MG COM REV CT BL AL AL X 30 133.71 172.40 174.94 177.55
(LABORATORIO QUIMICO FARMACEUTICO DA AERONAUTICA) 104.92 121.24 129.66 130.56 131.48 133.35 135.28 137.28 139.32
ICMS0%
502302802116315 NOLVADEX 10 MG COM REV CT BL AL PLAS AMB X 30 116.85 132.78 140.78 141.64 142.50 144.26 146.06 147.91 149.81
502302901114310 NOLVADEX 20 MG COM REV CT BL AL PLAS AMB X 30 239.47 272.13 288.52 290.27 292.04 295.64 299.34 303.13 307.01
504403702113417 TAXOFEN 10 MG COM REV CT BL AL AL X 30 112.72 128.09 135.81 136.63 137.46 139.16 140.90 142.68 144.51
CITRATO DE TOFACITINIBE
522720110090507 XELJANZ 10 MG COM REV CT FR PLAS PEAD OPC X 60 11157.51 12893.48 13787.65 13883.95 13981.60 14181.11 14386.39 14597.73 14815.38
522723010091505 XELJANZ XR 11 MG COM REV LIB PROL CT FR PLAS PEAD 4260.63 4923.53 5264.98 5301.75 5339.04 5415.23 5493.62 5574.32 5657.43
(PFIZER BRASIL LTDA) OPC X 30
3343.32 3863.49 4131.43 4160.28 4189.54 4249.33 4310.84 4374.17 4439.39
CITRATO DE ZINCO TRI-HIDRATADO;ÁCIDO ASCÓRBICO

531619120085907 SUPLEVIT C ZINCO 1 G + 10 MG COM EFEV CT TB PLAS X 10 19.31 22.31 23.86 24.03 24.20 24.54 24.90 25.26 25.64
Liberado
531619120085807 SUPLEVIT C ZINCO 1 G + 10 MG COM EFEV CT TB PLAS X 30 53.22 61.50 65.77 66.22 66.69 67.64 68.62 69.63 70.67
Liberado
CLADRIBINA
525420020051407 MAVENCLAD 10 MG COM CT BL AL AL X 1 10911.00 12398.87 13145.78 13225.45 13306.10 13470.37 13638.75 13811.39 13988.46
(MERCK S/A) 8561.86 9729.39 10315.49 10378.01 10441.30 10570.20 10702.33 10837.80 10976.74
(MERCK S/A) 34247.43 38917.55 41261.96 41512.03 41765.16 42280.78 42809.29 43351.18 43906.96
(MERCK S/A) 51371.16 58376.34 61892.95 62268.06 62647.75 63421.20 64213.96 65026.80 65860.45
596223030000717 LEUSTATIN 1MG/ML SOL INJ CT FA VD TRANS X 8 ML 1603.83 1822.53 1932.32 1944.04 1955.89 1980.04 2004.79 2030.16 2056.19
(MAWDSLEYS PHARMACEUTICALS DO BRASIL LTDA) 1258.53 1430.14 1516.29 1525.49 1534.79 1553.74 1573.16 1593.07 1613.49
aplicável o CAP.
Medicamentos
CLARITROMICINA
541820030123007 CLABAT 500 MG COM REV CT BL AL PLAS OPC X 10 63.70 72.39 76.75 77.21 77.68 78.64 79.63 80.63 81.67
(EMS S/A) 49.99 56.80 60.23 60.59 60.95 61.71 62.49 63.27 64.09
(EMS S/A) 71.71 81.48 86.40 86.91 87.45 88.52 89.64 90.77 91.93
(EMS S/A) 101.22 115.02 121.95 122.69 123.43 124.96 126.53 128.13 129.77
(EMS S/A) 141.69 161.01 170.71 171.75 172.80 174.93 177.11 179.36 181.66
541820030122607 CLABAT 25 MG/ML GRAN SUS OR CT FR PLAS OPC X 60 44.21 50.24 53.27 53.59 53.91 54.58 55.26 55.96 56.68
(EMS S/A) ML+FR PLAS DIL X 31 ML+SER PLAS
34.69 39.42 41.80 42.05 42.30 42.83 43.36 43.91 44.48
(EMS S/A) ML+FR PLAS DIL X 31 ML+SER PLAS
69.05 78.46 83.19 83.69 84.20 85.24 86.31 87.40 88.52
(EMS S/A) ML + SER DOS
34.69 39.42 41.80 42.05 42.30 42.83 43.36 43.91 44.48
69.05 78.46 83.19 83.69 84.20 85.24 86.31 87.40 88.52
504423040082517 CLARILIB 500 MG PO LIOF INJ CT FA VD TRANS X 20 ML 159.70 181.48 192.41 193.58 194.76 197.16 199.63 202.15 204.74
504423040082617 CLARILIB 500 MG PO LIOF INJ CT 25 FA VD TRANS X 20 3992.56 4537.00 4810.31 4839.47 4868.97 4929.09 4990.70 5053.87 5118.67
3132.96 3560.18 3774.65 3797.53 3820.68 3867.86 3916.20 3965.77 4016.62
501301903158117 CLARITROMICINA 500 MG PO LIOF SOL INJ IV CT FA VD TRANS X 139.53 158.56 168.11 169.13 170.16 172.26 174.41 176.62 178.88
(ANTIBIÓTICOS DO BRASIL LTDA) 30ML
109.49 124.42 131.92 132.72 133.52 135.17 136.86 138.59 140.37
501301904154115 CLARITROMICINA 500 MG PO LIOF SOL INJ IV CX 10 FA VD TRANS 1395.84 1586.18 1681.73 1691.93 1702.24 1723.26 1744.80 1766.89 1789.54
(ANTIBIÓTICOS DO BRASIL LTDA) X 30 ML
1095.32 1244.68 1319.65 1327.66 1335.75 1352.24 1369.14 1386.48 1404.25
525002903110114 CLARITROMICINA 500 MG COM REV CT BL AL PLAS TRANS X 10 59.88 68.05 72.14 72.58 73.02 73.93 74.85 75.80 76.77
525002904117112 CLARITROMICINA 500 MG COM REV CT BL AL PLAS TRANS X 14 85.90 97.61 103.49 104.12 104.76 106.05 107.38 108.73 110.13
CLAVULANATO DE POTÁSSIO;AMOXICILINA
538820020072507 AMOXICILINA + CLAVULANATO DE POTÁSSIO 80 MG/ML + 11,4 MG/ML PÓ SUS OR CT FR PLAS 71.85 81.65 86.57 87.09 87.62 88.70 89.81 90.95 92.12
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) OPC X 70 ML + SER DOS + COP
56.38 64.07 67.93 68.34 68.75 69.60 70.47 71.37 72.29
CLAVULANATO DE POTÁSSIO;AMOXICILINA SÓDICA

520722110116006 AMOXICILINA + CLAVULANATO DE POTÁSSIO (1000,0 + 200,0) MG PO SOL INJ/INFUS IV CT 10 424.82 482.75 511.83 514.93 518.07 524.47 531.03 537.75 544.64
(LABORATÓRIO TEUTO BRASILEIRO S/A) FA VD TRANS
333.36 378.81 401.63 404.06 406.53 411.55 416.70 421.97 427.38
500102601153112 AMOXICILINA SÓDICA + CLAVULANATO DE POTÁSSIO (1000 + 200) MG PO SOL INJ IV CT 10 FA VD 443.09 503.51 533.84 537.08 540.35 547.02 553.86 560.87 568.06
(AUROBINDO PHARMA INDÚSTRIA FARMACÊUTICA LIMITADA) TRANS
347.69 395.10 418.90 421.45 424.01 429.25 434.61 440.11 445.76
CLAVULANATO DE POTÁSSIO;AMOXICILINA TRI-HIDRATADA

507720301113411 POLICLAVUMOXIL 500 MG + 125 MG COM REV CT BL AL AL X 12 79.06 89.84 95.25 95.83 96.41 97.60 98.83 100.08 101.36
(EMS S/A) 62.04 70.50 74.74 75.20 75.65 76.59 77.55 78.53 79.54
507720302111412 POLICLAVUMOXIL 500 MG + 125 MG COM REV CT BL AL AL X 18 118.60 134.77 142.89 143.76 144.63 146.42 148.25 150.13 152.05
(EMS S/A) 93.07 105.75 112.13 112.81 113.49 114.90 116.33 117.81 119.31
507720303116418 POLICLAVUMOXIL BD 875 MG + 125 MG COM REV CT BL AL/ AL X 12 142.88 162.36 172.14 173.19 174.24 176.40 178.60 180.86 183.18
(EMS S/A) 112.12 127.40 135.08 135.90 136.73 138.42 140.15 141.92 143.74
541718090021306 AMOXICILINA + CLAVULANATO DE POTÁSSIO 80 MG/ML + 11,4 MG/ML PO SUS OR CT FR VD 69.04 78.45 83.18 83.68 84.20 85.23 86.30 87.39 88.51
(CELLERA FARMACÊUTICA S.A.) AMB X 70 ML + SER DOS
54.18 61.56 65.27 65.66 66.07 66.88 67.72 68.57 69.45
533022100081406 AMOXICILINA + CLAVULANATO DE POTÁSSIO (50 + 12,5) MG/ML PO SUS OR CT FR VD AMB X 43.72 49.68 52.67 52.99 53.32 53.98 54.65 55.34 56.05
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) 75 ML + SER DOS
34.31 38.98 41.33 41.58 41.84 42.36 42.88 43.42 43.98
aplicável o CAP.
Medicamentos
CLAVULANATO DE POTÁSSIO;AMOXICILINA TRI-HIDRATADA

533022100081506 AMOXICILINA + CLAVULANATO DE POTÁSSIO (80 + 11,4) MG/ML PO SUS OR CT FR VD AMB X 71.85 81.65 86.57 87.09 87.62 88.70 89.81 90.95 92.12
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) 70 ML + SER DOS
56.38 64.07 67.93 68.34 68.75 69.60 70.47 71.37 72.29
526128003133113 AMOXICILINA + CLAVULANATO DE POTÁSSIO 80 MG/ML + 11,4 MG/ML PÓ SUS OR CT FR PLAS 71.85 81.65 86.57 87.09 87.62 88.70 89.81 90.95 92.12
(GERMED FARMACEUTICA LTDA) OPC X 70 ML + SER DOS + COP
56.38 64.07 67.93 68.34 68.75 69.60 70.47 71.37 72.29
531627103113417 SIGMA CLAV 500 MG + 125 MG COM REV CT BL AL AL X 18 65.74 74.70 79.20 79.68 80.17 81.16 82.18 83.22 84.28
531627101110410 SIGMA-CLAV BD 875 MG + 125 MG COM REV CT BL AL/ AL X 14 86.19 97.94 103.84 104.47 105.11 106.41 107.74 109.10 110.50
531627104111418 SIGMA-CLAV BD 875 MG + 125 MG COM REV CT BL AL/ AL X 20 109.07 123.94 131.41 132.21 133.01 134.65 136.34 138.06 139.83
CLIOQUINOL;HIDROCORTISONA
538815601165416 HIDROCORTE 30 MG/G + 10 MG/G CREM DERM CT BG AL X 20 30.63 35.40 37.85 38.11 38.38 38.93 39.49 40.07 40.67
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) G
24.04 27.78 29.70 29.90 30.12 30.55 30.99 31.44 31.91
CLIOQUINOL;SULFATO DE GENTAMICINA;TOLNAFTATO;VALERATO DE BETAMETASONA

507724402161112 VALERATO DE BETAMETASONA + SULFATO DE 0,5 MG/G + 1 MG/G + 10 MG/G + 10 MG/G CREM 23.25 26.87 28.73 28.93 29.13 29.55 29.98 30.42 30.87
(EMS S/A) DERM CT BG AL X 20 G
18.24 21.08 22.54 22.70 22.86 23.19 23.53 23.87 24.22
(NOVA QUIMICA FARMACÊUTICA S/A) DERM CT BG AL X 20 G
15.71 18.15 19.41 19.55 19.69 19.97 20.25 20.55 20.86
525307501164112 VALERATO DE BETAMETASONA + SULFATO DE 0,5 MG/G + 1,0 MG/G + 10 MG/G + 10 MG/G POM 20.07 23.19 24.80 24.97 25.15 25.51 25.88 26.26 26.65
(NOVA QUIMICA FARMACÊUTICA S/A) DERM CT BG AL X 20 G
15.75 18.20 19.46 19.59 19.74 20.02 20.31 20.61 20.91
506409701166118 VALERATO DE BETAMETASONA+SULFATO DE (0,5 + 1,0 + 10,0 + 10,0) MG/G POM DERM CT BG 16.63 19.22 20.55 20.69 20.84 21.14 21.44 21.76 22.08
(CIMED INDUSTRIA S.A) AL X 20 G
13.05 15.08 16.13 16.23 16.35 16.59 16.82 17.08 17.33
506411601165413 QUADRITOP (0,5 + 1,0 + 10,0 + 10,0) MG/G CREM DERM CT 24.55 28.37 30.34 30.55 30.76 31.20 31.65 32.12 32.60
(CIMED INDUSTRIA S.A) BG AL X 20 G
19.26 22.26 23.81 23.97 24.14 24.48 24.83 25.20 25.58
504602101160113 VALERATO DE BETAMETASONA + SULFATO DE (0.5 + 1 + 10 + 10) MG/G CREM DERM CT BG AL 21.70 25.08 26.82 27.00 27.19 27.58 27.98 28.39 28.81
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) X 20 G
17.03 19.68 21.05 21.19 21.34 21.64 21.96 22.28 22.61
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) DERM CT BG AL X 20 G
15.95 18.43 19.71 19.85 20.00 20.28 20.57 20.87 21.18
525068402160111 VALERATO DE BETAMETASONA + SULFATO DE 0,5 MG/ G + 1,0 MG/ G + 10,0 MG/ G + 10,0 MG/ G 21.82 25.21 26.96 27.15 27.34 27.73 28.13 28.55 28.97
(SANOFI MEDLEY FARMACÊUTICA LTDA.) POM DERM CT BG AL X 20 G
17.12 19.78 21.16 21.30 21.45 21.76 22.07 22.40 22.73
(SANOFI MEDLEY FARMACÊUTICA LTDA.) DERM CT BG AL X 20 G
17.12 19.78 21.16 21.30 21.45 21.76 22.07 22.40 22.73
CLOBAZAM
576720050066917 FRISIUM 10 MG COM CT BL AL PLAS PVC TRANS X 20 13.32
C CAP
576720050067017 FRISIUM 20 MG COM CT BL AL PLAS PVC TRANS X 20 24.93

C CAP
CLODRONATO DISSÓDICO
538900802153316 BONEFÓS 60 MG/ML SOL INJ CT 5 AMP VD INC X 5 ML 552.89 628.28 666.13 670.17 674.26 682.58 691.11 699.86 708.83
(BAYER S.A.) 433.85 493.01 522.71 525.88 529.09 535.62 542.31 549.18 556.22
CLONAZEPAM
508020120137907 CLONAZEPAM 2 MG COM CT BL AL AL X 30 12.57 14.28 15.14 15.24 15.33 15.52 15.71 15.91 16.12
513423050031006 CLONAZEPAM 2,5 MG/ML SOL OR CT FR VD AMB X 20 ML 11.30 12.84 13.61 13.70 13.78 13.95 14.13 14.30 14.49
526120702113116 CLONAZEPAM 2 MG COM CT BL AL PLAS PVDC OPC X 20 8.30 9.43 10.00 10.06 10.12 10.25 10.38 10.51 10.64
aplicável o CAP.
Medicamentos
CLONAZEPAM
511611701135117 CLONAZEPAM 2.5 MG/ML SOL OR CT FR PLAS OPC GOT X 20 11.18 12.70 13.47 13.55 13.63 13.80 13.98 14.15 14.33
(HIPOLABOR FARMACEUTICA LTDA) ML
8.77 9.97 10.57 10.63 10.69 10.83 10.97 11.10 11.24
511611702131115 CLONAZEPAM 2.5 MG/ML SOL OR CX 200 FR PLAS OPC GOT X 2145.54 2438.11 2584.99 2600.65 2616.51 2648.82 2681.93 2715.87 2750.69
(HIPOLABOR FARMACEUTICA LTDA) 20 ML (EMB HOSP)
1683.61 1913.18 2028.44 2040.73 2053.18 2078.53 2104.51 2131.14 2158.47
529914104111112 CLONAZEPAM 2 MG COM CT BL AL PLAS TRANS X 30 12.42 14.11 14.96 15.05 15.15 15.33 15.53 15.72 15.92
529920020063707 CLONAZEPAM 2 MG COM CT BL AL PLAS TRANS X 1000 414.61 471.15 499.53 502.56 505.62 511.86 518.26 524.82 531.55
510422100188306 CLONAZEPAM 2,5 MG/ML SOL OR CT FR GOT PLAS AMB X 20 10.46 11.89 12.60 12.68 12.76 12.91 13.08 13.24 13.41
8.21 9.33 9.89 9.95 10.01 10.13 10.26 10.39 10.52
510422100188406 CLONAZEPAM 2,5 MG/ML SOL OR CX 50 FR GOT PLAS OPC X 531.13 603.56 639.92 643.79 647.72 655.72 663.91 672.32 680.94
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) 20 ML
416.78 473.61 502.15 505.18 508.27 514.54 520.97 527.57 534.33
510422100188506 CLONAZEPAM 0,5MG COM CT BL AL PLAS OPC X 30 6.52 7.41 7.86 7.90 7.95 8.05 8.15 8.25 8.36
510422100188606 CLONAZEPAM 2 MG COM CT BL AL PLAS OPC X 30 11.40 12.95 13.73 13.82 13.90 14.07 14.25 14.43 14.62
536202701118117 CLONAZEPAM 2 MG COM CT BL AL PLAS INC X 30 11.22 12.75 13.52 13.60 13.68 13.85 14.03 14.20 14.38
538801602131116 CLONAZEPAM 2,5 MG/ML SOL OR CT FR VD AMB CGT X 20 ML 10.32 11.73 12.43 12.51 12.59 12.74 12.90 13.06 13.23
525065701132115 CLONAZEPAM 2,5 MG/ML SOL OR CT FR GOT VD AMB X 20 ML 8.04 9.14 9.69 9.75 9.80 9.93 10.05 10.18 10.31
CLONIXINATO DE LISINA;CLORIDRATO DE CICLOBENZAPRINA

541820060128607 BENZIFLEX LIS (125,0 + 5,0) MG COM REV CT BL AL PLAS OPC X 43.34 50.08 53.56 53.93 54.31 55.08 55.88 56.70 57.55
(EMS S/A) 30
34.01 39.30 42.03 42.32 42.62 43.22 43.85 44.49 45.16
541823050196703 MIOGESIC LIS (125,0 + 5,0) MG COM REV CT BL AL PLAS OPC X 14.44 16.69 17.84 17.97 18.09 18.35 18.62 18.89 19.17
(EMS S/A) 10
11.33 13.10 14.00 14.10 14.19 14.40 14.61 14.82 15.04
(EMS S/A) 15
17.00 19.64 21.01 21.15 21.30 21.60 21.92 22.24 22.57
(EMS S/A) 30
34.00 39.29 42.01 42.31 42.61 43.21 43.84 44.48 45.15
(EMS S/A) 60
67.99 78.57 84.03 84.61 85.20 86.42 87.68 88.96 90.29
(EMS S/A) 12
13.60 15.72 16.81 16.92 17.04 17.29 17.54 17.79 18.06
CLORANFENICOL;ACETATO DE RETINOL;AMINOÁCIDOS;METIONINA (11 C)

506719050078117 REGENCEL 10.000 UI/G + 25 MG/G + 5 MG/G + 5 MG/G POM 10.25 11.84 12.67 12.75 12.84 13.03 13.22 13.41 13.61
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) OFT CT BG AL X 3,5 G
8.04 9.29 9.94 10.00 10.07 10.23 10.37 10.52 10.68
CLORANFENICOL;COLAGENASE
542620020012207 DBRIZ 0,6 U/G + 0,01 G/G POM DERM CT 01 BG AL X 15 22.86 26.42 28.25 28.45 28.65 29.05 29.48 29.91 30.35
(SUPERA FARMA LABORATÓRIOS S.A) G + ESP PLAS
17.94 20.73 22.17 22.33 22.48 22.79 23.13 23.47 23.81
542620020012307 DBRIZ 0,6 U/G + 0,01 G/G POM DERM CT 01 BG AL X 30 45.74 52.86 56.52 56.92 57.32 58.14 58.98 59.84 60.74
(SUPERA FARMA LABORATÓRIOS S.A) G + ESP PLAS
35.89 41.48 44.35 44.67 44.98 45.62 46.28 46.96 47.66
aplicável o CAP.
Medicamentos
CLORANFENICOL;COLAGENASE
542620020012407 DBRIZ 0,6 U/G + 0,01 G/G POM GINEC CT BG AL X 30 G 42.74 49.39 52.82 53.18 53.56 54.32 55.11 55.92 56.75
(SUPERA FARMA LABORATÓRIOS S.A) + 6 APLIC
33.54 38.76 41.45 41.73 42.03 42.62 43.25 43.88 44.53
CLORANFENICOL;LEVOMETIONINA;ACETATO DE RETINOL
523401501168416 REGENCEL 10.000 UI/G + 25 MG/G + 5 MG/G + 5 MG/G POM 7.94 9.18 9.81 9.88 9.95 10.09 10.24 10.39 10.54
(LATINOFARMA INDUSTRIAS FARMACEUTICAS LTDA) OFT CT BG AL X 3,5 G
6.23 7.20 7.70 7.75 7.81 7.92 8.04 8.15 8.27
CLORDIAZEPÓXIDO;CLORIDRATO DE AMITRIPTILINA
525123050035117 LIMBITROL 12,5 MG + 5,0 MG CAP GEL DURA CT BL AL 8.37 9.51 10.08 10.15 10.21 10.33 10.46 10.59 10.73
(MEDQUIMICA INDUSTRIA FARMACEUTICA LTDA.) PLAS TRANS X 20
6.57 7.46 7.91 7.97 8.01 8.11 8.21 8.31 8.42
CLORETO DE AMÔNIO;CITRATO DE SÓDIO DI-HIDRATADO;CLORIDRATO DE DIFENIDRAMINA

506312802111411 BENATUX (5,0 +50,0 +10,0) MG PAS DURA CT ENV AL X 12 13.20 15.19 16.21 16.31 16.43 16.65 16.88 16.99 17.10
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) (SBR MENTA)
10.36 11.92 12.72 12.80 12.89 13.06 13.24 13.33 13.42
Liberado
506323010040707 BENATUX (2,5 + 25,0 + 11,25) MG/ML XPE CT FR PLAS PET 12.27 14.12 15.06 15.17 15.27 15.48 15.69 15.79 15.89
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) AMB X 120 ML + COP
9.63 11.08 11.82 11.90 11.98 12.15 12.31 12.39 12.47
Liberado
CLORETO DE AMÔNIO;CITRATO DE SÓDIO;CLORIDRATO DE DIFENIDRAMINA

514520070037717 BENALET 5 MG + 50 MG + 10 MG PAS CT ENV AL X 12 17.90 20.69 22.12 22.27 22.43 22.75 23.08 23.42 23.77
(JANSSEN-CILAG FARMACÊUTICA LTDA) (SABOR FRAMBOESA)
14.05 16.24 17.36 17.47 17.60 17.85 18.11 18.38 18.65
Liberado
(JANSSEN-CILAG FARMACÊUTICA LTDA) (SABOR MENTA)
18.12 20.94 22.39 22.54 22.70 23.03 23.36 23.71 24.06
Liberado
(JANSSEN-CILAG FARMACÊUTICA LTDA) (SABOR MEL LIMÃO)
18.12 20.94 22.39 22.54 22.70 23.03 23.36 23.71 24.06
Liberado
514520070038017 BENALET 5 MG + 50 MG + 10 MG PAS CART DISPLAY ENV 48.75 56.33 60.24 60.66 61.09 61.96 62.86 63.78 64.73
(JANSSEN-CILAG FARMACÊUTICA LTDA) AL X 52(SABOR FRAMBOESA)
38.25 44.20 47.27 47.60 47.94 48.62 49.33 50.05 50.79
Liberado
(JANSSEN-CILAG FARMACÊUTICA LTDA) AL X 52(SABOR MENTA)
82.69 95.56 102.18 102.90 103.62 105.10 106.63 108.19 109.80
Liberado
(JANSSEN-CILAG FARMACÊUTICA LTDA) AL X 52 (SABOR MEL LIMÃO)
82.69 95.56 102.18 102.90 103.62 105.10 106.63 108.19 109.80
Liberado
CLORETO DE BENZALCÔNIO
534300502271410 SINUSTRAT 9 MG/ML SOL NAS CT FR VD AMB CGT X 10 ML 13.58 15.69 16.78 16.90 17.02 17.26 17.51 17.77 18.03
(AVERT LABORATÓRIOS LTDA) 10.66 12.31 13.17 13.26 13.36 13.54 13.74 13.94 14.15
534218010013817 BIO - VAGIN 62,5 MG/G + 25.000 UI/G + 1,25 MG/G CREM VAG 44.42 51.33 54.89 55.27 55.66 56.46 57.27 58.12 58.98
(ADIUM S.A.) CT BG AL X 40 G + 10 APLIC
34.86 40.28 43.07 43.37 43.68 44.30 44.94 45.61 46.28
506407701134414 KURAMED 20 MG/ML + 1,30 MG/ML SOL TOP CT FR PLAS 13.77 15.91 17.02 17.13 17.26 17.50 17.75 18.02 18.28
(CIMED INDUSTRIA S.A) OPC SPRAY X 50 ML
10.81 12.48 13.36 13.44 13.54 13.73 13.93 14.14 14.34
Liberado
542013110003004 NEONAZOL 0,1MG/ML+9MG/ML+0,5MG/ML SOL NAS CT FR 8.33 9.63 10.29 10.37 10.44 10.59 10.74 10.90 11.06
(NATIVITA IND. COM. LTDA.) PLAS OPC GOT X 30 ML(CLOR. DE
6.54 7.56 8.07 8.14 8.19 8.31 8.43 8.55 8.68
SODIO+CLOR. DE NAFAZOLINA) 01
CLORETO DE BENZALCÔNIO;BENZOILMETRONIDAZOL;NISTATINA
528527201164110 BENZOILMETRONIDAZOL + NISTATINA + CLORETO DE 62,5 MG/G + 25.000 UI/G + 1,25 MG/G CREM VAG 29.24 33.79 36.13 36.39 36.64 37.16 37.70 38.26 38.83
(PRATI DONADUZZI & CIA LTDA) CT BG AL X 40 G + 10 APLIC
22.94 26.52 28.35 28.56 28.75 29.16 29.58 30.02 30.47
525067901163118 BENZOILMETRONIDAZOL + NISTATINA + CLORETO DE 62,5 MG/G + 25.000 UI/G + 1,25 MG/G CREM VAG 29.39 33.96 36.32 36.57 36.83 37.35 37.90 38.45 39.03
(SANOFI MEDLEY FARMACÊUTICA LTDA.) CT BG AL X 40 G + 10 APLIC
23.06 26.65 28.50 28.70 28.90 29.31 29.74 30.17 30.63
525071801161413 KOLPITRAT 62,5 MG/G + 25.000 UI/ G + 1,25 MG/ G CREM 29.39 33.96 36.32 36.57 36.83 37.35 37.90 38.45 39.03
(SANOFI MEDLEY FARMACÊUTICA LTDA.) VAG CT BG AL X 40 G + 10 APLIC
23.06 26.65 28.50 28.70 28.90 29.31 29.74 30.17 30.63
CLORETO DE BENZALCÔNIO;ÁCIDO BÓRICO

506719050078217 HIGICLER (0,1 + 17) MG/ML SOL OFT CT FR GOT PLAS 12.49 14.43 15.43 15.54 15.65 15.87 16.10 16.34 16.58
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) TRANS X 10 ML
9.80 11.32 12.11 12.19 12.28 12.45 12.63 12.82 13.01
523402001177414 HIGICLER (0,1 + 17) MG/ML SOL OFT CT FR GOT PLAS 9.68 11.19 11.96 12.05 12.13 12.30 12.48 12.66 12.85
(LATINOFARMA INDUSTRIAS FARMACEUTICAS LTDA) TRANS X 10 ML
7.60 8.78 9.39 9.46 9.52 9.65 9.79 9.93 10.08
Liberado
CLORETO DE BENZETÔNIO
aplicável o CAP.
Medicamentos
CLORETO DE BENZETÔNIO
518200501172423 TIMEOLATE 21 MG + 133 MG/ML SOL TOP CT FR PLAS OPC 10.86 12.55 13.42 13.51 13.61 13.80 14.00 14.21 14.42
(LABORATORIO INDUSTRIAL FARMACÊUTICO LIFAR LTDA) SPRAY X 30 ML
8.52 9.85 10.53 10.60 10.68 10.83 10.99 11.15 11.32
Liberado
CLORETO DE CÁLCIO 2H2O

509518040032303 RINGER (8,6+0,33+0,30) MG/ML SOL INJ IV CX FR PLAS 6.67 7.71 8.24 8.30 8.36 8.48 8.60 8.73 8.86
(FRESENIUS KABI BRASIL LTDA) PE TRANS SIST FECH X 500 ML
5.23 6.05 6.47 6.51 6.56 6.65 6.75 6.85 6.95
CLORETO DE CÁLCIO DIIDRATADO;CLORETO DE MAGNÉSIO HEXAIDRATADO;CLORETO DE POTÁSSIO;CLORETO DE SÓDIO

530318080002907 CPHD AC (99.65 + 2.0 + 3.5 + 1.0) MEQ/L SOL HD BOMBO 16.44 20.55 20.81 21.08
(SALBEGO LABORATÓRIO FARMACÊUTICO LTDA) PLAS TRANSL X 6.2L
12.90 14.66 15.54 15.64 15.73 15.93 16.13 16.33 16.54
ICMS0%
12.90 14.66 15.54 15.64 15.73 15.93 16.13 16.33 16.54
ICMS0%
12.90 14.66 15.54 15.64 15.73 15.93 16.13 16.33 16.54
ICMS0%
509603601133412 CPHD GENIUS (40 + 2 + 2,5 + 1 + 47,5 + 0,25) MEQ/L SOL HD CX 18.34 22.93 23.22 23.51
(FRESENIUS MEDICAL CARE LTDA) 12 FR PLAS PET TRANS X 960 ML
14.39 16.35 17.34 17.44 17.55 17.77 17.99 18.22 18.45
ICMS0%
14.39 16.35 17.34 17.44 17.55 17.77 17.99 18.22 18.45
ICMS0%
14.39 16.35 17.34 17.44 17.55 17.77 17.99 18.22 18.45
ICMS0%
509604001156411 CPHD 24/34 (138 + 2 + 3,5 + 1 + 109,5 + 3 + 32) MEQ/L SOL HD 20.48 25.60 25.92 26.26
(FRESENIUS MEDICAL CARE LTDA) CX BOMBO PLAS PEAD TRANS X 5000 ML
16.07 18.26 19.36 19.48 19.60 19.84 20.09 20.34 20.61
ICMS0%
CLORETO DE CÁLCIO DIIDRATADO;CLORETO DE MAGNÉSIO HEXAIDRATADO;CLORETO DE POTÁSSIO;CLORETO DE SÓDIO;ÁCIDO ACÉTICO

530300307156411 CPHD AC 35 NA 103 MEQ/L + CA 3,0 MEQ/L + K 1,5 MEQ/L + 12.72 15.90 16.10 16.31
(SALBEGO LABORATÓRIO FARMACÊUTICO LTDA) MG 1,0 MEQ/L HD ACD BOMB PLAST X 5L
9.98 11.34 12.03 12.10 12.17 12.32 12.48 12.63 12.80
ICMS0%
CLORETO DE CÁLCIO DIIDRATADO;CLORETO DE MAGNÉSIO HEXAIDRATADO;CLORETO DE POTÁSSIO;GLICOSE;CLORETO DE SÓDIO

530317120002103 CPHD AC 35 C/ GLICOSE (99,65 + 1,5 + 3,5 + 1) MEQ/L + 5 MMOL/L SOL HD 11.89 14.86 15.05 15.24
(SALBEGO LABORATÓRIO FARMACÊUTICO LTDA) BOMBO PLAS TRANSL X 6,2L
9.33 10.60 11.24 11.31 11.38 11.52 11.66 11.81 11.96
ICMS0%
530317080001707 CPHD AC 35 C/ GLICOSE (99,65 + 1,5 + 2,5 + 1) MEQ/L + 5 MMOL/L SOL HD 11.89 14.86 15.05 15.24
9.33 10.60 11.24 11.31 11.38 11.52 11.66 11.81 11.96
ICMS0%
530317120002203 CPHD AC 35 C/ GLICOSE (99,65 + 2 + 2,5 + 1) MEQ/L + 5 MMOL/L SOL HD 11.89 14.86 15.05 15.24
9.33 10.60 11.24 11.31 11.38 11.52 11.66 11.81 11.96
ICMS0%
530317120002303 CPHD AC 35 C/ GLICOSE (99,65 + 2 + 3 + 1) MEQ/L + 5 MMOL/L SOL HD 11.89 14.86 15.05 15.24
9.33 10.60 11.24 11.31 11.38 11.52 11.66 11.81 11.96
ICMS0%
CLORETO DE CÁLCIO DIIDRATADO;CLORETO DE POTÁSSIO;CLORETO DE SÓDIO

520905402150312 B.BRAUN SOLUÇÃO DE RINGER Nº3 8,6 MG/ML + 0,3 MG/ML + 0,33 MG/ML SOL INJ CX 142.12 161.50 171.23 172.27 173.32 175.46 177.65 179.90 182.21
(LABORATÓRIOS B. BRAUN S/A) 20 FA PLAS TRANS SIST FECH X 500 ML
111.52 126.73 134.36 135.18 136.00 137.68 139.40 141.17 142.98
514901302157417 RINGER (9 + 0,3 + 0,3) MG/ML SOL INJ IV CX 20 BOLS 134.66 153.02 162.24 163.22 164.22 166.25 168.33 170.46 172.64
(JP INDUSTRIA FARMACEUTICA S/A) PLAS PVC TRANS SIST FECH X 500 ML
105.67 120.07 127.31 128.08 128.86 130.46 132.09 133.76 135.47
514901301150419 RINGER (9 + 0,3 + 0,3) MG/ML SOL INJ IV CX 24 FR PLAS 161.61 183.65 194.71 195.89 197.09 199.52 202.01 204.57 207.19
(JP INDUSTRIA FARMACEUTICA S/A) PE TRANS SIST FECH X 500 ML
126.82 144.11 152.79 153.71 154.66 156.56 158.52 160.53 162.58
507902404155413 SOLUÇÃO RINGER SIMPLES EQUIPLEX 0,86G + 0,03G + 0,033G SOL INJ IV CX 24 FA 164.16 186.55 197.78 198.98 200.20 202.67 205.20 207.80 210.46
(EQUIPLEX INDÚSTRIA FARMACÊUTICA LTDA) PLAS PE TRANS SIST FECH X 500 ML
128.82 146.39 155.20 156.14 157.10 159.04 161.02 163.06 165.15
507902402152417 SOLUÇÃO RINGER SIMPLES EQUIPLEX 0,86G + 0,03G + 0,033G SOL INJ IV CX 12 FA 123.42 140.25 148.70 149.60 150.51 152.37 154.28 156.23 158.23
(EQUIPLEX INDÚSTRIA FARMACÊUTICA LTDA) PLAS PE TRANS SIST FECH X 1000 ML
96.85 110.05 116.68 117.39 118.10 119.56 121.06 122.59 124.16
507902401156419 SOLUÇÃO RINGER SIMPLES EQUIPLEX 0,86G + 0,03G + 0,033G SOL INJ IV CX 40 FR 220.77 250.88 265.99 267.60 269.23 272.56 275.96 279.46 283.04
(EQUIPLEX INDÚSTRIA FARMACÊUTICA LTDA) PLAS TRANS SIST FECH X 250 ML
173.24 196.87 208.72 209.99 211.26 213.88 216.55 219.29 222.10
CLORETO DE CÁLCIO DIIDRATADO;LACTATO DE SÓDIO;CLORETO DE MAGNÉSIO HEXAIDRATADO;CLORETO DE SÓDIO

