Vademecum Iapos

Formulario Terapéutico Ambulatorio - IAPOS 24/01/2020
A CARGO A CARGO
DROGA NOMBRE COMERCIAL LABORATORIO PRECIO REF
AFILIADO CRONICO
ACENOCUMAROL
Comprimidos 1 mg SINTROM 1 mg COM x 20 Nova Argentia 262,98 201,05 160,08
4 mg SINTROM 4 mg COM x 20 Nova Argentia 873,11 682,36 557,75
AZECAR 4 mg COM x 30 Bagó 1.047,80 731,05 516,39
ACETAZOLAMIDA
Comprimidos 250 mg ACETA 250 mg COM x 20 Novoplos 453,92 324,80 324,80
ACETIL CISTEINA
Comprimidos 200 mg ACEMUK 200 mg EFERV. TAB x 10 Investi 445,39 315,94 315,94
BRONCOLIUM 200 mg COM x 12 Temis-Lostalo 413,15 229,90 229,90
600 mg ACC EXPECTORANTE 600 mg EFERV. COM x 10 Sandoz 408,66 263,57 263,57
DOSOMUK 600 mg COM x 10 Beta 424,81 276,60 276,60
QURA MUK 600 mg COM x 10 Bernabo 425,24 277,69 277,69
BRONCOLIUM 600 mg EFERV. COM x 10 Temis-Lostalo 496,63 361,79 361,79
ACEMUK 600 mg EFERV. TAB x 10 Investi 501,60 367,02 367,02

ACC EXPECTORANTE 600 mg EFERV. COM x 20 Sandoz 664,80 345,58 345,58

QURA MUK 600 mg COM x 20 Bernabo 694,16 375,45 375,45
DOSOMUK 600 mg COM x 20 Beta 801,73 491,45 491,45
Líquido 2000 mg BRONCOLIUM JBE x 100 Temis-Lostalo 294,09 152,75 152,75

TEMPOTANE 2% SUS x 100 Lazar 351,85 220,81 220,81
QURA MUK JBE x 100 Bernabo 363,52 227,29 227,29
ACEMUK JBE x 100 Investi 413,29 293,77 293,77
TOFLUX JBE x 100 Casasco 439,17 318,61 318,61
Sobres 200 mg TOFLUX 200 mg SOB x 20 Casasco 942,76 687,95 687,95
600 mg TEMPOTANE 600 mg SOB x 10 Lazar 435,19 292,94 292,94

CISTEFORT 600 mg SOB x 10 Fortbenton 457,00 310,48 310,48
ANTUSEL 600 mg SOB x 10 Gador 503,96 359,26 359,26
TOFLUX 600 mg SOB x 10 Casasco 528,40 394,36 394,36
BALIMUC 600 mg SOB x 10 Baliarda 534,32 399,15 399,15
TEMPOTANE 600 mg SOB x 20 Lazar 731,48 406,17 406,17

CISTEFORT 600 mg SOB x 20 Fortbenton 732,79 408,27 408,27
TOFLUX 600 mg SOB x 20 Casasco 862,56 550,28 550,28
BALIMUC 600 mg SOB x 20 Baliarda 868,72 554,88 554,88
ANTUSEL 600 mg SOB x 20 Gador 886,25 594,57 594,57
ACETIL SALICÍLICO, ÁCIDO

Comprimidos 100 mg ASPIRINA PREVENT CUB.ENTERICA COM x 20 Bayer (PH) 112,82 81,09 81,09
ASPIRINA PREVENT CUB.ENTERICA COM x 50 Bayer (PH) 246,34 169,58 169,58
325 mg ASPIRINA PREVENT 325 CUB.ENTER COM x 30 Bayer (PH) 228,92 164,55 164,55
ASPIRINA PREVENT 325 CUB.ENTER COM x 60 Bayer (PH) 407,67 269,47 269,47
ACICLOVIR
Comprimidos 200 mg LISOVYR 200 CAP x 20 Elea - Phoenix 557,39 429,03 429,03
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 550,93 338,34 338,34
400 mg XICLOVIR 400 mg COM x 20 Lazar 513,89 356,83 356,83

POVIRAL 400 mg COM x 20 Roemmers 528,17 369,30 369,30
ACERPES 400 mg COM x 20 Investi 562,02 410,33 410,33
LISOVYR 400 COM x 20 Elea - Phoenix 694,72 520,33 520,33
800 mg XICLOVIR 800 mg COM x 20 Lazar 813,89 553,05 553,05

VIROSTATIC 800 mg COM x 20 Cassara 982,29 728,90 728,90
ACERPES 800 mg COM x 20 Investi 1.031,18 754,52 754,52
LISOVYR 800 CAP x 20 Elea - Phoenix 1.109,34 830,87 830,87
XICLOVIR 800 mg COM x 40 Lazar 1.532,41 986,95 986,95

POVIRAL 800 mg COM x 40 Roemmers 1.567,22 1.021,06 1.021,06
LISOVYR 800 CAP x 40 Elea - Phoenix 1.894,20 1.389,49 1.389,49
Crema 5000 mg XICLOVIR 5% CRE x 5 Lazar 212,96 138,87 138,87

POVIRAL DERMICA 5% CRE x 5 Roemmers 236,86 169,40 169,40 INF
ACERPES 5% CRE x 5 Investi 248,52 181,84 181,84 INF
LISOVYR 5% CRE x 5 Elea - Phoenix 282,95 215,87 215,87 INF
ZOVIRAX 5% CRE x 10 GlaxoSmithKline 379,29 219,16 219,16 INF
Líquido 8000 mg XICLOVIR 8% SUS x 120 Lazar 597,22 412,08 412,08

LISOVYR 8% SUS x 120 Elea - Phoenix 794,98 595,42 595,42
POVIRAL 8% SUS x 125 Roemmers 590,48 395,04 395,04
Ungüento 5000 mg XICLOVIR 5% DERMICO UNG x 5 Lazar 208,33 154,76 154,76 INF
LISOVYR 5% UNG x 10 Elea - Phoenix 384,52 280,48 280,48 INF
ACITRETINA
Comprimidos 10 mg NEOTIGASON 10 mg CAP x 30 Teva argentina ( 2.274,76 1.588,89 1.588,89
25 mg NEOTIGASON 25 mg CAP x 30 Teva argentina ( 4.791,61 3.346,88 3.346,88
ALENDRONATO
Comprimidos 70 mg OSEOTENK 70 mg COM x 4 Biotenk 199,05 25,96 25,96
ALENDRONATO NORTHIA 70 mg COM x 4 Northia 171,80 34,36 34,36
ALENDRONATO 70 mg COM x 4 Lepetit 166,52 41,72 41,72
ACTIMAX 70 mg COM x 4 Investi 150,44 42,81 42,81
OSTEOFENE 70 mg COM x 4 Rontag 393,00 177,20 177,20
OSTEOMAR 70 mg COM x 4 Ferring 454,31 221,82 221,82
ALENATO 70 mg COM x 4 Investi 466,38 231,81 231,81
SILIDRAL 70 mg COM x 4 Spedrog Caillon 653,22 415,91 415,91
ARENDAL 70 mg COM x 4 Teva argentina ( 671,78 474,90 474,90
BREK 70 mg COM x 4 Trb-Pharma 670,00 484,30 484,30
FINDECLIN 70 mg COM x 4 Finadiet 700,55 524,91 524,91
MARVIL 70 mg COM x 4 Gador 774,14 556,06 556,06
REGENESIS 70 mg COM x 4 Elea - Phoenix 952,51 713,52 713,52
OSEOTENK 70 mg COM x 8 Biotenk 332,22 43,33 43,33

ACTIMAX 70 mg COM x 8 Investi 270,17 76,87 76,87
BREK 70 mg COM x 8 Trb-Pharma 818,00 469,20 469,20
ALENATO 70 mg COM x 8 Investi 841,61 506,82 506,82
Página 2 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 70 mg FINDECLIN 70 mg COM x 8 Finadiet 1.067,41 799,79 799,79
ALLOPURINOL
Comprimidos 100 mg ALLOPURINOL GADOR 100 mg COM x 30 Gador 190,49 139,22 139,22
ALLOPURINOL CRAVERI 100 mg COM x 30 Craveri 203,39 148,49 148,49
ALLOPURINOL GADOR 100 mg COM x 60 Gador 355,37 244,50 244,50

300 mg PURITENK 300 mg COM x 20 Biotenk 280,05 196,05 196,05

ALLOPURINOL HOUDE 300 mg COM x 30 Spedrog Caillon 227,07 83,56 83,56


COLPURIL A RETARD 300 MICROGRA CAP x 20 Nova Argentia 205,26 110,52 110,52
ALLOPURINOL CRAVERI RETARD 300 COM x 20 Craveri 447,28 326,55 326,55
ALLOPURINOL GADOR RETARD 300 mg COM x Gador 572,14 420,09 420,09

30
COLPURIL A RETARD 300 MICROGRA CAP x 50 Nova Argentia 668,35 387,35 387,35
ALLOPURINOL CRAVERI RETARD 300 COM x 50 Craveri 810,04 572,96 572,96
ALPRAZOLAM
Comprimidos 0,25 mg PLASEDAN 0.25 mg COM x 30 Eurofarma 20,16 4,03 4,03
PRINOX 0.25 mg COM x 30 Eurofarma 96,60 56,22 56,22
TENSIUM 0.25 mg COM x 30 Baliarda 97,05 67,34 67,34
PRINOX 0.25 mg-Andrómaco COM x 30 Eurofarma 96,60 67,71 67,71
ALPLAX 0.25 mg COM x 30 Gador 110,45 81,28 81,28

TRANQUINAL 0.25 mg COM x 50 Bagó 185,87 139,10 139,10
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 86,56 64,78 64,78

CALMOL 0.5 mg COM x 30 Temis-Lostalo 37,81 9,99 9,99
ROSPAZ 0.50 mg COM x 30 Rospaw 164,00 111,17 111,17
ALPRAZOLAM DF 0.5 mg COM x 30 Denver Farma 159,07 111,92 111,92
AMZIAX 0.50 mg COM x 30 Soubeiran Chobet 179,71 126,81 126,81
PTA 0.5 mg COM x 30 Sidus 181,71 130,45 130,45
XANAX 0.50 mg COM x 30 Pfizer 184,68 133,75 133,75
ALPRAZOL 0.5 mg COM x 30 Casasco 190,77 141,08 141,08
EMERAL 0.5 mg COM x 30 Nova Argentia 206,79 155,60 155,60
Página 3 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 0,5 mg EMERAL 0.5 mg COM x 50 Nova Argentia 306,26 220,97 220,97

ROSPAZ 0.50 mg COM x 60 Rospaw 289,80 188,03 188,03
PTA 0.5 mg COM x 60 Sidus 316,06 202,16 202,16
AMZIAX 0.50 mg COM x 60 Soubeiran Chobet 329,98 217,07 217,07
XANAX 0.50 mg COM x 60 Pfizer 350,88 245,12 245,12
ALPRAZOL 0.5 mg COM x 60 Casasco 357,85 252,24 252,24
ALPLAX XR 0.5 mg COM x 20 Gador 289,70 220,07 220,07
1 mg PLASEDAN 1 mg COM x 30 Eurofarma 56,23 11,25 11,25

CALMOL 1 mg COM x 30 Temis-Lostalo 58,11 15,36 15,36
PTA 1 mg COM x 30 Sidus 244,92 150,24 150,24
ROSPAZ 1 mg COM x 30 Rospaw 255,00 169,32 169,32
AMZIAX 1 mg COM x 30 Soubeiran Chobet 287,01 200,94 200,94
XANAX 1 mg COM x 30 Pfizer 290,28 206,68 206,68
PRINOX 1 mg COM x 30 Eurofarma 292,56 206,89 206,89
PRINOX 1 mg-Andrómaco COM x 30 Eurofarma 292,56 206,89 206,89
EMERAL 1 mg COM x 30 Nova Argentia 294,39 212,52 212,52
TENSIUM 1 mg COM x 30 Baliarda 298,80 217,38 217,38
ALPLAX 1 mg COM x 30 Gador 302,18 222,99 222,99
ALPRAZOL 1 mg COM x 30 Casasco 306,49 224,49 224,49
TRANQUINAL 1 mg COM x 30 Bagó 307,57 226,72 226,72

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

PTA 1 mg COM x 60 Sidus 450,26 254,60 254,60
XANAX 1 mg COM x 60 Pfizer 540,12 363,67 363,67
ALPLAX XR 1 mg COM x 20 Gador 333,25 253,15 253,15
2 mg PLASEDAN 2 mg COM x 30 Eurofarma 79,57 15,91 15,91

CALMOL 2 mg COM x 30 Temis-Lostalo 93,39 24,67 24,67
PTA 2 mg COM x 30 Sidus 402,83 259,35 259,35
Página 4 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 2 mg PRINOX 2 mg COM x 30 Eurofarma 458,34 315,45 315,45


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

PTA 2 mg COM x 60 Sidus 687,32 380,69 380,69
TRANQUINAL 2 mg COM x 100 Bagó 1.593,03 1.161,05 1.161,05
ALPLAX XR 2 mg COM x 20 Gador 408,32 310,17 310,17
0,5 mg TENSIUM SL 0.5 mg COM x 30 Baliarda 219,18 116,30 116,30

TRANQUINAL 0.5 mg SUBLINGUAL COM x 30 Bagó 332,98 247,39 247,39
Gotas 1 mg TRANQUINAL 1MG/ML GTS x 30 Bagó 334,98 243,66 243,66
AMANTADINA
Comprimidos 100 mg VIROSOL 100 mg COM x 10 Elea - Phoenix 460,66 359,69 359,69
AMPAKINE 100 mg COM x 30 Rontag 765,03 430,74 430,74

ACTISON 100 mg COM x 30 Buxton 1.058,00 780,55 780,55
VIROSOL 100 mg COM x 30 Elea - Phoenix 1.209,74 932,03 932,03
AMPAKINE 100 mg COM x 60 Rontag 1.464,64 798,71 798,71

ACTISON 100 mg COM x 60 Buxton 1.872,20 1.300,89 1.300,89
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 212,90 92,85 75,70
ATLANSIL 200 mg COM x 20 Roemmers 427,47 310,29 271,23
ATLANSIL 200 mg COM x 50 Roemmers 1.090,72 769,35 557,02
BATMOTROPIN COM x 60 Bagó 67,37 20,21 13,47
AMITRIPTILINA
Comprimidos 10 mg TRYPTALGIN 10 mg COM x 30 Craveri 363,88 257,48 257,48
25 mg AMIPTRIL 25 Mg COM x 30 Rospaw 380,00 273,40 273,40

TRYPTALGIN 25 mg COM x 30 Craveri 410,72 293,03 293,03
TRYPTANOL 25 mg COM x 30 Bagó 462,47 344,10 344,10
TRYPTANOL 25 mg COM x 100 Bagó 1.522,27 1.124,08 1.124,08
75 mg AMIPTRIL 75 Mg COM x 30 Rospaw 750,00 527,77 527,77

TRYPTALGIN 75 mg COM x 30 Craveri 814,05 569,64 569,64
TRYPTANOL 75 mg COM x 30 Bagó 940,16 698,81 698,81
Página 5 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 75 mg
AMLODIPINA
Comprimidos 5 mg AMLOPAW 5 mg COM x 10 Rospaw 230,00 169,83 169,83
AMLOC 5 mg TAB x 20 Pfizer 459,52 346,87 299,05
AMZE 5 mg COM x 28 Richmond 414,34 282,88 196,76
TENSIMED 5 mg COM x 30 Lepetit 188,60 68,90 51,80

AMLODICORD 5 mg COM x 30 Geminis Farmaceutica 374,18 203,22 114,39
HIPERTENSAL 5 mg COM x 30 Finadiet 380,05 210,32 125,95
MITOKOR 5 mg COM x 30 Biotenk 382,08 212,93 121,56
BRANCILINA 5 mg COM x 30 Fecofar 393,60 223,31 134,48
AMLOPAW 5 mg COM x 30 Rospaw 420,00 264,56 264,56
TERVALON 5 mg COM x 30 Lazar 425,93 269,69 163,70
ANEXA 5 mg COM x 30 Microsules Argentina 430,56 275,12 275,12
INDALTEN 5 mg COM x 30 Montpellier 445,24 275,20 184,83
CARDIVAS 5 mg COM x 30 Sidus 468,84 319,38 219,24
AMLODINE 5 mg COM x 30 Eurofarma 473,89 326,11 227,49
ZUNDIC 5 mg COM x 30 Raffo 486,50 326,88 224,76
ARTERIOSAN 5 mg COM x 30 Bernabo 479,91 329,84 229,17
TERLOC 5 mg COM x 30 Teva argentina ( 472,95 331,78 239,21
ILDUC 5 mg COM x 30 Baliarda 524,45 381,83 287,93
COROVAL 5 mg COM x 30 Nova Argentia 528,98 387,91 295,44
CALPRES 5 mg COM x 30 Temis-Lostalo 541,75 398,84 304,66
PELMEC 5 mg COM x 30 Casasco 542,23 400,49 314,32
CARDIOREX 5 mg COM x 30 Bagó 589,00 440,78 369,16
AMLOC ODT 5 mg COM x 30 Pfizer 618,51 450,98 395,14
CARDIOREX CDO 5 mg COM x 30 Bagó 730,00 546,30 485,07

CALPRES 5 mg COM x 60 Temis-Lostalo 1.066,82 777,78 586,48
PELMEC 5 mg COM x 60 Casasco 1.085,81 789,03 646,53
AMLOC 5 mg TAB x 60 Pfizer 1.178,02 858,95 752,60
10 mg AMLOPAW 10 mg COM x 10 Rospaw 240,00 156,42 156,42
AMZE 10 mg COM x 28 Richmond 757,25 522,08 397,21
TENSIMED 10 mg COM x 30 Lepetit 257,60 90,30 66,40

HIPERTENSAL 10 mg COM x 30 Finadiet 537,56 248,41 178,15
MITOKOR 10 mg COM x 30 Biotenk 646,21 351,07 197,39
ANEXA 10 mg COM x 30 Microsules Argentina 716,64 447,71 447,71
INDALTEN 10 mg COM x 30 Montpellier 738,89 448,25 287,92
CARDIVAS 10 mg COM x 30 Sidus 730,94 450,85 278,62
BRANCILINA 10 mg COM x 30 Fecofar 752,52 462,18 301,51
ZUNDIC 10 mg COM x 30 Raffo 784,59 492,56 333,79
AMLODIPINA DF 10 mg COM x 30 Denver Farma 732,53 505,03 505,03
TERVALON 10 mg COM x 30 Lazar 800,93 547,09 378,14
Página 6 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg AMLODINE 10 mg COM x 30 Eurofarma 877,40 635,27 477,08

ARTERIOSAN 10 mg COM x 30 Bernabo 901,12 656,50 495,99
CALPRES 10 mg COM x 30 Temis-Lostalo 920,31 669,76 503,80
PELMEC 10 mg COM x 30 Casasco 998,56 730,94 630,81
ILDUC 10 mg COM x 30 Baliarda 989,14 733,63 607,68
COROVAL 10 mg COM x 30 Nova Argentia 997,42 739,32 619,01
CARDIOREX 10 mg COM x 30 Bagó 1.112,98 832,90 739,54
AMLOC ODT 10 mg COM x 30 Pfizer 1.169,50 852,74 747,16
AMLOC 10 mg TAB x 30 Pfizer 1.233,50 899,40 788,04
CARDIOREX CDO 10 mg COM x 30 Bagó 1.277,56 956,07 848,90
AMLOPAW 10 mg COM x 50 Rospaw 1.300,00 873,96 873,96
AMLODICORD 10 mg COM x 60 Geminis Farmaceutica 1.311,06 721,89 414,54

TERLOC 10 mg COM x 60 Teva argentina ( 1.728,48 1.224,92 956,51
CALPRES 10 mg COM x 60 Temis-Lostalo 1.783,45 1.257,86 903,84
PELMEC 10 mg COM x 60 Casasco 1.986,39 1.465,75 1.234,70
AMLOC 10 mg TAB x 60 Pfizer 2.074,68 1.512,75 1.325,44
AMLODIPINA + VALSARTAN
Comprimidos 5 mg SIMULTAN A 5/160 mg COM x 14 Lazar 704,63 476,57 324,28
EXFORGE 5/160 mg COM x 14 Novartis 1.106,06 810,56 712,06
SIMULTAN A 80/5 mg COM x 28 Lazar 1.091,67 481,67 272,70

DILCORAN PLUS 160/5 mg COM x 28 Casasco 1.455,16 973,22 647,33
RACORVAL A 160/ 5 mg COM x 28 Nova Argentia 1.524,05 1.043,74 717,57
NOSTER 5/160 mg COM x 28 Raffo 1.552,44 1.087,48 774,97
NOSTER 5 / 320 mg COM x 28 Raffo 1.936,77 1.295,98 871,06
EXFORGE 5/160 mg COM x 28 Novartis 1.875,68 1.374,57 1.207,53
DIAPRESAN A 160/5 mg COM x 30 Montpellier 1.397,20 831,60 831,60

NICORVAS A 160/5 mg COM x 30 Temis-Lostalo 1.424,85 862,99 565,32
DISARVAL 5/160 mg COM x 30 Baliarda 1.545,98 1.014,76 682,57
DILCORAN PLUS 160/5 mg COM x 56 Casasco 2.914,77 1.952,04 1.298,94
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 687,96 491,32 403,96

DILCORAN PLUS 160/10 mg COM x 28 Casasco 1.508,73 1.022,40 692,98
RACORVAL A 160/10 mg COM x 28 Nova Argentia 1.583,76 1.101,94 776,53
NOSTER 10/160 mg COM x 28 Raffo 1.628,60 1.163,32 852,75
DIAPRESAN A 160/10 mg COM x 30 Montpellier 1.456,59 886,06 886,06

DILCORAN PLUS 160/10 mg COM x 56 Casasco 3.034,09 2.065,51 1.410,29
AMOXICILINA
Ampollas 1000 mg AMOXIDAL 1 g AMP x 1 Roemmers 212,42 147,58 147,58
Página 7 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 500 mg AMOXITENK 500 mg COM x 8 Biotenk 105,06 76,42 76,42

AMOXICILINA FECOFAR 500 mg COM x 8 Fecofar 109,50 81,40 81,40
AMIXEN 500 mg COM x 8 Bernabo 129,97 93,35 93,35
GRINSIL 500 mg COM x 8 Nova Argentia 134,67 98,97 98,97
TELMOX 500 mg TAB x 16 Sandoz 173,56 112,36 112,36

AMOXICLER 500 COM x 16 Monserrat 180,32 122,07 122,07
AMOXICILINA FECOFAR 500 mg COM x 16 Fecofar 190,28 129,58 129,58
AMOXITENK 500 mg COM x 16 Biotenk 201,48 143,72 143,72
AMOXICILINA RICHET 500 mg COM x 16 Richet 212,76 154,29 154,29
NOBACTAM 500 mg COM x 16 Microsules Argentina 214,80 156,30 156,30
TRIFAMOX 500 mg COM x 16 Bagó 226,01 167,19 167,19
AMOXI 500 mg MAR COM x 21 Mar 180,00 91,44 91,44

AMOXIDAL 500 mg RECUB. COM x 21 Roemmers 235,87 159,44 159,44
750 mg AMIXEN 750 mg COM x 16 Bernabo 375,86 260,80 260,80

875 mg AMOXI DUO MAR 875 mg COM x 14 Mar 260,00 151,45 151,45
AMIXEN DUO COM x 14 Bernabo 303,10 206,35 206,35
AMOXIDAL DUO 875 mg COM x 14 Roemmers 309,72 215,78 215,78
AMOXICILINA FECOFAR DUO 875 mg COM x 14 Fecofar 324,38 225,78 225,78
GRINSIL DUO 875 mg COM x 14 Nova Argentia 324,47 229,59 229,59
TRIFAMOX DUO 875 mg COM x 14 Bagó 342,43 247,99 247,99
TRIFAMOX DUO 875 mg MASTICABLE COM x 14 Bagó 465,68 347,93 347,93
1000 mg NOBACTAM 1000 mg COM x 8 Microsules Argentina 349,23 255,94 255,94

AMOXIDAL 1 g COM x 16 Roemmers 620,18 419,51 419,51

NOBACTAM 1000 mg COM x 16 Microsules Argentina 644,88 463,68 463,68
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 198,43 147,51 147,51 INF
GRINSIL 250 mg JBE x 90 Nova Argentia 30,78 4,80 4,80 INF

AMOXIPENIL 250 SUS x 90 Montpellier 188,26 80,83 80,83 INF
AMOXICILINA FECOFAR 250 mg SUS x 90 Fecofar 273,84 169,15 169,15 INF
AMOXICILINA RICHET 250 mg JBE x 90 Richet 294,66 213,25 213,25 INF
AMOXIDAL 250 mg SUS x 90 Roemmers 306,00 218,96 218,96 INF
NOBACTAM 250 mg PED. SUS x 90 Microsules Argentina 305,22 222,12 222,12 INF
AMOXI 250 mg MAR SUS x 105 Mar 201,00 77,95 77,95 INF
GRINSIL 250 mg JBE x 120 Nova Argentia 45,43 7,08 7,08 INF
AMOXICILINA FECOFAR 250 mg JBE x 120 Fecofar 138,59 27,72 27,72 INF
AMOXICILINA RICHET 250 mg JBE x 120 Richet 413,88 301,28 301,28 INF
TRIFAMOX 250 mg JBE x 120 Bagó 423,79 306,86 306,86 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 201,66 135,75 135,75
AMOXICILINA RICHET 500 mg POL SUS x 60 Richet 252,31 181,67 181,67
TRIFAMOX 500 mg JBE x 60 Bagó 268,68 195,30 195,30
AMOXOL 500 mg ORAL SUS x 90 Cassara 225,40 154,20 154,20

AMOXICLER 500 PEDIATRICO SUS x 90 Monserrat 289,80 196,11 196,11
AMOXIDAL PEDIATRICO 500 mg SUS x 90 Roemmers 304,86 215,61 215,61
AMOXICILINA FECOFAR 500 mg JBE x 90 Fecofar 316,70 221,20 221,20
GRINSIL 500 mg SUS x 90 Nova Argentia 314,54 224,28 224,28
TELMOX 500 mg SUS x 100 Sandoz 247,98 127,22 127,22
AMOXI 500 mg MAR SUS x 105 Mar 242,00 115,86 115,86
AMOXIPENIL 500 SUS x 120 Montpellier 287,49 145,04 145,04

AMOXICILINA FECOFAR 500 mg JBE x 120 Fecofar 388,75 253,13 253,13
AMOXIDAL PEDIATRICO 500 mg SUS x 120 Roemmers 387,90 263,99 263,99
GRINSIL 500 mg SUS x 120 Nova Argentia 407,78 282,99 282,99
TRIFAMOX 500 mg JBE x 120 Bagó 453,93 332,34 332,34
AMOXI 500 mg MAR SUS x 150 Mar 306,00 127,57 127,57
750 mg AMOXI DUO MAR SUS x 70 Mar 289,00 185,20 185,20

AMOXIDAL DUO 750 MG/5 ML SUS x 70 Roemmers 343,51 241,98 241,98
GRINSIL DUO 750 mg SUS x 70 Nova Argentia 360,99 258,43 258,43
AMOXICILINA FECOFAR DUO 750 mg JBE x 70 Fecofar 371,91 276,47 276,47
AMOXI DUO MAR SUS x 100 Mar 382,00 224,16 224,16
AMOXIDAL DUO 750 MG/5 ML SUS x 120 Roemmers 454,12 269,88 269,88
GRINSIL DUO 750 mg SUS x 120 Nova Argentia 473,35 290,80 290,80
1000 mg TRIFAMOX DUO SUS x 50 Bagó 330,20 239,22 239,22
TRIFAMOX DUO SUS x 90 Bagó 552,87 386,82 386,82
AMOXICILINA +
CLAVULÁNICO, ÁCIDO
Comprimidos 500 mg AMIXEN CLAVULANICO 500 mg (500/125) COM x Bernabo 353,57 243,32 243,32
8
AMOXICILINA CLAVUL. (500/125) RICHET COM x Richet 359,38 261,80 261,80
8
OPTAMOX 500 mg (500/125) COM x 8 Roemmers 371,76 265,47 265,47
CLAVULOX 500 mg (500/125) COM x 14 Elea - Phoenix 743,08 556,59 556,59
BIOCLAVID 500/125 mg COM x 16 Sandoz 575,26 316,93 316,93

AMIXEN CLAVULANICO 500 mg (500/125) COM x Bernabo 694,93 468,41 468,41
16
AMOXICILINA CLAVUL. (500/125) RICHET COM x Richet 698,99 499,26 499,26
16
OPTAMOX 500 mg (500/125) COM x 16 Roemmers 728,08 512,30 512,30
GRINSIL CLAVULANICO 500 mg (500/125) COM x Nova Argentia 767,91 550,92 550,92
16
AMOCLAV 500 mg COM x 16 Casasco 790,05 573,63 573,63
875 mg CLAMOXOL DUO (875/125) COM x 14 Lepetit 464,60 239,54 239,54

AMOXI PLUS MAR(875/125) mg COM x 14 Mar 474,00 247,81 247,81
AMIXEN CLAVULANICO 1 g (875/125) COM x 14 Bernabo 593,64 398,88 398,88
AMOXICILINA CLAVUL.7:1 RICHET (875/125) COM Richet 598,08 427,27 427,27
x 14
OPTAMOX DUO 1 g (875/125) COM x 14 Roemmers 618,23 431,66 431,66
Página 9 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 875 mg GRINSIL CLAV DUO (875/125) COM x 14 Nova Argentia 661,85 473,79 473,79
AMOCLAV DUO (875/125) COM x 14 Casasco 671,34 485,62 485,62
BIOCLAVID 875/125 mg COM x 14 Sandoz 701,61 506,34 506,34
ULTRABIOTIC DUO (875/125) COM x 14 Montpellier 695,27 507,71 507,71
PLENOBIOTIC DUO (875/125) COM x 14 Fecofar 699,83 514,83 514,83
CLAVULOX 1 g (875/125) COM x 14 Elea - Phoenix 739,61 553,99 553,99
AMOXI PLUS MAR (875/125) mg COM x 20 Mar 635,00 313,80 313,80
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 301,58 213,56 213,56 INF
60
OPTAMOX 250 mg PEDIATRICA (250/62.5) SUS x Roemmers 311,86 216,92 216,92 INF
60
GRINSIL CLAVULANICO 250 mg (250/62.5) SUS x Nova Argentia 219,61 142,48 142,48 INF
90
OPTAMOX 250 mg PEDIATRICA (250/62.5) SUS x Roemmers 391,69 272,45 272,45 INF
90
AMOXICILINA CLAVUL. (250/62.5) RICHET SUS x Richet 386,53 274,52 274,52 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 269,07 130,06 130,06
ULTRABIOTIC DUO (400/57) SUS x 70 Montpellier 310,62 169,96 169,96
AMOXI PLUS MAR (400/57) SUS x 70 Mar 325,00 188,92 188,92
AMOXICILINA CLAVUL.7:1 RICHET (400/57) SUS x Richet 385,29 274,63 274,63
70
OPTAMOX DUO (400/57) SUS x 70 Roemmers 400,97 283,60 283,60
AMOCLAV DUO (400/57) SUS x 70 Casasco 434,13 315,20 315,20
GRINSIL CLAVULANICO DUO (400/57) SUS x 70 Nova Argentia 432,41 317,55 317,55
CLAVULOX DUO 400 mg (400/70) SUS x 70 Elea - Phoenix 477,08 360,77 360,77
AMOXI PLUS MAR SUS x 140 Mar 585,00 304,69 304,69

OPTAMOX DUO (400/57) SUS x 140 Roemmers 698,96 451,19 451,19
GRINSIL CLAV DUO SUS x 140 Nova Argentia 754,64 500,71 500,71
AMOCLAV DUO (400/57) SUS x 140 Casasco 759,89 513,52 513,52
500 mg AMOXICILINA CLAVUL.FTE. RICHET 500/125 SUS x Richet 765,83 541,25 541,25
90
GRINSIL CLAV 500 mg (500/125) SUS x 90 Nova Argentia 817,41 570,72 570,72
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 728,08 490,05 490,05
AMOCLAV SE SUS x 140 Casasco 792,35 556,76 556,76
AMOXICILINA + SULBACTAM
Comprimidos 250 mg TRIFAMOX IBL 500 mg COM x 16 Bagó 770,75 549,16 549,16
875 mg TRIFAMOX IBL DUO COM x 14 Bagó 750,53 526,29 526,29
Líquido 250 mg TRIFAMOX IBL 500 mg JBE x 60 Bagó 582,00 408,11 408,11
1000 mg TRIFAMOX IBL DUO SUS x 30 Bagó 559,58 413,22 413,22
TRIFAMOX IBL DUO SUS x 60 Bagó 969,71 679,36 679,36
AMPICILINA
Ampollas 1000 mg TRIFACILINA 1000 mg AMP x 1 Bagó 281,28 204,60 204,60
Comprimidos 500 mg TRIFACILINA 500 mg COM x 16 Bagó 538,67 383,86 383,86
Página 10 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 1000 mg TRIFACILINA 1000 mg COM x 8 Bagó 405,21 290,79 290,79
TRIFACILINA 1000 mg COM x 16 Bagó 806,04 576,29 576,29
Líquido 250 mg TRIFACILINA FUERTE JBE x 120 Bagó 494,32 360,83 360,83 INF
ANATOXINA TETÁNICA
Ampollas 40 ui TETAVAX 0.5 ml JPR x 1 Sanofi Pasteur 437,52 313,62 313,62 MAT
ANTITOXINA DIFTÉRICA +
TETÁNICO TOXOIDE
Ampollas 2,8 ui VACUNA DOBLE AD BIOL AMP x 1 Biol 560,93 388,88 388,88
2 ui IMOVAX DT ADULTO 0.5 ML JPR x 1 Sanofi Pasteur 375,43 269,12 269,12
ANTITOXINA DIFTÉRICA +
TETÁNICO TOXOIDE +
PERTUSSIS TOXOIDE
Ampollas 2 ui BUSTRIX 0.5 ML JPR x 1 GlaxoSmithKline 2.212,65 1.580,40 1.580,40
Frasco 30 ui ADACEL MONODS 0.5 ML ACELULAR FCO x 1 Sanofi Pasteur 2.509,86 1.855,99 1.855,99
ATENOLOL
Comprimidos 25 mg VERICORDIN 25 mg COM x 28 Lazar 155,56 79,55 41,16
ATENOLOL GADOR 25 mg COM x 28 Gador 244,67 181,89 140,82

PLENACOR 25 mg COM x 30 Bagó 256,81 187,69 141,99
VERICORDIN 25 mg COM x 56 Lazar 293,52 142,23 77,58


50 mg VERICORDIN 50 mg COM x 28 Lazar 187,04 75,72 50,71

PRENORMINE 50 COM x 28 Astrazeneca 307,09 213,30 151,90
ATENOLOL MICROSULES 50 mg COM x 28 Microsules Argentina 344,45 252,82 252,82

ATENOLOL BIOTENK 50 mg COM x 30 Biotenk 370,29 333,63 328,39

PRENORMINE 50 COM x 56 Astrazeneca 609,20 420,54 296,73
ATENOLOL MICROSULES 50 mg COM x 56 Microsules Argentina 692,72 510,82 510,82

100 mg VERICORDIN 100 mg COM x 28 Lazar 318,52 161,92 84,95



ATENOLOL GADOR 100 mg COM x 60 Gador 1.005,50 719,05 529,31

PLENACOR 100 mg COM x 60 Bagó 1.030,69 741,94 550,10
Página 11 de 116
A CARGO A CARGO
AFILIADO CRONICO
ATORVASTATIN
Comprimidos 10 mg LIPONORM 10 mg COM x 20 Lazar 671,30 469,40 336,07
ATORVASTATINA NORTHIA 10 mg COM x 30 Northia 226,45 67,93 67,93

NORMOLIPOL 10 mg COM x 30 Lepetit 437,00 150,70 109,80
ATARVA 10 mg COM x 30 Duncan 916,54 576,98 365,19
ATORVASTAN 10 mg COM x 30 Biotenk 947,60 633,38 423,06
LIPONORM 10 mg COM x 30 Lazar 952,78 637,57 426,37
VASTINA 10 mg COM x 30 Richmond 980,89 676,27 507,92
LIPOKEMIA 10 mg COM x 30 Fecofar 1.054,28 736,91 523,77
ATORMAX 10 mg COM x 30 Geminis Farmaceutica 1.057,08 755,34 556,36
LIPIBEC 10 mg COM x 30 Teva argentina ( 1.107,12 794,54 643,83
NORMALIP 10 mg COM x 30 Eurofarma 1.107,31 799,81 637,90
FINLIPOL 10 mg COM x 30 Microsules Argentina 1.100,32 815,92 815,92
LIPOSTOP 10 mg COM x 30 Denver Farma 1.092,68 819,41 819,41
LIPODREN 10 mg COM x 30 Lafedar 1.158,25 857,43 659,32
LIPOCAMBI 10 mg COM x 30 Bernabo 1.165,37 865,73 686,04
PLAN 10 mg COM x 30 Craveri 1.226,12 892,93 781,87
ATEROCLAR 10 mg COM x 30 Beta 1.273,58 941,87 831,30
TORIVAS 10 mg COM x 30 Baliarda 1.273,60 951,18 821,55
LIPIFEN 10 mg COM x 30 Raffo 1.278,09 955,42 826,31
LIPAREX 10 mg COM x 30 Finadiet 1.270,00 958,99 804,85
AMPLIAR 10 mg COM x 30 Casasco 1.322,68 982,90 869,64
LIPITOR 10 mg COM x 30 Pfizer 1.367,91 1.010,81 891,78
LIPEND 10 mg COM x 30 Savant Pharm S.A. 1.389,47 1.046,28 931,88
ZARATOR 10 mg COM x 30 Elea - Phoenix 1.531,72 1.163,86 1.041,24
LIPONORM 10 mg COM x 60 Lazar 1.726,85 1.048,52 624,04

ATEROCLAR 10 mg COM x 60 Beta 1.738,38 1.133,82 734,90
ATORMAX 10 mg COM x 60 Geminis Farmaceutica 1.839,08 1.173,72 734,45
LIPIBEC 10 mg COM x 60 Teva argentina ( 1.864,88 1.225,64 795,32
FINLIPOL 10 mg COM x 60 Microsules Argentina 1.961,44 1.340,13 1.340,13
LIPAREX 10 mg COM x 60 Finadiet 2.111,14 1.461,62 1.022,15
TORIVAS 10 mg COM x 60 Baliarda 2.132,98 1.506,59 1.087,81
AMPLIAR 10 mg COM x 60 Casasco 2.193,91 1.591,14 1.193,86
LIPITOR 10 mg COM x 60 Pfizer 2.240,32 1.649,04 1.262,38
LIPONORM 10 mg COM x 100 Lazar 2.037,04 858,94 510,78
20 mg ATORVASTATINA NORTHIA 20 mg COM x 30 Northia 403,43 121,03 121,03

NORMOLIPOL 20 mg COM x 30 Lepetit 565,80 212,30 161,80
ATARVA 20 mg COM x 30 Duncan 1.333,47 870,23 557,93
ATORMAX 20 mg COM x 30 Geminis Farmaceutica 1.425,32 988,69 697,44
VASTINA 20 mg COM x 30 Richmond 1.587,11 1.094,22 929,92
ATORVASTAN 20 mg COM x 30 Biotenk 1.582,40 1.166,97 895,14
NORMALIP 20 mg COM x 30 Eurofarma 1.829,88 1.304,88 1.129,88
LIPIBEC 20 mg COM x 30 Teva argentina ( 1.828,17 1.312,02 1.139,97
LIPOKEMIA 20 mg COM x 30 Fecofar 1.806,91 1.352,33 1.174,96
LIPOCAMBI 20 mg COM x 30 Bernabo 1.859,89 1.381,69 1.222,29
PLAN 20 mg COM x 30 Craveri 1.929,29 1.405,02 1.230,27
LIPODREN 20 mg COM x 30 Lafedar 1.888,00 1.422,86 1.267,26
Página 12 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 20 mg ATEROCLAR 20 mg COM x 30 Beta 2.078,82 1.537,37 1.356,89

LIPIFEN 20 mg COM x 30 Raffo 2.118,21 1.583,44 1.405,19
LIPEND 20 mg COM x 30 Savant Pharm S.A. 2.172,27 1.626,14 1.444,10
ATORMAX 20 mg COM x 60 Geminis Farmaceutica 2.736,94 1.830,19 1.217,66

LIPONORM 20 mg COM x 60 Lazar 2.944,44 2.116,63 1.581,92
40 mg NORMOLIPOL 40 mg COM x 30 Lepetit 827,08 301,38 226,28

LIPOCAMBI 40 mg COM x 30 Bernabo 2.080,51 1.545,60 1.226,51
ATEROCLAR 40 mg COM x 30 Beta 2.163,67 1.600,13 1.344,69
LIPIFEN 40 mg COM x 30 Raffo 2.475,55 1.850,57 1.642,24
80 mg LIPITOR 80 mg COM x 30 Pfizer 3.040,58 2.180,69 1.611,84
AZELASTINA
Colirio 50 mg ALLERGODIL COL x 6 Pharmadorf 528,53 366,99 366,99
BRIXIA COL x 6 Poen 540,06 377,85 377,85
Spray 1000 mg ALLERGODIL NASAL SPR x 10 Pharmadorf 316,37 198,78 198,78
AZITROMICINA
Comprimidos 500 mg ARZOMICIN 500 mg COM x 3 Takeda 52,26 10,45 10,45
NEBLIC 500 mg COM x 3 Lazar 342,59 238,80 238,80
SITROX 500 mg COM x 3 Biotenk 365,24 257,30 257,30
ZITROMAX 500 mg TAB x 3 Pfizer 369,97 265,84 265,84
TRIAMID 500 mg COM x 3 Beta 385,74 281,19 281,19
AZITROMICINA RICHET 500 mg COM x 3 Richet 395,22 295,48 295,48
OROBIOTIC 500 mg COM x 3 Fortbenton 415,78 302,03 302,03
DOYLE 500 mg COM x 3 Raffo 413,79 313,43 313,43
AZIBIOTIC 500 mg COM x 3 Baliarda 474,78 356,81 356,81
TRITAB 500 mg COM x 3 Sidus 516,26 381,64 381,64
MISULTINA 500 mg COM x 3 Bernabo 514,34 385,42 385,42
MACROMAX 500 mg COM x 3 Investi 566,29 422,64 422,64
CRONOPEN 500 mg COM x 3 Elea - Phoenix 619,90 481,45 481,45
ARZOMICIN 500 mg COM x 5 Takeda 60,10 12,02 12,02

SITROX 500 mg COM x 5 Biotenk 433,21 232,58 232,58
Página 13 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 500 mg DOYLE 500 mg COM x 5 Raffo 489,55 287,33 287,33

CETAXIM 500 mg COM x 6 Trb-Pharma 414,00 192,70 192,70

NEBLIC 500 mg COM x 6 Lazar 542,59 299,10 299,10
AZITROMICINA RICHET 500 mg COM x 6 Richet 568,70 347,40 347,40
MACROMAX 500 mg COM x 6 Investi 765,91 571,63 571,63
Líquido 200 mg ARZOMICIN 200 mg / 5 ML SUS x 15 Takeda 65,30 13,06 13,06

MISULTINA SUS x 15 Bernabo 368,65 268,63 268,63
TRITAB ORAL 200 MG/5 ML SUS x 15 Sidus 367,27 269,51 269,51
AZITROMICINA RICHET ORAL SUS x 15 Richet 475,96 350,43 350,43
CRONOPEN ORAL 200 mg 5 ML SUS x 15 Elea - Phoenix 471,92 366,52 366,52
ZITROMAX 600 mg SUS x 15 Pfizer 523,54 376,18 376,18
MISULTINA SUS x 30 Bernabo 688,31 480,93 480,93

TRITAB ORAL 200 MG/5 ML SUS x 30 Sidus 690,86 488,54 488,54
MACROMAX PEDIATRICO 200 mg/5ml SUS x 30 Investi 744,44 548,88 548,88
CRONOPEN ORAL 200 mg 5 ML SUS x 30 Elea - Phoenix 870,47 676,05 676,05
BECLOMETASONA
Aerosol 0,05 mg RINOSOL SUSP. NASAL AER x 200 Cassara 325,68 247,08 247,08
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 1.917,31 1.296,95 1.296,95
100 mg ABARAX 100 mg COM x 100 Elea - Phoenix 3.121,03 2.111,20 2.111,20
BENZOILO PERÓXIDO
Gel 5000 mg VIXIDERM E 5% GEL x 40 Investi 167,95 47,78 47,78
ACNESAN 5% GEL x 40 Fortbenton 569,70 424,14 424,14
ACNESAN 5% GEL x 60 Fortbenton 715,08 448,87 448,87

BENZIHEX AC 5% GEL x 60 Galderma 784,71 559,96 559,96
10000 ACNESAN 10 % GEL x 40 Fortbenton 681,37 507,27 507,27

mg
BENZIHEX AC 10% GEL x 60 Galderma 784,70 559,42 559,42
BETAMETASONA
Comprimidos 0,5 mg BUTASONA FABRA COM x 20 Fabra 294,92 222,92 222,92
Página 14 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 0,5 mg METAMAR 0.5 mg COM x 30 Mar 219,00 152,37 152,37
0,6 mg CORTEROID 0.6 mg COM x 30 Montpellier 299,72 213,77 213,77

DEPOCORT 0.6 mg COM x 30 Nova Argentia 299,04 214,30 214,30
CORTICAS 0.6 mg COM x 30 Casasco 317,28 233,84 233,84
DICASONE 0.6 mg COM x 30 Baliarda 331,09 243,08 243,08
1,2 mg CORTEROID 1.2 mg COM x 30 Montpellier 540,60 388,69 388,69
Gotas 0,5 mg BETAMAT GTS x 10 Lafedar 201,63 151,96 151,96 INF
BETACORT CASSARA ORAL GTS x 15 Medisol 128,00 89,19 89,19 INF

BETAMAT GTS x 15 Lafedar 250,67 188,91 188,91 INF
CELESTONE GTS x 15 MSD Arrgentina SR 469,07 338,19 338,19 INF
BETAMAT GTS x 20 Lafedar 298,06 224,63 224,63 INF
METAMAR ORAL GTS x 30 Mar 210,00 116,41 116,41 INF

BETACORT ORAL GTS x 30 Cassara 269,85 187,74 187,74
0,6 mg CORTICAS GTS x 20 Casasco 203,64 149,03 149,03 INF
DEPOCORT 0.6 MG/ML ORAL GTS x 30 Nova Argentia 255,42 163,53 163,53 INF
CORTICAS GTS x 30 Casasco 295,69 211,82 211,82
BETAMETASONA ACETATO +
BETAMETASONA FOSFATO
DISÓDICO
Ampollas 6 mg BETACORT CASSARA 2 ml AMP x 1 Medisol 138,00 61,20 61,20
METAMAR RETARD 2 ml + JGA. F.A x 1 Mar 321,00 196,15 196,15
CORTEROID RETARD 2 ml F.A x 1 Montpellier 402,97 291,80 291,80
CEVICORT NC 2 ml F.A x 1 Cevallos 450,00 315,00 315,00
CORTICAS RETARD 2 ml F.A x 1 Casasco 428,38 317,36 317,36
CRONODICASONE 2 ml F.A x 1 Baliarda 429,11 319,39 319,39
DEPOCORT RETARD 2 ml F.A x 1 Nova Argentia 494,40 361,33 361,33
DELTISONA RETARD 2 ml + Jga. F.A x 1 Sanofi Aventis 563,82 416,48 416,48
BETAMETASONA
DIPROPIONATO
Crema 0,643 mg BETACORT 0.05% CRE x 15 Medisol 128,00 75,61 75,61
NOVOCORT CRE x 15 Andromaco 362,48 267,38 267,38
DIPROSONE CRE x 15 MSD Arrgentina SR 666,03 480,19 480,19
BLACOR CRE x 30 Raymos 314,92 207,74 207,74
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 902,81 649,51 649,51
BETAMETASONA
DIPROPIONATO +
DISÓDICO
Ampollas 12,86 mg CRONOCORTEROID 2 ml AMP x 1 Montpellier 481,12 335,68 335,68
DEPOCORT CRONO 2 ml F.A x 1 Nova Argentia 494,42 352,38 352,38
CRONO CORTICAS 2 ml F.A x 1 Casasco 508,68 369,24 369,24
CRONODICASONE DEPOT 2 ml F.A x 1 Baliarda 535,39 396,98 396,98
CRONOLEVEL 2 ml AMP x 1 MSD Arrgentina SR 969,19 698,76 698,76
DISÓDICO
Ampollas 8 mg CORTEROID 2 ml F.A x 1 Montpellier 194,52 137,72 137,72
Página 15 de 116
A CARGO A CARGO
AFILIADO CRONICO
Ampollas 8 mg CORTICAS 2 ML F.A x 1 Casasco 206,54 151,49 151,49
Gotas 0,6 mg CORTEROID 0.6 mg/ml GTS x 30 Montpellier 251,35 175,09 175,09 INF
DICASONE 0.6 mg/ ml GTS x 30 Baliarda 349,64 256,70 256,70 INF
SÓDICO
Líquido 50 mg BETASONE G SOL x 15 Klonal 222,52 158,93 158,93 INF
BETAMETASONA VALERATO
Crema 122 mg BETAMAT CRE x 15 Lafedar 331,28 249,66 249,66
BETNOVATE CRE x 15 GlaxoSmithKline 431,87 318,80 318,80
LAZAR CORT CRE x 20 Lazar 250,00 122,25 122,25

