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Formulario Teraputico Ambulatorio - IAPOS

DROGA

NOMBRE COMERCIAL

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

ACARBOSE
Comprimidos

50 mg GLUCOBAY 50 mg COM x 30

Bayer (PH)

33,19

21,80

21,80

100 mg GLUCOBAY 100 mg COM x 30

Bayer (PH)

59,43

38,44

21,19

ACENOCUMAROL
Comprimidos

1 mg AZECAR 1 mg COM x 30

Bag

25,54

8,49

5,70

SINTROM 1 mg COM x 30

Novartis

36,87

24,22

14,93

4 mg SINTROM 4 mg COM x 20

Novartis

57,36

35,24

20,00

Bag

114,91

75,86

64,71

Investi

82,47

54,34

54,34

Temis-Lostalo

78,78

38,36

38,36

AZECAR 4 mg COM x 30

ACETIL CISTEINA
Comprimidos

200 mg ACEMUK 200 mg EFERV. TAB x 10


BRONCOLIUM 200 mg COM x 12
600 mg ACC EXPECTORANTE 600 mg EFERV. COM x 10

Lquido

Sandoz

83,63

55,21

55,21

ACEMUK 600 mg EFERV. TAB x 10

Investi

91,52

60,42

60,42

BRONCOLIUM 600 mg EFERV. COM x 12

Temis-Lostalo

93,80

58,01

58,01

ACC EXPECTORANTE 600 mg EFERV. COM x 20

Sandoz

136,01

69,36

69,36

ACEMUK 600 mg EFERV. TAB x 20

Investi

148,74

86,73

86,73

BRONCOLIUM 600 mg EFERV. COM x 24

Temis-Lostalo

163,10

83,08

83,08

Casasco

66,86

38,65

38,65

Investi

76,52

50,52

50,52

2000 mg TOFLUX JBE x 100


ACEMUK JBE x 100

Sobres

200 mg TOFLUX 200 mg SOB x 20

Casasco

121,17

79,61

79,61

600 mg TOFLUX 600 mg SOB x 10

Casasco

84,79

55,98

55,98

TOFLUX 600 mg SOB x 20

Casasco

136,73

76,80

76,80

ACETIL SALICLICO, CIDO


Comprimidos

100 mg ASPIRINA PREVENT CUB.ENTERICA COM x 20

Bayer (PH)

21,35

14,09

14,09

ASPIRINA PREVENT CUB.ENTERICA COM x 50

Bayer (PH)

46,62

30,00

30,00

MSD Arrgentina SR

32,81

21,66

21,66

ASPIRINA PREVENT 325 CUB.ENTER COM x 30

Bayer Consumer

43,32

28,60

28,60

ECOTRIN 325 GRA x 50

MSD Arrgentina SR

59,30

36,84

36,84

ASPIRINA PREVENT 325 CUB.ENTER COM x 60

Bayer Consumer

77,15

50,93

50,93

Elea

100,10

66,08

66,08

ZOVIRAX 200 mg COM x 25

GlaxoSmithkline

147,03

97,07

97,07

XICLOVIR 200 mg COM x 30

Lazar

133,42

82,70

82,70

325 mg ECOTRIN 325 GRA x 25

ACICLOVIR
Comprimidos

200 mg LISOVYR 200 CAP x 20

400 mg ACERPES 400 mg COM x 20

Investi

108,22

58,78

58,78

LISOVYR 400 mg COM x 20

Elea

135,14

89,22

89,22

POVIRAL 400 mg COM x 20

Roemmers

135,14

89,22

89,22

POVIRAL 400 mg COM x 40

Roemmers

225,27

129,50

129,50

800 mg ACICLOVIR NORTHIA 800 mg COM x 20

Northia

189,95

123,47

123,47

ACERPES 800 mg COM x 20

Investi

198,57

127,55

127,55

POVIRAL 800 mg COM x 20

Roemmers

201,34

131,06

131,06

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

Pgina 1 de 130

Formulario Teraputico Ambulatorio - IAPOS


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Comprimidos

Crema

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

800 mg XICLOVIR 800 mg COM x 20

A CARGO A CARGO
REF
AFILIADO CRONICO

Lazar

218,89

144,51

144,51

LISOVYR 800 CAP x 20

Elea

218,91

144,52

144,52

POVIRAL 800 mg COM x 40

Roemmers

380,94

234,30

234,30

LISOVYR 800 CAP x 40

Elea

404,71

264,67

264,67

XICLOVIR 800 mg COM x 40

Lazar

412,85

272,56

272,56

Investi

28,35

13,45

13,45 INF

Elea

31,01

17,16

17,16 INF

Northia

36,22

23,91

23,91

Roemmers

50,76

33,51

33,51 INF

GlaxoSmithkline

58,41

29,34

29,34 INF

5000 mg ACERPES 5% CRE x


LISOVYR 5% CRE x

5
5

ACICLOVIR NORTHIA 5% CRE x


POVIRAL DERMICA 5% CRE x

5
5

ZOVIRAX 5% CRE x 10
Lquido

PRECIO

8000 mg LISOVYR 8% SUS x 120

Elea

165,58

108,15

108,15

XICLOVIR 8% SUS x 120

Lazar

169,94

112,19

112,19

POVIRAL 8% SUS x 125

Roemmers

173,17

113,53

113,53

Roemmers

38,10

25,03

25,03 INF

Lazar

43,25

28,55

28,55 INF

Elea

58,96

30,11

30,11 INF

Pomada

3000 mg POVIRAL OFTALMICO 3% PDA x

Ungento

5000 mg XICLOVIR 5% DERMICO UNG x

5
5

LISOVYR 5% UNG x 10

ACITRETINA
Comprimidos

10 mg NEOTIGASON 10 mg CAP x 30

Sandoz

176,62

116,04

116,04

25 mg NEOTIGASON 25 mg CAP x 30

Sandoz

372,03

244,44

244,44

Elisium

51,18

33,63

33,63

ALENDRONATO
Comprimidos

5 mg MARVIL 5 mg COM x 30
10 mg SILIDRAL 10 mg COM x 30

Spedrog Caillon

MARVIL 10 mg COM x 30
35 mg ARENDAL 35 mg COM x

70 mg ALENDRONATO 70 mg COM x
OSTEONATE 70 mg COM x
ACTIMAX 70 mg COM x

OSTEOBON 70 mg COM x

OSTEOFENE 70 mg COM x
ALENATO 70 mg COM x

OSTEOMAR 70 mg COM x

ALENDRONATO NORTHIA 70 mg COM x


DRONAT 70 mg COM x

FINDECLIN 70 mg COM x
BREK 70 mg COM x

REGENESIS 70 mg COM x
MARVIL 70 mg COM x

79,18

52,02

52,02

104,53

68,68

68,68

Ivax Argentina

73,37

48,21

48,21

Lepetit

30,00

6,80

6,80

Raffo

60,85

12,17

12,17

Investi

69,69

15,56

15,56

Bag

79,38

17,72

17,72

Astrazeneca

82,54

18,54

18,54

Investi

84,09

20,02

20,02

Ferring

86,01

21,86

21,86

Northia

84,97

24,58

24,58

Fortbenton Co.

92,77

28,75

28,75

Finadiet

107,57

49,71

49,71

Trb-Pharma

138,56

91,23

91,23

Elea

147,15

97,15

97,15

Elisium

149,55

98,74

98,74

Elisium

ARENDAL 70 mg COM x

Ivax Argentina

161,45

106,59

106,59

FOSAMAX 70 mg COM x

Merck Sharp & Dhome

183,47

121,13

121,13

Spedrog Caillon

199,75

131,88

131,88

SILIDRAL 70 mg COM x

OSTEONATE 70 mg COM x

Raffo

108,80

21,76

21,76

ACTIMAX 70 mg COM x

Investi

125,16

27,94

27,94

ALENATO 70 mg COM x

Investi

151,75

33,89

33,89

Trb-Pharma

194,82

68,90

68,90

Finadiet

200,00

76,89

76,89

BREK 70 mg COM x

FINDECLIN 70 mg COM x

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

Pgina 2 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

Comprimidos

70 mg OSTEONATE 70 mg COM x 12

Raffo

Lquido

70 mg MARVIL 70 MG/ 75 ML BEBIBLE SOL x

MARVIL 70 MG/100 ML BEBIBLE SOL x

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

138,38

27,68

27,68

Elisium

66,13

43,45

43,45

Elisium

128,04

84,13

84,13

Gador

26,40

17,43

17,43

ALLOPURINOL PHOENIX 100 mg COM x 40

Phoenix

38,07

25,13

25,13

ALLOPURINOL GADOR 100 mg COM x 60

Gador

47,46

29,53

29,53

ALLOPURINOL PHOENIX 100 mg COM x 100

Phoenix

80,27

50,72

50,72

ALLOPURINOL INCA 100 mg RETARD COM x 20

Sandoz

24,95

16,22

16,22

ALLOPURINOL INCA 100 mg RETARD COM x 60

Sandoz

62,69

40,75

40,75

Craveri

56,37

37,21

37,21

ALLOPURINOL PHOENIX 300 mg CAP x 20

Phoenix

62,71

40,76

40,76

ALLOPURINOL GADOR 300 mg COM x 30

Gador

61,83

38,66

38,66

ALLOPURINOL HOUDE 300 mg COM x 30

Spedrog Caillon

75,22

49,66

49,66

ALLOPURINOL CRAVERI 300 mg COM x 30

Craveri

76,46

50,48

50,48

ALLOPURINOL GADOR RETARD 300 mg COM x


30

Gador

83,28

54,98

54,98

ALFADIMAN 300 mg COM x 40

Lazar

51,50

11,50

11,50

ALLOPURINOL CRAVERI 300 mg COM x 40

Craveri

89,63

59,17

59,17

ALLOPURINOL PHOENIX 300 mg COM x 40

Phoenix

94,66

61,53

61,53

ALLOPURINOL GADOR 300 mg COM x 60

Gador

93,76

35,65

35,65

ALLOPURINOL CRAVERI 300 mg COM x 60

Craveri

118,10

66,49

66,49

ALLOPURINOL PHOENIX 300 mg COM x 100

Phoenix

213,05

138,48

138,48

ALLOPURINOL CRAVERI 300 mg COM x 100

Craveri

218,14

144,01

144,01

ALLOPURINOL INCA 300 mg RETARD CAP x 20

Sandoz

54,14

35,19

35,19

COLPURIL A RETARD 300 MICROGRA CAP x 20

Nova Argentia

55,76

36,81

36,81

ALLOPURINOL CRAVERI RETARD 300 COM x 20

Craveri

67,58

44,62

44,62

ALLOPURINOL INCA 300 mg RETARD CAP x 50

Sandoz

113,36

73,68

73,68

COLPURIL A RETARD 300 MICROGRA CAP x 50

Nova Argentia

118,96

78,54

78,54

ALLOPURINOL CRAVERI RETARD 300 COM x 50

Craveri

143,18

94,53

94,53

ALLOPURINOL GADOR RETARD 300 mg COM x


60

Gador

126,80

79,17

79,17

ALLOPURINOL
Comprimidos

100 mg ALLOPURINOL GADOR 100 mg COM x 30

300 mg ALLOPURINOL CRAVERI 300 mg COM x 20

ALPRAZOLAM
Comprimidos

0,25 mg TENSIUM 0.25 mg COM x 30

Baliarda

14,89

8,69

8,69

ALPLAX 0.25 mg COM x 30

Gador

16,86

11,13

11,13

PRINOX 0.25 mg COM x 30

Andromaco

17,68

11,67

11,67

PLASEDAN 0.25 mg COM x 30

Eurofarma

19,57

13,64

13,64

TRANQUINAL 0.25 mg COM x 50

Bag

25,85

15,84

15,84

PRINOX 0.25 mg COM x 50

Andromaco

41,08

27,12

27,12

ALPLAX 0.25 mg COM x 60

Gador

31,41

19,51

19,51

TRANQUINAL 0.25 mg COM x 100

Bag

43,68

20,74

20,74

Craveri

6,23

1,61

1,61

DROXOL 0.50 mg COM x 10

Bernabo

11,28

7,33

7,33

DROXOL 0.50 mg COM x 30

Bernabo

13,45

2,69

2,69

0,5 mg ANSIELIX 0.5 mg COM x 10

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

Pgina 3 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
0,5 mg EMERAL 0.5 mg COM x 30

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Nova Argentia

17,32

3,86

3,86

ISOPROXAL 0.5 mg COM x 30

Lazar

18,08

4,21

4,21

XANAX 0.50 mg COM x 30

Pfizer

18,24

4,39

4,39

ANSIELIX 0.5 mg COM x 30

Craveri

18,60

4,73

4,73

CALMOL 0.5 mg COM x 30

Temis-Lostalo

21,16

7,61

7,61

PRINOX 0.5 mg COM x 30

Andromaco

23,30

10,81

10,81

AMZIAX 0.50 mg COM x 30

Soubeiran Chobet

23,76

11,48

11,48

ALPRAZOL 0.5 mg COM x 30

Casasco

23,86

11,62

11,62

TRANQUINAL 0.5 mg COM x 30

Bag

29,44

19,08

19,08

TENSIUM 0.5 mg COM x 30

Baliarda

30,53

20,16

20,16

PLASEDAN 0.5 mg COM x 30

Eurofarma

30,90

20,39

20,39

ALPLAX 0.50 mg COM x 30

Gador

35,06

23,15

23,15

PRENADONA 0.5 mg COM x 50

Ariston

18,83

3,77

3,77

EMERAL 0.5 mg COM x 50

Nova Argentia

26,06

5,82

5,82

TRANQUINAL 0.5 mg COM x 50

Bag

39,63

19,17

19,17

PRINOX 0.5 mg COM x 50

Andromaco

54,14

35,74

35,74

DROXOL 0.50 mg COM x 60

Bernabo

24,54

4,91

4,91

ISOPROXAL 0.5 mg COM x 60

Lazar

33,96

6,79

6,79

XANAX 0.50 mg COM x 60

Pfizer

34,02

7,60

7,60

AMZIAX 0.50 mg COM x 60

Soubeiran Chobet

45,18

19,54

19,54

ALPRAZOL 0.5 mg COM x 60

Casasco

45,93

20,65

20,65

TENSIUM 0.5 mg COM x 60

Baliarda

53,84

31,63

31,63

PLASEDAN 0.5 mg COM x 60

Eurofarma

59,74

38,72

38,72

TRANQUINAL 0.5 mg COM x 60

Bag

61,45

40,57

40,57

ALPLAX 0.50 mg COM x 60

Gador

63,61

41,99

41,99

TRANQUINAL 0.5 mg COM x 100

Bag

84,75

46,01

46,01

ALPLAX XR 0.5 mg COM x 20

Gador

41,10

27,01

27,01

ALPLAX XR 0.5 mg COM x 30

Gador

44,86

17,55

17,55

1 mg DROXOL 1 mg COM x 30

Bernabo

20,87

4,17

4,17

EMERAL 1 mg COM x 30

Nova Argentia

26,30

5,88

5,88

XANAX 1 mg COM x 30

Pfizer

28,42

6,35

6,35

ISOPROXAL 1 mg COM x 30

Lazar

29,13

6,39

6,39

ANSIELIX 1 mg COM x 30

Craveri

28,85

6,44

6,44

CALMOL 1 mg COM x 30

Temis-Lostalo

32,53

9,68

9,68

PRINOX 1 mg COM x 30

Andromaco

35,80

14,12

14,12

AMZIAX 1 mg COM x 30

Soubeiran Chobet

37,01

15,93

15,93

TENSIUM 1 mg COM x 30

Baliarda

46,75

29,30

29,30

TRANQUINAL 1 mg COM x 30

Bag

49,17

32,37

32,37

ALPLAX 1 mg COM x 30

Gador

54,96

36,29

36,29

PLASEDAN 1 mg COM x 30

Eurofarma

54,59

37,58

37,58

PRENADONA 1 mg COM x 50

Ariston

29,07

5,81

5,81

EMERAL 1 mg COM x 50

Nova Argentia

39,52

8,82

8,82

PRINOX 1 mg COM x 50

Andromaco

81,89

53,88

53,88

TRANQUINAL 1 mg COM x 50

Bag

89,34

58,98

58,98

DROXOL 1 mg COM x 60

Bernabo

37,61

7,52

7,52

ISOPROXAL 1 mg COM x 60

Lazar

53,19

10,64

10,64

XANAX 1 mg COM x 60

Pfizer

51,29

11,46

11,46

AMZIAX 1 mg COM x 60

Soubeiran Chobet

70,71

26,88

26,88

ALPRAZOL 1 mg COM x 60

Casasco

71,14

27,53

27,53

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

Pgina 4 de 130

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DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

1 mg TENSIUM 1 mg COM x 60

A CARGO A CARGO
REF
AFILIADO CRONICO

Baliarda

87,67

50,98

50,98

PLASEDAN 1 mg COM x 60

Eurofarma

98,88

64,57

64,57

ALPLAX 1 mg COM x 60

Gador

101,59

67,07

67,07

TRANQUINAL 1 mg COM x 60

Bag

104,42

68,94

68,94

TRANQUINAL 1 mg COM x 100

Bag

132,80

66,73

66,73

ALPLAX XR 1 mg COM x 20

Gador

46,38

30,62

30,62

ALPLAX XR 1 mg COM x 30

Gador

53,25

24,30

24,30

2 mg DROXOL 2 mg COM x 30

Bernabo

31,16

6,23

6,23

EMERAL 2 mg COM x 30

Nova Argentia

38,34

8,56

8,56

ANSIELIX 2 mg COM x 30

Craveri

46,67

10,43

10,43

CALMOL 2 mg COM x 30

Temis-Lostalo

52,27

15,78

15,78

ALPRAZOL 2 mg COM x 30

Casasco

55,53

20,08

20,08

PRINOX 2 mg COM x 30

Andromaco

55,75

20,41

20,41

AMZIAX 2 mg COM x 30

Soubeiran Chobet

57,45

23,01

23,01

TENSIUM 2 mg COM x 30

Baliarda

69,73

40,38

40,38

TRANQUINAL 2 mg COM x 30

Bag

71,87

43,21

43,21

PLASEDAN 2 mg COM x 30

Eurofarma

77,25

49,13

49,13

ALPLAX 2 mg COM x 30

Gador

82,02

54,15

54,15

EMERAL 2 mg COM x 50

Nova Argentia

62,69

14,00

14,00

PRINOX 2 mg COM x 50

Andromaco

126,60

80,82

80,82

TRANQUINAL 2 mg COM x 50

Bag

131,43

86,77

86,77

TENSIUM 2 mg COM x 60

Baliarda

99,59

26,70

26,70

ALPRAZOL 2 mg COM x 60

Casasco

114,74

45,79

45,79

ALPLAX 2 mg COM x 60

Gador

165,11

109,01

109,01

TRANQUINAL 2 mg COM x 60

Bag

168,56

111,28

111,28

TRANQUINAL 2 mg COM x 100

Bag

221,67

120,04

120,04

ALPLAX XR 2 mg COM x 20

Gador

55,25

36,48

36,48

ALPLAX XR 2 mg COM x 30

Gador

61,89

27,14

27,14

Baliarda

12,00

2,40

2,40

TRANQUINAL 0.5 mg SUBLINGUAL COM x 15

Bag

19,16

8,53

8,53

TENSIUM SL 0.5 mg COM x 30

Baliarda

24,38

5,44

5,44

TRANQUINAL 0.5 mg SUBLINGUAL COM x 30

Bag

54,99

36,31

36,31

Bag

28,05

18,43

18,43

233 mg PEPSAMAR 233 mg COM x 50

Gador

40,06

26,32

26,32

100 mg VIROSOL 100 mg COM x 10

Phoenix

45,85

30,27

30,27

0,5 mg TENSIUM SL 0.5 mg COM x 15

Gotas

PRECIO

1 mg TRANQUINAL 1MG/ML GTS x 30

ALUMINIO HIDRXIDO
Comprimidos

AMANTADINA
Comprimidos

AMPAKINE 100 mg COM x 30

Astrazeneca

119,32

72,64

72,64

VIROSOL 100 mg COM x 30

Phoenix

130,97

86,46

86,46

ACTISON 100 mg COM x 30

Buxton

135,12

89,21

89,21

AMPAKINE 100 mg COM x 60

Astrazeneca

228,43

131,82

131,82

ACTISON 100 mg COM x 60

Buxton

260,68

172,10

172,10

48,45

14,53

14,53

AMIDOTRIZOICO AC SAL
METILGLUCAMINICA
Ampollas

60000 HYPAQUE M 60% 50 ML F.A x


mg

Fortbenton Co.

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

Pgina 5 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Ampollas

NOMBRE COMERCIAL

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

60000
mg

AMIDOTRIZOICO AC SAL
METILGLUCAMINICA + SODIO
AMIDOTRIZOATO
Ampollas

40000 TRIYOSOM 76 M F.A x 25


mg

Gobbi

158,77

66000 TRIYOSOM C 50 ml F.A x 1


mg
TRIYOSOM C 100 ml F.A x 1

Gobbi

195,29

62,57

62,57

Gobbi

377,24

120,86

120,86

Varifarma

103,84

31,15

31,15

Gobbi

264,65

84,79

84,79

Gobbi

295,35

94,62

94,62

Temis-Lostalo

133,53

42,77

42,77

TOMORAY 76 C F.A x 100


Lquido

3960 mg TRIYOSOM TOMOGRAFICO SOL x 250


66000 TRIYOSOM GI SOL x 120
mg

50,86

50,86

AMIDOTRIZOICO AC SAL
METILGLUCAMINICA + SODIO
DIATRIZOATO
Ampollas

66000 TEMISTAC 25 ML F.A x


mg

AMIODARONA
Comprimidos

200 mg RITMONIL 200 mg COM x 20

Lepetit

17,00

4,40

4,40

BATMOTROPIN COM x 20

Bag

20,50

4,57

4,57

CORONOVO 200 mg COM x 20

Sandoz

31,60

8,44

6,32

ATLANSIL 200 mg COM x 20

Roemmers

36,93

15,26

8,25

RITMOCARDYL 200 mg COM x 20

Sanofi Aventis

38,96

18,25

9,38

RITMONIL 200 mg COM x 50

Lepetit

ATLANSIL 200 mg COM x 50

Roemmers

BATMOTROPIN COM x 60
CORONOVO 200 mg COM x 60
RITMOCARDYL 200 mg COM x 60

Sanofi Aventis

48,00

10,40

10,40

137,21

90,59

77,27

Bag

58,69

13,11

13,11

Sandoz

84,60

16,92

16,92

104,56

36,24

23,34

AMITRIPTILINA
Comprimidos

10 mg TRYPTALGIN 10 mg COM x 30

Craveri

49,55

32,56

32,56

25 mg TRYPTANOL 25 mg COM x 30

Bag

41,70

26,16

26,16

TRYPTALGIN 25 mg COM x 30

Craveri

66,58

43,96

43,96

TRYPTANOL 25 mg COM x 100

Bag

121,26

63,54

63,54

UXEN RETARD 25 mg CAP x 20

Sanofi Aventis

37,55

24,79

24,79

Craveri

85,64

56,27

56,27

Richet

21,56

4,81

4,81

75 mg TRYPTALGIN 75 mg COM x 30

AMLODIPINA
Comprimidos

5 mg AMLODIPINA RICHET 5 mg COM x 20


CALPRES 5 mg COM x 20

Temis-Lostalo

AMLOC 5 mg TAB x 20

Pfizer

27,90

6,23

6,23

106,94

70,60

60,22

AMZE 5 mg COM x 28

Richmond

93,18

58,10

37,92

TENSIMED 5 mg COM x 30

Lepetit

33,00

7,40

7,40

AMLODIPINA TECHSPHERE 5 mg COM x 30

Techsphere

40,25

8,99

8,99

HIPERTENSAL 5 mg COM x 30

Finadiet

42,98

9,60

9,60

ZUNDIC 5 mg COM x 30

Raffo

45,35

10,13

10,13

AMLODICORD 5 mg COM x 30

Geminis Farmaceutica

46,50

10,38

10,38

CARDIVAS 5 mg COM x 30

Sidus

55,86

12,48

12,48

ANEXA 5 mg COM x 30

Microsules Argentina

72,92

30,32

30,32

SINOP 5 mg COM x 30

Craveri

85,43

45,34

25,75

COROVAL 5 mg COM x 30

Nova Argentia

87,80

48,58

22,86

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

Pgina 6 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
5 mg TERVALON 5 mg COM x 30

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Lazar

92,29

54,60

26,30

ILDUC 5 mg COM x 30

Baliarda

97,37

61,21

33,87

AMLODINE 5 mg COM x 30

Eurofarma

98,31

61,60

34,78

PELMEC 5 mg COM x 30

Casasco

103,71

68,47

43,02

ARTERIOSAN 5 mg COM x 30

Bernabo

103,90

68,59

43,28

CALPRES 5 mg COM x 30

Temis-Lostalo

109,39

72,22

50,88

TERLOC 5 mg COM x 30

Ivax Argentina

112,05

73,98

63,10

CARDIOREX 5 mg COM x 30

Bag

117,63

77,66

66,24

CARDIOREX CDO 5 mg COM x 30

Bag

141,16

92,75

92,75

AMLOC 5 mg TAB x 30

Pfizer

148,06

97,75

83,37

AMLODICORD 5 mg COM x 60

Geminis Farmaceutica

92,98

20,76

20,76

TERLOC 5 mg COM x 60

Ivax Argentina

197,20

125,57

71,35

CALPRES 5 mg COM x 60

Temis-Lostalo

227,16

149,97

113,02

AMLOC 5 mg TAB x 60

Pfizer

281,07

185,56

158,27

Richet

30,14

6,73

6,73

10 mg AMLODIPINA RICHET 10 mg COM x 20


CALPRES 10 mg COM x 20

Temis-Lostalo

55,81

12,47

12,47

AMLOC 10 mg TAB x 20

Pfizer

148,39

97,97

83,56

AMZE 10 mg COM x 28

Richmond

158,18

99,63

66,00

TENSIMED 10 mg COM x 30

Lepetit

44,00

9,60

9,60

AMLODIPINA TECHSPHERE 10 mg COM x 30

Techsphere

60,95

13,61

13,61

ZUNDIC 10 mg COM x 30

Raffo

73,13

16,33

16,33

HIPERTENSAL 10 mg COM x 30

Finadiet

74,76

16,70

16,70

AMLODICORD 10 mg COM x 30

Geminis Farmaceutica

77,52

17,31

17,31

CARDIVAS 10 mg COM x 30

Sidus

87,09

19,45

19,45

ANEXA 10 mg COM x 30

Microsules Argentina

127,21

58,90

58,90

COROVAL 10 mg COM x 30

Nova Argentia

141,72

74,22

36,89

CALPRES 10 mg COM x 30

Temis-Lostalo

156,48

94,11

43,34

AMLODINE 10 mg COM x 30

Eurofarma

158,14

94,83

44,99

SINOP 10 mg COM x 30

Craveri

157,11

94,94

47,35

ILDUC 10 mg COM x 30

Baliarda

158,26

96,44

44,96

TERLOC 10 mg COM x 30

Ivax Argentina

176,28

116,38

71,31

TERVALON 10 mg COM x 30

Lazar

177,78

117,37

73,44

ARTERIOSAN 10 mg COM x 30

Bernabo

188,40

124,38

106,09

PELMEC 10 mg COM x 30

Casasco

197,89

130,64

111,42

CARDIOREX 10 mg COM x 30

Bag

218,01

143,93

122,76

CARDIOREX CDO 10 mg COM x 30

Bag

250,73

164,74

164,74

AMLOC 10 mg TAB x 30

Pfizer

254,11

167,76

143,09

AMLODICORD 10 mg COM x 60

Geminis Farmaceutica

149,38

33,36

33,36

TERLOC 10 mg COM x 60

Ivax Argentina

310,29

184,71

84,24

CALPRES 10 mg COM x 60

Temis-Lostalo

320,37

197,88

95,25

AMLOC 10 mg TAB x 60

Pfizer

412,24

272,16

223,02

Lazar

171,57

113,27

71,74

EXFORGE 5/320 mg COM x 14

Novartis

207,07

136,71

113,48

EXFORGE 5/160 mg COM x 14

Novartis

211,27

139,48

118,97

EXFORGE 5/80 mg COM x 14

Novartis

211,44

139,59

115,70

DISARVAL 5/160 mg COM x 15

Baliarda

135,45

61,21

29,41

NOSTER 5/160 mg COM x 28

Raffo

277,31

145,74

72,12

SIMULTAN A 5/160 mg COM x 28

Lazar

307,89

186,85

91,88

AMLODIPINA + VALSARTAN
Comprimidos

5 mg SIMULTAN A 5/160 mg COM x 14

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

Pgina 7 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

5 mg RACORVAL A 160/ 5 mg COM x 28

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Nova Argentia

314,58

195,53

102,00

EXFORGE 5/320 mg COM x 28

Novartis

350,98

230,61

142,14

EXFORGE 5/80 mg COM x 28

Novartis

358,28

234,92

144,59

EXFORGE 5/160 mg COM x 28

Novartis

358,03

236,37

164,12

DISARVAL 5/160 mg COM x 30

Baliarda

281,32

133,85

70,77

10 mg SIMULTAN A 10/160 mg COM x 14

Lazar

171,57

113,27

79,27

EXFORGE 10/160 mg COM x 14

Novartis

211,27

139,48

118,97

EXFORGE 10/320 mg COM x 14

Novartis

211,27

139,48

115,68

DISARVAL 10/160 mg COM x 15

Baliarda

142,55

76,13

33,94

RACORVAL A 160/10 mg COM x 28

Nova Argentia

251,67

118,70

61,78

NOSTER 10/160 mg COM x 28

Raffo

277,23

154,39

72,10

SIMULTAN A 10/160 mg COM x 28

Lazar

300,26

184,91

97,34

EXFORGE 10/320 mg COM x 28

Novartis

358,03

234,81

144,68

EXFORGE 10/160 mg COM x 28

Novartis

358,03

236,37

178,57

DISARVAL 10/160 mg COM x 30

Baliarda

290,89

157,04

75,71

Richet

13,75

9,08

9,08

Bag

18,44

12,12

12,12

Richet

20,41

10,87

10,87

Roemmers

25,50

16,75

16,75

Bag

28,14

18,58

18,58

Northia

13,04

3,54

3,54

Bag

15,52

5,72

5,72

Nova Argentia

16,51

7,22

7,22

Bernabo

17,00

7,93

7,93

Richet

18,70

11,13

11,13

AMOXIPENIL 500 COM x 16

Montpellier

37,25

20,42

20,42

TELMOX 500 mg TAB x 16

Sandoz

38,73

22,42

22,42

BIOXILINA NORTHIA 500 mg COM x 16

Northia

38,80

24,21

24,21

NOBACTAM 500 mg COM x 16

Microsules Argentina

39,51

25,18

25,18

AMOXICLER 500 COM x 16

Monserrat

41,40

25,92

25,92

AMOXICILINA FECOFAR 500 mg COM x 16

Fecofar

42,13

27,19

27,19

GRINSIL 500 mg COM x 16

Nova Argentia

43,43

28,50

28,50

AMOXICILINA RICHET 500 mg COM x 16

Richet

44,19

29,17

29,17

AMIXEN 500 mg COM x 16

Bernabo

47,79

31,55

31,55

TRIFAMOX 500 mg COM x 16

Bag

53,58

35,37

35,37

GRINSIL 500 mg COM x 21

Nova Argentia

34,99

8,52

8,52

AMOXI 500 mg MAR COM x 21

Mar

35,38

8,89

8,89

AMIXEN 500 mg COM x 21

Bernabo

48,16

26,18

26,18

AMOXIDAL 500 mg RECUB. COM x 21

Roemmers

59,37

39,20

39,20

TRIFAMOX 500 mg COM x 21

Bag

59,50

39,28

39,28

TRIFAMOX 500 mg MASTICABLE COM x 21

Bag

64,57

42,63

42,63

Bernabo

61,82

39,40

39,40

Bag

69,82

46,10

46,10

AMOXICILINA
Ampollas

500 mg AMOXICILINA RICHET 500 MG+SOL F.A x


TRIFAMOX 500 mg AMP x

1000 mg AMOXICILINA RICHET 1 g LIOF F.A x


AMOXIDAL 1 g AMP x

500 mg BIOXILINA NORTHIA 500 mg COM x


TRIFAMOX 500 mg COM x
GRINSIL 500 mg COM x
AMIXEN 500 mg COM x

TRIFAMOX 1000 mg AMP x


Comprimidos

8
8

AMOXICILINA RICHET 500 mg COM x

750 mg AMIXEN 750 mg COM x 16


TRIFAMOX 750 mg COM x 16
875 mg AMOXI DUO MAR 875 mg COM x 14

Mar

61,66

32,08

32,08

TRIFAMOX DUO 875 mg MASTICABLE COM x 14

Bag

66,49

41,03

41,03

AMOXICILINA FECOFAR DUO 875 mg COM x 14

Fecofar

68,92

41,85

41,85

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

Pgina 8 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

875 mg AMIXEN DUO COM x 14

A CARGO A CARGO
REF
AFILIADO CRONICO

Bernabo

69,28

42,32

42,32

TRIFAMOX DUO 875 mg COM x 14

Bag

74,93

47,09

47,09

GRINSIL DUO 875 mg COM x 14

Nova Argentia

73,10

47,23

47,23

AMOXIDAL DUO 875 mg COM x 14

Roemmers

76,73

50,65

50,65

Bag

41,48

9,26

9,26

Richet

53,78

18,11

18,11

Microsules Argentina

67,66

34,85

34,85

BIOXILINA NORTHIA 1 g COM x 16

Northia

95,24

23,91

23,91

AMOXICILINA RICHET 1000 mg COM x 16

Richet

130,38

69,19

69,19

TRIFAMOX 1000 mg COM x 16

Bag

150,99

91,55

91,55

NOBACTAM 1000 mg COM x 16

Microsules Argentina

152,30

99,92

99,92

AMOXIDAL 1 g COM x 16

Roemmers

165,25

109,10

109,10

125 mg AMOXIDAL 125 mg SUS x 60

Roemmers

10,64

6,99

250 mg BIOXILINA NORTHIA PED.FORTE SUS x 60

1000 mg TRIFAMOX 1000 mg COM x

AMOXICILINA RICHET 1000 mg COM x


NOBACTAM 1000 mg COM x

Lquido

PRECIO

6,99 INF

Northia

14,71

2,94

2,94 INF

AMOXICILINA FECOFAR 250 mg JBE x 60

Fecofar

27,82

13,54

13,54 INF

AMOXICILINA RICHET 250 mg JBE x 60

Richet

31,26

19,32

19,32 INF

GRINSIL 250 mg JBE x 90

Nova Argentia

20,61

4,60

4,60 INF

AMOXICILINA FECOFAR 250 mg SUS x 90

Fecofar

39,29

16,77

16,77 INF

AMOXIPENIL 250 SUS x 90

Montpellier

47,06

27,16

27,16 INF

AMOXICILINA RICHET 250 mg JBE x 90

Richet

49,18

32,11

32,11 INF

NOBACTAM 250 mg PED. SUS x 90

Microsules Argentina

51,21

33,81

33,81 INF

AMOXIDAL 250 mg SUS x 90

Roemmers

61,00

40,27

40,27 INF

TELMOX 250 mg SUS x 100

Sandoz

43,57

17,87

17,87

AMOXI 250 mg MAR SUS x 105

Mar

29,98

6,69

6,69 INF

GRINSIL 250 mg JBE x 120

Nova Argentia

29,22

6,52

6,52 INF

NOBACTAM 250 mg PED. SUS x 120

Microsules Argentina

39,19

8,33

8,33 INF

AMOXICILINA FECOFAR 250 mg JBE x 120

Fecofar

50,96

19,44

19,44 INF

AMOXIDAL 250 mg SUS x 120

Roemmers

52,12

21,20

21,20 INF

TRIFAMOX 250 mg JBE x 120

Bag

56,42

27,50

27,50 INF

AMOXICILINA RICHET 250 mg JBE x 120

Richet

55,18

28,12

28,12 INF

500 mg AMOXOL 500 mg ORAL SUS x 60

Cassara

20,90

4,18

4,18

AMOXICILINA RICHET 500 mg POL SUS x 60

Richet

32,21

18,52

18,52

AMOXICILINA FECOFAR 500 mg JBE x 60

Fecofar

33,06

18,63

18,63

AMOXIDAL 500 mg SUS x 60

Roemmers

33,64

19,07

19,07

TRIFAMOX 500 mg JBE x 60

Bag

43,67

28,83

28,83

AMOXOL 500 mg ORAL SUS x 90

Cassara

24,90

4,98

4,98

BIOXILINA NORTHIA 500 mg SUS x 90

Northia

44,07

21,56

21,56

AMOXICILINA FECOFAR 500 mg JBE x 90

Fecofar

45,84

22,77

22,77

AMOXIDAL 500 mg SUS x 90

Roemmers

47,15

24,05

24,05

AMOXICILINA RICHET 500 mg POL SUS x 90

Richet

47,54

26,68

26,68

AMOXICLER 500 PEDIATRICO SUS x 90

Monserrat

52,45

31,24

31,24

GRINSIL 500 mg SUS x 90

Nova Argentia

67,49

44,55

44,55

TELMOX 500 mg SUS x 100

Sandoz

53,74

28,60

28,60

AMOXI 500 mg MAR SUS x 105

Mar

42,73

11,52

11,52

NOBACTAM 500 mg PED. SUS x 120

Microsules Argentina

34,93

6,99

6,99

BIOXILINA NORTHIA 500 mg SUS x 120

Northia

45,47

11,93

11,93

GRINSIL 500 mg SUS x 120

Nova Argentia

53,45

18,12

18,12

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

Pgina 9 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Lquido

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

500 mg AMOXICILINA FECOFAR 500 mg JBE x 120

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Fecofar

70,67

43,26

43,26

AMOXIPENIL 500 SUS x 120

Montpellier

71,88

44,21

44,21

AMOXICILINA RICHET 500 mg POL SUS x 120

Richet

83,11

54,87

54,87

TRIFAMOX 500 mg JBE x 120

Bag

90,26

59,59

59,59

AMOXIDAL 500 mg SUS x 120

Roemmers

94,42

62,34

62,34

AMOXI 500 mg MAR SUS x 150

Mar

62,12

17,49

17,49

750 mg AMOXI DUO MAR SUS x 70

Mar

56,18

37,09

37,09

GRINSIL DUO 750 mg SUS x 70

Nova Argentia

71,78

40,35

40,35

AMOXICILINA FECOFAR DUO 750 mg JBE x 70

Fecofar

78,94

49,76

49,76

AMOXIDAL DUO 750 MG/5 ML SUS x 70

Roemmers

88,97

58,74

58,74

AMOXI DUO MAR SUS x 100

Mar

70,61

42,30

42,30

GRINSIL DUO 750 mg SUS x 120

Nova Argentia

102,35

39,55

39,55

AMOXIDAL DUO 750 MG/5 ML SUS x 120

Roemmers

129,71

78,02

78,02

1000 mg TRIFAMOX DUO SUS x 50

Bag

66,02

43,59

43,59

TRIFAMOX DUO SUS x 90

Bag

116,55

76,19

76,19

Montpellier

66,20

27,93

27,93

AMOXICILINA +
CLAVULNICO, CIDO
Comprimidos

500 mg ULTRABIOTIC 500 mg COM x

AMIXEN CLAVULANICO 500 mg COM x

Bernabo

82,26

50,19

50,19

TIBIMOX CLAVULANICO 500 mg COM x

Savant

82,41

51,11

51,11

Roemmers

85,06

53,81

53,81

Richet

83,25

54,96

54,96

OPTAMOX 500 mg COM x

AMOXICILINA CLAVUL. 500 RICHET COM x

CLAVULOX 500 mg COM x 14

Phoenix

131,46

71,16

71,16

ULTRABIOTIC 500 mg COM x 16

Montpellier

132,43

55,90

55,90

BIOXILINA PLUS 500 mg COM x 16

Northia

134,34

64,61

64,61

GRINSIL CLAVULANICO 500 mg COM x 16

Nova Argentia

150,53

81,72

81,72

AMOCLAV 500 mg COM x 16

Casasco

151,76

83,40

83,40

TIBIMOX CLAVULANICO 500 mg COM x 16

Savant

163,31

98,81

98,81

AMOXICILINA CLAVUL. 500 RICHET COM x 16

Richet

162,75

105,19

105,19

AMIXEN CLAVULANICO 500 mg COM x 16

Bernabo

175,09

113,94

113,94

OPTAMOX 500 mg COM x 16

Roemmers

187,04

123,48

123,48

625 mg BIOCLAVID 500/125 mg COM x

Sandoz

53,76

12,69

12,69

BIOCLAVID 500/125 mg COM x 16

Sandoz

143,02

71,27

71,27
57,71

875 mg AMOXI PLUS MAR 875/125 mg COM x 14

Mar

119,02

57,71

ULTRABIOTIC DUO COM x 14

Montpellier

153,52

75,96

75,96

TIBIMOX CLAVULANICO DUO 875/125 mg COM x


14

Savant

177,91

109,00

109,00

AMOXICILINA CLAVUL.7:1 875/125 COM x 14

Richet

172,51

113,89

113,89

BIOCLAVID 875/125 mg COM x 14

Sandoz

174,45

115,17

115,17

AMOCLAV DUO COM x 14

Casasco

187,22

120,95

120,95

GRINSIL CLAV DUO 875 COM x 14

Nova Argentia

184,32

121,69

121,69

AMIXEN CLAVULANICO 1 g COM x 14

Bernabo

189,78

124,18

124,18

OPTAMOX DUO 1 g COM x 14

Roemmers

198,04

130,75

130,75

AMOXI PLUS MAR 875/125 mg COM x 20

Mar

155,14

34,64

34,64

Phoenix

166,31

93,65

93,65

1000 mg CLAVULOX 1 g COM x 14


BIOXILINA PLUS 1000 mg COM x 16

Northia

96,58

19,32

19,32

AMOXICILINA CLAVUL. 1000 RICHE COM x 16

Richet

175,48

94,53

94,53

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

Pgina 10 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos
Lquido

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

1000 mg
125 mg OPTAMOX LACTANTES SUS x 60

Roemmers

35,58

23,38

23,38 INF

250 mg ULTRABIOTIC SUS x 60

Montpellier

57,69

23,32

23,32 INF

AMOCLAV 250 mg SUS x 60

Casasco

64,07

32,60

32,60 INF

AMOXICILINA CLAVUL. 250 RICHET SUS x 60

Richet

69,81

43,50

43,50 INF

OPTAMOX 250 mg PEDIATRICA SUS x 60

Roemmers

82,48

54,45

54,45 INF

BIOXILINA PLUS 250 mg SUS x 90

Northia

57,51

11,50

11,50 INF

GRINSIL CLAVULANICO 250 mg SUS x 90

Nova Argentia

61,14

13,65

13,65 INF

AMOXICILINA CLAVUL. 250 RICHET SUS x 90

Richet

OPTAMOX 250 mg PEDIATRICA SUS x 90

Roemmers

400 mg CLAVULOX DUO 400 mg SUS x 70

99,70

58,24

58,24 INF

117,44

77,12

77,12 INF

Phoenix

84,20

33,81

33,81

ULTRABIOTIC DUO SUS x 70

Montpellier

88,53

40,24

40,24

AMOXI PLUS MAR SUS x 70

Mar

91,92

45,12

45,12

AMOCLAV DUO SUS x 70

Casasco

98,11

53,74

53,74

TIBIMOX CLAVULANICO DUO SUS x 70

Savant

100,67

58,21

58,21

BIOCLAVID 400/57 MG/5 ML SUS x 70

Sandoz

101,34

59,10

59,10

AMOXICILINA CLAVUL.7:1 400/57. SUS x 70

Richet

103,30

65,23

65,23

OPTAMOX DUO SUS x 70

Roemmers

121,36

80,12

80,12

GRINSIL CLAVULANICO DUO SUS x 70

Nova Argentia

129,09

85,22

85,22

ULTRABIOTIC DUO SUS x 120

Montpellier

142,85

55,70

55,70

AMOCLAV DUO SUS x 140

Casasco

173,48

75,22

75,22

GRINSIL CLAV DUO SUS x 140

Nova Argentia

188,15

96,32

96,32

OPTAMOX DUO SUS x 140

Roemmers

228,08

149,15

149,15

Richet

177,03

103,06

103,06

Nova Argentia

213,20

140,75

140,75

500 mg AMOXICILINA CLAVUL.FTE.500/125 SUS x 90


GRINSIL CLAV 500 mg SUS x 90

AMOXICILINA + SULBACTAM
Comprimidos

250 mg TRIFAMOX IBL 500 mg COM x

Bag

60,00

39,61

39,61

TRIFAMOX IBL 500 mg COM x 16

Bag

114,53

74,92

74,92

Bag

111,30

73,13

73,13

875 mg TRIFAMOX IBL DUO COM x 14

Bag

129,32

84,97

84,97

125 mg TRIFAMOX IBL 250 mg JBE x 60

Bag

46,82

30,76

30,76 INF

250 mg TRIFAMOX IBL 500 mg JBE x 60

Bag

94,31

62,26

62,26

TRIFAMOX IBL 500 mg JBE x 120

Bag

158,70

89,89

89,89

1000 mg TRIFAMOX IBL DUO SUS x 30

Bag

91,50

60,41

60,41

TRIFAMOX IBL DUO SUS x 60

Bag

167,18

107,60

107,60

500 mg TRIFAMOX IBL 1000 mg COM x

Lquido

AMPICILINA
Ampollas

Comprimidos

500 mg TRIFACILINA 500 mg AMP x

Bag

28,12

18,48

18,48

1000 mg TRIFACILINA 1000 mg AMP x

Bag

31,41

20,64

20,64

Fecofar

45,50

10,16

10,16

Bag

90,32

59,34

59,34

Bag

63,00

30,63

30,63

TRIFACILINA 1000 mg COM x 16

Bag

164,76

108,77

108,77

250 mg TRIFACILINA FUERTE JBE x 120

Bag

68,86

45,24

500 mg AMPICILINA FECOFAR 500 mg COM x 16


TRIFACILINA 500 mg COM x 16
1000 mg TRIFACILINA 1000 mg COM x

Lquido

45,24 INF

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

Pgina 11 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Lquido

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

250 mg

ANATOXINA TETNICA
Ampollas

40 ui TETAVAX 0.5 ML JPR x

Sanofi Pasteur

67,49

38,57

38,57 MAT

Biol

66,02

43,38

43,38

Sanofi Pasteur

57,91

32,85

32,85

ANTITOXINA DIFTRICA +
TETNICO TOXOIDE
Ampollas

2,8 ui VACUNA BIOL DOBLE AMP x

2 ui IMOVAX DT ADULTO 0.5 ML JPR x

ATENOLOL
Comprimidos

25 mg VERICORDIN 25 mg COM x 28

Lazar

24,76

15,92

9,44

ATENOLOL GADOR 25 mg COM x 28

Gador

26,11

17,24

11,35

PLENACOR 25 mg COM x 30

Bag

21,40

10,16

5,35

ATENOLOL MP GADOR 25 mg CAP x 30

Gador

27,08

16,88

10,90

PLENACOR 25 mg COM x 40

Bag

33,84

20,78

11,23

VERICORDIN 25 mg COM x 56

Lazar

47,07

28,70

15,26

ATENOLOL GADOR 25 mg COM x 56

Gador

51,59

34,06

21,81

ATENOLOL MP GADOR 25 mg CAP x 60

Gador

52,14

32,95

18,88

PLENACOR 25 mg COM x 60

Bag

52,88

33,90

19,96

Astrazeneca

26,04

17,19

12,32

ATENOLOL MICROSULES 50 mg COM x 28

Microsules Argentina

28,98

18,01

18,01

VERICORDIN 50 mg COM x 28

Lazar

30,10

18,22

9,58

ATENOLOL GADOR 50 mg COM x 28

Gador

31,31

19,79

11,38

PRENORMINE 50 COM x 28

Astrazeneca

45,75

30,20

25,76

ATENOLOL BIOTENK 50 mg COM x 30

Biotenk

25,09

9,84

5,02

ATENOLOL MP GADOR 50 mg CAP x 30

Gador

31,63

18,71

9,33

PLENACOR 50 mg COM x 30

Bag

39,99

26,40

21,04

PLENACOR 50 mg COM x 40

Bag

51,87

34,24

26,16

ATENOLOL MICROSULES 50 mg COM x 56

Microsules Argentina

54,73

31,49

31,49

VERICORDIN 50 mg COM x 56

Lazar

58,61

34,35

16,75

ATENOLOL GADOR 50 mg COM x 56

Gador

63,76

41,03

24,41

PRENORMINE 50 COM x 56

Astrazeneca

127,90

84,44

72,02

ATENOLOL QUESADA 50 mg COM x 60

Eurofarma

26,63

5,94

5,94

ATENOLOL MP GADOR 50 mg CAP x 60

Gador

66,53

41,67

23,56

PLENACOR 50 mg COM x 60

Bag

82,92

54,74

46,69

100 mg ATENOLOL GADOR 100 mg COM x 14

Gador

15,84

3,54

3,54

PRENORMINE 100 COM x 14

Astrazeneca

22,04

10,64

5,42

PLENACOR 100 mg COM x 20

Bag

21,40

4,78

4,78

VERICORDIN 100 mg COM x 28

Lazar

38,40

14,70

8,58

ATENOLOL GADOR 100 mg COM x 28

Gador

57,02

37,65

27,66

PRENORMINE 100 COM x 28

Astrazeneca

58,64

38,71

29,82

PLENACOR 100 mg COM x 30

Bag

41,99

17,03

9,38

PLENACOR 100 mg COM x 40

Bag

55,10

21,36

12,31

VERICORDIN 100 mg COM x 56

Lazar

109,29

72,15

48,88

ATENOLOL GADOR 100 mg COM x 56

Gador

112,92

74,55

53,82

PRENORMINE 100 COM x 56

Astrazeneca

139,60

92,16

78,61

50 mg PRENORMINE 50 COM x 14

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

Pgina 12 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
100 mg PLENACOR 100 mg COM x 60

30/12/2014
LABORATORIO
Bag

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

82,49

31,80

18,43

ATORVASTATIN
Comprimidos

10 mg TORIVAS 10 mg COM x 20

98,53

39,76

19,71

LIPONORM 10 mg COM x 20

Lazar

134,92

88,15

51,47

VASTINA 10 mg COM x 28

Richmond

189,09

122,91

70,71

NORMOLIPOL 10 mg COM x 30

Lepetit

71,00

15,80

15,80

ATARVA 10 mg COM x 30

Duncan

91,96

20,54

20,54

ATORVASTATINA NORTHIA 10 mg COM x 30

Northia

112,00

25,01

25,01

ATORMAX 10 mg COM x 30

Geminis Farmaceutica

126,99

32,48

28,36

ATORVASTAN 10 mg COM x 30

Biotenk

156,79

72,90

37,04

FINLIPOL 10 mg COM x 30

Microsules Argentina

155,11

75,12

75,12

LIPOCAMBI 10 mg COM x 30

Bernabo

191,48

118,31

61,13

LIPAREX 10 mg COM x 30

Finadiet

192,70

119,89

62,96

LIPODREN 10 mg COM x 30

Sanofi Aventis

194,59

122,32

65,79

LIPIFEN 10 mg COM x 30

Raffo

195,99

124,12

67,89

TECOPLAX 10 mg COM x 30

Sandoz

197,72

126,32

70,41

VASTINA 10 mg COM x 30

Richmond

202,61

131,70

85,03

ATEROCLAR 10 mg COM x 30

Beta

203,98

134,24

79,50

NORMALIP 10 mg COM x 30

Eurofarma

204,20

134,51

81,50

PLAN 10 mg COM x 30

Craveri

206,01

136,01

80,63

LIPONORM 10 mg COM x 30

Lazar

207,33

136,88

84,28

TORIVAS 10 mg COM x 30

Baliarda

209,09

138,04

86,77

LIPOKEMIA 10 mg COM x 30

Fecofar

209,81

138,52

87,79

AMPLIAR 10 mg COM x 30

Casasco

237,77

156,98

125,49

ZARATOR 10 mg COM x 30

Elea

243,27

160,60

136,98

LIPITOR 10 mg COM x 30

Pfizer

263,33

173,85

148,28

LIPIBEC 10 mg COM x 30

Ivax Argentina

270,44

178,54

152,29

ATORMAX 10 mg COM x 60

Geminis Farmaceutica

202,97

45,32

45,32

FINLIPOL 10 mg COM x 60

Microsules Argentina

296,71

129,43

129,43

ATEROCLAR 10 mg COM x 60

Beta

336,37

174,12

87,55

TORIVAS 10 mg COM x 60

Baliarda

347,38

189,32

90,42

LIPAREX 10 mg COM x 60

Finadiet

365,96

214,35

100,45

LIPONORM 10 mg COM x 60

Lazar

376,85

228,68

113,00

AMPLIAR 10 mg COM x 60

Casasco

404,31

263,88

153,75

LIPITOR 10 mg COM x 60

Pfizer

413,58

273,04

167,03

ZARATOR 10 mg COM x 60

Elea

418,23

276,11

173,61

LIPIBEC 10 mg COM x 60

Ivax Argentina

492,36

325,05

277,25

LIPONORM 10 mg COM x 100

Lazar

440,97

124,59

88,19

Richmond

326,97

212,53

141,75

NORMOLIPOL 20 mg COM x 30

Lepetit

100,00

22,40

22,40

ATORMAX 20 mg COM x 30

Geminis Farmaceutica

126,99

28,36

28,36

ATARVA 20 mg COM x 30

Duncan

133,60

29,83

29,83

TECOPLAX 20 mg COM x 30

Sandoz

197,72

46,27

44,15

ATORVASTATINA NORTHIA 20 mg COM x 30

Northia

191,86

49,05

49,05

ATORVASTAN 20 mg COM x 30

Biotenk

240,34

100,36

48,07

NORMALIP 20 mg COM x 30

Eurofarma

302,85

184,04

88,39

FINLIPOL 20 mg COM x 30

Microsules Argentina

299,57

192,73

192,73

ATEROCLAR 20 mg COM x 30

Beta

332,95

219,81

130,02

TORIVAS 20 mg COM x 30

Baliarda

337,36

222,72

136,31

20 mg VASTINA 20 mg COM x 28

Baliarda

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

Pgina 13 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

20 mg VASTINA 20 mg COM x 30

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Richmond

343,65

223,37

165,19

LIPODREN 20 mg COM x 30

Sanofi Aventis

340,77

224,98

141,14

LIPOCAMBI 20 mg COM x 30

Bernabo

347,34

229,31

150,35

LIPAREX 20 mg COM x 30

Finadiet

348,25

229,91

151,62

LIPONORM 20 mg COM x 30

Lazar

348,83

230,30

152,42

LIPIFEN 20 mg COM x 30

Raffo

354,57

234,09

160,38

AMPLIAR 20 mg COM x 30

Casasco

370,13

244,35

181,42

PLAN 20 mg COM x 30

Craveri

374,38

247,16

184,59

ZARATOR 20 mg COM x 30

Elea

447,46

295,41

251,97

LIPIBEC 20 mg COM x 30

Ivax Argentina

452,83

298,96

254,99

LIPITOR 20 mg COM x 30

Pfizer

454,03

299,75

255,67

ATORMAX 20 mg COM x 60

Geminis Farmaceutica

255,57

57,07

57,07

TORIVAS 20 mg COM x 60

Baliarda

573,53

325,46

149,28

LIPAREX 20 mg COM x 60

Finadiet

609,84

373,46

176,91

AMPLIAR 20 mg COM x 60

Casasco

644,06

417,33

228,32

FINLIPOL 20 mg COM x 60

Microsules Argentina

650,91

429,73

429,73

LIPONORM 20 mg COM x 60

Lazar

654,96

431,06

244,24

ZARATOR 20 mg COM x 60

Elea

766,46

506,01

397,42

LIPITOR 20 mg COM x 60

Pfizer

787,48

519,89

424,67

LIPIBEC 20 mg COM x 60

Ivax Argentina

852,18

562,60

479,87

Bernabo

321,60

164,65

83,71

ATEROCLAR 40 mg COM x 30

Beta

346,54

198,79

96,88

LIPAREX 40 mg COM x 30

Finadiet

373,62

234,29

135,42

TORIVAS 40 mg COM x 30

Baliarda

385,83

249,86

153,07

AMPLIAR 40 mg COM x 30

Casasco

411,50

271,67

188,92

LIPIFEN 40 mg COM x 30

Raffo

426,81

281,78

240,34

LIPITOR 40 mg COM x 30

Pfizer

454,18

299,85

245,40

ZARATOR 40 mg COM x 30

Elea

461,02

304,36

254,15

LIPIBEC 40 mg COM x 30

Ivax Argentina

491,78

324,67

276,92

Bayer Consumer

67,16

43,44

43,44

Poen

72,50

47,63

47,63

Pharmadorf

80,87

53,39

53,39

Pharmadorf

143,79

94,48

94,48

Gador

66,98

44,22

44,22

Fortbenton Co.

32,78

9,30

9,30

Northia

33,67

11,62

11,62

Raffo

35,37

12,20

12,20

Takeda

46,93

28,58

28,58

Beta

52,67

34,77

34,77

Richet

59,75

39,45

39,45

Craveri

61,86

40,84

40,84

Lazar

62,39

41,19

41,19

Baliarda

62,45

41,23

41,23

Bernabo

65,97

43,56

43,56

40 mg LIPOCAMBI 40 mg COM x 30

AZELAICO, CIDO
Crema

20000 CUTACELAN CRE x 30


mg

AZELASTINA
Lquido

50 mg BRIXIA OFT. SOL x

ALLERGODIL OFT. SOL x


Spray

1000 mg ALLERGODIL NASAL SPR x 10

AZITROMICINA
Comprimidos

500 mg AZITRIN 500 mg COM x

OROBIOTIC 500 mg COM x

AZITROMICINA NORTHIA 500 mg COM x


DOYLE 500 mg COM x

ARZOMICIN 500 mg COM x


TRIAMID 500 mg COM x

AZITROMICINA RICHET 500 mg COM x


SUMIR 500 COM x

NEBLIC 500 mg COM x

AZIBIOTIC 500 mg COM x


MISULTINA 500 mg COM x

3
3

CRONOPEN 500 mg COM x

Elea

68,55

45,26

45,26

MACROMAX 500 mg COM x

Investi

71,29

47,06

47,06

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

Pgina 14 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL
500 mg TRITAB 500 mg COM x

LABORATORIO
3

A CARGO A CARGO
REF
AFILIADO CRONICO

Sidus

78,09

51,56

51,56

Pfizer

95,62

63,13

63,13

Gador

100,46

66,32

66,32

Astrazeneca

42,61

11,30

11,30

Raffo

41,04

9,17

9,17

Takeda

53,97

14,80

14,80

Baliarda

75,07

43,49

43,49

Bernabo

77,88

47,20

47,20

Beta

78,10

47,49

47,49

Elea

78,87

48,49

48,49

Sidus

87,09

57,50

57,50

Trb-Pharma

40,86

9,12

9,12

Astrazeneca

50,12

11,19

11,19

Fortbenton Co.

77,23

34,24

34,24

Northia

79,23

40,62

40,62

Investi

91,16

53,62

53,62

Richet

90,94

57,30

57,30

Elea

94,26

57,69

57,69

Bernabo

94,86

58,46

58,46

Lazar

100,39

65,53

65,53

Sidus

105,09

69,38

69,38

Baliarda

104,73

60,40

60,40

Fortbenton Co.

109,90

42,47

42,47

OROBIOTIC 500 mg COM x 12

Fortbenton Co.

130,86

36,80

36,80

ZITROMAX 500 mg TAB x

AZITRIN 500 mg COM x

NAXOCINA 500 mg CAP x


DOYLE 500 mg COM x

ARZOMICIN 500 mg COM x


AZIBIOTIC 500 mg COM x

5
5

MISULTINA 500 mg COM x


TRIAMID 500 mg COM x

CRONOPEN 500 mg COM x


TRITAB 500 mg COM x

CETAXIM 500 mg COM x

NAXOCINA 500 mg CAP x

OROBIOTIC 500 mg COM x

AZITROMICINA NORTHIA 500 mg COM x


MACROMAX 500 mg COM x

CRONOPEN 500 mg COM x


MISULTINA 500 mg COM x
NEBLIC 500 mg COM x
TRITAB 500 mg COM x

AZITROMICINA RICHET 500 mg COM x

6
6

6
6

AZIBIOTIC 500 mg COM x

OROBIOTIC 500 mg COM x

Lquido

PRECIO

100 mg ARZOMICIN LACTANTES SUS x 15

Takeda

20,40

13,19

13,19

200 mg TRITAB ORAL 200 MG/5 ML SUS x 15

Sidus

42,65

23,29

23,29

NEBLIC 600 mg POLVO P/ SUS x 15

Lazar

51,07

33,72

33,72

AZITROMICINA RICHET ORAL SUS x 15

Richet

51,44

33,93

33,93

MISULTINA SUS x 15

Bernabo

51,41

33,94

33,94

CRONOPEN ORAL 200 mg 5 ML SUS x 15

Elea

54,08

35,70

35,70

ARZOMICIN 200 mg / 5 ML SUS x 15

Takeda

58,64

38,71

38,71

AZITRIN 200 mg/5 ml SUS x 15

Gador

81,79

53,74

53,74

ZITROMAX 600 mg SUS x 15

Pfizer

108,25

71,47

71,47

AZITRIN 200 mg/5 ml SUS x 20

Gador

96,68

63,52

63,52

ZITROMAX 900 mg ORAL SUS x 22

Pfizer

162,35

107,18

107,18

ARZOMICIN 200 mg / 5 ML SUS x 30

Takeda

55,90

11,18

11,18

NEBLIC 1.2 POLVO SUS x 30

Lazar

70,17

24,57

24,57

TRITAB ORAL 200 MG/5 ML SUS x 30

Sidus

86,13

47,71

47,71

MISULTINA SUS x 30

Bernabo

105,60

69,72

69,72

CRONOPEN ORAL 200 mg 5 ML SUS x 30

Elea

106,55

70,34

70,34

MACROMAX PEDIATRICO 200 mg/5ml SUS x 30

Investi

110,24

72,78

72,78

AZITRIN 200 mg/5 ml SUS x 30

Gador

145,00

95,27

95,27

Sidus

87,92

57,77

57,77

Dominguez

281,97

185,27

185,27

Temis-Lostalo

330,50

105,89

105,89

3,75 mg TRITAB AZYDROP MONODS. OFT. SOL x

BARIO SULFATO
Comprimidos

24000 SITZMARKS CAP x


mg

Enema

66000 GASTROPAQUE F ENE x 500


mg

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

Pgina 15 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

NOMBRE COMERCIAL

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Frasco

95700 GASTROPAQUE S POLVO FCO x 300


mg

Temis-Lostalo

190,75

61,11

61,11

Lquido

46000 EZ CAT SUS x 225


mg

Temis-Lostalo

185,22

59,34

59,34

66000 GASTROPAQUE F SUS x 300


mg

Temis-Lostalo

198,29

63,53

63,53

66700 BARIOFARMA ORAL SUS x 100


mg

Varifarma

37,73

11,32

11,32

BARIOFARMA ORAL SUS x 300

Varifarma

42,90

12,87

12,87

179,29

57,44

57,44

Sobres

94000 BARIO DIF CITRATADO POLVO SUS x 266


mg

Temis-Lostalo

66700 BARIOFARMA RECTAL SUS x 500


mg
BARIOFARMA RECTAL C/ACCESOR. SUS x 500

Varifarma

66,90

20,07

20,07

Varifarma

129,00

38,70

38,70

98000 BARIOFARMA RECTAL POLVO SUS x 403


Varifarma
mg
BARIOFARMA RECTAL POLVO C/ACCE SUS x 403 Varifarma

54,01

16,20

16,20

117,43

35,23

35,23

Temis-Lostalo

222,65

71,34

71,34

Temis-Lostalo

234,68

75,19

75,19

95000 ENTERO VU 95 g SOB x


mg

BARIO SULFATO +
SIMETICONA
Frasco

94700 GASTROPAQUE S EZEM POLVO FCO x 340


mg

BECLOMETASONA
Aerosol

0,05 mg RINOSOL SUSP. NASAL AER x 200

Cassara

29,90

19,43

19,43

0,05 mg EGOSONA BRONQUIAL 50 mcg AER x 250

Takeda

24,40

15,78

4,88

Takeda

38,50

24,90

11,38

Takeda

74,20

47,99

14,84

0,1 mg EGOSONA 100 AER x 250


0,25 mg EGOSONA FORTE AER x 250

BENZNIDAZOL
Comprimidos

50 mg ABARAX 50 mg COM x 100

Elea

439,33

288,66

288,66

100 mg ABARAX 100 mg COM x 100

Elea

715,14

469,87

469,87

BENZOILO PERXIDO
Gel

2500 mg PEROXIDO DE BENZOILO 2.5% DEFU GEL x 60

Raymos

66,68

43,13

43,13

4000 mg SOLUGEL 4% ACUOSO GEL x 45

GlaxoSmithkline

92,14

60,54

60,54

5000 mg VIXIDERM E 5% GEL x 40

Investi

77,81

51,37

51,37

ACNESAN 5% GEL x 40

Ingens S.A.

