Vademecum

Formulario Terapéutico Ambulatorio - IAPOS 07/10/2019
A CARGO A CARGO
DROGA NOMBRE COMERCIAL LABORATORIO PRECIO REF
AFILIADO CRONICO
ACENOCUMAROL
Comprimidos 1 mg SINTROM 1 mg COM x 20 Nova Argentia 198,42 136,49 95,52
4 mg SINTROM 4 mg COM x 20 Nova Argentia 658,77 468,02 343,41
AZECAR 4 mg COM x 30 Bagó 859,32 542,57 327,91
ACETAZOLAMIDA
Comprimidos 250 mg ACETA 250 mg COM x 20 Novoplos 443,31 314,19 314,19
ACETIL CISTEINA
Comprimidos 200 mg ACEMUK 200 mg EFERV. TAB x 10 Investi 422,22 292,77 292,77
BRONCOLIUM 200 mg COM x 12 Temis-Lostalo 409,08 225,83 225,83
600 mg QURA MUK 600 mg COM x 10 Bernabo 389,51 241,96 241,96

DOSOMUK 600 mg COM x 10 Beta 402,75 254,54 254,54
ACC EXPECTORANTE 600 mg EFERV. COM x 10 Sandoz 405,68 260,59 260,59
BRONCOLIUM 600 mg EFERV. COM x 10 Temis-Lostalo 443,92 309,08 309,08
ACEMUK 600 mg EFERV. TAB x 10 Investi 475,51 340,93 340,93

QURA MUK 600 mg COM x 20 Bernabo 635,79 317,08 317,08

ACC EXPECTORANTE 600 mg EFERV. COM x 20 Sandoz 659,93 340,71 340,71
DOSOMUK 600 mg COM x 20 Beta 760,10 449,82 449,82
Líquido 2000 mg BRONCOLIUM JBE x 100 Temis-Lostalo 291,19 149,85 149,85

QURA MUK JBE x 100 Bernabo 326,67 190,44 190,44
TEMPOTANE 2% SUS x 100 Lazar 345,07 214,03 214,03
ACEMUK JBE x 100 Investi 391,79 272,27 272,27
TOFLUX JBE x 100 Casasco 394,59 274,03 274,03
Sobres 200 mg TOFLUX 200 mg SOB x 20 Casasco 847,07 592,26 592,26
600 mg CISTEFORT 600 mg SOB x 10 Fortbenton 425,03 278,51 278,51

TEMPOTANE 600 mg SOB x 10 Lazar 427,35 285,10 285,10
TOFLUX 600 mg SOB x 10 Casasco 474,77 340,73 340,73
ANTUSEL 600 mg SOB x 10 Gador 501,63 356,93 356,93
BALIMUC 600 mg SOB x 10 Baliarda 497,02 361,85 361,85
CISTEFORT 600 mg SOB x 20 Fortbenton 681,55 357,03 357,03

TEMPOTANE 600 mg SOB x 20 Lazar 719,59 394,28 394,28
TOFLUX 600 mg SOB x 20 Casasco 775,02 462,74 462,74
BALIMUC 600 mg SOB x 20 Baliarda 808,07 494,23 494,23
ANTUSEL 600 mg SOB x 20 Gador 814,58 522,90 522,90
ACETIL SALICÍLICO, ÁCIDO

Comprimidos 100 mg ASPIRINA PREVENT CUB.ENTERICA COM x 20 Bayer (PH) 115,80 84,07 84,07
ASPIRINA PREVENT CUB.ENTERICA COM x 50 Bayer (PH) 252,84 176,08 176,08
325 mg ASPIRINA PREVENT 325 CUB.ENTER COM x 30 Bayer (PH) 234,97 170,60 170,60
ASPIRINA PREVENT 325 CUB.ENTER COM x 60 Bayer (PH) 418,44 280,24 280,24
ACICLOVIR
Comprimidos 200 mg LISOVYR 200 CAP x 20 Elea - Phoenix 497,06 368,70 368,70
MAT: 100% en Plan Materno – INF. 100% en Plan Infantil
Página 1 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 200 mg
XICLOVIR 200 mg COM x 30 Lazar 540,31 327,72 327,72
400 mg POVIRAL 400 mg COM x 20 Roemmers 487,77 328,90 328,90

XICLOVIR 400 mg COM x 20 Lazar 505,33 348,27 348,27
ACERPES 400 mg COM x 20 Investi 532,79 381,10 381,10
LISOVYR 400 COM x 20 Elea - Phoenix 619,52 445,13 445,13
POVIRAL 400 mg COM x 40 Roemmers 915,23 581,98 581,98
800 mg XICLOVIR 800 mg COM x 20 Lazar 799,42 538,58 538,58

POVIRAL 800 mg COM x 20 Roemmers 822,02 570,06 570,06
VIROSTATIC 800 mg COM x 20 Cassara 931,17 677,78 677,78
ACERPES 800 mg COM x 20 Investi 977,54 700,88 700,88
LISOVYR 800 CAP x 20 Elea - Phoenix 989,26 710,79 710,79
POVIRAL 800 mg COM x 40 Roemmers 1.474,90 928,74 928,74

XICLOVIR 800 mg COM x 40 Lazar 1.506,73 961,27 961,27
LISOVYR 800 CAP x 40 Elea - Phoenix 1.689,16 1.184,45 1.184,45
Crema 5000 mg XICLOVIR 5% CRE x 5 Lazar 194,02 119,93 119,93

POVIRAL DERMICA 5% CRE x 5 Roemmers 218,70 151,24 151,24 INF
ACERPES 5% CRE x 5 Investi 235,60 168,92 168,92 INF
LISOVYR 5% CRE x 5 Elea - Phoenix 245,33 178,25 178,25 INF
ZOVIRAX 5% CRE x 10 GlaxoSmithKline 343,85 183,72 183,72 INF
Líquido 8000 mg XICLOVIR 8% SUS x 120 Lazar 583,29 398,15 398,15

LISOVYR 8% SUS x 120 Elea - Phoenix 708,93 509,37 509,37
POVIRAL 8% SUS x 125 Roemmers 587,86 392,42 392,42
Ungüento 5000 mg XICLOVIR 5% DERMICO UNG x 5 Lazar 188,50 134,93 134,93 INF
LISOVYR 5% UNG x 10 Elea - Phoenix 333,40 229,36 229,36 INF
ACITRETINA
Comprimidos 10 mg NEOTIGASON 10 mg CAP x 30 Sandoz 2.258,09 1.572,22 1.572,22
25 mg NEOTIGASON 25 mg CAP x 30 Sandoz 4.756,50 3.311,77 3.311,77
ALENDRONATO
Comprimidos 70 mg ALENDRONATO NORTHIA 70 mg COM x 4 Northia 171,80 34,36 34,36
ACTIMAX 70 mg COM x 4 Investi 142,61 34,98 34,98
OSEOTENK 70 mg COM x 4 Biotenk 216,36 43,27 43,27
ALENDRONATO 70 mg COM x 4 Lepetit 169,00 44,20 44,20
OSTEOFENE 70 mg COM x 4 Rontag 382,33 166,53 166,53
OSTEOMAR 70 mg COM x 4 Ferring 408,11 175,62 175,62
ALENATO 70 mg COM x 4 Investi 442,12 207,55 207,55
SILIDRAL 70 mg COM x 4 Spedrog Caillon 515,00 277,69 277,69
FINDECLIN 70 mg COM x 4 Finadiet 620,60 444,96 444,96
BREK 70 mg COM x 4 Trb-Pharma 637,00 451,30 451,30
ARENDAL 70 mg COM x 4 Teva argentina ( 686,79 489,91 489,91
MARVIL 70 mg COM x 4 Gador 756,01 537,93 537,93
REGENESIS 70 mg COM x 4 Elea - Phoenix 861,54 622,55 622,55
ACTIMAX 70 mg COM x 8 Investi 256,12 62,82 62,82

OSEOTENK 70 mg COM x 8 Biotenk 361,11 72,22 72,22
BREK 70 mg COM x 8 Trb-Pharma 770,00 421,20 421,20
ALENATO 70 mg COM x 8 Investi 797,83 463,04 463,04
Página 2 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 70 mg FINDECLIN 70 mg COM x 8 Finadiet 945,60 677,98 677,98
ALLOPURINOL
Comprimidos 100 mg ALLOPURINOL GADOR 100 mg COM x 30 Gador 177,17 125,90 125,90
ALLOPURINOL CRAVERI 100 mg COM x 30 Craveri 190,31 135,41 135,41
ALLOPURINOL GADOR 100 mg COM x 60 Gador 318,32 207,45 207,45

300 mg PURITENK 300 mg COM x 20 Biotenk 280,00 196,00 196,00

ALLOPURINOL HOUDE 300 mg COM x 30 Spedrog Caillon 246,81 103,30 103,30


COLPURIL A RETARD 300 MICROGRA CAP x 20 Nova Argentia 118,42 23,68 23,68
ALLOPURINOL CRAVERI RETARD 300 COM x 20 Craveri 418,51 297,78 297,78
ALLOPURINOL GADOR RETARD 300 mg COM x Gador 532,16 380,11 380,11

30
COLPURIL A RETARD 300 MICROGRA CAP x 50 Nova Argentia 613,95 332,95 332,95
ALLOPURINOL CRAVERI RETARD 300 COM x 50 Craveri 757,95 520,87 520,87
ALPRAZOLAM
Comprimidos 0,25 mg PLASEDAN 0.25 mg COM x 30 Eurofarma 20,16 4,03 4,03
PRINOX 0.25 mg-Andrómaco COM x 30 Eurofarma 86,02 57,13 57,13
TENSIUM 0.25 mg COM x 30 Baliarda 86,96 57,25 57,25
ALPLAX 0.25 mg COM x 30 Gador 88,32 59,15 59,15
PRINOX 0.25 mg COM x 30 Eurofarma 134,60 94,22 94,22

TRANQUINAL 0.25 mg COM x 50 Bagó 162,14 115,37 115,37
PLASEDAN 0.25 mg COM x 60 Eurofarma 32,89 6,58 6,58

0,5 mg TRANQUINAL 0.5 mg COM x 10 Bagó 75,51 53,73 53,73

CALMOL 0.5 mg COM x 30 Temis-Lostalo 36,90 9,08 9,08
ROSPAZ 0.50 mg COM x 30 Rospaw 132,00 79,17 79,17
AMZIAX 0.50 mg COM x 30 Soubeiran Chobet 156,60 103,70 103,70
ALPRAZOLAM DF 0.5 mg COM x 30 Denver Farma 157,18 110,03 110,03
XANAX 0.50 mg COM x 30 Pfizer 170,70 119,77 119,77
PTA 0.5 mg COM x 30 Sidus 176,62 125,36 125,36
ALPRAZOL 0.5 mg COM x 30 Casasco 178,27 128,58 128,58
EMERAL 0.5 mg COM x 30 Nova Argentia 182,74 131,55 131,55
Página 3 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 0,5 mg PRINOX 0.5 mg COM x 50 Eurofarma 251,00 162,53 162,53

EMERAL 0.5 mg COM x 50 Nova Argentia 304,64 219,35 219,35

ROSPAZ 0.50 mg COM x 60 Rospaw 274,11 172,34 172,34
AMZIAX 0.50 mg COM x 60 Soubeiran Chobet 287,55 174,64 174,64
PTA 0.5 mg COM x 60 Sidus 307,22 193,32 193,32
XANAX 0.50 mg COM x 60 Pfizer 324,32 218,56 218,56
ALPRAZOL 0.5 mg COM x 60 Casasco 327,71 222,10 222,10
ALPLAX XR 0.5 mg COM x 20 Gador 231,40 161,77 161,77
1 mg PLASEDAN 1 mg COM x 30 Eurofarma 56,23 11,25 11,25

CALMOL 1 mg COM x 30 Temis-Lostalo 56,69 13,94 13,94
ROSPAZ 1 mg COM x 30 Rospaw 211,43 125,75 125,75
PTA 1 mg COM x 30 Sidus 238,06 143,38 143,38
PRINOX 1 mg COM x 30 Eurofarma 242,29 156,62 156,62
PRINOX 1 mg-Andrómaco COM x 30 Eurofarma 242,29 156,62 156,62
AMZIAX 1 mg COM x 30 Soubeiran Chobet 248,03 161,96 161,96
XANAX 1 mg COM x 30 Pfizer 268,30 184,70 184,70
EMERAL 1 mg COM x 30 Nova Argentia 270,67 188,80 188,80
TENSIUM 1 mg COM x 30 Baliarda 272,79 191,37 191,37
ALPLAX 1 mg COM x 30 Gador 274,54 195,35 195,35
ALPRAZOL 1 mg COM x 30 Casasco 277,91 195,91 195,91
TRANQUINAL 1 mg COM x 30 Bagó 280,27 199,42 199,42

PLASEDAN 1 mg COM x 60 Eurofarma 101,85 20,37 20,37

PTA 1 mg COM x 60 Sidus 437,66 242,00 242,00
AMZIAX 1 mg COM x 60 Soubeiran Chobet 466,89 286,64 286,64
XANAX 1 mg COM x 60 Pfizer 499,23 322,78 322,78
ALPLAX XR 1 mg COM x 20 Gador 266,18 186,08 186,08
2 mg PLASEDAN 2 mg COM x 30 Eurofarma 79,57 15,91 15,91

CALMOL 2 mg COM x 30 Temis-Lostalo 91,13 22,41 22,41
Página 4 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 2 mg AMZIAX 2 mg COM x 30 Soubeiran Chobet 378,34 240,06 240,06

PTA 2 mg COM x 30 Sidus 391,56 248,08 248,08

PLASEDAN 2 mg COM x 60 Eurofarma 148,53 29,71 29,71

PTA 2 mg COM x 60 Sidus 668,09 361,46 361,46
TRANQUINAL 2 mg COM x 100 Bagó 1.389,71 957,73 957,73
ALPLAX XR 2 mg COM x 20 Gador 326,16 228,01 228,01
0,5 mg TENSIUM SL 0.5 mg COM x 30 Baliarda 196,39 93,51 93,51

TRANQUINAL 0.5 mg SUBLINGUAL COM x 30 Bagó 290,48 204,89 204,89
Gotas 1 mg TRANQUINAL 1MG/ML GTS x 30 Bagó 292,23 200,91 200,91
AMANTADINA
Comprimidos 100 mg VIROSOL 100 mg COM x 10 Elea - Phoenix 371,06 270,09 270,09
AMPAKINE 100 mg COM x 30 Rontag 744,26 409,97 409,97

ACTISON 100 mg COM x 30 Buxton 920,00 642,55 642,55
VIROSOL 100 mg COM x 30 Elea - Phoenix 974,43 696,72 696,72
AMPAKINE 100 mg COM x 60 Rontag 1.424,88 758,95 758,95

ACTISON 100 mg COM x 60 Buxton 1.734,00 1.162,69 1.162,69
AMIODARONA
Comprimidos 200 mg BATMOTROPIN COM x 20 Bagó 23,54 7,06 4,71
RITMOCARDYL 200 mg COM x 20 Sanofi Aventis 74,71 22,41 14,94
MIOTENK 200 mg COM x 20 Biotenk 171,50 51,45 34,30
ATLANSIL 200 mg COM x 20 Roemmers 417,92 300,74 261,68
ATLANSIL 200 mg COM x 50 Roemmers 1.066,35 744,98 532,65
BATMOTROPIN COM x 60 Bagó 67,37 20,21 13,47
AMITRIPTILINA
Comprimidos 10 mg TRYPTALGIN 10 mg COM x 30 Craveri 340,48 234,08 234,08
25 mg AMIPTRIL 25 Mg COM x 30 Rospaw 368,54 261,94 261,94

TRYPTANOL 25 mg COM x 30 Bagó 381,24 262,87 262,87
TRYPTALGIN 25 mg COM x 30 Craveri 384,31 266,62 266,62
TRYPTANOL 25 mg COM x 100 Bagó 1.254,90 856,71 856,71
75 mg AMIPTRIL 75 Mg COM x 30 Rospaw 729,33 507,10 507,10

TRYPTALGIN 75 mg COM x 30 Craveri 761,70 517,29 517,29
TRYPTANOL 75 mg COM x 30 Bagó 775,03 533,68 533,68
Página 5 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 75 mg
AMLODIPINA
Comprimidos 5 mg AMLOPAW 5 mg COM x 10 Rospaw 200,55 140,38 140,38
AMLOC 5 mg TAB x 20 Pfizer 200,59 87,94 40,12
AMZE 5 mg COM x 28 Richmond 428,92 297,46 211,34
TENSIMED 5 mg COM x 30 Lepetit 187,00 67,30 50,20

HIPERTENSAL 5 mg COM x 30 Finadiet 336,68 166,95 82,58
AMLOPAW 5 mg COM x 30 Rospaw 344,56 189,12 189,12
AMLODICORD 5 mg COM x 30 Geminis Farmaceutica 361,09 190,13 101,30
MITOKOR 5 mg COM x 30 Biotenk 361,20 192,05 100,68
BRANCILINA 5 mg COM x 30 Fecofar 363,90 193,61 104,78
INDALTEN 5 mg COM x 30 Montpellier 394,73 224,69 134,32
ZUNDIC 5 mg COM x 30 Raffo 414,95 255,33 153,21
ANEXA 5 mg COM x 30 Microsules Argentina 411,00 255,56 255,56
TERVALON 5 mg COM x 30 Lazar 421,61 265,37 159,38
AMLODINE 5 mg COM x 30 Eurofarma 430,00 282,22 183,60
ARTERIOSAN 5 mg COM x 30 Bernabo 450,69 300,62 199,95
CARDIVAS 5 mg COM x 30 Sidus 455,72 306,26 206,12
CALPRES 5 mg COM x 30 Temis-Lostalo 477,68 334,77 240,59
PELMEC 5 mg COM x 30 Casasco 481,91 340,17 254,00
COROVAL 5 mg COM x 30 Nova Argentia 481,49 340,42 247,95
ILDUC 5 mg COM x 30 Baliarda 483,19 340,57 246,67
TERLOC 5 mg COM x 30 Teva argentina ( 482,59 341,42 248,85
CARDIOREX 5 mg COM x 30 Bagó 513,83 365,61 293,99
AMLOC ODT 5 mg COM x 30 Pfizer 609,79 442,26 386,42
CARDIOREX CDO 5 mg COM x 30 Bagó 636,83 453,13 391,90

CALPRES 5 mg COM x 60 Temis-Lostalo 940,66 651,62 460,32
PELMEC 5 mg COM x 60 Casasco 1.047,68 750,90 608,40
AMLOC 5 mg TAB x 60 Pfizer 1.161,41 842,34 735,99
10 mg AMLOPAW 10 mg COM x 10 Rospaw 219,77 136,19 136,19
AMZE 10 mg COM x 28 Richmond 783,90 548,73 423,86
TENSIMED 10 mg COM x 30 Lepetit 260,00 92,70 68,80

HIPERTENSAL 10 mg COM x 30 Finadiet 476,21 187,06 116,80
MITOKOR 10 mg COM x 30 Biotenk 582,40 287,26 133,58
ZUNDIC 10 mg COM x 30 Raffo 669,20 377,17 218,40
ANEXA 10 mg COM x 30 Microsules Argentina 660,00 391,07 391,07
INDALTEN 10 mg COM x 30 Montpellier 693,31 402,67 242,34
BRANCILINA 10 mg COM x 30 Fecofar 695,75 405,41 244,74
CARDIVAS 10 mg COM x 30 Sidus 710,48 430,39 258,16
AMLODIPINA DF 10 mg COM x 30 Denver Farma 758,32 530,82 530,82
TERVALON 10 mg COM x 30 Lazar 793,10 539,26 370,31
AMLODINE 10 mg COM x 30 Eurofarma 802,41 560,28 402,09
Página 6 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg CALPRES 10 mg COM x 30 Temis-Lostalo 811,46 560,91 394,95

ARTERIOSAN 10 mg COM x 30 Bernabo 846,20 601,58 441,07
PELMEC 10 mg COM x 30 Casasco 909,90 642,28 542,15
COROVAL 10 mg COM x 30 Nova Argentia 907,87 649,77 529,46
ILDUC 10 mg COM x 30 Baliarda 911,32 655,81 529,86
CARDIOREX 10 mg COM x 30 Bagó 970,93 690,85 597,49
CARDIOREX CDO 10 mg COM x 30 Bagó 1.114,50 793,01 685,84
AMLOC ODT 10 mg COM x 30 Pfizer 1.153,00 836,24 730,66
AMLOC 10 mg TAB x 30 Pfizer 1.216,11 882,01 770,65
AMLOPAW 10 mg COM x 50 Rospaw 1.077,83 651,79 651,79
AMLODICORD 10 mg COM x 60 Geminis Farmaceutica 1.231,72 642,55 335,20

CALPRES 10 mg COM x 60 Temis-Lostalo 1.521,59 996,00 641,98
TERLOC 10 mg COM x 60 Teva argentina ( 1.746,17 1.242,61 974,20
PELMEC 10 mg COM x 60 Casasco 1.837,93 1.317,29 1.086,24
AMLOC 10 mg TAB x 60 Pfizer 2.045,43 1.483,50 1.296,19
AMLODIPINA + VALSARTAN
Comprimidos 5 mg SIMULTAN A 5/160 mg COM x 14 Lazar 697,50 469,44 317,15
EXFORGE 5/160 mg COM x 14 Novartis 1.024,39 728,89 630,39
SIMULTAN A 80/5 mg COM x 28 Lazar 1.080,64 470,64 261,67

DILCORAN PLUS 160/5 mg COM x 28 Casasco 1.306,52 824,58 498,69
RACORVAL A 160/ 5 mg COM x 28 Nova Argentia 1.321,65 841,34 515,17
NOSTER 5/160 mg COM x 28 Raffo 1.375,53 910,57 598,06
NOSTER 5 / 320 mg COM x 28 Raffo 1.716,07 1.075,28 650,36
EXFORGE 5/160 mg COM x 28 Novartis 1.737,19 1.236,08 1.069,04
DIAPRESAN A 160/5 mg COM x 30 Montpellier 1.236,69 671,09 671,09

NICORVAS A 160/5 mg COM x 30 Temis-Lostalo 1.255,17 693,31 395,64
DISARVAL 5/160 mg COM x 30 Baliarda 1.398,22 867,00 534,81
DISARVAL 5/320 mg COM x 30 Baliarda 1.752,33 1.026,98 615,72
DILCORAN PLUS 160/5 mg COM x 56 Casasco 2.617,03 1.654,30 1.001,20
10 mg EXFORGE 10/160 mg COM x 14 Novartis 309,50 92,85 61,90

SIMULTAN A 10/160 mg COM x 14 Lazar 681,53 484,89 397,53

DILCORAN PLUS 160/10 mg COM x 28 Casasco 1.354,61 868,28 538,86
RACORVAL A 160/10 mg COM x 28 Nova Argentia 1.366,73 884,91 559,50
NOSTER 10/160 mg COM x 28 Raffo 1.443,02 977,74 667,17
DIAPRESAN A 160/10 mg COM x 30 Montpellier 1.289,26 718,73 718,73

DISARVAL 10/160 mg COM x 30 Baliarda 1.432,37 895,29 550,04
DISARVAL 10/320 mg COM x 30 Baliarda 1.862,87 1.130,55 696,99
DILCORAN PLUS 160/10 mg COM x 56 Casasco 2.724,18 1.755,60 1.100,38
AMOXICILINA
Ampollas 1000 mg AMOXIDAL 1 g AMP x 1 Roemmers 207,49 142,65 142,65
Página 7 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 500 mg AMOXITENK 500 mg COM x 8 Biotenk 88,00 59,36 59,36

AMOXICILINA FECOFAR 500 mg COM x 8 Fecofar 98,42 70,32 70,32
GRINSIL 500 mg COM x 8 Nova Argentia 127,44 91,74 91,74
AMIXEN 500 mg COM x 8 Bernabo 129,39 92,77 92,77
AMOXICILINA FECOFAR 500 mg COM x 16 Fecofar 170,99 110,29 110,29

TELMOX 500 mg TAB x 16 Sandoz 172,28 111,08 111,08
AMOXITENK 500 mg COM x 16 Biotenk 174,00 116,24 116,24
AMOXICLER 500 COM x 16 Monserrat 178,00 119,75 119,75
TRIFAMOX 500 mg COM x 16 Bagó 203,92 145,10 145,10
AMOXICILINA RICHET 500 mg COM x 16 Richet 206,59 148,12 148,12
NOBACTAM 500 mg COM x 16 Microsules Argentina 211,00 152,50 152,50
AMOXI 500 mg MAR COM x 21 Mar 178,00 89,44 89,44

AMOXIDAL 500 mg RECUB. COM x 21 Roemmers 232,58 156,15 156,15
750 mg AMIXEN 750 mg COM x 16 Bernabo 370,62 255,56 255,56

875 mg AMOXI DUO MAR 875 mg COM x 14 Mar 257,00 148,45 148,45
AMOXICILINA FECOFAR DUO 875 mg COM x 14 Fecofar 291,49 192,89 192,89
AMIXEN DUO COM x 14 Bernabo 298,86 202,11 202,11
AMOXIDAL DUO 875 mg COM x 14 Roemmers 305,35 211,41 211,41
GRINSIL DUO 875 mg COM x 14 Nova Argentia 313,14 218,26 218,26
TRIFAMOX DUO 875 mg COM x 14 Bagó 327,39 232,95 232,95
TRIFAMOX DUO 875 mg MASTICABLE COM x 14 Bagó 408,19 290,44 290,44
1000 mg NOBACTAM 1000 mg COM x 8 Microsules Argentina 330,00 236,71 236,71

AMOXIDAL 1 g COM x 16 Roemmers 642,01 441,34 441,34

NOBACTAM 1000 mg COM x 16 Microsules Argentina 640,00 458,80 458,80
Líquido 250 mg AMOXICILINA RICHET 250 mg JBE x 60 Richet 70,58 14,12 14,12 INF
AMOXICILINA FECOFAR 250 mg JBE x 60 Fecofar 178,31 127,39 127,39 INF
GRINSIL 250 mg JBE x 90 Nova Argentia 32,48 6,50 6,50 INF

AMOXIPENIL 250 SUS x 90 Montpellier 204,63 97,20 97,20 INF
AMOXICILINA FECOFAR 250 mg SUS x 90 Fecofar 246,08 141,39 141,39 INF
AMOXIDAL 250 mg SUS x 90 Roemmers 301,72 214,68 214,68 INF
AMOXICILINA RICHET 250 mg JBE x 90 Richet 296,15 214,74 214,74 INF
NOBACTAM 250 mg PED. SUS x 90 Microsules Argentina 299,00 215,90 215,90 INF
AMOXI 250 mg MAR SUS x 105 Mar 197,00 73,95 73,95 INF
GRINSIL 250 mg JBE x 120 Nova Argentia 47,94 9,59 9,59 INF
AMOXICILINA FECOFAR 250 mg JBE x 120 Fecofar 138,59 27,72 27,72 INF
AMOXICILINA RICHET 250 mg JBE x 120 Richet 398,04 285,44 285,44 INF
TRIFAMOX 250 mg JBE x 120 Bagó 405,34 288,41 288,41 INF
500 mg AMOXOL 500 mg ORAL SUS x 60 Cassara 69,00 13,80 13,80
Página 8 de 116
A CARGO A CARGO
AFILIADO CRONICO
Líquido 500 mg AMOXICILINA FECOFAR 500 mg JBE x 60 Fecofar 181,22 115,31 115,31
AMOXICILINA RICHET 500 mg POL SUS x 60 Richet 249,78 179,14 179,14
TRIFAMOX 500 mg JBE x 60 Bagó 254,38 181,00 181,00
AMOXOL 500 mg ORAL SUS x 90 Cassara 89,00 17,80 17,80

AMOXICILINA FECOFAR 500 mg JBE x 90 Fecofar 284,61 189,11 189,11
AMOXICLER 500 PEDIATRICO SUS x 90 Monserrat 285,00 191,31 191,31
GRINSIL 500 mg SUS x 90 Nova Argentia 309,69 219,43 219,43
AMOXIDAL PEDIATRICO 500 mg SUS x 90 Roemmers 309,35 220,10 220,10
TELMOX 500 mg SUS x 100 Sandoz 246,16 125,40 125,40
AMOXI 500 mg MAR SUS x 105 Mar 238,00 111,86 111,86
AMOXIPENIL 500 SUS x 120 Montpellier 312,49 170,04 170,04

AMOXICILINA FECOFAR 500 mg JBE x 120 Fecofar 349,36 213,74 213,74
GRINSIL 500 mg SUS x 120 Nova Argentia 389,68 264,89 264,89
AMOXIDAL PEDIATRICO 500 mg SUS x 120 Roemmers 389,81 265,90 265,90
TRIFAMOX 500 mg JBE x 120 Bagó 421,52 299,93 299,93
AMOXI 500 mg MAR SUS x 150 Mar 300,00 121,57 121,57
750 mg AMOXI DUO MAR SUS x 70 Mar 285,00 181,20 181,20

AMOXICILINA FECOFAR DUO 750 mg JBE x 70 Fecofar 334,21 238,77 238,77
GRINSIL DUO 750 mg SUS x 70 Nova Argentia 351,87 249,31 249,31
AMOXIDAL DUO 750 MG/5 ML SUS x 70 Roemmers 351,99 250,46 250,46
AMOXI DUO MAR SUS x 100 Mar 378,00 220,16 220,16
AMOXIDAL DUO 750 MG/5 ML SUS x 120 Roemmers 465,31 281,07 281,07
GRINSIL DUO 750 mg SUS x 120 Nova Argentia 466,01 283,46 283,46
1000 mg TRIFAMOX DUO SUS x 50 Bagó 299,38 208,40 208,40
TRIFAMOX DUO SUS x 90 Bagó 528,58 362,53 362,53
AMOXICILINA +
CLAVULÁNICO, ÁCIDO
Comprimidos 500 mg AMIXEN CLAVULANICO 500 mg (500/125) COM x Bernabo 345,07 234,82 234,82
8
OPTAMOX 500 mg (500/125) COM x 8 Roemmers 363,06 256,77 256,77
AMOXICILINA CLAVUL. (500/125) RICHET COM x Richet 354,44 256,86 256,86
8
CLAVULOX 500 mg (500/125) COM x 14 Elea - Phoenix 658,93 472,44 472,44
BIOCLAVID 500/125 mg COM x 16 Sandoz 571,05 312,72 312,72

AMIXEN CLAVULANICO 500 mg (500/125) COM x Bernabo 671,78 445,26 445,26
16
AMOXICILINA CLAVUL. (500/125) RICHET COM x Richet 669,13 469,40 469,40
16
OPTAMOX 500 mg (500/125) COM x 16 Roemmers 711,06 495,28 495,28
GRINSIL CLAVULANICO 500 mg (500/125) COM x Nova Argentia 712,54 495,55 495,55
16
AMOCLAV 500 mg COM x 16 Casasco 763,03 546,61 546,61
875 mg AMOXI PLUS MAR(875/125) mg COM x 14 Mar 475,00 248,81 248,81

CLAMOXOL DUO (875/125) COM x 14 Lepetit 485,00 259,94 259,94
AMIXEN CLAVULANICO 1 g (875/125) COM x 14 Bernabo 608,23 413,47 413,47
OPTAMOX DUO 1 g (875/125) COM x 14 Roemmers 627,32 440,75 440,75
AMOXICILINA CLAVUL.7:1 RICHET (875/125) COM Richet 615,76 444,95 444,95
x 14
Página 9 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 875 mg GRINSIL CLAV DUO (875/125) COM x 14 Nova Argentia 638,93 450,87 450,87
PLENOBIOTIC DUO (875/125) COM x 14 Fecofar 641,23 456,23 456,23
AMOCLAV DUO (875/125) COM x 14 Casasco 648,38 462,66 462,66
ULTRABIOTIC DUO (875/125) COM x 14 Montpellier 652,88 465,32 465,32
CLAVULOX 1 g (875/125) COM x 14 Elea - Phoenix 655,84 470,22 470,22
BIOCLAVID 875/125 mg COM x 14 Sandoz 696,47 501,20 501,20
AMOXI PLUS MAR (875/125) mg COM x 20 Mar 630,00 308,80 308,80
1000 mg CLAVULOX XR (1000/62.5) lib. prol. COM x 16 Elea - Phoenix 517,40 339,27 339,27
CLAVULOX XR (1000/62.5) lib. prol. COM x 28 Elea - Phoenix 799,35 456,43 456,43
Líquido 250 mg AMOXICILINA CLAVUL. (250/62.5) RICHET SUS x Richet 319,81 231,79 231,79 INF
60
OPTAMOX 250 mg PEDIATRICA (250/62.5) SUS x Roemmers 329,11 234,17 234,17 INF
60
GRINSIL CLAVULANICO 250 mg (250/62.5) SUS x Nova Argentia 96,41 19,28 19,28 INF
90
AMOXICILINA CLAVUL. (250/62.5) RICHET SUS x Richet 401,85 289,84 289,84 INF
90
OPTAMOX 250 mg PEDIATRICA (250/62.5) SUS x Roemmers 413,34 294,10 294,10 INF
90
400 mg PLENOBIOTIC DUO (400/57) SUS x 70 Fecofar 179,37 43,52 43,52

BIOCLAVID 400/57 MG/5 ML SUS x 70 Sandoz 267,10 128,09 128,09
ULTRABIOTIC DUO (400/57) SUS x 70 Montpellier 309,20 168,54 168,54
AMOXI PLUS MAR (400/57) SUS x 70 Mar 320,00 183,92 183,92
OPTAMOX DUO (400/57) SUS x 70 Roemmers 402,96 285,59 285,59
AMOXICILINA CLAVUL.7:1 RICHET (400/57) SUS x Richet 398,62 287,96 287,96
70
GRINSIL CLAVULANICO DUO (400/57) SUS x 70 Nova Argentia 405,24 290,38 290,38
CLAVULOX DUO 400 mg (400/70) SUS x 70 Elea - Phoenix 409,15 292,84 292,84
AMOCLAV DUO (400/57) SUS x 70 Casasco 419,29 300,36 300,36
AMOXI PLUS MAR SUS x 140 Mar 577,00 296,69 296,69

GRINSIL CLAV DUO SUS x 140 Nova Argentia 714,22 460,29 460,29
OPTAMOX DUO (400/57) SUS x 140 Roemmers 709,24 461,47 461,47
AMOCLAV DUO (400/57) SUS x 140 Casasco 733,89 487,52 487,52
500 mg GRINSIL CLAV 500 mg (500/125) SUS x 90 Nova Argentia 789,10 542,41 542,41
AMOXICILINA CLAVUL.FTE. RICHET 500/125 SUS x Richet 769,33 544,75 544,75
90
600 mg CLAVULOX ES (600/42.9) SUS x 100 Elea - Phoenix 395,52 194,72 194,72
OPTAMOX DUO 14:1 Ped. (600/42.9) SUS x 140 Roemmers 753,42 515,39 515,39
AMOCLAV SE SUS x 140 Casasco 777,03 541,44 541,44
AMOXICILINA + SULBACTAM
Comprimidos 250 mg TRIFAMOX IBL 500 mg COM x 16 Bagó 709,10 487,51 487,51
875 mg TRIFAMOX IBL DUO COM x 14 Bagó 717,58 493,34 493,34
Líquido 250 mg TRIFAMOX IBL 500 mg JBE x 60 Bagó 556,45 382,56 382,56
1000 mg TRIFAMOX IBL DUO SUS x 30 Bagó 507,36 361,00 361,00
TRIFAMOX IBL DUO SUS x 60 Bagó 909,39 619,04 619,04
AMPICILINA
Ampollas 1000 mg TRIFACILINA 1000 mg AMP x 1 Bagó 245,39 168,71 168,71
Comprimidos 500 mg TRIFACILINA 500 mg COM x 16 Bagó 495,40 340,59 340,59
Página 10 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 1000 mg TRIFACILINA 1000 mg COM x 8 Bagó 369,07 254,65 254,65
TRIFACILINA 1000 mg COM x 16 Bagó 734,15 504,40 504,40
Líquido 250 mg TRIFACILINA FUERTE JBE x 120 Bagó 427,16 293,67 293,67 INF
ANATOXINA TETÁNICA
Ampollas 40 ui TETAVAX 0.5 ml JPR x 1 Sanofi Pasteur 415,53 291,63 291,63 MAT
ANTITOXINA DIFTÉRICA +
TETÁNICO TOXOIDE
Ampollas 2,8 ui VACUNA DOBLE AD BIOL AMP x 1 Biol 574,91 402,86 402,86
2 ui IMOVAX DT ADULTO 0.5 ML JPR x 1 Sanofi Pasteur 356,55 250,24 250,24
ANTITOXINA DIFTÉRICA +
TETÁNICO TOXOIDE +
PERTUSSIS TOXOIDE
Ampollas 2 ui BUSTRIX 0.5 ML JPR x 1 GlaxoSmithKline 2.081,57 1.449,32 1.449,32
Frasco 30 ui ADACEL MONODS 0.5 ML ACELULAR FCO x 1 Sanofi Pasteur 2.192,97 1.539,10 1.539,10
ATENOLOL
Comprimidos 25 mg VERICORDIN 25 mg COM x 28 Lazar 150,94 74,93 36,54
ATENOLOL GADOR 25 mg COM x 28 Gador 215,17 152,39 111,32

PLENACOR 25 mg COM x 30 Bagó 221,92 152,80 107,10
VERICORDIN 25 mg COM x 56 Lazar 284,91 133,62 68,97


50 mg VERICORDIN 50 mg COM x 28 Lazar 179,90 68,58 43,57

PRENORMINE 50 COM x 28 Astrazeneca 307,09 213,30 151,90
ATENOLOL MICROSULES 50 mg COM x 28 Microsules Argentina 309,00 217,37 217,37
ATENOLOL BIOTENK 50 mg COM x 30 Biotenk 52,37 15,71 10,47


PRENORMINE 50 COM x 56 Astrazeneca 609,20 420,54 296,73
ATENOLOL MICROSULES 50 mg COM x 56 Microsules Argentina 610,00 428,10 428,10

100 mg VERICORDIN 100 mg COM x 28 Lazar 308,20 151,60 74,63




Página 11 de 116
A CARGO A CARGO
AFILIADO CRONICO
ATORVASTATIN
Comprimidos 10 mg LIPONORM 10 mg COM x 20 Lazar 663,12 461,22 327,89
ATORVASTATINA NORTHIA 10 mg COM x 30 Northia 226,45 67,93 67,93

NORMOLIPOL 10 mg COM x 30 Lepetit 444,00 157,70 116,80
ATARVA 10 mg COM x 30 Duncan 866,29 526,73 314,94
ATORVASTAN 10 mg COM x 30 Biotenk 896,00 581,78 371,46
LIPOSTOP 10 mg COM x 30 Denver Farma 898,07 624,80 624,80
LIPONORM 10 mg COM x 30 Lazar 941,86 626,65 415,45
LIPOKEMIA 10 mg COM x 30 Fecofar 974,74 657,37 444,23
VASTINA 10 mg COM x 30 Richmond 1.015,41 710,79 542,44
ATORMAX 10 mg COM x 30 Geminis Farmaceutica 1.014,74 713,00 514,02
NORMALIP 10 mg COM x 30 Eurofarma 1.025,00 717,50 555,59
LIPOCAMBI 10 mg COM x 30 Bernabo 1.048,74 749,10 569,41
LIPODREN 10 mg COM x 30 Lafedar 1.073,88 773,06 574,95
LIPIBEC 10 mg COM x 30 Teva argentina ( 1.108,53 795,95 645,24
LIPAREX 10 mg COM x 30 Finadiet 1.119,64 808,63 654,49
PLAN 10 mg COM x 30 Craveri 1.155,05 821,86 710,80
FINLIPOL 10 mg COM x 30 Microsules Argentina 1.110,00 825,60 825,60
LIPIFEN 10 mg COM x 30 Raffo 1.148,70 826,03 696,92
TORIVAS 10 mg COM x 30 Baliarda 1.173,40 850,98 721,35
AMPLIAR 10 mg COM x 30 Casasco 1.205,41 865,63 752,37
ATEROCLAR 10 mg COM x 30 Beta 1.207,44 875,73 765,16
LIPEND 10 mg COM x 30 Savant Pharm S.A. 1.250,00 906,81 792,41
LIPITOR 10 mg COM x 30 Pfizer 1.287,33 930,23 811,20
ZARATOR 10 mg COM x 30 Elea - Phoenix 1.326,14 958,28 835,66
LIPONORM 10 mg COM x 60 Lazar 1.711,81 1.033,48 609,00

ATORMAX 10 mg COM x 60 Geminis Farmaceutica 1.780,32 1.114,96 675,69
LIPAREX 10 mg COM x 60 Finadiet 1.852,42 1.202,90 763,43
LIPIBEC 10 mg COM x 60 Teva argentina ( 1.863,64 1.224,40 794,08
FINLIPOL 10 mg COM x 60 Microsules Argentina 1.851,00 1.229,69 1.229,69
ATEROCLAR 10 mg COM x 60 Beta 1.889,54 1.284,98 886,06
TORIVAS 10 mg COM x 60 Baliarda 1.965,16 1.338,77 919,99
AMPLIAR 10 mg COM x 60 Casasco 2.019,32 1.416,55 1.019,27
LIPITOR 10 mg COM x 60 Pfizer 2.108,35 1.517,07 1.130,41
ZARATOR 10 mg COM x 60 Elea - Phoenix 2.248,38 1.624,70 1.320,05
LIPONORM 10 mg COM x 100 Lazar 2.013,91 835,81 487,65
20 mg ATORVASTATINA NORTHIA 20 mg COM x 30 Northia 403,43 121,03 121,03

NORMOLIPOL 20 mg COM x 30 Lepetit 580,00 226,50 176,00
ATARVA 20 mg COM x 30 Duncan 1.260,37 797,13 484,83
ATORMAX 20 mg COM x 30 Geminis Farmaceutica 1.364,42 927,79 636,54
ATORVASTAN 20 mg COM x 30 Biotenk 1.365,00 949,57 677,74
VASTINA 20 mg COM x 30 Richmond 1.642,97 1.150,08 985,78
LIPOCAMBI 20 mg COM x 30 Bernabo 1.673,70 1.195,50 1.036,10
LIPOKEMIA 20 mg COM x 30 Fecofar 1.670,58 1.216,00 1.038,63
NORMALIP 20 mg COM x 30 Eurofarma 1.750,00 1.225,00 1.050,00
LIPODREN 20 mg COM x 30 Lafedar 1.750,48 1.285,34 1.129,74
PLAN 20 mg COM x 30 Craveri 1.817,46 1.293,19 1.118,44
LIPAREX 20 mg COM x 30 Finadiet 1.817,52 1.312,65 1.144,36
Página 12 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 20 mg LIPIBEC 20 mg COM x 30 Teva argentina ( 1.830,48 1.314,33 1.142,28

LIPIFEN 20 mg COM x 30 Raffo 1.903,77 1.369,00 1.190,75
TORIVAS 20 mg COM x 30 Baliarda 1.921,53 1.393,54 1.217,54
LIPEND 20 mg COM x 30 Savant Pharm S.A. 1.975,00 1.428,87 1.246,83
ATEROCLAR 20 mg COM x 30 Beta 1.970,86 1.429,41 1.248,93
ATORMAX 20 mg COM x 60 Geminis Farmaceutica 2.595,04 1.688,29 1.075,76

LIPONORM 20 mg COM x 60 Lazar 2.912,78 2.084,97 1.550,26
LIPIBEC 20 mg COM x 60 Teva argentina ( 3.141,50 2.255,67 1.851,39
40 mg NORMOLIPOL 40 mg COM x 30 Lepetit 848,00 322,30 247,20

LIPOCAMBI 40 mg COM x 30 Bernabo 1.872,17 1.337,26 1.018,17
LIPIBEC 40 mg COM x 30 Teva argentina ( 2.038,49 1.463,68 1.232,21
ATEROCLAR 40 mg COM x 30 Beta 2.051,30 1.487,76 1.232,32
LIPIFEN 40 mg COM x 30 Raffo 2.224,93 1.599,95 1.391,62
80 mg LIPITOR 80 mg COM x 30 Pfizer 2.861,45 2.001,56 1.432,71
AZELASTINA
Colirio 50 mg BRIXIA COL x 6 Poen 521,56 359,35 359,35
ALLERGODIL COL x 6 Pharmadorf 547,13 385,59 385,59
Spray 1000 mg ALLERGODIL NASAL SPR x 10 Pharmadorf 343,88 226,29 226,29
AZITROMICINA
Comprimidos 500 mg ARZOMICIN 500 mg COM x 3 Takeda 52,26 10,45 10,45
NEBLIC 500 mg COM x 3 Lazar 329,09 225,30 225,30
SITROX 500 mg COM x 3 Biotenk 339,70 231,76 231,76
TRIAMID 500 mg COM x 3 Beta 337,09 232,54 232,54
DOYLE 500 mg COM x 3 Raffo 352,93 252,57 252,57
ZITROMAX 500 mg TAB x 3 Pfizer 371,83 267,70 267,70
OROBIOTIC 500 mg COM x 3 Fortbenton 390,41 276,66 276,66
AZITROMICINA RICHET 500 mg COM x 3 Richet 377,03 277,29 277,29
AZIBIOTIC 500 mg COM x 3 Baliarda 437,43 319,46 319,46
MISULTINA 500 mg COM x 3 Bernabo 459,82 330,90 330,90
MACROMAX 500 mg COM x 3 Investi 507,55 363,90 363,90
TRITAB 500 mg COM x 3 Sidus 501,81 367,19 367,19
CRONOPEN 500 mg COM x 3 Elea - Phoenix 531,62 393,17 393,17
ARZOMICIN 500 mg COM x 5 Takeda 60,10 12,02 12,02

SITROX 500 mg COM x 5 Biotenk 397,25 196,62 196,62
Página 13 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 500 mg DOYLE 500 mg COM x 5 Raffo 417,55 215,33 215,33

CETAXIM 500 mg COM x 6 Trb-Pharma 379,00 157,70 157,70

NEBLIC 500 mg COM x 6 Lazar 520,67 277,18 277,18
AZITROMICINA RICHET 500 mg COM x 6 Richet 525,11 303,81 303,81
MACROMAX 500 mg COM x 6 Investi 686,46 492,18 492,18
Líquido 200 mg ARZOMICIN 200 mg / 5 ML SUS x 15 Takeda 65,30 13,06 13,06

MISULTINA SUS x 15 Bernabo 323,25 223,23 223,23
TRITAB ORAL 200 MG/5 ML SUS x 15 Sidus 352,04 254,28 254,28
CRONOPEN ORAL 200 mg 5 ML SUS x 15 Elea - Phoenix 404,73 299,33 299,33
AZITROMICINA RICHET ORAL SUS x 15 Richet 451,91 326,38 326,38
ZITROMAX 600 mg SUS x 15 Pfizer 526,17 378,81 378,81
MISULTINA SUS x 30 Bernabo 621,45 414,07 414,07

TRITAB ORAL 200 MG/5 ML SUS x 30 Sidus 671,52 469,20 469,20
MACROMAX PEDIATRICO 200 mg/5ml SUS x 30 Investi 667,22 471,66 471,66
CRONOPEN ORAL 200 mg 5 ML SUS x 30 Elea - Phoenix 746,53 552,11 552,11
BECLOMETASONA
Aerosol 0,05 mg RINOSOL SUSP. NASAL AER x 200 Cassara 312,00 233,40 233,40
0,1 mg EGOSONA 100 AER x 250 Takeda 65,56 37,43 20,65
0,25 mg EGOSONA FORTE AER x 250 Takeda 65,56 37,43 13,11
BENZNIDAZOL
Comprimidos 50 mg ABARAX 50 mg COM x 100 Elea - Phoenix 2.084,03 1.463,67 1.463,67
100 mg ABARAX 100 mg COM x 100 Elea - Phoenix 3.392,42 2.382,59 2.382,59
BENZOILO PERÓXIDO
Gel 5000 mg VIXIDERM E 5% GEL x 40 Investi 159,22 39,05 39,05
ACNESAN 5% GEL x 40 Fortbenton 534,90 389,34 389,34
ACNESAN 5% GEL x 60 Fortbenton 648,60 382,39 382,39

BENZIHEX AC 5% GEL x 60 Galderma 741,69 516,94 516,94
10000 ACNESAN 10 % GEL x 40 Fortbenton 639,76 465,66 465,66

mg
BENZIHEX AC 10% GEL x 60 Galderma 741,69 516,41 516,41
BETAMETASONA
Comprimidos 0,5 mg BUTASONA FABRA COM x 20 Fabra 256,80 184,80 184,80
Página 14 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 0,5 mg METAMAR 0.5 mg COM x 30 Mar 215,00 148,37 148,37
0,6 mg CORTEROID 0.6 mg COM x 30 Montpellier 269,54 183,59 183,59

DEPOCORT 0.6 mg COM x 30 Nova Argentia 277,48 192,74 192,74
CORTICAS 0.6 mg COM x 30 Casasco 291,79 208,35 208,35
DICASONE 0.6 mg COM x 30 Baliarda 313,89 225,88 225,88
1,2 mg CORTEROID 1.2 mg COM x 30 Montpellier 486,14 334,23 334,23
Gotas 0,5 mg BETAMAT GTS x 10 Lafedar 186,94 137,27 137,27 INF
BETACORT CASSARA ORAL GTS x 15 Medisol 108,00 69,19 69,19 INF

BETAMAT GTS x 15 Lafedar 232,41 170,65 170,65 INF
CELESTONE GTS x 15 MSD Arrgentina SR 458,08 327,20 327,20 INF
BETAMAT GTS x 20 Lafedar 276,35 202,92 202,92 INF
METAMAR ORAL GTS x 30 Mar 207,00 113,41 113,41 INF

BETACORT ORAL GTS x 30 Cassara 255,88 173,77 173,77
0,6 mg CORTICAS GTS x 20 Casasco 184,64 130,03 130,03 INF
DEPOCORT 0.6 MG/ML ORAL GTS x 30 Nova Argentia 253,93 162,04 162,04 INF
CORTICAS GTS x 30 Casasco 268,11 184,24 184,24
BETAMETASONA ACETATO +
BETAMETASONA FOSFATO
DISÓDICO
Ampollas 6 mg BETACORT CASSARA 2 ml AMP x 1 Medisol 96,00 19,20 19,20
METAMAR RETARD 2 ml + JGA. F.A x 1 Mar 315,00 190,15 190,15
CORTEROID RETARD 2 ml F.A x 1 Montpellier 367,62 256,45 256,45
CORTICAS RETARD 2 ml F.A x 1 Casasco 395,87 284,85 284,85
CRONODICASONE 2 ml F.A x 1 Baliarda 399,15 289,43 289,43
CEVICORT NC 2 ml F.A x 1 Cevallos 450,00 315,00 315,00
DEPOCORT RETARD 2 ml F.A x 1 Nova Argentia 461,35 328,28 328,28
DELTISONA RETARD 2 ml + Jga. F.A x 1 Sanofi Aventis 520,59 373,25 373,25
BETAMETASONA
DIPROPIONATO
Crema 0,643 mg BETACORT 0.05% CRE x 15 Medisol 128,00 75,61 75,61
NOVOCORT CRE x 15 Andromaco 327,00 231,90 231,90
DIPROSONE CRE x 15 MSD Arrgentina SR 650,45 464,61 464,61
BLACOR CRE x 30 Raymos 314,89 207,71 207,71
Gel 0,643 mg DERMIZOL GEL x 30 Roux Ocefa 181,90 113,82 113,82
Loción 0,643 mg DERMIZOL LOC x 15 Roux Ocefa 151,58 30,32 30,32
DIPROSONE LOC x 30 MSD Arrgentina SR 881,71 628,41 628,41
BETAMETASONA
DIPROPIONATO +
DISÓDICO
Ampollas 12,86 mg CRONOCORTEROID 2 ml AMP x 1 Montpellier 451,42 305,98 305,98
DEPOCORT CRONO 2 ml F.A x 1 Nova Argentia 461,52 319,48 319,48
CRONO CORTICAS 2 ml F.A x 1 Casasco 467,82 328,38 328,38
CRONODICASONE DEPOT 2 ml F.A x 1 Baliarda 502,75 364,34 364,34
CRONOLEVEL 2 ml AMP x 1 MSD Arrgentina SR 946,50 676,07 676,07
DISÓDICO
Ampollas 8 mg CORTEROID 2 ml F.A x 1 Montpellier 179,08 122,28 122,28
Página 15 de 116
A CARGO A CARGO
AFILIADO CRONICO
Ampollas 8 mg CORTICAS 2 ML F.A x 1 Casasco 189,96 134,91 134,91
Gotas 0,6 mg CORTEROID 0.6 mg/ml GTS x 30 Montpellier 242,77 166,51 166,51 INF
DICASONE 0.6 mg/ ml GTS x 30 Baliarda 331,48 238,54 238,54 INF
SÓDICO
Líquido 50 mg BETASONE G SOL x 15 Klonal 220,46 156,87 156,87 INF
BETAMETASONA VALERATO
Crema 122 mg BETAMAT CRE x 15 Lafedar 307,15 225,53 225,53
BETNOVATE CRE x 15 GlaxoSmithKline 398,76 285,69 285,69
LAZAR CORT CRE x 20 Lazar 239,45 111,70 111,70