CORTICAS CRE x 20 Casasco 340,14 216,67 216,67
TRANSDERMA B CRE x 20 Szama 433,97 303,78 303,78
CORTEROID CRE x 30 Montpellier 320,16 131,51 131,51

BETNOVATE CRE x 30 GlaxoSmithKline 752,80 555,70 555,70
Loción 122 mg BETNOVATE CAPILAR LOC x 30 GlaxoSmithKline 521,07 373,28 373,28
BETAMETASONA VALERATO +
FENILEFRINA + LIDOCAINA
Crema 50 mg PROCTO-METADYNE RECTAL CRE x 20 Microsules Argentina 332,97 243,00 243,00
BEZAFIBRATO
Comprimidos 400 mg BEZACUR RETARD 400 mg COM x 30 Nova Argentia 1.282,98 886,30 886,30
ELPI LIP (Lib.Prol.) COM x 30 Elea - Phoenix 1.458,78 1.064,86 1.064,86
BEZALIP RETARD GRA x 30 Sandoz 1.883,35 1.359,17 1.359,17
BIPERIDENO
Comprimidos 2 mg BIPERIDENO VANNIER 2 mg COM x 20 Vannier S.A. 263,66 193,04 193,04
BIPERIDENO ROSPAW 2 mg COM x 20 Rospaw 270,00 200,40 200,40
BIPERIDENO CEVALLOS 2 mg COM x 20 Cevallos 320,00 224,00 224,00
AKINETON COM x 20 Bagó 303,20 226,90 196,22
BIPERIDENO ROSPAW 2 mg COM x 60 Rospaw 700,00 498,86 498,86

BIPERIDENO CEVALLOS 2 mg COM x 60 Cevallos 720,00 504,00 504,00
BIPERIDENO VANNIER 2 mg COM x 60 Vannier S.A. 708,75 508,03 508,03
AKINETON COM x 60 Bagó 784,70 567,15 422,84
BISACODILO
Comprimidos 5 mg MODATON COM x 20 Montpellier 206,15 152,95 152,95
MODATON COM x 50 Montpellier 390,31 251,13 251,13
BISACODILO + CASANTRANOL
Comprimidos 5 mg ENGALAX GRA x 6 Omega 340,27 252,87 252,87
ENGALAX GRA x 10 Omega 524,36 389,67 389,67
BISMUTO HIDRÓXIDO +
PECTINA
Comprimidos 600 mg BISMUTO CHOBET CON PECTINA COM x 20 Soubeiran Chobet 393,91 295,17 295,17
Líquido 3000 mg CREMA DE BISMUTO CHOBET C/PECT SUS x 90 Soubeiran Chobet 300,26 225,05 225,05
CREMA DE BISMUTO CHOBET C/PECT SUS x 120 Soubeiran Chobet 384,43 281,18 281,18
CREMA DE BISMUTO CHOBET C/PECT SUS x 240 Soubeiran Chobet 755,89 546,81 546,81
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
CORBIS 2.5 mg COM x 30 Roemmers 307,41 200,71 129,14
BISOPIL 2.5 mg COM x 30 Gador 313,04 204,68 131,63
LOSTAPROLOL 2.5 mg COM x 30 Temis-Lostalo 337,02 227,52 153,45
CONCOR 2.50 mg COM x 30 Elea - Phoenix 787,23 603,09 541,71
5 mg DROMIN 5 mg COM x 30 Roux Ocefa 239,42 71,83 71,83

CORBIS 5 mg COM x 30 Roemmers 563,60 368,33 237,39
BISOPIL 5 mg COM x 30 Gador 578,58 381,48 248,91
LOSTAPROLOL 5 mg COM x 30 Temis-Lostalo 619,02 418,90 283,63
CONCOR 5 mg COM x 30 Elea - Phoenix 1.287,26 986,16 885,79
10 mg DROMIN 10 mg COM x 30 Roux Ocefa 319,21 95,76 95,76

CORBIS 10 mg COM x 30 Roemmers 719,71 468,77 300,36
BISOPIL 10 mg COM x 30 Gador 738,64 485,30 314,75
LOSTAPROLOL 10 mg COM x 30 Temis-Lostalo 759,44 502,99 329,66
CONCOR 10 mg COM x 30 Elea - Phoenix 1.663,39 1.274,30 1.144,61
BISOPROLOL +
HIDROCLOROTIAZIDA
Comprimidos 5 mg LOSTAPROLOL DIUR 5 / 12.5 mg COM x 30 Temis-Lostalo 583,62 336,15 336,15
CORBIS D 5/12.5 mg COM x 30 Roemmers 656,11 444,09 444,09
CONCOR PLUS 5/12.5 mg COM x 30 Elea - Phoenix 1.524,22 1.167,69 1.167,69
10 mg CONCOR PLUS 10/25 mg COM x 30 Elea - Phoenix 1.667,53 1.244,97 1.244,97
BRIMONIDINA
Colirio 150 mg ALPHAGAN P 0.15 % COL x 5 Allergan-Loa 1.042,45 715,04 498,44
200 mg BRIMOPRESS COL x 5 Poen 865,87 603,36 429,44

ALPHAGAN 0.2 % COL x 5 Allergan-Loa 893,99 634,80 484,23
BRIMONIDINA + TIMOLOL
Colirio 200 mg BRIT COL x 5 Max Vision 855,60 456,55 456,55
TIMOBRIM COL x 5 Atlas 925,47 570,93 570,93
COMBIGAN 0.2/0.5% COL x 5 Allergan-Loa 1.099,71 766,29 766,29
BROMAZEPAM
Comprimidos 3 mg CREOSEDIN 3 mg COM x 20 Rontag 117,35 80,57 80,57
LEXOTANIL 3 mg COM x 20 Investi 175,30 130,40 130,40
ATEMPERATOR 3 mg COM x 30 Teva argentina ( 221,00 160,02 160,02

NEUROZEPAN 3 mg COM x 30 Lafedar 238,05 179,40 179,40
BROMAZEPAM TEMIS 3 mg COM x 50 Temis-Lostalo 60,02 15,86 15,86

CREOSEDIN 3 mg COM x 50 Rontag 221,50 118,46 118,46
OCTANYL 3 mg COM x 50 Bagó 343,53 258,71 258,71
BROMAZEPAM TEMIS 3 mg COM x 60 Temis-Lostalo 104,78 27,68 27,68

6 mg CREOSEDIN 6 mg COM x 20 Rontag 178,64 87,67 87,67

CREOSEDIN 6 mg COM x 50 Rontag 594,35 373,25 373,25

Página 17 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 6 mg ATEMPERATOR 6 mg COM x 60 Teva argentina ( 808,84 542,83 542,83
BROMHEXINA
Líquido 200 mg BISOLVON SOL x 40 Sanofi Aventis OTC 229,08 154,65 154,65
BROMPERIDOL
Gotas 2 mg BROMODOL GTS x 30 Janssen-Cilag 157,76 84,20 40,30
BROMPERIDOL DECANOATO
Ampollas 50 mg BROMODOL DECANOATO 1 ML AMP x 1 Janssen-Cilag 165,43 88,29 42,25
BUDESONIDE
Aerosol 0,05 mg RINO B 50 AER x 200 Cassara 439,29 204,40 204,40
NEUMOTEX NASAL 50 mcg AER x 200 Elea - Phoenix 1.160,74 807,29 756,80
0,1 mg RINO B 100 AER x 100 Cassara 439,29 324,89 324,89
SPIROCORT NASAL AQUA 64 mcg AER x 120 Astrazeneca 371,85 197,44 103,44
0,05 mg PULMOLISOFLAM PEDIATRICO AER x 200 Pfizer 243,14 83,46 60,64

PULMOLISOFLAM C/AEROCAMARA INF AER x Pfizer 520,77 178,74 129,88
200
NEUMOTEX BRONQUIAL PEDIATRICO AER x 200 Elea - Phoenix 1.839,97 1.304,25 942,36
NEUMOTEX BRONQUIAL PED C/AEROC AER x Elea - Phoenix 3.525,32 2.702,63 2.428,40
200
0,2 mg PULMOLISOFLAM ADULTOS AER x 100 Pfizer 243,14 129,92 71,08

PULMOLISOFLAM C/AEROCAMARA AD. AER x Pfizer 509,96 366,42 318,57
100
NEUMOTEX BRONQUIAL 200 mcg AER x 100 Elea - Phoenix 1.358,05 1.041,13 935,49
NEUMOTEX BRONQUIAL 200 C/AEROC AER x 100 Elea - Phoenix 2.810,49 2.154,62 1.935,99
BUDESON MDI 200 mcg AER x 150 Takeda 96,07 28,82 19,21
NEUMOCORT 200 mcg HFA AER x 200 Cassara 578,64 383,85 383,85
AEROVIAL HFA AER x 200 Atlas 902,25 448,08 448,08
NEUMOCORT 200 mcg HFA + AEROMED AER x Cassara 802,70 593,66 593,66
200
NEUMOTEX BRONQUIAL 200 mcg AER x 200 Elea - Phoenix 1.874,14 1.436,78 1.291,00
0,4 mg NEUMOTEX BRONQUIAL FORTE 400 AER x 100 Elea - Phoenix 2.292,35 1.712,82 1.329,43
Comprimidos 9 mg CORTIMENT 9 mg COM x 20 Ferring 6.598,80 4.847,41 4.847,41
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 1.108,89 854,88 770,21
SPIROCORT TURBUHALER 200 mcg Polvo INH x Astrazeneca 1.383,96 716,95 382,79
200
0,4 mg NEUMOTEX 400 CAPSULAS INH x 60 Elea - Phoenix 1.061,51 818,36 737,31
SPIROCORT TURBUHALER 400 mcg Polvo INH x Astrazeneca 1.696,97 856,17 469,37
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

AEROVIAL SOL x 20 Atlas 622,37 439,59 439,59
RINO B NEBU C/DILUYENTE SOL x 20 Cassara 655,04 492,34 492,34
PROETZONIDE NEBU SOL x 20 Dallas 676,11 507,02 450,66
BUDESON NEBU SOL x 20 Takeda 993,49 741,48 657,47
NEUMOTEX NEBU SOL x 20 Elea - Phoenix 1.250,34 958,55 861,29
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 375,97 281,69 281,69
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 390,88 292,86 292,86
BUDESONIDE + FORMOTEROL
Aerosol 0,08 mg FREVIA 80/4.5 mcg AER x 120 Astrazeneca 2.681,09 1.900,39 1.383,92
0,16 mg FREVIA 160/4.5 mcg AER x 120 Astrazeneca 3.386,33 2.400,27 1.747,95
0,2 mg NEUMOCORT PLUS AER x 60 Cassara 572,90 405,64 405,64
NEUMOCORT PLUS /INHAL. AER x 150 Cassara 1.352,44 1.016,54 1.016,54
Inhahaldor con 0,08 mg SYMBICORT-M 80/4.5 mcg Polvo INH x 120 Astrazeneca 2.732,80 1.937,04 1.410,62
sistemas
0,16 mg SYMBICORT TURBUHALER 160/4,5 Polvo INH x Astrazeneca 2.561,35 1.872,89 1.643,40
60
SYMBICORT TURBUHALER 160/4,5 Polvo INH x Astrazeneca 3.451,64 2.382,93 1.669,18

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 2.924,85 2.222,47 1.988,35
NEUMOTEROL 200 S/APLIC. CAPS INH x 60 Elea - Phoenix 2.924,85 2.222,47 1.988,35
NEUMOTEROL 200 C/APLIC. CAPS INH x 120 Elea - Phoenix 3.856,06 2.648,61 1.829,49
NEUMOTEROL 200 S/APLIC. CAPS INH x 120 Elea - Phoenix 3.856,06 2.648,61 1.829,49
0,32 mg SYMBICORT FORTE TURBOHALER 320/9 Polvo Astrazeneca 3.442,54 2.440,11 1.776,96
INH x 60
0,4 mg NEUMOTEROL 400 C/APLIC. CAPS INH x 60 Elea - Phoenix 3.728,36 2.758,42 2.116,76
CABERGOLINA
Comprimidos 0,5 mg LACTAMAX 0.5 mg COM x 2 Beta 483,59 357,63 357,63
CABERTRIX 0.5 mg COM x 2 Raffo 650,09 482,38 482,38
LACTAMAX 0.5 mg COM x 8 Beta 1.530,46 960,06 960,06

CABERTRIX 0.5 mg COM x 8 Raffo 2.133,84 1.583,34 1.583,34
1 mg CABERPAR 1 mg COM x 10 Rontag 978,80 690,80 690,80
CABERTEMIS 1 mg COM x 30 Temis-Lostalo 507,30 134,04 134,04

CABASER 1 mg COM x 30 Pfizer 1.751,41 1.111,93 1.111,93
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 608,72 160,80 160,80

CABASER 2 mg COM x 30 Pfizer 2.389,75 1.266,84 1.266,84
CABERPAR 2 mg COM x 30 Rontag 2.791,91 1.841,28 1.841,28
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 889,97 609,98 609,98
CALCIO CARBONATO
Comprimidos 1250 mg CALCIO BASE DUPOMAR MAST. COM x 30 Investi 389,51 282,98 282,98
CALCIONAL NARANJA COM x 30 Spedrog Caillon 386,41 286,01 286,01
CALCIONAL MAST. NARANJA COM x 60 Spedrog Caillon 667,01 429,80 429,80

CALCIO BASE DUPOMAR MAST. COM x 60 Investi 672,55 460,78 460,78
Página 19 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 2500 mg CALCIO BASE DUPOMAR FTE 1g MAST. COM x Investi 200,69 142,36 142,36
60
CALCIO CITRATO
Comprimidos 950 mg CALCIMAX COM x 60 Gador 414,64 286,89 286,89
1905 mg CALCIMAX FORTE COM x 30 Gador 296,62 205,23 205,23
2375 mg CALCIONAL CITRATO NARANJA MAST COM x 30 Spedrog Caillon 331,20 250,20 250,20
CALCIONAL CITRATO NARANJA MAST COM x 60 Spedrog Caillon 639,41 465,05 465,05
CALCIO LACTATO
GLUCONATO + CALCIO
CARBONATO
Comprimidos 1132 mg CALCIUM SANDOZ 1000 mg EFERV. COM x 30 Sandoz 803,99 561,58 561,58
CALCIPOTRIOL
Ungüento 0,05 mg CUTANIT UNG x 30 Lazar 925,93 589,24 589,24
DAIVONEX UNG x 30 Andromaco 1.276,04 909,74 909,74
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 1.177,79 895,05 895,05
ATACAND 8 mg DIVIS. COM x 28 Astrazeneca 1.839,13 1.340,21 1.340,21
RONAR 8 mg COM x 30 Roux Ocefa 679,82 135,96 135,96

TIADYL 8 mg COM x 30 Abbott Epd 1.359,04 740,41 740,41
DACTEN 8 mg COM x 30 Elea - Phoenix 2.097,20 1.593,75 1.593,75
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 2.329,04 1.515,55 1.515,55
32 mg ATACAND 32 mg DIVIS. COM x 28 Astrazeneca 3.911,53 2.801,21 2.801,21
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 ( 433,20 259,74 143,84
CARBAMAT 200 mg COM x 30 Rontag 524,75 370,35 370,35
ACTINERVAL 200 mg COM x 30 Bagó 615,07 460,89 360,24
CARBAMAT 200 mg COM x 60 Rontag 925,31 601,86 601,86

CONFORMAL 200 mg COM x 60 Teva argentina ( 1.095,93 771,89 556,19
TEGRETOL 200 mg COM x 60 Novartis 1.124,29 810,34 603,86
ACTINERVAL 200 mg COM x 60 Bagó 1.177,14 858,96 648,61
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 1.583,35 1.160,34 1.015,28
TEGRETOL LC 400 mg COM x 60 Novartis 2.664,30 1.879,00 1.357,99
Líquido 2000 mg TEGRETOL JBE x 100 Novartis 288,21 204,79 149,61
CARBINOXAMINA
Comprimidos 4 mg OMEGA 100 COM x 20 Omega 471,69 359,85 359,85
OMEGA 100 COM x 50 Omega 789,77 524,73 524,73
Gotas 80 mg OMEGA 100 GTS x 20 Omega 731,59 543,67 543,67
Líquido 80 mg OMEGA 100 JBE x 120 Omega 565,07 419,93 419,93
CARBINOXAMINA + AMONIO
CLORURO
Líquido 50 mg OMEGA 100 EXPECTORANTE JBE x 120 Omega 538,95 388,68 388,68
CARTEOLOL CLORHIDRATO
Colirio 2000 mg GLAUTEOLOL 2% COL x 5 Max Vision 593,40 405,52 405,52
POENGLAUCOL 2% COL x 5 Poen 658,34 475,81 475,81
CARTENS 2% LIB.PROL. COL x 3 Atlas 467,91 330,49 330,49
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 219,28 164,77 131,25
BIDECAR 3.125 mg COM x 28 Baliarda 226,67 167,27 144,49
FILTEN 3.125 mg COM x 28 Gador 230,58 169,87 149,64
DILATREND 3.125 mg COM x 28 Nova Argentia 230,54 171,14 148,36
CARVEDIL 3.125 mg COM x 28 Bagó 234,88 176,33 151,76
CARVIPAW 3.125 mg COM x 30 Rospaw 93,40 29,20 29,20

VERATEN 3.125 mg COM x 30 Elea - Phoenix 285,89 215,17 191,60

6,25 mg VEDILEP 6.25 mg COM x 28 Lepetit 197,80 82,50 51,40

CORITENSIL 6.25 mg RANURADO COM x 28 Roux Ocefa 205,33 98,27 98,27
CORUBIN 6.25 COM x 28 Lazar 305,56 202,01 132,51
DUOBLOC 6.25 mg COM x 28 Sidus 343,22 244,76 179,87
VICARDOL 6.25 mg COM x 28 Richmond 357,87 254,96 207,42

CARTIATO 6.25 mg COM x 30 Savant Pharm S.A. 367,02 257,85 184,96
RODIPAL 6.25 mg COM x 30 Eurofarma 380,58 274,13 214,77
ANTIBLOC 6.25 mg COM x 30 Craveri 397,48 290,19 232,71
Página 21 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 6,25 mg DILATREND 6.25 mg COM x 30 Nova Argentia 420,78 311,65 258,24
ISOBLOC 6.25 mg COM x 30 Casasco 429,64 319,58 268,20


10 mg BIDECAR CR 10 mg Lib. CAP x 28 Baliarda 496,54 356,18 262,51

CARVEDIL RETARD 10 mg CAP x 28 Bagó 545,37 403,47 308,41
DILATREND AP 10 mg CAP x 30 Nova Argentia 497,84 336,58 231,35

FILTEN LP 10 mg CAP x 30 Gador 578,16 433,70 338,76
VERATEN UD 10 mg LIB. EXT. CAP x 30 Elea - Phoenix 625,45 479,49 395,80
12,5 mg VEDILEP 12.5 mg COM x 28 Lepetit 225,40 80,05 57,40

CORITENSIL 12.5 mg COM x 28 Roux Ocefa 246,18 110,28 110,28
CORUBIN 12.5 COM x 28 Lazar 387,04 254,55 165,38
DUOBLOC 12.5 mg COM x 28 Sidus 425,83 298,77 214,50
VICARDOL 12.50 mg COM x 28 Richmond 482,86 337,07 288,47

CARTIATO 12.5 mg COM x 30 Savant Pharm S.A. 485,98 351,60 262,91
ANTIBLOC 12.5 mg COM x 30 Craveri 504,04 367,99 294,72


20 mg BIDECAR CR 20 mg Lib. CAP x 28 Baliarda 819,71 592,52 440,69

CARVEDIL RETARD 20 mg CAP x 28 Bagó 870,36 644,38 493,64
DILATREND AP 20 mg CAP x 30 Nova Argentia 823,47 568,68 395,85

ISOBLOC CR 20 mg CAP x 30 Casasco 849,99 613,07 456,30
FILTEN LP 20 mg CAP x 30 Gador 914,60 681,70 528,62
VERATEN UD 20 mg LIB.EXT. CAP x 30 Elea - Phoenix 990,06 759,01 614,34
Página 22 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 25 mg VEDILEP MULTIDOSIS 25 mg Trirran. COM x 28 Lepetit 326,60 147,62 77,00

CORITENSIL 25 mg COM x 28 Roux Ocefa 318,20 153,26 153,26
CORUBIN 25 COM x 28 Lazar 490,74 334,76 230,86
DUOBLOC 25 mg COM x 28 Sidus 509,91 354,17 250,51
VICARDOL 25 mg COM x 28 Richmond 582,28 406,47 347,87
VERATEN 25 mg COM x 28 Elea - Phoenix 583,41 407,50 348,87
CORAFEN 25 mg COM x 28 Bernabo 576,16 424,40 324,37
BIDECAR 25 mg COM x 28 Baliarda 609,57 459,40 367,42
DILATREND 25 mg COM x 28 Nova Argentia 630,93 472,18 399,38
FILTEN 25 mg COM x 28 Gador 646,88 482,76 421,32
CARVEDIL 25 mg COM x 28 Bagó 659,10 502,32 425,23
CARVIPAW 25 mg COM x 30 Rospaw 515,00 363,05 363,05

CARTIATO 25 mg COM x 30 Savant Pharm S.A. 545,73 373,02 256,68
RODIPAL 25 mg COM x 30 Eurofarma 573,41 413,88 312,16
ANTIBLOC 25 mg COM x 30 Craveri 618,80 451,78 367,07
ISOBLOC 25 mg COM x 30 Casasco 646,78 481,10 393,43
VERATEN 25 mg COM x 30 Elea - Phoenix 831,79 637,68 572,97

DILATREND 25 mg COM x 56 Nova Argentia 1.021,48 688,54 465,15
CARVEDIL 25 mg COM x 56 Bagó 1.064,83 707,37 511,77
FILTEN 25 mg COM x 56 Gador 1.193,01 866,58 645,82
RODIPAL 25 mg COM x 60 Eurofarma 857,58 475,37 264,92

ISOBLOC 25 mg COM x 60 Casasco 979,48 602,74 386,14
FILTEN 25 mg COM x 60 Gador 1.138,25 766,40 544,29
40 mg BIDECAR CR 40 mg Lib. CAP x 28 Baliarda 1.011,80 730,24 542,52

CARVEDIL RETARD 40 mg CAP x 28 Bagó 1.093,80 816,28 632,24
DILATREND AP 40 mg CAP x 30 Nova Argentia 1.036,75 725,73 516,19

ISOBLOC CR 40 mg CAP x 30 Casasco 1.064,93 770,23 575,44
FILTEN LP 40 mg CAP x 30 Gador 1.144,76 854,84 664,46
VERATEN UD 40 mg LIB.EXT. CAP x 30 Elea - Phoenix 1.238,90 949,78 771,26
50 mg CORITENSIL 50 mg COM x 28 Roux Ocefa 375,18 126,51 126,51

CORAFEN 50 mg COM x 28 Bernabo 724,29 457,83 307,02
CARVEDIL 50 mg COM x 28 Bagó 908,17 672,91 594,49
CARVIPAW 50 mg COM x 30 Rospaw 217,00 65,10 65,10

80 mg BIDECAR CR 80 mg Lib. CAP x 28 Baliarda 1.285,62 950,94 730,49

CARVEDIL RETARD 80 mg CAP x 28 Bagó 1.359,09 1.011,25 778,80
DILATREND AP 80 mg CAP x 30 Nova Argentia 1.256,21 873,58 615,60

FILTEN LP 80 mg CAP x 30 Gador 1.401,67 1.040,40 801,73
VERATEN UD 80 mg LIB.EXT. CAP x 30 Elea - Phoenix 1.516,87 1.162,89 941,72
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 FILTEN D 25/12.5 mg COM x 28 Gador 729,33 538,35 413,01

DILATREND D 25/12.5 mg COM x 28 Nova Argentia 739,70 546,08 418,31
CARVEDIL D 25/12.5 mg COM x 28 Bagó 739,02 547,52 421,71
ISOBLOC D COM x 30 Casasco 722,63 507,98 364,54

FILTEN D COM x 30 Gador 730,91 516,12 372,55
CEFADROXILO
Comprimidos 500 mg CEFACAR 500 mg COM x 8 Nova Argentia 370,92 278,24 278,24
CEFACILINA 500 mg COM x 8 Montpellier 373,78 280,02 280,02
CEFAMAR 500 mg COM x 14 Mar 330,00 137,84 137,84
CEFACAR 500 mg COM x 16 Nova Argentia 720,77 535,82 535,82

CEFACILINA 500 mg COM x 16 Montpellier 727,59 544,36 544,36
1000 mg CEFACILINA 1000 mg COM x 8 Montpellier 596,74 432,99 432,99

CEFACAR 1000 mg COM x 8 Nova Argentia 598,84 437,42 437,42
CEFACAR 1000 mg COM x 16 Nova Argentia 1.176,80 849,83 849,83
Líquido 250 mg CEFACAR 250 mg SUS x 60 Nova Argentia 254,47 184,80 184,80
CEFAMAR 250 MG/5 ML SUS x 70 Mar 233,00 141,57 141,57
CEFACAR 250 mg SUS x 90 Nova Argentia 369,80 262,88 262,88
500 mg CEFACAR 500 mg SUS x 60 Nova Argentia 376,87 220,35 220,35
CEFAMAR 500 MG/5 ML SUS x 70 Mar 352,00 171,36 171,36
CEFACILINA 500 mg JBE x 90 Montpellier 642,94 450,06 450,06

CEFACAR 500 mg SUS x 90 Nova Argentia 852,43 630,96 630,96
CEFALEXINA
Comprimidos 500 mg CEFALEXINA RICHET 500 mg COM x 8 Richet 209,77 149,24 149,24
CEFALEXINA FECOFAR 500 mg COM x 8 Fecofar 203,31 151,14 151,14
KEFORAL 500 mg COM x 8 Teva argentina ( 219,07 157,78 157,78
CEPOREXIN 500 mg COM x 8 Investi 227,54 167,07 167,07
SEPTILISIN 500 mg COM x 8 Bagó 235,51 171,18 171,18
CEFALEXINA ARGENTIA 500 mg COM x 8 Nova Argentia 236,85 174,07 174,07

CEFALEXINA FECOFAR 500 mg COM x 16 Fecofar 384,36 275,81 275,81
CEFALEXINA RICHET 500 mg COM x 16 Richet 375,88 276,50 276,50
SEPTILISIN 500 mg COM x 16 Bagó 396,66 287,26 287,26
CEPOREXIN 500 mg COM x 16 Investi 393,95 289,26 289,26

1000 mg KEFORAL 1000 mg COM x 8 Teva argentina ( 361,68 233,74 233,74

CEPOREXIN DUO 1 g COM x 14 Investi 730,03 522,19 522,19

CEFALEXINA ARGENTIA DUO 1 g COM x 14 Nova Argentia 740,04 531,03 531,03
SEPTILISIN DUO 1000 mg COM x 14 Bagó 745,32 539,77 539,77

CEPOREXIN DUO 1 g COM x 16 Investi 794,21 546,26 546,26
Página 24 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 1000 mg CEFALEXINA ARGENTIA DUO 1 g COM x 16 Nova Argentia 805,52 552,58 552,58
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 232,13 170,16 170,16 INF
CEPOREXIN 250 mg JBE x 90 Investi 242,05 176,84 176,84 INF
CEFALEXINA ARGENTIA 250 mg SUS x 90 Nova Argentia 246,24 180,81 180,81 INF
CEFALEXINA RICHET 250 mg 24 dosis JBE x 120 Richet 259,53 167,35 167,35 INF
CEFALEXINA ARGENTIA 250 mg SUS x 120 Nova Argentia 274,69 175,01 175,01 INF
500 mg CEFALEXINA FECOFAR 500 mg SUS x 60 Fecofar 310,75 231,01 231,01

KEFORAL 500 mg JBE x 60 Teva argentina ( 362,74 259,91 259,91
CEFALEXINA RICHET 500 mg 12 dosis SUS x 60 Richet 361,28 261,93 261,93
SEPTILISIN 500 mg SUS x 60 Bagó 389,53 286,67 286,67
CEPOREXIN 500 mg SUS x 90 Investi 395,44 282,35 282,35

CEFALEXINA ARGENTIA 500 mg SUS x 90 Nova Argentia 398,84 285,48 285,48
SEPTILISIN 500 mg SUS x 90 Bagó 412,85 298,99 298,99
CEFALEXINA FECOFAR 500 mg SUS x 90 Fecofar 422,90 312,38 312,38
KEFORAL 500 mg JBE x 100 Teva argentina ( 600,15 441,41 441,41
CEPOREXIN 500 mg SUS x 120 Investi 143,89 41,92 41,92

CEFALEXINA RICHET 500 mg 24 dosis SUS x 120 Richet 479,20 351,32 351,32
CEFALEXINA ARGENTIA 500 mg SUS x 120 Nova Argentia 501,40 369,74 369,74
750 mg CEPOREXIN DUO 750 mg PED. SUS x 90 Investi 447,28 316,50 316,50
CEFALEXINA ARGENTIA DUO 750 mg SUS x 90 Nova Argentia 455,56 324,45 324,45
CEFAZOLINA
Ampollas 1000 mg CEFALOMICINA 1000 mg F.A x 1 Bagó 438,61 311,80 311,80
CEFIXIMA
Comprimidos 400 mg VIXCEF 400 mg COM x 6 Bagó 1.594,77 1.167,58 1.167,58
NOVACEF COM x 8 Gador 1.823,33 1.260,30 1.260,30
VIXCEF 400 mg COM x 12 Bagó 2.677,85 1.868,07 1.868,07
Líquido 100 mg VIXCEF SUS x 30 Bagó 675,56 498,34 498,34
VIXCEF SUS x 60 Bagó 1.305,10 941,70 941,70
CEFTRIAXONA
Ampollas 500 mg ACANTEX 500 mg IM F.A x 1 Investi 402,32 307,87 307,87
1000 mg CEFTRIAZONA DUNCAN 1000 mg IM F.A x 1 Duncan 649,57 434,72 434,72

CEFTRIAXONA RICHET IM 1000 mg AMP x 1 Richet 737,17 509,58 509,58
CEFTRIAXONA FABRA 1000 mg F.A x 1 Fabra 765,70 531,64 531,64
ACANTEX 1 g IM F.A x 1 Investi 799,49 577,63 577,63
ACANTEX 1 g IM F.A x 3 Investi 3.523,78 2.578,36 2.578,36
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 497,35 295,96 295,96
500 mg CEFUROX 500 mg COM x 8 Elea - Phoenix 515,79 340,11 340,11
CEFUROX 500 mg COM x 14 Elea - Phoenix 796,42 457,60 457,60
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 833,95 584,50 584,50
CETIRIZINA
Comprimidos 10 mg CETRILER COM x 10 Roux Ocefa 172,34 87,34 87,34
STOPALER COM x 10 Raymos 193,19 100,41 100,41
DEXALERGIN NOVO CB 10 mg CAP x 10 Teva argentina ( 271,94 190,59 190,59
CETIZINE 10 mg COM x 10 Lazar 298,15 214,39 214,39
CABAL COM x 10 Dallas 318,13 237,42 237,42
ZYRTEC 10 mg COM x 10 GlaxoSmithKline 428,85 313,37 313,37
SALVALERG 10 mg COM x 10 GlaxoSmithKline 431,03 314,96 314,96
STOPALER COM x 20 Raymos 347,73 163,72 163,72

ATOPIX COM x 20 Cassara 379,30 209,30 209,30
CETIZINE 10 mg COM x 20 Lazar 513,89 370,80 370,80
CETRILER COM x 30 Roux Ocefa 428,93 173,93 173,93

DEXALERGIN NOVO CB 10 mg CAP x 30 Teva argentina ( 699,24 455,84 455,84
CABAL COM x 30 Dallas 831,86 586,32 586,32
ZYRTEC 10 mg COM x 30 GlaxoSmithKline 1.132,71 827,67 827,67
SALVALERG 10 mg COM x 30 GlaxoSmithKline 1.139,11 832,35 832,35
Gotas 1000 mg CETRILER GTS x 10 Roux Ocefa 162,34 105,52 105,52

CETIZINE GTS x 10 Lazar 280,56 201,34 201,34
CABAL GTS x 10 Dallas 300,12 223,97 223,97
ATOPIX GTS x 20 Cassara 289,74 174,63 174,63
CICLOPENTOLATO
Colirio 1000 mg CICLOPENTOLATO POEN 1% COL x 5 Poen 401,69 281,04 281,04
CILOSTAZOL
Comprimidos 50 mg TROMBONOT 50 mg COM x 28 Richmond 554,54 357,95 357,95
CIBROGAN 50 mg COM x 30 Savant Consumer 301,84 79,96 79,96

CILAAL 50 mg COM x 30 Craveri 639,22 417,67 417,67
TRASTOCIR 50 mg COM x 30 Teva argentina ( 667,58 466,26 466,26
CILOVAS 50 mg COM x 30 Baliarda 689,34 466,61 466,61
ZOLPLAT 50 mg COM x 30 Raffo 702,43 468,20 468,20
POLICOR 50 mg COM x 30 Gador 706,40 495,49 495,49
ACLUSIN 50 mg COM x 30 Casasco 741,93 539,93 539,93
LICUAGEN 50 mg COM x 30 Elea - Phoenix 776,10 559,69 559,69
CILOSTAL 50 mg COM x 30 Elea - Phoenix 882,11 674,30 674,30
CILAAL 50 mg COM x 60 Craveri 1.060,11 573,43 573,43

TRASTOCIR 50 mg COM x 60 Teva argentina ( 1.221,05 799,08 799,08
100 mg TROMBONOT 100 mg COM x 28 Richmond 1.019,17 684,77 684,77
CIBROGAN 100 mg COM x 30 Savant Consumer 598,42 208,51 208,51

TRASTOCIR 100 mg COM x 30 Teva argentina ( 1.206,42 842,62 842,62
ZOLPLAT 100 mg COM x 30 Raffo 1.251,17 843,94 843,94
CILAAL 100 mg COM x 30 Craveri 1.273,62 918,79 918,79
CILOVAS 100 mg COM x 30 Baliarda 1.301,94 931,25 931,25
POLICOR 100 mg COM x 30 Gador 1.332,67 980,54 980,54
ACLUSIN 100 mg COM x 30 Casasco 1.348,72 989,55 989,55
LICUAGEN 100 mg COM x 30 Elea - Phoenix 1.442,90 1.078,15 1.078,15
CILOSTAL 100 mg COM x 30 Elea - Phoenix 1.646,85 1.258,87 1.258,87
Página 26 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 100 mg CILAAL 100 mg COM x 60 Craveri 1.968,78 1.109,24 1.109,24

TRASTOCIR 100 mg COM x 60 Teva argentina ( 2.039,75 1.269,52 1.269,52
ACLUSIN 100 mg COM x 60 Casasco 2.291,29 1.521,89 1.521,89
CILOSTAL 100 mg COM x 60 Elea - Phoenix 3.033,50 2.318,85 2.318,85
200 mg VASATIV XR 200 mg COM x 30 Eurofarma 2.259,34 1.514,11 1.514,11
CINCOCAINA CLOROHIDRATO
+ EXTRACTO SECO DE BEXA
OELLANA
Pomada 1000 mg PROCTYL PDA x 10 Takeda 265,56 195,52 195,52
PROCTYL PDA x 30 Takeda 570,02 379,78 379,78
CIPROFIBRATO
Comprimidos 100 mg FIXERIL 100 mg COM x 30 Lazar 1.097,22 690,95 690,95
ESTAPROL 100 mg CAP x 30 Sanofi Aventis 1.792,00 1.323,71 1.323,71
FIXERIL 100 mg COM x 60 Lazar 1.993,52 1.127,94 1.127,94

ESTAPROL 100 mg CAP x 60 Sanofi Aventis 3.464,34 2.559,03 2.559,03
CIPROFLOXACINA
Colirio 300 mg FLORAXINA COL x 5 Spedrog Caillon 321,09 218,11 218,11
CIFLOXIN COL x 5 Novoplos 323,29 222,90 222,90
CIPROFLOXACINA DORF COL x 5 Pharmadorf 337,46 230,21 230,21
Comprimidos 250 mg CIPROFLOXACINA LAZAR 250 mg COM x 10 Lazar 277,78 192,71 192,71
500 mg REXNER 500 mg COM x 6 Casasco 367,25 265,98 265,98
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 514,19 319,86 319,86
CIPROFLOXACINA LAZAR 500 mg COM x 10 Lazar 557,15 386,14 386,14
CIPROFLOXACINA RICHET 500 mg COM x 10 Richet 552,11 396,12 396,12
CIRIAX 500 mg COM x 10 Roemmers 567,42 397,30 397,30
BIOTIC PHARMA 500 mg COM x 10 Trb-Pharma 575,00 399,22 399,22
MEDAFLOX 500 mg COM x 10 Eurolab 580,00 403,24 403,24
EXERTIAL 500 COM x 10 Baliarda 588,92 414,99 414,99
ARGEFLOX 500 mg COM x 10 Nova Argentia 588,89 418,39 418,39
MICROSULF 500 mg COM x 10 Microsules Argentina 588,43 432,13 432,13
REXNER 500 mg COM x 10 Casasco 608,57 435,89 435,89
SELKET 500 mg COM x 10 Finadiet 619,05 448,61 448,61
SEPTOCORT 500 mg COM x 10 Fecofar 631,54 461,87 461,87
ATIBAX 500 mg COM x 10 Savant Consumer 638,60 463,81 463,81
SEPTICIDE 500 mg COM x 10 Bagó 660,42 483,50 483,50
CIPRO (EX BAYTERIN) 500 mg COM x 10 Bayer (PH) 753,69 552,03 552,03
EXERTIAL 500 COM x 14 Baliarda 809,39 564,31 564,31

SELKET 500 mg COM x 14 Finadiet 831,96 586,23 586,23
CIPROFLOXACINA LAZAR 500 mg COM x 20 Lazar 1.027,78 671,77 671,77

CIRIAX 500 mg COM x 20 Roemmers 1.043,93 690,06 690,06
MEDAFLOX 500 mg COM x 20 Eurolab 1.077,00 700,33 700,33
ARGEFLOX 500 mg COM x 20 Nova Argentia 1.090,33 729,63 729,63
REXNER 500 mg COM x 20 Casasco 1.117,76 758,51 758,51
SELKET 500 mg COM x 20 Finadiet 1.138,47 776,10 776,10
REXNER XR 500 mg COM x 5 Casasco 463,05 322,22 322,22
Página 27 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 500 mg
750 mg CIPROFLOXACINA LAZAR 750 mg COM x 10 Lazar 912,04 613,36 613,36
1000 mg CIPRO XR 1000 mg COM x 7 Bayer (PH) 723,99 409,68 409,68

REXNER XR 1000 mg COM x 7 Casasco 870,90 606,02 606,02
Líquido 5000 mg CIPRO 50 MG/ML SUS x 100 Bayer (PH) 2.265,41 1.608,76 1.608,76
CIPROFLOXACINA +
DEXAMETASONA
Colirio 300 mg CIFLOXIN DEX COL x 5 Novoplos 131,34 26,27 26,27
QUIDEX COL x 5 Poen 418,02 272,10 272,10
PROCALM COL x 5 Atlas 418,99 275,00 275,00
CIPROFLOXACINA D DORF COL x 5 Pharmadorf 490,77 351,07 351,07
FOTAMICIN SUSP. COL x 5 Elea - Phoenix 561,65 422,72 422,72
DECADRON C/CIPROFLOXACINA COL x 5 Sidus 601,12 444,37 444,37
CILOXADEX COL x 5 Novartis 750,84 550,24 550,24
Gotas 300 mg OTOSPORIN DEXA OTICO GTS x 5 Investi 257,49 182,65 182,65
Ungüento 300 mg QUIDEX OFT. UNG x 3,5 Poen 483,52 330,51 330,51
FOTAMICIN OFT. UNG x 3,5 Elea - Phoenix 638,54 480,59 480,59
CITALOPRAM
Comprimidos 20 mg SEROPRAM 20 mg COM x 14 Lundbeck 311,22 139,40 139,40
CITTA 20 mg COM x 14 Eurofarma 356,41 184,59 184,59
PSICONOR 20 mg COM x 15 Teva argentina ( 578,48 424,24 424,24
SEROPRAM 20 mg COM x 28 Lundbeck 968,92 674,49 674,49

CITTA 20 mg COM x 28 Eurofarma 1.045,33 750,90 750,90
HUMORAP 20 mg COM x 28 Bagó 1.080,04 789,93 789,93
ZENTIUS COM x 30 Roemmers 1.030,54 712,49 712,49

PSICONOR 20 mg COM x 30 Teva argentina ( 1.157,15 848,68 848,68
40 mg HUMORAP 40 mg COM x 28 Bagó 1.924,48 1.419,36 1.419,36
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 640,16 470,52 470,52
500 mg CLAROVIL 500 mg COM x 8 Beta 508,05 375,73 375,73

CORIXA 500 mg COM x 8 Biotenk 517,96 384,86 384,86
CLARIMAX 500 mg COM x 8 Montpellier 561,86 418,23 418,23
KLARICID 500 mg COM x 8 Abbott Epd 639,61 462,11 462,11
TUCLARIT 500 mg COM x 14 Mar 506,00 231,84 231,84
CLARITROM 500 mg COM x 16 Trb-Pharma 828,00 547,94 547,94

CORIXA 500 mg COM x 16 Biotenk 887,80 611,79 611,79
CLARIMAX 500 mg COM x 16 Montpellier 937,71 663,42 663,42
CLAROVIL 500 mg COM x 16 Beta 945,41 676,46 676,46
ISET 500 mg COM x 16 Casasco 985,91 722,40 722,40
CLARIBIOTIC 500 mg COM x 16 Baliarda 987,12 725,20 725,20
QUOTAL 500 mg COM x 16 Nova Argentia 989,57 726,33 726,33
KLARICID 500 mg COM x 16 Abbott Epd 1.055,70 762,73 762,73
Página 28 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 500 mg AEROXINA 500 mg COM x 16 Elea - Phoenix 1.146,97 843,02 843,02
CLASID 500 mg COM x 16 Sidus 1.323,40 978,31 978,31
TUCLARIT 500 mg COM x 20 Mar 690,00 299,94 299,94
CORIXA UD 500 mg COM x 4 Biotenk 234,88 155,23 155,23

CLARIMAX UD 500 mg COM x 4 Montpellier 268,88 189,30 189,30
CLARIBIOTIC UD 500 mg COM x 4 Baliarda 282,40 206,14 206,14
QUOTAL UD COM x 4 Nova Argentia 283,96 206,83 206,83
ISET UD 500 mg COM x 4 Casasco 284,11 207,93 207,93
CLAROVIL UD 500 mg LIB.PROL. COM x 4 Beta 298,65 220,86 220,86
KLARICID UD COM x 5 Abbott Epd 385,79 278,73 278,73

AEROXINA UD 500 mg COM x 5 Elea - Phoenix 413,52 303,93 303,93
CORIXA UD 500 mg COM x 8 Biotenk 455,40 276,29 276,29

CLARIMAX UD 500 mg COM x 8 Montpellier 527,09 365,53 365,53
CLAROVIL UD 500 mg LIB.PROL. COM x 8 Beta 548,87 394,21 394,21
QUOTAL UD COM x 8 Nova Argentia 554,94 399,18 399,18
CLARIBIOTIC UD 500 mg COM x 8 Baliarda 557,02 401,93 401,93
ISET UD 500 mg COM x 8 Casasco 557,00 402,43 402,43
KLARICID UD COM x 8 Abbott Epd 617,21 445,93 445,93
1000 mg CLARIMAX UD 1000 mg COM x 7 Montpellier 693,82 496,00 496,00
CLARIMAX UD 1000 mg COM x 14 Montpellier 1.384,76 989,96 989,96
Líquido 125 mg CLARITROMICINA RICHET 125 mg SUS x 60 Richet 269,72 149,29 149,29 INF
TUCLARIT 125 mg SUS x 60 Mar 341,00 220,42 220,42
CORIXA 125 mg SUS x 60 Biotenk 357,70 236,46 236,46 INF
CLARIMAX 125 mg SUS x 60 Montpellier 392,73 280,09 280,09 INF
CLARIBIOTIC 125 MG/5 ML SUS x 60 Baliarda 419,40 306,80 306,80 INF
ISET 125 mg/5 ml JBE x 60 Casasco 416,55 307,10 307,10 INF
KLARICID PEDIATRICO 125 mg JBE x 60 Abbott Epd 511,72 369,71 369,71 INF
QUOTAL 125 MG/5 ML SUS x 70 Nova Argentia 434,72 294,94 294,94
250 mg TUCLARIT 250 mg SUS x 60 Mar 586,00 349,48 349,48

CORIXA 250 mg SUS x 60 Biotenk 693,13 482,17 482,17 INF
CLARITROMICINA RICHET 250/5ML SUS x 60 Richet 730,76 530,19 530,19 INF
CLARIMAX 250 mg SUS x 60 Montpellier 760,01 554,72 554,72 INF
KLARICID PEDIATRICO FORTE JBE x 60 Abbott Epd 803,66 580,64 580,64 INF
ISET 250 mg/5 ml JBE x 60 Casasco 801,53 592,77 592,77 INF
CLARIBIOTIC 250 MG/5 ML SUS x 60 Baliarda 811,32 607,72 607,72 INF
AEROXINA 250 mg SUS x 60 Elea - Phoenix 966,40 710,30 710,30 INF
QUOTAL 250 MG/5 ML SUS x 70 Nova Argentia 832,32 576,41 576,41 INF
TUCLARIT 250 mg SUS x 100 Mar 782,00 372,70 372,70

ISET 250 mg/5 ml JBE x 100 Casasco 1.389,23 1.032,09 1.032,09
Sobres 125 mg QUOTAL MD 125 mg SOB x 14 Nova Argentia 77,00 47,38 47,38
250 mg QUOTAL MD 250 mg SOB x 14 Nova Argentia 146,73 90,29 90,29
CLEMBUTEROL
Comprimidos 0,02 mg OXIBRON COM x 20 Montpellier 198,24 121,46 121,46
Página 29 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 0,02 mg BRONQ C COM x 30 Bernabo 395,64 298,09 298,09
Líquido 0,05 mg BRONQ C JBE x 100 Bernabo 532,89 390,56 390,56
CLINDAMICINA
Comprimidos 300 mg DALACIN C 300 mg CAP x 16 Pfizer 575,07 402,16 402,16
RESBIOTIC 300 mg CAP x 16 Casasco 593,95 417,48 417,48
RESBIOTIC 300 mg CAP x 24 Casasco 876,93 609,31 609,31
Gel 1000 mg CLIDAN DERMICO GEL x 15 Cassara 258,82 192,06 192,06
CLINDACIN GEL x 50 Panalab 865,00 672,10 672,10
Líquido 1000 mg CLINDACIN SOL x 50 Panalab 865,00 674,20 674,20
Loción 1000 mg CLINTOPIC LOC x 30 Investi 105,14 74,58 74,58
Óvulos 100 mg TORGYN 100 mg OVU x 3 Raffo 469,90 351,51 351,51
TORGYN 100 mg OVU x 7 Raffo 639,29 394,96 394,96
CLOBAZAM
Comprimidos 10 mg KARIDIUM 10 mg COM x 60 Sanofi Aventis 647,07 463,89 463,89
20 mg KARIDIUM 20 mg COM x 60 Sanofi Aventis 1.094,23 784,45 784,45
CLOBETASOL
Crema 50 mg DERMADEX CRE x 15 GlaxoSmithKline 473,33 349,41 349,41
CLOBEPLUS CRE x 20 Raymos 205,73 46,75 46,75

CLOBEFAR CREMA CRE x 20 Hlb Pharma 381,29 222,54 222,54
CLOBESOL CRE x 20 Investi 400,26 226,70 226,70
SALAC CRE x 20 Andromaco 577,76 437,96 437,96
PERFRACORT 0.05% CRE x 30 Fortbenton 474,27 218,14 218,14

SALVICUTAN CRE x 30 Lazar 500,00 241,41 241,41
SALAC CRE x 30 Andromaco 790,28 558,70 558,70
DERMADEX CRE x 30 GlaxoSmithKline 928,27 685,23 685,23
Loción 50 mg CLOBESOL LOC x 30 Investi 354,62 184,65 184,65

DERMADEX CAPILAR LOC x 30 GlaxoSmithKline 733,73 541,62 541,62
SALAC LOC x 40 Andromaco 682,64 476,41 476,41
Shampoo 50 mg SALAC SHA x 140 Andromaco 1.745,24 1.286,99 1.286,99
Ungüento 50 mg CLOBESOL UNG x 15 Investi 292,92 164,48 164,48

DERMADEX UNG x 15 GlaxoSmithKline 448,59 331,15 331,15
CLOBEFAR UNGÜENTO UNG x 20 Hlb Pharma 381,29 224,49 224,49

SALAC UNG x 20 Andromaco 516,12 362,59 362,59
PERFRACORT 0.05% UNG x 30 Fortbenton 496,76 242,70 242,70

