Tabela Simpro

Transcrição

Tabela Simpro
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000000002
0000000003
0000000009
0000000010
0000000011
0000000012
0000000013
0000000014
0000000021
0000000028
0000000029
0000000030
0000000031
0000000032
0000000033
0000000035
0000000042
0000000045
0000000047
0000000063
0000000065
0000000066
0000000067
0000000068
0000000069
0000000070
0000000085
0000000086
0000000087
0000000088
0000000089
0000000093
0000000096
0000000113
0000000116
0000000117
0000000123
0000000222
0000000225
0000000226
0000000227
0000000228
0000000456
0000000457
0000000984
0000000990
0000000992
DESCRICAO
LENCO REMOVEDOR ADESIVO CONVACARE 1197660 - CONVATEC
LENCO BARREIRA PROTETORA CONVACARE 1197661 - CONVATEC
SOLUCAO CLORETO SODIO 0,9% 50ML (0,9%) INJ.C/BOLSA PLAST.VIAFLEX 50ML AZB1306 - BAXTER
SOLUCAO CLORETO SODIO 0,9% 100ML (0,9%) INJ.C/BOLSA PLAST.VIAFLEX 100ML AZB1307 - BAXTER
SOLUCAO GLICOSE 5% 50ML (5%) INJ.C/BOLSA PLAST.VIAFLEX 50ML AZB0086 - BAXTER
SOLUCAO GLICOSE 5% 100ML (5%) INJ.C/BOLSA PLAST.VIAFLEX 100ML AZB0087 - BAXTER
SOLUCAO GLICOSE 10% 250ML (10%) INJ.C/BOLSA PLAST.VIAFLEX 250ML AZB0162 - BAXTER
SOLUCAO RINGER SIMPLES 500ML AZB2303 - BAXTER
SOLUCAO GLICOSE 50% 1000ML AZB0260 - BAXTER
ALICATE SELADOR P/BOLSA 2B8043 - BAXTER
AUTOMIX 3+3 AT-2M8286 - BAXTER
BOLSA VAZIA EVA ALL-IN-ONE P/AUTOMIX PED.150ML AZB8102 - BAXTER
BOLSA VAZIA EVA ALL-IN-ONE P/AUTOMIX PED.500ML AZB8152 - BAXTER
BOLSA EVA P/AUTOMIX 1000ML AZB8112 - BAXTER
BOLSA EVA P/AUTOMIX 2000ML AZB8122 - BAXTER
EQUIPO P/TRANSFERENCIA P/AUTOMIX 3+3 6VIAS 2C0477 - BAXTER
EQUIPO P/BOMBA INFUSAO C/INJ.LAT.ENT.AR AZC9611 - BAXTER
BENZINA RETIFICADA 100ML - D.G.L
SERINGA 60ML BICO LUER SLIP CENTRAL S/ROSCA 309654 - BD
PLUG ADAPTADOR MACHO PRN 385111 - BD
CATETER PERIFERICO PTFE-ANGIOCATH 14G 1.88" 388329 - BD
CATETER PERIFERICO PTFE-ANGIOCATH 16G 1.88" 388330 - BD
CATETER PERIFERICO PTFE-ANGIOCATH 18G 1.88" 388332 - BD
CATETER PERIFERICO PTFE-ANGIOCATH 20G 1.16" 388333 - BD
CATETER PERIFERICO PTFE-ANGIOCATH 22G 1.00" 388335 - BD
CATETER PERIFERICO PTFE-ANGIOCATH 24G 0.75" 388336 - BD
OXIGENADOR MEMBRANA PED.MOD.SHUNT VENO ARTERIAL - ZAMMI
OXIGENADOR MEMBRANA INF.MOD.SHUNT VENO ARTERIAL - ZAMMI
OXIGENADOR MEMBRANA NEO-NATO MOD.SHUNT VENO ARTERIAL - ZAMMI
RESERVATORIO CARDIOPLEGIA SANGUINEA - ZAMMI
KIT SET COR - ZAMMI
EQUIPO P/NUTRICAO ENTERAL - EMBRAMED
EQUIPO MULTIPLICADOR ACESSO VEN.CENTRAL MULTIVYAS 2VIAS - EMBRAMED
EQUIPO P/SOL.FOTOSSENSIVEL MACROGOTAS PINCA ROLETE - EMBRAMED
TORNEIRA 3VIAS LUER TAP-3 - EMBRAMED
TORNEIRA 3VIAS LUER LOCK TAP-3 - EMBRAMED
TUBO EXTENSOR P/OXIGENIO 2MT OX-VAC - EMBRAMED
GARROTE PNEUMATICO 1 SAIDA C/PRESSAO AUTO COMPRESSOR 2000I - GER-AR
GARROTE COMPLETO NR.1 45,50CMX7,50CM 154/1 - GER-AR
GARROTE COMPLETO NR.2 52,50CMX9,50CM 154/2 - GER-AR
GARROTE COMPLETO NR.3 65,00CMX9,50CM 154/3 - GER-AR
GARROTE COMPLETO NR.4 92,00CMX9,50CM 154/4 - GER-AR
FACIOTOMO - PETROVICH
MUCOTOMO - PETROVICH
HIOARISTON 4MG/ML 50AMP 5ML - ARISTON
VIDYN 10CPDS EFERV. - SIGMA PHARMA
CAP ESTERIL (01 ESCOVA CERVICAL, 01 ESPATULA AYRE) - KOLPLAST
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
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1
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000000994
0000001003
0000001105
0000001122
0000001123
0000001126
0000001127
0000001128
0000001129
0000001131
0000001194
0000001448
0000001451
0000001452
0000001454
0000001457
0000001460
0000001461
0000001462
0000001463
0000001464
0000001465
0000001466
0000001467
0000001468
0000001469
0000001470
0000001472
0000001473
0000001474
0000001475
0000001487
0000001490
0000001500
0000001501
0000001503
0000001507
0000001510
0000001513
0000001528
0000001529
0000001530
0000001535
0000001537
0000001539
0000001552
0000001566
DESCRICAO
ANUSCOPIO FECHADO - KOLPLAST
KIT SUTURA (COMP.GAZE/TESOURA/PINCA ANATOMICA/MONONYLON 05/CAMPO CIRURGICO/PORTA-AGULHA) - KOLPLAST
ATADURA RAYON 7,5CMX5,0MT ESTERIL POLAR FIX F01796 - POLAR FIX
CATETER INTRAVASCULAR PERIFERICO JELCO PLUS 14GX50MM LARANJA MEDEX 7068 - SMITHS MEDICAL
CATETER INTRAVASCULAR PERIFERICO JELCO PLUS 16GX50MM CINZA MEDEX 7062 - SMITHS MEDICAL
CATETER INTRAVASCULAR PERIFERICO JELCO PLUS 18GX45MM VERDE MEDEX 7064 - SMITHS MEDICAL
CATETER INTRAVASCULAR PERIFERICO JELCO PLUS 20GX32MM ROSA MEDEX 7066 - SMITHS MEDICAL
CATETER INTRAVASCULAR PERIFERICO JELCO PLUS 22GX25MM AZUL MEDEX 7060 - SMITHS MEDICAL
CATETER INTRAVASCULAR PERIFERICO JELCO PLUS 24GX19MM AMARELO MEDEX 7063 - SMITHS MEDICAL
COMPRESSA 7,5CMX7,5CM 13FIOS ESTERIL 10UNID C24013 - NEVE
GEL P/ULTRASSOM ECG BIOGEL 1000GRS 001G - BIOMED
FIO GUIA SGW WIZDOM SOFT 014 180CM STR 512142 - J&J CORDIS
FIO GUIA SGW WIZDOM SOFT 014 180CM J 512142J - J&J CORDIS
FIO GUIA SGW WIZDOM SOFT 014 300CM STR 512142X - J&J CORDIS
FIO GUIA SGW WIZDOM SOFT 014 300CM J 512142Y - J&J CORDIS
FIO GUIA SGW WIZDOM SUPER SUPERSOFT 014 180CM STR 512143 - J&J CORDIS
FIO GUIA SGW WIZDOM SUPER SUPERSOFT 014 180CM J 512143J - J&J CORDIS
FIO GUIA SGW WIZDOM SUPER SUPERSOFT 014 300CM STR 512143X - J&J CORDIS
FIO GUIA SGW WIZDOM SUPER SUPERSOFT 014 300CM J 512143Y - J&J CORDIS
FIO GUIA SGW WIZDOM ST FLOPPY 014 180CM STR 537114 - J&J CORDIS
FIO GUIA SGW WIZDOM ST FLOPPY 014 180CM J 537114J - J&J CORDIS
FIO GUIA SGW WIZDOM ST FLOPPY 014 300CM STR 537114X - J&J CORDIS
FIO GUIA SGW WIZDOM ST FLOPPY 014 300CM J 537114Y - J&J CORDIS
FIO GUIA SGW STABILIZER BALANCED SOFT 014 180CM STR 507714 - J&J CORDIS
FIO GUIA SGW STABILIZER BALANCED SOFT 014 180CM J 507714J - J&J CORDIS
FIO GUIA SGW STABILIZER BALANCED SOFT 014 300CM R 507714X - J&J CORDIS
FIO GUIA SGW STABILIZER BALANCED SOFT 014 300CM J 507714Y - J&J CORDIS
FIO GUIA SGW STABILIZER BALANCED S.SOFT 014 180 STR 507914 - J&J CORDIS
FIO GUIA SGW STABILIZER BALANCED S.SOFT 014 180CM J 507914J - J&J CORDIS
FIO GUIA SGW STABILIZER BALANCED S.SOFT 014 300 STR 507914X - J&J CORDIS
FIO GUIA SGW STABILIZER BALANCED S.SOFT 014 300CM J 507914Y - J&J CORDIS
FIO GUIA SGW STABILIZER PLUS SUPERSOFT 014 180CM STR 507114 - J&J CORDIS
FIO GUIA SGW STABILIZER PLUS SUPERSOFT 014 180CM J 507114J - J&J CORDIS
FIO GUIA SGW STABILIZER PLUS SUPERSOFT 014 300C STR 507114X - J&J CORDIS
FIO GUIA SGW STABILIZER PLUS SUPERSOFT 014 300CM J 507114Y - J&J CORDIS
FIO GUIA SGW STABILIZER XS SUPERSOFT 014 180CM STR 527914 - J&J CORDIS
FIO GUIA SGW STABILIZER XS SUPERSOFT 014 180CM J 527914J - J&J CORDIS
FIO GUIA SGW STABILIZER XS SUPERSOFT 014 300CM STR 527914X - J&J CORDIS
FIO GUIA SGW STABILIZER XS SUPERSOFT 014 300CM J 527-914Y - J&J CORDIS
TESOURA P/SACO LACRIMAL ANGULADA - PETROVICH
SONDA BOWMAN JOGO C/04 PCS 318 - PETROVICH
SONDA WILLIAN JOGO C/04 PCS DUPLAS - PETROVICH
SONDA ESTOMACAL NASOGASTRICA NR.20 INF.CURTA EMB.PLAST.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.22 INF.CURTA EMB.PLAST.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.24 INF.CURTA EMB.PLAST.10UNID - MARK MED
SONDA DIGISOND CURTA NR.04 P/ASP.TRAQUEAL C/VALV.EMB.P.G.C - SANOBIOL
CATETER GUIA CG 9F 098 AL1,5 2SH 100CM 598978 - J&J CORDIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
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2
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000001576
0000001577
0000001581
0000001582
0000001585
0000001586
0000001587
0000001588
0000001617
0000001624
0000001691
0000001729
0000001731
0000001732
0000001753
0000001754
0000001755
0000001756
0000001757
0000001761
0000001928
0000001930
0000001931
0000001934
0000001936
0000001937
0000001938
0000001940
0000001942
0000001944
0000001946
0000001947
0000001949
0000001951
0000001952
0000001955
0000001957
0000001958
0000001960
0000001962
0000001964
0000001965
0000001967
0000001969
0000001971
0000001973
0000001975
DESCRICAO
CATETER GUIA CG 9F 098 MPB1 100CM 598986 - J&J CORDIS
CATETER GUIA CG 9F 098 MPB1 2SH 100CM 598987 - J&J CORDIS
CATETER GUIA CG 9F 098 AL3 2SH 100CM 598991 - J&J CORDIS
CATETER GUIA CG 9F 098 MPA1 2SH 100CM 598992 - J&J CORDIS
CATETER GUIA CG 9F 098 JCR4,0 100CM 598994 - J&J CORDIS
CATETER GUIA CG 9F 098 JCR3,5 100CM 598995 - J&J CORDIS
CATETER GUIA CG 9F 098 JCR4,0 100CM 598996 - J&J CORDIS
CATETER GUIA CG 9F 098 JCR3,5 100CM 598997 - J&J CORDIS
CATETER VENOSO CENTRAL "POR DENTRO AGULHA"-I-CATH 18G 8EN 384916 - BD
CATETER VENOSO CENTRAL "POR DENTRO AGULHA"-I-CATH 16G 12EN 384917 - BD
CATETER DIAGNOSTICO 7F HF NIH 100CM 527745 - J&J CORDIS
EQUIPO P/BOMBA INFUSAO FOTOSSENSIVEL VMC9607 - BAXTER
EQUIPO P/BOMBA INFUSAO ADMINISTRACAO SANGUE VMC9609 - BAXTER
EQUIPO P/BOMBA INFUSAO BAIXA ABSORCAO VMC9606 - BAXTER
SOLUCAO P/PERFUSAO RENAL 1000ML SOLTRAN FKB4708G - BAXTER
CICLADORA P/DIALISE PERITONIAL AUTOMATICA HOMECHOICE AT-5C4471 - BAXTER
MALA P/CICLADORA 5C4406 - BAXTER
CATETER SWAN NECK PED.(DIREITO) 8888412635 - BAXTER
CATETER SWAN NECK PED.(ESQUERDO) 8888412643 - BAXTER
CLAMP PLASTICO P/BOLSA CAPD AZC4527 - BAXTER
CATETER GUIA CG 7F 078 JL3,5 100CM 778-00200 - J&J CORDIS
CATETER GUIA CG 7F 078 JL3,5 SH 100CM 778-00300 - J&J CORDIS
CATETER GUIA CG 7F 078 JL4 100CM 778-00400 - J&J CORDIS
CATETER GUIA CG 7F 078 JL4 SH 100CM 778-00500 - J&J CORDIS
CATETER GUIA V.BRITE 7F/078/JL4,5 100 77800600 - J&J CORDIS
CATETER GUIA CG 7F 078 JL5 100CM 77800800 - J&J CORDIS
CATETER GUIA V.BRITE 7F/078/JL4,5 SH 100 77800700 - J&J CORDIS
CATETER GUIA V.BRITE 7F/078/JL5 SH 100 77800900 - J&J CORDIS
CATETER GUIA CG 7F 078 JL6 100CM 77801000 - J&J CORDIS
CATETER GUIA CG 7F 078 JL3,5 ST 100CM 77801200 - J&J CORDIS
CATETER GUIA CG 7F 078 JL3,5 ST SH 100CM 77801300 - J&J CORDIS
CATETER GUIA CG 7F 078 JL4 ST 100CM 77801400 - J&J CORDIS
CATETER GUIA CG 7F 078 JL4 ST SH 100CM 77801500 - J&J CORDIS
CATETER GUIA CG 7F 078 JL4 ST 100CM 77801600 - J&J CORDIS
CATETER GUIA CG 7F 078 JL5 ST 100CM 77801800 - J&J CORDIS
CATETER GUIA CG 7F 078 JL4 ST MOD 100CM 77802200 - J&J CORDIS
CATETER GUIA CG 7F 078 AL75 100CM 778-03400 - J&J CORDIS
CATETER GUIA CG 7F 078 AL1 100CM 77803600 - J&J CORDIS
CATETER GUIA CG 7F 078 AL1 SH 100CM 77803700 - J&J CORDIS
CATETER GUIA CG 7F 078 AL1,5 100CM 77803800 - J&J CORDIS
CATETER GUIA CG 7F 078 AL1,5 SH 100CM 77803900 - J&J CORDIS
CATETER GUIA CG 7F 078 AL2 100CM 77804000 - J&J CORDIS
CATETER GUIA CG 7F 078 AL2 SH 100CM 77804100 - J&J CORDIS
CATETER GUIA CG 7F 078 AL3 100CM 77804200 - J&J CORDIS
CATETER GUIA CG 7F 078 AL3 SH 100CM 77804300 - J&J CORDIS
CATETER GUIA CG 7F 078 AL1 ST 100CM 77804400 - J&J CORDIS
CATETER GUIA CG 7F 078 AL1 ST SH 100CM 77804500 - J&J CORDIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
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3
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000001977
0000001979
0000001981
0000001983
0000001984
0000001986
0000001988
0000001990
0000001991
0000001994
0000001995
0000002000
0000002002
0000002005
0000002007
0000002027
0000002032
0000002033
0000002034
0000002035
0000002036
0000002037
0000002038
0000002039
0000002040
0000002041
0000002042
0000002043
0000002044
0000002047
0000002055
0000002056
0000002058
0000002059
0000002060
0000002062
0000002065
0000002068
0000002069
0000002070
0000002071
0000002072
0000002073
0000002074
0000002075
0000002076
0000002077
DESCRICAO
CATETER GUIA CG 7F 078 AL2 ST 100CM 77804800 - J&J CORDIS
CATETER GUIA CG 7F 078 XB3 100CM 77805200 - J&J CORDIS
CATETER GUIA CG 7F 078 XB3 SH 100CM 77805300 - J&J CORDIS
CATETER GUIA CG 7F 078 XB3,5 100CM 77805400 - J&J CORDIS
CATETER GUIA CG 7F 078 XB3,5 SH 100CM 77805500 - J&J CORDIS
CATETER GUIA CG 7F 078 XB4 100CM 77805600 - J&J CORDIS
CATETER GUIA CG 7F 078 XB4 SH 100CM 77805700 - J&J CORDIS
CATETER GUIA CG 7F 078 XB4,5 100CM 778-05800 - J&J CORDIS
CATETER GUIA CG 7F 078 XB LAD 3,5 100CM 778-06000 - J&J CORDIS
CATETER GUIA CG 7F 078 XB LAD 4 100CM 778-06200 - J&J CORDIS
CATETER GUIA CG 7F 078 JR3,5 100CM 77808000 - J&J CORDIS
CATETER GUIA CG 7F 078 JR3,5 SH 100CM 77808100 - J&J CORDIS
CATETER GUIA CG 7F 078 JR4 100CM 77808200 - J&J CORDIS
CATETER GUIA CG 7F 078 JR4 SH 100CM 77808300 - J&J CORDIS
AGULHA VERESS 120MM AMERICAN INSTRUMENTS AI1900 - AMERICAN INSTRUMENTS
ESCOVA TUBULAR 5MM P/LIMPEZA MATERIAL AI5006 - - AMERICAN INSTRUMENTS
CATETER GUIA CG 7F 078 JR5 100CM 77808400 - J&J CORDIS
CATETER GUIA CG 7F 078 JR5 SH 100CM 77808500 - J&J CORDIS
CATETER GUIA CG 7F 078 JR4 ST 100CM 77809000 - J&J CORDIS
CATETER GUIA CG 7F 078 JR4 ST SH 100CM 77809100 - J&J CORDIS
CATETER GUIA CG 7F 078 AR1 100CM 778-11000 - J&J CORDIS
CATETER GUIA CG 7F 078 AR1 SH 100CM 77811100 - J&J CORDIS
CATETER GUIA CG 7F 078 AR2 100CM 77811200 - J&J CORDIS
CATETER GUIA CG 7F 078 AR2 SH 100CM 77811300 - J&J CORDIS
CATETER GUIA CG 7F 078 LCB 100CM 77818000 - J&J CORDIS
CATETER GUIA CG 7F 078 LCB SH 100CM 77818100 - J&J CORDIS
CATETER GUIA CG 7F 078 RCB 100CM 77818200 - J&J CORDIS
CATETER GUIA CG 7F 078 RCB SH 100CM 77818300 - J&J CORDIS
CATETER GUIA CG 7F 078 IM 100CM 77819000 - J&J CORDIS
CATETER GUIA CG 7F 078 IM SH 100CM 77819100 - J&J CORDIS
CATETER GUIA CG 7F 078 MPA-1 100CM 77827000 - J&J CORDIS
CATETER GUIA CG 7F 078 MPA-1 55CM 778-27055 - J&J CORDIS
CATETER GUIA CG 7F 078 MPA-1 SH 100CM 77827100 - J&J CORDIS
CATETER GUIA CG 7F 078 MPB-1 100CM 77827200 - J&J CORDIS
CATETER GUIA CG 7F 078 H STICK 100CM 77827800 - J&J CORDIS
CATETER GUIA CG 7F 078 H STICK SH 100CM 77827900 - J&J CORDIS
CATETER GUIA CG 8F 088 JL5 SH 100CM 588800 - J&J CORDIS
CATETER GUIA CG 8F 088 SCR 3,5 SH 100CM 588804 - J&J CORDIS
CATETER GUIA CG 8F 088 SCR 4 100CM 588805 - J&J CORDIS
CATETER GUIA CG 8F 088 SCR 4 SH 100CM 588806 - J&J CORDIS
CATETER GUIA CG 8F 088 SC5,0 100CM 588807 - J&J CORDIS
CATETER GUIA CG 8F 088 SC5,0 2SH 100CM 588808 - J&J CORDIS
NUTRISON STANDARD PACK 1000ML - SUPPORT NUTRITION
CATETER GUIA CG 8F 088 JL4,0 ST 2SH 100CM 588809 - J&J CORDIS
CATETER GUIA CG 8F 088 JL4,5 SH 100CM 588810 - J&J CORDIS
CATETER GUIA CG 8F 088 NR4,0 2SH 100CM 588811 - J&J CORDIS
CATETER GUIA CG 8F 088 JL3 100CM 588812 - J&J CORDIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
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4
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000002078
0000002079
0000002080
0000002081
0000002082
0000002083
0000002084
0000002085
0000002086
0000002087
0000002088
0000002089
0000002090
0000002091
0000002092
0000002093
0000002094
0000002095
0000002096
0000002097
0000002098
0000002099
0000002100
0000002102
0000002103
0000002105
0000002106
0000002107
0000002108
0000002110
0000002111
0000002112
0000002113
0000002114
0000002115
0000002116
0000002117
0000002118
0000002119
0000002120
0000002121
0000002122
0000002123
0000002124
0000002125
0000002126
0000002127
DESCRICAO
CATETER GUIA CG 8F 088 JL3,0 2SH 100CM 588813 - J&J CORDIS
CATETER GUIA CG 8F 088 LCB 100CM 588815 - J&J CORDIS
CATETER GUIA CG 8F 088 RCB 100CM 588816 - J&J CORDIS
CATETER GUIA CG 8F 088 IM 100CM 588817 - J&J CORDIS
CATETER GUIA CG 8F 088 LCB 2SH 100CM 588818 - J&J CORDIS
CATETER GUIA CG 8F 088 RCB 2SH 100CM 588819 - J&J CORDIS
CATETER GUIA CG 8F 088 IM 2SH 100CM 588820 - J&J CORDIS
CATETER GUIA CG 8F 088 JL3,5 ST MOD 100CM 588821 - J&J CORDIS
NUTRISON ENERGY PLUS PACK 1000ML - SUPPORT NUTRITION
CATETER GUIA CG 8F 088 JL4,0 ST MOD 100CM 588822 - J&J CORDIS
CATETER GUIA CG 8F 088 JL4,0 100CM 588823 - J&J CORDIS
CATETER GUIA CG 8F 088 JL3,5 ST 100CM 588824 - J&J CORDIS
CATETER GUIA CG 8F 088 JL4,0 ST 100CM 588825 - J&J CORDIS
NUTRISON MULTI FIBER PACK 1000ML - SUPPORT NUTRITION
CATETER GUIA CG 8F 088 JL4,5 ST 100CM 588826 - J&J CORDIS
CATETER GUIA CG 8F 088 JL5,0 ST 100CM 588827 - J&J CORDIS
CATETER GUIA CG 8F 088 JR3,5 2SH 100CM 588828 - J&J CORDIS
CATETER GUIA CG 8F 088 XB3 100CM 588829 - J&J CORDIS
NUTRISON ADVANCED PEPTISORB PACK 1000ML - SUPPORT NUTRITION
CATETER GUIA CG 8F 088 JR4,0 100CM 588830 - J&J CORDIS
CATETER GUIA CG 8F 088 JR4,0 2SH 100CM 588831 - J&J CORDIS
CATETER GUIA CG 8F 088 JL3,5 2SH 100CM 588832 - J&J CORDIS
CATETER GUIA CG 8F 088 JR5,0 2SH 100CM 588833 - J&J CORDIS
CATETER GUIA CG 8F 088 JL4,0 2SH 100CM 588834 - J&J CORDIS
CATETER GUIA CG 8F 088 JR6,0 2SH 100CM 588835 - J&J CORDIS
CATETER GUIA CG 8F 088 AR1 2SH 100CM 588836 - J&J CORDIS
CATETER GUIA CG 8F 088 AR2 2SH 100CM 588837 - J&J CORDIS
CATETER GUIA CG 8F 088 EGB 100CM 588838 - J&J CORDIS
CATETER GUIA CG 8F 088 DA75 100CM 588-839 - J&J CORDIS
CATETER GUIA CG 8F 088 DA90 100CM 588840 - J&J CORDIS
CATETER GUIA CG 8F 088 H STICK 100CM 588841 - J&J CORDIS
CATETER GUIA CG 8F 088 MPA1 100CM 588842 - J&J CORDIS
CATETER GUIA CG 8F 088 AL1,0 100CM 588843 - J&J CORDIS
CATETER GUIA CG 8F 088 AL2 100CM 588844 - J&J CORDIS
CATETER GUIA CG 8F 088 AR1 100CM 588845 - J&J CORDIS
CATETER GUIA CG 8F 088 AR2 100CM 588846 - J&J CORDIS
CATETER GUIA CG 8F 088 AL1,0 2SH 100CM 588847 - J&J CORDIS
CATETER GUIA CG 8F 088 AL2 2SH 100CM 588848 - J&J CORDIS
CATETER GUIA CG 8F 088 AL3 100CM 588849 - J&J CORDIS
CATETER GUIA CG 8F 088 H STICK 2SH 100CM 588850 - J&J CORDIS
CATETER GUIA CG 8F 088 JL3,5 100CM 588851 - J&J CORDIS
CATETER GUIA CG 8F 088 JL4,5 100CM 588852 - J&J CORDIS
CATETER GUIA CG 8F 088 JL5,0 100CM 588853 - J&J CORDIS
CATETER GUIA CG 8F 088 JL6,0 100CM 588854 - J&J CORDIS
CATETER GUIA CG 8F 088 JR3,5 100CM 588855 - J&J CORDIS
CATETER GUIA CG 8F 088 JL3,5 ST MOD 2SH 100CM 588869 - J&J CORDIS
CATETER GUIA CG 8F 088 JR5,0 100CM 588856 - J&J CORDIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
5
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000002128
0000002129
0000002130
0000002131
0000002132
0000002133
0000002134
0000002135
0000002136
0000002137
0000002138
0000002139
0000002140
0000002141
0000002142
0000002143
0000002144
0000002145
0000002146
0000002147
0000002148
0000002149
0000002151
0000002152
0000002153
0000002154
0000002155
0000002156
0000002157
0000002158
0000002159
0000002160
0000002161
0000002162
0000002163
0000002164
0000002165
0000002166
0000002167
0000002168
0000002169
0000002170
0000002171
0000002172
0000002173
0000002174
0000002175
DESCRICAO
CATETER GUIA CG 8F 088 JR6,0 100CM 588857 - J&J CORDIS
CATETER GUIA CG 8F 088 ALR1,2 100CM 588858 - J&J CORDIS
CATETER GUIA CG 8F 088 ALR1,2 2SH 100CM 588859 - J&J CORDIS
CATETER GUIA CG 8F 088 JR3,5 ST 100CM 588860 - J&J CORDIS
CATETER GUIA CG 8F 088 JR4,0 ST 100CM 588861 - J&J CORDIS
CATETER GUIA CG 8F 088 JR4,5 ST 100CM 588862 - J&J CORDIS
CATETER GUIA CG 8F 088 JR5,0 ST 100CM 588863 - J&J CORDIS
CATETER GUIA CG 8F 088 JR5,0 ST 2SH 100CM 588864 - J&J CORDIS
CATETER GUIA CG 8F 088 JR3,5 ST 2SH 100CM 588865 - J&J CORDIS
CATETER GUIA CG 8F 088 JR4,0 ST 2SH 100CM 588866 - J&J CORDIS
CATETER GUIA CG 8F 088 JR4,5 ST 2SH 100CM 588867 - J&J CORDIS
CATETER GUIA CG 8F 088 JR5,0 ST 2SH 100CM 588868 - J&J CORDIS
CATETER GUIA CG 8F 088 AL1,0 ST 100CM 588870 - J&J CORDIS
CATETER GUIA CG 8F 088 AL2 ST 100CM 588871 - J&J CORDIS
CATETER GUIA CG 8F 088 AL3 ST 100CM 588872 - J&J CORDIS
CATETER GUIA CG 8F 088 AL1,0 ST 2SH 100CM 588873 - J&J CORDIS
CATETER GUIA CG 8F 088 AL2 ST 2SH 100CM 588874 - J&J CORDIS
CATETER GUIA CG 8F 088 XB3 2SH 100CM 588875 - J&J CORDIS
CATETER GUIA CG 8F 088 AL1,5 100CM 588876 - J&J CORDIS
CATETER GUIA CG 8F 088 AL1,5 ST 100CM 588877 - J&J CORDIS
CATETER GUIA CG 8F 088 AL1,5 2SH 100CM 588878 - J&J CORDIS
CATETER GUIA CG 8F 088 AL1,5 ST 2SH 100CM 588879 - J&J CORDIS
CATETER GUIA CG 8F 088 SONES 1 90CM 588880 - J&J CORDIS
CATETER GUIA CG 8F 088 SONES 2 90CM 588881 - J&J CORDIS
CATETER GUIA CG 8F 088 XB3,5 100CM 588882 - J&J CORDIS
CATETER GUIA CG 8F 088 CAS1 90CM 588883 - J&J CORDIS
CATETER GUIA CG 8F 088 CAS2 90CM 588884 - J&J CORDIS
CATETER GUIA CG 8F 088 XB3,5 2SH 100CM 588885 - J&J CORDIS
CATETER GUIA CG 8F 088 MPB1 100CM 588886 - J&J CORDIS
CATETER GUIA CG 8F 088 MPB1 2SH 100CM 588887 - J&J CORDIS
CATETER GUIA CG 8F 088 JL4,0 STMD 2SH 100CM 588888 - J&J CORDIS
CATETER GUIA CG 8F 088 JL3,5 ST 2SH 100CM 588889 - J&J CORDIS
CATETER GUIA CG 8F 088 AL75 100CM 588890 - J&J CORDIS
CATETER GUIA CG 8F 088 AL3 2SH 100CM 588891 - J&J CORDIS
CATETER GUIA CG 8F 088 MPA1 2SH 100CM 588892 - J&J CORDIS
CATETER GUIA CG 8F 088 NR4,0 100CM 588893 - J&J CORDIS
CATETER GUIA CG 8F 088 XB4 100CM 588894 - J&J CORDIS
CATETER GUIA CG 8F 088 JL4,5 ST MOD 100CM 588895 - J&J CORDIS
CATETER GUIA CG 8F 088 XB4 2SH 100CM 588896 - J&J CORDIS
CATETER GUIA CG 8F 088 JL4,5 ST MOD 2SH 100CM 588897 - J&J CORDIS
CATETER GUIA CG 8F 088 XB4,5 100CM 588898 - J&J CORDIS
CATETER GUIA CG 8F 088 XB4,5 2SH 100CM 588899 - J&J CORDIS
CATETER GUIA CG 8F 088 XBLAD 3,5 100CM 5888100 - J&J CORDIS
CATETER GUIA CG 8F 088 XBLAD 4,0 100CM 5888101 - J&J CORDIS
CATETER GUIA CG 8F 088 XBLAD 3,5 SH 100CM 5888103 - J&J CORDIS
CATETER GUIA CG 8F 088 XBLAD 4,0 SH 100CM 5888104 - J&J CORDIS
CATETER GUIA CG 8F 088 JCL 3,5 100CM 5888106 - J&J CORDIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
6
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000002176
0000002177
0000002178
0000002179
0000002180
0000002182
0000002183
0000002184
0000002186
0000002187
0000002195
0000002196
0000002197
0000002198
0000002211
0000002212
0000002215
0000002224
0000002225
0000002227
0000002229
0000002231
0000002232
0000002240
0000002244
0000002248
0000002253
0000002254
0000002255
0000002257
0000002259
0000002260
0000002268
0000002270
0000002272
0000002273
0000002274
0000002275
0000002277
0000002279
0000002280
0000002282
0000002283
0000002285
0000002287
0000002288
0000002289
DESCRICAO
CATETER GUIA CG 8F 088 JCL 3,5 SH 100CM 5888107 - J&J CORDIS
CATETER GUIA CG 8F 088 JCL 4 100CM 5888108 - J&J CORDIS
CATETER GUIA CG 8F 088 JCL 4 SH 100CM 5888109 - J&J CORDIS
CATETER GUIA CG 8F 088 JCL 4,5 100CM 5888110 - J&J CORDIS
CATETER GUIA CG 8F 088 JCL 4,5 SH 100CM 5888111 - J&J CORDIS
CATETER GUIA CG 8F 088 JCR 3,5 100CM 5888113 - J&J CORDIS
CATETER GUIA CG 8F 088 JCR 3,5 SH 100CM 5888114 - J&J CORDIS
CATETER GUIA CG 8F 088 JCR 4 100CM 5888115 - J&J CORDIS
CATETER GUIA CG 8F 088 JCR 4 SH 100CM 5888116 - J&J CORDIS
CATETER GUIA CG 8F 088 SCR 3,5 100CM 588803 - J&J CORDIS
BOLSA P/CONGELAMENTO CRYOCYTE PL269 250ML (30 A 70ML) R4R9953 - BAXTER
BOLSA P/CONGELAMENTO CRYOCYTE PL269 500ML (55 A 100ML) R4R9955 - BAXTER
BOLSA P/CONGELAMENTO CRYOCYTE PL269 750ML (80 A 190ML) R4R9957 - BAXTER
BOLSA P/CONGELAMENTO CRYOCYTE PL269 1000ML (125 A 270ML) R4R9959 - BAXTER
CATETER GUIA CG 9F 098 JL5,0 2SH 100CM 598900 - J&J CORDIS
CATETER GUIA CG 9F 098 JL4,0 ST 2SH 100CM 598909 - J&J CORDIS
CATETER GUIA CG 9F 098 JL4,5 2SH 100CM 598910 - J&J CORDIS
CATETER GUIA CG 9F 098 LCB 100CM 598915 - J&J CORDIS
CATETER GUIA CG 9F 098 RCB 100CM 598916 - J&J CORDIS
CATETER GUIA CG 9F 098 IM 100CM 598917 - J&J CORDIS
CATETER GUIA CG 9F 098 LCB 2SH 100CM 598918 - J&J CORDIS
CATETER GUIA CG 9F 098 RCB 2SH 100CM 598919 - J&J CORDIS
CATETER GUIA CG 9F 098 IM 2SH 100CM 598920 - J&J CORDIS
CATETER GUIA CG 9F 098 JL4,0 ST 100CM 598925 - J&J CORDIS
CATETER GUIA CG 9F 098 JR3,5 2SH 100CM 598928 - J&J CORDIS
CATETER GUIA CG 9F 098 JR4,0 100CM 598930 - J&J CORDIS
CATETER GUIA CG 9F 098 JR4,0 2SH 100CM 598931 - J&J CORDIS
CATETER GUIA CG 9F 098 JL3,5 2SH 100CM 598932 - J&J CORDIS
CATETER GUIA CG 9F 098 JR5,0 2SH 100CM 598933 - J&J CORDIS
CATETER GUIA CG 9F 098 JL4,0 2SH 100CM 598934 - J&J CORDIS
CATETER GUIA CG 9F 098 AR1 2SH 100CM 598936 - J&J CORDIS
CATETER GUIA CG 9F 098 AR2 2SH 100CM 598937 - J&J CORDIS
CATETER GUIA CG 9F 098 H STICK 100CM 598941 - J&J CORDIS
CATETER GUIA CG 9F 098 MPA1 100CM 598942 - J&J CORDIS
HOMOGENEIZADOR OPTIMIX C/CONTROLE COLETA CONECCAO P/COMPUTADOR RDR7437 - BAXTER
CATETER GUIA CG 9F 098 AL1 100CM 598943 - J&J CORDIS
CATETER GUIA CG 9F 098 AL2 100CM 598944 - J&J CORDIS
HOMOGENEIZADOR PORTATIL EASYMIX RDR7438 - BAXTER
CATETER GUIA CG 9F 098 AR1 100CM 598945 - J&J CORDIS
CATETER GUIA CG 9F 098 AL1 2SH 100CM 598947 - J&J CORDIS
CATETER GUIA CG 9F 098 AL2 2SH 100CM 598948 - J&J CORDIS
CATETER GUIA CG 9F 098 AL3 100CM 598949 - J&J CORDIS
CATETER GUIA CG 9F 098 H STICK 2SH 100CM 598950 - J&J CORDIS
CATETER GUIA CG 9F 098 JL3,5 100CM 598951 - J&J CORDIS
CATETER GUIA CG 9F 098 JL4,5 100CM 598952 - J&J CORDIS
CATETER GUIA CG 9F 098 JL5,0 100CM 598953 - J&J CORDIS
LAMINA P/USO SCD 4R4350 - BAXTER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
7
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000002291
0000002305
0000002334
0000002335
0000002336
0000002339
0000002347
0000002354
0000002355
0000002356
0000002357
0000002358
0000002359
0000002360
0000002361
0000002362
0000002363
0000002364
0000002366
0000002367
0000002399
0000002401
0000002403
0000002405
0000002406
0000002407
0000002408
0000002409
0000002410
0000002411
0000002414
0000002415
0000002416
0000002417
0000002418
0000002419
0000002420
0000002421
0000002422
0000002423
0000002424
0000002425
0000002426
0000002427
0000002428
0000002429
0000002430
DESCRICAO
CATETER GUIA CG 9F 098 JR3,5 100CM 598955 - J&J CORDIS
CATETER GUIA CG 9F 098 JR4,0 ST 2SH 100CM 598966 - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI PIG 8SH 110CM 534-650E - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI PIG 6SH 110CM 534650S - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI ANGPIG 6S 110C 534652S - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI ANGPIG 6S 110C 534654S - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL JR4 125CM 534-614T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL JL4 125CM 534-615T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL JL4,5 100CM 534617T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL JL3,5 100CM 534618T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL JR3,5 100CM 534619T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL JL4 100CM 534620T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL JR4,0 100CM 534621T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL JL5,0 100CM 534622T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL JR5,0 100CM 534623T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL JL6,0 100CM 534624T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL JR6,0 100CM 534625T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL JR4 ST 100C 534627T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL JR4,0 100CM 534628T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL JR5 100CM 534629T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL SONESI 100C 534635T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL SONESII 100 534637T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL ARI MOD 100CM 534641T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL MPA2 2SH 100CM 534642T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL ARII MOD 100CM 534643T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL MPA2 125CM 534644T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL AL1 100CM 534645T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL AL2 100CM 534646T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL ALIII 100CM 534647T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL AR MOD 100CM 534648T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL MP B2 100CM 534649T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL IM 100CM 534660T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL RCB 100CM 534670T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL LCB 100CM 534672T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL SCR 100CM 534674T - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI TL 3DRC 100CM 534676T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL JL4,5 100CM 534517T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL JL3,5 100CM 534518T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL JR3,5 100CM 534519T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL JL4,0 100CM 534520T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL JR4,0 100CM 534521T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL JL5,0 100CM 534522T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL JR5,0 100CM 534523T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL JL6,0 100CM 534524T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL JR6,0 100CM 534525T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL JR4 100CM 534527T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL JR4 MOD 100CM 534528T - J&J CORDIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
8
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000002431
0000002432
0000002433
0000002434
0000002435
0000002436
0000002437
0000002438
0000002439
0000002440
0000002441
0000002442
0000002443
0000002444
0000002445
0000002446
0000002447
0000002448
0000002449
0000002450
0000002451
0000002452
0000002453
0000002457
0000002458
0000002459
0000002460
0000002461
0000002462
0000002463
0000002464
0000002465
0000002466
0000002467
0000002468
0000002469
0000002470
0000002471
0000002472
0000002473
0000002475
0000002476
0000002477
0000002478
0000002479
0000002481
0000002482
DESCRICAO
CATETER DIAGNOSTICO 5F INFINITI TL JR5 MOD 100CM 534529T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL SON1 80CM 534530T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL SON2 80CM 534531T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL MPA2 65CM 534540T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL AR1 MOD 100CM 534541T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL MPA2 100CM 534542T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL AR2 MOD 100CM 534543T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL MPA2 125CM 534544T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL AL1 100CM 534545T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL AL2 100CM 534546T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL AL3 100CM 534547T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL AR MOD 100CM 534548T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL MPA2 80CM 534549T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL PIG 110CM 534550S - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL PIG145 110CM 534-552S - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL PIG145 100CM 534553S - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL PIG155 110CM 534554S - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL PIG155 100CM 534555S - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL IM 100CM 534560T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL RCB 100CM 534570T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL LCB 100CM 534572T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL SRC 100CM 534574T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TL 3DRC 100CM 534576T - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI JL3,5 100CM 538418 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI JR3,5 100CM 538419 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI JL4,0 100CM 538420 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI JR4,0 100CM 538421 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI JL5,0 100CM 538422 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI JR5,0 100CM 538423 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI JL6,0 100CM 538424 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI JR6,0 100CM 538425 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI JR4,0 SHORT 100CM 538427 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI JR4,0 MOD 100CM 538428 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI JR5,0 MOD 100CM 538429 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI SONES I 2SH 80CM 538430 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI SONES II 2SH 80CM 538431 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI MPA2 2SH 65CM 538440 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI AR I MOD 100CM 538441 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI MPA2 038 100CM 538442 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI ARII MOD 100CM 538443 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI MPA2 2SH 125CM 538444 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI ALI 100CM 538445 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI ALII 100CM 538446 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI ALIII 100CM 538447 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI AR MOD 100CM 538448 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI MPA2 2SH 80CM 538449 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI PIG 6SH 110CM 538450S - J&J CORDIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
9
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000002484
0000002485
0000002486
0000002488
0000002489
0000002490
0000002492
0000002509
0000002510
0000002511
0000002526
0000002532
0000002534
0000002541
0000002562
0000002564
0000002571
0000002573
0000002574
0000002575
0000002579
0000002580
0000002581
0000002599
0000002603
0000002618
0000002620
0000002622
0000002623
0000002625
0000002636
0000002637
0000002639
0000002641
0000002643
0000002645
0000002647
0000002649
0000002666
0000002670
0000002671
0000002674
0000002696
0000002697
0000002708
0000002710
0000002721
DESCRICAO
CATETER DIAGNOSTICO 4F INFINITI PIG145 MOD 6SH 110CM 538453S - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI PIG155 MOD 6SH 110CM 538455S - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI IM 100CM 538460 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI RCB 100CM 538470 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI LCB 100CM 538472 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI SRC 100CM 538474 - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI 3DRC 100CM 538476 - J&J CORDIS
FIO GUIA DIAGNOSTICO EMERALD 032 FC J3MM 260CM TEF 502-454 - J&J CORDIS
FIO GUIA DIAGNOSTICO EMERALD 035 FC J3MM 260CM TEF 502455 - J&J CORDIS
FIO GUIA DIAGNOSTICO EMERALD 038 FC J3MM 150CM TEF 502-520 - J&J CORDIS
FIO GUIA DIAGNOSTICO EMERALD 035 FC J3MM 150CM TEF 502-521 - J&J CORDIS
FIO GUIA DIAGNOSTICO EMERALD 028 FC J3MM 150CM TEF 502-523 - J&J CORDIS
FIO GUIA DIAGNOSTICO EMERALD 025 FC J3MM 150CM TEF 502-524 - J&J CORDIS
FIO GUIA DIAGNOSTICO EMERALD 032 FC J3MM 150CM TEF 502-526 - J&J CORDIS
FIO GUIA DIAGNOSTICO EMERALD 038 FC STR 150CM TEF 502-541 - J&J CORDIS
FIO GUIA DIAGNOSTICO EMERALD 035 FC STR 150CM TEF 502-542 - J&J CORDIS
FIO GUIA DIAGNOSTICO EMERALD 038 FC STR 150CM TEF LLT 502-545 - J&J CORDIS
FIO GUIA DIAGNOSTICO EMERALD 032 FC STR 150CM TEF 502-548 - J&J CORDIS
FIO GUIA DIAGNOSTICO EMERALD 025 FC STR 150CM TEF 502549 - J&J CORDIS
CONFORMADOR VAGINAL INFLAVEL 3521 - SILIMED
FIO GUIA DIAGNOSTICO EMERALD 038 FC STR 260CM TEF 502-553 - J&J CORDIS
FIO GUIA DIAGNOSTICO EMERALD 032 FC STR 260CM TEF 502-554 - J&J CORDIS
FIO GUIA DIAGNOSTICO EMERALD 035 FC STR 260CM TEF 502-555 - J&J CORDIS
FIO GUIA DIAGNOSTICO EMERALD 035 MC J3MM 150CM TEF 502-571 - J&J CORDIS
FIO GUIA DIAGNOSTICO EMERALD 032 MC J3MM 150CM TEF AMP 502-572A - J&J CORDIS
FIO GUIA DIAGNOSTICO EMERALD 038 MC STR 150CM TEF 502-580 - J&J CORDIS
FIO GUIA DIAGNOSTICO EMERALD 035 MC STR 150CM TEF 502-581 - J&J CORDIS
FIO GUIA DIAGNOSTICO EMERALD 032 MC STR 150CM TEF 502-582 - J&J CORDIS
FIO GUIA DIAGNOSTICO EMERALD 032 MC STR 150CM TEF AMP 502-582A - J&J CORDIS
FIO GUIA DIAGNOSTICO EMERALD 038 FC J3MM 175CM TEF 502-584 - J&J CORDIS
INTRODUTOR AVANTI PLUS 4F 11CM C/MG 504604X - J&J CORDIS
INTRODUTOR AVANTI PLUS 5F 11CM C/MG 504605X - J&J CORDIS
INTRODUTOR AVANTI PLUS 6F 11CM C/MG 504606X - J&J CORDIS
INTRODUTOR AVANTI PLUS 7F 11CM C/MG 504607X - J&J CORDIS
INTRODUTOR AVANTI PLUS 8F 11CM C/MG 504608X - J&J CORDIS
INTRODUTOR AVANTI PLUS 9F 11CM C/MG 504609X - J&J CORDIS
INTRODUTOR AVANTI PLUS 10F 11CM C/MG 504610X - J&J CORDIS
INTRODUTOR AVANTI PLUS 11F 11CM C/MG 504611X - J&J CORDIS
BOLSA COLETORA EFLUENTE 5C4476 - BAXTER
INTRODUTOR AVANTI PLUS 4F 5,5CM C/MG 504604P - J&J CORDIS
INTRODUTOR AVANTI PLUS 5F 5,5CM C/MG 504605P - J&J CORDIS
INTRODUTOR AVANTI PLUS 6F 5,5CM C/MG 504606P - J&J CORDIS
ADAPTADOR TITANIO C/ROSCA CAPD 5C4129 - BAXTER
CAPSULA PROTETORA P/ADAPTADOR TITANIO CAPD 5C4169 - BAXTER
INTRODUTOR AVANTI PLUS 4F 23CM S/MG 504604T - J&J CORDIS
INTRODUTOR AVANTI PLUS 5F 23CM S/MG 504605T - J&J CORDIS
TUBO TRAQUEAL INF.TP.MONTGOMERY 8MM 152020050 - KLEMMEN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
10
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000002722
0000002727
0000002728
0000003124
0000003130
0000003132
0000003136
0000003139
0000003154
0000003155
0000003157
0000003160
0000003161
0000003162
0000003164
0000003166
0000003168
0000003170
0000003171
0000003172
0000003173
0000003174
0000003175
0000003176
0000003177
0000003178
0000003180
0000003184
0000003185
0000003190
0000003219
0000003220
0000003254
0000003256
0000003278
0000003310
0000003311
0000003312
0000003318
0000003319
0000003320
0000003321
0000003322
0000003323
0000003324
0000003325
0000003326
DESCRICAO
CONE OBSTRUTOR 155010470 - KLEMMEN
STENT PERIFERICO ALONE PALMAZ X-LARGE 40MM P4014 - J&J CORDIS
STENT PERIF.N/MONTADO PALMAZ XL 50MM DESARTICULADO P5014 - J&J CORDIS
EQUIPO P/TRANSFERENCIA SANGUE C/PINCA DUPLA ROL.MACROGOTAS - EMBRAMED
CATETER GUIA CG V.BRITE TIP 9F 098 55CM H.STICK 598941P - J&J CORDIS
CATETER GUIA CG V.BRITE TIP 9F 098 90CM MULTIPROP.598942P - J&J CORDIS
CATETER GUIA CG V.BRITE TIP 9F 098 55CM RENAL I 598945P - J&J CORDIS
CATETER GUIA CG V.BRITE TIP 9F 098 55CM RENAL 598946P - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 6F 11CM 401611M - J&J CORDIS
BISTURI P/ESCLER.CLEAR CUT ANGULADO EST.2,75MM DESC.SATIN 6301 - ALCON
CATETER P/OXIGENIO TP.OCULOS NEONATAL/INF.NR.04 - EMBRAMED
INTRODUTOR PERIFERICO BRITE TIP 035 6F 55CM 401-655M - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 7F 11CM 401711M - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 7F 23CM 401723M - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 7F 35CM 401735M - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 7F 45CM 401745M - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 7F 55CM 401755M - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 8F 11CM 401811M - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 8F 23CM 401823M - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 8F 35CM 401835M - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 8F 45CM 401845M - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 8F 55CM 401855M - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 9F 11CM 401911M - J&J CORDIS
BSS SOLUCAO SALINA BALANCEADA BOLSA 500ML 5218 - - ALCON
INTRODUTOR PERIFERICO BRITE TIP 035 9F 23CM 401923M - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 9F 35CM 401935M - J&J CORDIS
CELOFTAL 1,5ML METILCELULOSE 2% DISPERSIVO 5584 - ALCON
MICROCATETER RAPID TRANSIT 3/2.3FRX150CMX0,21" 2MARCAS 601251X - J&J CODMAN
MICROCATETER PROWLER 10 2.3/1.7FRX150CMX0,015" 2MARCAS 606051X - J&J CODMAN
FIO SUTURA NYLON 8-0 30CM 2C-4 1/2 ESCLEROTOMIA DESC.5411 - ALCON
PONTEIRA I-A ULTRAFLOW 90G 5483 - ALCON
PONTEIRA I-A ULTRAFLOW CURVA 5482 - ALCON
KIT COMPLETO P/VITRECTOMIA ACCURUS 5608 - ALCON
KIT INFUSAO PRESSURIZADA VGFI INFUSAO FORCADA 5658 - ALCON
SONDA ENDOLASER CURVA C/ASP.EYELITE ALCON/COHERENT 5499 - ALCON
SONDA/TUBO TRAQUEAL PVC C/BALAO RUSCH 3,5MM 112480-035 - BADEIA
SONDA/TUBO TRAQUEAL PVC C/BALAO RUSCH 4,0MM 112480-040 - BADEIA
SONDA/TUBO TRAQUEAL PVC C/BALAO RUSCH 4,5MM 112480-045 - BADEIA
TAMPAO P/SONDA FOLLEY ESTERIL BCI MEDICAL 12800004 - BADEIA
KIT CANULA TRAQUEOSTOMIA BIESALSKI PVC 4,0MM RUSCH 120900-040 - BADEIA
KIT CANULA TRAQUEOSTOMIA BIESALSKI PVC 5,0MM RUSCH 120900-050 - BADEIA
KIT CANULA TRAQUEOSTOMIA BIESALSKI PVC 6,0MM RUSCH 120900-060 - BADEIA
KIT CANULA TRAQUEOSTOMIA BIESALSKI PVC 7,0MM RUSCH 120900-070 - BADEIA
KIT CANULA TRAQUEOSTOMIA BIESALSKI PVC 8,0MM RUSCH 120900-080 - BADEIA
KIT CANULA TRAQUEOSTOMIA BIESALSKI PVC 9,0MM RUSCH 120900-090 - BADEIA
KIT CANULA TRAQUEOSTOMIA BIESALSKI PVC 10,0MM RUSCH 120900-100 - BADEIA
KIT CANULA TRAQUEOSTOMIA BIESALSKI PVC 11,0MM RUSCH 120900-110 - BADEIA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
11
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000003327
0000003328
0000003329
0000003330
0000003331
0000003332
0000003333
0000003334
0000003335
0000003336
0000003337
0000003338
0000003339
0000003340
0000003355
0000003356
0000003357
0000003358
0000003359
0000003360
0000003361
0000003362
0000003363
0000003364
0000003365
0000003366
0000003367
0000003368
0000003369
0000003370
0000003374
0000003375
0000003376
0000003377
0000003406
0000003407
0000003408
0000003409
0000003410
0000003411
0000003412
0000003413
0000003415
0000003416
0000003417
0000003418
0000003419
DESCRICAO
KIT CANULA TRAQUEOSTOMIA BIESALSKI PVC 12,0MM RUSCH 120900-120 - BADEIA
CANULA TRAQUEOSTOMIA PVC TERMOSENSIVEL C/BALAO BCI MEDICAL NR.6,0MM 97221204 - BADEIA
CANULA TRAQUEOSTOMIA PVC TERMOSENSIVEL C/BALAO BCI MEDICAL NR.6,5MM 97221304 - BADEIA
CANULA TRAQUEOSTOMIA PVC TERMOSENSIVEL AJUSTAVEL C/BALAO 7,0MM BCI MEDICAL 97361404 - BADEIA
CANULA TRAQUEOSTOMIA PVC TERMOSENSIVEL C/BALAO BCI MEDICAL NR.7,5MM 97221504 - BADEIA
CANULA TRAQUEOSTOMIA PVC TERMOSENSIVEL AJUSTAVEL C/BALAO 8,0MM BCI MEDICAL 97361604 - BADEIA
CANULA TRAQUEOSTOMIA PVC TERMOSENSIVEL C/BALAO BCI MEDICAL NR.8,5MM 97221704 - BADEIA
CANULA TRAQUEOSTOMIA PVC TERMOSENSIVEL AJUSTAVEL C/BALAO 9,0MM BCI MEDICAL 97361804 - BADEIA
CANULA TRAQUEOSTOMIA PVC TERMOSENSIVEL C/BALAO BCI MEDICAL NR.9,5MM 97221904 - BADEIA
CANULA TRAQUEOSTOMIA PVC TERMOSENSIVEL AJUSTAVEL C/BALAO 10,0MM BCI MEDICAL 97362004 - BADEIA
KIT CANULA TRAQUEOSTOMIA SAFETYFLEX PVC AJUSTAVEL RUSCH 7,0MM 121500-070 - BADEIA
KIT CANULA TRAQUEOSTOMIA SAFETYFLEX PVC AJUSTAVEL RUSCH 8,0MM 121500-080 - BADEIA
KIT CANULA TRAQUEOSTOMIA SAFETYFLEX PVC AJUSTAVEL RUSCH 9,0MM 121500-090 - BADEIA
KIT CANULA TRAQUEOSTOMIA SAFETYFLEX PVC AJUSTAVEL RUSCH 10,0MM 121500-100 - BADEIA
SONDA CARLENS BORRACHA ESQ.CH35 RUSCH 116000-035 - BADEIA
SONDA CARLENS BORRACHA ESQ.CH37 RUSCH 116000-037 - BADEIA
SONDA CARLENS BORRACHA ESQ.CH39 RUSCH 116000-039 - BADEIA
SONDA CARLENS BORRACHA ESQ.CH41 RUSCH 116000-041 - BADEIA
CONJUNTO SONDA ENDOBRONQUIAL RUSCH ROBERTSHAW CH26 DUPLO LUMEN PVC S/CARINA DIR.116200-026 - - BADEIA
CONJUNTO SONDA ENDOBRONQUIAL RUSCH ROBERTSHAW CH28 DUPLO LUMEN PVC S/CARINA DIR.116200-028 - - BADEIA
CONJUNTO SONDA ENDOBRONQUIAL RUSCH ROBERTSHAW CH35 DUPLO LUMEN PVC S/CARINA DIR.116200-035 - - BADEIA
CONJUNTO SONDA ENDOBRONQUIAL RUSCH ROBERTSHAW CH37 DUPLO LUMEN PVC S/CARINA DIR.116200-037 - - BADEIA
CONJUNTO SONDA ENDOBRONQUIAL RUSCH ROBERTSHAW CH39 DUPLO LUMEN PVC S/CARINA DIR.116200-039 - - BADEIA
CONJUNTO SONDA ENDOBRONQUIAL RUSCH ROBERTSHAW CH41 DUPLO LUMEN PVC S/CARINA DIR.116200-041 - - BADEIA
CONJUNTO CARLENS PVC S/CARINA ESQ.CH26 ESTERIL RUSCH 116100-026 - BADEIA
CONJUNTO CARLENS PVC S/CARINA ESQ.CH28 ESTERIL RUSCH 116100-028 - BADEIA
CONJUNTO CARLENS PVC S/CARINA ESQ.CH35 ESTERIL RUSCH 116100-035 - BADEIA
CONJUNTO CARLENS PVC S/CARINA ESQ.CH37 ESTERIL RUSCH 116100-037 - BADEIA
CONJUNTO CARLENS PVC S/CARINA ESQ.CH39 ESTERIL RUSCH 116100-039 - BADEIA
CONJUNTO SONDA ENDOBRONQUIAL RUSCH ROBERTSHAW CH41 DUPLO LUMEN PVC S/CARINA ESQ.116100-041 - - BADEIA
SONDA CARLENS BORRACHA DIR.CH35 RUSCH 116300-035 - BADEIA
SONDA CARLENS BORRACHA DIR.CH37 RUSCH 116300-037 - BADEIA
SONDA CARLENS BORRACHA DIR.CH39 RUSCH 116300-039 - BADEIA
SONDA CARLENS BORRACHA DIR.CH41 RUSCH 116300-041 - BADEIA
SONDA/TUBO TRAQUEAL PVC C/BALAO RUSCH 5,0MM 112482-050 - BADEIA
SONDA/TUBO TRAQUEAL PVC C/BALAO RUSCH 5,5MM 112482-055 - BADEIA
SONDA/TUBO TRAQUEAL PVC C/BALAO RUSCH 6,0MM 112482-060 - BADEIA
VALVULA MECANICA DUPLO FOLHETO AORTICA 21 MASTER AJ-501 - ST.JUDE
SONDA/TUBO TRAQUEAL PVC C/BALAO RUSCH 6,5MM 112482-065 - BADEIA
SONDA/TUBO TRAQUEAL PVC C/BALAO RUSCH 7,0MM 112482-070 - BADEIA
SONDA/TUBO TRAQUEAL PVC C/BALAO RUSCH 7,5MM 112482-075 - BADEIA
SONDA/TUBO TRAQUEAL PVC C/BALAO RUSCH 8,0MM 112482-080 - BADEIA
SONDA/TUBO TRAQUEAL PVC C/BALAO RUSCH 8,5MM 112482-085 - BADEIA
SONDA/TUBO TRAQUEAL PVC C/BALAO RUSCH 9,0MM 112482-090 - BADEIA
SONDA/TUBO TRAQUEAL PVC C/BALAO RUSCH 9,5MM 112482-095 - BADEIA
SONDA/TUBO TRAQUEAL PVC C/BALAO RUSCH 10,0MM 112482-100 - BADEIA
SONDA/TUBO TRAQUEAL PVC S/BALAO RUSCH 2,5MM 100605-025 - BADEIA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
12
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000003420
0000003421
0000003422
0000003423
0000003424
0000003425
0000003426
0000003427
0000003428
0000003429
0000003430
0000003431
0000003432
0000003502
0000003763
0000003764
0000003765
0000003767
0000003768
0000003769
0000003770
0000003771
0000003772
0000003773
0000003774
0000003775
0000003776
0000003777
0000003778
0000003779
0000003780
0000003781
0000003782
0000003783
0000003784
0000003785
0000003786
0000003787
0000003788
0000003789
0000003790
0000003791
0000003792
0000003793
0000003794
0000003795
0000003796
DESCRICAO
ENXERTO PERICARDIO BOVINO PATCH ORGANICO 12,5X10CM B40 - ST.JUDE
SONDA/TUBO TRAQUEAL PVC S/BALAO RUSCH 3,0MM 100605-030 - BADEIA
SONDA/TUBO TRAQUEAL PVC S/BALAO RUSCH 3,5MM 100605-035 - BADEIA
SONDA/TUBO TRAQUEAL PVC S/BALAO RUSCH 4,0MM 100605-040 - BADEIA
SONDA/TUBO TRAQUEAL PVC S/BALAO RUSCH 4,5MM 100605-045 - BADEIA
SONDA/TUBO TRAQUEAL PVC S/BALAO RUSCH 5,0MM 100605-050 - BADEIA
SONDA/TUBO TRAQUEAL PVC S/BALAO RUSCH 5,5MM 100605-055 - BADEIA
SONDA/TUBO TRAQUEAL PVC S/BALAO RUSCH 6,0MM 100605-060 - BADEIA
SONDA/TUBO TRAQUEAL PVC S/BALAO RUSCH 6,5MM 100605-065 - BADEIA
SONDA/TUBO TRAQUEAL PVC S/BALAO RUSCH 7,0MM 100605-070 - BADEIA
SONDA/TUBO TRAQUEAL PVC S/BALAO RUSCH 7,5MM 100605-075 - BADEIA
SONDA/TUBO TRAQUEAL PVC S/BALAO RUSCH 8,0MM 100605-080 - BADEIA
SONDA/TUBO TRAQUEAL PVC S/BALAO RUSCH 8,5MM 100605-085 - BADEIA
COLODIO ELASTICO 100ML - D.G.L
AFASTADOR TP.MOLA PEQ.01-1132 - EDLO
AFASTADOR TP.MOLA MED.01-1133 - EDLO
AFASTADOR TP.MOLA GRD.01-1134 - EDLO
PINCA P/APREENSAO DEFERENTE (VASECTOMIA) 14CM 03-1124 - EDLO
PINCA P/DISSECCAO DEFERENTE (VASECTOMIA) 12CM 03-1123 - EDLO
CAIXA CIRURGICA BASICA GRD. - EDLO
CAIXA CIRURGICA BASICA MED. - EDLO
CAIXA CIRURGICA BASICA PEQ. - EDLO
CAIXA CIRURGICA PEDIATRICA - EDLO
CAIXA CIRURGICA P/EVENTRACAO - EDLO
CAIXA CIRURGICA P/BIOPSIA GERAL - EDLO
CAIXA CIRURGICA P/CURATIVO - EDLO
CAIXA CIRURGICA P/SUTURA GERAL - EDLO
CAIXA CIRURGICA P/BIOPSIA MUSCULAR - EDLO
CAIXA CIRURGICA P/FORCEPS (OBSTETRICIA) - EDLO
CAIXA CIRURGICA P/CESARIANA - EDLO
CAIXA CIRURGICA P/GINECOLOGIA AMBULATORIAL - EDLO
CAIXA CIRURGICA P/CURETAGEM UTERINA - EDLO
CAIXA CIRURGICA P/PARTO EPISIOTOMIA - EDLO
CAIXA CIRURGICA P/HISTERECTOMIA - EDLO
CAIXA CIRURGICA P/GINECOLOGIA ADBOMINAL - EDLO
CAIXA CIRURGICA P/BIOPSIA MAMA - EDLO
CAIXA CIRURGICA P/BIOPSIA UTERINA - EDLO
CAIXA CIRURGICA P/MASTECTOMIA (GINECOLOGIA) - EDLO
CAIXA CIRURGICA P/PLASTICA VAGINAL - EDLO
CAIXA CIRURGICA P/COLPOPERINEORRAFIA - EDLO
CAIXA CIRURGICA P/DRENAGEM TORAXICA - EDLO
CAIXA CIRURGICA P/TORACOTOMIA - EDLO
CAIXA CIRURGICA P/TORACOTOMIA INF. - EDLO
CAIXA CIRURGICA P/OTORRINOLARINGOLOGIA - EDLO
CAIXA CIRURGICA P/AMIGDALECTOMIA - EDLO
CAIXA CIRURGICA P/TRAQUEOSTOMIA - EDLO
CAIXA CIRURGICA P/TIREOIDECTOMIA - EDLO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
13
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000003797
0000003798
0000003799
0000003800
0000003801
0000003802
0000003804
0000003805
0000003806
0000003807
0000003808
0000003809
0000003810
0000003811
0000003812
0000003813
0000003814
0000003816
0000003817
0000003818
0000003819
0000003820
0000003821
0000003822
0000003823
0000003824
0000003825
0000003826
0000003827
0000003828
0000003829
0000003830
0000003852
0000003853
0000003861
0000003862
0000003863
0000003866
0000003888
0000003891
0000003893
0000003894
0000003901
0000003902
0000003903
0000003904
0000003905
DESCRICAO
CAIXA CIRURGICA P/RINOPLASTIA - EDLO
CAIXA CIRURGICA P/BUCO FACIAL - EDLO
CAIXA CIRURGICA P/PLASTICA - EDLO
CAIXA CIRURGICA P/NEFRECTOMIA - EDLO
CAIXA CIRURGICA P/UROLOGIA INF. - EDLO
CAIXA CIRURGICA P/POSTECTOMIA - EDLO
CAIXA CIRURGICA P/APENDICECTOMIA/CISTOSTOMIA - EDLO
CAIXA CIRURGICA P/LAPAROTOMIA EXPLORADORA - EDLO
CAIXA CIRURGICA P/LAPAROTOMIA INF. - EDLO
CAIXA CIRURGICA P/GASTRECTOMIA - EDLO
CAIXA CIRURGICA P/COLECISTECTOMIA (VIA BILIAR) - EDLO
CAIXA CIRURGICA P/ESOFAGECTOMIA - EDLO
CAIXA CIRURGICA P/HERNIOPLASTIA - EDLO
CAIXA CIRURGICA P/PROSTATECTOMIA - EDLO
CAIXA CIRURGICA P/FISTULECTOMIA (PROCTOLOGIA) - EDLO
CAIXA CIRURGICA P/HEMORROIDECTOMIA - EDLO
CAIXA CIRURGICA MATERIAL BASICO P/VASCULAR - EDLO
CAIXA CIRURGICA P/ANGIOLOGIA (CIRURGIA VASCULAR) - EDLO
CAIXA CIRURGICA P/SAFENECTOMIA (CIRURGIA VASCULAR) - EDLO
CAIXA CIRURGICA P/DISSECCAO VEIA/FLEBOTOMIA - EDLO
CAIXA CIRURGICA P/FISTULA ARTERIO VENOSA - EDLO
AFASTADOR ATRIAL PEQ.P/LADO DIR.07-1145 - EDLO
AFASTADOR ATRIAL PEQ.P/LADO ESQ.07-1147 - EDLO
AFASTADOR ATRIAL GRD.P/LADO ESQ.07-1148 - EDLO
AFASTADOR ATRIAL GRD.P/LADO DIR.07-1146 - EDLO
AFASTADOR KIRKLIN NR.01 10MM 18CM 07-1138 - EDLO
AFASTADOR KIRKLIN NR.02 15MM 18CM 07-1139 - EDLO
AFASTADOR P/MAMARIA DR.JOAO BOSCO 07-1140 - EDLO
AFASTADOR RICHARDSON NR.01 23X28MM 24CM 07-1141 - EDLO
AFASTADOR RICHARDSON NR.02 32X38MM 24CM 07-1142 - EDLO
AFASTADOR RICHARDSON NR.03 40X44MM 24CM 07-1143 - EDLO
AFASTADOR RICHARDSON NR.04 28X52MM 24CM 07-1144 - EDLO
VENOPRIL 12,5MG 15CPDS - LUPER
VENOPRIL 25MG 16CPDS - LUPER
VENOPRIL 50MG 16CPDS - LUPER
METILCORD 250MG 30CPDS - LUPER
METILCORD 500MG 30CPDS - LUPER
EFEXOR XR 75MG 14CAPS - WYETH
EFEXOR XR 150MG 14CAPS - WYETH
SYNAREL 2MG/ML SPR.NASAL 8ML - ZODIAC
CELEBRA 100MG 20CAPS - PFIZER
CELEBRA 200MG 10CAPS - PFIZER
CARBOGEL MEIO CONTATO P/ULTRA-SOM ECOGRAFOS/DOOPLERS 5LTS - CARBOGEL
CARBOGEL MEIO CONTATO P/ULTRA-SOM ECOGRAFOS/DOOPLERS 2KG - CARBOGEL
CARBOGEL MEIO CONTATO P/ULTRA-SOM ECOGRAFOS/DOOPLERS 1KG - CARBOGEL
CARBOGEL MEIO CONTATO P/ULTRA-SOM ECOGRAFOS/DOOPLERS 300GRS - CARBOGEL
CARBOGEL MEIO CONTATO P/ULTRA-SOM ECOGRAFOS/DOOPLERS 100GRS - CARBOGEL
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
14
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000003907
0000003908
0000003909
0000003911
0000003912
0000003913
0000003914
0000003935
0000003941
0000003943
0000003944
0000003945
0000003946
0000003947
0000003948
0000003950
0000003951
0000003952
0000003953
0000003954
0000003955
0000003956
0000003958
0000003959
0000003960
0000003961
0000003962
0000003963
0000003964
0000003965
0000003966
0000003967
0000003968
0000003969
0000003970
0000003971
0000003972
0000003975
0000003976
0000003978
0000003982
0000003983
0000003984
0000003985
0000003986
0000003987
0000003988
DESCRICAO
CARBOGEL FISIO MEIO CONT.FISIOTERAPIA P/TRANSM.ULTRA-SONICA TENS/FES 5KG - CARBOGEL
CARBOGEL FISIO MEIO CONT.FISIOTERAPIA P/TRANSM.ULTRA-SONICA TENS/FES 2KG - CARBOGEL
CARBOGEL FISIO MEIO CONT.FISIOTERAPIA P/TRANSM.ULTRA-SONICA TENS/FES 1KG - CARBOGEL
CARBOGEL ECG MEIO CONTATO P/ECG 5KG - CARBOGEL
CARBOGEL ECG MEIO CONTATO P/ECG 2KG - CARBOGEL
CARBOGEL ECG MEIO CONTATO P/ECG 1KG - CARBOGEL
CARBOGEL ECG MEIO CONTATO P/ECG 100GRS - CARBOGEL
FORMOL 10% 5000ML - D.G.L
EXTENSOR P/CATETER REVERSIVEL LUER LOCK 8F TUBO 20CM 510.106 - HARTMANN
EXTENSOR P/CATETER REVERSIVEL LUER LOCK 8F TUBO 60CM 510.119 - HARTMANN
EXTENSOR P/CATETER REVERSIVEL LUER LOCK 8F TUBO 120CM 510.126 - HARTMANN
EXTENSOR P/CATETER REVERSIVEL LUER LOCK 10F TUBO 20CM 510.146 - HARTMANN
EXTENSOR P/CATETER REVERSIVEL LUER LOCK 10F TUBO 20CM C/TORNEIRA 510.116 - HARTMANN
EXTENSOR P/CATETER REVERSIVEL LUER LOCK 10F TUBO 20CM 2 CONECT.MACHO 510.115 - HARTMANN
EXTENSOR P/CATETER REVERSIVEL LUER LOCK 10F TUBO 60CM 510.147 - HARTMANN
EXTENSOR P/CATETER REVERSIVEL LUER LOCK 10F TUBO 60CM 2 CONECT.MACHO 510.120 - HARTMANN
EXTENSOR P/CATETER REVERSIVEL LUER LOCK 10F TUBO 120CM 510.148 - HARTMANN
EXTENSOR P/CATETER REVERSIVEL LUER LOCK 10F TUBO 120CM C/TORNEIRA 510.128 - HARTMANN
EXTENSOR P/CATETER REVERSIVEL LUER LOCK 10F TUBO 120CM 2 CONECT.MACHO 510.127 - HARTMANN
EXTENSOR P/CATETER REVERSIVEL LUER LOCK 12F TUBO 20CM 520.102 - HARTMANN
EXTENSOR P/CATETER REVERSIVEL LUER LOCK 12F TUBO 60CM 520.103 - HARTMANN
EXTENSOR P/CATETER REVERSIVEL LUER LOCK 12F TUBO 120CM 520.104 - HARTMANN
EXTENSOR P/VACUO 14F TUBO 2,00M 510.132 - HARTMANN
EXTENSOR P/VACUO 14F TUBO 3,00M 510.131 - HARTMANN
EXTENSOR P/VACUO 14F TUBO 4,00M 520.101 - HARTMANN
EXTENSOR P/ASPIRACAO DRENAGEM 18F TUBO FLEXIVEL 1,50M 510.101 - HARTMANN
EXTENSOR P/ASPIRACAO/DRENAGEM 18F TUBO 2,00M 510.141 - HARTMANN
EXTENSOR P/ASPIRACAO/DRENAGEM 18F TUBO 3,00M 520.109 - HARTMANN
EXTENSOR P/ASPIRACAO/DRENAGEM 18F TUBO 4,00M 510.142 - HARTMANN
EXTENSOR P/OXIGENACAO 20F TUBO 1,50M 510.143 - HARTMANN
EXTENSOR P/OXIGENACAO 20F TUBO 2,00M 510.144 - HARTMANN
EXTENSOR P/OXIGENACAO 20F TUBO 3,00M 510.149 - HARTMANN
EXTENSOR P/OXIGENACAO 20F TUBO 4,00M 510.125 - HARTMANN
EQUIPO FOTOSSENSIVEL KIT-HART C/INJ.LATERAL 110.160 - HARTMANN
EQUIPO FOTOSSENSIVEL KIT-HART C/INJ.LATERAL MICROGOTAS 110.161 - HARTMANN
EQUIPO FOTOSSENSIVEL KIT-HART FILTRO 15MICRAS 110.155 - HARTMANN
EQUIPO FOTOSSENSIVEL KIT-HART MICROGOTAS FILTRO 15MICRAS - - HARTMANN
EQUIPO FOTOSSENSIVEL KIT-HART AIR 160.150 - HARTMANN
EQUIPO FOTOSSENSIVEL KIT-HART AIR FILTRO 15MICRAS 160.151 - HARTMANN
COLETOR SECRECOES MULT-HART GRAU CIRURGICO 910.109 - HARTMANN
CONECTOR C/LUVA DISPOSITIVO INFUSAO MACHO LUER LOCK 910.203 - HARTMANN
INJETOR C/DISCO CICATRIZANTE LUER 910.202 - HARTMANN
CONECTOR C/EXTREMIDADE MACHO INTERMEDIARIO LUER DUPLO 910.205 - HARTMANN
PROTETOR MACHO/FEMEA CONTRA CONTAMINACAO/VAZAMENTO 910.206 - HARTMANN
PROTETOR P/CONE LUER FEMEA 910.204 - HARTMANN
BOMBA INFUSORA MOD.MINIMAX 990000 - HARTMANN
EQUIPO P/INFUSAO CONTROL.P/BOMBA EV-HART MINIMAX FILTRO 15MICRAS 150.112 - HARTMANN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
15
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000003990
0000003991
0000003992
0000003993
0000003995
0000003996
0000003997
0000003998
0000004006
0000004007
0000004008
0000004009
0000004010
0000004011
0000004012
0000004013
0000004015
0000004016
0000004017
0000004018
0000004019
0000004115
0000004116
0000004117
0000004138
0000004147
0000004148
0000004149
0000004150
0000004151
0000004152
0000004153
0000004154
0000004155
0000004156
0000004157
0000004158
0000004159
0000004196
0000004198
0000004199
0000004200
0000004202
0000004203
0000004205
0000004206
0000004207
DESCRICAO
EQUIPO P/INFUSAO CONTROL.P/BOMBA EV-HART MINIMAX ENT.AR 170.101 - HARTMANN
EQUIPO P/INFUSAO CONTROL.P/BOMBA EV-HART MINIMAX ENT.AR FILTRO 15MICRAS 170.102 - HARTMANN
EQUIPO P/INFUSAO CONTROL.P/BOMBA MICRO-HART 150ML MINIMAX 350.101 - HARTMANN
EQUIPO P/INFUSAO CONTROL.P/BOMBA MICRO-HART 150ML MINIMAX FILTRO 15MICRAS 350.111 - HARTMANN
EQUIPO P/INFUSAO CONTROL.P/BOMBA MICRO-HART 150ML MINIMAX ENT.AR FILTRO 15MICRAS 370.102 - HARTMANN
EQUIPO P/INFUSAO CONTROL.P/BOMBA KIT-HART MINIMAX FILTRO 15MICRAS 150.151 - HARTMANN
EQUIPO P/INFUSAO CONTROL.P/BOMBA KIT-HART MINIMAX ENTRADA AR 170.150 - HARTMANN
EQUIPO P/INFUSAO CONTROL.P/BOMBA KIT-HART MINIMAX ENT.AR FILTRO 15MICRAS 170.151 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO EV-HART C/CAMARA FLEXIVEL FILTRO 15MICRAS 110.118 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO EV-HART C/CAMARA FLEXIVEL MICROGOTAS FILTRO 15MICRAS 110.117 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO EV-HART AIR FILTRO 15MICRAS 160.111 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO EV-HART AIR MICROGOTAS FILTRO 15MICRAS 160.112 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO C/INJ.LATERAL CAMARA FLEXIVEL FILTRO 15MICRAS 210.119 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO C/INJ.LATERAL AIR 2,40M 260.113 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO C/INJ.LATERAL AIR MICROGOTAS 2,40M 260.114 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO C/INJ.LATERAL AIR FILTRO 15MICRAS 260.111 - HARTMANN
EQUIPO C/CAMARA GRADUADA MICRO-HART 150ML FILTRO 15MICRAS 310.111 - HARTMANN
EQUIPO C/CAMARA GRADUADA MICRO-HART AIR 150ML 360.101 - HARTMANN
EQUIPO C/CAMARA GRADUADA MICRO-HART AIR 150ML FILTRO 15MICRAS 360.102 - HARTMANN
CONEXAO P/ADM.SOL.POLI-HART 2VIA NEO 410.125 - HARTMANN
CONEXAO P/ADM.SOL.POLI-HART 2VIA NEO FOTOSSENSIVEL 410.160 - HARTMANN
ESPATULA P/VALVULA MITRAL 01-1131 - EDLO
PORTA AGULHA C/VIDEA-HARDTIP P/FIO ACO 18CM 05-1128 - EDLO
PUNCH AORTICO 5,0MM - - EDLO
PERNEIRA P/TRACAO MEMBRO INFERIOR PP 581-02 - SALVAPE
FAIXA TORAX RETA LARGA GRD.178-35 - SALVAPE
FAIXA TORAX RETA LARGA MED.178-34 - SALVAPE
FAIXA TORAX RETA LARGA PEQ.178-33 - SALVAPE
FAIXA TORAX RETA LARGA GG 178-36 - SALVAPE
FAIXA TORAX RECORTADA LARGA (ADAPTACAO SEIOS) PEQ.178-43 - SALVAPE
FAIXA TORAX RECORTADA LARGA (ADAPTACAO SEIOS) MED.178-44 - SALVAPE
FAIXA TORAX RECORTADA LARGA (ADAPTACAO SEIOS) GRD.178-45 - SALVAPE
FAIXA TORAX RECORTADA LARGA (ADAPTACAO SEIOS) GG 178-46 - SALVAPE
FAIXA TORAX RECORTADA ESTREITA (ADAPTACAO SEIOS) GG 178-26 - SALVAPE
FAIXA TORAX RETA ESTREITA GG 178-16 - SALVAPE
IMOBILIZADOR OITO P/CLAVICULA GG 281-06 - SALVAPE
CINTA C/APOIO METATARSIANO C/PILOTO ESPUMA MED.672-64 - SALVAPE
CINTA C/APOIO METATARSIANO C/PILOTO SILICONE MED.672-74 - SALVAPE
CONJUNTO CATETER DUPLO J COOK 4,7FR 22/32CM AUTOM.C/FIO GUIA TEFLONADO 009500 - HANDLE
CONJUNTO CATETER DUPLO J COOK 6F 22/32CM C/FIO GUIA TEFLONADO 009600 - HANDLE
CATETER DUPLO J COOK 6FR 22/32CM C/POSICIONADOR 009600-GRAD-R - HANDLE
CONJUNTO CATETER DUPLO J COOK 6FR 26CM C/FIO GUIA TEFLONADO 009626 - HANDLE
CATETER DUPLO J COOK 6FR 26CM C/POSICIONADOR 009626-GRAD-R - HANDLE
CONJUNTO CATETER DUPLO J COOK 6FR 28CM C/FIO GUIA TEFLONADO 009628 - HANDLE
CATETER DUPLO J COOK 6FR 28CM C/POSICIONADOR 009628-GRAD-R - HANDLE
CONJUNTO CATETER DUPLO J COOK 7FR 22/32CM C/FIO GUIA TEFLONADO 009700 - HANDLE
CONJUNTO CATETER DUPLO J COOK 7FR 26CM C/FIO GUIA TEFLONADO 009726 - HANDLE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
16
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000004209
0000004220
0000004221
0000004241
0000004246
0000004258
0000004263
0000004264
0000004265
0000004266
0000004267
0000004268
0000004269
0000004271
0000004272
0000004273
0000004274
0000004275
0000004276
0000004277
0000004278
0000004279
0000004280
0000004281
0000004282
0000004283
0000004284
0000004285
0000004286
0000004287
0000004288
0000004289
0000004290
0000004291
0000004292
0000004303
0000004310
0000004313
0000004314
0000004315
0000004316
0000004317
0000004318
0000004319
0000004321
0000004322
0000004323
DESCRICAO
CONJUNTO CATETER DUPLO J COOK 7FR 28CM C/FIO GUIA TEFLONADO 009728 - HANDLE
CATETER BALAO DILATACAO URETERAL 7FR COOK 010014 - HANDLE
CATETER BALAO DILATACAO URETERAL 5FR COOK 010015 - HANDLE
CESTA EXTRATORA CALCULO HELICAL STONE 3WIRE 4.5FR 65CM CE-345065 - HANDLE
CESTA EXTRATORA CALCULO 4.5FR 4FIOS HELICAL/FLAT CE-445065 - HANDLE
CESTA EXTRATORA CALCULO FLAT-WIRE REPLACEMENT STONE 4WIRE 65CM AE-445065 - HANDLE
FIO POLYCOT CUTICULAR AZUL 2-0 45CM AG.3CM P13T - J&J ETHICON
FIO POLYCOT CUTICULAR AZUL 3-0 45CM AG.3CM P14T - J&J ETHICON
FIO POLYCOT CUTICULAR AZUL 2-0 3X45CM AG.2,6CM 3P12T - J&J ETHICON
FIO POLYCOT CUTICULAR AZUL 2-0 3X45CM AG.3CM 3P13T - J&J ETHICON
FIO POLYCOT CUTICULAR AZUL 3-0 3X45CM AG.3CM 3P14T - J&J ETHICON
FIO POLYCOT CUTICULAR AZUL 2-0 3X45CM AG.3,64CM 3P15T - J&J ETHICON
FIO POLYCOT GASTRO AZUL 2-0 45CM AG.2,6CM P22T - J&J ETHICON
FIO POLYCOT GASTRO AZUL 3-0 3X45CM AG.2,6CM 3P23T - J&J ETHICON
FIO POLYCOT DENTAL AZUL 2-0 45CM AG.2,2CM DP2778T - J&J ETHICON
KIT CORONARIA PROLENE AZUL 7-0 6-0 AG.MK112G - J&J ETHICON
KIT CORONARIA PROLENE 7-0 6-0 AG.MK113G - J&J ETHICON
KIT CORONARIA PROLENE 7-0 6-0 AG.MK38G - J&J ETHICON
KIT CORONARIA PROLENE 7-0 6-0 AG.MK76G - J&J ETHICON
KIT VALVEKIT ETHIBOND 2-0 AG.AKV15G - J&J ETHICON
KIT VALVEKIT ETHIBOND 2-0 AG.KAT15G - J&J ETHICON
KIT VALVEKIT ETHIBOND 2-0 AG.KV15G - J&J ETHICON
KIT ANGIOKIT AG.HK46T - J&J ETHICON
KIT CATARATA (NYLON 10-0/SEDA PRETA TRANC.4-0) 2XAG.KF310G - J&J ETHICON
KIT CATARATA (NYLON MONOF.10-0/SEDA PRETA TRANC.4-0) 2XAG.KF410G - J&J ETHICON
KIT CATARATA (NYLON 10-0/SEDA PRETA TRANC.4-0) 2XAG.KF903G - J&J ETHICON
KIT CATARATA (NYLON 10-0/SEDA PRETA TRANC.4-0) 2XAG.KF910G - J&J ETHICON
KIT CESARIA C/CATGUT CK120G - J&J ETHICON
KIT CESARIA C/VICRYL JCK12G - J&J ETHICON
KIT OBSTETRICIA CATGUT SIMPLES 2-0 3X70CM AG.KO104G - J&J ETHICON
KIT OBSTETRICIA CATGUT SIMPLES 0 3X70CM AG.KO105G - J&J ETHICON
KIT OBSTETRICIA CATGUT CROMADO 2-0 3X70CM AG.KO124G - J&J ETHICON
KIT OBSTETRICIA CATGUT CROMADO 0 3X70CM KO125G - J&J ETHICON
KIT OBSTETRICIA POLYVICRYL 2-0 3X70CM AG.KVR14G - J&J ETHICON
KIT OBSTETRICIA POLYVICRYL 0 3X70CM AG.KVR15G - J&J ETHICON
CESTA EXTRATORA CALCULO 4.5FR 5FIOS HELICAL CE-545065 - HANDLE
GRAMPEADOR ENDOSCOPICO LINEAR CORT.ETS 35MM TEC.NORM.TSB35 - J&J ENDO
GRAMPEADOR ENDOSCOPICO LINEAR CORT.ETS 35MM VASCULAR TSW35 - J&J ENDO
GRAMPEADOR ENDOSCOPICO LINEAR CORT.ETS HASTE FLEX.35MM ATB35 - J&J ENDO
GRAMPEADOR ENDOSCOPICO LINEAR CORT.ETS HASTE FLEX.35MM VASC.ATW35 - J&J ENDO
CATETER URETERAL OPEN-END 70CM 3FR 020013 - HANDLE
CATETER URETERAL COOK P/PIELOG.P.ABERTA 4FR 70CM 020014 - HANDLE
CATETER URETERAL COOK P/PIELOG.P.ABERTA 5FR 70CM 020015 - HANDLE
CARGA 35MM P/GRAMPEADOR ETS (AZUL TEC.NORMAL) TR35B - J&J ENDO
CATETER URETERAL COOK P/PIELOG.P.ABERTA 7FR 70CM 020017 - HANDLE
CARGA 35MM P/GRAMPEADOR ETS (BRANCA TEC.VASCULAR) TR35W - J&J ENDO
CATETER URETERAL COOK P/PIELOG.P.ABERTA 8FR 70CM 020018 - HANDLE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
17
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000004325
0000004326
0000004340
0000004350
0000004355
0000004356
0000004360
0000004361
0000004362
0000004377
0000004401
0000004467
0000004503
0000004527
0000004529
0000004531
0000004532
0000004535
0000004538
0000004540
0000004542
0000004544
0000004546
0000004548
0000004550
0000004659
0000004662
0000004666
0000004667
0000004673
0000004697
0000004721
0000004724
0000004728
0000004748
0000004784
0000004785
0000004851
0000004865
0000005189
0000005193
0000005197
0000005231
0000005248
0000005249
0000005250
0000005251
DESCRICAO
CATETER URETERAL COOK P/PIELOG.P.ABERTA 6FR 70CM 020116 - HANDLE
CATETER DUPLO LUMEN URODINAMICA 7FR 30CM 020207 - HANDLE
GRAMPEADOR LINEAR CORTANTE C/CARGA VERDE TEC.ESPESSO 75M TCT75 - J&J ENDO
GLICERINA BIDESTILADA 100ML - D.G.L
P.V.P.IODINE DEGERMANTE 1000ML - D.G.L
P.V.P.IODINE TOPICO 1000ML - D.G.L
TINTURA BENJOIN 100ML ALMOT. - D.G.L
VASELINA LIQ.100ML - D.G.L
VASELINA USP 1000ML - D.G.L
SOLUCAO GLICOSE 5% 100ML BOLSA PVC - - JP
DISSECTOR GANCHO 32CMX5MM DESC.ULTRACISION HDH05 - J&J ENDO
SOLUCAO GLICOSE 5% 500ML BOLSA PVC - - JP
OPHTCOL 0,01% 2ML - OPHTHALMOS
CURATIVO DEDO CAL.0,5 12CM - KORS DO BRASIL
CURATIVO MAO CAL.2,0 15CM - KORS DO BRASIL
CURATIVO DEDO/MAO CAL.2,0 25CM - KORS DO BRASIL
CURATIVO DEDO/PE CAL.3,0 25CM - KORS DO BRASIL
CURATIVO JOELHO CAL.4,0 13CM - KORS DO BRASIL
CURATIVO CABECA CAL.5,5 20CM - KORS DO BRASIL
CURATIVO ABDOMEN GENITAL CAL.6,0 30CM - KORS DO BRASIL
CURATIVO QUADRIL/COXA INT.CAL.6,0 35CM - KORS DO BRASIL
CURATIVO OMBRO/AXILA CAL.5,5 30CM - KORS DO BRASIL
CURATIVO TRONCO GRD./TORAX/MAMA CAL.7,0 30CM - KORS DO BRASIL
CURATIVO TRONCO PEQ./TORAX/MAMA CAL.6,0 30CM - KORS DO BRASIL
CURATIVO CALCANHAR CAL.3,0 25CM - KORS DO BRASIL
OLEO SILICONE 1000CPS 8ML AMP - OPHTHALMOS
ACIDO ACETICO 2% 1000ML - D.G.L
ACIDO ACETICO 5% 1000ML - D.G.L
ACIDO ACETICO 5% 5000ML - D.G.L
ACIDO ACETICO GLACIAL 5000ML - D.G.L
ALCOOL ETILICO 70% 100ML ALMOT. - D.G.L
SOLUCAO GLICOSE 5% 1000ML BOLSA PVC - - JP
ALCOOL CEREAIS 1000ML - D.G.L
ALCOOL ISOPROPILICO 1000ML - D.G.L
CATETER DUPLO LUMEN LOOP URODINAMICA 7FR 43CM 020243 - HANDLE
CATETER URETERAL ANGLED TIP 6FR 70CM TAPERED 023106 - HANDLE
CATETER URETERAL ANGLED TIP 4FR 70CM TAPERED 023104 - HANDLE
COLETOR PERFUROCORTANTE PAPELAO 1,5L DESCARTEX 990228 - BD
CATETER BALAO OCLUSAO 6FR 75CM UPJ 028006 - HANDLE
CATETER DUPLO J COOK SOFLEX 6FR 22/32 AUTOM.-KIT 039600 - HANDLE
CATETER DUPLO J COOK SOFLEX 7FR 22/32 AUTOM.-KIT 039700 - HANDLE
CATETER DUPLO J COOK SOFLEX 8FR 22/32 AUTOM.-KIT 039800 - HANDLE
IRRIGADOR P/URETEROSCOSPIO 050350 - HANDLE
FIO MONOCRYL PLASTICA INCOLOR 3-0 70CM AG.1,9CM Y427H - J&J ETHICON
FIO MONOCRYL PLASTICA INCOLOR 4-0 70CM AG.1,9CM Y426H - J&J ETHICON
FIO VICRYL FECH.G.OB/GIN.VIOLETA 0 70CM AG.3,64CM J167H - J&J ETHICON
FIO VICRYL FECH.G.OB/GIN.VIOLETA 1 70CM AG.3,64CM J168H - J&J ETHICON
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
18
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000005252
0000005253
0000005254
0000005256
0000005257
0000005258
0000005259
0000005260
0000005261
0000005262
0000005263
0000005264
0000005265
0000005267
0000005370
0000005382
0000005414
0000005416
0000005435
0000005455
0000005456
0000005457
0000005463
0000005470
0000005472
0000005474
0000005477
0000005480
0000005518
0000005535
0000005536
0000005581
0000005592
0000005603
0000005615
0000005622
0000006806
0000006807
0000006808
0000006809
0000006810
0000006843
0000006986
0000007084
0000007438
0000007516
0000007518
DESCRICAO
FIO VICRYL FECH.G.OB/GIN.VIOLETA 2-0 70CM AG.3,64CM J166H - J&J ETHICON
FIO VICRYL RAP.ABS.PLASTICA VIOLETA 6-0 45CM AG.1,1CM W9913 - J&J ETHICON
FIO VICRYL RAP.ABS.PLASTICA INCOLOR 3-0 45CM AG.2,4CM VR935 - J&J ETHICON
FIO VICRYL RAP.ABS.PLASTICA INCOLOR 4-0 45CM AG.1,9CM VR496 - J&J ETHICON
FIO VICRYL RAP.ABS.PLASTICA INCOLOR 4-0 45CM AG.1,9CM V4961G - J&J ETHICON
FIO VICRYL RAP.ABS.PLASTICA INCOLOR 3-0 45CM AG.1,95CM VR497 - J&J ETHICON
TROCARTER - CANULA AVULSA 5MM ROXO P/VERSAPORT AUTO SUTURE 177092 - COVIDIEN
FIO MONONYLON CUTICULAR PRETO 3-0 3-45CM AG.2,4CM 3163T - J&J ETHICON
CANULA 5-12MM ROXO SPRING-GRIP P/VERSAPORT AUTO SUTURE 174104 - COVIDIEN
CANULA 5-10MM AMARELO SPRING-GRIP P/VERSAPORT AUTO SUTURE 174110 - COVIDIEN
CANULA 5-11MM VERDE SPRING-GRIP P/VERSAPORT AUTO SUTURE 174103 - COVIDIEN
CANULA 5-12MM PRETO SPRING-GRIP P/VERSAPORT AUTO SUTURE 174102 - COVIDIEN
CANULA 10-15MM VERDE ESC.SPRING-GRIP P/VERSAPORT AUTO SUTURE 174106 - COVIDIEN
PINCA P/LAPAROSC.5MM STANDARD AMARELO DESC.ENDO CLINCH II AUTO SUTURE 174317 - COVIDIEN
DILATADOR SET AMPLATZ RENAL 075000 - HANDLE
DILATADOR URETRAL SET 6-18FR 60CM DILATORS 076000 - HANDLE
KIT CATETER NEFROSTOMIA PERCUT.PIGTAIL SET 6FR 080006 - HANDLE
KIT CATETER NEFROSTOMIA PERCUT.PIGTAIL SET 10FR 080010 - HANDLE
KIT CATETER NEFROSTOMIA PERCUT.MALECOT SET 14FR 082000 - HANDLE
CATETER P/CISTOTOMIA COOK CISTOCATH 8FR 083308 - HANDLE
CATETER P/CISTOTOMIA COOK CISTOCATH 10FR 083310 - HANDLE
CATETER P/CISTOTOMIA COOK CISTOCATH 12FR 083312 - HANDLE
CATETER KAYE NEPHROSTOMY TAMPONADE 14FR SET 086014 - HANDLE
AGULHA SKINNY W/CHIBA TIP 22GA 20CM 090010 - HANDLE
AGULHA SKINNY W/CHIBA TIP 22GA 11CM 090011 - HANDLE
AGULHA TWO PART TROCAR 18GA 11CM 090021 - HANDLE
AGULHA TROCAR W/TWO STYLETS 18GA 25CM 090040 - HANDLE
AGULHA W/TROCAR TFE-SHEATHED 18GA 25CM 090060 - HANDLE
CESTA EXTRATORA CALCULO ATLAS STONE 3.2FR 4WIRE 115CM AE-432115 - HANDLE
STENT SET BLACK SILICONE D.PIGTAIL 6FR 26CM 133626 - HANDLE
STENT SET BLACK SILICONE DOUBLE D.PIGTAIL 6FR 28CM 133628 - HANDLE
FIO GUIA COOK RETO TEFLON 0,035 145CM 635413 - HANDLE
FIO VICRYL RAP.ABS.UROLOGIA INCOLOR 5-0 70CM AG.1,7CM VR2130G - J&J ETHICON
FIO GUIA COOK RETO TEFLON 0,038 145CM 638413 - HANDLE
FIO GUIA REVESTIDO 038"X145CM AMPLATZ TFE EXTRA STIFF 838455 - HANDLE
STENT SET ULTRATHANE ENDOURETEROTOMY 7/14 26CM 07141326-UESS - HANDLE
DETERGENTE ENZIMATICO P/LIMP.INST.CIR.ENDOZIME 4LTS RUHOF - CNPH
DETERGENTE ENZIMATICO P/LIMP.INST.CIR.ENDOZIME AW 4LTS RUHOF - CNPH
SOLUCAO REVITALIZAD.P/REMOVER FERRUGEM SURGI-STAIN 4,0LTS RUHOF - CNPH
LUBRIFICANTE MINERAL P/PROTEGER INST.PREMIX-SLIP 4,0LTS RUHOF - CNPH
SOLUCAO REVITALIZAD.P/REMOVER FERRUGEM A.C.T.S.470ML RUHOF - CNPH
BOLSA TERMICA GELBAG QUENTE/FRIO 400GRS N/CONGELAVEL - CARBOGEL
SOLUCAO AMINOPLASMAL 10% 1000ML 3547663 - B.BRAUN
INTRAPUR PLUS (CARGA POSITIVA) 120016 - B.BRAUN
KIT SOVEREIGN P/VITRECTOMIA ANTERIOR OPO39 - VISTATEK
DILATADOR BILIAR COOK MEDICAL SBDC - E.TAMUSSINO
EXTRATOR /STENT SOEHENDRA SSR - - E.TAMUSSINO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
19
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000007524
0000007530
0000007536
0000007539
0000007548
0000007879
0000007941
0000007942
0000007943
0000007944
0000007945
0000007946
0000007947
0000007948
0000007949
0000007950
0000007951
0000007952
0000007953
0000007956
0000007957
0000007958
0000007959
0000007960
0000007961
0000007962
0000007963
0000007964
0000008026
0000008027
0000008028
0000008029
0000008030
0000008031
0000008032
0000008033
0000008034
0000008035
0000008036
0000008037
0000008038
0000008039
0000008040
0000008041
0000008042
0000008043
0000008044
DESCRICAO
KIT LIGADURA ELASTICA P/VARIZE ESOFAGO (MBL) - E.TAMUSSINO
CONJUNTO P/MICRO-PUNCAO (MPIS) - E.TAMUSSINO
AGULHA TRANSJUGULAR P/BIOPSIA FIGADO (LABS) - E.TAMUSSINO
AQUECEDOR GEL P/EXAME ULTRA SOM GELKENT - CARBOGEL
PARTICULAS PVA P/EMBOLIZACAO (PVA) - E.TAMUSSINO
TORNEIRA 3VIAS DESC.LUER SLIP - MARK MED
TUBO ENDOTRAQUEAL C/BALAO HI-LO 3,0MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO HI-LO 3,5MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO HI-LO 4,0MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO HI-LO 4,5MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO HI-LO 5,0MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO HI-LO 5,5MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO HI-LO 6,0MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO HI-LO 6,5MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO HI-LO 7,0MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO HI-LO 7,5MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO HI-LO 8,0MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO HI-LO 8,5MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO HI-LO 9,0MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL S/BALAO 2,0MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL S/BALAO 2,5MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL S/BALAO 3,0MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL S/BALAO 3,5MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL S/BALAO 4,0MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL S/BALAO 4,5MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL S/BALAO 5,0MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL S/BALAO 5,5MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL S/BALAO 6,0MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO P/CIRURGIA LASER-FLEX 4,5MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO P/CIRURGIA LASER-FLEX 5,0MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO P/CIRURGIA LASER-FLEX 5,5MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO P/CIRURGIA LASER-FLEX 6,0MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO P/MICROCIRURGIA LARINGE MLT NR.4,0MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO P/MICROCIRURGIA LARINGE MLT NR.5,0MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO P/MICROCIRURGIA LARINGE MLT NR.6,0MM MALLINCKRODT - COVIDIEN
GUIA P/ENTUBACAO TRAQUEAL 6FR P/TUBO 2,5MM A 4,5MM MALLINCKRODT - COVIDIEN
GUIA P/ENTUBACAO TRAQUEAL 10FR P/TUBO 4,0MM A 6,0MM MALLINCKRODT - COVIDIEN
GUIA P/ENTUBACAO TRAQUEAL 14FR P/TUBO 5,0MM A 10MM MALLINCKRODT - COVIDIEN
TUBO ENDOBRONQUIAL ESQUERDO C/BALAO BRONCO-CATH 28FR - COVIDIEN
TUBO ENDOBRONQUIAL ESQUERDO C/BALAO BRONCO-CATH 35FR - COVIDIEN
TUBO ENDOBRONQUIAL ESQUERDO C/BALAO BRONCO-CATH 37FR - COVIDIEN
TUBO ENDOBRONQUIAL ESQUERDO C/BALAO BRONCO-CATH 39FR - COVIDIEN
TUBO ENDOBRONQUIAL ESQUERDO C/BALAO BRONCO-CATH 41FR - COVIDIEN
TUBO ENDOBRONQUIAL DIREITO C/BALAO BRONCO-CATH 35FR - COVIDIEN
TUBO ENDOBRONQUIAL DIREITO C/BALAO BRONCO-CATH 37FR - COVIDIEN
TUBO ENDOBRONQUIAL DIREITO C/BALAO BRONCO-CATH 39FR - COVIDIEN
TUBO ENDOBRONQUIAL DIREITO C/BALAO BRONCO-CATH 41FR - COVIDIEN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
20
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000008045
0000008046
0000008047
0000008048
0000008074
0000008075
0000008076
0000008077
0000008078
0000008079
0000008080
0000008081
0000008082
0000008083
0000008084
0000008085
0000008086
0000008087
0000008088
0000008089
0000008093
0000008094
0000008095
0000008096
0000008097
0000008098
0000008103
0000008104
0000008105
0000008106
0000008107
0000008108
0000008109
0000008110
0000008112
0000008119
0000008120
0000008121
0000008122
0000008123
0000008124
0000008126
0000008127
0000008128
0000008129
0000008130
0000008137
DESCRICAO
TUBO ENDOBRONQUIAL ESQUERDO C/CARINA BALAO BRONCO-CATH 35FR - COVIDIEN
TUBO ENDOBRONQUIAL ESQUERDO C/CARINA BALAO BRONCO-CATH 37FR - COVIDIEN
TUBO ENDOBRONQUIAL ESQUERDO C/CARINA BALAO BRONCO-CATH 39FR - COVIDIEN
TUBO ENDOBRONQUIAL ESQUERDO C/CARINA BALAO BRONCO-CATH 41FR - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY C/BALAO C/CANULA INTERNA S/FENESTRA 6 LPC - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY C/BALAO C/CANULA INTERNA S/FENESTRA 8 LPC - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY C/BALAO C/CANULA INTERNA S/FENESTRA 10 LPC - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY C/BALAO C/CANULA INTERNA S/FENESTRA 4 LPC - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY C/BALAO C/CANULA INTERNA C/FENESTRA 6 FEN - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY C/BALAO C/CANULA INTERNA C/FENESTRA 8 FEN - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY C/BALAO C/CANULA INTERNA C/FENESTRA 10 FEN - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY C/BALAO C/CANULA INTERNA C/FENESTRA 4 FEN - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY S/BALAO C/CANULA INTERNA S/FENESTRA 6 CFS - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY S/BALAO C/CANULA INTERNA S/FENESTRA 8 CFS - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY S/BALAO C/CANULA INTERNA S/FENESTRA 10 CFS - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY S/BALAO C/CANULA S/FENESTRA 4 CFS - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY S/BALAO C/CANULA INTERNA C/FENESTRA 6 CFN - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY S/BALAO C/CANULA INTERNA C/FENESTRA 8 CFN - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY S/BALAO C/CANULA INTERNA C/FENESTRA 10 CFN - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY S/BALAO C/CANULA INTERNA C/FENESTRA 4 CFN - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY PED.S/BALAO 3,0MM MOD.PED - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY PED.S/BALAO 3,5MM MOD.PED - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY PED.S/BALAO 4,0MM MOD.PED - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY PED.S/BALAO 4,5MM MOD.PED - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY PED.S/BALAO 5,0MM MOD.PED - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY PED.S/BALAO 5,5MM MOD.PED - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY NEONATAL S/BALAO NR.3,0 MM - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY NEONATAL S/BALAO NR.3,5 MM - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY NEONATAL S/BALAO NR.4,0 MM - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY NEONATAL S/BALAO NR.4,5 MM - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY C/BALAO S/CANULA INTERNA 6 SCT - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY C/BALAO S/CANULA INTERNA 7 SCT - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY C/BALAO S/CANULA INTERNA 8 SCT - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY C/BALAO S/CANULA INTERNA 9 SCT - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY C/BALAO S/CANULA INTERNA 5 SCT - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA TRACHEOSOFT AJUST.C/BALAO VALVULA LANZ NR.6,0 MM - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA TRACHEOSOFT AJUST.C/BALAO VALVULA LANZ NR.7,0 MM - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA TRACHEOSOFT AJUST.C/BALAO VALVULA LANZ NR.8,0 MM - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA TRACHEOSOFT AJUST.C/BALAO VALVULA LANZ NR.9,0 MM - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA TRACHEOSOFT AJUST.C/BALAO VALVULA LANZ NR.10,0 MM - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA TRACHEOSOFT AJUST.C/BALAO /VALVULA LANZ NR.5,0 MM - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA TRACHEOSOFT C/BALAO VALVULA LANZ SIST.EVAC.NR.7MM - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA TRACHEOSOFT C/BALAO VALVULA LANZ SIST.EVAC.NR.8MM - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA TRACHEOSOFT C/BALAO VALVULA LANZ SIST.EVAC.NR.9MM - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA TRACHEOSOFT C/BALAO VALVULA LANZ SIST.EVAC.NR.10MM - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA TRACHEOSOFT C/BALAO VALVULA LANZ SIST.EVAC.NR.6MM - COVIDIEN
FILTRO HME ELETROSTATICO BACTERIANO/VIRAL P/VENTIL.MECANICA/ANESTESIA ADU. - COVIDIEN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
21
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000008173
0000008174
0000008222
0000008224
0000008226
0000008230
0000008232
0000008234
0000008238
0000008240
0000008242
0000008254
0000008256
0000008258
0000008270
0000008272
0000008274
0000008276
0000008277
0000008278
0000008279
0000008280
0000009413
0000009417
0000009430
0000009450
0000009453
0000009464
0000009466
0000009470
0000009506
0000009509
0000009515
0000009518
0000009524
0000009525
0000009527
0000009531
0000009532
0000009534
0000009537
0000009541
0000009545
0000009547
0000009548
0000009555
0000009558
DESCRICAO
ASPIRADOR CIRURGICO SUCKER SIMON - P.SIMON
ASPIRADOR CIRURGICO SUCKER SIMON MED. - P.SIMON
LUVA MEDICA P/PROCEDIMENTO SANRO AMBI P SC.PLAST.(PAR) - SANRO
LUVA MEDICA P/PROCEDIMENTO SANRO AMBI M SC.PLAST.(PAR) - SANRO
LUVA MEDICA P/PROCEDIMENTO SANRO AMBI G SC.PLAST.(PAR) - SANRO
LUVA MEDICA P/PROCEDIMENTO SANRO AMBI P 50UNID - SANRO
LUVA MEDICA P/PROCEDIMENTO SANRO AMBI M 50UNID - SANRO
LUVA MEDICA P/PROCEDIMENTO SANRO AMBI G 50UNID - SANRO
LUVA MEDICA P/PROCEDIMENTO SANRO AMBI P 20UNID - SANRO
LUVA MEDICA P/PROCEDIMENTO SANRO AMBI M 20UNID - SANRO
LUVA MEDICA P/PROCEDIMENTO SANRO AMBI G 20UNID - SANRO
LUVA MEDICA P/PROCEDIMENTO SANRO AMBI P ESTERILIZADA (PAR) - SANRO
LUVA MEDICA P/PROCEDIMENTO SANRO AMBI M ESTERILIZADA (PAR) - SANRO
LUVA MEDICA P/PROCEDIMENTO SANRO AMBI G ESTERILIZADA (PAR) - SANRO
LUVA MEDICA EXAMGLO P 100UNID - SANRO
LUVA MEDICA EXAMGLO M 100UNID - SANRO
LUVA MEDICA EXAMGLO G 100UNID - SANRO
LUVA MEDICA SANRO CIRURGICA ESTERILIZADA NR.6,5 (PAR) - SANRO
LUVA MEDICA SANRO CIRURGICA ESTERILIZADA NR.7,0 (PAR) - SANRO
LUVA MEDICA SANRO CIRURGICA ESTERILIZADA NR.7,5 (PAR) - SANRO
LUVA MEDICA SANRO CIRURGICA ESTERILIZADA NR.8,0 (PAR) - SANRO
LUVA MEDICA SANRO CIRURGICA ESTERILIZADA NR.8,5 (PAR) - SANRO
ESCOVA PROFESSIONAL SCRUB 1UNID - - CRISTALIA
ESCOVA DESC.SCRUB MN 48UNID - CRISTALIA
ZOMIG 2,5MG 2CPDS REV. - ASTRAZENECA
MARCLORHEX 2% 1LT - - CRISTALIA
ESCOVA DESC.SCRUB MX 48UNID - CRISTALIA
MARCODINE SCRUB 100MG/ML SOL.TOP.1LT - - CRISTALIA
ESCOVA DESC.SCRUB MX 4% 48UNID - CRISTALIA
MARCODINE TOP.100MG/ML SOL.1LT - - CRISTALIA
PARALGEN 200MG GTS.15ML - LEGRAND OTC
PARALGEN 750MG 2X10CPDS - LEGRAND OTC
DIFENIDRIN 50MG/ML 25AMP 1ML - CRISTALIA
DIMORF 0,2MG/ML 50EST.1ML STERILE PACK - CRISTALIA
DORMIRE 50MG 5AMP 10ML - CRISTALIA
DORMIRE 15MG 20CPDS - CRISTALIA
DROPERDAL 2,5MG/ML 50AMP 1ML - CRISTALIA
ETOMIDATO GEN.2MG/ML 25AMP 10ML - CRISTALIA
FENTANEST 0,05MG/ML 25AMP 5ML - CRISTALIA
FENTANEST 0,05MG/ML 25AMP 10ML - CRISTALIA
FENTANEST 0,05MG/ML 50EST.1AMP 2ML - CRISTALIA
NILPERIDOL 50AMP 2ML - CRISTALIA
PANCURON 2MG/ML 50AMP 2ML - CRISTALIA
THIOPENTAX 0,5GR 25FA - CRISTALIA
THIOPENTAX 1,0GR 25FA - CRISTALIA
ENFLURAN 100ML - CRISTALIA
ENFLURAN 240ML - CRISTALIA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
22
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000009562
0000009566
0000009567
0000009571
0000009573
0000009574
0000009577
0000009579
0000009581
0000009583
0000009585
0000009588
0000009591
0000009593
0000009596
0000009598
0000009601
0000009603
0000009604
0000009608
0000009609
0000009610
0000009612
0000009621
0000009623
0000009630
0000009631
0000009662
0000009663
0000009664
0000009665
0000009666
0000009667
0000009668
0000009669
0000009670
0000009671
0000009672
0000009673
0000009674
0000009675
0000009676
0000009677
0000009678
0000009680
0000009681
0000009682
DESCRICAO
ISOFORINE 100ML - CRISTALIA
ISOFORINE 240ML - CRISTALIA
NEOCAINA 0,25% C/VASO 10X20ML - CRISTALIA
NEOCAINA 0,25% S/VASO 10FA 20ML STERILE PACK - CRISTALIA
NEOCAINA 0,5% C/VASO 6X20ML - CRISTALIA
NEOCAINA 0,5% C/VASO 10X20ML - CRISTALIA
NEOCAINA 0,5% C/VASO 10X30ML - CRISTALIA
NEOCAINA 0,5% ISOB.40FA 4ML STERILE PACK - CRISTALIA
NEOCAINA 0,5% PESADA 40FA 4ML STERILE PACK - CRISTALIA
NEOCAINA 0,5% S/VASO 6X20ML - CRISTALIA
NEOCAINA 0,5% S/VASO 10X20ML - CRISTALIA
NEOCAINA 0,75% C/VASO 10X20ML - CRISTALIA
NEOCAINA 0,75% S/VASO 10FA 20ML STERILE PACK - CRISTALIA
XYLESTESIN 1% C/VASO 10EST.20ML - CRISTALIA
XYLESTESIN 1% S/VASO 10EST.20ML STERILE PACK - CRISTALIA
XYLESTESIN 1% S/VASO 10X20ML - CRISTALIA
XYLESTESIN 2% C/VASO 10EST.20ML - CRISTALIA
XYLESTESIN 2% C/VASO 10X20ML - CRISTALIA
XYLESTESIN 2% GEL 10X30GRS - CRISTALIA
XYLESTESIN 2% S/VASO 50AMP 5ML - CRISTALIA
XYLESTESIN 2% S/VASO 10EST.20ML STERILE PACK - CRISTALIA
XYLESTESIN 2% S/VASO 10X20ML - CRISTALIA
XYLESTESIN 5% PESADA 50EST.2ML STERILE PACK - CRISTALIA
NAUSEDRON 4MG 50AMP 2ML - CRISTALIA
NAUSEDRON 8MG 50AMP 4ML - CRISTALIA
KOLLAGENASE S/CLORANF.POM.10X30GRS - CRISTALIA
KOLLAGENASE C/CLORANF.POM.10X30GRS - CRISTALIA
SONDA ASPIRACAO TRAQUEAL NR.04 EMB.P.G.C.10UNID - MARK MED
SONDA ASPIRACAO TRAQUEAL NR.06 EMB.P.G.C.10UNID - MARK MED
SONDA ASPIRACAO TRAQUEAL NR.08 EMB.P.G.C.10UNID - MARK MED
SONDA ASPIRACAO TRAQUEAL NR.10 EMB.P.G.C.10UNID - MARK MED
SONDA ASPIRACAO TRAQUEAL NR.12 EMB.P.G.C.10UNID - MARK MED
SONDA ASPIRACAO TRAQUEAL NR.14 EMB.P.G.C.10UNID - MARK MED
SONDA ASPIRACAO TRAQUEAL NR.16 EMB.P.G.C.10UNID - MARK MED
SONDA ASPIRACAO TRAQUEAL NR.18 EMB.P.G.C.10UNID - MARK MED
SONDA ASPIRACAO TRAQUEAL NR.20 EMB.P.G.C.10UNID - MARK MED
SONDA ASPIRACAO TRAQUEAL NR.22 EMB.P.G.C.10UNID - MARK MED
SONDA ASPIRACAO TRAQUEAL NR.24 EMB.P.G.C.10UNID - MARK MED
SONDA URETRAL NR.04 EMB.P.G.C.10UNID - MARK MED
SONDA URETRAL NR.06 EMB.P.G.C.10UNID - MARK MED
SONDA URETRAL NR.08 EMB.P.G.C.10UNID - MARK MED
SONDA URETRAL NR.10 EMB.P.G.C.10UNID - MARK MED
SONDA URETRAL NR.12 EMB.P.G.C.10UNID - MARK MED
SONDA URETRAL NR.14 EMB.P.G.C.10UNID - MARK MED
SONDA URETRAL NR.16 EMB.P.G.C.10UNID - MARK MED
SONDA URETRAL NR.18 EMB.P.G.C.10UNID - MARK MED
SONDA URETRAL NR.20 EMB.P.G.C.10UNID - MARK MED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
23
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000009684
0000009685
0000009686
0000009688
0000009690
0000009691
0000009692
0000009694
0000009695
0000009697
0000009699
0000009700
0000009701
0000009703
0000009708
0000009710
0000009711
0000009713
0000009715
0000009716
0000009717
0000009719
0000009720
0000009722
0000009724
0000009725
0000009727
0000009728
0000009738
0000009741
0000009742
0000009743
0000009745
0000009746
0000009747
0000009748
0000009750
0000009752
0000009754
0000009756
0000009759
0000009760
0000009761
0000009763
0000009764
0000009765
0000009766
DESCRICAO
SONDA URETRAL NR.22 EMB.P.G.C.10UNID - MARK MED
SONDA URETRAL NR.24 EMB.P.G.C.10UNID - MARK MED
SONDA RETAL NR.04 EMB.P.G.C.10UNID - MARK MED
SONDA RETAL NR.06 EMB.P.G.C.10UNID - MARK MED
SONDA RETAL NR.08 EMB.P.G.C.10UNID - MARK MED
SONDA RETAL NR.10 EMB.P.G.C.10UNID - MARK MED
SONDA RETAL NR.12 EMB.P.G.C.10UNID - MARK MED
SONDA RETAL NR.14 EMB.P.G.C.10UNID - MARK MED
SONDA RETAL NR.16 EMB.P.G.C.10UNID - MARK MED
SONDA RETAL NR.18 EMB.P.G.C.10UNID - MARK MED
SONDA RETAL NR.20 EMB.P.G.C.10UNID - MARK MED
SONDA RETAL NR.22 EMB.P.G.C.10UNID - MARK MED
SONDA RETAL NR.24 EMB.P.G.C.10UNID - MARK MED
SONDA RETAL NR.26 EMB.P.G.C.10UNID - MARK MED
SONDA RETAL NR.28 EMB.P.G.C.10UNID - MARK MED
SONDA RETAL NR.30 EMB.P.G.C.10UNID - MARK MED
SONDA RETAL NR.32 EMB.P.G.C.10UNID - MARK MED
SONDA GASTRICA LEVINE NR.04 EMB.P.G.C.10UNID - MARK MED
SONDA GASTRICA LEVINE NR.06 EMB.P.G.C.10UNID - MARK MED
SONDA GASTRICA LEVINE NR.08 EMB.P.G.C.10UNID - MARK MED
SONDA GASTRICA LEVINE NR.10 EMB.P.G.C.10UNID - MARK MED
SONDA GASTRICA LEVINE NR.12 EMB.P.G.C.10UNID - MARK MED
SONDA GASTRICA LEVINE NR.14 EMB.P.G.C.10UNID - MARK MED
SONDA GASTRICA LEVINE NR.16 EMB.P.G.C.10UNID - MARK MED
SONDA GASTRICA LEVINE NR.18 EMB.P.G.C.10UNID - MARK MED
SONDA GASTRICA LEVINE NR.20 EMB.P.G.C.10UNID - MARK MED
SONDA GASTRICA LEVINE NR.22 EMB.P.G.C.10UNID - MARK MED
SONDA GASTRICA LEVINE NR.24 EMB.P.G.C.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.04 INF.CURTA EMB.P.G.C.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.06 INF.CURTA EMB.P.G.C.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.08 INF.CURTA EMB.P.G.C.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.10 INF.CURTA EMB.P.G.C.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.12 INF.CURTA EMB.P.G.C.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.14 INF.CURTA EMB.P.G.C.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.16 INF.CURTA EMB.P.G.C.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.18 INF.CURTA EMB.P.G.C.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.20 INF.CURTA EMB.P.G.C.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.22 INF.CURTA EMB.P.G.C.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.24 INF.CURTA EMB.P.G.C.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.04 ADU.LONGA EMB.P.G.C.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.06 ADU.LONGA EMB.P.G.C.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.08 ADU.LONGA EMB.P.G.C.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.10 ADU.LONGA EMB.P.G.C.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.12 ADU.LONGA EMB.P.G.C.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.14 ADU.LONGA EMB.P.G.C.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.16 ADU.LONGA EMB.P.G.C.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.18 ADU.LONGA EMB.P.G.C.10UNID - MARK MED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
24
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000009767
0000009769
0000009770
0000009791
0000009794
0000009796
0000009797
0000009799
0000009801
0000009802
0000009804
0000009846
0000009850
0000009851
0000009865
0000009866
0000009867
0000009868
0000009869
0000009870
0000009885
0000009886
0000009887
0000009897
0000009898
0000009913
0000009916
0000009917
0000009931
0000009936
0000010035
0000010040
0000010061
0000010062
0000010063
0000010066
0000010067
0000010077
0000011949
0000012022
0000012032
0000012071
0000012093
0000012100
0000012269
0000012273
0000012444
DESCRICAO
SONDA ESTOMACAL NASOGASTRICA NR.20 ADU.LONGA EMB.P.G.C.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.22 ADU.LONGA EMB.P.G.C.10UNID - MARK MED
SONDA ESTOMACAL NASOGASTRICA NR.24 ADU.LONGA EMB.P.G.C.10UNID - MARK MED
CATETER P/OXIGENIO NR.04 EMB.P.G.C.10UNID - MARK MED
CATETER P/OXIGENIO NR.06 EMB.P.G.C.10UNID - MARK MED
CATETER P/OXIGENIO NR.08 EMB.P.G.C.10UNID - MARK MED
CATETER P/OXIGENIO NR.10 EMB.P.G.C.10UNID - MARK MED
CATETER P/OXIGENIO NR.12 EMB.P.G.C.10UNID - MARK MED
CATETER P/OXIGENIO NR.14 EMB.P.G.C.10UNID - MARK MED
CATETER P/OXIGENIO NR.16 EMB.P.G.C.10UNID - MARK MED
CATETER P/OXIGENIO NR.18 EMB.P.G.C.10UNID - MARK MED
SERINGA PERFUSORA 20ML 8728615 - B.BRAUN
SERINGA PERFUSORA 50ML S/ AGULHA 8728844F - B.BRAUN
EQUIPO EXTENSOR TB.FINO FOTOSSENSIVEL POLIET.PERFUSOR SET PE 150CM LL 8722935 - B.BRAUN
BOLSA EVA P/NPP MIX BAG 1000ML 2112381 - B.BRAUN
BOLSA EVA P/NPP MIX BAG 2000ML 2112382 - B.BRAUN
BOLSA EVA P/NPP MIX BAG 3000ML 2112383 - B.BRAUN
BOLSA EVA P/NPP MIX BAG 100ML 2112378 - B.BRAUN
BOLSA EVA P/NPP MIX BAG 250ML 2112379 - B.BRAUN
BOLSA EVA P/NPP MIX BAG 500ML 2112380 - B.BRAUN
EQUIPO P/INSUF.RENAL AGUDA (I.R.A.) CENTRAL FAD 100 811500 - B.BRAUN
EQUIPO P/INSUF.RENAL AGUDA (I.R.A.) CARRINHO P/FAD 100 811510 - B.BRAUN
KIT P/TERAPIA SUBSTITUICAO RENAL CONTINUA - KIT FAD 100 821200 - B.BRAUN
BOLSA P/DRENAGEM URINA 1500ML UROFIX SF 440009 - B.BRAUN
DISPOSITIVO P/INJECAO INTERMITENTE MEDIC.LATEX AUTO CICATRIZANTE LUER LOCK IN STOPPER 409079 - B.BRAUN
AGULHA PERICAN PAED G22X2" 0,70X50MM 4502078 - B.BRAUN
AGULHA PERIDURAL PED."TUOHY" PERICAN PAED G20X2" 0,90X50MM 4502094 - B.BRAUN
AGULHA PERIDURAL PED."TUOHY" PERICAN PAED G18X2" 1,30X50MM 4502302 - B.BRAUN
AGULHA P/RAQUI PED.ATRAUCAN PAED G26X2" 0,47X50MM 4504763 - B.BRAUN
KIT ANESTESIA RAQUIANESTESIA C/PENCAN G27 ENVELOPADO 405709 - B.BRAUN
TUBO EXTENSOR 20CM C/3 TORNEIRINHA EXTENSOFIX C/3 DISC.20CM 443126 - B.BRAUN
EQUIPO P/BOMBA INFUSAO MICROFIX 200 SANGUE NUTRIMAT 410541 - B.BRAUN
IMPLANTE P/RECONST.TEC.CONJ.NEUROPATCH 45 6X14CM 1PC 1064010 - B.BRAUN
IMPLANTE P/RECONST.TEC.CONJ.NEUROPATCH 45 4X10CM 1PC 1064037 - B.BRAUN
IMPLANTE P/RECONST.TEC.CONJ.NEUROPATCH 45 4X5CM 2PCS 1064045 - B.BRAUN
EQUIPO P/TRANSFERENCIA SOLUCAO FILTRO AR 1VIA AMINOMIX AIR P/MIX BAG 1V 560001 - B.BRAUN
EQUIPO P/TRANSFERENCIA SOLUCAO FILTRO AR 2VIAS AMINOMIX AIR P/MIX BAG 2V 560002 - B.BRAUN
PEDIASURE PO CHOC.400G - ABBOTT
ROACUTAN 10MG 30CAPS - ROCHE
HEMAX 3000UI 1FA - BIOSINTETICA
BIOMETROX 25MG/ML 1FA 20ML - BIOSINTETICA
AMARYL 4MG 30CPDS - SANOFI-AVENTIS
ALGIFLEX 200MG 20CPDS - EMS
EXCEDRIN 500+65MG 2BLX10CPDS REV. - NOVARTIS
BLOPRESS 8MG 30CPDS - ABBOTT
BLOPRESS 16MG 30CPDS - ABBOTT
DROPS FREE SUPRA SUMO CER.45GRS - HYPM
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
25
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000012449
0000012512
0000012617
0000012663
0000012664
0000012670
0000012671
0000012672
0000012673
0000012678
0000012679
0000012693
0000012697
0000012711
0000012712
0000012713
0000012714
0000013100
0000013101
0000013102
0000013103
0000013104
0000013106
0000013113
0000013114
0000013116
0000013117
0000013118
0000013122
0000013123
0000013151
0000013152
0000013153
0000013154
0000013155
0000013156
0000013157
0000013163
0000013165
0000013167
0000013168
0000013169
0000013170
0000013171
0000013173
0000013174
0000013175
DESCRICAO
ADOCYL GELATINA ABACAXI 14GRS - HYPM
FLAMATEC 7,5MG 10CPDS - UNIAO QUIMICA
SYSTEN CONTI 3,2MG C/8 ADES. - JANSSEN-CILAG
INSULINA HUMANA NOVOLIN PENFILL R 5FA 3,0ML - NOVO NORDISK
INSULINA HUMANA NOVOLIN PENFILL N 5FA 3,0ML - NOVO NORDISK
NOVOSEVEN 60 KUI 1,2MG - NOVO NORDISK
NOVOSEVEN 240 KUI 4,8MG - NOVO NORDISK
NOVOSEVEN 120 KUI 2,4MG - NOVO NORDISK
ESCABIN 0,03MG/G SAB.70GRS - COSMED
SOLUCAO DIPEPTIVEN 50ML BR1194051 - FRESENIUS KABI
SOLUCAO DIPEPTIVEN 100ML BR1194031 - FRESENIUS KABI
FRESUBIN ORIGINAL DIETA ENTERAL EASY BAG 1000ML BR7577231 - FRESENIUS KABI
FRESUBIN ORIGINAL FIBRE DIETA ENTERAL EASY BAG 1000ML BR7527231 - FRESENIUS KABI
EQUIPO C/PIN LONGO 5VIAS PD NIGHT SET - FRESENIUS MEDIC.CARE
EQUIPO C/PIN 5VIAS PD NIGHT SET PED - FRESENIUS MEDIC.CARE
BOLSA P/DRENAGEM PD NIGHT - FRESENIUS MEDIC.CARE
EXTENSAO DRENAGEM PD-NIGHT - FRESENIUS MEDIC.CARE
SCALP NR.19G MEDSCALP EMB.PAPEL - EMBRAMED
SCALP NR.21G MEDSCALP EMB.PAPEL - EMBRAMED
SCALP NR.23G MEDSCALP EMB.PAPEL - EMBRAMED
SCALP NR.25G MEDSCALP EMB.PAPEL - EMBRAMED
SCALP NR.27G MEDSCALP EMB.PAPEL - EMBRAMED
TUBO EXTENSOR P/OXIGENIO 2MT OX-VAC EMB.P.G.C. - EMBRAMED
SONDA URETRAL NR.04 EMB.P.G.C. - EMBRAMED
SONDA URETRAL NR.06 EMB.P.G.C. - EMBRAMED
SONDA URETRAL NR.08 EMB.P.G.C. - EMBRAMED
SONDA URETRAL NR.10 EMB.P.G.C. - EMBRAMED
SONDA URETRAL NR.12 EMB.P.G.C. - EMBRAMED
SONDA URETRAL NR.14 EMB.P.G.C. - EMBRAMED
SONDA URETRAL NR.16 EMB.P.G.C. - EMBRAMED
SONDA ASPIRACAO TRAQUEAL NR.04 EMB.P.G.C. - EMBRAMED
SONDA ASPIRACAO TRAQUEAL NR.06 EMB.P.G.C. - EMBRAMED
SONDA ASPIRACAO TRAQUEAL NR.08 EMB.P.G.C. - EMBRAMED
SONDA ASPIRACAO TRAQUEAL NR.10 EMB.P.G.C. - EMBRAMED
SONDA ASPIRACAO TRAQUEAL NR.12 EMB.P.G.C. - EMBRAMED
SONDA ASPIRACAO TRAQUEAL NR.14 EMB.P.G.C. - EMBRAMED
SONDA ASPIRACAO TRAQUEAL NR.16 EMB.P.G.C. - EMBRAMED
SONDA NASOGASTRICA NR.04 LONGA EMB.P.G.C. - EMBRAMED
SONDA NASOGASTRICA NR.06 LONGA EMB.P.G.C. - EMBRAMED
SONDA NASOGASTRICA NR.08 LONGA EMB.P.G.C. - EMBRAMED
SONDA NASOGASTRICA NR.10 LONGA EMB.P.G.C. - EMBRAMED
SONDA NASOGASTRICA NR.12 LONGA EMB.P.G.C. - EMBRAMED
SONDA NASOGASTRICA NR.14 LONGA EMB.P.G.C. - EMBRAMED
SONDA NASOGASTRICA NR.16 LONGA EMB.P.G.C. - EMBRAMED
SONDA NASOGASTRICA NR.18 LONGA EMB.P.G.C. - EMBRAMED
SONDA NASOGASTRICA NR.20 LONGA EMB.P.G.C. - EMBRAMED
SONDA NASOGASTRICA NR.22 LONGA EMB.P.G.C. - EMBRAMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
26
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000013176
0000013188
0000013189
0000013190
0000013191
0000013192
0000013195
0000013196
0000013197
0000013200
0000013201
0000013202
0000013203
0000013204
0000013257
0000013259
0000013261
0000013268
0000013270
0000013273
0000013276
0000013279
0000013281
0000013283
0000013285
0000013287
0000013289
0000013292
0000013298
0000013300
0000013302
0000013307
0000013312
0000013313
0000013314
0000013324
0000013327
0000013328
0000013333
0000013334
0000013335
0000013390
0000013439
0000013944
0000013946
0000013947
0000013953
DESCRICAO
SONDA NASOGASTRICA NR.24 LONGA EMB.P.G.C. - EMBRAMED
SONDA GASTRICA LEVINE NR.04 EMB.P.G.C. - EMBRAMED
SONDA GASTRICA LEVINE NR.06 EMB.P.G.C. - EMBRAMED
SONDA GASTRICA LEVINE NR.08 EMB.P.G.C. - EMBRAMED
SONDA GASTRICA LEVINE NR.10 EMB.P.G.C. - EMBRAMED
SONDA GASTRICA LEVINE NR.12 EMB.P.G.C. - EMBRAMED
SONDA GASTRICA LEVINE NR.16 EMB.P.G.C. - EMBRAMED
SONDA GASTRICA LEVINE NR.18 EMB.P.G.C. - EMBRAMED
SONDA GASTRICA LEVINE NR.20 EMB.P.G.C. - EMBRAMED
SONDA NASOGASTRICA NR.04 CURTA EMB.P.G.C. - EMBRAMED
SONDA NASOGASTRICA NR.06 CURTA EMB.P.G.C. - EMBRAMED
SONDA NASOGASTRICA NR.08 CURTA EMB.P.G.C. - EMBRAMED
SONDA NASOGASTRICA NR.10 CURTA EMB.P.G.C. - EMBRAMED
SONDA NASOGASTRICA NR.12 CURTA EMB.P.G.C. - EMBRAMED
EQUIPO P/SORO PINCA ROL.CAM.RIG.MACROGOTAS - EMBRAMED
EQUIPO P/SORO PINCA ROL.PED.CAM.RIG.C/INJ.LAT.MACROGOTAS - EMBRAMED
EQUIPO P/SORO PINCA ROL.FLASH BALL.CAM.RIG.C/INJ.LAT.MACROG - EMBRAMED
EQUIPO P/SORO PINCA ROL.CAM.FLEX.MACROGOTAS - EMBRAMED
EQUIPO P/SORO PINCA ROL.FLASH BALL CAM.FLEX.MACROGOTAS - EMBRAMED
EQUIPO P/SORO PINCA ROL.PED.CAM.FLEX.MICROGOTAS - EMBRAMED
EQUIPO P/SORO PINCA ROL.FOTORRES.CAM.FLEX.MACROGOTAS - EMBRAMED
EQUIPO P/SORO PINCA ROL.CAM.FLEX.C/INJ.LAT.MACROGOTAS 1,40M T-1000 - EMBRAMED
EQUIPO P/SORO PINCA ROL.FLASH BALL CAM.FLEX.C/INJ.LAT.MAC - EMBRAMED
EQUIPO P/SORO PINCA ROL.PED.CAM.FLEX.C/INJ.LAT.MICROGOTAS - EMBRAMED
EQUIPO P/SORO PINCA ROL.FOTORRES.CAM.FLEX.C/INJ.LAT.MACROGOT - EMBRAMED
EQUIPO P/SORO PINCA ROL.CAM.RIG.MACROGOTAS EMB.P.G.C. - EMBRAMED
EQUIPO P/SORO PINCA ROL.FLASH BALL CAM.RIG.MACROG.EMB.P.G.C. - EMBRAMED
EQUIPO P/SORO PINCA ROL.PED.CAM.RIG.MICROGOTAS EMB.P.G.C. - EMBRAMED
EQUIPO P/SORO PINCA ROL.CAM.FLEX.MACROGOTAS EMB.P.G.C. - EMBRAMED
EQUIPO P/SORO PINCA ROL.FLASH BALL CAM.FLEX.MACROG.EMB.P.G.C - EMBRAMED
EQUIPO P/SORO PINCA ROL.PED.CAM.FLEX.MICROGOTAS EMB.P.G.C - EMBRAMED
EQUIPO P/SORO PINCA ROL.FOTORRES.CAM.FLEX.MACROG.EMB.P.G.C - EMBRAMED
COLETOR URINA P/INCONTINENCIA URINARIA NR.05 - EMBRAMED
COLETOR URINA P/INCONTINENCIA URINARIA NR.06 - EMBRAMED
COLETOR URINA P/INCONTINENCIA URINARIA NR.08 - EMBRAMED
JARRO MEDIDOR VOL.URINA/SECRECOES CAP.1000CM3 CALICEMED - EMBRAMED
MIFLASONA 200MCG 60CPDS INAL. - NOVARTIS
MIFLASONA 400MCG 60CPDS INAL. - NOVARTIS
ENTOCORT 3,0MG 45CAPS GEL. - ASTRAZENECA
ATACAND 8MG 3BLX10CPDS - ASTRAZENECA
ATACAND 16MG 3BLX10CPDS - ASTRAZENECA
FEM 7 1,5MG ADES.TRANSDERMICO 4SACH - MERCK S.A.
