Valor

Preço Máximo Motivo de

TISS TP TISS Código do Nome e Apresentação Unid Mín Registro Atualização Fator Taxa Tipo de Data Fim Data Fim de Cod TISS Apresentação
Código Principio Ativo Intercâmbio Observações TISS Cód. Anterior Cód. Anterior Tipo de Produto Data Inicio Vigencia insercao (Data fim Descrição Brasindice
Tabela Medicamento Comercial Fração ANVISA Agosto Conver Custos Codificacao Vigencia Implantacao Brasindice Brasindice
Nacional de vigencia)
sao

100 MG. PO LIOF.

ABRAXANE 100 MG PO LIOF ABRAXANE
90392795 20 90392795 PACLITAXEL MG 1961400010016 R$ 11.86 10,5600 100,00 20 2096258640 96258640 MEDICAMENTO TUSS 01/04/2018 01/10/2017 0000071879 SUSP. INJ. CT. FA VD.
SUS INJ CT FA VD TRANS (RESTRITO HOSP.)
TRANS.

ACLASTA 5 MG / 100 ML SOL ACIDO ZOLEDRONICO

90169255 20 90169255 FR 1006810260012 R$ 1,454.28 1454,2800 1,00 20 2094000158 94000158 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000018944 ACLASTA (ICMS 0%) 5 MG. 100 ML 1 X 1
INJ CT FR PLAS X 100 ML MONO-HIDRATADO

ACTEMRA 20 MG/ML SOL DIL

NAO POSSUI NAO POSSUI NAO POSSUI
90489268 20 90489268 INFUS IV CT 4 FA VD TRANS TOCILIZUMABE MG 1010006550064 R$ 10.39 10,3936 1600,00 20 MEDICAMENTO TUSS 01/02/2021 01/02/2021
BRASINDICE BRASINDICE BRASINDICE
X 20 ML

ACTEMRA 20 MG/ML SOL DIL 20 MG/ML SOL. INJ.

ACTEMRA
90184050 20 90184050 INFUS IV CT FA VD TRANS X TOCILIZUMABE MG 1010006550031 R$ 11.25 10,1720 200,00 20 2094287880 94287880 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000034300 INFUS. IV CT. FA VD.
(RESTRITO HOSP.)
10 ML INC. X 10 ML

ACTEMRA 20 MG/ML SOL DIL 20 MG/ML SOL. DIL.

ACTEMRA
90489250 20 90489250 INFUS IV CT FA VD TRANS X TOCILIZUMABE MG 1010006550056 R$ 9.35 10,3936 400,00 20 MEDICAMENTO TUSS 01/02/2021 01/02/2021 0000081395 INFUS. IV CT. FA VD.
(RESTRITO HOSP.)
20 ML TRANS. X 20 MLA

ITEM COM VALOR DE MERCADO

ACTEMRA 20 MG/ML SOL DIL 20 MG/ML SOL. INJ.
ACIMA CMED, DEVIDO PANDEMIA. ACTEMRA
90184076 20 90184076 INFUS IV CT FA VD TRANS X TOCILIZUMABE MG 1010006550013 R$ 16.25 R$ 16.25 80,00 20
ROCHE ENCAMINHOU CARTA DE
2094287899 94287899 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000034298
(RESTRITO HOSP.)
INFUS. IV CT. FA VD.
4 ML INC. X 4 ML
USO OFF LABEL.

ACTEMRA SC 162 MG SOL 162 MG. SOL. INJ. SC.

ACTEMRA SC
90321812 20 90321812 INJ SC CT 4 SER PREENC VD TOCILIZUMABE SER 1010006550080 R$ 1,659.19 1436,4000 4,00 20 2096185201 96185201 MEDICAMENTO TUSS 01/01/2016 31/03/2016 0000063668 CT. 4 SER. PREENCH.
(RESTRITO HOSP.)
TRANS X 0,9 ML VD. TRANS. X 0,9 ML

AGUA PARA INJECAO SOL

AGUA P/ INJECAO 25 AMPS. PLAS. INC. X
90007131 20 90007131 INJ CT 25 AMP PLAS INC X 10 AGUA PARA INJECAO AMP 1556200120029 R$ 0.50 0,5040 25,00 20 2094241317 94241317 MEDICAMENTO TUSS 10/10/2012 REATIVACAO 31/08/2014 0000060829
(RESTRITO HOSP.) 10 ML
ML

ANDROCORTIL 500 MG PO 500 MG. PO LIOF. INJ.

SUCCINATO SODICO ANDROCORTIL
90135377 20 90135377 LIOF CX 50 FA VD INC (EMB FA 1037004630062 R$ 8.62 6,0000 50,00 20 2094173419 94173419 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000036799 S/DIL. X 50 FRS.
DE HIDROCORTISONA (RESTRITO HOSP.)
HOSP) (HOSP.)

CLORIDRATO DE
ANSENTRON 8 MG SOL INJ ANSENTRON
90439139 20 90439139 ONDANSETRONA DI- AMP 1057305620044 R$ 9.00 151,0200 1,00 20 MEDICAMENTO TUSS 01/12/2019 01/12/2019 0000077262 8 MG INJ. AMP. X 4 ML
CT AMP VD AMB X 4 ML (RESTRITO HOSP.)
HIDRATADO

PEMETREXEDE 100 MG. PO LIOF. SOL.

ATRED 100 MG PO LIOF SOL ATRED (RESTRITO
90250630 20 90250630 DISSODICO MG 1003301660018 R$ 4.03 2,3017 100,00 20 2094319316 94319316 MEDICAMENTO TUSS 01/12/2013 31/08/2014 0000051062 INJ. IV CT. 1 FA VD.
INJ CT FA VD TRANS HOSP.)
HEMIPENTAIDRATADO TRANS.

PEMETREXEDE 500 MG. PO LIOF. SOL.

ATRED 500 MG PO LIOF SOL ATRED (RESTRITO
90250648 20 90250648 DISSODICO MG 1003301660026 R$ 3.98 2,5429 500,00 20 2094319308 94319308 MEDICAMENTO TUSS 01/12/2013 31/08/2014 0000051063 INJ. IV CT. 1 FA VD.
INJ CT FA VD TRANS HOSP.)
HEMIPENTAIDRATADO TRANS.

AVASTIN 25 MG/ML SOL INJ 25 MG/ML SOL. INJ.

AVASTIN (RESTRITO
90184106 20 90184106 P/ INF IV CT FA VD INC X 16 BEVACIZUMABE MG 1010006370023 R$ 21.85 R$ 19.71 400,00 20 2094155089 94155089 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000021570
HOSP.)
P/INF. IV FA VD. X 16
ML ML

AVASTIN 25 MG/ML SOL INJ AVASTIN (RESTRITO 25 MG/ML SOL. INJ.

90184114 20 90184114 BEVACIZUMABE MG 1010006370015 R$ 22.57 20,3640 100,00 20 2094155070 94155070 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000021569
P/ INF IV CT FA VD INC X 4 ML HOSP.) P/INF. IV FA VD. X 4 ML

AZACITIDINA 100MG/200MG AZACITIDINA - 100 MG/200 MG. P

90358597 20 90358597 PO LIOF SUS INJ SC FA VD AZACITIDINA MG 1257600250018 R$ 13.12 11,9155 100,00 20 2096246723 96246723 MEDICAMENTO TUSS 01/06/2017 01/06/2017 0000079739 GENERICO LIOF. SUSP. INJ. SC FA
INC X 200MG (RESTRITO HOSP.) VD. INC. X 200 MG.

20 MG/ML SOL. DIL.

BAVENCIO 20 MG/ML SOL DIL BAVENCIO
90408128 20 90408128
INF CT FA VD TRANS X 10 ML
AVELUMABE MG 1008904030017 R$ 37.14 R$ 35.98 200,00 20 2094352496 94352496 MEDICAMENTO TUSS 01/07/2019 01/07/2019 0000075506
(RESTRITO HOSP.)
INF. CT. FA VD.
TRANS.X 10 ML

BORTEZOMIBE 3,5 MG PO BORTEZOMIBE -

3,5 MG. PO LIOF. SOL.
90404084 20 90404084 LIOF SOL INJ CT FA VD BORTEZOMIBE MG 1064602080012 R$ 591.54 591,5443 3,50 20 2094338817 94338817 MEDICAMENTO TUSS 01/07/2019 01/07/2019 0000080549 GENERICO
INJ. CT. FA VD. TRANS.
TRANS (RESTRITO HOSP.)

B PLATIN-
B-PLATIN 10 MG / ML SOL 10 MG/ML SOL. INJ. FA
90030648 20 90030648 CARBOPLATINA MG 1163700140026 R$ 1.53 1,5360 50,00 20 2094316317 94316317 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000038875 CARBOPLATINA
INJ CT FA VD AMB X 5 ML VD. AMB. X 5 ML
(RESTRITO HOSP.)

B PLATIN-
B-PLATIN 10 MG / ML SOL 10 MG/ML SOL. INJ. FA
90030630 20 90030630 CARBOPLATINA MG 1163700140042 R$ 0.38 0,4601 450,00 20 2094316325 94316325 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000038876 CARBOPLATINA
INJ CT FA VD AMB X 45 ML VD. AMB. X 45 ML
(RESTRITO HOSP.)

B PLATIN-
B-PLATIN 10 MG / ML SOL INJ 10 MG/ML SOL. INJ. FA
90030621 20 90030621 CARBOPLATINA MG 1163700140034 R$ 0.79 0,7308 150,00 20 2094259933 94259933 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000025447 CARBOPLATINA
CT FA VD AMB X 15 ML VD. AMB. X 15 ML
(RESTRITO HOSP.)

REGISTRO
BUSCOPAN 20 MG SOL INJ BUTILBROMETO DE REGISTRO CANCELADO ANVISA 20 MG/ML SOL. INJ. 5
90032772 20 90032772 AMP 1036700140121 R$ 2.16 2,1600 5,00 20 2094196540 94196540 MEDICAMENTO TUSS 10/10/2012 30/09/2022 CANCELADO 31/08/2014 0000000400 BUSCOPAN
CT 5 AMP VD INC X 1 ML ESCOPOLAMINA 27/05/21 AMPS. X 1 ML
ANVISA

CIMETIDINA150 MG/ML SOL CIMETIDINA - HCL 150 MG/ML SOL.

90136675 20 90136675 INJ CX 120 AMP VD INC X 2 CIMETIDINA AMP 1037002850030 R$ 2.11 2,0563 120,00 20 2094264228 94264228 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000036827 GENERICO INJ. 2 ML C/120
ML(EMB HOSP) (RESTRITO HOSP.) (HOSP.)

CIMZIA 200 MG/ML SOL INJ 200 MG/ML SOL. INJ. 2

CT 2 SER VD INC PREENC X CERTOLIZUMABE SER. VD. INC.
90382897 20 90382897 SER 1236100870014 R$ 1,550.22 1397,9880 2,00 20 FONTE DE PRECO CMED 2096243520 96243520 MEDICAMENTO TUSS 01/04/2018 01/06/2017 0000072157 CIMZIA
1 ML + 2 LENCOS PEGOL PREENCH. X 1 ML / 2
UMEDECIDOS LENCOS UMED.

