Vademecum

Formulario Terapéutico Ambulatorio - IAPOS 07/05/2020
A CARGO A CARGO
DROGA NOMBRE COMERCIAL LABORATORIO PRECIO REF
AFILIADO CRONICO
ACENOCUMAROL
Comprimidos 1 mg SINTROM 1 mg COM x 20 Nova Argentia 273,50 151,79 83,42
4 mg SINTROM 4 mg COM x 20 Nova Argentia 908,03 520,57 303,94
AZECAR 4 mg COM x 30 Bagó 1.094,95 525,78 218,99
ACETAZOLAMIDA
Comprimidos 250 mg ACETA 250 mg COM x 20 Novoplos 476,62 373,47 373,47
ACETIL CISTEINA
Comprimidos 200 mg ACEMUK 200 mg EFERV. TAB x 10 Investi 463,21 257,60 257,60
BRONCOLIUM 200 mg COM x 12 Temis-Lostalo 429,68 188,63 188,63
600 mg ACC EXPECTORANTE 600 mg EFERV. COM x 10 Sandoz 433,25 234,29 234,29
DOSOMUK 600 mg COM x 10 Beta 441,80 241,90 241,90
QURA MUK 600 mg COM x 10 Bernabo 442,25 242,33 242,33
BRONCOLIUM 600 mg EFERV. COM x 10 Temis-Lostalo 516,49 313,23 313,23
ACEMUK 600 mg EFERV. TAB x 10 Investi 521,66 318,17 318,17
BRONCOLIUM 600 mg EFERV. COM x 12 Temis-Lostalo 620,53 376,58 376,58

ACC EXPECTORANTE 600 mg EFERV. COM x 20 Sandoz 704,80 313,95 313,95

QURA MUK 600 mg COM x 20 Bernabo 721,93 329,41 329,41
DOSOMUK 600 mg COM x 20 Beta 833,79 436,23 436,23
BRONCOLIUM 600 mg EFERV. COM x 24 Temis-Lostalo 1.008,01 530,61 530,61
Líquido 2000 mg BRONCOLIUM JBE x 100 Temis-Lostalo 305,84 122,34 122,34

TEMPOTANE 2% SUS x 100 Lazar 365,92 176,17 176,17
QURA MUK JBE x 100 Bernabo 378,06 187,76 187,76
ACEMUK JBE x 100 Investi 429,82 237,19 237,19
TOFLUX JBE x 100 Casasco 456,52 262,69 262,69
Sobres 200 mg TOFLUX 200 mg SOB x 20 Casasco 979,99 543,89 543,89
600 mg TEMPOTANE 600 mg SOB x 10 Lazar 452,60 236,57 236,57

CISTEFORT 600 mg SOB x 10 Fortbenton 475,29 259,06 259,06
ANTUSEL 600 mg SOB x 10 Gador 524,12 304,87 304,87
TOFLUX 600 mg SOB x 10 Casasco 549,28 328,90 328,90
BALIMUC 600 mg SOB x 10 Baliarda 555,69 335,02 335,02
TEMPOTANE 600 mg SOB x 20 Lazar 760,74 335,19 335,19

CISTEFORT 600 mg SOB x 20 Fortbenton 762,11 337,81 337,81
TOFLUX 600 mg SOB x 20 Casasco 896,64 464,97 464,97
BALIMUC 600 mg SOB x 20 Baliarda 903,47 471,49 471,49
ANTUSEL 600 mg SOB x 20 Gador 921,71 488,91 488,91
ACETIL SALICÍLICO, ÁCIDO

Comprimidos 100 mg ASPIRINA PREVENT CUB.ENTERICA COM x 20 Bayer (PH) 119,71 72,35 72,35
ASPIRINA PREVENT CUB.ENTERICA COM x 50 Bayer (PH) 261,36 144,67 144,67
325 mg ASPIRINA PREVENT 325 CUB.ENTER COM x 30 Bayer (PH) 242,89 140,00 140,00
ASPIRINA PREVENT 325 CUB.ENTER COM x 60 Bayer (PH) 432,54 229,15 229,15
ACICLOVIR
Comprimidos 200 mg LISOVYR 200 CAP x 20 Elea - Phoenix 579,69 359,94 359,94
MAT: 100% en Plan Materno – INF. 100% en Plan Infantil
Página 1 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 200 mg
XICLOVIR 200 mg COM x 30 Lazar 572,97 256,69 256,69
400 mg XICLOVIR 400 mg COM x 20 Lazar 534,45 293,25 293,25

POVIRAL 400 mg COM x 20 Roemmers 549,30 307,43 307,43
ACERPES 400 mg COM x 20 Investi 584,50 341,05 341,05
LISOVYR 400 COM x 20 Elea - Phoenix 722,51 472,85 472,85
POVIRAL 400 mg COM x 40 Roemmers 993,05 514,07 514,07
800 mg XICLOVIR 800 mg COM x 20 Lazar 846,45 424,62 424,62

POVIRAL 800 mg COM x 20 Roemmers 1.011,61 582,35 582,35
VIROSTATIC 800 mg COM x 20 Cassara 1.040,01 611,18 611,18
ACERPES 800 mg COM x 20 Investi 1.072,43 640,43 640,43
LISOVYR 800 CAP x 20 Elea - Phoenix 1.153,71 718,05 718,05
XICLOVIR 800 mg COM x 40 Lazar 1.593,71 754,51 754,51

POVIRAL 800 mg COM x 40 Roemmers 1.629,91 789,08 789,08
LISOVYR 800 CAP x 40 Elea - Phoenix 1.969,97 1.113,84 1.113,84
Crema 5000 mg XICLOVIR 5% CRE x 5 Lazar 221,48 107,94 107,94

POVIRAL DERMICA 5% CRE x 5 Roemmers 246,33 131,67 131,67 INF
ACERPES 5% CRE x 5 Investi 258,47 143,27 143,27 INF
LISOVYR 5% CRE x 5 Elea - Phoenix 294,27 177,46 177,46 INF
ZOVIRAX 5% CRE x 10 GlaxoSmithKline 394,46 169,57 169,57 INF
Líquido 8000 mg XICLOVIR 8% SUS x 120 Lazar 621,11 335,62 335,62

LISOVYR 8% SUS x 120 Elea - Phoenix 826,78 532,03 532,03
POVIRAL 8% SUS x 125 Roemmers 614,09 318,18 318,18
Ungüento 5000 mg XICLOVIR 5% DERMICO UNG x 5 Lazar 216,66 126,22 126,22 INF
LISOVYR 5% UNG x 10 Elea - Phoenix 399,90 220,52 220,52 INF
ACITRETINA
Comprimidos 10 mg NEOTIGASON 10 mg CAP x 30 Teva argentina ( 2.388,50 1.325,62 1.325,62
25 mg NEOTIGASON 25 mg CAP x 30 Teva argentina ( 5.031,30 2.792,37 2.792,37
ALENDRONATO
Comprimidos 70 mg ACTIMAX 70 mg COM x 4 Investi 156,45 62,58 62,58
ALENDRONATO 70 mg COM x 4 Lepetit 176,30 74,39 74,39
OSEOTENK 70 mg COM x 4 Biotenk 199,05 79,62 79,62
OSTEOFENE 70 mg COM x 4 Rontag 425,24 175,10 175,10
OSTEOMAR 70 mg COM x 4 Ferring 454,31 181,72 181,72
ALENATO 70 mg COM x 4 Investi 485,04 194,02 194,02
ARENDAL 70 mg COM x 4 Teva argentina ( 691,64 350,54 350,54
SILIDRAL 70 mg COM x 4 Spedrog Caillon 711,82 370,96 370,96
BREK 70 mg COM x 4 Trb-Pharma 715,00 373,79 373,79
FINDECLIN 70 mg COM x 4 Finadiet 728,57 385,80 385,80
MARVIL 70 mg COM x 4 Gador 805,10 458,89 458,89
REGENESIS 70 mg COM x 4 Elea - Phoenix 990,61 636,05 636,05
ACTIMAX 70 mg COM x 8 Investi 280,98 112,39 112,39

OSEOTENK 70 mg COM x 8 Biotenk 332,22 132,89 132,89
ALENATO 70 mg COM x 8 Investi 875,27 350,11 350,11
BREK 70 mg COM x 8 Trb-Pharma 872,00 363,80 363,80
FINDECLIN 70 mg COM x 8 Finadiet 1.110,11 444,04 444,04
Página 2 de 112
A CARGO A CARGO
AFILIADO CRONICO
ALLOPURINOL
Comprimidos 100 mg ALLOPURINOL GADOR 100 mg COM x 30 Gador 198,10 110,77 110,77
ALLOPURINOL CRAVERI 100 mg COM x 30 Craveri 211,32 123,40 123,40
ALLOPURINOL GADOR 100 mg COM x 60 Gador 369,59 196,14 196,14

300 mg PURITENK 300 mg COM x 20 Biotenk 336,60 199,26 199,26

ALLOPURINOL HOUDE 300 mg COM x 30 Spedrog Caillon 438,45 235,42 235,42


COLPURIL A RETARD 300 MICROGRA CAP x 20 Nova Argentia 213,47 85,39 85,39
ALLOPURINOL CRAVERI RETARD 300 COM x 20 Craveri 464,72 305,18 305,18
ALLOPURINOL GADOR RETARD 300 mg COM x Gador 595,02 360,30 360,30

30
COLPURIL A RETARD 300 MICROGRA CAP x 50 Nova Argentia 695,08 317,23 317,23
ALLOPURINOL CRAVERI RETARD 300 COM x 50 Craveri 841,63 457,18 457,18
ALPRAZOLAM
Comprimidos 0,25 mg PRINOX 0.25 mg COM x 30 Eurofarma 99,50 49,59 49,59
PRINOX 0.25 mg-Andrómaco COM x 30 Eurofarma 99,50 49,59 49,59
TENSIUM 0.25 mg COM x 30 Baliarda 100,93 50,96 50,96
ALPLAX 0.25 mg COM x 30 Gador 114,87 64,27 64,27
PRINOX 0.25 mg COM x 50 Eurofarma 179,98 96,16 96,16

TRANQUINAL 0.25 mg COM x 50 Bagó 194,04 109,59 109,59
0,5 mg TRANQUINAL 0.5 mg COM x 10 Bagó 90,37 60,37 60,37
CALMOL 0.5 mg COM x 30 Temis-Lostalo 39,32 15,73 15,73

ALPRAZOLAM DF 0.5 mg COM x 30 Denver Farma 167,02 89,22 89,22
ROSPAZ 0.50 mg COM x 30 Rospaw 175,50 97,70 97,70
PTA 0.5 mg COM x 30 Sidus 188,97 102,67 102,67
XANAX 0.50 mg COM x 30 Pfizer 190,22 103,86 103,86
AMZIAX 0.50 mg COM x 30 Soubeiran Chobet 195,06 108,49 108,49
ALPRAZOL 0.5 mg COM x 30 Casasco 198,29 111,57 111,57
EMERAL 0.5 mg COM x 30 Nova Argentia 215,06 127,59 127,59
EMERAL 0.5 mg COM x 50 Nova Argentia 318,51 174,52 174,52

Página 3 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 0,5 mg ROSPAZ 0.50 mg COM x 60 Rospaw 320,00 125,51 125,51

PTA 0.5 mg COM x 60 Sidus 328,70 158,32 158,32
AMZIAX 0.50 mg COM x 60 Soubeiran Chobet 358,16 186,45 186,45
XANAX 0.50 mg COM x 60 Pfizer 361,41 189,56 189,56
ALPRAZOL 0.5 mg COM x 60 Casasco 371,99 199,66 199,66
ALPLAX XR 0.5 mg COM x 20 Gador 301,28 167,21 167,21
1 mg CALMOL 1 mg COM x 30 Temis-Lostalo 60,42 24,17 24,17

PTA 1 mg COM x 30 Sidus 254,71 119,75 119,75
ROSPAZ 1 mg COM x 30 Rospaw 275,00 151,50 151,50
XANAX 1 mg COM x 30 Pfizer 298,98 162,03 162,03
PRINOX 1 mg COM x 30 Eurofarma 301,34 164,28 164,28
PRINOX 1 mg-Andrómaco COM x 30 Eurofarma 301,34 164,28 164,28
EMERAL 1 mg COM x 30 Nova Argentia 306,17 168,89 168,89
AMZIAX 1 mg COM x 30 Soubeiran Chobet 308,47 171,09 171,09
TENSIUM 1 mg COM x 30 Baliarda 310,75 173,27 173,27
ALPLAX 1 mg COM x 30 Gador 314,27 176,63 176,63
ALPRAZOL 1 mg COM x 30 Casasco 318,60 180,76 180,76
TRANQUINAL 1 mg COM x 30 Bagó 321,10 183,15 183,15

PTA 1 mg COM x 60 Sidus 468,27 200,20 200,20

XANAX 1 mg COM x 60 Pfizer 556,33 284,30 284,30
ALPLAX XR 1 mg COM x 20 Gador 346,58 192,38 192,38
2 mg CALMOL 2 mg COM x 30 Temis-Lostalo 97,13 38,85 38,85

PTA 2 mg COM x 30 Sidus 418,94 208,54 208,54
Página 4 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 2 mg PRINOX 2 mg COM x 50 Eurofarma 839,21 482,19 482,19


PTA 2 mg COM x 60 Sidus 714,82 299,55 299,55
TRANQUINAL 2 mg COM x 100 Bagó 1.663,12 949,78 949,78
ALPLAX XR 2 mg COM x 20 Gador 424,66 235,82 235,82
0,5 mg TENSIUM SL 0.5 mg COM x 30 Baliarda 227,95 91,18 91,18

TRANQUINAL 0.5 mg SUBLINGUAL COM x 30 Bagó 347,63 193,77 193,77
Gotas 1 mg TRANQUINAL 1MG/ML GTS x 30 Bagó 349,72 194,09 194,09
AMANTADINA
Comprimidos 100 mg VIROSOL 100 mg COM x 10 Elea - Phoenix 479,09 291,05 291,05
AMPAKINE 100 mg COM x 30 Rontag 827,78 340,85 340,85

ACTISON 100 mg COM x 30 Buxton 1.122,33 572,37 572,37
VIROSOL 100 mg COM x 30 Elea - Phoenix 1.258,13 702,06 702,06
AMPAKINE 100 mg COM x 60 Rontag 1.584,77 652,56 652,56

ACTISON 100 mg COM x 60 Buxton 1.986,03 897,75 897,75
AMIODARONA
Comprimidos 200 mg RITMOCARDYL 200 mg COM x 20 Sanofi Aventis 74,71 29,88 14,94
MIOTENK 200 mg COM x 20 Biotenk 212,90 85,16 42,58
ATLANSIL 200 mg COM x 20 Roemmers 444,57 243,54 130,40
ATLANSIL 200 mg COM x 50 Roemmers 1.134,35 630,74 347,89
AMITRIPTILINA
Comprimidos 10 mg TRYPTALGIN 10 mg COM x 30 Craveri 378,07 209,83 209,83
25 mg TRYPTALGIN 25 mg COM x 30 Craveri 426,74 217,74 217,74

AMIPTRIL 25 Mg COM x 30 Rospaw 420,00 230,21 230,21
TRYPTANOL 25 mg COM x 30 Bagó 483,28 271,74 271,74
TRYPTANOL 25 mg COM x 100 Bagó 1.590,78 886,56 886,56
75 mg AMIPTRIL 75 Mg COM x 30 Rospaw 805,00 427,52 427,52

TRYPTALGIN 75 mg COM x 30 Craveri 845,80 430,26 430,26
TRYPTANOL 75 mg COM x 30 Bagó 982,47 560,78 560,78
AMLODIPINA
Comprimidos 5 mg AMLOPAW 5 mg COM x 10 Rospaw 252,00 178,17 178,17
AMLOC 5 mg TAB x 20 Pfizer 473,31 304,35 212,06
AMZE 5 mg COM x 28 Richmond 426,77 201,40 95,30
TENSIMED 5 mg COM x 30 Lepetit 199,68 84,26 45,78

AMLODICORD 5 mg COM x 30 Geminis Farmaceutica 389,20 155,68 77,84
HIPERTENSAL 5 mg COM x 30 Finadiet 395,25 158,10 79,05
AMLOPAW 5 mg COM x 30 Rospaw 445,00 168,13 168,13
ANEXA 5 mg COM x 30 Microsules Argentina 447,35 170,48 170,48
BRANCILINA 5 mg COM x 30 Fecofar 413,53 173,97 92,35
Página 5 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 5 mg MITOKOR 5 mg COM x 30 Biotenk 435,20 194,12 87,04

TERVALON 5 mg COM x 30 Lazar 442,97 201,54 88,59
INDALTEN 5 mg COM x 30 Montpellier 463,05 220,72 92,61
TERLOC 5 mg COM x 30 Teva argentina ( 507,47 230,60 95,14
CARDIVAS 5 mg COM x 30 Sidus 487,59 244,16 105,72
AMLODINE 5 mg COM x 30 Eurofarma 492,85 249,18 110,75
ARTERIOSAN 5 mg COM x 30 Bernabo 499,11 255,16 116,73
ZUNDIC 5 mg COM x 30 Raffo 506,93 262,63 124,19
ILDUC 5 mg COM x 30 Baliarda 545,43 299,39 160,96
COROVAL 5 mg COM x 30 Nova Argentia 550,14 303,89 165,46
PELMEC 5 mg COM x 30 Casasco 561,21 314,46 176,03
CALPRES 5 mg COM x 30 Temis-Lostalo 563,42 316,57 178,14
CARDIOREX 5 mg COM x 30 Bagó 612,56 363,50 225,07
AMLOC ODT 5 mg COM x 30 Pfizer 637,08 386,92 248,49
CARDIOREX CDO 5 mg COM x 30 Bagó 759,20 503,54 365,11

TERLOC 5 mg COM x 60 Teva argentina ( 1.006,90 518,61 241,74
CALPRES 5 mg COM x 60 Temis-Lostalo 1.109,49 616,58 339,71
PELMEC 5 mg COM x 60 Casasco 1.123,81 630,25 353,39
AMLOC 5 mg TAB x 60 Pfizer 1.213,36 715,77 438,91
10 mg AMLOPAW 10 mg COM x 10 Rospaw 270,00 137,94 137,94
AMZE 10 mg COM x 28 Richmond 779,97 376,12 174,17
TENSIMED 10 mg COM x 30 Lepetit 272,74 115,09 62,54

HIPERTENSAL 10 mg COM x 30 Finadiet 559,06 223,62 111,81
AMLODIPINA DF 10 mg COM x 30 Denver Farma 732,53 237,30 237,30
ANEXA 10 mg COM x 30 Microsules Argentina 744,59 249,36 249,36
MITOKOR 10 mg COM x 30 Biotenk 742,00 312,43 148,40
CARDIVAS 10 mg COM x 30 Sidus 760,18 329,79 152,04
INDALTEN 10 mg COM x 30 Montpellier 768,45 337,69 153,69
BRANCILINA 10 mg COM x 30 Fecofar 790,60 359,88 176,54
ZUNDIC 10 mg COM x 30 Raffo 817,54 384,57 163,51
TERVALON 10 mg COM x 30 Lazar 832,97 399,30 166,59
TERLOC 10 mg COM x 30 Teva argentina ( 935,75 440,52 242,43
AMLODINE 10 mg COM x 30 Eurofarma 912,50 475,25 227,64
ARTERIOSAN 10 mg COM x 30 Bernabo 937,16 498,80 251,19
CALPRES 10 mg COM x 30 Temis-Lostalo 957,11 517,86 270,24
ILDUC 10 mg COM x 30 Baliarda 1.028,71 586,23 338,62
COROVAL 10 mg COM x 30 Nova Argentia 1.037,32 594,46 346,84
PELMEC 10 mg COM x 30 Casasco 1.038,00 595,11 347,49
CARDIOREX 10 mg COM x 30 Bagó 1.157,50 709,23 461,61
AMLOC ODT 10 mg COM x 30 Pfizer 1.204,59 754,20 506,58
AMLOC 10 mg TAB x 30 Pfizer 1.270,50 817,14 569,53
CARDIOREX CDO 10 mg COM x 30 Bagó 1.328,66 872,69 625,07
AMLOPAW 10 mg COM x 50 Rospaw 1.440,00 779,69 779,69
Página 6 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg AMLODICORD 10 mg COM x 60 Geminis Farmaceutica 1.376,61 550,64 275,32

TERLOC 10 mg COM x 60 Teva argentina ( 1.854,65 978,82 483,59
CALPRES 10 mg COM x 60 Temis-Lostalo 1.854,79 978,96 483,73
PELMEC 10 mg COM x 60 Casasco 2.064,85 1.179,56 684,33
AMLOC 10 mg TAB x 60 Pfizer 2.136,91 1.248,38 753,15
AMLODIPINA + VALSARTAN
Comprimidos 5 mg SIMULTAN A 5/160 mg COM x 14 Lazar 732,82 371,99 167,08
EXFORGE 5/160 mg COM x 14 Novartis 1.148,46 768,92 564,01
SIMULTAN A 80/5 mg COM x 28 Lazar 1.135,34 454,14 227,07

DILCORAN PLUS 160/5 mg COM x 28 Casasco 1.512,64 788,86 379,03
RACORVAL A 160/ 5 mg COM x 28 Nova Argentia 1.585,01 857,97 448,15
NOSTER 5/160 mg COM x 28 Raffo 1.614,54 886,17 476,35
NOSTER 5 / 320 mg COM x 28 Raffo 2.014,24 1.059,98 520,21
EXFORGE 5/80 mg COM x 28 Novartis 1.985,32 1.155,90 693,36
DIAPRESAN A 160/5 mg COM x 30 Montpellier 1.453,08 685,14 685,14

NICORVAS A 160/5 mg COM x 30 Temis-Lostalo 1.495,78 725,92 299,16
DISARVAL 5/160 mg COM x 30 Baliarda 1.607,82 832,92 393,82
DILCORAN PLUS 160/5 mg COM x 56 Casasco 3.029,90 1.582,12 762,48
10 mg SIMULTAN A 10/160 mg COM x 14 Lazar 715,48 347,88 143,10

DILCORAN PLUS 160/10 mg COM x 28 Casasco 1.568,33 826,95 407,69
RACORVAL A 160/10 mg COM x 28 Nova Argentia 1.647,11 902,18 482,93
NOSTER 10/160 mg COM x 28 Raffo 1.693,75 946,72 527,47
DIAPRESAN A 160/10 mg COM x 30 Montpellier 1.514,85 727,96 727,96

DISARVAL 10/320 mg COM x 30 Baliarda 2.179,82 1.146,91 562,65
DILCORAN PLUS 160/10 mg COM x 56 Casasco 3.153,94 1.670,39 831,88
AMOXICILINA
Ampollas 1000 mg AMOXIDAL 1 g AMP x 1 Roemmers 220,91 132,55 132,55
Comprimidos 500 mg AMOXICILINA FECOFAR 500 mg COM x 8 Fecofar 110,59 66,52 66,52
AMOXITENK 500 mg COM x 8 Biotenk 115,80 71,44 71,44
AMIXEN 500 mg COM x 8 Bernabo 135,17 89,94 89,94
GRINSIL 500 mg COM x 8 Nova Argentia 140,06 94,61 94,61
TELMOX 500 mg TAB x 16 Sandoz 178,76 92,42 92,42

AMOXICLER 500 COM x 16 Monserrat 187,00 100,29 100,29
AMOXICILINA FECOFAR 500 mg COM x 16 Fecofar 192,20 105,35 105,35
AMOXITENK 500 mg COM x 16 Biotenk 223,90 135,53 135,53
AMOXICILINA RICHET 500 mg COM x 16 Richet 221,27 142,98 142,98
NOBACTAM 500 mg COM x 16 Microsules Argentina 223,18 144,89 144,89
Página 7 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 500 mg TRIFAMOX 500 mg COM x 16 Bagó 235,05 146,18 146,18
AMOXI 500 mg MAR COM x 21 Mar 192,00 80,60 80,60

AMOXIDAL 500 mg RECUB. COM x 21 Roemmers 245,31 131,52 131,52
TRIFAMOX 500 mg COM x 21 Bagó 285,42 169,82 169,82
750 mg AMIXEN 750 mg COM x 16 Bernabo 390,89 210,55 210,55

875 mg AMOXI DUO MAR 875 mg COM x 14 Mar 277,00 134,56 134,56
AMIXEN DUO COM x 14 Bernabo 315,22 171,06 171,06
AMOXIDAL DUO 875 mg COM x 14 Roemmers 322,11 177,64 177,64
AMOXICILINA FECOFAR DUO 875 mg COM x 14 Fecofar 327,63 183,06 183,06
GRINSIL DUO 875 mg COM x 14 Nova Argentia 337,44 192,28 192,28
TRIFAMOX DUO 875 mg COM x 14 Bagó 356,13 210,13 210,13
TRIFAMOX DUO 875 mg MASTICABLE COM x 14 Bagó 484,31 332,54 332,54
1000 mg NOBACTAM 1000 mg COM x 8 Microsules Argentina 362,85 232,68 232,68

AMOXIDAL 1 g COM x 16 Roemmers 644,99 355,63 355,63

NOBACTAM 1000 mg COM x 16 Microsules Argentina 670,03 409,69 409,69
Líquido 250 mg AMOXICILINA FECOFAR 250 mg JBE x 60 Fecofar 200,42 107,52 107,52 INF
GRINSIL 250 mg JBE x 90 Nova Argentia 32,01 12,80 12,80 INF

AMOXIPENIL 250 SUS x 90 Montpellier 195,78 78,31 78,31 INF
AMOXICILINA FECOFAR 250 mg SUS x 90 Fecofar 276,58 138,30 138,30 INF
AMOXIDAL 250 mg SUS x 90 Roemmers 318,25 177,97 177,97 INF
AMOXICILINA RICHET 250 mg JBE x 90 Richet 306,45 180,49 180,49 INF
NOBACTAM 250 mg PED. SUS x 90 Microsules Argentina 317,12 191,16 191,16 INF
AMOXI 250 mg MAR SUS x 105 Mar 215,00 86,00 86,00 INF
GRINSIL 250 mg JBE x 120 Nova Argentia 47,25 18,90 18,90 INF
AMOXICILINA FECOFAR 250 mg JBE x 120 Fecofar 138,59 55,44 55,44 INF
TRIFAMOX 250 mg JBE x 120 Bagó 440,75 252,97 252,97 INF
AMOXICILINA RICHET 250 mg JBE x 120 Richet 430,44 262,50 262,50 INF
500 mg AMOXOL 500 mg ORAL SUS x 60 Cassara 69,00 27,60 27,60

AMOXICILINA FECOFAR 500 mg JBE x 60 Fecofar 203,68 111,99 111,99
AMOXICILINA RICHET 500 mg POL SUS x 60 Richet 262,40 179,78 179,78
TRIFAMOX 500 mg JBE x 60 Bagó 279,42 184,23 184,23
AMOXOL 500 mg ORAL SUS x 90 Cassara 238,74 114,81 114,81

AMOXICLER 500 PEDIATRICO SUS x 90 Monserrat 301,00 163,53 163,53
AMOXIDAL PEDIATRICO 500 mg SUS x 90 Roemmers 317,06 178,86 178,86
AMOXICILINA FECOFAR 500 mg JBE x 90 Fecofar 319,87 181,69 181,69
GRINSIL 500 mg SUS x 90 Nova Argentia 327,12 188,47 188,47
TELMOX 500 mg SUS x 100 Sandoz 255,42 106,23 106,23
AMOXI 500 mg MAR SUS x 105 Mar 257,00 102,80 102,80
AMOXIPENIL 500 SUS x 120 Montpellier 298,98 120,29 120,29
Página 8 de 112
A CARGO A CARGO
AFILIADO CRONICO
Líquido 500 mg AMOXICILINA FECOFAR 500 mg JBE x 120 Fecofar 392,65 209,92 209,92
AMOXIDAL PEDIATRICO 500 mg SUS x 120 Roemmers 403,41 220,02 220,02
GRINSIL 500 mg SUS x 120 Nova Argentia 424,09 239,77 239,77
TRIFAMOX 500 mg JBE x 120 Bagó 472,09 285,61 285,61
AMOXI 500 mg MAR SUS x 150 Mar 326,00 130,40 130,40
750 mg AMOXI DUO MAR SUS x 70 Mar 307,00 166,08 166,08

AMOXIDAL DUO 750 MG/5 ML SUS x 70 Roemmers 357,25 214,07 214,07
GRINSIL DUO 750 mg SUS x 70 Nova Argentia 375,43 231,44 231,44
AMOXICILINA FECOFAR DUO 750 mg JBE x 70 Fecofar 375,64 231,80 231,80
AMOXI DUO MAR SUS x 100 Mar 406,00 206,16 206,16
AMOXIDAL DUO 750 MG/5 ML SUS x 120 Roemmers 472,28 233,14 233,14
GRINSIL DUO 750 mg SUS x 120 Nova Argentia 492,28 252,24 252,24
1000 mg TRIFAMOX DUO SUS x 50 Bagó 343,40 198,32 198,32
TRIFAMOX DUO SUS x 90 Bagó 574,98 315,78 315,78
AMOXICILINA +
CLAVULÁNICO, ÁCIDO
Comprimidos 500 mg AMIXEN CLAVULANICO 500 mg (500/125) COM x Bernabo 367,71 200,19 200,19
8
OPTAMOX 500 mg (500/125) COM x 8 Roemmers 386,64 218,27 218,27
AMOXICILINA CLAVUL. (500/125) RICHET COM x Richet 373,75 222,77 222,77
8
CLAVULOX 500 mg (500/125) COM x 14 Elea - Phoenix 757,94 459,62 459,62
BIOCLAVID 500/125 mg COM x 16 Sandoz 592,51 263,90 263,90

AMIXEN CLAVULANICO 500 mg (500/125) COM x Bernabo 722,73 388,26 388,26
16
OPTAMOX 500 mg (500/125) COM x 16 Roemmers 757,21 421,18 421,18
AMOXICILINA CLAVUL. (500/125) RICHET COM x Richet 726,95 425,00 425,00
16
AMOCLAV 500 mg COM x 16 Casasco 797,95 460,09 460,09
GRINSIL CLAVULANICO 500 mg (500/125) COM x Nova Argentia 798,63 460,74 460,74
16
875 mg CLAMOXOL DUO (875/125) COM x 14 Lepetit 491,90 211,69 211,69

AMOXI PLUS MAR(875/125) mg COM x 14 Mar 505,00 223,39 223,39
AMOXICILINA CLAVUL.7:1 RICHET (875/125) COM Richet 622,00 298,39 298,39
x 14
AMIXEN CLAVULANICO 1 g (875/125) COM x 14 Bernabo 617,39 330,72 330,72
OPTAMOX DUO 1 g (875/125) COM x 14 Roemmers 642,95 355,13 355,13
AMOCLAV DUO (875/125) COM x 14 Casasco 678,06 388,66 388,66
GRINSIL CLAV DUO (875/125) COM x 14 Nova Argentia 688,33 398,47 398,47
PLENOBIOTIC DUO (875/125) COM x 14 Fecofar 699,83 409,45 409,45
BIOCLAVID 875/125 mg COM x 14 Sandoz 722,66 431,26 431,26
ULTRABIOTIC DUO (875/125) COM x 14 Montpellier 723,08 431,66 431,66
CLAVULOX 1 g (875/125) COM x 14 Elea - Phoenix 754,40 461,57 461,57
AMOXI PLUS MAR (875/125) mg COM x 20 Mar 674,00 273,83 273,83
Líquido 250 mg OPTAMOX 250 mg PEDIATRICA (250/62.5) SUS x Roemmers 324,34 192,45 192,45 INF
60
AMOXICILINA CLAVUL. (250/62.5) RICHET SUS x Richet 313,64 196,35 196,35 INF
60
GRINSIL CLAVULANICO 250 mg (250/62.5) SUS x Nova Argentia 228,39 91,36 91,36 INF
90
Página 9 de 112
A CARGO A CARGO
AFILIADO CRONICO
Líquido 250 mg OPTAMOX 250 mg PEDIATRICA (250/62.5) SUS x Roemmers 407,36 213,09 213,09 INF
90
AMOXICILINA CLAVUL. (250/62.5) RICHET SUS x Richet 401,99 226,05 226,05 INF
90
400 mg BIOCLAVID 400/57 MG/5 ML SUS x 70 Sandoz 277,14 110,86 110,86

ULTRABIOTIC DUO (400/57) SUS x 70 Montpellier 323,04 152,26 152,26
AMOXI PLUS MAR (400/57) SUS x 70 Mar 346,00 174,18 174,18
OPTAMOX DUO (400/57) SUS x 70 Roemmers 417,01 242,00 242,00
AMOXICILINA CLAVUL.7:1 RICHET (400/57) SUS x Richet 400,70 244,45 244,45
70
AMOCLAV DUO (400/57) SUS x 70 Casasco 438,47 262,49 262,49
GRINSIL CLAVULANICO DUO (400/57) SUS x 70 Nova Argentia 449,70 273,22 273,22
CLAVULOX DUO 400 mg (400/70) SUS x 70 Elea - Phoenix 486,62 308,47 308,47
AMOXI PLUS MAR SUS x 140 Mar 621,00 280,56 280,56

OPTAMOX DUO (400/57) SUS x 140 Roemmers 726,92 381,71 381,71
AMOCLAV DUO (400/57) SUS x 140 Casasco 767,49 420,46 420,46
GRINSIL CLAV DUO SUS x 140 Nova Argentia 784,82 437,01 437,01
500 mg AMOXICILINA CLAVUL.FTE. RICHET 500/125 SUS x Richet 796,47 456,70 456,70
90
GRINSIL CLAV 500 mg (500/125) SUS x 90 Nova Argentia 850,11 472,08 472,08
600 mg OPTAMOX DUO 14:1 Ped. (600/42.9) SUS x 140 Roemmers 757,21 419,41 419,41
AMOCLAV SE SUS x 140 Casasco 800,28 460,54 460,54
AMOXICILINA + SULBACTAM
Comprimidos 250 mg TRIFAMOX IBL 500 mg COM x 16 Bagó 801,58 444,88 444,88
875 mg TRIFAMOX IBL DUO COM x 14 Bagó 780,55 433,21 433,21
Líquido 250 mg TRIFAMOX IBL 500 mg JBE x 60 Bagó 605,28 335,93 335,93
1000 mg TRIFAMOX IBL DUO SUS x 30 Bagó 581,96 349,60 349,60
TRIFAMOX IBL DUO SUS x 60 Bagó 1.008,50 550,77 550,77
AMPICILINA
Ampollas 1000 mg TRIFACILINA 1000 mg AMP x 1 Bagó 292,53 162,35 162,35
Comprimidos 500 mg TRIFACILINA 500 mg COM x 16 Bagó 560,22 311,34 311,34
1000 mg TRIFACILINA 1000 mg COM x 8 Bagó 421,42 235,14 235,14
TRIFACILINA 1000 mg COM x 16 Bagó 838,28 465,94 465,94
Líquido 250 mg TRIFACILINA FUERTE JBE x 120 Bagó 514,09 285,32 285,32 INF
ANATOXINA TETÁNICA
Ampollas 40 ui TETAVAX 0.5 ml JPR x 1 Sanofi Pasteur 450,65 250,11 250,11 MAT
ANTITOXINA DIFTÉRICA +
TETÁNICO TOXOIDE
Ampollas 2,8 ui VACUNA DOBLE AD BIOL AMP x 1 Biol 586,73 325,64 325,64
2 ui IMOVAX DT ADULTO 0.5 ML JPR x 1 Sanofi Pasteur 386,69 214,61 214,61
ANTITOXINA DIFTÉRICA +
TETÁNICO TOXOIDE +
PERTUSSIS TOXOIDE
Ampollas 2 ui BUSTRIX 0.5 ML JPR x 1 GlaxoSmithKline 2.307,80 1.280,83 1.280,83
Frasco 30 ui ADACEL MONODS 0.5 ML ACELULAR FCO x 1 Sanofi Pasteur 2.735,74 1.518,34 1.518,34
ATENOLOL
Página 10 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 25 mg VERICORDIN 25 mg COM x 28 Lazar 161,78 64,71 32,36

ATENOLOL GADOR 25 mg COM x 28 Gador 254,46 146,13 85,57

PLENACOR 25 mg COM x 30 Bagó 267,08 151,26 86,38
VERICORDIN 25 mg COM x 56 Lazar 305,26 122,10 61,05


50 mg VERICORDIN 50 mg COM x 28 Lazar 194,52 77,81 38,90

PRENORMINE 50 COM x 28 Astrazeneca 307,09 147,83 61,42
ATENOLOL MICROSULES 50 mg COM x 28 Microsules Argentina 357,88 212,44 212,44
ATENOLOL BIOTENK 50 mg COM x 30 Biotenk 370,29 197,80 100,41


PRENORMINE 50 COM x 56 Astrazeneca 609,20 290,91 121,84
ATENOLOL MICROSULES 50 mg COM x 56 Microsules Argentina 719,74 356,14 356,14

100 mg VERICORDIN 100 mg COM x 28 Lazar 331,26 132,50 66,25



ATENOLOL GADOR 100 mg COM x 56 Gador 1.029,54 585,03 336,17
ATENOLOL GADOR 100 mg COM x 60 Gador 1.045,72 572,04 305,41

PLENACOR 100 mg COM x 60 Bagó 1.071,92 597,06 330,43
ATORVASTATIN
Comprimidos 10 mg LIPONORM 10 mg COM x 20 Lazar 698,15 328,37 139,63
NORMOLIPOL 10 mg COM x 30 Lepetit 462,68 195,24 106,09

VASTINA 10 mg COM x 30 Richmond 1.010,32 375,87 127,52
ATARVA 10 mg COM x 30 Duncan 989,86 437,76 197,97
LIPONORM 10 mg COM x 30 Lazar 990,89 438,74 198,18
LIPOSTOP 10 mg COM x 30 Denver Farma 1.092,68 458,23 458,23
FINLIPOL 10 mg COM x 30 Microsules Argentina 1.143,23 508,78 508,78
ATORMAX 10 mg COM x 30 Geminis Farmaceutica 1.089,00 532,44 217,80
LIPOKEMIA 10 mg COM x 30 Fecofar 1.107,63 551,68 247,34
ATORVASTAN 10 mg COM x 30 Biotenk 1.140,70 581,81 264,59
NORMALIP 10 mg COM x 30 Eurofarma 1.162,68 602,80 285,58
LIPODREN 10 mg COM x 30 Lafedar 1.181,41 621,73 304,51
LIPIBEC 10 mg COM x 30 Teva argentina ( 1.187,93 626,92 309,69
LIPOCAMBI 10 mg COM x 30 Bernabo 1.211,98 649,88 332,66
PLAN 10 mg COM x 30 Craveri 1.273,94 709,06 391,83
LIPAREX 10 mg COM x 30 Finadiet 1.320,80 753,81 436,59
Página 11 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg ATEROCLAR 10 mg COM x 30 Beta 1.324,51 757,35 440,13

TORIVAS 10 mg COM x 30 Baliarda 1.324,54 757,38 440,16
LIPIFEN 10 mg COM x 30 Raffo 1.325,38 758,18 440,96
AMPLIAR 10 mg COM x 30 Casasco 1.374,93 805,50 488,28
LIPITOR 10 mg COM x 30 Pfizer 1.408,95 837,99 520,77
ZARATOR 10 mg COM x 30 Elea - Phoenix 1.592,99 1.013,75 696,53
LIPEND 10 mg COM x 30 Savant Pharm S.A. 1.667,97 1.091,64 774,41
ATEROCLAR 10 mg COM x 60 Beta 1.738,38 695,35 347,68

LIPONORM 10 mg COM x 60 Lazar 1.795,92 718,37 359,18
LIPIBEC 10 mg COM x 60 Teva argentina ( 2.001,01 895,86 400,20
FINLIPOL 10 mg COM x 60 Microsules Argentina 2.037,94 1.022,83 1.022,83
LIPAREX 10 mg COM x 60 Finadiet 2.195,58 1.081,67 447,23
TORIVAS 10 mg COM x 60 Baliarda 2.218,30 1.103,37 468,93
AMPLIAR 10 mg COM x 60 Casasco 2.280,57 1.162,84 528,39
LIPITOR 10 mg COM x 60 Pfizer 2.307,54 1.188,59 554,15
ZARATOR 10 mg COM x 60 Elea - Phoenix 2.700,81 1.564,17 929,72
20 mg NORMOLIPOL 20 mg COM x 30 Lepetit 599,05 252,78 137,35

ATARVA 20 mg COM x 30 Duncan 1.440,15 576,06 288,03
VASTINA 20 mg COM x 30 Richmond 1.634,72 614,31 206,32
FINLIPOL 20 mg COM x 30 Microsules Argentina 1.839,11 818,70 818,70
ATORVASTAN 20 mg COM x 30 Biotenk 1.732,60 838,31 346,52
LIPOKEMIA 20 mg COM x 30 Fecofar 1.898,34 999,08 488,88
NORMALIP 20 mg COM x 30 Eurofarma 1.921,37 1.018,58 508,38
LIPODREN 20 mg COM x 30 Lafedar 1.925,76 1.024,48 514,27
LIPOCAMBI 20 mg COM x 30 Bernabo 1.934,29 1.030,92 520,72
LIPIBEC 20 mg COM x 30 Teva argentina ( 1.961,62 1.057,02 546,82
PLAN 20 mg COM x 30 Craveri 2.004,53 1.098,00 587,80
ATEROCLAR 20 mg COM x 30 Beta 2.161,95 1.248,34 738,14
LIPIFEN 20 mg COM x 30 Raffo 2.196,58 1.281,41 771,21
LIPITOR 20 mg COM x 30 Pfizer 2.418,68 1.493,52 983,31
ZARATOR 20 mg COM x 30 Elea - Phoenix 2.686,65 1.749,43 1.239,22
LIPEND 20 mg COM x 30 Savant Vitarum 2.818,17 1.886,63 1.376,42
ATORMAX 20 mg COM x 60 Geminis Farmaceutica 2.863,30 1.145,32 572,66

LIPONORM 20 mg COM x 60 Lazar 3.062,22 1.291,77 612,44
FINLIPOL 20 mg COM x 60 Microsules Argentina 3.270,64 1.637,99 1.637,99
AMPLIAR 20 mg COM x 60 Casasco 3.883,31 2.075,91 1.055,51
LIPITOR 20 mg COM x 60 Pfizer 4.144,41 2.325,26 1.304,86
40 mg NORMOLIPOL 40 mg COM x 30 Lepetit 875,68 369,51 200,78

Página 12 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 40 mg LIPOCAMBI 40 mg COM x 30 Bernabo 2.163,73 1.149,24 576,04

ATEROCLAR 40 mg COM x 30 Beta 2.250,19 1.231,81 658,60
LIPIFEN 40 mg COM x 30 Raffo 2.567,14 1.534,49 961,29
LIPITOR 40 mg COM x 30 Pfizer 2.626,59 1.591,27 1.018,07
80 mg LIPITOR 80 mg COM x 30 Pfizer 3.131,80 1.738,15 955,20
AZELASTINA
Colirio 50 mg BRIXIA COL x 6 Poen 561,66 311,56 311,56
ALLERGODIL COL x 6 Pharmadorf 571,45 320,91 320,91
Spray 1000 mg ALLERGODIL NASAL SPR x 10 Pharmadorf 316,37 175,59 175,59
AZITROMICINA
Comprimidos 500 mg NEBLIC 500 mg COM x 3 Lazar 356,29 181,22 181,22
ZITROMAX 500 mg TAB x 3 Pfizer 373,67 197,82 197,82
TRIAMID 500 mg COM x 3 Beta 401,16 224,07 224,07
SITROX 500 mg COM x 3 Biotenk 408,10 230,70 230,70
AZITROMICINA RICHET 500 mg COM x 3 Richet 411,03 251,99 251,99
DOYLE 500 mg COM x 3 Raffo 431,17 252,73 252,73
OROBIOTIC 500 mg COM x 3 Fortbenton 432,41 273,37 273,37
AZIBIOTIC 500 mg COM x 3 Baliarda 493,77 312,51 312,51
MISULTINA 500 mg COM x 3 Bernabo 534,91 351,80 351,80
TRITAB 500 mg COM x 3 Sidus 536,91 353,71 353,71
MACROMAX 500 mg COM x 3 Investi 588,94 403,40 403,40
CRONOPEN 500 mg COM x 3 Elea - Phoenix 632,30 444,81 444,81
SITROX 500 mg COM x 5 Biotenk 484,20 197,35 197,35

DOYLE 500 mg COM x 5 Raffo 510,11 222,09 222,09
CETAXIM 500 mg COM x 6 Trb-Pharma 429,00 171,60 171,60

AZITROMICINA RICHET 500 mg COM x 6 Richet 591,45 193,85 193,85
NEBLIC 500 mg COM x 6 Lazar 564,29 225,72 225,72
MACROMAX 500 mg COM x 6 Investi 796,54 442,62 442,62
Líquido 200 mg TRITAB ORAL 200 MG/5 ML SUS x 15 Sidus 381,96 210,80 210,80
MISULTINA SUS x 15 Bernabo 383,40 212,17 212,17
Página 13 de 112
A CARGO A CARGO
AFILIADO CRONICO
Líquido 200 mg CRONOPEN ORAL 200 mg 5 ML SUS x 15 Elea - Phoenix 481,36 305,72 305,72
AZITROMICINA RICHET ORAL SUS x 15 Richet 495,00 341,02 341,02
ZITROMAX 600 mg SUS x 15 Pfizer 528,77 351,00 351,00
MISULTINA SUS x 30 Bernabo 715,84 375,68 375,68

TRITAB ORAL 200 MG/5 ML SUS x 30 Sidus 718,49 378,21 378,21
MACROMAX PEDIATRICO 200 mg/5ml SUS x 30 Investi 774,22 431,43 431,43
CRONOPEN ORAL 200 mg 5 ML SUS x 30 Elea - Phoenix 887,88 539,97 539,97
BECLOMETASONA
Aerosol 0,05 mg RINOSOL SUSP. NASAL AER x 200 Cassara 367,45 225,85 225,85
BENZNIDAZOL
Comprimidos 50 mg ABARAX 50 mg COM x 100 Elea - Phoenix 1.917,31 1.064,11 1.064,11
100 mg ABARAX 100 mg COM x 100 Elea - Phoenix 3.121,03 1.732,17 1.732,17
BENZOILO PERÓXIDO
Gel 5000 mg VIXIDERM E 5% GEL x 40 Investi 174,67 69,87 69,87
ACNESAN 5% GEL x 40 Fortbenton 592,49 334,67 334,67
ACNESAN 5% GEL x 60 Fortbenton 715,08 334,62 334,62

BENZIHEX AC 5% GEL x 60 Galderma 838,08 489,80 489,80
10000 ACNESAN 10 % GEL x 40 Fortbenton 708,63 411,62 411,62

mg
BENZIHEX AC 10% GEL x 60 Galderma 838,08 438,56 438,56
BETAMETASONA
Comprimidos 0,5 mg BUTASONA FABRA COM x 20 Fabra 320,57 240,71 240,71
METAMAR 0.5 mg COM x 30 Mar 234,00 125,32 125,32
0,6 mg DEPOCORT 0.6 mg COM x 30 Nova Argentia 311,00 170,12 170,12

CORTEROID 0.6 mg COM x 30 Montpellier 311,70 170,79 170,79
CORTICAS 0.6 mg COM x 30 Casasco 329,81 188,08 188,08
DICASONE 0.6 mg COM x 30 Baliarda 344,33 201,95 201,95
1,2 mg CORTEROID 1.2 mg COM x 30 Montpellier 562,21 312,03 312,03
Gotas 0,5 mg BETAMAT GTS x 10 Lafedar 205,66 141,32 141,32 INF
BETACORT CASSARA ORAL GTS x 15 Medisol 168,00 91,20 91,20 INF

BETAMAT GTS x 15 Lafedar 255,68 159,17 159,17 INF
CELESTONE GTS x 15 MSD Arrgentina SR 487,82 369,36 369,36 INF
BETAMAT GTS x 20 Lafedar 304,02 175,34 175,34 INF
METAMAR ORAL GTS x 30 Mar 224,00 89,60 89,60 INF

BETACORT ORAL GTS x 30 Cassara 288,51 121,74 121,74
0,6 mg CORTICAS GTS x 20 Casasco 211,68 119,27 119,27 INF
DEPOCORT 0.6 MG/ML ORAL GTS x 30 Nova Argentia 265,64 129,37 129,37 INF
CORTICAS GTS x 30 Casasco 307,37 169,22 169,22
BETAMETASONA ACETATO +
BETAMETASONA FOSFATO
DISÓDICO
Ampollas 6 mg BETACORT CASSARA 2 ml AMP x 1 Medisol 138,00 55,20 55,20
METAMAR RETARD 2 ml + JGA. F.A x 1 Mar 342,00 155,46 155,46
CORTEROID RETARD 2 ml F.A x 1 Montpellier 419,10 229,09 229,09
CORTICAS RETARD 2 ml F.A x 1 Casasco 445,29 254,10 254,10
Página 14 de 112
A CARGO A CARGO
AFILIADO CRONICO
Ampollas 6 mg CRONODICASONE 2 ml F.A x 1 Baliarda 446,27 255,04 255,04

CEVICORT NC 2 ml F.A x 1 Cevallos 450,00 258,60 258,60
DEPOCORT RETARD 2 ml F.A x 1 Nova Argentia 514,18 319,89 319,89
DELTISONA RETARD 2 ml + Jga. F.A x 1 Sanofi Aventis 609,82 412,28 412,28
BETAMETASONA
DIPROPIONATO
Crema 0,643 mg BETACORT 0.05% CRE x 15 Medisol 148,00 59,20 59,20
NOVOCORT CRE x 15 Andromaco 377,00 196,28 196,28
DIPROSONE CRE x 15 MSD Arrgentina SR 689,34 494,57 494,57
BLACOR CRE x 30 Raymos 346,41 138,56 138,56
Gel 0,643 mg DERMIZOL GEL x 30 Roux Ocefa 181,90 109,14 109,14
Loción 0,643 mg DERMIZOL LOC x 15 Roux Ocefa 151,58 60,63 60,63
DIPROSONE LOC x 30 MSD Arrgentina SR 934,41 519,66 519,66
BETAMETASONA
DIPROPIONATO +
DISÓDICO
Ampollas 12,86 mg CRONOCORTEROID 2 ml AMP x 1 Montpellier 500,37 272,45 272,45
DEPOCORT CRONO 2 ml F.A x 1 Nova Argentia 514,20 285,66 285,66
CRONO CORTICAS 2 ml F.A x 1 Casasco 528,77 299,57 299,57
CRONODICASONE DEPOT 2 ml F.A x 1 Baliarda 556,81 326,35 326,35
CRONOLEVEL 2 ml AMP x 1 MSD Arrgentina SR 1.003,10 752,56 752,56
DISÓDICO
Ampollas 8 mg CORTEROID 2 ml F.A x 1 Montpellier 202,29 110,77 110,77
CORTICAS 2 ML F.A x 1 Casasco 214,70 122,63 122,63
Gotas 0,6 mg CORTEROID 0.6 mg/ml GTS x 30 Montpellier 261,40 144,68 144,68 INF
DICASONE 0.6 mg/ ml GTS x 30 Baliarda 363,63 242,31 242,31 INF
SÓDICO
Líquido 50 mg BETASONE G SOL x 15 Klonal 231,42 142,41 142,41 INF
BETAMETASONA VALERATO
Crema 122 mg BETAMAT CRE x 15 Lafedar 337,91 205,37 205,37
BETNOVATE CRE x 15 GlaxoSmithKline 449,15 296,40 296,40
LAZAR CORT CRE x 20 Lazar 260,00 104,00 104,00