79,69

53,38

53,38

ACNESAN 5% GEL x 60

Ingens S.A.

90,29

48,83

48,83

Atlas

84,57

55,56

55,56

102,61

68,42

68,42

8000 mg ACNEPAS TOPICO 8% GEL x 40


10000 ACNESAN 10 % GEL x 40
mg

Ingens S.A.

0,5 mg BUTASONA FABRA COM x 20

BETAMETASONA
Comprimidos

Fabra

24,70

9,07

9,07

CELESTONE COM x 20

MSD Arrgentina SR

45,99

26,18

26,18

METAMAR 0.5 mg COM x 30

Mar

51,53

33,58

33,58

0,6 mg DICASONE 0.6 mg COM x 30

Baliarda

61,48

23,99

23,99

DEPOCORT 0.6 mg COM x 30

Nova Argentia

71,47

38,41

38,41

CORTICAS 0.6 mg COM x 30

Casasco

76,48

45,16

45,16

NOVOCORT 0.6 mg COM x 30

Andromaco

86,18

56,90

56,90

CORTEROID 0.6 mg COM x 30

Montpellier

88,58

58,48

58,48

1,2 mg CORTEROID 1.2 mg COM x 30

Montpellier

111,32

73,00

73,00

NOVOCORT 1.2 mg COM x 30

Andromaco

114,74

75,75

75,75

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

Pgina 16 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Gotas

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

0,5 mg BETAMETASONA LAFEDAR GTS x 10

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Lafedar

41,62

27,48

27,48 INF

BETACORT ORAL GTS x 15

Cassara

28,90

11,06

11,06 INF

BETAMETASONA LAFEDAR GTS x 15

Lafedar

52,51

34,66

34,66 INF

CELESTONE GTS x 15

MSD Arrgentina SR

62,31

41,13

41,13 INF

BETAMETASONA LAFEDAR GTS x 20

Lafedar

55,11

36,38

36,38 INF

METAMAR ORAL GTS x 30

Mar

44,19

9,87

9,87 INF

Andromaco

69,12

34,49

34,49

Nova Argentia

53,70

35,29

35,29 INF

Baliarda

86,27

54,04

54,04

Mar

49,37

11,03

11,03

Nova Argentia

73,25

48,13

48,13

Cassara

24,90

8,98

8,98

Cevallos

49,98

11,16

11,16

Lafedar

72,64

38,88

38,88

0,6 mg NOVOCORT GTS x 30


DEPOCORT 0.6 MG/ML ORAL GTS x 30

BETAMETASONA ACETATO +
BETAMETASONA FOSFATO
DISDICO
Ampollas

3 mg CRONODICASONE 2 ML F.A x

METAMAR RETARD 2 ML + JGA. F.A x


DEPOCORT RETARD 2 ML F.A x
6 mg BETACORT 2 ML AMP x

CEVICORT NC 2 ML F.A x

BETAMETASONA LAFEDAR RETD 2ML F.A x

CELESTONE CRONODOSE 2 ML AMP x

MSD Arrgentina SR

87,42

54,78

54,78

CELESTONE CRONODOSE 2 ML JPR x

MSD Arrgentina SR

129,75

85,66

85,66

86,76

57,01

57,01

Sanofi Aventis

101,38

66,93

66,93

Montpellier

102,83

67,89

67,89

Montpellier

106,45

70,28

70,28

Montpellier

150,66

98,99

98,99

0,5 mg NOVOCORT CRE x 15

Andromaco

51,62

33,92

33,92

64 mg BETACORT 0.05% CRE x 15

CORTICAS RETARD 2 ML F.A x

Casasco

DELTISONA RETARD 2 ml + Jga. F.A x


CORTEROID RETARD 2 ML F.A x

CORTEROID RETARD 2 ML JPR x

15 mg CORTEROID RETARD 5 ML F.A x

BETAMETASONA
DIPROPIONATO
Crema

Medisol

28,90

12,16

12,16

DIPROSONE CRE x 15

MSD Arrgentina SR

95,88

63,30

63,30

BLACOR CRE x 30

Raymos

60,54

24,96

24,96

Gel

25 mg DERMIZOL GEL x 30

Roux Ocefa

63,39

42,28

42,28

Locin

50 mg DERMIZOL LOC x 15

Roux Ocefa

48,90

32,62

32,62

64 mg DIPROSONE LOC x 30

MSD Arrgentina SR

139,35

91,56

91,56

85,76

34,86

34,86

Baliarda

107,05

64,60

64,60

Casasco

102,08

58,01

58,01

Montpellier

117,88

77,82

77,82

Montpellier

120,69

79,68

79,68

BETAMETASONA
DIPROPIONATO +
BETAMETASONA FOSFATO
DISDICO
Ampollas

2 mg DEPOCORT CRONO 2 ML F.A x

CRONODICASONE DEPOT 2 ML F.A x


10 mg CRONO CORTICAS 2 ML F.A x
12,8 mg CRONOCORTEROID AMP x

CRONOCORTEROID 2 ML JPR x

Nova Argentia
1

CRONOLEVEL 2 ML AMP x

MSD Arrgentina SR

127,27

85,28

85,28

CRONOLEVEL 2 ML JPR x

MSD Arrgentina SR

181,95

120,12

120,12

BETAMETASONA FOSFATO
DISDICO

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

Pgina 17 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Ampollas

30/12/2014

NOMBRE COMERCIAL
8 mg CORTICAS 2 ML F.A x

LABORATORIO
1

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Casasco

38,79

24,78

24,78

Mar

27,68

18,19

18,19 INF

MSD Arrgentina SR

40,57

26,66

26,66 INF

Montpellier

40,20

26,54

26,54

Montpellier

49,88

32,93

32,93

Casasco

55,06

36,18

36,18 INF

Baliarda

55,99

30,40

30,40 INF

Montpellier

65,86

43,31

43,31 INF

Klonal

29,91

12,16

12,16 INF

100 mg LAZAR CORT CRE x 15

Lazar

33,39

21,59

21,59

122 mg BETAMETASONA LAFEDAR CRE x 15

Lafedar

43,15

28,48

28,48

BETNOVATE CRE x 15

GlaxoSmithkline

44,97

29,69

29,69

TRANSDERMA B CRE x 20

Szama

87,51

59,05

59,05

CORTEROID CRE x 30

Montpellier

46,56

29,47

29,47

BETNOVATE CRE x 30

GlaxoSmithkline

78,41

50,49

50,49

12000 CORTICAS CRE x 20


mg

Casasco

70,41

46,48

46,48

Locin

122 mg BETNOVATE CAPILAR LOC x 30

GlaxoSmithkline

57,09

37,51

37,51

Ungento

122 mg BETNOVATE UNG x 30

GlaxoSmithkline

54,44

17,07

17,07

Fada Pharma

68,35

45,12

45,12

Alcon

98,57

64,76

64,76

Alcon

84,16

54,72

54,72

Elea

199,09

130,81

130,81

BEZACUR RETARD 400 mg COM x 30

Investi

187,39

121,55

121,55

BEZALIP RETARD GRA x 30

Sandoz

205,71

135,81

135,81

Bag

51,54

34,03

27,21

BIPERIDENO ROSPAW 2 mg COM x 20

Rospaw

53,66

36,54

36,54

BIPERIDENO ROSPAW 2 mg COM x 60

Rospaw

127,77

81,81

81,81

AKINETON COM x 60

Bag

131,40

83,10

49,93

4 mg AKINETON RETARD COM x 30

Bag

115,15

75,66

46,64

5 mg MODATON COM x 20

Montpellier

20,30

8,98

8,98

MODATON COM x 50

Montpellier

38,49

8,59

8,59

4 mg METAMAR 1 ML + JGA. F.A x


5,3 mg CELESTONE 1 ML AMP x
8 mg CORTEROID 2 ML F.A x
CORTEROID 2 ML JPR x
Gotas

2
1
1

0,6 mg CORTICAS GTS x 20


DICASONE 0.6 mg ORAL GTS x 30
60 mg CORTEROID GTS x 30

BETAMETASONA FOSFATO
SDICO
Lquido

50 mg BETASONE G SOL x 15

BETAMETASONA VALERATO
Crema

BETAMETASONA VALERATO +
FENILEFRINA + LIDOCAINA
Crema

50 mg PROCTO-METADYNE RECTAL CRE x 20

BETAXOLOL
Lquido

250 mg BETASEL S 0.25% OFT. SOL x


500 mg BETASEL 0.5% OFT. SOL x

BEZAFIBRATO
Comprimidos

400 mg ELPI LIP COM x 30

BIPERIDENO
Comprimidos

2 mg AKINETON COM x 20

BISACODILO
Comprimidos

BISACODILO + CASANTRANOL

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

Pgina 18 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

30/12/2014

NOMBRE COMERCIAL

Comprimidos

5 mg ENGALAX GRA x

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Omega

60,37

40,64

40,64

ENGALAX GRA x 10

Omega

93,04

62,64

62,64

Sanofi Aventis

29,74

19,64

19,64

Soubeiran Chobet

48,85

32,10

32,10

Soubeiran Chobet

33,50

22,11

22,11

CREMA DE BISMUTO CHOBET C/PECT SUS x 120 Soubeiran Chobet

43,66

28,79

28,79

CREMA DE BISMUTO CHOBET C/PECT SUS x 240 Soubeiran Chobet

84,34

53,81

53,81

Elea

39,81

26,16

26,16

BISACODILO + SODIO
DIOCTILSULFOSUCCINATO +
SODIO
LAURILSULFOACETATO
Comprimidos

10 mg NIGALAX RADIOLOGICO KIT Supos.x 2 + GRA x


6

BISMUTO HIDRXIDO +
PECTINA
Comprimidos
Lquido

600 mg BISMUTO CHOBET CON PECTINA COM x 20


3000 mg CREMA DE BISMUTO CHOBET C/PECT SUS x 90

BISMUTO RESORCINA
COMPUESTO +
HIDROCORTISONA ACETATO
Supositorios

49,88 mg ANUSOL HC SUP x 12

BISOPROLOL
Comprimidos

2,5 mg CORBIS 2.5 mg COM x 30

Roemmers

50,31

30,99

16,77

LOSTAPROLOL 2.5 mg COM x 30

Temis-Lostalo

75,95

50,14

42,77

DROMIN 2.5 mg COM x 30

Roux Ocefa

76,62

50,58

43,14

CONCOR 2.50 mg COM x 30

Elea

83,86

55,36

47,22

Roux Ocefa

107,29

65,49

34,81

CORBIS 5 mg COM x 30

Roemmers

114,34

74,52

45,28

LOSTAPROLOL 5 mg COM x 30

Temis-Lostalo

118,71

78,37

51,44

CONCOR 5 mg COM x 30

Elea

122,20

80,68

56,25

5 mg DROMIN 5 mg COM x 30

10 mg DROMIN 10 mg COM x 30

Roux Ocefa

148,66

94,39

54,58

CONCOR 10 mg COM x 30

Elea

149,33

95,25

55,58

CORBIS 10 mg COM x 30

Roemmers

154,66

101,99

63,22

LOSTAPROLOL 10 mg COM x 30

Temis-Lostalo

155,66

102,76

64,63

75,19

49,40

49,40

BISOPROLOL +
HIDROCLOROTIAZIDA
Comprimidos

2,5 mg ZIAC 2.5/6.25 mg COM x 30

Elea

5 mg ZIAC 5/6.25 mg COM x 30

Elea

94,90

40,45

40,45

CORBIS D 5/12.5 mg COM x 30

Roemmers

126,44

83,16

83,16

CONCOR PLUS 5/12.5 mg COM x 30

Elea

137,07

90,49

90,49

Elea

103,86

52,91

52,91

Elea

149,97

99,01

99,01

Allergan-Loa

134,31

88,25

54,39

10 mg ZIAC 10/6.25 mg COM x 30


CONCOR PLUS 10/25 mg COM x 30

BRIMONIDINA
Lquido

150 mg ALPHAGAN P OFT. SOL x


200 mg OFTALMOTONIL SOL x

BRIMOPRESS OFT. SOL x

Bausch & Lomb Argentina


5

58,86

11,77

11,77

Poen

153,08

100,58

79,20

Atlas

111,13

30,21

30,21

Raymos

139,44

68,28

68,28

Allergan-Loa

182,63

120,57

120,57

BRIMONIDINA + TIMOLOL
Lquido

200 mg TIMOBRIM OFT. SOL x


BRIT OFT. SOL x

COMBIGAN 0.2/0.5% OFT. SOL x

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

Pgina 19 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

BROMAZEPAM
Comprimidos

3 mg BENEDORM 3 mg COM x 20

Ariston

13,42

3,69

3,69

EQUISEDIN 3 mg COM x 20

Lazar

13,57

3,84

3,84

CREOSEDIN 3 mg COM x 20

Astrazeneca

16,87

8,40

8,40

LEXOTANIL 3 mg COM x 20

Investi

21,75

14,36

14,36

ATEMPERATOR 3 mg COM x 30

Ivax Argentina

28,03

16,33

16,33

LEXOTANIL 3 mg COM x 30

Investi

31,97

21,11

21,11

NEUROZEPAN 3 mg COM x 30

Nova Argentia

39,27

25,92

25,92

BENEDORM 3 mg COM x 50

Ariston

22,34

4,47

4,47

SIPCAR 3 mg COM x 50

Bernabo

27,49

6,14

6,14

BROMAZEPAM TEMIS 3 mg COM x 50

Temis-Lostalo

33,04

8,79

8,79

CREOSEDIN 3 mg COM x 50

Astrazeneca

38,80

16,09

16,09

LEXOTANIL 3 mg COM x 50

Investi

47,98

28,89

28,89

OCTANYL 3 mg COM x 50

Bag

65,54

43,27

43,27

EQUISEDIN 3 mg COM x 60

Lazar

30,41

6,08

6,08

ATEMPERATOR 3 mg COM x 60

Ivax Argentina

48,75

22,54

22,54

BROMAZEPAM TEMIS 3 mg COM x 60

Temis-Lostalo

58,53

35,91

35,91

6 mg CREOSEDIN 6 mg COM x 20

Astrazeneca

21,91

14,40

14,40

CREOSEDIN 6 mg COM x 50

Astrazeneca

41,12

27,02

27,02

200 mg BISOLVON SOL x 40

Boheringer Ingelheim

27,52

18,12

18,12

2,5 mg PARLODEL 2.5 mg COM x 28

Novartis

79,89

52,49

52,49

Janssen-Cilag

120,89

80,64

41,20

10 mg ERODIUM 10 mg COM x 20

Ivax Argentina

106,58

70,03

40,08

ERODIUM 10 mg COM x 60

Ivax Argentina

249,44

163,89

66,62

Ivax Argentina

26,06

5,82

5,82

BROMODOL GTS x 30

Janssen-Cilag

135,17

89,24

75,61

10 mg ERODIUM AC GTS x 20

Ivax Argentina

125,40

82,40

47,06

Janssen-Cilag

141,78

94,57

57,46

Takeda

53,73

10,75

10,75

RINO B 50 AER x 200

Cassara

48,96

11,59

11,59

BUDEZONIL NASAL 50 mcg AER x 200

Sandoz

87,08

17,42

17,42

NEUMOTEX NASAL 50 mcg AER x 200

Phoenix

106,74

37,11

23,83

Cassara

30,63

6,84

6,84

162,95

107,07

65,99
19,60

BROMHEXINA
Lquido

BROMOCRIPTINA
Comprimidos

BROMPERIDOL
Comprimidos

Gotas

5 mg BROMODOL 5 mg COM x 50

2 mg ERODIUM GTS x 20

BROMPERIDOL DECANOATO
Ampollas

50 mg BROMODOL DECANOATO 1 ML AMP x

BUDESONIDE
Aerosol

0,05 mg BUDESON NASAL AER x 200

0,1 mg RINO B 100 AER x 100


SPIROCORT NASAL AQUA 64 mcg AER x 120
0,05 mg BUDEZONIL BRONQUIAL PED.50 mcg AER x 200

Astrazeneca
Sandoz

97,99

27,07

PULMOLISOFLAM PEDIATRICO AER x 200

Pfizer

90,00

59,42

38,98

PULMOLISOFLAM C/AEROCAMARA INF AER x


200

Pfizer

192,80

127,28

105,66

NEUMOTEX BRONQUIAL PEDIATRICO AER x 200

Phoenix

230,33

152,06

129,70

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

Pgina 20 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Aerosol

30/12/2014

NOMBRE COMERCIAL

LABORATORIO
Phoenix

304,46

201,00

171,44

0,2 mg BUDEZONIL BRONQUIAL 200 mcg AER x 100

Sandoz

68,08

44,25

19,13

PULMOLISOFLAM ADULTOS AER x 100

Pfizer

90,00

59,42

34,38

NEUMOTEX BRONQUIAL 200 mcg AER x 100

Phoenix

160,03

105,65

90,12

PULMOLISOFLAM C/AEROCAMARA AD. AER x


100

Pfizer

188,81

124,65

106,32

242,44

160,06

136,52

56,08

35,36

BUDESON MDI 200 mcg AER x 150

Takeda

85,40

NEUMOCORT 200 mcg AER x 200

Cassara

45,25

9,11

9,11

NEUMOCORT 200 mcg c/AEROMED AER x 200

Cassara

54,20

10,84

10,84

NEUMOCORT 200 mcg HFA AER x 200

Cassara

78,73

29,38

29,38

NEUMOCORT 200 mcg HFA + AEROMED AER x


200

Cassara

123,27

81,38

81,38

AEROVIAL HFA AER x 200

Atlas

141,83

93,63

79,86

NEUMOTEX BRONQUIAL 200 mcg AER x 200

Phoenix

240,44

158,74

135,39

0,4 mg NEUMOTEX BRONQUIAL FORTE 400 AER x 100

Phoenix

276,65

182,64

150,61

NEUMOCORT 400 mcg FORTE AER x 150

Cassara

66,28

13,26

13,26

0,1 mg SPIROCORT NASAL TURBUHALER 100 INH x 200

Astrazeneca

242,26

159,94

136,42

0,1 mg SPIROCORT TURBUHALER 100 mcg INH x 200

Astrazeneca

215,91

142,54

121,58

0,2 mg AEROVIAL 200 + APLIC. INH x 60

Atlas

149,34

93,31

44,97

NEUMOTEX 200 CAPSULAS INH x 60

Phoenix

160,27

105,81

63,64

SPIROCORT TURBUHALER 200 mcg INH x 200

Astrazeneca

289,54

191,15

163,04

0,4 mg AEROVIAL 400 + APLIC. INH x 60

Lquido

Atlas

149,34

92,64

44,19

NEUMOTEX 400 CAPSULAS INH x 60

Phoenix

160,27

105,30

62,25

SPIROCORT TURBUHALER 400 mcg INH x 200

Astrazeneca

355,03

157,10

79,28

Astrazeneca

67,95

44,65

28,85

SPIROCORT P/NEB 0.25 mg MONODS SUS x 10

Astrazeneca

133,25

85,95

53,96

Astrazeneca

93,90

61,92

38,74

SPIROCORT P/NEB 0.50 mg MONODS SUS x 10

Astrazeneca

184,92

120,22

73,38

25 mg SPIROCORT P/NEB 0.25 mg MONODS SUS x

50 mg SPIROCORT P/NEB 0.50 mg MONODS SUS x

100 mg RINO B NEBU SOL x 20

Spray

A CARGO A CARGO
REF
AFILIADO CRONICO

0,05 mg NEUMOTEX BRONQUIAL PED C/AEROC AER x


200

NEUMOTEX BRONQUIAL 200 C/AEROC AER x 100 Phoenix

Inhahaldor con
sistemas

PRECIO

Medisol

38,90

9,69

9,69

PROETZONIDE NEBU SOL x 20

Dallas

89,99

59,41

44,32

AEROVIAL SOL x 20

Atlas

93,17

61,51

48,71

RINO B NEBU C/DILUYENTE SOL x 20

Cassara

126,83

83,73

83,73

BUDESON NEBU SOL x 20

Takeda

157,43

103,94

88,65

NEUMOTEX NEBU SOL x 20

Phoenix

187,98

124,10

105,85

0,05 mg BUDESON AQUA NASAL 50 mcg SPR x 100

Takeda

65,06

42,95

21,39

HYPERSOL B 50 NASAL SPR x 200

Cassara

63,84

14,26

14,26

0,1 mg HYPERSOL B 100 NASAL SPR x 100

Cassara

67,05

44,26

44,26

BUDESON AQUA NASAL 100 mcg SPR x 100

Takeda

75,90

50,11

29,73

PROETZONIDE NASAL SPR x 100

Dallas

80,27

53,00

35,05

NASTIZOL HIDROSPRAY SPR x 200

Bag

130,40

86,09

62,35

PROETZONIDE NASAL SPR x 200

Dallas

136,11

89,86

69,97

Astrazeneca

489,28

321,48

198,15

BUDESONIDE + FORMOTEROL
Aerosol

0,08 mg FREVIA 80/4.5 mcg AER x 120

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

Pgina 21 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Aerosol

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

A CARGO A CARGO
REF
AFILIADO CRONICO

0,08 mg SYMBICORT-M 80/4.5 mcg AER x 120

Astrazeneca

489,28

321,48

198,15

0,16 mg FREVIA 160/4.5 mcg AER x 120

Astrazeneca

490,57

317,34

186,13

Cassara

311,94

94,00

94,00

0,16 mg SYMBICORT TURBUHALER 160/4,5 INH x 60

Astrazeneca

364,04

240,34

205,00

SYMBICORT TURBUHALER 160/4,5 INH x 120

Astrazeneca

490,57

317,34

186,13

0,2 mg FORMOVENT + BUDE Cps. s/Aplic. INH x 60

Atlas

189,48

92,14

50,58

FORMOVENT + BUDE Cps.+ Aplic. INH x 60

Atlas

200,07

106,98

53,47

NEUMOTEROL 200 S/APLIC. CAPS INH x 60

Phoenix

303,23

200,19

170,75

NEUMOTEROL 200 CAPS + APLIC INH x 60

Phoenix

326,27

215,40

183,73

NEUMOTEROL 200 S/APLIC. CAPS INH x 120

Phoenix

404,32

219,72

105,22

NEUMOTEROL 200 CAPS + APLIC INH x 120

Phoenix

448,64

278,59

154,14

Astrazeneca

489,28

321,48

198,15

0,4 mg NEUMOTEROL 400 C/APLIC. CAPS INH x 60

Phoenix

368,99

242,45

149,44

0,5 mg CABERTRIX 0.5 mg COM x

Raffo

90,07

54,62

54,62

LACTAMAX 0.5 mg COM x

Beta

144,04

95,10

95,10

Raffo

293,34

126,00

126,00

Astrazeneca

319,75

157,58

157,58

Beta

421,55

278,31

278,31

Astrazeneca

214,01

141,29

141,29

CABERTEMIS 1 mg COM x 30

Temis-Lostalo

279,33

62,37

62,37

CABASER 1 mg COM x 30

Pfizer

437,69

223,86

223,86

TRIASPAR 1 mg COM x 30

Beta

725,52

478,98

478,98

Temis-Lostalo

335,20

79,16

79,16

CABASER 2 mg COM x 30

Pfizer

552,53

363,03

363,03

CABERPAR 2 mg COM x 30

Astrazeneca

610,43

403,00

403,00

TRIASPAR 2 mg COM x 30

Beta

906,22

598,28

598,28

Temis-Lostalo

480,45

315,68

315,68

1.005,71

660,79

660,79

Raffo

55,67

36,19

36,19

ULTRACALCIUM MASTICABLE COM x 30

Temis-Lostalo

42,51

13,04

13,04

CALCIONAL-MAST. NARANJA COM x 60

Spedrog Caillon

88,43

30,50

30,50

RAFFO-CA 500 mg EFERV. COM x 60

Raffo

167,11

108,62

108,62

1000 mg CALCIO BASE DUPOMAR FTE 1G MAS COM x 60

Investi

92,98

61,09

61,09

1260 mg CALCIONAL NARANJA COM x 30

Spedrog Caillon

55,58

31,65

31,65

CALCIO BASE DUPOMAR COM x 30

Investi

67,65

44,66

44,66

CALCIO BASE DUPOMAR COM x 60

Investi

116,82

74,04

74,04

500 mg CALCIONAL CITRATO NARANJA MAST COM x 30 Spedrog Caillon

74,64

49,28

49,28

CALCIONAL CITRATO NARANJA MAST COM x 60 Spedrog Caillon

129,99

81,47

81,47

101,29

66,55

66,55

0,2 mg NEUMOCORT PLUS /INHAL. AER x 150


Inhahaldor con
sistemas

PRECIO

0,32 mg SYMBICORT FTE TURBOHALER 320/9 INH x 60

CABERGOLINA
Comprimidos

CABERTRIX 0.5 mg COM x


LAC STOP 0.5 mg COM x

LACTAMAX 0.5 mg COM x

1 mg CABERPAR 1 mg COM x 10

2 mg CABERTEMIS 2 mg COM x 30

4 mg CABERTEMIS 4 mg COM x 30
TRIASPAR 4 mg COM x 30

Beta

CALCIO CARBONATO
Comprimidos

500 mg RAFFO-CA 500 mg EFERV. COM x 20

CALCIO CITRATO
Comprimidos

950 mg CALCIMAX COM x 60

Gador

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

Pgina 22 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

950 mg
1905 mg CALCIMAX FORTE COM x 30

Gador

74,64

49,04

49,04

Sanofi Aventis

57,08

37,51

37,51

1132 mg CALCIUM SANDOZ 1000 mg EFERV. COM x 10

Sandoz

41,08

26,70

26,70

CALCIUM SANDOZ 1000 mg EFERV. COM x 30

Sandoz

111,03

72,95

72,95

Baliarda

50,18

32,45

32,45

Baliarda

51,68

33,96

33,96

2000 mg REGUCAL 1 GR GRANULADO SOB x 20

Baliarda

42,63

27,63

27,63

REGUCAL 1 GR GRANULADO SOB x 30

Baliarda

65,70

43,17

43,17

Andromaco

147,84

96,14

96,14

Lazar

153,49

101,33

101,33

Novartis

158,05

103,84

103,84

Novartis

304,80

200,27

200,27

Novartis

1.009,59

663,34

663,34

Spedrog Caillon

135,45

87,26

87,26

Investi

136,90

88,02

88,02

Raymos

147,12

97,13

97,13

Phoenix

112,24

61,41

61,41

TIADYL 8 mg COM x 15

Abbott

121,47

73,73

73,73

ATACAND 8 mg DIVIS. COM x 15

Astrazeneca

181,86

120,06

120,06

RONAR 8 mg COM x 30

Roux Ocefa

210,79

101,10

101,10

TIADYL 8 mg COM x 30

Abbott

238,76

141,98

141,98

DACTEN 8 mg COM x 30

Phoenix

249,10

155,45

155,45

ATACAND 8 mg DIVIS. COM x 30

Astrazeneca

306,28

202,20

202,20

Phoenix

208,01

132,18

132,18

ATACAND 16 mg DIVIS. COM x 15

Astrazeneca

305,32

201,57

201,57

RONAR 16 mg COM x 30

Roux Ocefa

288,62

88,17

88,17

TIADYL 16 mg COM x 30

Abbott

358,09

187,35

187,35

ATACAND 16 mg DIVIS. COM x 30

Astrazeneca

421,53

271,36

271,36

DACTEN 16 mg COM x 30

Phoenix

436,80

288,37

288,37

Astrazeneca

651,40

427,99

427,99

76,27

39,18

19,85

CALCIO HEPARINATO
Ampollas

12500 ui CALCIPARINE 0.5 ML AMP x

CALCIO LACTATO
GLUCONATO + CALCIO
CARBONATO
Comprimidos

CALCIO PIDOLATO
Lquido
Sobres

10000 REGUCAL LIQUIDO SOL x 250


mg
1000 mg REGUCAL GRANULADO EFERVESCENTE SOB x
30

CALCIO PIDOLATO + CALCIO


CARBONATO
Sobres

CALCIPOTRIOL
Ungento

0,05 mg DAIVONEX UNG x 30


CUTANIT UNG x 30

CALCITONINA
Ampollas

50 ui CALCITONINA SANDOZ MINOR 1 CC AMP x


100 ui CALCITONINA SANDOZ 100 UI 1 ML AMP x

Spray

5
5

100 ui CALCITONINA SANDOZ NASAL 100UI SPR x 28

CALCITRIOL
Comprimidos

0,0003 RAQUITRIOL 0.25 mcg CAP x 30


mg
CALCITRIOL ROCHE CAP x 30
CALCITRIOL CAP x 30

CANDESARTAN CILEXETIL
Comprimidos

8 mg DACTEN 8 mg COM x 15

16 mg DACTEN 16 mg COM x 15

32 mg ATACAND 32 mg DIVIS. COM x 30

CARBAMAZEPINA
Comprimidos

200 mg ACTINERVAL 200 mg COM x 30

Bag

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

Pgina 23 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

200 mg CARBAMAT 200 mg COM x 30

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Astrazeneca

97,04

64,06

42,44

CONFORMAL 200 mg COM x 30

Ivax Argentina

99,03

65,38

44,47

TEGRETOL 200 mg COM x 30

Novartis

109,71

72,43

58,68

ACTINERVAL 200 mg COM x 60

Bag

103,37

23,08

23,08

CARBAMAT 200 mg COM x 60

Astrazeneca

170,17

102,21

50,19

CONFORMAL 200 mg COM x 60

Ivax Argentina

185,86

122,33

71,77

TEGRETOL 200 mg COM x 60

Novartis

221,54

146,26

120,10

Ivax Argentina

232,18

153,28

96,81

TEGRETOL LC 400 mg COM x 30

Novartis

256,73

169,49

130,21

TEGRETOL LC 400 mg COM x 60

Novartis

436,11

273,50

152,92

Novartis

46,73

30,70

18,92

4 mg OMEGA 100 COM x 20

Omega

85,44

57,52

57,52

OMEGA 100 COM x 50

Omega

143,06

70,75

70,75

Gotas

80 mg OMEGA 100 GTS x 20

Omega

113,19

76,21

76,21

Lquido

80 mg OMEGA 100 JBE x 120

Omega

105,28

26,66

26,66

Omega

109,01

73,06

73,06

400 mg CONFORMAL 400 mg AP COM x 30

Lquido

2000 mg TEGRETOL JBE x 100

CARBINOXAMINA
Comprimidos

CARBINOXAMINA + AMONIO
CLORURO
Lquido

50 mg OMEGA 100 EXPECTORANTE JBE x 120

CARTEOLOL CLORHIDRATO
Colirio

1000 mg GLAUTEOLOL 1% COL x

Raymos

56,87

36,78

36,78

2000 mg GLAUTEOLOL 2% COL x

Raymos

110,03

72,63

72,63

Bausch & Lomb Argentina

53,13

10,63

10,63

Atlas

94,27

62,24

62,24

Poen

72,03

21,06

21,06

Gotas

2000 mg SINGLAUC 2% OFTALM. GTS x

Lquido

2000 mg CARTENS 2% OFT.LIB.PROL. SOL x


POENGLAUCOL 2% OFT. SOL x

CARVEDILOL
Comprimidos

3,125 mg CORAFEN 3.125 mg COM x 28

Bernabo

32,80

16,67

8,42

FILTEN 3.125 mg COM x 28

Gador

36,28

22,23

12,89

VERATEN 3.125 mg COM x 28

Elea

38,26

23,99

13,38

CORITENSIL 3.125 mg COM x 28

Roux Ocefa

40,16

26,40

16,13

BIDECAR 3.125 mg COM x 28

Baliarda

40,44

26,70

16,52

DILATREND 3.125 mg COM x 28

Nova Argentia

44,80

29,58

22,49

CARVEDIL 3.125 mg COM x 28

Bag

45,04

29,73

24,81

PLUSCOR 3.125 mg COM x 30

Sandoz

27,26

7,25

5,45

DILATREND 3.125 mg COM x 56

Nova Argentia

46,20

10,32

10,32

FILTEN 3.125 mg COM x 56

Gador

52,22

15,97

11,65

BIDECAR 3.125 mg COM x 56

Baliarda

56,02

19,15

12,51

6,25 mg DUOBLOC 6.25 mg COM x 28

Sidus

43,09

12,67

9,63

RUDOXIL 6.25 mg COM x 28

Phoenix

48,23

19,66

10,77

CORAFEN 6.25 mg COM x 28

Bernabo

51,52

24,49

12,93

CORUBIN 6.25 COM x 28

Lazar

57,04

32,17

16,81

VICARDOL 6.25 mg COM x 28

Richmond

64,68

42,04

26,65

DILATREND 6.25 mg COM x 28

Nova Argentia

68,53

44,79

30,03

VERATEN 6.25 mg COM x 28

Elea

67,84

44,79

28,56

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

Pgina 24 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
6,25 mg BIDECAR 6.25 mg COM x 28

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Baliarda

69,74

46,04

31,20

FILTEN 6.25 mg COM x 28

Gador

71,87

47,45

34,10

CORITENSIL 6.25 mg RANURADO COM x 28

Roux Ocefa

72,06

47,58

34,36

CARVEDIL 6.25 mg COM x 28

Bag

82,78

54,65

46,61

ISOBLOC 6.25 mg COM x 30

Casasco

43,97

11,48

9,81

ANTIBLOC 6.25 mg COM x 30

Craveri

53,69

22,46

15,71

PLUSCOR 6.25 mg COM x 30

Sandoz

59,93

30,28

15,60

FILTEN 6.25 mg COM x 56

Gador

89,70

28,86

20,03

BIDECAR 6.25 mg COM x 56

Baliarda

DILATREND 6.25 mg COM x 56

Nova Argentia

10 mg CARVEDIL RETARD 10 mg CAP x 28

90,67

30,39

20,25

114,13

64,41

29,71

Bag

68,49

31,63

15,82

BIDECAR CR 10 mg COM x 28

Baliarda

78,51

45,53

21,77

VERATEN UD 10 mg LIB.EXT. CAP x 28

Elea

73,15

46,83

28,81

FILTEN LP 10 mg CAP x 28

Gador

95,78

63,23

45,96

DILATREND AP 10 mg COM x 30

Nova Argentia

85,96

56,75

41,38

FILTEN LP 10 mg CAP x 30

Gador

102,75

67,83

50,52

Sidus

53,46

15,54

11,94

RUDOXIL 12.5 mg COM x 28

Phoenix

60,32

24,77

13,46

CORAFEN 12.5 mg COM x 28

Bernabo

62,64

28,20

13,99

CORUBIN 12.5 COM x 28

Lazar

69,72

38,20

20,07

VICARDOL 12.50 mg COM x 28

Richmond

81,69

53,10

34,57

VERATEN 12.5 mg COM x 28

Elea

84,80

55,98

37,08

CORITENSIL 12.5 mg COM x 28

Roux Ocefa

86,39

57,03

39,27

BIDECAR 12.5 mg COM x 28

Baliarda

87,04

57,46

40,16

DILATREND 12.5 mg COM x 28

Nova Argentia

89,04

58,20

43,45

FILTEN 12.5 mg COM x 28

Gador

89,54

59,11

43,54

CARVEDIL 12.50 mg COM x 28

Bag

93,14

61,49

48,30

ANTIBLOC 12.5 mg COM x 30

Craveri

67,43

30,68

15,05

PLUSCOR 12.5 mg COM x 30

Sandoz

74,19

40,23

19,31

ISOBLOC 12.50 mg COM x 30

Casasco

87,20

57,25

34,58

FILTEN 12.5 mg COM x 56

Gador

111,90

36,03

24,99

BIDECAR 12.5 mg COM x 56

Baliarda

119,68

48,09

26,73

CARVEDIL 12.50 mg COM x 56

Bag

139,37

76,29

36,27

DILATREND 12.5 mg COM x 56

Nova Argentia

148,18

88,11

42,95

Baliarda

120,86

72,87

36,72

VERATEN UD 20 mg LIB.EXT. CAP x 28

Elea

115,81

75,08

45,01

CARVEDIL RETARD 20 mg CAP x 28

Bag

126,54

80,22

45,21

FILTEN LP 20 mg CAP x 28

Gador

143,85

94,97

69,46

ISOBLOC CR 20 mg CAP x 30

Casasco

101,69

38,98

22,70

DILATREND AP 20 mg COM x 30

Nova Argentia

130,11

85,90

56,74

FILTEN LP 20 mg CAP x 30

Gador

154,65

102,10

77,81

Lepetit

39,00

9,00

9,00

DUOBLOC 25 mg COM x 28

Sidus

64,00

17,37

14,29

RUDOXIL 25 mg COM x 28

Phoenix

72,44

27,70

16,17

CORAFEN 25 mg COM x 28

Bernabo

86,57

47,99

22,44

CORUBIN 25 COM x 28

Lazar

96,21

60,70

33,43

VICARDOL 25 mg COM x 28

Richmond

103,53

67,29

47,05

BIDECAR 25 mg COM x 28

Baliarda

104,55

69,02

45,38

12,5 mg DUOBLOC 12.5 mg COM x 28

20 mg BIDECAR CR 20 mg COM x 28

25 mg VEDILEP 25 mg COM x 28

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

Pgina 25 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

25 mg CARVEDIL 25 mg COM x 28

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Bag

107,51

70,98

49,46

FILTEN 25 mg COM x 28

Gador

107,56

71,01

49,52

VERATEN 25 mg COM x 28

Elea

108,02

71,32

50,15

CORITENSIL 25 mg COM x 28

Roux Ocefa

107,34

71,93

48,04

DILATREND 25 mg COM x 28

Nova Argentia

110,57

72,27

54,31

ANTIBLOC 25 mg COM x 30

Craveri

81,97

36,20

18,31

PLUSCOR 25 mg COM x 30

Sandoz

85,59

41,45

22,27

ISOBLOC 25 mg COM x 30

Casasco

115,27

76,10

53,11

FILTEN 25 mg COM x 56

Gador

134,39

40,85

30,01

BIDECAR 25 mg COM x 56

Baliarda

143,98

54,00

32,15

CARVEDIL 25 mg COM x 56

Bag

172,15

94,63

44,81

DILATREND 25 mg COM x 56

Nova Argentia

194,76

117,38

70,30

Baliarda

152,01

91,80

49,32

VERATEN UD 40 mg LIB.EXT. CAP x 28

Elea

144,91

94,62

57,46

CARVEDIL RETARD 40 mg CAP x 28

Bag

155,39

96,20

54,36

FILTEN LP 40 mg CAP x 28

Gador

179,89

118,77

88,62

ISOBLOC CR 40 mg CAP x 30

Casasco

128,27

49,80

28,65

DILATREND AP 40 mg COM x 30

Nova Argentia

162,64

107,37

71,93

FILTEN LP 40 mg CAP x 30

Gador

193,58

127,80

96,51

Bernabo

102,35

33,94

22,85

FILTEN 50 mg COM x 28

Gador

104,24

36,91

23,28

CORITENSIL 50 mg COM x 28

Roux Ocefa

130,43

73,22

36,77

BIDECAR 50 mg COM x 28

Baliarda

130,30

74,38

33,92

DILATREND 50 mg COM x 28

Nova Argentia

151,13

99,77

59,63

CARVEDIL 50 mg COM x 28

Bag

195,52

129,08

110,10

PLUSCOR 50 mg COM x 50

Sandoz

159,12

36,59

31,82

Baliarda

168,37

87,71

43,82

CARVEDIL RETARD 80 mg CAP x 28

Bag

176,02

98,20

45,82

VERATEN UD 80 mg LIB.EXT. CAP x 28

Elea

173,98

113,76

69,62

FILTEN LP 80 mg CAP x 28

Gador

216,50

142,93

99,18

DILATREND AP 80 mg COM x 30

Nova Argentia

195,16

128,84

86,86

FILTEN LP 80 mg CAP x 30

Gador

232,52

153,51

109,56

40 mg BIDECAR CR 40 mg COM x 28

50 mg CORAFEN 50 mg COM x 28

80 mg BIDECAR CR 80 mg COM x 28

CARVEDILOL +
HIDROCLOROTIAZIDA
Comprimidos

25 mg BIDECAR D 25/12.5 mg COM x 28

62,06

12,41

12,41

CORITENSIL D 25/12.5 mg COM x 28

Baliarda
Roux Ocefa

113,92

66,87

33,19

DILATREND D 25/12.5 mg COM x 28

Nova Argentia

123,73

80,58

48,84

FILTEN D 25/12.5 mg COM x 28

Gador

124,93

82,09

50,56

CARVEDIL D 25/12.5 mg COM x 28

Bag

131,56

86,85

59,81

ISOBLOC D COM x 30

Casasco

105,29

49,78

26,02

Montpellier

55,74

28,26

28,26

Nova Argentia

77,15

50,93

50,93

CEFAMAR 500 mg COM x 14

Mar

57,97

12,95

12,95

CEFACILINA 500 mg COM x 16

Montpellier

108,46

52,26

52,26

CEFACAR 500 mg COM x 16

Nova Argentia

151,61

99,09

99,09

CEFADROXILO
Comprimidos

500 mg CEFACILINA 500 mg COM x


CEFACAR 500 mg COM x

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

Pgina 26 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

1000 mg CEFACILINA 1000 mg COM x

Lquido

Montpellier

A CARGO A CARGO
REF
AFILIADO CRONICO

62,93

14,04

14,04

Nova Argentia

156,67

103,43

103,43

CEFACAR 1000 mg COM x 16

Nova Argentia

308,51

203,68

203,68

Nova Argentia

42,10

25,21

25,21

CEFAMAR 250 MG/5 ML SUS x 70

Mar

44,40

23,04

23,04

CEFACAR 250 mg SUS x 90

Nova Argentia

54,34

25,73

25,73

CEFACILINA 250 mg JBE x 90

Montpellier

79,88

52,74

52,74

Nova Argentia

76,97

35,56

35,56

CEFAMAR 500 MG/5 ML SUS x 70

Mar

61,18

13,66

13,66

CEFACILINA 500 mg JBE x 90

Montpellier

153,87

101,58

101,58

CEFACAR 500 mg SUS x 90

Nova Argentia

200,20

132,17

132,17

CEFACAR 1000 mg COM x

PRECIO

250 mg CEFACAR 250 mg SUS x 60

500 mg CEFACAR 500 mg SUS x 60

CEFALEXINA
Comprimidos

500 mg CEFALEXINA NORTHIA 500 mg COM x

Northia

27,53

7,96

7,96

Investi

37,22

19,46

19,46

Bag

39,08

22,00

22,00

Fecofar

43,37

27,63

27,63

Ivax Argentina

44,00

28,43

28,43

Richet

45,98

30,36

30,36

Nova Argentia

56,86

37,54

37,54

OSPEXIN 500 mg COM x 16

Sandoz

48,49

9,70

9,70

SEPTILISIN 500 mg COM x 16

Bag

51,34

11,46

11,46

CEPOREXIN 500 mg COM x 16

Investi

61,04

19,23

19,23

CEFALEXINA NORTHIA 500 mg COM x 16

Northia

69,47

34,88

34,88

CEFALEXINA RICHET 500 mg COM x 16

Richet

72,86

39,88

39,88

KEFORAL 500 mg COM x 16

Ivax Argentina

77,93

43,69

43,69

CEFALEXINA FECOFAR 500 mg COM x 16

Fecofar

81,97

49,07

49,07

CEFALEXINA ARGENTIA 500 mg COM x 16

Nova Argentia

102,36

66,90

66,90

KEFORAL 500 mg COM x 24

Ivax Argentina

77,93

17,40

17,40

CEFALEXINA ARGENTIA 500 mg COM x 24

Nova Argentia

136,55

89,25

89,25

Northia

47,58

10,30

10,30

Ivax Argentina

71,61

38,06

38,06

Richet

80,75

53,31

53,31

SEPTILISIN DUO 1000 mg COM x 14

Bag

136,95

82,25

82,25

CEPOREXIN DUO 1 g COM x 14

Investi

145,39

93,15

93,15

CEFALEXINA ARGENTIA DUO 1 g COM x 14

Nova Argentia

155,54

101,66

101,66

KEFORAL 1000 mg COM x 16

Ivax Argentina

118,18

39,29

39,29

CEFALEXINA RICHET 1000 mg COM x 16

Richet

149,11

90,67

90,67

CEFALEXINA NORTHIA 1 g COM x 16

Northia

150,76

92,96

92,96

CEFALEXINA ARGENTIA DUO 1 g COM x 16

Nova Argentia

173,47

113,38

113,38

CEPOREXIN 500 mg COM x

SEPTILISIN 500 mg COM x

CEFALEXINA FECOFAR 500 mg COM x


KEFORAL 500 mg COM x

CEFALEXINA RICHET 500 mg COM x

CEFALEXINA ARGENTIA 500 mg COM x

1000 mg CEFALEXINA NORTHIA 1 g COM x


KEFORAL 1000 mg COM x

CEFALEXINA RICHET 1000 mg COM x

Lquido

250 mg CEFALEXINA RICHET 250 mg JBE x 12

Richet

39,16

25,85

25,85 INF

CEFALEXINA RICHET 250 mg JBE x 18

Richet

58,70

38,75

38,75 INF

CEFALEXINA RICHET 250 mg JBE x 24

Richet

58,11

33,74

33,74 INF

KEFORAL 250 mg JBE x 60

Ivax Argentina

34,39

22,59

22,59 INF

CEPOREXIN 250 mg JBE x 90

Investi

44,09

24,10

24,10 INF

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

Pgina 27 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Lquido

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

250 mg CEFALEXINA ARGENTIA 250 mg SUS x 90

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Nova Argentia

59,80

39,48

39,48 INF

KEFORAL 250 mg JBE x 100

Ivax Argentina

54,36

33,90

33,90 INF

CEFALEXINA ARGENTIA 250 mg SUS x 120

Nova Argentia

49,40

18,58

18,58 INF

500 mg CEFALEXINA RICHET 500 mg SUS x 12

Richet

71,90

47,47

47,47

CEFALEXINA RICHET 500 mg SUS x 24

Richet

136,14

89,88

89,88

KEFORAL 500 mg JBE x 60

Ivax Argentina

70,13

46,30

46,30

SEPTILISIN 500 mg SUS x 60

Bag

72,39

47,79

47,79

CEPOREXIN 500 mg SUS x 90

Investi

62,93

20,00

20,00

SEPTILISIN 500 mg SUS x 90

Bag

79,38

44,02

44,02

CEFALEXINA NORTHIA 500 mg JBE x 90

Northia

89,91

59,36

59,36

CEFALEXINA ARGENTIA 500 mg SUS x 90

Nova Argentia

101,03

66,70

66,70

KEFORAL 500 mg JBE x 100

Ivax Argentina

123,37

81,45

81,45

CEPOREXIN 500 mg SUS x 120

Investi

68,59

15,32

15,32

CEFALEXINA ARGENTIA 500 mg SUS x 120

Nova Argentia

138,31

91,31

91,31

90,37

53,59

53,59

106,89

70,57

70,57

750 mg CEPOREXIN DUO 750 mg PED. SUS x 90

Investi

750000 CEFALEXINA ARGENTIA DUO 750 mg SUS x 90


mg

Nova Argentia

500 mg CEFALOMICINA 500 LIOF. AMP x

Bag

38,55

25,33

25,33

CEFAZOLINA
Ampollas

1000 mg CEFAMEZIN 1000 LIOF. AMP x

Gador

22,59

5,05

5,05

CEFALOMICINA 1000 mg F.A x

Bag

78,18

51,37

51,37

CEFIXIMA
Comprimidos

400 mg NOVACEF COM x

Gador

55,19

13,36

13,36

NOVACEF COM x

Gador

78,32

22,34

22,34

Bag

288,87

190,71

190,71

Gador

173,47

66,01

66,01

100 mg NOVACEF ORAL SUS x 30

Gador

48,49

14,42

14,42

VIXCEF SUS x 30

Bag

104,17

68,77

68,77

NOVACEF ORAL SUS x 60

Gador

91,79

23,88

23,88

VIXCEF SUS x 60

Bag

196,83

129,94

129,94

Investi

62,57

41,11

41,11

Investi

158,48

104,63

104,63

Richmond

57,33

11,47

11,47

Duncan

96,36

31,64

31,64

Fabra

114,84

52,64

52,64

Richet

141,27

93,27

93,27

Richet

118,16

76,80

76,80

250 mg CEFUROX 250 mg COM x 14

Phoenix

145,24

95,43

95,43

500 mg CEFUROX 500 mg COM x

Phoenix

138,15

91,20

91,20

CEFUROX 500 mg COM x 14

Phoenix

235,93

154,41

154,41

VIXCEF 400 mg COM x


NOVACEF COM x
Lquido

CEFTRIAXONA
Ampollas

500 mg ACANTEX 500 mg IM F.A x


1000 mg ACANTEX 1 g IM F.A x

1000 mg SOLTRIMOX 1 g F.A x

CEFTRIAZONA DUNCAN 1000 mg IM F.A x


CEFTRIAXONA FABRA 1000 mg F.A x

CEFTRIAXONA RICHET IM 1000 mg AMP x


2000 mg CEFTRIAXONA RICHET 2000 mg AMP x

CEFUROXIMA
Comprimidos

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

Pgina 28 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Comprimidos

500 mg

Lquido

250 mg CEFUROX 250 mg SABOR MEJORADO SUS x 50

Phoenix

200 mg CELECOXIB RICHET 200 mg CAP x 10

Richet

21,80

4,36

4,36

CELEBREX 200 mg COM x 10

Pfizer

47,50

13,21

13,21

CELECOXIB RICHET 200 mg CAP x 20

Richet

41,00

8,20

8,20

CELEBREX 200 mg COM x 20

Pfizer

147,19

96,71

96,71

261,60

171,88

171,88

CELECOXIB
Comprimidos

CETIRIZINA
Comprimidos

Gotas

10 mg ZYRTEC 10 mg COM x 10

GlaxoSmithkline

45,28

20,61

20,61

STOPALER COM x 10

Raymos

47,52

23,83

23,83

SALVALERG 10 mg COM x 10

GlaxoSmithkline

66,00

43,58

43,58

CETRILER COM x 10

Roux Ocefa

66,81

44,11

44,11

CABAL COM x 10

Dallas

72,30

47,73

47,73

CETIZINE 10 mg COM x 10

Lazar

73,69

48,65

48,65

STOPALER COM x 20

Raymos

85,54

33,76

33,76

CETIZINE 10 mg COM x 20

Lazar

129,65

85,60

85,60

ZYRTEC 10 mg COM x 30

GlaxoSmithkline

138,48

65,66

65,66

CABAL COM x 30

Dallas

167,38

104,83

104,83

SALVALERG 10 mg COM x 30

GlaxoSmithkline

174,06

113,34

113,34

CETRILER COM x 30

Roux Ocefa

178,42

117,48

117,48

1000 mg ZYRTEC GTS x 10

GlaxoSmithkline

42,86

13,51

13,51

CABAL GTS x 10

Dallas

45,79

17,94

17,94

CETRILER GTS x 10

Roux Ocefa

66,81

44,11

44,11

CETIZINE GTS x 10

Lazar

76,64

50,60

50,60

Poen

57,48

37,77

37,77

103,25

66,94

66,94

CICLOPENTOLATO
Lquido

1000 mg CICLOPENTOLATO POEN 1% OFT. SOL x

CILOSTAZOL
Comprimidos

50 mg TROMBONOT 50 mg COM x 28

Richmond

POLICOR 50 mg COM x 30

Gador

53,95

12,05

12,05

CILOSTAL 50 mg COM x 30

Elea

72,54

19,72

19,72

CIBROGAN 50 mg COM x 30

Roux Ocefa

82,11

31,45

31,45

CILOVAS 50 mg COM x 30

Baliarda

86,78

38,44

38,44

ACLUSIN 50 mg COM x 30

Casasco

87,53

39,55

39,55

LICUAGEN 50 mg COM x 30

Elea

106,38

65,40

65,40

CILAAL 50 mg COM x 30

Craveri

107,83

67,27

67,27

CIBROGAN 100 mg COM x 30

Roux Ocefa

153,55

70,71

70,71

TRASTOCIR 50 mg COM x 30

Ivax Argentina

150,01

99,04

99,04

TRASTOCIR 50 mg COM x 60

Ivax Argentina

263,97

174,27

174,27

Richmond

196,11

127,47

127,47

POLICOR 100 mg COM x 30

Gador

100,81

22,51

22,51

CILOSTAL 100 mg COM x 30

Elea

101,95

22,77

22,77

CILOVAS 100 mg COM x 30

Baliarda

167,60

90,53

90,53

ACLUSIN 100 mg COM x 30

Casasco

179,87

107,02

107,02

LICUAGEN 100 mg COM x 30

Elea

208,61

137,72

137,72

CILAAL 100 mg COM x 30

Craveri

214,85

141,84

141,84

TRASTOCIR 100 mg COM x 30

Ivax Argentina

279,78

184,71

184,71

100 mg TROMBONOT 100 mg COM x 28

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

Pgina 29 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

100 mg CILOSTAL 100 mg COM x 60


TRASTOCIR 100 mg COM x 60

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Elea

240,88

57,66

57,66

Ivax Argentina

492,43

325,10

325,10

CINCOCAINA CLOROHIDRATO
+ EXTRACTO SECO DE BEXA
OELLANA
Pomada

Supositorios

1000 mg PROCTYL PDA x 10

Takeda

45,55

30,07

30,07

PROCTYL PDA x 30

Takeda

104,54

62,05

62,05

2,5 mg PROCTYL SUP x 10

Takeda

43,67

28,70

28,70

100 mg FIXERIL 100 mg COM x 30

CIPROFIBRATO
Comprimidos

Lazar

246,92

147,22

147,22

ESTAPROL 100 mg CAP x 30

Sanofi Aventis

314,32

207,51

207,51

FIXERIL 100 mg COM x 60

Lazar

462,69

252,67

252,67

ESTAPROL 100 mg CAP x 60

Sanofi Aventis

607,66

401,17

401,17

CIPROFLOXACINA
Comprimidos

250 mg REXNER 250 mg COM x 10

Casasco

45,18

27,25

27,25

CIRIAX 250 mg COM x 10

Roemmers

48,96

32,09

32,09

CIPROFLOXACINA LAZAR 250 mg COM x 10

Lazar

50,23

33,16

33,16

Baliarda

71,30

34,70

34,70

Casasco

73,07

36,33

36,33

ULTRAMICINA 500 mg COM x 10

Ariston

60,81

12,16

12,16

BIOTIC PHARMA 500 mg COM x 10

Trb-Pharma

57,47

12,83

12,83

NEXOFLOXACIN 500 mg COM x 10

Nexo Pharmaceutical
Group

69,17

13,83

13,83

ATIBAX 500 mg COM x 10

Savant

65,03

14,52

14,52

NOVIDAT 500 mg COM x 10

Temis-Lostalo

98,36

28,15

28,15

SAFOXEN 500 mg COM x 10

GlaxoSmithkline

111,24

45,15

45,15

CIPROFLOXACINA NORTHIA 500 mg COM x 10

Northia

112,08

51,31

51,31

EXERTIAL 500 COM x 10

Baliarda

119,74

57,63

57,63

CIPROFLOXACINA RICHET 500 mg COM x 10

Richet

116,46

57,98

57,98

MICROSULF 500 mg COM x 10

Microsules Argentina

117,59

59,67

59,67

SEPTICIDE 500 mg COM x 10

Bag

130,69

72,87

72,87

MEDAFLOX 500 mg COM x 10

Eurolab

133,15

76,17

76,17

ARGEFLOX 500 mg COM x 10

Nova Argentia

147,64

95,81

95,81

CIPROFLOXACINA LAZAR 500 mg COM x 10

Lazar

149,27

97,12

97,12

REXNER 500 mg COM x 10

Casasco

155,47

102,64

102,64

CIRIAX 500 mg COM x 10

Roemmers

179,71

118,64

118,64

CIPRO (EX BAYTERIN) 500 mg COM x 10

Bayer (PH)

197,14

130,15

130,15

EXERTIAL 500 COM x 14

Baliarda

165,91

78,20

78,20

CIRIAX 500 mg COM x 16

Roemmers

243,13

160,52

160,52

MEDAFLOX 500 mg COM x 20

Eurolab

200,35

59,78

59,78

CIPROFLOXACINA LAZAR 500 mg COM x 20

Lazar

246,85

125,70

125,70

REXNER 500 mg COM x 20

Casasco

258,07

141,23

141,23

ARGEFLOX 500 mg COM x 20

Nova Argentia

274,95

165,50

165,50

REXNER XR 500 mg COM x

Casasco

87,71

57,90

57,90

Lazar

213,93

140,56

140,56

Casasco

193,01

126,32

126,32

Bayer (PH)

194,78

128,54

128,54

500 mg EXERTIAL 500 COM x

REXNER 500 mg COM x

750 mg CIPROFLOXACINA LAZAR 750 mg COM x 10


1000 mg REXNER XR 1000 mg COM x
CIPRO XR 1000 mg COM x

7
7

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

Pgina 30 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Gotas

NOMBRE COMERCIAL

LABORATORIO

300 mg OMAFLAXINA OFT. GTS x

FLORAXINA OFT. GTS x


CIFLOXIN OFT. GTS x
Lquido

30/12/2014

5000 mg CIPRO 50 MG/ML SUS x 100


300 mg CIPROFLOXACINA DORF OFT. SOL x
CILOXAN OFT. SOL x

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Biosintex-Ofar

45,00

9,00

9,00

Amhof

68,64

16,22

16,22

Novoplos

78,11

25,67

25,67

Bayer (PH)