CITARAX -
CITARAX 20 MG/ML SOL INJ 20 MG/ML SOL. INJ. 10
90030664 20 90030664 CITARABINA MG 1163700520031 R$ 0.12 0,1206 1000,00 20 2094200580 94200580 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000024047 CITARABINA
CT 10 FA VD INC X 5 ML FA VD. X 5 ML
(RESTRITO HOSP.)

CIANOCOBALAMINA+C
INJ. 5000 (100|100)
CITONEURIN (100 + LORIDRATO DE
MG/ML SOL. INJ. IM CX.
100)MG/ML SOL INJ IM CX PIRIDOXINA+CLORIDR
90468694 20 90468694 AMP 1214206690043 R$ 4.02 3,7296 1,00 20 MEDICAMENTO TUSS 01/10/2020 01/10/2020 0000075814 CITONEURIN CAMA 1 AMP. VD. AMB.
CAMA AMP VD AMB X 1 ML + ATO DE
X 1 ML | 5000 MCG/ML 1
5000 MCG/ML AMP X 1 ML TIAMINA+NITRATO DE
AMP. X 1 ML
TIAMINA
CLORETO DE POTASSIO
19,1% 191 MG / ML SOL INJ CLORETO DE NAO POSSUI NAO POSSUI NAO POSSUI
90454383 20 90454383 AMP 1168800360061 R$ 0.78 0,5280 200,00 20 MEDICAMENTO TUSS 01/08/2020 01/08/2020
IV CX 200 AMP PLAS TRANS POTASSIO BRASINDICE BRASINDICE BRASINDICE
X 10 ML

CLORIDRATO DE
GRANISETRONA
GRANISETRONA 1 MG/ML CLORIDRATO DE 1 MG/ML SOL. INJ. 10
90067630 20 90067630 AMP 1004309120045 R$ 68.72 68,7204 10,00 20 2096004207 96004207 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000043633 CLOR. - GENERICO
SOL INJ CT 10 AMP VD INC X GRANISETRONA AMPS. VD. X 3 ML
(RESTRITO HOSP.)
3ML

CLORIDRATO DE CLORIDRATO DE
CLORIDRATO DE 2 MG/ML. SOL. INJ.
ONDANSETRONA 2 MG/ML ONDANSETRONA -
90461185 20 90461185
SOL INJ IM/IV CX 100 AMP VD
ONDANSETRONA DI- AMP 1134301990022 R$ 5.29 R$ 6.26 100,00 20 MEDICAMENTO TUSS 01/08/2020 01/08/2020 0000080182
GENERICO
IM/IV CX. 100 AMPS.
HIDRATADO VD. AMB. X 4 ML.
AMB X 4 ML (RESTRITO HOSP.)

CLORIDRATO DE
CLORIDRATO DE TRAMADOL
CLORIDRATO DE TRAMADOL - 50 MG/ML CX. 100
90290399 20 90290399 50 MG/ML SOL INJ CX 100 AMP 1031101410064 R$ 8.55 1,9560 100,00 20 2096116021 96116021 MEDICAMENTO TUSS 26/05/2014 31/08/2014 0000060334
TRAMADOL GENERICO AMPS. VD. 2 ML
AMP VD TRANS X 2 ML
(RESTRITO HOSP.)

CLORIDRATO DE
CLORIDRATO DE TRAMADOL 50 MG/ML SOL. INJ. CX.
CLORIDRATO DE TRAMADOL -
90207572 20 90207572 50 MG/ML SOL INJ CX 50 AMP AMP 1049713130049 R$ 4.04 4,0440 50,00 20 2095454195 95454195 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000051765 50 AMPS. X 2 ML
TRAMADOL GENERICO
VD AMB X 2 ML(EMB HOSP) (HOSP.)
(RESTRITO HOSP.)

COSENTYX 150 MG/ML SOL

NAO POSSUI NAO POSSUI NAO POSSUI
90342020 20 90342020 INJ CT 2 SER PREENC VD SECUQUINUMABE SER 1006811220030 R$ 4,934.41 4272,9480 2,00 20 2096221402 96221402 MEDICAMENTO TUSS 01/09/2016 31/08/2016
BRASINDICE BRASINDICE BRASINDICE
TRANS X 1 ML

CYRAMZA 100 MG SOL INJ CYRAMZA

90349075 20 90349075 RAMUCIRUMABE MG 1126001930015 R$ 47.97 45,1200 100,00 20 2096229039 96229039 MEDICAMENTO TUSS 01/01/2017 01/01/2017 0000064999 100 MG. 1 S
CT FA VD INC X 10 ML (RESTRITO HOSP.)

CYRAMZA 500 MG SOL INJ CYRAMZA

90349083 20 90349083 RAMUCIRUMABE MG 1126001930023 R$ 47.18 45,1200 500,00 20 2096229055 96229055 MEDICAMENTO TUSS 01/01/2017 01/01/2017 0000065000 500 MG. 1 S
CT FA VD INC X 50 ML (RESTRITO HOSP.)

100 MG. SOL. DIL. INJ.

DALINVI 100 MG SOL DIL INJ DALINVI (RESTRITO
90380720 20 90380720 DARATUMUMABE MG 1123634140011 R$ 28.56 24,6918 100,00 20 2096243279 96243279 MEDICAMENTO TUSS 01/04/2018 01/06/2017 0000070580 CT. FA VD. TRANS. X 5
CT FA VD TRANS X 5 ML HOSP.)
ML

400 MG. SOL. DIL. INJ.

DALINVI 400 MG SOL DIL INJ DALINVI (RESTRITO
90380738 20 90380738 DARATUMUMABE MG 1123634140036 R$ 24.69 24,6918 400,00 20 2096243287 96243287 MEDICAMENTO TUSS 01/04/2018 01/06/2017 0000070581 CT. FA VD. TRANS. X
CT FA VD TRANS X 20 ML HOSP.)
20 ML

DEXAMETASONA -
DEXAMETASONA 2MG 1ML FOSFATO DISSODICO 2 MG/ML 1 ML CX. 50
90099400 20 90099400 AMP 1038700470010 R$ 2.30 2,2320 50,00 20 2094202508 94202508 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000041880 GENERICO
CX C/50 AMPS DE DEXAMETASONA AMPS.
(RESTRITO HOSP.)

DEXAMETASONA -
DEXAMETASONA 4MG 2,5ML FOSFATO DISSODICO 4 MG/ML 2,5 ML. CX. 50
90099419 20 90099419 AMP 1038700470029 R$ 3.19 3,1920 50,00 20 2095452800 95452800 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000041881 GENERICO
CX C/50 AMPS DE DEXAMETASONA AMPS.
(RESTRITO HOSP.)

DIFENIDRIN 50 MG/ML SOL

CLORIDRATO DE DIFENIDRIN 50 MG/ML 25 AMPS. 1
90045742 20 90045742 INJ CX 25 AMP VD AMB X 1 AMP 1029801700020 R$ 21.41 21,4147 25,00 20 BENADRYL 2095379428 95379428 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000028602
DIFENIDRAMINA (RESTRITO HOSP.) ML
ML (EMB HOSP)

DIMORF 10 MG/ML SOL INJ SULFATO DE MORFINA ITEM COM VALOR DE MERCADO DIMORF (RESTRITO 10 MG/ML 50 AMPS. 1
90045777 20 90045777 AMP 1029800970032 R$ 5.11 11,4854 50,00 20 2094268142 94268142 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000037750
CX 50 AMP VD AMB X 1ML PENTAIDRATADA ACIMA CMED, DEVIDO PANDEMIA. HOSP.) ML

DIPIRONA SODICA500 MG/ML DIPIRONA SODICA - 500 MG/ML SOL. INJ.

90137485 20 90137485 SOL INJ CT 120 AMP VD AMB DIPIRONA AMP 1037004700052 R$ 0.00 0,8640 120,00 20 2094262713 94262713 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000036856 GENERICO 120 AMPS. 2 ML
X 2 ML(EMB HOSP) (RESTRITO HOSP.) (HOSP.)

DOCELIBBS 20 MG/ML SOL DOCETAXEL TRI- DOCELIBBS

90426037 20 90426037
INJ CX FA VD TRANS X 1 ML HIDRATADO
MG 1003301210039 R$ 10.65 R$ 10.66 20,00 20 2094354588 94354588 MEDICAMENTO TUSS 01/08/2019 01/08/2019 0000017181
(RESTRITO HOSP.)
20 MG. 1 FA

DOCELIBBS 20 MG/ML SOL DOCETAXEL TRI- DOCELIBBS 80 MG. SOL. INJ. OR. 1
90426045 20 90426045
INJ CX FA VD TRANS X 4 ML HIDRATADO
MG 1003301210047 R$ 9.67 R$ 9.16 80,00 20 2094361215 94361215 MEDICAMENTO TUSS 01/08/2019 01/08/2019 0000076574
(RESTRITO HOSP.) FA

DOXOPEG 2 MG/ML SUS INJ CLORIDRATO DE DOXOPEG 2 MG/ML SUSP. INJ. FA

90214838 20 90214838
CT FA VD INC X 10 ML DOXORRUBICINA
MG 1221400760011 R$ 137.42 R$ 137.43 20,00 20 2094191859 94191859 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000021971
(RESTRITO HOSP.) VD. X 10 ML

22,5 MG PO LIOF SUS

ELIGARD 22,5 MG PO LIOF
INJ SC LIB PROL CT
SUS INJ SC LIB PROL CT BL
BL AL PLAS TRANS
AL PLAS TRANS SER B + ACETATO DE
90324560 20 90324560 KIT 1221400740096 R$ 1,478.28 1488,2927 1,00 20 2096187913 96187913 MEDICAMENTO TUSS 01/01/2016 31/03/2016 0000023427 ELIGARD SER B | AGU DISP
AGU DISP SEGUR + DESSEC LEUPRORRELINA
SEGUR | DESSEC | BL
+ BL AL PLAS TRANS DIL
AL PLAS TRANS DIL
SER A +
ELIGARD 45EMB + DESSEC
MG PO LIOF SUS SER A | EMB | DESSEC
INJ SC LIB PROL CT BL AL
45 MG PO LIOF SUS INJ
PLAS TRANS SER B + AGU ACETATO DE
90272846 20 90272846 KIT 1221400740053 R$ 3,968.59 2775,0181 1,00 20 2096003863 96003863 MEDICAMENTO TUSS 01/12/2013 31/08/2014 0000054757 ELIGARD SC SER B/AGU/SER A
DISP SEGUR + BL AL PLAS LEUPRORRELINA
DIL/EMB/2 DESSEC
TRANS DIL SER A + EMB + 2
7,5 MG PO LIOF SUS
ELIGARDDESSEC
7,5 MG PO LIOF
INJ SC LIB PROL CT
SUS INJ SC LIB PROL CT BL
BL AL PLAS TRANS
AL PLAS TRANS SER B + ACETATO DE
90324552 20 90324552 KIT 1221400740088 R$ 588.00 540,2195 1,00 20 2096187905 96187905 MEDICAMENTO TUSS 01/01/2016 31/03/2016 0000021056 ELIGARD SER B | AGU DISP
AGU DISP SEGUR + DESSEC LEUPRORRELINA
SEGUR | DESSEC | BL
+ BL AL PLAS TRANS DIL
AL PLAS TRANS DIL
SER A + EMB + DESSEC
SER A | EMB | DESSEC
EMEND INJETAVEL 150 MG
FOSAPREPITANTO EMEND INJETAVEL
90250435 20 90250435 PO LIOF INJ IV CT FA VD INC
DIMEGLUMINA
FA 1002901840019 R$ 367.30 R$ 337.60 1,00 20 2094322740 94322740 MEDICAMENTO TUSS 01/12/2013 31/08/2014 0000053620
(RESTRITO HOSP.)
1 FRASCO-AMPOLA
X 10 ML

EMPLICITI 300 MG PO LIOF EMPLICITI 300 MG. PO LIOF. SOL.