CORTICAS CRE x 20 Casasco 353,58 160,95 160,95
TRANSDERMA B CRE x 20 Szama 433,97 237,73 237,73
CORTEROID CRE x 30 Montpellier 332,97 133,19 133,19

BETNOVATE CRE x 30 GlaxoSmithKline 782,91 482,61 482,61
Loción 122 mg BETNOVATE CAPILAR LOC x 30 GlaxoSmithKline 541,91 300,76 300,76
BETAMETASONA VALERATO +
FENILEFRINA + LIDOCAINA
Crema 50 mg PROCTO-METADYNE RECTAL CRE x 20 Microsules Argentina 345,96 209,27 209,27
BEZAFIBRATO
Comprimidos 400 mg BEZACUR RETARD 400 mg COM x 30 Nova Argentia 1.334,29 663,89 663,89
ELPI LIP (Lib.Prol.) COM x 30 Elea - Phoenix 1.517,13 838,51 838,51
BEZALIP RETARD GRA x 30 Sandoz 1.983,17 1.283,58 1.283,58
Página 15 de 112
A CARGO A CARGO
AFILIADO CRONICO
BIPERIDENO
Comprimidos 2 mg BIPERIDENO VANNIER 2 mg COM x 20 Vannier S.A. 270,25 160,83 92,45
BIPERIDENO ROSPAW 2 mg COM x 20 Rospaw 300,00 190,58 122,20
AKINETON COM x 20 Bagó 316,84 193,17 124,78
BIPERIDENO CEVALLOS 2 mg COM x 20 Cevallos 320,00 210,58 142,20
BIPERIDENO CEVALLOS 2 mg COM x 60 Cevallos 720,00 391,76 186,60

BIPERIDENO VANNIER 2 mg COM x 60 Vannier S.A. 726,47 398,23 193,07
BIPERIDENO ROSPAW 2 mg COM x 60 Rospaw 745,00 416,76 211,60
AKINETON COM x 60 Bagó 820,01 454,87 249,71
BISACODILO
Comprimidos 5 mg MODATON COM x 20 Montpellier 214,40 85,76 85,76
MODATON COM x 50 Montpellier 405,92 162,37 162,37
BISACODILO + CASANTRANOL
Comprimidos 5 mg ENGALAX GRA x 6 Omega 391,31 224,24 224,24
ENGALAX GRA x 10 Omega 603,01 326,77 326,77
BISMUTO HIDRÓXIDO +
PECTINA
Comprimidos 600 mg BISMUTO CHOBET CON PECTINA COM x 20 Soubeiran Chobet 426,01 236,44 236,44
Líquido 3000 mg CREMA DE BISMUTO CHOBET C/PECT SUS x 90 Soubeiran Chobet 325,36 184,81 184,81
CREMA DE BISMUTO CHOBET C/PECT SUS x 120 Soubeiran Chobet 416,54 229,92 229,92
CREMA DE BISMUTO CHOBET C/PECT SUS x 240 Soubeiran Chobet 826,84 453,88 453,88
BISOPROLOL
Comprimidos 2,5 mg DROMIN 2.5 mg COM x 30 Roux Ocefa 132,82 53,13 26,56
CORBIS 2.5 mg COM x 30 Roemmers 319,70 174,82 93,26
BISOPIL 2.5 mg COM x 30 Gador 325,57 180,43 98,87
LOSTAPROLOL 2.5 mg COM x 30 Temis-Lostalo 350,50 204,24 122,68
CONCOR 2.50 mg COM x 30 Elea - Phoenix 818,72 651,39 569,83
5 mg DROMIN 5 mg COM x 30 Roux Ocefa 239,42 95,77 47,88

CORBIS 5 mg COM x 30 Roemmers 586,14 320,09 170,29
BISOPIL 5 mg COM x 30 Gador 601,72 334,97 185,17
LOSTAPROLOL 5 mg COM x 30 Temis-Lostalo 643,78 375,13 225,34
CONCOR 5 mg COM x 30 Elea - Phoenix 1.338,75 1.038,83 889,03
10 mg DROMIN 10 mg COM x 30 Roux Ocefa 319,21 127,68 63,84

CORBIS 10 mg COM x 30 Roemmers 748,50 408,34 216,79
BISOPIL 10 mg COM x 30 Gador 768,19 427,15 235,60
LOSTAPROLOL 10 mg COM x 30 Temis-Lostalo 789,81 447,79 256,25
CONCOR 10 mg COM x 30 Elea - Phoenix 1.729,93 1.345,61 1.154,06
BISOPROLOL +
HIDROCLOROTIAZIDA
Comprimidos 5 mg LOSTAPROLOL DIUR 5 / 12.5 mg COM x 30 Temis-Lostalo 606,97 305,32 305,32
CORBIS D 5/12.5 mg COM x 30 Roemmers 682,36 377,31 377,31
CONCOR PLUS 5/12.5 mg COM x 30 Elea - Phoenix 1.585,19 1.239,52 1.239,52
10 mg CONCOR PLUS 10/25 mg COM x 30 Elea - Phoenix 1.734,23 962,50 962,50
BRIMONIDINA
Colirio 150 mg ALPHAGAN P 0.15 % COL x 5 Allergan-Loa 1.084,15 601,70 330,67
Página 16 de 112
A CARGO A CARGO
AFILIADO CRONICO
Colirio 200 mg BRIMOPRESS COL x 5 Poen 900,51 498,98 273,34

ALPHAGAN 0.2 % COL x 5 Allergan-Loa 929,75 526,90 301,27
BRIMONIDINA + TIMOLOL
Colirio 200 mg BRIT COL x 5 Max Vision 889,82 413,11 413,11
TIMOBRIM COL x 5 Atlas 967,11 530,44 530,44
COMBIGAN 0.2/0.5% COL x 5 Allergan-Loa 1.143,70 655,57 655,57
BROMAZEPAM
Comprimidos 3 mg CREOSEDIN 3 mg COM x 20 Rontag 126,98 65,10 65,10
LEXOTANIL 3 mg COM x 20 Investi 182,31 112,23 112,23
ATEMPERATOR 3 mg COM x 30 Teva argentina ( 227,53 124,48 124,48

NEUROZEPAN 3 mg COM x 30 Lafedar 242,81 150,00 150,00
BROMAZEPAM TEMIS 3 mg COM x 50 Temis-Lostalo 62,43 24,97 24,97

CREOSEDIN 3 mg COM x 50 Rontag 239,67 98,69 98,69
OCTANYL 3 mg COM x 50 Bagó 358,65 187,82 187,82
BROMAZEPAM TEMIS 3 mg COM x 60 Temis-Lostalo 108,97 43,59 43,59

6 mg CREOSEDIN 6 mg COM x 20 Rontag 193,29 79,59 79,59

CREOSEDIN 6 mg COM x 50 Rontag 643,10 318,50 318,50

BROMHEXINA
Líquido 200 mg BISOLVON SOL x 40 Sanofi Aventis OTC 249,00 138,19 138,19
BROMPERIDOL
Gotas 2 mg BROMODOL GTS x 30 Janssen-Cilag 157,76 87,56 48,12
BROMPERIDOL DECANOATO
Ampollas 50 mg BROMODOL DECANOATO 1 ML AMP x 1 Janssen-Cilag 165,43 91,81 50,46
BUDESONIDE
Aerosol 0,05 mg RINO B 50 AER x 200 Cassara 465,10 196,26 196,26
NEUMOTEX NASAL 50 mcg AER x 200 Elea - Phoenix 1.207,17 836,46 638,72
0,1 mg RINO B 100 AER x 100 Cassara 465,10 286,62 286,62
SPIROCORT NASAL AQUA 64 mcg AER x 120 Astrazeneca 371,85 148,74 74,37
0,05 mg PULMOLISOFLAM PEDIATRICO AER x 200 Pfizer 245,58 98,23 49,12

PULMOLISOFLAM C/AEROCAMARA INF AER x Pfizer 525,98 210,39 105,20
200
NEUMOTEX BRONQUIAL PEDIATRICO AER x 200 Elea - Phoenix 1.913,57 938,79 383,37
NEUMOTEX BRONQUIAL PED C/AEROC AER x Elea - Phoenix 3.666,33 2.612,67 2.057,25
200
0,2 mg PULMOLISOFLAM ADULTOS AER x 100 Pfizer 245,58 98,23 49,12

PULMOLISOFLAM C/AEROCAMARA AD. AER x Pfizer 515,07 340,41 245,73
100
NEUMOTEX BRONQUIAL 200 mcg AER x 100 Elea - Phoenix 1.412,37 1.197,33 1.102,65
NEUMOTEX BRONQUIAL 200 C/AEROC AER x 100 Elea - Phoenix 2.922,91 2.639,90 2.545,22
Página 17 de 112
A CARGO A CARGO
AFILIADO CRONICO
Aerosol 0,2 mg
NEUMOCORT 200 mcg HFA AER x 200 Cassara 618,65 315,68 315,68
NEUMOCORT 200 mcg HFA + AEROMED AER x Cassara 849,87 546,90 546,90
200
AEROVIAL HFA AER x 200 Atlas 942,85 639,88 450,53
NEUMOTEX BRONQUIAL 200 mcg AER x 200 Elea - Phoenix 1.949,11 1.558,43 1.369,08
0,4 mg NEUMOTEX BRONQUIAL FORTE 400 AER x 100 Elea - Phoenix 2.384,04 1.323,14 727,13
Comprimidos 9 mg CORTIMENT 9 mg COM x 20 Ferring 7.126,70 3.955,32 3.955,32
Inhahaldor con 0,1 mg SPIROCORT TURBUHALER 100 mcg Polvo INH x Astrazeneca 521,69 289,54 159,12
sistemas 200
0,2 mg NEUMOTEX 200 CAPSULAS INH x 60 Elea - Phoenix 1.153,25 906,72 785,08
SPIROCORT TURBUHALER 200 mcg Polvo INH x Astrazeneca 1.425,48 712,56 307,07
200
0,4 mg NEUMOTEX 400 CAPSULAS INH x 60 Elea - Phoenix 1.103,97 831,92 692,93
SPIROCORT TURBUHALER 400 mcg Polvo INH x Astrazeneca 1.747,88 927,98 464,70
200
Líquido 25 mg SPIROCORT P/NEB 0.25 mg MONODS SUS x 10 Astrazeneca 248,67 138,01 75,84
50 mg SPIROCORT P/NEB 0.50 mg MONODS SUS x 10 Astrazeneca 345,10 191,53 105,26
100 mg RINO B NEBU SOL x 20 Medisol 148,00 65,20 65,20

AEROVIAL SOL x 20 Atlas 650,38 380,53 211,88
PROETZONIDE NEBU SOL x 20 Dallas 703,15 401,66 233,01
RINO B NEBU C/DILUYENTE SOL x 20 Cassara 693,53 423,68 423,68
BUDESON NEBU SOL x 20 Takeda 1.036,66 721,08 552,42
NEUMOTEX NEBU SOL x 20 Elea - Phoenix 1.300,35 971,99 803,33
Spray 0,05 mg HYPERSOL B 50 NASAL SPR x 200 Cassara 398,07 244,68 244,68
0,1 mg HYPERSOL B 100 NASAL SPR x 100 Cassara 413,85 254,38 254,38
BUDESONIDE + FORMOTEROL
Aerosol 0,08 mg FREVIA 80/4.5 mcg AER x 120 Astrazeneca 2.761,53 1.532,65 842,27
0,16 mg FREVIA 160/4.5 mcg AER x 120 Astrazeneca 3.487,92 1.937,68 1.066,87
0,2 mg NEUMOCORT PLUS AER x 60 Cassara 612,51 390,29 390,29
NEUMOCORT PLUS /INHAL. AER x 150 Cassara 1.431,91 876,37 876,37
Inhahaldor con 0,08 mg SYMBICORT-M 80/4.5 mcg Polvo INH x 120 Astrazeneca 2.814,79 1.562,21 858,52
sistemas
0,16 mg SYMBICORT TURBUHALER 160/4,5 Polvo INH x Astrazeneca 2.638,19 1.763,21 1.290,55
60
SYMBICORT TURBUHALER 160/4,5 Polvo INH x Astrazeneca 3.555,19 1.882,69 937,36

120
0,2 mg FORMOVENT + BUDE s/Aplic. Cáp. INH x 60 Atlas 753,41 301,36 150,68
FORMOVENT + BUDE c/Aplic. Cáp. INH x 60 Atlas 795,50 318,20 159,10
NEUMOTEROL 200 C/APLIC. CAPS INH x 60 Elea - Phoenix 3.041,84 1.968,01 1.382,42
NEUMOTEROL 200 S/APLIC. CAPS INH x 60 Elea - Phoenix 3.041,84 1.968,01 1.382,42
NEUMOTEROL 200 C/APLIC. CAPS INH x 120 Elea - Phoenix 4.010,30 1.955,94 802,06
NEUMOTEROL 200 S/APLIC. CAPS INH x 120 Elea - Phoenix 4.010,30 1.955,94 802,06
0,32 mg SYMBICORT FORTE TURBOHALER 320/9 Polvo Astrazeneca 3.545,82 1.967,93 1.081,48
INH x 60
0,4 mg NEUMOTEROL 400 C/APLIC. CAPS INH x 60 Elea - Phoenix 3.877,49 2.152,01 1.182,63
CABERGOLINA
Página 18 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 0,5 mg LACTAMAX 0.5 mg COM x 2 Beta 502,93 315,32 315,32

CABERTRIX 0.5 mg COM x 2 Raffo 674,14 478,82 478,82
LACTAMAX 0.5 mg COM x 8 Beta 1.591,66 860,12 860,12

CABERTRIX 0.5 mg COM x 8 Raffo 2.212,79 1.453,29 1.453,29
1 mg CABERPAR 1 mg COM x 10 Rontag 1.059,08 819,47 819,47
CABERTEMIS 1 mg COM x 30 Temis-Lostalo 527,60 211,04 211,04

CABASER 1 mg COM x 30 Pfizer 1.768,92 970,49 970,49
TRIASPAR 1 mg COM x 30 Beta 3.678,97 2.794,59 2.794,59
2 mg CABERTEMIS 2 mg COM x 30 Temis-Lostalo 633,08 253,23 253,23

CABASER 2 mg COM x 30 Pfizer 2.413,65 1.334,35 1.334,35
CABERPAR 2 mg COM x 30 Rontag 3.020,89 2.050,20 2.050,20
TRIASPAR 2 mg COM x 30 Beta 4.953,62 3.760,02 3.760,02
4 mg CABERTEMIS 4 mg COM x 30 Temis-Lostalo 925,57 555,34 555,34
CALCIO CARBONATO
Comprimidos 1250 mg CALCIO BASE DUPOMAR MAST. COM x 30 Investi 405,09 240,00 240,00
CALCIONAL NARANJA COM x 30 Spedrog Caillon 405,00 240,05 240,05
CALCIONAL MAST. NARANJA COM x 60 Spedrog Caillon 699,08 374,14 374,14

CALCIO BASE DUPOMAR MAST. COM x 60 Investi 699,46 374,27 374,27
2500 mg CALCIO BASE DUPOMAR FTE 1g MAST. COM x Investi 208,72 115,84 115,84
60
CALCIO CITRATO
Comprimidos 950 mg CALCIMAX COM x 60 Gador 431,22 239,33 239,33
1905 mg CALCIMAX FORTE COM x 30 Gador 308,48 171,21 171,21
2375 mg CALCIONAL CITRATO NARANJA MAST COM x 30 Spedrog Caillon 350,90 203,35 203,35
CALCIONAL CITRATO NARANJA MAST COM x 60 Spedrog Caillon 679,73 385,70 385,70
CALCIO LACTATO
GLUCONATO + CALCIO
CARBONATO
Comprimidos 1132 mg CALCIUM SANDOZ 1000 mg EFERV. COM x 30 Sandoz 852,36 494,44 494,44
CALCIPOTRIOL
Ungüento 0,05 mg CUTANIT UNG x 30 Lazar 962,97 519,42 519,42
DAIVONEX UNG x 30 Andromaco 1.327,00 867,07 867,07
CALCITONINA
Ampollas 50 ui CALCITONINA SANDOZ MINOR 1 CC AMP x 5 Novartis 540,64 300,06 300,06
100 ui CALCITONINA SANDOZ 100 UI 1 ML AMP x 5 Novartis 1.217,38 675,65 675,65
CANDESARTAN CILEXETIL
Comprimidos 8 mg DACTEN 8 mg COM x 15 Elea - Phoenix 1.213,12 741,68 741,68
ATACAND 8 mg DIVIS. COM x 28 Astrazeneca 1.894,30 1.030,94 1.030,94
RONAR 8 mg COM x 30 Roux Ocefa 679,82 271,93 271,93

TIADYL 8 mg COM x 30 Abbott Epd 1.420,20 568,08 568,08
DACTEN 8 mg COM x 30 Elea - Phoenix 2.160,12 1.229,21 1.229,21
16 mg DACTEN 16 mg COM x 15 Elea - Phoenix 1.852,51 1.175,67 1.175,67
Página 19 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 16 mg
RONAR 16 mg COM x 30 Roux Ocefa 993,45 397,38 397,38
TIADYL 16 mg COM x 30 Abbott Epd 2.468,79 1.170,74 1.170,74
DACTEN 16 mg COM x 30 Elea - Phoenix 3.064,34 1.739,49 1.739,49
32 mg ATACAND 32 mg DIVIS. COM x 28 Astrazeneca 4.028,87 2.236,02 2.236,02
CARBAMAZEPINA
Comprimidos 200 mg TEGRETOL 200 mg COM x 30 Novartis 403,82 161,53 80,76
CONFORMAL 200 mg COM x 30 Teva argentina ( 463,33 213,83 92,67
CARBAMAT 200 mg COM x 30 Rontag 567,79 339,14 196,23
ACTINERVAL 200 mg COM x 30 Bagó 642,14 384,59 241,68
CARBAMAT 200 mg COM x 60 Rontag 1.001,20 543,90 258,08

CONFORMAL 200 mg COM x 60 Teva argentina ( 1.128,34 620,26 334,45
TEGRETOL 200 mg COM x 60 Novartis 1.191,60 681,47 395,65
ACTINERVAL 200 mg COM x 60 Bagó 1.228,94 716,33 430,52
400 mg CONFORMAL 400 mg AP COM x 30 Teva argentina ( 1.007,11 402,84 201,42

TEGRETOL LC 400 mg COM x 30 Novartis 1.678,12 1.035,34 680,11
TEGRETOL LC 400 mg COM x 60 Novartis 2.823,78 1.561,84 851,37
Líquido 2000 mg TEGRETOL JBE x 100 Novartis 305,46 171,54 96,30
CARBINOXAMINA
Comprimidos 4 mg OMEGA 100 COM x 20 Omega 542,44 352,41 352,41
OMEGA 100 COM x 50 Omega 908,24 453,32 453,32
Gotas 80 mg OMEGA 100 GTS x 20 Omega 841,33 466,94 466,94
Líquido 80 mg OMEGA 100 JBE x 120 Omega 649,83 360,66 360,66
CARBINOXAMINA + AMONIO
CLORURO
Líquido 50 mg OMEGA 100 EXPECTORANTE JBE x 120 Omega 672,78 373,39 373,39
CARTEOLOL CLORHIDRATO
Colirio 2000 mg GLAUTEOLOL 2% COL x 5 Max Vision 617,14 330,11 330,11
POENGLAUCOL 2% COL x 5 Poen 684,68 394,61 394,61
CARTENS 2% LIB.PROL. COL x 3 Atlas 488,96 293,38 293,38
CARVEDILOL
Comprimidos 3,125 mg CORITENSIL 3.125 mg COM x 28 Roux Ocefa 106,43 42,57 21,29
CORAFEN 3.125 mg COM x 28 Bernabo 228,05 128,72 73,05
BIDECAR 3.125 mg COM x 28 Baliarda 235,74 136,06 80,40
DILATREND 3.125 mg COM x 28 Nova Argentia 239,77 139,91 84,24
FILTEN 3.125 mg COM x 28 Gador 239,81 139,95 84,28
CARVEDIL 3.125 mg COM x 28 Bagó 244,28 144,22 88,55
CARVIPAW 3.125 mg COM x 30 Rospaw 93,40 37,36 37,36

VERATEN 3.125 mg COM x 30 Elea - Phoenix 297,33 188,52 128,87

Página 20 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 6,25 mg CORITENSIL 6.25 mg RANURADO COM x 28 Roux Ocefa 205,33 82,13 41,07
VEDILEP 6.25 mg COM x 28 Lepetit 209,42 88,36 48,01
CORUBIN 6.25 COM x 28 Lazar 317,78 144,56 63,56
DUOBLOC 6.25 mg COM x 28 Sidus 356,95 181,96 82,64
VICARDOL 6.25 mg COM x 28 Richmond 368,61 193,58 94,25

RODIPAL 6.25 mg COM x 30 Eurofarma 392,00 204,08 97,66
ANTIBLOC 6.25 mg COM x 30 Craveri 412,98 224,12 117,70
ISOBLOC 6.25 mg COM x 30 Casasco 444,68 254,39 147,97
CARTIATO 6.25 mg COM x 30 Savant Vitarum 484,01 293,98 187,56


10 mg BIDECAR CR 10 mg Lib. CAP x 28 Baliarda 516,40 272,60 134,75

CARVEDIL RETARD 10 mg CAP x 28 Bagó 567,18 321,09 183,24
DILATREND AP 10 mg CAP x 30 Nova Argentia 517,76 258,14 110,44

FILTEN LP 10 mg CAP x 30 Gador 601,28 337,90 190,20
VERATEN UD 10 mg LIB. EXT. CAP x 30 Elea - Phoenix 650,47 384,88 237,18
12,5 mg CORITENSIL 12.5 mg COM x 28 Roux Ocefa 246,18 98,47 49,24

VEDILEP 12.5 mg COM x 28 Lepetit 238,64 100,69 54,71
CORUBIN 12.5 COM x 28 Lazar 402,52 185,91 80,50
DUOBLOC 12.5 mg COM x 28 Sidus 442,86 224,44 100,38
VICARDOL 12.50 mg COM x 28 Richmond 497,35 277,13 153,07

ANTIBLOC 12.5 mg COM x 30 Craveri 523,70 287,46 154,53
CARTIATO 12.5 mg COM x 30 Savant Vitarum 637,00 398,75 265,82

Página 21 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 12,5 mg FILTEN 12.5 mg COM x 56 Gador 932,22 493,27 245,15

20 mg BIDECAR CR 20 mg Lib. CAP x 28 Baliarda 852,50 462,95 243,46

CARVEDIL RETARD 20 mg CAP x 28 Bagó 905,17 513,25 293,76
DILATREND AP 20 mg CAP x 30 Nova Argentia 856,41 441,60 206,44

ISOBLOC CR 20 mg CAP x 30 Casasco 879,74 463,88 228,72
FILTEN LP 20 mg CAP x 30 Gador 951,18 532,11 296,94
VERATEN UD 20 mg LIB.EXT. CAP x 30 Elea - Phoenix 1.029,66 607,06 371,89
25 mg CORITENSIL 25 mg COM x 28 Roux Ocefa 318,20 127,28 63,64

VEDILEP MULTIDOSIS 25 mg Trirran. COM x 28 Lepetit 345,79 145,91 79,29
CORUBIN 25 COM x 28 Lazar 510,37 240,16 102,07
DUOBLOC 25 mg COM x 28 Sidus 530,30 259,19 106,06
VICARDOL 25 mg COM x 28 Richmond 599,75 290,69 146,85
CORAFEN 25 mg COM x 28 Bernabo 599,21 325,00 170,47
VERATEN 25 mg COM x 28 Elea - Phoenix 606,75 332,20 177,67
BIDECAR 25 mg COM x 28 Baliarda 633,95 358,17 203,64
DILATREND 25 mg COM x 28 Nova Argentia 656,17 379,39 224,86
FILTEN 25 mg COM x 28 Gador 672,76 395,24 240,71
CARVEDIL 25 mg COM x 28 Bagó 685,47 407,38 252,85
RODIPAL 25 mg COM x 30 Eurofarma 590,61 299,12 133,56

CARVIPAW 25 mg COM x 30 Rospaw 578,00 313,09 313,09
ANTIBLOC 25 mg COM x 30 Craveri 642,93 349,09 183,52
ISOBLOC 25 mg COM x 30 Casasco 669,41 374,38 208,81
CARTIATO 25 mg COM x 30 Savant Vitarum 713,87 420,55 254,98
VERATEN 25 mg COM x 30 Elea - Phoenix 865,06 561,22 395,66

DILATREND 25 mg COM x 56 Nova Argentia 1.062,34 520,04 212,47
CARVEDIL 25 mg COM x 56 Bagó 1.107,43 563,10 254,04
FILTEN 25 mg COM x 56 Gador 1.240,73 690,40 381,34
RODIPAL 25 mg COM x 60 Eurofarma 883,31 353,32 176,66

ISOBLOC 25 mg COM x 60 Casasco 1.013,77 438,33 202,75
40 mg BIDECAR CR 40 mg Lib. CAP x 28 Baliarda 1.052,27 568,82 296,26

CARVEDIL RETARD 40 mg CAP x 28 Bagó 1.137,55 650,26 377,70
DILATREND AP 40 mg CAP x 30 Nova Argentia 1.078,22 562,45 270,42

ISOBLOC CR 40 mg CAP x 30 Casasco 1.102,19 585,34 293,31
FILTEN LP 40 mg CAP x 30 Gador 1.190,55 669,73 377,70
50 mg CORITENSIL 50 mg COM x 28 Roux Ocefa 375,18 150,07 75,04

CORAFEN 50 mg COM x 28 Bernabo 753,26 351,19 150,65
CARVEDIL 50 mg COM x 28 Bagó 944,50 533,83 303,72
80 mg BIDECAR CR 80 mg Lib. CAP x 28 Baliarda 1.337,04 736,57 398,88
Página 22 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 80 mg CARVEDIL RETARD 80 mg CAP x 28 Bagó 1.413,46 809,55 471,86
DILATREND AP 80 mg CAP x 30 Nova Argentia 1.306,46 668,77 306,96

FILTEN LP 80 mg CAP x 30 Gador 1.457,74 813,24 451,43
CARVEDILOL +
HIDROCLOROTIAZIDA
Comprimidos 25 mg CORITENSIL D 25/12.5 mg COM x 28 Roux Ocefa 327,88 131,15 65,58
FILTEN D 25/12.5 mg COM x 28 Gador 758,51 428,83 244,11
CARVEDIL D 25/12.5 mg COM x 28 Bagó 768,58 438,44 253,72
DILATREND D 25/12.5 mg COM x 28 Nova Argentia 769,28 439,11 254,39
ISOBLOC D COM x 30 Casasco 747,93 397,61 199,69

FILTEN D COM x 30 Gador 760,14 409,27 211,35
CEFADROXILO
Comprimidos 500 mg CEFACAR 500 mg COM x 8 Nova Argentia 385,75 222,83 222,83
CEFACILINA 500 mg COM x 8 Montpellier 388,73 225,67 225,67
CEFAMAR 500 mg COM x 14 Mar 351,00 140,40 140,40
CEFACAR 500 mg COM x 16 Nova Argentia 749,60 424,74 424,74

CEFACILINA 500 mg COM x 16 Montpellier 756,70 431,52 431,52
1000 mg CEFACILINA 1000 mg COM x 8 Montpellier 620,60 347,13 347,13

CEFACAR 1000 mg COM x 8 Nova Argentia 622,79 349,22 349,22
CEFACAR 1000 mg COM x 16 Nova Argentia 1.223,87 677,71 677,71
Líquido 250 mg CEFACAR 250 mg SUS x 60 Nova Argentia 264,65 149,86 149,86
CEFAMAR 250 MG/5 ML SUS x 70 Mar 248,00 116,82 116,82
CEFACAR 250 mg SUS x 90 Nova Argentia 384,60 212,98 212,98
500 mg CEFACAR 500 mg SUS x 60 Nova Argentia 391,94 165,85 165,85
CEFAMAR 500 MG/5 ML SUS x 70 Mar 375,00 150,00 150,00
CEFACAR 500 mg SUS x 90 Nova Argentia 886,53 533,96 533,96
CEFALEXINA
Comprimidos 500 mg CEFALEXINA FECOFAR 500 mg COM x 8 Fecofar 205,34 116,38 116,38
CEFALEXINA RICHET 500 mg COM x 8 Richet 218,16 138,35 138,35
KEFORAL 500 mg COM x 8 Teva argentina ( 229,92 139,77 139,77
CEPOREXIN 500 mg COM x 8 Investi 236,64 146,18 146,18
SEPTILISIN 500 mg COM x 8 Bagó 244,93 154,10 154,10
CEFALEXINA ARGENTIA 500 mg COM x 8 Nova Argentia 246,32 155,43 155,43
CEFALEXINA FECOFAR 500 mg COM x 16 Fecofar 388,20 211,28 211,28

CEPOREXIN 500 mg COM x 16 Investi 409,71 231,65 231,65
SEPTILISIN 500 mg COM x 16 Bagó 412,53 234,35 234,35

1000 mg KEFORAL 1000 mg COM x 8 Teva argentina ( 379,60 191,31 191,31

Página 23 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 1000 mg CEPOREXIN DUO 1 g COM x 14 Investi 759,23 425,45 425,45

CEFALEXINA ARGENTIA DUO 1 g COM x 14 Nova Argentia 769,64 435,39 435,39
SEPTILISIN DUO 1000 mg COM x 14 Bagó 775,13 440,64 440,64

CEPOREXIN DUO 1 g COM x 16 Investi 825,98 446,40 446,40
CEFALEXINA ARGENTIA DUO 1 g COM x 16 Nova Argentia 837,74 457,63 457,63
Líquido 250 mg CEPOREXIN 250 mg JBE x 90 Investi 251,74 140,26 140,26 INF
CEFALEXINA RICHET 250 mg 18 dosis JBE x 90 Richet 241,41 141,26 141,26 INF
CEFALEXINA ARGENTIA 250 mg SUS x 90 Nova Argentia 256,09 144,41 144,41 INF
CEFALEXINA RICHET 250 mg 24 dosis JBE x 120 Richet 269,91 136,37 136,37 INF
CEFALEXINA ARGENTIA 250 mg SUS x 120 Nova Argentia 285,67 139,28 139,28 INF
500 mg CEFALEXINA FECOFAR 500 mg SUS x 60 Fecofar 313,86 190,32 190,32

KEFORAL 500 mg JBE x 60 Teva argentina ( 380,71 254,02 254,02
CEFALEXINA RICHET 500 mg 12 dosis SUS x 60 Richet 375,74 266,18 266,18
SEPTILISIN 500 mg SUS x 60 Bagó 405,11 277,32 277,32
CEPOREXIN 500 mg SUS x 90 Investi 411,26 228,41 228,41

CEFALEXINA ARGENTIA 500 mg SUS x 90 Nova Argentia 414,80 231,79 231,79
CEFALEXINA FECOFAR 500 mg SUS x 90 Fecofar 427,13 243,76 243,76
SEPTILISIN 500 mg SUS x 90 Bagó 429,36 245,70 245,70
KEFORAL 500 mg JBE x 100 Teva argentina ( 629,89 418,94 418,94
CEPOREXIN 500 mg SUS x 120 Investi 149,64 59,86 59,86

CEFALEXINA ARGENTIA 500 mg SUS x 120 Nova Argentia 521,46 278,87 278,87
CEFALEXINA RICHET 500 mg 24 dosis SUS x 120 Richet 498,37 279,25 279,25
750 mg CEPOREXIN DUO 750 mg PED. SUS x 90 Investi 465,17 256,15 256,15
CEFALEXINA ARGENTIA DUO 750 mg SUS x 90 Nova Argentia 473,79 264,38 264,38
CEFAZOLINA
Ampollas 1000 mg CEFALOMICINA 1000 mg F.A x 1 Bagó 456,15 253,16 253,16
CEFIXIMA
Comprimidos 400 mg VIXCEF 400 mg COM x 6 Bagó 1.658,56 993,38 993,38
NOVACEF COM x 8 Gador 1.896,26 1.023,54 1.023,54
VIXCEF 400 mg COM x 12 Bagó 2.784,96 1.478,56 1.478,56
Líquido 100 mg VIXCEF SUS x 30 Bagó 702,58 396,27 396,27
VIXCEF SUS x 60 Bagó 1.357,30 746,83 746,83
CEFTRIAXONA
Ampollas 500 mg ACANTEX 500 mg IM F.A x 1 Investi 418,42 232,22 232,22
1000 mg CEFTRIAZONA DUNCAN 1000 mg IM F.A x 1 Duncan 701,53 373,08 373,08

CEFTRIAXONA FABRA 1000 mg F.A x 1 Fabra 796,33 432,05 432,05
CEFTRIAXONA RICHET IM 1000 mg AMP x 1 Richet 766,66 438,21 438,21
ACANTEX 1 g IM F.A x 1 Investi 831,47 465,61 465,61
ACANTEX 1 g IM F.A x 3 Investi 3.664,73 2.514,47 2.514,47
CEFUROXIMA
Comprimidos 250 mg CEFUROX 250 mg COM x 14 Elea - Phoenix 497,35 276,03 276,03
Página 24 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 500 mg CEFUROX 500 mg COM x 8 Elea - Phoenix 515,79 206,32 206,32
CEFUROX 500 mg COM x 14 Elea - Phoenix 796,42 318,57 318,57
Líquido 250 mg CEFUROX 250 mg SABOR MEJORADO SUS x 50 Elea - Phoenix 606,88 353,95 353,95
CELECOXIB
Comprimidos 200 mg CELEBREX 200 mg COM x 20 Pfizer 858,97 476,73 476,73
CETIRIZINA
Comprimidos 10 mg CETRILER COM x 10 Roux Ocefa 172,34 68,94 68,94
STOPALER COM x 10 Raymos 212,51 88,45 88,45
DEXALERGIN NOVO CB 10 mg CAP x 10 Teva argentina ( 279,97 152,87 152,87
CETIZINE 10 mg COM x 10 Lazar 310,08 181,63 181,63
CABAL COM x 10 Dallas 318,13 189,31 189,31
ZYRTEC 10 mg COM x 10 GlaxoSmithKline 446,01 311,44 311,44
SALVALERG 10 mg COM x 10 GlaxoSmithKline 448,27 313,60 313,60
STOPALER COM x 20 Raymos 382,51 153,00 153,00

ATOPIX COM x 20 Cassara 413,39 184,39 184,39
CETIZINE 10 mg COM x 20 Lazar 534,45 281,40 281,40
CETRILER COM x 30 Roux Ocefa 428,93 171,57 171,57

DEXALERGIN NOVO CB 10 mg CAP x 30 Teva argentina ( 719,91 344,02 344,02
CABAL COM x 30 Dallas 831,86 450,93 450,93
ZYRTEC 10 mg COM x 30 GlaxoSmithKline 1.178,01 781,50 781,50
SALVALERG 10 mg COM x 30 GlaxoSmithKline 1.184,67 787,86 787,86
Gotas 1000 mg CETRILER GTS x 10 Roux Ocefa 162,34 84,06 84,06

CETIZINE GTS x 10 Lazar 291,78 200,37 200,37
CABAL GTS x 10 Dallas 300,12 208,33 208,33
ATOPIX GTS x 20 Cassara 315,79 159,23 159,23
CICLOPENTOLATO
Colirio 1000 mg CICLOPENTOLATO POEN 1% COL x 5 Poen 417,76 231,86 231,86
CILOSTAZOL
Comprimidos 50 mg TROMBONOT 50 mg COM x 28 Richmond 571,18 272,83 272,83
CIBROGAN 50 mg COM x 30 Savant Consumer 301,84 120,74 120,74

CILAAL 50 mg COM x 30 Craveri 664,15 341,34 341,34
TRASTOCIR 50 mg COM x 30 Teva argentina ( 702,96 378,40 378,40
CILOVAS 50 mg COM x 30 Baliarda 716,91 391,73 391,73
ZOLPLAT 50 mg COM x 30 Raffo 730,53 404,73 404,73
POLICOR 50 mg COM x 30 Gador 734,64 408,66 408,66
ACLUSIN 50 mg COM x 30 Casasco 767,89 440,41 440,41
LICUAGEN 50 mg COM x 30 Elea - Phoenix 807,14 477,89 477,89
CILOSTAL 50 mg COM x 30 Elea - Phoenix 917,39 583,18 583,18
CILAAL 50 mg COM x 60 Craveri 1.101,46 466,05 466,05

TRASTOCIR 50 mg COM x 60 Teva argentina ( 1.285,76 642,06 642,06
100 mg TROMBONOT 100 mg COM x 28 Richmond 1.049,75 514,14 514,14
CIBROGAN 100 mg COM x 30 Savant Consumer 598,42 239,37 239,37

ZOLPLAT 100 mg COM x 30 Raffo 1.301,21 717,92 717,92
CILOVAS 100 mg COM x 30 Baliarda 1.354,02 768,36 768,36
Página 25 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 100 mg POLICOR 100 mg COM x 30 Gador 1.385,97 798,87 798,87

ACLUSIN 100 mg COM x 30 Casasco 1.395,93 808,38 808,38
LICUAGEN 100 mg COM x 30 Elea - Phoenix 1.500,62 908,36 908,36
CILOSTAL 100 mg COM x 30 Elea - Phoenix 1.712,72 1.110,92 1.110,92

ACLUSIN 100 mg COM x 60 Casasco 2.371,49 1.215,30 1.215,30
CILOSTAL 100 mg COM x 60 Elea - Phoenix 3.154,84 1.963,40 1.963,40
200 mg VASATIV XR 200 mg COM x 30 Eurofarma 2.299,56 1.379,74 1.379,74
CINCOCAINA CLOROHIDRATO
+ EXTRACTO SECO DE BEXA
OELLANA
Pomada 1000 mg PROCTYL PDA x 10 Takeda 277,10 182,73 182,73
PROCTYL PDA x 30 Takeda 594,79 322,10 322,10
CIPROFIBRATO
Comprimidos 100 mg FIXERIL 100 mg COM x 30 Lazar 1.141,11 574,95 574,95
ESTAPROL 100 mg CAP x 30 Sanofi Aventis 1.938,23 1.339,56 1.339,56
FIXERIL 100 mg COM x 60 Lazar 2.073,26 950,35 950,35

ESTAPROL 100 mg CAP x 60 Sanofi Aventis 3.747,03 2.555,28 2.555,28
CIPROFLOXACINA
Colirio 300 mg CIFLOXIN COL x 5 Novoplos 339,45 192,01 192,01
FLORAXINA COL x 5 Spedrog Caillon 340,86 193,23 193,23
CIPROFLOXACINA DORF COL x 5 Pharmadorf 375,81 226,50 226,50
Comprimidos 250 mg CIPROFLOXACINA LAZAR 250 mg COM x 10 Lazar 288,89 160,33 160,33
500 mg REXNER 500 mg COM x 6 Casasco 381,76 227,71 227,71
CIPROFLOXACINA RICHET 500 mg COM x 10 Richet 574,19 289,04 289,04

CIPROTENK 500 mg COM x 10 Biotenk 573,30 319,38 319,38
CIPROFLOXACINA LAZAR 500 mg COM x 10 Lazar 579,44 325,25 325,25
MICROSULF 500 mg COM x 10 Microsules Argentina 611,38 326,23 326,23
CIRIAX 500 mg COM x 10 Roemmers 590,13 335,45 335,45
BIOTIC PHARMA 500 mg COM x 10 Trb-Pharma 592,00 338,00 338,00
MEDAFLOX 500 mg COM x 10 Eurolab 605,00 349,65 349,65
ARGEFLOX 500 mg COM x 10 Nova Argentia 612,44 356,76 356,76
EXERTIAL 500 COM x 10 Baliarda 612,48 356,80 356,80
SEPTOCORT 500 mg COM x 10 Fecofar 631,54 375,00 375,00
REXNER 500 mg COM x 10 Casasco 632,60 376,01 376,01
SELKET 500 mg COM x 10 Finadiet 643,82 386,73 386,73
SEPTICIDE 500 mg COM x 10 Bagó 686,84 427,81 427,81
CIPRO (EX BAYTERIN) 500 mg COM x 10 Bayer (PH) 799,67 535,56 535,56
ATIBAX 500 mg COM x 10 Savant Vitarum 831,48 571,82 571,82
EXERTIAL 500 COM x 14 Baliarda 841,77 484,53 484,53

SELKET 500 mg COM x 14 Finadiet 865,24 506,94 506,94
CIPROFLOXACINA LAZAR 500 mg COM x 20 Lazar 1.068,89 564,55 564,55

CIRIAX 500 mg COM x 20 Roemmers 1.085,68 580,59 580,59
MEDAFLOX 500 mg COM x 20 Eurolab 1.120,00 613,36 613,36
ARGEFLOX 500 mg COM x 20 Nova Argentia 1.133,95 626,69 626,69
REXNER 500 mg COM x 20 Casasco 1.161,90 653,38 653,38
Página 26 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 500 mg SELKET 500 mg COM x 20 Finadiet 1.184,01 674,49 674,49
REXNER XR 500 mg COM x 5 Casasco 481,33 267,14 267,14
750 mg CIPROFLOXACINA LAZAR 750 mg COM x 10 Lazar 948,52 526,43 526,43
1000 mg CIPRO XR 1000 mg COM x 7 Bayer (PH) 768,15 372,44 372,44

REXNER XR 1000 mg COM x 7 Casasco 905,30 503,41 503,41
Líquido 5000 mg CIPRO 50 MG/ML SUS x 100 Bayer (PH) 2.403,60 1.334,00 1.334,00
CIPROFLOXACINA +
DEXAMETASONA
Colirio 300 mg QUIDEX COL x 5 Poen 434,74 225,97 225,97
PROCALM COL x 5 Atlas 437,85 228,94 228,94
CIPROFLOXACINA D DORF COL x 5 Pharmadorf 546,55 333,47 333,47
FOTAMICIN SUSP. COL x 5 Elea - Phoenix 572,88 357,90 357,90
DECADRON C/CIPROFLOXACINA COL x 5 Sidus 625,16 407,82 407,82
Gotas 300 mg OTOSPORIN DEXA OTICO GTS x 5 Investi 267,79 148,62 148,62
Ungüento 300 mg QUIDEX OFT. UNG x 3,5 Poen 502,86 268,41 268,41
FOTAMICIN OFT. UNG x 3,5 Elea - Phoenix 651,31 410,18 410,18
CITALOPRAM
Comprimidos 20 mg SEROPRAM 20 mg COM x 14 Lundbeck 311,22 124,49 124,49
CITTA 20 mg COM x 14 Eurofarma 367,10 146,84 146,84
PSICONOR 20 mg COM x 15 Teva argentina ( 607,40 355,95 355,95
SEROPRAM 20 mg COM x 28 Lundbeck 1.047,89 583,77 583,77

CITTA 20 mg COM x 28 Eurofarma 1.076,69 609,90 609,90
HUMORAP 20 mg COM x 28 Bagó 1.127,56 658,48 658,48
ZENTIUS COM x 30 Roemmers 1.071,75 575,30 575,30

PSICONOR 20 mg COM x 30 Teva argentina ( 1.215,00 654,72 654,72
40 mg HUMORAP 40 mg COM x 28 Bagó 2.009,16 1.115,08 1.115,08
CLARITROMICINA
Comprimidos 250 mg ISET 250 mg COM x 16 Casasco 665,45 371,22 371,22
500 mg CLAROVIL 500 mg COM x 8 Beta 528,36 304,51 304,51

CLARITROMICINA RICHET 500 mg COM x 8 Richet 540,04 339,96 339,96
CORIXA 500 mg COM x 8 Biotenk 578,40 352,30 352,30
CLARIMAX 500 mg COM x 8 Montpellier 584,34 357,97 357,97
KLARICID 500 mg COM x 8 Abbott Epd 668,39 438,24 438,24
TUCLARIT 500 mg COM x 14 Mar 541,00 216,40 216,40
CLARITROM 500 mg COM x 16 Trb-Pharma 883,00 444,28 444,28

CLARITROMICINA RICHET 500 mg COM x 16 Richet 924,81 524,65 524,65
CORIXA 500 mg COM x 16 Biotenk 974,70 530,68 530,68
CLARIMAX 500 mg COM x 16 Montpellier 975,22 531,18 531,18
CLAROVIL 500 mg COM x 16 Beta 983,22 538,82 538,82
ISET 500 mg COM x 16 Casasco 1.024,86 578,59 578,59
CLARIBIOTIC 500 mg COM x 16 Baliarda 1.026,60 580,25 580,25
QUOTAL 500 mg COM x 16 Nova Argentia 1.029,15 582,68 582,68
KLARICID 500 mg COM x 16 Abbott Epd 1.103,21 653,41 653,41
AEROXINA 500 mg COM x 16 Elea - Phoenix 1.169,91 717,11 717,11
CLASID 500 mg COM x 16 Sidus 1.376,34 914,25 914,25
Página 27 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 500 mg TUCLARIT 500 mg COM x 20 Mar 735,00 294,00 294,00
CORIXA UD 500 mg COM x 4 Biotenk 258,80 131,21 131,21

CLARIMAX UD 500 mg COM x 4 Montpellier 279,63 151,11 151,11
CLARIBIOTIC UD 500 mg COM x 4 Baliarda 293,70 164,54 164,54
QUOTAL UD COM x 4 Nova Argentia 295,32 166,09 166,09
ISET UD 500 mg COM x 4 Casasco 295,33 166,10 166,10
CLAROVIL UD 500 mg LIB.PROL. COM x 4 Beta 310,60 180,68 180,68
KLARICID UD COM x 5 Abbott Epd 403,15 240,08 240,08

AEROXINA UD 500 mg COM x 5 Elea - Phoenix 421,79 257,89 257,89
CORIXA UD 500 mg COM x 8 Biotenk 517,90 262,72 262,72

CLARIMAX UD 500 mg COM x 8 Montpellier 548,18 291,64 291,64
CLAROVIL UD 500 mg LIB.PROL. COM x 8 Beta 570,81 313,25 313,25
QUOTAL UD COM x 8 Nova Argentia 577,14 319,29 319,29
ISET UD 500 mg COM x 8 Casasco 579,00 321,07 321,07
CLARIBIOTIC UD 500 mg COM x 8 Baliarda 579,30 321,36 321,36
KLARICID UD COM x 8 Abbott Epd 644,98 384,08 384,08
1000 mg CLARIMAX UD 1000 mg COM x 7 Montpellier 721,57 433,08 433,08
CLARIMAX UD 1000 mg COM x 14 Montpellier 1.440,15 863,17 863,17
Líquido 125 mg TUCLARIT 125 mg SUS x 60 Mar 364,00 179,40 179,40

CORIXA 125 mg SUS x 60 Biotenk 398,50 212,35 212,35 INF
CLARIMAX 125 mg SUS x 60 Montpellier 408,43 221,83 221,83 INF
ISET 125 mg/5 ml JBE x 60 Casasco 433,01 245,31 245,31 INF
CLARIBIOTIC 125 MG/5 ML SUS x 60 Baliarda 436,18 248,34 248,34 INF
KLARICID PEDIATRICO 125 mg JBE x 60 Abbott Epd 534,75 342,47 342,47 INF
QUOTAL 125 MG/5 ML SUS x 70 Nova Argentia 452,11 235,51 235,51
250 mg TUCLARIT 250 mg SUS x 60 Mar 625,00 279,57 279,57

CORIXA 250 mg SUS x 60 Biotenk 780,60 428,17 428,17 INF
CLARIMAX 250 mg SUS x 60 Montpellier 790,42 437,55 437,55 INF
CLARITROMICINA RICHET 250/5ML SUS x 60 Richet 759,99 442,69 442,69 INF
ISET 250 mg/5 ml JBE x 60 Casasco 833,19 478,40 478,40 INF
KLARICID PEDIATRICO FORTE JBE x 60 Abbott Epd 839,83 484,74 484,74 INF
CLARIBIOTIC 250 MG/5 ML SUS x 60 Baliarda 843,77 488,50 488,50 INF
AEROXINA 250 mg SUS x 60 Elea - Phoenix 985,73 624,07 624,07 INF
QUOTAL 250 MG/5 ML SUS x 70 Nova Argentia 865,61 456,47 456,47 INF
TUCLARIT 250 mg SUS x 100 Mar 835,00 334,00 334,00

ISET 250 mg/5 ml JBE x 100 Casasco 1.444,11 850,29 850,29
Sobres 125 mg QUOTAL MD 125 mg SOB x 14 Nova Argentia 80,08 44,44 44,44
250 mg QUOTAL MD 250 mg SOB x 14 Nova Argentia 152,60 84,69 84,69
CLEMBUTEROL
Comprimidos 0,02 mg OXIBRON COM x 20 Montpellier 206,17 90,90 90,90
BRONQ C COM x 30 Bernabo 411,47 233,96 233,96
Líquido 0,05 mg BRONQ C JBE x 100 Bernabo 554,21 307,59 307,59
CLINDAMICINA
Página 28 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 300 mg DALACIN C 300 mg CAP x 16 Pfizer 580,83 321,06 321,06

RESBIOTIC 300 mg CAP x 16 Casasco 605,83 344,94 344,94
RESBIOTIC 300 mg CAP x 24 Casasco 907,62 516,33 516,33
Gel 1000 mg CLIDAN DERMICO GEL x 15 Cassara 274,03 166,48 166,48
CLINDACIN GEL x 50 Panalab 935,00 576,49 576,49
Líquido 1000 mg CLINDACIN SOL x 50 Panalab 935,00 575,40 575,40
Loción 1000 mg CLINTOPIC LOC x 30 Investi 109,35 60,69 60,69
Óvulos 100 mg TORGYN 100 mg OVU x 3 Raffo 487,28 336,02 336,02
TORGYN 100 mg OVU x 7 Raffo 662,95 331,34 331,34
CLOBAZAM
Comprimidos 10 mg KARIDIUM 10 mg COM x 60 Sanofi Aventis 699,87 400,41 400,41
20 mg KARIDIUM 20 mg COM x 60 Sanofi Aventis 1.183,52 677,11 677,11
CLOBETASOL
Crema 50 mg DERMADEX CRE x 15 GlaxoSmithKline 492,26 323,10 323,10
CLOBEPLUS CRE x 20 Raymos 226,30 90,52 90,52