514914120009203 LACTASOL (5,844+0,257+4,483+0,152) MG/ML SOL HF CX 4 180.61 225.76 228.62 231.55
(JP INDUSTRIA FARMACEUTICA S/A) BOLS PLAS TRANS X 5000 ML
141.72 161.05 170.75 171.79 172.84 174.97 177.15 179.40 181.70
ICMS0%
aplicável o CAP.
Medicamentos
CLORETO DE CÁLCIO DIIDRATADO;LACTATO DE SÓDIO;CLORETO DE MAGNÉSIO HEXAIDRATADO;CLORETO DE SÓDIO;GLICOSE MONOIDRATADA

503220110030907 DIANEAL PD-2 (42,5+5,38+4,48+0,183+0,0508) MG/ML SOL DP 67.82 84.78 85.85 86.95
(BAXTER HOSPITALAR LTDA) CX BOL PLAS TRANS X 2500 ML
53.22 60.48 64.12 64.51 64.90 65.70 66.53 67.37 68.23
ICMS0%
CLORETO DE CÁLCIO DIIDRATADO;LACTATO DE SÓDIO;CLORETO DE POTÁSSIO;CLORETO DE SÓDIO

520905506150319 SOLUÇÃO DE RINGER COM LACTATO SOL INJ IV CX 20 FA PLAS TRANS SIST FECH X 150.28 170.77 181.06 182.16 183.27 185.53 187.85 190.23 192.67
(LABORATÓRIOS B. BRAUN S/A) 500 ML
117.92 134.00 142.08 142.94 143.81 145.59 147.41 149.27 151.19
520905504158312 SOLUÇÃO DE RINGER COM LACTATO SOL INJ IV CX 10 FA PLAS TRANS SIST FECH X 98.89 112.38 119.14 119.87 120.60 122.09 123.61 125.18 126.78
(LABORATÓRIOS B. BRAUN S/A) 1000 ML
77.60 88.18 93.49 94.06 94.64 95.80 97.00 98.23 99.48
506721010089117 SOLUCAO FISIOLOGICA DE RINGER COM LACTATO DE SOL INJ IV CX 20 BOLS PLAS SIST FECH X 500 143.40 162.95 172.77 173.82 174.88 177.04 179.25 181.52 183.85
112.53 127.87 135.57 136.40 137.23 138.92 140.66 142.44 144.27
506721010089217 SOLUCAO FISIOLOGICA DE RINGER COM LACTATO DE SOL INJ IV CX 12 BOLS PLAS SIST FECH X 1000 129.23 146.85 155.70 156.64 157.60 159.54 161.54 163.58 165.68
101.41 115.23 122.18 122.91 123.67 125.19 126.76 128.36 130.01
506721010089317 SOLUCAO FISIOLOGICA DE RINGER COM LACTATO DE SOL INJ CX 20 FR PLAS TRANS SIST FECH X 500 143.40 162.95 172.77 173.82 174.88 177.04 179.25 181.52 183.85
112.53 127.87 135.57 136.40 137.23 138.92 140.66 142.44 144.27
506721010089417 SOLUCAO FISIOLOGICA DE RINGER COM LACTATO DE SOL INJ CX 12 FR PLAS TRANS SIST FECH X 129.23 146.85 155.70 156.64 157.60 159.54 161.54 163.58 165.68
101.41 115.23 122.18 122.91 123.67 125.19 126.76 128.36 130.01
514901210155418 SOLUÇÃO DE RINGER COM LACTATO SOL INFUS IV CX 35 ENVOL BOLS PLAS PVC 202.95 230.63 244.52 246.00 247.50 250.56 253.69 256.90 260.19
(JP INDUSTRIA FARMACEUTICA S/A) SIST FECH X 250 ML
159.25 180.98 191.87 193.04 194.21 196.62 199.07 201.59 204.17
84.95 96.53 102.35 102.97 103.60 104.87 106.19 107.54 108.91
84.66 96.20 102.00 102.62 103.24 104.52 105.82 107.17 108.54
514901209157410 SOLUÇÃO DE RINGER COM LACTATO SOL INFUS IV CX 40 FR PLAS TRANS SIST FECH 231.96 263.59 279.47 281.16 282.88 286.37 289.95 293.62 297.38
(JP INDUSTRIA FARMACEUTICA S/A) X 250 ML
182.02 206.84 219.30 220.63 221.98 224.71 227.52 230.40 233.35
514901207154414 SOLUÇÃO DE RINGER COM LACTATO SOL INFUS IV CX 12 FR PLAS TRANS SIST 129.49 147.15 156.01 156.96 157.91 159.86 161.86 163.91 166.01
(JP INDUSTRIA FARMACEUTICA S/A) FECH X 1000 ML
101.61 115.47 122.42 123.17 123.91 125.44 127.01 128.62 130.27
507901806152410 SOLUÇÃO RINGER COM LACTATO SOL INJ IV CX 24 FR PLAS TRANS SIST FECH X 173.59 197.26 209.14 210.41 211.70 214.31 216.99 219.73 222.55
(EQUIPLEX INDÚSTRIA FARMACÊUTICA LTDA) 500 ML
136.22 154.79 164.11 165.11 166.12 168.17 170.27 172.42 174.63
102.16 116.09 123.09 123.83 124.59 126.13 127.70 129.32 130.97
186.55 211.99 224.76 226.13 227.51 230.32 233.20 236.15 239.17
CLORETO DE CÁLCIO;BICARBONATO DE SÓDIO;CLORETO DE POTÁSSIO;CLORETO DE SÓDIO;CLORETO DE MAGNÉSIO

530300101159413 CPHD SMP 35 138 NA + 1,5 K + 3,5 CA + 1 MG MEQ/L SOL AC 19.28 24.10 24.41 24.72
(SALBEGO LABORATÓRIO FARMACÊUTICO LTDA) HD BOMB PLAS X 5 L + 84G/L SOL BÁSICA HD
15.13 17.19 18.23 18.34 18.45 18.68 18.91 19.16 19.40
ICMS0% BOMB PLAS INC X 5L
530300102171417 CPHD SMP 35 84 G/L SOL HD BAS BOMB PLAS PEAD TRANS X 19.28 24.10 24.41 24.72
(SALBEGO LABORATÓRIO FARMACÊUTICO LTDA) 6L
15.13 17.19 18.23 18.34 18.45 18.68 18.91 19.16 19.40
ICMS0%
CLORETO DE CÁLCIO;CLORETO DE MAGNÉSIO HEXAIDRATADO;CLORETO DE POTÁSSIO;CLORETO DE SÓDIO

509623070017203 CPHD GENIUS (40 + 4 + 2 + 1 + 49 + 0,2) MEQ/L SOL HD CX 12 18.34 22.93 23.22 23.51
(FRESENIUS MEDICAL CARE LTDA) FR PLAS PET TRANS X 960 ML
14.39 16.35 17.34 17.44 17.55 17.77 17.99 18.22 18.45
ICMS0%
CLORETO DE CÁLCIO;CLORETO DE MAGNÉSIO HEXAIDRATADO;CLORETO DE POTÁSSIO;CLORETO DE SÓDIO;ÁCIDO ACÉTICO

508601401171416 CPHD - CONCENTRADO ÁCIDO PARA HEMODIÁLISE SEM NA 138 + K 2,0 + CA 2,5 + CL 105,5 SOL HEMO 78.21 97.76 99.00 100.27
(FARMARIN INDUSTRIA E COMERCIO LTDA) CX 4 FR PLAS X 5 L
61.37 69.74 73.94 74.39 74.85 75.77 76.71 77.69 78.68
ICMS0%
61.37 69.74 73.94 74.39 74.85 75.77 76.71 77.69 78.68
ICMS0%
61.37 69.74 73.94 74.39 74.85 75.77 76.71 77.69 78.68
ICMS0%
CLORETO DE CÁLCIO;CLORETO DE MAGNÉSIO HEXAIDRATADO;CLORETO DE POTÁSSIO;GLICOSE;CLORETO DE SÓDIO

509602901133411 CPHD COM GLICOSE (138+2,0+2,5+1,0+107,51+3,0+32+1) MEQ/L SOL 17.36 21.70 21.97 22.26
(FRESENIUS MEDICAL CARE LTDA) HD GAL PLAS PEAD TRANS X 5L
13.62 15.48 16.42 16.51 16.61 16.82 17.03 17.24 17.47
ICMS0%
aplicável o CAP.
Medicamentos
CLORETO DE CÁLCIO;CLORETO DE MAGNÉSIO HEXAIDRATADO;CLORETO DE POTÁSSIO;GLICOSE;CLORETO DE SÓDIO

13.62 15.48 16.42 16.51 16.61 16.82 17.03 17.24 17.47
ICMS0%
13.62 15.48 16.42 16.51 16.61 16.82 17.03 17.24 17.47
ICMS0%
509602908138417 CPHD COM GLICOSE (138+2,0+2,5+1,0+104,56+4,0+35,44+1) MEQ/L 28.65 35.81 36.27 36.73
(FRESENIUS MEDICAL CARE LTDA) SOL HD GAL PLAS PEAD TRANS X 10L
22.48 25.55 27.09 27.25 27.42 27.75 28.10 28.46 28.82
ICMS0%
509602909134415 CPHD COM GLICOSE (138+2,0+3,0+1,0+104,56+4,0+35,44+1) MEQ/L 28.65 35.81 36.27 36.73
(FRESENIUS MEDICAL CARE LTDA) SOL HD GAL PLAS PEAD TRANS X 10L
22.48 25.55 27.09 27.25 27.42 27.75 28.10 28.46 28.82
ICMS0%
CLORETO DE CÁLCIO;CLORETO DE POTÁSSIO;CLORETO DE SÓDIO;CLORETO DE MAGNÉSIO

530300303177412 CPHD AC 35 NA 140 + CA 2,5 + K 1,5 MEQ HD ACD BOMB 15.84 19.80 20.05 20.31
(SALBEGO LABORATÓRIO FARMACÊUTICO LTDA) PLAS 5 L + 8,4% BIC SÓDIO HD BAS BOMB PLAS
12.43 14.12 14.97 15.07 15.16 15.35 15.54 15.73 15.94
ICMS0% 5L
509603005131413 CPHD SEM GLICOSE 1:44 (138+2+2,5+1)MEQ/L SOL HD CX BOMBO PLAS 28.65 35.81 36.27 36.73
(FRESENIUS MEDICAL CARE LTDA) PEAD TRANS X 10L (22/44)
22.48 25.55 27.09 27.25 27.42 27.75 28.10 28.46 28.82
ICMS0%
509603006138411 CPHD SEM GLICOSE 1:44 (138+2+3+1)MEQ/L SOL HD CX BOMBO PLAS 34.93 43.66 44.22 44.78
(FRESENIUS MEDICAL CARE LTDA) PEAD TRANS X 10L (23/44)
27.41 31.14 33.02 33.22 33.43 33.84 34.26 34.70 35.14
ICMS0%
CLORETO DE CÁLCIO;CLORETO DE POTÁSSIO;GLICOSE;CLORETO DE SÓDIO;CLORETO DE MAGNÉSIO

530300201171415 CPHD AC 35 C/ GLICOSE (105 + 1,5 + 2,5 + 1) MEQ/L + 5 MMOL/L SOL HD 9.68 12.10 12.25 12.41
(SALBEGO LABORATÓRIO FARMACÊUTICO LTDA) BOMBO PLAS TRANSL X 5L
7.60 8.63 9.15 9.20 9.26 9.38 9.49 9.61 9.74
ICMS0%
530300202176410 CPHD AC 35 C/ GLICOSE (105 + 1,5 + 3,5 + 1) MEQ/L + 5 MMOL/L SOL HD 9.47 11.84 11.99 12.14
7.43 8.44 8.95 9.01 9.06 9.17 9.29 9.41 9.53
ICMS0%
530300203156413 CPHD AC 35 C/ GLICOSE (103 + 1,5 + 3 + 1) MEQ/L + 5 MMOL/L SOL HD 9.58 11.98 12.13 12.28
7.52 8.55 9.06 9.11 9.16 9.28 9.40 9.52 9.64
ICMS0%
CLORETO DE CÁLCIO;CLORETO DE POTÁSSIO;GLICOSE;CLORETO DE SÓDIO;ÁCIDO ACÉTICO;CLORETO DE MAGNÉSIO

508600302153411 FARMARIN CPHD (137+ 1,5+ 2,5+ 1,0) MEQ/L + 1,0 G/L SOL HEMO 14.33 17.91 18.14 18.37
(FARMARIN INDUSTRIA E COMERCIO LTDA) CX FR PLAS TRANS X 5 L
11.24 12.77 13.55 13.63 13.72 13.88 14.05 14.23 14.41
ICMS0%
11.24 12.77 13.55 13.63 13.72 13.88 14.05 14.23 14.41
ICMS0%
11.24 12.77 13.55 13.63 13.72 13.88 14.05 14.23 14.41
ICMS0%
11.24 12.77 13.55 13.63 13.72 13.88 14.05 14.23 14.41
ICMS0%
11.24 12.77 13.55 13.63 13.72 13.88 14.05 14.23 14.41
ICMS0%
CLORETO DE CÁLCIO;TROMBINA;FIBRINOGÊNIO
537400203139319 EVICEL KIT C/ 2 FA VD INC X 1 ML 357.99 406.81 431.31 433.93 436.57 441.96 447.49 453.15 458.96
(JOHNSON & JOHNSON DO BRASIL INDÚSTRIA E COMÉRCIO DE 280.91 319.22 338.45 340.51 342.58 346.81 351.15 355.59 360.15
CLORETO DE MAGNÉSIO HEXAIDRATADO

61.37 69.74 73.94 74.39 74.85 75.77 76.71 77.69 78.68
ICMS0%
61.37 69.74 73.94 74.39 74.85 75.77 76.71 77.69 78.68
ICMS0%
61.37 69.74 73.94 74.39 74.85 75.77 76.71 77.69 78.68
ICMS0%
CLORETO DE METILTIONÍNIO;ATROPA BELLADONNA;ALOÍNA;TEOBROMINA;COSTUS SPICATUS
aplicável o CAP.
Medicamentos
CLORETO DE METILTIONÍNIO;ATROPA BELLADONNA;ALOÍNA;TEOBROMINA;COSTUS SPICATUS

522101401119419 PILULAS DE LUSSEN 8MG + 10MG + 30MG + 10MG + 20MG COM REV 25.01 28.90 30.91 31.12 31.34 31.79 32.25 32.72 33.21
(LABORATÓRIOS OSÓRIO DE MORAES LTDA) CT BL AL PLAS TRANS X 36
19.63 22.68 24.26 24.42 24.59 24.95 25.31 25.68 26.06
Liberado
CLORETO DE POTÁSSIO;GLICOSE;CLORETO DE SÓDIO

517605804131414 REHIDRAZOL SOL OR CX FR PLAS TRANS X 450 ML (SABOR 12.01 13.88 14.84 14.94 15.05 15.26 15.49 15.71 15.95
(LABORATÓRIO GLOBO SA) LARANJA)
9.42 10.89 11.64 11.72 11.81 11.97 12.16 12.33 12.52
Liberado
CLORETO DE SÓDIO
520901505151319 SOLUÇÃO DE CLORETO DE SODIO B.BRAUN 9 MG/ML SOL INJ IV CX 50 FA PLAS PEBD 320.59 364.31 386.25 388.59 390.96 395.79 400.74 405.81 411.01
(LABORATÓRIOS B. BRAUN S/A) TRANS SIST FECH X 100 ML
251.57 285.87 303.09 304.93 306.79 310.58 314.46 318.44 322.52
130.11 147.85 156.76 157.71 158.67 160.63 162.64 164.70 166.81
104.04 118.22 125.34 126.10 126.87 128.44 130.05 131.69 133.37
(LABORATÓRIOS B. BRAUN S/A) TRANS SIST FECH X 1000ML
70.76 80.41 85.25 85.77 86.28 87.35 88.44 89.57 90.71
273.86 311.20 329.95 331.95 333.98 338.09 342.33 346.66 351.11
506721020090017 SOLUÇÃO FISIOLÓGICA A 0,9% 9 G/L SOL INJ IV CX 80 BOLS PLAS SIST FECH X 489.07 555.76 589.24 592.81 596.43 603.79 611.34 619.08 627.01
383.77 436.10 462.38 465.18 468.02 473.79 479.72 485.79 492.01
165.27 187.81 199.13 200.33 201.55 204.04 206.60 209.21 211.89
99.21 112.74 119.53 120.26 120.98 122.48 124.01 125.58 127.19
81.08 92.14 97.69 98.28 98.88 100.10 101.35 102.64 103.95
506721020090417 SOLUÇÃO FISIOLÓGICA A 0,9% 9 G/L SOL INJ IV CX 40 FR PLAS TRANS SIST 187.73 213.33 226.18 227.55 228.94 231.77 234.66 237.63 240.68
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) FECH X 250 ML
147.31 167.40 177.48 178.56 179.65 181.87 184.14 186.47 188.86
506721020090517 SOLUÇÃO FISIOLÓGICA A 0,9% 9 G/L SOL INJ IV CX 20 FR PLAS TRANS SIST 112.69 128.06 135.77 136.59 137.43 139.12 140.86 142.65 144.47
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) FECH X 500 ML
88.43 100.49 106.54 107.18 107.84 109.17 110.53 111.94 113.36
511223040048903 ISOFARMA-SOLUÇÃO DE CLORETO DE SODIO 9 MG/ML SOL INJ IV CX 80 BOLS PLAS PEBD 400.32 454.91 482.31 485.24 488.20 494.22 500.40 506.73 513.23
314.13 356.97 378.47 380.77 383.09 387.81 392.66 397.63 402.73
503301208154411 CLORETO DE SÓDIO BEKER 9 MG/ML SOL INFUS IV CX 50 BOLS PLAS PVC 271.30 308.30 326.87 328.85 330.85 334.94 339.13 343.42 347.82
(BEKER PRODUTOS FÁRMACO HOSPITALARES LTDA) TRANS SIST FECH X 250 ML
212.89 241.92 256.49 258.05 259.62 262.83 266.12 269.48 272.93
124.19 141.13 149.63 150.54 151.45 153.33 155.25 157.21 159.22
98.13 111.51 118.22 118.95 119.67 121.14 122.66 124.21 125.80
248.94 282.88 299.93 301.74 303.59 307.33 311.17 315.11 319.15
514901401155412 JP FISIOLÓGICO 9 MG/ML SOL INJ IV CX 50 BOLS PVC SIST FECH 302.72 344.00 364.72 366.93 369.17 373.73 378.40 383.19 388.10
237.54 269.94 286.20 287.93 289.69 293.27 296.93 300.69 304.54
131.26 149.16 158.15 159.10 160.08 162.06 164.08 166.16 168.29
99.08 112.60 119.38 120.10 120.84 122.33 123.86 125.43 127.03
67.78 77.03 81.66 82.16 82.66 83.68 84.73 85.80 86.90
514901405150415 JP FISIOLÓGICO 9 MG/ML SOL INJ IV CX 24 FR PE TRANS SIST 151.54 172.20 182.58 183.68 184.80 187.09 189.43 191.82 194.28
118.91 135.13 143.27 144.13 145.01 146.81 148.65 150.52 152.45
514901403158419 JP FISIOLÓGICO 9 MG/ML SOL INJ IV CX 12 FR PE TRANS SIST 103.67 117.81 124.90 125.66 126.43 127.99 129.59 131.23 132.91
81.35 92.45 98.01 98.61 99.21 100.43 101.69 102.98 104.29
aplicável o CAP.
Medicamentos
CLORETO DE SÓDIO
500511001179311 SORINE H 30 MG/ML SOL NAS CT FR PET AMB SPR X 60 18.83 21.76 23.27 23.43 23.60 23.93 24.28 24.64 25.00
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) ML
14.78 17.08 18.26 18.39 18.52 18.78 19.05 19.34 19.62
Liberado
503220110031307 CLORETO DE SÓDIO 0,9% 9 MG/ML SOL INJ IV BOLS PLAS TRANS SIST 6.97 8.02 8.56 8.61 8.67 8.79 8.92 8.97 9.03
(BAXTER HOSPITALAR LTDA) FECH X 50 ML
5.47 6.29 6.72 6.76 6.80 6.90 7.00 7.04 7.09
503220110031407 CLORETO DE SÓDIO 0,9% 9 MG/ML SOL INJ IV BOLS PLAS TRANS SIST 6.41 7.38 7.87 7.92 7.98 8.09 8.20 8.25 8.30
(BAXTER HOSPITALAR LTDA) FECH X 100 ML
5.03 5.79 6.18 6.21 6.26 6.35 6.43 6.47 6.51
508623050011803 SOLUÇÃO FISIOLÓGICA 9 MG/ML SOL INFUS IV CX FR PLAS PEBD 6.85 7.78 8.25 8.30 8.35 8.46 8.56 8.67 8.78
(FARMARIN INDUSTRIA E COMERCIO LTDA) TRANS SIST FECH X 250 ML
5.38 6.10 6.47 6.51 6.55 6.64 6.72 6.80 6.89
527200302179419 HIPERTONIC 5% 50 MG/ML SOL OFT FR GOT PLAS PE TRANS X 22.15 25.60 27.37 27.56 27.76 28.15 28.56 28.98 29.41
(OPHTHALMOS LTDA) 10 ML
17.38 20.09 21.48 21.63 21.78 22.09 22.41 22.74 23.08
507902105158410 SOLUCAO FISIOLOGICA DE CLORETO DE SODIO 9 MG/ML SOL INJ IV CX 24 FR PLAS PE TRANS 153.16 174.05 184.53 185.65 186.78 189.09 191.45 193.87 196.36
(EQUIPLEX INDÚSTRIA FARMACÊUTICA LTDA) SIST FECH X 500 ML
120.18 136.58 144.80 145.68 146.57 148.38 150.23 152.13 154.08
81.73 92.87 98.46 99.06 99.66 100.90 102.16 103.46 104.78
339.08 385.33 408.54 411.01 413.52 418.62 423.86 429.22 434.72
167.03 189.81 201.24 202.46 203.70 206.21 208.79 211.43 214.15
509603402157419 SOLUÇÃO FISIOLÓGICA DE CLORETO DE SÓDIO 0,009 G/ML SOL INJ IV CX BOLS PVC TRANS 9.10 10.34 10.96 11.03 11.10 11.23 11.38 11.52 11.67
(FRESENIUS MEDICAL CARE LTDA) SIST FECH X 1000 ML
7.14 8.11 8.60 8.66 8.71 8.81 8.93 9.04 9.16
501302224157417 CLORETO DE SÓDIO 0,9% 9 MG/ML SOL INJ IV CX 50 BOLS PVC TRANS 254.74 289.48 306.92 308.78 310.66 314.49 318.43 322.46 326.59
(ANTIBIÓTICOS DO BRASIL LTDA) SIST FECH X 100 ML
199.89 227.15 240.84 242.30 243.78 246.78 249.87 253.04 256.28
501302210156413 CLORETO DE SÓDIO 0,9% 9 MG/ML SOL INJ IV CX 100 BOLS PVC ITRANS 509.54 579.02 613.90 617.62 621.39 629.06 636.93 644.99 653.26
(ANTIBIÓTICOS DO BRASIL LTDA) SIST FECH X 100 ML
399.84 454.36 481.73 484.65 487.60 493.62 499.80 506.12 512.61
504615110032217 NEOSORO H 30 MG/ML SOL NAS CT FR PET AMB X 60 ML 17.07 19.73 21.09 21.24 21.39 21.70 22.01 22.33 22.67
Liberado
CLORETO FÉRRICO;IODETO DE POTÁSSIO;CLORETO DE ZINCO;CLORETO CRÔMICO HEXAIDRATADO;DICLORETO DE MANGANÊS TETRAIDRATADO;SELENITO

509520120028007 ADDAVEN SOL DIL INFUS CX 20 AMP PLAS TRANS X 10 ML 375.29 426.47 452.16 454.90 457.67 463.32 469.11 475.05 481.14
(FRESENIUS KABI BRASIL LTDA) 294.49 334.65 354.81 356.96 359.13 363.57 368.11 372.77 377.55
CLORIDRATO DE ONDANSETRONA DI-HIDRATADO

541820020120307 ENAVO ODT 4 MG COM ORODISP CT BL AL AL X 10 27.02 30.70 32.55 32.75 32.95 33.36 33.78 34.20 34.64
(EMS S/A) 21.20 24.09 25.54 25.70 25.86 26.18 26.51 26.84 27.18
(EMS S/A) 42.38 48.16 51.06 51.38 51.69 52.32 52.97 53.65 54.33
(EMS S/A) 84.79 96.36 102.16 102.78 103.41 104.69 106.00 107.33 108.71
(EMS S/A) 127.19 144.53 153.24 154.17 155.11 157.03 158.99 161.01 163.07
(EMS S/A) 41.77 47.47 50.32 50.63 50.93 51.57 52.21 52.87 53.55
(EMS S/A) 83.55 94.94 100.66 101.26 101.89 103.14 104.44 105.75 107.11
(EMS S/A) 167.09 189.87 201.31 202.53 203.76 206.28 208.86 211.50 214.22
(EMS S/A) 250.63 284.81 301.97 303.80 305.65 309.42 313.29 317.25 321.33
541822100186906 CLORIDRATO DE ONDANSETRONA DIHIDRATADO 4 MG COM ORODISP CT BL AL AL X 10 17.15 19.49 20.66 20.79 20.91 21.17 21.44 21.71 21.99
(EMS S/A) 13.46 15.29 16.21 16.31 16.41 16.61 16.82 17.04 17.26
(EMS S/A) 26.92 30.59 32.43 32.63 32.82 33.23 33.65 34.07 34.50
aplicável o CAP.
Medicamentos

(EMS S/A) 53.83 61.17 64.86 65.25 65.65 66.46 67.29 68.14 69.01
(EMS S/A) 80.75 91.76 97.29 97.88 98.48 99.70 100.94 102.22 103.53
(EMS S/A) 26.50 30.12 31.93 32.12 32.31 32.71 33.12 33.55 33.97
(EMS S/A) 53.00 60.23 63.85 64.24 64.64 65.43 66.25 67.08 67.95
(EMS S/A) 106.00 120.45 127.71 128.48 129.26 130.87 132.50 134.18 135.89
(EMS S/A) 159.00 180.69 191.57 192.73 193.91 196.30 198.76 201.27 203.85
(EMS S/A) 5.38 6.12 6.49 6.53 6.57 6.65 6.73 6.81 6.90
(EMS S/A) 10.60 12.05 12.77 12.85 12.93 13.09 13.25 13.42 13.59
506723100099703 NAUSEDRON 2 MG/ML SOL INJ IV/IM CX 50 AMP VD AMB X 2 1222.92 1389.68 1473.40 1482.33 1491.37 1509.78 1528.65 1548.00 1567.85
959.63 1090.48 1156.18 1163.18 1170.28 1184.72 1199.53 1214.72 1230.29
506723100099803 NAUSEDRON 2 MG/ML SOL INJ IV/IM CX 50 AMP VD AMB X 4 2066.47 2348.26 2489.72 2504.81 2520.08 2551.20 2583.09 2615.79 2649.32
1621.56 1842.68 1953.68 1965.52 1977.51 2001.93 2026.95 2052.61 2078.92
552923030157605 NAUTEX ODG 4 MG GRAN ORODISP CT 5 ENV AL/PLAS 11.71 13.31 14.11 14.19 14.28 14.46 14.64 14.82 15.01
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) PET/PE OPC
9.19 10.44 11.07 11.13 11.21 11.35 11.49 11.63 11.78
18.38 20.88 22.14 22.28 22.41 22.68 22.98 23.27 23.57
18.38 20.88 22.14 22.28 22.41 22.68 22.98 23.27 23.57
36.75 41.76 44.27 44.54 44.81 45.36 45.94 46.52 47.11
552919080081317 ANSENTRON 4 MG SOL INJ CT AMP VD AMB X 2 ML 63.51 72.17 76.52 76.98 77.45 78.41 79.39 80.39 81.42
552919080081417 ANSENTRON 8 MG SOL INJ CT AMP VD AMB X 4 ML 129.84 147.55 156.43 157.38 158.34 160.30 162.30 164.35 166.46
504122110082106 CLORIDRATO DE ONDANSETRONA 4MG COM ORODISP CT STR AL X 10 (SABOR 17.00 19.32 20.48 20.61 20.73 20.99 21.25 21.52 21.79
(BIOLAB SANUS FARMACÊUTICA LTDA) MENTA)
13.34 15.16 16.07 16.17 16.27 16.47 16.67 16.89 17.10
504122110082006 CLORIDRATO DE ONDANSETRONA 8MG COM ORODISP CT STR AL X 10 (SABOR 33.60 38.18 40.48 40.73 40.98 41.48 42.00 42.53 43.08
26.37 29.96 31.76 31.96 32.16 32.55 32.96 33.37 33.81
504122110082206 CLORIDRATO DE ONDANSETRONA 4 MG COM ORODISP CT BL AL AL X 30 51.02 57.98 61.47 61.84 62.22 62.99 63.78 64.58 65.41
504122100081503 LISTO 4MG COM ORODISP CT STR AL/AL X 10 (SABOR 23.79 27.03 28.66 28.84 29.01 29.37 29.74 30.11 30.50
18.67 21.21 22.49 22.63 22.76 23.05 23.34 23.63 23.93
504122100081203 LISTO 8MG COM ORODISP CT STR AL/AL X 10 (SABOR 46.82 53.20 56.41 56.75 57.10 57.80 58.53 59.27 60.03
36.74 41.75 44.26 44.53 44.81 45.36 45.93 46.51 47.11
504122100081303 LISTO 4 MG COM ORODISP CT BL AL AL X 30 71.39 81.13 86.01 86.53 87.06 88.14 89.24 90.37 91.53
504122100081403 LISTO 8 MG COM ORODISP CT BL AL AL X 30 140.46 159.61 169.23 170.25 171.29 173.41 175.58 177.80 180.08
511607003151119 CLORIDRATO DE ONDANSETRONA 2 MG/ML SOL INJ IV CX 100 AMP VD INC X 2 ML 3816.19 4336.58 4597.82 4625.68 4653.89 4711.35 4770.24 4830.62 4892.55
(HIPOLABOR FARMACEUTICA LTDA) (EMB HOSP)
2994.56 3402.91 3607.91 3629.77 3651.91 3697.00 3743.21 3790.59 3839.18
aplicável o CAP.
Medicamentos

511607004158117 CLORIDRATO DE ONDANSETRONA 2 MG/ML SOL INJ IV CX 100 AMP VD INC X 4 ML 7650.97 8694.29 9218.03 9273.90 9330.45 9445.64 9563.71 9684.77 9808.93
6003.72 6822.41 7233.39 7277.23 7321.60 7411.99 7504.64 7599.64 7697.07
511620010044507 CLORIDRATO DE ONDANSETRONA 2 MG/ML SOL INJ IM/IV CX 100 AMP VD AMB X 2 3815.99 4336.35 4597.58 4625.44 4653.65 4711.10 4769.99 4830.37 4892.29
2994.41 3402.73 3607.72 3629.58 3651.72 3696.80 3743.01 3790.39 3838.98
511620010044407 CLORIDRATO DE ONDANSETRONA 2 MG/ML SOL INJ IM/IV CX 100 AMP VD AMB X 4 7650.28 8693.50 9217.20 9273.07 9329.61 9444.79 9562.85 9683.90 9808.05
6003.17 6821.79 7232.74 7276.58 7320.95 7411.33 7503.97 7598.96 7696.38
504403205152414 ONTRAX 2 MG/ML SOL INJ CT 20 AMP VD AMB X 2 ML 1036.67 1178.03 1249.00 1256.57 1264.23 1279.84 1295.84 1312.24 1329.06
504403206159412 ONTRAX 2 MG/ML SOL INJ CT 20 AMP VD AMB X 4 ML 1869.76 2124.73 2252.72 2266.38 2280.19 2308.35 2337.20 2366.79 2397.13
543822110068706 CLORIDRATO DE ONDANSETRONA 4 MG COM ORODISP CT BL AL PLAS 6.34 7.20 7.64 7.68 7.73 7.83 7.93 8.03 8.13
(ALTHAIA S.A INDÚSTRIA FARMACÊUTICA) PVC/PEBD/PVDC/PEBD/PVC OPC X 4
4.97 5.65 6.00 6.03 6.07 6.14 6.22 6.30 6.38
9.94 11.30 11.98 12.05 12.12 12.27 12.43 12.59 12.74
12.44 14.13 14.99 15.07 15.17 15.36 15.54 15.74 15.94
37.30 42.39 44.95 45.21 45.50 46.05 46.64 47.22 47.83
(ALTHAIA S.A INDÚSTRIA FARMACÊUTICA) PVC/PEBD/PVDC/PEBD/PVC OPC X 60 (EMB
74.61 84.79 89.89 90.44 90.99 92.11 93.26 94.44 95.66
FRAC)
124.34 141.30 149.81 150.72 151.63 153.51 155.43 157.39 159.41
FRAC)
149.21 169.56 179.77 180.86 181.96 184.21 186.52 188.88 191.29
FRAC)
298.43 339.12 359.55 361.73 363.94 368.43 373.04 377.76 382.60
FRAC)
596.87 678.26 719.11 723.48 727.89 736.87 746.09 755.52 765.22
FRAC)
(ALTHAIA S.A INDÚSTRIA FARMACÊUTICA) 4.97 5.65 6.00 6.03 6.07 6.14 6.22 6.30 6.38
543822110067606 CLORIDRATO DE ONDANSETRONA 4 MG COM ORODISP CT BL AL AL X 60 (EMB 95.08 108.05 114.55 115.25 115.95 117.38 118.85 120.35 121.90
(ALTHAIA S.A INDÚSTRIA FARMACÊUTICA) FRAC)
74.61 84.79 89.89 90.44 90.99 92.11 93.26 94.44 95.66
124.34 141.30 149.81 150.72 151.63 153.51 155.43 157.39 159.41
149.21 169.56 179.77 180.86 181.96 184.21 186.52 188.88 191.29
298.43 339.12 359.55 361.73 363.94 368.43 373.04 377.76 382.60
596.87 678.26 719.11 723.48 727.89 736.87 746.09 755.52 765.22
9.79 11.12 11.79 11.87 11.94 12.09 12.23 12.38 12.55
19.57 22.24 23.58 23.72 23.86 24.16 24.47 24.77 25.09
24.46 27.79 29.47 29.65 29.83 30.19 30.57 30.97 31.36
73.39 83.39 88.41 88.95 89.50 90.60 91.73 92.89 94.09
aplicável o CAP.
Medicamentos

146.77 166.79 176.83 177.91 178.99 181.19 183.46 185.79 188.16
FRAC)
244.61 277.97 294.72 296.50 298.31 301.99 305.77 309.64 313.60
FRAC)
293.54 333.57 353.66 355.81 357.98 362.40 366.93 371.57 376.33
FRAC)
587.07 667.13 707.32 711.61 715.95 724.78 733.84 743.14 752.66
FRAC)
1174.15 1334.26 1414.64 1423.22 1431.90 1449.58 1467.70 1486.27 1505.33
FRAC)
543822110069206 CLORIDRATO DE ONDANSETRONA 8 MG COM ORODISP CT BL AL/AL X 4 12.47 14.17 15.02 15.12 15.21 15.40 15.59 15.78 15.99
543822110067006 CLORIDRATO DE ONDANSETRONA 8 MG COM ORODISP CT BL AL/AL X 60 (EMB 187.04 212.55 225.35 226.72 228.10 230.91 233.80 236.76 239.79
146.77 166.79 176.83 177.91 178.99 181.19 183.46 185.79 188.16
244.61 277.97 294.72 296.50 298.31 301.99 305.77 309.64 313.60
293.54 333.57 353.66 355.81 357.98 362.40 366.93 371.57 376.33
587.07 667.13 707.32 711.61 715.95 724.78 733.84 743.14 752.66
1174.15 1334.26 1414.64 1423.22 1431.90 1449.58 1467.70 1486.27 1505.33
543823090078104 ENJOVIX FLASH 8 MG COM ORODISP CT BL AL/AL X 100 (EMB 295.20 335.45 355.66 357.82 360.00 364.44 369.00 373.67 378.46
231.64 263.23 279.09 280.78 282.49 285.98 289.55 293.22 296.98
277.97 315.88 334.91 336.93 338.99 343.17 347.47 351.87 356.37
555.94 631.75 669.81 673.87 677.98 686.35 694.93 703.73 712.75
1111.89 1263.51 1339.62 1347.75 1355.96 1372.70 1389.86 1407.45 1425.49
538820100090507 VOLIG 4 MG COM ORODISP CT BL AL AL X 10 26.20 29.77 31.57 31.76 31.95 32.35 32.75 33.16 33.59
aplicável o CAP.
Medicamentos