90397614 20 90397614 ELOTUZUMABE MG 1018004090010 R$ 29.44 26,7109 300,00 20 2094353972 94353972 MEDICAMENTO TUSS 01/07/2019 01/07/2019 0000076571
SOL INJ CT 1 FA VD TRANS (RESTRITO HOSP.) INJ. CT. FA VD. TRANS.

EMPLICITI 400 MG PO LIOF EMPLICITI 400 MG. PO LIOF. SOL.

90397622 20 90397622 ELOTUZUMABE MG 1018004090029 R$ 28.81 26,9835 400,00 20 2094353980 94353980 MEDICAMENTO TUSS 01/07/2019 01/07/2019 0000076572
SOL INJ CT 1 FA VD TRANS (RESTRITO HOSP.) INJ. CT. FA VD. TRANS.

ENBREL PFS 50 MG SOL INJ 50 MG. SOL. INJ. CT. 4

90392167 20 90392167 CT 4 SER PREENCH C/ AGU ETANERCEPTE SER 1021602500107 R$ 2,461.74 R$ 2,373.42 4,00 20 2096258470 96258470 MEDICAMENTO TUSS 01/04/2018 01/10/2017 0000071321 ENBREL PFS SER. PREENCH. C/AG.
X 1,0 ML + 4 LENCOS X 1,0 ML / 4 LENCOS
 ENTYVIO 300 MG PO LIOF INJ 300 MG. PO LIOF. INJ.
90298080 20 90298080
CT 1 FA VD TRANS
VEDOLIZUMABE FA 1063902710013 R$ 19,166.80 R$ 17,268.78 1,00 20 2096174617 96174617 MEDICAMENTO TUSS 01/01/2016 31/03/2016 0000063657 ENTYVIO
CT FA VD. TRANS.

EPOSIDO -
EPOSIDO 20 MG/ML SOL INJ 100 MG. FA 5 ML. CX.
90030850 20 90030850 ETOPOSIDEO MG 1163700360034 R$ 0.46 0,7052 1000,00 20 2095416285 95416285 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000006983 ETOPOSIDEO
CT 10 FA VD INC X 5 ML C/10
(RESTRITO HOSP.)

ERBITUX 5 MG/ML SOL INJ 5 MG/ML SOL. INJ. FA

90160266 20 90160266 CETUXIMABE MG 1008903350050 R$ 10.16 9,3550 500,00 20 2094308497 94308497 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000041020 ERBITUX
CT FA VD INC X 100 ML VD. X 100 ML

ERBITUX 5 MG/ML SOL INJ 5 MG/ML SOL. INJ. FA

90160282 20 90160282 CETUXIMABE MG 1008903350034 R$ 10.16 9,8640 100,00 20 2094307407 94307407 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000039618 ERBITUX
CT FA VD INC X 20 ML VD. X 20 ML

FAULBLASTINA 1 MG/ML SOL SULFATO DE FAULBLASTINA 10 MG/10 ML INJ. 5 FA

90314174 20 90314174 MG 1003301300021 R$ 10.22 8,1120 50,00 20 MEDICAMENTO TUSS 01/01/2016 31/03/2016 0000074013
INJ CT 5 FA VD AMB X 10 ML VIMBLASTINA (RESTRITO HOSP.) AMBAR

FAULDACAR 200 MG PO FAULDACAR

90144317 20 90144317 DACARBAZINA MG 1003301360022 R$ 1.11 1,1134 200,00 20 2094264295 94264295 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000006777 200 MG. FA
LIOF INJ CT FA VD AMB (RESTRITO HOSP.)

FAULDACAR 600 MG PO LIOF FAULDACAR

90144325 20 90144325 DACARBAZINA MG 1003301360030 R$ 1.17 1,0416 600,00 20 2094264309 94264309 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000006778 600 MG. FA
INJ CT FA VD AMB (RESTRITO HOSP.)

FAULDCARBO 10 MG/ML
FAULDCARBO
90232313 20 90232313 SOL INJ CT FA VD AMB X 15 CARBOPLATINA MG 1003301330050 R$ 1.28 1.059 150,00 20 2096093978 96093978 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000008354
(RESTRITO HOSP.)
150 MG/15 ML FA
ML

FAULDCARBO 10 MG/ML SOL FAULDCARBO

90232321 20 90232321
INJ CT FA VD AMB X 45 ML
CARBOPLATINA MG 1003301330069 R$ 1.07 R$ 1.074 450,00 20 2096093986 96093986 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000008355
(RESTRITO HOSP.)
450 MG/45 ML FA

FAULDCARBO 10 MG/ML
FAULDCARBO
90232330 20 90232330 SOL INJ CT FA VD AMB X 5 CARBOPLATINA MG 1003301330042 R$ 3.65 R$ 3.659 50,00 20 2096093994 96093994 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000008353
(RESTRITO HOSP.)
50 MG/5 ML FA
ML

FAULDCISPLA 1 MG/ML SOL FAULDCISPLA

90144368 20 90144368 CISPLATINA MG 1003301400032 R$ 3.28 3,2759 100,00 20 2094264465 94264465 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000008197 100 MG/100 ML FA
INJ CT FA VD AMB X 100 ML (RESTRITO HOSP.)

FAULDCISPLA 1 MG/ML SOL FAULDCISPLA

90144384 20 90144384 CISPLATINA MG 1003301400024 R$ 4.83 4,8346 50,00 20 2094264457 94264457 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000008198 50 MG/50 ML FA
INJ CT FA VD AMB X 50 ML (RESTRITO HOSP.)

FAULDCITA 100 MG/ML SOL FAULDCITA

90144406 20 90144406 CITARABINA MG 1003301380023 R$ 0.12 0,0736 2500,00 20 2094264414 94264414 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000006888 500 MG/5 ML CX. 5 FA
INJ CT 5 FA VD INC X 5 ML (RESTRITO HOSP.)

FAULDCITA 100 MG/ML SOL FAULDCITA 1 G SOL. INJ. FA DE 10

90144414 20 90144414 CITARABINA MG 1003301380031 R$ 0.15 0,1287 1000,00 20 2094264392 94264392 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000006890
INJ CT FA VD INC X 10 ML (RESTRITO HOSP.) ML DE 100 MG/ML

FAULDFLUOR 50 MG/ML SOL FAULDFLUOR

90144457 20 90144457 FLUORURACILA MG 1003301390029 0.05 0,0528 2500,00 20 2094264260 94264260 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000006735 500 MG/10 ML CX. 5 FA
INJ CT 5 FA VD INC X 10 ML (RESTRITO HOSP.)

FAULDFLUOR 50 MG/ML SOL FAULDFLUOR

90144473 20 90144473
INJ CT FA VD INC X 50 ML
FLUORURACILA MG 1003301390045 0.05 R$ 0.05 2500,00 20 2094264287 94264287 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000006734
(RESTRITO HOSP.)
2,5 G/50 ML FA

FAULDLEUCO 10 MG/ML SOL FAULDLEUCO

90442334 20 90442334
INJ CT FA VD TRANS X 30 ML
FOLINATO DE CALCIO MG 1003301420068 R$ 0.62 R$ 0.66 300,00 20 2096259221 96259221 MEDICAMENTO TUSS 01/04/2020 01/04/2020 0000006028
(RESTRITO HOSP.)
300 MG/30 ML FA

FAULDLEUCO 10 MG/ML SOL FAULDLEUCO

90442326 20 90442326
INJ CT FA VD TRANS X 5 ML
FOLINATO DE CALCIO MG 1003301420051 R$ 2.27 R$ 2.28 50,00 20 2096259230 96259230 MEDICAMENTO TUSS 01/04/2020 01/04/2020 0000006027
(RESTRITO HOSP.)
50 MG/5 ML FA

FAULDMETRO 100 MG/ML

FAULDMETRO
90144503 20 90144503 SOL INJ CT FA VD INC X 10 METOTREXATO MG 1003301370044 R$ 0.30 0,1980 1000,00 20 2094264538 94264538 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000008205 1 G/10 ML FA
(RESTRITO HOSP.)
ML

FAULDMETRO 100 MG/ML

FAULDMETRO
90144511 20 90144511 SOL INJ CT FA VD INC X 50 METOTREXATO MG 1003301370052 R$ 0.21 0,1369 5000,00 20 2094264520 94264520 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000008204 5 G/50 ML FA
(RESTRITO HOSP.)
ML

FAULDMETRO 25 MG/ML SOL FAULDMETRO

90144538 20 90144538 METOTREXATO MG 1003301370036 R$ 0.87 0,8816 250,00 20 2094264490 94264490 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000008203 50 MG/2 ML CX. 5 FA
INJ CT 5 FA VD INC X 2 ML (RESTRITO HOSP.)

FAULDMETRO 25 MG/ML SOL FAULDMETRO

90144546 20 90144546 METOTREXATO MG 1003301370028 R$ 0.56 0,3430 500,00 20 2094264503 94264503 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000008202 500 MG/20 ML FA
INJ CT FA VD INC X 20 ML (RESTRITO HOSP.)

FAULDOXO 2 MG/ML SOL INJ CLORIDRATO DE FAULDOXO

90144554 20 90144554 MG 1003301340021 R$ 3.26 3,9144 50,00 20 2094264481 94264481 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000008200 50 MG/25 ML FA
CT FA VD INC X 25 ML DOXORRUBICINA (RESTRITO HOSP.)

FAULDOXO 2 MG/ML SOL INJ CLORIDRATO DE FAULDOXO

90144562 20 90144562 MG 1003301340013 R$ 14.73 12,4560 10,00 20 2094264473 94264473 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000008201 10 MG/5 ML FA
CT FA VD INC X 5 ML DOXORRUBICINA (RESTRITO HOSP.)

FAULDVINCRI 1 MG / ML SOL SULFATO DE FAULDVINCRI

90291980 20 90291980 MG 1003301350043 R$ 50.77 50,7768 5,00 20 2096117001 96117001 MEDICAMENTO TUSS 01/12/2021 REATIVACAO 01/12/2021 0000008536 1 MG/ML CX. 5 FA
INJ CT 5 FA VD AMB X 1 ML VINCRISTINA (RESTRITO HOSP.)