CLOBEFAR CREMA CRE x 20 Hlb Pharma 381,29 185,28 185,28
CLOBESOL CRE x 20 Investi 416,27 201,53 201,53
SALAC CRE x 20 Andromaco 601,00 377,95 377,95
SALVICUTAN CRE x 30 Lazar 520,00 208,00 208,00

PERFRACORT 0.05% CRE x 30 Fortbenton 493,25 208,69 208,69
SALAC CRE x 30 Andromaco 822,00 491,00 491,00
DERMADEX CRE x 30 GlaxoSmithKline 965,40 627,95 627,95
Loción 50 mg CLOBESOL LOC x 30 Investi 368,80 147,52 147,52

DERMADEX CAPILAR LOC x 30 GlaxoSmithKline 763,08 500,93 500,93
SALAC LOC x 40 Andromaco 710,00 374,30 374,30
Shampoo 50 mg SALAC SHA x 140 Andromaco 1.815,00 1.069,36 1.069,36
Ungüento 50 mg CLOBESOL UNG x 15 Investi 304,64 158,53 158,53

DERMADEX UNG x 15 GlaxoSmithKline 466,54 313,14 313,14
CLOBEFAR UNGÜENTO UNG x 20 Hlb Pharma 381,29 204,75 204,75

SALAC UNG x 20 Andromaco 537,00 336,29 336,29
PERFRACORT 0.05% UNG x 30 Fortbenton 516,62 229,46 229,46

DERMADEX UNG x 30 GlaxoSmithKline 885,62 580,96 580,96
CLOMIFENO
Comprimidos 50 mg GENOZYM COM x 20 Investi 1.023,91 569,37 569,37
GENOZYM COM x 60 Investi 1.930,98 772,39 772,39
CLOMIPRAMINA
Comprimidos 25 mg ANAFRANIL GRA x 30 Sandoz 561,41 318,69 318,69
75 mg ANAFRANIL 75 mg DIVITABS COM x 20 Sandoz 1.187,68 674,21 674,21
CLONAZEPAM
Comprimidos 0,25 mg RIVOTRIL 0.25 mg COM x 30 Investi 90,46 36,18 36,18
INDUZEPAM 0.25 mg COM x 30 Finadiet 186,29 125,32 125,32
Página 29 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 0,25 mg NEURYL 0.25 mg COM x 50 Bagó 245,38 146,69 146,69
CLONAGIN 0.25 mg COM x 60 Baliarda 254,69 138,05 138,05
0,5 mg NEURYL 0.5 mg COM x 10 Bagó 149,29 100,59 100,59

LEPTIC 0.5 mg COM x 10 Soubeiran Chobet 160,67 111,46 111,46
SENSATON 0.5 mg COM x 30 Temis-Lostalo 200,70 80,28 80,28

CLONAZEPAM DENVER FARMA 0.5 mg COM x 30 Denver Farma 284,21 126,79 126,79
CLONAZEPAM ROSPAW 0.5 mg COM x 30 Rospaw 312,00 154,58 154,58
SOLFIDIN 0.5 mg COM x 30 Rontag 291,72 165,78 165,78
DIOCAM 0.5 mg COM x 30 Gador 326,93 186,28 186,28
EDICTUM 0.5 mg COM x 30 Pharmadorf 332,41 191,52 191,52
CLONASEDAN 0.5 mg COM x 30 Eurofarma 364,21 221,88 221,88
NEURYL 0.5 mg COM x 30 Bagó 365,25 222,88 222,88
CLONAX 0.5 mg COM x 30 Beta 402,54 258,49 258,49
RIVOTRIL 0.5 mg COM x 30 Investi 404,20 260,07 260,07

CLONAX 0.5 mg COM x 50 Beta 511,23 278,33 278,33
CLONAZEPAM ROSPAW 0.5 mg COM x 60 Rospaw 525,00 210,16 210,16

1 mg DIOCAM 1 mg COM x 30 Gador 331,85 190,72 190,72

CLONAGIN 1 mg COM x 30 Baliarda 361,65 219,18 219,18
CLONAX 1 mg COM x 30 Beta 403,35 259,01 259,01
DIOCAM 1 mg COM x 50 Gador 488,75 256,44 256,44

NEURYL 1 mg COM x 50 Bagó 535,30 300,89 300,89

2 mg NEURYL 2 mg COM x 10 Bagó 167,54 116,44 116,44

LEPTIC 2 mg COM x 10 Soubeiran Chobet 199,41 146,88 146,88
SENSATON 2 mg COM x 30 Temis-Lostalo 208,01 83,20 83,20

CLONAZEPAM ROSPAW 2 mg COM x 30 Rospaw 320,00 156,65 156,65
CLONAZEPAM DENVER FARMA 2 mg COM x 30 Denver Farma 321,25 157,90 157,90
INDUZEPAM 2 mg COM x 30 Finadiet 336,83 191,00 191,00
EDICTUM 2 mg COM x 30 Pharmadorf 370,39 223,05 223,05
Página 30 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 2 mg CLONAX 2 mg COM x 30 Beta 402,54 253,75 253,75

CLONASEDAN 2 mg COM x 30 Eurofarma 408,84 259,77 259,77
RIVOTRIL 2 mg COM x 30 Investi 425,13 275,32 275,32
INDUZEPAM 2 mg COM x 50 Finadiet 494,90 254,84 254,84

EDICTUM 2 mg COM x 50 Pharmadorf 514,11 273,18 273,18
CLONAZEPAM ROSPAW 2 mg COM x 60 Rospaw 510,00 183,31 183,31

CLONAZEPAM DENVER FARMA 2 mg COM x 60 Denver Farma 517,84 191,15 191,15
0,25 mg CLONAGIN SL 0.25 mg COM x 15 Baliarda 126,68 72,08 72,08
DIOCAM SL 0.25 mg COM x 30 Gador 201,61 94,73 94,73

CLONAGIN SL 0.25 mg COM x 30 Baliarda 221,28 113,51 113,51
RIVOTRIL 0.25 mg SUBLINGUAL COM x 30 Investi 280,09 169,68 169,68
CLONAX RAPID 0.25 mg SUBLING. COM x 30 Beta 414,15 297,71 297,71
0,5 mg SOLFIDIN FLASH 0.5 mg COM x 30 Rontag 380,13 202,67 202,67
NEURYL FLASH 0.5 mg COM x 50 Bagó 739,44 410,39 410,39
SOLFIDIN FLASH 0.5 mg COM x 60 Rontag 760,27 405,34 405,34
Gotas 2,5 mg INDUZEPAM 0.25% Sol.Oral GTS x 20 Finadiet 41,68 16,67 16,67
RIVOTRIL 0.25% (2.5 mg/ml) GTS x 20 Investi 116,41 46,56 46,56
NEURYL 2.5 mg/ml GTS x 20 Bagó 359,61 199,07 199,07
CLONAGIN 2.5 mg/ml GTS x 20 Baliarda 361,36 200,74 200,74
CLOPIDOGREL
Comprimidos 75 mg CLOPIDOGREL ROSPAW 75 mg COM x 10 Rospaw 650,00 381,06 381,06
NADENEL 75 mg COM x 14 Geminis Farmaceutica 1.030,72 607,81 372,49

PLAVIX 75 mg COM x 14 Sanofi Aventis 1.874,19 1.416,57 1.181,24
CLOPILEP 75 mg COM x 15 Lepetit 304,88 128,65 69,90

CLODREL 75 mg COM x 15 Baliarda 1.077,90 625,98 373,84
TROKEN 75 mg COM x 15 Bagó 1.258,93 798,86 546,73
NEFAZAN 75 mg COM x 15 Elea - Phoenix 1.380,46 914,92 662,79

ANTIPLAQ 75 mg COM x 28 Richmond 1.720,63 892,41 421,76
PLAVIX 75 mg COM x 28 Sanofi Aventis 3.659,99 2.748,58 2.277,93
CLOPILEP 75 mg COM x 30 Lepetit 609,76 257,30 139,81

DANIR 75 mg COM x 30 Craveri 1.475,89 602,64 295,18
XIMARA 75 mg COM x 30 Temis-Lostalo 1.488,52 614,70 297,70
ANTIPLAQ 75 mg COM x 30 Richmond 1.720,63 712,09 278,79
Página 31 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 75 mg CLOPIDOGREL ROSPAW 75 mg COM x 30 Rospaw 1.795,00 786,46 786,46

MONREX 75 mg COM x 30 Montpellier 1.994,81 1.098,21 593,94
CLODREL 75 mg COM x 30 Baliarda 2.141,52 1.238,32 734,05
PLEYAR 75 mg COM x 30 Casasco 2.243,83 1.336,03 831,76
NABRATIN 75 mg COM x 30 Raffo 2.299,45 1.389,14 884,87
TROKEN 75 mg COM x 30 Bagó 2.434,80 1.518,40 1.014,13
NEFAZAN 75 mg COM x 30 Elea - Phoenix 2.596,72 1.673,04 1.168,77
CLOPILEP 75 mg COM x 60 Lepetit 1.219,52 514,59 279,62
300 mg PLAVIX 300 mg COM x 4 Sanofi Aventis 1.138,26 631,73 347,17
CLORFENIRAMINA
Comprimidos 2 mg AFEME COM x 20 Cetus 289,74 173,84 173,84
4 mg ALERGITRAT COM x 20 Fecofar 303,73 178,83 178,83
Líquido 50 mg ALERGITRAT JBE x 120 Fecofar 303,73 178,83 178,83
CLOROQUINA
Comprimidos 100 mg NIVAQUINE COM x 30 Sanofi Aventis 547,45 313,20 313,20
CLORPROMAZINA
Comprimidos 25 mg AMPLIACTIL 25 mg COM x 30 Sanofi Aventis 326,46 186,77 186,77
100 mg AMPLIACTIL 100 mg COM x 50 Sanofi Aventis 1.135,16 649,44 649,44
CLORTALIDONA
Comprimidos 50 mg EURETICO 50 mg COM x 30 Casasco 537,79 298,47 164,03
CLOTRIMAZOL
Aerosol 1000 mg MICOSEP DEO AER x 110 Cassara 465,12 273,19 273,19
MICOMAZOL DEO AER x 110 Investi 583,50 365,31 365,31
Crema 1000 mg CLOTRIMAZOL RAYMOS CRE x 20 Raymos 222,64 109,53 109,53
IKOLAN 1% CRE x 25 Investi 92,77 37,11 37,11
MICOSEP Derm. CRE x 30 Cassara 251,27 106,03 106,03

MICOMAZOL DERMICA CRE x 30 Investi 407,31 234,33 234,33
IKOLAN 1% CRE x 50 Investi 201,10 80,44 80,44
Pasta 1000 mg MICOSEP DERM. PTA x 30 Cassara 278,57 154,80 154,80

MICOMAZOL PTA x 30 Investi 431,65 300,53 300,53
Talco 1000 mg MICOSEP TAL x 30 Cassara 408,82 269,24 269,24
MICOMAZOL TAL x 50 Investi 401,70 180,54 180,54
CLOZAPINA
Comprimidos 25 mg LAPENAX 25 mg COM x 100 Gador 2.674,47 1.478,77 806,67
100 mg LAPENAX 100 mg COM x 30 Gador 2.674,47 1.698,43 1.163,63

CLOZAPINA ROSPAW 100 mg COM x 30 Rospaw 2.590,00 1.734,31 1.734,31
LAPENAX 100 mg COM x 90 Novartis 6.004,90 3.167,62 1.563,21
CLOZAPINA ROSPAW 100 mg COM x 100 Rospaw 6.000,00 3.147,71 3.147,71
COLCHICINA
Comprimidos 1 mg COLCHICINA HOUDE COM x 20 Spedrog Caillon 494,26 299,77 299,77
Página 32 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 1 mg COLCHICINA HOUDE COM x 60 Spedrog Caillon 1.277,28 702,64 702,64
COLESTIRAMINA
Sobres 4000 mg QUESTRAN POLVO SOB x 50 Temis-Lostalo 1.758,20 975,80 536,25
CROMOGLICATO DISÓDICO
Colirio 4000 mg CLAROFTAL COL x 10 Poen 447,16 248,17 136,38
DANAZOL
Comprimidos 200 mg LADOGAL 200 mg CAP x 100 Sanofi Aventis 16.702,93 9.556,00 9.556,00
DAPSONA
Comprimidos 100 mg DAPS 100 mg COM x 100 Rontag 1.960,17 1.190,21 1.190,21
DEFLAZACORT
Comprimidos 6 mg DEFAS 6 mg COM x 10 Rontag 262,71 163,45 163,45
AZACORTID 6 mg COM x 20 Sanofi Aventis 516,13 295,29 295,29

DEFAS 6 mg COM x 20 Rontag 502,31 303,80 303,80
30 mg DEFAS 30 mg COM x 10 Rontag 1.221,07 717,14 717,14
DEFAS 30 mg COM x 20 Rontag 2.405,57 1.397,72 1.397,72

AZACORTID 30 mg COM x 20 Sanofi Aventis 2.620,41 1.499,17 1.499,17
DESMOPRESINA ACETATO
Ampollas 0,004 mg DESMOPRESIN AMP x 10 Ferring 6.807,98 3.778,43 3.778,43
0,015 mg OCTOSTIM 1 ML AMP x 10 Ferring 9.472,54 5.271,64 5.271,64
Comprimidos 0,1 mg DINADOM 0.1 mg COM x 30 Dominguez 1.953,82 1.010,43 1.010,43
DESMOPRESIN 0.1 mg COM x 100 Ferring 7.167,06 3.992,97 3.992,97
0,2 mg DINADOM 0.2 mg COM x 30 Dominguez 3.253,05 1.706,32 1.706,32

0,06 mg DESMOPRESIN MELT 60 mcg Liof.Oral (SL) COM x Ferring 1.986,82 1.102,69 1.102,69
30
DESMOPRESIN MELT 60 mcg Liof.Oral (SL) COM x Ferring 6.621,19 3.674,14 3.674,14
100
0,12 mg DESMOPRESIN MELT 120 mcg Liof.Oral COM x 30 Ferring 3.695,27 2.050,87 2.050,87
Spray 0,005 mg DESMOPRESIN INTRANASAL 5 mcg/ds 2.5 ml SPR Ferring 3.327,79 1.846,92 1.846,92
x 50
0,1 mg DINADOM NASAL SPR x 5 Dominguez 4.610,93 2.384,56 2.384,56

DESMOPRESIN NASAL SPR x 5 Ferring 5.052,08 2.805,86 2.805,86
DESMOPRESIN NASAL SPR x 6 Ferring 5.052,08 2.402,08 2.402,08
DESOGESTREL
Comprimidos 0,075 mg PINK COM x 28 Craveri 631,53 317,03 317,03
CAMELIA COM x 28 Bernabo 657,53 341,86 341,86
CARMIN COM x 28 Elea - Phoenix 732,44 413,40 413,40
LUMILAC COM x 28 Pharmadorf 733,49 415,97 415,97
CERAZETTE COM x 28 MSD Arrgentina SR 1.022,93 690,81 690,81
DEXAMETASONA
Colirio 100 mg SEDESTEROL COL x 5 Max Vision 586,52 334,39 334,39
DEXAMETASONA DORF COL x 10 Pharmadorf 938,42 447,84 447,84
Página 33 de 112
A CARGO A CARGO
AFILIADO CRONICO
Colirio 100 mg
Comprimidos 0,5 mg DEXAMETASONA FECOFAR COM x 20 Fecofar 250,63 108,93 108,93
DEXAMETASONA FECOFAR COM x 30 Fecofar 346,55 150,61 150,61

DECADRON 0.5 mg COM x 30 Sidus 752,54 432,42 432,42
4 mg DEXATOTAL 4 mg COM x 10 Ariston 209,07 99,73 99,73

DEXAMERAL 4 mg COM x 10 Raymos 266,82 154,88 154,88
DEXATOTAL 4 mg COM x 20 Ariston 397,54 179,79 179,79

DEXAMERAL 4 mg COM x 20 Raymos 508,82 286,06 286,06
DEXAMETASONA ACETATO
Ampollas 8 mg RUPEDEX 8 mg 2 ml AMP x 1 Duncan 357,65 198,50 198,50 INF
16 mg DECADRON AL 8 mg/ml 2 ml JGA+AG F.A x 1 Sidus 402,52 223,40 223,40
Comprimidos 1 mg RUPEDEX 0.5 mg COM x 20 Duncan 412,38 228,87 228,87
DEXAMETASONA ACETATO +
DEXAMETASONA FOSFATO
Ampollas 8 mg DUO DECADRON 2 ml+jga.desc. F.A x 1 Sidus 1.098,40 609,61 609,61
DEXAMETASONA FOSFATO
Ampollas 8 mg DEXAMETASONA RICHET 21 Fosf. 8MG 2ML+JG Richet 637,99 296,78 296,78 INF
AMP x 1
DECADRON 4 mg/ml 2ml+jer.des F.A x 1 Sidus 684,50 380,73 380,73
100 mg DECADRON SHOCK 20 mg/ml 5 ml F.A x 1 Sidus 712,49 395,43 395,43
DEXTROSA + SODIO
CLORURO
Sobres 20000 SALES REHIDRAT.ORAL 27.9 OCEFA SOB x 3 Roux Ocefa 136,78 65,71 65,71 INF
mg
SALES REHIDRAT.ORAL FRUTILLA SOB x 3 Roux Ocefa 142,34 71,27 71,27 INF
DIATRIZOICO ÁCIDO SAL

MEGLUMÍNICA
Ampollas 32000 TRIYOSOM 60 mg 50 ml F.A x 1 Gobbi 1.541,56 924,94 924,94
mg
DIAZEPAM
Ampollas 10 mg VALIUM 10 mg 2 ML AMP x 5 Investi 487,40 270,51 270,51
Comprimidos 2 mg PLIDAN 2 mg COM x 20 Roemmers 179,85 111,03 111,03
PLIDAN 2 mg COM x 50 Roemmers 371,08 202,56 202,56
2,5 mg LEMBROL 2.5 mg COM x 50 Sanofi Aventis 64,45 35,77 35,77
5 mg VALIUM 5 mg COM x 20 Investi 157,60 68,36 68,36
LEMBROL 5 mg COM x 25 Sanofi Aventis 55,69 22,28 22,28
VALIUM 5 mg COM x 30 Investi 318,62 181,06 181,06

SAROMET COM x 50 Rontag 395,38 190,01 190,01
PLIDAN 5 mg COM x 50 Roemmers 490,49 263,05 263,05
10 mg VALIUM 10 mg COM x 30 Investi 394,70 229,41 229,41

Página 34 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg PLIDAN 10 mg COM x 50 Roemmers 617,44 343,77 343,77
15 mg SAROMET FULLTIME CAP x 20 Rontag 395,38 240,33 240,33
Enema 5 mg DIACTAL 5mg/ 2,5 ml ENE x 1 Sidus 1.179,92 858,64 858,64
DIACTAL 5mg/ 2,5 ml ENE x 5 Sidus 2.985,86 1.510,59 1.510,59
DICLOFENAC POTÁSICO
Ampollas 75 mg VESALION 75 mg AMP x 6 Nova Argentia 573,85 312,56 312,56
OXA 75 3 ML AMP x 6 Beta 595,05 332,81 332,81
Comprimidos 50 mg RODINAC 50 COM x 15 Geminis Farmaceutica 212,38 118,51 118,51

OXA 50 COM x 15 Beta 453,31 348,60 348,60
DICLOMAR 50 mg COM x 20 Mar 182,50 73,00 73,00

DIOXAFLEX MIGRA 50 mg COM x 20 Bagó 478,59 344,64 344,64

RODINAC 50 COM x 30 Geminis Farmaceutica 338,36 154,51 154,51
OXA 50 COM x 30 Beta 814,88 609,59 609,59
75 mg BEFOL 75 mg COM x 10 Biotenk 241,40 156,86 156,86

RODINAC 75 K COM x 10 Geminis Farmaceutica 346,20 246,08 246,08
BLOKIUM P 75 mg COM x 10 Casasco 347,32 247,15 247,15

BEFOL 75 mg COM x 20 Biotenk 481,50 290,76 290,76

BEFOL 75 mg COM x 30 Biotenk 729,30 442,88 442,88
BLOKIUM P 75 mg COM x 30 Casasco 864,28 571,78 571,78
100 mg OXA 100 COM x 15 Beta 533,80 275,71 275,71
OXA 100 COM x 30 Beta 1.180,47 659,22 659,22
Líquido 500 mg DIOXAFLEX SUS x 90 Bagó 426,18 236,53 236,53
Sobres 50 mg DIOXAFLEX MIGRA 50 mg SOB x 20 Bagó 605,69 336,16 336,16
DICLOFENAC SÓDICO
Ampollas 75 mg BLOKIUM 75 mg (Sódico) 3 ml AMP x 3 Casasco 355,18 202,71 202,71
DICLOMAR 75 mg 3 ml AMP x 4 Mar 397,00 197,15 197,15
BLOKIUM 75 mg (Sódico) 3 ml AMP x 5 Casasco 588,44 334,48 334,48

DIOXAFLEX AMP x 5 Bagó 590,35 336,30 336,30
XEDENOL 75 mg 3 ml AMP x 5 Baliarda 606,39 351,62 351,62
Colirio 100 mg NATURA FENAC COL x 5 Spedrog Caillon 466,19 267,38 267,38
Comprimidos 50 mg VESALION CB 50 mg CAP x 15 Nova Argentia 55,15 22,06 22,06

METAFLEX 50 CB CAP x 15 Montpellier 257,65 138,56 138,56
DIOXAFLEX CB 50 mg CAP x 15 Bagó 270,27 150,62 150,62
VESALION CB 50 mg CAP x 30 Nova Argentia 88,25 35,30 35,30

METAFLEX 50 CB CAP x 30 Montpellier 512,95 274,89 274,89
Página 35 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 50 mg METAFLEX 50 mg COM x 10 Montpellier 170,06 105,92 105,92
VESALION 50 mg COM x 15 Nova Argentia 199,02 105,34 105,34

DICLOGESIC 50 mg COM x 15 Trb-Pharma 221,00 126,60 126,60
XEDENOL 50 mg GASTRORRESIST. COM x 15 Baliarda 245,33 149,57 149,57
BLOKIUM 50 mg (Sódico) COM x 15 Casasco 253,05 156,94 156,94
DOLVAN 50 mg COM x 15 Gador 260,05 163,62 163,62
DIOXAFLEX COM x 20 Bagó 327,39 199,69 199,69

XEDENOL 50 mg GASTRORRESIST. COM x 30 Baliarda 373,11 186,87 186,87
DIOXAFLEX COM x 40 Bagó 578,11 326,17 326,17
75 mg METAFLEX 75 CB CAP x 15 Montpellier 799,00 431,62 431,62

XEDENOL CB 75 mg CAP x 15 Baliarda 940,96 567,19 567,19
METAFLEX 75 CB CAP x 30 Montpellier 1.582,00 847,96 847,96

DIOXAFLEX CB 75 mg CAP x 30 Bagó 1.663,40 925,69 925,69

METAFLEX 75 mg COM x 10 Montpellier 387,04 216,10 216,10
DICLOLAM 75 mg COM x 15 Austral 328,77 138,73 138,73

IGLODINE 75 mg COM x 15 Fecofar 386,39 159,10 159,10
DIASTONE 75 mg COM x 15 Microsules Argentina 457,30 227,02 227,02
DOLVAN 75 mg COM x 15 Gador 516,93 263,38 263,38
DISIPAN 75 mg COM x 15 Bernabo 637,01 378,06 378,06
DIOXAFLEX 75 mg COM x 15 Bagó 672,06 411,53 411,53
DIOXAFLEX 75 mg MAST. COM x 15 Bagó 807,62 540,99 540,99

METAFLEX 75 mg COM x 20 Montpellier 769,73 428,04 428,04
IGLODINE 75 mg COM x 30 Fecofar 666,32 274,37 274,37

DISIPAN 75 mg COM x 30 Bernabo 1.120,33 609,35 609,35
VESALION 75 mg COM x 30 Nova Argentia 1.177,77 664,20 664,20
DIOXAFLEX 75 mg COM x 30 Bagó 1.211,17 696,10 696,10
BLOKIUM 75 mg (Sódico) COM x 30 Casasco 1.227,78 711,96 711,96
METAFLEX 75 mg COM x 40 Montpellier 1.495,38 814,00 814,00
DICLAC 75 mg RAPIRETARD COM x 10 Investi 116,37 46,55 46,55
XEDENOL 75 mg LP COM x 15 Baliarda 654,87 375,26 375,26

OXA 75 RAPILENT COM x 15 Beta 686,18 405,16 405,16
XEDENOL 75 mg LP COM x 30 Baliarda 1.204,13 649,66 649,66

OXA 75 RAPILENT COM x 30 Beta 1.276,35 718,63 718,63
Página 36 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 100 mg BLOKIUM 100 mg (Sódico) COM x 15 Casasco 647,15 359,24 359,24
CURINFLAM AP CAP x 15 Duncan 408,54 168,92 168,92

OXA RETARD COM x 15 Beta 426,87 186,42 186,42
DOLVAN 100 mg AP COM x 15 Gador 599,69 351,46 351,46
XEDENOL 100 mg LP COM x 15 Baliarda 616,79 367,79 367,79
DIOXAFLEX RETARD COM x 20 Bagó 920,42 584,01 584,01
OXA RETARD COM x 30 Beta 805,51 326,78 326,78
150 mg DICLAC 150 mg RAPIRETARD COM x 5 Investi 104,12 41,65 41,65
Líquido 500 mg METAFLEX SUS x 90 Montpellier 574,91 319,08 319,08
Sobres 50 mg DIOXAFLEX RAPID 50 mg GRANUL. SOB x 20 Bagó 1.275,64 707,98 707,98
DIFENHIDRAMINA
Ampollas 50 mg BENADRYL 5 ML AMP x 1 Elea - Phoenix 316,79 175,82 175,82
Comprimidos 50 mg BENADRYL CAP x 30 Elea - Phoenix 769,42 455,86 455,86
Líquido 250 mg HISTALER JBE x 120 Duncan 274,00 109,60 109,60
BENADRYL JBE x 240 Elea - Phoenix 998,82 569,33 569,33
DIGOXINA
Comprimidos 0,25 mg LANICOR COM x 20 Hlb Pharma 155,25 79,84 79,84
LANOXIN DIGOXINA COM x 25 Roemmers 243,35 138,14 79,23
LANICOR COM x 60 Hlb Pharma 453,33 227,10 227,10
LANICOR COM x 120 Hlb Pharma 838,35 385,90 385,90
DIHIDROERGOTOXINA
Comprimidos 1,5 mg VIMOTADINE 1,5 mg COM x 20 Casasco 293,33 162,80 162,80
DILTIAZEM
Comprimidos 60 mg HART 60 mg COM x 50 Teva argentina ( 431,41 209,46 86,28
ACALIX 60 mg COM x 50 Roemmers 506,07 280,76 154,18
INCORIL 60 COM x 60 Bagó 615,38 344,65 192,75
90 mg ACALIX 90 mg COM x 50 Roemmers 727,89 403,98 222,01
INCORIL AP COM x 30 Bagó 559,42 328,24 199,48
INCORIL AP COM x 60 Bagó 976,06 520,12 262,61
120 mg ACALIX 120 mg COM x 50 Roemmers 1.296,28 719,42 395,34
INCORIL AP 120 mg COM x 30 Bagó 1.190,48 655,57 354,74

ACALIX AP 120 mg CAP x 30 Roemmers 1.209,60 673,83 373,00
180 mg ACALIX CD 180 mg CAP x 30 Roemmers 668,25 267,30 133,65

INCORIL MONODOSIS 180 mg COM x 30 Bagó 1.096,21 545,08 231,46
ACALIX CRONOS 180 mg CAP x 30 Roemmers 1.340,61 778,49 464,86
240 mg ACALIX CD 240 mg CAP x 30 Roemmers 1.407,20 575,14 281,44
Página 37 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 240 mg INCORIL MONODOSIS 240 mg COM x 30 Bagó 1.820,84 970,17 489,71
ACALIX CRONOS 240 mg CAP x 30 Roemmers 1.958,30 1.101,44 620,99
300 mg ACALIX CRONOS 300 mg CAP x 30 Roemmers 2.196,16 1.201,29 641,27

INCORIL MONODOSIS 300 mg COM x 30 Bagó 2.309,69 1.309,71 749,69
DIMENHIDRINATO
Comprimidos 50 mg DR. AMIN 50 mg COM x 6 Eurolab 250,00 175,95 175,95
AGIRAX COM x 10 Montpellier 257,95 141,67 141,67
DR. AMIN 50 mg COM x 12 Eurolab 350,00 208,64 208,64

DRAMAMINE COM x 12 Johnson & Johnson 366,70 225,80 225,80
AGIRAX COM x 20 Montpellier 473,94 243,27 243,27
DRAMAMINE COM x 24 Johnson & Johnson 672,50 393,26 393,26
DIPIRONA
Ampollas 1000 mg NOVALGINA 2 ML AMP x 5 Sanofi Aventis OTC 301,00 172,39 172,39
DOMPERIDONA
Ampollas 3,9 mg EUCITON PEDIATRICO 3 ML AMP x 3 Roux Ocefa 256,93 154,16 154,16
10 mg EUCITON ADULTOS 3 ML AMP x 3 Roux Ocefa 258,00 154,80 154,80
10 mg MOPERIDONA AMP x 5 Sidus 534,87 296,85 296,85
Comprimidos 10 mg MOTILIUM COM x 20 Janssen-Cilag 176,40 70,56 70,56

EUCITON COM x 20 Roux Ocefa 179,32 71,73 71,73
ECUAMON COM x 20 Lazar 288,89 146,95 146,95
MOPERIDONA COM x 20 Sidus 383,36 237,17 237,17
DOMPERIX 10 mg COM x 30 Eurofarma 547,55 329,51 329,51
EUCITON COM x 50 Roux Ocefa 368,30 147,32 147,32
Gotas 10 mg EUCITON GTS x 20 Roux Ocefa 132,45 52,98 52,98

ECUAMON GTS x 20 Lazar 255,18 136,30 136,30
MOPERIDONA GTS x 20 Sidus 286,59 166,30 166,30
DORZOLAMIDA
Colirio 20 mg DORLAMIDA (2%) COL x 5 Atlas 963,05 519,55 242,37
TRUSOPT 2% COL x 5 Mundipharma 1.206,17 762,67 762,67
DORZOLAMIDA + TIMOLOL
Colirio 20 mg DORLAMIDA T COL x 5 Atlas 1.115,63 490,15 223,13
PRESS OUT T COL x 5 Max Vision 1.144,33 517,56 228,87
GLAUCOTENSIL TD COL x 5 Poen 1.323,46 688,63 329,08
DORZOFLAX COL x 5 Sidus 1.483,39 841,36 481,81
ZOPIROL DM COL x 5 Elea - Phoenix 1.602,67 955,27 595,73
DORZOLAMIDA T DORF COL x 5 Pharmadorf 1.623,42 978,57 619,02
TIMED D COL x 5 Bausch & Lomb Argentina 1.887,40 1.229,66 870,12
COSOPT COL x 5 Mundipharma 1.997,21 1.335,52 975,97
DOXAZOSINA
Comprimidos 2 mg DOXASIN 2 mg COM x 30 Fortbenton 407,79 163,12 163,12
4 mg DOXASIN 4 mg COM x 30 Fortbenton 478,96 191,58 191,58
DOXICICLINA
Comprimidos 50 mg VIBRAMICINA 50 mg CAP x 20 Pfizer 395,10 219,28 219,28
Página 38 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 100 mg VIBRAMICINA 100 mg TAB x 5 Pfizer 181,33 109,71 109,71
ASOLMICINA.DOX 100 mg COM x 15 Raymos 515,95 302,34 302,34
VIBRAMICINA 100 mg TAB x 16 Pfizer 586,86 357,37 357,37
DOXICLINA 100 mg COM x 20 Eurolab 595,00 314,38 314,38
ASOLMICINA.DOX 100 mg COM x 30 Raymos 823,78 405,94 405,94
ECONAZOL
Crema 1000 mg MICOLIS CRE x 30 Roemmers 244,23 135,20 135,20
NOMICON CRE x 30 Casasco 248,95 139,70 139,70
Talco 1000 mg MICOLIS TAL x 20 Roemmers 300,79 166,55 166,55

NOMICON TAL x 20 Casasco 308,09 173,52 173,52
ENALAPRIL
Comprimidos 2,5 mg LOTRIAL 2.5 mg COM x 30 Roemmers 116,97 63,58 33,50
GLIOTEN 2.5 mg COM x 30 Bagó 135,58 81,35 51,27
GADOPRIL 2.5 mg COM x 30 Gador 146,27 91,56 61,48
LOTRIAL 2.5 mg COM x 60 Roemmers 233,77 126,99 66,83

GLIOTEN 2.5 mg COM x 60 Bagó 268,44 160,10 99,94
GADOPRIL 2.5 mg COM x 60 Gador 288,00 178,78 118,62
5 mg ENATRAL 5 mg COM x 30 Lepetit 127,60 53,84 29,26

ARTERIOPRIL 5 mg COM x 30 Pfizer 157,34 69,25 31,47
LOTRIAL 5 mg COM x 30 Roemmers 200,86 110,81 60,18
TENCAS 5 mg COM x 30 Casasco 210,72 120,23 69,59
MAXEN 5 mg COM x 30 Baliarda 210,82 120,32 69,69
GADOPRIL 5 mg COM x 30 Gador 215,28 124,58 73,95
KINFIL 5 mg COM x 30 Nova Argentia 217,95 127,13 76,50
GLIOTEN 5 mg COM x 30 Bagó 238,48 146,74 96,10
VAPRESAN 5 mg COM x 30 Temis-Lostalo 253,47 161,05 110,42

ENATRAL 5 mg COM x 60 Lepetit 255,20 107,68 58,51

RENITEC 5 mg COM x 60 MSD Arrgentina SR 409,01 228,58 127,32

ARTERIOPRIL 10 mg COM x 30 Pfizer 280,28 129,31 56,06
ECAPRILAT 10 mg COM x 30 Lazar 288,89 137,53 57,78
PRILTENK 10 mg COM x 30 Biotenk 296,80 145,08 59,36
Página 39 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg GLIOTEN 10 mg COM x 30 Bagó 387,87 232,06 145,58



ENALDUN 10 mg COM x 60 Duncan 398,90 159,56 159,56
GADOPRIL 10 mg COM x 100 Gador 1.170,22 656,36 368,12
GLIOTEN 10 mg (Expendedor) COM x 120 Bagó 1.229,87 621,09 275,19


ENALAPRIL +
HIDROCLOROTIAZIDA
Comprimidos 10 mg CO-RENITEC 10/25 mg COM x 20 MSD Arrgentina SR 472,80 307,94 218,20
MAXEN D 10/25 mg RANUR. COM x 30 Baliarda 476,12 239,31 104,70

LOTRIAL D 10/25 COM x 30 Roemmers 513,70 275,20 140,59
KINFIL D 10 mg COM x 30 Nova Argentia 520,66 281,85 147,24
TENCAS D 10/25 mg COM x 30 Casasco 534,40 294,97 160,36
GLIOTENZIDE 10/25 mg COM x 30 Bagó 579,69 338,22 203,61
GADOPRIL D 10/25 mg COM x 30 Gador 581,56 340,01 205,40
VAPRESAN DIUR COM x 30 Temis-Lostalo 591,65 349,65 215,03
Página 40 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg
CO-RENITEC 10/25 mg COM x 60 MSD Arrgentina SR 1.321,07 830,87 561,64
20 mg LOTRIAL D 20/12.5 COM x 30 Roemmers 525,96 245,13 105,19

TENCAS D 20/12.5 mg COM x 30 Casasco 559,12 276,80 116,07
GLIOTENZIDE 20/12.5 mg COM x 30 Bagó 702,56 413,78 253,05
CO-RENITEC 20/12.5 mg COM x 60 MSD Arrgentina SR 1.456,18 876,32 554,87
ENOXAPARINA
Ampollas 20 mg DILUTOL 20 mg 0.2 ML JPR x 2 Lazar 890,74 446,49 446,49
CLEXANE 20 mg JPR x 2 Sanofi Aventis 1.015,07 565,23 565,23
DILUTOL 20 mg 0.2 ML JPR x 10 Lazar 4.255,34 2.043,03 2.043,03

OMATEX 20 mg JPR x 10 Elea - Phoenix 4.605,24 2.377,19 2.377,19
CLEXANE 20 mg JPR x 10 Sanofi Aventis 5.277,51 3.028,34 3.028,34
40 mg DILUTOL 40 mg 0.4 ML JPR x 2 Lazar 1.631,26 775,85 775,85

DILUTOL 40 mg 0.4 ML JPR x 10 Lazar 7.944,45 3.676,91 3.676,91

EPINASTINA
Colirio 50 mg ALKET COL x 5 Poen 679,25 365,97 365,97
EPIOFTAL COL x 5 Atlas 670,96 388,25 388,25
RELESTAT COL x 5 Allergan-Loa 917,95 593,93 593,93
ERITROMICINA
Colirio 10 mg ERITROMICINA ATLAS COL x 5 Atlas 544,80 288,46 288,46
ERITROFARM COL x 5 Poen 594,80 311,69 311,69
OFTALMOLETS Prep. Extemp. COL x 5 Atlas 657,62 371,68 371,68
ERITROMICINA ELEA COL x 5 Elea - Phoenix 718,57 429,89 429,89
ERITROMED COL x 10 Bausch & Lomb Argentina 871,67 363,90 363,90
Comprimidos 500 mg PANTOMICINA 500 ES COM x 16 Bagó 616,80 343,33 343,33
Crema 4000 mg KITACNE CRE x 30 Fortbenton 416,12 238,08 238,08
Gel 4000 mg ERISOL 4% GEL x 30 Cassara 449,70 246,98 246,98
Líquido 200 mg PANTOMICINA 200 ES JBE x 100 Bagó 599,62 333,11 333,11 INF
400 mg PANTOMICINA 400 ES JBE x 60 Bagó 686,56 381,04 381,04
4000 mg ERISOL 4% DERMICO SOL x 50 Medisol 198,00 119,49 119,49
ILOTICINA 4% SOL x 120 Investi 469,69 260,13 260,13
6000 mg ATLAMICIN TOP.DERM. SOL x 45 Atlas 706,40 423,84 423,84
Ungüento 500 mg ERITROMICINA ELEA OFT. UNG x 3,5 Elea - Phoenix 724,32 586,42 586,42
ERITROMED OFT. UNG x 3,5 Bausch & Lomb Argentina 986,84 838,42 838,42
ERITROFARM OFT.UNIDOSIS UNG x 20 Poen 623,04 249,22 249,22
ESCITALOPRAM
Comprimidos 10 mg COVERFAX 10 mg COM x 14 Buxton 658,76 365,74 365,74
ESCIPROX 10 mg COM x 14 Hlb Pharma 798,47 535,10 535,10
LEXAPRO 10 mg COM x 14 Lundbeck 971,72 665,89 665,89
Página 41 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg OPTISER 10 mg Ran. COM x 15 Baliarda 674,75 362,20 362,20

MERIDIAN 10 mg COM x 15 Roemmers 723,80 409,04 409,04
ESCIPROX 10 mg COM x 28 Hlb Pharma 1.158,53 631,79 631,79

NOVO HUMORAP 10 mg COM x 28 Bagó 1.313,46 727,61 727,61
COVERFAX 10 mg COM x 28 Buxton 1.317,51 731,48 731,48
LEXAPRO 10 mg COM x 28 Lundbeck 1.514,49 921,58 921,58
EX3 10 mg COM x 30 Ariston 1.090,46 385,00 385,00

TALPRAM 10 mg COM x 30 Richmond 1.123,01 417,55 417,55
REMPEC 10 mg COM x 30 Montpellier 1.070,02 457,50 457,50
ROSTALOPRAM 10 mg COM x 30 Rospaw 1.175,00 469,54 469,54
ESCITEROKAM 10 mg COM x 30 Raymos 1.140,97 525,26 525,26
AXIOMAT 10 mg COM x 30 Beta 1.300,69 677,79 677,79
MERIDIAN 10 mg COM x 30 Roemmers 1.330,02 705,80 705,80
OPTISER 10 mg Ran. COM x 30 Baliarda 1.332,48 708,15 708,15
BEAPLEN 10 mg COM x 30 Temis-Lostalo 1.402,11 774,65 774,65
LEXTOR 10 mg COM x 30 Casasco 1.420,90 792,59 792,59
ZENVAS 10 mg COM x 30 Astrazeneca 1.631,49 993,70 993,70
ARAMIX 10 mg COM x 30 Elea - Phoenix 1.667,82 1.028,40 1.028,40
15 mg LEXAPRO 15 mg COM x 28 Lundbeck 2.030,99 1.153,53 1.153,53
20 mg COVERFAX 20 mg COM x 14 Buxton 958,37 456,14 456,14
OPTISER 20 mg Ran. COM x 15 Baliarda 1.221,83 674,96 674,96

MERIDIAN 20 mg COM x 15 Roemmers 1.228,29 681,12 681,12
ESCIPROX 20 mg COM x 28 Hlb Pharma 2.001,03 1.082,83 1.082,83

COVERFAX 20 mg COM x 28 Buxton 2.275,88 1.255,27 1.255,27
NOVO HUMORAP 20 mg COM x 28 Bagó 2.355,41 1.331,22 1.331,22
LEXAPRO 20 mg COM x 28 Lundbeck 2.751,34 1.712,94 1.712,94
TALPRAM 20 mg COM x 30 Richmond 1.859,07 629,33 629,33

EX3 20 mg COM x 30 Ariston 1.942,99 713,25 713,25
REMPEC 20 mg COM x 30 Montpellier 1.940,65 869,53 869,53
ESCITEROKAM 20 mg COM x 30 Raymos 1.961,17 889,13 889,13
AXIOMAT 20 mg COM x 30 Beta 2.205,56 1.122,52 1.122,52
MERIDIAN 20 mg COM x 30 Roemmers 2.297,20 1.210,04 1.210,04
OPTISER 20 mg Ran. COM x 30 Baliarda 2.299,75 1.212,47 1.212,47
LEXTOR 20 mg COM x 30 Casasco 2.460,62 1.366,10 1.366,10
BEAPLEN 20 mg COM x 30 Temis-Lostalo 2.469,06 1.374,16 1.374,16
ARAMIX 20 mg COM x 30 Elea - Phoenix 3.033,24 1.912,96 1.912,96
ZENVAS 20 mg COM x 30 Astrazeneca 3.070,28 1.948,33 1.948,33
ESPIRAMICINA
Comprimidos 3000000 ROVAMYCINE 3 MUI COM x 20 Sanofi Aventis 3.419,57 1.956,39 1.956,39 MAT
ui
ESPIRONOLACTONA
Comprimidos 25 mg ALDACTONE A 25 mg COM x 20 Pfizer 598,42 353,95 217,99
REDIUN-E 25 mg COM x 30 Baliarda 678,78 321,92 135,76

DRIMUX A 25 mg COM x 30 Gador 728,56 369,46 165,52
LANX 25 mg COM x 30 Elea - Phoenix 793,37 431,36 227,41
ALDACTONE A 25 mg COM x 30 Pfizer 893,16 526,66 322,71
ALDACTONE A 25 mg COM x 60 Pfizer 1.426,41 709,60 301,71
50 mg REDIUN-E 50 mg COM x 30 Baliarda 737,89 295,16 147,58
Página 42 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 50 mg DRIMUX A 50 mg COM x 30 Gador 940,48 422,15 188,10

100 mg REDIUN-E 100 mg COM x 30 Baliarda 792,68 350,97 158,54

DRIMUX A 100 mg COM x 30 Gador 993,91 543,15 289,38
LANX 100 mg COM x 30 Elea - Phoenix 1.053,37 599,93 346,16
ESPIRONOLACTONA +
FUROSEMIDA
Comprimidos 25 mg LASILACTON 25 mg CAP x 30 Sanofi Aventis 431,89 172,76 86,38
ALDACTONE D 25/20 COM x 30 Pfizer 1.072,28 615,38 359,97
ALDACTONE D 25/40 COM x 30 Pfizer 1.072,77 619,32 366,08
50 mg LASILACTON 50 mg CAP x 30 Sanofi Aventis 597,30 331,50 182,18
ESTRADIOL
Comprimidos 1 mg PROGYNOVA 1 mg COM x 28 Bayer (PH) 302,78 168,04 168,04
2 mg PROGYNOVA 2 mg COM x 28 Bayer (PH) 477,05 264,76 264,76
ESTRADIOL 17 BETA
Comprimidos 1 mg RONFASE 1 mg COM x 28 Pfizer 115,99 64,37 64,37
2 mg RONFASE 2 mg COM x 28 Pfizer 360,83 200,26 200,26
Gel 60 mg TRIAL GEL x 80 Beta 2.499,85 1.293,55 1.293,55

RONTAGEL GEL x 80 Ferring 2.832,47 1.611,20 1.611,20
ESTRADIOL 17 BETA +
MEDROXIPROGESTERONA
ACETATO
Comprimidos 2 mg FARLUDIOL CICLO COM x 28 Pfizer 366,78 156,61 156,61
FARLUDIOL COM x 30 Pfizer 518,74 287,90 287,90
ESTRADIOL VALERIANATO +
NORETINDRONA
Ampollas 5 mg MESIGYNA AMP x 1 Bayer (PH) 235,79 130,86 130,86
ESTRIOL
Crema 100 mg ORGESTRIOL VAGINAL CRE x 15 Aspen 381,13 186,62 186,62
MENOCLIM CRE x 15 Beta 794,05 390,92 390,92
COLPOESTRIOL CRE x 15 Temis-Lostalo 921,17 512,32 512,32
Óvulos 0,5 mg ORGESTRIOL OVU x 10 Techsphere - Aspen 390,26 191,09 191,09

MENOCLIM OVU x 10 Beta 958,61 515,08 515,08
COLPOESTRIOL OVU x 15 Temis-Lostalo 1.519,41 850,45 850,45
ESTRÓGENOS CONJUGADOS
Comprimidos 0,3 mg PREMARIN CD 0.3 mg GRA x 28 Pfizer 637,69 382,61 382,61
0,625 mg PREMARIN CD 0.625 mg GRA x 28 Pfizer 1.475,66 885,40 885,40
Crema 0,625 mg PREMARIN C/APLICADOR VAGINAL CRE x 26 Pfizer 1.281,56 768,94 768,94
ETOSUXIMIDA
Comprimidos 250 mg ZARONTIN CAP x 25 Elea - Phoenix 1.012,02 561,67 561,67
Líquido 5000 mg ZARONTIN SOL x 120 Elea - Phoenix 1.012,02 561,67 561,67
EZETIMIBE
Página 43 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg ZETIA 10 mg COM x 28 MSD Arrgentina SR 1.663,00 1.316,76 1.316,76
CERCLEROL 10 mg COM x 30 Savant Consumer 320,93 128,37 128,37

ALIN 10 mg COM x 30 Lazar 625,92 306,97 306,97
ALIPAS 10 mg COM x 30 Bernabo 636,29 316,87 316,87
VADEL 10 mg COM x 30 Teva argentina ( 685,55 322,06 322,06
IXACOR 10 mg COM x 30 Roemmers 660,39 339,88 339,88
NALECOL 10 mg COM x 30 Casasco 700,50 378,19 378,19
CORACIL 10 mg COM x 30 Gador 704,06 381,59 381,59
TRILIP 10 mg COM x 30 Elea - Phoenix 866,85 537,05 537,05
EZETIMIBE + ATORVASTATIN
Comprimidos 10 mg ATEROCLAR DUO 10/10 mg (15+15) COM x 30 Beta 424,39 169,76 169,76
LIPIBEC PLUS 10/10 COM x 30 Teva argentina ( 1.216,48 591,76 591,76
LIPONORM PLUS 10/10 mg COM x 30 Lazar 1.145,92 594,58 594,58
LIPOCAMBI PLUS 10/10 mg COM x 30 Bernabo 1.158,15 606,26 606,26
LIPOKEMIA PLUS 10/10 mg COM x 30 Fecofar 1.171,01 620,07 620,07
TORIMIBE 10/10 mg COM x 30 Baliarda 1.265,70 708,97 708,97
LIPAREX PLUS 10/10 mg COM x 30 Finadiet 1.296,02 737,92 737,92
LIPOCAMBI PLUS 20/10 mg COM x 30 Bernabo 1.586,96 806,97 806,97
LIPONORM PLUS 20/10 mg COM x 30 Lazar 1.588,89 808,81 808,81
AMPLIAR PLUS 10/10 mg COM x 30 Casasco 1.393,20 830,73 830,73
LIPOKEMIA PLUS 20/10 mg COM x 30 Fecofar 1.609,83 830,92 830,92
COLMIBE 10/10 mg COM x 30 Raffo 1.430,48 866,33 866,33
ATEROCLAR COMBI 10/10 mg COM x 30 Beta 1.452,80 887,65 887,65
LIPIBEC PLUS 20/10 COM x 30 Teva argentina ( 1.704,62 919,34 919,34
ATEROCLAR COMBI 20/10 mg COM x 30 Beta 1.743,75 956,71 956,71
LIPAREX PLUS 20/10 mg COM x 30 Finadiet 1.809,15 1.019,16 1.019,16
TORIMIBE 10/20 mg COM x 30 Baliarda 1.831,54 1.040,54 1.040,54
ZARATOR PLUS 10/10 mg COM x 30 Elea - Phoenix 1.687,17 1.111,47 1.111,47
AMPLIAR PLUS 20/10 mg COM x 30 Casasco 1.947,53 1.151,32 1.151,32
COLMIBE 20/10 mg COM x 30 Raffo 2.007,90 1.208,97 1.208,97
COLMIBE 40/10 mg COM x 30 Raffo 2.490,41 1.382,18 1.382,18
ZARATOR PLUS 20/10 mg COM x 30 Elea - Phoenix 2.289,68 1.478,07 1.478,07
LIPAREX DUO 20/10 mg (30+30) COM x 60 Finadiet 1.341,23 572,30 572,30