485,95

319,29

319,29

Pharmadorf

75,04

22,34

22,34

Alcon

120,42

79,50

79,50

Investi

48,23

31,69

31,69

Sidus

50,04

11,18

11,18

Elea

58,95

15,83

15,83

Allergan-Loa

69,17

28,88

28,88

Pharmadorf

78,98

42,89

42,89

Novoplos

84,36

50,12

50,12

Poen

95,16

62,82

62,82

Alcon

123,92

81,81

81,81

Elea

77,94

45,82

45,82

CIPROFLOXACINA +
DEXAMETASONA
Gotas

300 mg OTOSPORIN DEXA OTICO GTS x

Lquido

300 mg DECADRON C/CIPROFLOXACINA OFT. SOL x


FOTAMICIN OFT. SUS x
AIBREX OFT. SOL x

CIPROFLOXACINA D DORF OFT. SOL x


CIFLOXIN DEX OFT. SOL x
QUIDEX OFT. SOL x

CILOXADEX OFT. SOL x


Ungento

300 mg FOTAMICIN OFT. UNG x 3,5

QUIDEX OFT. UNG x 3,5

Poen

83,45

52,99

52,99

CILOXADEX OFT. UNG x 3,5

Alcon

130,42

86,10

86,10

Lundbeck

104,69

69,12

69,12

ZENTIUS COM x 15

Roemmers

66,95

17,82

17,82

PSICONOR 20 mg COM x 15

Ivax Argentina

93,63

50,14

50,14

SEROPRAM 20 mg COM x 28

Lundbeck

192,53

123,55

123,55

HUMORAP 20 mg COM x 28

Bag

212,47

140,27

140,27

PSICONOR 20 mg COM x 30

Ivax Argentina

185,24

104,88

104,88

ZENTIUS COM x 30

Roemmers

199,27

123,38

123,38

Bag

329,86

216,73

216,73

CITALOPRAM
Comprimidos

20 mg SEROPRAM 20 mg COM x 14

40 mg HUMORAP 40 mg COM x 28

CLARITROMICINA
Comprimidos

250 mg FADA CLARITROMICINA 250 mg COM x

Fada Pharma

18,33

3,67

3,67

Richet

42,09

13,05

13,05

Beta

49,08

19,99

19,99

Abbott

68,44

45,18

45,18

FADA CLARITROMICINA 250 mg COM x 16

Fada Pharma

36,78

7,36

7,36

CLARITROMICINA RICHET 250 mg COM x 16

Richet

80,32

22,24

22,24

CLAROVIL 250 mg COM x 16

Beta

91,62

29,88

29,88

CLARIBIOTIC 250 mg COM x 16

Baliarda

94,63

36,10

36,10

ISET 250 mg COM x 16

Casasco

129,27

82,70

82,70

KLARICID 250 mg COM x 16

Abbott

147,53

97,40

97,40

Baliarda

75,00

26,16

26,16

Beta

77,34

28,55

28,55

Richet

97,11

60,94

60,94

Montpellier

110,09

72,68

72,68

Gador

117,70

77,71

77,71

Abbott

120,30

79,42

79,42

Mar

132,55

45,62

45,62

CLARITROMICINA RICHET 250 mg COM x


CLAROVIL 250 mg COM x

KLARICID 250 mg COM x

500 mg CLARIBIOTIC 500 mg COM x


CLAROVIL 500 mg COM x

CLARITROMICINA RICHET 500 mg COM x


CLARIMAX 500 mg COM x
WINDAR 500 mg COM x
KLARICID 500 mg COM x

8
8

TUCLARIT 500 mg COM x 14

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

Pgina 31 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

500 mg CLARITROMICINA SANDOZ 500 mg COM x 16

75,57

15,11

15,11

Beta

145,18

44,18

44,18

CLARITROM 500 mg COM x 16

Trb-Pharma

184,62

100,46

100,46

CLARITROMICINA RICHET 500 mg COM x 16

Richet

187,96

113,22

113,22

KLARICID 500 mg COM x 16

Abbott

198,57

119,15

119,15

AEROXINA 500 mg COM x 16

Elea

201,71

123,25

123,25

CLARIMAX 500 mg COM x 16

Montpellier

202,47

124,24

124,24

CLARIBIOTIC 500 mg COM x 16

Baliarda

203,83

126,00

126,00

WINDAR 500 mg COM x 16

Gador

214,45

139,58

139,58

CLARITROMICINA NORTHIA 500 mg COM x 16

Northia

215,16

142,04

142,04

QUOTAL 500 mg COM x 16

Nova Argentia

226,86

149,77

149,77

ISET 500 mg COM x 16

Casasco

230,00

151,84

151,84

TUCLARIT 500 mg COM x 20

Mar

158,39

35,37

35,37

CLAROVIL UD 500 mg LIB.PROL. COM x


QUOTAL UD COM x

CLARIBIOTIC UD 500 mg COM x


ISET UD 500 mg COM x

WINDAR UD AP 500 mg COM x


AEROXINA UD 500 mg COM x
KLARICID UD COM x

4
4

CLARIMAX UD 500 mg COM x

4
5

CLARITROMICINA SANDOZ UD 500 COM x


CLAROVIL UD 500 mg LIB.PROL. COM x
CLARIMAX UD 500 mg COM x
QUOTAL UD COM x

KLARICID UD COM x

8
8

CLARIBIOTIC UD 500 mg COM x

AEROXINA UD 500 mg COM x

WINDAR UD AP 500 mg COM x


ISET UD 500 mg COM x

AEROXINA UD 500 mg COM x 10


Lquido

A CARGO A CARGO
REF
AFILIADO CRONICO

CLAROVIL 500 mg COM x 16

CLARITROMICINA SANDOZ UD 500 COM x

125 mg CLARITROMICINA SANDOZ PED 125 SUS x 60

Sandoz

PRECIO

Sandoz

23,37

4,67

4,67

Beta

39,53

15,59

15,59

Nova Argentia

45,11

24,20

24,20

Montpellier

57,79

38,15

38,15

Baliarda

57,94

38,25

38,25

Casasco

59,02

38,96

38,96

Gador

62,66

41,37

41,37

Elea

71,34

47,10

47,10

Abbott

72,56

47,90

47,90

Sandoz

40,86

8,17

8,17

Beta

72,16

21,68

21,68

Montpellier

110,18

72,74

72,74

Nova Argentia

110,24

72,78

72,78

Baliarda

112,59

74,33

74,33

Abbott

116,09

76,64

76,64

Elea

116,92

77,19

77,19

Gador

123,20

81,33

81,33

Casasco

132,76

87,64

87,64

Elea

129,43

81,38

81,38

Sandoz

32,86

6,57

6,57 INF

CLARIBIOTIC 125 MG/5 ML SUS x 60

Baliarda

75,94

44,31

44,31 INF

TUCLARIT 125 mg SUS x 60

Mar

78,12

47,18

47,18

ISET 125 mg SUS x 60

Casasco

89,39

59,01

59,01 INF

WINDAR 125 MG/5 ML ORAL SUS x 60

Gador

91,89

60,66

60,66 INF

CLARITROMICINA RICHET 125 mg SUS x 60

Richet

92,91

62,63

62,63 INF

KLARICID PEDIATRICO 125 mg JBE x 60

Abbott

103,10

68,06

68,06 INF

QUOTAL 125 MG/5 ML SUS x 70

Nova Argentia

93,04

57,52

57,52

150 mg CLARIMAX 125 mg SUS x 60

Montpellier

81,76

51,88

51,88 INF

250 mg CLARITROMICINA SANDOZ FUERTE 250 SUS x


60

Sandoz

62,37

12,47

12,47 INF

TUCLARIT 250 mg SUS x 60

Mar

129,28

52,72

52,72

CLARIBIOTIC 250 MG/5 ML SUS x 60

Baliarda

160,45

96,31

96,31 INF

CLARIMAX 250 mg SUS x 60

Montpellier

164,68

101,82

101,82 INF

WINDAR 250 MG/5 ML ORAL SUS x 60

Gador

171,79

110,92

110,92 INF

CLARITROMICINA RICHET 250/5ML SUS x 60

Richet

171,87

113,47

113,47 INF

AEROXINA 250 mg SUS x 60

Elea

176,08

116,25

116,25 INF

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

Pgina 32 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Lquido

Sobres

NOMBRE COMERCIAL

30/12/2014
LABORATORIO

250 mg KLARICID PEDIATRICO FORTE JBE x 60

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Abbott

183,14

120,91

120,91 INF

ISET 250 mg SUS x 60

Casasco

198,57

131,10

131,10 INF

QUOTAL 250 MG/5 ML SUS x 70

Nova Argentia

199,00

127,60

127,60 INF

TUCLARIT 250 mg SUS x 100

Mar

170,52

38,08

38,08

125 mg QUOTAL MD 125 mg SOB x 14

Nova Argentia

50,55

33,21

33,21

250 mg QUOTAL MD 250 mg SOB x 14

Nova Argentia

96,29

63,26

63,26

0,02 mg OXIBRON COM x 20

Montpellier

13,58

8,92

8,92

Bernabo

27,53

18,09

18,09

CLEMBUTEROL
Comprimidos

BRONQ C COM x 30
Gotas

0,02 mg OXIBRON GTS x 30

Montpellier

29,28

19,24

19,24

Lquido

0,05 mg BRONQ C JBE x 100

Bernabo

39,15

25,72

25,72

300 mg DALACIN C 300 mg CAP x 16

Pfizer

98,86

64,96

64,96

Cassara

27,75

18,32

18,32

CLINDACIN GEL x 50

Panalab

91,39

60,33

60,33

Lquido

1000 mg CLINDACIN SOL x 50

Panalab

91,39

60,33

60,33

Locin

1000 mg CLINTOPIC LOC x 30

Investi

50,60

30,82

30,82

CLINDAMICINA
Comprimidos
Gel

vulos

1000 mg CLIDAN DERMICO GEL x 15

100 mg TORGYN 100 mg OVU x

Raffo

81,52

53,82

53,82

TORGYN 100 mg OVU x

Raffo

110,91

62,79

62,79

CLOBAZAM
Comprimidos

10 mg KARIDIUM 10 mg COM x 60

Sanofi Aventis

62,38

40,99

40,99

20 mg KARIDIUM 20 mg COM x 60

Sanofi Aventis

105,49

69,31

69,31

50 mg DERMADEX CRE x 15

GlaxoSmithkline

50,78

31,89

31,89

CLOBEPLUS CRE x 20

Raymos

35,11

7,84

7,84

CLOBESOL LA CRE x 20

Investi

54,05

23,84

23,84

CLOBEFAR CREMA CRE x 20

Hlb Pharma

64,60

40,92

40,92

SALAC CRE x 20

Andromaco

88,96

58,73

58,73

DERMADEX CRE x 30

GlaxoSmithkline

93,62

53,35

53,35

SALAC CRE x 30

Andromaco

100,58

62,51

62,51

CLOBETASOL
Crema

Gel

50 mg CLOBEPLUS GEL x 30

Raymos

49,95

11,15

11,15

Lquido

50 mg DERMADEX CAPILAR SOL x 30

GlaxoSmithkline

78,71

51,96

51,96

Locin

50 mg SALAC ROLL ON LOC x 10

Andromaco

46,52

30,71

30,71

SALAC LOC x 40

Andromaco

57,52

25,74

25,74

Shampoo

50 mg SALAC SHA x 140

Andromaco

251,50

165,25

165,25

Ungento

50 mg CLOBESOL UNG x 15

Investi

42,15

20,22

20,22

DERMADEX UNG x 15

GlaxoSmithkline

48,10

28,39

28,39

SALAC UNG x 20

Andromaco

50,08

17,83

17,83

CLOBEFAR UNGENTO UNG x 20

Hlb Pharma

64,60

40,92

40,92

CLOBEPLUS UNG x 30

Raymos

45,95

10,26

10,26

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

Pgina 33 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Ungento

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

50 mg DERMADEX UNG x 30

GlaxoSmithkline

50 mg GENOZYM COM x 20

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

91,35

50,28

50,28

Investi

179,84

118,73

118,73

SEROPHENE 50 mg COM x 30

Merck Qumica

259,79

171,51

171,51

GENOZYM COM x 60

Investi

350,85

135,22

135,22

CLOMIFENO
Comprimidos

CLOMIPRAMINA
Ampollas

25 mg ANAFRANIL AMP x 10

Novartis

163,84

107,65

107,65

Comprimidos

25 mg ANAFRANIL GRA x 30

Novartis

62,64

41,16

41,16

75 mg ANAFRANIL 75 mg DIVITABS COM x 20

Novartis

136,49

89,68

89,68

Gador

11,64

7,68

7,68

INDUZEPAM 0.25 mg COM x 30

Finadiet

18,32

10,32

10,32

RIVOTRIL 0.25 mg COM x 30

Investi

31,48

20,78

20,78

NEURYL 0.25 mg COM x 50

Bag

42,15

27,83

27,83

CLONAGIN 0.25 mg COM x 60

Baliarda

31,99

14,09

14,09

CLONAZEPAM
Comprimidos

0,25 mg DIOCAM 0.25 mg COM x 10

0,5 mg SEDOVANON 0.5 mg COM x 10

Craveri

11,39

3,13

3,13

FLOZEPAN 0.5 mg COM x 10

Lazar

18,13

11,78

11,78

LEPTIC 0.5 mg COM x 10

Soubeiran Chobet

18,79

12,40

12,40

CLONAX 0.5 mg COM x 10

Beta

36,25

23,93

23,93

CICLOX 0.5 mg COM x 30

Sandoz

16,82

3,36

3,36

PADITEX 0.5 mg COM x 30

Fada Pharma

29,11

5,82

5,82

FLOZEPAN 0.5 mg COM x 30

Lazar

30,11

6,02

6,02

CLONAZEPAM NORTHIA 0.5 mg COM x 30

Northia

30,71

7,42

7,42

SEDOVANON 0.5 mg COM x 30

Craveri

33,00

8,27

8,27

INDUZEPAM 0.50 mg COM x 30

Finadiet

35,84

10,99

10,99

LEPTIC 0.5 mg COM x 30

Soubeiran Chobet

42,83

21,11

21,11

NEURYL 0.5 mg COM x 30

Bag

45,99

25,49

25,49

CLONASEDAN 0.5 mg COM x 30

Eurofarma

47,59

27,64

27,64

DIOCAM 0.5 mg COM x 30

Gador

49,60

30,29

30,29

SENSATON 0.5 mg COM x 30

Temis-Lostalo

49,88

30,66

30,66

CLONAGIN 0.5 mg COM x 30

Baliarda

54,57

36,03

36,03

SOLFIDIN 0.5 mg COM x 30

Astrazeneca

57,94

38,25

38,25

CLONAX 0.5 mg COM x 30

Beta

68,31

45,10

45,10

RIVOTRIL 0.5 mg COM x 30

Investi

84,23

55,61

55,61

FLOZEPAN 0.5 mg COM x 50

Lazar

40,23

8,05

8,05

INDUZEPAM 0.50 mg COM x 50

Finadiet

54,21

13,03

13,03

LEPTIC 0.5 mg COM x 50

Soubeiran Chobet

66,45

28,01

28,01

CLONAGIN 0.5 mg COM x 50

Baliarda

68,32

30,77

30,77

CLONAX 0.5 mg COM x 50

Beta

69,96

33,15

33,15

DIOCAM 0.5 mg COM x 50

Gador

76,18

41,85

41,85

NEURYL 0.5 mg COM x 50

Bag

80,04

47,04

47,04

RIVOTRIL 0.5 mg COM x 50

Investi

112,01

73,95

73,95

CLONAX 0.5 mg COM x 60

Beta

45,86

10,24

10,24

CLONAZEPAM NORTHIA 0.5 mg COM x 60

Northia

79,18

36,23

36,23

DIOCAM 0.5 mg COM x 60

Gador

86,84

43,89

43,89

CLONAGIN 0.5 mg COM x 60

Baliarda

92,70

51,97

51,97

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

Pgina 34 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
0,5 mg RIVOTRIL 0.5 mg COM x 60
1 mg CLONAX 1 mg COM x 30

30/12/2014
LABORATORIO
Investi

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

106,72

70,19

70,19

Beta

39,05

18,51

18,51

DIOCAM 1 mg COM x 30

Gador

48,48

31,19

31,19

CLONAGIN 1 mg COM x 30

Baliarda

54,74

36,14

36,14

CLONAX 1 mg COM x 50

Beta

69,96

37,70

37,70

NEURYL 1 mg COM x 50

Bag

79,89

50,83

50,83

DIOCAM 1 mg COM x 50

Gador

79,98

50,94

50,94

DIOCAM 1 mg COM x 60

Gador

91,17

54,92

54,92

CLONAGIN 1 mg COM x 60

Baliarda

93,60

58,08

58,08

2 mg FLOZEPAN 2 mg COM x 10

Lazar

19,74

12,83

12,83

LEPTIC 2 mg COM x 10

Soubeiran Chobet

21,96

14,50

14,50

CLONAX 2 mg COM x 10

Beta

36,25

23,93

23,93

CICLOX 2 mg COM x 30

Sandoz

16,82

3,36

3,36

FLOZEPAN 2 mg COM x 30

Lazar

32,05

7,22

7,22

SEDOVANON 2 mg COM x 30

Craveri

33,58

8,73

8,73

INDUZEPAM 2 mg COM x 30

Finadiet

35,84

10,89

10,89

LEPTIC 2 mg COM x 30

Soubeiran Chobet

46,80

26,44

26,44

CLONASEDAN 2 mg COM x 30

Eurofarma

49,75

30,34

30,34

NEURYL 2 mg COM x 30

Bag

50,19

30,91

30,91

DIOCAM 2 mg COM x 30

Gador

50,26

31,00

31,00

SENSATON 2 mg COM x 30

Temis-Lostalo

50,56

31,39

31,39

CLONAZEPAM NORTHIA 2 mg COM x 30

Northia

50,55

33,37

33,37

CLONAX 2 mg COM x 30

Beta

61,54

40,63

40,63

CLONAGIN 2 mg COM x 30

Baliarda

62,25

41,10

41,10

RIVOTRIL 2 mg COM x 30

Investi

74,80

49,38

49,38

SOLFIDIN 2 mg COM x 30

Astrazeneca

77,33

51,05

51,05

FLOZEPAN 2 mg COM x 50

Lazar

50,09

10,02

10,02

INDUZEPAM 2 mg COM x 50

Finadiet

51,58

11,52

11,52

LEPTIC 2 mg COM x 50

Soubeiran Chobet

74,31

39,01

39,01

CLONAX 2 mg COM x 50

Beta

79,47

46,03

46,03

DIOCAM 2 mg COM x 50

Gador

82,99

50,66

50,66

CLONAGIN 2 mg COM x 50

Baliarda

87,81

56,85

56,85

RIVOTRIL 2 mg COM x 50

Investi

91,49

60,40

60,40

NEURYL 2 mg COM x 50

Bag

94,72

62,53

62,53

CLONAX 2 mg COM x 60

Beta

45,86

10,24

10,24

CLONAGIN 2 mg COM x 60

Baliarda

93,66

52,95

52,95

RIVOTRIL 2 mg COM x 60

Investi

93,69

52,99

52,99

DIOCAM 2 mg COM x 60

Gador

94,61

54,22

54,22

CLONAZEPAM NORTHIA 2 mg COM x 60

Northia

101,80

67,21

67,21

Beta

39,05

25,10

25,10

DIOCAM SL 0.25 mg COM x 10

Gador

12,39

7,57

7,57

CLONAGIN SL 0.25 mg COM x 15

Baliarda

16,02

7,86

7,86

INDUZEPAM SUBLINGUAL 0.25 mg COM x 30

Finadiet

26,85

8,22

8,22

CLONAGIN SL 0.25 mg COM x 30

Baliarda

27,08

8,44

8,44

DIOCAM SL 0.25 mg COM x 30

Gador

38,24

24,07

24,07

RIVOTRIL 0.25 mg SUBLINGUAL COM x 30

Investi

54,99

36,30

36,30

Astrazeneca

43,80

22,48

22,48

0,25 mg CLONAX RAPID 0.25 mg SUBLING. COM x 30

0,5 mg SOLFIDIN FLASH 0.5 mg COM x 30

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

Pgina 35 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

Gotas

Lquido

NOMBRE COMERCIAL

30/12/2014
LABORATORIO

0,5 mg INDUZEPAM RAPID 0.5 mg DIS.BUC COM x 30

Finadiet

NEURYL FLASH 0.5 mg COM x 50

Bag

INDUZEPAM RAPID 0.5 mg DIS.BUC COM x 50

Finadiet

SOLFIDIN FLASH 0.5 mg COM x 60


INDUZEPAM SUBLINGUAL 0.50 mg COM x 30
250 mg CLONAGIN GTS x 20

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

82,41

54,41

54,41

70,97

34,59

34,59

111,12

73,36

73,36

Astrazeneca

84,60

40,71

40,71

Finadiet

34,73

22,82

22,82

Baliarda

38,45

22,07

22,07

RIVOTRIL 0.25% GTS x 20

Investi

40,51

24,78

24,78

NEURYL GTS x 20

Bag

62,60

41,33

41,33

Finadiet

22,91

5,11

5,11

Geminis Farmaceutica

122,02

33,00

27,24

ANTIPLAQ 75 mg COM x 14

Richmond

172,36

102,75

47,88

PLAVIX 75 mg COM x 14

Sanofi Aventis

352,01

232,40

198,22

CLOPILEP 75 mg COM x 15

Lepetit

59,00

11,80

11,80

CLODIAN 75 mg COM x 15

Sandoz

87,80

17,56

17,56

CLODREL 75 mg COM x 15

Baliarda

174,88

95,16

45,52

NABRATIN 75 mg COM x 15

Raffo

183,47

106,75

47,72

MONREX 75 mg COM x 15

Montpellier

265,23

175,10

146,30

TROKEN 75 mg COM x 15

Bag

265,23

175,10

149,35

NEFAZAN 75 mg COM x 15

Phoenix

286,69

189,27

161,44

NADENEL 75 mg COM x 28

Geminis Farmaceutica

244,06

66,02

54,50

ANTIPLAQ 75 mg COM x 28

Richmond

350,78

213,43

101,50

PLAVIX 75 mg COM x 28

Sanofi Aventis

687,41

453,82

387,08

CLOPILEP 75 mg COM x 30

Lepetit

124,00

28,00

28,00

CLODIAN 75 mg COM x 30

Sandoz

169,12

33,82

33,82

NADENEL 75 mg COM x 30

Geminis Farmaceutica

262,51

71,71

58,62

CLODREL 75 mg COM x 30

Baliarda

346,74

186,18

90,25

NABRATIN 75 mg COM x 30

Raffo

370,86

218,70

96,45

ANTIPLAQ 75 mg COM x 30

Richmond

376,00

228,89

125,46

PLEYAR 75 mg COM x 30

Casasco

407,18

265,56

122,12

TROKEN 75 mg COM x 30

Bag

544,08

359,20

306,38

MONREX 75 mg COM x 30

Montpellier

544,11

359,22

306,39

NEFAZAN 75 mg COM x 30

Phoenix

576,14

380,36

324,42

CLOPILEP 75 mg COM x 60

Lepetit

232,00

52,00

52,00

NEFAZAN 75 mg COM x 60

Phoenix

1.044,14

689,33

587,96

222,34

145,73

90,07

Poen

35,87

23,57

23,57

2 mg AFEME COM x 20

Cetus

68,81

45,43

45,43

4 mg ALERGITRAT COM x 20

Fecofar

42,43

27,88

27,88

50 mg ALERGITRAT JBE x 120

Fecofar

42,43

27,88

27,88

Sanofi Aventis

56,75

37,29

37,29

250 mg INDUZEPAM 0.25% ORAL SOL x 20

CLOPIDOGREL
Comprimidos

75 mg NADENEL 75 mg COM x 14

300 mg PLAVIX 300 mg COM x

Sanofi Aventis

CLORAMFENICOL
Lquido

500 mg POENFENICOL OFT. SOL x 10

CLORFENIRAMINA
Comprimidos

Lquido

CLOROQUINA
Comprimidos

100 mg NIVAQUINE COM x 30

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

Pgina 36 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

NOMBRE COMERCIAL

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

CLORPROMAZINA
Comprimidos

25 mg AMPLIACTIL 25 mg COM x 30

Sanofi Aventis

43,60

28,65

28,65

100 mg AMPLIACTIL 100 mg COM x 50

Sanofi Aventis

130,71

85,88

85,88

CLORTALIDONA
Comprimidos

25 mg HYGROTON 25 mg COM x 42

Novartis

65,19

42,83

26,40

50 mg HYGROTON 50 mg COM x 28

Novartis

58,77

38,80

30,69

EURETICO 50 mg COM x 30

Casasco

33,81

9,71

7,54

100 mg EURETICO 100 mg GRA x 16

Casasco

27,37

17,98

11,08

108,04

71,33

71,33

CLOTRIMAZOL
Aerosol

Crema

1000 mg MICOMAZOL DEO AER x 110

Investi

1500 mg MICOSEP DEO AER x 110

Cassara

52,83

30,35

30,35

1000 mg CLOTRIMAZOL RAYMOS CRE x 20

Raymos

21,36

4,77

4,77

MEDIFUNGOL CRE x 20

Lab Internacional
Argentino

32,69

9,90

9,90

IKOLAN 1% CRE x 25

Investi

28,41

6,35

6,35

MICOMAZOL DERMICA CRE x 30

Investi

75,42

49,79

49,79

MEDIFUNGOL CRE x 35

Fada Pharma

22,51

4,50

4,50

IKOLAN 1% CRE x 50

Investi

37,24

8,32

8,32

Pasta

1000 mg MICOMAZOL PTA x 30

Investi

79,92

52,76

52,76

Talco

1000 mg MEDIFUNGOL TAL x 30

Fada Pharma

26,58

6,77

6,77

Investi

71,00

46,65

46,65

25 mg CLOZAPINA ROSPAW 25 mg COM x 30

Rospaw

55,30

11,06

11,06

CLOZAPINA ROSPAW 25 mg COM x 100

Rospaw

170,20

34,04

34,04

SEQUAX 25 mg COM x 100

Ivax Argentina

298,01

74,20

66,55

LAPENAX 25 mg COM x 100

Novartis

482,48

317,01

249,62

100 mg LAPENAX 100 mg COM x 15

Novartis

254,60

168,09

136,60

SEQUAX 100 mg COM x 30

Ivax Argentina

285,06

150,70

74,20

CLOZAPINA ROSPAW 100 mg COM x 30

Rospaw

281,91

153,21

153,21

LAPENAX 100 mg COM x 30

Novartis

482,48

318,53

271,69

LAPENAX 100 mg COM x 90

Novartis

1.062,05

701,16

479,20

SEQUAX 100 mg COM x 100

Ivax Argentina

784,73

258,42

175,23

CLOZAPINA ROSPAW 100 mg COM x 100

Rospaw

792,12

304,69

304,69

MICOMAZOL TAL x 50

CLOZAPINA
Comprimidos

COLCHICINA
Comprimidos

1 mg XURIC 1 mg COM x 20

Craveri

31,35

7,00

7,00

COLCHICINA HOUDE COM x 20

Spedrog Caillon

66,37

43,82

43,82

COLCHICINA PHOENIX COM x 60

Phoenix

87,87

19,63

19,63

COLCHICINA HOUDE COM x 60

Spedrog Caillon

173,75

108,10

108,10

Bristol

488,87

326,09

206,46

COLESTIRAMINA
Sobres

4000 mg QUESTRAN POLVO SOB x 50

CROMOGLICATO DISDICO
MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 37 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Lquido

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

4000 mg CLAROFTAL OFT. SOL x 10

Poen

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

70,04

46,02

28,37

DANAZOL
Comprimidos

100 mg LADOGAL 100 mg CAP x 30

Sanofi Aventis

245,28

161,16

161,16

200 mg LADOGAL 200 mg CAP x 100

Sanofi Aventis

1.062,08

697,83

697,83

100 mg DAPS 100 mg COM x 100

Astrazeneca

160,99

105,78

105,78

Sanofi Aventis

34,79

22,97

22,97

DEFAS 6 mg COM x 10

Astrazeneca

53,09

35,05

35,05

AZACORTID 6 mg COM x 20

Sanofi Aventis

67,57

43,84

43,84

ZAMEN 6 mg COM x 20

Menarini

82,30

53,49

53,49

DEFAS 6 mg COM x 20

Astrazeneca

101,50

67,01

67,01

30 mg DEFAS 30 mg COM x 10

DAPSONA
Comprimidos

DEFLAZACORT
Comprimidos

6 mg AZACORTID 6 mg COM x 10

Astrazeneca

246,74

162,90

162,90

AZACORTID 30 mg COM x 10

Sanofi Aventis

256,12

169,09

169,09

AZACORTID 30 mg COM x 20

Sanofi Aventis

343,03

210,88

210,88

ZAMEN 30 mg COM x 20

Menarini

398,81

259,23

259,23

DEFAS 30 mg COM x 20

Astrazeneca

486,09

320,91

320,91

DESMOPRESINA ACETATO
Ampollas

Comprimidos

0,004 mg DESMOPRESIN AMP x 10

Ferring

1.228,77

807,35

807,35

0,015 mg OCTOSTIM 1 ML AMP x

Ferring

356,85

234,46

234,46

OCTOSTIM 1 ML AMP x 10

Ferring

1.784,04

1.172,18

1.172,18

Dominguez

260,61

153,86

153,86

Ferring

996,85

658,12

658,12

0,1 mg DINADOM 0.1 mg COM x 30


DESMOPRESIN 0.1 mg COM x 100
0,2 mg DINADOM 0.2 mg COM x 30

Dominguez

447,25

219,58

219,58

DESMOPRESIN 0.2 mg COM x 30

Ferring

640,80

423,05

423,05

DESMOPRESIN 0.2 mg COM x 100

Ferring

1.858,03

1.220,20

1.220,20

0,06 mg DESMOPRESIN MELT 60 mcg COM x 30

Ferring

311,55

204,70

204,70

DESMOPRESIN MELT 60 mcg COM x 100

Ferring

1.110,11

732,89

732,89

0,12 mg DESMOPRESIN MELT 120 mcg COM x 30

Ferring

718,15

471,85

471,85

Ferring

612,29

404,23

404,23

Dominguez

475,04

313,62

313,62

Dominguez

633,94

221,16

221,16

Lquido

0,1 mg DESMOPRESIN INTRANASAL 2.5 ML SOL x

Spray

0,1 mg DINADOM 5 mcg NASAL 2.5 ML SPR x


DINADOM NASAL SPR x

DESMOPRESIN NASAL SPR x

Ferring

903,17

593,42

593,42

DESMOPRESIN NASAL SPR x

Ferring

903,17

474,49

474,49

DESOGESTREL
Comprimidos

0,075 mg CAMELIA COM x 28

Bernabo

84,45

45,35

45,35

CARMIN COM x 28

Elea

99,08

64,56

64,56

LUMILAC COM x 28

Bag

101,92

67,29

67,29

PINK COM x 28

Craveri

105,77

69,83

69,83

CERAZETTE COM x 28

MSD Arrgentina SR

134,04

88,49

88,49

23,71

15,58

15,58

DEXAMETASONA
Comprimidos

0,5 mg DEXAMETASONA FECOFAR COM x 20

Fecofar

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

Pgina 38 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

30/12/2014

NOMBRE COMERCIAL

Comprimidos

LABORATORIO

A CARGO A CARGO
REF
AFILIADO CRONICO

0,5 mg
1,5 mg BUTIOL 1.5 mg COM x 20

Lquido

PRECIO

Ivax Argentina

16,08

10,56

10,56

4 mg DEXAMERAL 4 mg COM x 10

Raymos

51,12

33,44

33,44

DEXAMERAL 4 mg COM x 20

Raymos

102,78

67,57

67,57

Poen

54,00

27,03

27,03

Alcon

94,16

61,20

61,20

Pharmadorf

62,97

14,06

14,06

Duncan

14,36

4,27

4,27 INF

Sidus

26,51

6,90

6,90

Duncan

17,54

11,52

11,52

Sidus

54,34

35,70

35,70

Fabra

26,47

13,26

13,26 INF

1 Richet

68,41

57,14

57,14 INF

100 mg SEDESTEROL OFT. SOL x

ISOPTO MAXIDEX OFT. SUS x

DEXAMETASONA DORF OFT. SOL x 10

DEXAMETASONA ACETATO
Ampollas

8 mg RUPEDEX 8 mg 2 ML AMP x

16 mg DECADRON AL 8 MG/ML 2ML+JGA+AG F.A x


Comprimidos

1 mg RUPEDEX 0.5 mg COM x 20

DEXAMETASONA FOSFATO
Ampollas

100 mg DECADRON SHOCK 20 mg/ml 5 ml F.A x


8 mg DEXAMETASONA FABRA 8 mg AMP x

DEXAMETASONA RICHET 8MG 2ML+JG AMP x

DEXTROMETORFAN
Lquido

300 mg ROMILAR JBE x 100

Bayer Consumer

46,60

30,14

30,14

20000 SALES REHIDRAT.ORAL 27.9 OCEFA SOB x 3


mg
SALES REHIDRAT.ORAL FRUTILLA SOB x 3

Roux Ocefa

33,48

22,33

22,33 INF

Roux Ocefa

40,21

26,42

26,42 INF

64000 TRIYOSOM 60 mg 50 ml F.A x


mg

Gobbi

193,13

61,88

61,88

DEXTROSA + SODIO
CLORURO
Sobres

DIATRIZOICO CIDO SAL


MEGLUMNICA
Ampollas

DIATRIZOICO CIDO SAL


SDICA + DIATRIZOICO CIDO
SAL MEGLUMNICA
Ampollas

10000 HYPAQUE 76% 50 ML F.A x 1


mg
HYPAQUE 76% 100 ML F.A x 1

Fortbenton Co.

33,38

10,01

10,01

Fortbenton Co.

68,36

20,51

20,51

10 mg PLIDAN 10 mg AMP x

Roemmers

35,65

7,95

7,95

Investi

72,41

47,80

47,80

2 mg PLIDAN 2 mg COM x 20

Roemmers

19,32

12,75

12,75

PLIDAN 2 mg COM x 50

Roemmers

33,11

18,81

18,81

Sanofi Aventis

29,15

19,15

19,15

DIAZEPAM
Ampollas

VALIUM 10 mg 2 ML AMP x
Comprimidos

2,5 mg LEMBROL 2.5 mg COM x 50


5 mg PLIDAN 5 mg COM x 20

Roemmers

22,05

12,26

12,26

VALIUM 5 mg COM x 20

Investi

28,46

18,79

18,79

DIPEZONA 5 COM x 20

Omega

61,32

41,29

41,29

LEMBROL 5 mg COM x 25

Sanofi Aventis

25,19

12,02

12,02

VALIUM 5 mg COM x 30

Investi

42,48

28,05

28,05

LEMBROL 5 mg COM x 50

Sanofi Aventis

53,54

28,49

28,49

PLIDAN 5 mg COM x 50

Roemmers

58,77

35,51

35,51

SAROMET COM x 50

Astrazeneca

68,35

45,12

45,12

DIPEZONA 5 COM x 50

Omega

129,54

87,21

87,21

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

Pgina 39 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

30/12/2014

NOMBRE COMERCIAL

Comprimidos

LABORATORIO

5 mg VALIUM 5 mg COM x 60

Investi

LEMBROL 5 mg COM x 100

Sanofi Aventis

DIPEZONA 5 COM x 100

Omega

10 mg PLIDAN 10 mg COM x 20

83,52

A CARGO A CARGO
REF
AFILIADO CRONICO
55,14

55,14

83,52

24,17

24,17

184,09

123,94

123,94

Roemmers

29,35

17,11

17,11

DIPEZONA 10 COM x 20

Omega

79,82

53,74

53,74

VALIUM 10 mg COM x 30

Investi

58,64

38,71

38,71

PLIDAN 10 mg COM x 50

Roemmers

63,26

28,73

28,73

VALIUM 10 mg COM x 50

Investi

86,15

56,88

56,88

LEMBROL 10 mg COM x 50

Sanofi Aventis

99,34

65,59

65,59

Astrazeneca

68,35

44,91

44,91

15 mg SAROMET FULLTIME CAP x 20


Enema

PRECIO

5 mg DIACTAL 5mg/ 2,5 ml ENE x

Sidus

91,80

60,60

60,60

DIACTAL 5mg/ 2,5 ml ENE x

Sidus

212,92

125,80

125,80

DICLOFENAC POTSICO
Ampollas

75 mg VESALION 75 mg AMP x
OXA 75 3 ML AMP x

Comprimidos

Nova Argentia

Beta

50 mg RODINAC 50 COM x 15

Geminis Farmaceutica

Sobres

42,51

42,51

85,42

85,42

33,32

16,11

16,11

OXA 50 COM x 15

Beta

118,18

78,02

78,02

DICLOMAR 50 mg COM x 20

Mar

36,17

10,20

10,20

DIOXAFLEX MIGRA 50 mg COM x 20

Bag

68,63

45,31

45,31

DICLOMAR 50 mg COM x 30

Mar

58,68

20,34

20,34

RODINAC 50 COM x 30

Geminis Farmaceutica

OXA 50 COM x 30

Beta

59,24

21,22

21,22

192,42

127,03

127,03

Biotenk

47,88

31,12

31,12

RODINAC 75 K COM x 15

Geminis Farmaceutica

67,13

44,32

44,32

DICLOMAR 75 mg COM x 20

Mar

62,48

39,71

39,71

RODINAC 75 K COM x 20

Geminis Farmaceutica

86,85

57,34

57,34

DICLOMAR 75 mg COM x 30

Mar

101,53

67,03

67,03

RODINAC 75 K COM x 30

Geminis Farmaceutica

124,40

82,13

82,13

100 mg OXA 100 COM x 15

Beta

113,38

74,03

74,03

OXA 100 COM x 30

Beta

228,84

150,67

150,67

500 mg DIOXAFLEX SUS x 90

Bag

45,93

29,97

29,97

OXA JBE x 120

Beta

62,18

41,05

41,05

Bag

75,66

49,71

49,71

Beta

62,18

40,85

40,85

Baliarda

71,06

46,84

46,84

Bag

73,94

48,82

48,82

Casasco

43,58

28,77

28,77

Mar

47,17

24,75

24,75

Casasco

67,18

41,91

41,91

75 mg BEFOL 75 mg COM x 10

Lquido

79,29
129,39

50 mg DIOXAFLEX MIGRA 50 mg SOB x 20

DICLOFENAC RESINATO
Gotas

1500 mg OXA ANTITERMICO PEDIATRICO GTS x 20

DICLOFENAC SDICO
Ampollas

75 mg XEDENOL 75 mg AMP x
DIOXAFLEX AMP x

75 mg BLOKIUM 75 mg 3 ML AMP x

DICLOMAR 75 mg 3 ML AMP x
BLOKIUM 75 mg 3 ML AMP x

4
5

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

Pgina 40 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Ampollas

NOMBRE COMERCIAL

LABORATORIO

75 mg FLOGOLISIN 75 mg 3 ML AMP x

36,23

7,25

7,25

81,99

52,06

52,06

Amhof

80,94

53,44

53,44

Novartis

82,95

53,92

53,92

Nova Argentia

33,49

16,83

16,83

DIOXAFLEX CB 50 mg CAP x 15

Bag

39,61

25,03

25,03

XEDENOL CB 50 mg CAP x 15

Baliarda

47,73

31,51

31,51

VESALION CB 50 mg CAP x 30

Nova Argentia

53,58

15,21

15,21

XEDENOL CB 50 mg CAP x 30

Baliarda

98,25

64,86

64,86

DIOXAFLEX CB 50 mg CAP x 30

Bag

110,39

72,88

72,88

FLOGOLISIN 50 mg COM x 10

Lazar

16,42

3,67

3,67

METAFLEX 50 mg COM x 10

Montpellier

31,32

20,68

20,68

DIOXAFLEX 50 mg MASTIC. COM x 10

Bag

52,93

34,94

34,94

VIROBRON NF 50 mg COM x 15

Temis-Lostalo

25,55

6,42

6,42

DOLVAN 50 mg COM x 15

Gador

26,30

7,13

7,13

BLOKIUM 50 mg COM x 15

Casasco

31,62

14,14

14,14

IBUXIM DICLO 50 mg COM x 15

Savant

38,58

23,70

23,70

VESALION 50 mg COM x 15

Nova Argentia

41,29

27,16

27,16

METAFLEX 50 CB CAP x 15

Montpellier

42,93

28,34

28,34

VOLTAREN 50 mg COM x 15

Novartis

49,70

32,30

32,30

XEDENOL 50 mg GASTRORRESIST. COM x 15

Baliarda

48,93

32,30

32,30

DICLOGESIC 50 mg COM x 15

Trb-Pharma

62,32

40,42

40,42

FLOGOLISIN 50 mg COM x 20

Lazar

31,64

6,33

6,33

TOMANIL COM x 20

Takeda

36,14

10,54

10,54

DIOXAFLEX COM x 20

Bag

53,68

34,48

34,48

VOLTAREN 50 mg COM x 20

Novartis

56,93

37,59

37,59

VOLTAREN D 50 mg DISPERS. COM x 20

Novartis

64,21

42,39

42,39

DOLVAN 50 mg COM x 30

Gador

42,69

9,52

9,52

VESALION 50 mg COM x 30

Nova Argentia

47,23

10,55

10,55

DICLOFENAC NORTHIA 50 mg COM x 30

Northia

46,84

10,81

10,81

XEDENOL 50 mg GASTRORRESIST. COM x 30

Baliarda

51,41

13,13

13,13

METAFLEX 50 mg COM x 30

Montpellier

54,64

16,22

16,22

VIARTRIL NF 50 mg COM x 30

Spedrog Caillon

80,97

52,29

52,29

METAFLEX 50 CB CAP x 30

Montpellier

85,87

56,69

56,69

VOLTAREN 50 mg COM x 30

Novartis

88,86

57,76

57,76

BLOKIUM 50 mg COM x 30

Casasco

91,95

60,71

60,71

DIOXAFLEX COM x 40

Bag

85,77

39,83

39,83

VOLTAREN 50 mg COM x 40

Novartis

101,79

61,79

61,79

75 mg DIOXAFLEX CB 75 mg CAP x 15

Bag

147,34

97,28

97,28

DIOXAFLEX CB 75 mg CAP x 30

Bag

291,45

192,41

192,41

FLOGOLISIN 75 mg COM x 10

Lazar

38,56

7,71

7,71

DICLOGESIC 75 mg COM x 10

Trb-Pharma

52,42

18,81

18,81

IGLODINE 75 mg COM x 10

Fecofar

52,01

20,44

20,44

DICLAC 75 mg RAPIRETARD COM x 10

Investi

51,84

29,17

29,17

METAFLEX 75 mg COM x 10

Montpellier

60,58

30,83

30,83

VOLTAREN 75 mg COM x 10

Novartis

61,34

31,90

31,90

DIOXAFLEX 75 mg COM x 10

Bag

61,85

32,60

32,60

VOLTAREN COL x
Comprimidos

A CARGO A CARGO
REF
AFILIADO CRONICO

Novartis

100 mg NATURA FENAC COL x

PRECIO

Lazar

VOLTAREN 75 mg 3 ML AMP x
Colirio

30/12/2014

50 mg VESALION CB 50 mg CAP x 15

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

Pgina 41 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

75 mg DOXTRAN 75 mg COM x 10

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Phoenix

57,72

37,33

37,33

DICLONEX 75 mg COM x 15

Nexo Pharmaceutical
Group

33,94

6,79

6,79

DICLOFENAC NORTHIA 75 mg COM x 15

Northia

36,64

8,18

8,18

CURINFLAM GESIC 75 mg COM x 15

Duncan

42,98

9,60

9,60

VIROBRON NF 75 mg COM x 15

Temis-Lostalo

48,09

10,73

10,73

RODINAC 75 mg COM x 15

Geminis Farmaceutica

50,52

11,28

11,28

DOLVAN 75 mg COM x 15

Gador

52,24

11,66

11,66

DIASTONE 75 mg COM x 15

Microsules Argentina

55,31

12,34

12,34

DICLOGESIC 75 mg COM x 15

Trb-Pharma

61,48

13,73

13,73

VIARTRIL NF 75 mg COM x 15

Spedrog Caillon

64,37

14,37

14,37

DICLOLAM 75 mg COM x 15

Lepetit

70,84

19,20

19,20

DISIPAN 75 mg COM x 15

Bernabo

90,69

45,99

45,99

VESALION 75 mg COM x 15

Nova Argentia

105,06

65,31

65,31

IBUXIM DICLO 75 mg COM x 15

Savant

113,07

74,65

74,65

BLOKIUM 75 mg COM x 15

Casasco

122,62

80,95

80,95

DIOXAFLEX 75 mg COM x 15

Bag

129,78

85,68

85,68

DIOXAFLEX 75 mg MAST. COM x 15

Bag

133,82

88,34

88,34

OXA 75 RAPILENT COM x 15

Beta

135,50

89,46

89,46

METAFLEX 75 CB CAP x 15

Montpellier

147,33

97,27

97,27

RODINAC 75 mg COM x 20

Geminis Farmaceutica

86,85

19,39

19,39

DICLAC 75 mg RAPIRETARD COM x 20

Investi

86,27

33,45

33,45

DOXTRAN 75 mg COM x 20

Phoenix

103,38

58,99

58,99

METAFLEX 75 mg COM x 20

Montpellier

120,50

60,73

60,73

VOLTAREN 75 mg COM x 20

Novartis

122,78

63,92

63,92

DICLOFENAC NORTHIA 75 mg COM x 30

Northia

75,44

16,85

16,85

RODINAC 75 mg COM x 30

Geminis Farmaceutica

99,50

22,22

22,22

DOLVAN 75 mg COM x 30

Gador

103,51

23,11

23,11

DICLOGESIC 75 mg COM x 30

Trb-Pharma

108,03

24,13

24,13

VIARTRIL NF 75 mg COM x 30

Spedrog Caillon

129,31

28,89

28,89

DISIPAN 75 mg COM x 30

Bernabo

165,79

69,41

69,41

VESALION 75 mg COM x 30

Nova Argentia

197,77

114,41

114,41

DIOXAFLEX 75 mg COM x 30

Bag

229,86

151,75

151,75

BLOKIUM 75 mg COM x 30

Casasco

231,05

152,54

152,54

OXA 75 RAPILENT COM x 30

Beta

261,21

172,45

172,45

METAFLEX 75 CB CAP x 30

Montpellier

291,46

192,42

192,42

METAFLEX 75 mg COM x 40

Montpellier

240,47

120,72

120,72

31,48

7,41

7,41

XEDENOL 75 mg LP COM x

Baliarda

DICLOFENAC HEXA 75 RETARD COM x 15

Fada Pharma

40,65

9,08

9,08

XEDENOL 75 mg LP COM x 15

Baliarda

105,07

65,32

65,32

XEDENOL 75 mg LP COM x 30

Baliarda

201,60

119,49

119,49

Casasco

117,36

77,48

77,48

VOLTAREN RETARD COM x 10

Novartis

65,15

43,01

43,01

DICLONEX 100 AP COM x 15

Nexo Pharmaceutical
Group

40,98

8,20

8,20

CURINFLAM AP CAP x 15

Duncan

37,14

8,67

8,67

DOLVAN 100 mg AP COM x 15

Gador

60,61

39,31

39,31

OXA RETARD COM x 15

Beta

100,34

55,50

55,50

100 mg BLOKIUM 100 mg COM x 15

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

Pgina 42 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

100 mg XEDENOL 100 mg LP COM x 15

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Baliarda

101,76

67,18

67,18

DIOXAFLEX RETARD COM x 20

Bag

164,57

108,65

108,65

DOLVAN 100 mg AP COM x 30

Gador

113,89

69,21

69,21

OXA RETARD COM x 30

Beta

178,31

79,46

79,46

150 mg DICLAC 150 mg RAPIRETARD COM x

Investi

41,70

27,53

27,53

DICLAC 150 mg RAPIRETARD COM x 10

Investi

80,15

52,92

52,92

DICLAC 150 mg RAPIRETARD COM x 20

Investi

157,09

103,00

103,00

101,05

66,39

66,39

Gotas

100 mg LEVEDAD OFT. GTS x 10

Raymos

Lquido

500 mg METAFLEX SUS x 90

Montpellier

63,20

41,53

41,53

Vannier S.A.

21,27

4,25

4,25

117,22

77,02

77,02

Novartis

35,66

23,43

23,43

Elea

44,37

29,15

29,15

12,5 mg BENADRYL JBE x 240

Elea

170,94

112,71

112,71

250 mg DIFENHIDRAMINA NORTHIA JBE x 120

Northia

30,42

6,08

6,08

Duncan

35,84

8,00

8,00

Hlb Pharma

19,37

12,79

12,79

LANOXIN DIGOXINA COM x 25

Roemmers

22,58

14,91

10,43

LANOXIN DIGOXINA COM x 50

Roemmers

41,92

27,63

16,33

LANICOR COM x 60

Hlb Pharma

53,49

35,31

35,31

LANOXIN DIGOXINA COM x 100

Roemmers

52,35

13,57

11,69

LANICOR COM x 120

Hlb Pharma

61,93

18,14

18,14

Hlb Pharma

34,98

23,09

23,09 INF

1,5 mg VIMOTADINE 1,5 mg COM x 20

Casasco

27,93

18,35

18,35

HYDERGINA 1.5 mg COM x 20

Novartis

32,48

21,11

21,11

HYDERGINA 1.5 mg COM x 40

Novartis

62,22

40,44

40,44

Roemmers

23,42

13,58

6,44

HART 60 mg COM x 20

Ivax Argentina

25,98

16,90

10,01

HART 60 mg COM x 50

Ivax Argentina

59,68

35,45

17,19

ACALIX 60 mg COM x 50

Roemmers

64,89

42,17

24,94

TILAZEM 60 mg COM x 60

Elea

65,41

34,14

17,03

INCORIL 60 COM x 60

Bag

110,06

72,66

61,98

100 mg PRONIX OFT. SOL x


Sobres
Supositorios

50 mg DIOXAFLEX RAPID 50 mg GRANUL. SOB x 20


100 mg VOLTAREN SUP x

Bag

DIFENHIDRAMINA
Ampollas
Lquido

50 mg BENADRYL 5 ML AMP x

HISTALER JBE x 120

DIGOXINA
Comprimidos

Gotas

0,25 mg LANICOR COM x 20

0,75 mg LANICOR GTS x 10

DIHIDROERGOTOXINA
Comprimidos

DILTIAZEM
Comprimidos

60 mg ACALIX 60 mg COM x 20

90 mg ACALIX 90 mg COM x 20

Roemmers

39,50

25,28

15,43

ACALIX 90 mg COM x 50

Roemmers

99,01

63,52

36,82

TILAZEM 90 mg COM x 60

Elea

125,62

82,93

53,88

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

Pgina 43 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

90 mg INCORIL AP COM x 30

Bag

113,34

74,40

45,78

INCORIL AP COM x 60

Bag

227,08

149,30

92,12

Roemmers

76,26

50,35

36,06

TILAZEM 120 mg COM x 30

Elea

86,29

41,26

22,00

HART 120 mg COM x 30

Ivax Argentina

122,20

79,87

64,43

DILZEN G 120 mg COM x 50

Klonal

ACALIX 120 mg COM x 50

Roemmers

HART AP CAP x 20

Ivax Argentina

ACALIX AP 120 mg CAP x 30

120 mg ACALIX 120 mg COM x 20

36,73

7,35

7,35

188,65

124,55

96,08

98,08

59,02

30,43

Roemmers

163,18

107,73

69,03

INCORIL AP 120 mg COM x 30

Bag

163,80

108,14

69,90

HART AP CAP x 50

Ivax Argentina

224,89

120,29

58,54

180 mg ACALIX CRONOS 180 mg CAP x 30

Roemmers

177,93

117,47

73,95

INCORIL MONODOSIS 180 mg COM x 30

Bag

189,06

124,82

79,54

HART CD 180 mg CAP x 30

Ivax Argentina

170,85

103,03

53,01

HART AP 180 mg CAP x 30

Ivax Argentina

169,83

107,49

62,34

ACALIX CD 180 mg CAP x 30

Roemmers

186,49

123,04

75,91

240 mg ACALIX CRONOS 240 mg CAP x 30

Roemmers

259,94

168,02

99,85

INCORIL MONODOSIS 240 mg COM x 30

Bag

275,95

181,31

111,76

HART CD 240 mg CAP x 30

Ivax Argentina

248,76

153,71

83,47

ACALIX CD 240 mg CAP x 30

Roemmers

268,38

177,18

111,87

300 mg ACALIX CRONOS 300 mg CAP x 30

Roemmers

285,82

187,80

115,76

INCORIL MONODOSIS 300 mg COM x 30

Bag

343,37

225,61

139,06

HART CD 300 mg CAP x 30

Ivax Argentina

252,37

105,27

50,47

Eurolab

29,30

19,34

19,34

AGIRAX COM x 10

Montpellier

35,30

17,50

17,50

DR. AMIN 50 mg COM x 12

Eurolab

53,00

34,99

34,99

DRAMAMINE COM x 12

Johnson & Johnson

57,39

38,08

38,08

AGIRAX COM x 20

Montpellier

66,04

28,39

28,39

DRAMAMINE COM x 24

Johnson & Johnson

104,42

67,94

67,94

250 mg DRAMAMINE SOL x 100

Johnson & Johnson

70,41

45,54

45,54

DIMENHIDRINATO
Comprimidos

Lquido

50 mg DR. AMIN 50 mg COM x

DIPIRONA
Ampollas

1000 mg NOVALGINA 2 ML AMP x

Sanofi Aventis

36,04

23,68

23,68

2500 mg NOVALGINA 5 ML AMP x

Sanofi Aventis

48,14

31,63

31,63

Roux Ocefa

40,28

26,46

26,46

Roux Ocefa

46,00

30,68

30,68

Lazar

63,22

41,74

41,74

MOTILIUM COM x 20

Janssen-Cilag

63,95

42,22

42,22

EUCITON COM x 20

Roux Ocefa

66,81

44,11

44,11

EUCITON COM x 50

Roux Ocefa

150,59

94,69

94,69

DOMPERIDONA
Ampollas

3,9 mg EUCITON PEDIATRICO 3 ML AMP x


10 mg EUCITON ADULTOS 3 ML AMP x

Comprimidos

10 mg ECUAMON COM x 20

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

Pgina 44 de 130

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DROGA
Gotas

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

10 mg MOPERIDONA GTS x 20

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Sidus

24,56

5,49

5,49

ECUAMON GTS x 20

Lazar

51,91

30,43

30,43

EUCITON GTS x 20

Roux Ocefa

58,79

38,82

38,82

Atlas

152,77

100,43

61,32

100,73

100,73

DORZOLAMIDA
Lquido

2000 mg DORLAMIDA OFT. SOL x

TRUSOPT 2% OFT. SOL x

Merck Sharp & Dhome

152,58

2 mg DORZOFLAX OFT. SOL x

Sidus

151,45

70,33

35,56

Hlb Pharma

173,19

108,03

108,03

Pharmadorf

117,65

27,67

26,27

Raymos

153,02

72,59

38,18

Bausch & Lomb Argentina

157,38

76,20

41,40

Atlas

185,62

116,72

56,37

Poen

189,03

121,07

68,82

Elea

194,77

128,32

70,35

Merck Sharp & Dhome

223,33

147,44

125,76

2 mg DOXASIN 2 mg COM x 30

Fortbenton Co.

200,20

129,48

129,48

4 mg DOXASIN 4 mg COM x 30

Fortbenton Co.

235,14

152,08

152,08

Pfizer

91,07

59,84

59,84

Pfizer

36,43

24,05

24,05

ASOLMICINA.DOX 100 mg COM x 15

Raymos

84,98

48,06

48,06

VIBRAMICINA 100 mg TAB x 16

Pfizer

130,76

86,32

86,32

ASOLMICINA.DOX 100 mg COM x 30

Raymos

142,08

56,43

56,43

DORZOLAMIDA + TIMOLOL
Lquido

DOR-TIMOLOL OFT. SOL x

2000 mg DORZOLAMIDA T DORF OFT. SOL x


PRESS OUT T OFT. SOL x
TIMED D OFT. SOL x

DORLAMIDA T OFT. SOL x

GLAUCOTENSIL TD OFT. SOL x


ZOPIROL DM OFT. SOL x
COSOPT OFT. SOL x

DOXAZOSINA
Comprimidos

DOXICICLINA
Comprimidos

50 mg VIBRAMICINA 50 mg CAP x 20
100 mg VIBRAMICINA 100 mg TAB x

ECONAZOL
Crema

Lquido

1000 mg MICOLIS CRE x 30

Roemmers

42,54

27,47

27,47

NOMICON CRE x 30

Casasco

47,63

31,44

31,44

MICOCIDE CRE x 30

Atlas

53,12

35,07

35,07

Roemmers

48,96

30,77

30,77

Casasco

55,37

36,55

36,55

Atlas

53,12

17,52

17,52

Roemmers

51,48

33,82

33,82

Roemmers

51,90

33,43

33,43

Casasco

58,14

38,38

38,38

Roemmers

51,90

33,74

33,74

Casasco

61,02

40,28

40,28

1000 mg MICOLIS SOL x 20


NOMICON SOL x 20

Locin
vulos
Spray

1000 mg MICOCIDE LOC x 30


150 mg MICOLIS 150 mg OVU x

1000 mg MICOLIS SPR x 60


NOMICON SPR x 60

Talco

1000 mg MICOLIS TAL x 20


NOMICON TAL x 20

ENALAPRIL
Comprimidos

2,5 mg GADOPRIL 2.5 mg COM x 20

Gador

9,50

5,36

2,50

GADOPRIL 2.5 mg COM x 30

Gador

14,67

8,61

4,10

GLIOTEN 2.5 mg COM x 30

Bag

15,23

9,34

4,87

LOTRIAL 2.5 mg COM x 30

Roemmers

16,55

10,93

6,79

GADOPRIL 2.5 mg COM x 50

Gador

25,43

15,62

8,18

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

Pgina 45 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

2,5 mg LOTRIAL 2.5 mg COM x 50

Roemmers

26,84

17,43

10,82

LOTRIAL 2.5 mg COM x 60

Roemmers

32,56

21,36

12,82

GADOPRIL 2.5 mg COM x 60

Gador

32,69

21,52

13,01

GLIOTEN 2.5 mg COM x 60

Bag

33,07

21,83

13,55

5 mg ENALAFEL 5 mg COM x 20

Raffo

14,09

3,11

2,82

MAXEN 5 mg COM x 20

Baliarda

14,42

3,43

2,88

GADOPRIL 5 mg COM x 20

Gador

14,95

3,96

3,34

GLIOTEN 5 mg COM x 20

Bag

17,04

6,45

3,81

ENATRAL 5 mg COM x 30

Austral

22,00

6,00

6,00

ARTERIOPRIL 5 mg COM x 30

Pfizer

24,76

8,44

5,53

GADOPRIL 5 mg COM x 30

Gador

25,80

10,05

5,76

DEFLUIN 5 mg COM x 30

Elea

29,52

15,45

6,69

LOTRIAL 5 mg COM x 30

Roemmers

31,14

17,66

8,29

MAXEN 5 mg COM x 30

Baliarda

33,06

20,20

10,62

TENCAS 5 mg COM x 30

Casasco

38,35

25,31

18,16

KINFIL 5 mg COM x 30

Nova Argentia

38,69

25,54

18,61

GLIOTEN 5 mg COM x 30

Bag

49,75

32,84

28,01

VAPRESAN 5 mg COM x 30

Temis-Lostalo

51,02

33,68

28,73

ENALAFEL 5 mg COM x 50

Raffo

33,95

6,79

6,79

LOTRIAL 5 mg COM x 50

Roemmers

47,66

23,59

12,40

TENCAS 5 mg COM x 50

Casasco

61,69

40,07

27,21

GADOPRIL 5 mg COM x 50

Gador

65,54

43,27

32,42

ENATRAL 5 mg COM x 60

Lepetit

37,00

8,20

8,20

DEFLUIN 5 mg COM x 60

Elea

61,08

33,70

15,23

MAXEN 5 mg COM x 60

Baliarda

66,52

40,93

21,84

LOTRIAL 5 mg COM x 60

Roemmers

68,58

43,58

24,89

TENCAS 5 mg COM x 60

Casasco

72,44

47,82

30,43

GADOPRIL 5 mg COM x 60

Gador

75,89

50,10

35,20

RENITEC 5 mg COM x 60

Merck Sharp & Dhome

76,13

50,26

35,52

GLIOTEN 5 mg COM x 60

Bag

97,27

64,22

54,77

KINFIL 5 mg COM x 60

Nova Argentia

99,17

65,47

55,84

VAPRESAN 5 mg COM x 60

Temis-Lostalo

100,01

66,03

56,32

10 mg ENALAFEL 10 mg COM x 20

Raffo

18,63

3,73

3,73

DEFLUIN 10 mg COM x 20

Elea

20,39

4,55

4,55

MAXEN 10 mg COM x 20

Baliarda

27,49

8,25

5,50

ERITRIL 10 mg COM x 20

Northia

32,48

17,24

17,24

GADOPRIL 10 mg COM x 20

Gador

35,44

19,51

9,22

GLIOTEN 10 mg COM x 20

Bag

41,92

27,67

20,30

ENATRAL 10 mg COM x 30

Lepetit

26,00

6,00

6,00

ARTERIOPRIL 10 mg COM x 30

Pfizer

44,23

16,37

9,87

MAXEN 10 mg COM x 30

Baliarda

48,71

23,03

12,04

TENCAS 10 mg COM x 30

Casasco

51,63

27,16

13,42

GADOPRIL 10 mg COM x 30

Gador

55,84

32,86

16,31

RENITEC 10 mg COM x 30

Merck Sharp & Dhome

57,42

34,93

18,70

KINFIL 10 mg COM x 30

Nova Argentia

60,54

38,94

23,28

ECAPRILAT 10 mg COM x 30

Lazar

61,29

39,89

24,36

LOTRIAL 10 mg COM x 30

Roemmers

62,18

41,01

25,63

GLIOTEN 10 mg COM x 30

Bag

67,73

44,71

33,24

VAPRESAN 10 mg COM x 30

Temis-Lostalo

73,48

48,51

41,38

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

Pgina 46 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

10 mg

30/12/2014
LABORATORIO

ENALAFEL 10 mg COM x 50

Raffo

43,61

8,72

8,72

TENCAS 10 mg COM x 50

Casasco

80,44

37,32

18,83

GADOPRIL 10 mg COM x 50

Gador

91,26

52,35

25,24

LOTRIAL 10 mg COM x 50

Roemmers

99,69

63,37

37,06

ERITRIL 10 mg COM x 50

Northia

104,95

69,29

69,29

ENATRAL 10 mg COM x 60

Lepetit

43,00

9,40

9,40

ENALDUN 10 mg COM x 60

Duncan

50,57

11,29

11,29

MAXEN 10 mg COM x 60

Baliarda

92,42

38,73

20,64

TENCAS 10 mg COM x 60

Casasco

112,87

67,29

34,44

GADOPRIL 10 mg COM x 60

Gador

115,62

70,88

38,58

KINFIL 10 mg COM x 60

Nova Argentia

119,67

76,07

44,54

ECAPRILAT 10 mg COM x 60

Lazar

123,79

81,31

50,44

LOTRIAL 10 mg COM x 60

Roemmers

128,27

84,68

56,72

RENITEC 10 mg COM x 60

Merck Sharp & Dhome

128,85

86,34

56,05

VAPRESAN 10 mg COM x 60

Temis-Lostalo

143,76

94,91

80,95

GLIOTEN 10 mg COM x 60

Bag

145,46

96,03

81,91

TENCAS 10 mg COM x 100

Casasco

81,62

18,22

18,22

GADOPRIL 10 mg COM x 100

Gador

108,68

24,26

24,26

GLIOTEN 10 mg COM x 100

Bag

108,76

24,29

24,29

GLIOTEN 10 mg COM x 120

Bag

271,67

179,36

134,33

20 mg ENALAFEL 20 mg COM x 20

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

NOMBRE COMERCIAL

Raffo

23,05

4,61

4,61

MAXEN 20 mg COM x 20

Baliarda

23,97

4,79

4,79

TENCAS 20 mg COM x 20

Casasco

24,02

5,36

5,36

GADOPRIL 20 mg COM x 20

Gador

25,81

5,77

5,77

GLIOTEN 20 mg COM x 20

Bag

29,92

6,81

6,69

ENATRAL 20 mg COM x 30

Lepetit

30,00

7,60

7,60

MAXEN 20 mg COM x 30

Baliarda

57,03

25,13

12,73

GADOPRIL 20 mg COM x 30

Gador

58,67

27,52

14,19

TENCAS 20 mg COM x 30

Casasco

62,53

32,98

16,27

KINFIL 20 mg COM x 30

Nova Argentia

65,12

36,52

17,94

ECAPRILAT 20 mg COM x 30

Lazar

65,92

37,60

21,70

VAPRESAN 20 mg COM x 30

Temis-Lostalo

74,50

48,73

31,11

LOTRIAL 20 mg COM x 30

Roemmers

78,52

51,84

36,68

GLIOTEN 20 mg COM x 30

Bag

81,83

54,02

41,11

RENITEC 20 mg COM x 30

Merck Sharp & Dhome

83,89

55,39

43,81

ENALAFEL 20 mg COM x 50

Raffo

59,30

11,86

11,86

LOTRIAL 20 mg COM x 50

Roemmers

105,70

57,01

27,25

TENCAS 20 mg COM x 50

Casasco

107,50

59,47

28,96

GADOPRIL 20 mg COM x 50

Gador

110,69

63,76

32,08

ENATRAL 20 mg COM x 60

Lepetit

47,00

10,20

10,20

MAXEN 20 mg COM x 60

Baliarda

113,92

50,05

25,44

ECAPRILAT 20 mg COM x 60

Lazar

129,78

72,42

40,11

GADOPRIL 20 mg COM x 60

Gador

130,77

73,76

36,36

LOTRIAL 20 mg COM x 60

Roemmers

151,51

100,02

65,76

RENITEC 20 mg COM x 60

Merck Sharp & Dhome

161,27

106,47

79,05

GLIOTEN 20 mg COM x 60

Bag

168,13

111,00

88,09

VAPRESAN 20 mg COM x 60

Temis-Lostalo

192,92

127,36

108,63

KINFIL 20 mg COM x 60

Nova Argentia

206,77

136,51

116,43

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

Pgina 47 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

ENALAPRIL +
HIDROCLOROTIAZIDA
Comprimidos

10 mg DEFLUIN PLUS COM x 20

Elea

38,44

8,58

8,58

CO-RENITEC 10/25 mg COM x 20

Merck Sharp & Dhome

71,54

47,23

31,18

MAXEN D 10/25 mg RANUR. COM x 30

Baliarda

60,46

13,50

13,50

GADOPRIL D 10/25 mg COM x 30

Gador

80,53

37,45

18,99

TENCAS D 10/25 mg COM x 30

Casasco

85,13

43,99

22,15

KINFIL D 10 mg COM x 30

Nova Argentia

92,87

54,51

26,10

VAPRESAN DIUR COM x 30

Temis-Lostalo

102,16

66,52

39,49

GLIOTENZIDE 10 mg COM x 30

Bag

103,23

67,86

41,02

LOTRIAL D 10/25 COM x 30

Roemmers

109,14

72,05

49,30

CO-RENITEC 10/25 mg COM x 60

Merck Sharp & Dhome

199,82

125,66

69,65

Merck Sharp & Dhome

100,02

66,03

53,20

20 mg CO-RENITEC 20/12.5 mg COM x 20


TENCAS D 20/12.5 mg COM x 30

Casasco

99,88

44,82

22,30

LOTRIAL D 20/12.5 COM x 30

Roemmers

119,81

72,31

37,81

GLIOTENZIDE 20 mg COM x 30

Bag

136,59

90,18

61,92

CO-RENITEC 20/12.5 mg COM x 60

Merck Sharp & Dhome

240,09

145,24

76,34

Lazar

112,77

33,10

33,10

Sanofi Aventis

175,85

116,09

116,09

DILUTOL 20 mg 0.2 ML JPR x 10

Lazar

568,65

170,11

170,11

OMATEX 20 mg JPR x 10

Phoenix

774,45

457,90

457,90

CLEXANE 20 mg JPR x 10

Sanofi Aventis

879,11

580,38

580,38

Lazar

175,04

39,09

39,09

Sanofi Aventis

342,29

225,98

225,98

267,43

267,43

ENOXAPARINA
Ampollas

20 mg DILUTOL 20 mg 0.2 ML JPR x


CLEXANE 20 mg JPR x

40 mg DILUTOL 40 mg 0.4 ML JPR x


CLEXANE 40 mg JPR x

DILUTOL 40 mg 0.4 ML JPR x 10

Lazar

1.029,25

OMATEX 40 mg JPR x 10

Phoenix

1.495,87

891,89

891,89

CLEXANE 40 mg JPR x 10

Sanofi Aventis

1.711,51

1.129,93

1.129,93

EPINASTINA
Comprimidos

Lquido

20 mg FLURINOL 20 mg COM x 10

Boheringer Ingelheim

41,11

27,01

27,01

FLURINOL 20 mg COM x 30

Boheringer Ingelheim

103,10

54,43

54,43

Poen

86,13

45,31

45,31

Atlas

86,52

45,86

45,86

Allergan-Loa

157,87

104,22

104,22

Raymos

136,49

90,11

90,11

50 mg ALKET OFT. SOL x

EPIOFTAL OFT. SOL x

RELESTAT OFT. SOL x

ERITROMICINA
Colirio
Comprimidos

10 mg ERITROFARM COL x

500 mg PANTOMICINA 500 ES COM x

Bag

40,89

26,99

26,99

PANTOMICINA 500 ES COM x 16

Bag

73,78

46,55

46,55

98,86

57,77

57,77

Crema

4000 mg KITACNE CRE x 30

Fortbenton Co.