BENETOSS XPE.INF.100ML - HERALD'S
MAGNOSTON 50% 100AMP 10ML - ARISTON
ALFUZINA 500MG 30CPDS - BUNKER
UROXAZOL-N 400MG 14CPDS - BUNKER
MITEXAN 400MG 20CPDS - BAXTER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
27
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000013954
0000013960
0000013961
0000013969
0000013980
0000013981
0000013982
0000014071
0000014072
0000014400
0000014404
0000014405
0000014406
0000014407
0000014408
0000014409
0000014410
0000014411
0000014412
0000014413
0000014414
0000014415
0000014416
0000014426
0000014572
0000014573
0000014574
0000014620
0000014627
0000014629
0000014630
0000014631
0000014632
0000014633
0000014634
0000014635
0000014656
0000014657
0000014658
0000014659
0000014660
0000014672
0000014697
0000014714
0000014717
0000014719
0000014794
DESCRICAO
MITEXAN 600MG 20CPDS - BAXTER
CARBAMAZEPINA GEN.200MG 20CPDS - TEUTO BRAS
CARBAMAZEPINA GEN.400MG 20CPDS - TEUTO BRAS
SEDALGINA 30+300+30MG 200DRGS - TEUTO BRAS
DETRUSITOL 2MG 60CPDS - PFIZER
DETRUSITOL 1MG 28CPDS - PFIZER
DETRUSITOL 2MG 28CPDS - PFIZER
FLOGAN 50MG 20CPDS - MERCK S.A.
FLOGAN 100MG 10CPDS - MERCK S.A.
SONDA/TUBO TRAQUEAL PVC S/BALAO RUSCH 2,0MM 100605-020 - BADEIA
COLETE ALGODAO TP."PUTTI" NR.48 148-48 - SALVAPE
COLETE ALGODAO TP."PUTTI" NR.50 148-50 - SALVAPE
FAIXA ORTOPEDICA CONFORTO GESTANTE PEQ.185-03 - SALVAPE
FAIXA ORTOPEDICA CONFORTO GESTANTE MED.185-04 - SALVAPE
FAIXA ORTOPEDICA CONFORTO GESTANTE GRD.185-05 - SALVAPE
TALA P/PUNHO ANTEBRACO ESQ.PEQ.428-33 - SALVAPE
TALA P/PUNHO ANTEBRACO ESQ.MED.428-34 - SALVAPE
TALA P/PUNHO ANTEBRACO ESQ.GRD.428-35 - SALVAPE
TALA P/PUNHO ANTEBRACO ESQ.GG 428-36 - SALVAPE
TALA P/PUNHO ANTEBRACO DIR.PEQ.428-43 - SALVAPE
TALA P/PUNHO ANTEBRACO DIR.MED.428-44 - SALVAPE
TALA P/PUNHO ANTEBRACO DIR.GRD.428-45 - SALVAPE
TALA P/PUNHO ANTEBRACO DIR.GG 428-46 - SALVAPE
ASMAPEN 200MG 20CPDS - NEOQUIMICA
IMOBILIZADOR TORNOZELO PEQ.611-03 - SALVAPE
IMOBILIZADOR TORNOZELO MED.611-04 - SALVAPE
IMOBILIZADOR TORNOZELO GRD 611-05 - SALVAPE
FORRACAO ORTOPEDICA ISOLETE TAM.UNICO 940-14 - SALVAPE
RUBBER-BAND P/EXERC.RESIST.15CM RL.5MT.LARANJA MAXIMA 955-109 - SALVAPE
RUBBER-BAND P/EXERC.RESIST.15CM RL.45MT.AMARELO SUAVE 955-90 - SALVAPE
RUBBER-BAND P/EXERC.RESIST.15CM RL.45MT.ROSA MEDIA 955-93 - SALVAPE
RUBBER-BAND P/EXERC.RESIST.15CM RL.45MT.VERDE FORTE 955-96 - SALVAPE
RUBBER-BAND P/EXERC.RESIST.15CM RL.45MT.AZUL EXTRA FORTE 955-99 - SALVAPE
RUBBER-BAND P/EXERC.RESIST.15CM RL.45MT.ROXO SUPER FORTE 955-102 - SALVAPE
RUBBER-BAND P/EXERC.RESIST.15CM RL.45MT.CINZA EXTRA SUPER FORTE 955-105 - SALVAPE
RUBBER-BAND P/EXERC.RESIST.15CM RL.25MT.LARANJA MAXIMA 955-108 - SALVAPE
COMPRESSA GAZE ESTRELA 13FIOS 7,5CMX7,5CM 500UNID 158.403 - CREMER
COMPRESSA GAZE ESTRELA 13FIOS 7,5CMX7,5CM C/FIO RX 500UNID 158.410 - CREMER
COMPRESSA GAZE NIDIA 11FIOS 7,5X7,5CM 500UNID 158.427 - CREMER
COMPRESSA GAZE IRIS 9FIOS 7,5X7,5CM 500UNID 158.434 - CREMER
TRAVISCO 200MG 30CPDS - CHIESI
CURATIVO NEXCARE COMFORT JOELHO&COTOVELO 8UNID - 3M BRASIL
MALHA TUBULAR STOCKINET 2,5CMX22,8MT MS-01 - 3M BRASIL
INDICADOR BIOLOGICO OXIDO 1264 100UNID - 3M BRASIL
INDICADOR QUIMICO INTERNO COMPLY OXIDO 240UNID 1251 - 3M BRASIL
MIODARID 200MG 20CPDS - NEOQUIMICA
ZITRONEO 500MG 3CPDS REV. - NEOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
28
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000014800
0000014801
0000014808
0000014809
0000014810
0000014811
0000014812
0000014813
0000014814
0000014816
0000014817
0000014818
0000014819
0000014820
0000014821
0000014825
0000014826
0000014827
0000014828
0000014830
0000014965
0000014975
0000014976
0000014977
0000014978
0000014979
0000014982
0000014983
0000014986
0000014987
0000014988
0000014989
0000014990
0000015000
0000015001
0000015002
0000015003
0000015031
0000015032
0000015033
0000015034
0000015035
0000015036
0000015052
0000015055
0000015056
0000015058
DESCRICAO
TENOTEC 20MG 10CPDS REV. - ACHE
ZITRONEO 600MG PO EXTEMP.11ML - NEOQUIMICA
PINCA KELLY 14CM RETA R-525-14R - RICHTER
PINCA KELLY 16CM RETA R-525-16R - RICHTER
PINCA KELLY LONGUETE 21CM AVULSA R-518-21LG - RICHTER
PORTA AGULHA MAYO 18CM C/VIDEA R-549-18D - RICHTER
PORTA AGULHA DERF DELICADA C/VIDEA R-540-12D - RICHTER
PORTA AGULHA MAYO DELICADA C/VIDEA R-542-14D - RICHTER
PORTA AGULHA MAYO HEGAR C/VIDEA R-546-16D - RICHTER
FACA DORSO ANGULADA 17CM R-632-18 - RICHTER
CINZEL CURVO 10MM R-708-20 - RICHTER
TESOURA METZEMBAUM RETA 14CM C/VIDEA R-662-14D - RICHTER
TESOURA METZEMBAUM CURVA 14CM C/VIDEA R-664-14D - RICHTER
TESOURA METZEMBAUM RETA 18CM C/VIDEA R-663-18D - RICHTER
TESOURA METZEMBAUM CURVA 18CM C/VIDEA R-665-18D - RICHTER
EXLUTON 0,5MG 28CPDS - SCHERING PLOUGH
NEURONTIN 300MG 30CAPS - PFIZER
NEURONTIN 400MG 30CAPS - PFIZER
CORUS 25MG 28CPDS - BIOSINTETICA
BONAR 15UI PO LIOF INJ FA 5ML - BIOSINTETICA
DIGESPRID 10MG 20CAPS - NEOQUIMICA
ANAFRANIL SR 75MG 20CPDS REV.LIB.LENTA - NOVARTIS
HYPERIUM 1MG 30CPDS - SERVIER
MUPHORAN 50MG/ML 1FA - SERVIER
AGULHA P/SUBCISION DRA.DORIS R-807-16 - RICHTER
CANULA P/LIPOASPIRACAO C/CABO 3MMX150MM LAMPAD. - RICHTER
DECANTADOR GORDURA SER.60ML TRIPLO R-426-60 - RICHTER
PINCA MICRO ANGULADA C/SERRILHA 12CM R-303-12A - RICHTER
PINCA HALSTEAD MOSQUITO CURVA 21CM R-526-21M - RICHTER
PINCA WALSHAM NASAL RETA R-140-23 - RICHTER
PINCA ASH NASAL ANGULADA R-141-23 - RICHTER
PINCA ADSON C/SERRILHA 12CM R-502-12 - RICHTER
PINCA ADSON C/DENTE 12CM R-504-12 - RICHTER
TESOURA IRIS RETA 12CM R-640-12M - RICHTER
TESOURA IRIS CURVA 12CM R-642-12M - RICHTER
TESOURA CASTROVIEJO 10CM R-655-10 - RICHTER
SERINGA CARPULE-DOBRAVEL R-121 - RICHTER
CARDILOL 3,125MG 15CPDS - LIBBS
CARDILOL 6,25MG 15CPDS - LIBBS
CARDILOL 12,5MG 15CPDS - LIBBS
CARDILOL 25MG 15CPDS - LIBBS
DIOVAN HCT 80+12,5MG 14CPDS - NOVARTIS
DIOVAN HCT 80+12,5MG 28CPDS - NOVARTIS
NASONEX SPR.NASAL 120 ATOMIZ. - SCHERING PLOUGH
MABTHERA 100MG SOL.INJ.2FA 10ML - ROCHE
MABTHERA 500MG SOL.INJ.1FA 50ML - ROCHE
DEXACOBAL SOL.INJ.3AMP 1ML+3AMP 2ML - - UNIAO QUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
29
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000015059
0000015063
0000015076
0000015082
0000015090
0000015091
0000015123
0000015124
0000015125
0000015126
0000015127
0000015179
0000015180
0000015181
0000015215
0000015222
0000015276
0000015277
0000015285
0000015289
0000015304
0000015305
0000015307
0000015326
0000015327
0000015336
0000015341
0000015342
0000015345
0000015346
0000015348
0000015349
0000015360
0000015363
0000015365
0000015505
0000015532
0000015539
0000015540
0000015573
0000015595
0000015746
0000015747
0000015750
0000015751
0000015752
0000015753
DESCRICAO
FOLDAN 50MG/ML LOC.CRM.50ML - UNIAO QUIMICA
NEOTAFLAN 50MG 20CPDS - NEOQUIMICA
DORALGINA 20DRGS. - NEOQUIMICA
FITA DENTAL REACH 50MT 50217 - - J&J CONSUMER
SONDA ENDOBRONQUEAL SHER I BRONCH LEFT (ESQ.) SHERIDAN - CNPH
SONDA ENDOBRONQUEAL SHER I BRONCH RIGHT (DIR.) SHERIDAN - CNPH
LUVA CIRURGICA NR.6,5 S/PO ESTER.SENSIFREE (PAR) - MUCAMBO
LUVA CIRURGICA NR.7,0 S/PO ESTER.SENSIFREE (PAR) - MUCAMBO
LUVA CIRURGICA NR.7,5 S/PO ESTER.SENSIFREE (PAR) - MUCAMBO
LUVA CIRURGICA NR.8,0 S/PO ESTER.SENSIFREE (PAR) - MUCAMBO
LUVA CIRURGICA NR.8,5 S/PO ESTER.SENSIFREE (PAR) - MUCAMBO
IRUXOL MONO 1,2U/G POM.DERM.15G - ABBOTT
IRUXOL MONO 1,2U/G POM.DERM 30G - ABBOTT
TARGUS LAT 40MG ADES.TRANSDERMICO 2SACHX5UNID - ABBOTT
GAZE ROLO 09FIOS C/8DOBRAS 91MT - - NEVE
ESPARADRAPO 2,5CMX0,90MT - - NEVE
MELOXIL 7,5MG 10CPDS - ATIVUS
MELOXIL 15MG 10CPDS - ATIVUS
TRAVOGYN 35GRS+7APL - ATIVUS
PRED MILD 1,2MG/ML SUSP.OFT.10ML - ALLERGAN
RENALAPRIL 5MG 3X10CPDS - NEOQUIMICA
MICORAL CRM.30G - ELOFAR
MICORAL 200MG 10CPDS - ELOFAR
VACINA INATIVADA COMB.HEPATITE A/B PED.360UEL+10MCG 1SER.0,5ML - GLAXOSMITH
VACINA INATIVADA COMB.HEPATITE A/B ADU.720UEL+20MCG 1SER.1ML - GLAXOSMITH
DIMINUT EST.CALEND.21CPDS - LIBBS
HELMIBEN SUSP.INF.30ML - EUROFARMA
HELMIBEN NF 6CPDS - EUROFARMA
LOXAM 7,5MG 10CPDS - NEOQUIMICA
TENSALIV 5MG 20CPDS - NEOQUIMICA
NEOTAFLAN 15MG/ML GTS.20ML - NEOQUIMICA
DIGESPRID 4MG/ML GTS.20ML - NEOQUIMICA
REHIDRAT 50MG NAT.4X7,337GRS - EUROFARMA
REHIDRAT 50MG LAR.04X7,625GRS - EUROFARMA
REHIDRAT 90MG NAT.4X13,95GRS - EUROFARMA
RENALAPRIL 10MG 3X10CPDS - NEOQUIMICA
OS-CAL D 500MG 60CPDS - - SANOFI-AVENTIS
AGRASTAT 0,25MG/ML SOL.INJ.1FA 50ML - ASPEN
COSOPT 5ML - MERCK S.D.
RENALAPRIL 20MG 3X10CPDS - NEOQUIMICA
CORTICORTEN 5MG 20CPDS - NEOQUIMICA
BUSCOVERAN COMPOSTO 20DRGS - BUNKER
BUSCOVERAN COMPOSTO GTS.20ML - BUNKER
PROBENXIL 50MG 20DRGS - CIMED
EPATIVAN SOL.ORAL 240ML - CIMED
BACTROPIN SUSP.100ML - CIMED
BACTROPIN 20CPDS - CIMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
30
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000015754
0000015755
0000015756
0000015791
0000015792
0000015793
0000015794
0000015796
0000015797
0000015798
0000015800
0000015883
0000015884
0000015885
0000015886
0000015887
0000015890
0000015941
0000015943
0000015944
0000015945
0000016075
0000016077
0000016078
0000016079
0000016080
0000016082
0000016246
0000016247
0000016645
0000016678
0000016825
0000016863
0000016889
0000016900
0000016901
0000016905
0000016906
0000016908
0000016915
0000016916
0000016918
0000016927
0000016932
0000016933
0000016934
0000016935
DESCRICAO
LAVITAN 30DRGS - CIMED
CAPTOMED 12,5MG 20CPDS - CIMED
CAPTOMED 25MG 20CPDS - CIMED
SERINGA S/AG.03ML LUER-LOK PLASTIPAK 990174 - BD
SERINGA S/AG.03ML LUER SLIP PLASTIPACK 990581 - BD
SERINGA S/AG.05ML LUER-LOK 990175 - BD
SERINGA S/AG.05ML LUER SLIP PLASTIPAK 990317 - BD
SERINGA S/AG.10ML LUER-LOK PLASTIPAK 990172 - BD
SERINGA S/AG.20ML LUER SLIP PLASTIPAK 990173 - BD
AGULHA HIPODERMICA 13X3 PRECISIONGLIDE 990193 - BD
TAMPA VEDANTE LUER CAP 990731 - BD
QUINOFLOX 500MG 10CPDS REV. - BIOLAB SANUS
NAUSICALM 50+10MG 20CPDS - UNIAO QUIMICA
NAUSICALM 25+5MG/ML PED.GTS.20ML - UNIAO QUIMICA
DEPRESS 20MG 14CAPS GEL. - UNIAO QUIMICA
MAZITRON 500MG 3CAPS GEL. - UNIAO QUIMICA
DESFRIN 0,025% SOL.NASAL PED.SPR.10ML - UNIAO QUIMICA
BOMBA INFUSAO LF 2001 - LIFEMED
EQUIPO P/BOMBA INFUSAO EQL FOTO LF 2001-10000349 - LIFEMED
EQUIPO P/BOMBA INFUSAO EQM 10000369 - LIFEMED
EQUIPO P/BOMBA INFUSAO EQM FOTO LF 2001-10000917 - LIFEMED
INICOX 15MG 10CPDS - - FARMOQUIMICA
DENACEN 6MG 20CPDS - MARJAN
DENACEN 30MG 10CPDS - MARJAN
TENSULAN 30CAPS GEL. - MARJAN
VITERGAN PRE-NATAL 30CPDS REV. - MARJAN
LACTREX LOC.120ML - GALDERMA
CORTICORTEN 20MG 20CPDS - NEOQUIMICA
CAPTOMED 50MG 20CPDS - CIMED
NEOSAC 150MG 5X4CPDS REV. - NEOQUIMICA
NEOSAC 300MG 5X4CPDS REV. - NEOQUIMICA
DISPOSITIVO DECANTACAO P/BOLSA BAG DECANTER 10102 - BAXTER
ROXITRAN 300MG 5CPDS REV. - NEOQUIMICA
HANDYSEAL - SELADOR PORTATIL C/BATERIA FDR4367 - BAXTER
AMPLACILINA 50MG/ML SUSP.ORAL 60ML - EUROFARMA
AMPLACILINA 500MG 12CAPS GEL.DURA - EUROFARMA
PEN-VE 400.000UI/5ML SUSP.60ML - EUROFARMA
PEN-VE 500.000UI 12CPDS - EUROFARMA
BENZETACIL 1200000UI 1FA 4ML F.V - EUROFARMA
CLORO-RIO 2,5% 50ML 0318 - RIOQUIMICA
RIOCIM POM.30GRS 0576 - RIOQUIMICA
ALGI TANDERIL SOFT GEL 60G - - GLENMARK
OMEPRAZIN 20MG 2X7CAPS - EMS
RIOMAX S/GERM.CRM.1000ML 0544 - RIOQUIMICA
RIOMAX S/GERM.CRM.5000ML 0546 - RIOQUIMICA
RIOMAX S/GERM.LIQ.1000ML 0533 - RIOQUIMICA
RIOMAX S/GERM.LIQ.5000ML 534 - RIOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
31
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000016937
0000016942
0000016955
0000016957
0000016958
0000016959
0000016965
0000016966
0000016967
0000016970
0000016974
0000016975
0000016976
0000016980
0000016981
0000016982
0000016988
0000016993
0000016999
0000017007
0000017008
0000017009
0000017010
0000017011
0000017013
0000017017
0000017018
0000017019
0000017021
0000017024
0000017025
0000017029
0000017030
0000017033
0000017036
0000017133
0000017147
0000017149
0000017153
0000017268
0000017270
0000017274
0000017279
0000017280
0000017281
0000017436
0000017440
DESCRICAO
RIOMAX S/GERM.GLICER.5000ML - RIOQUIMICA
VASELINA USP POM.30GRS 0562 - RIOQUIMICA
RIODEINE TOPICO 30ML C/CX.0548 - RIOQUIMICA
CAMPO OPERATORIO 45CMX50CM N/ESTERIL C/RAIO 35GRS.50UNID F01775 - POLAR FIX
HORMODOSE 0,75MG 80GRS - FARMASA
GELMAX ABAC.20SACH 5G EFV. - EMS CONSUMO
MAXALT 10MG 2CPDS - MERCK S.D.
MAXALT 10MG RPD 2CPDS - MERCK S.D.
GINO-TERACIN CRM.VAG.45G+10APL - COSMED
PEDIALYTE 45 SOL.T.FRUTTI 500ML - ABBOTT
DIAZOL 40+8MG/ML SUSP.ORAL 60ML - EMS
AZOPT 1% SUSP.OFT.5ML - ALCON
ROFERON-A 3MUI SER.PREENC.0,5ML - ROCHE
SOLU MEDROL 40MG 1AMP+DIL - PFIZER
GESTRELAN 0,15+0,03MG 3BLX21CPDS - BIOLAB SANUS
SOLU MEDROL 1G 1AMP+DIL - PFIZER
BLOQUEADOR SOLAR SUNDOWN FPS50 120ML 70087 - - J&J CONSUMER
PROTETOR DIARIO CAREFREE BRISA ANAT.40UNID 3978 - J&J CONSUM
LEUSTATIN 1FA 10ML - JANSSEN-CILAG
SONDA ESTOMACAL NASOGASTRICA NR.12 INF.CURTA EMB.P.G.C - SANOBIOL
SONDA ESTOMACAL NASOGASTRICA NR.14 INF.CURTA EMB.P.G.C - SANOBIOL
SONDA ESTOMACAL NASOGASTRICA NR.16 INF.CURTA EMB.P.G.C - SANOBIOL
SONDA ESTOMACAL NASOGASTRICA NR.18 INF.CURTA EMB.P.G.C - SANOBIOL
SONDA ESTOMACAL NASOGASTRICA NR.20 INF.CURTA EMB.P.G.C - SANOBIOL
SONDA GASTRICA LEVINE NR.04 LONGA EMB.P.G.C - SANOBIOL
SONDA RETAL NR.04 CURTA EMB.P.G.C - SANOBIOL
SONDA RETAL NR.06 CURTA EMB.P.G.C - SANOBIOL
SONDA RETAL NR.08 CURTA EMB.P.G.C - SANOBIOL
SONDA RETAL NR.34 CURTA EMB.P.G.C - SANOBIOL
SONDA URETRAL NR.22 CURTA EMB.P.G.C - SANOBIOL
SONDA URETRAL NR.24 CURTA EMB.P.G.C - SANOBIOL
SONDA ASPIRACAO TRAQUEAL NR.04 CURTA EMB.P.G.C - SANOBIOL
SONDA ASPIRACAO TRAQUEAL NR.06 CURTA EMB.P.G.C - SANOBIOL
SONDA ASPIRACAO TRAQUEAL NR.22 CURTA EMB.P.G.C - SANOBIOL
INFUSOR MULTIPLO 2VIAS EMB.P.G.C - SANOBIOL
CREME DENTAL ANTICARIE XAVIER 90GRS - HEPACHOLAN
ACCUPRIL 10MG 28CPDS - PFIZER
ACCUPRIL 20MG 28CPDS - PFIZER
ZOLADEX LA 10,8MG 1DEPOT - ASTRAZENECA
PAPEL P/ECG CARDIO SINAL 48MMX20MT 4820 - BIOMED
PAPEL P/ECG CARDIO SINAL 48MMX30MT 4830 - BIOMED
GEL P/ULTRASSOM ECG BIOGEL 100GRS 001F - BIOMED
CODEIN 30MG 3X10CPDS - CRISTALIA
CODEIN 60MG 3X10CPDS - CRISTALIA
CODEIN 30MG/ML 25AMP 2ML - CRISTALIA
FLAXIN 5MG 30CPDS REV. - MERCK S.A.
PASSIFLORINE 20DRGS - MILLETROUX
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
32
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000017447
0000017448
0000017532
0000017609
0000017610
0000017612
0000017627
0000017628
0000017685
0000017698
0000017706
0000017716
0000017722
0000017729
0000017733
0000017739
0000017740
0000017742
0000017743
0000017746
0000017797
0000017798
0000017801
0000017803
0000017809
0000017810
0000017837
0000017838
0000017844
0000017845
0000017846
0000017859
0000017865
0000017866
0000017869
0000017870
0000017878
0000017879
0000017880
0000017903
0000017904
0000017906
0000017909
0000017912
0000017913
0000017915
0000017920
DESCRICAO
XENICAL 120MG 42CAPS - ROCHE
XENICAL 120MG 84CAPS - ROCHE
LUVA CIRURGICA NR.9,0 ESTERIL 111 DIAL (PAR) - MUCAMBO
SIFROL 0,125MG 3BLX10CPDS - BOEHRINGER
SIFROL 1MG 3BLX10CPDS - BOEHRINGER
TRIATEC D 5+25MG 30CPDS - SANOFI-AVENTIS
CARGA P/GRAMPEADOR DESC.MULTIFIRE ENDO HERNIA 4.0MM AUTO SUTURE 174015 - COVIDIEN
CARGA P/GRAMPEADOR DESC.MULTIFIRE ENDO HERNIA 4.8MM AUTO SUTURE 174007 - COVIDIEN
DIAMOX 250MG 25CPDS - UNIAO QUIMICA
SERINGA INSULINA BD UD II 100U 8X0,30MM 30G 328328 - BD DIABETES
LUPRON DEPOT 11,25MG PO LIOF.1FA+DIL.+SER. - ABBOTT
HYPOTEARS PLUS 50MG/ML SOL.OFT.10ML - NOVARTIS
DUOVISC SMALL PROVISC 0,40ML/VISCOAT 0,35ML 10961 - ALCON
PONTEIRA P/FACOEMULSIFICACAO MICROTIP ABS 30G (RETA) 5834 - ALCON
PONTEIRA P/FACOEMULSIFICACAO MICROTIP KELMAN ABS 30G (CURVA) 5836 - ALCON
FIBRA OPTICA C/PIC 90GRAUS 6016 - ALCON
FIBRA OPTICA C/IRRIGACAO INFINITECH 6013 - ALCON
SONDA P/VITRECTOMIA 800 CORTES ACCURUS 5811 - ALCON
KIT BASICO P/VITRECTOMIA ACCURUS 5730 - ALCON
KIT P/FACOEMULSIFICACAO P/ACCURUS S/PONTEIRA 6017 - ALCON
TYLENOL 32MG SUSP.ORAL 60ML - J&J CONSUM
ZANIDIP 10MG 20CPDS - MEDLEY
ESCOVA TUBULAR 10MM P/LIMPEZA MATERIAL AI5011 - - AMERICAN INSTRUMENTS
REVIA 50MG 30CPDS - CRISTALIA
COMPRESSA GAZE ESTRELA 13FIOS 10X10CM 500UNID 158.441 - CREMER
COMPRESSA GAZE ALVA 20FIOS 10X10CM 500UNID 158.458 - CREMER
EFEDRIN 50MG/ML 100AMP 1ML - CRISTALIA
FENILEFRIN 10MG/ML 50AMP 1ML - CRISTALIA
ACETONA COMERCIAL 100ML - D.G.L
COLTRAX 4MG 2X10CPDS - SANOFI-AVENTIS
PINCA DESJARDINS FIG.2 P/CALCULO BILIAR 23CM 03-0176 - EDLO
AGUA P/INJECAO 100AMP PLAST.10ML - HYPOFARMA
FEMME 30CPDS REV. - ACHE
FEMME C/FLUOR 30CPDS REV. - ACHE
LOCERYL 0,25% CRM.20G - GALDERMA
LOCERYL 5% ESMALTE TERAPEUTICO 2,5ML - GALDERMA
SEROQUEL 25MG 14CPDS REV. - ASTRAZENECA
SEROQUEL 100MG 28CPDS REV. - ASTRAZENECA
SEROQUEL 200MG 28CPDS REV. - ASTRAZENECA
SERINGA HIPO 01ML LUER SLIP PLASTIPACK 990189 - BD
SERINGA S/AG.10ML LUER SLIP PLASTIPAK 990558 - BD
SERINGA C/AG.LATERAL 20ML 25X7 PLASTIPAK 990321 - BD
SERINGA INSULINA BD UF II 50U 8X0,30MM 30G 328325 - BD DIABETES
KIT PERISAFE 17G 3-1/2IN 401365 - BD
KIT PERISAFE 18G 3-1/2IN 401366 - BD
KIT DURASAFE 18G 3 1/2 S/EXT.401372 - BD
FIO DENTAL REACH ANTI-TARTARO 40MT 50215 - - J&J CONSUMER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
33
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000017924
0000017947
0000017948
0000017955
0000017958
0000017959
0000017967
0000017970
0000017973
0000017989
0000017992
0000017993
0000017998
0000017999
0000018024
0000018033
0000018039
0000018040
0000018045
0000018046
0000018047
0000018054
0000018471
0000018473
0000018475
0000018478
0000018479
0000018481
0000018482
0000018483
0000018568
0000018571
0000018730
0000018731
0000018732
0000018735
0000018736
0000018781
0000018845
0000018849
0000018850
0000018851
0000019000
0000019001
0000019002
0000019003
0000019004
DESCRICAO
ANTISEPTICO BUCAL R COOL MINT 250ML 3816 - - J&J CONSUMER
ARTINIZONA 20MG 20CPDS - TEUTO BRAS
ARTINIZONA 5MG 20CPDS - TEUTO BRAS
TEUTOMICIN 5MG/G+250UI POM.10GRS - TEUTO BRAS
EQUIPO P/SORO GTS.FILTRO PARTICULAS 1,40M EUROFIX IL 401400 - B.BRAUN
EQUIPO P/SORO GTS.FILTRO AR FILTRO PARTICULAS INJ.LATERAL 1,40M EUROFIX AIR IL 401450 - B.BRAUN
SISTEMA REPAR.HERNIA PROLENE HERNIA SYSTEM MED.1ENV.PHSM1 - J&J ETHICON
SISTEMA REPAR.HERNIA PROLENE HERNIA SYSTEM GRD.1ENV.PHSL1 - J&J ETHICON
SISTEMA REPAR.HERNIA PROLENE HERNIA SYSTEM EXT.1ENV.PHSE1 - J&J ETHICON
ANADOR 500MG 8CPDS F.V - BOEHRINGER
DIOVAN 160MG 14CPDS REV. - NOVARTIS
DIOVAN 160MG 28CPDS REV. - NOVARTIS
CLENIL 250MCG SPR.15ML - CHIESI
CLENIL 250MCG SPR.JET 15ML - CHIESI
HIDRAPEL PLUS 60GRS - STIEFEL
AFOPIC 5MG 20CPDS - TEUTO BRAS
LANOGASTRO 30MG 7CAPS GEL.DURA - TEUTO BRAS
LANOGASTRO 30MG 14CAPS GEL.DURA - TEUTO BRAS
FLUIMUCIL 100MG 16ENV 5GRS - ZAMBON
FLUIMUCIL 200MG 16ENV 5GRS - ZAMBON
FLUIMUCIL D 600MG 16ENV 5GRS - ZAMBON
GLYFLUCAN 150MG 1CAP GEL.DURA - GERMED
AMICILON 100MG 50AMP 2ML - ARISTON
AMICILON 250MG 50AMP 2ML - ARISTON
AMICILON 500MG 50AMP 2ML - ARISTON
LEUKERAN 2MG 25CPDS(ICMS 0%) - GLAXOSMITH
NARAMIG 2,5MG 4CPDS - GLAXOSMITH
COMPRESSA GAZE ESTRELA 13FIOS 7,5CMX7,5CM ETO ESTERIL 10UNID 194.579 - CREMER
COMPRESSA GAZE NIDIA 11FIOS 7,5X7,5CM ETO ESTERIL 10UNID 194.586 - CREMER
COMPRESSA GAZE NIDIA 11FIOS 7,5CMX7,5CM ETO ESTERIL 5UNID 194.654 - CREMER
PONTEIRA P/FACO 30¦ 21GA PROFICIENT OPOR3021G - VISTATEK
CHAVE METAL P/PONTEIRA OPOMTWL-CIB - VISTATEK
FIO MONOPOLAR SILICONE AVULSO 2,5M R-517-A - RICHTER
DESCOLADOR BRAGA CABO ESTREITO/LARGO R-753-18E/L - RICHTER
LAMINA P/FACA 6" 5UNID R-064-1 - RICHTER
PINCA ADSON C/SERRILHA R-502-12M - RICHTER
PINCA ADSON C/DENTE R-504-12M - RICHTER
ALLEGRA D 60+120MG 10CPDS - SANOFI-AVENTIS
TOLREST 100MG 20CPDS REV. - BIOSINTETICA
ANGIPRESS 25MG 28CPDS - BIOSINTETICA
ANGIPRESS 50MG 28CPDS - BIOSINTETICA
ANGIPRESS 100MG 28CPDS - BIOSINTETICA
FIO GUIA STABILIZER MRKWR SSOFT 014 180 R 518-224 - J&J CORDIS
FIO GUIA STABILIZER MAKWR SSOFT 014 180 J 518224J - J&J CORDIS
FIO GUIA STABILIZER MRKWR SSOFT 014 300 R 518-224X - J&J CORDIS
FIO GUIA STABILIZER MRKWR SSOFT 014 300 J 518-224Y - J&J CORDIS
FIO GUIA SHINOBI 014 180 R 547114 - J&J CORDIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
34
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000019005
0000019006
0000019007
0000019008
0000019009
0000019010
0000019012
0000019013
0000019014
0000019015
0000019017
0000019018
0000019021
0000019022
0000019024
0000019025
0000019027
0000019028
0000019032
0000019033
0000019036
0000019037
0000019039
0000019040
0000019041
0000019042
0000019044
0000019045
0000019048
0000019051
0000019052
0000019053
0000019055
0000019057
0000019061
0000019062
0000019065
0000019076
0000019077
0000019078
0000019079
0000019080
0000019081
0000019082
0000019083
0000019084
0000019085
DESCRICAO
FIO GUIA SHINOBI 014 300 R 547114X - J&J CORDIS
FIO GUIA SHINOBI PL 014 180 R 547214 - J&J CORDIS
FIO GUIA SHINOBI PL 014 300 R 547-214X - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/JL3/100 67000000 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/JL3.5 SH/100 67000300 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/JL3.5/100 67000200 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/JR3.5/100 67008000 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/JR3.5 SH/100 67008100 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/JL4/100 67000400 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/JL4 SH/100 67000500 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/JR4/100 67008200 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/JR4 SH/100 67008300 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/JL5/100 67000800 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/JR5/100 67008400 - J&J CORDIS
CATETER GUIA V.BRITE 6F/067/JRS/100 67008400 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/LCB/100 67018000 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/RCB/100 67018200 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/IM/100 67019000 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/AL1/100 67003600 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/AL1 SH/100 67003700 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/AL2/100 67004000 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/AL2 SH/100 67004100 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/AL3/100 67004200 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/AR1/100 67011000 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/AR2/100 67011200 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/H-STICK/100 67027800 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/MPA1/100 67027000 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/MPA1 SH/100 67027100 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/RB/100 67017200 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/XB3 SH/100 67005300 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/XB3.5/100 67005400 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/XB3.5 SH/100 67005500 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/XB4/100 67005600 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/XB4.5/100 67005800 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/XBRCA/100 67012600 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/JFL/100 67016200 - J&J CORDIS
CATETER GUIA V.BRITE 6F/070/JFR/100 67016800 - J&J CORDIS
INTRODUTOR AVANTI PLUS 6F 23CM S/MG 504606T - J&J CORDIS
INTRODUTOR AVANTI PLUS 7F 23CM S/MG 504607T - J&J CORDIS
INTRODUTOR AVANTI PLUS 8F 23CM S/MG 504608T - J&J CORDIS
INTRODUTOR AVANTI PLUS 9F 23CM S/MG 504609T - J&J CORDIS
INTRODUTOR AVANTI PLUS 10F 23CM S/MG 504610T - J&J CORDIS
INTRODUTOR AVANTI PLUS 11F 23CM S/MG 504611T - J&J CORDIS
INTRODUTOR AVANTI TRANSRADIAL 4F 11CM 504614Z - J&J CORDIS
INTRODUTOR AVANTI TRANSRADIAL 5F 11CM 504615Z - J&J CORDIS
INTRODUTOR AVANTI TRANSRADIAL 6F 11CM 504616Z - J&J CORDIS
INTRODUTOR AVANTI TRANSRADIAL 4F 23CM 504624Z - J&J CORDIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
35
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000019086
0000019087
0000019115
0000019116
0000019117
0000019129
0000019131
0000019132
0000019133
0000019135
0000019136
0000019137
0000019139
0000019140
0000019141
0000019142
0000019143
0000019144
0000019145
0000019146
0000019147
0000019148
0000019149
0000019150
0000019151
0000019152
0000019153
0000019154
0000019155
0000019156
0000019160
0000019161
0000019219
0000019221
0000019223
0000019227
0000019229
0000019231
0000019233
0000019237
0000019249
0000019292
0000019293
0000019294
0000019321
0000019322
0000019870
DESCRICAO
INTRODUTOR AVANTI TRANSRADIAL 5F 23CM 504625Z - J&J CORDIS
INTRODUTOR AVANTI TRANSRADIAL 6F 23CM 504626Z - J&J CORDIS
FIO GUIA STORQ II 0.35" PTA.RETA/SOFT/180CM 503356 - J&J CORDIS
FIO GUIA STORQ II 0.35" PTA.AGULHADA/SOFT/180CM 503-356J - J&J CORDIS
FIO GUIA STORQ II 0.35" PTA.RETA/SOFT/300CM 503356X - J&J CORDIS
CATETER GUIA CG V.BRITE TIP 7FR 0,078" 90CM MPA-I 77827090 - J&J CORDIS
CATETER GUIA CG V.BRITE TIP 7F 078 55CM RENAL I 778-21055 - J&J CORDIS
CATETER GUIA CG V.BRITE TIP 7F 078 55CM RENAL 778-21255 - J&J CORDIS
CATETER GUIA CG V.BRITE TIP 7F 078 55CM J CURVE 778-21455 - J&J CORDIS
CATETER GUIA CG V.BRITE TIP 7F 078 90CM VERTEBRAL 778-21690 - J&J CORDIS
CATETER GUIA CG V.BRITE TIP 7F 078 55CM CONTRAL.I 778-22255 - J&J CORDIS
CATETER GUIA CG V.BRITE TIP 7F 078 55CM CONTRAL.II 778-22455 - J&J CORDIS
CATETER GUIA CG V.BRITE TIP 8F 088 90CM MULTIPROP.588-842P - J&J CORDIS
CATETER GUIA CG V.BRITE TIP 8F 088 90CM RETO 588-844P - J&J CORDIS
CATETER GUIA CG V.BRITE TIP 8F 088 55CM RENAL I 588-845P - J&J CORDIS
CATETER GUIA CG V.BRITE TIP 8F 088 55CM RENAL 588-846P - J&J CORDIS
CATETER GUIA CG V.BRITE TIP 8F 088 55CM J CURVE 588-849P - J&J CORDIS
CATETER GUIA CG V.BRITE TIP 8F 088 90CM VERTEBRAL 588-847P - J&J CORDIS
CATETER GUIA CG V.BRITE TIP 8F 088 90CM CEREB.MODIF.588-848P - J&J CORDIS
CATETER GUIA CG V.BRITE TIP 8F 088 55CM CONTRALAT.I 588-857P - J&J CORDIS
CATETER GUIA CG V.BRITE TIP 8F 088 55CM CONTRALAT.II 588858P - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 4F 11CM 401411M - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 5F 11CM 401511M - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 6F 23CM 401-623M - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 6F 35CM 401-635M - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 6F 45CM 401645M - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 9F 45CM 401-945M - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 9F 55CM 401955M - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 10F 11CM 401011M - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 10F 23CM 401023M - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 11F 11CM 401111M - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 11F 23CM 401-123M - J&J CORDIS
CATETER ABLACAO DEFLECT.4MM CURVA A 6FR THR 92CM CELCIUS D6TAL252RT - J&J CORDIS
CATETER ABLACAO DEFLECT.4MM CURVA D 6FR THR 92CM CELSIUS D6TDL252RT - J&J CORDIS
CATETER ABLACAO DEFLECT.4MM CURVA B 6FR THR 92CM CELSIUS D6TBL252RT - J&J CORDIS
CATETER ABLACAO DEFLECT.4MM CURVA A 7FR THR 115CM CELSIUS D7TAL252RT - J&J CORDIS
CATETER ABLACAO DEFLECT.4MM CURVA B 7FR THR 115CM CELSIUS D7TBL252RT - J&J CORDIS
CATETER ABLACAO DEFLECT.4MM CURVA C 7FR THR 115CM CELSIUS D7TCL252RT - J&J CORDIS
CATETER ABLACAO DEFLECT.4MM CURVA D 7FR THR 115CM CELSIUS D7TDL252RT - J&J CORDIS
CATETER ABLACAO DEFLECT.4MM CURVA F 7FR THR 115CM CELSIUS D7TFL252RT - J&J CORDIS
CATETER ABLACAO DEFLECT.4MM CURVA D 7FR TC 115CM CELSIUS D7TCDL252RT - J&J CORDIS
CABO INTERFACE CATETER CELSIUS THR P/GERADOR EPT 1,8M C6MR10EPTS - J&J CORDIS
CABO INTERFACE CATETER CELSIUS THR P/GERADOR EPT 1000 1,8M C6MR10EPTRS - J&J CORDIS
CABO INTERFACE CATETER CELSIUS TC P/GERADOR ATAKR 1,8M C6MR10MLTCS - J&J CORDIS
ESTRAGEST TTS 125+25MCG 8SIST. - NOVARTIS
FLOTAC 70MG 20CAPS - NOVARTIS
MIOCALVEN 200MG 60CPDS - CHIESI
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
36
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000019871
0000020001
0000020004
0000020007
0000020008
0000020009
0000020010
0000020012
0000020013
0000020014
0000020026
0000020042
0000020043
0000020044
0000020045
0000020046
0000020047
0000020052
0000020053
0000020054
0000020055
0000020056
0000020058
0000020059
0000020063
0000020074
0000020083
0000020084
0000020087
0000020088
0000020090
0000020092
0000020093
0000020094
0000020096
0000020097
0000020099
0000020100
0000020101
0000020102
0000020103
0000020105
0000020106
0000020107
0000020110
0000020113
0000020114
DESCRICAO
FLUIBRON A 10FLAC 2ML - CHIESI
BELEXA XPE.150ML - FARMASA
PEDIALYTE 45 SOL.GUARANA 500ML - ABBOTT
SEVORANE INAL.250ML - ABBOTT
CETIVA AE GTS.30ML - FARMASA
MAGNOPYROL 500MG/ML GTS.20ML - FARMASA
DEPAKENE 250MG 25CAPS GEL. - ABBOTT
DEPAKENE 500MG 50CPDS REV. - ABBOTT
DEPAKENE 50MG/ML XPE.100ML - ABBOTT
CATETER ABBOCATH T PLUS 14G G713 - HOSPIRA
PEDIALYTE 45 SOL.CER.500ML - ABBOTT
LUCRETIN PO 20ENV 4GRS - FARMASA
LUPRON 5MG/ML SOL.INJ.1FA 2,8ML - ABBOTT
MAGNOPYROL 500MG/ML GTS.10ML - FARMASA
MAGNOPYROL 500MG 50X4CPDS - FARMASA
MAGNOPYROL 300MG 5SUPS - FARMASA
CATETER ABBOCATH T PLUS 16G G714 - HOSPIRA
MAGNOPYROL 500MG 1X4CPDS F.V - FARMASA
METIOCOLIN B12 40DRGS - FARMASA
METIOCOLIN COMP.100FLAC 10ML - FARMASA
METIOCOLIN COMP.12FLAC 10ML - FARMASA
NOCTAL 2MG 20CPDS - ABBOTT
HYTRIN 5MG 30CPDS - ABBOTT
PEDIALYTE 45 SOL.COCO 500ML - ABBOTT
PEDIALYTE 45 SOL.MACA 500ML - ABBOTT
PEDIALYTE 90 SOL.500ML - ABBOTT
PEDIASURE PO BAUN.400G - ABBOTT
PERATIVE 237ML - ABBOTT
JEVITY PLUS 237ML - ABBOTT
OSMOLITE PLUS HN 237ML - ABBOTT
SEVORANE INAL.100ML - ABBOTT
SOBREPIN 13,33MG/ML 5AMP 3ML - FARMASA
SOBREPIN 100MG INF.5SUPS - FARMASA
SOBREPIN 8MG/ML XPE.100ML - FARMASA
GLUCERNA RTH SF-1000ML - ABBOTT
JEVITY RTH 1000ML - ABBOTT
JEVITY PLUS RTH 1000ML - ABBOTT
DEPAKENE 300MG 25CPDS REV. - ABBOTT
OSMOLITE HN RTH 1000ML - ABBOTT
OSMOLITE PLUS HN RTH SF-1000ML - ABBOTT
PERATIVE RTH SF-1000ML - ABBOTT
PROFORT BAUN.RTH 1000ML - ABBOTT
PULMOCARE RTH BAUN.SF-1000ML - ABBOTT
EQUIPO FLEXIFLO C/LANCETA P/BOMBA NUTRICAO ENTERAL PATROL - ABBOTT
SONDA NASOENTERAL 8FR FLEXIFLO - ABBOTT
SONDA NASOENTERAL 10FR FLEXIFLO - ABBOTT
SONDA NASOENTERAL 12FR FLEXIFLO - ABBOTT
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
37
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000020116
0000020117
0000020125
0000020126
0000020127
0000020134
0000020136
0000020159
0000020160
0000020174
0000020180
0000020181
0000020182
0000020183
0000020184
0000020188
0000020203
0000020206
0000020213
0000020222
0000020225
0000020226
0000020227
0000020228
0000020246
0000020251
0000020279
0000020281
0000020283
0000020285
0000020300
0000020303
0000020658
0000020659
0000020704
0000020823
0000020824
0000020828
0000020829
0000020834
0000020836
0000020837
0000020838
0000020843
0000020844
0000020848
0000020887
DESCRICAO
CATETER ABBOCATH T PLUS 18G G715 - HOSPIRA
LUPRON DEPOT 3,75MG PO LIOF.1FA+DIL.2ML+SER. - ABBOTT
CATETER ABBOCATH T PLUS 20G G717 - HOSPIRA
CATETER ABBOCATH T PLUS 22G G719 - HOSPIRA
CATETER ABBOCATH T PLUS 24G G720 - HOSPIRA
LUPRON DEPOT 22,5MG PO LIOF.1FA+DIL.+SER.+2AG. - - ABBOTT
KLARICID UD 500MG 10CPDS LIB.PROLONG. - ABBOTT
EQUIPO CONVENCIONAL P/BOMBA LIFECARE MACRO 1642 - HOSPIRA
FORANE INAL.100ML - ABBOTT
SURVANTA 25MCG/ML 1FA 8ML - ABBOTT
OSMOLITE HN 237ML - ABBOTT
JEVITY 237ML - ABBOTT
REPLENA 237ML - ABBOTT
GLUCERNA BAUN.237ML - ABBOTT
CALCIJEX 1MCG/ML SOL.INJ.3AMP 1ML - ABBOTT
ISOMIL PO 400GRS - - ABBOTT
NEPRO HP BAUN.237ML - ABBOTT
SIMILAC ADVANCE 1 400G - ABBOTT
SIMILAC ADVANCE 2 400G - ABBOTT
TALA SIMPLES PUNHO-MAO-DEDO DIR.PEQ.403-43 - SALVAPE
TALA SIMPLES PUNHO-MAO-DEDO DIR.MED.403-44 - SALVAPE
TALA SIMPLES PUNHO-MAO-DEDO DIR.GRD.403-45 - SALVAPE
ESPALDEIRA POSTURAL TP.MOCHILA PLAST.PEQ/MED 276-03 - SALVAPE
ESPALDEIRA POSTURAL TP.MOCHILA PLAST.MED/GRD 276-05 - SALVAPE
LUPRON DEPOT 7,5MG PO LIOF.1FA+DIL.+SER. - ABBOTT
ALITRAQ BAUN.1ENV.76G - ABBOTT
EQUIPO SECUND.P/BOMBA INFUSAO LIFECARE 5000 PLUM 11877 - HOSPIRA
EQUIPO PRIM.C/BURETA P/BOMBA INFUSAO LIFECARE 5000 PLUM-MICRO 11710 - HOSPIRA
EQUIPO EPIDURAL P/BOMBA APM 13510 - HOSPIRA
KLARICID 500MG PO LIOF.1FA CAPAC.10ML - ABBOTT
EQUIPO LIFESHIELD P/ANESTESIA CONVENCIONAL P/BOMBA ANNE 13720 - HOSPIRA
EQUIPO LIFESHIELD P/ANESTESIA SERINGA P/BOMBA ANNE 13722 - HOSPIRA
ROFERON-A 9MUI SER.PREENC.0,5ML - ROCHE
ROFERON-A 4,5MUI SER.PREENC.0,5ML - ROCHE
COLETOR SECRECAO P/BRONCOSCOPIO/ENDOSCOPIA 150ML - P.SIMON
PYLORIPAC 7BLX2CAPS+2CPDS+4CAPS - MEDLEY
EBASTEL XPE.60ML - EUROFARMA
CANESTEN 1% CRM.DERM.20GRS - BAYER
SOMAZINA 500MG 15CPDS REV. - ABBOTT SAUDE
CELULA P/ANALISADOR MICRO FUEL CELL CLASS R29 C70592 - GER-AR
BISOLVON 1,6MG/ML XPE.ADU.120ML - BOEHRINGER
COMBIVENT AER.10ML+AEROCAMERA - BOEHRINGER
TETRALYSAL 150MG 16CAPS - GALDERMA
PONDICILINA MEL/LIM.12PAST - UNIAO QUIMICA
VIRAMUNE 200MG 60CPDS - BOEHRINGER
GLUCAGEN HYPOKIT 1MG - NOVO NORDISK
BICARBONATO SODIO 100GRS T.LACRE - ICAR
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
38
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000020888
0000020897
0000020903
0000020904
0000020955
0000020956
0000020957
0000020958
0000020959
0000020960
0000020961
0000020962
0000020963
0000020964
0000020965
0000020966
0000020967
0000020968
0000020969
0000020970
0000020971
0000020973
0000020975
0000020976
0000020977
0000020978
0000020979
0000020980
0000020981
0000020982
0000020983
0000020984
0000020985
0000020986
0000020987
0000020988
0000020989
0000020991
0000020992
0000020998
0000021007
0000021008
0000021009
0000021010
0000021011
0000021012
0000021013
DESCRICAO
PRIMERA 30MG 21CPDS - EUROFARMA
NATRILIX SR 1,5MG 30CPDS REV. - SERVIER
CETOZAN 200MG 20CPDS - ROYTON
CETOZAN 20MG/G SHM.100ML - ROYTON
ELETRODO P/ELETROCIRURGIA TP.ALCA 1 POLO 24FR 27050 G - STORZ
ELETRODO P/ELETROCIRURGIA TP.ALCA 1 POLO 27FR 27050 F - STORZ
ELETRODO P/ELETROCIRURGIA TP.ALCA ANGULADA 1 POLO 24FR 27050 GS - STORZ
ELETRODO P/ELETROCIRURGIA TP.ALCA ANGULADA 1 POLO 27FR 27050 FS - STORZ
ELETRODO P/ELETROCIRURGIA TP.ALCA RETA 1 POLO 24FR 27050 J - STORZ
ELETRODO P/ELETROCIRURGIA TP.ALCA RETA 1 POLO 27FR 27050 H - STORZ
ELETRODO P/ELETROCIRURGIA TP.PONTEAGUDO 1 POLO 24FR 27050 L - STORZ
ELETRODO P/ELETROCIRURGIA TP.PONTEAGUDO 1 POLO 27FR 27050 K - STORZ
ELETRODO P/ELETROCIRURGIA CONICO 1 POLO 24FR 27050 S - STORZ
ELETRODO P/ELETROCIRURGIA CONICO 1 POLO 27FR 27050 R - STORZ
ELETRODO P/ELETROCIRURGIA TP.BOLA 1 POLO 3MM 24FR 27050 N - STORZ
ELETRODO P/ELETROCIRURGIA TP.BOLA 1 POLO 3MM 27FR 27050 M - STORZ
ELETRODO P/ELETROCIRURGIA TP.BOLA 1 POLO 5MM 24FR 27050 NK - STORZ
ELETRODO P/ELETROCIRURGIA TP.BOLA 1 POLO 5MM 27FR 27050 MK - STORZ
ELETRODO P/ELETROCIRURGIA CILIND.1 POLO 3MM 24FR 27050 NX - STORZ
ELETRODO P/ELETROCIRURGIA CILIND.1 POLO 3MM 27FR 27050 MX - STORZ
ELETRODO P/ELETROCIRURGIA CILIND.1 POLO 5MM 24FR 27050 NW - STORZ
ELETRODO P/ELETROCIRURGIA TP.AGULHA 1POLO 24FR - - STORZ
ELETRODO P/ELETROCIRURGIA TP.CURETTA AGUDA 1 POLO 24FR 27050 X - STORZ
ELETRODO P/ELETROCIRURGIA TP.CURETTA AGUDA 1 POLO 27FR 27050 U - STORZ
ELETRODO P/ELETROCIRURGIA TP.CURETTA AGUDA 1 POLO 24FR 27050 Z - STORZ
ELETRODO P/ELETROCIRURGIA TP.CURETTA AGUDA 1 POLO 27FR 27050 Y - STORZ
ELETRODO P/ELETROCIRURGIA TP.ALCA 1 POLO 0,8MM 24FR 27050 DG - STORZ
ELETRODO P/ELETROCIRURGIA TP.ALCA 1 POLO 0,8MM 27FR 27050 DF - STORZ
ELETRODO P/ELETROCIRURGIA TP.SPIKER 1 POLO 24FR 27050 VG - STORZ
ELETRODO P/ELETROCIRURGIA TP.SPIKER 1 POLO 27FR 27050 VF - STORZ
ELETRODO P/ELETROCIRURGIA TP.SPIKER 1 POLO 3MM 24FR 27050 VK - STORZ
ELETRODO P/ELETROCIRURGIA TP.SPIKER 1 POLO 3MM 27FR 27050 VM - STORZ
ELETRODO P/ELETROCIRURGIA TP.ROLLER BALL 1 POLO 5MM 24FR 27050 RG - STORZ
ELETRODO P/ELETROCIRURGIA TP.ROLLER BALL 1 POLO 27FR 27050 RF - STORZ
ELETRODO P/ELETROCIRURGIA TP.ROLLER BALL 1 POLO 3MM 24FR 27050 RK - STORZ
ELETRODO P/ELETROCIRURGIA TP.ROLLER-BALL 1 POLO 3MM 27FR 27050 RM - STORZ
ELETRODO P/ELETROCIRURGIA P/RESSECCAO 1,2MM 24CH 1 POLO 27050 SG - STORZ
ELETRODO P/ELETROCIRURGIA TP.ROLLET 1 POLO 24FR 27050 KG - STORZ
ELETRODO P/ELETROCIRURGIA TP.ROLLET 1 POLO 27FR 27050 KF - STORZ
ELETRODO P/ELETROCIRURGIA TP.PONTEAGUDO 1 POLO 27F 27050 KP - STORZ
ELETRODO P/ELETROCIRURGIA TP.ALCA 24FR 27040 DG - STORZ
ELETRODO P/ELETROCIRURGIA TP.ALCA 27FR 27040 DF - STORZ
ELETRODO P/ELETROCIRURGIA TP.SPIKE 27FR 27040 VG - STORZ
ELETRODO P/ELETROCIRURGIA TP.SPIKE 27FR 27040 VF - STORZ
ELETRODO P/ELETROCIRURGIA TP.SPIKE 24FR 27040 VK - STORZ
ELETRODO P/ELETROCIRURGIA TP.SPIKER 27FR 27040 VM - STORZ
ELETRODO P/ELETROCIRURGIA TP.ROLLER 24FR 27040 RG - STORZ
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
39
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000021014
0000021015
0000021016
0000021017
0000021019
0000021020
0000021023
0000021024
0000021025
0000021026
0000021027
0000021028
0000021029
0000021030
0000021031
0000021032
0000021033
0000021034
0000021035
0000021036
0000021037
0000021038
0000021039
0000021040
0000021042
0000021043
0000021044
0000021045
0000021046
0000021048
0000021057
0000021058
0000021060
0000021066
0000021072
0000021073
0000021074
0000021076
0000021080
0000021083
0000021085
0000021087
0000021091
0000021092
0000021093
0000021124
0000021141
DESCRICAO
ELETRODO P/ELETROCIRURGIA TP.ROLLER BALL 27FR 27040 RF - STORZ
ELETRODO P/ELETROCIRURGIA TP.ROLLER-BALL 24FR 27040 RK - STORZ
ELETRODO P/ELETROCIRURGIA TP.ROLLER BALL 27FR 27040 RM - STORZ
ELETRODO P/ELETROCIRURGIA 1,2MM 24FR 27040 SG - STORZ
ELETRODO P/ELETROCIRURGIA TP.ROLLET 24FR 27040 KG - STORZ
ELETRODO P/ELETROCIRURGIA TP.ROLLET 27FR 27040 KF - STORZ
ELETRODO P/ELETROCIRURGIA TP.ALCA 24FR 27040 G - STORZ
ELETRODO P/ELETROCIRURGIA TP.ALCA 27FR 27040 F - STORZ
ELETRODO P/ELETROCIRURGIA TP.ALCA ANGULADA 24FR 27040 GS - STORZ
ELETRODO P/ELETROCIRURGIA TP.ALCA ANGULADA 27FR 27040 FS - STORZ
ELETRODO P/ELETROCIRURGIA TP.ALCA RETA 24FR 27040 J - STORZ
ELETRODO P/ELETROCIRURGIA TP.ALCA RETA 27FR 27040 H - STORZ
ELETRODO P/ELETROCIRURGIA TP.PONTEAGUDO 24FR 27040 L - STORZ
ELETRODO P/ELETROCIRURGIA TP.PONTEAGUDO 27FR 27040 K - STORZ
ELETRODO P/ELETROCIRURGIA CONICO 24FR 27040 S - STORZ
ELETRODO P/ELETROCIRURGIA CONICO 27FR 27040 R - STORZ
ELETRODO P/ELETROCIRURGIA TP.BOLA 3MM 24FR 27040 N - STORZ
ELETRODO P/ELETROCIRURGIA TP.BOLA 3MM 27FR 27040 M - STORZ
ELETRODO P/ELETROCIRURGIA TP.BOLA 5MM 24FR 27040 NK - STORZ
ELETRODO P/ELETROCIRURGIA TP.BOLA 5MM 27FR 27040 MK - STORZ
ELETRODO P/ELETROCIRURGIA CILIND.3MM 24FR 27040 NX - STORZ
ELETRODO P/ELETROCIRURGIA CILIND.3MM 27FR 27040 MX - STORZ
ELETRODO P/ELETROCIRURGIA CILIND.5MM 24FR 27040 NW - STORZ
ELETRODO P/ELETROCIRURGIA CILIND.5MM 27FR 27040 MW - STORZ
ELETRODO P/ELETROCIRURGIA TP.AGULHA 27FR 27040 FR - STORZ
ELETRODO P/ELETROCIRURGIA TP.CURETTA 24FR 27040 X - STORZ
ELETRODO P/ELETROCIRURGIA TP.CURETTA 27FR 27040 U - STORZ
ELETRODO P/ELETROCIRURGIA TP.CURETTA 24FR 27040 Z - STORZ
ELETRODO P/ELETROCIRURGIA TP.CURETTA 27FR 27040 Y - STORZ
NUTRISON ADVANCED PERIOP MORANGO 90G - - DANONE NUTRICAO ESP.
ADVANTAN 0,1% CRM.DERM.15GRS - BAYER
ADVANTAN 0,1% SOL.TOP.20ML - BAYER
PEPTO-ZIL 120ML - COSMED
DORMIRE 5MG 5AMP 5ML - CRISTALIA
CATETER DIAGNOSTICO DECAPOLAR 6F CSL 2-5-2MM 120CM HEXA RESPONSE 401379 - ST.JUDE
CATETER DIAGNOSTICO DECAPOLAR C/LUMEN 7F CSL 2-8-2MM 120CM RESPONSE 401132 - ST.JUDE
CABO EXTENSAO BI/TRI/QUADRIP.RESPONSE PRETO 401550 - ST.JUDE
CABO EXTENSAO HEXA/OCTA/DECAP.RESPONSE PRETO 401552 - ST.JUDE
CATETER DIAGNOSTICO DECAPOLAR CSL 5F 2-8-2MM 120CM SUPREME 401863 - ST.JUDE
CABO EXTENSAO BI/TRI/QUADRIP.SUPREME PRETO 401880 - ST.JUDE
CABO EXTEN.OCTA/DECAPOLAR - 1,5M 401885 - ST.JUDE
CATETER DIAGNOSTICO DEFLECTIVEL DECAPOLAR LIVEWIRE 6F MED SWEEP 2/5/2MM 401575 - ST.JUDE
CATETER DIAGNOSTICO DUO-DECAPOLAR 7F SR LRG CURL 2-10-2MM 95CM LIVEWIRE 401904 - ST.JUDE
CATETER ABLACAO QUADRIPOLAR LIVEWIRE TC 7F SML SWEEP 2/5/2MM 402120 - ST.JUDE
CABO EXTENSAO LIVEWIRE TC 402503 - ST.JUDE
AGULHA TRANSSEPTAL BRK 56CM 407202 - - ST.JUDE
ELETRODO TEMPORARIO 5FR 401641 - ST.JUDE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
40
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000021142
0000021145
0000021146
0000021147
0000021148
0000021149
0000021153
0000021154
0000021155
0000021156
0000021206
0000021208
0000021212
0000021213
0000021214
0000021215
0000021225
0000021227
0000021228
0000021229
0000021230
0000021235
0000021236
0000021238
0000021239
0000021244
0000021245
0000021352
0000021353
0000021355
0000021358
0000021396
0000021397
0000021403
0000021404
0000021405
0000021406
0000021431
0000021432
0000021622
0000021623
0000021625
0000021626
0000021627
0000021647
0000021648
0000021650
DESCRICAO
ELETRODO TEMPORARIO 6FR 401642 - ST.JUDE
MASSAGEOL POM.15GRS - NEOQUIMICA
NEOSULIDA 50MG/ML SUSP.OR.GTS.15ML - NEOQUIMICA
NEOPRAZOL 10MG 14CAPS - NEOQUIMICA
NEOPRAZOL 20MG 7CAPS - NEOQUIMICA
QUADRILON POM.15GRS - NEOQUIMICA
INTRODUTOR HEMOSTATICO FAST CATH 4F 5CM GUIA.021 406159 - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH 4F 5CM WYSHAM GUIA.025 406160 - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH 4F 8,5CM GUIA.021 406540 - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH 5F 8,5CM GUIA.021 406542 - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH SWARTZ SR 0 8F 60CM 406844 - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH SWARTZ SL 1 8F 62CM 406840 - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH SAFL 8F 60CM 406871 - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH CSTA 8F 60CM 406872 - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH SEPT 8F 60CM 406885 - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH RAMP.8F 60CM 406898 - ST.JUDE
GUIA GUIDERIGHT ALMA FIXA 150CM D=0,25" PTA.J STANDARD 7CM FIRM PTFE 404568 - ST.JUDE
GUIA GUIDERIGHT ALMA FIXA 150CM D=0,32" PTA.J STANDARD 7CM FIRM PTFE 404569 - ST.JUDE
GUIA GUIDERIGHT ALMA FIXA 150CM D=0,35" PTA.J STANDARD 7CM FIRM.PTFE 404570 - ST.JUDE
GUIA GUIDERIGHT ALMA FIXA 150CM D=0,38" PTA.J STANDARD 7CM FIRM PTFE 404610 - ST.JUDE
GUIA GUIDERIGHT ALMA FIXA 180CM D=0,35" PTA.J STANDARD 7CM FIRM PTFE 404571 - ST.JUDE
GUIA GUIDERIGHT ALMA FIXA 260CM D=0,35" PTA.J EXCHANGE 7CM PTFE 404577 - ST.JUDE
GUIA GUIDERIGHT ALMA FIXA 260CM D=0,38" PTA.J EXCHANGE 7CM PTFE 404617 - ST.JUDE
GUIA GUIDERIGHT ALMA FIXA 150CM D=0,35" PTA.RETA STANDARD 7CM PTFE 404840 - ST.JUDE
GUIA GUIDERIGHT ALMA FIXO 150CM D=0,38" PTA.RETA STANDARD 7CM PTFE 404870 - ST.JUDE
GUIA GUIDERIGHT ALMA FIXA 260CM D=0,35" PTA.RETA EXCHANGE 7CM PTFE 404844 - ST.JUDE
GUIA GUIDERIGHT ALMA FIXA 260CM D=0,38" PTA.RETA EXCHANGE 7CM PTFE 404874 - ST.JUDE
EQUIPO P/SORO GTS.FILTRO AR INJ.LATERAL FILTRO PARTICULAS EUROFIX AIR 2 IL 2,40M 401455 - B.BRAUN
EQUIPO P/SORO GTS.FILTRO AR FILTRO PARTICULAS 1,40M EUROFIX AIR S/IL 401460 - B.BRAUN
EQUIPO P/INFUSAO MULTIPLA 2VIAS C/VALVULA POLIFIX 2 C/SAFSITE 409022 - B.BRAUN
SERINGA OMNIFIX 10ML LL S/LATEX 4617100V - B.BRAUN
FIBRACAP GRAN. LAR.250GRS - INFAN
FIBRACAP GRAN. BAN./MEL 250GRS - INFAN
AGUA P/INJECAO 100ML ECOFLAC PLUS 200101 - B.BRAUN
AGUA P/INJECAO 250ML ECOFLAC PLUS 200102 - B.BRAUN
AGUA P/INJECAO 500ML ECOFLAC PLUS 200104 - B.BRAUN
AGUA P/INJECAO 1000ML ECOFLAC PLUS 200105 - B.BRAUN
EQUIPO P/LINHA SANGUE ARTERIAL DIAFIX CH 821050 - B.BRAUN
EQUIPO P/LINHA SANGUE VENOSO DIAFIX CH 821060 - B.BRAUN
BRONCOFLUX 6MG/ML XPE.ADU.120ML - FARMASA
BRONCOFLUX 3MG/ML XPE.PED.120ML - FARMASA
CHORAGON 1500UI 3AMP+3AMP DIL. - FERRING
CHORAGON 5000UI PO LIOF.3AMP+3AMP DIL.1ML - FERRING
MENOGON 75UI PO LIOF.5AMP+5AMP DIL.1ML - FERRING
MINUSORB 15CPDS - - UCI-FARMA
MINUSORB 10MG 2BLX15CPDS - UCI-FARMA
AMOXIL BD 875MG 7BLX2CPDS - GLAXOSMITH
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
41
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000021652
0000021653
0000021682
0000021684
0000021694
0000021696
0000021697
0000021698
0000021700
0000021703
0000021704
0000021705
0000021706
0000021707
0000021723
0000021728
0000021729
0000021763
0000021764
0000021818
0000021823
0000021824
0000021839
0000021840
0000021841
0000021842
0000021843
0000021844
0000021845
0000021846
0000021847
0000021848
0000021849
0000021850
0000021851
0000021852
0000021860
0000021861
0000021862
0000021896
0000021897
0000021900
0000021901
0000021902
0000021908
0000021909
0000021916
DESCRICAO
CLAVULIN BD 400MG SUSP.70ML - GLAXOSMITH
CLAVULIN BD 200MG SUSP.70ML - GLAXOSMITH
NITROPRUS 50MG 5FA+5DIL+BOLSA PROT. - CRISTALIA
KETAMIN 50MG/ML 5X10ML - CRISTALIA
CLINDAL AZ 500MG 3CPDS REV. - MERCK S.A.
PROGRAF 1MG 10X10CAPS - JANSSEN-CILAG
PROGRAF 5MG 5X10CAPS - JANSSEN-CILAG
PROGRAF 5MG 10AMP 1ML - JANSSEN-CILAG
PROPILRACIL 100MG 30CPDS - BIOLAB SANUS
DORLESS 100MG SOL.INJ.6AMP 2ML - UNIAO QUIMICA
DORLESS 50MG 10CAPS GEL. - UNIAO QUIMICA
DORLESS 50MG SOL.INJ.6AMP 1ML - UNIAO QUIMICA
ECOS 3MG/ML XPE.120ML - UNIAO QUIMICA
NAUSICALM 50+50MG SOL.INJ.50AMP 1ML - UNIAO QUIMICA
HUMALOG 100UI 1CARPX3,0ML - - ELI LILLY
CARMAZIN 200MG 20CPDS - TEUTO BRAS
CARMAZIN 400MG 20CPDS - TEUTO BRAS
XELODA 500MG 120CPDS REV. - ROCHE
XELODA 150MG 60CPDS REV. - ROCHE
TELA PROLENE 7,6X15CM PMII - J&J ETHICON
TIAPLEX POM.20G - DELTA
TIAPLEX SAB.65G - DELTA
TUBO ENDOTRAQUEAL ARAMADO C/BALAO NR.3,0 MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL ARAMADO C/BALAO NR.3,5 MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL ARAMADO C/BALAO NR.4,0 MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL ARAMADO C/BALAO NR.4,5 MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL ARAMADO C/BALAO NR.5,0 MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL ARAMADO C/BALAO NR.5,5 MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL ARAMADO C/BALAO NR.6,0 MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL ARAMADO C/BALAO NR.6,5 MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL ARAMADO C/BALAO NR.7,0 MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL ARAMADO C/BALAO NR.7,5 MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL ARAMADO C/BALAO NR.8,0 MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL ARAMADO C/BALAO NR.8,5 MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL ARAMADO C/BALAO NR.9,0 MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL ARAMADO C/BALAO NR.9,5 MALLINCKRODT - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA TRACHEOSOFT AJUST.C/BALAO NR.6,0 MM MALLINCKRODT - COVIDIEN
SENSOR OXIMETRIA NELLCOR CLIP DEDO ADU. - COD.DS100A - COVIDIEN
SENSOR OXIMETRIA NELLCOR FORM.Y NEO.PED/ADU.C/40ADES.COD.D-YS - COVIDIEN
ESPARADRAPO 5,0CMX4,5MT C32005 - NEVE
ESPARADRAPO 10,0CMX4,5MT C32010 - NEVE
FILTRO ELETROSTATICO BACTERIANO/VIRAL BARRIERBAC MALLINCKRODT - COVIDIEN
EQUIPAMENTO P/AQUECIMENTO 110V WARMTOUCH/MALLINCKRODT - COVIDIEN
EQUIPAMENTO P/AQUECIMENTO 220V WARMTOUCH/MALLINCKRODT - COVIDIEN
SUTURE ASSISTANT SW100 - J&J ENDO
FIO ETHIBOND 0 C/AGULHA CANOA SW110 - J&J ENDO
CARGA 45MM P/GRAMPEADOR ETS (BRANCA TEC.VASCULAR) TR45W - J&J ENDO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
42
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000021918
0000021919
0000021920
0000021921
0000021922
0000021923
0000021924
0000021925
0000021926
0000021927
0000021928
0000021929
0000021932
0000021933
0000021934
0000021935
0000021936
0000021937
0000021938
0000021939
0000021940
0000021941
0000021942
0000021943
0000021944
0000021945
0000021946
0000022015
0000022016
0000022017
0000022018
0000022033
0000022037
0000022041
0000022051
0000022052
0000022053
0000022054
0000022086
0000022090
0000022096
0000022100
0000022101
0000022206
0000022229
0000022253
0000022255
DESCRICAO
CARGA 45MM P/GRAMPEADOR ETS (VERDE AZUL TEC.ESPESSO) TR45G - J&J ENDO
PORTA AGULHA 5MM AUTO AJUSTAVEL SRNH1 - J&J ENDO
GRAMPEADOR LINEAR AUTOM.TX 30MM VASCULAR (BRANCO) TX30V - J&J ENDO
CARGA VERMELHA P/TX30V (VASCULAR) XR30V - J&J ENDO
GRAMPEADOR LINEAR AUTOM.TX 30MM NORMAL (AZUL) TX30B - J&J ENDO
CARGA AZUL 30MM (TEC.NORMAL) XR30B - J&J ENDO
GRAMPEADOR LINEAR AUTOM.TX 30MM (VERDE) TX30G - J&J ENDO
CARGA VERDE 30MM TEC.ESPESSO XR30G - J&J ENDO
GRAMPEADOR LINEAR AUTOM.TX 60MM (AZUL) TX60B - J&J ENDO
CARGA AZUL 60MM (TEC.NORMAL) XR60B - J&J ENDO
GRAMPEADOR LINEAR AUTOM.TX 60MM (VERDE) TX60G - J&J ENDO
CARGA VERDE 60MM TEC.ESPESSO XR60G - J&J ENDO
CARGA P/TLC55 (BRANCA-TEC.VASCULAR) TVR55 - J&J ENDO
GRAMPEADOR LINEAR CORTANTE C/CARGA AZUL TEC.NORM.100MM TLC10 - J&J ENDO
GRAMPEADOR LINEAR CORTANTE C/CARGA VERDE TEC.ESPESSO 100MM TCT10 - J&J ENDO
CARGA P/TLC100 (AZUL-TEC.NORMAL) TCR10 - J&J ENDO
CARGA P/TLC100 (VERDE-TEC.ESPESSO) TRT10 - J&J ENDO
CLIPADOR PERMANENTE P/LT100 RETO CURTO-AZUL C/TRAVA LX105 - J&J ENDO
CLIPADOR PERMANENTE P/LT100 RETO MED-AZUL C/TRAVA LX107 - J&J ENDO
CLIPADOR PERMANENTE P/LT200 RETO MED-PRATA C/TRAVA LX207 - J&J ENDO
CLIPADOR PERMANENTE P/LT200 RETO LONGO-PRATA C/TRAVA LX210 - J&J ENDO
CLIPADOR PERMANENTE P/LT200 ANGULADO LONGO-PRATA C/TRAVA LX220 - J&J ENDO
CLIPADOR PERMANENTE P/LT300 RETO MED-VERDE LC307 - J&J ENDO
CLIPADOR PERMANENTE P/LT300 RETO LONGO-VERDE LC310 - J&J ENDO
CLIPADOR PERMANENTE P/LT300 ANGULADO LONGO-VERDE LC320 - J&J ENDO
CLIPADOR PERMANENTE P/LT400 RETO LONGO-AMARELO LC410 - J&J ENDO
CLIPADOR PERMANENTE P/LT400 ANGULADO LONGO-AMARELO LC420 - J&J ENDO
SUREPRESS BAND COMPRESSIVA 10CMX3M 1197971 - CONVATEC
COLAR CERVICAL ESPUMA PEQ.D07532 - POLAR FIX
COLAR CERVICAL ESPUMA MED.D07533 - POLAR FIX
COLAR CERVICAL ESPUMA GRD.D07534 - POLAR FIX
SERINGA P/INJECAO CONTRASTE SQK 65VS - MEDRAD
CATETER P/BLOQUEIO ENDOBRONQUICO (C-AEBS) - E.TAMUSSINO
BOTON P/GASTROSTOMIA (PASS) - E.TAMUSSINO
PURAN T4 25MCG 30CPDS - SANOFI-AVENTIS
PURAN T4 50MCG 30CPDS - SANOFI-AVENTIS
PURAN T4 75MCG 30CPDS - SANOFI-AVENTIS
PURAN T4 150MCG 30CPDS - SANOFI-AVENTIS
TINTURA IODO 5% 1000ML - D.G.L
HIPOCLORITO SODIO 1% 5000ML DIVIREX - D.G.L
GAMAX 15CAPS - INFAN
OMNISCAN 287MG/ML 10ML - FARMASA
OMNISCAN 287MG/ML 15ML - FARMASA
FORADIL 12MCG 60CAPS C/INAL - NOVARTIS
EXTRATOR CALCULO (SONDA DORMIA) P.CIL.115CM 4FIOS NR.03 RUSCH 341400 - - BADEIA
DICETEL 100MG 20CPDS REV - ABBOTT SAUDE
PANTOZOL EV 40MG 1FA - NYCOMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
43
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000022266
0000022269
0000022292
0000022300
0000022352
0000022357
0000022376
0000022378
0000022379
0000022380
0000022381
0000022384
0000022390
0000022584
0000022615
0000022618
0000022620
0000022672
0000022673
0000022674
0000023470
0000023471
0000023472
0000023473
0000023476
0000023477
0000023478
0000023516
0000023520
0000023523
0000023525
0000023544
0000023545
0000023546
0000023547
0000023550
0000023551
0000023565
0000023566
0000023567
0000023573
0000023579
0000023583
0000023587
0000023589
0000023590
0000023604
DESCRICAO
ZIAGENAVIR 300MG 60CPDS - GLAXOSMITH
ZIAGENAVIR SOL.ORAL 20MG 240ML - GLAXOSMITH
VASODIPINA 30MG 3X10CPDS - NEOQUIMICA
NEO LORATADIN 10MG 12CPDS REV. - NEOQUIMICA
SINVASCOR 20MG 30CPDS - BALDACCI
PROLIFT 4MG 20CPDS - PFIZER
SYNAGIS 100MG PO LIOF.1FA - ABBOTT
VERRUX 10ML - THERASKIN
AZITRAX GU 1000MG 2CPDS - FARMOQUIMICA
ALENDIL 10MG 15CPDS - - FARMOQUIMICA
ALENDIL 10MG 30CPDS - - FARMOQUIMICA
VIRAZOLE 250MG 60CAPS - UCI-FARMA
LUFTAL GTS.15ML - BRISTOL
TYLENOL BEBE 100MG GTS.15ML - J&J CONSUM
TERMOL 750MG 200CPDS - UNIAO QUIMICA
TERMOL 200MG/ML GTS.15ML - UNIAO QUIMICA
UNIGRIP 500MG 50SACH 5G - UNIAO QUIMICA
LEUCOCITIM 150MCG 1FA+DIL 1ML - BLAU
LEUCOCITIM 300MCG 1FA+DIL 1ML - BLAU
LEUCOCITIM 400MCG 1FA+DIL 1ML - BLAU
VACINA CONJUGADA HIB 1FA+DIL.0,5ML - GLAXOSMITH
VACINA VIRUS ATENUADO VARICELA 1FA+1SER.DIL.0,5ML - GLAXOSMITH
ADPREX 30CAPS - INFAN
ANSIOPAX 20CAPS - INFAN
CITALOR 20MG 10CPDS REV. - PFIZER
NORVASC 5MG 30CPDS - PFIZER
NORVASC 10MG 30CPDS - PFIZER
VASTAREL 20MG 30CPDS REV. - SERVIER
AGULHA INTRODUTORA TP.CO-AXIAL P/ACN 17GX14,6CM MCXS1820AX - ECOMED
VIAGRA 25MG 4CPDS REV. - PFIZER
COMTAN 200MG 30CPDS REV. - NOVARTIS
SYNTHROID 125MCG 30CPDS - ABBOTT
CYCLOFEMINA 1AMP 0,5ML - MILLETROUX
RISELLE 25MG 1AMP - SCHERING PLOUGH
POSTINOR-2 0,75MG 2CPDS - ACHE
EMSGRIP CHA MEL/LIMAO 50SACH - EMS
FLUCOCIN 150MG 1CAP - EMS
NIMBIUM 10MG 5AMP 5ML - GLAXOSMITH
NIMBIUM 20MG 5AMP 10ML - GLAXOSMITH
NIMBIUM 150MG 1FA 30ML - GLAXOSMITH
GASTROL EFV.LIM.50ENV 5GRS - LUPER
GASTROL EFV.ABAC.50ENV 5GRS - LUPER
GASTROL EFV.LAR.50ENV 5GRS - LUPER
DRAMAVIT B6 GTS.20ML - LUPER
ROXFLAN 5MG 20CPDS - MERCK S.A.
DRAMAVIT B6 20CPDS - LUPER
TEGRETARD 200MG 2X10CPDS - CRISTALIA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
44
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000023605
0000023606
0000023617
0000023621
0000023622
0000023626
0000023627
0000023630
0000023657
0000023658
0000023659
0000023660
0000023663
0000023667
0000023672
0000023676
0000023679
0000023680
0000023681
0000023682
0000023735
0000023747
0000023753
0000023855
0000024455
0000024456
0000024459
0000024462
0000024463
0000024464
0000024465
0000024466
0000024468
0000024469
0000024470
0000024471
0000024473
0000024474
0000024475
0000024476
0000024477
0000024479
0000024494
0000024495
0000024692
0000024700
0000024701
DESCRICAO
KOLLAGENASE S/CLORANF.POM.30GRS - CRISTALIA
AMYTRIL 25MG 20CPDS - CRISTALIA
BARIOGEL GEL.100% COPO 150ML - CRISTALIA
ZINNAT 250MG 10CPDS - GLAXOSMITH
HIXIZINE XPE.120ML - THERASKIN
MONOPRIL 10MG 3X10CPDS - BRISTOL
MONOPRIL 20MG 3X10CPDS - BRISTOL
KEFAZOL 1G PO INJ.50FA - ABL
RANIFLEX 150MG 20CPDS - ROYTON
RANIFLEX 300MG 8CPDS - ROYTON
CIMEDAX 200MG 20CPDS - ROYTON
OMNIC 0,4MG 20CAPS - EUROFARMA
NORELBIN 50MG 1X5ML - EUROFARMA
BLEPHAGEL 40G - UNIAO QUIMICA
MALEATO TIMOLOL GEN.0,50% SOL.OFT.10ML - ALLERGAN
TEGRETARD 400MG 2X10CPDS - CRISTALIA
SAL ANDREWS 60ENV 5G - GLAXOSMITH
SAL ANDREWS 1ENV 5G - GLAXOSMITH
SONRISAL LIM.30CART 2CPDS - GLAXOSMITH
SONRISAL LIM.2CPDS F.V - GLAXOSMITH
CAMPO CIRURGICO SIMPLES 0,75X0,75MT 10001529 - LIFEMED
CAMPO CIRURGICO SIMPLES 1,50X2,20MT 10001693 - LIFEMED
CAMPO CIRURGICO 0,75X0,75MT C/FENEST.7CM 10001700 - LIFEMED
CAMPO CIRURGICO P/OFTALMO 1,50X1MT C/BOLSA 10001705 - LIFEMED
EQUIPO P/DPA DRENAGEM 4,5M AZC4539 - BAXTER
GRAMPEADOR CIRCULAR 34 AMARELO DESC.PREMIUM PLUS CEEA AUTO SUTURE 111981 - COVIDIEN
CLIPADOR AUTOM.M-11.5 C/30 CLIPS MED.AZUL PREMIUM SURGICLIP II AUTO SUTURE 134053 - COVIDIEN
TROCARTER RPF 5MM-70MM ROXO C/RED.AUT.VERSAPORT AUTO SUTURE 179068 - COVIDIEN
TROCARTER RPF 5MM-10MM AMARELO C/RED.AUT.VERSAPORT AUTO SUTURE 179076P - COVIDIEN
TROCARTER RPF 10MM-15MM VERDE ESC.C/RED.AUT.VERSAPORT AUTO SUTURE 179078P - COVIDIEN
TROCARTER - KIT VERSAPORT RPF 5MM ROXO C/CRED.AUT.VERSAPORT AUTO SUTURE 178064 - COVIDIEN
TROCARTER - KIT VERSAPORT RPF 5MM-10MM AMARELO C/CRED.AUT.VERSAPORT AUTO SUTURE 178062P - COVIDIEN
CLIPADOR 5MM ENDOCLIP AUTO SUTURE 176620 - COVIDIEN
GRAMPEADOR HERNIA 5MM ROXO C/30 GRAMPOS HELIC.TIT.DESC.PROTACK AUTO SUTURE 174006 - COVIDIEN
TELA INORG.15X15CM POLIPROP.MONOF.SURGIPRO MESH AUTO SUTURE SPMM66 - COVIDIEN
TELA INORG.36X23CM POLIPROP.MONOF.SURGIPRO MESH AUTO SUTURE SPMM149 - COVIDIEN
CARGA P/GRAMPEADOR ENDO GIA UNIVERSAL 45-2.5MM BRANCO DESC.AUTO SUTURE 030425 - COVIDIEN
CARGA P/GRAMPEADOR ENDO GIA UNIVERSAL 45-3.5MM AZUL DESC.AUTO SUTURE 030422 - COVIDIEN
CARGA P/GRAMPEADOR ENDO GIA UNIVERSAL 45-4.8MM VERDE DESC.AUTO SUTURE 030423 - COVIDIEN
CARGA P/GRAMPEADOR ENDO GIA UNIVERSAL 60-3.5MM DESC.AUTO SUTURE 030414 - COVIDIEN
CARGA P/GRAMPEADOR ENDO GIA UNIVERSAL 60-4.8MM VERDE DESC.AUTO SUTURE 030415 - COVIDIEN
INSTRUMENTO P/LAPAROSC.12MM STANDARD PRETO DESC.ENDO RETRACT AUTO SUTURE 173046 - COVIDIEN
FLOGORAL 3MG LIM.12PAST - ACHE
FLOGORAL 3MG LAR.12PAST - ACHE
SERINGA 1ML S/AG.DESC.TUBERCULINA - INJEX
SERINGA 3ML C/AG.25X8 DESC. - INJEX
SERINGA 3ML C/AG.30X7 DESC. - INJEX
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
45
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000024703
0000024705
0000024707
0000024709
0000024710
0000024711
0000024763
0000024842
0000024850
0000025700
0000025823
0000025824
0000025836
0000025861
0000025869
0000025898
0000025899
0000025900
0000025901
0000025904
0000025906
0000025969
0000025970
0000025979
0000025980
0000025983
0000025987
0000025988
0000025991
0000025992
0000026000
0000026010
0000026011
0000026012
0000026017
0000026018
0000026020
0000026024
0000026025
0000026026
0000026027
0000026028
0000026033
0000026034
0000026036
0000026038
0000026039
DESCRICAO
SERINGA 5ML C/AG.25X8 DESC. - INJEX
SERINGA 5ML C/AG.30X7 DESC. - INJEX
SERINGA 10ML C/AG.25X8 DESC. - INJEX
SERINGA 10ML C/AG.30X7 DESC. - INJEX
SERINGA 20ML C/AG.25X8 DESC. - INJEX
SERINGA 20ML C/AG.30X7 DESC. - INJEX
CUBA RIM PLAST.1UNID - EMBRAMED
ALGODAO HIDROFILO 500GRS D07547 - POLAR FIX
EQUIPO MACROGOTAS CAM.GRAD.BURETA SORO 150ML BURETAMED - EMBRAMED
ESPECULO VAGINAL ESTERIL C/DUCTO ASPIRADOR TAM.PEQ. - KOLPLAST
DOSADOR ORAL 20ML ORALPAK 990150 - BD
DOSADOR ORAL 05ML ORALPAK 990092 - BD
SERINGA INSULINA BD UF II 30U 8X0,3MM 30G 328322 - BD DIABETES
AGULHA P/CANETA ULTRA FINE III CURTA 8MM 320121 - BD DIABETES
INJECT EASE 328245 - BD
CATETER PERIFERICO SEGURANCA-INSYTE AUTOGUARD 14G 1.75" 381867/38186714 - BD
CATETER PERIFERICO SEGURANCA-INSYTE AUTOGUARD 16G 1.77" 381857/38185714 - BD
CATETER PERIFERICO SEGURANCA-INSYTE AUTOGUARD 18G 1.88" 381847/38184714 - BD
CATETER PERIFERICO SEGURANCA-INSYTE AUTOGUARD 20G 1.16" 381834/38183414 - BD
CATETER PERIFERICO SEGURANCA-INSYTE AUTOGUARD 22G 1.00" 381823/38182314 - BD
CATETER PERIFERICO SEGURANCA-INSYTE AUTOGUARD 24G 0.75" 381812/38181214 - BD
KIT DURASAFE 17G 3-1/2 S/EXT.401370 - BD
INTRODUTOR DESC.20G 1X1/4" 5160 405160 - BD
SUPORTE TRANSDUTOR TBG BD 682093 - POLITEC
SUPORTE C/ORGAN.CABO P/TRANSDUTOR TMM BD 682274 - POLITEC
ESTROFEM 2MG 28CPDS - MEDLEY
ARAVA 20MG 30CPDS REV. - SANOFI-AVENTIS
ARAVA 100MG 3CPDS REV. - SANOFI-AVENTIS
REFORGAN 250MG 2X10CPDS - NIKKHO
DEPO-PROVERA 50MG 1FR 1ML - PFIZER
EXAVIR CRM.10GRS - UCI-FARMA
PROZEN 20MG 14CAPS GEL.DURA - TEUTO BRAS
PROZEN 20MG 28CAPS GEL.DURA - TEUTO BRAS
DEPRAMINA 25MG 20CPDS - TEUTO BRAS
REVECTINA 6MG 2CPDS - ABBOTT SAUDE
REVECTINA 6MG 4CPDS - ABBOTT SAUDE
NOVOXIL 500MG 21CAPS - LUPER
FLOGILID 12CPDS - LUPER
FLOGILID GTS.15ML - LUPER
LOSAPROL 10MG 14CAPS - LUPER
LOSAPROL 20MG 7CAPS - LUPER
LOSAPROL 20MG 14CAPS - LUPER
ZOCOR 80MG 1X10CPDS - MERCK S.D.
CANDIZOL 150MG 1CAP GEL. - ACHE
HIXIZINE 25MG 30CPDS - THERASKIN
PROCTYL 10SUPS - NYCOMED
VASOPRIL PLUS 10+25MG 30CPDS - BIOLAB SANUS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
46
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000026040
0000026045
0000026047
0000026048
0000026053
0000026054
0000026055
0000026058
0000026059
0000026063
0000026064
0000026066
0000026068
0000026076
0000026077
0000026078
0000026087
0000026088
0000026089
0000026090
0000026091
0000026092
0000026093
0000026094
0000026125
0000026126
0000026127
0000026128
0000026129
0000026130
0000026131
0000026132
0000026133
0000026134
0000026135
0000026136
0000026137
0000026140
0000026141
0000026142
0000026149
0000026150
0000026151
0000026152
0000026153
0000026154
0000026173
DESCRICAO
VASOPRIL PLUS 20+12,5MG 30CPDS - BIOLAB SANUS
LOVELLE 0,25+0,05MG 21CPDS REV. - BIOLAB SANUS
VASLIP 10MG 30CPDS REV. - BIOLAB SANUS
IPERISAN 300MG 20CPDS REV. - MARJAN
SECNIDAL 1000MG 4CPDS - SANOFI-AVENTIS
FLAGYL NISTATINA CRM.50GRS+10APL - SANOFI-AVENTIS
FLAGYL GEL GINEC.50GRS+10APL - SANOFI-AVENTIS
BENZETACIL 600000UI 50FA 4ML - EUROFARMA
BENZETACIL 1200000UI 50FA 4ML - EUROFARMA
DORMIUM 5MG/ML SOL.INJ.5AMP 3ML - UNIAO QUIMICA
DORMIUM 1MG/ML SOL.INJ.5AMP 5ML - UNIAO QUIMICA
LORATADINA GEN.1MG/ML XPE.100ML - UNIAO QUIMICA
VIVERDAL 2MG 20CPDS - - UNIAO QUIMICA
FLOTAC 70MG 10CAPS - NOVARTIS
OPTI-FREE EXPRESS 120ML - ALCON
OPTI-FREE EXPRESS 355ML - ALCON
CANULA P/CANAL LACRIMAL DUPLO ESTAGIO 144A - PETROVICH
CLAMP SIMPLES - PETROVICH
CLAMP DUPLO C/BARRA APROXIMACAO - PETROVICH
MARCADOR P/LASIK 05 RAIOS 402 - PETROVICH
PINCA FRAGMENTADORA NUCLEO DODICK 265W - PETROVICH
PINCA KIKUTA P/RETALHO PTERIGEO 293W - PETROVICH
PINCA UTRATA (CAPSULOREXIS) 303W - PETROVICH
PIQUE RETINIANO (JG.05 PCS) 362 - PETROVICH
PROVERA 10MG EST.14CPDS - PFIZER
EUGERIAL 30MG 30CPDS REV. - BAGO
GLIOTEN 2,5MG 30CPDS REV. - BAGO
GLIOTEN 5,0MG 30CPDS REV. - BAGO
GLIOTEN 10MG 30CPDS REV. - BAGO
GLIOTEN 20MG 30CPDS REV. - BAGO
PLENACOR 25MG 28CPDS - BAGO
PLENACOR 50MG 28CPDS - BAGO
PLENACOR 100MG 28CPDS - BAGO
TRANQUINAL 0,25MG 20CPDS - BAGO
TRANQUINAL 0,50MG 20CPDS - BAGO
TRANQUINAL 1MG 20CPDS - BAGO
TRANQUINAL 2MG 20CPDS - BAGO
UROSEPTAL 400MG 20CPDS REV. - BAGO
METAMUCIL LAR.174GRS - PROCTER
APLICADOR INS.NOVOPEN 3,0 PENMATE - NOVO NORDISK
FASTFEN 5MCG/ML 25AMP 2ML - CRISTALIA
FASTFEN 50MCG/ML 10AMP 5ML - CRISTALIA
FASTFEN 50MCG/ML 25AMP 1ML - CRISTALIA
ZARGUS 1MG 20CPDS - BIOSINTETICA
ZARGUS 2MG 20CPDS - BIOSINTETICA
ZARGUS 3MG 20CPDS - BIOSINTETICA
NASTERID A 1MG 30CPDS REV. - ATIVUS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
47
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000026198
0000026252
0000026263
0000026264
0000026265
0000026269
0000026277
0000026279
0000026384
0000026386
0000026387
0000026388
0000026389
0000026392
0000026393
0000026394
0000026395
0000026396
0000026397
0000026407
0000026408
0000026409
0000026447
0000026448
0000026455
0000026456
0000026457
0000026510
0000026511
0000026514
0000026515
0000026519
0000026520
0000026524
0000026525
0000026526
0000026527
0000026529
0000026530
0000026531
0000026534
0000026535
0000026536
0000026537
0000026538
0000026539
0000026540
DESCRICAO
TIORFAN 100MG 9CAPS GEL.DURA - BAGO
PRURIZIN SOL.ORAL 100ML - DARROW
NOVAMOX 2X 400+57MG SUSP.ORAL 70ML - ACHE
NOVAMOX 2X 875+125MG 14CPDS REV. - ACHE
NOVAMOX 2X 875+125MG 20CPDS REV. - ACHE
COTONETES PT.150HASTES 3293 - J&J CONSUM
AMOXIMED 250MG 150ML - CIMED
CICONAZOL LOC.30ML - CIMED
CLORIDRATO AMITRIPTILINA GEN.25MG 20CPDS - NEOQUIMICA
ATENEO 100MG 28CPDS - NEOQUIMICA
CAPOTRINEO 50MG 30CPDS - NEOQUIMICA
PROXACIN 250MG 6CPDS - NEOQUIMICA
PROXACIN 500MG 14CPDS - NEOQUIMICA
FLUCONEO 150MG 2CAPS - NEOQUIMICA
NEOPIRIDIN SPR.50ML - NEOQUIMICA
NEOPIRIDIN 12PAST. - NEOQUIMICA
CEFABRINA 750MG 100CPDS - NEOQUIMICA
HIPERNOLOL 80MG 20CPDS - NEOQUIMICA
TORSILAX 3X10CPDS - NEOQUIMICA
NISULID 2% GEL 40G - ACHE
FENTIZOL 0,02G/G CRM.VAG.40G+7APLIC. - ACHE
FENTIZOL 600MG 1OVL+APLIC. - ACHE
RIOHEX 2% DEGERMANTE DISP.1000ML 0356 - RIOQUIMICA
RIOMAX S/GERM.GLICER.DISP.1000ML - RIOQUIMICA
RIODERM SAB.CRM.REF.800ML 0583 - RIOQUIMICA
RIOHEX 2% DEGERMANTE REF.800ML 0582 - RIOQUIMICA
RIOMAX CRM.S/GERM.REF.800ML 0584 - RIOQUIMICA
HIPODERME POM.45G - - TEUTO BRAS
FERRONIL 40MG 50CPDS REV. - TEUTO BRAS
BERIPLAST-P 2FA PO LIOF.+2FA DIL.1,0ML - CSL BEHRING
BERIPLAST-P 2FA PO LIOF.+2FA DIL.3,0ML - CSL BEHRING
CLEVERON 10MG 15CPDS - TRB PHARMA
CLEVERON 10MG 30CPDS - TRB PHARMA
PARIET 10MG 14CPDS REV. - JANSSEN-CILAG
PARIET 20MG 7CPDS REV. - JANSSEN-CILAG
MIOSAN 5MG 30CPDS REV. - APSEN
MIOSAN 10MG 30CPDS REV. - APSEN
GELMAX ABAC.100SACH 5G EFV. - EMS CONSUMO
DIVELOL 3,125MG 14CPDS - BALDACCI
DIVELOL 3,125MG 28CPDS - BALDACCI
ARACYTIN CS 100MG 5FA PLAST. - - PFIZER
ARACYTIN CS 500MG 1FA PLAST. - PFIZER
ARACYTIN CS 1G 1FA PLAST. - PFIZER
PLATISTINE 10MG 5FA PLAST. - PFIZER
PLATISTINE 50MG 1FA PLAST. - PFIZER
PLATISTINE 100MG 1FA PLAST. - PFIZER
DOSTINEX 0,5MG 8CPDS - PFIZER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
48
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000026541
0000026542
0000026543
0000026545
0000026546
0000026547
0000026548
0000026549
0000026550
0000026551
0000026552
0000026553
0000026562
0000026563
0000026564
0000026565
0000026588
0000026599
0000026600
0000026605
0000026606
0000026607
0000026627
0000026664
0000026670
0000026673
0000026682
0000026711
0000026712
0000026713
0000026714
0000026715
0000026716
0000026717
0000026728
0000026729
0000026730
0000026731
0000026733
0000026751
0000026752
0000026753
0000026754
0000026769
0000026771
0000026775
0000026776
DESCRICAO
FARMORUBICINA RD 10MG 1FA - PFIZER
FARMORUBICINA RD 50MG 1FA - PFIZER
FARMORUBICINA CS 10MG 1FA PLAST. - PFIZER
FARMORUBICINA CS 50MG 1FA PLAST. - PFIZER
FARMORUBICINA CS 200MG 1FA PLAST. - PFIZER
MIANTREX CS 25MG/ML 1FA 2ML - PFIZER
MIANTREX CS 25MG/ML 1FA 20ML - PFIZER
MIANTREX CS 100MG/ML 1FA 10ML - PFIZER
VINCIZINA CS 1MG 5FA PLAST. - PFIZER
AMOXIL BD 200MG SUSP.100ML - GLAXOSMITH
AMOXIL BD 400MG SUSP.100ML - GLAXOSMITH
ZINNAT 250MG SUSP.50ML - GLAXOSMITH
FLORATIL 200MG FR.6CAPS GEL DURA - MERCK S.A.
FLORATIL 200MG/G PO ORAL 6SACH 1GR - MERCK S.A.
CUROSURF 80MG/ML 1AMP 1,5ML - CHIESI
CUROSURF 80MG/ML 1AMP 3,0ML - CHIESI
DETERGENTE ENZIMATICO P/LIMP.INST.CIR.ENDOZIME AW PLUS 4,0LTS RUHOF - CNPH
NEUTROFER 300MG 30CPDS - SIGMA PHARMA
PENVIR 125MG 10CPDS - SIGMA PHARMA
BIOFLORIN PED.5FLAC - INFAN
BIOFLORIN ADU.5FLAC - INFAN
KRONEL GEL GIN.60GRS+10APL - INFAN
ZOLTEC IV DISP.6X100ML - PFIZER
HYPOVERIN 10AMP 2ML - HYPOFARMA
FUROSEMIDA GEN.20MG 100AMP 2ML - HYPOFARMA
MEVAMOX 7,5MG 10CPDS - - TEUTO BRAS
PROTANOL 25MG 20CPDS - TEUTO BRAS
AGULHA BIOPSIA P/USO PRO-MAG 2.2 14GX12CM ACN1412MF - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG 2.2 14GX20CM ACN1420MF - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG 2.2 16GX20CM ACN1620MF - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG 2.2 16GX25CM ACN1625MF - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG 2.2 20GX16CM ACN2016MF - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG 2.2 20GX20CM ACN2020MF - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG 1.2 20GX16CM SACN2016MF - ECOMED
AGULHA BIOPSIA LOCAL.MAMAR.20GX03CM MARC.ACCURA BLN2003 - - ECOMED
AGULHA BIOPSIA LOCAL.MAMAR.20GX05CM MARC.ACCURA BLN2005 - ECOMED
AGULHA BIOPSIA LOCAL.MAMAR.20GX7,5CM MARC.ACCURA BLN20075 - ECOMED
AGULHA BIOPSIA LOCAL.MAMAR.20GX10CM MARC.ACCURA BLN2010 - ECOMED
AGULHA BIOPSIA LOCAL.MAMAR.20GX15CM MARC.ACCURA BLN2015 - ECOMED
AGULHA BIOPSIA ASPIR.20GX09CM ECOGENICA SPINAL MSPN2003US - ECOMED
AGULHA BIOPSIA ASPIR.20GX15CM ECOGENICA SPINAL MSPN2006US - ECOMED
AGULHA BIOPSIA ASPIR.22GX09CM ECOGENICA SPINAL MSPN2203US - ECOMED
AGULHA BIOPSIA ASPIR.22GX15CM ECOGENICA SPINAL MSPN2206US - ECOMED
ATADURA CREPOM CYSNE 12CMX1,8MT(REPOUSO)12UNID 165.883 - CREMER
ATADURA CREPOM CYSNE 20CMX1,8MT(REPOUSO)12UNID 165.920 - CREMER
SORAMIN 10% 1000ML - DARROW
CALCICHELL 7G LAR.30ENV - ATIVUS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
49
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000026779
0000026780
0000026781
0000026782
0000026783
0000026784
0000026785
0000026786
0000026787
0000026788
0000026792
0000026793
0000026794
0000026795
0000026796
0000026797
0000026798
0000026799
0000026800
0000026801
0000026819
0000026820
0000026821
0000026822
0000026823
0000026824
0000026835
0000026837
0000026838
0000026839
0000026841
0000026842
0000026843
0000026845
0000026846
0000026847
0000026848
0000026850
0000026852
0000026853
0000026923
0000026924
0000026927
0000026928
0000026929
0000026944
0000026945
DESCRICAO
FOLIFER 30CPDS REV. - ATIVUS
FUNGIROX 10MG CRM.DERM.20GRS - UCI-FARMA
FUNGIROX 10MG 15ML - UCI-FARMA
FUNGIROX ESM.UNHA 3GRS - - UCI-FARMA
NOVALGINA 500MG 3X10CPDS - SANOFI-AVENTIS
NOVALGINA 500MG 25X4CPDS - SANOFI-AVENTIS
NOVALGINA 500MG 4CPDS F.V. - SANOFI-AVENTIS
ACIVERAL 200MG 25CPDS - BUNKER
ALETIR 10MG 6CPDS REV. - BUNKER
ALETIR SOL.ORAL 75ML - BUNKER
CEFANAL 500MG 8CPDS - BUNKER
CEFANAL 250MG/5ML PO P/SUSP. - BUNKER
ESTOMEPE 20MG 14CAPS - BUNKER
NEOCETRIN POM.15G - BUNKER
TANDENE 30CPDS - BUNKER
VOLTAFLAN 25MG/ML 5AMP 3ML - BUNKER
VOLTAFLAN 50MG 20CPDS - BUNKER
VOLTAFLAN 75MG 20CPDS - BUNKER
VOLTAFLAN 100MG 10CPDS - BUNKER
VOLTAFLAN GEL 30G - BUNKER
LOSEC MUPS 20MG 7CPDS - ASTRAZENECA
LOSEC MUPS 20MG 2BLX7CPDS REV. - ASTRAZENECA
LOSEC MUPS 10MG 2BLX7CPDS REV. - ASTRAZENECA
LOSEC MUPS 40MG 7CPDS - ASTRAZENECA
NORIPURUM 5AMP 2ML+5AG.LONGA - NYCOMED
NORIPURUM 5AMP 5ML - NYCOMED
ZYBAN 150MG 60CPDS - GLAXOSMITH
AGENERASE 150MG 240CAPS - GLAXOSMITH
AGENERASE SOL.ORAL 240ML - GLAXOSMITH
ZYRTEC-D 5MG/120MG 10CAPS - GLAXOSMITH
ESPECULO VAGINAL N/ESTERIL S/LUBRIFICACAO TAM.PEQ. - KOLPLAST
ESPECULO VAGINAL N/ESTERIL S/LUBRIFICACAO TAM.MED. - KOLPLAST
PINCA CHERRON N/ESTERIL - KOLPLAST
AVENTAL P/PACIENTE AZUL GRAMAT.30 - KOLPLAST
KIT KOLP-LAB N/ESTERIL C/ESPEC.MED. - KOLPLAST
KIT KOLP-LAB N/ESTERIL C/ESPEC.PEQ. - KOLPLAST
KIT KOLP-LAB ESTERIL (ESPECULO/ESCOVA/ESPATULA/LUVA/PORTA LAMINA/LAMINA)PEQ. - KOLPLAST
CITOKOLP - KOLPLAST
CAMPO OPERATORIO 23CMX25CM N/ESTERIL C/RAIO 9GRS.50UNID F02504 - POLAR FIX
DEPO-PROVERA 150MG 1SER.1ML - PFIZER
DORILEN 12CPDS - LEGRAND OTC
DORILEN GTS.15ML - LEGRAND OTC
PRESSEL 5MG 30CPDS - LEGRAND TARJARDOS
PRESSEL 10MG 3X10CPDS - LEGRAND TARJARDOS
PRESSEL 20MG 3 X10CPDS - LEGRAND TARJARDOS
DIFFERIN 0,1% CRM.30G - GALDERMA
PORTA AGULHA HEGAR FORTE C/VIDEA R-820-15D - RICHTER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
50
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000026946
0000026952
0000026957
0000026958
0000026959
0000026967
0000026968
0000026969
0000026970
0000026971
0000026973
0000026994
0000026996
0000026997
0000027000
0000027005
0000027016
0000027018
0000027373
0000027376
0000027378
0000027379
0000027380
0000027381
0000027588
0000027589
0000027607
0000027609
0000027620
0000027622
0000027623
0000027624
0000027625
0000027626
0000027628
0000027630
0000027631
0000027633
0000027634
0000027635
0000027636
0000027637
0000027638
0000027640
0000027641
0000027642
0000027643
DESCRICAO
XILODASE 30GRS+APLIC. - APSEN
EQUIPO C/CAMARA GRADUADA MICRO-HART 50ML PRIMER REDUZIDO 310.144 - HARTMANN
CONEXAO P/ADM.SOL.POLI-HART 4VIA NEO 410.128 - HARTMANN
CONEXAO P/ADM.SOL.POLI-HART 4VIA NEO FOTOSSENSIVEL 410.152 - HARTMANN
CONEXAO P/ADM.SOL.POLI-HART 4VIA NEO INJ.410.143 - HARTMANN
EXTENSOR P/ALTA PRESSAO 5F TUBO 75CM 530.109 - HARTMANN
EQUIPO P/COLETA URINA URO-HART 150ML C/INJ.LATERAL 710.104 - HARTMANN
EQUIPO P/NUTRICAO ENTERAL NUTRI-HART AIR 960.103 - HARTMANN
CONJUNTO C/3 TORNEIRA THREE-HART 5VIA 910.116 - HARTMANN
EXTENSOR PAM 520.107 - HARTMANN
EXTENSOR PAM 4 C/2 TORNEIRA 530.125 - HARTMANN
FITA HIPOALERGENICA MICROPORE 12,5MMX10MT BOPP 1530 - 3M BRASIL
FITA HIPOALERGENICA MICROPORE 100MMX10MT CARRETEL ROLO 1530 - 3M BRASIL
FITA HIPOALERGENICA MICROPORE 12,5MMX10MT BOPP ROLO 1533 - 3M BRASIL
PROTETOR CUTANEO CAVILON ENVEL.25UNID 3345 - 3M BRASIL
INDICADOR BIOLOGICO ATTEST VAPOR 1H 1291 50UNID - 3M BRASIL
BOLSA COLETORA FLUIDO TRANSPARENTE C/ABERTURA STERI DRAPE 5000X550MM 10UNID 1016 - 3M BRASIL
CAMPO CIRURGICO IODOF.IOBAN 150X200MM 10UNID 6635 - 3M BRASIL
RESPIRADOR P/POEIRA TOX.QUIMIOTERAPICO 8713/120 - 3M BRASIL
PROTETOR OCULAR OPTICLUDE INF.20PCS - 3M BRASIL
GESSO SINTETICO SCOTCHCAST PLUS BRANCO 5CMX3,6M 82002 - 3M BRASIL
GESSO SINTETICO SCOTCHCAST PLUS BRANCO 7,5CMX3,6M 82003 - 3M BRASIL
GESSO SINTETICO SCOTCHCAST PLUS BRANCO 10CMX3,6M 82004 - 3M BRASIL
GESSO SINTETICO SCOTCHCAST PLUS BRANCO 12,5CMX3,6M 82005 - 3M BRASIL
CARTUCHO P/FORMALDEIDO 6005/10 - 3M BRASIL
FLOXACIN 400MG 6CPDS - MERCK S.D.