LIPAREX DUO 10/10 mg (30+30) COM x 60 Finadiet 1.172,56 620,02 620,02
ATEROCLAR DUO 10/10 mg (30+30) COM x 60 Beta 1.178,96 626,13 626,13
ATEROCLAR DUO 20/10 mg (30+30) COM x 60 Beta 1.541,36 763,42 763,42
PLAN DUO 10/10 mg (30 + 30) COM x 60 Craveri 1.464,82 899,13 899,13
AMPLIAR DUO 10/10 mg (30+30) COM x 60 Casasco 1.543,75 974,51 974,51
AMPLIAR DUO 20/10 mg (30+30) COM x 60 Casasco 2.137,03 1.332,29 1.332,29
PLAN DUO 10/20 mg (30 + 30) COM x 60 Craveri 2.333,05 1.519,49 1.519,49
FELBAMATO
Líquido 600 mg FELBAMYL 600 mg 5 ML SUS x 230 MSD Arrgentina SR 3.345,13 1.856,55 1.856,55
FENITOÍNA CÁLCICA
Comprimidos 100 mg LOTOQUIS SIMPLE COM x 50 Beta 1.190,03 476,01 238,01
LOTOQUIS SIMPLE COM x 100 Beta 3.817,36 2.211,85 1.315,78
FENITOÍNA SÓDICA
Comprimidos 100 mg FENITENK 100 mg COM x 30 Biotenk 698,20 279,28 139,64
EPAMIN 100 mg CAP x 30 Elea - Phoenix 1.373,26 786,14 457,82
Página 44 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 100 mg FENITENK 100 mg COM x 60 Biotenk 1.359,30 543,72 271,86

EPAMIN 100 mg CAP x 60 Elea - Phoenix 2.676,46 1.505,38 848,74
EPAMIN 100 mg CAP x 90 Elea - Phoenix 4.002,79 2.246,71 1.261,74
Líquido 2500 mg EPAMIN JBE x 120 Elea - Phoenix 538,17 298,69 164,15
FENOBARBITAL
Comprimidos 15 mg LUMINALETAS COM x 30 Bayer (PH) 312,47 173,42 95,30 INF
FENROS 15 mg COM x 30 Rospaw 312,25 187,26 187,26
100 mg FENROS 100 mg COM x 20 Rospaw 310,00 206,99 206,99

ALEPSAL COM x 20 Spedrog Caillon 344,58 226,06 161,68
FENROS 100 mg COM x 60 Rospaw 720,00 410,97 410,97

ALEPSAL COM x 60 Spedrog Caillon 768,96 426,33 233,19
LUMINAL COM x 60 Bayer (PH) 772,99 429,17 236,03
FENOBARBITAL + FENITOÍNA
CÁLCICA
Comprimidos 50 mg LOTOQUIS 5 COM x 100 Beta 3.872,66 2.149,33 2.149,33
100 mg LOTOQUIS COM x 100 Beta 3.951,48 2.193,07 2.193,07
FENOFIBRATE
Comprimidos 100 mg PROCETOKEN 100 mg COM x 60 Bernabo 586,06 325,30 178,81
FENOBRATE 100 mg COM x 100 Sanofi Aventis 190,15 76,06 38,03
160 mg CONTROLIP 160 mg CAP x 30 Abbott Epd 1.369,94 760,32 417,83
200 mg PROCETOKEN 200 mg CAP x 30 Bernabo 1.150,23 603,33 293,86

DAUNLIP CAP x 30 Montpellier 1.170,60 622,78 313,31
MINUSLIP 200 mg CAP x 30 Teva argentina ( 1.300,42 681,49 407,29
SEGREN 200 mg CAP x 30 Casasco 1.265,89 713,78 404,32
LIPTUIN 200 mg CAP x 30 Temis-Lostalo 1.285,64 732,64 423,18
CRAVERIL COM x 30 Craveri 1.328,66 773,73 464,26
MINUSLIP 200 mg CAP x 60 Teva argentina ( 1.979,11 741,25 214,49

CRAVERIL COM x 60 Craveri 1.987,88 908,14 397,58
DAUNLIP CAP x 60 Montpellier 2.126,84 1.040,84 425,37
300 mg PROCETOKEN 300 mg (Lib.Prol.) COM x 30 Bernabo 1.534,47 851,63 468,01
350 mg SCLEROFIN UD COM x 30 Teva argentina ( 1.314,34 729,46 400,87
FENOFÍBRICO, ACIDO
Comprimidos 45 mg PROCETOKEN XR 45 mg CAP x 30 Bernabo 1.100,78 638,66 638,66
135 mg PROCETOKEN XR 135 mg CAP x 30 Bernabo 1.254,57 708,77 708,77
FENOTEROL BROMHIDRATO
Aerosol 0,1 mg BEROTEC HFA 10 ML AER x 200 Boehringer Ingelheim 727,03 412,56 412,56
Líquido 500 mg BEROTEC 0.5% SOL. NEB. SOL x 20 Boehringer Ingelheim 494,82 280,79 280,79
FENOXIMETILPENICILINA
Comprimidos 500000 ui PEN-ORAL 500.000 U COM x 18 Lepetit 245,60 136,31 136,31
1000000 PEN-ORAL 1.000.000 U COM x 18 Lepetit 429,78 238,41 238,41

ui
1500000 PEN-ORAL 1.500.000 U COM x 18 Lepetit 644,52 357,74 357,74
ui
Líquido 300000 ui PEN-ORAL CONCENTRADO 60 g 24 ds JBE x 120 Lepetit 567,80 328,73 328,73 INF
Página 45 de 112
A CARGO A CARGO
AFILIADO CRONICO
Líquido 300000 ui GRAMPENIL 300000 UI/5ml JBE x 120 Nova Argentia 568,20 329,11 329,11
PEN-ORAL CONCENTRADO 90 g 36 ds JBE x 180 Sanofi Aventis 693,54 342,05 342,05 INF
3000000 GRAMPENIL 300000 UI/5ml JBE x 180 Nova Argentia 693,64 384,97 384,97 INF
ui
FEXOFENADINA
Comprimidos 60 mg MUDANTIL F 60 mg COM x 10 Geminis Farmaceutica 180,25 74,00 74,00
ALERCAS 60 mg COM x 10 Casasco 253,86 144,30 144,30
MUDANTIL F 60 mg COM x 20 Geminis Farmaceutica 359,50 147,05 147,05

ALLEGRA 60 mg CAP x 20 Sanofi Aventis OTC 489,00 271,17 271,17
120 mg MUDANTIL F 120 mg COM x 10 Geminis Farmaceutica 329,51 137,33 137,33

TERFEMAX 120 mg COM x 10 Temis-Lostalo 404,82 209,25 209,25
ALERFEDINE 120 mg COM x 10 Lazar 422,74 226,36 226,36
VAGRAN 120 mg COM x 10 Finadiet 438,59 241,50 241,50
ALERTIAL 120 mg COM x 10 Baliarda 446,73 249,28 249,28
ALLEGRA 120 mg COM x 10 Sanofi Aventis OTC 491,00 292,54 292,54

TERFEMAX 120 mg COM x 30 Temis-Lostalo 1.124,18 541,54 541,54
ALERFEDINE 120 mg COM x 30 Lazar 1.170,00 585,29 585,29
VAGRAN 120 mg COM x 30 Finadiet 1.253,10 664,65 664,65
ALERTIAL 120 mg COM x 30 Baliarda 1.287,25 697,27 697,27
ALERCAS 120 mg COM x 30 Casasco 1.335,44 743,29 743,29
ALLEGRA 120 mg COM x 30 Sanofi Aventis OTC 1.375,00 784,49 784,49
180 mg MUDANTIL F 180 mg COM x 10 Geminis Farmaceutica 506,07 202,43 202,43

ALERFEDINE 180 mg COM x 10 Lazar 688,52 358,39 358,39
TERFEMAX 180 mg COM x 10 Temis-Lostalo 695,69 365,24 365,24
VAGRAN 180 mg COM x 10 Finadiet 736,20 403,93 403,93
ALERTIAL 180 mg COM x 10 Baliarda 738,29 405,92 405,92
ALLEGRA 180 mg COM x 10 Sanofi Aventis OTC 799,00 465,25 465,25

ALERFEDINE 180 mg COM x 20 Lazar 1.112,22 463,89 463,89
Líquido 30 mg ALERCAS SUS x 90 Casasco 391,48 224,47 224,47
ALERFEDINE JBE x 150 Lazar 535,40 262,32 262,32

ALLEGRA SUS x 150 Sanofi Aventis OTC 639,00 363,06 363,06
FINASTERIDE
Comprimidos 5 mg PROSTANIL 5 mg COM x 30 Austral 692,67 292,28 158,82
UROTOTAL 5 mg COM x 30 Fortbenton 965,20 346,49 129,94
Q-PROST 5 mg COM x 30 Ariston 973,06 434,31 194,61
PROSMIN 5 mg COM x 30 Biotenk 1.014,30 473,69 202,86
PROSTENE 5 mg COM x 30 Teva argentina ( 1.069,89 526,78 217,43
FINTERAC 5 mg COM x 30 Eurolab 1.095,00 550,76 241,41
FINASTERIN 5 mg COM x 30 Finadiet 1.266,18 714,24 404,89
PROSTANOVAG 5 mg COM x 30 Gobbi 1.377,81 820,84 511,49
DARIC 5 mg COM x 30 Pharmadorf 1.783,98 1.208,74 899,38
FLECAINIDA ACETATO
Comprimidos 100 mg DIONDEL COM x 50 Roemmers 1.204,03 668,16 367,11
Página 46 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 100 mg FLENOMID XR 100 mg lib. prol. CAP x 30 Elea - Phoenix 1.354,11 751,53 751,53
200 mg FLENOMID XR 200 mg lib. prol. CAP x 30 Elea - Phoenix 2.708,51 1.503,22 1.503,22
FLUCONAZOL
Comprimidos 50 mg FUNGOCINA 50 mg COM x 10 Lazar 474,74 263,48 263,48
100 mg MUTUM 100 mg COM x 15 Raffo 3.631,25 2.095,79 2.095,79
FUNGOCINA 100 mg COM x 16 Lazar 2.538,37 1.015,35 1.015,35
150 mg DAMICOL 150 mg CAP x 1 Biol 59,80 23,92 23,92

MICORAL FLUCO CAP x 1 Investi 186,39 85,18 85,18
HONGUIL PLUS ORAL CAP x 1 Raymos 251,05 146,93 146,93
NIMIC 150 mg COM x 1 Geminis Farmaceutica 255,20 150,89 150,89
FUNGOCINA 150 mg COM x 1 Lazar 277,34 172,04 172,04
FLUCOGINKAN 150 mg COM x 1 Baliarda 290,32 184,43 184,43
MUTUM 150 mg COM x 1 Raffo 304,01 197,51 197,51
FEMIXOL 150 mg COM x 1 Omega 608,76 488,54 488,54
PERIPLUM 150 mg CAP x 2 Fortbenton 376,99 175,19 175,19

DAMICOL 150 mg CAP x 2 Biol 390,65 187,42 187,42
TRIFLUCAN 150 mg CAP x 2 Pfizer 406,47 202,53 202,53
FLUCONAL 150 mg COM x 2 Craveri 455,08 248,95 248,95
MUTUM 150 mg COM x 2 Raffo 594,81 382,40 382,40
ANTIMICON 150 mg COM x 2 Casasco 599,32 386,70 386,70
MICOLIS NOVO 150 mg CAP x 2 Roemmers 629,23 415,27 415,27
FLUPEC 150 mg COM x 2 Andromaco 634,00 419,82 419,82
FEMIXOL 150 mg COM x 2 Omega 1.141,02 904,03 904,03
FLUZOL 150 mg COM x 4 Raymos 558,36 223,34 223,34

FLUCODERM 150 mg COM x 4 Cassara 625,12 263,78 263,78
PERIPLUM 150 mg CAP x 4 Fortbenton 630,48 270,21 270,21
FLUCONAL 150 mg COM x 4 Craveri 742,89 338,16 338,16
TRIFLUCAN 150 mg COM x 4 Pfizer 787,37 380,64 380,64
ANTIMICON 150 mg COM x 4 Casasco 1.046,61 628,21 628,21
MUTUM 150 mg COM x 4 Raffo 1.048,94 630,44 630,44
FLUPEC 150 mg COM x 4 Andromaco 1.131,00 708,80 708,80
MICOLIS NOVO 150 mg CAP x 4 Roemmers 1.169,97 746,02 746,02
PERIPLUM 150 mg CAP x 8 Fortbenton 1.068,45 457,91 457,91

HONGUIL PLUS ORAL CAP x 8 Raymos 1.167,86 467,14 467,14
NIMIC 150 mg COM x 8 Geminis Farmaceutica 1.210,46 484,18 484,18
FUNGOCINA 150 mg COM x 8 Lazar 1.309,63 523,85 523,85
MUTUM 150 mg COM x 8 Raffo 1.842,63 1.017,11 1.017,11
ANTIMICON 150 mg COM x 8 Casasco 1.862,79 1.036,36 1.036,36
FLUPEC 150 mg COM x 8 Andromaco 1.939,00 1.109,14 1.109,14
Página 47 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 150 mg
200 mg MUTUM 200 mg COM x 10 Raffo 4.093,12 2.472,28 2.472,28
FUNGOCINA 200 mg COM x 12 Lazar 2.898,52 1.159,41 1.159,41
MUTUM 200 mg COM x 30 Raffo 10.441,87 5.662,03 5.662,03
FLUNITRAZEPAN
Comprimidos 1 mg ROHYPNOL 1 mg COM x 30 Investi 460,80 255,75 255,75
MIRPAW 1 mg COM x 30 Rospaw 455,00 270,69 270,69
FLUOROMETALONA
Colirio 100 mg FLAREX SUSP. COL x 5 Novartis 850,86 565,86 565,86
FML LIQUIFILM COL x 10 Allergan-Loa 561,79 224,72 224,72
FLUOXETINA
Comprimidos 10 mg XETNA 10 mg CAP x 30 Eurofarma 500,00 227,04 227,04
NERVOSAL 10 mg CAP x 30 Sidus 625,15 324,06 324,06
FOXETIN 10 mg COM x 30 Gador 682,40 378,73 378,73
NERVOSAL 10 mg CAP x 60 Sidus 1.057,37 463,87 463,87
20 mg ALENTAL 20 mg COM x 20 Soubeiran Chobet 518,75 253,02 253,02

PROZAC DISPER. 20 mg COM x 28 Eli Lilly 2.090,58 1.659,00 1.659,00
SAURAT 20 mg COM x 30 Teva argentina ( 535,75 214,30 214,30

XETNA 20 mg COM x 30 Eurofarma 593,00 237,20 237,20
NERVOSAL 20 mg CAP x 30 Sidus 656,04 262,94 262,94
ANIMEX-ON 20 mg COM x 30 Bernabo 766,51 368,44 368,44
EQUILIBRANE 20 mg COM x 30 Temis-Lostalo 921,94 516,87 516,87
NEUPAX 20 mg COM x 30 Bagó 952,01 545,59 545,59
PROZAC 20 mg CAP x 30 Eli Lilly 2.091,49 1.635,64 1.635,64
ALENTAL 20 mg COM x 40 Soubeiran Chobet 1.111,54 576,74 576,74

FOXETIN 20 mg COM x 40 Gador 1.204,22 665,25 665,25
NERVOSAL 20 mg CAP x 60 Sidus 1.165,45 466,18 466,18

EQUILIBRANE 20 mg COM x 60 Temis-Lostalo 1.666,07 863,94 863,94
FOXETIN 20 mg COM x 60 Gador 1.716,30 911,91 911,91
FLURBIPROFENO
Colutorio 100 mg CLINADOL CLT x 150 Gador 330,76 183,58 183,58
Comprimidos 100 mg FLURBIXIM 100 mg COM x 8 Savant Consumer 84,65 33,86 33,86
CLINADOL FORTE 100 mg COM x 8 Gador 162,03 101,47 101,47
FLURBIXIM 100 mg COM x 16 Savant Consumer 123,71 49,48 49,48

CLINADOL FORTE 100 mg COM x 16 Gador 254,56 136,57 136,57
200 mg CLINADOL FORTE AP 200 mg COM x 8 Gador 270,07 149,89 149,89
FLUTICASONA
Aerosol 0,05 mg FLIXOTIDE 50 mcg INHAL. AER x 120 GlaxoSmithKline 1.366,30 758,30 758,30
0,125 mg FLIXOTIDE 125 mcg INHAL. AER x 60 GlaxoSmithKline 1.109,65 739,25 739,25
FLUTICORT 125 mcg HFA AER x 120 Cassara 1.143,87 502,94 502,94
FLIXOTIDE 125 mcg INHAL. AER x 120 GlaxoSmithKline 1.934,92 1.206,92 1.206,92
Página 48 de 112
A CARGO A CARGO
AFILIADO CRONICO
Aerosol 0,125 mg LIRTODAC 125 mcg AER x 120 Pharmadorf 1.932,53 1.209,56 1.209,56
0,25 mg FLIXOTIDE 250 mcg INHAL. AER x 60 GlaxoSmithKline 1.138,11 736,42 736,42
FLUTICORT 250 mcg HFA AER x 120 Cassara 1.487,93 786,97 786,97
FLIXOTIDE 250 mcg INHAL. AER x 120 GlaxoSmithKline 1.991,76 1.201,17 1.201,17
LIRTODAC 250 mcg AER x 120 Pharmadorf 2.090,30 1.300,60 1.300,60
Inhahaldor con 0,25 mg FLIXOTIDE 250 mcg DISKUS INH x 60 GlaxoSmithKline 1.276,85 708,65 708,65
sistemas
Spray 0,05 mg PROAIR NASAL ACUOSO SPR x 60 Montpellier 247,16 141,39 141,39
LIDIL CORT NASAL SPR x 60 Roemmers 247,60 141,81 141,81
INHALAN NASAL SPR x 60 Casasco 266,23 159,60 159,60
BALIVENT NASAL SPR x 60 Baliarda 307,44 198,96 198,96
FLUTICORT 50 mcg NASAL SPR x 60 Cassara 397,90 303,25 303,25
BRONQUILAIR NASAL SPR x 120 Atlas 275,57 110,23 110,23

LIDIL CORT NASAL SPR x 120 Roemmers 421,47 213,21 213,21
PROAIR NASAL ACUOSO SPR x 120 Montpellier 424,52 216,12 216,12
INHALAN NASAL SPR x 120 Casasco 458,50 248,57 248,57
RINISONA NASAL 50 mcg SPR x 120 Elea - Phoenix 494,92 283,35 283,35
BALIVENT NASAL SPR x 120 Baliarda 577,98 362,67 362,67
FLIXONASE ACUOSO NASAL SPR x 120 GlaxoSmithKline 1.085,60 847,45 847,45
FLUTI-K 50 mcg NASAL SPR x 120 Raffo 1.120,56 880,84 880,84
FLUTICASONA FUROATO
Spray 0,0275 ALENYS NASAL SPR x 120 GlaxoSmithKline 1.039,59 576,98 576,98
mg
FLUVASTATINA
Comprimidos 80 mg LESCOL XL 80 mg COM x 28 Novartis 987,88 548,27 548,27
FOLICO, ÁCIDO
Comprimidos 1 mg TANVIMIL FOLICO 1 mg COM x 30 Raymos 349,12 172,30 172,30 MAT
NEXOVITAL FOLICO 1 mg COM x 30 Eurofarma 359,00 181,73 181,73 MAT
BERNAFOLIC 1 mg COM x 30 Bernabo 360,39 183,06 183,06 MAT
COFLIC 1 mg COM x 30 Baliarda 375,25 197,25 197,25 MAT
FOLINEMIC 1 mg COM x 30 Pharmadorf 403,79 225,54 225,54
ACIFOL 1 mg COM x 30 Dominguez 439,49 258,60 258,60 MAT
EGESTAN FOLICO 1 mg COM x 30 Elea - Phoenix 472,44 290,07 290,07 MAT
ACIDO FOLICO OMEGA 1 mg COM x 30 Omega 528,18 343,30 343,30

TANVIMIL FOLICO 1 mg COM x 60 Raymos 463,78 185,51 185,51 MAT
BERNAFOLIC 1 mg COM x 60 Bernabo 567,77 227,11 227,11
NEXOVITAL FOLICO 1 mg COM x 60 Eurofarma 609,20 259,56 259,56
EGESTAN FOLICO 1 mg COM x 60 Elea - Phoenix 774,30 417,23 417,23 MAT
5 mg ANFOLIC 5 mg COM x 10 Trb-Pharma 178,00 100,15 100,15
SUPRAFOL 5 mg COM x 30 Investi 93,34 37,34 37,34 MAT

ANFOLIC 5 mg COM x 30 Trb-Pharma 338,00 141,20 141,20 MAT
COFLIC 5 mg COM x 30 Baliarda 503,60 270,73 270,73 MAT
Página 49 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 5 mg EGESTAN FOLICO 5 mg COM x 30 Elea - Phoenix 597,63 360,53 360,53 MAT
ACIDO FOLICO OMEGA 5 mg COM x 30 Omega 610,31 372,64 372,64

TANVIMIL FOLICO 5 mg COM x 60 Raymos 534,90 213,96 213,96
EGESTAN FOLICO 5 mg COM x 60 Elea - Phoenix 1.019,05 552,78 552,78 MAT
10 mg TANVIMIL FOLICO 10 mg COM x 30 Raymos 538,16 215,26 215,26 MAT

COFLIC 10 mg COM x 30 Baliarda 629,70 273,86 273,86

ACIFOL 10 mg COM x 60 Dominguez 1.486,07 764,18 764,18 MAT
Gotas 5 mg ACIFOL GTS x 10 Dominguez 588,03 326,36 326,36
Líquido 5 mg TANVIMIL FOLICO Gotero SOL x 10 Raymos 265,19 147,18 147,18
FOSFATO MONOSÓDICO +
FOSFATO DISÓDICO
Enema 18000 KRITEL ENE x 135 Monserrat 436,00 240,42 240,42
mg
ENEMOL ENE x 135 Gador 441,22 245,09 245,09
Frasco 48000 FOSFACOL 2 F 45 ml FCO x 2 Sanitas 980,74 560,09 560,09

mg
Líquido 48000 GADOLAX ORAL SOL x 45 Gador 541,61 251,80 251,80
mg
COLONIL ORAL SOL x 45 Eurofarma 657,25 362,23 362,23
FOSFO DOM SOL x 45 Dominguez 686,21 389,89 389,89
NOVONIL SOL x 45 Rossmore Pharma 1.781,87 1.436,25 1.436,25
FUROSEMIDA
Ampollas 20 mg LASIX 20 MG/2 ML AMP x 10 Sanofi Aventis 573,81 328,29 190,35
Comprimidos 25 mg NURIBAN 25 mg COM x 45 Roux Ocefa 199,18 119,51 69,71
40 mg FUROTRAL 40 mg COM x 30 Lepetit 160,72 67,82 36,85

FUROSEMIDA FECOFAR COM x 30 Fecofar 447,52 194,90 99,93
LASIX 40 mg COM x 30 Sanofi Aventis 625,27 365,15 219,48
DAFIL 40 mg COM x 40 Sidus 267,60 107,04 53,52
RETEP 40 mg COM x 50 Biosintex Retail 164,00 65,60 65,60

FUROSEMIDA VANNIER COM x 50 Vannier S.A. 560,92 224,37 224,37
FUROSEMIDA FECOFAR COM x 50 Fecofar 695,67 290,42 155,34
ERROLON COM x 50 Nova Argentia 964,55 532,70 289,92
LASIX 40 mg COM x 50 Sanofi Aventis 1.042,09 608,55 365,77
LASIX 40 mg COM x 60 Sanofi Aventis 1.250,53 730,28 438,95
50 mg NURIBAN 50 mg COM x 45 Roux Ocefa 244,56 146,74 85,60
Gotas 20 mg NURIBAN GTS x 15 Roux Ocefa 243,23 145,94 85,13 INF
FUSÍDICO, ÁCIDO
Crema 2000 mg FUSIMED 2% CRE x 15 Cassara 327,64 138,25 138,25
ARZIMOL 2% CRE x 15 Lazar 380,37 181,29 181,29
GELBIOTIC CRE x 15 Raymos 476,14 272,75 272,75
FUSITOP CRE x 15 Hlb Pharma 478,17 296,20 296,20
ACIFUSIN CRE x 15 Andromaco 582,00 373,84 373,84
Página 50 de 112
A CARGO A CARGO
AFILIADO CRONICO
Crema 2000 mg
GABAPENTIN
Comprimidos 100 mg ARAPENTIN 100 mg CAP x 30 Ariston 614,32 292,30 292,30
ELIFER 100 mg COM x 30 Casasco 736,17 408,67 408,67
ULTRANEURAL 100 mg COM x 30 Raffo 777,41 448,05 448,05
NEURONTIN 100 mg CAP x 90 Pfizer 1.995,06 1.022,15 1.022,15
NEURONTIN 100 mg CAP x 100 Pfizer 1.738,39 695,36 695,36
300 mg ARAPENTIN 300 mg CAP x 30 Ariston 1.107,63 546,66 546,66

LOGISTIC 300 mg COM x 30 Craveri 1.254,87 687,28 687,28
ELIFER 300 mg COM x 30 Casasco 1.383,88 810,48 810,48
NEURONTIN 300 mg CAP x 30 Pfizer 1.384,79 811,35 811,35
ULTRANEURAL 300 mg COM x 30 Raffo 1.409,50 834,95 834,95
NEURONTIN 300 mg CAP x 60 Pfizer 2.216,72 1.094,72 1.094,72

LOGISTIC 300 mg COM x 60 Craveri 2.284,33 1.159,29 1.159,29
ELIFER 300 mg COM x 60 Casasco 2.406,77 1.276,22 1.276,22
ULTRANEURAL 300 mg COM x 60 Raffo 2.518,12 1.382,56 1.382,56
400 mg NEURONTIN 400 mg CAP x 60 Pfizer 2.851,19 1.605,25 1.605,25
600 mg ARAPENTIN 600 mg COM x 30 Ariston 1.424,78 666,16 666,16

LOGISTIC 600 mg COM x 30 Craveri 1.564,79 799,87 799,87
NEURONTIN 600 mg COM x 30 Pfizer 1.709,83 938,38 938,38
ELIFER 600 mg COM x 30 Casasco 1.737,10 964,42 964,42
ULTRANEURAL 600 mg COM x 30 Raffo 1.775,04 1.000,66 1.000,66
GAMMAGLOBULINA
INESPECÍFICA
Ampollas 330 mg GAMMAGLOBULINA T 16.5% 2 ml F.A x 1 Hemoderivados 722,22 433,33 433,33 INF
825 mg GAMMAGLOBULINA T 16.5% 5 ml F.A x 1 Hemoderivados 1.798,21 1.078,93 1.078,93
GEMFIBROZIL
Comprimidos 600 mg GEMFIBROZIL R.O. 600 mg COM x 30 Roux Ocefa 390,34 156,14 78,07
LOPID 600 mg COM x 30 Pfizer 1.073,70 606,60 344,87
HIPOLIXAN 600 COM x 30 Bagó 1.277,05 800,80 539,07
GEMFIBROZIL R.O. 600 mg COM x 60 Roux Ocefa 665,73 266,29 133,15

LOPID 600 mg COM x 60 Pfizer 1.874,05 952,16 428,69
900 mg GEMFIBROZIL R.O. 900 mg COM x 30 Roux Ocefa 496,59 198,64 99,32
HIPOLIXAN 900 COM x 30 Bagó 1.463,67 812,50 446,69
LOPID UD 900 mg COM x 15 Pfizer 480,15 198,90 96,03
LOPID UD 900 mg COM x 30 Pfizer 1.298,28 720,58 396,03
GENTAMICINA
Ampollas 80 mg GENTAMICINA RICHET 80 mg AMP x 2 Richet 500,18 325,05 325,05
400 mg GLEVOMICINA 400 MULTIDOSIS AMP x 1 Bagó 610,83 339,01 339,01
Colirio 300 mg PROVISUAL COL x 10 Poen 213,52 118,48 118,48 INF
Crema 100 mg GENTADERM 0.1% CRE x 15 Medisol 118,00 47,20 47,20
GLIBENCLAMIDA
Comprimidos 5 mg DIABE PASS 5 mg COM x 30 Francelab 190,32 76,13 76,13
DAONIL COM x 30 Sanofi Aventis 221,88 93,88 51,21
Página 51 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 5 mg GARDOTON 5 mg COM x 30 Raffo 235,09 94,13 47,02

BENCLAMID 5 mg COM x 30 Craveri 306,04 161,89 80,41
GLIDANIL 5 mg COM x 30 Montpellier 323,81 178,86 97,38
EUGLUCON 5 mg COM x 30 Investi 352,04 205,82 124,34
DIABE PASS 5 mg COM x 60 Francelab 342,19 136,88 136,88

DAONIL COM x 60 Sanofi Aventis 360,64 152,58 83,22
GARDOTON 5 mg COM x 60 Raffo 466,24 186,50 93,25
BENCLAMID 5 mg COM x 60 Craveri 567,21 280,94 117,97
GLIDANIL 5 mg COM x 60 Montpellier 640,83 351,24 188,28
EUGLUCON 5 mg COM x 60 Investi 696,90 404,79 241,82
GLICLAZIDA
Comprimidos 30 mg TRADON MR 30 mg COM x 30 Craveri 578,99 323,48 323,48
TRADON MR 30 mg COM x 60 Craveri 1.134,58 624,60 624,60
60 mg AGLUCIDE MR 60 mg COM x 30 Beta 896,43 447,98 447,98

DIAMICRON MR 60 mg COM x 30 Servier 1.040,24 585,32 585,32
TRADON MR 60 mg COM x 30 Craveri 1.061,16 605,30 605,30
AGLUCIDE MR 60 mg COM x 60 Beta 1.716,06 822,61 822,61

DIAMICRON MR 60 mg COM x 60 Servier 2.034,48 1.126,70 1.126,70
TRADON MR 60 mg COM x 60 Craveri 2.070,33 1.160,94 1.160,94
80 mg UNAVA COM x 20 Investi 326,93 201,52 201,52
UNAVA COM x 60 Investi 820,00 451,00 451,00
GLIMEPIRIDE
Comprimidos 2 mg GLIPERID 2 mg COM x 30 Savant Consumer 217,96 87,18 87,18
GLEMAZ 2 mg COM x 30 Montpellier 372,62 185,14 185,14
ENDIAL 2 mg COM x 30 Roemmers 375,16 187,56 187,56
ADIUVAN 2 mg COM x 30 Lazar 390,00 201,73 201,73
GLIMEPLIC 2 mg COM x 30 Baliarda 438,25 247,81 247,81
HIPOGLUT 2 mg COM x 30 Gador 454,45 263,28 263,28
NEXT STEP 2 mg COM x 30 Francelab 482,05 311,33 311,33
ISLOPIR 2 mg COM x 30 Craveri 569,59 373,24 373,24
DIABUTIL 2 mg COM x 30 Elea - Phoenix 716,56 513,60 513,60
AMARYL 2 mg COM x 30 Sanofi Aventis 758,39 554,86 554,86

AMARYL 2 mg COM x 60 Sanofi Aventis 1.337,77 938,45 938,45
4 mg GLEMAZ 4 mg TRIRRAN. COM x 15 Montpellier 349,99 182,83 182,83

LOMET 4 mg COM x 15 Microsules Argentina 626,29 474,88 474,88
AMARYL 4 mg COM x 15 Sanofi Aventis 706,34 524,36 524,36
GLIPERID 4 mg COM x 30 Savant Consumer 401,94 160,78 160,78

GLUCOPIRIDA 4 mg COM x 30 Biotenk 661,70 329,10 329,10
GLEMAZ 4 mg TRIRRAN. COM x 30 Montpellier 680,43 346,99 346,99
ADIUVAN 4 mg COM x 30 Lazar 694,29 360,22 360,22
GLIMEPLIC 4 mg COM x 30 Baliarda 814,56 475,08 475,08
HIPOGLUT 4 mg COM x 30 Gador 836,46 496,00 496,00
NEXT STEP 4 mg COM x 30 Francelab 939,57 636,75 636,75
LOMET 4 mg COM x 30 Microsules Argentina 1.000,00 697,18 697,18
ISLOPIR 4 mg COM x 30 Craveri 1.085,06 733,41 733,41
Página 52 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 4 mg DIABUTIL 4 mg COM x 30 Elea - Phoenix 1.219,03 861,35 861,35

AMARYL 4 mg COM x 30 Sanofi Aventis 1.337,77 977,06 977,06
GLEMAZ 4 mg TRIRRAN. COM x 60 Montpellier 1.355,67 689,02 689,02
GLIMEPIRIDE + METFORMINA
Comprimidos 2 mg GLEMAZ MET 2/ 1000 mg COM x 30 Montpellier 440,66 233,14 233,14
ENDIAL MET 2/ 1000 mg COM x 30 Roemmers 442,87 235,25 235,25
MECTIN PLUS 2/ 1000 mg COM x 30 Teva argentina ( 449,70 241,78 241,78
ADIUVAN MET 2/ 1000 mg COM x 30 Lazar 451,63 243,62 243,62
HIPOGLUT MET 2/ 500 mg COM x 30 Gador 567,28 314,84 314,84
HIPOGLUT MET 2/ 1000 mg COM x 30 Gador 585,25 371,23 371,23
AMARYL M 2/ 1000 mg COM x 30 Sanofi Aventis 722,29 503,35 503,35
GLEMAZ MET 2/ 1000 mg COM x 60 Montpellier 858,07 444,08 444,08
4 mg MECTIN PLUS 4/ 1000 mg COM x 30 Teva argentina ( 536,25 214,50 214,50

GLEMAZ MET 4/ 1000 mg COM x 30 Montpellier 779,47 416,03 416,03
ENDIAL MET 4/ 1000 mg COM x 30 Roemmers 781,31 417,79 417,79
ADIUVAN MET 4/ 1000 mg COM x 30 Lazar 781,92 418,37 418,37
HIPOGLUT MET 4/ 1000 mg COM x 30 Gador 1.013,61 639,63 639,63
AMARYL M 4/ 1000 mg COM x 30 Sanofi Aventis 1.337,77 951,52 951,52
GLEMAZ MET 4/ 1000 mg COM x 60 Montpellier 1.482,59 759,15 759,15
GLIPIZIDA
Comprimidos 5 mg MINODIAB 5 mg COM x 30 Pfizer 162,26 91,96 52,59
MINODIAB 5 mg COM x 90 Pfizer 464,00 254,13 136,01
GLUCAGON
Ampollas 1 mg GLUCAGEN HYPOKIT 1 mg VIAL F.A x 1 Novo Nordisk 3.012,54 1.274,53 1.274,53
GLUCAGON ORIGEN ADNR 1 mg JPR x 1 Eli Lilly 11.437,48 8.947,94 8.947,94
GONADOTROFINA CORIÓNICA
/ HCG
Ampollas 5000 ui DINARON 5000 UI + SOLV. F.A x 1 Buxton 3.883,14 2.068,61 2.068,61
GONACOR 5000 IM LIOFILIZADO F.A x 1 Ferring 4.108,50 2.283,83 2.283,83
5000 ui PREGNYL 1 ml + disol. F.A x 1 MSD Arrgentina SR 1.970,09 1.093,40 1.093,40
GRISEOFULVINA
Comprimidos 500 mg GRISOVIN FP 500 mg COM x 24 Investi 956,55 530,89 530,89
HALOPERIDOL
Ampollas 5 mg HALOPIDOL 5 mg 1 ml AMP x 5 Janssen-Cilag 1.174,53 651,86 358,23
Comprimidos 1 mg NEUPRAM 1 mg COM x 30 Sidus 313,02 236,10 196,83
NEUPRAM 1 mg COM x 60 Sidus 465,55 318,93 240,39
HALOPIDOL 1 mg COM x 100 Janssen-Cilag 523,60 290,59 159,69
5 mg NEUPRAM 5 mg COM x 30 Sidus 521,73 284,87 151,51
NEUPRAM 5 mg COM x 60 Sidus 1.003,41 531,50 264,78

HALOPIDOL 5 mg COM x 60 Janssen-Cilag 1.066,89 592,12 325,40
10 mg NEUPRAM 10 mg COM x 30 Sidus 722,38 288,95 144,48
NEUPRAM 10 mg COM x 60 Sidus 1.284,43 513,77 256,89

ENABRAN 10 mg COM x 60 Casasco 1.539,85 661,48 307,97
HALOPIDOL 10 mg COM x 60 Janssen-Cilag 2.072,85 1.170,50 664,83
Página 53 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg
Líquido 2 mg HALOPIDOL 2 mg/ml SOL x 15 Janssen-Cilag 167,38 66,95 33,48
ENABRAN 2 mg/ml SOL x 30 Casasco 473,70 255,72 132,81

HALOPIDOL 2 mg/ml SOL x 30 Janssen-Cilag 494,28 297,62 297,62
HALOPIDOL 2 mg/ml SOL x 100 Janssen-Cilag 244,03 97,61 48,81
10 mg HALOPIDOL FORTE 10 mg/ml SOL x 30 Janssen-Cilag 1.133,92 629,33 345,85
HALOPERIDOL DECANOATO
Ampollas 50 mg HALOPIDOL DECANOATO 1 ML AMP x 1 Janssen-Cilag 689,92 382,91 210,43
150 mg HALOPIDOL DECANOATO 3 ML AMP x 1 Janssen-Cilag 1.279,94 728,07 419,15
HEPARINA CÁLCICA
Ampollas 12500 ui CALCIPARINE 0.5 ML AMP x 2 Sanofi Aventis 117,88 65,42 65,42
HEPATITIS A ANTIGENO
Ampollas 25 ui VAQTA 25 PED. 0.5 ML JPR x 1 MSD Arrgentina SR 2.722,23 1.510,84 1.510,84
50 ui VAQTA 50 AD. 1.0 ML JPR x 1 MSD Arrgentina SR 3.231,28 1.793,36 1.793,36
80 ui AVAXIM 80 U PEDIAT 0.5 ML JPR x 1 Sanofi Pasteur 2.293,63 1.272,96 1.272,96
160 ui AVAXIM 0.5 ML JPR x 1 Sanofi Pasteur 2.801,56 1.554,87 1.554,87
720 ui HAVRIX MONODOSIS 720 EL.U. JPR x 1 GlaxoSmithKline 2.257,23 1.252,76 1.252,76
1440 ui HAVRIX ADULTOS 1440 EL.U JPR x 1 GlaxoSmithKline 2.520,69 1.398,98 1.398,98
HEPATITIS B ANTIGENO
SUPERF. DEL VIRUS
Ampollas 0,01 mg AG B 10 mcg 0.5 ML SUSP. F.A x 1 Cassara 324,45 136,91 136,91
BIOVAC HB 10 mcg F.A x 1 Elea - Phoenix 524,20 290,78 290,78
ENGERIX-B PEDIATRICO 0.5 ML JPR x 1 GlaxoSmithKline 524,96 291,50 291,50
HEPATIVAX JUNIOR 0.5 ML F.A x 1 Sanofi Pasteur 1.230,22 965,03 965,03
0,02 mg AG B 20 1 ML SUSP. F.A x 1 Cassara 464,83 196,14 196,14

BIOVAC HB 20 mcg F.A x 1 Elea - Phoenix 694,80 303,36 303,36
ENGERIX-B 1 ML JPR x 1 GlaxoSmithKline 875,81 476,23 476,23
HEPATIVAX 1 ML F.A x 1 Sanofi Pasteur 1.518,62 1.090,11 1.090,11
0,04 mg HB VAX PRO IM 40 mcg 1 ML F.A x 1 MSD Arrgentina SR 1.685,65 935,54 935,54
HIALURONICO, ÁCIDO
Ampollas 20 mg HYALART 2 ML JPR x 1 Bagó 3.493,43 1.916,05 1.916,05
CRUZAL 20 2 ml + aguja JPR x 1 Finadiet 3.582,03 2.000,67 2.000,67
40 mg CRUZAL 40 2 ml + aguja JPR x 1 Finadiet 5.304,29 2.943,88 2.943,88
60 mg CIENTIFIC SYNOVIAL 60 2 ml+aguja JPR x 1 Sidus 16.661,34 9.996,80 9.996,80
40 mg CIENTIFIC SYNOVIAL 40 2 ml+aguja JPR x 1 Sidus 12.723,20 7.061,38 7.061,38
Colirio 3 mg BIOSOL Estéril COL x 10 Novoplos 564,77 247,34 247,34

HYALOMB COL x 10 Bausch & Lomb Argentina 922,68 590,36 590,36
300 mg BIOSOL LC Estéril COL x 7,5 Novoplos 766,90 456,65 456,65
HIDROCLOROTIAZIDA
Comprimidos 12,5 mg DIUREX 12.5 mg COM x 30 Bagó 462,46 256,67 141,05
25 mg DIURITEN 25 mg COM x 30 Roux Ocefa 244,32 97,73 48,86

DIUREX 25 mg COM x 30 Bagó 577,41 320,47 176,12
Página 54 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 50 mg DIURAL 50 mg COM x 15 Lepetit 117,86 49,73 27,02
TANDIUR COM x 30 Raymos 237,09 94,84 47,42

DIURAL 50 mg COM x 30 Lepetit 235,72 99,47 54,05
DIURITEN 50 mg COM x 30 Roux Ocefa 301,16 120,46 60,23
DIUREX 50 mg COM x 60 Bagó 1.143,91 681,57 424,78
HIDROCLOROTIAZIDA +
AMILORIDA
Comprimidos 12,5 mg DIUREX A 12.5/1.25 mg COM x 30 Bagó 332,21 184,38 101,32
25 mg DIUREX A 25/2.5 mg COM x 30 Bagó 334,36 185,57 101,98
50 mg DIUREX A 50/5 mg COM x 30 Bagó 372,42 235,52 160,43

MODURETIC COM x 30 MSD Arrgentina SR 386,15 248,63 173,54
HIDRENOX A COM x 50 Teva argentina ( 352,12 140,85 70,42

MODURETIC COM x 50 MSD Arrgentina SR 378,29 161,02 75,66
HIDROCORTISONA
Comprimidos 10 mg HIDROTISONA 10 mg COM x 30 Sanofi Aventis OTC 399,00 227,59 227,59
Crema 500 mg MICROSONA 0.5% CRE x 15 Nova Argentia 329,35 182,79 182,79
1000 mg LACTID HC 1% CRE x 15 Medisol 168,00 85,20 85,20

MICROSONA 1% CRE x 15 Nova Argentia 345,84 210,09 210,09
DEMACORT 1% CRE x 15 Andromaco 375,00 237,93 237,93
TRANSDERMA H CRE x 20 Szama 433,97 254,19 254,19
ALFACORT 1% CRE x 30 Cassara 392,87 165,78 165,78

MEDROCIL 1% BOMBA DISP. CRE x 30 Fortbenton 457,19 197,02 197,02
2000 mg MICROSONA 2% CRE x 15 Nova Argentia 421,67 237,27 237,27
MEDROCIL 2% BOMBA DISP. CRE x 30 Fortbenton 464,84 185,94 185,94
Emulsión 1000 mg ALFACORT 1% EMU x 100 Cassara 961,97 561,17 561,17
HIDROCORTISONA +
LIDOCAINA
Pomada 5000 mg PROCTYL HC PDA x 10 Takeda 347,41 243,63 243,63
XILOCLER RECTAL PDA x 15 Monserrat 322,00 175,29 175,29
PROCTYL HC PDA x 30 Takeda 711,28 414,56 414,56
HIDROCORTISONA +
VITAMINA A + ACEITE DE
HÍGADO DE PECES +
VITAMINA D + BÓRICO, ÁCIDO
Pomada 1000 mg HIPOGLOS CON HIDROCORTISONA PDA x 15 Andromaco 282,00 156,51 156,51
HIDROCORTISONA ACETATO
Crema 1000 mg ANUSOL HC CRE x 10 Elea - Phoenix 203,43 112,90 112,90
Envase 500 mg ALFACORT UNIDOSIS OFT. UNG. ENV x 20 Cassara 550,21 338,18 338,18
+ PRAMOXINA
Crema 1000 mg ANUSOL DUO CRE x 10 Elea - Phoenix 401,02 222,57 222,57
+ PRAMOXINA + ZINC ÓXIDO
Supositorios 5 mg ANUSOL DUO S SUP x 12 Elea - Phoenix 389,55 216,20 216,20
Página 55 de 112
A CARGO A CARGO
AFILIADO CRONICO
+ ZINC ÓXIDO + BISMUTO
SUBGALATO
Supositorios 3 mg ANUSOL HC SUP x 12 Elea - Phoenix 214,05 118,80 118,80
HIDROCORTISONA
HEMISUCCINATO
Comprimidos 2,5 mg ORALSONE COM x 12 Gramón-Millet 304,19 182,51 182,51
HIDROXICINA
Comprimidos 10 mg ATARAXONE 10 mg COM x 20 Lazar 361,11 200,42 200,42
25 mg ATARAXONE 25 mg COM x 20 Lazar 503,63 279,52 279,52
50 mg ATARAXONE 50 mg COM x 20 Lazar 958,15 531,81 531,81
Gotas 1000 mg ATARAXONE GTS x 20 Lazar 361,11 200,42 200,42
Líquido 200 mg ATARAXONE JBE x 120 Lazar 568,15 315,33 315,33
HIDROXICLOROQUINA
Comprimidos 200 mg NARBON 200 mg COM x 30 Buxton 751,47 484,80 484,80
EVOQUIN COM x 60 Teva argentina ( 1.059,83 477,69 477,69

POLIRREUMIN 200 mg COM x 60 Trb-Pharma 1.228,00 708,65 708,65
NARBON 200 mg COM x 60 Buxton 1.339,96 813,95 813,95
PLAQUENIL 200 mg COM x 60 Sanofi Aventis 2.586,78 2.009,14 2.009,14
HIDROXIPROGESTERONA
Ampollas 500 mg PROLUTON DEPOT 500 IM 2 ML AMP x 1 Bayer (PH) 531,09 294,75 294,75
HIDROXIPROPILMETILCELULO
SA
Colirio 3 mg LAGRIMA DORF 3 mg/ml COL x 10 Pharmadorf 575,49 474,03 474,03
LATLAS TEARS 3 mg/ml COL x 15 Atlas 384,23 214,75 214,75

NATURA LAGRIMAS 3 mg/ml COL x 15 Spedrog Caillon 385,99 216,91 216,91
LAGRIMA DORF 3 mg/ml COL x 15 Pharmadorf 472,41 299,58 299,58
COOL TEARS 3 mg/ml COL x 20 Max Vision 397,07 176,28 176,28
3,2 mg ARTELAC 3.2 mg/ml COL x 10 Bausch & Lomb Argentina 855,67 485,99 485,99
HIDROXIPROPILMETILCELULO
SA + DEXTRAN
Colirio 3 mg BIO EYES LAGRIMAS COL x 10 Novoplos 370,90 211,49 211,49
PH LAGRIMAS COL x 15 Elea - Phoenix 538,92 299,18 299,18
HIERRO + FOLICO, ÁCIDO

Comprimidos 40 mg YECTAFER TABS 40/0.5 mg COM x 20 Rontag 431,36 265,06 265,06 MAT
HIERROQUICK 40 COM x 20 Raymos 487,33 317,76 317,76 MAT
YECTAFER TABS 40/0.5 mg COM x 40 Rontag 683,08 358,26 358,26

80 mg YECTAFER TABS 80/1 mg COM x 20 Rontag 742,96 448,79 448,79

YECTAFER TABS 80/1 mg COM x 40 Rontag 1.236,24 658,71 658,71 MAT

HIERROQUICK 80 COM x 40 Raymos 1.300,15 717,60 717,60 MAT
HIERRO DEXTRANO
Ampollas 625 mg YECTAFER AMP x 5 Rontag 1.064,34 610,54 610,54 MAT
Página 56 de 112
A CARGO A CARGO
AFILIADO CRONICO
Ampollas 625 mg YECTAFER AMP x 10 Rontag 2.081,38 1.175,83 1.175,83 MAT
HIERRO FUMARATO + FOLICO,

ÁCIDO
Comprimidos 60 mg FERRETAB COMPUESTO CAP x 30 Biol 804,69 463,59 463,59 MAT
FERRETAB COMPUESTO CAP x 60 Biol 1.366,18 694,93 694,93 MAT
HIERRO POLIMALTOSATO
Ampollas 100 mg FERRANIN IM 2 ML AMP x 5 Takeda 960,36 560,64 560,64 MAT
SIDERBLUT IM 2 ml AMP x 5 Investi 1.366,53 947,69 947,69
FERRANIN IM 2 ML AMP x 10 Takeda 1.732,74 941,60 941,60 MAT
Comprimidos 100 mg VITALIX 100 mg COM x 30 Roemmers 386,01 195,08 195,08 MAT
SIDERBLUT POLI COM x 30 Investi 412,38 220,27 220,27 MAT
FERRANIN COM x 30 Takeda 538,16 340,86 340,86 MAT
SIDERBLUT POLI COM x 60 Investi 742,28 361,77 361,77 MAT
Gotas 5 mg SIDERBLUT ORAL GTS x 20 Investi 305,32 169,45 169,45 MAT
5000 mg FERRANIN GTS x 15 Takeda 275,67 155,40 155,40 MAT
Líquido 50 mg VITALIX Gotero SOL x 20 Roemmers 292,21 162,18 162,18 MAT
HIERRO POLIMALTOSATO +
FOLICO, ÁCIDO
Comprimidos 100 mg SIDERBLUT FOLIC COM x 30 Investi 597,35 331,53 331,53 MAT
369 mg HIERRO DUPOFOL COM x 30 Ferring 272,48 151,23 151,23 MAT
HIERRO SULFATO
Comprimidos 200 mg SIDERBLUT (LP) COM x 30 Investi 511,26 292,91 292,91
SIDERBLUT (LP) COM x 60 Investi 938,16 505,27 505,27
246,15 TARDYFERON GRA x 30 Sidus 889,49 493,67 493,67 MAT

mg
Gotas 12500 FACTOFER GTS x 20 Raymos 227,79 91,12 91,12 INF
mg
FER-IN-SOL GTS x 20 Investi 361,78 199,02 199,02 INF
FERDROMACO PEDIATRICO ORAL GTS x 20 Eurofarma 413,38 248,30 248,30 INF
Líquido 1800 mg FER-IN-SOL JBE x 120 Investi 99,78 55,38 55,38 MAT
HORMONA FOLÍCULO
ESTIMULANTE / FSH
Ampollas 75 ui FOLLITRIN 75 UI LIOF.+SOLV. F.A x 1 Ferring 3.661,91 2.017,26 2.017,26
FOLLITRIN 75 UI LIOF.+SOLV. F.A x 6 Ferring 23.975,19 14.017,11 14.017,11
150 ui FOLLITRIN 150 UI + SOLV. F.A x 1 Ferring 7.322,70 4.058,35 4.058,35
FOLLITRIN 150 UI + SOLV. F.A x 6 Ferring 47.943,89 28.177,46 28.177,46
HORMONA LIBER.
TIROTROFINA / TRH
Ampollas 0,2 mg TRH FERRING 200 mcg 1 ML AMP x 1 Ferring 1.139,65 632,51 632,51
IBUPROFENO
Comprimidos 120 mg IBUPIRETAS JR. MAST. COM x 20 Pfizer 201,38 112,10 112,10
400 mg IBUMAR 400 mg COM x 10 Mar 63,00 25,20 25,20