FENERGAN 25 MG/ML SOL

CLORIDRATO DE 25 MG/ML. CX. 25
90462548 20 90462548 INJ IM CX 25 AMP VD AMB X 2 AMP 1832603580011 R$ 3.54 3,5448 25,00 20 2094371636 94371636 MEDICAMENTO TUSS 01/08/2020 01/08/2020 0000000937 FENERGAN
PROMETAZINA AMPS. 2 ML.
ML

FILGRASTINE 300 MCG/ML

300 MCG/ML SOL. INJ.
90031423 20 90031423 SOL INJ CT 01 FA VD INC X 1 FILGRASTIM FA 1163700580018 R$ 71.76 71,7600 1,00 20 2094200718 94200718 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000065676 FILGRASTINE
CT. FA VD. INC. X 1 ML
ML

FIPRIMA 60 MU/ML SOL INJ 1 60 MU/ML SOL. INJ.

FIPRIMA (RESTRITO
90363183 20 90363183 SER PREENCH X 0,5ML+ SIST FILGRASTIM SER 1004311650021 R$ 81.19 62,7840 1,00 20 MEDICAMENTO TUSS 01/06/2017 REATIVACAO 01/06/2017 0000074816 SER. PREENCH. X 0,5
HOSP.)
SEGURANCA ML SIST. SEGURANA

FIRMAGON 120 MG PO LIOF

120MG CART 2AMPPO
INJ CT 2 FA VD INC + 2 DIL
LIOF/2AMPDIL/2 SER/2
90351240 20 90351240 SER PREENCH VD TRANS X 3 DEGARELIX KIT 1287600170040 R$ 614.50 R$ 533.40 2,00 20 2096236949 96236949 MEDICAMENTO TUSS 01/01/2017 01/01/2017 0000048177 FIRMAGON
AGULHAS/4
ML + 2 ADAP + 2 AGU + 2
ADAPTADORES
EMBOLOS
80 MG. PO LIOF. INJ.
FIRMAGON 80 MG PO LIOF
CT. 1 FA VD. INC. 1
INJ CT 1 FA VD INC + 1 DIL
DIL. SER. PREENCH.
90351231 20 90351231 SER PREENCH VD TRANS X DEGARELIX KIT 1287600170032 R$ 679.20 R$ 628.49 1,00 20 2096236906 96236906 MEDICAMENTO TUSS 01/01/2017 01/01/2017 0000048176 FIRMAGON
VD. TRANS. X 4,2 ML.
4,2 ML + 1 ADAP + 1 AGU +
1 ADAP. 1 AG.
EMBOLO
EMBOLO

GEMZAR 1 G PO LIOF INJ CT CLORIDRATO DE GEMZAR (RESTRITO

90051319 20 90051319 MG 1126000170041 R$ 0.38 R$ 0.43 1000,00 20 2095479023 95479023 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000003008 FRASCO-AMPOLA 1 G
FA VD INC X 50 ML GENCITABINA HOSP.)

GEMZAR 200 MG PO LIOF INJ CLORIDRATO DE GEMZAR (RESTRITO FRASCO-AMPOLA 200

90051327 20 90051327 MG 1126000170033 R$ 1.22 R$ 0.44 200,00 20 2095479015 95479015 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000003009
CT FA VD INC X 10 ML GENCITABINA HOSP.) MG.

GENLIBBS 1 G PO LIOF INJ CLORIDRATO DE GENLIBBS 1 G PO LIOF. INJ. CT.

90144686 20 90144686 MG 1003301460027 R$ 0.57 0,4522 1000,00 20 2094302987 94302987 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000034922
CT FA VD INC GENCITABINA (RESTRITO HOSP.) FA VD. INC.

GENLIBBS 200 MG PO LIOF CLORIDRATO DE GENLIBBS 200 MG. PO LIOF. INJ.

90144694 20 90144694 MG 1003301460019 R$ 1.53 1,3829 200,00 20 FONTE DE PRECO CMED 2094293236 94293236 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000034557
INJ CT FA VD INC GENCITABINA (RESTRITO HOSP.) CT. FA VD. INC.

GENUXAL 1000 MG PO SOL 1000 MG. PO SOL. INJ.

CICLOFOSFAMIDA 10000,0 GENUXAL
90020294 20 90020294 INJ IV CX 10 FA VD INC X 75 MG 1068301680031 0.06 0,0655 20 2095216030 95216030 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000032198 IV CX 1FA VD. TRANS.
MONO-HIDRATADA 0 (RESTRITO HOSP.)
ML (REST HOSP) X 75 ML.

GENUXAL 200 MG PO SOL 200 MG. PO SOL. INJ.

CICLOFOSFAMIDA GENUXAL
90020308 20 90020308 INJ IV CX 10 FA VD INC X 20 MG 1068301680021 R$ 0.09 0,0882 2000,00 20 2095216022 95216022 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000032199 IV CX. 1FA VD. TRANS.
MONO-HIDRATADA (RESTRITO HOSP.)
ML (REST HOSP) X 20 ML.

GRANDAX 1 MG/ML SOL INJ

CLORIDRATO DE GRANDAX 1 MG/ML SOL. INJ. 5
90495012 20 90495012 IV CT 5 AMP VD TRANS X 3 AMP 1049714170060 R$ 157.11 157,1196 5,00 20 MEDICAMENTO TUSS 01/06/2021 01/06/2021 0000080767
GRANISETRONA (RESTRITO HOSP.) AMPS. X 3 ML
ML

GRANULOKINE 30 MU/ML
GRANULOKINE 30 MU/ML SOL. INJ. 5
90346394 20 90346394 SOL INJ CT 5 FA VD TRANS X FILGRASTIM FA 1024400060011 R$ 300.00 R$ 300.00 5,00 20 2096219319 96219319 MEDICAMENTO TUSS 01/09/2016 31/08/2016 0000064752
(RESTRITO HOSP.) FA VD. TRANS. X 1 ML
1 ML

HALAVEN 0,5 MG/ML SOL INJ MESILATO DE HALAVEN (RESTRITO 0,5 MG/ML. SOL. INJ.
90450019 20 90450019 FA 1257600260013 R$ 1,861.20 1667,4000 1,00 20 2094366276 94366276 MEDICAMENTO TUSS 01/08/2020 01/08/2020 0000076879
CT FA VD TRANS X 2ML ERIBULINA HOSP.) CT. FA VD. INC. X 2 ML.

HEPARINA
HEMOFOL 5000 UI/ML SOL HEMOFOL 5000 UI/ML SOL. INJ.
90046510 20 90046510 SUINA+HEPARINA ML 1029803710015 R$ 10.87 10,1496 125,00 20 2094304602 94304602 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000055538
INJ CX 25 FA VD INC X 5 ML (RESTRITO HOSP.) CX. 25 FRS. X 5 ML
SODICA SUINA

HERCEPTIN 150 MG PO LIOF NAO POSSUI NAO POSSUI NAO POSSUI

90253736 20 90253736 TRASTUZUMABE MG 1010005520048 R$ 27.37 27,3748 150,00 20 MEDICAMENTO TUSS 01/12/2013 31/08/2014
SOL INJ CT FA VD INC BRASINDICE BRASINDICE BRASINDICE

HERCEPTIN 440 MG PO LIOF

HERCEPTIN 440 MG. 1 FR. | 1 FR.
90184440 20 90184440 CT FA VD INC + DIL FA VD TRASTUZUMABE MG 1010005520013 R$ 37.30 30,0000 440,00 20 2095403035 95403035 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000005311
(RESTRITO HOSP.) DIL. X 20 ML
INC X 20 ML

HUMIRA 40 MG SOL INJ CT 2

BL X SER X 0,8 ML + SIST NAO POSSUI NAO POSSUI NAO POSSUI
90330587 20 90330587 ADALIMUMABE SER 1986000030041 R$ 5,318.15 4777,9704 2,00 20 2096193786 96193786 MEDICAMENTO TUSS 01/01/2016 31/03/2016
APLIC PLAST (PEN) + ENV BRASINDICE BRASINDICE BRASINDICE
LENCO COM ALCOOL.

40 MG. SOL. INJ. CT. 2

HUMIRA AC 40MG SOL INJ
BL. SER. PREENCH.
CT 2 BL X SER PREENC X 0,4
90421515 20 90421515 ADALIMUMABE SER 1986000030082 R$ 5,898.82 5161,4532 2,00 20 2094354120 94354120 MEDICAMENTO TUSS 01/07/2019 01/07/2019 0000073381 HUMIRA AC VD. TRANS. X 0,4 ML |
ML + CAN APLIC +ENV LEN
CAN. APLIC. | ENV.
ALCOOL
LEN. ALCOOL

40 MG. SOL. INJ. CT. 2

HUMIRA AC 40MG SOL INJ CT
BL. SER. PREENCH.
90421566 20 90421566 2 BL X SER PREENC X 0,4 ML ADALIMUMABE SER 1986000030074 R$ 5,934.57 5155,9500 2,00 20 2094354111 94354111 MEDICAMENTO TUSS 01/07/2019 01/07/2019 0000073380 HUMIRA AC
VD. TRANS. X 0,4 ML |
+ ENV LEN ALCOOL
ENV. LEN. ALCOOL
CLORIDRATO DE
TIAMINA+CLORIDRAT
O DE
HYPLEX B SOL INJ IM CX 100 HYPLEX B
90099575 20 90099575 PIRIDOXINA+NICOTINA AMP 1038700290012 R$ 1.16 1,0540 100,00 20 FONTE DE PRECO CMED 2095404996 95404996 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000010422 CX. 100 X 2 ML
AMP VD AMB X 2 ML (RESTRITO HOSP.)
MIDA+RIBOFLAVINA 5
FOSFATO DE
SODIO+DEXPANTENOL
HYPOFARMA MANITOL
20%200 MG/ML SOL INJ IV CX NAO POSSUI NAO POSSUI NAO POSSUI
90099648 20 90099648 MANITOL FR 1038700540027 R$ 6.39 6,3994 35,00 20 2094306907 94306907 MEDICAMENTO TUSS 10/10/2012 31/08/2014
35 FR PE TRANS SIST FECH BRASINDICE BRASINDICE BRASINDICE
X 250 ML

IFOSFAMIDA -
IFOSFAMIDA 1 G PO P/ PRE 10000,0 1 G PO PREP. EXT. INJ.
90068980 20 90068980 IFOSFAMIDA MG 1004300310021 R$ 0.07 0,0793 20 2095457305 95457305 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000037079 GENERICO
EXT INJ CT 10 FA VD INC 0 10 FA VD.
(RESTRITO HOSP.)

IFOSFAMIDA -
IFOSFAMIDA 2 G PO PREP 20000,0 2 G PO PREP. EXT. INJ.
90068998 20 90068998 IFOSFAMIDA MG 1004300310054 R$ 0.07 0,0754 20 2094152802 94152802 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000037080 GENERICO
EXT INJ CT 10 FA VD INC 0 10 FA VD.
(RESTRITO HOSP.)