CLORIDRATO DE ALFENTANILA MONOIDRATADA

506700201158413 ALFAST 0,544 MG/ML SOL INJ CX 10 AMP VD TRANS X 5 387.19 439.99 466.49 469.32 472.18 478.01 483.99 490.11 496.40
303.83 345.26 366.05 368.28 370.52 375.09 379.79 384.59 389.53
506700202154411 ALFAST 0,544 MG/ML SOL INJ CX 25 AMP VD TRANS X 1120.55 1273.35 1350.06 1358.24 1366.52 1383.40 1400.69 1418.42 1436.60
879.30 999.20 1059.39 1065.81 1072.31 1085.56 1099.12 1113.03 1127.30
CLORIDRATO DE AMBROXOL
508501601136421 FLUIBRON 7,5 MG/ML SOL OR CT FR VD AMB X 50 ML + 15.55 17.97 19.22 19.35 19.49 19.76 20.05 20.34 20.65
(CHIESI FARMACÊUTICA LTDA) CGT
12.20 14.10 15.08 15.18 15.29 15.50 15.73 15.96 16.20
Liberado
508501602132421 FLUIBRON 6 MG/ML XPE CT FR VD AMB X 100 ML + COP 30.46 35.20 37.64 37.90 38.17 38.71 39.27 39.85 40.45
(CHIESI FARMACÊUTICA LTDA) 23.90 27.62 29.54 29.74 29.95 30.37 30.81 31.27 31.74
Liberado
508501603139428 FLUIBRON 3 MG/ML XPE CT FR VD AMB X 100 ML + COP 19.02 21.98 23.50 23.67 23.83 24.17 24.52 24.88 25.26
Liberado
508501604135426 FLUIBRON 7,5 MG/ML SOL INAL CT ENV X 10 FLAC X 2 ML 36.79 42.51 45.46 45.78 46.10 46.76 47.44 48.13 48.85
Liberado
509023010029317 SEDAVAN 6 MG/ML XPE CT FR VD AMB X 100 ML + COP 22.45 25.94 27.74 27.94 28.13 28.53 28.95 29.37 29.81
(FARMOQUÍMICA S/A) 17.62 20.36 21.77 21.93 22.07 22.39 22.72 23.05 23.39
Liberado
(FARMOQUÍMICA S/A) 14.23 16.45 17.59 17.71 17.84 18.10 18.35 18.62 18.90
Liberado
526124102137114 CLORIDRATO DE AMBROXOL 6 MG/ML XPE CT FR VD AMB X 120 ML + COP 18.34 21.19 22.66 22.82 22.98 23.31 23.65 23.99 24.35
Liberado
506311901132425 BRONXOL 3 MG/ML XPE CT FR VD AMB X 120 ML + COP 18.28 21.12 22.59 22.75 22.91 23.23 23.57 23.92 24.27
Liberado
506320020032107 BRONXOL 6 MG/ML XPE CT FR VD AMB X 120 ML + COP 27.57 31.86 34.07 34.31 34.55 35.04 35.55 36.07 36.61
Liberado
506323010040807 BRONXOL 3 MG/ML XPE CT FR PLAS PET AMB X 120 ML + 18.28 21.12 22.59 22.75 22.91 23.23 23.57 23.92 24.27
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) COP
14.34 16.57 17.73 17.85 17.98 18.23 18.50 18.77 19.04
Liberado
506323010040907 BRONXOL 3 MG/ML XPE CX 50 FR PLAS PET AMB X 120 ML 913.92 1056.11 1129.36 1137.24 1145.24 1161.59 1178.40 1195.71 1213.54
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) + 50 COP
717.15 828.73 886.21 892.39 898.67 911.50 924.69 938.27 952.27
Liberado
506323010041007 BRONXOL 6 MG/ML XPE CT FR PLAS PET AMB X 120 ML + 27.57 31.86 34.07 34.31 34.55 35.04 35.55 36.07 36.61
21.63 25.00 26.73 26.92 27.11 27.50 27.90 28.30 28.73
Liberado
506323010041107 BRONXOL 6 MG/ML XPE CX 50 FR PLAS PET AMB X 120 ML 1378.66 1593.16 1703.65 1715.55 1727.61 1752.27 1777.63 1803.74 1830.64
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) + 50 COP
1081.83 1250.15 1336.85 1346.19 1355.65 1375.01 1394.91 1415.39 1436.50
Liberado
528501606132121 CLORIDRATO DE AMBROXOL 7,5 MG/ML SOL OR CT FR GOT PLAS OPC X 50 13.89 16.05 17.16 17.28 17.41 17.65 17.91 18.17 18.44
(PRATI DONADUZZI & CIA LTDA) ML
10.90 12.59 13.47 13.56 13.66 13.85 14.05 14.26 14.47
Liberado
528501611136113 CLORIDRATO DE AMBROXOL 3 MG/ML XPE CT FR PLAS OPC X 120 ML + COP 9.27 10.71 11.46 11.54 11.62 11.78 11.95 12.13 12.31
Liberado
528501618130110 CLORIDRATO DE AMBROXOL 6 MG/ML XPE CT FR PLAS OPC X 120 ML + COP 10.96 12.67 13.54 13.64 13.73 13.93 14.13 14.34 14.55
Liberado
528501620135116 CLORIDRATO DE AMBROXOL 6 MG/ML XPE CX 50 FR PLAS OPC X 100 ML + 50 204.19 235.96 252.32 254.09 255.87 259.52 263.28 267.15 271.13
160.23 185.16 198.00 199.39 200.78 203.64 206.60 209.63 212.76
Liberado
Liberado
Liberado
540400701139414 BRONQTRAT 6 MG/ML XPE CT FR PLAS AMB X 100 ML 20.70 23.92 25.58 25.76 25.94 26.31 26.69 27.08 27.49
Liberado
506407401130111 CLORIDRATO DE AMBROXOL 3 MG/ML XPE CT FR VD AMB X 120 ML + CP 8.83 10.20 10.91 10.99 11.06 11.22 11.39 11.55 11.72
6.93 8.00 8.56 8.62 8.68 8.80 8.94 9.06 9.20
Liberado
aplicável o CAP.
Medicamentos
CLORIDRATO DE AMBROXOL
506407402137111 CLORIDRATO DE AMBROXOL 6 MG/ML XPE CT FR VD AMB X 120 ML + CP 14.98 17.31 18.51 18.64 18.77 19.04 19.32 19.60 19.89
11.75 13.58 14.52 14.63 14.73 14.94 15.16 15.38 15.61
Liberado
Liberado
Liberado
510409302138414 FLUISOLVAN 6 MG/ML XPE CT FR VD AMB X 120 ML + COP 16.09 18.59 19.88 20.02 20.16 20.45 20.75 21.05 21.36
Liberado
510409301131416 FLUISOLVAN 3 MG/ML XPE CT FR VD AMB X 120 ML + COP 12.33 14.25 15.24 15.34 15.45 15.67 15.90 16.13 16.37
Liberado
Liberado
Liberado
537100402136116 CLORIDRATO DE AMBROXOL 3 MG/ML XPE CX 48 FR PET AMB X 120 ML + 48 493.00 569.70 609.21 613.47 617.78 626.60 635.67 645.01 654.62
(UNITHER INDUSTRIA FARMACEUTICA LTDA.) CP MED
386.86 447.04 478.05 481.39 484.77 491.69 498.81 506.14 513.68
Liberado
537100403132114 CLORIDRATO DE AMBROXOL 6 MG/ML XPE CT FR PET AMB X 120 ML + CP 17.34 20.04 21.43 21.58 21.73 22.04 22.36 22.69 23.02
(UNITHER INDUSTRIA FARMACEUTICA LTDA.) MED
13.61 15.73 16.82 16.93 17.05 17.30 17.55 17.81 18.06
Liberado
493.66 570.47 610.03 614.29 618.61 627.44 636.53 645.87 655.51
Liberado
411.62 475.67 508.65 512.20 515.81 523.17 530.74 538.54 546.57
Liberado
531.26 613.92 656.49 661.08 665.72 675.23 685.00 695.06 705.42
Liberado
538808001131119 CLORIDRATO DE AMBROXOL 6 MG/ML XPE CT FR VD AMB X 120 ML + CP MED 17.68 20.43 21.85 22.00 22.16 22.47 22.80 23.13 23.48
Liberado
Liberado
Liberado
576720050068917 MUCOSOLVAN 3,0 MG/ML XPE PED CT FR VD AMB X 120 ML 21.82 25.21 26.96 27.15 27.34 27.73 28.13 28.55 28.97
Liberado
576720050069017 MUCOSOLVAN 6 MG/ML XPE ADU CT FR VD AMB X 120 ML 30.32 35.04 37.47 37.73 37.99 38.54 39.09 39.67 40.26
Liberado
576720050069117 MUCOSOLVAN 7,5 MG/ML SOL CT FR GOT VD AMB X 50 ML + 19.07 22.04 23.57 23.73 23.90 24.24 24.59 24.95 25.32
(SANOFI MEDLEY FARMACÊUTICA LTDA.) COP
14.96 17.29 18.50 18.62 18.76 19.02 19.30 19.58 19.87
Liberado
576720050069217 MUCOSOLVAN 75 MG CAP DURA MICROG LIB CONTROL CT BL 29.55 34.15 36.52 36.77 37.03 37.56 38.10 38.66 39.24
(SANOFI MEDLEY FARMACÊUTICA LTDA.) AL PLAS PVC/PVDC X 10
23.19 26.80 28.66 28.85 29.06 29.47 29.90 30.34 30.79
Liberado
CLORIDRATO DE AMILORIDA;HIDROCLOROTIAZIDA
526113902110118 CLORIDRATO DE AMILORIDA + HIDROCLOROTIAZIDA 5 MG + 50 MG COM CT BL AL PLAS LEITOSO X 13.07 14.85 15.75 15.84 15.94 16.14 16.34 16.54 16.76
(GERMED FARMACEUTICA LTDA) 30
10.26 11.65 12.36 12.43 12.51 12.67 12.82 12.98 13.15
538807201110117 CLORIDRATO DE AMILORIDA + HIDROCLOROTIAZIDA 5 MG + 50 MG COM CT BL AL PLAS LEITOSO X 12.56 14.27 15.13 15.22 15.32 15.51 15.70 15.90 16.10
9.86 11.20 11.87 11.94 12.02 12.17 12.32 12.48 12.63
538807202117115 CLORIDRATO DE AMILORIDA + HIDROCLOROTIAZIDA 2,5 MG + 25 MG COM CT BL AL PLAS OPC X 30 7.53 8.56 9.07 9.13 9.18 9.30 9.41 9.53 9.65
CLORIDRATO DE AMINOLEVULINATO DE METILA

510101901177315 METVIX 160 MG/G CREME CT BG AL X 2 G 1421.11 1614.90 1712.18 1722.56 1733.06 1754.46 1776.39 1798.87 1821.94
CLORIDRATO DE AMIODARONA
aplicável o CAP.
Medicamentos
CLORIDRATO DE AMIODARONA
523720120045507 ANCORON 100 MG COM REV CT BL AL AL X 60 35.84 40.73 43.18 43.44 43.71 44.25 44.80 45.37 45.95
(LIBBS FARMACÊUTICA LTDA) 28.12 31.96 33.88 34.09 34.30 34.72 35.15 35.60 36.06
523700203134417 ANCORON 200 MG/ML SUS OR CT FR PLAS OPC GOT X 30 50.04 56.86 60.29 60.65 61.02 61.78 62.55 63.34 64.15
(LIBBS FARMACÊUTICA LTDA) ML
39.27 44.62 47.31 47.59 47.88 48.48 49.08 49.70 50.34
552919070079113 MIODARON 200 MG COM CT BL AL PLAS TRANS X 20 25.81 29.33 31.10 31.28 31.48 31.86 32.26 32.67 33.09
529920120069907 CLORIDRATO DE AMIODARONA 100 MG COM CT BL AL PLAS TRANS X 20 8.76 9.95 10.55 10.62 10.68 10.81 10.95 11.09 11.23
510400102111411 AMIORON 200 MG COM CT BL AL PLAS TRANS X 20 23.59 26.81 28.42 28.59 28.77 29.12 29.49 29.86 30.24
510400104112415 AMIORON 200 MG COM CT BL AL PLAS TRANS X 500 614.47 698.26 740.33 744.81 749.35 758.60 768.09 777.81 787.78
536220120012407 CLORIDRATO DE AMIODARONA 100 MG COM CT BL AL AL X 30 13.15 14.94 15.84 15.94 16.04 16.23 16.44 16.65 16.86
CLORIDRATO DE AMITRIPTILINA
506720020080907 AMYTRIL 10 MG COM REV CX BL AL PLAS PVDC TRANS X 10.77 12.24 12.98 13.05 13.13 13.30 13.46 13.63 13.81
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) 30
8.45 9.60 10.19 10.24 10.30 10.44 10.56 10.69 10.84
506720020081007 AMYTRIL 10 MG COM REV CT BL AL PLAS PVDC TRANS X 3.37 3.83 4.06 4.08 4.11 4.16 4.21 4.27 4.32
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) 10
2.64 3.01 3.19 3.20 3.23 3.26 3.30 3.35 3.39
526128601111113 CLORIDRATO DE AMITRIPTILINA 75 MG COM REV CT BL AL PLAS OPC X 20 41.16 46.77 49.59 49.89 50.20 50.81 51.45 52.10 52.77
504619070074406 CLORIDRATO DE AMITRIPTILINA 25 MG COM CT BL AL PLAS TRANS X 30 17.23 19.58 20.76 20.88 21.01 21.27 21.54 21.81 22.09
525066802110115 CLORIDRATO DE AMITRIPTILINA 25 MG COM REV CT BL AL PLAS TRANS X 20 12.90 14.66 15.54 15.64 15.73 15.93 16.13 16.33 16.54
525066806116118 CLORIDRATO DE AMITRIPTILINA 75 MG COM REV CT BL AL PLAS TRANS X 20 37.19 42.26 44.81 45.08 45.35 45.91 46.49 47.08 47.68
CLORIDRATO DE AMOROLFINA
525319040061403 ONIMORF 50 MG/ML ESM CT FR VD AMB X 2,5 ML + (10 93.56 108.12 115.61 116.42 117.24 118.91 120.64 122.41 124.23
(NOVA QUIMICA FARMACÊUTICA S/A) ESP + 16 COMPRESS + 15 LIXAS)
73.42 84.84 90.72 91.35 92.00 93.31 94.67 96.06 97.48
Liberado
525314060042904 ONIMORF 50 MG/ML ESM CT FR VD AMB X 2,5 ML + (10 93.57 108.13 115.63 116.43 117.25 118.93 120.65 122.42 124.25
(NOVA QUIMICA FARMACÊUTICA S/A) ESP + 30 COMPRESS + 30 LIXAS)
73.42 84.85 90.73 91.36 92.01 93.33 94.67 96.06 97.50
Liberado
538813100047304 LOMYTRAT 50 MG/ML ESM CT FR VD AMB X 2,5 ML + (10 110.61 127.82 136.68 137.64 138.61 140.58 142.62 144.71 146.87
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) ESP + 30 COMPRESS + 30 LIXAS)
86.80 100.30 107.25 108.01 108.77 110.31 111.91 113.55 115.25
Liberado
aplicável o CAP.
Medicamentos
CLORIDRATO DE AMOROLFINA;AMOROLFINA
510119010006103 LOCERYL 50 MG/ML ESMALTE CT FR VD AMB X 2,5 ML + 113.75 131.45 140.56 141.55 142.54 144.58 146.67 148.82 151.04
(GALDERMA BRASIL LTDA) (APLIC + 30 COMPRESS + 30 LIXAS)
89.26 103.15 110.30 111.08 111.85 113.45 115.09 116.78 118.52
Liberado
CLORIDRATO DE AZELASTINA
500511201178414 RINO-LASTIN 0,9 PCC SOL NASAL CT FR VD AMB NEB X 10 34.91 40.34 43.14 43.44 43.75 44.37 45.01 45.67 46.35
27.39 31.65 33.85 34.09 34.33 34.82 35.32 35.84 36.37
Liberado
CLORIDRATO DE BAMBUTEROL
502300601131310 BAMBEC 1 MG/ML SOL OR CT FR PLAST OPC X 100 ML 30.07 34.17 36.23 36.45 36.67 37.12 37.59 38.06 38.55
CLORIDRATO DE BENAZEPRIL
504123030083803 BHENA 5 MG COM REV BL AL AL X 90 159.22 180.93 191.83 192.99 194.17 196.57 199.03 201.54 204.13
504123030083903 BHENA 10 MG COM REV BL AL AL X 90 251.22 285.48 302.67 304.51 306.37 310.15 314.03 318.00 322.08
CLORIDRATO DE BENSERAZIDA;LEVODOPA
525320020068707 LEVRASIDA 200 MG + 50 MG COM CT FR VD AMB X 30 72.37
CLORIDRATO DE BENZIDAMINA
526220110016907 GARGABEM 3 MG PAS DURA CT BL AL PLAS TRANS X 8 9.46 10.93 11.69 11.77 11.85 12.02 12.20 12.38 12.56
(1FARMA INDUSTRIA FARMACEUTICA LTDA) (SBR CEREJA)
7.42 8.58 9.17 9.24 9.30 9.43 9.57 9.72 9.86
Liberado
526220110017207 GARGABEM 3 MG PAS DURA CT BL AL PLAS TRANS X 8 9.19 10.62 11.36 11.44 11.52 11.68 11.85 12.02 12.20
(1FARMA INDUSTRIA FARMACEUTICA LTDA) (SBR MEL-LIMÃO)
7.21 8.33 8.91 8.98 9.04 9.17 9.30 9.43 9.57
Liberado
500508908134415 FLOGORAL 1,5 MG/ML COLUT CT FR VD TRANS NEB X 30 21.49 24.83 26.56 26.74 26.93 27.31 27.71 28.12 28.54
16.86 19.48 20.84 20.98 21.13 21.43 21.74 22.07 22.40
Liberado
500508904112425 FLOGORAL 3,0 MG PAS DURA CT STRIP PAP/ALX 12 9.73 11.24 12.02 12.11 12.19 12.37 12.55 12.73 12.92
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) (SABOR CEREJA)
7.64 8.82 9.43 9.50 9.56 9.71 9.85 9.99 10.14
Liberado
500508902111421 FLOGORAL 3,0 MG PAS DURA CT 3 STRIP PAP/ALX 4 9.73 11.24 12.02 12.11 12.19 12.37 12.55 12.73 12.92
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) (SABOR LARANJA)
7.64 8.82 9.43 9.50 9.56 9.71 9.85 9.99 10.14
Liberado
500508905119423 FLOGORAL 3,0 MG PAS DURA CT STRIP PAP/ALX 12 9.73 11.24 12.02 12.11 12.19 12.37 12.55 12.73 12.92
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) (SABOR LIMÃO)
7.64 8.82 9.43 9.50 9.56 9.71 9.85 9.99 10.14
Liberado
500508901113420 FLOGORAL 3,0 MG PAS DURA CT STR PAP/PEBD/AL/PEBD X 9.73 11.24 12.02 12.11 12.19 12.37 12.55 12.73 12.92
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) 12 (SABOR MENTA)
7.64 8.82 9.43 9.50 9.56 9.71 9.85 9.99 10.14
Liberado
500508903175423 FLOGORAL 5 MG/G PAS CT BG AL X 70 G 20.20 23.34 24.96 25.14 25.31 25.67 26.05 26.43 26.82
Liberado
500508912131417 FLOGORAL 1,5 MG/ML COLUT CT FR PLAS TRANS X 250 ML 23.65 27.33 29.22 29.43 29.64 30.06 30.49 30.94 31.40
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) + COP (SABOR MENTA)
18.56 21.45 22.93 23.09 23.26 23.59 23.92 24.28 24.64
Liberado
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) + COP (SABOR LARANJA)
18.56 21.45 22.93 23.09 23.26 23.59 23.92 24.28 24.64
Liberado
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) + COP (SABOR CEREJA)
18.56 21.45 22.93 23.09 23.26 23.59 23.92 24.28 24.64
Liberado
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) + COP (SABOR LIMÃO)
18.56 21.45 22.93 23.09 23.26 23.59 23.92 24.28 24.64
Liberado
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) (SABOR LARANJA)
13.31 15.38 16.45 16.56 16.67 16.92 17.16 17.41 17.67
Liberado
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) (SABOR MENTA)
13.31 15.38 16.45 16.56 16.67 16.92 17.16 17.41 17.67
Liberado
500508907138417 FLOGORAL 1,5 MG/ML COLUT CT FR VD TRANS NEB X 30 21.49 24.83 26.56 26.74 26.93 27.31 27.71 28.12 28.54
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) ML (SABOR CEREJA)
16.86 19.48 20.84 20.98 21.13 21.43 21.74 22.07 22.40
Liberado
500508916110317 FLOGORAL 3,0 MGPAS DURA CT 25 STR 78.12 90.27 96.54 97.21 97.89 99.29 100.73 102.21 103.73
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) PAP/PEBD/AL/PEBD X 4 (SABOR MENTA) (EMB.
61.30 70.83 75.75 76.28 76.81 77.91 79.04 80.20 81.40
Liberado MULT.)
aplicável o CAP.
Medicamentos
CLORIDRATO DE BENZIDAMINA
5.12 5.91 6.32 6.36 6.41 6.51 6.60 6.69 6.80
Liberado
33.15 38.31 40.97 41.25 41.54 42.14 42.75 43.38 44.02
Liberado
500510202170419 FLOGO-ROSA 53,2 MG/G PO SOL VAG CT 10 ENV AL POLIET X 32.04 37.03 39.59 39.87 40.15 40.72 41.31 41.92 42.54
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) 9,4 G
25.14 29.06 31.07 31.29 31.51 31.95 32.42 32.89 33.38
Liberado
500510201131411 FLOGO-ROSA 50 MG/ML SOL GIN CT FR VD AMB X 100 ML 23.69 27.38 29.27 29.48 29.69 30.11 30.55 30.99 31.46
Liberado
500510204173318 FLOGO-ROSA 53,2 MG/G PO SOL VAG CT 04 ENV AL POLIET X 12.49 14.43 15.43 15.54 15.65 15.87 16.10 16.34 16.58
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) 9,4 G
9.80 11.32 12.11 12.19 12.28 12.45 12.63 12.82 13.01
Liberado
500510203177417 FLOGO-ROSA 50 MG/ML SOL GIN CT FR PET AMB X 100 ML 23.69 27.38 29.27 29.48 29.69 30.11 30.55 30.99 31.46
Liberado
500510205171319 FLOGO-ROSA 50 MG/ML SOL GIN CT FR PET AMB X 100 ML + 23.69 27.38 29.27 29.48 29.69 30.11 30.55 30.99 31.46
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) CP MED
18.59 21.49 22.97 23.13 23.30 23.63 23.97 24.32 24.69
528530705178425 BENZIDROL 1,5 MG/ML COLUT CT FR SPR PLAS TRANS X 30 21.80 25.19 26.94 27.13 27.32 27.71 28.11 28.52 28.95
(PRATI DONADUZZI & CIA LTDA) ML (SABOR MENTA)
17.11 19.77 21.14 21.29 21.44 21.74 22.06 22.38 22.72
Liberado
506401907113421 CLORIDRATO DE BENZIDAMINA 3,0 MG PAST CT 3 STR X 4 (SABOR LARANJA) 9.35 10.80 11.55 11.63 11.72 11.88 12.06 12.23 12.42
Liberado
506401911171414 CIFLOGEX 1,5 MG/ML COLUT CT FR SPR PLAS OPC X 30 17.47 20.19 21.59 21.74 21.89 22.20 22.53 22.86 23.20
(CIMED INDUSTRIA S.A) ML (SBR MENTA)
13.71 15.84 16.94 17.06 17.18 17.42 17.68 17.94 18.21
Liberado
506401912176411 CIFLOGEX 1,5 MG/ML COLUT CT FR SPR PLAS OPC X 30 17.47 20.19 21.59 21.74 21.89 22.20 22.53 22.86 23.20
(CIMED INDUSTRIA S.A) ML (SBR MEL)
13.71 15.84 16.94 17.06 17.18 17.42 17.68 17.94 18.21
Liberado
CLORIDRATO DE BETAXOLOL
513423070031106 CLORIDRATO DE BETAXOLOL 5,0 MG/ML SOL OFT CT FR PLAS OPC GOT X 5 15.35 17.44 18.49 18.61 18.72 18.95 19.19 19.43 19.68
(INSTITUTO BIOCHIMICO INDÚSTRIA FARMACÊUTICA LTDA) ML
12.05 13.69 14.51 14.60 14.69 14.87 15.06 15.25 15.44
523401401171415 PRESMIN 5,0 MG/ML SOL OFT CT FR GOT PLAS OPC X 5 16.40 18.64 19.76 19.88 20.00 20.25 20.50 20.76 21.03
12.87 14.63 15.51 15.60 15.69 15.89 16.09 16.29 16.50
510414802178111 CLORIDRATO DE BETAXOLOL 5MG/ML SOL OFT CT FR PLAS OPC GOT 5ML 13.97 15.88 16.83 16.93 17.04 17.25 17.46 17.68 17.91
CLORIDRATO DE BROMEXINA
531619901138114 CLORIDRATO DE BROMEXINA 0,8 MG/ML XPE CT FR VD AMB X 120 ML + COP 9.20 10.63 11.37 11.45 11.53 11.69 11.86 12.04 12.22
Liberado
527907003137414 BISOLPHAR 0,8 MG/ML XPE CT FR PLAS AMB X 120 ML + CP 10.68 12.34 13.20 13.29 13.38 13.57 13.77 13.97 14.18
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) MED
8.38 9.68 10.36 10.43 10.50 10.65 10.81 10.96 11.13
Liberado
527907001134418 BISOLPHAR 1,6 MG/ML XPE CT FR PLAS AMB X 120 ML + CP 12.98 15.00 16.04 16.15 16.27 16.50 16.74 16.98 17.24
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) MED
10.19 11.77 12.59 12.67 12.77 12.95 13.14 13.32 13.53
Liberado
510415311135419 BROMEXPEC 1,6MG/ML XPE EXP ADU CT FR VD AMB X 120ML 16.57 19.15 20.48 20.62 20.76 21.06 21.37 21.68 22.00
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) + CP MED
13.00 15.03 16.07 16.18 16.29 16.53 16.77 17.01 17.26
Liberado
510415305135410 BROMEXPEC 0,8MG/ML XPE EXP INF CT FR VD AMB X 120ML 13.66 15.79 16.88 17.00 17.12 17.36 17.61 17.87 18.14
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) + CP MED
10.72 12.39 13.25 13.34 13.43 13.62 13.82 14.02 14.23
Liberado
510415505134116 CLORIDRATO DE BROMEXINA 0,8MG/ML XPE CT FR VD AMB X 120ML + CP 10.87 12.56 13.43 13.53 13.62 13.82 14.02 14.22 14.43
8.53 9.86 10.54 10.62 10.69 10.85 11.00 11.16 11.32
Liberado
510415515131111 CLORIDRATO DE BROMEXINA 1,6MG/ML XPE CT FR VD AMB X 120ML + CP 12.97 14.99 16.03 16.14 16.25 16.48 16.72 16.97 17.22
10.18 11.76 12.58 12.67 12.75 12.93 13.12 13.32 13.51
Liberado
Liberado
538818101139410 BRONXINA 1,6 MG/ML XPE CT FR VD AMB X 120 ML + CP 12.60 14.56 15.57 15.68 15.79 16.01 16.25 16.48 16.73
9.89 11.43 12.22 12.30 12.39 12.56 12.75 12.93 13.13
Liberado
Liberado
aplicável o CAP.
Medicamentos
CLORIDRATO DE BROMEXINA
Liberado
CLORIDRATO DE BUPIVACAÍNA
511803701151114 CLORIDRATO DE BUPIVACAÍNA 5,0 MG/ML SOL INJ EPI CX C/ 25 FA VD TRANS X 363.52 413.09 437.98 440.63 443.32 448.79 454.40 460.15 466.05
(HYPOFARMA - INSTITUTO DE HYPODERMIA E FARMÁCIA LTDA) 20 ML.
285.25 324.15 343.68 345.76 347.87 352.17 356.57 361.08 365.71
CLORIDRATO DE BUPIVACAÍNA;GLICOSE
511803801154115 CLORIDRATO DE BUPIVACAÍNA HIPERBÁRICA 5 MG/ML + 80 MG/ML SOL INJ CX 50 AMP VD 312.87 355.53 376.95 379.24 381.55 386.26 391.09 396.04 401.12
(HYPOFARMA - INSTITUTO DE HYPODERMIA E FARMÁCIA LTDA) TRANS X 4 ML
245.51 278.98 295.79 297.59 299.40 303.10 306.89 310.77 314.76
511611902157118 CLORIDRATO DE BUPIVACAÍNA + GLICOSE (5 + 80) MG/ML SOL INJ IV CX 100 AMP VD 415.88 472.59 501.06 504.10 507.17 513.43 519.85 526.43 533.18
(HIPOLABOR FARMACEUTICA LTDA) TRANS X 4 ML
326.34 370.84 393.18 395.57 397.98 402.89 407.93 413.09 418.39
CLORIDRATO DE BUPROPIONA
526137002111115 CLORIDRATO DE BUPROPIONA 150 MG COM REV LIB PROL CT BL AL AL X 30 75.63 85.94 91.12 91.67 92.23 93.37 94.54 95.73 96.96
526121010132107 EUTYMIA XL 300 MG COM REV LIB PROL CT BL AL AL X 10 97.42 110.70 117.37 118.08 118.80 120.27 121.78 123.32 124.90
aplicável o CAP.
Medicamentos
CLORIDRATO DE BUPROPIONA
529923030078806 CLORIDRATO DE BUPROPIONA 150 MG COM REV LIB PROL CT FR PLAS PEAD 54.65 62.10 65.84 66.24 66.65 67.47 68.31 69.18 70.06
42.88 48.73 51.66 51.98 52.30 52.94 53.60 54.29 54.98
529923030078906 CLORIDRATO DE BUPROPIONA 300 MG COM REV LIB PROL CT FR PLAS PEAD 189.96 215.86 228.87 230.25 231.66 234.52 237.45 240.46 243.54
149.06 169.39 179.59 180.68 181.78 184.03 186.33 188.69 191.11
531627502115413 BUPIUM 150 MG COM REV LIB PROL CT BL AL AL X 30 81.96 93.14 98.75 99.35 99.95 101.19 102.45 103.75 105.08
531627503111411 BUPIUM 150 MG COM REV LIB PROL CT BL AL AL X 60 163.91 186.26 197.48 198.68 199.89 202.36 204.89 207.48 210.14
CLORIDRATO DE BUTENAFINA
504611502172316 TEFIN 10 MG/G CREM DERM CT BG AL X 20 G 22.09 25.53 27.30 27.49 27.68 28.08 28.48 28.90 29.33
Liberado
CLORIDRATO DE CEFEPIMA
500120100039307 CLORIDRATO DE CEFEPIME 1 G PO P/ SOL INJ CT FA VD TRANS X DIL AMP 62.24 70.73 74.99 75.44 75.90 76.84 77.80 78.78 79.79
(AUROBINDO PHARMA INDÚSTRIA FARMACÊUTICA LIMITADA) VD TRANS X 3 ML
48.84 55.50 58.84 59.20 59.56 60.30 61.05 61.82 62.61
500101203154110 CLORIDRATO DE CEFEPIME 1 G PO P/ SOL INJ CT FA VD TRANS 62.24 70.73 74.99 75.44 75.90 76.84 77.80 78.78 79.79
500101205157117 CLORIDRATO DE CEFEPIME 2 G PO P/ SOL INJ CT FA VD TRANS 106.24 120.73 128.00 128.78 129.56 131.16 132.80 134.48 136.21
500120100039107 CLORIDRATO DE CEFEPIME 1 G PO SOL INJ CT FA VD TRANS + BOLS PLAS 62.24 70.73 74.99 75.44 75.90 76.84 77.80 78.78 79.79
(AUROBINDO PHARMA INDÚSTRIA FARMACÊUTICA LIMITADA) TRANS SIST FECH X 100 ML
48.84 55.50 58.84 59.20 59.56 60.30 61.05 61.82 62.61
500120100039207 CLORIDRATO DE CEFEPIME 1 G PO SOL INJ CT 10 FA VD TRANS + 10 BOLS 622.34 707.20 749.81 754.35 758.95 768.32 777.93 787.77 797.87
(AUROBINDO PHARMA INDÚSTRIA FARMACÊUTICA LIMITADA) PLAS TRANS SIST FECH X 100 ML
488.35 554.94 588.38 591.94 595.55 602.90 610.44 618.16 626.09
500120100038907 CLORIDRATO DE CEFEPIME 2 G PO SOL INJ CT FA VD TRANS + BOLS PLAS 99.36 112.91 119.71 120.44 121.17 122.67 124.20 125.77 127.38
(AUROBINDO PHARMA INDÚSTRIA FARMACÊUTICA LIMITADA) TRANS SIST FECH X 100 ML
77.97 88.60 93.94 94.51 95.08 96.26 97.46 98.69 99.95
500120100039007 CLORIDRATO DE CEFEPIME 2 G PO SOL INJ CT 10 FA VD TRANS + 10 BOLS 993.60 1129.09 1197.11 1204.36 1211.71 1226.67 1242.00 1257.72 1273.85
(AUROBINDO PHARMA INDÚSTRIA FARMACÊUTICA LIMITADA) PLAS TRANS SIST FECH X 100 ML
779.68 886.00 939.37 945.06 950.83 962.57 974.60 986.93 999.59
501301004153112 CLORIDRATO DE CEFEPIMA 1 G PO SOL INJ CX 10 FA VD TRANS X 20 ML 619.24 703.68 746.07 750.59 755.17 764.49 774.05 783.85 793.90
501301003157114 CLORIDRATO DE CEFEPIMA 1 G PO SOL INJ CT FA VD TRANS X 20 ML + DIL 61.87 70.31 74.54 74.99 75.45 76.38 77.34 78.32 79.32
(ANTIBIÓTICOS DO BRASIL LTDA) AMP PLAS TRANS X 10 ML
48.55 55.17 58.49 58.84 59.21 59.93 60.69 61.46 62.24
501301002150116 CLORIDRATO DE CEFEPIMA 1 G PO SOL INJ IV CT FA VD TRANS X 20 ML + 67.72 76.95 81.59 82.08 82.59 83.60 84.65 85.72 86.82
53.14 60.38 64.02 64.41 64.81 65.60 66.42 67.26 68.13
501301005151113 CLORIDRATO DE CEFEPIMA 1 G PO SOL INJ IV CX 10 FA VD TRANS X 20 677.32 769.68 816.05 820.99 826.00 836.20 846.65 857.37 868.36
(ANTIBIÓTICOS DO BRASIL LTDA) ML + 10 BOLS PLAS TRANS SIST FECH X 100 ML
531.49 603.97 640.35 644.23 648.16 656.17 664.37 672.78 681.40
CLORIDRATO DE CICLOBENZAPRINA
501623040043103 MIOSAN ODT 5 MG COM ORODISP CT BL AL PLAS PVC/PVDC 4.80 5.55 5.93 5.97 6.01 6.10 6.19 6.28 6.37
(APSEN FARMACEUTICA S/A) OPC X 4
3.77 4.36 4.65 4.68 4.71 4.79 4.86 4.93 5.00
9.42 10.88 11.64 11.72 11.80 11.97 12.14 12.32 12.50
4.21 4.86 5.19 5.23 5.27 5.34 5.42 5.50 5.59
10.51 12.15 12.99 13.08 13.17 13.36 13.56 13.76 13.96
533523110035406 CLORIDRATO DE CICLOBENZAPRINA 5 MG COM REV CT BL AL PLAS PVC TRANS X 15 11.72 13.54 14.48 14.58 14.69 14.90 15.11 15.33 15.56
aplicável o CAP.
Medicamentos
533523110035206 CLORIDRATO DE CICLOBENZAPRINA 5 MG COM REV CT BL AL PLAS PVC TRANS X 30 23.44 27.09 28.97 29.17 29.37 29.79 30.22 30.67 31.12
533523110035506 CLORIDRATO DE CICLOBENZAPRINA 10 MG COM REV CT BL AL PLAS PVC TRANS X 13.08 15.12 16.16 16.28 16.39 16.62 16.87 17.11 17.37
10.26 11.86 12.68 12.78 12.86 13.04 13.24 13.43 13.63
533523110035306 CLORIDRATO DE CICLOBENZAPRINA 10 MG COM REV CT BL AL PLAS PVC TRANS X 26.16 30.23 32.33 32.55 32.78 33.25 33.73 34.23 34.74
20.53 23.72 25.37 25.54 25.72 26.09 26.47 26.86 27.26
526122110167306 CLORIDRATO DE CICLOBENZAPRINA 10MG COM REV CT BL AL PLAS OPC X 04 3.48 4.02 4.30 4.33 4.36 4.42 4.49 4.55 4.62
500120030034007 CLORIDRATO DE CICLOBENZAPRINA 5 MG COM REV CT BL AL PLAS PVC/PE/PVDC 3.05 3.47 3.67 3.70 3.72 3.77 3.81 3.86 3.91
2.39 2.72 2.88 2.90 2.92 2.96 2.99 3.03 3.07
2.68 3.05 3.23 3.26 3.27 3.31 3.36 3.40 3.44
4.21 4.78 5.07 5.10 5.13 5.20 5.26 5.32 5.39
6.04 6.87 7.28 7.32 7.37 7.46 7.56 7.65 7.74
8.44 9.59 10.16 10.22 10.29 10.41 10.55 10.68 10.81
9.05 10.28 10.90 10.97 11.03 11.17 11.31 11.45 11.60
12.08 13.72 14.55 14.63 14.73 14.91 15.10 15.29 15.48
18.12 20.59 21.83 21.96 22.10 22.37 22.65 22.94 23.23
30.20 34.32 36.39 36.61 36.83 37.29 37.75 38.23 38.73
aplicável o CAP.
Medicamentos
(AUROBINDO PHARMA INDÚSTRIA FARMACÊUTICA LIMITADA) TRANS X 90 ( EMB FRAC )
54.37 61.79 65.51 65.91 66.31 67.12 67.96 68.83 69.70
60.41 68.65 72.79 73.23 73.68 74.59 75.52 76.48 77.46
4.69 5.34 5.65 5.69 5.72 5.79 5.87 5.94 6.02
6.70 7.61 8.07 8.12 8.17 8.27 8.38 8.48 8.59
(AUROBINDO PHARMA INDÚSTRIA FARMACÊUTICA LIMITADA) TRANSX 14
9.42 10.70 11.35 11.42 11.48 11.62 11.77 11.92 12.07
10.08 11.45 12.14 12.21 12.29 12.44 12.59 12.75 12.92
13.43 15.26 16.19 16.28 16.38 16.59 16.79 17.00 17.22
500120030035707 CLORIDRATO DE CICLOBENZAPRINA 10 MG COM REV CTBL AL PLAS PVC/PE/PVDC 25.77 29.28 31.05 31.24 31.43 31.81 32.21 32.62 33.04
20.22 22.98 24.36 24.51 24.66 24.96 25.27 25.60 25.93
33.70 38.29 40.59 40.84 41.10 41.60 42.12 42.65 43.20
(AUROBINDO PHARMA INDÚSTRIA FARMACÊUTICA LIMITADA) TRANS X 90 ( EMB FRAC )
60.66 68.93 73.08 73.53 73.97 74.88 75.83 76.78 77.76
67.38 76.57 81.19 81.67 82.17 83.19 84.23 85.30 86.39
504611604110115 CLORIDRATO DE CICLOBENZAPRINA 5 MG COM CT BL AL PLAS TRANS X 30 22.69 26.22 28.04 28.23 28.43 28.84 29.26 29.69 30.13
504611601111110 CLORIDRATO DE CICLOBENZAPRINA 10 MG COM CT BL AL PLAS TRANS X 30 25.21 29.13 31.15 31.37 31.59 32.04 32.51 32.98 33.47
538805101119418 MIOFIBRAX 10MG COM REV CT BL AL PLAS OPC X 15 14.92 17.24 18.44 18.57 18.70 18.96 19.24 19.52 19.81
CLORIDRATO DE CICLOBENZAPRINA;CAFEÍNA
501605001111313 MIOSAN CAF 5 MG + 30 MG COM REV CT BL AL PLAS TRANS 4.63 5.35 5.72 5.76 5.80 5.88 5.97 6.06 6.15
(APSEN FARMACEUTICA S/A) X4
3.63 4.20 4.49 4.52 4.55 4.61 4.68 4.76 4.83
(APSEN FARMACEUTICA S/A) X 15
14.16 16.37 17.50 17.62 17.75 18.00 18.26 18.54 18.81
(APSEN FARMACEUTICA S/A) X4
4.05 4.68 5.01 5.04 5.08 5.15 5.22 5.30 5.37
(APSEN FARMACEUTICA S/A) X 15
15.76 18.22 19.48 19.62 19.75 20.03 20.32 20.62 20.94
CLORIDRATO DE CICLOPENTOLATO
506719080080417 CICLOLATO 10 MG/ML SOL OFT CT FR GOT PLAS TRANS X 5 7.98 9.22 9.86 9.93 10.00 10.14 10.29 10.44 10.60
6.26 7.23 7.74 7.79 7.85 7.96 8.07 8.19 8.32
523400201179414 CICLOLATO 10 MG/ML SOL OFT CT FR GOT PLAS TRANS X 5 6.19 7.15 7.65 7.70 7.76 7.87 7.98 8.10 8.22
4.86 5.61 6.00 6.04 6.09 6.18 6.26 6.36 6.45
CLORIDRATO DE CIPROFLOXACINO
aplicável o CAP.
Medicamentos
CLORIDRATO DE CIPROFLOXACINO
506719080080317 MAXIFLOX 3,5 MG/ML SOL OFT CT FR GOT PLAS OPC X 5 18.47 20.99 22.25 22.39 22.52 22.80 23.09 23.38 23.68
14.49 16.47 17.46 17.57 17.67 17.89 18.12 18.35 18.58
506719060078817 MAXIFLOX 3,5 MG/G POM OFT CT BG AL X 3,5 G 23.69 26.92 28.54 28.72 28.89 29.25 29.61 29.99 30.37
526119070107906 CLORIDRATO DE CIPROFLOXACINO 3,5 MG/ML SOL OFT CT FR GOT PLAS TRANSL X 12.34 14.02 14.87 14.96 15.05 15.23 15.43 15.62 15.82
(GERMED FARMACEUTICA LTDA) 5 ML
9.68 11.00 11.67 11.74 11.81 11.95 12.11 12.26 12.41
506321010037007 CYPCINO 500 MG COM REV CT BL AL PLAS TRANS X 6 40.58