CORTICAS CRE x 20 Casasco 308,42 184,95 184,95
TRANSDERMA B CRE x 20 Szama 433,97 303,78 303,78
CORTEROID CRE x 30 Montpellier 285,12 96,47 96,47

BETNOVATE CRE x 30 GlaxoSmithKline 695,10 498,00 498,00
Loción 122 mg BETNOVATE CAPILAR LOC x 30 GlaxoSmithKline 481,12 333,33 333,33
BETAMETASONA VALERATO +
FENILEFRINA + LIDOCAINA
Crema 50 mg PROCTO-METADYNE RECTAL CRE x 20 Microsules Argentina 320,00 230,03 230,03
BEZAFIBRATO
Comprimidos 400 mg BEZACUR RETARD 400 mg COM x 30 Nova Argentia 1.144,12 747,44 747,44
ELPI LIP (Lib.Prol.) COM x 30 Elea - Phoenix 1.212,08 818,16 818,16
BEZALIP RETARD GRA x 30 Sandoz 1.869,56 1.345,38 1.345,38
BIPERIDENO
Comprimidos 2 mg BIPERIDENO ROSPAW 2 mg COM x 20 Rospaw 232,00 162,40 162,40
BIPERIDENO VANNIER 2 mg COM x 20 Vannier S.A. 235,41 164,79 164,79
AKINETON COM x 20 Bagó 264,50 188,20 157,52
BIPERIDENO CEVALLOS 2 mg COM x 20 Cevallos 320,00 224,00 224,00
BIPERIDENO ROSPAW 2 mg COM x 60 Rospaw 615,00 413,86 413,86

BIPERIDENO VANNIER 2 mg COM x 60 Vannier S.A. 616,30 415,58 415,58
AKINETON COM x 60 Bagó 684,55 467,00 322,69
BIPERIDENO CEVALLOS 2 mg COM x 60 Cevallos 720,00 504,00 504,00
BISACODILO
Comprimidos 5 mg MODATON COM x 20 Montpellier 186,21 133,01 133,01
MODATON COM x 50 Montpellier 352,53 213,35 213,35
BISACODILO + CASANTRANOL
Comprimidos 5 mg ENGALAX GRA x 6 Omega 287,76 200,36 200,36
ENGALAX GRA x 10 Omega 443,44 308,75 308,75
BISMUTO HIDRÓXIDO +
PECTINA
Comprimidos 600 mg BISMUTO CHOBET CON PECTINA COM x 20 Soubeiran Chobet 314,44 215,70 215,70
Líquido 3000 mg CREMA DE BISMUTO CHOBET C/PECT SUS x 90 Soubeiran Chobet 251,10 175,89 175,89
CREMA DE BISMUTO CHOBET C/PECT SUS x 120 Soubeiran Chobet 321,47 218,22 218,22
CREMA DE BISMUTO CHOBET C/PECT SUS x 240 Soubeiran Chobet 632,14 423,06 423,06
BISOPROLOL
Página 16 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 2,5 mg DROMIN 2.5 mg COM x 30 Roux Ocefa 132,82 39,85 39,85
BISOPIL 2.5 mg COM x 30 Gador 305,70 197,34 124,29
LOSTAPROLOL 2.5 mg COM x 30 Temis-Lostalo 307,58 198,08 124,01
CORBIS 2.5 mg COM x 30 Roemmers 306,05 199,35 127,78
CONCOR 2.50 mg COM x 30 Elea - Phoenix 650,94 466,80 405,42
5 mg DROMIN 5 mg COM x 30 Roux Ocefa 239,42 71,83 71,83

LOSTAPROLOL 5 mg COM x 30 Temis-Lostalo 564,93 364,81 229,54
CORBIS 5 mg COM x 30 Roemmers 561,11 365,84 234,90
BISOPIL 5 mg COM x 30 Gador 565,05 367,95 235,38
CONCOR 5 mg COM x 30 Elea - Phoenix 1.064,40 763,30 662,93
10 mg DROMIN 10 mg COM x 30 Roux Ocefa 319,21 95,76 95,76

CORBIS 10 mg COM x 30 Roemmers 716,52 465,58 297,17
LOSTAPROLOL 10 mg COM x 30 Temis-Lostalo 724,10 467,65 294,32
BISOPIL 10 mg COM x 30 Gador 721,36 468,02 297,47
CONCOR 10 mg COM x 30 Elea - Phoenix 1.375,42 986,33 856,64
BISOPROLOL +
HIDROCLOROTIAZIDA
Comprimidos 5 mg LOSTAPROLOL DIUR 5 / 12.5 mg COM x 30 Temis-Lostalo 514,89 267,42 267,42
CORBIS D 5/12.5 mg COM x 30 Roemmers 653,20 441,18 441,18
CONCOR PLUS 5/12.5 mg COM x 30 Elea - Phoenix 1.260,33 903,80 903,80
10 mg CONCOR PLUS 10/25 mg COM x 30 Elea - Phoenix 1.378,84 956,28 956,28
BRIMONIDINA
Colirio 150 mg ALPHAGAN P 0.15 % COL x 5 Allergan-Loa 1.089,52 762,11 545,51
200 mg BRIMOPRESS COL x 5 Poen 836,22 573,71 399,79

ALPHAGAN 0.2 % COL x 5 Allergan-Loa 934,36 675,17 524,60
BRIMONIDINA + TIMOLOL
Colirio 200 mg BRIT COL x 5 Max Vision 845,00 445,95 445,95
TIMOBRIM COL x 5 Atlas 925,60 571,06 571,06
COMBIGAN 0.2/0.5% COL x 5 Allergan-Loa 1.149,37 815,95 815,95
BROMAZEPAM
Comprimidos 3 mg CREOSEDIN 3 mg COM x 20 Rontag 114,17 77,39 77,39
LEXOTANIL 3 mg COM x 20 Investi 158,63 113,73 113,73
ATEMPERATOR 3 mg COM x 30 Teva argentina ( 222,12 161,14 161,14

NEUROZEPAN 3 mg COM x 30 Lafedar 220,71 162,06 162,06
BROMAZEPAM TEMIS 3 mg COM x 50 Temis-Lostalo 58,55 14,39 14,39

CREOSEDIN 3 mg COM x 50 Rontag 215,49 112,45 112,45
OCTANYL 3 mg COM x 50 Bagó 294,03 209,21 209,21
BROMAZEPAM TEMIS 3 mg COM x 60 Temis-Lostalo 102,25 25,15 25,15

6 mg CREOSEDIN 6 mg COM x 20 Rontag 173,79 82,82 82,82

CREOSEDIN 6 mg COM x 50 Rontag 578,21 357,11 357,11

Página 17 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 6 mg ATEMPERATOR 6 mg COM x 60 Teva argentina ( 812,88 546,87 546,87
BROMHEXINA
Líquido 200 mg BISOLVON SOL x 40 Sanofi Aventis OTC 229,00 154,57 154,57
BROMPERIDOL
Gotas 2 mg BROMODOL GTS x 30 Janssen-Cilag 171,48 97,92 54,02
BROMPERIDOL DECANOATO
Ampollas 50 mg BROMODOL DECANOATO 1 ML AMP x 1 Janssen-Cilag 179,82 102,68 56,64
BUDESONIDE
Aerosol 0,05 mg RINO B 50 AER x 200 Cassara 416,43 181,54 181,54
NEUMOTEX NASAL 50 mcg AER x 200 Elea - Phoenix 1.004,95 651,50 601,01
0,1 mg RINO B 100 AER x 100 Cassara 416,43 302,03 302,03
SPIROCORT NASAL AQUA 64 mcg AER x 120 Astrazeneca 371,85 197,44 103,44
0,05 mg PULMOLISOFLAM PEDIATRICO AER x 200 Pfizer 244,37 84,69 61,87

PULMOLISOFLAM C/AEROCAMARA INF AER x Pfizer 523,38 181,35 132,49
200
NEUMOTEX BRONQUIAL PEDIATRICO AER x 200 Elea - Phoenix 1.593,02 1.057,30 695,41
NEUMOTEX BRONQUIAL PED C/AEROC AER x Elea - Phoenix 3.052,16 2.229,47 1.955,24
200
0,2 mg PULMOLISOFLAM ADULTOS AER x 100 Pfizer 244,37 131,15 72,31

PULMOLISOFLAM C/AEROCAMARA AD. AER x Pfizer 512,54 369,00 321,15
100
NEUMOTEX BRONQUIAL 200 mcg AER x 100 Elea - Phoenix 1.175,77 858,85 753,21
NEUMOTEX BRONQUIAL 200 C/AEROC AER x 100 Elea - Phoenix 2.433,28 1.777,41 1.558,78
BUDESON MDI 200 mcg AER x 150 Takeda 96,07 28,82 19,21
NEUMOCORT 200 mcg HFA AER x 200 Cassara 543,35 348,56 348,56
AEROVIAL HFA AER x 200 Atlas 902,38 448,21 448,21
NEUMOCORT 200 mcg HFA + AEROMED AER x Cassara 760,93 551,89 551,89
200
NEUMOTEX BRONQUIAL 200 mcg AER x 200 Elea - Phoenix 1.622,60 1.185,24 1.039,46
0,4 mg NEUMOTEX BRONQUIAL FORTE 400 AER x 100 Elea - Phoenix 1.984,68 1.405,15 1.021,76
Comprimidos 9 mg CORTIMENT 9 mg COM x 20 Ferring 5.927,78 4.176,39 4.176,39
Inhahaldor con 0,1 mg SPIROCORT TURBUHALER 100 mcg Polvo INH x Astrazeneca 521,69 297,88 183,63
sistemas 200
0,2 mg NEUMOTEX 200 CAPSULAS INH x 60 Elea - Phoenix 942,36 688,35 603,68
SPIROCORT TURBUHALER 200 mcg Polvo INH x Astrazeneca 1.314,03 647,02 312,86
200
0,4 mg NEUMOTEX 400 CAPSULAS INH x 60 Elea - Phoenix 902,09 658,94 577,89
SPIROCORT TURBUHALER 400 mcg Polvo INH x Astrazeneca 1.611,23 770,43 383,63
200
Líquido 25 mg SPIROCORT P/NEB 0.25 mg MONODS SUS x 10 Astrazeneca 248,67 141,99 87,53
50 mg SPIROCORT P/NEB 0.50 mg MONODS SUS x 10 Astrazeneca 345,10 197,05 121,48
100 mg RINO B NEBU SOL x 20 Medisol 138,00 64,79 64,79

RINO B NEBU C/DILUYENTE SOL x 20 Cassara 592,24 429,54 429,54
AEROVIAL SOL x 20 Atlas 622,46 439,68 439,68
PROETZONIDE NEBU SOL x 20 Dallas 636,29 467,20 410,84
BUDESON NEBU SOL x 20 Takeda 890,44 638,43 554,42
NEUMOTEX NEBU SOL x 20 Elea - Phoenix 1.082,53 790,74 693,48
Página 18 de 116
A CARGO A CARGO
AFILIADO CRONICO
Líquido 100 mg
Spray 0,05 mg BUDESON AQUA NASAL 50 mcg SPR x 100 Takeda 73,20 21,96 14,64
HYPERSOL B 50 NASAL SPR x 200 Cassara 353,05 258,77 258,77
0,1 mg BUDESON AQUA NASAL 100 mcg SPR x 100 Takeda 85,40 25,62 17,08
HYPERSOL B 100 NASAL SPR x 100 Cassara 367,04 269,02 269,02
BUDESONIDE + FORMOTEROL
Aerosol 0,08 mg FREVIA 80/4.5 mcg AER x 120 Astrazeneca 2.522,27 1.741,57 1.225,10
0,16 mg FREVIA 160/4.5 mcg AER x 120 Astrazeneca 3.185,74 2.199,68 1.547,36
0,2 mg NEUMOCORT PLUS AER x 60 Cassara 527,86 360,60 360,60
NEUMOCORT PLUS /INHAL. AER x 150 Cassara 1.246,11 910,21 910,21
Inhahaldor con 0,08 mg SYMBICORT-M 80/4.5 mcg Polvo INH x 120 Astrazeneca 2.570,92 1.775,16 1.248,74
sistemas
0,16 mg SYMBICORT TURBUHALER 160/4,5 Polvo INH x Astrazeneca 2.409,62 1.721,16 1.491,67
60
SYMBICORT TURBUHALER 160/4,5 Polvo INH x Astrazeneca 3.247,18 2.178,47 1.464,72

120
0,2 mg FORMOVENT + BUDE s/Aplic. Cáp. INH x 60 Atlas 753,41 226,02 226,02
FORMOVENT + BUDE c/Aplic. Cáp. INH x 60 Atlas 795,50 238,65 238,65
NEUMOTEROL 200 C/APLIC. CAPS INH x 60 Elea - Phoenix 2.605,81 1.903,43 1.669,31
NEUMOTEROL 200 S/APLIC. CAPS INH x 60 Elea - Phoenix 2.605,81 1.903,43 1.669,31
NEUMOTEROL 200 C/APLIC. CAPS INH x 120 Elea - Phoenix 3.435,44 2.227,99 1.408,87
NEUMOTEROL 200 S/APLIC. CAPS INH x 120 Elea - Phoenix 3.435,44 2.227,99 1.408,87
0,32 mg SYMBICORT FORTE TURBOHALER 320/9 Polvo Astrazeneca 3.238,61 2.236,18 1.573,03
INH x 60
0,4 mg NEUMOTEROL 400 C/APLIC. CAPS INH x 60 Elea - Phoenix 3.321,68 2.351,74 1.710,08
CABERGOLINA
Comprimidos 0,5 mg LACTAMAX 0.5 mg COM x 2 Beta 458,48 332,52 332,52
CABERTRIX 0.5 mg COM x 2 Raffo 589,79 422,08 422,08
LACTAMAX 0.5 mg COM x 8 Beta 1.450,98 880,58 880,58

CABERTRIX 0.5 mg COM x 8 Raffo 1.935,91 1.385,41 1.385,41
1 mg CABERPAR 1 mg COM x 10 Rontag 952,22 664,22 664,22
CABERTEMIS 1 mg COM x 30 Temis-Lostalo 495,00 121,74 121,74

CABASER 1 mg COM x 30 Pfizer 1.760,25 1.120,77 1.120,77
TRIASPAR 1 mg COM x 30 Beta 3.678,97 2.575,28 2.575,28
2 mg CABERTEMIS 2 mg COM x 30 Temis-Lostalo 593,99 146,07 146,07

CABASER 2 mg COM x 30 Pfizer 2.401,81 1.278,90 1.278,90
CABERPAR 2 mg COM x 30 Rontag 2.716,11 1.765,48 1.765,48
TRIASPAR 2 mg COM x 30 Beta 4.953,62 3.467,53 3.467,53
4 mg CABERTEMIS 4 mg COM x 30 Temis-Lostalo 868,42 588,43 588,43
CALCIO CARBONATO
Comprimidos 1250 mg CALCIONAL NARANJA COM x 30 Spedrog Caillon 350,01 249,61 249,61
CALCIO BASE DUPOMAR MAST. COM x 30 Investi 376,42 269,89 269,89
CALCIONAL MAST. NARANJA COM x 60 Spedrog Caillon 566,00 328,79 328,79

CALCIO BASE DUPOMAR MAST. COM x 60 Investi 649,95 438,18 438,18
Página 19 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 2500 mg CALCIO BASE DUPOMAR FTE 1g MAST. COM x Investi 190,25 131,92 131,92
60
CALCIO CITRATO
Comprimidos 950 mg CALCIMAX COM x 60 Gador 408,80 281,05 281,05
1905 mg CALCIMAX FORTE COM x 30 Gador 292,44 201,05 201,05
2375 mg CALCIONAL CITRATO NARANJA MAST COM x 30 Spedrog Caillon 280,00 199,00 199,00
CALCIONAL CITRATO NARANJA MAST COM x 60 Spedrog Caillon 540,00 365,64 365,64
CALCIO LACTATO
GLUCONATO + CALCIO
CARBONATO
Comprimidos 1132 mg CALCIUM SANDOZ 1000 mg EFERV. COM x 30 Sandoz 798,09 555,68 555,68
CALCIPOTRIOL
Ungüento 0,05 mg CUTANIT UNG x 30 Lazar 900,11 563,42 563,42
DAIVONEX UNG x 30 Andromaco 1.259,00 892,70 892,70
CALCITONINA
Ampollas 50 ui CALCITONINA SANDOZ MINOR 1 CC AMP x 5 Novartis 540,64 329,26 329,26
100 ui CALCITONINA SANDOZ 100 UI 1 ML AMP x 5 Novartis 1.217,38 809,73 809,73
Spray 100 ui CALCITONINA SANDOZ NASAL 100UI SPR x 28 Novartis 2.161,87 1.234,43 1.234,43
CANDESARTAN CILEXETIL
Comprimidos 8 mg ATACAND 8 mg DIVIS. COM x 15 Astrazeneca 493,72 190,47 190,47
DACTEN 8 mg COM x 15 Elea - Phoenix 1.038,69 755,95 755,95
ATACAND 8 mg DIVIS. COM x 28 Astrazeneca 1.746,20 1.247,28 1.247,28
RONAR 8 mg COM x 30 Roux Ocefa 679,82 135,96 135,96

TIADYL 8 mg COM x 30 Abbott Epd 1.359,24 740,61 740,61
DACTEN 8 mg COM x 30 Elea - Phoenix 1.849,50 1.346,05 1.346,05
16 mg ATACAND 16 mg DIVIS. COM x 15 Astrazeneca 918,00 465,78 465,78

RONAR 16 mg COM x 30 Roux Ocefa 993,45 198,69 198,69

TIADYL 16 mg COM x 30 Abbott Epd 2.329,38 1.515,89 1.515,89
32 mg ATACAND 32 mg DIVIS. COM x 28 Astrazeneca 3.713,89 2.603,57 2.603,57
CARBAMAZEPINA
Comprimidos 200 mg TEGRETOL 200 mg COM x 30 Novartis 403,82 218,97 115,99
CONFORMAL 200 mg COM x 30 Teva argentina ( 442,12 268,66 152,76
CARBAMAT 200 mg COM x 30 Rontag 510,50 356,10 356,10
ACTINERVAL 200 mg COM x 30 Bagó 534,04 379,86 279,21
CARBAMAT 200 mg COM x 60 Rontag 900,18 576,73 576,73

CONFORMAL 200 mg COM x 60 Teva argentina ( 1.011,68 687,64 471,94
ACTINERVAL 200 mg COM x 60 Bagó 1.022,06 703,88 493,53
TEGRETOL 200 mg COM x 60 Novartis 1.041,27 727,32 520,84
Página 20 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 400 mg CONFORMAL 400 mg AP COM x 30 Teva argentina ( 1.007,11 562,15 302,38
TEGRETOL LC 400 mg COM x 30 Novartis 1.466,44 1.043,43 898,37
TEGRETOL LC 400 mg COM x 60 Novartis 2.467,57 1.682,27 1.161,26
Líquido 2000 mg TEGRETOL JBE x 100 Novartis 266,93 183,51 128,33
CARBINOXAMINA
Comprimidos 4 mg OMEGA 100 COM x 20 Omega 398,89 287,05 287,05
OMEGA 100 COM x 50 Omega 667,89 402,85 402,85
Gotas 80 mg OMEGA 100 GTS x 20 Omega 618,68 430,76 430,76
Líquido 80 mg OMEGA 100 JBE x 120 Omega 477,86 332,72 332,72
CARBINOXAMINA + AMONIO
CLORURO
Líquido 50 mg OMEGA 100 EXPECTORANTE JBE x 120 Omega 494,74 344,47 344,47
CARTEOLOL CLORHIDRATO
Colirio 2000 mg GLAUTEOLOL 2% COL x 5 Max Vision 585,00 397,12 397,12
POENGLAUCOL 2% COL x 5 Poen 635,80 453,27 453,27
CARTENS 2% LIB.PROL. COL x 3 Atlas 467,97 330,55 330,55
CARVEDILOL
Comprimidos 3,125 mg CORITENSIL 3.125 mg COM x 28 Roux Ocefa 106,43 46,51 46,51
CORAFEN 3.125 mg COM x 28 Bernabo 192,58 138,07 104,55
CARVEDIL 3.125 mg COM x 28 Bagó 202,97 144,42 119,85
DILATREND 3.125 mg COM x 28 Nova Argentia 207,81 148,41 125,63
BIDECAR 3.125 mg COM x 28 Baliarda 207,90 148,50 125,72
FILTEN 3.125 mg COM x 28 Gador 210,45 149,74 129,51
CARVIPAW 3.125 mg COM x 30 Rospaw 93,40 29,20 29,20

VERATEN 3.125 mg COM x 30 Elea - Phoenix 247,52 176,80 153,23

6,25 mg VEDILEP 6.25 mg COM x 28 Lepetit 195,00 79,70 48,60

CORITENSIL 6.25 mg RANURADO COM x 28 Roux Ocefa 205,33 98,27 98,27
CORUBIN 6.25 COM x 28 Lazar 305,52 201,97 132,47
DUOBLOC 6.25 mg COM x 28 Sidus 333,61 235,15 170,26
VICARDOL 6.25 mg COM x 28 Richmond 370,47 267,56 220,02

CARTIATO 6.25 mg COM x 30 Savant Pharm S.A. 345,95 236,78 163,89
RODIPAL 6.25 mg COM x 30 Eurofarma 361,92 255,47 196,11
ANTIBLOC 6.25 mg COM x 30 Craveri 371,92 264,63 207,15
Página 21 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 6,25 mg DILATREND 6.25 mg COM x 30 Nova Argentia 375,18 266,05 212,64
ISOBLOC 6.25 mg COM x 30 Casasco 393,45 283,39 232,01


10 mg CARVEDIL RETARD 10 mg CAP x 28 Bagó 418,44 276,54 181,48

BIDECAR CR 10 mg Lib. CAP x 28 Baliarda 428,70 288,34 194,67
DILATREND AP 10 mg CAP x 30 Nova Argentia 418,92 257,66 152,43

FILTEN LP 10 mg CAP x 30 Gador 480,91 336,45 241,51
VERATEN UD 10 mg LIB. EXT. CAP x 30 Elea - Phoenix 541,51 395,55 311,86
12,5 mg VEDILEP 12.5 mg COM x 28 Lepetit 225,00 79,65 57,00

CORITENSIL 12.5 mg COM x 28 Roux Ocefa 246,18 110,28 110,28
CORUBIN 12.5 COM x 28 Lazar 383,73 251,24 162,07
DUOBLOC 12.5 mg COM x 28 Sidus 413,91 286,85 202,58
VICARDOL 12.50 mg COM x 28 Richmond 524,85 379,06 330,46

CARTIATO 12.5 mg COM x 30 Savant Pharm S.A. 458,08 323,70 235,01
ANTIBLOC 12.5 mg COM x 30 Craveri 471,63 335,58 262,31


20 mg CARVEDIL RETARD 20 mg CAP x 28 Bagó 685,68 459,70 308,96

BIDECAR CR 20 mg Lib. CAP x 28 Baliarda 707,72 480,53 328,70

ISOBLOC CR 20 mg CAP x 30 Casasco 786,24 549,32 392,55
VERATEN UD 20 mg LIB.EXT. CAP x 30 Elea - Phoenix 857,18 626,13 481,46
Página 22 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 25 mg CORITENSIL 25 mg COM x 28 Roux Ocefa 318,20 153,26 153,26

VEDILEP MULTIDOSIS 25 mg Trirran. COM x 28 Lepetit 335,00 156,02 85,40
CORUBIN 25 COM x 28 Lazar 485,15 329,17 225,27
DUOBLOC 25 mg COM x 28 Sidus 495,64 339,90 236,24
CORAFEN 25 mg COM x 28 Bernabo 505,95 354,19 254,16
CARVEDIL 25 mg COM x 28 Bagó 543,51 386,73 309,64
BIDECAR 25 mg COM x 28 Baliarda 541,19 391,02 299,04
DILATREND 25 mg COM x 28 Nova Argentia 555,35 396,60 323,80
FILTEN 25 mg COM x 28 Gador 568,95 404,83 343,39
VERATEN 25 mg COM x 28 Elea - Phoenix 615,67 439,76 381,13
VICARDOL 25 mg COM x 28 Richmond 632,91 457,10 398,50
CARTIATO 25 mg COM x 30 Savant Pharm S.A. 514,40 341,69 225,35

CARVIPAW 25 mg COM x 30 Rospaw 503,66 351,71 351,71
RODIPAL 25 mg COM x 30 Eurofarma 542,38 382,85 281,13
ANTIBLOC 25 mg COM x 30 Craveri 579,00 411,98 327,27
ISOBLOC 25 mg COM x 30 Casasco 592,30 426,62 338,95
VERATEN 25 mg COM x 30 Elea - Phoenix 720,15 526,04 461,33

RODIPAL 25 mg COM x 60 Eurofarma 844,29 462,08 251,63

ISOBLOC 25 mg COM x 60 Casasco 892,51 515,77 299,17
40 mg BIDECAR CR 40 mg Lib. CAP x 28 Baliarda 873,57 592,01 404,29

CARVEDIL RETARD 40 mg CAP x 28 Bagó 874,18 596,66 412,62

ISOBLOC CR 40 mg CAP x 30 Casasco 985,05 690,35 495,56
VERATEN UD 40 mg LIB.EXT. CAP x 30 Elea - Phoenix 1.072,62 783,50 604,98
50 mg CORITENSIL 50 mg COM x 28 Roux Ocefa 375,18 126,51 126,51

CORAFEN 50 mg COM x 28 Bernabo 624,36 357,90 207,09
CARVIPAW 50 mg COM x 30 Rospaw 217,00 65,10 65,10

80 mg CARVEDIL RETARD 80 mg CAP x 28 Bagó 1.042,78 694,94 462,49

BIDECAR CR 80 mg Lib. CAP x 28 Baliarda 1.120,65 785,97 565,52
DILATREND AP 80 mg CAP x 30 Nova Argentia 1.067,53 684,90 426,92

FILTEN LP 80 mg CAP x 30 Gador 1.165,87 804,60 565,93
VERATEN UD 80 mg LIB.EXT. CAP x 30 Elea - Phoenix 1.313,28 959,30 738,13
CARVEDILOL +
HIDROCLOROTIAZIDA
Comprimidos 25 mg CORITENSIL D 25/12.5 mg COM x 28 Roux Ocefa 327,88 118,01 118,01
Página 23 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 25 mg CARVEDIL D 25/12.5 mg COM x 28 Bagó 639,04 447,54 321,73

DILATREND D 25/12.5 mg COM x 28 Nova Argentia 641,65 448,03 320,26
FILTEN D 25/12.5 mg COM x 28 Gador 641,46 450,48 325,14
FILTEN D COM x 30 Gador 642,85 428,06 284,49

ISOBLOC D COM x 30 Casasco 668,43 453,78 310,34
CEFADROXILO
Comprimidos 500 mg CEFACAR 500 mg COM x 8 Nova Argentia 324,35 231,67 231,67
CEFACILINA 500 mg COM x 8 Montpellier 328,16 234,40 234,40
CEFAMAR 500 mg COM x 14 Mar 325,00 132,84 132,84
CEFACAR 500 mg COM x 16 Nova Argentia 630,28 445,33 445,33

CEFACILINA 500 mg COM x 16 Montpellier 638,76 455,53 455,53
1000 mg CEFACILINA 1000 mg COM x 8 Montpellier 523,89 360,14 360,14

CEFACAR 1000 mg COM x 8 Nova Argentia 528,79 367,37 367,37
CEFACAR 1000 mg COM x 16 Nova Argentia 1.039,14 712,17 712,17
Líquido 250 mg CEFACAR 250 mg SUS x 60 Nova Argentia 226,93 157,26 157,26
CEFAMAR 250 MG/5 ML SUS x 70 Mar 230,00 138,57 138,57
CEFACAR 250 mg SUS x 90 Nova Argentia 329,78 222,86 222,86
500 mg CEFACAR 500 mg SUS x 60 Nova Argentia 332,78 176,26 176,26
CEFAMAR 500 MG/5 ML SUS x 70 Mar 347,00 166,36 166,36
CEFACILINA 500 mg JBE x 90 Montpellier 642,94 450,06 450,06

CEFACAR 500 mg SUS x 90 Nova Argentia 767,77 546,30 546,30
CEFALEXINA
Comprimidos 500 mg CEFALEXINA FECOFAR 500 mg COM x 8 Fecofar 182,70 130,53 130,53
CEFALEXINA RICHET 500 mg COM x 8 Richet 212,85 152,32 152,32
KEFORAL 500 mg COM x 8 Teva argentina ( 213,79 152,50 152,50
CEPOREXIN 500 mg COM x 8 Investi 213,65 153,18 153,18
SEPTILISIN 500 mg COM x 8 Bagó 223,00 158,67 158,67
CEFALEXINA ARGENTIA 500 mg COM x 8 Nova Argentia 221,90 159,12 159,12
CEFALEXINA FECOFAR 500 mg COM x 16 Fecofar 345,42 236,87 236,87

CEPOREXIN 500 mg COM x 16 Investi 369,90 265,21 265,21
SEPTILISIN 500 mg COM x 16 Bagó 379,24 269,84 269,84

1000 mg KEFORAL 1000 mg COM x 8 Teva argentina ( 356,39 228,45 228,45

CEFALEXINA ARGENTIA DUO 1 g COM x 14 Nova Argentia 693,40 484,39 484,39

CEPOREXIN DUO 1 g COM x 14 Investi 698,77 490,93 490,93
SEPTILISIN DUO 1000 mg COM x 14 Bagó 712,57 507,02 507,02

CEFALEXINA ARGENTIA DUO 1 g COM x 16 Nova Argentia 732,99 480,05 480,05
Página 24 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 1000 mg CEPOREXIN DUO 1 g COM x 16 Investi 752,90 504,95 504,95
Líquido 250 mg CEFALEXINA RICHET 250 mg 12 dosis JBE x 60 Richet 75,25 27,12 27,12 INF
CEFALEXINA RICHET 250 mg 18 dosis JBE x 90 Richet 219,13 157,16 157,16 INF
CEFALEXINA ARGENTIA 250 mg SUS x 90 Nova Argentia 226,22 160,79 160,79 INF
CEPOREXIN 250 mg JBE x 90 Investi 227,28 162,07 162,07 INF
CEFALEXINA ARGENTIA 250 mg SUS x 120 Nova Argentia 252,35 152,67 152,67 INF
CEFALEXINA RICHET 250 mg 24 dosis JBE x 120 Richet 244,90 152,72 152,72 INF
500 mg CEFALEXINA FECOFAR 500 mg SUS x 60 Fecofar 279,24 199,50 199,50

CEFALEXINA RICHET 500 mg 12 dosis SUS x 60 Richet 349,63 250,28 250,28
SEPTILISIN 500 mg SUS x 60 Bagó 356,57 253,71 253,71
KEFORAL 500 mg JBE x 60 Teva argentina ( 358,71 255,88 255,88
CEFALEXINA ARGENTIA 500 mg SUS x 90 Nova Argentia 370,12 256,76 256,76

CEPOREXIN 500 mg SUS x 90 Investi 371,30 258,21 258,21
CEFALEXINA FECOFAR 500 mg SUS x 90 Fecofar 380,04 269,52 269,52
SEPTILISIN 500 mg SUS x 90 Bagó 394,71 280,85 280,85
KEFORAL 500 mg JBE x 100 Teva argentina ( 553,73 394,99 394,99
CEPOREXIN 500 mg SUS x 120 Investi 135,10 33,13 33,13

CEFALEXINA RICHET 500 mg 24 dosis SUS x 120 Richet 450,02 322,14 322,14
CEFALEXINA ARGENTIA 500 mg SUS x 120 Nova Argentia 465,29 333,63 333,63
750 mg CEPOREXIN DUO 750 mg PED. SUS x 90 Investi 428,13 297,35 297,35
CEFALEXINA ARGENTIA DUO 750 mg SUS x 90 Nova Argentia 431,08 299,97 299,97
CEFAZOLINA
Ampollas 1000 mg CEFALOMICINA 1000 mg F.A x 1 Bagó 405,79 278,98 278,98
CEFIXIMA
Comprimidos 400 mg VIXCEF 400 mg COM x 6 Bagó 1.480,91 1.053,72 1.053,72
NOVACEF COM x 8 Gador 1.567,05 1.004,02 1.004,02
VIXCEF 400 mg COM x 12 Bagó 2.486,65 1.676,87 1.676,87
Líquido 100 mg VIXCEF SUS x 30 Bagó 589,34 412,12 412,12
VIXCEF SUS x 60 Bagó 1.138,53 775,13 775,13
CEFTRIAXONA
Ampollas 500 mg ACANTEX 500 mg IM F.A x 1 Investi 308,05 213,60 213,60
1000 mg CEFTRIAZONA DUNCAN 1000 mg IM F.A x 1 Duncan 678,90 464,05 464,05

CEFTRIAXONA RICHET IM 1000 mg AMP x 1 Richet 692,17 464,58 464,58
CEFTRIAXONA FABRA 1000 mg F.A x 1 Fabra 737,94 503,88 503,88
ACANTEX 1 g IM F.A x 1 Investi 780,20 558,34 558,34
ACANTEX 1 g IM F.A x 3 Investi 3.340,48 2.395,06 2.395,06
2000 mg CEFTRIAXONA-RICHET 2000 mg AMP x 1 Richet 118,16 72,79 72,79
CEFUROXIMA
Comprimidos 250 mg CEFUROX 250 mg COM x 14 Elea - Phoenix 540,60 339,21 339,21
500 mg CEFUROX 500 mg COM x 8 Elea - Phoenix 560,64 384,96 384,96
CEFUROX 500 mg COM x 14 Elea - Phoenix 865,67 526,85 526,85
Líquido 250 mg CEFUROX 250 mg SABOR MEJORADO SUS x 50 Elea - Phoenix 606,88 346,53 346,53
Página 25 de 116
A CARGO A CARGO
AFILIADO CRONICO
CELECOXIB
Comprimidos 200 mg CELEBREX 200 mg COM x 20 Pfizer 838,14 588,69 588,69
CETIRIZINA
Comprimidos 10 mg CETRILER COM x 10 Roux Ocefa 172,34 87,34 87,34
STOPALER COM x 10 Raymos 181,55 88,77 88,77
DEXALERGIN NOVO CB 10 mg CAP x 10 Teva argentina ( 286,99 205,64 205,64
CETIZINE 10 mg COM x 10 Lazar 294,73 210,97 210,97
CABAL COM x 10 Dallas 303,72 223,01 223,01
ZYRTEC 10 mg COM x 10 GlaxoSmithKline 407,27 291,79 291,79
SALVALERG 10 mg COM x 10 GlaxoSmithKline 409,34 293,27 293,27
STOPALER COM x 20 Raymos 326,77 142,76 142,76

ATOPIX COM x 20 Cassara 366,54 196,54 196,54
CETIZINE 10 mg COM x 20 Lazar 503,45 360,36 360,36
CETRILER COM x 30 Roux Ocefa 428,93 173,93 173,93

DEXALERGIN NOVO CB 10 mg CAP x 30 Teva argentina ( 737,92 494,52 494,52
CABAL COM x 30 Dallas 782,86 537,32 537,32
ZYRTEC 10 mg COM x 30 GlaxoSmithKline 1.075,75 770,71 770,71
SALVALERG 10 mg COM x 30 GlaxoSmithKline 1.081,84 775,08 775,08
Gotas 1000 mg CETRILER GTS x 10 Roux Ocefa 162,34 105,52 105,52

CETIZINE GTS x 10 Lazar 278,75 199,53 199,53
CABAL GTS x 10 Dallas 286,53 210,38 210,38
ATOPIX GTS x 20 Cassara 279,99 164,88 164,88
CICLOPENTOLATO
Colirio 1000 mg CICLOPENTOLATO POEN 1% COL x 5 Poen 387,94 267,29 267,29
CILOSTAZOL
Comprimidos 50 mg TROMBONOT 50 mg COM x 28 Richmond 574,06 377,47 377,47
CIBROGAN 50 mg COM x 30 Savant Consumer 301,84 79,96 79,96

ZOLPLAT 50 mg COM x 30 Raffo 571,94 337,71 337,71
CILAAL 50 mg COM x 30 Craveri 598,11 376,56 376,56
CILOVAS 50 mg COM x 30 Baliarda 641,21 418,48 418,48
POLICOR 50 mg COM x 30 Gador 644,67 433,76 433,76
LICUAGEN 50 mg COM x 30 Elea - Phoenix 653,94 437,53 437,53
TRASTOCIR 50 mg COM x 30 Teva argentina ( 671,05 469,73 469,73
ACLUSIN 50 mg COM x 30 Casasco 704,08 502,08 502,08
CILOSTAL 50 mg COM x 30 Elea - Phoenix 763,72 555,91 555,91
CILAAL 50 mg COM x 60 Craveri 991,94 505,26 505,26

TRASTOCIR 50 mg COM x 60 Teva argentina ( 1.227,35 805,38 805,38
100 mg TROMBONOT 100 mg COM x 28 Richmond 1.055,04 720,64 720,64
CIBROGAN 100 mg COM x 30 Savant Consumer 598,42 208,51 208,51

ZOLPLAT 100 mg COM x 30 Raffo 1.018,74 611,51 611,51
CILAAL 100 mg COM x 30 Craveri 1.191,72 836,89 836,89
CILOVAS 100 mg COM x 30 Baliarda 1.211,04 840,35 840,35
TRASTOCIR 100 mg COM x 30 Teva argentina ( 1.212,66 848,86 848,86
LICUAGEN 100 mg COM x 30 Elea - Phoenix 1.215,77 851,02 851,02
POLICOR 100 mg COM x 30 Gador 1.216,24 864,11 864,11
ACLUSIN 100 mg COM x 30 Casasco 1.279,91 920,74 920,74
CILOSTAL 100 mg COM x 30 Elea - Phoenix 1.425,81 1.037,83 1.037,83
Página 26 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 100 mg CILAAL 100 mg COM x 60 Craveri 1.842,17 982,63 982,63

TRASTOCIR 100 mg COM x 60 Teva argentina ( 2.050,26 1.280,03 1.280,03
ACLUSIN 100 mg COM x 60 Casasco 2.174,40 1.405,00 1.405,00
CILOSTAL 100 mg COM x 60 Elea - Phoenix 2.626,35 1.911,70 1.911,70
200 mg VASATIV XR 200 mg COM x 30 Eurofarma 2.293,00 1.547,77 1.547,77
CINCOCAINA CLOROHIDRATO
+ EXTRACTO SECO DE BEXA
OELLANA
Pomada 1000 mg PROCTYL PDA x 10 Takeda 247,49 177,45 177,45
PROCTYL PDA x 30 Takeda 531,23 340,99 340,99
CIPROFIBRATO
Comprimidos 100 mg FIXERIL 100 mg COM x 30 Lazar 1.085,16 678,89 678,89
ESTAPROL 100 mg CAP x 30 Sanofi Aventis 1.654,63 1.186,34 1.186,34
FIXERIL 100 mg COM x 60 Lazar 2.002,90 1.137,32 1.137,32

ESTAPROL 100 mg CAP x 60 Sanofi Aventis 3.198,76 2.293,45 2.293,45
CIPROFLOXACINA
Colirio 300 mg FLORAXINA COL x 5 Spedrog Caillon 315,00 212,02 212,02
CIFLOXIN COL x 5 Novoplos 324,90 224,51 224,51
CIPROFLOXACINA DORF COL x 5 Pharmadorf 332,70 225,45 225,45
Comprimidos 250 mg CIPROFLOXACINA LAZAR 250 mg COM x 10 Lazar 276,29 191,22 191,22
500 mg REXNER 500 mg COM x 6 Casasco 364,69 263,42 263,42
NEXOFLOXACIN 500 mg COM x 10 Nexo Pharmaceutical 189,00 37,80 37,80

Group
NOVIDAT 500 mg COM x 10 Temis-Lostalo 168,15 41,34 41,34
CIPROTENK 500 mg COM x 10 Biotenk 486,69 292,36 292,36
MEDAFLOX 500 mg COM x 10 Eurolab 525,00 348,24 348,24
BIOTIC PHARMA 500 mg COM x 10 Trb-Pharma 544,00 368,22 368,22
CIPROFLOXACINA RICHET 500 mg COM x 10 Richet 546,56 390,57 390,57
EXERTIAL 500 COM x 10 Baliarda 569,24 395,31 395,31
SELKET 500 mg COM x 10 Finadiet 569,86 399,42 399,42
CIRIAX 500 mg COM x 10 Roemmers 581,35 411,23 411,23
REXNER 500 mg COM x 10 Casasco 585,79 413,11 413,11
SEPTOCORT 500 mg COM x 10 Fecofar 583,90 414,23 414,23
ARGEFLOX 500 mg COM x 10 Nova Argentia 585,49 414,99 414,99
MICROSULF 500 mg COM x 10 Microsules Argentina 580,00 423,70 423,70
CIPROFLOXACINA LAZAR 500 mg COM x 10 Lazar 601,72 430,71 430,71
SEPTICIDE 500 mg COM x 10 Bagó 613,33 436,41 436,41
ATIBAX 500 mg COM x 10 Savant Consumer 612,85 438,06 438,06
CIPRO (EX BAYTERIN) 500 mg COM x 10 Bayer (PH) 736,06 534,40 534,40
SELKET 500 mg COM x 14 Finadiet 765,85 520,12 520,12

EXERTIAL 500 COM x 14 Baliarda 782,33 537,25 537,25
MEDAFLOX 500 mg COM x 20 Eurolab 965,00 588,33 588,33

SELKET 500 mg COM x 20 Finadiet 1.048,00 685,63 685,63
ARGEFLOX 500 mg COM x 20 Nova Argentia 1.084,05 723,35 723,35
CIRIAX 500 mg COM x 20 Roemmers 1.080,05 726,18 726,18
CIPROFLOXACINA LAZAR 500 mg COM x 20 Lazar 1.097,82 741,81 741,81
REXNER 500 mg COM x 20 Casasco 1.109,97 750,72 750,72
REXNER XR 500 mg COM x 5 Casasco 468,17 327,34 327,34
Página 27 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 500 mg
750 mg CIPROFLOXACINA LAZAR 750 mg COM x 10 Lazar 970,10 671,42 671,42
1000 mg CIPRO XR 1000 mg COM x 7 Bayer (PH) 707,05 392,74 392,74

REXNER XR 1000 mg COM x 7 Casasco 880,55 615,67 615,67
Líquido 5000 mg CIPRO 50 MG/ML SUS x 100 Bayer (PH) 2.212,40 1.555,75 1.555,75
CIPROFLOXACINA +
DEXAMETASONA
Colirio 300 mg CIFLOXIN DEX COL x 5 Novoplos 131,34 26,27 26,27
QUIDEX COL x 5 Poen 403,71 257,79 257,79
PROCALM COL x 5 Atlas 419,05 275,06 275,06
CIPROFLOXACINA D DORF COL x 5 Pharmadorf 461,86 322,16 322,16
FOTAMICIN SUSP. COL x 5 Elea - Phoenix 486,27 347,34 347,34
DECADRON C/CIPROFLOXACINA COL x 5 Sidus 584,30 427,55 427,55
CILOXADEX COL x 5 Novartis 695,40 494,80 494,80
Gotas 300 mg OTOSPORIN DEXA OTICO GTS x 5 Investi 244,10 169,26 169,26
Ungüento 300 mg QUIDEX OFT. UNG x 3,5 Poen 466,96 313,95 313,95
FOTAMICIN OFT. UNG x 3,5 Elea - Phoenix 552,83 394,88 394,88
CITALOPRAM
Comprimidos 20 mg SEROPRAM 20 mg COM x 14 Lundbeck 311,22 139,40 139,40
CITTA 20 mg COM x 14 Eurofarma 311,27 139,45 139,45
PSICONOR 20 mg COM x 15 Teva argentina ( 535,10 380,86 380,86
HUMORAP 20 mg COM x 28 Bagó 951,27 661,16 661,16

CITTA 20 mg COM x 28 Eurofarma 1.000,00 705,57 705,57
SEROPRAM 20 mg COM x 28 Lundbeck 1.003,03 708,60 708,60
ZENTIUS COM x 30 Roemmers 1.006,43 688,38 688,38

PSICONOR 20 mg COM x 30 Teva argentina ( 1.070,16 761,69 761,69
40 mg HUMORAP 40 mg COM x 28 Bagó 1.616,40 1.111,28 1.111,28
CLARITROMICINA
Comprimidos 250 mg CLARITROMICINA RICHET 250 mg COM x 8 Richet 67,45 13,49 13,49
CLARITROMICINA RICHET 250 mg COM x 16 Richet 128,73 25,75 25,75

ISET 250 mg COM x 16 Casasco 580,46 410,82 410,82
500 mg CORIXA 500 mg COM x 8 Biotenk 416,30 283,20 283,20

CLAROVIL 500 mg COM x 8 Beta 481,66 349,34 349,34
CLARIMAX 500 mg COM x 8 Montpellier 497,93 354,30 354,30
KLARICID 500 mg COM x 8 Abbott Epd 639,70 462,20 462,20
TUCLARIT 500 mg COM x 14 Mar 500,00 225,84 225,84
CORIXA 500 mg COM x 16 Biotenk 792,30 516,29 516,29

CLARITROM 500 mg COM x 16 Trb-Pharma 800,00 519,94 519,94
CLARIMAX 500 mg COM x 16 Montpellier 831,02 556,73 556,73
QUOTAL 500 mg COM x 16 Nova Argentia 887,88 624,64 624,64
CLAROVIL 500 mg COM x 16 Beta 896,31 627,36 627,36
ISET 500 mg COM x 16 Casasco 912,39 648,88 648,88
CLARIBIOTIC 500 mg COM x 16 Baliarda 912,18 650,26 650,26
AEROXINA 500 mg COM x 16 Elea - Phoenix 1.013,17 709,22 709,22
Página 28 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 500 mg KLARICID 500 mg COM x 16 Abbott Epd 1.055,86 762,89 762,89
CLASID 500 mg COM x 16 Sidus 1.286,37 941,28 941,28
TUCLARIT 500 mg COM x 20 Mar 683,00 292,94 292,94
CLARIMAX UD 500 mg COM x 4 Montpellier 238,28 158,70 158,70

QUOTAL UD COM x 4 Nova Argentia 251,03 173,90 173,90
CORIXA UD 500 mg COM x 4 Biotenk 255,30 175,65 175,65
CLARIBIOTIC UD 500 mg COM x 4 Baliarda 260,22 183,96 183,96
ISET UD 500 mg COM x 4 Casasco 260,24 184,06 184,06
CLAROVIL UD 500 mg LIB.PROL. COM x 4 Beta 283,14 205,35 205,35
AEROXINA UD 500 mg COM x 5 Elea - Phoenix 365,29 255,70 255,70

KLARICID UD COM x 5 Abbott Epd 385,85 278,79 278,79
CORIXA UD 500 mg COM x 8 Biotenk 450,20 271,09 271,09

CLARIMAX UD 500 mg COM x 8 Montpellier 467,10 305,54 305,54
QUOTAL UD COM x 8 Nova Argentia 495,45 339,69 339,69
CLARIBIOTIC UD 500 mg COM x 8 Baliarda 508,53 353,44 353,44
ISET UD 500 mg COM x 8 Casasco 510,21 355,64 355,64
CLAROVIL UD 500 mg LIB.PROL. COM x 8 Beta 520,36 365,70 365,70
KLARICID UD COM x 8 Abbott Epd 617,30 446,02 446,02
1000 mg CLARIMAX UD 1000 mg COM x 7 Montpellier 565,20 367,38 367,38
CLARIMAX UD 1000 mg COM x 14 Montpellier 1.128,00 733,20 733,20
Líquido 125 mg CLARITROMICINA RICHET 125 mg SUS x 60 Richet 269,72 149,29 149,29 INF
CORIXA 125 mg SUS x 60 Biotenk 328,30 207,06 207,06 INF
TUCLARIT 125 mg SUS x 60 Mar 336,00 215,42 215,42
CLARIMAX 125 mg SUS x 60 Montpellier 343,11 230,47 230,47 INF
CLARIBIOTIC 125 MG/5 ML SUS x 60 Baliarda 386,47 273,87 273,87 INF
ISET 125 mg/5 ml JBE x 60 Casasco 386,78 277,33 277,33 INF
KLARICID PEDIATRICO 125 mg JBE x 60 Abbott Epd 511,80 369,79 369,79 INF
QUOTAL 125 MG/5 ML SUS x 70 Nova Argentia 384,13 244,35 244,35
250 mg TUCLARIT 250 mg SUS x 60 Mar 578,00 341,48 341,48

CORIXA 250 mg SUS x 60 Biotenk 658,90 447,94 447,94 INF
CLARIMAX 250 mg SUS x 60 Montpellier 664,01 458,72 458,72 INF
CLARITROMICINA RICHET 250/5ML SUS x 60 Richet 728,72 528,15 528,15 INF
ISET 250 mg/5 ml JBE x 60 Casasco 751,84 543,08 543,08 INF
CLARIBIOTIC 250 MG/5 ML SUS x 60 Baliarda 747,62 544,02 544,02 INF
KLARICID PEDIATRICO FORTE JBE x 60 Abbott Epd 803,78 580,76 580,76 INF
AEROXINA 250 mg SUS x 60 Elea - Phoenix 853,67 597,57 597,57 INF
QUOTAL 250 MG/5 ML SUS x 70 Nova Argentia 742,80 486,89 486,89 INF
TUCLARIT 250 mg SUS x 100 Mar 770,00 360,70 360,70

ISET 250 mg/5 ml JBE x 100 Casasco 1.259,63 902,49 902,49
Sobres 125 mg QUOTAL MD 125 mg SOB x 14 Nova Argentia 81,25 51,63 51,63
250 mg QUOTAL MD 250 mg SOB x 14 Nova Argentia 154,84 98,40 98,40
CLEMBUTEROL
Comprimidos 0,02 mg OXIBRON COM x 20 Montpellier 167,61 90,83 90,83
Página 29 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 0,02 mg BRONQ C COM x 30 Bernabo 344,65 247,10 247,10
Líquido 0,05 mg BRONQ C JBE x 100 Bernabo 464,22 321,89 321,89
CLINDAMICINA
Comprimidos 300 mg RESBIOTIC 300 mg CAP x 16 Casasco 557,86 381,39 381,39
DALACIN C 300 mg CAP x 16 Pfizer 577,97 405,06 405,06
RESBIOTIC 300 mg CAP x 24 Casasco 832,55 564,93 564,93
Gel 1000 mg CLIDAN DERMICO GEL x 15 Cassara 243,02 176,26 176,26
CLINDACIN GEL x 50 Panalab 776,00 583,10 583,10
Líquido 1000 mg CLINDACIN SOL x 50 Panalab 699,00 508,20 508,20
Loción 1000 mg CLINTOPIC LOC x 30 Investi 99,67 69,11 69,11
Óvulos 100 mg TORGYN 100 mg OVU x 3 Raffo 416,35 297,96 297,96
TORGYN 100 mg OVU x 7 Raffo 566,44 322,11 322,11
CLOBAZAM
Comprimidos 10 mg KARIDIUM 10 mg COM x 60 Sanofi Aventis 597,46 414,28 414,28
20 mg KARIDIUM 20 mg COM x 60 Sanofi Aventis 1.010,35 700,57 700,57
CLOBETASOL
Crema 50 mg DERMADEX CRE x 15 GlaxoSmithKline 437,05 313,13 313,13
CLOBEPLUS CRE x 20 Raymos 202,70 43,72 43,72