IMFINZI 120 MG/2,4 ML SOL 120 MG/2,4 ML SOL.

IMFINZI (RESTRITO
90395085 20 90395085 INJ CT FA VD TRANS X 2,4 DURVALUMABE FA 1161802660022 R$ 4,568.34 3808,0920 1,00 20 2094353832 94353832 MEDICAMENTO TUSS 01/07/2019 01/07/2019 0000074392 INJ. CT. FA VD. TRANS.
HOSP.)
ML X 2,4 ML
 500 MG/10 ML SOL. INJ.
IMFINZI 500 MG/10 ML SOL IMFINZI (RESTRITO
90395093 20 90395093 DURVALUMABE FA 1161802660014 R$ 18,459.21 16326,0000 1,00 20 2094353824 94353824 MEDICAMENTO TUSS 01/07/2019 01/07/2019 0000074393 CT. FA VD. TRANS. X
INJ CT FA VD TRANS X 10 ML HOSP.)
10 ML

IMUNO BCG 40 MG PO
MYCOBACTERIUM IMUNO BCG (ICMS
90076915 20 90076915 LIOFILIZADO CX CT 02 AMP AMP 1016600160027 R$ 405.22 365,4360 2,00 20 FONTE DE PRECO CMED 2094248109 94248109 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000019936 2 AMPOLAS
BOVIS 0%)
AMB

ISOFARMA - SOLUCAO DE SOLUCAO DE

SULFATO DE 500 MG/ML. SOL. INJ.
SULFATO DE MAGNESIO 500 SULFATO DE
90425642 20 90425642 MAGNESIO HEPTA- AMP 1031101630021 R$ 9.10 8,2106 200,00 20 FONTE DE PRECO CMED 2094362416 94362416 MEDICAMENTO TUSS 01/08/2019 01/08/2019 0000076281 AMP. PLAST. 10 ML. -
MG/ML SOL INJ CX 200 AMP MAGNESIO
HIDRATADO CX. C/200
PLAS TRANS PE X 10 ML (RESTRITO HOSP.)

KEYTRUDA 100 MG/ 4 ML SOL KEYTRUDA 100 MG/4 ML SOL. INJ.

90383818 20 90383818 PEMBROLIZUMABE MG 1002901960014 R$ 176.41 176,4120 100,00 20 2096243368 96243368 MEDICAMENTO TUSS 01/04/2018 01/06/2017 0000069689
INJ CT FA VD INC X 4 ML (RESTRITO HOSP.) CT. FA VD. INC. X 4 ML

KYTRIL 1 MG/ML SOL INJ CT KYTRIL (RESTRITO 1 MG/ML SOL. INJ. CT.
90423097 20 90423097 GRANISETRONA AMP 1562600290015 R$ 121.56 159,6677 1,00 20 2094353522 94353522 MEDICAMENTO TUSS 01/07/2019 01/07/2019 0000076520
AMP VD TRANS X 3 ML HOSP.) AMP. VD. INC. X 3 ML

LECTRUM 7,50 MG PO LIOF 7,50 MG. PO LIOF. INJ.

ACETATO DE
90191730 20 90191730 INJ CT FA VD INC AMP DIL X KIT 1004704100027 R$ 350.34 222,0000 1,00 20 2094257523 94257523 MEDICAMENTO TUSS 10/10/2012 REATIVACAO 31/08/2014 0000025502 LECTRUM FA VD. INC. AMP. DIL. X
LEUPRORRELINA
1,5 ML + SER + 2 AGU 1,5 ML SER. 2 AG.

LIDOGEL 20 MG/G GEL TOP CLORIDRATO DE

90374940 20 90374940 G 1558401620017 R$ 0.22 0,2212 30,00 20 2095253629 95253629 MEDICAMENTO TUSS 01/04/2018 31/08/2014 0000011297 LIDOGEL GEL 30 G C/APLIC.
CT BG AL X 30 G LIDOCAINA

LONQUEX 10 MG/ML SOL INJ 10 MG/ML SOL. INJ. SC.

SC CT SER PREENC VD INC LONQUEX CT SER. PREENC VD.
90325818 20 90325818 LIPEGFILGRASTIM SER 1557300320028 R$ 4,218.18 4020,0000 1,00 20 2096189118 96189118 MEDICAMENTO TUSS 01/01/2016 31/03/2016 0000064177
X 0,6 ML + DISPOSITIVO DE (RESTRITO HOSP.) INC. X 0,6 ML |DISP.
SEGURANCA SEGURANCA

MABTHERA 10 MG/ML SOL MABTHERA (ICMS

90184599 20 90184599 DIL INFUS IV CT 1 FR VD RITUXIMABE MG 1010005480038 R$ 18.80 17,9280 500,00 20 2095179011 95179011 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000003900 0%) (RESTRITO 500 MG. 1 FA
TRANS X 50 ML HOSP.)

MABTHERA 10 MG/ML SOL MABTHERA (ICMS

90184580 20 90184580 DIL INFUS IV CT 2 FR VD RITUXIMABE MG 1010005480011 R$ 19.70 17,7600 200,00 20 2095179020 95179020 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000003901 0%) (RESTRITO 100 MG. 2 FA
TRANS X 10 ML HOSP.)

MABTHERA SC 1400 MG SOL MABTHERA SC 1400 MG. SOL. INJ. SC

90343115 20 90343115 INJ SC CT 1 FA VD TRANS X RITUXIMABE FA 1010005480046 R$ 12,840.00 8027,0520 1,00 20 2096213728 96213728 MEDICAMENTO TUSS 01/09/2016 01/09/2016 0000063768 (ICMS 0%)(RESTRITO CT. 1 FA VD. TRANS. X
11,7 ML (REST HOSP) HOSP.) 11,7 ML

MESNA 100 MG / ML SOL INJ MESNA - GENERICO 100 MG/ML SOL. INJ.
90069544 20 90069544 MESNA AMP 1004308000046 R$ 15.42 15,4224 50,00 20 2094277451 94277451 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000037088
CT 50 AMP VD INC X 4 ML (RESTRITO HOSP.) 50 AMPS. VD. X 4 ML

MESNA 100 MG/ML SOL INJ IV 100 MG/ML SOL. INJ. IV

MESNA - GENERICO
90031989 20 90031989 CT 50 AMP VD INC X 4 ML MESNA AMP 1163700700031 R$ 8.76 8,7600 50,00 20 2094295158 94295158 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000042829 50 AMPS. VD. X 4 ML
(RESTRITO HOSP.)
(EMB HOSP) (HOSP.)

METROFARMA 5 MG/ML SOL CLORIDRATO DE

METROFARMA 10 MG/2 ML CX. 100
90073231 20 90073231 INJ CX 100 AMP VD AMB X 2 METOCLOPRAMIDA AMP 1108500210028 R$ 0.74 0,7440 100,00 20 2096139137 96139137 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000039774
(RESTRITO HOSP.) AMPS. VD.
ML (EMB HOSP) MONO-HIDRATADO

NEO DECAPEPTYL 3,75 MG

EMBONATO DE 3,75 MG. LIOF. INJ. FA |
90004744 20 90004744 PO LIOF INJ CT FA VD TRANS MG 1057301200047 R$ 208.89 208,8928 3,75 20 2095414347 95414347 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000001529 NEO-DECAPEPTYL
TRIPTORRELINA DIL. AMP. X 2 ML
+ SOL DIL X 2 ML

NEO DECAPEPTYL LP 11,25

MG PO LIOF SUS INJ LIB EMBONATO DE 11,25 MG. LIOF. INJ. FA
90004752 20 90004752 MG 1057301200067 R$ 182.73 134,3808 11,25 20 2094251479 94251479 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000024720 NEO-DECAPEPTYL
PROL CT FA VD TRANS + TRIPTORRELINA DIL. AMP. X 2 ML
SOL DIL X 2 ML

NORIPURUM EV 20MG/ML
SACARATO DE NAO POSSUI NAO POSSUI NAO POSSUI
96004150 00 2096004150 SOL INJ EV CX 5 AMP VD INC AMP 1063902550016 R$ 27.60 27,5040 5,00 20 MEDICAMENTO TNUMM 01/06/2014 01/06/2014
HIDROXIDO FERRICO BRASINDICE BRASINDICE BRASINDICE
X 5ML

ONTAX 6 MG/ML SOL INJ CT ONTAX (RESTRITO

90250508 20 90250508 PACLITAXEL MG 1003301150087 R$ 1.91 1,9140 100,00 20 MEDICAMENTO TUSS 01/12/2013 31/08/2014 0000015525 100 MG. 1 FA
FA VD AMB X 16,7 ML HOSP.)

ONTAX 6 MG/ML SOL INJ CT ONTAX (RESTRITO

90250516 20 90250516
FA VD AMB X 25 ML
PACLITAXEL MG 1003301150095 R$ 2.96 R$ 1.34 150,00 20 2096100702 96100702 MEDICAMENTO TUSS 01/12/2013 31/08/2014 0000033446
HOSP.)
150 MG. 1 FA

ONTAX 6 MG/ML SOL INJ CT ONTAX (RESTRITO

90250494 20 90250494 PACLITAXEL MG 1003301150079 R$ 1.74 1,5496 30,00 20 2096100680 96100680 MEDICAMENTO TUSS 01/12/2013 31/08/2014 0000015524 30 MG. 1 FA
FA VD AMB X 5 ML HOSP.)

OPDIVO 100 MG SOL INJ CT 1 OPDIVO (RESTRITO 100 MG. SOL. INJ. CT. 1
90348729 20 90348729 NIVOLUMABE MG 1018004080023 R$ 102.97 101,2800 100,00 20 2096238240 96238240 MEDICAMENTO TUSS 01/01/2017 01/01/2017 0000065361
FA VD INC X 10 ML HOSP.) FA VD. INC. X 10 ML

OPDIVO 40 MG SOL INJ CT 1 OPDIVO (RESTRITO 40 MG. SOL. INJ. CT. 1

90348737 20 90348737 NIVOLUMABE MG 1018004080015 R$ 102.97 97,6800 40,00 20 2096238267 96238267 MEDICAMENTO TUSS 01/01/2017 01/01/2017 0000065360
FA VD INC X 4 ML HOSP.) FA VD. INC. X 4 ML

ORENCIA 250 MG PO LIOF ORENCIA (RESTRITO 250 MG. PO LIOF. INJ.

90035593 20 90035593 ABATACEPTE FA 1018003900019 R$ 2,327.07 2307,4800 1,00 20 2094251746 94251746 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000075594
INJ CT FA + SER DESC HOSP.) CT. FA SER. DESC.