BANDAGEM ELASTICA COBAN AZUL ESCURO 50MMX4,5MT 1582B ROLO - 3M BRASIL
BANDAGEM ELASTICA COBAN AZUL ESCURO 100MMX4,5MT 1584B ROLO - 3M BRASIL
DILACORON 120MG 2BLX10CPDS REV. - ABBOTT
ADAPTADOR P/MANGUEIRA 1/8" DIAM.LUER-LOCK FEMEA 14.0946 - EDLO
AFASTADOR ARTICULADO 5,0MM DIAM.14.1035 - EDLO
AFASTADOR ARTICULADO 10,0MM DIAM.14.1036 - EDLO
CANULA P/FECH.APONEUROSE 14.1137 - EDLO
CANULA P/FECH.APONEUROSE 14.0474 - EDLO
AGULHA/CANULA P/PNEUMOPERITONIO VERESS 15CM C/PROT.RET.SEG.14.0971 - EDLO
BASTAO UENO (CABO BIST.+EMPUR.NO+SONDA APALP.GRADUADA) 14.1152 - EDLO
CABO P/PINCA BIPOLAR N/AUTOCLAVAVEL 30MT 14.1055 - EDLO
CANULA DISSECCAO C/ESPAT.C/VALV.PISTAO CONEC.P/ELET.LONG.5,0MM 33CM 14.1007 - EDLO
CANULA DISSECCAO C/ESPAT.C/CONEC.P/ELET.LONG.5,0MM 33CM 14.1057 - EDLO
CANULA DISSECCAO C/ESPAT.ANG.C/VALV.PISTAO CONEC.P/ELET.LONG.5,0MM 33CM 14.1161 - EDLO
CANULA DISSECCAO C/ESPAT.ANG.C/CONEC.P/ELET.LONG.5,0MM 33CM 14.1121 - EDLO
CANULA DISSECCAO C/GANCHO ANG.RETO C/VALV.PISTAO CONEC.LONG.5,0MM 33CM 14.1008 - EDLO
CANULA DISSECCAO C/GANCHO ANG.RETO C/CONEC.P/ELET.LONG.5,0MM 33CM 14.1059 - EDLO
CANULA DISSECCAO C/GANCHO J C/CONEC.P/ELET.LONG.5,0MM 33CM 14.1058 - EDLO
CANULA DISSECCAO C/PTA.AG.ANG.VALV.PISTAO CONEC.P/ELET.LONG.5,0MM 14.1159 - EDLO
CANULA DISSECCAO C/PTA.AG.ANG.CONEC.P/ELET.LONG.5,0MM 33CM 14.1154 - EDLO
CANULA DISSECCAO C/PTA.T/ESFER.ANG.VALV.PIST.CONEC.ELET.LONG.5,0MM 14.1160 - EDLO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
51
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000027644
0000027645
0000027646
0000027647
0000027649
0000027650
0000027651
0000027652
0000027653
0000027654
0000027655
0000027656
0000027657
0000027659
0000027660
0000027661
0000027662
0000027663
0000027665
0000027666
0000027667
0000027668
0000027669
0000027670
0000027671
0000027672
0000027673
0000027674
0000027675
0000027676
0000027677
0000027678
0000027679
0000027680
0000027681
0000027683
0000027684
0000027685
0000027686
0000027687
0000027688
0000027689
0000027690
0000027691
0000027692
0000027693
0000027694
DESCRICAO
CANULA DISSECCAO C/PTA.T/ESFER.ANG.CONEC.P/ELET.LONG.5,0MM 33CM 14.1149 - EDLO
CANULA PUNCAO INJ.AG.0,8MM DIAM.5,00MM 33CM 14.0968 - EDLO
CANULA PUNCAO INJ.AG.2,0MM DIAM.5,0MM 33CM 14.0969 - EDLO
CANULA P/COLANGIOGRAFIA 5,0MM 33CM 14.0999 - EDLO
DISSECTOR BIPOLAR FORM.DUPLO GANCHO 5,0MM DIAM.MIOMECTOMIA 14.1129 - EDLO
DISSECTOR BIPOLAR FORM.DUPLO GANCHO 10,0MM DIAM.MIOMECTOMIA 14.1175 - EDLO
ELETRODO BIPOLAR FORM.AG.DUPLA 5,0MM DIAM.MIOLISE 14.1174 - EDLO
EMPURRADOR NO 5,0MM 36CM 14.1004 - EDLO
EMPURRADOR NO CAMBIAGHI 5,0MM 36CM (APLICADOR ENDOLIGADURA) 14.1095 - EDLO
EXTRATOR APENDICE REDUT.TP.DIAFRAGMA 10MM/5,0MM 14.1060 - EDLO
LIMITADOR P/BAINHA TROCATER C/ROSCA 5,0MM DIAM.14.1037 - EDLO
LIMITADOR P/BAINHA TROCATER C/ROSCA 10,0MM DIAM.14.1038 - EDLO
MANIPULADOR UTERINO C/CANULA P/CROMOTUBAGEM PINCA POZZI 5,0MM 14.1062 - EDLO
PINCA BIPOLAR 3,0MM DIAM.BOCA C/CABO 5,0MM 36CM 14.1021 - EDLO
PINCA APREENSAO BIPOLAR C/CABO 5,0MM 36CM 14.2516 - EDLO
HASTE INTERNA PINCA BIPOLAR BOCA 1,0MM 36CM 14.1109 - EDLO
HASTE INTERNA PINCA BIPOLAR BOCA 3,0MM 36CM 14.1110 - EDLO
HASTE INTERNA P/PINCA APREENSAO BIPOLAR 36CM 14.1111 - EDLO
PINCA BABCOCK SERRILHA ISOLADA S/CREM.DUPLA ACAO MANDIB.5,0MM 36CM (CIR.AVANCADA) 14.1164 - EDLO
PINCA BABCOCK 5,0MM SERRILHA ISOLADA C/CREM.DUPLA ACAO MANDIB.5,0MM 36CM (CIR.AVANCADA) 14.1165 - EDLO
PINCA ATRAUMATICA TP.BAKEY C/CREM.60MM 10,0MM 36CM 14.1081 - EDLO
PINCA BABCOCK C/VIDEA C/CREM.S/REVEST.10,0MM 36CM 14.1086 - EDLO
PINCA BABCOCK C/SERRILHA BAKEY C/CREM.S/REVEST.10,0MM 36CM 14.1092 - EDLO
PINCA APLICADORA NO SERRIL.ISOL.S/CREM.DUPLA ACAO MANDIB.5,0MM 36CM 14.0959 - EDLO
PINCA ATRAUMATICA DISSECCAO GIRATORIA ISOL.S/CREM.DUPLA ACAO MANDIB.5,0MM 36CM (JACARE) 14.0973 - EDLO
PINCA CONTRA PORTA-AGULHA AUX.SUTURA 5,0MM 36CM 14.1153 - EDLO
PINCA APREENSAO REFORC.ISOL.C/CREM.DUPLA ACAO MANDIB.5,0MM 36CM 14.0976 - EDLO
PINCA APREENSAO REFORC.ISOL.S/CREM.DUPLA ACAO MANDIB.5,0MM 36CM 14.0977 - EDLO
PINCA APREENSAO 2X4 DENTE SERRIL.ISOL.C/CREM.DUPLA ACAO MANDIB.5,0MM 36CM 14.0974 - EDLO
PINCA APREENSAO 4X4 DENTE ISOL.C/CREM.DUPLA ACAO MANDIB.5,0MM 36CM 14.0475 - EDLO
PINCA APREENSAO ALLIS ISOL.S/CREM.DUPLA ACAO MANDIB.5,0MM 36CM 14.0957 - EDLO
PINCA APREENSAO/EXTRACAO ISOL.S/CREM.DUPLA ACAO MANDIB.5,0MM 36CM 14.0949 - EDLO
PINCA APREENSAO/EXTRACAO ISOL.C/CREM.DUPLA ACAO MANDIB.5,0MM 36CM 14.0950 - EDLO
PINCA DISSECCAO APREENSAO DELICADA ISOL.S/CREM.DUPLA ACAO MANDIB.5,0MM 36CM 14.0975 - EDLO
PINCA PALMER P/BIOPSIA OVARIO 5,0MM 33CM 14.1033 - EDLO
PINCA DENTEADA SER.APREEN.TRAC.GIR.ISOL.S/CREM.DUPLA ACAO MANDIB.5,0MM 36CM 14.1162 - EDLO
PINCA DENTEADA SER.APREEN.TRAC.GIR.ISOL.C/CREM.DUPLA ACAO MANDIB.5,0MM 36CM 14.1163 - EDLO
PINCA FENESTRADA S/CREM.30MM BOCA 5,0MM 36CM 14.1083 - EDLO
PINCA FENESTRADA C/CREM.30MM BOCA 5,0MM 36CM 14.1084 - EDLO
PINCA FENESTRADA DENTEADA GARRA GIR.ISOL.S/CREM.DUPLA ACAO MANDIB.5,0MM 36CM 14.1168 - EDLO
PINCA FENESTRADA DENTEADA GARRA GIR.ISOL.C/CREM.DUPLA ACAO MANDIB.5,0MM 36CM 14.1169 - EDLO
PINCA MARYLAND DISSECCAO GIR.CURVA ISOL.S/CREM.DUPLA ACAO MANDIB.5,0MM 36CM 14.1012 - EDLO
PINCA MIXTER DISSECCAO GIR.ISOL.S/CREM.DUPLA ACAO MANDIB.5,0MM 36CM 14.1010 - EDLO
PINCA MIXTER DISSECCAO GIR.ISOL.S/CREM.DUPLA ACAO MANDIB.5,0MM 36CM 14.1170 - EDLO
PINCA MIXTER DISSECCAO 5,0MM GIR.ISOL.C/CREM.DUPLA ACAO MANDIB.5,0MM 36CM 14.1171 - EDLO
PINCA BIOPSIA FORMA COLHER 1X1 DENTE S/CREM.5,0MM 36CM 14.0953 - EDLO
PINCA BIOPSIA TP.SACABOCADO ISOL.S/CREM.5,0MM 36CM 14.1047 - EDLO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
52
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000027695
0000027696
0000027697
0000027698
0000027699
0000027700
0000027701
0000027702
0000027703
0000027704
0000027707
0000027708
0000027709
0000027710
0000027713
0000027714
0000027715
0000027716
0000027717
0000027718
0000027719
0000027720
0000027721
0000027722
0000027723
0000027724
0000027725
0000027726
0000027727
0000027728
0000027729
0000027730
0000027732
0000027734
0000027735
0000027736
0000027737
0000027738
0000027739
0000027742
0000027743
0000027744
0000027745
0000027746
0000027747
0000027749
0000027750
DESCRICAO
PINCA APREENSAO ESPECIAL P/VESICULA C/CREM.5,0MM 33CM 14.1107 - EDLO
PINCA APREENSAO ESPECIAL P/VESICULA FENEST.C/CREM.5,0MM 36CM 14.0476 - EDLO
PINCA APREENSAO ESPECIAL P/VESICULA FENEST.SERRIL.S/CREM.AP.FUNDO VESIC.5,0MM 33CM 14.1166 - EDLO
PINCA APREENSAO ESPECIAL P/VESICULA FENEST.SERRIL.C/CREM.AP.FUNDO VESIC.5,0MM 36CM 14.1167 - EDLO
PINCA ATRAUMATICA P/GINECOLOGIA C/EMPUNHADURA "U" 5,0MM 36CM 14.0954 - EDLO
PINCA ATRAUMATICA P/GINEC.APR.TUBO DIGESTAO C/EMP."U" 5,00 36CM BOWEL FORCEPS 14.0955 - EDLO
PINCA P/TROMPAS FALOPIO C/EMPUNHADURA "U" 5,0MM 36CM 14.1082 - EDLO
PINCA POZZI S/REV.C/MOLA REP.SIMP.AC.MAND.5,0MM 36CM CIR.GINECOLOGIA/MIMECTOMIA 14.1172 - EDLO
PINCA POZZI S/REV.C/MOLA REP.SIMP.AC.MAND.10,0MM 36CM MIOMECTOMIA 14.1173 - EDLO
PINCA DENTEADA GARRA 2X3 DENTE C/MOLA REPOSIC.5,0MM 36CM 14.0979 - EDLO
PORTA AGULHA 5,0MM DIAM.C/VIDEA 5,0MM BOCA 5,0MM 36CM 14.0998 - EDLO
PORTA AGULHA 5,0MM DIAM.CURVO C/VIDEA 5,0MM BOCA 5,0MM 36CM 14.1156 - EDLO
PORTA AGULHA 5,0MM DIAM.5,0MM BOCA 5,0MM 36CM 14.0948 - EDLO
PORTA AGULHA 5,0MM CURVO C/VIDEA 5,0MM BOCA 5,0MM 33CM 14.1158 - EDLO
REDUTOR 12,0MM P/5,0MM P/BAINHA T/DIAFRAGMA (14.1196/14.1197) 14.0477 - EDLO
SACA MIOMA 5,0MM DIAM.36CM 14.1000 - EDLO
SACA MIOMA 10,0MM DIAM.36CM 14.1001 - EDLO
SONDA APALPADORA GRADUADA 5,0MM 14.0985 - EDLO
TESOURA CIRURGICA RETA 10,0MM 33CM 14.1002 - EDLO
TESOURA METZENBAUM RETA GIR.ISOL.DUPLA ACAO MANDIB.5,0MM 36CM 14.0989 - EDLO
TESOURA METZENBAUM CURVA GIR.ISOL.DUPLA ACAO MANDIB.5,0MM 36CM 14.0990 - EDLO
TESOURA TP.GANCHO GIR.ISOL.5,0MM 36CM 14.0987 - EDLO
TESOURA TP.GANCHO SERRIL.GIR.ISOL.5,0MM 36CM 14.0988 - EDLO
BAINHA 5,0MM P/TROCATER C/VALV.TP.DIAFRAGMA S/TORN.P/CO2 14.1013 - EDLO
CABO P/PINCA BIPOLAR 10MM COMP.ESTER.DESC.50UNID VALLEYLAB E0509 - COVIDIEN
BAINHA 5,0MM P/TROCATER TP.DIAFRAGMA C/TORN.P/CO2 14.1019 - EDLO
TROCATER 5,0MM C/PTA.PIRAMIDAL P/BAINHA C/VALV.TP.DIAFRAGMA 14.1014 - EDLO
BAINHA 5,0MM P/TROCATER C/VALV.TP.JANELA S/TORN.P/CO2 14.1207 - EDLO
TROCATER 5,0MM C/PTA.PIRAMIDAL P/BAINHA C/VALV.TP.JANELA 14.1026 - EDLO
TROCATER 5,0MM C/PTA.PIRAMIDAL PROT.P/BAINHA C/VALV.TP.JANELA 14.1199 - EDLO
BAINHA 5,0MM P/TROCATER C/VALV.TP.JANELA C/TORN.P/CO2 14.1208 - EDLO
CABO P/PINCA LAPAROSCOPICA 3,0MM COMP.MONOPOLAR ESTER.DESC.50UNID VALLEYLAB E0510 - COVIDIEN
BAINHA ROSQ.5,0MM P/TROCATER C/VALV.TP.DIAFRAGMA S/TORN.P/CO2 14.1176 - EDLO
BAINHA ROSQ.5,0MM P/TROCATER C/VALV.TP.DIAFRAGMA C/TORNEIRA P/CO2 14.1177 - EDLO
TROCATER ROSQ.5,0MM C/PTA.PIRAMIDAL P/BAINHA C/VALV.TP.DIAFRAGMA 14.1014 - EDLO
BAINHA ROSQ.5,0MM P/TROCATER C/VALV.TP.JANELA S/TORN.P/CO2 14.1178 - EDLO
TROCATER ROSQ.5,0MM C/PTA.PIRAMIDAL P/BAINHA C/VALV.TP.JANELA 14.1026 - EDLO
TROCATER ROSQ.C/PTA.PIRAM.PROT.PED.P/BAINHA C/VALV.TP.JANELA 14.1468 - EDLO
BAINHA ROSQ.5,0MM P/TROCATER C/VALV.TP.JANELA C/TORN.P/CO2 14.1179 - EDLO
BAINHA CURTA ROSQ.7CM 5,0MM P/TROC.C/VALV.TP.DIAFRAGMA S/TORNEIRA P/CO2 14.1184 - EDLO
TROCATER CURTO ROSQ.C/PTA.PIRAMIDAL P/BAINHA CURTA 7CM ROSQ.C/VALV.TP.DIAFRAGMA 14.1188 - EDLO
BAINHA CURTA ROSQ.7CM 5,0MM P/TROC.C/VALV.TP.DIAFRAGMA C/TORNEIRA P/CO2 14.1185 - EDLO
BAINHA CURTA ROSQ.7CM P/TROCATER C/VALV.TP.JANELA S/TORNEIRA P/CO2 14.1186 - EDLO
TROCATER CURTO ROSQ.C/PTA.PIRAMIDAL P/BAINHA CURTA ROSQ.C/VALV.TP.JANELA 14.1194 - EDLO
BAINHA CURTA ROSQ.7CM P/TROCATER C/VALV.TP.JANELA C/TORNEIRA P/CO2 14.1187 - EDLO
TROCATER 10,0MM C/PTA.PIRAMIDAL P/BAINHA C/VALV.TP.DIAFRAGMA 14.1017 - EDLO
BAINHA 10,0MM P/TROCATER TP.DIAFRAGMA C/TORN.P/CO2 14.1022 - EDLO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
53
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000027751
0000027752
0000027753
0000027754
0000027755
0000027757
0000027758
0000027761
0000027762
0000027763
0000027764
0000027765
0000027766
0000027767
0000027768
0000027769
0000027770
0000027771
0000027773
0000027774
0000027775
0000027776
0000027777
0000027778
0000027779
0000027780
0000027781
0000027782
0000027783
0000027784
0000027785
0000027786
0000027787
0000027788
0000027789
0000027790
0000027793
0000027794
0000027796
0000027798
0000027802
0000027803
0000027805
0000027806
0000027808
0000027811
0000027812
DESCRICAO
BAINHA 10,0MM P/TROCATER TP.JANELA C/VALV.S/TORN.P/CO2 14.1200 - EDLO
TROCATER 10,0MM C/PTA.PIRAMIDAL P/BAINHA C/VALV.TP.JANELA 14.1203 - EDLO
BAINHA 10,0MM P/TROCATER TP.JANELA C/VALV.C/TORN.P/CO2 14.1201 - EDLO
TROCATER 10,0MM C/PTA.PIRAMIDAL PROT.P/BAINHA C/VALV.TP.JANELA 14.1202 - EDLO
BAINHA ROSQ.10,0MM P/TROCATER C/VALV.TP.DIAFRAGMA S/TORN.P/CO2 14.1180 - EDLO
BAINHA ROSQ.10,0MM P/TROCATER C/VALV.TP.DIAFRAGMA C/TORN.P/CO2 14.1181 - EDLO
BAINHA ROSQ.10,0MM P/TROCATER C/VALV.TP.JANELA S/TORN.P/CO2 14.1182 - EDLO
BAINHA ROSQ.10,0MM P/TROCATER C/VALV.TP.JANELA P/CO2 14.1183 - EDLO
BAINHA CURTA 8,5CM ROSQ.10,0MM P/TROCATER C/VALV.TP.DIAFRAGMA S/TORNEIRA P/CO2 14.1189 - EDLO
TROCATER CURTO ROSQ.PTA.PIRAMIDAL P/BAINHA 8,5CM VALV.TP.DIAFRAGMA 14.1193 - EDLO
BAINHA CURTA 8,5CM ROSQ.10,0MM P/TROCATER C/VALV.TP.DIAFRAGMA C/TORNEIRA P/CO2 14.1190 - EDLO
BAINHA CURTA 8,5CM ROSQ.10,0MM P/TROCATER C/VALV.TP.JANELA C/TORNEIRA P/CO2 14.1192 - EDLO
TROCATER CURTO ROSQ.PTA.PIRAMIDAL P/BAINHA CURTA 8,5CM ROSQ.C/VALV.TP.JANELA 14.1195 - EDLO
BAINHA CURTA 8,5CM ROSQ.10,0MM P/TROCATER C/VALV.TP.JANELA S/TORNEIRA P/CO2 14.1191 - EDLO
BAINHA ROSQ.12,0MM P/TROCATER TP.DIAFRAGMA S/TORNEIRA P/CO2 14.1196 - EDLO
TROCATER ROSQ.12,0MM C/PTA.PIRAMIDAL P/BAINHA C/VALV.TP.DIAFRAGMA 14.1198 - EDLO
BAINHA ROSQ.12,0MM P/TROCATER TP.DIAFRAGMA C/TORNEIRA P/CO2 14.1197 - EDLO
TUBO P/ASPIRACAO/IRRIGACAO C/2 VALV.PISTAO 5,0MM 33CM 14.1011 - EDLO
TUBO P/ASPIRACAO/IRRIGACAO 5,0MM 33CM 14.1063 - EDLO
TUBO P/ASPIRACAO/IRRIGACAO 10,0MM 33CM 14.1064 - EDLO
TUBO P/ASPIRACAO/IRRIGACAO P/HIDROSSECCAO 5,0MM 33CM 14.1065 - EDLO
TUBO P/ASPIRACAO/IRRIGACAO 5,0MM PTA.AG.2,0MM 33CM 14.1066 - EDLO
VALVULA P/TUBO ASPIRACAO/IRRIGACAO TP.PISTAO DUPLO 14.1626 - EDLO
VEDANTE P/APLICADOR ENDOLIGADURA 5UNID 14.0940 - EDLO
VEDANTE P/REDUTOR FORMA ANEL 5UNID 14.0942 - EDLO
VEDANTE TP.CARRETEL P/PINCA 5UNID 14.0944 - EDLO
VEDANTE TP.MICRO CARRETEL P/PINCA 5UNID 14.0945 - EDLO
VEDANTE TP.DIAFRAGMA 5,0MM 5UNID 14.1041 - EDLO
VEDANTE TP.DIAFRAGMA 10,0MM 5UNID 14.1042 - EDLO
VEDANTE TP.DIAFRAGMA 12,0MM 5UNID 14.0478 - EDLO
VEDANTE TP.COPO P/BAINHA TP.JANELA VALV.PISTAO RED.5,0MM 5UNID 14.1043 - EDLO
VEDANTE TP.COPO P/BAINHA TP.JANELA VALV.PISTAO RED.10,0MM 5UNID 14.1044 - EDLO
VEDANTE INTERNO P/BAINHA TP.JANELA 5,0MM 5UNID 14.1045 - EDLO
VEDANTE INTERNO P/BAINHA TP.JANELA 10,0MM 5UNID 14.1046 - EDLO
VEDANTE INTERNO P/BAINHA TP.JANELA 5,0MM 5UNID 14.1209 - EDLO
VEDANTE INTERNO P/BAINHA TP.JANELA 10,0MM 5UNID 14.1206 - EDLO
EMPUNHADURA C/CREMALHEIRA 14-1114 - EDLO
EMPUNHADURA C/MOLA REPOSICIONADORA 14-1115 - EDLO
EMPUNHADURA S/CREMALHEIRA S/REVESTIMENTO 14-1117 - EDLO
EMPUNHADURA C/CREMALHEIRA DOURADA 14-1119 - EDLO
CARRO TRANSPORTE VALLEYLAB UC8009 - COVIDIEN
PRATELEIRA SUPERIOR P/CARRINHO VALLEYLAB UC8010 - COVIDIEN
PEDAL MONOPOLAR P/LINHA FORCE GERADORES VALLEYLAB E6008B - COVIDIEN
PEDAL BIPOLAR P/LINHA GERADORES FORCE VALLEYLAB E6009 - COVIDIEN
CANETA ELETROCIRURGICA DESC.C/ACION.P/BALANCO ESTER.50UNID VALLEYLAB E2515 - COVIDIEN
CANETA ELETROCIRURGICA DESC.C/ACION.P/BOTAO CONT.POTENC.ESTER.10UNID VALLEYLAB E2517H - COVIDIEN
CANETA ELETROCIRURGICA C/ACION.PORTA CANETA P/ARG.ESTER.DESC.10UNID VALLEYLAB E2520H - COVIDIEN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
54
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000027813
0000027815
0000027816
0000027817
0000027818
0000027819
0000027820
0000027821
0000027822
0000027823
0000027824
0000027825
0000027826
0000027827
0000027828
0000027829
0000027830
0000027831
0000027832
0000027833
0000027834
0000027836
0000027837
0000027839
0000027840
0000027841
0000027848
0000027849
0000027850
0000027851
0000027852
0000027855
0000027856
0000027857
0000027858
0000027859
0000027860
0000027861
0000027862
0000027863
0000027874
0000027892
0000027893
0000027930
0000027931
0000027938
0000027939
DESCRICAO
CANETA ELETROCIRURGICA RETA D.BAL.C/CORTE COAG.IRRIG.ASPIR.EST.10UNID VALLEYLAB E2750 - COVIDIEN
CANETA ELETROCIRURGICA REUT.C/ACION.P/BALANCO 10UNID 50USOS VALLEYLAB E2100 - COVIDIEN
ELETRODO 0,32CM DIAM.TP.BOLA N/ESTER.REUT.VALLEYLAB E1000 - COVIDIEN
ELETRODO 2,5CM COMP.TP.LAMINA N/ESTER.VALLEYLAB E1001 - COVIDIEN
ELETRODO 0,56CM DIAM.TP.BOLA N/ESTER.REUT.VALLEYLAB E1002 - COVIDIEN
ELETRODO 6,99CM COMP.TP.LAMINA ESTER.50UNID DESC.REVEST.VALLEYLAB E1450X - COVIDIEN
ELETRODO 7,21CM COMP.TP.AG.REVEST.ESTER.50UNID DESC.VALLEYLAB E1452 - COVIDIEN
ELETRODO 16,51CM COMP.TP.LAMINA ESTER.50UNID DESC.REVEST.VALLEYLAB E1450-6 - COVIDIEN
ELETRODO 15,24CM COMP.TP.AG.ESTER.DESC.REVEST.50UNID VALLEYLAB E1452-6 - COVIDIEN
EXTENSAO REUT.RETA P/CANETA ELETROCIR.13CM COMP.N/ESTER.VALLEYLAB E1502 - COVIDIEN
ELETRODO ISOL.17,0CM COMP.TP.GANCHO J ESTER.10UNID VALLEYLAB E1510 - COVIDIEN
ELETRODO RETORN.PACIENTE ADU.PLACA POLYHESIVE "REM" C/CABO 50UNID VALLEYLAB E7507 - COVIDIEN
ELETRODO RETORN.PACIENTE ADU.PLACA POLYHESIVE "REM" S/CABO 50UNID VALLEYLAB E7509 - COVIDIEN
ELETRODO RETORN.PACIENTE INF.PLACA POLYHESIVE "REM" C/CABO 25UNID VALLEYLAB E7510-25 - COVIDIEN
PINCA BIPOLAR ISOL.19,7CM COMP.PTA.1,5MM TP.BAION.SCOVILLE/GREEWOOD VALLEYLAB E4051CT - COVIDIEN
PINCA BIPOLAR ISOL.15,2CM COMP.PTA.0,7MM CUSHING VALLEYLAB E4052CT - COVIDIEN
PINCA BIPOLAR ISOL.17,8CM COMP.PTA.1,5MM CUSHING VALLEYLAB E4053CT - COVIDIEN
PINCA BIPOLAR ISOL.19,1CM COMP.PTA.2,0MM TP.BAIONETA CUSHING VALLEYLAB E4054CT - COVIDIEN
PINCA BIPOLAR ISOL.10,2CM COMP.PTA.0,4MM TP.RETA JEWELERS VALLEYLAB E4055CT - COVIDIEN
PINCA BIPOLAR ISOL.17,8CM COMP.PTA.1,0MM TP.GERALD VALLEYLAB E4056CT - COVIDIEN
PINCA BIPOLAR ISOL.19,1CM COMP.PTA.1,0MM TP.GERALD VALLEYLAB E4058CT - COVIDIEN
ADAPTADOR UNIVERSAL P/CIRUR.LAPAROSC.REUS.VALLEYLAB E0017 - COVIDIEN
CABO P/PINCA BIPOLAR 3,6MM COMP.REUSAV.VALLEYLAB E0019 - COVIDIEN
PINCA BIPOLAR ISOL.19,1CM COMP.PTA.0,7MM TP.CUSHING VALLEYLAB E4057CT - COVIDIEN
PINCA BIPOLAR ISOL.21,6CM COMP.PTA.0,5MM TP.BAIONETA HARDY VALLEYLAB E4059CT - COVIDIEN
PINCA BIPOLAR ISOL.8,9CM COMP.PTA.0,4MM RETA TP.IRIS VALLEYLAB E4061CT - COVIDIEN
ELETRODO RETR.28CM C/PTA.TP.ESP.CURVA EST.DESC.10UNID VALLEYLAB E2781R28ASP - COVIDIEN
ELETRODO RETR.28CM C/PTA.TP.GAN.J CURVA EST.DESC.10UNID VALLEYLAB E2782R28ASP - COVIDIEN
ELETRODO RETR.28CM C/PTA.TP.GAN.L CURVA EST.DESC.10UNID VALLEYLAB E2783R28ASP - COVIDIEN
ELETRODO RETR.28CM C/PTA.TP.GAN.L PLANO EST.DESC.10UNID VALLEYLAB E2784R28ASP - COVIDIEN
ELETRODO RETR.36CM C/PTA.TP.GAN.L PLANO EST.DESC.EST.10UNID VALLEYLAB E2783R36ASP - COVIDIEN
PINCA PROFESSOR MEDINA P/BIOPSIA COLO UETRINO 24CM 03-0722 - EDLO
PORTA AGULHA PTA.TUNGSTENIO MATHIEU P/CIR.GERAL C/VIDEA 14CM 05-0810 - EDLO
PORTA AGULHA PTA.TUNGSTENIO MATHIEU P/CIR.GERAL C/VIDEA 17CM 05-0811 - EDLO
PORTA AGULHA PTA.TUNGSTENIO MAYO-HEGAR P/CIR.GERAL C/VIDEA 14CM 05-0290 - EDLO
TESOURA MONOPOL.MAYO-STILLE CURVA P/CIR.GINEC.REV.17CM 06-0460 - EDLO
TESOURA MONOPOL.METZENBAUM ROMBA-ROMBA P/CIR.GINEC.REV.18CM 06-0461 - EDLO
TESOURA MONOPOL.METZENBAUM ROMBA-ROMBA P/CIR.GINEC.REV.23CM 06-0462 - EDLO
TESOURA MONOPOL.METZENBAUM ROMBA-ROMBA P/CIR.GINEC.REV.26CM 06-0463 - EDLO
TESOURA MONOPOL.METZENBAUM DELICADA CURVA REV.18CM 06-0464 - EDLO
BAINHA 10,0MM P/TROCATER TP.DIAFRAGMA C/VALV.S/TORN.P/CO2 14.1016 - EDLO
FLAGYL 5MG/ML INJ.100ML BOL.PLAST. - SANOFI-AVENTIS
NUBAIN 10MG/ML 10AMP - CRISTALIA
CANULA TRAQUEOSTOMIA PVC TERMOSENSIVEL C/BALAO BCI MEDICAL NR.5,0MM 97221004 - BADEIA
CANULA TRAQUEOSTOMIA PVC TERMOSENSIVEL C/BALAO BCI MEDICAL NR.5,5MM 97221104 - BADEIA
TALA MOLDAVEL P/DEDO TAM.UNICO 486-00 - SALVAPE
JOELHEIRA ARTICULADA NEOPRENE C/CINTA AJUSTAVEL TAM.PEQ.545-03 - SALVAPE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
55
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000027940
0000027941
0000027942
0000027971
0000027972
0000027973
0000027974
0000027975
0000027976
0000027977
0000027978
0000027979
0000027980
0000027981
0000027983
0000027984
0000027987
0000028001
0000028043
0000028048
0000028049
0000028065
0000028066
0000028067
0000028068
0000028080
0000028081
0000028091
0000028093
0000028098
0000028099
0000028100
0000028101
0000028111
0000028121
0000028122
0000028124
0000028125
0000028127
0000028128
0000028130
0000028131
0000028132
0000028134
0000028136
0000028138
0000028140
DESCRICAO
JOELHEIRA ARTICULADA NEOPRENE C/CINTA AJUSTAVEL TAM.MED.545-04 - SALVAPE
JOELHEIRA ARTICULADA NEOPRENE C/CINTA AJUSTAVEL TAM.GRD.545-05 - SALVAPE
SUPORTE ORTOPEDICO CABECA TAM.UNICO 031-00 - SALVAPE
SUPORTE PLAST.P/IMOBILIZACAO MEMBRO INFERIOR ESQ.PEQ 615-33 - SALVAPE
SUPORTE PLAST.P/IMOBILIZACAO MEMBRO INFERIOR ESQ.MED 615-34 - SALVAPE
SUPORTE PLAST.P/IMOBILIZACAO MEMBRO INFERIOR ESQ.GRD 615-35 - SALVAPE
SUPORTE PLAST.P/IMOBILIZACAO MEMBRO INFERIOR DIR.PEQ 615-43 - SALVAPE
SUPORTE PLAST.P/IMOBILIZACAO MEMBRO INFERIOR DIR.MED 615-44 - SALVAPE
SUPORTE PLAST.P/IMOBILIZACAO MEMBRO INFERIOR DIR.GRD 615-45 - SALVAPE
FORRACAO ORTOPEDICA POSICIONADOR P/CABECA CAIXA-DE-OVO ADU.940-00 - SALVAPE
FORRACAO ORTOPEDICA POSICIONADOR P/CABECA CAIXA-DE-OVO INF.940-01 - SALVAPE
FORRACAO ORTOPEDICA PROTETOR P/COTOVELO CAIXA-DE-OVO 940-02 - SALVAPE
FORRACAO ORTOPEDICA PROTETOR P/CALCANHAR/TORNOZ.CAIXA-DE-OVO 940-03 - SALVAPE
FORRACAO ORTOPEDICA POSICIONADOR P/PE CAIXA-DE-OVO 940-04 - SALVAPE
FORRACAO ORTOPEDICA ARGOLA P/EXTREMIDADE CAIXA-DE-OVO 940-06 - SALVAPE
FORRACAO ORTOPEDICA POSICIONADOR P/COLUNA CAIXA-DE-OVO 940-07 - SALVAPE
COXIM TAM.UNICO 940-09 - SALVAPE
MERCILON 150+20MCG 3BLX21CPDS - - SCHERING PLOUGH
PRURIZIN 10MG 30CPDS - DARROW
DERMDRYL 9,6+1,2+0,12G LOC.120ML - TEUTO BRAS
DERMDRYL 2,24+1,28+0,28+28G CRM.28GRS - TEUTO BRAS
REPOGEN 28CPDS - LIBBS
REPOGEN CICLO 28CPDS - LIBBS
REPOGEN CONTI 28CPDS - LIBBS
ALGODAO HIDROFILO BOLA 50GRS 196.931 - CREMER
AMIDALIN MENTA 20PAST - SANDOZ
AMIDALIN CER.20PAST - SANDOZ
RANIBLOK 150MG 2X10CPDS - HEXAL
RANIBLOK 300MG 2X8CPDS - HEXAL
CURATIVO ESPUMA HIDROPOLIMERO TIELLE 11X11CM 10UNID MTL101 - SYSTAGENIX
CURATIVO ESPUMA HIDROPOLIMERO TIELLE 15X20CM 5UNID MTL102 - SYSTAGENIX
CURATIVO ESPUMA HIDROPOLIMERO TIELLE 18X18CM 5UNID MTL103 - SYSTAGENIX
CURATIVO ESPUMA HIDROPOLIMERO TIELLE SACRAL 18X18CM 5UNID MTL104 - SYSTAGENIX
TORNEIRA 3VIAS DESC.LUER LOCK C/CONEXAO ROTATIVA EMB.P.G.C. - MARK MED
NUTRIDRINK FRUTAS TROPICAIS 200ML - SUPPORT NUTRITION
NUTRIDRINK BAUNILHA 200ML - SUPPORT NUTRITION
NUTRIDRINK CHOCOLATE 200ML - SUPPORT NUTRITION
ADAPTADOR PACK - SUPPORT NUTRITION
BOMBA P/ALIMENTACAO ENTERAL FLOCARE 800-220V - SUPPORT NUTRITION
BOMBA P/ALIMENTACAO ENTERAL FLOCARE 800-110V - SUPPORT NUTRITION
EQUIPO P/ALIMENTACAO ENTERAL GRAVITACIONAL - SUPPORT NUTRITION
EQUIPO P/ALIMENTACAO ENTERAL P/BOMBA - SUPPORT NUTRITION
EQUIPO PACK P/ALIMENTACAO ENTERAL P/BOMBA - SUPPORT NUTRITION
SONDA P/ALIMENTACAO ENTERAL FLOCARE CH06/110CM - SUPPORT NUTRITION
SONDA P/ALIMENTACAO ENTERAL FLOCARE CH08/125CM - SUPPORT NUTRITION
NUTRIDRINK MULTI FIBER MOR.200ML - SUPPORT NUTRITION
NUTRIDRINK MULTI FIBER BAUNILHA 200ML - SUPPORT NUTRITION
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
56
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000028142
0000028143
0000028144
0000028146
0000028201
0000028237
0000028238
0000028239
0000028240
0000028241
0000028259
0000028281
0000028282
0000028283
0000028297
0000028299
0000028303
0000028306
0000028309
0000028324
0000028325
0000028326
0000028331
0000028332
0000028333
0000028334
0000028336
0000028337
0000028338
0000028339
0000028340
0000028341
0000028342
0000028343
0000028344
0000028345
0000028346
0000028414
0000028415
0000028416
0000028417
0000028432
0000028433
0000028434
0000028440
0000028441
0000028444
DESCRICAO
SOLUCAO FISIOLOGICA CLORETO SODIO 0,9% 1AMP 10ML - EQUIPLEX
SOLUCAO FISIOLOGICA CLORETO SODIO 20% 1AMP 10ML - EQUIPLEX
CLORETO POTASSIO 19,1% 1AMP 10ML - EQUIPLEX
GLICOSE 50% 1AMP 10ML - EQUIPLEX
GINO CANESTEN 2% CRM.VAG.20GRS+3APL - BAYER
INTRODUTOR AVULSO P/PICC-INTROSYTE 1.9FR 384021 - BD
INTRODUTOR AVULSO P/PICC-INTROSYTE 2.8FR 384031 - BD
INTRODUTOR AVULSO P/PICC-INTROSYTE 3.0FR 384030 - BD
INTRODUTOR AVULSO P/PICC-INTROSYTE 4.0FR 384040 - BD
INTRODUTOR AVULSO P/PICC-INTROSYTE 5.0FR 384050 - BD
ABSORVENTE ALWAYS NOT.ABAS.NOR.10UNID - PROCTER
SOLUCAO PARENTERAL AMINOACIDO 500ML RENAMIN 2A6223 - - BAXTER
AGUA ESTERIL P/IRRIGACAO 3000ML AZB7117 - BAXTER
SOLUCAO CLORETO SODIO BOL PLAST.9MG/ML 2000ML - - BAXTER
BOLSA P/DIALISE PERIT.SINGLE-BAG DPI/DPA 1,5% GLICOSE 5000 MI SOL.DIAL PERI FLEX X 5000 MI AZB1676 - BAXTER
BOLSA P/DIALISE PERIT.SINGLE-BAG DPI/DPA 4,25% GLICOSE 5000 MI SOL.DIAL PERI FLEX X 5000 MI AZB1680 - BAXTER
CLAMP MANUAL HCDSOFT 8MM HCDSOFT8 - EDWARDS
CLIP MOLA 12MM CSOFT12 - EDWARDS
CLIP MOLA 6MM CSOFT6 - EDWARDS
CATETER FOGARTY OCLUSAO 14F 80CM 62080814F - EDWARDS
CATETER FOGARTY OCLUSAO 22F 80CM 62080822F - EDWARDS
CATETER FOGARTY P/ENXERTO 5F 50CM 160245F - EDWARDS
CATETER FOGARTY TROMBECTOMIA VENOSA 10F 32080810F - EDWARDS
CATETER FOGARTY TROMBECTOMIA VENOSA 6F 320806F - EDWARDS
CATETER FOGARTY TROMBECTOMIA VENOSA 8F 320808F - EDWARDS
CATETER FOGARTY ATRIOSEPTOSTOMIA 5F 50CM 830705F - EDWARDS
CATETER FOGARTY COAGULO ADERENTE 4F 140806 - EDWARDS
CATETER FOGARTY COAGULO ADERENTE 5F 140808 - EDWARDS
CATETER FOGARTY DUPLO LUMEN 4F 80CM 12TLW804F - EDWARDS
CATETER FOGARTY DUPLO LUMEN 5F 80CM 12TLW805F35 - EDWARDS
CATETER FOGARTY DUPLO LUMEN 6F 80CM 12TLW806F - EDWARDS
CATETER FOGARTY EMBOLECTOMIA 2F 80CM 120602F - EDWARDS
CATETER FOGARTY EMBOLECTOMIA 3F 80CM 120803F - EDWARDS
CATETER FOGARTY EMBOLECTOMIA 4F 80CM 120804F - EDWARDS
CATETER FOGARTY EMBOLECTOMIA 5F 80CM 120805F - EDWARDS
CATETER FOGARTY EMBOLECTOMIA 6F 80CM 120806F - EDWARDS
CATETER FOGARTY EMBOLECTOMIA 7F 80CM 120807F - EDWARDS
KIT INTRODUTOR PERCUTANEO C/VALVULA EXTERNA 8,5F I300BF85 - EDWARDS
KIT INTRODUTOR PERCUTANEO 5F I301F5 - EDWARDS
KIT INTRODUTOR PERCUTANEO 6F I301F6 - EDWARDS
KIT INTRODUTOR PERCUTANEO 7F I301F7 - EDWARDS
SISTEMA FECHADO P/COLETA SANGUE VAMP ADU.VMP106 - EDWARDS
SISTEMA FECHADO P/COLETA SANGUE VAMP PED.VMP306 - EDWARDS
SISTEMA FECHADO P/INFUSAO SORO GELADO CO-SET 93600 - EDWARDS
KIT TRANSDUTOR PRESSAO DESC.TRUWAVE 2X2 PX2X2 - EDWARDS
KIT MONITORIZACAO VAMP PLUS VP2 - EDWARDS
CATETER SWAN GANZ ADU.7F 110CM 4VIAS 131HF7 - EDWARDS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
57
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000028445
0000028447
0000028450
0000028451
0000028452
0000028453
0000028454
0000028456
0000028485
0000028486
0000028488
0000028499
0000028501
0000028515
0000028631
0000028633
0000028634
0000028635
0000028636
0000028643
0000028649
0000028651
0000028652
0000028658
0000028659
0000028678
0000028864
0000028865
0000028867
0000028869
0000028871
0000028872
0000028901
0000028983
0000028984
0000028985
0000028986
0000028988
0000029009
0000029013
0000029027
0000029028
0000029124
0000029127
0000029130
0000029133
0000029136
DESCRICAO
CATETER SWAN GANZ ADU.VIP 7,5F 110CM 5VIAS 831HF75P - EDWARDS
CATETER SWAN GANZ PED.75CM 5F 4VIAS 132F5 - EDWARDS
CATETER SWAN GANZ DEBITO CARDIACO CONTINUO 7,5F 139HF75P - EDWARDS
CATETER SWAN GANZ VIP PLUS 7,5F 6VIAS 110CM 834HF75 - EDWARDS
CATETER SWAN GANZ BULBO JUGULAR 40CM 4F 040HF4 - EDWARDS
KIT CATETER VENOSO CENTRAL DUPLO LUMEN MULTIMED 20CM 7F M2720HE - EDWARDS
KIT CATETER VENOSO CENTRAL TRIPLO LUMEN MULTIMED 20CM 7F M3720HE - EDWARDS
EQUIPO P/BOMBA INFUSAO C/ENT.AR S/FILTRO P/DIETA ENTERAL AZC9618 - BAXTER
LANZOL 15MG 14CAPS GEL - ACHE
GASTRIUM 40MG 7CAPS GEL - - ACHE
CHOPHYTOL 20DRGS - MILLETROUX
SABONETE LIQ.MICROESFOLIANTE 100GRS 9793 - - J&J CONSUMER
SABONETE FACIAL 80GRS BILINGUE 9614 - - J&J CONSUMER
CENTRUM 100CPDS - WYETH CONSUMER
LORANIL D 6CPDS - LIBBS
SENSITRAM 50MG 10CPDS - LIBBS
NOVAMOX 2X 400+57MG SUSP.ORAL 100ML - ACHE
AGUA BORICADA 200ML C/CGT - ICAR
ALDACTONE 50MG 30CPDS - PFIZER
HERCEPTIN 440MG PO LIOF.1FA+DIL.20ML - ROCHE
CAPA P/DISPENSADOR 0338 - RIOQUIMICA
CETAPHIL SHM.SUAVE 120ML - GALDERMA
CETAPHIL SAB.LIQ.60G - GALDERMA
VITA SENIOR 30CAPS GEL. - UNIAO QUIMICA
UNIMEDROL 125MG PO SOL.INJ.1FA+DIL.2ML - UNIAO QUIMICA
EQUIPO CENTRAL PRESS PVC C/CAM.FLEXIVEL - EMBRAMED
FITA HIPOALERGENICA MICROPORE 12,5MMX10MT CARRETEL 1530 - 3M BRASIL
FITA HIPOALERGENICA MICROPORE 25MMX10MT CAR.PLAST.COR PELE 1533 - 3M BRASIL
CURATIVO ALGINATO CALCIO TEGAGEN 10X10CM 10UNID 90112 - 3M BRASIL
CURATIVO ALGINATO CALCIO TEGAGEN 30CM 5UNID 90120 - 3M BRASIL
INDICADOR QUIMICO INTERNO COMPLY VAPOR 2X500UNID 1243A - 3M BRASIL
INDICADOR QUIMICO INTERNO COMPLY VAPOR 10X100UNID 1243B - 3M BRASIL
RESPIRADOR AE POEIRA 8835 - 3M BRASIL
BOMBA PERFUSAO SERINGA PERFUSOR COMPACT 110V 8714835 - B.BRAUN
BOMBA PERFUSAO SERINGA PERFUSOR COMPACT 220V 8714827 - B.BRAUN
AGULHA COMBINADA RAQUI/PERI ESPOCAN DS C/PENCAN G27 4556763 - B.BRAUN
AGULHA COMBINADA RAQUI/PERI ESPOCAN DS C/SPINOCAN G27 4556747 - B.BRAUN
CATETER P/ANESTESIA RAQUI CONTINUA C/AG.G27 CATETER G22 (0,85MMX720MM) SPINOCATH 4517725 - B.BRAUN
LUVA CIRURGICA N/ESTERIL 6,5 A 8,5 (PAR) - LEMGRUBER
LUVA CIRURGICA ESTERIL 6,5 A 8,5 (PAR) NEW HAND - LEMGRUBER
PAPEL LENCOL 50CMX50MT SOFT PAPER D07546 - POLAR FIX
PAPEL LENCOL 70CMX50MT SOFT PAPER D07545 - POLAR FIX
AGULHA SUTURA CORT.TRIANG.SEMI-CV NR.000 ACUFIRM 12UNID B.204.000 - - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.SEMI-CV NR.01 ACUFIRM 12UNID B.204.01 - - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.E-0 12UNID ACUFIRM E.320.0 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.G-0 12UNID ACUFIRM G.212.0 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.G-0 12UNID ACUFIRM G.312.0 - CIRURGICA FERNANDES
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
58
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000029139
0000029142
0000029145
0000029321
0000029322
0000029323
0000029324
0000029325
0000029326
0000029327
0000029328
0000029329
0000029330
0000029331
0000029332
0000029333
0000029334
0000029335
0000029337
0000029339
0000029340
0000029342
0000029343
0000029344
0000029346
0000029357
0000029358
0000029359
0000029365
0000029366
0000029367
0000029368
0000029371
0000029373
0000029377
0000029390
0000029391
0000029443
0000029444
0000029445
0000029446
0000029447
0000029448
0000029449
0000029450
0000029451
0000029452
DESCRICAO
AGULHA SUTURA CORT.TRIANG.KEITH-3 12UNID ACUFIRM K.210.03 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PB-0 12UNID ACUFIRM PB.332.0 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PD-0 12UNID ACUFIRM PD.336.0 - CIRURGICA FERNANDES
COLETOR MATERIAL PERFURO-CORTANTE 03LTS O160101 - DESCARPACK
COLETOR MATERIAL PERFURO-CORTANTE 07LTS O160201 - DESCARPACK
COLETOR MATERIAL PERFURO-CORTANTE 13LTS O160301 - DESCARPACK
COLETOR MATERIAL PERFURO-CORTANTE 20LTS O160401 - DESCARPACK
SUPORTE PAREDE P/COLETOR MATERIAL PERFURO-CORTANTE 03LTS OO50101 - DESCARPACK
SUPORTE PAREDE P/COLETOR MATERIAL PERFURO-CORTANTE 07LTS OO50201 - DESCARPACK
SUPORTE PAREDE P/COLETOR MATERIAL PERFURO-CORTANTE 13LTS OO50301 - DESCARPACK
SUPORTE PAREDE P/COLETOR MATERIAL PERFURO-CORTANTE 20LTS OO50401 - DESCARPACK
SACO RSSS DESCARBAG PLUS C/LACRE 15L OO21301 - DESCARPACK
SACO RSSS DESCARBAG PLUS C/LACRE 30L OO21401 - DESCARPACK
SACO RSSS DESCARBAG PLUS C/LACRE 50L OO21501 - DESCARPACK
SACO RSSS DESCARBAG PLUS C/LACRE 90L OO21601 - DESCARPACK
SACO RSSS DESCARBAG PLUS C/LACRE 100L OO21701 - DESCARPACK
SACO RSSS DESCARBAG PLUS C/LACRE 240L OO21801 - DESCARPACK
ATADURA CREPOM CYSNE 30CMX1,8MT(REPOUSO)12UNID 165.968 - CREMER
MASCARA C/TIRA BRANCA BFE 96,7% 50UNID O100101 - DESCARPACK
SACO PLASTICO P/HAMPER AMAR.C/CORDAO 1UNID OO40901 - DESCARPACK
SACO PLASTICO P/HAMPER AZ.C/CORDAO 1UNID OO40601 - DESCARPACK
SACO PLASTICO P/HAMPER VERDE C/CORDAO 1UNID OO40701 - DESCARPACK
SACO PLASTICO P/HAMPER VERM.C/CORDAO 1UNID OO40801 - DESCARPACK
ATADURA CREPOM CYSNE 25CMX1,8MT(REPOUSO)12UNID 165.944 - CREMER
BIOFENAC 10MG/G AER.60G - ACHE
SIGMASPORIN MICROORAL 100MG 50CAPS GEL.MOLE - GERMED
SIGMASPORIN MICROORAL 50MG 50CAPS GEL.MOLE - GERMED
SIGMASPORIN MICROORAL 25MG 50CAPS GEL.MOLE - GERMED
CODEIN 3MG/ML 120ML - CRISTALIA
NIQUITIN 7MG 7ADES.TRANSD. - GLAXOSMITH
NIQUITIN 14MG 7ADES.TRANSD. - GLAXOSMITH
NIQUITIN 21MG 7ADES.TRANSD. - GLAXOSMITH
BREVIBLOC 10MG/ML 20FA 10ML - CRISTALIA
BREVIBLOC 250MG/ML 10AMP 10ML - CRISTALIA
MIOCORON 200MG 20X10CPDS - CRISTALIA
RISPERIDON 2MG 20CPDS - CRISTALIA
RISPERIDON 3MG 20CPDS - CRISTALIA
ENXERTO TUBULAR PERICARDIO BOVINO CORRUGADO PED.NR.10 - BIOCARDIO
ENXERTO TUBULAR PERICARDIO BOVINO CORRUGADO PED.NR.12 - BIOCARDIO
ENXERTO TUBULAR PERICARDIO BOVINO CORRUGADO PED.NR.14 - BIOCARDIO
ENXERTO TUBULAR PERICARDIO BOVINO CORRUGADO PED.NR.16 - BIOCARDIO
ENXERTO TUBULAR PERICARDIO BOVINO CORRUGADO PED.NR.18 - BIOCARDIO
ENXERTO TUBULAR PERICARDIO BOVINO CORRUGADO PED.NR.20 - BIOCARDIO
ENXERTO TUBULAR PERICARDIO BOVINO CORRUGADO ADU.NR.23 - BIOCARDIO
ENXERTO TUBULAR PERICARDIO BOVINO CORRUGADO ADU.NR.25 - BIOCARDIO
ENXERTO TUBULAR PERICARDIO BOVINO CORRUGADO ADU.NR.27 - BIOCARDIO
ENXERTO TUBULAR PERICARDIO BOVINO CORRUGADO ADU.NR.29 - BIOCARDIO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
59
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000029453
0000029454
0000029455
0000029456
0000029457
0000029458
0000029459
0000029460
0000029461
0000029462
0000029463
0000029464
0000029465
0000029466
0000029467
0000029468
0000029469
0000029470
0000029471
0000029472
0000029473
0000029474
0000029475
0000029476
0000029477
0000029478
0000029479
0000029480
0000029481
0000029482
0000029483
0000029484
0000029485
0000029486
0000029487
0000029488
0000029489
0000029490
0000029491
0000029492
0000029493
0000029494
0000029495
0000029496
0000029497
0000029498
0000029511
DESCRICAO
ENXERTO TUBULAR PERICARDIO BOVINO CORRUGADO ADU.NR.31 - BIOCARDIO
ENXERTO TUBULAR PERICARDIO BOVINO CORRUGADO ADU.NR.33 - BIOCARDIO
ENXERTO VALVULADO PERICARDIO BOVINO CORRUGADO PED.NR.10 - BIOCARDIO
ENXERTO VALVULADO PERICARDIO BOVINO CORRUGADO PED.NR.12 - BIOCARDIO
ENXERTO VALVULADO PERICARDIO BOVINO CORRUGADO PED.NR.14 - BIOCARDIO
ENXERTO VALVULADO PERICARDIO BOVINO CORRUGADO PED.NR.16 - BIOCARDIO
ENXERTO VALVULADO PERICARDIO BOVINO CORRUGADO PED.NR.18 - BIOCARDIO
ENXERTO VALVULADO PERICARDIO BOVINO CORRUGADO PED.NR.20 - BIOCARDIO
ENXERTO VALVULADO PERICARDIO BOVINO CORRUGADO ADU.NR.19 - BIOCARDIO
ENXERTO VALVULADO PERICARDIO BOVINO CORRUGADO ADU.NR.23 - BIOCARDIO
ENXERTO VALVULADO PERICARDIO BOVINO CORRUGADO ADU.NR.25 - BIOCARDIO
ENXERTO VALVULADO PERICARDIO BOVINO CORRUGADO ADU.NR.27 - BIOCARDIO
ENXERTO VALVULADO PERICARDIO BOVINO CORRUGADO ADU.NR.29 - BIOCARDIO
ENXERTO VALVULADO PERICARDIO BOVINO CORRUGADO ADU.NR.31 - BIOCARDIO
ENXERTO VALVULADO PERICARDIO BOVINO CORRUGADO ADU.NR.33 - BIOCARDIO
ENXERTO VALVULADO MONOCUSPIDE PERICARDIO BOVINO NR.06 - BIOCARDIO
ENXERTO VALVULADO MONOCUSPIDE PERICARDIO BOVINO NR.08 - BIOCARDIO
ENXERTO VALVULADO MONOCUSPIDE PERICARDIO BOVINO NR.10 - BIOCARDIO
ENXERTO VALVULADO MONOCUSPIDE PERICARDIO BOVINO NR.12 - BIOCARDIO
ENXERTO VALVULADO MONOCUSPIDE PERICARDIO BOVINO NR.14 - BIOCARDIO
ENXERTO VALVULADO MONOCUSPIDE PERICARDIO BOVINO NR.16 - BIOCARDIO
ENXERTO VALVULADO MONOCUSPIDE PERICARDIO BOVINO NR.18 - BIOCARDIO
ENXERTO VALVULADO MONOCUSPIDE PERICARDIO BOVINO NR.20 - BIOCARDIO
ENXERTO VALVULADO MONOCUSPIDE PORCINO NR.06 - BIOCARDIO
ENXERTO VALVULADO MONOCUSPIDE PORCINO NR.08 - BIOCARDIO
ENXERTO VALVULADO MONOCUSPIDE PORCINO NR.10 - BIOCARDIO
ENXERTO VALVULADO MONOCUSPIDE PORCINO NR.12 - BIOCARDIO
ENXERTO VALVULADO MONOCUSPIDE PORCINO NR.14 - BIOCARDIO
ENXERTO VALVULADO MONOCUSPIDE PORCINO NR.16 - BIOCARDIO
ENXERTO VALVULADO MONOCUSPIDE PORCINO NR.18 - BIOCARDIO
ENXERTO VALVULADO MONOCUSPIDE PORCINO NR.20 - BIOCARDIO
MEMBRANA PERICARDIO BOVINO 12X08 (96CM 2) - BIOCARDIO
MEMBRANA PERICARDIO BOVINO 14X10 (140CM 2) - BIOCARDIO
PROTESE BIOLOGICA PERICARDIO BOVINO PED.NR.10 - BIOCARDIO
PROTESE BIOLOGICA PERICARDIO BOVINO PED.NR.12 - BIOCARDIO
PROTESE BIOLOGICA PERICARDIO BOVINO PED.NR.14 - BIOCARDIO
PROTESE BIOLOGICA PERICARDIO BOVINO PED.NR.16 - BIOCARDIO
PROTESE BIOLOGICA PERICARDIO BOVINO PED.NR.18 - BIOCARDIO
PROTESE BIOLOGICA PERICARDIO BOVINO PED.NR.20 - BIOCARDIO
PROTESE BIOLOGICA PERICARDIO BOVINO ADU.NR.19 - BIOCARDIO
PROTESE BIOLOGICA PERICARDIO BOVINO ADU.NR.23 - BIOCARDIO
PROTESE BIOLOGICA PERICARDIO BOVINO ADU.NR.25 - BIOCARDIO
PROTESE BIOLOGICA PERICARDIO BOVINO ADU.NR.27 - BIOCARDIO
PROTESE BIOLOGICA PERICARDIO BOVINO ADU.NR.29 - BIOCARDIO
PROTESE BIOLOGICA PERICARDIO BOVINO ADU.NR.31 - BIOCARDIO
PROTESE BIOLOGICA PERICARDIO BOVINO ADU.NR.33 - BIOCARDIO
LUVA CIRURGICA NR.6,5 ESTERIL 121 SENSIMAX (PAR) - MUCAMBO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
60
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000029512
0000029513
0000029514
0000029515
0000029527
0000029534
0000029537
0000029572
0000029644
0000029656
0000029657
0000029658
0000029659
0000029753
0000029779
0000029780
0000029784
0000029895
0000029896
0000029897
0000029898
0000029899
0000029900
0000029901
0000029902
0000029903
0000029904
0000029905
0000029906
0000029907
0000029908
0000029909
0000029975
0000029976
0000029978
0000030002
0000030003
0000030005
0000030006
0000030007
0000030011
0000030013
0000030014
0000030015
0000030019
0000030020
0000030021
DESCRICAO
LUVA CIRURGICA NR.7,0 ESTERIL 121 SENSIMAX (PAR) - MUCAMBO
LUVA CIRURGICA NR.7,5 ESTERIL 121 SENSIMAX (PAR) - MUCAMBO
LUVA CIRURGICA NR.8,0 ESTERIL 121 SENSIMAX (PAR) - MUCAMBO
LUVA CIRURGICA NR.8,5 ESTERIL 121 SENSIMAX (PAR) - MUCAMBO
ATEPRESS 100MG 28CPDS - TEUTO BRAS
TEUTOFORMIN 850MG 30CPDS - TEUTO BRAS
STRESSAN 600MG 30CAPS - - TEUTO BRAS
OMNIC 0,4MG 30CAPS - EUROFARMA
GRAMPEADOR CIRCULAR CORT.ENDOSC.CURVO 21MM (LARANJA) ECS21 - J&J ENDO
PINCA ENDOSCOPICA DISSEC.MARYLAND CURVA ENDOPATCH 5MM 5DCD - J&J ENDO
PINCA ENDOSCOPICA GRASPER ENDOPATCH 5MM 5DSG - J&J ENDO
PINCA ENDOSCOPICA TES.METZ.CURVA ENDOPATCH 5MM 5DCS - J&J ENDO
PINCA ENDOSCOPICA BABCOCK ENDOPATCH 5MM 5BB - J&J ENDO
CAMPO OPERATORIO ALVA PRE-LAV.25X28CM C/PLACA RADIOP.RG EMB.SIMPLES ESTERIL 5UNID 203.516 - CREMER
CIPROFLOX 500MG 6CPDS - INFAN
CIPROFLOX 500MG 14CPDS - INFAN
GINOFLORAX 8CPDS VAG. - INFAN
DRENO TORACICO PVC 10FR - CPL
DRENO TORACICO PVC 12FR - CPL
DRENO TORACICO PVC 14FR - CPL
DRENO TORACICO PVC 16FR - CPL
DRENO TORACICO PVC 18FR - CPL
DRENO TORACICO PVC 20FR - CPL
DRENO TORACICO PVC 22FR - CPL
DRENO TORACICO PVC 24FR - CPL
DRENO TORACICO PVC 26FR - CPL
DRENO TORACICO PVC 28FR - CPL
DRENO TORACICO PVC 30FR - CPL
DRENO TORACICO PVC 32FR - CPL
DRENO TORACICO PVC 34FR - CPL
DRENO TORACICO PVC 36FR - CPL
DRENO TORACICO PVC 39FR - CPL
TRILEPTAL 300MG 10CPDS REV. - NOVARTIS
TRILEPTAL 600MG 10CPDS REV. - NOVARTIS
MERIGEST 2+0,7MG 28CPDS - NOVARTIS
BENALET 5+50+10MG FRAMBOESA 12PAST. - J&J CONSUM
BENALET 5+50+10MG MENTA 12PAST. - J&J CONSUM
CANDORAL 200MG 10CPDS - ACHE
CANDICORT 20MG/G+0,64MG/G CRM.30G - ACHE
CANDICORT 20M+0,64MG/G POM.DERM.30G - ACHE
MYLANTA 80+80+6MG/ML SUSP.ORAL MOR.240ML - J&J CONSUM
BENALET 5+50+10MG MEL/LIMAO 12PAST. - J&J CONSUM
FIBRASE POM.10GRS - PFIZER
FIBRASE POM.30GRS - PFIZER
MIONEVRIX 250+100+50+250MG+1000MCG 20CPDS REV. - ACHE
PARASIN 400MG 1CPD - ACHE
MYLANTA SUSP.240ML - - J&J CONSUMER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
61
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000030022
0000030023
0000030024
0000030025
0000030026
0000030027
0000030032
0000030035
0000030036
0000030039
0000030040
0000030047
0000030052
0000030053
0000030055
0000030056
0000030057
0000030058
0000030060
0000030061
0000030062
0000030063
0000030066
0000030067
0000030068
0000030069
0000030105
0000030120
0000030123
0000030124
0000030125
0000030126
0000030127
0000030128
0000030129
0000030140
0000030172
0000030173
0000030174
0000030175
0000030176
0000030177
0000030178
0000030179
0000030180
0000030181
0000030182
DESCRICAO
TANDRILAX 300+125+50+30MG 30CPDS - ACHE
CARNABOL SUSP.ORAL 120ML+CP.MED 10ML - ACHE
CARNABOL 20CPDS - ACHE
GELUSIL 170+70+6MG/ML SUSP.ORAL MOR.240ML - UNIAO QUIMICA
NECAMIN 100MG 6CPDS - ACHE
NECAMIN 20MG/ML SUSP.ORAL 30ML - ACHE
ISKETAM 400+1MG 20CPDS - ACHE
VITA E 400MG 30CAPS GEL. - ACHE
LEUCOGEN 200MG/ML XPE.120ML - ACHE
NOVOCILIN 500MG 21CAPS GEL. - ACHE
GELUSIL 170+70+6MG/ML SUSP.ORAL TRADIC.240ML - UNIAO QUIMICA
LEUCOGEN 80MG 20CAPS GEL. - ACHE
GASTRIUM 20MG 7CAPS GEL. - ACHE
NOVOCILIN 250MG/5ML PO SUSP.ORAL 150ML - ACHE
ACCUVIT 30CPDS REV. - ACHE
CANDIDERM 2% CRM.DERM.30G - ACHE
GASTRIUM 10MG 14CAPS GEL. - ACHE
DIGEPLUS 7+40+50MG 30CAPS GEL. - ACHE
GINO FIBRASE UNG.30GRS+APL - PFIZER
GINO CAUTEREX 1+666U+1MG 30G+6APLIC. - ACHE
PARASIN 40MG/ML SUSP.ORAL 10ML - ACHE
CANDIZOL 150MG 2CAPS GEL. - ACHE
LANZOL 30MG 7CAPS GEL. - ACHE
FEMINA 150+20MCG 21CPDS - ACHE
GASTRIUM 20MG 14CAPS GEL. - ACHE
FREENAL 0,5MG/ML SOL.NASAL 20ML - ACHE
ELETRODO TEMPORARIO BIPOLAR TC - BIOTRONIK
LANZOL 30MG 14CAPS GEL - ACHE
PAPEL CREPADO BRANCO 30CMX30CM PROTECT PAPER F07702 - POLAR FIX
PAPEL CREPADO BRANCO 50CMX50CM PROTECT PAPER F07704 - POLAR FIX
PAPEL CREPADO BRANCO 60CMX60CM PROTECT PAPER F07705 - POLAR FIX
PAPEL CREPADO BRANCO 75CMX75CM PROTECT PAPER F07706 - POLAR FIX
PAPEL CREPADO BRANCO 90CMX90CM PROTECT PAPER F07707 - POLAR FIX
PAPEL CREPADO BRANCO 100CMX100CM PROTECT PAPER F07708 - POLAR FIX
PAPEL CREPADO BRANCO 120CMX120CM PROTECT PAPER F07709 - POLAR FIX
PAPEL CREPADO VERDE 50CMX50CM PROTECT PAPER F07711 - POLAR FIX
AGULHA SEMI-AUT.AJUST.SUPER-CORE II 20GX09CM 701120090 - ECOMED
AGULHA SEMI-AUT.AJUST.SUPER-CORE II 20GX15CM 701120150 - ECOMED
AGULHA SEMI-AUT.AJUST.SUPER-CORE II 20GX20CM 701120200 - ECOMED
AGULHA SEMI-AUT.AJUST.SUPER-CORE II 18GX09CM 701118090 - ECOMED
AGULHA SEMI-AUT.AJUST.SUPER-CORE II 18GX15CM 701118150 - ECOMED
AGULHA SEMI-AUT.AJUST.SUPER-CORE II 18GX20CM 701118200 - ECOMED
AGULHA SEMI-AUT.AJUST.SUPER-CORE II 16GX09CM 701116090 - ECOMED
AGULHA SEMI-AUT.AJUST.SUPER-CORE II 16GX15CM 701116150 - ECOMED
AGULHA SEMI-AUT.AJUST.SUPER-CORE II 16GX20CM 701116200 - ECOMED
AGULHA SEMI-AUT.AJUST.SUPER-CORE II 14GX09CM 701114090 - ECOMED
AGULHA SEMI-AUT.AJUST.SUPER-CORE II 14GX15CM 701114150 - ECOMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
62
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000030183
0000030188
0000030189
0000030191
0000030192
0000030193
0000030195
0000030197
0000030225
0000030239
0000030244
0000030276
0000030279
0000030280
0000030281
0000030321
0000030333
0000030334
0000030338
0000030376
0000030377
0000030378
0000030379
0000030380
0000030381
0000030382
0000030383
0000030384
0000030385
0000030386
0000030387
0000030393
0000030394
0000030690
0000030691
0000030692
0000030695
0000030696
0000030697
0000030698
0000030699
0000030700
0000030701
0000030702
0000030704
0000030705
0000030706
DESCRICAO
AGULHA SEMI-AUT.AJUST.SUPER-CORE II 14GX20CM 701114200 - ECOMED
CIFLOGEX CER.12PAST - CIMED
ACICLOMED CRM.10GRS - CIMED
LORATAMED XPE.100ML - CIMED
CARBOCIN XPE.ADU.100ML - CIMED
CARBOCIN XPE.PED.100ML - CIMED
TOBRAGAN 3MG/ML SOL.OFT.5ML - ALLERGAN
CLOB-X POM.30G - GALDERMA
URSACOL 300MG 20CPDS - ZAMBON
PARALON 2X6CPDS - JANSSEN-CILAG
CARDIOXANE 500MG PO LIOF.1FA - ZODIAC
QIFTRIM 400/80MG 20CPDS - HEXAL
COREG 3,125MG 14CPDS - ROCHE
COREG 6,25MG 14CPDS - ROCHE
COREG 12,5MG 14CPDS - ROCHE
SINAXIAL 100MG 1AMP 2ML - TRB PHARMA
INTRODUTOR GYNECARE TVT 810051 - GYNECARE
GUIA RIGIDO CATETER GYNECARE TVT 810061 - GYNECARE
PECA MAO VERSAPOINT 00480 - GYNECARE
VALVULA PRESSAO FIXA 10MMH2O C/PRE CAMERA - - J&J CODMAN
VALVULA PRESSAO FIXA 40MMH20 C/PRE CAMERA - - J&J CODMAN
VALVULA PRESSAO FIXA 70MMH2O C/PRE CAMERA - - J&J CODMAN
VALVULA PRESSAO FIXA 100MMH2O C/PRE CAMERA - - J&J CODMAN
VALVULA PRESSAO FIXA 130MMH2O C/PRE CAMERA - - J&J CODMAN
VALVULA PRESSAO FIXA MICRO 10MMH2O - - J&J CODMAN
VALVULA PRESSAO FIXA MICRO 40MMH2O - - J&J CODMAN
VALVULA PRESSAO FIXA MICRO 70MMH2O - - J&J CODMAN
VALVULA PRESSAO FIXA MICRO 100MMH2O - - J&J CODMAN
VALVULA PRESSAO FIXA MICRO 130MMH2O - - J&J CODMAN
CATETER HIDROCEFALIA HAKIN VENTRICULAR 14CM - - J&J CODMAN
CONECTOR ACO INOXIDAVEL RETO P/HIDROCEFALIA CODMAN HAKIM - - J&J CODMAN
VALVULA PROGRAMAVEL HAKIM C/RESERVATORIO RICKHAM 18 NIVEIS PRESSAO - - J&J CODMAN
VALVULA PROGRAMAVEL HAKIM MICRO 18 NIVEIS PRESSAO - - J&J CODMAN
CATETER GUIA V.BRITE 6F/070/BARBEAU/100 67017400 - J&J CORDIS
CATETER GUIA V.BRITE 7F/078/JL3/100 77800000 - J&J CORDIS
CATETER GUIA V.BRITE 7F/078/JL3 SH/100 77800100 - J&J CORDIS
CATETER DIAGNOSTICO 7F HF AR/MOD/100 527748 - J&J CORDIS
CATETER DIAGNOSTICO 7F HF PIG/100/6SH 527750S - J&J CORDIS
CATETER DIAGNOSTICO 7F HF AL2/100 527741 - J&J CORDIS
CATETER DIAGNOSTICO 7F HF AL1/100 527740 - J&J CORDIS
CATETER DIAGNOSTICO 7F HF AL3/100 527744 - J&J CORDIS
CATETER DIAGNOSTICO 7F HF IM/100 527760 - J&J CORDIS
CATETER DIAGNOSTICO 7F HF JL3.5/100 527718 - J&J CORDIS
CATETER DIAGNOSTICO 7F HF JL4.0/100 527720 - J&J CORDIS
CATETER DIAGNOSTICO 7F HF JL5.0/100 527722 - J&J CORDIS
CATETER DIAGNOSTICO 7F HF JL6.0/100 527724 - J&J CORDIS
CATETER DIAGNOSTICO 7F HF JR3.5/100 527719 - J&J CORDIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
63
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000030707
0000030708
0000030709
0000030710
0000030711
0000030712
0000030717
0000030728
0000030730
0000030731
0000030732
0000030733
0000030734
0000030735
0000030736
0000030737
0000030740
0000030745
0000030746
0000030748
0000030749
0000030751
0000030752
0000030753
0000030754
0000030755
0000030756
0000030851
0000030872
0000030893
0000030898
0000030946
0000030947
0000030948
0000030979
0000030982
0000030984
0000031029
0000031030
0000031031
0000031067
0000031069
0000031072
0000031074
0000031088
0000031090
0000031092
DESCRICAO
CATETER DIAGNOSTICO 7F HF JR4.0/100 527721 - J&J CORDIS
CATETER DIAGNOSTICO 7F HF JR5.0/100 527723 - J&J CORDIS
CATETER DIAGNOSTICO 7F HF JR6.0/100 527725 - J&J CORDIS
CATETER DIAGNOSTICO 7F HF LCB/100 527772 - J&J CORDIS
CATETER DIAGNOSTICO 7F HF MPA2/100 527742 - J&J CORDIS
CATETER DIAGNOSTICO 7F HF RCB/100 527770 - J&J CORDIS
CATETER DIAGNOSTICO 6F INFINITI EXTRA BACK TL6XB40 - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI EXTRA BACK TL5XB35 - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TRANSRADIAL H-STICK TL5HS - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TRANSRADIAL IM MOD TL5IMMOD - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TRANSRADIAL JL4 ST TL5JL4ST - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TRANSRADIAL JR4 ST 534-516T - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TRANSRADIAL JR4 ST TL5JR4RS - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TRANSRADIAL LIMA1 TL5RLIMA1 - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TRANSRADIAL LIMA2 TL5RLIMA2 - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TRANSRADIAL MPA2 TL5RBMPA2 - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TRANSRADIAL NO TL5NFR - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI PIG 8SH 538450E - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI PIG ANG145 MOD 5SH 538457V - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI PIG STR 5SH 538451V - J&J CORDIS
CATETER DIAGNOSTICO 4F INFINITI JL4,5 100CM 538417 - J&J CORDIS
INTRODUTOR LONG CORDIS 7F 45/MP 501611A - J&J CORDIS
INTRODUTOR LONG CORDIS 7F 45/RETA 501611 - J&J CORDIS
INTRODUTOR LONG CORDIS 7F 98/RETA 501613 - J&J CORDIS
INTRODUTOR LONG CORDIS 7F 98/MP 501613A - J&J CORDIS
INTRODUTOR LONG CORDIS 8F 45/RETA 501610 - J&J CORDIS
INTRODUTOR LONG CORDIS 8F 98/RETA 501612 - J&J CORDIS
CATETER GUIA CG V.BRITE TIP 7F 078 CELEB.778-25090 - J&J CORDIS
ALENDIL 5MG 30CPDS - - FARMOQUIMICA
CATETER DIAGNOSTICO DEFLECT.DECAPOLAR ESPAC.282MM CURVA D 6FR 92CM D610DRP10RT - J&J CORDIS
CATETER DIAGNOSTICO DEFLECT.DECAPOLAR ESPAC.282MM CURVA D 7FR 115CM D710DRP10RT - J&J CORDIS
ULTIVA 1MG 5AMP - GLAXOSMITH
ULTIVA 2MG 5AMP - GLAXOSMITH
ULTIVA 5MG 5AMP - GLAXOSMITH
CIPRO HC 2+10MG/ML SOL.OTOL.10ML - ALCON
KIT CASSETE C/LINHAS I/A PONTEIRA P/FACOEMULSIFICACAO MAX VAC/MICROTIP ABS 30G RETA 6010 - ALCON
CANETA FRAGMENTACAO VIA PARS PLANA ACCURUS 5606 - ALCON
ESPECULO VAGINAL ESTERIL S/LUBRIFICACAO TAM.PEQ. - KOLPLAST
ESPECULO VAGINAL ESTERIL C/LUBRIFICACAO TAM.PEQ. - KOLPLAST
DUOVISC LARGE PROVISC 0,55ML/VISCOAT 0,50ML CX.VERDE 10962 - ALCON
CURATIVO HIDROCELULAR ADES.ALLEVYN ADHESIVE 7,5X7,5CM 10UNID 66000043 S&N - POLITEC
CURATIVO HIDROCELULAR ADES.ALLEVYN ADHESIVE 12,5X12,5CM 10UNID 66000044 S&N - POLITEC
CURATIVO HIDROCELULAR ADES.ALLEVYN ADHESIVE 17,5X17,5CM 10UNID 66000045 S&N - POLITEC
CURATIVO HIDROCELULAR ADES.ALLEVYN ADHESIVE 22,5X22,5CM 10UNID 66000046 S&N - POLITEC
CURATIVO HIDROCELULAR PLACA ALLEVYN 10X20CM 10UNID 66007335 S&N - POLITEC
CURATIVO HIDROCELULAR PLACA ALLEVYN 10X10CM 10UNID 66007637 S&N - POLITEC
CURATIVO HIDROCELULAR PLACA ALLEVYN 20X20CM 10UNID 66007638 S&N - POLITEC
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
64
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000031094
0000031096
0000031098
0000031100
0000031102
0000031115
0000031116
0000031117
0000031118
0000031119
0000031121
0000031123
0000031125
0000031127
0000031129
0000031131
0000031133
0000031135
0000031137
0000031139
0000031141
0000031143
0000031145
0000031147
0000031149
0000031153
0000031155
0000031157
0000031159
0000031163
0000031165
0000031167
0000031169
0000031171
0000031173
0000031175
0000031181
0000031183
0000031185
0000031189
0000031193
0000031195
0000031197
0000031205
0000031207
0000031209
0000031231
DESCRICAO
CURATIVO HIDROCELULAR PLACA ALLEVYN 5X5CM 10UNID 66007643 S&N - POLITEC
CURATIVO HIDROCELULAR ALLEVYN TRAQUEOST.9X9CM 10UNID 66007640 S&N - POLITEC
GAZE IMPREGNADA PARAFINADA ANTIS.CLOR.BACTIGRAS 5X5CM 50UNID 7456 S&N - POLITEC
GAZE IMPREGNADA PARAFINADA ANTIS.CLOR.BACTIGRAS 10X10CM 10UNID 7457 S&N - POLITEC
GAZE IMPREGNADA PARAFINADA ANTIS.CLOR.BACTIGRAS 15X20CM 10UNID 7461 S&N - POLITEC
FITA P/FIXACAO ADES.POROSA HIPOALERG.2,5CMX10MT HYPAFIX 71443-00 BSN - POLITEC
FITA P/FIXACAO ADES.POROSA HIPOALERG.5CMX10MT HYPAFIX 71443-01 BSN - POLITEC
FITA P/FIXACAO ADES.POROSA HIPOALERG.10CMX10MT HYPAFIX 71443-02 BSN - POLITEC
FITA P/FIXACAO ADES.POROSA HIPOALERG.15CMX10MT HYPAFIX 71443-03 BSN - POLITEC
HIDROGEL P/DEBRID.AUTOL.INTRA-SITE GEL 8GRS 10UNID 7308 S&N - POLITEC
HIDROGEL P/DEBRID.AUTOL.INTRA-SITE GEL 15GRS 10UNID 7311 S&N - POLITEC
HIDROGEL P/DEBRID.AUTOL.INTRA-SITE GEL 25GRS 10UNID 7313 S&N - POLITEC
GAZE IMPREGNADA PARAFINADA JELONET 5X5CM 50UNID 7403 S&N - POLITEC
GAZE IMPREGNADA PARAFINADA JELONET 10X10CM 100UNID 7409 S&N - POLITEC
GAZE IMPREGNADA PARAFINADA JELONET 40X10CM 10UNID 7459 S&N - POLITEC
CURATIVO ABSORV.N/ADER.MELOLIN 20X10CM 100UNID 66974939 S&N - POLITEC
CURATIVO ABSORV.N/ADER.MELOLIN 5X5CM 100UNID 66974940 S&N - POLITEC
CURATIVO ABSORV.N/ADER.MELOLIN 10X10CM 100UNID 66974941 S&N - POLITEC
CURATIVO PELIC.ADES.OPSITE FLEXIGRID 6X7CM 100UNID 4628 S&N - POLITEC
CURATIVO PELIC.ADES.OPSITE FLEXIGRID 10X12CM 50UNID 4630 S&N - POLITEC
CURATIVO PELIC.ADES.OPSITE FLEXIGRID 15X20CM 10UNID 4631 S&N - POLITEC
CURATIVO PELIC.ADES.OPSITE FLEXIGRID 25X12CM 20UNID 4632 S&N - POLITEC
CURATIVO PELIC.P/CATET.FENESTRADO OPSITE IV 3000 7X9CM 100UNID 4006 S&N - POLITEC
CURATIVO PELIC.P/CATET.OPSITE IV 3000 6X7CM 100UNID 4007 S&N - POLITEC
CURATIVO PELIC.P/CATET.OPSITE IV 3000 10X12CM 50UNID 4008 S&N - POLITEC
CAMPO CIRURGICO TP.PELICULA CIR.INCIS.ADES.OPSITE INCISE 15X28CM 10UNID 4986 S&N - POLITEC
CAMPO CIRURGICO TP.PELICULA CIR.INCIS.ADES.OPSITE INCISE 28X30CM 10UNID 4987 S&N - POLITEC
CAMPO CIRURGICO TP.PELICULA CIR.INCIS.ADES.OPSITE INCISE 55X45CM 10UNID 4989 S&N - POLITEC
CAMPO CIRURGICO TP.PELICULA CIR.INCIS.ADES.OPSITE INCISE 84X56CM 10UNID 4994 S&N - POLITEC
CURATIVO PELIC.AB.OPSITE POST-OP 6,5X5CM 100UNID 66000708 S&N - POLITEC
CURATIVO PELIC.AB.OPSITE POST-OP 9,5X8,5CM 20UNID 66000709 S&N - POLITEC
CURATIVO PELIC.AB.OPSITE POST-OP 15,5X8,5CM 20UNID 66000712 S&N - POLITEC
CURATIVO PELIC.AB.OPSITE POST-OP 25X10CM 20UNID 66000714 S&N - POLITEC
CURATIVO PELIC.AB.OPSITE POST-OP 30X10CM 20UNID 66000715 S&N - POLITEC
CURATIVO PELIC.AB.OPSITE POST-OP 35X10CM 20UNID 66000716 S&N - POLITEC
CURATIVO ADES.POROSO ABSORV.PRIMAPORE 8,3X6CM 20UNID 7135 S&N - POLITEC
CURATIVO ADES.POROSO ABSORV.PRIMAPORE 15X8CM 20UNID 66000318 S&N - POLITEC
CURATIVO ADES.POROSO ABSORV.PRIMAPORE 20X10CM 20UNID 66000319 S&N - POLITEC
CURATIVO ADES.POROSO ABSORV.PRIMAPORE 25X10CM 20UNID 66000320 S&N - POLITEC
CURATIVO ADES.POROSO ABSORV.PRIMAPORE 35X12CM 20UNID 66007140 S&N - POLITEC
BANDAGEM ELASTICA AD.TRAD.TENSOPLAST 5CMX4,5M 12ROLO 71545-00 BSN - POLITEC
BANDAGEM ELASTICA AD.TRAD.TENSOPLAST 7,5CMX4,5M 12ROLO 71546-00 BSN - POLITEC
BANDAGEM ELASTICA AD.TRAD.TENSOPLAST 10CMX4,5M 12ROLO 71547-00 BSN - POLITEC
CONJUNTO P/TRACAO CUTANEA TENSOPLAST ADU.12UNID 71544-00 BSN - POLITEC
CONJUNTO P/TRACAO CUTANEA TENSOPLAST INF.12UNID 71554-00 BSN - POLITEC
BANDAGEM C/OXIDO ZINCO VISCOPASTE PB7 7,5X6M 12ROLO 4948 S&N - POLITEC
KIT IRRIGACAO/ASPIRACAO SOVEREIGN DESC.OPO51 - VISTATEK
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
65
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000031236
0000031237
0000031238
0000031239
0000031240
0000031241
0000031248
0000031249
0000031250
0000031251
0000031252
0000031253
0000031255
0000031257
0000031262
0000031277
0000031278
0000031286
0000031287
0000031288
0000031289
0000031295
0000031296
0000031301
0000031302
0000031303
0000031325
0000031326
0000031327
0000031329
0000031331
0000031344
0000031345
0000031349
0000031350
0000031360
0000031363
0000031364
0000031365
0000031366
0000031367
0000031368
0000031369
0000031370
0000031372
0000031381
0000031382
DESCRICAO
AMPICILINA GEN.500MG 12CPDS - EMS GENERICOS
AMPICILINA GEN.500MG 2BLX12CPDS - EMS GENERICOS
CEFALEXINA GEN.500MG 8CPDS - EMS GENERICOS
NOTUSS 3+50+3+3MG MENTA 12PAST. - ACHE
ANTUX 30MG GTS.20ML - ACHE
ANTUX 6MG/ML XPE.120ML - ACHE
ANGIOPRIL 5MG 30CPDS - DIFFUCAP
ANGIOPRIL 10MG 30CPDS - DIFFUCAP
ANGIOPRIL 20MG 30CPDS - DIFFUCAP
LACRIGEL A 10MG/G GEL.OFT.10G - NOVARTIS
CETOCONAZOL GEN.2% CRM.30GRS - TEUTO BRAS
SULFATO SALBUTAMOL GEN.0,4MG/ML SOL.ORAL 120ML - TEUTO BRAS
ACNASE 50MG/G GEL 20G - AVERT
ALDACTONE 25MG 30CPDS - PFIZER
TEBONIN 120MG 20CPDS - NYCOMED
CLARITROMICINA GEN.500MG 10CPDS REV. - MEDLEY
CLARITROMICINA GEN.500MG 2X7CPDS REV. - MEDLEY
TIPOIA FUNCIONAL P/MEMBRO SUPERIOR TAM.UNICO 318-00 - SALVAPE
TIPOIA FUNCIONAL C/APOIO P/POS-OPER.MANGUITO ROTATOR TAM.UNICO 318-10 - SALVAPE
JOELHEIRA NEOPRENE C/CINTAS CRUZADAS GG 533-06 - SALVAPE
JOELHEIRA NEOPRENE SUPERFIRME EXTRA GG 550-17 - SALVAPE
JOELHEIRA CRYO CUFF-AIRCAST MED.OR0-A0003 - SALVAPE
JOELHEIRA CRYO CUFF-AIRCAST GRD.OR0-A0004 - SALVAPE
MANGUEIRA CRYO CUFF-AIRCAST TAM.UNICO OR0-A0009 - SALVAPE
JOELHEIRA CRYO CUFF C/COOLER-AIRCAST TAM.UNICO OR0-P0001 - SALVAPE
COOLER C/MANGUEIRA CRYO CUFF-AIRCAST OR0-P0002 - SALVAPE
CLORETO SODIO 0,9% 500ML - ICAR
CLORIDRATO LINCOMICINA GEN.300MG/ML 1AMP 2ML - TEUTO BRAS
CLORIDRATO METOCLOPRAMIDA GEN.4MG/ML SOL.ORAL GTS.10ML - TEUTO BRAS
FUROSEMIDA GEN.5AMP 2ML - TEUTO BRAS
SOLUGEL PLUS 8% 45GRS - STIEFEL
FLUTIVATE CRM.DERM.15G - GLAXOSMITH
FLUTIVATE POM.DERM.15G - GLAXOSMITH
REGAINE 50MG/ML SOL.TOP.KIT 60ML - J&J CONSUM
LORANIL D XPE.60ML - LIBBS
COLETOR MATERIAL PERFURO-CORTANTE 1,5LTS O160501 - DESCARPACK
LUVA PROCEDIMENTO PP 50PARES OO80101 - DESCARPACK
LUVA PROCEDIMENTO PEQ.50PARES OO80201 - DESCARPACK
LUVA PROCEDIMENTO MED.50PARES OO80301 - DESCARPACK
LUVA PROCEDIMENTO GRD.50PARES OO80401 - DESCARPACK
SERETIDE DISKUS 50/100MCG 60DOSES - GLAXOSMITH
SERETIDE DISKUS 50/250MCG 60DOSES - GLAXOSMITH
SERETIDE DISKUS 50/500MCG 60DOSES - GLAXOSMITH
REBIF 22MCG/6MUI 12SER.PREENCH.0,5ML - MERCK S.A.
EQUIPO P/INFUSAO SOLUCAO EV-HART AIR FILTRO 15MICRAS REVERSIVEL L.LOCK ELIM.AR IS.PVC 160.128 - HARTMANN
EXTENSOR P/ARTROSCOPIA 2VIAS 530.115 - HARTMANN
EXTENSOR P/CISTOSCOPIA 2VIAS 530.140 - HARTMANN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
66
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000031383
0000031384
0000031386
0000031387
0000031390
0000031391
0000031423
0000031425
0000031454
0000031455
0000031456
0000031532
0000031533
0000031534
0000031535
0000031536
0000031545
0000031546
0000031547
0000031548
0000031549
0000031550
0000031551
0000031552
0000031553
0000031554
0000031555
0000031556
0000031558
0000031560
0000031562
0000031564
0000031566
0000031568
0000031570
0000031572
0000031589
0000031590
0000031593
0000031595
0000031599
0000031614
0000031616
0000031695
0000031699
0000031700
0000031701
DESCRICAO
EQUIPO FOTOSSENSIVEL KIT-HART AIR MICROGOTAS 160.154 - HARTMANN
EQUIPO FOTOSSENSIVEL KIT-HART AIR FILTRO 15MICRAS REVERSIVEL LUER LOCK ELIM.AR ISENTO PVC 160.169 - HARTMANN
EQUIPO FOTOSSENSIVEL KIT-HART AIR 150ML 360.150 - HARTMANN
EQUIPO FOTOSSENSIVEL KIT-HART AIR 150ML FILTRO 15MICRAS 360.151 - HARTMANN
CONJUNTO C/5 TORNEIRA THREE-HART 7VIA 910.144 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO NUTRI-HART MINIMAX ENTRADA AR 170.103 - HARTMANN
BALAO RESPIRATORIO SILKOMED 100% SILIC.RUSCH 0,5LT 150500 - - BADEIA
ESPARADRAPO IMPERMEAVEL 10CMX4,5MT D07561 - POLAR FIX
SONDA MICROLARINGEA PVC C/BALAO RUSCH 4,0MM 112460-040 - BADEIA
SONDA MICROLARINGEA PVC C/BALAO RUSCH 5,0MM 112460-050 - BADEIA
SONDA MICROLARINGEA PVC C/BALAO RUSCH 6,0MM 112460-060 - BADEIA
KIT CANULA P/TRAQUEOSTOMIA TRACHEOSOFT AJUST.C/BALAO NR.7,0 MM MALLINCKRODT - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA TRACHEOSOFT AJUST.C/BALAO NR.8,0 MM MALLINCKRODT - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA TRACHEOSOFT AJUST.C/BALAO NR.9,0 MM MALLINCKRODT - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA TRACHEOSOFT AJUST.C/BALAO NR.10,0 MM MALLINCKRODT - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA TRACHEOSOFT AJUST.C/BALAO NR.5,0 MM MALLINCKRODT - COVIDIEN
SONDA ENDOTRAQUEAL ARAMADA PVC C/BALAO RUSCH 4,5MM 103904-045 - BADEIA
SONDA ENDOTRAQUEAL ARAMADA PVC C/BALAO RUSCH 5,0MM 103904-050 - BADEIA
SONDA ENDOTRAQUEAL ARAMADA PVC C/BALAO RUSCH 5,5MM 103904-055 - BADEIA
SONDA ENDOTRAQUEAL ARAMADA PVC C/BALAO RUSCH 6,0MM 103904-060 - BADEIA
SONDA ENDOTRAQUEAL ARAMADA PVC C/BALAO RUSCH 6,5MM 103904-065 - BADEIA
SONDA ENDOTRAQUEAL ARAMADA PVC C/BALAO RUSCH 7,0MM 103904-070 - BADEIA
SONDA ENDOTRAQUEAL ARAMADA PVC C/BALAO RUSCH 7,5MM 103904-075 - BADEIA
SONDA ENDOTRAQUEAL ARAMADA PVC C/BALAO RUSCH 8,0MM 103904-080 - BADEIA
SONDA ENDOTRAQUEAL ARAMADA PVC C/BALAO RUSCH 8,5MM 103904-085 - BADEIA
SONDA ENDOTRAQUEAL ARAMADA PVC C/BALAO RUSCH 9,0MM 103904-090 - BADEIA
SONDA ENDOTRAQUEAL ARAMADA PVC C/BALAO RUSCH 9,5MM 103904-095 - BADEIA
SONDA ENDOTRAQUEAL ARAMADA PVC C/BALAO RUSCH 10,0MM 103904-100 - BADEIA
REGENERADOR CALOR/UMIDADE ADU.GIBECK 1UNID - CNPH
REGENERADOR CALOR/UMIDADE PED.GIBECK 1UNID - CNPH
REGENERADOR CALOR/UMIDADE NEONATO GIBECK 1UNID - CNPH
REGENERADOR CALOR/UMIDADE C/FILTRO ADU.GIBECK 1UNID - CNPH
REGENERADOR CALOR/UMIDADE C/FILTRO PED.GIBECK 1UNID - CNPH
FILTRO BACTERIANO/VIRAL ELETROSTATICO GIBECK 1UNID - CNPH
FILTRO BACTERIANO/VIRAL MECANICO HEPA GIBECK 1UNID - CNPH
HIGIENIZADOR PROTETOR CUTANEO BAG BATH 1PCT APODAN - CNPH
ELETRODO DESC.POLIPROP.GEL SOL.PROT.PAPEL ADU.53MM ELECTRON 104GS - BIOMED
ELETRODO DESC.POLIPROP.GEL SOL.PROT.PAPEL PED.40MM ELECTRON 105GS - BIOMED
SAPATILHA CIRURGICA PROPE MALHA TOTAL (PAR) 200 - BIOMED
GUTTALAX 2,5MG 50 PEROLAS GEL. - BOEHRINGER
VIRAMUNE 50MG/5ML SUSP.ORAL 240ML+SER.DOSAD. - BOEHRINGER
HYPLEX B 100AMP 2ML - HYPOFARMA
HYPONOR 8MG 10AMP 4ML - HYPOFARMA
TRIAXTON 1000MG PO INJ.20FA+20DIL.VD.10ML - - BLAU
OPRAZON 40MG 20FA+DIL - ARISTON
LINATRON 300MG/ML 50AMP 2ML - ARISTON
FAZOLON 1000MG 20FA - ARISTON
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
67
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000031704
0000031732
0000031733
0000031734
0000031735
0000031736
0000031737
0000031739
0000031741
0000031749
0000031750
0000031751
0000031752
0000031753
0000031754
0000031792
0000031793
0000031794
0000031796
0000031803
0000031804
0000031812
0000031813
0000031814
0000031815
0000031816
0000031817
0000031819
0000031820
0000031821
0000031822
0000031823
0000031824
0000031825
0000031832
0000031838
0000031839
0000031841
0000031842
0000031844
0000031845
0000031853
0000031854
0000031855
0000031856
0000031857
0000031858
DESCRICAO
DOPABANE 5MG/ML 10AMP VD INC.10ML - - BLAU
MALEATO ENALAPRIL GEN.5MG 30CPDS - BIOSINTETICA
MALEATO ENALAPRIL GEN.10MG 30CPDS - BIOSINTETICA
MALEATO ENALAPRIL GEN.20MG 30CPDS - BIOSINTETICA
BESILATO ANLODIPINO GEN.5MG 30CPDS - BIOSINTETICA
BESILATO ANLODIPINO GEN.10MG 30CPDS - BIOSINTETICA
OXYCONTIN 10MG 30CPDS REV.LIB.CONTR. - ZODIAC
OXYCONTIN 20MG 30CPDS REV.LIB.CONTR. - ZODIAC
OXYCONTIN 40MG 30CPDS REV.LIB.CONTR. - ZODIAC
PENVIR 500MG 3BLX7CPDS REV. - SIGMA PHARMA
MICROPIL 0,075+0,020MG 21CPDS - SIGMA PHARMA
MAXILIV 500MG 20CPDS - ACHE
MAXILIV 500MG/ML GTS.20ML - ACHE
FLAGASS 40MG 20CPDS - ACHE
FLAGASS 75MG/ML GTS.10ML - ACHE
MANIVASC 10MG 14CPDS - CHIESI
MANIVASC 20MG 14CPDS - CHIESI
KLARICID UD 500MG 7CPDS LIB.PROLONG. - ABBOTT
ANDANTOL 7,5MG/G GEL 40G - ACHE
ABSORVENTE OB DUOPACK MED.MINI 10UNID 69830 - J&J CONSUM
DESODORANTE SPR.BAB OCEAN 90ML 9942 - - J&J CONSUMER
NOVALGINA 500MG 24X10CPDS - SANOFI-AVENTIS
NOVALGINA 500MG 10CPDS F.V - SANOFI-AVENTIS
DORFLEX 35+300+50MG 24X10CPDS - SANOFI-AVENTIS
DORFLEX 35+300+50MG 10CPDS F.V - SANOFI-AVENTIS
DORFLEX 35+300+50MG 3X10CPDS - SANOFI-AVENTIS
DORFLEX 35+300+50MG SOL.20ML - SANOFI-AVENTIS
GRANOCYTE 33.6MUI 5FA+5SER.PREENC.1ML - SANOFI-AVENTIS
CETOBETA CRM.30G - BUNKER
CETOBETA POM.30G - BUNKER
DIPROBETA SUSP.INJ.1AMP 1ML - BUNKER
GINBILOBA 40MG 30CPDS REV. - BUNKER
GINBILOBA 80MG 20CPDS REV. - BUNKER
RICONAZOL 150MG 1CAP - BUNKER
PROSTAVASIN 20MCG 10AMP - BIOSINTETICA
CAPTOPRIL GEN.12,5MG 30CPDS - MEDLEY
CAPTOPRIL GEN.12,5MG 2X30CPDS - MEDLEY
CAPTOPRIL GEN.25MG 30CPDS - MEDLEY
CAPTOPRIL GEN.25MG 2X30CPDS - MEDLEY
CAPTOPRIL GEN.50MG 30CPDS - MEDLEY
CAPTOPRIL GEN.50MG 2X30CPDS - MEDLEY
LOREMIX D 12CPDS REV. - ATIVUS
LOREMIX D XPE.60ML - ATIVUS
MELOXIL 15MG 5AMP - ATIVUS
TRIATIV 300MG 30CPDS REV. - ATIVUS
CARDILOL 25MG 30CPDS - LIBBS
MATERVIT 30CPDS REV. - FARMOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
68
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000031872
0000031873
0000031874
0000031893
0000031903
0000031904
0000031905
0000031906
0000031907
0000031908
0000031909
0000031916
0000031919
0000031920
0000031929
0000031930
0000031931
0000031932
0000031949
0000031950
0000031953
0000031954
0000031956
0000031960
0000031961
0000031962
0000031965
0000031966
0000031967
0000031968
0000031969
0000031985
0000031986
0000031988
0000031990
0000031992
0000031993
0000031994
0000031995
0000031996
0000031998
0000032000
0000032002
0000032005
0000032006
0000032007
0000032008
DESCRICAO
DEXAMETASONA GEN.0,1MG/ML ELIXIR VD.100ML+COPO MEDIDOR - TEUTO BRAS
DALMADORM 30MG 30CPDS REV. - VALEANT
CLOB-X CRM.30G - GALDERMA
FONTOLAX 74,5MG 20CAPS - BIOLAB SANUS
GLICOSE 25% 10ML - EQUIPLEX
TAMIFLU 75MG 10CAPS - ROCHE
FLOXINOL 400MG 6CPDS - MILLETROUX
NOVONORM 0,5MG 30CPDS - NOVO NORDISK
SYGEN 100MG 1AMP 5ML - TRB PHARMA
NOVONORM 1,0MG 30CPDS - NOVO NORDISK
NOVONORM 2,0MG 30CPDS - NOVO NORDISK
AZITROGRAN 500MG 3CPDS - LEGRAND TARJARDOS
REPOFLOR 100MG 12CAPS - LEGRAND OTC
REPOFLOR 200MG PO ORAL 4SACH - LEGRAND OTC
FLUIR 12MCG PO INAL.3X10CAPS+INAL. - MANTECORP
FLUIR 12MCG PO INAL.6X10CAPS+INAL. - MANTECORP
FLUIR 12MCG PO REF.3X10CAPS - MANTECORP
FLUIR 12MCG PO REF.6X10CAPS - MANTECORP
AVALOX 400MG 5CPDS REV. - BAYER
AVALOX 400MG 7CPDS REV. - BAYER
ATLANSIL 100MG 20CPDS - SANOFI-AVENTIS
CEWIN 500MG LAR.10CPDS EFV. - SANOFI-AVENTIS
TRIVASTAL RET.50MG 15DRGS - SERVIER
FRENURIN 5MG 30CPDS - UCI-FARMA
FRENURIN 5MG 60CPDS - UCI-FARMA
FRENURIN XPE.120ML - UCI-FARMA
TOMUDEX 2MG PO LIOF.1FA - ASTRAZENECA
CLINDAL AZ 500MG 2CPDS REV. - MERCK S.A.
PRANDIN 0,5MG 2X15CPDS - MEDLEY
PRANDIN 1,0MG 2X15CPDS - MEDLEY
PRANDIN 2,0MG 2X15CPDS - MEDLEY
DINATON 80MG 20CPDS REV. - ACHE
DINATON 80MG 60CPDS REV. - ACHE
CATETER INFUSE-A-PORT ADU.VEN.9,6F C/KIT INTR.ANGIODYNAMICS 40058 - PHYSIOMED
CATETER INFUSE-A-PORT ADU.VEN.7,5FR C/KIT INTR.ANGIODYNAMICS 40057 - PHYSIOMED
BUDECORT AQUA 32MCG/DOSE SUSP.NASAL 120DOSES - ASTRAZENECA
BUDECORT AQUA 64MCG/DOSE SUSP.NASAL 120DOSES - ASTRAZENECA
PULMICORT 0,25MG 5FA 2ML - ASTRAZENECA
PULMICORT 0,50MG 5FA 2ML - ASTRAZENECA
CALTREN 10MG 30CPDS - LIBBS
CALTREN 20MG 30CPDS - LIBBS
CEBRILIN 20MG 10CPDS - LIBBS
CEBRILIN 20MG 30CPDS - LIBBS
AZI 1000MG 1CPD - SIGMA PHARMA
AZI 500MG 3CPDS - SIGMA PHARMA
AZI SUSP.ORAL 1,5G S/DIL. - SIGMA PHARMA
AZI SUSP.ORAL 900MG S/DIL. - SIGMA PHARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
69
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000032009
0000032010
0000032012
0000032016
0000032018
0000032019
0000032020
0000032028
0000032097
0000032186
0000032187
0000032213
0000032232
0000032250
0000032251
0000032278
0000032279
0000032280
0000032281
0000032282
0000032283
0000032284
0000032285
0000032286
0000032288
0000032291
0000032295
0000032298
0000032301
0000032303
0000032305
0000032306
0000032307
0000032323
0000032324
0000032325
0000032327
0000032329
0000032450
0000032452
0000032458
0000032460
0000032499
0000032525
0000032534
0000032547
0000032626
DESCRICAO
BROMOXON 3MG 2X10CPDS - SANVAL
BROMOXON 6MG 2X10CPDS - SANVAL
PONDERA 20MG 10CPDS - EUROFARMA
CEFTRIAXONA IM GEN.500MG 1FA+DIL - EUROFARMA
CEFTRIAXONA IM GEN.1G 1FA+DIL - EUROFARMA
MESTINON 60MG 60CPDS - VALEANT
PROTAMINA 1000UI/ML 10MG/ML 25AMP 5ML - VALEANT
EMADINE 0,05% SOL.5ML - - ALCON
CESTA EXTRATORA CALCULO COOK HELICAL STONE 2,8FR 3WIRE 115CM WITH UNI-DEX CE-328115 - HANDLE
CATETER URETERAL OPEN-END 5FR 70CM 040" THRU-HOLE 020040-C5 - HANDLE
CATETER URETERAL OPEN-END 6FR 70CM 040" THRU-HOLE 020040-C6 - HANDLE
PINCA BIPOLAR ISOL.8,9CM COMP.PTA.0,4MM CURVA TP.IRIS VALLEYLAB E4062CT - COVIDIEN
CATETER URETERAL ANGLED TIP 5FR 70CM TAPERED 023105 - HANDLE
CATETER URETERAL PIGTAIL RIGHT 5FR 70CM 025105 - HANDLE
CATETER URETERAL PIGTAIL RIGHT 6FR 70CM 025106 - HANDLE
KYBERNIN P 1000 50UI/ML PO LIOF.1FA+1FA DIL.20ML+DISP.TRANSF. - CSL BEHRING
ERITROMAX 2000UI 1FA 2ML - BLAU
ERITROMAX 4000UI 1FA 2ML - BLAU
RIBAVIRIN 250MG 20CAPS - - BLAU
RIBAVIRIN 250MG 40CAPS - - BLAU
RIBAVIRIN 250MG 60CAPS - BLAU
TAXOFEN 10MG 30CPDS - - BLAU
TAXOFEN 10MG 250CPDS REV.(EMB.HOSP.) - - BLAU
TAXOFEN 20MG 30CPDS - - BLAU
PREDSIM 3MG SOL.100ML+PIPET.DOSAD. - MANTECORP
ESPESSANTE ALIMENTAR THICK & EASY 225GRS BR6104370A - FRESENIUS KABI
BOLSA EVA P/AUTOMIX 3000ML AZB8134 - BAXTER
CERNE-12 MULTIVITAMINICO PO LIOF.5ML 10FA.3GM057X29 - BAXTER
SOLUCAO PARENTERAL AMINOACIDO 10% 250ML PRIMENE 3CG133X29 - BAXTER
SOLUCAO RINGER C/LACTATO SODIO 1000ML (6+0,3+0,2+3,1)MG/ML INJ.C/BOLSA PLAST.VIAFLEX 1000ML AZB2324 - BAXTER
BOLSA SANGUE QUADRUPLA TOP BOTTOM COA-ADSOL C/NIVELLES "Y" ABR8402L - BAXTER
BOLSA SANGUE SIMPLES CPDA-1 C/NIVELLES "Y" LBR7107L - BAXTER
BOLSA SANGUE DUPLA CPDA-1 C/NIVELLES "Y" LBR7286L - BAXTER
AMICUS 4R4580 - BAXTER
BOLSA SANGUE TRIPLA CPDA-1 PLAQ.3 DIAS C/NIVELLES "Y" LBR7376L - BAXTER
BOLSA SANGUE TRIPLA CPDA-1 PLAQ.5 DIAS C/NIVELLES "Y" LBR7375L - BAXTER
BOLSA SANGUE TRIPLA CPDA-1 PLAQ.5 DIAS ADSOL LBR7377L - BAXTER
BOLSA SANGUE TRIPLA TOP AND BOTOM CPD-ADSOL C/NIVELLES "Y" ABR8403L - BAXTER
CAMPO OPERATORIO 23CMX25CM C/RX 50UNID C20125 - NEVE
CAMPO OPERATORIO 45CMX50CM 35GRS C/RX 50UNID C20150 - NEVE
SAPATILHA LONADA C/ANTI-DERRAPANTE TAM.UNICO (PAR) - - NEVE
ALGODAO HIDROFILO 500GRS C31050 - NEVE
PROBEK'S CRM.50GRS - INFAN
GINCONAZOL 30GRS+5APL.5GRS - INFAN
ATP 15CAPS - INFAN
BREFUS XPE.ADU.100ML - INFAN
HIDRAPEL PLUS LOC.120ML - STIEFEL
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
70
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000032692
0000032698
0000032887
0000032888
0000032889
0000032890
0000032891
0000032892
0000032893
0000032894
0000032895
0000032896
0000032897
0000032898
0000032899
0000032900
0000032901
0000032902
0000032903
0000032904
0000032905
0000032906
0000032907
0000032908
0000033007
0000033008
0000033009
0000033071
0000033122
0000033216
0000033217
0000033218
0000033220
0000033224
0000033225
0000033226
0000033227
0000033231
0000033232
0000033233
0000033237
0000033238
0000033244
0000033245
0000033275
0000033276
0000033277
DESCRICAO
EQUIPO P/PACLITAXEL C/ENTRADA AR AMC9627 - BAXTER
FIO GUIA HIDROFILICO SILVER SPEED 10X200 MICROTHERAPEUTICS 103-0601-200 - SYNCROFILM
AFASTADOR RESINA 23,5X12,2CM LONE STAR 3301G - SYNCROFILM
AFASTADOR RESINA 21,2X12,2CM LONE STAR 3302G - SYNCROFILM
AFASTADOR RESINA 30,6X19,2CM LONE STAR 3304G - SYNCROFILM
AFASTADOR RESINA 14,2X14,2CM LONE STAR 3307G - SYNCROFILM
AFASTADOR RESINA 28,5X19,0CM LONE STAR 3308G - SYNCROFILM
AFASTADOR RESINA 19,0X9,0CM LONE STAR 3309G - SYNCROFILM
KIT AFASTADOR RESINA 25,0X25,0CM LONE STAR 3310G - SYNCROFILM
ELASTICO STAYS 5MM 8UNID LONE STAR 3311-8G - SYNCROFILM
ELASTICO STAYS 3MM 8UNID LONE STAR 3314-8G - SYNCROFILM
ELASTICO STAYS BLUNT END 5MM 8UNID LONE STAR 3316-8G - SYNCROFILM
ELASTICO STAYS 12MM 8UNID LONE STAR 3350-8G - SYNCROFILM
ELASTICO STAYS 5MM 2 GARRA 4UNID LONE STAR 3325-4G - SYNCROFILM
ELASTICO STAYS 7MM 2 GARRA 4UNID LONE STAR 3327-4G - SYNCROFILM
ELASTICO STAYS 10MM 2 GARRA 4UNID LONE STAR 3329-4G - SYNCROFILM
ELASTICO STAYS LAM.SOLIDA 14MMX13MM 4UNID LONE STAR 3330-4G - SYNCROFILM
ELASTICO STAYS 14MMX16MM 2 GARRA 4UNID LONE STAR 3332-4G - SYNCROFILM
ELASTICO STAYS 14MMX20MM 4 GARRA 4UNID LONE STAR 3334-4G - SYNCROFILM
ELASTICO STAYS SIMPLES 5MM 50UNID LONE STAR 3311-1G - SYNCROFILM
ELASTICO STAYS SIMPLES 3MM 50UNID LONE STAR 3314-1G - SYNCROFILM
ELASTICO STAYS SIMPLES 5MM 50UNID LONE STAR 3316-1G - SYNCROFILM
ELASTICO STAYS SIMPLES 12MM 50UNID LONE STAR 3350-1G - SYNCROFILM
ELASTICO STAYS SIMPLES 12MM 2 PTA.50UNID LONE STAR 3550-1G - SYNCROFILM
CETOMED 200MG 30CPDS - CIMED
CIFLOGEX LAR.12PAST - CIMED
CIFLOGEX MEL-LIM.12PAST - CIMED
STENT SET 7FR 24CM POLYURETHANE DOUBLE PIGTAIL 031724 - - HANDLE
STENT SET C-FLEX 5FR 26CM DOUBLE PIGTAIL 036526 - - HANDLE
AGULHA INTRODUTORA P/USO CO-AXIAL 7651 19GX3,8CM MCXS2008SZ - - ECOMED
AGULHA INTRODUTORA P/USO CO-AXIAL 7651 19GX7,8CM MCXS2012SY - - ECOMED
AGULHA INTRODUTORA P/USO CO-AXIAL 7651 19GX11,8CM MCXS2016SY - - ECOMED
AGULHA BIOPSIA ASPIR.22GX15CM GREENE MGN2206X - ECOMED
AGULHA C/BAINHA PTFE P/INTRODUCAO FIO GUIA 19GX15CM ISN1915 - ECOMED
AGULHA C/BAINHA PTFE P/INTRODUCAO FIO GUIA 19GX20CM ISN1920 - ECOMED
BOLSA COLETORA "D" DBAG600 - ECOMED
BOLSA COLETORA "D" DBAG600H - ECOMED
AGULHA P/BIOPSIA MAGNUM 14GAX20CM MN1420 - - BARD
AGULHA P/BIOPSIA MAGNUM 16GAX10CM MN1610 - - BARD
AGULHA P/BIOPSIA MAGNUM 16GAX13CM MN1613 - - BARD
AGULHA P/BIOPSIA MAGNUM 18GAX13CM MN1813 - - BARD
AGULHA P/BIOPSIA MAGNUM 18GAX16CM MN1816 - - BARD
AGULHA P/BIOPSIA MAGNUM 20GAX16CM MN2016 - - BARD
AGULHA P/BIOPSIA MAGNUM 20GAX20CM MN2020 - - BARD
ENAPROTEC 5MG 30CPDS - HEXAL
ENAPROTEC 10MG 30CPDS - HEXAL
ENAPROTEC 20MG 30CPDS - HEXAL
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
71
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000033291
0000033292
0000033293
0000033294
0000033295
0000033296
0000033297
0000033298
0000033299
0000033300
0000033301
0000033302
0000033303
0000033304
0000033305
0000033306
0000033307
0000033308
0000033328
0000033339
0000033340
0000033341
0000033342
0000033343
0000033344
0000033345
0000033346
0000033347
0000033348
0000033349
0000033350
0000033351
0000033406
0000033407
0000033408
0000033409
0000033410
0000033411
0000033415
0000033423
0000033428
0000033451
0000033452
0000033568
0000033576
0000033645
0000033646
DESCRICAO
AGULHA BIOPSIA ASPIR.18GX09CM DESC.ECOGENICA FRANSEEN MFN1803US - ECOMED
AGULHA BIOPSIA ASPIR.18GX15CM DESC.ECOGENICA FRANSEEN MFN1806US - ECOMED
AGULHA BIOPSIA ASPIR.18GX20CM DESC.ECOGENICA FRANSEEN MFN1808US - ECOMED
AGULHA BIOPSIA ASPIR.20GX09CM DESC.ECOGENICA FRANSEEN MFN2003US - ECOMED
AGULHA BIOPSIA ASPIR.20GX15CM DESC.ECOGENICA FRANSEEN MFN2006US - ECOMED
AGULHA BIOPSIA ASPIR.20GX20CM DESC.ECOGENICA FRANSEEN MFN2008US - ECOMED
AGULHA BIOPSIA ASPIR.22GX09CM DESC.ECOGENICA FRANSEEN MFN2203US - ECOMED
AGULHA BIOPSIA ASPIR.22GX15CM DESC.ECOGENICA FRANSEEN MFN2206US - ECOMED
AGULHA BIOPSIA ASPIR.22GX20CM DESC.ECOGENICA FRANSEEN MFN2208US - ECOMED
AGULHA BIOPSIA ASPIR.18GX09CM DESC.ECOGENICA CHIBA MCN1803US - ECOMED
AGULHA BIOPSIA ASPIR.18GX15CM DESC.ECOGENICA CHIBA MCN1806US - ECOMED
AGULHA BIOPSIA ASPIR.18GX20CM DESC.ECOGENICA CHIBA MCN1808US - ECOMED
AGULHA BIOPSIA ASPIR.20GX09CM DESC.ECOGENICA CHIBA MCN2003US - ECOMED
AGULHA BIOPSIA ASPIR.20GX15CM DESC.ECOGENICA CHIBA MCN2006US - ECOMED
AGULHA BIOPSIA ASPIR.20GX20CM DESC.ECOGENICA CHIBA MCN2008US - ECOMED
AGULHA BIOPSIA ASPIR.22GX09CM DESC.ECOGENICA CHIBA MCN2203US - ECOMED
AGULHA BIOPSIA ASPIR.22GX15CM DESC.ECOGENICA CHIBA MCN2206US - ECOMED
AGULHA BIOPSIA ASPIR.22GX20CM DESC.ECOGENICA CHIBA MCN2208US - ECOMED
AGULHA BIOPSIA ASPIR.18GX15CM TROCAR MTN1806 - - ECOMED
AGULHA LOCAL.MAMAR.ACCURA II TP.SADOWSKY 20GX5CM 266050 - ECOMED
AGULHA LOCAL.MAMAR.ACCURA II TP.SADOWSKY 20GX7,5CM 266075 - ECOMED
AGULHA LOCAL.MAMAR.ACCURA II TP.SADOWSKY 20GX10CM 266100 - ECOMED
AGULHA LOCAL.MAMAR.ACCURA II TP.SADOWSKY 20GX12,5CM 266125 - ECOMED
AGULHA INTRODUTORA P/USO CO-AXIAL C/SUPER-CORE II MCXS1409LX - ECOMED
AGULHA INTRODUTORA P/USO CO-AXIAL C/SUPER-CORE II MCXS1415LX - ECOMED
AGULHA INTRODUTORA P/USO CO-AXIAL C/SUPER-CORE II MCXS1609LX - ECOMED
AGULHA INTRODUTORA P/USO CO-AXIAL C/SUPER-CORE II MCXS1615LX - ECOMED
AGULHA INTRODUTORA P/USO CO-AXIAL C/SUPER-CORE II MCXS1809LX - ECOMED
AGULHA INTRODUTORA P/USO CO-AXIAL C/SUPER-CORE II MCXS1815LX - ECOMED
AGULHA INTRODUTORA P/USO CO-AXIAL C/SUPER-CORE II MCXS1820LX - ECOMED
AGULHA INTRODUTORA P/USO CO-AXIAL C/SUPER-CORE II MCXS2009LX - ECOMED
AGULHA INTRODUTORA P/USO CO-AXIAL C/SUPER-CORE II MCXS2015LX - ECOMED
ALGODAO HIDROFILO BOLAS COLOR.50GRS 205.237 - CREMER
ALGODAO HIDROFILO BOLAS COLOR.95GRS 205.183 - CREMER
FITA MICROPOROSA BRANCA 2,5CMX4,5MT 364.880 - CREMER
FITA MICROPOROSA BRANCA 1,2CMX4,5MT 364.873 - CREMER
FITA MICROPOROSA BRANCA 5,0CMX4,5MT 202.311 - CREMER
FITA MICROPOROSA BRANCA 10CMX4,5MT 202.304 - CREMER
COMPRESSA GAZE ESTRELA 13FIOS 7,5CMX7,5CM ETO ESTERIL 05UNID 201.680 - CREMER
STENT SET W.SOF-FLEX PED.DOUBLE PIGTAIL 3FR 14CM 039314 - HANDLE
STENT AND POSIT.SOF-FLEX MULTI-LENGTH 4,7FR 22-32CM 039500-R - HANDLE
STENT SET SOF-FLEX DOUBLE PIGTAIL 4,7F 26CM 039526 - HANDLE
STENT AND POSIT.SOF-FLEX DOUBLE PIGTAIL 4,7F 26CM 039526-R - HANDLE
PURAN T4 125MCG 30CPDS - SANOFI-AVENTIS
STENT AND POSIT.SOF-FLEX MULTI-LENGTH 8,2FR 22-32CM 039800-R - HANDLE
SACO COLETOR P/RETIRADA ESPECIE 8"X5" POUCH INTEG.TABS LAPSAC 054100 - HANDLE
SACO COLETOR P/RETIRADA ESPECIE 5"X2" POUCH INT.TABS LAPSAC 054200 - HANDLE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
72
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000033650
0000033651
0000033687
0000033690
0000033693
0000033694
0000033695
0000033699
0000033703
0000033704
0000033771
0000033826
0000033880
0000033881
0000033886
0000033907
0000033939
0000033942
0000033948
0000033950
0000033959
0000033960
0000033961
0000033962
0000033963
0000033964
0000033965
0000033966
0000033970
0000033976
0000033977
0000034064
0000034065
0000034067
0000034068
0000034069
0000034070
0000034071
0000034072
0000034075
0000034076
0000034077
0000034078
0000034079
0000034081
0000034085
0000034086
DESCRICAO
SACO COLETOR P/RETIRADA ESPECIE 6"X4" POUCH INTEG.TABS LAPSAC 054601 - HANDLE
SACO COLETOR P/RETIRADA ESPECIE 8"X10" POUCH INTEG.TABS LAPSAC 054800 - HANDLE
LEVOPHED 1MG/ML 10FA 4ML - HOSPIRA
COLETOR SECRECAO P/BRONCOSCOPIO/ENDOSCOPIA - P.SIMON
EXTENSAO CRISTAL ESTERIL 2MT UNIQUE VACCUM - P.SIMON
EXTENSAO CRISTAL ESTERIL 3MT UNIQUE VACCUM - P.SIMON
DRENO TORACICO RADIOPACO ESTERIL 10 AO 40FR - P.SIMON
FRASCO P/DRENAGEM S/EXTENSAO TORAX ESTERIL 120 A 2000ML - P.SIMON
KIT DRENAGEM C/EXTENSAO PVC/DRENO ESTERIL 120 A 2000ML - P.SIMON
SISTEMA DRENAGEM TORAX C/EXTENSAO PVC ESTER.120 A 2000ML - P.SIMON
KIT CATETER NEFROSTOMIA PERCUT.PIGTAIL SET 12FR 080012 - HANDLE
CATETER MALECOT NEPHROSTOMY 24FR SET 082924 - - HANDLE
AGULHA CYSTOSCOPIC INJECT.WILLIAMS 5FR 23GA 35CM 090001 - HANDLE
AGULHA CYSTOSCOPIC INJECT.WILLIAMS 3,7F 23GA 35CM 090001-S10 - HANDLE
AGULHA MITTY 18GA 11CM 090031 - HANDLE
CESTA EXTRATORA CALCULO CAPTURA HELICAL STONE 4WIRE 3,2FR 115CM CE-432115 - HANDLE
STENT SET BLACK SILICONE D.PIGTAIL 7FR 26CM 133726 - HANDLE
STENT SET BLACK SILICONE D.PIGTAIL 7FR 28CM 133728 - HANDLE
STENT SET BLACK SILICONE D.PIGTAIL 8,6FR 26CM 133826 - HANDLE
STENT SET BLACK SILICONE D.PIGTAIL 8,6FR 28CM 133828 - HANDLE
TANAKAN 80MG 30CPDS REV. - ABBOTT
VENALOT 60DRGS - NYCOMED
AMPLIUM G CRM.VAG.80GRS+14APL - FARMASA
NOVADERM CRM.VAG.40GRS+8APL - ZAMBON
FLOGORAL 1,5MG/ML COLUT.LAR.150ML - ACHE
SULFATO SALBUTAMOL GEN.2MG/5ML 120ML - NEOQUIMICA
ALBENDAZOL GEN.400MG/ML SUSP.10ML - NEOQUIMICA
DIPIRONA GEN.500MG/ML GTS.10ML - NEOQUIMICA
DIPIRONA GEN.500MG/ML 50AMP 2ML - NEOQUIMICA
KLARICID 25MG/ML SUSP.PED.60ML+SER.DOS. - ABBOTT
KLARICID 50MG/ML SUSP.PED.60ML+SER.DOS. - ABBOTT
BROMIFEN 5MG/ML GTS.20ML - NEOQUIMICA
DICLOFENACO DIETILAMONIO GEN.10MG/G EMULGEL 60GRS - NEOQUIMICA
ZITRONEO 900MG PO EXTEMP.17ML - NEOQUIMICA
NEO MOXILIN 250MG/5ML PO EXT.SUSP. 150ML - NEOQUIMICA
NEO ITRAX 100MG 4CAPS - NEOQUIMICA
NEO ITRAX 100MG 3X5CAPS - NEOQUIMICA
TENSALIV 10MG 2X10CPDS - NEOQUIMICA
NEO MOXILIN 500MG 2X6CPDS - NEOQUIMICA
MASSAGEOL AER.120ML - NEOQUIMICA
TORSILAX 25X4CPDS - NEOQUIMICA
NEO FEDIPINA 20MG 30CPDS - NEOQUIMICA
NEOTAFLAN 75MG 3AMP 3ML - NEOQUIMICA
NEOSEMID 50AMP 2ML - NEOQUIMICA
ULCINAX 300MG/2ML 6AMP 2ML - NEOQUIMICA
NEO FOLICO 5MG 20CPDS - NEOQUIMICA
CLARINEO 250MG 8CPDS REV. - NEOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
73
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000034088
0000034089
0000034091
0000034092
0000034093
0000034094
0000034095
0000034097
0000034105
0000034106
0000034110
0000034111
0000034119
0000034122
0000034123
0000034124
0000034125
0000034127
0000034132
0000034139
0000034141
0000034143
0000034144
0000034145
0000034146
0000034147
0000034148
0000034150
0000034151
0000034152
0000034153
0000034156
0000034157
0000034158
0000034159
0000034160
0000034165
0000034167
0000034168
0000034169
0000034170
0000034171
0000034172
0000034173
0000034174
0000034175
0000034176
DESCRICAO
NEO FLUOXETIN 20MG 28CAPS - NEOQUIMICA
NEO DIMETICON 75MG/ML GTS.10ML - NEOQUIMICA
NEO DIMETICON 40MG 20CPDS - NEOQUIMICA
NEO CEFADRIL 250MG/5ML PO EXT.SUSP. 100ML - NEOQUIMICA
NEOLON-D CRM.30GRS - NEOQUIMICA
NEOLON-D POM.30GRS - NEOQUIMICA
NEO CEFADRIL 500MG 8CAPS - NEOQUIMICA
TEGREX 200MG 2X10CPDS - NEOQUIMICA
NEOCATE 400GRS - SUPPORT NUTRITION
RELENZA DISKHALER 5ROT 4DOSES - GLAXOSMITH
LEVAQUIN 500MG 10CPDS - JANSSEN-CILAG
AROMASIN 25MG 30DRGS - PFIZER
OXACILINA SODICA GEN.500MG 50FA+DIL - EUROFARMA
CILOXAN 0,3% SOL.OTOL.5ML - ALCON
ATACAND 8MG 2BLX10CPDS - ASTRAZENECA
ATACAND 16MG 2BLX10CPDS - ASTRAZENECA
IPERISAN 300MG 30CPDS REV. - MARJAN
IPERISAN 300MG 60CPDS REV. - MARJAN
DIMINUT 3X21CPDS - LIBBS
ANDROFLOXIN 400MG 14CPDS REV. - TEUTO BRAS
CLOB-X GEL 30G - GALDERMA
PLACA PROTETORA PELE FLEXIVEL 32MM SUR-FIT PLUS 1197821 - CONVATEC
PLACA PROTETORA PELE FLEXIVEL 38MM SUR-FIT PLUS 1197822 - CONVATEC
PLACA PROTETORA PELE FLEXIVEL 45MM SUR-FIT PLUS 1197823 - CONVATEC
PLACA PROTETORA PELE FLEXIVEL 57MM SUR-FIT PLUS 1197824 - CONVATEC
PLACA PROTETORA PELE FLEXIVEL 70MM SUR-FIT PLUS 1197825 - CONVATEC
PLACA PROTETORA PELE REGULAR 32MM SUR-FIT PLUS 1197826 - CONVATEC
PLACA PROTETORA PELE REGULAR 45MM SUR-FIT PLUS 1197828 - CONVATEC
PLACA PROTETORA PELE REGULAR 57MM SUR-FIT PLUS 1197829 - CONVATEC
PLACA PROTETORA PELE REGULAR 70MM SUR-FIT PLUS 1197830 - CONVATEC
PLACA PROTETORA PELE REGULAR 100MM SUR-FIT PLUS 1197831 - CONVATEC
PLACA PROTETORA PELE REGULAR FLEXIVEL 32MM SUR-FIT PLUS 1197844 - CONVATEC
PLACA PROTETORA PELE REGULAR FLEXIVEL 38MM SUR-FIT PLUS 1197845 - CONVATEC
PLACA PROTETORA PELE REGULAR FLEXIVEL 45MM SUR-FIT PLUS 1197846 - CONVATEC
PLACA PROTETORA PELE REGULAR FLEXIVEL 57MM SUR-FIT PLUS 1197847 - CONVATEC
PLACA PROTETORA PELE REGULAR FLEXIVEL 70MM SUR-FIT PLUS 1197848 - CONVATEC
BOLSA DRENAVEL TRANSP.32MM SUR-FIT PLUS 1197853 - CONVATEC
BOLSA DRENAVEL TRANSP.45MM SUR-FIT PLUS 1197855 - CONVATEC
BOLSA DRENAVEL TRANSP.57MM SUR-FIT PLUS 1197856 - CONVATEC
BOLSA DRENAVEL TRANSP.70MM SUR-FIT PLUS 1197857 - CONVATEC
BOLSA DRENAVEL TRANSP.100MM SUR-FIT PLUS 1197858 - CONVATEC
BOLSA COLOSTOMIA DRENAVEL OPACA 32MM SUR-FIT PLUS 1197859 - CONVATEC
BOLSA COLOSTOMIA DRENAVEL OPACA 38MM SUR-FIT PLUS 1197860 - CONVATEC
BOLSA COLOSTOMIA DRENAVEL OPACA 45MM SUR-FIT PLUS 1197861 - CONVATEC
BOLSA COLOSTOMIA DRENAVEL OPACA 57MM SUR-FIT PLUS 1197862 - CONVATEC
BOLSA COLOSTOMIA DRENAVEL OPACA 70MM SUR-FIT PLUS 1197863 - CONVATEC
BOLSA UROSTOMIA C/VALV.ANTI-REFLUXO 32MM SUR-FIT PLUS 1197864 - CONVATEC
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
74
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000034177
0000034178
0000034179
0000034180
0000034181
0000034182
0000034183
0000034184
0000034190
0000034191
0000034192
0000034193
0000034245
0000034246
0000034267
0000034289
0000034290
0000034293
0000034294
0000034323
0000034329
0000034342
0000034346
0000034355
0000034356
0000034374
0000034376
0000034377
0000034385
0000034390
0000034392
0000034393
0000034395
0000034396
0000034397
0000034460
0000034461
0000034462
0000034463
0000034466
0000034467
0000034468
0000034469
0000034470
0000034471
0000034472
0000034473
DESCRICAO
BOLSA UROSTOMIA C/VALV.ANTI-REFLUXO 38MM SUR-FIT PLUS 1197865 - CONVATEC
BOLSA UROSTOMIA C/VALV.ANTI-REFLUXO 45MM SUR-FIT PLUS 1197866 - CONVATEC
BOLSA UROSTOMIA C/VALV.ANTI-REFLUXO 57MM SUR-FIT PLUS 1197867 - CONVATEC
PLACA PROTETORA PELE FLEXIVEL INF.32MM SUR-FIT PLUS 1095991 - CONVATEC
PLACA PROTETORA PELE FLEXIVEL INF.45MM SUR-FIT PLUS 1095992 - CONVATEC
BOLSA COLOSTOMIA DRENAVEL TRANSP.INF.32MM SUR-FIT PLUS 1197868 - CONVATEC
BOLSA COLOSTOMIA DRENAVEL TRANSP.INF.45MM SUR-FIT PLUS 1197869 - CONVATEC
BOLSA UROSTOMIA TRASNP.32MM SURF-IT PLUS LITTLE ONES 1197870 - CONVATEC
CURATIVO HIDROFIBRA AQUACEL 5X5CM 1197988 - CONVATEC
CURATIVO HIDROFIBRA AQUACEL 10X10CM 1115892 - CONVATEC
CURATIVO HIDROFIBRA AQUACEL 15X15CM 1115893 - CONVATEC
CURATIVO HIDROFIBRA AQUACEL 2X45CM FITA BR10023 - CONVATEC
BENZOAX 250MG EMULS.100ML - NEOQUIMICA
BENZOAX SAB.60GRS - NEOQUIMICA
DUCTOGEL 300MG 24CPDS - NEOQUIMICA
MIORRELAX 2X10CPDS - NEOQUIMICA
MIORRELAX 10X10CPDS - NEOQUIMICA
NEOCOPAN 10+250MG 2X10CPDS - NEOQUIMICA
NEOCOPAN 6,667+333,4MG/ML GTS.20ML - NEOQUIMICA
RIODEINE DEGERMANTE CNJ.ESCOVA 0763 - RIOQUIMICA
ESTALIS 50+140MCG 8SIST. - NOVARTIS
MANIPULADOR UTERINO DESC.MM-6003/MMI-611 - AMERICAN INSTRUMENTS
ENDO FOG ANTI-EMBACANTE P/OTICA AMERICAN INSTRUMENTS AI0030 - AMERICAN INSTRUMENTS
CAPA P/VIDEO CIRURGIA MOD.UNIVERSAL AMERICAN INSTRUMENTS S0098 - AMERICAN INSTRUMENTS
CAPA PLASTICA P/MESA DE MAYO ESTERIL 0,59X1,33CM AMERICAN INTRUMENTS S0027 - AMERICAN INSTRUMENTS
PLAVIX 75MG 14CPDS - SANOFI-AVENTIS
DERMACARE CRM.15G - DARROW
DERMACARE POM.15G - DARROW
KEFLEX 100MG/ML SUSP.ORAL 100ML - BAGO
DEXAMETONAL POM.10GRS - HEXAL
FLUTEC 150MG 1CAP - SANDOZ
KEFLAXINA 500MG 8CAPS - HEXAL
OMEPROTEC 20MG 7CAPS - HEXAL
OMEPROTEC 10MG 14CAPS - HEXAL
OMEPROTEC 20MG 14CAPS - HEXAL
VITERGAN MASTER 30CAPS GEL. - MARJAN
DIOVAN HCT 160+12,5MG 14CPDS - NOVARTIS
DIOVAN HCT 160+12,5MG 28CPDS - NOVARTIS
ACICLOVIR GEN.50MG/G CRM.DERM.10GRS - TEUTO BRAS
ESCOPOLAMINA GEN.20MG 6AMP 1ML - TEUTO BRAS
CEFALOTINA SODICA GEN.1G PO 1FA+DIL.4ML - TEUTO BRAS
FOSFATO DISSODICO DEXAMETASONA GEN.2MG/ML 1AMP 1ML - TEUTO BRAS
FOSFATO DISSODICO DEXAMETASONA GEN.4MG/ML 1AMP 2,5ML - TEUTO BRAS
MEBENDAZOL GEN.100MG 6CPDS - TEUTO BRAS
MEBENDAZOL GEN.100MG/5ML SUSP.30ML - TEUTO BRAS
METRONIDAZOL GEN.GEL VAG.50GRS+APL - TEUTO BRAS
NITRATO MICONAZOL GEN.2% 20MG/G CRM.VAG.80GRS+APL. - TEUTO BRAS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
75
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000034474
0000034476
0000034479
0000034483
0000034537
0000034627
0000034628
0000034629
0000034631
0000034632
0000034633
0000034634
0000034730
0000034845
0000034846
0000034859
0000034860
0000034861
0000034866
0000034925
0000034947
0000034948
0000034949
0000034952
0000034953
0000034957
0000034958
0000034959
0000034960
0000034961
0000034962
0000034963
0000034964
0000034965
0000034966
0000034967
0000034968
0000034977
0000034978
0000034980
0000034982
0000034986
0000034988
0000034989
0000034990
0000034992
0000034993
DESCRICAO
NITRATO MICONAZOL GEN.2% 20MG/ML LOC.DERM.30ML - TEUTO BRAS
AMICACINA SULF GEN.125MG/ML 1AMP 2ML - TEUTO BRAS
PLAVIX 75MG 28CPDS - SANOFI-AVENTIS
KIT INTRODUTOR PERCUTANEO C/VALVULA EXTERNA 9F I355BF9 - EDWARDS
CATETER URETERAL FLEXI-TIP D.LUMEN AQ AC.10FR 50CM AQ-022610 - HANDLE
DILATADOR AMPLATZ SHEATH 24FR 16CM ARI-240016 - HANDLE
DILATADOR AMPLATZ SHEATH 26FR 16CM ARI-260016 - HANDLE
DILATADOR AMPLATZ SHEATH 28FR 16CM ARI-280016 - HANDLE
DILATADOR AMPLATZ SHEATH 30FR 16CM ARI-300016 - HANDLE
DILATADOR AMPLATZ SHEATH 32FR 16CM ARI-320016 - HANDLE
DILATADOR AMPLATZ SHEATH 34FR 16CM ARI-340016 - HANDLE
DILATADOR AMPLATZ SHEATH 36FR 16CM ARI-360016 - HANDLE
CATETER BALLOON 5FR 30CM COOK SILIC.HSG W.CLOS.J-CHSG-503001 - HANDLE
GLIMEPIL 2MG 30CPDS - FARMOQUIMICA
DICLOFENACO SODICO GEN.75MG/3ML 5AMP 3ML - NEOQUIMICA
NOVOCILIN 400MG/5ML PO SUSP.ORAL 100ML - ACHE
NOVOCILIN 875MG 14CPDS - ACHE
NOVOCILIN 875MG 20CPDS - ACHE
HYZAAR 100/25MG 2X15CPDS - MERCK S.D.