DERMADEX UNG x 30 GlaxoSmithKline 851,56 628,60 628,60
CLOMIFENO
Comprimidos 50 mg GENOZYM COM x 20 Investi 984,53 725,32 725,32
GENOZYM COM x 60 Investi 1.856,71 1.044,61 1.044,61
CLOMIPRAMINA
Ampollas 25 mg ANAFRANIL AMP x 10 Sandoz 392,21 223,95 223,95
Comprimidos 25 mg ANAFRANIL GRA x 30 Sandoz 529,53 369,87 369,87
Página 30 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 75 mg ANAFRANIL 75 mg DIVITABS COM x 20 Sandoz 1.120,26 782,49 782,49
CLONAZEPAM
Comprimidos 0,25 mg RIVOTRIL 0.25 mg COM x 30 Investi 86,98 46,28 46,28
INDUZEPAM 0.25 mg COM x 30 Finadiet 179,13 134,22 134,22
NEURYL 0.25 mg COM x 50 Bagó 235,04 175,89 175,89
CLONAGIN 0.25 mg COM x 60 Baliarda 244,89 164,27 164,27
0,5 mg NEURYL 0.5 mg COM x 10 Bagó 143,00 107,01 107,01

LEPTIC 0.5 mg COM x 10 Soubeiran Chobet 148,11 111,37 111,37
SENSATON 0.5 mg COM x 30 Temis-Lostalo 192,98 90,79 90,79

CLONAZEPAM ROSPAW 0.5 mg COM x 30 Rospaw 255,00 170,52 170,52
SOLFIDIN 0.5 mg COM x 30 Rontag 269,60 185,96 185,96
CLONAZEPAM DENVER FARMA 0.5 mg COM x 30 Denver Farma 270,68 190,44 190,44
DIOCAM 0.5 mg COM x 30 Gador 314,35 226,65 226,65
EDICTUM 0.5 mg COM x 30 Pharmadorf 332,41 232,97 232,97
CLONASEDAN 0.5 mg COM x 30 Eurofarma 353,60 268,86 268,86
RIVOTRIL 0.5 mg COM x 30 Investi 388,66 280,21 280,21
CLONAX 0.5 mg COM x 30 Beta 387,04 282,24 282,24

CLONAX 0.5 mg COM x 50 Beta 491,55 344,59 344,59

CLONAZEPAM ROSPAW 0.5 mg COM x 60 Rospaw 490,00 307,90 307,90
1 mg DIOCAM 1 mg COM x 30 Gador 319,09 229,18 229,18

CLONAGIN 1 mg COM x 30 Baliarda 347,74 257,97 257,97
CLONAX 1 mg COM x 30 Beta 387,83 282,82 282,82
DIOCAM 1 mg COM x 50 Gador 469,96 330,02 330,02

NEURYL 1 mg COM x 50 Bagó 512,74 366,19 366,19

2 mg NEURYL 2 mg COM x 10 Bagó 160,48 120,10 120,10

LEPTIC 2 mg COM x 10 Soubeiran Chobet 184,35 138,62 138,62
SENSATON 2 mg COM x 30 Temis-Lostalo 200,01 93,84 93,84

CLONAZEPAM ROSPAW 2 mg COM x 30 Rospaw 300,00 214,40 214,40
CLONAZEPAM DENVER FARMA 2 mg COM x 30 Denver Farma 305,96 215,26 215,26
Página 31 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 2 mg INDUZEPAM 2 mg COM x 30 Finadiet 323,88 230,78 230,78

EDICTUM 2 mg COM x 30 Pharmadorf 370,39 263,84 263,84
RIVOTRIL 2 mg COM x 30 Investi 408,78 294,72 294,72
CLONASEDAN 2 mg COM x 30 Eurofarma 396,93 301,53 301,53
INDUZEPAM 2 mg COM x 50 Finadiet 475,87 304,99 304,99

EDICTUM 2 mg COM x 50 Pharmadorf 514,11 360,31 360,31
CLONAZEPAM ROSPAW 2 mg COM x 60 Rospaw 485,00 289,22 289,22

CLONAZEPAM DENVER FARMA 2 mg COM x 60 Denver Farma 493,18 297,40 297,40
0,25 mg CLONAGIN SL 0.25 mg COM x 15 Baliarda 121,81 87,57 87,57
DIOCAM SL 0.25 mg COM x 30 Gador 193,85 113,04 113,04

CLONAGIN SL 0.25 mg COM x 30 Baliarda 212,77 136,91 136,91
RIVOTRIL 0.25 mg SUBLINGUAL COM x 30 Investi 269,32 193,45 193,45
CLONAX RAPID 0.25 mg SUBLING. COM x 30 Beta 398,23 294,51 294,51
0,5 mg SOLFIDIN FLASH 0.5 mg COM x 30 Rontag 351,32 238,74 238,74
NEURYL FLASH 0.5 mg COM x 50 Bagó 708,27 515,18 515,18
SOLFIDIN FLASH 0.5 mg COM x 60 Rontag 702,64 477,47 477,47
Gotas 2,5 mg INDUZEPAM 0.25% Sol.Oral GTS x 20 Finadiet 40,08 6,89 6,89
RIVOTRIL 0.25% (2.5 mg/ml) GTS x 20 Investi 111,93 27,84 27,84
CLONAGIN 2.5 mg/ml GTS x 20 Baliarda 347,46 256,80 256,80
NEURYL 2.5 mg/ml GTS x 20 Bagó 344,46 258,60 258,60
CLOPIDOGREL
Comprimidos 75 mg CLOPIDOGREL ROSPAW 75 mg COM x 10 Rospaw 600,00 443,04 443,04
NADENEL 75 mg COM x 14 Geminis Farmaceutica 981,64 724,07 638,22

PLAVIX 75 mg COM x 14 Sanofi Aventis 1.732,79 1.279,97 1.129,03
NABRATIN 75 mg COM x 15 Raffo 210,63 63,19 42,13

CLOPILEP 75 mg COM x 15 Lepetit 287,96 99,66 72,76
CLODREL 75 mg COM x 15 Baliarda 1.036,44 768,91 679,74
TROKEN 75 mg COM x 15 Bagó 1.210,51 899,94 796,41
NEFAZAN 75 mg COM x 15 Elea - Phoenix 1.353,39 1.029,93 922,11
ANTIPLAQ 75 mg COM x 28 Richmond 1.670,51 1.151,72 978,79

NADENEL 75 mg COM x 28 Geminis Farmaceutica 1.669,34 1.194,61 1.036,37
PLAVIX 75 mg COM x 28 Sanofi Aventis 3.383,86 2.499,58 2.204,82
Página 32 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 75 mg
CLOPILEP 75 mg COM x 30 Lepetit 575,92 199,32 145,52
XIMARA 75 mg COM x 30 Temis-Lostalo 1.431,27 995,41 706,21
DANIR 75 mg COM x 30 Craveri 1.475,89 1.019,60 831,15
ANTIPLAQ 75 mg COM x 30 Richmond 1.670,51 1.151,72 978,79
NADENEL 75 mg COM x 30 Geminis Farmaceutica 1.669,34 1.210,63 1.027,28
CLOPIDOGREL ROSPAW 75 mg COM x 30 Rospaw 1.700,00 1.250,37 1.250,37
MONREX 75 mg COM x 30 Montpellier 1.918,09 1.445,96 1.288,59
CLODREL 75 mg COM x 30 Baliarda 2.059,15 1.527,64 1.350,47
PLEYAR 75 mg COM x 30 Casasco 2.158,56 1.563,04 1.364,53
NABRATIN 75 mg COM x 30 Raffo 2.211,01 1.642,22 1.452,62
TROKEN 75 mg COM x 30 Bagó 2.341,15 1.740,50 1.540,29
NEFAZAN 75 mg COM x 30 Elea - Phoenix 2.545,80 1.937,35 1.734,54
CLOPILEP 75 mg COM x 60 Lepetit 1.151,84 399,34 291,84
300 mg PLAVIX 300 mg COM x 4 Sanofi Aventis 1.094,48 784,63 579,66
CLORFENIRAMINA
Comprimidos 2 mg AFEME COM x 20 Cetus 278,60 193,79 193,79
4 mg ALERGITRAT COM x 20 Fecofar 272,50 197,51 197,51
Líquido 50 mg ALERGITRAT JBE x 120 Fecofar 272,50 197,51 197,51
CLOROQUINA
Comprimidos 100 mg NIVAQUINE COM x 30 Sanofi Aventis 506,15 362,86 362,86
CLORPROMAZINA
Comprimidos 25 mg AMPLIACTIL 25 mg COM x 30 Sanofi Aventis 301,83 216,38 216,38
100 mg AMPLIACTIL 100 mg COM x 50 Sanofi Aventis 1.049,52 752,40 752,40
CLORTALIDONA
Comprimidos 50 mg EURETICO 50 mg COM x 30 Casasco 517,35 379,79 288,79
CLOTRIMAZOL
Aerosol 1000 mg MICOSEP DEO AER x 110 Cassara 439,31 327,28 327,28
MICOMAZOL DEO AER x 110 Investi 561,06 410,53 410,53
Crema 1000 mg CLOTRIMAZOL RAYMOS CRE x 20 Raymos 202,40 145,89 145,89
IKOLAN 1% CRE x 25 Investi 89,20 25,38 25,38
MICOSEP Derm. CRE x 30 Cassara 232,76 131,95 131,95

MICOMAZOL DERMICA CRE x 30 Investi 391,64 286,56 286,56
IKOLAN 1% CRE x 50 Investi 193,37 55,03 55,03
Pasta 1000 mg MICOSEP DERM. PTA x 30 Cassara 258,05 149,84 149,84

MICOMAZOL PTA x 30 Investi 415,05 303,69 303,69
Talco 1000 mg MICOSEP TAL x 30 Cassara 382,38 292,60 292,60
MICOMAZOL TAL x 50 Investi 386,25 235,76 235,76
CLOZAPINA
Comprimidos 25 mg LAPENAX 25 mg COM x 100 Gador 2.571,61 1.801,05 1.291,30
100 mg CLOZAPINA ROSPAW 100 mg COM x 30 Rospaw 2.297,24 1.647,29 1.647,29

LAPENAX 100 mg COM x 30 Gador 2.571,61 1.860,33 1.623,23
LAPENAX 100 mg COM x 90 Novartis 5.773,94 3.802,28 2.472,28
Página 33 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 100 mg CLOZAPINA ROSPAW 100 mg COM x 100 Rospaw 5.800,00 3.651,04 3.651,04
COLCHICINA
Comprimidos 1 mg COLCHICINA HOUDE COM x 20 Spedrog Caillon 455,40 336,27 336,27
COLCHICINA HOUDE COM x 60 Spedrog Caillon 1.177,60 800,35 800,35
COLESTIRAMINA
Sobres 4000 mg QUESTRAN POLVO SOB x 50 Temis-Lostalo 1.682,99 1.230,61 931,34
CROMOGLICATO DISÓDICO
Colirio 4000 mg CLAROFTAL COL x 10 Poen 429,96 300,82 215,39
DANAZOL
Comprimidos 200 mg LADOGAL 200 mg CAP x 100 Sanofi Aventis 15.442,80 11.070,95 11.070,95
DAPSONA
Comprimidos 100 mg DAPS 100 mg COM x 100 Rontag 1.794,00 1.271,36 1.271,36
DEFLAZACORT
Comprimidos 6 mg DEFAS 6 mg COM x 10 Rontag 242,80 171,36 171,36
DEFAS 6 mg COM x 20 Rontag 464,23 327,63 327,63

AZACORTID 6 mg COM x 20 Sanofi Aventis 477,19 342,10 342,10
30 mg DEFAS 30 mg COM x 10 Rontag 1.128,51 796,45 796,45
DEFAS 30 mg COM x 20 Rontag 2.223,23 1.569,07 1.569,07

AZACORTID 30 mg COM x 20 Sanofi Aventis 2.422,72 1.736,85 1.736,85
DESMOPRESINA ACETATO
Ampollas 0,004 mg DESMOPRESIN AMP x 10 Ferring 6.483,79 4.759,36 4.759,36
0,015 mg OCTOSTIM 1 ML AMP x 10 Ferring 9.286,80 6.704,62 6.704,62
Comprimidos 0,1 mg DINADOM 0.1 mg COM x 30 Dominguez 1.884,11 1.307,20 1.307,20
DESMOPRESIN 0.1 mg COM x 100 Ferring 6.825,77 5.010,39 5.010,39
0,2 mg DINADOM 0.2 mg COM x 30 Dominguez 3.136,98 2.203,41 2.203,41

0,06 mg DESMOPRESIN MELT 60 mcg Liof.Oral (SL) COM x Ferring 1.892,21 1.388,96 1.388,96
30
DESMOPRESIN MELT 60 mcg Liof.Oral (SL) COM x Ferring 6.305,90 4.628,79 4.628,79
100
0,12 mg DESMOPRESIN MELT 120 mcg Liof.Oral COM x 30 Ferring 3.519,31 2.583,32 2.583,32
Spray 0,005 mg DESMOPRESIN INTRANASAL 5 mcg/ds 2.5 ml SPR Ferring 3.169,32 2.326,41 2.326,41
x 50
0,1 mg DINADOM NASAL SPR x 5 Dominguez 4.446,41 3.177,80 3.177,80

DESMOPRESIN NASAL SPR x 5 Ferring 4.811,50 3.608,46 3.608,46
DESMOPRESIN NASAL SPR x 6 Ferring 4.811,50 3.531,84 3.531,84
DESOGESTREL
Comprimidos 0,075 mg PINK COM x 28 Craveri 607,83 434,99 434,99
CAMELIA COM x 28 Bernabo 632,24 444,42 444,42
LUMILAC COM x 28 Pharmadorf 646,10 460,81 460,81
CARMIN COM x 28 Elea - Phoenix 704,27 528,70 528,70
CERAZETTE COM x 28 MSD Arrgentina SR 988,33 712,56 712,56
Página 34 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 0,075 mg
DEXAMETASONA
Colirio 100 mg SEDESTEROL COL x 5 Max Vision 563,96 405,56 405,56
DEXAMETASONA DORF COL x 10 Pharmadorf 803,66 436,00 436,00
Comprimidos 0,5 mg DEXAMETASONA FECOFAR COM x 20 Fecofar 231,55 79,84 79,84
DEXAMETASONA FECOFAR COM x 30 Fecofar 320,16 105,27 105,27

DECADRON 0.5 mg COM x 30 Sidus 723,59 534,91 534,91
4 mg DEXATOTAL 4 mg COM x 10 Ariston 201,03 133,20 133,20

DEXAMERAL 4 mg COM x 10 Raymos 242,56 177,87 177,87
DEXATOTAL 4 mg COM x 20 Ariston 382,25 241,39 241,39

DEXAMERAL 4 mg COM x 20 Raymos 462,56 328,71 328,71
DEXAMETASONA ACETATO
Ampollas 8 mg RUPEDEX 8 mg 2 ml AMP x 1 Duncan 331,16 224,03 224,03 INF
16 mg DECADRON AL 8 mg/ml 2 ml JGA+AG F.A x 1 Sidus 387,04 280,21 280,21
Comprimidos 1 mg RUPEDEX 0.5 mg COM x 20 Duncan 381,83 258,31 258,31
DEXAMETASONA ACETATO +
DEXAMETASONA FOSFATO
Ampollas 8 mg DUO DECADRON 2 ml+jga.desc. F.A x 1 Sidus 1.056,15 757,80 757,80
DEXAMETASONA FOSFATO
Ampollas 8 mg DEXAMETASONA RICHET 21 Fosf. 8MG 2ML+JG Richet 613,45 440,90 440,90 INF
AMP x 1
DECADRON 4 mg/ml 2ml+jer.des F.A x 1 Sidus 658,17 473,08 473,08
100 mg DECADRON SHOCK 20 mg/ml 5 ml F.A x 1 Sidus 685,09 496,00 496,00
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 1.541,56 657,21 657,21
mg
DIAZEPAM
Ampollas 10 mg VALIUM 10 mg 2 ML AMP x 5 Investi 468,66 333,74 333,74
Comprimidos 2 mg PLIDAN 2 mg COM x 20 Roemmers 172,94 124,20 124,20
PLIDAN 2 mg COM x 50 Roemmers 356,81 242,84 242,84
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 151,53 82,85 82,85
LEMBROL 5 mg COM x 25 Sanofi Aventis 55,69 11,14 11,14
VALIUM 5 mg COM x 30 Investi 306,37 219,81 219,81

SAROMET COM x 50 Rontag 365,41 208,82 208,82
Página 35 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg VALIUM 10 mg COM x 30 Investi 379,52 277,35 277,35

15 mg SAROMET FULLTIME CAP x 20 Rontag 365,41 257,89 257,89
Enema 5 mg DIACTAL 5mg/ 2,5 ml ENE x 1 Sidus 1.134,54 838,70 838,70
DIACTAL 5mg/ 2,5 ml ENE x 5 Sidus 2.871,02 1.506,51 1.506,51
DICLOFENAC POTÁSICO
Ampollas 75 mg VESALION 75 mg AMP x 6 Nova Argentia 551,78 392,46 392,46
OXA 75 3 ML AMP x 6 Beta 572,17 422,57 422,57
Comprimidos 50 mg RODINAC 50 COM x 15 Geminis Farmaceutica 204,21 148,86 148,86

OXA 50 COM x 15 Beta 435,88 322,35 322,35
DICLOMAR 50 mg COM x 20 Mar 171,00 86,68 86,68

DIOXAFLEX MIGRA 50 mg COM x 20 Bagó 460,18 344,38 344,38

RODINAC 50 COM x 30 Geminis Farmaceutica 325,35 209,28 209,28
OXA 50 COM x 30 Beta 783,55 579,47 579,47
75 mg BEFOL 75 mg COM x 10 Biotenk 221,21 163,61 163,61

RODINAC 75 K COM x 10 Geminis Farmaceutica 334,80 241,88 241,88
BLOKIUM P 75 mg COM x 10 Casasco 347,32 246,16 246,16

BEFOL 75 mg COM x 20 Biotenk 442,43 329,33 329,33

BEFOL 75 mg COM x 30 Biotenk 669,39 500,19 500,19
BLOKIUM P 75 mg COM x 30 Casasco 864,28 619,27 619,27
100 mg OXA 100 COM x 15 Beta 533,80 368,03 368,03
OXA 100 COM x 30 Beta 1.135,08 814,80 814,80
Gotas 15 mg OXA ANTITERMICO PEDIATRICO GTS x 20 Beta 93,96 54,40 54,40
Líquido 500 mg DIOXAFLEX SUS x 90 Bagó 409,78 298,07 298,07
Sobres 50 mg DIOXAFLEX MIGRA 50 mg SOB x 20 Bagó 582,40 423,63 423,63
DICLOFENAC SÓDICO
Ampollas 75 mg BLOKIUM 75 mg (Sódico) 3 ml AMP x 3 Casasco 341,69 247,70 247,70
DICLOMAR 75 mg 3 ml AMP x 4 Mar 373,00 237,21 237,21
DIOXAFLEX AMP x 5 Bagó 567,64 408,35 408,35

BLOKIUM 75 mg (Sódico) 3 ml AMP x 5 Casasco 566,09 408,77 408,77
XEDENOL 75 mg 3 ml AMP x 5 Baliarda 583,07 427,52 427,52
Colirio 100 mg NATURA FENAC COL x 5 Spedrog Caillon 423,20 301,20 301,20
Comprimidos 50 mg VESALION CB 50 mg CAP x 15 Nova Argentia 53,03 8,26 8,26

METAFLEX 50 CB CAP x 15 Montpellier 247,74 182,22 182,22
Página 36 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 50 mg DIOXAFLEX CB 50 mg CAP x 15 Bagó 261,13 192,83 192,83
VESALION CB 50 mg CAP x 30 Nova Argentia 84,86 13,22 13,22

METAFLEX 50 CB CAP x 30 Montpellier 493,23 362,79 362,79
DIOXAFLEX CB 50 mg CAP x 30 Bagó 521,30 384,95 384,95
METAFLEX 50 mg COM x 10 Montpellier 163,52 122,46 122,46
VESALION 50 mg COM x 15 Nova Argentia 191,36 124,30 124,30

DICLOGESIC 50 mg COM x 15 Trb-Pharma 207,00 143,05 143,05
XEDENOL 50 mg GASTRORRESIST. COM x 15 Baliarda 235,89 173,84 173,84
BLOKIUM 50 mg (Sódico) COM x 15 Casasco 243,44 180,88 180,88
DOLVAN 50 mg COM x 15 Gador 250,05 186,72 186,72
TOMANIL COM x 20 Takeda 40,25 8,05 8,05

DIOXAFLEX COM x 20 Bagó 317,86 236,33 236,33

XEDENOL 50 mg GASTRORRESIST. COM x 30 Baliarda 358,76 209,40 209,40
DIOXAFLEX COM x 40 Bagó 555,87 374,36 374,36
75 mg METAFLEX 75 CB CAP x 15 Montpellier 768,26 538,28 538,28

DIOXAFLEX CB 75 mg CAP x 15 Bagó 816,45 592,14 592,14
XEDENOL CB 75 mg CAP x 15 Baliarda 904,77 664,49 664,49
METAFLEX 75 CB CAP x 30 Montpellier 1.521,15 1.057,75 1.057,75

DIOXAFLEX CB 75 mg CAP x 30 Bagó 1.599,43 1.144,03 1.144,03

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

Group
DICLOLAM 75 mg COM x 15 Austral 310,96 118,45 118,45
IGLODINE 75 mg COM x 15 Fecofar 371,40 176,78 176,78
DIASTONE 75 mg COM x 15 Microsules Argentina 440,13 260,22 260,22
DOLVAN 75 mg COM x 15 Gador 497,05 299,49 299,49
DISIPAN 75 mg COM x 15 Bernabo 612,51 452,18 452,18
DIOXAFLEX 75 mg COM x 15 Bagó 652,49 478,49 478,49
DIOXAFLEX 75 mg MAST. COM x 15 Bagó 772,84 578,36 578,36

IGLODINE 75 mg COM x 30 Fecofar 640,44 255,25 255,25

DISIPAN 75 mg COM x 30 Bernabo 1.077,24 720,07 720,07
VESALION 75 mg COM x 30 Nova Argentia 1.132,47 776,14 776,14
DIOXAFLEX 75 mg COM x 30 Bagó 1.164,59 850,89 850,89
BLOKIUM 75 mg (Sódico) COM x 30 Casasco 1.181,13 863,47 863,47
METAFLEX 75 mg COM x 40 Montpellier 1.437,87 960,38 960,38
Página 37 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 75 mg DICLAC 75 mg RAPIRETARD COM x 10 Investi 111,89 31,83 31,83
XEDENOL 75 mg LP COM x 15 Baliarda 629,68 461,23 461,23

OXA 75 RAPILENT COM x 15 Beta 659,80 487,95 487,95
DICLAC 75 mg RAPIRETARD COM x 20 Investi 186,20 52,98 52,98
XEDENOL 75 mg LP COM x 30 Baliarda 1.157,82 797,00 797,00

OXA 75 RAPILENT COM x 30 Beta 1.227,27 888,55 888,55
100 mg BLOKIUM 100 mg (Sódico) COM x 15 Casasco 622,55 439,62 439,62
DICLONEX 100 AP COM x 15 Nexo Pharmaceutical 88,00 17,60 17,60

Group
CURINFLAM AP CAP x 15 Duncan 400,53 222,00 222,00
OXA RETARD COM x 15 Beta 410,45 226,41 226,41
DOLVAN 100 mg AP COM x 15 Gador 576,62 432,42 432,42
XEDENOL 100 mg LP COM x 15 Baliarda 593,07 441,40 441,40
DIOXAFLEX RETARD COM x 20 Bagó 885,01 662,30 662,30
OXA RETARD COM x 30 Beta 774,54 409,55 409,55
150 mg DICLAC 150 mg RAPIRETARD COM x 5 Investi 100,11 32,24 32,24
Líquido 500 mg METAFLEX SUS x 90 Montpellier 552,81 408,18 408,18
Sobres 50 mg DIOXAFLEX RAPID 50 mg GRANUL. SOB x 20 Bagó 1.226,58 892,19 892,19
DIFENHIDRAMINA
Ampollas 50 mg BENADRYL 5 ML AMP x 1 Elea - Phoenix 304,61 224,12 224,12
Comprimidos 50 mg BENADRYL CAP x 30 Elea - Phoenix 739,83 538,74 538,74
Líquido 250 mg HISTALER JBE x 120 Duncan 268,61 126,12 126,12
BENADRYL JBE x 240 Elea - Phoenix 960,40 696,86 696,86
DIGOXINA
Comprimidos 0,25 mg LANICOR COM x 20 Hlb Pharma 155,25 101,54 101,54
LANOXIN DIGOXINA COM x 25 Roemmers 234,00 167,97 124,66
LANICOR COM x 60 Hlb Pharma 453,33 287,79 287,79
LANICOR COM x 120 Hlb Pharma 838,35 489,64 489,64
DIHIDROERGOTOXINA
Comprimidos 1,5 mg VIMOTADINE 1,5 mg COM x 20 Casasco 282,19 205,97 205,97
DILTIAZEM
Comprimidos 60 mg HART 60 mg COM x 50 Teva argentina ( 413,63 247,18 154,55
ACALIX 60 mg COM x 50 Roemmers 486,61 344,91 251,61
INCORIL 60 COM x 60 Bagó 591,71 402,53 279,42
90 mg ACALIX 90 mg COM x 50 Roemmers 699,89 490,10 351,31
INCORIL AP COM x 30 Bagó 537,90 404,26 323,39
Página 38 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 90 mg INCORIL AP COM x 60 Bagó 938,52 660,19 474,48
120 mg ACALIX 120 mg COM x 50 Roemmers 1.246,41 872,80 625,64
INCORIL AP 120 mg COM x 30 Bagó 1.144,69 768,03 550,02

ACALIX AP 120 mg CAP x 30 Roemmers 1.163,08 841,26 642,29
180 mg ACALIX CD 180 mg CAP x 30 Roemmers 642,55 235,69 168,44

INCORIL MONODOSIS 180 mg COM x 30 Bagó 1.054,05 637,06 419,81
ACALIX CRONOS 180 mg CAP x 30 Roemmers 1.289,05 929,07 809,08
240 mg ACALIX CD 240 mg CAP x 30 Roemmers 1.353,07 711,39 376,80

INCORIL MONODOSIS 240 mg COM x 30 Bagó 1.750,81 1.106,92 772,34
ACALIX CRONOS 240 mg CAP x 30 Roemmers 1.882,98 1.357,15 1.181,87
300 mg ACALIX CRONOS 300 mg CAP x 30 Roemmers 2.111,70 1.521,99 1.216,63

INCORIL MONODOSIS 300 mg COM x 30 Bagó 2.220,86 1.592,48 1.165,73
DIMENHIDRINATO
Comprimidos 50 mg DR. AMIN 50 mg COM x 6 Eurolab 230,00 173,00 173,00
AGIRAX COM x 10 Montpellier 248,03 159,81 159,81
DR. AMIN 50 mg COM x 12 Eurolab 322,00 222,54 222,54

DRAMAMINE COM x 12 Johnson & Johnson 339,80 246,56 246,56
AGIRAX COM x 20 Montpellier 455,71 267,64 267,64
DRAMAMINE COM x 24 Johnson & Johnson 622,90 429,36 429,36
DIPIRONA
Ampollas 1000 mg NOVALGINA 2 ML AMP x 5 Sanofi Aventis OTC 275,08 192,20 192,20
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 514,30 371,04 371,04
Comprimidos 10 mg MOTILIUM COM x 20 Janssen-Cilag 176,40 70,26 70,26

EUCITON COM x 20 Roux Ocefa 179,32 80,97 80,97
ECUAMON COM x 20 Lazar 277,78 179,54 179,54
MOPERIDONA COM x 20 Sidus 368,62 273,83 273,83
DOMPERIX 10 mg COM x 30 Eurofarma 531,60 389,40 389,40
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 245,37 171,87 171,87
MOPERIDONA GTS x 20 Sidus 275,57 204,71 204,71
DORZOLAMIDA
Colirio 20 mg DORLAMIDA (2%) COL x 5 Atlas 908,54 600,94 600,94
TRUSOPT 2% COL x 5 Mundipharma Ofta 1.137,89 814,12 814,12
DORZOLAMIDA + TIMOLOL
Colirio 20 mg DORLAMIDA T COL x 5 Atlas 1.052,48 573,96 325,55
PRESS OUT T COL x 5 Max Vision 1.100,32 654,68 368,20
GLAUCOTENSIL TD COL x 5 Poen 1.272,56 847,83 561,77
DORZOLAMIDA T DORF COL x 5 Pharmadorf 1.429,99 978,67 698,65
DORZOFLAX COL x 5 Sidus 1.426,34 1.029,19 768,13
Página 39 de 116
A CARGO A CARGO
AFILIADO CRONICO
Colirio 20 mg ZOPIROL DM COL x 5 Elea - Phoenix 1.541,03 1.129,64 855,57

TIMED D COL x 5 Bausch & Lomb Argentina 1.745,17 1.255,19 1.091,87
COSOPT COL x 5 Mundipharma Ofta 1.794,76 1.313,27 1.152,78
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 383,59 266,62 266,62
100 mg VIBRAMICINA 100 mg TAB x 5 Pfizer 176,05 126,50 126,50
ASOLMICINA.DOX 100 mg COM x 15 Raymos 469,05 335,77 335,77
VIBRAMICINA 100 mg TAB x 16 Pfizer 569,77 409,39 409,39
DOXICLINA 100 mg COM x 20 Eurolab 571,00 383,08 383,08
ASOLMICINA.DOX 100 mg COM x 30 Raymos 748,89 432,84 432,84
ECONAZOL
Crema 1000 mg MICOLIS CRE x 30 Roemmers 234,84 164,43 164,43
NOMICON CRE x 30 Casasco 239,49 166,11 166,11
Talco 1000 mg MICOLIS TAL x 20 Roemmers 289,23 202,31 202,31

NOMICON TAL x 20 Casasco 296,39 206,14 206,14
ENALAPRIL
Comprimidos 2,5 mg LOTRIAL 2.5 mg COM x 30 Roemmers 112,48 79,48 57,62
GLIOTEN 2.5 mg COM x 30 Bagó 130,37 97,94 76,61
GADOPRIL 2.5 mg COM x 30 Gador 140,64 106,90 90,49
LOTRIAL 2.5 mg COM x 60 Roemmers 224,79 158,75 115,00

GLIOTEN 2.5 mg COM x 60 Bagó 258,12 192,79 149,70
GADOPRIL 2.5 mg COM x 60 Gador 276,93 210,49 175,36
5 mg ENATRAL 5 mg COM x 30 Lepetit 120,52 54,53 30,12

ARTERIOPRIL 5 mg COM x 30 Pfizer 155,78 91,20 53,50
LOTRIAL 5 mg COM x 30 Roemmers 193,14 137,50 100,94
MAXEN 5 mg COM x 30 Baliarda 202,71 147,01 110,38
TENCAS 5 mg COM x 30 Casasco 203,59 147,85 111,19
GADOPRIL 5 mg COM x 30 Gador 207,00 152,16 116,33
KINFIL 5 mg COM x 30 Nova Argentia 209,57 153,52 116,57
GLIOTEN 5 mg COM x 30 Bagó 229,31 168,75 145,97
VAPRESAN 5 mg COM x 30 Temis-Lostalo 241,45 181,25 157,73

ENATRAL 5 mg COM x 60 Lepetit 241,04 109,06 60,24

RENITEC 5 mg COM x 60 MSD Arrgentina SR 393,27 283,53 212,91
Página 40 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg ENATRAL 10 mg COM x 30 Lepetit 138,92 48,62 35,72

PRILTENK 10 mg COM x 30 Biotenk 272,41 155,50 94,72
ARTERIOPRIL 10 mg COM x 30 Pfizer 277,51 166,48 98,65
ECAPRILAT 10 mg COM x 30 Lazar 277,78 166,63 98,94


ENALDUN 10 mg COM x 60 Duncan 391,08 178,35 178,35
GADOPRIL 10 mg COM x 100 Gador 1.125,21 794,40 575,16
GLIOTEN 10 mg (Expendedor) COM x 120 Bagó 1.182,57 719,07 469,57
20 mg ENATRAL 20 mg COM x 30 Lepetit 157,32 55,82 41,32


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 454,63 327,77 285,49
MAXEN D 10/25 mg RANUR. COM x 30 Baliarda 457,81 280,78 182,18

LOTRIAL D 10/25 COM x 30 Roemmers 493,94 339,04 235,99
KINFIL D 10 mg COM x 30 Nova Argentia 500,63 344,66 240,65
TENCAS D 10/25 mg COM x 30 Casasco 516,33 361,66 258,81
GLIOTENZIDE 10/25 mg COM x 30 Bagó 557,40 407,98 315,90
GADOPRIL D 10/25 mg COM x 30 Gador 559,19 409,16 318,49
VAPRESAN DIUR COM x 30 Temis-Lostalo 563,60 410,75 309,58
CO-RENITEC 10/25 mg COM x 60 MSD Arrgentina SR 1.270,26 915,82 797,67
20 mg LOTRIAL D 20/12.5 COM x 30 Roemmers 505,73 297,50 177,67

TENCAS D 20/12.5 mg COM x 30 Casasco 540,21 331,97 212,15
GLIOTENZIDE 20/12.5 mg COM x 30 Bagó 675,54 494,46 392,73
CO-RENITEC 20/12.5 mg COM x 60 MSD Arrgentina SR 1.400,18 1.009,49 867,62
ENOXAPARINA
Ampollas 20 mg DILUTOL 20 mg 0.2 ML JPR x 2 Lazar 856,48 548,54 548,54
CLEXANE 20 mg JPR x 2 Sanofi Aventis 976,03 696,54 696,54
DILUTOL 20 mg 0.2 ML JPR x 10 Lazar 4.091,67 2.495,52 2.495,52

OMATEX 20 mg JPR x 10 Elea - Phoenix 4.428,12 2.901,39 2.901,39
CLEXANE 20 mg JPR x 10 Sanofi Aventis 4.879,35 3.481,75 3.481,75
40 mg DILUTOL 40 mg 0.4 ML JPR x 2 Lazar 1.568,52 988,18 988,18

DILUTOL 40 mg 0.4 ML JPR x 10 Lazar 7.638,89 4.664,24 4.664,24

EPINASTINA
Colirio 50 mg ALKET COL x 5 Poen 653,12 418,97 418,97
EPIOFTAL COL x 5 Atlas 642,07 431,71 431,71
RELESTAT COL x 5 Allergan-Loa 882,65 626,76 626,76
ERITROMICINA
Colirio 10 mg ERITROMICINA ATLAS COL x 5 Atlas 521,34 348,93 348,93
ERITROFARM COL x 5 Poen 571,92 388,91 388,91
OFTALMOLETS Prep. Extemp. COL x 5 Atlas 629,30 454,66 454,66
ERITROMICINA ELEA COL x 5 Elea - Phoenix 718,57 534,78 534,78
ERITROMED COL x 10 Bausch & Lomb Argentina 805,98 390,59 390,59
Comprimidos 500 mg PANTOMICINA 500 ES COM x 8 Bagó 121,52 29,80 29,80
PANTOMICINA 500 ES COM x 16 Bagó 590,24 430,60 430,60
Crema 4000 mg KITACNE CRE x 30 Fortbenton 400,10 290,36 290,36
Gel 4000 mg ERISOL 4% GEL x 30 Cassara 424,75 305,46 305,46
Líquido 200 mg PANTOMICINA 200 ES JBE x 100 Bagó 573,80 417,37 417,37 INF
400 mg PANTOMICINA 400 ES JBE x 60 Bagó 656,99 477,88 477,88
4000 mg ERISOL 4% DERMICO SOL x 50 Medisol 148,00 97,97 97,97
Página 42 de 116
A CARGO A CARGO
AFILIADO CRONICO
Líquido 4000 mg ILOTICINA 4% SOL x 120 Investi 451,63 330,46 330,46
6000 mg ATLAMICIN TOP.DERM. SOL x 45 Atlas 675,98 477,45 477,45
Ungüento 500 mg ERITROMICINA ELEA OFT. UNG x 3,5 Elea - Phoenix 724,32 539,06 539,06
ERITROMED OFT. UNG x 3,5 Bausch & Lomb Argentina 912,47 656,28 656,28
ERITROFARM OFT.UNIDOSIS UNG x 20 Poen 599,08 162,43 162,43
ESCITALOPRAM
Comprimidos 10 mg COVERFAX 10 mg COM x 14 Buxton 621,00 443,62 443,62
ESCIPROX 10 mg COM x 14 Hlb Pharma 798,47 573,46 573,46
LEXAPRO 10 mg COM x 14 Lundbeck 898,50 625,47 625,47
OPTISER 10 mg Ran. COM x 15 Baliarda 648,80 451,77 451,77

MERIDIAN 10 mg COM x 15 Roemmers 695,96 502,69 502,69
ESCIPROX 10 mg COM x 28 Hlb Pharma 1.158,53 832,05 832,05

COVERFAX 10 mg COM x 28 Buxton 1.242,00 887,24 887,24
NOVO HUMORAP 10 mg COM x 28 Bagó 1.258,11 892,44 892,44
LEXAPRO 10 mg COM x 28 Lundbeck 1.400,36 974,83 974,83
E-PSICONOR 10 mg COM x 30 Teva argentina ( 722,80 279,62 279,62

REMPEC 10 mg COM x 30 Montpellier 1.028,86 580,55 580,55
EX3 10 mg COM x 30 Ariston 1.048,52 598,25 598,25
ESCITEROKAM 10 mg COM x 30 Raymos 1.037,25 610,79 610,79
TALPRAM 10 mg COM x 30 Richmond 1.090,30 674,43 674,43
ROSTALOPRAM 10 mg COM x 30 Rospaw 1.100,00 704,86 704,86
AXIOMAT 10 mg COM x 30 Beta 1.250,67 822,77 822,77
OPTISER 10 mg Ran. COM x 30 Baliarda 1.281,23 888,98 888,98
MERIDIAN 10 mg COM x 30 Roemmers 1.278,86 899,98 899,98
BEAPLEN 10 mg COM x 30 Temis-Lostalo 1.342,14 950,66 950,66
LEXTOR 10 mg COM x 30 Casasco 1.372,84 988,39 988,39
ZENVAS 10 mg COM x 30 Astrazeneca 1.631,49 1.191,73 1.191,73
ARAMIX 10 mg COM x 30 Elea - Phoenix 1.635,12 1.242,43 1.242,43
15 mg LEXAPRO 15 mg COM x 28 Lundbeck 1.877,94 1.259,73 1.259,73
20 mg COVERFAX 20 mg COM x 14 Buxton 903,44 554,37 554,37
OPTISER 20 mg Ran. COM x 15 Baliarda 1.174,84 849,37 849,37

MERIDIAN 20 mg COM x 15 Roemmers 1.181,04 853,05 853,05
ESCIPROX 20 mg COM x 28 Hlb Pharma 2.001,03 1.437,13 1.437,13

COVERFAX 20 mg COM x 28 Buxton 2.145,44 1.532,67 1.532,67
NOVO HUMORAP 20 mg COM x 28 Bagó 2.256,14 1.660,40 1.660,40
LEXAPRO 20 mg COM x 28 Lundbeck 2.544,00 1.732,29 1.732,29
ESCITEROKAM 20 mg COM x 30 Raymos 1.782,88 1.060,33 1.060,33

EX3 20 mg COM x 30 Ariston 1.868,26 1.086,31 1.086,31
REMPEC 20 mg COM x 30 Montpellier 1.866,02 1.088,41 1.088,41
TALPRAM 20 mg COM x 30 Richmond 1.804,92 1.105,33 1.105,33
AXIOMAT 20 mg COM x 30 Beta 2.120,75 1.370,76 1.370,76
OPTISER 20 mg Ran. COM x 30 Baliarda 2.211,30 1.535,66 1.535,66
MERIDIAN 20 mg COM x 30 Roemmers 2.208,85 1.554,38 1.554,38
BEAPLEN 20 mg COM x 30 Temis-Lostalo 2.363,43 1.696,76 1.696,76
LEXTOR 20 mg COM x 30 Casasco 2.377,40 1.711,01 1.711,01
ZENVAS 20 mg COM x 30 Astrazeneca 3.070,28 2.242,71 2.242,71
ARAMIX 20 mg COM x 30 Elea - Phoenix 2.973,76 2.259,58 2.259,58
Página 43 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 20 mg
ESPIRAMICINA
Comprimidos 3000000 ROVAMYCINE 3 MUI COM x 20 Sanofi Aventis 3.161,58 2.249,32 2.249,32 MAT
ui
ESPIRONOLACTONA
Comprimidos 25 mg ALDACTONE A 25 mg COM x 20 Pfizer 581,00 413,45 353,62
REDIUN-E 25 mg COM x 30 Baliarda 652,67 398,19 265,55

DRIMUX A 25 mg COM x 30 Gador 700,54 457,19 310,33
LANX 25 mg COM x 30 Elea - Phoenix 762,86 532,25 376,10
ALDACTONE A 25 mg COM x 30 Pfizer 867,14 629,97 550,91
ALDACTONE A 25 mg COM x 60 Pfizer 1.384,86 877,27 614,60
50 mg REDIUN-E 50 mg COM x 30 Baliarda 709,51 338,78 285,82

100 mg REDIUN-E 100 mg COM x 30 Baliarda 762,19 440,13 328,65

LANX 100 mg COM x 30 Elea - Phoenix 1.012,86 724,81 531,42
ESPIRONOLACTONA +
FUROSEMIDA
Comprimidos 25 mg LASILACTON 25 mg CAP x 30 Sanofi Aventis 415,28 162,06 125,89
ALDACTONE D 25/20 COM x 30 Pfizer 1.041,05 741,23 542,89
ALDACTONE D 25/40 COM x 30 Pfizer 1.041,52 764,64 672,35
50 mg LASILACTON 50 mg CAP x 30 Sanofi Aventis 574,32 411,73 304,17
ESTRADIOL
Comprimidos 1 mg PROGYNOVA 1 mg COM x 28 Bayer (PH) 285,37 202,65 202,65
2 mg PROGYNOVA 2 mg COM x 28 Bayer (PH) 449,62 319,29 319,29
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 114,85 79,83 79,83
2 mg RONFASE 2 mg COM x 28 Pfizer 357,25 248,31 248,31
Gel 60 mg TRIAL GEL x 80 Beta 2.403,73 1.630,38 1.630,38

RONTAGEL GEL x 80 Ferring 2.697,59 1.994,61 1.994,61
ESTRADIOL 17 BETA +
MEDROXIPROGESTERONA
ACETATO
Comprimidos 2 mg FARLUDIOL CICLO COM x 28 Pfizer 363,15 252,42 252,42
FARLUDIOL COM x 30 Pfizer 513,59 356,99 356,99
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) 222,23 156,58 156,58
Página 44 de 116
A CARGO A CARGO
AFILIADO CRONICO
ESTRIOL
Comprimidos 1 mg ORGESTRIOL 1000 COM x 30 Techsphere - Aspen 286,40 195,76 195,76
Crema 100 mg ORGESTRIOL VAGINAL CRE x 15 Aspen 324,18 90,72 90,72

MENOCLIM CRE x 15 Beta 763,52 507,96 507,96
COLPOESTRIOL CRE x 15 Temis-Lostalo 881,79 660,04 660,04
Óvulos 0,5 mg ORGESTRIOL OVU x 10 Techsphere - Aspen 331,95 92,90 92,90

MENOCLIM OVU x 10 Beta 921,75 681,67 681,67
COLPOESTRIOL OVU x 15 Temis-Lostalo 1.454,43 1.060,45 1.060,45
ESTRÓGENOS CONJUGADOS
Comprimidos 0,3 mg PREMARIN CD 0.3 mg GRA x 28 Pfizer 631,37 463,82 463,82
0,625 mg PREMARIN CD 0.625 mg GRA x 28 Pfizer 1.461,04 1.073,33 1.073,33
Crema 0,625 mg PREMARIN C/APLICADOR VAGINAL CRE x 26 Pfizer 1.268,87 932,16 932,16
ETOSUXIMIDA
Comprimidos 250 mg ZARONTIN CAP x 25 Elea - Phoenix 973,10 718,52 718,52
Líquido 5000 mg ZARONTIN SOL x 120 Elea - Phoenix 973,10 718,52 718,52
EZETIMIBE
Comprimidos 10 mg ZETIA 10 mg COM x 28 MSD Arrgentina SR 1.606,77 1.158,43 1.158,43
CERCLEROL 10 mg COM x 30 Savant Consumer 320,93 94,83 94,83

ALIN 10 mg COM x 30 Lazar 601,85 398,41 398,41
ALIPAS 10 mg COM x 30 Bernabo 611,82 401,63 401,63
IXACOR 10 mg COM x 30 Roemmers 634,99 439,28 439,28
VADEL 10 mg COM x 30 Teva argentina ( 651,05 460,61 460,61
NALECOL 10 mg COM x 30 Casasco 673,89 477,61 477,61
CORACIL 10 mg COM x 30 Gador 676,99 480,61 480,61
TRILIP 10 mg COM x 30 Elea - Phoenix 833,51 640,30 640,30
EZETIMIBE + ATORVASTATIN
Comprimidos 10 mg ATEROCLAR DUO 10/10 mg (15+15) COM x 30 Beta 424,39 220,86 220,86
LIPOCAMBI PLUS 10/10 mg COM x 30 Bernabo 1.113,61 697,69 697,69
LIPOKEMIA PLUS 10/10 mg COM x 30 Fecofar 1.114,59 707,10 707,10
LIPONORM PLUS 10/10 mg COM x 30 Lazar 1.101,85 729,73 729,73
LIPIBEC PLUS 10/10 COM x 30 Teva argentina ( 1.144,39 790,43 790,43
TORIMIBE 10/10 mg COM x 30 Baliarda 1.217,02 834,34 834,34
LIPAREX PLUS 10/10 mg COM x 30 Finadiet 1.246,17 864,77 864,77
LIPOCAMBI PLUS 20/10 mg COM x 30 Bernabo 1.525,92 943,01 943,01
LIPOKEMIA PLUS 20/10 mg COM x 30 Fecofar 1.532,29 947,61 947,61
AMPLIAR PLUS 10/10 mg COM x 30 Casasco 1.340,26 987,41 987,41
LIPONORM PLUS 20/10 mg COM x 30 Lazar 1.527,78 996,87 996,87
COLMIBE 10/10 mg COM x 30 Raffo 1.379,44 1.028,89 1.028,89
ATEROCLAR COMBI 10/10 mg COM x 30 Beta 1.396,94 1.033,10 1.033,10
LIPIBEC PLUS 20/10 COM x 30 Teva argentina ( 1.603,60 1.101,78 1.101,78
ATEROCLAR COMBI 20/10 mg COM x 30 Beta 1.676,70 1.135,06 1.135,06
LIPAREX PLUS 20/10 mg COM x 30 Finadiet 1.739,56 1.197,09 1.197,09
TORIMIBE 10/20 mg COM x 30 Baliarda 1.761,10 1.227,79 1.227,79
ZARATOR PLUS 10/10 mg COM x 30 Elea - Phoenix 1.622,28 1.245,40 1.245,40
AMPLIAR PLUS 20/10 mg COM x 30 Casasco 1.873,53 1.380,28 1.380,28
COLMIBE 20/10 mg COM x 30 Raffo 1.936,26 1.444,21 1.444,21
ZARATOR PLUS 20/10 mg COM x 30 Elea - Phoenix 2.201,62 1.690,15 1.690,15
Página 45 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg COLMIBE 40/10 mg COM x 30 Raffo 2.401,56 1.740,41 1.740,41
LIPAREX DUO 20/10 mg (30+30) COM x 60 Finadiet 1.289,65 701,03 701,03

LIPAREX DUO 10/10 mg (30+30) COM x 60 Finadiet 1.127,47 714,96 714,96
ATEROCLAR DUO 10/10 mg (30+30) COM x 60 Beta 1.133,63 721,05 721,05
ATEROCLAR DUO 20/10 mg (30+30) COM x 60 Beta 1.482,09 886,80 886,80
PLAN DUO 10/10 mg (30 + 30) COM x 60 Craveri 1.409,84 1.029,31 1.029,31
AMPLIAR DUO 10/10 mg (30+30) COM x 60 Casasco 1.485,10 1.111,50 1.111,50
AMPLIAR DUO 20/10 mg (30+30) COM x 60 Casasco 2.055,84 1.538,65 1.538,65
PLAN DUO 10/20 mg (30 + 30) COM x 60 Craveri 2.245,48 1.639,40 1.639,40
FELBAMATO
Líquido 600 mg FELBAMYL 600 mg 5 ML SUS x 230 MSD Arrgentina SR 3.232,02 2.255,04 2.255,04
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 1.144,27 659,32 407,76
LOTOQUIS SIMPLE COM x 100 Beta 3.670,57 2.714,54 2.395,86
FENITOÍNA SÓDICA
Comprimidos 100 mg FENITENK 100 mg COM x 30 Biotenk 642,80 283,09 190,80
EPAMIN 100 mg CAP x 30 Elea - Phoenix 1.320,44 1.026,97 929,15
FENITENK 100 mg COM x 60 Biotenk 1.259,02 539,28 349,42

EPAMIN 100 mg CAP x 60 Elea - Phoenix 2.573,52 2.001,55 1.810,89
EPAMIN 100 mg CAP x 90 Elea - Phoenix 3.848,84 2.914,32 2.295,26
Líquido 2500 mg EPAMIN JBE x 120 Elea - Phoenix 517,47 392,87 310,45
FENOBARBITAL
Comprimidos 15 mg LUMINALETAS COM x 30 Bayer (PH) 294,50 207,73 150,33 INF
FENROS 15 mg COM x 30 Rospaw 310,00 223,32 223,32
100 mg FENROS 100 mg COM x 20 Rospaw 270,00 198,15 198,15