OXALIBBS 5 MG/ML SOL INJ OXALIBBS LIQ. 50 MG/10 ML INJ. 1

90382293 20 90382293
CT FA VD AMB X 10 ML
OXALIPLATINA MG 1003301490031 R$ 4.59 R$ 3.82 50,00 20 2096261056 96261056 MEDICAMENTO TUSS 01/04/2018 01/04/2018 0000071408
(RESTRITO HOSP.) FA

OXALIBBS 5 MG/ML SOL INJ OXALIBBS LIQ. 100 MG/20 ML INJ.

90382307 20 90382307
CT FA VD AMB X 20 ML
OXALIPLATINA MG 1003301490041 R$ 5.87 R$ 4.35 100,00 20 2096261080 96261080 MEDICAMENTO TUSS 01/04/2018 01/04/2018 0000071409
(RESTRITO HOSP.) 1 FA

0,25 MG/ML SOL. INJ.

PASMODEX 0,25 MG/ML SOL
SULFATO DE PASMODEX IV/IM/SC CX. 240 AMPS.
90425669 20 90425669 INJ IV/IM/SC CX 240 AMP AMP 1031101650014 R$ 0.43 0,4376 240,00 20 2094309370 94309370 MEDICAMENTO TUSS 01/08/2019 01/08/2019 0000076203
ATROPINA (RESTRITO HOSP.) PLAST. X PET. TRANS.
PLAS PE TRANS X 1 ML
1 ML

PEMEGLENN 100 MG PO LIOF PEMETREXEDE

PEMEGLENN 100 MG. PO LIOF. INJ.
90267648 20 90267648 INJ IV CT 01 FA VD INC X 15 DISSODICO MG 1101302690018 R$ 0.73 1,3620 100,00 20 2094316740 94316740 MEDICAMENTO TUSS 01/12/2013 31/08/2014 0000048893
(RESTRITO HOSP.) IV FA VD.
ML HEMIPENTAIDRATADO

PEMEGLENN 500 MG PO
PEMETREXEDE PEMEGLENN 500 MG. PO LIOF. INJ.
90267656 20 90267656 LIOF INJ IV CT 01 FA VD INC MG 1101302690026 R$ 0.47 1,3620 500,00 20 2094316759 94316759 MEDICAMENTO TUSS 01/12/2013 31/08/2014 0000048892
DISSODICO (RESTRITO HOSP.) IV FA VD.
X 30 ML

PERJETA 420 MG SOL DIL

PERJETA (RESTRITO
90294432 20 90294432 INFUS IV CT FA VD TRANS X PERTUZUMABE MG 1010006570014 R$ 38.48 34,7029 420,00 20 2096000562 96000562 MEDICAMENTO TUSS 26/05/2014 31/08/2014 0000054173 420 MG. 1 FA
HOSP.)
14 ML

POEMMY 50 MG/ML SOL INJ

POEMMY (RESTRITO 50 MG/ML. SOL. INJ. 2
90407091 20 90407091 CT 2 SER VD INC PREENC FULVESTRANTO SER 1003302010025 R$ 984.00 1016,9370 2,00 20 2094326304 94326304 MEDICAMENTO TUSS 01/07/2019 01/07/2019 0000076575
HOSP.) SER. X 5 ML. OR.
DESCART X 5ML + 2 AGULHA

PROLIA 60 MG/ML SOL INJ 60 MG. SOL. INJ. CT.

90438744 20 90438744 CT SER PREENCH VD TRANS DENOSUMABE SER 1024400130011 R$ 966.74 910,8000 1,00 20 MEDICAMENTO TUSS 01/12/2019 01/12/2019 0000067316 PROLIA SER. PREENCH. VD.
X 1 ML INC. X 1 ML

REMSIMA 10 MG/ML PO LIOF 10 MG/ML PO LIOF. CT.

90346408 20 90346408 INFLIXIMABE MG 1921600010010 R$ 32.96 31,0800 100,00 20 2096223219 96223219 MEDICAMENTO TUSS 01/09/2016 31/08/2016 65687 REMSIMA
CT FA VD INC X 10 ML FA VD. INC. X 10 ML

10 MG. CT. BL. AL.

REVLIMID 10 MG CAP CT BL REVLIMID
90423402 20 90423402
AL PLAS TRANS X 21
LENALIDOMIDA CAP 1961400020038 R$ 1,068.00 1082,7074 21,00 20 2094353883 94353883 MEDICAMENTO TUSS 01/07/2019 01/07/2019 0000074752
(RESTRITO HOSP.)
PLAS. TRANS. X 21
CPS.

25 MG. CT. BL. AL.

REVLIMID 25 MG CAP DURA REVLIMID (RESTRITO
90423380 20 90423380 LENALIDOMIDA CAP 1961400020054 R$ 1,320.00 1219,0200 21,00 20 2094352950 94352950 MEDICAMENTO TUSS 01/07/2019 01/07/2019 0000074750 PLAS. TRANS. X 21
CT BL AL PLAS TRANS X 21 HOSP.)
CPS.

100 MG. PO LIOF. SOL.

RIBOMUSTIN 100 MG PO LIOF CLORIDRATO DE RIBOMUSTIN
90380754 20 90380754 MG 1123634130022 R$ 18.59 16,7656 100,00 20 FONTE DE PRECO CMED 2096270446 96270446 MEDICAMENTO TUSS 01/04/2018 01/04/2018 0000072653 INJ. INFUS. CT. FA VD.
SOL INJ INFUS CT FA VD AMB BENDAMUSTINA (RESTRITO HOSP.)
AMB.

25 MG. PO LIOF. SOL.

RIBOMUSTIN 25 MG PO LIOF CLORIDRATO DE RIBOMUSTIN
90380746 20 90380746 MG 1123634130014 R$ 18.59 16,7659 25,00 20 FONTE DE PRECO CMED 2096270500 96270500 MEDICAMENTO TUSS 01/04/2018 01/04/2018 0000072654 INJ. INFUS. CT. FA VD.
SOL INJ INFUS CT FA VD AMB BENDAMUSTINA (RESTRITO HOSP.)
AMB.

REGISTRO
RIVOTRIL 2,5 MG/ML SOL OR 01ML = 25GTS. REGISTRO VD. 20 ML. 2,5 MG/ML
90184955 20 90184955 CLONAZEPAM GTS 1010000720034 R$ 0.03 0,0382 500,00 20 2094412030 94412030 MEDICAMENTO TUSS 10/10/2012 31/03/2023 CANCELADO 31/08/2014 0000001906 RIVOTRIL
CT FR VD CGT X 20 ML CANCELADO ANVISA 16/11/21. (GOTAS)
ANVISA

RIXIMYO 10 MG/ML SOL DIL 10 MG/ML SOL. DIL.

RIXIMYO (ICMS 0%)
90435974 20 90435974 INFUS CT 1 FR VD TRANS X RITUXIMABE MG 1004706180036 R$ 7.36 7,3680 500,00 20 MEDICAMENTO TUSS 01/12/2019 01/12/2019 0000077843 INFUS. CT. 1 FR. VD.
(RESTRITO HOSP.)
50 ML TRANS. X 50 ML

RIXIMYO 10 MG/ML SOL DIL 10 MG/ML SOL. DIL.

RIXIMYO (ICMS 0%)
90435966 20 90435966 INFUS CT 2 FR VD TRANS X RITUXIMABE MG 1004706180011 R$ 10.01 10,0128 200,00 20 MEDICAMENTO TUSS 01/12/2019 01/12/2019 0000077844 INFUS. CT. 2 FR. VD.
(RESTRITO HOSP.)
10 ML TRANS. X 10 ML

SANDOSTATIN LAR 30 MG PO
P/ SUS INJ CT FA VD INC + 1 ACETATO DE
90320603 20 90320603 FA 1006800090149 R$ 9,861.08 9313,6320 1,00 20 2096184019 96184019 MEDICAMENTO TUSS 01/01/2016 31/03/2016 0000060634 SANDOSTATIN LAR 30 MG. 2,0 ML
SER DIL X 2,0 ML + SIST OCTREOTIDA
APLIC

50 MG/ML SOL. INJ. CT.

SELETIV 50 MG/ML SOL INJ
SELETIV (RESTRITO SER. PREENCH. VD.
90303733 20 90303733 CT SER PREENC VD TRANS FULVESTRANTO SER 1004311000019 R$ 1,063.64 1063,6416 1,00 20 2096160918 96160918 MEDICAMENTO TUSS 01/01/2016 31/03/2016 0000063171
HOSP.) TRANS. DESC. X 5 ML |
DESCART X 5ML + AGULHA
AGULHA

50 MG. SOL. INJ. CT. 1

SIMPONI 50 MG SOL INJ CT 1
SER. PREENCH. X 0,5
90311221 20 90311221 SER PREENC X 0,5 MLACOP GOLIMUMABE SER 1123634050037 R$ 5,691.57 4962,2640 1,00 20 2096175400 96175400 MEDICAMENTO TUSS 01/01/2016 31/03/2016 0000060393 SIMPONI
ML ACOP. CAN. APLIC.
CAN APLIC C/ MANGA SEG
C/MANGA SEG.

SOMATULINE AUTOGEL 120

MG SOL INJ LIB PROL CT
ACETATO DE NAO POSSUI NAO POSSUI NAO POSSUI
90491700 20 90491700 ENV AL/PLAS SER PREENC SER 1697700020094 R$ 4,076.37 3871,4400 1,00 20 MEDICAMENTO TUSS 01/06/2021 01/06/2021
LANREOTIDA BRASINDICE BRASINDICE BRASINDICE
PLAS TRANS AG RETRATIL X
0,5 ML

SOMATULINE AUTOGEL 120 120 MG SOL. INJ. LIB.

MG SOL INJ LIB PR CT ACETATO DE SOMATULINE PROL. CT. SACHE SER.
90295048 20 90295048 SER 1697700020061 R$ 4,699.17 4237,6800 1,00 20 FONTE DE PRECO CMED 2096118636 96118636 MEDICAMENTO TUSS 26/05/2014 31/08/2014 0000061217
SACHE SER PREENCH AG LANREOTIDA AUTOGEL PREENCH. AG.
RETRATIL X 0,5 ML RETRATIL X 0,5 ML

ITEM NEGOCIADO PELO

COMPRAMED. PARA ACESSAR A
STIVARGA 40 MG COM REV 40 MG. CT. FR. PLAST.
90344588 20 90344588 REGORAFENIBE COM 1705601080026 R$ 212.49 193,5000 84,00 20 LISTA: WWW.UNIMED.COOP.BR > 2096224592 96224592 MEDICAMENTO TUSS 01/09/2016 31/08/2016 0000064936 STIVARGA
CT FR PLAS OPC X 84 OPC. X 84 CPRS. REV.
AREAS > REGULACAO EM SAUDE >
COMPRAMED
SUCCINATO SODICO DE
SUCCINATO SODICO 125 MG. PO SOL. INJ.
METILPREDNISOLONA 125 SUCCINATO SODICO
ITEM COM VALOR DE MERCADO DE IM/IV CT. 25 FA VD.
90447018 20 90447018 MG PO SOL INJ IM/IV CX 25 DE FA 1163701570032 R$ 18.45 32,2771 25,00 20 MEDICAMENTO TUSS 01/08/2020 01/08/2020 0000080302
ACIMA CMED, DEVIDO PANDEMIA METILPREDNISOLON TRANS. | 25 AMP. DIL.
FA VD TRANS + 25 AMP DIL METILPREDNISOLONA
A - GENERICO VD. TRANS. X 2 ML
VD TRANS X 2 ML
SUCCINATO SODICO DE
SUCCINATO SODICO 500 MG. PO SOL. INJ.
METILPREDNISOLONA 500 SUCCINATO SODICO
DE IM/IV CT. FA VD.
90452070 20 90452070 MG PO SOL INJ IM/IV CT FA DE FA 1163701570024 R$ 39.50 39,3047 1,00 20 MEDICAMENTO TUSS 01/08/2020 01/08/2020 0000080300
METILPREDNISOLON TRANS. | AMP. DIL. VD.
VD TRANS + AMP DIL VD METILPREDNISOLONA
A - GENERICO TRANS. X 8 ML
TRANS X 8 ML

TALTZ 80MG/ML SOL INJ CT 1 NAO POSSUI NAO POSSUI NAO POSSUI
90398785 20 90398785 IXEQUIZUMABE SER 1126001960021 R$ 6,962.67 6962,6760 1,00 20 2094341257 94341257 MEDICAMENTO TUSS 01/07/2019 01/07/2019
SER PREENC VD INC X 1ML BRASINDICE BRASINDICE BRASINDICE

TECENTRIQ 1200 MG SOL 1200 MG. SOL. DIL.