Gel

4000 mg ERYACNE 4 GEL x 30

Galderma

113,18

73,57

73,57

Novoplos

125,80

82,66

82,66

Atlas

93,43

46,31

46,31

Elea

128,08

84,56

84,56

Atlas

144,01

95,08

95,08

Gotas

50 mg ROXACINA OFT. Polvo + Solv. GTS x


1000 mg ERITROMICINA ATLAS OFT. GTS x
ERITROMICINA ELEA OFT. GTS x

5
5

OFTALMOLETS Oft. Prep. Extemp. GTS x

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

Pgina 48 de 130

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DROGA
Gotas

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

1000 mg ERITROVIS OFT. GTS x 10


ERITROMED OFTALMICO GTS x 10

Lquido

A CARGO A CARGO
REF
AFILIADO CRONICO

Hlb Pharma

131,04

29,76

29,76

Bausch & Lomb Argentina

146,24

38,81

38,81

200 mg PANTOMICINA 200 ES JBE x 100

Bag

71,72

47,12

47,12 INF

400 mg PANTOMICINA 400 ES JBE x 60

Bag

82,13

53,96

53,96

Medisol

38,90

25,28

25,28

Investi

86,97

55,32

55,32

Atlas

100,24

65,86

65,86

4000 mg ERISOL 4% DERMICO SOL x 50


ILOTICINA 4% SOL x 120
6000 mg ATLAMICIN TOP.DERM. SOL x 45
Ungento

PRECIO

500 mg ERITROMED OFT. UNG x 3,5

Bausch & Lomb Argentina

124,98

80,64

80,64

ERITROMICINA ELEA OFT. UNG x 3,5

Elea

129,11

85,24

85,24

ERITROMED OFT. PDA. UNG x

Bausch & Lomb Argentina

70,02

14,00

14,00

ERITROMED UNIDOSIS OFT. UNG x 20

Bausch & Lomb Argentina

59,33

11,87

11,87

ERITROVIS OFT. UNIDOSIS UNG x 20

Hlb Pharma

143,13

31,96

31,96

ERITROFARM OFT.UNIDOSIS UNG x 20

Raymos

143,30

94,15

94,15

86,52

51,14

51,14
83,89

ESCITALOPRAM
Comprimidos

10 mg TALPRAM 10 mg COM x 10

Richmond

COVERFAX 10 mg COM x 14

Buxton

131,47

83,89

ESCIPROX 10 mg COM x 14

Hlb Pharma

135,11

89,20

89,20

LEXAPRO 10 mg COM x 14

Lundbeck

176,15

116,29

116,29

EX3 10 mg COM x 15

Ariston

86,43

19,31

19,31

AXIOMAT 10 mg COM x 15

Beta

92,96

25,44

25,44

ESCITEROKAM 10 mg COM x 15

Raymos

93,58

26,03

26,03

MERIDIAN 10 mg COM x 15

Roemmers

116,24

56,84

56,84

OPTISER 10 mg Ran. COM x 15

Baliarda

117,27

58,30

58,30

COVERFAX 10 mg COM x 28

Buxton

267,09

173,05

173,05

ESCIPROX 10 mg COM x 28

Hlb Pharma

264,02

174,30

174,30

NOVO HUMORAP 10 mg COM x 28

Bag

289,13

190,88

190,88

LEXAPRO 10 mg COM x 28

Lundbeck

332,47

219,49

219,49

EX3 10 mg COM x 30

Ariston

172,76

38,57

38,57

AXIOMAT 10 mg COM x 30

Beta

224,38

102,02

102,02

E-PSICONOR 10 mg COM x 30

Ivax Argentina

231,43

112,19

112,19

ESCITEROKAM 10 mg COM x 30

Raymos

231,65

112,51

112,51

TALPRAM 10 mg COM x 30

Richmond

247,55

137,36

137,36

OPTISER 10 mg Ran. COM x 30

Baliarda

256,77

147,19

147,19

ARAMIX 10 mg COM x 30

Elea

261,90

154,03

154,03

ZENVAS 10 mg COM x 30

Astrazeneca

273,32

168,98

168,98

MERIDIAN 10 mg COM x 30

Roemmers

280,37

178,04

178,04

LEXTOR 10 mg COM x 30

Casasco

294,28

194,28

194,28

BEAPLEN 10 mg COM x 30

Temis-Lostalo

306,25

202,19

202,19

15 mg LEXAPRO 15 mg COM x 28

Lundbeck

375,61

246,79

246,79

20 mg TALPRAM 20 mg COM x 10

Richmond

152,57

90,58

90,58

COVERFAX 20 mg COM x 14

Buxton

256,82

169,55

169,55

EX3 20 mg COM x 15

Ariston

166,67

47,89

47,89

AXIOMAT 20 mg COM x 15

Beta

181,65

66,41

66,41

ESCITEROKAM 20 mg COM x 15

Raymos

184,75

71,18

71,18

OPTISER 20 mg Ran. COM x 15

Baliarda

220,44

113,06

113,06

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

Pgina 49 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
20 mg MERIDIAN 20 mg COM x 15

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Roemmers

227,07

122,28

122,28

ESCIPROX 20 mg COM x 28

Hlb Pharma

497,12

328,20

328,20

COVERFAX 20 mg COM x 28

Buxton

502,96

332,05

332,05

NOVO HUMORAP 20 mg COM x 28

Bag

544,23

359,30

359,30

LEXAPRO 20 mg COM x 28

Lundbeck

596,94

394,10

394,10

EX3 20 mg COM x 30

Ariston

333,36

95,80

95,80

AXIOMAT 20 mg COM x 30

Beta

380,48

158,94

158,94

E-PSICONOR 20 mg COM x 30

Ivax Argentina

435,09

236,88

236,88

ESCITEROKAM 20 mg COM x 30

Raymos

438,32

241,30

241,30

TALPRAM 20 mg COM x 30

Richmond

457,88

271,96

271,96

OPTISER 20 mg Ran. COM x 30

Baliarda

484,39

302,27

302,27

ARAMIX 20 mg COM x 30

Elea

492,93

313,22

313,22

MERIDIAN 20 mg COM x 30

Roemmers

498,15

319,87

319,87

ZENVAS 20 mg COM x 30

Astrazeneca

514,36

339,58

339,58

LEXTOR 20 mg COM x 30

Casasco

518,49

342,31

342,31

BEAPLEN 20 mg COM x 30

Temis-Lostalo

577,53

381,28

381,28

Sanofi Aventis

328,81

216,04

216,04 MAT

Pfizer

125,03

82,54

70,40

ESPIRAMICINA
Comprimidos

1000 mg ROVAMYCINE 3 MUI COM x 20

ESPIRONOLACTONA
Comprimidos

25 mg ALDACTONE A 25 mg COM x 20
REDIUN-E 25 mg COM x 30

Baliarda

45,32

10,12

10,12

DRIMUX A 25 mg COM x 30

Gador

57,23

12,77

12,77

NORMITAL 25 mg COM x 30

Phoenix

62,53

13,96

13,96

EXPAL 25 mg COM x 30

Bag

63,19

14,11

14,11

LANX 25 mg COM x 30

Elea

77,67

23,87

17,34

ALDACTONE A 25 mg COM x 30

Pfizer

159,00

104,97

89,53

ALDACTONE A 25 mg COM x 60

Pfizer

210,01

124,96

59,71

45,63

10,19

10,19

50 mg REDIUN-E 50 mg COM x 30

Baliarda

DRIMUX A 50 mg COM x 30

Gador

57,61

12,87

12,87

ALDACTONE A 50 mg COM x 30

Pfizer

204,55

135,04

115,18

100 mg REDIUN-E 100 mg COM x 30

Baliarda

46,66

10,42

10,42

DRIMUX A 100 mg COM x 30

Gador

58,08

12,97

12,97

NORMITAL 100 mg COM x 30

Phoenix

63,72

14,23

14,23

EXPAL 100 mg COM x 30

Bag

64,40

14,38

14,38

LANX 100 mg COM x 30

Elea

123,14

80,55

56,15

ALDACTONE A 100 mg COM x 30

Pfizer

159,28

105,16

89,69

ALDACTONE A 100 mg COM x 60

Pfizer

216,17

121,94

59,01

66,72

14,90

14,90

ESPIRONOLACTONA +
FUROSEMIDA
Comprimidos

25 mg LASILACTON 25 mg CAP x 30

Sanofi Aventis

ALDACTONE D 25/40 COM x 30

Pfizer

170,27

111,87

68,96

ALDACTONE D 25/20 COM x 30

Pfizer

170,21

112,37

90,62

50 mg LASILACTON 50 mg CAP x 30

Sanofi Aventis

92,28

20,61

20,61

100 mg LASILACTON 100 mg COM x 30

Sanofi Aventis

90,97

20,31

20,31

Bayer (PH)

60,99

40,27

40,27

ESTRADIOL
Comprimidos

1 mg PROGYNOVA 1 mg COM x 28

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

Pgina 50 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

NOMBRE COMERCIAL

Comprimidos
Parches

30/12/2014
LABORATORIO

2 mg PROGYNOVA 2 mg COM x 28

A CARGO A CARGO
REF
AFILIADO CRONICO

96,09

63,44

63,44

Janssen-Cilag

126,52

42,62

42,62

Bayer (PH)

183,27

102,12

102,12

Elea

30,90

19,98

19,98

Elea

18,72

4,18

4,18

1 mg RONFASE 1 mg COM x 28

Pfizer

40,14

14,62

14,62

2 mg RONFASE 2 mg COM x 28

Pfizer

78,98

48,36

48,36

Beta

213,96

140,58

140,58

Beta

191,61

125,89

125,89

Beta

191,61

125,89

125,89

Beta

179,75

118,10

118,10

Beta

268,38

177,18

177,18

Beta

220,03

144,57

144,57

Janssen-Cilag

223,94

147,80

147,80

Beta

254,54

167,24

167,24

Beta

243,82

160,20

160,20

0,78 mg HORMODIOL GEL MONODOSIS SOB x 30

Omega

102,31

68,57

68,57

HORMODIOL GEL MONODOSIS SOB x 60

Omega

163,12

109,33

109,33

Ferring

321,85

211,47

211,47

2 mg FARLUDIOL CICLO COM x 28

Pfizer

135,11

89,20

89,20

FARLUDIOL COM x 30

Pfizer

143,37

94,20

94,20

Beta

216,56

142,29

142,29

Beta

207,87

136,58

136,58

Beta

231,04

151,80

151,80

Craveri

108,05

70,99

70,99

46,69

30,68

30,68

MSD Arrgentina SR

115,55

75,92

75,92

Temis-Lostalo

158,43

104,59

104,59

0,77 mg EVOREL 25 SISTEMAS PAR x

Bayer (PH)

PRECIO

3,8 mg LINDISC 50 mcg SIST.TRASD. PAR x

ESTRADIOL (3-17
DIUNDECILENATO)
Ampollas

10 mg ETROSTERON 2 ML AMP x

ESTRADIOL + NORETINDRONA
Ampollas

5 mg GINEDIOL IM 1 ML AMP x

ESTRADIOL 17 BETA
Comprimidos

Gel
Parches

60 mg TRIAL GEL x 80
0,014 mg TRIAL SAT L.A. 0.014 mg PAR x
0,025 mg TRIAL SAT L.A. 0.025 PAR x
TRIAL SAT 0.025 PAR x

0,05 mg TRIAL SAT L.A. 0.050 PAR x


TRIAL SAT 0.05 PAR x

EVOREL 50 SISTEMAS PAR x


0,1 mg TRIAL SAT L.A. 0.100 PAR x
TRIAL SAT 0.100 PAR x
Sobres

Spray

8
4

60 mg RONTAGEL SPR x 80

ESTRADIOL 17 BETA +
MEDROXIPROGESTERONA
ACETATO
Comprimidos

ESTRADIOL 17 BETA +
NORETINDRONA
Parches

1,5 mg TRIAL GEST 25/125 mcg SAT PAR x


3 mg TRIAL COMBI L.A. SIST. 2+2 PAR x
TRIAL GEST 50/250 mcg SAT PAR x

8
4
8

ESTRADIOL 17HEMISUCCINATO
Ampollas

200 mg EUTOCOL 10 ML AMP x

ESTRADIOL VALERIANATO +
NORETINDRONA
Ampollas

5 mg MESIGYNA AMP x

Bayer (PH)

ESTRIOL
Comprimidos
Crema

1 mg ORGESTRIOL 1000 COM x 30


100 mg COLPOESTRIOL CRE x 15

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

Pgina 51 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

NOMBRE COMERCIAL

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Crema

100 mg ORGESTRIOL VAGINAL CRE x 15

MSD Arrgentina SR

123,61

76,84

76,84

vulos

0,5 mg COLPOESTRIOL OVU x 10

Temis-Lostalo

109,66

46,56

46,56

ORGESTRIOL OVU x 10

MSD Arrgentina SR

126,57

70,52

70,52

MENOCLIM OVU x 10

Beta

155,29

102,52

102,52

COLPOESTRIOL OVU x 15

Temis-Lostalo

250,63

165,47

165,47

0,3 mg PREMARIN CD 0.3 mg GRA x 28

Pfizer

191,97

126,74

126,74

0,625 mg PREMARIN CD 0.625 mg GRA x 28

Pfizer

182,76

120,66

120,66

Pfizer

109,74

72,45

72,45

Gador

31,05

20,40

20,40

Janssen-Cilag

87,55

57,80

57,80

ESTRGENOS CONJUGADOS
Comprimidos

Crema

1 mg PREMARIN C/APLICADOR VAGINAL CRE x 26

ETINILESTRADIOL +
NORGESTIMATO
Comprimidos

0,035 mg TRIDETTE COM x 21


CILEST COM x 21

ETOSUXIMIDA
Comprimidos
Lquido

250 mg ZARONTIN CAP x 25

Elea

134,05

88,07

88,07

5000 mg ZARONTIN SOL x 120

Elea

134,05

88,07

88,07

Lazar

28,62

8,14

8,14

CORACIL 10 mg COM x 10

Gador

33,07

14,10

14,10

ACOTRAL 10 mg COM x 10

Phoenix

46,70

30,83

30,83

CERCLEROL 10 mg COM x 15

Beta

49,28

20,67

20,67

ACOTRAL 10 mg COM x 20

Phoenix

90,97

60,06

60,06

ZETIA 10 mg COM x 28

MSD Arrgentina SR

262,46

173,27

173,27

CERCLEROL 10 mg COM x 30

Beta

100,17

43,72

43,72

TRILIP 10 mg COM x 30

Elea

103,62

48,75

48,75

CORACIL 10 mg COM x 30

Gador

104,85

50,52

50,52

ACOTRAL 10 mg COM x 30

Phoenix

109,60

57,22

57,22

NALECOL 10 mg COM x 30

Casasco

128,78

82,65

82,65

VADEL 10 mg COM x 30

Ivax Argentina

135,56

89,50

89,50

ALIPAS 10 mg COM x 30

Bernabo

139,83

92,31

92,31

ALIN 10 mg COM x 30

Lazar

146,53

96,74

96,74

IXACOR 10 mg COM x 30

Roemmers

159,09

105,03

105,03

EZETIMIBE
Comprimidos

10 mg ALIN 10 mg COM x 10

EZETIMIBE + ATORVASTATIN
Comprimidos

10 mg ATEROCLAR DUO 10/10 mg (15+15) COM x 30

74,50

16,64

16,64

TORIMIBE 10/10 mg COM x 30

Beta
Baliarda

141,80

54,13

54,13

LIPOCAMBI PLUS 10/10 mg COM x 30

Bernabo

166,19

89,41

89,41

LIPOCAMBI PLUS 20/10 mg COM x 30

Bernabo

191,48

99,39

99,39

TORIMIBE 10/20 mg COM x 30

Baliarda

203,29

115,55

115,55

ATEROCLAR COMBI 10/10 mg COM x 30

Beta

201,44

132,99

132,99

NORMALIP DUO 10/10 COM x 30

Eurofarma

220,78

145,76

145,76

LIPAREX PLUS 10/10 mg COM x 30

Finadiet

223,52

147,57

147,57

ZARATOR PLUS 10/10 mg COM x 30

Elea

249,78

164,90

164,90

COLMIBE 10/10 mg COM x 30

Raffo

267,04

176,30

176,30

AMPLIAR PLUS 10/10 mg COM x 30

Casasco

267,77

176,78

176,78

ATEROCLAR COMBI 20/10 mg COM x 30

Beta

272,48

179,89

179,89

LIPONORM PLUS 10/10 mg COM x 30

Lazar

274,89

181,48

181,48

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

Pgina 52 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

10 mg LIPIBEC PLUS 10/10 COM x 30

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Ivax Argentina

298,21

196,88

196,88

NORMALIP DUO 20/10 COM x 30

Eurofarma

306,76

202,52

202,52

LIPAREX PLUS 20/10 mg COM x 30

Finadiet

328,73

217,03

217,03

ZARATOR PLUS 20/10 mg COM x 30

Elea

332,93

219,80

219,80

AMPLIAR PLUS 20/10 mg COM x 30

Casasco

348,16

229,85

229,85

COLMIBE 20/10 mg COM x 30

Raffo

373,54

246,61

246,61

LIPONORM PLUS 20/10 mg COM x 30

Lazar

391,43

258,42

258,42

LIPIBEC PLUS 20/10 COM x 30

Ivax Argentina

424,35

280,15

280,15

COLMIBE 40/10 mg COM x 30

Raffo

464,90

305,46

305,46

ATEROCLAR DUO 10/10 mg (30+30) COM x 60

Beta

135,86

30,34

30,34

LIPONORM DUO 10/10 mg COM x 60

Lazar

153,10

30,62

30,62

LIPAREX DUO 10/10 mg (30+30) COM x 60

Finadiet

152,50

34,06

34,06

LIPONORM DUO 20/10 mg COM x 60

Lazar

220,42

44,08

44,08

ATEROCLAR DUO 20/10 mg (30+30) COM x 60

Beta

198,38

44,29

44,29

AMPLIAR DUO 20/10 mg COM x 60

Casasco

204,29

45,61

45,61

LIPAREX DUO 20/10 mg (30+30) COM x 60

Finadiet

226,47

50,57

50,57

AMPLIAR DUO 10/10 mg COM x 60

Casasco

230,58

51,49

51,49

LIPIBEC DUO 20/10 mg (30+30) COM x 60

Ivax Argentina

267,92

53,63

53,63

PLAN DUO 10/10 mg (30 + 30) COM x 60

Craveri

244,76

62,38

62,38

LIPIBEC DUO 10/10 mg (30+30) COM x 60

Ivax Argentina

257,05

74,14

74,14

20 mg PLAN DUO 10/20 mg (30 + 30) COM x 60

Craveri

357,32

160,82

160,82

20 mg ULCELAC 20 mg COM x 30

Bag

35,16

23,10

23,10

735,68

483,37

483,37

FAMOTIDINA
Comprimidos

FELBAMATO
Lquido

600 mg FELBAMYL 600 mg 5 ML SUS x 230

MSD Arrgentina SR

10000 POEN EFRINA 10% OFT. SOL x


mg

Poen

35,60

23,39

23,39

120 mg PREFRIN LIQUIFILM OFT. SOL x 15

Allergan-Loa

71,35

46,88

46,88

100 mg LOTOQUIS SIMPLE COM x 50

Beta

180,00

91,67

46,86

LOTOQUIS SIMPLE COM x 100

Beta

463,97

306,31

182,83

100 mg EPAMIN 100 mg CAP x 30

Elea

154,77

101,79

72,94

EPAMIN 100 mg CAP x 60

Elea

306,09

199,23

140,88

EPAMIN 100 mg CAP x 90

Elea

466,93

308,26

222,61

Elea

46,83

30,77

18,97

Bayer (PH)

63,95

42,02

25,90 INF

Spedrog Caillon

41,37

17,30

9,24

FENILEFRINA
Lquido

FENILEFRINA + LIQUIFILM
Lquido

FENITONA CLCICA
Comprimidos

FENITONA SDICA
Comprimidos

Lquido

2500 mg EPAMIN JBE x 120

FENOBARBITAL
Comprimidos

15 mg LUMINALETAS COM x 30
100 mg ALEPSAL COM x 20
GARDENAL 0.10 GR COM x 60

Sanofi Aventis

75,13

16,78

16,78

ALEPSAL COM x 60

Spedrog Caillon

103,08

25,87

23,02

LUMINAL COM x 60

Bayer (PH)

167,63

110,67

87,79

FENOBARBITAL + FENITONA
CLCICA
MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 53 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

NOMBRE COMERCIAL

Comprimidos

50 mg LOTOQUIS 5 COM x 100

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Beta

477,01

313,41

313,41

100 mg LOTOQUIS COM x 100

Beta

480,28

315,56

315,56

100 mg FENOBRATE 100 mg COM x 50

Sanofi Aventis

49,07

32,40

24,54

PROCETOKEN 100 mg COM x 60

Bernabo

54,08

35,70

22,90

FENOBRATE 100 mg COM x 100

Sanofi Aventis

83,55

51,72

28,69

FENOFIBRATE
Comprimidos

160 mg CONTROLIP 160 mg CAP x 30

Abbott

269,29

176,94

109,06

200 mg PROCETOKEN 200 mg CAP x 30

Bernabo

145,73

37,59

32,55

DAUNLIP CAP x 30

Montpellier

205,08

116,94

53,37

CRAVERIL COM x 30

Craveri

222,36

139,62

67,61

LIPTUIN 200 mg CAP x 30

Temis-Lostalo

281,65

185,95

152,44

MINUSLIP 200 mg CAP x 30

Ivax Argentina

287,03

189,50

159,31

DAUNLIP CAP x 60

Montpellier

400,80

221,22

104,32

MINUSLIP 200 mg CAP x 60

Ivax Argentina

505,21

333,53

227,81

300 mg PROCETOKEN 300 mg COM x 30

Bernabo

193,77

127,31

78,47

350 mg SCLEROFIN UD COM x 30

Ivax Argentina

127,19

83,57

53,13

SCLEROFIN UD COM x 60

Ivax Argentina

219,08

121,12

58,27

FENOTEROL BROMHIDRATO
Aerosol

0,1 mg BEROTEC HFA 10 ML AER x 200

Boheringer Ingelheim

76,64

50,35

50,35

Lquido

500 mg BEROTEC 0.5% SOL x 20

Boheringer Ingelheim

49,48

32,51

32,51

500000 ui PEN-ORAL 500.000 U COM x 18

Sanofi Aventis

36,91

24,25

24,25

1000000 PEN-ORAL 1.000.000 U COM x 18


ui

Sanofi Aventis

61,36

40,32

40,32

Sandoz

29,79

5,96

5,96

1500000 PEN-ORAL 1.500.000 U COM x 18


ui

Sanofi Aventis

92,02

60,46

60,46

300000 ui PEN-ORAL CONCENTRADO 60 g 24DS JBE x 120

Sanofi Aventis

81,07

53,52

53,52 INF

PEN-ORAL CONCENTRADO 90 g 36DS JBE x 180

Sanofi Aventis

99,02

62,23

62,23 INF

3000000 GRAMPENIL NF 300000 UI/5ml JBE x 120


ui

Nova Argentia

68,18

44,24

44,24

GRAMPENIL NF 300000 UI/5ml JBE x 180

Nova Argentia

85,24

43,80

43,80 INF

Casasco

26,60

8,81

8,81

100,57

66,40

66,40

FENOXIMETILPENICILINA
Comprimidos

PENICILINA V SANDOZ 1 MILL UI COM x 30

Lquido

FEXOFENADINA
Comprimidos

60 mg ALERCAS 60 mg COM x 10
ALLEGRA 60 mg CAP x 20
120 mg ALERCAS 120 mg COM x 10

Sanofi Aventis
Casasco

61,58

29,55

29,55

ALERFEDINE 120 mg COM x 10

Lazar

83,67

55,24

55,24

ALLEGRA 120 mg COM x 10

Sanofi Aventis

101,26

66,85

66,85

TERFEMAX 120 mg COM x 10

Temis-Lostalo

102,04

67,36

67,36

ALERFEDINE 120 mg COM x 30

Lazar

221,95

139,00

139,00

ALERCAS 120 mg COM x 30

Casasco

229,49

148,61

148,61

ALLEGRA 120 mg COM x 30

Sanofi Aventis

257,42

169,95

169,95

TERFEMAX 120 mg COM x 30

Temis-Lostalo

268,25

177,10

177,10

Lazar

124,93

76,76

76,76

180 mg ALERFEDINE 180 mg COM x 10


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

Pgina 54 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

Lquido

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

180 mg ALERCAS 180 mg COM x 10

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Casasco

132,92

86,98

86,98

ALLEGRA 180 mg COM x 10

Sanofi Aventis

147,30

97,25

97,25

TERFEMAX 180 mg COM x 10

Temis-Lostalo

152,90

100,94

100,94

ALERFEDINE 180 mg COM x 20

Lazar

183,39

59,01

59,01

60,88

36,57

36,57

Sanofi Aventis

116,63

77,00

77,00

Gobbi

116,72

76,96

51,30

84,18

16,84

16,84

30 mg ALERCAS SUS x 90

Casasco

ALLEGRA SUS x 150

FINASTERIDE
Comprimidos

5 mg PROSTANOVAG 5 mg COM x 15
NASTERIL 5 mg COM x 30

Asofarma

UROTOTAL 5 mg COM x 30

Fortbenton Co.

89,13

21,86

21,86

AVERTEX 5 mg COM x 30

Beta

106,82

23,85

23,85

PROSTANIL 5 mg COM x 30

Lepetit

137,35

30,67

30,67

Q-PROST 5 mg COM x 30

Ariston

169,04

65,95

37,74

FINTERAC 5 mg COM x 30

Eurolab

199,40

109,55

52,33

PROSTENE 5 mg COM x 30

Ivax Argentina

211,09

125,22

65,59

TEALEP 5 mg COM x 30

Raffo

221,60

140,74

103,15

PROSTANOVAG 5 mg COM x 30

Gobbi

229,28

148,69

92,27

FINASTERIN 5 mg COM x 30

Finadiet

318,68

210,39

179,45

FLECAINIDA ACETATO
Comprimidos

100 mg DIONDEL COM x 20

Roemmers

61,74

40,76

28,70

DIONDEL COM x 50

Roemmers

143,34

93,36

56,38

Janssen-Cilag

30,76

20,52

20,52

Janssen-Cilag

31,65

21,11

21,11

Raffo

18,46

3,69

3,69

Lazar

95,89

63,00

63,00

Raffo

80,06

34,22

34,22

MUTUM 50 mg COM x 15

Raffo

88,40

17,68

17,68

Lazar

293,97

190,75

190,75

MUTUM 100 mg COM x 15

Raffo

565,13

370,92

370,92

MUTUM 100 mg COM x 30

Raffo

342,83

68,57

68,57

FUNGOCINA 100 mg COM x 30

Lazar

680,06

155,98

155,98

FLUBENDAZOL
Comprimidos
Lquido

100 mg FLUMOXAL COM x

2000 mg FLUMOXAL ORAL SUS x 30

FLUCONAZOL
Comprimidos

50 mg MUTUM 50 mg COM x

FUNGOCINA 50 mg COM x
MUTUM 50 mg COM x

100 mg FUNGOCINA 100 mg COM x

150 mg MICOLIS NOVO 150 mg CAP x

Roemmers

36,32

19,95

19,95

DAMICOL 150 mg CAP x

Biol

38,68

23,10

23,10

MICORAL FLUCO CAP x

Investi

43,13

28,47

28,47

Geminis Farmaceutica

43,16

28,49

28,49

Casasco

47,44

31,32

31,32

Baliarda

51,05

33,70

33,70

Ingens S.A.

50,95

34,13

34,13

Raymos

52,94

34,95

34,95

Lazar

58,70

38,75

38,75

Raffo

60,18

39,73

39,73

Omega

89,66

60,36

60,36

NIMIC 150 mg COM x

ANTIMICON 150 mg COM x

FLUCOGINKAN 150 mg COM x


PERIPLUM 150 mg CAP x

HONGUIL PLUS ORAL CAP x


FUNGOCINA 150 mg COM x
MUTUM 150 mg COM x
FEMIXOL 150 mg COM x

1
1

1
1

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

Pgina 55 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

150 mg FUNGICIL 150 mg CAP x

PROSEDA F 150 mg COM x

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Sandoz

55,41

15,90

15,90

Szama

61,80

24,33

24,33

FLUZOL 150 mg COM x

Raymos

62,50

25,39

25,39

NAXO C 150 mg CAP x

Astrazeneca

68,37

33,96

33,96

MICOLIS NOVO 150 mg CAP x

Roemmers

72,10

39,15

39,15

FLUCOGINKAN 150 mg COM x

Baliarda

74,95

43,01

43,01

MICORAL FLUCO CAP x

Investi

75,51

43,76

43,76

DAMICOL 150 mg CAP x

Biol

78,50

47,70

47,70

Andromaco

83,36

53,94

53,94

Geminis Farmaceutica

83,42

54,02

54,02

Casasco

90,25

59,58

59,58

FLUPEC 150 mg COM x


NIMIC 150 mg COM x

ANTIMICON 150 mg COM x


PERIPLUM 150 mg CAP x

2
2

Ingens S.A.

97,89

65,57

65,57

Raymos

101,21

66,82

66,82

Pfizer

111,85

73,84

73,84

Lazar

114,34

75,49

75,49

Raffo

117,74

77,73

77,73

Omega

168,06

113,15

113,15

Sandoz

91,54

18,31

18,31

Szama

103,00

24,46

24,46

Roemmers

114,91

35,85

35,85

Raymos

118,49

40,78

40,78

Baliarda

122,19

46,51

46,51

Investi

131,92

61,00

61,00

Geminis Farmaceutica

138,01

69,71

69,71

Ingens S.A.

147,50

81,27

81,27

Andromaco

147,17

82,34

82,34

Casasco

151,31

87,90

87,90

Raymos

175,43

115,82

115,82

Lazar

188,53

124,47

124,47

Raffo

207,63

137,07

137,07

Pfizer

210,33

138,86

138,86

Geminis Farmaceutica

211,14

53,84

53,84

Raymos

227,43

69,42

69,42

Andromaco

245,29

94,42

94,42

Ingens S.A.

259,97

112,84

112,84

Raffo

361,23

238,48

238,48

Lazar

510,99

332,14

332,14

MUTUM 200 mg COM x 10

Raffo

633,87

418,48

418,48

FUNGOCINA 200 mg COM x 30

Lazar

1.337,28

515,48

515,48

MUTUM 200 mg COM x 30

Raffo

1.617,05

915,10

915,10

Investi

46,45

30,52

30,52

Sandoz

51,84

33,70

33,70

187 mg ULTRAPROCT PDA x 10

Bayer Consumer

52,74

34,28

34,28

ULTRAPROCT PDA x 30

Bayer Consumer

125,20

78,01

78,01

Bayer Consumer

50,95

32,95

32,95

HONGUIL PLUS ORAL CAP x


TRIFLUCAN 150 mg CAP x

FUNGOCINA 150 mg COM x


MUTUM 150 mg COM x

FEMIXOL 150 mg COM x

FUNGICIL 150 mg CAP x

PROSEDA F 150 mg COM x

MICOLIS NOVO 150 mg CAP x


FLUZOL 150 mg COM x

FLUCOGINKAN 150 mg COM x


MICORAL FLUCO CAP x
NIMIC 150 mg COM x

PERIPLUM 150 mg CAP x


FLUPEC 150 mg COM x

4
4

ANTIMICON 150 mg COM x

HONGUIL PLUS ORAL CAP x


FUNGOCINA 150 mg COM x
MUTUM 150 mg COM x

4
4

TRIFLUCAN 150 mg COM x


NIMIC 150 mg COM x

HONGUIL PLUS ORAL CAP x


FLUPEC 150 mg COM x

PERIPLUM 150 mg CAP x


MUTUM 150 mg COM x

200 mg FUNGOCINA 200 mg COM x

FLUNITRAZEPAN
Comprimidos

1 mg ROHYPNOL 1 mg COM x 30
PRIMUM 1 mg COM x 30

FLUOCORTOLONA +
CINCOCAINA CLOROHIDRATO
Pomada

Supositorios

1,24 mg ULTRAPROCT FOLIA SUP x 12

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

Pgina 56 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

FLUOROMETALONA
Lquido

100 mg FLAREX OFT. SUS x

Alcon

FML LIQUIFILM OFT. SOL x 10

Allergan-Loa

136,88

90,36

90,36

48,26

10,78

10,78

124,44

81,76

81,76

FLUOXETINA
Comprimidos

10 mg FOXETIN 10 mg COM x 30

Gador

20 mg MITILASE 20 mg COM x 10

Spedrog Caillon

23,37

4,67

4,67

PROZAC 20 mg CAP x 14

Eli Lilly

99,66

65,79

65,79

ALENTAL 20 mg COM x 20

Soubeiran Chobet

60,11

16,96

16,96

FOXETIN 20 mg COM x 20

Gador

87,67

54,47

54,47

PROZAC 20 mg CAP x 28

Eli Lilly

253,18

167,15

167,15

PROZAC DISPER. 20 mg COM x 28

Eli Lilly

253,18

167,15

167,15

FLUOXIRAM 20 mg COM x 30

Ariston

36,16

7,23

7,23

MITILASE 20 mg COM x 30

Spedrog Caillon

57,37

11,47

11,47

NEURO LAZ 20 mg COM x 30

Lazar

61,18

12,24

12,24

ANIMEX-ON 20 mg COM x 30

Bernabo

69,41

15,50

15,50

NEUPAX 20 mg COM x 30

Bag

78,02

17,42

17,42

SAURAT 20 mg COM x 30

Ivax Argentina

101,04

39,29

39,29

FOXETIN 20 mg COM x 30

Gador

151,73

100,17

100,17

EQUILIBRANE 20 mg COM x 30

Temis-Lostalo

151,85

100,25

100,25

ALENTAL 20 mg COM x 40

Soubeiran Chobet

114,88

28,81

28,81

FOXETIN 20 mg COM x 40

Gador

173,88

100,50

100,50

FLUOXIRAM 20 mg COM x 60

Ariston

66,38

13,28

13,28

EQUILIBRANE 20 mg COM x 60

Temis-Lostalo

290,76

191,96

191,96

FOXETIN 20 mg COM x 60

Gador

291,83

192,66

192,66

Eli Lilly

183,53

122,42

122,42

Gador

70,53

46,34

46,34

Savant

31,16

20,57

20,57

Gador

34,16

22,55

22,55

CLINADOL FORTE FEM 100 mg COM x 10

Gador

59,28

39,14

39,14

FLURBIXIM 100 mg COM x 16

Savant

46,90

22,54

22,54

CLINADOL FORTE 100 mg COM x 16

Gador

50,82

28,00

28,00

Gador

58,65

38,53

38,53

90 mg PROZAC DURAPAC 90 mg LIB.RET. CAP x

FLURBIPROFENO
Colutorio

100 mg CLINADOL CLT x 150

Comprimidos

100 mg FLURBIXIM 100 mg COM x

CLINADOL FORTE 100 mg COM x

200 mg CLINADOL FORTE AP 200 mg COM x

FLUTICASONA
Aerosol

0,05 mg FLIXOTIDE 50 mcg INHAL. AER x 120

GlaxoSmithkline

211,93

139,91

139,91

0,0275 ALENYS NASAL AER x 120


mg

GlaxoSmithkline

171,62

112,76

112,76

0,05 mg RINISONA BRONQUIAL 50 mcg AER x 120

Phoenix

161,29

106,48

106,48

GlaxoSmithkline

186,19

122,92

122,92

RINISONA BRONQUIAL 125 mcg AER x 120

Phoenix

210,93

68,69

68,69

FLUTICORT 125 mcg HFA AER x 120

Cassara

166,49

109,92

109,92

RINISONA BRONQUIAL 125 C/AEROC AER x 120

Phoenix

291,91

183,03

183,03

FLIXOTIDE 125 mcg INHAL. AER x 120

GlaxoSmithkline

317,55

209,64

209,64

0,25 mg FLIXOTIDE 250 mcg INHAL. AER x 60

GlaxoSmithkline

170,64

107,25

107,25

0,125 mg FLIXOTIDE 125 mcg INHAL. AER x 60

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

Pgina 57 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

30/12/2014
LABORATORIO

RINISONA BRONQUIAL 250 mcg AER x 120

Phoenix

214,93

65,76

65,76

FLUTICORT 250 mcg HFA AER x 120

Cassara

188,80

123,27

123,27

FLIXOTIDE 250 mcg INHAL. AER x 120

GlaxoSmithkline

329,58

217,59

217,59

Inhahaldor con
sistemas

0,25 mg FLIXOTIDE 250 mcg DISKUS INH x 60

GlaxoSmithkline

186,55

128,57

128,57

Lquido

0,05 mg FLIXONASE ACUOSO NASAL SOL x 120

GlaxoSmithkline

154,38

101,92

101,92

Spray

0,05 mg FLUTICORT 50 mcg NASAL SPR x 60

Aerosol

0,25 mg

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

NOMBRE COMERCIAL

Cassara

51,85

33,26

33,26

PROAIR NASAL ACUOSO SPR x 60

Montpellier

54,34

34,23

34,23

INHALAN NASAL SPR x 60

Casasco

53,32

34,37

34,37

BALIVENT NASAL SPR x 60

Baliarda

54,68

36,08

36,08

RINISONA NASAL 50 mcg SPR x 60

Phoenix

56,85

37,41

37,41

BRONQUILAIR NASAL SPR x 120

Atlas

82,42

32,03

32,03

FLUTI-K 50 mcg NASAL SPR x 120

Raffo

102,39

61,82

61,82

PROAIR NASAL ACUOSO SPR x 120

Montpellier

108,59

68,34

68,34

BALIVENT NASAL SPR x 120

Baliarda

108,94

71,63

71,63

INHALAN NASAL SPR x 120

Casasco

109,50

72,29

72,29

RINISONA NASAL 50 mcg SPR x 120

Phoenix

113,73

74,85

74,85

50 mg LIDIL CORT NASAL SPR x 60

Roemmers

59,83

39,50

39,50

LIDIL CORT NASAL SPR x 120

Roemmers

114,30

75,46

75,46

80 mg LESCOL XL 80 mg COM x 28

Novartis

150,97

99,19

99,19

1 mg ARISFOLIC 1 mg COM x 30

Ariston

19,76

3,95

3,95

CONACID 1 mg COM x 30

Purissimus

24,66

6,67

6,67 MAT

COFLIC 1 mg COM x 30

Baliarda

24,91

6,94

6,94 MAT

BERNAFOLIC 1 mg COM x 30

Bernabo

30,63

14,71

14,71 MAT

GYNOFOL 1 mg COM x 30

P.Fabre Medicamentos

31,97

16,97

16,97 MAT

EGESTAN FOLICO 1 mg COM x 30

Elea

38,83

25,63

25,63 MAT

RONFOLIC 1 mg COM x 30

Astrazeneca

40,22

26,55

26,55

ACIFOL 1 mg COM x 30

Dominguez

41,60

27,46

27,46 MAT

BIOLFOLIC 1 mg COM x 30

Biol

44,93

29,66

29,66

NEXOVITAL FOLICO 1 mg COM x 30

Andromaco

45,60

30,11

30,11 MAT

TANVIMIL FOLICO 1 mg COM x 30

Raymos

52,21

34,47

34,47 MAT

FOLINEMIC 1 mg COM x 30

Bag

58,15

38,39

38,39

ACIDO FOLICO OMEGA 1 mg COM x 30

Omega

85,58

57,62

57,62

BERNAFOLIC 1 mg COM x 60

Bernabo

49,28

13,37

13,37

EGESTAN FOLICO 1 mg COM x 60

Elea

58,62

25,58

25,58 MAT

RONFOLIC 1 mg COM x 60

Astrazeneca

68,93

40,00

40,00

ACIFOL 1 mg COM x 60

Dominguez

70,70

42,34

42,34 MAT

NEXOVITAL FOLICO 1 mg COM x 60

Andromaco

77,45

51,00

51,00

TANVIMIL FOLICO 1 mg COM x 60

Raymos

82,11

54,18

54,18 MAT

FOLINEMIC 1 mg COM x 60

Bag

98,01

64,70

64,70

Trb-Pharma

22,72

15,00

15,00

ARISFOLIC 5 mg COM x 30

Ariston

24,86

4,97

4,97

AZOLAC FOLICO 5 mg COM x 30

Takeda

31,73

8,64

8,64 MAT

CONACID 5 mg COM x 30

Purissimus

32,45

9,29

9,29 MAT

COFLIC 5 mg COM x 30

Baliarda

33,12

9,97

9,97 MAT

ANFOLIC 5 mg COM x 30

Trb-Pharma

35,43

13,05

13,05 MAT

FLUVASTATINA
Comprimidos

FOLICO, CIDO
Comprimidos

5 mg ANFOLIC 5 mg COM x 10

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

Pgina 58 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

30/12/2014

NOMBRE COMERCIAL

Comprimidos

LABORATORIO

5 mg BERNAFOLIC 5 mg COM x 30

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Bernabo

38,61

17,80

17,80 MAT

SUPRAFOL 5 mg COM x 30

Investi

41,58

22,01

22,01 MAT

GYNOFOL 5 mg COM x 30

P.Fabre Medicamentos

41,36

22,17

22,17 MAT

EGESTAN FOLICO 5 mg COM x 30

Elea

49,11

31,93

31,93 MAT

RONFOLIC 5 mg COM x 30

Astrazeneca

51,71

34,14

34,14

ACIFOL 5 mg COM x 30

Dominguez

54,36

35,89

35,89 MAT

BIOLFOLIC 5 mg COM x 30

Biol

57,68

38,08

38,08

NEXOVITAL FOLICO 5 mg COM x 30

Andromaco

59,91

39,55

39,55

TANVIMIL FOLICO 5 mg COM x 30

Raymos

68,49

45,22

45,22 MAT

FOLINEMIC 5 mg COM x 30

Bag

75,91

50,11

50,11

ACIDO FOLICO OMEGA 5 mg COM x 30

Omega

98,88

66,57

66,57

AZOLAC FOLICO 5 mg COM x 60

Takeda

54,13

12,09

12,09

BERNAFOLIC 5 mg COM x 60

Bernabo

63,93

17,74

17,74 MAT

GYNOFOL 5 mg COM x 60

P.Fabre Medicamentos

70,33

26,40

26,40 MAT

EGESTAN FOLICO 5 mg COM x 60

Elea

82,15

42,62

42,62 MAT

RONFOLIC 5 mg COM x 60

Astrazeneca

89,04

51,99

51,99

ACIFOL 5 mg COM x 60

Dominguez

92,54

56,59

56,59 MAT

NEXOVITAL FOLICO 5 mg COM x 60

Andromaco

100,00

66,02

66,02

TANVIMIL FOLICO 5 mg COM x 60

Raymos

105,95

69,95

69,95

FOLINEMIC 5 mg COM x 60

Bag

129,23

85,32

85,32

Baliarda

44,83

10,01

10,01

TANVIMIL FOLICO 10 mg COM x 30

Raymos

79,53

45,91

45,91 MAT

ACIFOL 10 mg COM x 30

Dominguez

99,88

65,94

65,94 MAT

TANVIMIL FOLICO 10 mg COM x 60

Raymos

132,35

54,12

54,12 MAT

ACIFOL 10 mg COM x 60

Dominguez

170,12

106,33

106,33 MAT

5 mg ACIFOL GTS x 10

Dominguez

62,85

41,49

41,49

5 mg TANVIMIL FOLICO GTS x 20

Raymos

65,32

16,14

16,14

0,006 mg XANOL 6 mcg CAP x 30

Phoenix

109,90

72,20

72,20

XANOL 6 mcg CAP x 60

Phoenix

127,29

83,63

83,63

0,0045 FORMOVENT INH x 30


mg

Atlas

123,00

79,95

79,95

FORMOVENT INH x 60

Atlas

185,11

106,52

106,52

OXIS TURBUHALER 4.5 mcg INH x 60

Astrazeneca

185,52

121,90

121,90

Astrazeneca

250,41

164,53

164,53

Monserrat

32,85

21,29

21,29

Gador

33,35

21,92

21,92

Sanitas

172,82

113,51

113,51

Gador

40,55

26,77

26,77

48 mg COLONIL ORAL SOL x 45

Eurofarma

85,89

48,32

48,32

48000 GADOLAX ORAL SOL x 45


mg
FOSFO DOM SOL x 45

Gador

86,76

57,19

57,19

Dominguez

99,97

66,00

66,00

100 mg UROFURAN 100 mg CAP x 30

Eurolab

119,65

48,39

48,39

10 mg COFLIC 10 mg COM x 30

Gotas

FORMOTEROL
Comprimidos

Inhahaldor con
sistemas

0,009 mg OXIS TURBUHALER 9 mcg INH x 60

FOSFATO MONOSDICO +
FOSFATO DISDICO
Enema

Frasco
Lquido

18000 KRITEL ENE x 135


mg
ENEMOL ENE x 135
48000 FOSFACOL 2F 45 ML FCO x
mg
0

ENEMOL DH BISODICA 31 g SOL x 135

FURADANTINA
Comprimidos

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

Pgina 59 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

100 mg FURADANTINA MC 100 mg CAP x 36


URODANTINA 100 mg CAP x 40

Lquido

Bag

500 mg FURADANTINA SUS x 120

A CARGO A CARGO
REF
AFILIADO CRONICO

205,17

135,46

135,46

96,76

21,60

21,60

Eurolab

122,20

71,75

71,75

Bag

137,65

90,88

90,88

Boheringer Ingelheim

25 mg UROFURAN 25 MG/5 ML ORAL SUS x 120

PRECIO

FUROSEMIDA
Ampollas

20 mg LASIX 20 MG/2 ML AMP x 10

Sanofi Aventis

78,52

51,59

31,80

Comprimidos

25 mg NURIBAN 25 mg COM x 45

Roux Ocefa

66,09

43,43

26,77

40 mg FUROTRAL 40 mg COM x 30

Lepetit

32,00

8,00

8,00

Gotas

FUROSEMIDA FECOFAR COM x 30

Fecofar

LASIX 40 mg COM x 30

Sanofi Aventis

58,08

23,45

23,45

105,76

69,82

59,55

DAFIL 40 mg COM x 40

Sidus

74,16

23,76

16,56

KOLKIN FUROSEMIDA 40 mg COM x 50

Duncan

35,28

7,88

7,88

FABOFUROX 40 mg COM x 50

Savant

39,60

7,92

7,92

FUROSEMIDA VANNIER COM x 50

Vannier S.A.

45,47

9,09

9,09

RETEP 40 mg COM x 50

Lab Internacional
Argentino

68,13

15,21

15,21

ERROLON COM x 50

Nova Argentia

75,58

16,88

16,88

LASIX 40 mg COM x 50

Sanofi Aventis

135,53

87,15

67,34

LASIX 40 mg COM x 60

Sanofi Aventis

211,51

139,64

119,10

50 mg NURIBAN 50 mg COM x 45

Roux Ocefa

80,74

53,85

34,10

20 mg NURIBAN GTS x 15

Roux Ocefa

52,97

35,33

22,37 INF

Lazar

61,38

22,26

22,26

FUSITOP CRE x 15

Hlb Pharma

78,99

50,68

50,68

GELBIOTIC CRE x 15

Raymos

87,22

57,31

57,31

ACIFUSIN CRE x 15

Andromaco

89,92

59,36

59,36

Bausch & Lomb Argentina

31,55

20,40

20,40

FUSDICO, CIDO
Crema

Gotas

2000 mg ARZIMOL 2% CRE x 15

1000 mg BIOFUCID OFT. VISCOSAS GTS x

GABAPENTIN
Comprimidos

100 mg ELIFER 100 mg COM x 30

Casasco

117,43

59,05

59,05

ULTRANEURAL 100 mg COM x 30

Raffo

120,12

62,81

62,81

ARAPENTIN 100 mg CAP x 30

Ariston

124,75

69,17

69,17

NEURONTIN 100 mg CAP x 90

Pfizer

563,86

372,26

372,26

LOGISTIC 100 mg COM x 100

Craveri

422,73

239,89

239,89

NEURONTIN 100 mg CAP x 100

Pfizer

625,51

412,62

412,62

300 mg ELIFER 300 mg COM x 30

Casasco

190,61

119,58

119,58

ARAPENTIN 300 mg CAP x 30

Ariston

191,83

121,14

121,14

ULTRANEURAL 300 mg COM x 30

Raffo

203,54

134,38

134,38

LOGISTIC 300 mg COM x 30

Craveri

226,72

149,68

149,68

NEURONTIN 300 mg CAP x 30

Pfizer

391,41

258,41

258,41

ELIFER 300 mg COM x 60

Casasco

350,23

198,43

198,43

ARAPENTIN 300 mg CAP x 60

Ariston

354,11

203,64

203,64

ULTRANEURAL 300 mg COM x 60

Raffo

363,63

216,27

216,27

LOGISTIC 300 mg COM x 60

Craveri

418,66

276,40

276,40

NEURONTIN 300 mg CAP x 60

Pfizer

626,51

413,62

413,62

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

Pgina 60 de 130

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DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

400 mg ULTRANEURAL 400 mg COM x 30

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Raffo

203,67

131,72

131,72

LOGISTIC 400 mg COM x 30

Craveri

209,09

137,38

137,38

ULTRANEURAL 400 mg COM x 60

Raffo

349,44

226,00

226,00

LOGISTIC 400 mg COM x 60

Craveri

365,14

239,91

239,91

NEURONTIN 400 mg CAP x 60

Pfizer

805,83

529,46

529,46

600 mg ELIFER 600 mg COM x 30

Casasco

245,35

138,79

138,79

ARAPENTIN 600 mg COM x 30

Ariston

248,15

142,55

142,55

ULTRANEURAL 600 mg COM x 30

Raffo

256,32

153,38

153,38

LOGISTIC 600 mg COM x 30

Craveri

273,42

175,47

175,47

NEURONTIN 600 mg COM x 30

Pfizer

483,24

319,03

319,03

Raffo

271,32

175,48

175,48

Craveri

294,82

193,71

193,71

Purissimus

36,04

23,31

23,31 INF

Hemoderivados

58,95

38,32

38,32 INF

Purissimus

89,74

58,04

58,04

Hemoderivados

146,76

95,39

95,39

800 mg ULTRANEURAL 800 mg COM x 30


LOGISTIC 800 mg COM x 30

GAMMAGLOBULINA
INESPECFICA
Ampollas

320 mg IGG IM 320 mg 2 ML AMP x

330 mg GAMMAGLOBULINA T 16.5% 2ML AMP x


800 mg IGG IM 800 mg 5 ML AMP x

825 mg GAMMAGLOBULINA T 16.5% 5ML AMP x

GEMFIBROZIL
Comprimidos

600 mg LOPID 600 mg COM x 30

Pfizer

146,37

96,63

60,30

GEMFIBROZIL 600 mg COM x 30

Roux Ocefa

149,31

100,05

63,81

HIPOLIXAN 600 COM x 30

Bag

214,39

141,54

120,72

LOPID 600 mg COM x 60

Pfizer

248,09

137,04

64,57

GEMFIBROZIL 600 mg COM x 60

Roux Ocefa

289,05

188,20

114,09

HIPOLIXAN 600 COM x 60

Bag

390,26

257,64

219,75

900 mg GEMFIBROZIL R.O. 900 mg COM x 30

Roux Ocefa

197,49

132,34

86,60

HIPOLIXAN 900 COM x 30

Bag

225,43

148,83

124,40

LOPID UD 900 mg COM x 15

Pfizer

100,02

66,03

45,35

LOPID UD 900 mg COM x 30

Pfizer

187,52

121,81

73,36

Richet

58,61

32,65

32,65

MSD Arrgentina SR

74,74

49,34

49,34

Bag

39,09

8,73

8,73

Bag

78,61

51,65

51,65

Andromaco

13,68

3,06

3,06

MSD Arrgentina SR

98,14

64,79

64,79

Medisol

24,90

4,98

4,98

Poen

42,21

27,73

Lepetit

17,00

3,40

3,40

GARDOTON 5 mg COM x 30

Raffo

20,28

4,06

4,06

BENCLAMID 5 mg COM x 30

Craveri

20,39

4,55

4,55

GLIBENCLAMIDA TECHSPHERE 5 mg COM x 30

Techsphere

21,47

4,80

4,80

DIABE PASS 5 mg COM x 30

Francelab

27,45

6,86

6,86

GENTAMICINA
Ampollas

80 mg GENTAMICINA RICHET 80 mg AMP x


GENTAMINA 80 mg 2 ML AMP x
GLEVOMICINA 80 mg AMP x

400 mg GLEVOMICINA 400 MULTIDOSIS AMP x


Crema

100 mg GENTAREN CRE x 15


GENTAMINA CRE x 20
1000 mg GENTADERM 0.1% CRE x 15

Lquido

300 mg PROVISUAL OFT. SOL x 10

27,73 INF

GLIBENCLAMIDA
Comprimidos

5 mg GLITRAL 5 mg COM x 30

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

Pgina 61 de 130

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DROGA
Comprimidos

NOMBRE COMERCIAL
5 mg GLIBEMIDA 5 mg COM x 30

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Temis-Lostalo

29,86

7,97

6,66

DAONIL COM x 30

Sanofi Aventis

33,16

11,67

7,41

GLIDANIL 5 mg COM x 30

Montpellier

34,00

12,98

7,58

PIRA 5 mg COM x 30

Omega

52,66

35,45

30,54

EUGLUCON 5 mg COM x 30

Investi

61,59

40,66

34,68

GLIBENCLAMIDA TECHSPHERE 5 mg COM x 60

Techsphere

39,86

8,90

8,90

BENCLAMID 5 mg COM x 60

Craveri

41,24

9,21

9,21

GARDOTON 5 mg COM x 60

Raffo

41,42

9,24

9,24

DIABE PASS 5 5 mg COM x 60

Francelab

50,83

11,35

11,35

DAONIL COM x 60

Sanofi Aventis

62,52

18,62

13,96

GLIDANIL 5 mg COM x 60

Montpellier

67,55

25,25

15,09

PIRA 5 mg COM x 60

Omega

84,06

47,64

24,27

EUGLUCON 5 mg COM x 60

Investi

111,98

73,93

63,06

BENCLAMID 5 mg COM x 100

Craveri

58,74

13,12

13,12

30 mg TRADON MR 30 mg COM x 30

Craveri

82,78

54,65

54,65

TRADON MR 30 mg COM x 60

Craveri

163,80

107,27

107,27

GLICLAZIDA
Comprimidos

60 mg DIAMICRON MR 60 mg COM x 30

Servier

164,39

107,00

107,00

TRADON MR 60 mg COM x 30

Craveri

173,89

114,80

114,80

TRADON MR 60 mg COM x 60

Craveri

342,59

226,18

226,18

Investi

60,53

39,96

39,96

AGLUCIDE 80 mg COM x 30

Beta

48,12

26,17

26,17

UNAVA COM x 60

Investi

151,83

100,24

100,24

80 mg UNAVA COM x 20

GLIMEPIRIDE
Comprimidos

2 mg GLIMEPLIC 2 mg COM x 30

Baliarda

61,93

13,83

13,83

GLEMAZ 2 mg COM x 30

Montpellier

89,09

43,98

43,98

DIABUTIL 2 mg COM x 30

Elea

92,54

48,81

48,81

HIPOGLUT 2 mg COM x 30

Gador

106,94

67,93

67,93

ISLOPIR 2 mg COM x 30

Craveri

110,50

72,44

72,44

ADIUVAN 2 mg COM x 30

Lazar

110,54

72,49

72,49

AMARYL 2 mg COM x 30

Sanofi Aventis

120,42

79,50

79,50

ENDIAL 2 mg COM x 30

Roemmers

122,77

81,05

81,05

ISLOPIR 2 mg COM x 60

Craveri

193,67

109,36

109,36

AMARYL 2 mg COM x 60

Sanofi Aventis

212,42

133,98

133,98

ENDIAL 2 mg COM x 60

Roemmers

216,54

139,24

139,24

Elea

51,75

10,35

10,35

GLIMEPLIC 4 mg COM x 15

Baliarda

55,14

11,03

11,03

GLEMAZ 4 mg TRIRRAN. COM x 15

Montpellier

94,88

60,20

60,20

ENDIAL 4 mg COM x 15

Roemmers

95,14

60,53

60,53

ISLOPIR 4 mg COM x 15

Craveri

106,33

70,20

70,20

AMARYL 4 mg COM x 15

Sanofi Aventis

113,29

74,79

74,79

GLIMEPLIC 4 mg COM x 30

Baliarda

115,03

25,69

25,69

DIABUTIL 4 mg COM x 30

Elea

163,56

85,57

85,57

GLEMAZ 4 mg TRIRRAN. COM x 30

Montpellier

180,73

108,72

108,72

ADIUVAN 4 mg COM x 30

Lazar

196,82

129,35

129,35

HIPOGLUT 4 mg COM x 30

Gador

200,81

132,57

132,57

4 mg DIABUTIL 4 mg COM x 15

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

Pgina 62 de 130

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DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

4 mg AMARYL 4 mg COM x 30

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Sanofi Aventis

212,42

140,24

140,24

ISLOPIR 4 mg COM x 30

Craveri

216,00

142,60

142,60

ENDIAL 4 mg COM x 30

Roemmers

217,45

143,56

143,56

GLEMAZ 4 mg TRIRRAN. COM x 60

Montpellier

327,13

171,15

171,15

GLIMEPIRIDE + METFORMINA
Comprimidos

2 mg AMARYL M 2 MG/1 g COM x 15

Sanofi Aventis

57,18

34,65

34,65

ENDIAL MET 2/1000 mg COM x 15

Roemmers

58,57

36,45

36,45

HIPOGLUT MET 2 MG/ 500 mg COM x 30

Gador

109,83

63,29

63,29

AMARYL M 2 MG/1 g COM x 30

Sanofi Aventis

114,69

69,72

69,72

GLEMAZ MET 2/1000 mg COM x 30

Montpellier

116,85

72,52

72,52

HIPOGLUT MET 2 MG/1000 mg COM x 30

Gador

121,14

78,01

78,01

MECTIN PLUS 1000/2 mg COM x 30

Ivax Argentina

128,43

84,79

84,79

ADIUVAN MET 2/1000 COM x 30

Lazar

133,10

87,87

87,87

ENDIAL MET 2/1000 mg COM x 30

Roemmers

142,27

93,92

93,92

GLEMAZ MET 2/1000 mg COM x 60

Montpellier

223,23

131,35

131,35

AMARYL MET 2/500 mg (30+60) COM x 90

Sanofi Aventis

99,28

65,24

65,24

Roemmers

98,51

55,58

55,58

4 mg ENDIAL MET 4/1000 mg COM x 15


AMARYL M 4 MG/1 g COM x 15

Sanofi Aventis

107,89

67,91

67,91

GLEMAZ MET 4/1000 mg COM x 30

Montpellier

207,19

124,66

124,66

AMARYL M 4 MG/1 g COM x 30

Sanofi Aventis

212,42

131,47

131,47

MECTIN PLUS 1000/4 mg COM x 30

Ivax Argentina

221,73

143,38

143,38

HIPOGLUT MET 4 MG/1000 mg COM x 30

Gador

224,14

146,43

146,43

ADIUVAN MET 4/1000 COM x 30

Lazar

236,86

156,37

156,37

ENDIAL MET 4/1000 mg COM x 30

Roemmers

250,98

165,70

165,70

GLEMAZ MET 4/1000 mg COM x 60

Montpellier

393,97

222,19

222,19

AMARYL MET 4/850 mg (30+60) COM x 90

Sanofi Aventis

175,14

115,09

115,09

GLIPIZIDA
Comprimidos

5 mg GLIPIZIDA TECHSPHERE 5 mg COM x 30

Techsphere

40,58

23,24

10,76

MINODIAB 5 mg COM x 30

Pfizer

47,66

31,46

20,53

GLIPIZIDA TECHSPHERE 5 mg COM x 90

Techsphere

111,16

55,17

24,82

MINODIAB 5 mg COM x 90

Pfizer

136,30

88,64

52,12

GLUCAGON
Ampollas

1 mg GLUCAGEN HYPOKIT 1 mg VIAL F.A x

Novo Nordisk

448,97

148,53

148,53

GLUCAGON ORIGEN ADNR 1 mg JPR x

1
1

Eli Lilly

874,65

586,10

586,10

5000 ui GONACOR 5000 IM LIOFILIZADO AMP x

Ferring

256,01

168,21

168,21

MSD Arrgentina SR

422,23

278,75

278,75

Buxton

467,52

308,65

308,65

Investi

177,11

116,37

116,37

Ivax Argentina

44,87

10,02

10,02

Janssen-Cilag

237,10

155,79

96,03

50,90

33,60

28,66

GONADOTROFINA CORINICA
/ HCG
Ampollas

PREGNYL INY. X 1 ML AMP x

DINARON 5000 UI + SOLV. F.A x

GRISEOFULVINA
Comprimidos

500 mg GRISOVIN FP 500 mg COM x 24

HALOPERIDOL
Ampollas

5 mg LIMERIX AMP x

5 mg HALOPIDOL 5 mg 1 ML AMP x
Comprimidos

1 mg NEUPRAM 1 mg COM x 30

Sidus

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

Pgina 63 de 130

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DROGA
Comprimidos

1 mg

30/12/2014
LABORATORIO

NEUPRAM 1 mg COM x 60

Sidus

75,70

49,97

41,23

LIMERIX 1 mg COM x 100

Ivax Argentina

44,98

10,04

10,04

HALOPIDOL 1 mg COM x 100

Janssen-Cilag

105,73

68,07

47,42

5 mg NEUPRAM 5 mg COM x 30

Sidus

84,84

41,38

20,86

NEUPRAM 5 mg COM x 60

Sidus

163,17

73,36

36,44

HALOPIDOL 5 mg COM x 60

Janssen-Cilag

223,15

147,32

124,73

LIMERIX 5 mg COM x 100

Ivax Argentina

161,79

36,13

36,13

Sidus

117,46

44,17

26,23

ENABRAN 10 mg COM x 60

Casasco

154,62

34,52

34,52

NEUPRAM 10 mg COM x 60

Sidus

208,86

56,82

46,64

HALOPIDOL 10 mg COM x 60

Janssen-Cilag

418,43

276,25

235,62

LIMERIX 10 mg COM x 100

Ivax Argentina

302,78

67,61

67,61

Ivax Argentina

27,95

6,24

6,24

200 mg HALOPIDOL 2 MG/ML SOL x 15

Janssen-Cilag

49,88

32,93

28,09

HALOPIDOL 2 MG/ML SOL x 20

Janssen-Cilag

21,25

5,22

5,22

HALOPIDOL 2 MG/ML SOL x 50

Janssen-Cilag

39,25

9,65

9,65

HALOPIDOL 2 MG/ML SOL x 100

Janssen-Cilag

209,08

93,49

46,68

Janssen-Cilag

237,21

155,86

96,07

10 mg NEUPRAM 10 mg COM x 30

Gotas

2 mg LIMERIX GTS x 20

Lquido

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

NOMBRE COMERCIAL

1000 mg HALOPIDOL FORTE 10 mg SOL x 30

HALOPERIDOL DECANOATO
Ampollas

150 mg HALOPIDOL DECANOATO 3 ML AMP x

Janssen-Cilag

258,40

172,36

109,12

50 mg HALOPIDOL DECANOATO 1 ML AMP x

Janssen-Cilag

139,25

91,49

56,39

Merck Sharp & Dhome

333,75

219,29

219,29

Merck Sharp & Dhome

442,27

291,98

291,98

Sanofi Pasteur

334,16

222,89

222,89

Sanofi Pasteur

419,58

275,68

275,68

GlaxoSmithkline

382,41

248,71

248,71

GlaxoSmithkline

421,37

276,86

276,86

Novartis Vacunas

368,88

180,46

180,46

Novartis Vacunas

469,36

305,08

305,08

Merck Sharp & Dhome

182,90

92,20

92,20

HEPATITIS A ANTIGENO
Ampollas

25 ui VAQTA 25 PED. 0.5 ML JPR x


50 ui VAQTA 50 AD. 1.0 ML JPR x

1
1

80 ui AVAXIM 80 U PEDIAT 0.5 ML JPR x


160 ui AVAXIM 0.5 ML JPR x

720 ui HAVRIX MONODOSIS 720 EL.U. JPR x


1440 ui HAVRIX ADULTOS 1440 EL.U JPR x

250 ui VIROHEP A JUNIOR 0.25 ML JPR x


500 ui VIROHEP-A 0.5 ML JPR x

HEPATITIS B ANTIGENO
SUPERF. DEL VIRUS
Ampollas

0,005 mg HB VAX PRO IM 5 mcg 1 ML F.A x

0,01 mg AG B 10 mcg UNIJECT X 0.5 ML JPR x

Cassara

12,90

8,38

8,38

ENGERIX-B PEDIATRICO 0.5 ML JPR x

GlaxoSmithkline

115,19

58,06

58,06

Cia.Arg. Investigaciones
Farmaceuticas

108,04

70,99

70,99

Sanofi Pasteur

174,09

87,75

87,75

BIOVAC HB 10 mcg F.A x

HEPATIVAX JUNIOR 0.5 ML F.A x

0,02 mg AG B 20 mcg UNIJECT X 1 ML JPR x


BIOVAC HB 20 mcg F.A x
ENGERIX-B 1 ML JPR x

1
1

Cassara

18,90

3,78

3,78

Cia.Arg. Investigaciones
Farmaceuticas

143,18

74,51

74,51

GlaxoSmithkline

158,77

95,55

95,55

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

Pgina 64 de 130

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DROGA
Ampollas

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

0,02 mg HEPATIVAX 1 ML F.A x

0,04 mg HB VAX PRO IM 40 mcg 1 ML F.A x

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Sanofi Pasteur

214,90

141,88

141,88

Merck Sharp & Dhome

275,48

181,00

181,00

Bag

640,87

399,96

399,96

HIALURONICO, CIDO
Ampollas

20 mg HYALART 2 ML JPR x

CRUZAL 20 2 ml + aguja JPR x

Finadiet

713,57

471,10

471,10

40 mg CRUZAL 40 2 ml + aguja JPR x

Finadiet

1.364,09

896,26

896,26

Gel

3 mg HYALOMB VISC OFT. GEL x 10

Bausch & Lomb Argentina

74,85

48,41

48,41

Lquido

3 mg HYALOMB OFT. SOL x 10

Bausch & Lomb Argentina

136,38

91,40

91,40

HIDROCLOROTIAZIDA
Comprimidos

12,5 mg DIUREX 12.5 mg COM x 30

Bag

64,10

42,12

25,96

25 mg DIUREX 25 mg COM x 30

Bag

68,91

45,28

27,91

50 mg DIURAL 50 mg COM x 15

Lepetit

23,00

6,20

6,20

DIURAL 50 mg COM x 30

Lepetit

45,00

10,90

9,80

TANDIUR COM x 30

Raymos

64,85

37,07

17,56

DIUREX 50 mg COM x 60

Bag

148,27

97,89

60,93

12,5 mg DIUREX A 12.5/1.25 mg COM x 30

Bag

36,57

24,03

14,81

25 mg DIUREX A 25/2.5 mg COM x 30

Bag

35,49

23,32

14,38

50 mg MODURETIC 50/5 mg COM x 30

Merck Sharp & Dhome

34,34

21,25

11,15

DIUREX A 50/5 mg COM x 30

Bag

45,11

29,78

25,40

MODURETIC 50/5 mg COM x 50

Merck Sharp & Dhome

48,12

22,41

11,83

HIDRENOX A COM x 50

Ivax Argentina

72,14

47,63

39,14

10 mg HIDROTISONA 10 mg COM x 30

Sanofi Aventis

47,80

31,41

31,41

Roemmers

45,05

29,60

29,60

HIDROCLOROTIAZIDA +
AMILORIDA
Comprimidos

HIDROCORTISONA
Comprimidos
Crema

500 mg MICROSONA 0.5% CRE x 15


1000 mg LACTID HC 1% CRE x 15

Cassara

28,90

14,58

14,58

DEMACORT 1% CRE x 15

Andromaco

43,21

28,53

28,53

MICROSONA 1% CRE x 15

Roemmers

47,72

31,50

31,50

TRANSDERMA H CRE x 20

Szama

88,80

59,92

59,92

ALFACORT 1% CRE x 30

Cassara

40,15

13,03

13,03

MEDROCIL 1% BOMBA DISP. CRE x 30

Fortbenton Co.