ALEPSAL COM x 20 Spedrog Caillon 331,20 257,85 222,08
FENROS 100 mg COM x 60 Rospaw 650,00 427,93 427,93

ALEPSAL COM x 60 Spedrog Caillon 717,60 472,73 329,35
LUMINAL COM x 60 Bayer (PH) 728,55 513,90 371,90
FENOBARBITAL + FENITOÍNA
CÁLCICA
Comprimidos 50 mg LOTOQUIS 5 COM x 100 Beta 3.723,75 2.673,04 2.673,04
100 mg LOTOQUIS COM x 100 Beta 3.799,53 2.727,44 2.727,44
FENOFIBRATE
Comprimidos 100 mg PROCETOKEN 100 mg COM x 60 Bernabo 563,52 408,94 306,67
FENOBRATE 100 mg COM x 100 Sanofi Aventis 190,15 57,04 38,03
160 mg CONTROLIP 160 mg CAP x 30 Abbott Epd 1.310,95 916,83 656,11
200 mg PROCETOKEN 200 mg CAP x 30 Bernabo 1.105,99 745,11 500,88

DAUNLIP CAP x 30 Montpellier 1.125,58 764,33 519,76
MINUSLIP 200 mg CAP x 30 Teva argentina ( 1.211,95 866,46 695,66
LIPTUIN 200 mg CAP x 30 Temis-Lostalo 1.218,78 874,50 645,14
SEGREN 200 mg CAP x 30 Casasco 1.217,78 879,64 655,87
Página 46 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 200 mg CRAVERIL COM x 30 Craveri 1.278,78 933,62 762,09
MINUSLIP 200 mg CAP x 60 Teva argentina ( 1.844,47 1.092,81 619,76

CRAVERIL COM x 60 Craveri 1.913,26 1.144,71 690,81
DAUNLIP CAP x 60 Montpellier 2.045,05 1.266,18 823,91
300 mg PROCETOKEN 300 mg (Lib.Prol.) COM x 30 Bernabo 1.475,45 1.063,02 790,18
350 mg SCLEROFIN UD COM x 30 Teva argentina ( 1.272,36 859,92 587,07
FENOFÍBRICO, ACIDO
Comprimidos 45 mg PROCETOKEN XR 45 mg CAP x 30 Bernabo 1.058,44 776,34 776,34
135 mg PROCETOKEN XR 135 mg CAP x 30 Bernabo 1.206,32 884,81 884,81
FENOTEROL BROMHIDRATO
Aerosol 0,1 mg BEROTEC HFA 10 ML AER x 200 Boehringer Ingelheim 684,77 485,93 485,93
Líquido 500 mg BEROTEC 0.5% SOL. NEB. SOL x 20 Boehringer Ingelheim 466,05 330,72 330,72
FENOXIMETILPENICILINA
Comprimidos 500000 ui PEN-ORAL 500.000 U COM x 18 Sanofi Aventis 240,78 172,61 172,61
1000000 PEN-ORAL 1.000.000 U COM x 18 Sanofi Aventis 421,35 302,07 302,07

ui
1500000 PEN-ORAL 1.500.000 U COM x 18 Sanofi Aventis 631,88 452,99 452,99
ui
Líquido 300000 ui GRAMPENIL 300000 UI/5ml JBE x 120 Nova Argentia 546,35 409,13 409,13
PEN-ORAL CONCENTRADO 60 g 24 ds JBE x 120 Sanofi Aventis 556,67 411,20 411,20 INF
PEN-ORAL CONCENTRADO 90 g 36 ds JBE x 180 Sanofi Aventis 679,94 456,04 456,04 INF
3000000 GRAMPENIL 300000 UI/5ml JBE x 180 Nova Argentia 666,96 491,35 491,35 INF
ui
FEXOFENADINA
Comprimidos 60 mg MUDANTIL F 60 mg COM x 10 Geminis Farmaceutica 171,67 87,61 87,61
ALERCAS 60 mg COM x 10 Casasco 244,21 172,00 172,00
MUDANTIL F 60 mg COM x 20 Geminis Farmaceutica 342,38 174,10 174,10

ALLEGRA 60 mg CAP x 20 Sanofi Aventis OTC 459,08 316,44 316,44
120 mg MUDANTIL F 120 mg COM x 10 Geminis Farmaceutica 313,82 165,44 165,44

TERFEMAX 120 mg COM x 10 Temis-Lostalo 389,25 255,64 255,64
ALERFEDINE 120 mg COM x 10 Lazar 406,48 278,20 278,20
VAGRAN 120 mg COM x 10 Finadiet 421,72 288,46 288,46
ALERTIAL 120 mg COM x 10 Baliarda 429,55 301,94 301,94
ALLEGRA 120 mg COM x 10 Sanofi Aventis OTC 449,88 325,38 325,38

TERFEMAX 120 mg COM x 30 Temis-Lostalo 1.080,95 655,41 655,41
ALERFEDINE 120 mg COM x 30 Lazar 1.125,00 712,01 712,01
VAGRAN 120 mg COM x 30 Finadiet 1.204,91 789,87 789,87
ALERTIAL 120 mg COM x 30 Baliarda 1.237,74 846,16 846,16
ALLEGRA 120 mg COM x 30 Sanofi Aventis OTC 1.277,88 906,18 906,18
ALERCAS 120 mg COM x 30 Casasco 1.284,70 908,17 908,17
180 mg MUDANTIL F 180 mg COM x 10 Geminis Farmaceutica 481,97 240,75 240,75

ALERFEDINE 180 mg COM x 10 Lazar 662,04 451,13 451,13
TERFEMAX 180 mg COM x 10 Temis-Lostalo 668,94 458,44 458,44
VAGRAN 180 mg COM x 10 Finadiet 707,88 494,22 494,22
ALERTIAL 180 mg COM x 10 Baliarda 709,89 501,39 501,39
Página 47 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 180 mg ALLEGRA 180 mg COM x 10 Sanofi Aventis OTC 744,28 543,94 543,94

ALERFEDINE 180 mg COM x 20 Lazar 1.069,44 581,54 581,54
Líquido 30 mg ALERCAS SUS x 90 Casasco 376,60 270,35 270,35
ALERFEDINE JBE x 150 Lazar 514,81 316,97 316,97

ALLEGRA SUS x 150 Sanofi Aventis OTC 597,08 419,19 419,19
FINASTERIDE
Comprimidos 5 mg NASTERIL 5 mg COM x 30 Asofarma 104,95 31,48 20,99
PROSTANIL 5 mg COM x 30 Austral 654,12 291,47 182,12
PROSMIN 5 mg COM x 30 Biotenk 931,04 560,42 368,36
UROTOTAL 5 mg COM x 30 Fortbenton 928,07 582,20 362,20
Q-PROST 5 mg COM x 30 Ariston 935,63 608,77 388,96
PROSTENE 5 mg COM x 30 Teva argentina ( 1.019,37 707,34 500,93
FINTERAC 5 mg COM x 30 Eurolab 1.095,00 771,63 554,95
FINASTERIN 5 mg COM x 30 Finadiet 1.217,48 915,14 719,19
PROSTANOVAG 5 mg COM x 30 Gobbi 1.377,81 1.009,59 886,85
DARIC 5 mg COM x 30 Pharmadorf 1.783,98 1.342,69 1.195,59
FLECAINIDA ACETATO
Comprimidos 100 mg DIONDEL COM x 50 Roemmers 1.157,72 813,93 586,50
FLENOMID XR 100 mg lib. prol. CAP x 30 Elea - Phoenix 1.302,03 942,64 942,64
200 mg FLENOMID XR 200 mg lib. prol. CAP x 30 Elea - Phoenix 2.604,34 1.885,49 1.885,49
FLUCONAZOL
Comprimidos 50 mg FUNGOCINA 50 mg COM x 10 Lazar 456,48 315,08 315,08
100 mg MUTUM 100 mg COM x 15 Raffo 3.491,59 2.614,50 2.614,50
FUNGOCINA 100 mg COM x 16 Lazar 2.440,74 1.494,06 1.494,06
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 179,22 109,88 109,88
HONGUIL PLUS ORAL CAP x 1 Raymos 228,23 167,13 167,13
NIMIC 150 mg COM x 1 Geminis Farmaceutica 243,05 174,93 174,93
FUNGOCINA 150 mg COM x 1 Lazar 266,67 193,73 193,73
FLUCOGINKAN 150 mg COM x 1 Baliarda 279,15 206,41 206,41
MUTUM 150 mg COM x 1 Raffo 292,32 217,12 217,12
FEMIXOL 150 mg COM x 1 Omega 529,36 403,85 403,85
DAMICOL 150 mg CAP x 2 Biol 373,47 244,14 244,14

TRIFLUCAN 150 mg CAP x 2 Pfizer 402,45 279,98 279,98
FLUCONAL 150 mg COM x 2 Craveri 438,00 307,80 307,80
MUTUM 150 mg COM x 2 Raffo 571,93 424,80 424,80
MICOLIS NOVO 150 mg CAP x 2 Roemmers 605,04 427,74 427,74
ANTIMICON 150 mg COM x 2 Casasco 576,55 427,77 427,77
Página 48 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 150 mg FLUPEC 150 mg COM x 2 Andromaco 609,96 448,56 448,56

FEMIXOL 150 mg COM x 2 Omega 992,19 756,94 756,94
FLUZOL 150 mg COM x 4 Raymos 507,60 226,22 226,22

FLUCODERM 150 mg COM x 4 Cassara 590,43 302,10 302,10
FLUCONAL 150 mg COM x 4 Craveri 715,01 458,26 458,26
TRIFLUCAN 150 mg COM x 4 Pfizer 779,58 528,85 528,85
MUTUM 150 mg COM x 4 Raffo 1.008,60 749,13 749,13
ANTIMICON 150 mg COM x 4 Casasco 1.006,84 752,10 752,10
MICOLIS NOVO 150 mg CAP x 4 Roemmers 1.124,97 795,32 795,32
FLUPEC 150 mg COM x 4 Andromaco 1.087,44 799,74 799,74
PERIPLUM 150 mg CAP x 8 Fortbenton 1.017,57 450,17 450,17

HONGUIL PLUS ORAL CAP x 8 Raymos 1.061,69 490,66 490,66
NIMIC 150 mg COM x 8 Geminis Farmaceutica 1.152,82 577,43 577,43
FUNGOCINA 150 mg COM x 8 Lazar 1.259,26 678,94 678,94
MUTUM 150 mg COM x 8 Raffo 1.771,76 1.315,97 1.315,97
ANTIMICON 150 mg COM x 8 Casasco 1.792,01 1.336,23 1.336,23
FLUPEC 150 mg COM x 8 Andromaco 1.864,84 1.371,64 1.371,64
200 mg MUTUM 200 mg COM x 10 Raffo 3.935,69 2.947,05 2.947,05
FUNGOCINA 200 mg COM x 12 Lazar 2.787,04 1.394,45 1.394,45
MUTUM 200 mg COM x 30 Raffo 10.040,26 6.882,71 6.882,71
FLUNITRAZEPAN
Comprimidos 1 mg ROHYPNOL 1 mg COM x 30 Investi 443,08 317,91 317,91
MIRPAW 1 mg COM x 30 Rospaw 440,00 318,65 318,65
FLUOROMETALONA
Colirio 100 mg FLAREX SUSP. COL x 5 Novartis 830,92 608,92 608,92
FML LIQUIFILM COL x 10 Allergan-Loa 540,19 222,23 222,23
FLUOXETINA
Comprimidos 10 mg XETNA 10 mg CAP x 30 Eurofarma 500,00 257,70 257,70
NERVOSAL 10 mg CAP x 30 Sidus 601,10 366,24 366,24
FOXETIN 10 mg COM x 30 Gador 656,15 452,05 452,05
NERVOSAL 10 mg CAP x 60 Sidus 1.016,70 537,34 537,34
20 mg PROZAC 20 mg CAP x 14 Eli Lilly 160,59 32,84 32,84
ALENTAL 20 mg COM x 20 Soubeiran Chobet 477,34 287,72 287,72

FOXETIN 20 mg COM x 20 Gador 579,70 416,56 416,56
PROZAC 20 mg CAP x 28 Eli Lilly 319,84 64,39 64,39

PROZAC DISPER. 20 mg COM x 28 Eli Lilly 1.970,76 1.474,86 1.474,86
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
NERVOSAL 20 mg CAP x 30 Sidus 630,81 347,86 347,86
ANIMEX-ON 20 mg COM x 30 Bernabo 737,03 460,82 460,82
Página 49 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 20 mg FOXETIN 20 mg COM x 30 Gador 866,42 623,24 623,24

EQUILIBRANE 20 mg COM x 30 Temis-Lostalo 878,21 636,48 636,48
NEUPAX 20 mg COM x 30 Bagó 911,89 676,56 676,56
PROZAC 20 mg CAP x 30 Eli Lilly 1.971,63 1.475,50 1.475,50
ALENTAL 20 mg COM x 40 Soubeiran Chobet 1.022,81 664,16 664,16

FOXETIN 20 mg COM x 40 Gador 1.157,90 834,21 834,21
NERVOSAL 20 mg CAP x 60 Sidus 1.120,62 560,24 560,24

EQUILIBRANE 20 mg COM x 60 Temis-Lostalo 1.587,07 1.065,37 1.065,37
FOXETIN 20 mg COM x 60 Gador 1.650,30 1.145,98 1.145,98
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 318,04 220,06 220,06
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 155,80 111,50 111,50
FLURBIXIM 100 mg COM x 16 Savant Consumer 123,71 32,98 32,98

CLINADOL FORTE 100 mg COM x 16 Gador 244,77 178,82 178,82
200 mg CLINADOL FORTE AP 200 mg COM x 8 Gador 259,68 177,32 177,32
FLUTICASONA
Aerosol 0,05 mg FLIXOTIDE 50 mcg INHAL. AER x 120 GlaxoSmithKline 1.309,96 927,79 927,79
0,125 mg LIRTODAC 125 mcg AER x 60 Pharmadorf 109,11 21,82 21,82

FLIXOTIDE 125 mcg INHAL. AER x 60 GlaxoSmithKline 1.063,91 777,40 777,40
FLUTICORT 125 mcg HFA AER x 120 Cassara 1.069,90 656,39 656,39
LIRTODAC 125 mcg AER x 120 Pharmadorf 1.686,22 1.292,77 1.292,77
FLIXOTIDE 125 mcg INHAL. AER x 120 GlaxoSmithKline 1.855,14 1.355,56 1.355,56
0,25 mg LIRTODAC 250 mcg AER x 60 Pharmadorf 136,36 27,27 27,27

FLIXOTIDE 250 mcg INHAL. AER x 60 GlaxoSmithKline 1.091,19 797,33 797,33
FLUTICORT 250 mcg HFA AER x 120 Cassara 1.405,35 960,84 960,84
LIRTODAC 250 mcg AER x 120 Pharmadorf 1.823,88 1.384,91 1.384,91
FLIXOTIDE 250 mcg INHAL. AER x 120 GlaxoSmithKline 1.909,65 1.395,39 1.395,39
Inhahaldor con 0,25 mg FLIXOTIDE 250 mcg DISKUS INH x 60 GlaxoSmithKline 1.224,22 867,06 867,06
sistemas
Spray 0,05 mg LIDIL CORT NASAL SPR x 60 Roemmers 238,07 166,33 166,33
PROAIR NASAL ACUOSO SPR x 60 Montpellier 237,65 171,38 171,38
INHALAN NASAL SPR x 60 Casasco 256,10 185,57 185,57
BALIVENT NASAL SPR x 60 Baliarda 295,62 221,42 221,42
FLUTICORT 50 mcg NASAL SPR x 60 Cassara 372,17 277,07 277,07
BRONQUILAIR NASAL SPR x 120 Atlas 275,57 55,11 55,11

PROAIR NASAL ACUOSO SPR x 120 Montpellier 408,18 261,86 261,86
LIDIL CORT NASAL SPR x 120 Roemmers 405,25 265,48 265,48
INHALAN NASAL SPR x 120 Casasco 441,08 300,76 300,76
RINISONA NASAL 50 mcg SPR x 120 Elea - Phoenix 475,88 308,57 308,57
BALIVENT NASAL SPR x 120 Baliarda 555,75 414,96 414,96
FLIXONASE ACUOSO NASAL SPR x 120 GlaxoSmithKline 1.043,84 762,74 762,74
FLUTI-K 50 mcg NASAL SPR x 120 Raffo 1.080,58 821,69 821,69
FLUTICASONA FUROATO
Spray 0,0275 ALENYS NASAL SPR x 120 GlaxoSmithKline 999,61 699,41 699,41
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 964,74 685,52 685,52
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 317,39 214,40 214,40 MAT
NEXOVITAL FOLICO 1 mg COM x 30 Eurofarma 348,54 255,42 255,42 MAT
BERNAFOLIC 1 mg COM x 30 Bernabo 346,53 262,39 262,39 MAT
FOLINEMIC 1 mg COM x 30 Pharmadorf 352,32 266,47 266,47
COFLIC 1 mg COM x 30 Baliarda 360,82 275,66 275,66 MAT
ACIFOL 1 mg COM x 30 Dominguez 409,14 316,02 316,02 MAT
ACIDO FOLICO OMEGA 1 mg COM x 30 Omega 459,29 350,39 350,39
EGESTAN FOLICO 1 mg COM x 30 Elea - Phoenix 463,18 368,53 368,53 MAT

BERNAFOLIC 1 mg COM x 60 Bernabo 545,93 344,99 344,99
NEXOVITAL FOLICO 1 mg COM x 60 Eurofarma 591,46 433,21 433,21
5 mg ANFOLIC 5 mg COM x 10 Trb-Pharma 167,00 122,30 122,30
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 89,75 25,54 25,54 MAT
ANFOLIC 5 mg COM x 30 Trb-Pharma 317,00 185,32 185,32 MAT
COFLIC 5 mg COM x 30 Baliarda 484,23 373,63 373,63 MAT
ACIDO FOLICO OMEGA 5 mg COM x 30 Omega 530,70 404,87 404,87
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 486,27 226,05 226,05
10 mg TANVIMIL FOLICO 10 mg COM x 30 Raymos 489,24 286,48 286,48 MAT

COFLIC 10 mg COM x 30 Baliarda 605,48 399,99 399,99

ACIFOL 10 mg COM x 60 Dominguez 1.383,42 1.057,48 1.057,48 MAT
Gotas 5 mg ACIFOL GTS x 10 Dominguez 547,41 407,69 407,69
Líquido 5 mg TANVIMIL FOLICO Gotero SOL x 10 Raymos 241,08 162,23 162,23
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 412,16 278,54 278,54
mg
ENEMOL ENE x 135 Gador 424,26 294,09 294,09
Frasco 48000 FOSFACOL 2 F 45 ml FCO x 2 Sanitas 898,11 623,42 623,42

mg
Líquido 48000 GADOLAX ORAL SOL x 45 Gador 520,79 337,66 337,66
mg
FOSFO DOM SOL x 45 Dominguez 629,59 468,19 468,19
COLONIL ORAL SOL x 45 Eurofarma 638,11 473,58 473,58
NOVONIL SOL x 45 Rossmore Pharma 1.713,34 1.368,83 1.368,83
FUROSEMIDA
Ampollas 20 mg LASIX 20 MG/2 ML AMP x 10 Sanofi Aventis 530,52 380,33 280,98
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 151,80 55,20 41,40

FUROSEMIDA FECOFAR COM x 30 Fecofar 434,49 247,47 149,97
LASIX 40 mg COM x 30 Sanofi Aventis 578,09 427,02 376,67
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. 544,58 260,21 260,21
FUROSEMIDA FECOFAR COM x 50 Fecofar 675,41 365,55 222,28
ERROLON COM x 50 Nova Argentia 927,45 688,50 608,85
LASIX 40 mg COM x 50 Sanofi Aventis 963,47 711,69 627,77
LASIX 40 mg COM x 60 Sanofi Aventis 1.156,18 846,58 643,65
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 309,46 168,79 168,79
ARZIMOL 2% CRE x 15 Lazar 365,74 237,65 237,65
GELBIOTIC CRE x 15 Raymos 432,86 299,39 299,39
FUSITOP CRE x 15 Hlb Pharma 478,17 343,42 343,42
ACIFUSIN CRE x 15 Andromaco 559,36 413,26 413,26
GABAPENTIN
Comprimidos 100 mg ARAPENTIN 100 mg CAP x 30 Ariston 590,69 372,40 372,40
ELIFER 100 mg COM x 30 Casasco 708,20 509,35 509,35
ULTRANEURAL 100 mg COM x 30 Raffo 746,07 547,82 547,82
NEURONTIN 100 mg CAP x 90 Pfizer 1.936,95 1.332,86 1.332,86
NEURONTIN 100 mg CAP x 100 Pfizer 1.687,76 900,48 900,48
300 mg ARAPENTIN 300 mg CAP x 30 Ariston 1.065,03 697,20 697,20

LOGISTIC 300 mg COM x 30 Craveri 1.207,77 871,26 871,26
NEURONTIN 300 mg CAP x 30 Pfizer 1.344,46 966,03 966,03
Página 52 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 300 mg ELIFER 300 mg COM x 30 Casasco 1.331,30 996,01 996,01

ULTRANEURAL 300 mg COM x 30 Raffo 1.352,68 1.016,01 1.016,01
ARAPENTIN 300 mg CAP x 60 Ariston 404,72 80,94 80,94

NEURONTIN 300 mg CAP x 60 Pfizer 2.152,16 1.432,15 1.432,15
LOGISTIC 300 mg COM x 60 Craveri 2.198,58 1.477,94 1.477,94
ELIFER 300 mg COM x 60 Casasco 2.315,31 1.588,52 1.588,52
400 mg NEURONTIN 400 mg CAP x 60 Pfizer 2.768,14 1.924,05 1.924,05
600 mg ARAPENTIN 600 mg COM x 30 Ariston 1.369,98 876,13 876,13

LOGISTIC 600 mg COM x 30 Craveri 1.506,06 1.060,50 1.060,50
NEURONTIN 600 mg COM x 30 Pfizer 1.660,04 1.192,78 1.192,78
ELIFER 600 mg COM x 30 Casasco 1.671,09 1.230,40 1.230,40
GAMMAGLOBULINA
INESPECÍFICA
Ampollas 330 mg GAMMAGLOBULINA T 16.5% 2 ml F.A x 1 Hemoderivados 628,02 474,13 474,13 INF
825 mg GAMMAGLOBULINA T 16.5% 5 ml F.A x 1 Hemoderivados 1.563,66 1.180,50 1.180,50
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 1.042,44 751,82 654,95
HIPOLIXAN 600 COM x 30 Bagó 1.227,93 918,93 815,93
GEMFIBROZIL R.O. 600 mg COM x 60 Roux Ocefa 665,73 199,72 199,72

HIPOLIXAN 600 COM x 60 Bagó 1.106,51 407,80 221,30
LOPID 600 mg COM x 60 Pfizer 1.819,47 1.312,21 1.113,24
900 mg GEMFIBROZIL R.O. 900 mg COM x 30 Roux Ocefa 496,59 148,98 148,98
HIPOLIXAN 900 COM x 30 Bagó 1.407,37 1.082,47 974,17
LOPID UD 900 mg COM x 15 Pfizer 466,17 241,69 124,55
LOPID UD 900 mg COM x 30 Pfizer 1.260,47 879,77 627,93
GENTAMICINA
Ampollas 80 mg GENTAMICINA RICHET 80 mg AMP x 2 Richet 480,94 358,89 358,89
400 mg GLEVOMICINA 400 MULTIDOSIS AMP x 1 Bagó 587,34 430,24 430,24
Colirio 300 mg PROVISUAL COL x 10 Poen 205,31 143,64 143,64 INF
Crema 100 mg GENTADERM 0.1% CRE x 15 Medisol 118,00 91,50 91,50
GLIBENCLAMIDA
Comprimidos 5 mg DIABE PASS 5 mg COM x 30 Francelab 173,45 84,21 84,21
DAONIL COM x 30 Sanofi Aventis 205,14 108,01 64,84
GARDOTON 5 mg COM x 30 Raffo 225,61 128,26 81,47
BENCLAMID 5 mg COM x 30 Craveri 294,55 215,05 188,55
GLIDANIL 5 mg COM x 30 Montpellier 311,35 227,47 171,72
EUGLUCON 5 mg COM x 30 Investi 338,50 254,24 226,15
DIABE PASS 5 mg COM x 60 Francelab 311,87 133,40 133,40

DAONIL COM x 60 Sanofi Aventis 333,43 142,13 105,38
GARDOTON 5 mg COM x 60 Raffo 447,45 252,89 161,58
BENCLAMID 5 mg COM x 60 Craveri 545,92 375,58 261,76
GLIDANIL 5 mg COM x 60 Montpellier 616,18 467,32 417,70
Página 53 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 5 mg EUGLUCON 5 mg COM x 60 Investi 670,09 503,29 447,69
GLICLAZIDA
Comprimidos 30 mg TRADON MR 30 mg COM x 30 Craveri 557,26 396,88 396,88
TRADON MR 30 mg COM x 60 Craveri 1.092,00 766,47 766,47
60 mg AGLUCIDE MR 60 mg COM x 30 Beta 861,96 542,64 542,64

DIAMICRON MR 60 mg COM x 30 Servier 981,36 718,86 718,86
TRADON MR 60 mg COM x 30 Craveri 1.021,33 745,66 745,66
AGLUCIDE MR 60 mg COM x 60 Beta 1.650,08 1.013,89 1.013,89

DIAMICRON MR 60 mg COM x 60 Servier 1.919,32 1.385,92 1.385,92
TRADON MR 60 mg COM x 60 Craveri 1.992,62 1.454,79 1.454,79
80 mg UNAVA COM x 20 Investi 314,36 230,02 230,02
UNAVA COM x 60 Investi 788,47 559,30 559,30
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 361,76 232,72 232,72
ENDIAL 2 mg COM x 30 Roemmers 360,74 235,06 235,06
ADIUVAN 2 mg COM x 30 Lazar 375,00 246,89 246,89
GLIMEPLIC 2 mg COM x 30 Baliarda 421,39 294,88 294,88
HIPOGLUT 2 mg COM x 30 Gador 436,98 316,29 316,29
NEXT STEP 2 mg COM x 30 Francelab 447,71 321,59 321,59
ISLOPIR 2 mg COM x 30 Craveri 548,21 398,81 398,81
AMARYL 2 mg COM x 30 Sanofi Aventis 701,17 517,94 517,94
DIABUTIL 2 mg COM x 30 Elea - Phoenix 689,00 526,29 526,29

AMARYL 2 mg COM x 60 Sanofi Aventis 1.236,84 913,63 913,63
4 mg GLEMAZ 4 mg TRIRRAN. COM x 15 Montpellier 339,79 229,25 229,25

LOMET 4 mg COM x 15 Microsules Argentina 602,78 456,08 456,08
AMARYL 4 mg COM x 15 Sanofi Aventis 653,05 482,39 482,39
GLIPERID 4 mg COM x 30 Savant Consumer 401,94 147,31 147,31

GLUCOPIRIDA 4 mg COM x 30 Biotenk 607,20 352,42 352,42
GLEMAZ 4 mg TRIRRAN. COM x 30 Montpellier 660,60 434,88 434,88
ADIUVAN 4 mg COM x 30 Lazar 667,59 439,01 439,01
GLIMEPLIC 4 mg COM x 30 Baliarda 783,23 564,70 564,70
HIPOGLUT 4 mg COM x 30 Gador 804,28 588,50 588,50
NEXT STEP 4 mg COM x 30 Francelab 872,64 626,81 626,81
ISLOPIR 4 mg COM x 30 Craveri 1.044,33 759,72 759,72
LOMET 4 mg COM x 30 Microsules Argentina 1.100,32 891,82 891,82
DIABUTIL 4 mg COM x 30 Elea - Phoenix 1.172,14 895,33 895,33
AMARYL 4 mg COM x 30 Sanofi Aventis 1.236,84 913,63 913,63
GLEMAZ 4 mg TRIRRAN. COM x 60 Montpellier 1.316,17 863,44 863,44
GLIMEPIRIDE + METFORMINA
Comprimidos 2 mg ENDIAL MET 2/ 1000 mg COM x 30 Roemmers 425,83 281,16 281,16
GLEMAZ MET 2/ 1000 mg COM x 30 Montpellier 427,82 281,62 281,62
ADIUVAN MET 2/ 1000 mg COM x 30 Lazar 434,26 288,69 288,69
MECTIN PLUS 2/ 1000 mg COM x 30 Teva argentina ( 449,70 309,17 309,17
HIPOGLUT MET 2/ 500 mg COM x 30 Gador 545,46 385,42 385,42
Página 54 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 2 mg HIPOGLUT MET 2/ 1000 mg COM x 30 Gador 562,74 410,32 410,32

AMARYL M 2/ 1000 mg COM x 30 Sanofi Aventis 667,80 493,29 493,29
4 mg MECTIN PLUS 4/ 1000 mg COM x 30 Teva argentina ( 536,25 240,45 240,45

ADIUVAN MET 4/ 1000 mg COM x 30 Lazar 751,85 492,32 492,32
ENDIAL MET 4/ 1000 mg COM x 30 Roemmers 751,26 495,58 495,58
HIPOGLUT MET 4/ 1000 mg COM x 30 Gador 974,62 710,64 710,64
AMARYL M 4/ 1000 mg COM x 30 Sanofi Aventis 1.236,84 913,63 913,63
GLEMAZ MET 4/ 1000 mg COM x 60 Montpellier 1.439,41 903,94 903,94
GLIPIZIDA
Comprimidos 5 mg MINODIAB 5 mg COM x 30 Pfizer 160,64 120,58 94,37
MINODIAB 5 mg COM x 90 Pfizer 459,40 335,02 252,54
GLUCAGON
Ampollas 1 mg GLUCAGEN HYPOKIT 1 mg VIAL F.A x 1 Novo Nordisk 2.678,15 903,33 903,33
GLUCAGON ORIGEN ADNR 1 mg JPR x 1 Eli Lilly 10.781,95 8.068,91 8.068,91
GONADOTROFINA CORIÓNICA
/ HCG
Ampollas 5000 ui DINARON 5000 UI + SOLV. F.A x 1 Buxton 3.625,72 2.896,74 2.896,74
GONACOR 5000 IM LIOFILIZADO F.A x 1 Ferring 3.804,17 3.169,16 3.169,16
5000 ui PREGNYL 1 ml F.A x 1 MSD Arrgentina SR 1.970,09 1.380,19 1.380,19
GRISEOFULVINA
Comprimidos 500 mg GRISOVIN FP 500 mg COM x 24 Investi 919,76 652,43 652,43
HALOPERIDOL
Ampollas 5 mg HALOPIDOL 5 mg 1 ml AMP x 5 Janssen-Cilag 1.174,53 799,48 551,38
Comprimidos 1 mg NEUPRAM 1 mg COM x 30 Sidus 300,98 222,50 196,34
NEUPRAM 1 mg COM x 60 Sidus 447,64 330,92 292,01
HALOPIDOL 1 mg COM x 100 Janssen-Cilag 523,60 356,41 245,80
5 mg NEUPRAM 5 mg COM x 30 Sidus 501,67 305,65 193,78
NEUPRAM 5 mg COM x 60 Sidus 964,81 560,20 350,55

HALOPIDOL 5 mg COM x 60 Janssen-Cilag 1.066,89 726,22 500,85
10 mg NEUPRAM 10 mg COM x 30 Sidus 694,60 316,56 211,61
NEUPRAM 10 mg COM x 60 Sidus 1.235,03 484,98 376,25

ENABRAN 10 mg COM x 60 Casasco 1.481,34 718,15 388,97
HALOPIDOL 10 mg COM x 60 Janssen-Cilag 2.072,85 1.461,88 1.258,22
Líquido 2 mg HALOPIDOL 2 mg/ml SOL x 15 Janssen-Cilag 167,38 75,20 35,80
ENABRAN 2 mg/ml SOL x 30 Casasco 455,70 293,64 185,30

HALOPIDOL 2 mg/ml SOL x 30 Janssen-Cilag 494,28 348,59 348,59
HALOPIDOL 2 mg/ml SOL x 100 Janssen-Cilag 244,03 58,35 31,83
10 mg HALOPIDOL FORTE 10 mg/ml SOL x 30 Janssen-Cilag 1.133,92 771,84 532,31
HALOPERIDOL DECANOATO
Ampollas 50 mg HALOPIDOL DECANOATO 1 ML AMP x 1 Janssen-Cilag 689,92 469,62 323,88
Página 55 de 116
A CARGO A CARGO
AFILIADO CRONICO
Ampollas 150 mg HALOPIDOL DECANOATO 3 ML AMP x 1 Janssen-Cilag 1.279,94 871,23 600,86
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 2.630,17 1.835,12 1.835,12
50 ui VAQTA 50 AD. 1.0 ML JPR x 1 MSD Arrgentina SR 3.122,01 2.178,28 2.178,28
80 ui AVAXIM 80 U PEDIAT 0.5 ML JPR x 1 Sanofi Pasteur 2.226,82 1.596,24 1.596,24
160 ui AVAXIM 0.5 ML JPR x 1 Sanofi Pasteur 2.719,96 1.949,74 1.949,74
720 ui HAVRIX MONODOSIS 720 EL.U. JPR x 1 GlaxoSmithKline 2.170,42 1.537,22 1.537,22
1440 ui HAVRIX ADULTOS 1440 EL.U JPR x 1 GlaxoSmithKline 2.416,77 1.711,71 1.711,71
HEPATITIS B ANTIGENO
SUPERF. DEL VIRUS
Ampollas 0,01 mg AG B 10 mcg 0.5 ML SUSP. F.A x 1 Cassara 306,44 100,29 100,29
ENGERIX-B PEDIATRICO 0.5 ML JPR x 1 GlaxoSmithKline 504,77 293,74 293,74
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 1.128,65 833,63 833,63
0,02 mg AG B 20 1 ML SUSP. F.A x 1 Cassara 439,02 157,61 157,61

BIOVAC HB 20 mcg F.A x 1 Elea - Phoenix 694,80 433,25 433,25
ENGERIX-B 1 ML JPR x 1 GlaxoSmithKline 842,12 596,44 596,44
HEPATIVAX 1 ML F.A x 1 Sanofi Pasteur 1.393,23 1.029,05 1.029,05
0,04 mg HB VAX PRO IM 40 mcg 1 ML F.A x 1 MSD Arrgentina SR 1.628,65 1.136,34 1.136,34
HIALURONICO, ÁCIDO
Ampollas 20 mg HYALART 2 ML JPR x 1 Bagó 3.359,07 2.394,57 2.394,57
CRUZAL 20 2 ml + aguja JPR x 1 Finadiet 3.444,26 2.439,92 2.439,92
40 mg CRUZAL 40 2 ml + aguja JPR x 1 Finadiet 5.100,28 3.701,51 3.701,51
60 mg CIENTIFIC SYNOVIAL 60 2 ml+aguja JPR x 1 Sidus 16.020,51 11.843,05 11.843,05
40 mg CIENTIFIC SYNOVIAL 40 2 ml+aguja JPR x 1 Sidus 12.233,85 8.777,95 8.777,95
Colirio 3 mg BIOSOL Estéril COL x 10 Novoplos 564,77 302,77 302,77

HYALOMB COL x 10 Bausch & Lomb Argentina 853,14 613,61 613,61
300 mg BIOSOL LC Estéril COL x 7,5 Novoplos 697,19 486,60 486,60
HIDROCLOROTIAZIDA
Comprimidos 12,5 mg DIUREX 12.5 mg COM x 30 Bagó 442,97 322,21 242,32
25 mg DIURITEN 25 mg COM x 30 Roux Ocefa 244,32 81,94 81,94

DIUREX 25 mg COM x 30 Bagó 553,08 413,90 367,51
50 mg DIURAL 50 mg COM x 15 Lepetit 111,32 39,92 29,72
DIURAL 50 mg COM x 30 Lepetit 222,64 79,84 59,44

TANDIUR COM x 30 Raymos 215,54 85,38 66,79
DIURITEN 50 mg COM x 30 Roux Ocefa 301,16 195,75 195,75
DIUREX 50 mg COM x 60 Bagó 1.095,70 810,51 659,20
HIDROCLOROTIAZIDA +
AMILORIDA
Comprimidos 12,5 mg DIUREX A 12.5/1.25 mg COM x 30 Bagó 319,43 232,76 175,42
Página 56 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 25 mg DIUREX A 25/2.5 mg COM x 30 Bagó 321,50 237,44 181,83
50 mg DIUREX A 50/5 mg COM x 30 Bagó 358,10 268,41 227,25

MODURETIC COM x 30 MSD Arrgentina SR 373,09 268,99 234,29
HIDRENOX A COM x 50 Teva argentina ( 340,88 171,12 84,22

MODURETIC COM x 50 MSD Arrgentina SR 365,50 194,88 106,12
HIDROCORTISONA
Comprimidos 10 mg HIDROTISONA 10 mg COM x 30 Sanofi Aventis OTC 367,08 246,18 246,18
Crema 500 mg MICROSONA 0.5% CRE x 15 Nova Argentia 316,68 240,47 240,47
1000 mg LACTID HC 1% CRE x 15 Medisol 118,00 62,80 62,80

MICROSONA 1% CRE x 15 Nova Argentia 332,54 258,67 258,67
DEMACORT 1% CRE x 15 Andromaco 360,64 267,04 267,04
TRANSDERMA H CRE x 20 Szama 433,97 303,78 303,78
ALFACORT 1% CRE x 30 Cassara 360,47 206,94 206,94

MEDROCIL 1% BOMBA DISP. CRE x 30 Fortbenton 439,60 283,58 283,58
2000 mg MICROSONA 2% CRE x 15 Nova Argentia 405,45 312,47 312,47
MEDROCIL 2% BOMBA DISP. CRE x 30 Fortbenton 464,84 242,08 242,08
Emulsión 1000 mg ALFACORT 1% EMU x 100 Cassara 882,62 684,39 684,39
HIDROCORTISONA +
LIDOCAINA
Pomada 5000 mg PROCTYL HC PDA x 10 Takeda 332,94 245,12 245,12
XILOCLER RECTAL PDA x 15 Monserrat 299,00 191,57 191,57
PROCTYL HC PDA x 30 Takeda 681,66 467,68 467,68
HIDROCORTISONA +
VITAMINA A + ACEITE DE
HÍGADO DE PECES +
VITAMINA D + BÓRICO, ÁCIDO
Pomada 1000 mg HIPOGLOS CON HIDROCORTISONA PDA x 15 Andromaco 269,56 191,88 191,88
HIDROCORTISONA ACETATO
Crema 1000 mg ANUSOL HC CRE x 10 Elea - Phoenix 203,43 124,96 124,96
Envase 500 mg ALFACORT UNIDOSIS OFT. UNG. ENV x 20 Cassara 514,63 392,31 392,31
+ PRAMOXINA
Crema 1000 mg ANUSOL DUO CRE x 10 Elea - Phoenix 385,60 276,80 276,80
+ PRAMOXINA + ZINC ÓXIDO
Supositorios 5 mg ANUSOL DUO S SUP x 12 Elea - Phoenix 374,57 268,88 268,88
+ ZINC ÓXIDO + BISMUTO
SUBGALATO
Supositorios 3 mg ANUSOL HC SUP x 12 Elea - Phoenix 214,05 142,04 142,04
HIDROCORTISONA
HEMISUCCINATO
Comprimidos 2,5 mg ORALSONE COM x 12 Gramón-Millet 298,22 218,78 218,78
HIDROXICINA
Comprimidos 10 mg ATARAXONE 10 mg COM x 20 Lazar 347,22 237,46 237,46
Página 57 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 25 mg ATARAXONE 25 mg COM x 20 Lazar 484,26 332,30 332,30
50 mg ATARAXONE 50 mg COM x 20 Lazar 921,30 630,58 630,58
Gotas 1000 mg ATARAXONE GTS x 20 Lazar 347,22 242,98 242,98
Líquido 200 mg ATARAXONE JBE x 120 Lazar 546,30 382,95 382,95
HIDROXICLOROQUINA
Comprimidos 200 mg NARBON 200 mg COM x 30 Buxton 708,40 528,40 528,40
AXOKINE 200 mg COM x 30 Rontag 747,80 546,00 546,00
METIREL 200 mg COM x 30 Rontag 918,41 648,17 648,17
EVOQUIN COM x 60 Teva argentina ( 1.000,25 642,32 642,32

POLIRREUMIN 200 mg COM x 60 Trb-Pharma 1.152,00 808,13 808,13
NARBON 200 mg COM x 60 Buxton 1.263,16 912,05 912,05
AXOKINE 200 mg COM x 60 Rontag 1.301,52 950,29 950,29
METIREL 200 mg COM x 60 Rontag 1.701,80 1.201,06 1.201,06
PLAQUENIL 200 mg COM x 60 Sanofi Aventis 2.391,62 1.766,63 1.766,63
HIDROXIPROGESTERONA
Ampollas 500 mg PROLUTON DEPOT 500 IM 2 ML AMP x 1 Bayer (PH) 500,55 355,46 355,46
HIDROXIPROPILMETILCELULO
SA
Colirio 3 mg LAGRIMA DORF 3 mg/ml COL x 10 Pharmadorf 483,88 359,08 359,08
NATURA LAGRIMAS 3 mg/ml COL x 15 Spedrog Caillon 368,01 257,71 257,71

LATLAS TEARS 3 mg/ml COL x 15 Atlas 362,48 261,89 261,89
LAGRIMA DORF 3 mg/ml COL x 15 Pharmadorf 424,21 330,43 330,43
COOL TEARS 3 mg/ml COL x 20 Max Vision 381,80 236,32 236,32
3,2 mg ARTELAC 3.2 mg/ml COL x 10 Bausch & Lomb Argentina 791,19 550,54 550,54
HIDROXIPROPILMETILCELULO
SA + DEXTRAN
Colirio 3 mg BIO EYES LAGRIMAS COL x 10 Novoplos 349,91 250,44 250,44
PH LAGRIMAS COL x 15 Elea - Phoenix 518,19 378,98 378,98
HIERRO + FOLICO, ÁCIDO

Comprimidos 40 mg YECTAFER TABS 40/0.5 mg COM x 20 Rontag 391,00 286,00 286,00 MAT
HIERROQUICK 40 COM x 20 Raymos 443,03 332,48 332,48 MAT
YECTAFER TABS 40/0.5 mg COM x 40 Rontag 619,16 410,63 410,63

80 mg YECTAFER TABS 80/1 mg COM x 20 Rontag 673,44 493,74 493,74

YECTAFER TABS 80/1 mg COM x 40 Rontag 1.120,56 760,52 760,52 MAT

HIERROQUICK 80 COM x 40 Raymos 1.181,95 834,99 834,99 MAT
HIERRO DEXTRANO
Ampollas 625 mg YECTAFER AMP x 5 Rontag 974,11 690,75 690,75 MAT
YECTAFER AMP x 10 Rontag 1.904,93 1.330,77 1.330,77 MAT
HIERRO FUMARATO + FOLICO,

ÁCIDO
Comprimidos 60 mg FERRETAB COMPUESTO CAP x 30 Biol 768,20 551,02 551,02 MAT
FERRETAB COMPUESTO CAP x 60 Biol 1.305,48 828,66 828,66 MAT
Página 58 de 116
A CARGO A CARGO
AFILIADO CRONICO
HIERRO POLIMALTOSATO
Ampollas 100 mg FERRANIN IM 2 ML AMP x 5 Takeda 920,36 698,38 698,38 MAT
SIDERBLUT IM 2 ml AMP x 5 Investi 1.313,97 961,44 961,44
FERRANIN IM 2 ML AMP x 10 Takeda 1.660,58 1.182,02 1.182,02 MAT
Comprimidos 100 mg FERRANIN COM x 15 Takeda 38,63 7,73 7,73 MAT
VITALIX 100 mg COM x 30 Roemmers 371,16 244,77 244,77 MAT

SIDERBLUT POLI COM x 30 Investi 396,52 274,47 274,47 MAT
FERRANIN COM x 30 Takeda 515,75 380,62 380,62 MAT
SIDERBLUT POLI COM x 60 Investi 713,73 449,25 449,25 MAT
Gotas 5 mg SIDERBLUT ORAL GTS x 20 Investi 293,58 208,25 208,25 MAT
5000 mg FERRANIN GTS x 15 Takeda 264,19 189,20 189,20 MAT
Líquido 50 mg VITALIX Gotero SOL x 20 Roemmers 280,97 190,94 190,94 MAT
HIERRO POLIMALTOSATO +
FOLICO, ÁCIDO
Comprimidos 100 mg SIDERBLUT FOLIC COM x 30 Investi 574,37 407,42 407,42 MAT
369 mg HIERRO DUPOFOL COM x 30 Ferring 272,48 200,16 200,16 MAT
HIERRO SULFATO
Comprimidos 200 mg SIDERBLUT (LP) COM x 30 Investi 491,60 359,70 359,70
SIDERBLUT (LP) COM x 60 Investi 902,08 627,03 627,03
246,15 TARDYFERON GRA x 30 Sidus 855,28 613,67 613,67 MAT

mg
Gotas 12500 FACTOFER GTS x 20 Raymos 207,08 90,23 90,23 INF
mg
FER-IN-SOL GTS x 20 Investi 347,87 243,83 243,83 INF
FERDROMACO PEDIATRICO ORAL GTS x 20 Eurofarma 401,34 294,16 294,16 INF
Líquido 1800 mg FER-IN-SOL JBE x 120 Investi 95,95 68,06 68,06 MAT
HORMONA FOLÍCULO
ESTIMULANTE / FSH
Ampollas 75 ui FOLLITRIN 75 UI LIOF.+SOLV. F.A x 1 Ferring 3.390,66 2.824,68 2.824,68
FOLLITRIN 75 UI LIOF.+SOLV. F.A x 6 Ferring 23.975,19 19.973,14 19.973,14
150 ui FOLLITRIN 150 UI + SOLV. F.A x 1 Ferring 6.780,28 5.648,48 5.648,48
FOLLITRIN 150 UI + SOLV. F.A x 6 Ferring 47.943,89 39.940,88 39.940,88
HORMONA LIBER.
TIROTROFINA / TRH
Ampollas 0,2 mg TRH FERRING 200 mcg 1 ML AMP x 1 Ferring 1.055,23 761,82 761,82
IBUPROFENO
Comprimidos 120 mg IBUPIRETAS COM x 20 Pfizer 35,81 7,16 7,16
IBUPIRETAS JR. MAST. COM x 20 Pfizer 191,78 140,33 140,33
400 mg IBUMAR 400 mg COM x 10 Mar 59,00 21,21 21,21

IBUCLER 400 mg COM x 10 Monserrat 73,60 35,36 35,36
FEBRATIC 400 mg COM x 10 Roemmers 122,78 88,19 88,19
VEFREN 400 mg COM x 10 Baliarda 127,30 95,35 95,35
DOLORSYN 400 mg COM x 10 Omega 256,94 196,02 196,02
FEBRATIC 400 mg COM x 20 Roemmers 196,10 125,90 125,90

Página 59 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 400 mg DOLORSYN 400 mg COM x 30 Omega 430,25 328,23 328,23
600 mg IBUPIRAC 600 mg BLANDAS CAP x 10 Pfizer 191,22 133,05 133,05

ACTRON 600 RAPIDA ACCION BLAND CAP x 10 Bayer Consumer 201,02 144,92 144,92
IBUPIRAC 600 mg BLANDAS CAP x 20 Pfizer 362,55 241,49 241,49

ACTRON 600 RAPIDA ACCION BLAND CAP x 20 Bayer Consumer 377,66 262,81 262,81
IBUPIRAC 600 mg BLANDAS CAP x 50 Pfizer 909,02 607,03 607,03
IBUMULTIN 600 mg COM x 10 Lazar 160,19 109,93 109,93

IBUTENK 600 mg COM x 10 Biotenk 161,28 113,33 113,33
IBUPROFENO 600 FECOFAR 600 mg COM x 10 Fecofar 166,27 114,34 114,34
IBUPIRAC 600 mg COM x 10 Pfizer 173,33 126,37 126,37
IBUMAR 600 mg COM x 20 Mar 171,00 59,92 59,92

IBUPROFENO 600 FECOFAR 600 mg COM x 20 Fecofar 315,80 207,68 207,68
IBUTENK 600 mg COM x 20 Biotenk 321,54 223,47 223,47

800 mg IBUTENK 800 mg COM x 10 Biotenk 207,83 143,69 143,69
Gotas 5000 mg IBUPIRAC ORAL GTS x 30 Pfizer 210,79 147,74 147,74
Líquido 2000 mg IBUMAR SUS x 90 Mar 132,00 84,19 84,19

IBUCLER 2% SUS x 90 Monserrat 136,16 90,78 90,78
COPIRON 2% SUS x 90 Microsules Argentina 146,39 102,45 102,45
IBUSOL PEDIATRICO Medisol SUS x 100 Medisol 98,00 44,63 44,63

FEBRATIC PED. 2% SUS x 100 Roemmers 160,17 111,14 111,14
IBUSOL PEDIATRICO SUS x 100 Cassara 187,09 142,33 142,33
DOLORSYN TERMICO ORAL SUS x 120 Omega 444,67 339,24 339,24
4000 mg IBUMULTIN 4% SUS x 90 Lazar 268,52 88,12 88,12