TECENTRIQ
90411919 20 90411919 DIL INFUS IV CT FA VD ATEZOLIZUMABE FA 1010006650018 R$ 36,505.59 R$ 30,837.60 1,00 20 2094353034 94353034 MEDICAMENTO TUSS 01/07/2019 01/07/2019 0000073194
(RESTRITO HOSP.)
INFUS. IV CT. FA VD.
TRANS X 20 ML TRANS. X 20 ML

TECENTRIQ 840 MG SOL DIL 840 MG. SOL. DIL.

TECENTRIQ
90439740 20 90439740 INFUS IV CT FA VD TRANS X ATEZOLIZUMABE FA 1010006650026 R$ 25,060.78 22080,0000 1,00 20 2094366446 94366446 MEDICAMENTO TUSS 01/04/2020 01/04/2020 0000078243 INFUS. IV CT. FA VD.
(RESTRITO HOSP.)
14 ML TRANS. X 14 ML
 TECNOCRIS 1 MG/ML SOL
SULFATO DE TECNOCRIS 1 MG. SOL. INJ. CX. 1
90215346 20 90215346 INJ CT FA VD INC X 1 ML MG 1221400170044 R$ 15.51 15,5160 1,00 20 Válido 31/05/2023 2095429581 95429581 MEDICAMENTO TUSS 10/10/2012 REATIVACAO 31/08/2014 0000009827
VINCRISTINA (RESTRITO HOSP.) FA
(EMB HOSP)

TECNOTECAN 20 MG/ML SOL

CLORIDRATO DE TECNOTECAN 40 MG. SOL. INJ. CX. 1
90215478 20 90215478 INJ CT FA VD AMB X 2 ML MG 1221400340012 R$ 0.98 0,9870 40,00 20 2095453490 95453490 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000009374
IRINOTECANO (RESTRITO HOSP.) FA
(REST HOSP)

TECNOTECAN 20 MG/ML SOL

CLORIDRATO DE TECNOTECAN 100 MG. SOL. INJ. CX.
90215460 20 90215460 INJ CT FA VD AMB X 5 ML MG 1221400340020 R$ 1.02 1,0200 100,00 20 2095429646 95429646 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000009373
IRINOTECANO (RESTRITO HOSP.) 1 FA
(REST HOSP)

TEVAOXALI 5 MG/ML SOL INJ TEVAOXALI 50 MG. SOL. INJ. FA

90241975 20 90241975 OXALIPLATINA MG 1557300050039 R$ 2.39 2,9232 50,00 20 2096005793 96005793 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000051275
CT FA VD INC X 10 ML (RESTRITO HOSP.) VD. X 10 ML

TEVAOXALI 5 MG/ML SOL INJ TEVAOXALI 100 MG. SOL. INJ. FA

90241983 20 90241983 OXALIPLATINA MG 1557300050047 R$ 2.03 2,0386 100,00 20 2096005831 96005831 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000051276
CT FA VD INC X 20 ML (RESTRITO HOSP.) VD. X 20 ML

TEVAOXALI 5 MG/ML SOL INJ TEVAOXALI 200 MG. SOL. INJ. FA

90242009 20 90242009 OXALIPLATINA MG 1557300050063 R$ 2.20 2,3142 200,00 20 2096005807 96005807 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000051277
CT FA VD INC X 40 ML (RESTRITO HOSP.) VD. X 40 ML

20 MG. CT. BL. AL.

TILATIL 20 MG COM REV CT
90430590 20 90430590 TENOXICAM COM 1883000590011 R$ 6.99 6,0264 10,00 20 2094362610 94362610 MEDICAMENTO TUSS 01/08/2019 01/08/2019 0000076481 TILATIL PLAS. INC. X 10 CPRS.
BL AL PLAS TRANS X 10
REV.

TOVAR 3,5 MG PO LIOF SOL TOVAR (RESTRITO 3,5 MG. PO LIOF. SOL.
90432088 20 90432088 BORTEZOMIBE MG 1057305320016 R$ 566.78 1173,3919 3,50 20 2094359237 94359237 MEDICAMENTO TUSS 01/08/2019 01/08/2019 0000079042
INJ CT FA VD TRANS HOSP.) INJ. FR. AMP.

CLORIDRATO DE
TREBYXAN 20 MG/ML SOL TREBYXAN 20 MG/ML SOL. INJ. FA
90265670 20 90265670 IRINOTECANO TRI- MG 1064601930012 R$ 0.87 0,9006 40,00 20 2096023848 96023848 MEDICAMENTO TUSS 01/12/2013 31/08/2014 0000055433
INJ CT FA VD AMB X 2 ML (RESTRITO HOSP.) VD. AMB. X 2 ML
HIDRATADO

CLORIDRATO DE
TREBYXAN 20 MG/ML SOL TREBYXAN 20 MG/ML SOL. INJ. FA
90265700 20 90265700 IRINOTECANO TRI- MG 1064601930047 R$ 0.69 0,6960 100 20 2096023856 96023856 MEDICAMENTO TUSS 01/12/2013 31/08/2014 0000055432
INJ CT FA VD AMB X 5 ML (RESTRITO HOSP.) VD. AMB. X 5 ML
HIDRATADO

500 MG. P LIOF. SOL.

TRISK 500 MG PO LIOF SOL
90444906 20 90444906 DAPTOMICINA FA 1004312850024 R$ 382.19 382,1924 5,00 20 MEDICAMENTO TUSS 01/08/2020 01/08/2020 0000080122 TRISK INJ. IV CT. 5 FA VD.
INJ IV CT 5 FA VD TRANS
TRANS.

500 MG BL EMB MULT

TYLENOL 500 MG COM REV
90228324 20 90228324 PARACETAMOL COM 1123633260526 R$ 1.27 1,2062 100,00 20 2096003162 96003162 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000046906 TYLENOL 50X2-100 CPRS-EXTRA
CT BL AL PVC X 100
PODER DE ALIVIO

TYLENOL 750 MG COM REV 750 MG. CT. BL. AL.

90453131 20 90453131 DISPLAY BL AL PLAS TRANS PARACETAMOL COM 1123633260828 R$ 1.38 1,5756 100,00 20 MEDICAMENTO TUSS 01/08/2020 01/08/2020 0000078577 TYLENOL PLAS. AMB. X 100
X 100 CPRS. REV.

VEQUILE 50 MG/ML SOL INJ 50 MG/ML SOL. INJ. BL.

CT BL PLAS X 1 SER VEQUILE (RESTRITO PLAST. X 1 SER.
90403258 20 90403258 FULVESTRANTO SER 1004706130012 R$ 1,314.67 1097,5560 1,00 20 2094326312 94326312 MEDICAMENTO TUSS 01/07/2019 01/07/2019 0000076035
PREENCH VD TRANS + AGU HOSP.) PREENCH. VD. TRANS.
X 5 ML | AG. X 5 ML

VEQUILE 50 MG/ML SOL INJ 50 MG/ML SOL. INJ. BL.

CT BL PLAS X 2 SER VEQUILE (RESTRITO PLAST. X 2 SER.
90403266 20 90403266 FULVESTRANTO SER 1004706130020 R$ 2,364.00 2364,0000 2,00 20 2094326320 94326320 MEDICAMENTO TUSS 01/07/2019 01/07/2019 0000076036
PREENCH VD TRANS + AGU HOSP.) PREENCH. VD. TRANS.
X 5 ML | AG. X 5 ML

VIDAZA 100MG/200MG PO 100 MG/200 MG/ PO

VIDAZA (RESTRITO
90211499 20 90211499 LIOF SUS INJ SC FA VD INC X AZACITIDINA MG 1257600200010 R$ 14.35 18,8400 100,00 20 2094307954 94307954 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000039353 LIOF. SUSP. INJ. 5C FA
HOSP.)
200MG VD. INC. X 200 MG.

VITAMINA C 0,500G +
0,1157G + 0,0005G + 0,005G / VITAMINA C 500 MG/5 ML - CX. 100
90073436 20 90073436 ACIDO ASCORBICO AMP 1108500280026 R$ 1.38 1,2454 100,00 20 FONTE DE PRECO CMED 2094228299 94228299 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000039782
5 ML SOL INJ CX COM 100 (RESTRITO HOSP.) AMPS. VD.
AMP VD AMB X 5 ML

VIVAXXIA 10 MG/ML SOL DIL

VIVAXXIA (ICMS 0%)
90444060 20 90444060 INFUS IV CT 2 FA VD TRANS RITUXIMABE MG 1003302050035 R$ 20.04 18,0787 200,00 20 FONTE DE PRECO CMED MEDICAMENTO TUSS 01/04/2020 01/04/2020 0000078252 100 MG. 2 FA
(RESTRITO HOSP.)
X 10 ML

VIVAXXIA 10 MG/ML SOL DIL

VIVAXXIA (ICMS 0%)
90444086 20 90444086 INFUS IV CT FA VD TRANS X RITUXIMABE MG 1003302050027 R$ 11.39 11,0638 500,00 20 2094366330 94366330 MEDICAMENTO TUSS 01/04/2020 01/04/2020 0000078253 500 MG. 1 FA
(RESTRITO HOSP.)
50 ML

CLORIDRATO DE
VONAU 4 MG COM ORODISP
90435400 20 90435400 ONDANSETRONA DI- COM 1097401940266 R$ 2.98 2,9112 10,00 20 MEDICAMENTO TUSS 01/12/2019 01/12/2019 0000077052 VONAU FLASH 4 MG. CX. 10 CPRS.
CT BL AL AL X 10
HIDRATADO

CLORIDRATO DE
VONAU 8 MG COM ORODISP
90435419 20 90435419 ONDANSETRONA DI- COM 1097401940290 R$ 6.39 6,2820 10,00 20 MEDICAMENTO TUSS 01/12/2019 01/12/2019 0000077053 VONAU FLASH 8 MG. CX. 10 CPRS.
CT BL AL AL X 10
HIDRATADO

XGEVA 120 MG SOL INJ CT 120 MG. SOL. INJ. CT.