67,46

25,97

25,97

Roemmers

59,39

39,21

39,21

Fortbenton Co.

98,13

53,76

53,76

Cassara

83,87

55,37

55,37

Monserrat

56,45

23,20

23,20

2000 mg MICROSONA 2% CRE x 15


MEDROCIL 2% BOMBA DISP. CRE x 30
Emulsin

1000 mg ALFACORT 1% EMU x 100

HIDROCORTISONA +
LIDOCAINA
Pomada

250 mg XILOCLER RECTAL PDA x 15


5000 mg LIDOCORT PROCT PDA x 10

Northia

31,08

20,20

20,20

PROCTYL HC PDA x 10

Takeda

54,06

35,69

35,69

PROCTYL HC PDA x 30

Takeda

110,65

64,54

64,54

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

Pgina 65 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

HIDROCORTISONA +
VITAMINA A
Pomada

1000 mg HIPOGLOS C/HIDROCORTISONA PDA x 10

Andromaco

23,64

15,61

15,61

Elea

48,12

31,77

31,77

Cassara

56,26

37,14

37,14

250 mg XYLOPROCTO PDA x 10

Astrazeneca

54,87

36,22

36,22

XYLOPROCTO PDA x 30

Astrazeneca

112,35

60,63

60,63

5 mg XYLOPROCTO SUP x 12

Astrazeneca

84,32

55,40

55,40

Elea

53,62

35,40

35,40

Elea

45,74

30,06

30,06

2,5 mg ORALSONE COM x 12

Gramn-Millet

65,27

43,09

43,09

10 mg ATARAXONE 10 mg COM x 20

Lazar

67,69

44,47

44,47

25 mg ATARAXONE 25 mg COM x 20

Lazar

92,29

60,64

60,64

50 mg ATARAXONE 50 mg COM x 20

Lazar

180,51

118,60

118,60

1000 mg ATARAXONE GTS x 20

Lazar

59,68

39,21

39,21

200 mg ATARAXONE JBE x 120

Lazar

95,69

62,87

62,87

200 mg NARBON 200 mg COM x 30

HIDROCORTISONA ACETATO
Crema
Pomada

1116 mg ANUSOL HC CRE x 10


350 mg ALFACORT OFTAL. UNIDOSIS PDA x 20

HIDROCORTISONA ACETATO
+ LIDOCAINA
Pomada

Supositorios

HIDROCORTISONA ACETATO
+ PRAMOXINA
Crema

1000 mg ANUSOL DUO CRE x 10

Supositorios

5 mg ANUSOL DUO S SUP x 12

HIDROCORTISONA
HEMISUCCINATO
Comprimidos

HIDROXICINA
Comprimidos

Gotas
Lquido

HIDROXICLOROQUINA
Comprimidos

Buxton

157,27

103,83

103,83

AXOKINE 200 mg COM x 30

Astrazeneca

166,62

110,00

110,00

METIREL 200 mg COM x 30

Astrazeneca

214,86

141,85

141,85

EVOQUIN COM x 60

Ivax Argentina

234,60

135,89

135,89

POLIRREUMIN 200 mg COM x 60

Trb-Pharma

257,97

166,25

166,25

AXOKINE 200 mg COM x 60

Astrazeneca

289,99

191,45

191,45

NARBON 200 mg COM x 60

Buxton

302,53

199,73

199,73

METIREL 200 mg COM x 60

Astrazeneca

398,13

262,84

262,84

PLAQUENIL 200 mg COM x 60

Sanofi Aventis

399,35

263,65

263,65

Bayer (PH)

114,32

75,11

75,11

73,25

47,37

47,37

118,67

78,35

78,35

HIDROXIPROGESTERONA
Ampollas

500 mg PROLUTON DEPOT 500 IM 2 ML AMP x

HIDROXIPROPILMETILCELULO
SA
Gel
Gotas

300 mg GENTEAL OFT. GEL x 10


3 mg LATLAS TEARS OFT. GTS x 15
300 mg GENTEAL OFT. GTS x 10

Novartis
Atlas
Novartis

45,22

22,22

22,22

ARTELAC GTS x 10

Bausch & Lomb Argentina

70,59

47,25

47,25

GENTEAL OFT. GTS x 15

Novartis

67,48

31,96

31,96

NATURA LAGRIMAS OFT. GTS x 15

Amhof

84,44

54,73

54,73

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

Pgina 66 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Gotas

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

300 mg GENTEAL OFT. GTS x 25

Lquido

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Novartis

86,04

19,77

19,77

Pharmadorf

70,39

46,47

46,47

Raymos

90,18

42,92

42,92

Elea

75,42

49,29

49,29

Alcon

111,80

73,81

73,81

Novoplos

77,89

51,42

51,42

ALCON LAGRIMAS OFT. SOL x 15

Alcon

72,35

38,81

38,81

ALCON LAGRIMAS II OFT. SOL x 15

Alcon

105,95

69,95

69,95

51,93 MAT

3 mg LAGRIMA DORF OFT. SOL x 10


300 mg COOL TEARS OFT. SOL x 20

HIDROXIPROPILMETILCELULO
SA + DEXTRAN
Gotas

300 mg PH LAGRIMAS OFT. GTS x 15

Lquido

3 mg TEARS NATURALE FORTE OFT. SOL x 15


300 mg BIO EYES LAGRIMAS OFT. SOL x 10

HIERRO + FOLICO, CIDO


Comprimidos

0,5 mg YECTAFER TABS 40/0.5 mg COM x 20

Astrazeneca

80,42

51,93

YECTAFER TABS 40/0.5 mg COM x 40

Astrazeneca

159,73

102,45

102,45

1 mg YECTAFER TABS 80/1 mg COM x 20

Astrazeneca

159,73

105,45

105,45

YECTAFER TABS 80/1 mg COM x 40

Astrazeneca

285,62

167,75

167,75 MAT

40 mg ZENTRAFERIN 40 mg COM x 20

Ariston

31,58

6,32

HIERROQUICK 40 COM x 20

Raymos

89,34

58,98

ZENTRAFERIN 40 mg COM x 40

Ariston

61,78

12,36

12,36 MAT

HIERROQUICK 40 COM x 40

Raymos

159,30

101,90

101,90 MAT

80 mg ZENTRAFERIN 80 mg COM x 20

6,32
58,98 MAT

Ariston

61,99

12,40

12,40 MAT

HIERROQUICK 80 COM x 20

Raymos

179,04

118,20

118,20 MAT

ZENTRAFERIN 80 mg COM x 40

Ariston

110,84

22,17

22,17 MAT

HIERROQUICK 80 COM x 40

Raymos

322,29

212,77

212,77 MAT

Astrazeneca

180,21

118,39

118,39 MAT

YECTAFER AMP x 10

Astrazeneca

360,49

236,86

236,86 MAT

60 mg FERRETAB COMPUESTO CAP x 30

Biol

189,98

125,42

125,42 MAT

FERRETAB COMPUESTO CAP x 60

Biol

336,69

203,21

203,21 MAT

Takeda

135,67

89,57

89,57 MAT

FERRANIN IM 2 ML AMP x 10

Takeda

244,79

154,06

154,06 MAT

100 mg FERRANIN COM x 15

Takeda

34,34

22,67

22,67 MAT

FERRANIN COM x 20

Takeda

45,19

25,35

25,35 MAT

MALTOFER MASTICABLE COM x 20

Bag

60,08

39,66

39,66 MAT

VITALIX 100 mg COM x 30

Roemmers

49,83

19,80

19,80 MAT

SIDERBLUT POLI COM x 30

Investi

73,42

48,47

48,47 MAT

FERRANIN COM x 30

Takeda

104,36

68,89

68,89 MAT

FERRANIN COM x 40

Takeda

45,23

9,05

9,05 MAT

SIDERBLUT POLI COM x 60

Investi

132,15

84,36

84,36 MAT

HIERRO DEXTRANO
Ampollas

600 mg YECTAFER AMP x

HIERRO FUMARATO + FOLICO,


CIDO
Comprimidos

HIERRO POLIMALTOSATO
Ampollas

Comprimidos

100 mg FERRANIN IM 2 ML AMP x

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

Pgina 67 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos
Gotas

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

100 mg FERRANIN COM x 100

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Takeda

116,70

23,34

23,34 MAT

Investi

59,92

39,40

39,40 MAT

Bag

67,21

28,37

28,37 MAT

Takeda

41,75

25,47

25,47 MAT

Roemmers

60,02

39,53

39,53 MAT

100 mg MALTOFER FOL MASTICABLE COM x 20

Bag

72,61

47,71

47,71

369 mg HIERRO DUPOFOL COM x 30

Ferring

51,65

11,54

11,54 MAT

100 mg SIDERBLUT FOLIC COM x 30

Investi

110,60

72,67

72,67 MAT

200 mg SIDERBLUT COM x 30

Investi

84,36

55,69

55,69

SIDERBLUT COM x 60

Investi

151,88

95,74

95,74

79,47

51,40

51,40 MAT

5 mg SIDERBLUT ORAL GTS x 20


179 mg MALTOFER GTS x 30
5000 mg FERRANIN GTS x 15
50 mg VITALIX GTS x 20

HIERRO POLIMALTOSATO +
FOLICO, CIDO
Comprimidos

HIERRO POLIMALTOSATO +
FOLICO, CIDO + VITAMINA
B12
Comprimidos

HIERRO SULFATO
Comprimidos

Gotas

256,26 TARDYFERON GRA x 30


mg

P.Fabre Medicamentos

12500 MEDIFER BEB. GTS x 20


mg
FACTOFER GTS x 20

Cassara

6,90

1,38

1,38 INF

Raymos

44,25

12,30

12,30 INF

Andromaco

70,00

46,21

46,21 INF

1800 mg FER-IN-SOL JBE x 120

Investi

44,45

29,20

29,20 MAT

12500 FER-IN-SOL SOL x 20


mg

Investi

67,78

43,97

43,97 INF

122,10

80,22

80,22 MAT

FERDROMACO PEDIATRICO ORAL GTS x 20


Lquido

HIERRO SULFATO + FOLICO,


CIDO
Comprimidos

150 mg FEFOL SPANSULE CAP x 30

MSD Arrgentina SR

HOMATROPINA
Comprimidos
Gotas

1 mg PARATROPINA TAB x 24

Lazar

30,93

20,32

20,32

200 mg PARATROPINA GTS x 20

Lazar

21,60

13,97

13,97

Merck Serono

674,60

443,24

443,24

HORMONA FOLCULO ESTIM.


RECOMBINATE / FSHR
Ampollas

75 ui GONAL F 75 LIOF + JGA. SOLV. AMP x

HORMONA FOLCULO
ESTIMULANTE / FSH
Ampollas

75 ui FOLLITRIN 75 UI LIOF.+SOLV. F.A x

Ferring

359,86

236,44

236,44

FOLLITRIN 75 UI LIOF.+SOLV. F.A x

Ferring

2.159,19

1.418,68

1.418,68

150 ui FOLLITRIN 150 UI + SOLV. F.A x

Ferring

719,62

472,81

472,81

FOLLITRIN 150 UI + SOLV. F.A x

Ferring

4.317,80

2.836,99

2.836,99

Ferring

206,57

135,73

135,73

Pfizer

26,48

11,02

11,02

FEBRATIC PED. MAST. COM x 20

Roemmers

24,36

16,01

16,01

IBUPIRETAS JR. MAST. COM x 20

Pfizer

36,26

23,94

23,94

HORMONA HIPOTALAMICA
LIBER. TIROTROFINA
Ampollas

0,2 mg TRH FERRING 200 mcg 1 ML AMP x

IBUPROFENO
Comprimidos

120 mg IBUPIRETAS COM x 20

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

Pgina 68 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
400 mg IBUMAR 400 mg COM x 10

Lquido

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Mar

10,20

4,37

4,37

BUTIDIONA COM x 10

Roux Ocefa

11,60

6,36

6,36

VEFREN 400 mg COM x 10

Baliarda

13,49

8,83

8,83

FEBRATIC 400 mg COM x 10

Roemmers

13,95

9,21

9,21

IBUCLER 400 mg COM x 10

Monserrat

14,20

9,37

9,37

DOLORSYN 400 mg COM x 10

Omega

44,80

30,16

30,16

OXIBUT 400 mg COM x 20

Bernabo

24,76

14,81

14,81

VEFREN 400 mg COM x 20

Baliarda

24,84

14,91

14,91

FEBRATIC 400 mg COM x 20

Roemmers

26,20

16,67

16,67

IBU NOVALGINA 400 mg COM x 30

Sanofi Aventis OTC

47,23

31,18

31,18

DOLORSYN 400 mg COM x 30

Omega

75,02

50,51

50,51

VEFREN 400 mg COM x 50

Baliarda

52,02

24,06

24,06

IBU NOVALGINA 400 mg COM x 60

Sanofi Aventis OTC

80,78

52,78

52,78

Savant

31,10

19,03

19,03

IBUPIRAC 600 mg BLANDAS CAP x 10

Pfizer

36,23

23,92

23,92

ACTRON 600 RAPIDA ACCION BLAND CAP x 10

Bayer Consumer

38,62

25,87

25,87

IBUXIM 600 RAPIDA ACCION CB CAP x 20

Savant

63,96

39,79

39,79

IBUPIRAC 600 mg BLANDAS CAP x 20

Pfizer

69,76

46,05

46,05

ACTRON 600 RAPIDA ACCION BLAND CAP x 20

Bayer Consumer

73,35

49,13

49,13

MATRIX 600 mg RAPIDA ACCION COM x 30

Genomma Lab.

55,12

11,02

11,02

IBUPIRAC 600 mg BLANDAS CAP x 50

Pfizer

178,45

117,81

117,81

IBUPROFENO ELISIUM 600 mg COM x 10

Elisium

23,63

8,14

8,14

MATRIX 600 mg RAPIDA ACCION COM x 10

Genomma Lab.

24,52

9,89

9,89

IBUTENK 600 mg COM x 10

Biotenk

28,41

16,73

16,73

IBUCLER 600 mg COM x 10

Monserrat

30,60

18,09

18,09

IBUPIRAC 600 mg COM x 10

Pfizer

34,35

22,68

22,68

DRUISEL 600 mg COM x 20

Northia

29,22

5,84

5,84

IBUFIX 600 mg COM x 20

Investi

26,57

5,93

5,93

IBUMAR 600 mg COM x 20

Mar

32,47

7,25

7,25

VEFREN 600 mg COM x 20

Baliarda

38,58

8,61

8,61

IBUPROFENO ELISIUM 600 mg COM x 20

Elisium

44,77

13,29

13,29

IBUXIM 600 mg COM x 20

Savant

46,93

15,75

15,75

IBUTENK 600 mg COM x 20

Biotenk

55,54

31,64

31,64

IBUCLER 600 mg COM x 20

Monserrat

58,40

32,44

32,44

IBUPIRAC 600 mg COM x 20

Pfizer

67,81

44,69

44,69

TONAL 600 mg COM x 30

Beta

38,60

8,62

8,62

VEFREN 600 mg COM x 50

Baliarda

88,50

19,76

19,76

IBUPROFENO ELISIUM 600 mg COM x 50

Elisium

105,76

27,32

27,32

IBUPIRAC 600 mg COM x 50

Pfizer

169,81

112,08

112,08

TONAL 600 mg COM x 60

Beta

74,10

16,55

16,55

800 mg IBUPIRAC 800 mg COM x 20

Pfizer

82,46

54,44

54,44

IBUPIRAC 800 mg COM x 50

Pfizer

164,20

87,25

87,25

Pfizer

52,47

34,64

34,64

Bag

42,19

27,85

27,85

600 mg IBUXIM 600 RAPIDA ACCION CB CAP x 10

Gotas

30/12/2014

5000 mg IBUPIRAC ORAL GTS x 30


20 mg AFEBRIL 20 MG/ML SUS x 100

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

Pgina 69 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Lquido

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

25 mg IBUSOL ORAL SUS x 20

Cassara

40 mg AFEBRIL FORTE 40 MG/ML SUS x 100

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

9,80

5,44

5,44

Bag

54,86

32,40

32,40

Pfizer

129,59

85,56

85,56

Mar

24,42

8,87

8,87

IBUCLER 2% SUS x 90

Monserrat

38,45

25,39

25,39

IBUPIRAC 2% ANANA SUS x 90

Pfizer

40,02

26,42

26,42

IBUPIRAC 2% SUS x 90

Pfizer

41,19

27,19

27,19

IBUSOL PEDIATRICO SUS x 100

Medisol

18,90

3,78

3,78

FEBRATIC PED. 2% SUS x 100

Roemmers

33,41

18,88

18,88

IBUMULTIN 2% SUS x 100

Lazar

36,78

23,30

23,30

DOLORSYN TERMICO ORAL SUS x 120

Omega

85,29

57,42

57,42

IBUPIRAC 2% SUS x 200

Pfizer

79,59

52,55

52,55

200 mg IBUPIRAC 4% SUS x 200


2000 mg IBUMAR SUS x 90

4000 mg IBUMAR 4 g/100 ml SUS x 90

Mar

44,25

22,17

22,17

IBUCLER 4% SUS x 90

Monserrat

51,30

31,68

31,68

IBUPIRAC 4% SUS x 90

Pfizer

63,73

42,08

42,08

IBUFULL 4 g SUS x 90

Lafedar

62,81

42,48

42,48

FEBRATIC 4% SUS x 100

Roemmers

50,31

26,24

26,24

ACTRON PEDIATRICO 4% ORAL SUS x 100

Bayer Consumer

66,04

43,92

43,92

IDOXURIDINA
Gotas

100 mg IDULEA C\ADHEFILM GTS x 10

Biotechno Pharma

102,21

70,95

70,95

Ungento

100 mg IDULEA DERMICO UNG x 10

Biotechno Pharma

78,80

52,29

52,29

10 mg TOFRANIL 10 mg GRA x 60

Novartis

19,96

12,91

12,91

25 mg TOFRANIL 25 mg GRA x 50

Novartis

38,94

25,18

25,18

1,5 mg NATRILIX SR 1.5 mg COM x 30

Servier

90,93

60,03

60,03

Nova Argentia

81,79

49,22

49,22

Elea

32,17

7,19

7,19

NORANAT COM x 30

Nova Argentia

65,20

43,04

43,04

INDAPAMIDA DUREMID COM x 50

Soubeiran Chobet

69,10

29,86

29,86

NORANAT COM x 60

Nova Argentia

92,50

49,49

49,49

Montpellier

102,76

67,52

67,52

IMIPRAMINA
Comprimidos

INDAPAMIDA
Comprimidos

NORANAT SR 1.5 Mg. Recub. LP COM x 30


2,5 mg BAJATEN GRA x 30

INDOMETACINA
Ampollas

50 mg IM.75 MONTPELLIER 2 ML F.A x

Comprimidos

75 mg IM.75 MONTPELLIER CAP x 24

Montpellier

124,92

82,47

82,47

IM.75 MONTPELLIER CAP x 50

Montpellier

227,01

135,73

135,73

45,86

30,13

30,13

Supositorios

50 mg INDOTEX 50 mg SUP x 10

Astrazeneca

100 mg INDOTEX 100 mg SUP x 10

Astrazeneca

IM.75 MONTPELLIER SUP x 10

75,71

22,31

22,31

Montpellier

114,64

75,32

75,32

Gobbi

430,58

137,95

INMUNOGLOBULINA
ANTITETNICA + TETNICO
TOXOIDE
Ampollas

250 ui TETABULIN S/D 250 UI JPR x

137,95 INF

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

Pgina 70 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

30/12/2014

NOMBRE COMERCIAL

Ampollas

LABORATORIO

500 ui TETABULIN S/D 500 UI JPR x

A CARGO A CARGO
REF
AFILIADO CRONICO

Gobbi

700,46

Purissimus

107,44

21,49

21,49 MAT

Gador

356,97

114,37

114,37 MAT

Purissimus

186,22

37,24

37,24 MAT

Gador

671,95

215,28

215,28 MAT

Fada Pharma

703,43

696,77

696,77

Fada Pharma

27,40

17,72

17,72

Bacon

420,00

126,00

126,00

Bacon

479,55

143,86

143,86

Bacon

450,00

135,00

135,00

Bacon

517,80

155,34

155,34

Boheringer Ingelheim

86,34

56,73

34,96

AEROTROP + ADAPT. BUCAL AER x 250

Cassara

33,06

6,61

6,61

AEROTROP HFA 12.5 ml AER x 250

Cassara

91,80

60,32

60,32

25 mg ATROVENT SOL x 20

Boheringer Ingelheim

34,90

23,22

15,18

ATROVENT SOL x 40

Boheringer Ingelheim

60,18

35,41

16,73

Cassara

55,92

36,92

36,92

Cassara

55,33

36,53

36,53

Sanofi Aventis

332,24

219,34

219,34

ADANA 150 mg COM x 30

Sandoz

119,70

23,94

23,94

APROVEL 150 mg COM x 56

Sanofi Aventis

497,67

218,10

218,10

300 mg APROVEL 300 mg COM x 28

Sanofi Aventis

436,77

286,97

286,97

ADANA 300 mg COM x 30

Sandoz

175,22

35,04

35,04

APROVEL 300 mg COM x 56

Sanofi Aventis

702,70

347,02

347,02

250 ui IT SD-T 250 UI AMP x

PRECIO

GAMMATET T 250 UI + TOXOIDE JPR x


500 ui IT SD-T 500 UI AMP x

GAMMATET T 500 UI + TOXOIDE JPR x

224,40

224,40 MAT

IODOPOVIDONA
Jabn

5000 mg FADA IODOPOVIDONA 5% Lquido 120 ml JAB x


1
FADA IODOPOVIDONA 5% + Dosif. JAB x 250

IOPAMIDOL
Ampollas

300 mg OPACRILE 300 mg 50 ml F.A x

OPACRILE 300 mg 100 ml F.A x


370 mg OPACRILE 370 mg 50 ml F.A x
OPACRILE 370 mg 100 ml F.A x

1
1
1

IPRATROPIO BROMURO
Aerosol

0,02 mg ATROVENT HFA 10 ML AER x 200

Lquido

25 mg AEROTROP P/NEB.UNIDOSIS 2.5 ML SOL x 24


Spray

0,021 mg AEROTROP NASAL SPR x 120

IRBESARTAN
Comprimidos

150 mg APROVEL 150 mg COM x 28

ISOCONAZOL
Crema

Lquido

1000 mg MUPATEN CRE x 20

Bayer Consumer

51,75

34,66

34,66

1000 mg MUPATEN VAGINAL CRE x 40

Bayer (PH)

74,35

38,86

38,86

1000 mg MUPATEN SOL x 50

Bayer Consumer

56,46

36,52

36,52

Bayer (PH)

74,35

48,85

48,85

Sanofi Aventis

17,73

11,65

11,65

5 mg ISORDIL 5 mg COM x 25

Pfizer

58,91

38,89

33,17

ISORDIL 5 mg COM x 50

Pfizer

89,27

58,94

42,76

Roemmers

47,72

28,70

16,87

vulos

600 mg MUPATEN VAGINAL OVU x

ISONIACIDA
Comprimidos

300 mg NICOTIBINA 300 mg COM x 30

ISOSORBIDE DINITRATO
Comprimidos

5 mg MEDOCOR SUBLINGUAL 5 mg COM x 30

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

Pgina 71 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

ISOSORBIDE MONONITRATO
Comprimidos

20 mg MONOTRIN 20 COM x 20

Bag

19,38

6,89

4,32

MEDOCOR COM x 20

Roemmers

26,28

16,54

9,52

MONOTRIN 20 COM x 30

Bag

37,26

22,01

11,04

MONOTRIN 20 COM x 40

Bag

50,49

30,41

15,97

MEDOCOR COM x 40

Roemmers

56,20

37,10

24,24

40 mg MONOTRIN 40 COM x 20

Bag

38,28

23,74

13,99

MONOTRIN 40 COM x 30

Bag

60,85

39,98

24,65

117,78

77,39

47,70

60 mg MEDOCOR AP CAP x 30

Roemmers

100 mg MONOTRIN 100 RETARD COM x 20

Bag

65,50

29,46

14,63

MONOTRIN 100 RETARD COM x 30

Bag

127,81

83,98

51,76

Raffo

360,49

231,17

231,17

Investi

373,01

246,26

246,26

Raymos

656,22

413,90

413,90

ROACCUTAN 20 mg CAP x 30

Investi

681,73

446,29

446,29

ISOCUTAN 20 mg CAP x 30

Raffo

698,37

461,06

461,06

40 mg ISOCUTAN 40 mg CAP x 30

Raffo

1.222,15

803,00

803,00

50 mg ATLACNE TOPICO GEL x 25

Atlas

114,85

75,46

75,46

Raffo

24,60

15,91

15,91 MAT

ISOTRETINOINA
Comprimidos

10 mg ISOCUTAN 10 mg CAP x 30
ROACCUTAN 10 mg CAP x 30
20 mg FLEXRESAN 20 mg CAP x 30

Gel

ISOXSUPRINA CLORHIDRATO
Ampollas

10 mg DUVADILAN 2 ML 10 mg AMP x

Comprimidos

10 mg UTERINE 10 mg COM x 20

Omega

104,46

68,91

68,91 MAT

DUVADILAN 10 mg COM x 20

Raffo

107,01

70,64

70,64 MAT

UTERINE 10 mg COM x 40

Omega

175,10

93,39

93,39 MAT

Raffo

168,64

109,03

109,03 MAT

Omega

187,63

126,32

126,32 MAT

20 mg DUVADILAN 20 mg COM x 20
UTERINE 20 mg COM x 20

ITRACONAZOL
Comprimidos

100 mg SPORANOX CAP x

Janssen-Cilag

81,50

53,80

53,80

SPORANOX CAP x 10

Janssen-Cilag

141,94

95,12

95,12

ITRAC 100 CAP x 15

Cassara

102,62

53,80

53,80

PANASTAT CAP x 15

Panalab

161,40

106,55

106,55

SPORANOX CAP x 15

Janssen-Cilag

196,19

131,47

131,47

SPORANOX PULSO CAP x 28

Janssen-Cilag

355,18

238,00

238,00

PANASTAT CAP x 30

Panalab

273,04

180,26

180,26

89,94

59,38

59,38

Raymos

117,69

77,70

77,70

Roux Ocefa

129,29

37,85

37,85

Elea

149,87

66,32

66,32

Raymos

165,49

88,52

88,52

46,70

30,83

30,83

IVERMECTINA
Comprimidos

6 mg DETEBENCIL 6 mg COM x
SECURO COM x

DETEBENCIL 6 mg COM x
IVER P 6 mg COM x
SECURO COM x

Roux Ocefa

KETOCONAZOL
Comprimidos

200 mg MICORAL COM x 10

Investi

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

Pgina 72 de 130

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DROGA
Comprimidos

Crema

Lquido
vulos

NOMBRE COMERCIAL

Talco

LABORATORIO

200 mg ORIFUNGAL M COM x 10

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Janssen-Cilag

65,74

43,40

43,40

FITONAL 200 mg COM x 20

Andromaco

39,69

14,73

14,73

MICORAL COM x 30

Investi

86,20

56,91

56,91

ORIFUNGAL M COM x 30

Janssen-Cilag

160,08

105,69

105,69

2000 mg QUADION CRE x 15

Fortbenton Co.

40,53

26,76

26,76

KETOLEF 2% CRE x 15

Biosintex-Ofar

43,50

28,80

28,80

ORIFUNGAL CRE x 15

Janssen-Cilag

71,09

46,93

46,93

KEDUO 2% CRE x 15

Raymos

76,80

50,70

50,70

FITONAL CRE x 30

Andromaco

41,74

23,14

23,14

MICORAL CRE x 30

Investi

44,05

26,23

26,23

Janssen-Cilag

133,01

88,72

88,72

Janssen-Cilag

76,88

20,30

20,30

122,03

80,18

80,18

Janssen-Cilag

57,64

38,63

38,63

EUMICEL 2% SHA x 100

Cassara

48,90

26,96

26,96

KEDUO 2% SHA x 100

Raymos

81,39

53,73

53,73

MICORAL SHA x 100

Investi

95,75

63,21

63,21

PITYLIS KETOCONAZOL 2% SHA x 120

Raymos

58,26

28,41

28,41

ORIFUNGAL SHA x 120

Janssen-Cilag

109,90

73,64

73,64

QUADION SHA x 250

Fortbenton Co.

89,07

19,89

19,89

Janssen-Cilag

57,88

38,03

38,03

Finadiet

41,18

25,72

25,72

5,10

1,02

1,02

Bernabo

27,86

8,29

8,29

Casasco

32,49

14,82

14,82

Roemmers

37,17

21,04

21,04

Raffo

26,76

5,35

5,35

Bag

83,83

54,49

54,49

Pfizer

84,74

55,95

55,95

Raffo

15,80

3,16

3,16

Bernabo

27,34

10,82

10,82

Pfizer

47,22

31,17

31,17

Bernabo

70,69

18,57

18,57

20 mg ORIFUNGAL SUS x 100


400 mg ORIFUNGAL OVU x
FANGAN OVU x

Shampoo

30/12/2014

Lazar

2000 mg ORIFUNGAL SHA x 60

2000 mg ORIFUNGAL TAL x 20

KETOROLAC
Ampollas

30 mg KERAMIX 30 mg AMP x

30 mg FADA KETOROLAC 30 mg 1 ML AMP x


SINALGICO 30 mg AMP x

TELEDOL 30 mg 2 ML AMP x

DORIXINA FORTE NF 30 mg AMP x


UNICALM 30 mg 1 ML AMP x
ZERODOL 30 mg AMP x
DOLTEN 30 mg AMP x

SINALGICO 60 mg AMP x

SINALGICO 60 mg AMP x

DORIXINA FORTE NF 60 mg AMP x

99,14

56,78

56,78

113,67

75,04

75,04

Pfizer

122,98

81,19

81,19

Bag

127,71

83,01

83,01

Fada Pharma

12,50

2,50

2,50

KETOROLAC AHIMSA COM x 10

Fada Pharma

14,85

2,97

2,97

KETOROLAC NORTHIA 10 mg COM x 10

Northia

24,57

4,91

4,91

UNICALM 10 mg COM x 10

Raffo

26,17

5,85

5,85

KERAMIX 10 mg COM x 10

Finadiet

41,18

22,99

22,99

DORIXINA FORTE NF 10 mg COM x 10

Roemmers

51,69

34,13

34,13

DOLTEN 60 mg AMP x
ZERODOL 60 mg AMP x

Fada Pharma

Casasco

TELEDOL 60 mg 2 ML AMP x

Comprimidos

60 mg UNICALM 60 mg 2 ML AMP x

DOLTEN 60 mg AMP x

3
3

10 mg FADA KETOROLAC 10 mg COM x 10

Roemmers

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

Pgina 73 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
10 mg DOLTEN 10 mg COM x 10

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Pfizer

59,06

38,99

38,99

KEMANAT 10 mg COM x 10

Microsules Argentina

59,87

39,52

39,52

ZERODOL 10 mg COM x 10

Bag

65,56

43,28

43,28

KETOROLAC NORTHIA 10 mg COM x 20

Northia

40,98

8,20

8,20

KETOROLAC FABRA 10 mg COM x 20

Fabra

61,54

20,04

20,04

BLOCADOL 10 mg COM x 20

Ivax Argentina

69,68

27,88

27,88

TELEDOL 10 mg COM x 20

Casasco

74,92

35,60

35,60

KEMANAT 10 mg COM x 20

Microsules Argentina

80,66

47,18

47,18

SINALGICO 10 mg COM x 20

Bernabo

86,88

52,00

52,00

DOLTEN 10 mg COM x 20

Pfizer

89,21

55,04

55,04

Raffo

34,54

7,72

7,72

BLOCADOL 20 mg COM x 10

Ivax Argentina

69,36

40,54

40,54

KETOROLAC RICHET 20 mg COM x 10

Richet

70,03

44,49

44,49

TENKDOL 20 mg COM x 10

Biotenk

71,50

46,47

46,47

KEMANAT 20 mg COM x 10

Microsules Argentina

79,49

52,48

52,48

KERAMIX 20 mg COM x 10

Finadiet

81,13

53,56

53,56

TELEDOL 20 mg COM x 10

Casasco

82,58

54,52

54,52

DUPRAC 20 mg COM x 10

Savant

85,48

56,43

56,43

SINALGICO 20 mg COM x 10

Bernabo

88,42

58,38

58,38

DOLTEN 20 mg COM x 10

Pfizer

89,21

58,90

58,90

ZERODOL 20 mg COM x 10

Bag

94,45

62,06

62,06

DORIXINA FORTE NF 20 mg COM x 10

Roemmers

96,64

63,80

63,80

UNICALM 20 mg COM x 20

Raffo

57,34

12,80

12,80

KETOROLAC NORTHIA 20 mg COM x 20

Northia

64,32

12,86

12,86

KETOROLAC RICHET 20 mg COM x 20

Richet

82,16

18,34

18,34

DIPGIX 20 mg COM x 20

Northia

85,41

19,07

19,07

BLOCADOL 20 mg COM x 20

Ivax Argentina

109,06

38,70

38,70

KETOROLAC FABRA 20 mg COM x 20

Fabra

114,20

51,55

51,55

TENKDOL 20 mg COM x 20

Biotenk

120,17

62,37

62,37

TELEDOL 20 mg COM x 20

Casasco

129,99

69,28

69,28

KERAMIX 20 mg COM x 20

Finadiet

136,03

77,50

77,50

DOLTEN 20 mg COM x 20

Pfizer

140,20

83,05

83,05

SINALGICO 20 mg COM x 20

Bernabo

140,89

83,96

83,96

KEMANAT 20 mg COM x 20

Microsules Argentina

138,30

86,58

86,58

Finadiet

57,81

30,15

30,15

KETOROLAC NORTHIA 10 mg SUBLIN COM x 10

Northia

26,75

5,35

5,35

UNICALM 10 mg SUBL. COM x 10

Raffo

31,31

6,99

6,99

DIPGIX SL 10 mg COM x 10

Lab Internacional
Argentino

41,74

9,81

9,81

CALMOFAR SL 10 mg COM x 10

Wunderpharm S.R.L.

47,41

15,48

15,48

KEMANAT SL SUBLINGUAL COM x 10

Microsules Argentina

47,66

15,73

15,73

TENKDOL SL 10 mg COM x 10

Biotenk

50,19

19,26

19,26

BLOCADOL SL 10 mg COM x 10

Ivax Argentina

62,40

34,05

34,05

KETOROLAC RICHET 10 mg SUBLIN. COM x 10

Richet

67,88

44,32

44,32

TELEDOL 10 mg SL COM x 10

Casasco

77,25

51,00

51,00

DUPRAC SL 10 mg COM x 10

Savant

77,61

51,24

51,24

SINALGICO SL 10 mg SUBLINGUAL COM x 10

Bernabo

82,12

54,22

54,22

DOLTEN SL 10 mg COM x 10

Pfizer

82,92

54,74

54,74

ZERODOL SL 10 mg COM x 10

Bag

85,27

55,43

55,43

DORIXINA FORTE NF SUBL. 10 mg COM x 10

Roemmers

89,03

58,78

58,78

20 mg UNICALM 20 mg COM x 10

10 mg KERAMIX RAPID 10 mg Subl. COM x 10

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

Pgina 74 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

10 mg SINALGICO SL 10 mg SUBLINGUAL COM x 20


DORIXINA FORTE NF SUBL. 10 mg COM x 20

Gotas
Lquido

500 mg KETOPHARM OFTALMICO GTS x


5 mg POENKERAT OFT. SOL x

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Bernabo

134,88

81,57

81,57

Roemmers

149,64

98,79

98,79

Raymos

74,14

18,21

18,21

Poen

72,34

47,53

47,53

179,20

118,30

118,30
57,56

450 mg ACUVAIL Viales Unids. 0.4 ml OFT. SOL x 30

Allergan-Loa

500 mg KLENAC OFT. SOL x

Klonal

99,30

57,56

ACULAR OFT. SOL x

Allergan-Loa

125,24

82,68

82,68

Allergan-Loa

170,40

111,96

111,96

32,72

18,37

18,37

113,09

74,51

74,51

80,81

53,09

53,09

ACULAR LS OFT. SOL x

KETOTIFENO
Comprimidos

1 mg ZADITEN COM x 20

Novartis

RESPIMEX COM x 60
Gotas

Lquido

Pfizer

0,25 mg ZADITEN 0.025% OFT. GTS x

Novartis

50 mg FARMOFTAL OFT. GTS x 10

Hlb Pharma

144,80

95,60

95,60

20 mg RESPIMEX JBE x 200

Pfizer

129,03

84,77

84,77

50 mg ANTILERG OFTL SOL x 10

Raymos

97,25

63,27

63,27

110,85

74,63

74,63

Elea

49,67

30,50

30,50

Craveri

50,18

31,16

31,16

TENUALAX JBE x 120

Bag

51,04

32,26

32,26

LACTULON JBE x 120

Lazar

62,32

41,14

41,14

GENOCOLAN LACTULOSA JBE x 250

Craveri

75,94

24,36

24,36

LACTULON JBE x 250

Lazar

103,97

64,18

64,18

Lazar

46,90

21,93

21,93

LACTULON 10 g SOB x 16

Lazar

126,39

83,44

83,44

HYALCROM NF OFT SOL x 10

Bausch & Lomb Argentina

LACTULOSA
Lquido

Sobres

65000 MEDIXIN JBE x 120


mg
GENOCOLAN LACTULOSA JBE x 120

10000 LACTULON 10 g SOB x


mg

LAMOTRIGINA
Comprimidos

25 mg LAGOTRAN 25 mg COM x 30

Beta

104,61

53,44

53,44

LAMOCAS 25 mg COM x 30

Casasco

107,99

58,13

58,13

LATRIGIN 25 mg RANUR. COM x 30

Baliarda

116,41

69,45

69,45

LAMIRAX 25 mg COM x 30

Elea

121,58

76,17

76,17

50 mg LAMOCAS 50 mg COM x 30

Casasco

168,70

95,99

95,99

LATRIGIN 50 mg RANUR. COM x 30

Baliarda

174,07

103,14

103,14

LAGOTRAN 50 mg COM x 30

Beta

175,25

104,70

104,70

LAMIRAX 50 mg COM x 30

Elea

177,79

108,02

108,02

Beta

123,34

60,92

60,92

LATRIGIN 100 mg RANUR. COM x 30

Baliarda

273,65

158,88

158,88

LAGOTRAN 100 mg COM x 30

Beta

274,71

160,11

160,11

LAMIRAX 100 mg COM x 30

Elea

284,06

172,60

172,60

LAMOCAS 100 mg COM x 30

Casasco

290,18

180,55

180,55

LAMIRAX 100 mg COM x 60

Elea

568,11

345,20

345,20

100 mg LAGOTRAN 100 mg COM x 15

200 mg LAGOTRAN 200 mg COM x 30

Beta

459,88

274,50

274,50

LATRIGIN 200 mg RANUR. COM x 30

Baliarda

461,82

277,05

277,05

LAMOCAS 200 mg COM x 30

Casasco

474,42

293,47

293,47

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

Pgina 75 de 130

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DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

200 mg LAMIRAX 200 mg COM x 30


5 mg LAMICTAL DISPERSABLE 5 mg COM x 30
25 mg EPILEPAX 25 mg DISPERS. COM x 30
LAMICTAL DISPERSABLE 25 mg COM x 30
50 mg EPILEPAX 50 mg DISPERS. COM x 30
LAMICTAL DISPERSABLE 50 mg COM x 30
100 mg EPILEPAX 100 mg DISPERS. COM x 30
LAMICTAL DISPERSABLE 100 mg COM x 30
200 mg EPILEPAX 200 mg DISPERS. COM x 30

A CARGO A CARGO
REF
AFILIADO CRONICO

Elea

488,99

312,18

312,18

GlaxoSmithkline

151,82

99,75

99,75

Ivax Argentina

115,50

68,25

68,25

GlaxoSmithkline

250,20

165,18

165,18

Ivax Argentina

168,41

95,60

95,60

GlaxoSmithkline

429,01

283,23

283,23

Ivax Argentina

278,81

165,72

165,72

GlaxoSmithkline

648,02

427,82

427,82

Ivax Argentina

LAMICTAL DISPERSABLE 200 mg COM x 30

PRECIO

GlaxoSmithkline

489,12

312,35

312,35

1.043,27

688,76

688,76

LANSOPRAZOL
Comprimidos

15 mg MESACTOL 15 mg CAP x 15

Sandoz

44,67

16,84

16,84

MESACTOL 15 mg CAP x 30

Sandoz

83,51

24,70

24,70

LANZOPRAL MD 15 mg CAP x 30

Roemmers

126,18

83,01

83,01

89,43

37,49

37,49

84,82

84,82

30 mg MESACTOL 30 mg CAP x 15

Sobres

Sandoz

LANZOPRAL 30 mg CAP x 15

Roemmers

128,48

MESACTOL 30 mg CAP x 30

Sandoz

154,85

41,77

41,77

LANZOPRAL 30 mg CAP x 30

Roemmers

242,16

158,67

158,67

15 mg LANZOPRAL MD SUSP. SOB x 15

Roemmers

86,18

56,90

56,90

LANZOPRAL MD SUSP. SOB x 30

Roemmers

170,21

111,68

111,68

30 mg LANZOPRAL SUSP. SOB x 15

Roemmers

86,18

56,90

56,90

LANZOPRAL SUSP. SOB x 30

Roemmers

170,21

111,74

111,74

87,67

19,58

19,58

Pharmadorf

127,78

70,14

32,50

TANAMOF OFT. SOL x 2,5

Amhof

115,73

53,19

25,85

GLAUCOGESIC OFT. SOL x 2,5

Atlas

121,98

62,12

32,60

GLAUCOSTAT 50 MCG/ML OFT. SOL x 2,5

Raymos

140,06

86,45

42,32

LOUTEN OFT. SOL x 2,5

Poen

154,29

101,86

66,16

XALATAN OFT. SOL x 2,5

Pfizer

158,73

104,79

68,95

OCUPROST OFT. SOL x 2,5

Bausch & Lomb Argentina

157,38

105,96

59,83

LATANOPROST
Lquido

0,005 mg LATANOFLAX 50 MCG/ML OFT. SOL x 2,5


0,05 mg LATANOPROST DORF 50 MCG/ML OFT SOL x

Sidus
2

LATANOPROST + TIMOLOL
Lquido

0,05 mg LATIMODORF OFT. SOL x 2,5

96,44

25,68

21,54

GLAUCOGESIC T OFT. SOL x 2,5

Pharmadorf
Atlas

102,89

31,85

22,98

GLAUCOSTAT T OFT. SOL x 2,5

Raymos

140,39

84,80

41,90

LOUTEN T OFT. SOL x 2,5

Poen

152,41

100,19

59,96

XALACOM OFT. SOL x 2,5

Pfizer

171,49

113,22

96,00

95,30

19,06

19,06

LEFLUNOMIDA
Comprimidos

20 mg LEFLUNOMIDA SC 20 mg COM x 15

Spedrog Caillon

LEFLUAR 20 mg COM x 30

Astrazeneca

290,54

143,07

143,07

AFIANCEN 20 mg COM x 30

Buxton

310,34

184,16

184,16

INMUNOARTRO 20 mg RECUB. COM x 30

Beta

324,47

189,61

189,61

FILARTROS 20 mg RECUB. COM x 30

Ivax Argentina

435,00

287,18

287,18

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

Pgina 76 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

20 mg LEFLUNOMIDA SC 20 mg COM x 30
ARAVA 20 mg COM x 30
100 mg INMUNOARTRO 100 mg RECUB. COM x
FILARTROS 100 mg RECUB. COM x

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Spedrog Caillon

444,06

293,16

293,16

Sanofi Aventis

557,72

368,21

368,21

96,21

40,47

40,47

128,72

84,57

84,57

Beta
Ivax Argentina

LEUCOCIANIDOL +
HIDROCORTISONA ACETATO
+ LIDOCAINA
Pomada

1000 mg PROCTO IKATRAL PDA x 10

Baliarda

40,21

26,55

26,55

PROCTO IKATRAL PDA x 30

Baliarda

95,36

55,96

55,96

Investi

209,87

137,89

85,05

Investi

101,38

55,76

30,35

Investi

252,98

167,01

131,22

200 mg MADOPAR 250 COM x 30

Investi

164,80

108,80

67,90

MADOPAR 250 COM x 50

Investi

272,15

178,47

109,59

LEVODOPA + BENSERAZIDA
Comprimidos

50 mg MADOPAR DISPERSABLE 62.5 mg TAB x 100


100 mg MADOPAR HBS 125 mg CAP x 50
MADOPAR DISPERSABLE 125 mg TAB x 100

LEVODOPA + CARBIDOPA
Comprimidos

100 mg LEBOCAR 100-25 COM x 30

Pfizer

52,89

34,92

22,96

PARKINEL 100/25 mg COM x 30

Bag

62,68

41,38

35,30

LEBOCAR 100-25 COM x 60

Pfizer

88,96

50,46

23,26

356,33

234,12

144,32

200 mg SINEMET CR COM x 30

Merck Sharp & Dhome

250 mg PRIKAP 250/25 mg COM x 30

Elea

60,89

25,77

13,59

LEBOCAR 250-25 COM x 30

Pfizer

73,10

42,87

20,10

PARKINEL 250/25 mg COM x 30

Bag

92,22

60,88

45,25

SINEMET 250/25 mg COM x 30

Merck Sharp & Dhome

178,17

117,63

100,33

SINEMET 250/25 mg COM x 50

MSD Arrgentina SR

296,94

196,04

167,21

LEBOCAR 250-25 COM x 60

Pfizer

132,23

66,66

34,41

PARKINEL 250/25 mg COM x 60

Bag

206,97

136,64

116,55

SINEMET 250/25 mg COM x 60

Merck Sharp & Dhome

356,33

235,25

200,65

Sanofi Aventis

35,14

23,20

17,87

Ivax Argentina

41,80

23,59

10,88

Sanofi Aventis

115,11

76,00

52,73

Ivax Argentina

165,82

99,00

50,44

100 mg NOZINAN 100 mg COM x 50

Sanofi Aventis

178,45

117,25

72,27

10 mg NOZINAN MINOR GTS x 30

Sanofi Aventis

63,54

41,75

25,73

Bayer (PH)

78,75

51,74

51,74

Elea

33,14

21,78

21,78

LEVOMEPROMAZINA
Comprimidos

2 mg NOZINAN 2 mg COM x 30
TOGREL 2 mg COM x 50
25 mg NOZINAN 25 mg COM x 30
TOGREL 25 mg COM x 50

Gotas

LEVONORGESTREL
Comprimidos

0,03 mg MICROLUT GRA x 35


0,75 mg SECUFEM 0.75 mg COM x

1,5 mg MARPLAN 1.5 mg COM x

Astrazeneca

33,36

22,02

22,02

SECUFEM 1.5 mg COM x

Elea

51,89

34,09

34,09

LEVONORGESTREL +
ETINILESTRADIOL

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

Pgina 77 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
0,09 mg FEMEXIN MD CONSTANTE COM x 28
0,1 mg MIRANOVA CAP x 21

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Elea

59,20

39,08

39,08

Bayer (PH)

30,31

20,01

20,01

APRIL COM x 21

Gador

33,68

22,23

22,23

FEMEXIN COM x 21

Elea

38,85

25,65

25,65

NORFEN (21+7) COM x 28

Bag

28,19

9,92

9,92

APRIL 28 COM x 28

Gador

33,68

17,95

17,95

FEMEXIN 28 COM x 28

Elea

38,85

24,79

24,79

ELEKTRA COM x 28

Craveri

39,41

25,50

25,50

Gador

48,76

30,13

30,13

Bayer (PH)

67,60

44,63

44,63

0,125 mg TRIDESTAN N COM x 21


TRIQUILAR GRA x 21
0,15 mg EVELEA MD COM x 21

Elea

14,13

3,15

3,15

NORGESTREL PLUS GRA x 21

Biotenk

28,97

13,96

13,96

MICROVLAR COM x 21

Bayer (PH)

41,25

27,23

27,23

MICROGYNON GRA x 21

Bayer (PH)

60,04

39,64

39,64

NORDETTE GRA x 21

Pfizer

73,20

48,33

48,33

ELEKTRA MAX COM x 28

Craveri

43,98

23,96

23,96

Bayer (PH)

75,38

49,53

49,53

Elea

102,85

67,57

67,57

Elea

23,99

5,36

5,36

GlaxoSmithkline

46,95

31,00

26,44

0,25 mg NEOGYNON GRA x 21


2 mg DOS DIAS N COM x

LEVOTIROXINA
Comprimidos

0,025 mg EUTHYROX 25 mcg COM x 50


LEVOTIROXINA GSK 25 mcg COM x 50
0,05 mg EUTHYROX 50 mcg COM x 50

Elea

24,50

6,01

5,48

L-T 50 mcg COM x 50

Craveri

25,57

7,03

5,71

T4 MONTPELLIER 50 mcg COM x 50

Montpellier

35,88

21,05

9,89

LEVOTIROXINA GSK 50 mcg COM x 50

GlaxoSmithkline

46,95

31,00

26,44

SYNTHROID 50 mcg COM x 60

Abbott

41,46

23,13

10,23

0,075 mg EUTHYROX 75 mcg COM x 50

Elea

33,30

12,71

7,44

T4 MONTPELLIER 75 mcg COM x 50

Montpellier

45,81

29,90

17,24

LEVOTIROXINA GSK 75 mcg COM x 50

GlaxoSmithkline

48,83

32,24

22,13

SYNTHROID 75 mcg COM x 60

Abbott

43,13

19,96

9,63

0,088 mg EUTHYROX 88 mcg COM x 50

Elea

37,79

17,33

8,56

T4 MONTPELLIER 88 mcg COM x 50

Montpellier

48,51

31,74

19,52

LEVOTIROXINA GSK 88 mcg COM x 50

GlaxoSmithkline

49,77

32,86

21,30

0,1 mg EUTHYROX 100 mcg COM x 50

Elea

36,70

12,59

8,20

L-T 100 mcg COM x 50

Craveri

38,71

15,68

8,65

T4 MONTPELLIER 100 mcg COM x 50

Montpellier

52,83

34,88

21,27

LEVOTIROXINA GSK 100 mcg COM x 50

GlaxoSmithkline

55,07

36,36

25,09

SYNTHROID 100 mcg COM x 60

Abbott

48,63

22,05

10,86

0,112 mg EUTHYROX 112 mcg COM x 50

Elea

53,77

24,03

12,01

T4 MONTPELLIER 112 mcg COM x 50

Montpellier

66,37

41,28

22,57

LEVOTIROXINA GSK 112 mcg COM x 50

GlaxoSmithkline

74,86

49,42

34,63

0,125 mg EUTHYROX 125 mcg COM x 50

Elea

54,45

20,66

12,15

T4 MONTPELLIER 125 mcg COM x 50

Montpellier

75,06

48,99

29,93

LEVOTIROXINA GSK 125 mcg COM x 50

GlaxoSmithkline

79,51

52,49

36,16

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

Pgina 78 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

0,137 mg EUTHYROX 137 mcg COM x 50

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Elea

58,50

22,38

13,07

T4 MONTPELLIER 137 mcg COM x 50

Montpellier

78,62

50,21

29,05

LEVOTIROXINA GSK 137 mcg COM x 50

GlaxoSmithkline

86,89

57,36

40,66

0,15 mg EUTHYROX 150 mcg COM x 50

Elea

56,02

18,34

12,51

L-T 150 mcg COM x 50

Craveri

57,78

21,09

12,90

T4 MONTPELLIER 150 mcg COM x 50

Montpellier

80,83

52,88

32,07

LEVOTIROXINA GSK 150 mcg COM x 50

GlaxoSmithkline

89,59

59,15

44,15

Elea

64,61

25,34

14,43

0,175 mg EUTHYROX 175 mcg COM x 50


T4 MONTPELLIER 175 mcg COM x 50

Montpellier

LEVOTIROXINA GSK 175 mcg COM x 50

GlaxoSmithkline

0,2 mg EUTHYROX 200 mcg COM x 50


T4 MONTPELLIER 200 mcg COM x 50

86,06

54,93

31,02

101,86

67,25

52,81

Elea

70,51

33,82

18,14

Montpellier

90,85

59,98

38,72

Eurolab

99,00

65,04

65,04

LIDOCAINA
Apsitos

4000 mg LMX 4 CREMA x 5 g + APO x

Gel

5000 mg INDICAN 5% GEL x 18

Sidus

36,81

10,05

10,05

Gotas

4000 mg XYLOCAINA 4% GTS x 25

Astrazeneca

84,58

55,57

55,57

Jalea

2000 mg XYLOCAINA JAL x 25

Astrazeneca

49,96

32,98

32,98

Lquido

2000 mg XYLOCAINA VISCOSA FCO.GOT. SOL x 50

Astrazeneca

47,42

23,60

23,60

Pomada

2000 mg XYLOCAINA PDA x 30

Astrazeneca

95,97

63,06

63,06

0,02 mg TRI-IODO-TIRONINA COM x 20

GlaxoSmithkline

20,31

13,34

8,23

0,01 mg LEVOTRIN COM x 50

GlaxoSmithkline

35,94

23,61

23,61

0,03 mg EUTROID 2 g TAB x 15

Elea

35,26

23,28

23,28

125 mg LAZALGINA 125 mg COM x 20

Lazar

24,27

11,69

11,69

DOLEX COM x 20

Ivax Argentina

27,21

15,47

15,47

DORIXINA COM x 20

Roemmers

31,02

20,41

20,41

5 mg TENSOPRIL 5 mg COM x 20

Ivax Argentina

66,97

44,21

44,21

TENSOPRIL 5 mg COM x 40

Ivax Argentina

103,87

64,89

64,89
7,46

LIOTIRONINA
Comprimidos

LIOTIRONINA + LEVOTIROXINA
Comprimidos

LISINA CLONIXINATO
Comprimidos

LISINOPRIL
Comprimidos

10 mg TERSIF MD 10 mg MULTIRRAN. COM x 20

Baliarda

33,44

7,46

SEDOTENSIL 10 COM x 20

Sanofi Aventis

43,29

8,66

8,66

TENSOPRIL 10 mg COM x 20

Ivax Argentina

113,99

75,26

75,26

LISINAL 10 mg COM x 30

Beta

78,56

17,54

17,54

ZESTRIL 10 mg COM x 30

Astrazeneca

84,74

22,07

22,07

DOXAPRIL 10 mg COM x 30

Bag

110,76

51,17

51,17

TENSOPRIL 10 mg COM x 40

Ivax Argentina

187,64

123,88

123,88

SEDOTENSIL 10 COM x 50

Sanofi Aventis

99,92

19,98

19,98

ZESTRIL 10 mg COM x 60

Astrazeneca

227,16

121,23

121,23

20 mg TERSIF MD 20 mg MULTIRRAN. COM x 20


TENSOPRIL 20 mg COM x 20

Baliarda
Ivax Argentina

42,70

9,53

9,53

124,82

82,41

82,41

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

Pgina 79 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
20 mg LISINAL 20 mg COM x 30

30/12/2014
LABORATORIO
Beta

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

96,73

24,78

24,78

ZESTRIL 20 mg COM x 30

Astrazeneca

145,52

82,89

82,89

TENSOPRIL 20 mg COM x 40

Ivax Argentina

222,96

147,20

147,20

ZESTRIL 20 mg COM x 60

Astrazeneca

330,08

217,92

217,92

LITIO CARBONATO
Comprimidos

300 mg CEGLUTION 300 mg TAB x 20

Ariston

57,09

37,69

32,15

CEGLUTION 300 mg TAB x 50

Ariston

127,56

84,22

69,25

CEGLUTION 300 mg TAB x 90

Ariston

186,99

118,05

66,56

GlaxoSmithkline

135,33

81,70

38,09

CEGLUTION XR 450 mg COM x 30

Ariston

107,29

70,83

59,41

CEGLUTION XR 450 mg COM x 60

Ariston

194,22

128,22

92,24

2,63

450 mg ESKALIT SR 450 mg COM x 50

LOPERAMIDA
Comprimidos

2 mg ELCOMAN COM x 10

Sandoz

13,15

2,63

COLIFILM COM x 10

Eurofarma

26,78

5,98

5,98

VILTAR COM x 10

Dallas

34,88

10,48

10,48

CUSTEY 2 mg COM x 10

Microsules Argentina

34,09

11,21

11,21

DOTALSEC 2 mg COM x 10

Fada Pharma

37,15

15,06

15,06

LANSEKA 2 mg TAB x 10

Investi

42,70

21,61

21,61

SUPRASEC COM x 10

Janssen-Cilag

42,92

21,92

21,92

REGULANE COM x 10

Finadiet

64,39

42,51

42,51

VILTAR COM x 20

Dallas

43,65

9,75

9,75

LANSEKA 2 mg TAB x 20

Investi

66,81

18,13

18,13

REGULANE COM x 20

Finadiet

113,21

74,74

74,74

COLIFILM COM x 50

Eurofarma

75,98

16,96

16,96

7,10

1,42

1,42

LORATADINA
Comprimidos

10 mg FADA LORATADINA 10 mg COM x 10

Fada Pharma

HISPLEX 10 mg COM x 10

Biotenk

13,63

2,73

2,73

SINALER 10 mg COM x 10

Cassara

14,90

2,98

2,98

DEVEDRYL 10 mg COM x 10

Klonal

13,80

3,08

3,08

NILTRO 10 mg COM x 10

Duncan

17,01

3,80

3,80

DEXITIS 10 mg COM x 10

Savant

18,02

4,03

4,03

LORATADINA ILAB 10 mg COM x 10

Inmunolab

21,94

6,01

6,01

BEDIX COM x 10

Bernabo

33,92

20,70

20,70

BILOINA COM x 10

Andromaco

40,86

26,98

26,98

LISALER COM x 10

Fortbenton Co.

41,52

27,41

27,41

OMEGA 100 L COM x 10

Omega

60,66

40,84

40,84

ALERPRIV 10 mg COM x 10

Montpellier

64,50

42,58

42,58

CLARITYNE COM x 10

MSD Arrgentina SR

107,53

70,99

70,99

VAGRAN 10 mg COM x 12

Finadiet

45,12

29,79

29,79

SINALER 10 mg COM x 20

Cassara

28,77

6,43

6,43

VAGRAN 10 mg COM x 20

Finadiet

63,87

34,12

34,12

HISPLEX 10 mg COM x 30

Biotenk

37,78

7,56

7,56

BILOINA COM x 30

Andromaco

70,56

19,67

19,67

BEDIX COM x 30

Bernabo

77,37

27,69

27,69

VAGRAN 10 mg COM x 30

Finadiet

90,93

47,55

47,55

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

Pgina 80 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

Lquido

NOMBRE COMERCIAL
10 mg LISALER COM x 30

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Fortbenton Co.

115,64

76,35

76,35

ALERPRIV 10 mg COM x 30

Montpellier

155,90

102,92

102,92

CLARITYNE COM x 30

MSD Arrgentina SR

263,01

173,64

173,64

Cassara

24,90

9,68

9,68

BILOINA JBE x 60

Andromaco

26,85

6,74

6,74

LISALER JBE x 60

Fortbenton Co.