CLOBESOL CRE x 20 Investi 358,74 185,18 185,18
CLOBEFAR CREMA CRE x 20 Hlb Pharma 353,05 194,30 194,30
SALAC CRE x 20 Andromaco 506,00 366,20 366,20
PERFRACORT 0.05% CRE x 30 Fortbenton 441,10 184,97 184,97

SALVICUTAN CRE x 30 Lazar 480,15 221,56 221,56
SALAC CRE x 30 Andromaco 693,00 461,42 461,42
DERMADEX CRE x 30 GlaxoSmithKline 857,13 614,09 614,09
Loción 50 mg CLOBESOL LOC x 30 Investi 317,83 147,86 147,86

DERMADEX CAPILAR LOC x 30 GlaxoSmithKline 677,50 485,39 485,39
SALAC LOC x 40 Andromaco 598,00 391,77 391,77
Shampoo 50 mg SALAC SHA x 140 Andromaco 1.530,00 1.071,75 1.071,75
Ungüento 50 mg CLOBESOL UNG x 15 Investi 262,54 134,10 134,10

DERMADEX UNG x 15 GlaxoSmithKline 414,18 296,74 296,74
CLOBEFAR UNGÜENTO UNG x 20 Hlb Pharma 353,05 196,25 196,25

SALAC UNG x 20 Andromaco 452,00 298,47 298,47
PERFRACORT 0.05% UNG x 30 Fortbenton 462,02 207,96 207,96

DERMADEX UNG x 30 GlaxoSmithKline 786,30 563,34 563,34
CLOMIFENO
Comprimidos 50 mg GENOZYM COM x 20 Investi 915,87 656,66 656,66
GENOZYM COM x 60 Investi 1.727,23 915,13 915,13
CLOMIPRAMINA
Ampollas 25 mg ANAFRANIL AMP x 10 Sandoz 392,21 223,95 223,95
Comprimidos 25 mg ANAFRANIL GRA x 30 Sandoz 525,66 366,00 366,00
Página 30 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 75 mg ANAFRANIL 75 mg DIVITABS COM x 20 Sandoz 1.112,05 774,28 774,28
CLONAZEPAM
Comprimidos 0,25 mg RIVOTRIL 0.25 mg COM x 30 Investi 86,58 45,88 45,88
INDUZEPAM 0.25 mg COM x 30 Finadiet 158,69 113,78 113,78
NEURYL 0.25 mg COM x 50 Bagó 205,04 145,89 145,89
CLONAGIN 0.25 mg COM x 60 Baliarda 219,43 138,81 138,81
0,5 mg NEURYL 0.5 mg COM x 10 Bagó 124,75 88,76 88,76

LEPTIC 0.5 mg COM x 10 Soubeiran Chobet 126,77 90,03 90,03
SENSATON 0.5 mg COM x 30 Temis-Lostalo 188,29 86,10 86,10

CLONAZEPAM ROSPAW 0.5 mg COM x 30 Rospaw 240,11 155,63 155,63
SOLFIDIN 0.5 mg COM x 30 Rontag 262,28 178,64 178,64
CLONAZEPAM DENVER FARMA 0.5 mg COM x 30 Denver Farma 267,47 187,23 187,23
CLONASEDAN 0.5 mg COM x 30 Eurofarma 282,46 197,72 197,72
DIOCAM 0.5 mg COM x 30 Gador 304,02 216,32 216,32
EDICTUM 0.5 mg COM x 30 Pharmadorf 361,31 261,87 261,87
RIVOTRIL 0.5 mg COM x 30 Investi 383,18 274,73 274,73
CLONAX 0.5 mg COM x 30 Beta 381,47 276,67 276,67

CLONAX 0.5 mg COM x 50 Beta 484,48 337,52 337,52

CLONAZEPAM ROSPAW 0.5 mg COM x 60 Rospaw 465,66 283,56 283,56
1 mg DIOCAM 1 mg COM x 30 Gador 311,67 221,76 221,76

CLONAGIN 1 mg COM x 30 Baliarda 323,60 233,83 233,83
CLONAX 1 mg COM x 30 Beta 382,24 277,23 277,23
NEURYL 1 mg COM x 50 Bagó 447,30 300,75 300,75

DIOCAM 1 mg COM x 50 Gador 476,87 336,93 336,93

2 mg NEURYL 2 mg COM x 10 Bagó 140,00 99,62 99,62

LEPTIC 2 mg COM x 10 Soubeiran Chobet 157,77 112,04 112,04
SENSATON 2 mg COM x 30 Temis-Lostalo 195,17 89,00 89,00

INDUZEPAM 2 mg COM x 30 Finadiet 286,92 193,82 193,82
CLONAZEPAM ROSPAW 2 mg COM x 30 Rospaw 285,32 199,72 199,72
Página 31 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 2 mg CLONAZEPAM DENVER FARMA 2 mg COM x 30 Denver Farma 302,33 211,63 211,63
CLONASEDAN 2 mg COM x 30 Eurofarma 318,00 222,60 222,60
EDICTUM 2 mg COM x 30 Pharmadorf 387,11 280,56 280,56
RIVOTRIL 2 mg COM x 30 Investi 403,02 288,96 288,96

INDUZEPAM 2 mg COM x 50 Finadiet 421,56 250,68 250,68
EDICTUM 2 mg COM x 50 Pharmadorf 558,82 405,02 405,02
CLONAZEPAM ROSPAW 2 mg COM x 60 Rospaw 439,33 243,55 243,55

CLONAZEPAM DENVER FARMA 2 mg COM x 60 Denver Farma 443,03 247,25 247,25
0,25 mg CLONAGIN SL 0.25 mg COM x 15 Baliarda 111,20 76,96 76,96
DIOCAM SL 0.25 mg COM x 30 Gador 173,70 92,89 92,89

CLONAGIN SL 0.25 mg COM x 30 Baliarda 194,25 118,39 118,39
RIVOTRIL 0.25 mg SUBLINGUAL COM x 30 Investi 268,08 192,21 192,21
CLONAX RAPID 0.25 mg SUBLING. COM x 30 Beta 377,55 273,83 273,83
0,5 mg SOLFIDIN FLASH 0.5 mg COM x 30 Rontag 341,78 229,20 229,20
NEURYL FLASH 0.5 mg COM x 50 Bagó 617,88 424,79 424,79
SOLFIDIN FLASH 0.5 mg COM x 60 Rontag 683,56 458,39 458,39
Gotas 2,5 mg INDUZEPAM 0.25% Sol.Oral GTS x 20 Finadiet 41,49 8,30 8,30
RIVOTRIL 0.25% (2.5 mg/ml) GTS x 20 Investi 111,42 27,33 27,33
NEURYL 2.5 mg/ml GTS x 20 Bagó 297,64 211,78 211,78
CLONAGIN 2.5 mg/ml GTS x 20 Baliarda 317,30 226,64 226,64
CLOPIDOGREL
Comprimidos 75 mg CLOPIDOGREL ROSPAW 75 mg COM x 10 Rospaw 523,21 366,25 366,25
NADENEL 75 mg COM x 14 Geminis Farmaceutica 926,76 669,19 583,34

PLAVIX 75 mg COM x 14 Sanofi Aventis 1.599,96 1.147,14 996,20
NABRATIN 75 mg COM x 15 Raffo 210,63 63,19 42,13

CLOPILEP 75 mg COM x 15 Lepetit 290,00 101,70 74,80
CLODREL 75 mg COM x 15 Baliarda 973,26 705,73 616,56
TROKEN 75 mg COM x 15 Bagó 1.076,65 766,08 662,55
NEFAZAN 75 mg COM x 15 Elea - Phoenix 1.171,75 848,29 740,47
ANTIPLAQ 75 mg COM x 28 Richmond 1.729,30 1.210,51 1.037,58

NADENEL 75 mg COM x 28 Geminis Farmaceutica 1.708,13 1.233,40 1.075,16
PLAVIX 75 mg COM x 28 Sanofi Aventis 3.124,46 2.240,18 1.945,42
Página 32 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 75 mg
CLOPILEP 75 mg COM x 30 Lepetit 580,00 203,40 149,60
XIMARA 75 mg COM x 30 Temis-Lostalo 1.396,63 960,77 671,57
CLOPIDOGREL ROSPAW 75 mg COM x 30 Rospaw 1.498,76 1.049,13 1.049,13
DANIR 75 mg COM x 30 Craveri 1.520,96 1.064,67 876,22
NADENEL 75 mg COM x 30 Geminis Farmaceutica 1.619,06 1.160,35 977,00
MONREX 75 mg COM x 30 Montpellier 1.652,44 1.180,31 1.022,94
ANTIPLAQ 75 mg COM x 30 Richmond 1.729,30 1.210,51 1.037,58
CLODREL 75 mg COM x 30 Baliarda 1.933,62 1.402,11 1.224,94
PLEYAR 75 mg COM x 30 Casasco 2.006,18 1.410,66 1.212,15
NABRATIN 75 mg COM x 30 Raffo 2.000,26 1.431,47 1.241,87
TROKEN 75 mg COM x 30 Bagó 2.082,25 1.481,60 1.281,39
NEFAZAN 75 mg COM x 30 Elea - Phoenix 2.204,11 1.595,66 1.392,85
CLOPILEP 75 mg COM x 60 Lepetit 1.160,00 407,50 300,00
300 mg PLAVIX 300 mg COM x 4 Sanofi Aventis 1.010,57 700,72 495,75
CLORFENIRAMINA
Comprimidos 2 mg AFEME COM x 20 Cetus 282,70 197,89 197,89
4 mg ALERGITRAT COM x 20 Fecofar 249,55 174,56 174,56
Líquido 50 mg ALERGITRAT JBE x 120 Fecofar 249,55 174,56 174,56
CLOROQUINA
Comprimidos 100 mg NIVAQUINE COM x 30 Sanofi Aventis 467,35 324,06 324,06
CLORPROMAZINA
Comprimidos 25 mg AMPLIACTIL 25 mg COM x 30 Sanofi Aventis 278,69 193,24 193,24
100 mg AMPLIACTIL 100 mg COM x 50 Sanofi Aventis 969,06 671,94 671,94
CLORTALIDONA
Comprimidos 50 mg EURETICO 50 mg COM x 30 Casasco 464,50 326,94 235,94
CLOTRIMAZOL
Aerosol 1000 mg MICOSEP DEO AER x 110 Cassara 408,63 296,60 296,60
MICOMAZOL DEO AER x 110 Investi 531,88 381,35 381,35
Crema 1000 mg CLOTRIMAZOL RAYMOS CRE x 20 Raymos 180,00 123,49 123,49
IKOLAN 1% CRE x 25 Investi 84,56 20,74 20,74
MICOSEP Derm. CRE x 30 Cassara 212,44 111,63 111,63

MICOMAZOL DERMICA CRE x 30 Investi 371,27 266,19 266,19
IKOLAN 1% CRE x 50 Investi 183,31 44,97 44,97
Pasta 1000 mg MICOSEP DERM. PTA x 30 Cassara 233,34 125,13 125,13

MICOMAZOL PTA x 30 Investi 393,46 282,10 282,10
Talco 1000 mg MICOSEP TAL x 30 Cassara 349,00 259,22 259,22
MICOMAZOL TAL x 50 Investi 349,51 199,02 199,02
CLOZAPINA
Comprimidos 25 mg LAPENAX 25 mg COM x 100 Gador 2.465,77 1.695,21 1.185,46
100 mg CLOZAPINA ROSPAW 100 mg COM x 30 Rospaw 2.166,50 1.516,55 1.516,55

LAPENAX 100 mg COM x 30 Gador 2.465,77 1.754,49 1.517,39
LAPENAX 100 mg COM x 90 Novartis 5.536,36 3.564,70 2.234,70
Página 33 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 100 mg CLOZAPINA ROSPAW 100 mg COM x 100 Rospaw 5.297,25 3.148,29 3.148,29
COLCHICINA
Comprimidos 1 mg COLCHICINA HOUDE COM x 20 Spedrog Caillon 421,01 301,88 301,88
COLCHICINA HOUDE COM x 60 Spedrog Caillon 1.075,00 697,75 697,75
COLESTIRAMINA
Sobres 4000 mg QUESTRAN POLVO SOB x 50 Bristol 1.391,94 939,56 640,29
CROMOGLICATO DISÓDICO
Colirio 4000 mg CLAROFTAL COL x 10 Poen 415,24 286,10 200,67
DANAZOL
Comprimidos 200 mg LADOGAL 200 mg CAP x 100 Sanofi Aventis 14.258,96 9.887,11 9.887,11
DAPSONA
Comprimidos 100 mg DAPS 100 mg COM x 100 Rontag 1.740,00 1.217,36 1.217,36
DEFLAZACORT
Comprimidos 6 mg DEFAS 6 mg COM x 10 Rontag 236,21 164,77 164,77
AZACORTID 6 mg COM x 20 Sanofi Aventis 440,61 305,52 305,52

DEFAS 6 mg COM x 20 Rontag 451,63 315,03 315,03
30 mg DEFAS 30 mg COM x 10 Rontag 1.097,87 765,81 765,81
DEFAS 30 mg COM x 20 Rontag 2.162,86 1.508,70 1.508,70

AZACORTID 30 mg COM x 20 Sanofi Aventis 2.236,99 1.551,12 1.551,12
DESMOPRESINA ACETATO
Ampollas 0,004 mg DESMOPRESIN AMP x 10 Ferring 5.571,22 3.846,79 3.846,79
0,015 mg OCTOSTIM 1 ML AMP x 10 Ferring 8.342,44 5.760,26 5.760,26
Comprimidos 0,1 mg DINADOM 0.1 mg COM x 30 Dominguez 1.777,30 1.200,39 1.200,39
DESMOPRESIN 0.1 mg COM x 100 Ferring 5.865,07 4.049,69 4.049,69
0,2 mg DINADOM 0.2 mg COM x 30 Dominguez 2.959,15 2.025,58 2.025,58

0,06 mg DESMOPRESIN MELT 60 mcg Liof.Oral (SL) COM x Ferring 1.625,89 1.122,64 1.122,64
30
DESMOPRESIN MELT 60 mcg Liof.Oral (SL) COM x Ferring 5.418,37 3.741,26 3.741,26
100
0,12 mg DESMOPRESIN MELT 120 mcg Liof.Oral COM x 30 Ferring 3.023,98 2.087,99 2.087,99
Spray 0,005 mg DESMOPRESIN INTRANASAL 5 mcg/ds 2.5 ml SPR Ferring 2.723,25 1.880,34 1.880,34
x 50
0,1 mg DINADOM NASAL SPR x 5 Dominguez 4.194,36 2.925,75 2.925,75

DESMOPRESIN NASAL SPR x 5 Ferring 4.134,30 2.931,26 2.931,26
DESMOPRESIN NASAL SPR x 6 Ferring 4.134,30 2.854,64 2.854,64
DESOGESTREL
Comprimidos 0,075 mg CAMELIA COM x 28 Bernabo 527,95 340,13 340,13
LUMILAC COM x 28 Pharmadorf 580,40 395,11 395,11
PINK COM x 28 Craveri 568,74 395,90 395,90
CARMIN COM x 28 Elea - Phoenix 595,55 419,98 419,98
CERAZETTE COM x 28 MSD Arrgentina SR 965,19 689,42 689,42
Página 34 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 0,075 mg
DEXAMETASONA
Colirio 100 mg SEDESTEROL COL x 5 Max Vision 550,00 391,60 391,60
DEXAMETASONA DORF COL x 10 Pharmadorf 721,94 354,28 354,28
Comprimidos 0,5 mg DEXAMETASONA FECOFAR COM x 20 Fecofar 206,10 54,39 54,39
DEXAMETASONA FECOFAR COM x 30 Fecofar 284,97 70,08 70,08

DECADRON 0.5 mg COM x 30 Sidus 703,34 514,66 514,66
4 mg DEXATOTAL 4 mg COM x 10 Ariston 201,25 133,42 133,42

DEXAMERAL 4 mg COM x 10 Raymos 223,60 158,91 158,91
DEXATOTAL 4 mg COM x 20 Ariston 382,67 241,81 241,81

DEXAMERAL 4 mg COM x 20 Raymos 426,40 292,55 292,55
DEXAMETASONA ACETATO
Ampollas 8 mg RUPEDEX 8 mg 2 ml AMP x 1 Duncan 346,11 238,98 238,98 INF
16 mg DECADRON AL 8 mg/ml 2 ml JGA+AG F.A x 1 Sidus 367,58 260,75 260,75
Comprimidos 1 mg RUPEDEX 0.5 mg COM x 20 Duncan 399,07 275,55 275,55
DEXAMETASONA ACETATO +
DEXAMETASONA FOSFATO
Ampollas 8 mg DUO DECADRON 2 ml+jga.desc. F.A x 1 Sidus 1.026,60 728,25 728,25
DEXAMETASONA FOSFATO
Ampollas 8 mg DEXAMETASONA RICHET 21 Fosf. 8MG 2ML+JG Richet 587,67 415,12 415,12 INF
AMP x 1
DECADRON 4 mg/ml 2ml+jer.des F.A x 1 Sidus 639,75 454,66 454,66
100 mg DECADRON SHOCK 20 mg/ml 5 ml F.A x 1 Sidus 650,65 461,56 461,56
DEXTROSA + SODIO
CLORURO
Sobres 20000 SALES REHIDRAT.ORAL 27.9 OCEFA SOB x 3 Roux Ocefa 136,78 88,91 88,91 INF
mg
SALES REHIDRAT.ORAL FRUTILLA SOB x 3 Roux Ocefa 142,34 92,52 92,52 INF
DIATRIZOICO ÁCIDO SAL

MEGLUMÍNICA
Ampollas 32000 TRIYOSOM 60 mg 50 ml F.A x 1 Gobbi 1.373,28 488,93 488,93
mg
DIAZEPAM
Ampollas 10 mg VALIUM 10 mg 2 ML AMP x 5 Investi 440,05 305,13 305,13
Comprimidos 2 mg PLIDAN 2 mg COM x 20 Roemmers 172,24 123,50 123,50
PLIDAN 2 mg COM x 50 Roemmers 355,36 241,39 241,39
2,5 mg LEMBROL 2.5 mg COM x 50 Sanofi Aventis 64,45 36,80 36,80
5 mg VALIUM 5 mg COM x 20 Investi 142,28 73,60 73,60
LEMBROL 5 mg COM x 25 Sanofi Aventis 55,69 11,14 11,14
VALIUM 5 mg COM x 30 Investi 287,67 201,11 201,11

SAROMET COM x 50 Rontag 355,49 198,90 198,90
Página 35 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg VALIUM 10 mg COM x 30 Investi 356,35 254,18 254,18

15 mg SAROMET FULLTIME CAP x 20 Rontag 355,49 247,97 247,97
Enema 5 mg DIACTAL 5mg/ 2,5 ml ENE x 1 Sidus 1.102,79 806,95 806,95
DIACTAL 5mg/ 2,5 ml ENE x 5 Sidus 2.790,68 1.426,17 1.426,17
DICLOFENAC POTÁSICO
Ampollas 75 mg VESALION 75 mg AMP x 6 Nova Argentia 482,50 323,18 323,18
OXA 75 3 ML AMP x 6 Beta 542,45 392,85 392,85
Comprimidos 50 mg RODINAC 50 COM x 15 Geminis Farmaceutica 194,58 139,23 139,23

OXA 50 COM x 15 Beta 413,25 299,72 299,72
DICLOMAR 50 mg COM x 20 Mar 168,00 83,68 83,68

DIOXAFLEX MIGRA 50 mg COM x 20 Bagó 401,45 285,65 285,65

RODINAC 50 COM x 30 Geminis Farmaceutica 309,98 193,91 193,91
OXA 50 COM x 30 Beta 742,86 538,78 538,78
75 mg BEFOL 75 mg COM x 10 Biotenk 199,80 142,20 142,20

RODINAC 75 K COM x 10 Geminis Farmaceutica 326,96 234,04 234,04
BLOKIUM P 75 mg COM x 10 Casasco 340,72 239,56 239,56

BEFOL 75 mg COM x 20 Biotenk 398,50 285,40 285,40

BEFOL 75 mg COM x 30 Biotenk 592,00 422,80 422,80
BLOKIUM P 75 mg COM x 30 Casasco 847,91 602,90 602,90
100 mg OXA 100 COM x 15 Beta 580,21 414,44 414,44
OXA 100 COM x 30 Beta 1.076,13 755,85 755,85
Gotas 15 mg OXA ANTITERMICO PEDIATRICO GTS x 20 Beta 93,96 54,40 54,40
Líquido 500 mg DIOXAFLEX SUS x 90 Bagó 357,48 245,77 245,77
Sobres 50 mg DIOXAFLEX MIGRA 50 mg SOB x 20 Bagó 508,07 349,30 349,30
DICLOFENAC SÓDICO
Ampollas 75 mg BLOKIUM 75 mg (Sódico) 3 ml AMP x 3 Casasco 312,90 218,91 218,91
DICLOMAR 75 mg 3 ml AMP x 4 Mar 368,00 232,21 232,21
DIOXAFLEX AMP x 5 Bagó 495,19 335,90 335,90

BLOKIUM 75 mg (Sódico) 3 ml AMP x 5 Casasco 518,42 361,10 361,10
XEDENOL 75 mg 3 ml AMP x 5 Baliarda 532,17 376,62 376,62
Colirio 100 mg NATURA FENAC COL x 5 Spedrog Caillon 402,01 280,01 280,01
Comprimidos 50 mg VESALION CB 50 mg CAP x 15 Nova Argentia 55,96 11,19 11,19

METAFLEX 50 CB CAP x 15 Montpellier 227,14 161,62 161,62
Página 36 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 50 mg DIOXAFLEX CB 50 mg CAP x 15 Bagó 236,78 168,48 168,48
VESALION CB 50 mg CAP x 30 Nova Argentia 89,55 17,91 17,91

METAFLEX 50 CB CAP x 30 Montpellier 452,19 321,75 321,75
DIOXAFLEX CB 50 mg CAP x 30 Bagó 472,68 336,33 336,33
METAFLEX 50 mg COM x 10 Montpellier 143,69 102,63 102,63
VESALION 50 mg COM x 15 Nova Argentia 92,20 25,14 25,14

DICLOGESIC 50 mg COM x 15 Trb-Pharma 195,00 131,05 131,05
DOLVAN 50 mg COM x 15 Gador 207,12 143,79 143,79
BLOKIUM 50 mg (Sódico) COM x 15 Casasco 216,45 153,89 153,89
XEDENOL 50 mg GASTRORRESIST. COM x 15 Baliarda 221,51 159,46 159,46
TOMANIL COM x 20 Takeda 40,25 8,05 8,05

DIOXAFLEX COM x 20 Bagó 282,63 201,10 201,10

XEDENOL 50 mg GASTRORRESIST. COM x 30 Baliarda 336,89 187,53 187,53
DIOXAFLEX COM x 40 Bagó 484,93 303,42 303,42
75 mg METAFLEX 75 CB CAP x 15 Montpellier 688,20 458,22 458,22

DIOXAFLEX CB 75 mg CAP x 15 Bagó 726,21 501,90 501,90
XEDENOL CB 75 mg CAP x 15 Baliarda 849,61 609,33 609,33
METAFLEX 75 CB CAP x 30 Montpellier 1.362,61 899,21 899,21

DIOXAFLEX CB 75 mg CAP x 30 Bagó 1.422,65 967,25 967,25

DICLONEX 75 mg COM x 15 Nexo Pharmaceutical 128,00 25,60 25,60

Group
DICLOLAM 75 mg COM x 15 Austral 307,00 114,49 114,49
IGLODINE 75 mg COM x 15 Fecofar 343,37 148,75 148,75
DOLVAN 75 mg COM x 15 Gador 411,71 214,15 214,15
DIASTONE 75 mg COM x 15 Microsules Argentina 399,90 219,99 219,99
DISIPAN 75 mg COM x 15 Bernabo 561,13 400,80 400,80
DIOXAFLEX 75 mg COM x 15 Bagó 603,19 429,19 429,19
DIOXAFLEX 75 mg MAST. COM x 15 Bagó 674,20 479,72 479,72

IGLODINE 75 mg COM x 30 Fecofar 592,13 206,94 206,94

DISIPAN 75 mg COM x 30 Bernabo 986,85 629,68 629,68
VESALION 75 mg COM x 30 Nova Argentia 1.000,10 643,77 643,77
DIOXAFLEX 75 mg COM x 30 Bagó 1.087,48 773,78 773,78
BLOKIUM 75 mg (Sódico) COM x 30 Casasco 1.114,98 797,32 797,32
METAFLEX 75 mg COM x 40 Montpellier 1.311,26 833,77 833,77
Página 37 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 75 mg DICLAC 75 mg RAPIRETARD COM x 10 Investi 106,07 26,01 26,01
XEDENOL 75 mg LP COM x 15 Baliarda 591,30 422,85 422,85

OXA 75 RAPILENT COM x 15 Beta 625,53 453,68 453,68
DICLAC 75 mg RAPIRETARD COM x 20 Investi 176,52 43,30 43,30
XEDENOL 75 mg LP COM x 30 Baliarda 1.087,24 726,42 726,42

OXA 75 RAPILENT COM x 30 Beta 1.163,54 824,82 824,82
100 mg BLOKIUM 100 mg (Sódico) COM x 15 Casasco 590,04 407,11 407,11
DICLONEX 100 AP COM x 15 Nexo Pharmaceutical 88,00 17,60 17,60

Group
OXA RETARD COM x 15 Beta 389,14 205,10 205,10
CURINFLAM AP CAP x 15 Duncan 418,62 240,09 240,09
DOLVAN 100 mg AP COM x 15 Gador 477,63 333,43 333,43
XEDENOL 100 mg LP COM x 15 Baliarda 556,92 405,25 405,25
DIOXAFLEX RETARD COM x 20 Bagó 772,06 549,35 549,35
OXA RETARD COM x 30 Beta 734,31 369,32 369,32
150 mg DICLAC 150 mg RAPIRETARD COM x 5 Investi 94,91 27,04 27,04
Líquido 500 mg METAFLEX SUS x 90 Montpellier 467,26 322,63 322,63
Sobres 50 mg DIOXAFLEX RAPID 50 mg GRANUL. SOB x 20 Bagó 1.070,03 735,64 735,64
DIFENHIDRAMINA
Ampollas 50 mg BENADRYL 5 ML AMP x 1 Elea - Phoenix 255,10 174,61 174,61
Comprimidos 50 mg BENADRYL CAP x 30 Elea - Phoenix 637,30 436,21 436,21
Líquido 250 mg HISTALER JBE x 120 Duncan 280,74 138,25 138,25
BENADRYL JBE x 240 Elea - Phoenix 843,38 579,84 579,84
DIGOXINA
Comprimidos 0,25 mg LANICOR COM x 20 Hlb Pharma 143,75 90,04 90,04
LANOXIN DIGOXINA COM x 25 Roemmers 226,70 160,67 117,36
LANICOR COM x 60 Hlb Pharma 419,75 254,21 254,21
LANICOR COM x 120 Hlb Pharma 776,25 427,54 427,54
DIHIDROERGOTOXINA
Comprimidos 1,5 mg VIMOTADINE 1,5 mg COM x 20 Casasco 253,37 177,15 177,15
DILTIAZEM
Comprimidos 60 mg HART 60 mg COM x 50 Teva argentina ( 373,12 206,67 114,04
ACALIX 60 mg COM x 50 Roemmers 475,75 334,05 240,75
INCORIL 60 COM x 60 Bagó 485,65 296,47 173,36
90 mg ACALIX 90 mg COM x 50 Roemmers 684,26 474,47 335,68
INCORIL AP COM x 30 Bagó 463,29 329,65 248,78
Página 38 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 90 mg INCORIL AP COM x 60 Bagó 842,81 564,48 378,77
120 mg ACALIX 120 mg COM x 50 Roemmers 1.218,55 844,94 597,78
INCORIL AP 120 mg COM x 30 Bagó 880,78 504,12 286,11

ACALIX AP 120 mg CAP x 30 Roemmers 1.137,07 815,25 616,28
180 mg ACALIX CD 180 mg CAP x 30 Roemmers 628,20 221,34 154,09

INCORIL MONODOSIS 180 mg COM x 30 Bagó 850,35 433,36 216,11
ACALIX CRONOS 180 mg CAP x 30 Roemmers 1.271,91 911,93 791,94
240 mg ACALIX CD 240 mg CAP x 30 Roemmers 1.322,82 681,14 346,55

INCORIL MONODOSIS 240 mg COM x 30 Bagó 1.348,79 704,90 370,32
ACALIX CRONOS 240 mg CAP x 30 Roemmers 1.857,95 1.332,12 1.156,84
300 mg INCORIL MONODOSIS 300 mg COM x 30 Bagó 1.678,32 1.049,94 623,19

ACALIX CRONOS 300 mg CAP x 30 Roemmers 2.083,63 1.493,92 1.188,56
DIMENHIDRINATO
Comprimidos 50 mg DR. AMIN 50 mg COM x 6 Eurolab 190,00 133,00 133,00
AGIRAX COM x 10 Montpellier 221,86 133,64 133,64
DR. AMIN 50 mg COM x 12 Eurolab 275,00 175,54 175,54

DRAMAMINE COM x 12 Johnson & Johnson 310,80 217,56 217,56
AGIRAX COM x 20 Montpellier 407,64 219,57 219,57
DRAMAMINE COM x 24 Johnson & Johnson 570,70 377,16 377,16
DIPIRONA
Ampollas 1000 mg NOVALGINA 2 ML AMP x 5 Sanofi Aventis OTC 255,00 172,12 172,12
DOMPERIDONA
Ampollas 3,9 mg EUCITON PEDIATRICO 3 ML AMP x 3 Roux Ocefa 256,93 160,73 160,73
10 mg EUCITON ADULTOS 3 ML AMP x 3 Roux Ocefa 258,00 167,70 167,70
10 mg MOPERIDONA AMP x 5 Sidus 492,96 349,70 349,70
Comprimidos 10 mg MOTILIUM COM x 20 Janssen-Cilag 173,31 67,17 67,17

EUCITON COM x 20 Roux Ocefa 179,32 80,97 80,97
ECUAMON COM x 20 Lazar 268,92 170,68 170,68
MOPERIDONA COM x 20 Sidus 353,33 258,54 258,54
DOMPERIX 10 mg COM x 30 Eurofarma 474,00 331,80 331,80
EUCITON COM x 50 Roux Ocefa 368,30 122,44 122,44
Gotas 10 mg EUCITON GTS x 20 Roux Ocefa 132,45 54,06 54,06

ECUAMON GTS x 20 Lazar 233,31 159,81 159,81
MOPERIDONA GTS x 20 Sidus 264,13 193,27 193,27
DORZOLAMIDA
Colirio 20 mg DORLAMIDA (2%) COL x 5 Atlas 908,67 601,07 601,07
TRUSOPT 2% COL x 5 Mundipharma Ofta 1.068,43 744,66 744,66
DORZOLAMIDA + TIMOLOL
Colirio 20 mg DORLAMIDA T COL x 5 Atlas 1.052,63 574,11 325,70
PRESS OUT T COL x 5 Max Vision 1.089,00 643,36 356,88
GLAUCOTENSIL TD COL x 5 Poen 1.228,97 804,24 518,18
DORZOLAMIDA T DORF COL x 5 Pharmadorf 1.284,57 833,25 553,23
ZOPIROL DM COL x 5 Elea - Phoenix 1.334,20 922,81 648,74
Página 39 de 116
A CARGO A CARGO
AFILIADO CRONICO
Colirio 20 mg DORZOFLAX COL x 5 Sidus 1.367,17 970,02 708,96

TIMED D COL x 5 Bausch & Lomb Argentina 1.682,25 1.192,27 1.028,95
COSOPT COL x 5 Mundipharma Ofta 1.685,20 1.203,71 1.043,22
DOXAZOSINA
Comprimidos 2 mg DOXASIN 2 mg COM x 30 Fortbenton 407,79 248,45 248,45
4 mg DOXASIN 4 mg COM x 30 Fortbenton 478,96 291,56 291,56
DOXICICLINA
Comprimidos 50 mg VIBRAMICINA 50 mg CAP x 20 Pfizer 385,52 268,55 268,55
100 mg VIBRAMICINA 100 mg TAB x 5 Pfizer 176,92 127,37 127,37
ASOLMICINA.DOX 100 mg COM x 15 Raymos 445,74 312,46 312,46
VIBRAMICINA 100 mg TAB x 16 Pfizer 572,65 412,27 412,27
DOXICLINA 100 mg COM x 20 Eurolab 539,40 351,48 351,48
ASOLMICINA.DOX 100 mg COM x 30 Raymos 711,68 395,63 395,63
ECONAZOL
Crema 1000 mg NOMICON CRE x 30 Casasco 227,68 154,30 154,30
MICOLIS CRE x 30 Roemmers 229,38 158,97 158,97
Talco 1000 mg NOMICON TAL x 20 Casasco 281,79 191,54 191,54

MICOLIS TAL x 20 Roemmers 282,51 195,59 195,59
ENALAPRIL
Comprimidos 2,5 mg GLIOTEN 2.5 mg COM x 30 Bagó 107,40 74,97 53,64
LOTRIAL 2.5 mg COM x 30 Roemmers 108,85 75,85 53,99
GADOPRIL 2.5 mg COM x 30 Gador 116,97 83,23 66,82
GLIOTEN 2.5 mg COM x 60 Bagó 212,65 147,32 104,23

LOTRIAL 2.5 mg COM x 60 Roemmers 217,52 151,48 107,73
GADOPRIL 2.5 mg COM x 60 Gador 230,33 163,89 128,76
5 mg ENATRAL 5 mg COM x 30 Lepetit 120,00 54,01 29,60

ARTERIOPRIL 5 mg COM x 30 Pfizer 156,57 91,99 54,29
LOTRIAL 5 mg COM x 30 Roemmers 186,91 131,27 94,71
TENCAS 5 mg COM x 30 Casasco 189,80 134,06 97,40
GADOPRIL 5 mg COM x 30 Gador 188,94 134,10 98,27
KINFIL 5 mg COM x 30 Nova Argentia 190,66 134,61 97,66
MAXEN 5 mg COM x 30 Baliarda 190,35 134,65 98,02
GLIOTEN 5 mg COM x 30 Bagó 209,92 149,36 126,58
VAPRESAN 5 mg COM x 30 Temis-Lostalo 212,89 152,69 129,17

ENATRAL 5 mg COM x 60 Lepetit 240,00 108,02 59,20

RENITEC 5 mg COM x 60 MSD Arrgentina SR 384,08 274,34 203,72
Página 40 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg ENATRAL 10 mg COM x 30 Lepetit 140,00 49,70 36,80

PRILTENK 10 mg COM x 30 Biotenk 257,30 140,39 79,61
ECAPRILAT 10 mg COM x 30 Lazar 274,48 163,33 95,64
ARTERIOPRIL 10 mg COM x 30 Pfizer 278,90 167,87 100,04


ENALDUN 10 mg COM x 60 Duncan 401,03 188,30 188,30
GADOPRIL 10 mg COM x 100 Gador 1.046,56 715,75 496,51
GLIOTEN 10 mg (Expendedor) COM x 120 Bagó 1.026,77 563,27 313,77
20 mg ENATRAL 20 mg COM x 30 Lepetit 160,00 58,50 44,00


Página 41 de 116
A CARGO A CARGO
AFILIADO CRONICO
ENALAPRIL +
HIDROCLOROTIAZIDA
Comprimidos 10 mg CO-RENITEC 10/25 mg COM x 20 MSD Arrgentina SR 443,99 317,13 274,85
MAXEN D 10/25 mg RANUR. COM x 30 Baliarda 429,90 252,87 154,27

KINFIL D 10 mg COM x 30 Nova Argentia 483,20 327,23 223,22
LOTRIAL D 10/25 COM x 30 Roemmers 482,91 328,01 224,96
TENCAS D 10/25 mg COM x 30 Casasco 497,89 343,22 240,37
VAPRESAN DIUR COM x 30 Temis-Lostalo 496,94 344,09 242,92
GLIOTENZIDE 10/25 mg COM x 30 Bagó 517,97 368,55 276,47
GADOPRIL D 10/25 mg COM x 30 Gador 520,09 370,06 279,39
CO-RENITEC 10/25 mg COM x 60 MSD Arrgentina SR 1.240,55 886,11 767,96
20 mg LOTRIAL D 20/12.5 COM x 30 Roemmers 489,42 281,19 161,36

TENCAS D 20/12.5 mg COM x 30 Casasco 503,61 295,37 175,55
GLIOTENZIDE 20/12.5 mg COM x 30 Bagó 627,76 446,68 344,95
CO-RENITEC 20/12.5 mg COM x 60 MSD Arrgentina SR 1.367,42 976,73 834,86
ENOXAPARINA
Ampollas 20 mg DILUTOL 20 mg 0.2 ML JPR x 2 Lazar 819,06 511,12 511,12
CLEXANE 20 mg JPR x 2 Sanofi Aventis 919,08 639,59 639,59
DILUTOL 20 mg 0.2 ML JPR x 10 Lazar 3.911,12 2.314,97 2.314,97

OMATEX 20 mg JPR x 10 Elea - Phoenix 4.157,80 2.631,07 2.631,07
CLEXANE 20 mg JPR x 10 Sanofi Aventis 4.594,64 3.197,04 3.197,04
40 mg DILUTOL 40 mg 0.4 ML JPR x 2 Lazar 1.506,73 926,39 926,39

DILUTOL 40 mg 0.4 ML JPR x 10 Lazar 7.299,13 4.324,48 4.324,48

EPINASTINA
Colirio 50 mg ALKET COL x 5 Poen 630,76 396,61 396,61
EPIOFTAL COL x 5 Atlas 642,16 431,80 431,80
RELESTAT COL x 5 Allergan-Loa 922,50 666,61 666,61
ERITROMICINA
Colirio 10 mg ERITROMICINA ATLAS COL x 5 Atlas 521,41 349,00 349,00
ERITROFARM COL x 5 Poen 552,33 369,32 369,32
OFTALMOLETS Prep. Extemp. COL x 5 Atlas 629,39 454,75 454,75
ERITROMICINA ELEA COL x 5 Elea - Phoenix 643,26 459,47 459,47
ERITROMED COL x 10 Bausch & Lomb Argentina 776,92 361,53 361,53
Comprimidos 500 mg PANTOMICINA 500 ES COM x 8 Bagó 121,52 29,80 29,80
PANTOMICINA 500 ES COM x 16 Bagó 514,91 355,27 355,27
Crema 4000 mg KITACNE CRE x 30 Fortbenton 368,73 258,99 258,99
Gel 4000 mg ERISOL 4% GEL x 30 Cassara 408,51 289,22 289,22
Líquido 200 mg PANTOMICINA 200 ES JBE x 100 Bagó 500,57 344,14 344,14 INF
400 mg PANTOMICINA 400 ES JBE x 60 Bagó 573,14 394,03 394,03
4000 mg ERISOL 4% DERMICO SOL x 50 Medisol 128,00 77,97 77,97
Página 42 de 116
A CARGO A CARGO
AFILIADO CRONICO
Líquido 4000 mg ILOTICINA 4% SOL x 120 Investi 428,14 306,97 306,97
6000 mg ATLAMICIN TOP.DERM. SOL x 45 Atlas 676,07 477,54 477,54
Ungüento 500 mg ERITROMICINA ELEA OFT. UNG x 3,5 Elea - Phoenix 648,41 463,15 463,15
ERITROMED OFT. UNG x 3,5 Bausch & Lomb Argentina 879,58 623,39 623,39
ERITROFARM OFT.UNIDOSIS UNG x 20 Poen 578,56 141,91 141,91
ESCITALOPRAM
Comprimidos 10 mg COVERFAX 10 mg COM x 14 Buxton 561,00 383,62 383,62
ESCIPROX 10 mg COM x 14 Hlb Pharma 739,32 514,31 514,31
LEXAPRO 10 mg COM x 14 Lundbeck 930,12 657,09 657,09
OPTISER 10 mg Ran. COM x 15 Baliarda 603,56 406,53 406,53

MERIDIAN 10 mg COM x 15 Roemmers 679,68 486,41 486,41
NOVO HUMORAP 10 mg COM x 28 Bagó 1.097,54 731,87 731,87

ESCIPROX 10 mg COM x 28 Hlb Pharma 1.072,71 746,23 746,23
COVERFAX 10 mg COM x 28 Buxton 1.122,00 767,24 767,24
LEXAPRO 10 mg COM x 28 Lundbeck 1.449,65 1.024,12 1.024,12
E-PSICONOR 10 mg COM x 30 Teva argentina ( 722,80 279,62 279,62

REMPEC 10 mg COM x 30 Montpellier 920,31 472,00 472,00
EX3 10 mg COM x 30 Ariston 968,30 518,03 518,03
ROSTALOPRAM 10 mg COM x 30 Rospaw 975,50 580,36 580,36
ESCITEROKAM 10 mg COM x 30 Raymos 1.042,28 615,82 615,82
TALPRAM 10 mg COM x 30 Richmond 1.128,68 712,81 712,81
AXIOMAT 10 mg COM x 30 Beta 1.142,61 714,71 714,71
BEAPLEN 10 mg COM x 30 Temis-Lostalo 1.200,85 809,37 809,37
OPTISER 10 mg Ran. COM x 30 Baliarda 1.214,58 822,33 822,33
MERIDIAN 10 mg COM x 30 Roemmers 1.248,92 870,04 870,04
LEXTOR 10 mg COM x 30 Casasco 1.256,59 872,14 872,14
ARAMIX 10 mg COM x 30 Elea - Phoenix 1.415,65 1.022,96 1.022,96
ZENVAS 10 mg COM x 30 Astrazeneca 1.539,14 1.099,38 1.099,38
15 mg LEXAPRO 15 mg COM x 28 Lundbeck 1.944,03 1.325,82 1.325,82
20 mg COVERFAX 20 mg COM x 14 Buxton 816,00 466,93 466,93
OPTISER 20 mg Ran. COM x 15 Baliarda 1.113,73 788,26 788,26

MERIDIAN 20 mg COM x 15 Roemmers 1.153,43 825,44 825,44
ESCIPROX 20 mg COM x 28 Hlb Pharma 1.852,81 1.288,91 1.288,91

COVERFAX 20 mg COM x 28 Buxton 1.938,00 1.325,23 1.325,23
NOVO HUMORAP 20 mg COM x 28 Bagó 2.055,88 1.460,14 1.460,14
LEXAPRO 20 mg COM x 28 Lundbeck 2.765,22 1.953,51 1.953,51
REMPEC 20 mg COM x 30 Montpellier 1.669,13 891,52 891,52

EX3 20 mg COM x 30 Ariston 1.775,11 993,16 993,16
ESCITEROKAM 20 mg COM x 30 Raymos 1.791,53 1.068,98 1.068,98
TALPRAM 20 mg COM x 30 Richmond 1.868,45 1.168,86 1.168,86
AXIOMAT 20 mg COM x 30 Beta 1.937,50 1.187,51 1.187,51
OPTISER 20 mg Ran. COM x 30 Baliarda 2.096,28 1.420,64 1.420,64
BEAPLEN 20 mg COM x 30 Temis-Lostalo 2.114,61 1.447,94 1.447,94
MERIDIAN 20 mg COM x 30 Roemmers 2.157,16 1.502,69 1.502,69
LEXTOR 20 mg COM x 30 Casasco 2.176,07 1.509,68 1.509,68
ARAMIX 20 mg COM x 30 Elea - Phoenix 2.574,63 1.860,45 1.860,45
ZENVAS 20 mg COM x 30 Astrazeneca 2.896,49 2.068,92 2.068,92
Página 43 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 20 mg
ESPIRAMICINA
Comprimidos 3000000 ROVAMYCINE 3 MUI COM x 20 Sanofi Aventis 2.919,22 2.006,96 2.006,96 MAT
ui
ESPIRONOLACTONA
Comprimidos 25 mg ALDACTONE A 25 mg COM x 20 Pfizer 395,08 227,53 167,70
REDIUN-E 25 mg COM x 30 Baliarda 595,86 341,38 208,74

DRIMUX A 25 mg COM x 30 Gador 593,46 350,11 203,25
LANX 25 mg COM x 30 Elea - Phoenix 667,74 437,13 280,98
ALDACTONE A 25 mg COM x 30 Pfizer 846,86 609,69 530,63
ALDACTONE A 25 mg COM x 60 Pfizer 1.031,38 523,79 261,12
50 mg REDIUN-E 50 mg COM x 30 Baliarda 635,53 264,80 211,84

100 mg REDIUN-E 100 mg COM x 30 Baliarda 676,33 354,27 242,79

LANX 100 mg COM x 30 Elea - Phoenix 886,57 598,52 405,13
ALDACTONE A 100 mg COM x 30 Pfizer 998,14 718,60 625,42
ESPIRONOLACTONA +
FUROSEMIDA
Comprimidos 25 mg LASILACTON 25 mg CAP x 30 Sanofi Aventis 383,44 130,22 94,05
ALDACTONE D 25/20 COM x 30 Pfizer 1.016,70 716,88 518,54
ALDACTONE D 25/40 COM x 30 Pfizer 1.017,15 740,27 647,98
50 mg LASILACTON 50 mg CAP x 30 Sanofi Aventis 530,30 367,71 260,15
ESTRADIOL
Comprimidos 1 mg PROGYNOVA 1 mg COM x 28 Bayer (PH) 278,69 195,97 195,97
2 mg PROGYNOVA 2 mg COM x 28 Bayer (PH) 439,10 308,77 308,77
Parches 3,8 mg LINDISC 50 mcg SIST.TRASD. PAR x 4 Bayer (PH) 432,44 255,76 255,76
ESTRADIOL 17 BETA
Comprimidos 1 mg RONFASE 1 mg COM x 28 Pfizer 115,43 80,41 80,41
2 mg RONFASE 2 mg COM x 28 Pfizer 359,06 250,12 250,12
Gel 60 mg TRIAL GEL x 80 Beta 2.278,90 1.505,55 1.505,55

RONTAGEL GEL x 80 Ferring 2.401,45 1.698,47 1.698,47
ESTRADIOL 17 BETA +
MEDROXIPROGESTERONA
ACETATO
Comprimidos 2 mg FARLUDIOL CICLO COM x 28 Pfizer 364,99 254,26 254,26
FARLUDIOL COM x 30 Pfizer 516,17 359,57 359,57
ESTRADIOL 17 BETA +
NORETINDRONA
Parches 1,5 mg TRIAL GEST 25/125 mcg SAT PAR x 8 Beta 296,33 172,06 172,06
3 mg TRIAL COMBI L.A. SIST. x 2+ PAR x 2 Beta 284,44 165,14 165,14
ESTRADIOL VALERIANATO +
NORETINDRONA
Ampollas 5 mg MESIGYNA AMP x 1 Bayer (PH) 221,21 155,56 155,56
Página 44 de 116
A CARGO A CARGO
AFILIADO CRONICO
ESTRIOL
Comprimidos 1 mg ORGESTRIOL 1000 COM x 30 Techsphere - Aspen 272,76 182,12 182,12
Crema 100 mg ORGESTRIOL VAGINAL CRE x 15 Techsphere - Aspen 291,82 58,36 58,36
MENOCLIM CRE x 15 Beta 723,87 468,31 468,31
COLPOESTRIOL CRE x 15 Temis-Lostalo 784,17 562,42 562,42
Óvulos 0,5 mg ORGESTRIOL OVU x 10 Techsphere - Aspen 343,63 104,58 104,58

MENOCLIM OVU x 10 Beta 873,88 633,80 633,80
COLPOESTRIOL OVU x 15 Temis-Lostalo 1.293,42 899,44 899,44
ESTRÓGENOS CONJUGADOS
Comprimidos 0,3 mg PREMARIN CD 0.3 mg GRA x 28 Pfizer 634,57 467,02 467,02
0,625 mg PREMARIN CD 0.625 mg GRA x 28 Pfizer 1.468,41 1.080,70 1.080,70
Crema 0,625 mg PREMARIN C/APLICADOR VAGINAL CRE x 26 Pfizer 1.275,28 938,57 938,57
ETOSUXIMIDA
Comprimidos 250 mg ZARONTIN CAP x 25 Elea - Phoenix 822,50 567,92 567,92
Líquido 5000 mg ZARONTIN SOL x 120 Elea - Phoenix 822,50 567,92 567,92
EZETIMIBE
Comprimidos 10 mg ZETIA 10 mg COM x 28 MSD Arrgentina SR 1.569,17 1.120,83 1.120,83
CERCLEROL 10 mg COM x 30 Savant Consumer 320,93 94,83 94,83

ALIPAS 10 mg COM x 30 Bernabo 585,71 375,52 375,52
ALIN 10 mg COM x 30 Lazar 609,06 405,62 405,62
IXACOR 10 mg COM x 30 Roemmers 620,46 424,75 424,75
CORACIL 10 mg COM x 30 Gador 629,67 433,29 433,29
NALECOL 10 mg COM x 30 Casasco 648,13 451,85 451,85
VADEL 10 mg COM x 30 Teva argentina ( 649,40 458,96 458,96
TRILIP 10 mg COM x 30 Elea - Phoenix 710,05 516,84 516,84
EZETIMIBE + ATORVASTATIN
Comprimidos 10 mg ATEROCLAR DUO 10/10 mg (15+15) COM x 30 Beta 461,29 257,76 257,76
LIPOCAMBI PLUS 10/10 mg COM x 30 Bernabo 978,95 563,03 563,03
LIPOKEMIA PLUS 10/10 mg COM x 30 Fecofar 1.015,80 608,31 608,31
LIPAREX PLUS 10/10 mg COM x 30 Finadiet 1.083,14 701,74 701,74
TORIMIBE 10/10 mg COM x 30 Baliarda 1.100,50 717,82 717,82
LIPONORM PLUS 10/10 mg COM x 30 Lazar 1.093,70 721,58 721,58
LIPOCAMBI PLUS 20/10 mg COM x 30 Bernabo 1.341,41 758,50 758,50
LIPIBEC PLUS 10/10 COM x 30 Teva argentina ( 1.142,46 788,50 788,50
LIPOKEMIA PLUS 20/10 mg COM x 30 Fecofar 1.403,20 818,52 818,52
COLMIBE 10/10 mg COM x 30 Raffo 1.247,96 897,41 897,41
AMPLIAR PLUS 10/10 mg COM x 30 Casasco 1.259,20 906,35 906,35
ATEROCLAR COMBI 10/10 mg COM x 30 Beta 1.324,39 960,55 960,55
LIPAREX PLUS 20/10 mg COM x 30 Finadiet 1.511,98 969,51 969,51
LIPONORM PLUS 20/10 mg COM x 30 Lazar 1.520,20 989,29 989,29
ATEROCLAR COMBI 20/10 mg COM x 30 Beta 1.531,82 990,18 990,18
ZARATOR PLUS 10/10 mg COM x 30 Elea - Phoenix 1.385,04 1.008,16 1.008,16
TORIMIBE 10/20 mg COM x 30 Baliarda 1.592,49 1.059,18 1.059,18
LIPIBEC PLUS 20/10 COM x 30 Teva argentina ( 1.600,87 1.099,05 1.099,05
COLMIBE 20/10 mg COM x 30 Raffo 1.751,70 1.259,65 1.259,65
AMPLIAR PLUS 20/10 mg COM x 30 Casasco 1.760,22 1.266,97 1.266,97
ZARATOR PLUS 20/10 mg COM x 30 Elea - Phoenix 1.879,66 1.368,19 1.368,19
Página 45 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg COLMIBE 40/10 mg COM x 30 Raffo 2.172,64 1.511,49 1.511,49
LIPAREX DUO 20/10 mg (30+30) COM x 60 Finadiet 1.120,92 532,30 532,30