(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) 31.84


528526007119115 CLORIDRATO DE CIPROFLOXACINO 250 MG COM REV CT BL AL PLAS TRANS X 300 372.34

527900903116416 CIPROFLONAX 500 MG COM REV CT BL AL PLAS PVC TRANS X 40.81

32.02
527900904112414 CIPROFLONAX 500 MG COM REV CT BL AL PLAS PVC TRANS X 1374.63

1078.67
500100410113111 CLORIDRATO DE CIPROFLOXACINO 500 MG COM REV CT 2 BL AL PLAS TRANS X 07 28.98

(AUROBINDO PHARMA INDÚSTRIA FARMACÊUTICA LIMITADA) 22.74
510400402113411 CIPRIX 500 MG COM REV CT BL AL PLAS TRANS X 14 51.66

510400404116416 CIPRIX 500 MG COM REV CT BL AL PLAS TRANS X 300 1369.62



(ZYDUS NIKKHO FARMACÊUTICA LTDA) 27.57
CLORIDRATO DE CIPROFLOXACINO ;DEXAMETASONA

507738501173119 CLORIDRATO DE CIPROFLOXACINO MONOIDRATADO + 3,5 MG/ML + 1,0 MG/ML SOL OFT CT FR GOT 19.09 21.69 23.00 23.14 23.28 23.57 23.86 24.16 24.47
(EMS S/A) PLAS OPC X 5 ML
14.98 17.02 18.05 18.16 18.27 18.50 18.72 18.96 19.20
506719080080217 MAXIFLOX D (3,5 + 1) MG/G POM OFT CT BG AL X 3,5 G 29.09 33.06 35.05 35.26 35.48 35.91 36.36 36.82 37.29
506719070079817 MAXIFLOX D (3,5 + 1,0) MG/ML SUS OFT CT FR GOT PLAS 26.46 30.07 31.88 32.07 32.27 32.67 33.08 33.49 33.92
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) OPC X 5 ML
20.76 23.60 25.02 25.16 25.32 25.64 25.96 26.28 26.62
(GERMED FARMACEUTICA LTDA) PLAS OPC X 5 ML
14.98 17.02 18.05 18.16 18.27 18.50 18.72 18.96 19.20
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) PLAS OPC X 5 ML
14.98 17.02 18.05 18.16 18.27 18.50 18.72 18.96 19.20
CLORIDRATO DE CIPROFLOXACINO MONOIDRATADO

523400602173417 MAXIFLOX 3,5 MG/ML SOL OFT CT FR GOT PLAS OPC X 5 14.31 16.26 17.24 17.35 17.45 17.67 17.89 18.11 18.35
11.23 12.76 13.53 13.62 13.69 13.87 14.04 14.21 14.40
523400601169416 MAXIFLOX 3,5 MG/G POM OFT CT BG AL X 3,5 G 18.35 20.85 22.11 22.24 22.38 22.65 22.94 23.23 23.53
(LATINOFARMA INDUSTRIAS FARMACEUTICAS LTDA) 14.40 16.36 17.35 17.45 17.56 17.77 18.00 18.23 18.46
525320110092407 CLORIDRATO DE CIPROFLOXACINO 500 MG COM REV CT BL AL PLAS PVDC OPC X 134.23
(NOVA QUIMICA FARMACÊUTICA S/A) 14
105.33
aplicável o CAP.
Medicamentos
CLORIDRATO DE CIPROFLOXACINO MONOIDRATADO

50.64
79.81
31.92
504104808114416 QUINOFLOX 500 MG COM REV CT BL AL PLAS TRANS X 6 45.99

(BIOLAB SANUS FARMACÊUTICA LTDA) 36.09


531626805114415 PROFLOX 500 MG COM REV CT BL AL PLAS PVDC OPC X 46.99

36.87
531626804118417 PROFLOX 500 MG COM REV CT BL AL PLAS PVDC OPC X 41.09

32.24

538801801116117 CLORIDRATO DE CIPROFLOXACINO 500 MG COM REV CT BL AL PLAS OPC X 14 38.43

538821020101107 CIPROCILIN 500 MG COM REV CT BL AL PLAS PVDC OPC X 31.05

24.36


CLORIDRATO DE CLOMIPRAMINA
531626402117416 CLO 75 MG COM REV LIB PROL CT BL AL PLAS 32.59 37.03 39.27 39.50 39.74 40.23 40.74 41.25 41.78
(EMS SIGMA PHARMA LTDA) PVDC/PVC TRANS X 20
25.57 29.06 30.82 30.99 31.18 31.57 31.97 32.37 32.78
538818502117116 CLORIDRATO DE CLOMIPRAMINA (PORT. 344/98 LISTA 25 MG COM REV CT BL AL PLAS PVDC OPC X 20 21.47 24.40 25.87 26.02 26.18 26.51 26.84 27.18 27.53
CLORIDRATO DE CLONIDINA
511220010039307 CLIZE 150 MCG/ML SOL INJ IT/IM/IV/EPI CT 5 AMP VD 38.65 43.92 46.57 46.85 47.13 47.72 48.31 48.92 49.55
(HALEX ISTAR INDÚSTRIA FARMACÊUTICA SA) AMB X 1 ML
30.33 34.46 36.54 36.76 36.98 37.45 37.91 38.39 38.88
60.66 68.93 73.08 73.53 73.97 74.88 75.83 76.78 77.76
151.64 172.32 182.70 183.81 184.93 187.21 189.55 191.95 194.42
511220010039607 CLIZE 150 MCG/ML SOL INJ IT/IM/IV/EPI CX 50 AMP VD 386.50 439.20 465.66 468.48 471.34 477.16 483.13 489.24 495.51
303.29 344.64 365.40 367.62 369.86 374.43 379.11 383.91 388.83
511220010039707 CLIZE 150 MCG/ML SOL INJ IT/IM/IV/EPI CX 100 AMP VD 773.02 878.43 931.35 936.99 942.71 954.35 966.28 978.51 991.05
606.59 689.30 730.83 735.26 739.75 748.88 758.24 767.84 777.68
504500403117315 ATENSINA 0,20 MG COM CT BL AL PLAS TRANS X 30 9.16 10.41 11.04 11.10 11.17 11.31 11.45 11.59 11.74
(BOEHRINGER INGELHEIM DO BRASIL QUÍMICA E FARMACÊUTICA 7.19 8.17 8.66 8.71 8.76 8.88 8.98 9.09 9.21
596223020000517 ATENSINA 0,10 MG COM CT BL AL PLAS PVC/PVDC OPC X 5.91 6.72 7.12 7.16 7.21 7.30 7.39 7.48 7.58
(MAWDSLEYS PHARMACEUTICALS DO BRASIL LTDA) 30
4.64 5.27 5.59 5.62 5.66 5.73 5.80 5.87 5.95
596223020000617 ATENSINA 0,15 MG COM CT BL AL PLAS PVC/PVDC OPC X 7.38 8.39 8.89 8.95 9.00 9.11 9.23 9.34 9.46
(MAWDSLEYS PHARMACEUTICALS DO BRASIL LTDA) 30
5.79 6.58 6.98 7.02 7.06 7.15 7.24 7.33 7.42
CLORIDRATO DE CLORPROMAZINA
aplicável o CAP.
Medicamentos
CLORIDRATO DE CLORPROMAZINA
511804701153115 CLORIDRATO DE CLORPROMAZINA 5 MG/ML SOL INJ CX 50 AMP VD AMB X 5 ML 74.27 84.40 89.48 90.02 90.57 91.69 92.84 94.01 95.22
(HYPOFARMA - INSTITUTO DE HYPODERMIA E FARMÁCIA LTDA) 58.28 66.23 70.21 70.64 71.07 71.95 72.85 73.77 74.72
CLORIDRATO DE DEXMEDETOMIDINA
520922090014604 BDEXBRAUN 100 MCG/ML SOL DIL INFUS IV CT 10 AMP VD 1253.07 1423.94 1509.72 1518.87 1528.13 1547.00 1566.34 1586.16 1606.50
(LABORATÓRIOS B. BRAUN S/A) TRANS X 2 ML
983.28 1117.37 1184.68 1191.86 1199.12 1213.93 1229.11 1244.66 1260.62
1966.58 2234.75 2369.37 2383.73 2398.26 2427.87 2458.22 2489.33 2521.25
4916.43 5586.85 5923.40 5959.30 5995.64 6069.66 6145.53 6223.33 6303.11
506720020080707 CLORIDRATO DE DEXMEDETOMIDINA 100 MCG/ML SOL INJ IV CX 5 FA VD TRANS X 2 579.08 658.05 697.69 701.92 706.20 714.91 723.85 733.01 742.41
454.40 516.37 547.48 550.80 554.16 560.99 568.01 575.19 582.57
530820110022607 CLORIDRATO DE DEXMEDETOMIDINA 100 MCG/ML SOL DIL INJ IV CT 10 FA VD TRANS 1158.19 1316.13 1395.41 1403.87 1412.43 1429.86 1447.74 1466.06 1484.86
(SANVAL COMÉRCIO E INDÚSTRIA LTDA) X 2ML
908.83 1032.77 1094.98 1101.62 1108.33 1122.01 1136.04 1150.42 1165.17
612823090000117 CLORIDRATO DE DEXMEDETOMIDINA 100 MCG/ML SOL INJ IV CT 5 FA VD TRANS X 2 579.08 658.05 697.69 701.92 706.20 714.91 723.85 733.01 742.41
(EUGIA PHARMA INDUSTRIA FARMACEUTICA LTDA) ML
454.40 516.37 547.48 550.80 554.16 560.99 568.01 575.19 582.57
612823090000217 CLORIDRATO DE DEXMEDETOMIDINA 100 MCG/ML SOL INJ IV CT 25 FA VD TRANS X 2 2895.45 3290.29 3488.49 3509.64 3531.04 3574.63 3619.31 3665.13 3712.11
(EUGIA PHARMA INDUSTRIA FARMACEUTICA LTDA) ML
2272.06 2581.89 2737.42 2754.02 2770.81 2805.01 2840.07 2876.03 2912.89
CLORIDRATO DE DEXRAZOXANO
534200201154419 CARDIOXANE 500 MG PO LIOF SOL INFUS IV CT FA VD AMB 1317.77 1497.47 1587.67 1597.30 1607.04 1626.88 1647.21 1668.06 1689.45
(ADIUM S.A.) 1034.05 1175.06 1245.84 1253.40 1261.05 1276.61 1292.57 1308.93 1325.71
CLORIDRATO DE DIFENIDRAMINA;CALAMINA;CÂNFORA
533023010083817 SOLARDRIL 80,0 MG/ML + 1,0 MG/ML + 10,0 MG/ML LOC CT 18.28 21.12 22.59 22.75 22.91 23.23 23.57 23.92 24.27
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) FR PLAS OPC X 120 ML
14.34 16.57 17.73 17.85 17.98 18.23 18.50 18.77 19.04
Liberado
CLORIDRATO DE DIFENIDRAMINA;CÂNFORA (2-BORNANONA);CALAMINA

506401101178411 CALAMED 80 MG/ML + 10 MG/ML + 1 MG/ML LOÇAO CT FR 13.58 15.69 16.78 16.90 17.02 17.26 17.51 17.77 18.03
(CIMED INDUSTRIA S.A) PLAS OPC X 100 ML
10.66 12.31 13.17 13.26 13.36 13.54 13.74 13.94 14.15
Liberado
CLORIDRATO DE DILTIAZEM
525306901118111 CLORIDRATO DE DILTIAZEM 30 MG COM CT BL AL PLAS OPC X 50 15.06 17.11 18.14 18.25 18.37 18.59 18.83 19.06 19.31
525306902114118 CLORIDRATO DE DILTIAZEM 60 MG COM CT BL AL PLAS OPC X 50 28.64 32.55 34.51 34.72 34.93 35.36 35.80 36.25 36.72
CLORIDRATO DE DOBUTAMINA
511804001151111 CLORIDRATO DE DOBUTAMINA 12,5 MG/ML SOL INJ CX 10 AMP VD AMB 20 ML 246.04 279.59 296.43 298.23 300.05 303.75 307.55 311.44 315.44
511608301156117 CLORIDRATO DE DOBUTAMINA 12,5 MG/ML SOL INJ IV CX 10 AMP VD TRANS X 245.88 279.41 296.24 298.04 299.85 303.56 307.35 311.24 315.23
(HIPOLABOR FARMACEUTICA LTDA) 20 ML
192.94 219.25 232.46 233.87 235.29 238.20 241.18 244.23 247.36
501300101155312 DOBUTREX 250 MG SOL INJ CT AMP VD TRANS X 20 ML 37.84 43.00 45.59 45.87 46.15 46.72 47.30 47.90 48.51
CLORIDRATO DE DONEPEZILA
513423070031206 CLORIDRATO DE DONEPEZILA 5 MG COM REV CT BL AL PLAS TRANS X 30 322.81
C CAP

C CAP
533023100087603 DEPZEL 5,0 MG COM REV CT BL AL AL X 10 100.43

(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) 78.81
C CAP
533023100087703 DEPZEL 5,0 MG COM REV CT BL AL AL X 30 301.29

C CAP
aplicável o CAP.
Medicamentos
CLORIDRATO DE DONEPEZILA
533023100087803 DEPZEL 5,0 MG COM REV CT BL AL PLAS PVC/PCTFE 100.43
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) TRANS X 10
78.81
C CAP
533023100087903 DEPZEL 5,0 MG COM REV CT BL AL PLAS PVC/PCTFE 301.29

236.42
C CAP
533023100088003 DEPZEL 10 MG COM REV CT BL AL AL X 10 111.60

C CAP
533023100088103 DEPZEL 10 MG COM REV CT BL AL AL X 30 334.79

C CAP
533023100088203 DEPZEL 10 MG COM REV CT BL AL PLAS PVC/PCTFE 111.60

87.57
C CAP
533023100088303 DEPZEL 10 MG COM REV CT BL AL PLAS PVC/PCTFE 334.79

262.71
C CAP
552923040158703 COMFECT 5 MG COM REV CT BL AL PLAS TRANS X 30 348.82

C CAP

C CAP

C CAP

C CAP

C CAP
522701202117317 ERANZ 5 MG COM REV CT BL AL PLAS TRANS X 28 463.52

(PFIZER BRASIL LTDA) 363.72
C CAP
522701201110319 ERANZ 10MG COM REV CT BL AL PLAS TRANS X 28 515.06

C CAP
529915301113116 CLORIDRATO DE DONEPEZILA 10 MG COM REV BL AL PLAS TRANS X 30 114.71

527922110040706 CLORIDRATO DE DONEPEZILA 5,0 MG COM REV CT BL AL PLAS PVC/PCTFE 301.28

(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) TRANS X 30
236.41
C CAP
527922110040806 CLORIDRATO DE DONEPEZILA 10 MG COM REV CT BL AL PLAS PVC/PCTFE 334.79

(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) TRANS X 30
262.71
C CAP
538620020003107 CLORIDRATO DE DONEPEZILA 5 MG COM REV CT BL AL PLAS PVC/PVDC 93.05

(UNICHEM FARMACÊUTICA DO BRASIL LTDA) TRANS X 30
73.02
C CAP
538620020003207 CLORIDRATO DE DONEPEZILA 10 MG COM REV CT BL AL PLAS PVC/PVDC 103.10

(UNICHEM FARMACÊUTICA DO BRASIL LTDA) TRANS X 30
80.90
C CAP
CLORIDRATO DE DORZOLAMIDA
526130601174117 CLORIDRATO DE DORZOLAMIDA 20 MG/ML SOL OFT CT FR PLAS OPC GOT X 5 46.17 52.47 55.63 55.96 56.30 57.00 57.71 58.44 59.19
36.23 41.17 43.65 43.91 44.18 44.73 45.28 45.86 46.45
(BIOSINTÉTICA FARMACÊUTICA LTDA) ML
36.21 41.15 43.63 43.90 44.16 44.71 45.27 45.84 46.43
C CAP
(NOVA QUIMICA FARMACÊUTICA S/A) ML
36.22 41.16 43.64 43.90 44.17 44.72 45.28 45.85 46.44
CLORIDRATO DE DOXICICLINA
529902701118113 CLORIDRATO DE DOXICICLINA 100 MG COM REV CT STR AL X 15 31.72 36.05 38.22 38.45 38.68 39.16 39.65 40.15 40.67
527904201116419 DOXICLIN 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
527904202112417 DOXICLIN 100 MG COM REV CT BL AL PLAS PVC TRANS X 493.74 561.07 594.87 598.47 602.12 609.56 617.18 624.99 633.00
387.44 440.27 466.79 469.62 472.48 478.32 484.30 490.43 496.72
aplicável o CAP.
Medicamentos
CLORIDRATO DE DOXORRUBICINA
508003803152112 CLORIDRATO DE DOXORRUBICINA 50 MG PO LIOF SOL INJ CT 10 FA VD TRANS X 1530.50 1739.21 1843.98 1855.15 1866.46 1889.51 1913.13 1937.34 1962.18
(EUROFARMA LABORATÓRIOS S.A.) 50 ML
1200.98 1364.76 1446.97 1455.74 1464.61 1482.70 1501.23 1520.23 1539.72
514508301159310 CAELYX 2 MG/ML SUS INJ CT FA TRANS X 10 ML 2907.56 3304.05 3503.08 3524.31 3545.80 3589.58 3634.45 3680.46 3727.64
534204101154411 DOXOPEG 2 MG/ML SUS INJ CT FA VD TRANS X 10 ML 2849.45 3238.01 3433.07 3453.88 3474.94 3517.84 3561.81 3606.90 3653.14
(ADIUM S.A.) 2235.96 2540.87 2693.93 2710.26 2726.79 2760.45 2794.95 2830.33 2866.62
CLORIDRATO DE DULOXETINA
508022120171106 CLORIDRATO DE DULOXETINA 30 MG CAP DURA LIB RETARD CT BL AL/AL X 30 83.13 94.47 100.16 100.76 101.38 102.63 103.91 105.23 106.58
552923020155803 DUAL 30 MG CAP DURA LIB RETARD CT BL AL PLAS 242.38 275.43 292.02 293.79 295.59 299.23 302.98 306.81 310.74
190.20 216.13 229.15 230.54 231.95 234.80 237.75 240.75 243.84
552923020155903 DUAL 60 MG CAP DURA LIB RETARD CT BL AL PLAS 509.27 578.72 613.58 617.30 621.06 628.73 636.59 644.65 652.91
399.62 454.12 481.48 484.40 487.35 493.36 499.53 505.86 512.34
526121010132607 MYDULO 30 MG CAP DURA LIB RETARD CT BL AL AL X 7 29.04 33.00 34.99 35.20 35.41 35.85 36.30 36.76 37.23
507603308111310 CYMBALTA 60 MG CAPL DURA C/ MGRAN RETARD CT BL AL 354.16 402.45 426.70 429.28 431.90 437.23 442.70 448.30 454.05
(ELI LILLY DO BRASIL LTDA) AL X 28
277.91 315.80 334.83 336.85 338.91 343.09 347.39 351.78 356.29
507603310116316 CYMBALTA 60 MG CAP DURA C/ MGRAN RETARD CT BL AL 379.45 431.19 457.17 459.94 462.74 468.46 474.31 480.32 486.47
(ELI LILLY DO BRASIL LTDA) AL X 30
297.75 338.35 358.74 360.92 363.11 367.60 372.19 376.91 381.73
607023020082117 CLORIDRATO DE DULOXETINA 30 MG CAP DURA LIB RETARD CT BL AL AL X 7 29.05 33.01 35.00 35.21 35.43 35.86 36.31 36.77 37.24
aplicável o CAP.
Medicamentos
CLORIDRATO DE DULOXETINA
529921010071106 CLORIDRATO DE DULOXETINA 60 MG CAP DURA LIB RETARD CT BL AL AL X 4110.83 4671.40 4952.81 4982.82 5013.21 5075.10 5138.54 5203.58 5270.29
(RANBAXY FARMACÊUTICA LTDA) 500
3225.77 3665.65 3886.47 3910.02 3933.87 3982.43 4032.21 4083.25 4135.60
CLORIDRATO DE EPIRRUBICINA
538001401156110 CLORIDRATO DE EPIRRUBICINA 2 MG/ML SOL INJ IV CT FR VD TRANS X 5 ML 67.77 77.01 81.65 82.15 82.65 83.67 84.71 85.78 86.88
538001403159117 CLORIDRATO DE EPIRRUBICINA 2 MG/ML SOL INJ IV CT FR VD TRANS X 25 ML 282.60 321.14 340.48 342.55 344.63 348.89 353.25 357.72 362.31
CLORIDRATO DE ERLOTINIBE
507523010018704 EGROTIB® 25 MG COM REV CT BL AL PLAS PVC TRANS X 2637.77 3297.21 3338.95 3381.76
(DR. REDDYS FARMACÊUTICA DO BRASIL LTDA) 30
2069.86 2352.11 2493.81 2508.92 2524.21 2555.38 2587.32 2620.07 2653.67
C CAP ICMS0%
6515.75 7404.26 7850.30 7897.87 7946.04 8044.13 8144.68 8247.79 8353.52
C CAP ICMS0%
7101.91 8070.36 8556.52 8608.38 8660.87 8767.79 8877.39 8989.77 9105.02
C CAP ICMS0%
569923100009004 ERLOK 25 MG COM REV CT BL AL AL X 30 2637.77 3297.21 3338.95 3381.76

C CAP ICMS0%

C CAP ICMS0%

C CAP ICMS0%
CLORIDRATO DE ESCETAMINA
514521030038705 SPRAVATO 140 MG/ML SOL SPR NAS CT 2 FR VD TRANS X 164.98 190.65 203.87 205.29 206.74 209.69 212.72 215.85 219.07
(JANSSEN-CILAG FARMACÊUTICA LTDA) 0,2 ML + 2 DISP INAL (56 MG)
129.46 149.60 159.98 161.09 162.23 164.54 166.92 169.38 171.90
514521030038905 SPRAVATO 140 MG/ML SOL SPR NAS CT 3 FR VD TRANS X 247.47 285.97 305.81 307.94 310.11 314.53 319.09 323.77 328.60
(JANSSEN-CILAG FARMACÊUTICA LTDA) 0,2 ML + 3 DISP INAL (84 MG)
194.19 224.40 239.97 241.64 243.34 246.81 250.39 254.06 257.85
CLORIDRATO DE FENAZOPIRIDINA
534203701115311 PYRIDIUM 100 MG COM REV CT BL AL PLAS TRANS X 25 13.31 15.38 16.45 16.56 16.68 16.92 17.16 17.41 17.67
(ADIUM S.A.) 10.44 12.07 12.91 12.99 13.09 13.28 13.47 13.66 13.86
Liberado
534203702111318 PYRIDIUM 200 MG COM REV CT BL AL PLAS TRANS X 18 16.68 19.28 20.61 20.76 20.90 21.20 21.51 21.82 22.15
(ADIUM S.A.) 13.09 15.13 16.17 16.29 16.40 16.64 16.88 17.12 17.38
Liberado
CLORIDRATO DE FENILEFRINA
aplicável o CAP.
Medicamentos
CLORIDRATO DE FENILEFRINA
506720030082107 FENILEFRIN 10 MG/ML SOL INJ CX 50 AMP VD TRANS X 1 ML 476.98 542.02 574.67 578.16 581.68 588.86 596.23 603.77 611.51
504614110026803 NEOLEFRIN 40 MG/ML + 1 MG/ML + 0,4 MG/ML XPE CT FR VD 14.07 16.26 17.39 17.51 17.63 17.88 18.14 18.41 18.68
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) AMB X 60 ML + COP
11.04 12.76 13.65 13.74 13.83 14.03 14.23 14.45 14.66
Liberado
CLORIDRATO DE FEXOFENADINA
508020040129717 ALTIVA 120MG COM REV CT BL AL PLAS OPC X 4 12.43 14.36 15.36 15.47 15.58 15.80 16.03 16.26 16.51
Liberado
Liberado
Liberado
Liberado
520722120116306 CLORIDRATO DE FEXOFENADINA 120 MG COM REV CT BL AL AL X 10 31.70 36.63 39.17 39.45 39.72 40.29 40.87 41.47 42.09
520722120116506 CLORIDRATO DE FEXOFENADINA 180 MG COM REV CT BL AL AL X 10 44.99 51.99 55.60 55.98 56.38 57.18 58.01 58.86 59.74
520723040117507 FEXXOLYV 120 MG COM REV CT BL AL AL X 10 31.70 36.63 39.17 39.45 39.72 40.29 40.87 41.47 42.09
Liberado
520723040117607 FEXXOLYV 180 MG COM REV CT BL AL AL X 10 44.89 51.87 55.47 55.86 56.25 57.05 57.88 58.73 59.61
Liberado
533523100035007 CLORIDRATO DE FEXOFENADINA 6 MG/ML SUS OR CT FR PLAS PET AMB X 60 ML 14.67 16.95 18.13 18.25 18.38 18.65 18.92 19.19 19.48
(VITAMEDIC INDUSTRIA FARMACEUTICA LTDA) + SER DOS
11.51 13.30 14.23 14.32 14.42 14.64 14.85 15.06 15.29
Liberado
533523100034907 CLORIDRATO DE FEXOFENADINA 6 MG/ML SUS OR CT FR PLAS PET AMB X 150 34.18 39.50 42.24 42.53 42.83 43.44 44.07 44.72 45.39
(VITAMEDIC INDUSTRIA FARMACEUTICA LTDA) ML + SER DOS
26.82 31.00 33.15 33.37 33.61 34.09 34.58 35.09 35.62
Liberado
607023030093617 CLORIDRATO DE FEXOFENADINA 120 MG COM REV CT BL AL PLAS OPC X 10 32.59 37.66 40.27 40.55 40.84 41.42 42.02 42.64 43.27
Liberado
Liberado
506420100043807 CLORIDRATO DE FEXOFENADINA 120 MG COM REV CT BL AL PLAS PVDC TRANS 27.42 31.69 33.88 34.12 34.36 34.85 35.36 35.87 36.41
21.52 24.87 26.59 26.77 26.96 27.35 27.75 28.15 28.57
Liberado
506420100043607 CLORIDRATO DE FEXOFENADINA 180 MG COM REV CT BL AL PLAS PVDC TRANS 45.24 52.28 55.90 56.29 56.69 57.50 58.33 59.19 60.07
35.50 41.02 43.86 44.17 44.48 45.12 45.77 46.45 47.14
Liberado
576720080085617 ALLEGRA 120 MG COM REV CT BL AL PLAS TRANS X 10 49.26 56.92 60.87 61.30 61.73 62.61 63.52 64.45 65.41
Liberado
Liberado
Liberado
Liberado
aplicável o CAP.
Medicamentos
CLORIDRATO DE FEXOFENADINA
576720100090407 ALLEGRA 6 MG/ML SUS OR CT FR PLAS AMB X 60 ML + 22.57 26.08 27.89 28.09 28.28 28.69 29.10 29.53 29.97
(SANOFI MEDLEY FARMACÊUTICA LTDA.) SER DOS SABOR FRAMBOESA
17.71 20.46 21.89 22.04 22.19 22.51 22.83 23.17 23.52
Liberado
576720070076517 ALLEGRA 6 MG/ML SUS OR CT FR PLAS AMB X 150 ML + 52.58 60.76 64.97 65.43 65.89 66.83 67.80 68.79 69.82
(SANOFI MEDLEY FARMACÊUTICA LTDA.) SER DOS SABOR FRAMBOESA
41.26 47.68 50.98 51.34 51.70 52.44 53.20 53.98 54.79
Liberado
Liberado
Liberado
Liberado
Liberado
CLORIDRATO DE FEXOFENADINA;CLORIDRATO DE PSEUDOEFEDRINA