35,12

18,00

18,00

ALERPRIV JBE x 60

Montpellier

45,69

30,17

30,17

OMEGA 100 L JBE x 60

Omega

66,88

45,03

45,03

CLARITYNE JBE x 60

MSD Arrgentina SR

103,39

68,26

68,26

ALERPRIV JBE x 120

Montpellier

88,18

58,21

58,21

5 mg SINALER JBE x 50

LORAZEPAM
Comprimidos

1 mg KALMALIN 1 mg COM x 20

Bag

11,97

5,13

5,13

LORAZEPAN CHOBET 1 mg COM x 20

Soubeiran Chobet

12,18

5,44

5,44

SIDENAR 1 mg COM x 20

Ivax Argentina

14,42

8,55

8,55

EMOTIVAL 1 mg COM x 30

Ivax Argentina

20,49

11,30

11,30

TRAPAX 1 mg COM x 30

Pfizer

29,67

19,59

19,59

KALMALIN 1 mg COM x 40

Bag

16,68

3,72

3,72

SIDENAR 1 mg COM x 50

Ivax Argentina

28,96

11,39

11,39

LORAZEPAN CHOBET 1 mg COM x 50

Soubeiran Chobet

30,45

13,61

13,61

APLACASSE 1 mg COM x 50

Menarini

49,74

32,84

32,84

TRAPAX 1 mg COM x 50

Pfizer

51,56

34,04

34,04

EMOTIVAL 1 mg COM x 60

Ivax Argentina

35,84

15,30

15,30

TRAPAX 1 mg COM x 60

Pfizer

56,98

37,62

37,62

Soubeiran Chobet

18,43

12,15

12,15

EMOTIVAL 2 mg COM x 30

Ivax Argentina

27,58

18,14

18,14

LORAZEPAN CHOBET 2 mg COM x 50

Soubeiran Chobet

46,12

30,42

30,42

EMOTIVAL 2 mg COM x 60

Ivax Argentina

53,98

34,79

34,79

2,5 mg SIDENAR 2.5 mg COM x 20

2 mg LORAZEPAN CHOBET 2 mg COM x 20

Ivax Argentina

16,10

5,23

5,23

KALMALIN 2.5 mg COM x 20

Bag

20,95

11,73

11,73

TRAPAX 2.5 mg COM x 30

Pfizer

42,69

28,18

28,18

KALMALIN 2.5 mg COM x 40

Bag

49,43

32,63

32,63

SIDENAR 2.5 mg COM x 50

Ivax Argentina

41,37

14,83

14,83

APLACASSE 2.5 mg COM x 50

Menarini

54,66

33,55

33,55

TRAPAX 2.5 mg COM x 50

Pfizer

65,72

43,39

43,39

TRAPAX 2.5 mg COM x 60

Pfizer

84,38

55,70

55,70

Pfizer

58,34

38,33

38,33

Gador

108,34

71,53

45,75

PRISONIL 50 mg COM x 15

Lepetit

33,00

6,60

6,60

CARTAN 50 mg COM x 15

Eurofarma

53,70

10,74

10,74

TEMISARTAN 50 mg COM x 15

Temis-Lostalo

60,20

13,45

13,45

LOSARTAN 50 mg NORTHIA COM x 15

Northia

62,37

13,56

13,56

LOPLAC 50 mg COM x 15

Casasco

88,95

43,08

23,13

1 mg TRAPAX 1 mg SUBLING. COM x 30

LOSARTN
Comprimidos

50 mg PAXON 50 mg COM x 14

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

Pgina 81 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
50 mg NITEN 50 mg COM x 15

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Ivax Argentina

120,02

79,24

TACARDIA 50 mg COM x 28

Richmond

204,98

133,24

78,88

PAXON 50 mg COM x 28

Gador

238,84

157,68

121,47

PRISONIL 50 mg COM x 30

Lepetit

66,00

14,80

14,80

VASEXTEN 50 mg COM x 30

Bernabo

130,56

29,15

29,15

LOSARTAN 50 mg NORTHIA COM x 30

Northia

183,24

101,71

101,71

CARTAN 50 mg COM x 30

Eurofarma

203,16

120,75

54,83

LOPLAC 50 mg COM x 30

Casasco

210,31

130,09

63,25

TACARDIA 50 mg COM x 30

Richmond

219,60

142,74

86,38

FENSARTAN 50 mg COM x 30

Elea

229,62

151,59

91,69

TEMISARTAN 50 mg COM x 30

Temis-Lostalo

233,52

154,17

97,22

NITEN 50 mg COM x 30

Ivax Argentina

240,82

158,99

107,39

LOSACOR 50 mg COM x 30

Roemmers

243,77

160,94

111,45

COZAAREX 50 mg COM x 30

Merck Sharp & Dhome

255,27

168,53

126,94

PAXON 50 mg COM x 30

Gador

258,82

170,87

133,96

TACARDIA 50 mg COM x 56

Richmond

366,14

211,63

92,53

PAXON 50 mg COM x 56

Gador

437,16

288,61

188,28

TACARDIA 50 mg COM x 60

Richmond

399,76

236,64

122,67

PAXON 50 mg COM x 60

Gador

479,03

316,25

216,41

LOSACOR 50 mg COM x 60

Roemmers

480,19

317,02

245,76

100 mg TACARDIA 100 mg COM x 28

63,13

Richmond

250,37

162,74

97,44

PAXON 100 mg COM x 28

Gador

306,93

202,64

168,93

PRISONIL 100 mg COM x 30

Lepetit

90,00

20,40

20,40

VASEXTEN 100 mg COM x 30

Bernabo

164,14

38,32

36,65

CARTAN 100 mg COM x 30

Eurofarma

264,59

169,60

92,57

LOSACOR 100 mg COM x 30

Roemmers

270,70

177,33

99,13

LOPLAC 100 mg COM x 30

Casasco

274,56

181,26

104,74

FENSARTAN 100 mg COM x 30

Elea

280,45

185,15

113,17

NITEN 100 mg COM x 30

Ivax Argentina

294,53

194,45

132,84

TEMISARTAN 100 mg COM x 30

Temis-Lostalo

308,62

203,75

151,91

PAXON 100 mg COM x 30

Gador

320,60

211,66

170,44

FENSARTAN CRONOS 100 mg COM x 30

Elea

331,97

218,12

134,45

COZAAREX 100 mg COM x 30

Merck Sharp & Dhome

338,10

223,21

190,12

PAXON 100 mg COM x 56

Gador

547,79

361,65

251,09

PAXON 100 mg COM x 60

Gador

504,96

308,04

151,43

Lepetit

36,00

9,60

9,60

LOSARTN +
HIDROCLOROTIAZIDA
Comprimidos

50 mg PRISONIL D 50/12.5 mg COM x 15


TACARDIA D 50/12.5 mg COM x 28

Richmond

244,47

157,39

82,84

PAXON D 50/12.5 mg COM x 28

Gador

292,69

193,23

147,06

PRISONIL D 50/12.5 mg COM x 30

Lepetit

80,00

17,60

17,60

VASEXTEN D 50/12.5 mg COM x 30

Bernabo

157,90

35,26

35,26

CARTAN D 50/12.5 mg COM x 30

Eurofarma

238,61

136,03

58,67

LOPLAC D 50/12.5 mg COM x 30

Casasco

246,19

146,11

64,09

NITEN D 50/12.5 mg COM x 30

Ivax Argentina

272,45

179,83

97,18

LOSACOR D 50/12.5 mg COM x 30

Roemmers

285,97

188,80

116,68

TEMISARTAN DIUR 50/12.5 mg COM x 30

Temis-Lostalo

287,12

189,56

118,31

PAXON D 50/12.5 mg COM x 30

Gador

313,56

207,01

157,51

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

Pgina 82 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL

30/12/2014
LABORATORIO

50 mg COZAAREX D 50/12.5 mg COM x 30

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Merck Sharp & Dhome

322,31

208,09

166,11

PAXON D 50/12.5 mg COM x 56

Gador

522,35

343,20

202,41

PAXON D 50/12.5 mg COM x 60

Gador

459,09

247,43

109,51

100 mg PAXON D 100/12.5 mg COM x 28

Gador

306,93

202,64

153,44

PAXON D 100/25 mg COM x 28

Gador

311,85

205,88

158,45

PRISONIL D 100/25 mg COM x 30

Lepetit

97,00

21,80

21,80

VASEXTEN D 100/25 mg COM x 30

Bernabo

168,87

37,70

37,70

CARTAN D 100/25 mg COM x 30

Eurofarma

262,96

154,42

69,39

COZAAREX D 100/12.5 mg COM x 30

Merck Sharp & Dhome

289,14

172,77

101,05

LOPLAC D 100/25 mg COM x 30

Casasco

283,74

181,40

96,14

FENSARTAN D COM x 30

Elea

275,22

181,70

101,23

LOSACOR D 100/25 mg COM x 30

Roemmers

290,49

189,95

106,08

TEMISARTAN DIUR 100/25 mg COM x 30

Temis-Lostalo

298,74

197,23

118,00

NITEN D 100/25 mg COM x 30

Ivax Argentina

304,74

201,19

126,52

COZAAREX D 100/25 mg COM x 30

Merck Sharp & Dhome

361,11

238,40

203,34

Bausch & Lomb Argentina

103,78

61,86

61,86

LOTEPREDNOL
Lquido

200 mg ALREX OFT. SUS x


500 mg LOTEVIS Oft. SUS x

5
5

LOTESOFT OFT. SOL x


LOPRED OFT. SUS x
LOTEMAX OFT. SUS x

Raymos
5

5
5

99,50

57,49

57,49

Poen

103,49

62,76

62,76

Elea

115,56

76,29

76,29

Bausch & Lomb Argentina

125,59

84,56

84,56

LOVASTATIN
Comprimidos

10 mg HIPOVASTIN 10 mg COM x 30

Gador

76,31

50,14

50,14

20 mg HIPOVASTIN 20 mg COM x 20

Gador

92,39

60,70

60,70

55 mg TOTAL MAGNESIANO GRAGEAS Blist. GRA x 30

Temis-Lostalo

142,47

94,06

94,06

TOTAL MAGNESIANO GRAGEAS Blist. GRA x 60

Temis-Lostalo

265,14

172,88

172,88

240 mg TOTAL MAGNESIANO LIMON GRL x 50

Temis-Lostalo

59,79

39,47

39,47

TOTAL MAGNESIANO LIMON GRL x 100

Temis-Lostalo

87,65

36,84

36,84

302 mg TOTAL MAGNESIANO EFERV. COM x 24

Temis-Lostalo

101,97

67,00

67,00

528 mg HOLOMAGNESIO GRA x 20

Phoenix

107,09

70,70

70,70

HOLOMAGNESIO GRA x 50

Phoenix

171,40

77,25

77,25

HOLOMAGNESIO GRA x 100

Phoenix

354,55

171,48

171,48

MAGNESIO
Comprimidos

Granulado

MAGNESIO CARBONATO +
MAGNESIO FLUORURO
Comprimidos

MAGNESIO CITRATO
Comprimidos

MAGNESIO CLORURO +
MAGNESIO FLUORURO
Granulado

Sobres

99945 TOTAL MAGNESIANO GRL x 50


mg

Temis-Lostalo

78,37

21,32

21,32

TOTAL MAGNESIANO GRL x 100

Temis-Lostalo

144,87

32,35

32,35

1500 mg TOTAL MAGNESIANO EFERV. POLVO SOB x 24

Temis-Lostalo

62,81

41,47

41,47

TOTAL MAGNESIANO EFERV. POLVO SOB x 30

Temis-Lostalo

119,69

79,02

79,02

TOTAL MAGNESIANO EFERV. POLVO SOB x 48

Temis-Lostalo

117,62

77,16

77,16

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

Pgina 83 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

MAGNESIO PIDOLATO
Comprimidos

1000 mg BIOMAG COM x 20

Baliarda

50,83

11,35

11,35

Sobres

1500 mg BIOMAG GRANULADO SOB x 15

Baliarda

39,09

25,41

25,41

BIOMAG GRANULADO SOB x 30

Baliarda

68,38

42,43

42,43

200 mg LOGICAL 200 COM x 30

Ivax Argentina

71,62

47,28

32,99

LOGICAL 200 COM x 60

Ivax Argentina

132,69

85,97

51,19

400 mg LOGICAL 400 COM x 30

Ivax Argentina

124,44

82,16

54,16

LOGICAL 400 COM x 60

Ivax Argentina

240,03

156,82

95,86

Bag

42,52

9,50

Janssen-Cilag

43,90

29,29

29,29

Janssen-Cilag

39,49

14,20

14,20

Biotechno Pharma

53,42

33,38

33,38

Andromaco

55,14

35,86

35,86

Andromaco

69,46

45,86

45,86

Janssen-Cilag

70,09

46,75

46,75

Andromaco

55,14

36,31

36,31

Janssen-Cilag

40,69

16,03

16,03

Janssen-Cilag

42,62

28,01

28,01

Biotechno Pharma

32,12

6,64

6,64

10 mg LIVOMEDROX 10 mg COM x 10

Varifarma

33,77

15,71

15,71

LIVOMEDROX 10 mg COM x 20

Varifarma

64,35

26,44

26,44

FARLUTALE 10 mg COM x 20

Pfizer

91,63

60,20

60,20

Temis-Lostalo

525,45

168,34

168,34

Bayer (PH)

528,73

179,57

179,57

Temis-Lostalo

138,71

44,45

44,45

Ferring

356,60

234,30

234,30

Buxton

548,14

360,15

360,15

MAGNESIO VALPROATO
Comprimidos

Lquido

250 mg EXIBRAL JBE x 120

9,50 INF

MEBENDAZOL
Comprimidos

100 mg NEMASOLE COM x

200 mg NEMASOLE 200 COM x

TRU M 200 mg COM x

MEBUTAR 200 COM x

MEBUTAR 200 MAST. COM x


500 mg NEMASOLE AD COM x
Lquido

200 mg MEBUTAR 200 SUS x 30


2000 mg NEMASOLE 200 SUS x 30
NEMASOLE SUS x 30
4000 mg TRU M SUS x 30

MEDROXIPROGESTERONA
ACETATO
Comprimidos

MEGLUMINA
GADOPENTETATO
Ampollas

376,9 mg DOTAREM 15 ml F.A x

469 mg MAGNEVIST-15 ML F.A x

MEGLUMINA IOXITALAMATO
Ampollas

55050 TELEBRIX HYSTERO 20 ML AMP x


mg

MENOTROPINA (FSH+LH) /
HMG
Ampollas

75 ui HMG FERRING 75 UI + SOLV. F.A x


LIFECELL 75 UI + SOLV. F.A x

HMG FERRING 75 UI + SOLV. F.A x

Ferring

2.134,27

1.402,30

1.402,30

150 ui HMG FERRING 150 UI + SOLV. F.A x

Ferring

713,17

468,58

468,58

HMG FERRING 150 UI + SOLV. F.A x

Ferring

4.268,88

2.804,82

2.804,82

MENOTROPINA (FSH+LH)
ALTA PUREZA / HMGAP
Ampollas

75 ui MENOPUR 75 UI F.A x

Ferring

447,31

293,90

293,90

MENOPUR 75 UI F.A x

Ferring

2.236,54

1.469,49

1.469,49

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

Pgina 84 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Ampollas

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

MENOPUR 75 UI F.A x 10

Ferring

4 mg CORTIPYREN B 4 mg COM x 20

75 ui

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

4.472,96

2.938,83

2.938,83

Gador

44,89

25,48

25,48

Sanofi Aventis

51,60

34,07

34,07

Varifarma

75,71

27,72

27,72

CORTIFURIL 8 mg COM x 20

Biol

89,14

44,49

44,49

CORTIPYREN B 8 mg COM x 20

Gador

96,22

54,27

54,27

DELTISONA-B 8 mg COM x 20

Sanofi Aventis

115,05

75,95

75,95

Biol

215,34

87,80

87,80

CORTIPYREN B 40 mg COM x 20

Gador

251,50

139,36

139,36

DELTISONA-B 40 mg COM x 20

Sanofi Aventis

305,79

201,88

201,88

Gador

37,20

17,16

17,16 INF

Sanofi Aventis

63,77

41,90

41,90 INF

520 mg PRENOLONE ORAL GTS x 15

Bag

53,15

35,09

35,09 INF

400 mg RECTOCALM 400 mg COM x 30

MEPREDNISONA ACETATO
Comprimidos

DELTISONA-B 4 mg COM x 20
8 mg MEPREDNISONA VARIFARMA 8 mg comp COM x
20

40 mg CORTIFURIL 40 mg COM x 20

Gotas

400 mg CORTIPYREN B ORAL GTS x 15


DELTISONA-B GTS x 20

MESALAZINA
Comprimidos

Sanitas

349,32

227,58

124,96

5-ASA 400 mg COM x 30

Dominguez

390,47

257,79

183,61

RECTOCALM 400 mg COM x 60

Sanitas

643,49

384,17

175,27

5-ASA 400 mg COM x 60

Dominguez

742,44

490,15

314,19

Nova Argentia

160,09

57,80

32,02

5-ASA 500 mg COM x 30

Dominguez

414,83

273,87

189,14

XALAZINA 500 mg COM x 30

Hlb Pharma

426,98

281,89

281,89

SUPRIMAL 500 mg GASTRORRES. COM x 50

Temis-Lostalo

297,49

66,43

66,43

SALOFALK 500 mg COM x 50

Biotoscana

535,00

328,34

119,80

XALAZINA 500 mg COM x 50

Hlb Pharma

711,84

469,95

469,95

PENTASA 500 mg COM x 50

Ferring

730,41

482,21

411,30

BUFEXAN 500 mg COM x 60

Nova Argentia

470,75

158,55

94,15

CONDUCTASA 500 mg COM x 60

Casasco

687,92

452,75

183,11

5-ASA 500 mg COM x 60

Dominguez

746,73

492,99

260,59

SALOFALK 500 mg COM x 100

Biotoscana

922,00

456,54

239,60

XALAZINA 500 mg COM x 100

Hlb Pharma

1.210,41

799,10

799,10

PENTASA 500 mg COM x 100

Ferring

1.395,03

850,81

644,80

EXOTRAN 500 mg LIB.PROL. COM x 30

Beta

185,16

115,47

66,31

5-ASA LP 500 mg COM x 30

Dominguez

345,43

224,53

169,57

5 XR 500 mg COM x 50

Ariston

451,27

214,41

113,08

EXOTRAN 500 mg LIB.PROL. COM x 60

Beta

394,11

260,19

166,73

5-ASA LP 500 mg COM x 60

Dominguez

621,74

373,42

237,38

5 XR 500 mg COM x 100

Ariston

776,25

242,34

173,34

500 mg BUFEXAN 500 mg COM x 20

800 mg YOLECOL 800 mg COM x 30

Takeda

494,84

326,69

257,30

XALAZINA 800 mg COM x 30

Hlb Pharma

613,25

404,86

404,86

5-ASA 800 mg COM x 30

Dominguez

663,71

438,18

373,74

XALAZINA 800 mg COM x 50

Hlb Pharma

883,16

583,05

583,05

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

Pgina 85 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

Enema

NOMBRE COMERCIAL

LABORATORIO

800 mg YOLECOL 800 mg COM x 60

Sobres

Supositorios

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Takeda

857,07

536,47

333,45

CONDUCTASA 800 mg COM x 60

Casasco

932,66

615,73

438,82

5-ASA 800 mg COM x 60

Dominguez

1.147,78

757,76

646,32

YOLECOL 800 mg COM x 90

Takeda

1.157,32

634,94

319,80

XALAZINA 800 mg COM x 100

Hlb Pharma

1.430,81

944,61

944,61

1000 mg PENTASA 1 g COM x 30

Ferring

873,85

576,91

388,36

PENTASA 1 g COM x 60

Ferring

1.643,81

1.071,12

630,20

1200 mg MEZAVANT 1200 mg COM x 30

Bag

830,40

548,23

357,93

MEZAVANT 1200 mg COM x 60

Bag

1.598,76

1.037,99

628,21

Ferring

911,40

589,45

352,84

Biotoscana

495,00

320,14

320,14

Biotoscana

1.092,00

717,55

442,11

500 mg SALOFALK Granul. LIB.PROL. SOB x 35

Biotoscana

1.020,00

670,28

413,29

SALOFALK Granul. LIB.PROL. SOB x 50

Biotoscana

611,00

401,52

229,40

1000 mg PENTASA 1 g ENE x

4000 mg SALOFALK 4 g 60 ML ENE x


Espuma

30/12/2014

1000 mg SALOFALK Rectal ESP x 14

1000 mg PENTASA 1 g SOB x 50

Ferring

1.334,34

876,71

540,40

2000 mg PENTASA 2 g SOB x 30

Ferring

1.602,28

1.052,76

648,92

400 mg 5-ASA 400 mg SUP x 10

Dominguez

182,76

120,66

80,88

5-ASA 400 mg SUP x 30

Dominguez

523,17

339,97

207,37

Biotoscana

227,00

149,65

127,55

BUFEXAN 500 mg SUP x 12

Nova Argentia

133,24

82,72

26,65

YOLECOL 500 mg SUP x 30

Takeda

357,22

234,71

92,98

SALOFALK 500 mg SUP x 30

Biotoscana

664,00

438,25

373,75

Biotoscana

360,00

158,40

80,00

1.324,84

870,47

536,55

500 mg SALOFALK 500 mg SUP x 10

1000 mg SALOFALK 1 g SUP x 10


PENTASA 1000 mg SUP x 28

Ferring

METFORMINA
Comprimidos

500 mg MECTIN 500 mg COM x 30

Ivax Argentina

19,03

4,25

4,25

BALIGLUC 500 mg COM x 30

Baliarda

20,44

4,57

4,57

MEDOBIS 500 mg COM x 30

Lazar

20,84

4,65

4,65

DBI 500 mg COM x 30

Montpellier

22,93

5,12

5,12

METGLUCON 500 mg COM x 30

Investi

23,23

5,19

5,19

OXEMET 500 mg COM x 30

GlaxoSmithkline

23,39

5,22

5,22

DIABESIL 500 mg COM x 30

Gador

32,23

16,41

8,40

METFORMIN TEMIS 500 mg COM x 30

Temis-Lostalo

33,60

18,31

8,87

NOGLUC 500 mg COM x 30

Beta

34,61

19,68

9,01

METFORAL 500 mg COM x 30

Menarini

35,83

21,64

12,40

ISLOTIN 500 mg COM x 30

Craveri

44,11

29,12

22,75

GLUCOPHAGE 500 mg COM x 30

Elea

45,24

29,87

24,54

METGLUCON 500 mg COM x 60

Investi

46,46

10,37

10,37

OXEMET 500 mg COM x 60

GlaxoSmithkline

46,63

10,41

10,41

DIAB DOS 500 mg COM x 60

Francelab

52,49

18,07

18,07

BALIGLUC 500 mg COM x 60

Baliarda

55,33

19,35

12,35

MECTIN 500 mg COM x 60

Ivax Argentina

57,38

22,51

12,81

METFORMIN TEMIS 500 mg COM x 60

Temis-Lostalo

60,39

27,00

13,49

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

Pgina 86 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

500 mg MEDOBIS 500 mg COM x 60

Lazar

62,52

30,08

16,22

DIABESIL 500 mg COM x 60

Gador

70,17

40,64

20,85

DBI 500 mg COM x 60

Montpellier

71,04

41,79

22,18

NOGLUC 500 mg COM x 60

Beta

75,71

47,87

19,71

BALIGLUC 500 mg COM x 100

Baliarda

80,83

19,83

16,17

DIAB DOS 500 mg COM x 100

Francelab

91,59

35,26

35,26

DBI 500 mg COM x 100

Montpellier

118,87

70,28

37,67

GLUCOPHAGE 500 mg COM x 100

Elea

134,16

88,57

59,69

ISLOTIN 500 mg COM x 100

Craveri

147,06

97,09

75,85

BALIGLUC AP 500 mg COM x 30

Baliarda

55,83

35,20

31,44

MECTIN XR 500 mg COM x 30

Ivax Argentina

55,66

35,76

28,00

DBI AP 500 mg COM x 30

Montpellier

55,65

36,74

31,33

DIABESIL AP 500 mg COM x 30

Gador

56,09

37,03

31,58

GLUCOPHAGE XR LP 500 mg COM x 30

Elea

61,71

40,74

34,75

METGLUCON 500 AP COM x 30

Investi

66,38

43,82

37,38

ISLOTIN XR COM x 30

Craveri

69,98

46,20

39,41

BALIGLUC AP 500 mg COM x 60

Baliarda

108,38

66,30

61,03

MECTIN XR 500 mg COM x 60

Ivax Argentina

108,61

68,21

52,32

DBI AP 500 mg COM x 60

Montpellier

106,01

69,99

59,70

DIABESIL AP 500 mg COM x 60

Gador

108,20

71,43

60,92

GLUCOPHAGE XR LP 500 mg COM x 60

Elea

117,22

77,15

61,47

METGLUCON 500 AP COM x 60

Investi

126,15

83,29

70,41

ISLOTIN XR COM x 60

Craveri

132,99

87,80

74,89

DBI AP 500 mg COM x 100

Montpellier

167,73

110,73

94,45

750 mg GLUCOPHAGE XR LP 750 mg COM x 30

93,33

59,76

35,68

ISLOTIN XR 750 COM x 30

Craveri

109,57

72,34

56,05

GLUCOPHAGE XR LP 750 mg COM x 60

Elea

177,26

107,39

57,52

ISLOTIN XR 750 COM x 60

Craveri

204,68

135,13

93,93

850 mg OXEMET 850 mg COM x 30

Elea

GlaxoSmithkline

43,54

10,86

9,72

MECTIN 850 mg COM x 30

Ivax Argentina

55,86

26,83

12,48

MEDOBIS 850 mg COM x 30

Lazar

62,52

36,03

17,28

METFORMIN TEMIS 850 mg COM x 30

Temis-Lostalo

63,53

37,37

18,24

GLUCAMINOL FORTE 850 COM x 30

Investi

69,78

45,45

27,51

METFORAL 850 mg COM x 30

Menarini

71,79

46,66

31,72

OXEMET 850 mg COM x 60

GlaxoSmithkline

87,03

21,67

19,43

MECTIN 850 mg COM x 60

Ivax Argentina

111,52

53,37

24,90

MEDOBIS 850 mg COM x 60

Lazar

121,77

67,66

31,69

METFORMIN TEMIS 850 mg COM x 60

Temis-Lostalo

125,18

72,25

34,69

GLUCAMINOL FORTE 850 COM x 60

Investi

138,45

89,49

53,42

DIAB DOS 850 mg COM x 60

Francelab

139,37

92,01

92,01

DIAB DOS 850 mg COM x 100

Francelab

187,23

99,08

99,08

METGLUCON 850 mg AP COM x 30

Investi

39,01

8,71

8,71

BALIGLUC AP 850 mg COM x 30

Baliarda

60,70

33,58

15,80

MEDOBIS 850 mg AP COM x 30

Lazar

70,88

46,79

29,07

DBI AP 850 mg COM x 30

Montpellier

72,93

48,15

31,95

GLUCOPHAGE 850 mg COM x 30

Elea

76,02

50,19

36,17

DIABESIL AP 850 mg COM x 30

Gador

79,03

52,18

40,18

MECTIN XR 850 mg COM x 30

Ivax Argentina

80,78

53,33

42,38

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

Pgina 87 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
850 mg NOGLUC AP 850 mg COM x 30

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Beta

82,20

54,27

21,40

ISLOTIN RETARD 850 mg COM x 30

Craveri

85,47

56,43

47,33

QUEXEL SR 850 mg COM x 30

Sanofi Aventis

95,11

62,49

38,56

METGLUCON 850 mg AP COM x 60

Investi

78,02

17,42

17,42

BALIGLUC AP 850 mg COM x 60

Baliarda

119,52

64,59

31,11

MEDOBIS 850 mg AP COM x 60

Lazar

136,16

86,58

50,10

DBI AP 850 mg COM x 60

Montpellier

144,89

95,66

62,54

GLUCOPHAGE 850 mg COM x 60

Elea

148,99

98,36

68,20

DIABESIL AP 850 mg COM x 60

Gador

154,28

101,86

75,36

MECTIN XR 850 mg COM x 60

Ivax Argentina

155,73

102,81

76,90

NOGLUC AP 850 mg COM x 60

Beta

162,24

107,11

42,23

ISLOTIN RETARD 850 mg COM x 60

Craveri

173,90

114,81

97,92

BALIGLUC AP 850 mg COM x 100

Baliarda

161,66

55,27

32,33

DBI AP 850 mg COM x 100

Montpellier

240,91

159,05

103,44

ISLOTIN RETARD 850 mg COM x 100

Craveri

286,12

188,89

159,33

Craveri

82,00

54,14

46,18

OXEMET 1000 mg COM x 30

GlaxoSmithkline

59,44

17,84

13,28

METFORMIN TEMIS 1 g COM x 30

Temis-Lostalo

69,11

31,58

15,48

MECTIN 1000 mg COM x 30

Ivax Argentina

76,93

42,57

20,87

MEDOBIS 1000 mg COM x 30

Lazar

86,37

54,98

38,58

GLUCOPHAGE 1000 mg COM x 30

Elea

93,15

61,50

42,52

ISLOTIN 1000 mg COM x 50

Craveri

178,73

117,99

99,24

OXEMET 1000 mg COM x 60

GlaxoSmithkline

103,96

23,21

23,21

METFORMIN TEMIS 1 g COM x 60

Temis-Lostalo

124,06

41,73

27,71

MECTIN 1000 mg COM x 60

Ivax Argentina

138,86

64,09

31,00

DIAB DOS 1000 mg COM x 60

Francelab

153,19

90,91

90,91

GLUCOPHAGE 1000 mg COM x 60

Elea

175,56

113,55

70,04

DIAB DOS 1000 mg COM x 100

Francelab

204,84

75,46

75,46

ISLOTIN 1000 mg COM x 100

Craveri

331,71

218,99

167,54

METGLUCON 1000 mg AP COM x 30

Investi

71,29

34,72

18,55

QUEXEL SR 500 mg COM x 30

Sanofi Aventis

63,33

41,61

25,71

MEDOBIS 1000 mg AP COM x 30

Lazar

79,39

45,88

28,01

BALIGLUC AP 1000 mg COM x 30

Baliarda

87,50

56,42

34,62

DBI AP FORTE 1000 mg COM x 30

Montpellier

90,64

59,84

39,05

MECTIN XR 1000 mg COM x 30

Ivax Argentina

101,54

67,04

43,67

DIABESIL AP 1000 mg COM x 30

Gador

101,65

67,11

53,83

NOGLUC AP 1000 mg COM x 30

Beta

102,75

67,83

26,74

GLUCOPHAGE XR LP 1000 COM x 30

Elea

124,30

82,06

69,99

QUEXEL SR 1000 mg COM x 30

Sanofi Aventis

126,78

83,30

51,59

ISLOTIN XR 1000 COM x 30

Craveri

145,84

96,28

82,12

METGLUCON 1000 mg AP COM x 60

Investi

133,21

55,77

29,75

BALIGLUC AP 1000 mg COM x 60

Baliarda

155,99

88,02

42,75

DBI AP FORTE 1000 mg COM x 60

Montpellier

172,40

109,53

65,51

MEDOBIS 1000 mg AP COM x 60

Lazar

175,90

113,98

70,53

DIABESIL AP 1000 mg COM x 60

Gador

181,59

119,88

78,54

NOGLUC AP 1000 mg COM x 60

Beta

194,68

128,53

50,67

MECTIN XR 1000 mg COM x 60

Ivax Argentina

196,24

129,56

79,10

GLUCOPHAGE XR LP 1000 COM x 60

Elea

250,45

165,34

141,03

1000 mg ISLOTIN 1000 mg COM x 20

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

Pgina 88 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

Lquido

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

1000 mg ISLOTIN XR 1000 COM x 60

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Craveri

272,54

179,93

153,47

DBI AP FORTE 1000 mg COM x 100

Montpellier

277,05

169,29

94,11

500 mg DBI METFORMINA ORAL SOL x 150

Montpellier

66,16

43,68

30,35

DBI METFORMINA ORAL SOL x 500

Montpellier

205,33

133,51

79,88

Lazar

33,98

12,22

12,22

Montpellier

47,99

31,54

31,54

400 mg AUFER 400 MG/25 mg COM x 30

Casasco

45,23

29,72

29,72

500 mg ISLOGLIB 500/2.5 mg COM x 30

METFORMINA +
GLIBENCLAMIDA
Comprimidos

250 mg MEDOBIS g 250/1.25 COM x 30


DBI DUO 250/1.25 COM x 30

Craveri

47,32

28,16

28,16

MEDOBIS g 500/2.5 mg COM x 30

Lazar

47,40

28,27

28,27

METFORMIN TEMIS DUO 500/5 mg COM x 30

Temis-Lostalo

48,34

29,99

29,99

DBI DUO 500/2.5 COM x 30

Montpellier

50,35

32,09

32,09

MEDOBIS g 500/5 mg COM x 30

Lazar

50,02

32,14

32,14

ISLOGLIB 500/5 mg COM x 30

Craveri

51,63

34,09

34,09

DBI DUO 500/5 COM x 30

Montpellier

53,64

35,42

35,42

GLUCOVANCE 500 MG/2,5 mg COM x 30

Elea

55,61

36,71

36,71

METGLUCON DUO COM x 30

Investi

56,81

37,51

37,51

GLUCOVANCE 500 MG/5 mg COM x 30

Elea

63,16

41,70

41,70

METGLUCON DUO COM x 60

Investi

87,10

47,24

47,24

DBI DUO 500/5 COM x 60

Montpellier

94,06

56,57

56,57

GLUCOVANCE 500 MG/5 mg COM x 60

Elea

109,39

72,22

72,22

Novartis

60,50

39,75

39,75

Novartis

59,34

38,99

38,99

Techsphere

58,40

36,97

23,65 MAT

133,29

88,00

75,06

94,09

62,09

62,09 MAT

METIL ERGOMETRINA
Ampollas
Comprimidos

0,2 mg BASOFORTINA 1 CC AMP x

0,125 mg BASOFORTINA GRA x 15

METILDOPA
Comprimidos

250 mg ALDOMET 250 mg COM x 30


HIPERMET 250 mg COM x 50
500 mg ALDOMET 500 mg COM x 30

Raymos
Techsphere

HIPERMET 500 mg COM x 40

Raymos

144,22

95,21

95,21 MAT

ALDOMET 500 mg COM x 100

Techsphere

292,01

179,40

179,40 MAT

99,92

65,65

METILFENIDATO
Comprimidos

5 mg RUBIFEN 5 mg COM x 30
10 mg RITALINA 10 mg COM x 30

Bag

65,65

Novartis

144,05

71,17

71,17

METHYLIN 10 mg COM x 30

Astrazeneca

179,04

117,64

117,64

RUBIFEN 10 COM x 30

Bag

206,13

136,08

136,08

RITALINA LA 10 mg CAP x 30

Novartis

385,56

253,33

253,33

18 mg CONCERTA 18 mg COM x 10

Janssen-Cilag

143,43

37,54

37,54

CONCERTA 18 mg COM x 20

Janssen-Cilag

496,61

327,86

327,86

CONCERTA 18 mg COM x 30

Janssen-Cilag

685,34

450,29

450,29

20 mg METHYLIN 20 mg COM x 30

Astrazeneca

346,48

199,47

199,47

RITALINA LA 20 mg CAP x 30

Novartis

374,33

226,98

226,98

RUBIFEN 20 mg COM x 30

Bag

390,73

256,72

256,72

RUBIFEN SR 20 mg COM x 30

Bag

471,24

311,11

311,11

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

Pgina 89 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014
LABORATORIO

METHYLIN ER 20 mg COM x 30

Astrazeneca

559,74

369,54

369,54

30 mg RITALINA LA 30 mg CAP x 30

Novartis

428,62

281,62

281,62

36 mg CONCERTA 36 mg COM x 20

Janssen-Cilag

710,19

475,88

475,88

CONCERTA 36 mg COM x 30

Janssen-Cilag

980,17

653,80

653,80

40 mg RITALINA LA 40 mg CAP x 30

Novartis

428,62

281,62

281,62

54 mg CONCERTA 54 mg COM x 20

Janssen-Cilag

994,71

663,50

663,50

20 mg

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

NOMBRE COMERCIAL

METIMAZOL
Comprimidos

5 mg DANANTIZOL 5 mg COM x 100

Gador

25,81

16,96

10,46

20 mg DANANTIZOL 20 mg COM x 30

Gador

37,55

24,67

15,21

10 mg RELIVERAN AMP x

Novartis

31,78

20,66

20,66

RELIVERAN AMP x

Novartis

45,67

24,41

24,41

10 mg RELIVERAN COM x 20

Novartis

15,22

10,00

10,00

10 mg RELIVERAN SUBLINGUAL 10 mg COM x 10

Novartis

47,67

31,32

31,32

200 mg RELIVERAN NIOS GTS x 20

Novartis

20,45

13,44

13,44

500 mg NOVOMIT ADULTOS GTS x 20

METOCLOPRAMIDA
Ampollas

Comprimidos

Gotas

Lquido

Klonal

20,94

4,68

4,68

METOCLOPRAMIDA VANNIER ADULTOS GTS x


20

Vannier S.A.

23,21

5,78

5,78

PRIMAVERA-N AD. GTS x 20

Fabra

26,85

9,42

9,42

MIDATENK 0.5 % GTS x 20

Biotenk

36,64

23,82

23,82

RELIVERAN ADULTOS GTS x 20

Novartis

42,02

27,74

27,74

RELIVERAN ADULTOS GTS x 60

Novartis

110,14

66,41

66,41

Raymos

19,93

3,99

3,99

500 mg FONDERYL SOL x 20

METOPROLOL
Comprimidos

25 mg BELOZOK 25 mg COM x 30

Astrazeneca

103,98

68,32

68,32

50 mg BELOZOK 50 mg COM x 30

Astrazeneca

123,63

81,23

81,23

100 mg LOPRESOR 100 mg COM x 30

44,20

9,87

9,87

Astrazeneca

154,02

101,68

101,68

Astrazeneca

143,93

78,42

78,42

Ivax Argentina

149,73

86,26

86,26

Trb-Pharma

169,96

112,21

112,21

Ivax Argentina

161,17

90,19

90,19

Trb-Pharma

185,56

121,92

121,92

Nova Argentia

36,33

9,79

9,79

ARTRAIT 2,5 mg COM x 20

Trb-Pharma

53,34

32,78

32,78

TRIXATE 2.5 mg COM x 20

Astrazeneca

53,61

33,13

33,13

ERVEMIN 2,5 mg COM x 20

Ivax Argentina

58,69

38,75

38,75

Astrazeneca

40,18

25,20

25,20

METODIK 7.5 mg COM x 10

Nova Argentia

61,84

13,04

13,04

TRIXATE 7.5 mg COM x 10

Astrazeneca

87,05

45,11

45,11

ERVEMIN 7,5 mg COM x 10

Ivax Argentina

100,42

62,97

62,97

BELOZOK 100 mg COM x 30

Novartis

METOTREXATE
Ampollas

15 mg TRIXATE 15 mg 3 ML F.A x
ERVEMIN 15 mg AMP x
ARTRAIT 15 mg F.A x

5
5

20 mg ERVEMIN 20 mg AMP x
ARTRAIT 20 mg F.A x
Comprimidos

4
4

2,5 mg METODIK 2.5 mg COM x 20

7,5 mg TRIXATE 7.5 mg COM x

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

Pgina 90 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

7,5 mg ARTRAIT 7,5 mg COM x 10

Trb-Pharma

107,08

70,69

70,69

10 mg TRIXATE 10 mg COM x

Astrazeneca

50,24

33,17

33,17

METODIK 10 mg COM x 10

Nova Argentia

66,76

13,55

13,55

ERVEMIN 10 mg COM x 10

Ivax Argentina

96,33

51,10

51,10

TRIXATE 10 mg COM x 10

Astrazeneca

100,42

56,68

56,68

ARTRAIT 10 mg COM x 10

Trb-Pharma

118,05

77,94

77,94

87,27

53,90

53,90

15 mg ERVEMIN 15 mg COM x

Ivax Argentina

ARTRAIT 15 mg COM x

Trb-Pharma

109,03

71,98

71,98

ARTRAIT 15 mg COM x

Trb-Pharma

176,39

110,19

110,19

Investi

652,38

428,64

428,64

Bernabo

27,62

17,27

17,27

Baliarda

29,43

19,43

19,43

COLPOFILIN 500 mg COM x 10

Lazar

40,91

27,01

27,01

NALOX 500 mg COM x 10

Omega

61,79

41,60

41,60

BEXON 500 TAB x 20

Gobbi

23,99

5,36

5,36

TRICOFIN 500 mg COM x 20

Raymos

44,83

11,15

11,15

METRONIDAZOL BIOL 500 mg COM x 20

Biol

57,57

27,65

27,65

OVUFEM COM x 20

Bernabo

65,22

38,18

38,18

FLAGYL 500 mg COM x 20

Sanofi Aventis

73,04

48,22

48,22

GINKAN 500 COM x 20

Baliarda

75,85

50,08

50,08

COLPOFILIN 500 mg COM x 20

Lazar

78,72

51,97

51,97

NALOX 500 mg COM x 20

Omega

104,20

70,16

70,16

500 mg METROCEV VAG. TAB x 12

Cevallos

19,31

5,09

5,09

Crema

750 mg ROZEX 0.75% CRE x 30

Galderma

148,43

96,48

96,48

Gel

750 mg MITIDERM GEL x 45

Andromaco

168,87

108,13

108,13

Fabra

27,06

14,81

14,81

Vannier S.A.

34,32

22,31

22,31

Sanofi Aventis

73,04

47,99

47,99

176,38

115,89

115,89

METOXSALEN
Comprimidos

10 mg OXSORALEN ULTRA BLANDAS CAP x 30

METRONIDAZOL
Comprimidos

500 mg OVUFEM COM x

GINKAN 500 COM x

Lquido

2500 mg METRONIDAZOL FABRA 125MG/5ML SUS x 120


METRONIDAZOL VANNIER SUS x 120
4000 mg FLAGYL BEBIBLE SUS x 100

Locin

750 mg ROZEX 0.75% LOC x 30

Galderma

vulos

500 mg NALOX OVU x

Omega

78,84

53,08

53,08

Raymos

51,37

28,62

28,62

FLAGYL 500 mg OVU x 10

Sanofi Aventis

63,82

35,24

35,24

COLPOFILIN 500 mg OVU x 10

Lazar

78,72

51,97

51,97

NALOX COMBI Comp.x 4 + OVU x 12

Omega

37,96

24,55

24,55

NALOX OVU x 12

Omega

125,79

84,69

84,69

TRICOFIN 500 mg OVU x

MICONAZOL
Crema

2000 mg DERALBINE CRE x 40

Valuge

70,66

53,35

53,35

Locin

2000 mg DERALBINE LOC x 40

Valuge-Lic

56,84

43,84

43,84

vulos

400 mg NEDIS 400 mg OVU x

Omega

122,01

81,77

81,77

Valuge-Lic

112,20

80,14

80,14

Spray

1320 mg DERALBINE POLVO SPR x 90

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

Pgina 91 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Talco

NOMBRE COMERCIAL
2000 mg DERALBINE TAL x 40

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Valuge-Lic

66,39

51,21

51,21

50 mg SEBOCLEAR COM x 10

Raymos

63,91

42,19

42,19

MEIBI 50 mg COM x 30

Raymos

107,01

29,39

29,39

SEBOCLEAR COM x 30

Raymos

140,62

75,16

75,16

ACNECLIN COM x 30

Investi

176,99

116,85

116,85

100 mg SEBOCLEAR 100 mg COM x 10

Raymos

134,19

88,59

88,59

MEIBI 100 mg COM x 30

Raymos

299,85

173,15

173,15

SEBOCLEAR 100 mg COM x 30

Raymos

339,88

224,39

224,39

ACNECLIN 100 AP CAP x 30

Investi

336,53

220,61

220,61

MINOCICLINA CLORHIDRATO
Comprimidos

MOMETASONA FUROATO
Crema

Inhahaldor con
sistemas

Locin

1 mg ELOCON CRE x 15

MSD Arrgentina SR

114,22

76,54

76,54

NOVASONE CRE x 15

MSD Arrgentina SR

145,35

95,96

95,96

METASON CRE x 20

Fortbenton Co.

82,97

40,36

40,36

METASON CRE x 40

Fortbenton Co.

129,96

33,44

33,44

100 mg MOMETAX CRE x 15

Investi

62,08

30,06

30,06

MOMETAX CRE x 30

Investi

112,51

42,90

42,90

0,2 mg HEXALER BRONQUIAL 200 mcg CAP. INH x 30

Investi

179,38

117,86

117,86

HEXALER BRONQUIAL 200 mcg CAP. INH x 60

Investi

174,04

38,86

38,86

0,4 mg HEXALER BRONQUIAL 400 mcg CAP. INH x 30

Investi

183,45

120,53

120,53

82,08

18,33

18,33

1 mg METASON LOC x 30

Fortbenton Co.

ELOCON LOC x 30

MSD Arrgentina SR

167,04

110,28

110,28

NOVASONE LOC x 30

MSD Arrgentina SR

220,53

145,59

145,59

100 mg MOMETAX LOC x 30

Investi

102,62

41,14

41,14

Pomo

100 mg SUAVICORT PMO x 15

Cassara

19,90

3,98

3,98

Spray

0,05 mg SUAVICORT NASAL SPR x 60

Cassara

34,90

6,98

6,98

METASON NASAL MINI SPR x 60

Fortbenton Co.

107,16

70,75

70,75

NASONEX MINI ACUOSO SPR x 60

MSD Arrgentina SR

192,18

126,88

126,88

HEXALER NASAL SPR x 120

Investi

144,37

62,76

62,76

METASON NASAL SPR x 120

Fortbenton Co.

153,03

75,30

75,30

NASONEX NASAL ACUOSO SPR x 140

MSD Arrgentina SR

313,81

207,18

207,18

MONTELUKAST SDICO
Comprimidos

4 mg INSPIROL 4 mg COM x 30

Lazar

281,00

157,97

157,97

ASMAVITAN 4 mg MAST COM x 30

Montpellier

283,26

161,01

161,01

PLENAIR 4 mg MAST. COM x 30

Nova Argentia

303,58

187,80

187,80

MONTRATE 4 mg COM x 30

Casasco

305,02

189,66

189,66

AMISPED PEDIATRICO 4 mg Mast. COM x 30

Sanofi Aventis

305,13

189,80

189,80

ROLAST NIOS 4 mg MAST. COM x 30

Phoenix

321,88

211,13

211,13

LUKAST 4 mg COM x 30

Bag

331,86

219,09

219,09

SINGULAIR NIOS 4 mg COM x 30

Merck Sharp & Dhome

435,87

287,76

287,76

5 mg INSPIROL 5 mg COM x 30

Lazar

281,00

150,76

150,76

AMISPED PEDIATRICO 5 mg Mast. COM x 30

Sanofi Aventis

305,13

183,16

183,16

ASMAVITAN 5 mg COM x 30

Montpellier

305,79

184,03

184,03

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

Pgina 92 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

30/12/2014

NOMBRE COMERCIAL

Comprimidos

LABORATORIO

5 mg ROLAST NIOS 5 mg MAST. COM x 30

A CARGO A CARGO
REF
AFILIADO CRONICO

Phoenix

321,88

204,84

204,84

MONTRATE 5 mg COM x 30

Casasco

323,64

207,08

207,08

PLENAIR 5 mg MAST. COM x 30

Nova Argentia

326,02

210,10

210,10

LUKAST 5 mg COM x 30

Bag

337,95

223,11

223,11

SINGULAIR 5 mg MAST. COM x 30

Merck Sharp & Dhome

435,87

287,76

287,76

Lazar

281,00

141,11

141,11

ASMAVITAN 10 mg COM x 30

Montpellier

310,65

181,64

181,64

ROLAST 10 mg COM x 30

Phoenix

321,88

196,41

196,41

AMISPED 10 mg COM x 30

Sanofi Aventis

335,64

214,14

214,14

PLENAIR 10 mg MAST. COM x 30

Nova Argentia

338,29

217,51

217,51

MONTRATE 10 mg COM x 30

Casasco

342,07

222,29

222,29

LUKAST 10 mg COM x 30

Bag

343,27

223,81

223,81

SINGULAIR 10 mg COM x 30

Merck Sharp & Dhome

442,25

291,97

291,97

10 mg INSPIROL 10 mg COM x 30

Sobres

PRECIO

4 mg ASMAVITAN 4 mg GRAN SOB x 30

Montpellier

283,26

172,82

172,82

MONTRATE SOB x 30

Casasco

288,63

179,77

179,77

SINGULAIR NIOS 4 mg GRAN. SOB x 30

Merck Sharp & Dhome

369,61

244,01

244,01

83,50

37,02

37,02

MUPIROCINA
Crema

2000 mg PALDAR CRE x 15

Investi

BACTROBAN CRE x 15

GlaxoSmithkline

100,24

60,18

60,18

MUPAX CRE x 15

Lazar

116,41

76,85

76,85

Pomada

2000 mg VIDOX PDA x 25

Veinfar (Larjan)

72,15

14,43

14,43

Ungento

2000 mg PALDAR UNG x 15

Investi

63,08

14,09

14,09

MUPIROX 2% UNG x 15

Fortbenton Co.

81,44

32,78

32,78

MUPAX DERM. UNG x 15

Lazar

95,51

53,89

53,89

MUPIROX 2% UNG x 20

Fortbenton Co.

115,97

54,62

54,62

Lazar

58,37

38,54

38,54

2000 mg MUPAX NASAL 2% UNG x

BACTROBAN NASAL UNG x

GlaxoSmithkline

83,53

55,15

55,15

MUPIROX NASAL 2% UNG x

Fortbenton Co.

82,11

53,37

53,37

GlaxoSmithkline

440,95

289,72

178,05

NADROPARINA CLCICA
Ampollas

2800 ui FRAXIPARINE 0.3 ml JPR x 10

NAFAZOLINA
Lquido

50 mg MIRASAN BAO OCULAR OFT. SOL x 90

Allergan-Loa

37,04

24,34

24,34

MIRASAN BAO OCULAR OFT. SOL x 250

Allergan-Loa

38,80

8,66

8,66

143,32

94,17

94,17

Bernabo

24,75

15,82

15,82

NAPRUX 250 mg COM x 20

Valuge-Lic

54,08

36,41

36,41

NAPRONTAG 250 mg COM x 20

Astrazeneca

60,53

39,96

39,96

NAPRUX 250 mg COM x 50

Valuge-Lic

126,13

80,76

80,76

NANDROLONA
Ampollas

50 mg DECADURABOLIN 50 mg 1 ML AMP x

MSD Arrgentina SR

NAPROXENO
Comprimidos

250 mg ALIDASE COM x 10

500 mg NAPROXENO VANNIER 500 mg COM x 10

Vannier S.A.

26,97

5,99

5,99

ALIDASE 500 mg COM x 10

Bernabo

44,80

27,44

27,44

NAPRUX 500 mg COM x 20

Valuge-Lic

104,29

70,22

70,22

NAPRONTAG 500 mg COM x 20

Astrazeneca

143,43

94,69

94,69

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

Pgina 93 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

500 mg ALIDASE 500 mg COM x 40

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Bernabo

127,26

37,78

37,78

NAPRUX 500 mg COM x 50

Valuge-Lic

223,65

134,02

134,02

NAPRONTAG 500 mg COM x 50

Astrazeneca

341,17

225,24

225,24

550 mg NAPRUX RAPID 550 mg COM x 10

Valuge-Lic

65,02

43,77

43,77

NAPRUX RAPID 550 mg COM x 20

Valuge-Lic

117,37

75,66

75,66

NAPRONTAG GESIC 550 mg COM x 10

Astrazeneca

66,19

43,70

43,70

NAPRONTAG GESIC 550 mg COM x 20

Astrazeneca

126,87

83,76

83,76

750 mg CONGEX 24 750 mg AC.PROL. COM x 10

57,28

36,59

36,59

NAPRONTAG 24 750 mg COM x 10

Buxton
Astrazeneca

128,14

84,60

84,60

CONGEX 24 750 mg AC.PROL. COM x 30

Buxton

178,74

118,00

118,00

NAPRONTAG 24 750 mg COM x 30

Astrazeneca

351,98

224,21

224,21

NEOMICINA
Comprimidos

250 mg NEOMAS BOWERS COM x

Temis-Lostalo

39,88

8,91

8,91

NEOMAS BOWERS COM x 16

Temis-Lostalo

141,59

93,48

93,48

NIFEDIPINA
Comprimidos

10 mg ADALAT CAP x 30

Bayer (PH)

34,07

22,15

14,82

ADALAT CAP x 50

Bayer (PH)

53,33

34,04

19,80

ADALAT CAP x 100

Bayer (PH)

74,42

22,66

14,88

ADALAT RETARD 10 mg COM x 20

Bayer (PH)

28,22

18,63

15,89

ADALAT RETARD 10 mg COM x 50

Bayer (PH)

56,52

37,32

23,66

20 mg ADALAT RETARD 20 mg COM x 20

Bayer (PH)

35,53

16,27

8,00

ADALAT OROS 20 mg COM x 30

Bayer (PH)

182,65

120,58

102,85

ADALAT RETARD 20 mg COM x 50

Bayer (PH)

62,67

14,00

14,00

Phoenix

103,20

23,04

23,04

ADALAT OROS 30 mg COM x 20

Bayer (PH)

151,23

99,84

85,16

ADALAT OROS 30 mg COM x 30

Bayer (PH)

246,41

162,68

138,76

Phoenix

128,10

28,61

28,61

Bayer (PH)

196,57

129,77

110,69

Sandoz

41,78

27,16

27,16

EUGERIAL COM x 30

Bag

41,89

12,13

12,13

ACIVAL COM x 30

Geminis Farmaceutica

42,91

13,10

13,10

EXPLANER 30 mg COM x 30

Casasco

67,97

44,87

44,87

NIVAS 30 mg COM x 30

Raffo

68,33

45,11

45,11

MACOBAL 30 mg COM x 30

Lafedar

68,68

46,02

46,02

NIMODILAT 30 mg COM x 30

Lazar

75,42

49,79

49,79

NIMOTOP 30 mg COM x 30

Bayer (PH)

93,30

60,64

60,64

EUGERIAL COM x 60

Bag

83,20

23,70

23,70

ACIVAL COM x 60

Geminis Farmaceutica

90,18

31,99

31,99

NIMODIPINA LABINCA 30 mg COM x 60

Sandoz

108,66

60,05

60,05

EXPLANER 30 mg COM x 60

Casasco

112,88

64,60

64,60

30 mg NIFED SOL 30 mg COM x 30

60 mg NIFED SOL 60 mg COM x 30


ADALAT OROS 60 mg COM x 20

NIMODIPINA
Comprimidos

30 mg NIMODIPINA LABINCA 30 mg COM x 20

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

Pgina 94 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

30 mg NIVAS 30 mg COM x 60

A CARGO A CARGO
REF
AFILIADO CRONICO

Raffo

113,65

65,63

65,63

MACOBAL 30 mg COM x 60

Lafedar

114,26

70,15

70,15

NIMODILAT 30 mg COM x 60

Lazar

123,55

78,55

78,55

NIMOTOP 30 mg COM x 60

Bayer (PH)

158,71

103,16

103,16

NIMODILAT 30 mg COM x 100

Lazar

207,91

133,45

133,45

60 mg EXPLANER 60 mg COM x 30

97,67

64,48

64,48

NIVAS FORTE 60 mg COM x 30

Casasco
Raffo

112,62

74,35

74,35

NIMODILAT FORTE 60 mg COM x 30

Lazar

116,32

76,79

76,79

EXPLANER 60 mg COM x 60

Casasco

115,48

28,69

28,69

NIMODILAT FORTE 60 mg COM x 60

Lazar

136,03

53,07

53,07

NIVAS FORTE 60 mg COM x 60

Raffo

188,34

124,34

124,34

Raffo

160,07

103,10

103,10

Casasco

175,64

115,96

115,96

Bayer (PH)

96,87

62,65

62,65

500000 ui DIPNI 500000 ORAL COM x 12

Omega

86,81

58,45

58,45

DIPNI 500000 ORAL COM x 30

Omega

213,87

143,06

143,06

Omega

71,90

48,41

48,41

DIPNI 10000 VAGINAL COM x 12

Omega

115,02

68,53

68,53

Cassara

13,90

9,03

9,03

Sertex

77,22

51,45

51,45

MSD Arrgentina SR

78,59

51,88

51,88

MSD Arrgentina SR

51,94

34,13

34,13

120 mg NIVAS XR 120 mg COM x 30


EXPLANER LP 120 mg COM x 30
Gotas

PRECIO

40 mg NIMOTOP 4% GTS x 25

NISTATINA
Comprimidos

100000 ui DIPNI 10000 VAGINAL COM x

Ungento

1000000 NEOSTATIN UNG x 30


ui

NITROFURAZONA
Apsitos

200 mg NITROFURAZONA SERTEX X 10 CM APO x 20


FURACIN GASAS APO x 20

Pomada

200 mg FURACIN PDA x 35,5

NITROGLICERINA
Parches

5 mg NITRODERM TTS 5 mg PAR x 10

95,93

50,11

23,24

NITRO DUR II 5 mg PAR x 10

Novartis
MSD Arrgentina SR

160,22

105,77

90,22

NITRODERM TTS 5 mg PAR x 30

Novartis

253,72

100,97

56,66

NITRO DUR II 5 mg PAR x 30

MSD Arrgentina SR

428,15

282,66

241,09

10 mg NITRO DUR II 10 mg PAR x 10

MSD Arrgentina SR

200,45

132,34

112,88

NITRODERM TTS 10 mg PAR x 30

Novartis

330,62

161,45

80,09

NITRO DUR II 10 mg PAR x 30

MSD Arrgentina SR

558,20

368,52

314,32

Bayer (PH)