LIPAREX DUO 10/10 mg (30+30) COM x 60 Finadiet 979,96 567,45 567,45
ATEROCLAR DUO 10/10 mg (30+30) COM x 60 Beta 990,65 578,07 578,07
ATEROCLAR DUO 20/10 mg (30+30) COM x 60 Beta 1.295,15 699,86 699,86
PLAN DUO 10/10 mg (30 + 30) COM x 60 Craveri 1.319,18 938,65 938,65
AMPLIAR DUO 10/10 mg (30+30) COM x 60 Casasco 1.346,56 972,96 972,96
AMPLIAR DUO 20/10 mg (30+30) COM x 60 Casasco 1.864,07 1.346,88 1.346,88
PLAN DUO 10/20 mg (30 + 30) COM x 60 Craveri 2.101,07 1.494,99 1.494,99
FELBAMATO
Líquido 600 mg FELBAMYL 600 mg 5 ML SUS x 230 MSD Arrgentina SR 3.156,40 2.179,42 2.179,42
FENILEFRINA
Colirio 10000 POEN EFRINA 10% COL x 5 Poen 46,83 26,74 26,74
mg
FENITOÍNA CÁLCICA
Comprimidos 100 mg LOTOQUIS SIMPLE COM x 50 Beta 1.084,85 599,90 348,34
LOTOQUIS SIMPLE COM x 100 Beta 3.479,95 2.523,92 2.205,24
FENITOÍNA SÓDICA
Comprimidos 100 mg FENITENK 100 mg COM x 30 Biotenk 610,30 250,59 158,30
EPAMIN 100 mg CAP x 30 Elea - Phoenix 1.143,21 849,74 751,92
FENITENK 100 mg COM x 60 Biotenk 1.190,20 470,46 280,60

EPAMIN 100 mg CAP x 60 Elea - Phoenix 2.228,11 1.656,14 1.465,48
EPAMIN 100 mg CAP x 90 Elea - Phoenix 3.332,26 2.397,74 1.778,68
Líquido 2500 mg EPAMIN JBE x 120 Elea - Phoenix 448,03 323,43 241,01
FENOBARBITAL
Comprimidos 15 mg FENROS 15 mg COM x 30 Rospaw 278,25 191,57 191,57
LUMINALETAS COM x 30 Bayer (PH) 292,34 205,57 148,17 INF
100 mg FENROS 100 mg COM x 20 Rospaw 255,75 183,90 183,90

ALEPSAL COM x 20 Spedrog Caillon 260,00 186,65 150,88
ALEPSAL COM x 60 Spedrog Caillon 630,01 385,14 241,76

FENROS 100 mg COM x 60 Rospaw 621,54 399,47 399,47
LUMINAL COM x 60 Bayer (PH) 723,20 508,55 366,55
FENOBARBITAL + FENITOÍNA
CÁLCICA
Comprimidos 50 mg LOTOQUIS 5 COM x 100 Beta 3.530,37 2.479,66 2.479,66
100 mg LOTOQUIS COM x 100 Beta 3.602,21 2.530,12 2.530,12
FENOFIBRATE
Comprimidos 100 mg PROCETOKEN 100 mg COM x 60 Bernabo 508,92 354,34 252,07
FENOBRATE 100 mg COM x 100 Sanofi Aventis 190,15 57,04 38,03
160 mg CONTROLIP 160 mg CAP x 30 Abbott Epd 1.311,14 917,02 656,30
200 mg DAUNLIP CAP x 30 Montpellier 997,47 636,22 391,65

PROCETOKEN 200 mg CAP x 30 Bernabo 998,82 637,94 393,71
LIPTUIN 200 mg CAP x 30 Temis-Lostalo 1.074,65 730,37 501,01
SEGREN 200 mg CAP x 30 Casasco 1.121,76 783,62 559,85
CRAVERIL COM x 30 Craveri 1.196,55 851,39 679,86
Página 46 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 200 mg MINUSLIP 200 mg CAP x 30 Teva argentina ( 1.209,90 864,41 693,61
CRAVERIL COM x 60 Craveri 1.790,23 1.021,68 567,78

DAUNLIP CAP x 60 Montpellier 1.812,29 1.033,42 591,15
MINUSLIP 200 mg CAP x 60 Teva argentina ( 1.841,33 1.089,67 616,62
300 mg PROCETOKEN 300 mg (Lib.Prol.) COM x 30 Bernabo 1.332,47 920,04 647,20
350 mg SCLEROFIN UD COM x 30 Teva argentina ( 1.269,06 856,62 583,77
FENOFÍBRICO, ACIDO
Comprimidos 45 mg PROCETOKEN XR 45 mg CAP x 30 Bernabo 920,06 637,96 637,96
135 mg PROCETOKEN XR 135 mg CAP x 30 Bernabo 1.048,60 727,09 727,09
FENOTEROL BROMHIDRATO
Aerosol 0,1 mg BEROTEC HFA 10 ML AER x 200 Boehringer Ingelheim 661,75 462,91 462,91
Líquido 500 mg BEROTEC 0.5% SOL. NEB. SOL x 20 Boehringer Ingelheim 450,39 315,06 315,06
FENOXIMETILPENICILINA
Comprimidos 500000 ui PEN-ORAL 500.000 U COM x 18 Sanofi Aventis 222,32 154,15 154,15
1000000 PEN-ORAL 1.000.000 U COM x 18 Sanofi Aventis 389,05 269,77 269,77

ui
1500000 PEN-ORAL 1.500.000 U COM x 18 Sanofi Aventis 583,44 404,55 404,55
ui
Líquido 300000 ui GRAMPENIL 300000 UI/5ml JBE x 120 Nova Argentia 473,43 336,21 336,21
PEN-ORAL CONCENTRADO 60 g 24 ds JBE x 120 Sanofi Aventis 513,99 368,52 368,52 INF
PEN-ORAL CONCENTRADO 90 g 36 ds JBE x 180 Sanofi Aventis 627,82 403,92 403,92 INF
3000000 GRAMPENIL 300000 UI/5ml JBE x 180 Nova Argentia 577,95 402,34 402,34 INF
ui
FEXOFENADINA
Comprimidos 60 mg MUDANTIL F 60 mg COM x 10 Geminis Farmaceutica 161,21 77,15 77,15
ALERCAS 60 mg COM x 10 Casasco 236,28 164,07 164,07
MUDANTIL F 60 mg COM x 20 Geminis Farmaceutica 326,21 157,93 157,93

ALLEGRA 60 mg CAP x 20 Sanofi Aventis OTC 459,00 316,36 316,36
120 mg MUDANTIL F 120 mg COM x 10 Geminis Farmaceutica 299,00 150,62 150,62

TERFEMAX 120 mg COM x 10 Temis-Lostalo 379,83 246,22 246,22
VAGRAN 120 mg COM x 10 Finadiet 380,81 247,55 247,55
ALERFEDINE 120 mg COM x 10 Lazar 399,10 270,82 270,82
ALERTIAL 120 mg COM x 10 Baliarda 415,07 287,46 287,46
ALLEGRA 120 mg COM x 10 Sanofi Aventis OTC 418,00 293,50 293,50

TERFEMAX 120 mg COM x 30 Temis-Lostalo 1.054,79 629,25 629,25
VAGRAN 120 mg COM x 30 Finadiet 1.088,04 673,00 673,00
ALERFEDINE 120 mg COM x 30 Lazar 1.090,44 677,45 677,45
ALERTIAL 120 mg COM x 30 Baliarda 1.207,64 816,06 816,06
ALLEGRA 120 mg COM x 30 Sanofi Aventis OTC 1.215,00 843,30 843,30
ALERCAS 120 mg COM x 30 Casasco 1.250,26 873,73 873,73
180 mg MUDANTIL F 180 mg COM x 10 Geminis Farmaceutica 459,21 217,99 217,99

VAGRAN 180 mg COM x 10 Finadiet 639,22 425,56 425,56
ALERFEDINE 180 mg COM x 10 Lazar 647,77 436,86 436,86
TERFEMAX 180 mg COM x 10 Temis-Lostalo 652,74 442,24 442,24
ALERTIAL 180 mg COM x 10 Baliarda 679,44 470,94 470,94
Página 47 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 180 mg ALLEGRA 180 mg COM x 10 Sanofi Aventis OTC 679,00 478,66 478,66

ALERFEDINE 180 mg COM x 20 Lazar 1.037,64 549,74 549,74
Líquido 30 mg ALERCAS SUS x 90 Casasco 355,50 249,25 249,25
ALERFEDINE JBE x 150 Lazar 499,79 301,95 301,95

ALLEGRA SUS x 150 Sanofi Aventis OTC 559,00 381,11 381,11
FINASTERIDE
Comprimidos 5 mg NASTERIL 5 mg COM x 30 Asofarma 104,95 31,48 20,99
PROSTANIL 5 mg COM x 30 Austral 648,00 285,35 176,00
UROTOTAL 5 mg COM x 30 Fortbenton 879,79 533,92 313,92
PROSMIN 5 mg COM x 30 Biotenk 920,00 549,38 357,32
Q-PROST 5 mg COM x 30 Ariston 901,97 575,11 355,30
FINTERAC 5 mg COM x 30 Eurolab 915,00 591,63 374,95
PROSTENE 5 mg COM x 30 Teva argentina ( 999,36 687,33 480,92
FINASTERIN 5 mg COM x 30 Finadiet 1.068,28 765,94 569,99
PROSTANOVAG 5 mg COM x 30 Gobbi 1.227,40 859,18 736,44
DARIC 5 mg COM x 30 Pharmadorf 1.762,83 1.321,54 1.174,44
FLECAINIDA ACETATO
Comprimidos 100 mg DIONDEL COM x 50 Roemmers 1.131,86 788,07 560,64
FLENOMID XR 100 mg lib. prol. CAP x 30 Elea - Phoenix 1.161,10 801,71 801,71
200 mg FLENOMID XR 200 mg lib. prol. CAP x 30 Elea - Phoenix 2.322,43 1.603,58 1.603,58
FLUCONAZOL
Comprimidos 50 mg FUNGOCINA 50 mg COM x 10 Lazar 459,26 317,86 317,86
100 mg MUTUM 100 mg COM x 15 Raffo 3.084,42 2.207,33 2.207,33
FUNGOCINA 100 mg COM x 16 Lazar 2.345,46 1.398,78 1.398,78
150 mg DAMICOL 150 mg CAP x 1 Biol 59,80 11,96 11,96

PERIPLUM 150 mg CAP x 1 Fortbenton 67,96 13,59 13,59
MICORAL FLUCO CAP x 1 Investi 169,90 100,56 100,56
HONGUIL PLUS ORAL CAP x 1 Raymos 189,40 128,30 128,30
NIMIC 150 mg COM x 1 Geminis Farmaceutica 232,78 164,66 164,66
FUNGOCINA 150 mg COM x 1 Lazar 256,65 183,71 183,71
MUTUM 150 mg COM x 1 Raffo 264,46 189,26 189,26
FLUCOGINKAN 150 mg COM x 1 Baliarda 262,13 189,39 189,39
FEMIXOL 150 mg COM x 1 Omega 447,66 322,15 322,15

DAMICOL 150 mg CAP x 2 Biol 350,77 221,44 221,44
TRIFLUCAN 150 mg CAP x 2 Pfizer 404,48 282,01 282,01
FLUCONAL 150 mg COM x 2 Craveri 434,01 303,81 303,81
ANTIMICON 150 mg COM x 2 Casasco 527,96 379,18 379,18
FLUPEC 150 mg COM x 2 Andromaco 555,00 393,60 393,60
Página 48 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 150 mg MICOLIS NOVO 150 mg CAP x 2 Roemmers 590,99 413,69 413,69
FEMIXOL 150 mg COM x 2 Omega 839,06 603,81 603,81
FLUZOL 150 mg COM x 4 Raymos 463,32 181,94 181,94

FLUCODERM 150 mg COM x 4 Cassara 590,17 301,84 301,84
FLUCONAL 150 mg COM x 4 Craveri 708,50 451,75 451,75
TRIFLUCAN 150 mg COM x 4 Pfizer 783,51 532,78 532,78
ANTIMICON 150 mg COM x 4 Casasco 903,99 649,25 649,25
FLUPEC 150 mg COM x 4 Andromaco 989,00 701,30 701,30
MICOLIS NOVO 150 mg CAP x 4 Roemmers 1.098,83 769,18 769,18

NIMIC 150 mg COM x 8 Geminis Farmaceutica 1.104,15 528,76 528,76
FUNGOCINA 150 mg COM x 8 Lazar 1.226,73 646,41 646,41
MUTUM 150 mg COM x 8 Raffo 1.602,88 1.147,09 1.147,09
ANTIMICON 150 mg COM x 8 Casasco 1.608,96 1.153,18 1.153,18
FLUPEC 150 mg COM x 8 Andromaco 1.695,00 1.201,80 1.201,80
200 mg MUTUM 200 mg COM x 10 Raffo 3.476,74 2.488,10 2.488,10
FUNGOCINA 200 mg COM x 12 Lazar 2.667,20 1.274,61 1.274,61
MUTUM 200 mg COM x 30 Raffo 8.869,43 5.711,88 5.711,88
FLUNITRAZEPAN
Comprimidos 1 mg MIRPAW 1 mg COM x 30 Rospaw 375,15 253,80 253,80
ROHYPNOL 1 mg COM x 30 Investi 408,25 283,08 283,08
FLUOROMETALONA
Colirio 100 mg FLAREX SUSP. COL x 5 Novartis 769,58 547,58 547,58
FML LIQUIFILM COL x 10 Allergan-Loa 564,58 246,62 246,62
FLUOXETINA
Comprimidos 10 mg XETNA 10 mg CAP x 30 Eurofarma 500,00 257,70 257,70
NERVOSAL 10 mg CAP x 30 Sidus 584,28 349,42 349,42
FOXETIN 10 mg COM x 30 Gador 653,11 449,01 449,01
20 mg PROZAC 20 mg CAP x 14 Eli Lilly 160,59 32,84 32,84
ALENTAL 20 mg COM x 20 Soubeiran Chobet 401,10 211,48 211,48

FOXETIN 20 mg COM x 20 Gador 497,66 334,52 334,52
PROZAC 20 mg CAP x 28 Eli Lilly 319,84 64,39 64,39

PROZAC DISPER. 20 mg COM x 28 Eli Lilly 1.770,37 1.274,47 1.274,47
SAURAT 20 mg COM x 30 Teva argentina ( 535,75 253,37 253,37

XETNA 20 mg COM x 30 Eurofarma 593,00 309,20 309,20
ANIMEX-ON 20 mg COM x 30 Bernabo 662,32 386,11 386,11
Página 49 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 20 mg FOXETIN 20 mg COM x 30 Gador 752,93 509,75 509,75

EQUILIBRANE 20 mg COM x 30 Temis-Lostalo 774,37 532,64 532,64
NEUPAX 20 mg COM x 30 Bagó 787,95 552,62 552,62
PROZAC 20 mg CAP x 30 Eli Lilly 1.771,15 1.275,02 1.275,02
ALENTAL 20 mg COM x 40 Soubeiran Chobet 875,03 516,38 516,38

FOXETIN 20 mg COM x 40 Gador 1.006,22 682,53 682,53
NERVOSAL 20 mg CAP x 60 Sidus 1.089,26 528,88 528,88

EQUILIBRANE 20 mg COM x 60 Temis-Lostalo 1.399,41 877,71 877,71
FOXETIN 20 mg COM x 60 Gador 1.434,11 929,79 929,79
90 mg PROZAC DURAPAC 90 mg LIB.RET. CAP x 4 Eli Lilly 189,03 107,94 107,94
FLURBIPROFENO
Colutorio 100 mg CLINADOL CLT x 150 Gador 313,55 215,57 215,57
Comprimidos 100 mg FLURBIXIM 100 mg COM x 8 Savant Consumer 84,65 38,26 38,26
CLINADOL FORTE 100 mg COM x 8 Gador 153,59 109,29 109,29
FLURBIXIM 100 mg COM x 16 Savant Consumer 123,71 32,98 32,98

CLINADOL FORTE 100 mg COM x 16 Gador 228,28 162,33 162,33
200 mg CLINADOL FORTE AP 200 mg COM x 8 Gador 263,56 181,20 181,20
FLUTICASONA
Aerosol 0,05 mg FLIXOTIDE 50 mcg INHAL. AER x 120 GlaxoSmithKline 1.244,10 861,93 861,93
0,125 mg LIRTODAC 125 mcg AER x 60 Pharmadorf 109,11 21,82 21,82

FLIXOTIDE 125 mcg INHAL. AER x 60 GlaxoSmithKline 1.010,42 723,91 723,91
FLUTICORT 125 mcg HFA AER x 120 Cassara 995,27 581,76 581,76
LIRTODAC 125 mcg AER x 120 Pharmadorf 1.514,75 1.121,30 1.121,30
FLIXOTIDE 125 mcg INHAL. AER x 120 GlaxoSmithKline 1.761,85 1.262,27 1.262,27
0,25 mg LIRTODAC 250 mcg AER x 60 Pharmadorf 136,36 27,27 27,27

FLIXOTIDE 250 mcg INHAL. AER x 60 GlaxoSmithKline 1.036,33 742,47 742,47
FLUTICORT 250 mcg HFA AER x 120 Cassara 1.307,32 862,81 862,81
LIRTODAC 250 mcg AER x 120 Pharmadorf 1.638,41 1.199,44 1.199,44
FLIXOTIDE 250 mcg INHAL. AER x 120 GlaxoSmithKline 1.813,63 1.299,37 1.299,37
Inhahaldor con 0,25 mg FLIXOTIDE 250 mcg DISKUS INH x 60 GlaxoSmithKline 1.162,69 805,53 805,53
sistemas
Spray 0,05 mg PROAIR NASAL ACUOSO SPR x 60 Montpellier 231,96 165,69 165,69
LIDIL CORT NASAL SPR x 60 Roemmers 246,31 174,57 174,57
INHALAN NASAL SPR x 60 Casasco 250,23 179,70 179,70
BALIVENT NASAL SPR x 60 Baliarda 272,45 198,25 198,25
FLUTICORT 50 mcg NASAL SPR x 60 Cassara 352,80 257,70 257,70
BRONQUILAIR NASAL SPR x 120 Atlas 275,57 55,11 55,11

PROAIR NASAL ACUOSO SPR x 120 Montpellier 402,11 255,79 255,79
RINISONA NASAL 50 mcg SPR x 120 Elea - Phoenix 424,37 257,06 257,06
LIDIL CORT NASAL SPR x 120 Roemmers 419,27 279,50 279,50
INHALAN NASAL SPR x 120 Casasco 430,96 290,64 290,64
BALIVENT NASAL SPR x 120 Baliarda 512,21 371,42 371,42
FLUTI-K 50 mcg NASAL SPR x 120 Raffo 921,65 662,76 662,76
FLIXONASE ACUOSO NASAL SPR x 120 GlaxoSmithKline 991,36 710,26 710,26
FLUTICASONA FUROATO
Spray 0,0275 ALENYS NASAL SPR x 120 GlaxoSmithKline 977,27 677,07 677,07
mg
Página 50 de 116
A CARGO A CARGO
AFILIADO CRONICO
Spray 0,0275
mg
FLUVASTATINA
Comprimidos 80 mg LESCOL XL 80 mg COM x 28 Novartis 893,51 614,29 614,29
FOLICO, ÁCIDO
Comprimidos 1 mg GYNOFOL 1 mg COM x 30 P.Fabre Medicamentos 36,67 7,33 7,33 MAT
TANVIMIL FOLICO 1 mg COM x 30 Raymos 273,00 170,01 170,01 MAT
BERNAFOLIC 1 mg COM x 30 Bernabo 294,47 210,33 210,33 MAT
NEXOVITAL FOLICO 1 mg COM x 30 Eurofarma 316,60 223,48 223,48 MAT
COFLIC 1 mg COM x 30 Baliarda 326,39 241,23 241,23 MAT
FOLINEMIC 1 mg COM x 30 Pharmadorf 331,56 245,71 245,71
ACIFOL 1 mg COM x 30 Dominguez 362,63 269,51 269,51 MAT
ACIDO FOLICO OMEGA 1 mg COM x 30 Omega 388,41 279,51 279,51
EGESTAN FOLICO 1 mg COM x 30 Elea - Phoenix 386,27 291,62 291,62 MAT

BERNAFOLIC 1 mg COM x 60 Bernabo 463,90 262,96 262,96
NEXOVITAL FOLICO 1 mg COM x 60 Eurofarma 538,05 379,80 379,80
5 mg ANFOLIC 5 mg COM x 10 Trb-Pharma 153,00 108,30 108,30
AZOLAC FOLICO 5 mg COM x 30 Takeda 35,33 7,07 7,07 MAT

GYNOFOL 5 mg COM x 30 P.Fabre Medicamentos 47,44 9,49 9,49 MAT
SUPRAFOL 5 mg COM x 30 Investi 85,08 20,87 20,87 MAT
ANFOLIC 5 mg COM x 30 Trb-Pharma 290,00 158,32 158,32 MAT
ACIDO FOLICO OMEGA 5 mg COM x 30 Omega 448,79 322,96 322,96
COFLIC 5 mg COM x 30 Baliarda 438,02 327,42 327,42 MAT
AZOLAC FOLICO 5 mg COM x 60 Takeda 60,28 12,06 12,06

GYNOFOL 5 mg COM x 60 P.Fabre Medicamentos 80,67 16,13 16,13 MAT
TANVIMIL FOLICO 5 mg COM x 60 Raymos 397,54 137,32 137,32
10 mg TANVIMIL FOLICO 10 mg COM x 30 Raymos 388,50 185,74 185,74 MAT

COFLIC 10 mg COM x 30 Baliarda 532,63 327,14 327,14

ACIFOL 10 mg COM x 60 Dominguez 1.269,27 943,33 943,33 MAT
Gotas 5 mg ACIFOL GTS x 10 Dominguez 502,24 362,52 362,52
Líquido 5 mg TANVIMIL FOLICO Gotero SOL x 10 Raymos 242,63 163,78 163,78
FORMOTEROL
Página 51 de 116
A CARGO A CARGO
AFILIADO CRONICO
Inhahaldor con 0,0045 FORMOVENT INH x 30 Atlas 182,68 114,42 114,42

sistemas mg
FORMOVENT INH x 60 Atlas 274,93 99,73 99,73
OXIS TURBUHALER 4.5 mcg INH x 60 Astrazeneca 386,29 260,25 260,25
0,009 mg OXIS TURBUHALER 9 mcg INH x 60 Astrazeneca 630,91 360,25 360,25
FOSFATO MONOSÓDICO +
FOSFATO DISÓDICO
Enema 18000 KRITEL ENE x 135 Monserrat 398,00 264,38 264,38
mg
ENEMOL ENE x 135 Gador 418,27 288,10 288,10
Frasco 48000 FOSFACOL 2 F 45 ml FCO x 2 Sanitas 845,20 570,51 570,51

mg
Líquido 48000 GADOLAX ORAL SOL x 45 Gador 439,22 256,09 256,09
mg
COLONIL ORAL SOL x 45 Eurofarma 580,00 415,47 415,47
FOSFO DOM SOL x 45 Dominguez 605,16 443,76 443,76
NOVONIL SOL x 45 Rossmore Pharma 1.263,19 918,68 918,68
FUROSEMIDA
Ampollas 20 mg LASIX 20 MG/2 ML AMP x 10 Sanofi Aventis 489,85 339,66 240,31
Comprimidos 25 mg NURIBAN 25 mg COM x 45 Roux Ocefa 199,18 129,47 129,47
40 mg FUROTRAL 40 mg COM x 30 Lepetit 151,00 54,40 40,60

FUROSEMIDA FECOFAR COM x 30 Fecofar 394,09 207,07 109,57
LASIX 40 mg COM x 30 Sanofi Aventis 533,78 382,71 332,36
DAFIL 40 mg COM x 40 Sidus 267,60 80,28 53,52
KOLKIN FUROSEMIDA 40 mg COM x 50 Duncan 41,08 12,32 12,32

RETEP 40 mg COM x 50 Biosintex Retail 164,00 49,20 49,20
FUROSEMIDA VANNIER COM x 50 Vannier S.A. 495,69 211,32 211,32
FUROSEMIDA FECOFAR COM x 50 Fecofar 612,62 302,76 159,49
ERROLON COM x 50 Nova Argentia 844,11 605,16 525,51
LASIX 40 mg COM x 50 Sanofi Aventis 889,61 637,83 553,91
LASIX 40 mg COM x 60 Sanofi Aventis 1.067,55 757,95 555,02
50 mg NURIBAN 50 mg COM x 45 Roux Ocefa 244,56 158,96 158,96
Gotas 20 mg NURIBAN GTS x 15 Roux Ocefa 243,23 158,10 158,10 INF
FUSÍDICO, ÁCIDO
Crema 2000 mg FUSIMED 2% CRE x 15 Cassara 279,82 139,15 139,15
GELBIOTIC CRE x 15 Raymos 339,29 205,82 205,82
ARZIMOL 2% CRE x 15 Lazar 359,80 231,71 231,71
FUSITOP CRE x 15 Hlb Pharma 442,75 308,00 308,00
ACIFUSIN CRE x 15 Andromaco 504,00 357,90 357,90
GABAPENTIN
Comprimidos 100 mg ARAPENTIN 100 mg CAP x 30 Ariston 571,43 353,14 353,14
ULTRANEURAL 100 mg COM x 30 Raffo 661,05 462,80 462,80
ELIFER 100 mg COM x 30 Casasco 662,43 463,58 463,58
NEURONTIN 100 mg CAP x 90 Pfizer 1.946,72 1.342,63 1.342,63
NEURONTIN 100 mg CAP x 100 Pfizer 1.696,29 909,01 909,01
300 mg ARAPENTIN 300 mg CAP x 30 Ariston 1.030,30 662,47 662,47

LOGISTIC 300 mg COM x 30 Craveri 1.152,26 815,75 815,75
ULTRANEURAL 300 mg COM x 30 Raffo 1.198,54 861,87 861,87
Página 52 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 300 mg ELIFER 300 mg COM x 30 Casasco 1.201,17 865,88 865,88

NEURONTIN 300 mg CAP x 30 Pfizer 1.351,23 972,80 972,80
ARAPENTIN 300 mg CAP x 60 Ariston 404,72 80,94 80,94

LOGISTIC 300 mg COM x 60 Craveri 2.097,54 1.376,90 1.376,90
ELIFER 300 mg COM x 60 Casasco 2.143,21 1.416,42 1.416,42
ULTRANEURAL 300 mg COM x 60 Raffo 2.141,24 1.417,38 1.417,38
NEURONTIN 300 mg CAP x 60 Pfizer 2.163,02 1.443,01 1.443,01
400 mg NEURONTIN 400 mg CAP x 60 Pfizer 2.782,11 1.938,02 1.938,02
600 mg ARAPENTIN 600 mg COM x 30 Ariston 1.325,30 831,45 831,45

LOGISTIC 600 mg COM x 30 Craveri 1.436,84 991,28 991,28
ELIFER 600 mg COM x 30 Casasco 1.507,76 1.067,07 1.067,07
ULTRANEURAL 600 mg COM x 30 Raffo 1.509,37 1.070,98 1.070,98
NEURONTIN 600 mg COM x 30 Pfizer 1.668,41 1.201,15 1.201,15
GAMMAGLOBULINA
INESPECÍFICA
Ampollas 330 mg GAMMAGLOBULINA T 16.5% 2 ml F.A x 1 Hemoderivados 543,74 389,85 389,85 INF
825 mg GAMMAGLOBULINA T 16.5% 5 ml F.A x 1 Hemoderivados 1.353,82 970,66 970,66
GEMFIBROZIL
Comprimidos 600 mg GEMFIBROZIL R.O. 600 mg COM x 30 Roux Ocefa 390,34 117,10 117,10
LOPID 600 mg COM x 30 Pfizer 1.047,68 757,06 660,19
HIPOLIXAN 600 COM x 30 Bagó 1.071,21 762,21 659,21
GEMFIBROZIL R.O. 600 mg COM x 60 Roux Ocefa 665,73 199,72 199,72

LOPID 600 mg COM x 60 Pfizer 1.828,66 1.321,40 1.122,43
900 mg GEMFIBROZIL R.O. 900 mg COM x 30 Roux Ocefa 496,59 148,98 148,98
LOPID UD 900 mg COM x 15 Pfizer 468,52 244,04 126,90
LOPID UD 900 mg COM x 30 Pfizer 1.266,84 886,14 634,30
GENTAMICINA
Ampollas 80 mg GENTAMICINA RICHET 80 mg AMP x 2 Richet 483,37 361,32 361,32
400 mg GLEVOMICINA 400 MULTIDOSIS AMP x 1 Bagó 502,72 345,62 345,62
Colirio 300 mg PROVISUAL COL x 10 Poen 198,28 136,61 136,61 INF
Crema 100 mg GENTADERM 0.1% CRE x 15 Medisol 84,00 57,50 57,50
GLIBENCLAMIDA
Comprimidos 5 mg DIABE PASS 5 mg COM x 30 Francelab 145,67 56,43 56,43
DAONIL COM x 30 Sanofi Aventis 189,41 92,28 49,11
GARDOTON 5 mg COM x 30 Raffo 192,43 95,08 48,29
GLIDANIL 5 mg COM x 30 Montpellier 263,26 179,38 123,63
BENCLAMID 5 mg COM x 30 Craveri 275,61 196,11 169,61
EUGLUCON 5 mg COM x 30 Investi 297,72 213,46 185,37
DIABE PASS 5 mg COM x 60 Francelab 261,92 83,45 83,45

DAONIL COM x 60 Sanofi Aventis 307,87 116,57 79,82
GARDOTON 5 mg COM x 60 Raffo 381,64 187,08 95,77
BENCLAMID 5 mg COM x 60 Craveri 510,81 340,47 226,65
GLIDANIL 5 mg COM x 60 Montpellier 521,00 372,14 322,52
Página 53 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 5 mg EUGLUCON 5 mg COM x 60 Investi 589,36 422,56 366,96
GLICLAZIDA
Comprimidos 30 mg TRADON MR 30 mg COM x 30 Craveri 521,42 361,04 361,04
TRADON MR 30 mg COM x 60 Craveri 1.021,77 696,24 696,24
60 mg AGLUCIDE MR 60 mg COM x 30 Beta 787,48 468,16 468,16

TRADON MR 60 mg COM x 30 Craveri 955,65 679,98 679,98
DIAMICRON MR 60 mg COM x 30 Servier 967,52 705,02 705,02
AGLUCIDE MR 60 mg COM x 60 Beta 1.507,50 871,31 871,31

TRADON MR 60 mg COM x 60 Craveri 1.864,48 1.326,65 1.326,65
DIAMICRON MR 60 mg COM x 60 Servier 1.892,26 1.358,86 1.358,86
80 mg UNAVA COM x 20 Investi 298,00 213,66 213,66
UNAVA COM x 60 Investi 747,45 518,28 518,28
GLIMEPIRIDE
Comprimidos 2 mg GLIPERID 2 mg COM x 30 Savant Consumer 217,96 75,38 75,38
GLEMAZ 2 mg COM x 30 Montpellier 363,69 234,65 234,65
NEXT STEP 2 mg COM x 30 Francelab 376,12 250,00 250,00
ENDIAL 2 mg COM x 30 Roemmers 376,88 251,20 251,20
ADIUVAN 2 mg COM x 30 Lazar 380,07 251,96 251,96
GLIMEPLIC 2 mg COM x 30 Baliarda 399,65 273,14 273,14
HIPOGLUT 2 mg COM x 30 Gador 406,43 285,74 285,74
ISLOPIR 2 mg COM x 30 Craveri 512,95 363,55 363,55
DIABUTIL 2 mg COM x 30 Elea - Phoenix 597,96 435,25 435,25
AMARYL 2 mg COM x 30 Sanofi Aventis 647,42 464,19 464,19

AMARYL 2 mg COM x 60 Sanofi Aventis 1.142,03 818,82 818,82
4 mg GLEMAZ 4 mg TRIRRAN. COM x 15 Montpellier 341,60 231,06 231,06

LOMET 4 mg COM x 15 Microsules Argentina 558,00 411,30 411,30
AMARYL 4 mg COM x 15 Sanofi Aventis 602,99 432,33 432,33
GLIPERID 4 mg COM x 30 Savant Consumer 401,94 147,31 147,31

GLUCOPIRIDA 4 mg COM x 30 Biotenk 611,20 356,42 356,42
GLEMAZ 4 mg TRIRRAN. COM x 30 Montpellier 664,13 438,41 438,41
ADIUVAN 4 mg COM x 30 Lazar 675,79 447,21 447,21
NEXT STEP 4 mg COM x 30 Francelab 733,11 487,28 487,28
GLIMEPLIC 4 mg COM x 30 Baliarda 742,83 524,30 524,30
HIPOGLUT 4 mg COM x 30 Gador 748,05 532,27 532,27
ISLOPIR 4 mg COM x 30 Craveri 977,17 692,56 692,56
DIABUTIL 4 mg COM x 30 Elea - Phoenix 1.017,26 740,45 740,45
LOMET 4 mg COM x 30 Microsules Argentina 980,00 771,50 771,50
AMARYL 4 mg COM x 30 Sanofi Aventis 1.142,03 818,82 818,82
GLEMAZ 4 mg TRIRRAN. COM x 60 Montpellier 1.323,17 870,44 870,44
GLIMEPIRIDE + METFORMINA
Comprimidos 2 mg GLEMAZ MET 2/1000 mg COM x 30 Montpellier 430,08 283,88 283,88
ENDIAL MET 2/1000 mg COM x 30 Roemmers 440,59 295,92 295,92
ADIUVAN MET 2/1000 COM x 30 Lazar 452,15 306,58 306,58
MECTIN PLUS 1000/2 mg COM x 30 Teva argentina ( 449,70 309,17 309,17
HIPOGLUT MET 2 MG/ 500 mg COM x 30 Gador 512,14 352,10 352,10
Página 54 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 2 mg HIPOGLUT MET 2 MG/1000 mg COM x 30 Gador 528,39 375,97 375,97

AMARYL M 2 MG/1 g COM x 30 Sanofi Aventis 616,60 442,09 442,09
GLEMAZ MET 2/1000 mg COM x 60 Montpellier 837,53 539,28 539,28
4 mg MECTIN PLUS 1000/4 mg COM x 30 Teva argentina ( 536,25 240,45 240,45

GLEMAZ MET 4/1000 mg COM x 30 Montpellier 760,80 502,95 502,95
ENDIAL MET 4/1000 mg COM x 30 Roemmers 777,24 521,56 521,56
ADIUVAN MET 4/1000 COM x 30 Lazar 788,21 528,68 528,68
HIPOGLUT MET 4 MG/1000 mg COM x 30 Gador 915,13 651,15 651,15
AMARYL M 4 MG/1 g COM x 30 Sanofi Aventis 1.142,03 818,82 818,82
GLEMAZ MET 4/1000 mg COM x 60 Montpellier 1.447,06 911,59 911,59
GLIPIZIDA
Comprimidos 5 mg MINODIAB 5 mg COM x 30 Pfizer 161,45 121,39 95,18
MINODIAB 5 mg COM x 90 Pfizer 461,71 337,33 254,85
GLUCAGON
Ampollas 1 mg GLUCAGEN HYPOKIT 1 mg VIAL F.A x 1 Novo Nordisk 2.422,62 647,80 647,80
GLUCAGON ORIGEN ADNR 1 mg JPR x 1 Eli Lilly 9.685,56 6.972,52 6.972,52
GONADOTROFINA CORIÓNICA
/ HCG
Ampollas 5000 ui GONACOR 5000 IM LIOFILIZADO F.A x 1 Ferring 2.071,11 1.436,10 1.436,10
DINARON 5000 UI + SOLV. F.A x 1 Buxton 2.691,76 1.962,78 1.962,78
5000 ui PREGNYL 1 ml F.A x 1 MSD Arrgentina SR 1.905,83 1.315,93 1.315,93
GRISEOFULVINA
Comprimidos 500 mg GRISOVIN FP 500 mg COM x 24 Investi 871,92 604,59 604,59
HALOPERIDOL
Ampollas 5 mg HALOPIDOL 5 mg 1 ml AMP x 5 Janssen-Cilag 1.153,99 778,94 530,84
Comprimidos 1 mg NEUPRAM 1 mg COM x 30 Sidus 292,56 214,08 187,92
NEUPRAM 1 mg COM x 60 Sidus 435,11 318,39 279,48
HALOPIDOL 1 mg COM x 100 Janssen-Cilag 514,44 347,25 236,64
5 mg NEUPRAM 5 mg COM x 30 Sidus 487,63 291,61 179,74
NEUPRAM 5 mg COM x 60 Sidus 937,81 533,20 323,55

HALOPIDOL 5 mg COM x 60 Janssen-Cilag 1.048,23 707,56 482,19
10 mg NEUPRAM 10 mg COM x 30 Sidus 675,16 297,12 192,17
NEUPRAM 10 mg COM x 60 Sidus 1.200,47 450,42 341,69

ENABRAN 10 mg COM x 60 Casasco 1.436,48 673,29 344,11
HALOPIDOL 10 mg COM x 60 Janssen-Cilag 2.036,57 1.425,60 1.221,94
Líquido 2 mg HALOPIDOL 2 mg/ml SOL x 15 Janssen-Cilag 164,47 72,29 32,89
ENABRAN 2 mg/ml SOL x 30 Casasco 470,61 308,55 200,21

HALOPIDOL 2 mg/ml SOL x 30 Janssen-Cilag 485,63 339,94 339,94
HALOPIDOL 2 mg/ml SOL x 100 Janssen-Cilag 265,25 79,57 53,05
10 mg HALOPIDOL FORTE 10 mg/ml SOL x 30 Janssen-Cilag 1.114,09 752,01 512,48
HALOPERIDOL DECANOATO
Ampollas 50 mg HALOPIDOL DECANOATO 1 ML AMP x 1 Janssen-Cilag 677,85 457,55 311,81
Página 55 de 116
A CARGO A CARGO
AFILIADO CRONICO
Ampollas 150 mg HALOPIDOL DECANOATO 3 ML AMP x 1 Janssen-Cilag 1.257,56 848,85 578,48
HEPARINA CÁLCICA
Ampollas 12500 ui CALCIPARINE 0.5 ML AMP x 2 Sanofi Aventis 117,88 67,31 67,31
HEPATITIS A ANTIGENO
Ampollas 25 ui VAQTA 25 PED. 0.5 ML JPR x 1 MSD Arrgentina SR 2.568,64 1.773,59 1.773,59
50 ui VAQTA 50 AD. 1.0 ML JPR x 1 MSD Arrgentina SR 3.048,95 2.105,22 2.105,22
80 ui AVAXIM 80 U PEDIAT 0.5 ML JPR x 1 Sanofi Pasteur 2.114,86 1.484,28 1.484,28
160 ui AVAXIM 0.5 ML JPR x 1 Sanofi Pasteur 2.583,20 1.812,98 1.812,98
720 ui HAVRIX MONODOSIS 720 EL.U. JPR x 1 GlaxoSmithKline 2.061,31 1.428,11 1.428,11
1440 ui HAVRIX ADULTOS 1440 EL.U JPR x 1 GlaxoSmithKline 2.295,25 1.590,19 1.590,19
HEPATITIS B ANTIGENO
SUPERF. DEL VIRUS
Ampollas 0,01 mg AG B 10 mcg 0.5 ML SUSP. F.A x 1 Cassara 290,50 84,35 84,35
ENGERIX-B PEDIATRICO 0.5 ML JPR x 1 GlaxoSmithKline 479,40 268,37 268,37
BIOVAC HB 10 mcg F.A x 1 Elea - Phoenix 524,20 335,82 335,82
HEPATIVAX JUNIOR 0.5 ML F.A x 1 Sanofi Pasteur 1.071,90 776,88 776,88
0,02 mg AG B 20 1 ML SUSP. F.A x 1 Cassara 416,18 134,77 134,77

BIOVAC HB 20 mcg F.A x 1 Elea - Phoenix 694,80 433,25 433,25
ENGERIX-B 1 ML JPR x 1 GlaxoSmithKline 799,79 554,11 554,11
HEPATIVAX 1 ML F.A x 1 Sanofi Pasteur 1.323,18 959,00 959,00
0,04 mg HB VAX PRO IM 40 mcg 1 ML F.A x 1 MSD Arrgentina SR 1.590,54 1.098,23 1.098,23
HIALURONICO, ÁCIDO
Ampollas 20 mg CRUZAL 20 2 ml + aguja JPR x 1 Finadiet 3.080,85 2.076,51 2.076,51
HYALART 2 ML JPR x 1 Bagó 3.195,92 2.231,42 2.231,42
40 mg CRUZAL 40 2 ml + aguja JPR x 1 Finadiet 4.562,13 3.163,36 3.163,36
60 mg CIENTIFIC SYNOVIAL 60 2 ml+aguja JPR x 1 Sidus 15.572,19 11.394,73 11.394,73
40 mg CIENTIFIC SYNOVIAL 40 2 ml+aguja JPR x 1 Sidus 11.891,49 8.435,59 8.435,59
Colirio 3 mg BIOSOL Estéril COL x 10 Novoplos 507,34 245,34 245,34

HYALOMB COL x 10 Bausch & Lomb Argentina 822,39 582,86 582,86
300 mg BIOSOL LC Estéril COL x 7,5 Novoplos 693,97 483,38 483,38
HIDROCLOROTIAZIDA
Comprimidos 12,5 mg DIUREX 12.5 mg COM x 30 Bagó 386,43 265,67 185,78
25 mg DIURITEN 25 mg COM x 30 Roux Ocefa 244,32 81,94 81,94

DIUREX 25 mg COM x 30 Bagó 482,49 343,31 296,92
50 mg DIURAL 50 mg COM x 15 Lepetit 112,00 40,60 30,40
TANDIUR COM x 30 Raymos 185,94 55,78 37,19

DIURAL 50 mg COM x 30 Lepetit 224,00 81,20 60,80
DIURITEN 50 mg COM x 30 Roux Ocefa 301,16 195,75 195,75
DIUREX 50 mg COM x 60 Bagó 988,65 703,46 552,15
HIDROCLOROTIAZIDA +
AMILORIDA
Comprimidos 12,5 mg DIUREX A 12.5/1.25 mg COM x 30 Bagó 277,35 190,68 133,34
Página 56 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 25 mg DIUREX A 25/2.5 mg COM x 30 Bagó 268,99 184,93 129,32
50 mg DIUREX A 50/5 mg COM x 30 Bagó 310,92 221,23 180,07

MODURETIC COM x 30 MSD Arrgentina SR 364,36 260,26 225,56
HIDRENOX A COM x 50 Teva argentina ( 340,33 170,57 83,67

MODURETIC COM x 50 MSD Arrgentina SR 356,94 186,32 97,56
HIDROCORTISONA
Comprimidos 10 mg HIDROTISONA 10 mg COM x 30 Sanofi Aventis OTC 371,99 251,09 251,09
Crema 500 mg MICROSONA 0.5% CRE x 15 Nova Argentia 256,13 179,92 179,92
1000 mg LACTID HC 1% CRE x 15 Medisol 69,00 13,80 13,80

MICROSONA 1% CRE x 15 Nova Argentia 268,95 195,08 195,08
DEMACORT 1% CRE x 15 Andromaco 322,00 228,40 228,40
TRANSDERMA H CRE x 20 Szama 433,97 303,78 303,78
ALFACORT 1% CRE x 30 Cassara 322,89 169,36 169,36

MEDROCIL 1% BOMBA DISP. CRE x 30 Fortbenton 424,76 268,74 268,74
2000 mg MICROSONA 2% CRE x 15 Nova Argentia 327,93 234,95 234,95
MEDROCIL 2% BOMBA DISP. CRE x 30 Fortbenton 446,96 224,20 224,20
Emulsión 1000 mg ALFACORT 1% EMU x 100 Cassara 805,74 607,51 607,51
HIDROCORTISONA +
LIDOCAINA
Pomada 5000 mg PROCTYL HC PDA x 10 Takeda 310,28 222,46 222,46
XILOCLER RECTAL PDA x 15 Monserrat 310,00 202,57 202,57
PROCTYL HC PDA x 30 Takeda 635,27 421,29 421,29
HIDROCORTISONA +
VITAMINA A + ACEITE DE
HÍGADO DE PECES +
VITAMINA D + BÓRICO, ÁCIDO
Pomada 1000 mg HIPOGLOS CON HIDROCORTISONA PDA x 15 Andromaco 246,00 168,32 168,32
HIDROCORTISONA ACETATO
Crema 1000 mg ANUSOL HC CRE x 10 Elea - Phoenix 210,59 132,12 132,12
Envase 500 mg ALFACORT UNIDOSIS OFT. UNG. ENV x 20 Cassara 487,85 365,53 365,53
+ PRAMOXINA
Crema 1000 mg ANUSOL DUO CRE x 10 Elea - Phoenix 362,06 253,26 253,26
+ PRAMOXINA + ZINC ÓXIDO
Supositorios 5 mg ANUSOL DUO S SUP x 12 Elea - Phoenix 351,70 246,01 246,01
+ ZINC ÓXIDO + BISMUTO
SUBGALATO
Supositorios 3 mg ANUSOL HC SUP x 12 Elea - Phoenix 221,58 149,57 149,57
HIDROCORTISONA
HEMISUCCINATO
Comprimidos 2,5 mg ORALSONE COM x 12 Gramón-Millet 275,51 196,07 196,07
HIDROXICINA
Comprimidos 10 mg ATARAXONE 10 mg COM x 20 Lazar 356,49 246,73 246,73
Página 57 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 25 mg ATARAXONE 25 mg COM x 20 Lazar 493,57 341,61 341,61
50 mg ATARAXONE 50 mg COM x 20 Lazar 944,24 653,52 653,52
Gotas 1000 mg ATARAXONE GTS x 20 Lazar 338,58 234,34 234,34
Líquido 200 mg ATARAXONE JBE x 120 Lazar 530,54 367,19 367,19
HIDROXICLOROQUINA
Comprimidos 200 mg NARBON 200 mg COM x 30 Buxton 670,00 490,00 490,00
AXOKINE 200 mg COM x 30 Rontag 727,50 525,70 525,70
METIREL 200 mg COM x 30 Rontag 893,48 623,24 623,24
EVOQUIN COM x 60 Teva argentina ( 1.036,92 678,99 678,99

POLIRREUMIN 200 mg COM x 60 Trb-Pharma 1.094,00 750,13 750,13
NARBON 200 mg COM x 60 Buxton 1.200,00 848,89 848,89
AXOKINE 200 mg COM x 60 Rontag 1.266,18 914,95 914,95
METIREL 200 mg COM x 60 Rontag 1.655,60 1.154,86 1.154,86
PLAQUENIL 200 mg COM x 60 Sanofi Aventis 2.208,28 1.583,29 1.583,29
HIDROXIPROGESTERONA
Ampollas 500 mg PROLUTON DEPOT 500 IM 2 ML AMP x 1 Bayer (PH) 488,84 343,75 343,75
HIDROXIPROPILMETILCELULO
SA
Colirio 3 mg LAGRIMA DORF 3 mg/ml COL x 10 Pharmadorf 434,67 309,87 309,87
NATURA LAGRIMAS 3 mg/ml COL x 15 Spedrog Caillon 321,00 210,70 210,70

LATLAS TEARS 3 mg/ml COL x 15 Atlas 362,54 261,95 261,95
LAGRIMA DORF 3 mg/ml COL x 15 Pharmadorf 381,07 287,29 287,29
COOL TEARS 3 mg/ml COL x 20 Max Vision 377,50 232,02 232,02
3,2 mg ARTELAC 3.2 mg/ml COL x 10 Bausch & Lomb Argentina 762,66 522,01 522,01
HIDROXIPROPILMETILCELULO
SA + DEXTRAN
Colirio 3 mg BIO EYES LAGRIMAS COL x 10 Novoplos 358,50 259,03 259,03
PH LAGRIMAS COL x 15 Elea - Phoenix 448,64 309,43 309,43
HIERRO + FOLICO, ÁCIDO

Comprimidos 40 mg HIERROQUICK 40 COM x 20 Raymos 368,50 257,95 257,95 MAT
YECTAFER TABS 40/0.5 mg COM x 20 Rontag 374,40 269,40 269,40 MAT
HIERROQUICK 40 COM x 40 Raymos 580,80 379,81 379,81 MAT

YECTAFER TABS 40/0.5 mg COM x 40 Rontag 592,80 384,27 384,27
80 mg HIERROQUICK 80 COM x 20 Raymos 629,20 440,44 440,44 MAT

YECTAFER TABS 80/1 mg COM x 20 Rontag 644,80 465,10 465,10
HIERROQUICK 80 COM x 40 Raymos 1.042,80 695,84 695,84 MAT

YECTAFER TABS 80/1 mg COM x 40 Rontag 1.071,20 711,16 711,16 MAT
HIERRO DEXTRANO
Ampollas 625 mg YECTAFER AMP x 5 Rontag 945,00 661,64 661,64 MAT
YECTAFER AMP x 10 Rontag 1.848,00 1.273,84 1.273,84 MAT
HIERRO FUMARATO + FOLICO,

ÁCIDO
Comprimidos 60 mg FERRETAB COMPUESTO CAP x 30 Biol 781,83 564,65 564,65 MAT
FERRETAB COMPUESTO CAP x 60 Biol 1.328,64 851,82 851,82 MAT
Página 58 de 116
A CARGO A CARGO
AFILIADO CRONICO
HIERRO POLIMALTOSATO
Ampollas 100 mg FERRANIN IM 2 ML AMP x 5 Takeda 773,33 551,35 551,35 MAT
SIDERBLUT IM 2 ml AMP x 5 Investi 1.245,62 893,09 893,09
FERRANIN IM 2 ML AMP x 10 Takeda 1.395,32 916,76 916,76 MAT
Comprimidos 100 mg FERRANIN COM x 15 Takeda 38,63 7,73 7,73 MAT
VITALIX 100 mg COM x 30 Roemmers 373,15 246,76 246,76 MAT

SIDERBLUT POLI COM x 30 Investi 375,89 253,84 253,84 MAT
FERRANIN COM x 30 Takeda 477,45 342,32 342,32 MAT
SIDERBLUT POLI COM x 60 Investi 676,60 412,12 412,12 MAT
Gotas 5 mg SIDERBLUT ORAL GTS x 20 Investi 278,31 192,98 192,98 MAT
5000 mg FERRANIN GTS x 15 Takeda 244,57 169,58 169,58 MAT
Líquido 50 mg VITALIX Gotero SOL x 20 Roemmers 277,02 186,99 186,99 MAT
HIERRO POLIMALTOSATO +
FOLICO, ÁCIDO
Comprimidos 100 mg SIDERBLUT FOLIC COM x 30 Investi 544,50 377,55 377,55 MAT
369 mg HIERRO DUPOFOL COM x 30 Ferring 244,77 172,45 172,45 MAT
HIERRO SULFATO
Comprimidos 200 mg SIDERBLUT (LP) COM x 30 Investi 466,02 334,12 334,12
SIDERBLUT (LP) COM x 60 Investi 839,02 563,97 563,97
246,15 TARDYFERON GRA x 30 Sidus 831,34 589,73 589,73 MAT

mg
Gotas 12500 FACTOFER GTS x 20 Raymos 184,80 67,95 67,95 INF
mg
FER-IN-SOL GTS x 20 Investi 314,78 210,74 210,74 INF
FERDROMACO PEDIATRICO ORAL GTS x 20 Eurofarma 364,40 257,22 257,22 INF
Líquido 1800 mg FER-IN-SOL JBE x 120 Investi 90,95 63,06 63,06 MAT
HORMONA FOLÍCULO
ESTIMULANTE / FSH
Ampollas 75 ui FOLLITRIN 75 UI LIOF.+SOLV. F.A x 1 Ferring 1.845,98 1.280,00 1.280,00
FOLLITRIN 75 UI LIOF.+SOLV. F.A x 6 Ferring 13.052,84 9.050,79 9.050,79
150 ui FOLLITRIN 150 UI + SOLV. F.A x 1 Ferring 3.691,39 2.559,59 2.559,59
FOLLITRIN 150 UI + SOLV. F.A x 6 Ferring 26.102,14 18.099,13 18.099,13
HORMONA LIBER.
TIROTROFINA / TRH
Ampollas 0,2 mg TRH FERRING 200 mcg 1 ML AMP x 1 Ferring 947,93 654,52 654,52
IBUPROFENO
Comprimidos 120 mg IBUPIRETAS COM x 20 Pfizer 35,81 7,16 7,16
IBUPIRETAS JR. MAST. COM x 20 Pfizer 187,29 135,84 135,84
400 mg IBUMAR 400 mg COM x 10 Mar 58,00 20,21 20,21