IBUMAR 4 g/100 ml SUS x 90 Mar 192,00 98,85 98,85
IBUCLER 4% SUS x 90 Monserrat 261,28 184,18 184,18
IBUPIRAC 4% SUS x 90 Pfizer 271,33 191,14 191,14
IBUFULL 4 g SUS x 90 Lafedar 281,33 201,40 201,40
FEBRATIC 4% SUS x 100 Roemmers 270,26 181,00 181,00

IBUSOL FORTE SUS x 100 Cassara 280,05 186,28 186,28
ACTRON PEDIATRICO 4% ORAL SUS x 100 Bayer Consumer 311,88 224,73 224,73
AFEBRIL FORTE 40 mg/ml SUS x 100 Bagó 325,30 238,22 238,22
ACTRON PEDIATRICO 4% Oral SUS x 180 Bayer Consumer 494,04 241,87 241,87
IBUPIRAC 4% SUS x 200 Pfizer 506,66 321,99 321,99
5000 mg IBUSOL ORAL SUS x 20 Cassara 194,38 143,76 143,76
IDOXURIDINA
Colirio 100 mg IDULEA C\ADHEFILM COL x 10 Biotechno Pharma 622,96 429,17 429,17
Página 60 de 116
A CARGO A CARGO
AFILIADO CRONICO
Colirio 100 mg
Ungüento 100 mg IDULEA DERMICO UNG x 10 Biotechno Pharma 258,22 175,29 175,29
INDAPAMIDA
Comprimidos 1,5 mg NATRILIX SR 1.5 mg (Lib.Prol.) COM x 30 Servier 389,88 269,91 269,91
NORANAT SR 1.5 Mg. Recub. LP COM x 30 Nova Argentia 394,12 272,40 272,40
2,5 mg NORANAT COM x 30 Nova Argentia 376,98 269,93 269,93
INDAPAMIDA DUREMID COM x 50 Soubeiran Chobet 608,62 427,64 427,64
NORANAT COM x 60 Nova Argentia 510,87 267,95 267,95
INDOMETACINA
Ampollas 50 mg IM.75 MONTPELLIER 2 ML F.A x 3 Montpellier 778,16 564,79 564,79
Comprimidos 75 mg IM.75 MONTPELLIER CAP x 24 Montpellier 839,83 615,93 615,93
IM.75 MONTPELLIER CAP x 50 Montpellier 1.535,54 1.021,78 1.021,78
Supositorios 50 mg INDOTEX 50 mg SUP x 10 Rontag 363,26 256,37 256,37
100 mg INDOTEX 100 mg SUP x 10 Rontag 704,45 467,44 467,44

IM.75 MONTPELLIER SUP x 10 Montpellier 868,06 630,04 630,04
INMUNOGLOBULINA
ANTITETÁNICA + TETÁNICO
TOXOIDE
Ampollas 250 ui GAMMATET T 250 UI + TOXOIDE JPR x 1 Gador 3.022,65 1.047,14 1.047,14 MAT
500 ui GAMMATET T 500 UI + TOXOIDE JPR x 1 Gador 6.006,23 1.912,55 1.912,55 MAT
TETABULIN S/D 500 UI JPR x 1 Gobbi 6.589,79 4.828,66 4.828,66 MAT
IPRATROPIO BROMURO
Aerosol 0,02 mg ATROVENT HFA 10 ML AER x 200 Boehringer Ingelheim 842,69 616,81 473,48
AEROTROP HFA 12.5 ml AER x 250 Cassara 602,79 290,33 290,33
Líquido 0,5 mg AEROTROP P/NEB.UNIDOSIS Sol.x 2.5 ml c/u SOL Cassara 681,02 525,54 525,54
x 24
25 mg ATROVENT SOL. NEB SOL x 20 Boehringer Ingelheim 363,89 263,92 198,39
ATROVENT SOL. NEB. SOL x 40 Boehringer Ingelheim 663,02 449,00 305,14
Spray 0,021 mg AEROTROP NASAL SPR x 120 Cassara 369,55 277,74 277,74
IRBESARTAN
Comprimidos 150 mg APROVEL 150 mg COM x 28 Sanofi Aventis 1.898,30 1.360,89 1.360,89
300 mg APROVEL 300 mg COM x 28 Sanofi Aventis 2.495,57 1.789,08 1.789,08
ISOCONAZOL
Crema 1000 mg MUPATEN CRE x 20 Bayer Consumer 193,20 124,95 124,95
1000 mg MUPATEN VAGINAL CRE x 40 Bayer (PH) 338,15 223,94 223,94
Óvulos 600 mg MUPATEN VAGINAL OVU x 1 Bayer (PH) 338,15 240,13 240,13
ISONIACIDA
Comprimidos 300 mg NICOTIBINA 300 mg COM x 30 Sanofi Aventis 254,47 183,76 183,76
ISOSORBIDE DINITRATO
Comprimidos 5 mg ISORDIL 5 mg COM x 25 Pfizer 231,77 166,35 123,63
ISORDIL 5 mg COM x 50 Pfizer 351,18 190,85 107,70
Página 61 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 5 mg MEDOCOR SUBLINGUAL 5 mg COM x 30 Roemmers 407,92 287,91 208,52
ISOSORBIDE MONONITRATO
Comprimidos 20 mg MEDOCOR COM x 20 Roemmers 250,91 182,53 137,87
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 477,26 347,65 304,45
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 991,57 722,30 632,54
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 1.858,70 1.149,69 1.149,69
ROACCUTAN 10 mg CAP x 30 Investi 2.010,72 1.392,59 1.392,59
ISOCUTAN 10 mg CAP x 30 Raffo 2.429,96 1.808,93 1.808,93
20 mg FLEXRESAN 20 mg CAP x 30 Raymos 3.418,46 2.169,27 2.169,27

ROACCUTAN 20 mg CAP x 30 Investi 3.703,43 2.600,27 2.600,27
ISOCUTAN 20 mg CAP x 30 Raffo 4.482,92 3.337,21 3.337,21
40 mg ISOCUTAN 40 mg CAP x 30 Raffo 8.162,06 5.902,23 5.902,23
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 560,62 262,39 262,39 MAT
DUVADILAN 10 mg COM x 20 Raffo 983,52 744,98 744,98 MAT
UTERINE 10 mg COM x 40 Omega 939,79 349,78 349,78 MAT
20 mg UTERINE 20 mg COM x 20 Omega 1.007,04 532,67 532,67 MAT

DUVADILAN 20 mg COM x 20 Raffo 1.549,87 1.173,97 1.173,97 MAT
ITRACONAZOL
Comprimidos 100 mg SPORANOX CAP x 4 Janssen-Cilag 335,90 236,89 236,89
SPORANOX CAP x 10 Janssen-Cilag 585,13 412,67 412,67
ITRAC 100 CAP x 15 Cassara 779,97 548,24 548,24

SPORANOX CAP x 15 Janssen-Cilag 808,63 570,28 570,28
PANASTAT CAP x 15 Panalab 879,00 661,39 661,39
SPORANOX PULSO CAP x 28 Janssen-Cilag 1.759,61 1.240,97 1.240,97
PANASTAT CAP x 30 Panalab 1.426,00 916,18 916,18
200 mg ITRAC 200 CAP x 14 Cassara 1.401,10 1.005,82 1.005,82
IVERMECTINA
Comprimidos 3 mg IVER P 3 mg COM x 6 Elea - Phoenix 369,55 239,00 239,00
6 mg DETEBENCIL 6 mg COM x 2 Roux Ocefa 298,79 194,21 194,21

SECURO COM x 2 Raymos 520,17 373,17 373,17
DETEBENCIL 6 mg COM x 6 Roux Ocefa 429,62 141,36 141,36

IVER P 6 mg COM x 6 Elea - Phoenix 655,75 357,21 357,21
SECURO COM x 6 Raymos 732,48 426,17 426,17
KETOCONAZOL
Página 62 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 200 mg MICORAL COM x 10 Investi 249,38 182,47 182,47
FITONAL 200 mg COM x 20 Andromaco 374,44 273,34 273,34
MICORAL COM x 30 Investi 460,32 288,58 288,58
Crema 2000 mg KEDUO 2% CRE x 15 Raymos 245,28 176,21 176,21

KETOLEF 2% CRE x 15 Biosintex-Ofar 264,00 195,00 195,00
QUADION CRE x 15 Fortbenton 292,81 218,00 218,00
ORIFUNGAL CRE x 15 Janssen-Cilag 352,37 248,51 248,51
MICORAL CRE x 30 Investi 236,66 123,35 123,35

FITONAL CRE x 30 Andromaco 393,76 291,76 291,76
Óvulos 400 mg FANGAN OVU x 5 Lazar 481,48 334,03 334,03
Shampoo 2000 mg EUMICEL 2% SHA x 100 Cassara 168,00 100,61 100,61

KEDUO 2% SHA x 100 Raymos 391,02 288,91 288,91
MICORAL SHA x 100 Investi 497,25 363,84 363,84
PITYLIS KETOCONAZOL 2% SHA x 120 Raymos 89,52 17,90 17,90

EUMICEL COLAGENO 2% SHA x 120 Cassara 496,71 377,86 377,86
QUADION SHA x 250 Fortbenton 566,84 395,35 395,35
KETOROLAC
Ampollas 30 mg DORIXINA FORTE NF 30 mg AMP x 3 Roemmers 196,61 118,95 118,95
SINALGICO 30 mg AMP x 3 Bernabo 260,94 192,25 192,25
TELEDOL 30 mg 2 ml AMP x 3 Casasco 270,40 198,05 198,05
DOLTEN 30 mg 2 ml AMP x 5 Pfizer 374,67 251,60 251,60

ZERODOL 30 mg AMP x 5 Bagó 621,87 465,38 465,38
60 mg DOLTEN 60 mg 2 ml AMP x 1 Pfizer 180,47 122,23 122,23
DOLTEN 60 mg 2 ml AMP x 3 Pfizer 542,77 368,38 368,38

SINALGICO 60 mg AMP x 3 Bernabo 627,93 459,45 459,45
ZERODOL 60 mg AMP x 3 Bagó 742,60 555,73 555,73
Colirio 18 mg ACUVAIL Viales Unids. 0.4 ml COL x 30 Allergan-Loa 1.024,00 702,39 702,39
400 mg ACULAR LS COL x 5 Allergan-Loa 973,67 667,86 667,86
500 mg POENKERAT COL x 5 Poen 593,61 337,82 337,82

ACULAR COL x 5 Allergan-Loa 729,94 452,81 452,81
Comprimidos 10 mg KERAMIX 10 mg COM x 10 Finadiet 65,28 11,22 11,22

DORIXINA FORTE NF 10 mg COM x 10 Roemmers 204,45 114,95 114,95
KEMANAT 10 mg COM x 10 Microsules Argentina 239,20 155,94 155,94
UNICALM 10 mg COM x 10 Raffo 261,06 171,61 171,61
DOLTEN 10 mg COM x 10 Pfizer 273,25 188,34 188,34

SINALGICO 10 mg COM x 20 Bernabo 400,29 224,05 224,05
KETOROLAC FABRA 10 mg COM x 20 Fabra 389,18 259,68 259,68
20 mg DUPRAC 20 mg COM x 10 Savant Consumer 309,00 190,76 190,76

KERAMIX 20 mg COM x 10 Finadiet 335,79 230,96 230,96
TENKDOL 20 mg COM x 10 Biotenk 339,76 232,17 232,17
DORIXINA FORTE NF 20 mg COM x 10 Roemmers 376,88 265,50 265,50
Página 63 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 20 mg KEMANAT 20 mg COM x 10 Microsules Argentina 376,02 277,92 277,92

TELEDOL 20 mg COM x 10 Casasco 410,59 302,84 302,84
ZERODOL 20 mg COM x 10 Bagó 502,60 376,12 376,12
DIPGIX 20 mg COM x 20 Lab Internacional 174,36 34,87 34,87

Argentino
TENKDOL 20 mg COM x 20 Biotenk 542,06 305,22 305,22
KERAMIX 20 mg COM x 20 Finadiet 596,90 359,86 359,86
KETOROLAC FABRA 20 mg COM x 20 Fabra 609,93 410,31 410,31
TELEDOL 20 mg COM x 20 Casasco 648,24 435,59 435,59
10 mg DIPGIX SL 10 mg COM x 10 Lab Internacional 84,40 16,88 16,88

Argentino
KERAMIX RAPID 10 mg Subl. COM x 10 Finadiet 275,81 153,74 153,74
DUPRAC SL 10 mg COM x 10 Savant Consumer 309,00 188,09 188,09
TENKDOL SL 10 mg COM x 10 Biotenk 312,80 190,13 190,13
UNICALM 10 mg SUBL. COM x 10 Raffo 312,37 192,78 192,78
CALMOFAR SL 10 mg COM x 10 Wunder Pharm 313,05 212,85 212,85
KETOROLAC RICHET 10 mg SUBLIN. COM x 10 Richet 319,74 218,32 218,32
DORIXINA FORTE NF SUBL. 10 mg COM x 10 Roemmers 337,13 236,33 236,33
KEMANAT SL SUBLINGUAL COM x 10 Microsules Argentina 339,66 243,00 243,00
SINALGICO SL 10 mg SUBLINGUAL COM x 10 Bernabo 355,27 251,96 251,96
DOLTEN SL 10 mg COM x 10 Pfizer 372,57 269,69 269,69
TELEDOL 10 mg SL COM x 10 Casasco 378,38 277,34 277,34
ZERODOL SL 10 mg COM x 10 Bagó 478,97 358,44 358,44
DORIXINA FORTE NF SUBL. 10 mg COM x 20 Roemmers 654,73 448,87 448,87

SINALGICO SL 10 mg SUBLINGUAL COM x 20 Bernabo 683,13 472,00 472,00
KETOTIFENO
Colirio 50 mg ANTILERG COL x 10 Max Vision 724,96 476,18 476,18
HYALCROM NF COL x 10 Bausch & Lomb Argentina 1.201,75 870,71 870,71
Comprimidos 1 mg RESPIMEX COM x 60 Pfizer 429,29 298,39 298,39
Líquido 20 mg RESPIMEX JBE x 200 Pfizer 534,96 371,83 371,83
LACTULOSA
Líquido 65000 GENOCOLAN LACTULOSA JBE x 120 Craveri 310,55 193,01 193,01
mg
LACTULON JBE x 120 Lazar 418,52 299,16 299,16
LACTULON JBE x 250 Lazar 722,22 480,15 480,15
Sobres 10000 LACTULON 10 g SOB x 8 Lazar 330,00 237,75 237,75

mg
LACTULON 10 g SOB x 16 Lazar 657,00 472,23 472,23
LAMOTRIGINA
Comprimidos 5 mg LAMICTAL DISPERSABLE 5 mg COM x 30 GlaxoSmithKline 632,23 438,93 438,93
25 mg LAGOTRAN 25 mg DISPERS. COM x 30 Beta 544,51 321,78 321,78

EPILEPAX 25 mg DISPERS. COM x 30 Teva argentina ( 554,04 330,72 330,72
LATRIGIN 25 mg RANUR.DISPERS. COM x 30 Baliarda 603,32 390,27 390,27
LAMOCAS 25 mg DISPERS. COM x 30 Casasco 617,58 412,17 412,17
Página 64 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 25 mg LAMIRAX 25 mg DISPERS. COM x 30 Elea - Phoenix 762,48 576,48 576,48

LAMICTAL DISPERSABLE 25 mg COM x 30 GlaxoSmithKline 1.078,53 774,14 774,14
50 mg EPILEPAX 50 mg DISPERS. COM x 30 Teva argentina ( 865,42 529,67 529,67

LATRIGIN 50 mg RANUR.DISPERS. COM x 30 Baliarda 934,98 619,82 619,82
LAGOTRAN 50 mg DISPERS. COM x 30 Beta 927,87 619,92 619,92
LAMOCAS 50 mg DISERS. COM x 30 Casasco 964,61 660,23 660,23
LAMIRAX 50 mg DISPERS. COM x 30 Elea - Phoenix 1.115,03 825,66 825,66
LAMICTAL DISPERSABLE 50 mg COM x 30 GlaxoSmithKline 1.823,77 1.309,05 1.309,05
100 mg LAGOTRAN 100 mg DISPERS. COM x 15 Beta 552,29 298,35 298,35
EPILEPAX 100 mg DISPERS. COM x 30 Teva argentina ( 1.406,44 897,33 897,33

LATRIGIN 100 mg RANUR.DISPERS. COM x 30 Baliarda 1.518,78 1.032,54 1.032,54
LAMOCAS 100 mg DISPERS. COM x 30 Casasco 1.567,72 1.098,01 1.098,01
LAGOTRAN 100 mg DISPERS. COM x 30 Beta 1.645,95 1.200,33 1.200,33
LAMIRAX 100 mg DISPERS. COM x 30 Elea - Phoenix 1.781,56 1.329,12 1.329,12
EPILEPAX 100 mg Dispers. COM x 60 Teva argentina ( 3.129,90 2.173,98 2.173,98

LAMOCAS XR 100 mg COM x 30 Casasco 1.832,54 1.333,47 1.333,47
LAMOCAS XR 100 mg COM x 60 Casasco 3.630,81 2.625,85 2.625,85
200 mg EPILEPAX 200 mg DISPERS. COM x 30 Teva argentina ( 2.351,50 1.525,89 1.525,89
LATRIGIN 200 mg RANUR.DISPERS. COM x 30 Baliarda 2.547,67 1.755,70 1.755,70
LAMOCAS 200 mg DISPERS. COM x 30 Casasco 2.621,26 1.859,47 1.859,47
LAGOTRAN 200 mg DISPERS. COM x 30 Beta 2.711,10 1.980,24 1.980,24
LANSOPRAZOL
Comprimidos 15 mg LANZOPRAL MD 15 mg CAP x 30 Roemmers 625,23 432,56 432,56
30 mg LANZOPRAL 30 mg CAP x 15 Roemmers 594,48 425,39 425,39
ACIMED L 30 mg CAP x 30 Lepetit 575,00 193,39 193,39

LANZOPRAL 30 mg CAP x 30 Roemmers 1.122,34 803,10 803,10
Sobres 15 mg LANZOPRAL MD SUSP. SOB x 30 Roemmers 893,57 618,21 618,21
30 mg LANZOPRAL SUSP. SOB x 30 Roemmers 1.078,37 746,07 746,07
LATANOPROST
Colirio 0,05 mg GLAUCOGESIC COL x 2,5 Atlas 783,96 488,80 297,80
XALATAN COL x 2,5 Pfizer 780,31 491,80 296,08
GLAUCOSTAT 50 MCG/ML COL x 2,5 Max Vision 789,36 504,37 311,76
LATANOPROST DORF COL x 2,5 Pharmadorf 873,49 580,43 387,03
LOUTEN COL x 2,5 Poen 917,35 654,63 482,20
LOUTEN Emul. COL x 2,5 Poen 917,35 654,63 482,20
LATANOFLAX 50 mcg/ml COL x 2,5 Sidus 936,30 665,74 486,11
OCUPROST COL x 2,5 Bausch & Lomb Argentina 999,38 718,79 597,44
LATANOPROST DORF COL x 3 Pharmadorf 403,19 96,41 52,59
LATANOPROST + TIMOLOL
Colirio 0,05 mg GLAUCOGESIC T COL x 2,5 Atlas 764,04 451,47 451,47
GLAUCOSTAT T COL x 2,5 Max Vision 807,76 489,19 280,09
Página 65 de 116
A CARGO A CARGO
AFILIADO CRONICO
Colirio 0,05 mg XALACOM COL x 2,5 Pfizer 846,28 540,03 333,68

LATIMODORF COL x 2,5 Pharmadorf 933,91 602,84 407,95
LOUTEN T COL x 2,5 Poen 996,93 712,25 525,50
LEFLUNOMIDA
Comprimidos 20 mg LEFLUNOMIDA SC 20 mg COM x 30 Spedrog Caillon 1.292,61 808,63 808,63
FLUXAP 20 mg COM x 30 Trb-Pharma 1.293,00 832,99 832,99
AFIANCEN 20 mg COM x 30 Buxton 1.318,36 861,46 861,46
FLUDART 20 mg COM x 30 Craveri 1.369,98 908,16 908,16
INMUNOARTRO 20 mg RECUB. COM x 30 Beta 1.442,24 985,89 985,89
FILARTROS 20 mg RECUB. COM x 30 Teva argentina ( 1.456,47 1.017,15 1.017,15
LEFLUAR 20 mg COM x 30 Rontag 1.647,43 1.162,69 1.162,69
ARAVA 20 mg COM x 30 Sanofi Aventis 3.058,82 2.259,48 2.259,48
FLUDART 20 mg COM x 60 Craveri 2.061,21 1.041,53 1.041,53
LEUCOCIANIDOL +
+ LIDOCAINA
Pomada 1000 mg PROCTO IKATRAL PDA x 10 Baliarda 410,21 304,35 304,35
PROCTO IKATRAL PDA x 30 Baliarda 909,65 583,90 583,90
LEVODOPA + BENSERAZIDA
Comprimidos 50 mg MADOPAR DISPERSABLE 62.5 mg TAB x 100 Investi 1.057,29 749,98 546,69
100 mg MADOPAR HBS 125 mg CAP x 50 Investi 561,83 353,61 221,80
MADOPAR DISPERSABLE 125 mg TAB x 100 Investi 1.401,95 1.025,81 819,54
200 mg MADOPAR 250 COM x 30 Investi 961,72 685,94 503,91
MADOPAR 250 COM x 50 Investi 1.588,21 1.125,52 819,33
LEVODOPA + CARBIDOPA
Comprimidos 100 mg PARKINEL 100/25 mg COM x 30 Bagó 551,12 406,51 311,30
LEBOCAR 100-25 COM x 30 Pfizer 566,88 411,84 349,40
LEBOCAR 100-25 COM x 60 Pfizer 953,71 653,38 452,81
200 mg SINEMET CR COM x 30 MSD Arrgentina SR 1.841,84 1.191,19 760,77
250 mg LEBOCAR 250-25 COM x 30 Pfizer 783,63 569,31 472,60

PARKINEL 250/25 mg COM x 30 Bagó 777,74 574,25 440,33
SINEMET 250/25 mg COM x 50 MSD Arrgentina SR 2.423,65 1.747,38 1.521,96
LEBOCAR 250-25 COM x 60 Pfizer 1.417,46 1.010,46 742,60

PARKINEL 250/25 mg COM x 60 Bagó 1.441,51 1.011,22 722,20
LEVOMEPROMAZINA
Comprimidos 2 mg NOZINAN 2 mg COM x 30 Sanofi Aventis 277,58 205,04 172,47
MEPROZIN 2 mg COM x 30 Rospaw 350,00 269,80 269,80
TOGREL 2 mg COM x 50 Teva argentina ( 360,86 239,02 157,06
25 mg MEPROZIN 25 mg COM x 30 Rospaw 575,00 376,68 376,68

NOZINAN 25 mg COM x 30 Sanofi Aventis 732,56 541,13 424,80
TOGREL 25 mg COM x 50 Teva argentina ( 952,36 597,02 362,66
100 mg MEPROZIN 100 mg COM x 30 Rospaw 765,00 552,60 552,60
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) 432,46 307,11 307,11
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 201,89 111,24 111,24

SECUFEM 1.5 mg COM x 1 Elea - Phoenix 281,44 204,49 204,49
LEVONORGESTREL +
ETINILESTRADIOL
Comprimidos 0,1 mg NICOLLE COM x 21 Biotenk 114,79 41,87 41,87
MIRANOVA CAP x 21 Bayer (PH) 156,44 82,13 82,13
APRIL COM x 21 Gador 212,79 150,01 150,01
FEMEXIN COM x 21 Elea - Phoenix 267,78 205,88 205,88
APRIL 28 (21+ 7) COM x 28 Gador 217,00 155,09 155,09

ELEKTRA COM x 28 Craveri 268,70 195,68 195,68
NORFEN COM x 28 Pharmadorf 262,68 199,24 199,24
FEMEXIN 28 COM x 28 Elea - Phoenix 286,76 223,63 223,63
0,125 mg TRIQUILAR GRA x 21 Bayer (PH) 293,32 197,87 197,87

TRIDESTAN N COM x 21 Gador 315,69 225,45 225,45
0,15 mg NORGESTREL PLUS GRA x 21 Biotenk 154,56 90,45 90,45

MICROVLAR COM x 21 Bayer (PH) 190,69 137,07 137,07
MICROGYNON GRA x 21 Bayer (PH) 270,74 198,30 198,30
NORDETTE GRA x 21 Pfizer 283,84 203,94 203,94
ELEKTRA MAX COM x 28 Craveri 305,81 222,71 222,71
2 mg DOS DIAS N COM x 2 Elea - Phoenix 744,56 550,68 550,68
LEVOTIROXINA / T4
Comprimidos 0,025 mg T4 MONTPELLIER 25 mcg COM x 50 Montpellier 359,76 239,30 157,93
LEVOTIROXINA GSK 25 mcg COM x 50 GlaxoSmithKline 361,41 246,49 170,11
EUTHYROX 25 mcg COM x 50 Elea - Phoenix 697,19 551,86 503,42
0,05 mg T4 MONTPELLIER 50 mcg COM x 50 Montpellier 381,90 261,75 181,28





EUTHYROX 112 mcg COM x 50 Elea - Phoenix 1.310,25 1.037,14 946,10

EUTHYROX 125 mcg COM x 50 Elea - Phoenix 1.361,69 1.077,85 983,24
Página 67 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 0,137 mg T4 MONTPELLIER 137 mcg COM x 50 Montpellier 854,42 593,59 419,70
EUTHYROX 137 mcg COM x 50 Elea - Phoenix 1.474,51 1.167,15 1.064,70



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 1.000,17 730,97 552,89
LISINA CLONIXINATO
Comprimidos 125 mg DORIXINA COM x 20 Roemmers 156,43 107,76 107,76
LISINOPRIL
Comprimidos 5 mg TENSOPRIL 5 mg COM x 20 Teva argentina ( 434,51 303,24 303,24
TENSOPRIL 5 mg COM x 40 Teva argentina ( 837,01 573,45 573,45
10 mg TERSIF MD 10 mg MULTIRRAN. COM x 20 Baliarda 241,36 65,26 65,26

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 ( 1.162,50 799,25 799,25
20 mg TERSIF MD 20 mg MULTIRRAN. COM x 20 Baliarda 303,43 82,05 82,05


LISINAL 20 mg COM x 30 Beta 1.050,42 776,83 776,83
TENSOPRIL 20 mg COM x 40 Teva argentina ( 1.312,28 915,75 915,75
LITIO CARBONATO
Comprimidos 300 mg CEGLUTION 300 mg TAB x 20 Ariston 658,14 510,12 413,45
CEGLUTION 300 mg TAB x 50 Ariston 1.642,44 1.271,92 1.029,82
CEGLUTION 300 mg TAB x 90 Ariston 2.738,39 2.033,61 1.563,13
450 mg CEGLUTION XR 450 mg COM x 30 Ariston 1.014,70 781,25 628,19
ESKALIT SR 450 mg COM x 50 GlaxoSmithKline 856,28 394,09 258,43
CEGLUTION XR 450 mg COM x 60 Ariston 2.008,62 1.538,29 1.229,00
LOPERAMIDA
Comprimidos 2 mg REGULANE CB CAP x 10 Finadiet 283,74 208,93 208,93
REGULANE CB CAP x 20 Finadiet 496,57 331,53 331,53
Página 68 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 2 mg REGULANE CB CAP x 30 Finadiet 538,09 268,44 268,44
LOPERIX 2 mg COM x 10 Rospaw 200,00 138,19 138,19

SUPRASEC COM x 10 Janssen-Cilag 205,87 143,20 143,20
VILTAR COM x 10 Dallas 216,35 150,44 150,44
LANSEKA 2 mg TAB x 10 Investi 221,73 159,05 159,05
COLIFILM COM x 10 Eurofarma 228,03 166,40 166,40
CUSTEY 2 mg COM x 10 Microsules Argentina 226,76 170,06 170,06
REGULANE COM x 10 Finadiet 242,74 179,51 179,51
VILTAR COM x 20 Dallas 312,23 163,77 163,77

LOPERIX 2 mg COM x 20 Rospaw 330,00 193,42 193,42
LANSEKA 2 mg TAB x 20 Investi 346,94 196,40 196,40
COLIFILM COM x 50 Eurofarma 888,54 514,84 514,84
LORATADINA
Comprimidos 10 mg LORATADINA ILAB 10 mg COM x 10 Inmunolab 39,67 7,93 7,93
DEVEDRYL 10 mg COM x 10 Klonal 108,04 27,01 27,01
DEXITIS 10 mg COM x 10 Savant Consumer 125,00 43,45 43,45
HISPLEX 10 mg COM x 10 Biotenk 118,96 45,64 45,64
LISALER COM x 10 Fortbenton 297,65 220,86 220,86
BILOINA COM x 10 Eurofarma 309,67 230,17 230,17
ALERPRIV 10 mg COM x 10 Montpellier 316,95 235,18 235,18
HISPLEX 10 mg COM x 30 Biotenk 84,00 16,80 16,80

LISALER COM x 30 Fortbenton 702,62 488,27 488,27
BILOINA COM x 30 Eurofarma 746,03 557,03 557,03
ALERPRIV 10 mg COM x 30 Montpellier 766,14 568,48 568,48
Líquido 5 mg BILOINA JBE x 60 Eurofarma 246,33 176,59 176,59

ALERPRIV JBE x 60 Montpellier 247,30 180,12 180,12
ALERPRIV JBE x 120 Montpellier 458,91 316,97 316,97
LORAZEPAM
Comprimidos 1 mg SIDENAR 1 mg COM x 20 Teva argentina ( 96,34 65,33 65,33
LORAZEPAN CHOBET 1 mg COM x 20 Soubeiran Chobet 106,99 75,24 75,24
EMOTIVAL 1 mg COM x 30 Teva argentina ( 145,44 100,40 100,40

TRAPAX 1 mg COM x 30 Pfizer 161,92 118,05 118,05
SIDENAR 1 mg COM x 50 Teva argentina ( 246,51 171,28 171,28

APLACASSE 1 mg COM x 50 Investi 289,11 214,83 214,83

2 mg LORAZEPAN CHOBET 2 mg COM x 20 Soubeiran Chobet 154,01 116,22 116,22
2,5 mg SIDENAR 2.5 mg COM x 20 Teva argentina ( 135,85 91,52 91,52
Página 69 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 2,5 mg
TRAPAX 2.5 mg COM x 30 Pfizer 227,37 162,89 162,89
KALMALIN 2.5 mg COM x 40 Bagó 314,73 226,47 226,47
SIDENAR 2.5 mg COM x 50 Teva argentina ( 336,43 223,16 223,16

APLACASSE 2.5 mg COM x 50 Investi 364,51 245,91 245,91
1 mg TRAPAX 1 mg SUBLING. COM x 30 Pfizer 310,81 219,60 219,60
LOSARTÁN
Comprimidos 50 mg PRISONIL 50 mg COM x 15 Lepetit 184,00 71,30 55,20
NITEN 50 mg COM x 15 Teva argentina ( 394,16 270,60 229,42
TACARDIA 50 mg COM x 28 Richmond 718,15 495,12 360,35

PAXON 50 mg COM x 28 Gador 907,02 658,95 576,26
LOSARTAN 50 mg NORTHIA COM x 30 Northia 389,10 127,37 127,37

PRISONIL 50 mg COM x 30 Lepetit 368,00 141,90 109,60
LOREBIL 50 mg COM x 30 Geminis Farmaceutica 670,34 382,15 232,59
LOCTENK 50 mg COM x 30 Biotenk 731,26 473,06 298,61
TACARDIA 50 mg COM x 30 Richmond 718,15 474,08 312,36
TACICUL 50 mg COM x 30 Denver Farma 769,75 543,31 543,31
ANTIPRESOL 50 mg COM x 30 Fecofar 806,67 548,57 374,21
CARTAN 50 mg COM x 30 Eurofarma 787,32 550,32 401,38
LOSARTAN PFIZER 50 mg COM x 30 Pfizer 820,53 582,50 426,33
VASEXTEN 50 mg COM x 30 Bernabo 848,61 609,85 453,01
LOSACOR 50 mg COM x 30 Roemmers 862,55 619,49 484,44
PRESIMAX 50 mg COM x 30 Bagó 870,94 628,90 469,03
PAXON 50 mg COM x 30 Gador 909,73 660,91 538,66
LOPLAC 50 mg COM x 30 Casasco 909,32 673,83 521,37
TEMISARTAN 50 mg COM x 30 Temis-Lostalo 971,38 729,18 592,19
FENSARTAN 50 mg COM x 30 Elea - Phoenix 1.161,10 872,53 776,34
COZAAREX 50 mg COM x 30 MSD Arrgentina SR 1.304,47 940,49 819,16
TACARDIA 50 mg COM x 56 Richmond 1.358,86 907,71 609,90

PAXON 50 mg COM x 56 Gador 1.724,31 1.257,24 1.034,74
LOREBIL 50 mg COM x 60 Geminis Farmaceutica 1.276,96 753,50 753,50

TACARDIA 50 mg COM x 60 Richmond 1.358,86 850,32 508,45
LOCTENK 50 mg COM x 60 Biotenk 1.440,26 917,36 562,70
NITEN 50 mg COM x 60 Teva argentina ( 1.472,21 983,82 660,15
LOSACOR 50 mg COM x 60 Roemmers 1.646,79 1.169,15 855,34
LOPLAC 50 mg COM x 60 Casasco 1.725,53 1.238,03 915,17
PAXON 50 mg COM x 60 Gador 1.733,60 1.263,04 955,80
FENSARTAN 50 mg COM x 60 Elea - Phoenix 2.208,67 1.659,74 1.476,77
100 mg TACARDIA 100 mg COM x 28 Richmond 880,10 606,78 437,94

PAXON 100 mg COM x 28 Gador 1.099,47 795,87 692,78
PRISONIL 100 mg COM x 30 Lepetit 483,00 166,60 121,40

LOREBIL 100 mg COM x 30 Geminis Farmaceutica 883,46 542,35 342,22
LOCTENK 100 mg COM x 30 Biotenk 895,48 576,19 360,16
ANTIPRESOL 100 mg COM x 30 Fecofar 988,78 669,95 454,34
Página 70 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 100 mg CARTAN 100 mg COM x 30 Eurofarma 971,24 678,67 486,84

FIBAN 100 mg COM x 30 Finadiet 1.014,73 696,71 481,82
LOSARTAN PFIZER 100 mg COM x 30 Pfizer 1.001,63 706,80 512,88
VASEXTEN 100 mg COM x 30 Bernabo 1.042,20 743,60 546,23
PRESIMAX 100 mg COM x 30 Bagó 1.054,47 748,43 556,77
LOSACOR 100 mg COM x 30 Roemmers 1.054,58 757,41 586,43
PAXON 100 mg COM x 30 Gador 1.100,33 796,48 640,49
LOPLAC 100 mg COM x 30 Casasco 1.113,48 823,31 633,72
TEMISARTAN 100 mg COM x 30 Temis-Lostalo 1.189,80 893,13 721,02
FENSARTAN 100 mg COM x 30 Elea - Phoenix 1.388,07 1.043,09 928,09
COZAAREX 100 mg COM x 30 MSD Arrgentina SR 1.727,60 1.245,55 1.084,87
LOREBIL 100 mg COM x 60 Geminis Farmaceutica 1.536,69 892,23 892,23

NITEN 100 mg COM x 60 Teva argentina ( 1.872,00 1.283,64 897,01
PAXON XR 100 mg Lib.Control. COM x 30 Gador 1.515,61 1.035,63 712,62

LOPLAC XR 100 mg COM x 30 Casasco 1.556,61 1.076,75 753,84
FENSARTAN CRONOS 100 mg COM x 30 Elea - Phoenix 1.834,34 1.378,44 1.121,05
LOSARTÁN +
HIDROCLOROTIAZIDA
Comprimidos 50 mg PRISONIL D 50/12.5 mg COM x 15 Lepetit 230,00 108,20 90,80
TACARDIA D 50/12.5 mg COM x 28 Richmond 836,22 576,52 413,07

PAXON D 50/12.5 mg COM x 28 Gador 1.034,52 751,60 639,43
PRISONIL D 50/12.5 mg COM x 30 Lepetit 460,00 216,40 181,60

LOCTENK D 50/12.5 mg COM x 30 Biotenk 739,96 402,07 226,43
ANTIPRESOL D 50/12.5 mg COM x 30 Fecofar 897,34 581,27 581,27
NITEN D 50/12.5 mg COM x 30 Teva argentina ( 892,37 610,47 424,89
CARTAN D 50/12.5 mg COM x 30 Eurofarma 908,56 628,33 444,28
PRESIMAX D 50/12.5 Rec. COM x 30 Bagó 975,03 678,54 479,70
VASEXTEN D 50/12.5 mg COM x 30 Bernabo 970,30 684,42 495,18
LOSACOR D 50/12.5 mg COM x 30 Roemmers 985,01 702,08 537,75
LOPLAC D 50/12.5 mg COM x 30 Casasco 1.047,30 768,72 586,21
TEMISARTAN DIUR 50/12.5 mg COM x 30 Temis-Lostalo 1.109,69 833,00 654,24
FENSARTAN D COM x 30 Elea - Phoenix 1.362,04 1.023,53 910,69
COZAAREX D 50/12.5 mg COM x 30 MSD Arrgentina SR 1.646,95 1.187,40 1.034,21
PAXON D 50/12.5 mg COM x 56 Gador 2.053,36 1.497,15 1.252,40
PAXON D 50/12.5 mg COM x 60 Gador 2.056,71 1.499,60 1.150,78
100 mg PAXON D 100/12.5 mg COM x 28 Gador 1.165,51 833,17 614,35

PAXON D 100/25 mg COM x 28 Gador 1.172,80 855,11 747,19
PRISONIL D 100/25 mg COM x 30 Lepetit 519,80 192,20 145,40

LOCTENK D 100/25 mg COM x 30 Biotenk 891,94 544,48 324,29
NITEN D 100/25 mg COM x 30 Teva argentina ( 974,89 664,72 460,28
CARTAN D 100/25 mg COM x 30 Eurofarma 1.005,21 702,21 504,85
ANTIPRESOL D 100/25 mg COM x 30 Fecofar 1.061,39 719,53 719,53
VASEXTEN D 100/25 mg COM x 30 Bernabo 1.071,07 758,86 552,54
LOSACOR D 100/25 mg COM x 30 Roemmers 1.080,65 770,25 590,02
Página 71 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 100 mg LOPLAC D 100/25 mg COM x 30 Casasco 1.156,08 852,18 656,93

PAXON D 100/25 mg COM x 30 Gador 1.174,20 856,14 693,12
TEMISARTAN DIUR 100/25 mg COM x 30 Temis-Lostalo 1.226,27 920,51 729,60
COZAAREX D 100/12.5 mg COM x 30 MSD Arrgentina SR 1.477,24 1.065,05 927,65
COZAAREX D 100/25 mg COM x 30 MSD Arrgentina SR 1.854,14 1.336,78 1.164,33
LOTEPREDNOL
Colirio 200 mg ALREX SUSP. 0.2 g/100 ml COL x 5 Bausch & Lomb Argentina 774,82 539,15 539,15
MAGNESIO CARBONATO +
MAGNESIO SULFATO +
MAGNESIO FOSFATO +
MAGNESIO FLUORURO
Comprimidos 0,3 mg TOTAL MAGNESIANO EFERV. COM x 24 Temis-Lostalo 862,02 625,75 625,75
MAGNESIO CITRATO
Comprimidos 55 mg HOLOMAGNESIO Rec. COM x 20 Elea - Phoenix 909,87 693,42 693,42
TOTAL MAGNESIANO REC. COM x 30 Temis-Lostalo 1.168,08 873,47 873,47
HOLOMAGNESIO Rec. COM x 50 Elea - Phoenix 1.893,74 1.375,42 1.375,42
TOTAL MAGNESIANO REC. COM x 60 Temis-Lostalo 2.093,26 1.454,89 1.454,89
HOLOMAGNESIO Rec. COM x 100 Elea - Phoenix 3.102,94 1.903,84 1.903,84
MAGNESIO CLORURO +
MAGNESIO FLUORURO +
MAGNESIO SULFATO +
MAGNESIO FOSFATO
Granulado 99,96 mg TOTAL MAGNESIANO LIMON GRL x 50 Temis-Lostalo 762,93 567,82 567,82
MAGNESIO CLORURO +
MAGNESIO FLUORURO +
MAGNESIO SULFATO +
MAGNESIO FOSFATO +
MAGNESIO BROMURO
Granulado 99945 TOTAL MAGNESIANO GRL x 50 Temis-Lostalo 908,60 686,38 686,38
mg
TOTAL MAGNESIANO GRL x 100 Temis-Lostalo 1.662,55 1.210,47 1.210,47
MAGNESIO CLORURO +
MAGNESIO FLUORURO +
MAGNESIO SULFATO +
MAGNESIO FOSFATO
Sobres 1500 mg TOTAL MAGNESIANO EFERV. POLVO SOB x 30 Temis-Lostalo 1.025,31 763,09 763,09
MAGNESIO VALPROATO
Comprimidos 200 mg LOGICAL 200 COM x 30 Teva argentina ( 429,43 290,78 218,38
LOGICAL 200 COM x 60 Teva argentina ( 767,54 487,01 299,80
400 mg LOGICAL 400 COM x 30 Teva argentina ( 1.115,71 805,84 619,83
LOGICAL 400 COM x 60 Teva argentina ( 2.231,43 1.596,20 1.174,53
MEBENDAZOL
Comprimidos 200 mg NEMASOLE 200 COM x 6 Janssen-Cilag 108,88 23,29 23,29
TRU M 200 mg COM x 6 Biotechno Pharma 402,06 249,04 249,04
MEBUTAR 200 COM x 6 Andromaco 473,80 351,70 351,70
MEBUTAR 200 MAST. COM x 6 Andromaco 571,32 422,82 422,82
500 mg NEMASOLE AD COM x 6 Janssen-Cilag 289,02 196,73 196,73
Líquido 200 mg MEBUTAR 200 SUS x 30 Andromaco 471,04 338,76 338,76
Página 72 de 116
A CARGO A CARGO
AFILIADO CRONICO
Líquido 200 mg
2000 mg NEMASOLE 200 SUS x 30 Janssen-Cilag 112,20 52,93 52,93
NEMASOLE SUS x 30 Janssen-Cilag 203,66 143,63 143,63
MEDROXIPROGESTERONA
ACETATO
Comprimidos 10 mg FARLUTALE 10 mg COM x 20 Pfizer 349,95 243,24 243,24
MENOTROPINA (FSH+LH) /
HMG
Ampollas 75 ui HMG FERRING 75 UI + SOLV. F.A x 1 Ferring 4.229,86 3.393,90 3.393,90
LIFECELL 75 UI + SOLV. F.A x 1 Buxton 4.309,46 3.525,27 3.525,27
HMG FERRING 75 UI + SOLV. F.A x 6 Ferring 25.654,66 21.372,26 21.372,26
150 ui HMG FERRING 150 UI + SOLV. F.A x 1 Ferring 8.459,22 6.791,00 6.791,00
LIFECELL 150 UI + solv. F.A x 1 Buxton 9.295,68 7.730,89 7.730,89
HMG FERRING 150 UI + SOLV. F.A x 6 Ferring 51.313,30 42.747,85 42.747,85
MENOTROPINA (FSH+LH)
ALTA PUREZA / HMGAP
Ampollas 75 ui MENOPUR 75 UI F.A x 1 Ferring 4.659,51 3.967,66 3.967,66
MENOPUR 75 UI F.A x 5 Ferring 19.704,50 16.088,43 16.088,43
MENOPUR 75 UI F.A x 10 Ferring 38.667,65 31.331,45 31.331,45
MEPREDNISONA ACETATO
Comprimidos 4 mg LA MEPREDNISONA B 4 mg COM x 20 Biotenk 265,88 168,48 168,48
CORTIPYREN B 4 mg COM x 20 Gador 292,42 198,73 198,73
DELTISONA-B 4 mg COM x 20 Sanofi Aventis 312,77 225,90 225,90
8 mg MEPREDNISONA VARIFARMA 8 mg comp COM x Varifarma 430,32 218,96 218,96

20
LA MEPREDNISONA B 8 mg COM x 20 Biotenk 578,04 355,91 355,91
CORTIPYREN B 8 mg COM x 20 Gador 639,52 425,54 425,54
DELTISONA-B 8 mg COM x 20 Sanofi Aventis 719,40 531,40 531,40
40 mg CORTIPYREN B 40 mg COM x 20 Gador 1.438,53 849,83 849,83

DELTISONA-B 40 mg COM x 20 Sanofi Aventis 1.995,38 1.473,94 1.473,94
Gotas 400 mg DELTISONA-B GTS x 20 Sanofi Aventis 362,74 260,05 260,05 INF
Líquido 4 mg LA MEPREDNISONA B 4 MG/ML OR SOL x 15 Biotenk 316,94 223,01 223,01
MESALAZINA
Comprimidos 400 mg 5-ASA 400 mg (LP) COM x 30 Dominguez 2.107,99 1.561,79 1.211,49
5-ASA 400 mg (LP) COM x 60 Dominguez 4.008,17 2.883,07 2.138,77
500 mg SUPRIMAL 500 mg GASTRORRES. COM x 50 Temis-Lostalo 521,14 185,59 185,59

SALOFALK 500 mg COM x 50 Biotoscana 4.112,03 3.054,45 2.701,92
SALOFALK 500 mg COM x 100 Biotoscana 8.224,06 5.932,63 4.416,76
XALAZINA 500 mg (LP) COM x 30 Hlb Pharma 2.173,50 1.561,00 1.561,00

EXOTRAN 500 mg LIB.PROL. COM x 30 Beta 2.287,45 1.669,04 1.252,47
5 XR 500 mg COM x 50 Ariston 3.384,67 2.362,30 1.675,45

PENTASA 500 mg (LP) COM x 50 Ferring 4.447,26 3.283,66 2.895,79
Página 73 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 500 mg EXOTRAN 500 mg LIB.PROL. COM x 60 Beta 4.220,69 2.904,57 2.092,10
CONDUCTASA 500 mg (LP) COM x 60 Casasco 4.319,93 3.176,29 2.451,01
5 XR 500 mg COM x 100 Ariston 6.201,70 3.936,09 2.663,36

PENTASA 500 mg (LP) COM x 100 Ferring 8.493,89 6.271,51 5.530,72
800 mg YOLECOL 800 mg COM x 30 Takeda 2.914,57 2.204,12 1.853,12
YOLECOL 800 mg COM x 60 Takeda 4.818,57 3.316,44 2.653,43
YOLECOL 800 mg COM x 90 Takeda 6.505,30 4.224,12 2.955,29


1000 mg PENTASA 1 g (LP) COM x 30 Ferring 5.372,80 3.918,30 2.963,37
PENTASA 1 g (LP) COM x 60 Ferring 10.106,85 7.065,73 5.035,16
1200 mg BUFEXAN AP 1200 mg COM x 30 Nova Argentia 4.630,74 2.997,25 2.997,25

MEZAVANT 1200 mg (LP) COM x 30 Bagó 5.039,99 3.516,40 2.511,36
BUFEXAN AP 1200 mg COM x 60 Nova Argentia 8.943,17 5.587,26 5.587,26

MEZAVANT 1200 mg (LP) COM x 60 Bagó 9.798,41 6.619,88 4.490,48
Enema 1000 mg PENTASA 1 g (LP) ENE x 7 Ferring 3.177,69 2.276,98 1.681,13
Espuma 1000 mg SALOFALK Rectal ESP x 14 Biotoscana 7.135,32 5.147,25 3.832,06
Sobres 500 mg SALOFALK Granul. Lib.Prol. SOB x 50 Biotoscana 4.143,60 2.989,09 2.225,34
1000 mg 5-ASA 1000 mg (LP) SOB x 30 Dominguez 4.587,47 3.086,54 2.070,95
PENTASA 1 g (LP) SOB x 50 Ferring 8.510,83 6.215,67 4.709,79
2000 mg 5-ASA 2000 mg (LP) SOB x 30 Dominguez 8.487,37 5.750,55 3.902,36

PENTASA 2 g (LP) SOB x 30 Ferring 10.147,03 7.492,12 6.224,11
4000 mg PENTASA 4 g (LP) SOB x 30 Ferring 16.886,79 12.100,27 12.100,27
1500 mg SALOFALK Granul. Lib.Prol. SOB x 30 Biotoscana 8.796,70 6.637,87 6.637,87
Supositorios 400 mg 5-ASA 400 mg (LP) SUP x 10 Dominguez 965,69 715,47 552,25
5-ASA 400 mg (LP) SUP x 30 Dominguez 2.764,35 1.988,39 1.475,06
500 mg YOLECOL 500 mg SUP x 30 Takeda 1.803,28 1.135,81 761,54

SALOFALK 500 mg SUP x 30 Biotoscana 4.592,42 3.411,29 3.017,58
1000 mg SALOFALK 1 g SUP x 10 Biotoscana 2.098,07 1.513,49 1.126,78
SALOFALK 1 g SUP x 30 Biotoscana 6.294,29 4.675,45 4.675,45
PENTASA 1 g (LP) SUP x 28 Ferring 6.077,18 4.354,61 3.215,07
METFORMINA
Comprimidos 500 mg METFORMINA TECHSPHERE 500 mg COM x 30 Techsphere 125,42 58,88 58,88
MEDOBIS 500 mg COM x 30 Lazar 182,41 115,53 70,15
DIABESIL 500 mg COM x 30 Gador 203,40 137,19 101,14
DIAB DOS 500 mg COM x 30 Francelab 199,13 142,93 142,93
Página 74 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 500 mg DBI 500 mg COM x 30 Montpellier 211,14 145,00 103,56