IBUCLER 400 mg COM x 10 Monserrat 76,00 36,16 36,16
FEBRATIC 400 mg COM x 10 Roemmers 127,69 85,52 85,52
VEFREN 400 mg COM x 10 Baliarda 132,39 90,01 90,01
Página 57 de 112
Comprimidos 400 mg DOLORSYN 400 mg COM x 10 Omega 295,48 245,76 245,76
FEBRATIC 400 mg COM x 20 Roemmers 203,94 121,92 121,92

DOLORSYN 400 mg COM x 30 Omega 494,79 363,26 363,26
600 mg IBUPIRAC 600 mg BLANDAS CAP x 10 Pfizer 200,78 113,53 113,53

ACTRON 600 RAPIDA ACCION BLAND CAP x 10 Bayer Consumer 209,00 121,38 121,38
IBUPIRAC 600 mg BLANDAS CAP x 20 Pfizer 380,67 207,12 207,12

ACTRON 600 RAPIDA ACCION BLAND CAP x 20 Bayer Consumer 393,00 218,89 218,89
IBUPIRAC 600 mg BLANDAS CAP x 50 Pfizer 954,48 520,46 520,46
IBUMULTIN 600 mg COM x 10 Lazar 166,60 88,75 88,75

IBUPROFENO 600 FECOFAR 600 mg COM x 10 Fecofar 172,97 95,14 95,14
IBUTENK 600 mg COM x 10 Biotenk 175,00 95,69 95,69
IBUPIRAC 600 mg COM x 10 Pfizer 181,99 103,45 103,45
IBUMAR 600 mg COM x 20 Mar 182,50 73,00 73,00

IBUPROFENO 600 FECOFAR 600 mg COM x 20 Fecofar 328,52 173,61 173,61
IBUTENK 600 mg COM x 20 Biotenk 348,00 189,39 189,39

800 mg IBUTENK 800 mg COM x 10 Biotenk 232,30 131,86 131,86
Gotas 5000 mg IBUPIRAC ORAL GTS x 30 Pfizer 221,33 122,84 122,84
Líquido 2000 mg IBUCLER 2% SUS x 90 Monserrat 141,00 74,87 74,87

IBUMAR SUS x 90 Mar 141,00 74,87 74,87
COPIRON 2% SUS x 90 Microsules Argentina 150,00 90,22 90,22
FEBRATIC PED. 2% SUS x 100 Roemmers 166,57 92,65 92,65

IBUSOL PEDIATRICO Medisol SUS x 100 Medisol 168,00 101,58 101,58
IBUSOL PEDIATRICO SUS x 100 Cassara 198,09 131,67 131,67
DOLORSYN TERMICO ORAL SUS x 120 Omega 511,37 408,65 408,65
4000 mg IBUMAR 4 g/100 ml SUS x 90 Mar 204,70 90,91 90,91

IBUCLER 4% SUS x 90 Monserrat 271,00 154,22 154,22
IBUPIRAC 4% SUS x 90 Pfizer 284,90 167,50 167,50
IBUFULL 4 g SUS x 90 Lafedar 286,96 169,72 169,72
IBUMULTIN 4% SUS x 90 Lazar 279,26 174,68 174,68
FEBRATIC 4% SUS x 100 Roemmers 281,07 152,22 152,22

IBUSOL FORTE SUS x 100 Cassara 296,51 180,31 180,31
ACTRON PEDIATRICO 4% ORAL SUS x 100 Bayer Consumer 312,00 181,76 181,76
AFEBRIL FORTE 40 mg/ml SUS x 100 Bagó 338,32 206,90 206,90
ACTRON PEDIATRICO 4% Oral SUS x 180 Bayer Consumer 494,00 262,61 262,61
IBUPIRAC 4% SUS x 200 Pfizer 532,00 275,66 275,66
5000 mg IBUSOL ORAL SUS x 20 Cassara 205,80 126,49 126,49
Página 58 de 112
A CARGO A CARGO
AFILIADO CRONICO
IDOXURIDINA
Colirio 100 mg IDULEA C\ADHEFILM COL x 10 Biotechno Pharma 654,11 376,89 376,89
Ungüento 100 mg IDULEA DERMICO UNG x 10 Biotechno Pharma 265,97 151,06 151,06
INDAPAMIDA
Comprimidos 1,5 mg NATRILIX SR 1.5 mg (Lib.Prol.) COM x 30 Servier 405,48 224,51 224,51
NORANAT SR 1.5 Mg. Recub. LP COM x 30 Nova Argentia 409,88 228,71 228,71
2,5 mg NORANAT COM x 30 Nova Argentia 392,06 228,91 228,91
INDAPAMIDA DUREMID COM x 50 Soubeiran Chobet 656,33 384,29 384,29
NORANAT COM x 60 Nova Argentia 531,31 216,40 216,40
INDOMETACINA
Ampollas 50 mg IM.75 MONTPELLIER 2 ML F.A x 3 Montpellier 809,28 449,15 449,15
Comprimidos 75 mg IM.75 MONTPELLIER CAP x 24 Montpellier 873,43 509,22 509,22
IM.75 MONTPELLIER CAP x 50 Montpellier 1.596,96 848,21 848,21
Supositorios 50 mg INDOTEX 50 mg SUP x 10 Rontag 393,06 238,92 238,92
100 mg INDOTEX 100 mg SUP x 10 Rontag 762,23 401,13 401,13

IM.75 MONTPELLIER SUP x 10 Montpellier 902,78 501,05 501,05
INMUNOGLOBULINA
ANTITETÁNICA + TETÁNICO
TOXOIDE
Ampollas 250 ui GAMMATET T 250 UI + TOXOIDE JPR x 1 Gador 3.143,56 1.886,14 1.886,14 MAT
500 ui GAMMATET T 500 UI + TOXOIDE JPR x 1 Gador 6.246,48 3.730,02 3.730,02 MAT
TETABULIN S/D 500 UI JPR x 1 Gobbi 6.589,79 3.776,79 3.776,79 MAT
IPRATROPIO BROMURO
Aerosol 0,02 mg ATROVENT HFA 10 ML AER x 200 Boehringer Ingelheim 894,71 525,38 319,01
AEROTROP HFA 12.5 ml AER x 250 Cassara 650,72 274,58 274,58
Líquido 0,5 mg AEROTROP P/NEB.UNIDOSIS Sol.x 2.5 ml c/u SOL Cassara 721,04 443,18 443,18
x 24
25 mg ATROVENT SOL. NEB SOL x 20 Boehringer Ingelheim 386,35 226,96 137,90
ATROVENT SOL. NEB. SOL x 40 Boehringer Ingelheim 703,95 388,18 210,06
Spray 0,021 mg AEROTROP NASAL SPR x 120 Cassara 391,27 240,49 240,49
IRBESARTAN
Comprimidos 150 mg APROVEL 150 mg COM x 28 Sanofi Aventis 2.053,20 1.174,67 1.174,67
300 mg APROVEL 300 mg COM x 28 Sanofi Aventis 2.699,20 1.544,25 1.544,25
ISOCONAZOL
Crema 1000 mg MUPATEN CRE x 20 Bayer Consumer 193,20 107,23 107,23
1000 mg MUPATEN VAGINAL CRE x 40 Bayer (PH) 358,78 199,12 199,12
Óvulos 600 mg MUPATEN VAGINAL OVU x 1 Bayer (PH) 358,78 199,12 199,12
ISONIACIDA
Comprimidos 300 mg NICOTIBINA 300 mg COM x 30 Sanofi Aventis 275,24 157,47 157,47
ISOSORBIDE DINITRATO
Comprimidos 5 mg ISORDIL 5 mg COM x 25 Pfizer 237,10 142,15 89,47
Página 59 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 5 mg ISORDIL 5 mg COM x 50 Pfizer 359,25 174,52 71,85
5 mg MEDOCOR SUBLINGUAL 5 mg COM x 30 Roemmers 424,24 235,45 129,39
ISOSORBIDE MONONITRATO
Comprimidos 20 mg MEDOCOR COM x 20 Roemmers 260,95 149,34 86,92
MEDOCOR COM x 40 Roemmers 496,35 274,27 149,43
60 mg MEDOCOR AP CAP x 30 Roemmers 1.031,24 572,34 314,53
ISOTRETINOINA
Comprimidos 10 mg FLEXRESAN 10 mg CAP x 30 Raymos 2.044,57 1.096,03 1.096,03
ROACCUTAN 10 mg CAP x 30 Investi 2.091,14 1.140,51 1.140,51
ISOCUTAN 10 mg CAP x 30 Raffo 2.519,87 1.549,94 1.549,94
20 mg FLEXRESAN 20 mg CAP x 30 Raymos 3.760,31 2.039,03 2.039,03

ROACCUTAN 20 mg CAP x 30 Investi 3.851,56 2.126,17 2.126,17
ISOCUTAN 20 mg CAP x 30 Raffo 4.648,79 2.887,53 2.887,53
40 mg ISOCUTAN 40 mg CAP x 30 Raffo 8.464,05 4.697,55 4.697,55
Gel 50 mg ATLACNE TOPICO GEL x 25 Atlas 470,35 282,21 282,21
ISOXSUPRINA CLORHIDRATO
Comprimidos 10 mg UTERINE 10 mg COM x 20 Omega 644,71 257,88 257,88 MAT
DUVADILAN 10 mg COM x 20 Raffo 1.019,91 566,43 566,43 MAT
UTERINE 10 mg COM x 40 Omega 1.080,76 432,30 432,30 MAT
20 mg UTERINE 20 mg COM x 20 Omega 1.158,10 463,24 463,24 MAT

DUVADILAN 20 mg COM x 20 Raffo 1.607,21 892,04 892,04 MAT
ITRACONAZOL
Comprimidos 100 mg SPORANOX CAP x 4 Janssen-Cilag 335,90 231,36 231,36
SPORANOX CAP x 10 Janssen-Cilag 585,13 335,24 335,24
SPORANOX CAP x 15 Janssen-Cilag 808,63 436,91 436,91

ITRAC 100 CAP x 15 Cassara 833,89 498,56 498,56
PANASTAT CAP x 15 Panalab 950,00 614,67 614,67
SPORANOX PULSO CAP x 28 Janssen-Cilag 1.759,61 1.054,48 1.054,48
PANASTAT CAP x 30 Panalab 1.530,00 859,34 859,34
200 mg ITRAC 200 CAP x 14 Cassara 1.497,97 892,11 892,11
IVERMECTINA
Comprimidos 3 mg IVER P 3 mg COM x 6 Elea - Phoenix 369,55 205,10 205,10
6 mg DETEBENCIL 6 mg COM x 2 Roux Ocefa 298,79 171,84 171,84

SECURO COM x 2 Raymos 572,18 419,48 419,48
DETEBENCIL 6 mg COM x 6 Roux Ocefa 429,62 171,85 171,85

IVER P 6 mg COM x 6 Elea - Phoenix 655,75 262,30 262,30
SECURO COM x 6 Raymos 805,73 388,62 388,62
KETOCONAZOL
Comprimidos 200 mg MICORAL COM x 10 Investi 259,35 174,69 174,69
FITONAL 200 mg COM x 20 Andromaco 389,00 225,51 225,51
MICORAL COM x 30 Investi 478,73 238,21 238,21
Página 60 de 112
A CARGO A CARGO
AFILIADO CRONICO
Crema 2000 mg KEDUO 2% CRE x 15 Raymos 269,81 182,48 182,48

QUADION CRE x 15 Fortbenton 304,52 216,16 216,16
KETOLEF 2% CRE x 15 Biosintex-Ofar 293,50 218,31 218,31
ORIFUNGAL CRE x 15 Janssen-Cilag 352,37 261,33 261,33
MICORAL CRE x 30 Investi 246,13 98,45 98,45

FITONAL CRE x 30 Andromaco 410,00 241,17 241,17
Óvulos 400 mg FANGAN OVU x 5 Lazar 500,74 277,91 277,91
Shampoo 2000 mg EUMICEL 2% SHA x 100 Cassara 298,00 161,20 161,20

KEDUO 2% SHA x 100 Raymos 430,12 252,65 252,65
MICORAL SHA x 100 Investi 517,14 335,75 335,75
EUMICEL COLAGENO 2% SHA x 120 Cassara 525,89 313,35 313,35
QUADION SHA x 250 Fortbenton 589,52 249,42 249,42
KETOROLAC
Ampollas 30 mg DORIXINA FORTE NF 30 mg AMP x 3 Roemmers 204,47 96,36 96,36
SINALGICO 30 mg AMP x 3 Bernabo 271,38 160,26 160,26
TELEDOL 30 mg 2 ml AMP x 3 Casasco 281,09 169,53 169,53
DOLTEN 30 mg 2 ml AMP x 5 Pfizer 385,92 203,70 203,70

ZERODOL 30 mg AMP x 5 Bagó 649,23 455,16 455,16
60 mg DOLTEN 60 mg 2 ml AMP x 1 Pfizer 185,89 99,14 99,14
DOLTEN 60 mg 2 ml AMP x 3 Pfizer 559,05 298,75 298,75

SINALGICO 60 mg AMP x 3 Bernabo 653,05 388,52 388,52
ZERODOL 60 mg AMP x 3 Bagó 775,28 505,25 505,25
Colirio 18 mg ACUVAIL Viales Unids. 0.4 ml COL x 30 Allergan-Loa 1.064,96 591,05 591,05
400 mg ACULAR LS COL x 5 Allergan-Loa 1.012,62 562,00 562,00
500 mg POENKERAT COL x 5 Poen 617,36 306,23 306,23

ACULAR COL x 5 Allergan-Loa 759,14 441,63 441,63
Comprimidos 10 mg KERAMIX 10 mg COM x 10 Finadiet 67,89 27,16 27,16

DORIXINA FORTE NF 10 mg COM x 10 Roemmers 212,63 115,67 115,67
KEMANAT 10 mg COM x 10 Microsules Argentina 248,53 161,14 161,14
UNICALM 10 mg COM x 10 Raffo 272,03 172,40 172,40
DOLTEN 10 mg COM x 10 Pfizer 281,44 181,39 181,39

SINALGICO 10 mg COM x 20 Bernabo 416,30 222,79 222,79
KETOROLAC FABRA 10 mg COM x 20 Fabra 404,75 229,97 229,97
20 mg KERAMIX 20 mg COM x 10 Finadiet 349,22 197,85 197,85

TENKDOL 20 mg COM x 10 Biotenk 366,10 213,97 213,97
DUPRAC 20 mg COM x 10 Savant Vitarum 382,64 231,19 231,19
DORIXINA FORTE NF 20 mg COM x 10 Roemmers 391,96 238,67 238,67
TELEDOL 20 mg COM x 10 Casasco 426,80 271,94 271,94
ZERODOL 20 mg COM x 10 Bagó 524,72 365,46 365,46
Página 61 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 20 mg TENKDOL 20 mg COM x 20 Biotenk 590,90 293,01 293,01

KERAMIX 20 mg COM x 20 Finadiet 620,78 321,54 321,54
KETOROLAC FABRA 20 mg COM x 20 Fabra 634,33 363,03 363,03
TELEDOL 20 mg COM x 20 Casasco 673,83 372,21 372,21
10 mg KERAMIX RAPID 10 mg Subl. COM x 10 Finadiet 286,84 128,55 128,55

UNICALM 10 mg SUBL. COM x 10 Raffo 325,49 165,46 165,46
TENKDOL SL 10 mg COM x 10 Biotenk 340,20 179,51 179,51
KETOROLAC RICHET 10 mg SUBLIN. COM x 10 Richet 332,53 187,15 187,15
DORIXINA FORTE NF SUBL. 10 mg COM x 10 Roemmers 350,62 189,46 189,46
CALMOFAR SL 10 mg COM x 10 Wunder Pharm 344,36 198,98 198,98
DUPRAC SL 10 mg COM x 10 Savant Vitarum 366,05 204,41 204,41
SINALGICO SL 10 mg SUBLINGUAL COM x 10 Bernabo 369,48 207,47 207,47
KEMANAT SL SUBLINGUAL COM x 10 Microsules Argentina 352,91 207,53 207,53
DOLTEN SL 10 mg COM x 10 Pfizer 383,74 221,09 221,09
TELEDOL 10 mg SL COM x 10 Casasco 393,32 230,24 230,24
ZERODOL SL 10 mg COM x 10 Bagó 500,04 332,16 332,16
DORIXINA FORTE NF SUBL. 10 mg COM x 20 Roemmers 680,92 359,52 359,52

SINALGICO SL 10 mg SUBLINGUAL COM x 20 Bernabo 710,46 387,73 387,73
KETOTIFENO
Colirio 50 mg ANTILERG COL x 10 Max Vision 753,96 412,19 412,19
HYALCROM NF COL x 10 Bausch & Lomb Argentina 1.299,69 935,06 935,06
Comprimidos 1 mg RESPIMEX COM x 60 Pfizer 433,59 240,64 240,64
Líquido 20 mg RESPIMEX JBE x 200 Pfizer 540,32 299,88 299,88
LACTULOSA
Líquido 65000 GENOCOLAN LACTULOSA JBE x 120 Craveri 310,55 148,94 148,94
mg
LACTULON JBE x 120 Lazar 435,26 268,03 268,03
LACTULON JBE x 250 Lazar 751,11 409,73 409,73
Sobres 10000 LACTULON 10 g SOB x 8 Lazar 343,20 190,83 190,83

mg
LACTULON 10 g SOB x 16 Lazar 683,28 378,68 378,68
LAMOTRIGINA
Comprimidos 5 mg LAMICTAL DISPERSABLE 5 mg COM x 30 GlaxoSmithKline 659,43 365,98 365,98
25 mg LAGOTRAN 25 mg DISPERS. COM x 30 Beta 566,29 239,38 239,38

EPILEPAX 25 mg DISPERS. COM x 30 Teva argentina ( 592,57 264,48 264,48
LATRIGIN 25 mg RANUR.DISPERS. COM x 30 Baliarda 627,45 297,79 297,79
LAMOCAS 25 mg DISPERS. COM x 30 Casasco 641,97 311,66 311,66
LAMIRAX 25 mg DISPERS. COM x 30 Elea - Phoenix 777,73 441,31 441,31
LAMICTAL DISPERSABLE 25 mg COM x 30 GlaxoSmithKline 1.124,90 772,86 772,86
50 mg EPILEPAX 50 mg DISPERS. COM x 30 Teva argentina ( 925,61 412,45 412,45

LAGOTRAN 50 mg DISPERS. COM x 30 Beta 964,97 450,03 450,03
LATRIGIN 50 mg RANUR.DISPERS. COM x 30 Baliarda 972,38 457,11 457,11
LAMOCAS 50 mg DISERS. COM x 30 Casasco 1.002,71 486,08 486,08
LAMIRAX 50 mg DISPERS. COM x 30 Elea - Phoenix 1.137,33 614,64 614,64
LAMICTAL DISPERSABLE 50 mg COM x 30 GlaxoSmithKline 1.902,19 1.345,08 1.345,08
Página 62 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 50 mg
100 mg LAGOTRAN 100 mg DISPERS. COM x 15 Beta 552,29 220,92 220,92
EPILEPAX 100 mg DISPERS. COM x 30 Teva argentina ( 1.504,27 559,85 559,85

LATRIGIN 100 mg RANUR.DISPERS. COM x 30 Baliarda 1.579,53 752,92 752,92
LAMOCAS 100 mg DISPERS. COM x 30 Casasco 1.629,63 800,76 800,76
LAGOTRAN 100 mg DISPERS. COM x 30 Beta 1.711,77 879,21 879,21
LAMIRAX 100 mg DISPERS. COM x 30 Elea - Phoenix 1.817,19 979,88 979,88
EPILEPAX 100 mg Dispers. COM x 60 Teva argentina ( 3.223,79 1.334,96 1.334,96

LAMIRAX 100 mg DISPERS. COM x 60 Elea - Phoenix 3.634,34 1.959,73 1.959,73
LAMOCAS XR 100 mg COM x 30 Casasco 1.904,93 1.060,93 1.060,93
LAMOCAS XR 100 mg COM x 60 Casasco 3.774,23 2.087,84 2.087,84
200 mg EPILEPAX 200 mg DISPERS. COM x 30 Teva argentina ( 2.515,08 914,59 914,59
LATRIGIN 200 mg RANUR.DISPERS. COM x 30 Baliarda 2.649,58 1.249,96 1.249,96
LAMOCAS 200 mg DISPERS. COM x 30 Casasco 2.724,79 1.321,79 1.321,79
LAGOTRAN 200 mg DISPERS. COM x 30 Beta 2.819,51 1.412,24 1.412,24
LAMIRAX 200 mg DISPERS. COM x 30 Elea - Phoenix 3.128,20 1.707,04 1.707,04
LANSOPRAZOL
Comprimidos 15 mg LANZOPRAL MD 15 mg CAP x 30 Roemmers 650,24 360,88 360,88
30 mg LANZOPRAL 30 mg CAP x 15 Roemmers 618,25 358,32 358,32
ACIMED L 30 mg CAP x 30 Lepetit 608,79 256,89 256,89

LANZOPRAL 30 mg CAP x 30 Roemmers 1.167,23 650,48 650,48
Sobres 15 mg LANZOPRAL MD SUSP. SOB x 30 Roemmers 929,31 515,77 515,77
30 mg LANZOPRAL SUSP. SOB x 30 Roemmers 1.121,51 622,44 622,44
LATANOPROST
Colirio 0,05 mg XALATAN COL x 2,5 Pfizer 803,72 406,56 180,95
GLAUCOSTAT 50 MCG/ML COL x 2,5 Max Vision 820,93 423,00 197,38
GLAUCOGESIC COL x 2,5 Atlas 831,00 432,62 207,00
LOUTEN COL x 2,5 Poen 954,04 550,12 324,50
LOUTEN Emul. COL x 2,5 Poen 954,04 550,12 324,50
LATANOFLAX 50 mcg/ml COL x 2,5 Sidus 973,75 568,94 343,33
LATANOPROST DORF COL x 2,5 Pharmadorf 982,20 578,71 353,10
OCUPROST COL x 2,5 Bausch & Lomb Argentina 1.080,83 672,62 447,00
LATANOPROST DORF COL x 3 Pharmadorf 403,19 161,28 80,64
LATANOPROST + TIMOLOL
Colirio 0,05 mg GLAUCOGESIC T COL x 2,5 Atlas 798,42 401,92 159,68
GLAUCOSTAT T COL x 2,5 Max Vision 840,07 405,77 168,01
XALACOM COL x 2,5 Pfizer 871,67 435,95 188,14
LOUTEN T COL x 2,5 Poen 1.036,81 593,66 345,85
LATIMODORF COL x 2,5 Pharmadorf 1.050,14 653,64 405,83
LEFLUNOMIDA
Comprimidos 20 mg FLUXAP 20 mg COM x 30 Trb-Pharma 1.378,00 685,25 685,25
LEFLUNOMIDA SC 20 mg COM x 30 Spedrog Caillon 1.378,53 686,07 686,07
AFIANCEN 20 mg COM x 30 Buxton 1.398,52 703,05 703,05
FLUDART 20 mg COM x 30 Craveri 1.423,41 726,82 726,82
Página 63 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 20 mg INMUNOARTRO 20 mg RECUB. COM x 30 Beta 1.499,92 799,88 799,88

FILARTROS 20 mg RECUB. COM x 30 Teva argentina ( 1.528,66 827,33 827,33
LEFLUAR 20 mg COM x 30 Rontag 1.782,54 1.150,00 1.150,00
ARAVA 20 mg COM x 30 Sanofi Aventis 3.308,42 2.532,73 2.532,73
FLUDART 20 mg COM x 60 Craveri 2.141,59 856,64 856,64
LEUCOCIANIDOL +
+ LIDOCAINA
Pomada 1000 mg PROCTO IKATRAL PDA x 10 Baliarda 426,62 252,55 252,55
PROCTO IKATRAL PDA x 30 Baliarda 946,04 438,86 438,86
LEVODOPA + BENSERAZIDA
Comprimidos 50 mg MADOPAR DISPERSABLE 62.5 mg TAB x 100 Investi 1.099,58 610,27 335,37
100 mg MADOPAR HBS 125 mg CAP x 50 Investi 584,30 277,95 116,86
MADOPAR DISPERSABLE 125 mg TAB x 100 Investi 1.458,03 832,31 482,24
200 mg MADOPAR 250 COM x 30 Investi 1.000,19 558,17 310,04
MADOPAR 250 COM x 50 Investi 1.651,74 915,73 502,18
LEVODOPA + CARBIDOPA
Comprimidos 100 mg PARKINEL 100/25 mg COM x 30 Bagó 575,37 343,86 215,35
LEBOCAR 100-25 COM x 30 Pfizer 583,88 351,99 223,47
LEBOCAR 100-25 COM x 60 Pfizer 982,33 526,89 269,86
200 mg SINEMET CR COM x 30 MSD Arrgentina SR 1.841,84 1.022,22 561,76
250 mg LEBOCAR 250-25 COM x 30 Pfizer 807,14 472,66 286,32

PARKINEL 250/25 mg COM x 30 Bagó 811,97 477,28 290,93
SINEMET 250/25 mg COM x 50 MSD Arrgentina SR 2.508,48 1.898,67 1.588,10
LEBOCAR 250-25 COM x 60 Pfizer 1.459,99 797,98 425,29

PARKINEL 250/25 mg COM x 60 Bagó 1.504,94 840,91 468,22
LEVOMEPROMAZINA
Comprimidos 2 mg NOZINAN 2 mg COM x 30 Sanofi Aventis 300,23 186,48 123,51
MEPROZIN 2 mg COM x 30 Rospaw 380,00 279,24 279,24
TOGREL 2 mg COM x 50 Teva argentina ( 385,94 200,64 95,69
25 mg MEPROZIN 25 mg COM x 30 Rospaw 598,00 312,21 312,21

NOZINAN 25 mg COM x 30 Sanofi Aventis 792,33 472,25 293,63
TOGREL 25 mg COM x 50 Teva argentina ( 1.018,60 496,44 203,72
100 mg MEPROZIN 100 mg COM x 30 Rospaw 780,00 468,00 468,00
Gotas 10 mg NOZINAN MINOR GTS x 30 Sanofi Aventis 162,01 89,92 49,41
LEVONORGESTREL
Comprimidos 0,03 mg MICROLUT GRA x 35 Bayer (PH) 458,84 254,66 254,66
0,75 mg NORGESTREL MAX COM x 2 Biotenk 135,00 94,32 94,32
1,5 mg NORGESTREL MAX UNIDOSIS COM x 1 Biotenk 215,40 100,59 100,59

SECUFEM 1.5 mg COM x 1 Elea - Phoenix 292,70 174,41 174,41
LEVONORGESTREL +
ETINILESTRADIOL
Página 64 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 0,1 mg NICOLLE COM x 21 Biotenk 125,12 50,05 50,05

MIRANOVA CAP x 21 Bayer (PH) 165,98 76,48 76,48
APRIL COM x 21 Gador 221,30 129,31 129,31
FEMEXIN COM x 21 Elea - Phoenix 278,49 183,93 183,93
APRIL 28 (21+ 7) COM x 28 Gador 225,68 133,50 133,50

ELEKTRA COM x 28 Craveri 279,18 184,59 184,59
FEMEXIN 28 COM x 28 Elea - Phoenix 298,23 202,78 202,78
NORFEN COM x 28 Pharmadorf 298,21 203,40 203,40
0,125 mg TRIQUILAR GRA x 21 Bayer (PH) 311,21 166,60 166,60

TRIDESTAN N COM x 21 Gador 328,32 182,94 182,94
0,15 mg NORGESTREL PLUS GRA x 21 Biotenk 164,70 80,70 80,70

MICROVLAR COM x 21 Bayer (PH) 202,32 116,62 116,62
MICROGYNON GRA x 21 Bayer (PH) 287,25 197,73 197,73
NORDETTE GRA x 21 Pfizer 292,35 202,60 202,60
ELEKTRA MAX COM x 28 Craveri 317,73 201,31 201,31
2 mg DOS DIAS N COM x 2 Elea - Phoenix 774,34 429,76 429,76
LEVOTIROXINA / T4
Comprimidos 0,025 mg T4 MONTPELLIER 25 mcg COM x 50 Montpellier 375,23 198,39 98,42
LEVOTIROXINA GSK 25 mcg COM x 50 GlaxoSmithKline 376,95 200,04 100,07
EUTHYROX 25 mcg COM x 50 Elea - Phoenix 725,08 532,50 432,53
0,05 mg T4 MONTPELLIER 50 mcg COM x 50 Montpellier 398,32 214,03 110,05




EUTHYROX 100 mcg COM x 50 Elea - Phoenix 1.013,59 732,47 585,28

EUTHYROX 112 mcg COM x 50 Elea - Phoenix 1.362,66 984,46 786,41

EUTHYROX 125 mcg COM x 50 Elea - Phoenix 1.416,16 1.017,14 807,58



Página 65 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 0,175 mg EUTHYROX 175 mcg COM x 50 Elea - Phoenix 1.633,33 1.163,73 916,17

LIOTIRONINA / T3
Comprimidos 0,02 mg T3 MONTPELLIER 20 COM x 30 Montpellier 1.040,17 577,42 317,46
LISINA CLONIXINATO
Comprimidos 125 mg DORIXINA COM x 20 Roemmers 162,69 90,38 90,38
LISINOPRIL
Comprimidos 5 mg TENSOPRIL 5 mg COM x 20 Teva argentina ( 457,53 260,28 260,28
TENSOPRIL 5 mg COM x 40 Teva argentina ( 881,37 488,38 488,38
10 mg TERSIF MD 10 mg MULTIRRAN. COM x 20 Baliarda 251,01 100,40 100,40

ZESTRIL 10 mg COM x 30 Astrazeneca 262,78 105,11 105,11
TENSOPRIL 10 mg COM x 40 Teva argentina ( 1.224,11 678,51 678,51
20 mg TERSIF MD 20 mg MULTIRRAN. COM x 20 Baliarda 315,57 126,23 126,23


LISINAL 20 mg COM x 30 Beta 1.092,42 641,59 641,59
TENSOPRIL 20 mg COM x 40 Teva argentina ( 1.355,58 759,01 759,01
LITIO CARBONATO
Comprimidos 300 mg CEGLUTION 300 mg TAB x 20 Ariston 725,33 424,00 255,47
CEGLUTION 300 mg TAB x 50 Ariston 1.810,13 1.056,94 635,62
CEGLUTION 300 mg TAB x 90 Ariston 3.017,98 1.672,73 914,36
450 mg CEGLUTION XR 450 mg COM x 30 Ariston 1.118,31 644,83 379,44
ESKALIT SR 450 mg COM x 50 GlaxoSmithKline 890,53 356,21 178,11
CEGLUTION XR 450 mg COM x 60 Ariston 2.213,70 1.267,74 736,96
LOPERAMIDA
Comprimidos 2 mg REGULANE CB CAP x 10 Finadiet 295,09 174,47 174,47
REGULANE CB CAP x 20 Finadiet 516,43 278,52 278,52
REGULANE CB CAP x 30 Finadiet 559,62 223,85 223,85
SUPRASEC COM x 10 Janssen-Cilag 214,52 114,42 114,42

VILTAR COM x 10 Dallas 216,35 116,17 116,17
LANSEKA 2 mg TAB x 10 Investi 230,60 129,78 129,78
LOPERIX 2 mg COM x 10 Rospaw 225,00 134,56 134,56
COLIFILM COM x 10 Eurofarma 239,43 138,21 138,21
CUSTEY 2 mg COM x 10 Microsules Argentina 235,60 145,16 145,16
REGULANE COM x 10 Finadiet 252,45 150,65 150,65
VILTAR COM x 20 Dallas 312,23 124,89 124,89

LANSEKA 2 mg TAB x 20 Investi 360,82 163,70 163,70
Página 66 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 2 mg LOPERIX 2 mg COM x 20 Rospaw 360,00 179,11 179,11

COLIFILM COM x 50 Eurofarma 915,20 421,79 421,79
LORATADINA
Comprimidos 10 mg DEVEDRYL 10 mg COM x 10 Klonal 112,36 47,54 47,54
HISPLEX 10 mg COM x 10 Biotenk 129,80 51,92 51,92
DEXITIS 10 mg COM x 10 Savant Vitarum 163,09 74,64 74,64
LISALER COM x 10 Fortbenton 309,56 185,49 185,49
BILOINA COM x 10 Eurofarma 318,96 193,93 193,93
ALERPRIV 10 mg COM x 10 Montpellier 329,64 204,13 204,13
LISALER COM x 30 Fortbenton 730,73 367,09 367,09

BILOINA COM x 30 Eurofarma 768,41 401,81 401,81
ALERPRIV 10 mg COM x 30 Montpellier 796,79 428,91 428,91
Líquido 5 mg BILOINA JBE x 60 Eurofarma 253,72 141,79 141,79

ALERPRIV JBE x 60 Montpellier 257,19 145,10 145,10
ALERPRIV JBE x 120 Montpellier 477,26 254,75 254,75
LORAZEPAM
Comprimidos 1 mg SIDENAR 1 mg COM x 20 Teva argentina ( 103,03 56,08 56,08
LORAZEPAN CHOBET 1 mg COM x 20 Soubeiran Chobet 114,99 67,50 67,50
EMOTIVAL 1 mg COM x 30 Teva argentina ( 155,54 85,06 85,06

TRAPAX 1 mg COM x 30 Pfizer 166,78 95,80 95,80
SIDENAR 1 mg COM x 50 Teva argentina ( 256,26 138,94 138,94

APLACASSE 1 mg COM x 50 Investi 300,68 181,36 181,36

2 mg LORAZEPAN CHOBET 2 mg COM x 20 Soubeiran Chobet 165,53 102,38 102,38
2,5 mg SIDENAR 2.5 mg COM x 20 Teva argentina ( 139,85 71,79 71,79
TRAPAX 2.5 mg COM x 30 Pfizer 234,19 131,00 131,00
KALMALIN 2.5 mg COM x 40 Bagó 328,57 190,25 190,25
SIDENAR 2.5 mg COM x 50 Teva argentina ( 346,36 176,35 176,35

APLACASSE 2.5 mg COM x 50 Investi 379,09 207,61 207,61
1 mg TRAPAX 1 mg SUBLING. COM x 30 Pfizer 320,13 183,27 183,27
LOSARTÁN
Comprimidos 50 mg PRISONIL 50 mg COM x 15 Lepetit 194,81 82,20 44,67
NITEN 50 mg COM x 15 Teva argentina ( 407,16 209,62 97,61
Página 67 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 50 mg
TACARDIA 50 mg COM x 28 Richmond 739,69 372,83 165,17
PAXON 50 mg COM x 28 Gador 943,31 566,31 357,22
PRISONIL 50 mg COM x 30 Lepetit 389,62 164,40 89,33

TACARDIA 50 mg COM x 30 Richmond 739,69 291,63 93,35
LOREBIL 50 mg COM x 30 Geminis Farmaceutica 705,20 315,02 141,04
TACICUL 50 mg COM x 30 Denver Farma 769,75 321,69 321,69
NITEN 50 mg COM x 30 Teva argentina ( 828,29 380,23 172,12
ANTIPRESOL 50 mg COM x 30 Fecofar 822,80 428,06 204,03
CARTAN 50 mg COM x 30 Eurofarma 826,69 431,04 207,02
LOCTENK 50 mg COM x 30 Biotenk 836,30 440,22 216,19
LOSARTAN PFIZER 50 mg COM x 30 Pfizer 845,14 448,66 224,64
VASEXTEN 50 mg COM x 30 Bernabo 882,55 484,39 260,36
LOSACOR 50 mg COM x 30 Roemmers 897,04 498,23 274,20
PRESIMAX 50 mg COM x 30 Bagó 905,78 506,58 282,55
LOPLAC 50 mg COM x 30 Casasco 927,52 527,34 303,31
PAXON 50 mg COM x 30 Gador 946,11 545,09 321,06
TEMISARTAN 50 mg COM x 30 Temis-Lostalo 1.010,24 606,34 382,31
FENSARTAN 50 mg COM x 30 Elea - Phoenix 1.184,32 772,58 548,55
COZAAREX 50 mg COM x 30 MSD Arrgentina SR 1.356,65 937,16 713,13
TACARDIA 50 mg COM x 56 Richmond 1.399,63 669,39 312,54

PAXON 50 mg COM x 56 Gador 1.793,27 1.043,48 625,30
TACARDIA 50 mg COM x 60 Richmond 1.399,63 503,52 176,66

LOREBIL 50 mg COM x 60 Geminis Farmaceutica 1.340,81 623,93 623,93
NITEN 50 mg COM x 60 Teva argentina ( 1.579,68 791,71 343,66
LOCTENK 50 mg COM x 60 Biotenk 1.612,40 822,96 374,91
LOSACOR 50 mg COM x 60 Roemmers 1.712,66 918,71 470,65
LOPLAC 50 mg COM x 60 Casasco 1.785,92 988,67 540,62
FENSARTAN 50 mg COM x 60 Elea - Phoenix 2.252,84 1.434,58 986,53
100 mg TACARDIA 100 mg COM x 28 Richmond 906,50 448,51 202,42

PAXON 100 mg COM x 28 Gador 1.143,46 673,62 412,13
PRISONIL 100 mg COM x 30 Lepetit 511,38 215,78 117,25

LOREBIL 100 mg COM x 30 Geminis Farmaceutica 919,00 429,38 183,80
LOCTENK 100 mg COM x 30 Biotenk 1.002,50 509,12 228,95
ANTIPRESOL 100 mg COM x 30 Fecofar 1.008,56 515,80 235,63
CARTAN 100 mg COM x 30 Eurofarma 1.019,80 525,64 245,47
NITEN 100 mg COM x 30 Teva argentina ( 1.025,93 531,50 251,33
LOSARTAN PFIZER 100 mg COM x 30 Pfizer 1.031,68 536,99 256,82
FIBAN 100 mg COM x 30 Finadiet 1.055,31 559,55 279,39
VASEXTEN 100 mg COM x 30 Bernabo 1.083,89 586,85 306,68
PRESIMAX 100 mg COM x 30 Bagó 1.096,65 599,03 318,87
LOSACOR 100 mg COM x 30 Roemmers 1.096,76 599,14 318,97
PAXON 100 mg COM x 30 Gador 1.144,36 644,60 364,43
LOPLAC 100 mg COM x 30 Casasco 1.152,44 652,31 372,14
TEMISARTAN 100 mg COM x 30 Temis-Lostalo 1.237,40 733,45 453,28
FENSARTAN 100 mg COM x 30 Elea - Phoenix 1.415,83 903,85 623,68
COZAAREX 100 mg COM x 30 MSD Arrgentina SR 1.796,71 1.267,59 987,42
LOREBIL 100 mg COM x 60 Geminis Farmaceutica 1.613,52 716,98 716,98
Página 68 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 100 mg NITEN 100 mg COM x 60 Teva argentina ( 2.008,65 1.021,72 461,38
PAXON XR 100 mg Lib.Control. COM x 30 Gador 1.576,23 814,54 382,81

LOPLAC XR 100 mg COM x 30 Casasco 1.611,09 847,83 416,10
FENSARTAN CRONOS 100 mg COM x 30 Elea - Phoenix 1.871,03 1.096,07 664,34
LOSARTÁN +
HIDROCLOROTIAZIDA
Comprimidos 50 mg PRISONIL D 50/12.5 mg COM x 15 Lepetit 243,51 102,75 55,83
TACARDIA D 50/12.5 mg COM x 28 Richmond 861,31 430,79 192,33

PAXON D 50/12.5 mg COM x 28 Gador 1.075,91 634,60 389,04
PRISONIL D 50/12.5 mg COM x 30 Lepetit 487,03 205,51 111,67

LOCTENK D 50/12.5 mg COM x 30 Biotenk 915,60 453,44 190,34
ANTIPRESOL D 50/12.5 mg COM x 30 Fecofar 915,29 453,95 453,95
CARTAN D 50/12.5 mg COM x 30 Eurofarma 944,90 481,42 218,33
NITEN D 50/12.5 mg COM x 30 Teva argentina ( 948,58 484,94 221,84
VASEXTEN D 50/12.5 mg COM x 30 Bernabo 1.009,11 542,74 279,65
PRESIMAX D 50/12.5 Rec. COM x 30 Bagó 1.014,03 547,44 284,35
LOSACOR D 50/12.5 mg COM x 30 Roemmers 1.024,42 557,37 294,27
LOPLAC D 50/12.5 mg COM x 30 Casasco 1.083,95 614,22 351,12
TEMISARTAN DIUR 50/12.5 mg COM x 30 Temis-Lostalo 1.154,08 681,19 418,09
FENSARTAN D COM x 30 Elea - Phoenix 1.389,28 905,81 642,71
COZAAREX D 50/12.5 mg COM x 30 MSD Arrgentina SR 1.712,83 1.214,80 951,70
PAXON D 50/12.5 mg COM x 56 Gador 2.135,49 1.253,61 762,49
PAXON D 50/12.5 mg COM x 60 Gador 2.138,98 1.200,81 674,62
100 mg PAXON D 100/12.5 mg COM x 28 Gador 1.212,13 673,96 371,69

PAXON D 100/25 mg COM x 28 Gador 1.219,71 722,14 445,47
PRISONIL D 100/25 mg COM x 30 Lepetit 550,34 232,22 126,18

CARTAN D 100/25 mg COM x 30 Eurofarma 1.035,37 514,48 218,04
NITEN D 100/25 mg COM x 30 Teva argentina ( 1.036,30 515,37 218,93
LOCTENK D 100/25 mg COM x 30 Biotenk 1.069,70 547,26 250,83
ANTIPRESOL D 100/25 mg COM x 30 Fecofar 1.082,61 560,55 560,55
VASEXTEN D 100/25 mg COM x 30 Bernabo 1.113,91 589,48 293,05
LOSACOR D 100/25 mg COM x 30 Roemmers 1.123,88 599,01 302,57
LOPLAC D 100/25 mg COM x 30 Casasco 1.196,53 668,39 371,95
PAXON D 100/25 mg COM x 30 Gador 1.221,17 691,92 395,48
TEMISARTAN DIUR 100/25 mg COM x 30 Temis-Lostalo 1.275,33 743,64 447,20
COZAAREX D 100/12.5 mg COM x 30 MSD Arrgentina SR 1.536,33 949,02 625,16
COZAAREX D 100/25 mg COM x 30 MSD Arrgentina SR 1.928,30 1.367,23 1.070,79
LOTEPREDNOL
Colirio 200 mg ALREX SUSP. 0.2 g/100 ml COL x 5 Bausch & Lomb Argentina 837,97 586,68 586,68
MAGNESIO CARBONATO +
MAGNESIO SULFATO +
MAGNESIO FOSFATO +
MAGNESIO FLUORURO
Comprimidos 0,3 mg TOTAL MAGNESIANO EFERV. COM x 24 Temis-Lostalo 900,53 499,79 499,79
MAGNESIO CITRATO
Comprimidos 55 mg HOLOMAGNESIO Rec. COM x 20 Elea - Phoenix 946,26 591,82 591,82
Página 69 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 55 mg
TOTAL MAGNESIANO REC. COM x 30 Temis-Lostalo 1.226,20 703,24 703,24
HOLOMAGNESIO Rec. COM x 50 Elea - Phoenix 1.969,49 1.101,22 1.101,22
TOTAL MAGNESIANO REC. COM x 60 Temis-Lostalo 2.197,44 1.162,99 1.162,99
HOLOMAGNESIO Rec. COM x 100 Elea - Phoenix 3.227,06 1.522,57 1.522,57
MAGNESIO CLORURO +
MAGNESIO FLUORURO +
MAGNESIO SULFATO +
MAGNESIO FOSFATO
Granulado 99,96 mg TOTAL MAGNESIANO LIMON GRL x 50 Temis-Lostalo 804,79 446,66 446,66
MAGNESIO CLORURO +
MAGNESIO FLUORURO +
MAGNESIO SULFATO +
MAGNESIO FOSFATO +
MAGNESIO BROMURO
Granulado 99945 TOTAL MAGNESIANO GRL x 50 Temis-Lostalo 958,45 557,72 557,72
mg
TOTAL MAGNESIANO GRL x 100 Temis-Lostalo 1.753,80 959,67 959,67
MAGNESIO CLORURO +
MAGNESIO FLUORURO +
MAGNESIO SULFATO +
MAGNESIO FOSFATO
Sobres 1500 mg TOTAL MAGNESIANO EFERV. POLVO SOB x 30 Temis-Lostalo 1.081,56 600,27 600,27
MAGNESIO VALPROATO
Comprimidos 200 mg LOGICAL 200 COM x 30 Teva argentina ( 459,28 249,41 165,46
LOGICAL 200 COM x 60 Teva argentina ( 820,93 401,19 214,10
400 mg LOGICAL 400 COM x 30 Teva argentina ( 1.193,31 605,38 327,64
LOGICAL 400 COM x 60 Teva argentina ( 2.342,04 1.166,18 635,91
MEBENDAZOL
Comprimidos 200 mg NEMASOLE 200 COM x 6 Janssen-Cilag 108,88 43,55 43,55
TRU M 200 mg COM x 6 Biotechno Pharma 475,72 255,83 255,83
MEBUTAR 200 COM x 6 Andromaco 493,00 271,91 271,91
MEBUTAR 200 MAST. COM x 6 Andromaco 594,00 368,37 368,37
500 mg NEMASOLE AD COM x 6 Janssen-Cilag 289,02 156,53 156,53
Líquido 200 mg MEBUTAR 200 SUS x 30 Andromaco 490,00 271,95 271,95
2000 mg NEMASOLE 200 SUS x 30 Janssen-Cilag 112,20 62,27 62,27

NEMASOLE SUS x 30 Janssen-Cilag 203,66 149,62 149,62
MEDROXIPROGESTERONA
ACETATO
Comprimidos 10 mg FARLUTALE 10 mg COM x 20 Pfizer 360,44 200,04 200,04
MENOTROPINA (FSH+LH) /
HMG
Ampollas 75 ui HMG FERRING 75 UI + SOLV. F.A x 1 Ferring 4.229,86 2.249,02 2.249,02
LIFECELL 75 UI + SOLV. F.A x 1 Buxton 4.615,43 2.617,24 2.617,24
HMG FERRING 75 UI + SOLV. F.A x 6 Ferring 25.654,66 13.757,19 13.757,19
150 ui HMG FERRING 150 UI + SOLV. F.A x 1 Ferring 8.459,22 4.357,58 4.357,58
LIFECELL 150 UI + solv. F.A x 1 Buxton 9.481,59 5.333,94 5.333,94
Página 70 de 112
A CARGO A CARGO
AFILIADO CRONICO
Ampollas 150 ui HMG FERRING 150 UI + SOLV. F.A x 6 Ferring 51.313,30 26.678,34 26.678,34
MENOTROPINA (FSH+LH)
ALTA PUREZA / HMGAP
Ampollas 75 ui MENOPUR 75 UI F.A x 1 Ferring 5.032,27 2.977,59 2.977,59
MENOPUR 75 UI F.A x 5 Ferring 20.689,73 10.617,52 10.617,52
MENOPUR 75 UI F.A x 10 Ferring 40.601,04 20.491,66 20.491,66
MEPREDNISONA ACETATO
Comprimidos 4 mg LA MEPREDNISONA B 4 mg COM x 20 Biotenk 298,60 156,99 156,99
CORTIPYREN B 4 mg COM x 20 Gador 304,13 162,27 162,27
DELTISONA-B 4 mg COM x 20 Sanofi Aventis 338,30 195,49 195,49
8 mg MEPREDNISONA VARIFARMA 8 mg comp COM x Varifarma 456,53 190,59 190,59

20
LA MEPREDNISONA B 8 mg COM x 20 Biotenk 663,80 345,67 345,67
CORTIPYREN B 8 mg COM x 20 Gador 665,10 346,91 346,91
DELTISONA-B 8 mg COM x 20 Sanofi Aventis 778,10 456,18 456,18
40 mg CORTIPYREN B 40 mg COM x 20 Gador 1.496,08 681,70 681,70

DELTISONA-B 40 mg COM x 20 Sanofi Aventis 2.158,20 1.317,76 1.317,76
Gotas 400 mg DELTISONA-B GTS x 20 Sanofi Aventis 392,34 224,44 224,44 INF
Líquido 4 mg LA MEPREDNISONA B 4 MG/ML OR SOL x 15 Biotenk 355,90 197,52 197,52
MESALAZINA
Comprimidos 400 mg 5-ASA 400 mg (LP) COM x 30 Dominguez 2.169,13 1.236,40 714,44
5-ASA 400 mg (LP) COM x 60 Dominguez 4.124,40 2.268,56 1.224,66
500 mg SUPRIMAL 500 mg GASTRORRES. COM x 50 Temis-Lostalo 541,98 216,79 108,40

SALOFALK 500 mg COM x 50 Biotoscana 4.278,16 2.418,46 1.371,80
SALOFALK 500 mg COM x 100 Biotoscana 8.556,31 4.829,52 2.736,20
XALAZINA 500 mg (LP) COM x 30 Hlb Pharma 2.173,50 1.209,27 1.209,27

5-ASA 500 mg (LP) COM x 30 Dominguez 2.304,46 1.236,53 633,89
EXOTRAN 500 mg LIB.PROL. COM x 30 Beta 2.378,92 1.307,64 705,00
5 XR 500 mg COM x 50 Ariston 3.520,05 1.754,60 750,20

PENTASA 500 mg (LP) COM x 50 Ferring 4.669,63 2.852,45 1.848,05
5-ASA 500 mg (LP) COM x 60 Dominguez 4.148,14 2.033,02 829,63

EXOTRAN 500 mg LIB.PROL. COM x 60 Beta 4.389,47 2.263,49 1.058,21
CONDUCTASA 500 mg (LP) COM x 60 Casasco 4.490,57 2.360,04 1.154,76
5 XR 500 mg COM x 100 Ariston 6.449,77 2.945,44 1.289,95

PENTASA 500 mg (LP) COM x 100 Ferring 8.918,59 5.303,17 3.294,36
800 mg YOLECOL 800 mg COM x 30 Takeda 3.041,24 1.945,16 1.343,97
YOLECOL 800 mg COM x 60 Takeda 5.027,98 2.882,35 1.679,98
YOLECOL 800 mg COM x 90 Takeda 6.788,01 3.602,83 1.799,26
5-ASA 800 mg (LP) COM x 30 Dominguez 3.686,97 2.149,04 1.291,52

Página 71 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 800 mg 5-ASA 800 mg (LP) COM x 60 Dominguez 6.376,11 3.345,15 1.630,12
1000 mg PENTASA 1 g (LP) COM x 30 Ferring 5.641,44 3.248,79 1.912,05
PENTASA 1 g (LP) COM x 60 Ferring 10.612,20 5.857,09 3.183,61
1200 mg BUFEXAN AP 1200 mg COM x 30 Nova Argentia 4.815,97 2.548,17 2.548,17