IBUCLER 400 mg COM x 10 Monserrat 67,00 28,76 28,76
VEFREN 400 mg COM x 10 Baliarda 118,41 86,46 86,46
FEBRATIC 400 mg COM x 10 Roemmers 122,20 87,61 87,61
DOLORSYN 400 mg COM x 10 Omega 217,28 156,36 156,36
FEBRATIC 400 mg COM x 20 Roemmers 195,21 125,01 125,01

Página 59 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 400 mg DOLORSYN 400 mg COM x 30 Omega 363,85 261,83 261,83
600 mg IBUPIRAC 600 mg BLANDAS CAP x 10 Pfizer 186,75 128,58 128,58

ACTRON 600 RAPIDA ACCION BLAND CAP x 10 Bayer Consumer 187,00 130,90 130,90
IBUPIRAC 600 mg BLANDAS CAP x 20 Pfizer 354,06 233,00 233,00

ACTRON 600 RAPIDA ACCION BLAND CAP x 20 Bayer Consumer 351,50 236,65 236,65
IBUPIRAC 600 mg BLANDAS CAP x 50 Pfizer 887,74 585,75 585,75
IBUPROFENO 600 FECOFAR 600 mg COM x 10 Fecofar 145,35 93,42 93,42

IBUMULTIN 600 mg COM x 10 Lazar 154,74 104,48 104,48
IBUTENK 600 mg COM x 10 Biotenk 160,30 112,35 112,35
IBUPIRAC 600 mg COM x 10 Pfizer 169,27 122,31 122,31
IBUMAR 600 mg COM x 20 Mar 168,00 56,92 56,92

IBUPROFENO 600 FECOFAR 600 mg COM x 20 Fecofar 276,06 167,94 167,94
IBUTENK 600 mg COM x 20 Biotenk 318,20 220,13 220,13

800 mg IBUTENK 800 mg COM x 10 Biotenk 199,30 135,16 135,16
Gotas 5000 mg IBUPIRAC ORAL GTS x 30 Pfizer 207,82 144,77 144,77
Líquido 2000 mg IBUMAR SUS x 90 Mar 131,00 83,19 83,19

IBUCLER 2% SUS x 90 Monserrat 134,00 88,62 88,62
COPIRON 2% SUS x 90 Microsules Argentina 138,00 94,06 94,06
IBUSOL PEDIATRICO Medisol SUS x 100 Medisol 98,00 44,63 44,63

FEBRATIC PED. 2% SUS x 100 Roemmers 160,98 111,95 111,95
IBUSOL PEDIATRICO SUS x 100 Cassara 175,68 130,92 130,92
DOLORSYN TERMICO ORAL SUS x 120 Omega 376,04 270,61 270,61
4000 mg IBUMULTIN 4% SUS x 90 Lazar 262,28 81,88 81,88

IBUMAR 4 g/100 ml SUS x 90 Mar 189,00 95,85 95,85
IBUCLER 4% SUS x 90 Monserrat 257,00 179,90 179,90
IBUPIRAC 4% SUS x 90 Pfizer 286,33 206,14 206,14
IBUFULL 4 g SUS x 90 Lafedar 300,79 220,86 220,86
IBUSOL FORTE SUS x 100 Cassara 262,96 169,19 169,19

FEBRATIC 4% SUS x 100 Roemmers 274,30 185,04 185,04
AFEBRIL FORTE 40 mg/ml SUS x 100 Bagó 283,78 196,70 196,70
ACTRON PEDIATRICO 4% ORAL SUS x 100 Bayer Consumer 290,50 203,35 203,35
ACTRON PEDIATRICO 4% Oral SUS x 180 Bayer Consumer 497,40 245,23 245,23
IBUPIRAC 4% SUS x 200 Pfizer 539,93 355,26 355,26
5000 mg IBUSOL ORAL SUS x 20 Cassara 184,27 133,65 133,65
IDOXURIDINA
Colirio 100 mg IDULEA C\ADHEFILM COL x 10 Biotechno Pharma 626,10 432,31 432,31
Página 60 de 116
A CARGO A CARGO
AFILIADO CRONICO
Colirio 100 mg
Ungüento 100 mg IDULEA DERMICO UNG x 10 Biotechno Pharma 255,16 172,23 172,23
INDAPAMIDA
Comprimidos 1,5 mg NORANAT SR 1.5 Mg. Recub. LP COM x 30 Nova Argentia 388,12 266,40 266,40
NATRILIX SR 1.5 mg (Lib.Prol.) COM x 30 Servier 399,49 279,52 279,52
2,5 mg NORANAT COM x 30 Nova Argentia 382,34 275,29 275,29
INDAPAMIDA DUREMID COM x 50 Soubeiran Chobet 511,40 330,42 330,42
NORANAT COM x 60 Nova Argentia 513,06 270,14 270,14
INDOMETACINA
Ampollas 50 mg IM.75 MONTPELLIER 2 ML F.A x 3 Montpellier 689,36 475,99 475,99
Comprimidos 75 mg IM.75 MONTPELLIER CAP x 24 Montpellier 758,58 534,68 534,68
IM.75 MONTPELLIER CAP x 50 Montpellier 1.386,97 873,21 873,21
Supositorios 50 mg INDOTEX 50 mg SUP x 10 Rontag 353,40 246,51 246,51
100 mg INDOTEX 100 mg SUP x 10 Rontag 685,33 448,32 448,32

IM.75 MONTPELLIER SUP x 10 Montpellier 769,00 530,98 530,98
INMUNOGLOBULINA
ANTITETÁNICA + TETÁNICO
TOXOIDE
Ampollas 250 ui GAMMATET T 250 UI + TOXOIDE JPR x 1 Gador 2.774,36 798,85 798,85 MAT
500 ui GAMMATET T 500 UI + TOXOIDE JPR x 1 Gador 5.749,08 1.655,40 1.655,40 MAT
TETABULIN S/D 500 UI JPR x 1 Gobbi 5.870,43 4.109,30 4.109,30 MAT
IPRATROPIO BROMURO
Aerosol 0,02 mg ATROVENT HFA 10 ML AER x 200 Boehringer Ingelheim 814,38 588,50 445,17
AEROTROP HFA 12.5 ml AER x 250 Cassara 576,99 264,53 264,53
Líquido 0,5 mg AEROTROP P/NEB.UNIDOSIS Sol.x 2.5 ml c/u SOL Cassara 587,64 432,16 432,16
x 24
25 mg ATROVENT SOL. NEB SOL x 20 Boehringer Ingelheim 351,67 251,70 186,17
ATROVENT SOL. NEB. SOL x 40 Boehringer Ingelheim 640,75 426,73 282,87
Spray 0,021 mg AEROTROP NASAL SPR x 120 Cassara 347,00 255,19 255,19
IRBESARTAN
Comprimidos 150 mg APROVEL 150 mg COM x 28 Sanofi Aventis 1.752,77 1.215,36 1.215,36
300 mg APROVEL 300 mg COM x 28 Sanofi Aventis 2.304,26 1.597,77 1.597,77
ISOCONAZOL
Crema 1000 mg MUPATEN CRE x 20 Bayer Consumer 210,00 141,75 141,75
1000 mg MUPATEN VAGINAL CRE x 40 Bayer (PH) 330,24 216,03 216,03
Óvulos 600 mg MUPATEN VAGINAL OVU x 1 Bayer (PH) 330,24 232,22 232,22
ISONIACIDA
Comprimidos 300 mg NICOTIBINA 300 mg COM x 30 Sanofi Aventis 234,96 164,25 164,25
ISOSORBIDE DINITRATO
Comprimidos 5 mg ISORDIL 5 mg COM x 25 Pfizer 232,94 167,52 124,80
ISORDIL 5 mg COM x 50 Pfizer 352,94 192,61 109,46
Página 61 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 5 mg MEDOCOR SUBLINGUAL 5 mg COM x 30 Roemmers 398,80 278,79 199,40
ISOSORBIDE MONONITRATO
Comprimidos 20 mg MEDOCOR COM x 20 Roemmers 245,31 176,93 132,27
MONOTRIN 20 COM x 30 Bagó 111,02 33,31 22,20
MONOTRIN 20 COM x 40 Bagó 133,08 39,92 26,62

MEDOCOR COM x 40 Roemmers 466,59 336,98 293,78
40 mg MONOTRIN 40 COM x 30 Bagó 181,30 103,52 63,82
60 mg CILATRON AP CAP x 30 Eurofarma 59,81 17,94 11,96

MEDOCOR AP CAP x 30 Roemmers 969,40 700,13 610,37
100 mg MONOTRIN 100 RETARD COM x 30 Bagó 308,55 176,18 108,61
ISOTRETINOINA
Comprimidos 10 mg FLEXRESAN 10 mg CAP x 30 Raymos 1.650,90 941,89 941,89
ROACCUTAN 10 mg CAP x 30 Investi 1.943,14 1.325,01 1.325,01
ISOCUTAN 10 mg CAP x 30 Raffo 2.183,96 1.562,93 1.562,93
20 mg FLEXRESAN 20 mg CAP x 30 Raymos 3.036,28 1.787,09 1.787,09

ROACCUTAN 20 mg CAP x 30 Investi 3.578,95 2.475,79 2.475,79
ISOCUTAN 20 mg CAP x 30 Raffo 4.029,09 2.883,38 2.883,38
40 mg ISOCUTAN 40 mg CAP x 30 Raffo 7.335,76 5.075,93 5.075,93
Gel 50 mg ATLACNE TOPICO GEL x 25 Atlas 470,35 305,73 305,73
ISOXSUPRINA CLORHIDRATO
Comprimidos 10 mg UTERINE 10 mg COM x 20 Omega 474,10 175,87 175,87 MAT
DUVADILAN 10 mg COM x 20 Raffo 838,87 600,33 600,33 MAT
UTERINE 10 mg COM x 40 Omega 794,75 204,74 204,74 MAT
20 mg UTERINE 20 mg COM x 20 Omega 851,62 377,25 377,25 MAT

DUVADILAN 20 mg COM x 20 Raffo 1.321,92 946,02 946,02 MAT
ITRACONAZOL
Comprimidos 100 mg SPORANOX CAP x 4 Janssen-Cilag 330,04 231,03 231,03
SPORANOX CAP x 10 Janssen-Cilag 574,88 402,42 402,42
ITRAC 100 CAP x 15 Cassara 739,38 507,65 507,65

SPORANOX CAP x 15 Janssen-Cilag 794,49 556,14 556,14
PANASTAT CAP x 15 Panalab 818,00 600,39 600,39
SPORANOX PULSO CAP x 28 Janssen-Cilag 1.728,81 1.210,17 1.210,17
PANASTAT CAP x 30 Panalab 1.398,00 888,18 888,18
200 mg ITRAC 200 CAP x 14 Cassara 1.328,19 932,91 932,91
IVERMECTINA
Comprimidos 3 mg IVER P 3 mg COM x 6 Elea - Phoenix 401,68 271,13 271,13
6 mg DETEBENCIL 6 mg COM x 2 Roux Ocefa 298,79 194,21 194,21

SECURO COM x 2 Raymos 504,70 357,70 357,70
DETEBENCIL 6 mg COM x 6 Roux Ocefa 429,62 141,36 141,36

SECURO COM x 6 Raymos 710,70 404,39 404,39
IVER P 6 mg COM x 6 Elea - Phoenix 712,77 414,23 414,23
KETOCONAZOL
Página 62 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 200 mg MICORAL COM x 10 Investi 236,41 169,50 169,50
FITONAL 200 mg COM x 20 Andromaco 334,00 232,90 232,90
MICORAL COM x 30 Investi 436,37 264,63 264,63
Crema 2000 mg KEDUO 2% CRE x 15 Raymos 234,85 165,78 165,78

KETOLEF 2% CRE x 15 Biosintex-Ofar 241,50 172,50 172,50
QUADION CRE x 15 Fortbenton 272,33 197,52 197,52
ORIFUNGAL CRE x 15 Janssen-Cilag 346,20 242,34 242,34
MICORAL CRE x 30 Investi 224,35 111,04 111,04

FITONAL CRE x 30 Andromaco 351,00 249,00 249,00
Óvulos 400 mg FANGAN OVU x 5 Lazar 478,92 331,47 331,47
Shampoo 2000 mg EUMICEL 2% SHA x 100 Cassara 128,00 60,61 60,61

KEDUO 2% SHA x 100 Raymos 347,15 245,04 245,04
MICORAL SHA x 100 Investi 471,39 337,98 337,98
PITYLIS KETOCONAZOL 2% SHA x 120 Raymos 89,52 17,90 17,90

EUMICEL COLAGENO 2% SHA x 120 Cassara 462,02 343,17 343,17
QUADION SHA x 250 Fortbenton 512,56 341,07 341,07
KETOROLAC
Ampollas 30 mg DORIXINA FORTE NF 30 mg AMP x 3 Roemmers 199,49 121,83 121,83
SINALGICO 30 mg AMP x 3 Bernabo 242,71 174,02 174,02
TELEDOL 30 mg 2 ml AMP x 3 Casasco 253,70 181,35 181,35
DOLTEN 30 mg 2 ml AMP x 5 Pfizer 369,39 246,32 246,32

ZERODOL 30 mg AMP x 5 Bagó 542,50 386,01 386,01
60 mg DOLTEN 60 mg 2 ml AMP x 1 Pfizer 177,92 119,68 119,68
DOLTEN 60 mg 2 ml AMP x 3 Pfizer 535,12 360,73 360,73

SINALGICO 60 mg AMP x 3 Bernabo 584,05 415,57 415,57
ZERODOL 60 mg AMP x 3 Bagó 647,83 460,96 460,96
Colirio 18 mg ACUVAIL Viales Unids. 0.4 ml COL x 30 Allergan-Loa 1.070,23 748,62 748,62
400 mg ACULAR LS COL x 5 Allergan-Loa 1.017,63 711,82 711,82
500 mg POENKERAT COL x 5 Poen 573,28 317,49 317,49

ACULAR COL x 5 Allergan-Loa 762,90 485,77 485,77
Comprimidos 10 mg KERAMIX 10 mg COM x 10 Finadiet 67,58 13,52 13,52

DORIXINA FORTE NF 10 mg COM x 10 Roemmers 207,45 117,95 117,95
KEMANAT 10 mg COM x 10 Microsules Argentina 207,00 123,74 123,74
UNICALM 10 mg COM x 10 Raffo 233,50 144,05 144,05
DOLTEN 10 mg COM x 10 Pfizer 269,39 184,48 184,48
SINALGICO 10 mg COM x 20 Bernabo 379,50 203,26 203,26

KETOROLAC FABRA 10 mg COM x 20 Fabra 369,49 239,99 239,99
20 mg DUPRAC 20 mg COM x 10 Savant Consumer 243,39 125,15 125,15

KERAMIX 20 mg COM x 10 Finadiet 309,37 204,54 204,54
TENKDOL 20 mg COM x 10 Biotenk 338,70 231,11 231,11
Página 63 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 20 mg KEMANAT 20 mg COM x 10 Microsules Argentina 360,00 261,90 261,90

DORIXINA FORTE NF 20 mg COM x 10 Roemmers 382,43 271,05 271,05
TELEDOL 20 mg COM x 10 Casasco 385,22 277,47 277,47
ZERODOL 20 mg COM x 10 Bagó 438,45 311,97 311,97
DIPGIX 20 mg COM x 20 Lab Internacional 174,36 34,87 34,87

Argentino
TENKDOL 20 mg COM x 20 Biotenk 522,40 285,56 285,56
KERAMIX 20 mg COM x 20 Finadiet 528,79 291,75 291,75
KETOROLAC FABRA 20 mg COM x 20 Fabra 568,44 368,82 368,82
TELEDOL 20 mg COM x 20 Casasco 614,37 401,72 401,72
10 mg DIPGIX SL 10 mg COM x 10 Lab Internacional 84,40 16,88 16,88

Argentino
DUPRAC SL 10 mg COM x 10 Savant Consumer 223,52 102,61 102,61
KERAMIX RAPID 10 mg Subl. COM x 10 Finadiet 244,33 122,26 122,26
UNICALM 10 mg SUBL. COM x 10 Raffo 279,38 159,79 159,79
TENKDOL SL 10 mg COM x 10 Biotenk 305,60 182,93 182,93
CALMOFAR SL 10 mg COM x 10 Wunder Pharm 284,59 184,39 184,39
KETOROLAC RICHET 10 mg SUBLIN. COM x 10 Richet 306,48 205,06 205,06
KEMANAT SL SUBLINGUAL COM x 10 Microsules Argentina 333,00 236,34 236,34
SINALGICO SL 10 mg SUBLINGUAL COM x 10 Bernabo 340,11 236,80 236,80
DORIXINA FORTE NF SUBL. 10 mg COM x 10 Roemmers 342,09 241,29 241,29
TELEDOL 10 mg SL COM x 10 Casasco 354,99 253,95 253,95
DOLTEN SL 10 mg COM x 10 Pfizer 367,32 264,44 264,44
ZERODOL SL 10 mg COM x 10 Bagó 417,84 297,31 297,31
SINALGICO SL 10 mg SUBLINGUAL COM x 20 Bernabo 660,33 449,20 449,20

DORIXINA FORTE NF SUBL. 10 mg COM x 20 Roemmers 664,36 458,50 458,50
KETOTIFENO
Colirio 50 mg ANTILERG COL x 10 Max Vision 715,00 466,22 466,22
HYALCROM NF COL x 10 Bausch & Lomb Argentina 1.136,57 805,53 805,53
Comprimidos 1 mg RESPIMEX COM x 60 Pfizer 431,45 300,55 300,55
Líquido 20 mg RESPIMEX JBE x 200 Pfizer 537,67 374,54 374,54
LACTULOSA
Líquido 65000 GENOCOLAN LACTULOSA JBE x 120 Craveri 320,03 202,49 202,49
mg
LACTULON JBE x 120 Lazar 419,97 300,61 300,61
LACTULON JBE x 250 Lazar 714,69 472,62 472,62
Sobres 10000 LACTULON 10 g SOB x 8 Lazar 299,62 207,37 207,37

mg
LACTULON 10 g SOB x 16 Lazar 598,04 413,27 413,27
LAMOTRIGINA
Comprimidos 5 mg LAMICTAL DISPERSABLE 5 mg COM x 30 GlaxoSmithKline 594,78 401,48 401,48
25 mg LAGOTRAN 25 mg DISPERS. COM x 30 Beta 516,24 293,51 293,51

EPILEPAX 25 mg DISPERS. COM x 30 Teva argentina ( 518,22 294,90 294,90
LATRIGIN 25 mg RANUR.DISPERS. COM x 30 Baliarda 550,80 337,75 337,75
LAMOCAS 25 mg DISPERS. COM x 30 Casasco 554,51 349,10 349,10
Página 64 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 25 mg LAMIRAX 25 mg DISPERS. COM x 30 Elea - Phoenix 660,14 474,14 474,14

LAMICTAL DISPERSABLE 25 mg COM x 30 GlaxoSmithKline 1.014,63 710,24 710,24
50 mg EPILEPAX 50 mg DISPERS. COM x 30 Teva argentina ( 809,43 473,68 473,68

LATRIGIN 50 mg RANUR.DISPERS. COM x 30 Baliarda 861,57 546,41 546,41
LAMOCAS 50 mg DISERS. COM x 30 Casasco 866,09 561,71 561,71
LAGOTRAN 50 mg DISPERS. COM x 30 Beta 879,68 571,73 571,73
LAMIRAX 50 mg DISPERS. COM x 30 Elea - Phoenix 965,38 676,01 676,01
LAMICTAL DISPERSABLE 50 mg COM x 30 GlaxoSmithKline 1.715,74 1.201,02 1.201,02
100 mg LAGOTRAN 100 mg DISPERS. COM x 15 Beta 600,31 346,37 346,37
EPILEPAX 100 mg DISPERS. COM x 30 Teva argentina ( 1.315,50 806,39 806,39

LATRIGIN 100 mg RANUR.DISPERS. COM x 30 Baliarda 1.399,54 913,30 913,30
LAMOCAS 100 mg DISPERS. COM x 30 Casasco 1.407,57 937,86 937,86
LAMIRAX 100 mg DISPERS. COM x 30 Elea - Phoenix 1.542,45 1.090,01 1.090,01
LAGOTRAN 100 mg DISPERS. COM x 30 Beta 1.560,47 1.114,85 1.114,85
EPILEPAX 100 mg Dispers. COM x 60 Teva argentina ( 2.791,00 1.835,08 1.835,08

LAMOCAS XR 100 mg COM x 30 Casasco 1.645,34 1.146,27 1.146,27
LAMOCAS XR 100 mg COM x 60 Casasco 3.259,91 2.254,95 2.254,95
200 mg EPILEPAX 200 mg DISPERS. COM x 30 Teva argentina ( 2.199,44 1.373,83 1.373,83
LATRIGIN 200 mg RANUR.DISPERS. COM x 30 Baliarda 2.325,91 1.533,94 1.533,94
LAMOCAS 200 mg DISPERS. COM x 30 Casasco 2.353,49 1.591,70 1.591,70
LAGOTRAN 200 mg DISPERS. COM x 30 Beta 2.570,30 1.839,44 1.839,44
LANSOPRAZOL
Comprimidos 15 mg LANZOPRAL MD 15 mg CAP x 30 Roemmers 622,46 429,79 429,79
30 mg LANZOPRAL 30 mg CAP x 15 Roemmers 591,83 422,74 422,74
ACIMED L 30 mg CAP x 30 Lepetit 575,00 193,39 193,39

LANZOPRAL 30 mg CAP x 30 Roemmers 1.117,35 798,11 798,11
Sobres 15 mg LANZOPRAL MD SUSP. SOB x 30 Roemmers 889,62 614,26 614,26
30 mg LANZOPRAL SUSP. SOB x 30 Roemmers 1.073,60 741,30 741,30
LATANOPROST
Colirio 0,05 mg GLAUCOGESIC COL x 2,5 Atlas 784,08 488,92 297,92
GLAUCOSTAT 50 MCG/ML COL x 2,5 Max Vision 780,00 495,01 302,40
XALATAN COL x 2,5 Pfizer 807,77 519,26 323,54
LATANOPROST DORF COL x 2,5 Pharmadorf 861,17 568,11 374,71
LOUTEN COL x 2,5 Poen 885,93 623,21 450,78
LOUTEN Emul. COL x 2,5 Poen 885,93 623,21 450,78
LATANOFLAX 50 mcg/ml COL x 2,5 Sidus 910,10 639,54 459,91
OCUPROST COL x 2,5 Bausch & Lomb Argentina 963,35 682,76 561,41
LATANOPROST DORF COL x 3 Pharmadorf 438,25 131,47 87,65
LATANOPROST + TIMOLOL
Colirio 0,05 mg GLAUCOGESIC T COL x 2,5 Atlas 764,15 451,58 451,58
GLAUCOSTAT T COL x 2,5 Max Vision 799,00 480,43 271,33
Página 65 de 116
A CARGO A CARGO
AFILIADO CRONICO
Colirio 0,05 mg LATIMODORF COL x 2,5 Pharmadorf 887,35 556,28 361,39

XALACOM COL x 2,5 Pfizer 876,06 569,81 363,46
LOUTEN T COL x 2,5 Poen 962,79 678,11 491,36
LEFLUNOMIDA
Comprimidos 20 mg LEFLUNOMIDA SC 20 mg COM x 30 Spedrog Caillon 1.220,01 736,03 736,03
FLUXAP 20 mg COM x 30 Trb-Pharma 1.276,00 815,99 815,99
FLUDART 20 mg COM x 30 Craveri 1.281,88 820,06 820,06
AFIANCEN 20 mg COM x 30 Buxton 1.300,00 843,10 843,10
INMUNOARTRO 20 mg RECUB. COM x 30 Beta 1.367,35 911,00 911,00
FILARTROS 20 mg RECUB. COM x 30 Teva argentina ( 1.371,28 931,96 931,96
LEFLUAR 20 mg COM x 30 Rontag 1.602,70 1.117,96 1.117,96
ARAVA 20 mg COM x 30 Sanofi Aventis 2.824,33 2.024,99 2.024,99
FLUDART 20 mg COM x 60 Craveri 1.928,65 908,97 908,97
LEUCOCIANIDOL +
+ LIDOCAINA
Pomada 1000 mg PROCTO IKATRAL PDA x 10 Baliarda 377,94 272,08 272,08
PROCTO IKATRAL PDA x 30 Baliarda 838,08 512,33 512,33
LEVODOPA + BENSERAZIDA
Comprimidos 50 mg MADOPAR DISPERSABLE 62.5 mg TAB x 100 Investi 1.002,30 694,99 491,70
100 mg MADOPAR HBS 125 mg CAP x 50 Investi 532,60 324,38 192,57
MADOPAR DISPERSABLE 125 mg TAB x 100 Investi 1.329,03 952,89 746,62
200 mg MADOPAR 250 COM x 30 Investi 911,70 635,92 453,89
MADOPAR 250 COM x 50 Investi 1.505,59 1.042,90 736,71
LEVODOPA + CARBIDOPA
Comprimidos 100 mg PARKINEL 100/25 mg COM x 30 Bagó 476,22 331,61 236,40
LEBOCAR 100-25 COM x 30 Pfizer 553,61 398,57 336,13
200 mg SINEMET CR COM x 30 MSD Arrgentina SR 2.001,99 1.351,34 920,92
250 mg PARKINEL 250/25 mg COM x 30 Bagó 672,03 468,54 334,62

SINEMET 250/25 mg COM x 50 MSD Arrgentina SR 2.366,94 1.690,67 1.465,25
PARKINEL 250/25 mg COM x 60 Bagó 1.245,58 815,29 526,27

LEBOCAR 250-25 COM x 60 Pfizer 1.384,28 977,28 709,42
LEVOMEPROMAZINA
Comprimidos 2 mg NOZINAN 2 mg COM x 30 Sanofi Aventis 256,30 183,76 151,19
MEPROZIN 2 mg COM x 30 Rospaw 322,50 242,30 242,30
TOGREL 2 mg COM x 50 Teva argentina ( 362,67 240,83 158,87
25 mg MEPROZIN 25 mg COM x 30 Rospaw 507,88 309,56 309,56

NOZINAN 25 mg COM x 30 Sanofi Aventis 676,40 484,97 368,64
TOGREL 25 mg COM x 50 Teva argentina ( 957,12 601,78 367,42
100 mg MEPROZIN 100 mg COM x 30 Rospaw 708,00 495,60 495,60
Gotas 10 mg NOZINAN MINOR GTS x 30 Sanofi Aventis 162,01 92,51 57,03
Página 66 de 116
A CARGO A CARGO
AFILIADO CRONICO
LEVONORGESTREL
Comprimidos 0,03 mg MICROLUT GRA x 35 Bayer (PH) 422,34 296,99 296,99
0,75 mg NORGESTREL MAX COM x 2 Biotenk 135,00 91,12 91,12
1,5 mg NORGESTREL MAX UNIDOSIS COM x 1 Biotenk 179,90 89,25 89,25

SECUFEM 1.5 mg COM x 1 Elea - Phoenix 250,97 174,02 174,02
LEVONORGESTREL +
ETINILESTRADIOL
Comprimidos 0,1 mg NICOLLE COM x 21 Biotenk 108,50 35,58 35,58
MIRANOVA CAP x 21 Bayer (PH) 152,78 78,47 78,47
APRIL COM x 21 Gador 205,87 143,09 143,09
FEMEXIN COM x 21 Elea - Phoenix 229,65 167,75 167,75
APRIL 28 (21+ 7) COM x 28 Gador 209,94 148,03 148,03

NORFEN COM x 28 Pharmadorf 235,97 172,53 172,53
ELEKTRA COM x 28 Craveri 253,13 180,11 180,11
FEMEXIN 28 COM x 28 Elea - Phoenix 245,93 182,80 182,80
0,125 mg TRIQUILAR GRA x 21 Bayer (PH) 286,45 191,00 191,00

TRIDESTAN N COM x 21 Gador 293,63 203,39 203,39
0,15 mg NORGESTREL PLUS GRA x 21 Biotenk 136,25 72,14 72,14

MICROVLAR COM x 21 Bayer (PH) 186,23 132,61 132,61
MICROGYNON GRA x 21 Bayer (PH) 264,40 191,96 191,96
NORDETTE GRA x 21 Pfizer 285,28 205,38 205,38
ELEKTRA MAX COM x 28 Craveri 288,08 204,98 204,98
2 mg DOS DIAS N COM x 2 Elea - Phoenix 663,96 470,08 470,08
LEVOTIROXINA / T4
Comprimidos 0,025 mg T4 MONTPELLIER 25 mcg COM x 50 Montpellier 338,32 217,86 136,49
LEVOTIROXINA GSK 25 mcg COM x 50 GlaxoSmithKline 343,23 228,31 151,93
EUTHYROX 25 mcg COM x 50 Elea - Phoenix 571,05 425,72 377,28
0,05 mg T4 MONTPELLIER 50 mcg COM x 50 Montpellier 358,46 238,31 157,84





EUTHYROX 112 mcg COM x 50 Elea - Phoenix 1.073,19 800,08 709,04

Página 67 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 0,137 mg T4 MONTPELLIER 137 mcg COM x 50 Montpellier 801,93 541,10 367,21



LIOTIRONINA / T3
Comprimidos 0,02 mg TRI-IODO-TIRONINA COM x 20 GlaxoSmithKline 29,44 8,83 5,89
T3 MONTPELLIER 20 COM x 30 Montpellier 861,42 592,22 414,14
LISINA CLONIXINATO
Comprimidos 125 mg DORIXINA COM x 20 Roemmers 154,24 105,57 105,57
LISINOPRIL
Comprimidos 5 mg TENSOPRIL 5 mg COM x 20 Teva argentina ( 423,83 292,56 292,56
TENSOPRIL 5 mg COM x 40 Teva argentina ( 843,07 579,51 579,51
10 mg TERSIF MD 10 mg MULTIRRAN. COM x 20 Baliarda 240,25 64,15 64,15

DOXAPRIL 10 mg COM x 30 Bagó 233,35 46,67 46,67

ZESTRIL 10 mg COM x 30 Astrazeneca 262,78 52,56 52,56
TENSOPRIL 10 mg COM x 40 Teva argentina ( 1.170,91 807,66 807,66
20 mg TERSIF MD 20 mg MULTIRRAN. COM x 20 Baliarda 302,03 80,65 80,65


LISINAL 20 mg COM x 30 Beta 995,87 722,28 722,28
TENSOPRIL 20 mg COM x 40 Teva argentina ( 1.321,76 925,23 925,23
LITIO CARBONATO
Comprimidos 300 mg CEGLUTION 300 mg TAB x 20 Ariston 540,92 392,90 296,23
CEGLUTION 300 mg TAB x 50 Ariston 1.349,91 979,39 737,29
CEGLUTION 300 mg TAB x 90 Ariston 2.250,67 1.545,89 1.075,41
450 mg CEGLUTION XR 450 mg COM x 30 Ariston 833,98 600,53 447,47
ESKALIT SR 450 mg COM x 50 GlaxoSmithKline 790,65 328,46 192,80
CEGLUTION XR 450 mg COM x 60 Ariston 1.650,88 1.180,55 871,26
LOPERAMIDA
Comprimidos 2 mg REGULANE CB CAP x 10 Finadiet 256,22 181,41 181,41
REGULANE CB CAP x 20 Finadiet 448,41 283,37 283,37
Página 68 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 2 mg REGULANE CB CAP x 30 Finadiet 485,90 216,25 216,25
LOPERIX 2 mg COM x 10 Rospaw 192,25 130,44 130,44

VILTAR COM x 10 Dallas 206,05 140,14 140,14
SUPRASEC COM x 10 Janssen-Cilag 208,91 146,24 146,24
LANSEKA 2 mg TAB x 10 Investi 210,20 147,52 147,52
COLIFILM COM x 10 Eurofarma 210,00 148,37 148,37
REGULANE COM x 10 Finadiet 219,20 155,97 155,97
CUSTEY 2 mg COM x 10 Microsules Argentina 212,90 156,20 156,20
VILTAR COM x 20 Dallas 293,84 145,38 145,38

LOPERIX 2 mg COM x 20 Rospaw 300,00 163,42 163,42
LANSEKA 2 mg TAB x 20 Investi 328,90 178,36 178,36
COLIFILM COM x 50 Eurofarma 716,73 343,03 343,03
LORATADINA
Comprimidos 10 mg LORATADINA ILAB 10 mg COM x 10 Inmunolab 39,67 7,93 7,93
HISPLEX 10 mg COM x 10 Biotenk 99,00 25,68 25,68
DEVEDRYL 10 mg COM x 10 Klonal 107,04 26,01 26,01
DEXITIS 10 mg COM x 10 Savant Consumer 120,38 38,83 38,83
BILOINA COM x 10 Eurofarma 270,00 190,50 190,50
ALERPRIV 10 mg COM x 10 Montpellier 286,19 204,42 204,42
LISALER COM x 10 Fortbenton 282,16 205,37 205,37
HISPLEX 10 mg COM x 30 Biotenk 84,00 16,80 16,80

LISALER COM x 30 Fortbenton 666,07 451,72 451,72
BILOINA COM x 30 Eurofarma 650,00 461,00 461,00
ALERPRIV 10 mg COM x 30 Montpellier 691,82 494,16 494,16
Líquido 5 mg BILOINA JBE x 60 Eurofarma 212,00 142,26 142,26

ALERPRIV JBE x 60 Montpellier 223,30 156,12 156,12
ALERPRIV JBE x 120 Montpellier 414,40 272,46 272,46
LORAZEPAM
Comprimidos 1 mg LORAZEPAN CHOBET 1 mg COM x 20 Soubeiran Chobet 89,91 58,16 58,16
SIDENAR 1 mg COM x 20 Teva argentina ( 95,39 64,38 64,38
EMOTIVAL 1 mg COM x 30 Teva argentina ( 146,18 101,14 101,14

TRAPAX 1 mg COM x 30 Pfizer 158,13 114,26 114,26
LORAZEPAN CHOBET 1 mg COM x 50 Soubeiran Chobet 213,18 129,29 129,29

SIDENAR 1 mg COM x 50 Teva argentina ( 247,75 172,52 172,52
APLACASSE 1 mg COM x 50 Investi 259,12 184,84 184,84

2 mg LORAZEPAN CHOBET 2 mg COM x 20 Soubeiran Chobet 130,99 93,20 93,20
LORAZEPAN CHOBET 2 mg COM x 50 Soubeiran Chobet 313,24 216,70 216,70
2,5 mg SIDENAR 2.5 mg COM x 20 Teva argentina ( 133,92 89,59 89,59
Página 69 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 2,5 mg
TRAPAX 2.5 mg COM x 30 Pfizer 222,05 157,57 157,57
KALMALIN 2.5 mg COM x 40 Bagó 274,56 186,30 186,30
APLACASSE 2.5 mg COM x 50 Investi 326,70 208,10 208,10

SIDENAR 2.5 mg COM x 50 Teva argentina ( 338,13 224,86 224,86
1 mg TRAPAX 1 mg SUBLING. COM x 30 Pfizer 303,53 212,32 212,32
LOSARTÁN
Comprimidos 50 mg PRISONIL 50 mg COM x 15 Lepetit 180,00 67,30 51,20
NITEN 50 mg COM x 15 Teva argentina ( 411,85 288,29 247,11
TACARDIA 50 mg COM x 28 Richmond 743,43 520,40 385,63

PAXON 50 mg COM x 28 Gador 859,99 611,92 529,23
LOSARTAN 50 mg NORTHIA COM x 30 Northia 389,10 127,37 127,37

PRISONIL 50 mg COM x 30 Lepetit 360,00 133,90 101,60
LOREBIL 50 mg COM x 30 Geminis Farmaceutica 626,72 338,53 188,97
LOCTENK 50 mg COM x 30 Biotenk 689,20 431,00 256,55
TACICUL 50 mg COM x 30 Denver Farma 691,47 465,03 465,03
ANTIPRESOL 50 mg COM x 30 Fecofar 745,82 487,72 313,36
TACARDIA 50 mg COM x 30 Richmond 743,43 499,36 337,64
PRESIMAX 50 mg COM x 30 Bagó 782,13 540,09 380,22
CARTAN 50 mg COM x 30 Eurofarma 790,00 553,00 404,06
VASEXTEN 50 mg COM x 30 Bernabo 804,87 566,11 409,27
LOSARTAN PFIZER 50 mg COM x 30 Pfizer 824,67 586,64 430,47
LOSACOR 50 mg COM x 30 Roemmers 834,49 591,43 456,38
LOPLAC 50 mg COM x 30 Casasco 840,55 605,06 452,60
PAXON 50 mg COM x 30 Gador 862,56 613,74 491,49
TEMISARTAN 50 mg COM x 30 Temis-Lostalo 856,51 614,31 477,32
FENSARTAN 50 mg COM x 30 Elea - Phoenix 1.010,01 721,44 625,25
COZAAREX 50 mg COM x 30 MSD Arrgentina SR 1.273,94 909,96 788,63
TACARDIA 50 mg COM x 56 Richmond 1.406,69 955,54 657,73

PAXON 50 mg COM x 56 Gador 1.619,19 1.152,12 929,62
LOREBIL 50 mg COM x 60 Geminis Farmaceutica 1.193,86 670,40 670,40

LOCTENK 50 mg COM x 60 Biotenk 1.356,00 833,10 478,44
TACARDIA 50 mg COM x 60 Richmond 1.406,69 898,15 556,28
NITEN 50 mg COM x 60 Teva argentina ( 1.519,97 1.031,58 707,91
LOSACOR 50 mg COM x 60 Roemmers 1.578,49 1.100,85 787,04
LOPLAC 50 mg COM x 60 Casasco 1.594,98 1.107,48 784,62
PAXON 50 mg COM x 60 Gador 1.627,91 1.157,35 850,11
FENSARTAN 50 mg COM x 60 Elea - Phoenix 1.921,25 1.372,32 1.189,35
100 mg TACARDIA 100 mg COM x 28 Richmond 911,08 637,76 468,92

PAXON 100 mg COM x 28 Gador 1.052,49 748,89 645,80
PRISONIL 100 mg COM x 30 Lepetit 494,00 177,60 132,40

LOREBIL 100 mg COM x 30 Geminis Farmaceutica 825,96 484,85 284,72
LOCTENK 100 mg COM x 30 Biotenk 843,60 524,31 308,28
FIBAN 100 mg COM x 30 Finadiet 898,93 580,91 366,02
ANTIPRESOL 100 mg COM x 30 Fecofar 914,18 595,35 379,74
Página 70 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 100 mg PRESIMAX 100 mg COM x 30 Bagó 956,23 650,19 458,53

CARTAN 100 mg COM x 30 Eurofarma 950,00 657,43 465,60
VASEXTEN 100 mg COM x 30 Bernabo 969,46 670,86 473,49
LOSARTAN PFIZER 100 mg COM x 30 Pfizer 1.006,68 711,85 517,93
LOSACOR 100 mg COM x 30 Roemmers 1.020,28 723,11 552,13
LOPLAC 100 mg COM x 30 Casasco 1.029,24 739,07 549,48
PAXON 100 mg COM x 30 Gador 1.053,33 749,48 593,49
TEMISARTAN 100 mg COM x 30 Temis-Lostalo 1.049,12 752,45 580,34
FENSARTAN 100 mg COM x 30 Elea - Phoenix 1.207,44 862,46 747,46
COZAAREX 100 mg COM x 30 MSD Arrgentina SR 1.687,16 1.205,11 1.044,43
PAXON 100 mg COM x 56 Gador 2.003,85 1.425,82 1.158,38
LOREBIL 100 mg COM x 60 Geminis Farmaceutica 1.436,70 792,24 792,24

NITEN 100 mg COM x 60 Teva argentina ( 1.923,10 1.334,74 948,11
PAXON 100 mg COM x 60 Gador 2.004,76 1.425,54 1.047,38
PAXON XR 100 mg Lib.Control. COM x 30 Gador 1.370,51 890,53 567,52

LOPLAC XR 100 mg COM x 30 Casasco 1.397,42 917,56 594,65
FENSARTAN CRONOS 100 mg COM x 30 Elea - Phoenix 1.595,64 1.139,74 882,35
LOSARTÁN +
HIDROCLOROTIAZIDA
Comprimidos 50 mg PRISONIL D 50/12.5 mg COM x 15 Lepetit 195,00 73,20 55,80
TACARDIA D 50/12.5 mg COM x 28 Richmond 865,66 605,96 442,51

PAXON D 50/12.5 mg COM x 28 Gador 980,80 697,88 585,71
PRISONIL D 50/12.5 mg COM x 30 Lepetit 390,00 146,40 111,60

LOCTENK D 50/12.5 mg COM x 30 Biotenk 677,90 340,01 164,37
ANTIPRESOL D 50/12.5 mg COM x 30 Fecofar 829,65 513,58 513,58
PRESIMAX D 50/12.5 Rec. COM x 30 Bagó 867,32 570,83 371,99
CARTAN D 50/12.5 mg COM x 30 Eurofarma 901,00 620,77 436,72
VASEXTEN D 50/12.5 mg COM x 30 Bernabo 911,33 625,45 436,21
NITEN D 50/12.5 mg COM x 30 Teva argentina ( 914,09 632,19 446,61
LOSACOR D 50/12.5 mg COM x 30 Roemmers 961,97 679,04 514,71
LOPLAC D 50/12.5 mg COM x 30 Casasco 972,87 694,29 511,78
PAXON D 50/12.5 mg COM x 30 Gador 985,66 701,33 540,18
TEMISARTAN DIUR 50/12.5 mg COM x 30 Temis-Lostalo 978,47 701,78 523,02
FENSARTAN D COM x 30 Elea - Phoenix 1.184,79 846,28 733,44
COZAAREX D 50/12.5 mg COM x 30 MSD Arrgentina SR 1.608,42 1.148,87 995,68
PAXON D 50/12.5 mg COM x 56 Gador 1.928,18 1.371,97 1.127,22
PAXON D 50/12.5 mg COM x 60 Gador 1.931,32 1.374,21 1.025,39
100 mg PAXON D 100/12.5 mg COM x 28 Gador 1.094,46 762,12 543,30

PAXON D 100/25 mg COM x 28 Gador 1.101,30 783,61 675,69
PRISONIL D 100/25 mg COM x 30 Lepetit 515,00 187,40 140,60

LOCTENK D 100/25 mg COM x 30 Biotenk 839,20 491,74 271,55
ANTIPRESOL D 100/25 mg COM x 30 Fecofar 944,63 602,77 602,77
NITEN D 100/25 mg COM x 30 Teva argentina ( 998,61 688,44 484,00
VASEXTEN D 100/25 mg COM x 30 Bernabo 1.005,97 693,76 487,44
CARTAN D 100/25 mg COM x 30 Eurofarma 1.010,00 707,00 509,64
PAXON D 100/12.5 mg COM x 30 Gador 1.102,97 730,62 481,36
LOSACOR D 100/25 mg COM x 30 Roemmers 1.055,35 744,95 564,72
Página 71 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 100 mg TEMISARTAN DIUR 100/25 mg COM x 30 Temis-Lostalo 1.081,28 775,52 584,61
LOPLAC D 100/25 mg COM x 30 Casasco 1.084,70 780,80 585,55
PAXON D 100/25 mg COM x 30 Gador 1.102,62 784,56 621,54
COZAAREX D 100/12.5 mg COM x 30 MSD Arrgentina SR 1.442,67 1.030,48 893,08
COZAAREX D 100/25 mg COM x 30 MSD Arrgentina SR 1.810,77 1.293,41 1.120,96
LOTEPREDNOL
Colirio 200 mg ALREX SUSP. 0.2 g/100 ml COL x 5 Bausch & Lomb Argentina 746,89 511,22 511,22
MAGNESIO CARBONATO +
MAGNESIO SULFATO +
MAGNESIO FOSFATO +
MAGNESIO FLUORURO
Comprimidos 0,3 mg TOTAL MAGNESIANO EFERV. COM x 24 Temis-Lostalo 771,26 534,99 534,99
MAGNESIO CITRATO
Comprimidos 55 mg HOLOMAGNESIO Rec. COM x 20 Elea - Phoenix 780,32 563,87 563,87
TOTAL MAGNESIANO REC. COM x 30 Temis-Lostalo 1.030,31 735,70 735,70
HOLOMAGNESIO Rec. COM x 50 Elea - Phoenix 1.624,10 1.105,78 1.105,78
TOTAL MAGNESIANO REC. COM x 60 Temis-Lostalo 1.846,38 1.208,01 1.208,01
HOLOMAGNESIO Rec. COM x 100 Elea - Phoenix 2.661,13 1.462,03 1.462,03
MAGNESIO CLORURO +
MAGNESIO FLUORURO +
MAGNESIO SULFATO +
MAGNESIO FOSFATO
Granulado 99,96 mg TOTAL MAGNESIANO LIMON GRL x 50 Temis-Lostalo 636,90 441,79 441,79
MAGNESIO CLORURO +
MAGNESIO FLUORURO +
MAGNESIO SULFATO +
MAGNESIO FOSFATO +
MAGNESIO BROMURO
Granulado 99945 TOTAL MAGNESIANO GRL x 50 Temis-Lostalo 785,86 563,64 563,64
mg
TOTAL MAGNESIANO GRL x 100 Temis-Lostalo 1.437,95 985,87 985,87
MAGNESIO CLORURO +
MAGNESIO FLUORURO +
MAGNESIO SULFATO +
MAGNESIO FOSFATO
Sobres 1500 mg TOTAL MAGNESIANO EFERV. POLVO SOB x 30 Temis-Lostalo 855,95 593,73 593,73
MAGNESIO VALPROATO
Comprimidos 200 mg LOGICAL 200 COM x 30 Teva argentina ( 466,78 328,13 255,73
LOGICAL 200 COM x 60 Teva argentina ( 824,17 543,64 356,43
400 mg LOGICAL 400 COM x 30 Teva argentina ( 1.116,22 806,35 620,34
LOGICAL 400 COM x 60 Teva argentina ( 2.232,43 1.597,20 1.175,53
MEBENDAZOL
Comprimidos 200 mg NEMASOLE 200 COM x 6 Janssen-Cilag 106,99 21,40 21,40
TRU M 200 mg COM x 6 Biotechno Pharma 400,20 247,18 247,18
MEBUTAR 200 COM x 6 Andromaco 423,00 300,90 300,90
MEBUTAR 200 MAST. COM x 6 Andromaco 510,00 361,50 361,50
500 mg NEMASOLE AD COM x 6 Janssen-Cilag 283,97 191,68 191,68
Líquido 200 mg MEBUTAR 200 SUS x 30 Andromaco 420,00 287,72 287,72
Página 72 de 116
A CARGO A CARGO
AFILIADO CRONICO
Líquido 200 mg
2000 mg NEMASOLE 200 SUS x 30 Janssen-Cilag 110,24 50,97 50,97
NEMASOLE SUS x 30 Janssen-Cilag 200,10 140,07 140,07
MEDROXIPROGESTERONA
ACETATO
Comprimidos 10 mg FARLUTALE 10 mg COM x 20 Pfizer 351,72 245,01 245,01
MENOTROPINA (FSH+LH) /
HMG
Ampollas 75 ui HMG FERRING 75 UI + SOLV. F.A x 1 Ferring 2.302,87 1.466,91 1.466,91
LIFECELL 75 UI + SOLV. F.A x 1 Buxton 2.906,21 2.122,02 2.122,02
HMG FERRING 75 UI + SOLV. F.A x 6 Ferring 13.967,19 9.684,79 9.684,79
150 ui HMG FERRING 150 UI + SOLV. F.A x 1 Ferring 4.605,46 2.937,24 2.937,24
LIFECELL 150 UI + solv. F.A x 1 Buxton 5.799,12 4.234,33 4.234,33
HMG FERRING 150 UI + SOLV. F.A x 6 Ferring 27.936,55 19.371,10 19.371,10
MENOTROPINA (FSH+LH)
ALTA PUREZA / HMGAP
Ampollas 75 ui MENOPUR 75 UI F.A x 1 Ferring 2.536,78 1.844,93 1.844,93
MENOPUR 75 UI F.A x 5 Ferring 10.727,74 7.111,67 7.111,67
MENOPUR 75 UI F.A x 10 Ferring 21.051,87 13.715,67 13.715,67
MEPREDNISONA ACETATO
Comprimidos 4 mg LA MEPREDNISONA B 4 mg COM x 20 Biotenk 257,60 160,20 160,20
CORTIPYREN B 4 mg COM x 20 Gador 260,79 167,10 167,10
DELTISONA-B 4 mg COM x 20 Sanofi Aventis 288,80 201,93 201,93
8 mg MEPREDNISONA VARIFARMA 8 mg comp COM x Varifarma 406,73 195,37 195,37

20
LA MEPREDNISONA B 8 mg COM x 20 Biotenk 564,80 342,67 342,67
CORTIPYREN B 8 mg COM x 20 Gador 570,37 356,39 356,39
DELTISONA-B 8 mg COM x 20 Sanofi Aventis 664,25 476,25 476,25
40 mg CORTIPYREN B 40 mg COM x 20 Gador 1.434,51 845,81 845,81

DELTISONA-B 40 mg COM x 20 Sanofi Aventis 1.842,41 1.320,97 1.320,97
Gotas 400 mg DELTISONA-B GTS x 20 Sanofi Aventis 334,93 232,24 232,24 INF
Líquido 4 mg LA MEPREDNISONA B 4 MG/ML OR SOL x 15 Biotenk 309,00 215,07 215,07
MESALAZINA
Comprimidos 400 mg 5-ASA 400 mg (LP) COM x 30 Dominguez 2.064,97 1.518,77 1.168,47
5-ASA 400 mg (LP) COM x 60 Dominguez 3.926,37 2.801,27 2.056,97
500 mg SUPRIMAL 500 mg GASTRORRES. COM x 50 Temis-Lostalo 508,54 172,99 172,99

SALOFALK 500 mg COM x 50 Biotoscana 3.701,53 2.643,95 2.291,42
SALOFALK 500 mg COM x 100 Biotoscana 7.403,06 5.111,63 3.595,76
XALAZINA 500 mg (LP) COM x 30 Hlb Pharma 2.012,50 1.400,00 1.400,00

EXOTRAN 500 mg LIB.PROL. COM x 30 Beta 2.089,80 1.471,39 1.054,82
5 XR 500 mg COM x 50 Ariston 3.125,73 2.103,36 1.416,51

PENTASA 500 mg (LP) COM x 50 Ferring 3.995,03 2.831,43 2.443,56
EXOTRAN 500 mg LIB.PROL. COM x 60 Beta 3.855,99 2.539,87 1.727,40
Página 73 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 500 mg 5-ASA 500 mg (LP) COM x 60 Dominguez 3.948,97 2.741,05 1.933,85
CONDUCTASA 500 mg (LP) COM x 60 Casasco 4.010,44 2.866,80 2.141,52
5 XR 500 mg COM x 100 Ariston 5.478,24 3.212,63 1.939,90

PENTASA 500 mg (LP) COM x 100 Ferring 7.630,16 5.407,78 4.666,99
800 mg YOLECOL 800 mg COM x 30 Takeda 2.510,25 1.799,80 1.448,80
YOLECOL 800 mg COM x 60 Takeda 4.347,75 2.845,62 2.182,61
YOLECOL 800 mg COM x 90 Takeda 5.869,67 3.588,49 2.319,66


1000 mg PENTASA 1 g (LP) COM x 30 Ferring 4.826,45 3.371,95 2.417,02
PENTASA 1 g (LP) COM x 60 Ferring 9.079,10 6.037,98 4.007,41
1200 mg BUFEXAN AP 1200 mg COM x 30 Nova Argentia 4.559,80 2.926,31 2.926,31

MEZAVANT 1200 mg (LP) COM x 30 Bagó 4.962,17 3.438,58 2.433,54
BUFEXAN AP 1200 mg COM x 60 Nova Argentia 8.806,15 5.450,24 5.450,24