BALIGLUC 500 mg COM x 30 Baliarda 213,73 147,97 110,71
REDUGLUC 500 mg COM x 30 Microsules Argentina 279,39 205,59 205,59
METFORMINA TAURO 500 mg COM x 30 Laboratorios Tau 280,00 208,73 208,73
ISLOTIN 500 mg COM x 30 Craveri 289,56 211,41 185,36
METFORMIN TEMIS 500 mg COM x 30 Temis-Lostalo 281,09 214,95 183,78
GLUCOPHAGE 500 mg COM x 30 Elea - Phoenix 426,27 337,42 307,80

DBI 500 mg COM x 60 Montpellier 416,48 284,28 198,77
METFORMINA TAURO 500 mg COM x 60 Laboratorios Tau 461,84 347,89 347,89
BALIGLUC 500 mg COM x 60 Baliarda 489,95 358,57 302,62
DIABESIL 500 mg COM x 60 Gador 517,16 378,41 332,16
METFORMINA TECHSPHERE 500 mg COM x 100 Techsphere 391,53 169,73 169,73

DBI 500 mg COM x 100 Montpellier 690,55 471,21 326,13
GLUCOPHAGE 500 mg COM x 100 Elea - Phoenix 1.264,52 1.000,94 913,08
QUEXEL SR 500 mg COM x 30 Sanofi Aventis 291,01 163,57 97,26

MECTIN XR 500 mg COM x 30 Teva argentina ( 314,84 200,27 122,83
DBI AP 500 mg COM x 30 Montpellier 378,59 268,26 194,62
METGLUCON 500 AP COM x 30 Investi 399,84 292,56 231,60
DIABESIL AP 500 mg COM x 30 Gador 402,78 297,80 229,07
BALIGLUC AP 500 mg COM x 30 Baliarda 404,76 300,18 233,00
ISLOTIN XR 500 mg COM x 30 Craveri 448,71 327,60 287,23
GLUCOPHAGE XR LP 500 mg COM x 30 Elea - Phoenix 612,55 484,86 442,30

DAZOMET AP 500 mg COM x 60 Savant Pharm S.A. 717,91 473,70 327,91
METGLUCON 500 AP COM x 60 Investi 759,80 548,05 408,94
ISLOTIN XR 500 mg COM x 60 Craveri 852,66 622,52 534,44
GLUCOPHAGE XR LP 500 mg COM x 60 Elea - Phoenix 1.163,87 921,27 840,40
DBI AP 500 mg COM x 100 Montpellier 1.127,41 744,31 485,15

DIABESIL AP 500 mg COM x 100 Gador 1.200,76 837,06 595,31
750 mg ISLOTIN XR 750 COM x 30 Craveri 702,47 512,87 422,42

GLUCOPHAGE XR LP 750 mg COM x 30 Elea - Phoenix 816,74 632,69 510,98
ISLOTIN XR 750 COM x 60 Craveri 1.312,29 954,41 720,41

GLUCOPHAGE XR LP 750 mg COM x 60 Elea - Phoenix 1.551,18 1.168,84 912,50
850 mg OXEMET 850 mg COM x 30 GlaxoSmithKline 53,76 16,13 10,75

METFORMINA TECHSPHERE 850 mg COM x 30 Techsphere 224,77 78,43 78,43
GLUCAMINOL FORTE 850 COM x 30 Investi 247,40 92,52 70,39
GLUCOGOOD 850 mg COM x 30 Denver Farma 359,91 199,63 199,63
GLUMET 850 mg COM x 30 Lafedar 389,88 229,60 229,60
Página 75 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 850 mg DIAB DOS 850 mg COM x 30 Francelab 406,40 296,15 296,15
OXEMET 850 mg COM x 60 GlaxoSmithKline 107,45 32,23 21,49

GLUCAMINOL FORTE 850 COM x 60 Investi 490,83 183,56 139,66
GLUCOPHAGE 850 mg COM x 60 Elea - Phoenix 1.482,06 1.173,13 1.070,15
DIAB DOS 850 mg COM x 100 Francelab 1.348,12 813,86 813,86
METGLUCON 850 mg AP COM x 30 Investi 364,26 230,87 149,99

METFORMINA TAURO 850 AP COM x 30 Laboratorios Tau 358,80 240,23 240,23
MEDOBIS 850 mg AP COM x 30 Lazar 375,00 254,68 174,59
REDUGLUC AP 850 mg COM x 30 Microsules Argentina 387,50 281,42 281,42
ISLOTIN RETARD 850 mg COM x 30 Craveri 474,19 346,20 301,15
METFORMINA TECHSPHERE RTD.850 mg COM x Techsphere 441,94 187,04 187,04

60
METFORMINA TAURO 850 AP COM x 60 Laboratorios Tau 705,00 467,29 467,29
REDUGLUC AP 850 mg COM x 60 Microsules Argentina 751,09 522,96 522,96
DAZOMET AP 850 mg COM x 60 Savant Pharm S.A. 822,97 576,15 410,41
ISLOTIN RETARD 850 mg COM x 60 Craveri 936,59 683,79 599,53
REDUGLUC AP 850 mg COM x 100 Microsules Argentina 1.352,92 963,74 963,74

DBI AP 850 mg COM x 100 Montpellier 1.384,55 977,60 705,32
DIABESIL AP 850 COM x 100 Gador 1.475,22 1.079,42 863,07
ISLOTIN RETARD 850 mg COM x 100 Craveri 1.496,37 1.092,48 894,08
1000 mg ISLOTIN 1000 mg COM x 20 Craveri 504,49 368,32 322,93

METFORMIN TEMIS 1 g COM x 30 Temis-Lostalo 657,78 493,77 396,14
ISLOTIN 1000 mg COM x 50 Craveri 1.067,26 779,19 649,17

REDUGLUC 1000 mg COM x 60 Microsules Argentina 1.052,48 694,47 694,47
Página 76 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 1000 mg GLUMET 1000 mg COM x 60 Lafedar 1.050,40 710,49 710,49

DIAB DOS 1000 mg COM x 60 Francelab 1.041,79 730,54 730,54
ISLOTIN 1000 mg COM x 60 Craveri 1.111,52 773,32 548,18
METFORMIN TEMIS 1 g COM x 60 Temis-Lostalo 1.133,53 782,48 545,78
GLUCOPHAGE 1000 mg COM x 60 Elea - Phoenix 1.794,57 1.420,50 1.295,81
GLUMET 1000 mg COM x 100 Lafedar 1.645,27 1.048,33 1.048,33

DIAB DOS 1000 mg COM x 100 Francelab 1.639,62 1.090,28 1.090,28
REDUGLUC 1000 mg COM x 100 Microsules Argentina 1.693,54 1.096,60 1.096,60
ISLOTIN 1000 mg COM x 100 Craveri 1.752,27 1.164,70 768,01

DBI AP FORTE 1000 mg COM x 30 Montpellier 563,14 409,57 308,09
ISLOTIN XR 1000 COM x 30 Craveri 935,08 682,69 598,56
GLUCOPHAGE XR LP 1000 COM x 30 Elea - Phoenix 1.095,89 867,45 791,31

DAZOMET AP 1000 mg COM x 60 Savant Pharm S.A. 1.026,91 687,85 468,15
DBI AP FORTE 1000 mg COM x 60 Montpellier 1.065,44 738,55 517,76
BALIGLUC AP 1000 mg COM x 60 Baliarda 1.075,67 765,49 559,75
DIABESIL AP 1000 mg COM x 60 Gador 1.132,21 830,57 632,68
ISLOTIN XR 1000 COM x 60 Craveri 1.747,41 1.275,76 1.118,55
GLUCOPHAGE XR LP 1000 COM x 60 Elea - Phoenix 2.208,40 1.748,07 1.594,62
DBI AP FORTE 1000 mg COM x 100 Montpellier 1.759,52 1.210,87 839,50

DIABESIL AP 1000 mg COM x 100 Gador 1.867,95 1.361,58 1.028,39
Líquido 500 mg DBI METFORMINA ORAL SOL x 150 Montpellier 628,16 469,03 377,72
DBI METFORMINA ORAL SOL x 500 Montpellier 1.778,40 1.240,12 882,89
METFORMINA +
GLIBENCLAMIDA
Comprimidos 500 mg METGLUCON DUO COM x 30 Investi 382,16 256,52 256,52
DBI DUO 2,5/ 500 mg COM x 30 Montpellier 417,48 280,79 280,79
GLUCOVANCE 2,5/ 500 mg COM x 30 Elea - Phoenix 515,36 395,44 395,44
DBI DUO 5/ 500 mg COM x 30 Montpellier 517,72 405,91 405,91
GLUCOVANCE 500/ 5 mg COM x 30 Elea - Phoenix 596,65 462,40 462,40
METGLUCON DUO COM x 60 Investi 585,92 315,37 315,37

DBI DUO5/ 500 mg COM x 60 Montpellier 883,36 632,50 632,50
GLUCOVANCE 5/ 500 mg COM x 60 Elea - Phoenix 1.013,76 785,67 785,67
METILDOPA
Comprimidos 250 mg ALDOMET 250 mg COM x 30 Aspen 372,49 271,90 238,37 MAT
HIPERMET 250 mg COM x 50 Raymos 620,39 487,45 399,50
500 mg ALDOMET 500 mg COM x 30 Techsphere - Aspen 600,12 438,06 438,06 MAT
HIPERMET 500 mg COM x 40 Raymos 783,74 628,63 628,63 MAT
ALDOMET 500 mg COM x 100 Aspen 1.996,85 1.457,60 1.457,60 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 1.194,86 809,92 809,92

MFD 10 mg COM x 30 Sidus 1.231,83 848,67 848,67
RUBIFEN 10 COM x 30 Bagó 1.327,85 967,22 967,22
RITALINA LA 10 mg CAP x 30 Novartis 2.559,30 1.875,55 1.875,55
MFD 10 mg COM x 60 Sidus 2.272,27 1.457,02 1.457,02
18 mg CONCERTA 18 mg COM x 30 Janssen-Cilag 3.395,15 2.311,03 2.311,03
20 mg MFD 20 mg COM x 30 Sidus 2.286,01 1.515,99 1.515,99

RUBIFEN 20 mg COM x 30 Bagó 2.401,90 1.664,61 1.664,61
RITALINA LA 20 mg CAP x 30 Novartis 2.559,30 1.863,39 1.863,39
RUBIFEN SR 20 mg COM x 30 Bagó 3.201,33 2.395,73 2.395,73
30 mg RITALINA LA 30 mg CAP x 30 Novartis 2.980,57 2.117,92 2.117,92
36 mg CONCERTA 36 mg COM x 30 Janssen-Cilag 4.855,93 3.305,36 3.305,36
40 mg RITALINA LA 40 mg CAP x 30 Novartis 2.980,57 2.117,92 2.117,92
METIMAZOL
Comprimidos 5 mg DANANTIZOL 5 mg COM x 100 Gador 256,02 186,32 140,21
20 mg DANANTIZOL 20 mg COM x 30 Gador 319,11 232,24 174,77
METOCLOPRAMIDA
Comprimidos 10 mg RILAQUIN 10 mg COM x 20 Microsules Argentina 252,60 163,73 163,73
RELIVERAN COM x 20 Gador 254,12 168,85 168,85
10 mg RELIVERAN SUBLINGUAL 10 mg COM x 10 Gador 400,50 279,49 279,49

RILAQUIN SL 10 mg COM x 10 Microsules Argentina 397,07 282,19 282,19
Gotas 200 mg RELIVERAN NIÑOS GTS x 20 Gador 271,49 189,42 189,42
500 mg MIDATENK 0.5 % GTS x 20 Biotenk 108,00 21,60 21,60

NOVOMIT ADULTOS GTS x 20 Klonal 244,73 152,74 152,74
METOCLOPRAMIDA VANNIER ADULTOS GTS x Vannier S.A. 272,44 184,28 184,28
20
PRIMAVERA-N AD. GTS x 20 Fabra 291,53 205,09 205,09
RELIVERAN ADULTOS GTS x 20 Gador 318,44 229,59 229,59
RILAQUIN ADULTOS GTS x 20 Microsules Argentina 318,61 238,21 238,21
RELIVERAN ADULTOS GTS x 60 Gador 826,16 533,87 533,87
METOPROLOL
Comprimidos 25 mg BELOZOK 25 mg Prol. Lib. COM x 30 Astrazeneca 581,71 422,15 422,15
50 mg BELOZOK 50 mg Prol. Lib. COM x 30 Astrazeneca 691,62 501,91 501,91
100 mg BELOZOK 100 mg Prol. Lib. COM x 30 Astrazeneca 861,66 625,31 625,31
METOTREXATE
Ampollas 15 mg TRIXATE 15 mg 3 ml F.A x 5 Rontag 722,70 356,29 356,29
ARTRAIT 15 mg F.A x 5 Trb-Pharma 1.062,00 771,00 771,00
20 mg ARTRAIT 20 mg F.A x 4 Trb-Pharma 1.089,00 765,30 765,30
15 mg ARTRAIT SC 15 mg F.A x 4 Trb-Pharma 1.062,00 746,75 746,75
20 mg ARTRAIT SC 20 mg F.A x 4 Trb-Pharma 1.089,00 765,30 765,30
Página 78 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 2,5 mg ERVEMIN 2,5 mg COM x 20 Teva argentina ( 219,06 141,66 141,66
TRIXATE 2.5 mg COM x 20 Rontag 235,00 159,27 159,27
ARTRAIT 2,5 mg COM x 20 Trb-Pharma 262,00 189,40 189,40
7,5 mg TRIXATE 7.5 mg COM x 4 Rontag 164,25 104,33 104,33
TRIXATE 7.5 mg COM x 10 Rontag 374,29 223,38 223,38

ERVEMIN 7,5 mg COM x 10 Teva argentina ( 370,41 229,76 229,76
ARTRAIT 7,5 mg COM x 10 Trb-Pharma 445,00 315,30 315,30
10 mg TRIXATE 10 mg COM x 4 Rontag 171,83 103,24 103,24
TRIXATE 10 mg COM x 10 Rontag 392,89 221,49 221,49

ERVEMIN 10 mg COM x 10 Teva argentina ( 407,10 252,37 252,37
ARTRAIT 10 mg COM x 10 Trb-Pharma 485,00 341,47 341,47
15 mg ERVEMIN 15 mg COM x 4 Teva argentina ( 383,77 258,08 258,08

METOXSALEN
Comprimidos 10 mg OXSORALEN ULTRA BLANDAS CAP x 30 Investi 3.387,88 2.403,18 2.403,18
OXSORALEN ULTRA RIGIDAS CAP x 30 Investi 3.387,88 2.403,18 2.403,18
METRONIDAZOL
Comprimidos 500 mg GINKAN 500 COM x 8 Baliarda 214,78 159,35 159,35
OVUFEM COM x 8 Bernabo 223,80 171,04 171,04
COLPOFILIN 500 mg COM x 10 Lazar 198,15 129,18 129,18

NALOX 500 mg COM x 10 Omega 344,94 263,15 263,15
TRICOFIN 500 mg COM x 20 Raymos 167,82 21,88 21,88

METRONIDAZOL BIOL 500 mg COM x 20 Biol 377,60 235,10 235,10
COLPOFILIN 500 mg COM x 20 Lazar 387,96 247,93 247,93
GINKAN 500 COM x 20 Baliarda 462,04 334,63 334,63
FLAGYL 500 mg COM x 20 Sanofi Aventis 474,93 350,21 350,21
OVUFEM COM x 20 Bernabo 511,81 384,56 384,56
NALOX 500 mg COM x 20 Omega 592,70 452,17 452,17
500 mg METROCEV VAG. TAB x 12 Cevallos 460,00 322,00 322,00
Crema 1000 mg METRAL 1% CRE x 30 Cassara 404,05 293,27 293,27
Gel 800 mg METROLOCAL 0.8% GEL x 30 Craveri 735,75 520,61 520,61
Líquido 2500 mg METRONIDAZOL VANNIER SUS x 120 Vannier S.A. 351,55 247,78 247,78
METRONIDAZOL FABRA 125MG/5ML SUS x 120 Fabra 442,19 329,29 329,29
Óvulos 500 mg NALOX OVU x 6 Omega 440,06 335,72 335,72
TRICOFIN 500 mg OVU x 8 Raymos 169,94 65,43 65,43
COLPOFILIN 500 mg OVU x 10 Lazar 300,93 168,33 168,33

FLAGYL 500 mg OVU x 10 Sanofi Aventis 408,79 299,96 299,96
NALOX OVU x 12 Omega 715,49 545,85 545,85
MICONAZOL
Crema 2000 mg DERALBINE CRE x 40 Andromaco 443,44 316,36 316,36
Loción 2000 mg DERALBINE LOC x 40 Andromaco 412,16 302,96 302,96
Óvulos 400 mg NEDIS 400 mg OVU x 3 Omega 681,02 506,09 506,09
Página 79 de 116
A CARGO A CARGO
AFILIADO CRONICO
Óvulos 400 mg
Spray 1320 mg DERALBINE POLVO SPR x 90 Andromaco 760,84 542,76 542,76
Talco 2000 mg DERALBINE TAL x 40 Andromaco 430,56 307,38 307,38
MINOCICLINA CLORHIDRATO
Comprimidos 50 mg SEBOCLEAR COM x 10 Raymos 235,86 164,79 164,79
MEIBI 50 mg COM x 30 Raymos 576,24 331,46 331,46

SEBOCLEAR COM x 30 Raymos 634,61 402,92 402,92
ACNECLIN COM x 30 Investi 754,79 548,35 548,35
LIMAFIL 50 mg COM x 30 Casasco 805,84 601,09 601,09
100 mg SEBOCLEAR 100 mg COM x 10 Raymos 557,37 411,85 411,85
MEIBI 100 mg COM x 30 Raymos 1.210,89 826,31 826,31

SEBOCLEAR 100 mg COM x 30 Raymos 1.270,90 903,68 903,68
ACNECLIN 100 AP CAP x 30 Investi 1.435,20 1.011,23 1.011,23

LIMAFIL 100 mg AP COM x 30 Casasco 1.525,26 1.097,32 1.097,32
MOMETASONA FUROATO
Crema 100 mg SUAVICORT CRE x 15 Cassara 128,00 36,00 36,00
MOMETAX CRE x 15 Investi 340,81 189,65 189,65
ELOCON CRE x 15 MSD Arrgentina SR 888,95 640,91 640,91
NOVASONE CRE x 15 MSD Arrgentina SR 1.008,78 727,30 727,30
METASON CRE x 20 Fortbenton 349,06 151,66 151,66

SUAVICORT CRE x 20 Cassara 430,16 246,39 246,39
MOMETAX CRE x 30 Investi 617,65 317,83 317,83
METASON CRE x 40 Fortbenton 403,03 132,65 132,65
Inhahaldor con 0,2 mg HEXALER BRONQUIAL 200 mcg CAP. INH x 30 Investi 968,77 687,19 687,19
sistemas
HEXALER BRONQUIAL 200 mcg CAP. INH x 60 Investi 903,81 260,96 260,96
0,4 mg HEXALER BRONQUIAL 400 mcg CAP. INH x 30 Investi 990,81 710,83 710,83
HEXALER BRONQUIAL 400 mcg CAP. INH x 60 Investi 998,96 348,57 348,57
Loción 100 mg METASON LOC x 30 Fortbenton 445,07 172,69 172,69

MOMETAX LOC x 30 Investi 548,02 271,58 271,58
ELOCON LOC x 30 MSD Arrgentina SR 1.237,94 892,51 892,51
NOVASONE LOC x 30 MSD Arrgentina SR 1.409,07 1.015,90 1.015,90
Spray 0,05 mg SUAVICORT NASAL SPR x 60 Cassara 158,00 68,55 68,55

METASON NASAL MINI SPR x 60 Fortbenton 361,57 266,51 266,51
NASONEX MINI ACUOSO Nasal SPR x 60 MSD Arrgentina SR 1.109,76 800,11 800,11
HEXALER NASAL SPR x 120 Investi 486,68 304,58 304,58

METASON NASAL SPR x 120 Fortbenton 505,02 313,68 313,68
NASONEX NASAL ACUOSO SPR x 140 MSD Arrgentina SR 1.812,40 1.306,69 1.306,69
SUAVICORT NASAL SPR x 150 Cassara 844,03 627,08 627,08
MONTELUKAST SÓDICO
Comprimidos 4 mg INSPIROL 4 mg COM x 10 Lazar 453,70 330,16 330,16
INSPIROL 4 mg COM x 30 Lazar 1.212,96 818,07 818,07

ASMAVITAN 4 mg MAST COM x 30 Montpellier 1.256,01 862,69 862,69
PLENAIR 4 mg MAST. COM x 30 Nova Argentia 1.263,87 865,53 865,53
Página 80 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 4 mg AIREAL 4 mg COM x 30 Investi 1.264,51 882,35 882,35

LUKAST 4 mg COM x 30 Bagó 1.294,87 925,30 925,30
MONTRATE 4 mg COM x 30 Casasco 1.333,51 956,94 956,94
ROLAST NIÑOS 4 mg MAST. COM x 30 Elea - Phoenix 1.562,37 1.158,84 1.158,84
SINGULAIR NIÑOS 4 mg COM x 30 MSD Arrgentina SR 1.880,02 1.355,44 1.355,44
AMISPED PEDIATRICO 4 mg Mast. COM x 30 Sanofi Aventis 1.845,69 1.363,37 1.363,37
AIREAL 4 mg Mast. COM x 60 Investi 2.209,82 1.363,18 1.363,18
5 mg INSPIROL 5 mg COM x 10 Lazar 487,04 354,07 354,07
LUKASMA 5 mg COM x 30 Fortbenton 1.214,37 760,18 760,18

PLENAIR 5 mg MAST. COM x 30 Nova Argentia 1.353,51 927,34 927,34
ASMAVITAN 5 mg COM x 30 Montpellier 1.353,30 934,40 934,40
AIREAL 5 mg COM x 30 Investi 1.355,34 946,73 946,73
MONTRATE 5 mg COM x 30 Casasco 1.436,04 1.034,75 1.034,75
ROLAST NIÑOS 5 mg MAST. COM x 30 Elea - Phoenix 1.652,22 1.225,48 1.225,48
SINGULAIR 5 mg MAST. COM x 30 MSD Arrgentina SR 1.880,02 1.355,44 1.355,44
AMISPED PEDIATRICO 5 mg Mast. COM x 30 Sanofi Aventis 1.916,01 1.415,31 1.415,31
AIREAL 5 mg Mast. COM x 60 Investi 2.368,54 1.463,37 1.463,37
10 mg INSPIROL 10 mg COM x 10 Lazar 504,63 366,14 366,14
LUKASMA 10 mg COM x 30 Fortbenton 1.292,45 816,85 816,85

PLENAIR 10 mg COM x 30 Nova Argentia 1.419,40 968,01 968,01
AIREAL 10 mg COM x 30 Investi 1.420,40 987,46 987,46
ASMAVITAN 10 mg COM x 30 Montpellier 1.444,55 1.006,66 1.006,66
MONTRATE 10 mg COM x 30 Casasco 1.533,45 1.115,47 1.115,47
ROLAST 10 mg COM x 30 Elea - Phoenix 1.754,66 1.301,46 1.301,46
SINGULAIR 10 mg COM x 30 MSD Arrgentina SR 1.816,64 1.309,74 1.309,74
AMISPED 10 mg COM x 30 Sanofi Aventis 2.030,26 1.499,71 1.499,71
AIREAL 10 mg COM x 60 Investi 2.482,27 1.522,87 1.522,87
Sobres 4 mg ASMAVITAN 4 mg GRAN SOB x 30 Montpellier 1.204,76 833,58 833,58

MONTRATE SOB x 30 Casasco 1.279,80 925,77 925,77
LUKAST 4 mg Monods. SOB x 30 Bagó 1.336,65 962,57 962,57
SINGULAIR NIÑOS 4 mg GRAN. SOB x 30 MSD Arrgentina SR 1.594,14 1.149,33 1.149,33
MUPIROCINA
Crema 2000 mg PALDAR CRE x 15 Investi 539,94 365,89 365,89
MUPAX CRE x 15 Lazar 560,19 396,76 396,76
BACTROBAN CRE x 15 GlaxoSmithKline 807,12 595,81 595,81
Ungüento 2000 mg MUPAX DERM. UNG x 15 Lazar 384,26 216,26 216,26

PALDAR UNG x 15 Investi 414,66 261,88 261,88
MUPIROX 2% UNG x 15 Fortbenton 445,46 262,53 262,53
MUPIROX 2% UNG x 20 Fortbenton 437,28 191,76 191,76
2000 mg BACTROBAN NASAL UNG x 3 GlaxoSmithKline 631,51 466,17 466,17
MUPIROX NASAL 2% UNG x 5 Fortbenton 348,29 203,97 203,97

MUPAX NASAL 2% UNG x 5 Lazar 365,74 234,33 234,33
Página 81 de 116
A CARGO A CARGO
AFILIADO CRONICO
NANDROLONA
Ampollas 50 mg DECADURABOLIN 50 mg 1 ML AMP x 1 Aspen 511,41 368,35 368,35
NAPROXENO
Comprimidos 250 mg ALIDASE COM x 10 Bernabo 222,42 162,37 162,37
NAPRONTAG 250 mg COM x 20 Rontag 328,62 213,03 213,03

NAPRUX 250 mg COM x 20 Andromaco 407,56 296,01 296,01
500 mg NAPROXENO VANNIER 500 mg COM x 10 Vannier S.A. 329,92 217,69 217,69
ALIDASE 500 mg COM x 10 Bernabo 413,76 302,06 302,06
NAPROXENO TEVA 500 mg TAB x 20 Teva argentina ( 595,38 332,98 332,98

NAPRONTAG 500 mg COM x 20 Rontag 731,40 489,01 489,01
ALIDASE 500 mg COM x 40 Bernabo 1.383,33 894,63 894,63
NAPRONTAG 500 mg COM x 50 Rontag 1.529,04 863,20 863,20

NAPRUX 500 mg COM x 50 Andromaco 1.781,12 1.174,46 1.174,46
550 mg NAPRUX RAPID 550 mg COM x 10 Andromaco 395,60 279,32 279,32
NAPRUX RAPID 550 mg COM x 20 Andromaco 787,52 554,49 554,49
NAPRONTAG GESIC 550 mg COM x 10 Rontag 391,92 251,42 251,42

MOX FORTE COM x 10 Pharmadorf 563,91 432,04 432,04
NAPRONTAG GESIC 550 mg COM x 20 Rontag 780,16 529,97 529,97
750 mg CONGEX 24 750 mg AC.PROL. COM x 10 Buxton 477,20 329,88 329,88

NAPRONTAG 24 750 mg (LP) COM x 10 Rontag 527,16 375,93 375,93
NAPRONTAG 24 750 mg (LP) COM x 30 Rontag 1.440,72 954,53 954,53

CONGEX 24 750 mg AC.PROL. COM x 30 Buxton 1.525,31 1.082,57 1.082,57
NAPRUX 750 AP COM x 30 Andromaco 1.690,96 1.244,56 1.244,56
NAPRUX 750 AP COM x 60 Andromaco 3.067,28 2.155,36 2.155,36
NEOMICINA
Comprimidos 250 mg NEOMAS BOWERS COM x 16 Temis-Lostalo 795,47 584,65 584,65
NIFEDIPINA
Comprimidos 10 mg ADALAT RETARD 10 mg COM x 50 Bayer (PH) 119,18 63,61 35,24
20 mg ADALAT OROS 20 mg COM x 30 Bayer (PH) 404,41 261,55 167,04
ADALAT RETARD 20 mg COM x 50 Bayer (PH) 143,63 43,09 28,73
ADALAT OROS 30 mg COM x 30 Bayer (PH) 601,49 286,96 123,31

NIFED SOL 30 mg COM x 30 Elea - Phoenix 1.474,64 1.180,30 1.067,87
NIFED SOL 60 mg COM x 30 Elea - Phoenix 1.631,79 1.276,92 1.050,41
NIMODIPINA
Comprimidos 30 mg NIMOTOP 30 mg COM x 30 Bayer (PH) 180,36 48,02 48,02
NIMODILAT 30 mg COM x 30 Lazar 300,00 163,83 163,83
MACOBAL 30 mg COM x 30 Lafedar 382,17 275,10 275,10
ACIVAL COM x 30 Geminis Farmaceutica 400,26 285,58 285,58
Página 82 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 30 mg EXPLANER 30 mg COM x 30 Casasco 468,96 352,05 352,05

NIVAS 30 mg COM x 30 Raffo 550,89 423,09 423,09
NIMOTOP 30 mg COM x 60 Bayer (PH) 306,81 44,76 44,76

MACOBAL 30 mg COM x 60 Lafedar 570,58 323,54 323,54
ACIVAL COM x 60 Geminis Farmaceutica 671,43 405,39 405,39
EXPLANER 30 mg COM x 60 Casasco 779,16 584,91 584,91
NIVAS 30 mg COM x 60 Raffo 916,29 703,72 703,72
60 mg NIMODILAT FORTE 60 mg COM x 30 Lazar 481,48 267,82 267,82

EXPLANER 60 mg COM x 30 Casasco 766,44 575,36 575,36
NIVAS FORTE 60 mg COM x 30 Raffo 898,92 690,38 690,38
NIMODILAT FORTE 60 mg COM x 60 Lazar 635,19 217,06 217,06

EXPLANER 60 mg COM x 60 Casasco 1.237,91 851,41 851,41
NIVAS FORTE 60 mg COM x 60 Raffo 1.503,39 1.154,62 1.154,62
120 mg NIVAS XR 120 mg COM x 30 Raffo 370,82 84,28 84,28

EXPLANER LP 120 mg COM x 30 Casasco 930,53 698,55 698,55
NISTATINA
Comprimidos 500000 ui DIPNI 500000 ORAL COM x 12 Omega 548,19 409,14 409,14
DIPNI 500000 ORAL COM x 30 Omega 1.350,52 999,20 999,20
100000 ui DIPNI 10000 VAGINAL COM x 6 Omega 428,67 327,03 327,03
DIPNI 10000 VAGINAL COM x 12 Omega 685,78 469,66 469,66
Ungüento 1000000 NEOSTATIN UNG x 30 Cassara 191,36 143,36 143,36

ui
NITROFURANTOINA
Comprimidos 100 mg UROFURAN 100 mg CAP x 30 Eurolab 1.285,00 940,00 940,00
FURADANTINA MC 100 mg CAP x 36 Bagó 1.376,14 983,49 983,49
Líquido 500 mg FURADANTINA SUS x 120 Bagó 923,90 665,94 665,94
NITROFURAZONA
Apósitos 200 mg NITROFURAZONA SERTEX X 10 CM APO x 20 Sertex 333,30 244,02 244,02
NORETINDRONA
Comprimidos 5 mg PRIMOLUT-NOR 5 mg COM x 20 Bayer (PH) 112,86 60,23 60,23
10 mg PRIMOLUT NOR 10 mg COM x 20 Bayer (PH) 975,06 709,00 709,00
NORFLOXACINA
Comprimidos 400 mg URO LINFOL COM x 6 Omega 388,77 296,59 296,59
FLOXATRAL 400 mg COM x 10 Lepetit 138,00 34,80 34,80

UROXACIN 400 mg COM x 10 Lazar 356,48 259,46 259,46
MEMENTO NF COM x 10 Pharmadorf 425,21 304,64 304,64
NORFLOXACINA CRAVERI COM x 10 Craveri 449,53 328,20 328,20
UROTEM 400 mg COM x 14 Temis-Lostalo 639,29 479,89 479,89
FLOXAMICIN 400 mg COM x 20 Biotenk 169,00 33,80 33,80

FLOXATRAL 400 mg COM x 20 Lepetit 276,00 69,60 69,60
UROXACIN 400 mg COM x 20 Lazar 634,26 456,65 456,65
MEMENTO NF COM x 20 Pharmadorf 768,85 550,84 550,84
Página 83 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 400 mg UROSEPTAL COM x 20 Bagó 863,26 629,78 629,78

NORFLOXACINA CRAVERI COM x 20 Craveri 867,38 633,27 633,27
UROTEM 400 mg COM x 20 Temis-Lostalo 914,34 686,35 686,35
URO LINFOL COM x 20 Omega 1.044,43 796,79 796,79
OLANZAPINA
Ampollas 10 mg MIDAX 10 mg IM AMP x 1 Gador 289,72 200,45 200,45
Comprimidos 2,5 mg APSICO 2.5 mg COM x 28 Raymos 1.678,99 1.004,97 1.004,97

MIDAX 2.5 mg COM x 28 Gador 1.981,70 1.360,24 1.360,24
ZYPREXA 2.5 mg COM x 28 Eli Lilly 3.782,58 2.830,77 2.830,77
5 mg APSICO 5 mg COM x 14 Raymos 1.277,45 777,26 777,26

OLANZAPINA ROSPAW 5 mg COM x 14 Rospaw 1.230,00 783,59 783,59
TREXOL 5 mg COM x 14 Beta 1.390,59 935,43 935,43
MIDAX 5 mg COM x 14 Gador 1.506,81 1.067,93 1.067,93
SIMINA 5 mg COM x 14 Elea - Phoenix 1.823,61 1.385,49 1.385,49
ZYPREXA 5 mg COM x 14 Eli Lilly 2.819,11 2.109,74 2.109,74
ZYPREXA ZYDIS 5 mg TAB x 14 Eli Lilly 2.819,11 2.109,74 2.109,74
OLANZAPINA ROSPAW 5 mg COM x 28 Rospaw 2.360,00 1.428,81 1.428,81

APSICO 5 mg COM x 28 Raymos 2.482,10 1.450,54 1.450,54
ENOLEX 5 mg COM x 28 Casasco 3.075,59 2.164,26 2.164,26
TREXOL 5 mg COM x 28 Beta 3.113,54 2.200,04 2.200,04
ZYPREXA ZYDIS 5 mg Dis.Inst. TAB x 28 Eli Lilly 5.594,55 4.186,80 4.186,80
REVERTRIX 5 mg COM x 30 Richmond 2.472,33 1.346,14 1.346,14

SARTINA 5 mg COM x 30 Temis-Lostalo 3.132,91 2.083,23 2.083,23
10 mg ZYPREXA ZYDIS 10 mg Dis.Inst. TAB x 28 Eli Lilly 10.926,52 7.947,98 7.947,98

ZYPREXA ZYDIS 10 mg TAB x 14 Eli Lilly 5.597,84 4.189,26 4.189,26

ENOLEX 10 mg COM x 28 Casasco 5.893,23 4.190,33 4.190,33
REVERTRIX 10 mg COM x 30 Richmond 4.864,92 2.791,74 2.791,74

SARTINA 10 mg COM x 30 Temis-Lostalo 6.112,01 4.164,55 4.164,55
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 ( 462,59 309,45 309,45

ULCOZOL 10 mg COM x 28 Bagó 497,64 352,54 352,54
Página 84 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg DANLOX 10 mg CAP x 28 Casasco 531,58 388,55 388,55
GASTROTEM 10 mg CAP x 30 Temis-Lostalo 491,80 329,36 329,36

GASTEC 10 mg CAP x 30 Bernabo 524,98 364,58 364,58
ULCOZOL 10 mg CAP x 30 Bagó 533,07 377,59 377,59
DANLOX 10 mg CAP x 30 Casasco 549,02 394,12 394,12
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 452,81 318,06 318,06
OBLISEC 20 mg CAP x 14 Microsules Argentina 491,27 365,27 365,27
ACIMED 20 mg CAP x 15 Lepetit 287,96 133,44 133,44

IVESTRON 20 mg CAP x 15 Fecofar 418,98 273,42 273,42
TIMEZOL 20 mg CAP x 28 Richmond 771,94 532,21 532,21

LOSEC MUPS 20 mg COM x 28 Astrazeneca 845,50 599,82 599,82
OMEPRASEC HLB 20 mg CAP x 28 Hlb Pharma 923,26 665,31 665,31

IVESTRON 20 mg CAP x 30 Fecofar 798,04 495,52 495,52
DANLOX 20 mg CAP x 30 Casasco 1.016,56 737,46 737,46
GASTROTEM 20 mg CAP x 30 Temis-Lostalo 1.113,62 837,28 837,28
DANLOX 20 mg CAP x 56 Casasco 1.941,02 1.424,73 1.424,73
30 mg ULCOZOL 30 mg CAP x 28 Bagó 1.381,29 1.010,13 1.010,13
40 mg PROCELAC 40 mg CAP x 14 Teva argentina ( 753,80 540,06 540,06

PROCELAC 40 MG CAP x 28 Teva argentina ( 1.461,12 1.023,97 1.023,97

GASTEC 40 mg CAP x 28 Bernabo 1.654,78 1.206,74 1.206,74
ULCOZOL 40 mg CAP x 28 Bagó 1.675,96 1.209,20 1.209,20
ULCOZOL 40 mg COM x 28 Bagó 1.677,04 1.209,98 1.209,98

Sobres 20 mg ULCOZOL Pol. p/Susp.Oral SOB x 30 Bagó 1.818,98 1.285,81 1.285,81
OXCARBACEPINA
Comprimidos 300 mg AURENE 300 mg COM x 30 Teva argentina ( 1.969,04 1.454,55 1.143,74
TRILEPTAL 300 mg COM x 30 Novartis 2.018,15 1.478,98 1.223,39
AURENE 300 mg COM x 60 Teva argentina ( 3.522,52 2.435,08 1.705,68

Página 85 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 300 mg
600 mg AURENE 600 mg COM x 30 Teva argentina ( 3.790,19 2.767,96 2.374,34
AURENE 600 mg COM x 60 Teva argentina ( 6.455,59 4.503,71 3.203,59

Líquido 6000 mg TRILEPTAL JBE x 100 Novartis 1.260,28 895,52 654,22
OXIBUTININA
Comprimidos 5 mg DELAK 5 mg COM x 20 Raffo 505,42 350,18 350,18
UREQUIM COM x 20 Craveri 562,57 410,72 410,72
DITROPAN COM x 20 Elea - Phoenix 676,53 514,05 514,05
OXIBUTININA FERRING 5 mg COM x 20 Ferring 734,90 576,46 576,46
DELAK 5 mg COM x 30 Raffo 703,08 456,27 456,27

DITROPAN COM x 30 Elea - Phoenix 880,14 665,41 665,41
UREQUIM COM x 50 Craveri 1.306,92 934,49 934,49

DITROPAN COM x 50 Elea - Phoenix 1.535,52 1.166,74 1.166,74
OXIBUTININA FERRING 5 mg COM x 50 Ferring 1.756,01 1.377,42 1.377,42
DELAK 5 mg COM x 60 Raffo 1.351,24 841,74 841,74
DITROPAN UD 5 mg COM x 20 Elea - Phoenix 1.573,83 1.195,86 1.195,86
10 mg DITROPAN UD 10 mg COM x 20 Elea - Phoenix 1.971,11 1.447,98 1.447,98
15 mg DITROPAN UD 15 mg COM x 20 Elea - Phoenix 2.053,96 1.421,40 1.421,40
Líquido 100 mg DITROPAN JBE x 200 Elea - Phoenix 1.184,57 874,56 874,56
OXIBUTININA FERRING 1 mg/ml JBE x 200 Ferring 1.353,54 1.049,15 1.049,15
OXIMETAZOLINA
CLORHIDRATO
Colirio 25 mg NEWCLAR COL x 10 Poen 337,00 248,80 248,80
Gotas 25 mg LIDIL INFANTIL GTS x 15 Roemmers 147,45 102,87 102,87
50 mg LIDIL GTS x 15 Roemmers 213,47 148,93 148,93
Spray 50 mg OXILER D SPR x 10 Cassara 402,79 297,89 297,89
25 mg LIDIL INF.NASAL SPR x 20 Roemmers 201,87 140,83 140,83
50 mg LIDIL NASAL SPR x 20 Roemmers 223,00 147,53 147,53
OXIMETAZOLINA
CLORHIDRATO +
HIALURONICO, ÁCIDO
Colirio 0,3 mg OCUREL LC COL x 7,5 Novoplos 373,71 252,93 252,93
PANTOPRAZOL
Comprimidos 20 mg GASTROMAX 20 mg COM x 14 Gador 184,43 105,27 105,27
IBP PANTO 20 mg COM x 14 Geminis Farmaceutica 261,85 191,90 191,90
PANTOP 20 mg COM x 14 Takeda 503,05 370,37 370,37
PANTUS 20 mg GASTRORR COM x 15 Baliarda 243,54 170,55 170,55

PEPTAZOL 20 mg COM x 15 Montpellier 272,14 193,23 193,23
Página 86 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 20 mg PANGEST 20 mg COM x 15 Beta 342,80 240,43 240,43
SUPRACAM 20 mg COM x 20 Raffo 332,92 235,07 235,07
GASTROMAX 20 mg COM x 28 Gador 249,00 93,12 93,12

PANTOMETYL 20 mg COM x 30 Sanitas 395,82 233,66 233,66

ZURCAL 20 mg COM x 30 Takeda 429,17 262,05 262,05
PANTOPRAZOL DENVER FARMA 20 mg COM x 30 Denver Farma 406,35 262,40 262,40
PANTOCAS 20 mg COM x 30 Casasco 481,50 333,98 333,98
PANTOSEPTO 20 mg COM x 30 Craveri 578,23 422,16 422,16
PANGEST 20 mg COM x 30 Beta 635,53 445,75 445,75
PANTUSEC GASTR. 20 mg COM x 30 Baliarda 684,86 497,55 497,55

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

TECTA 40 mg COM x 14 Takeda 435,88 313,44 313,44


DUNCAN SIPAR 40 mg GASTRORR. COM x 28 Duncan 556,49 348,58 348,58
PANTOSEPTO 40 mg COM x 28 Craveri 1.005,54 731,50 731,50
PANTOP 40 mg COM x 28 Takeda 1.600,25 1.178,17 1.178,17
PANTOMETYL 40 mg COM x 30 Sanitas 643,98 402,02 402,02

ZURCAL 40 mg COM x 30 Takeda 682,08 428,24 428,24
PANTOPRAZOL DENVER FARMA 40 mg COM x 30 Denver Farma 690,91 487,58 487,58
GASTROMAX MAGNESICO 40 mg COM x 30 Gador 954,87 683,47 683,47
PANTOSEPTO 40 mg COM x 30 Craveri 1.011,58 738,54 738,54
PANTUSEC GASTR. 40mg COM x 30 Baliarda 1.026,33 745,62 745,62
TECTA 40 mg COM x 30 Takeda 1.439,26 1.059,65 1.059,65
Página 87 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 40 mg
GASTROMAX 40 mg COM x 60 Gador 1.297,12 811,51 811,51
PANTOCAS 40 mg COM x 60 Casasco 1.440,74 971,34 971,34
Sobres 20 mg PANTUS 20 mg SOB x 30 Baliarda 1.074,35 765,03 765,03
40 mg PANTUS 40 mg SOB x 30 Baliarda 1.274,40 907,48 907,48
PAPERAS VIRUS VIVO +

SARAMPION VIRUS VIVO +
RUBEOLA VIRUS VIVOS
ATENUADOS
Ampollas 5000 MMR II VACUNA AMP x 1 MSD Arrgentina SR 1.368,98 955,16 955,16
amb
PARACETAMOL
Comprimidos 500 mg PARACETAMOL LAZAR 500 mg COM x 20 Lazar 97,22 67,73 67,73
1000 mg PARACETAMOL RAFFO 1 G COM x 10 Raffo 129,11 96,74 96,74
PARACETAMOL LAZAR 1 g COM x 30 Lazar 205,56 112,94 112,94
TAFIROL 1 g COM x 50 Genomma Lab. 358,80 258,32 258,32
Gotas 10000 PARACETAMOL LAZAR GTS x 20 Lazar 134,26 70,80 70,80 INF
mg
PARACETAMOL MONSERRAT ECLAIR GTS x 20 Monserrat 136,16 72,73 72,73
PARACETAMOL FECOFAR GTS x 20 Fecofar 152,48 90,07 90,07 INF
TERMOFREN GTS x 20 Roemmers 182,75 132,21 132,21 INF
Líquido 2000 mg TERMOFREN SOL x 120 Roemmers 231,66 162,26 162,26
PAROXETINA
Comprimidos 10 mg PAROXIN 10 mg COM x 30 Rospaw 550,00 395,48 395,48
PONDERA 10 mg COM x 30 Eurofarma 581,81 412,36 412,36
MEPLAR 10 mg COM x 30 Baliarda 609,30 439,74 439,74
PSICOASTEN 10 mg COM x 30 Beta 610,77 447,17 447,17
TIARIX 10 mg COM x 30 Casasco 613,32 448,50 448,50
12,5 mg PSICOASTEN LC 12.5 mg COM x 30 Beta 997,20 619,46 619,46

MEPLAR LC 12.5 mg COM x 30 Baliarda 1.028,81 674,43 674,43
TIARIX CR 12.5 mg COM x 30 Casasco 1.056,33 712,74 712,74
PAXIL CR 12.5 mg COM x 30 GlaxoSmithKline 1.686,34 1.240,70 1.240,70
20 mg SOSTEL 20 mg COM x 10 Richmond 199,00 56,08 56,08

DATEVAN 20 mg COM x 10 Rontag 427,34 301,60 301,60
MEPLAR 20 mg RECUB. COM x 10 Baliarda 467,46 329,43 329,43
PAMOXET 20 mg COM x 30 Raymos 1.062,71 608,02 608,02

OPTIPAR 20 mg COM x 30 Ariston 1.087,26 622,92 622,92
PAROXIN 20 mg COM x 30 Rospaw 1.058,00 638,37 638,37
SOSTEL 20 mg COM x 30 Richmond 1.076,58 649,41 649,41
PSICOASTEN 20 mg COM x 30 Beta 1.252,42 787,51 787,51
AFENEXIL 20 mg COM x 30 Temis-Lostalo 1.333,03 903,93 903,93
DATEVAN 20 mg COM x 30 Rontag 1.282,04 904,81 904,81
PONDERA 20 mg COM x 30 Eurofarma 1.360,68 952,00 952,00
MEPLAR 20 mg RECUB. COM x 30 Baliarda 1.411,12 998,95 998,95
TIARIX 20 mg COM x 30 Casasco 1.422,64 1.022,67 1.022,67
NEUROTROX 20 mg COM x 30 Elea - Phoenix 1.806,11 1.359,34 1.359,34
AROPAX 20 mg COM x 30 GlaxoSmithKline 2.036,34 1.498,21 1.498,21
25 mg MEPLAR LC 25 mg COM x 30 Baliarda 1.148,03 703,02 703,02

TIARIX CR 25 mg COM x 30 Casasco 1.178,02 746,78 746,78
Página 88 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 25 mg PSICOASTEN LC 25 mg COM x 30 Beta 1.359,30 910,47 910,47

PAXIL CR 25 mg COM x 30 GlaxoSmithKline 2.190,16 1.611,38 1.611,38
30 mg PAROXIN 30 mg COM x 30 Rospaw 492,55 98,51 98,51

MEPLAR 30 mg COM x 30 Baliarda 1.482,07 1.113,89 1.113,89
40 mg PAROXIN 40 mg COM x 30 Rospaw 645,17 129,03 129,03

PAMOXET 40 mg COM x 30 Raymos 1.681,05 1.090,17 1.090,17
PSICOASTEN 40 mg COM x 30 Beta 2.062,47 1.525,28 1.525,28
PENICILAMINA
Comprimidos 250 mg CUPRIPEN 250 mg CAP x 30 Spedrog Caillon 5.486,88 3.797,13 3.797,13
PENICILINA G BENZATÍNICA
Ampollas 1200000 PEN DI BEN 1200000 U 5 ML AMP x 1 Bagó 490,64 356,88 356,88 INF
ui
2400000 PEN DI BEN 2400000 U 10 ML AMP x 1 Bagó 810,01 589,18 589,18
ui
PENTOSANPOLISULFONICO
ESTER + TRIAMCINOLONA
Pomada 1000 mg MANTUS PDA x 10 Investi 289,02 213,21 213,21
MANTUS PDA x 30 Investi 464,36 202,56 202,56
PENTOXIFILINA
Comprimidos 400 mg PENTOMIRON COM x 60 Craveri 1.702,89 1.201,58 1.201,58
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 1.763,64 1.264,35 1.264,35
600 mg PREVISCAN RETARD 600 mg TAB x 30 Nova Argentia 1.446,28 1.075,21 1.075,21
TRENTAL 600 mg Lib.Prol. COM x 40 Sanofi Aventis 1.763,64 1.273,97 1.273,97
PERINDOPRIL
Comprimidos 5 mg COVERENE 5 mg COM x 30 Servier 711,08 504,02 504,02
10 mg COVERENE 10 mg COM x 30 Servier 969,38 687,11 687,11
PILOCARPINA
Colirio 2000 mg ISOPTO CARPINA 2% COL x 15 Novartis 400,22 284,39 207,76
Comprimidos 5 mg WETOL COM x 30 Beta 1.902,45 1.365,65 1.010,53
PILOCARPINA + TIMOLOL
Colirio 2500 mg GLAUCOTENSIL SUSP. COL x 5 Poen 665,03 465,29 333,15
PIOGLITAZONA
Comprimidos 15 mg HIGLUCEM 15 mg COM x 28 Lazar 705,56 428,42 428,42
DIABEN P 15 mg COM x 30 Pharmadorf 287,65 57,53 57,53