97,84

64,28

64,28

Omega

72,43

48,76

48,76

WENFLOX 400 mg COM x 10

Raffo

28,19

5,21

5,21

FLOXATRAL 400 mg COM x 10

Lepetit

28,00

5,60

5,60

UROSEPTAL COM x 10

Bag

57,95

37,00

37,00

NORFLOXACINA CRAVERI COM x 10

Craveri

68,30

45,09

45,09

UROXACIN 400 mg COM x 10

Lazar

69,71

46,02

46,02

UROTEM 400 mg COM x 14

Temis-Lostalo

103,23

68,15

68,15

WENFLOX 400 mg COM x 20

Raffo

34,82

6,44

6,44

NORETINDRONA
Comprimidos

5 mg PRIMOLUT-NOR 5 mg COM x 20

NORFLOXACINA
Comprimidos

400 mg URO LINFOL COM x

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

Pgina 95 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

400 mg FLOXATRAL 400 mg COM x 20

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Lepetit

61,00

13,80

13,80

BIO-TARBUNN 400 mg COM x 20

Duncan

72,19

20,00

20,00

FLOXAMICIN 400 mg COM x 20

Biotenk

83,79

34,31

34,31

UROXACIN 400 mg COM x 20

Lazar

126,73

83,67

83,67

UROTEM 400 mg COM x 20

Temis-Lostalo

130,99

86,48

86,48

NORFLOXACINA CRAVERI COM x 20

Craveri

131,79

87,01

87,01

UROSEPTAL COM x 20

Bag

133,94

88,43

88,43

URO LINFOL COM x 20

Omega

194,60

131,02

131,02

Eli Lilly

59,75

36,40

36,40

Gador

63,52

41,74

41,74

OLANZAPINA
Ampollas

10 mg ZYPREXA 10 mg IM F.A x
MIDAX 10 mg IM AMP x

Comprimidos

1
1

2,5 mg APSICO 2.5 mg COM x 28

Raymos

424,90

245,67

245,67

ZYPREXA 2.5 mg COM x 28

Eli Lilly

466,78

300,14

300,14

MIDAX 2.5 mg COM x 28

Gador

480,74

317,38

317,38

Richmond

232,14

147,96

147,96

MIDAX DISPERSABLE 5 mg TAB x 14

Gador

277,48

140,83

140,83

ZYPREXA ZYDIS 5 mg TAB x 14

Eli Lilly

305,46

175,99

175,99

APSICO 5 mg COM x 14

Raymos

308,70

183,28

183,28

SIMINA 5 mg COM x 14

Elea

314,47

190,85

190,85

ZYPREXA 5 mg COM x 14

Eli Lilly

336,16

216,03

216,03

MIDAX 5 mg COM x 14

Gador

355,18

234,49

234,49

SARTINA 5 mg COM x 15

Temis-Lostalo

262,65

100,16

100,16

ENOLEX 5 mg COM x 28

Casasco

584,13

321,99

321,99

APSICO 5 mg COM x 28

Raymos

635,97

390,85

390,85

SIMINA 5 mg COM x 28

Elea

663,89

426,69

426,69

MIDAX 5 mg COM x 28

Gador

731,68

483,05

483,05

ZYPREXA 5 mg COM x 28

Eli Lilly

746,59

500,28

500,28

ZYPREXA ZYDIS 5 mg Dis.Inst. TAB x 28

Eli Lilly

746,59

500,28

500,28

REVERTRIX 5 mg COM x 30

Richmond

644,83

376,92

376,92

SARTINA 5 mg COM x 30

Temis-Lostalo

744,79

491,70

491,70

1.450,18

971,75

971,75

5 mg REVERTRIX 5 mg COM x 10

10 mg ZYPREXA ZYDIS 10 mg Dis.Inst. TAB x 28

Eli Lilly

REVERTRIX 10 mg COM x 10

Richmond

455,74

282,95

282,95

MIDAX DISPERSABLE 10 mg TAB x 14

Gador

553,49

276,18

276,18

ZYPREXA 10 mg COM x 14

Eli Lilly

593,16

344,40

344,40

SIMINA 10 mg COM x 14

Elea

627,25

376,48

376,48

APSICO 10 mg COM x 14

Raymos

628,86

378,59

378,59

ZYPREXA ZYDIS 10 mg TAB x 14

Eli Lilly

652,76

384,32

384,32

MIDAX 10 mg COM x 14

Gador

708,44

467,71

467,71

SARTINA 10 mg COM x 15

Temis-Lostalo

500,45

158,31

158,31

ENOLEX 10 mg COM x 28

Casasco

1.253,41

751,54

751,54

APSICO 10 mg COM x 28

Raymos

1.297,89

809,39

809,39

SIMINA 10 mg COM x 28

Elea

1.384,43

913,99

913,99

MIDAX 10 mg COM x 28

Gador

1.433,79

946,58

946,58

ZYPREXA 10 mg COM x 28

Eli Lilly

1.450,18

971,75

971,75

REVERTRIX 10 mg COM x 30

Richmond

1.298,25

758,72

758,72

SARTINA 10 mg COM x 30

Temis-Lostalo

1.480,97

977,73

977,73

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

Pgina 96 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

NOMBRE COMERCIAL

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

OMEPRAZOL
Comprimidos

10 mg OMEPRASEC 10 mg CAP x 14

Hlb Pharma

27,05

5,41

5,41

REGULACID 10 mg CAP x 14

Lazar

45,24

23,66

23,66

LOSEC MUPS 10 mg COM x 14

Astrazeneca

55,51

36,65

36,65

ULSANOL 10 mg CAP x 28

Nova Argentia

53,37

10,67

10,67

ULCOZOL 10 mg CAP x 28

Bag

77,95

29,03

29,03

OMEPRASEC 10 mg CAP x 28

Hlb Pharma

89,30

49,57

49,57

REGULACID 10 mg CAP x 28

Lazar

94,22

52,45

52,45

TIMEZOL 10 mg CAP x 28

Richmond

103,95

66,14

66,14

DANLOX 10 mg CAP x 28

Casasco

106,73

68,83

68,83

ULCOZOL 10 mg COM x 28

Bag

107,79

70,17

70,17

PROCELAC 10 mg CAP x 28

Ivax Argentina

130,70

86,29

86,29

ULCOZOL 10 mg CAP x 30

Bag

104,41

60,84

60,84

GASTEC 10 mg CAP x 30

Bernabo

109,75

67,85

67,85

GASTROTEM 10 mg CAP x 30

Temis-Lostalo

135,03

89,15

89,15

20 mg PRYSMA 20 mg CAP x 14

Ariston

38,37

7,67

7,67

ULSANOL 20 mg CAP x 14

Nova Argentia

53,37

10,67

10,67

GASTROTEM 20 mg CAP x 14

Temis-Lostalo

60,23

16,07

16,07

OBLISEC 20 mg CAP x 14

Microsules Argentina

68,17

28,50

28,50

REGULACID 20 mg CAP x 14

Lazar

70,26

29,73

29,73

LOSEC MUPS 20 mg COM x 14

Astrazeneca

96,52

63,72

63,72

OMEPRASEC 20 mg CAP x 14

Hlb Pharma

104,85

69,22

69,22

DANLOX 20 mg CAP x 14

Casasco

105,64

69,74

69,74

ULCOZOL 20 mg COM x 14

Bag

115,24

76,08

76,08

PROCELAC 20 mg CAP x 14

Ivax Argentina

129,29

85,36

85,36

ACIMED 20 mg CAP x 15

Sanitas

72,68

26,78

26,78

ULCOZOL 20 mg CAP x 15

Bag

108,61

71,70

71,70

GASTEC 20 mg CAP x 15

Bernabo

111,37

73,53

73,53

PRYSMA 20 mg CAP x 28

Ariston

76,73

15,35

15,35

ULSANOL 20 mg CAP x 28

Nova Argentia

106,74

21,35

21,35

LOSEC MUPS 20 mg COM x 28

Astrazeneca

168,85

97,40

97,40

OMEPRASEC 20 mg CAP x 28

Hlb Pharma

168,94

104,90

104,90

TIMEZOL 20 mg CAP x 28

Richmond

184,80

119,65

119,65

REGULACID 20 mg CAP x 28

Lazar

200,78

132,55

132,55

DANLOX 20 mg CAP x 28

Casasco

241,56

159,48

159,48

PROCELAC 20 mg CAP x 28

Ivax Argentina

247,31

163,27

163,27

ULCOZOL 20 mg COM x 28

Bag

259,67

171,43

171,43

ACIMED 20 mg CAP x 30

Sanitas

164,87

77,91

77,91

GASTROTEM 20 mg CAP x 30

Temis-Lostalo

190,52

117,01

117,01

ULCOZOL 20 mg CAP x 30

Bag

204,61

134,97

134,97

GASTEC 20 mg CAP x 30

Bernabo

232,19

153,29

153,29

30 mg ULCOZOL 30 mg CAP x 28

Bag

243,99

160,31

160,31

40 mg DANLOX 40 mg CAP x 14

Casasco

152,27

83,48

83,48

ULCOZOL 40 mg CAP x 14

Bag

180,66

119,27

119,27

PROCELAC 40 mg CAP x 14

Ivax Argentina

184,69

121,93

121,93

OMEPRASEC 40 mg CAP x 28

Hlb Pharma

286,65

154,62

154,62

DANLOX 40 mg CAP x 28

Casasco

325,53

195,05

195,05

GASTEC 40 mg CAP x 28

Bernabo

348,24

224,35

224,35

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

Pgina 97 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

NOMBRE COMERCIAL

Comprimidos

40 mg PROCELAC 40 MG CAP x 28

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Ivax Argentina

351,79

228,84

228,84

ULCOZOL 40 mg COM x 28

Bag

369,75

240,34

240,34

ULCOZOL 40 mg CAP x 28

Bag

380,84

251,43

251,43

Ivax Argentina

313,77

207,15

130,96

TRILEPTAL 300 mg COM x 30

Novartis

342,81

226,32

170,63

AURENE 300 mg COM x 60

Ivax Argentina

533,66

299,45

138,91

TRILEPTAL 300 mg COM x 60

Novartis

613,26

402,94

241,66

Ivax Argentina

566,47

367,07

201,02

TRILEPTAL 600 mg COM x 30

Novartis

685,79

452,75

364,89

AURENE 600 mg COM x 60

Ivax Argentina

941,26

479,70

245,00

TRILEPTAL 600 mg COM x 60

Novartis

1.226,43

809,68

535,54

Novartis

214,09

140,67

86,71

OXCARBACEPINA
Comprimidos

300 mg AURENE 300 mg COM x 30

600 mg AURENE 600 mg COM x 30

Lquido

6000 mg TRILEPTAL JBE x 100

OXIBUTININA CLORURO
Comprimidos

5 mg OXI-Q 5 mg COM x 20

Ariston

46,72

9,34

9,34

DELAK 5 mg COM x 20

Raffo

66,04

20,23

20,23

OXIBUTININA FERRING 5 mg COM x 20

Ferring

75,91

34,54

34,54

UREQUIM COM x 20

Craveri

79,24

39,32

39,32

RETEBEM 5 mg COM x 20

Gobbi

96,80

62,73

62,73

DITROPAN COM x 20

Phoenix

104,27

68,84

68,84

DELAK 5 mg COM x 30

Raffo

92,32

23,90

23,90

OXI-Q 5 mg COM x 30

Ariston

115,75

54,54

54,54

DITROPAN COM x 30

Phoenix

133,68

79,21

79,21

OXI-Q 5 mg COM x 50

Ariston

111,19

22,24

22,24

UREQUIM COM x 50

Craveri

189,31

85,66

85,66

OXIBUTININA FERRING 5 mg COM x 50

Ferring

199,09

99,70

99,70

RETEBEM 5 mg COM x 50

Gobbi

222,66

131,84

131,84

DITROPAN COM x 50

Phoenix

250,77

165,56

165,56

DELAK 5 mg COM x 60

Raffo

177,42

40,89

40,89

DITROPAN UD 5 mg COM x 20

Phoenix

242,42

160,04

160,04

DITROPAN UD 5 mg COM x 30

Phoenix

324,67

214,35

214,35

Ariston

192,74

53,82

53,82

DITROPAN UD 10 mg COM x 20

Phoenix

305,13

201,45

201,45

DITROPAN UD 10 mg COM x 30

Phoenix

457,68

302,16

302,16

Ariston

145,18

29,04

29,04

DITROPAN UD 15 mg COM x 20

Phoenix

306,02

179,41

179,41

DITROPAN UD 15 mg COM x 30

Phoenix

537,07

354,57

354,57

Phoenix

183,45

118,16

118,16

Ferring

246,32

162,62

162,62

10 mg OXI-Q LR 10 mg COM x 20

15 mg OXI-Q LR 15 mg COM x 20

Lquido

100 mg DITROPAN JBE x 200


OXIBUTININA FERRING 1 MG/ML JBE x 200

OXIMETAZOLINA
CLORHIDRATO
Gotas

25 mg LIDIL INFANTIL GTS x 15

Roemmers

16,39

10,77

10,77

50 mg LIDIL GTS x 15

Roemmers

24,25

15,93

15,93

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

Pgina 98 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Gotas

NOMBRE COMERCIAL
25 mg LIDIL OFTALMICAS GTS x 10

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Roemmers

59,51

37,90

37,90

Raymos

62,97

41,57

41,57

Cassara

56,70

37,43

37,43

Bausch & Lomb Argentina

67,53

45,26

45,26

Gador

25,53

5,70

5,70

PANGEST 20 mg COM x 14

Beta

41,29

23,47

23,47

IBP PANTO 20 mg COM x 14

Geminis Farmaceutica

45,96

29,57

29,57

PANTOP 20 mg COM x 14

Takeda

117,65

77,67

77,67

ACTUAL 24 20 mg COM x 15

Bag

39,93

19,17

19,17

PANTOP 20 mg FRASCO COM x 15

Takeda

40,77

20,86

20,86

PANTOCAS 20 mg COM x 15

Casasco

44,76

25,85

25,85

PEPTAZOL 20 mg COM x 15

Montpellier

50,79

33,53

33,53

PAMPAR 20 mg COM x 15

Finadiet

54,68

36,10

36,10

PANTUS 20 mg GASTRORR COM x 15

Baliarda

55,86

36,88

36,88

PANGEST 20 mg COM x 15

Beta

66,60

43,97

43,97

PANTUSEC GASTR. 20 MG COM x 15

Baliarda

72,18

47,65

47,65

SUPRACAM 20 mg COM x 20

Raffo

68,96

45,53

45,53

GASTROMAX 20 mg COM x 28

Gador

58,92

15,27

15,27

IBP PANTO 20 mg COM x 28

Geminis Farmaceutica

89,76

56,37

56,37

PANGEST 20 mg COM x 28

Beta

100,45

66,31

66,31

PANTOP 20 mg COM x 28

Takeda

185,93

122,75

122,75

PANTOMETYL 20 mg COM x 30

Sanitas

59,81

13,35

13,35

PANTOP 20 mg FRASCO COM x 30

Takeda

67,95

21,51

21,51

GASTROMAX 20 mg COM x 30

Gador

69,28

22,43

22,43

IBP PANTO 20 mg COM x 30

Geminis Farmaceutica

96,25

60,49

60,49

PEPTAZOL 20 mg COM x 30

Montpellier

96,76

61,15

61,15

PANTOCAS 20 mg COM x 30

Casasco

97,57

62,19

62,19

SUPRACAM 20 mg COM x 30

Raffo

102,46

67,64

67,64

PANTUS 20 mg GASTRORR COM x 30

Baliarda

102,69

67,79

67,79

PAMPAR 20 mg COM x 30

Finadiet

109,16

72,07

72,07

PANTUSEC GASTR. 20 mg COM x 30

Baliarda

129,99

85,82

85,82

PANGEST 20 mg COM x 30

Beta

146,13

96,48

96,48

GASTROMAX MAGNESICO COM x 30

Gador

149,38

98,62

98,62

GASTROMAX 20 mg COM x 42

Gador

85,74

20,39

20,39

GASTROMAX 20 mg COM x 60

Gador

134,40

40,52

40,52

40 mg GASTROMAX 40 mg COM x 14

Gador

44,85

11,68

11,68

PANGEST 40 mg COM x 14

Beta

66,66

40,84

40,84

IBP PANTO 40 mg COM x 14

Geminis Farmaceutica

72,46

47,84

47,84

PANTOSEPTO 40 mg COM x 14

Craveri

72,68

47,98

47,98

PANTOP 40 mg COM x 14

Takeda

187,86

124,02

124,02

TECTA 40 mg COM x 14

Takeda

214,43

141,57

141,57

PANTOCAS 40 mg COM x 15

Casasco

72,90

45,67

45,67

PEPTAZOL 40 mg COM x 15

Montpellier

78,51

51,83

51,83

NEWCLAR OFT. GTS x 10


Spray

30/12/2014

50 mg OXILER D SPR x 10

OXIMETAZOLINA
CLORHIDRATO +
HIALURONICO, CIDO +
VITAMINA A
Lquido

0,25 mg PANOXI OFT. SOL x 10

PANTOPRAZOL
Comprimidos

20 mg GASTROMAX 20 mg COM x 14

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

Pgina 99 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

Sobres

NOMBRE COMERCIAL

30/12/2014
LABORATORIO

40 mg PANTUS 40 mg GASTRORR COM x 15

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Baliarda

87,63

57,85

57,85

PAMPAR 40 mg COM x 15

Finadiet

89,96

59,39

59,39

PANGEST 40 mg COM x 15

Beta

106,92

70,59

70,59

PANTUSEC GASTR. 40 mg COM x 15

Baliarda

108,75

71,80

71,80

SUPRACAM 40 mg COM x 20

Raffo

104,91

69,26

69,26

GASTROMAX 40 mg COM x 28

Gador

93,07

26,58

26,58

DUNCAN SIPAR 40 mg GASTRORR. COM x 28

Duncan

103,59

44,61

44,61

PANTOSEPTO 40 mg COM x 28

Craveri

139,30

89,36

89,36

IBP PANTO 40 mg COM x 28

Geminis Farmaceutica

139,51

89,63

89,63

PANGEST 40 mg COM x 28

Beta

157,17

103,76

103,76

PANTOP 40 mg COM x 28

Takeda

371,93

245,54

245,54

GASTROMAX 40 mg COM x 30

Gador

109,43

40,56

40,56

PANTOMETYL 40 mg COM x 30

Sanitas

117,35

52,46

52,46

PEPTAZOL 40 mg COM x 30

Montpellier

149,55

96,12

96,12

IBP PANTO 40 mg COM x 30

Geminis Farmaceutica

150,33

97,20

97,20

PANTOCAS 40 mg COM x 30

Casasco

151,45

98,53

98,53

SUPRACAM 40 mg COM x 30

Raffo

154,76

102,17

102,17

PANTUS 40 mg GASTRORR COM x 30

Baliarda

162,32

107,16

107,16

PAMPAR 40 mg COM x 30

Finadiet

179,92

118,78

118,78

PANTUSEC GASTR. 40mg COM x 30

Baliarda

194,79

128,60

128,60

PANGEST 40 mg COM x 30

Beta

228,08

150,58

150,58

TECTA 40 mg COM x 30

Takeda

425,06

280,62

280,62

GASTROMAX 40 mg COM x 42

Gador

133,65

34,18

34,18

GASTROMAX 40 mg COM x 60

Gador

209,52

66,61

66,61

20 mg PANTUS 20 mg SOB x 15

Baliarda

72,48

47,11

47,11

PANTUS 20 mg SOB x 30

Baliarda

112,22

72,24

72,24

40 mg PANTUS 40 mg SOB x 15

Baliarda

88,96

57,82

57,82

PANTUS 40 mg SOB x 30

Baliarda

136,93

86,57

86,57

TRIMOVAX JPR x

Sanofi Pasteur

127,08

74,13

74,13

Merck Sharp & Dhome

139,98

91,97

91,97

Lazar

13,69

9,00

9,00

Raffo

15,14

8,94

8,94

TAFIROL 1 g COM x 50

Genomma Lab.

30,17

19,92

19,92

PARACETAMOL RAFFO 1 g COM x 60

Raffo

29,90

17,34

17,34

Raffo

16,34

5,30

Monserrat

21,90

13,25

13,25

PARACETAMOL FORTBENTON GTS x 20

Fortbenton Co.

23,52

15,29

15,29 INF

PARACETAMOL FECOFAR GTS x 20

Fecofar

23,37

15,43

15,43 INF

TERMOFREN GTS x 20

Roemmers

24,63

16,26

16,26 INF

PARACETAMOL LAZAR GTS x 20

Lazar

24,70

16,31

16,31 INF

Roemmers

37,55

24,67

24,67

PAPERAS VIRUS VIVO +


SARAMPION VIRUS VIVO +
RUBEOLA VIRUS VIVOS
ATENUADOS
Ampollas

5000

MMR VACUNA AMP x

PARACETAMOL
Comprimidos

500 mg PARACETAMOL LAZAR 500 mg COM x 20


1000 mg PARACETAMOL RAFFO 1 g COM x 30

Gotas

Lquido

10000 PARACETAMOL RAFFO INFANTIL GTS x 20


mg
PARACETAMOL MONSERRAT ECLAIR GTS x 20

2000 mg TERMOFREN SOL x 120

5,30 INF

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

Pgina 100 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Lquido
Supositorios

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

2000 mg PARACETAMOL RAFFO JBE x 125

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Raffo

16,75

3,35

3,35

Phoenix

13,84

9,00

9,00 INF

CAUSALON 150 mg 0.5 GR SUP x 10

Phoenix

60,32

38,09

38,09 INF

Phoenix

28,09

18,17

18,17 INF

CAUSALON 300 mg 1 GR SUP x 10

Phoenix

60,34

39,02

39,02 INF

600 mg CAUSALON 600 mg 2 GR SUP x 10

Phoenix

60,34

39,02

39,02

Baliarda

111,25

65,24

65,24

TIARIX 10 mg COM x 30

Casasco

129,50

85,49

85,49

PSICOASTEN 10 mg COM x 30

Beta

135,14

89,22

89,22

150 mg CAUSALON 150 mg 0.5 GR SUP x

300 mg CAUSALON 300 mg 1 GR SUP x

PAROXETINA
Comprimidos

10 mg MEPLAR 10 mg COM x 30

12,5 mg PSICOASTEN LC 12.5 mg COM x 10

Beta

60,99

30,09

30,09

MEPLAR LC 12.5 mg COM x 10

Baliarda

54,61

35,32

35,32

TIARIX CR 12.5 mg COM x 30

Casasco

192,70

103,87

103,87

PSICOASTEN LC 12.5 mg COM x 30

Beta

214,28

132,60

132,60

PAXIL CR 12.5 mg COM x 30

GlaxoSmithkline

273,79

180,76

180,76

Astrazeneca

48,09

10,74

10,74

PAMOXET 20 mg COM x 10

Raymos

63,24

22,50

22,50

PSICOASTEN 20 mg COM x 10

Beta

67,24

28,59

28,59

SOSTEL 20 mg COM x 10

Richmond

71,24

35,31

35,31

MEPLAR 20 mg RECUB. COM x 10

Baliarda

84,48

52,36

52,36

AROPAX 20 mg COM x 10

GlaxoSmithkline

105,17

69,43

69,43

AFENEXIL 20 mg COM x 15

Temis-Lostalo

45,02

10,05

10,05

OLANE 20 mg COM x 30

Phoenix

198,63

81,14

81,14

DATEVAN 20 mg COM x 30

Astrazeneca

212,65

101,73

101,73

SOSTEL 20 mg COM x 30

Richmond

233,72

133,43

133,43

NEUROTROX 20 mg COM x 30

Elea

238,57

137,56

137,56

PAMOXET 20 mg COM x 30

Raymos

242,91

143,33

143,33

PSICOASTEN 20 mg COM x 30

Beta

250,43

153,19

153,19

MEPLAR 20 mg RECUB. COM x 30

Baliarda

259,93

165,43

165,43

AFENEXIL 20 mg COM x 30

Temis-Lostalo

270,46

178,56

178,56

TIARIX 20 mg COM x 30

Casasco

291,46

192,42

192,42

AROPAX 20 mg COM x 30

GlaxoSmithkline

305,37

201,60

201,60

20 mg DATEVAN 20 mg COM x 10

25 mg PSICOASTEN LC 25 mg COM x 10

Beta

67,26

25,88

25,88

MEPLAR LC 25 mg COM x 10

Baliarda

58,95

32,14

32,14

OLANE XR 25 mg COM x 30

Phoenix

162,57

36,31

36,31

TIARIX CR 25 mg COM x 30

Casasco

221,33

106,53

106,53

PSICOASTEN LC 25 mg COM x 30

Beta

227,40

115,14

115,14

MEPLAR LC 25 mg COM x 30

Baliarda

210,96

139,16

139,16

PAXIL CR 25 mg COM x 30

GlaxoSmithkline

352,90

232,98

232,98

Baliarda

239,04

157,06

157,06

Beta

201,87

132,63

132,63

Raymos

380,34

205,88

205,88

Beta

456,33

301,27

301,27

Spedrog Caillon

804,32

528,47

528,47

30 mg MEPLAR 30 mg COM x 30
37,5 mg PSICOASTEN LC 37.5 mg COM x 30
40 mg PAMOXET 40 mg COM x 30
PSICOASTEN 40 mg COM x 30

PENICILAMINA
Comprimidos

250 mg CUPRIPEN 250 mg CAP x 30

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

Pgina 101 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

250 mg

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

CUPRIMINE CAP x 100

Spedrog Caillon

PRECIO

1.347,16

A CARGO A CARGO
REF
AFILIADO CRONICO
875,65

875,65

PENICILINA G BENZATNICA
Ampollas

1200000 RETARPEN 1.2 MUI F.A x 1


ui
PEN DI BEN 1200000 U 5 ML AMP x

Sandoz

25,07

5,01

5,01 INF

Bag

55,55

36,50

36,50 INF

2400000 RETARPEN 2.4 MUI F.A x 1


ui
PEN DI BEN 2400000 U 10 ML AMP x

Sandoz

38,97

7,79

7,79

Bag

91,73

60,27

60,27

1000 mg MANTUS PDA x 10

Investi

42,75

28,09

28,09

MANTUS PDA x 30

Investi

68,68

45,13

45,13

PENTOSANPOLISULFONICO
ESTER + TRIAMCINOLONA
Pomada

PENTOXIFILINA
Comprimidos

400 mg TRENTAL 400 mg GRA x 60

Sanofi Aventis

319,16

205,51

205,51

PENTOMIRON COM x 60

Craveri

331,91

219,12

219,12

TRENTAL 400 mg LIB.MODIFICADA COM x 30

Sanofi Aventis

191,50

126,43

126,43

TRENTAL 400 mg LIB.MODIFICADA COM x 60

Sanofi Aventis

319,16

209,62

209,62

Sanofi Aventis

319,16

209,70

209,70

Investi

126,27

82,97

82,97

5 mg COVERENE 5 mg COM x 30

Servier

154,62

101,59

101,59

10 mg COVERENE 10 mg COM x 30

Servier

216,95

144,71

144,71

Beta

126,43

83,07

51,20

1000 mg ISOPTO CARPINA 1% OFT. SOL x 15

Alcon

49,06

31,90

19,79

2000 mg ISOPTO CARPINA 2% OFT. SOL x 15

Alcon

57,84

37,21

23,34

2500 mg SONADRYL 2.5% OFT. SOL x 10

Allergan-Loa

21,39

14,05

7,21

Poen

85,04

55,88

33,46

Lazar

88,56

57,56

57,56

ACTOS 15 mg COM x 15

Abbott

127,17

83,96

83,96

HIGLUCEM 15 mg COM x 28

Lazar

221,89

146,49

146,49

CERELUC 15 mg COM x 30

Beta

132,54

59,22

59,22

PIOGLIT 15 mg COM x 30

Phoenix

172,89

113,57

113,57

ACTOS 15 mg COM x 30

Abbott

254,31

167,89

167,89

Lazar

88,56

43,22

43,22

CERELUC 30 mg COM x 15

Beta

95,24

45,60

45,60

ACTOS 30 mg COM x 15

Abbott

137,75

90,94

90,94

HIGLUCEM 30 mg COM x 28

Lazar

255,18

168,47

168,47

PIOGLIT 30 mg COM x 30

Phoenix

202,29

107,82

107,82

CERELUC 30 mg COM x 30

Beta

245,59

162,14

162,14

ACTOS 30 mg COM x 30

Abbott

252,29

166,56

166,56

600 mg TRENTAL 600 mg COM x 40


PREVISCAN RETARD 600 mg TAB x 30

PERINDOPRIL
Comprimidos

PILOCARPINA
Comprimidos
Lquido

5 mg WETOL COM x 30

PILOCARPINA + TIMOLOL
Lquido

2500 mg GLAUCOTENSIL OFT. SUS x

PIOGLITAZONA
Comprimidos

15 mg HIGLUCEM 15 mg COM x 14

30 mg HIGLUCEM 30 mg COM x 14

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

Pgina 102 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

30/12/2014

NOMBRE COMERCIAL

Comprimidos

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

30 mg PIOTAMAX 30 mg COM x 30

Francelab

268,52

177,27

177,27

45 mg CERELUC 45 mg COM x 30

Beta

155,92

60,49

60,49

PIOGLIT 45 mg COM x 30

Phoenix

172,89

85,41

85,41

HIGLUCEM 45 mg COM x 30

Lazar

272,76

180,07

180,07

PIOTAMAX 45 mg COM x 30

Francelab

275,73

182,03

182,03

Roemmers

361,36

237,43

237,43

Roemmers

282,82

185,82

185,82

47,14

30,98

30,98

PIRIDOSTGMINA BROMURO
Comprimidos

60 mg MESTINON 60 mg COM x 100


180 mg MESTINON TS 180 mg COM x 30

PIRIMETAMINA
Comprimidos

25 mg DARAPRIM COM x 20

GlaxoSmithkline

PLATA SULFADIAZINA +
VITAMINA A + LIDOCAINA
Apsitos

1000 mg PLATSUL-A GASAS APO x 10

Soubeiran Chobet

100,17

65,81

65,81

Crema

1000 mg PLATSUL-A CRE x 200

Soubeiran Chobet

162,21

106,58

106,58

Merck Sharp & Dhome

214,40

130,37

130,37

Sanofi Pasteur

242,09

162,22

162,22

1500 mg UROKIT COM x 30

Casasco

123,73

81,68

81,68

UROKIT COM x 60

Casasco

239,86

158,36

158,36

3000 mg UROKIT SOB x 20

Casasco

43,72

19,41

19,41

UROKIT SOB x 60

Casasco

192,08

126,81

126,81

600 mg CONTROL K CAP x 30

Elea

138,71

91,58

91,58

CONTROL K CAP x 60

Elea

264,26

169,48

169,48

POLISACARIDOS
STEPTOCOCO PNEUMONIAE
Ampollas

0,025 mg PNEUMOVAX 23 VIAL 0.5 ML AMP x

PNEUMO 23 VAC. ANTINEUMOCOCICA AMP x

POTASIO CITRATO
Comprimidos

Sobres

POTASIO CLORURO
Comprimidos

POTASIO GLUCONATO
Lquido

Sobres

31200 KAON ELI x 150


mg

Montpellier

23,04

15,21

15,21

KAON ELI x 500

Montpellier

60,25

35,43

35,43

4680 mg KAON POLVO SOB x 30

Montpellier

64,41

42,32

42,32

0,125 mg PARMITAL 0.125 mg COM x 30

Raffo

44,10

28,22

28,22

PORTIV 0.125 mg COM x 30

Buxton

53,79

35,51

35,51

TREMINEL 0.125 mg COM x 30

Ivax Argentina

61,44

40,56

40,56

PRAMIPEXOL
Comprimidos

0,25 mg NULIPAR 0.25 mg COM x 30

Baliarda

85,45

41,34

41,34

NEUROSOMAT 0.25 mg COM x 30

Beta

87,91

44,82

44,82

PROATS 0.25 mg COM x 30

Richmond

87,63

45,46

45,46

PARMITAL 0.25 mg COM x 30

Raffo

88,15

46,82

46,82

PRAMIXAR 0.25 mg COM x 30

Ariston

97,47

57,82

57,82

PORTIV 0.250 mg COM x 30

Buxton

109,78

72,48

72,48

TREMINEL 0.25 mg COM x 30

Ivax Argentina

112,84

74,49

74,49

NOXOPRAN 0.25 mg COM x 30

Casasco

112,97

74,58

74,58

SIFROL 0.250 mg COM x 30

Boheringer Ingelheim

136,17

90,08

90,08

NULIPAR 0.25 mg COM x 40

Baliarda

107,02

46,56

46,56

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

Pgina 103 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

0,25 mg PRAMIXAR 0.25 mg COM x 60

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Ariston

193,64

113,90

113,90

NOXOPRAN 0.25 mg COM x 60

Casasco

216,35

142,83

142,83

NEUROSOMAT 0.25 mg COM x 90

Beta

253,47

119,88

119,88

PORTIV 0.250 mg COM x 100

Buxton

331,79

201,75

201,75

Baliarda

53,33

31,97

31,97

Boheringer Ingelheim

70,79

46,83

46,83

0,37 mg NULIPAR LP 0.375 mg COM x 10


0,375 mg SIFROL ER 0.375 mg COM x 10
0,5 mg NULIPAR 0.5 mg COM x 30

Baliarda

184,79

118,34

118,34

NULIPAR 0.5 mg COM x 40

Baliarda

255,63

166,16

166,16

Baliarda

267,32

141,72

141,72

Boheringer Ingelheim

354,81

234,71

234,71

0,75 mg NULIPAR LP 0.75 mg COM x 30


SIFROL ER 0.75 mg COM x 30
1 mg NULIPAR 1 mg COM x 30

Baliarda

316,83

179,64

179,64

NEUROSOMAT 1 mg COM x 30

Beta

325,99

191,87

191,87

PROATS 1 mg COM x 30

Richmond

320,39

207,21

207,21

PARMITAL 1 mg COM x 30

Raffo

334,02

207,24

207,24

PRAMIXAR 1 mg COM x 30

Ariston

365,57

241,35

241,35

PORTIV 1 mg COM x 30

Buxton

401,24

264,90

264,90

TREMINEL 1 mg COM x 30

Ivax Argentina

409,48

270,34

270,34

NOXOPRAN 1 mg COM x 30

Casasco

443,36

292,70

292,70

SIFROL 1

Boheringer Ingelheim

485,88

321,41

321,41

NULIPAR 1 mg COM x 40

Baliarda

373,04

175,44

175,44

NULIPAR 1 mg COM x 60

Baliarda

586,34

294,12

294,12

PRAMIXAR 1 mg COM x 60

Ariston

643,13

371,97

371,97

NOXOPRAN 1 mg COM x 60

Casasco

856,67

565,57

565,57

NEUROSOMAT 1 mg COM x 90

Beta

880,19

442,14

442,14

PORTIV 1 mg COM x 100

Buxton

1.182,87

764,10

764,10

SIFROL 1

Boheringer Ingelheim

1.429,57

945,67

945,67

Baliarda

494,53

233,21

233,21

Boheringer Ingelheim

656,43

434,23

434,23

mg COM x 30

mg COM x 100

1,5 mg NULIPAR LP 1.5 mg COM x 30


SIFROL ER 1.5 mg COM x 30
3 mg NULIPAR LP 3 mg COM x 30

989,09

463,81

463,81

1.312,83

868,45

868,45

Elea

43,61

28,65

28,65

Lepetit

63,35

41,63

41,63

190 mg SCHERIPROCT PDA x 10

Bayer Consumer

55,22

35,89

35,89

SCHERIPROCT PDA x 30

Bayer Consumer

132,71

76,31

76,31

1,3 mg SCHERIPROCT FOLIA SUP x 12

Bayer Consumer

50,95

32,95

32,95

SIFROL ER 3 mg COM x 30

Baliarda
Boheringer Ingelheim

PRAMOXINA + ZINC XIDO


Ungento

1000 mg ANUSOL A UNG x 10

PRAZIQUANTEL
Comprimidos

600 mg PRAZITRAL 600 mg COM x

PREDNISOLONA +
CINCOCAINA CLOROHIDRATO
+ HEXACLOROFENO
Pomada

PREDNISOLONA +
CINOCOCAINA +
HEXACLOROFENO
Supositorios

PREDNISOLONA + RUSCUS
ACULEATUS
MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 104 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Pomada

NOMBRE COMERCIAL
150 mg PROCTO VENART PDA x 10

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Casasco

67,97

44,87

44,87

MSD Arrgentina SR

74,13

48,94

48,94

METILPRES 5 mg COM x 30

Trb-Pharma

71,61

42,29

42,29

METILPRES 5 mg COM x 60

Trb-Pharma

113,93

43,12

43,12

PREDNISONA
Comprimidos

5 mg METICORTEN 5 mg COM x 20

PREGABALINA
Comprimidos

25 mg GAVIN 25 mg CAP x 28

84,65

44,97

44,97

LINPREL 25 mg CAP x 28

Baliarda

101,27

66,77

66,77

CLASICA 25 mg CAP x 28

Craveri

116,33

76,80

76,80

LYRICA 25 mg CAP x 28

Pfizer

118,24

78,06

78,06

NEURISTAN 25 mg CAP x 30

Casasco

95,34

54,50

54,50

LUNEL 25 mg CAP x 30

Montpellier

97,32

57,14

57,14

AXUAL 25 mg CAP x 30

Ivax Argentina

113,68

75,05

75,05

PLENICA 25 mg CAP x 30

Roemmers

116,71

77,05

77,05

LYRICA 25 mg CAP x 30

Pfizer

131,84

87,04

87,04

LYRICA 25 mg CAP x 56

Pfizer

200,54

131,03

131,03

LYRICA 25 mg CAP x 60

Pfizer

221,45

146,20

146,20

50 mg GAVIN 50 mg CAP x 28

Gador

Gador

167,26

73,79

73,79

LYRICA 50 mg CAP x 28

Pfizer

250,45

165,34

165,34

PREBICTAL 50 mg CAP x 28

Raffo

264,15

174,39

174,39

LYRICA 50 mg CAP x 30

Pfizer

298,70

197,20

197,20

75 mg PREBICTAL 75 mg CAP x 14

Raffo

132,49

72,44

72,44

GAVIN 75 mg CAP x 14

Gador

144,65

88,62

88,62

PREBANAL 75 mg CAP x 14

Raymos

149,51

94,89

94,89

LINPREL 75 mg CAP x 14

Baliarda

150,62

96,30

96,30

BALFIBRO 75 mg CAP x 14

Buxton

150,80

96,54

96,54

LYRICA 75 mg CAP x 14

Pfizer

155,38

102,32

102,32

PRINCIPIA 75 mg COM x 14

Elea

165,80

109,46

109,46

DOLGENAL 75 mg CAP x 15

Beta

140,32

75,37

75,37

LUNEL 75 mg CAP x 15

Montpellier

155,66

95,84

95,84

AXUAL 75 mg CAP x 15

Ivax Argentina

177,70

117,32

117,32

PLENICA 75 mg CAP x 15

Roemmers

186,01

122,80

122,80

LYRICA 75 mg CAP x 15

Pfizer

187,46

123,76

123,76

LINPREL MULTIDOSIS 75 mg Birran. COM x 15

Baliarda

188,24

124,27

124,27

PLENICA 75 PRACTIDOSIS COM x 15

Roemmers

200,75

132,53

132,53

PGB 75 mg MULTIDOSIS COM x 15

Investi

221,68

146,35

146,35

GAVIN 75 mg CAP x 28

Gador

271,97

154,35

154,35

PREBANAL 75 mg CAP x 28

Raymos

274,10

157,20

157,20

MYSTIKA 75 mg COM x 28

Richmond

279,28

166,74

166,74

PREBICTAL 75 mg CAP x 28

Raffo

282,56

168,44

168,44

BALFIBRO 75 mg CAP x 28

Buxton

287,99

175,55

175,55

LINPREL 75 mg CAP x 28

Baliarda

288,61

176,35

176,35

CLASICA 75 mg CAP x 28

Craveri

312,80

206,51

206,51

LYRICA 75 mg CAP x 28

Pfizer

322,85

213,14

213,14

PRINCIPIA 75 mg CAP x 28

Elea

328,32

216,75

216,75

LUNEL 75 mg CAP x 30

Montpellier

288,02

160,81

160,81

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

Pgina 105 de 130

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Comprimidos

NOMBRE COMERCIAL
75 mg DOLGENAL 75 mg CAP x 30

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Beta

303,09

180,92

180,92

NEURISTAN 75 mg CAP x 30

Casasco

317,99

200,27

200,27

AXUAL 75 mg CAP x 30

Ivax Argentina

327,15

211,94

211,94

GAVIN 75 mg BIRRANURADO COM x 30

Gador

328,38

213,50

213,50

LINPREL MULTIDOSIS 75 mg Birran. COM x 30

Baliarda

347,08

229,14

229,14

KABIAN 75 mg CAP x 30

Temis-Lostalo

352,60

232,78

232,78

LYRICA 75 mg CAP x 30

Pfizer

357,41

235,96

235,96

PLENICA 75 mg CAP x 30

Roemmers

358,95

236,98

236,98

PREBIEN 75 mg DIVIDOSIS COM x 30

Ariston

365,76

241,47

241,47

PGB 75 mg CAP x 30

Investi

373,95

246,88

246,88

PLENICA 75 PRACTIDOSIS COM x 30

Roemmers

390,09

257,54

257,54

PGB 75 mg MULTIDOSIS COM x 30

Investi

406,40

268,30

268,30

LYRICA 75 mg CAP x 56

Pfizer

485,42

227,24

227,24

PRINCIPIA 75 mg CAP x 56

Elea

535,99

297,95

297,95

PLENICA 75 mg CAP x 60

Roemmers

516,67

238,51

238,51

LYRICA 75 mg CAP x 60

Pfizer

530,45

258,33

258,33

Raffo

435,83

287,73

287,73

Temis-Lostalo

420,83

269,64

269,64

100 mg PREBICTAL 100 mg CAP x 28


KABIAN 100 mg Trirran. COM x 30
150 mg PREBICTAL 150 mg CAP x 28

Raffo

437,89

254,28

254,28

PREBANAL 150 mg CAP x 28

Raymos

439,71

256,70

256,70

MYSTIKA 150 mg CAP x 28

Richmond

439,37

260,45

260,45

GAVIN 150 mg CAP x 28

Gador

462,65

286,76

286,76

LINPREL 150 mg CAP x 28

Baliarda

480,24

309,29

309,29

BALFIBRO 150 mg CAP x 28

Buxton

487,17

318,05

318,05

CLASICA 150 mg CAP x 28

Craveri

489,93

321,52

321,52

LYRICA 150 mg CAP x 28

Pfizer

512,20

338,15

338,15

PRINCIPIA 150 mg COM x 28

Elea

538,75

355,68

355,68

DOLGENAL 150 mg CAP x 30

Beta

423,65

209,98

209,98

LUNEL 150 mg CAP x 30

Montpellier

467,07

269,65

269,65

NEURISTAN 150 mg CAP x 30

Casasco

514,72

331,60

331,60

AXUAL 150 mg CAP x 30

Ivax Argentina

536,14

353,96

353,96

LYRICA 150 mg CAP x 30

Pfizer

577,83

381,48

381,48

KABIAN 150 mg CAP x 30

Temis-Lostalo

579,39

382,51

382,51

PLENICA 150 mg CAP x 30

Roemmers

580,73

383,40

383,40

PGB 150 mg CAP x 30

Investi

582,14

384,33

384,33

Raymos

515,92

236,24

236,24

CLASICA 300 mg CAP x 28

Craveri

571,36

314,21

314,21

GAVIN 300 mg CAP x 28

Gador

625,45

386,01

386,01

PREBICTAL 300 mg CAP x 28

Raffo

665,57

432,62

432,62

LINPREL 300 mg CAP x 28

Baliarda

675,06

445,67

445,67

BALFIBRO 300 mg CAP x 28

Buxton

710,47

469,05

469,05

LYRICA 300 mg CAP x 28

Pfizer

731,76

483,10

483,10

PRINCIPIA 300 mg COM x 28

Elea

755,32

498,66

498,66

LYRICA 300 mg CAP x 30

Pfizer

809,58

534,48

534,48

PLENICA 300 mg CAP x 30

Roemmers

813,45

537,03

537,03

AXUAL 300 mg CAP x 30

Ivax Argentina

818,82

540,58

540,58

Gador

501,93

329,79

329,79

300 mg PREBANAL 300 mg CAP x 28

Lquido

30/12/2014

20 mg GAVIN 20mg/ml SOL x 240

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

Pgina 106 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

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NOMBRE COMERCIAL

Ampollas

100 mg PROLUTON 100 IM 1 ML AMP x

Comprimidos

100 mg GESTER 100 mg COM x 30

LABORATORIO
1

63,30

A CARGO A CARGO
REF
AFILIADO CRONICO
40,94

40,94

Elea

87,04

19,44

19,44

PROGEST CAP x 30

Elea

208,11

137,17

137,17

MAFEL CAP x 30

Raymos

209,89

138,57

138,57

UTROGESTAN 100 mg CAP x 30

Ferring

248,52

164,07

164,07

Elea

220,78

134,67

134,67

MAFEL 200 mg CAP x 14

Raymos

199,84

117,52

117,52

UTROGESTAN 200 mg CAP x 14

Ferring

260,67

172,09

172,09

MAFEL 200 mg CAP x 28

Raymos

349,81

166,38

166,38

UTROGESTAN 200 mg CAP x 28

Ferring

508,32

335,59

335,59

PROGEST 200 Blandas CAP x 30

Elea

438,84

265,80

265,80

MAFEL 200 mg CAP x 42

Raymos

482,45

187,05

187,05

UTROGESTAN 200 mg CAP x 42

Ferring

744,73

491,67

491,67

Elea

52,37

34,41

34,41

Sanofi Aventis

54,03

35,50

35,50

Sanofi Aventis

30,73

20,19

20,19

200 mg PROGEST 200 Blandas CAP x 15

Gel

Bayer (PH)

PRECIO

1000 mg GESTER GEL x 30

PROMETAZINA
Ampollas

50 mg FENERGAN AMP x

Comprimidos

25 mg FENERGAN COM x 30

PROPAFENONA
Comprimidos

150 mg NORMORYTMIN 150 mg COM x 20

Abbott

123,16

81,31

81,31

NORMORYTMIN 150 mg COM x 50

Abbott

263,66

169,78

169,78

300 mg NORMORYTMIN 300 mg COM x 20

Abbott

231,16

152,61

152,61

NORMORYTMIN 300 mg COM x 50

Abbott

492,54

320,84

320,84

Poen

45,56

29,31

29,31

Alcon

69,31

44,86

44,86

Lazar

17,95

11,11

11,11

SERTAL PERLAS BLANDAS CAP x 10

Roemmers

27,09

17,88

17,88

SERTAL PER x 20

Roemmers

38,60

25,36

25,36

Roemmers

25,05

16,54

16,54

Roemmers

17,24

3,85

3,85

1000 mg NOVA PARATROPINA GTS x 20

Lazar

29,30

19,04

19,04

1000 mg SERTAL R GTS x 20

Roemmers

19,37

12,73

12,73

7,51

4,93

3,04

25,27

21,56

PROPARACAINA
CLORHIDRATO
Lquido

500 mg POEN CAINA OFT. SOL x 10


ANESTALCON OFT. SOL x 15

PROPINOX
Comprimidos

10 mg NOVA PARATROPINA BLANDAS CAP x 10

20 mg SERTAL FORTE PERLAS CAP x 10


SERTAL FORTE COM x 20
Gotas

PROPRANOLOL
Comprimidos

10 mg PROPRANOLOL GADOR 10 mg COM x 20

Gador

40 mg INDERAL 40 mg COM x 20

Astrazeneca

38,28

PROPRANOLOL GADOR 40 mg COM x 50

Gador

17,97

7,80

4,02

INDERAL 40 mg COM x 50

Astrazeneca

66,74

44,06

37,58

PROPRANOLOL GADOR 40 mg COM x 100

Gador

34,53

13,49

7,71

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

Pgina 107 de 130

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Comprimidos

NOMBRE COMERCIAL
80 mg PROPRANOLOL GADOR 80 mg COM x 50

30/12/2014
LABORATORIO

A CARGO A CARGO
REF
AFILIADO CRONICO

26,00

7,78

5,80

Astrazeneca

104,55

69,02

58,87

Beta

270,15

177,50

177,50

3580 mg MOTIONAL POLVO EFERV. CAJA SOB x 12

Beta

108,67

71,74

71,74

MOTIONAL POLVO EFERV. CAJA SOB x 30

Beta

200,98

124,79

124,79

INDERAL 80 mg COM x 50

Gador

PRECIO

PSYLLIUM
Frasco
Sobres

49120 MOTIONAL POLVO FCO x 400


mg

QUETIAPINA
Comprimidos

25 mg QUEPAZ 25 mg COM x 10

Phoenix

98,66

45,55

45,55

DOMINIUM 25 mg COM x 10

Beta

98,67

45,56

45,56

ATIPINA 25 mg COM x 10

Raymos

100,94

50,09

50,09

INQUETIA 25 mg COM x 10

Ariston

106,36

56,45

56,45

QUETIAZIC 25 mg COM x 10

Raffo

108,88

59,90

59,90

ROSTRUM 25 mg COM x 10

Casasco

109,60

60,88

60,88

VESPARAX 25 mg COM x 10

Lazar

115,81

69,18

69,18

BIATRIX 25 mg COM x 10

Baliarda

114,48

75,22

75,22

SEROQUEL 25 mg COM x 10

Bag

162,38

107,20

107,20

ETIASEL 25 mg COM x 10

Astrazeneca

168,19

111,04

111,04

DENDRITEX 25 mg COM x 15

Temis-Lostalo

156,87

80,96

80,96

QUEPAZ 25 mg COM x 30

Phoenix

259,49

81,91

81,91

INQUETIA 25 mg COM x 30

Ariston

299,40

141,59

141,59

DOMINIUM 25 mg COM x 30

Beta

340,03

197,74

197,74

ATIPINA 25 mg COM x 30

Raymos

344,64

203,85

203,85

BIATRIX 25 mg COM x 30

Baliarda

346,15

205,84

205,84

KEMOTER 25 mg COM x 30

Elea

351,74

213,18

213,18

VESPARAX 25 mg COM x 30

Lazar

355,46

218,03

218,03

ROSTRUM 25 mg COM x 30

Casasco

375,29

243,43

243,43

QUETIAZIC 25 mg COM x 30

Raffo

385,58

254,56

254,56

DENDRITEX 25 mg COM x 30

Temis-Lostalo

385,66

254,61

254,61

ETIASEL 25 mg COM x 30

Astrazeneca

509,94

336,66

336,66

SEROQUEL 25 mg COM x 30

Bag

514,63

339,76

339,76

BIATRIX 25 mg COM x 60

Baliarda

587,62

266,97

266,97

QUETIAZIC 25 mg COM x 60

Raffo

588,83

268,74

268,74

Astrazeneca

405,23

267,53

267,53

DOMINIUM XR 50 mg COM x 30

Beta

699,89

333,44

333,44

QUETIAZIC XR 50 mg COM x 30

Raffo

760,40

418,03

418,03

ROSTRUM XR 50 mg COM x 30

Casasco

805,63

478,65

478,65

BIATRIX XR 50 mg COM x 30

Baliarda

834,97

516,96

516,96

KEMOTER XR 50 mg COM x 30

Elea

899,54

591,03

591,03

ETIASEL XR 50 mg COM x 30

Astrazeneca

1.014,28

669,62

669,62

SEROQUEL XR 50 mg COM x 30

Bag

1.029,33

679,56

679,56

50 mg ETIASEL XR 50 mg COM x 10

100 mg QUEPAZ 100 mg COM x 30

Phoenix

446,56

165,59

165,59

INQUETIA 100 mg COM x 30

Ariston

515,24

266,12

266,12

BIATRIX 100 mg COM x 30

Baliarda

572,18

343,12

343,12

DOMINIUM 100 mg COM x 30

Beta

582,74

356,92

356,92

ATIPINA 100 mg COM x 30

Raymos

600,52

379,86

379,86

KEMOTER 100 mg COM x 30

Elea

602,76

382,72

382,72

VESPARAX 100 mg COM x 30

Lazar

608,22

389,68

389,68

ROSTRUM 100 mg COM x 30

Casasco

621,69

406,72

406,72

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

Pgina 108 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
100 mg QUETIAZIC 100 mg COM x 30

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Raffo

641,33

423,40

423,40

DENDRITEX 100 mg Tirran. COM x 30

Temis-Lostalo

657,59

434,14

434,14

ETIASEL 100 mg COM x 30

Astrazeneca

796,04

516,76

516,76

SEROQUEL 100 mg COM x 30

Bag

803,84

530,69

530,69

BIATRIX 100 mg COM x 60

Baliarda

977,99

457,72

457,72

QUETIAZIC 100 mg COM x 60

Raffo

980,09

460,76

460,76

150 mg ETIASEL XR 150 mg COM x 30


SEROQUEL XR 150 mg COM x 30
200 mg QUEPAZ 200 mg COM x 30

Astrazeneca
Bag

768,03

504,63

504,63

1.036,32

684,17

684,17

Phoenix

589,58

247,87

247,87

INQUETIA 200 mg COM x 30

Ariston

603,20

268,02

268,02

DOMINIUM 200 mg COM x 30

Beta

614,90

285,09

285,09

ATIPINA 200 mg COM x 30

Raymos

723,55

434,49

434,49

KEMOTER 200 mg COM x 30

Elea

734,59

448,91

448,91

ROSTRUM 200 mg COM x 30

Casasco

743,70

460,73

460,73

DENDRITEX 200 mg COM x 30

Temis-Lostalo

760,61

482,47

482,47

VESPARAX 200 mg COM x 30

Lazar

765,94

489,27

489,27

BIATRIX 200 mg COM x 30

Baliarda

792,38

522,67

522,67

QUETIAZIC 200 mg COM x 30

Raffo

844,23

557,36

557,36

ETIASEL 200 mg COM x 30

Astrazeneca

1.030,05

680,03

680,03

SEROQUEL 200 mg COM x 30

Bag

1.040,54

686,96

686,96

BIATRIX 200 mg COM x 60

Baliarda

1.287,60

652,66

652,66

QUETIAZIC 200 mg COM x 60

Raffo

1.288,75

654,28

654,28

DOMINIUM XR 200 mg COM x 30

Beta

711,05

344,41

344,41

ROSTRUM XR 200 mg COM x 30

Casasco

771,56

428,59

428,59

QUETIAZIC XR 200 mg COM x 30

Raffo

772,55

429,94

429,94

BIATRIX XR 200 mg COM x 30

Baliarda

800,27

467,14

467,14

KEMOTER XR 200 MG COM x 30

Elea

906,12

598,21

598,21

ETIASEL XR 200 mg COM x 30

Astrazeneca

1.025,37

676,94

676,94

SEROQUEL XR 200 mg COM x 30

Bag

1.085,94

716,93

716,93

300 mg QUETIAZIC 300 mg COM x 30

888,28

456,84

456,84

BIATRIX 300 mg COM x 30

Baliarda

1.049,17

670,91

670,91

ETIASEL 300 mg COM x 30

Astrazeneca

1.375,70

908,23

908,23

SEROQUEL 300 mg COM x 30

Bag

1.387,51

916,02

916,02

DOMINIUM XR 300 mg COM x 10

Beta

360,13

212,76

212,76

DOMINIUM XR 300 mg COM x 30

Beta

957,46

470,03

470,03

ROSTRUM XR 300 mg COM x 30

Casasco

1.039,58

583,76

583,76

QUETIAZIC XR 300 mg COM x 30

Raffo

1.040,25

584,66

584,66

BIATRIX XR 300 mg COM x 30

Baliarda

1.077,60

634,60

634,60

KEMOTER XR 300 mg COM x 30

Elea

1.210,47

799,15

799,15

ETIASEL XR 300 mg COM x 30

Astrazeneca

1.367,21

902,62

902,62

SEROQUEL XR 300 mg COM x 30

Bag

1.448,06

956,00

956,00

400 mg DOMINIUM XR 400 mg COM x 30

Raffo

Beta

1.371,06

435,75

435,75

QUETIAZIC XR 400 mg COM x 30

Raffo

1.564,10

727,57

727,57

BIATRIX XR 400 mg COM x 30

Baliarda

1.620,25

807,89

807,89

KEMOTER XR 400 MG COM x 30

Elea

1.815,58

1.192,91

1.192,91

ETIASEL XR 400 mg COM x 30

Astrazeneca

2.050,69

1.353,85

1.353,85

SEROQUEL XR 400 mg COM x 30

Bag

2.171,95

1.433,91

1.433,91

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

Pgina 109 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL

30/12/2014
LABORATORIO

200 mg CIRCONYL 200 mg COM x 30

Trb-Pharma

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

193,45

127,10

127,10

RABEPRAZOL
Comprimidos

10 mg PARIET 10 mg COM x

Janssen-Cilag

27,37

15,88

15,88

PARIET 10 mg COM x 14

Janssen-Cilag

50,32

25,74

25,74

RABEC 10 mg COM x 14

Phoenix

56,49

33,55

33,55

RABEC 10 mg COM x 28

Phoenix

125,15

82,62

82,62

20 mg PARIET 20 mg COM x

Janssen-Cilag

48,53

22,23

22,23

PARIET 20 mg COM x 14

Janssen-Cilag

110,67

61,09

61,09

RABEC 20 mg COM x 14

Phoenix

122,08

77,24

77,24

RABEC 20 mg COM x 28

Phoenix

254,70

167,84

167,84

60 mg EVISTA 60 mg COM x 28

Eli Lilly

225,97

150,73

150,73

2,5 mg LOSTAPRES 2.5 mg COM x 30

RALOXIFENO
Comprimidos

RAMIPRIL
Comprimidos

Temis-Lostalo

108,29

42,24

42,24

TRITACE 2.5 mg COM x 30

Sanofi Aventis

173,55

114,58

114,58

LOSTAPRES 2.5 mg COM x 60

Temis-Lostalo

109,29

24,41

24,41

TRITACE 2.5 mg COM x 60

Sanofi Aventis

312,25

206,14

206,14

5 mg LOSTAPRES 5 mg COM x 30

Temis-Lostalo

298,79

190,11

190,11

TRITACE 5 mg COM x 30

Sanofi Aventis

312,04

206,01

206,01

10 mg TRITACE 10 mg COM x 30

Sanofi Aventis

409,14

260,17

260,17

Temis-Lostalo

461,26

304,52

304,52

150 mg GASTROSEDOL RAPID EFERV. 150 mg COM x 10 Nova Argentia

42,39

27,98

27,98

LOSTAPRES 10 mg COM x 30

RANITIDINA
Comprimidos

RANITRAL 150 mg COM x 10

Lepetit

17,00

8,92

8,92

VIZERUL COM x 20

Montpellier

17,28

3,46

3,46

RATICINA 150 mg COM x 20

Bernabo

20,58

4,12

4,12

GASTROSEDOL 150 mg COM x 20

Nova Argentia

20,59

4,60

4,60

GASTRIAL 150 mg COM x 20

Sanofi Aventis OTC

26,66

7,42

7,42

RANITIDINA LAZAR 150 mg COM x 20

Lazar

42,64

27,41

27,41

VIZERUL COM x 30

Montpellier

28,97

6,47

6,47

GASTRIAL 150 mg COM x 30

Sanofi Aventis OTC

36,41

8,13

8,13

TAURAL 150 mg COM x 30

Roemmers

67,53

44,58

44,58

GASTROSEDOL 150 mg COM x 30

Nova Argentia

72,05

47,57

47,57

RATICINA 150 mg COM x 50

Bernabo

36,16

7,23

7,23

RANITIDINA LAZAR 150 mg COM x 50

Lazar

99,50

62,97

62,97

VIZERUL COM x 60

Montpellier

62,76

14,02

14,02

GASTRIAL 150 mg COM x 60

Sanofi Aventis OTC

71,69

16,01

16,01

LUVIER 150 mg COM x 60

Casasco

93,39

39,94

39,94

TAURAL 150 mg COM x 60

Roemmers

123,36

80,59

80,59

GASTROSEDOL 150 mg COM x 60

Nova Argentia

145,60

96,12

96,12

Lepetit

20,00

4,00

4,00

GASTROSEDOL 300 mg COM x 20

Nova Argentia

58,09

12,97

12,97

VIZERUL 300 COM x 30

Montpellier

70,25

15,69

15,69

300 mg RANITRAL 300 mg COM x 10

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

Pgina 110 de 130

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DROGA
Comprimidos

Lquido

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

300 mg LUVIER 300 mg COM x 30

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Casasco

101,85

34,19

34,19

RANITIDINA LAZAR 300 mg COM x 30

Lazar

123,58

66,09

66,09

TAURAL 300 mg COM x 30

Roemmers

150,49

99,35

99,35

GASTROSEDOL 300 mg COM x 30

Nova Argentia

158,77

104,82

104,82

840 mg TAURAL ORAL SUS x 200

Roemmers

33,76

22,18

22,18

300 mg RIFADIN 300 mg CAP x

Sanofi Aventis

68,51

45,02

45,02

Sanofi Aventis

87,16

57,26

57,26

Beta

156,50

102,83

102,83

Buxton

101,79

39,76

39,76

Baliarda

113,61

57,05

57,05

Montpellier

127,17

75,52

75,52

Roux Ocefa

142,29

93,94

93,94

Sanofi Aventis

169,86

112,14

112,14

Beta

177,02

116,87

116,87

Baliarda

193,58

67,28

67,28

RIFAMPICINA
Comprimidos

RIFAMPICINA + ISONIACIDA
Comprimidos

300 mg RIFINAH CAP x 30

RISEDRONATO
Comprimidos

5 mg RIBASTAMIN 5 mg COM x 30
35 mg RISEDON 35 mg COM x
RIDRON 35 mg COM x

4
4

RENTOP 35 mg COM x

DUCTONAR 35 mg COM x

ACTONEL 35 mg COM x

RIBASTAMIN 35 mg COM x
RIDRON 35 mg COM x

RENTOP 35 mg COM x

Montpellier

235,66

125,87

125,87

150 mg RENTOP 150 mg COM x

Montpellier

190,14

115,90

115,90

Roux Ocefa

198,93

127,23

127,23

Ivax Argentina

219,52

144,93

144,93

Beta

229,37

151,43

151,43

DUCTONAR 150 mg COM x

BONECUR 150 mg COM x

RIBASTAMIN 150 mg COM x

RISEDON 150 mg COM x

Buxton

230,24

152,00

152,00

BONECUR 150 mg COM x

Ivax Argentina

451,60

182,06

182,06

Montpellier

506,84

262,11

262,11

Janssen-Cilag

1.358,65

892,68

550,24

Janssen-Cilag

2.003,04

1.316,07

811,21
4,81

RENTOP 150 mg COM x

RISPERIDONA
Ampollas

25 mg RISPERDAL CONSTA 25 mg AMP x


37,5 mg RISPERDAL CONSTA 37.5 mg AMP x

Comprimidos

0,25 mg RIATUL 0.25 mg COM x 20

1
1

Baliarda

21,55

5,41

RISPERIN 0.25 mg COM x 20

Gador

22,14

5,97

4,95

RISPERDAL 0.25 mg COM x 20

Janssen-Cilag

57,97

38,27

32,64

0,5 mg DROPICINE 0.5 mg COM x 20

Beta

35,94

8,03

8,03

DOZIC 0.5 mg COM x 20

Raffo

44,99

17,72

10,05

RESTELEA 0.50 COM x 20

Elea

51,87

27,65

13,50

RIATUL 0.5 mg COM x 20

Baliarda

52,16

28,05

13,58

RISPERIN 0.50 mg COM x 20

Gador

55,45

32,49

16,33

RISPERDAL 0.50 mg COM x 20

Janssen-Cilag

87,16

57,54

49,08

Temis-Lostalo

38,81

8,67

8,67

DROPICINE 1 mg COM x 20

Beta

54,14

16,59

12,09

DOZIC 1 mg COM x 20

Raffo

74,30

44,92

22,78

RESTELEA 1 mg COM x 20

Elea

84,16

55,56

37,05

RIATUL 1 mg COM x 20

Baliarda

84,16

55,56

37,05

SEQUINAN 1 mg COM x 20

Ivax Argentina

86,28

56,96

39,96

RISPERIN 1 mg COM x 20

Gador

92,27

60,92

47,94

RISPERDAL 1 mg COM x 20

Janssen-Cilag

142,69

94,20

80,35

1 mg EDALEN 1 mg COM x 20

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

Pgina 111 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
1 mg RIATUL 1 mg COM x 40

LABORATORIO
Baliarda

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

128,93

63,07

33,56

EDALEN 1 mg COM x 60

Temis-Lostalo

84,90

18,95

18,95

DROPICINE 1 mg COM x 60

Beta

117,76

26,30

26,30

DOZIC 1 mg COM x 60

Raffo

170,59

60,72

38,09

RESTELEA 1 mg COM x 60

Elea

188,28

87,25

43,95

RIATUL 1 mg COM x 60

Baliarda

188,47

87,53

44,27

RISPERIN 1 mg COM x 60

Gador

228,57

142,14

94,27

2 mg DROPICINE 2 mg COM x 20

Beta

98,21

21,93

21,93

DOZIC 2 mg COM x 20

Raffo

144,12

73,32

37,48

SEQUINAN 2 mg COM x 20

Ivax Argentina

157,30

91,33

47,64

RIATUL 2 mg COM x 20

Baliarda

163,24

99,16

56,55

RESTELEA 2 mg COM x 20

Elea

163,74

99,81

57,29

RISPERIN 2 mg COM x 20

Gador

195,34

128,96

101,04

RISPERDAL 2 mg COM x 20

Janssen-Cilag

271,25

179,08

152,74

RIATUL 2 mg COM x 40

Baliarda

326,26

198,03

112,78

EDALEN 2 mg COM x 60

Temis-Lostalo

201,10

44,90

44,90

DROPICINE 2 mg COM x 60

Beta

322,01

76,93

71,91

DOZIC 2 mg COM x 60

Raffo

411,22

189,79

94,84

SEQUINAN 2 mg COM x 60

Ivax Argentina

444,24

236,49

115,63

RIATUL 2 mg COM x 60

Baliarda

479,70

284,32

154,71

RESTELEA 2 mg COM x 60

Elea

497,76

307,92

181,46

RISPERIN 2 mg COM x 60

Gador

570,41

376,58

282,52

RISPERDAL 2 mg COM x 60

Janssen-Cilag

770,17

508,46

433,69

3 mg DROPICINE 3 mg COM x 20

Beta

145,41

41,85

32,47

RIATUL 3 mg COM x 20

Baliarda

157,38

56,37

35,14

RESTELEA 3 mg COM x 20

Elea

162,59

64,37

36,30

RISPERIN 3 mg COM x 20

Gador

180,88

91,07

47,07

EDALEN 3 mg COM x 20

Temis-Lostalo

185,22

97,15

41,36

DOZIC 3 mg COM x 20

Raffo

218,03

140,56

70,47

RISPERDAL 3 mg COM x 20

Janssen-Cilag

405,13

267,47

228,14

SEQUINAN 3 mg COM x 30

Ivax Argentina

242,88

95,03

54,24

EDALEN 3 mg COM x 60

Temis-Lostalo

291,65

65,12

65,12

DROPICINE 3 mg COM x 60

Beta

421,36

111,34

94,10

RIATUL 3 mg COM x 60

Baliarda

473,84

179,33

94,77

DOZIC 3 mg COM x 60

Raffo

579,58

324,21

150,74

SEQUINAN 3 mg COM x 60

Ivax Argentina

663,17

433,15

224,87

RESTELEA 3 mg COM x 60

Elea

681,96

450,22

252,50

RISPERIN 3 mg COM x 60

Gador

828,18

546,76

466,36

RISPERDAL 3 mg COM x 60

Janssen-Cilag

1.138,13

751,39

640,89

4 mg RISPERIN 4 mg COM x 20

Gador

212,90

52,62

47,54

Janssen-Cilag

511,40

337,62

287,97

6 mg RISPERIN 6 mg COM x 20

Gador

422,13

277,36

277,36

1 mg RISPERIN 1 MG/ML ORAL SOL x 30

48,00

RISPERDAL 4 mg COM x 20

Lquido

30/12/2014

Gador

184,42

91,23

RIATUL 1 MG/ML ORAL SOL x 30

Baliarda

198,05

110,13

51,55

RISPERDAL ORAL SOL x 30

Janssen-Cilag

291,00

192,11

163,86

RISPERDAL ORAL SOL x 100

Janssen-Cilag

865,99

580,30

414,47

RITODRINE CLORHIDRATO
MAT: 100% en Plan Materno INF. 100% en Plan Infantil

Pgina 112 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
10 mg RITOPAR CAP x 20

30/12/2014
LABORATORIO
Elea

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

41,72

27,41

27,41 MAT

Astrazeneca

143,87

94,98

81,01

LIPEX 5 mg COM x 28

Elea

123,52

55,78

27,58

HIPOLIPOL 5 mg COM x 28

Casasco

158,47

104,62

69,73

ROSUSTATIN 5 mg COM x 28

Montpellier

172,39

113,81

84,08

ROSUVAST 5 mg COM x 28

Bag

239,28

157,97

134,74

CRESTOR 5 mg COM x 28

Astrazeneca

262,21

173,11

147,65

SINLIP 5 mg COM x 30

Gador

113,48

40,66

25,34

ARTOMEY 5 mg COM x 30

Ivax Argentina

124,05

56,55

27,70

MESOTEROL 5 mg COM x 30

Finadiet

125,37

58,47

29,80

ROXOLAN 5 mg COM x 30

Nova Argentia

145,70

86,48

37,92

REOVEX 5 mg COM x 30

Baliarda

147,57

88,94

39,36

LIPOGLUTAREN 5 mg COM x 30

Craveri

153,69

96,87

45,28

ROVARTAL 5 mg COM x 30

Roemmers

156,73

100,75

50,56

NODIS 5 mg COM x 30

Temis-Lostalo

176,26

116,37

78,62

SINLIP 5 mg COM x 60

Gador

183,54

40,98

40,98

ROSUVASTATIN
Comprimidos

5 mg CRESTOR 5 mg COM x 14

10 mg ASTENDE 10 mg COM x 14

Lazar

110,23

72,77

53,66

ROSUVAST 10 mg COM x 14

Bag

131,37

86,73

73,98

CRESTOR 10 mg COM x 14

Astrazeneca

141,66

93,52

79,77

ATERONOVA 10 mg COM x 15

Beta

78,35

32,72

17,49

ROVARTAL 10 mg COM x 15

Roemmers

85,90

43,65

22,36

RABLOC 10 mg COM x 15

Phoenix

95,95

57,30

26,56

ROSUCOL 10 mg COM x 28

Geminis Farmaceutica

177,44

104,75

43,64

LIPEX 10 mg COM x 28

Elea

195,34

127,82

72,34

BILIP 10 mg COM x 28

Richmond

199,19

129,47

80,34

ROSUSTATIN 10 mg COM x 28

Montpellier

201,54

133,06

81,25

ASTENDE 10 mg COM x 28

Lazar

203,10

134,09

83,46

HIPOLIPOL 10 mg COM x 28

Casasco

203,73

134,50

87,44

CRESTOR 10 mg COM x 28

Astrazeneca

258,33

170,55

145,47

ROSUVAST 10 mg COM x 28

Bag

267,90

176,86

150,85

ROSIMOL 10 mg COM x 30

Sandoz

118,80

23,76

23,76

ARTOMEY 10 mg COM x 30

Ivax Argentina

141,74

43,70

31,65

ROSEDEX 10 mg COM x 30

Roux Ocefa

167,66

79,30

41,38

ATERONOVA 10 mg COM x 30

Beta

170,57

85,57

44,40

REOVEX 10 mg COM x 30

Baliarda

181,73

101,01

47,30

MESOTEROL 10 mg COM x 30

Finadiet

186,08

106,87

48,43

LIPOGLUTAREN 10 mg COM x 30

Craveri

190,93

113,31

53,15

ROSUCOL 10 mg COM x 30

Geminis Farmaceutica

192,51

115,47

51,84

SINLIP 10 mg COM x 30

Gador

202,98

128,95

68,22

ROVARTAL 10 mg COM x 30

Roemmers

204,08

130,35

69,85

RABLOC 10 mg COM x 30

Phoenix

204,94

131,45

71,13

ROXOLAN 10 mg COM x 30

Nova Argentia

205,21

131,79

71,51

ROSULIP 10 mg COM x 30

Eurofarma

205,49

132,14

74,68

NODIS 10 mg COM x 30

Temis-Lostalo

235,35

155,38

113,85

ROSUSTATIN 10 mg COM x 56

Montpellier

399,03

263,44

156,59

CRESTOR 10 mg COM x 56

Astrazeneca

474,69

313,39

258,84

ROSUVAST 10 mg COM x 56

Bag

483,44

319,17

269,98

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

Pgina 113 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL
10 mg SINLIP 10 mg COM x 60

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Gador

363,03

201,43

94,49

RABLOC 10 mg COM x 60

Phoenix

402,32

253,24

144,96

20 mg RABLOC 20 mg COM x 15

Phoenix

162,92

83,78

42,39

HIPOLIPOL 20 mg COM x 28

Casasco

340,13

205,04

99,46

ROSUCOL 20 Mg COM x 28

Geminis Farmaceutica

346,52

213,37

105,81

LIPEX 20 mg COM x 28

Elea

368,46

241,38

135,14

ROSUSTATIN 20 mg COM x 28

Montpellier

368,52

241,46

135,23

BILIP 20 mg COM x 28

Richmond

373,70

242,90

147,48

ASTENDE 20 mg COM x 28

Lazar

392,91

259,40

169,97

CRESTOR 20 mg COM x 28

Astrazeneca

479,45

316,53

269,98

ROSUVAST 20 mg COM x 28

Bag

482,56

318,58

271,73

ROSIMOL 20 mg COM x 30

Sandoz

118,80

23,76

23,76

ARTOMEY 20 mg COM x 30

Ivax Argentina

282,92

104,64

63,18

RABLOC 20 mg COM x 30

Phoenix

288,26

112,82

64,37

ROSEDEX 20 mg COM x 30

Roux Ocefa

326,07

163,96

91,89

ATERONOVA 20 mg COM x 30

Beta

335,82

181,37

87,41

REOVEX 20 mg COM x 30

Baliarda

340,48

187,73

88,62

MESOTEROL 20 mg COM x 30

Finadiet

360,04

213,93

97,68

ROSUCOL 20 mg COM x 30

Geminis Farmaceutica

366,63

222,52

103,80

LIPOGLUTAREN 20 mg COM x 30

Craveri

372,30

229,95

109,67

ROSULIP 20 mg COM x 30

Eurofarma

378,53

237,98

126,20

SINLIP 20 mg COM x 30

Gador

380,04

239,92

122,99

ROVARTAL 20 mg COM x 30

Roemmers

392,57

255,84

141,56

ROXOLAN 20 mg COM x 30

Nova Argentia

394,69

258,51

144,66

NODIS 20 mg COM x 30

Temis-Lostalo

444,10

293,19

247,97

ROSUVAST 20 mg COM x 56

Bag

733,66

478,66

265,52

CRESTOR 20 mg COM x 56

Astrazeneca

876,05

578,36

461,13

RABLOC 20 mg COM x 60

Phoenix

566,26

209,93

126,44

SINLIP 20 mg COM x 60

Gador

611,43

277,62

136,53

Bag

601,24

384,85

226,22

Astrazeneca

659,99

435,72

308,54

800 mg PROCTO VENART PDA x 30

Casasco

128,39

68,48

68,48

500 mg MIOPROPAN PROCTOLOGICO CRE x 20

Bernabo

60,23

39,58

39,58

0,1 mg SALBUTOL 100 mcg AER x 200

40 mg ROSUVAST 40 mg COM x 28
CRESTOR 40 mg COM x 28

RUSCUS ACULEATUS +
PREDNISOLONA +
CINCOCAINA CLOROHIDRATO
+ MENTOL + ZINC XIDO
Pomada

RUSCUS ACULEATUS +
TRIMEBUTINA MALEATO
Crema

SALBUTAMOL
Aerosol

Takeda

34,34

11,02

7,67

AIRCOSALM HFA C/ADAP. AER x 200

Atlas

56,10

37,04

26,24

ASMATOL HFA 100 mg AER x 200

Roux Ocefa

68,72

46,05

39,57

VENTOLIN HFA INHL. C/APLICADOR AER x 200

GlaxoSmithkline

74,11

48,92

41,73

DUOPACK + AEROCAMARA AER x 200

Takeda

81,33

53,69

37,04

SALBUTRAL C/AEROMED AER x 250

Cassara

35,12

7,80

7,80

SALBUTRAL AER x 250

Cassara

52,56

30,29

30,29

AIRCOSALM HFA C/ADAP. AER x 250

Atlas

54,88

31,15

14,89

SALBUTAMOL DF AER x 250

Denver Farma S.