MEZAVANT 1200 mg (LP) COM x 60 Bagó 9.368,19 6.189,66 4.060,26
Enema 1000 mg PENTASA 1 g (LP) ENE x 7 Ferring 2.854,55 1.953,84 1.357,99
Espuma 1000 mg SALOFALK Rectal ESP x 14 Biotoscana 6.423,01 4.434,94 3.119,75
Sobres 500 mg SALOFALK Granul. LIB.PROL. SOB x 50 Biotoscana 3.729,95 2.575,44 1.811,69
1000 mg 5-ASA 1000 mg (LP) SOB x 30 Dominguez 4.493,85 2.992,92 1.977,33
PENTASA 1 g (LP) SOB x 50 Ferring 7.645,38 5.350,22 3.844,34
2000 mg 5-ASA 2000 mg (LP) SOB x 30 Dominguez 8.314,16 5.577,34 3.729,15

PENTASA 2 g (LP) SOB x 30 Ferring 9.115,19 6.460,28 5.192,27
4000 mg PENTASA 4 g (LP) SOB x 30 Ferring 15.169,60 10.383,08 10.383,08
1500 mg SALOFALK Granul. Lib.Prol. SOB x 30 Biotoscana 7.555,91 5.397,08 5.397,08
Supositorios 400 mg 5-ASA 400 mg (LP) SUP x 10 Dominguez 945,98 695,76 532,54
5-ASA 400 mg (LP) SUP x 30 Dominguez 2.707,94 1.931,98 1.418,65
500 mg YOLECOL 500 mg SUP x 30 Takeda 1.553,12 885,65 511,38

SALOFALK 500 mg SUP x 30 Biotoscana 4.133,96 2.952,83 2.559,12
1000 mg SALOFALK 1 g SUP x 10 Biotoscana 1.888,62 1.304,04 917,33
SALOFALK 1 g SUP x 30 Biotoscana 5.665,93 4.047,09 4.047,09
PENTASA 1 g (LP) SUP x 28 Ferring 5.459,20 3.736,63 2.597,09
METFORMINA
Comprimidos 500 mg METFORMINA TECHSPHERE 500 mg COM x 30 Techsphere 122,49 55,95 55,95
MEDOBIS 500 mg COM x 30 Lazar 180,52 113,64 68,26
DBI 500 mg COM x 30 Montpellier 187,03 120,89 79,45
DIABESIL 500 mg COM x 30 Gador 198,64 132,43 96,38
Página 74 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 500 mg BALIGLUC 500 mg COM x 30 Baliarda 198,81 133,05 95,79

DIAB DOS 500 mg COM x 30 Francelab 194,47 138,27 138,27
METFORMIN TEMIS 500 mg COM x 30 Temis-Lostalo 215,24 149,10 117,93
METFORMINA TAURO 500 mg COM x 30 Laboratorios Tau 237,56 166,29 166,29
ISLOTIN 500 mg COM x 30 Craveri 270,93 192,78 166,73
REDUGLUC 500 mg COM x 30 Microsules Argentina 268,00 194,20 194,20
GLUCOPHAGE 500 mg COM x 30 Elea - Phoenix 349,15 260,30 230,68

METFORMINA TAURO 500 mg COM x 60 Laboratorios Tau 355,27 241,32 241,32
BALIGLUC 500 mg COM x 60 Baliarda 455,74 324,36 268,41
DIABESIL 500 mg COM x 60 Gador 481,00 342,25 296,00
METFORMINA TECHSPHERE 500 mg COM x 100 Techsphere 382,37 160,57 160,57

GLUCOPHAGE 500 mg COM x 100 Elea - Phoenix 1.035,74 772,16 684,30
QUEXEL SR 500 mg COM x 30 Sanofi Aventis 268,70 141,26 74,95

MECTIN XR 500 mg COM x 30 Teva argentina ( 314,35 199,78 122,34
DBI AP 500 mg COM x 30 Montpellier 333,79 223,46 149,82
DIABESIL AP 500 mg COM x 30 Gador 357,60 252,62 183,89
METGLUCON 500 AP COM x 30 Investi 379,05 271,77 210,81
BALIGLUC AP 500 mg COM x 30 Baliarda 376,50 271,92 204,74
ISLOTIN XR 500 mg COM x 30 Craveri 419,85 298,74 258,37
GLUCOPHAGE XR LP 500 mg COM x 30 Elea - Phoenix 501,73 374,04 331,48

DAZOMET AP 500 mg COM x 60 Savant Pharm S.A. 620,00 375,79 230,00
METGLUCON 500 AP COM x 60 Investi 720,27 508,52 369,41
ISLOTIN XR 500 mg COM x 60 Craveri 797,83 567,69 479,61
DBI AP 500 mg COM x 100 Montpellier 1.053,72 670,62 411,46

DIABESIL AP 500 COM x 100 Gador 1.129,63 765,93 524,18
750 mg ISLOTIN XR 750 COM x 30 Craveri 657,30 467,70 377,25

ISLOTIN XR 750 COM x 60 Craveri 1.227,90 870,02 636,02

GLUCOPHAGE XR LP 750 mg COM x 60 Elea - Phoenix 1.270,54 888,20 631,86
850 mg OXEMET 850 mg COM x 30 GlaxoSmithKline 53,76 16,13 10,75

METFORMINA TECHSPHERE 850 mg COM x 30 Techsphere 219,52 73,18 73,18
GLUCAMINOL FORTE 850 COM x 30 Investi 234,53 79,65 57,52
GLUCOGOOD 850 mg COM x 30 Denver Farma 323,31 163,03 163,03
GLUMET 850 mg COM x 30 Lafedar 361,48 201,20 201,20
Página 75 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 850 mg DIAB DOS 850 mg COM x 30 Francelab 396,89 286,64 286,64
OXEMET 850 mg COM x 60 GlaxoSmithKline 107,45 32,23 21,49

GLUCAMINOL FORTE 850 COM x 60 Investi 465,29 158,02 114,12
GLUCOPHAGE 850 mg COM x 60 Elea - Phoenix 1.213,93 905,00 802,02
DIAB DOS 850 mg COM x 100 Francelab 1.316,58 782,32 782,32
METFORMINA TAURO 850 AP COM x 30 Laboratorios Tau 313,12 194,55 194,55

METGLUCON 850 mg AP COM x 30 Investi 329,61 196,22 115,34
MEDOBIS 850 mg AP COM x 30 Lazar 375,77 255,45 175,36
REDUGLUC AP 850 mg COM x 30 Microsules Argentina 375,00 268,92 268,92
ISLOTIN RETARD 850 mg COM x 30 Craveri 443,70 315,71 270,66
METFORMINA TECHSPHERE RTD.850 mg COM x Techsphere 431,61 176,71 176,71

60
METFORMINA TAURO 850 AP COM x 60 Laboratorios Tau 624,76 387,05 387,05
REDUGLUC AP 850 mg COM x 60 Microsules Argentina 729,00 500,87 500,87
ISLOTIN RETARD 850 mg COM x 60 Craveri 876,36 623,56 539,30
REDUGLUC AP 850 mg COM x 100 Microsules Argentina 1.170,00 780,82 780,82

DBI AP 850 mg COM x 100 Montpellier 1.209,90 802,95 530,67
DIABESIL AP 850 COM x 100 Gador 1.372,11 976,31 759,96
ISLOTIN RETARD 850 mg COM x 100 Craveri 1.400,15 996,26 797,86
1000 mg ISLOTIN 1000 mg COM x 20 Craveri 472,05 335,88 290,49

METFORMIN TEMIS 1 g COM x 30 Temis-Lostalo 579,99 415,98 318,35

Página 76 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 1000 mg GLUMET 1000 mg COM x 60 Lafedar 973,89 633,98 633,98

METFORMIN TEMIS 1 g COM x 60 Temis-Lostalo 1.009,14 658,09 421,39
ISLOTIN 1000 mg COM x 60 Craveri 1.040,04 701,84 476,70
DIAB DOS 1000 mg COM x 60 Francelab 1.017,41 706,16 706,16
GLUCOPHAGE 1000 mg COM x 60 Elea - Phoenix 1.469,89 1.095,82 971,13
GLUMET 1000 mg COM x 100 Lafedar 1.525,43 928,49 928,49

REDUGLUC 1000 mg COM x 100 Microsules Argentina 1.560,00 963,06 963,06
DIAB DOS 1000 mg COM x 100 Francelab 1.601,25 1.051,91 1.051,91
ISLOTIN 1000 mg COM x 100 Craveri 1.639,59 1.052,02 655,33

DBI AP FORTE 1000 mg COM x 30 Montpellier 494,73 341,16 239,68
ISLOTIN XR 1000 COM x 30 Craveri 874,95 622,56 538,43
GLUCOPHAGE XR LP 1000 COM x 30 Elea - Phoenix 897,62 669,18 593,04

DBI AP FORTE 1000 mg COM x 60 Montpellier 909,55 582,66 361,87
BALIGLUC AP 1000 mg COM x 60 Baliarda 1.010,10 699,92 494,18
DIABESIL AP 1000 mg COM x 60 Gador 1.014,77 713,13 515,24
ISLOTIN XR 1000 COM x 60 Craveri 1.635,04 1.163,39 1.006,18
GLUCOPHAGE XR LP 1000 COM x 60 Elea - Phoenix 1.808,85 1.348,52 1.195,07
DBI AP FORTE 1000 mg COM x 100 Montpellier 1.502,06 953,41 582,04

DIABESIL AP 1000 COM x 100 Gador 1.674,20 1.167,83 834,64
Líquido 500 mg DBI METFORMINA ORAL SOL x 150 Montpellier 551,63 392,50 301,19
DBI METFORMINA ORAL SOL x 500 Montpellier 1.688,55 1.150,27 793,04
METFORMINA +
GLIBENCLAMIDA
Comprimidos 500 mg METGLUCON DUO COM x 30 Investi 345,81 220,17 220,17
DBI DUO 500/2.5 COM x 30 Montpellier 357,04 220,35 220,35
DBI DUO 500/5 COM x 30 Montpellier 409,97 298,16 298,16
GLUCOVANCE 500 MG/2,5 mg COM x 30 Elea - Phoenix 426,14 306,22 306,22
GLUCOVANCE 500 MG/5 mg COM x 30 Elea - Phoenix 493,35 359,10 359,10
METGLUCON DUO COM x 60 Investi 530,20 259,65 259,65

DBI DUO 500/5 COM x 60 Montpellier 699,52 448,66 448,66
GLUCOVANCE 500 MG/5 mg COM x 60 Elea - Phoenix 838,25 610,16 610,16
METILDOPA
Comprimidos 250 mg ALDOMET 250 mg COM x 30 Aspen 335,30 234,71 201,18 MAT
HIPERMET 250 mg COM x 50 Raymos 409,06 276,12 188,17
500 mg ALDOMET 500 mg COM x 30 Techsphere - Aspen 540,21 378,15 378,15 MAT
HIPERMET 500 mg COM x 40 Raymos 477,25 322,14 322,14 MAT
ALDOMET 500 mg COM x 100 Aspen 1.797,50 1.258,25 1.258,25 MAT
Página 77 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 500 mg
METILFENIDATO
Comprimidos 5 mg RUBIFEN 5 mg COM x 30 Bagó 225,45 128,73 128,73
10 mg RITALINA 10 mg COM x 30 Novartis 1.106,63 721,69 721,69

MFD 10 mg COM x 30 Sidus 1.197,36 814,20 814,20
RUBIFEN 10 COM x 30 Bagó 1.209,99 849,36 849,36
RITALINA LA 10 mg CAP x 30 Novartis 2.370,33 1.686,58 1.686,58
MFD 10 mg COM x 60 Sidus 2.208,68 1.393,43 1.393,43
18 mg CONCERTA 18 mg COM x 30 Janssen-Cilag 3.335,76 2.251,64 2.251,64
20 mg RUBIFEN 20 mg COM x 30 Bagó 2.188,70 1.451,41 1.451,41

MFD 20 mg COM x 30 Sidus 2.222,04 1.452,02 1.452,02
RITALINA LA 20 mg CAP x 30 Novartis 2.370,33 1.674,42 1.674,42
RUBIFEN SR 20 mg COM x 30 Bagó 2.792,74 1.987,14 1.987,14
30 mg RITALINA LA 30 mg CAP x 30 Novartis 2.760,49 1.897,84 1.897,84
36 mg CONCERTA 36 mg COM x 30 Janssen-Cilag 4.770,98 3.220,41 3.220,41
40 mg RITALINA LA 40 mg CAP x 30 Novartis 2.760,49 1.897,84 1.897,84
METIMAZOL
Comprimidos 5 mg DANANTIZOL 5 mg COM x 100 Gador 225,19 155,49 109,38
20 mg DANANTIZOL 20 mg COM x 30 Gador 280,67 193,80 136,33
METOCLOPRAMIDA
Comprimidos 10 mg RILAQUIN 10 mg COM x 20 Microsules Argentina 238,00 149,13 149,13
RELIVERAN COM x 20 Gador 248,17 162,90 162,90
10 mg RILAQUIN SL 10 mg COM x 10 Microsules Argentina 379,00 264,12 264,12

RELIVERAN SUBLINGUAL 10 mg COM x 10 Gador 391,11 270,10 270,10
Gotas 200 mg RELIVERAN NIÑOS GTS x 20 Gador 265,14 183,07 183,07
500 mg MIDATENK 0.5 % GTS x 20 Biotenk 108,00 21,60 21,60

NOVOMIT ADULTOS GTS x 20 Klonal 242,47 150,48 150,48
METOCLOPRAMIDA VANNIER ADULTOS GTS x Vannier S.A. 243,25 155,09 155,09
20
PRIMAVERA-N AD. GTS x 20 Fabra 267,95 181,51 181,51
RILAQUIN ADULTOS GTS x 20 Microsules Argentina 299,90 219,50 219,50
RELIVERAN ADULTOS GTS x 20 Gador 310,99 222,14 222,14
RELIVERAN ADULTOS GTS x 60 Gador 783,33 491,04 491,04
METOPROLOL
Comprimidos 25 mg BELOZOK 25 mg Prol. Lib. COM x 30 Astrazeneca 515,48 355,92 355,92
50 mg BELOZOK 50 mg Prol. Lib. COM x 30 Astrazeneca 612,91 423,20 423,20
100 mg BELOZOK 100 mg Prol. Lib. COM x 30 Astrazeneca 763,58 527,23 527,23
METOTREXATE
Ampollas 15 mg TRIXATE 15 mg 3 ml F.A x 5 Rontag 646,83 280,42 280,42
ARTRAIT 15 mg F.A x 5 Trb-Pharma 999,00 708,00 708,00
20 mg ARTRAIT 20 mg F.A x 4 Trb-Pharma 1.025,00 701,30 701,30
15 mg ARTRAIT SC 15 mg F.A x 4 Trb-Pharma 999,00 683,75 683,75
20 mg ARTRAIT SC 20 mg F.A x 4 Trb-Pharma 1.025,00 701,30 701,30
Página 78 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 2,5 mg TRIXATE 2.5 mg COM x 20 Rontag 210,33 134,60 134,60

ERVEMIN 2,5 mg COM x 20 Teva argentina ( 222,88 145,48 145,48
ARTRAIT 2,5 mg COM x 20 Trb-Pharma 249,00 176,40 176,40
7,5 mg TRIXATE 7.5 mg COM x 4 Rontag 147,01 87,09 87,09
TRIXATE 7.5 mg COM x 10 Rontag 364,13 213,22 213,22

ERVEMIN 7,5 mg COM x 10 Teva argentina ( 376,87 236,22 236,22
ARTRAIT 7,5 mg COM x 10 Trb-Pharma 423,00 293,30 293,30
10 mg TRIXATE 10 mg COM x 4 Rontag 153,79 85,20 85,20
TRIXATE 10 mg COM x 10 Rontag 382,22 210,82 210,82

ERVEMIN 10 mg COM x 10 Teva argentina ( 414,18 259,45 259,45
ARTRAIT 10 mg COM x 10 Trb-Pharma 461,00 317,47 317,47
15 mg ERVEMIN 15 mg COM x 4 Teva argentina ( 390,44 264,75 264,75

METOXSALEN
Comprimidos 10 mg OXSORALEN ULTRA BLANDAS CAP x 30 Investi 3.211,65 2.226,95 2.226,95
OXSORALEN ULTRA RIGIDAS CAP x 30 Investi 3.211,65 2.226,95 2.226,95
METRONIDAZOL
Comprimidos 500 mg OVUFEM COM x 8 Bernabo 188,18 135,42 135,42
GINKAN 500 COM x 8 Baliarda 199,79 144,36 144,36
COLPOFILIN 500 mg COM x 10 Lazar 190,33 121,36 121,36

NALOX 500 mg COM x 10 Omega 291,71 209,92 209,92
TRICOFIN 500 mg COM x 20 Raymos 182,42 36,48 36,48

METRONIDAZOL BIOL 500 mg COM x 20 Biol 345,77 203,27 203,27
COLPOFILIN 500 mg COM x 20 Lazar 373,32 233,29 233,29
GINKAN 500 COM x 20 Baliarda 429,78 302,37 302,37
OVUFEM COM x 20 Bernabo 430,29 303,04 303,04
FLAGYL 500 mg COM x 20 Sanofi Aventis 438,52 313,80 313,80
NALOX 500 mg COM x 20 Omega 501,23 360,70 360,70
500 mg METROCEV VAG. TAB x 12 Cevallos 460,00 322,00 322,00
Crema 1000 mg METRAL 1% CRE x 30 Cassara 375,79 265,01 265,01
Gel 800 mg METROLOCAL 0.8% GEL x 30 Craveri 688,43 473,29 473,29
Líquido 2500 mg METRONIDAZOL VANNIER SUS x 120 Vannier S.A. 319,60 215,83 215,83
METRONIDAZOL FABRA 125MG/5ML SUS x 120 Fabra 406,43 293,53 293,53
Óvulos 500 mg NALOX OVU x 6 Omega 372,15 267,81 267,81
TRICOFIN 500 mg OVU x 8 Raymos 184,71 80,20 80,20
COLPOFILIN 500 mg OVU x 10 Lazar 289,81 157,21 157,21

FLAGYL 500 mg OVU x 10 Sanofi Aventis 377,45 268,62 268,62
NALOX OVU x 12 Omega 605,07 435,43 435,43
MICONAZOL
Crema 2000 mg DERALBINE CRE x 40 Andromaco 403,00 275,92 275,92
Loción 2000 mg DERALBINE LOC x 40 Andromaco 346,00 236,80 236,80
Óvulos 400 mg NEDIS 400 mg OVU x 3 Omega 575,91 400,98 400,98
Página 79 de 116
A CARGO A CARGO
AFILIADO CRONICO
Óvulos 400 mg
Spray 1320 mg DERALBINE POLVO SPR x 90 Andromaco 692,00 473,92 473,92
Talco 2000 mg DERALBINE TAL x 40 Andromaco 391,00 267,82 267,82
MINOCICLINA CLORHIDRATO
Comprimidos 50 mg SEBOCLEAR COM x 10 Raymos 217,57 146,50 146,50
MEIBI 50 mg COM x 30 Raymos 546,46 301,68 301,68

SEBOCLEAR COM x 30 Raymos 585,40 353,71 353,71
ACNECLIN COM x 30 Investi 729,42 522,98 522,98
LIMAFIL 50 mg COM x 30 Casasco 737,38 532,63 532,63
100 mg SEBOCLEAR 100 mg COM x 10 Raymos 514,16 368,64 368,64
MEIBI 100 mg COM x 30 Raymos 1.117,01 732,43 732,43

SEBOCLEAR 100 mg COM x 30 Raymos 1.172,36 805,14 805,14
ACNECLIN 100 AP CAP x 30 Investi 1.386,97 963,00 963,00

LIMAFIL 100 mg AP COM x 30 Casasco 1.395,65 967,71 967,71
MOMETASONA FUROATO
Crema 100 mg SUAVICORT CRE x 15 Cassara 115,00 23,00 23,00
MOMETAX CRE x 15 Investi 323,09 171,93 171,93
ELOCON CRE x 15 MSD Arrgentina SR 868,14 620,10 620,10
NOVASONE CRE x 15 MSD Arrgentina SR 985,19 703,71 703,71
METASON CRE x 20 Fortbenton 330,89 133,49 133,49

SUAVICORT CRE x 20 Cassara 413,72 229,95 229,95
MOMETAX CRE x 30 Investi 585,52 285,70 285,70
METASON CRE x 40 Fortbenton 369,07 98,69 98,69
Inhahaldor con 0,2 mg HEXALER BRONQUIAL 200 mcg CAP. INH x 30 Investi 918,38 636,80 636,80
sistemas
HEXALER BRONQUIAL 200 mcg CAP. INH x 60 Investi 856,80 213,95 213,95
0,4 mg HEXALER BRONQUIAL 400 mcg CAP. INH x 30 Investi 939,27 659,29 659,29
HEXALER BRONQUIAL 400 mcg CAP. INH x 60 Investi 946,99 296,60 296,60
Loción 100 mg METASON LOC x 30 Fortbenton 421,90 149,52 149,52

MOMETAX LOC x 30 Investi 519,52 243,08 243,08
ELOCON LOC x 30 MSD Arrgentina SR 1.208,99 863,56 863,56
NOVASONE LOC x 30 MSD Arrgentina SR 1.376,11 982,94 982,94
Spray 0,05 mg SUAVICORT NASAL SPR x 60 Cassara 158,00 68,55 68,55

METASON NASAL MINI SPR x 60 Fortbenton 346,04 250,98 250,98
NASONEX MINI ACUOSO Nasal SPR x 60 MSD Arrgentina SR 1.083,79 774,14 774,14
METASON NASAL SPR x 120 Fortbenton 483,34 292,00 292,00

HEXALER NASAL SPR x 120 Investi 479,45 297,35 297,35
NASONEX NASAL ACUOSO SPR x 140 MSD Arrgentina SR 1.769,99 1.264,28 1.264,28
SUAVICORT NASAL SPR x 150 Cassara 827,52 610,57 610,57
MONTELUKAST SÓDICO
Comprimidos 4 mg INSPIROL 4 mg COM x 10 Lazar 434,71 311,17 311,17
INSPIROL 4 mg COM x 30 Lazar 1.164,12 769,23 769,23

ASMAVITAN 4 mg MAST COM x 30 Montpellier 1.164,13 770,81 770,81
PLENAIR 4 mg MAST. COM x 30 Nova Argentia 1.191,09 792,75 792,75
Página 80 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 4 mg AIREAL 4 mg COM x 30 Investi 1.222,01 839,85 839,85

MONTRATE 4 mg COM x 30 Casasco 1.246,03 869,46 869,46
LUKAST 4 mg COM x 30 Bagó 1.256,28 886,71 886,71
ROLAST NIÑOS 4 mg MAST. COM x 30 Elea - Phoenix 1.412,36 1.008,83 1.008,83
AMISPED PEDIATRICO 4 mg Mast. COM x 30 Sanofi Aventis 1.704,20 1.221,88 1.221,88
SINGULAIR NIÑOS 4 mg COM x 30 MSD Arrgentina SR 1.836,03 1.311,45 1.311,45
AIREAL 4 mg Mast. COM x 60 Investi 2.135,54 1.288,90 1.288,90
5 mg INSPIROL 5 mg COM x 10 Lazar 467,85 334,88 334,88
LUKASMA 5 mg COM x 30 Fortbenton 1.173,75 719,56 719,56

ASMAVITAN 5 mg COM x 30 Montpellier 1.254,29 835,39 835,39
PLENAIR 5 mg MAST. COM x 30 Nova Argentia 1.275,57 849,40 849,40
AIREAL 5 mg COM x 30 Investi 1.309,79 901,18 901,18
MONTRATE 5 mg COM x 30 Casasco 1.341,84 940,55 940,55
ROLAST NIÑOS 5 mg MAST. COM x 30 Elea - Phoenix 1.493,57 1.066,83 1.066,83
AMISPED PEDIATRICO 5 mg Mast. COM x 30 Sanofi Aventis 1.769,13 1.268,43 1.268,43
SINGULAIR 5 mg MAST. COM x 30 MSD Arrgentina SR 1.836,03 1.311,45 1.311,45
AIREAL 5 mg Mast. COM x 60 Investi 2.288,93 1.383,76 1.383,76
10 mg INSPIROL 10 mg COM x 10 Lazar 482,60 344,11 344,11
LUKASMA 10 mg COM x 30 Fortbenton 1.249,22 773,62 773,62

PLENAIR 10 mg COM x 30 Nova Argentia 1.337,67 886,28 886,28
ASMAVITAN 10 mg COM x 30 Montpellier 1.338,84 900,95 900,95
AIREAL 10 mg COM x 30 Investi 1.372,66 939,72 939,72
MONTRATE 10 mg COM x 30 Casasco 1.440,15 1.022,17 1.022,17
ROLAST 10 mg COM x 30 Elea - Phoenix 1.586,18 1.132,98 1.132,98
SINGULAIR 10 mg COM x 30 MSD Arrgentina SR 1.774,15 1.267,25 1.267,25
AMISPED 10 mg COM x 30 Sanofi Aventis 1.874,62 1.344,07 1.344,07
AIREAL 10 mg COM x 60 Investi 2.398,84 1.439,44 1.439,44
Sobres 4 mg ASMAVITAN 4 mg GRAN SOB x 30 Montpellier 1.116,62 745,44 745,44

MONTRATE SOB x 30 Casasco 1.201,94 847,91 847,91
LUKAST 4 mg Monods. SOB x 30 Bagó 1.296,81 922,73 922,73
SINGULAIR NIÑOS 4 mg GRAN. SOB x 30 MSD Arrgentina SR 1.556,84 1.112,03 1.112,03
MUPIROCINA
Crema 2000 mg PALDAR CRE x 15 Investi 506,98 332,93 332,93
MUPAX CRE x 15 Lazar 550,13 386,70 386,70
BACTROBAN CRE x 15 GlaxoSmithKline 745,24 533,93 533,93
Ungüento 2000 mg MUPAX DERM. UNG x 15 Lazar 374,52 206,52 206,52

MUPIROX 2% UNG x 15 Fortbenton 418,29 235,36 235,36
PALDAR UNG x 15 Investi 389,35 236,57 236,57
MUPIROX 2% UNG x 20 Fortbenton 410,61 165,09 165,09
2000 mg BACTROBAN NASAL UNG x 3 GlaxoSmithKline 583,11 417,77 417,77
MUPIROX NASAL 2% UNG x 5 Fortbenton 327,03 182,71 182,71

MUPAX NASAL 2% UNG x 5 Lazar 356,11 224,70 224,70
Página 81 de 116
A CARGO A CARGO
AFILIADO CRONICO
NANDROLONA
Ampollas 50 mg DECADURABOLIN 50 mg 1 ML AMP x 1 Aspen 476,74 333,68 333,68
NAPROXENO
Comprimidos 250 mg ALIDASE COM x 10 Bernabo 208,17 148,12 148,12
NAPRONTAG 250 mg COM x 20 Rontag 319,70 204,11 204,11

NAPRUX 250 mg COM x 20 Andromaco 370,00 258,45 258,45
500 mg NAPROXENO VANNIER 500 mg COM x 10 Vannier S.A. 299,93 187,70 187,70
ALIDASE 500 mg COM x 10 Bernabo 387,23 275,53 275,53
NAPROXENO TEVA 500 mg TAB x 20 Teva argentina ( 591,47 329,07 329,07

NAPRONTAG 500 mg COM x 20 Rontag 703,50 461,11 461,11
ALIDASE 500 mg COM x 40 Bernabo 1.294,50 805,80 805,80
NAPRONTAG 500 mg COM x 50 Rontag 1.470,00 804,16 804,16

NAPRUX 500 mg COM x 50 Andromaco 1.620,00 1.013,34 1.013,34
550 mg NAPRUX RAPID 550 mg COM x 10 Andromaco 359,00 242,72 242,72
NAPRUX RAPID 550 mg COM x 20 Andromaco 716,00 482,97 482,97
NAPRONTAG GESIC 550 mg COM x 10 Rontag 376,95 236,45 236,45

MOX FORTE COM x 10 Pharmadorf 506,56 374,69 374,69
NAPRONTAG GESIC 550 mg COM x 20 Rontag 750,75 500,56 500,56
750 mg CONGEX 24 750 mg AC.PROL. COM x 10 Buxton 479,40 332,08 332,08

NAPRONTAG 24 750 mg (LP) COM x 10 Rontag 507,13 355,90 355,90
NAPRONTAG 24 750 mg (LP) COM x 30 Rontag 1.386,00 899,81 899,81

CONGEX 24 750 mg AC.PROL. COM x 30 Buxton 1.434,65 991,91 991,91
NAPRUX 750 AP COM x 30 Andromaco 1.536,00 1.089,60 1.089,60
NAPRUX 750 AP COM x 60 Andromaco 2.788,00 1.876,08 1.876,08
NEOMICINA
Comprimidos 250 mg NEOMAS BOWERS COM x 16 Temis-Lostalo 688,17 477,35 477,35
NIFEDIPINA
Comprimidos 10 mg ADALAT RETARD 10 mg COM x 50 Bayer (PH) 129,54 73,97 45,60
20 mg ADALAT OROS 20 mg COM x 30 Bayer (PH) 439,58 296,72 202,21
ADALAT RETARD 20 mg COM x 50 Bayer (PH) 143,63 43,09 28,73
ADALAT OROS 30 mg COM x 30 Bayer (PH) 653,80 339,27 175,62

NIFED SOL 30 mg COM x 30 Elea - Phoenix 1.165,59 871,25 758,82
NIFED SOL 60 mg COM x 30 Elea - Phoenix 1.289,81 934,94 708,43
NIMODIPINA
Comprimidos 30 mg NIMOTOP 30 mg COM x 30 Bayer (PH) 196,05 63,71 63,71
NIMODILAT 30 mg COM x 30 Lazar 298,18 162,01 162,01
MACOBAL 30 mg COM x 30 Lafedar 362,20 255,13 255,13
ACIVAL COM x 30 Geminis Farmaceutica 374,22 259,54 259,54
Página 82 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 30 mg EXPLANER 30 mg COM x 30 Casasco 421,04 304,13 304,13

NIVAS 30 mg COM x 30 Raffo 454,97 327,17 327,17
NIMOTOP 30 mg COM x 60 Bayer (PH) 333,49 71,44 71,44

MACOBAL 30 mg COM x 60 Lafedar 540,76 293,72 293,72
ACIVAL COM x 60 Geminis Farmaceutica 627,74 361,70 361,70
EXPLANER 30 mg COM x 60 Casasco 699,57 505,32 505,32
NIVAS 30 mg COM x 60 Raffo 756,75 544,18 544,18
60 mg NIMODILAT FORTE 60 mg COM x 30 Lazar 477,81 264,15 264,15

EXPLANER 60 mg COM x 30 Casasco 688,15 497,07 497,07
NIVAS FORTE 60 mg COM x 30 Raffo 742,40 533,86 533,86
NIMODILAT FORTE 60 mg COM x 60 Lazar 629,34 211,21 211,21

EXPLANER 60 mg COM x 60 Casasco 1.111,46 724,96 724,96
NIVAS FORTE 60 mg COM x 60 Raffo 1.241,62 892,85 892,85
120 mg NIVAS XR 120 mg COM x 30 Raffo 370,82 84,28 84,28

EXPLANER LP 120 mg COM x 30 Casasco 835,48 603,50 603,50
NISTATINA
Comprimidos 500000 ui DIPNI 500000 ORAL COM x 12 Omega 463,58 324,53 324,53
DIPNI 500000 ORAL COM x 30 Omega 1.142,09 790,77 790,77
100000 ui DIPNI 10000 VAGINAL COM x 6 Omega 362,52 260,88 260,88
DIPNI 10000 VAGINAL COM x 12 Omega 579,94 363,82 363,82
Ungüento 1000000 NEOSTATIN UNG x 30 Cassara 178,00 130,00 130,00

ui
NITROFURANTOINA
Comprimidos 100 mg UROFURAN 100 mg CAP x 30 Eurolab 1.150,00 805,00 805,00
FURADANTINA MC 100 mg CAP x 36 Bagó 1.229,53 836,88 836,88
Líquido 500 mg FURADANTINA SUS x 120 Bagó 825,47 567,51 567,51
NITROFURAZONA
Apósitos 200 mg NITROFURAZONA SERTEX X 10 CM APO x 20 Sertex 297,59 208,31 208,31
NORETINDRONA
Comprimidos 5 mg PRIMOLUT-NOR 5 mg COM x 20 Bayer (PH) 122,68 70,05 70,05
10 mg PRIMOLUT NOR 10 mg COM x 20 Bayer (PH) 952,24 686,18 686,18
NORFLOXACINA
Comprimidos 400 mg URO LINFOL COM x 6 Omega 328,77 236,59 236,59
FLOXATRAL 400 mg COM x 10 Lepetit 140,00 36,80 36,80

UROXACIN 400 mg COM x 10 Lazar 341,39 244,37 244,37
NORFLOXACINA CRAVERI COM x 10 Craveri 420,62 299,29 299,29
MEMENTO NF COM x 10 Pharmadorf 462,18 341,61 341,61
UROTEM 400 mg COM x 14 Temis-Lostalo 563,70 404,30 404,30
FLOXAMICIN 400 mg COM x 20 Biotenk 169,00 33,80 33,80

FLOXATRAL 400 mg COM x 20 Lepetit 280,00 73,60 73,60
UROXACIN 400 mg COM x 20 Lazar 616,45 438,84 438,84
UROSEPTAL COM x 20 Bagó 809,41 575,93 575,93
Página 83 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 400 mg NORFLOXACINA CRAVERI COM x 20 Craveri 811,60 577,49 577,49

UROTEM 400 mg COM x 20 Temis-Lostalo 806,23 578,24 578,24
MEMENTO NF COM x 20 Pharmadorf 835,71 617,70 617,70
URO LINFOL COM x 20 Omega 883,24 635,60 635,60
OLANZAPINA
Ampollas 10 mg MIDAX 10 mg IM AMP x 1 Gador 285,68 196,41 196,41
Comprimidos 2,5 mg APSICO 2.5 mg COM x 28 Raymos 1.737,09 1.063,07 1.063,07

MIDAX 2.5 mg COM x 28 Gador 1.953,93 1.332,47 1.332,47
ZYPREXA 2.5 mg COM x 28 Eli Lilly 3.397,94 2.446,13 2.446,13
5 mg APSICO 5 mg COM x 14 Raymos 1.235,21 735,02 735,02

OLANZAPINA ROSPAW 5 mg COM x 14 Rospaw 1.198,75 752,34 752,34
TREXOL 5 mg COM x 14 Beta 1.425,95 970,79 970,79
MIDAX 5 mg COM x 14 Gador 1.485,70 1.046,82 1.046,82
SIMINA 5 mg COM x 14 Elea - Phoenix 1.578,86 1.140,74 1.140,74
ZYPREXA 5 mg COM x 14 Eli Lilly 2.532,45 1.823,08 1.823,08
ZYPREXA ZYDIS 5 mg TAB x 14 Eli Lilly 2.532,45 1.823,08 1.823,08
APSICO 5 mg COM x 28 Raymos 2.376,49 1.344,93 1.344,93

OLANZAPINA ROSPAW 5 mg COM x 28 Rospaw 2.298,71 1.367,52 1.367,52
ENOLEX 5 mg COM x 28 Casasco 2.899,22 1.987,89 1.987,89
TREXOL 5 mg COM x 28 Beta 2.951,85 2.038,35 2.038,35
ZYPREXA ZYDIS 5 mg Dis.Inst. TAB x 28 Eli Lilly 5.025,66 3.617,91 3.617,91
REVERTRIX 5 mg COM x 30 Richmond 2.583,96 1.457,77 1.457,77

SARTINA 5 mg COM x 30 Temis-Lostalo 2.800,41 1.750,73 1.750,73
10 mg ZYPREXA ZYDIS 10 mg Dis.Inst. TAB x 28 Eli Lilly 9.815,43 6.836,89 6.836,89

ZYPREXA ZYDIS 10 mg TAB x 14 Eli Lilly 5.028,61 3.620,03 3.620,03

ENOLEX 10 mg COM x 28 Casasco 5.609,77 3.906,87 3.906,87
REVERTRIX 10 mg COM x 30 Richmond 5.084,58 3.011,40 3.011,40

SARTINA 10 mg COM x 30 Temis-Lostalo 5.463,36 3.515,90 3.515,90
OMEPRAZOL
Comprimidos 10 mg LOSEC MUPS 10 mg COM x 14 Astrazeneca 132,26 46,90 46,90
PROCELAC 10 mg CAP x 28 Teva argentina ( 468,78 315,64 315,64

ULCOZOL 10 mg COM x 28 Bagó 482,79 337,69 337,69
Página 84 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg DANLOX 10 mg CAP x 28 Casasco 506,75 363,72 363,72
GASTROTEM 10 mg CAP x 30 Temis-Lostalo 496,70 334,26 334,26

GASTEC 10 mg CAP x 30 Bernabo 500,10 339,70 339,70
ULCOZOL 10 mg CAP x 30 Bagó 517,16 361,68 361,68
DANLOX 10 mg CAP x 30 Casasco 520,74 365,84 365,84
20 mg LOSEC MUPS 20 mg COM x 14 Astrazeneca 229,96 86,69 86,69

OMEPRASEC HLB 20 mg CAP x 14 Hlb Pharma 419,27 284,52 284,52
OBLISEC 20 mg CAP x 14 Microsules Argentina 489,00 363,00 363,00
ACIMED 20 mg CAP x 15 Lepetit 290,00 135,48 135,48

IVESTRON 20 mg CAP x 15 Fecofar 387,38 241,82 241,82
LOSEC MUPS 20 mg COM x 28 Astrazeneca 802,78 557,10 557,10

TIMEZOL 20 mg CAP x 28 Richmond 799,11 559,38 559,38
OMEPRASEC HLB 20 mg CAP x 28 Hlb Pharma 854,87 596,92 596,92
IVESTRON 20 mg CAP x 30 Fecofar 737,85 435,33 435,33

GASTROTEM 20 mg CAP x 30 Temis-Lostalo 977,22 700,88 700,88
DANLOX 20 mg CAP x 56 Casasco 1.841,00 1.324,71 1.324,71
30 mg ULCOZOL 30 mg CAP x 28 Bagó 1.187,70 816,54 816,54
40 mg PROCELAC 40 mg CAP x 14 Teva argentina ( 763,85 550,11 550,11

PROCELAC 40 MG CAP x 28 Teva argentina ( 1.480,46 1.043,31 1.043,31

GASTEC 40 mg CAP x 28 Bernabo 1.553,19 1.105,15 1.105,15
ULCOZOL 40 mg CAP x 28 Bagó 1.618,09 1.151,33 1.151,33
ULCOZOL 40 mg COM x 28 Bagó 1.619,12 1.152,06 1.152,06

Sobres 20 mg ULCOZOL Pol. p/Susp.Oral SOB x 30 Bagó 1.706,15 1.172,98 1.172,98
OXCARBACEPINA
Comprimidos 300 mg AURENE 300 mg COM x 30 Teva argentina ( 1.815,25 1.300,76 989,95
TRILEPTAL 300 mg COM x 30 Novartis 1.869,13 1.329,96 1.074,37
AURENE 300 mg COM x 60 Teva argentina ( 3.247,39 2.159,95 1.430,55

Página 85 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 300 mg
600 mg AURENE 600 mg COM x 30 Teva argentina ( 3.494,14 2.471,91 2.078,29
AURENE 600 mg COM x 60 Teva argentina ( 5.951,34 3.999,46 2.699,34

Líquido 6000 mg TRILEPTAL JBE x 100 Novartis 1.167,23 802,47 561,17
OXIBUTININA
Comprimidos 5 mg DELAK 5 mg COM x 20 Raffo 443,56 288,32 288,32
UREQUIM COM x 20 Craveri 526,39 374,54 374,54
DITROPAN COM x 20 Elea - Phoenix 585,73 423,25 423,25
OXIBUTININA FERRING 5 mg COM x 20 Ferring 660,17 501,73 501,73
DELAK 5 mg COM x 30 Raffo 617,03 370,22 370,22

DITROPAN COM x 30 Elea - Phoenix 762,01 547,28 547,28
UREQUIM COM x 50 Craveri 1.222,88 850,45 850,45

DITROPAN COM x 50 Elea - Phoenix 1.329,43 960,65 960,65
OXIBUTININA FERRING 5 mg COM x 50 Ferring 1.577,44 1.198,85 1.198,85
DELAK 5 mg COM x 60 Raffo 1.185,85 676,35 676,35
DITROPAN UD 5 mg COM x 20 Elea - Phoenix 1.362,59 984,62 984,62
DITROPAN UD 5 mg COM x 30 Elea - Phoenix 1.824,71 1.259,56 1.259,56
10 mg DITROPAN UD 10 mg COM x 20 Elea - Phoenix 1.706,56 1.183,43 1.183,43
15 mg DITROPAN UD 15 mg COM x 20 Elea - Phoenix 1.778,27 1.145,71 1.145,71
Líquido 100 mg DITROPAN JBE x 200 Elea - Phoenix 1.025,59 715,58 715,58
OXIBUTININA FERRING 1 mg/ml JBE x 200 Ferring 1.215,90 911,51 911,51
OXIMETAZOLINA
CLORHIDRATO
Colirio 25 mg NEWCLAR COL x 10 Poen 289,00 200,80 200,80
Gotas 25 mg LIDIL INFANTIL GTS x 15 Roemmers 144,03 99,45 99,45
50 mg LIDIL GTS x 15 Roemmers 208,50 143,96 143,96
Spray 50 mg OXILER D SPR x 10 Cassara 381,83 276,93 276,93
25 mg LIDIL INF.NASAL SPR x 20 Roemmers 197,19 136,15 136,15
50 mg LIDIL NASAL SPR x 20 Roemmers 217,82 142,35 142,35
OXIMETAZOLINA
CLORHIDRATO +
HIALURONICO, ÁCIDO
Colirio 0,3 mg OCUREL LC COL x 7,5 Novoplos 390,43 269,65 269,65
PANTOPRAZOL
Comprimidos 20 mg GASTROMAX 20 mg COM x 14 Gador 155,68 76,52 76,52
IBP PANTO 20 mg COM x 14 Geminis Farmaceutica 244,81 174,86 174,86
PANTOP 20 mg COM x 14 Takeda 468,82 336,14 336,14
PANTUS 20 mg GASTRORR COM x 15 Baliarda 230,87 157,88 157,88

PEPTAZOL 20 mg COM x 15 Montpellier 276,19 197,28 197,28
Página 86 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 20 mg PANGEST 20 mg COM x 15 Beta 372,61 270,24 270,24
SUPRACAM 20 mg COM x 20 Raffo 304,12 206,27 206,27
GASTROMAX 20 mg COM x 28 Gador 245,35 89,47 89,47

PANTOMETYL 20 mg COM x 30 Sanitas 379,40 217,24 217,24

ZURCAL 20 mg COM x 30 Takeda 387,24 220,12 220,12
PANTOPRAZOL DENVER FARMA 20 mg COM x 30 Denver Farma 382,41 238,46 238,46
PANTOCAS 20 mg COM x 30 Casasco 460,52 313,00 313,00
PANTOSEPTO 20 mg COM x 30 Craveri 541,04 384,97 384,97
PANTUSEC GASTR. 20 mg COM x 30 Baliarda 661,84 474,53 474,53
PANGEST 20 mg COM x 30 Beta 690,79 501,01 501,01

40 mg PANTOSEPTO 40 mg COM x 14 Craveri 234,10 111,33 111,33

TECTA 40 mg COM x 14 Takeda 432,62 310,18 310,18

PANGEST 40 mg COM x 15 Beta 584,80 424,14 424,14

DUNCAN SIPAR 40 mg GASTRORR. COM x 28 Duncan 581,62 373,71 373,71
PANTOP 40 mg COM x 28 Takeda 1.491,34 1.069,26 1.069,26
ZURCAL 40 mg COM x 30 Takeda 615,43 361,59 361,59

PANTOMETYL 40 mg COM x 30 Sanitas 617,27 375,31 375,31
PANTOPRAZOL DENVER FARMA 40 mg COM x 30 Denver Farma 650,21 446,88 446,88
GASTROMAX MAGNESICO 40 mg COM x 30 Gador 940,87 669,47 669,47
PANTUSEC GASTR. 40mg COM x 30 Baliarda 991,83 711,12 711,12
PANGEST 40 mg COM x 30 Beta 1.078,21 782,00 782,00
TECTA 40 mg COM x 30 Takeda 1.341,30 961,69 961,69
Página 87 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 40 mg
GASTROMAX 40 mg COM x 60 Gador 1.278,10 792,49 792,49
PANTOCAS 40 mg COM x 60 Casasco 1.377,97 908,57 908,57
Sobres 20 mg PANTUS 20 mg SOB x 30 Baliarda 1.008,86 699,54 699,54
40 mg PANTUS 40 mg SOB x 30 Baliarda 1.196,71 829,79 829,79
PAPERAS VIRUS VIVO +

SARAMPION VIRUS VIVO +
RUBEOLA VIRUS VIVOS
ATENUADOS
Ampollas 5000 MMR II VACUNA AMP x 1 MSD Arrgentina SR 1.336,95 923,13 923,13
amb
PARACETAMOL
Comprimidos 500 mg PARACETAMOL LAZAR 500 mg COM x 20 Lazar 95,79 66,30 66,30
1000 mg PARACETAMOL RAFFO 1 G COM x 10 Raffo 113,84 81,47 81,47
PARACETAMOL LAZAR 1 g COM x 30 Lazar 194,65 102,03 102,03
TAFIROL 1 g COM x 50 Genomma Lab. 312,90 212,42 212,42
Gotas 10000 PARACETAMOL MONSERRAT ECLAIR GTS x 20 Monserrat 130,00 66,57 66,57
mg
PARACETAMOL LAZAR GTS x 20 Lazar 132,60 69,14 69,14 INF
PARACETAMOL FECOFAR GTS x 20 Fecofar 137,04 74,63 74,63 INF
TERMOFREN GTS x 20 Roemmers 178,57 128,03 128,03 INF
Líquido 2000 mg TERMOFREN SOL x 120 Roemmers 226,37 156,97 156,97
PAROXETINA
Comprimidos 10 mg PAROXIN 10 mg COM x 30 Rospaw 479,54 325,02 325,02
PONDERA 10 mg COM x 30 Eurofarma 540,00 370,55 370,55
MEPLAR 10 mg COM x 30 Baliarda 556,07 386,51 386,51
TIARIX 10 mg COM x 30 Casasco 566,97 402,15 402,15
PSICOASTEN 10 mg COM x 30 Beta 579,05 415,45 415,45
12,5 mg PSICOASTEN LC 12.5 mg COM x 30 Beta 871,42 493,68 493,68

MEPLAR LC 12.5 mg COM x 30 Baliarda 956,98 602,60 602,60
TIARIX CR 12.5 mg COM x 30 Casasco 976,52 632,93 632,93
PAXIL CR 12.5 mg COM x 30 GlaxoSmithKline 1.571,63 1.125,99 1.125,99
20 mg SOSTEL 20 mg COM x 10 Richmond 199,00 56,08 56,08

MEPLAR 20 mg RECUB. COM x 10 Baliarda 426,62 288,59 288,59
DATEVAN 20 mg COM x 10 Rontag 415,74 290,00 290,00
OPTIPAR 20 mg COM x 30 Ariston 1.032,32 567,98 567,98

PAROXIN 20 mg COM x 30 Rospaw 1.001,32 581,69 581,69
PAMOXET 20 mg COM x 30 Raymos 1.059,74 605,05 605,05
SOSTEL 20 mg COM x 30 Richmond 1.114,48 687,31 687,31
PSICOASTEN 20 mg COM x 30 Beta 1.187,38 722,47 722,47
AFENEXIL 20 mg COM x 30 Temis-Lostalo 1.175,41 746,31 746,31
PONDERA 20 mg COM x 30 Eurofarma 1.260,00 851,32 851,32
DATEVAN 20 mg COM x 30 Rontag 1.247,23 870,00 870,00
MEPLAR 20 mg RECUB. COM x 30 Baliarda 1.287,83 875,66 875,66
TIARIX 20 mg COM x 30 Casasco 1.315,16 915,19 915,19
NEUROTROX 20 mg COM x 30 Elea - Phoenix 1.610,61 1.163,84 1.163,84
AROPAX 20 mg COM x 30 GlaxoSmithKline 1.897,79 1.359,66 1.359,66
25 mg MEPLAR LC 25 mg COM x 30 Baliarda 1.067,87 622,86 622,86

TIARIX CR 25 mg COM x 30 Casasco 1.089,00 657,76 657,76
Página 88 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 25 mg PSICOASTEN LC 25 mg COM x 30 Beta 1.187,85 739,02 739,02

PAXIL CR 25 mg COM x 30 GlaxoSmithKline 2.041,17 1.462,39 1.462,39
30 mg PAROXIN 30 mg COM x 30 Rospaw 492,55 98,51 98,51

MEPLAR 30 mg COM x 30 Baliarda 1.352,59 984,41 984,41
40 mg PAROXIN 40 mg COM x 30 Rospaw 645,17 129,03 129,03

PAMOXET 40 mg COM x 30 Raymos 1.773,67 1.182,79 1.182,79
PSICOASTEN 40 mg COM x 30 Beta 1.955,36 1.418,17 1.418,17
PENICILAMINA
Comprimidos 250 mg CUPRIPEN 250 mg CAP x 30 Spedrog Caillon 5.303,01 3.613,26 3.613,26
PENICILINA G BENZATÍNICA
Ampollas 1200000 PEN DI BEN 1200000 U 5 ML AMP x 1 Bagó 428,03 294,27 294,27 INF
ui
2400000 PEN DI BEN 2400000 U 10 ML AMP x 1 Bagó 706,65 485,82 485,82
ui
PENTOSANPOLISULFONICO
ESTER + TRIAMCINOLONA
Pomada 1000 mg MANTUS PDA x 10 Investi 247,27 171,46 171,46
MANTUS PDA x 30 Investi 397,27 135,47 135,47
PENTOXIFILINA
Comprimidos 400 mg PENTOMIRON COM x 60 Craveri 1.604,18 1.102,87 1.102,87
TRENTAL 400 mg LIB.MODIF. COM x 30 Sanofi Aventis 433,18 144,84 144,84
TRENTAL 400 mg LIB.MODIF. COM x 60 Sanofi Aventis 1.628,44 1.129,15 1.129,15
600 mg PREVISCAN RETARD 600 mg TAB x 30 Nova Argentia 1.204,49 833,42 833,42
TRENTAL 600 mg Lib.Prol. COM x 40 Sanofi Aventis 1.628,44 1.138,77 1.138,77
PERINDOPRIL
Comprimidos 5 mg COVERENE 5 mg COM x 30 Servier 694,44 487,38 487,38
10 mg COVERENE 10 mg COM x 30 Servier 946,70 664,43 664,43
PILOCARPINA
Colirio 2000 mg ISOPTO CARPINA 2% COL x 15 Novartis 370,67 254,84 178,21
Comprimidos 5 mg WETOL COM x 30 Beta 1.803,65 1.266,85 911,73
PILOCARPINA + TIMOLOL
Colirio 2500 mg GLAUCOTENSIL SUSP. COL x 5 Poen 642,25 442,51 310,37
PIOGLITAZONA
Comprimidos 15 mg HIGLUCEM 15 mg COM x 28 Lazar 696,28 419,14 419,14
DIABEN P 15 mg COM x 30 Pharmadorf 287,65 57,53 57,53

CERELUC 15 mg COM x 30 Beta 919,08 666,58 666,58
30 mg HIGLUCEM 30 mg COM x 28 Lazar 848,54 413,60 413,60
DIABEN P 30 mg COM x 30 Pharmadorf 293,41 58,68 58,68

PIOTAMAX 30 mg COM x 30 Francelab 1.187,94 839,94 839,94
CERELUC 30 mg COM x 30 Beta 1.446,22 1.048,91 1.048,91
45 mg DIABEN P 45 mg COM x 30 Pharmadorf 365,18 73,04 73,04