CERELUC 15 mg COM x 30 Beta 969,43 716,93 716,93
30 mg HIGLUCEM 30 mg COM x 28 Lazar 858,33 423,39 423,39
DIABEN P 30 mg COM x 30 Pharmadorf 293,41 58,68 58,68

PIOTAMAX 30 mg COM x 30 Francelab 1.227,99 879,99 879,99
CERELUC 30 mg COM x 30 Beta 1.525,44 1.128,13 1.128,13
45 mg DIABEN P 45 mg COM x 30 Pharmadorf 365,18 73,04 73,04

HIGLUCEM 45 mg COM x 30 Lazar 900,00 372,95 372,95
PIOTAMAX 45 mg COM x 30 Francelab 1.251,57 763,84 763,84
CERELUC 45 mg COM x 30 Beta 1.928,37 1.426,11 1.426,11
Página 89 de 116
A CARGO A CARGO
AFILIADO CRONICO
PIRIDOSTGMINA BROMURO
Comprimidos 60 mg MESTINON 60 mg COM x 100 Roemmers 1.814,45 1.265,87 1.265,87
180 mg MESTINON TS 180 mg COM x 30 Roemmers 1.751,80 1.222,17 1.222,17
PIRIMETAMINA
Comprimidos 25 mg DARAPRIM COM x 20 GlaxoSmithKline 877,81 652,91 652,91
PLATA SULFADIAZINA +
VITAMINA A + LIDOCAINA
Apósitos 1000 mg PLATSUL A GASAS APO x 10 Soubeiran Chobet 702,89 512,24 512,24
Crema 1000 mg PLATSUL A CRE x 200 Soubeiran Chobet 1.272,47 927,33 927,33
POLISACARIDOS
STEPTOCOCO PNEUMONIAE
Ampollas 0,025 mg PNEUMOVAX 23 VIAL 0.5 ML AMP x 1 MSD Arrgentina SR 2.735,44 1.924,03 1.924,03
POTASIO CITRATO
Comprimidos 1620 mg FINALIT lib. prol. COM x 30 Finadiet 728,10 452,55 452,55
UROKIT Lib. Prol. COM x 30 Casasco 879,25 640,58 640,58
FINALIT lib. prol. COM x 60 Finadiet 1.400,21 833,48 833,48
1620000 UROKIT Lib. Prol. COM x 60 Casasco 1.688,43 1.230,11 1.230,11

mg
Sobres 3000 mg UROKIT SOB x 40 Casasco 1.360,12 1.019,31 1.019,31
FINALIT SOB x 60 Finadiet 1.333,53 911,39 911,39

UROKIT SOB x 60 Casasco 1.456,81 1.061,34 1.061,34
POTASIO CLORURO
Comprimidos 600 mg CONTROL K CAP x 30 Elea - Phoenix 1.096,18 845,63 845,63
CONTROL K CAP x 60 Elea - Phoenix 2.088,44 1.569,56 1.569,56
POTASIO GLUCONATO
Líquido 31200 KAON ELI x 150 Montpellier 212,38 161,06 161,06
mg
KAON ELI x 500 Montpellier 555,23 376,32 376,32
Sobres 4680 mg KAON POLVO SOB x 30 Montpellier 593,72 438,32 438,32
PRAMIPEXOL
Comprimidos 0,125 mg PORTIV 0.125 mg COM x 30 Buxton 278,76 187,76 187,76
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 488,81 293,07 293,07
PORTIV 0.250 mg COM x 30 Buxton 487,60 300,76 300,76
NULIPAR 0.25 mg COM x 30 Baliarda 547,93 365,11 365,11
NOXOPRAN 0.25 mg COM x 30 Casasco 554,35 373,78 373,78
SIFROL 0.250 mg COM x 30 Boehringer Ingelheim 923,08 675,65 675,65
PRAMIXAR 0.25 mg COM x 60 Ariston 217,08 43,42 43,42

NOXOPRAN 0.25 mg COM x 60 Casasco 1.369,00 1.013,52 1.013,52
NEUROSOMAT 0.25 mg COM x 90 Beta 1.402,71 852,65 852,65
PORTIV 0.250 mg COM x 100 Buxton 1.268,68 611,01 611,01
0,375 mg NULIPAR LP 0.375 mg COM x 10 Baliarda 395,13 266,92 266,92
SIFROL ER 0.375 mg COM x 30 Boehringer Ingelheim 1.453,00 1.063,53 1.063,53
0,5 mg NULIPAR 0.5 mg COM x 30 Baliarda 1.093,31 791,79 791,79
Página 90 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 0,75 mg NULIPAR LP 0.75 mg COM x 30 Baliarda 1.927,79 1.380,88 1.380,88

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

NEUROSOMAT 1 mg COM x 30 Beta 1.812,69 1.051,10 1.051,10
PORTIV 1 mg COM x 30 Buxton 1.886,00 1.167,93 1.167,93
NULIPAR 1 mg COM x 30 Baliarda 2.093,11 1.396,58 1.396,58
NOXOPRAN 1 mg COM x 30 Casasco 2.124,44 1.438,16 1.438,16
SIFROL 1 mg COM x 30 Boehringer Ingelheim 3.292,89 2.410,25 2.410,25
PRAMIXAR 1 mg COM x 60 Ariston 721,04 144,21 144,21

NULIPAR 1 mg COM x 60 Baliarda 4.272,61 2.882,83 2.882,83
NOXOPRAN 1 mg COM x 60 Casasco 5.572,36 4.125,40 4.125,40
NEUROSOMAT 1 mg COM x 90 Beta 4.871,06 2.611,13 2.611,13
PORTIV 1 mg COM x 100 Buxton 5.641,44 3.109,36 3.109,36

SIFROL 1 mg COM x 100 Boehringer Ingelheim 9.688,15 7.091,29 7.091,29
1,5 mg NULIPAR LP 1.5 mg COM x 30 Baliarda 3.389,45 2.199,14 2.199,14

3 mg NULIPAR LP 3 mg COM x 30 Baliarda 6.843,65 4.789,54 4.789,54

SIFROL ER 3 mg COM x 30 Boehringer Ingelheim 9.066,53 6.636,30 6.636,30
PRAZIQUANTEL
Comprimidos 600 mg PRAZITRAL 600 mg COM x 4 Austral 1.121,48 792,58 792,58
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 334,00 242,20 242,20
METILPRES 5 mg COM x 60 Trb-Pharma 524,00 315,75 315,75
PREGABALINA
Comprimidos 25 mg PREBANAL 25 mg CAP x 28 Raymos 381,58 253,60 253,60
LINPREL 25 mg CAP x 28 Baliarda 448,31 314,03 314,03
GAVIN 25 mg CAP x 28 Gador 457,85 323,87 323,87
CLASICA 25 mg CAP x 28 Craveri 460,19 335,98 335,98
PREBICTAL 25 mg CAP x 28 Raffo 486,31 361,34 361,34
DOLONEUTIN 25 mg CAP x 30 Geminis Farmaceutica 357,83 194,85 194,85

MYSTIKA 25 mg CAP x 30 Richmond 360,26 203,58 203,58
LUNEL 25 mg CAP x 30 Montpellier 412,50 258,06 258,06
AXUAL 25 mg CAP x 30 Teva argentina ( 426,07 284,18 284,18
PLENICA 25 mg CAP x 30 Roemmers 492,37 352,33 352,33
LYRICA 25 mg CAP x 30 Pfizer 493,80 354,81 354,81
NEURISTAN 25 mg CAP x 30 Casasco 519,19 382,50 382,50
PRINCIPIA 25 mg CAP x 30 Elea - Phoenix 571,42 427,44 427,44

50 mg PLENICA 50 mg CAP x 15 Roemmers 533,40 381,69 381,69
PREBANAL 50 mg CAP x 28 Raymos 766,53 483,02 483,02

LINPREL 50 mg CAP x 28 Baliarda 921,80 611,56 611,56
Página 91 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 50 mg PREBICTAL 50 mg CAP x 28 Raffo 1.178,91 881,91 881,91

NEURISTAN 50 mg CAP x 30 Casasco 1.009,24 697,18 697,18
PLENICA 50 mg CAP x 30 Roemmers 1.003,12 706,83 706,83
LYRICA 50 mg CAP x 30 Pfizer 1.111,28 798,48 798,48
GAVIN 50 mg CAP x 60 Gador 1.853,02 1.187,75 1.187,75
75 mg PREBIEN 75 mg CAP x 14 Ariston 183,39 36,68 36,68

PREBANAL 75 mg CAP x 14 Raymos 528,14 367,21 367,21
BALFIBRO 75 mg CAP x 14 Buxton 591,19 452,69 452,69
PREBICTAL 75 mg CAP x 14 Raffo 705,99 528,13 528,13
DOLGENAL 75 mg CAP x 15 Savant Pharm S.A. 337,54 102,64 102,64

LUNEL 75 mg CAP x 15 Montpellier 650,24 437,48 437,48
AXUAL 75 mg Dividosis COM x 15 Teva argentina ( 650,16 446,27 446,27
PGB 75 mg MULTIDOSIS COM x 15 Investi 677,73 475,66 475,66
PLENICA 75 mg CAP x 15 Roemmers 686,18 487,26 487,26
PLENICA 75 PRACTIDOSIS COM x 15 Roemmers 751,29 533,49 533,49
LINPREL MULTIDOSIS 75 mg Birran. COM x 15 Baliarda 775,90 565,87 565,87
PREBIEN 75 mg CAP x 28 Ariston 905,83 458,13 458,13

PREBANAL 75 mg CAP x 28 Raymos 1.006,67 577,76 577,76
BALFIBRO 75 mg CAP x 28 Buxton 1.162,10 777,48 777,48
GAVIN 75 mg CAP x 28 Gador 1.221,76 832,42 832,42
LINPREL 75 mg CAP x 28 Baliarda 1.270,89 884,02 884,02
CLASICA 75 mg CAP x 28 Craveri 1.346,21 974,28 974,28
PREBICTAL 75 mg CAP x 28 Raffo 1.376,81 992,26 992,26
DOLONEUTIN 75 mg CAP x 30 Geminis Farmaceutica 1.084,01 611,01 611,01

AXUAL 75 mg CAP x 30 Teva argentina ( 1.109,45 650,79 650,79
DOLGENAL 75 mg CAP x 30 Savant Pharm S.A. 1.180,39 701,44 701,44
PREBIEN 75 mg DIVIDOSIS COM x 30 Ariston 1.188,22 758,51 758,51
AXUAL 75 mg Dividosis COM x 30 Teva argentina ( 1.222,51 795,76 795,76
LUNEL 75 mg CAP x 30 Montpellier 1.257,12 807,13 807,13
MYSTIKA MULTIDOSIS 75 mg COM x 30 Richmond 1.238,98 822,70 822,70
GAVIN 75 mg CAP x 30 Gador 1.275,84 853,59 853,59
LUNEL 75 PRACTIDOSIS Birran. COM x 30 Montpellier 1.307,96 868,41 868,41
PLENICA 75 mg CAP x 30 Roemmers 1.282,08 870,08 870,08
PGB 75 mg CAP x 30 Investi 1.313,65 900,24 900,24
LYRICA 75 mg CAP x 30 Pfizer 1.317,09 904,33 904,33
NEURISTAN 75 mg CAP x 30 Casasco 1.364,97 945,85 945,85
GAVIN 75 mg BIRRANURADO COM x 30 Gador 1.370,00 974,24 974,24
PLENICA 75 PRACTIDOSIS COM x 30 Roemmers 1.412,67 1.003,15 1.003,15
PGB 75 mg MULTIDOSIS COM x 30 Investi 1.417,58 1.018,38 1.018,38
LINPREL MULTIDOSIS 75 mg Birran. COM x 30 Baliarda 1.441,57 1.041,06 1.041,06
KABIAN 75 mg CAP x 30 Temis-Lostalo 1.468,92 1.055,07 1.055,07
NEURISTAN MULTIDOSIS 75 mg COM x 30 Casasco 1.489,48 1.093,53 1.093,53
Página 92 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 75 mg KABIAN 75 MULTIDOSIS Birran. COM x 30 Temis-Lostalo 1.587,66 1.188,40 1.188,40

PRINCIPIA 75 mg CAP x 30 Elea - Phoenix 1.808,82 1.348,71 1.348,71
PRINCIPIA PRACTIDOSIS 75 mg Birran. COM x 30 Elea - Phoenix 1.891,14 1.410,09 1.410,09
AXUAL 75 mg CAP x 60 Teva argentina ( 2.103,03 1.143,32 1.143,32

PLENICA 75 mg CAP x 60 Roemmers 2.430,12 1.572,65 1.572,65
LYRICA 75 mg CAP x 60 Pfizer 2.482,74 1.620,04 1.620,04
GAVIN 75 mg Birranurado COM x 60 Gador 2.593,59 1.770,35 1.770,35
100 mg PREBICTAL 100 mg CAP x 28 Raffo 2.042,38 1.516,90 1.516,90
KABIAN 100 mg Trirran. COM x 30 Temis-Lostalo 2.080,03 1.495,33 1.495,33
150 mg PREBIEN 150 mg CAP x 28 Ariston 1.450,04 785,75 785,75

PREBANAL 150 mg CAP x 28 Raymos 1.521,23 904,00 904,00
BALFIBRO 150 mg CAP x 28 Buxton 1.872,11 1.322,88 1.322,88
LINPREL 150 mg CAP x 28 Baliarda 1.964,29 1.422,18 1.422,18
CLASICA 150 mg CAP x 28 Craveri 2.029,93 1.482,03 1.482,03
PREBICTAL 150 mg CAP x 28 Raffo 2.175,56 1.627,47 1.627,47
PREBIEN 150 mg Dividosis COM x 30 Ariston 1.489,93 796,67 796,67

DOLONEUTIN 150 mg CAP x 30 Geminis Farmaceutica 1.607,24 912,83 912,83
KABIAN 150 MULTIDOSIS COM x 30 Temis-Lostalo 1.723,34 1.012,24 1.012,24
MYSTIKA 150 mg COM x 30 Richmond 1.729,00 1.101,74 1.101,74
DOLGENAL 150 mg CAP x 30 Savant Pharm S.A. 1.929,40 1.281,64 1.281,64
LUNEL 150 mg CAP x 30 Montpellier 1.945,76 1.300,45 1.300,45
PGB 150 mg CAP x 30 Investi 1.995,36 1.401,66 1.401,66
NEURISTAN 150 mg CAP x 30 Casasco 2.066,92 1.466,16 1.466,16
KABIAN 150 mg CAP x 30 Temis-Lostalo 2.249,94 1.659,17 1.659,17
300 mg BALFIBRO 300 mg CAP x 28 Buxton 2.463,30 1.675,77 1.675,77

LINPREL 300 mg CAP x 28 Baliarda 2.643,00 1.866,65 1.866,65
DOLONEUTIN 300 mg CAP x 30 Geminis Farmaceutica 2.113,24 1.127,02 1.127,02

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 1.085,21 647,98 647,98
Página 93 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 100 mg GESLUTIN 100 mg Blandas CAP x 30 Raffo 1.375,47 1.006,35 1.006,35
PROGEST 100 mg Blandas CAP x 30 Elea - Phoenix 1.552,23 1.176,19 1.176,19
UTROGESTAN 100 mg Blandas CAP x 30 Ferring 1.722,03 1.299,27 1.299,27
200 mg MAFEL 200 mg Blandas CAP x 14 Raymos 1.196,50 728,64 728,64

GESLUTIN 200 mg Blandas CAP x 15 Raffo 1.459,20 1.015,49 1.015,49

PROGEST 200 Blandas CAP x 15 Elea - Phoenix 1.646,69 1.224,38 1.224,38
MAFEL 200 mg Blandas CAP x 28 Raymos 2.300,78 1.363,13 1.363,13

GESLUTIN 200 mg Blandas CAP x 30 Raffo 2.900,42 2.008,88 2.008,88

PROGEST 200 Blandas CAP x 30 Elea - Phoenix 3.273,07 2.424,68 2.424,68
MAFEL 200 mg Blandas CAP x 42 Raymos 3.601,14 2.193,85 2.193,85

PROMETAZINA
Ampollas 50 mg FENERGAN 2 ml AMP x 5 Sanofi Aventis 552,68 399,11 399,11
Comprimidos 25 mg FENERGAN COM x 30 Sanofi Aventis 319,55 230,76 230,76
PROPAFENONA
Comprimidos 150 mg NORMORYTMIN 150 mg COM x 20 Abbott Epd 442,64 319,80 319,80
NORMORYTMIN 150 mg COM x 50 Abbott Epd 947,59 654,67 654,67
300 mg NORMORYTMIN 300 mg COM x 20 Abbott Epd 830,78 600,23 600,23
NORMORYTMIN 300 mg COM x 50 Abbott Epd 1.770,18 1.227,46 1.227,46
PROPARACAINA
CLORHIDRATO
Colirio 500 mg POEN CAINA COL x 10 Poen 316,89 225,15 225,15
ANESTALCON COL x 15 Alcon 395,00 236,78 236,78
PROPINOX
Líquido 1000 mg SERTAL R Gotero SOL x 20 Roemmers 216,52 155,23 155,23
PROPRANOLOL
Comprimidos 10 mg PROPRANOLOL GADOR 10 mg COM x 20 Gador 182,50 136,50 106,07
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 383,87 289,20 257,65
80 mg INDERAL 80 mg COM x 50 Astrazeneca 175,71 52,71 35,14

PSYLLIUM
Polvo 50000 MOTIONAL POL x 400 Savant Consumer 2.319,00 1.665,69 1.665,69
mg
QUETIAPINA
Comprimidos 25 mg VESPARAX 25 mg COM x 10 Lazar 525,00 371,12 371,12
BIATRIX 25 mg COM x 10 Baliarda 563,90 410,25 410,25
ROSTRUM 25 mg COM x 10 Casasco 586,95 430,49 430,49
SEROQUEL 25 mg COM x 10 Bagó 644,64 483,96 483,96
Página 94 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 25 mg ATIPINA 25 mg COM x 30 Raymos 1.348,86 834,17 834,17

INQUETIA 25 mg COM x 30 Ariston 1.411,95 911,40 911,40
QUETIAROS 25 mg COM x 30 Rospaw 1.421,86 984,07 984,07
VESPARAX 25 mg COM x 30 Lazar 1.507,41 1.030,51 1.030,51
DOMINIUM 25 mg COM x 30 Beta 1.558,58 1.051,60 1.051,60
QTP 25 mg COM x 30 Investi 1.644,32 1.095,03 1.095,03
BIATRIX 25 mg COM x 30 Baliarda 1.658,49 1.190,97 1.190,97
ROSTRUM 25 mg COM x 30 Casasco 1.733,41 1.273,30 1.273,30
DENDRITEX 25 mg COM x 30 Temis-Lostalo 1.759,52 1.298,82 1.298,82
QUETIAZIC 25 mg COM x 30 Raffo 1.767,37 1.311,37 1.311,37
SEROQUEL 25 mg COM x 30 Bagó 1.792,00 1.320,96 1.320,96
KEMOTER 25 mg COM x 30 Elea - Phoenix 2.101,34 1.606,29 1.606,29
ETIASEL 25 mg COM x 30 Astrazeneca 2.946,06 2.146,86 2.146,86

50 mg BIATRIX XR 50 mg COM x 30 Baliarda 3.536,64 2.463,46 2.463,46

ROSTRUM XR 50 mg COM x 30 Casasco 3.694,99 2.657,96 2.657,96
QUETIAZIC XR 50 mg COM x 30 Raffo 3.766,29 2.737,21 2.737,21
SEROQUEL XR 50 mg COM x 30 Bagó 3.893,37 2.874,34 2.874,34
KEMOTER XR 50 mg COM x 30 Elea - Phoenix 4.757,08 3.636,37 3.636,37
ETIASEL XR 50 mg COM x 30 Astrazeneca 5.859,78 4.270,15 4.270,15
100 mg ATIPINA 100 mg COM x 30 Raymos 2.215,60 1.383,64 1.383,64

QUETIAROS 100 mg COM x 30 Rospaw 2.308,28 1.570,63 1.570,63
INQUETIA 100 mg COM x 30 Ariston 2.396,48 1.595,31 1.595,31
DENDRITEX 100 mg Tirran. COM x 30 Temis-Lostalo 2.900,40 2.146,42 2.146,42

150 mg SEROQUEL XR 150 mg COM x 30 Bagó 4.293,21 3.037,87 3.037,87

200 mg DENDRITEX 200 mg COM x 30 Temis-Lostalo 2.506,88 1.346,83 1.346,83

ATIPINA 200 mg COM x 30 Raymos 2.849,44 1.783,52 1.783,52
INQUETIA 200 mg COM x 30 Ariston 2.920,16 1.866,73 1.866,73
QUETIAROS 200 mg COM x 30 Rospaw 3.036,00 2.091,18 2.091,18
Página 95 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 200 mg ETIASEL 200 mg COM x 30 Astrazeneca 5.950,93 4.336,58 4.336,58

BIATRIX XR 200 mg COM x 30 Baliarda 3.755,30 2.569,47 2.569,47

KEMOTER XR 200 MG COM x 30 Elea - Phoenix 4.887,76 3.736,26 3.736,26
300 mg BIATRIX 300 mg COM x 30 Baliarda 4.187,32 2.925,69 2.925,69

BIATRIX XR 300 mg COM x 30 Baliarda 5.003,73 3.490,56 3.490,56

KEMOTER XR 300 mg COM x 30 Elea - Phoenix 6.658,77 5.090,05 5.090,05
400 mg BIATRIX XR 400 mg COM x 30 Baliarda 7.689,15 5.456,36 5.456,36

KEMOTER XR 400 MG COM x 30 Elea - Phoenix 9.793,49 7.486,27 7.486,27
QUININA
Comprimidos 200 mg CIRCONYL 200 mg COM x 30 Trb-Pharma 1.052,00 736,75 736,75
RABEPRAZOL
Comprimidos 10 mg RABEC 10 mg COM x 14 Elea - Phoenix 492,59 370,46 370,46
RABEC 10 mg COM x 28 Elea - Phoenix 937,90 684,92 684,92
20 mg RABEC 20 mg COM x 14 Elea - Phoenix 966,66 727,54 727,54
RABEC 20 mg COM x 28 Elea - Phoenix 1.755,86 1.282,99 1.282,99
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 3.661,72 2.663,54 2.663,54
RAMIPRIL
Comprimidos 2,5 mg TRITACE 2.5 mg COM x 30 Pharmadorf 873,80 634,80 634,80
LOSTAPRES 2.5 mg COM x 30 Temis-Lostalo 919,08 688,76 688,76
TRITACE 2.5 mg COM x 60 Pharmadorf 758,78 216,98 216,98
5 mg TRITACE 5 mg COM x 30 Pharmadorf 1.571,04 1.143,87 1.143,87

LOSTAPRES 5 mg COM x 30 Temis-Lostalo 1.645,62 1.232,72 1.232,72
10 mg TRITACE 10 mg COM x 30 Pharmadorf 2.059,94 1.477,20 1.477,20

LOSTAPRES 10 mg COM x 30 Temis-Lostalo 2.151,37 1.587,21 1.587,21
RANITIDINA
Comprimidos 150 mg GASTROSEDOL RAPID EFERV. 150 mg COM x 10 Nova Argentia 422,57 305,77 305,77
Página 96 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 150 mg RANITRAL 150 mg COM x 10 Lepetit 86,48 45,43 45,43

TAURAL 150 mg Efervescente COM x 10 Roemmers 428,52 314,38 314,38
GASTROSEDOL 150 mg COM x 20 Nova Argentia 254,24 184,82 184,82

NOTRAB 150 mg COM x 20 Microsules Argentina 301,39 234,79 234,79
RANITIDINA LAZAR 150 mg COM x 30 Lazar 264,81 141,35 141,35

VIZERUL COM x 30 Montpellier 307,86 184,28 184,28
TAURAL 150 mg COM x 30 Roemmers 366,27 263,09 263,09

NOTRAB 150 mg COM x 60 Microsules Argentina 602,78 407,35 407,35
300 mg RANITRAL 300 mg COM x 10 Lepetit 125,12 42,30 42,30

VIZERUL 300 COM x 30 Montpellier 745,93 516,55 516,55
Líquido 840 mg TAURAL ORAL SUS x 200 Roemmers 395,82 280,51 280,51
RIFAMPICINA
Comprimidos 300 mg RIFADIN 300 mg CAP x 8 Sanofi Aventis 467,12 334,88 334,88
RIFAMPICINA + ISONIACIDA
Comprimidos 300 mg RIFINAH CAP x 30 Sanofi Aventis 677,62 489,34 489,34
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 506,00 278,69 278,69
RIDRON 35 mg COM x 4 Baliarda 687,60 510,12 510,12
150 mg DUCTONAR 150 mg COM x 1 Roux Ocefa 440,94 132,93 132,93

RISEDON 150 mg COM x 1 Buxton 920,00 635,00 635,00
BONECUR 150 mg COM x 1 Teva argentina ( 924,64 645,86 645,86
RIBASTAMIN 150 mg COM x 1 Beta 1.110,93 821,58 821,58
RENTOP 150 mg COM x 1 Montpellier 1.164,94 878,30 878,30
BONECUR 150 mg COM x 3 Teva argentina ( 2.240,35 1.222,72 1.222,72

RENTOP 150 mg COM x 3 Montpellier 2.822,67 1.875,53 1.875,53
RISPERIDONA
Ampollas 25 mg RISPERDAL CONSTA 25 mg + Jga. c/Diluy. F.A x Janssen-Cilag 6.730,82 4.581,58 3.159,77
1
37,5 mg RISPERDAL CONSTA 37.5 mg DISCONTINUADO Janssen-Cilag 9.923,10 6.754,52 4.658,38

AMP x 1
RISPERDAL CONSTA 37.5 mg + Jga. c/Diluy. F.A x Janssen-Cilag 9.923,10 6.998,25 6.998,25
1
Comprimidos 0,25 mg RIATUL 0.25 mg COM x 20 Baliarda 102,01 58,28 35,59

RISPERIN 0.25 mg COM x 20 Gador 110,92 67,16 44,47
RISPERDAL 0.25 mg COM x 20 Janssen-Cilag 287,09 202,47 174,26
0,5 mg DROPICINE 0.5 mg COM x 20 Beta 239,95 145,50 94,81

RIATUL 0.5 mg COM x 20 Baliarda 262,32 177,49 120,32
Página 97 de 116
Comprimidos 0,5 mg DOZIC 0.5 mg COM x 20 Raffo 266,72 180,84 122,73

RESTELEA 0.50 COM x 20 Elea - Phoenix 315,70 236,88 188,50
RISPERDAL 0.50 mg COM x 20 Janssen-Cilag 431,75 304,49 262,07
RIATUL 0.5 mg COM x 60 Baliarda 710,10 434,49 273,73

1 mg DROPICINE 1 mg COM x 20 Beta 361,46 244,58 165,28

RIATUL 1 mg COM x 20 Baliarda 412,48 303,85 243,71
DOZIC 1 mg COM x 20 Raffo 440,50 328,24 276,11
RISPERIN 1 mg COM x 20 Gador 440,80 329,32 275,49
RESTELEA 1 mg COM x 20 Elea - Phoenix 525,93 394,62 350,85
RISPERDAL 1 mg COM x 20 Janssen-Cilag 706,94 498,57 429,11
DROPICINE 1 mg COM x 60 Beta 863,64 480,45 285,61

RISPERIN 1 mg COM x 60 Gador 1.028,87 665,76 438,78
RESTELEA 1 mg COM x 60 Elea - Phoenix 1.211,93 887,87 673,89
2 mg DROPICINE 2 mg COM x 20 Beta 759,57 459,40 299,18

RISPERDAL 2 mg COM x 20 Janssen-Cilag 1.343,79 947,71 815,68
EDALEN 2 mg COM x 60 Temis-Lostalo 360,66 128,44 128,44

DROPICINE 2 mg COM x 60 Beta 2.388,03 1.520,71 1.002,75
DOZIC 2 mg COM x 60 Raffo 2.525,47 1.704,95 1.149,03
RIATUL 2 mg COM x 60 Baliarda 2.537,49 1.739,98 1.204,57
RISPERIN 2 mg COM x 60 Gador 2.681,23 1.892,33 1.364,67
RESTELEA 2 mg COM x 60 Elea - Phoenix 3.204,01 2.404,04 2.137,38
RISPERDAL 2 mg COM x 60 Janssen-Cilag 3.815,48 2.690,86 2.315,99
3 mg EDALEN 3 mg COM x 20 Temis-Lostalo 328,93 117,15 117,15

DROPICINE 3 mg COM x 20 Beta 941,75 588,43 376,19
DOZIC 3 mg COM x 20 Raffo 1.142,22 831,83 627,03
EDALEN 3 mg COM x 60 Temis-Lostalo 523,00 186,26 186,26

DROPICINE 3 mg COM x 60 Beta 2.977,88 1.960,63 1.275,24
RISPERIN 3 mg COM x 60 Gador 3.151,29 2.194,09 1.555,93
DOZIC 3 mg COM x 60 Raffo 3.376,21 2.435,02 1.811,43
RESTELEA 3 mg COM x 60 Elea - Phoenix 4.264,38 3.199,65 2.844,74
4 mg RISPERIN 4 mg COM x 20 Gador 1.164,78 845,67 634,57

Líquido 1 mg RIATUL 1 MG/ML ORAL SOL x 30 Baliarda 923,19 578,27 367,04

RISPERIN 1 MG/ML ORAL SOL x 30 Gador 968,94 626,13 412,51
RISPERDAL ORAL SOL x 30 Janssen-Cilag 1.441,64 1.016,72 875,08
RISPERDAL ORAL SOL x 100 Janssen-Cilag 4.289,98 3.025,50 2.604,01
Página 98 de 116
A CARGO A CARGO
AFILIADO CRONICO
ROSUVASTATIN
Comprimidos 5 mg HIPOLIPOL 5 mg COM x 28 Casasco 523,00 327,53 198,80
ROSUVAST 5 mg COM x 28 Bagó 734,15 521,39 450,47
ROSUSTATIN 5 mg COM x 28 Montpellier 729,80 521,98 452,71
PARASUL 5 mg COM x 28 Sidus 973,42 719,59 634,98
CRESTOR 5 mg COM x 28 Astrazeneca 1.119,62 804,21 699,07
ROSUX 5 mg COM x 30 Lepetit 437,00 212,50 109,80

ROSTAN 5 mg COM x 30 Biotenk 503,24 276,91 159,14
ASTENDE 5 mg COM x 30 Lazar 541,67 323,46 195,51
ROSUBER 5 mg COM x 30 Bernabo 550,09 327,93 204,42
ARTOMEY 5 mg COM x 30 Teva argentina ( 554,46 347,13 206,79
HIPOLIPOL 5 mg COM x 30 Casasco 557,39 348,81 209,91
REOVEX 5 mg COM x 30 Baliarda 562,87 351,31 215,82
ROVARTAL 5 mg COM x 30 Roemmers 563,51 356,23 215,84
ROSUVASTATINA PFIZER 5 mg COM x 30 Pfizer 556,40 373,12 373,12
ROXOLAN 5 mg COM x 30 Nova Argentia 581,03 375,22 235,65
MESOTEROL 5 mg COM x 30 Finadiet 590,75 383,12 243,13
SINLIP 5 mg COM x 30 Gador 589,74 386,46 249,13
ROSUFEN 5 mg COM x 30 Raffo 616,90 411,60 272,48
NODIS 5 mg COM x 30 Temis-Lostalo 688,78 495,49 367,13
LIPOGLUTAREN 5 mg COM x 30 Craveri 835,08 609,68 534,55
LIPEX 5 mg COM x 30 Elea - Phoenix 872,45 663,09 593,30
NODIS 5 mg COM x 60 Temis-Lostalo 1.036,80 584,09 348,55

SINLIP 5 mg COM x 60 Gador 1.102,76 661,72 411,02
10 mg ASTENDE 10 mg COM x 14 Lazar 439,81 318,36 243,76

CRESTOR 10 mg COM x 14 Astrazeneca 715,54 500,88 429,32
ATERONOVA 10 mg COM x 15 Beta 316,05 164,51 75,86
BILIP 10 mg COM x 28 Richmond 669,75 403,61 223,20

ROSUCOL 10 mg COM x 28 Geminis Farmaceutica 778,14 526,80 359,66
ASTENDE 10 mg COM x 28 Lazar 786,11 530,57 359,64
ROSUSTATIN 10 mg COM x 28 Montpellier 865,90 619,33 478,54
COLESTRAX 10 mg COM x 28 Savant Pharm S.A. 956,87 711,16 568,41
LIPEX 10 mg COM x 28 Elea - Phoenix 1.085,94 825,34 715,34
CRESTOR 10 mg COM x 28 Astrazeneca 1.389,55 998,10 867,61
PARASUL 10 mg COM x 28 Sidus 1.375,70 1.016,98 897,40
ROSEDEX 10 mg COM x 30 Roux Ocefa 519,32 233,30 233,30

BILIP 10 mg COM x 30 Richmond 669,75 368,84 189,08
ROSTAN 10 mg COM x 30 Biotenk 709,50 395,00 231,56
NONLIPID 10 mg COM x 30 Denver Farma 692,39 431,50 431,50
ROSUCOL 10 mg COM x 30 Geminis Farmaceutica 777,40 488,85 295,02
ARTOMEY 10 mg COM x 30 Teva argentina ( 781,53 499,32 308,64
ROSUFEC 10 mg COM x 30 Fecofar 810,58 504,90 504,90
ROSUBER 10 mg COM x 30 Bernabo 814,04 528,61 335,07
Página 99 de 116
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg RABLOC 10 mg COM x 30 Elea - Phoenix 836,92 560,22 437,00

REOVEX 10 mg COM x 30 Baliarda 856,84 579,31 392,82
ROSUVASTATINA PFIZER 10 mg COM x 30 Pfizer 858,41 592,81 417,11
ROVARTAL 10 mg COM x 30 Roemmers 862,65 600,83 428,60
ROSULIP 10 mg COM x 30 Eurofarma 877,40 611,23 435,00
MESOTEROL 10 mg COM x 30 Finadiet 895,28 621,70 438,75
ATERONOVA 10 mg COM x 30 Beta 897,37 622,30 438,00
ROXOLAN 10 mg COM x 30 Nova Argentia 888,24 622,48 446,62
SINLIP 10 mg COM x 30 Gador 890,37 628,99 457,16
ROSUFEN 10 mg COM x 30 Raffo 914,72 643,62 462,90
NODIS 10 mg COM x 30 Temis-Lostalo 983,43 717,87 542,20
LIPOGLUTAREN 10 mg COM x 30 Craveri 1.066,81 778,87 682,89
LIPEX 10 mg COM x 30 Elea - Phoenix 1.283,73 975,67 872,99
HIPOLIPOL 10 mg COM x 56 Casasco 1.564,52 1.066,87 737,19

ROSUSTATIN 10 mg COM x 56 Montpellier 1.664,47 1.180,96 864,29
ROSUVAST 10 mg COM x 56 Bagó 1.849,70 1.349,04 1.084,39
CRESTOR 10 mg COM x 56 Astrazeneca 2.553,31 1.834,01 1.594,25
ARTOMEY 10 mg COM x 60 Teva argentina ( 1.527,10 973,80 602,38

NODIS 10 mg COM x 60 Temis-Lostalo 1.753,87 1.194,30 817,26
SINLIP 10 mg COM x 60 Gador 1.756,25 1.228,28 879,83
20 mg ASTENDE 20 mg COM x 14 Lazar 851,85 614,54 535,43
BILIP 20 mg COM x 28 Richmond 1.266,67 831,11 541,97

ROSUCOL 20 mg COM x 28 Geminis Farmaceutica 1.379,08 946,80 660,66
HIPOLIPOL 20 mg COM x 28 Casasco 1.414,86 979,61 690,76
ASTENDE 20 mg COM x 28 Lazar 1.453,70 1.036,20 763,70
ROSUSTATIN 20 mg COM x 28 Montpellier 1.514,53 1.083,26 842,63
COLESTRAX 20 mg COM x 28 Savant Pharm S.A. 1.638,94 1.219,98 946,11
PARASUL 20 mg COM x 28 Sidus 2.465,63 1.822,70 1.608,39

ROSEDEX 20 mg COM x 30 Roux Ocefa 934,18 436,20 436,20
ROSTAN 20 mg COM x 30 Biotenk 1.301,80 755,52 467,70
BILIP 20 mg COM x 30 Richmond 1.266,67 775,39 443,47
RABLOC 20 mg COM x 30 Elea - Phoenix 1.318,92 863,55 564,11
ROSUFEC 20 mg COM x 30 Fecofar 1.447,04 925,52 925,52
ROSUCOL 20 mg COM x 30 Geminis Farmaceutica 1.467,49 981,71 654,69
ROSUBER 20 mg COM x 30 Bernabo 1.482,73 991,89 660,36
HIPOLIPOL 20 mg COM x 30 Casasco 1.496,38 1.028,92 718,41
ARTOMEY 20 mg COM x 30 Teva argentina ( 1.503,01 1.039,26 732,13
REOVEX 20 mg COM x 30 Baliarda 1.532,03 1.061,59 748,38
ROSUVASTATINA PFIZER 20 mg COM x 30 Pfizer 1.522,57 1.066,30 766,04
ROVARTAL 20 mg COM x 30 Roemmers 1.530,29 1.077,44 780,33
ROSULIP 20 mg COM x 30 Eurofarma 1.557,74 1.108,43 814,61
ROXOLAN 20 mg COM x 30 Nova Argentia 1.573,65 1.116,71 815,83
SINLIP 20 mg COM x 30 Gador 1.595,19 1.146,18 852,64
MESOTEROL 20 mg COM x 30 Finadiet 1.611,45 1.156,32 857,10
ROSUFEN 20 mg COM x 30 Raffo 1.685,44 1.232,39 935,09
ATERONOVA 20 mg COM x 30 Beta 1.687,78 1.235,02 937,99
NODIS 20 mg COM x 30 Temis-Lostalo 1.741,08 1.284,26 983,49
Página 100 de 116

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 20 mg LIPOGLUTAREN 20 mg COM x 30 Craveri 1.983,23 1.447,93 1.269,50

LIPEX 20 mg COM x 30 Elea - Phoenix 2.339,53 1.778,12 1.590,98
HIPOLIPOL 20 mg COM x 56 Casasco 2.822,38 1.968,50 1.406,00

NODIS 20 mg COM x 60 Temis-Lostalo 3.084,45 2.117,57 1.467,71

SINLIP 20 mg COM x 60 Gador 3.113,01 2.199,22 1.597,54
40 mg HIPOLIPOL 40 mg COM x 28 Casasco 2.388,87 1.635,95 1.135,14

ROSUCOL 40 mg COM x 30 Geminis Farmaceutica 2.228,24 1.310,38 791,65

ROSUBER 40 mg COM x 30 Bernabo 2.347,36 1.440,57 909,38
ROVARTAL 40 mg COM x 30 Roemmers 2.512,99 1.719,54 1.195,04
HIPOLIPOL 40 mg COM x 30 Casasco 2.548,45 1.739,19 1.200,27
ARTOMEY 40 mg COM x 30 Teva argentina ( 2.544,96 1.742,75 1.210,24
ROXOLAN 40 mg COM x 30 Nova Argentia 2.623,55 1.784,04 1.217,93
REOVEX 40 mg Rec. Ran. COM x 30 Baliarda 2.531,52 1.789,51 1.789,51
SINLIP 40 mg COM x 30 Gador 2.724,56 1.950,20 1.443,30
ROSUFEN 40 mg COM x 30 Raffo 2.863,73 2.078,25 1.561,06
NODIS 40 mg COM x 30 Temis-Lostalo 2.986,67 2.200,02 1.681,75
LIPEX 40 mg COM x 30 Elea - Phoenix 3.628,74 2.770,05 2.465,13
RUSCUS ACULEATUS +
PREDNISOLONA +
CINCOCAINA CLOROHIDRATO
+ MENTOL + ZINC ÓXIDO
Pomada 800 mg PROCTO VENART PDA x 10 Casasco 412,08 304,61 304,61
PROCTO VENART PDA x 30 Casasco 912,87 592,77 592,77
RUSCUS ACULEATUS +
TRIMEBUTINA MALEATO
Crema 500 mg MIOPROPAN PROCTOLOGICO CRE x 20 Bernabo 1.002,07 735,96 735,96
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 321,70 227,22 227,22
VENTOLIN HFA INHL. C/APLICADOR AER x 200 GlaxoSmithKline 574,34 410,70 356,16
AIRCOSALM HFA C/ADAP. AER x 250 Atlas 373,81 222,25 222,25

SALBUDEN HFA AER x 250 Denver Farma 420,89 288,90 288,90
SALBUTRAL AER x 250 Cassara 431,85 289,11 289,11
AEROLEP C/ADAP. AER x 250 Austral 556,60 409,60 345,12
SALBUTRAL C/AEROMED HFA AER x 250 Cassara 617,79 461,42 461,42
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 291,35 212,45 212,45 INF
VENTOLIN P/NEBULIZAR SOL x 20 GlaxoSmithKline 439,61 317,84 277,25 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 664,83 477,27 477,27
Envase 3 mg COMBIVENT SM Sol.Nebul. Monodosis 2.5 ml ENV Boehringer Ingelheim 879,19 634,82 634,82
x 20
SALBUTRAL AC Neb.Monodosis Sol.x.2.5 ml ENV x Cassara 686,97 365,35 365,35

24
SALICÍLICO, ÁCIDO +
LÁCTICO, ÁCIDO + COLODION
ELÁSTICO
Líquido 16700 VERRUTOPIC C\APLIC. TOPICO SOL x 15 Andromaco 749,80 538,87 538,87
mg
SALMETEROL +
FLUTICASONA
Aerosol 0,025 mg FLUTIVENT HFA 25/250 mcg AER x 60 Cassara 693,83 342,26 342,26
FLUTIVENT HFA 125/25 mcg AER x 60 Cassara 680,51 361,44 361,44
FLUTIVENT HFA 125/25 mcg AER x 120 Cassara 1.350,76 712,61 712,61
FLUTIVENT HFA 25/250 mcg AER x 120 Cassara 1.539,93 836,80 836,80
NEUMOTIDE 25/ 50 mcg AER x 120 Elea - Phoenix 2.368,36 1.502,04 1.030,66
LIRTODAC PLUS 25/125 mcg AER x 120 Pharmadorf 2.210,79 1.592,07 1.176,39
LIRTODAC PLUS 25/250 mcg AER x 120 Pharmadorf 2.338,31 1.669,77 1.223,63
PROAIR BRONQUIAL 25/125 mcg AER x 120 Montpellier 2.418,95 1.822,65 1.427,24
SERETIDE HFA 25/ 50 mcg AER x 120 GlaxoSmithKline 2.548,85 1.822,83 1.376,65
PROAIR BRONQUIAL 25/250 mcg AER x 120 Montpellier 2.643,47 1.982,51 1.543,24
SERETIDE HFA 25/125 mcg AER x 120 GlaxoSmithKline 2.818,73 2.023,20 1.758,03
SERETIDE HFA 25/250 mcg AER x 120 GlaxoSmithKline 2.888,89 2.073,56 1.801,79
NEUMOTIDE 25/125 mcg AER x 120 Elea - Phoenix 2.765,93 2.114,31 1.897,10
NEUMOTIDE 25/250 mcg AER x 120 Elea - Phoenix 3.022,83 2.310,69 2.073,31
NEUMOTIDE 25/125 mcg C/AEROC AER x 120 Elea - Phoenix 3.913,56 2.991,58 2.684,25
Inhahaldor con 0,05 mg PROAIR BRONQUIAL 50/500 + APLI INH x 60 Montpellier 2.160,67 1.208,06 712,43
sistemas
PROAIR BRONQUIAL 50/250 + APLI INH x 60 Montpellier 2.133,74 1.229,42 760,77
INHALAN BRONQUIAL 500/50 mcg + Aplic. INH x Casasco 2.283,90 1.469,97 1.469,97
60
INHALAN BRONQUIAL 250/50 mcg + Aplic. INH x Casasco 2.267,43 1.526,90 1.526,90
60
NEUMOTIDE POLVO 50/500 CAP.+ APLIC. INH x Elea - Phoenix 2.727,71 1.828,55 1.828,55
60
NEUMOTIDE POLVO 50/250 CAP.+ APLIC. INH x Elea - Phoenix 2.680,49 1.855,39 1.855,39
60
SERETIDE DISKUS 50/100 mcg INH x 60 GlaxoSmithKline 2.875,59 1.988,01 1.400,85
SERTRALINA
Comprimidos 25 mg ERTA 25 mg COM x 10 Eurofarma 244,76 183,86 183,86
INSERTEC 25 mg COM x 30 Baliarda 353,97 252,37 252,37

ERTA 25 mg COM x 30 Eurofarma 361,28 259,30 259,30
ATENIX 25 mg RANURAD. COM x 30 Raffo 368,39 268,57 268,57
50 mg ERTA 50 mg COM x 10 Eurofarma 321,88 233,02 233,02
ANILAR 50 mg COM x 30 Raymos 699,59 395,90 395,90

SERTRALINA ROSPAW 50 mg COM x 30 Rospaw 736,92 463,50 463,50
ASERTRAL 50 mg COM x 30 Roemmers 881,27 618,78 618,78
SERLINA 50 mg COM x 30 Rontag 927,17 666,14 666,14
INSERTEC 50 mg COM x 30 Baliarda 939,97 671,24 671,24
ERTA 50 mg COM x 30 Eurofarma 975,94 709,36 709,36
ZOXX 50 mg COM x 30 Casasco 969,62 709,44 709,44
Página 102 de 116

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 50 mg ZOLOFT 50 mg TAB x 30 Pfizer 1.004,01 729,43 729,43

ATENIX 50 mg COM x 30 Raffo 996,03 737,13 737,13
ZOLOFT ODT 50 mg DISPERSABLE COM x 30 Pfizer 1.036,42 752,98 752,98
INSERTEC 50 mg COM x 60 Baliarda 1.592,83 982,50 982,50

ATENIX 50 mg COM x 60 Raffo 1.659,56 1.065,91 1.065,91
100 mg ERTA 100 mg COM x 10 Eurofarma 586,59 438,44 438,44
ANILAR 100 mg COM x 30 Raymos 1.101,72 573,86 573,86

SERTRALINA ROSPAW 100 mg COM x 30 Rospaw 1.340,00 897,84 897,84
ASERTRAL 100 mg COM x 30 Roemmers 1.438,32 981,55 981,55
INSERTEC 100 mg COM x 30 Baliarda 1.515,45 1.039,83 1.039,83
ZOXX 100 mg COM x 30 Casasco 1.530,06 1.069,29 1.069,29
SERLINA 100 mg COM x 30 Rontag 1.527,79 1.079,91 1.079,91
ERTA 100 mg COM x 30 Eurofarma 1.664,72 1.220,49 1.220,49
ATENIX 100 mg COM x 30 Raffo 1.697,87 1.264,27 1.264,27
ZOLOFT 100 mg TAB x 30 Pfizer 1.747,20 1.269,37 1.269,37
ZOLOFT ODT 100 mg DISPERSABLE COM x 30 Pfizer 1.803,75 1.310,46 1.310,46
INSERTEC 100 mg COM x 60 Baliarda 2.740,52 1.719,34 1.719,34
SIMVASTATIN
Comprimidos 5 mg REDUSTEROL 5 mg COM x 30 Raffo 101,50 30,45 20,30
VASOTENAL 5 mg COM x 30 Roemmers 343,69 243,08 209,54
10 mg SISTATIN 10 mg COM x 15 Lepetit 186,00 71,90 55,60
SISTATIN 10 mg COM x 30 Lepetit 333,04 111,14 79,44

NIVELIPOL 10 mg COM x 30 Temis-Lostalo 341,46 121,62 121,62
GEMISTATIN 10 mg COM x 30 Geminis Farmaceutica 770,96 517,16 346,80
VASOTENAL 10 mg COM x 30 Roemmers 801,37 564,79 410,15
TANAVAT 10 mg COM x 30 Microsules Argentina 802,76 577,47 577,47
LISAC 10 mg COM x 30 Bernabo 861,12 613,67 449,04
REDUSTEROL 10 mg COM x 30 Raffo 918,66 677,02 596,47
ZOCOR 10 mg COM x 30 MSD Arrgentina SR 1.060,30 764,44 665,82
20 mg SISTATIN 20 mg COM x 15 Lepetit 238,00 91,00 70,00
SISTATIN 20 mg COM x 30 Lepetit 437,00 150,70 109,80

GEMISTATIN 20 mg COM x 30 Geminis Farmaceutica 974,28 645,11 422,59
VASOTENAL 20 mg COM x 30 Roemmers 1.051,70 743,84 568,63
TANAVAT 20 mg COM x 30 Microsules Argentina 1.033,34 753,11 753,11
LISAC 20 mg COM x 30 Bernabo 1.105,04 797,78 595,03
REDUSTEROL 20 mg COM x 30 Raffo 1.164,03 857,84 678,83
NIVELIPOL 20 mg COM x 30 Temis-Lostalo 1.164,20 858,57 657,32
ZOCOR 20 mg COM x 30 MSD Arrgentina SR 1.226,06 883,95 769,92
40 mg REDUSTEROL 40 mg COM x 30 Raffo 1.111,17 729,97 471,43