BETA-OPHTIOLE 3MG/ML SOL.OFT.5ML - BAUSCH+LOMB
FOSAMAX 70MG 4CPDS - MERCK S.D.
SINERGEN 2,5/10MG 30CAPS - BIOSINTETICA
SINERGEN 5/10MG 30CAPS - BIOSINTETICA
KIT TRICOTOMIZADOR BATERIA 110VOLTS - 3M BRASIL
KIT TRICOTOMIZADOR BATERIA 220VOLTS - 3M BRASIL
TRICOTOMIZADOR CIRURGICO APARELHO C/BATERIA 9661 - 3M BRASIL
LAMINA GIRATORIA P/TRICOTOMIZADOR CIRURGICO 50UNID 9660 - 3M BRASIL
CARREGADOR 110VOLTS P/TRICOTOMIZADOR CIRURGICO 9662 - 3M BRASIL
CARREGADOR 220VOLTS P/TRICOTOMIZADOR CIRURGICO 9668 - 3M BRASIL
GRAMPEADOR CIRCULAR P/PROLAPSO PPH03 - J&J ENDO
ACTICALCIN 50UI 5AMP 1ML+5SER.+5AG. - TRB PHARMA
FLIXONASE SPR.NASAL AQUOSO 120DOSES - GLAXOSMITH
AEROLIN SPR.200DOSES - GLAXOSMITH
AEROLIN XPE.120ML SUGAR FREE - GLAXOSMITH
ATEPRESS 50MG 28CPDS - TEUTO BRAS
NIMESULIX 50MG/ML SUSP.ORAL GTS.15ML - TEUTO BRAS
NIMESULIX SUSP.ORAL 60ML - TEUTO BRAS
DICLOFENACO SODICO GEN.25MG/ML 5AMP 3ML - TEUTO BRAS
DIPIRONA SODICA GEN.500MG/ML GTS.PLAST.VD.10ML - TEUTO BRAS
DIPIRONA SODICA GEN.500MG/ML GTS.PLAST.VD.20ML - TEUTO BRAS
DEXCLORFENIRAMINA GEN.0,4MG/ML XPE.100ML+COPO MEDIDOR 10ML - TEUTO BRAS
NISTATINA GEN.25000UI/G CRM.VAG.60GRS+APL. - TEUTO BRAS
PARACETAMOL GEN.200MG/ML SOL.ORAL GTS.15ML - TEUTO BRAS
NEUTROFER 150MG 30CPDS - SIGMA PHARMA
ALDAZIDA 50MG 30CPDS - PFIZER
NAPRIX 2,5MG 30CPDS - LIBBS
NAPRIX 5MG 20CPDS - LIBBS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
76
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000034994
0000034995
0000034996
0000035005
0000035006
0000035007
0000035026
0000035027
0000035033
0000035036
0000035038
0000035039
0000035040
0000035073
0000035077
0000035078
0000035079
0000035080
0000035099
0000035100
0000035101
0000035102
0000035106
0000035107
0000035108
0000035109
0000035110
0000035133
0000035136
0000035137
0000035157
0000035158
0000035159
0000035160
0000035161
0000035162
0000035163
0000035164
0000035167
0000035168
0000035174
0000035175
0000035176
0000035178
0000035183
0000035184
0000035186
DESCRICAO
NAPRIX D 5+25MG 30CPDS - LIBBS
SUMAX 25MG 4CPDS - LIBBS
SUMAX SPRAY NASAL 10MG P/DOSE C/2APLIC. - LIBBS
SOLUCAO MANITOL 20% 250ML AZB5632 - BAXTER
SOLUCAO IRRIGACAO SORBITOL 3% 3000ML BOLSA PLAST.AZB7357 - BAXTER
SOLUCAO IRRIGACAO GLICINA 1,5% 3000ML AZB7317 - BAXTER
STILL 1MG/G POM.OFT.3,5G - ALLERGAN
EXTENSOR P/GASTROSTOMIA/JEJUNOSTOMIA 530.137 - HARTMANN
SUPORTE PAREDE P/COLETOR MATERIAL PERFURO-CORTANTE 1,5LTS OO50601 - DESCARPACK
SUPORTE PAREDE P/LUVA TAM.UNICO OO50501 - DESCARPACK
LUVA PROCEDIMENTO POWDER FREE TAM.P 50PARES O120201 - DESCARPACK
LUVA PROCEDIMENTO POWDER FREE TAM.M 50PARES O120301 - DESCARPACK
LUVA PROCEDIMENTO POWDER FREE TAM.G 50PARES O120401 - DESCARPACK
ALGODAO HIDROFILO 250GRS D07598 - POLAR FIX
ZIMICINA 500MG 2CPDS - HEXAL
ZIMICINA 500MG 3CPDS - HEXAL
CLARITIN D 24HRS 240+10MG 6CPDS - MANTECORP
SINUSTRAT VASOCONSTRITOR 0,5MG/ML GTS.10ML - AVERT
RIVOTRIL 0,5MG 30CPDS - ROCHE
RIVOTRIL 2MG 30CPDS - ROCHE
VALIUM 5MG 30CPDS - ROCHE
VALIUM 10MG 30CPDS - ROCHE
ATENOLOL GEN.50MG 30CPDS - BIOSINTETICA
ATENOLOL GEN.100MG 30CPDS - BIOSINTETICA
PROTETOR CUTANEO CAVILON SPR.28ML 3346 - 3M BRASIL
SOLARCAINE 2,8% AER.120GRS - MANTECORP
SOLARCAINE 0,5% LOC.120ML - MANTECORP
EQUIPO P/INFUSAO MULTIPLA 2VIAS P/NEONATOLOGIA POLIFIX 2 NEO 409172 - B.BRAUN
FOLIFER 100ML - ATIVUS
FOLIFER GTS.30ML - ATIVUS
CATETER VENOSO PERIFERICO PUR INTROCAN CERTO G24X3/4" 4251300 - B.BRAUN
CATETER VENOSO PERIFERICO PUR INTROCAN CERTO G22X1" 4251318 - B.BRAUN
CATETER VENOSO PERIFERICO PUR INTROCAN CERTO G20X1 1/4" 4251326 - B.BRAUN
CATETER VENOSO PERIFERICO PUR INTROCAN CERTO G18X1 3/4" 4251334 - B.BRAUN
CATETER VENOSO PERIFERICO PUR INTROCAN CERTO G16X2" 4251350 - B.BRAUN
CATETER VENOSO PERIFERICO PUR INTROCAN CERTO G14X2" 4251369 - B.BRAUN
NUTRIFLEX PLUS BAG 1000ML FA84494 - B.BRAUN
NUTRIFLEX PLUS BAG 2000ML FA84495 - B.BRAUN
CATETER CERTOFIX MONO S320 G16 20CM 4160258E - - B.BRAUN
CATETER CERTOFIX MONO S330 G16 30CM 4160282E - - B.BRAUN
INTRODUTOR P/CATETER TERMODIL.INTRADYN SIDEWIRE F6 655013 - B.BRAUN
INTRODUTOR P/CATETER TERMODIL.INTRADYN SIDEWIRE F7 655014 - B.BRAUN
INTRODUTOR P/CATETER TERMODIL.INTRADYN SIDEWIRE F8 655015 - B.BRAUN
GELAFUNDIN 500ML FE84513 - B.BRAUN
CLORCIN-PED 250MG 100ML - STIEFEL
CLORCIN-PED 375MG 100ML - STIEFEL
FILTRO P/REMOCAO LEUCOCITOS BIOR 01 PLUS BS PF BIOFIL - FRESENIUS HEMOCARE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
77
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000035187
0000035190
0000035191
0000035192
0000035193
0000035194
0000035195
0000035196
0000035197
0000035198
0000035199
0000035200
0000035201
0000035202
0000035203
0000035204
0000035209
0000035223
0000035231
0000035232
0000035238
0000035239
0000035245
0000035246
0000035251
0000035252
0000035253
0000035261
0000035262
0000035263
0000035264
0000035265
0000035266
0000035267
0000035270
0000035271
0000035272
0000035273
0000035274
0000035278
0000035283
0000035284
0000035287
0000035288
0000035295
0000035299
0000035301
DESCRICAO
FILTRO P/REMOCAO LEUCOCITOS BIOR 01 PLUS BBS PF BIOFIL - FRESENIUS HEMOCARE
FILTRO P/REMOCAO LEUCOCITOS BIOR 02 PLUS BS PF BIOFIL - FRESENIUS HEMOCARE
FILTRO P/REMOCAO LEUCOCITOS BIOR 02 PLUS BBS PF BIOFIL - FRESENIUS HEMOCARE
FILTRO P/REMOCAO LEUCOCITOS BIOR 01 PLUS PED PF BIOFIL - FRESENIUS HEMOCARE
FILTRO P/REMOCAO LEUCOCITOS BIOP 05 PLUS BS PF BIOFIL - FRESENIUS HEMOCARE
FILTRO P/REMOCAO LEUCOCITOS BIOP 05 PLUS BBS PF BIOFIL - FRESENIUS HEMOCARE
FILTRO P/REMOCAO LEUCOCITOS BIOP PLUS BS PF BIOFIL - FRESENIUS HEMOCARE
FILTRO P/REMOCAO LEUCOCITOS BIOP PLUS BBS PF BIOFIL - FRESENIUS HEMOCARE
KIT P/AFERESE PLAQUETAFERESE 5 DIAS C4L - FRESENIUS HEMOCARE
KIT P/AFERESE PLAQUETAFERESE 5 DIAS (PUNCAO UNICA) S4L - FRESENIUS HEMOCARE
KIT P/AFERESE PLASMAFERESE TERAPEUTICA PL1 - FRESENIUS HEMOCARE
KIT P/AFERESE TRATAMENTO PLASMATICO P1R - FRESENIUS HEMOCARE
KIT P/AFERESE LEUCAFER.COL.CEL.TRONC.PER.S.CELL M.OSSEA P1Y - FRESENIUS HEMOCARE
KIT P/AFERESE LEUCAFER.COL.CEL.TRONC.PER.S.CELL M.OSSEA C4Y - FRESENIUS HEMOCARE
KIT P/AFERESE PLAQUETAFERESE 5 DIAS C/FILTRO REM.LEUC.C4F - FRESENIUS HEMOCARE
KIT P/AFERESE LEUCOAFER.COL.CEL.TRONCO PER.S.CELL B.VOL.RVY - FRESENIUS HEMOCARE
BOLSA COLETA C/FILTRO CE IN LINE - FRESENIUS HEMOCARE
HYNALGIN 50% 100AMP 5ML - HYPOFARMA
CIPROFAR 500MG 6CPDS REV. - ELOFAR
CIPROFAR 500MG 14CPDS REV. - ELOFAR
CLARITROMICINA GEN.250MG 10CPDS REV - MEDLEY
CLARITROMICINA GEN.250MG 2X7CPDS REV. - MEDLEY
ATACAND HCT 16/12,5MG 2BLX10CPDS - ASTRAZENECA
ATACAND HCT 16/12,5MG 3BLX10CPDS - ASTRAZENECA
ALLEGRA 30MG INF.20CPDS REV. - SANOFI-AVENTIS
ACTONEL 5MG 14CPDS REV. - SANOFI-AVENTIS
ACTONEL 5MG 2X14CPDS REV. - SANOFI-AVENTIS
AMOXICILINA GEN.500MG 15CAPS GEL - MEDLEY
AMOXICILINA GEN.500MG 3X7CAPS GEL - MEDLEY
AMOXICILINA GEN.500MG 2X15CAPS GEL - MEDLEY
AMOXICILINA GEN.125MG PO 150ML+DOS. - MEDLEY
AMOXICILINA GEN.250MG PO 150ML+DOS. - MEDLEY
AMOXICILINA GEN.500MG PO 150ML+DOS. - MEDLEY
COLPIST MT 10APL VAG.PRE-ENVAS. - ATIVUS
GYNAX N 10APL VAG.PRE-ENVAS. - ATIVUS
TERICIN AT 10APL VAG.PRE-ENVAS. - ATIVUS
TRAVOGYN 7APL VAG.PRE-ENVAS. - ATIVUS
GELMAX PAPAYA CASSIS 4BLX6CPDS MAST. - EMS CONSUMO
GELMAX PAPAYA CASSIS 20BLX6CPDS MAST. - EMS CONSUMO
BETROSPAM SUSP.INJ.1AMP.1ML - LEGRAND TARJARDOS
ACICLOVIR GEN.50MG/G CRM.DERM.10G - EMS GENERICOS
CAFIASPIRINA 25X4CPDS - BAYER
AMPICILINA GEN.3G PO SUSP.60ML - EMS GENERICOS
AMPICILINA GEN.7,5G PO SUSP.150ML - EMS GENERICOS
CETOCONAZOL GEN.20MG CRM.DERM.30G - EMS GENERICOS
CLORIDRATO RANITIDINA GEN.150MG 5BLX4CPDS REV. - EMS GENERICOS
CLOTRIMAZOL GEN.10MG/G CRM.DERM.20G - EMS GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
78
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000035303
0000035304
0000035306
0000035307
0000035312
0000035314
0000035315
0000035322
0000035324
0000035329
0000035330
0000035331
0000035332
0000035335
0000035338
0000035339
0000035340
0000035341
0000035342
0000035343
0000035344
0000035345
0000035349
0000035351
0000035372
0000035373
0000035374
0000035375
0000035376
0000035378
0000035379
0000035380
0000035381
0000035382
0000035383
0000035384
0000035385
0000035390
0000035392
0000035393
0000035396
0000035418
0000035419
0000035420
0000035429
0000035430
0000035432
DESCRICAO
DIPIRONA SODICA GEN.500MG GTS.10ML - EMS GENERICOS
DIPIRONA SODICA GEN.500MG GTS.20ML - EMS GENERICOS
METRONIDAZOL GEN.500MG GEL VAG.50G - EMS GENERICOS
NISTATINA GEN.25000UI/G CRM.VAG.60G - EMS GENERICOS
SULFATO SALBUTAMOL GEN.0,4MG/ML SOL.ORAL 120ML - EMS GENERICOS
DORMONID 15MG 30CPDS REV. - ROCHE
ROHYPNOL 1MG 3BLX10CPDS REV. - ROCHE
CEFTRIAXONA SODICA IM GEN.500MG INJ.1FA+DIL - EMS GENERICOS
CEFTRIAXONA SODICA IM GEN.1G INJ.1FA+DIL - EMS GENERICOS
CENTRUM 30CPDS - WYETH CONSUMER
FLIXOTIDE 50MCG DISKUS 60DOSES - GLAXOSMITH
FLIXOTIDE 250MCG DISKUS 60DOSES - GLAXOSMITH
SEREVENT DISKUS 50MCG 60DOSES - GLAXOSMITH
TUBO GOTEJADOR ESP.P/NUTRICAO ENTERAL P/BOMBA INFUSAO COMPAT - NESTLE N.C.
SYNTHROID 88MCG 30CPDS - ABBOTT
SYNTHROID 112MCG 30CPDS - ABBOTT
SYNTHROID 175MCG 30CPDS - ABBOTT
SYNTHROID 200MCG 30CPDS - ABBOTT
TANAKAN 120MG 30CPDS REV. - ABBOTT
LUVA SANRO PROTECAO SEGURANCA FLOCADA C/ALGODAO TOP PEQ.VERDE - SANRO
LUVA SANRO PROTECAO SEGURANCA FLOCADA C/ALGODAO TOP PEQ.AMARELA - SANRO
LUVA SANRO PROTECAO SEGURANCA FLOCADA C/ALGODAO PLUS PEQ.LARANJA - SANRO
VUDIRAX 150MG 60CPDS MAST. - BLAU
PENVIR LABIA 5GRS - SIGMA PHARMA
DESFERAL 500MG PO LIOF.5FA+5AMP.DIL.5ML - NOVARTIS
SINGULAIR 5MG 1X10CPDS - MERCK S.D.
SINGULAIR 4MG 1X10CPDS - MERCK S.D.
SINGULAIR 4MG 3X10CPDS - MERCK S.D.
SINGULAIR 10MG 1X10CPDS - MERCK S.D.
LIBIAM 2,5MG 28CPDS - LIBBS
STARLIX 120MG 24CPDS - NOVARTIS
STARLIX 120MG 48CPDS - NOVARTIS
STARLIX 120MG 84CPDS - NOVARTIS
CRINONE 80MG/G GEL VAG.7ENV APL.1,125G - MERCK S.A.
CRINONE 80MG/G GEL VAG.15ENV APL.1,125G - MERCK S.A.
SCABENZIL SAB.75G - DELTA
TANDERALGIN 30CPDS - DELTA
PIASCLEDINE 100+200MG 15CAPS - ABBOTT SAUDE
ZYPREXA 2,5MG 2X7CPDS REV. - ELI LILLY
ZYPREXA 2,5MG 4X7CPDS REV. - ELI LILLY
GINEC 60G - GLENMARK
FRALDA DESC.BIGFRAL PLUS GRD.8UNID - POM POM
FRALDA DESC.BIGFRAL PLUS MED.9UNID - POM POM
FRALDA DESC.BIGFRAL PLUS PEQ.10UNID - POM POM
PARACETAMOL GEN.200MG/ML SOL.ORAL 15ML - EMS GENERICOS
ZYRTEC 10MG 12CPDS - GLAXOSMITH
NYOLOL 1,37MG GEL OFT.5ML - NOVARTIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
79
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000035443
0000035444
0000035445
0000035451
0000035452
0000035453
0000035457
0000035458
0000035463
0000035484
0000035485
0000035486
0000035488
0000035489
0000035490
0000035518
0000035519
0000035520
0000035521
0000035526
0000035527
0000035528
0000035529
0000035530
0000035531
0000035539
0000035541
0000035567
0000035568
0000035569
0000035570
0000035583
0000035584
0000035586
0000035587
0000035588
0000035589
0000035590
0000035592
0000035688
0000035953
0000035955
0000036296
0000036299
0000036303
0000036328
0000036331
DESCRICAO
HISTAMIX XPE.120ML - INFAN
HISTAMIX 10MG 12CPDS - INFAN
ENERGICLIN 30CPDS - INFAN
ACTOS 15MG 15CPDS - ABBOTT
ACTOS 30MG 15CPDS - ABBOTT
ACTOS 45MG 15CPDS - ABBOTT
CLINFAR 10MG 10CPDS REV. - MERCK S.A.
CLINFAR 10MG 30CPDS REV. - MERCK S.A.
CELEBRA 200MG 30CAPS - PFIZER
LICOVIT 30CAPS - ATIVUS
LIVTEN 500MG 30CAPS - ATIVUS
LIVTEN L 1000MG 30CAPS - ATIVUS
CAMPO OPERATORIO ALVA PRE-LAV.10X9CM C/PLACA RADIOP.RG EMB.SIMPLES ESTERIL 5UNID 204.797 - CREMER
CAMPO OPERATORIO ALVA PRE-LAV.10X9CM C/PLACA RADIOP.RG DUPLA EMB.PAPEL ESTERIL 5UNID 206.340 - CREMER
CAMPO OPERATORIO ALVA PRE-LAV.25X28CM C/PLACA RADIOP.RG DUPLA EMB.PAPEL ESTERIL 5UNID 206.005 - CREMER
SUPORTE C/RODIZIO P/GER-AR MATIC ELETRONIC 2000S - GER-AR
ESPIRAL EXTENSOR C/CONECTOR 2000E - GER-AR
CONECTOR MACHO/FEMEA P/ESPIRAL 2000C - GER-AR
CONECTOR MACHO P/MANGUITO 2000CM - GER-AR
AMOXICILINA GEN.500MG 15CAPS GEL.DURA - EUROFARMA
AMOXICILINA GEN.125MG/5ML SUSP.ORAL 150ML+CP.MED. - EUROFARMA
AMOXICILINA GEN.250MG/5ML SUSP.ORAL 150ML+CP.MED. - EUROFARMA
AMOXICILINA GEN.500MG 21CAPS GEL.DURA - EUROFARMA
AMOXICILINA GEN.500MG 30CAPS GEL.DURA - EUROFARMA
EQUITAM 80MG 30CPDS - EUROFARMA
SUCCINATO SODICO HIDROCORTISONA GEN.500MG 50FA - EUROFARMA
SUCCINATO SODICO HIDROCORTISONA GEN.100MG 50FA - EUROFARMA
BOLSA P/DIALISE PERIT.DPI/DPA SINGLE-BAG 6LTS DEXT 4,25% B PI SOL.DIAL PERI FLEX X 6000 MI AZB1681 - BAXTER
BOLSA P/DIALISE PERIT.DPI/DPA SINGLE-BAG 6LTS DEXT 2,5% B PI SOL DIAL PERI FLEX X 6000 MI AZB1679 - BAXTER
BOLSA P/DIALISE PERIT.DPI/DPA SINGLE-BAG 6LTS DEXT SOL.1,5% B PI DIAL PERI FLEX X 6000 MI AZB1677 - BAXTER
ACTICALCIN 100UI 5AMP 1ML+5SER.+5AG. - TRB PHARMA
PEDRA HUME 25GRS 0636 - RIOQUIMICA
SAL AMARGO CX 25GRS 0637 - RIOQUIMICA
CAPTOTEC 12,5MG 30CPDS - HEXAL
CAPTOTEC 25MG 28CPDS - HEXAL
QIFTRIM F 10CPDS - HEXAL
STUGERINA 75MG 30CPDS - HEXAL
TILOXICAN 20MG 10CPDS - - HEXAL
PRECEDEX 100MCG/ML 5FA 2ML - HOSPIRA
CLORANA 25MG 30CPDS - SANOFI-AVENTIS
ABSORVENTE ELA CLASSICO 8UNID - PROCTER
ABSORVENTE ALWAYS ULTRA NOT.C/AB.10UNID - PROCTER
NAN S/LACTOSE 400GRS - NESTLE N.I.
NAN H.A.400GRS - NESTLE N.I.
PRE-NAN 400GRS - NESTLE N.I.
VEROTINA GTS.20ML - LIBBS
DICLOFENACO DIETILAMONIO GEN.1% 60GRS - MEDLEY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
80
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000036332
0000036336
0000036339
0000036340
0000036370
0000036375
0000036376
0000036377
0000036378
0000036385
0000036386
0000036387
0000036388
0000036395
0000036396
0000036397
0000036398
0000036399
0000036400
0000036405
0000036413
0000036414
0000036415
0000036416
0000036417
0000036418
0000036420
0000036425
0000036426
0000036427
0000036428
0000036429
0000036430
0000036431
0000036432
0000036436
0000036524
0000036699
0000036714
0000036715
0000036716
0000036717
0000036719
0000036720
0000036721
0000036722
0000036723
DESCRICAO
DICLOFENACO RESINATO GEN.20ML - MEDLEY
SPORANOX 100MG 28CAPS - JANSSEN-CILAG
EXELON 2MG SOL.ORAL 120ML - NOVARTIS
MALEATO TIMOLOL GEN.0,5% SOL.OFT.5ML - ALCON
BICONCOR 10/6,25MG 30CPDS - MERCK S.A.
INCORIL AP 90MG 3BLX10CPDS REV. - BAGO
INCORIL AP 120MG 3BLX10CPDS REV. - BAGO
INCORIL AP 180MG 3BLX10CPDS REV. - BAGO
INCORIL AP 240MG 3BLX10CPDS REV. - BAGO
APROZIDE 150+12,5MG 14CPDS - SANOFI-AVENTIS
APROZIDE 150+12,5MG 28CPDS - SANOFI-AVENTIS
APROZIDE 300+12,5MG 14CPDS - SANOFI-AVENTIS
APROZIDE 300+12,5MG 28CPDS - SANOFI-AVENTIS
PREDSIM 3MG SOL.60ML+PIPET.DOSAD. - MANTECORP
TEMODAL 5MG 5CAPS GEL DURA - SCHERING PLOUGH
TEMODAL 20MG 5CAPS GEL DURA - SCHERING PLOUGH
TEMODAL 100MG 5CAPS GEL DURA - SCHERING PLOUGH
TEMODAL 250MG 5CAPS GEL DURA - SCHERING PLOUGH
NIMOVAS 30MG 30CPDS - DIFFUCAP
CETOPROFENO IV GEN.100MG 50FA - EUROFARMA
SIGMATRIOL 0,25MCG 30CAPS GEL.MOLE - GERMED
CARBIDOL 25+250MG 30CPDS - TEUTO BRAS
CLINDAMIN-C 300MG 16CAPS GEL.DURA - TEUTO BRAS
ALBENDAZOL GEN.40MG SUSP.ORAL 10ML - TEUTO BRAS
CLORIDRATO AMBROXOL GEN.6MG XPE.ADU.120ML+COPO MEDIDOR - TEUTO BRAS
CLORIDRATO AMBROXOL GEN.3MG/ML XPE.INF.120ML+COPO MEDIDOR - TEUTO BRAS
NOFEBRIN GTS.20ML - LEGRAND OTC
PLACA PROTETORA PELE CONVEXA 13/45MM SUR-FIT PLUS 1197769 - CONVATEC
PLACA PROTETORA PELE CONVEXA 16/45MM SUR-FIT PLUS 1197770 - CONVATEC
PLACA PROTETORA PELE CONVEXA 19/45MM SUR-FIT PLUS 1197771 - CONVATEC
PLACA PROTETORA PELE CONVEXA 22/45MM SUR-FIT PLUS 1197772 - CONVATEC
PLACA PROTETORA PELE CONVEXA 25/45MM SUR-FIT PLUS 1197813 - CONVATEC
PLACA PROTETORA PELE CONVEXA 28/45MM SUR-FIT PLUS 1197814 - CONVATEC
PLACA PROTETORA PELE CONVEXA 32/45MM SUR-FIT PLUS 1197815 - CONVATEC
PLACA PROTETORA PELE CONVEXA 35/45MM SUR-FIT PLUS 1197816 - CONVATEC
PLACA PROTETORA PELE CONVEXA 50/57MM SUR-FIT PLUS 1197820 - CONVATEC
COLETOR PLASTICO P/RESIDUOS QUIMIOTERAPICO DESCARPACK III 07LTS O140101 - DESCARPACK
ROLO DENTAL 1 25GRS 100% ALGODAO 100UNID 207.514 - CREMER
CANULA P/LIPOASPIRACAO P/SERINGA 60CC 2MMX100MM KLEIN - RICHTER
PORTA AGULHA MAYO 20CM C/VIDEA R-549-20D - RICHTER
TESOURA FREEMAN P/RUGAS R-645-18 - RICHTER
PINCA CHALLAZO 9CM R-503-9 - RICHTER
PINCA MICRO RETA C/SERRILHA 12CM R-300-12S - RICHTER
CURETA REDONDA NR.02 ESPECIAL 14CM R-802-14-2 - RICHTER
PUNCH (TREPANO) NR.08 9CM R-806-9-8 - RICHTER
CURETA DUPLA P/MOLUSCO FECH.R-803-17F - RICHTER
AGULHA P/GORETEX ROMBA DRA.MARINA R-816-18 - RICHTER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
81
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000036724
0000036725
0000036726
0000036727
0000036728
0000036729
0000036730
0000036734
0000036892
0000036896
0000036897
0000036905
0000036906
0000036907
0000036908
0000036909
0000036910
0000036911
0000036912
0000036918
0000036930
0000036932
0000036933
0000036934
0000036936
0000036938
0000036977
0000036978
0000036979
0000036980
0000036981
0000036982
0000036983
0000036987
0000036989
0000036993
0000037000
0000037001
0000037002
0000037003
0000037004
0000037005
0000037008
0000037009
0000037010
0000037011
0000037012
DESCRICAO
DESCOLADOR P/MAMA/PANTURILHA (BENGALA) R-743-38 - RICHTER
DESCOLADOR P/MAMA/PANTURILHA (MOD.CORACAO G) R-741-48L - RICHTER
DESCOLADOR P/MAMA/PANTURILHA (MOD.CORACAO P) R-741-43S - RICHTER
AGULHA DR.GRAZIOSI R-769-26G - RICHTER
TESOURA IRIS RETA 10CM C/VIDEA R-640-10D - RICHTER
TESOURA IRIS CURVA 10CM C/VIDEA R-642-10D - RICHTER
TESOURA KILNER 11CM C/VIDEA R-674-11 - RICHTER
PINCA ADSON C/DENTE/VIDEA R-504-12D - RICHTER
HUMALOG MIX 25 5CARPX3ML - ELI LILLY
ZYVOX 600MG 10CPDS - PFIZER
ZYVOX 600MG 10BOLSA 300ML - PFIZER
HYPONOR 8MG 50AMP 4ML - HYPOFARMA
HYPOCAINA 1% S/VASO.25FR 20ML - HYPOFARMA
HYPOCAINA 2% C/VASO.25FR 20ML - HYPOFARMA
HYPOCAINA HYPERBARICA 5% 50AMP 2ML - HYPOFARMA
HYPOCAINA 2% S/VASO.100AMP 5ML - HYPOFARMA
CLORIDRATO RANITIDINA GEN.50MG 100AMP 2ML - HYPOFARMA
DEXAMETASONA GEN.4MG 50AMP 2,5ML - HYPOFARMA
DEXAMETASONA GEN.2MG 50AMP 1ML - HYPOFARMA
PANGEST 10MG 20CAPS GEL - FARMASA
TAXOL PCF 300MG INJ 1FA - BRISTOL
ISCOVER 75MG 2X14CPDS - BRISTOL
ISCOVER 75MG 14CPDS - BRISTOL
CAPTOTEC 50MG 28CPDS - HEXAL
FLOX 400MG 14CPDS - HEXAL
TRILAX 12CPDS - HEXAL
QUINOFLOX 250MG 14CPDS REV. - BIOLAB SANUS
QUINOFLOX 500MG 14CPDS REV. - BIOLAB SANUS
PRESSAT 5MG 30CPDS - BIOLAB SANUS
PRESSAT 10MG 30CPDS - BIOLAB SANUS
CORONAR 10MG/ML SOL.INJ.50AMP 1ML - BIOLAB SANUS
PLAKETAR 250MG 20CPDS REV. - BIOLAB SANUS
VASLIP 20MG 30CPDS REV. - BIOLAB SANUS
DIAZEPAM GEN.10MG SOL.INJ.5AMP 2ML - GERMED GENERICOS
MIGRALIV 1+100+350MG 12CPDS - EMS
ATENOLOL GEN.25MG 30CPDS - BIOSINTETICA
FINALOP 1MG 30CPDS - LIBBS
UNI AMOX 500MG 21CAPS GEL. - UNIAO QUIMICA
UNI AMOX 500MG/5ML PO SUSP.ORAL 150ML - - UNIAO QUIMICA
FLUCISTEIN 10% SOL.INJ.5AMP 3ML - UNIAO QUIMICA
BABYDRAX PO ORAL 50ENV.27,9G - UNIAO QUIMICA
BERIPLAST-P 2FA PO LIOF.+2FA DIL.0,5ML - CSL BEHRING
DICLOFENACO POTASSICO GEN.50MG 20CPDS - MEDLEY
NISTATINA GEN.CRM.VAG.60GRS - MEDLEY
OMEPRAZOL GEN.10MG 14CAPS - MEDLEY
OMEPRAZOL GEN.20MG 7CAPS - MEDLEY
OMEPRAZOL GEN.20MG 14CAPS - MEDLEY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
82
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000037013
0000037015
0000037017
0000037020
0000037021
0000037022
0000037023
0000037027
0000037043
0000037051
0000037059
0000037068
0000037070
0000037072
0000037097
0000037103
0000037104
0000037105
0000037106
0000037114
0000037115
0000037121
0000037124
0000037127
0000037128
0000037130
0000037139
0000037140
0000037141
0000037142
0000037143
0000037144
0000037153
0000037154
0000037164
0000037165
0000037186
0000037187
0000037188
0000037189
0000037210
0000037211
0000037212
0000037213
0000037214
0000037215
0000037216
DESCRICAO
ALPHAGAN 0,2% SOL.OFT.10ML - ALLERGAN
SULFAMETOXAZOL+TRIMETOPRIMA GEN.400+80MG 20CPDS - TEUTO BRAS
PANTOCAL 20MG 28CPDS - EUROFARMA
PANTOCAL 20MG 7CPDS - EUROFARMA
PANTOCAL 20MG 14CPDS - EUROFARMA
PANTOCAL 40MG 28CPDS - EUROFARMA
PONDERA 30MG 30CPDS - EUROFARMA
CEFADROXILA GEN.500MG 2X4CAPS - EUROFARMA
PANTOCAL EV 40MG 01FA+DIL 10ML - EUROFARMA
AMOXICILINA GEN.500MG/5ML SUSP.ORAL 150ML+CP.MED. - EUROFARMA
ANZEMET IV 100MG/5ML 1AMP 5ML - SANOFI-AVENTIS
AGUA BORICADA 100ML C/CGT - ICAR
AGUA OXIGENADA 10VOL.90ML C/CGT - ICAR
VI-FERRIN 60CPDS REV. - ELOFAR
EQUIPO P/NUTRICAO ENTERAL C/FILTRO AR BACTERIOLOGICO - EMBRAMED
EQUIPO C/FILTRO AR BACTER.MACRO ROLETE CAM.FLEX. - EMBRAMED
EQUIPO C/FILTRO AR BACTER.MACRO ROLETE CAM.FLEX.FLASH BALL - EMBRAMED
EQUIPO C/FILTRO AR BACTER.MACRO ROLETE CAM.FLEX.FLASH BALL C/INJ.LAT. - EMBRAMED
EQUIPO C/FILTRO AR BACTER.MACRO ROLETE CAM.FLEX.C/INJ.LAT. - EMBRAMED
C-PLATIN 10MG 1FA 20ML - BLAU
C-PLATIN 50MG 1FA 100ML - BLAU
EPOSIDO 100MG 10FA 5ML - BLAU
IMUNOGLOBULIN 1,0G 1FA 20ML - BLAU
IMUNOGLOBULIN 0,5G 1FA 10ML - BLAU
IMUNOGLOBULIN 2,5G 1FA 50ML - BLAU
IMUNOGLOBULIN 5,0G 1FA 100ML - BLAU
REVIRAX 100MG 100CAPS - BLAU
REVIRAX 250MG 40CAPS - BLAU
BLAUBIMAX 20% 1FA 50ML+EQP. - BLAU
CALCICHELL 3,5G LAR.15SACH - - ATIVUS
CALCICHELL 7G LAR.15SACH - - ATIVUS
ANDROXON 40MG 30CAPS - SCHERING PLOUGH
KANAKION MM 2MG SOL.INJ.5AMP 0,2ML - ROCHE
KANAKION MM 10MG SOL.INJ.5AMP 1ML - ROCHE
FLOGORAL 3MG MENTA 12PAST - ACHE
FLOGORAL 3MG CER.12PAST - ACHE
TESTE BOWIE & DICK COMPLY PLUS 20UNID 0135 - 3M BRASIL
TESTE BOWIE & DICK COMPLY 50UNID 0130/1227 - 3M BRASIL
RESPIRADOR N95 TAM.PEQ.P/TB 1860SB - 3M BRASIL
RESPIRADOR N95 TAM.REG.P/TB 1860B - 3M BRASIL
LOCAO OLEOSA ACIDOS GRAXOS ESSENCIAIS DERSANI ORIGINAL 200ML - SANIPLAN
LOCAO HIDRATANTE ACIDOS GRAXOS ESSENCIAIS SANISKIN ORIGINAL 200ML - SANIPLAN
SABONETE LIQ.ACIDOS GRAXOS ESSENCIAIS SANICORPORE ORIGINAL 300ML - SANIPLAN
SHAMPOO BIO ILUMINA CAB.CLARO 250ML 2828 - - J&J CONSUMER
SHAMPOO BIO ILUMINA CAB.ESCURO 250ML 2830 - - J&J CONSUMER
KIT MINIATURA 123 LIMP.FACIAL 4278 - - J&J CONSUMER
CONDICIONADOR BIO ILUMINA CABELO ESCURO 240ML 2836 - - J&J CONSUMER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
83
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000037217
0000037218
0000037219
0000037223
0000037224
0000037225
0000037226
0000037228
0000037229
0000037235
0000037236
0000037239
0000037240
0000037241
0000037242
0000037243
0000037258
0000037264
0000037266
0000037267
0000037270
0000037271
0000037272
0000037274
0000037276
0000037283
0000037285
0000037292
0000037293
0000037295
0000037298
0000037325
0000037326
0000037333
0000037334
0000037335
0000037337
0000037338
0000037340
0000037345
0000037346
0000037347
0000037349
0000037350
0000037352
0000037353
0000037354
DESCRICAO
CONDICIONADOR BIO ILUMINA CABELO CLARO 240ML 2835 - - J&J CONSUMER
ACTICALCIN 100UI/1,1ML SPR.NASAL 7DOSES - TRB PHARMA
ANGYTON 200MG 20CPDS - ROYTON
CAPTON 12,5MG 15CPDS - ROYTON
CAPTON 12,5MG 30CPDS - ROYTON
CAPTON 50MG 16CPDS - ROYTON
CAPTON 50MG 28CPDS - ROYTON
CINARIX 25MG 30CPDS - ROYTON
CINARIX 75MG 30CPDS - ROYTON
DIURETIC 25MG 20CPDS - ROYTON
DIURETIC 50MG 20CPDS - ROYTON
LODIPEN 5MG 20CPDS - ROYTON
LOVATON 20MG 10CPDS - ROYTON
LOVATON 20MG 30CPDS - ROYTON
MUCOCLEAN 15MG/ML XPE.INF.120ML - ROYTON
MUCOCLEAN 30MG/ML XPE.ADU.120ML - ROYTON
NASONEX SPR.NASAL 60 ATOMIZ. - SCHERING PLOUGH
DOBRADOR P/LENTE ACRYSOF ACRYPAK 6231 - ALCON
CARTUCHO P/MONARCH II B P/TODOS MODELOS ACRISOF 1CART 6934 - ALCON
INJETOR MONARCH GREEN (P/ACRYSOF MA30BA) 3302 - ALCON
KIT CASSETE C/LINHAS I/A PONTEIRA P/FACOEMULSIFICACAO MAX VAC/MICROTIP ABS 30G KELMAN CURVA 6011 - ALCON
KIT CASSETE C/LINHAS I/A PONTEIRA P/FACOEMULSIFICACAO MAX VAC/MICROTIP FLARED ABS 30G RETA 6357 - ALCON
KIT CASSETE C/LINHAS I/A PONTEIRA P/FACO.MAX VAC/MICROTIP FLARED ABS 30G KELMAN CURVA 6358 - ALCON
PONTEIRA P/FACOEMULSIFICACAO MICROTIP FLARED ABS 30G (RETA) 6353 - ALCON
PONTEIRA P/FACOEMULSIFICACAO MICROTIP KELMAN FLARED ABS 30G (CURVA) 6355 - ALCON
PINCA BIPOLAR IRIS CURVA DESCARTAVEL S/CABO 6129 - ALCON
KIT I/A MAX VAC DESC.(UNIV.) 6760 - ALCON
SONDA P/VITRECTOMIA INNOVIT 6611 - ALCON
KIT BASICO P/VITRECTOMIA C/SONDA INNOVIT 5731 - ALCON
KIT COMPLETO P/VITRECTOMIA C/SONDA INNOVIT 5732 - ALCON
VASCLIN 60/100MG 30CAPS - LIBBS
PAPEL P/IMPRESSORA OCUSCAN (ROLO) 5153 - ALCON
ERITROMAX 1000UI 1FA 2ML - BLAU
AMOXICILINA GEN.500MG 15CAPS GEL. - EMS GENERICOS
DICLOFENACO SODICO GEN.50MG 2BLX10CPDS - EMS GENERICOS
AMOXICILINA GEN.500MG 21CAPS GEL. - EMS GENERICOS
AMOXICILINA GEN.250MG/5ML SUSP.150ML - EMS GENERICOS
BROMAZEPAM GEN.6MG 2BLX10CPDS - GERMED GENERICOS
CAPTOPRIL GEN.12,5MG 2BLX15CPDS - EMS GENERICOS
CETOCONAZOL GEN.200MG 10CPDS - EMS GENERICOS
CARBOCISTEINA GEN.50MG/ML XPE.ADU.100ML - EMS GENERICOS
CETOCONAZOL GEN.200MG 3BLX10CPDS - EMS GENERICOS
CARBOCISTEINA GEN.20MG/ML XPE.INF.100ML - EMS GENERICOS
MALEATO ENALAPRIL GEN.5MG 3BLX10CPDS - EMS GENERICOS
MALEATO ENALAPRIL GEN.10MG 3BLX10CPDS - EMS GENERICOS
CLORIDRATO DILTIAZEM GEN.60MG 2BLX25CPDS - EMS GENERICOS
CLORIDRATO DILTIAZEM GEN.60MG 25CPDS - EMS GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
84
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000037355
0000037356
0000037357
0000037358
0000037359
0000037360
0000037369
0000037377
0000037379
0000037380
0000037381
0000037392
0000037406
0000037407
0000037408
0000037410
0000037411
0000037412
0000037413
0000037414
0000037415
0000037416
0000037417
0000037418
0000037422
0000037423
0000037424
0000037425
0000037426
0000037429
0000037430
0000037432
0000037433
0000037434
0000037435
0000037439
0000037445
0000037446
0000037447
0000037448
0000037449
0000037450
0000037452
0000037453
0000037454
0000037455
0000037456
DESCRICAO
MALEATO ENALAPRIL GEN.20MG 3BLX10CPDS - EMS GENERICOS
NORFLOXACINO GEN.400MG 14CPDS REV. - EMS GENERICOS
PIROXICAM GEN.20MG 15CAPS - EMS GENERICOS
CLORIDRATO DOXICICLINA GEN.100MG 15CPDS - EMS GENERICOS
CLORIDRATO FLUOXETINA GEN.20MG 2BLX7CAPS GEL.DURA - GERMED GENERICOS
CLORIDRATO FLUOXETINA GEN.20MG 4BLX7CAPS GEL.DURA - GERMED GENERICOS
TENOXICAM GEN.20MG 10CPDS REV. - - EMS GENERICOS
CESTA EXTRATORA CALCULO COOK 3,2FR 3FIOS NITINOL N/FORCE NFHSES-032115-UD - HANDLE
CESTA EXTRATORA CALCULO COOK 3,0 FR 4FIOS NITINOL TIP.N/CIRCLE NTSE-030115-UDH - HANDLE
PINCA TRIDENTE COOK P/URETER.GRASP.FORCEPS 3,0FR 112212-UDH-90-3.2 - HANDLE
AGULHA TROCAR COOK P/PUNCAO PERCUTANEA 18GA 20CM 090020 - HANDLE
DOSTINEX 0,5MG 2CPDS - PFIZER
BOLSA P/DIALISE PERIT.DPI/DPA SINGLE-BAG 6LTS DEXT 4,25% B PI SOL DIAL PERI FLEX X 6000 MI AZB1698 - BAXTER
BOLSA P/DIALISE PERIT.DPI/DPA SINGLE-BAG 6LTS DEXT 2,5% B PI SOL DIAL PERI FLEX X 6000 MI AZB1697 - BAXTER
BOLSA P/DIALISE PERIT.CAPD ULTRABAG 1LTS DEXT 1,5% B PI SOL DIAL PERI FEX X 1000 MI AZB1682 - BAXTER
CPAP NASAL NEONATAL NR.00 HUDSON - CNPH
CPAP NASAL NEONATAL NR.01 HUDSON - CNPH
CPAP NASAL NEONATAL NR.02 HUDSON - CNPH
CPAP NASAL NEONATAL NR.03 HUDSON - CNPH
CPAP NASAL NEONATAL NR.04 HUDSON - CNPH
CPAP NASAL NEONATAL NR.05 HUDSON - CNPH
MASCARA CPAP FACIAL ADU.PEQ.CARADYNE - CNPH
MASCARA CPAP FACIAL ADU.MED.CARADYNE - CNPH
MASCARA CPAP FACIAL ADU.GRD.CARADYNE - CNPH
VALVULA ISOBARICA (PEEP) CARADYNE - CNPH
MASCARA MED.CONCENTRACAO PED.HUDSON - CNPH
MASCARA ALTA CONCENTRACAO C/RESERV.ADU.HUDSON - CNPH
MASCARA N/REINALACAO C/RESERV.ADU./PED.HUDSON - CNPH
MASCARA C/ENTRADA AR (KIT VENTURI) HUDSON - CNPH
MASCARA P/TRAQUEOSTOMIA HUDSON - CNPH
MASCARA P/NEBULIZACAO TP.TENDA FACIAL HUDSON - CNPH
CANULA CATETER NASAL SILIC.TP.OCULOS SOFTECH ADU.HUDSON - CNPH
CANULA CATETER NASAL SILIC.TP.OCULOS SOFTECH PED.HUDSON - CNPH
CANULA CATETER NASAL SILIC.TP.OCULOS SOFTECH NEONATAL HUDSON - CNPH
AMOX-EMS 500MG 21CPDS - EMS
CEDROXIL 500MG 8CPDS - LEGRAND TARJARDOS
EQUIPO P/BOMBA INFUSAO EUROFIX COMPACT 441700 - B.BRAUN
EQUIPO P/BOMBA INFUSAO EUROFIX COMPACT AIR 441702 - B.BRAUN
AGULHA PERIDURAL "TUOHY" PERICAN G18X6" 1,3X150MM 4512200 - B.BRAUN
AGULHA P/RAQUI "QUINCKE" SPINOCAN G25X4 3/4" 0,53X120MM 4505913 - B.BRAUN
AGULHA P/RAQUI "QUINCKE" SPINOCAN G27X4 3/4 0,42X120MM 4502140 - B.BRAUN
AGULHA P/ANESTESIA PLEXO STIMUPLEX A-25 G24X1" 4894251 - B.BRAUN
EQUIPO P/BOMBA INFUSAO EUROFIX COMPACT PVC FREE 441704 - B.BRAUN
EQUIPO P/BOMBA INFUSAO EUROFIX COMPACT AIR NEO 441706 - B.BRAUN
EQUIPO P/BOMBA INFUSAO INFUSOMAT P/SANGUE/HEMODERIVADOS EUROFIX COMPACT SANGUE 441708 - B.BRAUN
EQUIPO P/BOMBA INFUSAO EUROFIX COMPACT CG100 441720 - B.BRAUN
EQUIPO P/BOMBA INFUSAO EUROFIX COMPACT CG100 NEO 441722 - B.BRAUN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
85
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000037457
0000037460
0000037462
0000037463
0000037464
0000037465
0000037467
0000037469
0000037475
0000037476
0000037477
0000037482
0000037483
0000037484
0000037485
0000037486
0000037487
0000037488
0000037489
0000037490
0000037491
0000037492
0000037493
0000037494
0000037495
0000037528
0000037529
0000037530
0000037559
0000037560
0000037561
0000037562
0000037563
0000037564
0000037565
0000037566
0000037567
0000037568
0000037572
0000037573
0000037574
0000037575
0000037576
0000037577
0000037578
0000037579
0000037580
DESCRICAO
BOMBA INFUSAO VOLUMETRICA INFUSOMAT COMPACT S/FONTE ADAPTAVEL 100/240V 441600 - B.BRAUN
BOMBA INFUSAO VOLUMETRICA INFUSOMAT COMPACT 100/240V 441630 - B.BRAUN
CATETER ARTERIAL ARTERIOFIX 22G 80MM 5206316 - B.BRAUN
CATETER ARTERIAL ARTERIOFIX 20G 80MM 5206324 - B.BRAUN
CATETER ARTERIAL ARTERIOFIX 20G 160MM 5206332 - B.BRAUN
CATETER ARTERIAL ARTERIOFIX 18G 160MM 5206359 - B.BRAUN
EQUIPO P/SORO INTRAFIX AIR MIC IL SPIN LOCK 401497 - B.BRAUN
EQUIPO P/ADMINISTRACAO SANGOFLEX C/SPIN LOCK 403510 - B.BRAUN
CATETER TOTAL.IMPLANT.CELSITE MBS HIGH FLOW VEN.PEQ.PUR 2.8X1.6/8.5F/800MM 4433556 - B.BRAUN
TALA TECIDO P/PUNHO BEGE ESQ.EXTRA GG 436-37 - SALVAPE
TALA TECIDO P/PUNHO BEGE DIR.EXTRA GG 436-47 - SALVAPE
TALA ELASTICA P/PUNHO DIR.GG 439-46 - SALVAPE
TALA ELASTICA P/PUNHO ESQ.GG 439-36 - SALVAPE
COLAR CERVICAL ESPUMA PEQ.051-13 - SALVAPE
ALMOFADA QUADRADA CAIXA-DE-OVO 7CM 940-13 - SALVAPE
TORNOZELEIRA AIRCAST TERAPEUTICA INF.ESQ.606-10 - SALVAPE
TORNOZELEIRA AIRCAST TERAPEUTICA INF.DIR.606-20 - SALVAPE
ROBOFOOT BOTA IMOBILIZADORA CURTA PEQ.608-13 - SALVAPE
ROBOFOOT BOTA IMOBILIZADORA CURTA MED.608-14 - SALVAPE
ROBOFOOT BOTA IMOBILIZADORA CURTA PP 608-12 - SALVAPE
ROBOFOOT BOTA IMOBILIZADORA CURTA GRD.608-15 - SALVAPE
ROBOFOOT BOTA IMOBILIZADORA LONGA PP 608-22 - SALVAPE
ROBOFOOT BOTA IMOBILIZADORA LONGA PEQ.608-23 - SALVAPE
ROBOFOOT BOTA IMOBILIZADORA LONGA MED.608-24 - SALVAPE
ROBOFOOT BOTA IMOBILIZADORA LONGA GRD.608-25 - SALVAPE
MONITOR SEMI AUTOMATICO PRESSAO MIB-P3BTHO - SALVAPE
MONITOR PRESSAO TP.RELOGIO 30M MIB-P3B13 - SALVAPE
MONITOR AUTOMATICO PRESSAO ARTERIAL MIB-P3BTOA - SALVAPE
GENFIBROZILA GEN.600MG 30CPDS - BIOSINTETICA
CARBAMAZEPINA GEN.200MG 30CPDS - BIOSINTETICA
CLORIDRATO TICLOPIDINA GEN.250MG 30CPDS - BIOSINTETICA
AFASTADOR DESMARRES 16CM 01-1260 - EDLO
AFASTADOR ISRAEL 4 GANCHO 22,5CM 01-1261 - EDLO
AFASTADOR ISRAEL 5 GANCHO 22,5CM 01-1262 - EDLO
AFASTADOR LANGENBECK NR.04 40X18MM CABO CHATO CIR.GERAL 20CM 01-1263 - EDLO
AFASTADOR LANGENBECK NR.05 50X15MM CABO CHATO CIR.GERAL 20CM 01-1264 - EDLO
AFASTADOR LANGENBECK NR.06 57X25MM CABO CHATO CIR.GERAL 20CM 01-1265 - EDLO
AFASTADOR OLLIER 2 GANCHO 22,5CM 01-1266 - EDLO
CLIPADORA AMARELA P/VITACLIP PEQ.15CM 03-1509 - EDLO
CLIPADORA LILAS P/VITACLIP PEQ/MED.15CM 03-1510 - EDLO
CLIPADORA AZUL P/VITACLIP MED.15CM 03-1511 - EDLO
CLIPADORA AMARELA P/VITACLIP PEQ.19CM 03-1512 - EDLO
CLIPADORA LILAS P/VITACLIP PEQ/MED.19CM 03-1513 - EDLO
CLIPADORA AZUL P/VITACLIP MED.19CM 03-1514 - EDLO
CLIPADORA VERDE P/VITACLIP MED/GRD.19CM 03-1515 - EDLO
CLIPADORA LARANJA P/VITACLIP GRD.19CM 03-1516 - EDLO
CLIPADORA AZUL P/VITACLIP MED.28CM 03-1520 - EDLO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
86
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000037581
0000037582
0000037583
0000037584
0000037585
0000037591
0000037592
0000037593
0000037594
0000037595
0000037596
0000037597
0000037598
0000037599
0000037600
0000037601
0000037602
0000037603
0000037604
0000037605
0000037606
0000037607
0000037608
0000037609
0000037610
0000037611
0000037612
0000037613
0000037614
0000037615
0000037616
0000037617
0000037619
0000037620
0000037621
0000037622
0000037623
0000037624
0000037625
0000037626
0000037627
0000037628
0000037629
0000037630
0000037633
0000037634
0000037635
DESCRICAO
CLIPADORA VERDE P/VITACLIP MED/GRD.28CM 03-1518 - EDLO
CLIPADORA LARANJA P/VITACLIP GRD.28CM 03-1519 - EDLO
CLIPADORA AZUL P/VITACLIP MED.28CM 03-1517 - EDLO
CLIPADORA VERDE ANGULADA P/VITACLIP MED/GRD.28CM 03-1521 - EDLO
CLIPADORA LARANJA ANGULADA P/VITACLIP GRD.28CM 03-1522 - EDLO
DILATADOR PED.UROLOGICO 2,7MM 23CM 10-1322 - EDLO
DILATADOR PED.UROLOGICO 3,2MM 23CM 10-1323 - EDLO
DILATADOR PED.UROLOGICO 3,8MM 23CM 10-1324 - EDLO
DILATADOR PED.UROLOGICO 4,6MM 23CM 10-1325 - EDLO
ESPECULO COLLIN NR.1 REVEST.PEQ.VAGINAL 95X28MM C/TUBO ASP.02-1125 - EDLO
ESPECULO COLLIN NR.2 REVEST.MED.VAGINAL 110X35MM C/TUBO ASP.02-1126 - EDLO
ESPECULO COLLIN NR.3 REVEST.GRD.VAGINAL 120X40MM C/TUBO ASP.02-1127 - EDLO
PINCA DISSECCAO BIPOLAR LUCAE BAIONETA 18CM 04-1302 - EDLO
PINCA DISSECCAO BIPOLAR RETA 18CM 04-1303 - EDLO
PINCA DISSECCAO ANATOMICA C/SERRILHA 30CM 04-1300 - EDLO
PINCA DISSECCAO ANATOMICA C/SERRILHA 35CM 04-1301 - EDLO
PINCA DISSECCAO MICRO DISSECCAO RETA C/DENTE PED.9CM 04-1314 - EDLO
PINCA DISSECCAO MICRO DISSECCAO RETA C/DENTE TP.CANETA PED.14CM 04-1315 - EDLO
PINCA ALLIS BABY RETA 14CM 03-1270 - EDLO
PINCA BABCOCK RETA 30CM 03-1271 - EDLO
PINCA BABCOCK RETA 35CM 03-1272 - EDLO
PINCA BARRET RETA 16CM 03-1273 - EDLO
PINCA BERNHARD RETA 16CM 03-1274 - EDLO
PINCA BOZEMANN CURVA 25CM 03-1275 - EDLO
PINCA COLVER RETA 19CM 03-1276 - EDLO
PINCA CRAFFORD RETA 24CM 03-1277 - EDLO
PINCA FAURE CURVA S/DENTE 20CM 03-1278 - EDLO
PINCA FAURE RETA 20CM 03-1279 - EDLO
PINCA KOCHER (ROCHESTER-OCHSNER) RETA 30CM 03-1289 - EDLO
PINCA KOCHER (ROCHESTER-OCHSNER) RETA 35CM 03-1290 - EDLO
PINCA KOGAN C/PONTA DELICADA 3MM C/CREM.20CM 03-1280 - EDLO
PINCA KOGAN (MENCKE) P/ABERT.COLO BIOPSIA S/CREM.24CM 03-1281 - EDLO
PINCA MICROMOSQUITO CURVA P/VARIZES C/CREM.12CM 03-1283 - EDLO
PINCA MICROMOSQUITO CURVA P/VARIZES S/CREM.12CM 03-1284 - EDLO
PINCA MIXTER CURVA 30CM 03-1285 - EDLO
PINCA MIXTER CURVA 35CM 03-1286 - EDLO
PINCA PELKMANN RETA 25CM 03-1288 - EDLO
PINCA P/SUTURA BOLSA 25CM 03-1287 - EDLO
PINCA WERTHEIM CURVA P/ESTOMAGO 23CM 03-1291 - EDLO
PINCA WHITE CURVA 19CM 03-1292 - EDLO
PINCA WHITE CURVA 23CM 03-1293 - EDLO
PINCA WICKSTROM DELICADA CURVA 90GRAUS 21CM 03-1294 - EDLO
PINCA WICKSTROM CURVA 90GRAUS 23CM 03-1295 - EDLO
PINCA WICKSTROM CURVA 90GRAUS 24CM 03-1296 - EDLO
PORTA AGULHA PTA.TUNGSTENIO MAYO-HEGAR P/CIR.GERAL C/VIDEA 35CM 05-1305 - EDLO
TESOURA ESP.MAYO-STILLE CURVA P/CIR.GINEC.30CM 06-1304 - EDLO
TESOURA ESP.MAYO-STILLE CURVA P/CIR.GINEC.35CM 06-1311 - EDLO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
87
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000037636
0000037637
0000037639
0000037640
0000037642
0000037643
0000037646
0000037647
0000037648
0000037654
0000037656
0000037660
0000037667
0000037669
0000037670
0000037674
0000037682
0000037683
0000037684
0000037706
0000037707
0000037708
0000037710
0000037712
0000037714
0000037719
0000037782
0000037783
0000037784
0000037785
0000037788
0000037789
0000037790
0000037791
0000037792
0000037820
0000037824
0000037825
0000037834
0000037835
0000037836
0000037837
0000037840
0000037845
0000037849
0000037852
0000037868
DESCRICAO
TESOURA ESP.METZENBAUM-NELSON ROMBA-ROMBA CURVA CIR.GERAL 30CM 06-1306 - EDLO
TESOURA ESP.METZENBAUM-NELSON ROMBA-ROMBA CURVA CIR.GERAL 35CM 06-1307 - EDLO
TESOURA DURACORTE CIR.ROMBA-ROMBA CURVA PED.P/TENOTOMIA 10CM 06-1319 - EDLO
TESOURA DURACORTE IRIS FINA-FINA CURVA PED.11CM 06-1320 - EDLO
TESOURA DURACORTE ESP.METZENBAUM ROMBA-ROMBA CURVA CIR.GERAL 30CM 06-1312 - EDLO
TESOURA DURACORTE ESP.METZENBAUM ROMBA-ROMBA CURVA CIR.GERAL 35CM 06-1313 - EDLO
VALVULA (RETRATOR) DOYEN VAGINAL 70X210MM 01-0448 - EDLO
VALVULA (RETRATOR) DOYEN VAGINAL 100X210MM 01-0449 - EDLO
CAIXA CIRURGICA P/HIDROCELE/HIPOSPADIA - EDLO
CLORIDRATO RANITIDINA GEN.150MG 20CPDS - MERCK S.A.
CILODEX 3+1MG/ML SUSP.OFT.5ML - ALCON
DICLOFENACO SODICO GEN.50MG 20CPDS - MEDLEY
ZOMETA 4MG SOL.INJ.1FA 100ML - - NOVARTIS
RETANGULO ALGODAO 50GRS 205.824 - CREMER
RETANGULO ALGODAO 95GRS 205.831 - CREMER
MASCARA C/ELASTICO BCO.BFE 96,7% 50UNID O110101 - DESCARPACK
PROTETOR OCULAR P/FOTOTERAPIA PEQ.12UNID - KORS DO BRASIL
PROTETOR OCULAR P/FOTOTERAPIA MED.12UNID - KORS DO BRASIL
PROTETOR OCULAR P/FOTOTERAPIA GRD.12UNID - KORS DO BRASIL
CLORIDRATO AMBROXOL GEN.6MG/ML XPE.ADU.120ML - NEOQUIMICA
CLORIDRATO AMBROXOL GEN.3MG/ML XPE.INF.120ML - NEOQUIMICA
CLORIDRATO LINCOMICINA GEN.300MG/ML 1AMP 1ML - NEOQUIMICA
CLORIDRATO LINCOMICINA GEN.600MG/ML 1AMP 2ML - NEOQUIMICA
MEBENDAZOL GEN.20MG/ML SUSP.30ML - NEOQUIMICA
NISTATINA GEN.100.000UI/ML SUSP. 50ML - NEOQUIMICA
RIOHEX 4% DEGERMANTE PUMP 500ML 0619 - RIOQUIMICA
DIAMICRON MR 30MG 30CPDS - SERVIER
COREG 25MG 14CPDS - ROCHE
SARIDON 20CPDS - BAYER
AMOXINA 500MG 12CAPS - HEXAL
NIMALGEX 100MG 12CPDS - HEXAL
SINVASTACOR 5MG 30CPDS - HEXAL
SINVASTACOR 10MG 30CPDS - HEXAL
SINVASTACOR 20MG 30CPDS - HEXAL
GINESSE 0,075+0,020MG 21CPDS REV. - FARMOQUIMICA
APLICADOR INS.NOVOPEN 3,0 PRATA - NOVO NORDISK
AGULHA NOVOFINE P/USO C/NOVOPEN G30X08MM 100UNID - NOVO NORDISK
AGULHA NOVOFINE P/USO C/NOVOPEN G30X06MM 100UNID - NOVO NORDISK
ZINNAT 250MG SUSP.70ML - GLAXOSMITH
LUFTAL MAX 125MG 10CAPS GEL - BRISTOL
MONOPLUS 10/12,5MG 16CPDS - BRISTOL
MONOPLUS 10/12,5MG 30CPDS - BRISTOL
AGULHA P/DISCOGRAFIA (DCHNS) - E.TAMUSSINO
AGULHA VERTEBROPLASTIA (DBBN) - E.TAMUSSINO
CATETER BIPOLAR P/COAGULACAO (BCP) - E.TAMUSSINO
OMEPRAZOL GEN.40MG 7CAPS - MEDLEY
CAMPO CIRURGICO INFERIOR 2,20X1,50MT 10001500 - LIFEMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
88
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000037869
0000037870
0000037887
0000037888
0000037889
0000037890
0000037891
0000037896
0000037897
0000037898
0000037899
0000037900
0000037901
0000037902
0000037903
0000037908
0000037909
0000037910
0000037919
0000037920
0000037921
0000037926
0000037927
0000037928
0000037929
0000037930
0000037933
0000037937
0000037939
0000037942
0000037944
0000037945
0000037946
0000037947
0000037948
0000037950
0000037951
0000037952
0000037953
0000037954
0000037955
0000037956
0000037959
0000037960
0000037963
0000037964
0000037965
DESCRICAO
CAMPO CIRURGICO LATERAL 1,50X1,00M 10001507 - LIFEMED
CAMPO CIRURGICO INFERIOR 2,45X2,20MT C/FENEST."U" 0,60X0,15MT 10001503 - LIFEMED
PIROXICAM GEN.20MG 10CAPS - EMS GENERICOS
CLORIDRATO CIPROFLOXACINO GEN.250MG 2BLX7CPDS - EMS GENERICOS
CLORIDRATO CIPROFLOXACINO GEN.500MG 2BLX7CPDS - EMS GENERICOS
CLORIDRATO CIPROFLOXACINO GEN.500MG 6CPDS - EMS GENERICOS
CLORIDRATO CIPROFLOXACINO GEN.250MG 6CPDS - EMS GENERICOS
AMOXITAN 250MG/ML SUSP.150ML - BUNKER
ASMIFEN 1MG 20CPDS - BUNKER
ASMIFEN 0,2MG/ML XPE.100ML - BUNKER
SOLARDRIL CRM.28G - BUNKER
CARBOFAN XPE.100ML - BUNKER
CARBOFAN XPE.PED.100ML - BUNKER
DERMOSALIC POM.30G - BUNKER
DERMOSALIC SOL.TOP.30ML - BUNKER
GELOL LINIMENTO 45ML - COSMED
TIRATOSSE XPE.ADU.120ML - COSMED
TIRATOSSE XPE.PED.120ML - COSMED
LESCOL XL 80MG 30CPDS - NOVARTIS
TEGRETOL 200MG 60CPDS - NOVARTIS
TEGRETOL CR 200MG 60CPDS REV. - NOVARTIS
ABLOK 25MG 3BLX10CPDS - BIOLAB SANUS
ABLOK 50MG 3BLX10CPDS - BIOLAB SANUS
ABLOK 100MG 3BLX10CPDS - BIOLAB SANUS
ABLOK PLUS 50+12,5MG 30CPDS - BIOLAB SANUS
ABLOK PLUS 100+25MG 30CPDS - BIOLAB SANUS
CORONAR 20MG 3BLX10CPDS - BIOLAB SANUS
REVITAM JUNIOR SOL.ORAL 120ML - BIOLAB SANUS
FRONTAL 2,00MG 30CPDS - PFIZER
ARES 0,25MG/ML SOL.INAL.20ML - UNIAO QUIMICA
CLORPROMAZ 5MG/ML SOL.INJ.50AMP 5ML - UNIAO QUIMICA
FOR GAS 40MG 20CPDS - UNIAO QUIMICA
FOR GAS 75MG/ML SUSP.ORAL 10ML - UNIAO QUIMICA
GAVIZ 160+50MG HORT.20BLX4CPDS - - UNIAO QUIMICA
GAVIZ 160+50MG MOR.20X4CPDS - - UNIAO QUIMICA
HISTADIN 1MG/ML XPE.100ML - UNIAO QUIMICA
HISTADIN 10MG 12CPDS - UNIAO QUIMICA
UNI DIAZEPAX 5MG 200CPDS - UNIAO QUIMICA
UNI DIAZEPAX 10MG 200CPDS - UNIAO QUIMICA
DORNOT 50MG/ML SOL.INJ.25AMP 2ML - UNIAO QUIMICA
FENAREN 50MG 500CPDS - - UNIAO QUIMICA
PROHAIR 1MG 30CPDS - UNIAO QUIMICA
TANDRIFLAN 300+125+50+30MG 30CPDS - UNIAO QUIMICA
TEFLAN 20MG 10CPDS REV. - UNIAO QUIMICA
UNI HALOPER 2MG/ML SOL.ORAL 20ML - - UNIAO QUIMICA
UNI HALOPER 5MG 200CPDS - UNIAO QUIMICA
UNI HALOPER 5MG/ML SOL.INJ.50AMP 1ML - UNIAO QUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
89
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000037966
0000037967
0000037972
0000037975
0000037978
0000037979
0000037999
0000038000
0000038001
0000038015
0000038016
0000038017
0000038037
0000038157
0000038158
0000038159
0000038160
0000038162
0000038176
0000038177
0000038178
0000038179
0000038230
0000038231
0000038232
0000038235
0000038236
0000038242
0000038244
0000038245
0000038278
0000038279
0000038280
0000038281
0000038282
0000038323
0000038331
0000038332
0000038333
0000038338
0000038339
0000038340
0000038341
0000038342
0000038345
0000038346
0000038352
DESCRICAO
UNIFEDRINE 50MG/ML SOL.INJ.25AMP 1ML - UNIAO QUIMICA
UNIFENITOIN 100MG 100CPDS - - UNIAO QUIMICA
UNIMEDROL 500MG PO SOL.INJ.1FA+DIL.8ML - UNIAO QUIMICA
VIXMICINA 1G PO INJ.50FA+DIL - - UNIAO QUIMICA
ABSORVENTE ALWAYS NORM.ECON.10UNID - PROCTER
ABSORVENTE ALWAYS NORM.ECON.C/ABAS 10UNID - PROCTER
AMOXICILINA GEN.250MG SUSP.150ML - RANBAXY
AMOXICILINA+CLAVULANATO POTASSIO GEN.500MG 6CPDS - RANBAXY
AMOXICILINA+CLAVULANATO POTASSIO GEN.500MG 18CPDS - RANBAXY
SINVASTATINA GEN.10MG 3X10CPDS - RANBAXY
SINVASTATINA GEN.20MG 3X10CPDS - RANBAXY
SINVASTATINA GEN.40MG 10CPDS - RANBAXY
CREME DENTAL SENSODYNE P.TOTAL 50GRS - GLAXOSMITH
CLORIDRATO DILTIAZEM GEN.30MG 30CPDS - BIOSINTETICA
CLORIDRATO DILTIAZEM GEN.60MG 30CPDS - BIOSINTETICA
CLORIDRATO FLUOXETINA GEN.20MG 30CPDS - BIOSINTETICA
CARBIDOPA+LEVODOPA GEN.25+250MG 30CPDS - BIOSINTETICA
NIMESULIDA GEN.50MG GTS.15ML - MEDLEY
HIDRAPLUS NATURAL 2SACH 25ML - LUPER
HIDRAPLUS FRAMB.2SACH 25ML - LUPER
HIDRAPLUS LAR.2SACH 25ML - LUPER
TINDAL CRM.CAP.60ML - LUPER
FITA MICROPOROSA 12MMX10MT ROLO C/CAPA D07605 - POLAR FIX
FITA MICROPOROSA 25MMX10MT ROLO C/CAPA D07606 - POLAR FIX
FITA MICROPOROSA 50MMX10MT ROLO C/CAPA D07607 - POLAR FIX
VALERIX 50MG 30CPDS REV. - ATIVUS
KAVAKAN 235MG 30CAPS - ATIVUS
LOCAO OLEOSA ACIDOS GRAXOS ESSENCIAIS DERSANI ORIGINAL 100ML - SANIPLAN
SERINGA C/AG.3ML 20X5,5 PLASTIPAK 990481 - BD
SERINGA C/AG.05ML 30X8 PLASTIPAK 307474 - BD
KIT ANESTESIA PERIDURAL/RAQUI PROCED.401387 - BD
KIT ANESTESIA PERI BASICA 401384 - BD
KIT ANESTESIA PERIDURAL CONTINUA PROCED.401386 - BD
KIT ANESTESIA PERIDURAL PROCED.401388 - BD
KIT ANESTESIA RAQUI BASICA 401383 - BD
MONOCORDIL 20MG 30CPDS - BALDACCI
FONERGORAL COLUT.150ML - NEOQUIMICA
FONERGORAL 3,0MG LAR.12PAST - NEOQUIMICA
FONERGORAL LIM.3X4PAST - NEOQUIMICA
BETSONA 1MG/G CRM.30GRS - NEOQUIMICA
BETSONA 1MG/G POM.30GRS - NEOQUIMICA
NEO TIONAZOL 10MG/G CRM.30GRS - NEOQUIMICA
PROPIOSOL 0,5MG/G CRM.30GRS - NEOQUIMICA
PROPIOSOL 0,5MG/G POM.30GRS - NEOQUIMICA
METRONIDAZOL GEN.100MG/G GEL 50GRS+10APL - SANVAL
BETASPAN 5+2MG 1AMP INJ.1ML - DELTA
NEOSTATIN CRM.VAG.40G+7APL. - DELTA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
90
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000038354
0000038374
0000038389
0000038390
0000038461
0000038462
0000038464
0000038465
0000038466
0000038467
0000038468
0000038470
0000038479
0000038480
0000038481
0000038482
0000038483
0000038484
0000038485
0000038486
0000038487
0000038488
0000038489
0000038490
0000038491
0000038492
0000038493
0000038495
0000038496
0000038497
0000038498
0000038499
0000038500
0000038501
0000038502
0000038503
0000038504
0000038505
0000038506
0000038507
0000038508
0000038509
0000038510
0000038511
0000038512
0000038513
0000038514
DESCRICAO
SPOZOL 100MG 4CAPS - DELTA
LIVIAL 2,5MG 3X28CPDS - SCHERING PLOUGH
GARROTE COMPLETO NR.5 100,00CMX13,00CM 154/5 - GER-AR
MANGUITO P/GARROTE NR.5 90,00CMX11,00CM 151/G5 - GER-AR
ISOTREX CRM.30GRS - STIEFEL
ISOTREXOL CRM.30GRS - STIEFEL
BROMOPRIDA GEN.4MG SOL.20ML - EMS GENERICOS
CETOCONAZOL GEN.SHM.100ML - EMS GENERICOS
CLARITROMICINA GEN.500MG 10CPDS - EMS GENERICOS
CLARITROMICINA GEN.500MG 2BLX7CPDS - EMS GENERICOS
MEBENDAZOL GEN.20MG SUSP.30ML - EMS GENERICOS
SINVASTATINA GEN.10MG 3BLX10CPDS REV. - EMS GENERICOS
CLORIDRATO TERBINAFINA GEN.10MG/G CRM.DERM.20G - EMS GENERICOS
AFASTADOR CASSIO 85X15X10 434 - PETROVICH
AGULHA STAME - PETROVICH
AGULHA STAME DUPLA - PETROVICH
ALVEOLOTOMO - PETROVICH
ANEL THORTON MOVEL 405A - PETROVICH
ANEL LANGONE 126A - PETROVICH
CANULA HIDROSSECCAO 410 - PETROVICH
CANULA P/METILCELULOSE 411 - PETROVICH
CANULA P/POLIMENTO CAPSULA 412 - PETROVICH
CANULA P/RETROBULBAR 412A - PETROVICH
COMPASSO FIXO 3X3,5 153B - PETROVICH
DEPRESSOR ESCLERAL 156F - PETROVICH
DEPRESSOR ESCLERAL DUPLO 156G - PETROVICH
DESCOLADOR FREER 156A - PETROVICH
MANIPULADOR GANCHO "Y" OSHER 490 - PETROVICH
MANIPULADOR GANCHO DRISDALE 491 - PETROVICH
MANIPULADOR GANCHO MALONEY 492 - PETROVICH
MANIPULADOR FACO CHOPPER NAGAHARA UNIV.493D/493E 493 - PETROVICH
MARCADOR IMPLANTADOR P/LENTE ABERTO 402A - PETROVICH
PINCA BIPOLAR - PETROVICH
PINCA P/COLOCAR LENTE ACAO CRUZADA - PETROVICH
PINCA P/COLOCAR LENTE SANTA CRUZ - PETROVICH
PINCA DILATADORA VASOS RETA - PETROVICH
PINCA DILATADORA VASOS ANGULADA - PETROVICH
PINCA DEPILACAO - PETROVICH
PINCA JAMESON C/PINO - PETROVICH
PINCA NORDAN P/DOBRAR LENTE 283 - PETROVICH
PINCA POLLACK - PETROVICH
PINCA TP.RELOJOEIRO CURVA - PETROVICH
PINCA TP.RELOJOEIRO ANGULADA - PETROVICH
PINCA TP.RELOJOEIRO C/DENTE - PETROVICH
PINCA TP.RELOJOEIRO C/DENTE/PLATAFORMA - PETROVICH
PINCA RELOJOEIRO PLATAFORMA P/FIO - PETROVICH
PORTA AGULHA CASTROVIEJO 15CM - PETROVICH
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
91
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000038515
0000038516
0000038517
0000038518
0000038519
0000038520
0000038521
0000038522
0000038523
0000038527
0000038529
0000038530
0000038531
0000038538
0000038539
0000038540
0000038541
0000038542
0000038543
0000038544
0000038545
0000038546
0000038547
0000038548
0000038549
0000038550
0000038551
0000038552
0000038553
0000038554
0000038555
0000038556
0000038557
0000038558
0000038559
0000038560
0000038565
0000038567
0000038568
0000038569
0000038570
0000038573
0000038574
0000038575
0000038576
0000038577
0000038578
DESCRICAO
PORTA AGULHA CASTROVIEJO 15CM CABO REDONDO - PETROVICH
PORTA AGULHA DERF - PETROVICH
REGUA MILIMETRADA 50MM 431 - PETROVICH
TESOURA P/PLASTICA OCULAR 13CM - PETROVICH
PUNCH - PETROVICH
PINCA WILSON - PETROVICH
TESOURA WILSON - PETROVICH
NISALGEN 5% GEL 40GRS - - UCI-FARMA
PRESILHA P/DEPRESSOR - PETROVICH
HORMOTROP 4UI PO LIOF.INJ.1FA+DIL 1ML - - AMGEN
CIPROBIOT 250MG 6CPDS - SANDOZ
CIPROBIOT 500MG 6CPDS - SANDOZ
CIPROBIOT 500MG 14CPDS - SANDOZ
FIO PDS II CARDIOV.VIOLETA 5-0 75CM AG.2X1,3CM Z126H - J&J ETHICON
FIO PDS II CARDIOV.VIOLETA 3-0 70CM AG.1,7CM Z305H - J&J ETHICON
FIO PDS II CARDIOV.VIOLETA 5-0 75CM AG.2X1,7CM Z320H - J&J ETHICON
FIO PDS II FECH.G.OB/GIN.VIOLETA 2 70CM AG.4CM Z195T - J&J ETHICON
FIO PDS II FECH.G.OB/GIN.VIOLETA 0 70CM AG.2,6CM Z334H - J&J ETHICON
FIO PDS II FECH.G.OB/GIN.VIOLETA 3-0 70CM AG.3,64CM Z338H - J&J ETHICON
FIO PDS II FECH.G.OB/GIN.VIOLETA 1 70CM AG.3,64CM Z341H - J&J ETHICON
FIO PDS II FECH.G.OB/GIN.VIOLETA 0 90CM AG.3,64CM Z346H - J&J ETHICON
FIO PDS II FECH.G.OB/GIN.VIOLETA 1 90CM AG.3,64CM Z347H - J&J ETHICON
FIO PDS II FECH.G.OB/GIN.VIOLETA 1 70CM AG.4CM Z353H - J&J ETHICON
FIO PDS II FECH.G.OB/GIN.VIOLETA 1 90CM AG.4CM Z359T - J&J ETHICON
FIO PDS II FECH.G.OB/GIN.VIOLETA 1 90CM AG.4,8CM Z371T - J&J ETHICON
FIO PDS II FECH.G.OB/GIN.VIOLETA 2-0 70CM AG.3,64CM Z466H - J&J ETHICON
FIO PDS II FECH.G.OB/GIN.VIOLETA 1 70CM AG.3,64CM Z468H - J&J ETHICON
FIO PDS II FECH.G.OB/GIN.VIOLETA 1 70CM AG.4,8CM Z569T - J&J ETHICON
FIO PDS II FECH.G.OB/GIN.VIOLETA 1 70CM AG.6,5CM Z690G - J&J ETHICON
FIO PDS II LAC.FECH.G.OB/GIN.VIOLETA 1 120CM AG.6,5CM Z880G - J&J ETHICON
FIO PDS II LAC.FECH.G.OB/GIN.VIOLETA 1 120CM AG.7CM Z881G - J&J ETHICON
FIO PDS II ORTOPEDICO VIOLETA 0 70CM AG.3,64CM Z534T - J&J ETHICON
FIO PDS II ORTOPEDICO VIOLETA 1 70CM AG.2,2CM Z695H - J&J ETHICON
FIO PDS II GASTRO VIOLETA 4-0 70CM AG.2,2CM Z310H - J&J ETHICON
FIO PDS II GASTRO VIOLETA 3-0 70CM AG.2,2CM Z311H - J&J ETHICON
FIO PDS II GASTRO VIOLETA 2-0 70CM AG.2,6CM Z317H - J&J ETHICON
FIO MONOCRYL PLASTICA INCOLOR 4-0 45CM AG.1,3CM Y494G - J&J ETHICON
FIO VICRYL GASTRO VIOLETA 5-0 70CM AG.2,6CM J314H - J&J ETHICON
FIO VICRYL UROLOGIA VIOLETA 3-0 70CM AG.1,7CM J305H - J&J ETHICON
FIO VICRYL UROLOGIA VIOLETA 2-0 70CM AG.2,6CM J602H - J&J ETHICON
FIO VICRYL UROLOGIA VIOLETA 0 70CM AG.2,6CM J603H - J&J ETHICON
FIO VICRYL UROLOGIA VIOLETA 8-0 13CM AG.0,65CM J401G - J&J ETHICON
FIO VICRYL OFTAL.VIOLETA 6-0 45CM AG.2X0,8CM J555G - J&J ETHICON
FIO VICRYL OFTAL.VIOLETA 5-0 20CM AG.2X0,85CM J591G - J&J ETHICON
FIO VICRYL OFTAL.VIOLETA 10-0 10CM AG.0,65CM V960G - J&J ETHICON
FIO VICRYL FECH.G.OB/GIN.VIOLETA 0 70CM AG.2,6CM J334H - J&J ETHICON
FIO VICRYL FECH.G.OB/GIN.INCOLOR 1 70CM AG.4,8CM J569H - J&J ETHICON
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
92
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000038581
0000038582
0000038583
0000038586
0000038588
0000038590
0000038591
0000038592
0000038593
0000038594
0000038595
0000038596
0000038597
0000038598
0000038600
0000038601
0000038602
0000038603
0000038604
0000038605
0000038606
0000038607
0000038608
0000038609
0000038612
0000038613
0000038614
0000038615
0000038616
0000038618
0000038619
0000038620
0000038621
0000038623
0000038628
0000038629
0000038630
0000038637
0000038638
0000038639
0000038640
0000038641
0000038656
0000038675
0000038677
0000038681
0000038682
DESCRICAO
FIO VICRYL FECH.G.OB/GIN.INCOLOR 2 2X70CM AG.6,5CM J849G - J&J ETHICON
FIO VICRYL FECH.G.OB/GIN.INCOLOR 2-0 70CM AG.2,6CM J869H - J&J ETHICON
FIO VICRYL FECH.G.OB/GIN.INCOLOR 0 70CM AG.2,6CM J870H - J&J ETHICON
FIO VICRYL VIOLETA 2 150CM S/AG.JS618H - J&J ETHICON
FIO VICRYL RAP.ABS.PLASTICA INCOLOR 3-0 75CM AG.1,95CM W9923 - J&J ETHICON
FIO VICRYL RAP.ABS.PLASTICA INCOLOR 3-0 70CM AG.1,1CM VR9360G - J&J ETHICON
FIO VICRYL RAP.ABS.PLASTICA VIOLETA 4-0 45CM AG.1,6CM VR9911G - J&J ETHICON
FIO VICRYL RAP.ABS.PLASTICA VIOLETA 5-0 45CM AG.1,6CM VR9910G - J&J ETHICON
FIO VICRYL RAP.ABS.UROLOGIA INCOLOR 4-0 70CM AG.1,5CM V2140G - J&J ETHICON
FIO VICRYL RAP.ABS.GASTRO INCOLOR 4-0 70CM AG.2,2CM VR2180G - J&J ETHICON
FIO VICRYL RAP.ABS.GASTRO INCOLOR 3-0 70CM AG.2,2CM VR2190G - J&J ETHICON
FIO VICRYL RAP.ABS.GASTRO INCOLOR 2-0 70CM AG.2,6CM VR4170G - J&J ETHICON
FIO VICRYL RAP.ABS.DENTAL INCOLOR 4-0 75CM AG.1,7CM VR2279G - J&J ETHICON
FIO VICRYL RAP.ABS.DENTAL INCOLOR 3-0 75CM AG.1,7CM VR2280 - J&J ETHICON
FIO VICRYL RAP.ABS.FECH.GERAL INCOLOR 2-0 90CM AG.3,64CM VR9962G - J&J ETHICON
FIO VICRYL RAP.ABS.FECH.GERAL INCOLOR 0 90CM AG.3,64CM VR9963G - J&J ETHICON
FIO VICRYL RAP.ABS.FECH.GERAL INCOLOR 1 90CM AG.3,5CM W9964 - J&J ETHICON
FIO VICRYL RAP.ABS.FECH.GERAL INCOLOR 0 90CM AG.4CM V9580H - J&J ETHICON
FIO VICRYL RAP.ABS.FECH.GERAL INCOLOR 1 90CM AG.4CM VR9590G - J&J ETHICON
FIO MONONYLON PLASTICA PRETO 6-0 45CM AG.1,1CM P697T - J&J ETHICON
FIO MONONYLON OFTAL.PRETO 10-0 30CM AG.0,65CM 9033G - J&J ETHICON
FIO MONONYLON FECH.G.OB/GIN.PRETO 1 150CM AG.6,5CM 824G - J&J ETHICON
FIO PROLENE CARDIOV.AZUL 4-0 90CM AG.2X2,6CM 8521T - J&J ETHICON
FIO PROLENE PLASTICA AZUL 6-0 45CM AG.1,1CM P8697T - J&J ETHICON
FIO PROLENE CUTICULAR AZUL 4-0 45CM AG.1,9CM 8183T - J&J ETHICON
FIO PROLENE CUTICULAR AZUL 3-0 45CM AG.2,4CM 8184T - J&J ETHICON
FIO PROLENE CUTICULAR AZUL 2-0 45CM AG.2,6CM 8185T - J&J ETHICON
FITA MERSILENE OBSTETRICIA 30CM RS22 - J&J ETHICON
FITA MERSILENE OBSTETRICIA 30CM RS21 - J&J ETHICON
FIO SEDA PRETA 3-0 10X75CM S/AG.SA84T - J&J ETHICON
FIO SEDA PRETA 2-0 10X75CM S/AG.SA85T - J&J ETHICON
FIO SEDA PRETA 0 10X75CM S/AG.SA86T - J&J ETHICON
FIO SEDA PRETA 1 10X75CM S/AG.SA87T - J&J ETHICON
FIO ACO ACIFLEX CARDIO PEDIATRIC 2 4X50CM AG.4,5CM M400G - J&J ETHICON
TELA VICRYL TECIDA 30X30CM VKML - J&J ETHICON
TELA VICRYL TECIDA 15X15CM VKMM - J&J ETHICON
TELA VICRYL TRANCADA 30X30CM VWML - J&J ETHICON
DRENO BLAKE PLANO 7MM C/TROCARTE 3/16" 100% CANALETADO 2212 - J&J ETHICON
RESERVATORIO TP.PERA 100CC 2160 - J&J ETHICON
RESERVATORIO JVAC 450ML 2162 - J&J ETHICON
RESERVATORIO JVAC 300ML 2163 - J&J ETHICON
HEMOSTATICO SPONGOSTAN DENTAL 1CMX1CMX1CM 24UNID MS0005 - J&J ETHICON
FIO PDS II CARDIOV.VIOLETA 6-0 75CM AG.2X1,5CM Z123H - J&J ETHICON
PAREXEL 6MG/ML SOL.INJ.1FA.16,7ML - ZODIAC
KIATRIUM 5MG 30CPDS - GROSS
HIDRION 40+100MG 30CPDS - GROSS
KIATRIUM 10MG 30CPDS - GROSS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
93
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000038683
0000038685
0000038695
0000038727
0000038728
0000038729
0000038730
0000038731
0000038732
0000038733
0000038736
0000038737
0000038738
0000038741
0000038742
0000038743
0000038744
0000038745
0000038746
0000038747
0000038748
0000038749
0000038750
0000038752
0000038754
0000038755
0000038756
0000038757
0000038796
0000038797
0000038798
0000038799
0000038801
0000038802
0000038824
0000038825
0000038826
0000038828
0000038829
0000038830
0000038831
0000038832
0000038836
0000038837
0000038838
0000038839
0000038840
DESCRICAO
SPIDUFEN 400MG 6ENV - ZAMBON
SPIDUFEN 600MG 10ENV - ZAMBON
CERAZETTE 0,075MG 28CPDS - SCHERING PLOUGH
CINTA TENNIS ELBOW TAM.UNICO 356-00LSN - SALVAPE
COTOVELEIRA AJUSTAVEL TAM.UNICO 362-00LSN - SALVAPE
MUNHEQUEIRA BOOMERANG C/SUPORTE P/POLEGAR 448-00LSN - SALVAPE
TALA P/PUNHO BILATERAL P/M 452-03LSN - SALVAPE
JOELHEIRA C/ORIFICIO SUPORTE P/ROTULA REFORCO LATERAL 537-00LSN - SALVAPE
TORNOZELEIRA AJUSTAVEL 610-00LSN - SALVAPE
IMOBILIZADOR JOELHO FIXO ALT.40CM LARGO 521-48 - SALVAPE
HEMOSTATICO SURGICEL 1,25CMX5CM 12UNID 1955 - J&J ETHICON
IMOBILIZADOR MEMBRO SUP.TIP.VELPEAU ESTOFADA AZUL DIR.GG 301-46 - SALVAPE
IMOBILIZADOR MEMBRO SUP.TIP.VELPEAU ESTOFADA AZUL ESQ.GG 301-36 - SALVAPE
TIPOIA LEVE-LONA GG 327-06 - SALVAPE
COTOVELEIRA NEOPRENE PP 361-82 - SALVAPE
MUNHEQUEIRA AMPLA (VERSAO TALA 439 ESPORTIVA) ESQ.GG 440-36 - SALVAPE
MUNHEQUEIRA AMPLA (VERSAO TALA 439 ESPORTIVA) DIR.GG 440-46 - SALVAPE
JOELHEIRA ARTICULADA NEOPRENE C/CINTA AJUSTAVEL TAM.GG 545-06 - SALVAPE
JOELHEIRA NEOPRENE C/ORIFICIO PP 548-02 - SALVAPE
JOELHEIRA NEOPRENE C/APOIO P/ROTULA PP 549-02 - SALVAPE
ESTABILIZADOR TORNOZELO DIR.PP 601-42 - SALVAPE
ESTABILIZADOR TORNOZELO ESQ.PP 601-32 - SALVAPE
TORNOZELEIRA NEOPRENE PP 609-22 - SALVAPE
PINCA KOGAN (MENCKE) P/ABERT.COLO UTERINO 24CM 03-0220 - EDLO
DERMACERIUM 1%+0,4% CRM.120GRS - SILVESTRE
DERMACERIUM 1%+0,4% CRM.30GRS - SILVESTRE
DERMACERIUM 1%+0,4% CRM.15GRS - SILVESTRE
DERMAZINE CRM.100GRS - SILVESTRE
LOSARTEC 25MG 10CPDS REV. - MARJAN
LOSARTEC 25MG 30CPDS REV. - MARJAN
LOSARTEC 50MG 10CPDS REV. - MARJAN
LOSARTEC 50MG 30CPDS REV. - MARJAN
PROFOLEN 10MG 50AMP 20ML - BLAU
PROFOLEN 10MG 5AMP 20ML - BLAU
HIPERTIN 5MG 3X10CPDS - LUPER
HIPERTIN 10MG 3X10CPDS - LUPER
HIPERTIN 20MG 3X10CPDS - LUPER
PLANTABEN 3,5GR 10ENV 5GRS - NYCOMED
PLANTABEN 3,5GR 30ENV 5GRS - NYCOMED
CURATIVO HIDROGEL C/ALGINATO 15GRS NU-GEL 10UNID MNG415 - SYSTAGENIX
CURATIVO HIDROGEL C/ALGINATO 25GRS NU-GEL 6UNID MNG425 - SYSTAGENIX
CURATIVO TRANSPARENTE POLIURETANO 4,4CMX6,9CM BIOCLUSIVE SELECT 100UNID 2474 - J&J ETHICON
CURATIVO ACETATO CELULOSE C/PETROLATUM 7,6X152,4CM N/ADERENTE ADAPTIC 10ROLOS 2018 - SYSTAGENIX
CURATIVO ESPUMA HIDROPOLIMERO TIELLE 15X15CM 10UNID MTL105 - SYSTAGENIX
CURATIVO ESPUMA HIDROPOLIMERO TIELLE PLUS 11X11CM 10UNID MTP501 - SYSTAGENIX
CURATIVO ESPUMA HIDROPOLIMERO TIELLE PLUS 15X20CM 5UNID MTP502 - SYSTAGENIX
CURATIVO ESPUMA HIDROPOLIMERO TIELLE PLUS 15X15CM 10UNID MTP505 - SYSTAGENIX
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
94
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000038841
0000038842
0000038843
0000038844
0000038845
0000038846
0000038847
0000038848
0000038849
0000038850
0000038857
0000038858
0000038859
0000038863
0000038864
0000038865
0000038866
0000038867
0000038868
0000038869
0000038870
0000038871
0000038872
0000038874
0000038875
0000038876
0000038915
0000038917
0000038918
0000038928
0000038931
0000038933
0000038934
0000038936
0000038937
0000038938
0000038941
0000038942
0000038944
0000038950
0000038957
0000038963
0000038965
0000038966
0000038968
0000038992
0000038993
DESCRICAO
CURATIVO COLAGENO 5,1X5,1CM FIBRACOL PLUS 12UNID 2981 - SYSTAGENIX
CURATIVO COLAGENO 10,2X11,1CM FIBRACOL PLUS 12UNID 2982 - SYSTAGENIX
CURATIVO COLAGENO 10,2X22,2CM FIBRACOL PLUS 6UNID 2983 - SYSTAGENIX
CURATIVO COLAGENO 1X1X40CM FIBRACOL PLUS FITA 6UNID 2984 - SYSTAGENIX
CATETER INTRAVASCULAR PERIFERICO PROTECTIV PLUS 14GX32MM LARANJA MEDEX 3068 - SMITHS MEDICAL
CATETER INTRAVASCULAR PERIFERICO PROTECTIV PLUS 16GX32MM CINZA MEDEX 3062 - SMITHS MEDICAL
CATETER INTRAVASCULAR PERIFERICO PROTECTIV PLUS 18GX32MM VERDE MEDEX 3065 - SMITHS MEDICAL
CATETER INTRAVASCULAR PERIFERICO PROTECTIV PLUS 20GX32MM ROSA MEDEX 3066 - SMITHS MEDICAL
CATETER INTRAVASCULAR PERIFERICO PROTECTIV PLUS 22GX25MM AZUL MEDEX 3060 - SMITHS MEDICAL
CATETER INTRAVASCULAR PERIFERICO PROTECTIV PLUS 24GX19MM AMARELO MEDEX 3063 - SMITHS MEDICAL
VITATONUS DEXA 1AMP 2ML+1AMP 1ML - BUNKER
TESOURA COAGULADORA P/LAPARO 5MM CURVA HARMONIC LCSC5 - J&J ENDO
TESOURA COAGULADORA CURVA 14CMX5MM CIR.ABERTA HARMONIC CS14C - J&J ENDO
VALVULA PRESSAO FIXA NP 10MMH2O S/PRE CAMERA - - J&J CODMAN
VALVULA PRESSAO FIXA NP 40MMH2O S/PRE CAMERA - - J&J CODMAN
VALVULA PRESSAO FIXA NP 70MMH2O S/PRE CAMERA - - J&J CODMAN
VALVULA PRESSAO FIXA NP 100MMH2O S/PRE CAMERA - - J&J CODMAN
VALVULA PRESSAO FIXA NP 130MMH2O S/PRE CAMERA - - J&J CODMAN
VALVULA PRESSAO FIXA MICRO C/RES.SALMON RICKHAM 10MMH2O - - J&J CODMAN
VALVULA PRESSAO FIXA MICRO C/RES.SALMON RICKHAM 40MMH2O - - J&J CODMAN
VALVULA PRESSAO FIXA MICRO C/RES.SALMON RICKHAM 70MMH2O - - J&J CODMAN
VALVULA PRESSAO FIXA MICRO C/RES.SALMON RICKHAM 100MMH2O - - J&J CODMAN
VALVULA PRESSAO FIXA MICRO C/RES.SALMON RICKHAM 130MMH2O - - J&J CODMAN
KIT P/ACESSO CRANIANO S/MEDICAMENTO - - J&J CODMAN
KIT MICROSENSOR PARAFUSO CRANIO METAL(BOLT) - - J&J CODMAN
KIT CATETER VENTRICULAR MICROSENSOR C/SENSOR PIC - - J&J CODMAN
CLIPE P/ESCALPO LEROY-RANEY DESC. - - J&J CODMAN
CLIPE P/ESCALPO RANEY DESC. - - J&J CODMAN
APLICADOR C/CLIPES LEROY-RANEY P/ESCALPO DESC. - - J&J CODMAN
CURATIVO ESPUMA HIDROPOLIMERO TIELLE 7X9CM 10UNID MTL100 - SYSTAGENIX
CLOTRIMAZOL GEN.10MG 20GRS - MEDLEY
XATRAL OD 10MG 10CPDS - SANOFI-AVENTIS
PURAN T4 175MCG 30CPDS - SANOFI-AVENTIS
VARILISE 250MG 30CAPS - ATIVUS
INSULINA HUMANA HUMULIN N 2CARPX3ML - ELI LILLY
HUMALOG 2 REFIS 3,0ML - ELI LILLY
INSULINA HUMANA HUMULIN R 2CARPX3ML - ELI LILLY
INSULINA HUMANA HUMULIN 70/30 2CARPX3ML - ELI LILLY
PENTOXIFILINA GEN.400MG 2BLX10CPDS REV. - EMS GENERICOS
BISTURI SHARPOINT 15¦ 5MM TRADICIONAL P/PARACENTESE DESC.72-1551 - VISTATEK
BISTURI SHARPOINT ANGULADO CRESC.2,0MM BISEL P/CIMA DESC.74-1010 - VISTATEK
BISTURI SHARPOINT ANGULADO 2,75MM BISEL P/CIMA DESC.72-2761 - VISTATEK
BISTURI SHARPOINT ANGULADO 3,0MM BISEL P/CIMA DESC.72-2961 - VISTATEK
BISTURI SHARPOINT ANGULADO 3,2MM BISEL P/CIMA DESC.72-3261 - VISTATEK
BISTURI SHARPOINT ANGULADO 5,2MM BISEL P/CIMA DESC.76-5261 - VISTATEK
CAPTOPRIL GEN.12,5MG 3X10CPDS - BIOSINTETICA
CAPTOPRIL GEN.25MG 3X10CPDS - BIOSINTETICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
95
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000038994
0000038997
0000038998
0000038999
0000039000
0000039001
0000039002
0000039053
0000039054
0000039089
0000039092
0000039093
0000039094
0000039095
0000039097
0000039098
0000039099
0000039100
0000039181
0000039182
0000039210
0000039211
0000039223
0000039224
0000039225
0000039226
0000039227
0000039228
0000039229
0000039230
0000039231
0000039232
0000039233
0000039234
0000039235
0000039236
0000039237
0000039238
0000039239
0000039240
0000039241
0000039242
0000039243
0000039244
0000039245
0000039246
0000039247
DESCRICAO
CAPTOPRIL GEN.50MG 3X10CPDS - BIOSINTETICA
MICOSIL 1% CRM.20GRS - TEUTO BRAS
MEVAMOX 15MG 10CPDS - TEUTO BRAS
PRELONE 20MG 10CPDS - ACHE
PRELONE 5MG 20CPDS - ACHE
FORASEQ 12+200MCG 60+60CPDS C/INAL. - NOVARTIS
FORASEQ 12+400MCG 60+60CPDS C/INAL. - NOVARTIS
GLIMEPIL 1MG 30CPDS - FARMOQUIMICA
GLIMEPIL 4MG 30CPDS - FARMOQUIMICA
GONAPEPTYL DEPOT 3,75MG 1SER.PREENC.1ML - FERRING
LORATADINA GEN.XPE.100ML - MEDLEY
SULFATO NEOMICINA+BACITRACINA GEN.15GRS - MEDLEY
SULFATO NEOMICINA+BACITRACINA GEN.50GRS - MEDLEY
TETRACICLINA+ANFOTERICINA B GEN.CRM.VAG.45GRS+10APL - MEDLEY
CURATIVO TRANSPARENTE TEGADERM C/COMP.5,0CMX7,0CM 50UNID3582 - 3M BRASIL
CURATIVO TRANSPARENTE TEGADERM C/COMP.6,0CMX10,0CM 50UNID 3584 - 3M BRASIL
CURATIVO TRANSPARENTE TEGADERM C/COMP.9,0CMX10,0CM 25UNID 3586 - 3M BRASIL
CURATIVO TRANSPARENTE TEGADERM C/COMP.9,0CMX25CM 25UNID 3591 - 3M BRASIL
PINCA BIOPSIA 104/1.85/5.5/FEM 504300 - J&J CORDIS
PINCA BIOPSIA 50/2.3/7F5/JUG 504302L - J&J CORDIS
PINCA BIOPSIA 104/2.3/7F/FEM 504300L - J&J CORDIS
PINCA BIOPSIA 50/1.85/5.5F/JUG 504302 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 4F/PIG/5SH/35/90 451403F5 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 4F/PIG/5SH/35/100 451403H5 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 4F/PIG/5SH/35/65 451403V5 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/BEN1/38/100 451423H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 4F/SIM2/100 451431H0 - - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/HEA1/38/100 451435H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/COB1/38/65 451442V0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 5F/RT5SH/35/90 451501F5 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 5F/PIG5SH/35/90 451503F5 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 5F/PIG5SH/35/100 451503H5 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 5F/PIG5SH/35/110 451503L5 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 5F/PIG5SH/35/65 451503V5 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/MPA/SC/38/125 451506H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/BERE38/100 451513H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/VERT38/100 451514H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/BEN1/38/100 451523H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/SID1/2SH/38/100 451530H2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/SID2/38/100 451531H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/SID3/38/100 451532H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/HEA1/38/100 451535H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/COB1/38/65 451542V0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/COB2/38/65 451543V0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/COB3/38/65 451544V0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/RS/38/80 451546S0 - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 7F 90CM 401790M - J&J CORDIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
96
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000039248
0000039304
0000039305
0000039308
0000039309
0000039310
0000039313
0000039314
0000039318
0000039319
0000039320
0000039321
0000039323
0000039326
0000039327
0000039330
0000039331
0000039336
0000039337
0000039338
0000039339
0000039341
0000039344
0000039345
0000039346
0000039361
0000039362
0000039369
0000039370
0000039371
0000039372
0000039373
0000039374
0000039375
0000039376
0000039377
0000039378
0000039379
0000039380
0000039381
0000039382
0000039383
0000039384
0000039385
0000039386
0000039387
0000039388
DESCRICAO
KIT FILTRO VEIA CAVA TRAPEASE 6F 466-P306A - J&J CORDIS
FIO GUIA PERIFERICO SV 5 18/RETO/180 503-558 - J&J CORDIS
FIO GUIA PERIFERICO SV 8 18/RETO/180 503-658 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 4F/RT5SH/35/90 451401F5 - J&J CORDIS
FIO GUIA AGILITY STD 195CMX0,010" 614178 - J&J CODMAN
FIO GUIA AGILITY SOFT 195CMX0,010" 614179 - J&J CODMAN
CABO INTERFECE P/CATETER CELSIUS 4MM/THERMOCOOL P/GERADOR STOCKERT 3M 39E43R - J&J CORDIS
CABO INTERFACE P/CATETER CELSIUS DS 8MM P/GERADOR STOCKERT 3M 39E68R - J&J CORDIS
CATETER ABLACAO DEFLECT.NAVISTAR 4MM CURVA B 7FR THR 115CM NS7TBL174HS - J&J CORDIS
CATETER ABLACAO DEFLECT.NAVISTAR 4MM CURVA B 7FR TC 115CM NS7TCBL174HS - J&J CORDIS
CATETER ABLACAO DEFLECT.NAVISTAR 4MM CURVA D 7FR TC 115CM NS7TCDL174HS - J&J CORDIS
CATETER ABLACAO DEFLECT.NAVISTAR 4MM CURVA D 7FR THR 115CM NS7TDL174HS - J&J CORDIS
CABO INTERFACE ELETRODO REFSTAR P/CARTO XP 1,52M C5MHREFMHS - J&J CORDIS
ELETRODO INDIFERENTE ERBE 17X11CM REUSAVEL INF. 39D15X - J&J CORDIS
CABO CONEXAO P/ELETRODO INDIFERENTE ERBE C/GERADORSTOCKERT 3M 39D-16X - J&J CORDIS
ELETRODO INDIFERENTE ERBE 17,5X29,5CM REUSAVEL ADU. 39D-19X - J&J CORDIS
CABO CONEXAO GERADOR STOCKERT P/GLOBAL PORT.3M 39D21X - J&J CORDIS
CATETER ABLACAO DEFLECT.NAVISTAR 4MM CURVA C 7FR TC 115CM NS7TCCL174HS - J&J CORDIS
CATETER ABLACAO DEFLECT.NAVISTAR 4MM CURVA F 7FR TC 115CM NS7TCFL174HS - J&J CORDIS
CATETER ABLACAO DEFLECT.NAVISTAR 4MM CURVA C 7FR THR 115CM NS7TCL174HS - J&J CORDIS
CATETER ABLACAO DEFLECT.NAVISTAR 4MM CURVA F 7FR THR 115CM NS7TFL174HS - J&J CORDIS
GERADOR STOCKERT EP-SHUTLLE 100W BASICO 39D75X - J&J CORDIS
FIO GUIA ATW 014 195 J 595-EJ014 - J&J CORDIS
FIO GUIA ATW 014 300 R 595X014 - J&J CORDIS
FIO GUIA ATW 014 300 J 595EY014 - J&J CORDIS
PARIET 20MG 14CPDS REV. - JANSSEN-CILAG
PARIET 20MG 2X14CPDS REV. - JANSSEN-CILAG
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 4F/RT5SH/35/65 451401V5 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 4F/PIG5SH/35/110 451403L5 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 4F/UNIV5SH/35/90 451404F5 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 4F/UNIV5SH/35/65 451404V5 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/MPA/SC/38/100 451406H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/MPA/SC2SH/100 451406H2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/MPA/SC/38/125 451406P0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/MPA/SC/2SH/125 451406P2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/MPA/SC/38/80 451406S0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/MPA/SC/2SH/80 451406S2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/MPA/SC/38/65 451406V0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/MPA/NC2SH/100 451407H2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/MPA/NC2SH/100 451407S2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/MPA/NC/38/65 451407V0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/MPA/LC/2SH/65 451408V2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/MANI38/100 451412H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/BERE38/100 451413H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/VERT38/100 451414H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 4F/BEREN2/100 451415H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 4F/BEREN2/80 451415V0 - J&J CORDIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
97
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000039389
0000039390
0000039391
0000039392
0000039393
0000039394
0000039395
0000039396
0000039397
0000039398
0000039399
0000039400
0000039401
0000039402
0000039403
0000039404
0000039405
0000039407
0000039408
0000039409
0000039410
0000039411
0000039412
0000039413
0000039414
0000039415
0000039416
0000039417
0000039418
0000039419
0000039420
0000039421
0000039422
0000039423
0000039424
0000039425
0000039426
0000039428
0000039429
0000039430
0000039431
0000039432
0000039433
0000039434
0000039435
0000039436
0000039437
DESCRICAO
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 4F/UNISE2/80 451418S0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/NEW3/38/100 451420H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/NEW4/38/100 451421H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/BEN2/38/100 451424H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/SID1/38/100 451430H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/SID1/2SH/38/100 451430H2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/SID2/2SH/38/100 451431H2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/SID3/38/100 451432H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/SID3/2SH/38/100 451432H2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/HEA3/38/100 451439H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/COB1/2SH/38/65 451442V2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/COB2/38/100 451443H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/COB2/38/65 451443V0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/COB2/2SH/38/65 451443V2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/COB3/38/65 451444V0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/COB3/2SH/38/65 451444V2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/RS/38/80 451446S0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/RDC/38/80 451447S0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/RDC/2SH/38/80 451447S2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/SH1/38/65 451449V0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/SH2/38/65 451450V0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/J/C1/38/65 451455V0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/J/C2/38/65 451456V0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 4F/J/C3/38/65 451457V0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 5F/RT/5SH/35/100 451501H5 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 5F/RT/5SH/35/65 451501V5 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 5F/UN/5SH/35/90 451504F5 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/MPA/SC/2SH/100 451506H2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/MPA/SC/38/125 451506P0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/MPA/SC/2SH/125 451506P2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/MPA/SC/2SH/80 451506S2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/MPA/SC/38/65 451506V0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/MPA/NC/2SH/100 451507H2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/MPA/NC/2SH/80 451507S2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/MPA/NC/38/65 451507V0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/MPA/LC/2SH/65 451508V2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/MANI38/100 451512H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 5F/BEREN2/65 451515V0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 5F/UNISE2/80 451518S0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/NEW3/38/100 451520H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/NEW4/38/100 451521H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/BEN2/38/100 451524H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/SID1/38/100 451530H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/SID2/2SH/38/100 451531H2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/SID3/2SH/38/100 451532H2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/HEA3/38/100 451539H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/COB1/2SH/38/65 451542V2 - J&J CORDIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
98
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000039438
0000039439
0000039440
0000039441
0000039442
0000039443
0000039444
0000039445
0000039446
0000039447
0000039448
0000039449
0000039450
0000039452
0000039453
0000039454
0000039542
0000039548
0000039549
0000039797
0000039798
0000039799
0000039800
0000039801
0000039802
0000039803
0000039805
0000039806
0000039807
0000039808
0000039809
0000039810
0000039811
0000039812
0000039860
0000039861
0000039862
0000039863
0000039864
0000039865
0000039866
0000039867
0000039868
0000039869
0000039870
0000039871
0000039872
DESCRICAO
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/COB2/38/100 451543H0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/COB2/2SH/38/65 451543V2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/COB3/2SH/38/65 451544V2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/RS/2SH/38/80 451546S2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/RDC/38/80 451547S0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/RDC/2SH/38/80 451547S2 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/SH1/38/65 451549V0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/SH2/38/65 451550V0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/J/C1/38/65 451555V0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/J/C2/38/65 451556V0 - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.S.TEMPO 5F/J/C3/38/65 451557V0 - J&J CORDIS
ELETRODO REF.EXTERNO P/CARTO XP 1,52M REFSTAR XRP6H - J&J CORDIS
OSTENAN 70MG 4CPDS REV. - MARJAN
FIO GUIA PERIFERICO SV 5 18/RETO/300 503-558X - J&J CORDIS
FIO GUIA PERIFERICO SV 8 18/RETO/300 503-658X - J&J CORDIS
CATETER ANGIOGRAFICO DIAG.FL.TEMPO 5F/UN/5SH/35/65 451504V5 - J&J CORDIS
TRIATIV 450MG 30CPDS REV. - ATIVUS
KIRSAN 80MG 30CPDS REV. - ATIVUS
KIRSAN 120MG 30CPDS REV. - ATIVUS
AGULHA P/RAQUI SPINAL S/INTROD.20GX3 1/2" 90X09 DESC.UNISIS S209 - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL S/INTROD.21GX3" 80X08 DESC.UNISIS S218 - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL S/INTROD.22GX1" 25X07 DESC.UNISIS S2225 - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL S/INTROD.22GX1 1/2" 40X07 DESC.PED.UNISIS S224 - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL S/INTROD.22GX2 1/2" 70X07 DESC.UNISIS S227 - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL S/INTROD.22GX3" 80X07 DESC.UNISIS S228 - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL S/INTROD.22GX3 1/2" 90X07 DESC.UNISIS S229 - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL S/INTROD.23GX3" 80X06 DESC.UNISIS S238 - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL S/INTROD.23GX3 1/2" 90X06 DESC.UNISIS S239 - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL S/INTROD.25GX1" 25X05 DESC.UNISIS S2525 - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL S/INTROD.25GX3" 80X05 DESC.UNISIS S258 - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL S/INTROD.25GX3 1/2" 90X05 DESC.UNISIS S259 - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL S/INTROD.26GX3 1/2" 80X4,5 DESC.UNISIS S268 - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL S/INTROD.27GX3" 80X04 DESC.UNISIS S278 - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL S/INTROD.27GX3 1/2" 90X04 DESC.UNISIS S279 - CIRURGICA FERNANDES
CANULA TRAQUEOSTOMIA S/BALAO 4,0MM - CPL
CANULA TRAQUEOSTOMIA C/BALAO PVC 27FR 6MM - CPL
CANULA TRAQUEOSTOMIA C/BALAO PVC 30FR 7MM - CPL
CANULA TRAQUEOSTOMIA C/BALAO PVC 32FR 7,5MM - CPL
CANULA TRAQUEOSTOMIA C/BALAO PVC 33FR 8MM - CPL
CANULA TRAQUEOSTOMIA C/BALAO PVC 35FR 8,5MM - CPL
CANULA TRAQUEOSTOMIA C/BALAO PVC 36FR 9MM - CPL
CANULA TRAQUEOSTOMIA C/BALAO PVC 39FR 10MM - CPL
CANULA TRAQUEOSTOMIA METAL R.NATOS STAND.00 5MM - CPL
CANULA TRAQUEOSTOMIA METAL CRIANC.STAND.0 6MM - CPL
CANULA TRAQUEOSTOMIA METAL CRIANC.STAND.1 7MM - CPL
CANULA TRAQUEOSTOMIA METAL CRIANC.STAND.2 8MM - CPL
CANULA TRAQUEOSTOMIA METAL ADOL.STAND.3 9MM - CPL
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
99
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000039873
0000039874
0000039875
0000039876
0000039877
0000039878
0000039879
0000039880
0000039928
0000039929
0000039930
0000039931
0000039932
0000039933
0000039934
0000039935
0000039936
0000039937
0000039938
0000039939
0000039940
0000039941
0000039942
0000039943
0000039944
0000039945
0000039946
0000039947
0000039948
0000039949
0000039950
0000039951
0000039952
0000039953
0000039954
0000039955
0000039962
0000039963
0000039964
0000039965
0000039966
0000039967
0000039968
0000039972
0000039973
0000039974
0000039975
DESCRICAO
CANULA TRAQUEOSTOMIA METAL ADU.STAND.4 10MM - CPL
CANULA TRAQUEOSTOMIA METAL ADU.STAND.5 11MM - CPL
CANULA TRAQUEOSTOMIA METAL ADU.STAND.6 12MM - CPL
CANULA TRAQUEOSTOMIA METAL ADU.LONGA 3 9MM - CPL
CANULA TRAQUEOSTOMIA METAL ADU.LONGA 4 10MM - CPL
CANULA TRAQUEOSTOMIA METAL ADU.LONGA 5 11MM - CPL
CANULA TRAQUEOSTOMIA METAL ADU.LONGA 6 12MM - CPL
CANULA TRAQUEOSTOMIA METAL CURTA 6 - CPL
AGULHA BIOPSIA P/USO PRO-MAG ULTRA 14GX10CM 765014100 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA 14GX12CM 765014120 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA 14GX16CM 765014160 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA 14GX20CM 765014200 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA 16GX10CM 765016100 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA 16GX16CM 765016160 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA 16GX20CM 765016200 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA 16GX25CM 765016250 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA 18GX10CM 765018100 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA 18GX16CM 765018160 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA 18GX20CM 765018200 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA 18GX25CM 765018250 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA 18GX30CM 765018300 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA 20GX10CM 765020100 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA 20GX16CM 765020160 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA 20GX20CM 765020200 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA ST 14GX8CM 765114080 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA ST 14GX12CM 765114120 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA ST 14GX16CM 765114160 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA ST 16GX8CM 765116080 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA ST 16GX12CM 765116120 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA ST 16GX16CM 765116160 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA ST 18GX8CM 765118080 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA ST 18GX12CM 765118120 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA ST 18GX16CM 765118160 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA ST 20GX8CM 765120080 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA ST 20GX12CM 765120120 - ECOMED
AGULHA BIOPSIA P/USO PRO-MAG ULTRA ST 20GX16CM 765120160 - ECOMED
AGULHA BIOPSIA 16GAX07CM C/SER.TECHNA-CUT TCBN1607X - - ECOMED
AGULHA BIOPSIA 16GAX10CM C/SER.TECHNA-CUT TCBN1610X - - ECOMED
AGULHA BIOPSIA 16GAX15CM C/SER.TECHNA-CUT TCBN1615X - ECOMED
AGULHA BIOPSIA 18GX7CM C/SER.TECHNA-CUT TCBN1807X - - ECOMED
AGULHA BIOPSIA 18GX10CM C/SER.TECHNA-CUT TCBN1810X - - ECOMED
AGULHA BIOPSIA 18GX12CM C/SER.TECHNA-CUT TCBN1812X - - ECOMED
AGULHA BIOPSIA 18GX15CM C/SER.TECHNA-CUT TCBN1815X - ECOMED
AGULHA BIOPSIA 21GX7CM C/SER.TECHNA-CUT TCBN2107X - ECOMED
AGULHA BIOPSIA 21GX10CM C/SER.TECHNA-CUT TCBN2110X - - ECOMED
AGULHA BIOPSIA 21GX15CM C/SER.TECHNA-CUT TCBN2115X - - ECOMED
AGULHA BIOPSIA 23GX6CM C/SER.TECHNA-CUT TCBN2306X - ECOMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
100
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000040002
0000040006
0000040009
0000040010
0000040015
0000040016
0000040020
0000040022
0000040027
0000040028
0000040029
0000040033
0000040034
0000040036
0000040039
0000040043
0000040045
0000040047
0000040050
0000040051
0000040052
0000040053
0000040056
0000040059
0000040060
0000040061
0000040062
0000040063
0000040072
0000040073
0000040124
0000040125
0000040138
0000040141
0000040154
0000040155
0000040156
0000040157
0000040205
0000040206
0000040207
0000040208
0000040209
0000040232
0000040259
0000040265
0000040268
DESCRICAO
BIOFENAC LP 100MG 20CPDS - ACHE
COLPISTATIN 62,5+1,25MG+25000UI/G CRM.VAG.40G+10APLIC. - ACHE
NEO DECAPEPTYL 3,75MG PO LIOF.FA+DIL 2ML - ACHE
DORILAX 350+150+50MG 25BLX4CPDS - ACHE
BIOFENAC CLR 75MG 14CPDS REV. - ACHE
DAYVIT 30CPDS REV. - ACHE
FAMOX 20MG 10CPDS - ACHE
FAMOX 40MG 10CPDS - ACHE
DECONGEX PLUS 2+2,5MG GTS.20ML - ACHE
DECONGEX PLUS 0,4+1MG/ML XPE.120ML - ACHE
DORILAX 350+150+50MG 12CPDS - ACHE
MENOPAX 200MG 20CPDS - ACHE
NOVACORT 20+0,5+2,5MG CRM.DERM.30G - ACHE
NOVACORT 20+0,5+2,5MG POM.DERM.30G - ACHE
SORINE INFANTIL GTS.30ML+CGT - ACHE
VERTIX 10MG 50CPDS - ACHE
BIOFENAC 50MG 20CPDS REV. - ACHE
BIOFENAC D.I 46,5MG 20CPDS - ACHE
SOMALIUM 3MG 20CPDS - ACHE
SOMALIUM 6MG 20CPDS - ACHE
CAUTEREX UNGUENTO 10G - ACHE
BIOFENAC 44,94MG/ML GTS.20ML - ACHE
ERITREX 500MG 21CPDS REV. - ACHE
ERITREX 25MG/ML SUSP.ORAL 105ML+CP.MED - ACHE
DECONGEX PLUS 12+15MG 12CPDS REV. - ACHE
ERITREX 50MG/ML SUSP.ORAL 105ML+CP.MED - ACHE
SORINE ADULTO GTS.30ML - ACHE
ERITREX A 20+0,5MG/ML SOL.TOP.120ML - ACHE
DEPROZOL 1000MG 2CPDS REV. - ACHE
DEPROZOL 1000MG 4CPDS REV. - ACHE
CATETER DRENAGEM GERAL SKATER 6FRX20CM 756006020 - ECOMED
CATETER DRENAGEM GERAL SKATER 7FRX20CM 756007020 - ECOMED
CATETER P/HISTEROSONOGRAFIA 5FRX40CM 660005040 - ECOMED
CATETER P/HISTEROSONOGRAFIA 7FRX40CM 660007040 - ECOMED
CATETER DRENAGEM BILIAR SKATER TRAVA PIGTAIL 8FRX40CM 755308040 - ECOMED
CATETER DRENAGEM BILIAR SKATER TRAVA PIGTAIL 10FRX40CM 755310040 - ECOMED
CATETER DRENAGEM BILIAR SKATER TRAVA PIGTAIL 12FRX40CM 755312040 - ECOMED
CATETER DRENAGEM BILIAR SKATER TRAVA PIGTAIL 14FRX40CM 755314040 - ECOMED
FITA MICROPOROSA 100MMX10MT ROLO C/CAPA D07619 - POLAR FIX
FITA MICROPOROSA 12MMX10MT ROLO S/CAPA D07620 - POLAR FIX
FITA MICROPOROSA 25MMX10MT ROLO S/CAPA D07621 - POLAR FIX
FITA MICROPOROSA 50MMX10MT ROLO S/CAPA D07624 - POLAR FIX
FITA MICROPOROSA 100MMX10MT ROLO S/CAPA D07622 - POLAR FIX
WARTEC CRM.5GRS - STIEFEL
DINAFLEX 1,5G PO ORAL 15SACH 3,95G - ZODIAC
DEPAKOTE SPRINKLE 125MG 30CAPS GEL.DURA MCGRAN - ABBOTT
LABIRIN 8MG 30CPDS - APSEN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
101
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000040269
0000040273
0000040275
0000040276
0000040277
0000040279
0000040281
0000040284
0000040285
0000040286
0000040287
0000040288
0000040289
0000040290
0000040291
0000040295
0000040296
0000040299
0000040300
0000040301
0000040302
0000040304
0000040305
0000040306
0000040307
0000040308
0000040309
0000040310
0000040311
0000040312
0000040313
0000040316
0000040319
0000040320
0000040321
0000040322
0000040323
0000040329
0000040335
0000040341
0000040342
0000040343
0000040344
0000040345
0000040366
0000040367
0000040368
DESCRICAO
LABIRIN 16MG 30CPDS - APSEN
MONOCORDIL 40MG 30CPDS - BALDACCI
PENVIR 500MG 14CPDS - SIGMA PHARMA
DAFORIN 10MG 20CAPS - SIGMA PHARMA
DAFORIN 20MG 30CAPS - SIGMA PHARMA
BONEFOS 400MG 30CAPS - BAYER
ROXFLAN 10MG 20CPDS - MERCK S.A.