526122100166406 CLORIDRATO DE FEXOFENADINA + CLORIDRATO DE 60 MG + 120 MG COM REV CT BL AL PLAS OPC 27.02 31.22 33.39 33.62 33.86 34.34 34.84 35.35 35.88
(GERMED FARMACEUTICA LTDA) X 10
21.20 24.50 26.20 26.38 26.57 26.95 27.34 27.74 28.16
576720070075517 ALLEGRA D (180,0 + 240,0) MG COM REV LIB PROL CT BL AL 44.96 51.96 55.56 55.95 56.34 57.14 57.97 58.82 59.70
(SANOFI MEDLEY FARMACÊUTICA LTDA.) AL X 5
35.28 40.77 43.60 43.90 44.21 44.84 45.49 46.16 46.85
576720070075617 ALLEGRA D (60,0 + 120,0) MG COM REV LIB PROL CT BL AL 41.59 48.06 51.39 51.75 52.12 52.86 53.63 54.41 55.22
(SANOFI MEDLEY FARMACÊUTICA LTDA.) PLAS PVC/PE/PVDC TRANS X 10
32.64 37.71 40.33 40.61 40.90 41.48 42.08 42.69 43.33
CLORIDRATO DE FLUOXETINA
525120020031607 CLORIDRATO DE FLUOXETINA 20 MG CAP DURA BL AL PLAS TRANS X 300 301.93 343.10 363.77 365.98 368.21 372.75 377.41 382.19 387.09
(MEDQUIMICA INDUSTRIA FARMACEUTICA LTDA.) 236.92 269.23 285.45 287.19 288.93 292.50 296.15 299.90 303.75
511611803116111 CLORIDRATO DE FLUOXETINA 20 MG CAP DURA CT BL AL PLAS TRANS X 500 1291.90 1468.07 1556.51 1565.94 1575.49 1594.94 1614.88 1635.32 1656.28
531601106115417 DAFORIN 20 MG COM REV CT BL AL PLAS PVC TRANS X 36.66 41.66 44.17 44.44 44.71 45.26 45.83 46.41 47.00
28.77 32.69 34.66 34.87 35.08 35.52 35.96 36.42 36.88
531601107111415 DAFORIN 20 MG COM REV CT BL AL PLAS PVC TRANS X 52.36 59.50 63.08 63.47 63.85 64.64 65.45 66.28 67.13
41.09 46.69 49.50 49.81 50.10 50.72 51.36 52.01 52.68
531601103116412 DAFORIN 10 MG CAP DURA CT BL AL PLAS TRANS X 20 25.58 29.07 30.82 31.01 31.20 31.58 31.98 32.38 32.79
531601102136411 DAFORIN 20 MG/ML SOL CT FR GOT PLAS TRANSL X 20 39.54 44.93 47.64 47.93 48.22 48.81 49.43 50.05 50.69
(EMS SIGMA PHARMA LTDA) ML
31.03 35.26 37.38 37.61 37.84 38.30 38.79 39.27 39.78
536200201118111 CLORIDRATO DE FLUOXETINA 20 MG CAP GELAT DURA CT BL AL PLAS X 30 36.64 41.64 44.14 44.41 44.68 45.23 45.80 46.38 46.97
525067206112111 CLORIDRATO DE FLUOXETINA 20 MG CAP DURA CT BL AL PLAS TRANS X 28 72.34 82.20 87.16 87.68 88.22 89.31 90.43 91.57 92.74
525067204136119 CLORIDRATO DE FLUOXETINA 20 MG/ML SOL OR CT FR PLAS TRANSL GOT X 27.22 30.93 32.80 32.99 33.20 33.60 34.03 34.46 34.90
21.36 24.27 25.74 25.89 26.05 26.36 26.70 27.04 27.39
CLORIDRATO DE FLURAZEPAM
525123050035217 DALMADORM 30 MG COM REV CT BL AL PLAS TRANS X 30 18.58 21.11 22.39 22.52 22.66 22.94 23.23 23.52 23.82
(MEDQUIMICA INDUSTRIA FARMACEUTICA LTDA.) 14.58 16.57 17.57 17.67 17.78 18.00 18.23 18.46 18.69
CLORIDRATO DE GENCITABINA
506721010088904 GCIB 200 MG PO LIOF SOL INJ CT FA VD TRANS X 10 213.06 242.11 256.70 258.25 259.83 263.04 266.33 269.70 273.15
167.19 189.98 201.43 202.65 203.89 206.41 208.99 211.63 214.34
506721010089004 GCIB 1 G PO LIOF SOL INJ CT FA VD TRANS X 50 ML 1051.84 1195.27 1267.28 1274.96 1282.73 1298.57 1314.80 1331.44 1348.51
507601301152317 GEMZAR 1 G PO LIOF SOL INJ CT FA VD TRANS X 50 ML 1074.74 1221.30 1294.87 1302.71 1310.66 1326.84 1343.43 1360.43 1377.87
(ELI LILLY DO BRASIL LTDA) 843.35 958.35 1016.08 1022.24 1028.48 1041.17 1054.19 1067.53 1081.21
aplicável o CAP.
Medicamentos
CLORIDRATO DE GENCITABINA
538001001158116 CLORIDRATO DE GENCITABINA 200 MG PO LIOF INJ CT FA VD TRANS X 10 ML 140.36 159.50 169.11 170.13 171.17 173.28 175.45 177.67 179.95
538001002154114 CLORIDRATO DE GENCITABINA 1000 MG PO LIOF INJ CT FA VD TRANS X 50 ML 698.58 793.84 841.66 846.76 851.93 862.44 873.23 884.28 895.62
536220030010707 CLORIDRATO DE GENCITABINA 1 G PÓ LIOF SOL INJ IV CT FA VD TRANS X 50 698.58 793.84 841.66 846.76 851.93 862.44 873.23 884.28 895.62
(ZYDUS NIKKHO FARMACÊUTICA LTDA) ML
548.18 622.93 660.45 664.45 668.51 676.76 685.22 693.89 702.79
569920110001407 HETGEM 200 MG PO LIOF SOL INJ IV CT FA VD TRANS 121.21 137.74 146.04 146.92 147.82 149.64 151.51 153.43 155.40
569920110001507 HETGEM 1 G PO LIOF SOL INJ IV CT FA VD TRANS 603.20 685.45 726.75 731.15 735.61 744.69 754.00 763.54 773.33
576820040000107 CLORIDRATO DE GENCITABINA 200 MG PO LIOF SOL INJ IV CT FA VD TRANS 121.21 137.74 146.04 146.92 147.82 149.64 151.51 153.43 155.40
(FARMA VISION IMPORTAÇÃO E EXPORTAÇÃO DE MEDICAMENTOS 95.11 108.08 114.60 115.29 115.99 117.42 118.89 120.40 121.94
576820040000207 CLORIDRATO DE GENCITABINA 1G PO LIOF SOL INJ IV CT FA VD TRANS 603.20 685.45 726.75 731.15 735.61 744.69 754.00 763.54 773.33
CLORIDRATO DE GRANISETRONA
511223020048504 QUEVATRYL 0,06 MG/ML SOL INFUS IV CX ENVOL BOLS PLAS 232.63 264.35 280.28 281.98 283.70 287.20 290.79 294.47 298.24
(HALEX ISTAR INDÚSTRIA FARMACÊUTICA SA) PES/PE/PP TRANS SIST FECH X 50 ML
182.54 207.44 219.94 221.27 222.62 225.37 228.18 231.07 234.03
526305901155111 CLORIDRATO DE GRANISETRONA 1 MG/ML SOL INJ IV CX 50 AMP VD TRANS X 3 6296.75 7155.40 7586.44 7632.42 7678.96 7773.77 7870.94 7970.57 8072.75
4941.06 5614.84 5953.08 5989.16 6025.68 6100.08 6176.33 6254.51 6334.69
CLORIDRATO DE HIDROXIZINA
532918040018904 HINOUR 10MG/5ML SOL OR CT FR PLAS AMB X 100 ML+ 15.83 18.29 19.56 19.70 19.84 20.12 20.41 20.71 21.02
(UCI - FARMA INDÚSTRIA FARMACÊUTICA LTDA) COP
12.42 14.35 15.35 15.46 15.57 15.79 16.02 16.25 16.49
Liberado
CLORIDRATO DE HIDROXOCOBALAMINA;TRIPTOFANO;CLORIDRATO DE ARGININA;GLUTAMINA;FOSFATO DE LEVOTREONINA;DEXFOSFOSSERINA

508501701130417 FORTEN (PO SOL + SOL) OR CT 10 FR PLAS PEAD 57.48 66.42 71.03 71.53 72.03 73.06 74.11 75.20 76.32
(CHIESI FARMACÊUTICA LTDA) TRANSL X 10 ML
45.10 52.12 55.74 56.13 56.52 57.33 58.15 59.01 59.89
Liberado
CLORIDRATO DE IDARRUBICINA
505800502151419 IDA 5 MG PO LIOF SOL INJ IV CT FA VD TRANS + DIL 728.60 827.95 877.83 883.15 888.54 899.51 910.75 922.28 934.10
(CHEMICALTECH FARMACEUTICA LTDA) AMP VD TRANS X 5 ML
571.73 649.69 688.83 693.01 697.24 705.85 714.67 723.71 732.99
505800501155410 IDA 10 MG PO LIOF SOL INJ IV CT FA VD TRANS + 1394.34 1584.48 1679.93 1690.11 1700.41 1721.41 1742.93 1764.99 1787.61
(CHEMICALTECH FARMACEUTICA LTDA) DIL AMP VD TRANS X 10 ML
1094.14 1243.34 1318.24 1326.23 1334.31 1350.79 1367.68 1384.99 1402.74
CLORIDRATO DE IRINOTECANO
538001301151117 CLORIDRATO DE IRINOTECANO 20 MG/ML SOL DIL INFUS IV CT FA VD AMB X 2 569.22 646.84 685.81 689.96 694.17 702.74 711.53 720.53 729.77
(ACCORD FARMACÊUTICA LTDA) ML
446.67 507.58 538.16 541.41 544.72 551.44 558.34 565.40 572.65
538001302158115 CLORIDRATO DE IRINOTECANO 20 MG/ML SOL DIL INFUS IV CT FA VD AMB X 5 1406.37 1598.15 1694.42 1704.69 1715.09 1736.26 1757.96 1780.22 1803.04
(ACCORD FARMACÊUTICA LTDA) ML
1103.58 1254.07 1329.61 1337.67 1345.83 1362.44 1379.47 1396.94 1414.85
501302801154412 PROTO-ITECAN 20 MG/ML SOL DIL INFUS IV CT FA VD AMB X 5 2082.72 2366.73 2509.30 2524.51 2539.90 2571.26 2603.40 2636.35 2670.15
(ANTIBIÓTICOS DO BRASIL LTDA) ML
1634.31 1857.17 1969.05 1980.98 1993.06 2017.67 2042.89 2068.74 2095.27
CLORIDRATO DE IRINOTECANO TRIIDRATADO

537501201158418 TEVAIRINOT 20 MG/ML SOL INJ IV CT FA VD AMB X 2 ML 779.35 885.63 938.98 944.67 950.43 962.16 974.19 986.52 999.17
537501202154416 TEVAIRINOT 20 MG/ML SOL INJ IV CT FA VD AMB X 5 ML 1948.34 2214.02 2347.40 2361.62 2376.02 2405.36 2435.43 2466.25 2497.87
569921030001704 IRNO 20 MG/ML SOL DIL INFUS IV CT FA VD AMB X 2 652.94 741.98 786.67 791.44 796.27 806.10 816.18 826.51 837.10
(CAMBER FARMACEUTICA LTDA) ML
512.36 582.23 617.30 621.04 624.83 632.55 640.46 648.56 656.87
569921030001804 IRNO 20 MG/ML SOL DIL INFUS IV CT FA VD AMB X 5 1497.26 1701.43 1803.93 1814.86 1825.93 1848.47 1871.58 1895.27 1919.56
(CAMBER FARMACEUTICA LTDA) ML
1174.90 1335.11 1415.54 1424.12 1432.81 1450.49 1468.63 1487.22 1506.28
CLORIDRATO DE IVABRADINA
aplicável o CAP.
Medicamentos
CLORIDRATO DE IVABRADINA
531302101111218 PROCORALAN 5 MG COM REV CT BL AL PLAS INC X 28 55.13 63.71 68.13 68.60 69.08 70.07 71.08 72.13 73.20
(LABORATÓRIOS SERVIER DO BRASIL LTDA) 43.26 49.99 53.46 53.83 54.21 54.98 55.78 56.60 57.44
531302102118216 PROCORALAN 5 MG COM REV CT BL AL PLAS INC X 56 109.98 127.09 135.91 136.85 137.82 139.78 141.81 143.89 146.04
531302104110212 PROCORALAN 7,5 MG COM REV CT BL AL PLAS INC X 28 61.72 71.32 76.27 76.80 77.34 78.45 79.58 80.75 81.95
531302103114214 PROCORALAN 7,5 MG COM REV CT BL AL PLAS INC X 56 123.47 142.68 152.58 153.64 154.72 156.93 159.20 161.54 163.95
CLORIDRATO DE LERCANIDIPINO
501623050043517 ZANIDIP 10 MG COM REV CT BL AL AL X 20 70.12 79.68 84.48 84.99 85.51 86.57 87.65 88.76 89.90
(APSEN FARMACEUTICA S/A) 55.02 62.52 66.29 66.69 67.10 67.93 68.78 69.65 70.55
607023020083317 CLORIDRATO DE LERCANIDIPINO 10 MG COM REV CT BL AL / AL X 30 68.38 77.70 82.39 82.88 83.39 84.42 85.48 86.56 87.67
607023020083417 CLORIDRATO DE LERCANIDIPINO 20 MG COM REV CT BL AL / AL X 30 115.92 131.73 139.66 140.51 141.37 143.11 144.90 146.73 148.62
CLORIDRATO DE LEVOBUNOLOL
506720040082417 B-TABLOCK 5 MG/ML SOL OFT CT FR GOT PLAS OPC X 5 ML 24.22 27.52 29.18 29.36 29.54 29.90 30.28 30.66 31.05
506720040082517 B-TABLOCK 5 MG/ML SOL OFT CT FR GOT PLAS OPC X 10 39.70 45.11 47.83 48.12 48.41 49.01 49.63 50.25 50.90
31.15 35.40 37.53 37.76 37.99 38.46 38.95 39.43 39.94
523400102170419 B-TABLOCK 5 MG/ML SOL OFT CT FR GOT PLAS OPC X 5 ML 18.31 20.81 22.06 22.19 22.33 22.60 22.89 23.18 23.47
(LATINOFARMA INDUSTRIAS FARMACEUTICAS LTDA) 14.37 16.33 17.31 17.41 17.52 17.73 17.96 18.19 18.42
523400101174410 B-TABLOCK 5 MG/ML SOL OFT CT FR GOT PLAS OPC X 10 29.99 34.08 36.13 36.35 36.57 37.02 37.49 37.96 38.45
23.53 26.74 28.35 28.52 28.70 29.05 29.42 29.79 30.17
CLORIDRATO DE LIDOCAINA
511801801157411 HYPOCAÍNA 20 MG/ML SOL INJ CX 100 AMP VD INC X 5 ML 130.02 147.75 156.65 157.60 158.56 160.52 162.53 164.58 166.69
(HYPOFARMA - INSTITUTO DE HYPODERMIA E FARMÁCIA LTDA) (EMB HOSP)
102.03 115.94 122.92 123.67 124.42 125.96 127.54 129.15 130.80
511801802153418 HYPOCAÍNA 10 MG/ML SOL INJ CX 25 FR VD INC X 20 92.19 104.76 111.07 111.75 112.43 113.81 115.24 116.70 118.19
(HYPOFARMA - INSTITUTO DE HYPODERMIA E FARMÁCIA LTDA) ML (EMB HOSP)
72.34 82.21 87.16 87.69 88.22 89.31 90.43 91.58 92.74
511802901155115 CLORIDRATO DE LIDOCAÍNA 20 MG/ML SOL INJ IV/IM CX 25 FA VD TRANS X 108.07 122.81 130.20 130.99 131.79 133.42 135.09 136.80 138.55
(HYPOFARMA - INSTITUTO DE HYPODERMIA E FARMÁCIA LTDA) 20 ML
84.80 96.37 102.17 102.79 103.42 104.69 106.01 107.35 108.72
533007401157410 LIDOJET 20 MG/ML SOL INJ CX 12 AMP VD TRANS X 20 67.08 76.23 80.82 81.31 81.80 82.81 83.85 84.91 86.00
52.64 59.82 63.42 63.80 64.19 64.98 65.80 66.63 67.48
533020120072607 LIDOJET 20 MG/ML SOL INJ CT 10 FA VD TRANS X 20 ML 55.90 63.52 67.35 67.76 68.17 69.01 69.88 70.76 71.67
511606804150112 CLORIDRATO DE LIDOCAÍNA 20 MG/ML SOL INJ CX 25 FA VD TRANS X 20 ML 217.48 247.14 262.02 263.61 265.22 268.49 271.85 275.29 278.82
511606803154114 CLORIDRATO DE LIDOCAÍNA 20 MG/ML SOL INJ CX 100 AMP VD TRANS X 5 214.40 243.64 258.31 259.88 261.46 264.69 268.00 271.39 274.87
168.24 191.18 202.70 203.93 205.17 207.70 210.30 212.96 215.69
511606802166119 CLORIDRATO DE LIDOCAÍNA 20 MG/G GEL TOP CX 100 BG AL X 30G 562.58 639.30 677.81 681.92 686.07 694.54 703.23 712.13 721.26
504413201151119 CLORIDRATO DE LIDOCAÍNA 20 MG/ML SOL INJ CT FA VD TRANS X 20 ML 6.85 7.78 8.25 8.30 8.35 8.46 8.56 8.67 8.78
504413202156114 CLORIDRATO DE LIDOCAÍNA 20 MG/ML SOL INJ CX 12 FA VD TRANS X 20 ML 82.70 93.98 99.64 100.24 100.85 102.10 103.38 104.68 106.03
aplicável o CAP.
Medicamentos
CLORIDRATO DE LIDOCAINA
527904801164414 LABCAÍNA 50 MG/G POM DERM CT BG AL X 25 G 15.69 17.83 18.90 19.02 19.13 19.37 19.61 19.86 20.12
527904802160412 LABCAÍNA 20 MG/G GEL TOP CT BG AL X 30 G 7.55 8.58 9.10 9.15 9.21 9.32 9.44 9.56 9.68
527904803167410 LABCAÍNA 20 MG/G GEL TOP CX 100 BG AL X 30 G 753.33 856.06 907.63 913.13 918.69 930.04 941.66 953.58 965.81
CLORIDRATO DE LIDOCAINA;HEMITARTARATO DE NOREPINEFRINA

528622090001907 LIDOSTESIM 20 MG/ML + 0,04 MG/ML SOL INJ CX 50 CARP 103.37 117.47 124.54 125.30 126.06 127.62 129.21 130.85 132.53
(DLA PHARMACEUTICAL LTDA) PLAS OPC X 1,8 ML 01
81.11 92.18 97.73 98.32 98.92 100.14 101.39 102.68 104.00
Liberado
528622090002007 LIDOSTESIM 30 MG/ML + 0,04 MG/ML SOL INJ CX 50 CARP 103.37 117.47 124.54 125.30 126.06 127.62 129.21 130.85 132.53
(DLA PHARMACEUTICAL LTDA) PLAS OPC X 1,8 ML 01
81.11 92.18 97.73 98.32 98.92 100.14 101.39 102.68 104.00
Liberado
CLORIDRATO DE LIDOCAINA;PIVALATO DE FLUOCORTOLONA

541120120002117 ULTRAPROCT LDO (1,00+ 20,00) MG/G CREM RET CT BG AL X 30 G 26.86 31.04 33.19 33.42 33.66 34.14 34.63 35.14 35.67
(LEO PHARMA LTDA) + APLIC
21.08 24.36 26.04 26.22 26.41 26.79 27.17 27.57 27.99
CLORIDRATO DE LINCOMICINA
527902302152414 FARMICINA 300 MG/ML SOL INJ CT AMP VD TRANS X 2 ML 12.15 13.81 14.64 14.73 14.82 15.00 15.19 15.38 15.58
527903702154412 FARMICINA 300 MG/ML SOL INJ CX 50 AMP VD TRANS X 2 518.50 589.20 624.70 628.48 632.32 640.12 648.13 656.33 664.74
(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) ML (EMB HOSP)
406.87 462.35 490.20 493.17 496.18 502.30 508.59 515.02 521.62
CLORIDRATO DE LOPERAMIDA
528105102115417 KAOSEC 2,0 MG COM CT BL AL PLAS TRANS X 12 6.85 7.92 8.46 8.52 8.58 8.71 8.83 8.96 9.10
528105101119419 KAOSEC 2,0 MG COM CT BL AL PLAS TRANS X 200 (EMB 84.70 97.88 104.67 105.40 106.14 107.65 109.21 110.82 112.47
(PHARMASCIENCE INDUSTRIA FARMACEUTICA S.A) HOSP)
66.46 76.81 82.13 82.71 83.29 84.47 85.70 86.96 88.26
504620120079607 MAGNOSTASE 2 MG COM CX BL AL PLAS PVDC TRANS X 200 100.21 115.80 123.83 124.70 125.57 127.37 129.21 131.11 133.06
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) (EMB FRAC)
78.63 90.87 97.17 97.85 98.53 99.95 101.39 102.88 104.41
CLORIDRATO DE LURASIDONA
530420010015107 LUTAB 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
CLORIDRATO DE MEFLOQUINA;ARTESUNATO
541921040008207 ARTESUNATO + MEFLOQUINA FARMANGUINHOS (25+55) MG COM REV CT 10 ENV AL POLIET X 3 336.12
(FUNDAÇÃO OSWALDO CRUZ) 263.75 299.72 317.77 319.70 321.65 325.62 329.69 333.87 338.14
ICMS0%
541921040008307 ARTESUNATO + MEFLOQUINA FARMANGUINHOS (25+55) MG COM REV CT 20 ENV AL POLIET X 3 672.25
ICMS0%
541921040008407 ARTESUNATO + MEFLOQUINA FARMANGUINHOS (100+220) MG COM REV CT 10 ENV AL POLIET X 724.24
(FUNDAÇÃO OSWALDO CRUZ) 3
568.31 645.81 684.71 688.87 693.06 701.62 710.39 719.38 728.60
ICMS0%
541921040008507 ARTESUNATO + MEFLOQUINA FARMANGUINHOS (100+220) MG COM REV CT 20 ENV AL POLIET X 1448.47
(FUNDAÇÃO OSWALDO CRUZ) 3
1136.61 1291.61 1369.41 1377.71 1386.12 1403.22 1420.77 1438.76 1457.20
ICMS0%
aplicável o CAP.
Medicamentos
CLORIDRATO DE MEMANTINA
523709501111419 ZIDER 10 MG COM REV CT BL AL PLAS TRANS X 30 73.92 84.00 89.06 89.60 90.15 91.26 92.40 93.57 94.77
523709502118417 ZIDER 10 MG COM REV CT BL AL PLAS TRANS X 60 147.96 168.14 178.27 179.35 180.44 182.67 184.95 187.29 189.69
501604502117111 CLORIDRATO DE MEMANTINA 10 MG COM REV CT BL AL PLAS PVC/PVDC 148.70 168.98 179.16 180.24 181.34 183.58 185.88 188.23 190.64
(APSEN FARMACEUTICA S/A) TRANS X 60
116.68 132.60 140.59 141.43 142.30 144.06 145.86 147.70 149.59
532722100055006 CLORIDRATO DE MEMANTINA 10 MG COM REV CT BL AL AL X 10 54.82 62.30 66.05 66.45 66.85 67.68 68.53 69.39 70.28
C CAP
C CAP
C CAP
C CAP
528521010178807 MAIZHER 10 MG COM REV CT BL AL PLAS PVC TRANS X 54.67 62.13 65.87 66.27 66.67 67.49 68.34 69.20 70.09
42.90 48.75 51.69 52.00 52.32 52.96 53.63 54.30 55.00
C CAP
128.73 146.28 155.10 156.04 156.99 158.93 160.91 162.95 165.04
C CAP
257.45 292.56 310.18 312.06 313.97 317.84 321.81 325.89 330.07
C CAP
514.93 585.14 620.39 624.16 627.96 635.72 643.66 651.81 660.16
C CAP
528520020165007 MAIZHER 10 MG COM REV CT BL AL PLAS PVDC TRANS X 164.05 186.42 197.65 198.85 200.06 202.53 205.06 207.66 210.32
128.73 146.28 155.10 156.04 156.99 158.93 160.91 162.95 165.04
257.45 292.56 310.18 312.06 313.97 317.84 321.81 325.89 330.07
C CAP
514.93 585.14 620.39 624.16 627.96 635.72 643.66 651.81 660.16
C CAP
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) TRANS X 30
48.38 54.98 58.29 58.64 58.99 59.72 60.47 61.24 62.02
C CAP
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) TRANS X 60
95.77 108.83 115.39 116.09 116.79 118.24 119.71 121.23 122.78
C CAP
CLORIDRATO DE MEMANTINA;CLORIDRATO DE DONEPEZILA

501623050043403 ALOIS DUO PACK (10 + 5) MG COM REV + (10 + 10) MG COM REV + 479.54 554.15 592.58 596.72 600.92 609.49 618.31 627.40 636.75
(APSEN FARMACEUTICA S/A) (10 + 15) MG COM REV + (10 + 20) MG COM REV
376.30 434.84 465.00 468.25 471.54 478.27 485.19 492.32 499.66
CT BL AL PLAS PVC/PVDC TRANS X 7 + 7 + 7 + 7
CLORIDRATO DE MEMANTINA;CLORIDRATO DE DONEPEZILA MONOIDRATADO

506723030098104 LÁBREA DUO (10 + 10) MG COM REV CT BL AL PLAS 123.95 143.24 153.17 154.24 155.32 157.54 159.82 162.17 164.59
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) PVC/PE/PCTFE TRANS X 7
97.26 112.40 120.19 121.03 121.88 123.62 125.41 127.26 129.15
506723030098004 LÁBREA DUO (10 + 20) MG COM REV CT BL AL PLAS 559.64 646.71 691.56 696.39 701.29 711.30 721.59 732.19 743.11
(CRISTÁLIA PRODUTOS QUÍMICOS FARMACÊUTICOS LTDA.) PVC/PE/PCTFE TRANS X 30
439.15 507.47 542.67 546.46 550.30 558.16 566.23 574.55 583.12
CLORIDRATO DE MEPIVACAÍNA
528622090001807 MEPIVALEM 3 % SV 3 % SOL INJ CT 50 CARPULES PLAS TRANS X 154.15 178.13 190.49 191.82 193.17 195.92 198.76 201.68 204.69
(DLA PHARMACEUTICAL LTDA) 1,8 ML
120.96 139.78 149.48 150.52 151.58 153.74 155.97 158.26 160.62
Liberado
aplicável o CAP.
Medicamentos
CLORIDRATO DE METFORMINA
517623030029004 DIGLIXX 500 MG COM REV CT BL AL PLAS PVC TRANS X 9.87 11.22 11.89 11.96 12.04 12.19 12.34 12.49 12.65
(LABORATÓRIO GLOBO SA) 30
7.74 8.80 9.33 9.38 9.45 9.57 9.68 9.80 9.93
517623030029304 DIGLIXX 500 MG COM REV CT BL AL PLAS PVC TRANS X 98.69 112.15 118.90 119.62 120.35 121.84 123.36 124.92 126.53
77.44 88.00 93.30 93.86 94.44 95.61 96.80 98.02 99.29
517623030029104 DIGLIXX 850 MG COM REV CT BL AL PLAS PVC TRANS X 12.27

9.63
517623030029204 DIGLIXX 850 MG COM REV CT BL AL PLAS PVC TRANS X 122.69

96.27
526114005112113 CLORIDRATO DE METFORMINA 850 MG COM REV CT BL AL PLAS TRANS X 60 23.96 27.23 28.87 29.04 29.22 29.58 29.95 30.33 30.72
525921010059307 FORMYN 1 G COM REV CT BL AL PLAS TRANS X 30 30.32 34.45 36.53 36.75 36.98 37.43 37.90 38.38 38.87
525921010059407 FORMYN 500 MG COM REV CT BL AL PLAS OPC X 500 236.16 268.36 284.53 286.25 288.00 291.56 295.20 298.94 302.77
528530303118118 CLORIDRATO DE METFORMINA 850 MG COM REV CX BL AL PLAS TRANS X 400 79.34 90.16 95.59 96.17 96.76 97.95 99.18 100.43 101.72
506404802118411 METFORMED 850 MG COM CT BL AL PLAS TRANS X 30 5.75 6.53 6.93 6.97 7.01 7.10 7.19 7.28 7.37
506410201112111 CLORIDRATO DE METFORMINA 850 MG COM CT BL AL PLAS TRANS X 30 5.75 6.53 6.93 6.97 7.01 7.10 7.19 7.28 7.37
510422120189204 GLICEFOR 850 MG COM CT BL AL PLAS PVC TRANS X 30 12.19

538000901112114 CLORIDRATO DE METFORMINA 850 MG COM REV CT BL AL PVC TRANS X 30 13.30 15.11 16.02 16.12 16.22 16.42 16.63 16.84 17.05
525003510112111 CLORIDRATO DE METFORMINA 850 MG COM REV CT BL AL PLAS TRANS X 30 6.90

525003502111118 CLORIDRATO DE METFORMINA 1 G COM REV CT BL AL PLAS TRANS X 30 16.01 18.19 19.29 19.41 19.52 19.77 20.01 20.27 20.53
CLORIDRATO DE METILFENIDATO
534223080029904 CONSIV 36 MG COM REV LIB PROL CT BL AL AL X 30 243.77 281.70 301.23 303.34 305.47 309.83 314.31 318.93 323.69
(ADIUM S.A.) 191.29 221.05 236.38 238.03 239.70 243.12 246.64 250.26 254.00
(ADIUM S.A.) 382.57 442.10 472.76 476.05 479.40 486.25 493.29 500.53 507.99
(ADIUM S.A.) 191.29 221.06 236.39 238.04 239.71 243.13 246.66 250.28 254.01
(ADIUM S.A.) 382.59 442.12 472.77 476.08 479.43 486.26 493.31 500.55 508.01
aplicável o CAP.
Medicamentos
CLORIDRATO DE METILFENIDATO
543820110059307 CLORIDRATO DE METILFENIDATO 10 MG COM CT BL AL AL X 20 13.07 15.10 16.15 16.26 16.38 16.61 16.85 17.10 17.35
543820110059407 CLORIDRATO DE METILFENIDATO 10 MG COM CT BL AL AL X 90 58.85 68.01 72.72 73.23 73.75 74.80 75.88 77.00 78.14
543820110059507 CLORIDRATO DE METILFENIDATO 10 MG COM CT BL AL PLAS PVC/PCTFE TRANS 58.85 68.01 72.72 73.23 73.75 74.80 75.88 77.00 78.14
(ALTHAIA S.A INDÚSTRIA FARMACÊUTICA) X 90
46.18 53.37 57.06 57.46 57.87 58.70 59.54 60.42 61.32
543820110059607 CLORIDRATO DE METILFENIDATO 10 MG COM CT BL AL PLAS 58.85 68.01 72.72 73.23 73.75 74.80 75.88 77.00 78.14
(ALTHAIA S.A INDÚSTRIA FARMACÊUTICA) PVC/PE/PVDC/PE/PVC TRANS X 90
46.18 53.37 57.06 57.46 57.87 58.70 59.54 60.42 61.32
540922100057704 FOQ XR 18 MG COM REV LIB PROL CT FR PLAS PEAD 179.38 207.29 221.66 223.21 224.78 227.99 231.29 234.69 238.19
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) OPC X 30
140.76 162.66 173.94 175.15 176.38 178.90 181.49 184.16 186.91
191.29 221.05 236.38 238.03 239.70 243.12 246.64 250.26 254.00
191.29 221.06 236.39 238.04 239.71 243.13 246.66 250.28 254.01
CLORIDRATO DE METOCLOPRAMIDA
503405202136419 PLABEL 4,0 MG/ML SOL OR CT FR PLAS OPC GOT X 10 8.61 9.95 10.64 10.71 10.79 10.94 11.10 11.26 11.43
(BELFAR LTDA) ML
6.76 7.81 8.35 8.40 8.47 8.58 8.71 8.83 8.97
537100101136117 CLORIDRATO DE METOCLOPRAMIDA 4 MG/ML SOL OR CT FRAS PLAS OPC GOT X 10 4.34 5.02 5.36 5.40 5.44 5.52 5.60 5.68 5.76
(UNITHER INDUSTRIA FARMACEUTICA LTDA.) ML
3.41 3.94 4.21 4.24 4.27 4.33 4.40 4.46 4.52
537100103139113 CLORIDRATO DE METOCLOPRAMIDA 4 MG/ML SOL OR CX 96 FRAS PLAS OPC GOT X 196.12 226.63 242.35 244.04 245.76 249.27 252.88 256.59 260.42
(UNITHER INDUSTRIA FARMACEUTICA LTDA.) 10 ML
153.90 177.84 190.17 191.50 192.85 195.60 198.44 201.35 204.35
CLORIDRATO DE METOCLOPRAMIDA MONOIDRATADO

503405201113415 PLABEL 10 MG COM CT BL AL PLAS TRANS X 20 10.63 12.28 13.14 13.23 13.32 13.51 13.71 13.91 14.11
(BELFAR LTDA) 8.34 9.64 10.31 10.38 10.45 10.60 10.76 10.92 11.07
511606901131119 CLORIDRATO DE METOCLOPRAMIDA 4 MG/ML SOL OR CX 200 FR PLAS OPC GOT X 360.35 416.42 445.29 448.40 451.56 458.00 464.63 471.46 478.49
(HIPOLABOR FARMACEUTICA LTDA) 10 ML
282.77 326.76 349.42 351.86 354.34 359.39 364.59 369.96 375.47
506411401131418 PLAVOM 4 MG/ML SOL OR CT FR GOT PLAS OPC X 10 ML 3.92 4.53 4.84 4.88 4.91 4.98 5.05 5.13 5.21
CLORIDRATO DE MINOCICLINA
529903102110113 CLORIDRATO DE MINOCICLINA 100 MG COM REV CT BL AL PLAS OPC X 9 26.13 29.69 31.48 31.67 31.87 32.26 32.66 33.08 33.50
529903101114115 CLORIDRATO DE MINOCICLINA 100 MG COM REV CT BL AL PLAS OPC X 30 84.33 95.83 101.60 102.22 102.84 104.11 105.41 106.75 108.12
CLORIDRATO DE MOXIFLOXACINO
511815030009906 CLORIDRATO DE MOXIFLOXACINO 1,6 MG/ML SOL INFUS IV CX FA PLAS PE TRANS 127.87 145.31 154.06 154.99 155.94 157.86 159.84 161.86 163.94
(HYPOFARMA - INSTITUTO DE HYPODERMIA E FARMÁCIA LTDA) SIST FECH X 250 ML
100.34 114.02 120.89 121.62 122.37 123.87 125.43 127.01 128.64
529921010070807 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
(RANBAXY FARMACÊUTICA LTDA) PP TRANS SIST FECH X 250ML
100.34 114.02 120.89 121.62 122.37 123.87 125.43 127.01 128.64
CLORIDRATO DE NAFAZOLINA
525106601171411 NASALFLUX 0,5 MG/ML SOL NAS CT FR PLAS TRANS GOT X 7.02 8.11 8.67 8.74 8.80 8.92 9.05 9.18 9.32
(MEDQUIMICA INDUSTRIA FARMACEUTICA LTDA.) 30 ML
5.51 6.36 6.80 6.86 6.91 7.00 7.10 7.20 7.31
506315001179411 NASOFLUID 0,5 MG/ML SOL NAS CT FR PLAS TRANS GOT X 6.84 7.90 8.45 8.51 8.57 8.69 8.82 8.95 9.08
(CIFARMA CIENTÍFICA FARMACÊUTICA LTDA) 30 ML
5.37 6.20 6.63 6.68 6.72 6.82 6.92 7.02 7.12
510411301178414 SONARIN 0,5 MG/ML SOL NAS FR PLAS TRANS GOT X 30 8.86 10.24 10.95 11.03 11.10 11.26 11.42 11.59 11.76
6.95 8.04 8.59 8.66 8.71 8.84 8.96 9.09 9.23
537101501170116 CLORIDRATO DE NAFAZOLINA 0,50 MG/ML SOL NASAL CT FR PLAS INC 8.81 10.18 10.89 10.96 11.04 11.20 11.36 11.53 11.70
(UNITHER INDUSTRIA FARMACEUTICA LTDA.) GOTEJADOR X 30 ML
6.91 7.99 8.55 8.60 8.66 8.79 8.91 9.05 9.18
525003701171110 CLORIDRATO DE NAFAZOLINA 0,5 MG/ML SOL NAS CT FR PLAS TRANSL GOT X 10.11 11.68 12.49 12.58 12.67 12.85 13.04 13.23 13.42
7.93 9.17 9.80 9.87 9.94 10.08 10.23 10.38 10.53
aplicável o CAP.
Medicamentos
CLORIDRATO DE NAFAZOLINA;CLORETO DE BENZALCÔNIO;CLORETO DE SÓDIO