90435125 20 90435125 DENOSUMABE FA 1024400140015 R$ 1,958.55 1719,6000 1,00 20 MEDICAMENTO TUSS 01/10/2019 01/10/2019 0000067315 XGEVA
FA VD TRANS X 1,7 ML FA VD. INC. X 1,7 ML

XOLAIR 150 MG PO LIOF INJ

ALTERADO CONFORME TUSS XOLAIR (RESTRITO 150 MG. FA | AMP. DIL
90173392 20 90173392 CT FA VD INC + AMP VD INC OMALIZUMABE FA 1006809830013 R$ 2,733.68 2672,2152 1,00 20 2094189870 94189870 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000060630
VERSAO 09/2019. HOSP.) X 2 ML
DIL X 2 ML

YERVOY 50 MG SOL INJ INC YERVOY (RESTRITO 50 MG. INJ. CX. 1 FA 10

90255224 20 90255224 IPILIMUMABE MG 1018004020012 R$ 494.13 417,2054 50,00 20 2094320489 94320489 MEDICAMENTO TUSS 01/12/2013 31/08/2014 0000051910
CT 1 FA VD INC X 10 ML HOSP.) ML

ZARZIO 30 MUI SOL INJ CT 1 30 MUI SOL. INJ. CT. 1

ZARZIO (RESTRITO
90403240 20 90403240 SER PREENC VD TRANS X FILGRASTIM SER 1004705980039 R$ 65.40 R$ 65.40 1,00 20 2094324786 94324786 MEDICAMENTO TUSS 01/07/2019 01/07/2019 0000077034 SER. PREENCH. VD.
HOSP.)
0,5 ML TRANS. X 0,5 ML

ZEDORA 440 MG PO LIOF

ZEDORA (RESTRITO 440 MG. PO LIOF. 1 FA
90406907 20 90406907 SOL INJ IV CT FA VD TRANS TRASTUZUMABE MG 1003301990042 R$ 29.40 21,5024 440,00 20 2094353484 94353484 MEDICAMENTO TUSS 01/07/2019 01/07/2019 0000073512
HOSP.) DIL.
+ DIL FA VD TRANS X 20 ML

ZOLADEX 3,6 MG DEPOT + ACETATO DE NAO POSSUI NAO POSSUI NAO POSSUI
90016807 20 90016807 SER 1161800430011 R$ 773.52 719,0760 1,00 20 2095204024 95204024 MEDICAMENTO TUSS 10/10/2012 31/08/2014
SER CT ENV AL POLIET X 1 GOSSERRELINA BRASINDICE BRASINDICE BRASINDICE

ZOLADEX LA 10,8 MG DEPOT ACETATO DE NAO POSSUI NAO POSSUI NAO POSSUI
90016815 20 90016815 SER 1161800430021 R$ 2,268.00 1876,4760 1,00 20 2095204016 95204016 MEDICAMENTO TUSS 10/10/2012 31/08/2014
+ SER CT ENV AL POLIET X 1 GOSSERRELINA BRASINDICE BRASINDICE BRASINDICE

ZOLIBBS 0,8 MG/ML SOL INJ ACIDO ZOLEDRONICO ZOLIBBS (ICMS 0%) 4 MG/5 ML INJ. 1 FA
90232372 20 90232372
CT FA VD INC X 5 ML MONO-HIDRATADO
FA 1003301570019 R$ 570.66 R$ 570.66 1,00 20 2094311480 94311480 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000043841
(RESTRITO HOSP.) OR.

ZYTIGA 250 MG COM CT FR ACETATO DE 250 MG. FR. PLAST.

90228430 20 90228430
PLAS OPC X 120 ABIRATERONA
COM 1123634010019 R$ 135.22 117,4968 120,00 20 2094315655 94315655 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000047452 ZYTIGA
OPC 120 CPRS.

DECADRON
DECADRON 4MG/ML SOL INJ FOSFATO DISSODICO
90003551 20 90003551 MG 1057303020031 R$ 1.49 1,2744 10,00 20 2094141126 94141126 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000030677 SOLUCAO 4 MG. 1 FA X 2,5 ML
CT 1 FA X 2,5 ML DE DEXAMETASONA
INJETAVEL

DECADRON
DECADRON 2MG/ML SOL INJ FOSFATO DISSODICO
90003543 20 90003543 AMP 1057303020015 R$ 6.00 5,1391 2,00 20 2094141118 94141118 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000030676 SOLUCAO 2 MG. 2 AMPS. X 1 ML
CT 2 AMP X 1 ML DE DEXAMETASONA
INJETAVEL

TYSABRI 20 MG/ML SOL INJ 20 MG/ML SOL. INJ. FA

90024940 20 90024940 NATALIZUMABE FA 1699300020018 R$ 7,372.50 7372,5000 1,00 20 2094309027 94309027 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000043344 TYSABRI
CT FA VD INC X 15 ML X 15 ML

CLEXANE 40 MG SOL INJ CT

40 MG. SOL. INJ. CX. 2
2 SER PRE - ENCHIDAS VD
90458125 20 90458125 ENOXAPARINA SODICA SER 1832603360135 R$ 63.57 58,2840 2,00 20 MEDICAMENTO TUSS 01/08/2020 01/08/2020 0000039640 CLEXANE SER. PRE. X 0,4 ML |
INC X 0,4 ML+ SIST
SIST. SEG.
SEGURANCA

EMPAK 300 MG CAP DURA NAO POSSUI NAO POSSUI NAO POSSUI
90452860 20 90452860 GABAPENTINA CAP 1097402820019 R$ 2.66 2,6520 10,00 20 MEDICAMENTO TUSS 01/08/2020 01/08/2020
CT BL AL PLAS TRANS X 10 BRASINDICE BRASINDICE BRASINDICE

FERINJECT 50 MG/ML SOL

CARBOXIMALTOSE NAO POSSUI NAO POSSUI NAO POSSUI
90265521 20 90265521 INJ IV CX 5 AMP VD INC X 10 AMP 1063902620022 R$ 586.80 586,8000 5,00 20 2096104520 96104520 MEDICAMENTO TUSS 01/12/2013 31/08/2014
FERRICA BRASINDICE BRASINDICE BRASINDICE
ML

REMICADE 10 MG/ML PO REMICADE 10 MG/ML PO LIOF. FA

90268920 20 90268920 INFLIXIMABE MG 1123634030011 R$ 52.32 46,8800 100,00 20 2094269262 94269262 MEDICAMENTO TUSS 01/12/2013 31/08/2014 0000050707
LIOF CT FA VD INC X 10 ML (RESTRITO HOSP.) VD. X 10 ML

REMSIMA 10 MG/ML PO LIOF 10 MG/ML PO LIOF. CT.

90346408 20 90346408 INFLIXIMABE MG 1921600010010 R$ 32.96 31,0800 100,00 20 2096223219 96223219 MEDICAMENTO TUSS 01/09/2016 31/08/2016 0000065687 REMSIMA
CT FA VD INC X 10 ML FA VD. INC. X 10 ML

DECADRON 4,0 MG COM CT

90003560 20 90003560 DEXAMETASONA COM 1057303030037 R$ 1.74 1,6452 10,00 20 2094141100 94141100 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000008004 DECADRON 4 MG. 1 BL. X 10 CPRS.
BL AL PLAS INC X 10

DEXAMETASONA 4 MG COM DEXAMETASONA - 4,0 MG. 1 BL. X 10

90055551 20 90055551 DEXAMETASONA COM 1023507020434 R$ 0.65 0,7344 10,00 20 2095466517 95466517 MEDICAMENTO TUSS 10/10/2012 31/08/2014 0000005732
CT BL AL PLAS OPC X 10 GENERICO CPRS.

LECTRUM 3,75 MG PO LIOF 3,75 MG. PO LIOF. INJ.

ACETATO DE
90191722 20 90191722 INJ CT FA VD INC AMP DIL X KIT 1004704100019 R$ 432.00 298,9080 1,00 20 2094257515 94257515 MEDICAMENTO TUSS 10/10/2012 REATIVACAO 31/08/2014 0000025501 LECTRUM FA VD. INC. AMP. DIL. X
LEUPRORRELINA
1,5 ML + SER + 2 AGU 1,5 ML

25 MG. CT. BL. AL.

REVLIMID 25 MG CAP DURA REVLIMID (RESTRITO
90455657 20 90455657 LENALIDOMIDA CAP 1961400020127 R$ 1,320.00 1238,4000 14,00 20 MEDICAMENTO TUSS 01/08/2020 01/08/2020 0000079884 PLAS. TRANS. X 14
CT BL AL PLAS TRANS X 14 HOSP.)
CPS. DURA

ORENCIA 125 MG/ML SOL INJ 125 MG/ML SOL. INJ.

CT 4 SER PREENC VD TRANS CT. 4 SER PREENC.
90293886 20 90293886 + DISPOSITIVO ULTRASAFE ABATACEPTE SER 1018003900078 R$ 2,019.17 1797,8190 4,00 20 2096027126 96027126 MEDICAMENTO TUSS 26/05/2014 31/08/2014 0000075601 ORENCIA VD. TRANS. DISP.
PASSIVE + EXTENSORES DE ULTRASAFE PASSIVE
APOIO EXT. APOIO

ISOFARMA - AGUA PARA AGUA PARA

AMP. POLIET. 10 ML -
90425618 20 90425618 INJECAO SOL INJ CX 200 AGUA PARA INJECAO AMP 1031101580024 R$ 0.54 0,5280 200,00 20 2094354553 94354553 MEDICAMENTO TUSS 01/08/2019 01/08/2019 0000076196 INJECAO (RESTRITO
CX. C/200
AMP PLAS INC PE X 10 ML HOSP.)

160 MG. PO LIOF. SOL.

KADCYLA 160 MG PO LIOF TRASTUZUMABE KADCYLA (RESTRITO
90321758 20 90321758 MG 1010006590023 R$ 100.68 87,9415 160,00 20 2096003774 96003774 MEDICAMENTO TUSS 01/06/2014 01/06/2014 0000056343 INJ. IV CT. FA VD.
SOL INJ IV CT FA VD TRANS ENTANSINA HOSP.)
TRANS.

100 MG. PO LIOF. SOL.

KADCYLA 100 MG PO LIOF TRASTUZUMABE KADCYLA (RESTRITO
90321766 20 90321766 MG 1010006590015 R$ 100.68 88,8976 100,00 20 2096003782 96003782 MEDICAMENTO TUSS 01/06/2014 01/06/2014 0000056344 INJ. IV CT. FA VD.
SOL INJ IV CT FA VD TRANS ENTANSINA HOSP.)
TRANS.