TRIFAMOX IBL 250+250MG 8CPDS REV. - BAGO
TRIFAMOX IBL 250+250MG 16CPDS REV. - BAGO
TRIFAMOX IBL 500+500MG 8CPDS REV. - BAGO
TRIFAMOX IBL 25+25MG/ML PO 30G - BAGO
TRIFAMOX IBL 50+50MG/ML PO 30G - BAGO
TRIFAMOX IBL 500+250MG PO INJ.1FA+DIL.5ML - BAGO
TRIFAMOX IBL 1000+500MG PO INJ. 1FA+DIL.5ML - BAGO
PEPSAMAR 230MG 30CPDS - SANOFI-AVENTIS
SYMBICORT TURBO 6+100MCG PO INAL.60DOSES - ASTRAZENECA
SYMBICORT TURBO 6+200MCG PO INAL.60DOSES - ASTRAZENECA
CAPEL SHM.120ML - ACHE
ERANZ 5MG 2BLX14CPDS - WYETH
ERANZ 10MG 2BLX14CPDS - WYETH
RAPAMUNE 2MG SOL.ORAL 30ENV - - WYETH
RAPAMUNE 1MG/ML SOL.ORAL 60ML - WYETH
BENEFIX 250UI PO LIOF.INJ.FA+SER.PREENC.DIL 5ML+1ADAPT+1CONJ.INFUS+2LENCOL+1CURATIVO+1GAZE - - PFIZER
BENEFIX 500UI PO LIOF.INJ.FA+SER.PREENC.DIL 5ML+1ADAPT+1CONJ.INFUS+2LENCOL+1CURATIVO+1GAZE - - PFIZER
BENEFIX 1000UI PO.LIOF.INJ.FA+SER.PREENC.DIL 5ML+1ADAPT+CONJ.INFUS+2LENCOL+1CURATIVO+1GAZE - - PFIZER
VACINA INATIVADA HEPATITE A ADU.1440UEL 1SER.1ML - GLAXOSMITH
VACINA INATIVADA HEPATITE A PED.1SER.0,5ML - GLAXOSMITH
CLAVULIN IV 500MG 10FA - GLAXOSMITH
CLAVULIN IV 1G 10FA - GLAXOSMITH
VACINA COMB.DTPA 1SER.0,5ML - GLAXOSMITH
VACINA COMB.DPTA IPV/HIB 1FA+1SER.0,5ML - GLAXOSMITH
VACINA COMB.SARAMPO/CAXUMBA/RUBEOLA 1FA - GLAXOSMITH
CLEAN HAIR 10MG/ML LOC. 60ML - NEOQUIMICA
NEOCOFLAN 11,6MG/G GEL 60GRS - NEOQUIMICA
NEOSORO SOL.NASAL ADU.30ML - NEOQUIMICA
SENSIDERME 2MG/G POM.30GRS - NEOQUIMICA
MEBENDAZOL GEN.100MG 6CPDS - NEOQUIMICA
GLUCANTIME 300MG/ML 25AMP 5ML - SANOFI-AVENTIS
ESTROFEM 1MG 28CPDS - MEDLEY
WRAPS EMB.P/ESTERILIZACAO LEVE SMS 30X30CM O180101 - DESCARPACK
WRAPS EMB.P/ESTERILIZACAO LEVE SMS 50X50CM O180201 - DESCARPACK
WRAPS EMB.P/ESTERILIZACAO LEVE SMS 75X75CM O180301 - DESCARPACK
WRAPS EMB.P/ESTERILIZACAO LEVE SMS 100X100CM O180401 - DESCARPACK
WRAPS EMB.P/ESTERILIZACAO LEVE SMS 120X120CM O180501 - DESCARPACK
ALBENDY 1CPD - KLEY HERTZ
ALBENDY SUSP.10ML - KLEY HERTZ
ALGI-REUMATRIL 200MG 20CPDS - KLEY HERTZ
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
102
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000040369
0000040370
0000040381
0000040384
0000040385
0000040388
0000040389
0000040391
0000040394
0000040397
0000040398
0000040399
0000040401
0000040404
0000040405
0000040406
0000040408
0000040409
0000040411
0000040412
0000040414
0000040415
0000040416
0000040417
0000040419
0000040420
0000040421
0000040422
0000040453
0000040455
0000040459
0000040460
0000040461
0000040462
0000040463
0000040464
0000040465
0000040466
0000040467
0000040468
0000040469
0000040470
0000040471
0000040472
0000040473
0000040474
0000040475
DESCRICAO
DEXAMETAX CRM.10GRS - KLEY HERTZ
GALENOGAL ELIX.150ML - KLEY HERTZ
PEITORAL MARTEL XPE.150ML - KLEY HERTZ
RELAFLEX 144CPDS - KLEY HERTZ
RELAFLEX 12CPDS - KLEY HERTZ
RESFENOL GTS.20ML - KLEY HERTZ
RESFENOL 100ML - KLEY HERTZ
SONOTABS 100MG 20CPDS REV. - - KLEY HERTZ
CALOTRAT 0,2+0,15G/ML SOL.TOP.5ML - KLEY HERTZ
FAULDCARBO 10MG/ML SOL.INJ.FA 5ML - LIBBS
FAULDCARBO 10MG/ML SOL.INJ.FA 15ML - LIBBS
FAULDCARBO 10MG/ML SOL.INJ.FA 45ML - LIBBS
FAULDCITA 100MG 5FA 5ML - LIBBS
FAULDCISPLA 10MG 1AMP 10ML - LIBBS
FAULDCISPLA 50MG 1AMP 50ML - LIBBS
FAULDCISPLA 100MG 1AMP 100ML - LIBBS
FAULDACAR 200MG 1AMP - LIBBS
FAULDACAR 600MG 1AMP - LIBBS
FAULDOXO 2MG/ML 1FA 5ML - LIBBS
FAULDOXO 2MG/ML 1FA 25ML - LIBBS
FAULDFLUOR 50MG/ML 5FA 10ML - LIBBS
FAULDFLUOR 50MG/ML 1FA. 50ML - LIBBS
FAULDLEUCO 10MG/ML 1FA 5ML - LIBBS
FAULDLEUCO 10MG/ML 1FA 30ML - LIBBS
FAULDMETRO 25MG/ML 5FA 2ML - LIBBS
FAULDMETRO 25MG/ML 1FA 20ML - LIBBS
FAULDMETRO 100MG/ML 1FA 10ML - LIBBS
FAULDMETRO 100MG/ML 1FA 50ML - LIBBS
CAMPO OPERATORIO ESTERIL RAYTEC PRE-LAVADO 45CMX45CM 5UNID C21045 - NEVE
COMPRESSA 7,5CMX7,5CM 13FIOS ESTERIL C/FIO RADIOPACO 10UNID - NEVE
PAPEL LENCOL 70X50MT C34070 - NEVE
PAPEL LENCOL 50X50MT C34050 - NEVE
DRENO TORACICO SILICONE 10FR 50CM 94001 - MEDICONE
DRENO TORACICO SILICONE 12FR 50CM 94002 - MEDICONE
DRENO TORACICO SILICONE 14FR 50CM 94003 - MEDICONE
DRENO TORACICO SILICONE 16FR 50CM 94004 - MEDICONE
DRENO TORACICO SILICONE 18FR 50CM 94005 - MEDICONE
DRENO TORACICO SILICONE 20FR 50CM 94083 - MEDICONE
DRENO TORACICO SILICONE 22FR 50CM 94084 - MEDICONE
DRENO TORACICO SILICONE 24FR 50CM 94085 - MEDICONE
DRENO TORACICO SILICONE 26FR 50CM 94086 - MEDICONE
DRENO TORACICO SILICONE 28FR 50CM 94087 - MEDICONE
DRENO TORACICO SILICONE 30FR 50CM 94088 - MEDICONE
DRENO TORACICO SILICONE 32FR 50CM 94089 - MEDICONE
DRENO TORACICO SILICONE 34FR 50CM 94090 - MEDICONE
DRENO TORACICO SILICONE 36FR 50CM 94091 - MEDICONE
DRENO TORACICO SILICONE 38FR 50CM 94092 - MEDICONE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
103
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000040476
0000040477
0000040478
0000040479
0000040480
0000040481
0000040483
0000040484
0000040485
0000040486
0000040487
0000040488
0000040489
0000040490
0000040491
0000040492
0000040493
0000040494
0000040495
0000040496
0000040497
0000040498
0000040499
0000040500
0000040501
0000040502
0000040503
0000040504
0000040505
0000040506
0000040507
0000040508
0000040509
0000040510
0000040511
0000040512
0000040513
0000040514
0000040515
0000040516
0000040517
0000040518
0000040519
0000040520
0000040521
0000040522
0000040523
DESCRICAO
DRENO TORACICO SILICONE 40FR 50CM 94093 - MEDICONE
DRENO CIRURGICO SILICONE 6MM 30CM 94017 - MEDICONE
DRENO CIRURGICO SILICONE 8MM 30CM 94018 - MEDICONE
DRENO CIRURGICO SILICONE 10MM 30CM 94019 - MEDICONE
DRENO CIRURGICO SILICONE 12MM 30CM 94020 - MEDICONE
DRENO PENROSE SILICONE FAIXA L40X30CM 94021 - MEDICONE
TUBO VENTILACAO 1011CH TEFLON C/HASTE ACO SHEPARD 94139 - MEDICONE
TUBO VENTILACAO 1011SH TEFLON S/HASTE SHEPARD 94140 - MEDICONE
TUBO VENTILACAO 1021 DONALDSON 94142 - MEDICONE
TUBO VENTILACAO 1026 PAPARELLA 94143 - MEDICONE
TUBO VENTILACAO 1063 AMSTRONG 94144 - MEDICONE
TUBO VENTILACAO 1092 "T" 94145 - MEDICONE
SONDA ALIMENTACAO ENTERAL 08FR ADU.105CM 3001 POLIURETANO 94226 - MEDICONE
SONDA ALIMENTACAO ENTERAL 10FR ADU.105CM 3002 POLIURETANO 94235 - MEDICONE
SONDA ALIMENTACAO ENTERAL 12FR ADU.120CM 3003 POLIURETANO 94236 - MEDICONE
SONDA ALIMENTACAO ENTERAL 06FR PED.60CM POLIURETANO 94209 - MEDICONE
SONDA ALIMENTACAO ENTERAL 08FR INF.60CM 3012 POLIURETANO 94210 - MEDICONE
SONDA ALIMENTACAO ENTERAL 08FR ADU.105CM 2001 SILICONE 94205 - MEDICONE
SONDA ALIMENTACAO ENTERAL 10FR ADU.105CM 2002 SILIC.94206 - MEDICONE
SONDA ALIMENTACAO ENTERAL 12FR ADU.120CM 2003 SILICONE 94207 - MEDICONE
TUBO SILICONE 120 0,59X0,99MM 1MT 94301 - MEDICONE
TUBO SILICONE 125 0,64X1,19MM 1MT 94302 - MEDICONE
TUBO SILICONE 130 0,76X1,65MM 1MT 94303 - MEDICONE
TUBO SILICONE 140 1,02X2,16MM 1MT 94304 - MEDICONE
TUBO SILICONE 158 1,50X1,97MM 1MT 94305 - MEDICONE
TUBO SILICONE 162 1,50X2,42MM 1MT 94306 - MEDICONE
TUBO SILICONE 178 1,98X3,18MM 1MT 94307 - MEDICONE
TUBO SILICONE 180 2,00X4,00MM 1MT 94308 - MEDICONE
TUBO SILICONE 200 3,00X5,00MM 1MT 94309 - MEDICONE
TUBO SILICONE 201 4,00X8,00MM 1MT 94310 - MEDICONE
TUBO SILICONE 202 5,00X10,00MM 1MT 94311 - MEDICONE
TUBO SILICONE 203 6,00X10,00MM 1MT 94312 - MEDICONE
TUBO SILICONE 204 6,00X12,00MM 1MT 94313 - MEDICONE
TUBO SILICONE 205 8,00X11,50MM 1MT 94314 - MEDICONE
TUBO SILICONE 206 8,00X12,80MM 1MT 94315 - MEDICONE
TUBO SILICONE 207 8,00X14,00MM 1MT 94316 - MEDICONE
TUBO SILICONE 208 9,50X14,60MM 1MT 94317 - MEDICONE
TUBO SILICONE 210 12,00X16,50MM 1MT 94318 - MEDICONE
TUBO SILICONE 300 1/8"X3/16" 1MT 94319 - MEDICONE
TUBO SILICONE 301 1/8"X1/4" 1MT 94320 - MEDICONE
TUBO SILICONE 302 3/16"X5/16" 1MT 94321 - MEDICONE
TUBO SILICONE 303 3/16"X3/8" 1MT 94322 - MEDICONE
TUBO SILICONE 304 1/4"X3/8" 1MT 94323 - MEDICONE
TUBO SILICONE 305 1/4"X1/2" 1MT 94324 - MEDICONE
TUBO SILICONE 306 5/16"X9/16" 1MT 94325 - MEDICONE
TUBO SILICONE 307 3/8"X1/2" 1MT 94326 - MEDICONE
TUBO SILICONE 308 3/8"X9/16" 1MT 94327 - MEDICONE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
104
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000040524
0000040525
0000040526
0000040527
0000040528
0000040529
0000040533
0000040534
0000040535
0000040536
0000040537
0000040538
0000040539
0000040544
0000040545
0000040549
0000040550
0000040551
0000040552
0000040554
0000040555
0000040556
0000040557
0000040558
0000040559
0000040560
0000040561
0000040562
0000040563
0000040564
0000040565
0000040566
0000040567
0000040568
0000040569
0000040570
0000040571
0000040572
0000040573
0000040574
0000040575
0000040576
0000040590
0000040593
0000040595
0000040608
0000040625
DESCRICAO
TUBO SILICONE 309 3/8"X5/8" 1MT 94328 - MEDICONE
TUBO SILICONE 310 1/2"X5/8" 1MT 94329 - MEDICONE
TUBO SILICONE 311 1/2"X3/4" 1MT 94330 - MEDICONE
TUBO SILICONE 312 5/8"X7/8" 1MT 94331 - MEDICONE
TUBO SILICONE 313 3/4"X1" 1MT 94332 - MEDICONE
TUBO SILICONE 314 1"X1 1/2" 1MT 94333 - MEDICONE
PROTESE TENDINOSA CIL.1MM REF.4001 94104 - MEDICONE
PROTESE TENDINOSA CIL.2MM REF.4002 94105 - MEDICONE
PROTESE TENDINOSA CIL.3MM REF.4003 94106 - MEDICONE
PROTESE TENDINOSA CIL.4MM REF.4004 94107 - MEDICONE
PROTESE TENDINOSA CIL.5MM REF.4005 94108 - MEDICONE
PROTESE TENDINOSA CIL.6MM REF.4006 94109 - MEDICONE
PROTESE TENDINOSA CIL.7MM REF.4007 94110 - MEDICONE
PROTESE TENDINOSA OVAL 6X3,0MM REF.4306 94115 - MEDICONE
PROTESE TENDINOSA OVAL 7X3,5MM REF.4357 94116 - MEDICONE
PROTESE BANDA 7.040 2,0X0,75MM 94100 - MEDICONE
PROTESE BANDA 7.041 3,5X0,75MM 94101 - MEDICONE
PROTESE BANDA 7.042 4,0X1,25MM 94102 - MEDICONE
PROTESE BANDA 7.240 2,5X0,60MM 94103 - MEDICONE
PROTESE ESPONJA 7.503 3,0MM 94123 - MEDICONE
PROTESE ESPONJA 7.504 4,0MM 94124 - MEDICONE
PROTESE ESPONJA 7.505 5,0MM 94125 - MEDICONE
PROTESE ESPONJA 7.506 OVAL 3,0X5,0MM 94126 - MEDICONE
PROTESE ESPONJA 7.508 OVAL 5,5X7,5MM 94127 - MEDICONE
PROTESE PNEU 7.276 94131 - MEDICONE
PROTESE PNEU 7.277 94132 - MEDICONE
PROTESE PNEU 7.279 94133 - MEDICONE
PROTESE PNEU 7.280 94134 - MEDICONE
PROTESE PNEU 7.287 94135 - MEDICONE
PROTESE TRILHO 7.032 94136 - MEDICONE
PROTESE TRILHO 7.219 94137 - MEDICONE
PROTESE TRILHO 7.220 94138 - MEDICONE
PROTESE TUBO LACRIMAL 7.070E 0,7X0,3MM 125MM 94147 - MEDICONE
PROTESE TUBO LACRIMAL 7.270E 0,9X0,6MM 125MM 94148 - MEDICONE
PROTESE SLEEVE 7.070 LUVA 2,1X1,0MM 125MM 94146 - MEDICONE
PROTESE SLEEVE 7.270 LUVA 1,65X0,75MM 125MM 94149 - MEDICONE
TIOCONAZOL GEN.CRM.DERM.30GRS - MEDLEY
PARACETAMOL GEN.750MG 20CPDS - MEDLEY
PARACETAMOL GEN.750MG 50X4CPDS - MEDLEY
PARACETAMOL GEN.750MG 4CPDS F.V(100CPDS) - MEDLEY
CARBAMAZEPINA GEN.200MG 2X10CPDS - EUROFARMA
CEFALEXINA GEN.250MG/5ML 100ML - EUROFARMA
DICLOFENACO DIETILAMONIO GEN.10MG/G 60GRS - EUROFARMA
RIALCOOL 70% 5000ML 0087 - RIOQUIMICA
RIOMAX S/GERM.GLICER.100ML ALMOT.0897 - RIOQUIMICA
SUPORTE INOX P/FRASCO PUMP 500ML S/COTOVELO 0663 - RIOQUIMICA
AGULHA SUTURA ESTERIL 2UNID B01 A B16 - STERIFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
105
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000040626
0000040629
0000040636
0000040638
0000040643
0000040644
0000040645
0000040646
0000040647
0000040648
0000040650
0000040654
0000040655
0000040656
0000040657
0000040658
0000040659
0000040660
0000040661
0000040662
0000040663
0000040664
0000040665
0000040666
0000040667
0000040668
0000040669
0000040670
0000040671
0000040672
0000040674
0000040676
0000040677
0000040680
0000040683
0000040684
0000040685
0000040694
0000040702
0000040704
0000040705
0000040707
0000040708
0000040709
0000040710
0000040712
0000040713
DESCRICAO
ALFINETE SEGURANCA ESTERIL - STERIFARMA
ALGODAO BOLINHA ESTERIL P/NEUROCIRURGIA 5UNID - STERIFARMA
ALGODAO LAMINADO BRANCO TIRAS ESTERIL - STERIFARMA
ALGODAO LAMINADO COLORIDO ESTERIL 4UNID - STERIFARMA
ALGODAO ORTOPEDICO ESTERIL NR.10 1,8MT - STERIFARMA
ALGODAO ORTOPEDICO ESTERIL NR.12 1,8MT - STERIFARMA
ALGODAO ORTOPEDICO ESTERIL NR.15 1,8MT - STERIFARMA
ALGODAO ORTOPEDICO ESTERIL NR.20 1,8MT - STERIFARMA
ALGODAO ORTOPEDICO ESTERIL NR.06 1,8MT - STERIFARMA
ALGODAO ORTOPEDICO ESTERIL NR.08 1,8MT - STERIFARMA
ALGODAO P/OUVIDO ESTERIL 2UNID - STERIFARMA
ALGODAO SINTETICO ESTERIL NR.2 5CM - STERIFARMA
ALGODAO SINTETICO ESTERIL NR.3 7,5CM - STERIFARMA
ALGODAO SINTETICO ESTERIL NR.4 10CM - STERIFARMA
ATADURA CREPE 10CMX1,8MT (EM REPOUSO) ESTERIL - STERIFARMA
ATADURA CREPE 12CMX1,8MT (EM REPOUSO) ESTERIL - STERIFARMA
ATADURA CREPE 15CMX1,8MT (EM REPOUSO) ESTERIL - STERIFARMA
ATADURA CREPE 20CMX1,8MT (EM REPOUSO) ESTERIL - STERIFARMA
ATADURA CREPE 30CMX1,8MT (EM REPOUSO) ESTERIL - STERIFARMA
ATADURA CREPE 06CMX1,8MT (EM REPOUSO) ESTERIL - STERIFARMA
ATADURA CREPE 08CMX1,8MT (EM REPOUSO) ESTERIL - STERIFARMA
ATADURA MORIM NR.10 10CMX5,0MT ESTERIL - STERIFARMA
ATADURA ELASTICA NR.10 ESTERIL BRANCA - STERIFARMA
ATADURA ELASTICA NR.12 ESTERIL BRANCA - STERIFARMA
ATADURA ELASTICA NR.15 ESTERIL BRANCA - STERIFARMA
ATADURA ELASTICA NR.20 ESTERIL BRANCA - STERIFARMA
ATADURA ELASTICA NR.30 ESTERIL BRANCA - STERIFARMA
ATADURA ELASTICA NR.06 ESTERIL BRANCA - STERIFARMA
ATADURA ELASTICA NR.08 ESTERIL BRANCA - STERIFARMA
ATADURA RAYON 7X5,0MT ESTERIL - STERIFARMA
BOLA ESPONJA P/AMIDALA ESTERIL 4UNID - STERIFARMA
BOLINHA ALGODAO NEURO ESTERIL - STERIFARMA
BOLINHA LAMINE ESTERIL - STERIFARMA
CADARCO ESTERIL 2MT - STERIFARMA
CAMPO PLASTICO P/TOMOGRAFIA ESTERIL - STERIFARMA
CAPA P/MICROSCOPIO 80X120 ESTERIL - STERIFARMA
CAPA P/MICROCAMERA LAPAROSC.ESTERIL - STERIFARMA
COMPRESSA VAZADA P/ICATH/PORTCATH/PINOS ESTERIL - STERIFARMA
GAZE P/INTRACATH ESTERIL (COMPRESSA) - STERIFARMA
DISSECTOR AMIDALA ANCORADA NR.4 ESTERIL 10UNID - STERIFARMA
DISSECTOR ESTERIL NR.0 E NR.1 - 10UNID ESTERIL - STERIFARMA
DRENO PENROSE ESTERIL NR.01 C/CADARCO ESTERIL - STERIFARMA
DRENO PENROSE ESTERIL NR.02 C/CADARCO ESTERIL - STERIFARMA
DRENO PENROSE ESTERIL NR.03 C/CADARCO ESTERIL - STERIFARMA
DRENO PENROSE ESTERIL NR.04 C/CADARCO ESTERIL - STERIFARMA
ELASTICO LATEX ESTERIL C/ 02,05,06,10,12UN ESTERIL - STERIFARMA
ESPATULA MADEIRA ESTERIL - STERIFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
106
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000040716
0000040717
0000040718
0000040719
0000040720
0000040721
0000040722
0000040723
0000040724
0000040725
0000040726
0000040727
0000040730
0000040734
0000040735
0000040736
0000040737
0000040743
0000040744
0000040745
0000040746
0000040748
0000040751
0000040755
0000040757
0000040758
0000040759
0000040760
0000040761
0000040762
0000040763
0000040764
0000040768
0000040772
0000040775
0000040776
0000040777
0000040780
0000040781
0000040784
0000040786
0000040788
0000040789
0000040795
0000040797
0000040803
0000040804
DESCRICAO
FAIXA SMARCH ESTERIL NR.06 2MT - STERIFARMA
FAIXA SMARCH ESTERIL NR.08 2MT - STERIFARMA
FAIXA SMARCH ESTERIL NR.10 2MT - STERIFARMA
FAIXA SMARCH ESTERIL NR.12 2MT - STERIFARMA
FAIXA SMARCH ESTERIL NR.15 2MT - STERIFARMA
FAIXA SMARCH ESTERIL NR.20 2MT - STERIFARMA
FITA MICROPOROSA GRD.ESTERIL 3UNID - STERIFARMA
FITA MICROPOROSA MED.ESTERIL 3UNID - STERIFARMA
FITA MICROPOROSA PEQ.ESTERIL 3UNID - STERIFARMA
GARROTE LATEX ESTERIL - STERIFARMA
GAZE AMIDALA+COMPRESSA GAZE 4+4UNID ESTERIL - STERIFARMA
GAZE AMIDALA 3,4,5 E 6 UNID ESTERIL - STERIFARMA
GAZE ANCORADA ESTERIL 2,3,4,5 E 6 UNID - STERIFARMA
GAZE C/CORDONE 2UNID ESTERIL - STERIFARMA
GAZE COMPRIMIDA C/NITROFURAZONA T.VAGINAL ESTERIL - STERIFARMA
GAZE COMPRIMIDA SECA (T.VAGINAL) ESTERIL - STERIFARMA
GAZE PIPOCA RAYTEC ESTERIL 5UNID - STERIFARMA
GAZE LONGA P/OUVIDO ESTERIL - STERIFARMA
GAZE BASTAO P/LAPAROSCOPIA C/RX 2,3,4,5 E 6 UNID ESTERIL - STERIFARMA
GAZE P/LAMINECTOMIA ESTERIL - STERIFARMA
GAZE P/NARIZ ESTERIL - STERIFARMA
GAZE TORUNDA P/LAPAROSCOPIA S/RX 5UNID ESTERIL - STERIFARMA
HASTE ALGODAO ESTERIL 3, 5, 8 E 10UNID - STERIFARMA
LIGA BORRACHA ESTERIL 02,05,06,10 E 12UNID - STERIFARMA
MALHA TUBULAR ESTERIL NR.10 1,5MT - STERIFARMA
MALHA TUBULAR ESTERIL NR.12 1,5MT - STERIFARMA
MALHA TUBULAR ESTERIL NR.15 1,5MT - STERIFARMA
MALHA TUBULAR ESTERIL NR.20 1,5MT - STERIFARMA
MALHA TUBULAR ESTERIL NR.30 1,5MT - STERIFARMA
MALHA TUBULAR ESTERIL NR.04 1,5MT - STERIFARMA
MALHA TUBULAR ESTERIL NR.06 1,5MT - STERIFARMA
MALHA TUBULAR ESTERIL NR.08 1,5MT - STERIFARMA
GAZE MORIM C/NITROFURAZONA LAMINAS ESTERIL 2UNID - STERIFARMA
PACKING P/G ESTERIL (T. VAGINAL) - STERIFARMA
MARCADOR DESC.CAMPO CIR.(PALITO P/DEMARCACAO CIRURGIA ESTERIL) - STERIFARMA
PERA BORRACHA ESTER.NR.06 ESTERIL - STERIFARMA
PIPOCA CARDIACA INF.ESPECIAL ESTERIL C/ 03, 05, 06, 10UN - STERIFARMA
PROTETOR P/CABOS ESTERIL - STERIFARMA
PROTETOR P/PAINEL 35X70X0,06 (C/DUPLA FACE) ESTERIL - STERIFARMA
RAYON C/NITROFURAZONA ESTERIL 5MT - STERIFARMA
RAYON FURACINADO LAMINA ESTERIL 2UNID - STERIFARMA
RAYON VASELINADO ROLO ESTERIL - STERIFARMA
RAYON (GAZE) VASELINADA LAMINAS ESTERIL 2UNID - STERIFARMA
SACO PLASTICO 25X30 ESTERIL - STERIFARMA
SACO PLASTICO 50X70 ESTERIL - STERIFARMA
TAMPA SONDA BORRACHA ESTERIL NR.01 - STERIFARMA
TAMPAO PIPOCA ADU.ESTERIL 10UNID - STERIFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
107
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000040806
0000040809
0000040810
0000040811
0000040812
0000040814
0000040817
0000040821
0000040826
0000040836
0000040838
0000040839
0000040847
0000040852
0000040857
0000040858
0000040859
0000040863
0000040936
0000040937
0000040954
0000040955
0000040983
0000041297
0000041301
0000041302
0000041303
0000041304
0000041305
0000041309
0000041310
0000041311
0000041312
0000041313
0000041314
0000041316
0000041318
0000041320
0000041322
0000041325
0000041326
0000041327
0000041328
0000041334
0000041340
0000041348
0000041351
DESCRICAO
TAMPAO PIPOCA INF.ESTERIL 10UNID - STERIFARMA
TAMPAO POSTERIOR C/LATEX ESTERIL - STERIFARMA
TAMPAO POSTERIOR ESTERIL - STERIFARMA
TAMPAO VAGINAL C/NITROFURAZONA ESTERIL - STERIFARMA
TAMPAO VAGINAL (GAZE COMPRIMIDA) ESTERIL - STERIFARMA
TORUNDA C/FIO RADIOPACO P/LAPAROSC.ESTERIL 5UNID - STERIFARMA
TUBO ENSAIO 18X180 C/TAMPA ESTERIL - STERIFARMA
PILEM 0,75MG 2CPDS - UNIAO QUIMICA
DECAN HALOPER 50MG/ML SOL.INJ.3AMP 1ML - UNIAO QUIMICA
TOLREST 75MG 2X15CPDS REV. - BIOSINTETICA
MUCOLITIC 250MG LAR.15ENV 4GRS - NYCOMED
INCONTINOL 5MG 30CPDS - MILLETROUX
REBIF 44MCG/12MUI 12SER.PREENCH.0,5ML - MERCK S.A.
GIBILON 80MG 20CPDS - - DELTA
CABO REDONDO BISTURI LONGO NR.03 R-002-23-3 - RICHTER
CABO REDONDO BISTURI LONGO NR.04 R-002-23-4 - RICHTER
MICROCANULA 1,2MMX70MM 1B - RICHTER
CONTRACEP 1FA 1ML - SIGMA PHARMA
TIMASEN SR 50MG 10CAPS LIB.PROLONG. - ACHE
TIMASEN SR 100MG 10CAPS LIB.PROLONG. - ACHE
AAS INF.120CPDS - SANOFI-AVENTIS
TRAVATAN 0,04MG/ML SOL.OFT.2,5ML - ALCON
PROTOVIT PLUS 20ML - BAYER
CAPA P/VIDEO CIRURGIA ENVELOP.MOD.AMERICANA AMERICAN INSTRUMENTS S0097 - AMERICAN INSTRUMENTS
PERNEIRA BOTA AUTOMATICA C/ADAP.UNIVERSAL AMERICAN INSTRUMENTS AI2013 - AMERICAN INSTRUMENTS
AURIS-SEDINA 10ML - OSORIO DE MORAES
PILULAS LUSSEN 36DRGS - OSORIO DE MORAES
PILULAS IMESCARD 36DRGS - OSORIO DE MORAES
POMADA IMESCARD 25GRS - OSORIO DE MORAES
LOMDOR 10ML - OSORIO DE MORAES
AMOXICILINA+CLAVULANATO POTASSIO GEN.250MG 75ML - RANBAXY
ACICLOVIR GEN.200MG 2X5CPDS - RANBAXY
ACICLOVIR GEN.200MG 5X5CPDS - RANBAXY
ACICLOVIR GEN.400MG 2X5CPDS - RANBAXY
ACICLOVIR GEN.400MG 5X5CPDS - RANBAXY
LISINOPRIL GEN.5MG 3X10CPDS - RANBAXY
LISINOPRIL GEN.10MG 3X10CPDS - RANBAXY
LISINOPRIL GEN.20MG 3X10CPDS - RANBAXY
DICLOFENACO POTASSICO GEN.50MG 2X10DRGS - RANBAXY
AXETIL CEFUROXIMA GEN.250MG 10CPDS - RANBAXY
AXETIL CEFUROXIMA GEN.500MG 10CPDS - RANBAXY
NORFLOXACINO GEN.400MG 6CPDS - RANBAXY
NORFLOXACINO GEN.400MG 14CPDS - RANBAXY
ANTIMAIS SEPTICO SPR.50ML - KLEY HERTZ
BACTODERM POM.15GRS - KLEY HERTZ
ENTEROFIGON 150ML - KLEY HERTZ
ENTEROFIGON 60FLAC - KLEY HERTZ
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
108
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000041353
0000041377
0000041378
0000041381
0000041382
0000041383
0000041384
0000041386
0000041388
0000041390
0000041396
0000041397
0000041400
0000041486
0000041494
0000041495
0000041496
0000041503
0000041504
0000041505
0000041506
0000041507
0000041509
0000041511
0000041513
0000041514
0000041515
0000041516
0000041517
0000041518
0000041519
0000041520
0000041522
0000041524
0000041525
0000041526
0000041531
0000041532
0000041534
0000041540
0000041541
0000041542
0000041544
0000041545
0000041546
0000041550
0000041551
DESCRICAO
FERVEX 50SACH - KLEY HERTZ
PROCTOSAN POM.20GRS+1APLIC. - KLEY HERTZ
RAPILAX GTS.20ML - KLEY HERTZ
RITMONEURAN 20CAPS - KLEY HERTZ
RITMONEURAN SOL.100ML - KLEY HERTZ
SANASAR EMULS.100ML - - KLEY HERTZ
SANASAR SAB.80GRS - KLEY HERTZ
SANILIN MENTA 12PAST - KLEY HERTZ
STILGRIP 12CAPS - - KLEY HERTZ
STILGRIP GRAN.50SACH - KLEY HERTZ
TRIFEN 750MG 30X4CPDS - KLEY HERTZ
TRIFEN 100MG GTS.20ML - - KLEY HERTZ
GOTAS PRECIOSAS GTS.30ML - KLEY HERTZ
LUMIGAN 0,3MG/ML SOL.OFT.3ML - ALLERGAN
MANTA P/AQUEC.EM POLIPROP.ADU/PED AUGUSTINE - CEI
EQUIPO P/AQUECEDOR SANGUE/FLUIDO TP.CASSETE FLUXO NORM.RANGER 24200 - CEI
EQUIPO P/AQUECEDOR SANGUE/FLUIDO TP.SERPENTINA AUGUSTINE 241 - CEI
SONDA GASTROSTOMIA NIVEL PELE MICKEY SILIC.BALLARD - CEI
ADALEX RET.20MG 30CPDS - HERALD'S
SONDA GASTROSTOMIA ENDOSC.PEG PULL/PUSH SILIC.BALLARD - CEI
SONDA GASTROSTOMIA G-TUBE BOLUS SILIC.BALLARD - CEI
TUBO TRANSGASTRICO JEJUNAL CIRUR.SILIC.BALLARD - CEI
TUBO TRANSGASTRICO JEJUNAL ENDOSC.SILIC.BALLARD - CEI
SONDA P/COLETA LAVADO BRONCO-ALVEOLAR BAL-CATH BALLARD - CEI
SISTEMA FECH.ASP.TRAQUEAL TRACH CARE ADU.BALLARD - CEI
SISTEMA FECH.ASP.TRAQUEAL TRACH CARE PED/NEO BALLARD - CEI
FILTRO P/MICROAGREGADOS P/HEM.40 MICRA PALL B.LEITO SQ40S - CEI
FILTRO P/REMOCAO LEUCOCITOS P/1UNID HEMACIA PALL B.LEITO RCEZKS - CEI
NAPRIX D 5+12,5MG 30CPDS - LIBBS
NAPRIX 10MG 30CPDS - LIBBS
FILTRO P/REMOCAO LEUCOCITOS P/1UNID HEMACIA PALL BANCADA BPF4 - CEI
FILTRO P/REMOCAO LEUCOCITOS NEON.PALL BANCADA PURECELL.NEO1 - CEI
FILTRO P/REMOCAO LEUCOCITOS 8UN.PLAQ.RAND.1UN AFER.PALL B.LEITO PXLAK - CEI
FILTRO P/REMOCAO LEUCOCITOS 10UN.PLAQ.RAND.1UN AFER.PALL BANCADA LRP10 - CEI
FILTRO P/REMOCAO LEUCOCITOS 1UNID PLAQUETAS PL1B-PURECELL PL - CEI
FILTRO AUTO-UMID.BARREIRA BACTERIA VIRUS PALL P/CTI E CC BB25A/BB100 - CEI
LORANIL XPE.VD.100ML - LIBBS
FILTRO P/NUTRICAO PARENTERAL TOTAL 24HRS PALL TNA1 - CEI
LORANIL D 10/240MG 6CPDS 24HRS - LIBBS
AMLOVASC 5MG 30CPDS - HEXAL
AMLOVASC 10MG 30CPDS - HEXAL
CITRATO TAMOXIFENO GEN.20MG 30CPDS - SANDOZ
CUBITAN BAUNILHA 200ML - SUPPORT NUTRITION
CUBITAN MOR.200ML - SUPPORT NUTRITION
CUBITAN CHOCOLATE 200ML - SUPPORT NUTRITION
SUSTAIN 30 CHOC.450GRS - SUPPORT NUTRITION
SUSTAIN 30 MOR.450GRS - SUPPORT NUTRITION
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
109
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000041552
0000041555
0000041556
0000041557
0000041558
0000041559
0000041560
0000041685
0000041686
0000041687
0000041688
0000041689
0000041690
0000041840
0000041904
0000041905
0000041906
0000041907
0000041908
0000041967
0000041979
0000042000
0000042003
0000042010
0000042017
0000042021
0000042025
0000042034
0000042151
0000042152
0000042156
0000042157
0000042172
0000042282
0000042368
0000042369
0000042370
0000042416
0000042417
0000042433
0000042434
0000042435
0000042436
0000042437
0000042438
0000042440
0000042441
DESCRICAO
SUSTAIN 30 BAUN.450GRS - SUPPORT NUTRITION
APTAMIL PRE 400GRS - SUPPORT NUTRITION
APTAMIL 1 400GRS - SUPPORT NUTRITION
APTAMIL 2 400GRS - SUPPORT NUTRITION
APTAMIL SOJA 1 400GRS - SUPPORT NUTRITION
APTAMIL AR 400GRS - SUPPORT NUTRITION
ALENDIL 70MG 4CPDS - FARMOQUIMICA
CURETA REDONDA NR.01 ESPECIAL 14CM R-802-14-1 - RICHTER
CANCIDAS 50MG 1FA - MERCK S.D.
CANCIDAS 70MG 1FA - MERCK S.D.
NIMESULIDA GEN.100MG 12CPDS - MEDLEY
CLORIDRATO TERBINAFINA GEN.1% CRM.20GRS - MEDLEY
UNOPROST 2MG 30CPDS - APSEN
FUROSEMIDA GEN.40MG 2X15CPDS - BIOSINTETICA
LOCAO OLEOSA ACIDOS GRAXOS ESSENCIAIS DERSANI ORIGINAL 500ML - SANIPLAN
NEXIUM 20MG 7CPDS REV. - ASTRAZENECA
NEXIUM 20MG 14CPDS REV. - ASTRAZENECA
NEXIUM 40MG 7CPDS REV. - ASTRAZENECA
NEXIUM 40MG 14CPDS REV. - ASTRAZENECA
SONORIPAN 50MG 30CPDS - MARJAN
SISTEMA ELETRO P/RESSINCR.VENT.KIT MS - BIOTRONIK
CATETER DIAGNOSTICO QUADRIPOLAR (5F/6F) MULTICATH (VARIAS CURVAS) - BIOTRONIK
CONECTOR P/CATETER DIAGNOSTICO MPK - BIOTRONIK
CATETER TERAPEUTICO CURVA UNIDIRECIONAL PTA.4MM PTA.OURO ALCATH TC GOLD - BIOTRONIK
CATETER TERAPEUTICO CURVA UNIDIRECIONAL PTA.8MM PTA.OURO ALCATH LT TC GOLD - BIOTRONIK
ADAPTADOR P/CATETER OUTRO FABRICANTE GERADOR RADIOFREQUENCIA BIOTRONIK PK XX - BIOTRONIK
ADAPTADOR P/CATETER BIOTRONIK GERADOR RADIOFREQUENCIA PK XX - BIOTRONIK
GUIA INTRACORONARIA 0.014" GALEO 364397 - BIOTRONIK
O-PLAT 50MG PO LIOF.1FA - ZODIAC
O-PLAT 100MG PO LIOF.1FA - ZODIAC
INTRODUTOR P/CATETER TERMODIL.INTRADYN PED.F5 611441 - B.BRAUN
INTRODUTOR P/CATETER TERMODIL.INTRADYN PED.F6 611442 - B.BRAUN
FENTANIL 50MCG 5AMP 10ML - JANSSEN-CILAG
AZUL TRYPAN 1FA 1ML 10UNID 4548 - OPHTHALMOS
UROSEPTAL 400MG 6CPDS REV. - BAGO
GLIFAGE 1G 30CPDS REV. - MERCK S.A.
VOTAG 30CAPS - ATIVUS
SOLAQUIN 40MG CRM.30GRS. - VALEANT
CLOBESOL 0,5MG CRM.30GRS - VALEANT
MANIVASC 10MG 28CPDS - CHIESI
MANIVASC 20MG 28CPDS - CHIESI
UNASYN 375MG 10CPDS - PFIZER
GEODON 40MG 14CAPS - PFIZER
GEODON 40MG 30CAPS - PFIZER
GEODON 80MG 30CAPS - PFIZER
PROPAN 20CPDS - UCI-FARMA
PROPAN SUSP.ORAL 100ML - UCI-FARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
110
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000042442
0000042443
0000042444
0000042445
0000042447
0000042449
0000042451
0000042452
0000042467
0000042485
0000042486
0000042489
0000042490
0000042491
0000042492
0000042493
0000042494
0000042496
0000042497
0000042498
0000042499
0000042500
0000042504
0000042505
0000042506
0000042507
0000042508
0000042509
0000042510
0000042511
0000042514
0000042515
0000042516
0000042518
0000042519
0000042520
0000042522
0000042523
0000042524
0000042526
0000042527
0000042528
0000042529
0000042530
0000042531
0000042532
0000042533
DESCRICAO
CLORIDRATO TERBINAFINA GEN.125MG 14CPDS - MEDLEY
CLORIDRATO TERBINAFINA GEN.250MG 7CPDS - MEDLEY
CLORIDRATO TERBINAFINA GEN.250MG 14CPDS - MEDLEY
CLORIDRATO TERBINAFINA GEN.250MG 28CPDS - MEDLEY
BENZOILMETRONIDAZOL GEN.4% SUSP.120ML - EMS GENERICOS
CLORIDRATO CLOMIPRAMINA GEN.25MG 20CPDS REV. - EMS GENERICOS
CLORIDRATO FLUOXETINA GEN.20MG 30CAPS - SANDOZ
FRESH TEARS 5MG/ML SOL.OFT.15ML - ALLERGAN
ESTERILIZANTE QUIM.A FRIO 5LTS STERILIFE - LIFEMED
EQUIPO P/BOMBA INFUSAO EQL FREE LF2001-10001749 - LIFEMED
EQUIPO P/BOMBA INFUSAO EQL FREE FOTO LF2001-10001757 - LIFEMED
SCAFLAM 3% GEL 30GRS - MANTECORP
PAPULESS 25GRS - THERASKIN
SISTEMA COMPRESSAO SCD SEQUEL KENDALL-COMPRESSOR 110/220VOLT - COVIDIEN
PERNEIRA SCD P/COMPRESSAO MEMBRO INFERIOR COMP.ATE COXA KENDALL PEQ.N/ESTERIL PAR 73011 - COVIDIEN
PERNEIRA SCD P/COMPRESSAO MEMBRO INFERIOR COMP.ATE COXA KENDALL MED.N/ESTERIL PAR 73012 - COVIDIEN
PERNEIRA SCD P/COMPRESSAO MEMBRO INFERIOR COMP.ATE COXA KENDALL GRD.N/ESTERIL PAR 73013 - COVIDIEN
MEIA ANTIEMBOLICA PEQ.COMP.REGULAR ATE COXA T.E.D. 5064 - COVIDIEN
MEIA ANTIEMBOLICA MED.COMP.REGULAR ATE COXA T.E.D. 5641 - COVIDIEN
MEIA ANTIEMBOLICA GRD.COMP.REGULAR ATE COXA T.E.D. 5768 - COVIDIEN
MEIA ANTIEMBOLICA GRD.COMP.LONGO ATE COXA T.E.D. 3856 - COVIDIEN
MEIA ANTIEMBOLICA XG COMP.REGULAR ATE COXA C/CINTO T.E.D. 3922 - COVIDIEN
CATETER UMBILICAL ARGYLE-PVC 3,5FR CONECTOR TP.FUNIL 8888160218 - COVIDIEN
CATETER UMBILICAL ARGYLE-PVC 5,0FR CONECTOR TP.FUNIL 8888160226 - COVIDIEN
CATETER UMBILICAL ARGYLE-PVC 3,5FR LUER LOCK 8888160358 - COVIDIEN
CATETER UMBILICAL ARGYLE-PVC 5,0FR LUER LOCK 8888160366 - COVIDIEN
CATETER UMBILICAL POLIURETANO 1 LUMEN ARGYLE CONECTOR LUER LOCK 2,5FR - COVIDIEN
CATETER UMBILICAL POLIURETANO 1 LUMEN ARGYLE CONECTOR LUER LOCK 3,5FR - COVIDIEN
CATETER UMBILICAL POLIURETANO 1 LUMEN ARGYLE CONECTOR LUER LOCK 5,0FR - COVIDIEN
BOLSA COLETORA URINA ESTERIL CURITY KENDALL C/VALVULA ANTI REFLUXO SPLASH-GUARD 2000ML - COVIDIEN
SONDA P/ALIMENTACAO ENTERAL N/ESTERIL DOBBHOFF 8FRX109CM C/FIO-GUIA INJETOR LATERAL - COVIDIEN
SONDA P/ALIMENTACAO ENTERAL N/ESTERIL DOBBHOFF 10FRX109CM C/FIO-GUIA INJETOR LATERAL - COVIDIEN
SONDA P/ALIMENTACAO ENTERAL N/ESTERIL DOBBHOFF 12FRX109CM C/FIO-GUIA INJETOR LATERAL - COVIDIEN
SONDA P/ALIMENTACAO ENTERAL N/ESTERIL ENTRIFLEX 8FRX109CM C/FIO-GUIA INJETOR LATERAL - COVIDIEN
SONDA P/ALIMENTACAO ENTERAL N/ESTERIL ENTRIFLEX 10FRX109CM C/FIO-GUIA INJETOR LATERAL - COVIDIEN
SONDA P/ALIMENTACAO ENTERAL N/ESTERIL ENTRIFLEX 12FRX109CM C/FIO-GUIA INJETOR LATERAL - COVIDIEN
SONDA P/ALIMENTACAO ENTERAL PED.EST.PEDI-TUBE 6FRX51CM S/PESO C/FIO GUIA - COVIDIEN
SONDA P/ALIMENTACAO ENTERAL PED.EST.PEDI-TUBE 6FRX51CM C/PESO C/FIO GUIA - COVIDIEN
SONDA P/ALIMENTACAO ENTERAL DESCOMP.GAST.N/EST.DOBBHOFF 16FRX170CM C/FIO GUIA/INJ.LAT.8884752513 - COVIDIEN
SONDA P/GASTROSTOMIA P/ALIMENTACAO ENTERAL ESTERIL TP.SONDA TROCA CURTA PERMANENCIA KANGAROO 12FR - COVIDIEN
SONDA P/GASTROSTOMIA P/ALIMENTACAO ENTERAL ESTERIL TP.SONDA TROCA CURTA PERMANENCIA KANGAROO 14FR - COVIDIEN
SONDA P/GASTROSTOMIA P/ALIMENTACAO ENTERAL ESTERIL TP.SONDA TROCA CURTA PERMANENCIA KANGAROO 16FR - COVIDIEN
SONDA P/GASTROSTOMIA P/ALIMENTACAO ENTERAL ESTERIL TP.SONDA TROCA CURTA PERMANENCIA KANGAROO 18FR - COVIDIEN
SONDA P/GASTROSTOMIA P/ALIMENTACAO ENTERAL ESTERIL TP.SONDA TROCA CURTA PERMANENCIA KANGAROO 20FR - COVIDIEN
SONDA P/GASTROSTOMIA P/ALIMENTACAO ENTERAL ESTERIL TP.SONDA TROCA CURTA PERMANENCIA KANGAROO 22FR - COVIDIEN
SONDA P/GASTROSTOMIA P/ALIMENTACAO ENTERAL ESTERIL TP.SONDA TROCA CURTA PERMANENCIA KANGAROO 24FR - COVIDIEN
SONDA P/GASTROSTOMIA NIVEL PELE ESTERIL TP.BOTAO LONGA PERMANENCIA ENTRISTAR SKIN LEVEL 16FRX1,7CM - COVIDIEN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
111
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000042534
0000042535
0000042536
0000042537
0000042538
0000042539
0000042540
0000042541
0000042577
0000042578
0000042590
0000042593
0000042594
0000042596
0000042640
0000042641
0000042647
0000042652
0000042668
0000042671
0000042678
0000042680
0000042688
0000042689
0000042692
0000042697
0000042698
0000042699
0000042700
0000042701
0000042702
0000042703
0000042704
0000042705
0000042706
0000042707
0000042708
0000042709
0000042710
0000042711
0000042712
0000042714
0000042727
0000042744
0000042745
0000042760
0000042761
DESCRICAO
SONDA P/GASTROSTOMIA NIVEL PELE ESTERIL TP.BOTAO LONGA PERMANENCIA ENTRISTAR SKIN LEVEL 16FRX2,0CM - COVIDIEN
SONDA P/GASTROSTOMIA NIVEL PELE ESTERIL TP.BOTAO LONGA PERMANENCIA ENTRISTAR SKIN LEVEL 20FRX1,5CM - COVIDIEN
SONDA P/GASTROSTOMIA NIVEL PELE ESTERIL TP.BOTAO LONGA PERMANENCIA ENTRISTAR SKIN LEVEL 20FRX2,0CM - COVIDIEN
SONDA P/GASTROSTOMIA NIVEL PELE ESTERIL TP.BOTAO LONGA PERMANENCIA ENTRISTAR SKIN LEVEL 20FRX2,5CM - COVIDIEN
SONDA P/GASTROSTOMIA PERCUTANEA VIA ENDOSCOPICA ESTERIL ENTRISTAR 16FR TP.PEG PULL - COVIDIEN
SONDA P/GASTROSTOMIA PERCUTANEA VIA ENDOSCOPICA ESTERIL ENTRISTAR 20FR TP.PEG PULL - COVIDIEN
ADAPTADOR P/USO C/SONDA TP.PEG N/ESTERIL ENTRISTAR KANGAROO 16FR C/INJETOR LATERAL - COVIDIEN
ADAPTADOR P/USO C/SONDA TP.PEG N/ESTERIL ENTRISTAR KANGAROO 20FR C/INJETOR LATERAL - COVIDIEN
ATROPION 0,25MG 100AMP 1ML - ARISTON
ATROPION 0,50MG 100AMP 1ML - ARISTON
VIKATRON 10MG/ML 100AMP 1ML - - BLAU
HALDOL 5MG 5AMP 1ML - JANSSEN-CILAG
HALDOL DECANOATO 5AMP 1ML - JANSSEN-CILAG
SUFENTA 50MCG/ML SOL.INJ.5AMP 1ML - JANSSEN-CILAG
GUIA P/SISTEMA VASCULAR AMPLATZ - BOSTON PERIFERICO
GUIA P/SISTEMA VASCULAR MAGIC TORQUE - BOSTON PERIFERICO
CATETER DRENAGEM FLEXIMA BILIAR REG RO 8FR/35CM 27-260 - BOSTON PERIFERICO
ENXERTO HEMASHIELD GOLD PLAT VASC TECIDO DUPLO VELUDO 20MM RETO 175420P - MAQUET
PINCA P/MULTIPLA BIOPSIA 160CM MULTIBITE 1010 - BOSTON ENDOSCOPY
AGULHA P/ESCLEROSE 23G OPTIFLO 1173 - BOSTON ENDOSCOPY
PAPILOTOMO C/BALAO EXTRATOR PTA.CURTA STONETOME 20MM 3511 - BOSTON ENDOSCOPY
FIO GUIA HIDROFILICO BILIAR RETA JAGWIRE 0.025" 450CM 5656-01 - BOSTON ENDOSCOPY
PAPILOTOMO TRIPLO LUMEN PTA.CURTA ULTRATOME XL 20MM 3590 - BOSTON ENDOSCOPY
CANULA TRIPLO LUMEN TANDEM XL 3570 - BOSTON ENDOSCOPY
BALAO DILATADOR ESOFAGICO C/GUIA FIXA CRE 8-9-10MM 180CM 5834 - BOSTON ENDOSCOPY
MICROMOLA ESPIRAL GDC-10 STANDART 4MMX6CM DESTACAVEL M00334040640 - STRYKER
MICROMOLA ESPIRAL GDC-10 STANDART 6MMX20CM DESTACAVEL M00334062040 - STRYKER
MICROMOLA ESPIRAL GDC-10 STANDART 10MMX30CM DESTACAVEL M00334010340 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT SR 2MMX1CM DESTACAVEL M003341201SR40 - STRYKER
MICROMOLA ESPIRAL GDC-10 2D 4MMX10CM DESTACAVEL M00334241040 - STRYKER
MICROMOLA ESPIRAL GDC-10 2D 6MMX20CM DESTACAVEL M00334262040 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT SR 2MMX4CM DESTACAVEL M003341204SR40 - STRYKER
MICROMOLA ESPIRAL GDC-10 3D 3MMX4CM DESTACAVEL M00334530440 - STRYKER
MICROMOLA ESPIRAL GDC-10 3D 8MMX20CM DESTACAVEL M00334582040 - STRYKER
MICROMOLA ESPIRAL GDC-18 STANDART 5MMX15CM DESTACAVEL M00335051540 - STRYKER
MICROMOLA ESPIRAL GDC-18 STANDART 10MMX30CM DESTACAVEL M00335010340 - STRYKER
MICROMOLA ESPIRAL GDC-18 STANDART 16MMX30CM DESTACAVEL M00335016340 - STRYKER
MICROMOLA ESPIRAL GDC-18 SOFT 3MMX8CM DESTACAVEL M00335130840 - STRYKER
MICROMOLA ESPIRAL GDC-18 2D 5MMX20CM DESTACAVEL M00335252040 - STRYKER
MICROMOLA ESPIRAL GDC-18 2D 14MMX30CM DESTACAVEL M00335214340 - STRYKER
MICROMOLA ESPIRAL GDC-18 3D 10MMX30CM DESTACAVEL M00335510340 - STRYKER
CABO CONEXAO GDC P/MOLA DESTACAVEL M00345110240 - STRYKER
FIO GUIA TRANSEND 0,010" M003468020 - STRYKER
CATETER GUIA P/ANGIOPLASTIA 8F FR3,5 WISEGUIDE 16320-01 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR FR4 125CM IMPULSE 162391-226 - BOSTON CARDIOLOGIA
AVANCADOR P/SISTEMA ROTALINK ROTABLATOR 22782-001 - BOSTON CARDIOLOGIA
CATETER P/ATERECTOMIA ROTABLATOR 1,25MM ROTALINK 22768-002 - BOSTON CARDIOLOGIA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
112
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000042762
0000042763
0000042772
0000042775
0000042801
0000042802
0000042814
0000042815
0000042816
0000042817
0000042818
0000042819
0000042820
0000042821
0000042822
0000042823
0000042824
0000042831
0000042834
0000042836
0000042841
0000042842
0000042846
0000042847
0000042848
0000042849
0000042865
0000042868
0000042870
0000042871
0000042872
0000042873
0000042874
0000042877
0000042879
0000042882
0000042883
0000042884
0000042889
0000042890
0000042891
0000042892
0000042893
0000042900
0000042901
0000042903
0000042907
DESCRICAO
ROTABLATOR CONSOLE 22020-0391 - BOSTON CARDIOLOGIA
FIO GUIA P/ATERECTOMIA ROTAWIRE ROTABLATOR FLOPPY 22824-002 - BOSTON CARDIOLOGIA
LEPONEX 100MG 450CPDS - NOVARTIS
FLOTAC 70MG 14CAPS - NOVARTIS
EQUIPO P/BOMBA INFUSAO EQL ENTERAL LF 2001-10001777 - LIFEMED
EQUIPO P/BOMBA INFUSAO EQL PARENTERAL 100000389 - LIFEMED
CLORIDRATO BETAXOLOL GEN.0,5% SOL.OFTAL.5ML - CRISTALIA
CLORIDRATO LIDOCAINA GEN.2% GEL.30GRS - CRISTALIA
DEXAMETASONA GEN.0,1MG/ML ELIX.120ML - CRISTALIA
DICLOFENACO DIETILAMONIO GEN.60GRS - CRISTALIA
MALEATO DEXCLORFENIRAMINA GEN.120ML - CRISTALIA
MALEATO TIMOLOL GEN.0,5% SOL.5ML - CRISTALIA
MEBENDAZOL GEN.100MG 6CPDS - CRISTALIA
MEBENDAZOL GEN.20MG/ML 30ML - - CRISTALIA
MUPIROCINA GEN.2% 15GRS - CRISTALIA
NISTATINA GEN.100000UI/ML 50ML - CRISTALIA
NISTATINA GEN.25000UI/ML 60GRS - CRISTALIA
DEXAMESON CRM.50X10GRS - CRISTALIA
FLUCAZOL 100MG 8CAPS - CRISTALIA
KAVIT 10MG/ML 50AMP 1ML - CRISTALIA
PREDSON 20MG 20X10CPDS - CRISTALIA
PREDSON 5MG 20X10CPDS - CRISTALIA
ZILABEN EMULS.25% 100ML - CRISTALIA
ENDOFIX 10UNID - - CRISTALIA
STERISHAVE PLUS (TRICOTOMIA) - - CRISTALIA
GINO-PLETIL 45GRS+7APL - PFIZER
DIMORF 10MG/ML 5AMP 1ML - CRISTALIA
DOPACRIS 5MG/ML 50AMP 10ML - CRISTALIA
TRACUR 10MG/ML 5AMP 5ML - CRISTALIA
TRACUR 10MG/ML 5AMP 2,5ML - CRISTALIA
NOVABUPI 0,5% C/VASO 10X20ML - CRISTALIA
NOVABUPI 0,5% S/VASO 10X20ML - CRISTALIA
NOVABUPI 0,5% ISOB.30X4ML - CRISTALIA
CORDILAT 80MG 20X10CPDS - CRISTALIA
CARRINHO WARMTOUCH MALLINCKRODT - COVIDIEN
UMIDIFICADOR TRAQUEOSTOMIA TRACHEOLIFE MALLINCKRODT - COVIDIEN
CATETER MOUNT C/COTOVELO GIRATORIO MALLINCKRODT - COVIDIEN
CATETER MOUNT EXT.C/COTOVELO GIRATORIO MALLINCKRODT - COVIDIEN
CIRCUITO EXTENSIVEL S/CONDESADOR P/VENTILACAO MECANICA 70/225CM MALLINCKRODT - COVIDIEN
CIRCUITO ADU S/CONDESADOR PVC 180CM MALLINCKRODT - COVIDIEN
CIRCUITO ADU.PVC C/CONDENSADOR 22F 160CM MALLINCKRODT - COVIDIEN
CIRCUITO PED.S/CONDENSADOR 120CM MALLINCKRODT - COVIDIEN
CIRCUITO PED.C/CONDENSADOR 15F 160CM MALLINCKRODT - COVIDIEN
BOCAL WARMTOUCH MALLINCKRODT 5021600 - COVIDIEN
MANGUEIRA P/WARMTOUCH/MALLINCKRODT - COVIDIEN
FILTRO WARMTOUCH 5200 MALLINCKRODT-COD.5022200 - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY PED.C/BALAO 4,0MM MOD.PDC - COVIDIEN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
113
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000042908
0000042909
0000042921
0000042929
0000042930
0000042931
0000042934
0000042935
0000042936
0000042937
0000042938
0000042940
0000042942
0000042943
0000043026
0000043059
0000043063
0000043068
0000043069
0000043070
0000043071
0000043072
0000043073
0000043075
0000043100
0000043101
0000043102
0000043115
0000043127
0000043128
0000043135
0000043136
0000043137
0000043138
0000043214
0000043215
0000043217
0000043222
0000043236
0000043238
0000043239
0000043240
0000043241
0000043242
0000043243
0000043248
0000043249
DESCRICAO
KIT CANULA P/TRAQUEOSTOMIA SHILEY PED.C/BALAO 4,5MM MOD.PDC - COVIDIEN
KIT CANULA P/TRAQUEOSTOMIA SHILEY PED.C/BALAO 5,0 MM MOD.PDC - COVIDIEN
VALVULA FALA P/TRAQUEOSTOMIA C/ENT.OXIGENIO SSVO MALLINCKRODT - COVIDIEN
BOLSA TRANS.P/OXIMETRO NELLCOR MODELO N65-1 SOFT CARRYNG CASE - COVIDIEN
CAPA PROT.BORRACHA P/OXIMETRO NELLCOR MODELO N65-1 PROTETIVE BOOT - COVIDIEN
SPEC MICROSTREAN AIRWAY ADAPTER MALLINCKRODT - COVIDIEN
HALO 1MG 20X10CPDS - CRISTALIA
HALO 2MG/ML 10X20ML - CRISTALIA
HALO 5MG 20X10CPDS - CRISTALIA
HALO 5MG/ML 50AMP 1ML - CRISTALIA
HALO DECANOATO 3AMP 1ML - CRISTALIA
FASTFEN 5MCG/ML 25EST.2ML - CRISTALIA
ASSY MINI PATIENT MODULE-MINI CABO N-10 MALLINCKRODT - COVIDIEN
CABO INTERFACE P/MONITOR HP C/TECN.NELLCOR COD.M1900B - COVIDIEN
MACRONEBULIZADOR JGM FR.500ML 600.025 - - JG MORIYA
TUBO P/MANGUITO PRESSAO MALLINCKRODT - COVIDIEN
OXIMETRO PULSO PORTATIL MOD.N65-1 NELLCOR OXIMAX - COVIDIEN
BANDAGEM ADESIVA TECIDO ADU.100UNID MALLINCKRODT - COVIDIEN
CLIP ORELHA P/USO C/SENSOR NELLCOR Y-COD.D-YSE - COVIDIEN
EXTENSION CABLE 4' MALLINCKRODT - COVIDIEN
EXTENSION CABLE 8' MALLINCKRODT - COVIDIEN
BANDAGEM ADESIVA ESPUMA ADU.100UNID MALLINCKRODT - COVIDIEN
BANDAGEM ADESIVA ESPUMA PED.100UNID MALLINCKRODT - COVIDIEN
VELCRO FIXADOR P/USO C/SENSOR Y NELLCOR COD.POSEY - COVIDIEN
REGULADOR PRESSAO AJUSTAVEL AR OXIGENIO 700.800 - - JG MORIYA
REGULADOR PRESSAO C/FLUXOMETRO 0 A 15LT/MIN P/OXIGENIO 700.700 - - JG MORIYA
REGULADOR PRESSAO POSTO OXIGENIO 100.147 - - JG MORIYA
GESTINOL 28CPDS - LIBBS
UMIDIFICADOR ECONOMICO FRASCO POLIPROPILENO P/OXIGENIO 105.505 - - JG MORIYA
UMIDIFICADOR FRASCO POLIPROPILENO P/OXIGENIO 500.740 - - JG MORIYA
INICOX DP 15MG 5CPDS - FARMOQUIMICA
PREDSIM 5MG 10CPDS - MANTECORP
PREDSIM 5MG 2X10CPDS - MANTECORP
PREDSIM 20MG 10CPDS - MANTECORP
OXIMETRO PULSO PORTATIL MOD.1000 REF.100.000P - - JG MORIYA
OXIMETRO PULSO PORTATIL MOD.1001 REF.901.056P - - JG MORIYA
OXIMETRO PULSO PORTATIL MOD.1003 REF.901.057P - - JG MORIYA
DESINFLEX 50MG 20CPDS - DIFFUCAP
TIPOIA BRIM ESTOFADA GG 326-06 - SALVAPE
CINTA COLETE LITE ELASTICO C/BARBATANA DURALUMINIO PEQ.121-03LT - SALVAPE
CINTA COLETE LITE ELASTICO C/BARBATANA FLEXIVEL PEQ.125-03LT - SALVAPE
COLETE ELASTICO TP."PUTTI" BAIXO LITE CINTURADO GG 141-36LT - SALVAPE
CINTA ELASTICA LOMBAR LITE PEQ.161-03LT - SALVAPE
IMOBILIZADOR MEMBRO SUP.TIP.VELPEAU ESTOFADA AZUL DIR.INF.301-41 - SALVAPE
IMOBILIZADOR MEMBRO SUP.TIP.VELPEAU ESTOFADA AZUL ESQ.INF.301-31 - SALVAPE
COLETE ELASTICO TP."PUTTI" LITE CINTURADO PEQ.144-33LT - SALVAPE
CATETER DUPLO J COOK SOFLEX 5FR 22/32 AUTOM.-KIT 039500 - HANDLE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
114
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000043255
0000043256
0000043257
0000043258
0000043259
0000043260
0000043261
0000043263
0000043264
0000043266
0000043267
0000043268
0000043269
0000043270
0000043271
0000043272
0000043283
0000043284
0000043285
0000043286
0000043287
0000043288
0000043289
0000043290
0000043291
0000043292
0000043293
0000043294
0000043295
0000043296
0000043297
0000043298
0000043299
0000043300
0000043301
0000043302
0000043303
0000043304
0000043305
0000043306
0000043307
0000043308
0000043309
0000043310
0000043313
0000043315
0000043317
DESCRICAO
CLENIL PULV.100MCG 100DOSES - CHIESI
CLENIL PULV.200MCG 100DOSES - CHIESI
CLENIL PULV.400MCG 100DOSES - CHIESI
CONCOR 1,25MG 14CPDS REV. - MERCK S.A.
CONCOR 2,5MG 14CPDS REV. - MERCK S.A.
CONCOR 5MG 14CPDS REV - MERCK S.A.
CONCOR 10MG 14CPDS REV. - MERCK S.A.
CLORIDRATO METFORMINA GEN.850MG 30CPDS - MERCK S.A.
FINASTERIDA GEN.5MG 30CPDS REV. - MERCK S.A.
BESILATO ANLODIPINO GEN.5MG 60CPDS - MERCK S.A.
CATETER UMBILICAL ARGYLE-PVC 8,0FR CONECTOR TP.FUNIL 8888160234 - COVIDIEN
CATETER UMBILICAL ARGYLE-PVC 8,0FR LUER LOCK 8888160374 - COVIDIEN
CATETER UMBILICAL POLIURETANO DUPLO LUMEN ARGYLE CONECTOR LUER LOCK 3,5FR - COVIDIEN
CATETER UMBILICAL POLIURETANO DUPLO LUMEN ARGYLE CONECTOR LUER LOCK 5FR - COVIDIEN
CATETER UMBILICAL POLIURETANO TRIPLO LUMEN ARGYLE CONECTOR LUER LOCK 5FR - COVIDIEN
CATETER UMBILICAL POLIURETANO TRIPLO LUMEN ARGYLE CONECTOR LUER LOCK 8FR - COVIDIEN
SONDA P/ALIMENTACAO ENTERAL PED.EST.PEDI-TUBE 6FRX51CM S/PESO S/FIO - COVIDIEN
SONDA P/ALIMENTACAO ENTERAL PED.EST.PEDI-TUBE 6FRX91CM C/PESO C/FIO GUIA - COVIDIEN
SONDA P/ALIMENTACAO ENTERAL PED.EST.PEDI-TUBE 6FRX91CM C/PESO S/FIO GUIA - COVIDIEN
SONDA P/ALIMENTACAO ENTERAL PED.EST.PEDI-TUBE 6FRX91CM S/PESO S/FIO - COVIDIEN
SONDA P/ALIMENTACAO ENTERAL PED.EST.PEDI-TUBE 6FRX51CM S/PESO S/FIO GUIA C/INJETOR LATERAL - COVIDIEN
SONDA P/ALIMENTACAO ENTERAL PED.EST.PEDI-TUBE 6FRX51CM C/PESO S/FIO GUIA C/INJETOR LATERAL - COVIDIEN
SONDA P/ALIMENTACAO ENTERAL PED.EST.PEDI-TUBE 6FRX91CM C/PESO S/FIO GUIA C/INJETOR LATERAL - COVIDIEN
FIO GUIA P/SONDA ALIMENTACAO PEDIATRICA PEDI-TUBE - COVIDIEN
FIO GUIA P/SONDA ALIMENTACAO PEDI-TUBE COD.8884730733/8884730758 8884700728 - COVIDIEN
FIO GUIA P/SONDA ALIMENTACAO PEDI-TUBE COD.8884730774/8884730782 8884700744 - COVIDIEN
SONDA P/ALIMENTACAO ENTERAL NASOJEJUNAL N/ESTERIL 12FRX152CM ENDO-TUBE - COVIDIEN
SONDA P/GASTROSTOMIA NIVEL PELE ESTERIL TP.BOTAO LONGA PERMANENCIA ENTRISTAR SKIN LEVEL 16FRX1,5CM - COVIDIEN
SONDA P/GASTROSTOMIA NIVEL PELE ESTERIL TP.BOTAO LONGA PERMANENCIA ENTRISTAR SKIN LEVEL 16FRX2,4CM - COVIDIEN
SONDA P/GASTROSTOMIA NIVEL PELE ESTERIL TP.BOTAO LONGA PERMANENCIA ENTRISTAR SKIN LEVEL 16FRX2,7CM - COVIDIEN
SONDA P/GASTROSTOMIA NIVEL PELE ESTERIL TP.BOTAO LONGA PERMANENCIA ENTRISTAR SKIN LEVEL 16FRX3,0CM - COVIDIEN
SONDA P/GASTROSTOMIA NIVEL PELE ESTERIL TP.BOTAO LONGA PERMANENCIA ENTRISTAR SKIN LEVEL 16FRX3,5CM - COVIDIEN
SONDA P/GASTROSTOMIA NIVEL PELE ESTERIL TP.BOTAO LONGA PERMANENCIA ENTRISTAR SKIN LEVEL 20FRX3,0CM - COVIDIEN
SONDA P/GASTROSTOMIA NIVEL PELE ESTERIL TP.BOTAO LONGA PERMANENCIA ENTRISTAR SKIN LEVEL 20FRX3,5CM - COVIDIEN
SONDA P/GASTROSTOMIA NIVEL PELE ESTERIL TP.BOTAO LONGA PERMANENCIA ENTRISTAR SKIN LEVEL 20FRX4,0CM - COVIDIEN
SONDA P/GASTROSTOMIA NIVEL PELE ESTERIL TP.BOTAO LONGA PERMANENCIA ENTRISTAR SKIN LEVEL 20FRX4,5CM - COVIDIEN
SONDA P/GASTROSTOMIA NIVEL PELE ESTERIL TP.BOTAO LONGA PERMANENCIA ENTRISTAR SKIN LEVEL 20FRX5,0CM - COVIDIEN
DISPOSITIVO P/MEDICAO ESTOMA ESTERIL USO C/SONDA ENTRISTAR SKIN LEVEL TP.BOTAO - COVIDIEN
EQUIPO P/ALIMENTACAO ENTERAL P/SERINGA N/ESTERIL USO C/SONDA ENTRISTAR SKIN LEVEL TP.BOTAO - COVIDIEN
EQUIPO P/ALIMENTACAO ENTERAL CONTINUA N/ESTERIL USO C/SONDA ENTRISTAR SKIN LEVEL TP.BOTAO - COVIDIEN
OBTURADOR P/REM.SONDA ENTRISTAR SKIN LEVEL 16FR N/ESTERIL USO C/SONDA ENTRISTAR SKIN LEVEL TP.BOTAO - COVIDIEN
OBTURADOR P/REM.SONDA ENTRISTAR SKIN LEVEL 20FR N/ESTERIL USO C/SONDA ENTRISTAR SKIN LEVEL TP.BOTAO - COVIDIEN
ACESSORIO P/SONDA TP.BOTAO - COVIDIEN
SONDA P/ALIMENTACAO JEJUNAL DESCOMPRESSAO GASTRICA SIMULTANEA USO C/SONDA TP.PEG 20FR - COVIDIEN
SONDA P/ALIMENTACAO JEJUNAL DESCOMP.GAST.SIM.USO C/SONDA TP.PEG C/SISTEMA JEJUNO TRANSGASTRICO 22FR - COVIDIEN
COMPRESSA 7,5CMX7,5CM 11FIOS ESTERIL 10UNID C24011 - NEVE
ALGODAO HIDROFILO 250GRS C31025 - NEVE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
115
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000043318
0000043319
0000043320
0000043321
0000043322
0000043323
0000043324
0000043326
0000043328
0000043338
0000043339
0000043340
0000043352
0000043353
0000043357
0000043358
0000043359
0000043360
0000043361
0000043362
0000043363
0000043364
0000043365
0000043366
0000043373
0000043375
0000043380
0000043381
0000043382
0000043383
0000043385
0000043386
0000043392
0000043401
0000043402
0000043403
0000043404
0000043411
0000043494
0000043496
0000043497
0000043498
0000043499
0000043500
0000043517
0000043524
0000043537
DESCRICAO
FITA MICROPOROSA HIPOALERGICA 1,2CMX10MT C33012 - - NEVE
FITA MICROPOROSA HIPOALERGICA 2,5CMX10MT C33025 - NEVE
FITA MICROPOROSA HIPOALERGICA 5,0CMX10MT C33050 - NEVE
FITA MICROPOROSA HIPOALERGICA 1,2CMX4,5MT C33112 - - NEVE
FITA MICROPOROSA HIPOALERGICA 2,5CMX4,5MT C33125 - - NEVE
FITA MICROPOROSA HIPOALERGICA 5,0CMX4,5MT C33150 - NEVE
SOLUCAO GLICERINA 12% 250ML - - EQUIPLEX
SOLUCAO FISIOLOGICA CLORETO SODIO 10% 1AMP 10ML - EQUIPLEX
TOBRAMICINA GEN.0,3% 5ML - - ALCON
AGUA P/INJECAO 100AMP PLAST.20ML - HYPOFARMA
GLICOSE HIPERTONICA 50% 200AMP PLAST.10ML - HYPOFARMA
GLICOSE HIPERTONICA 50% 100AMP PLAST.20ML - HYPOFARMA
PINCA BACKHAUS 13CM R-910-13 - RICHTER
GANCHO JOSEPH C/2 DENTE MICRO R-562-16M - RICHTER
LUVA MEDICA SANRO CIRURGICA ESTERILIZADA S/PO NR.6,5 (PAR) - SANRO
LUVA MEDICA SANRO CIRURGICA ESTERILIZADA S/PO NR.7,0 (PAR) - SANRO
LUVA MEDICA SANRO CIRURGICA ESTERILIZADA S/PO NR.7,5 (PAR) - SANRO
LUVA MEDICA SANRO CIRURGICA ESTERILIZADA S/PO NR.8,0 (PAR) - SANRO
LUVA MEDICA SANRO CIRURGICA ESTERILIZADA S/PO NR.8,5 (PAR) - SANRO
HENETIX 300 1FR 500ML - GUERBET
DOTAREM 1FA 20ML - GUERBET
DOTAREM 0,5MMOL/ML SER.PREENCH.15ML - GUERBET
DOTAREM 0,5MMOL/ML SER.PREENCH.20ML - GUERBET
LUMIREM 3FR 300ML - GUERBET
EXTENSOR P/RADIOLOGIA 150CM BAIXA PRESSAO PROSPI - GUERBET
EXTENSOR P/RADIOLOGIA 130CM ALTA PRESSAO PRO 130/HP/S - GUERBET
SERINGA P/USO BOMBA INJETORA CONTRASTE 100ML COMP.C/MOD.ANGIOMAT 3000/LF - - GUERBET
SERINGA P/USO BOMBA INJETORA CONTRASTE 130ML COMP.C/MOD.INJEK.82/CT/HP/MRT/MARK IV/MEDRAD - GUERBET
SERINGA P/USO BOMBA INJETORA CONTRASTE 150ML COMP.C/MOD.ANGIOMAT 6000/LF - GUERBET
SERINGA P/USO BOMBA INJETORA CONTRASTE 200ML COMP.C/MOD.INJEK.82/CT/HP/MRT/MARK V/V PLUS/MEDRAD - GUERBET
MIFLONIDE 200MCG 60CAPS INAL. - NOVARTIS
MIFLONIDE 400MCG 60CAPS INAL. - NOVARTIS
CAMPO CIRURGICO SUPERIOR 1,50X2,60MT 10001174 - LIFEMED
BUSONID 200MCG 60CAPS GEL+INAL. - BIOSINTETICA
BUSONID 200MCG 60CAPS GEL REF. - BIOSINTETICA
BUSONID 400MCG 60CAPS GEL+INAL. - BIOSINTETICA
BUSONID 400MCG 60CAPS GEL REF. - BIOSINTETICA
HYPNOMIDATE 2MG 5AMP 10ML - JANSSEN-CILAG
BOLSA P/ESTOMIA KARAYA FECH.TRANSP.PRE-CORTE 22MM C/ADES.3328 - HOLLISTER
BOLSA P/ESTOMIA KARAYA FECH.TRANSP.PRE-CORTE 29MM C/ADES.3323 - HOLLISTER
BOLSA P/ESTOMIA KARAYA FECH.TRANSP.PRE-CORTE 35MM C/ADES.3329 - HOLLISTER
BOLSA P/ESTOMIA KARAYA FECH.TRANSP.PRE-CORTE 38MM C/ADES.3324 - HOLLISTER
BOLSA P/ESTOMIA KARAYA FECH.TRANSP.PRE-CORTE 51MM C/ADES.3325 - HOLLISTER
BOLSA P/ESTOMIA KARAYA FECH.TRANSP.PRE-CORTE 64MM C/ADES.3326 - HOLLISTER
BOLSA P/ESTOMIA FIRSTCHOICE DREN.TRANSP.RECORT.13-64MM C/ADES.1PC 3631 - HOLLISTER
VACINA COMB.DPTA HB IPV/HIB 1FA+1SER.DIL.0,5ML - GLAXOSMITH
BOLSA P/ESTOMIA KARAYA DREN.TRANSP.PRE-CORTE 22MMX40CM C/ADES.3278 - HOLLISTER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
116
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000043538
0000043539
0000043540
0000043541
0000043542
0000043545
0000043554
0000043562
0000043572
0000043584
0000043593
0000043595
0000043597
0000043618
0000043623
0000043632
0000043645
0000043646
0000043647
0000043648
0000043649
0000043652
0000043653
0000043655
0000043656
0000043657
0000043658
0000043659
0000043660
0000043661
0000043662
0000043663
0000043672
0000043674
0000043675
0000043676
0000043677
0000043678
0000043679
0000043680
0000043681
0000043682
0000043683
0000043684
0000043686
0000043687
0000043688
DESCRICAO
BOLSA P/ESTOMIA KARAYA DREN.TRANSP.PRE-CORTE 29MMX40CM C/ADES.3273 - HOLLISTER
BOLSA P/ESTOMIA KARAYA DREN.TRANSP.PRE-CORTE 35MMX40CM C/ADES.3279 - HOLLISTER
BOLSA P/ESTOMIA KARAYA DREN.TRANSP.PRE-CORTE 38MMX40CM C/ADES. 3274 - HOLLISTER
BOLSA P/ESTOMIA KARAYA DREN.TRANSP.PRE-CORTE 51MMX40CM C/ADES.3275 - HOLLISTER
BOLSA P/ESTOMIA KARAYA DREN.TRANSP.PRE-CORTE 64MMX40CM C/ADES.3276 - HOLLISTER
BOLSA P/ESTOMIA DREN.TRANSP.FLANGE 38MM 2PCS TANDEM 3807 - HOLLISTER
BOLSA P/ESTOMIA DREN.OPACA FLANGE 38MM 2PCS TANDEM 3817 - HOLLISTER
BOLSA P/UROSTOMIA DREN.TRANSP.FLANGE 38MM TANDEM 3907 - HOLLISTER
BARREIRA PROTETORA PELE P/ESTOMIA PLANA RECORT.FLANGE 38MM C/ADESIVO TANDEM 3727 - HOLLISTER
BARREIRA PROTETORA PELE P/ESTOMIA PLANA RECORT.FLANGE 38MM S/ADESIVO TANDEM 3767 - HOLLISTER
BARREIRA PROTETORA PELE P/ESTOMIA CONVEXA PRE-CORTE 13MM C/ADESIVO TANDEM 3730 - HOLLISTER
BARREIRA PROTETORA PELE P/ESTOMIA CONVEXA PRE-CORTE 16MM C/ADESIVO TANDEM 3731 - HOLLISTER
BARREIRA PROTETORA PELE P/ESTOMIA CONVEXA PRE-CORTE 19MM C/ADESIVO TANDEM 3732 - HOLLISTER
KIT P/IRRIGACAO ESTOMIA C/IRRIGADOR/CONECTOR/ESCOVA 7718 - HOLLISTER
MANGA P/IRRIGACAO P/ESTOMIA 51MM 7728 - HOLLISTER
PO PROTETOR PELE PREMIUM P/ESTOMIA 28G ADAPT 7906 - HOLLISTER
CURATIVO HIDROCOLOIDE RESTORE PLUS 10X10CM 9953 - HOLLISTER
CURATIVO HIDROCOLOIDE RESTORE PLUS 15X20CM 9954 - HOLLISTER
CURATIVO HIDROCOLOIDE RESTORE PLUS 20X20CM 9955 - HOLLISTER
CURATIVO HIDROCOLOIDE RESTORE PLUS C/BORDA 10X10CM 9956 - HOLLISTER
CURATIVO HIDROCOLOIDE RESTORE PLUS C/BORDA 15X20CM 9957 - HOLLISTER
AGULHA BIOPSIA MEDULA OSSEA T-LOK 08GX10CM DBMNJ0804TL - ECOMED
CURATIVO HIDROCOLOIDE RESTORE PLUS C/BORDA 20X20CM 9958 - HOLLISTER
CURATIVO HIDROCOLOIDE RESTORE PLUS C/BORDA 15X15CM 9963 - HOLLISTER
CURATIVO HIDROCOLOIDE C/BORDA RESTORE PLUS TRIANG.171CM 9965 - - HOLLISTER
CURATIVO HIDROCOLOIDE RESTORE EXTRA-FINO 10X10CM 9921 - HOLLISTER
CURATIVO HIDROCOLOIDE RESTORE EXTRA-FINO 15X20CM 9923 - HOLLISTER
CURATIVO HIDROCOLOIDE RESTORE EXTRA-FINO 20X20CM 9925 - HOLLISTER
CURATIVO ALGINATO CALCIO RESTORE CALCICARE 10X10CM 9937 - HOLLISTER
CURATIVO ALGINATO CALCIO RESTORE CALCICARE 5X5CM 9938 - HOLLISTER
CURATIVO ALGINATO CALCIO RESTORE CALCICARE 10X20CM 9939 - HOLLISTER
CURATIVO ALGINATO CALCIO RESTORE CALCICARE TIRA 30CM 9940 - HOLLISTER
AGULHA BIOPSIA MEDULA OSSEA T-LOK 8GX15CM DBMNJ0806TL - ECOMED
AGULHA BIOPSIA MEDULA OSSEA T-LOK 11GX10CM DBMNJ1104TL - ECOMED
AGULHA BIOPSIA MEDULA OSSEA T-LOK 11GX15CM DBMNJ1106TL - ECOMED
AGULHA BIOPSIA MEDULA OSSEA 13GX6,3CM DBMNJ13025 - ECOMED
AGULHA BIOPSIA MEDULA OSSEA 13GX10CM DBMNJ1304 - ECOMED
AGULHA ASPIR.P/MED.OSSEA TP.ILLINOIS 15GX2,5CM DBMNI1501 - ECOMED
AGULHA ASPIR.P/MED.OSSEA TP.ILLINOIS 15GX10CM DBMNI1504 - ECOMED
AGULHA ASPIR.P/MED.OSSEA TP.ILLINOIS 16GX2,5CM DBMNI1601 - ECOMED
AGULHA P/COLHEITA MED.OSSEA P/FINS TRANS.11GX10CM BMHN1104X - ECOMED
AGULHA P/COLHEITA MED.OSSEA P/FINS TRANS.13GX10CM BMHN1304X - ECOMED
AGULHA P/COLHEITA MED.OSSEA P/FINS TRANS.11GX10CM BMHN1104VX - ECOMED
AGULHA P/COLHEITA MED.OSSEA P/FINS TRANS.13GX10CM BMHN1304VX - ECOMED
AGULHA BIOPSIA OSSEA 16GX7,5CM OSTY-CORE OBN16075 - ECOMED
AGULHA BIOPSIA OSSEA 16GX12,5CM OSTY-CORE OBN16125 - ECOMED
AGULHA BIOPSIA OSSEA 16GX16,5CM OSTY-CORE OBN16165 - ECOMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
117
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000043689
0000043692
0000043693
0000043694
0000043695
0000043696
0000043697
0000043698
0000043699
0000043700
0000043701
0000043702
0000043703
0000043705
0000043707
0000043709
0000043710
0000043711
0000043715
0000043716
0000043717
0000043718
0000043719
0000043721
0000043724
0000043725
0000043728
0000043729
0000043730
0000043731
0000043733
0000043737
0000043739
0000043748
0000043754
0000043758
0000043760
0000043763
0000043765
0000043766
0000043772
0000043774
0000043778
0000043781
0000043803
0000043804
0000043805
DESCRICAO
MAGNOPYROL XPE.100ML - FARMASA
ELETRODO SUBDURAL TIRA 4 CONTATO AD-TECH TS04R-SP10X - PHYSIOMED
ELETRODO SUBDURAL TIRA 6 CONTATO AD-TECH TS06R-SP10X - PHYSIOMED
ELETRODO SUBDURAL TIRA 8 CONTATO AD-TECH TS08R-SP10X - PHYSIOMED
ELETRODO SUBDURAL PLACA 16 CONTATO(2X8) AD-TECH FG16A-SP10X - PHYSIOMED
ELETRODO SUBDURAL PLACA 20 CONTATO(4X5) AD-TECH FG20C-SP10X - PHYSIOMED
ELETRODO SUBDURAL PLACA 32 CONTATO(4X8) AD-TECH FG32C-SP10X-000 - PHYSIOMED
ELETRODO SUBDURAL PLACA 64 CONTATO(8X8) AD-TECH FG64C-SP10X-000 - PHYSIOMED
ELETRODO PROFUNDIDADE 4 CONTATO AD-TECH SD04R-SP10X - PHYSIOMED
ELETRODO PROFUNDIDADE 6 CONTATO AD-TECH SD06R-SP10X - PHYSIOMED
ELETRODO PROFUNDIDADE 8 CONTATO AD-TECH SD08R-SP27X - PHYSIOMED
ELETRODO PROFUNDIDADE 10 CONTATO AD-TECH SD10R-SP10X - PHYSIOMED
ELETRODO PROFUNDIDADE 12 CONTATO AD-TECH SD12R-SP10X - PHYSIOMED
ELETRODO (CABO CONECTOR) 4 CONTATO AD-TECH LDC-4DIN - PHYSIOMED
ELETRODO (CABO CONECTOR) 6 CONTATO AD-TECH LDC-6DIN - PHYSIOMED
ELETRODO (CABO CONECTOR) 8 CONTATO AD-TECH LDC-8DIN - PHYSIOMED
ELETRODO (CABO CONECTOR) 16 CONTATO AD-TECH LDC-16BDIN - PHYSIOMED
ELETRODO (CABO CONECTOR) 20 CONTATO AD-TECH LDC-20DIN - PHYSIOMED
ELETRODO (CABO CONECTOR) 64 CONTATO AD-TECH LDC-64BDIN - PHYSIOMED
ELETRODO (BLOCO CONECTOR) 4 CONTATO AD-TECH DC-4X - PHYSIOMED
ELETRODO (BLOCO CONECTOR) 8 CONTATO AD-TECH DC-8X - PHYSIOMED
ELETRODO (BLOCO CONECTOR) 10 CONTATO AD-TECH DC-10X - PHYSIOMED
ELETRODO (BLOCO CONECTOR) 16 CONTATO AD-TECH DC-16X - PHYSIOMED
ELETRODO FO (CABO CONECTOR) AD-TECH FO-LDC-4DIN - PHYSIOMED
NEMODINE 5MG 20CPDS - DIFFUCAP
NEMODINE 10MG 20CPDS - DIFFUCAP
CLORIDRATO METFORMINA GEN.500MG 3X10CPDS - BIOSINTETICA
CLORIDRATO METFORMINA GEN.850MG 3X10CPDS - BIOSINTETICA
CLORIDRATO AMIODARONA GEN.200MG 2X15CPDS - BIOSINTETICA
CROMOCATO 400MG/ML SOL.NAS. 13ML - NEOQUIMICA
ACICLOVIR GEN.50MG/G CRM.DERM.10GRS - NEOQUIMICA
IPRANEO 0,25MG/ML SOL.20ML - NEOQUIMICA
LOMBALGINA 300MG 20CPDS - NEOQUIMICA
NEO ISOCADEN 10MG/G CRM.VAG.40GRS - NEOQUIMICA
NEODAZOL 450MG PO EXT.SUSP. 15ML - NEOQUIMICA
NEODAZOL 900MG PO SUSP. 30ML - NEOQUIMICA
NEODAZOL 1000MG 2CPDS - NEOQUIMICA
NEODAZOL 500MG 4CPDS - NEOQUIMICA
NEODAZOL 500MG 2X4CPDS - NEOQUIMICA
NEOLIDONA 25MG 3X14CPDS - NEOQUIMICA
NEOLIDONA 50MG 2X14CPDS - NEOQUIMICA
RIFAN 10MG/ML SPR.SOL.TOPICA 20ML - NEOQUIMICA
DAKTAZOL 2% 20MG/ML LOC.30ML - NEOQUIMICA
NEOSORO SOL.NASAL INF.30ML - NEOQUIMICA
BOLSA COLOSTOMIA C/ORIFICIO 3.0 ADES.100MM - CPL
BOLSA COLOSTOMIA C/ORIFICIO 3.0 ADES.80MM - CPL
BOLSA COLOSTOMIA C/ORIFICIO 4.0 ADES.100MM - CPL
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
118
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000043806
0000043807
0000043811
0000043814
0000043815
0000043816
0000043817
0000043819
0000043821
0000043822
0000043824
0000043825
0000043826
0000043827
0000043828
0000043829
0000043831
0000043833
0000043834
0000043835
0000043836
0000043837
0000043839
0000043842
0000043844
0000043845
0000043846
0000043847
0000043848
0000043849
0000043850
0000043851
0000043852
0000043854
0000043856
0000043857
0000043858
0000043859
0000043860
0000043861
0000043862
0000043863
0000043864
0000043865
0000043866
0000043867
0000043868
DESCRICAO
BOLSA COLOSTOMIA C/ORIFICIO 5.0 ADES.100MM - CPL
BOLSA COLOSTOMIA C/ORIFICIO 6.0 ADES.100MM - CPL
COPINHO P/MEDICAMENTO - CPL
COLETOR URINA ADU.ESCALA 2LTS FECH.CORDAO - CPL
COLETOR URINA INF.MASC.ESTERIL EMB.P.G.C. - CPL
COLETOR URINA INF.FEM.ESTERIL EMB.P.G.C. - CPL
COLETOR URINA INF.UNISSEX ESTERIL EMB.P.G.C. - CPL
EXTENSAO P/DRENAGEM 2,00MTS EMB.P.G.C. - CPL
ESTETOSCOPIO PINARD POLIEST. - CPL
SONDA ASPIRACAO TRAQUEAL NR.04 EMB.P.G.C. - CPL
SONDA ASPIRACAO TRAQUEAL NR.08 EMB.P.G.C. - CPL
SONDA ASPIRACAO TRAQUEAL NR.10 EMB.P.G.C. - CPL
SONDA ASPIRACAO TRAQUEAL NR.12 EMB.P.G.C. - CPL
SONDA ASPIRACAO TRAQUEAL NR.14 EMB.P.G.C. - CPL
SONDA ASPIRACAO TRAQUEAL NR.16 EMB.P.G.C. - CPL
SONDA ASPIRACAO TRAQUEAL NR.18 EMB.P.G.C. - CPL
SONDA URETRAL NR.04 EMB.P.G.C. - CPL
SONDA URETRAL NR.08 EMB.P.G.C. - CPL
SONDA URETRAL NR.10 EMB.P.G.C. - CPL
SONDA URETRAL NR.12 EMB.P.G.C. - CPL
SONDA URETRAL NR.14 EMB.P.G.C. - CPL
SONDA URETRAL NR.16 EMB.P.G.C. - CPL
SONDA URETRAL NR.20 EMB.P.G.C. - CPL
SONDA NASOGASTRICA CURTA NR.04 EMB.P.G.C - CPL
SONDA NASOGASTRICA CURTA NR.08 EMB.P.G.C. - CPL
SONDA NASOGASTRICA CURTA NR.10 EMB.P.G.C. - CPL
SONDA NASOGASTRICA CURTA NR.12 EMB.P.G.C. - CPL
SONDA GASTRICA LEVINE NR.06 EMB.P.G.C. - CPL
SONDA GASTRICA LEVINE NR.08 EMB.P.G.C. - CPL
SONDA GASTRICA LEVINE NR.10 EMB.P.G.C. - CPL
SONDA GASTRICA LEVINE NR.12 EMB.P.G.C. - CPL
SONDA GASTRICA LEVINE NR.14 EMB.P.G.C. - CPL
SONDA GASTRICA LEVINE NR.16 EMB.P.G.C. - CPL
SONDA GASTRICA LEVINE NR.20 EMB.P.G.C. - CPL
CONECTOR P/OXIGENIO ESTERIL 1,5MTS EMB.PLAST. - CPL
CONECTOR P/OXIGENIO ESTERIL 2,0MTS EMB.PLAST. - CPL
SONDA ASPIRACAO C/VALVULA NR.04 EMB.P.G.C. - CPL
SONDA ASPIRACAO C/VALVULA NR.06 EMB.P.G.C. - CPL
SONDA ASPIRACAO C/VALVULA NR.08 EMB.P.G.C. - CPL
SONDA ASPIRACAO C/VALVULA NR.10 EMB.P.G.C. - CPL
SONDA ASPIRACAO C/VALVULA NR.12 EMB.P.G.C. - CPL
SONDA ASPIRACAO C/VALVULA NR.14 EMB.P.G.C. - CPL
SONDA ASPIRACAO C/VALVULA NR.16 EMB.P.G.C. - CPL
SONDA RETAL NR.04 EMB.P.G.C. - CPL
SONDA RETAL NR.08 EMB.P.G.C. - CPL
SONDA RETAL NR.12 EMB.P.G.C. - CPL
NEODIGOXIN 0,25MG 24CPDS - NEOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
119
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000043869
0000043870
0000043871
0000043872
0000043873
0000043923
0000043924
0000043925
0000043947
0000043951
0000043952
0000043954
0000043957
0000043959
0000043961
0000043964
0000043969
0000043971
0000043972
0000043973
0000043974
0000043975
0000043976
0000043977
0000043978
0000043979
0000043980
0000043981
0000043982
0000044050
0000044052
0000044054
0000044088
0000044091
0000044092
0000044093
0000044094
0000044098
0000044102
0000044104
0000044105
0000044106
0000044107
0000044108
0000044109
0000044110
0000044111
DESCRICAO
SONDA RETAL NR.16 EMB.P.G.C. - CPL
SONDA RETAL NR.20 EMB.P.G.C. - CPL
SONDA RETAL NR.24 EMB.P.G.C. - CPL
SONDA RETAL NR.28 EMB.P.G.C. - CPL
SONDA RETAL NR.32 EMB.P.G.C. - CPL
SISTEMA DRENAGEM MEDIASTINO 2000ML S/DRENO - CPL
SISTEMA DRENAGEM MEDIASTINO 1000ML S/DRENO - CPL
SISTEMA DRENAGEM MEDIASTINO 500ML S/DRENO - CPL
PROPIONATO CLOBETASOL GEN.SOL.CAP.50GRS - MEDLEY
PROPIONATO CLOBETASOL GEN.CRM.30GRS - MEDLEY
PROPIONATO CLOBETASOL GEN.POM.30GRS - MEDLEY
PARACETAMOL GEN.200MG 15ML - MEDLEY
CARBOCISTEINA GEN.50MG XPE.100ML - MEDLEY
CARBOCISTEINA GEN.20MG XPE.100ML - MEDLEY
CARBOCISTEINA GEN.50MG SOL.20ML - MEDLEY
VALERATO BETAMETASONA GEN.CRM.30GRS - MEDLEY
VALERATO BETAMETASONA GEN.LOC.50GRS - MEDLEY
LANSOPRAZOL GEN.30MG 7CAPS - MEDLEY
LANSOPRAZOL GEN.30MG 14CAPS - MEDLEY
LANSOPRAZOL GEN.30MG 28CAPS - MEDLEY
LANSOPRAZOL GEN.15MG 14CAPS - MEDLEY
LANSOPRAZOL GEN.15MG 28CAPS - MEDLEY
CLORIDRATO BROMEXINA GEN.4MG/5ML XPE.120ML - MEDLEY
CLORIDRATO BROMEXINA GEN.8MG/5ML XPE.120ML - MEDLEY
CLORIDRATO RANITIDINA GEN.150MG 10CPDS - MEDLEY
CLORIDRATO RANITIDINA GEN.150MG 20CPDS - MEDLEY
CLORIDRATO RANITIDINA GEN.300MG 10CPDS - MEDLEY
CLORIDRATO RANITIDINA GEN.300MG 20CPDS - MEDLEY
FUMARATO CETOTIFENO GEN.XPE.120ML - MEDLEY
FLUVIRAL 1X4CPDS F.V - COSMED
UNASYN 250MG 60ML - PFIZER
AMOXIL BD 875MG 20CPDS - GLAXOSMITH
WINTER AP 6+120MG 8CAPS - DIFFUCAP
CLORIDRATO TICLOPIDINA GEN.250MG 30CPDS - MERCK S.A.
MESILATO DOXAZOSINA GEN.4MG 30CPDS - MERCK S.A.
MESILATO DOXAZOSINA GEN.2MG 30CPDS - MERCK S.A.
BACROCIN 20MG POM.15GRS - VALEANT
FLANAX 275MG 20CPDS - BAYER
SARIDON 100CPDS - BAYER
TROFODERMIN CRM.VAG.45GRS+8APL - PFIZER
KIT DRENAGEM C/EXTENSAO LATEX/DRENO ESTERIL 120 A 2000ML - P.SIMON
SISTEMA DRENAGEM TORAX C/EXTENSAO LATEX ESTER.120 A 2000ML - P.SIMON
SISTEMA DRENAGEM GASTRICA ESTERIL 500ML - P.SIMON
SISTEMA DRENAGEM GASTRICA ESTERIL 1000ML - P.SIMON
SISTEMA DRENAGEM GASTRICA ESTERIL 2000ML - P.SIMON
SISTEMA COLETOR SECRECAO P/ESPURGO N/ESTERIL 3500ML - P.SIMON
EXTENSAO CRISTAL ESTERIL 2,5MT UNIQUE VACCUM - P.SIMON
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
120
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000044112
0000044113
0000044114
0000044115
0000044116
0000044117
0000044118
0000044119
0000044120
0000044121
0000044122
0000044123
0000044124
0000044125
0000044126
0000044127
0000044128
0000044129
0000044130
0000044131
0000044132
0000044135
0000044136
0000044137
0000044138
0000044139
0000044140
0000044141
0000044142
0000044144
0000044145
0000044146
0000044147
0000044148
0000044149
0000044151
0000044163
0000044172
0000044173
0000044174
0000044175
0000044176
0000044187
0000044188
0000044189
0000044190
0000044191
DESCRICAO
SISTEMA COLETOR SECRECAO P/ESPURGO ESTERIL 3500ML - P.SIMON
SISTEMA COLETOR SECRECAO P/ESPURGO N/ESTERIL 2000ML - P.SIMON
EXTENSAO CRISTAL ESTERIL 4MT UNIQUE VACCUM - P.SIMON
EXTENSAO CRISTAL ESTERIL 6MT UNIQUE VACCUM - P.SIMON
EXTENSAO FOSCO ESTERIL 4MT SILIC.UNIQUE VACCUM - P.SIMON
EXTENSAO OXIGENOTERAPIA N/ESTERIL 1,5MT UNIQUE VACCUM - P.SIMON
EXTENSAO OXIGENOTERAPIA ESTERIL 1,5MT UNIQUE VACCUM - P.SIMON
SISTEMA COLETOR SECRECAO P/ESPURGO ESTERIL 2000ML - P.SIMON
EXTENSAO OXIGENOTERAPIA N/ESTERIL 2MT UNIQUE VACCUM - P.SIMON
SISTEMA COLETOR SECRECAO P/VIAS AEREAS N/ESTERIL 1000ML - P.SIMON
EXTENSAO OXIGENOTERAPIA ESTERIL 2MT UNIQUE VACCUM - P.SIMON
SISTEMA COLETOR SECRECAO P/VIAS AEREAS ESTERIL 1000ML - P.SIMON
SISTEMA COLETOR SECRECAO P/VIAS AEREAS N/ESTERIL 500ML - P.SIMON
SISTEMA COLETOR SECRECAO P/VIAS AEREAS ESTERIL 500ML - P.SIMON
SISTEMA COLETOR SECRECAO P/VIAS AEREAS N/ESTERIL 250ML - P.SIMON
SISTEMA COLETOR SECRECAO P/VIAS AEREAS ESTERIL 250ML - P.SIMON
SISTEMA COLETOR SECRECAO P/VIAS AEREAS N/ESTERIL 150ML - P.SIMON
SISTEMA COLETOR SECRECAO P/VIAS AEREAS ESTERIL 150ML - P.SIMON
ASPIRADOR CIRURGICO SUCKER SIMON MED.C/ORIFICIO REG.PRESSAO - P.SIMON
ASPIRADOR CIRURGICO SUCKER SIMON C/FILTRO P/ORTOPEDIA - P.SIMON
ASPIRADOR CIRURGICO SUCKER SIMON C/ORIFICIO REG.PRESSAO - P.SIMON
AMOXICILINA+CLAVULANATO POTASSIO GEN.25+6,25MG/ML 100ML - SANDOZ
AMOXICILINA+CLAVULANATO POTASSIO GEN.50+12,5MG/ML 100ML - SANDOZ
CEFADROXILA GEN.500MG 8CPDS - SANDOZ
CEFADROXILA GEN.250MG/5ML 100ML - SANDOZ
CEFADROXILA GEN.500MG/5ML 100ML - SANDOZ
CEFALEXINA GEN.500MG 10CPDS - SANDOZ
FLUCONAZOL GEN.150MG 1CPD - MEDLEY
FLUCONAZOL GEN.150MG 2CPDS - MEDLEY
VALERATO BETAMETASONA GEN.POM.15GRS - MEDLEY
VALERATO BETAMETASONA GEN.POM.30GRS - MEDLEY
MICOLAMINA SOL.TOP.SPR.30ML - THERASKIN
MICOLAMINA CRM.20GRS - THERASKIN
CETAFRIN 200MG SOL.GTS.20ML - LUPER
CONJUNTO CPAP ADU.(MASCARA+PRESILHA+TUBO CORRUGADO+CONECTOR) CARADYNE - CNPH
NEBULIZADOR PEQ.VOLUME MICROMIST/INALADOR COMPLETO HUDSON - CNPH
ALGODAO HIDROFILO 500GRS 00151 - MEDI HOUSE
ALGODAO ORTOPEDICO 08CMX1,8MT 162/18 - MEDI HOUSE
ALGODAO ORTOPEDICO 10CMX1,8MT 163/18 - MEDI HOUSE
ALGODAO ORTOPEDICO 12CMX1,8MTX164/18 - MEDI HOUSE
ALGODAO ORTOPEDICO 15CMX1,8MT 165/18 - MEDI HOUSE
ALGODAO ORTOPEDICO 20CMX1,8MT 166/18 - MEDI HOUSE
ATADURA CREPE 06CMX3,0MT 13FIOS MEDIPLUS - - MEDI HOUSE
ATADURA CREPE 08CMX3,0MT 13FIOS MEDIPLUS 00260 - MEDI HOUSE
ATADURA CREPE 10CMX3,0MT 13FIOS MEDIPLUS 00265 - MEDI HOUSE
ATADURA CREPE 12CMX3,0MT 13FIOS MEDIPLUS 00270 - MEDI HOUSE
ATADURA CREPE 15CMX3,0MT 13FIOS MEDIPLUS 00275 - MEDI HOUSE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
121
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000044192
0000044196
0000044197
0000044198
0000044199
0000044200
0000044201
0000044202
0000044203
0000044205
0000044207
0000044208
0000044209
0000044210
0000044211
0000044212
0000044213
0000044220
0000044226
0000044227
0000044228
0000044229
0000044232
0000044233
0000044236
0000044237
0000044238
0000044239
0000044240
0000044241
0000044243
0000044244
0000044245
0000044252
0000044254
0000044262
0000044263
0000044266
0000044267
0000044268
0000044269
0000044270
0000044294
0000044299
0000044305
0000044306
0000044313
DESCRICAO
ATADURA CREPE 20CMX3,0MT 13FIOS MEDIPLUS 00280 - MEDI HOUSE
ATADURA CREPE 06CMX4,5MT 13FIOS BRUNA 0233 - MEDI HOUSE
ATADURA CREPE 08CMX4,5MT 13FIOS BRUNA 00234 - MEDI HOUSE
ATADURA CREPE 10CMX4,5MT 13FIOS BRUNA 00236 - MEDI HOUSE
ATADURA CREPE 12CMX4,5MT 13FIOS BRUNA 00237 - MEDI HOUSE
ATADURA CREPE 15CMX4,5MT 13FIOS BRUNA 00238 - MEDI HOUSE
ATADURA CREPE 20CMX4,5MT 13FIOS BRUNA 00239 - MEDI HOUSE
ATADURA CREPE 25CMX4,5MT 13FIOS BRUNA 00241 - MEDI HOUSE
ATADURA CREPE 30CMX4,5MT 13FIOS BRUNA 00242 - MEDI HOUSE
ATADURA RAYON 07CMX5,0MT ESTERIL 00710 - MEDI HOUSE
ALGODAO ORTOPEDICO 06CMX1,8MT 161/18 - MEDI HOUSE
ATADURA GESSADA MEDI HOUSE 06CM 00370 - - MEDI HOUSE
ATADURA GESSADA MEDI HOUSE 08CM 00375 - - MEDI HOUSE
ATADURA GESSADA MEDI HOUSE 10CM 00380 - - MEDI HOUSE
ATADURA GESSADA MEDI HOUSE 12CM 00385 - - MEDI HOUSE
ATADURA GESSADA MEDI HOUSE 15CM 00390 - - MEDI HOUSE
ATADURA GESSADA MEDI HOUSE 20CM 00395 - - MEDI HOUSE
ATADURA MORIM 06CMX4,5MT 00560 - - MEDI HOUSE
CAMPO OPERATORIO 23CMX25CM 50UNID 00011 - MEDI HOUSE
CAMPO OPERATORIO 45CMX50CM 50UNID 00010 - MEDI HOUSE
CAMPO OPERATORIO C/RX 25CMX23CM 50UNID 00016 - MEDI HOUSE
CAMPO OPERATORIO C/RX 50CMX45CM 50UNID 00015 - MEDI HOUSE
CAMPO OPERATORIO ESTERIL PRE-LAVADO C/RX 25X23CM 05UNID 17/MH - MEDI HOUSE
CAMPO OPERATORIO ESTERIL PRE-LAVADO C/RX 50X45CM 05UNID 14/MH - MEDI HOUSE
COMPRESSA 7,5CMX7,5CM 09FIOS N/ESTERIL 500UNID 00022 - MEDI HOUSE
COMPRESSA 7,5CMX7,5CM 11FIOS N/ESTERIL 500UNID 00023 - MEDI HOUSE
COMPRESSA 7,5CMX7,5CM 13FIOS N/ESTERIL 500UNID 00024 - MEDI HOUSE
COMPRESSA GAZE 7,5CMX7,5CM 11FIOS ESTERIL 05UNID 00026 - MEDI HOUSE
COMPRESSA GAZE 7,5CMX7,5CM 11FIOS ESTERIL 10UNID 26/10 - MEDI HOUSE
COMPRESSA GAZE 7,5CMX7,5CM 11FIOS ESTERIL 20UNID 26/20 - MEDI HOUSE
COMPRESSA GAZE 7,5CMX7,5CM 13FIOS ESTERIL 05UNID 02500 - MEDI HOUSE
COMPRESSA GAZE 7,5CMX7,5CM 13FIOS ESTERIL 10UNID 02510 - MEDI HOUSE
COMPRESSA GAZE 7,5CMX7,5CM 13FIOS ESTERIL 20UNID 02520 - MEDI HOUSE
CURATIVO CIRURGICO ESTERIL 6DOBRAS 10CMX15CM ZOBEC 00029 - MEDI HOUSE
CURATIVO CIRURGICO ESTERIL 6DOBRAS 15CMX30CM ZOBEC 00031 - MEDI HOUSE
FITA ADESIVA 16MMX50MT 02655 - MEDI HOUSE
FITA ADESIVA 19MMX50MT 02660 - MEDI HOUSE
GAZE TP.QUEIJO 09FIOS 91X91MT 00931 - MEDI HOUSE
GAZE TP.QUEIJO 11FIOS 91X91MT 00932 - MEDI HOUSE
GAZE TP.QUEIJO 13FIOS 91X91MT 00933 - MEDI HOUSE
LENCOL DESC.50CMX50MT BRUNA 03920 - MEDI HOUSE
LENCOL DESC.70CMX50MT BRUNA 03930 - MEDI HOUSE
MASCARA DESC.C/CLIP C/FILTRO C/TIRA 05402 - MEDI HOUSE
SAPATILHA MALHA COMUM (PAR) 00923 - MEDI HOUSE
TECNOTECAN 100MG SOL.INJ.1FA 5ML - ZODIAC
ADVANTAN 0,1% LOC.DERM.20GRS - BAYER
EQUIPO PLEXITRON MACROGOTAS C/INJ.LAT.ENT.AR FILTRO 15 L.LOCK AZC3320 - BAXTER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
122
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000044314
0000044315
0000044316
0000044317
0000044328
0000044329
0000044330
0000044331
0000044332
0000044333
0000044334
0000044335
0000044336
0000044337
0000044338
0000044339
0000044340
0000044341
0000044342
0000044343
0000044345
0000044346
0000044347
0000044348
0000044349
0000044350
0000044351
0000044352
0000044353
0000044354
0000044355
0000044356
0000044357
0000044358
0000044359
0000044360
0000044361
0000044362
0000044363
0000044364
0000044365
0000044366
0000044433
0000044434
0000044435
0000044436
0000044437
DESCRICAO
EQUIPO PLEXITRON MACROGOTAS SIMPLES AZC6436 - BAXTER
EQUIPO PLEXITRON MICROGOTAS C/INJ.LAT."Y" ENTRADA AR AZC6437 - BAXTER
EQUIPO PLEXITRON MACROGOTAS C/INJ.AZC6438 - BAXTER
EQUIPO PLEXITRON MACROGOTAS C/INJ.RESPIRO AZC6439 - BAXTER
CONJUNTO CARLENS PVC C/CARINA ESQ.CH35 ESTERIL RUSCH 116101-035 - BADEIA
CONJUNTO CARLENS PVC C/CARINA ESQ.CH37 ESTERIL RUSCH 116101-037 - BADEIA
CONJUNTO CARLENS PVC C/CARINA ESQ.CH39 ESTERIL RUSCH 116101-039 - BADEIA
CONJUNTO CARLENS PVC C/CARINA ESQ.CH41 ESTERIL RUSCH 116101-041 - BADEIA
CONJUNTO CARLENS PVC C/CARINA DIR.CH35 ESTERIL RUSCH 116201-035 - BADEIA
CONJUNTO CARLENS PVC C/CARINA DIR.CH37 ESTERIL RUSCH 116201-037 - BADEIA
CONJUNTO CARLENS PVC C/CARINA DIR.CH39 ESTERIL RUSCH 116201-039 - BADEIA
CONJUNTO CARLENS PVC C/CARINA DIR.CH41 ESTERIL RUSCH 116201-041 - BADEIA
SONDA EDGAR PVC S/BALAO 2,5MM RUSCH 111380-025 - BADEIA
SONDA EDGAR PVC S/BALAO 3,0MM RUSCH 111380-030 - BADEIA
SONDA EDGAR PVC S/BALAO 3,5MM RUSCH 111380-035 - BADEIA
SONDA EDGAR PVC S/BALAO 4,0MM RUSCH 111380-040 - BADEIA
SONDA EDGAR PVC S/BALAO 4,5MM RUSCH 111380-045 - BADEIA
SONDA EDGAR PVC S/BALAO 5,0MM RUSCH 111380-050 - BADEIA
SONDA EDGAR PVC S/BALAO 5,5MM RUSCH 111380-055 - BADEIA
SONDA EDGAR PVC S/BALAO 6,0MM RUSCH 111380-060 - BADEIA
SONDA ENDOTRAQUEAL ARAMADA PVC C/BALAO RUSCH 3,5MM 103904-035 - BADEIA
SONDA ENDOTRAQUEAL ARAMADA PVC C/BALAO RUSCH 4,0MM 103904-040 - BADEIA
SONDA AGT PVC C/BALAO NASAL RUSCH 3,5MM 111781-035 - BADEIA
SONDA AGT PVC C/BALAO NASAL RUSCH 4,0MM 111781-040 - BADEIA
SONDA AGT PVC C/BALAO NASAL RUSCH 4,5MM 111781-045 - BADEIA
SONDA AGT PVC C/BALAO NASAL RUSCH 5,0MM 111781-050 - BADEIA
SONDA AGT PVC C/BALAO NASAL RUSCH 5,5MM 111781-055 - BADEIA
SONDA AGT PVC C/BALAO NASAL RUSCH 6,0MM 111781-060 - BADEIA
SONDA AGT PVC C/BALAO NASAL RUSCH 6,5MM 111781-065 - BADEIA
SONDA AGT PVC C/BALAO NASAL RUSCH 7,0MM 111781-070 - BADEIA
SONDA AGT PVC C/BALAO NASAL RUSCH 7,5MM 111781-075 - BADEIA
SONDA AGT PVC C/BALAO NASAL RUSCH 8,0MM 111781-080 - BADEIA
SONDA AGT PVC S/BALAO ORAL RUSCH 3,0MM 100180-030 - BADEIA
SONDA AGT PVC S/BALAO ORAL RUSCH 3,5MM 100180-035 - BADEIA
SONDA AGT PVC S/BALAO ORAL RUSCH 4,0MM 100180-040 - BADEIA
SONDA AGT PVC S/BALAO ORAL RUSCH 4,5MM 100180-045 - BADEIA
SONDA AGT PVC S/BALAO ORAL RUSCH 5,0MM 100180-050 - BADEIA
SONDA AGT PVC S/BALAO ORAL RUSCH 5,5MM 100180-055 - BADEIA
SONDA AGT PVC S/BALAO ORAL RUSCH 6,0MM 100180-060 - BADEIA
SONDA AGT PVC S/BALAO ORAL RUSCH 6,5MM 100180-065 - BADEIA
SONDA AGT PVC S/BALAO ORAL RUSCH 7,0MM 100180-070 - BADEIA
SONDA/TUBO TRAQUEAL PVC S/BALAO RUSCH 9,0MM 100605-090 - BADEIA
CATETER URETERAL PTA.CILIND.1FURO LAT.CINZA CH03 BCI MEDICAL 94620304 - BADEIA
CATETER URETERAL PTA.CILIND.1FURO LAT.CINZA CH04 BCI MEDICAL 94620404 - BADEIA
CATETER URETERAL PTA.CILIND.1FURO LAT.CINZA CH05 BCI MEDICAL 94620504 - BADEIA
CATETER URETERAL PTA.CILIND.1FURO LAT.CINZA CH06 BCI MEDICAL 94620604 - BADEIA
CATETER URETERAL PTA.CILIND.1FURO LAT.CINZA CH07 BCI MEDICAL 94620704 - BADEIA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
123
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000044438
0000044588
0000044589
0000044590
0000044591
0000044604
0000044605
0000044607
0000044608
0000044609
0000044610
0000044611
0000044612
0000044613
0000044614
0000044615
0000044616
0000044617
0000044618
0000044619
0000044620
0000044621
0000044622
0000044623
0000044624
0000044625
0000044626
0000044627
0000044628
0000044631
0000044632
0000044634
0000044635
0000044636
0000044644
0000044645
0000044646
0000044647
0000044650
0000044651
0000044652
0000044654
0000044655
0000044657
0000044658
0000044668
0000044669
DESCRICAO
CATETER URETERAL PTA.CILIND.1FURO LAT.CINZA CH08 BCI MEDICAL 94620804 - BADEIA
DAFLON 500MG 15CPDS REV. - SERVIER
HYPERIUM 1MG 15CPDS - SERVIER
DIAMICRON MR 30MG 15CPDS - SERVIER
NATRILIX SR 1,5MG 15CPDS REV. - SERVIER
AMOXICILINA+CLAVULANATO POTASSIO GEN.500+125MG 12CPDS - SANDOZ
AMOXICILINA+CLAVULANATO POTASSIO GEN.875+125MG 12CPDS - SANDOZ
TRAMADON 50MG 10CAPS - CRISTALIA
TRAMADON 100MG/ML GTS.10ML - CRISTALIA
TRAMADON 50MG/ML 6AMP 1ML - CRISTALIA
TRAMADON 50MG/ML 6AMP 2ML - CRISTALIA
TRAMADON RETARD 100MG 10CPDS - CRISTALIA
TRAMADON 50MG 10X10CAPS - CRISTALIA
TRAMADON 50MG/ML 100AMP 1ML - CRISTALIA
TRAMADON 50MG/ML 100AMP 2ML - CRISTALIA
WRAPS EMB.P/ESTERILIZACAO LEVE SMS 150X150CM O180701 - DESCARPACK
WRAPS EMB.P/ESTERILIZACAO PESADO SMS 30X30CM O181101 - DESCARPACK
WRAPS EMB.P/ESTERILIZACAO PESADO SMS 50X50CM O181201 - DESCARPACK
WRAPS EMB.P/ESTERILIZACAO PESADO SMS 75X75CM O181301 - DESCARPACK
WRAPS EMB.P/ESTERILIZACAO PESADO SMS 100X100CM O181401 - DESCARPACK
WRAPS EMB.P/ESTERILIZACAO PESADO SMS 120X120CM O181501 - DESCARPACK
WRAPS EMB.P/ESTERILIZACAO PESADO SMS 150X150CM O181701 - DESCARPACK
WRAPS EMB.P/ESTERILIZACAO SUPER PESADO SMS 30X30CM O182101 - DESCARPACK
WRAPS EMB.P/ESTERILIZACAO SUPER PESADO SMS 50X50CM O182201 - DESCARPACK
WRAPS EMB.P/ESTERILIZACAO SUPER PESADO SMS 75X75CM O182301 - DESCARPACK
WRAPS EMB.P/ESTERILIZACAO SUPER PESADO SMS 100X100CM O182401 - DESCARPACK
WRAPS EMB.P/ESTERILIZACAO SUPER PESADO SMS 120X120CM O182501 - DESCARPACK
WRAPS EMB.P/ESTERILIZACAO SUPER PESADO SMS 150X150CM O182701 - DESCARPACK
MASCARA N95 O170201 - DESCARPACK
CATETER VORTEX TITANIO ADU.VEN.9,6FR C/INTRODUTOR ANGIODYNAMICS P-5455K - PHYSIOMED
ELETRODO (CABO CONECTOR) 10 CONTATO AD-TECH LDC-10BDIN - PHYSIOMED
ELETRODO (CABO CONECTOR) 24 CONTATO AD-TECH LDC-24BDIN - PHYSIOMED
ELETRODO (BLOCO CONECTOR) 6 CONTATO AD-TECH DC-6X - PHYSIOMED
ELETRODO (BLOCO CONECTOR) 12 CONTATO AD-TECH DC-12X - PHYSIOMED
DUSPATALIN 200MG 30CAPS LIB.PROLONGADA - ABBOTT SAUDE
SURVANTA 25MCG/ML 1FA 4ML - ABBOTT
EQUIPO CONVENCIONAL MACRO LUER-LOCK LIFE CARE 5000PLUM 01648 - HOSPIRA
AMOXIMED 500MG 21CAPS - CIMED
CIFLOGEX COLUT.SPR.LAR.100ML - CIMED
CIMELIDE 100MG 12CPDS - CIMED
CIMELIDE 50MG/ML GTS.15ML - CIMED
ENALAMED 10MG 30CPDS - CIMED
ENALAMED 20MG 30CPDS - CIMED
CIMEGRIPE 400+4+4MG 10X10CAPS - CIMED
CIMEGRIPE 400+4+4MG 20CAPS - CIMED
CIFLOGEX MENTA-LIM.12PAST - CIMED
FRESOFOL 1% 5X20ML BR831065601 - FRESENIUS KABI
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
124
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000044670
0000044671
0000044673
0000044674
0000044675
0000044677
0000044723
0000044724
0000044725
0000044726
0000044727
0000044746
0000044749
0000044750
0000044751
0000044769
0000044770
0000044771
0000044779
0000044780
0000044781
0000044782
0000044783
0000044790
0000044791
0000044792
0000044793
0000044794
0000044795
0000044822
0000044823
0000044825
0000044826
0000044827
0000044828
0000044830
0000044831
0000044832
0000044836
0000044837
0000044838
0000044839
0000044840
0000044841
0000044843
0000044844
0000044845
DESCRICAO
FRESOFOL 1% 1FA 50ML BR3098051 - FRESENIUS KABI
FRESOFOL 1% 1FA 100ML BR3098031 - FRESENIUS KABI
LIPOVENOS MCT 10% 500ML BR2811091 - FRESENIUS KABI
LIPOVENOS MCT 20% 500ML BR2814091 - FRESENIUS KABI
SONDA ENTERAL NASAL C/MANDRIL CH15 FREKA BR7980111 - FRESENIUS KABI
SONDA ENTERAL NASAL PAED CH6,5 FREKA BR7980961 - FRESENIUS KABI
KIT DUPLO J 4,7/22 ABERTO INLAY C/FIO GUIA BARD 777422 - SYNCROFILM
KIT DUPLO J 6,0/26 ABERTO INLAY C/FIO GUIA BARD 777626 - SYNCROFILM
KIT DUPLO J 6,0/28 ABERTO INLAY C/FIO GUIA BARD 777628 - SYNCROFILM
KIT DUPLO J 7,0/26 ABERTO INLAY C/FIO GUIA BARD 777726 - SYNCROFILM
KIT DUPLO J 7,0/28 ABERTO INLAY C/FIO GUIA BARD 777728 - SYNCROFILM
BASKET/DORMIA HIGHFLEX CESTA EXTRATORA CALCULO 2,5F 90CM 4FIOS PLANO 10MM BARD 42271060 - SYNCROFILM
CONJUNTO NEFROSTOMIA PERCUTANEA 8F NEPHROPUB BARD/ANGIOMED 55200080 - SYNCROFILM
CONJUNTO NEFROSTOMIA PERCUTANEA 10F NEPHROPUB BARD/ANGIOMED 55200100 - SYNCROFILM
CONJUNTO NEFROSTOMIA PERCUTANEA 14F NEPHROPUB BARD/ANGIOMED 55200140 - SYNCROFILM
TUBO ENDOTRAQUEAL S/BALAO C/LUMEN SEP.P/MONIT.ADMIN.DROGA 2,5MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL S/BALAO C/LUMEN SEP.P/MONIT.ADMIN.DROGA 3,0MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL S/BALAO C/LUMEN SEP.P/MONIT.ADMIN.DROGA 3,5MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO/VALVULA REGULADORA PRESSAO LANZ 7,0MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO/VALVULA REGULADORA PRESSAO LANZ 7,5MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO/VALVULA REGULADORA PRESSAO LANZ 8,0MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO/VALVULA REGULADORA PRESSAO LANZ 8,5MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL C/BALAO/VALVULA REGULADORA PRESSAO LANZ 9,0MM MALLINCKRODT - COVIDIEN
TUBO ENDOTRAQUEAL TAPERGUARD 6,0MM C/BALAO/LUMEN P/SUCCAO 18860 - COVIDIEN
TUBO ENDOTRAQUEAL TAPERGUARD 6,5MM C/BALAO/LUMEN P/SUCCAO 18865 - COVIDIEN
TUBO ENDOTRAQUEAL TAPERGUARD 7,0MM C/BALAO/LUMEN P/SUCCAO 18870 - COVIDIEN
TUBO ENDOTRAQUEAL TAPERGUARD 7,5MM C/BALAO/LUMEN P/SUCCAO 18875 - COVIDIEN
TUBO ENDOTRAQUEAL TAPERGUARD 8,00MM C/BALAO/LUMEN P/SUCCAO 18880 - COVIDIEN
TUBO ENDOTRAQUEAL TAPERGUARD 8,5MM C/BALAO/LUMEN P/SUCCAO 18885 - COVIDIEN
FILTRO HME ELETROSTATICO BACTERIANO/VIRAL P/VENTIL.MECANICA/ANESTESIA INF. - COVIDIEN
UMIDIFICADOR HIGROSCOPICO UMI-TRACH - NEWMED
UMIDIFICADOR CONDENSADOR HIGROSC.NEONATAL - NEWMED
FILTRO UMIDIFICADOR CONDENSADOR HIGROSCOPICO ADU. - NEWMED
FILTRO UMIDIFICADOR CONDENSADOR HIGROSCOPICO INF. - NEWMED
FILTRO BACTERIANO VIRAL - NEWMED
CIRCUITO P/CPAP ADU./PED. - NEWMED
MASCARA P/CPAP/EPAP - NEWMED
GERADOR FLUXO C/AJUSTE FIO2 P/CPAP VITAL SIGNS - NEWMED
FIXADOR CEFALICO TECIDO P/MASCARA CPAP/EPAP/BIPAP TRACH-FIX - NEWMED
CPAP NASAL INF.INCA CANULA 7,5/00 - NEWMED
CPAP NASAL INF.INCA CANULA 9,0/0 - NEWMED
CPAP NASAL INF.INCA CANULA 10,5/1 - NEWMED
CPAP NASAL INF.INCA CANULA 12,0/2 - NEWMED
CPAP NASAL INF.INCA CANULA 15,0/3 - NEWMED
MASCARA FACIAL P/VENTILACAO TAM.1 N/INVASIVA 6810 - NEWMED
MASCARA FACIAL P/VENTILACAO TAM.0 N/INVASIVA 6800 - NEWMED
MASCARA FACIAL P/VENTILACAO TAM.02 N/INVASIVA 6820 - NEWMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
125
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000044846
0000044847
0000044848
0000044849
0000044859
0000044862
0000044863
0000044864
0000044865
0000044866
0000044867
0000044870
0000044871
0000044873
0000044876
0000044881
0000044883
0000044885
0000044888
0000044890
0000044894
0000044895
0000044896
0000044903
0000044904
0000044905
0000044911
0000044913
0000044915
0000044919
0000044920
0000044921
0000044922
0000045003
0000045004
0000045058
0000045059
0000045060
0000045063
0000045084
0000045085
0000045088
0000045095
0000045121
0000045126
0000045129
0000045135
DESCRICAO
MASCARA FACIAL P/VENTILACAO TAM.03 N/INVASIVA 6830 - NEWMED
MASCARA FACIAL P/VENTILACAO TAM.04 N/INVASIVA 6840 - NEWMED
MASCARA FACIAL P/VENTILACAO TAM.05 N/INVASIVA 6850 - NEWMED
MASCARA FACIAL P/VENTILACAO TAM.06 N/INVASIVA 6860 - NEWMED
INSPIROMETRO INCENTIVO A VOLUME ADU/PED.SPIRO-BALL - NEWMED
FIXADOR P/CANULA TRAQUEOSTOMIA ADU.TRACH-FIX - NEWMED
FIXADOR P/CANULA TRAQUEOSTOMIA INF.TRACH-FIX - NEWMED
FIXADOR P/SENSOR OXIMETRO PULSO TRACH-FIX - NEWMED
FIXADOR P/SONDA FOLEY TRACH-FIX - NEWMED
FIXADOR P/TUBO ENDOTRAQUEAL ADU.TRACH-FIX - NEWMED
FIXADOR P/TUBO ENDOTRAQUEAL INF.TRACH-FIX - NEWMED
SISTEMA FECHADO ASPIRACAO TRAQUEAL ADU.FREE TRACHEA - NEWMED
SISTEMA FECHADO ASPIRACAO TRAQUEAL PED./NEONATAL FREE TRACHEA - NEWMED
SENSOR DEDO P/OXIMETRO PULSO - NEWMED
TRAQUEIA CORRUGADA 1,20MTX22MM - NEWMED
MICRO CATETER REBAR 14-017X153 MICROTHERAPEUTICS 105-5080-153 - SYNCROFILM
MICRO CATETER REBAR 18-021X153 MICROTHERAPEUTICS 105-5081-153 - SYNCROFILM
FIO GUIA HIDROFILICO X-CELERATOR 14X300 MICROTHERAPEUTICS 103-0602-300 - SYNCROFILM
FIO GUIA HIDROFILICO MIRAGE 008 MICROTHERAPEUTICS 103-0608 - SYNCROFILM
FIO GUIA HIDROFILICO X-PEDION 14X200 MICROTHERAPEUTICS 203-0602-200 - SYNCROFILM
INSTRUMENTO REUSAV.CORE BIOPSY MAGNUM BARD MG1522 - SYNCROFILM
AGULHA P/INSTRUMENTO MAGNUM BARD MN1820 - SYNCROFILM
AGULHA P/INSTRUMENTO MAGNUM BARD MN1825 - SYNCROFILM
FIO MARCADOR P/LOCALIZACAO SEIOS DUALOK 20GAX77MM LW0077 - - BARD
FIO MARCADOR P/LOCALIZACAO SEIOS DUALOK 20GAX107MM LW0107 - - BARD
FIO MARCADOR P/LOCALIZACAO SEIOS DUALOK 20GAX137MM LW0137 - - BARD
DRAMIN SOL.ORAL 120ML - NYCOMED
DERMIZAN 30G - BUNKER
REMICADE 1FA 10ML - SCHERING PLOUGH
GESSO SINTETICO HYGIA CAST 5CMX3,6M - CONTROLLER
GESSO SINTETICO HYGIA CAST 7,5CMX3,6M - CONTROLLER
GESSO SINTETICO HYGIA CAST 10CMX3,6M - CONTROLLER
GESSO SINTETICO HYGIA CAST 12,5CMX3,6M - CONTROLLER
CEBION 1G ACEROLA 10CPDS EFERV. - MERCK S.A.