HIGLUCEM 45 mg COM x 30 Lazar 890,30 363,25 363,25
PIOTAMAX 45 mg COM x 30 Francelab 1.210,75 723,02 723,02
CERELUC 45 mg COM x 30 Beta 1.828,22 1.325,96 1.325,96
Página 89 de 116
A CARGO A CARGO
AFILIADO CRONICO
PIRIDOSTGMINA BROMURO
Comprimidos 60 mg MESTINON 60 mg COM x 100 Roemmers 1.772,33 1.223,75 1.223,75
180 mg MESTINON TS 180 mg COM x 30 Roemmers 1.711,11 1.181,48 1.181,48
PIRIMETAMINA
Comprimidos 25 mg DARAPRIM COM x 20 GlaxoSmithKline 761,19 536,29 536,29
PLATA SULFADIAZINA +
VITAMINA A + LIDOCAINA
Apósitos 1000 mg PLATSUL A GASAS APO x 10 Soubeiran Chobet 604,22 413,57 413,57
Crema 1000 mg PLATSUL A CRE x 200 Soubeiran Chobet 1.093,84 748,70 748,70
POLISACARIDOS
STEPTOCOCO PNEUMONIAE
Ampollas 0,025 mg PNEUMOVAX 23 VIAL 0.5 ML AMP x 1 MSD Arrgentina SR 2.621,49 1.810,08 1.810,08
POTASIO CITRATO
Comprimidos 1620 mg FINALIT lib. prol. COM x 30 Finadiet 645,01 369,46 369,46
UROKIT Lib. Prol. COM x 30 Casasco 793,44 554,77 554,77
FINALIT lib. prol. COM x 60 Finadiet 1.240,42 673,69 673,69
1620000 UROKIT Lib. Prol. COM x 60 Casasco 1.523,64 1.065,32 1.065,32

mg
Sobres 3000 mg UROKIT SOB x 40 Casasco 1.227,40 886,59 886,59
FINALIT SOB x 60 Finadiet 1.181,36 759,22 759,22

UROKIT SOB x 60 Casasco 1.314,66 919,19 919,19
POTASIO CLORURO
Comprimidos 600 mg CONTROL K CAP x 30 Elea - Phoenix 902,21 651,66 651,66
CONTROL K CAP x 60 Elea - Phoenix 1.718,89 1.200,01 1.200,01
POTASIO GLUCONATO
Líquido 31200 KAON ELI x 150 Montpellier 179,59 128,27 128,27
mg
KAON ELI x 500 Montpellier 469,52 290,61 290,61
Sobres 4680 mg KAON POLVO SOB x 30 Montpellier 502,07 346,67 346,67
PRAMIPEXOL
Comprimidos 0,125 mg PORTIV 0.125 mg COM x 30 Buxton 285,60 194,60 194,60
0,25 mg PRAMIXAR 0.25 mg COM x 30 Ariston 113,66 22,73 22,73

NEUROSOMAT 0.25 mg COM x 30 Beta 463,43 267,69 267,69
PORTIV 0.250 mg COM x 30 Buxton 459,00 272,16 272,16
NULIPAR 0.25 mg COM x 30 Baliarda 495,43 312,61 312,61
NOXOPRAN 0.25 mg COM x 30 Casasco 500,07 319,50 319,50
SIFROL 0.250 mg COM x 30 Boehringer Ingelheim 892,06 644,63 644,63
PRAMIXAR 0.25 mg COM x 60 Ariston 217,08 43,42 43,42

NOXOPRAN 0.25 mg COM x 60 Casasco 1.313,89 958,41 958,41
NEUROSOMAT 0.25 mg COM x 90 Beta 1.383,06 833,00 833,00
PORTIV 0.250 mg COM x 100 Buxton 1.224,00 566,33 566,33
0,375 mg NULIPAR LP 0.375 mg COM x 10 Baliarda 353,90 225,69 225,69
SIFROL ER 0.375 mg COM x 30 Boehringer Ingelheim 1.404,16 1.014,69 1.014,69
0,5 mg NULIPAR 0.5 mg COM x 30 Baliarda 988,55 687,03 687,03
Página 90 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 0,75 mg NULIPAR LP 0.75 mg COM x 30 Baliarda 1.743,07 1.196,16 1.196,16

1 mg PRAMIXAR 1 mg COM x 30 Ariston 426,24 85,25 85,25

NEUROSOMAT 1 mg COM x 30 Beta 1.718,55 956,96 956,96
PORTIV 1 mg COM x 30 Buxton 1.734,00 1.015,93 1.015,93
NULIPAR 1 mg COM x 30 Baliarda 1.892,55 1.196,02 1.196,02
NOXOPRAN 1 mg COM x 30 Casasco 1.916,44 1.230,16 1.230,16
SIFROL 1 mg COM x 30 Boehringer Ingelheim 3.182,22 2.299,58 2.299,58
PRAMIXAR 1 mg COM x 60 Ariston 721,04 144,21 144,21

NULIPAR 1 mg COM x 60 Baliarda 3.863,21 2.473,43 2.473,43
NOXOPRAN 1 mg COM x 60 Casasco 5.348,08 3.901,12 3.901,12
NEUROSOMAT 1 mg COM x 90 Beta 4.802,82 2.542,89 2.542,89
PORTIV 1 mg COM x 100 Buxton 5.202,00 2.669,92 2.669,92

SIFROL 1 mg COM x 100 Boehringer Ingelheim 9.362,53 6.765,67 6.765,67
1,5 mg NULIPAR LP 1.5 mg COM x 30 Baliarda 3.064,67 1.874,36 1.874,36

3 mg NULIPAR LP 3 mg COM x 30 Baliarda 6.129,52 4.075,41 4.075,41

SIFROL ER 3 mg COM x 30 Boehringer Ingelheim 8.761,80 6.331,57 6.331,57
PRAZIQUANTEL
Comprimidos 600 mg PRAZITRAL 600 mg COM x 4 Austral 1.110,00 781,10 781,10
PREDNISONA
Comprimidos 5 mg METICORTEN 5 mg COM x 20 Aspen 157,39 94,14 94,14
METILPRES 5 mg COM x 30 Trb-Pharma 315,00 223,20 223,20
METILPRES 5 mg COM x 60 Trb-Pharma 494,00 285,75 285,75
PREGABALINA
Comprimidos 25 mg GAVIN 25 mg CAP x 28 Gador 400,87 266,89 266,89
PREBANAL 25 mg CAP x 28 Raymos 395,01 267,03 267,03
LINPREL 25 mg CAP x 28 Baliarda 413,33 279,05 279,05
CLASICA 25 mg CAP x 28 Craveri 430,60 306,39 306,39
PREBICTAL 25 mg CAP x 28 Raffo 436,16 311,19 311,19
DOLONEUTIN 25 mg CAP x 30 Geminis Farmaceutica 352,79 189,81 189,81

MYSTIKA 25 mg CAP x 30 Richmond 372,94 216,26 216,26
LUNEL 25 mg CAP x 30 Montpellier 379,78 225,34 225,34
GAVIN 25 mg CAP x 30 Gador 410,75 262,24 262,24
AXUAL 25 mg CAP x 30 Teva argentina ( 420,12 278,23 278,23
PLENICA 25 mg CAP x 30 Roemmers 485,47 345,43 345,43
NEURISTAN 25 mg CAP x 30 Casasco 489,51 352,82 352,82
LYRICA 25 mg CAP x 30 Pfizer 496,30 357,31 357,31
PRINCIPIA 25 mg CAP x 30 Elea - Phoenix 503,93 359,95 359,95

50 mg PLENICA 50 mg CAP x 15 Roemmers 525,93 374,22 374,22

LINPREL 50 mg CAP x 28 Baliarda 849,87 539,63 539,63
Página 91 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 50 mg PREBICTAL 50 mg CAP x 28 Raffo 1.057,33 760,33 760,33

NEURISTAN 50 mg CAP x 30 Casasco 951,52 639,46 639,46
LYRICA 50 mg CAP x 30 Pfizer 1.116,90 804,10 804,10
GAVIN 50 mg CAP x 60 Gador 1.759,40 1.094,13 1.094,13
75 mg PREBIEN 75 mg CAP x 14 Ariston 183,39 36,68 36,68

BALFIBRO 75 mg CAP x 14 Buxton 176,58 38,08 38,08
PREBICTAL 75 mg CAP x 14 Raffo 633,19 455,33 455,33
DOLGENAL 75 mg CAP x 15 Savant Pharm S.A. 337,54 102,64 102,64

LUNEL 75 mg CAP x 15 Montpellier 622,64 409,88 409,88
AXUAL 75 mg Dividosis COM x 15 Teva argentina ( 653,41 449,52 449,52
PGB 75 mg MULTIDOSIS COM x 15 Investi 674,34 472,27 472,27
PLENICA 75 PRACTIDOSIS COM x 15 Roemmers 755,03 537,23 537,23
LINPREL MULTIDOSIS 75 mg Birran. COM x 15 Baliarda 749,82 539,79 539,79
PREBIEN 75 mg CAP x 28 Ariston 876,60 428,90 428,90

PREBANAL 75 mg CAP x 28 Raymos 1.021,67 592,76 592,76
GAVIN 75 mg CAP x 28 Gador 1.182,32 792,98 792,98
BALFIBRO 75 mg CAP x 28 Buxton 1.179,04 794,42 794,42
LINPREL 75 mg CAP x 28 Baliarda 1.228,18 841,31 841,31
PREBICTAL 75 mg CAP x 28 Raffo 1.234,83 850,28 850,28
CLASICA 75 mg CAP x 28 Craveri 1.259,64 887,71 887,71
DOLONEUTIN 75 mg CAP x 30 Geminis Farmaceutica 1.079,00 606,00 606,00

DOLGENAL 75 mg CAP x 30 Savant Pharm S.A. 1.112,63 633,68 633,68
AXUAL 75 mg CAP x 30 Teva argentina ( 1.125,81 667,15 667,15
LUNEL 75 mg CAP x 30 Montpellier 1.157,44 707,45 707,45
LUNEL 75 PRACTIDOSIS Birran. COM x 30 Montpellier 1.193,10 753,55 753,55
PREBIEN 75 mg DIVIDOSIS COM x 30 Ariston 1.205,70 775,99 775,99
AXUAL 75 mg Dividosis COM x 30 Teva argentina ( 1.228,61 801,86 801,86
GAVIN 75 mg CAP x 30 Gador 1.246,20 823,95 823,95
MYSTIKA MULTIDOSIS 75 mg COM x 30 Richmond 1.282,59 866,31 866,31
PLENICA 75 mg CAP x 30 Roemmers 1.288,43 876,43 876,43
NEURISTAN 75 mg CAP x 30 Casasco 1.300,28 881,16 881,16
KABIAN 75 mg CAP x 30 Temis-Lostalo 1.306,30 892,45 892,45
PGB 75 mg CAP x 30 Investi 1.307,08 893,67 893,67
LYRICA 75 mg CAP x 30 Pfizer 1.323,74 910,98 910,98
GAVIN 75 mg BIRRANURADO COM x 30 Gador 1.362,90 967,14 967,14
LINPREL MULTIDOSIS 75 mg Birran. COM x 30 Baliarda 1.393,12 992,61 992,61
PLENICA 75 PRACTIDOSIS COM x 30 Roemmers 1.419,65 1.010,13 1.010,13
PGB 75 mg MULTIDOSIS COM x 30 Investi 1.410,49 1.011,29 1.011,29
KABIAN 75 MULTIDOSIS Birran. COM x 30 Temis-Lostalo 1.411,93 1.012,67 1.012,67
Página 92 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 75 mg NEURISTAN MULTIDOSIS 75 mg COM x 30 Casasco 1.433,02 1.037,07 1.037,07

PRINCIPIA 75 mg CAP x 30 Elea - Phoenix 1.610,37 1.150,26 1.150,26
PRINCIPIA PRACTIDOSIS 75 mg Birran. COM x 30 Elea - Phoenix 1.683,66 1.202,61 1.202,61
AXUAL 75 mg CAP x 60 Teva argentina ( 2.115,33 1.155,62 1.155,62

PLENICA 75 mg CAP x 60 Roemmers 2.442,16 1.584,69 1.584,69
LYRICA 75 mg CAP x 60 Pfizer 2.495,27 1.632,57 1.632,57
GAVIN 75 mg Birranurado COM x 60 Gador 2.580,13 1.756,89 1.756,89
100 mg PREBICTAL 100 mg CAP x 28 Raffo 1.831,76 1.306,28 1.306,28
KABIAN 100 mg Trirran. COM x 30 Temis-Lostalo 1.849,79 1.265,09 1.265,09
150 mg PREBIEN 150 mg CAP x 28 Ariston 1.429,72 765,43 765,43

PREBANAL 150 mg CAP x 28 Raymos 1.543,89 926,66 926,66
LINPREL 150 mg CAP x 28 Baliarda 1.880,02 1.337,91 1.337,91
BALFIBRO 150 mg CAP x 28 Buxton 1.900,00 1.350,77 1.350,77
CLASICA 150 mg CAP x 28 Craveri 1.899,39 1.351,49 1.351,49
PREBICTAL 150 mg CAP x 28 Raffo 1.951,20 1.403,11 1.403,11
KABIAN 150 MULTIDOSIS COM x 30 Temis-Lostalo 1.532,56 821,46 821,46

PREBIEN 150 mg Dividosis COM x 30 Ariston 1.527,82 834,56 834,56
DOLONEUTIN 150 mg CAP x 30 Geminis Farmaceutica 1.639,00 944,59 944,59
LUNEL 150 mg CAP x 30 Montpellier 1.757,68 1.112,37 1.112,37
MYSTIKA 150 mg COM x 30 Richmond 1.789,86 1.162,60 1.162,60
DOLGENAL 150 mg CAP x 30 Savant Pharm S.A. 1.818,64 1.170,88 1.170,88
NEURISTAN 150 mg CAP x 30 Casasco 1.968,95 1.368,19 1.368,19
PGB 150 mg CAP x 30 Investi 1.985,38 1.391,68 1.391,68
KABIAN 150 mg CAP x 30 Temis-Lostalo 2.000,88 1.410,11 1.410,11
300 mg BALFIBRO 300 mg CAP x 28 Buxton 2.500,00 1.712,47 1.712,47

LINPREL 300 mg CAP x 28 Baliarda 2.529,61 1.753,26 1.753,26
DOLONEUTIN 300 mg CAP x 30 Geminis Farmaceutica 2.107,00 1.120,78 1.120,78

Líquido 20 mg AXUAL 20 mg JBE x 120 Teva argentina ( 423,99 211,92 211,92
AXUAL 20 mg/ml JBE x 225 Teva argentina ( 874,57 506,29 506,29
PROGESTERONA
Comprimidos 100 mg MAFEL 100 mg Blandas CAP x 30 Raymos 985,44 548,21 548,21
Página 93 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 100 mg GESLUTIN 100 mg Blandas CAP x 30 Raffo 1.218,51 849,39 849,39
PROGEST 100 mg Blandas CAP x 30 Elea - Phoenix 1.381,93 1.005,89 1.005,89
UTROGESTAN 100 mg Blandas CAP x 30 Ferring 1.479,66 1.056,90 1.056,90
200 mg MAFEL 200 mg Blandas CAP x 14 Raymos 1.003,47 535,61 535,61

GESLUTIN 200 mg Blandas CAP x 15 Raffo 1.292,68 848,97 848,97

PROGEST 200 Blandas CAP x 15 Elea - Phoenix 1.466,03 1.043,72 1.043,72
MAFEL 200 mg Blandas CAP x 28 Raymos 1.984,55 1.046,90 1.046,90

GESLUTIN 200 mg Blandas CAP x 30 Raffo 2.569,44 1.677,90 1.677,90

PROGEST 200 Blandas CAP x 30 Elea - Phoenix 2.913,97 2.065,58 2.065,58
MAFEL 200 mg Blandas CAP x 42 Raymos 3.213,00 1.805,71 1.805,71

PROMETAZINA
Ampollas 50 mg FENERGAN 2 ml AMP x 5 Sanofi Aventis 510,31 356,74 356,74
Comprimidos 25 mg FENERGAN COM x 30 Sanofi Aventis 295,05 206,26 206,26
PROPAFENONA
Comprimidos 150 mg NORMORYTMIN 150 mg COM x 20 Abbott Epd 442,70 319,86 319,86
NORMORYTMIN 150 mg COM x 50 Abbott Epd 947,72 654,80 654,80
300 mg NORMORYTMIN 300 mg COM x 20 Abbott Epd 830,90 600,35 600,35
NORMORYTMIN 300 mg COM x 50 Abbott Epd 1.770,43 1.227,71 1.227,71
PROPARACAINA
CLORHIDRATO
Colirio 500 mg POEN CAINA COL x 10 Poen 306,04 214,30 214,30
ANESTALCON COL x 15 Alcon 365,09 206,87 206,87
PROPINOX
Líquido 1000 mg SERTAL R Gotero SOL x 20 Roemmers 203,68 142,39 142,39
PROPRANOLOL
Comprimidos 10 mg PROPRANOLOL GADOR 10 mg COM x 20 Gador 148,61 102,61 72,18
40 mg INDERAL 40 mg COM x 20 Astrazeneca 64,33 19,30 12,87
INDERAL 40 mg COM x 50 Astrazeneca 112,16 33,65 22,43

PROPRANOLOL GADOR 40 mg COM x 50 Gador 331,32 236,65 205,10
80 mg INDERAL 80 mg COM x 50 Astrazeneca 175,71 52,71 35,14

PSYLLIUM
Polvo 50000 MOTIONAL POL x 400 Savant Pharm S.A. 2.290,00 1.636,69 1.636,69
mg
QUETIAPINA
Comprimidos 25 mg VESPARAX 25 mg COM x 10 Lazar 520,67 366,79 366,79
BIATRIX 25 mg COM x 10 Baliarda 534,56 380,91 380,91
SEROQUEL 25 mg COM x 10 Bagó 557,02 396,34 396,34
ROSTRUM 25 mg COM x 10 Casasco 553,79 397,33 397,33
Página 94 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 25 mg ATIPINA 25 mg COM x 30 Raymos 1.329,84 815,15 815,15

INQUETIA 25 mg COM x 30 Ariston 1.392,17 891,62 891,62
QUETIAROS 25 mg COM x 30 Rospaw 1.335,25 897,46 897,46
DOMINIUM 25 mg COM x 30 Beta 1.423,90 916,92 916,92
QTP 25 mg COM x 30 Investi 1.558,79 1.009,50 1.009,50
VESPARAX 25 mg COM x 30 Lazar 1.493,22 1.016,32 1.016,32
BIATRIX 25 mg COM x 30 Baliarda 1.572,22 1.104,70 1.104,70
DENDRITEX 25 mg COM x 30 Temis-Lostalo 1.574,28 1.113,58 1.113,58
QUETIAZIC 25 mg COM x 30 Raffo 1.588,45 1.132,45 1.132,45
SEROQUEL 25 mg COM x 30 Bagó 1.632,93 1.161,89 1.161,89
ROSTRUM 25 mg COM x 30 Casasco 1.628,58 1.168,47 1.168,47
KEMOTER 25 mg COM x 30 Elea - Phoenix 1.819,30 1.324,25 1.324,25
ETIASEL 25 mg COM x 30 Astrazeneca 2.797,21 1.998,01 1.998,01

50 mg BIATRIX XR 50 mg COM x 30 Baliarda 3.321,04 2.247,86 2.247,86

ROSTRUM XR 50 mg COM x 30 Casasco 3.367,36 2.330,33 2.330,33
SEROQUEL XR 50 mg COM x 30 Bagó 3.396,46 2.377,43 2.377,43
QUETIAZIC XR 50 mg COM x 30 Raffo 3.440,38 2.411,30 2.411,30
KEMOTER XR 50 mg COM x 30 Elea - Phoenix 4.118,61 2.997,90 2.997,90
ETIASEL XR 50 mg COM x 30 Astrazeneca 5.563,70 3.974,07 3.974,07
100 mg ATIPINA 100 mg COM x 30 Raymos 2.205,37 1.373,41 1.373,41

QUETIAROS 100 mg COM x 30 Rospaw 2.135,22 1.397,57 1.397,57
INQUETIA 100 mg COM x 30 Ariston 2.362,90 1.561,73 1.561,73
DOMINIUM 100 mg COM x 30 Beta 2.440,28 1.634,90 1.634,90
DENDRITEX 100 mg Tirran. COM x 30 Temis-Lostalo 2.595,03 1.841,05 1.841,05

150 mg SEROQUEL XR 150 mg COM x 30 Bagó 3.931,11 2.675,77 2.675,77

200 mg DENDRITEX 200 mg COM x 30 Temis-Lostalo 2.446,21 1.286,16 1.286,16

DOMINIUM 200 mg COM x 30 Beta 2.715,37 1.577,86 1.577,86
ATIPINA 200 mg COM x 30 Raymos 2.781,46 1.715,54 1.715,54
QUETIAROS 200 mg COM x 30 Rospaw 2.699,25 1.754,43 1.754,43
INQUETIA 200 mg COM x 30 Ariston 2.879,25 1.825,82 1.825,82
Página 95 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 200 mg ETIASEL 200 mg COM x 30 Astrazeneca 5.650,24 4.035,89 4.035,89

BIATRIX XR 200 mg COM x 30 Baliarda 3.526,37 2.340,54 2.340,54

KEMOTER XR 200 MG COM x 30 Elea - Phoenix 4.231,75 3.080,25 3.080,25
300 mg BIATRIX 300 mg COM x 30 Baliarda 3.931,70 2.670,07 2.670,07

BIATRIX XR 300 mg COM x 30 Baliarda 4.698,70 3.185,53 3.185,53

KEMOTER XR 300 mg COM x 30 Elea - Phoenix 5.765,05 4.196,33 4.196,33
400 mg BIATRIX XR 400 mg COM x 30 Baliarda 7.289,84 5.057,05 5.057,05

KEMOTER XR 400 MG COM x 30 Elea - Phoenix 8.479,04 6.171,82 6.171,82
QUININA
Comprimidos 200 mg CIRCONYL 200 mg COM x 30 Trb-Pharma 999,00 683,75 683,75
RABEPRAZOL
Comprimidos 10 mg RABEC 10 mg COM x 14 Elea - Phoenix 426,48 304,35 304,35
RABEC 10 mg COM x 28 Elea - Phoenix 812,03 559,05 559,05
20 mg RABEC 20 mg COM x 14 Elea - Phoenix 836,92 597,80 597,80
RABEC 20 mg COM x 28 Elea - Phoenix 1.520,19 1.047,32 1.047,32
RALOXIFENO
Comprimidos 60 mg EVISTA 60 mg COM x 28 Eli Lilly 382,92 76,58 76,58
EVISTA 60 mg COM x 30 Eli Lilly 3.289,38 2.291,20 2.291,20
RAMIPRIL
Comprimidos 2,5 mg LOSTAPRES 2.5 mg COM x 30 Temis-Lostalo 794,63 564,31 564,31
TRITACE 2.5 mg COM x 30 Pharmadorf 837,56 598,56 598,56
TRITACE 2.5 mg COM x 60 Pharmadorf 758,78 216,98 216,98
5 mg LOSTAPRES 5 mg COM x 30 Temis-Lostalo 1.422,78 1.009,88 1.009,88

TRITACE 5 mg COM x 30 Pharmadorf 1.505,87 1.078,70 1.078,70
10 mg LOSTAPRES 10 mg COM x 30 Temis-Lostalo 1.860,09 1.295,93 1.295,93

TRITACE 10 mg COM x 30 Pharmadorf 1.974,48 1.391,74 1.391,74
RANITIDINA
Comprimidos 150 mg GASTROSEDOL RAPID EFERV. 150 mg COM x 10 Nova Argentia 380,86 264,06 264,06
Página 96 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 150 mg RANITRAL 150 mg COM x 10 Lepetit 88,00 46,95 46,95

TAURAL 150 mg Efervescente COM x 10 Roemmers 403,27 289,13 289,13
GASTROSEDOL 150 mg COM x 20 Nova Argentia 245,38 175,96 175,96

NOTRAB 150 mg COM x 20 Microsules Argentina 280,00 213,40 213,40
RANITIDINA LAZAR 150 mg COM x 30 Lazar 264,00 140,54 140,54

VIZERUL COM x 30 Montpellier 265,37 141,79 141,79
TAURAL 150 mg COM x 30 Roemmers 361,13 257,95 257,95

NOTRAB 150 mg COM x 60 Microsules Argentina 600,00 404,57 404,57
300 mg RANITRAL 300 mg COM x 10 Lepetit 128,00 45,18 45,18

VIZERUL 300 COM x 30 Montpellier 642,95 413,57 413,57
Líquido 840 mg TAURAL ORAL SUS x 200 Roemmers 376,08 260,77 260,77
RIFAMPICINA
Comprimidos 300 mg RIFADIN 300 mg CAP x 8 Sanofi Aventis 431,31 299,07 299,07
RIFAMPICINA + ISONIACIDA
Comprimidos 300 mg RIFINAH CAP x 30 Sanofi Aventis 625,67 437,39 437,39
RISEDRONATO
Comprimidos 35 mg DUCTONAR 35 mg COM x 4 Roux Ocefa 175,59 35,12 35,12
RISEDON 35 mg COM x 4 Buxton 550,00 322,69 322,69
RIDRON 35 mg COM x 4 Baliarda 645,68 468,20 468,20
150 mg DUCTONAR 150 mg COM x 1 Roux Ocefa 440,94 132,93 132,93

BONECUR 150 mg COM x 1 Teva argentina ( 912,11 633,33 633,33
RISEDON 150 mg COM x 1 Buxton 1.000,00 715,00 715,00
RENTOP 150 mg COM x 1 Montpellier 1.003,26 716,62 716,62
RIBASTAMIN 150 mg COM x 1 Beta 1.053,24 763,89 763,89
BONECUR 150 mg COM x 3 Teva argentina ( 2.128,14 1.110,51 1.110,51

RENTOP 150 mg COM x 3 Montpellier 2.430,89 1.483,75 1.483,75
RISPERIDONA
Ampollas 25 mg RISPERDAL CONSTA 25 mg + Jga. c/Diluy. F.A x Janssen-Cilag 6.613,06 4.463,82 3.042,01
1
37,5 mg RISPERDAL CONSTA 37.5 mg AMP x 1 Janssen-Cilag 9.749,49 6.580,91 4.484,77

RISPERDAL CONSTA 37.5 mg + Jga. c/Diluy. F.A x Janssen-Cilag 9.749,49 6.824,64 6.824,64
1
Comprimidos 0,25 mg RISPERIN 0.25 mg COM x 20 Gador 93,69 49,93 27,24

RIATUL 0.25 mg COM x 20 Baliarda 94,92 51,19 28,50
RISPERDAL 0.25 mg COM x 20 Janssen-Cilag 282,07 197,45 169,24
0,5 mg DROPICINE 0.5 mg COM x 20 Beta 219,22 124,77 74,08

DOZIC 0.5 mg COM x 20 Raffo 241,98 156,10 97,99
Página 97 de 116
Comprimidos 0,5 mg RISPERIN 0.50 mg COM x 20 Gador 246,14 163,04 107,40

RESTELEA 0.50 COM x 20 Elea - Phoenix 284,16 205,34 156,96
RISPERDAL 0.50 mg COM x 20 Janssen-Cilag 424,20 296,94 254,52

RISPERIN 0.50 mg COM x 60 Gador 665,87 396,03 228,74
1 mg DROPICINE 1 mg COM x 20 Beta 330,23 213,35 134,05

RISPERIN 1 mg COM x 20 Gador 386,45 274,97 221,14
RIATUL 1 mg COM x 20 Baliarda 383,82 275,19 215,05
DOZIC 1 mg COM x 20 Raffo 399,64 287,38 235,25
RESTELEA 1 mg COM x 20 Elea - Phoenix 473,38 342,07 298,30
RISPERDAL 1 mg COM x 20 Janssen-Cilag 694,57 486,20 416,74
DROPICINE 1 mg COM x 60 Beta 789,01 405,82 210,98

RESTELEA 1 mg COM x 60 Elea - Phoenix 1.090,85 766,79 552,81
2 mg DROPICINE 2 mg COM x 20 Beta 693,93 393,76 233,54

RISPERDAL 2 mg COM x 20 Janssen-Cilag 1.320,28 924,20 792,17
EDALEN 2 mg COM x 60 Temis-Lostalo 351,94 119,72 119,72

DROPICINE 2 mg COM x 60 Beta 2.181,69 1.314,37 796,41
DOZIC 2 mg COM x 60 Raffo 2.291,21 1.470,69 914,77
RISPERIN 2 mg COM x 60 Gador 2.350,61 1.561,71 1.034,05
RIATUL 2 mg COM x 60 Baliarda 2.361,16 1.563,65 1.028,24
RESTELEA 2 mg COM x 60 Elea - Phoenix 2.883,91 2.083,94 1.817,28
RISPERDAL 2 mg COM x 60 Janssen-Cilag 3.748,72 2.624,10 2.249,23
3 mg EDALEN 3 mg COM x 20 Temis-Lostalo 320,97 109,19 109,19

DROPICINE 3 mg COM x 20 Beta 892,85 539,53 327,29
DOZIC 3 mg COM x 20 Raffo 1.036,27 725,88 521,08
EDALEN 3 mg COM x 60 Temis-Lostalo 510,35 173,61 173,61

DROPICINE 3 mg COM x 60 Beta 2.823,23 1.805,98 1.120,59
RISPERIN 3 mg COM x 60 Gador 2.914,66 1.957,46 1.319,30
DOZIC 3 mg COM x 60 Raffo 3.063,04 2.121,85 1.498,26
RESTELEA 3 mg COM x 60 Elea - Phoenix 3.838,34 2.773,61 2.418,70
4 mg RISPERIN 4 mg COM x 20 Gador 1.021,15 702,04 490,94

Líquido 1 mg RISPERIN 1 MG/ML ORAL SOL x 30 Gador 849,46 506,65 293,03

RIATUL 1 MG/ML ORAL SOL x 30 Baliarda 859,04 514,12 302,89
RISPERDAL ORAL SOL x 30 Janssen-Cilag 1.416,41 991,49 849,85
RISPERDAL ORAL SOL x 100 Janssen-Cilag 4.214,92 2.950,44 2.528,95
Página 98 de 116
A CARGO A CARGO
AFILIADO CRONICO
ROSUVASTATIN
Comprimidos 5 mg HIPOLIPOL 5 mg COM x 28 Casasco 516,10 320,63 191,90
ROSUSTATIN 5 mg COM x 28 Montpellier 692,72 484,90 415,63
ROSUVAST 5 mg COM x 28 Bagó 737,55 524,79 453,87
PARASUL 5 mg COM x 28 Sidus 946,18 692,35 607,74
CRESTOR 5 mg COM x 28 Astrazeneca 1.093,42 778,01 672,87
ROSUX 5 mg COM x 30 Lepetit 444,00 219,50 116,80

ROSTAN 5 mg COM x 30 Biotenk 498,30 271,97 154,20
ROSUBER 5 mg COM x 30 Bernabo 508,79 286,63 163,12
ASTENDE 5 mg COM x 30 Lazar 523,13 304,92 176,97
REOVEX 5 mg COM x 30 Baliarda 549,29 337,73 202,24
MESOTEROL 5 mg COM x 30 Finadiet 549,14 341,51 201,52
HIPOLIPOL 5 mg COM x 30 Casasco 555,90 347,32 208,42
ARTOMEY 5 mg COM x 30 Teva argentina ( 555,77 348,44 208,10
ROVARTAL 5 mg COM x 30 Roemmers 560,91 353,63 213,24
ROSUFEN 5 mg COM x 30 Raffo 565,32 360,02 220,90
ROXOLAN 5 mg COM x 30 Nova Argentia 566,57 360,76 221,19
SINLIP 5 mg COM x 30 Gador 564,55 361,27 223,94
ROSUVASTATINA PFIZER 5 mg COM x 30 Pfizer 559,21 375,93 375,93
NODIS 5 mg COM x 30 Temis-Lostalo 616,18 422,89 294,53
LIPOGLUTAREN 5 mg COM x 30 Craveri 781,38 555,98 480,85
LIPEX 5 mg COM x 30 Elea - Phoenix 776,73 567,37 497,58

SINLIP 5 mg COM x 60 Gador 1.017,24 576,20 325,50
10 mg ASTENDE 10 mg COM x 14 Lazar 427,35 305,90 231,30

CRESTOR 10 mg COM x 14 Astrazeneca 715,54 500,88 429,32
ATERONOVA 10 mg COM x 15 Beta 343,53 191,99 103,34
BILIP 10 mg COM x 28 Richmond 693,32 427,18 246,77

ASTENDE 10 mg COM x 28 Lazar 772,42 516,88 345,95
ROSUCOL 10 mg COM x 28 Geminis Farmaceutica 778,29 526,95 359,81
ROSUSTATIN 10 mg COM x 28 Montpellier 821,89 575,32 434,53
COLESTRAX 10 mg COM x 28 Savant Pharm S.A. 860,00 614,29 471,54
LIPEX 10 mg COM x 28 Elea - Phoenix 966,80 706,20 596,20
CRESTOR 10 mg COM x 28 Astrazeneca 1.357,03 965,58 835,09
PARASUL 10 mg COM x 28 Sidus 1.337,20 978,48 858,90
ROSEDEX 10 mg COM x 30 Roux Ocefa 519,32 233,30 233,30

ROSTAN 10 mg COM x 30 Biotenk 701,20 386,70 223,26
BILIP 10 mg COM x 30 Richmond 693,32 392,41 212,65
ROSUFEC 10 mg COM x 30 Fecofar 749,42 443,74 443,74
RABLOC 10 mg COM x 30 Elea - Phoenix 726,34 449,64 326,42
NONLIPID 10 mg COM x 30 Denver Farma 716,76 455,87 455,87
ROSUCOL 10 mg COM x 30 Geminis Farmaceutica 768,08 479,53 285,70
ROSUBER 10 mg COM x 30 Bernabo 778,99 493,56 300,02
ARTOMEY 10 mg COM x 30 Teva argentina ( 794,94 512,73 322,05
Página 99 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg HIPOLIPOL 10 mg COM x 30 Casasco 811,68 533,21 345,87

MESOTEROL 10 mg COM x 30 Finadiet 816,22 542,64 359,69
ROSULIP 10 mg COM x 30 Eurofarma 814,76 548,59 372,36
REOVEX 10 mg COM x 30 Baliarda 836,16 558,63 372,14
ROSUFEN 10 mg COM x 30 Raffo 838,24 567,14 386,42
ATERONOVA 10 mg COM x 30 Beta 850,77 575,70 391,40
ROVARTAL 10 mg COM x 30 Roemmers 858,67 596,85 424,62
ROSUVASTATINA PFIZER 10 mg COM x 30 Pfizer 862,72 597,12 421,42
ROXOLAN 10 mg COM x 30 Nova Argentia 866,14 600,38 424,52
SINLIP 10 mg COM x 30 Gador 869,04 607,66 435,83
LIPOGLUTAREN 10 mg COM x 30 Craveri 998,21 710,27 614,29
LIPEX 10 mg COM x 30 Elea - Phoenix 1.142,89 834,83 732,15
ROSUSTATIN 10 mg COM x 56 Montpellier 1.579,89 1.096,38 779,71

HIPOLIPOL 10 mg COM x 56 Casasco 1.607,14 1.109,49 779,81
ROSUVAST 10 mg COM x 56 Bagó 1.735,63 1.234,97 970,32
CRESTOR 10 mg COM x 56 Astrazeneca 2.493,56 1.774,26 1.534,50
ARTOMEY 10 mg COM x 60 Teva argentina ( 1.561,78 1.008,48 637,06

NODIS 10 mg COM x 60 Temis-Lostalo 1.616,07 1.056,50 679,46
SINLIP 10 mg COM x 60 Gador 1.714,18 1.186,21 837,76
20 mg ASTENDE 20 mg COM x 14 Lazar 835,01 597,70 518,59
BILIP 20 mg COM x 28 Richmond 1.311,26 875,70 586,56

ROSUCOL 20 mg COM x 28 Geminis Farmaceutica 1.349,90 917,62 631,48
HIPOLIPOL 20 mg COM x 28 Casasco 1.390,07 954,82 665,97
ROSUSTATIN 20 mg COM x 28 Montpellier 1.437,56 1.006,29 765,66
ASTENDE 20 mg COM x 28 Lazar 1.468,67 1.051,17 778,67
COLESTRAX 20 mg COM x 28 Savant Pharm S.A. 1.530,00 1.111,04 837,17
ROSUVAST 20 mg COM x 28 Bagó 1.569,57 1.116,81 923,27
PARASUL 20 mg COM x 28 Sidus 2.396,63 1.753,70 1.539,39

ROSEDEX 20 mg COM x 30 Roux Ocefa 934,18 436,20 436,20
RABLOC 20 mg COM x 30 Elea - Phoenix 1.144,65 689,28 389,84
ROSTAN 20 mg COM x 30 Biotenk 1.259,90 713,62 425,80
ROSUFEC 20 mg COM x 30 Fecofar 1.337,88 816,36 816,36
BILIP 20 mg COM x 30 Richmond 1.311,26 819,98 488,06
ROSUBER 20 mg COM x 30 Bernabo 1.391,57 900,73 569,20
ROSUCOL 20 mg COM x 30 Geminis Farmaceutica 1.422,97 937,19 610,17
HIPOLIPOL 20 mg COM x 30 Casasco 1.484,45 1.016,99 706,48
REOVEX 20 mg COM x 30 Baliarda 1.495,05 1.024,61 711,40
ROSULIP 20 mg COM x 30 Eurofarma 1.481,30 1.031,99 738,17
ARTOMEY 20 mg COM x 30 Teva argentina ( 1.503,40 1.039,65 732,52
ROVARTAL 20 mg COM x 30 Roemmers 1.508,85 1.056,00 758,89
MESOTEROL 20 mg COM x 30 Finadiet 1.512,78 1.057,65 758,43
ROSUVASTATINA PFIZER 20 mg COM x 30 Pfizer 1.530,26 1.073,99 773,73
ROXOLAN 20 mg COM x 30 Nova Argentia 1.534,49 1.077,55 776,67
NODIS 20 mg COM x 30 Temis-Lostalo 1.535,19 1.078,37 777,60
ROSUFEN 20 mg COM x 30 Raffo 1.544,51 1.091,46 794,16
SINLIP 20 mg COM x 30 Gador 1.542,01 1.093,00 799,46
ATERONOVA 20 mg COM x 30 Beta 1.600,13 1.147,37 850,34
Página 100 de 116

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 20 mg LIPOGLUTAREN 20 mg COM x 30 Craveri 1.855,70 1.320,40 1.141,97

LIPEX 20 mg COM x 30 Elea - Phoenix 2.082,85 1.521,44 1.334,30
HIPOLIPOL 20 mg COM x 56 Casasco 2.855,33 2.001,45 1.438,95

NODIS 20 mg COM x 60 Temis-Lostalo 2.842,11 1.875,23 1.225,37

SINLIP 20 mg COM x 60 Gador 3.009,21 2.095,42 1.493,74
40 mg HIPOLIPOL 40 mg COM x 28 Casasco 2.369,86 1.616,94 1.116,13

ROSUVAST 40 mg COM x 28 Bagó 2.556,42 1.818,99 1.396,15
ROSUCOL 40 mg COM x 30 Geminis Farmaceutica 2.128,08 1.210,22 691,49

ROSUBER 40 mg COM x 30 Bernabo 2.160,66 1.253,87 722,68
ROXOLAN 40 mg COM x 30 Nova Argentia 2.410,95 1.571,44 1.005,33
HIPOLIPOL 40 mg COM x 30 Casasco 2.528,15 1.718,89 1.179,97
REOVEX 40 mg Rec. Ran. COM x 30 Baliarda 2.470,42 1.728,41 1.728,41
ROVARTAL 40 mg COM x 30 Roemmers 2.526,37 1.732,92 1.208,42
ARTOMEY 40 mg COM x 30 Teva argentina ( 2.545,61 1.743,40 1.210,89
ROSUFEN 40 mg COM x 30 Raffo 2.624,28 1.838,80 1.321,61
NODIS 40 mg COM x 30 Temis-Lostalo 2.633,47 1.846,82 1.328,55
SINLIP 40 mg COM x 30 Gador 2.639,45 1.865,09 1.358,19
LIPEX 40 mg COM x 30 Elea - Phoenix 3.185,75 2.327,06 2.022,14
RUSCUS ACULEATUS +
PREDNISOLONA +
CINCOCAINA CLOROHIDRATO
+ MENTOL + ZINC ÓXIDO
Pomada 800 mg PROCTO VENART PDA x 10 Casasco 373,39 265,92 265,92
PROCTO VENART PDA x 30 Casasco 827,14 507,04 507,04
RUSCUS ACULEATUS +
TRIMEBUTINA MALEATO
Crema 500 mg MIOPROPAN PROCTOLOGICO CRE x 20 Bernabo 884,31 618,20 618,20
SALBUTAMOL
Aerosol 0,1 mg SALBUTOL 100 mcg AER x 200 Takeda 38,21 11,46 7,64
DUOPACK + AEROCAMARA AER x 200 Takeda 89,63 26,89 17,93
ASMATOL HFA 100 mg AER x 200 Roux Ocefa 186,12 64,87 64,87
AIRCOSALM HFA C/ADAP. AER x 200 Atlas 321,74 227,26 227,26
VENTOLIN HFA INHL. C/APLICADOR AER x 200 GlaxoSmithKline 545,46 381,82 327,28
AIRCOSALM HFA C/ADAP. AER x 250 Atlas 373,87 222,31 222,31

SALBUDEN HFA AER x 250 Denver Farma 397,81 265,82 265,82
SALBUTRAL AER x 250 Cassara 409,38 266,64 266,64
AEROLEP C/ADAP. AER x 250 Austral 551,00 404,00 339,52
SALBUTRAL C/AEROMED HFA AER x 250 Cassara 580,09 423,72 423,72
Líquido 500 mg ASMATOL SOL. NEB. SOL x 15 Roux Ocefa 139,90 84,40 84,40 INF
SALBUTRAL P/NEBULIZAR SOL x 20 Medisol 138,00 60,29 60,29 INF

AIRCOSALM SOL. NEB. SOL x 20 Atlas 181,17 104,98 104,98 INF
MICROTEROL P/NEBUL. SOL x 20 Microsules Argentina 290,00 211,10 211,10 INF
VENTOLIN P/NEBULIZAR SOL x 20 GlaxoSmithKline 405,90 284,13 243,54 INF
600 mg SALBUTOL P/NEBULIZAR SOL x 20 Takeda 37,84 21,61 11,92 INF
SALBUTAMOL + IPRATROPIO
BROMURO
Página 101 de 116

A CARGO A CARGO
AFILIADO CRONICO
Aerosol 0,12 mg SALBUTRAL AC HFA AER x 250 Cassara 630,23 442,67 442,67
Envase 3 mg COMBIVENT SM Sol.Monodosis 2.5 ml ENV x 20 Boehringer Ingelheim 849,65 605,28 605,28
SALBUTRAL AC Neb.Monodosis Sol.x.2.5 ml ENV x Cassara 609,57 287,95 287,95

24
SALICÍLICO, ÁCIDO +
LÁCTICO, ÁCIDO + COLODION
ELÁSTICO
Líquido 16700 VERRUTOPIC C\APLIC. TOPICO SOL x 15 Andromaco 669,00 458,07 458,07
mg
SALMETEROL +
FLUTICASONA
Aerosol 0,025 mg FLUTIVENT HFA 25/250 mcg AER x 60 Cassara 651,49 299,92 299,92
FLUTIVENT HFA 125/25 mcg AER x 60 Cassara 633,04 313,97 313,97
FLUTIVENT HFA 125/25 mcg AER x 120 Cassara 1.256,53 618,38 618,38
FLUTIVENT HFA 25/250 mcg AER x 120 Cassara 1.418,93 715,80 715,80
NEUMOTIDE 25/ 50 mcg AER x 120 Elea - Phoenix 2.050,48 1.184,16 712,78
PROAIR BRONQUIAL 25/125 mcg AER x 120 Montpellier 1.897,95 1.301,65 906,24
LIRTODAC PLUS 25/125 mcg AER x 120 Pharmadorf 1.985,98 1.367,26 951,58
PROAIR BRONQUIAL 25/250 mcg AER x 120 Montpellier 2.074,13 1.413,17 973,90
LIRTODAC PLUS 25/250 mcg AER x 120 Pharmadorf 2.139,43 1.470,89 1.024,75
SERETIDE HFA 25/ 50 mcg AER x 120 GlaxoSmithKline 2.420,07 1.694,05 1.247,87
NEUMOTIDE 25/125 mcg AER x 120 Elea - Phoenix 2.394,70 1.743,08 1.525,87
SERETIDE HFA 25/125 mcg AER x 120 GlaxoSmithKline 2.651,75 1.856,22 1.591,05
SERETIDE HFA 25/250 mcg AER x 120 GlaxoSmithKline 2.717,76 1.902,43 1.630,66
NEUMOTIDE 25/250 mcg AER x 120 Elea - Phoenix 2.617,13 1.904,99 1.667,61
NEUMOTIDE 25/125 mcg C/AEROC AER x 120 Elea - Phoenix 3.388,29 2.466,31 2.158,98
Inhahaldor con 0,05 mg PROAIR BRONQUIAL 50/500 + APLI INH x 60 Montpellier 1.989,16 1.036,55 540,92
sistemas
PROAIR BRONQUIAL 50/250 + APLI INH x 60 Montpellier 1.964,37 1.060,05 591,40
INHALAN BRONQUIAL 500/50 mcg + Aplic. INH x Casasco 2.200,58 1.386,65 1.386,65
60
INHALAN BRONQUIAL 250/50 mcg + Aplic. INH x Casasco 2.162,49 1.421,96 1.421,96
60
NEUMOTIDE POLVO 50/500 CAP.+ APLIC. INH x Elea - Phoenix 2.361,61 1.462,45 1.462,45
60
NEUMOTIDE POLVO 50/250 CAP.+ APLIC. INH x Elea - Phoenix 2.320,73 1.495,63 1.495,63
60
SERETIDE DISKUS 50/100 mcg INH x 60 GlaxoSmithKline 2.731,00 1.843,42 1.256,26
SERTRALINA
Comprimidos 25 mg ERTA 25 mg COM x 10 Eurofarma 209,09 148,19 148,19
ERTA 25 mg COM x 30 Eurofarma 312,00 210,02 210,02

INSERTEC 25 mg COM x 30 Baliarda 329,25 227,65 227,65
ATENIX 25 mg RANURAD. COM x 30 Raffo 333,28 233,46 233,46
50 mg ERTA 50 mg COM x 10 Eurofarma 278,10 189,24 189,24
SERTRALINA ROSPAW 50 mg COM x 30 Rospaw 681,75 408,33 408,33

ANILAR 50 mg COM x 30 Raymos 717,04 413,35 413,35
ERTA 50 mg COM x 30 Eurofarma 834,30 567,72 567,72
ASERTRAL 50 mg COM x 30 Roemmers 860,65 598,16 598,16
INSERTEC 50 mg COM x 30 Baliarda 874,35 605,62 605,62
SERLINA 50 mg COM x 30 Rontag 901,99 640,96 640,96
ATENIX 50 mg COM x 30 Raffo 901,09 642,19 642,19
Página 102 de 116

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 50 mg ZOXX 50 mg COM x 30 Casasco 905,22 645,04 645,04

ZOLOFT 50 mg TAB x 30 Pfizer 989,85 715,27 715,27
ZOLOFT ODT 50 mg DISPERSABLE COM x 30 Pfizer 1.021,80 738,36 738,36
INSERTEC 50 mg COM x 60 Baliarda 1.481,62 871,29 871,29

ATENIX 50 mg COM x 60 Raffo 1.501,37 907,72 907,72
100 mg ERTA 100 mg COM x 10 Eurofarma 476,89 328,74 328,74
ANILAR 100 mg COM x 30 Raymos 1.075,44 547,58 547,58

SERTRALINA ROSPAW 100 mg COM x 30 Rospaw 1.199,85 757,69 757,69
INSERTEC 100 mg COM x 30 Baliarda 1.396,22 920,60 920,60
ASERTRAL 100 mg COM x 30 Roemmers 1.404,67 947,90 947,90
ZOXX 100 mg COM x 30 Casasco 1.428,43 967,66 967,66
ERTA 100 mg COM x 30 Eurofarma 1.431,70 987,47 987,47
SERLINA 100 mg COM x 30 Rontag 1.486,31 1.038,43 1.038,43
ATENIX 100 mg COM x 30 Raffo 1.536,03 1.102,43 1.102,43
ZOLOFT 100 mg TAB x 30 Pfizer 1.722,57 1.244,74 1.244,74
ZOLOFT ODT 100 mg DISPERSABLE COM x 30 Pfizer 1.778,33 1.285,04 1.285,04
INSERTEC 100 mg COM x 60 Baliarda 2.549,18 1.528,00 1.528,00
SIMVASTATIN
Comprimidos 5 mg REDUSTEROL 5 mg COM x 30 Raffo 101,50 30,45 20,30
VASOTENAL 5 mg COM x 30 Roemmers 345,43 244,82 211,28
10 mg SISTATIN 10 mg COM x 15 Lepetit 181,00 66,90 50,60
NIVELIPOL 10 mg COM x 30 Temis-Lostalo 333,18 113,34 113,34

SISTATIN 10 mg COM x 30 Lepetit 353,00 131,10 99,40
GEMISTATIN 10 mg COM x 30 Geminis Farmaceutica 756,48 502,68 332,32
LISAC 10 mg COM x 30 Bernabo 785,92 538,47 373,84
TANAVAT 10 mg COM x 30 Microsules Argentina 770,00 544,71 544,71
VASOTENAL 10 mg COM x 30 Roemmers 805,42 568,84 414,20
REDUSTEROL 10 mg COM x 30 Raffo 849,79 608,15 527,60
ZOCOR 10 mg COM x 30 MSD Arrgentina SR 1.035,49 739,63 641,01
20 mg SISTATIN 20 mg COM x 15 Lepetit 232,00 85,00 64,00
SISTATIN 20 mg COM x 30 Lepetit 444,00 157,70 116,80

GEMISTATIN 20 mg COM x 30 Geminis Farmaceutica 932,68 603,51 380,99
LISAC 20 mg COM x 30 Bernabo 1.008,50 701,24 498,49
TANAVAT 20 mg COM x 30 Microsules Argentina 996,00 715,77 715,77
NIVELIPOL 20 mg COM x 30 Temis-Lostalo 1.026,54 720,91 519,66
VASOTENAL 20 mg COM x 30 Roemmers 1.057,00 749,14 573,93
REDUSTEROL 20 mg COM x 30 Raffo 1.076,76 770,57 591,56
ZOCOR 20 mg COM x 30 MSD Arrgentina SR 1.197,38 855,27 741,24
40 mg REDUSTEROL 40 mg COM x 30 Raffo 1.027,87 646,67 388,13

ZOCOR 40 mg COM x 30 MSD Arrgentina SR 1.432,36 1.023,12 886,70
80 mg ZOCOR 80 mg COM x 30 MSD Arrgentina SR 1.403,92 947,65 645,80
SODIO AUROTIOSULFATO
Ampollas 37500 CRYTION 0.05 GR AMP x 1 Temis-Lostalo 97,50 67,54 67,54
mg
SODIO DIVALPROATO
Comprimidos 134,55 IMPROVAL 125 mg Rec. COM x 30 Roemmers 442,71 248,33 141,08
mg
VALCOTE 125 mg COM x 50 Abbott Epd 738,41 409,05 237,74
Página 103 de 116

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 134,55 VALCOTE SPRINKLE 125 mg CAP x 50 Abbott Epd 1.129,96 828,26 727,70
mg
VALCOTE SPRINKLE 125 mg CAP x 100 Abbott Epd 2.163,90 1.586,14 1.322,94
269,05 IMPROVAL 250 mg Rec. COM x 30 Roemmers 717,70 506,27 367,55

mg
VALNAR 250 mg COM x 50 Teva argentina ( 1.054,93 664,12 401,59
EXIBRAL 250 mg COM x 50 Bagó 1.135,79 772,55 772,55
DIVALPREX 250 mg COM x 50 Gador 1.145,64 784,68 545,57
VALCAS 250 mg COM x 50 Casasco 1.152,39 792,37 554,13
VALCOTE 250 mg COM x 50 Abbott Epd 1.242,49 882,53 644,34
VALCOTE ER 250 mg COM x 50 Abbott Epd 1.495,51 1.062,94 776,78
538,1 mg IMPROVAL 500 mg Rec. COM x 30 Roemmers 1.204,11 815,44 556,63
VALNAR 500 mg COM x 50 Teva argentina ( 1.860,43 1.166,73 704,86