528102701174416 SORINAN SOL NAS CT FR PLAS OPC X 30 ML 6.92 8.00 8.55 8.61 8.67 8.80 8.92 9.05 9.19
CLORIDRATO DE NAFAZOLINA;FOSFATO DISSÓDICO DE DEXAMETASONA;SULFATO DE NEOMICINA

500509002171418 HIDROCIN 0,75 MG/ML + 0,5 MG/ML + 5 MG/ML SOL NAS CT 19.83 22.92 24.50 24.68 24.85 25.20 25.57 25.94 26.33
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) FR PLAS OPC SPRAY X 20 ML
15.56 17.99 19.23 19.37 19.50 19.77 20.07 20.35 20.66
CLORIDRATO DE NAFAZOLINA;SULFATO DE ZINCO

538815001176417 COLÍRIO LEGRAND (0,30 + 0,15) MG/ML SOL OFT CT FR GOT PLAS 10.64 12.30 13.15 13.24 13.33 13.52 13.72 13.92 14.13
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) OPCX 20 ML
8.35 9.65 10.32 10.39 10.46 10.61 10.77 10.92 11.09
Liberado
CLORIDRATO DE NALBUFINA
511622110049106 CLORIDRATO DE NALBUFINA 10 MG/ML SOL INJ IM/IV/SC CX 25 AMP VD AMB 286.19 325.22 344.81 346.90 349.01 353.32 357.74 362.27 366.91
224.57 255.20 270.57 272.21 273.87 277.25 280.72 284.27 287.91
449.13 510.38 541.12 544.40 547.72 554.49 561.41 568.52 575.80
449.13 510.38 541.12 544.40 547.72 554.49 561.41 568.52 575.80
898.27 1020.76 1082.25 1088.81 1095.45 1108.98 1122.83 1137.05 1151.63
CLORIDRATO DE NALOXONA
511612802156118 CLORIDRATO DE NALOXONA 0,4 MG/ ML SOL INJ CX 10 AMP VD AMB X 1 ML 71.79 81.58 86.49 87.02 87.55 88.63 89.74 90.87 92.04
CLORIDRATO DE NARATRIPTANA
607023030093017 CLORIDRATO DE NARATRIPTANA 2,5 MG COM REV CT BL AL PLAS OPC X 2 4.83 5.49 5.82 5.85 5.89 5.96 6.04 6.11 6.19
607022110076604 NARATANO 2,5 MG COM REV CT BL AL PLAS OPC X 2 7.71 8.76 9.29 9.35 9.40 9.52 9.64 9.76 9.88
CLORIDRATO DE NEBIVOLOL
506920010034007 BIVOLET 5 MG COM CT BL AL PLAS PVC/PE/PVDC TRANS 34.64 40.03 42.81 43.10 43.41 44.03 44.66 45.32 46.00
(BIOLAB FARMA GENERICOS LTDA) X 14
27.18 31.41 33.59 33.82 34.06 34.55 35.04 35.56 36.10
504122120083003 BIVOLET 5 MG COM CT BL AL PLAS PVC/PE/PVDC TRANS 253.74 293.22 313.55 315.74 317.96 322.50 327.17 331.98 336.93
(BIOLAB SANUS FARMACÊUTICA LTDA) X 90
199.11 230.09 246.04 247.76 249.50 253.07 256.73 260.51 264.39
aplicável o CAP.
Medicamentos
CLORIDRATO DE NEBIVOLOL
607023030087817 NEBIC 5 MG COM CT BL AL PLAS PVDC OPC X 7 18.28 21.12 22.59 22.75 22.91 23.23 23.57 23.92 24.27
CLORIDRATO DE NORTRIPTILINA
511611403118117 CLORIDRATO DE NORTRIPTILINA 75 MG CAP DURA CT BL AL PLAS INC X 500 725.19 824.08 873.72 879.02 884.38 895.30 906.49 917.96 929.73
569.06 646.66 685.61 689.77 693.97 702.54 711.32 720.32 729.56
529914402110114 CLORIDRATO DE NORTRIPTILINA 25 MG CAP DURA CT BL AL PLAS TRANS X 30 23.40 26.59 28.19 28.36 28.54 28.89 29.25 29.62 30.00
CLORIDRATO DE OLOPATADINA
504618100071906 CLORIDRATO DE OLOPATADINA 2,22 MG/ML SOL OFT CT FR PLAS OPC GOT X 29.72 33.77 35.81 36.02 36.24 36.69 37.15 37.62 38.10
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) 2,5 ML
23.32 26.50 28.10 28.26 28.44 28.79 29.15 29.52 29.90
504616030037604 VISODINA 2,22 MG/ML SOL OFT CT FR PLAS OPC GOT X 45.71 51.94 55.07 55.41 55.74 56.43 57.14 57.86 58.60
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) 2,5 ML
35.87 40.76 43.21 43.48 43.74 44.28 44.84 45.40 45.98
CLORIDRATO DE OXIBUPROCAÍNA
506719070079217 OXINEST 4 MG/ML SOL OFT CT FR GOT PLAS OPC X 10 20.45 23.63 25.27 25.45 25.63 25.99 26.37 26.76 27.15
16.05 18.54 19.83 19.97 20.11 20.39 20.69 21.00 21.30
523401201172418 OXINEST 4 MG/ML SOL OFT CT FR GOT PLAS OPC X 10 13.77 15.91 17.02 17.13 17.26 17.50 17.75 18.02 18.28
10.81 12.48 13.36 13.44 13.54 13.73 13.93 14.14 14.34
CLORIDRATO DE OXICODONA
534219070018403 OXYPYNAL 10 MG COM REV LIB PROL CT BL AL AL X 14 113.38 128.84 136.60 137.43 138.27 139.98 141.73 143.52 145.36
(ADIUM S.A.) 88.97 101.10 107.19 107.84 108.50 109.84 111.22 112.62 114.06
(ADIUM S.A.) 177.95 202.21 214.40 215.69 217.01 219.68 222.43 225.25 228.14
(ADIUM S.A.) 266.92 303.33 321.59 323.55 325.52 329.53 333.65 337.88 342.21
(ADIUM S.A.) 355.88 404.42 428.78 431.37 434.01 439.36 444.85 450.49 456.26
(ADIUM S.A.) 159.54 181.29 192.21 193.38 194.56 196.96 199.42 201.94 204.53
aplicável o CAP.
Medicamentos
CLORIDRATO DE OXICODONA
(ADIUM S.A.) 319.08 362.59 384.44 386.76 389.12 393.93 398.86 403.90 409.08
(ADIUM S.A.) 478.62 543.88 576.65 580.14 583.68 590.89 598.28 605.85 613.61
(ADIUM S.A.) 1139.55 1294.94 1372.95 1381.27 1389.70 1406.85 1424.43 1442.47 1460.96
CLORIDRATO DE OXICODONA;CLORIDRATO DE NALOXONA

556719050002005 TARGIN 5 MG + 2,5 MG COM REV LIB PROL CT BL AL AL 62.99 72.79 77.84 78.38 78.93 80.06 81.22 82.41 83.64
(MUNDIPHARMA BRASIL PRODUTOS MÉDICOS E FARMACÊUTICOS PVC X 14
49.43 57.12 61.08 61.50 61.94 62.82 63.73 64.67 65.63
98.86 114.24 122.16 123.01 123.88 125.65 127.47 129.33 131.26
197.69 228.45 244.29 246.00 247.73 251.26 254.90 258.65 262.50
345.96 399.79 427.51 430.49 433.52 439.71 446.08 452.63 459.38
556719050002405 TARGIN 10 MG + 5 MG COM REV LIB PROL CT BL AL AL 125.96 145.56 155.65 156.74 157.84 160.09 162.41 164.80 167.25
98.84 114.22 122.14 122.99 123.86 125.62 127.44 129.32 131.24
197.71 228.47 244.31 246.02 247.75 251.29 254.92 258.66 262.52
395.39 456.91 488.59 492.01 495.47 502.53 509.81 517.30 525.01
691.92 799.58 855.03 861.00 867.06 879.43 892.17 905.27 918.77
177.26 204.84 219.04 220.57 222.13 225.29 228.55 231.91 235.37
354.50 409.66 438.07 441.13 444.23 450.58 457.10 463.81 470.73
709.00 819.31 876.13 882.25 888.45 901.13 914.17 927.61 941.44
1240.76 1433.80 1533.24 1543.95 1554.81 1577.00 1599.82 1623.32 1647.53
301.60 348.52 372.69 375.30 377.93 383.33 388.88 394.59 400.47
603.19 697.04 745.38 750.59 755.86 766.65 777.75 789.17 800.94
1206.38 1394.08 1490.76 1501.17 1511.73 1533.30 1555.49 1578.34 1601.88
2111.17 2439.65 2608.84 2627.06 2645.53 2683.28 2722.12 2762.11 2803.29
CLORIDRATO DE OXIMETAZOLINA
520725403175116 CLORIDRATO DE OXIMETAZOLINA 0,50 MG/ML SOL NASAL CT FR PLAS OPC X 30 10.54 12.18 13.02 13.12 13.21 13.40 13.59 13.79 14.00
(LABORATÓRIO TEUTO BRASILEIRO S/A) ML
8.27 9.56 10.22 10.30 10.37 10.52 10.66 10.82 10.99
540923010059017 ATURGYL 0,5 MG/ML SOL NASAL CT FR PLAS OPC SPRAY 10.85 12.54 13.41 13.50 13.60 13.79 13.99 14.20 14.41
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) X 15 ML
8.51 9.84 10.52 10.59 10.67 10.82 10.98 11.14 11.31
CLORIDRATO DE OXITETRACICLINA;SULFATO DE POLIMIXINA B

522717110063717 TERRAMICINA 5 MG/G + 10000 U/G POM OFT CT BG AL X 3,5 G 5.99 6.81 7.22 7.26 7.30 7.40 7.49 7.58 7.68
CLORIDRATO DE PALONOSETRONA;NETUPITANTO
aplicável o CAP.
Medicamentos
CLORIDRATO DE PALONOSETRONA;NETUPITANTO
533223050005117 AKYNZEO 0,56 MG + 300 MG CAP DURA CT BL AL AL X 1 295.37 341.33 365.00 367.55 370.13 375.41 380.85 386.44 392.20
(UNITED MEDICAL LTDA) 231.78 267.84 286.42 288.42 290.44 294.58 298.85 303.24 307.76
CLORIDRATO DE PAPAVERINA
511802301158415 HYPOVERIN 50 MG/ML SOL INJ CT 10 AMP VD AMB X 2 ML 149.54 172.81 184.79 186.08 187.39 190.06 192.82 195.65 198.57
540915010013817 ATROVERAN COMPOSTO 0,010 G/ML SOL OR CT FR VD AMB CGT X 30 ML 15.30 17.68 18.91 19.04 19.17 19.45 19.73 20.02 20.32
Liberado
CLORIDRATO DE PAROXETINA
508020110137207 PONDERA 40 MG COM REV CT BL AL PLAS TRANS X 20 164.83 187.31 198.59 199.79 201.01 203.49 206.04 208.65 211.32
607023020084217 CLORIDRATO DE PAROXETINA 20 MG COM REV CT BL AL PLAS OPC X 30 143.68 163.27 173.11 174.16 175.22 177.38 179.60 181.87 184.21
522712070025504 PRAXETINA 20 MG COM REV CT BL AL PLAS INC X 10 41.01 46.60 49.41 49.71 50.01 50.63 51.26 51.91 52.58
522712070025604 PRAXETINA 20 MG COM REV CT BL AL PLAS INC X 20 82.03 93.22 98.83 99.43 100.04 101.27 102.54 103.84 105.17
529905402111111 CLORIDRATO DE PAROXETINA 20 MG COM REV CT BL AL PLAS TRANS X 30 100.08 113.73 120.58 121.31 122.05 123.56 125.10 126.68 128.31
510420120184707 CLORIDRATO DE PAROXETINA 20 MG COM REV CT BL AL PLAS PVC TRANS X 143.66 163.25 173.08 174.13 175.20 177.36 179.58 181.85 184.18
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) 30
112.73 128.10 135.82 136.64 137.48 139.17 140.92 142.70 144.53
(GEOLAB INDÚSTRIA FARMACÊUTICA S/A) 20
20.85 23.69 25.12 25.28 25.42 25.74 26.06 26.39 26.73
536201201111417 ZYPAROX 20 MG COM REV CT BL AL PVC X 30 65.69 74.65 79.14 79.62 80.11 81.10 82.11 83.15 84.22
CLORIDRATO DE PAROXETINA HEMI-HIDRATADO

552919070079213 DEPAXAN 20 MG COM REV CT BL AL PLAS TRANS X 10 38.24 43.45 46.07 46.35 46.63 47.21 47.80 48.41 49.03
500103503112118 CLORIDRATO DE PAROXETINA 20 MG COM REV CT BL AL PVC/PVDC OPC X 30 50.22 57.07 60.51 60.87 61.24 62.00 62.78 63.57 64.38
(ZYDUS NIKKHO FARMACÊUTICA LTDA) 30
41.42 47.07 49.90 50.21 50.51 51.13 51.78 52.43 53.10
538804402115111 CLORIDRATO DE PAROXETINA 20 MG COM REV CT BL AL PLAS OPC X 30 143.68 163.27 173.11 174.16 175.22 177.38 179.60 181.87 184.21
525070401117117 CLORIDRATO DE PAROXETINA 20 MG COM REV CT BL AL PLAS TRANS X 30 29.76 33.82 35.86 36.07 36.29 36.74 37.20 37.67 38.15
525072001116411 MORATUS 20 MG COM REV CT BL AL PLAS TRANS X 30 61.29 69.65 73.84 74.29 74.74 75.67 76.61 77.58 78.58
CLORIDRATO DE PILOCARPINA
506719070079117 PILOCAN 20 MG/ML SOL OFT CT FR GOT PLAS TRANS X 24.64 28.00 29.69 29.87 30.05 30.42 30.80 31.19 31.59
19.34 21.97 23.30 23.44 23.58 23.87 24.17 24.47 24.79
C CAP
527200401177414 PILOSOL 20 MG/ML SOL OFT CT PR PLAS OPC GOT X 10 10.14 11.52 12.22 12.29 12.37 12.52 12.68 12.84 13.00
(OPHTHALMOS LTDA) ML
7.96 9.04 9.59 9.64 9.71 9.82 9.95 10.08 10.20
527200402173412 PILOSOL 40 MG/ML SOL OFT CT FR PLAS OPC GOT X 10 15.01 17.06 18.08 18.19 18.30 18.53 18.76 19.00 19.24
(OPHTHALMOS LTDA) ML
11.78 13.39 14.19 14.27 14.36 14.54 14.72 14.91 15.10
aplicável o CAP.
Medicamentos
CLORIDRATO DE PILOCARPINA
523401301177411 PILOCAN 20 MG/ML SOL OFT CT FR GOT PLAS TRANS X 18.61 21.15 22.42 22.56 22.70 22.98 23.26 23.56 23.86
(LATINOFARMA INDUSTRIAS FARMACEUTICAS LTDA) 10 ML
14.60 16.60 17.59 17.70 17.81 18.03 18.25 18.49 18.72
CLORIDRATO DE PIOGLITAZONA
526121010130907 CLORIDRATO DE PIOGLITAZONA 15 MG COM CT FR PLAS OPC X 10 12.78 14.52 15.40 15.49 15.59 15.78 15.98 16.18 16.38
525321010096907 AGLITIL 15 MG COM CT FR PLAS OPC X 10 19.67 22.35 23.70 23.84 23.99 24.28 24.59 24.90 25.22
aplicável o CAP.
Medicamentos
500120020031807 CLORIDRATO DE PIOGLITAZONA 15 MG COM CT BL AL AL X 10 12.77 14.51 15.39 15.48 15.57 15.77 15.96 16.16 16.37
500120020032807 CLORIDRATO DE PIOGLITAZONA 45 MG COM CT BL AL ALX 90 268.74 305.39 323.78 325.75 327.73 331.78 335.93 340.18 344.54
aplicável o CAP.
Medicamentos
CLORIDRATO DE PIRIDOXINA;ÁCIDO FÓLICO;CIANOCOBALAMINA

524819120007607 TENAVIT 0,80 MG + 4,00 MG + 0,40 MG COM REV CT BL AL 53.12 61.38 65.64 66.10 66.57 67.52 68.49 69.50 70.53
(MARJAN INDÚSTRIA E COMÉRCIO LTDA) PLAS PVDC TRANS X 30
41.68 48.16 51.51 51.87 52.24 52.98 53.74 54.54 55.34
Liberado
CLORIDRATO DE PONATINIBE
576120010000107 ICLUSIG 15 MG COM REV FR PLAS PEAD OPC X 30 11445.99 13226.85 14144.13 14242.92 14343.10 14547.76 14758.36 14975.15 15198.43
(PINT PHARMA PRODUTOS MEDICO-HOSPITALARES E 8981.67 10379.11 11098.90 11176.42 11255.03 11415.63 11580.89 11751.00 11926.21
576120010000207 ICLUSIG 45 MG COM REV FR PLAS PEAD OPC X 30 25828.45 29847.05 31916.94 32139.86 32365.91 32827.75 33302.97 33792.19 34296.02
(PINT PHARMA PRODUTOS MEDICO-HOSPITALARES E 20267.58 23420.98 25045.22 25220.15 25397.53 25759.93 26132.84 26516.73 26912.09
CLORIDRATO DE PROMETAZINA
503405401163416 PROMERGAN 20 MG/G CREM DERM CT BG AL X 30 G 14.66 16.94 18.12 18.24 18.37 18.63 18.90 19.18 19.47
(BELFAR LTDA) 11.50 13.29 14.22 14.31 14.41 14.62 14.83 15.05 15.28
576720040064217 FENERGAN 25 MG/ML SOL INJ IM CX 25 AMP VD AMB X 2 69.51 80.32 85.90 86.50 87.10 88.35 89.63 90.94 92.30
54.54 63.03 67.41 67.88 68.35 69.33 70.33 71.36 72.43
576720040064317 FENERGAN 25 MG COM REV CT BL AL PLAS TRANS X 20 11.12 12.85 13.74 13.84 13.93 14.13 14.34 14.55 14.77
CLORIDRATO DE PROMETAZINA;DIPIRONA;CLORIDRATO DE ADIFENINA

528531404139119 DIPIRONA SODICA + CLORIDRATO DE ADIFENINA + 5OO MG/1,5ML + 10MG/1,5ML +5MG/1,5ML SOL 19.60 22.65 24.22 24.39 24.56 24.91 25.27 25.64 26.03
(PRATI DONADUZZI & CIA LTDA) OR CT FR PLAS OPC GOT 20ML
15.38 17.77 19.01 19.14 19.27 19.55 19.83 20.12 20.43
Liberado
538816902134410 DORILEN (500+10+5) MG /1,5 ML SOL OR CT FR GOT VD 21.80 25.19 26.94 27.13 27.32 27.71 28.11 28.52 28.95
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) AMB X 15 ML
17.11 19.77 21.14 21.29 21.44 21.74 22.06 22.38 22.72
Liberado
538816903130419 DORILEN (500+10+5) MG/1,5 ML SOL OR CT FR GOT VD 24.73 28.58 30.56 30.77 30.99 31.43 31.89 32.36 32.84
(LEGRAND PHARMA INDÚSTRIA FARMACÊUTICA LTDA) AMB X 20 ML
19.41 22.43 23.98 24.14 24.32 24.66 25.02 25.39 25.77
Liberado
CLORIDRATO DE PROPAFENONA
523720020041507 VATIS 300 MG COM REV CT BL AL PLAS AMB X 30 50.11 56.94 60.37 60.74 61.11 61.86 62.64 63.43 64.24
543823020073206 CLORIDRATO DE PROPAFENONA 150 MG COM REV CT BL AL PLAS PVC/PVDC 5.36 6.09 6.46 6.50 6.54 6.62 6.70 6.78 6.87
(ALTHAIA S.A INDÚSTRIA FARMACÊUTICA) TRANSL X 10
4.21 4.78 5.07 5.10 5.13 5.20 5.26 5.32 5.39
6.32 7.19 7.62 7.67 7.71 7.81 7.91 8.00 8.11
8.43 9.57 10.15 10.22 10.28 10.41 10.54 10.66 10.81
12.63 14.36 15.22 15.32 15.40 15.60 15.80 15.99 16.20
25.28 28.72 30.45 30.63 30.82 31.21 31.59 31.99 32.40
37.92 43.09 45.69 45.96 46.24 46.81 47.40 47.99 48.61
50.56 57.46 60.92 61.29 61.65 62.41 63.20 64.00 64.82
75.83 86.17 91.35 91.91 92.47 93.62 94.78 95.99 97.21
CLORIDRATO DE PROPRANOLOL
aplicável o CAP.
Medicamentos
CLORIDRATO DE PROPRANOLOL
522101703115416 PROPRANOLOM 40 MG COM CX BL AL PLAS PVC TRANS X 6000 1241.05 1410.28 1495.24 1504.30 1513.48 1532.16 1551.31 1570.95 1591.09
(LABORATÓRIOS OSÓRIO DE MORAES LTDA) 973.85 1106.65 1173.31 1180.42 1187.63 1202.29 1217.31 1232.72 1248.53
522123020007303 PROPRANOLOM 40 MG COM CT BL AL PLAS PVC TRANS X 30 4.64

(LABORATÓRIOS OSÓRIO DE MORAES LTDA) 3.64
522123020007406 CLORIDRATO DE PROPRANOLOL 40 MG COM CT BL AL PLAS TRANS X 30 3.14


517605501110410 PROPALOL 40MG COM CT BL AL PLAS LAR X 40 7.23 8.22 8.71 8.76 8.82 8.93 9.04 9.15 9.27
526102502116113 CLORIDRATO DE PROPRANOLOL 40 MG COM CT BL AL PLAS INC X 60 12.36

511622100048717 SANPRONOL 40 MG COM CT BL AL PLAS PVC AMB X 500 93.72

(HIPOLABOR FARMACEUTICA LTDA) 73.54
531603201115311 PROPRANOLOL 10 MG COM CT BL AL PLAS INC X 30 5.85 6.65 7.05 7.09 7.13 7.22 7.31 7.41 7.50

(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) 4.29

(PHARLAB INDÚSTRIA FARMACÊUTICA S.A.) 71.34

506420110044407 PROPRAMED 40 MG COM CT BL AL PLAS TRANS X 40 3.78

510401906115414 POLOL 40 MG COM CT 02 BL AL PLAS TRANS X 15 6.27 7.13 7.55 7.60 7.65 7.74 7.84 7.94 8.04
510401904112418 POLOL 40 MG COM CT 30 BL AL PLAS TRANS X 20 124.82 141.84 150.39 151.30 152.22 154.10 156.03 158.00 160.03
525070702117116 CLORIDRATO DE PROPRANOLOL 10 MG COM CT BL AL PLAS TRANS X 30 3.79 4.31 4.57 4.59 4.62 4.68 4.74 4.80 4.86

CLORIDRATO DE RALOXIFENO
507601201115215 EVISTA 60 MG COM REV CT BL AL PLAS TRANS X 14 103.01
(ELI LILLY DO BRASIL LTDA) 80.83
C CAP
507601202111213 EVISTA 60 MG COM REV CT 2 BL AL PLAS TRANS X 14 205.20

C CAP
507601204114317 EVISTA 60 MG COM REV CT BL AL PLAS TRANS X 30 219.84

C CAP
544222100002903 RALXFEM 60 MG COM REV CT BL AL PLAS PVC/PCTFE 64.94

(BLANVER FARMOQUIMICA E FARMACÊUTICA S.A.) TRANS X 14
50.96
C CAP

101.76
C CAP

1273.89
C CAP
CLORIDRATO DE RANITIDINA
aplicável o CAP.
Medicamentos
CLORIDRATO DE RANITIDINA
511802501157110 CLORIDRATO DE RANITIDINA 25 MG/ML SOL INJ CX 100 AMP VD INC X 2 ML 102.08 116.00 122.99 123.73 124.49 126.02 127.60 129.22 130.87
(HYPOFARMA - INSTITUTO DE HYPODERMIA E FARMÁCIA LTDA) (EMB HOSP)
80.10 91.03 96.51 97.09 97.69 98.89 100.13 101.40 102.69
500508302112419 LABEL 150 MG COM REV CT STR AL X 20 40.08 45.55 48.29 48.58 48.88 49.48 50.10 50.73 51.38
500508301132416 LABEL 15 MG/ML XPE CT FR VD AMB X 120 ML + COP 36.35 41.31 43.80 44.06 44.33 44.88 45.44 46.01 46.60
526127302110117 CLORIDRATO DE RANITIDINA 150 MG COM REV CT BL AL/AL X 20 39.68 45.09 47.81 48.10 48.39 48.99 49.60 50.23 50.87
526127301130114 CLORIDRATO DE RANITIDINA 15 MG/ML XPE CT FR VD AMB X 120 ML + COP 29.44 33.45 35.47 35.68 35.90 36.35 36.80 37.27 37.74
511609002152118 CLORIDRATO DE RANITIDINA 25 MG/ML SOL INJ CX 100 AMP VD AMB X 2 ML 195.46 222.11 235.49 236.92 238.37 241.31 244.33 247.42 250.59
531620101131119 CLORIDRATO DE RANITIDINA 15 MG/ML XPE CT FR VD AMB X 120 ML + COP 31.28 35.55 37.69 37.92 38.15 38.62 39.10 39.59 40.10
506420110045007 ULCEROCIN 150 MG COM REV CT STR AL X 20 9.35 10.63 11.27 11.33 11.40 11.54 11.69 11.84 11.99
510404702111415 ULTIDIN 150 MG COM REV CT BL AL AL X 20 22.29 25.33 26.86 27.02 27.18 27.52 27.86 28.22 28.58
510404705110411 ULTIDIN 150 MG COM REV CT BL AL AL X 500 700.16 795.64 843.57 848.68 853.85 864.40 875.20 886.28 897.64
538814901114118 CLORIDRATO DE RANITIDINA 150 MG COM REV CT BL AL/AL X 20 22.83 25.94 27.51 27.67 27.84 28.19 28.54 28.90 29.27
CLORIDRATO DE REMIFENTANILA
552923040159004 RELYON 2 MG PO LIOF SOL INJ IV CT 5 FA VD TRANS 259.28 294.64 312.39 314.28 316.20 320.10 324.10 328.20 332.41
CLORIDRATO DE SERTRALINA
508023080174403 ASSERT 50 MG COM REV CT BL AL PLAS TRANS X 60 117.46 133.48 141.52 142.38 143.24 145.01 146.83 148.68 150.59
525419302112112 CLORIDRATO DE SERTRALINA 50 MG COM REV CT BL AL PLAS TRANS X 30 54.82 62.30 66.05 66.45 66.85 67.68 68.53 69.39 70.28
(MERCK S/A) 43.02 48.89 51.83 52.14 52.46 53.11 53.78 54.45 55.15
552923030158203 TOLREST 75 MG COM REV CT BL AL PLAS PVDC TRANS X 580.97 660.19 699.96 704.21 708.50 717.25 726.21 735.41 744.83
455.89 518.05 549.26 552.59 555.96 562.83 569.86 577.08 584.47
526125404110111 CLORIDRATO DE SERTRALINA 50 MG COM REV CT BL AL PLAS OPC X 28 114.80 130.45 138.31 139.15 140.00 141.73 143.50 145.32 147.18
aplicável o CAP.
Medicamentos
CLORIDRATO DE SERTRALINA
529903306115113 CLORIDRATO DE SERTRALINA 50 MG COM REV CT BL AL PLAS PVC/PVDC OPC 64.70 73.52 77.95 78.42 78.90 79.88 80.88 81.90 82.95
(RANBAXY FARMACÊUTICA LTDA) X 30
50.77 57.69 61.17 61.54 61.91 62.68 63.47 64.27 65.09
528519120162607 TRELIM 50 MG COM REV CT BL AL PLAS PVC TRANS X 55.33 62.88 66.66 67.07 67.48 68.31 69.16 70.04 70.94
43.42 49.34 52.31 52.63 52.95 53.60 54.27 54.96 55.67
106.42 120.93 128.22 129.00 129.78 131.38 133.03 134.71 136.44
528519120162807 TRELIM 50 MG COM REV CT BL AL PLAS PVC/PVDC 55.33 62.88 66.66 67.07 67.48 68.31 69.16 70.04 70.94
43.42 49.34 52.31 52.63 52.95 53.60 54.27 54.96 55.67
106.42 120.93 128.22 129.00 129.78 131.38 133.03 134.71 136.44
93.38 106.11 112.50 113.18 113.88 115.28 116.72 118.20 119.71
186.76 212.22 225.01 226.37 227.75 230.57 233.45 236.41 239.44
93.38 106.11 112.50 113.18 113.88 115.28 116.72 118.20 119.71
186.76 212.22 225.01 226.37 227.75 230.57 233.45 236.41 239.44
528522110183603 RALZIN 50 MG COM REV CT BL AL PLAS PVC TRANS X 66.42 75.48 80.02 80.51 81.00 82.00 83.03 84.08 85.15
52.12 59.23 62.79 63.18 63.56 64.35 65.15 65.98 66.82
93.38 106.11 112.50 113.18 113.88 115.28 116.72 118.20 119.71
17.37 19.74 20.93 21.06 21.19 21.45 21.72 22.00 22.27
536201401110112 CLORIDRATO DE SERTRALINA 50 MG COM REV CT BL AL PLAS PVC/PVDC 55.99 63.63 67.46 67.87 68.28 69.12 69.99 70.87 71.78
(ZYDUS NIKKHO FARMACÊUTICA LTDA) TRANS X 30
43.94 49.93 52.94 53.26 53.58 54.24 54.92 55.61 56.33
525069403111414 DIELOFT 50 MG COM REV CT BL AL PLAS TRANS X 30 64.08 72.82 77.20 77.67 78.15 79.11 80.10 81.11 82.15
CLORIDRATO DE SIBUTRAMINA MONOIDRATADO

508023030173106 CLORIDRATO DE SIBUTRAMINA MONOIDRATADO 15 MG CAP GEL DURA CT BL AL PLAS INC X 60 88.85 102.67 109.79 110.56 111.34 112.93 114.56 116.25 117.98
552919070080317 CLORIDRATO DE SIBUTRAMINA MONOIDRATADO 10 MG CAP DURA CT BL AL PLAS TRANS X 30 217.10 250.88 268.28 270.15 272.05 275.93 279.93 284.04 288.27
526130203111115 CLORIDRATO DE SIBUTRAMINA MONOIDRATADO 10 MG CAP DURA CT BL AL PLAS OPC X 30 205.02 236.92 253.35 255.12 256.91 260.58 264.35 268.23 272.23
aplicável o CAP.
Medicamentos
CLORIDRATO DE SIBUTRAMINA MONOIDRATADO

526136701111418 SIGRAN 15 MG CAP DURA CT BL AL PLAS OPC X 30 38.13 44.06 47.12 47.45 47.78 48.46 49.16 49.89 50.63
526136702118416 SIGRAN 10 MG CAP DURA CT BL AL PLAS OPC X 30 32.33 37.36 39.95 40.23 40.51 41.09 41.69 42.30 42.93
531627404113416 VAZY 15 MG CAP DURA CT BL AL PLAS OPC X 30 38.13 44.06 47.12 47.45 47.78 48.46 49.16 49.89 50.63
531627402110411 VAZY 10 MG CAP DURA CT BL AL PLAS OPC X 30 32.33 37.36 39.95 40.23 40.51 41.09 41.69 42.30 42.93
538802702111115 CLORIDRATO DE SIBUTRAMINA 15 MG CAP DURA CT BL AL PLAS OPC X 30 205.02 236.92 253.35 255.12 256.91 260.58 264.35 268.23 272.23
CLORIDRATO DE TANSULOSINA
508023070174206 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
510622110059507 TANSUDART 0,4 MG CAP DURA LIB MOD CT BL AL PLAS PVC 92.06 104.61 110.92 111.59 112.27 113.65 115.08 116.53 118.03
(GLAXOSMITHKLINE BRASIL LTDA) TRANS X 30
72.24 82.09 87.04 87.57 88.10 89.18 90.30 91.44 92.62
510622110059607 TANSUDART 0,4 MG CAP DURA LIB MOD CT BL AL PLAS PVC 30.69 34.88 36.98 37.20 37.43 37.89 38.36 38.85 39.35
(GLAXOSMITHKLINE BRASIL LTDA) TRANS X 10
24.08 27.37 29.02 29.19 29.37 29.73 30.10 30.49 30.88
541823050197403 TANZURYS 0,4 MG CAP DURA LIB PROL CT BL AL PLAS 27.08 30.77 32.63 32.82 33.02 33.43 33.85 34.28 34.72
(EMS S/A) PVC/PVDC OPC X 10
21.25 24.15 25.60 25.75 25.91 26.23 26.56 26.90 27.25
42.50 48.30 51.20 51.52 51.83 52.46 53.12 53.80 54.49
63.75 72.44 76.81 77.27 77.74 78.71 79.69 80.70 81.73
127.50 144.89 153.61 154.55 155.49 157.40 159.37 161.39 163.46
534202901110410 TAMSULON 0,4 MG CAP DURA CT BL AL PLAS TRANS X 20 121.80 138.41 146.75 147.64 148.54 150.37 152.25 154.18 156.15
(ADIUM S.A.) 95.58 108.61 115.15 115.85 116.56 118.00 119.47 120.99 122.53
534202902117419 TAMSULON 0,4 MG CAP DURA CT BL AL PLAS TRANS X 30 160.43 182.31 193.29 194.46 195.65 198.06 200.54 203.08 205.68
(ADIUM S.A.) 125.89 143.06 151.67 152.59 153.53 155.42 157.36 159.36 161.40
536220120012807 CLORIDRATO DE TANSULOSINA 0,4 MG COM REV LIB PROL CT BL AL AL X 30 85.80 97.50 103.37 104.00 104.63 105.93 107.25 108.61 110.00
540300301112415 OMNIC OCAS 0,4 MG COM REV LIB PROL CT BL AL AL X 10 71.01 80.69 85.55 86.07 86.60 87.67 88.76 89.89 91.04
(ASTELLAS FARMA BRASIL IMPORTAÇÃO E DISTRIBUIÇÃO DE 55.72 63.32 67.13 67.54 67.96 68.80 69.65 70.54 71.44
CLORIDRATO DE TERBINAFINA
528501905113110 CLORIDRATO DE TERBINAFINA 250 MG COM CT BL AL PLAS TRANS X 14 67.91 77.17 81.82 82.32 82.82 83.84 84.89 85.96 87.06
525004002110110 CLORIDRATO DE TERBINAFINA 250 MG COM CT BL AL PLAS PVC TRANS X 14 48.64 55.27 58.60 58.96 59.32 60.05 60.80 61.57 62.36
525004004113117 CLORIDRATO DE TERBINAFINA 250 MG COM CT BL AL PLAS PVC TRANS X 28 96.81 110.01 116.64 117.35 118.06 119.52 121.01 122.54 124.12
525004005160119 CLORIDRATO DE TERBINAFINA 10 MG/G CREM DERM CT BG AL X 20 G 12.25 14.16 15.14 15.24 15.35 15.57 15.80 16.03 16.27
Liberado
aplicável o CAP.
Medicamentos
CLORIDRATO DE TETRACAÍNA;ISETIONATO DE HEXAMIDINA