CLORIDRATO METFORMINA GEN.500MG 30CPDS REV. - MERCK S.A.
MIOCALVEN D 30SACH - CHIESI
MIOCALVEN D 60SACH - CHIESI
PRIMOGYNA 1MG 28DRGS - BAYER
DALSY 20MG/ML SUSP.ORAL 100ML+SER.DOS. - ABBOTT
RESERVATORIO P/HIDROCEFALIA ACCU FLO TIPO OMAYA 14MM PED - - J&J CODMAN
RESERVATORIO P/HIDROCEFALIA ACCU FLO TIPO OMAYA 24MM ADU - - J&J CODMAN
VALVULA PROGRAMAVEL HAKIM S/PRE CAMERA 18 NIVEIS PRESSAO - - J&J CODMAN
BROCA CIRURGICA AUTO STOP 14MM - - J&J CODMAN
VONAU 2MG/ML SOL.INJ.1AMP.2ML - BIOLAB SANUS
VONAU 2MG/ML SOL.INJ.1AMP 4ML - BIOLAB SANUS
ARADOIS 50MG 30CPDS REV. - BIOLAB SANUS
ADEDERME POM.45GRS - EMS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
126
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000045139
0000045143
0000045146
0000045147
0000045148
0000045149
0000045150
0000045151
0000045152
0000045153
0000045160
0000045161
0000045165
0000045185
0000045190
0000045195
0000045196
0000045206
0000045207
0000045208
0000045210
0000045214
0000045217
0000045225
0000045226
0000045229
0000045253
0000045292
0000045293
0000045294
0000045298
0000045301
0000045302
0000045303
0000045305
0000045306
0000045310
0000045311
0000045312
0000045343
0000045344
0000045345
0000045346
0000045347
0000045348
0000045349
0000045350
DESCRICAO
ENDCOFF MEL/LIMAO 12PAST - EMS
ENDCOFF MENTA 12PAST - EMS
ALBENDAZOL GEN.40MG SUSP.10ML - EMS GENERICOS
CEFADROXIL GEN.500MG 8CPDS - EMS GENERICOS
CEFADROXIL GEN.500MG/5ML SUSP.100ML - EMS GENERICOS
CEFADROXIL GEN.250MG/5ML SUSP.100ML - EMS GENERICOS
DIAZEPAM GEN.5MG 2BLX10CPDS - EMS GENERICOS
DIAZEPAM GEN.10MG 2BLX10CPDS - EMS GENERICOS
DICLOFENACO POTASSICO GEN.50MG 2BLX10CPDS REV. - EMS GENERICOS
NISTATINA GEN.100000UI/ML SUSP.ORAL 50ML - EMS GENERICOS
CEFALEXINA GEN.500MG 8CPDS - RANBAXY
CEFALEXINA GEN.500MG 20CPDS - RANBAXY
MICRO CATETER REBAR 10-015X153 MICROTHERAPEUTICS 105-5078-153 - SYNCROFILM
SISTEMA DASH - E.TAMUSSINO
CONECTOR/EXTENSOR P/BOMBA INJETORA (HTT) - E.TAMUSSINO
KIT CATETER SINGLE LUMEN 22GAX10CM AR11220 ARROW ES04522 - GABMED
KIT CATETER SINGLE LUMEN 14GAX20CM AR11140 ARROW CV04701 - GABMED
KIT CATETER DUPLO LUMEN 4FRX13CM AR12413 ARROW CS14402 - GABMED
KIT CATETER DUPLO LUMEN 5FRX13CM AR12513 ARROW CS14502 - GABMED
KIT CATETER DUPLO LUMEN 7FX20CM CV17702E - GABMED
KIT CATETER DUPLO LUMEN 8FRX16CM AR12816 ARROW CS12802 - GABMED
KIT CATETER TRIPLO LUMEN 7FRX20CM AR13720 ARROW CV25703E - GABMED
KIT CATETER HEMODIALISE TRIPLO LUMEN 12FRX16CM AR23016 ARROW CV12123F - GABMED
KIT INTRODUTOR PERCUTANEO 6,0FR C/CAMISA AR49600 ARROW SI09600 - GABMED
KIT INTRODUTOR PERCUTANEO 8,5FR C/CAMISA AR9850 ARROW SI09875E - GABMED
KIT CATETER EPIDURAL ADU.(CATETER/FILTRO/AG./SER.) AR30019 ARROW JC05400E - GABMED
TRANSDUTOR PRESSAO TRANSTAR MEDEX - - SMITHS MEDICAL
KIT INTRODUTOR PERCUTANEO C/VALVULA EXTERNA 8F I451BF8 - EDWARDS
KIT CATETER VENOSO CENTRAL DUPLO LUMEN VANTEX 20CM 7F A2720HSI - EDWARDS
KIT CATETER VENOSO CENTRAL TRIPLO LUMEN VANTEX 20CM 7F A3720HSI - EDWARDS
CATETER ACESSO VENOSO AVANCADO 8,5F AVA (3XI) M3L85FHSI - EDWARDS
KIT TRANSDUTOR PRESSAO DESC.PX260 - EDWARDS
KIT TRANSDUTOR PRESSAO S/DISPOSITIVO FLUXO PX600 - EDWARDS
KIT TRANSDUTOR PRESSAO DESC.TRUWAVE 3X3 PX3X3 - EDWARDS
KIT TRANSDUTOR PRESSAO DESC.TRUWAVE PED.PX24N - EDWARDS
KIT TRANSDUTOR PRESSAO DESC.TRUWAVE 1X2 PX1X2 - EDWARDS
OPTIMARK 1FA 10ML - COVIDIEN
OPTIMARK 1FA 15ML - COVIDIEN
TUBO CONECTOR 48"/60" - COVIDIEN
MEIA ANTIEMBOLICA XG COMP.REGULAR ATE JOELHO T.E.D. 7604 - COVIDIEN
MEIA ANTIEMBOLICA MED.COMP.REGULAR ATE JOELHO T.E.D. 8251 - COVIDIEN
MEIA ANTIEMBOLICA GRD.COMP.REGULAR ATE JOELHO T.E.D. 8226 - COVIDIEN
BOLSA COLETORA URINA ESTERIL CURITY KENDALL 4000ML - COVIDIEN
TUBO ESOFAGEAL COMBITUBE 37FR 5-18537 - COVIDIEN
TUBO ESOFAGEAL COMBITUBE 41FR 5-18541 - COVIDIEN
SOLUCAO GLICOSE 5% 100ML - JP
SOLUCAO FISIOLOGICO 0,9% 1000ML - JP
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
127
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000045351
0000045352
0000045353
0000045354
0000045381
0000045382
0000045383
0000045384
0000045385
0000045386
0000045387
0000045388
0000045389
0000045390
0000045391
0000045392
0000045393
0000045394
0000045395
0000045396
0000045397
0000045398
0000045399
0000045400
0000045401
0000045402
0000045403
0000045404
0000045405
0000045406
0000045407
0000045408
0000045409
0000045655
0000045657
0000045661
0000045671
0000045688
0000045924
0000046051
0000046058
0000046062
0000046063
0000046064
0000046065
0000046068
0000046069
DESCRICAO
SOLUCAO FISIOLOGICO 0,9% 500ML - JP
SOLUCAO FISIOLOGICO 0,9% 250ML - JP
JP FISIOLOGICO 0,9% SIST.FECH.1BOL 2000ML - - JP
SOLUCAO FISIOLOGICO 0,9% 100ML - JP
DROPS FREE SUPRA SUMO LAR.45GRS - HYPM
DROPS FREE SUPRA SUMO LIM.45GRS - HYPM
DROPS FREE SUPRA SUMO MOR.45GRS - HYPM
DROPS FREE SUPRA SUMO UVA 45GRS - HYPM
DROPS FREE SUPRA SUMO PESS.45GRS - HYPM
DROPS FREE SUPRA SUMO MELAN.45GRS - HYPM
ADOCYL ASPARTAME REFR.LAR.12X15GRS - HYPM
ADOCYL ASPARTAME REFR.LIM.12X15GRS - HYPM
ADOCYL ASPARTAME REFR.UVA 12X15GRS - HYPM
ADOCYL GELATINA CEREJA 14GRS - HYPM
ADOCYL GELATINA FRAMBOESA 14GRS - HYPM
ADOCYL GELATINA MORANGO 14GRS - HYPM
ADOCYL GELATINA SALADA FRUTA 14GRS - HYPM
ADOCYL GELATINA TANGERINA 14GRS - HYPM
ADOCYL PUDIM CICL./SAC.CAR.25GRS - HYPM
ADOCYL PUDIM CICL./SAC.CHOC.25GRS - HYPM
ADOCYL PUDIM CICL./SAC.COCO 25GRS - HYPM
ADOCYL PUDIM CICL./SAC.LEITE 25GR - HYPM
ADOCYL PUDIM CICL./SAC.MOR.25GRS - HYPM
DROPS FREE SPLUM CASSIS/CER.48GRS - HYPM
DROPS FREE SPLUM FRAMB.48GRS - HYPM
DROPS FREE SPLUM FRUT.CITRICAS 48GRS - HYPM
DROPS FREE SPLUM FRUT.EXOTICAS 48GRS - HYPM
DROPS FREE SPLUM FRUT.MENT.48GRS - HYPM
DROPS FREE SPLUM FRUT.MIX 48GRS - HYPM
DROPS FREE SPLUM MOR.48GRS - HYPM
DROPS FREE SPLUM PEPPERMIT 48GRS - HYPM
DROPS FREE SPLUM SORTIDO 48GRS - HYPM
DROPS FREE SPLUM UVA MIX 48GRS - HYPM
CLORIDRATO DOPAMINA GEN.5MG/ML SOL.INJ.10AMP 10ML - - UNIAO QUIMICA
CLORIDRATO DOPAMINA GEN.5MG/ML SOL.INJ.50AMP 10ML - UNIAO QUIMICA
POLIDERMS 0,5+1+10+10MG/G CRM.DERM.20G - UNIAO QUIMICA
UNIPRAZOL 20MG 14CAPS GEL. - UNIAO QUIMICA
UNI IMIPRAX 25MG 200CPDS REV. - UNIAO QUIMICA
CLARITIN 10MG 6CPDS EST. - MANTECORP
CURATIVO TRANSPARENTE TEGADERM C/COMP.9,0CMX35CM 25UNID 3593 - 3M BRASIL
LAMINA P/TRICOTOMIZADOR CIRURGICO 40UNID 9600 - - 3M BRASIL
PLACA ELETROCIRURGICA AUTO-ADES.UNIVERSAL 9130 - 3M BRASIL
PLACA ELETROCIRURGICA AUTO-ADES.UNIVERSAL 9130F - 3M BRASIL
PLACA ELETROCIRURGICA AUTO-ADES.UNIVERSAL REM 9160 - 3M BRASIL
PLACA ELETROCIRURGICA AUTO-ADES.UNIVERSAL REM 9160F - 3M BRASIL
FRONTAL 0,25MG EST.30CPDS - PFIZER
FRONTAL 0,50MG EST.30CPDS - PFIZER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
128
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000046070
0000046072
0000046073
0000046074
0000046080
0000046127
0000046128
0000046129
0000046130
0000046131
0000046141
0000046162
0000046166
0000046168
0000046169
0000046176
0000046226
0000046227
0000046229
0000046230
0000046231
0000046232
0000046233
0000046234
0000046235
0000046236
0000046237
0000046239
0000046241
0000046242
0000046243
0000046244
0000046245
0000046246
0000046247
0000046248
0000046249
0000046250
0000046251
0000046252
0000046253
0000046254
0000046255
0000046271
0000046272
0000046274
0000046275
DESCRICAO
FRONTAL 1,00MG EST.30CPDS - PFIZER
RESERVATORIO MEDICAMENTO CASSETE 100ML C/LUER FEMEA 21-7002-24 - - JG MORIYA
RESERVATORIO MEDICAMENTO CASSETE 50ML C/LUER FEMEA 21-7001-24 - - JG MORIYA
EQUIPO BOMBA CADD 60" TERAP.PERIDURAL C/TUBO 152CM PTA.SACO/LUER MACHO/VALVULA ANTI-SIFAO 21-7022-24 - - JG MORIYA
GUIA 0,035 HIDROFILICA MERIT - BIOASSIST
CATETER DIAGNOSTICO CORONARIO 6FR MERIT - BIOASSIST
CATETER DIAGNOSTICO CORONARIO 7FR MERIT - BIOASSIST
GUIA 032 RETA J 150CM GUIDEWIRE - BIOASSIST
GUIA 035 RETA J 150CM GUIDEWIRE - BIOASSIST
GUIA 038 RETA J 150CM GUIDEWIRE - BIOASSIST
EXTENSAO PRESSAO MERIT - BIOASSIST
PROTESE AMPLATZER CIA/ASD 4-38MM - - BIOASSIST
BALAO P/MEDICAO PROTESE 24MM/34MM AGA-AMPLATZER - BIOASSIST
GUIA AMPLATZER GUIDEWIRE 0.035 260CM SUPER STIFF - BIOASSIST
CATETER BALAO VALVULOPLASTIA DIAM.4MM Z-MED/Z-MED II NUMED - BIOASSIST
CATETER BIP P/VALVULOPLASTIA - - BIOASSIST
VALVULA LOMBO-PERITON.C/ANTI-CAMARA H-V INTEGRA MED.PRESSAO NMT903330A - PROMEDON
VALVULA LOMBO-PERITON.C/ANTI-CAMARA ALTA PRESSAO NMT903335A - PROMEDON
VALVULA P/HIDROCEFALIA BAIXA PRESSAO C/ANTI-CAM.RUBY (CAT.VENTRIC.+PERIT./CONECTOR) SIST.HAKIN NMT90 - PROMEDON
VALVULA P/HIDROCEFALIA MED.PRESSAO C/ANTI-CAM.RUBY (CAT.VENTRIC.+PERIT./CONECTOR) SIST.HAKIN NMT9051 - PROMEDON
VALVULA P/HIDROCEFALIA BAIXA PRESSAO C/ANTI-CAM.RUBY (CAT.VENTRIC.+PERIT./CONECTOR) SIST.HAKIN NMT90 - PROMEDON
VALVULA P/HIDROCEFALIA BAIXA PRESSAO C/ANTI-CAM.ATLAS (CAT.VENTR.+PERIT.CONEC.) SIST.HAKIN NMT906125 - PROMEDON
VALVULA P/HIDROCEFALIA MED.PRESSAO C/ANTI-CAM.ATLAS (CAT.VENTRIC.+PERIT./CONECTOR) SIST.HAKIN NMT906 - PROMEDON
VALVULA P/HIDROCEFALIA ALTA PRESSAO C/ANTI-CAM.ATLAS (CAT.VENTRIC.+PERIT./CONECTOR) SIST.HAKIN NMT90 - PROMEDON
VALVULA HAKIM ATLAS MINISHUNTS M.BAIXA PRESSAO NMT906312 - PROMEDON
VALVULA HAKIM ATLAS MINISHUNTS BAIXA PRESSAO NMT906322 - PROMEDON
VALVULA HAKIM ATLAS MINISHUNTS MED.PRESSAO NMT906342 - PROMEDON
KIT DRENAGEM LOMBAR EXTERNA NEUROCARE SPECIALMED NMT910121 - PROMEDON
KIT DRENAGEM LOMBO PERITONEAL NEUROCARE SPECIALMED NMT910120A - PROMEDON
TUNELIZADOR (P/VALVULA HIDROCEF.) NEUROCARE 60CM SPECIALMED NMT990110 - PROMEDON
PLACA CERVICAL C/CAGE SISTEMA MOD.PCB-1 5,5MM SCIENT'X SC-11PCB1 - PROMEDON
PLACA CERVICAL C/CAGE SISTEMA MOD.PCB-1 12MM SCIENT'X SC-11PCB1 - PROMEDON
PLACA CERVICAL C/CAGE SISTEMA MOD.PCB-1 16MM SCIENT'X SC-11PCB1 - PROMEDON
PLACA CERVICAL C/CAGE SISTEMA MOD.PCB-2 7MM SCIENT'X SC-11PCB2 - PROMEDON
PLACA CERVICAL C/CAGE SISTEMA MOD.PCB-2 12MM SCIENT'X SC-11PCB2 - PROMEDON
PLACA CERVICAL C/CAGE SISTEMA MOD.PCB-2 16MM SCIENT'X SC-11PCB2 - PROMEDON
PARAFUSO CERVICAL (P/PLACA SECUPLATE/PCB) 14MM SCIENT'X SC-11VC14 - PROMEDON
PARAFUSO CERVICAL (P/PLACA SECUPLATE/PCB) 16MM SCIENT'X SC-11VC16 - PROMEDON
PARAFUSO P/PLACA CERVICAL 4MMX18MM SC-11VC18 - PROMEDON
PARAFUSO P/PLACA CERVICAL 4MMX20MM SC-11VC20 - PROMEDON
PARAFUSO P/PLACA CERVICAL 4MMX22MM SC-11VC22 - PROMEDON
PARAFUSO CERVICAL REFORCO 14MM SCIENT'X SC-11VC14R - PROMEDON
PARAFUSO CERVICAL REFORCO 16MM SCIENT'X SC-11VC16R - PROMEDON
BARRA SEMI-RIGIDA 5,5MMX65MM SC-12TGS55-65 - PROMEDON
HASTE P/PARAFUSO PEDICULAR SEMI-RIGIDA 85MM SCIENT'X SC-TGS55-65/86 - PROMEDON
CAGE LOMBAR PEEK 8MM CKN (CC) SCIENT'X SC-12CKN08 - PROMEDON
CAGE LOMBAR PEEK 9MM CKN (CC) SCIENT'X SC-12CKN09 - PROMEDON
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
129
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000046276
0000046277
0000046278
0000046279
0000046280
0000046281
0000046282
0000046283
0000046362
0000046381
0000046382
0000046383
0000046384
0000046385
0000046386
0000046387
0000046389
0000046390
0000046394
0000046395
0000046396
0000046397
0000046398
0000046399
0000046405
0000046406
0000046407
0000046408
0000046409
0000046417
0000046418
0000046424
0000046425
0000046426
0000046438
0000046439
0000046440
0000046441
0000046442
0000046443
0000046444
0000046445
0000046446
0000046447
0000046448
0000046449
0000046450
DESCRICAO
CAGE LOMBAR PEEK 10MM CKN (CC) SCIENT'X SC-12CKN10 - PROMEDON
CAGE LOMBAR PEEK 11MM CKN (CC) SCIENT'X SC-12CKN11 - PROMEDON
CAGE LOMBAR PEEK 12MM CKN (CC) SCIENT'X SC-12CKN12 - PROMEDON
CAGE LOMBAR PEEK 13MM CKN (CC) SCIENT'X SC-12CKN13 - PROMEDON
CAGE LOMBAR PEEK 14MM CKN (CC) SCIENT'X SC-12CKN14 - PROMEDON
MATRIZ ENXERTO P/DURAMATER DURAGEN PLUS 5,0X5,0CM IN-DP1022 - PROMEDON
MATRIZ ENXERTO P/DURAMATER DURAGEN PLUS 7,5X7,5CM IN-DP1033 - PROMEDON
MATRIZ ENXERTO P/DURAMATER DURAGEN PLUS 10X12,5CM IN-DP1045 - PROMEDON
CESTA EXTRATORA CALCULO 4FIOS 2,7FRX90CM PR-3500-0215/PR-3500-02EP - PROMEDON
PROTESE PENIANA (SEMI-RIGIDA) TUBE 09MMX20CM PR-T-090 - PROMEDON
PROTESE PENIANA (SEMI-RIGIDA) TUBE 10MMX22CM PR-T-100 - PROMEDON
PROTESE PENIANA (SEMI-RIGIDA) TUBE 11MMX24CM PR-T-110 - PROMEDON
PROTESE PENIANA (SEMI-RIGIDA) TUBE 12MMX26CM PR-T-120 - PROMEDON
PROTESE TESTICULAR PEQ.NS PR-T/SMALL - PROMEDON
PROTESE TESTICULAR MED.NS PR-T/MEDIUM - PROMEDON
PROTESE TESTICULAR GRD.NS PR-T/LARGE - PROMEDON
ARTANE 2MG 30CPDS - APSEN
ARTANE 5MG 30CPDS - APSEN
AGULHA SUTURA ESTERIL 2UNID G01 A G16 - STERIFARMA
AGULHA SUTURA ESTERIL 2UNID GR01 A GR16 - STERIFARMA
AGULHA SUTURA ESTERIL 2UNID PB01 A PB08 - STERIFARMA
ATADURA CREPE 25CMX1,8MT (EM REPOUSO) ESTERIL - STERIFARMA
FAIXA SMARCH ESTERIL NR.04 2MT - STERIFARMA
MALHA TUBULAR ESTERIL NR.25 1,5MT - STERIFARMA
ZIRVIT 600 S REV.30CPDS - ATIVUS
ZIRVIT E 400UI 30CAPS - ATIVUS
ZIRVIT MULTI 30CPDS REV. - ATIVUS
ZIRVIT BETA 30CAPS - ATIVUS
ZIRVIT PLUS 30CPDS REV. - ATIVUS
GEL P/ULTRASSOM ECG BIOGEL 250GRS 052F - BIOMED
GEL P/ULTRASSOM ECG BIOGEL 500GRS 005F - BIOMED
FLAGYL 40MG/ML PED.100ML - SANOFI-AVENTIS
TOPLEXIL XPE.ADU.100ML - SANOFI-AVENTIS
TOPLEXIL XPE.PED.100ML - SANOFI-AVENTIS
STENT AUTOEXPANSIVEL SMART 10/20/120CM C10020MV - J&J CORDIS
STENT AUTOEXPANSIVEL SMART 10/40/120CM C10040MV - J&J CORDIS
STENT AUTOEXPANSIVEL SMART 10/60/120CM C10060MV - J&J CORDIS
STENT AUTOEXPANSIVEL SMART 6/20/120CM C06020MV - J&J CORDIS
STENT AUTOEXPANSIVEL SMART 6/40/120CM C06040MV - J&J CORDIS
STENT AUTOEXPANSIVEL SMART 7/20/120CM C07020MV - J&J CORDIS
STENT AUTOEXPANSIVEL SMART 7/40/120CM C07040MV - J&J CORDIS
STENT AUTOEXPANSIVEL SMART 7/60/120CM C07060MV - J&J CORDIS
STENT AUTOEXPANSIVEL SMART 8/20/120CM C08020MV - J&J CORDIS
STENT AUTOEXPANSIVEL SMART 8/40/120CM C08040MV - J&J CORDIS
STENT AUTOEXPANSIVEL SMART 8/60/120CM C08060MV - J&J CORDIS
STENT AUTOEXPANSIVEL SMART 8/80/120CM C08080MV - J&J CORDIS
STENT AUTOEXPANSIVEL SMART 9/20/120CM C09020MV - J&J CORDIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
130
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000046451
0000046467
0000046468
0000046469
0000046471
0000046472
0000046476
0000046521
0000046522
0000046523
0000046556
0000046557
0000046558
0000046559
0000046560
0000046561
0000046562
0000046563
0000046564
0000046565
0000046566
0000046567
0000046568
0000046569
0000046570
0000046571
0000046572
0000046573
0000046574
0000046575
0000046576
0000046577
0000046580
0000046581
0000046582
0000046587
0000046701
0000046702
0000046703
0000046704
0000046705
0000046708
0000046709
0000046710
0000046711
0000046712
0000046713
DESCRICAO
STENT AUTOEXPANSIVEL SMART 9/40/80CM C09040SV - J&J CORDIS
CATETER BALAO MAXI LD 9F/15X40/110CM 4161540L - J&J CORDIS
CATETER BALAO MAXI LD 9F/15X40/80CM 4161540S - J&J CORDIS
CATETER BALAO MAXI LD 10.5F/20X40/110CM 4162040L - J&J CORDIS
CATETER BALAO MAXI LD 12F/25X40/110CM 4162540L - J&J CORDIS
CATETER BALAO MAXI LD 12F/25X40/80CM 4162540S - J&J CORDIS
INTRODUTOR PERIFERICO BRITE TIP 035 6F 90CM 401690M - J&J CORDIS
FIO GUIA ATW 014 300 R 595-X014 - J&J CORDIS
FIO GUIA ATW 014 300 J 595Y014 - J&J CORDIS
CATETER DIAGNOSTICO 5F INFINITI TRALEFT TL5BL - J&J CORDIS
CATETER GUIA V.BRITE 5F/056/JL3.5 5560020L - J&J CORDIS
CATETER GUIA V.BRITE 5F/056/JL4 5560040L - J&J CORDIS
CATETER GUIA V.BRITE 5F/056/XB3.5 5560540L - J&J CORDIS
CATETER GUIA V.BRITE 5F/056/XB4 5560560L - J&J CORDIS
CATETER GUIA V.BRITE 5F/056/JR3.5 5560800L - J&J CORDIS
CATETER GUIA V.BRITE 5F/056/JR4 5560820L - J&J CORDIS
INTRODUTOR AVANTI PLS PED.4F 7,5CM 504604S - J&J CORDIS
INTRODUTOR AVANTI PLS PED.5F 7,5CM 504605S - J&J CORDIS
INTRODUTOR AVANTI PLS PED.6F 7,5CM 504606S - J&J CORDIS
FIO GUIA AGILITY STD 205CMX0,014" 614481 - J&J CODMAN
FIO GUIA AGILITY SOFT 205CMX0,014" 614482 - J&J CODMAN
FIO GUIA AGILITY STD XL 350CMX0,14" 614491 - J&J CODMAN
CATETER GUIA ENVOY MAX MPD 5FRX100CMX0,056" 55625800 - J&J CODMAN
CABO DIAGNOSTICO P/CATETER DECAPOLAR REDEL 180CM C6MRMST10SA - J&J CORDIS
CATETER ABLACAO DEFLECT.NAVISTAR 4MM CURVA E 7FR TC 115CM NS7TCEL174HS - J&J CORDIS
CABO INTERFACE CATETER NAVISTAR 4MM/THERMOCOOL P/CARTO XP 115CM C5MHNAVMHS - J&J CORDIS
INTRODUTOR PREFACE CURVA ANTERIOR 8FR 62CM 301803A - J&J CORDIS
INTRODUTOR PREFACE CURVA MULTIPORPOSE 8FR 62CM 301803M - J&J CORDIS
INTRODUTOR PREFACE CURVA MULTIPORPOSE SHORT 8FR 62CM 301803MS - J&J CORDIS
INTRODUTOR PREFACE CURVA POSTERIOR 8FR 62CM 301803P - J&J CORDIS
DILATADOR PERRY 7FR 138CM 301813S - J&J CORDIS
CATETER ABLACAO DEFLECT.IRRIGADO 3,5MM CURVA D 7FR TC 115CM CELSIUS THERMOCOOL DI7TCDLRT - J&J CORDIS
CATETER DIAGNOSTICO DEFLECT.10 POLOS DIAM.15MM 7FR 115CM LASSO D7L1015RT - J&J CORDIS
CATETER DIAGNOSTICO DEFLECT.10 POLOS DIAM.20MM 7FR 115CM D7L1020RT - J&J CORDIS
CATETER DIAGNOSTICO DEFLECT.10 POLOS DIAM.25MM 7FR 115CM DTL1025RT - J&J CORDIS
CATETER ABLACAO DEFLECT.IRRIGADO 3,5MM CURVA F 7FR TC 115CM CELSIUS THERMOCOOL DI7TCFLRT - J&J CORDIS
AFASTADOR P/OBESIDADE MORBIDA 01-1342 - EDLO
AFASTADOR AUTOESTATICO HENLEY AGUDO 14CM 01-1326 - EDLO
AFASTADOR AUTOESTATICO HENLEY AGUDO 16CM 01-1327 - EDLO
AFASTADOR AUTOESTATICO HENLEY ROMBO 14CM 01-1328 - EDLO
AFASTADOR AUTOESTATICO HENLEY ROMBO 16CM 01-1329 - EDLO
PINCA P/SHUNT CAROTIDA CURVA 16CM 07-0506 - EDLO
PINCA P/SHUNT CAROTIDA CURVA 17CM 07-0507 - EDLO
PINCA SATINSKI (BAKEY) 4,0CM BOCA OCLUSAO TANGENCIAL 26CM 07-1335 - EDLO
PINCA SEMB CURVA FRACA 24CM 03-1308 - EDLO
PORTA AGULHA C/VIDEA-HARDTIP CASTROVIEJO S/CREM.14CM 05-1332 - EDLO
PORTA AGULHA C/VIDEA-HARDTIP CASTROVIEJO S/CREM.17CM 05-1333 - EDLO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
131
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000046714
0000046715
0000046716
0000046717
0000046718
0000046719
0000046720
0000046721
0000046722
0000046723
0000046724
0000046725
0000046726
0000046727
0000046728
0000046729
0000046730
0000046731
0000046732
0000046733
0000046734
0000046735
0000046736
0000046737
0000046738
0000046739
0000046740
0000046741
0000046744
0000046745
0000046747
0000046748
0000046749
0000046750
0000046751
0000046752
0000046753
0000046754
0000046755
0000046756
0000046757
0000046758
0000046759
0000046760
0000046761
0000046762
0000046763
DESCRICAO
PORTA AGULHA C/VIDEA-HARDTIP CASTROVIEJO S/CREM.20CM 05-1334 - EDLO
MICRO PORTA-AGULHA C/VIDEA-HARDTIP C/CREM.14CM 05-1336 - EDLO
MICRO PORTA-AGULHA C/VIDEA-HARDTIP C/CREM.17CM 07-1337 - EDLO
MICRO PORTA-AGULHA C/VIDEA-HARDTIP C/CREM.20CM 05-1338 - EDLO
MICRO PORTA-AGULHA C/VIDEA-HARDTIP S/CREM.14CM 05-1339 - EDLO
MICRO PORTA-AGULHA C/VIDEA-HARDTIP S/CREM.17CM 05-1340 - EDLO
MICRO PORTA-AGULHA C/VIDEA-HARDTIP S/CREM.20CM 05-1341 - EDLO
ADAPTADOR P/CABO MONOPOLAR FEMEA/FEMEA 14.0447 - EDLO
ADAPTADOR P/CABO MONOPOLAR MACHO/FEMEA 14.0446 - EDLO
ADAPTADOR P/CABO MONOPOLAR MACHO/MACHO 14-0445 - EDLO
AFASTADOR ARTICULADO FLEXIVEL 5,0MM C/3 LAMINA 14.1535 - EDLO
AFASTADOR ARTICULADO FLEXIVEL 10,0MM C/5 LAMINA 14.1534 - EDLO
AGULHA/CANULA P/PNEUMOPERITONIO VERESS 8CM C/PROT.RET.SEG.14.1400 - EDLO
CABO P/PINCA MONOPOLAR AUTOCLAVAVEL 3,0MT MACHO-MACHO 14.1461 - EDLO
CANULA DISSECCAO C/ESPAT.C/CONEC.P/ELET.LONG.3,0MM 33CM 14.1530 - EDLO
CANULA DISSECCAO C/GANCHO ANG.RETO C/CONEC.P/ELET.LONG.3,0MM 33CM 14.1531 - EDLO
CANULA DISSECCAO C/GANCHO J C/VALV.PISTAO P/ELET.LONG.5,0MM 33CM 14.1009 - EDLO
CANULA DISSECCAO C/ESPAT.PED.C/CONEC.P/ELET.LONG.5,0MM 20CM 14.1421 - EDLO
CANULA DISSECCAO C/GANCHO J PED.C/CONEC.P/ELET.LONG.5,0MM 20CM 14.1422 - EDLO
CANULA DISSECCAO C/GANCHO ANG.RETO PED.C/CONEC.ELET.LONG.5,0MM 20CM 14.1424 - EDLO
CANULA DISSECCAO C/GANCHO ANG.RETO LONGO C/CONEC.ELET.LONG.5,0MM 42CM 14.1423 - EDLO
CANULA PUNCAO INJ.PED.AG.0,8MM DIAM.5,0MM 20CM 14.1457 - EDLO
EMPURRADOR NO ENDOLUP 5,0MM 36CM TP.TUBULAR 14.1402 - EDLO
EMPURRADOR NO ANGULADO 5,0MM 36CM 14.1538 - EDLO
PINCA BIPOLAR 1,0MM DIAM.BOCA C/CABO 5,0MM 36CM 14.1020 - EDLO
PINCA BIPOLAR P/OBESIDADE BOCA 3,0MM C/CABO 5,0MM 42CM 14.1462 - EDLO
PINCA APREENSAO BIPOLAR PED.C/CABO 5,0MM 20CM 14.1458 - EDLO
HASTE INTERNA PINCA BIPOLAR PED.MICRO SERRILHADA BOCA 3,0MM 20CM 14.1459 - EDLO
HASTE INTERNA P/PINCA ATRAUM.DISSEC.5,0MM 33CM 14.1543 - EDLO
HASTE INTERNA P/PINCA BABCOCK 5,0MM 33CM 14.1544 - EDLO
HASTE INTERNA P/PINCA APREENSAO 5,0MM 36CM 14.1546 - EDLO
HASTE INTERNA P/PINCA APREENSAO 2X4 DENTES 5,0MM 36CM 14.1547 - EDLO
HASTE INTERNA P/PINCA APREENSAO 4X4 DENTES 5,0MM 36CM 14.2236 - EDLO
HASTE INTERNA P/PINCA APREENSAO ESPECIAL 5,0MM 33CM 14.1549 - EDLO
HASTE INTERNA P/PINCA APREENSAO ESPECIAL 5,0MM 36CM 14.1550 - EDLO
HASTE INTERNA P/PINCA APREENSAO ESPECIAL 5,0MM 36CM 14.1551 - EDLO
HASTE INTERNA P/PINCA APREENSAO ALLIS 5,0MM 36CM 14.1552 - EDLO
HASTE INTERNA P/PINCA APREENSAO/EXTRACAO 5,0MM 36CM 14.1553 - EDLO
HASTE INTERNA P/PINCA DENTEADA SERRILHADA 5,0MM 36CM 14.1555 - EDLO
HASTE INTERNA P/PINCA FENESTRADA 5,0MM 36CM 14.1556 - EDLO
HASTE INTERNA P/PINCA FENESTRADA 5,0MM 36CM 14.1557 - EDLO
HASTE INTERNA P/PINCA MARYLAND 5,0MM 36CM 14.1558 - EDLO
HASTE INTERNA P/PINCA MIXTER DISSECCAO 5,0MM 36CM 14.1559 - EDLO
HASTE INTERNA P/PINCA BIOPSIA FORMA COLHER 1X1 DENTE 5,0MM 36CM 14.1560 - EDLO
HASTE INTERNA P/PINCA BIOPSIA TP.SACABOCADO 5,0MM 36CM 14.1561 - EDLO
PINCA BABCOCK PED.SERRILHA ISOL.C/CREM.DUPLA ACAO MANDIB.5,0MM 20CM 14.1463 - EDLO
HASTE INTERNA P/PINCA BABCOCK PED.5,0MM 20CM 14.1563 - EDLO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
132
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000046764
0000046765
0000046766
0000046778
0000046911
0000046912
0000046913
0000046914
0000046915
0000046916
0000046917
0000046918
0000046919
0000046920
0000046921
0000046922
0000046923
0000046924
0000046925
0000046941
0000046942
0000046943
0000046944
0000046945
0000046946
0000046947
0000046948
0000046967
0000046968
0000046969
0000046970
0000046971
0000046972
0000046973
0000046974
0000046975
0000046976
0000046977
0000046978
0000046979
0000046980
0000046981
0000046982
0000046983
0000046984
0000047021
0000047022
DESCRICAO
PINCA MIXTER DISSECCAO PED.ISOL.S/CREM.DUPLA ACAO MANDIB 5,0MM 20CM 14.1435 - EDLO
HASTE INTERNA P/PINCA MIXTER DISSECCAO PED.5,0MM 20CM 14.1564 - EDLO
HASTE INTERNA P/PINCA MIXTER DISSECCAO 5,0MM 33CM P.ATIVA 14.1565 - EDLO
CAMPO OPERATORIO ESTERIL RAYTEC PRE-LAVADO 30CMX30CM 5UNID C21030 - NEVE
AGULHA SUTURA CORT.TRIANG.B-02 12UNID ACUFIRM B.204.02 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.B-03 12UNID ACUFIRM B.204.03 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.B-04 12UNID ACUFIRM B.204.04 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.B-05 12UNID ACUFIRM B.204.05 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.B-06 12UNID ACUFIRM B.204.06 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.B-07 12UNID ACUFIRM B.204.07 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.B-08 12UNID ACUFIRM B.204.08 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.B-09 12UNID ACUFIRM B.204.09 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.B-10 12UNID ACUFIRM B.204.10 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.B-11 12UNID ACUFIRM B.204.11 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.B-12 12UNID ACUFIRM B.204.12 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.B-13 12UNID ACUFIRM B.204.13 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.B-14 12UNID ACUFIRM B.204.14 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.B-15 12UNID ACUFIRM B.204.15 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.B-16 12UNID ACUFIRM B.204.16 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.E-00 12UNID ACUFIRM E.320.00 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.E-000 12UNID ACUFIRM E.320.000 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.E-01 12UNID ACUFIRM E.320.01 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.E-02 12UNID ACUFIRM E.320.02 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.E-03 12UNID ACUFIRM E.320.03 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.E-04 12UNID ACUFIRM E.320.04 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.E-05 12UNID ACUFIRM E.320.05 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.E-06 12UNID ACUFIRM E.320.06 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.G-00 12UNID ACUFIRM G.212.00 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.G-000 12UNID ACUFIRM G.212.000 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.G-01 12UNID ACUFIRM G.212.01 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.G-02 12UNID ACUFIRM G.212.02 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.G-03 12UNID ACUFIRM G.212.03 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.G-04 12UNID ACUFIRM G.212.04 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.G-05 12UNID ACUFIRM G.212.05 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.G-06 12UNID ACUFIRM G.212.06 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.G-07 12UNID ACUFIRM G.212.07 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.G-08 12UNID ACUFIRM G.212.08 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.G-09 12UNID ACUFIRM G.212.09 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.G-10 12UNID ACUFIRM G.212.10 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.G-11 12UNID ACUFIRM G.212.11 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.G-12 12UNID ACUFIRM G.212.12 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.G-13 12UNID ACUFIRM G.212.13 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.G-14 12UNID ACUFIRM G.212.14 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.G-15 12UNID ACUFIRM G.212.15 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.G-16 12UNID ACUFIRM G.212.16 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.G-00 12UNID ACUFIRM G.312.00 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.G-000 12UNID ACUFIRM G.312.000 - CIRURGICA FERNANDES
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
133
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000047023
0000047024
0000047025
0000047026
0000047027
0000047028
0000047029
0000047030
0000047031
0000047032
0000047033
0000047034
0000047035
0000047036
0000047037
0000047038
0000047075
0000047077
0000047078
0000047079
0000047080
0000047081
0000047082
0000047083
0000047084
0000047105
0000047107
0000047108
0000047109
0000047110
0000047111
0000047112
0000047133
0000047137
0000047138
0000047139
0000047140
0000047141
0000047142
0000047143
0000047144
0000047216
0000047217
0000047218
0000047219
0000047221
0000047222
DESCRICAO
AGULHA SUTURA CILIND.ATRAUM.G-01 12UNID ACUFIRM G.312.01 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.G-02 12UNID ACUFIRM G.312.02 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.G-03 12UNID ACUFIRM G.312.03 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.G-04 12UNID ACUFIRM G.312.04 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.G-05 12UNID ACUFIRM G.312.05 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.G-06 12UNID ACUFIRM G.312.06 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.G-07 12UNID ACUFIRM G.312.07 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.G-08 12UNID ACUFIRM G.312.08 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.G-09 12UNID ACUFIRM G.312.09 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.G-10 12UNID ACUFIRM G.312.10 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.G-11 12UNID ACUFIRM G.312.11 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.G-12 12UNID ACUFIRM G.312.12 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.G-13 12UNID ACUFIRM G.312.13 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.G-14 12UNID ACUFIRM G.312.14 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.G-15 12UNID ACUFIRM G.312.15 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.G-16 12UNID ACUFIRM G.312.16 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PD-00 12UNID ACUFIRM PD.336.00 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PD-01 12UNID ACUFIRM PD.336.01 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PD-02 12UNID ACUFIRM PD.336.02 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PD-03 12UNID ACUFIRM PD.336.03 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PD-04 12UNID ACUFIRM PD.336.04 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PD-05 12UNID ACUFIRM PD.336.05 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PD-06 12UNID ACUFIRM PD.336.06 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PD-07 12UNID ACUFIRM PD.336.07 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PD-08 12UNID ACUFIRM PD.336.08 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PB-00 12UNID ACUFIRM PB.332.00 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PB-01 12UNID ACUFIRM PB.332.01 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PB-02 12UNID ACUFIRM PB.332.02 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PB-03 12UNID ACUFIRM PB.332.03 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PB-04 12UNID ACUFIRM PB.332.04 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PB-05 12UNID ACUFIRM PB.332.05 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PB-06 12UNID ACUFIRM PB.332.06 - CIRURGICA FERNANDES
STENT AUTOEXPANSIVEL SMART 9/40/120CM C09040MV - J&J CORDIS
TOBRANOM 3MG/ML SOL.OFT.5ML - - UNIAO QUIMICA
TOBRANOM 3MG/G POM.OFT.3,5G - - UNIAO QUIMICA
TOBRACORT 3+1MG/ML SUSP.OFT.5ML - UNIAO QUIMICA
TOBRACORT 3+1MG/G POM.OFT.3,5G - UNIAO QUIMICA
REGENOM POM.OFT.3,5G - UNIAO QUIMICA
VISIONOM 0,1+17MG/ML SOL.OFT.10ML - UNIAO QUIMICA
CETROLAC 5MG/ML SOL.OFT.5ML - UNIAO QUIMICA
TROPINOM 1% SOL.OFT.5ML - UNIAO QUIMICA
DEXAMETASONA GEN.0,1MG/ML ELIX.120ML - EMS GENERICOS
MEBENDAZOL GEN.100MG 6CPDS - EMS GENERICOS
SULFAMETOXAZOL+TRIMETOPRIMA GEN.40+8MG/ML SUSP.ORAL 100ML - EMS GENERICOS
SULFATO NEOMICINA+BACITRACINA GEN.5MG+250UI/G POM.15G - EMS GENERICOS
LORATADINA GEN.1MG/ML XPE.100ML - EMS GENERICOS
PARACETAMOL GEN.750MG 2BLX10CPDS - EMS GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
134
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000047223
0000047224
0000047225
0000047226
0000047227
0000047228
0000047229
0000047230
0000047231
0000047232
0000047234
0000047235
0000047236
0000047237
0000047238
0000047239
0000047240
0000047242
0000047243
0000047244
0000047245
0000047246
0000047247
0000047248
0000047251
0000047254
0000047269
0000047270
0000047271
0000047273
0000047274
0000047276
0000047277
0000047321
0000047322
0000047323
0000047324
0000047422
0000047425
0000047462
0000047473
0000047479
0000047487
0000047491
0000047492
0000047494
0000047495
DESCRICAO
BUTILBROMETO ESCOPOLAMINA+DIPIRONA SODICA GEN.6,67+333,4MG/ML SOL.ORAL 20ML - EMS GENERICOS
ACIDO ACETILSALICILICO GEN.500MG 20BLX10CPDS - EMS GENERICOS
CATETER P/OXIGENIO TP.OCULOS NEONATAL/INF.NR.06 - EMBRAMED
CATETER P/OXIGENIO TP.OCULOS NEONATAL/INF.NR.08 - EMBRAMED
CATETER P/OXIGENIO TP.OCULOS NEONATAL/INF.NR.10 - EMBRAMED
CATETER P/OXIGENIO TP.OCULOS NEONATAL/INF.NR.12 - EMBRAMED
ENDRONAX 70MG 4CPDS - ABBOTT SAUDE
PEGINTRON REDIPEN 108MCG 1SER.0,5ML - SCHERING PLOUGH
PEGINTRON REDIPEN 135MCG 1SER.0,5ML - SCHERING PLOUGH
PEGINTRON REDIPEN 162MCG 1SER.0,5ML - SCHERING PLOUGH
SONDA GASTRICA LEVINE NR.18 EMB.P.G.C. - CPL
SONDA RETAL NR.18 EMB.P.G.C. - CPL
SONDA URETRAL NR.06 EMB.P.G.C. - CPL
SONDA GASTRICA LEVINE NR.22 EMB.P.G.C. - CPL
SONDA ASPIRACAO TRAQUEAL NR.06 EMB.P.G.C. - CPL
SONDA ASPIRACAO TRAQUEAL NR.20 EMB.P.G.C. - CPL
SONDA NASOGASTRICA CURTA NR.06 EMB.P.G.C - CPL
SONDA RETAL NR.06 EMB.P.G.C. - CPL
SONDA RETAL NR.10 EMB.P.G.C. - CPL
SONDA RETAL NR.14 EMB.P.G.C. - CPL
SONDA RETAL NR.22 EMB.P.G.C. - CPL
SONDA RETAL NR.26 EMB.P.G.C. - CPL
SONDA RETAL NR.30 EMB.P.G.C. - CPL
SONDA URETRAL NR.18 EMB.P.G.C. - CPL
NIMESULIX 100MG 12CPDS - TEUTO BRAS
FLOGORAL 5MG/G CRM.DENTAL 70G - ACHE
LUVA ALTA INFUSAO P/PONTEIRA MICROTIP 3265 - ALCON
LUVA ALTA INFUSAO P/PONTEIRA STANDARD 3266 - ALCON
KIT CASSETE C/LINHAS I/A PONTEIRA P/FACOEMULSIFICACAO MAX VAC/STANDARD FLARED ABS 30G RETA 3114 - ALCON
PONTEIRA P/FACOEMULSIFICACAO STANDARD FLARED ABS 30G RETA 3117 - ALCON
PONTEIRA P/FACOEMULSIFICACAO STANDARD FLARED ABS 30G CURVA 3118 - ALCON
CILINDRO C3F8 P/TROCA FLUIDO-GASOSA PERFLUORPROPANO 20GRS 6372 - ALCON
CANULA INF.4MM P/OLEO SILICONE 1319 - ALCON
RETRATOR FLEXIVEL IRIS 1269 - ALCON
CANULA SUBRETINIANA SOFT TIP GRIESHABER 8121 - ALCON
CANULA SUBRETINIANA RETINAL NEEDLE GRIESHABER 3102 - ALCON
CANULA P/VISCO CANALOSTOMIA GRIESHABER 3155 - ALCON
PROVIVE 10MG/ML EMU.INJ.FA 20ML - - MEIZLER
MASCARA MED.CONCENTRACAO ADU.HUDSON - CNPH
KIT COLPOCITOLOGIA N/ESTERIL (ESPECULO/ESPATULA/ESCOVA) - KOLPLAST
CALTRATE 600+M 60CPDS - WYETH CONSUMER
TETRALYSAL 300MG 16CAPS - GALDERMA
FINASTIL 5MG 2BLX15CPDS REV. - SIGMA PHARMA
SIGMA-CLAV 400+57MG/5ML 70ML - SIGMA PHARMA
SIGMA-CLAV 500+125MG 3X6CPDS - SIGMA PHARMA
SUCRAFILM 1G 5X6CPDS - SIGMA PHARMA
SUCRAFILM 2G 20FLAC 10ML - SIGMA PHARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
135
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000047497
0000047501
0000047502
0000047505
0000047506
0000047507
0000047509
0000047510
0000047520
0000047521
0000047522
0000047523
0000047524
0000047527
0000047528
0000047530
0000047543
0000047553
0000047554
0000047555
0000047556
0000047558
0000047676
0000047677
0000047693
0000047694
0000047698
0000047700
0000047702
0000047703
0000047704
0000047706
0000047707
0000047708
0000047709
0000047710
0000047711
0000047712
0000047713
0000047714
0000047715
0000047716
0000047721
0000047722
0000047725
0000047726
0000047727
DESCRICAO
BIOTONICO FONTOURA N 400ML - COSMED
DIPRO AS POM.30GRS - - DELTA
DIPRO AS SOL.TOP.30ML - - DELTA
FENERGAN EXP.ADU.100ML - SANOFI-AVENTIS
FENERGAN EXP.PED.100ML - SANOFI-AVENTIS
LENTE INTRAOCULAR ACRILICA HIDROFIL.ASF.DOBRAVEL IOFLEX DIOP.10 A 30D PC UNICA - - MEDIPHACOS
ZOLOFT 100MG 14CPDS - PFIZER
TANAKAN 120MG 20CPDS REV. - ABBOTT
FUMARATO CETOTIFENO GEN.1MG 30ML - MEDLEY
TIOCONAZOL GEN.LOC.30GRS - MEDLEY
MELOXIGRAN 15MG 10CPDS - LEGRAND TARJARDOS
UNASYN 500/1000MG PO INJ CX 30FR - PFIZER
UNASYN 1000/2000MG PO INJ CX 30FR - PFIZER
IMPLANON 68MG 1SER. - SCHERING PLOUGH
CONTRACTUBEX GEL 20G - BIOLAB SANUS
SUPREMA 2+1MG 28CPDS REV. - BIOLAB SANUS
PENTASA 10MG/ML ENEMA RETAL 7FR 100ML - FERRING
OTOFOXIN 10ML - ZAMBON
ALBENDROX 200MG 2CPDS - ROYTON
ALBENDROX 400MG 1CPD - ROYTON
ALBENDROX SUSP.10ML - ROYTON
GLIBEXIL 5MG 30CPDS - ROYTON
CLORIDRATO SERTRALINA GEN.50MG 2X10CPDS - EUROFARMA
CLORIDRATO SERTRALINA GEN.50MG 2X14CPDS - EUROFARMA
CAMPO CIRURGICO 1,50X1,50MT C/REF./FITA ADESIVA 10001714 - LIFEMED
CAMPO CIRURGICO 1,50X2,20MT C/FENEST.13CM REF./ABSORV./FITA ADESIVA 10001695 - LIFEMED
EQUIPO P/MISTURA NPT HYPERFORMER V9900-02 - B.BRAUN
AEROFRIN XPE.120ML - PHARMASCIENCE
ALBENDAL 200MG 2CPDS - PHARMASCIENCE
ALBENDAL 400MG 1CPD - PHARMASCIENCE
ALBENDAL 400MG SUSP.10ML - PHARMASCIENCE
ANEMIFER GTS.30ML - PHARMASCIENCE
ANEMIFER XPE.100ML - PHARMASCIENCE
ANEMIFER 50DRGS - PHARMASCIENCE
APETIVAN B+C XPE.240ML - PHARMASCIENCE
BENZODERM SAB.60GRS - PHARMASCIENCE
BENZODERM SOL.100ML - PHARMASCIENCE
BIOFORTONICO 500ML - PHARMASCIENCE
BIOHEPATON SOL.ORAL 150ML - PHARMASCIENCE
BIOHEPATON 60FLAC 10ML - PHARMASCIENCE
DORALFLEX 12CPDS - PHARMASCIENCE
DORALFLEX 200CPDS - PHARMASCIENCE
ENTEROFTAL GTS.15ML - PHARMASCIENCE
ENTEROFTAL 20CPDS - PHARMASCIENCE
FLUCONAN 150MG 1CAP - PHARMASCIENCE
FLUCONAN 150MG 2CAPS - PHARMASCIENCE
FUROSEMIL 40MG 20CPDS - PHARMASCIENCE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
136
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000047728
0000047729
0000047730
0000047731
0000047732
0000047733
0000047742
0000047744
0000047746
0000047748
0000047749
0000047751
0000047752
0000047753
0000047754
0000047755
0000047756
0000047757
0000047758
0000047759
0000047761
0000047762
0000047767
0000047768
0000047769
0000047770
0000047771
0000047772
0000047773
0000047774
0000047779
0000047784
0000047785
0000047973
0000047974
0000048074
0000048077
0000048088
0000048089
0000048104
0000048105
0000048106
0000048108
0000048109
0000048110
0000048111
0000048112
DESCRICAO
GASTROFTAL MENTA 20PAST - PHARMASCIENCE
GASTROFTAL MENTA SUSP.240ML - PHARMASCIENCE
GASTROPEPT 20CPDS - PHARMASCIENCE
GASTROPEPT 150ML - PHARMASCIENCE
GINKGOMENIL 80MG 30CPDS - PHARMASCIENCE
FINEST 50CAPS - PHARMASCIENCE
NASORUB 40GRS - PHARMASCIENCE
NEOSALDOR 20DRGS - PHARMASCIENCE
OLEO MINERAL 100ML - PHARMASCIENCE
POLYDRAT 4ENV 27,9GRS - PHARMASCIENCE
POLYDRAT 50ENV 27,9GRS - PHARMASCIENCE
RESFEDRYL 20CAPS - PHARMASCIENCE
RESFEDRYL PED.GTS.20ML - PHARMASCIENCE
RESFEDRYL SOL.ORAL 100ML - PHARMASCIENCE
RITPRESS 12,5MG 15CPDS - PHARMASCIENCE
RITPRESS 12,5MG 30CPDS - PHARMASCIENCE
RITPRESS 25MG 15CPDS - PHARMASCIENCE
RITPRESS 25MG 30CPDS - PHARMASCIENCE
RITPRESS 50MG 15CPDS - PHARMASCIENCE
RITPRESS 50MG 30CPDS - PHARMASCIENCE
SORINAN ADU.30ML - PHARMASCIENCE
SORINAN INF.30ML - PHARMASCIENCE
TONGIFORT 600 30DRGS - PHARMASCIENCE
TONGIFORT 600 60DRGS - PHARMASCIENCE
TYLOL 200MG GTS.15ML - PHARMASCIENCE
TYLOL 750MG 20CPDS - PHARMASCIENCE
TYLOL 750MG 200CPDS - PHARMASCIENCE
VARITRAT 250MG 30CPDS - PHARMASCIENCE
VASOVIRIL 4CPDS - PHARMASCIENCE
VERRUGAN 15ML - PHARMASCIENCE
ZITROMICIN 500MG 3CPDS - PHARMASCIENCE
OS-CAL D 500MG 75CPDS REV. - SANOFI-AVENTIS
TANAKAN 80MG 20CPDS REV. - ABBOTT
AMOXICILINA GEN.500MG 21CAPS - SANVAL
DEXAMETASONA GEN.ELIX.120ML - SANVAL
GORRO TIRA BRANCA 100UNID O200101 - DESCARPACK
PRO-PE TNT BRANCA (PAR) O150101 - DESCARPACK
FLORAZIN 100MG 12CAPS - HERALD'S
FLORAZIN 200MG 4ENV 1GR - HERALD'S
AMIDALIN CER.25X4PAST - SANDOZ
AMIDALIN LAR.25X4PAST - SANDOZ
AMIDALIN MENTA 25X4PAST - SANDOZ
CETOHEXAL 200MG 10CPDS - HEXAL
CLARILERG 10MG 12CPDS - SANDOZ
LORSACOR 50MG 14CPDS - HEXAL
LORSACOR 50MG 28CPDS - HEXAL
MOVACOX 7,5MG 10CPDS - HEXAL
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
137
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000048113
0000048114
0000048117
0000048120
0000048121
0000048123
0000048124
0000048125
0000048126
0000048135
0000048139
0000048140
0000048141
0000048142
0000048143
0000048147
0000048148
0000048149
0000048150
0000048151
0000048152
0000048153
0000048163
0000048175
0000048176
0000048180
0000048181
0000048182
0000048183
0000048185
0000048186
0000048216
0000048217
0000048218
0000048225
0000048226
0000048228
0000048229
0000048246
0000048247
0000048248
0000048249
0000048250
0000048251
0000048252
0000048294
0000048514
DESCRICAO
MOVACOX 15MG 10CPDS - HEXAL
ALOPURINOL GEN.300MG 30CPDS - SANDOZ
CAPTOPRIL GEN.12,5MG 30CPDS - SANDOZ
MESILATO DOXAZOSINA GEN.2MG 10CPDS - SANDOZ
MESILATO DOXAZOSINA GEN.4MG 10CPDS - SANDOZ
LORATADINA GEN.10MG 12CPDS - SANDOZ
PIROXICAM GEN.20MG 10CPDS - SANDOZ
CLORIDRATO SOTALOL GEN.160MG 20CPDS - SANDOZ
CITRATO TAMOXIFENO GEN.10MG 30CPDS - SANDOZ
SINERGEN 5/20MG 30CAPS - BIOSINTETICA
MERTHIOLATE 10MG/ML SOL.TOP.FR.30ML - COSMED
ELETRODO P/MONITORIZACAO UNIVERSAL 50UNID 2560 - 3M BRASIL
ELETRODO P/MONITORIZACAO UNIVERSAL 50UNID 2570 - 3M BRASIL
PLACA ELETROCIRURGICA AUTO-ADES.UNIV.REM C/CABO 9165 - 3M BRASIL
SULFATO SALBUTAMOL GEN.0,4MG/ML XPE.100ML - UNIAO QUIMICA
CLORIDRATO SELEGILINA GEN.5MG 2X15CPDS - BIOSINTETICA
GLIBENCLAMIDA GEN.5MG 2X15CPDS - BIOSINTETICA
METILDOPA GEN.500MG 2X15CPDS - BIOSINTETICA
PIROXICAM GEN.20MG 15CAPS GEL - BIOSINTETICA
TARTARATO METOPROLOL GEN.100MG 2X15CPDS - BIOSINTETICA
UNIPROFEN 600MG 20DRGS - UNIAO QUIMICA
VASCER 400MG 20CPDS - UNIAO QUIMICA
FUMARATO CETOTIFENO GEN.1MG/5ML XPE.120ML - UNIAO QUIMICA
LORATAMED 12CPDS - CIMED
AMOXIMED 500MG/5ML SUSP.ORAL 150ML - CIMED
PROBENXIL 15MG/ML 20ML - CIMED
ULCEROCIN 150MG 20CPDS - CIMED
ULCEROCIN 300MG 20CPDS - CIMED
TRILEPTAL 300MG 60CPDS REV. - NOVARTIS
CABO EXTENSOR P/ECG OMNIMED C/5VIAS - DIMAVE
CONJUNTO RABICHOS OMIMED C/5VIAS ADU. - DIMAVE
LINHA P/CAPNOGRAFIA MICROSTREAM PACIENTE N/ENTUBADO ADU. - DIMAVE
LINHA P/CAPNOGRAFIA MICROSTREAM PACIENTE N/ENTUBADO PED. - DIMAVE
LINHA P/CAPNOGRAFIA MICROSTREAM PACIENTE ENTUBADO INF./NEONATO - DIMAVE
CABO P/DEBITO CARDIACO - DIMAVE
CABO EXTENSOR P/PRESSAO INVASIVA - DIMAVE
PLACA SUPORTE P/TRANSDUTOR PRESSAO INVASIVA - DIMAVE
FIXADOR P/SUPORTE TRANSDUTOR PRESSAO INVASIVA - DIMAVE
MANGUITO NEONATO 1 - DIMAVE
MANGUITO NEONATO 2 - DIMAVE
MANGUITO NEONATO 3 - DIMAVE
MANGUITO NEONATO 4 - DIMAVE
MANGUITO NEONATO 5 - DIMAVE
CATETER BALAO P/VALVOPLASTIA MITRAL 24FR KIT COMPLETO INOUE PTMC - CICLO MED
CATETER BALAO P/VALVOPLASTIA MITRAL 24FR INOUE IMS-24 - CICLO MED
BROMUC 10PCC 100AMP 3ML - ARISTON
CURATIVO CARVAO ATIVADO C/PRATA 6,5X9,5CM ACTISORB PLUS 25 10UNID MAP065 - SYSTAGENIX
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
138
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000048606
0000048607
0000049049
0000049050
0000049051
0000049052
0000049053
0000049054
0000049055
0000049056
0000049057
0000049067
0000049068
0000049069
0000049070
0000049071
0000049072
0000049073
0000049074
0000049075
0000049077
0000049080
0000049081
0000049082
0000049083
0000049085
0000049086
0000049087
0000049088
0000049089
0000049093
0000049101
0000049102
0000049105
0000049110
0000049111
0000049113
0000049115
0000049118
0000049119
0000049121
0000049122
0000049132
0000049133
0000049137
0000049176
0000049185
DESCRICAO
AMPICILINA GEN.50MG/ML SUSP.ORAL 60ML+CP.MED. - EUROFARMA
AMPICILINA GEN.500MG 12CAPS GEL.DURA - EUROFARMA
LAMINA BISTURI ESTERIL NR.10 100UNID FEATHER 4004.10 - CIRURGICA FERNANDES
LAMINA BISTURI ESTERIL NR.11 100UNID FEATHER 4004.11 - CIRURGICA FERNANDES
LAMINA BISTURI ESTERIL NR.12 100UNID FEATHER 4004.12 - CIRURGICA FERNANDES
LAMINA BISTURI ESTERIL NR.15 100UNID FEATHER 4004.15 - CIRURGICA FERNANDES
LAMINA BISTURI ESTERIL NR.20 100UNID FEATHER 4004.20 - CIRURGICA FERNANDES
LAMINA BISTURI ESTERIL NR.21 100UNID FEATHER 4004.21 - CIRURGICA FERNANDES
LAMINA BISTURI ESTERIL NR.22 100UNID FEATHER 4004.22 - CIRURGICA FERNANDES
LAMINA BISTURI ESTERIL NR.23 100UNID FEATHER 4004.23 - CIRURGICA FERNANDES
LAMINA BISTURI ESTERIL NR.24 100UNID FEATHER 4004.24 - CIRURGICA FERNANDES
BISTURI DESC.ESTERIL NR.10 FEATHER 4000.10 - CIRURGICA FERNANDES
BISTURI DESC.ESTERIL NR.11 FEATHER 4000.11 - CIRURGICA FERNANDES
BISTURI DESC.ESTERIL NR.12 FEATHER 4000.12 - CIRURGICA FERNANDES
BISTURI DESC.ESTERIL NR.15 FEATHER 4000.15 - CIRURGICA FERNANDES
BISTURI DESC.ESTERIL NR.20 FEATHER 4000.20 - CIRURGICA FERNANDES
BISTURI DESC.ESTERIL NR.21 FEATHER 4000.21 - CIRURGICA FERNANDES
BISTURI DESC.ESTERIL NR.22 FEATHER 4000.22 - CIRURGICA FERNANDES
BISTURI DESC.ESTERIL NR.23 FEATHER 4000.23 - CIRURGICA FERNANDES
BISTURI DESC.ESTERIL NR.24 FEATHER 4000.24 - CIRURGICA FERNANDES
BISTURI DESC.ESTERIL NR.11 DEEP LONGO FEATHER 4005.11 - CIRURGICA FERNANDES
LAMINA P/TRICOTOMIA 10UNID FEATHER 4001 - CIRURGICA FERNANDES
LANCETA PICADORA ESTERIL 200UNID FEATHER 4003 - CIRURGICA FERNANDES
LANCETA PICADORA ESTERIL 200UNID WILTEX LCW - CIRURGICA FERNANDES
LAMINA ACO INOX P/MICROTOMO N/ESTERIL 254X8X80MM P/TECIDO MACIO 50UNID FEATHER S-35 - CIRURGICA FERNANDES
REMOVEDOR N/ESTERIL LAMINA BISTURI C/CABO METAL 4444 - CIRURGICA FERNANDES
MICRO BISTURI P/OFTAL.EST.DESC.ANG.15GRAUS FEATHER 715 - CIRURGICA FERNANDES
MICRO BISTURI P/OFTAL.EST.DESC.ANG.22,5GRAUS FEATHER 722 - CIRURGICA FERNANDES
MICRO BISTURI P/OFTAL.EST.DESC.ANG.30GRAUS FEATHER 730 - CIRURGICA FERNANDES
MICRO BISTURI P/OFTAL.EST.DESC.ANG.45GRAUS FEATHER 745 - CIRURGICA FERNANDES
MICRO BISTURI P/OFTAL.EST.DESC.ANG.30GRAUS PROF.0,60MM FEATHER 7360G - CIRURGICA FERNANDES
MICRO BISTURI KERATOME FACOEM.ANG.45GRAUS 3,5MM FEATHER 7635B - CIRURGICA FERNANDES
MICRO BISTURI KERATOME FACOEM.ANG.45GRAUS 3,0MM UP FEATHER 7630BU - CIRURGICA FERNANDES
MICRO BISTURI KERATOME FACOEM.ANG.45GRAUS 3,2MM UP FEATHER 7632BU - CIRURGICA FERNANDES
MICRO BISTURI KERATOME ALARG.ANG.30GRAUS 5,1MM FEATHER 7651BR - CIRURGICA FERNANDES
MICRO BISTURI KERATOME ALARG.ANG.30GRAUS 5,7MM FEATHER 7657BR - CIRURGICA FERNANDES
MICRO BISTURI PTA.REDONDA ANG.45GRAUS 3,0MM FEATHER 7730B - CIRURGICA FERNANDES
MICRO BISTURI CRESC.BEVEL ANG.45GRAUS 2,6MM BI-BEVEL FEATHER 7926B - CIRURGICA FERNANDES
PROPIONATO CLOBETASOL GEN.0,5MG/G CRM.30GRS - EUROFARMA
PROPIONATO CLOBETASOL GEN.0,5MG/G POM.30GRS - EUROFARMA
FUROATO MOMETASONA GEN.CRM.20GRS - EUROFARMA
FUROATO MOMETASONA GEN.POM.20GRS - EUROFARMA
ULTRAVENT SISTEMA VENTILACAO RADIOAEROSOL BLIND. - COVIDIEN
ULTRAVENT SHIELD EQUIPAMENTO VENTILACAO PULMONAR - COVIDIEN
TENOXICAN GEN.40MG 50FA+DIL 2ML - EUROFARMA
CLORIDRATO DOXORRUBICINA GEN.50MG 1FA - EUROFARMA
NAOX 50AMP 1ML - EUROFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
139
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000049262
0000049269
0000049271
0000049274
0000049276
0000049277
0000049279
0000049283
0000049290
0000049291
0000049298
0000049299
0000049302
0000049303
0000049310
0000049311
0000049313
0000049322
0000049323
0000049324
0000049325
0000049326
0000049327
0000049328
0000049330
0000049333
0000049335
0000049336
0000049337
0000049338
0000049339
0000049340
0000049341
0000049342
0000049353
0000049354
0000049356
0000049357
0000049358
0000049359
0000049361
0000049362
0000049363
0000049365
0000049368
0000049389
0000049390
DESCRICAO
TENOXICAN GEN.20MG 50FA+DIL 2ML - EUROFARMA
FIXADOR LAMINA MICROTOMO ROTATIVO 50UNID FEATHER 130A - CIRURGICA FERNANDES
FIXADOR LAMINA MICROTOMO ROTATIVO/DESLIZANTE 50UNID FEATHER 160 - CIRURGICA FERNANDES
KIT CATETER DUPLO LUMEN P/HEMOD.PED.9FX12CM XTP-94MT MEDCOMP - MEDCORP
KIT CATETER DUPLO LUMEN SOFT LINE P/HEMOD.PED.7FX10CM T-74M MEDCOMP - MEDCORP
KIT CATETER SILICONE DUPLO LUMEN PED.P/HEMOD.8FX12CM SL-12P MEDCOMP - MEDCORP
KIT CATETER DUPLO LUMEN P/HEMOD.11FX15CM XTP-116MT MEDCOMP - MEDCORP
KIT CATETER DUPLO LUMEN P/HEMOD.11FX20CM XTP-118MT MEDCOMP - MEDCORP
KIT CATETER TRIPLO LUMEN P/HEMOD.11FX15CM XTP-3116MT MEDCOMP - MEDCORP
KIT CATETER TRIPLO LUMEN P/HEMOD.11FX20CM XTP-3118MT MEDCOMP - MEDCORP
KIT CATETER P/HEMOD.C/EXT.CURVA 11FX15CM XTP-116IJS MEDCOMP - MEDCORP
KIT CATETER P/HEMOD.C/EXT.CURVA 11FX20CM XTP-118IJS MEDCOMP - MEDCORP
KIT CATETER DUPLO LUMEN A.FLUXO 14FX15CM DFXL 146MTE MEDCOMP - MEDCORP
KIT CATETER DUPLO LUMEN A.FLUXO 14FX20CM DFXL 148MTE MEDCOMP - MEDCORP
KIT CATETER HEMOCATH DUPLO LUMEN SILIC.PED.8FX18CM SL-18P MEDCOMP - MEDCORP
KIT CATETER HEMOCATH DUPLO LUMEN SILIC.PED.8FX24CM SL-24P MEDCOMP - MEDCORP
KIT CATETER ASH-SPLIT LONGA PERMANENCIA C/FLUXO INDEPEN.10FRX24CM PED.MEDCOMP ASPC24P-XL - MEDCORP
KIT CATETER ASH-SPLIT LONGA PERMANENCIA C/FLUXO INDEPEN.14FRX24CM MEDCOMP ASPC24-3E - MEDCORP
KIT CATETER ASH-SPLIT LONGA PERMANENCIA C/FLUXO INDEPEN.14FRX28CM MEDCOMP ASPC28-3E - MEDCORP
KIT CATETER ASH-SPLIT LONGA PERMANENCIA C/FLUXO INDEPEN.14FRX32CM MEDCOMP ASPC32-3E - MEDCORP
KIT CATETER ASH-SPLIT LONGA PERMANENCIA C/FLUXO INDEPEN.14FRX36CM MEDCOMP ASPC36-3E - MEDCORP
KIT CATETER ASH-SPLIT LONGA PERMANENCIA C/FLUXO INDEPEN.14FRX55CM MEDCOMP ASPC55-3E - MEDCORP
FIO GUIA METALICO C/PTA."J" GATILHO 0,35"X70CM MC-35J MEDCOMP - MEDCORP
FIO GUIA METALICO C/PTA."J" GATILHO 0,38"X70CM MC-38J MEDCOMP - MEDCORP
INTRODUTOR AGULHA MC-52 MEDCOMP - MEDCORP
DISPOSITIVO RAULERSON C/AGULHA ROS 18 MEDCOMP - MEDCORP
CATETER P/DIALISE PERITONEAL TENCKHOFF RETO 2 CUFF 42CM MDC42S MEDCOMP - MEDCORP
CATETER P/DIALISE PERITONEAL TENCKHOFF RETO 2 CUFF 47CM MDC47S MEDCOMP - MEDCORP
CATETER P/DIALISE PERITONEAL TENCKHOFF RETO 1 CUFF 42CM MSC42S MEDCOMP - MEDCORP
CATETER P/DIALISE PERITONEAL TENCKHOFF RETO 1 CUFF 46CM MSC46S MEDCOMP - MEDCORP
CATETER P/DIALISE PERITONEAL TENCKHOFF RETO 2 CUFF PED.37CM MDC37S MEDCOMP - MEDCORP
CATETER P/DIALISE PERITONEAL TENCKHOFF RETO 2 CUFF NEON.31CM MDC31S MEDCOMP - MEDCORP
CATETER P/DIALISE PERITONEAL TENCKHOFF PED.RETO 1 CUFF 37CM MSC37S MEDCOMP - MEDCORP
CATETER P/DIALISE PERITONEAL TENCKHOFF NEON.RETO 1 CUFF 31CM MSC31S MEDCOMP - MEDCORP
KIT CATETER DUPLO LUMEN P/ACESSO VENOSO CENTRAL 7FX20CM MC2L-8S MEDCOMP - MEDCORP
KIT CATETER DUPLO LUMEN P/ACESSO VENOSO CENTRAL 7FX30CM MC2L-12S MEDCOMP - MEDCORP
KIT CATETER TRIPLO LUMEN P/ACESSO VENOSO CENTRAL 7FX20CM MC3L-8S MEDCOMP - MEDCORP
KIT CATETER TRIPLO LUMEN P/ACESSO VENOSO CENTRAL 7FX30CM MC3L-12S MEDCOMP - MEDCORP
KIT CATETER SINGLE LUMEN P/ACESSO VENOSO CENTRAL PED.20GAX13CM CSP-2005 MEDCOMP - MEDCORP
KIT CATETER SINGLE LUMEN P/ACESSO VENOSO CENTRAL PED.24GAX13CM CSP-2405 MEDCOMP - MEDCORP
KIT CATETER DUPLO LUMEN P/ACESSO VENOSO CENTRAL PED.4FX8CM MC2LP-38S MEDCOMP - MEDCORP
KIT CATETER DUPLO LUMEN P/ACESSO VENOSO CENTRAL PED.4FX13CM MC2LP-313S MEDCOMP - MEDCORP
KIT CATETER DUPLO LUMEN P/ACESSO VENOSO CENTRAL PED.4FX30CM MC2LP-330S MEDCOMP - MEDCORP
KIT CATETER DUPLO LUMEN P/ACESSO VENOSO CENTRAL PED.5FX13CM MC2LP-5S MEDCOMP - MEDCORP
KIT CATETER TRIPLO LUMEN P/ACESSO VENOSO CENTRAL PED.5,5FX13CM MC3LP-5S MEDCOMP - MEDCORP
KIT CATETER SINGLE LUMEN SEMI-IMPLANTAVEL SILICONE C/CUFF 6,0FX90CM SIC-6T MEDCOMP - MEDCORP
KIT CATETER SINGLE LUMEN SEMI-IMPLANTAVEL SILICONE C/CUFF 7,0FX90CM SIC-7T MEDCOMP - MEDCORP
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
140
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000049391
0000049396
0000049404
0000049405
0000049407
0000049409
0000049411
0000049412
0000049413
0000049414
0000049416
0000049417
0000049418
0000049419
0000049420
0000049421
0000049542
0000049543
0000049544
0000049545
0000049546
0000049548
0000049549
0000049550
0000049551
0000049552
0000049553
0000049554
0000049555
0000049556
0000049557
0000049558
0000049559
0000049560
0000049561
0000049562
0000049563
0000049564
0000049565
0000049566
0000049567
0000049568
0000049569
0000049570
0000049571
0000049578
0000049579
DESCRICAO
KIT CATETER SINGLE LUMEN SEMI-IMPLANTAVEL SILICONE C/CUFF 9,5FX90CM SIC-9T MEDCOMP - MEDCORP
KIT CATETER TRIPLO LUMEN HICKMAN 12,5FRX90CM MR28011231 - MEDCORP
DORMIRE 15MG 5AMP 3ML - CRISTALIA
DORMIRE 2MG/ML 12FR 10ML+12DOS. - CRISTALIA
FLUMAZIL 0,1MG/ML 5AMP 5ML - CRISTALIA
PROPOVAN 10MG/ML 5AMP 10ML - CRISTALIA
XYLESTESIN 2% GEL 10X10ML - CRISTALIA
HALO 10MG 20X10CPDS - CRISTALIA
RISPERIDON 1MG 2X10CPDS - CRISTALIA
MODELADOR NASAL C/TIRA FIXACAO 1171 - SILIMED
CETOCONAZOL GEN.20MG/G CRM.30GRS - CRISTALIA
CETOROLACO TROMETAMOL GEN.0,5% SOL.OFTAL.5ML - CRISTALIA
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.120ML - CRISTALIA
MEBENDAZOL GEN.100MG/5ML 30ML - CRISTALIA
NITRATO ISOCONAZOL GEN.10MG/G CRM.DERM.20GRS - CRISTALIA
TOBRAMICINA GEN.0,3% SOL.OFTAL.5ML - CRISTALIA
SONDA ENDOTRAQUEAL PVC "RX" EST.S/BAL.SILIC.ORAL/NASAL OLHO MURPHY 2,0MM SIMS-PORTEX 100.111.020 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.S/BAL.SILIC.ORAL/NASAL OLHO MURPHY 2,5MM SIMS-PORTEX 100.141.025 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.S/BAL.SILIC.ORAL/NASAL OLHO MURPHY 3,0MM SIMS-PORTEX 100.141.030 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.S/BAL.SILIC.ORAL/NASAL OLHO MURPHY 3,5MM SIMS-PORTEX 100.141.035 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.S/BAL.SILIC.ORAL/NASAL OLHO MURPHY 4,0MM SIMS-PORTEX 100.141.040 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.S/BAL.SILIC.ORAL/NASAL OLHO MURPHY 5,0MM SIMS-PORTEX 100.141.050 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.S/BAL.SILIC.ORAL/NASAL OLHO MURPHY 5,5MM SIMS-PORTEX 100.141.055 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.S/BAL.SILIC.ORAL/NASAL OLHO MURPHY 6,0MM SIMS-PORTEX 100.141.060 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.S/BAL.SILIC.ORAL/NASAL OLHO MURPHY 6,5MM SIMS-PORTEX 100.141.065 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.S/BAL.SILIC.ORAL/NASAL OLHO MURPHY 7,0MM SIMS-PORTEX 100.141.070 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.S/BAL.SILIC.ORAL/NASAL OLHO MURPHY 7,5MM SIMS-PORTEX 100.141.075 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.S/BAL.SILIC.ORAL/NASAL OLHO MURPHY 8,0MM SIMS-PORTEX 100.141.080 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.S/BAL.SILIC.ORAL/NASAL OLHO MURPHY 8,5MM SIMS-PORTEX 100.141.085 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.S/BAL.SILIC.ORAL/NASAL OLHO MURPHY 9,0MM SIMS-PORTEX 100.141.090 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.S/BAL.SILIC.ORAL/NASAL OLHO MURPHY 9,5MM SIMS-PORTEX 100.141.095 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.C/BAL.SOFT SEAL B.PRESSAO/A.VOL.MURPHY 5,0MM SIMS-PORTEX 100.199.050 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.C/BAL.SOFT SEAL B.PRESSAO/A.VOL.MURPHY 5,5MM SIMS-PORTEX 100.199.055 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.C/BAL.SOFT SEAL B.PRESSAO/A.VOL.MURPHY 6,0MM SIMS-PORTEX 100.199.060 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.C/BAL.SOFT SEAL B.PRESSAO/A.VOL.MURPHY 6,5MM SIMS-PORTEX 100.199.065 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.C/BAL.SOFT SEAL B.PRESSAO/A.VOL.MURPHY 7,0MM SIMS-PORTEX 100.199.070 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.C/BAL.SOFT SEAL B.PRESSAO/A.VOL.MURPHY 7,5MM SIMS-PORTEX 100.199.075 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.C/BAL.SOFT SEAL B.PRESSAO/A.VOL.MURPHY 8,0MM SIMS-PORTEX 100.199.080 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.C/BAL.SOFT SEAL B.PRESSAO/A.VOL.MURPHY 8,5MM SIMS-PORTEX 100.199.085 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.C/BAL.SOFT SEAL B.PRESSAO/A.VOL.MURPHY 9,0MM SIMS-PORTEX 100.199.090 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.C/BAL.SOFT SEAL B.PRESSAO/A.VOL.MURPHY 9,5MM SIMS-PORTEX 100.199.095 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.C/BAL.SOFT SEAL B.PRESSAO/A.VOL.MURPHY 10MM SIMS-PORTEX 100.199.100 - CIRURGICA FERNANDES
ESTILETE P/SONDA ENDOT.EST.225MM 2,5 A 4,5MM PED.SIMS-PORTEX 100.120.100 - CIRURGICA FERNANDES
ESTILETE P/SONDA ENDOT.EST.335MM 5,0 A 8,0MM ADU.SIMS-PORTEX 100.120.200 - CIRURGICA FERNANDES
ESTILETE P/SONDA ENDOT.EST.365MM 8,5 A 11MM ADU.SIMS-PORTEX 100.120.300 - CIRURGICA FERNANDES
FUNGIROX ESM.UNHA 6GRS - UCI-FARMA
RAPAMUNE 1MG 60DRGS - WYETH
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
141
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000049590
0000049591
0000049592
0000049593
0000049594
0000049595
0000049596
0000049597
0000049598
0000049599
0000049615
0000049616
0000049617
0000049618
0000049619
0000049620
0000049621
0000049622
0000049623
0000049624
0000049625
0000049626
0000049627
0000049628
0000049629
0000049630
0000049631
0000049672
0000049673
0000049674
0000049675
0000049676
0000049677
0000049678
0000049679
0000049681
0000049682
0000049683
0000049686
0000049687
0000049690
0000049702
0000049711
0000049712
0000049713
0000049714
0000049715
DESCRICAO
CANULA GUEDELL PVC ESTERIL DESC.NR.00 5,0MM SIMS-PORTEX 100.320.200 - CIRURGICA FERNANDES
CANULA GUEDELL PVC ESTERIL DESC.PED.NR.0 6,0MM SIMS-PORTEX 100.320.100 - CIRURGICA FERNANDES
CANULA GUEDELL PVC ESTERIL DESC.NR.01 7,0MM SIMS-PORTEX 100.320.010 - CIRURGICA FERNANDES
CANULA GUEDELL PVC ESTERIL DESC.NR.02 9,0MM SIMS-PORTEX 100.320.020 - CIRURGICA FERNANDES
CANULA GUEDELL PVC ESTERIL DESC.ADU.NR.03 10,0MM SIMS-PORTEX 100.320.030 - CIRURGICA FERNANDES
CANULA GUEDELL PVC ESTERIL DESC.NR.04 11,0MM SIMS-PORTEX 100.320.040 - CIRURGICA FERNANDES
CATETER EPIDURAL ESTERIL COMP.915MM 16G SIMS-PORTEX 100.382.116 - CIRURGICA FERNANDES
CATETER EPIDURAL ESTERIL COMP.915MM 18G SIMS-PORTEX 100.382.118 - CIRURGICA FERNANDES
CATETER C/AG.TUOHY 80MM 16G SIMS-PORTEX 100.394.116 - CIRURGICA FERNANDES
CATETER C/AG.TUOHY 80MM 18G SIMS-PORTEX 100.394.118 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA DESC.RX EST.S/BAL.C/CON.3,0MM SIMS-PORTEX 100.506.030 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA DESC.RX EST.S/BAL.C/CON.3,5MM SIMS-PORTEX 100.506.035 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA DESC.RX EST.S/BAL.C/CON.4,0MM SIMS-PORTEX 100.506.040 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA DESC.RX EST.S/BAL.C/CON.4,5MM SIMS-PORTEX 100.506.045 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA DESC.RX EST.S/BAL.C/CON.5,0MM SIMS-PORTEX 100.506.050 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA DESC.RX EST.S/BAL.C/CON.6,0MM SIMS-PORTEX 100.506.060 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA DESC.RX EST.S/BAL.C/CON.7,0MM SIMS-PORTEX 100.506.070 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA DESC.RX EST.S/BAL.C/CON.7,5MM SIMS-PORTEX 100.506.075 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA DESC.RX EST.S/BAL.C/CON.8,0MM SIMS-PORTEX 100.506.080 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA DESC.RX EST.S/BAL.C/CON.9,0MM SIMS-PORTEX 100.506.090 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA DESC.RX EST.S/BAL.C/CON.10,0MM SIMS-PORTEX 100.506.100 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA DESC.RX EST.C/BAL.C/CON.6,0MM SIMS-PORTEX 100.518.060 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA DESC.RX EST.C/BAL.C/CON.7,0MM SIMS-PORTEX 100.518.070 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA DESC.RX EST.C/BAL.C/CON.7,5MM SIMS-PORTEX 100.518.075 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA DESC.RX EST.C/BAL.C/CON.8,0MM SIMS-PORTEX 100.518.080 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA DESC.RX EST.C/BAL.C/CON.9,0MM SIMS-PORTEX 100.518.090 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA DESC.RX EST.C/BAL.C/CON.10,0MM SIMS-PORTEX 100.518.100 - CIRURGICA FERNANDES
TIOCONAZOL+TINIDAZOL GEN.CRM.35GRS+7APL - MEDLEY
TINIDAZOL+NITRATO MICONAZOL GEN.CRM.40GRS+7APL - MEDLEY
BROMAZEPAM GEN.3MG 2X10CPDS - MEDLEY
BROMAZEPAM GEN.3MG 3X10CPDS - MEDLEY
BROMAZEPAM GEN.6MG 2X10CPDS - MEDLEY
BROMAZEPAM GEN.6MG 3X10CPDS - MEDLEY
BROMOPRIDA GEN.4MG GTS.20ML - MEDLEY
BROMOPRIDA GEN.1MG 120ML - MEDLEY
ACICLOVIR GEN.CRM.DERM.10GRS - MEDLEY
CLORIDRATO AMBROXOL GEN.3MG 120ML - MEDLEY
CLORIDRATO AMBROXOL GEN.6MG 120ML - MEDLEY
CLAROFT 0,12MG/ML SOL.OFT.15ML - ALCON
CILODEX 3+1MG/G POM.OFT.3,5G - ALCON
BOLSA COLO/ILEO FECH.TRANSP.RECORT.15-60MM 5600 MC2000 - COLOPLAST
BOLSA COLO/ILEO FECH.OPACA RECORT.15-60MM 5700 MC2000 - COLOPLAST
MINI-CAP MC2000 FECH.OPACA PRE-CORT.40MM 5540 - COLOPLAST
MINI-CAP MC2000 FECH.OPACA PRE-CORT.60MM 5560 - COLOPLAST
BOLSA COLO/ILEO DREN.TRANSP.RECORT.15-60MM 5900 MC2000 - COLOPLAST
BOLSA COLO/ILEO DREN.TRANSP.PRE-CORT.20MM 5920 MC2000 - COLOPLAST
BOLSA COLO/ILEO DREN.TRANSP.PRE-CORT.25MM 5925 MC2000 - COLOPLAST
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
142
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000049716
0000049717
0000049718
0000049719
0000049720
0000049721
0000049722
0000049723
0000049725
0000049726
0000049727
0000049728
0000049729
0000049730
0000049731
0000049732
0000049739
0000049740
0000049755
0000049756
0000049757
0000049758
0000049759
0000049760
0000049766
0000049767
0000049780
0000049781
0000049782
0000049783
0000049784
0000049785
0000049792
0000049794
0000049795
0000049797
0000049800
0000049801
0000049802
0000049805
0000049809
0000049814
0000049815
0000049816
0000049835
0000049836
0000049839
DESCRICAO
BOLSA COLO/ILEO DREN.TRANSP.PRE-CORT.30MM 5930 MC2000 - COLOPLAST
BOLSA COLO/ILEO DREN.TRANSP.PRE-CORT.35MM 5935 MC2000 - COLOPLAST
BOLSA COLO/ILEO DREN.TRANSP.PRE-CORT.40MM 5940 MC2000 - COLOPLAST
BOLSA COLO/ILEO DREN.TRANSP.PRE-CORT.45MM 5945 MC2000 - COLOPLAST
BOLSA COLO/ILEO DREN.TRANSP.PRE-CORT.50MM 5950 MC2000 - COLOPLAST
BOLSA COLO/ILEO DREN.TRANSP.PRE-CORT.55MM 5955 MC2000 - COLOPLAST
BOLSA COLO/ILEO DREN.TRANSP.PRE-CORT.60MM 5960 MC2000 - COLOPLAST
BOLSA COLO/ILEO DREN.OPACA RECORT.15-60MM 6300 MC2000 - COLOPLAST
BOLSA COLO/ILEO DREN.OPACA PRE-CORT.25MM 6325 MC2000 - COLOPLAST
BOLSA COLO/ILEO DREN.OPACA PRE-CORT.30MM 6330 MC2000 - COLOPLAST
BOLSA COLO/ILEO DREN.OPACA PRE-CORT.35MM 6335 MC2000 - COLOPLAST
BOLSA COLO/ILEO DREN.OPACA PRE-CORT.40MM 6340 MC2000 - COLOPLAST
BOLSA COLO/ILEO DREN.OPACA PRE-CORT.45MM 6345 MC2000 - COLOPLAST
BOLSA COLO/ILEO DREN.OPACA PRE-CORT.50MM 6350 MC2000 - COLOPLAST
BOLSA COLO/ILEO DREN.OPACA PRE-CORT.55MM 6355 MC2000 - COLOPLAST
BOLSA COLO/ILEO DREN.OPACA PRE-CORT.60MM 6360 MC2000 - COLOPLAST
BOLSA MC2000 DREN.TRANSP.MINI RECORT.15-40MM 5810 MC2000 - COLOPLAST
BOLSA MC2000 DREN.TRANSP.GRD.RECORT.10-80MM 6100 MC2000 - COLOPLAST
BOLSA COLO/ILEO DREN.TRANSP.FLANGE 40MM 6541 MC2002 - COLOPLAST
BOLSA COLO/ILEO DREN.TRANSP.FLANGE 50MM 6551 MC2002 - COLOPLAST
BOLSA COLO/ILEO DREN.TRANSP.FLANGE 60MM 6561 MC2002 - COLOPLAST
BOLSA COLO/ILEO DREN.OPACA FLANGE 40MM 6542 MC2002 - COLOPLAST
BOLSA COLO/ILEO DREN.OPACA FLANGE 50MM 6552 MC2002 - COLOPLAST
BOLSA COLO/ILEO DREN.OPACA FLANGE 60MM 6562 MC2002 - COLOPLAST
BOLSA TRANSP.DREN.ABERT.70MM 6818 - COLOPLAST
BOLSA TRANSP.DREN.ABERT.100MM 6820 - COLOPLAST
BOLSA DRENAVEL TRANSP.FLANGE 60MM 375ML VAL.ANTI-REFL.4260 - COLOPLAST
BOLSA DRENAVEL OPACA FLANGE 40MM 375ML VAL.ANTI-REFL.4242 - COLOPLAST
SISTEMA CONSEAL OBTURADOR ABERT.20 A 35MM COMP.35MM 1435 - COLOPLAST
SISTEMA CONSEAL OBTURADOR ABERT.35 A 45MM COMP.35MM 1485 - COLOPLAST
SISTEMA CONSEAL OBTURADOR ABERT.20 A 35MM COMP.45MM 1445 - COLOPLAST
SISTEMA CONSEAL OBTURADOR ABERT.35 A 45MM COMP.45MM 1495 - COLOPLAST
KIT IRRIGACAO 1510 - COLOPLAST
MANGA IRRIGACAO 1003 - COLOPLAST
CONE IRRIGACAO 1110 - COLOPLAST
BOLSA REGULADORA IRRIGACAO 1511 - COLOPLAST
MANGA IRRIGACAO ABERT.50MM 1550 - COLOPLAST
MANGA IRRIGACAO ABERT.60MM 1560 - COLOPLAST
PINCA 9500 - COLOPLAST
CINTO SUPORTE P/ILESTOMIA 0402 - COLOPLAST
FILTRO AVULSO AUTO-ADES.0509 - COLOPLAST
PLACA PROTETORA CURAGARD 10X10 3210 - COLOPLAST
PLACA PROTETORA CURAGARD 15X15 3215 - COLOPLAST
PLACA PROTETORA CURAGARD 20X20 3220 - COLOPLAST
PASTA OSTOMIA 60GRS 2650 - COLOPLAST
STRIP PASTE 10X6GRS 2655 - COLOPLAST
LIMPADOR PELE 150ML 4710 - COLOPLAST
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
143
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000049841
0000049842
0000049843
0000049850
0000049851
0000049855
0000049856
0000049857
0000049861
0000049862
0000049863
0000049870
0000049871
0000049872
0000049873
0000049874
0000049875
0000049876
0000049877
0000049881
0000049882
0000049883
0000049884
0000049894
0000049895
0000049897
0000049898
0000049903
0000049904
0000049905
0000049906
0000049907
0000049908
0000049909
0000049910
0000049911
0000049912
0000049913
0000049914
0000049915
0000049916
0000049917
0000049918
0000049919
0000049920
0000049921
0000049922
DESCRICAO
PLACA FLANGE 40MM RECORT.15-35MM 13171 - COLOPLAST
PLACA FLANGE 50MM RECORT.25-35MM 13181 - COLOPLAST
PLACA FLANGE 60MM RECORT.35-55MM 13191 - COLOPLAST
BOLSA FECH.TRANSP.MAXI FLANGE 50MM 1687 - COLOPLAST
BOLSA FECH.TRANSP.MAXI FLANGE 60MM 1688 - COLOPLAST
BOLSA FECH.OPACA MAXI FLANGE 40MM 16810 - COLOPLAST
BOLSA FECH.OPACA MAXI FLANGE 50MM 16820 - COLOPLAST
BOLSA FECH.OPACA MAXI FLANGE 60MM 16830 - COLOPLAST
BOLSA DRENAVEL TRANSP.MAXI FLANGE 40MM 16960 - COLOPLAST
BOLSA DRENAVEL TRANSP.MAXI FLANGE 50MM 16970 - COLOPLAST
BOLSA DRENAVEL TRANSP.MAXI FLANGE 60MM 16980 - COLOPLAST
BOLSA DRENAVEL OPACA MAXI FLANGE 40MM 1691 - COLOPLAST
BOLSA DRENAVEL OPACA MAXI FLANGE 50MM 1692 - COLOPLAST
BOLSA DRENAVEL OPACA MAXI FLANGE 60MM 1693 - COLOPLAST
BOLSA URO TRANSPARENTE 150ML TAM.M C/FLANGE 40MM/VALV.ANTI-REFL.1751 - COLOPLAST
BOLSA URO TRANSPARENTE 150ML TAM.M C/FLANGE 50MM/VALV.ANTI-REFL.1752 - COLOPLAST
BOLSA URO TRANSP.MAXI FLANGE 40MM 375ML VAL.ANTI-REFL.1757 - COLOPLAST
BOLSA URO TRANSP.MAXI FLANGE 50MM 375ML VAL.ANTI-REFL.1758 - COLOPLAST
BOLSA URO TRANSP.MAXI FLANGE 60MM 375ML VAL.ANTI-REFL.1759 - COLOPLAST
CURATIVO HIDROCOLOIDE 10X10 ESTERIL COMFEEL 3213 - COLOPLAST
CURATIVO HIDROCOLOIDE 15X15 ESTERIL COMFEEL 3218 - COLOPLAST
CURATIVO HIDROCOLOIDE 20X20 ESTERIL COMFEEL 3223 - COLOPLAST
CURATIVO HIDROCOLOIDE 4X6 ESTERIL COMFEEL 3233 - COLOPLAST
CURATIVO HIDROGEL 15GRS PURILON 3900 - COLOPLAST
CURATIVO HIDROGEL 25GRS PURILON 3903 - COLOPLAST
CURATIVO ALGINATO ESTERIL 10X10 SEASORB SOFT 3710 - COLOPLAST
CURATIVO ALGINATO ESTERIL 15X15 SEASORB SOFT 3715 - COLOPLAST
CATETER URINARIO MASC.EXTERNO LATEX 2PCS (C/TIRA) DIAM.20MM CONVEEN URISHEAT 5120 - - COLOPLAST
CATETER URINARIO MASC.EXTERNO LATEX 2PCS (C/TIRA) DIAM.25MM CONVEEN URISHEAT 5125 - COLOPLAST
CATETER URINARIO MASC.EXTERNO LATEX 2PCS (C/TIRA) DIAM.30MM CONVEEN URISHEAT 5130 - COLOPLAST
CATETER URINARIO MASC.EXTERNO LATEX 2PCS (C/TIRA) DIAM.35MM CONVEEM URISHEAT 5135 - COLOPLAST
CATETER URINARIO MASC.EXTERNO LATEX 2PCS (C/TIRA) DIAM.40MM CONVEEN URISHEAT 5140 - COLOPLAST
CATETER URIN. MASC. LATEX 1PC (AUTO-ADESIVO)20MM CONVEEN URISHEAT 5212 - COLOPLAST
CATETER URIN.MASC.LATEX 1PC (AUTO-ADESIVO) DIAM.25MM CONVEEN URISHEAT 5200 - COLOPLAST
CATETER URIN. MASC. LATEX 1PC (AUTO-ADESIVO) DIAM.30MM CONVEEN URISHEAT 5205 - COLOPLAST
CATETER URINARIO MASC.EXTERNO LATEX 1PC (AUTO-ADESIVO) DIAM.35MM CONVEEN URISHEAT 5210 - COLOPLAST
CATETER URINARIO MASC.EXTERNO LATEX 1PC (AUTO-ADESIVO) DIAM.40MM CONVEEN URISHEAT 5215 - COLOPLAST
CATETER URINARIO MASC.EXTERNO N/LATEX 2PCS (C/TIRA) DIAM.20MM CONVEEN URISHEAT 5021 - COLOPLAST
CATETER URINARIO MASC.EXTERNO N/LATEX 2PCS (C/TIRA) DIAM.25MM CONVEEN URISHEAT 5025 - COLOPLAST
CATETER URINARIO MASC.EXTERNO N/LATEX 2PCS 2PCS (C/TIRA) DIAM.30MM CONVEEN URISHEAT 5030 - COLOPLAST
CATETER URINARIO MASC.EXTERNO N/LATEX 2PCS (C/TIRA) DIAM.35MM CONVEEN URISHEAT 5035 - COLOPLAST
CATETER URINARIO MASC.EXTERNO N/LATEX 2PCS (C/TIRA) DIAM.40MM CONVEEN URISHEAT 5040 - COLOPLAST
CATETER URINARIO MASC.EXTERNO N/LATEX 1PC (AUTO-ADESIVO) DIAM.20MM CONVEEN URISHEAT 5221 - COLOPLAST
CATETER URINARIO MASC.EXTERNO N/LATEX 1PC (AUTO-ADESIVO) DIAM.25MM CONVEEN URISHEAT 5225 - COLOPLAST
CATETER URINARIO MASC.EXTERNO N/LATEX 1PC (AUTO-ADESIVO) DIAM.30MM CONVEEN URISHEAT 5230 - COLOPLAST
CATETER URINARIO MASC.EXTERNO N/LATEX 1PC (AUTO-ADESIVO) DIAM.35MM CONVEEN URISHEAT 5235 - COLOPLAST
CATETER URINARIO MASC.EXTERNO N/LATEX 1PC (AUTO-ADESIVO) DIAM.40MM CONVEEN URISHEAT 5240 - COLOPLAST
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
144
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000049923
0000049924
0000049926
0000049927
0000049928
0000049929
0000049930
0000049931
0000049934
0000049935
0000049936
0000049937
0000049938
0000049939
0000049940
0000049942
0000049943
0000049950
0000049952
0000049954
0000049981
0000049986
0000050001
0000050109
0000050274
0000050277
0000050284
0000050356
0000050364
0000050365
0000050366
0000050367
0000050381
0000050382
0000050392
0000050393
0000050394
0000050395
0000050396
0000050397
0000050399
0000050409
0000050410
0000050413
0000050414
0000050415
0000050416
DESCRICAO
BOLSA CONVEEN 500ML P/PERNA SECURITY C/TUBO 25CM 5160 - COLOPLAST
BOLSA PERNA SECURITY+ TUBO 50CM 500ML CONVEEN 5161 - COLOPLAST
BOLSA PERNA SECURITY+ TUBO 50CM 500ML ESTERIL CONVEEN 5163 - COLOPLAST
BOLSA CONVEEN 350ML P/PERNA SECURITY C/TUBO 25CM 5164 - COLOPLAST
BOLSA PERNA SECURITY+ TUBO 50CM 350ML CONVEEN 5165 - COLOPLAST
BOLSA PERNA CONVEEN SECURITY+ 750ML C/TUBO 25CM 5166 - - COLOPLAST CONTINENCE
BOLSA PERNA SECURITY+ TUBO 50CM 750ML CONVEEN 5167 - COLOPLAST
BOLSA PERNA CONTORNO TUBO 45CM 600ML CONVEEN 5170 - COLOPLAST
BOLSA PERNA CONTORNO TUBO 45CM 600ML ESTERIL CONVEEN 5171 - COLOPLAST
CONJUNTO CATETER DUPLO J COOK 4.7FR 22/32CM C/FIO GUIA HOADRUN.HIDROFILICO 009500-GRAD RPC - HANDLE
BOLSA CONVEEN 600ML P/CONTORNO PERNA C/TUBO 5CM ESTERIL 5172 - COLOPLAST
BOLSA PERNA CONTORNO TUBO 30CM 600ML ESTERIL CONVEEN 5173 - COLOPLAST
BOLSA PERNA CONTORNO TUBO 45CM 800ML CONVEEN 5174 - COLOPLAST
BOLSA CAMA 1500ML CONVEEN 5062 - COLOPLAST
CONJUNTO CATETER DUPLO J COOK 6FR 22/32CM C/FIO GUIA HOADRUN.HIDROFILICO 009600-GRAD RPC - HANDLE
CONJUNTO CATETER DUPLO J COOK 7FR 22/32CM C/FIO GUIA HOADRUN.HIDROFILICO 009700-GRAD RPC - HANDLE
CATETER DUPLO J COOK 6FR 22/32CM 009600-B - - HANDLE
CATETER DUPLO J COOK 7FR 22/32CM C/POSICIONADOR 009700-R - HANDLE
CATETER DUPLO J COOK 7FR 28CM C/POSICIONADOR 009728-GRAD-R - HANDLE
FITA REAJUST.PERNA CONVEEN 5050 - COLOPLAST
CREME BARREIRA 60GRS 4720 - COLOPLAST
FELDENE 20MG 2X5SUPS - PFIZER
CESTA EXTRATORA CALCULO N/CIRCLE NITINOL 4,5FR 65CM NTSE-045065-UDH - HANDLE
CESTA EXTRATORA CALCULO CAPTURA 3,2FR 115CM 3FIO CE-332115 - HANDLE
FIO GUIA ROADRUNNER HIDR.NIT.0,038 INCH 145CM RFSPC-038145-0 - HANDLE
FIO GUIA ROADRUNNER HIDR.NIT.0,035 INCH 145CM RFSPC-035145-0 - HANDLE
AGULHA CORE BIOPSY USBIOPSY 16GAX10CM CBN1610 - - HANDLE
ELETRODO ESPUMA GEL SOLIDO 30MM PED.30UNID SKINTACT FS301 - CIRURGICA FERNANDES
PLACA ELETROCIRURGICA AUTO-ADES.ADU.RS01 SKINTACT - CIRURGICA FERNANDES
PLACA ELETROCIRURGICA AUTO-ADES.INF.RS02 SKINTACT - CIRURGICA FERNANDES
PLACA ELETROCIRURGICA AUTO-ADES.ADU.SIST.REM RS21 SKINTACT - CIRURGICA FERNANDES
PLACA ELETROCIRURGICA AUTO-ADES.INF.SIST.REM RS22 SKINTACT - CIRURGICA FERNANDES
CALSODADA 4,5KG MOLECULAR 77N26 - CIRURGICA FERNANDES
CALSODADA 20KG MOLECULAR 42L10A - CIRURGICA FERNANDES
SERINGA VIDRO GRADUADA INTERCAMBIAVEL BICO VIDRO LUER SLIP 1CC ARTI GLASS LG/1 - CIRURGICA FERNANDES
SERINGA VIDRO GRADUADA INTERCAMBIAVEL BICO VIDRO LUER SLIP 3CC ARTI GLASS LG/3 - CIRURGICA FERNANDES
SERINGA VIDRO GRADUADA INTERCAMBIAVEL BICO VIDRO LUER SLIP 5CC ARTI GLASS LG/5 - CIRURGICA FERNANDES
SERINGA VIDRO GRADUADA INTERCAMBIAVEL BICO VIDRO LUER SLIP 10CC ARTI GLASS LG/10 - CIRURGICA FERNANDES
SERINGA VIDRO GRADUADA INTERCAMBIAVEL BICO VIDRO LUER SLIP 20CC ARTI GLASS LG/20 - CIRURGICA FERNANDES
SERINGA VIDRO GRADUADA INTERCAMBIAVEL BICO VIDRO LUER SLIP 50CC ARTI GLASS LG/50 - CIRURGICA FERNANDES
SERINGA VIDRO GRADUADA INTERCAMBIAVEL BICO VIDRO LUER SLIP 100CC ARTI GLASS LG/100 - CIRURGICA FERNANDES
SERINGA VIDRO GRADUADA INTERCAMBIAVEL BICO METAL LUER LOCK 1CC ARTI GLASS LL/1 - CIRURGICA FERNANDES
SERINGA VIDRO GRADUADA INTERCAMBIAVEL BICO METAL LUER LOCK 3CC ARTI GLASS LL/3 - CIRURGICA FERNANDES
SERINGA VIDRO GRADUADA INTERCAMBIAVEL BICO METAL LUER LOCK 10CC ARTI GLASS LL/10 - CIRURGICA FERNANDES
SERINGA VIDRO GRADUADA INTERCAMBIAVEL BICO METAL LUER LOCK 20CC ARTI GLASS LL/20 - CIRURGICA FERNANDES
SERINGA VIDRO GRADUADA INTERCAMBIAVEL BICO METAL LUER LOCK 50CC ARTI GLASS LL/50 - CIRURGICA FERNANDES
SERINGA VIDRO GRADUADA INTERCAMBIAVEL BICO METAL LUER LOCK 100CC ARTI GLASS LL/100 - CIRURGICA FERNANDES
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
145
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000050420
0000050424
0000050431
0000050433
0000050435
0000050436
0000050437
0000050449
0000050453
0000050456
0000050465
0000050476
0000050483
0000050498
0000050501
0000050504
0000050509
0000050513
0000050517
0000050523
0000050529
0000050533
0000050536
0000050540
0000050541
0000050546
0000050551
0000050555
0000050559
0000050566
0000050570
0000050581
0000050586
0000050597
0000050602
0000050608
0000050614
0000050641
0000050656
0000050661
0000050664
0000050667
0000050671
0000050691
0000050692
0000050693
0000050717
DESCRICAO
ANDADOR ARTICULADO DOBRAVEL LUXO - DB001 - DILEPE
ANDADOR ARTICULADO DOBRAVEL C/RODIZIO LUXO.DB002 - DILEPE
BASTAO TRADICIONAL MADEIRA TAM.UNICO DB102 - DILEPE
BASTAO ALUMINIO TAM.UNICO DB108 - DILEPE
BASTAO ALUMINIO 4 PTA.TAM.UNICO DB221 - DILEPE
CADEIRA BANHO DB230 - DILEPE
COLCHAO CAIXA OVO DS010 - DILEPE
MULETA CANADENSE C/APOIO INJ.FIXO (PAR) DB210 - DILEPE
MULETA CANADENSE ARTICULADA (PAR) DB214 - DILEPE
MULETA AXILAR ALUMINIO (PAR) DB300 - DILEPE
MULETA AXILAR MADEIRA (PAR) DB310 - DILEPE
SALTO ORTOPEDICO P/GESSO DB507 - DILEPE
APOIO ANTI-EQUINO C/SUPORTE LATEX.DL021 - DILEPE
BOTA IMOBILIZADORA P/TORNOZELO LONGA.DL040 - DILEPE
CINTA C/APOIO METATARSIANO (PAR) DL050 - DILEPE
CINTA ELASTICA ABDOMINAL DL080 - DILEPE
CINTA ELASTICA C/BARBATANA FLEXIVEL DL085 - DILEPE
CINTA ELASTICA C/BARBATANA DURALUMINIO DL090 - DILEPE
CINTA ELASTICA LOMBAR DL100 - DILEPE
CINTA ELASTICA P/TRACAO HALLUX VALGO DL130 - DILEPE
COLAR CERVICAL AMERICANO/THOMAS DL160 - DILEPE
COLAR CERVICAL C/APOIO MENTONIANO DL165 - DILEPE
COLAR CERVICAL MINERVA DL170 - DILEPE
COLAR CERVICAL NOTURNO DL175 - DILEPE
COLAR CERVICAL PHILADELPHIA PEQ.DL180 - DILEPE
COLAR CERVICAL RESGATE DL182 - DILEPE
COLETE PUTTI BRIM ELAST.BAIXO DL220 - DILEPE
COLETE PUTTI BRIM ELAST.ALTO DL222 - DILEPE
COLETE PUTTI BRIM DL240 - DILEPE
ESPALDEIRA P/POSTURA BRIM DL280 - DILEPE
ESPALDEIRA SIMPLES ELAST.DL289 - DILEPE
FAIXA TORACICA 20CM DL310 - DILEPE
FUNDA HERNIA INGUINAL 80 A 115 DL340 - DILEPE
IMOBILIZADOR OITO P/CLAVICULA DL370 - DILEPE
IMOBILIZADOR JOELHO ARTICULADO 70CM DL387 - DILEPE
IMOBILIZADOR JOELHO FIXO 60CM.DL394 - DILEPE
IMOBILIZADOR PARCIAL JOELHO.DL399 - DILEPE
MUNHEQUEIRA SIMPLES .DL490 - DILEPE
SANDALIA GESSO DL530 - DILEPE
SANDALIA BARUK DL533 - DILEPE
SUPORTE ABDOMINAL LOMBAR DL540 - DILEPE
SUSPENSORIO PAVLIK DL542 - DILEPE
TALA C/TECIDO P/PUNHO DL550 - DILEPE
TALA PVC P/POLEGAR TAM.UNICO DL600 - DILEPE
TALA PVC PUNHO-MAO-DEDO TAM.UNICO DL602 - DILEPE
TALA PVC PUNHO/POLEGAR TAM.UNICO DL603 - DILEPE
TIRA SUB PATELAR TUBO DL690 - DILEPE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
146
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000050720
0000050726
0000050729
0000050731
0000050737
0000050742
0000050765
0000050769
0000050773
0000050808
0000050841
0000050912
0000051074
0000051075
0000051076
0000051077
0000051083
0000051084
0000051085
0000051086
0000051087
0000051088
0000051093
0000051094
0000051095
0000051103
0000051104
0000051108
0000051109
0000051110
0000051111
0000051136
0000051137
0000051138
0000051145
0000051146
0000051156
0000051157
0000051158
0000051159
0000051161
0000051162
0000051163
0000051164
0000051165
0000051166
0000051167
DESCRICAO
TIRA SUB PATELAR C/ALMOFADADA DL700 - DILEPE
TUTOR P/FRATURA UMERO DL730 - DILEPE
TUTOR PLAST.P/FRATURA DL740 - DILEPE
CINTA P/TENNIS ELBOW NEOPRENE DE450 - DILEPE
COXAL NEOPRENE DE110 - DILEPE
JOELHEIRA ARTICULADA NEOPRENE DE150 - DILEPE
MUNHEQUEIRA REGULAVEL NEOPRENE TAM.UNICO DE410 - DILEPE
TALA P/PUNHO NEOPRENE DE500 - DILEPE
TORNOZELEIRA NEOPRENE DE530 - DILEPE
CALCANHEIRA SILICONE P/ESPORAO (PAR) DH200 - DILEPE
PALMILHA SILICONE DH363 - DILEPE
COLCHAO CAIXA OVO INFLAVEL 1,90X0,87 DJ205 - DILEPE
BALAO DILATADOR ESOFAGICO C/GUIA FIXA CRE 10-11-12MM 180CM 5835 - BOSTON ENDOSCOPY
BALAO DILATADOR ESOFAGICO C/GUIA FIXA CRE 12-13,5-15MM 180CM 5836 - BOSTON ENDOSCOPY
BALAO DILATADOR ESOFAGICO C/GUIA FIXA CRE 15-16,5-18MM 180CM 5837 - BOSTON ENDOSCOPY
BALAO DILATADOR ESOFAGICO C/GUIA FIXA CRE 18-19-20MM 180CM 5838 - BOSTON ENDOSCOPY
BALAO DILATADOR ESOFAGICO C/GUIA MOVEL CRE 6-7-8MM 240CM 5845 - BOSTON ENDOSCOPY
BALAO DILATADOR ESOFAGICO C/GUIA MOVEL CRE 8-9-10MM 240CM 5846 - BOSTON ENDOSCOPY
BALAO DILATADOR ESOFAGICO C/GUIA MOVEL CRE 10-11-12MM 240CM 5847 - BOSTON ENDOSCOPY
BALAO DILATADOR ESOFAGICO C/GUIA MOVEL CRE 12-13,5-15MM 240CM 5848 - BOSTON ENDOSCOPY
BALAO DILATADOR ESOFAGICO C/GUIA MOVEL CRE 15-16,5-18MM 240CM 5849 - BOSTON ENDOSCOPY
BALAO DILATADOR ESOFAGICO C/GUIA MOVEL CRE 18-19-20MM 240CM 5850 - BOSTON ENDOSCOPY
KIT CATETER BALAO DILATADOR 6MMX4X75CM A.PRESSAO C/INS./MAN./TORN.2VIAS UROMAX ULTRA M0062251220 - BOSTON UROLOGY
KIT CATETER BALAO DILATADOR 8MMX4X75CM A.PRESSAO C/INS./MAN./TORN.2VIAS UROMAX ULTRA M0062251240 - BOSTON UROLOGY
KIT CATETER BALAO DILATADOR 5MMX10X75CM A.PRESSAO C/INS./MAN./TORN.2VIAS UROMAX ULTRA M0062251360 - BOSTON UROLOGY
PINCA P/MULTIPLA BIOPSIA 240CM MULTIBITE 1012 - BOSTON ENDOSCOPY
AGULHA P/ESCLEROSE 25G OPTIFLO 1175 - BOSTON ENDOSCOPY
PAPILOTOMO C/BALAO EXTRATOR PTA.LONGA STONETOME 20MM 3513 - BOSTON ENDOSCOPY
PAPILOTOMO TRIPLO LUMEN PTA.LONGA ULTRATOME XL 20MM 3591 - BOSTON ENDOSCOPY
PAPILOTOMO TRIPLO LUMEN PTA.CURTA ULTRATOME XL 30MM 3592 - BOSTON ENDOSCOPY
PAPILOTOMO TRIPLO LUMEN PTA.LONGA ULTRATOME XL 30MM 3593 - BOSTON ENDOSCOPY
FIO GUIA UROLOGICO 0,038''X145CM C/REVEST.PTFE RETO AMPLATZ SUPER STIFF M0066401061 - BOSTON UROLOGY
FIO GUIA UROLOGICO 0,035''X145CM C/REVEST.PTFE RETO AMPLATZ SUPER STIFF M0066401041 - BOSTON UROLOGY
FIO GUIA UROLOGICO 0,038''X145CM C/REVEST.PTFE ANG.AMPLATZ SUPER STIFF M0066401071 - BOSTON UROLOGY
MYLERAN 2MG 25CPDS(ICMS 0%) - GLAXOSMITH
WELLBUTRIN SR 150MG 30CPDS - GLAXOSMITH
COLETOR MATERIAL PERFURO-CORTANTE 7LTS - EMBRAMED
AMPICILINA GEN.500MG 12CAPS - SANDOZ
AZITROMICINA GEN.500MG 2CPDS - SANDOZ
AZITROMICINA GEN.500MG 3CPDS - SANDOZ
GABAPENTINA GEN.300MG 2X15CAPS - BIOSINTETICA
PENTOXIFILINA GEN.400MG 2X15CPDS - BIOSINTETICA
ECRAN LUMAX REG.LUZ VERDE 13X18CM (PAR) - CONTROLLER
ECRAN LUMAX REG.LUZ VERDE 18X24CM (PAR) - CONTROLLER
ECRAN LUMAX REG.LUZ VERDE 24X30CM (PAR) - CONTROLLER
ECRAN LUMAX REG.LUZ VERDE 30X40CM (PAR) - CONTROLLER
ECRAN LUMAX REG.LUZ VERDE 35X35CM (PAR) - CONTROLLER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
147
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000051168
0000051273
0000051304
0000051305
0000051306
0000051307
0000051308
0000051309
0000051310
0000051311
0000051312
0000051313
0000051314
0000051315
0000051316
0000051317
0000051318
0000051319
0000051320
0000051321
0000051322
0000051323
0000051324
0000051325
0000051326
0000051327
0000051328
0000051329
0000051330
0000051331
0000051332
0000051333
0000051334
0000051345
0000051346
0000051347
0000051348
0000051349
0000051350
0000051351
0000051352
0000051353
0000051354
0000051355
0000051356
0000051357
0000051358
DESCRICAO
ECRAN LUMAX REG.LUZ VERDE 35X43CM (PAR) - CONTROLLER
CLIP MACKENZIE 100UNID DIENER 229200.10 - CIRURGICA FERNANDES
TELA TITANIO 85X50X0,2MM 1,5MM W.LORENZ 01-7340 - INTERMEDIC
TELA TITANIO 202X127X0,2MM 1,5MM W.LORENZ 01-7341 - INTERMEDIC
PARAFUSO CTR-DRV 1,0X2MM W.LORENZ 01-7372 - INTERMEDIC
PARAFUSO CTR-DRV 1,0X3MM W.LORENZ 01-7373 - INTERMEDIC
PARAFUSO CTR-DRV 1,0X4MM W.LORENZ 01-7374 - INTERMEDIC
PARAFUSO CTR-DRV 1,0X5MM W.LORENZ 01-7375 - INTERMEDIC
PARAFUSO CTR-DRV 1,0X6MM W.LORENZ 01-7376 - INTERMEDIC
PARAFUSO CTR-DRV 1,0X7MM W.LOERNZ 01-7377 - INTERMEDIC
PARAFUSO EMERGENCIA 1,2X3MM W.LORENZ 01-7383 - INTERMEDIC
PARAFUSO EMERGENCIA 1,2X5MM W.LORENZ 01-7385 - INTERMEDIC
PLACA RETA 4FUROS REGULAR 1,0MM W.LORENZ 01-7504 - INTERMEDIC
PLACA RETA 16FUROS 1,0MM W.LORENZ 01-7516 - INTERMEDIC
PLACA RETA 24FUROS 1,0MM W.LORENZ 01-7524 - INTERMEDIC
PLACA "L" DIR.REGULAR 5FUROS W.LORENZ 01-7530 - INTERMEDIC
PLACA "L" ESQ.REGULAR 5FUROS W.LORENZ 01-7531 - INTERMEDIC
PLACA "L" DIR.REGULAR 8FUROS W.LORENZ 01-7532 - INTERMEDIC
PLACA "L" ESQ.REGULAR 8FUROS W.LOTENZ 01-7533 - INTERMEDIC
PLACA "T" REGULAR 5FUROS 1,0MM W.LORENZ 01-7540 - INTERMEDIC
PLACA "T" REGULAR 7FUROS 1,0MM W.LORENZ 01-7541 - INTERMEDIC
PLACA "T" DUPLO REGULAR 11FUROS W.LORENZ 01-7548 - INTERMEDIC
PLACA "Y" REGULAR 6FUROS 1,0MM W.LORENZ 01-7550 - INTERMEDIC
PLACA "Y" DUPLO REGULAR 6FUROS 1,0MM W.LORENZ 01-7560 - INTERMEDIC
PLACA "Y" DUPLO REGULAR 7FUROS 1,0MM W.LORENZ 01-7562 - INTERMEDIC
PLACA ORBITAL CURVA 8FUROS 1,0MM W.LORENZ 01-7568 - INTERMEDIC
PLACA QUADRADA 4FUROS 1,0MM W.LORENZ 01-7570 - INTERMEDIC
PLACA MATRIX 6FUROS 1,0MM W.LORENZ 01-7572 - INTERMEDIC
PLACA MATRIX 8FUROS 1,0MM W.LORENZ 01-7574 - INTERMEDIC
PLACA BUR PEQ.13X0,5MM W.LORENZ 01-7576 - INTERMEDIC
PLACA BUR GRD.17X0,5MM W.LORENZ 01-7578 - INTERMEDIC
TELA TITANIO REGULAR 83X51X0,6MM W.LORENZ 01-7580 - INTERMEDIC
TELA TITANIO REGULAR 83X51X0,3MM W.LORENZ 01-7585 - INTERMEDIC
PLACA "L" ESQ.REGULAR 6FUROS W.LORENZ 01-7030 - INTERMEDIC
PLACA "L" DIR.REGULAR 6FUROS W.LORENZ 01-7031 - INTERMEDIC
PLACA "L" ESQ.100GRAUS MED.6FUROS W.LORENZ 01-7032 - INTERMEDIC
PLACA "L" DIR.100GRAUS MED.6FUROS W.LORENZ 01-7033 - INTERMEDIC
PLACA "L" ESQ.100GRAUS LONGA 6FUROS W.LORENZ 01-7034 - INTERMEDIC
PLACA "L" DIR.100GRAUS LONGA 6FUROS W.LORENZ 01-7035 - INTERMEDIC
PLACA "L" ESQ.EXTRA-LONGA 6FUROS W.LORENZ 01-7036 - INTERMEDIC
PLACA "L" DIR.EXTRA-LONGA 6FUROS W.LORENZ 01-7037 - INTERMEDIC
PLACA RETA REGULAR 4FUROS 1,5MM W.LORENZ 01-7040 - INTERMEDIC
PLACA RETA MED.4FUROS 1,5MM W.LORENZ 01-7045 - INTERMEDIC
PLACA RETA LONGA 4FUROS 1,5MM W.LORENZ 01-7047 - INTERMEDIC
PLACA RETA EXTRA-LONGA 4FUROS 1,5MM W.LORENZ 01-7048 - INTERMEDIC
PLACA RETA REGULAR 6FUROS 1,5MM W.LORENZ 01-7050 - INTERMEDIC
PLACA RETA MED.6FUROS 1,5MM 01-7055 - - INTERMEDIC
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
148
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000051359
0000051361
0000051362
0000051364
0000051365
0000051368
0000051369
0000051372
0000051373
0000051378
0000051379
0000051382
0000051383
0000051384
0000051385
0000051388
0000051389
0000051390
0000051391
0000051392
0000051393
0000051394
0000051395
0000051396
0000051397
0000051398
0000051399
0000051400
0000051401
0000051402
0000051403
0000051405
0000051408
0000051409
0000051410
0000051411
0000051412
0000051414
0000051415
0000051416
0000051417
0000051419
0000051420
0000051421
0000051422
0000051423
0000051426
DESCRICAO
PLACA RETA LONGA 6FUROS 1,5MM W.LORENZ 01-7057 - INTERMEDIC
PLACA RETA REGULAR 8FUROS 1,5MM W.LORENZ 01-7062 - INTERMEDIC
PLACA RETA REGULAR 16FUROS 1,5MM W.LORENZ 01-7066 - INTERMEDIC
PLACA "L" ESQ.REGULAR 4FUROS W.LORENZ 01-7070 - INTERMEDIC
PLACA "L" DIR.REGULAR 4FUROS W.LORENZ 01-7071 - INTERMEDIC
PLACA "L" ESQ.MED.4FUROS W.LORENZ 01-7074 - INTERMEDIC
PLACA "L" DIR.MED.4FUROS W.LORENZ 01-7075 - INTERMEDIC
PLACA L/E LONGA 4FUROS W.LORENZ 01-7078 - INTERMEDIC
PLACA "L" DIR.LONGA 4FUROS W.LORENZ 01-7079 - INTERMEDIC
PLACA Z ESQUERDA MED.4FUROS 1,5MM 01-7085 - - INTERMEDIC
PLACA Z DIREITA MED.4FUROS 1,5MM 01-7086 - - INTERMEDIC
PLACA T REGULAR 90GRAUS 06FUROS 1,5MM 01-7090 - - INTERMEDIC
PLACA "T" DUPLO REGULAR 4FUROS 1,5MM W.LORENZ 01-7091 - INTERMEDIC
PLACA "T" DUPLO MED.4FUROS 1,5MM W.LORENZ 01-7092 - INTERMEDIC
PLACA "T" DUPLO LONGA 4FUROS 1,5MM W.LORENZ 01-7093 - INTERMEDIC
PLACA "T" REGULAR 90GRAUS 14FUROS 1,5MM W.LORENZ 01-7096 - INTERMEDIC
PLACA "Y" REGULAR 5FUROS 1,5MM W.LORENZ 01-7100 - INTERMEDIC
PLACA "Y" LONGA 5FUROS 1,5MM W.LORENZ 01-7102 - INTERMEDIC
PLACA "Y" EXTRA-LONGA 5FUROS 1,5MM W.LORENZ 01-7104 - INTERMEDIC
PLACA "Y" DUPLO REGULAR 6FUROS 1,5MM W.LORENZ 01-7110 - INTERMEDIC
PLACA "Y" DUPLO LONGA 6FUROS 1,5MM W.LORENZ 01-7112 - INTERMEDIC
PLACA "Y" DUPLO EXTRA-LONGA 6FUROS 1,5MM W.LORENZ 01-7114 - INTERMEDIC
PLACA "X" REGULAR 4FUROS 1,5MM W.LORENZ 01-7120 - INTERMEDIC
PLACA ORBITAL CURVA 6FUROS 1,5MM W.LORENZ 01-7126 - INTERMEDIC
PLACA ORBITAL CURVA 8FUROS 1,5MM W.LORENZ 01-7128 - INTERMEDIC
PLACA ORBITAL CURVA 10FUROS 1,5MM W.LORENZ 01-7130 - INTERMEDIC
PLACA QUADRADA 4FUROS 1,5MM W.LORENZ 01-7131 - INTERMEDIC
PLACA TRIANGULAR 3FUROS 1,5MM W.LORENZ 01-7132 - INTERMEDIC
PLACA "H" REGULAR W.LORENZ 01-7135 - INTERMEDIC
PLACA MATRIX 6FUROS 1,5MM W.LORENZ 01-7136 - INTERMEDIC
PLACA MATRIX 8FUROS 1,5MM W.LORENZ 01-7137 - INTERMEDIC
TELA TITANIO 85X53X0,6MM 01-7182 - - INTERMEDIC
PARAFUSO CTR-DRV 1,5X3,5MM W.LORENZ 01-7203 - INTERMEDIC
PARAFUSO CTR-DRV 1,5X4MM W.LORENZ 01-7204 - INTERMEDIC
PARAFUSO CTR-DRV 1,5X5MM W.LORENZ 01-7205 - INTERMEDIC
PARAFUSO CTR-DRV 1,5X6MM W.LORENZ 01-7206 - INTERMEDIC
PARAFUSO CTR-DRV 1,5X7MM W.LORENZ 01-7207 - INTERMEDIC
PARAFUSO CTR-DRV 1,5X9MM W.LORENZ 01-7209 - INTERMEDIC
PARAFUSO CTR-DRV 1,5X11MM W.LORENZ 01-7211 - INTERMEDIC
PARAFUSO CTR-DRV 1,5X13MM W.LORENZ 01-7213 - INTERMEDIC
PARAFUSO CTR-DRV 1,5X15MM W.LORENZ 01-7215 - INTERMEDIC
PARAFUSO EMERGENCIA 1,8X5MM W.LORENZ 01-7225 - INTERMEDIC
PARAFUSO EMERGENCIA 1,8X7MM W.LORENZ 01-7227 - INTERMEDIC
PLACA BUR PEQ.13MM W.LORENZ 01-7306 - INTERMEDIC
PLACA BUR GRD.18,5MM W.LORENZ 01-7308 - INTERMEDIC
PLACA BUR EXTRA-GRD.22MM W.LORENZ 01-7309 - INTERMEDIC
PLACA NEURO RETA MED.2FUROS 1,5MM W.LORENZ 01-7345 - INTERMEDIC
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
149
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000051427
0000051428
0000051429
0000051430
0000051431
0000051432
0000051433
0000051434
0000051435
0000051436
0000051437
0000051438
0000051439
0000051440
0000051441
0000051442
0000051447
0000051451
0000051452
0000051453
0000051454
0000051455
0000051456
0000051457
0000051458
0000051459
0000051460
0000051461
0000051468
0000051471
0000051472
0000051474
0000051475
0000051476
0000051477
0000051478
0000051480
0000051484
0000051485
0000051486
0000051487
0000051488
0000051491
0000051494
0000051495
0000051496
0000051497
DESCRICAO
PLACA NEURO RETA LONGA 2FUROS 1,5MM W.LORENZ 01-7347 - INTERMEDIC
PLACA NEURO GAP PEQ.1,5MM W.LORENZ 01-7351 - INTERMEDIC
PLACA NEURO GAP MED.1,5MM W.LORENZ 01-7353 - INTERMEDIC
PLACA NEURO GAP GRD.1,5MM W.LORENZ 01-7355 - INTERMEDIC
PLACA NEURO GAP QUADRADA 4FUROS 1,5MM W.LORENZ 01-7357 - INTERMEDIC
PLACA NEURO GAP RETANGULAR 4FUROS 1,5MM W.LORENZ 01-7359 - INTERMEDIC
PLACA NEURO SUB-TEMPORAL PEQ.1,5MM W.LORENZ 01-7361 - INTERMEDIC
PLACA NEURO SUB-TEMPORAL GRD.W.LORENZ 01-7363 - INTERMEDIC
PLACA PAULUS 02MM 01-6358 - - INTERMEDIC
PLACA P/MENTO PAULUS 4MM W.LORENZ 01-6360 - INTERMEDIC
PLACA P/MENTO PAULUS 6MM W.LORENZ 01-6362 - INTERMEDIC
PLACA P/MENTO PAULUS 8MM W.LORENZ 01-6364 - INTERMEDIC
PLACA P/MENTO PAULUS 10MM W.LORENZ 01-6366 - INTERMEDIC
PLACA PAULUS 12MM 01-6368 - - INTERMEDIC
PLACA PAULUS 14MM 01-6370 - - INTERMEDIC
PLACA PAULUS 16MM 01-6372 - - INTERMEDIC
PLACA CHIN 10MM 01-6460 - - INTERMEDIC
PARAFUSO CROSS-DRV 2,0X4MM W.LORENZ 01-7604 - INTERMEDIC
PARAFUSO CROSS-DRV 2,0X5MM W.LORENZ 01-7605 - INTERMEDIC
PARAFUSO CROSS-DRV 2,0X7MM W.LORENZ 01-7607 - INTERMEDIC
PARAFUSO CROSS-DRV 2,0X9MM W.LORENZ 01-7609 - INTERMEDIC
PARAFUSO CROSS DRIVE 2X11MM 01-7611 - - INTERMEDIC
PARAFUSO CROSS DRIVE 2X13MM 01-7613 - - INTERMEDIC
PARAFUSO CROSS DRIVE 2X15MM 01-7615 - - INTERMEDIC
PARAFUSO CROSS-DRV 2,0X17MM W.LORENZ 01-7617 - INTERMEDIC
PARAFUSO CROSS-DRV 2,0X19MM W.LORENZ 01-7619 - INTERMEDIC
PARAFUSO EMERGENCIA C.DR.2,3X5MM W.LORENZ 01-7625 - INTERMEDIC
PARAFUSO EMERGENCIA C.DR.2,3X7MM W.LORENZ 01-7627 - INTERMEDIC
PLACA RETA 4FUROS MED.2,0MM W.LORENZ 01-8010 - INTERMEDIC
PLACA ORBITAL CURVA 6FUROS 2,0MM W.LORENZ 01-8018 - INTERMEDIC
PLACA ORBITAL CURVA 8FUROS W.ORENZ 01-8019 - INTERMEDIC
PLACA "L" DIR.REGULAR 4FUROS LP W.LORENZ 01-8052 - INTERMEDIC
PLACA "L" ESQ.REGULAR 4FUROS LP W.LORENZ 01-8053 - INTERMEDIC
PLACA L DIREITA LONGA 4FUROS LP2MM 01-8054 - - INTERMEDIC
PLACA L ESQUERDA LONGA 4FUROS LP 2MM 01-8055 - - INTERMEDIC
PLACA L DIREITA EXTRA LONGA 5FUROS 2MM 01-8057 - - INTERMEDIC
PLACA "T" REGULAR 90GRAUS 6FUROS LP 2,0MM W.LORENZ 01-8060 - INTERMEDIC
PLACA BUR PEQ.13X0,5 W.LORENZ 01-8066 - INTERMEDIC
PLACA BUR GRD.17X0,5 W.LORENZ 01-8068 - INTERMEDIC
PLACA Y REGULAR 5FUROS LP 2MM 01-8070 - - INTERMEDIC
PLACA Y LONGA 5FUROS LP 2MM 01-8071 - - INTERMEDIC
PLACA "Y" DUPLO REGULAR 6FUROS LP 2,0MM W.LORENZ 01-8072 - INTERMEDIC
PLACA "Y" MED.5FUROS 2,0MM W.LORENZ 01-8076 - INTERMEDIC
PLACA Z ESQUERDA REGULAR 4FUROS 2MM 01-8081 - - INTERMEDIC
PLACA Z DIRETA REGULAR 4FUROS 2MM 01-8082 - - INTERMEDIC
PLACA Z ESQUERDA LONGA 2MM 01-8083 - - INTERMEDIC
PLACA Z DIRETA LONGA 2MM 01-8084 - - INTERMEDIC
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
150
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000051499
0000051500
0000051501
0000051502
0000051503
0000051504
0000051505
0000051506
0000051507
0000051508
0000051509
0000051510
0000051511
0000051512
0000051513
0000051514
0000051515
0000051516
0000051517
0000051518
0000051519
0000051520
0000051521
0000051522
0000051523
0000051526
0000051527
0000051529
0000051530
0000051531
0000051532
0000051533
0000051534
0000051535
0000051536
0000051537
0000051538
0000051539
0000051540
0000051541
0000051542
0000051544
0000051545
0000051546
0000051547
0000051557
0000051558
DESCRICAO
PLACA "T" MED.7FUROS 2,0MM W.LORENZ 01-8091 - INTERMEDIC
PLACA "T" LONGA 7FUROS 2,0MM W.LORENZ 01-8092 - INTERMEDIC
PLACA "L" DIR.MED.6FUROS W.LORENZ 01-8094 - INTERMEDIC
PLACA "L" ESQ.MED.6FUROS W.LORENZ 01-8095 - INTERMEDIC
PLACA L DIREITA LONGA 6FUROS 2MM 01-8096 - - INTERMEDIC
PLACA L ESQUERDA LONGA 6FUROS 2MM 01-8097 - - INTERMEDIC
PLACA RETA 4FUROS REGULAR 2,0MM W.LORENZ 01-9204 - INTERMEDIC
PLACA RETA 4FUROS LONGA W.LORENZ 01-9205 - INTERMEDIC
PLACA RETA 6FUROS REGULAR 2,0MM W.LORENZ 01-9206 - INTERMEDIC
PLACA RETA LONGA 6FUROS 2MM 01-9207 - - INTERMEDIC
PLACA RETA 8FUROS REGULAR W.LORENZ 01-9208 - INTERMEDIC
PLACA RETA EXTRA-LONGA 4FUROS 2,0MM W.LORENZ 01-9215 - INTERMEDIC
PLACA RETA 16FUROS REGULAR W.LORENZ 01-9216 - INTERMEDIC
PLACA RETA 40FUROS 2,0MM W.LORENZ 01-9220 - INTERMEDIC
PLACA BSSO CURVA 10FUROS 2,0MM W.LORENZ 01-9221 - INTERMEDIC
PLACA BSSO 4FUROS 2MM 01-9222 - - INTERMEDIC
PLACA BSSO 6FUROS 2.0MM W.LORENZ 01-9224 - INTERMEDIC
PLACA "L" DIR.LONGA 4FUROS W.LORENZ 01-9232 - INTERMEDIC
PLACA "L" ESQ.LONGA 4FUROS W.LORENZ 01-9233 - INTERMEDIC
PLACA RETA COMPRESSAO MED.4FUROS 2,0/2,4 W.LORENZ 01-9282 - INTERMEDIC
PLACA RETA COMPRESSAO LONGA 4FUROS 2,0MM W.LORENZ 01-9284 - INTERMEDIC
PLACA RETA COMPRESSAO MED.6FUROS 2,0/2,4 W.LORENZ 01-9286 - INTERMEDIC
PLACA RETA COMPRESSAO MED.8FUROS 2,0/2,4 W.LORENZ 01-9287 - INTERMEDIC
PLACA RETA 4FUROS MED.W.LORENZ 01-9288 - INTERMEDIC
PLACA RETA 14FUROS 2,7MM W.LORENZ 01-9555 - INTERMEDIC
PLACA RETA 20FUROS 2,7MM W.LORENZ 01-9561 - INTERMEDIC
PLACA RETA 22FUROS 2,7MM W.LORENZ 01-9563 - INTERMEDIC
PLACA ANGULADA ESQ.17FUROS 2,7MM W.LORENZ 01-9570 - INTERMEDIC
PLACA ANGULADA ESQ.21FUROS 2,7MM W.LORENZ 01-9572 - INTERMEDIC
PLACA ANGULADA ESQ.25FUROS 2,7MM W.LORENZ 01-9574 - INTERMEDIC
PLACA ANGULADA ESQ.29FUROS 2,7MM W.LORENZ 01-9576 - INTERMEDIC
PLACA ANGULADA DIR.17FUROS 2,7MM W.LORENZ 01-9580 - INTERMEDIC
PLACA ANGULADA DIR.21FUROS 2,7MM W.LORENZ 01-9582 - INTERMEDIC
PLACA ANGULADA DIR.25FUROS 2,7MM W.LORENZ 01-9584 - INTERMEDIC
PLACA ANGULADA DIR.29FUROS 2,7MM W.LORENZ 01-9586 - INTERMEDIC
PLACA DUPLO ANGULO 30FUROS 2,7MM W.LORENZ 01-9590 - INTERMEDIC
PLACA DUPLO ANGULO 32FUROS 2,7MM W.LORENZ 01-9592 - INTERMEDIC
PLACA COMPRESSAO RETA 4FUROS 35MM 2,7MM W.LORENZ 01-9640 - INTERMEDIC
PLACA RETA 4FUROS 35MM 2,7MM W.LORENZ 01-9641 - INTERMEDIC
PLACA COMPRESSAO RETA 4FUROS 40MM 2,7MM W.LORENZ 01-9642 - INTERMEDIC
PLACA RETA 4FUROS 40MM 2,7MM W.LORENZ 01-9643 - INTERMEDIC
PLACA COMPRESSAO RETA 6FUROS 50MM 2,7MM W.LORENZ 01-9646 - INTERMEDIC
PLACA COMPRESSAO RETA 8FUROS 60MM 2,7MM W.LORENZ 01-9650 - INTERMEDIC
PLACA COMPRESSAO RETA 8FUROS 70MM 2,7MM W.LORENZ 01-9652 - INTERMEDIC