EXIBRAL 500 mg COM x 50 Bagó 2.042,43 1.407,33 1.407,33
VALCAS 500 mg COM x 50 Casasco 2.048,78 1.414,07 994,62
DIVALPREX 500 mg COM x 50 Gador 2.091,12 1.466,64 1.056,61
VALCOTE 500 mg COM x 50 Abbott Epd 2.191,14 1.552,80 1.130,03
IMPROVAL 500 mg Rec. COM x 60 Roemmers 2.294,59 1.488,75 945,48
VALCOTE ER 500 mg COM x 50 Abbott Epd 2.637,54 1.874,63 1.369,94
SODIO FLUORURO
Comprimidos 2,21 mg FLUORDENT COM x 30 Bernabo 398,50 276,32 276,32
Gotas 221 mg NEXOVITAL FLUOR GTS x 30 Eurofarma 99,35 19,87 19,87

FLUORDENT GTS x 30 Bernabo 398,50 285,71 285,71
SODIO HIALURONATO
Ampollas 20 mg MAXIOSTENIL 2 ml JPR x 1 Trb-Pharma 3.231,00 2.230,65 2.230,65
25 mg ARTFLEX 25 mg + AG X 2 JPR x 1 Teva argentina ( 2.687,61 1.917,17 1.917,17
40 mg MAXIOSTENIL PLUS 2 ML JPR x 1 Trb-Pharma 4.785,00 3.303,65 3.303,65
Colirio 400 mg HIALUDORF HD COL x 10 Pharmadorf 692,87 506,38 506,38
Gel 300 mg BIOSOL OFT. GEL x 5 Novoplos 535,96 374,90 374,90
SODIO PICOSULFATO
Comprimidos 4 mg DAGOL CETUS COM x 20 Cetus 249,22 174,45 174,45
Gotas 750 mg MODATON GTS x 30 Montpellier 318,35 191,97 191,97

TRALI 8 mg/ml GTS x 30 Rontag 349,63 243,88 243,88
RAPILAX GTS x 50 Elea - Phoenix 687,30 481,11 481,11
SOTALOL
Comprimidos 80 mg SOTACOR 80 mg COM x 20 Nova Argentia 804,40 557,88 557,88
160 mg SOTACOR 160 mg COM x 20 Nova Argentia 1.149,08 796,93 796,93
SUCRALFATO
Líquido 20000 GASTROMED SUS x 200 Sanitas 583,95 346,07 346,07
mg
NETUNAL SUS x 200 Elea - Phoenix 680,30 460,43 460,43
SUCRALMAX SUS x 200 Eurofarma 696,66 485,01 485,01
SULFASALAZINA
Comprimidos 500 mg FLOGOSTOP 500 mg COM x 60 Teva argentina ( 980,47 640,59 640,59
AZULFIDINE EN-TABS TAB x 60 Pfizer 1.123,56 808,89 808,89
Página 104 de 116

A CARGO A CARGO
AFILIADO CRONICO
SULTAMICILINA
Comprimidos 375 mg UNASYNA 375 mg TAB x 8 Pfizer 431,92 319,74 319,74
AMPIGEN SB 375 mg COM x 8 Fabra 444,64 321,13 321,13
UNASYNA 375 mg TAB x 16 Pfizer 817,77 584,25 584,25
SUMATRIPTÁN
Ampollas 6 mg MICRANIL 0.50 ml JPR x 1 Pharmadorf 3.256,51 2.373,65 2.373,65
Comprimidos 50 mg IMIGRAN 50 mg TAB x 4 GlaxoSmithKline 1.195,39 828,19 828,19
100 mg MIGRATRIPTAN 100 mg COM x 2 Craveri 865,44 615,79 615,79

MICRANIL COM x 2 Pharmadorf 870,29 619,35 619,35
MICRANIL COM x 4 Pharmadorf 1.602,16 1.045,64 1.045,64

MIGRATRIPTAN 100 mg COM x 4 Craveri 1.590,11 1.090,16 1.090,16
TAMSULOSINA
Comprimidos 0,4 mg OMNIC 0.4 mg Lib.Control. CAP x 30 Gador 1.009,05 494,63 226,63
UROPROST-Q 0.4 mg CAP x 30 Ariston 1.162,59 658,67 375,75
DENVERPROST 0.4 mg Lib.Control. CAP x 30 Denver Farma 1.154,48 718,97 718,97
DIUFORTAN 0.4 mg CAP x 30 Lazar 1.196,05 752,31 752,31
UROCETINA 0.4 mg ib.Prol. CAP x 30 Eurolab 1.225,00 759,44 444,28
TAMSUNA 0.4 mg CAP x 30 Sandoz 1.313,16 848,25 533,67
PROSTOKLAR 0.4 mg Lib.Prol. COM x 30 Baliarda 1.397,15 943,65 639,25
TOLOXANE 0.4 mg LP CAP x 30 Beta 1.446,10 962,80 656,56
LOSTAM 0.4 mg Lib.Prol. CAP x 30 Temis-Lostalo 1.416,58 979,95 690,81
ACLOSAN 0.4 mg CAP x 30 Gobbi 1.419,63 993,74 729,63
TANSILOPROST RETARD 0.4 mg Lib.Prol. COM x Finadiet 1.429,83 1.002,26 721,44
30
TANSILOPROST 0.4 mg CAP x 30 Finadiet 1.429,88 1.002,32 721,52
URALOS CR 0.4 mg COM x 30 Casasco 1.438,06 1.007,07 723,12
REDUPROST 0.4 mg CAP x 30 Raffo 1.484,02 1.062,02 788,82
SULOS 0.4 mg COM x 30 Elea - Phoenix 1.629,12 1.177,21 971,26
OMNIC OCAS 0.4 mg Lib.Prol. COM x 30 Gador 1.669,34 1.187,80 1.027,28
URIFLUX 0.4 mg CAP x 30 Sidus 1.797,52 1.315,31 1.154,57
SECOTEX OCAS 0.4 mg COM x 30 Boehringer Ingelheim 2.732,06 1.974,28 1.721,68
TOLOXANE 0.4 mg LP CAP x 60 Beta 1.681,40 667,72 336,28

UROPROST-Q 0.4 mg CAP x 60 Ariston 1.946,47 925,03 463,45
DIUFORTAN 0.4 mg CAP x 60 Lazar 1.970,92 948,88 477,23
PROSTOKLAR 0.4 mg Lib.Prol. COM x 60 Baliarda 2.256,95 1.226,74 690,72
TANSILOPROST RETARD 0.4 mg Lib.Prol. COM x Finadiet 2.385,22 1.405,11 807,98
60
TANSILOPROST 0.4 mg CAP x 60 Finadiet 2.385,25 1.405,15 808,01
REDUPROST 0.4 mg CAP x 60 Raffo 2.477,81 1.515,82 898,09
OMNIC OCAS 0.4 mg Lib.Prol. COM x 60 Gador 2.925,77 2.081,80 1.800,47
TELMISARTAN
Comprimidos 40 mg TELPRES 40 mg COM x 28 Craveri 1.411,44 664,81 664,81
BERTEL 40 mg COM x 28 Elea - Phoenix 1.815,98 1.095,16 1.095,16
GLIOSARTAN 40 mg COM x 28 Bagó 1.810,29 1.114,80 1.114,80
MICARDIS 40 mg COM x 28 Boehringer Ingelheim 2.413,00 1.743,71 1.743,71
80 mg TELPRES 80 mg COM x 28 Craveri 1.976,01 928,83 928,83

BERTEL 80 mg COM x 28 Elea - Phoenix 2.552,64 1.543,14 1.543,14
GLIOSARTAN 80 mg COM x 28 Bagó 2.532,55 1.554,89 1.554,89
MICARDIS 80 mg COM x 28 Boehringer Ingelheim 3.389,62 2.449,45 2.449,45
Página 105 de 116

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 80 mg
TEOFILINA ANHIDRA
Comprimidos 300 mg DRILYNA 300 mg COM x 20 Bagó 362,82 249,44 174,44
TERAZOSINA
Comprimidos 2 mg GERIPROST 2 mg COM x 20 Teva argentina ( 264,78 141,07 76,83
FLUMARC 2 mg COM x 20 Raffo 280,39 159,74 91,77
FOSFOMIK 2 mg COM x 30 Finadiet 507,73 350,48 246,29

ANDRIN 2 mg COM x 30 Casasco 524,31 368,54 265,69
BLAVIN 2 mg COM x 30 Baliarda 527,33 371,02 267,69
BLAVIN 2 mg COM x 60 Baliarda 1.004,36 680,34 463,33
5 mg GERIPROST 5 mg COM x 20 Teva argentina ( 316,80 162,13 81,59

BENAPROST 5 mg COM x 28 Bagó 564,50 376,08 250,16

BLAVIN 5 mg COM x 60 Baliarda 1.250,35 839,02 562,38
10 mg GERIPROST 10 mg COM x 20 Teva argentina ( 471,09 289,32 173,88


BLAVIN 10 mg COM x 60 Baliarda 1.589,59 1.087,25 752,32
TERBINAFINA
Comprimidos 250 mg LAMISIL 250 mg COM x 14 Novartis 238,16 47,63 47,63
TACNA 250 mg COM x 14 Raymos 765,00 535,50 535,50
FUNGUEAL 250 mg COM x 14 Lazar 812,92 581,89 581,89
TACNA 250 mg COM x 28 Raymos 1.430,00 921,52 921,52

FUNGUEAL 250 mg COM x 28 Lazar 1.541,12 1.040,40 1.040,40
LAMISIL 250 mg COM x 28 Novartis 1.731,11 1.231,75 1.231,75
Crema 1000 mg FUNGUEAL 1% CRE x 15 Lazar 218,58 151,29 151,29
TERBUTALINA
Aerosol 0,5 mg BRICANYL TURBUHALER 0.5 mg Inh. AER x 100 Astrazeneca 326,19 186,25 186,25
TESTOSTERONA, SALES
Ampollas 250 mg SUSTANON 250 mg/ml AMP x 1 Techsphere - Aspen 561,19 301,58 301,58
TESTOVIRON DEPOT 250 mg/ml AMP x 1 Bayer (PH) 812,20 589,68 589,68
1000 mg NEBIDO 1000 mg/4 ml (1 g) AMP x 1 Bayer (PH) 5.267,43 3.704,04 3.704,04
TETÁNICO TOXOIDE
Ampollas 75 ui VACUNA ANTITETANICA BIOL + JGA AMP x 1 Biol 479,56 298,12 298,12 MAT
TETANOL PUR 0.5 ML JPR x 1 GlaxoSmithKline 563,21 401,33 401,33 MAT
TETRACICLINA
Comprimidos 250 mg TETRACICLINA OMEGA COM x 16 Omega 455,77 323,47 323,47
CICLOTETRYL GRA x 20 Ingens S.A. 532,23 367,49 367,49
Página 106 de 116

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 250 mg CICLOTETRYL GRA x 50 Ingens S.A. 225,15 45,03 45,03
500 mg CICLOTETRYL 500 CAP x 30 Fortbenton 702,25 509,32 509,32
CICLOTETRYL 500 CAP x 60 Fortbenton 1.100,62 694,41 694,41
TIBOLONA
Comprimidos 1,25 mg DISCRETAL 1.25 mg COM x 30 Beta 897,80 594,39 594,39
PARACLIM 1.25 mg COM x 30 Elea - Phoenix 950,39 678,85 678,85
CLIMATIX 1.25 mg COM x 30 Investi 991,46 710,86 710,86
2,5 mg KLIMASTRESS COM x 30 Craveri 908,28 477,75 477,75

TOCLINE 2.5 mg COM x 30 Rontag 953,10 561,87 561,87
DISCRETAL 2.5 mg COM x 30 Beta 1.206,05 802,84 802,84
CLIMATIX 2.5 mg COM x 30 Investi 1.213,04 855,84 855,84
PARACLIM 2.5 mg COM x 30 Elea - Phoenix 1.277,02 912,16 912,16
TIBOFEM 2.5 mg COM x 30 MSD Arrgentina SR 1.612,72 1.151,94 1.151,94
TICLOPIDINA CLORHIDRATO
Comprimidos 250 mg DOSIER COM x 40 Casasco 1.167,11 816,04 816,04
TIMOLOL
Colirio 250 mg PROFLAX 0.25% COL x 5 Sidus 262,61 184,82 133,37
500 mg TIMOPTIC XE 0.50% COL x 2,5 Mundipharma Ofta 825,24 589,46 510,86
PROTEVIS 500 mg COL x 5 Allergan-Loa 277,79 97,99 72,30

ZOPIROL 0.50 % COL x 5 Elea - Phoenix 291,85 110,14 80,08
POENTIMOL 0.50% COL x 5 Poen 344,83 160,18 80,85
TIMOLOL DORF 0.5 % COL x 5 Pharmadorf 452,87 265,67 168,56
PLOSTIM 0.50% COL x 5 Novartis 470,93 305,01 193,25
PROFLAX 0.50% COL x 5 Sidus 633,76 460,48 402,72
TINIDAZOL
Comprimidos 500 mg FASIGYN 500 ORAL TAB x 8 Pfizer 161,75 49,26 49,26
GYNORMAL ORAL COM x 8 Eurofarma 308,04 217,44 217,44
1000 mg FASIGYN 1 g ORAL TAB x 4 Pfizer 181,68 126,56 126,56
TIORIDAZINA
Comprimidos 10 mg MELERIL 10 GRA x 25 Roemmers 364,41 251,62 251,62
25 mg MELERIL 25 GRA x 25 Roemmers 481,59 332,53 332,53
200 mg MELERIL RETARD 200 mg COM x 20 Roemmers 946,76 653,72 653,72
TOBRAMICINA
Colirio 300 mg TOBRAMICINA DORF COL x 5 Pharmadorf 199,20 68,21 68,21
BIDEON BIOTIC COL x 5 Fecofar 243,73 110,37 110,37
TOBRAMICINA ATLAS COL x 5 Atlas 306,87 173,96 173,96
GOTABIOTIC SUSP. COL x 5 Poen 316,10 188,32 188,32
FOTEX COL x 5 Elea - Phoenix 381,06 269,57 269,57
TOBRAGAN 0.3% COL x 5 Allergan-Loa 448,35 323,98 323,98
TOBREX COL x 5 Novartis 460,68 327,79 327,79
TOBREX COL x 10 Novartis 266,02 53,20 53,20

RADINA COL x 10 Spedrog Caillon 324,00 81,92 81,92
Gel 300 mg GOTABIOTIC OFT. GEL x 5 Poen 340,52 234,62 234,62
Página 107 de 116

A CARGO A CARGO
AFILIADO CRONICO
TOBRAMICINA +
DEXAMETASONA
Colirio 300 mg TOBRALER DX SUSP. COL x 5 Lersan 228,00 81,18 81,18
BIDEON BIOTIC PLUS COL x 5 Fecofar 269,48 111,12 111,12
RADINA DEX COL x 5 Spedrog Caillon 320,00 159,30 159,30
TOBRATLAS DEXA COL x 5 Atlas 350,95 189,32 189,32
GOTABIOTIC F COL x 5 Poen 357,76 198,44 198,44
FOTADEX COL x 5 Elea - Phoenix 443,97 317,12 317,12
TOBRADEX COL x 5 Novartis 496,04 352,95 352,95
DECADRON C/TOBRAMICINA SUSP. COL x 5 Sidus 493,61 361,19 361,19
Ungüento 300 mg GOTABIOTIC F OFT. UNG x 3,5 Poen 392,25 244,34 244,34
FOTADEX OFT. UNG x 3,5 Elea - Phoenix 516,35 358,10 358,10
TOBRADEX OFT. UNG x 3,5 Novartis 539,72 384,03 384,03
TOBRAMICINA +
HIALURONICO, ÁCIDO
Colirio 300 mg TOBRALER COL x 5 Lersan 214,00 156,40 156,40
TOPIRAMATO
Comprimidos 15 mg TOPAMAC SPRINKLE 15 mg DISPERS CAP x 60 Janssen-Cilag 1.268,38 856,16 856,16
25 mg EPISTAL 25 mg COM x 28 Casasco 648,29 438,53 438,53

TOPICTAL 25 mg COM x 28 Raffo 649,88 440,05 440,05
NEUTOP 25 mg COM x 28 Elea - Phoenix 714,91 514,52 514,52
TOPAMAC 25 mg COM x 28 Janssen-Cilag 804,58 563,21 563,21
TOPICTAL 25 mg COM x 56 Raffo 1.147,13 685,34 685,34

NEUTOP 25 mg COM x 56 Elea - Phoenix 1.354,96 938,31 938,31
TOPAMAC SPRINKLE 25 mg DISPERS CAP x 60 Janssen-Cilag 2.185,93 1.530,15 1.530,15
50 mg TOPICTAL 50 mg COM x 28 Raffo 1.223,92 836,36 836,36

EPISTAL 50 mg COM x 28 Casasco 1.238,64 855,26 855,26
NEUTOP 50 mg COM x 28 Elea - Phoenix 1.312,70 935,73 935,73
TOPAMAC 50 mg COM x 28 Janssen-Cilag 1.480,45 1.036,31 1.036,31
TOPICTAL 50 mg COM x 56 Raffo 2.312,49 1.503,74 1.503,74

NEUTOP 50 mg COM x 56 Elea - Phoenix 2.510,52 1.731,68 1.731,68
100 mg TOPICTAL 100 mg COM x 28 Raffo 1.893,80 1.315,21 1.315,21

EPISTAL 100 mg COM x 28 Casasco 1.897,35 1.320,76 1.320,76
TOPAMAC 100 mg COM x 28 Janssen-Cilag 2.256,13 1.579,29 1.579,29
TOPICTAL 100 mg COM x 56 Raffo 3.534,60 2.316,68 2.316,68

EPISTAL 100 mg COM x 56 Casasco 3.560,65 2.352,10 2.352,10
TRIAMCINOLONA
Aerosol 0,055 mg NASACORT AQ AER x 120 Sanofi Aventis OTC 923,00 624,32 624,32
Ampollas 30 mg FORTCINOLONA 5 ML AMP x 1 Fortbenton 716,75 503,43 503,43
40 mg FORTCINOLONA 40 mg 1 ml AMP x 1 Fortbenton 1.027,59 721,76 721,76
Pomada 1000 mg TRIAMPOEN OFT. PDA x 5 Poen 41,15 23,50 23,50
TRIFLUOPERAZINA
Comprimidos 5 mg CUAIT TRIFLUOPERAZINA 5 mg COM x 30 Ariston 953,25 671,61 671,61
10 mg CUAIT TRIFLUOPERAZINA 10 mg COM x 30 Ariston 1.054,00 742,59 742,59
Página 108 de 116

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg
TRIHEXIFENIDILO
CLORHIDRATO
Comprimidos 5 mg ARTANE 5 mg COM x 50 Pfizer 702,66 491,50 491,50
TRIHEXIFENIDILO CEVALLOS 5 mg COM x 50 Cevallos 740,00 518,00 518,00
TRIMEBUTINA MALEATO
Comprimidos 100 mg MIOPROPAN 100 COM x 20 Bernabo 273,02 197,18 197,18
EUMOTIL 100 mg COM x 20 Baliarda 285,01 206,67 206,67
PLIDEX 100 COM x 30 Roemmers 341,78 222,93 222,93
MIOPROPAN 100 COM x 40 Bernabo 427,19 256,95 256,95
200 mg BIORGAN 200 mg COM x 20 Teva argentina ( 323,70 228,49 228,49

MIOPROPAN 200 mg COM x 20 Bernabo 360,79 260,57 260,57
DEBRIDAT 200 mg COM x 20 Pfizer 458,77 330,29 330,29
PROCINET NF 200 mg COM x 30 Eurofarma 362,10 199,53 199,53

COLIXANE 200 COM x 30 Sanitas 407,48 261,43 261,43
NEOTINA 200 COM x 30 Rossmore Pharma 452,35 307,29 307,29
PLIDEX 200 COM x 30 Roemmers 467,08 330,07 330,07
BIORGAN 200 mg COM x 40 Teva argentina ( 520,48 316,21 316,21

DEBRIDAT 200 mg COM x 40 Pfizer 858,07 617,76 617,76

NEOTINA 200 COM x 60 Rossmore Pharma 915,78 628,28 628,28
300 mg BIORGAN AP 300 mg COM x 20 Teva argentina ( 436,37 308,02 308,02

MIOPROPAN LP 300 mg COM x 20 Bernabo 486,38 351,27 351,27
DEBRIDAT AP 300 mg LIB.PROL. COM x 20 Pfizer 604,41 435,14 435,14
MIOPROPAN LP 300 mg COM x 30 Bernabo 587,46 389,30 389,30

EUMOTIL 300 Lib.Prol. COM x 30 Baliarda 629,23 441,49 441,49
PLIDEX AP 300 mg COM x 30 Roemmers 630,44 447,31 447,31
MIOPROPAN LP 300 mg COM x 60 Bernabo 1.129,26 720,79 720,79
TRIMETOPRIMA +
SULFAMETOXASOL
Comprimidos 80 mg BACTRIM COM x 20 Investi 419,00 290,53 290,53
160 mg NETOCUR 800/160 mg COM x 10 Duncan 305,20 124,07 124,07

TRITENK FORTE COM x 10 Biotenk 381,20 184,32 184,32
BACTRIM FORTE COM x 10 Investi 558,92 400,74 400,74
BACTICEL COM x 12 Bagó 445,44 208,80 208,80
DOSULFIN FORTE COM x 14 Nova Argentia 556,24 281,64 281,64
Líquido 40 mg NETOCUR JBE x 100 Duncan 294,08 150,93 150,93

BACTRIM JBE x 100 Investi 437,88 305,91 305,91
ADRENOL JBE x 100 Fabra 474,79 342,90 342,90
BACTICEL JBE x 120 Bagó 397,07 208,11 208,11
TROPICAMIDA
Página 109 de 116

A CARGO A CARGO
AFILIADO CRONICO
Colirio 1000 mg ALCON MYDRIL 1% COL x 5 Alcon 392,29 264,80 264,80
URSODESOXICÓLICO, ÁCIDO
Comprimidos 150 mg AUDECOL 150 mg COM x 20 Ariston 515,43 312,43 312,43
URSODIOL 150 mg COM x 20 Hlb Pharma 563,50 392,00 392,00
DEXO 150 mg COM x 20 Dominguez 615,39 424,45 424,45
URZAC 150 mg COM x 20 Eurofarma 623,00 436,10 436,10
250 mg UDCA FERRING 250 mg CAP x 30 Ferring 1.362,88 941,04 941,04
UDCA FERRING 250 mg CAP x 60 Ferring 2.596,02 1.792,49 1.792,49
URSOFALK 250 mg CAP x 100 Biotoscana 4.886,24 3.373,83 3.373,83
300 mg AUDECOL 300 mg COM x 20 Ariston 894,60 607,43 607,43

DEXO 300 mg COM x 20 Dominguez 1.054,92 781,45 781,45
URSODIOL 300 mg COM x 30 Hlb Pharma 1.048,38 611,03 611,03

UTRAL 300 mg COM x 30 Sanitas 1.186,60 746,80 746,80
URSOMAX 300 mg COM x 30 Spedrog Caillon 1.230,01 759,55 759,55
URZAC 300 mg COM x 30 Eurofarma 1.323,00 916,90 916,90
URSOTOP COM x 30 Rossmore Pharma 1.353,25 925,19 925,19
UDCA FERRING 300 mg CAP x 30 Ferring 1.362,88 951,22 951,22
AUDECOL 300 mg COM x 50 Ariston 2.061,38 1.324,28 1.324,28

URSODIOL 300 mg COM x 50 Hlb Pharma 2.127,50 1.480,00 1.480,00
URZAC 300 mg COM x 50 Eurofarma 2.228,07 1.556,17 1.556,17
URSOTOP 300 mg COM x 50 Rossmore Pharma 2.537,74 1.845,63 1.845,63
DEXO 300 mg COM x 50 Dominguez 2.542,79 1.864,25 1.864,25
UTRAL 300 mg COM x 60 Sanitas 2.296,32 1.394,30 1.394,30

URSOMAX 300 mg COM x 60 Spedrog Caillon 2.420,00 1.459,48 1.459,48
UDCA FERRING 300 mg CAP x 60 Ferring 2.596,02 1.742,95 1.742,95
500 mg URSODIOL FORTE 500 mg COM x 30 Hlb Pharma 2.208,00 1.536,00 1.536,00
DEXO FORTE 500 mg COM x 30 Dominguez 2.381,85 1.604,74 1.604,74
URZAC FORTE 500 mg COM x 30 Eurofarma 2.323,51 1.626,46 1.626,46
URSODIOL FORTE 500 mg COM x 50 Hlb Pharma 3.703,00 2.576,00 2.576,00

URSOFALK 500 mg COM x 50 Biotoscana 4.754,16 3.395,83 3.395,83
URSOFALK 500 mg COM x 100 Biotoscana 9.040,55 6.457,54 6.457,54
Líquido 250 mg URSOFALK Oral SUS x 250 Biotoscana 3.690,64 2.548,30 2.548,30
VAC. ANTIPOLIOMIELITIS
Ampollas 0,001 ml IMOVAX POLIO AMP x 1 Sanofi Pasteur 489,92 343,85 343,85
VALPROICO, ÁCIDO
Comprimidos 250 mg DEPAKENE Bllandas CAP x 50 Abbott Epd 739,24 525,42 383,96
Líquido 250 mg LOGICAL JBE x 120 Teva argentina ( 371,17 252,26 173,66 INF
EXIBRAL JBE x 120 Bagó 378,62 258,90 179,55 INF
DEPAKENE JBE x 120 Abbott Epd 409,96 290,43 211,26 INF
VALSARTAN
Comprimidos 40 mg DIOVAN IC 40 mg COM x 14 Novartis 791,66 544,27 380,61
80 mg DIOVAN 80 mg COM x 14 Novartis 212,38 63,71 42,48

SIMULTAN 80 mg COM x 14 Lazar 415,03 265,59 164,42
ALPERTAN 80 mg COM x 14 Raffo 468,90 331,16 240,56
Página 110 de 116

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 80 mg RACORVAL 80 mg COM x 14 Nova Argentia 478,85 340,72 294,68
DIAPRESAN 80 mg COM x 15 Montpellier 394,03 217,33 123,84

SARVAL 80 mg COM x 15 Baliarda 467,38 310,90 205,76
HIPERVAL 80 COM x 28 Richmond 756,24 448,21 249,07

SIMULTAN 80 mg COM x 28 Lazar 815,38 512,37 307,48
DILCORAN 80 mg COM x 28 Casasco 879,85 589,83 395,42
RACORVAL 80 mg COM x 28 Nova Argentia 899,67 613,13 421,85
DIOVAN 80 mg COM x 28 Novartis 1.056,00 739,20 633,60
COROSAN 80 mg COM x 30 Elea - Phoenix 705,24 353,86 193,50

NICORVAS 80 mg COM x 30 Temis-Lostalo 856,67 525,76 313,40
DILCORAN 80 mg COM x 56 Casasco 1.686,18 1.087,15 681,37
160 mg SIMULTAN 160 mg REC. COM x 14 Lazar 523,13 323,94 193,09

RACORVAL 160 mg COM x 14 Nova Argentia 605,94 429,27 313,74
DIOVAN 160 mg COM x 14 Novartis 749,07 524,35 449,45

HIPERVAL 160 COM x 28 Richmond 943,42 529,30 285,49

SIMULTAN 160 mg REC. COM x 28 Lazar 1.040,10 639,90 380,28
DILCORAN 160 mg COM x 28 Casasco 1.141,25 763,18 509,55
RACORVAL 160 mg COM x 28 Nova Argentia 1.163,53 789,18 538,90
ALPERTAN 160 mg COM x 28 Raffo 1.218,57 859,91 623,94
DIOVAN 160 mg COM x 28 Novartis 1.348,03 943,62 808,82
COROSAN 160 mg COM x 30 Elea - Phoenix 876,24 420,83 240,42

NICORVAS 160 mg COM x 30 Temis-Lostalo 1.115,88 685,86 409,11
SARVAL 160 mg COM x 30 Baliarda 1.176,83 757,95 473,91
DILCORAN 160 mg COM x 56 Casasco 2.222,78 1.451,38 930,49
320 mg DIOVAN 320 mg COM x 14 Novartis 239,00 71,70 47,80

SIMULTAN 320 mg COM x 28 Lazar 1.095,37 636,77 369,14

DILCORAN 320 mg Rec. COM x 28 Casasco 1.273,33 859,16 582,06
ALPERTAN 320 mg COM x 28 Raffo 1.280,39 869,92 596,16
DIOVAN 320 mg COM x 28 Novartis 1.471,18 1.029,82 882,70
COROSAN 320 mg COM x 30 Elea - Phoenix 1.050,01 543,83 288,10

RACORVAL 320 mg COM x 30 Nova Argentia 1.208,30 730,33 428,42
SARVAL 320 mg COM x 30 Baliarda 1.298,28 838,90 528,04
DILCORAN 320 mg COM x 56 Casasco 2.604,43 1.789,67 1.247,77
VALSARTAN +
HIDROCLOROTIAZIDA
Comprimidos 80 mg SIMULTAN D 80/12.5 mg COM x 14 Lazar 485,06 346,11 255,29
SIMULTAN D 80/12.5 mg COM x 28 Lazar 837,49 527,78 317,38

RACORVAL D 80/12.5 mg COM x 28 Nova Argentia 935,30 645,08 452,12
Página 111 de 116

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 80 mg DILCORAN D 80/12.5 mg COM x 28 Casasco 933,20 646,84 457,41

ALPERTAN D 80/12.5 mg COM x 28 Raffo 935,17 647,50 456,87
DIOVAN D 80/12.5 mg COM x 28 Novartis 1.263,85 899,28 777,75
COROSAN D 80/12.5 mg COM x 30 Elea - Phoenix 640,01 309,59 309,59

DIAPRESAN D 80/12.5 mg COM x 30 Montpellier 793,07 428,98 240,16
NICORVAS DIUR 80/12.5 mg COM x 30 Temis-Lostalo 817,79 459,36 263,86
SARVAL D 80/12.5 COM x 30 Baliarda 954,50 634,38 419,37
DILCORAN D 80/12.5 mg COM x 56 Casasco 1.843,51 1.265,64 882,07
160 mg SIMULTAN D 160/12.5 mg COM x 14 Lazar 493,65 312,11 188,86

DIOVAN D 160/12.5 mg COM x 14 Novartis 881,21 627,02 542,29
SIMULTAN D 160/12.5 mg COM x 28 Lazar 936,96 558,77 327,49

SIMULTAN D 160/25 mg COM x 28 Lazar 1.103,94 652,30 380,77
RACORVAL D 160/12.5 mg COM x 28 Nova Argentia 1.044,28 689,98 451,30
ALPERTAN D 160/12.5 mg COM x 28 Raffo 1.042,55 691,06 454,90
DILCORAN D 160/12.5 mg COM x 28 Casasco 1.041,12 691,48 456,97
DIOVAN D 160/12.5 mg COM x 28 Novartis 1.480,49 1.053,42 911,07
DIOVAN D 160/25 mg COM x 28 Novartis 1.509,21 1.073,86 928,46
COROSAN D 160/12.5 mg COM x 30 Elea - Phoenix 758,52 370,21 370,21

DIAPRESAN D 160/12.5 mg COM x 30 Montpellier 981,56 567,69 329,69
SARVAL D 160/12.5 COM x 30 Baliarda 1.074,28 685,54 421,70
DIAPRESAN D 160/25 mg COM x 30 Montpellier 1.182,85 697,36 408,24
NICORVAS DIUR 160/25 mg COM x 30 Temis-Lostalo 1.194,64 712,63 419,57
SARVAL D 160/25 mg COM x 30 Baliarda 1.355,64 911,83 614,37
DILCORAN D 160/12.5 mg COM x 56 Casasco 2.147,88 1.464,48 1.009,80
320 mg ALPERTAN D 320/12.5 mg COM x 28 Raffo 1.395,07 886,02 540,28

ALPERTAN D 320/25 mg COM x 28 Raffo 1.420,43 915,19 573,19
DIOVAN D 320/12.5 mg COM x 28 Novartis 1.677,17 1.193,37 959,84
DIOVAN D 320/25 mg COM x 28 Novartis 1.677,17 1.193,37 955,23
SIMULTAN D 320/12.5mg COM x 30 Lazar 1.232,90 636,84 326,27

SIMULTAN D 320/25 mg COM x 30 Lazar 1.245,16 646,64 334,96
SARVAL D 320/12.5 mg COM x 30 Baliarda 1.394,31 808,32 482,75
SARVAL D 320/25 mg COM x 30 Baliarda 1.423,93 844,01 508,10
VENLAFAXINA
Comprimidos 25 mg ELAFAX 25 mg COM x 30 Gador 363,22 250,02 250,02
SESAREN 25 mg COM x 30 Roemmers 373,45 261,73 261,73
37,5 mg GANAVAX 37.5 mg COM x 30 Rontag 849,36 592,47 592,47
EFEXOR XR 37,5 mg LIB.PROL. CAP x 7 Pfizer 245,00 177,04 177,04
VENLIFAX XR 37.5 mg CAP x 14 Baliarda 436,90 303,93 303,93

ELAFAX LP 37.5 mg CAP x 14 Gador 452,82 323,44 323,44
PSISEVEN 37.5 mg lib. prol. CAP x 28 Eurofarma 807,84 537,95 537,95

SUNVEX LP 37.5 mg CAP x 28 Casasco 869,41 602,64 602,64
SESAREN XR 37.5 mg CAP x 28 Roemmers 870,71 607,89 607,89
MAXIBRAL XR 37.5 mg CAP x 30 Montpellier 790,56 461,88 461,88
50 mg ELAFAX 50 mg COM x 30 Gador 451,33 308,12 308,12

GANAVAX 50 mg COM x 30 Rontag 862,67 601,75 601,75
Página 112 de 116

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 50 mg
75 mg QUILAREX 75 mg COM x 30 Ariston 598,63 356,44 356,44
ELAFAX 75 mg COM x 30 Gador 629,73 385,90 385,90
GANAVAX 75 mg COM x 30 Rontag 1.026,55 716,07 716,07
EFEXOR XR 75 mg LIB.PROL. CAP x 14 Pfizer 490,58 354,50 354,50
SESAREN XR 75 mg CAP x 15 Roemmers 516,02 369,97 369,97
QUILAREX XR 75 mg COM x 28 Ariston 816,42 514,95 514,95

PSISEVEN 75 mg lib. prol. CAP x 28 Eurofarma 887,40 610,09 610,09
VENLIFAX XR 75 mg CAP x 28 Baliarda 899,45 612,95 612,95
SUNVEX LP 75 mg CAP x 28 Casasco 899,92 613,68 613,68
ELAFAX LP 75 mg CAP x 28 Gador 940,45 665,16 665,16
EFEXOR XR 75 mg LIB.PROL. CAP x 28 Pfizer 1.014,47 733,06 733,06
ELAFAX XR 75 mg COM x 28 Gador 1.042,12 749,94 749,94
MAXIBRAL XR 75 mg CAP x 30 Montpellier 867,48 530,38 530,38

SESAREN XR 75 mg CAP x 30 Roemmers 967,26 665,53 665,53
150 mg SESAREN XR 150 mg CAP x 15 Roemmers 717,13 508,99 508,99
QUILAREX XR 150 mg COM x 28 Ariston 1.130,11 689,41 689,41

PSISEVEN 150 mg lib. prol. CAP x 28 Eurofarma 1.229,10 824,51 824,51
VENLIFAX XR 150 mg CAP x 28 Baliarda 1.277,51 867,03 867,03
SUNVEX LP 150 mg CAP x 28 Casasco 1.287,38 879,44 879,44
ELAFAX LP 150 mg CAP x 28 Gador 1.347,81 959,02 959,02
EFEXOR XR 150 mg LIB.PROL. CAP x 28 Pfizer 1.361,46 969,43 969,43
ELAFAX XR 150 mg COM x 28 Gador 1.419,34 1.009,91 1.009,91
MAXIBRAL XR150 mg CAP x 30 Montpellier 1.197,31 703,06 703,06

SESAREN XR 150 mg CAP x 30 Roemmers 1.376,58 947,91 947,91
225 mg SESAREN XR 225 mg CAP x 15 Roemmers 996,42 714,41 714,41
ELAFAX LP 225 mg CAP x 28 Gador 1.756,17 1.249,58 1.249,58
SESAREN XR 225 mg CAP x 30 Roemmers 1.805,96 1.241,33 1.241,33
VERAPAMILO
Comprimidos 80 mg VERAL 80 mg TAB x 30 Nova Argentia 80,19 24,06 16,04
ISOPTINO 80 mg RECUB. COM x 30 Abbott Epd 447,21 323,12 281,76
120 mg ISOPTINO RETARD CAP x 20 Abbott Epd 660,98 462,29 330,86
VERAL RETARD 120 mg TAB x 30 Nova Argentia 126,17 37,85 25,23
240 mg VERAL RETARD 240 mg TAB x 30 Nova Argentia 1.381,27 900,41 575,73
ISOPTINO MD 240 mg Lib.Prol. GRA x 30 Abbott Epd 1.525,34 1.075,49 778,81
VIGABATRIN
Comprimidos 500 mg SABRIL 500 mg COM x 60 Sanofi Aventis 3.488,14 2.398,10 2.398,10
VITAMINA A
Comprimidos 50000 ui TANVIMIL A 50000 UI CAP x 30 Raymos 276,92 192,41 192,41
TANVIMIL A 50000 UI CAP x 60 Raymos 461,50 267,80 267,80
100000 ui TANVIMIL A 100000 CAP x 30 Raymos 261,03 176,20 176,20
Líquido 3000000 TANVIMIL A Gotero SOL x 10 Raymos 29,84 17,04 17,04

ui
Página 113 de 116

A CARGO A CARGO
AFILIADO CRONICO
VITAMINA B1
Comprimidos 300 mg TIAMINA AUSTRAL 300 mg COM x 30 Austral 548,00 385,50 385,50
VITAMINA B1 + VITAMINA B2 +
VITAMINA B6 + VITAMINA B12
+ VITAMINA B3 + CALCIO
PANTOTENATO + VITAMINA H
Comprimidos 15 mg BECOZYM GRA x 30 Bayer Consumer 224,50 151,54 151,54 MAT
VITAMINA B1 + VITAMINA B6 +
VITAMINA B12
Ampollas 100 mg BAGO B1 B6 B12 10000 3 ML AMP x 3 Bagó 791,58 563,24 563,24 MAT
BAGO B1 B6 B12 10000 3 ML AMP x 6 Bagó 1.488,84 1.011,70 1.011,70 MAT
Comprimidos 125 mg TANVIMIL B1 B6 B12 COM x 30 Raymos 424,08 88,76 88,76 MAT
BAGO B1 B6 B12 5000 COM x 30 Bagó 993,19 706,69 706,69 MAT
BAGO B1 B6 B12 CB 5000 CB CAP x 30 Bagó 1.065,87 758,41 758,41
250 mg COBENEXOL FUERTE COM x 30 Bayer Consumer 575,00 388,12 388,12 MAT
Líquido 1000 mg BAGO B1 B6 B12 SOL x 100 Bagó 646,52 444,48 444,48 MAT
VITAMINA B12
Comprimidos 1 mg SL B12 COM x 15 Dominguez 627,10 467,43 467,43
SL B12 COM x 30 Dominguez 1.090,44 785,95 785,95
VITAMINA B6
Comprimidos 100 mg TANVIMIL B6 COM x 20 Raymos 32,76 6,55 6,55
TANVIMIL B6 COM x 30 Raymos 180,68 126,48 126,48
VITAMINA C
Comprimidos 250 mg TANVIMIL C 250 COM x 50 Raymos 15,70 8,96 8,96
500 mg TANVIMIL C 500 COM x 20 Raymos 15,88 9,07 9,07
TANVIMIL C 500 COM x 50 Raymos 31,42 12,40 12,40
Líquido 20000 TANVIMIL C Gotero SOL x 20 Raymos 25,93 5,19 5,19

mg
VITAMINA D2
Gotas 600000 ui TANVIMIL D Gotero GTS x 10 Raymos 178,50 120,49 120,49
1000000 OSTELIN POTENCIA 100 GTS x 10 Roemmers 259,63 179,27 179,27

ui
6560000 DENURIX GTS x 4 Dominguez 386,82 262,26 262,26
ui
RAQUIFEROL (D2) GTS x 4 Roemmers 381,22 263,22 263,22
DENURIX GTS x 10 Dominguez 852,41 508,75 508,75
VITAMINA D3
Comprimidos 10 ui CALCITRIOL CAP x 30 Raymos 535,70 294,95 294,95
CALCIRAQUIFEROL D3 BLANDAS CAP x 30 Roemmers 601,58 347,20 347,20
CALCITRIOL 0.25 mcg CAP x 30 Investi 699,57 494,02 494,02
100000 ui SUBICAL CB CAP x 1 Bernabo 444,79 299,07 299,07

ORAVIL CB CAP x 1 Trb-Pharma 503,00 356,30 356,30
DEVISAL CB CAP x 1 Baliarda 521,78 378,41 378,41
DEBLAX Bland. CAP x 1 Raffo 583,52 417,59 417,59
Página 114 de 116

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 100000 ui SUBICAL CB CAP x 2 Bernabo 718,16 379,41 379,41

DEVISAL CB CAP x 2 Baliarda 827,78 508,28 508,28
ORAVIL CB CAP x 2 Trb-Pharma 817,00 508,76 508,76
DEBLAX Bland. CAP x 2 Raffo 907,72 617,53 617,53
TRIP D3 CAP x 1 Craveri 601,85 428,24 428,24
TRIP D3 CAP x 3 Craveri 1.311,95 860,38 860,38
Líquido 10 ui CALCITOL D3 Oral SOL x 2 Investi 463,05 165,83 165,83
400 ui STEROGYL 400 Oral SOL x 10 Spedrog Caillon 441,01 304,51 304,51
1000 ui STEROGYL 1000 Oral SOL x 4 Spedrog Caillon 518,00 263,04 263,04
100000 ui OSTEODYN Oral 2 ml AMB x 1 Montpellier 414,22 294,15 294,15

STEROGYL 2 ml AMB x 1 Spedrog Caillon 420,01 300,01 300,01
SUBICAL 100000 UI 2 ml AMB x 1 Bernabo 422,08 300,32 300,32
ORAVIL 2 ml AMB x 1 Trb-Pharma 438,00 310,20 310,20
DEVISAL 2 ml AMB x 1 Baliarda 435,52 311,09 311,09
GADOFEROL 2 ml AMB x 1 Gador 458,19 326,02 326,02
VITERGIN 2 ml AMB x 1 Beta 501,09 363,43 363,43
TESTRI 2 ml AMB x 1 Elea - Phoenix 555,54 396,81 396,81
RAQUIFEROL D3 Oral SOL x 2 Roemmers 423,89 138,28 138,28
RAQUIFEROL D3 Oral SOL x 4 Roemmers 520,68 116,26 116,26
200000 ui ORAVIL Oral SOL x 6 Trb-Pharma 539,00 368,70 368,70
VITAMINA E
Comprimidos 200 mg TANVIMIL E 200 mg CAP x 30 Raymos 232,02 162,41 162,41
TANVIMIL E 200 mg CAP x 60 Raymos 360,93 221,50 221,50
TANVIMIL E 200 mg CAP x 100 Raymos 375,26 125,92 125,92
VITAMINA K1
Ampollas 10 mg VITAMINA K1 BIOL 10 mg 1 ml AMP x 3 Biol 433,73 302,85 302,85
10 mg KONAKION MM 10 mg AMP x 5 Investi 817,28 573,59 573,59
Comprimidos 10 mg TANVIMIL K COM x 10 Raymos 210,19 141,88 141,88
Líquido 2 mg KONAKION MM 2 mg AMP.C/DOSIF.ORAL SOL x Investi 291,51 202,13 202,13

5
WARFARINA SÓDICA
Comprimidos 1 mg COUMADIN 1 mg COM x 30 Bristol 226,19 152,68 104,05
2 mg CIRCUVIT 2 mg COM x 20 Ariston 252,86 174,46 123,00
CIRCUVIT 2 mg COM x 50 Ariston 610,59 409,64 276,44
5 mg CIRCUVIT 5 mg COM x 20 Ariston 290,21 203,15 174,13
COUMADIN 5 mg COM x 30 Bristol 267,32 127,50 54,47
CIRCUVIT 5 mg COM x 50 Ariston 653,21 457,25 343,19
WISTAR CEPA
Ampollas 150 ui VERORAB VAC. ANTIRRABICA AMP x 1 Sanofi Pasteur 2.579,73 1.810,55 1.810,55
ZOLPIDEM
Comprimidos 1,75 mg SOMIT INTERSUEÑO Subl. COM x 15 Gador 282,76 196,88 196,88
Página 115 de 116

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 3,5 mg SOMIT INTERSUEÑO Subl. 3.5 mg COM x 15 Gador 367,80 256,08 256,08
5 mg SOMIT 5 mg COM x 30 Gador 399,22 274,46 274,46
6,25 mg AMBIEN CR 6.25 mg COM x 28 Sanofi Aventis 542,19 367,08 367,08
SOMIT CR 6.25 mg Lib. Mod. COM x 30 Gador 587,35 403,80 403,80
10 mg DORMI-ROS 10 mg COM x 30 Rospaw 350,50 185,76 185,76

SUMENAN 10 mg COM x 30 Spedrog Caillon 396,01 214,62 214,62
ZOLODORM 10 mg COM x 30 Richmond 418,28 251,15 251,15
NOCTE 10 mg COM x 30 Bagó 471,45 314,21 314,21
DORMILAN 10 mg COM x 30 Baliarda 487,75 329,94 329,94
SOMIT 10 mg COM x 30 Gador 492,94 340,73 340,73
12,5 mg AMBIEN CR 12.5 mg COM x 28 Sanofi Aventis 704,99 479,53 479,53
SOMIT CR 12.5 mg COM x 30 Gador 759,40 522,09 522,09
10 mg NOCTE SUBLINGUAL 10 mg COM x 30 Bagó 876,56 602,64 602,64
Página 116 de 116

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Formulario Terapéutico Ambulatorio - IAPOS 07/10/2019

4 mg SINTROM 4 mg COM x 20 Nova Argentia 658,77 468,02 343,41

AZECAR 4 mg COM x 30 Bagó 859,32 542,57 327,91

BRONCOLIUM 200 mg COM x 12 Temis-Lostalo 409,08 225,83 225,83

600 mg QURA MUK 600 mg COM x 10 Bernabo 389,51 241,96 241,96

BRONCOLIUM 600 mg EFERV. COM x 12 Temis-Lostalo 530,93 368,74 368,74

QURA MUK 600 mg COM x 20 Bernabo 635,79 317,08 317,08

BRONCOLIUM 600 mg EFERV. COM x 24 Temis-Lostalo 866,37 487,24 487,24

Líquido 2000 mg BRONCOLIUM JBE x 100 Temis-Lostalo 291,19 149,85 149,85

Sobres 200 mg TOFLUX 200 mg SOB x 20 Casasco 847,07 592,26 592,26

600 mg CISTEFORT 600 mg SOB x 10 Fortbenton 425,03 278,51 278,51

CISTEFORT 600 mg SOB x 20 Fortbenton 681,55 357,03 357,03

ACETIL SALICÍLICO, ÁCIDO

ASPIRINA PREVENT CUB.ENTERICA COM x 50 Bayer (PH) 252,84 176,08 176,08

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

400 mg POVIRAL 400 mg COM x 20 Roemmers 487,77 328,90 328,90

POVIRAL 400 mg COM x 40 Roemmers 915,23 581,98 581,98

800 mg XICLOVIR 800 mg COM x 20 Lazar 799,42 538,58 538,58

POVIRAL 800 mg COM x 40 Roemmers 1.474,90 928,74 928,74

Crema 5000 mg XICLOVIR 5% CRE x 5 Lazar 194,02 119,93 119,93

ZOVIRAX 5% CRE x 10 GlaxoSmithKline 343,85 183,72 183,72 INF

Líquido 8000 mg XICLOVIR 8% SUS x 120 Lazar 583,29 398,15 398,15

POVIRAL 8% SUS x 125 Roemmers 587,86 392,42 392,42

LISOVYR 5% UNG x 10 Elea - Phoenix 333,40 229,36 229,36 INF

25 mg NEOTIGASON 25 mg CAP x 30 Sandoz 4.756,50 3.311,77 3.311,77

ACTIMAX 70 mg COM x 8 Investi 256,12 62,82 62,82

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

Comprimidos 70 mg FINDECLIN 70 mg COM x 8 Finadiet 945,60 677,98 677,98

ALLOPURINOL GADOR 100 mg COM x 60 Gador 318,32 207,45 207,45

300 mg PURITENK 300 mg COM x 20 Biotenk 280,00 196,00 196,00

ALLOPURINOL HOUDE 300 mg COM x 30 Spedrog Caillon 246,81 103,30 103,30

ALLOPURINOL CRAVERI 300 mg COM x 40 Craveri 638,12 454,05 454,05

ALLOPURINOL GADOR 300 mg COM x 60 Gador 629,18 337,40 337,40

ALLOPURINOL GADOR RETARD 300 mg COM x Gador 532,16 380,11 380,11

PRINOX 0.25 mg-Andrómaco COM x 50 Eurofarma 134,60 84,13 84,13

PLASEDAN 0.25 mg COM x 60 Eurofarma 32,89 6,58 6,58

0,5 mg TRANQUINAL 0.5 mg COM x 10 Bagó 75,51 53,73 53,73

PLASEDAN 0.5 mg COM x 30 Eurofarma 31,83 6,37 6,37

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

Comprimidos 0,5 mg PRINOX 0.5 mg COM x 50 Eurofarma 251,00 162,53 162,53

PLASEDAN 0.5 mg COM x 60 Eurofarma 61,53 12,31 12,31

TRANQUINAL 0.5 mg COM x 100 Bagó 537,19 363,93 363,93

ALPLAX XR 0.5 mg COM x 20 Gador 231,40 161,77 161,77

1 mg PLASEDAN 1 mg COM x 30 Eurofarma 56,23 11,25 11,25

PRINOX 1 mg COM x 50 Eurofarma 444,24 310,97 310,97

PLASEDAN 1 mg COM x 60 Eurofarma 101,85 20,37 20,37

TRANQUINAL 1 mg COM x 100 Bagó 826,27 537,17 537,17

ALPLAX XR 1 mg COM x 20 Gador 266,18 186,08 186,08

2 mg PLASEDAN 2 mg COM x 30 Eurofarma 79,57 15,91 15,91

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

Comprimidos 2 mg AMZIAX 2 mg COM x 30 Soubeiran Chobet 378,34 240,06 240,06

PRINOX 2 mg COM x 50 Eurofarma 635,98 412,04 412,04

PLASEDAN 2 mg COM x 60 Eurofarma 148,53 29,71 29,71

TRANQUINAL 2 mg COM x 100 Bagó 1.389,71 957,73 957,73

ALPLAX XR 2 mg COM x 20 Gador 326,16 228,01 228,01

0,5 mg TENSIUM SL 0.5 mg COM x 30 Baliarda 196,39 93,51 93,51

Gotas 1 mg TRANQUINAL 1MG/ML GTS x 30 Bagó 292,23 200,91 200,91

AMPAKINE 100 mg COM x 30 Rontag 744,26 409,97 409,97

AMPAKINE 100 mg COM x 60 Rontag 1.424,88 758,95 758,95

ATLANSIL 200 mg COM x 50 Roemmers 1.066,35 744,98 532,65

BATMOTROPIN COM x 60 Bagó 67,37 20,21 13,47

25 mg AMIPTRIL 25 Mg COM x 30 Rospaw 368,54 261,94 261,94

TRYPTANOL 25 mg COM x 100 Bagó 1.254,90 856,71 856,71