540923010059217 HEXOMEDINE 1,0 MG/ML + 0,5 MG/ML COLUT CT FR VD AMB 41.32 47.75 51.06 51.42 51.78 52.52 53.28 54.06 54.87
(COSMED INDUSTRIA DE COSMETICOS E MEDICAMENTOS S.A.) SPR X 50 ML
32.42 37.47 40.07 40.35 40.63 41.21 41.81 42.42 43.06
576720030060417 HEXOMEDINE 1,0 MG/ML + 0,5 MG/ML COLUT CT FR VD AMB 41.32 47.75 51.06 51.42 51.78 52.52 53.28 54.06 54.87
(SANOFI MEDLEY FARMACÊUTICA LTDA.) SPR X 50 ML
32.42 37.47 40.07 40.35 40.63 41.21 41.81 42.42 43.06
CLORIDRATO DE TETRACICLINA
520719202112414 TETRACLIN 500 MG CAP DURA CT ENV AL POLIET X 100 114.07 129.63 137.43 138.27 139.11 140.83 142.59 144.39 146.24
506302001167411 CINATREX 5 MG/G POM OFT CT BG AL X 3,5G 9.91 11.26 11.94 12.01 12.09 12.23 12.39 12.54 12.71
528526902118117 CLORIDRATO DE TETRACICLINA 500 MG CAP GEL DURA CT BL AL PLAS TRANS X 19.18 21.80 23.11 23.25 23.39 23.68 23.98 24.28 24.59
15.05 17.11 18.13 18.24 18.35 18.58 18.82 19.05 19.30
(PRATI DONADUZZI & CIA LTDA) 300 (EMB HOSP)
171.06 194.39 206.09 207.34 208.60 211.18 213.82 216.53 219.30
(PRATI DONADUZZI & CIA LTDA) 140 (EMB FRAC)
79.51 90.36 95.80 96.38 96.96 98.17 99.39 100.65 101.94
CLORIDRATO DE TETRACICLINA;ANFOTERICINA B
528524801160111 CLORIDRATO DE TERACICLINA + ANFOTERICINA B 25 MG/G + 12,5 MG/G CREM VAG CT BG AL X 45 30.73 35.51 37.97 38.24 38.51 39.06 39.62 40.21 40.80
(PRATI DONADUZZI & CIA LTDA) G + 10 APLIC VAG
24.11 27.86 29.80 30.01 30.22 30.65 31.09 31.55 32.01
528524802167111 CLORIDRATO DE TERACICLINA + ANFOTERICINA B 25 MG/G + 12,5 MG/G CREM VAG CX 50 BG AL X 1105.73 1277.77 1366.38 1375.93 1385.60 1405.37 1425.72 1446.66 1468.23
(PRATI DONADUZZI & CIA LTDA) 45 G + 500 APLIC VAG (EMB HOSP)
867.67 1002.67 1072.20 1079.69 1087.28 1102.79 1118.76 1135.19 1152.12
525012201161115 TETRACICLINA + ANFOTERICINA B (25+12,5) MG/G CREM VAG CT BG AL X 45 G + 10 33.74 38.99 41.69 41.98 42.28 42.88 43.50 44.14 44.80
(SANOFI MEDLEY FARMACÊUTICA LTDA.) APLIC
26.48 30.60 32.71 32.94 33.18 33.65 34.13 34.64 35.15
CLORIDRATO DE TIAMINA
505519120020507 NEURIVIT 100 MG COM REV ENV AL PE X 20 17.00 19.64 21.01 21.15 21.30 21.61 21.92 22.24 22.57
Liberado
511612701112417 CLORIDRATO DE TIAMINA 300 MG COM REV CT BL AL PLAS PVC AMB X 254.92 289.68 307.13 308.99 310.88 314.72 318.65 322.68 326.82
(HIPOLABOR FARMACEUTICA LTDA) 500
200.04 227.31 241.00 242.46 243.95 246.96 250.04 253.21 256.46
528531601112418 NERVAMIN 300 MG COM REV CT BL AL PLAS TRANS X 30 19.77 22.85 24.43 24.60 24.77 25.13 25.49 25.87 26.25
528531602119416 NERVAMIN 300 MG COM REV CT BL AL PLAS TRANS X 600 366.80 423.87 453.27 456.43 459.64 466.20 472.95 479.90 487.05
540402101112414 BÊVITER 300 MG COM REV CT BL AL PLAS TRANS X 30 13.89 16.05 17.16 17.28 17.41 17.65 17.91 18.17 18.44
506420050038807 VITAMINA B1 300 MG COM REV CT BL AL PLAS PVC AMB X 30 15.82 18.28 19.55 19.69 19.82 20.11 20.40 20.70 21.01
510411001115417 VITAUM 300 MG COM REV CT BL AL PLAS INC X 30 19.75 22.82 24.41 24.58 24.75 25.10 25.47 25.84 26.22
540600601154317 ACESYL 100 MG/ML SOL INJ CX 50 AMP VD AMB X 1 ML 516.90 587.39 622.77 626.55 630.37 638.15 646.13 654.30 662.69
(VASCONCELOS INDUSTRIA FARMACEUTICA E COMERCIO LTDA) 405.61 460.92 488.69 491.65 494.65 500.76 507.02 513.43 520.01
538900401116411 BENERVA 300 MG COM REV CT BL AL PLAS INC X 30 19.87 22.96 24.55 24.73 24.90 25.25 25.62 26.00 26.38
(BAYER S.A.) 15.59 18.02 19.26 19.41 19.54 19.81 20.10 20.40 20.70
CLORIDRATO DE TICLOPIDINA
526127801117117 CLORIDRATO DE TICLOPIDINA 250 MG COM REV CT BL AL PLAS INC X 30 60.31 68.53 72.66 73.10 73.55 74.46 75.39 76.34 77.32
525069701110114 CLORIDRATO DE TICLOPIDINA 250 MG COM REV CT BL AL PLAS TRANS X 30 60.20 68.41 72.53 72.97 73.41 74.32 75.25 76.20 77.18
CLORIDRATO DE TIZANIDINA
529914602111114 CLORIDRATO DE TIZANIDINA 2 MG COM CT BL AL PLAS PVC/PVDC OPC X 30 25.99 30.03 32.12 32.34 32.57 33.03 33.51 34.00 34.51
aplicável o CAP.
Medicamentos
CLORIDRATO DE TRAMADOL
541822100187906 CLORIDRATO DE TRAMADOL 100 MG COM REV LIB PROL CT BL AL PLAS 57.55 65.40 69.34 69.76 70.18 71.05 71.94 72.85 73.78
(EMS S/A) PVDC/PVC OPC X 10
45.16 51.32 54.41 54.74 55.07 55.75 56.45 57.17 57.89
90.32 102.64 108.81 109.48 110.15 111.51 112.90 114.33 115.79
135.48 153.95 163.23 164.21 165.22 167.26 169.35 171.49 173.69
270.96 307.91 326.45 328.44 330.44 334.52 338.70 342.98 347.38
(GERMED FARMACEUTICA LTDA) PVDC/PVC OPC X 10
45.16 51.32 54.41 54.74 55.07 55.75 56.45 57.17 57.89
90.32 102.64 108.81 109.48 110.15 111.51 112.90 114.33 115.79
135.48 153.95 163.23 164.21 165.22 167.26 169.35 171.49 173.69
270.96 307.91 326.45 328.44 330.44 334.52 338.70 342.98 347.38
511611301153118 CLORIDRATO DE TRAMADOL (PORTARIA 344/98 - LISTA 50 MG/ML SOL INJ CX 100 AMP VD TRANS X 1 486.39 552.72 586.01 589.56 593.16 600.48 607.99 615.68 623.58
381.67 433.72 459.84 462.63 465.45 471.20 477.09 483.12 489.32
511611302151119 CLORIDRATO DE TRAMADOL (PORTARIA 344/98 - LISTA 50 MG/ML SOL INJ CX 100 AMP VD TRANS X 2 694.76 789.50 837.06 842.13 847.27 857.73 868.45 879.44 890.72
545.18 619.52 656.84 660.82 664.85 673.06 681.47 690.10 698.95
511611307119116 CLORIDRATO DE TRAMADOL (PORT. 344/98 - LISTA A2) 50 MG CAP GEL DURA CX BL AL PLAS AMB X 1518.17 1725.19 1829.12 1840.21 1851.43 1874.28 1897.71 1921.73 1946.37
(HIPOLABOR FARMACEUTICA LTDA) 500
1191.31 1353.76 1435.31 1444.01 1452.82 1470.75 1489.13 1507.98 1527.32
538818701111118 CLORIDRATO DE TRAMADOL 50 MG CAP DURA CT BL AL PLAS OPC X 10 23.49 26.69 28.30 28.47 28.65 29.00 29.36 29.73 30.12
525065101119118 CLORIDRATO DE TRAMADOL 50 MG CAP GEL DURA CT BL AL PLAS BCO X 24.46 27.80 29.47 29.65 29.83 30.20 30.58 30.96 31.36
19.19 21.81 23.13 23.27 23.41 23.70 24.00 24.29 24.61
542815070000713 TRAMAL RETARD 100 MG COM REV LIB PROL CT BL AL PLAS OPC 88.52 100.59 106.65 107.30 107.95 109.28 110.65 112.05 113.49
(GRÜNENTHAL DO BRASIL FARMACÊUTICA LTDA.) X 10
69.46 78.93 83.69 84.20 84.71 85.75 86.83 87.93 89.06
542815070001403 TRAMAL RETARD 100 MG COM REV LIB PROL CT BL AL PLAS OPC 265.64 301.86 320.05 321.99 323.95 327.95 332.05 336.25 340.56
(GRÜNENTHAL DO BRASIL FARMACÊUTICA LTDA.) X 30
208.45 236.87 251.14 252.67 254.20 257.34 260.56 263.85 267.24
CLORIDRATO DE TRAMADOL;DICLOFENACO SÓDICO

542820100007307 ADORLAN (25,0 + 25,0) MG COM CT BL AL PLAS 71.61 82.75 88.49 89.11 89.74 91.02 92.33 93.69 95.09
(GRÜNENTHAL DO BRASIL FARMACÊUTICA LTDA.) PVC/PEBD/PVDC TRANS X 20
56.19 64.93 69.44 69.92 70.42 71.42 72.45 73.52 74.62
542820100007407 ADORLAN (50,0 + 50,0) MG COM CT BL AL PLAS 143.20 165.48 176.96 178.19 179.45 182.01 184.64 187.35 190.15
(GRÜNENTHAL DO BRASIL FARMACÊUTICA LTDA.) PVC/PEBD/PVDC TRANS X 20
112.37 129.85 138.86 139.83 140.82 142.82 144.89 147.01 149.21
CLORIDRATO DE TRAMADOL;PARACETAMOL
541822120189406 CLORIDRATO DE TRAMADOL + PARACETAMOL (37,5 + 325) MG COM REV CT BL AL PLAS 24.22 27.99 29.93 30.14 30.35 30.78 31.23 31.69 32.16
(EMS S/A) PVC/PVDC TRANS X 10
19.01 21.96 23.49 23.65 23.82 24.15 24.51 24.87 25.24
28.52 32.97 35.25 35.49 35.74 36.25 36.78 37.32 37.88
38.03 43.94 46.99 47.32 47.66 48.33 49.03 49.75 50.50
57.03 65.91 70.47 70.97 71.47 72.49 73.53 74.62 75.73
114.08 131.83 140.97 141.95 142.96 145.00 147.09 149.26 151.48
552923040158403 COMBFIX (37,5 + 325,0) MG COM REV CT BL AL PLAS 28.43 32.85 35.13 35.38 35.63 36.13 36.66 37.20 37.75
22.31 25.78 27.57 27.76 27.96 28.35 28.77 29.19 29.62
44.61 51.55 55.13 55.51 55.90 56.70 57.52 58.37 59.24
aplicável o CAP.
Medicamentos
CLORIDRATO DE TRAMADOL;PARACETAMOL
66.92 77.33 82.69 83.27 83.86 85.05 86.29 87.55 88.86
(GERMED FARMACEUTICA LTDA) PVC/PVDC TRANS X 10
19.01 21.96 23.49 23.65 23.82 24.15 24.51 24.87 25.24
28.52 32.95 35.24 35.48 35.74 36.25 36.77 37.30 37.86
38.03 43.94 46.99 47.32 47.66 48.33 49.03 49.75 50.50
57.03 65.91 70.47 70.97 71.47 72.49 73.53 74.62 75.73
114.07 131.82 140.96 141.94 142.94 144.98 147.08 149.24 151.47
534204002113413 PARATRAM (37,5 + 325) MG COM CT BL AL PLAS PVC/PVDC 55.57 64.22 68.67 69.15 69.64 70.63 71.65 72.70 73.79
(ADIUM S.A.) TRANS X 20
43.61 50.39 53.89 54.26 54.65 55.42 56.22 57.05 57.90
534204001117415 PARATRAM (37,5 + 325) MG COM CT BL AL PLAS PVC/PVDC 34.73 40.13 42.92 43.22 43.52 44.14 44.78 45.44 46.12
27.25 31.49 33.68 33.92 34.15 34.64 35.14 35.66 36.19
CLORIDRATO DE TRAZODONA
508022090168504 SONIC 50 MG COM REV CT BL AL PLAS PVC/PVDC 120 3.48 3.95 4.19 4.22 4.24 4.30 4.35 4.41 4.46
2.73 3.10 3.29 3.31 3.33 3.38 3.41 3.46 3.50
32.82 37.30 39.55 39.78 40.03 40.52 41.03 41.55 42.08
5.47 6.21 6.59 6.63 6.67 6.75 6.83 6.92 7.02
32.82 37.30 39.55 39.78 40.03 40.52 41.03 41.55 42.08
501604701111318 DONAREN RETARD 150 MG COM LIB PROL CT BL AL PLAS OPC X 10 36.28 41.23 43.71 43.98 44.24 44.79 45.35 45.92 46.51
541823020190706 CLORIDRATO DE TRAZODONA 50 MG COM REV CT BL AL PLAS OPC X 10 7.86 8.93 9.47 9.53 9.59 9.70 9.83 9.95 10.08
(EMS S/A) 6.17 7.01 7.43 7.48 7.53 7.61 7.71 7.81 7.91
(EMS S/A) 12.34 14.01 14.86 14.95 15.04 15.23 15.42 15.62 15.81
(EMS S/A) 18.50 21.03 22.29 22.43 22.57 22.84 23.13 23.42 23.72
(EMS S/A) 24.67 28.04 29.72 29.91 30.09 30.45 30.84 31.23 31.63
(EMS S/A) 12.34 14.01 14.86 14.95 15.04 15.23 15.42 15.62 15.81
(EMS S/A) 24.68 28.05 29.73 29.91 30.09 30.47 30.85 31.24 31.64
(EMS S/A) 49.36 56.09 59.46 59.83 60.19 60.93 61.70 62.48 63.28
(EMS S/A) 74.03 84.12 89.19 89.73 90.28 91.39 92.54 93.71 94.91
aplicável o CAP.
Medicamentos
543823020072806 CLORIDRATO DE TRAZODONA 50 MG COM REV CT BL AL PLAS PVC TRANS X 5 3.93 4.47 4.73 4.76 4.79 4.85 4.91 4.97 5.04
543823020072306 CLORIDRATO DE TRAZODONA 50 MG COM REV CT BL AL PLAS PVC TRANS X 15.72 17.86 18.94 19.05 19.17 19.41 19.65 19.90 20.15
(ALTHAIA S.A INDÚSTRIA FARMACÊUTICA) 20
12.34 14.01 14.86 14.95 15.04 15.23 15.42 15.62 15.81
18.50 21.03 22.29 22.43 22.57 22.84 23.13 23.42 23.72
37.01 42.05 44.59 44.85 45.13 45.68 46.26 46.85 47.44
55.50 63.07 66.87 67.27 67.69 68.52 69.37 70.25 71.16
543823020073006 CLORIDRATO DE TRAZODONA 50 MG COM REV CT BL AL PLAS PVC/PVDC 60 3.93 4.47 4.73 4.76 4.79 4.85 4.91 4.97 5.04
(ALTHAIA S.A INDÚSTRIA FARMACÊUTICA) TRANS X 5
3.08 3.51 3.71 3.73 3.76 3.81 3.85 3.90 3.96
12.34 14.01 14.86 14.95 15.04 15.23 15.42 15.62 15.81
18.50 21.03 22.29 22.43 22.57 22.84 23.13 23.42 23.72
37.01 42.05 44.59 44.85 45.13 45.68 46.26 46.85 47.44
55.50 63.07 66.87 67.27 67.69 68.52 69.37 70.25 71.16
3.08 3.51 3.71 3.73 3.76 3.81 3.85 3.90 3.96
12.34 14.01 14.86 14.95 15.04 15.23 15.42 15.62 15.81
18.50 21.03 22.29 22.43 22.57 22.84 23.13 23.42 23.72
37.01 42.05 44.59 44.85 45.13 45.68 46.26 46.85 47.44
55.50 63.07 66.87 67.27 67.69 68.52 69.37 70.25 71.16
6.18 7.02 7.44 7.49 7.53 7.63 7.72 7.82 7.92
24.68 28.05 29.73 29.91 30.09 30.47 30.85 31.24 31.64
37.01 42.06 44.59 44.87 45.14 45.69 46.27 46.85 47.45
74.04 84.14 89.20 89.74 90.29 91.40 92.55 93.72 94.92
111.06 126.20 133.81 134.61 135.44 137.11 138.82 140.58 142.38
6.18 7.02 7.44 7.49 7.53 7.63 7.72 7.82 7.92
24.68 28.05 29.73 29.91 30.09 30.47 30.85 31.24 31.64
37.01 42.06 44.59 44.87 45.14 45.69 46.27 46.85 47.45
74.04 84.14 89.20 89.74 90.29 91.40 92.55 93.72 94.92
aplicável o CAP.
Medicamentos
111.06 126.20 133.81 134.61 135.44 137.11 138.82 140.58 142.38
6.42 7.30 7.74 7.79 7.83 7.93 8.03 8.12 8.23
24.73 28.11 29.80 29.98 30.16 30.53 30.92 31.31 31.71
37.01 42.06 44.59 44.87 45.14 45.69 46.27 46.85 47.45
74.04 84.14 89.20 89.74 90.29 91.40 92.55 93.72 94.92
111.06 126.20 133.81 134.61 135.44 137.11 138.82 140.58 142.38
CLORIDRATO DE TRIEXIFENIDIL
501604901119312 ARTANE 2 MG COM CT BL AL PLAS PVC TRANS X 30 8.89 10.10 10.71 10.78 10.84 10.98 11.11 11.25 11.40
501604902115310 ARTANE 5 MG COM CT BL AL PLAS PVC TRANS X 30 10.39

(APSEN FARMACEUTICA S/A) 8.15
C CAP
CLORIDRATO DE VALACICLOVIR
552920110134107 DAZEK 500 MG COM REV CT BL AL PLAS TRANS X 10 125.25 142.33 150.90 151.82 152.74 154.63 156.56 158.54 160.58
552920110134207 DAZEK 500 MG COM REV CT BL AL PLAS TRANS X 42 526.06 597.80 633.81 637.65 641.54 649.46 657.58 665.90 674.44
CLORIDRATO DE VANCOMICINA
520725502157116 CLORIDRATO DE VANCOMICINA 500 MG PO LIOF INJ CX 50 FA VD TRANS 1282.16 1457.00 1544.77 1554.13 1563.61 1582.91 1602.70 1622.99 1643.79
504422100074013 HICOVAN 500 MG PO SOL INJ CT 50 FA VD TRANS 1972.70 2241.71 2376.75 2391.15 2405.73 2435.43 2465.88 2497.09 2529.10
504422100074113 HICOVAN 500 MG PO SOL INJ CT 50 FA VD TRANS + 50 1972.70 2241.71 2376.75 2391.15 2405.73 2435.43 2465.88 2497.09 2529.10
(BLAU FARMACÊUTICA S.A.) AMP DIL X 10 ML
1547.98 1759.07 1865.04 1876.34 1887.78 1911.08 1934.98 1959.47 1984.58
(BLAU FARMACÊUTICA S.A.) BOLS PP TRANS SIST FECH X 100 ML +
309.60 351.81 373.01 375.27 377.56 382.22 387.00 391.90 396.92
CONECTOR
(BLAU FARMACÊUTICA S.A.) BOLS PVC TRANS SIST FECH X 100 ML +
309.60 351.81 373.01 375.27 377.56 382.22 387.00 391.90 396.92
CONECTOR
501300603150317 VANCOCINA CP 500 MG PO SOL INJ CX 25 FA VD TRANS 986.82 1121.39 1188.94 1196.15 1203.44 1218.30 1233.53 1249.14 1265.15
501300604157412 VANCOCINA CP 500 MG PO SOL INJ INFUS IV CT FA VD TRANS + 39.44 44.82 47.52 47.81 48.10 48.69 49.30 49.92 50.56
30.95 35.17 37.29 37.52 37.74 38.21 38.69 39.17 39.67
501302702156115 CLORIDRATO DE VANCOMICINA 500 MG PO SOL INJ CX 25 FA VD TRANS 641.09 728.51 772.40 777.08 781.82 791.47 801.36 811.51 821.91
CLORIDRATO DE VENLAFAXINA
508021020138503 VENLAXIN XR 75 MG CAP DURA LIB PROL CT BL AL PLAS 114.16 129.73 137.54 138.38 139.22 140.94 142.70 144.51 146.36
89.58 101.80 107.93 108.59 109.25 110.60 111.98 113.40 114.85
508021020138603 VENLAXIN XR 150 MG CAP DURA LIB PROL CT BL AL PLAS 154.32 175.36 185.93 187.05 188.20 190.52 192.90 195.34 197.85
121.09 137.60 145.90 146.78 147.68 149.50 151.37 153.28 155.25
552820050064617 EFEXOR 75 MG CAP DURA LIB PROL CT BL AL PLAS 57.41 65.24 69.17 69.59 70.01 70.88 71.76 72.67 73.60
(LABORATÓRIOS PFIZER LTDA) TRANS X 7
45.05 51.19 54.28 54.61 54.94 55.62 56.31 57.02 57.75
90.07 102.35 108.52 109.18 109.84 111.19 112.59 114.01 115.47
aplicável o CAP.
Medicamentos
63.89 72.60 76.98 77.44 77.91 78.88 79.87 80.87 81.91
127.75 145.17 153.91 154.84 155.80 157.72 159.69 161.71 163.78
552820050065017 EFEXOR 37,5 MG CAP DURA LIB PROL CT BL AL PLAS 24.50 27.84 29.52 29.70 29.88 30.25 30.63 31.01 31.41
19.23 21.85 23.16 23.31 23.45 23.74 24.04 24.33 24.65
38.48 43.73 46.36 46.64 46.92 47.51 48.10 48.72 49.33
(LABORATÓRIOS PFIZER LTDA) TRANS X30
82.46 93.71 99.35 99.95 100.57 101.81 103.08 104.39 105.72
(LABORATÓRIOS PFIZER LTDA) TRANS X30
192.99 219.31 232.51 233.93 235.36 238.26 241.24 244.29 247.42
273.76 311.09 329.83 331.83 333.85 337.97 342.20 346.53 350.97
507739301119119 CLORIDRATO DE VENLAFAXINA 150 MG CAP DURA LIB PROL CT BL AL PLAS 123.87 140.76 149.24 150.15 151.06 152.93 154.84 156.80 158.81
(EMS S/A) OPC X 14
97.20 110.45 117.11 117.82 118.54 120.01 121.50 123.04 124.62
(EMS S/A) OPC X 30
194.42 220.93 234.24 235.66 237.10 240.02 243.02 246.10 249.25
541820110152507 CLORIDRATO DE VENLAFAXINA 75 MG CAP DURA LIB PROL CT BL AL PLAS OPC 93.64 106.41 112.82 113.50 114.20 115.60 117.05 118.53 120.05
(EMS S/A) X 15
73.48 83.50 88.53 89.06 89.61 90.71 91.85 93.01 94.20
532716050022806 CLORIDRATO DE VENLAFAXINA 150 MG CAP DURA LIB PROL CT BL AL AL X 30 235.98 268.16 284.31 286.04 287.78 291.33 294.98 298.71 302.54
607023020083917 CLORIDRATO DE VENLAFAXINA 37,5 MG CAP DURA LIB PROL CT BL AL PLAS 79.97 90.88 96.35 96.93 97.52 98.73 99.96 101.23 102.53
(MULTILAB INDUSTRIA E COMERCIO DE PRODUTOS FARMACEUTICOS OPC X 30
62.75 71.31 75.61 76.06 76.52 77.47 78.44 79.44 80.46
607023020084017 CLORIDRATO DE VENLAFAXINA 75 MG CAP DURA LIB PROL CT BL AL PLAS OPC 187.23 212.76 225.58 226.95 228.33 231.15 234.04 237.00 240.04
146.92 166.95 177.01 178.09 179.17 181.38 183.65 185.97 188.36
(MULTILAB INDUSTRIA E COMERCIO DE PRODUTOS FARMACEUTICOS OPC X 30
208.38 236.80 251.06 252.59 254.12 257.26 260.48 263.78 267.16
529916004112113 CLORIDRATO DE VENLAFAXINA 37,5 MG COM CT BL AL AL X 28 29.62 33.66 35.69 35.90 36.12 36.57 37.03 37.49 37.97
529916014118114 CLORIDRATO DE VENLAFAXINA 75 MG COM CT BL AL AL X 28 59.26 67.34 71.40 71.83 72.27 73.16 74.08 75.01 75.97
529918110061007 CLORIDRATO DE VENLAFAXINA 75 MG COM CT BL AL AL X 60 127.03 144.35 153.05 153.98 154.91 156.83 158.79 160.80 162.86
529920100068207 CLORIDRATO DE VENLAFAXINA 37,5 MG COM LIB PROL CT BL AL AL X 30 47.80 54.32 57.59 57.94 58.29 59.01 59.75 60.51 61.28
529920100068307 CLORIDRATO DE VENLAFAXINA 75 MG COM LIB PROL CT BL AL AL X 30 98.69 112.15 118.90 119.62 120.35 121.84 123.36 124.92 126.53
529920100068407 CLORIDRATO DE VENLAFAXINA 150 MG COM LIB PROL CT BL AL AL X 30 159.12 180.82 191.71 192.87 194.05 196.44 198.90 201.42 204.00
531623602115412 VENFORIN 150 MG CAP DURA LIB PROL CT BL AL PLAS 246.07 279.63 296.47 298.27 300.09 303.79 307.59 311.48 315.47
(EMS SIGMA PHARMA LTDA) OPC X 30
193.09 219.43 232.64 234.05 235.48 238.38 241.37 244.42 247.55
531623603111410 VENFORIN 75 MG CAP DURA LIB PROL CT BL AL PLAS OPC 144.10 163.75 173.61 174.67 175.73 177.90 180.13 182.41 184.74
(EMS SIGMA PHARMA LTDA) X 30
113.08 128.49 136.23 137.06 137.89 139.60 141.35 143.14 144.96
525068604111413 ALENTHUS XR 75 MG CAP GEL DURA LIB CONTROL CT BL AL 52.56 59.73 63.33 63.71 64.10 64.89 65.70 66.53 67.38
(SANOFI MEDLEY FARMACÊUTICA LTDA.) PLAS TRANS X 15
41.24 46.87 49.70 49.99 50.30 50.92 51.55 52.21 52.87
53.11 60.35 63.98 64.38 64.77 65.57 66.39 67.23 68.09
64.40 73.18 77.59 78.06 78.54 79.51 80.50 81.52 82.57
aplicável o CAP.
Medicamentos
62.42 70.94 75.21 75.66 76.12 77.07 78.03 79.02 80.03
525068606114411 ALENTHUS XR 37,5 MG CAP GEL DURA LIB CONTROL CT BL AL 24.02 27.30 28.94 29.12 29.29 29.65 30.03 30.41 30.79
18.85 21.42 22.71 22.85 22.98 23.27 23.57 23.86 24.16
525068607110418 ALENTHUS XR 37,5 MG CAP GEL DURA LIB CONTROL CT BL AL 33.56 38.14 40.43 40.68 40.93 41.43 41.95 42.48 43.03
26.33 29.93 31.73 31.92 32.12 32.51 32.92 33.33 33.77
525068502114111 CLORIDRATO DE VENLAFAXINA 75 MG CAP GEL DURA LIB CONTROL CT BL AL 60.88 69.18 73.35 73.79 74.24 75.16 76.10 77.06 78.05
47.77 54.29 57.56 57.90 58.26 58.98 59.72 60.47 61.25
97.20 110.45 117.11 117.82 118.54 120.01 121.50 123.04 124.62
82.61 93.87 99.52 100.13 100.74 101.98 103.26 104.56 105.90
525068506111117 CLORIDRATO DE VENLAFAXINA 37,5 MG CAP GEL DURA LIB CONTROL CT BL AL 33.58 38.16 40.46 40.70 40.95 41.46 41.98 42.51 43.05
26.35 29.94 31.75 31.94 32.13 32.53 32.94 33.36 33.78
CLORIDRATO DE VERAPAMIL
530807803115113 CLORIDRATO DE VERAPAMIL 80 MG COM REV CX BL AL PLAS AMB X 500 235.49 267.60 283.72 285.44 287.18 290.73 294.36 298.09 301.91
(SANVAL COMÉRCIO E INDÚSTRIA LTDA) (EMB HOSP)
184.79 209.99 222.64 223.98 225.35 228.14 230.98 233.91 236.91
528528803117119 CLORIDRATO DE VERAPAMIL 80MG COM REV CT BL AL PLAS OPC X 800 313.17 355.88 377.31 379.60 381.91 386.63 391.46 396.42 401.50
531610001118113 CLORIDRATO DE VERAPAMIL 80 MG COM REV CT BL AL PLAS PVDC OPC X 30 19.86 22.57 23.93 24.07 24.22 24.52 24.83 25.14 25.46
CLORIDRATO DE ZIPRASIDONA
552820050066817 GEODON 40 MG CAP DURA CT BL AL AL X 14 148.24
C CAP