ZOCOR 40 mg COM x 30 MSD Arrgentina SR 1.466,67 1.057,43 921,01
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 99,92 69,96 69,96
mg
SODIO DIVALPROATO
Comprimidos 134,55 IMPROVAL 125 mg Rec. COM x 30 Roemmers 457,64 263,26 156,01
mg
VALCOTE 125 mg COM x 50 Abbott Epd 724,17 394,81 223,50
Página 103 de 116

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 134,55 VALCOTE SPRINKLE 125 mg CAP x 50 Abbott Epd 1.108,18 806,48 705,92
mg
VALCOTE SPRINKLE 125 mg CAP x 100 Abbott Epd 2.122,18 1.544,42 1.281,22
269,05 IMPROVAL 250 mg Rec. COM x 30 Roemmers 741,89 530,46 391,74

mg
VALNAR 250 mg COM x 50 Teva argentina ( 1.054,45 663,64 401,11
DIVALPREX 250 mg COM x 50 Gador 1.184,62 823,66 584,55
VALCAS 250 mg COM x 50 Casasco 1.207,41 847,39 609,15
VALCOTE 250 mg COM x 50 Abbott Epd 1.218,53 858,57 620,38
EXIBRAL 250 mg COM x 50 Bagó 1.301,96 938,72 938,72
VALCOTE ER 250 mg COM x 50 Abbott Epd 1.466,67 1.034,10 747,94
538,1 mg IMPROVAL 500 mg Rec. COM x 30 Roemmers 1.244,71 856,04 597,23
VALNAR 500 mg COM x 50 Teva argentina ( 1.859,60 1.165,90 704,03

DIVALPREX 500 mg COM x 50 Gador 2.121,84 1.497,36 1.087,33
VALCOTE 500 mg COM x 50 Abbott Epd 2.148,90 1.510,56 1.087,79
VALCAS 500 mg COM x 50 Casasco 2.146,60 1.511,89 1.092,44
EXIBRAL 500 mg COM x 50 Bagó 2.341,24 1.706,14 1.706,14
IMPROVAL 500 mg Rec. COM x 60 Roemmers 2.371,94 1.566,10 1.022,83
VALCOTE ER 500 mg COM x 50 Abbott Epd 2.586,68 1.823,77 1.319,08
SODIO FLUORURO
Comprimidos 2,21 mg FLUORDENT COM x 30 Bernabo 418,35 296,17 296,17
Gotas 221 mg NEXOVITAL FLUOR GTS x 30 Eurofarma 99,35 19,87 19,87

FLUORDENT GTS x 30 Bernabo 418,35 305,56 305,56
SODIO HIALURONATO
Ampollas 20 mg MAXIOSTENIL 2 ml JPR x 1 Trb-Pharma 3.431,00 2.430,65 2.430,65
25 mg ARTFLEX 25 mg + AG X 2 JPR x 1 Teva argentina ( 2.650,86 1.880,42 1.880,42
40 mg MAXIOSTENIL PLUS 2 ML JPR x 1 Trb-Pharma 5.036,00 3.554,65 3.554,65
Colirio 400 mg HIALUDORF HD COL x 10 Pharmadorf 771,31 584,82 584,82
Gel 300 mg BIOSOL OFT. GEL x 5 Novoplos 528,19 367,13 367,13
SODIO PICOSULFATO
Comprimidos 4 mg DAGOL CETUS COM x 20 Cetus 245,61 170,84 170,84
Gotas 750 mg MODATON GTS x 30 Montpellier 352,46 226,08 226,08

TRALI 8 mg/ml GTS x 30 Rontag 359,39 253,64 253,64
RAPILAX GTS x 50 Elea - Phoenix 738,96 532,77 532,77
SOTALOL
Comprimidos 80 mg SOTACOR 80 mg COM x 20 Nova Argentia 910,70 664,18 664,18
160 mg SOTACOR 160 mg COM x 20 Nova Argentia 1.300,92 948,77 948,77
SUCRALFATO
Líquido 20000 GASTROMED SUS x 200 Sanitas 609,22 371,34 371,34
mg
NETUNAL SUS x 200 Elea - Phoenix 793,24 573,37 573,37
SUCRALMAX SUS x 200 Eurofarma 788,26 576,61 576,61
SULFASALAZINA
Comprimidos 500 mg FLOGOSTOP 500 mg COM x 60 Teva argentina ( 976,12 636,24 636,24
AZULFIDINE EN-TABS TAB x 60 Pfizer 1.117,91 803,24 803,24
Página 104 de 116

A CARGO A CARGO
AFILIADO CRONICO
SULTAMICILINA
Comprimidos 375 mg UNASYNA 375 mg TAB x 8 Pfizer 429,75 317,57 317,57
AMPIGEN SB 375 mg COM x 8 Fabra 488,24 364,73 364,73
UNASYNA 375 mg TAB x 16 Pfizer 813,67 580,15 580,15
SUMATRIPTÁN
Ampollas 6 mg MICRANIL 0.50 ml JPR x 1 Pharmadorf 3.625,15 2.742,29 2.742,29
Comprimidos 50 mg IMIGRAN 50 mg TAB x 4 GlaxoSmithKline 1.258,70 891,50 891,50
100 mg MIGRATRIPTAN 100 mg COM x 2 Craveri 924,92 675,27 675,27

MICRANIL COM x 2 Pharmadorf 951,19 700,25 700,25
MICRANIL COM x 4 Pharmadorf 1.751,09 1.194,57 1.194,57

MIGRATRIPTAN 100 mg COM x 4 Craveri 1.699,39 1.199,44 1.199,44
TAMSULOSINA
Comprimidos 0,4 mg OMNIC 0.4 mg Lib.Control. CAP x 30 Gador 928,32 413,90 145,90
UROPROST-Q 0.4 mg CAP x 30 Ariston 1.179,11 675,19 392,27
DENVERPROST 0.4 mg Lib.Control. CAP x 30 Denver Farma 1.168,34 732,83 732,83
UROCETINA 0.4 mg ib.Prol. CAP x 30 Eurolab 1.220,00 754,44 439,28
DIUFORTAN 0.4 mg CAP x 30 Lazar 1.208,33 764,59 764,59
TAMSUNA 0.4 mg CAP x 30 Sandoz 1.322,85 857,94 543,36
PROSTOKLAR 0.4 mg Lib.Prol. COM x 30 Baliarda 1.487,85 1.034,35 729,95
TOLOXANE 0.4 mg LP CAP x 30 Beta 1.525,32 1.042,02 735,78
URALOS CR 0.4 mg COM x 30 Casasco 1.561,17 1.130,18 846,23
LOSTAM 0.4 mg Lib.Prol. CAP x 30 Temis-Lostalo 1.583,28 1.146,65 857,51
ACLOSAN 0.4 mg CAP x 30 Gobbi 1.593,59 1.167,70 903,59
TANSILOPROST RETARD 0.4 mg Lib.Prol. COM x Finadiet 1.637,29 1.209,72 928,90
30
TANSILOPROST 0.4 mg CAP x 30 Finadiet 1.637,35 1.209,79 928,99
OMNIC OCAS 0.4 mg Lib.Prol. COM x 30 Gador 1.693,20 1.211,66 1.051,14
REDUPROST 0.4 mg CAP x 30 Raffo 1.682,04 1.260,04 986,84
URIFLUX 0.4 mg CAP x 30 Sidus 1.875,32 1.393,11 1.232,37
SULOS 0.4 mg CAP x 30 Elea - Phoenix 1.881,67 1.429,76 1.223,81
SECOTEX OCAS 0.4 mg COM x 30 Boehringer Ingelheim 2.827,07 2.069,29 1.816,69
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 1.974,12 952,68 491,10
DIUFORTAN 0.4 mg CAP x 60 Lazar 1.990,74 968,70 497,05
PROSTOKLAR 0.4 mg Lib.Prol. COM x 60 Baliarda 2.403,46 1.373,25 837,23
TANSILOPROST RETARD 0.4 mg Lib.Prol. COM x Finadiet 2.731,30 1.751,19 1.154,06
60
TANSILOPROST 0.4 mg CAP x 60 Finadiet 2.731,34 1.751,24 1.154,10
REDUPROST 0.4 mg CAP x 60 Raffo 2.808,44 1.846,45 1.228,72
OMNIC OCAS 0.4 mg Lib.Prol. COM x 60 Gador 3.081,73 2.237,76 1.956,43
TELMISARTAN
Comprimidos 40 mg TELPRES 40 mg COM x 28 Craveri 1.450,43 703,80 703,80
BERTEL 40 mg COM x 28 Elea - Phoenix 2.059,19 1.338,37 1.338,37
GLIOSARTAN 40 mg COM x 28 Bagó 2.124,93 1.429,44 1.429,44
MICARDIS 40 mg COM x 28 Boehringer Ingelheim 2.496,91 1.827,62 1.827,62
80 mg TELPRES 80 mg COM x 28 Craveri 2.030,59 983,41 983,41

BERTEL 80 mg COM x 28 Elea - Phoenix 2.894,51 1.885,01 1.885,01
GLIOSARTAN 80 mg COM x 28 Bagó 2.972,73 1.995,07 1.995,07
MICARDIS 80 mg COM x 28 Boehringer Ingelheim 3.507,51 2.567,34 2.567,34
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 406,04 292,66 217,66
TERAZOSINA
Comprimidos 2 mg GERIPROST 2 mg COM x 20 Teva argentina ( 272,23 148,52 84,28
FLUMARC 2 mg COM x 20 Raffo 324,10 203,45 135,48
FOSFOMIK 2 mg COM x 30 Finadiet 573,13 415,88 311,69

BLAVIN 2 mg COM x 30 Baliarda 572,26 415,95 312,62
ANDRIN 2 mg COM x 30 Casasco 583,95 428,18 325,33
BLAVIN 2 mg COM x 60 Baliarda 1.089,93 765,91 548,90
5 mg GERIPROST 5 mg COM x 20 Teva argentina ( 325,51 170,84 90,30

BENAPROST 5 mg COM x 28 Bagó 640,95 452,53 326,61

BLAVIN 5 mg COM x 60 Baliarda 1.369,68 958,35 681,71
10 mg GERIPROST 10 mg COM x 20 Teva argentina ( 485,21 303,44 188,00


BLAVIN 10 mg COM x 60 Baliarda 1.741,30 1.238,96 904,03
TERBINAFINA
Comprimidos 250 mg LAMISIL 250 mg COM x 14 Novartis 238,16 47,63 47,63
TACNA 250 mg COM x 14 Raymos 746,88 517,38 517,38
FUNGUEAL 250 mg COM x 14 Lazar 754,63 523,60 523,60
TACNA 250 mg COM x 28 Raymos 1.423,50 915,02 915,02

FUNGUEAL 250 mg COM x 28 Lazar 1.430,56 929,84 929,84
LAMISIL 250 mg COM x 28 Novartis 1.869,11 1.369,75 1.369,75
Crema 1000 mg FUNGUEAL 1% CRE x 15 Lazar 212,04 144,75 144,75
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) 784,59 562,07 562,07
1000 mg NEBIDO 1000 mg/4 ml (1 g) AMP x 1 Bayer (PH) 4.846,04 3.282,65 3.282,65
TETÁNICO TOXOIDE
Ampollas 75 ui VACUNA ANTITETANICA BIOL + JGA AMP x 1 Biol 470,73 289,29 289,29 MAT
TETANOL PUR 0.5 ML JPR x 1 GlaxoSmithKline 598,67 436,79 436,79 MAT
TETRACICLINA
Comprimidos 250 mg TETRACICLINA OMEGA COM x 16 Omega 538,95 406,65 406,65
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 740,80 547,87 547,87
CICLOTETRYL 500 CAP x 60 Fortbenton 1.213,44 807,23 807,23
TIBOLONA
Comprimidos 1,25 mg DISCRETAL 1.25 mg COM x 30 Beta 946,98 643,57 643,57
CLIMATIX 1.25 mg COM x 30 Investi 1.045,87 765,27 765,27
PARACLIM 1.25 mg COM x 30 Elea - Phoenix 1.085,77 814,23 814,23
2,5 mg KLIMASTRESS COM x 30 Craveri 970,70 540,17 540,17

TOCLINE 2.5 mg COM x 30 Rontag 979,70 588,47 588,47
DISCRETAL 2.5 mg COM x 30 Beta 1.272,11 868,90 868,90
CLIMATIX 2.5 mg COM x 30 Investi 1.291,91 934,71 934,71
PARACLIM 2.5 mg COM x 30 Elea - Phoenix 1.458,92 1.094,06 1.094,06
TIBOFEM 2.5 mg COM x 30 MSD Arrgentina SR 1.651,37 1.190,59 1.190,59
TICLOPIDINA CLORHIDRATO
Comprimidos 250 mg DOSIER COM x 40 Casasco 1.299,89 948,82 948,82
TIMOLOL
Colirio 250 mg PROFLAX 0.25% COL x 5 Sidus 270,17 192,38 140,93
500 mg TIMOPTIC XE 0.50% COL x 2,5 Mundipharma Ofta 878,89 643,11 564,51
PROTEVIS 500 mg COL x 5 Allergan-Loa 265,79 85,99 60,30

ZOPIROL 0.50 % COL x 5 Elea - Phoenix 337,09 155,38 125,32
POENTIMOL 0.50% COL x 5 Poen 357,06 172,41 93,08
TIMOLOL DORF 0.5 % COL x 5 Pharmadorf 504,14 316,94 219,83
PLOSTIM 0.50% COL x 5 Novartis 508,48 342,56 230,80
PROFLAX 0.50% COL x 5 Sidus 652,00 478,72 420,96
TINIDAZOL
Comprimidos 500 mg FASIGYN 500 ORAL TAB x 8 Pfizer 160,92 48,43 48,43
GYNORMAL ORAL COM x 8 Eurofarma 337,97 247,37 247,37
1000 mg FASIGYN 1 g ORAL TAB x 4 Pfizer 180,77 125,65 125,65
TIORIDAZINA
Comprimidos 10 mg MELERIL 10 GRA x 25 Roemmers 369,59 256,80 256,80
25 mg MELERIL 25 GRA x 25 Roemmers 488,44 339,38 339,38
200 mg MELERIL RETARD 200 mg COM x 20 Roemmers 960,22 667,18 667,18
TOBRAMICINA
Colirio 300 mg TOBRAMICINA DORF COL x 5 Pharmadorf 183,26 52,27 52,27
BIDEON BIOTIC COL x 5 Fecofar 263,63 130,27 130,27
TOBRAMICINA ATLAS COL x 5 Atlas 306,82 173,91 173,91
GOTABIOTIC SUSP. COL x 5 Poen 327,31 199,53 199,53
FOTEX COL x 5 Elea - Phoenix 413,26 301,77 301,77
TOBRAGAN 0.3% COL x 5 Allergan-Loa 428,98 304,61 304,61
TOBREX COL x 5 Novartis 497,41 364,52 364,52
TOBREX COL x 10 Novartis 266,02 53,20 53,20

RADINA COL x 10 Spedrog Caillon 377,21 135,13 135,13
Gel 300 mg GOTABIOTIC OFT. GEL x 5 Poen 352,60 246,70 246,70
Página 107 de 116

A CARGO A CARGO
AFILIADO CRONICO
TOBRAMICINA +
DEXAMETASONA
Colirio 300 mg TOBRALER DX SUSP. COL x 5 Lersan 264,96 118,14 118,14
BIDEON BIOTIC PLUS COL x 5 Fecofar 291,46 133,10 133,10
TOBRATLAS DEXA COL x 5 Atlas 350,90 189,27 189,27
RADINA DEX COL x 5 Spedrog Caillon 368,01 207,31 207,31
GOTABIOTIC F COL x 5 Poen 370,45 211,13 211,13
FOTADEX COL x 5 Elea - Phoenix 495,94 369,09 369,09
DECADRON C/TOBRAMICINA SUSP. COL x 5 Sidus 507,82 375,40 375,40
TOBRADEX COL x 5 Novartis 535,59 392,50 392,50
Ungüento 300 mg GOTABIOTIC F OFT. UNG x 3,5 Poen 406,16 258,25 258,25
FOTADEX OFT. UNG x 3,5 Elea - Phoenix 576,80 418,55 418,55
TOBRADEX OFT. UNG x 3,5 Novartis 582,75 427,06 427,06
TOBRAMICINA +
HIALURONICO, ÁCIDO
Colirio 300 mg TOBRALER COL x 5 Lersan 246,56 188,96 188,96
TOPIRAMATO
Comprimidos 15 mg TOPAMAC SPRINKLE 15 mg DISPERS CAP x 60 Janssen-Cilag 1.290,96 878,74 878,74
25 mg EPISTAL 25 mg COM x 28 Casasco 728,84 519,08 519,08

TOPICTAL 25 mg COM x 28 Raffo 761,94 552,11 552,11
TOPAMAC 25 mg COM x 28 Janssen-Cilag 818,90 577,53 577,53
NEUTOP 25 mg COM x 28 Elea - Phoenix 837,37 636,98 636,98
TOPICTAL 25 mg COM x 56 Raffo 1.344,93 883,14 883,14

NEUTOP 25 mg COM x 56 Elea - Phoenix 1.587,05 1.170,40 1.170,40
TOPAMAC SPRINKLE 25 mg DISPERS CAP x 60 Janssen-Cilag 2.224,86 1.569,08 1.569,08
50 mg EPISTAL 50 mg COM x 28 Casasco 1.378,90 995,52 995,52

TOPICTAL 50 mg COM x 28 Raffo 1.434,96 1.047,40 1.047,40
TOPAMAC 50 mg COM x 28 Janssen-Cilag 1.506,80 1.062,66 1.062,66

100 mg EPISTAL 100 mg COM x 28 Casasco 2.133,05 1.556,46 1.556,46

TOPAMAC 100 mg COM x 28 Janssen-Cilag 2.296,31 1.619,47 1.619,47
EPISTAL 100 mg COM x 56 Casasco 3.963,84 2.755,29 2.755,29

TRIAMCINOLONA
Aerosol 0,055 mg NASACORT AQ AER x 120 Sanofi Aventis OTC 909,88 611,20 611,20
Ampollas 30 mg FORTCINOLONA 5 ML AMP x 1 Fortbenton 713,23 499,91 499,91
40 mg FORTCINOLONA 40 mg 1 ml AMP x 1 Fortbenton 1.022,55 716,72 716,72
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 1.109,39 827,75 827,75
10 mg CUAIT TRIFLUOPERAZINA 10 mg COM x 30 Ariston 1.226,64 915,23 915,23
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 699,13 487,97 487,97
TRIHEXIFENIDILO CEVALLOS 5 mg COM x 50 Cevallos 740,00 518,00 518,00
TRIMEBUTINA MALEATO
Comprimidos 100 mg EUMOTIL 100 mg COM x 20 Baliarda 303,45 225,11 225,11
MIOPROPAN 100 COM x 20 Bernabo 305,44 229,60 229,60
PLIDEX 100 COM x 30 Roemmers 343,36 224,51 224,51
MIOPROPAN 100 COM x 40 Bernabo 487,27 317,03 317,03
200 mg BIORGAN 200 mg COM x 20 Teva argentina ( 344,24 249,03 249,03

EUMOTIL 200 mg COM x 20 Baliarda 409,09 303,48 303,48
MIOPROPAN 200 mg COM x 20 Bernabo 405,63 305,41 305,41
DEBRIDAT 200 mg COM x 20 Pfizer 456,47 327,99 327,99
COLIXANE 200 COM x 30 Sanitas 393,62 247,57 247,57

PROCINET NF 200 mg COM x 30 Eurofarma 444,62 282,05 282,05
PLIDEX 200 COM x 30 Roemmers 469,24 332,23 332,23
NEOTINA 200 COM x 30 Rossmore Pharma 613,55 468,49 468,49
BIORGAN 200 mg COM x 40 Teva argentina ( 564,29 360,02 360,02

DEBRIDAT 200 mg COM x 40 Pfizer 853,77 613,46 613,46

NEOTINA 200 COM x 60 Rossmore Pharma 1.242,13 954,63 954,63
300 mg BIORGAN AP 300 mg COM x 20 Teva argentina ( 436,16 307,81 307,81

MIOPROPAN LP 300 mg COM x 20 Bernabo 529,95 394,84 394,84
DEBRIDAT AP 300 mg LIB.PROL. COM x 20 Pfizer 601,37 432,10 432,10
MIOPROPAN LP 300 mg COM x 30 Bernabo 633,95 435,79 435,79

PLIDEX AP 300 mg COM x 30 Roemmers 627,29 444,16 444,16
EUMOTIL 300 Lib.Prol. COM x 30 Baliarda 669,96 482,22 482,22
MIOPROPAN LP 300 mg COM x 60 Bernabo 1.218,59 810,12 810,12
TRIMETOPRIMA +
SULFAMETOXASOL
Comprimidos 80 mg BACTRIM COM x 20 Investi 441,99 313,52 313,52
160 mg NETOCUR 800/160 mg COM x 10 Duncan 292,01 110,88 110,88

TRITENK FORTE COM x 10 Biotenk 404,71 207,83 207,83
BACTRIM FORTE COM x 10 Investi 589,58 431,40 431,40
BACTICEL COM x 12 Bagó 552,42 315,78 315,78
DOSULFIN FORTE COM x 14 Nova Argentia 587,16 312,56 312,56
Líquido 40 mg NETOCUR JBE x 100 Duncan 281,38 138,23 138,23

BACTRIM JBE x 100 Investi 461,90 329,93 329,93
ADRENOL JBE x 100 Fabra 500,66 368,77 368,77
BACTICEL JBE x 120 Bagó 479,13 290,17 290,17
TROPICAMIDA
Página 109 de 116

A CARGO A CARGO
AFILIADO CRONICO
Colirio 1000 mg ALCON MYDRIL 1% COL x 5 Alcon 424,42 296,93 296,93
URSODESOXICÓLICO, ÁCIDO
Comprimidos 150 mg AUDECOL 150 mg COM x 20 Ariston 547,69 344,69 344,69
URSODIOL 150 mg COM x 20 Pharmanove 551,54 380,04 380,04
DEXO 150 mg COM x 20 Dominguez 631,20 440,26 440,26
URZAC 150 mg COM x 20 Eurofarma 640,46 453,56 453,56
250 mg UDCA FERRING 250 mg CAP x 30 Ferring 1.517,16 1.095,32 1.095,32
UDCA FERRING 250 mg CAP x 60 Ferring 2.889,89 2.086,36 2.086,36
URSOFALK 250 mg CAP x 100 Biotoscana 5.428,12 3.915,71 3.915,71
300 mg AUDECOL 300 mg COM x 20 Ariston 968,71 681,54 681,54

DEXO 300 mg COM x 20 Dominguez 1.082,03 808,56 808,56
UTRAL 300 mg COM x 30 Sanitas 1.192,11 752,31 752,31

URSODIOL 300 mg COM x 30 Pharmanove 1.242,00 804,65 804,65
URSOMAX 300 mg COM x 30 Spedrog Caillon 1.370,81 900,35 900,35
URZAC 300 mg COM x 30 Eurofarma 1.411,20 1.005,10 1.005,10
URSOTOP COM x 30 Rossmore Pharma 1.835,50 1.407,44 1.407,44
URSODIOL 300 mg COM x 50 Pharmanove 2.052,06 1.404,56 1.404,56

AUDECOL 300 mg COM x 50 Ariston 2.232,14 1.495,04 1.495,04
DEXO 300 mg COM x 50 Dominguez 2.608,13 1.929,59 1.929,59
URZAC 300 mg COM x 50 Eurofarma 2.641,60 1.969,70 1.969,70
URSOTOP 300 mg COM x 50 Rossmore Pharma 3.442,10 2.749,99 2.749,99
UTRAL 300 mg COM x 60 Sanitas 2.350,08 1.448,06 1.448,06

URSOMAX 300 mg COM x 60 Spedrog Caillon 2.649,61 1.689,09 1.689,09
500 mg DEXO FORTE 500 mg COM x 30 Dominguez 2.443,05 1.665,94 1.665,94

URSODIOL FORTE 500 mg COM x 30 Pharmanove 2.390,16 1.718,16 1.718,16
URZAC FORTE 500 mg COM x 30 Eurofarma 2.477,38 1.780,33 1.780,33
URSODIOL FORTE 500 mg COM x 50 Pharmanove 3.662,06 2.535,06 2.535,06

URSOFALK 500 mg COM x 50 Biotoscana 5.281,40 3.923,07 3.923,07
URSOFALK 500 mg COM x 100 Biotoscana 10.043,14 7.460,13 7.460,13
Líquido 250 mg URSOFALK Oral SUS x 250 Biotoscana 4.099,93 2.957,59 2.957,59
VAC. ANTIPOLIOMIELITIS
Ampollas 0,001 ml IMOVAX POLIO AMP x 1 Sanofi Pasteur 515,85 369,78 369,78
VALPROICO, ÁCIDO
Comprimidos 250 mg DEPAKENE Bllandas CAP x 50 Abbott Epd 739,14 525,32 383,86
Líquido 250 mg LOGICAL JBE x 120 Teva argentina ( 354,71 235,80 157,20 INF
DEPAKENE JBE x 120 Abbott Epd 409,90 290,37 211,20 INF
EXIBRAL JBE x 120 Bagó 434,02 314,30 234,95 INF
VALSARTAN
Comprimidos 40 mg DIOVAN IC 40 mg COM x 14 Novartis 854,78 607,39 443,73
80 mg DIOVAN 80 mg COM x 14 Novartis 212,38 63,71 42,48

SIMULTAN 80 mg COM x 14 Lazar 420,37 270,93 169,76
RACORVAL 80 mg COM x 14 Nova Argentia 476,44 338,31 292,27
Página 110 de 116

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 80 mg ALPERTAN 80 mg COM x 14 Raffo 524,23 386,49 295,89
DIAPRESAN 80 mg COM x 15 Montpellier 445,19 268,49 175,00

SARVAL 80 mg COM x 15 Baliarda 507,30 350,82 245,68
HIPERVAL 80 COM x 28 Richmond 730,53 422,50 223,36

SIMULTAN 80 mg COM x 28 Lazar 824,07 521,06 316,17
DILCORAN 80 mg COM x 28 Casasco 979,94 689,92 495,51
RACORVAL 80 mg COM x 28 Nova Argentia 1.012,64 726,10 534,82
ALPERTAN 80 mg COM x 28 Raffo 1.055,13 780,88 600,83
DIOVAN 80 mg COM x 28 Novartis 1.140,59 823,79 718,19
COROSAN 80 mg COM x 30 Elea - Phoenix 828,08 476,70 316,34

NICORVAS 80 mg COM x 30 Temis-Lostalo 986,45 655,54 443,18
SARVAL 80 mg COM x 30 Baliarda 1.013,02 698,55 486,91
DILCORAN 80 mg COM x 56 Casasco 1.878,02 1.278,99 873,21
160 mg SIMULTAN 160 mg REC. COM x 14 Lazar 528,70 329,51 198,66

RACORVAL 160 mg COM x 14 Nova Argentia 597,16 420,49 304,96
ALPERTAN 160 mg COM x 14 Raffo 626,29 435,57 307,24
DIOVAN 160 mg COM x 14 Novartis 809,08 584,36 509,46

SARVAL 160 mg COM x 15 Baliarda 658,27 455,08 318,63
HIPERVAL 160 COM x 28 Richmond 911,34 497,22 253,41

SIMULTAN 160 mg REC. COM x 28 Lazar 1.050,93 650,73 391,11
DILCORAN 160 mg COM x 28 Casasco 1.233,80 855,73 602,10
ALPERTAN 160 mg COM x 28 Raffo 1.362,35 1.003,69 767,72
DIOVAN 160 mg COM x 28 Novartis 1.456,02 1.051,61 916,81
COROSAN 160 mg COM x 30 Elea - Phoenix 1.028,87 573,46 393,05

DIAPRESAN 160 mg COM x 30 Montpellier 1.082,16 621,85 382,06
NICORVAS 160 mg COM x 30 Temis-Lostalo 1.266,73 836,71 559,96
DILCORAN 160 mg COM x 56 Casasco 2.475,67 1.704,27 1.183,38
320 mg DIOVAN 320 mg COM x 14 Novartis 239,00 71,70 47,80

ALPERTAN 320 mg COM x 14 Raffo 809,50 606,11 538,31
SIMULTAN 320 mg COM x 28 Lazar 1.108,33 649,73 382,10

DILCORAN 320 mg Rec. COM x 28 Casasco 1.418,20 1.004,03 726,93
ALPERTAN 320 mg COM x 28 Raffo 1.431,46 1.020,99 747,23
DIOVAN 320 mg COM x 28 Novartis 1.589,03 1.147,67 1.000,55
COROSAN 320 mg COM x 30 Elea - Phoenix 1.232,91 726,73 471,00

DILCORAN 320 mg COM x 56 Casasco 2.900,75 2.085,99 1.544,09
VALSARTAN +
HIDROCLOROTIAZIDA
Comprimidos 80 mg SIMULTAN D 80/12.5 mg COM x 14 Lazar 490,74 351,79 260,97
SIMULTAN D 80/12.5 mg COM x 28 Lazar 845,37 535,66 325,26

DILCORAN D 80/12.5 mg COM x 28 Casasco 1.005,21 718,85 529,42
Página 111 de 116

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 80 mg RACORVAL D 80/12.5 mg COM x 28 Nova Argentia 1.037,15 746,93 553,97

ALPERTAN D 80/12.5 mg COM x 28 Raffo 1.095,85 808,18 617,55
DIOVAN D 80/12.5 mg COM x 28 Novartis 1.364,61 1.000,04 878,51
COROSAN D 80/12.5 mg COM x 30 Elea - Phoenix 751,49 421,07 421,07

DIAPRESAN D 80/12.5 mg COM x 30 Montpellier 895,99 531,90 343,08
NICORVAS DIUR 80/12.5 mg COM x 30 Temis-Lostalo 954,99 596,56 401,06
SARVAL D 80/12.5 COM x 30 Baliarda 1.036,01 715,89 500,88
DILCORAN D 80/12.5 mg COM x 56 Casasco 1.985,78 1.407,91 1.024,34
160 mg SIMULTAN D 160/12.5 mg COM x 14 Lazar 498,15 316,61 193,36

DIOVAN D 160/12.5 mg COM x 14 Novartis 951,47 697,28 612,55
SIMULTAN D 160/12.5 mg COM x 28 Lazar 947,22 569,03 337,75

SIMULTAN D 160/25 mg COM x 28 Lazar 1.114,81 663,17 391,64
DILCORAN D 160/12.5 mg COM x 28 Casasco 1.121,46 771,82 537,31
RACORVAL D 160/12.5 mg COM x 28 Nova Argentia 1.175,20 820,90 582,22
ALPERTAN D 160/12.5 mg COM x 28 Raffo 1.221,68 870,19 634,03
DIOVAN D 160/12.5 mg COM x 28 Novartis 1.598,52 1.171,45 1.029,10
DIOVAN D 160/25 mg COM x 28 Novartis 1.629,54 1.194,19 1.048,79
COROSAN D 160/12.5 mg COM x 30 Elea - Phoenix 890,64 502,33 502,33

DIAPRESAN D 160/12.5 mg COM x 30 Montpellier 1.108,95 695,08 457,08
SARVAL D 160/12.5 COM x 30 Baliarda 1.166,02 777,28 513,44
DIAPRESAN D 160/25 mg COM x 30 Montpellier 1.336,39 850,90 561,78
NICORVAS DIUR 160/25 mg COM x 30 Temis-Lostalo 1.356,14 874,13 581,07
SARVAL D 160/25 mg COM x 30 Baliarda 1.457,40 1.013,59 716,13
DILCORAN D 160/12.5 mg COM x 56 Casasco 2.313,62 1.630,22 1.175,54
320 mg ALPERTAN D 320/12.5 mg COM x 28 Raffo 1.634,76 1.125,71 779,97

ALPERTAN D 320/25 mg COM x 28 Raffo 1.664,49 1.159,25 817,25
DIOVAN D 320/12.5 mg COM x 28 Novartis 1.810,88 1.327,08 1.093,55
DIOVAN D 320/25 mg COM x 28 Novartis 1.810,88 1.327,08 1.088,94
SIMULTAN D 320/12.5mg COM x 30 Lazar 1.246,30 650,24 339,67

SIMULTAN D 320/25 mg COM x 30 Lazar 1.258,33 659,81 348,13
SARVAL D 320/12.5 mg COM x 30 Baliarda 1.513,38 927,39 601,82
SARVAL D 320/25 mg COM x 30 Baliarda 1.545,53 965,61 629,70
VENLAFAXINA
Comprimidos 25 mg ELAFAX 25 mg COM x 30 Gador 378,76 265,56 265,56
SESAREN 25 mg COM x 30 Roemmers 378,74 267,02 267,02
37,5 mg GANAVAX 37.5 mg COM x 30 Rontag 873,07 616,18 616,18
EFEXOR XR 37,5 mg LIB.PROL. CAP x 7 Pfizer 260,33 192,37 192,37
VENLIFAX XR 37.5 mg CAP x 14 Baliarda 456,31 323,34 323,34

ELAFAX LP 37.5 mg CAP x 14 Gador 468,03 338,65 338,65
PSISEVEN 37.5 mg lib. prol. CAP x 28 Eurofarma 852,50 582,61 582,61

SESAREN XR 37.5 mg CAP x 28 Roemmers 874,58 611,76 611,76
SUNVEX LP 37.5 mg CAP x 28 Casasco 953,64 686,87 686,87
MAXIBRAL XR 37.5 mg CAP x 30 Montpellier 822,51 493,83 493,83
50 mg ELAFAX 50 mg COM x 30 Gador 470,63 327,42 327,42

GANAVAX 50 mg COM x 30 Rontag 886,75 625,83 625,83
Página 112 de 116

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 50 mg
75 mg QUILAREX 75 mg COM x 30 Ariston 618,81 376,62 376,62
ELAFAX 75 mg COM x 30 Gador 694,20 450,37 450,37
GANAVAX 75 mg COM x 30 Rontag 1.055,20 744,72 744,72
EFEXOR XR 75 mg LIB.PROL. CAP x 14 Pfizer 521,28 385,20 385,20
SESAREN XR 75 mg CAP x 15 Roemmers 523,35 377,30 377,30
QUILAREX XR 75 mg COM x 28 Ariston 843,65 542,18 542,18

VENLIFAX XR 75 mg CAP x 28 Baliarda 939,42 652,92 652,92
PSISEVEN 75 mg lib. prol. CAP x 28 Eurofarma 943,85 666,54 666,54
ELAFAX LP 75 mg CAP x 28 Gador 944,29 669,00 669,00
SUNVEX LP 75 mg CAP x 28 Casasco 987,10 700,86 700,86
ELAFAX XR 75 mg COM x 28 Gador 1.025,87 733,69 733,69
EFEXOR XR 75 mg LIB.PROL. CAP x 28 Pfizer 1.077,96 796,55 796,55
MAXIBRAL XR 75 mg CAP x 30 Montpellier 902,53 565,43 565,43

SESAREN XR 75 mg CAP x 30 Roemmers 981,01 679,28 679,28
150 mg SESAREN XR 150 mg CAP x 15 Roemmers 727,31 519,17 519,17
QUILAREX XR 150 mg COM x 28 Ariston 1.167,79 727,09 727,09

PSISEVEN 150 mg lib. prol. CAP x 28 Eurofarma 1.299,05 894,46 894,46
ELAFAX LP 150 mg CAP x 28 Gador 1.289,59 900,80 900,80
VENLIFAX XR 150 mg CAP x 28 Baliarda 1.334,28 923,80 923,80
ELAFAX XR 150 mg COM x 28 Gador 1.358,02 948,59 948,59
SUNVEX LP 150 mg CAP x 28 Casasco 1.412,09 1.004,15 1.004,15
EFEXOR XR 150 mg LIB.PROL. CAP x 28 Pfizer 1.446,69 1.054,66 1.054,66
MAXIBRAL XR150 mg CAP x 30 Montpellier 1.245,66 751,41 751,41

SESAREN XR 150 mg CAP x 30 Roemmers 1.396,14 967,47 967,47
225 mg SESAREN XR 225 mg CAP x 15 Roemmers 1.000,87 718,86 718,86
ELAFAX LP 225 mg CAP x 28 Gador 1.814,73 1.308,14 1.308,14
SESAREN XR 225 mg CAP x 30 Roemmers 1.814,00 1.249,37 1.249,37
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 447,15 323,06 281,70
120 mg ISOPTINO RETARD CAP x 20 Abbott Epd 660,89 462,20 330,77
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 1.533,13 1.052,27 727,59
ISOPTINO MD 240 mg Lib.Prol. GRA x 30 Abbott Epd 1.525,13 1.075,28 778,60
VIGABATRIN
Comprimidos 500 mg SABRIL 500 mg COM x 60 Sanofi Aventis 3.777,74 2.687,70 2.687,70
VITAMINA A
Comprimidos 50000 ui TANVIMIL A 50000 UI CAP x 30 Raymos 267,50 182,99 182,99
TANVIMIL A 50000 UI CAP x 60 Raymos 445,81 252,11 252,11
100000 ui TANVIMIL A 100000 CAP x 30 Raymos 252,16 167,33 167,33
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 553,84 391,34 391,34
VITAMINA B1 + VITAMINA B2 +
VITAMINA B6 + VITAMINA B12
+ VITAMINA B3 + CALCIO
PANTOTENATO + VITAMINA H
Comprimidos 15 mg BECOZYM GRA x 30 Bayer Consumer 241,04 168,08 168,08 MAT
VITAMINA B1 + VITAMINA B6 +
VITAMINA B12
Ampollas 100 mg BAGO B1 B6 B12 10000 3 ML AMP x 3 Bagó 911,69 683,35 683,35 MAT
BAGO B1 B6 B12 10000 3 ML AMP x 6 Bagó 1.714,75 1.237,61 1.237,61 MAT
Comprimidos 125 mg TANVIMIL B1 B6 B12 COM x 30 Raymos 478,37 143,05 143,05 MAT
BAGO B1 B6 B12 5000 COM x 30 Bagó 1.111,21 824,71 824,71 MAT
BAGO B1 B6 B12 CB 5000 CB CAP x 30 Bagó 1.227,60 920,14 920,14
250 mg COBENEXOL FUERTE COM x 30 Bayer Consumer 617,78 430,90 430,90 MAT
Líquido 1000 mg BAGO B1 B6 B12 SOL x 100 Bagó 744,62 542,58 542,58 MAT
VITAMINA B12
Comprimidos 1 mg SL B12 COM x 15 Dominguez 652,36 492,69 492,69
SL B12 COM x 30 Dominguez 1.134,36 829,87 829,87
VITAMINA B6
Comprimidos 100 mg TANVIMIL B6 COM x 20 Raymos 32,76 6,55 6,55
TANVIMIL B6 COM x 30 Raymos 176,20 122,00 122,00
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 183,93 125,92 125,92
1000000 OSTELIN POTENCIA 100 GTS x 10 Roemmers 277,74 197,38 197,38

ui
6560000 DENURIX GTS x 4 Dominguez 379,94 255,38 255,38
ui
RAQUIFEROL D2 GTS x 4 Roemmers 386,52 268,52 268,52
DENURIX GTS x 10 Dominguez 837,26 493,60 493,60
VITAMINA D3
Comprimidos 10 ui CALCITRIOL CAP x 30 Raymos 644,12 403,37 403,37
CALCIRAQUIFEROL D3 BLANDAS CAP x 30 Roemmers 699,34 444,96 444,96
CALCITRIOL 0.25 mcg CAP x 30 Investi 737,96 532,41 532,41
100000 ui SUBICAL CB CAP x 1 Bernabo 460,11 314,39 314,39

ORAVIL CB CAP x 1 Trb-Pharma 509,00 362,30 362,30
DEVISAL CB CAP x 1 Baliarda 524,20 380,83 380,83
DEBLAX Bland. CAP x 1 Raffo 643,18 477,25 477,25
Página 114 de 116

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 100000 ui SUBICAL CB CAP x 2 Bernabo 742,90 404,15 404,15

DEVISAL CB CAP x 2 Baliarda 831,62 512,12 512,12
ORAVIL CB CAP x 2 Trb-Pharma 826,00 517,76 517,76
DEBLAX Bland. CAP x 2 Raffo 1.000,53 710,34 710,34
TRIP D3 CAP x 1 Craveri 638,88 465,27 465,27
TRIP D3 CAP x 3 Craveri 1.348,19 896,62 896,62
Gotas 100000 ui RAQUIFEROL D3 Oral GTS x 4 Roemmers 513,03 108,61 108,61
Líquido 10 ui CALCITOL D3 Oral SOL x 2 Investi 488,46 191,24 191,24
400 ui STEROGYL 400 Oral SOL x 10 Spedrog Caillon 487,59 351,09 351,09
1000 ui STEROGYL 1000 Oral SOL x 4 Spedrog Caillon 506,00 251,04 251,04
100000 ui GADOFEROL 2 ml AMB x 1 Gador 438,40 306,23 306,23

SUBICAL 100000 UI 2 ml AMB x 1 Bernabo 432,49 310,73 310,73
STEROGYL 2 ml AMB x 1 Spedrog Caillon 432,40 312,40 312,40
OSTEODYN Oral 2 ml AMB x 1 Montpellier 437,13 317,06 317,06
DEVISAL 2 ml AMB x 1 Baliarda 446,29 321,86 321,86
ORAVIL 2 ml AMB x 1 Trb-Pharma 456,00 328,20 328,20
VITERGIN 2 ml AMB x 1 Beta 528,54 390,88 390,88
TESTRI 2 ml AMB x 1 Elea - Phoenix 605,83 447,10 447,10
RAQUIFEROL D3 Oral SOL x 2 Roemmers 434,05 148,44 148,44
200000 ui ORAVIL Oral SOL x 6 Trb-Pharma 506,00 335,70 335,70
VITAMINA E
Comprimidos 200 mg TANVIMIL E 200 mg CAP x 30 Raymos 254,17 184,56 184,56
TANVIMIL E 200 mg CAP x 60 Raymos 395,38 255,95 255,95
TANVIMIL E 200 mg CAP x 100 Raymos 413,73 164,39 164,39
VITAMINA K1
Ampollas 10 mg VITAMINA K1 BIOL 10 mg 1 ml AMP x 3 Biol 456,08 325,20 325,20
10 mg KONAKION MM 10 mg AMP x 5 Investi 937,91 694,22 694,22
Comprimidos 10 mg TANVIMIL K COM x 10 Raymos 199,18 130,87 130,87
Líquido 2 mg KONAKION MM 2 mg AMP.C/DOSIF.ORAL SOL x Investi 316,29 226,91 226,91

5
WARFARINA SÓDICA
Comprimidos 1 mg COUMADIN 1 mg COM x 30 Bristol 250,14 176,63 128,00
2 mg CIRCUVIT 2 mg COM x 20 Ariston 252,58 174,18 122,72
CIRCUVIT 2 mg COM x 50 Ariston 609,92 408,97 275,77
5 mg CIRCUVIT 5 mg COM x 20 Ariston 289,89 202,83 173,81
COUMADIN 5 mg COM x 30 Bristol 321,33 181,51 108,48
CIRCUVIT 5 mg COM x 50 Ariston 652,49 456,53 342,47
WISTAR CEPA
Ampollas 150 ui VERORAB VAC. ANTIRRABICA AMP x 1 Sanofi Pasteur 2.716,30 1.947,12 1.947,12
ZOLPIDEM
Comprimidos 1,75 mg SOMIT INTERSUEÑO Subl. COM x 15 Gador 329,18 243,30 243,30
Página 115 de 116

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 3,5 mg SOMIT INTERSUEÑO Subl. 3.5 mg COM x 15 Gador 428,15 316,43 316,43
5 mg SOMIT 5 mg COM x 30 Gador 440,26 315,50 315,50
6,25 mg AMBIEN CR 6.25 mg COM x 28 Sanofi Aventis 587,20 412,09 412,09
SOMIT CR 6.25 mg Lib. Mod. COM x 30 Gador 619,08 435,53 435,53
10 mg ZOLODORM 10 mg COM x 30 Richmond 404,05 236,92 236,92

DORMI-ROS 10 mg COM x 30 Rospaw 405,00 240,26 240,26
SUMENAN 10 mg COM x 30 Spedrog Caillon 506,00 324,61 324,61
DORMILAN 10 mg COM x 30 Baliarda 528,98 371,17 371,17
NOCTE 10 mg COM x 30 Bagó 545,61 388,37 388,37
SOMIT 10 mg COM x 30 Gador 543,63 391,42 391,42
12,5 mg AMBIEN CR 12.5 mg COM x 28 Sanofi Aventis 763,53 538,07 538,07
SOMIT CR 12.5 mg COM x 30 Gador 800,40 563,09 563,09
10 mg NOCTE SUBLINGUAL 10 mg COM x 30 Bagó 966,70 692,78 692,78
Página 116 de 116

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Formulario Terapéutico Ambulatorio - IAPOS 24/01/2020

4 mg SINTROM 4 mg COM x 20 Nova Argentia 873,11 682,36 557,75

AZECAR 4 mg COM x 30 Bagó 1.047,80 731,05 516,39

BRONCOLIUM 200 mg COM x 12 Temis-Lostalo 413,15 229,90 229,90

BRONCOLIUM 600 mg EFERV. COM x 12 Temis-Lostalo 593,99 431,80 431,80

ACC EXPECTORANTE 600 mg EFERV. COM x 20 Sandoz 664,80 345,58 345,58

BRONCOLIUM 600 mg EFERV. COM x 24 Temis-Lostalo 969,24 590,11 590,11

Líquido 2000 mg BRONCOLIUM JBE x 100 Temis-Lostalo 294,09 152,75 152,75

Sobres 200 mg TOFLUX 200 mg SOB x 20 Casasco 942,76 687,95 687,95

600 mg TEMPOTANE 600 mg SOB x 10 Lazar 435,19 292,94 292,94

TEMPOTANE 600 mg SOB x 20 Lazar 731,48 406,17 406,17

ACETIL SALICÍLICO, ÁCIDO

ASPIRINA PREVENT CUB.ENTERICA COM x 50 Bayer (PH) 246,34 169,58 169,58

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

400 mg XICLOVIR 400 mg COM x 20 Lazar 513,89 356,83 356,83

POVIRAL 400 mg COM x 40 Roemmers 954,85 621,60 621,60

800 mg XICLOVIR 800 mg COM x 20 Lazar 813,89 553,05 553,05

XICLOVIR 800 mg COM x 40 Lazar 1.532,41 986,95 986,95

Crema 5000 mg XICLOVIR 5% CRE x 5 Lazar 212,96 138,87 138,87

ZOVIRAX 5% CRE x 10 GlaxoSmithKline 379,29 219,16 219,16 INF

Líquido 8000 mg XICLOVIR 8% SUS x 120 Lazar 597,22 412,08 412,08

POVIRAL 8% SUS x 125 Roemmers 590,48 395,04 395,04

LISOVYR 5% UNG x 10 Elea - Phoenix 384,52 280,48 280,48 INF

25 mg NEOTIGASON 25 mg CAP x 30 Teva argentina ( 4.791,61 3.346,88 3.346,88

OSEOTENK 70 mg COM x 8 Biotenk 332,22 43,33 43,33

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

Comprimidos 70 mg FINDECLIN 70 mg COM x 8 Finadiet 1.067,41 799,79 799,79

ALLOPURINOL GADOR 100 mg COM x 60 Gador 355,37 244,50 244,50

300 mg PURITENK 300 mg COM x 20 Biotenk 280,05 196,05 196,05

ALLOPURINOL HOUDE 300 mg COM x 30 Spedrog Caillon 227,07 83,56 83,56

ALLOPURINOL CRAVERI 300 mg COM x 40 Craveri 681,98 497,91 497,91

ALLOPURINOL CRAVERI 300 mg COM x 60 Craveri 687,99 401,18 401,18

ALLOPURINOL GADOR RETARD 300 mg COM x Gador 572,14 420,09 420,09

PRINOX 0.25 mg-Andrómaco COM x 50 Eurofarma 174,74 124,27 124,27

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 86,56 64,78 64,78

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

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

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

TRANQUINAL 0.5 mg COM x 100 Bagó 615,79 442,53 442,53

ALPLAX XR 0.5 mg COM x 20 Gador 289,70 220,07 220,07

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

EMERAL 1 mg COM x 50 Nova Argentia 498,76 362,58 362,58

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

TRANQUINAL 1 mg COM x 100 Bagó 947,15 658,05 658,05

ALPLAX XR 1 mg COM x 20 Gador 333,25 253,15 253,15

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 PRINOX 2 mg COM x 30 Eurofarma 458,34 315,45 315,45

EMERAL 2 mg COM x 50 Nova Argentia 802,60 581,27 581,27

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

TRANQUINAL 2 mg COM x 100 Bagó 1.593,03 1.161,05 1.161,05

ALPLAX XR 2 mg COM x 20 Gador 408,32 310,17 310,17

0,5 mg TENSIUM SL 0.5 mg COM x 30 Baliarda 219,18 116,30 116,30

Gotas 1 mg TRANQUINAL 1MG/ML GTS x 30 Bagó 334,98 243,66 243,66

AMPAKINE 100 mg COM x 30 Rontag 765,03 430,74 430,74

AMPAKINE 100 mg COM x 60 Rontag 1.464,64 798,71 798,71

ATLANSIL 200 mg COM x 50 Roemmers 1.090,72 769,35 557,02

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

25 mg AMIPTRIL 25 Mg COM x 30 Rospaw 380,00 273,40 273,40

TRYPTANOL 25 mg COM x 100 Bagó 1.522,27 1.124,08 1.124,08

75 mg AMIPTRIL 75 Mg COM x 30 Rospaw 750,00 527,77 527,77