MEZAVANT 1200 mg (LP) COM x 30 Bagó 5.241,59 2.954,64 1.672,71
BUFEXAN AP 1200 mg COM x 60 Nova Argentia 9.300,89 4.780,19 4.780,19

MEZAVANT 1200 mg (LP) COM x 60 Bagó 10.190,34 5.629,61 3.065,76
Enema 1000 mg PENTASA 1 g (LP) ENE x 7 Ferring 3.336,57 1.851,80 1.017,65
Espuma 1000 mg SALOFALK Rectal ESP x 14 Biotoscana 7.423,59 4.184,87 2.365,36
Sobres 500 mg SALOFALK Granul. Lib.Prol. SOB x 50 Biotoscana 4.311,00 2.430,22 1.373,60
1000 mg 5-ASA 1000 mg (LP) SOB x 30 Dominguez 4.720,51 2.383,87 1.056,24
PENTASA 1 g (LP) SOB x 50 Ferring 8.936,37 4.993,87 2.781,14
2000 mg 5-ASA 2000 mg (LP) SOB x 30 Dominguez 8.733,50 4.195,90 1.746,70

PENTASA 2 g (LP) SOB x 30 Ferring 10.654,38 6.030,34 3.439,98
4000 mg PENTASA 4 g (LP) SOB x 30 Ferring 17.731,13 9.840,78 9.840,78
1500 mg SALOFALK Granul. Lib.Prol. SOB x 30 Biotoscana 8.733,00 5.143,95 5.143,95
Supositorios 400 mg 5-ASA 400 mg (LP) SUP x 10 Dominguez 993,69 567,43 328,97
5-ASA 400 mg (LP) SUP x 30 Dominguez 2.844,52 1.571,90 856,52
500 mg YOLECOL 500 mg SUP x 30 Takeda 1.881,65 774,79 405,84

SALOFALK 500 mg SUP x 30 Biotoscana 4.777,95 3.311,05 2.525,98
1000 mg SALOFALK 1 g SUP x 10 Biotoscana 2.182,83 1.230,51 695,50
SALOFALK 1 g SUP x 30 Biotoscana 6.548,58 3.980,52 3.980,52
PENTASA 1 g (LP) SUP x 28 Ferring 6.381,04 3.541,48 1.946,22
METFORMINA
Comprimidos 500 mg METFORMINA TECHSPHERE 500 mg COM x 30 Techsphere 137,62 58,61 58,61
MEDOBIS 500 mg COM x 30 Lazar 189,71 83,51 37,94
DIABESIL 500 mg COM x 30 Gador 211,54 104,36 43,32
DBI 500 mg COM x 30 Montpellier 219,58 112,04 51,00
BALIGLUC 500 mg COM x 30 Baliarda 222,28 114,62 53,58
DIAB DOS 500 mg COM x 30 Francelab 216,45 118,79 118,79
METFORMIN TEMIS 500 mg COM x 30 Temis-Lostalo 296,51 185,51 124,47
ISLOTIN 500 mg COM x 30 Craveri 300,85 189,65 128,61
REDUGLUC 500 mg COM x 30 Microsules Argentina 290,29 192,63 192,63
METFORMINA TAURO 500 mg COM x 30 Laboratorios Tau 300,00 202,34 202,34
GLUCOPHAGE 500 mg COM x 30 Elea - Phoenix 443,32 325,71 264,67

BALIGLUC 500 mg COM x 60 Baliarda 509,55 291,30 169,23
DIABESIL 500 mg COM x 60 Gador 537,84 318,32 196,25
Página 72 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 500 mg METFORMINA TAURO 500 mg COM x 60 Laboratorios Tau 525,00 329,68 329,68
METFORMINA TECHSPHERE 500 mg COM x 100 Techsphere 429,61 182,94 182,94

GLUCOPHAGE 500 mg COM x 100 Elea - Phoenix 1.315,10 930,39 726,94
QUEXEL SR 500 mg COM x 30 Sanofi Aventis 302,65 129,99 60,53

MECTIN XR 500 mg COM x 30 Teva argentina ( 331,52 157,56 66,30
DBI AP 500 mg COM x 30 Montpellier 393,73 216,97 117,57
METGLUCON 500 AP COM x 30 Investi 415,84 238,08 138,68
DIABESIL AP 500 mg COM x 30 Gador 418,89 241,00 141,59
BALIGLUC AP 500 mg COM x 30 Baliarda 420,95 242,96 143,56
ISLOTIN XR 500 mg COM x 30 Craveri 466,21 286,19 186,78
GLUCOPHAGE XR LP 500 mg COM x 30 Elea - Phoenix 637,05 449,34 349,94

METGLUCON 500 AP COM x 60 Investi 790,19 436,54 237,74
ISLOTIN XR 500 mg COM x 60 Craveri 885,92 527,97 329,16
DAZOMET AP 500 mg COM x 60 Savant Vitarum 892,22 538,48 339,68
GLUCOPHAGE XR LP 500 mg COM x 60 Elea - Phoenix 1.210,42 837,86 639,06
DBI AP 500 mg COM x 100 Montpellier 1.172,50 589,59 258,25

DIABESIL AP 500 mg COM x 100 Gador 1.248,80 662,46 331,12
750 mg ISLOTIN XR 750 COM x 30 Craveri 729,87 391,84 201,10

GLUCOPHAGE XR LP 750 mg COM x 30 Elea - Phoenix 849,41 506,00 315,26
ISLOTIN XR 750 COM x 60 Craveri 1.363,47 691,74 310,25

GLUCOPHAGE XR LP 750 mg COM x 60 Elea - Phoenix 1.613,23 930,26 548,77
850 mg GLUCAMINOL FORTE 850 COM x 30 Investi 257,30 102,92 51,46

METFORMINA TECHSPHERE 850 mg COM x 30 Techsphere 246,63 105,02 105,02
GLUCOGOOD 850 mg COM x 30 Denver Farma 377,90 161,95 161,95
GLUMET 850 mg COM x 30 Lafedar 397,68 163,75 163,75
GLUCAMINOL FORTE 850 COM x 60 Investi 510,46 204,18 102,09

GLUCOPHAGE 850 mg COM x 60 Elea - Phoenix 1.541,34 972,76 660,75
DIAB DOS 850 mg COM x 100 Francelab 1.437,70 605,68 605,68
METGLUCON 850 mg AP COM x 30 Investi 378,83 184,71 75,77

Página 73 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 850 mg MEDOBIS 850 mg AP COM x 30 Lazar 390,00 195,38 84,71

REDUGLUC AP 850 mg COM x 30 Microsules Argentina 402,61 225,54 225,54
METFORMINA TAURO 850 AP COM x 30 Laboratorios Tau 415,00 237,93 237,93
ISLOTIN RETARD 850 mg COM x 30 Craveri 492,69 293,45 182,78
METFORMINA TECHSPHERE RTD.850 mg COM x Techsphere 484,92 206,50 206,50

60
REDUGLUC AP 850 mg COM x 60 Microsules Argentina 780,38 337,70 337,70
MEDOBIS 850 mg AP COM x 60 Lazar 755,92 367,76 151,18
METFORMINA TAURO 850 AP COM x 60 Laboratorios Tau 770,00 415,86 415,86
ISLOTIN RETARD 850 mg COM x 60 Craveri 973,11 575,18 353,84
DAZOMET AP 850 mg COM x 60 Savant Vitarum 1.003,72 609,33 388,00
DBI AP 850 mg COM x 100 Montpellier 1.439,94 784,91 416,02

REDUGLUC AP 850 mg COM x 100 Microsules Argentina 1.405,68 815,45 815,45
DIABESIL AP 850 COM x 100 Gador 1.534,22 874,95 506,05
ISLOTIN RETARD 850 mg COM x 100 Craveri 1.554,73 894,54 525,64
1000 mg ISLOTIN 1000 mg COM x 20 Craveri 504,49 303,58 192,21

METFORMIN TEMIS 1 g COM x 30 Temis-Lostalo 687,17 388,94 221,87
ISLOTIN 1000 mg COM x 50 Craveri 1.067,26 573,72 295,27

GLUMET 1000 mg COM x 60 Lafedar 1.071,41 536,79 536,79
REDUGLUC 1000 mg COM x 60 Microsules Argentina 1.093,53 558,91 558,91
METFORMIN TEMIS 1 g COM x 60 Temis-Lostalo 1.184,16 596,26 262,12
GLUCOPHAGE 1000 mg COM x 60 Elea - Phoenix 1.866,35 1.247,75 913,61
GLUMET 1000 mg COM x 100 Lafedar 1.678,18 787,15 787,15

REDUGLUC 1000 mg COM x 100 Microsules Argentina 1.759,59 868,56 868,56

DBI AP FORTE 1000 mg COM x 30 Montpellier 585,67 310,09 154,32
Página 74 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 1000 mg BALIGLUC AP 1000 mg COM x 30 Baliarda 612,18 335,40 179,64

ISLOTIN XR 1000 COM x 30 Craveri 971,55 678,60 522,83
GLUCOPHAGE XR LP 1000 COM x 30 Elea - Phoenix 1.139,73 839,21 683,45

DBI AP FORTE 1000 mg COM x 60 Montpellier 1.108,05 559,73 248,20
BALIGLUC AP 1000 mg COM x 60 Baliarda 1.118,70 569,90 258,37
DIABESIL AP 1000 mg COM x 60 Gador 1.177,50 626,06 314,52
DAZOMET AP 1000 mg COM x 60 Savant Vitarum 1.332,24 780,94 469,41
ISLOTIN XR 1000 COM x 60 Craveri 1.815,56 1.235,40 923,87
GLUCOPHAGE XR LP 1000 COM x 60 Elea - Phoenix 2.296,74 1.694,93 1.383,40
DBI AP FORTE 1000 mg COM x 100 Montpellier 1.829,89 916,78 397,56

DIABESIL AP 1000 mg COM x 100 Gador 1.942,67 1.024,49 505,26
Líquido 500 mg DBI METFORMINA ORAL SOL x 150 Montpellier 653,29 392,87 248,48
DBI METFORMINA ORAL SOL x 500 Montpellier 1.849,52 996,23 514,94
METFORMINA +
GLIBENCLAMIDA
Comprimidos 500 mg METGLUCON DUO COM x 30 Investi 397,45 181,97 181,97
DBI DUO 2,5/ 500 mg COM x 30 Montpellier 434,19 217,93 217,93
GLUCOVANCE 2,5/ 500 mg COM x 30 Elea - Phoenix 535,97 315,13 315,13
DBI DUO 5/ 500 mg COM x 30 Montpellier 538,42 316,60 316,60
GLUCOVANCE 500/ 5 mg COM x 30 Elea - Phoenix 620,52 395,00 395,00
METGLUCON DUO COM x 60 Investi 609,36 243,74 243,74

DBI DUO5/ 500 mg COM x 60 Montpellier 918,69 482,16 482,16
GLUCOVANCE 5/ 500 mg COM x 60 Elea - Phoenix 1.054,31 611,67 611,67
METILDOPA
Comprimidos 250 mg ALDOMET 250 mg COM x 30 Aspen 437,92 257,39 155,04 MAT
HIPERMET 250 mg COM x 50 Raymos 682,43 378,78 208,19
500 mg ALDOMET 500 mg COM x 30 Techsphere - Aspen 705,53 419,71 419,71 MAT
HIPERMET 500 mg COM x 40 Raymos 862,11 478,23 478,23 MAT
ALDOMET 500 mg COM x 100 Aspen 2.347,60 1.395,02 1.395,02 MAT
METILFENIDATO
Comprimidos 10 mg RITALINA 10 mg COM x 30 Novartis 1.223,54 634,27 634,27
MFD 10 mg COM x 30 Sidus 1.281,10 689,24 689,24
RUBIFEN 10 COM x 30 Bagó 1.386,28 789,69 789,69
RITALINA LA 10 mg CAP x 30 Novartis 2.620,73 1.968,59 1.968,59
MFD 10 mg COM x 60 Sidus 2.363,16 1.188,40 1.188,40
18 mg CONCERTA 18 mg COM x 30 Janssen-Cilag 3.544,53 1.967,21 1.967,21
20 mg MFD 20 mg COM x 30 Sidus 2.377,45 1.196,50 1.196,50

RUBIFEN 20 mg COM x 30 Bagó 2.507,58 1.320,77 1.320,77
RITALINA LA 20 mg CAP x 30 Novartis 2.620,73 1.428,83 1.428,83
RUBIFEN SR 20 mg COM x 30 Bagó 3.342,19 2.117,83 2.117,83
30 mg RITALINA LA 30 mg CAP x 30 Novartis 3.052,10 1.693,92 1.693,92
Página 75 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 36 mg CONCERTA 36 mg COM x 30 Janssen-Cilag 5.069,59 2.813,62 2.813,62
40 mg RITALINA LA 40 mg CAP x 30 Novartis 3.052,10 1.693,92 1.693,92
METIMAZOL
Comprimidos 5 mg DANANTIZOL 5 mg COM x 100 Gador 266,26 147,77 81,21
20 mg DANANTIZOL 20 mg COM x 30 Gador 331,88 184,19 101,22
METOCLOPRAMIDA
Comprimidos 10 mg RELIVERAN COM x 20 Gador 264,28 146,70 146,70
RILAQUIN 10 mg COM x 20 Microsules Argentina 262,45 156,76 156,76
10 mg RELIVERAN SUBLINGUAL 10 mg COM x 10 Gador 416,52 231,19 231,19

RILAQUIN SL 10 mg COM x 10 Microsules Argentina 412,56 245,97 245,97
Gotas 200 mg RELIVERAN NIÑOS GTS x 20 Gador 282,35 156,83 156,83
500 mg NOVOMIT ADULTOS GTS x 20 Klonal 254,52 133,53 133,53

METOCLOPRAMIDA VANNIER ADULTOS GTS x Vannier S.A. 278,16 157,17 157,17
20
PRIMAVERA-N AD. GTS x 20 Fabra 303,19 182,20 182,20
RELIVERAN ADULTOS GTS x 20 Gador 331,18 195,28 195,28
RILAQUIN ADULTOS GTS x 20 Microsules Argentina 331,04 210,05 210,05
RELIVERAN ADULTOS GTS x 60 Gador 859,21 457,57 457,57
METOPROLOL
Comprimidos 25 mg BELOZOK 25 mg Prol. Lib. COM x 30 Astrazeneca 599,16 332,53 332,53
50 mg BELOZOK 50 mg Prol. Lib. COM x 30 Astrazeneca 712,36 395,36 395,36
100 mg BELOZOK 100 mg Prol. Lib. COM x 30 Astrazeneca 887,51 492,57 492,57
METOTREXATE
Ampollas 15 mg TRIXATE 15 mg 3 ml F.A x 5 Rontag 722,70 289,08 289,08
ARTRAIT 15 mg F.A x 5 Trb-Pharma 1.132,00 642,94 642,94
20 mg ARTRAIT 20 mg F.A x 4 Trb-Pharma 1.161,00 659,53 659,53
15 mg ARTRAIT SC 15 mg F.A x 4 Trb-Pharma 1.132,00 642,94 642,94
20 mg ARTRAIT SC 20 mg F.A x 4 Trb-Pharma 1.161,00 659,48 659,48
Comprimidos 2,5 mg ERVEMIN 2,5 mg COM x 20 Teva argentina ( 232,10 118,25 118,25
TRIXATE 2.5 mg COM x 20 Rontag 235,00 131,59 131,59
ARTRAIT 2,5 mg COM x 20 Trb-Pharma 279,00 163,40 163,40
7,5 mg TRIXATE 7.5 mg COM x 4 Rontag 164,25 84,53 84,53
ERVEMIN 7,5 mg COM x 10 Teva argentina ( 388,76 190,44 190,44

TRIXATE 7.5 mg COM x 10 Rontag 404,99 206,30 206,30
ARTRAIT 7,5 mg COM x 10 Trb-Pharma 474,00 272,48 272,48
10 mg TRIXATE 10 mg COM x 4 Rontag 171,83 84,54 84,54
TRIXATE 10 mg COM x 10 Rontag 425,11 207,46 207,46

ERVEMIN 10 mg COM x 10 Teva argentina ( 427,27 209,15 209,15
ARTRAIT 10 mg COM x 10 Trb-Pharma 517,00 295,51 295,51
15 mg ERVEMIN 15 mg COM x 4 Teva argentina ( 402,79 210,97 210,97

Página 76 de 112
A CARGO A CARGO
AFILIADO CRONICO
METOXSALEN
Comprimidos 10 mg OXSORALEN ULTRA BLANDAS CAP x 30 Investi 3.523,39 1.955,48 1.955,48
OXSORALEN ULTRA RIGIDAS CAP x 30 Investi 3.523,39 1.955,48 1.955,48
METRONIDAZOL
Comprimidos 500 mg GINKAN 500 COM x 8 Baliarda 223,37 138,22 138,22
OVUFEM COM x 8 Bernabo 232,75 147,18 147,18
COLPOFILIN 500 mg COM x 10 Lazar 206,08 102,94 102,94

NALOX 500 mg COM x 10 Omega 396,68 284,96 284,96
TRICOFIN 500 mg COM x 20 Raymos 184,61 73,84 73,84

METRONIDAZOL BIOL 500 mg COM x 20 Biol 396,03 190,47 190,47
COLPOFILIN 500 mg COM x 20 Lazar 403,48 197,59 197,59
GINKAN 500 COM x 20 Baliarda 480,52 271,16 271,16
FLAGYL 500 mg COM x 20 Sanofi Aventis 513,68 303,72 303,72
OVUFEM COM x 20 Bernabo 532,28 320,59 320,59
NALOX 500 mg COM x 20 Omega 681,61 463,20 463,20
500 mg METROCEV VAG. TAB x 12 Cevallos 460,00 259,90 259,90
Crema 1000 mg METRAL 1% CRE x 30 Cassara 427,78 207,01 207,01
Gel 800 mg METROLOCAL 0.8% GEL x 30 Craveri 764,44 424,26 424,26
Líquido 2500 mg METRONIDAZOL VANNIER SUS x 120 Vannier S.A. 358,58 198,06 198,06
METRONIDAZOL FABRA 125MG/5ML SUS x 120 Fabra 459,88 299,36 299,36
Óvulos 500 mg NALOX OVU x 6 Omega 506,07 383,25 383,25
TRICOFIN 500 mg OVU x 8 Raymos 186,93 74,77 74,77
COLPOFILIN 500 mg OVU x 10 Lazar 312,97 132,14 132,14

FLAGYL 500 mg OVU x 10 Sanofi Aventis 442,14 256,26 256,26
NALOX OVU x 12 Omega 822,81 585,68 585,68
MICONAZOL
Crema 2000 mg DERALBINE CRE x 40 Andromaco 461,00 256,81 256,81
Loción 2000 mg DERALBINE LOC x 40 Andromaco 429,00 238,09 238,09
Óvulos 400 mg NEDIS 400 mg OVU x 3 Omega 783,17 434,66 434,66
Spray 1320 mg DERALBINE POLVO SPR x 90 Andromaco 791,00 439,01 439,01
Talco 2000 mg DERALBINE TAL x 40 Andromaco 448,00 248,64 248,64
MINOCICLINA CLORHIDRATO
Comprimidos 50 mg SEBOCLEAR COM x 10 Raymos 259,45 152,90 152,90
MEIBI 50 mg COM x 30 Raymos 633,86 320,72 320,72

SEBOCLEAR COM x 30 Raymos 698,07 382,04 382,04
ACNECLIN COM x 30 Investi 784,98 465,04 465,04
LIMAFIL 50 mg COM x 30 Casasco 837,67 515,36 515,36
100 mg SEBOCLEAR 100 mg COM x 10 Raymos 613,11 401,40 401,40
MEIBI 100 mg COM x 30 Raymos 1.331,98 719,70 719,70

SEBOCLEAR 100 mg COM x 30 Raymos 1.397,99 782,74 782,74
ACNECLIN 100 AP CAP x 30 Investi 1.492,61 838,64 838,64

LIMAFIL 100 mg AP COM x 30 Casasco 1.585,51 927,36 927,36
Página 77 de 112
A CARGO A CARGO
AFILIADO CRONICO
MOMETASONA FUROATO
Crema 100 mg SUAVICORT CRE x 15 Cassara 168,00 67,20 67,20
MOMETAX CRE x 15 Investi 354,45 150,27 150,27
ELOCON CRE x 15 MSD Arrgentina SR 920,06 690,43 690,43
NOVASONE CRE x 15 MSD Arrgentina SR 1.044,09 808,87 808,87
METASON CRE x 20 Fortbenton 363,02 153,58 153,58

SUAVICORT CRE x 20 Cassara 455,44 204,47 204,47
MOMETAX CRE x 30 Investi 642,35 256,94 256,94
METASON CRE x 40 Fortbenton 403,03 161,21 161,21
Inhahaldor con 0,2 mg HEXALER BRONQUIAL 200 mcg CAP. INH x 30 Investi 1.007,53 562,67 562,67
sistemas
HEXALER BRONQUIAL 200 mcg CAP. INH x 60 Investi 939,96 375,98 375,98
0,4 mg HEXALER BRONQUIAL 400 mcg CAP. INH x 30 Investi 1.030,44 576,65 576,65
HEXALER BRONQUIAL 400 mcg CAP. INH x 60 Investi 1.038,92 415,57 415,57
Loción 100 mg METASON LOC x 30 Fortbenton 462,88 195,84 195,84

MOMETAX LOC x 30 Investi 569,94 227,98 227,98
ELOCON LOC x 30 MSD Arrgentina SR 1.281,28 897,43 897,43
NOVASONE LOC x 30 MSD Arrgentina SR 1.458,39 1.066,57 1.066,57
Spray 0,05 mg SUAVICORT NASAL SPR x 60 Cassara 158,00 63,20 63,20

METASON NASAL MINI SPR x 60 Fortbenton 376,03 223,17 223,17
NASONEX MINI ACUOSO Nasal SPR x 60 MSD Arrgentina SR 1.154,15 965,62 965,62
HEXALER NASAL SPR x 120 Investi 506,14 210,18 210,18

METASON NASAL SPR x 120 Fortbenton 525,23 229,32 229,32
NASONEX NASAL ACUOSO SPR x 140 MSD Arrgentina SR 1.884,89 1.481,35 1.481,35
SUAVICORT NASAL SPR x 150 Cassara 893,62 552,14 552,14
MONTELUKAST SÓDICO
Comprimidos 4 mg INSPIROL 4 mg COM x 10 Lazar 471,85 266,28 266,28
INSPIROL 4 mg COM x 30 Lazar 1.261,48 651,71 651,71

ASMAVITAN 4 mg MAST COM x 30 Montpellier 1.306,26 694,47 694,47
PLENAIR 4 mg MAST. COM x 30 Nova Argentia 1.314,43 702,27 702,27
AIREAL 4 mg COM x 30 Investi 1.315,09 702,90 702,90
LUKAST 4 mg COM x 30 Bagó 1.333,71 720,69 720,69
MONTRATE 4 mg COM x 30 Casasco 1.380,18 765,06 765,06
ROLAST NIÑOS 4 mg MAST. COM x 30 Elea - Phoenix 1.624,86 998,73 998,73
SINGULAIR NIÑOS 4 mg COM x 30 MSD Arrgentina SR 1.955,21 1.314,22 1.314,22
AMISPED PEDIATRICO 4 mg Mast. COM x 30 Sanofi Aventis 1.996,30 1.356,91 1.356,91
AIREAL 4 mg Mast. COM x 60 Investi 2.298,21 1.088,77 1.088,77
5 mg INSPIROL 5 mg COM x 10 Lazar 506,52 286,62 286,62
LUKASMA 5 mg COM x 30 Fortbenton 1.262,95 523,79 523,79

ASMAVITAN 5 mg COM x 30 Montpellier 1.407,42 752,76 752,76
PLENAIR 5 mg MAST. COM x 30 Nova Argentia 1.407,65 752,98 752,98
ROLAST NIÑOS 5 mg MAST. COM x 30 Elea - Phoenix 1.718,31 1.049,66 1.049,66
Página 78 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 5 mg SINGULAIR 5 mg MAST. COM x 30 MSD Arrgentina SR 1.955,21 1.275,90 1.275,90

AMISPED PEDIATRICO 5 mg Mast. COM x 30 Sanofi Aventis 2.072,35 1.391,36 1.391,36
AIREAL 5 mg Mast. COM x 60 Investi 2.463,28 1.169,79 1.169,79
10 mg INSPIROL 10 mg COM x 10 Lazar 524,82 292,04 292,04
LUKASMA 10 mg COM x 30 Fortbenton 1.344,15 559,79 559,79

PLENAIR 10 mg COM x 30 Nova Argentia 1.476,18 782,26 782,26
ASMAVITAN 10 mg COM x 30 Montpellier 1.502,33 807,24 807,24
ROLAST 10 mg COM x 30 Elea - Phoenix 1.824,85 1.115,24 1.115,24
SINGULAIR 10 mg COM x 30 MSD Arrgentina SR 1.889,32 1.176,81 1.176,81
AMISPED 10 mg COM x 30 Sanofi Aventis 2.195,93 1.473,43 1.473,43
AIREAL 10 mg COM x 60 Investi 2.581,56 1.210,41 1.210,41
Sobres 4 mg ASMAVITAN 4 mg GRAN SOB x 30 Montpellier 1.252,96 670,96 670,96

MONTRATE SOB x 30 Casasco 1.324,59 739,37 739,37
LUKAST 4 mg Monods. SOB x 30 Bagó 1.376,75 789,18 789,18
SINGULAIR NIÑOS 4 mg GRAN. SOB x 30 MSD Arrgentina SR 1.657,90 1.057,68 1.057,68
MUPIROCINA
Crema 2000 mg PALDAR CRE x 15 Investi 561,54 305,48 305,48
MUPAX CRE x 15 Lazar 582,60 325,59 325,59
BACTROBAN CRE x 15 GlaxoSmithKline 839,41 570,85 570,85
Ungüento 2000 mg MUPAX DERM. UNG x 15 Lazar 399,63 214,98 214,98

PALDAR UNG x 15 Investi 431,25 245,18 245,18
MUPIROX 2% UNG x 15 Fortbenton 463,29 276,58 276,58
MUPIROX 2% UNG x 20 Fortbenton 437,28 215,06 215,06
2000 mg BACTROBAN NASAL UNG x 3 GlaxoSmithKline 656,78 514,17 514,17
MUPIROX NASAL 2% UNG x 5 Fortbenton 362,22 158,13 158,13

MUPAX NASAL 2% UNG x 5 Lazar 380,37 174,84 174,84
NANDROLONA
Ampollas 50 mg DECADURABOLIN 50 mg 1 ML AMP x 1 Aspen 553,14 348,58 348,58
NAPROXENO
Comprimidos 250 mg ALIDASE COM x 10 Bernabo 231,32 142,55 142,55
NAPRONTAG 250 mg COM x 20 Rontag 355,57 198,85 198,85

NAPRUX 250 mg COM x 20 Andromaco 424,00 248,20 248,20
500 mg NAPROXENO VANNIER 500 mg COM x 10 Vannier S.A. 339,16 183,42 183,42
ALIDASE 500 mg COM x 10 Bernabo 430,31 255,21 255,21
NAPROXENO TEVA 500 mg TAB x 20 Teva argentina ( 631,10 291,22 291,22

NAPRONTAG 500 mg COM x 20 Rontag 799,15 452,75 452,75
ALIDASE 500 mg COM x 40 Bernabo 1.438,66 750,95 750,95
NAPRONTAG 500 mg COM x 50 Rontag 1.670,67 818,97 818,97
Página 79 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 500 mg NAPRUX 500 mg COM x 50 Andromaco 1.852,00 989,95 989,95
550 mg NAPRUX RAPID 550 mg COM x 10 Andromaco 411,00 228,63 228,63
NAPRUX RAPID 550 mg COM x 20 Andromaco 819,00 454,40 454,40
NAPRONTAG GESIC 550 mg COM x 10 Rontag 428,22 178,77 178,77

MOX FORTE COM x 10 Pharmadorf 646,28 374,96 374,96
NAPRONTAG GESIC 550 mg COM x 20 Rontag 852,42 355,87 355,87
750 mg CONGEX 24 750 mg AC.PROL. COM x 10 Buxton 506,22 274,34 274,34

NAPRONTAG 24 750 mg (LP) COM x 10 Rontag 575,99 341,72 341,72
NAPRONTAG 24 750 mg (LP) COM x 30 Rontag 1.574,17 878,08 878,08

CONGEX 24 750 mg AC.PROL. COM x 30 Buxton 1.618,05 917,92 917,92
NAPRUX 750 AP COM x 30 Andromaco 1.759,00 1.052,53 1.052,53
NAPRUX 750 AP COM x 60 Andromaco 3.190,00 1.791,82 1.791,82
NEOMICINA
Comprimidos 250 mg NEOMAS BOWERS COM x 16 Temis-Lostalo 839,11 465,71 465,71
NIFEDIPINA
Comprimidos 10 mg ADALAT RETARD 10 mg COM x 50 Bayer (PH) 126,45 70,18 38,57
20 mg ADALAT OROS 20 mg COM x 30 Bayer (PH) 429,08 294,64 222,68
ADALAT OROS 30 mg COM x 30 Bayer (PH) 638,18 255,27 127,64

NIFED SOL 30 mg COM x 30 Elea - Phoenix 1.533,63 960,37 645,22
NIFED SOL 60 mg COM x 30 Elea - Phoenix 1.697,06 946,64 525,36
NIMODIPINA
Comprimidos 30 mg NIMOTOP 30 mg COM x 30 Bayer (PH) 191,36 76,54 76,54
NIMODILAT 30 mg COM x 30 Lazar 312,00 124,80 124,80
MACOBAL 30 mg COM x 30 Lafedar 389,81 208,18 208,18
ACIVAL COM x 30 Geminis Farmaceutica 420,27 219,73 219,73
EXPLANER 30 mg COM x 30 Casasco 487,49 283,92 283,92
NIVAS 30 mg COM x 30 Raffo 574,03 366,57 366,57
NIMOTOP 30 mg COM x 60 Bayer (PH) 325,53 130,21 130,21

MACOBAL 30 mg COM x 60 Lafedar 581,99 239,64 239,64
ACIVAL COM x 60 Geminis Farmaceutica 705,00 310,02 310,02
NIVAS 30 mg COM x 60 Raffo 954,77 548,55 548,55
60 mg NIMODILAT FORTE 60 mg COM x 30 Lazar 500,74 200,30 200,30

NIVAS FORTE 60 mg COM x 30 Raffo 936,68 583,53 583,53
NIMODILAT FORTE 60 mg COM x 60 Lazar 660,60 264,24 264,24

EXPLANER 60 mg COM x 60 Casasco 1.286,80 606,89 606,89
NIVAS FORTE 60 mg COM x 60 Raffo 1.566,53 874,04 874,04
120 mg EXPLANER LP 120 mg COM x 30 Casasco 967,29 536,96 536,96
Página 80 de 112
A CARGO A CARGO
AFILIADO CRONICO
NISTATINA
Comprimidos 500000 ui DIPNI 500000 ORAL COM x 12 Omega 630,42 352,15 352,15
DIPNI 500000 ORAL COM x 30 Omega 1.553,10 858,45 858,45
100000 ui DIPNI 10000 VAGINAL COM x 6 Omega 492,97 294,51 294,51
DIPNI 10000 VAGINAL COM x 12 Omega 788,65 400,62 400,62
Ungüento 1000000 NEOSTATIN UNG x 30 Cassara 215,90 132,70 132,70

ui
NITROFURANTOINA
Comprimidos 100 mg UROFURAN 100 mg CAP x 30 Eurolab 1.370,00 822,70 822,70
FURADANTINA MC 100 mg CAP x 36 Bagó 1.438,07 790,58 790,58
Líquido 500 mg FURADANTINA SUS x 120 Bagó 965,48 535,85 535,85
NITROFURAZONA
Apósitos 200 mg NITROFURAZONA SERTEX X 10 CM APO x 20 Sertex 370,97 210,49 210,49
NORETINDRONA
Comprimidos 5 mg PRIMOLUT-NOR 5 mg COM x 20 Bayer (PH) 112,86 62,64 62,64
10 mg PRIMOLUT NOR 10 mg COM x 20 Bayer (PH) 1.034,53 620,72 620,72
NORFLOXACINA
Comprimidos 400 mg URO LINFOL COM x 6 Omega 447,09 329,57 329,57
FLOXATRAL 400 mg COM x 10 Lepetit 146,11 61,65 61,65

UROXACIN 400 mg COM x 10 Lazar 370,74 191,73 191,73
MEMENTO NF COM x 10 Pharmadorf 425,21 243,75 243,75
NORFLOXACINA CRAVERI COM x 10 Craveri 467,06 283,71 283,71
UROTEM 400 mg COM x 14 Temis-Lostalo 667,85 410,54 410,54
FLOXATRAL 400 mg COM x 20 Lepetit 292,22 123,31 123,31

UROXACIN 400 mg COM x 20 Lazar 659,63 305,29 305,29
MEMENTO NF COM x 20 Pharmadorf 768,85 409,60 409,60
UROSEPTAL COM x 20 Bagó 897,79 532,74 532,74
NORFLOXACINA CRAVERI COM x 20 Craveri 901,20 535,99 535,99
UROTEM 400 mg COM x 20 Temis-Lostalo 955,20 587,56 587,56
URO LINFOL COM x 20 Omega 1.201,09 822,39 822,39
OLANZAPINA
Ampollas 10 mg MIDAX 10 mg IM AMP x 1 Gador 301,31 167,23 167,23
Comprimidos 2,5 mg APSICO 2.5 mg COM x 28 Raymos 1.846,89 895,97 895,97

MIDAX 2.5 mg COM x 28 Gador 2.060,97 1.100,41 1.100,41
ZYPREXA 2.5 mg COM x 28 Eli Lilly 4.012,55 2.967,71 2.967,71
5 mg APSICO 5 mg COM x 14 Raymos 1.405,20 733,93 733,93

TREXOL 5 mg COM x 14 Beta 1.446,20 773,09 773,09
OLANZAPINA ROSPAW 5 mg COM x 14 Rospaw 1.415,00 806,97 806,97
MIDAX 5 mg COM x 14 Gador 1.567,09 888,54 888,54
SIMINA 5 mg COM x 14 Elea - Phoenix 1.896,55 1.203,17 1.203,17
ZYPREXA 5 mg COM x 14 Eli Lilly 2.990,50 2.250,53 2.250,53
ZYPREXA ZYDIS 5 mg TAB x 14 Eli Lilly 2.990,50 2.250,53 2.250,53
OLANZAPINA ROSPAW 5 mg COM x 28 Rospaw 2.597,00 1.076,92 1.076,92

APSICO 5 mg COM x 28 Raymos 2.730,31 1.391,38 1.391,38
MIDAX 5 mg COM x 28 Gador 3.061,33 1.707,51 1.707,51
Página 81 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 5 mg ENOLEX 5 mg COM x 28 Casasco 3.197,07 1.837,14 1.837,14

TREXOL 5 mg COM x 28 Beta 3.238,05 1.876,27 1.876,27
ZYPREXA ZYDIS 5 mg Dis.Inst. TAB x 28 Eli Lilly 5.934,69 4.456,80 4.456,80
REVERTRIX 5 mg COM x 30 Richmond 2.546,50 1.132,32 1.132,32

SARTINA 5 mg COM x 30 Temis-Lostalo 3.272,90 1.822,69 1.822,69
10 mg ZYPREXA ZYDIS 10 mg Dis.Inst. TAB x 28 Eli Lilly 11.590,85 6.534,06 6.534,06

ZYPREXA ZYDIS 10 mg TAB x 14 Eli Lilly 5.938,18 4.504,78 4.504,78

ENOLEX 10 mg COM x 28 Casasco 6.126,01 3.507,49 3.507,49
REVERTRIX 10 mg COM x 30 Richmond 5.010,87 2.281,75 2.281,75

SARTINA 10 mg COM x 30 Temis-Lostalo 6.385,08 3.587,56 3.587,56
OMEPRAZOL
Comprimidos 10 mg PROCELAC 10 mg CAP x 28 Teva argentina ( 485,52 257,00 257,00
ULCOZOL 10 mg COM x 28 Bagó 520,03 289,95 289,95
DANLOX 10 mg CAP x 28 Casasco 552,58 321,04 321,04
GASTROTEM 10 mg CAP x 30 Temis-Lostalo 511,47 267,02 267,02

GASTEC 10 mg CAP x 30 Bernabo 545,98 299,97 299,97
ULCOZOL 10 mg CAP x 30 Bagó 557,06 310,56 310,56
20 mg PROCELAC 20 mg CAP x 14 Teva argentina ( 451,54 253,86 253,86

OMEPRASEC HLB 20 mg CAP x 14 Hlb Pharma 452,81 275,45 275,45
OBLISEC 20 mg CAP x 14 Microsules Argentina 510,43 333,07 333,07
ULCOZOL 20 mg COM x 14 Bagó 546,20 344,26 344,26
ACIMED 20 mg CAP x 15 Lepetit 304,88 128,65 128,65

IVESTRON 20 mg CAP x 15 Fecofar 435,91 226,65 226,65
GASTEC 20 mg CAP x 15 Bernabo 543,71 329,22 329,22
TIMEZOL 20 mg CAP x 28 Richmond 795,10 351,70 351,70

PROCELAC 20 mg CAP x 28 Teva argentina ( 903,08 459,68 459,68
LOSEC MUPS 20 mg COM x 28 Astrazeneca 870,86 476,95 476,95
OMEPRASEC HLB 20 mg CAP x 28 Hlb Pharma 923,26 568,54 568,54
ULCOZOL 20 mg COM x 28 Bagó 1.016,37 615,91 615,91
Página 82 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 20 mg IVESTRON 20 mg CAP x 30 Fecofar 830,28 413,59 413,59

GASTEC 20 mg CAP x 30 Bernabo 1.009,11 583,64 583,64
ULCOZOL 20 mg CAP x 30 Bagó 1.014,84 589,12 589,12
DANLOX 20 mg CAP x 30 Casasco 1.047,05 619,88 619,88
GASTROTEM 20 mg CAP x 30 Temis-Lostalo 1.163,37 730,96 730,96
DANLOX 20 mg CAP x 56 Casasco 2.017,69 1.217,46 1.217,46
30 mg ULCOZOL 30 mg CAP x 28 Bagó 1.443,45 801,11 801,11
40 mg PROCELAC 40 mg CAP x 14 Teva argentina ( 791,16 413,07 413,07

PROCELAC 40 MG CAP x 28 Teva argentina ( 1.533,55 677,32 677,32

GASTEC 40 mg CAP x 28 Bernabo 1.720,97 958,55 958,55
ULCOZOL 40 mg CAP x 28 Bagó 1.743,00 979,58 979,58
ULCOZOL 40 mg COM x 28 Bagó 1.744,12 980,65 980,65

Sobres 20 mg ULCOZOL Pol. p/Susp.Oral SOB x 30 Bagó 1.891,74 1.049,92 1.049,92
OXCARBACEPINA
Comprimidos 300 mg AURENE 300 mg COM x 30 Teva argentina ( 2.067,49 1.206,44 726,44
TRILEPTAL 300 mg COM x 30 Novartis 2.138,95 1.276,11 796,11
AURENE 300 mg COM x 60 Teva argentina ( 3.698,64 1.778,61 991,47

TRILEPTAL 300 mg COM x 60 Novartis 3.826,43 2.120,77 1.160,75
600 mg AURENE 600 mg COM x 30 Teva argentina ( 3.979,69 2.217,80 1.490,28

AURENE 600 mg COM x 60 Teva argentina ( 6.778,36 3.254,59 1.845,09

Líquido 6000 mg TRILEPTAL JBE x 100 Novartis 1.335,71 750,10 421,11
OXIBUTININA
Comprimidos 5 mg DELAK 5 mg COM x 20 Raffo 524,12 262,93 262,93
UREQUIM COM x 20 Craveri 584,51 320,61 320,61
DITROPAN COM x 20 Elea - Phoenix 703,59 434,33 434,33
OXIBUTININA FERRING 5 mg COM x 20 Ferring 734,90 464,23 464,23
DELAK 5 mg COM x 30 Raffo 729,10 339,89 339,89

DITROPAN COM x 30 Elea - Phoenix 915,35 517,76 517,76
UREQUIM COM x 50 Craveri 1.357,89 702,78 702,78

DITROPAN COM x 50 Elea - Phoenix 1.596,94 931,07 931,07
OXIBUTININA FERRING 5 mg COM x 50 Ferring 1.756,01 1.082,99 1.082,99
DELAK 5 mg COM x 60 Raffo 1.401,23 625,37 625,37
DITROPAN UD 5 mg COM x 20 Elea - Phoenix 1.636,78 965,48 965,48
DITROPAN UD 5 mg COM x 30 Elea - Phoenix 2.191,88 1.196,79 1.196,79
Página 83 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg DITROPAN UD 10 mg COM x 20 Elea - Phoenix 2.049,95 1.127,77 1.127,77
15 mg DITROPAN UD 15 mg COM x 20 Elea - Phoenix 2.136,12 1.081,90 1.081,90
Líquido 100 mg DITROPAN JBE x 200 Elea - Phoenix 1.231,95 678,70 678,70
OXIBUTININA FERRING 1 mg/ml JBE x 200 Ferring 1.461,82 898,23 898,23
OXIMETAZOLINA
CLORHIDRATO
Colirio 0,3 mg OCUREL LC COL x 7,5 Novoplos 411,07 244,77 244,77
25 mg NEWCLAR COL x 10 Poen 350,48 230,94 230,94
Spray 50 mg OXILER D SPR x 10 Cassara 426,46 262,12 262,12
25 mg LIDIL INF.NASAL SPR x 20 Roemmers 209,94 116,52 116,52
50 mg LIDIL NASAL SPR x 20 Roemmers 231,91 128,71 128,71
PANTOPRAZOL
Comprimidos 20 mg GASTROMAX 20 mg COM x 14 Gador 191,80 84,34 84,34
IBP PANTO 20 mg COM x 14 Geminis Farmaceutica 264,47 153,74 153,74
PANTOP 20 mg COM x 14 Takeda 524,91 402,92 402,92
PANTUS 20 mg GASTRORR COM x 15 Baliarda 253,28 135,99 135,99

PEPTAZOL 20 mg COM x 15 Montpellier 283,02 164,40 164,40
PANGEST 20 mg COM x 15 Beta 356,49 234,56 234,56
SUPRACAM 20 mg COM x 20 Raffo 345,24 188,52 188,52
GASTROMAX 20 mg COM x 28 Gador 258,96 103,58 103,58

PANTOPRAZOL DENVER FARMA 20 mg COM x 30 Denver Farma 426,66 161,94 161,94

PANTOMETYL 20 mg COM x 30 Sanitas 428,12 197,82 197,82
ZURCAL 20 mg COM x 30 Takeda 447,82 216,29 216,29
PANTOCAS 20 mg COM x 30 Casasco 500,52 266,22 266,22
PANTOSEPTO 20 mg COM x 30 Craveri 600,78 361,97 361,97
PANTUSEC GASTR. 20 mg COM x 30 Baliarda 712,25 468,42 468,42

40 mg PANTOSEPTO 40 mg COM x 14 Craveri 234,10 93,64 93,64

TECTA 40 mg COM x 14 Takeda 454,82 273,55 273,55

Página 84 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 40 mg PEPTAZOL 40 mg COM x 15 Montpellier 437,29 244,89 244,89


DUNCAN SIPAR 40 mg GASTRORR. COM x 28 Duncan 601,00 278,59 278,59
PANTOSEPTO 40 mg COM x 28 Craveri 1.044,76 675,33 675,33
PANTOP 40 mg COM x 28 Takeda 1.669,80 1.273,72 1.273,72
PANTOPRAZOL DENVER FARMA 40 mg COM x 30 Denver Farma 725,46 293,66 293,66

PANTOMETYL 40 mg COM x 30 Sanitas 689,83 314,54 314,54
ZURCAL 40 mg COM x 30 Takeda 711,72 334,88 334,88
GASTROMAX MAGNESICO 40 mg COM x 30 Gador 993,06 602,93 602,93
PANGEST 40 mg COM x 30 Beta 1.031,56 639,70 639,70
PANTOSEPTO 40 mg COM x 30 Craveri 1.051,03 658,29 658,29
PANTUSEC GASTR. 40mg COM x 30 Baliarda 1.067,38 673,91 673,91
TECTA 40 mg COM x 30 Takeda 1.501,80 1.090,10 1.090,10
GASTROMAX 40 mg COM x 60 Gador 1.349,00 597,41 597,41

PANTOCAS 40 mg COM x 60 Casasco 1.497,66 739,39 739,39
Sobres 20 mg PANTUS 20 mg SOB x 30 Baliarda 1.117,32 620,11 620,11
40 mg PANTUS 40 mg SOB x 30 Baliarda 1.325,38 735,59 735,59
PAPERAS VIRUS VIVO +

SARAMPION VIRUS VIVO +
RUBEOLA VIRUS VIVOS
ATENUADOS
Ampollas 5000 MMR II VACUNA AMP x 1 MSD Arrgentina SR 1.430,58 793,97 793,97
amb
PARACETAMOL
Comprimidos 500 mg PARACETAMOL LAZAR 500 mg COM x 20 Lazar 101,11 56,13 56,13
1000 mg PARACETAMOL RAFFO 1 G COM x 10 Raffo 133,89 97,87 97,87
PARACETAMOL LAZAR 1 g COM x 30 Lazar 213,78 114,19 114,19
TAFIROL 1 g COM x 50 Genomma Lab. 373,00 206,26 206,26
Gotas 10000 PARACETAMOL LAZAR GTS x 20 Lazar 139,63 57,99 57,99 INF
mg
PARACETAMOL MONSERRAT ECLAIR GTS x 20 Monserrat 141,00 59,30 59,30
PARACETAMOL FECOFAR GTS x 20 Fecofar 178,26 95,91 95,91 INF
TERMOFREN GTS x 20 Roemmers 190,06 106,16 106,16 INF
Líquido 2000 mg TERMOFREN SOL x 120 Roemmers 240,93 133,72 133,72
PAROXETINA
Comprimidos 10 mg PONDERA 10 mg COM x 30 Eurofarma 599,26 318,60 318,60
PAROXIN 10 mg COM x 30 Rospaw 605,00 351,30 351,30
MEPLAR 10 mg COM x 30 Baliarda 633,67 351,46 351,46
PSICOASTEN 10 mg COM x 30 Beta 635,20 352,92 352,92
TIARIX 10 mg COM x 30 Casasco 637,55 355,16 355,16
Página 85 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg
12,5 mg PSICOASTEN LC 12.5 mg COM x 30 Beta 1.037,07 465,03 465,03
MEPLAR LC 12.5 mg COM x 30 Baliarda 1.069,96 496,44 496,44
TIARIX CR 12.5 mg COM x 30 Casasco 1.098,05 523,27 523,27
PAXIL CR 12.5 mg COM x 30 GlaxoSmithKline 1.753,80 1.149,51 1.149,51
20 mg SOSTEL 20 mg COM x 10 Richmond 199,00 79,60 79,60

DATEVAN 20 mg COM x 10 Rontag 462,39 256,97 256,97
MEPLAR 20 mg RECUB. COM x 10 Baliarda 486,16 258,87 258,87
PAROXIN 20 mg COM x 30 Rospaw 1.098,00 327,69 327,69

SOSTEL 20 mg COM x 30 Richmond 1.108,88 338,57 338,57
OPTIPAR 20 mg COM x 30 Ariston 1.130,75 360,44 360,44
PAMOXET 20 mg COM x 30 Raymos 1.168,98 500,13 500,13
PSICOASTEN 20 mg COM x 30 Beta 1.302,50 627,64 627,64
AFENEXIL 20 mg COM x 30 Temis-Lostalo 1.392,58 713,67 713,67
PONDERA 20 mg COM x 30 Eurofarma 1.401,50 722,19 722,19
DATEVAN 20 mg COM x 30 Rontag 1.387,19 770,95 770,95
MEPLAR 20 mg RECUB. COM x 30 Baliarda 1.467,56 785,28 785,28
TIARIX 20 mg COM x 30 Casasco 1.478,83 796,04 796,04
NEUROTROX 20 mg COM x 30 Elea - Phoenix 1.842,23 1.143,09 1.143,09
AROPAX 20 mg COM x 30 GlaxoSmithKline 2.117,80 1.406,25 1.406,25
25 mg MEPLAR LC 25 mg COM x 30 Baliarda 1.193,95 526,89 526,89

TIARIX CR 25 mg COM x 30 Casasco 1.224,55 556,12 556,12
PSICOASTEN LC 25 mg COM x 30 Beta 1.413,66 736,72 736,72
PAXIL CR 25 mg COM x 30 GlaxoSmithKline 2.277,76 1.561,93 1.561,93
30 mg MEPLAR 30 mg COM x 30 Baliarda 1.541,35 855,45 855,45
40 mg PAMOXET 40 mg COM x 30 Raymos 1.849,16 923,19 923,19

PSICOASTEN 40 mg COM x 30 Beta 2.144,95 1.205,67 1.205,67
PENICILAMINA
Comprimidos 250 mg CUPRIPEN 250 mg CAP x 30 Spedrog Caillon 5.596,63 3.106,13 3.106,13
PENICILINA G BENZATÍNICA
Ampollas 1200000 PEN DI BEN 1200000 U 5 ML AMP x 1 Bagó 512,72 285,02 285,02 INF
ui
2400000 PEN DI BEN 2400000 U 10 ML AMP x 1 Bagó 846,47 472,53 472,53
ui
PENTOSANPOLISULFONICO
ESTER + TRIAMCINOLONA
Pomada 1000 mg MANTUS PDA x 10 Investi 300,58 206,71 206,71
MANTUS PDA x 30 Investi 482,93 220,16 220,16
PENTOXIFILINA
Comprimidos 400 mg PENTOMIRON COM x 60 Craveri 1.769,30 981,96 981,96
TRENTAL 400 mg LIB.MODIF. COM x 30 Sanofi Aventis 433,18 173,27 173,27
TRENTAL 400 mg LIB.MODIF. COM x 60 Sanofi Aventis 1.907,56 1.092,17 1.092,17
600 mg PREVISCAN RETARD 600 mg TAB x 30 Nova Argentia 1.504,13 837,92 837,92
TRENTAL 600 mg Lib.Prol. COM x 40 Sanofi Aventis 1.907,56 1.027,00 1.027,00
PERINDOPRIL
Comprimidos 5 mg COVERENE 5 mg COM x 30 Servier 739,52 410,43 410,43
10 mg COVERENE 10 mg COM x 30 Servier 1.008,15 559,52 559,52
Página 86 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg
PILOCARPINA
Colirio 2000 mg ISOPTO CARPINA 2% COL x 15 Novartis 409,82 227,45 125,00
Comprimidos 5 mg WETOL COM x 30 Beta 1.978,53 1.098,08 603,45
PILOCARPINA + TIMOLOL
Colirio 2500 mg GLAUCOTENSIL SUSP. COL x 5 Poen 691,63 383,85 210,95
PIOGLITAZONA
Comprimidos 15 mg HIGLUCEM 15 mg COM x 28 Lazar 733,78 327,44 327,44
CERELUC 15 mg COM x 30 Beta 1.008,19 562,84 562,84
30 mg HIGLUCEM 30 mg COM x 28 Lazar 892,66 357,06 357,06
PIOTAMAX 30 mg COM x 30 Francelab 1.334,77 728,99 728,99