C CAP

C CAP

C CAP
CLORTALIDONA
533502002113410 CLORDILON 50 MG COM CT BL AL PLAS TRANS X 28 11.62 13.20 14.00 14.08 14.17 14.35 14.53 14.71 14.90
533523030033603 CLORDILON 50 MG COM CT BL AL PLAS TRANS X 30 11.47 13.03 13.82 13.90 13.99 14.16 14.34 14.52 14.71
526102603117115 CLORTALIDONA 50 MG COM CT BL AL PLAS TRANS X 30 15.59 17.72 18.78 18.90 19.01 19.25 19.49 19.73 19.99
CLOTRIMAZOL
520725601163114 CLOTRIMAZOL 10 MG/G CREM DERM CT BG AL X 50 G 12.28 14.19 15.17 15.28 15.39 15.61 15.83 16.07 16.31
Liberado
Liberado
503402401162415 DERMOTRIZOL 10 MG/G CREM DERM CT BG AL X 20 G 14.11 16.31 17.44 17.56 17.68 17.93 18.19 18.46 18.74
(BELFAR LTDA) 11.07 12.80 13.69 13.78 13.87 14.07 14.27 14.49 14.71
Liberado
503402402177416 DERMOTRIZOL 10 MG/ML SOL TOP CT FR VD AMB SPRAY X 20 27.88 32.22 34.45 34.69 34.94 35.44 35.95 36.48 37.02
(BELFAR LTDA) ML
21.88 25.28 27.03 27.22 27.42 27.81 28.21 28.63 29.05
Liberado
506302201166417 CLOMAZOL 10MG/G CREM DER CT BG AL X 50 G 18.26 21.10 22.56 22.72 22.88 23.21 23.54 23.89 24.25
Liberado
aplicável o CAP.
Medicamentos
CLOTRIMAZOL
528523405164116 CLOTRIMAZOL 10 MG/G CREM DERM CX 100 BG AL X 20 G 613.02 708.40 757.53 762.82 768.18 779.14 790.42 802.03 813.99
528523411164114 CLOTRIMAZOL 20 MG/G CREM VAG CT BG AL X 20 G + 3 APLIC 35.52 41.05 43.89 44.20 44.51 45.15 45.80 46.47 47.16
541200201165419 CLOTRIMIX 10 MG/G CR VG CT BG AL X 60 G + 6 APLIC 1.80 2.08 2.22 2.24 2.26 2.29 2.32 2.35 2.39
538813501163415 DERMOBENE 10 MG/G CREM CT BG AL X 20 G 14.17 16.37 17.51 17.63 17.76 18.01 18.27 18.54 18.82
Liberado
538813502178416 DERMOBENE 10 MG/ML SOL TOP CT FR PLAS OPC GOT X 20 18.27 21.11 22.58 22.73 22.89 23.22 23.56 23.90 24.26
14.34 16.57 17.72 17.84 17.96 18.22 18.49 18.75 19.04
Liberado
Liberado
Liberado
Liberado
CLOTRIMAZOL;ACETATO DE DEXAMETASONA
528523102161110 CLOTRIMAZOL + ACETATO DE DEXAMETASONA 10 MG/G + 0,4 MG/G CREM DERM CT BG AL X 19.18 22.16 23.70 23.87 24.03 24.38 24.73 25.09 25.47
(PRATI DONADUZZI & CIA LTDA) 40G
15.05 17.39 18.60 18.73 18.86 19.13 19.41 19.69 19.99
525004201164113 CLOTRIMAZOL + ACETATO DE DEXAMETASONA 10 MG/G + 0,4 MG/G CREM DERM CT BG AL X 40 19.23 22.22 23.76 23.93 24.10 24.44 24.79 25.16 25.53
(SANOFI MEDLEY FARMACÊUTICA LTDA.) G
15.09 17.44 18.64 18.78 18.91 19.18 19.45 19.74 20.03
CLOZAPINA
517023050005906 CLOZAPINA 100 MG COM CT BL AL PLAS TRANS X 30 135.55
(LABORATORIO FARMACEUTICO DO ESTADO DE PERNAMBUCO 106.37 120.87 128.15 128.93 129.71 131.32 132.96 134.64 136.36
C CAP ICMS0%
COALTAR
522613100007403 TARFLEX 40 MG/ML XAMP FR PET AMB X 200 ML 45.75 52.87 56.53 56.93 57.33 58.15 58.99 59.86 60.75
(LABORATÓRIOS STIEFEL LTDA) 35.90 41.49 44.36 44.67 44.99 45.63 46.29 46.97 47.67
Liberado
COLCHICINA
510802101118414 COLCHIN 0,5 MG COM CT 2 ENV KRAFT X 10 13.02 14.80 15.69 15.78 15.88 16.07 16.28 16.48 16.69
COLECALCIFEROL
504920010011007 DEFULL 1000 UI COMP REV CT BL AL PLAS OPC X 30 21.37 24.69 26.41 26.59 26.78 27.16 27.55 27.96 28.38
(BRASTERAPICA INDUSTRIA FARMACEUTICA LTDA) (EMB HOSP)
81.18 93.81 100.32 101.01 101.72 103.17 104.67 106.21 107.79
(BRASTERAPICA INDUSTRIA FARMACEUTICA LTDA) (EMB HOSP)
182.62 211.03 225.66 227.24 228.83 232.11 235.47 238.93 242.48
508019070126703 ALTAD CAPS 1000 UI CAP MOLE BL AL PLAS TRANS X 10 6.76 7.81 8.35 8.41 8.47 8.59 8.72 8.84 8.98
aplicável o CAP.
Medicamentos
COLECALCIFEROL
508019070126503 ALTAD CAPS 15000 UI CAP MOLE BL AL PLAS PVC/PVDC 33.46 38.67 41.35 41.64 41.93 42.53 43.14 43.78 44.43
26.26 30.34 32.45 32.68 32.90 33.37 33.85 34.35 34.86
61.27 70.80 75.72 76.24 76.77 77.87 79.00 80.16 81.36
59.12 68.32 73.06 73.57 74.08 75.14 76.23 77.35 78.50
508022110170003 OHDE CAPS 7000 UI CAP MOLE CT BL AL PLAS PVDC TRANS 58.06 67.09 71.75 72.25 72.76 73.79 74.86 75.96 77.09
(EUROFARMA LABORATÓRIOS S.A.) X 30
45.56 52.65 56.30 56.70 57.10 57.90 58.74 59.61 60.49
508022110170103 OHDE CAPS 15000 UI CAP MOLE CT BL AL PLAS PVC/PVDC 78.08 90.23 96.49 97.16 97.84 99.24 100.68 102.15 103.68
61.27 70.80 75.72 76.24 76.77 77.87 79.00 80.16 81.36
508022120171403 VITAMINA D3 7000 UI CAP MOLE BL AL PLAS TRANS X 4 10.33 11.94 12.77 12.85 12.94 13.13 13.32 13.52 13.72
508022120171503 VITAMINA D3 7000 UI CAP MOLE BL AL PLAS TRANS X 10 19.35 22.36 23.91 24.08 24.25 24.59 24.95 25.32 25.69
508022120171603 VITAMINA D3 15000 UI CAP MOLE BL AL PLAS PVC/PVDC 32.35 37.38 39.98 40.26 40.54 41.12 41.71 42.32 42.96
25.39 29.33 31.37 31.59 31.81 32.27 32.73 33.21 33.71
61.27 70.80 75.72 76.24 76.77 77.87 79.00 80.16 81.36
55.58 64.23 68.68 69.16 69.65 70.64 71.67 72.72 73.80
121.89 140.85 150.62 151.68 152.74 154.91 157.16 159.47 161.84
104.51 120.77 129.14 130.04 130.96 132.83 134.75 136.73 138.77
501620030023607 INPRUV D 5000 UI COM MAST CT BL AL PLAS PVC/PVDC 36.59 42.28 45.22 45.53 45.85 46.51 47.18 47.87 48.59
28.71 33.18 35.48 35.73 35.98 36.50 37.02 37.56 38.13
86.16 99.56 106.47 107.21 107.97 109.50 111.10 112.72 114.41
44.43 51.34 54.91 55.29 55.67 56.47 57.29 58.13 58.99
133.31 154.05 164.74 165.88 167.05 169.44 171.89 174.41 177.02
74.28 85.84 91.79 92.43 93.08 94.41 95.77 97.19 98.63
222.87 257.55 275.41 277.33 279.28 283.27 287.36 291.59 295.93
501620030024007 INPRUV D 50000 UI COM REV CT BL AL PLAS PVC/PVDC 161.36 186.47 199.40 200.79 202.20 205.09 208.06 211.11 214.26
126.62 146.32 156.47 157.56 158.67 160.93 163.27 165.66 168.13
541820020119107 VIDYN D3 7000 UI COM REV CT BL AL AL X 4 29.50 34.09 36.45 36.71 36.97 37.49 38.04 38.60 39.17
(EMS S/A) 23.15 26.75 28.60 28.81 29.01 29.42 29.85 30.29 30.74
(EMS S/A) 162.37 187.63 200.65 202.04 203.46 206.37 209.36 212.43 215.60
(EMS S/A) 8.48 9.80 10.48 10.55 10.63 10.78 10.94 11.09 11.26
aplicável o CAP.
Medicamentos
COLECALCIFEROL
(EMS S/A) 25.42 29.38 31.42 31.64 31.86 32.31 32.79 33.26 33.76
(EMS S/A) 50.86 58.77 62.85 63.29 63.72 64.64 65.58 66.53 67.53
(EMS S/A) 57.88 66.89 71.53 72.02 72.53 73.57 74.63 75.72 76.85
(EMS S/A) 173.63 200.65 214.56 216.06 217.58 220.68 223.87 227.16 230.55
(EMS S/A) 347.25 401.27 429.10 432.09 435.14 441.35 447.73 454.31 461.09
(EMS S/A) 405.94 469.10 501.64 505.13 508.69 515.95 523.42 531.11 539.03
541820020120007 VIDYN D3 50000 UI COM REV CT BL AL AL X10 1551.98 1793.45 1917.83 1931.22 1944.80 1972.55 2001.11 2030.51 2060.78
(EMS S/A) 1217.84 1407.32 1504.92 1515.43 1526.08 1547.86 1570.27 1593.34 1617.09
(EMS S/A) 2435.70 2814.66 3009.87 3030.89 3052.20 3095.76 3140.57 3186.71 3234.22
509021080026404 DEMI-D 1000 UI COM REV CT BL AL PLAS TRANS X 10 10.60 12.25 13.10 13.19 13.28 13.47 13.67 13.87 14.08
(FARMOQUÍMICA S/A) 8.32 9.61 10.28 10.35 10.42 10.57 10.73 10.88 11.05
509021080026104 DEMI-D 7000 UI COM REV CT BL AL PLANS TRANS X 4 29.66 34.27 36.65 36.91 37.17 37.70 38.24 38.81 39.38
(FARMOQUÍMICA S/A) 23.27 26.89 28.76 28.96 29.17 29.58 30.01 30.46 30.90
509021080026204 DEMI-D 7000 UI COM REV CT BL AL PALNS TRANS X 8 59.33 68.56 73.32 73.83 74.35 75.41 76.50 77.62 78.78
(FARMOQUÍMICA S/A) 46.56 53.80 57.53 57.93 58.34 59.17 60.03 60.91 61.82
533023010083903 D3CAPS 10000 UI CAP MOLE CT BL AL PLAS PVC/PVDC 22.01 25.43 27.20 27.39 27.58 27.97 28.38 28.80 29.23
17.27 19.95 21.34 21.49 21.64 21.95 22.27 22.60 22.94
533023010084003 D3CAPS 10000 UI CAP MOLE CT BL AL PLAS PVC/PVDC 44.02 50.87 54.40 54.78 55.16 55.95 56.76 57.59 58.45
34.54 39.92 42.69 42.99 43.28 43.90 44.54 45.19 45.87
533022100082803 FONT D 5.000 UI COM REV CT BL AL PLAS PVC TRANS X 54.85 63.38 67.78 68.25 68.73 69.71 70.72 71.76 72.83
43.04 49.73 53.19 53.56 53.93 54.70 55.49 56.31 57.15
24.62 28.45 30.41 30.64 30.85 31.29 31.74 32.20 32.68
61.55 71.13 76.06 76.60 77.13 78.24 79.36 80.53 81.74
533022100082103 VITAMINA D3 5.000 UI COM REV CT BL AL PLAS PVC TRANS X 54.85 63.38 67.78 68.25 68.73 69.71 70.72 71.76 72.83
43.04 49.73 53.19 53.56 53.93 54.70 55.49 56.31 57.15
24.62 28.45 30.41 30.64 30.85 31.29 31.74 32.20 32.68
61.55 71.13 76.06 76.60 77.13 78.24 79.36 80.53 81.74
552920020108007 SANY D 1000 UI COM REV CT BL AL PLAS OPC X 60 65.10 75.23 80.45 81.01 81.58 82.74 83.94 85.17 86.44
aplicável o CAP.
Medicamentos
COLECALCIFEROL
552922110153003 SANY D 4000 UI COM REV CT BL AL PLAS PVDC OPC X 114.21 131.98 141.13 142.12 143.12 145.16 147.26 149.42 151.65
89.62 103.56 110.74 111.52 112.31 113.91 115.55 117.25 119.00
504122090081103 VITAMINA D3 15000 UI CAP MOLE CT BL AL PLAS PVC/PVDC 60.27 69.65 74.48 75.00 75.52 76.60 77.71 78.85 80.03
(BIOLAB SANUS FARMACÊUTICA LTDA) TRANS X 4
47.29 54.65 58.44 58.85 59.26 60.11 60.98 61.87 62.80
575221010007103 DPREV 14000 UI COM REV CT BL AL PLAS PVDC OPC X 12.81 14.80 15.83 15.94 16.05 16.28 16.52 16.76 17.01
(MYRALIS INDÚSTRIA FARMACÊUTICA LTDA) 2
10.05 11.61 12.42 12.51 12.59 12.77 12.96 13.15 13.35
20.10 23.23 24.84 25.02 25.19 25.55 25.92 26.30 26.70
40.22 46.47 49.70 50.04 50.39 51.12 51.85 52.61 53.40
60.34 69.72 74.56 75.08 75.61 76.69 77.79 78.94 80.12
80.45 92.96 99.41 100.10 100.81 102.25 103.73 105.25 106.82
120.68 139.46 149.12 150.17 151.23 153.39 155.61 157.89 160.24
575221010007403 DPREV 100000 UI COM REV CT BL AL PLAS PVDC OPC 91.53 105.77 113.11 113.90 114.70 116.33 118.02 119.75 121.54
(MYRALIS INDÚSTRIA FARMACÊUTICA LTDA) X2
71.82 83.00 88.76 89.38 90.01 91.28 92.61 93.97 95.37
575221010007803 DPREV 100000 UI COM REV CT BL AL PLAS PVDC OPC 183.07 211.55 226.22 227.80 229.41 232.68 236.05 239.52 243.09
(MYRALIS INDÚSTRIA FARMACÊUTICA LTDA) X4
143.66 166.00 177.51 178.75 180.02 182.58 185.23 187.95 190.75
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
294.26 334.39 354.54 356.69 358.86 363.28 367.83 372.48 377.26
Dec. Judicial (8)
510416020117606 ATORVASTATINA CÁLCICA 20 MG COM REV CT BL AL AL X 500 (EMB HOSP) 934.16
Dec. Judicial (3) C CAP
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
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)
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
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
aplicável o CAP.
Medicamentos
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)
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)
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)
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)
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)
INFLIXIMABE
545116050000007 REMSIMA 10 MG/ML PO LIOF CT FA VD INC X 10 ML 4311.81
(CELLTRION HEALTHCARE DISTRIBUICAO DE PRODUTOS 3383.48
TRASTUZUMABE
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

(SANDOZ DO BRASIL INDÚSTRIA FARMACÊUTICA LTDA) 6761.76
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
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
aplicável o CAP.
Medicamentos
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
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
ABROCITINIBE
522723100092502 CIBINQO 50 MG COM REV CT FR PLAS PEAD OPC X 30 2287.98 2643.96 2827.32 2847.07 2867.09 2908.00 2950.10 2993.44 3038.07
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
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
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
aplicável o CAP.
Medicamentos
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
(LABORATÓRIO FARMACÊUTICO ELOFAR LTDA) 13.34 15.16 16.07 16.17 16.27 16.47 16.67 16.89 17.10
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
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
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
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
(ACHÉ LABORATÓRIOS FARMACÊUTICOS S.A) 10 ML
10.95 12.44 13.19 13.27 13.35 13.51 13.69 13.86 14.03
(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
aplicável o CAP.
Medicamentos
ACEBROFILINA
(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
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
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
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
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
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
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
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
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
aplicável o CAP.
Medicamentos
ACECLOFENACO
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
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
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
(SANDOZ DO BRASIL INDÚSTRIA FARMACÊUTICA LTDA) 5946.43 6871.63 7348.17 7399.50 7451.54 7557.87 7667.28 7779.91 7895.90
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
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
C CAP
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
aplicável o CAP.
Medicamentos
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
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
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
(MERCK SHARP & DOHME FARMACEUTICA LTDA.) 2806.50 3189.20 3381.32 3401.81 3422.56 3464.81 3508.12 3552.52 3598.07
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
(MERCK SHARP & DOHME FARMACEUTICA LTDA.) 3615.35 4108.35 4355.84 4382.24 4408.96 4463.40 4519.19 4576.39 4635.06
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
519508101118111 ACETATO DE CIPROTERONA 50 MG COM CT BL AL PLAS TRANS X 20 85.17
(LABORATÓRIO QUÍMICO FARMACÊUTICO BERGAMO LTDA) 66.83
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
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
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
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
12.71 14.45 15.32 15.41 15.51 15.69 15.89 16.09 16.30
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
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
aplicável o CAP.
Medicamentos
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
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
41.24 46.87 49.70 49.99 50.30 50.92 51.55 52.21 52.87
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
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
(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
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
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
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
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
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
aplicável o CAP.
Medicamentos
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
(GERMED FARMACEUTICA LTDA) 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
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
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
28.97 32.92 34.90 35.12 35.33 35.77 36.21 36.67 37.14
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
aplicável o CAP.
Medicamentos
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
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 63
87.52 99.45 105.44 106.08 106.73 108.05 109.39 110.78 112.20
(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
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
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
aplicável o CAP.
Medicamentos
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
(FUNDAÇÃO PARA O REMÉDIO POPULAR - FURP) 241.83 274.80 291.36 293.12 294.91 298.55 302.29 306.11 310.03
ICMS0%
ACETATO DE DEXAMETASONA
(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
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
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
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
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
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
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
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 HIDROCORTISONA
aplicável o CAP.
Medicamentos
ACETATO DE HIDROCORTISONA
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
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 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 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
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
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
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
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

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
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
aplicável o CAP.
Medicamentos
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
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

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
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
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
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
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
(LIBBS FARMACÊUTICA LTDA) TRANS X 28
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
(LIBBS FARMACÊUTICA LTDA) TRANS X 84
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
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
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
aplicável o CAP.
Medicamentos
ACETATO DE OCTREOTIDA
5045.93
C CAP

6811.97
C CAP
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
(ALLERGAN PRODUTOS FARMACÊUTICOS LTDA) 25.60 29.58 31.63 31.85 32.08 32.53 33.00 33.49 33.98
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
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
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
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
(SANDOZ DO BRASIL INDÚSTRIA FARMACÊUTICA LTDA) 30
14.14 16.34 17.48 17.59 17.72 17.97 18.23 18.50 18.78
Liberado
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
25.46 29.43 31.47 31.69 31.91 32.36 32.83 33.32 33.81
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
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;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
(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
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
aplicável o CAP.
Medicamentos
10.26 11.85 12.67 12.76 12.85 13.03 13.22 13.42 13.61
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;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
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
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
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
(VOLPHARMA DISTRIBUIDORA DE PRODUTOS HOSPITALARES E 239.60 272.28 288.68 290.43 292.20 295.80 299.51 303.30 307.18
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
(VOLPHARMA DISTRIBUIDORA DE PRODUTOS HOSPITALARES E 2396.02 2722.75 2886.77 2904.26 2921.97 2958.04 2995.03 3032.94 3071.82
ACETATO DE TOCOFEROL;ÁCIDO FÓLICO
aplicável o CAP.
Medicamentos
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 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
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
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
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
aplicável o CAP.
Medicamentos
ACETILCISTEÍNA
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
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
aplicável o CAP.
Medicamentos
ACETILCISTEÍNA
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
Liberado
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
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
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
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
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
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
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
aplicável o CAP.
Medicamentos
ACETILCISTEÍNA
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
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
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
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
Liberado
Liberado
Liberado
Liberado
Liberado
Liberado
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
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
(UNIÃO QUÍMICA FARMACÊUTICA NACIONAL S/A) FLAC PLAS PP TRANS X 10ML
8.57 9.90 10.59 10.66 10.73 10.89 11.05 11.21 11.38
Liberado
aplicável o CAP.
Medicamentos
(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
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
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
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
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
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
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
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
(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
(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
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
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
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
aplicável o CAP.
Medicamentos
ACICLOVIR
(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) 134.67 153.03 162.25 163.23 164.23 166.26 168.34 170.47 172.66
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
(1FARMA INDUSTRIA FARMACEUTICA LTDA) 8.61 9.79 10.37 10.44 10.50 10.62 10.76 10.90 11.03
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
533019020068606 ACICLOVIR 200 MG COM CT BL AL PLAS PVC TRANS X 30 186.29 211.69 224.45 225.81 227.18 229.99 232.86 235.81 238.83
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
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
121.82 138.44 146.78 147.66 148.57 150.40 152.28 154.21 156.19
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
(KLEY HERTZ FARMACEUTICA S.A) 12.15 14.04 15.01 15.11 15.22 15.43 15.66 15.89 16.12
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
aplicável o CAP.
Medicamentos
ACICLOVIR
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
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
524715070013004 LFM-ACICLOVIR 200 MG COM CX BL AL PVC X 500 (EMB HOSP) 179.90 224.88 227.72 230.64
(LABORATÓRIO FARMACÊUTICO DA MARINHA) 141.17 160.42 170.08 171.11 172.16 174.28 176.46 178.69 180.98
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
aplicável o CAP.
Medicamentos
ACICLOVIR
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
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
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
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
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
(INDÚSTRIA FARMACÊUTICA MELCON DO BRASIL S.A.) 44.58 50.66 53.71 54.03 54.36 55.04 55.72 56.43 57.15
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
aplicável o CAP.
Medicamentos
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
(FRESENIUS KABI BRASIL LTDA) ML
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
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
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
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
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
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
aplicável o CAP.
Medicamentos
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
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.
106.49 123.06 131.59 132.51 133.45 135.35 137.31 139.32 141.40
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
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
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
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

6761.76
C CAP
aplicável o CAP.
Medicamentos
ADALIMUMABE
(ABBVIE FARMACÊUTICA LTDA.) TRANS X 0,8 ML + SIST APLIC PLAST (PEN) +
6761.76
C CAP ENV LEN ALCOOL.
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
509023100029503 BELPELE 1 MG/G GEL CT BG AL X 30 G 24.41 28.21 30.16 30.37 30.59 31.02 31.47 31.94 32.41
(FARMOQUÍMICA S/A) 19.15 22.14 23.67 23.83 24.00 24.34 24.69 25.06 25.43
(FARMOQUÍMICA S/A) 57.50 66.45 71.05 71.56 72.06 73.09 74.15 75.23 76.35
(FARMOQUÍMICA S/A) 19.15 22.13 23.66 23.82 24.00 24.33 24.69 25.05 25.42
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
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
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
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
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
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
aplicável o CAP.
Medicamentos
ADENOSINA
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
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
503420050018207 CASTANHA DA ÍNDIA 100 MG COM REV CT BL AL PLAS PVC TRANS X 24.01 27.75 29.67 29.88 30.09 30.52 30.96 31.41 31.88
(BELFAR LTDA) 30
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 PVC TRANS X 37.96 43.87 46.91 47.24 47.57 48.25 48.95 49.66 50.40
(BELFAR LTDA) 60
29.79 34.42 36.81 37.07 37.33 37.86 38.41 38.97 39.55
Liberado
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
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
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
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
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
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
Liberado
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
(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
214.17 247.49 264.66 266.50 268.37 272.20 276.14 280.20 284.38
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
537523100012006 AGOMELATINA 25 MG COM REV CT BL AL AL DESSEC X 28 102.01 117.88 126.06 126.94 127.83 129.65 131.53 133.46 135.45
aplicável o CAP.
Medicamentos
AGOMELATINA
537523100012106 AGOMELATINA 25 MG COM REV CT BL AL AL DESSEC X 56 177.40 205.00 219.22 220.75 222.30 225.47 228.74 232.10 235.56
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
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
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
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
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
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
541818070087606 ALBENDAZOL 400 MG COM MAST CT BL AL PLAS OPC X 1 7.02 7.98 8.46 8.51 8.56 8.67 8.78 8.89 9.00
(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
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
aplicável o CAP.
Medicamentos
ALBENDAZOL
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
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
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
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
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
aplicável o CAP.
Medicamentos
ALBUMINA HUMANA
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
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
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
C CAP
C CAP
C CAP
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
(EUROFARMA LABORATÓRIOS S.A.) 19.08
511516301117418 BONEPREV 70 MG COM REV CT BL AL AL X 4 11.79



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

541718070019406 ALENDRONATO DE SÓDIO 70 MG COM CT BL AL PLAS TRANS X 4 42.29

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

532902703110418 MINUSORB 70 MG COM CT BL AL PLAS TRANS X 4 55.29

552919120094817 ALENDRONATO DE SODIO 70 MG COM CT BL AL/AL X 4 102.81


(EMS S/A) 40.34

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

(LABORATÓRIO TEUTO BRASILEIRO S/A) 32.13
aplicável o CAP.
Medicamentos

520714060091306 ALENDRONATO DE SODIO 70 MG COM CT BL AL PVC TRANS X 4 40.94
(LABORATÓRIO TEUTO BRASILEIRO S/A) 32.13
517115050014004 OSTEOFAR 70 MG COM CT ENV AL E POLIET X 4 43.32

(LABORATÓRIO FARMACÊUTICO ELOFAR LTDA) 33.99
517115050014204 OSTEOFAR 70 MG COM CX ENV AL E POLIET X 300 1630.10

(LABORATÓRIO FARMACÊUTICO ELOFAR LTDA) 1279.14
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

510015030041206 ALENDRONATO DE SODIO 70 MG COM CT BL AL PLAS OPC X 12 308.38

ICMS0%
510015030041306 ALENDRONATO DE SODIO 70 MG COM CT BL AL PLAS OPC X 70 1799.21

ICMS0%
504613110018206 ALENDRONATO DE SÓDIO 70 MG COM CT BL AL PLAS TRANS X 4 102.82

(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA S.A) 80.68
540813100000404 OSTELOX 70 MG COM CT BL AL/AL X 4 21.84

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

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
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-ASFOTASE
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
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
aplicável o CAP.
Medicamentos
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
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
525522060023517 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
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
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
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
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
aplicável o CAP.
Medicamentos
ALFAEFMOROCTOCOGUE
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
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
32.41
C CAP

113.20
C CAP

64.81
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%
504417070063607 ERITROMAX 2000 UI PO LIOF INJ CX FA VD INC + DIL X 1 ML 119.36

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

C CAP

C CAP
504418050065906 ALFAEPOETINA 1000 UI/ML SOL INJ CT12 AMP VD TRANS X 1 591.94
464.50
C CAP

987.12
C CAP
aplicável o CAP.
Medicamentos
ALFAEPOETINA
1151.35
C CAP

1682.18
C CAP
ALFAEPTACOGUE ATIVADO
(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
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
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
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%
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
aplicável o CAP.
Medicamentos
ALFALONOCTOCOGUE
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
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
522720060088317 XYNTHA 250 UI PO LIOF SOL INJ IV CT FA VD TRANS + 797.05 905.74 960.30 966.12 972.01 984.01 996.31 1008.92 1021.86
(PFIZER BRASIL LTDA) SER PREENC DIL X 4ML + ADAP + CONJ INFUS +
625.45 710.73 753.55 758.11 762.74 772.15 781.80 791.70 801.85
2 LENÇOS + CURATIVO + GAZE
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
4899.83 5568.00 5903.41 5939.19 5975.40 6049.17 6124.79 6202.31 6281.84
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
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
2517.40 2860.69 3033.01 3051.40 3070.01 3107.91 3146.76 3186.59 3227.44
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%
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%
aplicável o CAP.
Medicamentos
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
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
2022.95 2298.81 2437.29 2452.06 2467.01 2497.46 2528.69 2560.70 2593.52
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
ALFATALIGLICERASE
541916040006504 BIO-MANGUINHOS ALFATALIGLICERASE 200 U PÓ LIOF INJ CT FA VD TRANS 1787.33
ICMS0%
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
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
ALOPURINOL
aplicável o CAP.
Medicamentos
ALOPURINOL
17.11 19.44 20.61 20.73 20.87 21.12 21.38 21.65 21.93
50.42 57.30 60.75 61.12 61.50 62.25 63.04 63.83 64.64
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
(NOVARTIS BIOCIENCIAS S.A) TRANS X 56
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
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
aplicável o CAP.
Medicamentos
ALPRAZOLAM
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
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
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
aplicável o CAP.
Medicamentos
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
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 20 ML + CANUL TRANS
819.68 931.45 987.57 993.56 999.61 1011.96 1024.61 1037.57 1050.87
ICMS0%
AMINAFTONA
521018010009603 CAPILAREMA 75 MG COM CT BL AL PLAS INC X 15 17.68 20.43 21.85 22.00 22.16 22.47 22.80 23.13 23.48
(LABORATÓRIOS BALDACCI LTDA) 13.87 16.03 17.15 17.26 17.39 17.63 17.89 18.15 18.43
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
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
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
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
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
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
(EUROFARMA LABORATÓRIOS S.A.) COP
15.29 17.37 18.42 18.53 18.65 18.87 19.11 19.35 19.59
aplicável o CAP.
Medicamentos
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
520717010107306 AMOXICILINA 500 MG CAP DURA CT BL AL PLAS PVDC TRANS 13.59 15.44 16.37 16.47 16.57 16.78 16.99 17.20 17.42
(LABORATÓRIO TEUTO BRASILEIRO S/A) X 15
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
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
508016070111506 AMOXICILINA 875 MG COM REV CT STR AL X 20 64.87 73.72 78.16 78.63 79.11 80.09 81.09 82.11 83.17
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
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
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
510612060048003 CLAVULIN (80 + 11,4) MG/ML PO SUS OR CT FR VD TRANS 221.06 251.20 266.34 267.95 269.59 272.91 276.33 279.82 283.41
(GLAXOSMITHKLINE BRASIL LTDA) X 140 ML + SER DOS
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
aplicável o CAP.
Medicamentos
(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
23.72 26.95 28.58 28.75 28.93 29.28 29.65 30.03 30.42
15.03 17.08 18.10 18.21 18.32 18.55 18.79 19.02 19.26
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
(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
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
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
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
aplicável o CAP.
Medicamentos
(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
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
(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
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
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
aplicável o CAP.
Medicamentos
(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
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
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
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
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

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) PVC/PVDC TRANS X 30
188.34 214.03 226.92 228.29 229.69 232.52 235.43 238.41 241.47
510602105111411 CLAVULIN 875 MG + 125 MG COM REV CT BL AL PLAS 255.85 290.74 308.25 310.12 312.01 315.86 319.81 323.86 328.01
(GLAXOSMITHKLINE BRASIL LTDA) PVC/PVDC TRANS X 20
200.77 228.14 241.88 243.35 244.83 247.85 250.95 254.13 257.39
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
aplicável o CAP.
Medicamentos

(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
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
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
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
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
(EUROFARMA LABORATÓRIOS S.A.) SER DOS
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
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
aplicável o CAP.
Medicamentos
AMPICILINA
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
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
263.75 299.72 317.77 319.70 321.65 325.62 329.69 333.87 338.14
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
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
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
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
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
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
aplicável o CAP.
Medicamentos
AMPICILINA SÓDICA
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
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
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
504423100086003 AROTHAZY 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
504423100086103 AROTHAZY 1 MG COM REV CT BL AL PLAS PVC TRANS X 5620.34 6386.75 6771.49 6812.53 6854.07 6938.69 7025.43 7114.36 7205.56
4410.28 5011.68 5313.59 5345.79 5378.39 5444.79 5512.86 5582.64 5654.20
504423100086203 AROTHAZY 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
441.02 501.16 531.35 534.58 537.83 544.47 551.28 558.26 565.42
504423100086303 AROTHAZY 1 MG COM REV CT BL AL PLAS PVDC/PVC 5620.34 6386.75 6771.49 6812.53 6854.07 6938.69 7025.43 7114.36 7205.56
4410.28 5011.68 5313.59 5345.79 5378.39 5444.79 5512.86 5582.64 5654.20
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

545318080003007 VACINA ADSORVIDA DIFTERIA E TÉTANO ADULTO (DT) SUSP INJ IM CT 20 FA VD TRANS X 5 ML 2704.37
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
ICMS0%
aplicável o CAP.
Medicamentos
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
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
ANTIMONIATO DE MEGLUMINA
576720020056217 GLUCANTIME 300 MG/ML SOL INJ CX 50 AMP VD TRANS X 5 375.28
294.48
ANTÍGENO DE SUPERFÍCIE DA HEPATITE B

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
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
aplicável o CAP.
Medicamentos
APIXABANA
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
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
(BRAINFARMA INDÚSTRIA QUÍMICA E FARMACÊUTICA 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
aplicável o CAP.
Medicamentos
APIXABANA
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
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
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
aplicável o CAP.
Medicamentos
APIXABANA
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
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
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
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
aplicável o CAP.
Medicamentos
ARIPIPRAZOL
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
541823110199503 ARPEJO 20 MG/ML SUS GOT OR CT ENVOL FR GOT PLAS 540.54 614.25 651.25 655.20 659.20 667.33 675.68 684.23 693.00
(EMS S/A) PEAD/PEBD OPC X 15 ML
424.16 482.00 511.04 514.14 517.28 523.65 530.21 536.92 543.80
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
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
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
aplicável o CAP.
Medicamentos
ARIPIPRAZOL
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
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
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
504618110072506 ARIPIPRAZOL 10 MG COM CT BL AL X AL X 10 141.95 161.31 171.02 172.06 173.11 175.25 177.44 179.68 181.99
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
ASCORBATO DE SÓDIO;CITRATO DE ZINCO TRI-HIDRATADO;COLECALCIFEROL

538921030033407 REDOXON TRIPLA AÇÃO CR 1000MG + 455UI + 10MG COM REV CT BL AL 35.45 40.79 43.52 43.81 44.11 44.72 45.34 45.62 45.91
27.82 32.01 34.15 34.38 34.61 35.09 35.58 35.80 36.03
Liberado
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
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
aplicável o CAP.
Medicamentos

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
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
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 PET 38.92 44.98 48.09 48.43 48.77 49.47 50.18 50.92 51.68
30.54 35.30 37.74 38.00 38.27 38.82 39.38 39.96 40.55
Liberado
576720040061417 TARGIFOR C 500MG + 500MG COM REV CT FR PLAS PET 65.70 75.92 81.19 81.75 82.33 83.50 84.71 85.96 87.24
51.55 59.57 63.71 64.15 64.60 65.52 66.47 67.45 68.46
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
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
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
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

(EMS S/A) 10.18
aplicável o CAP.
Medicamentos
ATENOLOL
(EMS S/A) 19.40
(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
(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
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

(1FARMA INDUSTRIA FARMACEUTICA LTDA) 4.20

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
504100102111411 ABLOK 25 MG COM CT BL AL PLAS TRANS X 30 13.45

aplicável o CAP.
Medicamentos
ATENOLOL
504100103116415 ABLOK 50 MG COM CT BL AL PLAS TRANS X 30 21.11 23.99 25.43 25.59 25.74 26.06 26.39 26.72 27.06



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

113.81


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
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

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
26.30 29.89 31.69 31.88 32.08 32.47 32.88 33.29 33.72
17.42 19.80 20.99 21.12 21.24 21.51 21.78 22.05 22.33
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
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
aplicável o CAP.
Medicamentos
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
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
552920010101417 ANGIPRESS CD 25 MG + 12,5 MG COM CT BL AL PLAS TRANS X 27.35 31.08 32.95 33.15 33.35 33.77 34.19 34.62 35.06
21.46 24.39 25.86 26.01 26.17 26.50 26.83 27.17 27.51
552920010101517 ANGIPRESS CD 25 MG + 12,5 MG COM CT BL AL P

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Câmara de Regulação do Mercado de Medicamentos- CMED

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521400203175318 DDAVP 0,1MG/ML SOL NAS CT FR VD AMB 2,5ML + 2 222.92

559123010009504 GLAMETIX 20 MG/ML SOL INJ SC CT 28 SER PREENC VD 5443.34

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ACETATO DE RACEALFATOCOFEROL;BETACAROTENO;SELÊNIO;COBRE;ÁCIDO ASCÓRBICO;ZINCO

ACETATO DE RETINOL;CLORIDRATO DE PIRIDOXINA;COLECALCIFEROL

ACETATO DE SÓDIO TRIIDRATADO

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

509520120028107 IDACIO 50 MG/ML SOL INJ SC CT 2 SER PREENC VD 3013.30

509520120028307 IDACIO 50 MG/ML SOL INJ SC CT 2 CAN APLIC X 0,8 ML 3013.30

569723010000507 HADLIMA 40 MG SOL INJ CT 1 SER PREENCH VD TRANS X 1173.48

569723010000807 HADLIMA 40 MG SOL INJ CT 1 SER PREENCH VD TRANS X 1173.48

569723010000607 HADLIMA 40 MG SOL INJ CT 2 SER PREENCH VD TRANS X 2346.96

569723010000707 HADLIMA 40 MG SOL INJ CT 2 SER PREENCH VD TRANS X 2346.96

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

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

543715110002403 HUMIRA 50 MG/ML SOL INJ CT 2 CX X 1 FA VD TRANS X 8617.00

543718020003203 HUMIRA 100 MG/ML SOL INJ CT 2 BL X SER PREENC VD 8617.00

543718020002703 HUMIRA 100 MG/ML SOL INJ CT 2 BL X SER PREENC VD 8617.00

543718020002803 HUMIRA 100 MG/ML SOL INJ CT 2 BL X SER PREENC VD 8617.00

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

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

ALENDRONATO DE SÓDIO TRI-HIDRATADO

526122302112119 ALENDRONATO DE SÓDIO 70 MG COM CT BL AL PLAS OPC X 4 105.17

607023020086417 ALENDRONATO DE SÓDIO 70 MG COM CT BL AL PLAS OPC X 4 41.79

607023020086517 ALENDRONATO DE SÓDIO 70 MG COM CT BL AL PLAS OPC X 12 125.35

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

531602806110416 OSTEOFORM 70 MG COM CT BL AL PLAS OPC X 8 87.82

538800402110419 BONAGRAN 70 MG COM CT BL AL PLAS OPC X 4 61.41

514500610152412 EPREX 3000 UI SOL INJ CT 6 SER PREENCHIDA X 0,3 594.15

514500611159410 EPREX 4000 UI SOL INJ CT 6 SER PREENCHIDA X 0,4 818.15

514500612155419 EPREX 10000 UI SOL INJ CT 6 SER PREENCHIDA X 1,0 2315.99

514500608158417 EPREX 1000 UI SOL INJ CT 6 SER PREENCHIDA X 0,5 255.29

514500609154415 EPREX 2000 UI SOL INJ CT 6 SER PREENCHIDA X 0,5 418.94

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

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

504401913151411 ERITROMAX 2000 UI/ML SOL INJ CX FA VD INC X 1 ML 127.63

504401914156415 ERITROMAX 2000 UI/ML SOL INJ CX 12 FA VD INC X 1 ML 1550.84

504401915152413 ERITROMAX 4000 UI/ML SOL INJ CX FA VD INC X 1 ML 216.95

504401916159411 ERITROMAX 4000 UI/ML SOL INJ CX 12 FA VD INC X 1 ML 2514.96

504401919158416 ERITROMAX 10000 UI/ML SOL INJ CX FA VD INC X 1 ML 570.48

504401920156413 ERITROMAX 10000 UI/ML SOL INJ CX 12 FA VD INC X 1 ML 5714.89

504401904150414 ERITROMAX 4000 UI/ML SOL INJ CT SER PRE-ENCH X 1 ML 216.05

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

504402004153415 ERITROMAX 3000 UI/ML SOL INJ CX FA VD INC X 1 ML 143.45

504402005151416 ERITROMAX 3000 UI/ML SOL INJ CX 12 FA VD INC X 1 ML 1721.63

504401947151412 ERITROMAX 10000 UI/ML SOL INJ CT 1 SER PREENCH X 1 ML 570.48

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

504412423159411 ALFAEPOETINA 2000 UI/ML SOL INJ CX 12 FA VD INC X 1 ML 1284.24

504412438156411 ALFAEPOETINA 4000 UI/ML SOL INJ CX FA VD INC X 1 ML 182.35

504412437151416 ALFAEPOETINA 4000 UI/ML SOL INJ CX 12 FA VD INC X 1 ML 2188.53

504412416152413 ALFAEPOETINA 10000 UI/ML SOL INJ CX FA VD INC X 1 ML 523.39

504412415156415 ALFAEPOETINA 10000 UI/ML SOL INJ CX 12 FA VD INC X 1 ML 5714.89

504412406157412 ALFAEPOETINA 1000 UI/ML SOL INJ CX FA VD INC X 1 ML 57.51

504412405150414 ALFAEPOETINA 1000 UI/ML SOL INJ CX 12 FA VD INC X 1 ML 604.31

504420110067507 ALFAEPOETINA 10000 UI/ML SOL INJ CT 12 AMP VD TRANS X 1 5614.84

504412443151414 ALFAEPOETINA 3000 UI/ML SOL INJ CX 1 FA VD INC X 1 ML 124.81