PLACA COMPRESSAO RETA 16FUROS 120MM 2,7MM W.LORENZ 01-9654 - INTERMEDIC
PARAFUSO C.DR.2,7X6MM W.LORENZ 01-9906 - INTERMEDIC
PARAFUSO C.DR.2,7X8MM W.LORENZ 01-9908 - INTERMEDIC
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
151
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000051559
0000051560
0000051561
0000051562
0000051563
0000051564
0000051565
0000051566
0000051567
0000051568
0000051569
0000051570
0000051571
0000051572
0000051573
0000051574
0000051575
0000051576
0000051577
0000051578
0000051579
0000051580
0000051581
0000051582
0000051583
0000051584
0000051585
0000051586
0000051587
0000051589
0000051590
0000051593
0000051594
0000051603
0000051604
0000051605
0000051607
0000051608
0000051609
0000051615
0000051616
0000051617
0000051618
0000051619
0000051620
0000051621
0000051622
DESCRICAO
PARAFUSO C.DR.2,7X10MM W.LORENZ 01-9910 - INTERMEDIC
PARAFUSO C.DR.2,7X12MM W.LORENZ 01-9912 - INTERMEDIC
PARAFUSO C.DR.2,7X14MM W.LORENZ 01-9914 - INTERMEDIC
PARAFUSO C.DR.2,7X16MM W.LORENZ 01-9916 - INTERMEDIC
PARAFUSO C.DR.2,7X18MM W.LORENZ 01-9918 - INTERMEDIC
PARAFUSO C.DR.2,7X20MM W.LORENZ 01-9920 - INTERMEDIC
PARAFUSO C.DR.2,7X22MM W.LORENZ 01-9922 - INTERMEDIC
PARAFUSO C.DR.2,7X24MM W.LORENZ 01-9924 - INTERMEDIC
PARAFUSO C.DR.2,7X26MM W.LORENZ 01-9926 - INTERMEDIC
PARAFUSO C.DR.2,7X28MM W.LORENZ 01-9928 - INTERMEDIC
PARAFUSO C.DR.2,7X30MM W.LORENZ 01-9930 - INTERMEDIC
PARAFUSO C.DR.2,7X32MM W.LORENZ 01-9932 - INTERMEDIC
PARAFUSO C.DR.2,7X34MM W.LORENZ 01-9934 - INTERMEDIC
PARAFUSO C.DR.2,7X36MM W.LORENZ 01-9936 - INTERMEDIC
PARAFUSO C.DR.2,7X38MM W.LORENZ 01-9938 - INTERMEDIC
PARAFUSO C.DR.2,7X40MM W.LORENZ 01-9940 - INTERMEDIC
PARAFUSO EMERGENCIA C.DR.3,2X8MM W.LORENZ 01-9948 - INTERMEDIC
PARAFUSO EMERGENCIA C.DR.3,2X10MM W.LORENZ 01-9950 - INTERMEDIC
PARAFUSO EMERGENCIA C.DR.3,2X12MM W.LORENZ 01-9952 - INTERMEDIC
PARAFUSO EMERGENCIA C.DR.3,2X16MM W.LORENZ 01-9956 - INTERMEDIC
PARAFUSO EMERGENCIA C.DR.3,2X20MM W.LORENZ 01-9958 - INTERMEDIC
PARAFUSO RECONSTUCAO CROSS DRIVE 2,4X06MM 01-2406 - - INTERMEDIC
PARAFUSO RECONSTRUCAO 2,4X8MM W.LORENZ 01-2408 - INTERMEDIC
PARAFUSO RECONSTRUCAO 2,4X10MM W.LORENZ 01-2410 - INTERMEDIC
PARAFUSO RECONSTRUCAO 2,4X12MM W.LORENZ 01-2412 - INTERMEDIC
PARAFUSO RECONSTRUCAO 2,4X14MM W.LORENZ 01-2414 - INTERMEDIC
PARAFUSO RECONSTRUCAO 2,4X16MM W.LORENZ 01-2416 - INTERMEDIC
PARAFUSO RECONSTRUCAO 2,4X18MM W.LORENZ 01-2418 - INTERMEDIC
PLACA RETA 4FUROS 2,4MM W.LORENZ 01-2464 - INTERMEDIC
PLACA RETA 6FUROS 2,4MM W.LORENZ 01-2466 - INTERMEDIC
PLACA RETA 8FUROS 2,4MM W.LORENZ 01-2468 - INTERMEDIC
PLACA ANGULADA 6FUROS CRESC.W.LORENZ 01-2486 - INTERMEDIC
PLACA ANGULADA 6FUROS W.LORENZ 01-2487 - INTERMEDIC
PARAFUSO LOOK 2,4X14MM W.LORENZ 01-2614 - INTERMEDIC
PARAFUSO LOOK 2,4X16MM W.LORENZ 01-2616 - INTERMEDIC
PARAFUSO LOOK 2,4X18MM W.LORENZ 01-2618 - INTERMEDIC
PLACA RECONSTRUCAO RETA 16FUROS W.LORENZ 01-2636 - INTERMEDIC
PLACA RECONSTRUCAO RETA 8FUROS LP W.LORENZ 01-2645 - INTERMEDIC
PLACA RECONSTRUCAO RETA 16FUROS LP 2,4MM W.LORENZ 01-2646 - INTERMEDIC
PLACA ANGULADA ESQ.5X11FUROS 2,4MM W.LORENZ 01-2921 - INTERMEDIC
PLACA ANGULADA DIR.5X11FUROS 2,4MM W.LORENZ 01-2922 - INTERMEDIC
PLACA RECONSTRUCAO ESQ.5X22FUROS 2,4MM W.LORENZ 01-2923 - INTERMEDIC
PLACA RECONSTRUCAO DIR.5X22FUROS 2,4MM W.LORENZ 01-2924 - INTERMEDIC
PLACA DUPLO ANGULO 5X22X5 FURO 2,4MM W.LORENZ 01-2925 - INTERMEDIC
PLACA DUPLO ANGULO 5X24X5 FURO 2,4MM W.LORENZ 01-2926 - INTERMEDIC
PLACA RECONSTRUCAO CURVA 20FUROS 2,4MM W.LORENZ 01-2938 - INTERMEDIC
PLACA RECONSTRUCAO CURVA 8FUROS 2X4MM W.LORENZ 01-2939 - INTERMEDIC
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
152
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000051623
0000051624
0000051625
0000051626
0000051627
0000051628
0000051629
0000051630
0000051631
0000051632
0000051633
0000051634
0000051635
0000051636
0000051637
0000051638
0000051642
0000051643
0000051644
0000051645
0000051646
0000051647
0000051648
0000051649
0000051650
0000051651
0000051652
0000051653
0000051654
0000051655
0000051656
0000051657
0000051658
0000051659
0000051660
0000051661
0000051662
0000051663
0000051664
0000051665
0000051666
0000051667
0000051668
0000051669
0000051670
0000051671
0000051672
DESCRICAO
PLACA ANGULADA ESQ.5X11FUROS LP 2,4MM W.LORENZ 01-2941 - INTERMEDIC
PLACA ANGULADA DIR.5X11FUROS LP 2,4MM W.LORENZ 01-2942 - INTERMEDIC
PLACA RECONSTRUCAO ESQ.5X22FUROS LP 2X4MM W.LORENZ 01-2943 - INTERMEDIC
PLACA RECONSTRUCAO DIR.5X22FUROS LP 2X4MM W.LORENZ 01-2944 - INTERMEDIC
PLACA RECONSTRUCAO CURVA 20FUROS LP 2X4MM W.LORENZ 01-2948 - INTERMEDIC
PLACA RECONSTRUCAO CURVA 8FUROS LP 2X4MM W.LORENZ 01-2949 - INTERMEDIC
PLACA COMPRESSAO RETA 4FUROS MED.2,0/2,4MM W.LORENZ 24-1050 - INTERMEDIC
PLACA COMPRESSAO RETA 6FUROS REGULAR 2,0/2,4MM W.LORENZ 24-1054 - INTERMEDIC
PARAFUSO LACT 1,5X3MM 2UNID W.LORENZ 915-2214 - INTERMEDIC
PARAFUSO LACT 1,5X4MM 2UNID W.LORENZ 915-2215 - INTERMEDIC
PARAFUSO 1,5X4MM 4UNID 915-2325 - INTERMEDIC
PARAFUSO LACT 1,5X5MM 2UNID W.LORENZ 915-2216 - INTERMEDIC
PARAFUSO 1,5X5MM 4UNID 915-2326 - INTERMEDIC
PARAFUSO LACT 1,5X6MM 2UNID W.LORENZ 915-2217 - INTERMEDIC
PARAFUSO LACT 1,5X7MM 2UNID W.LORENZ 915-2218 - INTERMEDIC
PARAFUSO LACT 1,5X8MM 2UNID W.LORENZ 915-2219 - INTERMEDIC
TELA LACT 5X5F W.LORENZ 915-2410 - INTERMEDIC
TELA LACT 5X10F W.LORENZ 915-2411 - INTERMEDIC
TELA LACT 10X10F W.LORENZ 915-2412 - INTERMEDIC
PLACA LACT RETA 4FUROS REGULAR W.LORENZ 915-2413 - INTERMEDIC
PLACA LACT RETA 4FUROS LONGA W.LORENZ 915-2414 - INTERMEDIC
PLACA LACT RETA 6FUROS REGULAR W.LORENZ 915-2415 - INTERMEDIC
PLACA LACT RETA 6FUROS LONGA W.LORENZ 915-2416 - INTERMEDIC
PLACA RETA 8FUROS REGULAR W.LORENZ 915-2417 - INTERMEDIC
PLACA LACT RETA 8FUROS LONGA W.LORENZ 915-2418 - INTERMEDIC
PLACA LACT RETA 20FUROS W.LORENZ 915-2419 - INTERMEDIC
PLACA LACT "T" 6FUROS W.LORENZ 915-2420 - INTERMEDIC
PLACA LACT "Y" 6FUROS W.LORENZ 915-2421 - INTERMEDIC
PLACA "X" 6FUROS REGULAR W.LORENZ 915-2422 - INTERMEDIC
PLACA LACT "X" 7FUROS W.LORENZ 915-2423 - INTERMEDIC
PLACA LACT "L" DIR.5FUROS W.LORENZ 915-2424 - INTERMEDIC
PLACA LACT "L" ESQ.5FUROS W.LORENZ 915-2425 - INTERMEDIC
PLACA LACT QUADRADA 2X2 W.LORENZ 915-2426 - INTERMEDIC
PLACA LACT ORBITAL 6FUROS W.LORENZ 915-2427 - INTERMEDIC
BOLSA TERMICA LACTOSORB 915-2055 - INTERMEDIC
TELA LACT 42X42 W.LORENZ 915-2100 - INTERMEDIC
PLACA L/D LACT 5FUROS 2,0MM W.LORENZ 915-2101 - INTERMEDIC
PLACA L/E LACT 5FUROS 2,0MM W.LORENZ 915-2102 - INTERMEDIC
PLACA ORBITAL LACT 6FUROS 2,0MM W.LORENZ 915-2103 - INTERMEDIC
PLACA "X" DUPLO LACT 7FUROS 2,0MM W.LORENZ 915-2104 - INTERMEDIC
PLACA "X" LACT 6FUROS 2,0MM W.LORENZ 915-2105 - INTERMEDIC
PLACA "Y" LACT 5FUROS 2,0MM W.LORENZ 915-2106 - INTERMEDIC
PLACA "T" LACT 6FUROS REGULAR 2,0MM W.LORENZ 915-2107 - INTERMEDIC
PLACA LACT RETA 8FUROS REGULAR 2,0MM W.LORENZ 915-2108 - INTERMEDIC
PLACA LACT RETA 6FUROS REGULAR 2,0MM W.LORENZ 915-2109 - INTERMEDIC
PLACA RETA LACT 4FUROS REGULAR 2,0MM W.LORENZ 915-2110 - INTERMEDIC
PLACA RETA LACT 4FUROS LONGA 2,0MM W.LORENZ 915-2111 - INTERMEDIC
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
153
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000051673
0000051674
0000051675
0000051676
0000051677
0000051678
0000051679
0000051680
0000051681
0000051682
0000051683
0000051684
0000051685
0000051686
0000051687
0000051688
0000051689
0000051690
0000051691
0000051692
0000051693
0000051694
0000051695
0000051746
0000051757
0000051763
0000051958
0000051962
0000051978
0000051979
0000051980
0000051981
0000051982
0000051983
0000051984
0000051985
0000051986
0000051987
0000051988
0000051989
0000051990
0000051991
0000051992
0000051993
0000051994
0000051995
0000051996
DESCRICAO
PLACA RETA LACT 6FUROS LONGA 2,0MM W.LORENZ 915-2112 - INTERMEDIC
PLACA RETA LACT 8FUROS LONGA 2,0MM W.LORENZ 915-2113 - INTERMEDIC
PLACA ORBITAL LACT 6FUROS LONGA 2,0MM W.LORENZ 915-2114 - INTERMEDIC
PLACA RETA LACT 16FUROS 2,0MM W.LORENZ 915-2115 - INTERMEDIC
PARAFUSO LACT 2,0X5MM 2UNID W.LORENZ 915-2200 - INTERMEDIC
PARAFUSO LACT 2,0X7MM 2UNID W.LORENZ 915-2201 - INTERMEDIC
PARAFUSO 2,0X7MM 4UNID 915-2321 - INTERMEDIC
PARAFUSO LACT 2,0X9MM 2UNID W.LORENZ 915-2202 - INTERMEDIC
PARAFUSO LACT 2,0X11MM 2UNID W.LORENZ 915-2203 - INTERMEDIC
PARAFUSO LACT 2,0X13MM 2UNID W.LORENZ 915-2204 - INTERMEDIC
PARAFUSO LACT 2,0X15MM 2UNID W.LORENZ 915-2205 - INTERMEDIC
PARAFUSO LACT 2,0X17MM 2UNID W.LORENZ 915-2206 - INTERMEDIC
PARAFUSO LACT 2,5X5MM 2UNID W.LORENZ 915-2207 - INTERMEDIC
PARAFUSO LACT 2,5X7MM 2UNID W.LORENZ 915-2208 - INTERMEDIC
PARAFUSO EMERGENCIA 2,5X9MM 2UNID W.LORENZ 915-2209 - INTERMEDIC
PARAFUSO EMERGENCIA 2,5X5MM 2UNID W.LORENZ 915-2210 - INTERMEDIC
PARAFUSO EMERGENCIA 2,5X13MM 2UNID W.LORENZ 915-2211 - INTERMEDIC
PARAFUSO EMERGENCIA 2,5X15MM 2UNID W.LORENZ 915-2212 - INTERMEDIC
PARAFUSO EMERGENCIA 2,5X17MM 2UNID W.LORENZ 915-2213 - INTERMEDIC
PARAFUSO LACT 2,8X11MM 2UNID W.LORENZ 915-2273 - INTERMEDIC
PARAFUSO LACT 2,8X13MM 2UNID W.LORENZ 915-2274 - INTERMEDIC
PARAFUSO LACT 2,8X15MM 2UNID W.LORENZ 915-2275 - INTERMEDIC
PARAFUSO LACT 2,8X17MM 2UNID W.LORENZ 915-2276 - INTERMEDIC
AZITROMICINA GEN.500MG 3CPDS - EMS GENERICOS
LORAZEPAM GEN.2MG 2BLX10CPDS - GERMED GENERICOS
PARACETAMOL GEN.750MG 50BLX4CPDS - EMS GENERICOS
FRESUBIN LIPID DIETA ENTERAL EASY BAG 500ML BR7251221 - FRESENIUS KABI
KETOSTERIL 100TABL. BR100327 - FRESENIUS KABI
ENXERTO P/CRANIOPLASTIA MIMIX 5GRS W.LORENZ 02-2005 - INTERMEDIC
ENXERTO P/CRANIOPLASTIA MIMIX 10GRS W.LORENZ 02-2010 - INTERMEDIC
ENXERTO P/CRANIOPLASTIA MIMIX 25GRS W.LORENZ 02-2025 - INTERMEDIC
PLACA RETA 4FUROS W.LORENZ 62-3003 - INTERMEDIC
PLACA RETA C/ESPACO 4FUROS W.LORENZ 62-3004 - INTERMEDIC
PLACA RETA 16FUROS REGULAR W.LORENZ 62-3016 - INTERMEDIC
PLACA "T" 6FUROS 90GRAUS W.LORENZ 62-3142 - INTERMEDIC
PLACA "T" 9FUROS 90GRAUS W.LORENZ 62-3163 - INTERMEDIC
PLACA L/D 6FUROS REGULAR 100GRAUS W.LORENZ 62-3241 - INTERMEDIC
PLACA L/E 6FUROS REGULAR 100GRAUS W.LORENZ 62-3242 - INTERMEDIC
PLACA "Y" 9FUROS REGULAR W.LORENZ 62-3363 - INTERMEDIC
PLACA L/D 6FUROS 1,7MM W.LORENZ 62-3441 - INTERMEDIC
PLACA L/E LACT 6FUROS 1,7MM W.LORENZ 62-3442 - INTERMEDIC
PLACA QUADRADA 4X2 DIR.1,7MM W.LORENZ 62-3741 - INTERMEDIC
PLACA QUADRADA 4X2 ESQ.1,7MM W.LORENZ 62-3742 - INTERMEDIC
PLACA QUADRADA 4X2 DIR.CRESC.1,7MM W.LORENZ 62-3841 - INTERMEDIC
PLACA QUADRADA 4X2FUROS ESQUERDA CRESC.1,7MM 62-3842 - - INTERMEDIC
PLACA QUADRADA 2X2 2,3MM W.LORENZ 62-3922 - INTERMEDIC
PLACA QUADRADA 4X2 REGULAR 1,7MM W.LORENZ 62-3942 - INTERMEDIC
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
154
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000051997
0000051998
0000052001
0000052002
0000052003
0000052006
0000052007
0000052008
0000052009
0000052010
0000052011
0000052012
0000052013
0000052014
0000052015
0000052041
0000052042
0000052043
0000052044
0000052045
0000052046
0000052047
0000052048
0000052049
0000052050
0000052051
0000052052
0000052053
0000052054
0000052055
0000052056
0000052059
0000052060
0000052061
0000052062
0000052067
0000052068
0000052069
0000052070
0000052071
0000052072
0000052073
0000052074
0000052075
0000052076
0000052118
0000052119
DESCRICAO
PLACA CONDILAR 5FUROS DIR.1,7MM W.LORENZ 62-4151 - INTERMEDIC
PLACA CONDILAR 5FUROS ESQ.1,7MM W.LORENZ 62-4152 - INTERMEDIC
PARAFUSO CENTER DRIVE 1,7X05MM 63-1705 - - INTERMEDIC
PARAFUSO CENTER DRIVE 1,7X06MM 63-1706 - - INTERMEDIC
PARAFUSO CENTER DRIVE 1,7X07MM 63-1707 - - INTERMEDIC
PARAFUSO CENTER DRIVE 1,7X70MM 63-1710 - - INTERMEDIC
PARAFUSO CENTER DRIVE 1,7X11MM 63-1711 - - INTERMEDIC
PARAFUSO CENTER DRIVE 1,7X12MM 63-1712 - - INTERMEDIC
PARAFUSO CENTER DRIVE 1,8X13MM 63-1713 - - INTERMEDIC
PARAFUSO CENTER DRIVE 1,7X14MM 63-1714 - - INTERMEDIC
PARAFUSO CENTER DRIVE 1,7X15MM 63-1715 - - INTERMEDIC
PARAFUSO CENTER DRIVE 1,7X17MM 63-1717 - - INTERMEDIC
PARAFUSO CENTER DRIVE 1,7X19MM 63-1719 - - INTERMEDIC
PARAFUSO CENTER DRIVE 1,7X21MM 63-1721 - - INTERMEDIC
PARAFUSO CENTER DRIVE 1,7X23MM 63-1723 - - INTERMEDIC
PLACA RETA 4FUROS REGULAR 2,3MM W.LORENZ 62-5003 - INTERMEDIC
PLACA RETA 4FUROS MED.2,3MM W.LORENZ 62-5004 - INTERMEDIC
PLACA RETA 5FUROS REGULAR 2,3MM W.LORENZ 62-5005 - INTERMEDIC
PLACA RETA 6FUROS REGULAR 2,3MM W.LORENZ 62-5006 - INTERMEDIC
PLACA "T" 6FUROS REGULAR 2,3MM W.LORENZ 62-5142 - INTERMEDIC
PLACA "T" 7FUROS REGULAR CURVA 2,3MM W.LORENZ 62-5143 - INTERMEDIC
PLACA "T" 8FUROS REGULAR 2,3MM W.LORENZ 62-5162 - INTERMEDIC
PLACA "T" 6FUROS REGULAR 2,3MM ESQ.W.LORENZ 62-5241 - INTERMEDIC
PLACA "T" 6FUROS REGULAR 2,3MM DIR.W.LORENZ 62-5242 - INTERMEDIC
PLACA "Y" 7FUROS REGULAR 2,3MM W.LORENZ 62-5343 - INTERMEDIC
PLACA "Y" 9FUROS REGULAR 2,3MM W.LORENZ 62-5363 - INTERMEDIC
PLACA L/D 6FUROS REGULAR 2,3MM W.LORENZ 62-5441 - INTERMEDIC
PLACA L/E 6FUROS REGULAR 2,3MM W.LORENZ 62-5442 - INTERMEDIC
PLACA L/E 6FUROS REGULAR 2,3MM W.LORENZ 62-5541 - INTERMEDIC
PLACA L/D 6FUROS REGULAR 2,3MM W.LORENZ 62-5542 - INTERMEDIC
PLACA "Z" 13FUROS REGULAR 2,3MM W.LORENZ 62-5613 - INTERMEDIC
PLACA QUADRADA 2X4 DIR.CRESC.2,3MM W.LORENZ 62-5841 - INTERMEDIC
PLACA QUADRADA 2X4 ESQ.CRESC.2,3MM W.LORENZ 62-5842 - INTERMEDIC
PLACA QUADRADA 2X2 2,3MM W.LORENZ 62-5922 - INTERMEDIC
PLACA QUADRADA 4X2 2,3MM W.LORENZ 62-5942 - INTERMEDIC
PLACA RETA 4FUROS 2,3MM W.LORENZ 62-7004 - INTERMEDIC
PLACA RETA 5FUROS REGULAR BSSO 2,3MM W.LORENZ 62-7005 - INTERMEDIC
PLACA RETA 6FUROS REGULAR BSSO 2,3MM W.LORENZ 62-7006 - INTERMEDIC
PLACA "T" 6FUROS REGULAR BSSO 2,3MM W.LORENZ 62-7142 - INTERMEDIC
PLACA "T" 8FUROS REGULAR BSSO 2,3MM W.LORENZ 62-7162 - INTERMEDIC
PLACA "T" 6FUROS REGULAR DIR.100GRAUS BSSO 2,3MM W.LORENZ 62-7241 - INTERMEDIC
PLACA "T" 6FUROS REGULAR ESQ.100GRAUS BSSO 2,3MM W.LORENZ 62-7242 - INTERMEDIC
PLACA "Y" 9FUROS REGULAR BSSO 2,3MM W.LORENZ 62-7363 - INTERMEDIC
PLACA L/D 6FUROS REGULAR BSSO 2,3MM W.LORENZ 62-7441 - INTERMEDIC
PLACA L/E 6FUROS REGULAR BSSO 2,3MM W.LORENZ 62-7442 - INTERMEDIC
PARAFUSO ACUTRAK 1,5X10,0MM ACUMED ATM-100 - INTERMEDIC
PARAFUSO ACUTRAK 1,5X12,0MM ACUMED ATM-120 - INTERMEDIC
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
155
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000052120
0000052121
0000052122
0000052123
0000052124
0000052125
0000052126
0000052127
0000052128
0000052129
0000052130
0000052131
0000052132
0000052133
0000052134
0000052135
0000052136
0000052137
0000052138
0000052139
0000052140
0000052141
0000052142
0000052143
0000052191
0000052192
0000052202
0000052203
0000052204
0000052377
0000052378
0000052398
0000052401
0000052409
0000052417
0000052418
0000052627
0000052629
0000052630
0000052631
0000052633
0000052634
0000052635
0000052637
0000052638
0000052640
0000052641
DESCRICAO
PARAFUSO ACUTRAK 1,5X14,0MM ACUMED ATM-140 - INTERMEDIC
PARAFUSO ACUTRAK 1,5X16,0MM ACUMED ATM-160 - INTERMEDIC
PARAFUSO ACUTRAK 1,5X18,0MM ACUMED ATM-180 - INTERMEDIC
PARAFUSO ACUTRAK 1,5X20,0MM ACUMED ATM-200 - INTERMEDIC
PARAFUSO ACUTRAK 1,5X22,0MM ACUMED ATM-220 - INTERMEDIC
PARAFUSO ACUTRAK 1,5X24,0MM ACUMED ATM-240 - INTERMEDIC
PARAFUSO ACUTRAK 1,5X26,0MM ACUMED ATM-260 - INTERMEDIC
FIO GUIA CURTO ACUTRAK 1,5MM ACUMED WS-0704-ST - INTERMEDIC
FIO GUIA LONGO ACUTRAK 0,028X6" WS-0706-ST - - INTERMEDIC
PARAFUSO ACUTRAK 2,0X12,5MM ACUMED AT-1125 - INTERMEDIC
PARAFUSO ACUTRAK 2,0X15,0MM ACUMED AT-1150 - INTERMEDIC
PARAFUSO ACUTRAK 2,0X17,5MM ACUMED AT-1175 - INTERMEDIC
PARAFUSO ACUTRAK 2,0X20,0MM ACUMED AT-1200 - INTERMEDIC
PARAFUSO ACUTRAK 2,0X22,5MM ACUMED AT-1225 - INTERMEDIC
PARAFUSO ACUTRAK 2,0X25,0MM ACUMED AT-1250 - INTERMEDIC
PARAFUSO ACUTRAK 2,0X27,5MM ACUMED AT-1275 - INTERMEDIC
PARAFUSO ACUTRAK 2,0X30,0MM ACUMED AT-1300 - INTERMEDIC
PARAFUSO ACUTRAK FIXACAO 3,0X35MM ACUMED AP-0035 - INTERMEDIC
PARAFUSO ACUTRAK FIXACAO 3,0X40MM ACUMED AP-0040 - INTERMEDIC
PARAFUSO ACUTRAK FIXACAO 3,0X45MM ACUMED AP-0045 - INTERMEDIC
PARAFUSO ACUTRAK FIXACAO 3,0X50MM ACUMED AP-0050 - INTERMEDIC
PARAFUSO ACUTRAK FIXACAO 3,0X55MM ACUMED AP-0055 - INTERMEDIC
PARAFUSO ACUTRAK FIXACAO 3,0X60MM ACUMED AP-0060 - INTERMEDIC
PARAFUSO ACUTRAK FIXACAO 3,0X65MM ACUMED AP-0065 - INTERMEDIC
NUTRINI ENERGY MULTI FIBER 200ML - SUPPORT NUTRITION
NUTRINI ENERGY MULTI FIBER PACK 500ML - SUPPORT NUTRITION
TRIATEC 2,5MG 15CPDS - SANOFI-AVENTIS
TRIATEC 5,0MG 15CPDS - SANOFI-AVENTIS
RIFALDIN 20MG/ML SUSP.100ML - SANOFI-AVENTIS
AXETIL CEFUROXIMA GEN.125MG/5ML 50ML - RANBAXY
AXETIL CEFUROXIMA GEN.250MG/5ML 50ML - RANBAXY
LORAZEPAM GEN.2MG 20CPDS - RANBAXY
CLORIDRATO SERTRALINA GEN.50MG 20CPDS - RANBAXY
AMOXICILINA GEN.500MG 21CAPS - RANBAXY
ISOTRETINOINA GEN.10MG 30CPDS - RANBAXY
ISOTRETINOINA GEN.20MG 30CPDS - RANBAXY
AGULHA BIOPSIA P/TRU-CORE I 14GAX10CM 763314100 - ECOMED
AGULHA BIOPSIA P/TRU-CORE I 14GAX16CM 763314160 - ECOMED
AGULHA BIOPSIA P/TRU-CORE I 14GAX20CM 763314200 - ECOMED
AGULHA BIOPSIA P/TRU-CORE I 16GAX10CM 763316100 - ECOMED
AGULHA BIOPSIA P/TRU-CORE I 16GAX16CM 763316160 - ECOMED
AGULHA BIOPSIA P/TRU-CORE I 16GAX20CM 763316200 - ECOMED
AGULHA BIOPSIA P/TRU-CORE I 18GAX10CM 763318100 - ECOMED
AGULHA BIOPSIA P/TRU-CORE I 18GAX16CM 763318160 - ECOMED
AGULHA BIOPSIA P/TRU-CORE I 18GAX20CM 763318200 - - ECOMED
AGULHA BIOPSIA P/TRU-CORE I 20GAX10CM 763320100 - ECOMED
AGULHA BIOPSIA P/TRU-CORE I 20GAX16CM 763320160 - ECOMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
156
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000052643
0000052654
0000052655
0000052680
0000052683
0000052684
0000052685
0000052686
0000052688
0000052689
0000052690
0000052693
0000052695
0000052697
0000052698
0000052710
0000052712
0000052860
0000052984
0000052985
0000052986
0000052987
0000052988
0000052989
0000052990
0000052991
0000052992
0000052993
0000052994
0000052995
0000052996
0000052997
0000052998
0000053000
0000053002
0000053003
0000053004
0000053005
0000053006
0000053007
0000053008
0000053009
0000053010
0000053011
0000053012
0000053013
0000053014
DESCRICAO
AGULHA BIOPSIA P/TRU-CORE I 20GAX20CM 763320200 - ECOMED
AGULHA BIOPSIA P/TRU-CORE I 18GAX20CM P/URO 763818200 - ECOMED
AGULHA BIOPSIA P/TRU-CORE I 18GAX25CM P/URO 763818250 - ECOMED
AGULHA BIOPSIA AUTOM.TRU-CORE II 14GAX10CM 763114100 - ECOMED
AGULHA BIOPSIA AUTOM.TRU-CORE II 14GAX16CM 763114160 - ECOMED
AGULHA BIOPSIA AUTOM.TRU-CORE II 14GAX20CM 763114200 - ECOMED
AGULHA BIOPSIA AUTOM.TRU-CORE II 16GAX10CM 763116100 - ECOMED
AGULHA BIOPSIA AUTOM.TRU-CORE II 16GAX16CM 763116160 - ECOMED
AGULHA BIOPSIA AUTOM.TRU-CORE II 16GAX20CM 763116200 - ECOMED
AGULHA BIOPSIA AUTOM.TRU-CORE II 18GAX10CM 763118100 - ECOMED
AGULHA BIOPSIA AUTOM.TRU-CORE II 18GAX16CM 763118160 - ECOMED
AGULHA BIOPSIA AUTOM.TRU-CORE II 18GAX20CM 763118200 - ECOMED
AGULHA BIOPSIA AUTOM.TRU-CORE II 20GAX10CM 763120100 - ECOMED
AGULHA BIOPSIA AUTOM.TRU-CORE II 20GAX16CM 763120160 - ECOMED
AGULHA BIOPSIA AUTOM.TRU-CORE II 20GAX20CM 763120200 - ECOMED
AGULHA BIOPSIA AUTOM.TRU-CORE II P/URO 18GAX20CM 763418200 - ECOMED
AGULHA BIOPSIA AUTOM.TRU-CORE II P/URO 18GAX25CM 763418250 - ECOMED
CETROTIDE 0,25MG PO LIOF.1FA+1SER.DIL.+2AG+2TOALHAS - MERCK S.A.
SONDA NASOFARINGEA ESTERIL 6,0MM SIMS-PORTEX 100.210.060 - CIRURGICA FERNANDES
SONDA NASOFARINGEA ESTERIL 7,0MM SIMS-PORTEX 100.210.070 - CIRURGICA FERNANDES
SONDA NASOFARINGEA ESTERIL 8,0MM SIMS-PORTEX 100.210.080 - CIRURGICA FERNANDES
SONDA NASOFARINGEA ESTERIL 9,0MM SIMS-PORTEX 100.210.090 - CIRURGICA FERNANDES
SONDA ASPIRACAO SIST.FECH.TRAQUEAL S.LUMEN 10F STERICATH SIMS-PORTEX 6152.10 - CIRURGICA FERNANDES
SONDA ASPIRACAO SIST.FECH.TRAQUEAL S.LUMEN 12F STERICATH SIMS-PORTEX 6152.12 - CIRURGICA FERNANDES
SONDA ASPIRACAO SIST.FECH.TRAQUEAL S.LUMEN 14F STERICATH SIMS-PORTEX 6152.14 - CIRURGICA FERNANDES
SONDA ASPIRACAO SIST.FECH.TRAQUEAL S.LUMEN 16F STERICATH SIMS-PORTEX 6152.16 - CIRURGICA FERNANDES
SONDA ASPIRACAO SIST.FECH.TRAQUEOST.S.LUMEN 12F STERICATH SIMS-PORTEX 6153.12 - CIRURGICA FERNANDES
SONDA ASPIRACAO SIST.FECH.TRAQUEOST.S.LUMEN 14F STERICATH SIMS-PORTEX 6153.14 - CIRURGICA FERNANDES
SONDA ASPIRACAO SIST.FECH.TRAQUEAL D.LUMEN 12F STERICATH SIMS-PORTEX 6110.12 - CIRURGICA FERNANDES
SONDA ASPIRACAO SIST.FECH.TRAQUEAL D.LUMEN 14F STERICATH SIMS-PORTEX 6110.14 - CIRURGICA FERNANDES
SONDA ASPIRACAO SIST.FECH.TRAQUEAL D.LUMEN 16F STERICATH SIMS-PORTEX 6110.16 - CIRURGICA FERNANDES
SONDA ASPIRACAO SIST.FECH.TRAQUEOST.D.LUMEN 12F STERICATH SIMS-PORTEX 6111.12 - CIRURGICA FERNANDES
SONDA ASPIRACAO SIST.FECH.TRAQUEOST.D.LUMEN 14F STERICATH SIMS-PORTEX 6111.14 - CIRURGICA FERNANDES
SERINGA P/AMOST.SANGUE ART.HEPARINA 3CC C/AG.PROT.SIMS-PORTEX 4698PE - CIRURGICA FERNANDES
SONDA MALECOT 4 ASAS BORRACHA 42CM CH.10 RUSCH 415.600.10 - CIRURGICA FERNANDES
SONDA MALECOT 4 ASAS BORRACHA 42CM CH.12 RUSCH 415.600.12 - CIRURGICA FERNANDES
SONDA MALECOT 4 ASAS BORRACHA 42CM CH.14 RUSCH 415.600.14 - CIRURGICA FERNANDES
SONDA MALECOT 4 ASAS BORRACHA 42CM CH.16 RUSCH 415.600.16 - CIRURGICA FERNANDES
SONDA MALECOT 4 ASAS BORRACHA 42CM CH.18 RUSCH 415.600.18 - CIRURGICA FERNANDES
SONDA MALECOT 4 ASAS BORRACHA 42CM CH.20 RUSCH 415.600.20 - CIRURGICA FERNANDES
SONDA MALECOT 4 ASAS BORRACHA 42CM CH.22 RUSCH 415.600.22 - CIRURGICA FERNANDES
SONDA MALECOT 4 ASAS BORRACHA 42CM CH.24 RUSCH 415.600.24 - CIRURGICA FERNANDES
SONDA MALECOT 4 ASAS BORRACHA 42CM CH.26 RUSCH 415.600.26 - CIRURGICA FERNANDES
SONDA MALECOT 4 ASAS BORRACHA 42CM CH.28 RUSCH 415.600.28 - CIRURGICA FERNANDES
SONDA MALECOT 4 ASAS BORRACHA 42CM CH.30 RUSCH 415.600.30 - CIRURGICA FERNANDES
SONDA MALECOT 4 ASAS BORRACHA 42CM CH.32 RUSCH 415.600.32 - CIRURGICA FERNANDES
SONDA MALECOT 4 ASAS BORRACHA 42CM CH.34 RUSCH 415.600.34 - CIRURGICA FERNANDES
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
157
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000053015
0000053016
0000053017
0000053027
0000053028
0000053040
0000053045
0000053046
0000053047
0000053048
0000053049
0000053050
0000053051
0000053052
0000053053
0000053054
0000053055
0000053056
0000053057
0000053058
0000053059
0000053060
0000053061
0000053062
0000053063
0000053064
0000053065
0000053066
0000053067
0000053069
0000053070
0000053071
0000053072
0000053073
0000053074
0000053075
0000053076
0000053077
0000053250
0000053251
0000053252
0000053253
0000053254
0000053255
0000053256
0000053257
0000053258
DESCRICAO
SONDA MALECOT 4 ASAS BORRACHA 42CM CH.36 RUSCH 415.600.36 - CIRURGICA FERNANDES
SONDA MALECOT 4 ASAS BORRACHA 42CM CH.38 RUSCH 415.600.38 - CIRURGICA FERNANDES
SONDA MALECOT 4 ASAS BORRACHA 42CM CH.40 RUSCH 415.600.40 - CIRURGICA FERNANDES
SONDA FOLEY PED.3CC 2VIA NR.08 RUSCH-GOLD SILICONIZ.RUSCH 180.003.08 - CIRURGICA FERNANDES
SONDA FOLEY PED.3CC 2VIA NR.10 RUSCH-GOLD SILICONIZ.RUSCH 180.003.10 - CIRURGICA FERNANDES
SONDA FOLEY 30CC 3VIA NR.16 RUSCH-GOLD SILICONIZ.RUSCH 183.430.16 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.S/BAL.3,0MM POLAR NORTE SIMS-PORTEX 100.132.030 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.S/BAL.3,5MM POLAR NORTE SIMS-PORTEX 100.132.035 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.S/BAL.4,0MM POLAR NORTE SIMS-PORTEX 100.132.040 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.S/BAL.4,5MM POLAR NORTE SIMS-PORTEX 100.132.045 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.S/BAL.5,0MM POLAR NORTE SIMS-PORTEX 100.132.050 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.S/BAL.5,5MM POLAR NORTE SIMS-PORTEX 100.132.055 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.S/BAL.6,0MM POLAR NORTE SIMS-PORTEX 100.132.060 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.S/BAL.6,5MM POLAR NORTE SIMS-PORTEX 100.132.065 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.S/BAL.7,0MM POLAR NORTE SIMS-PORTEX 100.132.070 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.C/BAL.6,0MM POLAR NORTE SIMS-PORTEX 100.133.060 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.C/BAL.6,5MM POLAR NORTE SIMS-PORTEX 100.133.065 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.C/BAL.7,0MM POLAR NORTE SIMS-PORTEX 100.133.070 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.C/BAL.7,5MM POLAR NORTE SIMS-PORTEX 100.133.075 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.C/BAL.8,0MM POLAR NORTE SIMS-PORTEX 100.133.080 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.S/BAL.3,0MM POLAR SUL SIMS-PORTEX 100.134.030 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.S/BAL.3,5MM POLAR SUL SIMS-PORTEX 100.134.035 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.S/BAL.4,0MM POLAR SUL SIMS-PORTEX 100.134.040 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.S/BAL.4,5MM POLAR SUL SIMS-PORTEX 100.134.045 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.S/BAL.5,0MM POLAR SUL SIMS-PORTEX 100.134.050 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.S/BAL.5,5MM POLAR SUL SIMS-PORTEX 100.134.055 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.S/BAL.6,0MM POLAR SUL SIMS-PORTEX 100.134.060 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.S/BAL.6,5MM POLAR SUL SIMS-PORTEX 100.134.065 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.S/BAL.7,0MM POLAR SUL SIMS-PORTEX 100.134.070 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.C/BAL.B.PRES.ALTO VOL.5,0MM POLAR SUL SIMS-PORTEX 100.136.050 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.C/BAL.B.PRES.ALTO VOL.5,5MM POLAR SUL SIMS-PORTEX 100.136.055 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.C/BAL.B.PRES.ALTO VOL.6,0MM POLAR SUL SIMS-PORTEX 100.136.060 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.C/BAL.B.PRES.ALTO VOL.6,5MM POLAR SUL SIMS-PORTEX 100.136.065 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.C/BAL.B.PRES.ALTO VOL.7,0MM POLAR SUL SIMS-PORTEX 100.136.070 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.C/BAL.B.PRES.ALTO VOL.7,5MM POLAR SUL SIMS-PORTEX 100.136.075 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.C/BAL.B.PRES.ALTO VOL.8,0MM POLAR SUL SIMS-PORTEX 100.136.080 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.C/BAL.B.PRES.ALTO VOL.8,5MM POLAR SUL SIMS-PORTEX 100.136.085 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC RX EST.C/BAL.B.PRES.ALTO VOL.9,0MM POLAR SUL SIMS-PORTEX 100.136.090 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL ARAMADA PVC EST.C/BAL.5,0MM SIMS-PORTEX 100.110.050 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL ARAMADA PVC EST.C/BAL.5,5MM SIMS-PORTEX 100.110.055 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL ARAMADA PVC EST.C/BAL.6,0MM SIMS-PORTEX 100.110.060 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL ARAMADA PVC EST.C/BAL.6,5MM SIMS-PORTEX 100.110.065 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL ARAMADA PVC EST.C/BAL.7,0MM SIMS-PORTEX 100.110.070 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL ARAMADA PVC EST.C/BAL.7,5MM SIMS-PORTEX 100.110.075 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL ARAMADA PVC EST.C/BAL.8,0MM SIMS-PORTEX 100.110.080 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL ARAMADA PVC EST.C/BAL.9,0MM SIMS-PORTEX 100.110.090 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL ARAMADA PVC EST.C/BAL.9,5MM SIMS-PORTEX 100.110.095 - CIRURGICA FERNANDES
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
158
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000053259
0000053266
0000053267
0000053269
0000053280
0000053284
0000053285
0000053298
0000053299
0000053300
0000053599
0000053601
0000053602
0000053604
0000053605
0000053607
0000053610
0000053611
0000053612
0000053614
0000053615
0000053616
0000053617
0000053620
0000053621
0000053622
0000053625
0000053627
0000053629
0000053674
0000053679
0000053680
0000053681
0000053682
0000053683
0000053684
0000053685
0000053686
0000053687
0000053688
0000053689
0000053690
0000053691
0000053692
0000053693
0000053694
0000053696
DESCRICAO
SONDA ENDOTRAQUEAL ARAMADA PVC EST.C/BAL.8,5MM SIMS-PORTEX 100.110.085 - CIRURGICA FERNANDES
SONDA RESSUC.N.NATAL ASPIR.MECONIO INT.3,0MM 5FR SIMS-PORTEX 100.420.300 - CIRURGICA FERNANDES
FILTRO EPIDURAL 0,2 MICRA ESTERIL TP.PLANO SIMS-PORTEX 100.386.010 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL MICROLARINGEAL RX ESTERIL 5,0MM SIMS-PORTEX 100.190.050 - CIRURGICA FERNANDES
CLAMP P/MANIFOLD/TRANSDUTOR DESC.TRANSTAR NMX240 - SMITHS MEDICAL
BOLSA PRESSURIZADORA 500ML C/MANOMETRO C-FUSOR MEDEX MX4805 - SMITHS MEDICAL
BOLSA PRESSURIZADORA 500ML C/INDICADOR CLEAR CUFF MEDEX MX4705 - SMITHS MEDICAL
FITA MICROPOROSA 12MMX10MT C/CAPA 02850 - MEDI HOUSE
FITA MICROPOROSA 25MMX10MT C/CAPA 02900 - MEDI HOUSE
FITA MICROPOROSA 50MMX10MT C/CAPA 02950 - MEDI HOUSE
FRASCO DRENAGEM 120ML S/ALCA ALMOTOLIA BICO RETO TAYLOR 990017-BRT - CIRURGICA BRASIL
FRASCO DRENAGEM 500ML S/ALCA ALMOTOLIA BICO RETO TAYLOR 990019-BRT - CIRURGICA BRASIL
FRASCO DRENAGEM 120ML S/ALCA ALMOTOLIA BICO RETO AMBAR TAYLOR 990017-BRA - CIRURGICA BRASIL
FRASCO DRENAGEM 500ML S/ALCA ALMOTOLIA BICO RETO AMBAR TAYLOR 990019-BRA - CIRURGICA BRASIL
ALBUMAX 20% 1FA 50ML+EQP. - BLAU
FRASCO DRENAGEM 500ML S/ALCA ALMOTOLIA BICO CURVO TRASNP.TAYLOR 990021-BCT - CIRURGICA BRASIL
ASSENTO ORTOPEDICO REDONDO TAYLOR 0023 - CIRURGICA BRASIL
ASSENTO ORTOPEDICO QUADRADO TAYLOR 0022 - CIRURGICA BRASIL
CIMENTO ORTOPEDICO 40GRS M/MBC 0779 - CIRURGICA BRASIL
DRENO ASPIRADOR C/CANULA YANKAUER ESTERIL LAC MEDICAL 0777 - CIRURGICA BRASIL
DRENO SUCCAO 3,2MM (1/8") 2VIAS LAC MEDICAL 0776-32 - CIRURGICA BRASIL
DRENO SUCCAO 4,8MM (3/16") 2VIAS LAC MEDICAL 0776-48 - CIRURGICA BRASIL
DRENO SUCCAO 6,4MM (1/4") 2VIAS LAC MEDICAL 0776-64 - CIRURGICA BRASIL
EXTENSAO P/ASPIRACAO/OXIGENACAO/DRENAGEM PVC ESTERIL 01MT 0782-1E - - CIRURGICA BRASIL
EXTENSAO P/ASPIRACAO/OXIGENACAO/DRENAGEM PVC ESTERIL 02MT 0782-2E - - CIRURGICA BRASIL
EXTENSAO P/ASPIRACAO/OXIGENACAO/DRENAGEM PVC ESTERIL 03MT 0782-3E - - CIRURGICA BRASIL
SISTEMA DRENAGEM TORACICA MEDIASTINAL 500ML DRENO NR.14 A 40 LAC MEDICAL 0773-500 - CIRURGICA BRASIL
SISTEMA DRENAGEM TORACICA MEDIASTINAL C/EXT.S/DRENO 500ML LAC MEDICAL 0780-500 - CIRURGICA BRASIL
ASSENTO ORTOPEDICO QUADRADO C/GEL TAYLOR 0022G - CIRURGICA BRASIL
CANULA TRAQUEOSTOMIA METAL STANDARD NR.00 AO 6 STYLLE 1169 - CIRURGICA BRASIL
BOLSA P/COLOSTOMIA 25MM 10UNID WALTEX 0039-25 - CIRURGICA BRASIL
BOLSA P/COLOSTOMIA 30MM 10UNID WALTEX 0039-30 - CIRURGICA BRASIL
BOLSA P/COLOSTOMIA 35MM 10UNID WALTEX 0039-35 - CIRURGICA BRASIL
BOLSA P/COLOSTOMIA 40MM 10UNID WALTEX 0040-40 - CIRURGICA BRASIL
BOLSA P/COLOSTOMIA 45MM 10UNID WALTEX 0040-45 - CIRURGICA BRASIL
BOLSA P/COLOSTOMIA 50MM 10UNID WALTEX 0041-50 - CIRURGICA BRASIL
BOLSA P/COLOSTOMIA 55MM 10UNID WALTEX 0041-55 - CIRURGICA BRASIL
BOLSA P/COLOSTOMIA 60MM 10UNID WALTEX 0041-60 - CIRURGICA BRASIL
BOLSA P/COLOSTOMIA 25MM(3M)10UNID WALTEX 0042-25 - CIRURGICA BRASIL
BOLSA P/COLOSTOMIA 30MM(3M)10UNID WALTEX 0042-30 - CIRURGICA BRASIL
BOLSA P/COLOSTOMIA 35MM(3M)10UNID WALTEX 0042-35 - CIRURGICA BRASIL
BOLSA P/COLOSTOMIA40MM(3M)10UNID WALTEX 0043 - CIRURGICA BRASIL
BOLSA P/COLOSTOMIA 45MM(3M)10UNID WALTEX 0043-45 - CIRURGICA BRASIL
BOLSA P/COLOSTOMIA 50MM(3M)10UNID WALTEX 0044-50 - CIRURGICA BRASIL
BOLSA P/COLOSTOMIA 55MM(3M)10UNID WALTEX 0044-50 - CIRURGICA BRASIL
BOLSA P/COLOSTOMIA 60MM(3M)10UNID WALTEX 0044-60 - CIRURGICA BRASIL
BOLSA P/COLOSTOMIA DREN.RECORT.19 A 64MM OPACA WELLAND 08800PC - CIRURGICA BRASIL
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
159
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000053738
0000053741
0000053742
0000053744
0000053745
0000053746
0000053750
0000053751
0000053752
0000053753
0000053754
0000053755
0000053756
0000053757
0000053762
0000053763
0000053764
0000053765
0000053794
0000053795
0000053796
0000053797
0000053799
0000053800
0000053801
0000053802
0000053803
0000053804
0000053806
0000053807
0000053808
0000053809
0000053822
0000053823
0000053824
0000053826
0000053827
0000053828
0000053829
0000053830
0000053831
0000053832
0000053950
0000053981
0000053982
0000053983
0000053992
DESCRICAO
CINTO P/BOLSA OSTOMIA OSTOPLAST TAYLOR 0065* - CIRURGICA BRASIL
COLCHAO ORTOPEDICO D'AGUA1,90X0,80MT TAYLOR 0263 - CIRURGICA BRASIL
COLCHAO ORTOPEDICO D'AGUA 1,90X0,90MT TAYLOR 0264 - CIRURGICA BRASIL
COLCHAO ORTOPEDICO S/COMPRESSOR AQUATHERM 0252A - CIRURGICA BRASIL
COLCHAO ORTOPEDICO HOSPITALAR CAIXA OVO TAYLOR 0208-23 - CIRURGICA BRASIL
COLCHAO ORTOPEDICO HOSPITALAR CAIXA OVO TAYLOR 0208-28 - CIRURGICA BRASIL
COLETOR DRENAGEM ESTERIL UNISSEX URO-TAYLOR 0094-EU - CIRURGICA BRASIL
COLETOR DRENAGEM FEM.ESTERIL URO-TAYLOR 0094-FE - CIRURGICA BRASIL
COLETOR DRENAGEM URINA ESTERIL INF.MASC.URO-TAYLOR 0094-ME - CIRURGICA BRASIL
BOLSA DRENAGEM FECHADA URO-TAYLOR 0089 - CIRURGICA BRASIL
COLETOR DRENAGEM FECHADO MOD.CURITY URO-TAYLOR 0089A - CIRURGICA BRASIL
COLETOR DRENAGEM ABERTO GARRAFA 1200ML URO-TAYLOR 0090G - CIRURGICA BRASIL
COLETOR DRENAGEM ABERTO URO CONTROL TAYLOR 0090P - CIRURGICA BRASIL
BOLSA DRENAGEM PERNA ESCALA 50 A 500ML URO TAYLOR 0096 - CIRURGICA BRASIL
COLETOR DRENAGEM C/CORDAO 100UNID.URO-TAYLOR 0095 - CIRURGICA BRASIL
COMADRE DRENAGEM PLASTICA TAYLOR 0259 - CIRURGICA BRASIL
COMPRESSA CURATIVO CIRURGICO 10X15CM ESTERIL TAYLOR 0103 - CIRURGICA BRASIL
COMPRESSA CURATIVO CIRURGICO 15X30CM ESTERIL TAYLOR 0104 - CIRURGICA BRASIL
RINOSORO SOL.NASAL 30ML+CGT PLAST. - FARMASA
LISADOR 500+5MG SOL.20ML - FARMASA
DIAPASAO 128 VIBRACOES C/CURSOR 0725 - - CIRURGICA BRASIL
DIAPASAO 512 VIBRACOES S/CURSOR 0726 - - CIRURGICA BRASIL
COLETOR DRENAGEM C/EXTENSAO NR.4 4UNID URO-CONTROL 0117-4 - CIRURGICA BRASIL
COLETOR DRENAGEM C/EXTENSAO NR.5 4UNID URO-CONTROL 0117-5 - CIRURGICA BRASIL
COLETOR DRENAGEM C/EXTENSAO NR.6 4UNID URO-CONTROL 0117-6 - CIRURGICA BRASIL
COLETOR DRENAGEM C/EXTENSAO NR.4 URO-CONTROL 0118-4 - CIRURGICA BRASIL
COLETOR DRENAGEM C/EXTENSAO NR.5 URO-CONTROL 0118-5 - CIRURGICA BRASIL
COLETOR DRENAGEM C/EXTENSAO NR.6 URO-CONTROL 0118-6 - CIRURGICA BRASIL
DRENO SUCCAO S/GAZE COMUM NR.1 12UNID.WALTEX 106 - CIRURGICA BRASIL
DRENO SUCCAO S/GAZE COMUM NR.2 12UNID.WALTEX 107 - CIRURGICA BRASIL
DRENO SUCCAO S/GAZE COMUM NR.3 12UNID.WALTEX 108 - CIRURGICA BRASIL
DRENO SUCCAO S/GAZE COMUM NR.4 12UNID.WALTEX 109 - CIRURGICA BRASIL
ESCOVA GINECOLOGICA C/ESPATULA P/DRENAGEM ESTERIL GINE-TAYLOR 0124 - CIRURGICA BRASIL
ESCOVA GINECOLOGICA C/ESPATULA P/DRENAGEM N/ESTERIL 100UNID GINE-TAYLOR 0125 - CIRURGICA BRASIL
ESCOVA GINECOLOGICA C/ESPATULA P/DRENAGEM ESTERIL GINE-TAYLOR 0124EA - CIRURGICA BRASIL
FAIXA SMARCH BORRACHA 05CM TAYLOR 0127-05 - CIRURGICA BRASIL
FAIXA SMARCH BORRACHA 06CM TAYLOR 0127-06 - CIRURGICA BRASIL
FAIXA SMARCH BORRACHA 08CM TAYLOR 0127-08 - CIRURGICA BRASIL
FAIXA SMARCH BORRACHA 10CM TAYLOR 0127-10 - CIRURGICA BRASIL
FAIXA SMARCH BORRACHA 12CM TAYLOR 0127-12 - CIRURGICA BRASIL
FAIXA SMARCH BORRACHA 15CM TAYLOR 0127-15 - CIRURGICA BRASIL
FAIXA SMARCH BORRACHA 20CM TAYLOR 0127-20 - CIRURGICA BRASIL
LENCOL BORRACHA LAMINADO 1,00X20MT TAYLOR 0137 - CIRURGICA BRASIL
PAPAGAIO DRENAGEM C/ALCA/TAMPA TAYLOR 0265CT - CIRURGICA BRASIL
PONTEIRA BORRACHA P/BENGALA TAYLOR P004 - CIRURGICA BRASIL
PONTEIRA BORRACHA P/MULETA CANADENSE TAYLOR P005 - CIRURGICA BRASIL
RESPIRADOR REANIMACAO BOCA-A-BOCA 0728 - - CIRURGICA BRASIL
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
160
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000053994
0000053996
0000053998
0000054005
0000054007
0000054008
0000054009
0000054011
0000054012
0000054013
0000054019
0000054020
0000054029
0000054039
0000054041
0000054043
0000054044
0000054045
0000054046
0000054048
0000054049
0000054066
0000054069
0000054070
0000054071
0000054073
0000054074
0000054075
0000054076
0000054156
0000054157
0000054160
0000054162
0000054164
0000054165
0000054166
0000054167
0000054168
0000054169
0000054175
0000054176
0000054177
0000054184
0000054185
0000054186
0000054187
0000054188
DESCRICAO
SALTO ORTOPEDICO BORRACHA PEQ.12UNID.TAYLOR 0470-P - CIRURGICA BRASIL
SALTO ORTOPEDICO BORRACHA MED.12UNID.TAYLOR 0470-M - CIRURGICA BRASIL
SALTO ORTOPEDICO BORRACHA GRD.12UNID.TAYLOR 0470-G - CIRURGICA BRASIL
SERINGA P/LAVAGEM OUVIDO LATAO CROMADO 50CC STYLLE 0560 - CIRURGICA BRASIL
SERINGA P/LAVAGEM OUVIDO 100CC STYLLE 0561 - CIRURGICA BRASIL
SERRA ORTOPEDICA GIGLI 30CM STYLLE 0163 - CIRURGICA BRASIL
SERRA ORTOPEDICA GIGLI 40CM STYLLE 0164 - CIRURGICA BRASIL
SERRA ORTOPEDICA GIGLI 50CM STYLLE 0165 - CIRURGICA BRASIL
SERRA ORTOPEDICA GIGLI 60CM STYLLE 0166 - CIRURGICA BRASIL
SERRA ORTOPEDICA GIGLI 70CM STYLLE 0209 - CIRURGICA BRASIL
SONDA URETRAL MALECOT DRENO NR.12 A 40 TAYLOR 1155 - CIRURGICA BRASIL
SONDA URETRAL PEZZER DRENO NR.10 A 40 TAYLOR 1156 - CIRURGICA BRASIL
TELA INORGANICA 26X36CM MARLEX 0192 - CIRURGICA BRASIL
TUBO VENTILACAO SILICONE N.200 15MT TAYLOR - CIRURGICA BRASIL
TUBO VENTILACAO SILICONE N.201 15MT TAYLOR - CIRURGICA BRASIL
TUBO VENTILACAO SILICONE N.202 15MT TAYLOR - CIRURGICA BRASIL
TUBO VENTILACAO SILICONE N.203 15MT TAYLOR - CIRURGICA BRASIL
TUBO VENTILACAO SILICONE N.204 15MT TAYLOR - CIRURGICA BRASIL
TUBO VENTILACAO SILICONE N.205 15MT TAYLOR - CIRURGICA BRASIL
TUBO VENTILACAO SILICONE N.206 15MT TAYLOR - CIRURGICA BRASIL
TUBO VENTILACAO SILICONE N.210 15MT TAYLOR - CIRURGICA BRASIL
TUBO LATEX 15MT TAYLOR N.200 - CIRURGICA BRASIL
TUBO LATEX 15MT TAYLOR 202 - CIRURGICA BRASIL
TUBO LATEX 15MT TAYLOR 201 - CIRURGICA BRASIL
TUBO LATEX 15MT TAYLOR N.203 - CIRURGICA BRASIL
TUBO LATEX 15MT TAYLOR 204 - CIRURGICA BRASIL
TUBO LATEX 15 TAYLOR 205 - CIRURGICA BRASIL
TUBO LATEX 15MT TAYLOR 206 - CIRURGICA BRASIL
TUBO LATEX 15MT TAYLOR N.210 - CIRURGICA BRASIL
TIMENTIN 3,1GRS 10AMP - GLAXOSMITH
VACINA VIRUS INATIVADO GRIPE 10AMP 0,5ML - GLAXOSMITH
FIO GUIA NITINOL LISTRADO 0,025''X150CM C/REVEST.PTFE RETO ZEBRA M0066701081 - BOSTON UROLOGY
FIO GUIA NITINOL LISTRADO 0,025''X150CM C/REVEST.PTFE ANG.ZEBRA M0066701091 - BOSTON UROLOGY
FIO GUIA NITINOL LISTRADO 0,035''X150CM C/REVEST.PTFE RETO ZEBRA M0066701121 - BOSTON UROLOGY
FIO GUIA NITINOL LISTRADO 0,035''X150CM C/REVEST.PTFE ANG.ZEBRA M0066701131 - BOSTON UROLOGY
FIO GUIA NITINOL LISTRADO 0,038''X150CM C/REVEST.PTFE RETO ZEBRA M0066701141 - BOSTON UROLOGY
FIO GUIA NITINOL LISTRADO 0,038''X150CM C/REVEST.PTFE ANG.ZEBRA M0066701151 - BOSTON UROLOGY
PINCA BIOPSIA PULMONAR RADIAL JAW 3 1523 - BOSTON ENDOSCOPY
PINCA BIOPSIA PULMONAR C/AG.RADIAL JAW 1524 - BOSTON ENDOSCOPY
PINCA BIOPSIA C/AG.RADIAL JAW 3 160CM 1535 - BOSTON ENDOSCOPY
PINCA BIOPSIA C/AG.RADIAL JAW 3 240CM 1537 - BOSTON ENDOSCOPY
PINCA BIOPSIA HOT BIOPSY RADIAL JAW 3 240CM 1550 - BOSTON ENDOSCOPY
CANULA P/COLANGIO PTA.STANDARD CONTOUR 3085 - BOSTON ENDOSCOPY
CANULA P/COLANGIO PTA.CONICA CONTOUR 3086 - BOSTON ENDOSCOPY
CANULA P/COLANGIO PTA.ULTRA CONICA CONTOUR 3087 - BOSTON ENDOSCOPY
CANULA P/COLANGIO PTA.5-4-3 CONTOUR 3088 - BOSTON ENDOSCOPY
CANULA P/COLANGIO PTA.BOLA CONTOUR 3089 - BOSTON ENDOSCOPY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
161
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000054189
0000054202
0000054208
0000054225
0000054227
0000054229
0000054265
0000054280
0000054293
0000054294
0000054295
0000054296
0000054306
0000054307
0000054308
0000054311
0000054312
0000054317
0000054318
0000054327
0000054328
0000054329
0000054330
0000054331
0000054341
0000054342
0000054343
0000054346
0000054349
0000054353
0000054355
0000054356
0000054366
0000054367
0000054368
0000054369
0000054370
0000054373
0000054374
0000054375
0000054377
0000054378
0000054379
0000054385
0000054386
0000054387
0000054388
DESCRICAO
CLENIL COMPOSITUM A 400MG+800MG/ML 10FRAC 2ML - CHIESI
RECORMON 10000UI 6SER.PREENC.0,6ML - ROCHE
CATETER DIAGNOSTICO QUADRIPOLAR 5F 120CM JSN 5MM RESPONSE 401223 - ST.JUDE
CATETER DIAGNOSTICO QUADRIPOLAR 6F 120CM CRD 5MM RESPONSE 401226 - ST.JUDE
CATETER DIGNOSTICO QUADRIPOLAR 6F 120CM JSN 5MM RESPONSE 401227 - ST.JUDE
CATETER DIAGNOSTICO QUADRIPOLAR 6F 120CM DAO 5MM RESPONSE 401228 - ST.JUDE
CATETER DIAGNOSTICO DECAPOLAR 6F JSN 2-5-2MM 120CM RESPONSE 401306 - ST.JUDE
CATETER DIAGNOSTICO DECAPOLAR 6F CSL 2-8-2MM 120CM RESPONSE 401381 - ST.JUDE
CABO EXTENSAO BI/TRI/QUADRIP.RESPONSE AZUL 401553 - ST.JUDE
CABO EXTENSAO BI/TRI/QUADRIP.RESPONSE CINZA 401554 - ST.JUDE
CABO EXTENSAO BI/TRI/QUADRIP.RESPONSE VERMELHO 401555 - ST.JUDE
CABO EXTENSAO HEXA/OCTA/DECAP.RESPONSE VERMELHO 401557 - ST.JUDE
CATETER DIAGNOSTICO QUADRIPOLAR 5F 120CM CRD 5MM SUPREME 401441 - ST.JUDE
CATETER DIAGNOSTICO QUADRIPOLAR 5F 120CM JSN 5MM SUPREME 401443 - ST.JUDE
CATETER DIAGNOSTICO QUADRIPOLAR 5F 120CM DAO 5MM SUPREME 401444 - ST.JUDE
CATETER DIAGNOSTICO QUADRIPOLAR 5F 120CM JSN 2-5-2MM SUPREME 401450 - ST.JUDE
CATETER DIAGNOSTICO QUADRIPOLAR 5F 120CM DAO-1 2-5-2MM SUPREME 401468 - ST.JUDE
CATETER DIAGNOSTICO DECAPOLAR CSL 5F 2-8-2MM 65CM SUPREME 401864 - ST.JUDE
CATETER DIAGNOSTICO DECAPOLAR CSL 5F 5-5-5MM 120CM SUPREME 401865 - ST.JUDE
CATETER DIAGNOSTICO QUADRIPOLAR 6F 120CM CRD 5MM SUPREME 401442 - ST.JUDE
CATETER DIAGNOSTICO QUADRIPOLAR 6F 120CM CRD-1 5MM SUPREME 401474 - ST.JUDE
CATETER DIAGNOSTICO QUADRIPOLAR 6F 120CM JSN 5MM SUPREME 401430 - ST.JUDE
CATETER DIAGNOSTICO QUADRIPOLAR 6F 120CM JSN-1 5MM SUPREME 401475 - ST.JUDE
CATETER DIAGNOSTICO QUADRIPOLAR 6F 120CM DAO 5MM SUPREME 401445 - ST.JUDE
CABO EXTENSAO BI/TRI/QUADRIP.SUPREME AZUL 401881 - ST.JUDE
CABO EXTENSAO BI/TRI/QUADRIP.SUPREME CINZA 401882 - ST.JUDE
CABO EXTENSAO BI/TRI/QUADRIP.SUPREME VERMELHO 401883 - ST.JUDE
CATETER DIAGNOSTICO DEFLECTIVEL DECAPOLAR LIVEWIRE 5F E.LRG CURL 2/8/2MM 401941 - ST.JUDE
CATETER DIAGNOSTICO DEFLECTIVEL QUADRIPOLAR LIVEWIRE 6F MED SWEEP 2/5/2MM 401572 - ST.JUDE
CATETER DIAGNOSTICO DEFLECTIVEL DECAPOLAR LIVEWIRE 6F E.LRG CURL 2/5/2MM 401915 - ST.JUDE
CATETER DIAGNOSTICO DEFLECTIVEL DECAPOLAR LIVEWIRE 6F CSL E.LRG CURL 2/8/2MM 401926 - ST.JUDE
CATETER DIAGNOSTICO DEFLECTIVEL QUADRIPOLAR LIVEWIRE 7F MED SWEEP 2/5/2MM 401577 - ST.JUDE
CATETER DIAGNOSTICO DEFLECTIVEL DECAPOLAR LIVEWIRE 7F MED SWEEP 2/5/2MM 401582 - ST.JUDE
CATETER DIAGNOSTICO DUO-DECAPOLAR 7F SR LRG CURL 5-5-5MM 95CM LIVEWIRE 401905 - ST.JUDE
CATETER DIAGNOSTICO DUO-DECAPOLAR 7F SR LRG CURL 2-5-2MM 95CM LIVEWIRE 401914 - ST.JUDE
CATETER DIAGNOSTICO DUO-DECAPOLAR 7F MED CURL 2-2-2MM 115CM LIVEWIRE 401908 - ST.JUDE
CATETER DIAGNOSTICO DUO-DECAPOLAR 7F BDB SR LRG CURL 2-20-2MM 95CM LIVEWIRE 401918 - ST.JUDE
NORFLOXACINO GEN.400MG 14CPDS - SANDOZ
CATETER ABLACAO QUADRIPOLAR LIVEWIRE TC 7F MED SWEEP 2/5/2MM 402121 - ST.JUDE
CATETER ABLACAO QUADRIPOLAR LIVEWIRE TC 7F LRG SWEEP 2/5/2MM 402122 - ST.JUDE
CATETER ABLACAO QUADRIPOLAR LIVEWIRE TC 7F SML CURL 2/5/2MM 402123 - ST.JUDE
CATETER ABLACAO QUADRIPOLAR LIVEWIRE TC 7F MED CURL 2/5/2MM 402124 - ST.JUDE
CATETER ABLACAO QUADRIPOLAR LIVEWIRE TC 7F LRG CURL 2/5/2MM 402125 - ST.JUDE
CATETER ABLACAO QUADRIPOLAR LIVEWIRE XLS 7F MED SWEEP 2/5/2MM 402193 - ST.JUDE
CATETER ABLACAO QUADRIPOLAR LIVEWIRE XLS 7F LRG SWEEP 2/5/2MM 402194 - ST.JUDE
CATETER ABLACAO QUADRIPOLAR LIVEWIRE XLS 7F MED CURL 2/5/2MM 402195 - ST.JUDE
CATETER ABLACAO QUADRIPOLAR LIVEWIRE XLS 7F LRG CURL 2/5/2MM 402196 - ST.JUDE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
162
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000054389
0000054390
0000054391
0000054392
0000054393
0000054394
0000054395
0000054396
0000054407
0000054410
0000054411
0000054412
0000054413
0000054414
0000054415
0000054416
0000054417
0000054418
0000054420
0000054421
0000054422
0000054423
0000054424
0000054425
0000054427
0000054429
0000054430
0000054441
0000054442
0000054443
0000054446
0000054447
0000054449
0000054450
0000054451
0000054453
0000054459
0000054460
0000054461
0000054463
0000054464
0000054466
0000054467
0000054468
0000054469
0000054470
0000054483
DESCRICAO
CATETER ABLACAO QUADRIPOLAR LIVEWIRE XLS 7F MED SWEEP 2/5/2MM 402112 - ST.JUDE
CATETER ABLACAO QUADRIPOLAR LIVEWIRE XLS 7F LRG SWEEP 2/5/2MM 402113 - ST.JUDE
CATETER ABLACAO QUADRIPOLAR LIVEWIRE XLS 7F MED CURL 2/5/2MM 402114 - ST.JUDE
CATETER ABLACAO QUADRIPOLAR LIVEWIRE XLS 7F LRG CURL 2/5/2MM 402115 - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH SWARTZ SR 1 8F 60CM 406845 - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH SWARTZ SR 2 8F 60CM 406846 - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH SWARTZ SR 3 8F 60CM 406847 - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH SWARTZ SR 4 8F 60CM 406848 - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH SWARTZ SR 2 8,5F 60CM 406855 - - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH SWARTZ SL 2 8F 62CM 406841 - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH SWARTZ SL 3 8F 62CM 406842 - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH SWARTZ SL 4 8F 62CM 406843 - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH SWARTZ SL 1 8,5F 62CM 406849 - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH SWARTZ SL 2 8,5F 62CM 406850 - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH SWARTZ SL 3 8,5F 62CM 406851 - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH SWARTZ SL 4 8,5F 62CM 406852 - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH SAFL 8,5F 60CM 406868 - ST.JUDE
INTRODUTOR HEMOSTATICO FAST CATH SEPT 8,5F 60CM 406894 - ST.JUDE
INTRODUTOR TRANSSEPTAL FAST CATH C/VALV.6F 60CM 406800 - ST.JUDE
INTRODUTOR TRANSSEPTAL FAST CATH C/VALV.6,5F 60CM 406801 - ST.JUDE
INTRODUTOR TRANSSEPTAL FAST CATH C/VALV.7F 60CM 406802 - ST.JUDE
INTRODUTOR TRANSSEPTAL FAST CATH C/VALV.7,5F 60CM 406803 - ST.JUDE
INTRODUTOR TRANSSEPTAL FAST CATH C/VALV.8F 60CM 406553 - ST.JUDE
INTRODUTOR TRANSSEPTAL FAST CATH C/VALV.8,5F 60CM 406804 - ST.JUDE
INTRODUTOR TRANSSEPTAL FAST CATH C/VALV.+MARCADOR 8F 60CM 406805 - ST.JUDE
AGULHA TRANSSEPTAL BRK 71CM 407200 - ST.JUDE
AGULHA TRANSSEPTAL BRK 1 71CM 407201 - ST.JUDE
DIALISADOR POLYFLUX 6LR AREA 1,4M2 HEMODIALISE - GAMBRO
DIALISADOR POLYFLUX 8LR AREA 1,7M2 HEMODIALISE - GAMBRO
DIALISADOR POLYFLUX 10LR AREA 2,1M2 HEMODIALISE - GAMBRO
CLEAN CART A TUBO - - JP
CLEAN CART C TUBO - - JP
CABO EXTENSAO LIVEWIRE TC 402504 - ST.JUDE
CABO EXTENSAO LIVEWIRE TC 3MT 402519 - ST.JUDE
CABO EXTENSAO LIVEWIRE TC EPT 100 402517 - ST.JUDE
KIT PRISMA M60 PRE/POS DILUICAO - GAMBRO
BOLSA DRENAGEM P/HEMODIALISE SP 354 - GAMBRO
TUBO EXTENSOR PRISMATHERM - GAMBRO
LACTASOL 5LTS - - JP
SISTEMA COBE SPECTRA AUTOM.P/AFERESE 71000 - TERUMO BCT
SISTEMA COBE AUTOM.P/LAVAR CELULAS 2991 91000 - TERUMO BCT
KIT COBE SPECTRA PUNCAO DUPLA P/COLETA/REMOCAO PLAQUETA DELEUCOTIZADA C/CAMARA LRS 70300 - TERUMO BCT
KIT COBE SPECTRA TPE P/PLASMAFERESE TERAPEUTICA 70500 - TERUMO BCT
KIT COBE SPECTRA WBC P/COLETA/REMOCAO LEUCOCITOS 70620 - TERUMO BCT
KIT COBE SPECTRA RBCX P/ERITROCITOAFERESE TERAPEUTICA 70700 - TERUMO BCT
KIT P/LAVAGEM CELULAS COBE 2991 - GAMBRO
MARCAPASSO CARDIACO IMPLANTAVEL CAMARA UNICA MICRONY 2525T - ST.JUDE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
163
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000054484
0000054496
0000054513
0000054519
0000054524
0000054628
0000054630
0000054632
0000054640
0000054652
0000054653
0000054654
0000054655
0000054656
0000054666
0000054667
0000054678
0000054686
0000054690
0000054691
0000054692
0000054694
0000054696
0000054697
0000054700
0000054702
0000054703
0000054706
0000054708
0000054709
0000054710
0000054711
0000054712
0000054713
0000054714
0000054716
0000054717
0000054718
0000054719
0000054720
0000054723
0000054724
0000054725
0000054726
0000054730
0000054731
0000054732
DESCRICAO
MARCAPASSO CARDIACO IMPLANTAVEL CAMARA UNICA MICRONY 2535K - ST.JUDE
SISTEMA ELETRODO P/ESTIMUL.MP MULTI-SITIO BIVENTRICULAR 5596 - ST.JUDE
ELETRODO ENDOCARDICO QUADRIPOLAR P/MP VDDR FIXACAO PASSIVA 58CM 1368C - ST.JUDE
INTRODUTOR PUNCAO 7F 405108 - ST.JUDE
MARCAPASSO EXTERNO CAMARA UNICA 3077 - ST.JUDE
SONDA NELATON URETRAL BORRACHA 1 FURO CH.26 RUSCH 402.100.26 - CIRURGICA FERNANDES
SONDA NELATON URETRAL BORRACHA 1 FURO CH.28 RUSCH 402.100.28 - CIRURGICA FERNANDES
SONDA NELATON URETRAL BORRACHA 1 FURO CH.30 RUSCH 402.100.30 - CIRURGICA FERNANDES
SONDA NELATON URETRAL BORRACHA 2 FURO CH.16 RUSCH 404.300.16 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL NEON.COLE S/BAL.RX EST.2,0MM SIMS-PORTEX 100.430.200 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL NEON.COLE S/BAL.RX EST.2,5MM SIMS-PORTEX 100.430.250 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL NEON.COLE S/BAL.RX EST.3,0MM SIMS-PORTEX 100.430.300 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL NEON.COLE S/BAL.RX EST.3,5MM SIMS-PORTEX 100.430.350 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL NEON.COLE S/BAL.RX EST.4,0MM SIMS-PORTEX 100.430.400 - CIRURGICA FERNANDES
SONDA ASPIRACAO TRAQUEAL TP.SPYRA EST.6F 40CM SIMS-PORTEX 637506 - CIRURGICA FERNANDES
SONDA ASPIRACAO TRAQUEAL TP.SPYRA EST.8F 40CM SIMS-PORTEX 637508 - CIRURGICA FERNANDES
MEDIDOR/INSUFLADOR P/BALAO SONDA CANULA TRAQ.SIMS-PORTEX 100.568.000 - CIRURGICA FERNANDES
DRENO TORAX PVC RX C/TROC.ROMBO 8FR 89MM PED.SIMS-PORTEX 200.801.080 - CIRURGICA FERNANDES
DRENO TORAX PVC RX C/TROC.10FR 215MM PED.SIMS-PORTEX 200.800.100 - CIRURGICA FERNANDES
DRENO TORAX PVC RX C/TROC.12FR 215MM PED.SIMS-PORTEX 200.800.120 - CIRURGICA FERNANDES
DRENO TORAX PVC RX C/TROC.16FR 230MM ADU.SIMS-PORTEX 200.800.160 - CIRURGICA FERNANDES
DRENO TORAX PVC RX C/TROC.20FR 390MM ADU.SIMS-PORTEX 200.800.200 - CIRURGICA FERNANDES
DRENO TORAX PVC RX C/TROC.28FR 390MM ADU.SIMS-PORTEX 200.800.280 - CIRURGICA FERNANDES
DRENO TORAX PVC RX C/TROC.32FR 390MM ADU.SIMS-PORTEX 200.800.320 - CIRURGICA FERNANDES
DRENO TORAX PVC RX C/INTROD.PLAST.FLEX.28FR SIMS-PORTEX 200.804.280 - CIRURGICA FERNANDES
DRENO TORAX PVC RX C/INTROD.PLAST.FLEX.36FR SIMS-PORTEX 200.804.360 - CIRURGICA FERNANDES
SERINGA EPIDURAL 10CC RESIST.ZERO GRADUADA ESTERIL PLAST.SIMS-PORTEX 100.398.000 - CIRURGICA FERNANDES
MINITRACH P/CRICOTIROIDOST.SIST.SELDINGER SIMS-PORTEX 100.461.000 - CIRURGICA FERNANDES
MINITRACH P/CRICOTIROIDOST.MINITRACH II SIMS-PORTEX 100.462.000 - CIRURGICA FERNANDES
MASCARA VENTURI COMPL.ADU.SIMS-PORTEX 002610E - CIRURGICA FERNANDES
MASCARA VENTURI COMPL.INF.SIMS-PORTEX 002620E - CIRURGICA FERNANDES
MASCARA P/TRAQUEOST.VINIL ADU.SIMS-PORTEX 002400E - CIRURGICA FERNANDES
COLAR FIXADOR VELCRO P/CANULA TRAQUEOST.NEONATAL SIMS-PORTEX 520002E - CIRURGICA FERNANDES
COLAR FIXADOR VELCRO P/CANULA TRAQUEOST.INF.SIMS-PORTEX 520001E - CIRURGICA FERNANDES
COLAR FIXADOR VELCRO P/CANULA TRAQUEOST.ADU.SIMS-PORTEX 520000E - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA NEONATAL PED.S/BAL.2,5MM SIMS-PORTEX 555025 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA NEONATAL PED.S/BAL.4,0MM SIMS-PORTEX 555040 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA NEONATAL PED.S/BAL.3,0MM SIMS-PORTEX 555030 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA NEONATAL PED.S/BAL.4,5MM SIMS-PORTEX 555045 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA NEONATAL PED.S/BAL.3,5MM SIMS-PORTEX 555035 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA AJUST.P/OBESO C/BAL.7,0MM SIMS-PORTEX 100.523.070 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA AJUST.P/OBESO C/BAL.8,0MM SIMS-PORTEX 100.523.080 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA AJUST.P/OBESO C/BAL.9,0MM SIMS-PORTEX 100.523.090 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA AJUST.P/OBESO C/BAL.10,0MM SIMS-PORTEX 100.523.100 - CIRURGICA FERNANDES
KIT TRAQUEOST.PERCUT.PINCA C/CAN.TR.C/BAL.7,0MM SIMS-PORTEX 100.541.070 - CIRURGICA FERNANDES
KIT TRAQUEOST.PERCUT.PINCA C/CAN.TR.C/BAL.8,0MM SIMS-PORTEX 100.541.080 - CIRURGICA FERNANDES
KIT TRAQUEOST.PERCUT.PINCA C/CAN.TR.C/BAL.9,0MM SIMS-PORTEX 100.541.090 - CIRURGICA FERNANDES
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
164
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000054742
0000054747
0000054758
0000054759
0000054761
0000054763
0000054764
0000054766
0000054768
0000054775
0000054779
0000054781
0000054783
0000054784
0000054785
0000054792
0000054793
0000054794
0000054795
0000054796
0000054797
0000054798
0000054799
0000054800
0000054802
0000054803
0000054804
0000054805
0000054807
0000054808
0000054809
0000054811
0000054812
0000054813
0000054837
0000054838
0000054839
0000054840
0000054841
0000054842
0000054843
0000054844
0000054845
0000054846
0000054848
0000054849
0000054850
DESCRICAO
CATETER SEMI-IMPLANTAVEL HICKMAN 1 LUMEN 9,6FRX90CM BARD 600560 - POLITEC
CANULA BUCHANAN P/COLANG.COMP.1,4MM SIMS-PORTEX 400.450.010 - CIRURGICA FERNANDES
CAMPO CIRURGICO EST.STERI DRAPE 50X48CM AD.50X13CM BOL.COLET.FLUIDO MCD D1016 - CIRURGICA FERNANDES
CATETER SEMI-IMPLANTAVEL HICKMAN DUPLO LUMEN 9FRX65CM S/KIT BARD 600320 - POLITEC
CAMPO CIRURGICO EST.STERI DRAPE 40X40CM AD.11X12CM OFTALM.MCD D1021 - CIRURGICA FERNANDES
CATETER SEMI-IMPLANTAVEL HICKMAN DUPLO LUMEN 7FRX65CM BARD 600570 - POLITEC
CAMPO CIRURGICO EST.STERI DRAPE 60X35CM AD.35X35CM CIR.GERAL MCD D1040 - CIRURGICA FERNANDES
CAMPO CIRURGICO EST.STERI DRAPE 91X44CM AD.59X44CM CIR.GERAL MCD D1050 - CIRURGICA FERNANDES
CATETER SEMI-IMPLANTAVEL HICKMAN DUPLO LUMEN 9FRX90CM BARD 600600 - POLITEC
CATETER SEMI-IMPLANTAVEL HICKMAN DUPLO LUMEN 12FRX90CM BARD 600620 - POLITEC
CATETER SEMI-IMPLANTAVEL HICKMAN DUPLO LUMEN 13,5FRX36CM BARD 600660 - POLITEC
CATETER SEMI-IMPLANTAVEL HICKMAN DUPLO LUMEN 13,5FRX40CM BARD 600690 - POLITEC
CATETER SEMI-IMPLANTAVEL HICKMAN TRIPLO LUMEM 10FRX97CM BARD 606560 - POLITEC
CATETER SEMI-IMPLANTAVEL HICKMAN TRIPLO LUMEM 12,5FRX90CM BARD 600650 - POLITEC
CATETER SEMI-IMPLANTAVEL LEONARD DUPLO LUMEM 10FRX90CM BARD 600630 - POLITEC
CATETER TOTALMENTE IMPLANTAVEL PORT 9,6FRX76CM BARD 602640 - POLITEC
CATETER TOTALMENTE IMPLANTAVEL PORT 6,6FRX76CM BARD 602650 - POLITEC
CATETER TOTALMENTE IMPLANTAVEL PORT 6,6FRX76CM B.PERFIL KIT C/INTROD.BARD 603880 - POLITEC
CATETER TOTALMENTE IMPLANTAVEL PORT 6,6FRX76CM BARD KIT INTRODUTOR 602690 - POLITEC
CATETER TOTALMENTE IMPLANTAVEL PORT 9,6FRX76CM BARD KIT INTRODUTOR 602680 - POLITEC
CATETER PICC KIT PER-Q-CATH 1 LUMEN 2FRX30CM BARD 4132005 - POLITEC
CATETER PICC KIT PER-Q-CATH 1 LUMEN 3FRX65CM BARD 4133105 - POLITEC
CATETER PICC KIT PER-Q-CATH 1 LUMEN 4FRX65CM BARD 4134105 - POLITEC
CATETER PICC KIT PER-Q-CATH 2 LUMEN 5FRX65CM BARD 4235105 - POLITEC
AGULHA HUBER 20G C/EXT.INJ.LATERAL 0,75" BARD 2205220 - POLITEC
AGULHA HUBER 20G C/EXT.INJ.LATERAL 1" BARD 2206220 - POLITEC
AGULHA HUBER 22G C/EXT.INJ.LATERAL 0,75" BARD 2205222 - POLITEC
AGULHA HUBER C/EXT.22G 0,75" BARD 604210 - POLITEC
AGULHA HUBER C/EXT.20G 1" BARD 604200 - POLITEC
AGULHA HUBER C/EXT.22G 1" BARD 604220 - POLITEC
CATETER IMPLANTAVEL BROVIAC 2,7FRX71CM BARD 600040 - POLITEC
CATETER IMPLANTAVEL BROVIAC 1 LUMEN 6,6FRX90CM BARD 600540 - POLITEC
CATETER SEMI-IMPLANTAVEL HOHN 2 LUMEN 7FRX45CM BARD 600730 - POLITEC
TELA MISTA COMPOSIX POLIPROPILENO EPTFE 25X35CM BARD 0123113 - POLITEC
CATETER EMBOLECTOMIA LEMAITRE 2FR - - TECMEDIC
CATETER EMBOLECTOMIA LEMAITRE 3FR - - TECMEDIC
CATETER EMBOLECTOMIA LEMAITRE 4FR - - TECMEDIC
CATETER EMBOLECTOMIA LEMAITRE 5FR - - TECMEDIC
CATETER EMBOLECTOMIA LEMAITRE 6FR - - TECMEDIC
VALVULA MECANICA DUPLO FOLHETO AORTICA 19 MASTER AJ-501 - ST.JUDE
VALVULA MECANICA DUPLO FOLHETO AORTICA 23 MASTER AJ-501 - ST.JUDE
VALVULA MECANICA DUPLO FOLHETO AORTICA 25 MASTER AJ-501 - ST.JUDE
VALVULA MECANICA DUPLO FOLHETO AORTICA 27 MASTER AJ-501 - ST.JUDE
VALVULA MECANICA DUPLO FOLHETO AORTICA 29 MASTER AJ-501 - ST.JUDE
VALVULA MECANICA DUPLO FOLHETO MITRAL 19 MASTER MJ-501 - ST.JUDE
VALVULA MECANICA DUPLO FOLHETO MITRAL 21 MASTER MJ-501 - ST.JUDE
VALVULA MECANICA DUPLO FOLHETO MITRAL 23 MASTER MJ-501 - ST.JUDE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
165
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000054851
0000054852
0000054853
0000054854
0000054855
0000054877
0000054879
0000054880
0000054881
0000054885
0000054886
0000054904
0000054905
0000054906
0000054907
0000054908
0000054911
0000054912
0000054913
0000054914
0000054915
0000054916
0000054917
0000054918
0000054919
0000054921
0000054923
0000054926
0000054927
0000054929
0000054932
0000054933
0000054934
0000054936
0000054937
0000054965
0000054974
0000054976
0000054977
0000054978
0000054980
0000054983
0000055250
0000055251
0000055252
0000055253
0000055255
DESCRICAO
VALVULA MECANICA DUPLO FOLHETO MITRAL 25 MASTER MJ-501 - ST.JUDE
VALVULA MECANICA DUPLO FOLHETO MITRAL 27 MASTER MJ-501 - ST.JUDE
VALVULA MECANICA DUPLO FOLHETO MITRAL 29 MASTER MJ-501 - ST.JUDE
VALVULA MECANICA DUPLO FOLHETO MITRAL 31 MASTER MJ-501 - ST.JUDE
VALVULA MECANICA DUPLO FOLHETO MITRAL 33 MASTER MJ-501 - ST.JUDE
NORDITROPIN SIMPLEXX 5MG 1AMP - NOVO NORDISK
NORDITROPIN SIMPLEXX 10MG 1AMP - NOVO NORDISK
NORDITROPIN SIMPLEXX 15MG 1AMP - NOVO NORDISK
APLICADOR NORDIPEN CLASSIC 5MG - NOVO NORDISK
APLICADOR NORDIPEN GRAPHIC 10MG - NOVO NORDISK
APLICADOR NORDIPEN GRAPHIC 15MG - NOVO NORDISK
PLACA ISOPOR ESTERIL - STERIFARMA
OMEPRAZOL GEN.10MG 14CAPS - - LIBBS
OMEPRAZOL GEN.20MG 7CAPS - - LIBBS
OMEPRAZOL GEN.20MG 28CAPS - - LIBBS
OMEPRAZOL GEN.40MG 7CAPS - - LIBBS
STENT DUPLO J P/ENDOPIELOTOMIA 14-7FRX22CM RETROMAX M0061451470 - BOSTON UROLOGY
STENT DUPLO J P/ENDOPIELOTOMIA 14-7FRX24CM RETROMAX M0061451480 - BOSTON UROLOGY
STENT DUPLO J P/ENDOPIELOTOMIA 14-7FRX26CM RETROMAX M0061451490 - BOSTON UROLOGY
STENT DUPLO J P/ENDOPIELOTOMIA 14-7FRX28CM RETROMAX M0061451500 - BOSTON UROLOGY
STENT DUPLO J 4,8FRX10CM PERCUFLEX PLUS M0061751950 - BOSTON UROLOGY
STENT DUPLO J 4,8FRX12CM PERCUFLEX PLUS M0061751960 - BOSTON UROLOGY
STENT DUPLO J 4,8FRX14CM PERCUFLEX PLUS M0061751970 - BOSTON UROLOGY
STENT DUPLO J 4,8FRX16CM PERCUFLEX PLUS M0061751980 - BOSTON UROLOGY
STENT DUPLO J 4,8FRX22-30CM CONTOUR VL M0061801550 - BOSTON UROLOGY
STENT DUPLO J 6FRX22-30CM CONTOUR VL M0061801560 - BOSTON UROLOGY
STENT DUPLO J 7FRX22-30CM CONTOUR VL M0061801570 - BOSTON UROLOGY
STENT DUPLO J 6FRX24CM CONTOUR M0061802220 - BOSTON UROLOGY
STENT DUPLO J 6FRX26CM CONTOUR M0061802230 - BOSTON UROLOGY
STENT DUPLO J 6FRX28CM CONTOUR M0061802240 - BOSTON UROLOGY
STENT DUPLO J 7FRX22CM CONTOUR M0061802310 - BOSTON UROLOGY
STENT DUPLO J 7FRX24CM CONTOUR M0061802320 - BOSTON UROLOGY
STENT DUPLO J 7FRX26CM CONTOUR M0061802330 - BOSTON UROLOGY
CAPA ESTERILIZADA 5UNID REF.3060700000000 - CARL ZEISS
CAPA ESTERILIZADA 5UNID REF.3060710000000 - CARL ZEISS
EQUIPO P/INFUSAO SOLUCAO EV-HART AIR FILTRO 15MICRAS REVERSIVEL L.LOCK 160.120 - HARTMANN
CARTUCHO P/MONARCH II C "THIN" P/ACRYSOF SINGLE PIECE 1CART 3506 - ALCON
SONDA ENDOLASER CURVA TIP FINO EYELITE ALCON/COHERENT 3308 - ALCON
SONDA ENDOLASER RETA C/ASP.TIP FINO EYELITE ALCON/COHERENT 3309 - ALCON
SONDA ENDOLASER RETA TIP FINO EYELITE ALCON/COHERENT 3307 - ALCON
TOMAT 30CAPS - APSEN
BETASERC 16MG 3BLX10CPDS - ABBOTT SAUDE
DIPROPIONATO BETAMETASONA+ACIDO SALICILICO GEN.POM.DERM.30GRS - MEDLEY
OMNIPAQUE 300MG 100ML - FARMASA
OMNIPAQUE 350MG 100ML - FARMASA
OMNISCAN 287MG/ML 20ML - FARMASA
TENAG 40MG 20CPDS REV. - MARJAN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
166
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000055258
0000055259
0000055260
0000055261
0000055262
0000055263
0000055264
0000055265
0000055266
0000055267
0000055268
0000055269
0000055271
0000055274
0000055277
0000055285
0000055286
0000055287
0000055288
0000055289
0000055290
0000055291
0000055293
0000055294
0000055295
0000055296
0000055297
0000055298
0000055300
0000055301
0000055302
0000055303
0000055304
0000055305
0000055306
0000055307
0000055311
0000055312
0000055318
0000055319
0000055320
0000055321
0000055322
0000055325
0000055328
0000055334
0000055341
DESCRICAO
BESILATO ANLODIPINO GEN.5MG 2X10CPDS - MEDLEY
BESILATO ANLODIPINO GEN.5MG 3X10CPDS - MEDLEY
BESILATO ANLODIPINO GEN.10MG 2X10CPDS - MEDLEY
BESILATO ANLODIPINO GEN.10MG 3X10CPDS - MEDLEY
MALEATO ENALAPRIL GEN.5MG 30CPDS - MEDLEY
MALEATO ENALAPRIL GEN.10MG 3X10CPDS - MEDLEY
MALEATO ENALAPRIL GEN.20MG 3X10CPDS - MEDLEY
ATENOLOL GEN.25MG 2X15CPDS - MEDLEY
ATENOLOL GEN.50MG 2X15CPDS - MEDLEY
ATENOLOL GEN.100MG 3X10CPDS - MEDLEY
METILDOPA GEN.500MG 2X15CPDS - MEDLEY
LIVOLON 2,5MG 30CPDS - BIOLAB SANUS
ZYBAN 150MG 30CPDS - GLAXOSMITH
SELOZOK 25MG 2BLX10CPDS LIB.CONTROL. - ASTRAZENECA
LORATADINA GEN.10MG 12CPDS - RANBAXY
TINORAL 500MG 4CPDS REV. - - UNIAO QUIMICA
MINIAN 21CPDS - LIBBS
PLAMET 4MG/ML PED.GTS.20ML - LIBBS
TAMISA 20MCG 21CPDS - EUROFARMA
TAMISA 30MCG 21CPDS - EUROFARMA
ACETILCISTEINA GEN.20MG XPE.100ML - EUROFARMA
ACETILCISTEINA GEN.20MG XPE.150ML - EUROFARMA
ASMAPEN 24MG/ML SOL.INJ.50AMP 10ML - NEOQUIMICA
BACTRONEO 20MG/G POM. 15GRS - NEOQUIMICA
CEFABRINA 500MG 100CPDS - NEOQUIMICA
CEFABRINA 200MG/ML GTS.10ML - NEOQUIMICA
FAMOTID 40MG 10CPDS - NEOQUIMICA
FAMOTID 20MG 10CPDS - NEOQUIMICA
LIDOGEL 2% GEL 30GRS+APL.URET. - NEOQUIMICA
NEO METRODAZOL 250MG 20CPDS - NEOQUIMICA
NEO METRODAZOL 125MG/G CRM.VAG.40GRS - NEOQUIMICA
ANCLOMAX 200MG 20CPDS - BLAU
ANCLOMAX 400MG 20CPDS - BLAU
FANCLOMAX 125MG 10CPDS REV. - BLAU
FANCLOMAX 250MG 7CPDS REV. - BLAU
FANCLOMAX 250MG 21CPDS REV. - BLAU
VALBET CRM.30GRS - - DELTA
VALBET POM.30GRS - - DELTA
CONMEL GTS.20ML - FARMASA
MIOFLEX A 500+300+125+30MG 12CPDS - FARMASA
FLATEX 75MG GTS.15ML - FARMASA
FLATEX 150MG GTS.10ML - FARMASA
FLATEX 40MG 2X10CPDS - FARMASA
FLATEX 150MG 12CPDS - FARMASA
VICTRIX 20MG 14CAPS - FARMASA
ORGALUTRAN 0,5MG/ML 1SER.PREENCHIDA - SCHERING PLOUGH
POLICLAVUMOXIL 250MG/5ML 75ML - EMS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
167
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000055343
0000055344
0000055345
0000055364
0000055365
0000055369
0000055370
0000055372
0000055373
0000055374
0000055375
0000055379
0000055380
0000055381
0000055385
0000055388
0000055392
0000055393
0000055395
0000055396
0000055397
0000055398
0000055399
0000055400
0000055401
0000055402
0000055403
0000055404
0000055405
0000055406
0000055407
0000055408
0000055409
0000055410
0000055411
0000055412
0000055413
0000055414
0000055415
0000055416
0000055417
0000055418
0000055419
0000055420
0000055421
0000055422
0000055423
DESCRICAO
DIPIRONA SODICA GEN.500MG 24BLX10CPDS - EMS GENERICOS
NEUTROFER FOLICO 150MG 30CPDS - SIGMA PHARMA
NEUTROFER FOLICO 20FLAC 5ML - SIGMA PHARMA
CLORETO POTASSIO 10% 1AMP 10ML - EQUIPLEX
CLORETO POTASSIO 15% 1AMP 10ML - EQUIPLEX
LESTAMIL 2+0,25MG 15CPDS - TEUTO BRAS
LESTAMIL 2MG/5ML+0,25MG/5ML XPE.VD.120ML - TEUTO BRAS
LABIGERON 75MG 30CPDS - TEUTO BRAS
PROFERGAN 25MG 20CPDS - TEUTO BRAS
SOROLIV 9+0,1MG/ML SOL.NASAL 30ML - TEUTO BRAS
VALPRENE 250MG/ML XPE.100ML - TEUTO BRAS
MATERSUPRE 30DRGS - - TEUTO BRAS
GINCOLIN 80MG 30CAPS GEL - TEUTO BRAS
FUROSEMIDA GEN.40MG 20CPDS - TEUTO BRAS
COLPIST MT 60GRS+1APL - ATIVUS
INFLAX 20MG 8CPDS REV. - ATIVUS
ENDOBULIN SD 2500MG FA+DIL 50ML - - BAXTER
ENDOBULIN SD 5000MG FA+DIL 100ML - - BAXTER
FIO SAFIL VIOLETA 2-0 140CM S/AG.C1038207 - B.BRAUN
FIO SAFIL VIOLETA 0 140CM S/AG.C1038208 - B.BRAUN
FIO SAFIL VIOLETA 1 140CM S/AG.C1038209 - B.BRAUN
FIO SAFIL UROLOGIA VIOLETA 6-0 70CM AG.1,7CM C1048011 - B.BRAUN
FIO SAFIL UROLOGIA VIOLETA 5-0 70CM AG.1,7CM C1048012 - B.BRAUN
FIO SAFIL UROLOGIA VIOLETA 4-0 70CM AG.1,7CM C1048013 - B.BRAUN
FIO SAFIL GASTRO VIOLETA 4-0 70CM AG.2,2CM C1048029 - B.BRAUN
FIO SAFIL GASTRO VIOLETA 3-0 70CM AG.2,2CM C1048030 - B.BRAUN
FIO SAFIL GASTRO VIOLETA 4-0 70CM AG.2,6CM C1048040 - B.BRAUN
FIO SAFIL GASTRO VIOLETA 3-0 70CM AG.2,6CM C1048041 - B.BRAUN
FIO SAFIL GASTRO VIOLETA 2-0 70CM AG.2,6CM C1048042 - B.BRAUN
FIO SAFIL GASTRO VIOLETA 0 70CM AG.2,6CM C1048043 - B.BRAUN
FIO SAFIL GASTRO VIOLETA 3-0 70CM AG.3,0CM C1048046 - B.BRAUN
FIO SAFIL GASTRO VIOLETA 2-0 70CM AG.3,0CM C1048047 - B.BRAUN
FIO SAFIL GASTRO VIOLETA 0 70CM AG.3,0CM C1048048 - B.BRAUN
FIO SAFIL GASTRO VIOLETA 3-0 70CM AG.3,7CM C1048050 - B.BRAUN
FIO SAFIL GASTRO VIOLETA 2-0 70CM AG.3,7CM C1048051 - B.BRAUN
FIO SAFIL GASTRO VIOLETA 0 70CM AG.3,7CM C1048052 - B.BRAUN
FIO SAFIL GASTRO VIOLETA 3-0 70CM AG.3,2CM C1048170 - B.BRAUN
FIO SAFIL GASTRO VIOLETA 2-0 70CM AG.3,2CM C1048171 - B.BRAUN
FIO SAFIL GASTRO VIOLETA 0 70CM AG.3,2CM C1048172 - B.BRAUN
FIO SAFIL FECH.G.OB/GIN.VIOLETA 3-0 70CM AG.2,6CM C1048089 - B.BRAUN
FIO SAFIL FECH.G.OB/GIN.VIOLETA 2-0 70CM AG.2,6CM C1048090 - B.BRAUN
FIO SAFIL FECH.G.OB/GIN.VIOLETA 0 70CM AG.2,6CM C1048091 - B.BRAUN
FIO SAFIL FECH.G.OB/GIN.VIOLETA 2-0 70CM AG.3,7CM C1048095 - B.BRAUN
FIO SAFIL FECH.G.OB/GIN.VIOLETA 0 70CM AG.3,7CM C1048096 - B.BRAUN
FIO SAFIL FECH.G.OB/GIN.VIOLETA 1 70CM AG.3,7CM C1048097 - B.BRAUN
FIO SAFIL FECH.G.OB/GIN.VIOLETA 2-0 70CM AG.3,7CM C1048294 - B.BRAUN
FIO SAFIL FECH.G.OB/GIN.VIOLETA 0 70CM AG.3,7CM C1048296 - B.BRAUN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
168
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000055424
0000055425
0000055426
0000055427
0000055428
0000055429
0000055430
0000055431
0000055432
0000055433
0000055437
0000055438
0000055439
0000055440
0000055441
0000055442
0000055443
0000055444
0000055445
0000055446
0000055447
0000055449
0000055450
0000055451
0000055455
0000055457
0000055458
0000055459
0000055460
0000055461
0000055462
0000055463
0000055464
0000055465
0000055466
0000055467
0000055468
0000055469
0000055470
0000055471
0000055472
0000055473
0000055474
0000055475
0000055476
0000055477
0000055478
DESCRICAO
FIO SAFIL FECH.G.OB/GIN.VIOLETA 1 70CM AG.3,7CM C1048297 - B.BRAUN
FIO SAFIL FECH.G.OB/GIN.VIOLETA 2-0 70CM AG.4CM C1048055 - B.BRAUN
FIO SAFIL FECH.G.OB/GIN.VIOLETA 0 70CM AG.4CM C1048056 - B.BRAUN
FIO SAFIL FECH.G.OB/GIN.VIOLETA 1 70CM AG.4CM C1048057 - B.BRAUN
FIO SAFIL FECH.G.OB/GIN.VIOLETA 2-0 90CM AG.4,8CM C1048560 - B.BRAUN
FIO SAFIL FECH.G.OB/GIN.VIOLETA 0 90CM AG.4,8CM C1048561 - B.BRAUN
FIO SAFIL FECH.G.OB/GIN.VIOLETA 1 90CM AG.4,8CM C1048562 - B.BRAUN
FIO SAFIL LAC.FECH.G.OB/GIN.VIOLETA 1 150CM AG.4,0CM B1048350 - B.BRAUN
FIO SAFIL OFTAL.VIOLETA 8-0 30CM AG.0,6CM G1048702 - B.BRAUN
FIO SAFIL OFTAL.VIOLETA 7-0 45CM AG.0,6CM G1048711 - B.BRAUN
FIO SAFIL CUTICULAR VIOLETA 5-0 45CM AG.1,5CM C1048203 - B.BRAUN
FIO SAFIL CUTICULAR VIOLETA 4-0 45CM AG.1,5CM C1048204 - B.BRAUN
FIO SAFIL PLASTICA VIOLETA 4-0 45CM AG.2,1CM C1048225 - B.BRAUN
FIO SAFIL PLASTICA VIOLETA 3-0 45CM AG.2,1CM C1048226 - B.BRAUN
FIO SAFIL CUTICULAR INCOLOR 3-0 45CM AG.2,6CM C1049440 - B.BRAUN
FIO SAFIL CUTICULAR INCOLOR 2-0 45CM AG.2,6CM C1049441 - B.BRAUN
FIO SAFIL PLASTICA INCOLOR 6-0 45CM AG.1,3CM C1049618 - B.BRAUN
FIO SAFIL PLASTICA INCOLOR 5-0 45CM AG.1,3CM C1049619 - B.BRAUN
FIO SAFIL PLASTICA INCOLOR 4-0 45CM AG.1,3CM C1049620 - B.BRAUN
FIO SAFIL PLASTICA INCOLOR 5-0 45CM AG.1,6CM C1049525 - B.BRAUN
FIO SAFIL PLASTICA INCOLOR 4-0 45CM AG.1,6CM C1049524 - B.BRAUN
FIO SAFIL PLASTICA INCOLOR 5-0 45CM AG.1,9CM C1049219 - B.BRAUN
FIO SAFIL PLASTICA INCOLOR 4-0 45CM AG.1,9CM C1049220 - B.BRAUN
FIO SAFIL PLASTICA INCOLOR 3-0 45CM AG.1,9CM C1049221 - B.BRAUN
FIO SAFIL CUTICULAR INCOLOR 3-0 70CM AG.2,4CM C1049235 - B.BRAUN
FIO SAFIL CUTICULAR INCOLOR 3-0 70CM AG.3,0CM C1049246 - B.BRAUN
FIO SAFIL CUTICULAR VIOLETA 2-0 70CM AG.3CM C1048247 - B.BRAUN
FIO SAFIL CUTICULAR VIOLETA 0 70CM AG.3CM C1048248 - B.BRAUN
FIO CATGUT SIMPLES 4-0 1,5M S/AG.B0032050BR - B.BRAUN
FIO CATGUT SIMPLES 3-0 1,5M S/AG.B0032069BR - B.BRAUN
FIO CATGUT SIMPLES 2-0 1,5M S/AG.B0032077BR - B.BRAUN
FIO CATGUT SIMPLES 0 1,5M S/AG.B0032093BR - B.BRAUN
FIO CATGUT SIMPLES 1 1,5M S/AG.B0032107BR - B.BRAUN
FIO CATGUT SIMPLES 2 1,5M S/AG.B0032115BR - B.BRAUN
FIO CATGUT SIMPLES UROLOGIA 4-0 75CM AG.1,7CM B0530140BR - B.BRAUN
FIO CATGUT SIMPLES GASTRO 4-0 75CM AG.2,2CM B0530301BR - B.BRAUN
FIO CATGUT SIMPLES GASTRO 3-0 75CM AG.2,2CM B0530310BR - B.BRAUN
FIO CATGUT SIMPLES GASTRO 2-0 75CM AG.2,2CM B0530328BR - B.BRAUN
FIO CATGUT SIMPLES GASTRO 3-0 75CM AG.2,6CM B0530425BR - B.BRAUN
FIO CATGUT SIMPLES GASTRO 2-0 75CM AG.2,6CM B0530433BR - B.BRAUN
FIO CATGUT SIMPLES GASTRO 0 75CM AG.2,6CM B0530441BR - B.BRAUN
FIO CATGUT SIMPLES GASTRO 3-0 75CM AG.3CM B0530476BR - B.BRAUN
FIO CATGUT SIMPLES GASTRO 2-0 75CM AG.3CM B0530484BR - B.BRAUN
FIO CATGUT SIMPLES GASTRO 0 75CM AG.3CM B0530492BR - B.BRAUN
FIO CATGUT SIMPLES GASTRO 2-0 75CM AG.3,7CM B0530522BR - B.BRAUN
FIO CATGUT SIMPLES GASTRO 0 75CM AG.3,7CM B0530530BR - B.BRAUN
FIO CATGUT SIMPLES GASTRO 3-0 75CM AG.3,2CM B0531472BR - B.BRAUN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
169
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000055479
0000055480
0000055481
0000055482
0000055483
0000055484
0000055485
0000055486
0000055487
0000055488
0000055489
0000055490
0000055491
0000055492
0000055493
0000055494
0000055495
0000055496
0000055497
0000055498
0000055499
0000055500
0000055501
0000055502
0000055503
0000055504
0000055505
0000055506
0000055507
0000055508
0000055511
0000055512
0000055513
0000055514
0000055515
0000055516
0000055517
0000055518
0000055519
0000055520
0000055521
0000055522
0000055523
0000055524
0000055525
0000055526
0000055527
DESCRICAO
FIO CATGUT SIMPLES GASTRO 2-0 75CM AG.3,2CM B0531480BR - B.BRAUN
FIO CATGUT SIMPLES GASTRO 0 75CM AG.3,2CM B0531499BR - B.BRAUN
FIO CATGUT SIMPLES GASTRO 1 75CM AG.3,2CM B0531502BR - B.BRAUN
FIO CATGUT SIMPLES FECH.G.OB/GIN.2-0 75CM AG.3,7CM B0530964BR - B.BRAUN
FIO CATGUT SIMPLES FECH.G.OB/GIN.0 75CM AG.3,7CM B0530972BR - B.BRAUN
FIO CATGUT SIMPLES FECH.G.OB/GIN.2-0 75CM AG.4CM B0540730BR - B.BRAUN
FIO CATGUT SIMPLES FECH.G.OB/GIN.0 75CM AG.4CM B0540749BR - B.BRAUN
FIO CATGUT SIMPLES FECH.G.OB/GIN.1 75CM AG.4CM B0540757BR - B.BRAUN
FIO CATGUT SIMPLES FECH.G.OB/GIN.2-0 90CM AG.4,8CM B0530317BR - B.BRAUN
FIO CATGUT SIMPLES FECH.G.OB/GIN.0 90CM AG.4,8CM B0530318BR - B.BRAUN
FIO CATGUT SIMPLES FECH.G.OB/GIN.1 90CM AG.4,8CM B0535257BR - B.BRAUN
FIO CATGUT CROMADO 4-0 1,5M S/AG.B0062057BR - B.BRAUN
FIO CATGUT CROMADO 3-0 1,50MT S/AG.B0062065BR - B.BRAUN
FIO CATGUT CROMADO 2-0 1,5M S/AG.B0062073BR - B.BRAUN
FIO CATGUT CROMADO 0 1,5M S/AG.B0062090BR - B.BRAUN
FIO CATGUT CROMADO 1 1,5M S/AG.B0062103BR - B.BRAUN
FIO CATGUT CROMADO 2 1,5M S/AG.B0062111BR - B.BRAUN
FIO CATGUT CROMADO UROLOGIA 4-0 75CM AG.1,7CM B0560146BR - B.BRAUN
FIO CATGUT CROMADO GASTRO 4-0 75CM B0560308BR - B.BRAUN
FIO CATGUT CROMADO GASTRO 3-0 75CM AG.2,2CM B0560316BR - B.BRAUN
FIO CATGUT CROMADO GASTRO 2-0 75CM AG.2,2CM B0560324BR - B.BRAUN
FIO CATGUT CROMADO GASTRO 3-0 75CM AG.2,6CM B0560421BR - B.BRAUN
FIO CATGUT CROMADO GASTRO 2-0 75CM A.2,6CM B0560430BR - B.BRAUN
FIO CATGUT CROMADO GASTRO 0 75CM AG.2,6CM B0560448BR - B.BRAUN
FIO CATGUT CROMADO GASTRO 3-0 75CM AG.3CM B0560472BR - B.BRAUN
FIO CATGUT CROMADO GASTRO 2-0 75CM AG.3CM B0560480BR - B.BRAUN
FIO CATGUT CROMADO GASTRO 0 75CM AG.3CM B0560499BR - B.BRAUN
FIO CATGUT CROMADO GASTRO 1 75CM AG.3CM B0560502BR - B.BRAUN
CONECTOR GIRAT.360GRAUS 15MM REUSAV.SWIVEL SIMS-PORTEX 100.250.001 - CIRURGICA FERNANDES
CONECTOR GIRAT.360GRAUS 15MM P/FIB.OTICA SWIVEL SIMS-PORTEX 100.257.000 - CIRURGICA FERNANDES
FIO CATGUT CROMADO GASTRO 2-0 75CM AG.3,7CM B0560529BR - B.BRAUN
FIO CATGUT CROMADO GASTRO 0 75CM AG.3,7CM B0560537BR - B.BRAUN
FIO CATGUT CROMADO GASTRO 1 75CM AG.3,7CM B0560545BR - B.BRAUN
FIO CATGUT CROMADO GASTRO 3-0 75CM AG.3,2CM B0561479BR - B.BRAUN
FIO CATGUT CROMADO GASTRO 2-0 75CM AG.3,2CM B0561487BR - B.BRAUN
FIO CATGUT CROMADO GASTRO 0 75CM AG.3,2 CM B0561495BR - B.BRAUN
FIO CATGUT CROMADO GASTRO 1 75CM AG.3,2CM B0561509BR - B.BRAUN
DORIDINA 20DRGS - BUNKER
CALMIPLAN 10CPDS REV. - BUNKER
CALMIPLAN 20CPDS REV. - BUNKER
FIO CATGUT CROMADO FECH.G.OB/GIN.2-0 75CM AG.3,7CM B0560960BR - B.BRAUN
FIO CATGUT CROMADO FECH.G.OB/GIN.0 75CM AG.3,7CM B0560979BR - B.BRAUN
FIO CATGUT CROMADO FECH.G.OB/GIN.1 75CM AG.3,7CM B0560987BR - B.BRAUN
FIO CATGUT CROMADO FECH.G.OB/GIN.2-0 75CM B0570737BR - B.BRAUN
FIO CATGUT CROMADO FECH.G.OB/GIN.0 75CM AG.4CM B0570745BR - B.BRAUN
FIO CATGUT CROMADO FECH.G.OB/GIN.1 75CM AG.4CM B0570753BR - B.BRAUN
FIO CATGUT CROMADO FECH.OB/GIN.2-0 90CM AG.4,8CM B0565237BR - B.BRAUN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
170
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000055528
0000055529
0000055530
0000055531
0000055532
0000055533
0000055534
0000055535
0000055536
0000055537
0000055538
0000055539
0000055540
0000055541
0000055542
0000055543
0000055544
0000055545
0000055546
0000055547
0000055548
0000055549
0000055550
0000055551
0000055552
0000055553
0000055554
0000055555
0000055565
0000055566
0000055567
0000055568
0000055569
0000055570
0000055575
0000055576
0000055577
0000055578
0000055579
0000055580
0000055581
0000055582
0000055583
0000055584
0000055585
0000055586
0000055588
DESCRICAO
FIO CATGUT CROMADO FECH.G.OB/GIN.0 90CM AG.4,8CM B0565245BR - B.BRAUN
FIO CATGUT CROMADO FECH.G.OB/GIN.1 90CM AG.4,8CM B0565253BR - B.BRAUN
FIO NYLON PRETO 5-0 1,5M S/AG.B0472032BR - B.BRAUN
FIO NYLON PRETO 4-0 1,5M S/AG.B0472040BR - B.BRAUN
FIO NYLON PRETO 3-0 1,5M S/AG.B0472059BR - B.BRAUN
FIO NYLON PRETO 2-0 1,5M S/AG.B0472067BR - B.BRAUN
FIO NYLON CUTICULAR PRETO 6-0 45CM AG.1,9CM B0972230BR - B.BRAUN
FIO NYLON CUTICULAR PRETO 5-0 45CM AG.1,9CM B0972191BR - B.BRAUN
FIO NYLON CUTICULAR PRETO 4-0 45CM AG.1,9CM B0972205BR - B.BRAUN
FIO NYLON CUTICULAR PRETO 3-0 45CM AG.1,9CM B0972213BR - B.BRAUN
FIO NYLON CUTICULAR PRETO 4-0 45CM AG.2,4CM B0972345BR - B.BRAUN
FIO NYLON CUTICULAR PRETO 3-0 45CM AG.2,4CM B0972353BR - B.BRAUN
FIO NYLON CUTICULAR PRETO 2-0 45CM AG.2,4CM B0972361BR - B.BRAUN
FIO NYLON CUTICULAR PRETO 3-0 45CM AG.3CM B0972469BR - B.BRAUN
FIO NYLON CUTICULAR PRETO 2-0 45CM AG.3CM B0972477BR - B.BRAUN
FIO NYLON CUTICULAR PRETO 3-0 75CM AG.6,0CM B0972655BR - B.BRAUN
FIO NYLON PLASTICA PRETO 6-0 45CM AG.1,6CM B0976146BR - B.BRAUN
FIO NYLON PLASTICA PRETO 5-0 45CM AG.1,6CM B0976154BR - B.BRAUN
FIO NYLON PLASTICA PRETO 6-0 45CM AG.1,9CM B0976773BR - B.BRAUN
FIO NYLON PLASTICA PRETO 5-0 45CM AG.1,9CM B0976227BR - B.BRAUN
FIO NYLON PLASTICA PRETO 4-0 45CM AG.1,9CM B0976235BR - B.BRAUN
FIO NYLON PLASTICA PRETO 4-0 45CM AG.2,4CM B0974157BR - B.BRAUN
FIO NYLON PLASTICA PRETO 3-0 45CM AG.2,4CM B0976316BR - B.BRAUN
FIO NYLON FECH.G.OB/GIN.PRETO 2-0 75CM AG.4CM B0970520BR - B.BRAUN
FIO SAFIL VIOLETA 3-0 140CM S/AG.C1038205 - B.BRAUN
FIO SYNTHOFIL OFTAL.BRANCO 6-0 45CM AG.0,8CM G0827150 - B.BRAUN
FIO SYNTHOFIL OFTAL.BRANCO 5-0 45CM AG.0,8CM G0827169 - B.BRAUN
FIO SYNTHOFIL OFTAL.BRANCO 4-0 45CM AG.0,8CM G0827177 - B.BRAUN
FIO PREMILENE PLASTICA AZUL 5-0 45CM AG.1,9CM C0090219 - B.BRAUN
FIO PREMILENE PLASTICA AZUL 4-0 45CM AG.1,9CM C0090220 - B.BRAUN
FIO PREMILENE PLASTICA AZUL 3-0 75CM AG.2,4CM C0090235 - B.BRAUN
FIO PREMILENE PLASTICA AZUL 2-0 75CM AG.2,4CM C0090236 - B.BRAUN
FIO PREMILENE GASTRO AZUL 3-0 75CM AG.2,6CM C0090041 - B.BRAUN
FIO PREMILENE GASTRO AZUL 2-0 75CM AG.2,6CM C0090042 - B.BRAUN
FIO PREMILENE CARDIOV.AZUL 6-0 75CM AG.1CM C0090868 - B.BRAUN
FIO PREMILENE CARDIOV.AZUL 5-0 75CM AG.1,7CM C0090501 - B.BRAUN
FIO PREMILENE CARDIOV.AZUL 4-0 75CM AG.1,7CM C0090503 - B.BRAUN
FIO PREMILENE CARDIOV.AZUL 4-0 75CM AG.2,2CM C0090863 - B.BRAUN
FIO PREMILENE CARDIOV.AZUL 3-0 75CM AG.2,2CM C0090860 - B.BRAUN
FIO PREMILENE CARDIOV.AZUL 3-0 75CM AG.2,6CM C0090708 - B.BRAUN
FIO PREMILENE CARDIOV.AZUL 2-0 75CM AG.2,6CM C0090087 - B.BRAUN
FIO PREMILENE CARDIOV.AZUL 6-0 60CM AG.1CM C0090715 - B.BRAUN
FIO PREMILENE CARDIOV.AZUL 7-0 60CM AG.1CM C0090714 - B.BRAUN
FIO PREMILENE CARDIOV.AZUL 7-0 75CM AG.1CM C0090914 - B.BRAUN
FIO PREMILENE CARDIOV.AZUL 6-0 75CM AG.1,2CM C0090916 - B.BRAUN
FIO PREMILENE CARDIOV.AZUL 8-0 60CM AG.0,6CM G0090712 - B.BRAUN
KIT CARDIOPASS SET PREMILENE 7-0 6-0 AG.G0090996 - B.BRAUN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
171
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000055589
0000055592
0000055593
0000055594
0000055595
0000055596
0000055597
0000055598
0000055599
0000055600
0000055601
0000055602
0000055603
0000055604
0000055605
0000055606
0000055607
0000055608
0000055609
0000055610
0000055611
0000055612
0000055613
0000055614
0000055615
0000055616
0000055617
0000055618
0000055619
0000055620
0000055621
0000055622
0000055623
0000055624
0000055625
0000055626
0000055627
0000055628
0000055629
0000055630
0000055631
0000055632
0000055633
0000055634
0000055635
0000055636
0000055637
DESCRICAO
KIT CARDIOPASS SET PREMILENE 7-0 6-0 AG.G0090997 - B.BRAUN
KIT CARDIOPASS SET PREMILENE 7-0 6-0 AG.G0090998 - B.BRAUN
FIO SEDA PRETA 4-0 15X45CM S/AG.B0266780BR - B.BRAUN
FIO SEDA PRETA 3-0 15X45CM S/AG.B0266770BR - B.BRAUN
FIO SEDA PRETA 2-0 15X45CM S/AG.B0266760BR - B.BRAUN
FIO SEDA PRETA 0 15X45CM S/AG.B0266740BR - B.BRAUN
FIO SEDA PRETA 1 15X45CM S/AG.B0266730BR - B.BRAUN
FIO SEDA CUTICULAR PRETA 3-0 75CM AG.3CM B0762466BR - B.BRAUN
FIO SEDA CUTICULAR PRETA 3-0 75CM AG.1,9CM B0765210BR - B.BRAUN
FIO SEDA GASTRO PRETA 3-0 75CM AG.3,2CM B0761460BR - B.BRAUN
FIO SEDA GASTRO PRETA 2-0 75CM AG.3,2CM B0761478BR - B.BRAUN
FIO SEDA GASTRO PRETA 0 75CM AG.3,2CM B0761486BR - B.BRAUN
FIO SEDA OFTAL.PRETA 4-0 45CM AG.1,2CM B0762083BR - B.BRAUN
FIO SEDA VIRGEM OFTAL.AZUL 8-0 30CM AG.0,6CM G1118927 - B.BRAUN
FIO NYLON OFTAL.PRETO 10-0 30CM 2XAG.6,6MM G1118765 - B.BRAUN
FIO NYLON OFTAL.PRETO 9-0 30CM 2XAG.6,6MM G1118773 - B.BRAUN
FIO NYLON OFTAL.PRETO 10-0 30CM 2XAG.6,6MM G1118609 - B.BRAUN
FIO NYLON MICROVASC.PRETO 11-0 10CM AG.4,0MM G1118080 - B.BRAUN
FIO NYLON MICROVASC.PRETO 10-0 10CM AG.4,0MM G1118099 - B.BRAUN
FIO NYLON MICROVASC.PRETO 10-0 15CM AG.5,0MM G1118110 - B.BRAUN
FIO NYLON MICROVASC.PRETO 9-0 15CM AG.5,0MM G1111434 - B.BRAUN
FIO NYLON MICROVASC.PRETO 10-0 15CM AG.6,4MM G1118013 - B.BRAUN
FIO NYLON MICROVASC.PRETO 9-0 15CM AG.6,4MM G1118161 - B.BRAUN
FIO NYLON MICROVASC.PRETO 8-0 15CM AG.6,4MM G1118170 - B.BRAUN
FIO STEELEX 1 3X60CM S/AG.G0094285 - B.BRAUN
FIO STEELEX 2-0 3X60CM S/AG.G0094269 - B.BRAUN
FIO STEELEX 0 3X60CM S/AG.G0094277 - B.BRAUN
ANLODIBAL 5MG 30CPDS - BALDACCI
FIO STEELEX STERNUM SET 5 4X45CM AG.4,8CM G0617717 - B.BRAUN
ANLODIBAL 10MG 30CPDS - BALDACCI
ENALABAL 5MG 30CPDS - BALDACCI
FIO STEELEX STERNUM SET 4 4X45CM AG.4,8CM G0617784 - B.BRAUN
ENALABAL 10MG 30CPDS - BALDACCI
FIO STEELEX ELETRODO MARCAPASSO 3-0 60CM AG.1,7CM C0992038 - B.BRAUN
ENALABAL 20MG 30CPDS - BALDACCI
FIO STEELEX ELETRODO MARCAPASSO 2-0 60CM AG.2,6CM C0992097 - B.BRAUN
FIO MONOSYN UROLOGIA VIOLETA 5-0 70CM AG.1,7CM C0022003 - B.BRAUN
FIO MONOSYN UROLOGIA VIOLETA 4-0 70CM AG.1,7CM C0022004 - B.BRAUN
FIO MONOSYN UROLOGIA VIOLETA 3-0 70CM AG.1,7CM C0022005 - B.BRAUN
FIO MONOSYN GASTRO VIOLETA 4-0 70CM AG.2,6CM C0022024 - B.BRAUN
FIO MONOSYN GASTRO VIOLETA 3-0 70CM AG.2,6CM C0022025 - B.BRAUN
FIO MONOSYN GASTRO VIOLETA 2-0 70CM AG.2,6CM C0022026 - B.BRAUN
FIO MONOSYN GASTRO VIOLETA 2-0 70CM AG.3,7CM C0022046 - B.BRAUN
FIO MONOSYN GASTRO VIOLETA 0 70CM AG.3,7CM C0022047 - B.BRAUN
FIO MONOSYN GASTRO VIOLETA 1 70CM AG.3,7CM C0022048 - B.BRAUN
FIO MONOSYN GASTRO VIOLETA 2-0 70CM AG.3,2CM C0022106 - B.BRAUN
FIO MONOSYN FECH.OB/GIN.VIOLETA 2-0 70CM AG.4CM C0022066 - B.BRAUN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
172
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000055638
0000055639
0000055640
0000055641
0000055642
0000055643
0000055644
0000055645
0000055646
0000055647
0000055648
0000055649
0000055650
0000055651
0000055652
0000055653
0000055654
0000055655
0000055656
0000055657
0000055666
0000055709
0000055710
0000055711
0000055729
0000055730
0000055731
0000055732
0000055733
0000055734
0000055735
0000055736
0000055737
0000055738
0000055739
0000055740
0000055741
0000055742
0000055743
0000055746
0000055750
0000055752
0000055758
0000055762
0000055763
0000055789
0000055801
DESCRICAO
FIO MONOSYN FECH.OB/GIN.VIOLETA 0 70CM AG.4CM C0022067 - B.BRAUN
FIO MONOSYN FECH.OB/GIN.VIOLETA 2-0 90CM AG.4CM C0022466 - B.BRAUN
FIO MONOSYN FECH.OB/GIN.VIOLETA 0 90CM AG.4CM C0022467 - B.BRAUN
FIO MONOSYN FECH.OB/GIN.VIOLETA 1 70CM AG.4CM C0022068 - B.BRAUN
FIO MONOSYN FECH.OB/GIN.VIOLETA 2-0 90CM AG.4,8CM C0022076 - B.BRAUN
FIO MONOSYN FECH.OB/GIN.VIOLETA 0 90CM AG.4,8CM C0022077 - B.BRAUN
FIO MONOSYN FECH.OB/GIN.VIOLETA 1 90CM AG.4,8CM C0022078 - B.BRAUN
FIO MONOSYN FECH.OB/GIN.VIOLETA 0 70CM AG.3,7CM C0022317 - B.BRAUN
FIO MONOSYN CUTICULAR INCOLOR 4-0 70CM AG.1,8CM C0023264 - B.BRAUN
FIO MONOSYN PLASTICA INCOLOR 5-0 45CM AG.1,9CM C0023623 - B.BRAUN
FIO MONOSYN CUTICULAR INCOLOR 4-0 45CM AG.1,9CM C0023204 - B.BRAUN
FIO MONOSYN CUTICULAR INCOLOR 4-0 70CM AG.1,9CM C0023404 - B.BRAUN
FIO MONOSYN CUTICULAR INCOLOR 3-0 70CM AG.1,9CM C0023405 - B.BRAUN
FIO MONOSYN CUTICULAR INCOLOR 3-0 70CM AG.2,4CM C0023215 - B.BRAUN
FIO MONOSYN PLASTICA INCOLOR 5-0 45CM AG.1,3CM C0023603 - B.BRAUN
FIO MONOSYN PLASTICA INCOLOR 5-0 45CM AG.1,6CM C0023613 - B.BRAUN
FIO MONOSYN PLASTICA INCOLOR 4-0 45CM AG.1,6CM C0023614 - B.BRAUN
KIT CATARACT SET (NYLON 10-0/SEDA PRETA TRANC.4-0) 2XAG.G1117947 - B.BRAUN
KIT CATARACT SET (NYLON 10-0/SEDA PRETA TRANC.4-0) 2XAG.G1117980 - B.BRAUN
KIT CATARACT SET (NYLON10-0/SEDA PRETO TRANC.4-0) 2XAG.G1117955 - B.BRAUN
LISADOR 500MG 25X8CPDS - FARMASA
ESPECULO NASAL - PETROVICH
MANIPULADOR GANCHO FENZL 494 - PETROVICH
MANIPULADOR GANCHO LESTER 495 - PETROVICH
FRALDA PAMPERS FRESCONF.MED.32UNID - PROCTER
FRALDA PAMPERS FRESCONF.GRD.28UNID - PROCTER
FRALDA PAMPERS FRESCONF.PEQ.16UNID - PROCTER
FRALDA PAMPERS FRESCONF.MED.14UNID - PROCTER
FRALDA PAMPERS FRESCONF.GRD.12UNID - PROCTER
FRALDA PAMPERS FRESCONF.MED.48UNID - PROCTER
FRALDA PAMPERS FRESCONF.GRD.44UNID - PROCTER
FRALDA PAMPERS FRESCONF.E.GRD.40UNID - PROCTER
FRALDA PAMPERS NOTURNA PEQ.14UNID - PROCTER
FRALDA PAMPERS NOTURNA MED.12UNID - PROCTER
FRALDA PAMPERS NOTURNA GRD.10UNID - PROCTER
FRALDA PAMPERS NOTURNA E.GRD.8UNID - PROCTER
FRALDA PAMPERS NOTURNA MED.34UNID - PROCTER
FRALDA PAMPERS NOTURNA GRD.28UNID - PROCTER
FRALDA PAMPERS NOTURNA E.GRD.24UNID - PROCTER
FRALDA PAMPERS FRESCONF.E.GRD.10UNID - PROCTER
OFTAM PROTETOR OCULAR BEGE PEQ.20UNID - - AMP
OFTAM PROTETOR OCULAR BEGE GRD.20UNID - - AMP
GLICOSE HIPERTONICA 25% 200AMP PLAST.10ML - HYPOFARMA
SONDA ENTERAL PERCUTANEA PEG CH20 FREKA BR7751531 - FRESENIUS KABI
SOLUCAO PEDIAMINO TAU 500ML S9341SS - B.BRAUN
ACETATO PREDNISOLONA GEN.1% SUSP.OFT.5ML - ALCON
VALVULA CARDIACA BIOLOGICA MITRAL PERICARDIO BOVINO - HP BIOPROTESE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
173
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000055802
0000055857
0000055858
0000055859
0000055860
0000055861
0000055873
0000055874
0000055962
0000055963
0000055981
0000055982
0000055984
0000056064
0000056125
0000056140
0000056151
0000056154
0000056170
0000056179
0000056180
0000056181
0000056182
0000056183
0000056185
0000056187
0000056188
0000056189
0000056190
0000056191
0000056192
0000056193
0000056195
0000056196
0000056198
0000056199
0000056200
0000056201
0000056208
0000056211
0000056213
0000056214
0000056220
0000056221
0000056222
0000056340
0000056342
DESCRICAO
EXELON 1,5MG 14CAPS - NOVARTIS
CATETER EMBOLECTOMIA ARTERIAL VERDE CH03 BCI MEDICAL 98110304 - BADEIA
CATETER EMBOLECTOMIA ARTERIAL VERMELHO CH04 BCI MEDICAL 98110404 - BADEIA
CATETER EMBOLECTOMIA ARTERIAL BRANCO CH05 BCI MEDICAL 98110504 - BADEIA
CATETER EMBOLECTOMIA ARTERIAL AZUL CH06 BCI MEDICAL 98110604 - BADEIA
CATETER EMBOLECTOMIA ARTERIAL AMARELO CH07 BCI MEDICAL 98110704 - BADEIA
OXANON 500MG 50FA+DIL.3ML - - BLAU
VASOTON 2,5MG/ML 5AMP 2ML - - BLAU
MINESSE 24CPDS REV. - WYETH
OSSOTRAT-D 60CPDS - DELTA
BOTAO P/CRANIOPLASTIA - HP BIOPROTESE
CATETER VENTRICULAR C/RESERVATORIO NEONATAL - HP BIOPROTESE
DRENAGEM LOMBAR PERITONEAL - HP BIOPROTESE
VACINA COMB.DTPA REFORCO 1SER. - GLAXOSMITH
DISPOSITIVO FIXACAO STATLOCK IV PERIFERICO SELECT MACRO 6"/MALHA POLIESTER IV0503 - - BARD
DISPOSITIVO FIXACAO STATLOCK PICC PLUS/POSTE FIXO/ESPUMA POLIETILENO VPPDFP - - BARD
DISPOSITIVO FIXACAO STATLOCK MULTI-PURPOSE ADU.P/TUBO/DRENO/MALHA POLIESTER MP0120 - - BARD
DISPOSITIVO FIXACAO STATLOCK MULTI-PURPOSE PED.P/TUBO/DRENO/ESPUMA POLIETILENO VMPDC - - BARD
DISPOSITIVO FIXACAO STATLOCK P/SONDA NASOGASTRICA NG0100 - - BARD
DISPOSITIVO FIXACAO STATLOCK DIALISE II P/MEDCOMP/TESIO/KENDALL TANDEM CATH VDS2 - - BARD
BENZETACIL 1200000UI 10FA 4ML - EUROFARMA
ATENOPRESS 100MG 28CPDS - HEXAL
ATENOPRESS 50MG 28CPDS - HEXAL
DICLAC SR 75MG 20CPDS - HEXAL
CIMETIDINA GEN.200MG 40CPDS - SANDOZ
CLORIDRATO CIPROFLOXACINO GEN.500MG 6CPDS - SANDOZ
CLORIDRATO CIPROFLOXACINO GEN.500MG 14CPDS - SANDOZ
DOXICICLINA GEN.100MG 15CPDS - SANDOZ
MALEATO ENALAPRIL GEN.5MG 30CPDS - SANDOZ
MALEATO ENALAPRIL GEN.10MG 30CPDS - SANDOZ
MALEATO ENALAPRIL GEN.20MG 30CPDS - SANDOZ
NIMODIPINO GEN.30MG 30CPDS - SANDOZ
CLORIDRATO RANITIDINA GEN.150MG 20CPDS - SANDOZ
CLORIDRATO RANITIDINA GEN.300MG 10CPDS - SANDOZ
CLORIDRATO TRAMADOL GEN.50MG 10CPDS - SANDOZ
CLORIDRATO VERAPAMIL GEN.80MG 30CPDS - SANDOZ
CLORIDRATO VERAPAMIL GEN.120MG 20CPDS - SANDOZ
CLORIDRATO VERAPAMIL GEN.240MG 30CPDS - SANDOZ
RISPERDAL 1MG 30ML - JANSSEN-CILAG
BERIPLEX P/N 500UI PO LIOF.1FA+DIL.20ML - CSL BEHRING
CURATIVO CARV.ATIV.ALG.HIDROF.CARBOFLEX 10X10CM 1197965 - CONVATEC
CURATIVO CARV.ATIV.ALG.HIDROF.CARBOFLEX 08X15CM 1197966 - CONVATEC
AGRAFES MICHEL 16X3MM 100UNID DIENER 229010.16 - CIRURGICA FERNANDES
AGRAFES MICHEL 18X3MM 100UNID DIENER 229010.18 - CIRURGICA FERNANDES
AGRAFES MICHEL 20X3MM 100UNID DIENER 229010.20 - CIRURGICA FERNANDES
TUBO CORRUGADO CONEX.FEMEA 15/22MM ESTERIL SIMS-PORTEX 100.590.000 - CIRURGICA FERNANDES
DRENO "T" KHER LATEX ESTERIL NR.08 3,0MM D.E.RUSCH 178.700.030 - CIRURGICA FERNANDES
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
174
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000056343
0000056344
0000056345
0000056346
0000056347
0000056348
0000056434
0000056449
0000056473
0000056482
0000056510
0000056523
0000056524
0000056555
0000056616
0000056617
0000056638
0000056706
0000056774
0000056801
0000056807
0000056825
0000056838
0000056840
0000056841
0000056843
0000056844
0000056846
0000056847
0000056848
0000056849
0000056850
0000056851
0000056852
0000056895
0000056896
0000057058
0000057063
0000057068
0000057071
0000057143
0000057144
0000057145
0000057146
0000057147
0000057148
0000057149
DESCRICAO
DRENO "T" KHER LATEX ESTERIL NR.10 3,5MM D.E.RUSCH 178.700.035 - CIRURGICA FERNANDES
DRENO "T" KHER LATEX ESTERIL NR.12 4,0MM D.E.RUSCH 178.700.040 - CIRURGICA FERNANDES
DRENO "T" KHER LATEX ESTERIL NR.14 4,5MM D.E.RUSCH 178.700.045 - CIRURGICA FERNANDES
DRENO "T" KHER LATEX ESTERIL NR.16 5,5MM D.E.RUSCH 178.700.055 - CIRURGICA FERNANDES
DRENO "T" KHER LATEX ESTERIL NR.18 6,0MM D.E.RUSCH 178.700.060 - CIRURGICA FERNANDES
DRENO "T" KHER LATEX ESTERIL NR.20 7,0MM D.E.RUSCH 178.700.070 - CIRURGICA FERNANDES
CLENS-100 15ML - ALCON
CATETER ANGIOGRAFICO SITESEER JR 3.5 6FR 100CM 6A0001 - - MEDTRONIC
CATETER ANGIOGRAFICO 6FR PRO FLO 100 JL4 ST XT 10343 - - MEDTRONIC
CATETER ANGIOGRAFICO PIGTAIL 6FR PRO FLO 110 XT 10340 - - MEDTRONIC
CATETER P/EMBOLECTOMIA 2 A 7FR 60CM REG 2000 LUCAS MEDICAL - BIO MINAS
CETOCONAZOL GEN.200MG 10CPDS - RANBAXY
CETOCONAZOL GEN.200MG 30CPDS - RANBAXY
CONECTOR PRESSAO 1200 PSI FLEXIVEL MERIT - BIO MINAS
ENXERTO PTFE 10MM RETO 70CM 1101070 ATRIUM - BIO MINAS
ENXERTO PTFE 3MM RETO 3050 ATRIUM - BIO MINAS
ENXERTO PTFE CONICO ATRIUM - BIO MINAS
INTRODUTOR PUNCAO (INPUT TS 7F 11CM C/VALVA LARANJA) MEDTRONIC 071102A MI007 - BIOCATH
PULSEIRA ADU./INF. PRECISION - BIO MINAS
PULSEIRA MAE/FILHO AZUL PRECISION - BIO MINAS
PULSEIRA MAE/GEMEOS PRECISION - BIO MINAS
ALENDIL 70MG 2CPDS - - FARMOQUIMICA
CLORIDRATO RANITIDINA GEN.25MG SOL.INJ.50AMP 2ML - UNIAO QUIMICA
BROMAZEPAM GEN.3MG 20CPDS - UNIAO QUIMICA
BROMAZEPAM GEN.3MG 30CPDS - UNIAO QUIMICA
BROMAZEPAM GEN.6MG 20CPDS - UNIAO QUIMICA
BROMAZEPAM GEN.6MG 30CPDS - UNIAO QUIMICA
BROMETO IPRATROPIO GEN.0,25MG SOL.INAL.20ML - UNIAO QUIMICA
PLACA AVANCO P/MAXILA 3MM W.LORENZ 01-6483 - INTERMEDIC
PLACA AVANCO P/MAXILA 4MM W.LORENZ 01-6484 - INTERMEDIC
PLACA AVANCO P/MAXILA 5MM W.LORENZ 01-6485 - INTERMEDIC
PLACA AVANCO P/MAXILA 6MM W.LORENZ 01-6486 - INTERMEDIC
PLACA AVANCO P/MAXILA 7MM W.LORENZ 01-6487 - INTERMEDIC
PLACA AVANCO P/MAXILA 9MM W.LORENZ 01-6489 - INTERMEDIC
TELA POLIPROPILENO MESH 15X15 1000606-00 ATRIUM - BIO MINAS
TELA POLIPROPILENO MESH 26X36 1001014-00 ATRIUM - BIO MINAS
CENTRALIZADOR AESCULAP - B.BRAUN
ACETABULO BIPOLAR AESCULAP - B.BRAUN
PARAFUSO ACETABULAR AESCULAP - B.BRAUN
ACETABULO CIMENTADO AESCULAP - B.BRAUN
SECNIDAZOL GEN.1000MG 2CPDS - MEDLEY
SECNIDAZOL GEN.1000MG 4CPDS - MEDLEY
SIMETICONA GEN.EMULS.15ML - MEDLEY
CETOCONAZOL GEN.30GRS - MEDLEY
MAGRIX 60CPDS - ATIVUS
FEMINVIT 30CPDS REV. - ATIVUS
MENCIRAX 30CPDS REV. - ATIVUS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
175
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000057169
0000057175
0000057176
0000057177
0000057178
0000057183
0000057187
0000057188
0000057203
0000057204
0000057205
0000057206
0000057207
0000057208
0000057209
0000057211
0000057216
0000057217
0000057218
0000057219
0000057220
0000057221
0000057222
0000057223
0000057224
0000057225
0000057226
0000057227
0000057228
0000057229
0000057230
0000057231
0000057232
0000057233
0000057234
0000057235
0000057236
0000057237
0000057238
0000057239
0000057240
0000057241
0000057256
0000057257
0000057258
0000057261
0000057262
DESCRICAO
TIRA PRECISION PCX 100UNID 4483 - ABBOTT
TIRAS OPTIUM OTC 25UNID 4495 - ABBOTT
TIRAS OPTIUM OTC 50UNID 4496 - ABBOTT
TIRAS OTC OPTIUM 100UNID 4486 - ABBOTT
TIRAS OPTIUM CETONA 10UNID 4485 - ABBOTT
PRURIZIN 25MG 30CPDS - DARROW
ACEBROFILINA GEN.5MG/ML XPE.INF.120ML+CP.MED. - EUROFARMA
ACEBROFILINA GEN.10MG/ML XPE.ADU.120ML - EUROFARMA
ACETILCISTEINA GEN.100MG 16SACH 5G - EUROFARMA
ACETILCISTEINA GEN.200MG 16SACH 5G - EUROFARMA
ACETILCISTEINA GEN.600MG 16SACH 5G - EUROFARMA
ACETONIDA TRIANCINOLONA+GRAMICIDINA+NEOMICINA+NISTATINA GEN.CRM.DERM.30G - EUROFARMA
ACETONIDA TRIANCINOLONA+GRAMICIDINA+NEOMICINA+NISTATINA GEN.POM.DERM.30G - EUROFARMA
DINAVITAL C 1G+1G 10CPDS EFERV. - MERCK S.A.