CERELUC 30 mg COM x 30 Beta 1.586,44 909,27 909,27
45 mg HIGLUCEM 45 mg COM x 30 Lazar 936,00 374,40 374,40

PIOTAMAX 45 mg COM x 30 Francelab 1.373,23 704,38 704,38
CERELUC 45 mg COM x 30 Beta 2.005,48 1.246,38 1.246,38
PIRIDOSTGMINA BROMURO
Comprimidos 60 mg MESTINON 60 mg COM x 100 Roemmers 1.887,03 1.047,30 1.047,30
180 mg MESTINON TS 180 mg COM x 30 Roemmers 1.821,87 1.011,14 1.011,14
PIRIMETAMINA
Comprimidos 25 mg DARAPRIM COM x 20 GlaxoSmithKline 912,92 506,67 506,67
PLATA SULFADIAZINA +
VITAMINA A + LIDOCAINA
Apósitos 1000 mg PLATSUL A GASAS APO x 10 Soubeiran Chobet 767,42 425,92 425,92
Crema 1000 mg PLATSUL A CRE x 200 Soubeiran Chobet 1.389,29 765,75 765,75
POLISACARIDOS
STEPTOCOCO PNEUMONIAE
Ampollas 0,025 mg PNEUMOVAX 23 VIAL 0.5 ML AMP x 1 MSD Arrgentina SR 2.858,54 1.586,49 1.586,49
POTASIO CITRATO
Comprimidos 1620 mg FINALIT lib. prol. COM x 30 Finadiet 757,22 391,62 391,62
UROKIT Lib. Prol. COM x 30 Casasco 913,99 507,26 507,26
FINALIT lib. prol. COM x 60 Finadiet 1.456,22 725,03 725,03
1620000 UROKIT Lib. Prol. COM x 60 Casasco 1.755,11 974,09 974,09

mg
Sobres 3000 mg UROKIT SOB x 40 Casasco 1.413,85 946,37 946,37
FINALIT SOB x 60 Finadiet 1.386,87 781,08 781,08

UROKIT SOB x 60 Casasco 1.514,36 840,43 840,43
POTASIO CLORURO
Comprimidos 600 mg CONTROL K CAP x 30 Elea - Phoenix 1.140,03 644,94 644,94
CONTROL K CAP x 60 Elea - Phoenix 2.171,98 1.186,67 1.186,67
POTASIO GLUCONATO
Líquido 31200 KAON ELI x 150 Montpellier 220,87 136,10 136,10
mg
KAON ELI x 500 Montpellier 577,44 302,02 302,02
Sobres 4680 mg KAON POLVO SOB x 30 Montpellier 617,48 342,70 342,70
Página 87 de 112
A CARGO A CARGO
AFILIADO CRONICO
PRAMIPEXOL
Comprimidos 0,25 mg NEUROSOMAT 0.25 mg COM x 30 Beta 508,36 203,34 203,34
NULIPAR 0.25 mg COM x 30 Baliarda 569,85 256,99 256,99
NOXOPRAN 0.25 mg COM x 30 Casasco 576,25 263,10 263,10
SIFROL 0.250 mg COM x 30 Boehringer Ingelheim 970,56 640,89 640,89
NOXOPRAN 0.25 mg COM x 60 Casasco 1.423,07 784,60 784,60
NEUROSOMAT 0.25 mg COM x 90 Beta 1.458,82 583,53 583,53
0,375 mg NULIPAR LP 0.375 mg COM x 10 Baliarda 410,94 204,82 204,82
SIFROL ER 0.375 mg COM x 30 Boehringer Ingelheim 1.527,73 964,86 964,86
0,5 mg NULIPAR 0.5 mg COM x 30 Baliarda 1.137,04 631,06 631,06
0,75 mg NULIPAR LP 0.75 mg COM x 30 Baliarda 2.004,90 1.003,80 1.003,80

SIFROL ER 0.75 mg COM x 30 Boehringer Ingelheim 2.576,44 1.552,87 1.552,87
1 mg NEUROSOMAT 1 mg COM x 30 Beta 1.885,18 762,66 762,66

PORTIV 1 mg COM x 30 Buxton 2.000,67 872,96 872,96
NULIPAR 1 mg COM x 30 Baliarda 2.176,83 1.041,19 1.041,19
NOXOPRAN 1 mg COM x 30 Casasco 2.208,35 1.071,29 1.071,29
SIFROL 1 mg COM x 30 Boehringer Ingelheim 3.462,26 2.273,14 2.273,14
NULIPAR 1 mg COM x 60 Baliarda 4.443,51 2.168,19 2.168,19

NOXOPRAN 1 mg COM x 60 Casasco 5.792,46 3.456,44 3.456,44
NEUROSOMAT 1 mg COM x 90 Beta 4.871,06 1.948,42 1.948,42
PORTIV 1 mg COM x 100 Buxton 5.984,44 2.393,78 2.393,78

SIFROL 1 mg COM x 100 Boehringer Ingelheim 10.186,45 6.281,95 6.281,95
1,5 mg NULIPAR LP 1.5 mg COM x 30 Baliarda 3.525,03 1.711,91 1.711,91

SIFROL ER 1.5 mg COM x 30 Boehringer Ingelheim 4.766,37 2.903,40 2.903,40
3 mg NULIPAR LP 3 mg COM x 30 Baliarda 7.117,40 3.395,65 3.395,65

SIFROL ER 3 mg COM x 30 Boehringer Ingelheim 9.532,85 5.714,42 5.714,42
PRAZIQUANTEL
Comprimidos 600 mg PRAZITRAL 600 mg COM x 4 Austral 1.187,09 678,17 678,17
PREDNISONA
Comprimidos 5 mg METILPRES 5 mg COM x 30 Trb-Pharma 356,00 212,39 212,39
METILPRES 5 mg COM x 60 Trb-Pharma 558,00 277,53 277,53
PREGABALINA
Comprimidos 25 mg PREBANAL 25 mg CAP x 28 Raymos 419,74 214,19 214,19
LINPREL 25 mg CAP x 28 Baliarda 466,24 258,60 258,60
GAVIN 25 mg CAP x 28 Gador 476,17 268,08 268,08
CLASICA 25 mg CAP x 28 Craveri 478,14 269,96 269,96
PREBICTAL 25 mg CAP x 28 Raffo 505,76 296,34 296,34
MYSTIKA 25 mg CAP x 30 Richmond 371,07 154,91 154,91

DOLONEUTIN 25 mg CAP x 30 Geminis Farmaceutica 375,72 158,82 158,82
LUNEL 25 mg CAP x 30 Montpellier 428,99 209,69 209,69
AXUAL 25 mg CAP x 30 Teva argentina ( 438,66 218,93 218,93
LYRICA 25 mg CAP x 30 Pfizer 508,61 285,73 285,73
PLENICA 25 mg CAP x 30 Roemmers 512,07 289,03 289,03
Página 88 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 25 mg NEURISTAN 25 mg CAP x 30 Casasco 519,19 295,83 295,83

PRINCIPIA 25 mg CAP x 30 Elea - Phoenix 582,85 356,63 356,63

50 mg PLENICA 50 mg CAP x 15 Roemmers 554,74 306,20 306,20
PREBANAL 50 mg CAP x 28 Raymos 843,18 425,83 425,83

LINPREL 50 mg CAP x 28 Baliarda 958,67 498,18 498,18
PREBICTAL 50 mg CAP x 28 Raffo 1.226,06 753,54 753,54

NEURISTAN 50 mg CAP x 30 Casasco 1.009,24 516,66 516,66
GAVIN 50 mg CAP x 30 Gador 1.010,73 518,09 518,09
PLENICA 50 mg CAP x 30 Roemmers 1.043,24 549,13 549,13
LYRICA 50 mg CAP x 30 Pfizer 1.144,62 645,95 645,95
75 mg PREBANAL 75 mg CAP x 14 Raymos 580,95 296,32 296,32

BALFIBRO 75 mg CAP x 14 Buxton 627,14 340,43 340,43
PREBICTAL 75 mg CAP x 14 Raffo 734,23 442,70 442,70
DOLGENAL 75 mg CAP x 15 Savant Pharm S.A. 337,54 135,02 135,02

LUNEL 75 mg CAP x 15 Montpellier 676,24 368,86 368,86
AXUAL 75 mg Dividosis COM x 15 Teva argentina ( 682,38 374,72 374,72
PGB 75 mg MULTIDOSIS COM x 15 Investi 704,84 396,17 396,17
PLENICA 75 mg CAP x 15 Roemmers 713,63 404,56 404,56
PLENICA 75 PRACTIDOSIS COM x 15 Roemmers 781,35 469,24 469,24
LINPREL MULTIDOSIS 75 mg Birran. COM x 15 Baliarda 806,94 493,68 493,68
PREBIEN 75 mg CAP x 28 Ariston 942,06 382,69 382,69

PREBANAL 75 mg CAP x 28 Raymos 1.107,34 540,53 540,53
BALFIBRO 75 mg CAP x 28 Buxton 1.232,75 660,30 660,30
LINPREL 75 mg CAP x 28 Baliarda 1.321,73 745,27 745,27
CLASICA 75 mg CAP x 28 Craveri 1.398,71 818,79 818,79
PREBICTAL 75 mg CAP x 28 Raffo 1.431,89 850,47 850,47
DOLONEUTIN 75 mg CAP x 30 Geminis Farmaceutica 1.122,00 517,60 517,60

AXUAL 75 mg CAP x 30 Teva argentina ( 1.142,25 536,94 536,94
PREBIEN 75 mg DIVIDOSIS COM x 30 Ariston 1.235,75 543,36 543,36
MYSTIKA MULTIDOSIS 75 mg COM x 30 Richmond 1.276,15 583,76 583,76
AXUAL 75 mg Dividosis COM x 30 Teva argentina ( 1.258,68 648,13 648,13
LUNEL 75 mg CAP x 30 Montpellier 1.307,40 694,66 694,66
PLENICA 75 mg CAP x 30 Roemmers 1.333,37 719,46 719,46
LYRICA 75 mg CAP x 30 Pfizer 1.356,60 741,64 741,64
LUNEL 75 PRACTIDOSIS Birran. COM x 30 Montpellier 1.360,28 745,16 745,16
NEURISTAN 75 mg CAP x 30 Casasco 1.364,97 749,64 749,64
Página 89 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 75 mg PGB 75 mg CAP x 30 Investi 1.366,20 750,81 750,81

GAVIN 75 mg BIRRANURADO COM x 30 Gador 1.424,79 806,77 806,77
PLENICA 75 PRACTIDOSIS COM x 30 Roemmers 1.469,18 849,16 849,16
PGB 75 mg MULTIDOSIS COM x 30 Investi 1.474,28 854,03 854,03
NEURISTAN MULTIDOSIS 75 mg COM x 30 Casasco 1.489,48 868,55 868,55
LINPREL MULTIDOSIS 75 mg Birran. COM x 30 Baliarda 1.499,23 877,86 877,86
DOLGENAL 75 mg CAP x 30 Savant Vitarum 1.514,13 898,34 898,34
KABIAN 75 mg CAP x 30 Temis-Lostalo 1.534,56 911,60 911,60
KABIAN 75 MULTIDOSIS Birran. COM x 30 Temis-Lostalo 1.658,60 1.030,05 1.030,05
PRINCIPIA 75 mg CAP x 30 Elea - Phoenix 1.845,00 1.208,07 1.208,07
PRINCIPIA PRACTIDOSIS 75 mg Birran. COM x 30 Elea - Phoenix 1.928,96 1.288,25 1.288,25

PLENICA 75 mg CAP x 60 Roemmers 2.527,32 1.305,78 1.305,78
LYRICA 75 mg CAP x 60 Pfizer 2.557,22 1.334,33 1.334,33
GAVIN 75 mg CAP x 60 Gador 2.576,33 1.352,58 1.352,58
GAVIN 75 mg Birranurado COM x 60 Gador 2.697,33 1.468,14 1.468,14
100 mg PREBICTAL 100 mg CAP x 28 Raffo 2.124,07 1.205,76 1.205,76
KABIAN 100 mg Trirran. COM x 30 Temis-Lostalo 2.172,95 1.193,68 1.193,68
150 mg PREBIEN 150 mg CAP x 28 Ariston 1.508,04 669,84 669,84

PREBANAL 150 mg CAP x 28 Raymos 1.673,35 827,71 827,71
BALFIBRO 150 mg CAP x 28 Buxton 1.985,93 1.126,22 1.126,22
LINPREL 150 mg CAP x 28 Baliarda 2.042,86 1.180,59 1.180,59
CLASICA 150 mg CAP x 28 Craveri 2.109,10 1.243,85 1.243,85
PREBICTAL 150 mg CAP x 28 Raffo 2.262,58 1.390,42 1.390,42
PREBIEN 150 mg Dividosis COM x 30 Ariston 1.549,53 654,44 654,44

MYSTIKA 150 mg COM x 30 Richmond 1.780,87 877,70 877,70
KABIAN 150 MULTIDOSIS COM x 30 Temis-Lostalo 1.800,33 893,95 893,95
LUNEL 150 mg CAP x 30 Montpellier 2.023,59 1.107,16 1.107,16
NEURISTAN 150 mg CAP x 30 Casasco 2.066,92 1.148,54 1.148,54
PGB 150 mg CAP x 30 Investi 2.075,17 1.156,42 1.156,42
KABIAN 150 mg CAP x 30 Temis-Lostalo 2.350,47 1.419,33 1.419,33
DOLGENAL 150 mg CAP x 30 Savant Vitarum 2.507,18 1.584,01 1.584,01
300 mg BALFIBRO 300 mg CAP x 28 Buxton 2.613,07 1.453,35 1.453,35

LINPREL 300 mg CAP x 28 Baliarda 2.748,72 1.582,89 1.582,89

AXUAL 300 mg CAP x 30 Teva argentina ( 2.413,50 1.188,32 1.188,32
Página 90 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 300 mg PRINCIPIA 300 mg CAP x 30 Elea - Phoenix 3.847,82 2.558,09 2.558,09
PROGESTERONA
Comprimidos 100 mg MAFEL 100 mg Blandas CAP x 30 Raymos 1.193,73 526,53 526,53
GESLUTIN 100 mg Blandas CAP x 30 Raffo 1.426,36 748,69 748,69
PROGEST 100 mg Blandas CAP x 30 Elea - Phoenix 1.614,32 928,19 928,19
UTROGESTAN 100 mg Blandas CAP x 30 Ferring 1.808,14 1.113,29 1.113,29
200 mg MAFEL 200 mg Blandas CAP x 14 Raymos 1.316,14 607,66 607,66

GESLUTIN 200 mg Blandas CAP x 15 Raffo 1.513,19 749,46 749,46

PROGEST 200 Blandas CAP x 15 Elea - Phoenix 1.712,56 939,86 939,86
MAFEL 200 mg Blandas CAP x 28 Raymos 2.530,86 1.118,46 1.118,46

GESLUTIN 200 mg Blandas CAP x 30 Raffo 3.007,74 1.481,13 1.481,13

PROGEST 200 Blandas CAP x 30 Elea - Phoenix 3.403,99 1.859,55 1.859,55
MAFEL 200 mg Blandas CAP x 42 Raymos 3.961,25 1.835,23 1.835,23

PROMETAZINA
Ampollas 50 mg FENERGAN 2 ml AMP x 5 Sanofi Aventis 597,78 342,00 342,00
Comprimidos 25 mg FENERGAN COM x 30 Sanofi Aventis 345,63 197,79 197,79
PROPAFENONA
Comprimidos 150 mg NORMORYTMIN 150 mg COM x 20 Abbott Epd 474,12 290,88 290,88
NORMORYTMIN 150 mg COM x 50 Abbott Epd 1.029,55 578,29 578,29
300 mg NORMORYTMIN 300 mg COM x 20 Abbott Epd 889,87 546,19 546,19
NORMORYTMIN 300 mg COM x 50 Abbott Epd 1.923,30 1.077,33 1.077,33
PROPARACAINA
CLORHIDRATO
Colirio 500 mg POEN CAINA COL x 10 Poen 329,57 199,58 199,58
ANESTALCON COL x 15 Alcon 426,60 234,66 234,66
PROPINOX
Líquido 1000 mg SERTAL R Gotero SOL x 20 Roemmers 225,19 124,98 124,98
PROPRANOLOL
Comprimidos 10 mg PROPRANOLOL GADOR 10 mg COM x 20 Gador 189,80 105,34 57,89
40 mg INDERAL 40 mg COM x 20 Astrazeneca 64,33 25,73 12,87
INDERAL 40 mg COM x 50 Astrazeneca 112,16 44,86 22,43

PROPRANOLOL GADOR 40 mg COM x 50 Gador 399,22 222,68 123,56
80 mg INDERAL 80 mg COM x 50 Astrazeneca 175,71 70,28 35,14

PSYLLIUM
Polvo 50000 MOTIONAL POL x 400 Savant Consumer 2.780,00 1.623,00 1.623,00
mg
QUETIAPINA
Página 91 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 25 mg VESPARAX 25 mg COM x 10 Lazar 546,00 299,44 299,44

BIATRIX 25 mg COM x 10 Baliarda 586,46 338,08 338,08
ROSTRUM 25 mg COM x 10 Casasco 610,13 360,68 360,68
SEROQUEL 25 mg COM x 10 Bagó 657,53 405,95 405,95
INQUETIA 25 mg COM x 30 Ariston 1.468,42 635,95 635,95

ATIPINA 25 mg COM x 30 Raymos 1.483,74 751,00 751,00
QUETIAROS 25 mg COM x 30 Rospaw 1.585,00 752,53 752,53
VESPARAX 25 mg COM x 30 Lazar 1.567,71 831,19 831,19
DOMINIUM 25 mg COM x 30 Beta 1.620,90 881,99 881,99
QTP 25 mg COM x 30 Investi 1.710,10 967,17 967,17
BIATRIX 25 mg COM x 30 Baliarda 1.724,83 981,24 981,24
ROSTRUM 25 mg COM x 30 Casasco 1.801,89 1.054,83 1.054,83
SEROQUEL 25 mg COM x 30 Bagó 1.827,84 1.079,62 1.079,62
QUETIAZIC 25 mg COM x 30 Raffo 1.838,07 1.089,38 1.089,38
DENDRITEX 25 mg COM x 30 Temis-Lostalo 1.838,12 1.089,43 1.089,43
KEMOTER 25 mg COM x 30 Elea - Phoenix 2.143,37 1.380,95 1.380,95
ETIASEL 25 mg COM x 30 Astrazeneca 3.034,45 2.231,93 2.231,93
BIATRIX 25 mg COM x 60 Baliarda 2.715,74 1.261,59 1.261,59

50 mg BIATRIX XR 50 mg COM x 30 Baliarda 3.678,11 1.945,30 1.945,30

ROSTRUM XR 50 mg COM x 30 Casasco 3.840,95 2.100,82 2.100,82
QUETIAZIC XR 50 mg COM x 30 Raffo 3.916,94 2.173,39 2.173,39
SEROQUEL XR 50 mg COM x 30 Bagó 3.971,24 2.225,24 2.225,24
KEMOTER XR 50 mg COM x 30 Elea - Phoenix 4.852,22 3.066,58 3.066,58
ETIASEL XR 50 mg COM x 30 Astrazeneca 6.035,57 4.196,68 4.196,68
100 mg QUETIAROS 100 mg COM x 30 Rospaw 2.430,00 1.068,85 1.068,85

INQUETIA 100 mg COM x 30 Ariston 2.492,33 1.131,18 1.131,18
ATIPINA 100 mg COM x 30 Raymos 2.437,16 1.238,57 1.238,57
VESPARAX 100 mg COM x 30 Lazar 2.616,37 1.409,71 1.409,71
DOMINIUM 100 mg COM x 30 Beta 2.676,88 1.467,50 1.467,50
QTP 100 mg COM x 30 Investi 2.814,02 1.598,47 1.598,47
DENDRITEX 100 mg Tirran. COM x 30 Temis-Lostalo 3.029,99 1.804,72 1.804,72

150 mg SEROQUEL XR 150 mg COM x 30 Bagó 4.379,08 2.414,86 2.414,86

200 mg DENDRITEX 200 mg COM x 30 Temis-Lostalo 2.607,15 1.079,86 1.079,86

INQUETIA 200 mg COM x 30 Ariston 3.036,97 1.490,33 1.490,33
DOMINIUM 200 mg COM x 30 Beta 3.091,04 1.541,97 1.541,97
ATIPINA 200 mg COM x 30 Raymos 3.134,39 1.583,37 1.583,37
VESPARAX 200 mg COM x 30 Lazar 3.325,11 1.765,51 1.765,51
QUETIAROS 200 mg COM x 30 Rospaw 3.410,00 2.000,03 2.000,03
Página 92 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 200 mg QTP 200 mg COM x 30 Investi 3.637,15 2.063,51 2.063,51


BIATRIX XR 200 mg COM x 30 Baliarda 3.905,51 2.000,99 2.000,99

KEMOTER XR 200 MG COM x 30 Elea - Phoenix 4.985,52 3.032,40 3.032,40
300 mg BIATRIX 300 mg COM x 30 Baliarda 4.354,81 2.329,11 2.329,11

BIATRIX XR 300 mg COM x 30 Baliarda 5.203,88 2.660,29 2.660,29

KEMOTER XR 300 mg COM x 30 Elea - Phoenix 6.791,95 4.176,89 4.176,89
400 mg BIATRIX XR 400 mg COM x 30 Baliarda 7.996,72 4.137,26 4.137,26

KEMOTER XR 400 MG COM x 30 Elea - Phoenix 9.989,36 6.040,23 6.040,23
QUININA
Comprimidos 200 mg CIRCONYL 200 mg COM x 30 Trb-Pharma 1.122,00 637,39 637,39
RABEPRAZOL
Comprimidos 10 mg RABEC 10 mg COM x 14 Elea - Phoenix 512,29 294,06 294,06
RABEC 10 mg COM x 28 Elea - Phoenix 975,42 541,17 541,17
20 mg RABEC 20 mg COM x 14 Elea - Phoenix 1.005,33 594,45 594,45
RABEC 20 mg COM x 28 Elea - Phoenix 1.826,09 1.012,65 1.012,65
RALOXIFENO
Comprimidos 60 mg EVISTA 60 mg COM x 30 Eli Lilly 3.884,34 2.198,66 2.198,66
RAMIPRIL
Comprimidos 2,5 mg LOSTAPRES 2.5 mg COM x 30 Temis-Lostalo 969,52 543,72 543,72
TRITACE 2.5 mg COM x 30 Pharmadorf 973,10 548,42 548,42
TRITACE 2.5 mg COM x 60 Pharmadorf 758,78 303,51 303,51
5 mg LOSTAPRES 5 mg COM x 30 Temis-Lostalo 1.735,92 973,02 973,02

TRITACE 5 mg COM x 30 Pharmadorf 1.749,57 988,34 988,34
10 mg LOSTAPRES 10 mg COM x 30 Temis-Lostalo 2.269,43 1.266,43 1.266,43
Página 93 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg TRITACE 10 mg COM x 30 Pharmadorf 2.294,03 1.292,93 1.292,93
RANITIDINA
Comprimidos 150 mg GASTROSEDOL RAPID EFERV. 150 mg COM x 10 Nova Argentia 439,47 243,91 243,91
RANITRAL 150 mg COM x 10 Lepetit 91,56 39,91 39,91

TAURAL 150 mg Efervescente COM x 10 Roemmers 445,66 377,92 377,92
GASTROSEDOL 150 mg COM x 20 Nova Argentia 264,41 157,14 157,14

NOTRAB 150 mg COM x 20 Microsules Argentina 313,14 217,77 217,77
RANITIDINA LAZAR 150 mg COM x 30 Lazar 275,40 119,95 119,95

VIZERUL COM x 30 Montpellier 320,18 162,72 162,72
TAURAL 150 mg COM x 30 Roemmers 380,92 220,72 220,72

NOTRAB 150 mg COM x 60 Microsules Argentina 626,29 340,18 340,18
300 mg RANITRAL 300 mg COM x 10 Lepetit 132,47 55,90 55,90

VIZERUL 300 COM x 30 Montpellier 775,77 445,48 445,48
Líquido 840 mg TAURAL ORAL SUS x 200 Roemmers 411,64 228,46 228,46
RIFAMPICINA
Comprimidos 300 mg RIFADIN 300 mg CAP x 8 Sanofi Aventis 467,12 261,68 261,68
RIFAMPICINA + ISONIACIDA
Comprimidos 300 mg RIFINAH CAP x 30 Sanofi Aventis 732,91 419,31 419,31
RISEDRONATO
Comprimidos 35 mg DUCTONAR 35 mg COM x 4 Roux Ocefa 175,59 70,24 70,24
RISEDON 35 mg COM x 4 Buxton 536,76 226,57 226,57
RIDRON 35 mg COM x 4 Baliarda 715,10 396,88 396,88
150 mg DUCTONAR 150 mg COM x 1 Roux Ocefa 440,94 176,38 176,38

RISEDON 150 mg COM x 1 Buxton 975,94 473,97 473,97
BONECUR 150 mg COM x 1 Teva argentina ( 979,71 477,57 477,57
RIBASTAMIN 150 mg COM x 1 Beta 1.155,36 645,31 645,31
RENTOP 150 mg COM x 1 Montpellier 1.211,53 698,96 698,96
BONECUR 150 mg COM x 3 Teva argentina ( 2.373,80 949,52 949,52

RENTOP 150 mg COM x 3 Montpellier 2.935,58 1.429,31 1.429,31
RISPERIDONA
Ampollas 25 mg RISPERDAL CONSTA 25 mg + Jga. c/Diluy. F.A x Janssen-Cilag 6.730,82 3.735,61 2.052,90
1
37,5 mg RISPERDAL CONSTA 37.5 mg DISCONTINUADO Janssen-Cilag 9.923,10 5.507,32 3.026,55

AMP x 1
RISPERDAL CONSTA 37.5 mg + Jga. c/Diluy. F.A x Janssen-Cilag 9.923,10 5.953,86 5.953,86
1
Comprimidos 0,25 mg RIATUL 0.25 mg COM x 20 Baliarda 106,09 51,67 21,22

RISPERIN 0.25 mg COM x 20 Gador 115,36 60,52 29,49
Página 94 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 0,25 mg RISPERDAL 0.25 mg COM x 20 Janssen-Cilag 287,09 224,52 193,49
0,5 mg DROPICINE 0.5 mg COM x 20 Beta 249,55 125,29 54,64

RIATUL 0.5 mg COM x 20 Baliarda 272,81 147,50 76,86
DOZIC 0.5 mg COM x 20 Raffo 276,59 151,11 80,47
RESTELEA 0.50 COM x 20 Elea - Phoenix 322,01 194,49 123,84
RISPERDAL 0.50 mg COM x 20 Janssen-Cilag 431,75 299,29 228,64
RIATUL 0.5 mg COM x 60 Baliarda 738,50 366,18 154,24

1 mg DROPICINE 1 mg COM x 20 Beta 375,92 205,25 109,16

RIATUL 1 mg COM x 20 Baliarda 428,98 255,92 159,83
DOZIC 1 mg COM x 20 Raffo 456,79 282,48 186,39
RISPERIN 1 mg COM x 20 Gador 458,43 284,05 187,95
RESTELEA 1 mg COM x 20 Elea - Phoenix 536,45 358,56 262,46
RISPERDAL 1 mg COM x 20 Janssen-Cilag 706,94 521,38 425,28
DROPICINE 1 mg COM x 60 Beta 898,17 396,49 179,63

RIATUL 1 mg COM x 60 Baliarda 1.008,56 501,91 213,63
RISPERIN 1 mg COM x 60 Gador 1.070,03 560,62 272,33
RESTELEA 1 mg COM x 60 Elea - Phoenix 1.236,17 719,28 430,99
2 mg DROPICINE 2 mg COM x 20 Beta 789,94 371,70 157,99

RISPERDAL 2 mg COM x 20 Janssen-Cilag 1.343,79 900,63 661,44
EDALEN 2 mg COM x 60 Temis-Lostalo 375,08 150,03 75,02

DROPICINE 2 mg COM x 60 Beta 2.483,53 1.223,69 506,14
DOZIC 2 mg COM x 60 Raffo 2.618,91 1.352,98 635,43
RIATUL 2 mg COM x 60 Baliarda 2.638,99 1.372,16 654,61
RISPERIN 2 mg COM x 60 Gador 2.788,48 1.514,92 797,37
RESTELEA 2 mg COM x 60 Elea - Phoenix 3.268,09 1.972,95 1.255,40
RISPERDAL 2 mg COM x 60 Janssen-Cilag 3.815,48 2.495,70 1.778,15
3 mg EDALEN 3 mg COM x 20 Temis-Lostalo 342,09 136,84 68,42

DROPICINE 3 mg COM x 20 Beta 979,41 467,14 195,88
DOZIC 3 mg COM x 20 Raffo 1.184,48 662,98 370,35
EDALEN 3 mg COM x 60 Temis-Lostalo 543,91 217,56 108,78

DROPICINE 3 mg COM x 60 Beta 3.096,96 1.552,99 675,12
RISPERIN 3 mg COM x 60 Gador 3.277,34 1.725,26 847,38
DOZIC 3 mg COM x 60 Raffo 3.501,13 1.938,98 1.061,10
RESTELEA 3 mg COM x 60 Elea - Phoenix 4.349,67 2.749,33 1.871,45
4 mg RISPERIN 4 mg COM x 20 Gador 1.211,38 568,51 242,28

Página 95 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 4 mg
Líquido 1 mg RIATUL 1 MG/ML ORAL SOL x 30 Baliarda 960,12 439,86 192,02
RISPERIN 1 MG/ML ORAL SOL x 30 Gador 1.007,70 485,30 201,54
RISPERDAL ORAL SOL x 30 Janssen-Cilag 1.441,64 899,71 601,55
RISPERDAL ORAL SOL x 100 Janssen-Cilag 4.289,98 2.506,75 1.512,89
ROSUVASTATIN
Comprimidos 5 mg HIPOLIPOL 5 mg COM x 28 Casasco 541,30 262,07 108,26
ROSUVAST 5 mg COM x 28 Bagó 756,17 467,27 307,98
ROSUSTATIN 5 mg COM x 28 Montpellier 758,99 469,96 310,67
PARASUL 5 mg COM x 28 Sidus 1.012,36 711,93 552,64
CRESTOR 5 mg COM x 28 Astrazeneca 1.153,21 846,44 687,15
ROSUX 5 mg COM x 30 Lepetit 462,68 195,24 106,09

ROSTAN 5 mg COM x 30 Biotenk 548,70 250,93 109,74
ASTENDE 5 mg COM x 30 Lazar 563,34 264,91 112,67
ROSUBER 5 mg COM x 30 Bernabo 572,09 273,27 114,42
HIPOLIPOL 5 mg COM x 30 Casasco 576,90 277,86 115,38
REOVEX 5 mg COM x 30 Baliarda 585,38 285,96 117,08
ROVARTAL 5 mg COM x 30 Roemmers 586,06 286,61 117,21
ARTOMEY 5 mg COM x 30 Teva argentina ( 589,39 289,79 119,12
ROSUVASTATINA PFIZER 5 mg COM x 30 Pfizer 567,53 294,45 294,45
ROXOLAN 5 mg COM x 30 Nova Argentia 604,27 304,00 133,33
SINLIP 5 mg COM x 30 Gador 613,34 312,66 141,99
MESOTEROL 5 mg COM x 30 Finadiet 614,38 313,66 142,98
ROSUFEN 5 mg COM x 30 Raffo 639,72 337,86 167,18
NODIS 5 mg COM x 30 Temis-Lostalo 716,33 411,02 240,35
LIPOGLUTAREN 5 mg COM x 30 Craveri 867,65 555,53 384,86
LIPEX 5 mg COM x 30 Elea - Phoenix 907,35 593,44 422,77
HIPOLIPOL 5 mg COM x 56 Casasco 1.026,42 470,49 205,28
NODIS 5 mg COM x 60 Temis-Lostalo 1.078,28 483,61 215,66

SINLIP 5 mg COM x 60 Gador 1.146,86 549,10 229,37
10 mg ASTENDE 10 mg COM x 14 Lazar 457,40 257,05 144,70

CRESTOR 10 mg COM x 14 Astrazeneca 715,54 503,58 391,22
ATERONOVA 10 mg COM x 15 Beta 316,05 126,42 63,21
BILIP 10 mg COM x 28 Richmond 669,75 220,33 66,97

ROSUCOL 10 mg COM x 28 Geminis Farmaceutica 817,05 420,75 196,04
ASTENDE 10 mg COM x 28 Lazar 817,55 421,23 196,52
ROSUSTATIN 10 mg COM x 28 Montpellier 900,54 500,48 275,78
LIPEX 10 mg COM x 28 Elea - Phoenix 1.129,38 719,03 494,32
COLESTRAX 10 mg COM x 28 Savant Pharm S.A. 1.203,49 796,59 571,89
PARASUL 10 mg COM x 28 Sidus 1.430,73 1.006,82 782,11
CRESTOR 10 mg COM x 28 Astrazeneca 1.431,23 1.007,29 782,59
ROSEDEX 10 mg COM x 30 Roux Ocefa 519,32 207,73 103,86

BILIP 10 mg COM x 30 Richmond 689,84 208,32 87,06
NONLIPID 10 mg COM x 30 Denver Farma 727,01 245,49 245,49
Página 96 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 10 mg ROSTAN 10 mg COM x 30 Biotenk 772,80 352,81 154,56

ROSUCOL 10 mg COM x 30 Geminis Farmaceutica 811,00 389,29 162,20
ARTOMEY 10 mg COM x 30 Teva argentina ( 830,76 408,16 167,41
ROSUBER 10 mg COM x 30 Bernabo 846,60 423,29 182,53
ROSUFEC 10 mg COM x 30 Fecofar 851,59 429,17 429,17
RABLOC 10 mg COM x 30 Elea - Phoenix 870,40 446,02 205,26
ROSUVASTATINA PFIZER 10 mg COM x 30 Pfizer 875,58 450,97 210,21
REOVEX 10 mg COM x 30 Baliarda 891,11 465,80 225,04
ROVARTAL 10 mg COM x 30 Roemmers 897,16 471,58 230,82
ROSULIP 10 mg COM x 30 Eurofarma 903,72 477,84 237,08
ROXOLAN 10 mg COM x 30 Nova Argentia 923,77 496,99 256,23
SINLIP 10 mg COM x 30 Gador 925,99 499,11 258,35
MESOTEROL 10 mg COM x 30 Finadiet 931,09 503,98 263,22
ATERONOVA 10 mg COM x 30 Beta 933,25 506,04 265,28
ROSUFEN 10 mg COM x 30 Raffo 948,57 520,67 279,91
LIPOGLUTAREN 10 mg COM x 30 Craveri 1.108,42 673,33 432,57
LIPEX 10 mg COM x 30 Elea - Phoenix 1.335,08 889,79 649,03

ROSUSTATIN 10 mg COM x 56 Montpellier 1.731,05 934,09 484,68
ROSUVAST 10 mg COM x 56 Bagó 1.905,19 1.100,40 650,98
CRESTOR 10 mg COM x 56 Astrazeneca 2.629,90 1.792,49 1.343,08
ARTOMEY 10 mg COM x 60 Teva argentina ( 1.623,30 779,83 324,66

20 mg ASTENDE 20 mg COM x 14 Lazar 885,92 523,98 322,68
BILIP 20 mg COM x 28 Richmond 1.266,67 461,48 126,67

ROSUCOL 20 mg COM x 28 Geminis Farmaceutica 1.438,20 729,33 326,73
ASTENDE 20 mg COM x 28 Lazar 1.511,85 799,66 397,07
ROSUSTATIN 20 mg COM x 28 Montpellier 1.575,11 860,08 457,48
COLESTRAX 20 mg COM x 28 Savant Vitarum 2.179,92 1.449,46 1.046,86
PARASUL 20 mg COM x 28 Sidus 2.564,26 1.804,72 1.402,12

ROSEDEX 20 mg COM x 30 Roux Ocefa 934,18 373,67 186,84
BILIP 20 mg COM x 30 Richmond 1.304,67 441,96 164,67
RABLOC 20 mg COM x 30 Elea - Phoenix 1.371,68 619,79 274,34
ROSTAN 20 mg COM x 30 Biotenk 1.418,90 664,89 283,78
ROSUFEC 20 mg COM x 30 Fecofar 1.520,27 763,69 763,69
ROSUCOL 20 mg COM x 30 Geminis Farmaceutica 1.525,00 766,21 334,86
ROSUBER 20 mg COM x 30 Bernabo 1.542,04 782,48 351,13
ROSUVASTATINA PFIZER 20 mg COM x 30 Pfizer 1.553,03 792,98 361,63
ROVARTAL 20 mg COM x 30 Roemmers 1.591,51 829,73 398,38
REOVEX 20 mg COM x 30 Baliarda 1.593,31 831,45 400,09
ARTOMEY 20 mg COM x 30 Teva argentina ( 1.597,69 835,63 404,28
ROSULIP 20 mg COM x 30 Eurofarma 1.604,47 842,10 410,75
Página 97 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 20 mg ROXOLAN 20 mg COM x 30 Nova Argentia 1.636,59 872,78 441,43

MESOTEROL 20 mg COM x 30 Finadiet 1.675,91 910,33 478,98
ROSUFEN 20 mg COM x 30 Raffo 1.747,80 978,98 547,63
ATERONOVA 20 mg COM x 30 Beta 1.755,27 986,12 554,77
NODIS 20 mg COM x 30 Temis-Lostalo 1.810,71 1.039,06 607,71
LIPOGLUTAREN 20 mg COM x 30 Craveri 2.060,58 1.277,69 846,34
LIPEX 20 mg COM x 30 Elea - Phoenix 2.433,11 1.633,46 1.202,10
HIPOLIPOL 20 mg COM x 56 Casasco 2.921,15 1.501,39 696,20


SINLIP 20 mg COM x 60 Gador 3.237,53 1.711,51 848,81
40 mg HIPOLIPOL 40 mg COM x 28 Casasco 2.472,48 1.231,04 524,68

ROSUCOL 40 mg COM x 30 Geminis Farmaceutica 2.339,65 1.023,46 467,93

ROSUBER 40 mg COM x 30 Bernabo 2.441,25 1.120,49 488,25
ROVARTAL 40 mg COM x 30 Roemmers 2.613,50 1.284,99 528,17
HIPOLIPOL 40 mg COM x 30 Casasco 2.637,65 1.308,05 551,24
ARTOMEY 40 mg COM x 30 Teva argentina ( 2.705,29 1.372,65 615,83
ROXOLAN 40 mg COM x 30 Nova Argentia 2.728,49 1.394,80 637,99
REOVEX 40 mg Rec. Ran. COM x 30 Baliarda 2.632,78 1.421,88 1.421,88
SINLIP 40 mg COM x 30 Gador 2.833,55 1.495,14 738,32
ROSUFEN 40 mg COM x 30 Raffo 2.969,69 1.625,15 868,33
LIPEX 40 mg COM x 30 Elea - Phoenix 3.773,89 2.393,16 1.636,35
RUSCUS ACULEATUS +
PREDNISOLONA +
CINCOCAINA CLOROHIDRATO
+ MENTOL + ZINC ÓXIDO
Pomada 800 mg PROCTO VENART PDA x 10 Casasco 428,36 276,38 276,38
PROCTO VENART PDA x 30 Casasco 948,92 508,11 508,11
RUSCUS ACULEATUS +
TRIMEBUTINA MALEATO
Crema 500 mg MIOPROPAN PROCTOLOGICO CRE x 20 Bernabo 1.042,15 578,39 578,39
SALBUTAMOL
Aerosol 0,1 mg ASMATOL HFA 100 mg AER x 200 Roux Ocefa 186,12 74,45 37,22
AIRCOSALM HFA C/ADAP. AER x 200 Atlas 336,17 154,43 67,23
VENTOLIN HFA INHL. C/APLICADOR AER x 200 GlaxoSmithKline 599,04 390,35 276,76
SALBUDEN HFA AER x 250 Denver Farma 441,93 157,96 157,96

AIRCOSALM HFA C/ADAP. AER x 250 Atlas 390,63 163,46 78,13
SALBUTRAL AER x 250 Cassara 453,44 226,27 226,27
AEROLEP C/ADAP. AER x 250 Austral 567,67 314,95 172,97
SALBUTRAL C/AEROMED HFA AER x 250 Cassara 673,33 446,16 446,16
Líquido 500 mg ASMATOL SOL. NEB. SOL x 15 Roux Ocefa 139,90 55,96 27,98 INF
SALBUTRAL P/NEBULIZAR SOL x 20 Medisol 138,00 55,20 55,20 INF

AIRCOSALM SOL. NEB. SOL x 20 Atlas 181,17 72,47 36,23 INF
MICROTEROL P/NEBUL. SOL x 20 Microsules Argentina 302,71 141,93 141,93 INF
VENTOLIN P/NEBULIZAR SOL x 20 GlaxoSmithKline 458,50 277,09 176,60 INF
Página 98 de 112
A CARGO A CARGO
AFILIADO CRONICO
Líquido 500 mg
SALBUTAMOL + IPRATROPIO
BROMURO
Aerosol 0,12 mg SALBUTRAL AC HFA AER x 250 Cassara 710,79 406,06 406,06
Envase 3 mg COMBIVENT SM Sol.Nebul. Monodosis 2.5 ml ENV Boehringer Ingelheim 943,40 544,29 544,29
x 20
SALBUTRAL AC Neb.Monodosis Sol.x.2.5 ml ENV x Cassara 734,46 309,91 309,91

24
SALICÍLICO, ÁCIDO +
LÁCTICO, ÁCIDO + COLODION
ELÁSTICO
Líquido 16700 VERRUTOPIC C\APLIC. TOPICO SOL x 15 Andromaco 780,00 432,90 432,90
mg
SALMETEROL +
FLUTICASONA
Aerosol 0,025 mg FLUTIVENT HFA 125/25 mcg AER x 60 Cassara 720,50 304,03 304,03
FLUTIVENT HFA 25/250 mcg AER x 60 Cassara 741,80 313,01 313,01
FLUTIVENT HFA 125/25 mcg AER x 120 Cassara 1.444,20 609,43 609,43
FLUTIVENT HFA 25/250 mcg AER x 120 Cassara 1.630,42 687,98 687,98
NEUMOTIDE 25/ 50 mcg AER x 120 Elea - Phoenix 2.463,09 1.289,39 625,10
PROAIR BRONQUIAL 25/125 mcg AER x 120 Montpellier 2.515,71 1.406,52 784,04
LIRTODAC PLUS 25/125 mcg AER x 120 Pharmadorf 2.533,73 1.430,19 807,70
LIRTODAC PLUS 25/250 mcg AER x 120 Pharmadorf 2.654,59 1.437,05 747,20
SERETIDE HFA 25/ 50 mcg AER x 120 GlaxoSmithKline 2.658,45 1.475,96 811,67
PROAIR BRONQUIAL 25/250 mcg AER x 120 Montpellier 2.749,21 1.521,73 831,87
NEUMOTIDE 25/125 mcg AER x 120 Elea - Phoenix 2.876,57 1.751,14 1.128,66
SERETIDE HFA 25/250 mcg AER x 120 GlaxoSmithKline 3.013,11 1.773,75 1.083,90
SERETIDE HFA 25/125 mcg AER x 120 GlaxoSmithKline 2.939,93 1.811,65 1.189,17
NEUMOTIDE 25/250 mcg AER x 120 Elea - Phoenix 3.143,74 1.898,50 1.208,65
NEUMOTIDE 25/125 mcg C/AEROC AER x 120 Elea - Phoenix 4.070,10 2.890,97 2.268,48
Inhahaldor con 0,05 mg PROAIR BRONQUIAL 50/500 + APLI INH x 60 Montpellier 2.247,09 899,57 449,42
sistemas
PROAIR BRONQUIAL 50/250 + APLI INH x 60 Montpellier 2.219,09 917,46 443,82
INHALAN BRONQUIAL 500/50 mcg + Aplic. INH x Casasco 2.363,84 1.117,44 1.117,44
60
INHALAN BRONQUIAL 250/50 mcg + Aplic. INH x Casasco 2.346,78 1.145,01 1.145,01
60
NEUMOTIDE POLVO 50/250 CAP.+ APLIC. INH x Elea - Phoenix 2.787,71 1.460,49 1.460,49
60
NEUMOTIDE POLVO 50/500 CAP.+ APLIC. INH x Elea - Phoenix 2.836,82 1.462,77 683,77
60
SERETIDE DISKUS 50/100 mcg INH x 60 GlaxoSmithKline 2.999,25 1.664,58 914,77
SERETIDE DISKUS 50/250 mcg INH x 60 GlaxoSmithKline 3.278,14 1.928,85 1.177,74
SERETIDE DISKUS 50/500 mcg INH x 60 GlaxoSmithKline 3.335,94 1.939,43 1.160,43
SERTRALINA
Comprimidos 25 mg ERTA 25 mg COM x 10 Eurofarma 252,10 190,35 190,35
INSERTEC 25 mg COM x 30 Baliarda 368,13 200,36 200,36

ERTA 25 mg COM x 30 Eurofarma 372,12 204,17 204,17
ATENIX 25 mg RANURAD. COM x 30 Raffo 383,13 214,68 214,68
50 mg ERTA 50 mg COM x 10 Eurofarma 331,54 186,50 186,50
SERTRALINA ROSPAW 50 mg COM x 30 Rospaw 825,00 337,06 337,06

ANILAR 50 mg COM x 30 Raymos 769,55 344,57 344,57
ASERTRAL 50 mg COM x 30 Roemmers 916,52 484,92 484,92
INSERTEC 50 mg COM x 30 Baliarda 977,57 543,23 543,23
Página 99 de 112
A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 50 mg SERLINA 50 mg COM x 30 Rontag 1.003,21 568,60 568,60

ERTA 50 mg COM x 30 Eurofarma 1.005,22 569,63 569,63
ZOXX 50 mg COM x 30 Casasco 1.007,93 572,22 572,22
ZOLOFT 50 mg TAB x 30 Pfizer 1.034,14 597,25 597,25
ATENIX 50 mg COM x 30 Raffo 1.035,87 598,90 598,90
ZOLOFT ODT 50 mg DISPERSABLE COM x 30 Pfizer 1.067,51 629,12 629,12
INSERTEC 50 mg COM x 60 Baliarda 1.656,54 801,29 801,29

ATENIX 50 mg COM x 60 Raffo 1.725,94 867,57 867,57
100 mg ERTA 100 mg COM x 10 Eurofarma 604,19 357,75 357,75
ANILAR 100 mg COM x 30 Raymos 1.211,90 499,62 499,62

SERTRALINA ROSPAW 100 mg COM x 30 Rospaw 1.545,00 722,81 722,81
ASERTRAL 100 mg COM x 30 Roemmers 1.495,85 770,79 770,79
INSERTEC 100 mg COM x 30 Baliarda 1.576,07 847,40 847,40
ZOXX 100 mg COM x 30 Casasco 1.590,51 861,19 861,19
SERLINA 100 mg COM x 30 Rontag 1.653,10 922,42 922,42
ERTA 100 mg COM x 30 Eurofarma 1.714,66 979,75 979,75
ATENIX 100 mg COM x 30 Raffo 1.765,78 1.028,57 1.028,57
ZOLOFT 100 mg TAB x 30 Pfizer 1.799,63 1.060,90 1.060,90
ZOLOFT ODT 100 mg DISPERSABLE COM x 30 Pfizer 1.857,86 1.116,51 1.116,51
INSERTEC 100 mg COM x 60 Baliarda 2.850,14 1.406,39 1.406,39
SIMVASTATIN
Comprimidos 5 mg VASOTENAL 5 mg COM x 30 Roemmers 357,44 198,63 109,42
10 mg SISTATIN 10 mg COM x 15 Lepetit 186,00 74,40 37,20
NIVELIPOL 10 mg COM x 30 Temis-Lostalo 355,11 142,04 71,02

SISTATIN 10 mg COM x 30 Lepetit 352,61 148,79 80,85
TANAVAT 10 mg COM x 30 Microsules Argentina 834,07 400,94 400,94
GEMISTATIN 10 mg COM x 30 Geminis Farmaceutica 809,51 426,58 210,01
VASOTENAL 10 mg COM x 30 Roemmers 833,42 449,41 232,85
LISAC 10 mg COM x 30 Bernabo 895,56 508,76 292,19
REDUSTEROL 10 mg COM x 30 Raffo 952,65 563,28 346,71
ZOCOR 10 mg COM x 30 MSD Arrgentina SR 1.102,70 706,57 490,01
20 mg SISTATIN 20 mg COM x 15 Lepetit 238,00 95,20 47,60
SISTATIN 20 mg COM x 30 Lepetit 462,68 195,24 106,09

TANAVAT 20 mg COM x 30 Microsules Argentina 1.073,64 510,16 510,16
GEMISTATIN 20 mg COM x 30 Geminis Farmaceutica 1.022,99 526,18 244,44
VASOTENAL 20 mg COM x 30 Roemmers 1.093,77 593,77 312,03
LISAC 20 mg COM x 30 Bernabo 1.149,24 646,74 365,01
REDUSTEROL 20 mg COM x 30 Raffo 1.207,09 701,99 420,25
NIVELIPOL 20 mg COM x 30 Temis-Lostalo 1.216,22 710,71 428,97
40 mg REDUSTEROL 40 mg COM x 30 Raffo 1.152,29 577,34 250,41

80 mg ZOCOR 80 mg COM x 30 MSD Arrgentina SR 1.403,92 779,18 428,20
SODIO AUROTIOSULFATO
Ampollas 37500 CRYTION 0.05 GR AMP x 1 Temis-Lostalo 103,92 57,68 57,68
mg
SODIO DIVALPROATO
Página 100 de 112