57,52

37,39

37,39

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

Pgina 114 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Aerosol

Comprimidos
Lquido

NOMBRE COMERCIAL
0,1 mg SALBUDEN HFA AER x 250

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Denver Farma S.

59,29

39,14

39,14

SALBUTRAL C/AEROMED HFA AER x 250

Cassara

74,09

48,91

48,91

AEROLEP C/ADAP. AER x 250

Lepetit

74,47

49,16

40,91

SALBUTOL 100 mcg AER x 300

Takeda

43,64

8,89

8,73

4 mg ASMATOL COM x 20

Roux Ocefa

22,19

14,35

7,91

40 mg ASMATOL JBE x 120

Roux Ocefa

40,84

26,41

14,56

500 mg ASMATOL SOL x 15

Roux Ocefa

40,76

26,91

22,31 INF

Atlas

51,68

34,12

29,10 INF

Medisol

22,90

6,14

6,14 INF

GlaxoSmithkline

52,00

34,33

29,28 INF

Takeda

34,34

20,02

13,25 INF

0,12 mg SALBUTRAL AC AER x 250

Cassara

36,52

8,15

8,15

120 mg SALBUTRAL AC HFA AER x 250

Cassara

117,78

77,76

77,76

2,5 mg COMBIVENT SM MONODOSIS SOL x 20

Boheringer Ingelheim

78,52

51,59

51,59

120 mg SALBUTRAL AC NEBU.MONODS.2.5ML SOL x 24

Cassara

47,99

31,68

31,68

Valuge-Lic

94,40

74,16

74,16

AIRCOSALM SOL x 20
500 mg SALBUTRAL P/NEBULIZAR SOL x 20
VENTOLIN P/NEBULIZAR SOL x 20
600 mg SALBUTOL P/NEBULIZAR SOL x 20

SALBUTAMOL + IPRATROPIO
BROMURO
Aerosol

Lquido

SALICLICO, CIDO +
LCTICO, CIDO + COLODION
ELSTICO
Lquido

16700 VERRUTOPIC C\APLIC. TOPICO SOL x 15


mg

SALMETEROL +
FLUTICASONA
Aerosol

0,025 mg FLUTIVENT HFA 25/250 mcg AER x 60

Cassara

110,64

36,62

36,62

FLUTIVENT HFA 125/25 mcg AER x 60

Cassara

107,33

44,85

44,85

NEUMOTIDE 25/ 50 mcg AER x 120

Phoenix

178,78

42,82

39,92

FLUTIVENT HFA 25/250 mcg AER x 120

Cassara

223,67

75,64

75,64

NEUMOTIDE 25/250 mcg AER x 120

Phoenix

252,65

105,62

56,41

NEUMOTIDE 25/125 mcg AER x 120

Phoenix

235,80

111,75

58,67

PROAIR BRONQ. 25/250 mcg AER x 120

Montpellier

284,12

150,78

73,96

PROAIR BRONQ. 25/125 mcg AER x 120

Montpellier

268,03

156,25

69,76

NEUMOTIDE 25/125 mcg C/AEROC AER x 120

Phoenix

291,48

186,72

81,32

PROAIR BRONQ. 25/125 mcg AEROC AER x 120

Montpellier

322,65

213,01

132,39

SERETIDE HFA 25/ 50 mcg AER x 120

GlaxoSmithkline

358,78

236,86

202,03

SERETIDE HFA 25/125 mcg AER x 120

GlaxoSmithkline

421,40

278,20

237,29

SERETIDE HFA 25/250 mcg AER x 120

GlaxoSmithkline

427,32

282,12

240,63

FLUTIVENT 25/125 mcg +AEROMED AER x 150

Cassara

143,86

32,12

32,12

Cassara

188,15

57,35

57,35

0,05 mg NEUMOTIDE 50/100 mcg + APLIC. CAP x 60

Phoenix

204,84

45,74

45,74

NEUMOTIDE 50/250 mcg + APLIC. CAP x 60

Phoenix

233,05

55,69

52,04

NEUMOTIDE 50/500 mcg + APLIC. CAP x 60

Phoenix

237,72

60,15

53,09

0,05 mg PROAIR BRONQUIAL 50/250 + APLI INH x 60

Montpellier

301,76

143,35

75,58

PROAIR BRONQUIAL 50/500 + APLI INH x 60

Montpellier

308,55

153,04

80,31

SERETIDE DISKUS 50/100 mcg INH x 60

GlaxoSmithkline

387,63

255,91

117,29

SERETIDE DISKUS 50/250 mcg INH x 60

GlaxoSmithkline

441,76

291,64

248,75

SERETIDE DISKUS 50/500 mcg INH x 60

GlaxoSmithkline

450,28

297,27

253,56

0,125 mg FLUTIVENT HFA 125/25 mcg AER x 120


Comprimidos

Inhahaldor con
sistemas

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

Pgina 115 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Inhahaldor con
sistemas

NOMBRE COMERCIAL

30/12/2014
LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

0,05 mg

SERTRALINA

Comprimidos

25 mg INSERTEC 25 mg COM x 30

Baliarda

54,98

30,05

30,05

Raffo

71,05

46,91

46,91

Raffo

102,13

51,37

51,37

INSERTEC 50 mg COM x 20

Baliarda

113,64

65,94

65,94

ZOLOFT 50 mg TAB x 20

Pfizer

172,77

114,06

114,06

DEPRECALM 50 mg COM x 30

Lazar

105,85

21,17

21,17

SERTRALINA ROSPAW 50 mg COM x 30

Rospaw

114,14

30,66

30,66

SERLINA 50 mg COM x 30

Astrazeneca

158,48

82,61

82,61

ZOXX 50 mg COM x 30

Casasco

165,05

91,64

91,64

INSERTEC 50 mg COM x 30

Baliarda

182,70

114,91

114,91

ATENIX 50 mg COM x 30

Raffo

194,94

128,70

128,70

ASERTRAL 50 mg COM x 30

Roemmers

195,65

129,17

129,17

ZOLOFT 50 mg TAB x 30

Pfizer

288,41

190,41

190,41

INSERTEC 50 mg COM x 60

Baliarda

303,80

146,67

146,67

ATENIX 50 mg COM x 60

Raffo

313,80

160,82

160,82
24,46

ATENIX 25 mg RANURAD. COM x 30


50 mg ATENIX 50 mg COM x 20

100 mg DEPRECALM 100 mg COM x 20

Lazar

122,29

24,46

ATENIX 100 mg COM x 20

Raffo

167,05

77,83

77,83

INSERTEC 100 mg COM x 20

Baliarda

189,08

108,44

108,44

ZOLOFT 100 mg TAB x 20

Pfizer

301,35

198,95

198,95

SERTRALINA ROSPAW 100 mg COM x 30

Rospaw

192,29

52,15

52,15

SERLINA 100 mg COM x 30

Astrazeneca

267,73

141,02

141,02

ZOXX 100 mg COM x 30

Casasco

285,07

164,60

164,60

ASERTRAL 100 mg COM x 30

Roemmers

287,03

167,21

167,21

INSERTEC 100 mg COM x 30

Baliarda

305,35

191,17

191,17

ATENIX 100 mg COM x 30

Raffo

314,92

203,38

203,38

ZOLOFT 100 mg TAB x 30

Pfizer

501,91

331,36

331,36

INSERTEC 100 mg COM x 60

Baliarda

513,18

250,75

250,75

Techsphere

44,66

9,97

9,97

REDUSTEROL 5 mg COM x 30

Raffo

85,02

48,04

22,62

VASOTENAL 5 mg COM x 30

Roemmers

96,77

63,31

38,50

ZOCOR 5 mg COM x 30

Merck Sharp & Dhome

124,32

82,07

70,00

6,80

6,80

SIMVASTATIN
Comprimidos

5 mg SIMVASTATIN TECHSPHERE 5 mg COM x 30

10 mg SISTATIN 10 mg COM x 15

Lepetit

30,00

SISTATIN 10 mg COM x 30

Lepetit

38,00

8,40

8,40

LABISTATIN 10 mg COM x 30

Sandoz

87,74

17,55

17,55

SIMVASTATIN TECHSPHERE 10 mg COM x 30

Techsphere

82,29

18,38

18,38

COLEFLUX 10 mg COM x 30

Finadiet

113,60

29,16

25,37

GEMISTATIN 10 mg COM x 30

Geminis Farmaceutica

119,81

35,10

26,75

ZOCOR 10 mg COM x 30

Merck Sharp & Dhome

128,40

45,66

28,67

LISAC 10 mg COM x 30

Bernabo

140,81

64,33

31,51

TANAVAT 10 mg COM x 30

Microsules Argentina

159,49

97,39

97,39

REDUSTEROL 10 mg COM x 30

Raffo

169,05

103,08

75,75

NIVELIPOL 10 mg COM x 30

Temis-Lostalo

194,77

128,58

106,17

VASOTENAL 10 mg COM x 30

Roemmers

211,97

139,94

119,36

35,00

7,80

7,80

20 mg SISTATIN 20 mg COM x 15

Lepetit

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

Pgina 116 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

20 mg SISTATIN 20 mg COM x 30

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Lepetit

46,00

10,00

10,00

LABISTATIN 20 mg COM x 30

Sandoz

93,30

18,66

18,66

LISAC 20 mg COM x 30

Bernabo

92,05

20,55

20,55

COLEFLUX 20 mg COM x 30

Finadiet

95,98

21,44

21,44

SIMVASTATIN TECHSPHERE 20 mg COM x 30

Techsphere

104,88

26,02

23,42

ZOCOR 20 mg COM x 30

Merck Sharp & Dhome

135,73

64,32

33,69

GEMISTATIN 20 mg COM x 30

Geminis Farmaceutica

137,84

69,05

33,90

REDUSTEROL 20 mg COM x 30

Raffo

178,86

118,08

100,11

TANAVAT 20 mg COM x 30

Microsules Argentina

184,93

122,09

122,09

VASOTENAL 20 mg COM x 30

Roemmers

206,18

136,12

116,10

NIVELIPOL 20 mg COM x 30

Temis-Lostalo

213,86

141,19

120,43

40 mg LABISTATIN 40 mg COM x 30

Sandoz

93,30

18,66

18,66

COLEFLUX 40 mg COM x 30

Finadiet

105,88

24,13

23,64

REDUSTEROL 40 mg COM x 30

Raffo

158,21

92,35

44,39

ZOCOR 40 mg COM x 30

Merck Sharp & Dhome

220,07

145,29

123,92
18,66

80 mg LABISTATIN 80 mg COM x 30

Sandoz

93,30

18,66

COLEFLUX 80 mg COM x 30

Finadiet

101,85

22,75

22,75

ZOCOR 80 mg COM x 30

Merck Sharp & Dhome

329,80

217,73

185,71

Gobbi

200,85

64,35

64,35

56,16

36,90

36,90

SODIO AMIDOTRIZOATO
Ampollas

50000 TRIYOSOM 50 ml F.A x


mg

SODIO AUROTIOSULFATO
Ampollas

37500 CRYTION 0.05 GR AMP x


mg

Temis-Lostalo

SODIO DIVALPROATO
Comprimidos

125 mg VALCOTE 125 mg COM x 50

Abbott

137,76

52,16

30,76

VALCOTE SPRINKLE 125 mg CAP x 50

Abbott

215,01

141,95

121,07

VALCOTE SPRINKLE 125 mg CAP x 100

Abbott

411,75

271,84

221,89

250 mg VALCAS 250 mg COM x 50

Casasco

222,66

143,27

84,84

VALNAR 250 mg COM x 50

Ivax Argentina

225,78

147,22

89,33

DIVALPREX 250 mg COM x 50

Gador

230,08

151,90

95,44

VALCOTE 250 mg COM x 50

Abbott

231,81

153,04

97,87

VALCOTE ER 250 mg COM x 50

Abbott

290,14

190,63

117,50

500 mg VALNAR 500 mg COM x 50

Ivax Argentina

399,24

252,71

146,72

DIVALPREX 500 mg COM x 50

Gador

402,67

264,57

151,70

VALCOTE 500 mg COM x 50

Abbott

408,79

264,86

160,52

VALCAS 500 mg COM x 50

Casasco

428,24

282,72

187,93

VALCOTE ER 500 mg COM x 50

Abbott

511,71

336,21

207,24

40,75

40,75

SODIO FLUORURO
Comprimidos

2,21 mg FLUORDENT COM x 30

Bernabo

62,03

Gotas

221 mg FLUORURO DE SODIO NAF GTS x 30

Naf

29,47

5,89

5,89

FLUORDENT GTS x 30

Bernabo

62,03

40,75

40,75

NEXOVITAL FLUOR GTS x 30

Andromaco

73,75

48,46

48,46

Trb-Pharma

714,20

469,26

469,26

Trb-Pharma

1.379,38

906,30

906,30

Pharmadorf

92,59

60,84

60,84

SODIO HIALURONATO
Ampollas

20 mg MAXIOSTENIL 2 ML JPR x

40 mg MAXIOSTENIL PLUS 2 ML JPR x


Lquido

4 mg HIALUDORF HD Oft. SOL x 10

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

Pgina 117 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

SODIO IOXAGALATO +
MEGLUMINA IOXAGALATO
Ampollas

19650 HEXABRIX 50 ML AMP x 1


mg
HEXABRIX 100 ML AMP x 1

Temis-Lostalo

417,43

133,74

133,74

Temis-Lostalo

810,91

259,81

259,81

SODIO IOXITALAMATO +
MEGLUMINA IOXITALAMATO
Ampollas

9660 mg TELEBRIX CORONARIO 50 ML AMP x

Temis-Lostalo

179,87

57,62

57,62

TELEBRIX CORONARIO 100 ML AMP x

Temis-Lostalo

347,44

111,31

111,31

Cetus

52,79

34,85

34,85

Montpellier

36,46

8,15

8,15

135,82

89,67

89,67

Astrazeneca

71,43

46,93

46,93

Ivax Argentina

77,63

51,25

31,44 INF

SODIO PICOSULFATO
Comprimidos
Gotas

4 mg DAGOL CETUS COM x 20


750 mg MODATON GTS x 30
RAPILAX GTS x 50

Elea

750 mg TRALI 8 MG/ML GTS x 30

SODIO VALPROATO
Lquido

5760 mg LOGICAL JBE x 120

SOTALOL
Comprimidos

80 mg SOTACOR 80 mg COM x 20

Investi

108,04

70,98

70,98

160 mg SOTACOR 160 mg COM x 20

Investi

152,88

100,45

100,45

Frasco

20000 NETUNAL FCO x 200


mg

Elea

115,08

75,97

75,97

Lquido

20000 SUCRALMAX SUS x 200


mg
GASTROMED SUS x 200

Eurofarma

98,28

54,64

54,64

Sanitas

194,45

128,37

128,37

500 mg FLOGOSTOP 500 mg COM x 60

Ivax Argentina

176,54

94,09

94,09

Pfizer

223,81

147,76

147,76

SUCRALFATO

SULFASALAZINA
Comprimidos

AZULFIDINE EN-TABS TAB x 60

SULTAMICILINA
Comprimidos

375 mg AMPIGEN SB 375 mg COM x

Fabra

68,39

40,46

40,46

Pfizer

84,41

55,73

55,73

UNASYNA 375 mg TAB x 16

Pfizer

150,77

98,93

98,93

GlaxoSmithkline

178,06

116,99

116,99

UNASYNA 375 mg TAB x

SUMATRIPTN
Comprimidos

50 mg IMIGRAN 50 mg TAB x

100 mg MIGRATRIPTAN 100 mg COM x

Craveri

151,05

99,72

99,72

MIGRATRIPTAN 100 mg COM x

Craveri

288,35

187,46

187,46

Gobbi

279,98

142,32

62,52

TAMSULOSINA
Comprimidos

0,04 mg ACLOSAN 0.4 mg CAP x 40


0,4 mg PROSTOKLAR 0.4 mg COM x 30

Baliarda

177,94

108,18

55,47

TANSILOPROST 0.4 mg CAP x 30

Finadiet

226,89

129,92

61,23

BIPROKAM 0.4 mg CAP x 30

LKM Onco/Especia

240,21

147,48

83,63

URIFLUX 0.4 mg CAP x 30

Sidus

257,65

169,72

103,43

TAMSUNA 0.4 mg CAP x 30

Sandoz

264,24

174,45

114,72

ACLOSAN 0.4 mg CAP x 30

Gobbi

275,78

182,07

128,64

REDUPROST 0.4 mg CAP x 30

Raffo

280,58

185,24

135,15

SECOTEX OCAS 0.4 mg COM x 30

Boheringer Ingelheim

290,17

191,95

147,52

SECOTEX OCAS 0.4 mg COM x 50

Boheringer Ingelheim

431,49

284,87

183,85

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

Pgina 118 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

0,4 mg

30/12/2014
PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

NOMBRE COMERCIAL

LABORATORIO

PROSTOKLAR 0.4 mg COM x 60

Baliarda

286,61

120,14

64,00

TANSILOPROST 0.4 mg CAP x 60

Finadiet

424,74

220,16

110,56

REDUPROST 0.4 mg CAP x 60

Raffo

448,26

252,41

117,42

OMNIC 0.4 mg LIB.CONT. CAP x 30

Gador

265,92

175,56

115,07

URALOS CR 0.4 mg COM x 30

Casasco

270,47

178,56

121,37

TANSILOPROST RETARD 0.4 mg Lib. COM x 30

Finadiet

280,11

184,93

134,47

UROCETINA 0.4 mg LIB.PROL. CAP x 30

Eurolab

280,60

185,26

135,13

OMNIC OCAS 0.4 mg LIB.PROL. COM x 30

Gador

281,88

186,10

158,73

LOSTAM 0.4 mg LIB. PROL. CAP x 30

Temis-Lostalo

305,95

201,99

168,30

TANSILOPROST RETARD 0.4 mg Lib. COM x 60

Finadiet

507,92

317,57

286,01

Boheringer Ingelheim

272,94

176,71

176,71

Bag

296,75

195,91

195,91

Boheringer Ingelheim

379,74

246,78

246,78

Bag

415,16

274,09

274,09

TELMISARTAN
Comprimidos

40 mg MICARDIS 40 mg COM x 28
GLIOSARTAN 40 mg COM x 28
80 mg MICARDIS 80 mg COM x 28
GLIOSARTAN 80 mg COM x 28

TEOFILINA ANHIDRA
Comprimidos

100 mg TEOSONA 100 COM x 20

Phoenix

36,72

24,13

11,95

200 mg TEOSONA 200 COM x 20

Phoenix

39,44

26,03

18,36

TEOSONA 200 COM x 50

Phoenix

83,62

52,31

23,93

300 mg DRILYNA 300 mg COM x 20

Lquido

Bag

57,57

21,30

12,86

TEOSONA 300 DIVI DOSIS COM x 20

Phoenix

89,53

59,11

44,66

DRILYNA 300 mg COM x 30

Bag

72,70

16,72

16,23

DRILYNA 300 mg COM x 40

Bag

111,65

37,17

24,93

TEOSONA 300 DIVI DOSIS COM x 50

Phoenix

189,70

117,40

68,36

Phoenix

28,18

18,52

9,47

800 mg TEOSONA JBE x 200

TERAZOSINA
Comprimidos

2 mg BENAPROST 2 mg COM x 14

Bag

36,30

12,76

8,11

ISONTYN 2 mg COM x 14

Abbott

82,61

54,54

46,52

FLUMARC 2 mg COM x 20

Raffo

36,48

6,74

6,74

ANDRIN 2 mg COM x 20

Casasco

36,09

8,06

8,06

GERIPROST 2 mg COM x 20

Ivax Argentina

62,69

34,01

16,31

BLAVIN 2 mg COM x 20

Baliarda

66,68

40,00

19,53

ANDRIN 2 mg COM x 30

Casasco

85,08

38,35

19,00

FOSFOMIK 2 mg COM x 30

Finadiet

90,74

46,45

23,62

BLAVIN 2 mg COM x 30

Baliarda

116,72

77,06

52,04

BLAVIN 2 mg COM x 60

Baliarda

221,75

146,05

87,66

Abbott

137,96

91,08

77,69

FLUMARC 5 mg COM x 20

Raffo

42,32

7,82

7,82

ANDRIN 5 mg COM x 20

Casasco

42,02

9,37

9,37

GERIPROST 5 mg COM x 20

Ivax Argentina

73,98

42,31

19,53

FOSFOMIK 5 mg COM x 20

Finadiet

75,52

44,36

20,93

BLAVIN 5 mg COM x 20

Baliarda

86,24

56,06

43,78

BENAPROST 5 mg COM x 28

Bag

93,96

45,97

24,45

5 mg ISONTYN 5 mg COM x 14

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

Pgina 119 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

30/12/2014

NOMBRE COMERCIAL

Comprimidos

LABORATORIO

5 mg ISONTYN 5 mg COM x 28

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Abbott

275,89

182,14

155,36

ANDRIN 5 mg COM x 30

Casasco

100,74

49,35

26,21

FOSFOMIK 5 mg COM x 30

Finadiet

126,33

83,33

49,84

BLAVIN 5 mg COM x 30

Baliarda

135,87

89,70

63,15

BLAVIN 5 mg COM x 60

Baliarda

258,14

170,42

107,72

10 mg ANDRIN 10 mg COM x 20

Casasco

65,69

18,14

14,66

FLUMARC 10 mg COM x 20

Raffo

69,00

22,63

12,74

GERIPROST 10 mg COM x 20

Ivax Argentina

78,48

35,17

17,53

BLAVIN 10 mg COM x 20

Baliarda

88,73

50,49

21,13

ANDRIN 10 mg COM x 30

Casasco

98,88

27,54

22,07

BLAVIN 10 mg COM x 30

Baliarda

176,73

116,68

90,12

BLAVIN 10 mg COM x 60

Baliarda

352,57

232,76

173,84

Lazar

170,99

95,00

95,00

LAMISIL 250 mg COM x 14

Novartis

193,35

124,31

124,31

TACNA 250 mg COM x 14

Raymos

215,24

142,10

142,10

LAMISIL 250 mg COM x 28

Novartis

342,88

191,23

191,23

TACNA 250 mg COM x 28

Raymos

420,83

277,83

277,83

FUNGUEAL 250 mg COM x 28

Lazar

437,33

288,72

288,72

10 mg FUNGUEAL 1% CRE x 15

Lazar

59,25

38,93

38,93

0,5 mg BRICANYL TURBUHALER 0.5 mg INH x 100

Astrazeneca

156,65

103,42

103,42

BRICANYL TURBUHALER 0.5 mg INH x 200

Astrazeneca

159,86

91,02

91,02

TERBINAFINA
Comprimidos

250 mg FUNGUEAL 250 mg COM x 14

Crema

TERBUTALINA
Inhahaldor con
sistemas

TESTOSTERONA
Ampollas

100 mg TESTOVIRON DEPOT 100 mg 1 ML AMP x

Bayer (PH)

90,64

59,55

59,55

250 mg TESTOVIRON DEPOT 250 mg 1 ML AMP x

Bayer (PH)

166,61

78,11

78,11

SUSTANON 250 mg AMP x

MSD Arrgentina SR

180,89

98,18

98,18

1.094,75

722,75

722,75

380,85

250,24

250,24

Biol

45,69

10,26

10,26 MAT

Novartis Vacunas

80,19

52,94

52,94 MAT

GlaxoSmithkline

315,80

205,39

205,39

Sanofi Pasteur

253,27

116,38

116,38

Omega

97,63

65,73

65,73

CICLOTETRYL GRA x 20

Ingens S.A.

73,19

49,02

49,02

CICLOTETRYL GRA x 50

Ingens S.A.

135,15

61,78

61,78

500 mg CICLOTETRYL 500 CAP x 30

Ingens S.A.

146,07

97,84

97,84

CICLOTETRYL 500 CAP x 60

Ingens S.A.

241,73

137,47

137,47

NEBIDO 250 MG/ML 4 ML AMP x


Comprimidos

Bayer (PH)

40 mg UNDESTOR TESTOCAPS CAP x 30

MSD Arrgentina SR

TETNICO TOXOIDE
Ampollas

75 ui VACUNA BIOL ANTITETANICA + JGA AMP x


75 ui TETANOL PUR 0.5 ML JPR x

TETNICO TOXOIDE +
ANTITOXINA DIFTRICA +
PERTUSSIS TOXOIDE
Ampollas

20 ui BUSTRIX 0.5 ML JPR x

Frasco

40 ui ADACEL MONODS 0.5 ML ACELULAR FCO x

TETRACICLINA
Comprimidos

250 mg TETRACICLINA OMEGA COM x 16

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

Pgina 120 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

500 mg

TIABENDAZOL
Comprimidos
Crema

500 mg FOLDAN COM x

Andromaco

17,75

11,66

11,66

5000 mg FOLDAN CRE x 45

Andromaco

24,34

15,99

15,99

1,25 mg CLIMATIX 1.25 mg COM x 30

Investi

133,08

80,43

80,43

DISCRETAL 1.25 mg COM x 30

Beta

136,52

84,90

84,90

PARACLIM 1.25 mg COM x 30

Elea

154,56

102,04

102,04

TIBOLONA
Comprimidos

2,5 mg CLIMALONA 2.5 mg COM x 30

Bag

108,65

24,26

24,26

TOCLINE 2.5 mg COM x 30

Astrazeneca

138,91

53,79

53,79

KLIMASTRESS COM x 30

Craveri

157,62

81,07

81,07

DISCRETAL 2.5 mg COM x 30

Beta

175,39

105,12

105,12

PARACLIM 2.5 mg COM x 30

Elea

207,66

137,10

137,10

SENALINA 2.5 mg COM x 30

Omega

246,31

165,83

165,83

TIBOFEM 2.5 mg COM x 30

MSD Arrgentina SR

267,85

176,83

176,83

Investi

159,77

84,06

84,06

3 mg CLIMATIX 2.5 mg COM x 30

TICLOPIDINA CLORHIDRATO
Comprimidos

250 mg DOSIER COM x 20

Casasco

63,46

26,00

26,00

TROMBENAL COM x 20

Bag

64,59

27,69

27,69

TICLID COM x 20

Sanofi Aventis

98,90

65,29

65,29

DOSIER COM x 40

Casasco

173,08

114,26

114,26

TROMBENAL COM x 60

Bag

176,85

57,10

57,10

TICLID COM x 60

Sanofi Aventis

264,21

174,43

174,43

Novartis

77,62

50,20

27,67

Alcon

69,96

45,97

27,93

Amhof

35,93

23,73

17,45

144,32

95,28

81,27

Novoplos

61,78

34,98

20,23

Amhof

63,06

36,68

24,29

Bausch & Lomb Argentina

66,13

16,74

16,74

Poen

26,67

13,52

6,56

Alcon

31,23

19,80

11,05

Sidus

35,35

23,34

16,20

Allergan-Loa

20,14

4,50

4,50

Elea

35,71

7,97

7,97

Alcon

43,32

10,61

9,67

Pharmadorf

46,41

13,56

10,36

Novartis

46,85

13,98

10,46

Poen

69,83

45,45

33,41

Sidus

85,32

56,33

48,05

TIMOLOL
Frasco

100 mg OFAL GEL 0.1 % GOTERO FCO x

Gel

500 mg PLOSTIM 0.50% OFT. GEL x

Gotas

250 mg GLATIM 0.25 OFT. GTS x

500 mg TIMOPTIC XE 0.50% GTS x

BIO EYES TIMO OFT. GTS x


GLATIM 0.5 OFT. GTS x

Merck Sharp & Dhome

TIMED 0.50% GTS x 10


Lquido

250 mg POENTIMOL 0.25% OFT. SOL x


PLOSTIM 0.25% OFT. SOL x
PROFLAX 0.25% SOL x

500 mg PROTEVIS 500 mg OFT. SOL x

ZOPIROL 0.50 % OFT. SOL x

PLOSTIM 0.50% OFT. SOL x

TIMOLOL DORF 0.5 % OFT. SOL x


OFAL OFTALMICO 0.50% SOL x
POENTIMOL 0.50% OFT. SOL x
PROFLAX 0.50% SOL x

5
5

TINIDAZOL
Comprimidos

500 mg GYNORMAL ORAL COM x

Andromaco

54,02

34,82

34,82

FASIGYN 500 ORAL TAB x

Pfizer

59,56

39,32

39,32

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

Pgina 121 de 130

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DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

1000 mg FASIGYN 1 g ORAL TAB x

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Pfizer

66,91

43,96

43,96

10 mg MELERIL 10 GRA x 25

Roemmers

50,11

32,92

32,92

25 mg MELERIL 25 GRA x 25

Roemmers

55,17

36,25

36,25

200 mg MELERIL RETARD 200 mg COM x 20

Roemmers

179,35

117,84

117,84

300 mg TOBREX OFT. GEL x 3,5

Alcon

89,10

58,82

58,82

Poen

54,39

24,53

24,53

Lersan

26,90

10,98

10,98

Amhof

88,43

38,47

38,47

Allergan-Loa

25,00

5,58

5,58

Pharmadorf

38,01

10,85

10,85

Atlas

45,89

21,68

21,68

Alcon

51,67

29,69

29,69

Fecofar

57,39

37,88

37,88

Bausch & Lomb Argentina

63,28

42,61

42,61

Novoplos

64,84

42,81

42,81

Poen

74,27

49,03

49,03

Alcon

79,51

25,05

25,05

Atlas

47,78

14,30

14,30

Amhof

64,74

38,05

38,05

Hlb Pharma

87,37

57,68

57,68

Sidus

42,27

9,44

9,44

Lersan

26,90

6,18

6,18

Allergan-Loa

40,06

8,01

8,01

Elea

48,95

15,42

15,42

Novoplos

70,17

45,08

45,08

Alcon

75,24

49,68

49,68

Poen

83,09

54,86

54,86

Bausch & Lomb Argentina

85,46

57,54

57,54

Poen

68,92

44,59

44,59

Elea

71,31

47,08

47,08

TIORIDAZINA
Comprimidos

TOBRAMICINA
Gel

GOTABIOTIC OFT. GEL x


Gotas

300 mg TOBRALER OFT. GTS x

5
5

RADINA OFT. GTS x 10


Lquido

300 mg TOBRAGAN 0.3% OFT. SOL x

TOBRAMICINA DORF OFT. SOL x

TOBRAMICINA ATLAS OFT. SOL x


TOBREX OFT. SOL x

BIDEON BIOTIC OFT. SOL x


BIOPTIC OFTAL. SOL x

BIO EYES BIOTIC OFT. SOL x


GOTABIOTIC OFT. SUS x

TOBREX OFT. SOL x 10

TOBRAMICINA +
DEXAMETASONA
Gotas

100 mg TOBRATLAS DEXA OFT. GTS x


300 mg RADINA DEX OFT. GTS x
BICRINOL OFT. GTS x

Lquido

3 mg DECADRON C/TOBRAMICINA OFT. SUS x


300 mg TOBRALER DX OFT. SUS x
TOBRAGAN D OFT. SOL x
FOTADEX OFT. SOL x

TOBRADEX OFT. SOL x

5
5

GOTABIOTIC F OFT. SOL x


BIOPTIC DX OFT. SOL x

BIO EYES PLUS OFT. SOL x

Ungento

300 mg GOTABIOTIC F OFT. UNG x

FOTADEX OFT. UNG x 3,5

TOPIRAMATO
Comprimidos

15 mg TOPAMAC SPRINKLE 15 mg DISPERS CAP x 60

Janssen-Cilag

260,58

171,21

171,21

25 mg TOPICTAL 25 mg COM x 28

Raffo

101,79

53,34

53,34

NEUTOP 25 mg COM x 28

Elea

115,85

72,13

72,13

TOPAMAC 25 mg COM x 28

Janssen-Cilag

165,31

109,13

109,13

TOPICTAL 25 mg COM x 56

Raffo

183,16

77,34

77,34

NEUTOP 25 mg COM x 56

Elea

219,57

128,38

128,38

TOPAMAC SPRINKLE 25 mg DISPERS CAP x 60

Janssen-Cilag

449,10

296,50

296,50

Casasco

113,45

69,01

69,01

28 mg EPISTAL 25 mg COM x 28

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

Pgina 122 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA

30/12/2014

NOMBRE COMERCIAL

Comprimidos

LABORATORIO

50 mg TOPICTAL 50 mg COM x 28

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Raffo

209,09

128,71

128,71

EPISTAL 50 mg COM x 28

Casasco

209,36

129,07

129,07

NEUTOP 50 mg COM x 28

Elea

209,61

129,38

129,38

TOPAMAC 50 mg COM x 28

Janssen-Cilag

304,18

200,82

200,82

TOPICTAL 50 mg COM x 56

Raffo

376,39

201,63

201,63

NEUTOP 50 mg COM x 56

Elea

400,83

234,65

234,65

100 mg TOPICTAL 100 mg COM x 28

Raffo

323,54

206,54

206,54

EPISTAL 100 mg COM x 28

Casasco

325,78

209,38

209,38

NEUTOP 100 mg COM x 28

Elea

327,25

211,25

211,25

TOPAMAC 100 mg COM x 28

Janssen-Cilag

463,50

306,00

306,00

TOPICTAL 100 mg COM x 56

Raffo

580,73

326,12

326,12

EPISTAL 100 mg COM x 56

Casasco

614,15

370,55

370,55

NEUTOP 100 mg COM x 56

Elea

621,53

380,18

380,18

Sanofi Aventis

145,84

95,82

95,82

Fortbenton Co.

126,75

84,51

84,51

Poen

32,53

21,37

21,37

1 mg STELAZINE 1 mg COM x 50

MSD Arrgentina SR

60,83

39,97

39,97

2 mg CUAIT TRIFLUOPERAZINA 2 mg COM x 50

Ariston

25,48

16,48

16,48

STELAZINE 2 mg COM x 50

MSD Arrgentina SR

58,53

38,45

38,45

5 mg STELAZINE 5 mg COM x 25

MSD Arrgentina SR

57,74

38,12

38,12

Ariston

50,04

32,88

32,88

10 mg CUAIT TRIFLUOPERAZINA 10 mg COM x 30

Ariston

56,01

36,98

36,98

CUAIT TRIFLUOPERAZINA 10 mg COM x 50

Ariston

42,88

14,39

14,39

STELAZINE 10 mg COM x 50

MSD Arrgentina SR

78,81

38,93

38,93

Pfizer

131,62

82,50

82,50

Cevallos

143,30

94,61

94,61

TRIAMCINOLONA
Aerosol

0,055 mg NASACORT AQ AER x 120

Ampollas
Pomada

30 mg FORTCINOLONA 5 ML AMP x
1000 mg TRIAMPOEN OFT. PDA x

TRIFLUOPERAZINA
Comprimidos

CUAIT TRIFLUOPERAZINA 5 mg COM x 30

TRIHEXIFENIDILO
CLORHIDRATO
Comprimidos

5 mg ARTANE 5 mg COM x 50
TRIHEXIFENIDILO CEVALLOS 5 mg COM x 50

TRIMEBUTINA MALEATO
Comprimidos

100 mg MIOPROPAN COM x 20

Bernabo

43,09

28,45

28,45

EUMOTIL 100 mg COM x 20

Baliarda

44,05

29,08

29,08

BIORGAN 100 mg COM x 20

Ivax Argentina

53,32

35,20

35,20

PLIDEX 100 COM x 30

Roemmers

55,35

32,34

32,34

MIOPROPAN COM x 40

Bernabo

70,62

38,85

38,85

EUMOTIL 100 mg COM x 40

Baliarda

76,63

46,84

46,84

BIORGAN 100 mg COM x 40

Ivax Argentina

92,86

61,30

61,30

Roemmers

39,16

15,61

15,61

COLIXANE 200 COM x 20

Sanitas

55,04

25,75

25,75

MIOPROPAN 200 mg COM x 20

Bernabo

59,90

31,90

31,90

EUMOTIL 200 mg COM x 20

Baliarda

67,22

41,67

41,67

BIORGAN 200 mg COM x 20

Ivax Argentina

82,84

54,69

54,69

DEBRIDAT 200 mg COM x 20

Pfizer

103,74

68,49

68,49

200 mg PLIDEX 200 COM x 15

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

Pgina 123 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

200 mg FENATROP 200 mg COM x 30

A CARGO A CARGO
REF
AFILIADO CRONICO

Gador

73,34

23,49

23,49

PLIDEX 200 COM x 30

Roemmers

79,24

32,61

32,61

EUMOTIL 200 mg COM x 30

Baliarda

87,20

44,16

44,16

PROCINET NF 200 mg COM x 30

Eurofarma

95,45

55,44

55,44

MIOPROPAN 200 mg COM x 30

Bernabo

124,30

82,06

82,06

COLIXANE 200 COM x 30

Sanitas

143,62

94,82

94,82

COLIXANE 200 COM x 40

Sanitas

97,94

33,25

33,25

EUMOTIL 200 mg COM x 40

Baliarda

126,99

73,55

73,55

BIORGAN 200 mg COM x 40

Ivax Argentina

155,48

102,65

102,65

DEBRIDAT 200 mg COM x 40

Pfizer

188,45

124,41

124,41

MIOPROPAN 200 mg COM x 60

Bernabo

215,37

142,18

142,18

Baliarda

101,93

60,13

60,13

300 mg EUMOTIL 300 COM x 30

Lquido

PRECIO

MIOPROPAN LP 300 mg COM x 20

Bernabo

96,65

63,81

63,81

BIORGAN AP 300 mg COM x 20

Ivax Argentina

107,10

70,71

70,71

DEBRIDAT AP 300 mg LIB.PROL. COM x 20

Pfizer

136,73

90,27

90,27

FENATROP AP 300 mg COM x 30

Gador

79,12

27,55

27,55

MIOPROPAN LP 300 mg COM x 30

Bernabo

92,74

47,64

47,64

PLIDEX AP 300 mg COM x 30

Roemmers

121,02

79,89

79,89

MIOPROPAN LP 300 mg COM x 60

Bernabo

181,05

89,04

89,04

Bernabo

25,26

16,59

16,59

80 mg BACTRIM COM x 20

Investi

78,01

51,25

51,25

160 mg NETOCUR COM x 10

Duncan

37,96

8,48

8,48

BACTRIM FORTE COM x 10

Investi

88,31

58,00

58,00

BACTICEL COM x 12

Bag

113,99

75,26

75,26

390 mg MIOPROPAN SUS x 250

TRIMETOPRIMA +
SULFAMETOXASOL
Comprimidos

Lquido

40 mg COTRIMOXAZOL VANNIER JBE x 100

Vannier S.A.

22,94

4,59

4,59

NETOCUR JBE x 100

Duncan

29,33

6,55

6,55

ADRENOL JBE x 100

Fabra

38,49

8,59

8,59

BACTRIM JBE x 100

Investi

84,07

55,25

55,25

BACTICEL JBE x 120

Bag

116,95

77,21

77,21

Alcon

85,04

55,87

55,87

TROPICAMIDA
Lquido

1000 mg ALCON MYDRIL 1% OFT. SOL x

URSODESOXICLICO, CIDO
Comprimidos

150 mg AUDECOL 150 mg COM x 20

89,48

26,82

26,82

URZAC 150 mg COM x 20

Ariston
Eurofarma

126,12

77,70

77,70

SOLUTRAT 150 mg COM x 20

Sandoz

137,66

89,48

89,48

DEXO 150 mg COM x 20

Dominguez

145,38

95,98

95,98

URSODIOL 150 mg COM x 20

Hlb Pharma

145,99

96,38

96,38

UTRAL 150 mg COM x 30

Sanitas

265,27

175,13

175,13

250 mg UDCA FERRING 250 mg CAP x 30

Ferring

416,66

275,08

275,08

URSOFALK CAP x 50

Biotoscana

469,00

162,17

162,17

UDCA FERRING 250 mg CAP x 60

Ferring

793,67

515,50

515,50

URSOFALK CAP x 100

Biotoscana

924,00

302,62

302,62

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

Pgina 124 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

NOMBRE COMERCIAL

LABORATORIO

300 mg DEXO 300 mg COM x 20

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Dominguez

277,81

AUDECOL 300 mg COM x 30

Ariston

188,64

39,49

39,49

URZAC 300 mg COM x 30

Eurofarma

296,98

179,55

179,55

SOLUTRAT 300 mg COM x 30

Sandoz

378,62

246,10

246,10

UTRAL 300 mg COM x 30

Sanitas

373,67

246,69

246,69

URSODIOL 300 mg COM x 30

Hlb Pharma

401,53

265,09

265,09

UDCA FERRING 300 mg CAP x 30

Ferring

416,66

275,08

275,08

AUDECOL 300 mg COM x 50

Ariston

428,12

208,15

208,15

URZAC 300 mg COM x 50

Eurofarma

437,53

221,47

221,47

DEXO 300 mg COM x 50

Dominguez

650,15

429,22

429,22

URSODIOL 300 mg COM x 50

Hlb Pharma

674,94

445,59

445,59

UTRAL 300 mg COM x 60

Sanitas

747,66

493,60

493,60

UDCA FERRING 300 mg CAP x 60

Ferring

793,67

523,98

523,98

500 mg URZAC FORTE 500 mg COM x 30

Lquido

30/12/2014

183,41

183,41

Eurofarma

486,69

319,77

319,77

URSODIOL FORTE 500 mg COM x 30

Hlb Pharma

653,06

431,15

431,15

URSOFALK 500 mg COM x 50

Biotoscana

889,00

586,95

586,95

URSODIOL FORTE 500 mg COM x 50

Hlb Pharma

1.071,51

707,40

707,40

URSOFALK 500 mg COM x 100

Biotoscana

1.687,00

1.113,70

1.113,70

Biotoscana

687,00

451,38

451,38

61,33

40,91

40,91

250 mg URSOFALK Oral SUS x 250

VAC. ANTIPOLIOMIELITIS
Ampollas

0,001 ml IMOVAX POLIO AMP x

Sanofi Pasteur

VALPROICO, CIDO
Comprimidos
Lquido

250 mg DEPAKENE CAP x 50

Abbott

128,00

42,02

28,58

5000 mg DEPAKENE JBE x 120

Abbott

70,98

44,88

30,48 INF

151,38

99,46

61,30

VALSARTAN
Comprimidos

40 mg DIOVAN IC 40 mg COM x 14

Novartis

80 mg RACORVAL 80 mg COM x 14

Nova Argentia

62,70

17,10

14,00

ALPERTAN 80 mg COM x 14

Raffo

65,72

19,99

14,67

SIMULTAN 80 mg COM x 14

Lazar

117,44

77,53

63,79

DIOVAN 80 mg COM x 14

Novartis

134,41

88,73

75,68

DIAPRESAN 80 mg COM x 15

Montpellier

79,78

34,85

17,81

SARVAL 80 mg COM x 15

Baliarda

90,90

50,56

23,01

DILCORAN 80 mg COM x 28

Casasco

147,62

63,14

32,96

HIPERVAL 80 COM x 28

Penn Pharmaceuticals

152,40

72,15

30,48

RACORVAL 80 mg COM x 28

Nova Argentia

173,24

100,29

44,78

SIMULTAN 80 mg COM x 28

Lazar

182,21

111,02

54,42

ALPERTAN 80 mg COM x 28

Raffo

186,86

117,04

61,47

DIOVAN 80 mg COM x 28

Novartis

228,02

150,54

118,70

COROSAN 80 mg COM x 28

Elea

258,07

170,38

145,32

DIAPRESAN 80 mg COM x 30

Montpellier

153,20

60,19

34,20

SARVAL 80 mg COM x 30

Baliarda

174,02

90,42

45,30

78,52

21,49

17,54

160 mg ALPERTAN 160 mg COM x 14

Raffo

RACORVAL 160 mg COM x 14

Nova Argentia

82,86

25,64

18,51

SIMULTAN 160 mg REC. COM x 14

Lazar

139,07

91,81

70,61

DIOVAN 160 mg COM x 14

Novartis

148,44

98,00

83,59

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

Pgina 125 de 130

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DROGA
Comprimidos

160 mg

30/12/2014
LABORATORIO

DIAPRESAN 160 mg COM x 15

Montpellier

108,32

55,84

28,19

SARVAL 160 mg COM x 15

Baliarda

119,05

70,41

33,76

DILCORAN 160 mg COM x 28

Casasco

196,66

96,45

51,16

HIPERVAL 160 COM x 28

Penn Pharmaceuticals

198,80

101,85

40,09

SIMULTAN 160 mg REC. COM x 28

Lazar

242,42

157,50

92,04

DIOVAN 160 mg COM x 28

Novartis

252,00

166,37

105,69

ALPERTAN 160 mg COM x 28

Raffo

254,20

167,82

108,80

RACORVAL 160 mg COM x 28

Nova Argentia

258,02

168,64

115,96

COROSAN 160 mg COM x 28

Elea

283,17

186,95

147,82

DIAPRESAN 160 mg COM x 30

Montpellier

207,96

99,41

52,99

SARVAL 160 mg COM x 30

Baliarda

240,12

143,48

69,41

Raffo

119,26

75,45

43,27

DIOVAN 320 mg COM x 14

Novartis

148,44

98,00

82,71

SIMULTAN 320 mg COM x 28

Lazar

248,75

163,85

102,59

DIOVAN 320 mg COM x 28

Novartis

251,97

166,35

105,63

ALPERTAN 320 mg COM x 28

Raffo

265,14

175,05

123,97

COROSAN 320 mg COM x 28

Elea

283,17

186,95

147,80

SARVAL 320 mg COM x 30

Baliarda

241,85

143,88

72,03

Lazar

138,57

91,48

78,03

DIOVAN D 80/12.5 mg COM x 14

Novartis

158,38

104,56

89,18

ALPERTAN D 80/12.5 mg COM x 28

Raffo

167,93

75,62

37,50

SIMULTAN D 80/12.5 mg COM x 28

Lazar

242,25

159,93

114,60

RACORVAL D 80/12.5 mg COM x 28

Nova Argentia

247,47

163,38

121,61

DIOVAN D 80/12.5 mg COM x 28

Novartis

266,21

175,75

146,06

SIMULTAN D 160/25 mg COM x 28

Lazar

281,19

183,23

112,92

DILCORAN D 80/12.5 mg COM x 28

Casasco

320,74

211,75

180,61

DIAPRESAN D 80/12.5 mg COM x 30

Montpellier

168,99

64,67

37,74

SARVAL D 80/12.5 COM x 30

Baliarda

182,45

84,70

42,80

320 mg ALPERTAN 320 mg COM x 14

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

NOMBRE COMERCIAL

VALSARTAN +
HIDROCLOROTIAZIDA
Comprimidos

80 mg SIMULTAN D 80/12.5 mg COM x 14

160 mg SIMULTAN D 160/12.5 mg COM x 14

95,30

41,62

21,28

DIOVAN D 160/12.5 mg COM x 14

Novartis

171,71

113,36

96,69

DIOVAN D 160/25 mg COM x 14

Novartis

171,72

113,37

96,43

ALPERTAN D 160/12.5 mg COM x 28

Raffo

191,89

85,14

42,85

SIMULTAN D 160/12.5 mg COM x 28

Lazar

268,70

177,40

121,34

DIOVAN D 160/12.5 mg COM x 28

Novartis

288,50

190,46

147,91

DIOVAN D 160/25 mg COM x 28

Novartis

288,50

190,46

119,76

RACORVAL D 160/12.5 mg COM x 28

Nova Argentia

319,53

210,95

179,93

DILCORAN PLUS 160/5 mg COM x 28

Casasco

354,13

233,80

174,48

DILCORAN PLUS 160/10 mg COM x 28

Casasco

361,66

238,76

197,69

DILCORAN D 160/12.5 mg COM x 28

Casasco

412,24

272,16

272,16

SARVAL D 160/12.5 COM x 30

Baliarda

187,08

63,08

41,78

DIAPRESAN D 160/25 mg COM x 30

Montpellier

234,75

106,68

52,42

DIAPRESAN D 160/12.5 mg COM x 30

Montpellier

222,93

115,99

58,02

Novartis

176,94

116,81

97,85

Novartis

176,94

116,81

97,77

320 mg DIOVAN D 320/12.5 mg COM x 14


DIOVAN D 320/25 mg COM x 14

Lazar

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

Pgina 126 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

320 mg DIOVAN D 320/12.5 mg COM x 28


DIOVAN D 320/25 mg COM x 28

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Novartis

297,36

194,91

120,21

Novartis

297,36

195,13

120,02

VENLAFAXINA
Comprimidos

25 mg QUILAREX 25 mg COM x 30

Ariston

46,76

9,35

9,35

SESAREN 25 mg COM x 30

Roemmers

93,52

52,54

52,54

ELAFAX 25 mg COM x 30

Gador

112,92

74,55

74,55

37,5 mg PRAMINA 37.5 mg COM x

Elea

48,86

21,55

21,55

PRAMINA 37.5 mg COM x 14

Elea

103,23

51,06

51,06

GANAVAX 37.5 mg COM x 30

Astrazeneca

136,54

30,48

30,48

MEZINE XR 37.5 mg COM x

Phoenix

32,42

7,24

7,24

Gador

45,47

16,43

16,43

Pfizer

49,36

29,02

29,02

Roemmers

55,62

36,72

36,72

MEZINE XR 37.5 mg COM x 14

Phoenix

97,59

42,91

42,91

ELAFAX LP 37.5 mg CAP x 14

Gador

102,37

49,84

49,84

VENLIFAX XR 37.5 mg CAP x 14

Baliarda

111,89

73,87

73,87

SUNVEX LP 37.5 mg CAP x 28

Casasco

254,79

166,42

166,42

SESAREN XR 37.5 mg CAP x 28

Roemmers

276,50

182,54

182,54

ELAFAX LP 37.5 mg CAP x

EFEXOR XR 37,5 mg LIB.PROL. CAP x


SESAREN XR 37.5 mg CAP x

50 mg QUILAREX 50 mg COM x 30

66,18

13,24

13,24

SESAREN 50 mg COM x 30

Ariston
Roemmers

114,99

66,26

66,26

ELAFAX 50 mg COM x 30

Gador

138,95

91,73

91,73

GANAVAX 50 mg COM x 30

Astrazeneca

148,18

97,83

97,83

75 mg PRAMINA 75 mg COM x 14

Elea

105,46

69,62

69,62

PRAMINA 75 mg COM x 28

Elea

211,33

139,52

139,52

QUILAREX 75 mg COM x 30

Ariston

142,25

40,22

40,22

SESAREN 75 mg COM x 30

Roemmers

172,18

81,05

81,05

GANAVAX 75 mg COM x 30

Astrazeneca

176,33

86,98

86,98

ELAFAX 75 mg COM x 30

Gador

181,52

94,28

94,28

ELAFAX LP 75 mg CAP x 14

Gador

93,88

56,39

56,39

ELAFAX XR 75 mg COM x 14

Gador

93,88

56,39

56,39

EFEXOR XR 75 mg LIB.PROL. CAP x 14

Pfizer

102,33

60,62

60,62

VENLIFAX XR 75 mg CAP x 14

Baliarda

111,56

72,51

72,51

SESAREN XR 75 mg CAP x 15

Roemmers

141,53

93,44

93,44

MEZINE XR 75 mg COM x 28

Phoenix

208,03

137,34

137,34

ELAFAX XR 75 mg COM x 28

Gador

223,13

145,07

145,07

EFEXOR XR 75 mg LIB.PROL. CAP x 28

Pfizer

223,81

145,92

145,92

ELAFAX LP 75 mg CAP x 28

Gador

223,35

147,46

147,46

VENLIFAX XR 75 mg CAP x 28

Baliarda

232,47

153,47

153,47

SUNVEX LP 75 mg CAP x 28

Casasco

272,47

179,88

179,88

SESAREN XR 75 mg CAP x 30

Roemmers

291,95

192,75

192,75

150 mg PRAMINA 150 mg COM x 14

Elea

153,87

85,29

85,29

PRAMINA 150 mg COM x 28

Elea

308,09

171,05

171,05

ELAFAX XR 150 mg COM x 14

Gador

136,56

60,89

60,89

ELAFAX LP 150 mg CAP x 14

Gador

136,57

60,90

60,90

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

Pgina 127 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

150 mg EFEXOR XR 150 mg LIB.PROL. CAP x 14

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

Pfizer

141,03

79,41

79,41

VENLIFAX XR 150 mg CAP x 14

Baliarda

153,88

97,60

97,60

SESAREN XR 150 mg CAP x 15

Roemmers

204,31

134,88

134,88

ELAFAX LP 150 mg CAP x 28

Gador

303,83

165,24

165,24

EFEXOR XR 150 mg LIB.PROL. CAP x 28

Pfizer

297,37

179,16

179,16

ELAFAX XR 150 mg COM x 28

Gador

325,10

214,63

214,63

VENLIFAX XR 150 mg CAP x 28

Baliarda

336,72

222,30

222,30

SUNVEX LP 150 mg CAP x 28

Casasco

395,38

249,75

249,75

SESAREN XR 150 mg CAP x 30

Roemmers

423,62

279,67

279,67

225 mg SESAREN XR 225 mg CAP x 15

Roemmers

295,11

194,83

194,83

SESAREN XR 225 mg CAP x 30

Roemmers

583,27

383,03

383,03

Investi

59,68

26,85

13,32

Abbott

83,26

54,97

34,28

Abbott

149,08

98,42

72,62

Investi

93,91

20,97

20,97

Abbott

283,97

187,47

139,95

Investi

205,62

101,64

53,52

Sanofi Aventis

599,25

393,73

393,73

VERAPAMILO
Comprimidos

80 mg VERAL 80 mg TAB x 30
ISOPTINO 80 mg RECUB. COM x 30
120 mg ISOPTINO RETARD CAP x 20
VERAL RETARD 120 mg TAB x 30
240 mg ISOPTINO MD 240 mg GRA x 30
VERAL RETARD 240 mg TAB x 30

VIGABATRIN
Comprimidos

500 mg SABRIL 500 mg COM x 60

VITAMINA A
Comprimidos

Gotas

50000 ui TANVIMIL A CAP x 20

Raymos

52,16

34,44

34,44

TANVIMIL A CAP x 50

Raymos

105,87

64,62

64,62

100000 ui TANVIMIL A 100000 CAP x 30

Raymos

82,40

54,14

54,14

3000000 TANVIMIL A GTS x 10


ui

Raymos

29,84

19,30

19,30

Lepetit

43,57

28,63

28,63

Bayer Consumer

52,16

28,14

28,14 MAT

VITAMINA B1
Comprimidos

300 mg TIAMINA AUSTRAL 300 mg COM x 30

VITAMINA B1 + VITAMINA B2 +
VITAMINA B6 + VITAMINA B12
+ VITAMINA B3 + CALCIO
PANTOTENATO + VITAMINA H
Comprimidos

15 mg BECOZYM GRA x 30

VITAMINA B1 + VITAMINA B6 +
VITAMINA B12
Ampollas

Comprimidos

100 mg BAGO B1 B6 B12 10000 3 ML AMP x

Bag

101,31

63,41

63,41 MAT

BAGO B1 B6 B12 10000 3 ML AMP x

Bag

219,60

144,98

144,98 MAT

84,11

28,47

28,47 MAT

Bag

126,78

83,30

83,30 MAT

Elea

66,69

31,72

31,72 MAT

Bayer Consumer

130,07

84,12

84,12 MAT

Bag

117,56

77,24

77,24 MAT

Ferring

102,25

67,18

67,18

125 mg TANVIMIL B1 B6 B12 COM x 30

Raymos

BAGO B1 B6 B12 5000 COM x 30


250 mg NERVOBION FUERTE GRA x 20
COBENEXOL FUERTE COM x 30
Lquido

1000 mg BAGO B1 B6 B12 SOL x 100

VITAMINA B12
Ampollas

10 mg LISONEURIN B12 10.000 1 ML AMP x

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

Pgina 128 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Ampollas
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

10 mg
1 mg SL B12 COM x 15

Dominguez

60,09

39,67

39,67

SL B12 COM x 30

Dominguez

104,49

65,44

65,44

VITAMINA B6
Comprimidos

100 mg TANVIMIL B6 COM x 20

Raymos

24,65

16,27

16,27

TANVIMIL B6 COM x 100

Raymos

77,26

39,28

39,28

250 mg TANVIMIL C 250 COM x 50

Raymos

15,70

10,15

10,15

500 mg CEWIN COM x 12

Sanofi Aventis OTC

22,37

14,70

14,70

TANVIMIL C 500 COM x 20

Raymos

15,88

10,27

10,27

TANVIMIL C 500 COM x 50

Raymos

31,42

20,32

20,32

20000 REDOXON GTS x 20


mg

Bayer Consumer

50,41

33,61

33,61

20000 TANVIMIL C GTS x 20


mg

Raymos

25,93

5,19

5,19

Dominguez

82,35

54,11

54,11

DENURIX GTS x 10

Dominguez

185,27

121,73

121,73

Raymos

45,97

10,27

10,27

Roemmers

95,80

63,25

63,25

Roemmers

57,44

37,74

37,74

Trb-Pharma

142,47

92,16

92,16

Spedrog Caillon

176,01

115,64

115,64

Roemmers

160,02

104,01

104,01

Spedrog Caillon

112,95

74,21

74,21

Spedrog Caillon

204,49

134,36

134,36

Spedrog Caillon

123,17

80,92

80,92

Montpellier

148,41

97,97

97,97

VITAMINA C
Comprimidos

Gotas

VITAMINA D
Gotas

65600 ui DENURIX GTS x

15 mg TANVIMIL D GTS x 10

VITAMINA D2
Gotas

15 mg RAQUIFEROL GTS x

25 mg OSTELIN POTENCIA 100 GTS x 10

VITAMINA D3
Ampollas

50000 ui ORAVIL BEBIBLE 2 ML F.A x

100000 ui STEROGYL 2 ML BEBIBLE F.A x


Comprimidos
Gotas
Lquido

0,0003 CALCIRAQUIFEROL D3 BLANDAS CAP x 30


mg
20000 ui STEROGYL BC ORAL GTS x 10
0,025 mg STEROGYL 1000 Oral SOL x

400 ui STEROGYL 400 ORAL SOL x 10


100000 ui OSTEODYN Oral 2 ml AMB x

VITAMINA E
Comprimidos

200 mg TANVIMIL E CAP x 20

Raymos

33,51

22,12

22,12

TANVIMIL E CAP x 50

Raymos

67,02

44,25

44,25

TANVIMIL E CAP x 100

Raymos

117,98

70,27

70,27

62,10

33,25

33,25

Investi

125,08

82,58

82,58

Investi

70,04

46,02

46,02

Raymos

64,92

42,65

42,65

Bristol

79,43

52,19

30,29

VITAMINA K1
Ampollas

10 mg VITAMINA K1 BIOL 10 mg 1 ML AMP x


10 mg KONAKION MM 10 mg AMP x

2 mg KONAKION MM 2 mg C/DOSIF.ORAL AMP x


Comprimidos

10 mg TANVIMIL K COM x 10

Biol

WARFARINA SDICA
Comprimidos

1 mg COUMADIN 1 mg COM x 30

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

Pgina 129 de 130

Formulario Teraputico Ambulatorio - IAPOS


DROGA
Comprimidos

30/12/2014

NOMBRE COMERCIAL

LABORATORIO

PRECIO

A CARGO A CARGO
REF
AFILIADO CRONICO

1 mg
2 mg CIRCUVIT 2 mg COM x 20

Ariston

66,46

43,87

31,78

CIRCUVIT 2 mg COM x 50

Ariston

149,60

96,71

56,42

5 mg CIRCUVIT 5 mg COM x 20

Ariston

74,64

49,28

39,21

COUMADIN 5 mg COM x 30

Bristol

93,89

59,77

33,62

CIRCUVIT 5 mg COM x 50

Ariston

160,32

105,72

62,30

Sanofi Pasteur

418,98

279,47

279,47

Astrazeneca

218,57

143,61

143,61

91,35

60,02

60,02

Sanofi Aventis

110,56

57,55

57,55

Gador

142,94

93,92

93,92

WISTAR CEPA
Ampollas

150 ui VERORAB VAC. ANTIRRABICA AMP x

ZOLMITRIPTN
Comprimidos

2,5 mg ZOMIGON 2.5 mg COM x

ZOLPIDEM
Comprimidos

5 mg SOMIT 5 mg COM x 30
6,25 mg AMBIEN CR 6.25 mg COM x 28
SOMIT CR 6.25 mg lIB. mODIF. COM x 30
10 mg ZOLODORM 10 mg COM x 30

Gador

Richmond

63,09

13,51

13,51

DORMILAN 10 mg COM x 30

Baliarda

61,03

13,63

13,63

SOMNIPAX 10 mg COM x 30

Ivax Argentina

64,91

15,33

15,33

SUMENAN 10 mg COM x 30

Spedrog Caillon

70,29

20,48

20,48

DURNIT 10 mg COM x 30

Sanofi Aventis

70,81

20,98

20,98

NOCTE 10 mg COM x 30

Bag

75,38

26,64

26,64

FULSADEM 10 mg COM x 30

Astrazeneca

93,45

52,71

52,71

SOMIT 10 mg COM x 30

Gador

114,18

75,38

75,38

Sanofi Aventis

143,76

82,81

82,81

Gador

174,24

114,85

114,85

Bag

144,14

94,71

94,71

12,5 mg AMBIEN CR 12.5 mg COM x 28


SOMIT CR 12.5 mg COM x 30
10 mg NOCTE SUBLINGUAL 10 mg COM x 30

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

Pgina 130 de 130