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 134,55 IMPROVAL 125 mg Rec. COM x 30 Roemmers 475,94 224,04 95,19
mg
VALCOTE 125 mg COM x 50 Abbott Epd 775,68 357,49 170,27
VALCOTE SPRINKLE 125 mg CAP x 50 Abbott Epd 1.158,05 721,81 481,72
VALCOTE SPRINKLE 125 mg CAP x 100 Abbott Epd 2.217,68 1.349,62 869,46
269,05 IMPROVAL 250 mg Rec. COM x 30 Roemmers 771,56 432,72 242,64

mg
VALNAR 250 mg COM x 50 Teva argentina ( 1.127,79 494,19 192,38
DIVALPREX 250 mg COM x 50 Gador 1.232,01 669,69 352,90
VALCAS 250 mg COM x 50 Casasco 1.255,10 691,74 374,95
VALCOTE 250 mg COM x 50 Abbott Epd 1.305,20 741,02 424,22
EXIBRAL 250 mg COM x 50 Bagó 1.359,25 791,21 791,21
VALCOTE ER 250 mg COM x 50 Abbott Epd 1.532,67 850,63 467,46
538,1 mg IMPROVAL 500 mg Rec. COM x 30 Roemmers 1.294,51 695,05 356,79
VALNAR 500 mg COM x 50 Teva argentina ( 1.988,96 861,43 238,73

DIVALPREX 500 mg COM x 50 Gador 2.206,70 1.205,38 641,62
VALCAS 500 mg COM x 50 Casasco 2.231,39 1.228,96 665,19
VALCOTE 500 mg COM x 50 Abbott Epd 2.334,78 1.330,26 766,50
EXIBRAL 500 mg COM x 50 Bagó 2.444,26 1.432,25 1.432,25
IMPROVAL 500 mg Rec. COM x 60 Roemmers 2.466,83 1.273,40 596,88
VALCOTE ER 500 mg COM x 50 Abbott Epd 2.703,09 1.500,21 824,44
SODIO FLUORURO
Comprimidos 2,21 mg FLUORDENT COM x 30 Bernabo 435,08 241,47 241,47
Gotas 221 mg FLUORDENT GTS x 30 Bernabo 435,08 241,47 241,47
SODIO HIALURONATO
Ampollas 20 mg MAXIOSTENIL 2 ml JPR x 1 Trb-Pharma 3.659,00 2.078,36 2.078,36
25 mg ARTFLEX 25 mg + AG X 2 JPR x 1 Teva argentina ( 2.783,40 1.670,04 1.670,04
40 mg MAXIOSTENIL PLUS 2 ML JPR x 1 Trb-Pharma 5.368,00 3.048,66 3.048,66
Colirio 400 mg HIALUDORF HD COL x 10 Pharmadorf 884,02 570,92 570,92
Gel 300 mg BIOSOL OFT. GEL x 5 Novoplos 554,60 319,56 319,56
SODIO PICOSULFATO
Comprimidos 4 mg DAGOL CETUS COM x 20 Cetus 255,43 153,26 153,26
Gotas 750 mg MODATON GTS x 30 Montpellier 366,57 171,01 171,01

TRALI 8 mg/ml GTS x 30 Rontag 388,87 209,81 209,81
RAPILAX GTS x 50 Elea - Phoenix 768,52 435,50 435,50
SOTALOL
Comprimidos 80 mg SOTACOR 80 mg COM x 20 Nova Argentia 947,13 525,66 525,66
160 mg SOTACOR 160 mg COM x 20 Nova Argentia 1.352,96 750,89 750,89
SUCRALFATO
Líquido 20000 GASTROMED SUS x 200 Sanitas 658,93 314,40 314,40
mg
SUCRALMAX SUS x 200 Eurofarma 811,91 459,36 459,36
NETUNAL SUS x 200 Elea - Phoenix 824,97 471,83 471,83
SULFASALAZINA
Comprimidos 500 mg FLOGOSTOP 500 mg COM x 60 Teva argentina ( 1.014,74 528,43 528,43
Página 101 de 112

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 500 mg AZULFIDINE EN-TABS TAB x 60 Pfizer 1.151,46 659,00 659,00
SULTAMICILINA
Comprimidos 375 mg UNASYNA 375 mg TAB x 8 Pfizer 434,05 250,43 250,43
AMPIGEN SB 375 mg COM x 8 Fabra 507,77 320,83 320,83
UNASYNA 375 mg TAB x 16 Pfizer 821,81 456,66 456,66
SUMATRIPTÁN
Ampollas 6 mg MICRANIL 0.50 ml JPR x 1 Pharmadorf 4.154,68 2.410,50 2.410,50
Comprimidos 50 mg IMIGRAN 50 mg TAB x 4 GlaxoSmithKline 1.309,05 726,52 726,52
100 mg MIGRATRIPTAN 100 mg COM x 2 Craveri 960,99 559,86 559,86

MICRANIL COM x 2 Pharmadorf 1.059,27 655,10 655,10
MIGRATRIPTAN 100 mg COM x 4 Craveri 1.765,67 970,43 970,43

MICRANIL COM x 4 Pharmadorf 1.950,08 1.149,10 1.149,10
TAMSULOSINA
Comprimidos 0,4 mg UROPROST-Q 0.4 mg CAP x 30 Ariston 1.226,28 365,62 122,63
DENVERPROST 0.4 mg Lib.Control. CAP x 30 Denver Farma 1.226,75 366,09 366,09
OMNIC 0.4 mg Lib.Control. CAP x 30 Gador 965,45 386,18 193,09
UROCETINA 0.4 mg ib.Prol. CAP x 30 Eurolab 1.280,00 533,87 256,00
DIUFORTAN 0.4 mg CAP x 30 Lazar 1.256,66 568,13 568,13
TAMSUNA 0.4 mg CAP x 30 Sandoz 1.402,47 652,63 312,44
PROSTOKLAR 0.4 mg Lib.Prol. COM x 30 Baliarda 1.547,36 789,20 358,87
TOLOXANE 0.4 mg LP CAP x 30 Beta 1.586,31 826,40 396,07
ACLOSAN 0.4 mg CAP x 30 Gobbi 1.593,59 833,35 403,02
URALOS CR 0.4 mg COM x 30 Casasco 1.622,84 861,28 430,95
LOSTAM 0.4 mg Lib.Prol. CAP x 30 Temis-Lostalo 1.662,09 898,77 468,44
TANSILOPROST RETARD 0.4 mg Lib.Prol. COM x Finadiet 1.702,78 937,63 507,30
30
TANSILOPROST 0.4 mg CAP x 30 Finadiet 1.702,84 937,68 507,35
REDUPROST 0.4 mg CAP x 30 Raffo 1.744,28 977,26 546,93
OMNIC OCAS 0.4 mg Lib.Prol. COM x 30 Gador 1.760,92 993,15 562,82
URIFLUX 0.4 mg CAP x 30 Sidus 1.950,33 1.174,04 743,71
SULOS 0.4 mg CAP x 30 Elea - Phoenix 1.956,94 1.180,35 750,02
SECOTEX OCAS 0.4 mg COM x 30 Boehringer Ingelheim 2.972,48 2.153,94 1.723,61
UROPROST-Q 0.4 mg CAP x 60 Ariston 2.053,09 331,77 205,31

TOLOXANE 0.4 mg LP CAP x 60 Beta 1.681,40 672,56 336,28
DIUFORTAN 0.4 mg CAP x 60 Lazar 2.070,37 828,15 414,07
PROSTOKLAR 0.4 mg Lib.Prol. COM x 60 Baliarda 2.499,60 1.010,06 499,92
TANSILOPROST RETARD 0.4 mg Lib.Prol. COM x Finadiet 2.840,55 1.335,67 568,11
60
TANSILOPROST 0.4 mg CAP x 60 Finadiet 2.840,59 1.335,71 568,12
REDUPROST 0.4 mg CAP x 60 Raffo 2.912,36 1.404,25 582,47
OMNIC OCAS 0.4 mg Lib.Prol. COM x 60 Gador 3.205,00 1.683,72 823,06
TELMISARTAN
Comprimidos 40 mg TELPRES 40 mg COM x 28 Craveri 1.506,99 300,55 300,55
BERTEL 40 mg COM x 28 Elea - Phoenix 2.141,56 1.080,04 1.080,04
GLIOSARTAN 40 mg COM x 28 Bagó 2.209,93 1.145,34 1.145,34
MICARDIS 40 mg COM x 28 Boehringer Ingelheim 2.651,03 1.569,93 1.569,93
80 mg TELPRES 80 mg COM x 28 Craveri 2.109,79 391,83 391,83

BERTEL 80 mg COM x 28 Elea - Phoenix 3.010,29 1.500,46 1.500,46
Página 102 de 112

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 80 mg GLIOSARTAN 80 mg COM x 28 Bagó 3.091,63 1.578,14 1.578,14

MICARDIS 80 mg COM x 28 Boehringer Ingelheim 3.724,00 2.186,74 2.186,74
TEOFILINA ANHIDRA
Comprimidos 300 mg DRILYNA 300 mg COM x 20 Bagó 422,28 234,37 128,80
TERAZOSINA
Comprimidos 2 mg GERIPROST 2 mg COM x 20 Teva argentina ( 285,71 114,79 57,14
FLUMARC 2 mg COM x 20 Raffo 336,09 162,91 67,22
BLAVIN 2 mg COM x 30 Baliarda 595,15 331,28 183,09

FOSFOMIK 2 mg COM x 30 Finadiet 596,05 332,14 183,95
ANDRIN 2 mg COM x 30 Casasco 607,02 342,61 194,43
BLAVIN 2 mg COM x 60 Baliarda 1.133,53 608,34 311,97
5 mg GERIPROST 5 mg COM x 20 Teva argentina ( 341,63 136,65 68,33

BENAPROST 5 mg COM x 28 Bagó 666,59 353,63 176,77

10 mg GERIPROST 10 mg COM x 20 Teva argentina ( 509,26 238,12 101,85


TERBINAFINA
Comprimidos 250 mg FUNGUEAL 250 mg COM x 14 Lazar 784,82 443,84 443,84
TACNA 250 mg COM x 14 Raymos 821,57 478,94 478,94
FUNGUEAL 250 mg COM x 28 Lazar 1.487,78 809,51 809,51

TACNA 250 mg COM x 28 Raymos 1.565,85 884,06 884,06
LAMISIL 250 mg COM x 28 Novartis 1.913,98 1.216,53 1.216,53
Crema 1000 mg FUNGUEAL 1% CRE x 15 Lazar 220,52 128,98 128,98
TERBUTALINA
Aerosol 0,5 mg BRICANYL TURBUHALER 0.5 mg Inh. AER x 100 Astrazeneca 326,19 181,04 181,04
TESTOSTERONA, SALES
Ampollas 250 mg TESTOVIRON DEPOT 250 mg/ml AMP x 1 Bayer (PH) 832,45 462,03 462,03
1000 mg NEBIDO 1000 mg/4 ml (1 g) AMP x 1 Bayer (PH) 4.846,04 2.688,44 2.688,44
TETÁNICO TOXOIDE
Ampollas 75 ui VACUNA ANTITETANICA BIOL + JGA AMP x 1 Biol 491,44 233,39 233,39 MAT
TETANOL PUR 0.5 ML JPR x 1 GlaxoSmithKline 622,62 358,67 358,67 MAT
TETRACICLINA
Comprimidos 250 mg TETRACICLINA OMEGA COM x 16 Omega 619,79 382,02 382,02
500 mg CICLOTETRYL 500 CAP x 30 Fortbenton 770,43 462,23 462,23
Página 103 de 112

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 500 mg CICLOTETRYL 500 CAP x 60 Fortbenton 1.213,44 609,10 609,10
TIBOLONA
Comprimidos 1,25 mg DISCRETAL 1.25 mg COM x 30 Beta 984,84 511,68 511,68
CLIMATIX 1.25 mg COM x 30 Investi 1.087,70 609,91 609,91
PARACLIM 1.25 mg COM x 30 Elea - Phoenix 1.129,20 649,55 649,55
2,5 mg KLIMASTRESS COM x 30 Craveri 1.008,56 403,42 403,42

TOCLINE 2.5 mg COM x 30 Rontag 1.060,05 487,82 487,82
DISCRETAL 2.5 mg COM x 30 Beta 1.322,98 691,22 691,22
CLIMATIX 2.5 mg COM x 30 Investi 1.343,59 710,90 710,90
PARACLIM 2.5 mg COM x 30 Elea - Phoenix 1.517,28 876,77 876,77
TIBOFEM 2.5 mg COM x 30 MSD Arrgentina SR 1.709,16 1.060,02 1.060,02
TICLOPIDINA CLORHIDRATO
Comprimidos 250 mg DOSIER COM x 40 Casasco 1.351,25 749,94 749,94
TIMOLOL
Colirio 250 mg PROFLAX 0.25% COL x 5 Sidus 280,98 155,94 85,70
500 mg TIMOPTIC XE 0.50% COL x 2,5 Mundipharma 931,62 777,47 707,32
PROTEVIS 500 mg COL x 5 Allergan-Loa 276,42 110,57 55,28

ZOPIROL 0.50 % COL x 5 Elea - Phoenix 350,57 140,23 70,11
POENTIMOL 0.50% COL x 5 Poen 371,34 148,54 74,27
PLOSTIM 0.50% COL x 5 Novartis 520,67 272,78 132,49
TIMOLOL DORF 0.5 % COL x 5 Pharmadorf 566,87 317,88 177,59
PROFLAX 0.50% COL x 5 Sidus 678,08 423,11 282,82
TINIDAZOL
Comprimidos 500 mg FASIGYN 500 ORAL TAB x 8 Pfizer 160,92 64,37 64,37
GYNORMAL ORAL COM x 8 Eurofarma 348,11 194,67 194,67
1000 mg FASIGYN 1 g ORAL TAB x 4 Pfizer 180,77 100,33 100,33
TIORIDAZINA
Comprimidos 10 mg MELERIL 10 GRA x 25 Roemmers 384,38 213,33 213,33
25 mg MELERIL 25 GRA x 25 Roemmers 507,98 281,93 281,93
200 mg MELERIL RETARD 200 mg COM x 20 Roemmers 998,63 554,24 554,24
TOBRAMICINA
Colirio 300 mg TOBRAMICINA DORF COL x 5 Pharmadorf 183,26 73,30 73,30
BIDEON BIOTIC COL x 5 Fecofar 285,39 124,05 124,05
TOBRAMICINA ATLAS COL x 5 Atlas 320,63 152,43 152,43
GOTABIOTIC SUSP. COL x 5 Poen 340,40 171,31 171,31
FOTEX COL x 5 Elea - Phoenix 421,53 248,79 248,79
TOBRAGAN 0.3% COL x 5 Allergan-Loa 446,14 272,29 272,29
TOBREX COL x 5 Novartis 516,47 339,46 339,46
RADINA COL x 10 Spedrog Caillon 409,04 173,56 173,56
Gel 300 mg GOTABIOTIC OFT. GEL x 5 Poen 366,70 203,52 203,52
TOBRAMICINA +
DEXAMETASONA
Colirio 300 mg TOBRALER DX SUSP. COL x 5 Lersan 298,94 126,14 126,14
BIDEON BIOTIC PLUS COL x 5 Fecofar 315,49 137,12 137,12
TOBRATLAS DEXA COL x 5 Atlas 366,69 159,68 159,68
Página 104 de 112

A CARGO A CARGO
AFILIADO CRONICO
Colirio 300 mg RADINA DEX COL x 5 Spedrog Caillon 376,34 168,94 168,94
GOTABIOTIC F COL x 5 Poen 385,27 177,42 177,42
FOTADEX COL x 5 Elea - Phoenix 505,86 292,59 292,59
DECADRON C/TOBRAMICINA SUSP. COL x 5 Sidus 528,13 313,86 313,86
TOBRADEX COL x 5 Novartis 556,13 340,60 340,60
Ungüento 300 mg GOTABIOTIC F OFT. UNG x 3,5 Poen 422,40 191,88 191,88
FOTADEX OFT. UNG x 3,5 Elea - Phoenix 588,34 350,35 350,35
TOBRADEX OFT. UNG x 3,5 Novartis 605,08 366,34 366,34
TOBRAMICINA +
HIALURONICO, ÁCIDO
Colirio 300 mg TOBRALER COL x 5 Lersan 278,18 170,98 170,98
TOPIRAMATO
Comprimidos 15 mg TOPAMAC SPRINKLE 15 mg DISPERS CAP x 60 Janssen-Cilag 1.290,96 716,48 716,48
25 mg EPISTAL 25 mg COM x 28 Casasco 757,63 404,79 404,79

TOPICTAL 25 mg COM x 28 Raffo 792,42 438,02 438,02
TOPAMAC 25 mg COM x 28 Janssen-Cilag 818,90 463,31 463,31
NEUTOP 25 mg COM x 28 Elea - Phoenix 870,86 512,93 512,93
TOPICTAL 25 mg COM x 56 Raffo 1.398,73 698,30 698,30

NEUTOP 25 mg COM x 56 Elea - Phoenix 1.650,53 938,77 938,77
TOPAMAC SPRINKLE 25 mg DISPERS CAP x 60 Janssen-Cilag 2.224,86 1.441,72 1.441,72
50 mg EPISTAL 50 mg COM x 28 Casasco 1.433,36 770,70 770,70

TOPICTAL 50 mg COM x 28 Raffo 1.492,36 827,05 827,05
TOPAMAC 50 mg COM x 28 Janssen-Cilag 1.506,80 840,84 840,84
NEUTOP 50 mg COM x 28 Elea - Phoenix 1.599,06 928,95 928,95
TOPICTAL 50 mg COM x 56 Raffo 2.819,69 1.496,49 1.496,49

NEUTOP 50 mg COM x 56 Elea - Phoenix 3.058,16 1.724,23 1.724,23
100 mg EPISTAL 100 mg COM x 28 Casasco 2.217,30 1.233,87 1.233,87

TOPAMAC 100 mg COM x 28 Janssen-Cilag 2.296,31 1.309,32 1.309,32
EPISTAL 100 mg COM x 56 Casasco 4.120,41 2.167,68 2.167,68

TRIAMCINOLONA
Aerosol 0,055 mg NASACORT AQ AER x 120 Sanofi Aventis OTC 989,00 566,69 566,69
Ampollas 30 mg FORTCINOLONA 5 ML AMP x 1 Fortbenton 741,77 424,38 424,38
40 mg FORTCINOLONA 40 mg 1 ml AMP x 1 Fortbenton 1.063,46 608,43 608,43
TRIFLUOPERAZINA
Comprimidos 5 mg CUAIT TRIFLUOPERAZINA 5 mg COM x 30 Ariston 1.153,77 640,34 640,34
10 mg CUAIT TRIFLUOPERAZINA 10 mg COM x 30 Ariston 1.275,71 708,02 708,02
TRIHEXIFENIDILO
CLORHIDRATO
Comprimidos 5 mg ARTANE 5 mg COM x 50 Pfizer 706,12 391,90 391,90
TRIHEXIFENIDILO CEVALLOS 5 mg COM x 50 Cevallos 740,00 457,55 457,55
TRIMEBUTINA MALEATO
Página 105 de 112

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 100 mg EUMOTIL 100 mg COM x 20 Baliarda 315,59 193,49 193,49

MIOPROPAN 100 COM x 20 Bernabo 317,66 195,47 195,47
PLIDEX 100 COM x 30 Roemmers 357,09 179,17 179,17
MIOPROPAN 100 COM x 40 Bernabo 506,76 268,16 268,16
200 mg BIORGAN 200 mg COM x 20 Teva argentina ( 361,29 210,14 210,14

MIOPROPAN 200 mg COM x 20 Bernabo 421,86 267,98 267,98
EUMOTIL 200 mg COM x 20 Baliarda 425,45 271,41 271,41
DEBRIDAT 200 mg COM x 20 Pfizer 461,03 305,39 305,39
COLIXANE 200 COM x 30 Sanitas 421,65 201,07 201,07

PROCINET NF 200 mg COM x 30 Eurofarma 457,96 235,01 235,01
PLIDEX 200 COM x 30 Roemmers 488,01 263,71 263,71
NEOTINA 200 COM x 30 Rossmore Pharma 638,09 407,04 407,04
BIORGAN 200 mg COM x 40 Teva argentina ( 592,25 295,81 295,81

DEBRIDAT 200 mg COM x 40 Pfizer 862,32 553,73 553,73

NEOTINA 200 COM x 60 Rossmore Pharma 1.291,82 829,00 829,00
300 mg BIORGAN AP 300 mg COM x 20 Teva argentina ( 457,77 259,15 259,15

MIOPROPAN LP 300 mg COM x 20 Bernabo 551,15 348,32 348,32
DEBRIDAT AP 300 mg LIB.PROL. COM x 20 Pfizer 607,39 402,03 402,03
PLIDEX AP 300 mg COM x 30 Roemmers 652,38 355,99 355,99

MIOPROPAN LP 300 mg COM x 30 Bernabo 659,31 362,61 362,61
EUMOTIL 300 Lib.Prol. COM x 30 Baliarda 696,76 398,37 398,37
MIOPROPAN LP 300 mg COM x 60 Bernabo 1.267,33 676,23 676,23
TRIMETOPRIMA +
SULFAMETOXASOL
Comprimidos 80 mg BACTRIM COM x 20 Investi 459,67 238,42 238,42
160 mg NETOCUR 800/160 mg COM x 10 Duncan 297,85 119,14 119,14

TRITENK FORTE COM x 10 Biotenk 464,30 205,11 205,11
BACTRIM FORTE COM x 10 Investi 613,17 347,28 347,28
BACTICEL COM x 12 Bagó 574,52 262,71 262,71
DOSULFIN FORTE COM x 14 Nova Argentia 610,64 249,55 249,55
Líquido 40 mg NETOCUR JBE x 100 Duncan 287,00 114,80 114,80

BACTRIM JBE x 100 Investi 480,38 256,84 256,84
ADRENOL JBE x 100 Fabra 520,69 318,77 318,77
BACTICEL JBE x 120 Bagó 498,29 233,56 233,56
TROPICAMIDA
Colirio 1000 mg ALCON MYDRIL 1% COL x 5 Alcon 458,38 254,40 254,40
URSODESOXICÓLICO, ÁCIDO
Comprimidos 150 mg AUDECOL 150 mg COM x 20 Ariston 569,60 284,98 284,98
DEXO 150 mg COM x 20 Dominguez 654,55 366,11 366,11
URZAC 150 mg COM x 20 Eurofarma 659,67 371,00 371,00
URSODIOL 150 mg COM x 20 Pharmanove 635,00 376,01 376,01
Página 106 de 112

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 150 mg
250 mg UDCA FERRING 250 mg CAP x 30 Ferring 1.593,02 890,75 890,75
UDCA FERRING 250 mg CAP x 60 Ferring 3.034,39 1.636,68 1.636,68
URSOFALK 250 mg CAP x 100 Biotoscana 5.647,42 3.296,33 3.296,33
300 mg AUDECOL 300 mg COM x 20 Ariston 1.007,45 551,78 551,78

DEXO 300 mg COM x 20 Dominguez 1.122,06 661,24 661,24
UTRAL 300 mg COM x 30 Sanitas 1.301,78 629,95 629,95

URSODIOL 300 mg COM x 30 Pharmanove 1.365,00 749,50 749,50
URSOMAX 300 mg COM x 30 Spedrog Caillon 1.473,78 794,10 794,10
URZAC 300 mg COM x 30 Eurofarma 1.481,76 799,58 799,58
UDCA FERRING 300 mg CAP x 30 Ferring 1.593,02 905,83 905,83
URSOTOP COM x 30 Rossmore Pharma 1.908,92 1.207,52 1.207,52
AUDECOL 300 mg COM x 50 Ariston 2.321,43 1.191,13 1.191,13

URSODIOL 300 mg COM x 50 Pharmanove 2.495,00 1.469,17 1.469,17
DEXO 300 mg COM x 50 Dominguez 2.704,63 1.557,09 1.557,09
URZAC 300 mg COM x 50 Eurofarma 2.720,85 1.572,58 1.572,58
URSOTOP 300 mg COM x 50 Rossmore Pharma 3.579,78 2.392,86 2.392,86
UTRAL 300 mg COM x 60 Sanitas 2.566,29 1.224,25 1.224,25

URSOMAX 300 mg COM x 60 Spedrog Caillon 2.827,24 1.472,19 1.472,19
UDCA FERRING 300 mg CAP x 60 Ferring 3.034,39 1.666,84 1.666,84
500 mg URSODIOL FORTE 500 mg COM x 30 Pharmanove 2.395,00 1.342,22 1.342,22

DEXO FORTE 500 mg COM x 30 Dominguez 2.533,44 1.366,65 1.366,65
URZAC FORTE 500 mg COM x 30 Eurofarma 2.551,70 1.384,09 1.384,09
URSODIOL FORTE 500 mg COM x 50 Pharmanove 3.667,00 1.912,36 1.912,36

URSOFALK 500 mg COM x 50 Biotoscana 5.494,76 3.497,70 3.497,70
URSOFALK 500 mg COM x 100 Biotoscana 10.448,89 6.478,63 6.478,63
Líquido 250 mg URSOFALK Oral SUS x 250 Biotoscana 4.265,56 2.404,60 2.404,60
VAC. ANTIPOLIOMIELITIS
Ampollas 0,001 ml IMOVAX POLIO AMP x 1 Sanofi Pasteur 531,33 294,89 294,89
VALPROICO, ÁCIDO
Comprimidos 250 mg DEPAKENE Bllandas CAP x 50 Abbott Epd 772,40 428,68 235,58
Líquido 250 mg LOGICAL JBE x 120 Teva argentina ( 379,37 203,55 104,33 INF
DEPAKENE JBE x 120 Abbott Epd 428,34 250,31 151,09 INF
EXIBRAL JBE x 120 Bagó 453,11 273,97 174,75 INF
VALSARTAN
Comprimidos 40 mg DIOVAN IC 40 mg COM x 14 Novartis 887,54 492,58 270,70
80 mg SIMULTAN 80 mg COM x 14 Lazar 437,18 210,51 87,44

RACORVAL 80 mg COM x 14 Nova Argentia 495,50 266,20 136,83
ALPERTAN 80 mg COM x 14 Raffo 545,20 313,67 184,29
DIAPRESAN 80 mg COM x 15 Montpellier 463,00 220,38 92,60

SARVAL 80 mg COM x 15 Baliarda 527,59 282,06 143,44
HIPERVAL 80 COM x 28 Richmond 752,45 234,95 94,97

SIMULTAN 80 mg COM x 28 Lazar 857,03 404,46 171,41
DILCORAN 80 mg COM x 28 Casasco 1.014,24 554,60 295,85
Página 107 de 112

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 80 mg RACORVAL 80 mg COM x 28 Nova Argentia 1.053,15 591,76 333,01

ALPERTAN 80 mg COM x 28 Raffo 1.097,34 633,96 375,21
DIOVAN 80 mg COM x 28 Novartis 1.184,31 717,02 458,27
COROSAN 80 mg COM x 30 Elea - Phoenix 861,20 378,87 172,24

NICORVAS 80 mg COM x 30 Temis-Lostalo 1.035,56 545,39 268,16
SARVAL 80 mg COM x 30 Baliarda 1.053,54 562,56 285,33
DILCORAN 80 mg COM x 56 Casasco 1.943,74 1.028,27 510,77
160 mg SIMULTAN 160 mg REC. COM x 14 Lazar 549,85 259,46 109,97

RACORVAL 160 mg COM x 14 Nova Argentia 621,04 327,45 161,42
ALPERTAN 160 mg COM x 14 Raffo 651,34 356,39 190,36
DIOVAN 160 mg COM x 14 Novartis 840,10 536,65 370,62

SARVAL 160 mg COM x 15 Baliarda 684,60 369,17 191,29
HIPERVAL 160 COM x 28 Richmond 938,68 274,57 118,47

SIMULTAN 160 mg REC. COM x 28 Lazar 1.092,97 512,50 218,59
DILCORAN 160 mg COM x 28 Casasco 1.276,98 688,23 356,17
RACORVAL 160 mg COM x 28 Nova Argentia 1.348,53 756,56 424,50
COROSAN 160 mg COM x 30 Elea - Phoenix 1.070,02 452,63 214,00

DIAPRESAN 160 mg COM x 30 Montpellier 1.125,44 505,56 225,09
NICORVAS 160 mg COM x 30 Temis-Lostalo 1.329,79 700,71 344,93
320 mg ALPERTAN 320 mg COM x 14 Raffo 841,88 508,77 324,25
SIMULTAN 320 mg COM x 28 Lazar 1.152,66 510,33 230,53

DILCORAN 320 mg Rec. COM x 28 Casasco 1.467,83 811,32 442,28
COROSAN 320 mg COM x 30 Elea - Phoenix 1.282,23 591,89 256,45

RACORVAL 320 mg COM x 30 Nova Argentia 1.464,39 765,86 370,46
VALSARTAN +
HIDROCLOROTIAZIDA
Comprimidos 80 mg SIMULTAN D 80/12.5 mg COM x 14 Lazar 510,37 268,79 132,16
SIMULTAN D 80/12.5 mg COM x 28 Lazar 879,18 402,39 175,84

DILCORAN D 80/12.5 mg COM x 28 Casasco 1.044,91 560,67 287,40
RACORVAL D 80/12.5 mg COM x 28 Nova Argentia 1.078,64 592,88 319,61
ALPERTAN D 80/12.5 mg COM x 28 Raffo 1.139,68 651,17 377,91
DIOVAN D 80/12.5 mg COM x 28 Novartis 1.416,93 915,94 642,68
COROSAN D 80/12.5 mg COM x 30 Elea - Phoenix 781,55 313,09 313,09

DIAPRESAN D 80/12.5 mg COM x 30 Montpellier 931,83 421,44 186,37
NICORVAS DIUR 80/12.5 mg COM x 30 Temis-Lostalo 1.002,54 488,97 200,51
SARVAL D 80/12.5 COM x 30 Baliarda 1.077,45 560,51 267,72
Página 108 de 112

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 80 mg DILCORAN D 80/12.5 mg COM x 56 Casasco 2.064,22 1.096,88 550,35
160 mg SIMULTAN D 160/12.5 mg COM x 14 Lazar 518,08 240,24 103,62

DIOVAN D 160/12.5 mg COM x 14 Novartis 987,94 688,96 529,88
SIMULTAN D 160/12.5 mg COM x 28 Lazar 985,11 431,73 197,02

SIMULTAN D 160/25 mg COM x 28 Lazar 1.159,40 508,73 231,88
DILCORAN D 160/12.5 mg COM x 28 Casasco 1.165,76 604,25 286,10
RACORVAL D 160/12.5 mg COM x 28 Nova Argentia 1.222,21 658,16 340,01
ALPERTAN D 160/12.5 mg COM x 28 Raffo 1.270,54 704,32 386,16
DIOVAN D 160/25 mg COM x 28 Novartis 1.692,01 1.017,38 643,32
DIOVAN D 160/12.5 mg COM x 28 Novartis 1.659,81 1.076,07 757,92
COROSAN D 160/12.5 mg COM x 30 Elea - Phoenix 926,27 380,86 380,86

DIAPRESAN D 160/12.5 mg COM x 30 Montpellier 1.153,30 555,99 230,66
SARVAL D 160/12.5 COM x 30 Baliarda 1.212,66 612,68 271,80
DIAPRESAN D 160/25 mg COM x 30 Montpellier 1.389,84 686,06 285,28
NICORVAS DIUR 160/25 mg COM x 30 Temis-Lostalo 1.423,65 718,35 317,57
SARVAL D 160/25 mg COM x 30 Baliarda 1.515,70 806,25 405,48
DILCORAN D 160/12.5 mg COM x 56 Casasco 2.405,02 1.278,70 642,39
320 mg ALPERTAN D 320/12.5 mg COM x 28 Raffo 1.700,15 934,13 503,19

ALPERTAN D 320/25 mg COM x 28 Raffo 1.731,07 949,82 510,22
DIOVAN D 320/25 mg COM x 28 Novartis 1.880,29 1.092,32 652,72
DIOVAN D 320/12.5 mg COM x 28 Novartis 1.880,29 1.106,16 675,22
SIMULTAN D 320/12.5mg COM x 30 Lazar 1.296,15 518,46 259,23

SIMULTAN D 320/25 mg COM x 30 Lazar 1.308,66 523,46 261,73
SARVAL D 320/12.5 mg COM x 30 Baliarda 1.573,92 764,33 314,78
SARVAL D 320/25 mg COM x 30 Baliarda 1.607,35 781,42 321,47
VENLAFAXINA
Comprimidos 25 mg SESAREN 25 mg COM x 30 Roemmers 393,89 218,60 218,60
ELAFAX 25 mg COM x 30 Gador 393,92 218,63 218,63
37,5 mg GANAVAX 37.5 mg COM x 30 Rontag 944,67 574,21 574,21
EFEXOR XR 37,5 mg LIB.PROL. CAP x 7 Pfizer 268,14 163,02 163,02
VENLIFAX XR 37.5 mg CAP x 14 Baliarda 474,56 267,10 267,10

ELAFAX LP 37.5 mg CAP x 14 Gador 486,75 278,74 278,74
PSISEVEN 37.5 mg lib. prol. CAP x 28 Eurofarma 878,08 466,35 466,35

SESAREN XR 37.5 mg CAP x 28 Roemmers 909,57 496,42 496,42
SUNVEX LP 37.5 mg CAP x 28 Casasco 991,31 574,49 574,49
MAXIBRAL XR 37.5 mg CAP x 30 Montpellier 855,41 418,11 418,11
50 mg SESAREN 50 mg COM x 30 Roemmers 489,31 271,53 271,53

GANAVAX 50 mg COM x 30 Rontag 959,48 763,72 763,72
75 mg QUILAREX 75 mg COM x 30 Ariston 643,56 326,60 326,60

SESAREN 75 mg COM x 30 Roemmers 721,36 400,89 400,89
GANAVAX 75 mg COM x 30 Rontag 1.141,74 853,74 853,74
EFEXOR XR 75 mg LIB.PROL. CAP x 14 Pfizer 536,91 312,99 312,99
SESAREN XR 75 mg CAP x 15 Roemmers 544,28 305,76 305,76
Página 109 de 112

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 75 mg QUILAREX XR 75 mg COM x 28 Ariston 877,39 438,39 438,39

PSISEVEN 75 mg lib. prol. CAP x 28 Eurofarma 972,17 528,91 528,91
VENLIFAX XR 75 mg CAP x 28 Baliarda 977,00 533,52 533,52
ELAFAX LP 75 mg CAP x 28 Gador 982,06 538,35 538,35
SUNVEX LP 75 mg CAP x 28 Casasco 1.026,08 580,39 580,39
ELAFAX XR 75 mg COM x 28 Gador 1.066,91 619,38 619,38
EFEXOR XR 75 mg LIB.PROL. CAP x 28 Pfizer 1.110,30 660,82 660,82
MAXIBRAL XR 75 mg CAP x 30 Montpellier 938,64 468,35 468,35

SESAREN XR 75 mg CAP x 30 Roemmers 1.020,26 546,30 546,30
150 mg SESAREN XR 150 mg CAP x 15 Roemmers 756,40 426,75 426,75
QUILAREX XR 150 mg COM x 28 Ariston 1.214,50 524,74 524,74

PSISEVEN 150 mg lib. prol. CAP x 28 Eurofarma 1.338,02 726,00 726,00
ELAFAX LP 150 mg CAP x 28 Gador 1.341,17 729,01 729,01
VENLIFAX XR 150 mg CAP x 28 Baliarda 1.387,65 773,40 773,40
ELAFAX XR 150 mg COM x 28 Gador 1.412,34 796,98 796,98
SUNVEX LP 150 mg CAP x 28 Casasco 1.467,87 850,01 850,01
EFEXOR XR 150 mg LIB.PROL. CAP x 28 Pfizer 1.490,10 871,24 871,24
MAXIBRAL XR150 mg CAP x 30 Montpellier 1.295,49 645,97 645,97

SESAREN XR 150 mg CAP x 30 Roemmers 1.451,99 795,43 795,43
225 mg SESAREN XR 225 mg CAP x 15 Roemmers 1.040,91 615,96 615,96
ELAFAX LP 225 mg CAP x 28 Gador 1.887,32 1.096,58 1.096,58
SESAREN XR 225 mg CAP x 30 Roemmers 1.886,56 1.045,44 1.045,44
VERAPAMILO
Comprimidos 80 mg ISOPTINO 80 mg RECUB. COM x 30 Abbott Epd 467,27 259,35 142,54
120 mg ISOPTINO RETARD CAP x 20 Abbott Epd 690,63 383,56 211,07
240 mg ISOPTINO MD 240 mg Lib.Prol. GRA x 30 Abbott Epd 1.593,76 884,50 486,04
VERAL RETARD 240 mg TAB x 30 Nova Argentia 1.594,45 885,16 486,70
VIGABATRIN
Comprimidos 500 mg SABRIL 500 mg COM x 60 Sanofi Aventis 4.086,00 2.337,66 2.337,66
VITAMINA A
Comprimidos 50000 ui TANVIMIL A 50000 UI CAP x 30 Raymos 294,25 171,22 171,22
TANVIMIL A 50000 UI CAP x 60 Raymos 490,39 248,76 248,76
100000 ui TANVIMIL A 100000 CAP x 30 Raymos 277,37 153,94 153,94
VITAMINA B1
Comprimidos 300 mg TIAMINA AUSTRAL 300 mg COM x 30 Austral 586,31 334,96 334,96
VITAMINA B1 + VITAMINA B2 +
VITAMINA B6 + VITAMINA B12
+ VITAMINA B3 + CALCIO
PANTOTENATO + VITAMINA H
Comprimidos 15 mg BECOZYM GRA x 30 Bayer Consumer 253,00 140,41 140,41 MAT
VITAMINA B1 + VITAMINA B6 +
VITAMINA B12
Ampollas 100 mg BAGO B1 B6 B12 10000 3 ML AMP x 3 Bagó 952,71 545,46 545,46 MAT
BAGO B1 B6 B12 10000 3 ML AMP x 6 Bagó 1.791,91 982,51 982,51 MAT
Comprimidos 125 mg TANVIMIL B1 B6 B12 COM x 30 Raymos 526,21 210,48 210,48 MAT
Página 110 de 112

A CARGO A CARGO
AFILIADO CRONICO
Comprimidos 125 mg BAGO B1 B6 B12 5000 COM x 30 Bagó 1.161,21 650,84 650,84 MAT
BAGO B1 B6 B12 CB 5000 CB CAP x 30 Bagó 1.282,84 767,00 767,00
250 mg COBENEXOL FUERTE COM x 30 Bayer Consumer 650,00 360,75 360,75 MAT
Líquido 1000 mg BAGO B1 B6 B12 SOL x 100 Bagó 778,13 431,86 431,86 MAT
VITAMINA B12
Comprimidos 1 mg SL B12 COM x 15 Dominguez 694,67 420,33 420,33
SL B12 COM x 30 Dominguez 1.207,93 667,41 667,41
VITAMINA B6
Comprimidos 100 mg TANVIMIL B6 COM x 30 Raymos 193,82 116,26 116,26
TANVIMIL B6 COM x 60 Raymos 313,31 161,54 161,54
VITAMINA D2
Gotas 600000 ui TANVIMIL D Gotero GTS x 10 Raymos 202,32 112,29 112,29
1000000 OSTELIN POTENCIA 100 GTS x 10 Roemmers 288,84 160,46 160,46

ui
6560000 DENURIX GTS x 4 Dominguez 394,38 216,16 216,16
ui
RAQUIFEROL D2 GTS x 4 Roemmers 401,97 223,41 223,41
DENURIX GTS x 10 Dominguez 869,07 428,79 428,79
VITAMINA D3
Comprimidos 10 ui CALCITRIOL CAP x 30 Raymos 708,53 371,26 371,26
CALCIRAQUIFEROL D3 BLANDAS CAP x 30 Roemmers 727,31 389,19 389,19
CALCITRIOL 0.25 mcg CAP x 30 Investi 767,47 427,55 427,55
100000 ui SUBICAL CB CAP x 1 Bernabo 478,51 244,25 244,25

ORAVIL CB CAP x 1 Trb-Pharma 542,00 305,61 305,61
DEVISAL CB CAP x 1 Baliarda 545,17 307,91 307,91
DEBLAX Bland. CAP x 1 Raffo 666,98 424,24 424,24
SUBICAL CB CAP x 2 Bernabo 772,62 312,41 312,41

DEVISAL CB CAP x 2 Baliarda 864,88 400,52 400,52
ORAVIL CB CAP x 2 Trb-Pharma 880,00 416,13 416,13
DEBLAX Bland. CAP x 2 Raffo 1.037,55 565,42 565,42
TRIP D3 CAP x 1 Craveri 663,80 417,55 417,55
TRIP D3 CAP x 3 Craveri 1.400,77 688,60 688,60
Gotas 100000 ui RAQUIFEROL D3 Oral GTS x 4 Roemmers 533,56 296,13 296,13
Líquido 10 ui CALCITOL D3 Oral SOL x 2 Investi 507,99 304,79 304,79
400 ui STEROGYL 400 Oral SOL x 10 Spedrog Caillon 522,33 294,37 294,37
1000 ui STEROGYL 1000 Oral SOL x 4 Spedrog Caillon 534,37 302,40 302,40
100000 ui STEROGYL 2 ml AMB x 1 Spedrog Caillon 461,17 238,83 238,83

SUBICAL 100000 UI 2 ml AMB x 1 Bernabo 449,79 251,68 251,68
OSTEODYN Oral 2 ml AMB x 1 Montpellier 454,63 256,30 256,30
GADOFEROL 2 ml AMB x 1 Gador 455,92 257,54 257,54
DEVISAL 2 ml AMB x 1 Baliarda 464,14 265,39 265,39
ORAVIL 2 ml AMB x 1 Trb-Pharma 486,00 286,89 286,89
VITERGIN 2 ml AMB x 1 Beta 549,68 347,08 347,08
TESTRI 2 ml AMB x 1 Elea - Phoenix 630,06 423,84 423,84
RAQUIFEROL D3 Oral SOL x 2 Roemmers 451,42 180,57 180,57
Página 111 de 112

A CARGO A CARGO
AFILIADO CRONICO
Líquido 100000 ui
200000 ui ORAVIL Oral SOL x 6 Trb-Pharma 539,00 306,26 306,26
VITAMINA E
Comprimidos 200 mg TANVIMIL E 200 mg CAP x 30 Raymos 279,58 166,67 166,67
TANVIMIL E 200 mg CAP x 60 Raymos 434,92 214,69 214,69
TANVIMIL E 200 mg CAP x 100 Raymos 418,69 167,48 167,48
VITAMINA K1
Ampollas 10 mg VITAMINA K1 BIOL 10 mg 1 ml AMP x 3 Biol 473,87 263,00 263,00
10 mg KONAKION MM 10 mg AMP x 5 Investi 975,43 541,36 541,36
Comprimidos 10 mg TANVIMIL K COM x 10 Raymos 219,10 121,60 121,60
Líquido 2 mg KONAKION MM 2 mg AMP.C/DOSIF.ORAL SOL x Investi 328,94 182,56 182,56

5
WARFARINA SÓDICA
Comprimidos 1 mg COUMADIN 1 mg COM x 30 Bristol 257,64 142,99 78,58
2 mg CIRCUVIT 2 mg COM x 20 Ariston 262,69 148,80 85,01
CIRCUVIT 2 mg COM x 50 Ariston 634,32 350,62 191,14
5 mg CIRCUVIT 5 mg COM x 20 Ariston 301,48 186,37 122,91
COUMADIN 5 mg COM x 30 Bristol 304,50 138,49 60,90
CIRCUVIT 5 mg COM x 50 Ariston 678,59 394,20 235,54
WISTAR CEPA
Ampollas 150 ui VERORAB VAC. ANTIRRABICA AMP x 1 Sanofi Pasteur 2.797,79 1.552,77 1.552,77
ZOLPIDEM
Comprimidos 1,75 mg SOMIT INTERSUEÑO Subl. COM x 15 Gador 342,34 190,00 190,00
3,5 mg SOMIT INTERSUEÑO Subl. 3.5 mg COM x 15 Gador 445,27 247,12 247,12
5 mg SOMIT 5 mg COM x 30 Gador 457,87 254,12 254,12
6,25 mg AMBIEN CR 6.25 mg COM x 28 Sanofi Aventis 610,69 342,84 342,84
SOMIT CR 6.25 mg Lib. Mod. COM x 30 Gador 643,83 357,33 357,33
10 mg ZOLODORM 10 mg COM x 30 Richmond 416,17 136,08 136,08

DORMI-ROS 10 mg COM x 30 Rospaw 420,00 139,91 139,91
SUMENAN 10 mg COM x 30 Spedrog Caillon 551,40 271,31 271,31
DORMILAN 10 mg COM x 30 Baliarda 550,14 301,32 301,32
SOMIT 10 mg COM x 30 Gador 565,37 315,86 315,86
NOCTE 10 mg COM x 30 Bagó 569,62 319,92 319,92
12,5 mg AMBIEN CR 12.5 mg COM x 28 Sanofi Aventis 794,07 447,57 447,57
SOMIT CR 12.5 mg COM x 30 Gador 832,42 461,99 461,99
10 mg NOCTE SUBLINGUAL 10 mg COM x 30 Bagó 1.009,24 560,13 560,13
Página 112 de 112

Vademecum

Caricato da

Informazioni sul documento

Titolo originale

Copyright

Formati disponibili

Condividi questo documento

Condividi o incorpora il documento

Opzioni di condivisione

Hai trovato utile questo documento?

Questo contenuto è inappropriato?

Copyright:

Formati disponibili

Vademecum

Caricato da

Copyright:

Formati disponibili

Formulario Terapéutico Ambulatorio - IAPOS 07/05/2020

4 mg SINTROM 4 mg COM x 20 Nova Argentia 908,03 520,57 303,94

AZECAR 4 mg COM x 30 Bagó 1.094,95 525,78 218,99

BRONCOLIUM 200 mg COM x 12 Temis-Lostalo 429,68 188,63 188,63

BRONCOLIUM 600 mg EFERV. COM x 12 Temis-Lostalo 620,53 376,58 376,58

ACC EXPECTORANTE 600 mg EFERV. COM x 20 Sandoz 704,80 313,95 313,95

BRONCOLIUM 600 mg EFERV. COM x 24 Temis-Lostalo 1.008,01 530,61 530,61

Líquido 2000 mg BRONCOLIUM JBE x 100 Temis-Lostalo 305,84 122,34 122,34

Sobres 200 mg TOFLUX 200 mg SOB x 20 Casasco 979,99 543,89 543,89

600 mg TEMPOTANE 600 mg SOB x 10 Lazar 452,60 236,57 236,57

TEMPOTANE 600 mg SOB x 20 Lazar 760,74 335,19 335,19

ACETIL SALICÍLICO, ÁCIDO

ASPIRINA PREVENT CUB.ENTERICA COM x 50 Bayer (PH) 261,36 144,67 144,67

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

400 mg XICLOVIR 400 mg COM x 20 Lazar 534,45 293,25 293,25

POVIRAL 400 mg COM x 40 Roemmers 993,05 514,07 514,07

800 mg XICLOVIR 800 mg COM x 20 Lazar 846,45 424,62 424,62

XICLOVIR 800 mg COM x 40 Lazar 1.593,71 754,51 754,51

Crema 5000 mg XICLOVIR 5% CRE x 5 Lazar 221,48 107,94 107,94

ZOVIRAX 5% CRE x 10 GlaxoSmithKline 394,46 169,57 169,57 INF

Líquido 8000 mg XICLOVIR 8% SUS x 120 Lazar 621,11 335,62 335,62

POVIRAL 8% SUS x 125 Roemmers 614,09 318,18 318,18

LISOVYR 5% UNG x 10 Elea - Phoenix 399,90 220,52 220,52 INF

25 mg NEOTIGASON 25 mg CAP x 30 Teva argentina ( 5.031,30 2.792,37 2.792,37

ACTIMAX 70 mg COM x 8 Investi 280,98 112,39 112,39

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

ALLOPURINOL GADOR 100 mg COM x 60 Gador 369,59 196,14 196,14

300 mg PURITENK 300 mg COM x 20 Biotenk 336,60 199,26 199,26

ALLOPURINOL HOUDE 300 mg COM x 30 Spedrog Caillon 438,45 235,42 235,42

ALLOPURINOL CRAVERI 300 mg COM x 40 Craveri 708,58 432,30 432,30

ALLOPURINOL CRAVERI 300 mg COM x 60 Craveri 714,82 316,07 316,07

ALLOPURINOL GADOR RETARD 300 mg COM x Gador 595,02 360,30 360,30

PRINOX 0.25 mg COM x 50 Eurofarma 179,98 96,16 96,16

ALPLAX 0.25 mg COM x 60 Gador 222,70 121,81 121,81

0,5 mg TRANQUINAL 0.5 mg COM x 10 Bagó 90,37 60,37 60,37

CALMOL 0.5 mg COM x 30 Temis-Lostalo 39,32 15,73 15,73

EMERAL 0.5 mg COM x 50 Nova Argentia 318,51 174,52 174,52

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

Comprimidos 0,5 mg ROSPAZ 0.50 mg COM x 60 Rospaw 320,00 125,51 125,51

TRANQUINAL 0.5 mg COM x 100 Bagó 642,88 354,63 354,63

ALPLAX XR 0.5 mg COM x 20 Gador 301,28 167,21 167,21

1 mg CALMOL 1 mg COM x 30 Temis-Lostalo 60,42 24,17 24,17

EMERAL 1 mg COM x 50 Nova Argentia 518,71 289,54 289,54

PTA 1 mg COM x 60 Sidus 468,27 200,20 200,20

TRANQUINAL 1 mg COM x 100 Bagó 988,83 532,67 532,67

ALPLAX XR 1 mg COM x 20 Gador 346,58 192,38 192,38

2 mg CALMOL 2 mg COM x 30 Temis-Lostalo 97,13 38,85 38,85

EMERAL 2 mg COM x 50 Nova Argentia 834,71 477,90 477,90

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

Comprimidos 2 mg PRINOX 2 mg COM x 50 Eurofarma 839,21 482,19 482,19

ROSPAZ 2 mg COM x 60 Rospaw 742,00 263,12 263,12

TRANQUINAL 2 mg COM x 100 Bagó 1.663,12 949,78 949,78

ALPLAX XR 2 mg COM x 20 Gador 424,66 235,82 235,82

0,5 mg TENSIUM SL 0.5 mg COM x 30 Baliarda 227,95 91,18 91,18

Gotas 1 mg TRANQUINAL 1MG/ML GTS x 30 Bagó 349,72 194,09 194,09

AMPAKINE 100 mg COM x 30 Rontag 827,78 340,85 340,85

AMPAKINE 100 mg COM x 60 Rontag 1.584,77 652,56 652,56

ATLANSIL 200 mg COM x 50 Roemmers 1.134,35 630,74 347,89

25 mg TRYPTALGIN 25 mg COM x 30 Craveri 426,74 217,74 217,74

TRYPTANOL 25 mg COM x 100 Bagó 1.590,78 886,56 886,56

75 mg AMIPTRIL 75 Mg COM x 30 Rospaw 805,00 427,52 427,52

AMLOC 5 mg TAB x 20 Pfizer 473,31 304,35 212,06

AMZE 5 mg COM x 28 Richmond 426,77 201,40 95,30