ACICLOVIR GEN.200MG 25CPDS - MERCK S.A.
CLORIDRATO SOTALOL GEN.160MG 30CPDS - MERCK S.A.
VISCO ELASTICO HEALON-HIALURONATO SODIO 2,3% VISCOADAPTATIVO SERINGA C/0,60ML AMO-HEALON 5 - - ABBOTT PROD.OTICOS
ERITROMAX 1000UI FA 1ML - BLAU
ERITROMAX 1000UI 12FA 1ML - BLAU
ERITROMAX 2000UI 1FA 1ML - BLAU
ERITROMAX 2000UI 12FA 1ML - BLAU
ERITROMAX 4000UI 1FA 1ML - BLAU
ERITROMAX 4000UI 12FA 1ML - BLAU
ERITROMAX 10000UI 1FA 1ML - BLAU
ERITROMAX 10000UI 12FA 1ML - BLAU
ERITROMAX 3000UI 1FA+DIL 1ML - BLAU
ERITROMAX 1000UI 1SER.PREENC.0,5ML - BLAU
ERITROMAX 1000UI 12SER.PREENC.0,5ML - BLAU
ERITROMAX 2000UI 1SER.PREENC.0,5ML - BLAU
ERITROMAX 2000UI 12SER.PREENC.0,5ML - BLAU
ERITROMAX 4000UI 1SER.PREENC.1ML - BLAU
ERITROMAX 4000UI 12SER.1ML - - BLAU
ERITROMAX 3000UI 1SER.PREENC.0,3ML - BLAU
ERITROMAX 3000UI 12SER.PREENC.0,3ML - BLAU
ERITROMAX 4000UI 1SER.PREENC.0,4ML - BLAU
ERITROMAX 4000UI 12SER.PREENC.0,4ML - BLAU
ERITROMAX 10000UI 1SER.PREENC.1ML - BLAU
ERITROMAX 10000UI 12SER.PREENC.1ML - BLAU
EMSCORT CRM.30GRS - EMS
CLARIPEL ACQUACEL 30GRS - STIEFEL
ISOTREXIN GEL 30GRS - STIEFEL
RAPIFEN 0,544MG 5AMP 5ML - JANSSEN-CILAG
VALVULA PRESSAO FIXA EXACT FLO BAIXA 40MMH2O - - J&J CODMAN
VALVULA PRESSAO FIXA EXACT FLO MEDIA 70MMH2O - - J&J CODMAN
VALVULA PRESSAO FIXA EXACT FLO ALTA 100MMH2O - - J&J CODMAN
LOCAO OLEOSA ACIDOS GRAXOS ESSENCIAIS AGE DERM ALMOT.25ML - HELIANTO
LOCAO OLEOSA ACIDOS GRAXOS ESSENCIAIS AGE DERM ALMOT.100ML - HELIANTO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
176
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000057263
0000057264
0000057267
0000057268
0000057269
0000057271
0000057272
0000057282
0000057283
0000057284
0000057285
0000057286
0000057287
0000057288
0000057330
0000057331
0000057332
0000057333
0000057334
0000057335
0000057381
0000057382
0000057383
0000057385
0000057386
0000057387
0000057388
0000057389
0000057390
0000057391
0000057392
0000057394
0000057395
0000057399
0000057400
0000057401
0000057402
0000057409
0000057410
0000057413
0000057416
0000057417
0000057561
0000057562
0000057578
0000057581
0000057588
DESCRICAO
LOCAO OLEOSA ACIDOS GRAXOS ESSENCIAIS AGE DERM ALMOT.200ML - HELIANTO
LOCAO OLEOSA ACIDOS GRAXOS ESSENCIAIS AGE DERM ALMOT.500ML - HELIANTO
FAULDPAMI 9MG/ML 1FA 10ML - LIBBS
FAULBLASTINA 10MG 5FA 10ML - LIBBS
FAULDVINCRI 1MG/ML 5FA 1ML - LIBBS
ALFAST 0,544MG/ML 10AMP 5ML - CRISTALIA
SEVOCRIS 250ML - CRISTALIA
TEFLUT 250MG 20CPDS - BLAU
ECRAN LUMAX REG.LUZ VERDE 15X40CM (PAR) - CONTROLLER
ECRAN LUMAX REG.LUZ VERDE 15X30CM (PAR) - CONTROLLER
ECRAN LUMAX REG.LUZ VERDE 35X91CM (PAR) - CONTROLLER
ECRAN LUMAX MEDIUM LUZ VERDE 18X24CM (PAR) - CONTROLLER
ECRAN LUMAX MEDIUM LUZ VERDE 20X25CM (PAR) - CONTROLLER
ECRAN LUMAX FINE LUZ VERDE 18X24CM (PAR) - CONTROLLER
LUVA PROCEDIMENTO ESTERIL PEQ.(PAR) - LEMGRUBER
LUVA PROCEDIMENTO ESTERIL MED.(PAR) - LEMGRUBER
LUVA PROCEDIMENTO ESTERIL GRD.(PAR) - LEMGRUBER
LUVA PROCEDIMENTO N/ESTERIL PEQ.20UNID PROCED - LEMGRUBER
LUVA PROCEDIMENTO N/ESTERIL MED.20UNID PROCED - LEMGRUBER
LUVA PROCEDIMENTO N/ESTERIL GRD.20UNID PROCED - LEMGRUBER
CURATIVO HIDROCOLOIDE HYDROCOLL 10X10CM PAUL HARTMANN 9009381 - BACE
CURATIVO HIDROCOLOIDE HYDROCOLL 15X15CM PAUL HARTMANN 9009391 - BACE
CURATIVO HIDROCOLOIDE HYDROCOLL 20X20CM PAUL HARTMANN 9009401 - BACE
CURATIVO HIDROCOLOIDE HYDROCOLL CONCAVO 13,5X15CM PAUL HARTMANN 9009461 - BACE
CURATIVO HIDROCOLOIDE EXTRA FINO HYDROCOLL THIN 10X10 PAUL HARTMANN 9009421 - BACE
CURATIVO HIDROCOLOIDE EXTRA FINO HYDROCOLL THIN 15X15 PAUL HARTMANN 9009431 - BACE
CURATIVO HIDROGEL PLACA C/GRADUACAO HYDROSORB 5X7,5CM PAUL HARTMANN 9008501 - BACE
CURATIVO HIDROGEL PLACA C/GRADUACAO HYDROSORB 10X10CM PAUL HARTMANN 9008511 - BACE
CURATIVO HIDROGEL PLACA C/GRADUACAO HYDROSORB 20X20CM PAUL HARTMANN - BACE
CURATIVO HIDROGEL PLACA GRAD.COBERT.ADES.POLIUR.HYDROSORB COMFORT 7,5X10CM PAUL HARTMANN 9007041 - BACE
CURATIVO HIDROGEL PLACA GRAD.COBERT.ADES.POLIUR.HYDROSORB CONFORT 12,5X12,5CM PAUL HARTMANN 9007059 - BACE
CURATIVO FILME TRANSPARENTE POLIURETANO HYDROFILM 10X15CM PAUL HARTMANN 9008637 - BACE
CURATIVO FILME TRANSPARENTE POLIURETANO HYDROFILM 12X25CM P.HARTMANN 685764 - BACE
CURATIVO ALGINATO CALCIO PLACA SORBALGON 5X5CM PAUL HARTMANN 9995981 - BACE
CURATIVO ALGINATO CALCIO PLACA SORBALGON 10X10CM PAUL HARTMANN 9995954 - BACE
CURATIVO ALGINATO CALCIO PLACA SORBALGON 10X20CM PAUL HARTMANN 9995891 - BACE
CURATIVO ALGINATO CALCIO FITA 2GR/30CM SORBALGON T RIBBONS 2GRS/30CM PAUL HARTMANN 9995921 - BACE
IMPLANTE P/RECONST.MAMARIA REDONDA TEXTURIZADA 20621 - SILIMED
IMPLANTE P/RECONST.MAMARIA REDONDA ESPUMA POLIURETANO 30621 - SILIMED
ABSORVENTE P/INCONT.MASC.MOLIMED M PROTECT 14UNID PAUL HARTMANN - BACE
SWAB ALCOOL ISOPROPILICO 70% P/ASSEPSIA PUNCAO 3000UNID MEDLINE - BACE
SWAB DENTAL P/HIGIENE ORAL C/SORBITOL DENTIPS MEDLINE - BACE
MELOXICAM GEN.7,5MG 10CPDS - EMS GENERICOS
CLORIDRATO AZELASTINA GEN.1MG/ML SOL.NAS.10ML - EMS GENERICOS
CATETER DIAGNOSTICO DEFLECTIVEL DECAPOLAR LIVEWIRE 5F MED SWEEP 2/5/2MM 401940 - ST.JUDE
CATETER DIAGNOSTICO DUO-DECAPOLAR 7F SR LRG CURL 2-8-2-60MM 95CM LIVEWIRE 401932 - ST.JUDE
CABO EXTENSAO LIVEWIRE TC 150CM DAIG 100W 402507 - ST.JUDE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
177
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000057803
0000057804
0000057808
0000057810
0000057843
0000057844
0000057845
0000057846
0000057847
0000057848
0000057849
0000057850
0000057853
0000057854
0000057862
0000057863
0000057864
0000057865
0000057866
0000057867
0000057868
0000057870
0000057871
0000057872
0000057873
0000057874
0000057875
0000057876
0000057877
0000057878
0000057879
0000057880
0000057881
0000057882
0000057883
0000057986
0000057987
0000057988
0000057989
0000057990
0000057992
0000057994
0000057995
0000057996
0000057997
0000058160
0000058161
DESCRICAO
CATETER GUIA GUIDER SOFT MP XF 6FR 90CM P/ANGIOGRAFIA H965100460 - STRYKER
CATETER GUIA GUIDER SOFT MP XF 7FR 90CM P/ANGIOGRAFIA H965100470 - STRYKER
CATETER GUIA GUIDER SOFT MP XF 5FR 90CM P/ANGIOGRAFIA M003100630 - STRYKER
CATETER GUIA GUIDER SOFT MP XF 6FR 100CM P/ANGIOGRAFIA M003101460 - STRYKER
ALBUMINA HUMANA 0,2G/ML SOL.INJ.1FA 10ML - GRIFOLS
ALBUMINA HUMANA 0,2G/ML SOL.INJ.1FA 50ML - GRIFOLS
ALBUMINA HUMANA 0,2G/ML SOL.INJ.1FA 100ML - - GRIFOLS
BOLSA DUPLA CPD-ADENINA - GRIFOLS
BOLSA SANGUE TRIPLA CPD-ADENINA - GRIFOLS
BOLSA SANGUE TRIPLA CPD-ADENINA KS - GRIFOLS
BOLSA SANGUE TRIPLA CPD-SAG MANITOL - GRIFOLS
BOLSA SANGUE TRIPLA CPD-SAG MANITOL KS - GRIFOLS
EVACUADOR BEXIGA UROVAC M0067301251 - BOSTON UROLOGY
CATETER URETERAL AXXCESS 6FR M0064001161 - BOSTON UROLOGY
FORCEPS NITINOL GRASPIT 2,6FRX8MMX120CM M0063204010 - BOSTON UROLOGY
FORCEPS NITINOL GRASPIT 3,2FRX10MMX90CM M0063204020 - BOSTON UROLOGY
FORCEPS NITINOL GRASPIT 3,2FRX10MMX120CM M0063204030 - BOSTON UROLOGY
CESTA EXTRATORA CALCULO POLIAMIDA 3FIOS 3,0FR 11MMX90CM GEMINI M0063301040 - BOSTON UROLOGY
CESTA EXTRATORA CALCULO POLIAMIDA 3FIOS 3,0FR 11MMX120CM GEMINI M0063301060 - BOSTON UROLOGY
CESTA EXTRATORA CALCULO POLIAMIDA 4FIOS 3,0FR 11MMX90CM GEMINI M0063301080 - BOSTON UROLOGY
CESTA EXTRATORA CALCULO POLIAMIDA 4FIOS 3,0FR 11MMX120CM GEMINI M0063301100 - BOSTON UROLOGY
CESTA EXTRATORA CALCULO POLIAMIDA 5FIOS 3,0FR 11MMX90CM GEMINI M0063301120 - BOSTON UROLOGY
CESTA EXTRATORA CALCULO POLIAMIDA 3FIOS 3,0FR 14MMX90CM GEMINI M0063302040 - BOSTON UROLOGY
PINCA UROLOGICA POLIAMIDA 3FRX90CM N/RETRATIL TRICEP M0063701180 - BOSTON UROLOGY
PINCA UROLOGICA POLIAMIDA 3FRX120CM TRICEP M0063701010 - BOSTON UROLOGY
CESTA EXTRATORA CALCULO DORMIA 4FIOS 3,0FR 16MMX120CM SEGURA HEMISPHERE M0063801000 - BOSTON UROLOGY
CESTA EXTRATORA CALCULO DORMIA 4FIOS 3,0FR 16MMX90CM SEGURA HEMISPHERE M0063801020 - BOSTON UROLOGY
CESTA EXTRATORA CALCULO DORMIA 4FIOS 2,4FR 16MMX90CM SEGURA HEMISPHERE M0063801060 - BOSTON UROLOGY
CESTA EXTRATORA CALCULO DORMIA 4FIOS 2,4FR 16MMX120CM SEGURA HEMISPHERE M0063801070 - BOSTON UROLOGY
CESTA EXTRATORA CALCULO DORMIA 4FIOS 3,0FR 20MMX120CM SEGURA HEMISPHERE M0063801100 - BOSTON UROLOGY
CESTA EXTRATORA CALCULO DORMIA 4FIOS 3,0FR 20MMX90CM SEGURA HEMISPHERE M0063801120 - BOSTON UROLOGY
CESTA EXTRATORA CALCULO DORMIA 4FIOS 4,5FR 20MMX90CM SEGURA HEMISPHERE M0063801180 - BOSTON UROLOGY
CESTA EXTRATORA CALCULO NITINOL 4FIOS 2,4FR 12MMX120CM ZERO TIP M0063901010 - BOSTON UROLOGY
CESTA EXTRATORA CALCULO NITINOL 4FIOS 3,0FR 16MMX90CM ZERO TIP M0063901020 - BOSTON UROLOGY
CESTA EXTRATORA CALCULO NITINOL 4FIOS 3,0FR 16MMX120CM ZERO TIP M0063901030 - BOSTON UROLOGY
FANDHI 250UI PO LIOF.1FA+SER.DIL.10ML+EQUIPO - GRIFOLS
FANDHI 500UI PO LIOF.1FA+SER.DIL.10ML+EQUIPO - GRIFOLS
FANDHI 1000UI PO LIOF.1FA+SER.DIL.10ML+EQUIPO - GRIFOLS
GAMA ANTI-HEPATITE B 600UI SOL.INJ.1AMP 3ML - GRIFOLS
GAMA ANTI-HEPATITE B 1000UI SOL.INJ.1AMP 5ML - GRIFOLS
GAMA ANTI-TETANO 250UI - GRIFOLS
FLEBOGAMMA 5% 0,5G SOL.INJ.1FA 10ML - GRIFOLS
FLEBOGAMMA 5% 2,5G SOL.INJ.1FA 50ML - GRIFOLS
FLEBOGAMMA 5% 5G SOL.INJ.1FA 100ML - GRIFOLS
FLEBOGAMMA 5% 10G SOL.INJ.1FA 200ML - GRIFOLS
AGULHA SUTURA CORT.TRIANG.B-00 12UNID ACUFIRM B.204.00 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.B-0 12UNID ACUFIRM B.204.0 - CIRURGICA FERNANDES
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
178
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000058168
0000058169
0000058170
0000058171
0000058172
0000058173
0000058174
0000058175
0000058176
0000058177
0000058178
0000058179
0000058180
0000058181
0000058182
0000058183
0000058184
0000058185
0000058186
0000058187
0000058188
0000058189
0000058190
0000058191
0000058192
0000058193
0000058194
0000058195
0000058196
0000058197
0000058198
0000058199
0000058200
0000058201
0000058202
0000058203
0000058204
0000058205
0000058206
0000058207
0000058208
0000058228
0000058229
0000058230
0000058231
0000058232
0000058233
DESCRICAO
AGULHA SUTURA CORT.TRIANG.BE-01 12UNID ACUFIRM BE.204.01 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.BE-02 12UNID ACUFIRM BE.204.02 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.BE-03 12UNID ACUFIRM BE.204.03 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.BE-04 12UNID ACUFIRM BE.204.04 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.BE-05 12UNID ACUFIRM BE.204.05 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.BE-06 12UNID ACUFIRM BE.204.06 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.BE-07 12UNID ACUFIRM BE.204.07 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.BE-08 12UNID ACUFIRM BE.204.08 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.BE-09 12UNID ACUFIRM BE.204.09 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.BE-10 12UNID ACUFIRM BE.204.10 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.BE-11 12UNID ACUFIRM BE.204.11 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.BE-12 12UNID ACUFIRM BE.204.12 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.BE-13 12UNID ACUFIRM BE.204.13 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.BE-14 12UNID ACUFIRM BE.204.14 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.BE-15 12UNID ACUFIRM BE.204.15 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.BE-16 12UNID ACUFIRM BE.204.16 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.BE-17 12UNID ACUFIRM BE.204.17 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.BE-18 12UNID ACUFIRM BE.204.18 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.BE-19 12UNID ACUFIRM BE.204.19 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.BE-20 12UNID ACUFIRM BE.204.20 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.BE-21 12UNID ACUFIRM BE.204.21 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.BE-22 12UNID ACUFIRM BE.204.22 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.B-000 12UNID ACUFIRM B.304.000 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.B-00 12UNID ACUFIRM B.304.00 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.B-0 12UNID ACUFIRM B.304.0 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.B-01 12UNID ACUFIRM B.304.01 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.B-02 12UNID ACUFIRM B.304.02 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.B-03 12UNID ACUFIRM B.304.03 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.B-04 12UNID ACUFIRM B.304.04 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.B-05 12UNID ACUFIRM B.304.05 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.B-06 12UNID ACUFIRM B.304.06 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.B-07 12UNID ACUFIRM B.304.07 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.B-08 12UNID ACUFIRM B.304.08 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.B-09 12UNID ACUFIRM B.304.09 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.B-10 12UNID ACUFIRM B.304.10 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.B-11 12UNID ACUFIRM B.304.11 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.B-12 12UNID ACUFIRM B.304.12 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.B-13 12UNID ACUFIRM B.304.13 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.B-14 12UNID ACUFIRM B.304.14 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.B-15 12UNID ACUFIRM B.304.15 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.B-16 12UNID ACUFIRM B.304.16 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GA-00 12UNID ACUFIRM GA.214.00 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GA-0 12UNID ACUFIRM GA.214.0 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GA-01 12UNID ACUFIRM GA.214.01 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GA-02 12UNID ACUFIRM GA.214.02 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GA-03 12UNID ACUFIRM GA.214.03 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GA-04 12UNID ACUFIRM GA.214.04 - CIRURGICA FERNANDES
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
179
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000058234
0000058235
0000058236
0000058237
0000058238
0000058239
0000058240
0000058241
0000058242
0000058243
0000058244
0000058245
0000058246
0000058247
0000058248
0000058249
0000058250
0000058251
0000058252
0000058253
0000058254
0000058255
0000058256
0000058257
0000058258
0000058259
0000058260
0000058261
0000058262
0000058263
0000058264
0000058265
0000058266
0000058267
0000058268
0000058269
0000058270
0000058271
0000058272
0000058273
0000058274
0000058275
0000058276
0000058277
0000058278
0000058279
0000058280
DESCRICAO
AGULHA SUTURA CORT.TRIANG.GA-05 12UNID ACUFIRM GA.214.05 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GA-06 12UNID ACUFIRM GA.214.06 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GA-07 12UNID ACUFIRM GA.214.07 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GA-08 12UNID ACUFIRM GA.214.08 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GA-09 12UNID ACUFIRM GA.214.09 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.GA-00 12UNID ACUFIRM GA.314.00 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.GA-0 12UNID ACUFIRM GA.314.0 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.GA-01 12UNID ACUFIRM GA.314.01 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.GA-02 12UNID ACUFIRM GA.314.02 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.GA-03 12UNID ACUFIRM GA.314.03 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.GA-04 12UNID ACUFIRM GA.314.04 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.GA-05 12UNID ACUFIRM GA.314.05 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.GA-06 12UNID ACUFIRM GA.314.06 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.GA-07 12UNID ACUFIRM GA.314.07 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.GA-08 12UNID ACUFIRM GA.314.08 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.GA-09 12UNID ACUFIRM GA.314.09 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GE-01 12UNID ACUFIRM GE.212.01 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GE-02 12UNID ACUFIRM GE.212.02 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GE-03 12UNID ACUFIRM GE.212.03 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GE-04 12UNID ACUFIRM GE.212.04 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GE-05 12UNID ACUFIRM GE.212.05 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GE-06 12UNID ACUFIRM GE.212.06 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GE-07 12UNID ACUFIRM GE.212.07 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GE-08 12UNID ACUFIRM GE.212.08 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GE-09 12UNID ACUFIRM GE.212.09 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GE-10 12UNID ACUFIRM GE.212.10 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GE-11 12UNID ACUFIRM GE.212.11 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GE-12 12UNID ACUFIRM GE.212.12 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GE-13 12UNID ACUFIRM GE.212.13 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GE-14 12UNID ACUFIRM GE.212.14 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GE-15 12UNID ACUFIRM GE.212.15 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GE-16 12UNID ACUFIRM GE.212.16 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GE-17 12UNID ACUFIRM GE.212.17 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GE-18 12UNID ACUFIRM GE.212.18 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GE-19 12UNID ACUFIRM GE.212.19 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GE-20 12UNID ACUFIRM GE.212.20 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GE-21 12UNID ACUFIRM GE.212.21 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.GE-22 12UNID ACUFIRM GE.212.22 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.H-00 12UNID ACUFIRM H.218.00 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.H-0 12UNID ACUFIRM H.218.0 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.H-01 12UNID ACUFIRM H.218.01 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.H-02 12UNID ACUFIRM H.218.02 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.H-03 12UNID ACUFIRM H.218.03 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.H-04 12UNID ACUFIRM H.218.04 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.H-05 12UNID ACUFIRM H.218.05 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.H-0 12UNID ACUFIRM H.318.0 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.H-01 12UNID ACUFIRM H.318.01 - CIRURGICA FERNANDES
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
180
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000058281
0000058282
0000058283
0000058284
0000058285
0000058286
0000058287
0000058288
0000058289
0000058290
0000058291
0000058292
0000058293
0000058294
0000058295
0000058296
0000058297
0000058298
0000058299
0000058300
0000058301
0000058302
0000058303
0000058304
0000058305
0000058306
0000058307
0000058308
0000058309
0000058310
0000058311
0000058312
0000058313
0000058314
0000058315
0000058322
0000058323
0000058324
0000058325
0000058326
0000058327
0000058328
0000058329
0000058330
0000058331
0000058332
0000058333
DESCRICAO
AGULHA SUTURA CILIND.ATRAUM.H-02 12UNID ACUFIRM H.318.02 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.H-03 12UNID ACUFIRM H.318.03 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.H-04 12UNID ACUFIRM H.318.04 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.H-05 12UNID ACUFIRM H.318.05 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.HE-01 12UNID ACUFIRM HE.232.01 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.HE-02 12UNID ACUFIRM HE.232.02 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.HE-03 12UNID ACUFIRM HE.232.03 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.HE-04 12UNID ACUFIRM HE.232.04 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.KEITH-1 12UNID ACUFIRM K.210.01 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.KEITH-2 12UNID ACUFIRM K.210.02 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.KEITH-4 12UNID ACUFIRM K.210.04 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.KEITH-5 12UNID ACUFIRM K.210.05 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.KEITH-6 12UNID ACUFIRM K.210.06 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.KEITH-1 12UNID ACUFIRM K.310.01 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.KEITH-2 12UNID ACUFIRM K.310.02 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.KEITH-3 12UNID ACUFIRM K.310.03 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.KEITH-4 12UNID ACUFIRM K.310.04 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.KEITH-5 12UNID ACUFIRM K.310.05 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.KEITH-6 12UNID ACUFIRM K.310.06 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.OB-0 12UNID ACUFIRM OB.228.0 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.OB-01 12UNID ACUFIRM OB.228.01 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.OB-02 12UNID ACUFIRM OB.228.02 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.OB-03 12UNID ACUFIRM OB.228.03 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.OB-04 12UNID ACUFIRM OB.228.04 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.OB-05 12UNID ACUFIRM OB.228.05 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.OG-0 12UNID ACUFIRM OG.230.0 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.OG-01 12UNID ACUFIRM OG.230.01 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.OG-02 12UNID ACUFIRM OG.230.02 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.OG-03 12UNID ACUFIRM OG.230.03 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.OG-04 12UNID ACUFIRM OG.230.04 - CIRURGICA FERNANDES
AGULHA SUTURA CORT.TRIANG.OG-05 12UNID ACUFIRM OG.230.05 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PB-07 12UNID ACUFIRM PB.332.07 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PB-08 12UNID ACUFIRM PB.332.08 - CIRURGICA FERNANDES
SONDA DIGISOND CURTA NR.16 P/ASP.TRAQUEAL C/VALV.EMB.P.G.C - SANOBIOL
SONDA DIGISOND CURTA NR.18 P/ASP.TRAQUEAL C/VALV.EMB.P.G.C - SANOBIOL
CANULA P/TRAQUEOSTOMIA BLUE LINE ULTRA A.VOL.6,0MM SIMS-PORTEX 100.800.060 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA BLUE LINE ULTRA A.VOL.7,0MM SIMS-PORTEX 100.800.070 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA BLUE LINE ULTRA A.VOL.7,5MM SIMS-PORTEX 100.800.075 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA BLUE LINE ULTRA A.VOL.8,0MM SIMS-PORTEX 100.800.080 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA BLUE LINE ULTRA A.VOL.8,5MM SIMS-PORTEX 100.800.085 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA BLUE LINE ULTRA A.VOL.9,0MM SIMS-PORTEX 100.800.090 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA BLUE LINE ULTRA A.VOL.10,0MM SIMS-PORTEX 100.800.100 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA BLUE LINE ULTRA CAN.INT.C.FIX.6,0MM SIMS-PORTEX 100.810.060 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA BLUE LINE ULTRA CAN.INT.C.FIX.7,0MM SIMS-PORTEX 100.810.070 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA BLUE LINE ULTRA CAN.INT.C.FIX.7,5MM SIMS-PORTEX 100.810.075 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA BLUE LINE ULTRA CAN.INT.C.FIX.8,0MM SIMS-PORTEX 100.810.080 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA BLUE LINE ULTRA CAN.INT.C.FIX.8,5MM SIMS-PORTEX 100.810.085 - CIRURGICA FERNANDES
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
181
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000058334
0000058335
0000058336
0000058337
0000058338
0000058339
0000058341
0000058342
0000058343
0000058344
0000058345
0000058346
0000058347
0000058348
0000058349
0000058350
0000058351
0000058352
0000058353
0000058354
0000058355
0000058356
0000058357
0000058358
0000058359
0000058360
0000058361
0000058362
0000058363
0000058364
0000058366
0000058367
0000058368
0000058369
0000058370
0000058371
0000058372
0000058373
0000058374
0000058375
0000058376
0000058377
0000058378
0000058379
0000058380
0000058381
0000058382
DESCRICAO
CANULA P/TRAQUEOSTOMIA BLUE LINE ULTRA CAN.INT.C.FIX.9,0MM SIMS-PORTEX 100.810.090 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA BLUE LINE ULTRA CAN.INT.C.FIX.10,0MM SIMS-PORTEX 100.810.100 - CIRURGICA FERNANDES
SONDA FAUCHER BORRACHA 2 FURO LAT.75CM 12FR 4,0MM RUSCH 445.300.04 - CIRURGICA FERNANDES
SONDA FAUCHER BORRACHA 2 FURO LAT.75CM 15FR 5,0MM RUSCH 445.300.05 - CIRURGICA FERNANDES
SONDA FAUCHER BORRACHA 2 FURO LAT.75CM 18FR 6,0MM RUSCH 445.300.06 - CIRURGICA FERNANDES
SONDA FAUCHER BORRACHA 2 FURO LAT.75CM 27FR 9,0MM RUSCH 445.300.09 - CIRURGICA FERNANDES
SONDA FAUCHER BORRACHA 2 FURO LAT.75CM 30FR 10,0MM RUSCH 445.300.10 - CIRURGICA FERNANDES
SONDA FAUCHER BORRACHA 2 FURO LAT.75CM 24FR 8,0MM RUSCH 445.300.08 - CIRURGICA FERNANDES
SONDA FAUCHER BORRACHA 2 FURO LAT.75CM 33FR 11,0MM RUSCH 445.300.11 - CIRURGICA FERNANDES
SONDA FAUCHER BORRACHA 2 FURO LAT.75CM 36FR 12,0MM RUSCH 445.300.12 - CIRURGICA FERNANDES
SONDA FAUCHER BORRACHA 2 FURO LAT.75CM 42FR 14,0MM RUSCH 445.300.14 - CIRURGICA FERNANDES
SONDA FAUCHER BORRACHA 2 FURO LAT.75CM 16,0MM RUSCH 445.300.16 - CIRURGICA FERNANDES
SONDA FAUCHER BORRACHA 2 FURO LAT.75CM 18,0MM RUSCH 445.300.18 - CIRURGICA FERNANDES
SONDA FAUCHER BORRACHA 2 FURO LAT.150CM 24FR 8,0MM RUSCH 447.100.08 - CIRURGICA FERNANDES
SONDA FAUCHER BORRACHA 2 FURO LAT.150CM 33FR 11,0MM RUSCH 447.100.11 - CIRURGICA FERNANDES
SONDA FAUCHER BORRACHA 2 FURO LAT.150CM 36FR 12,0MM RUSCH 447.100.12 - CIRURGICA FERNANDES
SONDA SENGSTAKEN BLAKEMORE-ESOFAGICA BOR.3VIAS RADIOP.2BAL.ADU.NR.16 RUSCH 204.800.16 - CIRURGICA FERNANDES
SONDA SENGSTAKEN BLAKEMORE-ESOFAGICA BOR.3VIAS RADIOP.2BAL.ADU.NR.18 RUSCH 204.800.18 - CIRURGICA FERNANDES
SONDA SENGSTAKEN BLAKEMORE-ESOFAGICA BOR.3VIAS RADIOP.2BAL.ADU.NR.21 RUSCH 204.800.21 - CIRURGICA FERNANDES
SONDA SENGSTAKEN BLAKEMORE-ESOFAGICA BOR.3VIAS RADIOP.2BAL.INF.NR.14 RUSCH 204.801.14 - CIRURGICA FERNANDES
SONDA FOLEY 100% SILICONE PED.3CC NR.08 RUSCH 170.003.08 - CIRURGICA FERNANDES
SONDA FOLEY 100% SILICONE PED.1,5ML NR.06 RUSCH 170.003.06 - CIRURGICA FERNANDES
SONDA FOLEY 100% SILICONE PED.3ML/5ML NR.10 RUSCH 170.003.10 - CIRURGICA FERNANDES
SONDA FOLEY 2VIA 100% SILICONE 5 A 10ML NR.12 RUSCH 170.605.012 - CIRURGICA FERNANDES
SONDA FOLEY 2VIA 100% SILICONE 5 A 10ML NR.14 RUSCH 170.605.014 - CIRURGICA FERNANDES
SONDA FOLEY 2VIA 100% SILICONE 5 A 15ML NR.16 RUSCH 170.605.016 - CIRURGICA FERNANDES
SONDA FOLEY 2VIA 100% SILICONE 5 A 15ML NR.18 RUSCH 170.605.018 - CIRURGICA FERNANDES
SONDA FOLEY 2VIA 100% SILICONE 5 A 15ML NR.20 RUSCH 170.605.020 - CIRURGICA FERNANDES
SONDA FOLEY 2VIA 100% SILICONE 5 A 15ML NR.22 RUSCH 170.605.022 - CIRURGICA FERNANDES
SONDA FOLEY 2VIA 100% SILICONE 5 A 15ML NR.24 RUSCH 170.605.024 - CIRURGICA FERNANDES
SONDA FOLEY 3VIA 100% SILICONE 20ML NR.18 RUSCH 173.830.018 - CIRURGICA FERNANDES
SONDA FOLEY 3VIA 100% SILICONE 20ML NR.20 RUSCH 173.830.020 - CIRURGICA FERNANDES
SONDA FOLEY 3VIA 100% SILICONE 30ML NR.22 RUSCH 173.830.022 - CIRURGICA FERNANDES
SONDA FOLEY 3VIA 100% SILICONE 30ML NR.24 RUSCH 173.830.024 - CIRURGICA FERNANDES
SONDA DORMIA EST.CALC."RX" P.CILIND.115CM 3FR 4FIOS P/UTERERORENOSCOPIO FLEXIVEL RUSCH 341.400.03 - CIRURGICA FERNANDES
SONDA DORMIA EST.CALC."RX" P.CILIND.115CM 3FR 5FIOS P/UTERERORENOSCOPIO FLEXIVEL RUSCH 341.401.03 - CIRURGICA FERNANDES
SONDA DORMIA EST.CALC."RX" P.CILIND.65CM 3FR 4FIOS P/UTERERORENOSCOPIO RIGIDO RUSCH 341.500.03 - CIRURGICA FERNANDES
SONDA DORMIA EST.CALC."RX" P.CILIND.65CM 4FR 4FIOS P/UTERERORENOSCOPIO RIGIDO RUSCH 341.500.04 - CIRURGICA FERNANDES
SONDA DORMIA EST.CALC."RX" P.CILIND.65CM 5FR 4FIOS P/UTERERORENOSCOPIO RIGIDO RUSCH 341.500.05 - CIRURGICA FERNANDES
SONDA DORMIA EST.CALC."RX" P.CILIND.65CM 4FR 5FIOS P/UTERERORENOSCOPIO RIGIDO RUSCH 341.501.04 - CIRURGICA FERNANDES
SONDA DORMIA EST.CALC."RX" P.CILIND.65CM 5FR 5FIOS P/UTERERORENOSCOPIO RIGIDO RUSCH 341.501.05 - CIRURGICA FERNANDES
SONDA DORMIA EST.CALC."RX" P.FILIF.65CM 4CH 4FIOS P/UTERERORENOSCOPIO RIGIDO RUSCH 341.600.04 - CIRURGICA FERNANDES
SONDA DORMIA EST.CALC."RX" P.FILIF.65CM 5CH 4FIOS P/UTERERORENOSCOPIO RIGIDO RUSCH 341.600.05 - CIRURGICA FERNANDES
SONDA DORMIA EST.CALC."RX" P.FILIF.65CM 4CH 5FIOS P/UTERERORENOSCOPIO RIGIDO RUSCH 341.601.04 - CIRURGICA FERNANDES
SONDA DORMIA EST.CALC."RX" P.FILIF.65CM 5CH 5FIOS P/UTERERORENOSCOPIO RIGIDO RUSCH 341.601.05 - CIRURGICA FERNANDES
SONDA PEZZER BORRACHA ESTERIL 35CM CH.10 RUSCH 415.100.10 - CIRURGICA FERNANDES
SONDA PEZZER BORRACHA ESTERIL 35CM CH.12 RUSCH 415.100.12 - CIRURGICA FERNANDES
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
182
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000058383
0000058384
0000058385
0000058386
0000058387
0000058388
0000058389
0000058390
0000058391
0000058392
0000058393
0000058394
0000058395
0000058396
0000058397
0000058398
0000058429
0000058431
0000058432
0000058433
0000058434
0000058435
0000058436
0000058437
0000058438
0000058439
0000058443
0000058444
0000058445
0000058446
0000058447
0000058448
0000058449
0000058450
0000058451
0000058453
0000058454
0000058455
0000058456
0000058457
0000058458
0000058459
0000058461
0000058462
0000058463
0000058464
0000058467
DESCRICAO
SONDA PEZZER BORRACHA ESTERIL 35CM CH.14 RUSCH 415.100.14 - CIRURGICA FERNANDES
SONDA PEZZER BORRACHA ESTERIL 35CM CH.16 RUSCH 415.100.16 - CIRURGICA FERNANDES
SONDA PEZZER BORRACHA ESTERIL 35CM CH.18 RUSCH 415.100.18 - CIRURGICA FERNANDES
SONDA PEZZER BORRACHA ESTERIL 35CM CH.20 RUSCH 415.100.20 - CIRURGICA FERNANDES
SONDA PEZZER BORRACHA ESTERIL 35CM CH.22 RUSCH 415.100.22 - CIRURGICA FERNANDES
SONDA PEZZER BORRACHA ESTERIL 35CM CH.24 RUSCH 415.100.24 - CIRURGICA FERNANDES
SONDA PEZZER BORRACHA ESTERIL 35CM CH.26 RUSCH 415.100.26 - CIRURGICA FERNANDES
SONDA PEZZER BORRACHA ESTERIL 35CM CH.28 RUSCH 415.100.28 - CIRURGICA FERNANDES
SONDA PEZZER BORRACHA ESTERIL 35CM CH.30 RUSCH 415.100.30 - CIRURGICA FERNANDES
SONDA PEZZER BORRACHA ESTERIL 35CM CH.32 RUSCH 415.100.32 - CIRURGICA FERNANDES
SONDA PEZZER BORRACHA ESTERIL 35CM CH.34 RUSCH 415.100.34 - CIRURGICA FERNANDES
SONDA PEZZER BORRACHA ESTERIL 35CM CH.36 RUSCH 415.100.36 - CIRURGICA FERNANDES
SONDA PEZZER BORRACHA ESTERIL 35CM CH.38 RUSCH 415.100.38 - CIRURGICA FERNANDES
SONDA PEZZER BORRACHA ESTERIL 35CM CH.40 RUSCH 415.100.40 - CIRURGICA FERNANDES
SONDA PEZZER BORRACHA ESTERIL 35CM CH.42 RUSCH 415.100.42 - CIRURGICA FERNANDES
SONDA PEZZER BORRACHA ESTERIL 35CM CH.44 RUSCH 415.100.44 - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL S/INTROD.26GX3 1/2" 90X4,5 DESC.UNISIS S269 - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL C/INTROD.25GX3 1/2" 90X05 DESC.UNISIS S259G - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL C/INTROD.26GX3" 80X4,5 DESC.UNISIS S268G - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL C/INTROD.26GX3 1/2" 90X4,5 DESC.UNISIS S269G - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL C/INTROD.27GX3" 80X04 DESC.UNISIS S278G - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL C/INTROD.27GX3 1/2" 90X04 DESC.UNISIS S279G - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL C/INTROD.29GX3 1/2" 90X3,5 DESC.UNISIS S299G - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL PTA.LAP.S/INT.22GX90MM 90X7 DESC.UNISIS P229 - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL PTA.LAP.S/INT.25GX80MM 80X5 DESC.UNISIS P258 - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL PTA.LAP.S/INT.25GX90MM 90X5 DESC.UNISIS P259 - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL PTA.LAP.C/INT.25GX80MM 80X5 DESC.UNISIS P258G - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL PTA.LAP.C/INT.25GX90MM 90X5 DESC.UNISIS P259G - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL PTA.LAP.C/INT.26GX90MM 90X4,5 DESC.UNISIS P269G - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL PTA.LAP.C/INT.27GX80MM 80X4 DESC.UNISIS P278G - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL PTA.LAP.C/INT.27GX90MM 90X4 DESC.UNISIS P279G - CIRURGICA FERNANDES
AGULHA TUOHY EPIDURAL/PERIDURAL 16G 80X16 PORTEX 100.395.160 - CIRURGICA FERNANDES
AGULHA TUOHY EPIDURAL/PERIDURAL 16G 80X16 3" UNISIS T168 - CIRURGICA FERNANDES
AGULHA TUOHY EPIDURAL/PERIDURAL 16G 90X16 3 1/2" UNISIS T169 - CIRURGICA FERNANDES
AGULHA TUOHY EPIDURAL/PERIDURAL 16G 110X16 4 1/2" P/OBESO UNISIS T1611 - CIRURGICA FERNANDES
AGULHA TUOHY EPIDURAL/PERIDURAL 17G 80X15 3" UNISIS T178 - CIRURGICA FERNANDES
AGULHA TUOHY EPIDURAL/PERIDURAL 17G 90X15 3 1/2" UNISIS T179 - CIRURGICA FERNANDES
AGULHA TUOHY EPIDURAL/PERIDURAL 18G 80X12 PORTEX 100.395.180 - CIRURGICA FERNANDES
AGULHA TUOHY EPIDURAL/PERIDURAL 18G 80X12 3" UNISIS T188 - CIRURGICA FERNANDES
AGULHA TUOHY EPIDURAL/PERIDURAL 18G 50X12 2" PED.UNISIS T185 - CIRURGICA FERNANDES
AGULHA TUOHY EPIDURAL/PERIDURAL 18G 90X12 3 1/2" UNISIS T189 - CIRURGICA FERNANDES
AGULHA TUOHY EPIDURAL/PERIDURAL 18G 110X12 4 1/2" P/OBESO UNISIS T1811 - CIRURGICA FERNANDES
AGULHA TUOHY EPIDURAL/PERIDURAL 19G 50X10 2" PED.UNISIS T195 - CIRURGICA FERNANDES
AGULHA TUOHY EPIDURAL/PERIDURAL 19G 80X10 3" UNISIS T198 - CIRURGICA FERNANDES
AGULHA TUOHY EPIDURAL/PERIDURAL 20G 50X09 2" PED.UNISIS T205 - CIRURGICA FERNANDES
AGULHA TUOHY EPIDURAL/PERIDURAL 22G 50X07 2" PED.UNISIS T225 - CIRURGICA FERNANDES
FILTRO-UMIDIFICADOR THERMOVENT EST.TP.600 PED.SIMS-PORTEX 100.580.015 - CIRURGICA FERNANDES
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
183
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000058468
0000058469
0000058470
0000058471
0000058472
0000058473
0000058474
0000058480
0000058481
0000058487
0000058494
0000058495
0000058496
0000058497
0000058498
0000058499
0000058500
0000058501
0000058506
0000058507
0000058511
0000058512
0000058514
0000058515
0000058516
0000058518
0000058519
0000058521
0000058523
0000058524
0000058525
0000058527
0000058528
0000058529
0000058533
0000058575
0000058606
0000058746
0000058787
0000058828
0000058829
0000058832
0000058835
0000058839
0000058840
0000058841
0000058842
DESCRICAO
FILTRO-UMIDIFICADOR THERMOVENT EST.TP.1200 ADU.BOL.BAIXO 1200ML PAC.60-120KG SIMS-PORTEX 100.582.000 - CIRURGICA FERNANDES
KIT TRAQUEOST.PERCUT.S/PINCA C/CAN.TR.C/BAL.7,0MM SIMS-PORTEX 100.543.070 - CIRURGICA FERNANDES
KIT TRAQUEOST.PERCUT.S/PINCA C/CAN.TR.C/BAL.8,0MM SIMS-PORTEX 100.543.080 - CIRURGICA FERNANDES
KIT TRAQUEOST.PERCUT.S/PINCA C/CAN.TR.C/BAL.9,0MM SIMS-PORTEX 100.543.090 - CIRURGICA FERNANDES
AQUECEDOR FLUIDO HOTLINE 115V LEVEL 1 SIMS-PORTEX HL-90-115 - CIRURGICA FERNANDES
AQUECEDOR FLUIDO HOTLINE 230V LEVEL 1SIMS-PORTEX HL-90-230 - CIRURGICA FERNANDES
EQUIPO P/AQUECEDOR DE FLUIDOS HOTLINE LEVEL 1 SIMS-PORTEX L-70-NI - CIRURGICA FERNANDES
EQUIPO P/AQUECEDOR DE FLUIDOS(FLUXO 530ML/MIN.)LEVEL 1 SIMS-PORTEX DI-60 - CIRURGICA FERNANDES
EQUIPO P/AQUECEDOR DE FLUIDOS(FLUXO 950ML/MIN.)LEVEL 1 SIMS-PORTEX DI-100 - CIRURGICA FERNANDES
ANDROCUR 100MG 20CPDS - BAYER
INVANZ IV 1GR 1FA - MERCK S.D.
CAIXA INOX 18X08X3CM R-782 - RICHTER
TESOURA REES 20CM P/RUGAS R-671-20 - RICHTER
DESCOLADOR LANGENBECK R-751-18 - RICHTER
PINCA KOCHER 14CM RETA R-163-14R - RICHTER
PINCA KOCHER 14CM CURVA R-163-14C - RICHTER
PINCA KOCHER 16CM RETA R-164-16R - RICHTER
PINCA KOCHER 16CM CURVA R-164-16C - RICHTER
LEVOFLOXACINO GEN.250MG 7CPDS - RANBAXY
LEVOFLOXACINO GEN.500MG 7CPDS - RANBAXY
ZELMAC 6MG 30CPDS - NOVARTIS
INSULINA ANALOGA NOVORAPID PENFILL 5X3ML - NOVO NORDISK
ARADOIS H 50+12,5MG 30CPDS REV. - BIOLAB SANUS
LIPLESS 100MG 30CPDS - BIOLAB SANUS
UNI CLONAZEPAX 2,5MG/ML SOL.ORAL 20ML - UNIAO QUIMICA
FLUCISTEIN 200MG 15ENV.5G - UNIAO QUIMICA
HISTADIN D 1+12MG/ML XPE.60ML - UNIAO QUIMICA
HALOPERIDOL GEN.2MG/ML SOL.ORAL 20ML - UNIAO QUIMICA
CETOCONAZOL+DIPROPIONATO BETAMETASONA GEN.CRM.30GRS - MEDLEY
CLOTRIMAZOL GEN.10MG 35GRS+6APL - MEDLEY
CLOTRIMAZOL GEN.20MG 20GRS+3APL - MEDLEY
AMOXICILINA GEN.250MG/5ML SUSP.ORAL 150ML - GERMED GENERICOS
AMOXICILINA GEN.500MG 15CAPS GEL.DURA - GERMED GENERICOS
AMOXICILINA GEN.500MG 21CAPS GEL.DURA - GERMED GENERICOS
OMEPRAZOL GEN.40MG 7CAPS - BIOSINTETICA
ALBUMINA HUMANA 20% 1FA 50ML - OCTAPHARMA
CLORATADD 5MG/5ML XPE.100ML - EMS
DICLOFENACO SODICO GEN.50MG 20CPDS - SANDOZ
CAMPTOSAR 40MG 1FA 2ML - PFIZER
CETOCONAZOL GEN.20MG/G CRM.30GRS - NEOQUIMICA
NEOPRESS H 50+12,5MG 3X10CPDS - NEOQUIMICA
REVASTIN 10MG 3X10CPDS - NEOQUIMICA
DORALGINA GTS.15ML - NEOQUIMICA
TERMOPIRONA 500MG 25X4CPDS - NEOQUIMICA
TERMOPIRONA 500MG/ML LAR.GTS.10ML - NEOQUIMICA
TERMOPIRONA 500MG/ML GTS.10X10ML - NEOQUIMICA
XAROPE NEO XPE.100ML - NEOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
184
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000059106
0000059349
0000059570
0000059580
0000059670
0000059671
0000059672
0000059673
0000059674
0000059675
0000059680
0000059681
0000059682
0000059683
0000059685
0000059699
0000059700
0000059701
0000059747
0000059749
0000059750
0000059751
0000059752
0000059753
0000059754
0000059755
0000059778
0000059781
0000059782
0000059786
0000059788
0000059790
0000059842
0000059843
0000059844
0000059845
0000059846
0000059847
0000059848
0000059849
0000059850
0000059851
0000059852
0000059853
0000059854
0000059855
0000059856
DESCRICAO
VISAZUL 0,5+1,0+0,025 SOL.OFTAL.20ML - NEOQUIMICA
BAG LAPAROSCOPIO 10MM AMERICAN INSTRUMENTS AI0038 - AMERICAN INSTRUMENTS
MONOCULO OCULAR (TAMPAO OCULAR) ESTERIL - STERIFARMA
PROTETOR P/OUVIDO P/M/G ESTERIL - STERIFARMA
CLORIDRATO AMILORIDA+HIDROCLOROTIAZIDA GEN.5+50MG 2X15CPDS - BIOSINTETICA
XAROPE VICK 44E 120ML - PROCTER
DICLOFENACO DIETILAMONIO GEN.10MG/G GEL 60GRS - BIOSINTETICA
DICLOFENACO POTASSICO GEN.50MG 20CPDS - BIOSINTETICA
DICLOFENACO RESINATO GEN.15MG/ML 20ML - BIOSINTETICA
DICLOFENACO SODICO GEN.50MG 20CPDS - BIOSINTETICA
NORFLOXACINO GEN.400MG 2X7CPDS - BIOSINTETICA
NORFLOXACINO GEN.400MG 7CPDS - BIOSINTETICA
OMEPRAZOL GEN.10MG 2X7CAPS - BIOSINTETICA
OMEPRAZOL GEN.20MG 2X7CAPS - BIOSINTETICA
OMEPRAZOL GEN.20MG 7CAPS - BIOSINTETICA
PLACA P/FIXACAO CERVICAL ZEPHIR 22,5MM - - DABASONS
PARAFUSO P/FIXACAO PLACA TITANIO 3,5X13MM - - DABASONS
PARAFUSO P/FIXACAO PLACA TITANIO 4,0X13MM - - DABASONS
DEOCIL SL 10MG 10CPDS - DIFFUCAP
MOTILIUM 2X15CPDS - JANSSEN-CILAG
MOTILIUM 3X20CPDS - JANSSEN-CILAG
VISIPAQUE 270MG 50ML - FARMASA
VISIPAQUE 270MG 100ML - FARMASA
VISIPAQUE 320MG 50ML - FARMASA
VISIPAQUE 320MG 100ML - FARMASA
LUVERIS 75UI PO LIOFILIZADO 1FA+DIL - MERCK S.A.
MICROCATETER EXCELSIOR 1018 PRE-MOLDADO S 150CM M0031441890 - STRYKER
FASTRACKER 325-140/ 161103 - BOSTON PERIFERICO
FASTRACKER 325 135/ 161104 - BOSTON PERIFERICO
MICROCATETER RENEGADE 150/10 18-251 - BOSTON PERIFERICO
MICROCATETER RENEGADE 2TIP 10/150CM M001182570 - STRYKER
MICROCATETER RENEGADE 2TIP 20/150CM M001182590 - STRYKER
MICROMOLA ESPIRAL GDC-10 STANDART 2MMX4CM DESTACAVEL M00334020440 - STRYKER
MICROMOLA ESPIRAL GDC-10 STANDART 3MMX4CM DESTACAVEL M00334030440 - STRYKER
MICROMOLA ESPIRAL GDC-10 STANDART 3MMX6CM DESTACAVEL M00334030640 - STRYKER
MICROMOLA ESPIRAL GDC-10 STANDART 3MMX8CM DESTACAVEL M00334030840 - STRYKER
MICROMOLA ESPIRAL GDC-10 STANDART 3MMX12CM DESTACAVEL M00334031240 - STRYKER
MICROMOLA ESPIRAL GDC-10 STANDART 4MMX10CM DESTACAVEL M00334041040 - STRYKER
MICROMOLA ESPIRAL GDC-10 STANDART 5MMX10CM DESTACAVEL M00334051040 - STRYKER
MICROMOLA ESPIRAL GDC-10 STANDART 5MMX15CM DESTACAVEL M00334051540 - STRYKER
MICROMOLA ESPIRAL GDC-10 STANDART 6MMX10CM DESTACAVEL M00334061040 - STRYKER
MICROMOLA ESPIRAL GDC-10 STANDART 7MMX10CM DESTACAVEL M00334071040 - STRYKER
MICROMOLA ESPIRAL GDC-10 STANDART 7MMX30CM DESTACAVEL M00334073040 - STRYKER
MICROMOLA ESPIRAL GDC-10 STANDART 8MMX10CM DESTACAVEL M00334081040 - STRYKER
MICROMOLA ESPIRAL GDC-10 STANDART 8MMX20CM DESTACAVEL M00334082040 - STRYKER
MICROMOLA ESPIRAL GDC-10 STANDART 8MMX30CM DESTACAVEL M00334083040 - STRYKER
MICROMOLA ESPIRAL GDC-10 STANDART 9MMX15CM DESTACAVEL M00334091540 - STRYKER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
185
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000059857
0000059858
0000059860
0000059861
0000059863
0000059864
0000059866
0000059868
0000059869
0000059871
0000059872
0000059873
0000059874
0000059875
0000059876
0000059877
0000059878
0000059879
0000059880
0000059881
0000059882
0000059883
0000059884
0000059885
0000059886
0000059889
0000059891
0000059892
0000059893
0000059894
0000059896
0000059897
0000059899
0000059900
0000059901
0000059904
0000059909
0000059916
0000059925
0000059933
0000059940
0000059946
0000059951
0000059953
0000059956
0000059957
0000059958
DESCRICAO
MICROMOLA ESPIRAL GDC-10 STANDART 9MMX30CM DESTACAVEL M00334093040 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT 2MMX2CM DESTACAVEL M00334120240 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT SR 2MMX2CM DESTACAVEL M003341202SR40 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT 2MMX3CM DESTACAVEL M00334120340 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT SR 2MMX3CM DESTACAVEL M003341203SR40 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT 2MMX4CM DESTACAVEL M00334120440 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT 2MMX6CM DESTACAVEL M00334120640 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT SR 2MMX6CM DESTACAVEL M003341206SR40 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT 2MMX8CM DESTACAVEL M00334120840 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT SR 2MMX8CM DESTACAVEL M003341208SR40 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT 3MMX3CM DESTACAVEL M00334130340 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT 3MMX4CM DESTACAVEL M00334130440 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT 3MMX6CM DESTACAVEL M00334130640 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT 3MMX8CM DESTACAVEL M00334130840 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT 3MMX10CM DESTACAVEL M00334131040 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT 4MMX4CM DESTACAVEL M00334140440 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT 4MMX6CM DESTACAVEL M00334140640 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT 4MMX8CM DESTACAVEL M00334140840 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT 4MMX10CM DESTACAVEL M00334141040 - STRYKER
MICROMOLA ESPIRAL GDC-10 2D 10MMX30CM DESTACAVEL M00334210340 - STRYKER
MICROMOLA ESPIRAL GDC-10 2D 3MMX8CM DESTACAVEL M00334230840 - STRYKER
MICROMOLA ESPIRAL GDC-10 2D 5MMX15CM DESTACAVEL M00334251540 - STRYKER
MICROMOLA ESPIRAL GDC-10 2D 7MMX25CM DESTACAVEL M00334272540 - STRYKER
MICROMOLA ESPIRAL GDC-10 2D 8MMX30CM DESTACAVEL M00334283040 - STRYKER
MICROMOLA ESPIRAL GDC-10 2D 9MMX30CM DESTACAVEL M00334293040 - STRYKER
MICROMOLA ESPIRAL GDC-10 ULTRASOFT 2MMX4CM DESTACAVEL M0033432040 - STRYKER
MICROMOLA ESPIRAL GDC-10 ULTRASOFT 2,5MMX2CM DESTACAVEL M0033432520 - STRYKER
MICROMOLA ESPIRAL GDC-10 ULTRASOFT 2,5MMX3CM DESTACAVEL M0033432530 - STRYKER
MICROMOLA ESPIRAL GDC-10 ULTRASOFT 2,5MMX4CM DESTACAVEL M0033432540 - STRYKER
MICROMOLA ESPIRAL GDC-10 ULTRASOFT 2,5MMX6CM DESTACAVEL M0033432560 - STRYKER
MICROMOLA ESPIRAL GDC-10 ULTRASOFT 3MMX6CM DESTACAVEL M0033433060 - STRYKER
MICROMOLA ESPIRAL GDC-10 ULTRASOFT 3MMX8CM DESTACAVEL M0033433080 - STRYKER
MICROMOLA ESPIRAL GDC-10 ULTRASOFT 4MMX4CM DESTACAVEL M0033434040 - STRYKER
MICROMOLA ESPIRAL GDC-10 ULTRASOFT 4MMX6CM DESTACAVEL M0033434060 - STRYKER
MICROMOLA ESPIRAL GDC-10 ULTRASOFT 4MMX8CM DESTACAVEL M0033434080 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT 2D SR 3MMX2CM DESTACAVEL M003344302SR40 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT 2D SR 3MMX4CM DESTACAVEL M003344304SR40 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT 2D SR 3MMX8CM DESTACAVEL M003344308SR40 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT 2D SR 4MMX3CM DESTACAVEL M003344403SR40 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT 2D SR 4MMX8CM DESTACAVEL M003344408SR40 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT 2D SR 5MMX10CM DESTACAVEL M003344510SR40 - STRYKER
MICROMOLA ESPIRAL GDC-10 SOFT 2D SR 5MMX6CM DESTACAVEL M003344506SR40 - STRYKER
MICROMOLA ESPIRAL GDC-10 3D 10MMX30CM DESTACAVEL M00334510340 - STRYKER
MICROMOLA ESPIRAL GDC-10 3D 3MMX6CM DESTACAVEL M00334530640 - STRYKER
MICROMOLA ESPIRAL GDC-10 3D 4MMX6CM DESTACAVEL M00334540640 - STRYKER
MICROMOLA ESPIRAL GDC-10 3D 4MMX8CM DESTACAVEL M00334540840 - STRYKER
MICROMOLA ESPIRAL GDC-10 3D 5MMX8CM DESTACAVEL M00334550840 - STRYKER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
186
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000059960
0000059962
0000059963
0000059965
0000059967
0000059969
0000059970
0000059973
0000059974
0000059977
0000059978
0000059980
0000059981
0000059983
0000059984
0000059985
0000059986
0000059987
0000059988
0000059989
0000059990
0000059993
0000059996
0000060005
0000060006
0000060007
0000060008
0000060022
0000060024
0000060026
0000060028
0000060030
0000060084
0000060086
0000060087
0000060088
0000060090
0000060091
0000060092
0000060093
0000060094
0000060096
0000060097
0000060098
0000060099
0000060102
0000060103
DESCRICAO
MICROMOLA ESPIRAL GDC-10 3D 5MMX10CM DESTACAVEL M00334551040 - STRYKER
MICROMOLA ESPIRAL GDC-10 3D 6MMX10CM DESTACAVEL M00334561040 - STRYKER
MICROMOLA ESPIRAL GDC-10 3D 6MMX15CM DESTACAVEL M00334561540 - STRYKER
MICROMOLA ESPIRAL GDC-10 3D 7MMX12CM DESTACAVEL M00334571240 - STRYKER
MICROMOLA ESPIRAL GDC-10 3D 7MMX15CM DESTACAVEL M00334571540 - STRYKER
MICROMOLA ESPIRAL GDC-18 STANDART 12MMX30CM DESTACAVEL M00335012340 - STRYKER
MICROMOLA ESPIRAL GDC-18 STANDART 14MMX30CM DESTACAVEL M00335014340 - STRYKER
MICROMOLA ESPIRAL GDC-18 STANDART 18MMX30CM DESTACAVEL M00335018340 - STRYKER
MICROMOLA ESPIRAL GDC-18 STANDART 20MMX30CM DESTACAVEL M00335020340 - STRYKER
MICROMOLA ESPIRAL GDC-18 STANDART 5MMX20CM DESTACAVEL M00335052040 - STRYKER
MICROMOLA ESPIRAL GDC-18 STANDART 6MMX20CM DESTACAVEL M00335062040 - STRYKER
MICROMOLA ESPIRAL GDC-18 STANDART 7MMX30CM DESTACAVEL M00335073040 - STRYKER
MICROMOLA ESPIRAL GDC-18 STANDART 8MMX20CM DESTACAVEL M00335082040 - STRYKER
MICROMOLA ESPIRAL GDC-18 STANDART 9MMX30CM DESTACAVEL M00335093040 - STRYKER
MICROMOLA ESPIRAL GDC-18 SOFT 4MMX10CM DESTACAVEL M00335141040 - STRYKER
MICROMOLA ESPIRAL GDC-18 SOFT 6MMX15CM DESTACAVEL M00335161540 - STRYKER
MICROMOLA ESPIRAL GDC-18 2D 18MMX30CM DESTACAVEL M00335218340 - STRYKER
MICROMOLA ESPIRAL GDC-18 2D 8MMX30CM DESTACAVEL M00335283040 - STRYKER
MICROMOLA ESPIRAL GDC-18 3D 14MMX30CM DESTACAVEL M00335514340 - STRYKER
MICROMOLA ESPIRAL GDC-18 3D 18MMX30CM DESTACAVEL M00335518340 - STRYKER
MICROMOLA ESPIRAL GDC-18 3D 6MMX15CM DESTACAVEL M00335561540 - STRYKER
ARCOXIA 60MG 7CPDS - MERCK S.D.
ARCOXIA 90MG 7CPDS - MERCK S.D.
FIO GUIA TRANSEND EX 0,014" M001468050 - STRYKER
FIO GUIA TRANSEND EX SOFT TIP 0,014" 205CM M001468060 - STRYKER
FIO GUIA TRANSEND EX FLOPPY 0,014" 205CM M001468070 - STRYKER
FIO GUIA TRANSEND EX PLATINUM 0,014" 205CM M001468080 - STRYKER
MICRO PARTICULA PVA EMBOLIZACAO CONTOUR 150-250 5 760025 - BOSTON PERIFERICO
MICRO PARTICULA PVA EMBOLIZACAO CONTOUR 250-355 5 760035 - BOSTON PERIFERICO
MICRO PARTICULA PVA EMBOLIZACAO CONTOUR 355-500 5 760045 - BOSTON PERIFERICO
MICRO PARTICULA PVA EMBOLIZACAO CONTOUR 500-710 5 760065 - BOSTON PERIFERICO
MICRO PARTICULA PVA EMBOLIZACAO CONTOUR 710-1000 5 760085 - BOSTON PERIFERICO
FIO CAPROFYL GASTRO VIOLETA 4-0 70CM AG.2,6CM CF121T - J&J ETHICON
FIO CAPROFYL GASTRO VIOLETA 3-0 70CM AG.2,6CM CF122T - J&J ETHICON
FIO CAPROFYL GASTRO VIOLETA 2-0 70CM AG.2,6CM CF123T - J&J ETHICON
FIO CAPROFYL GASTRO VIOLETA 0 70CM AG.2,6CM CF124T - J&J ETHICON
FIO CAPROFYL GASTRO VIOLETA 4-0 70CM AG.3,1CM CF111T - J&J ETHICON
FIO CAPROFYL GASTRO VIOLETA 3-0 70CM AG.3,1CM CF112T - J&J ETHICON
FIO CAPROFYL GASTRO VIOLETA 2-0 70CM AG.3,1CM CF113T - J&J ETHICON
FIO CAPROFYL GASTRO VIOLETA 0 70CM AG.3,1CM CF114T - J&J ETHICON
FIO CAPROFYL GASTRO VIOLETA 1 70CM AG.3,1CM CF115T - J&J ETHICON
FIO CAPROFYL GASTRO VIOLETA 3-0 70CM AG.3,64CM CF126T - J&J ETHICON
FIO CAPROFYL GASTRO VIOLETA 2-0 70CM AG.3,64CM CF127T - J&J ETHICON
FIO CAPROFYL GASTRO VIOLETA 0 70CM AG.3,64CM CF128T - J&J ETHICON
FIO CAPROFYL GASTRO VIOLETA 1 70CM AG.3,64CM CF129T - J&J ETHICON
FIO CAPROFYL FECH.G.OB/GIN.VIOLETA 3-0 70CM AG.3,64CM CF810T - J&J ETHICON
FIO CAPROFYL FECH.G.OB/GIN.VIOLETA 2-0 70CM AG.3,64CM CF811T - J&J ETHICON
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
187
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000060105
0000060106
0000060107
0000060108
0000060109
0000060110
0000060111
0000060112
0000060113
0000060114
0000060115
0000060116
0000060117
0000060175
0000060178
0000060179
0000060180
0000060181
0000060182
0000060183
0000060184
0000060185
0000060186
0000060188
0000060195
0000060196
0000060197
0000060198
0000060199
0000060200
0000060201
0000060202
0000060203
0000060204
0000060205
0000060206
0000060207
0000060208
0000060209
0000060211
0000060212
0000060213
0000060267
0000060338
0000060340
0000060341
0000060343
DESCRICAO
FIO CAPROFYL FECH.G.OB/GIN.VIOLETA 0 70CM AG.3,64CM CF812T - J&J ETHICON
FIO CAPROFYL FECH.G.OB/GIN.VIOLETA 1 70CM AG.3,64CM CF813T - J&J ETHICON
FIO CAPROFYL FECH.G.OB/GIN.VIOLETA 2-0 90CM AG.3,64CM CF923T - J&J ETHICON
FIO CAPROFYL FECH.G.OB/GIN.VIOLETA 0 90CM AG.3,64CM CF924T - J&J ETHICON
FIO CAPROFYL FECH.G.OB/GIN.VIOLETA 1 90CM AG.3,64CM CF925T - J&J ETHICON
FIO CAPROFYL FECH.G.OB/GIN.VIOLETA 2-0 70CM AG.4CM CF801T - J&J ETHICON
FIO CAPROFYL FECH.G.OB/GIN.VIOLETA 0 70CM AG.4CM CF802T - J&J ETHICON
FIO CAPROFYL FECH.G.OB/GIN.VIOLETA 1 70CM AG.4CM CF803T - J&J ETHICON
FIO CAPROFYL FECH.G.OB/GIN.VIOLETA 2-0 90CM AG.4CM CF913T - J&J ETHICON
FIO CAPROFYL FECH.G.OB/GIN.VIOLETA 0 90CM AG.4CM CF914T - J&J ETHICON
FIO CAPROFYL FECH.G.OB/GIN.VIOLETA 1 90CM AG.4CM CF915T - J&J ETHICON
FIO CAPROFYL UROLOGIA VIOLETA 4-0 70CM AG.1,75CM CF203T - J&J ETHICON
FIO CAPROFYL UROLOGIA VIOLETA 3-0 70CM AG.1,7CM CF204T - J&J ETHICON
SURVIMED OPD DIETA ENTERAL EASY BAG 500ML BR7347221 - FRESENIUS KABI
FRESUBIN ENERGY FIBRE DIETA ENTERAL EASY BAG 1000ML BR7526231 - FRESENIUS KABI
FRESUBIN HP ENERGY DIETA ENTERAL EASY BAG 1000ML BR7348231 - FRESENIUS KABI
FRESUBIN ENERGY EASY BAG 1000ML BR7368231 - FRESENIUS KABI
SONDA NASAL ENTERAL TRELUMINA FREKA BR7750911 - FRESENIUS KABI
SONDA ENTERAL PERCUTANEA BUTTON CH15 1,4CM FREKA BR7751251 - FRESENIUS KABI
SONDA ENTERAL PERCUTANEA BUTTON CH15 2,0CM FREKA BR7751271 - FRESENIUS KABI
SONDA ENTERAL PERCUTANEA BUTTON CH15 2,5CM FREKA BR7751281 - FRESENIUS KABI
SONDA ENTERAL PERCUTANEA BUTTON CH15 3,0CM FREKA BR7751291 - FRESENIUS KABI
SONDA ENTERAL PERCUTANEA BUTTON CH15 4,0CM FREKA BR7751311 - FRESENIUS KABI
RIOGEL ANTI-SEPTO 90G(100ML)ALMOTOLIA 0850 - RIOQUIMICA
PROTESE TESTICULAR EXTRA GRD.NS PR-T-EXTRA-LARGE - PROMEDON
MATRIZ ENXERTO P/DURAMATER DURAGEN PLUS 2,5X2,5CM IN-DP1011 - PROMEDON
MATRIZ ENXERTO P/DURAMATER DURAGEN PLUS 2,5X7,5CM IN-DP1013 - PROMEDON
PLACA CERVICAL SECUPLATE 1 NIVEL L 21MM SCIENT'X SC-11SP1-21 - PROMEDON
PLACA CERVICAL SECUPLATE 1 NIVEL L 26MM SCIENT'X SC-11SP1-26 - PROMEDON
PLACA CERVICAL SECUPLATE 2 NIVEL 34MM SCIENT'X SC-11SP2-34 - PROMEDON
PLACA CERVICAL SECUPLATE 2 NIVEL 44MM SCIENT'X SC-11SP2-44 - PROMEDON
PLACA CERVICAL SECUPLATE 3 NIVEL 47MM SCIENT'X SC-11SP3-47 - PROMEDON
PLACA CERVICAL SECUPLATE 3 NIVEL 62MM SCIENT'X SC-11SP3-62 - PROMEDON
PLACA CERVICAL SECUPLATE 4 NIVEL 60MM SCIENT'X SC-11SP4-60 - PROMEDON
PLACA CERVICAL SECUPLATE 4 NIVEL 80MM SCIENT'X SC-11SP4-80 - PROMEDON
CAGE CERVICAL PEEK 45MM CBK SCIENT'X SC-11CBK-45 - PROMEDON
CAGE CERVICAL PEEK 55MM CBK SCIENT'X SC-11CBK-55 - PROMEDON
CAGE CERVICAL PEEK 62MM CBK SCIENT'X SC-11CBK-62 - PROMEDON
CAGE CERVICAL PEEK 70MM CBK SCIENT'X SC-11CBK-70 - PROMEDON
VALVULA HAKIM MOD.RUBY S/ANTE-CAM.BAIXA PRESSAO NMT905120 - PROMEDON
VALVULA HAKIM MOD.RUBY S/ANTE-CAM.MEDIA PRESSAO NMT905140 - PROMEDON
VALVULA HAKIM MOD.RUBY S/ANTE-CAM.ALTA PRESSAO NMT905160 - PROMEDON
MICROMOLA ESPIRAL GDC-10 SOFT 2D SR 3MMX6CM DESTACAVEL M003344306SR40 - STRYKER
NEOCORTIN COL.5ML - LEGRAND TARJARDOS
PREDNIS 20MG 10CPDS - LEGRAND TARJARDOS
EQUIPO MACROGOTAS CAM.GRAD.BURETA SANG.150ML BURETAMED - EMBRAMED
AMOXICILINA+CLAVULANATO POTASSICO GEN.250MG/5ML SUSP.75ML - EMS GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
188
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000060374
0000060397
0000060398
0000060399
0000060400
0000060402
0000060446
0000060447
0000060448
0000060449
0000060450
0000060451
0000060452
0000060453
0000060454
0000060460
0000060461
0000060462
0000060463
0000060464
0000060465
0000060466
0000060467
0000060468
0000060469
0000060470
0000060471
0000060472
0000060473
0000060474
0000060476
0000060477
0000060478
0000060479
0000060480
0000060481
0000060482
0000060483
0000060484
0000060485
0000060486
0000060487
0000060488
0000060489
0000060490
0000060491
0000060492
DESCRICAO
CEFACIMED 500MG 8CAPS GEL - CIMED
CARBOCISTEINA GEN.20MG/ML XPE.100ML+CP.MED. - MERCK S.A.
CARBOCISTEINA GEN.50MG/ML XPE.100ML+CP.MED. - MERCK S.A.
ARTELAC 3,2+0,1MG/ML SOL.OFT.10ML - BAUSCH+LOMB
VIDISIC 2MG/G GEL OFT.10G - BAUSCH+LOMB
TAXILAN 6MG/ML SOL.INJ.FA 16,7ML - - AMGEN
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 10 2MMX2,5CM MICRUS SPH100200-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 10 3MMX5,5CM MICRUS SPH100300-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 10 4MMX7,5CM MICRUS SPH100400-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 10 5MMX10CM MICRUS SPH100500-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 10 6MMX12CM MICRUS SPH100600-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 10 7MMX14CM MICRUS SPH100700-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 10 8MMX16CM MICRUS SPH100800-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 10 9MMX18,5CM MICRUS SPH100900-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 10 10MMX20,3CM MICRUS SPH101000-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 18 2MMX2,7CM MICRUS SPH180200-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 18 3MMX5,8CM MICRUS SPH180300-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 18 4MMX7,9CM MICRUS SPH180400 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 18 5MMX10CM MICRUS SPH180500-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 18 6MMX12,2CM MICRUS SPH180600-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 18 7MMX14,3CM MICRUS SPH180700-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 18 8MMX13,6CM MICRUS SPH180800-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 18 9MMX15,3CM MICRUS SPH180900-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 18 10MMX17,1CM MICRUS SPH181000-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 18 11MMX18,9CM MICRUS SPH181100-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 18 12MMX20,7CM MICRUS SPH181200-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 18 13MMX22,6CM MICRUS SPH181300-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 18 14MMX24,3CM MICRUS SPH181400-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 18 16MMX27,9CM MICRUS SPH181600-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM MICRUSPHERE 18 18MMX30CM MICRUS SPH181800-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 2MMX2CM MICRUS HSR100202-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 2MMX4CM MICRUS HSR100204-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 2MMX6CM MICRUS HSR100206-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 2MMX8CM MICRUS HSR100208-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 3MMX4CM MICRUS HSR100304-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 3MMX6CM MICRUS HSR100306-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 3MMX8CM MICRUS HSR100308-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 3MMX10CM MICRUS HSR100310-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 4MMX4CM MICRUS HSR100404-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 4MMX6CM MICRUS HSR100406-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 4MMX8CM MICRUS HSR100408-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 4MMX10CM MICRUS HSR100410-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 5MMX10CM MICRUS HSR100510-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 5MMX15CM MICRUS HSR100515-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 5MMX20CM MICRUS HSR100520-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 6MMX10CM MICRUS HSR100610-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 6MMX15CM MICRUS HSR100615-20 - RADIOMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
189
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000060493
0000060494
0000060495
0000060496
0000060497
0000060498
0000060499
0000060500
0000060501
0000060502
0000060503
0000060504
0000060505
0000060506
0000060507
0000060508
0000060513
0000060514
0000060515
0000060526
0000060527
0000060528
0000060529
0000060530
0000060555
0000060556
0000060557
0000060561
0000060562
0000060563
0000060567
0000060568
0000060571
0000060572
0000060573
0000060574
0000060575
0000060580
0000060581
0000060582
0000060583
0000060584
0000060585
0000060586
0000060587
0000060588
0000060589
DESCRICAO
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 6MMX20CM MICRUS HSR100620-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 7MMX10CM MICRUS HSR100710-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 7MMX15CM MICRUS HSR100715-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 7MMX20CM MICRUS HSR100720-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 7MMX30CM MICRUS HSR100730-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 8MMX10CM MICRUS HSR100810-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 8MMX15CM MICRUS HSR100815-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 8MMX20CM MICRUS HSR100820-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 8MMX30CM MICRUS HSR100830-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 9MMX15CM MICRUS HSR100915-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 9MMX20CM MICRUS HSR100920-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 9MMX30CM MICRUS HSR100930-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 10MMX15CM MICRUS HSR101015-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 10MMX20CM MICRUS HSR101020-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM HELIPAQ 10 10MMX30CM MICRUS HSR101030-20 - RADIOMED
CABO CONEXAO P/MICROMOLA MICRUS CCB000157-00 - RADIOMED
MICRO CATETER REBAR 27-027X145 MICROTHERAPEUTICS 105-5082-145 - SYNCROFILM
FIO GUIA HIDROFILICO SILVER SPEED 14X200 MICROTHERAPEUTICS 103-0602-200 - SYNCROFILM
CATETER BALAO OCLUSAO HYPERGLIDE 4X20 MICROTHERAPEUTICS 104-4127 - SYNCROFILM
TUBO EXTENSOR P/INFUSAO LUER/LUER LOCK 20CM - EMBRAMED
TUBO EXTENSOR P/INFUSAO LUER/LUER LOCK 40CM - EMBRAMED
TUBO EXTENSOR P/INFUSAO LUER/LUER LOCK 60CM - EMBRAMED
TUBO EXTENSOR P/INFUSAO LUER/LUER LOCK 120CM - EMBRAMED
EQUIPO MULTIPLICADOR ACESSO VEN.CENTRAL MULTIVYAS 4VIAS - EMBRAMED
MAXIDRIN 3X4CPDS - KLEY HERTZ
MAXIDRIN 30X4CPDS - KLEY HERTZ
PROCTOCAPS 20G - - KLEY HERTZ
SERETIDE 25/50MCG SPR.120DOSES - GLAXOSMITH
SERETIDE 25/125MCG SPR.120DOSES - GLAXOSMITH
SERETIDE 25/250MCG SPR.120DOSES - GLAXOSMITH
CLORATADD 10MG 12CPDS - EMS
TRICOCILIN B CRM.VAG.45GRS+10APL - EMS
FLOGORAL 1,5MG/ML COLUT.CER.250ML - ACHE
FLOGORAL 1,5MG/ML COLUT.LAR.250ML - ACHE
FLOGORAL 1,5MG/ML COLUT.LIM.250ML - ACHE
FLOGORAL 1,5MG/ML COLUT.MENTA 250ML - ACHE
PROLOPA 125MG 30CPDS - ROCHE
FRASCO P/DRENAGEM TORACICA S/EXT.FR.TOROZAMM 500ML - ZAMMI
FRASCO P/DRENAGEM TORACICA C/EXT.TOROZAMM 100ML - ZAMMI
COLETOR SECRECAO BRONQUICA (BRONCOZAMM) - ZAMMI
COLETOR SECRECAO CIRURGICA (MULTIZAMM AR PLUS 3500ML) - ZAMMI
COLETOR SECRECAO CIRURGICA (MULTIZAMM SAE-AR 3500ML) - ZAMMI
COLETOR SECRECAO CIRURGICA (MULTIZAMM AR PLUS 5000ML) - ZAMMI
COLETOR SECRECAO CIRURGICA (MULTIZAMM SAE-AR 5000ML) - ZAMMI
FRASCO P/PROTECAO REDE VACUO (FR.AVAZAMM) - ZAMMI
COLETOR SECRECAO VIA AEREA (KIT AVAZAMM 600ML) - ZAMMI
COLETOR SECRECAO VIA AEREA (KIT AVAZAMM 1000ML) - ZAMMI
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
190
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000060590
0000060591
0000060592
0000060593
0000060595
0000060596
0000060597
0000060599
0000060601
0000060602
0000060604
0000060605
0000060606
0000060607
0000060608
0000060609
0000060610
0000060611
0000060615
0000060616
0000060620
0000060623
0000060624
0000060625
0000060626
0000060627
0000060628
0000060629
0000060632
0000060633
0000060634
0000060635
0000060649
0000060948
0000060949
0000060950
0000060951
0000060952
0000060953
0000060992
0000060993
0000060998
0000061009
0000061010
0000061014
0000061015
0000061016
DESCRICAO
COLETOR SECRECAO VIA AEREA (KIT AVAZAMM AR 1000ML) - ZAMMI
COLETOR SECRECAO VIA AEREA (KIT AVAZAMM BL.UNICO 1000ML) - ZAMMI
COLETOR SECRECAO VIA AEREA (KIT AVAZAMM 2000ML) - ZAMMI
COLETOR SECRECAO VIA AEREA (KIT AVAZAMM AR 2000ML) - ZAMMI
COLETOR SECRECAO VIA AEREA 1000ML (KIT STERZAMM PLUS) - ZAMMI
COLETOR SECRECAO GASTRICA/URINA (POLIZAMM 1150ML) - ZAMMI
COLETOR URINA SIST.FECH.(UROZAMM S/F) C.P.2000ML - ZAMMI
MICRO CATETER ULTRA FLOW 1,5FR MICROTHERAPEUTICS 105-5065 - SYNCROFILM
DRENO TORAX (DRENOZAMM) - ZAMMI
EQUIPO P/ARTROSCOPIA (ARTROZAMM IV VIA) - ZAMMI
EQUIPO P/IRRIGACAO PER 2VIAS (IRRIGAZAMM II VIA) - ZAMMI
EQUIPO P/IRRIGACAO PER 4VIAS (IRRIGAZAMM IV VIA) - ZAMMI
EQUIPO P/IRRIGACAO POS 4VIAS (IRRIGAZAMM IV VIAS) - ZAMMI
EQUIPO P/IRRIGACAO TRANSPLANTE (PERFUZAMM) - ZAMMI
EXTENSAO P/C/C 2,0MTS - ZAMMI
EXTENSAO P/C/C 3,0MTS - ZAMMI
EXTENSAO P/C/C 4,0MTS - ZAMMI
EXTENSAO P/C/C 6,0MTS - ZAMMI
EXTENSAO P/OXIGENOTERAPIA (OXIZAMM 1,5M) - ZAMMI
EXTENSAO P/OXIGENOTERAPIA (OXIZAMM 2,0M) - ZAMMI
TEBONIN 40MG GTS.60ML - NYCOMED
SULFATO TERBUTALINA GEN.0,3MG XPE.100ML - MEDLEY
CLORIDRATO CLOBUTINOL GEN.4MG XPE.120ML - MEDLEY
CLORIDRATO CLOBUTINOL GEN.60MG 20ML - MEDLEY
DROPROPIZINA GEN.1,5MG XPE.120ML - MEDLEY
DROPROPIZINA GEN.3,0MG XPE.120ML - MEDLEY
DESONOL 0,5MG/G LOC.60GRS - MEDLEY
COZAAR 100MG 2X15CPDS - MERCK S.D.
LISINOPRIL GEN.20MG 2X15CPDS - BIOSINTETICA
LISINOPRIL GEN.5MG 2X15CPDS - BIOSINTETICA
LISINOPRIL+HIDROCLOROTIAZIDA GEN.20+12,5MG 3X10CPDS - BIOSINTETICA
LORATADINA GEN.10MG 2X6CPDS - BIOSINTETICA
DIAFORMIN 850MG 30CPDS - UNIAO QUIMICA
OLIGOVIT 30CPDS REV. - ATIVUS
TENLIV 30CPDS REV. - ATIVUS
VITAX DERM 30CPDS REV. - ATIVUS
LEVOXIN 250MG 3CPDS REV. - APSEN
LEVOXIN 250MG 7CPDS REV. - APSEN
LEVOXIN 500MG 7CPDS REV. - APSEN
CLORIDRATO CIPROFLOXACINO GEN.500MG 14CPDS - NOVA QUIMICA
CLORIDRATO CIPROFLOXACINO GEN.500MG 6CPDS - NOVA QUIMICA
MALEATO ENALAPRIL GEN.5MG 30CPDS - NOVA QUIMICA
ZITROMAX IV 500MG 1AMP - PFIZER
DICLOFENACO RESINATO GEN.15MG/ML SOL.ORAL GTS.20ML - TEUTO BRAS
AMIOBAL 100MG 30CPDS - BALDACCI
AMIOBAL 200MG 30CPDS - BALDACCI
TICLOBAL 250MG 30CPDS - BALDACCI
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
191
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000061021
0000061022
0000061025
0000061030
0000061032
0000061037
0000061038
0000061040
0000061041
0000061042
0000061043
0000061055
0000061057
0000061058
0000061059
0000061060
0000061066
0000061080
0000061081
0000061088
0000061120
0000061121
0000061122
0000061124
0000061132
0000061133
0000061146
0000061160
0000061161
0000061163
0000061181
0000061182
0000061186
0000061187
0000061188
0000061190
0000061191
0000061192
0000061193
0000061194
0000061266
0000061267
0000061322
0000061323
0000061324
0000061325
0000061327
DESCRICAO
CATETER P/HISTEROSALPINGOGRAFIA/HISTEROSONOGRAFIA 5FR 30CM - NEWMED
PROTETOR OCULAR C/BLACKOUT TAM.PEQ/MED/GRD. - NEWMED
CESTA EXTRATORA CALCULO POLIAMIDA 3FIOS 2,4FR 11MMX90CM GEMINI M0063303040 - BOSTON UROLOGY
PREDNISONA GEN.5MG 20CPDS - SANVAL
PREDNISONA GEN.20MG 20CPDS - SANVAL
BOMBA PERISTALTICA ROLETE SAMTRONIC ST550T2 - SAMTRONIC
BOMBA PERISTALTICA ROLETE SAMTRONIC ST550T2 INF. - SAMTRONIC
BOMBA SERINGA SAMTRONIC ST670 - SAMTRONIC
BOMBA SERINGA SAMTRONIC ST680 - SAMTRONIC
BOMBA SERINGA SAMTRONIC ST690 - SAMTRONIC
BOMBA SERINGA SAMTRONIC ST670 INF - SAMTRONIC
EQUIPO P/BOMBA SAMTRONIC ST72 FOTOPROTETOR - SAMTRONIC
EQUIPO P/BOMBA SAMTRONIC S/FILTRO EG 03210000 - SAMTRONIC
EQUIPO P/BOMBA SAMTRONIC C/FILTRO EG 04210000 - SAMTRONIC
EQUIPO P/BOMBA SAMTRONIC BURETA EG 09210000 - SAMTRONIC
EQUIPO P/BOMBA SAMTRONIC BURETA FOTOPROTETOR EG 07220000 - SAMTRONIC
EXTENSOR PERFUSOR SAMTRONIC ST20 - SAMTRONIC
KIT P/CONTROLE PRESSAO NEG.(PLEUROZAMM-H27) - ZAMMI
CATAFLAM 11,6MG/G AEROSOL 60GRS - NOVARTIS
SONDA P/VITRECTOMIA 1500 CORTES ACCURUS 3868 - ALCON
DORIFLAN EMULGEL 60GRS - LUPER
CICLAVIX 200MG 25CPDS - LUPER
CICLAVIX CRM.10GRS - LUPER
SALIMETIN ESPORT.AEROS.100ML - LUPER
DORAPLAX 200MG 50X4CAPS - LUPER
AEROJET SPR.200DOSES - CHIESI
XALACOM SOL.OFTAL.2,5ML - PFIZER
ENXERTO HEMASHIELD GOLD PLAT VASC TECIDO DUPLO VELUDO 24MM RETO 175424P - MAQUET
ENXERTO HEMASHIELD GOLD PLAT VASC TECIDO DUPLO VELUDO 28MM RETO 175428P - MAQUET
ENXERTO HEMASHIELD GOLD PLAT VASC TECIDO DUPLO VELUDO 32MM RETO 00175632P - MAQUET
SIGMACALCIDOL 0,25MCG 30CAPS - SIGMA PHARMA
SIGMACALCIDOL 1,00MCG 30CAPS - SIGMA PHARMA
CETOCONAZOL+DIPROPIONATO BETAMETASONA GEN.POM.30GRS - MEDLEY
TAMIRAM 500MG 7CPDS - EUROFARMA
TAMIRAM 500MG 10CPDS - EUROFARMA
BIOFLAC 7,5MG 10CPDS - CRISTALIA
BIOFLAC 15MG 10CPDS - CRISTALIA
NITRATO ISOCONAZOL GEN.10MG/G CRM.VAG.40GRS+7APL - CRISTALIA
NITRATO MICONAZOL GEN.20MG/G 30ML - CRISTALIA
TINIDAZOL+NITRATO MICONAZOL GEN.VAG.40GRS+7APL - CRISTALIA
OXYCONTIN 10MG 12CPDS REV.LIB.CONTR. - ZODIAC
OXYCONTIN 20MG 12CPDS REV.LIB.CONTR. - ZODIAC
GLUCOVANCE 250MG+1,25MG 30CPDS REV. - MERCK S.A.
GLUCOVANCE 500MG+2,5MG 30CPDS REV. - MERCK S.A.
GLUCOVANCE 500MG+5MG 30CPDS REV - MERCK S.A.
CEBION 1G LARANJA 30CPDS EFERV. - MERCK S.A.
MIRELLE 24CPDS - BAYER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
192
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000061328
0000061329
0000061330
0000061335
0000061337
0000061338
0000061339
0000061340
0000061341
0000061346
0000061347
0000061351
0000061362
0000061363
0000061369
0000061370
0000061372
0000061373
0000061374
0000061375
0000061376
0000061377
0000061378
0000061380
0000061381
0000061382
0000061383
0000061384
0000061389
0000061390
0000061391
0000061396
0000061397
0000061398
0000061399
0000061406
0000061407
0000061408
0000061409
0000061411
0000061413
0000061414
0000061421
0000061424
0000061425
0000061430
0000061431
DESCRICAO
HYALUDERMIN 2MG/G CRM.DERM.15GRS - TRB PHARMA
FLUCONAZOL GEN.150MG 1CAP GEL.DURA - TEUTO BRAS
FLUCONAZOL GEN.150MG 2CAPS GEL.DURA - TEUTO BRAS
LIBIAM 1,25MG 28CPDS - LIBBS
BOMBA INFUSAO MED PUMP MP 20 7300030 - CELM
CENTRIFUGA COMBATE C/TIMER 63010721 - CELM
CENTRIFUGA LS3 PLUS 63010667 - CELM
CENTRIFUGA MICRO-HEMATOCRITO 110V 63010143 - CELM
CENTRIFUGA MICRO-HEMATOCRITO 220V 63011239 - CELM
DILUIDOR AUTOMATICO DA-200 7000050 - CELM
DILUIDOR AUTOMATICO DA-500 7100010 - CELM
FOTOMETRO CHAMA FC-280 7000090 - CELM
SISTEMA BIOQUIMICA SEMI AUTOMATICO SB 190 7000200 - CELM
SISTEMA BIOQUIMICA AUTOMATICO SBA-200 63011131 - CELM
PONTEIRA TIP CELM MICROP.VOL.10 A 100ML 1000UNID 13003526 - CELM
PONTEIRA TIP CELM MICROP.VOL.200 A 1000ML 1000UNID 13003496 - CELM
CUBETA REACAO 2ML P/SBA-200 1000UNID 74025229 - CELM
CUBETA AMOSTRA C/TAMPA P/SBA-200 0,5ML 1000UNID 74025237 - CELM
TUBO CALIBRADO 10MM P/ESPECTROFOTOMETRO E225D E205 E21 B&L 12UNID 94009431 - CELM
FITA P/IMPRESSORA SBA-200/SBA-190 CC-550 87002567 - CELM
PAPEL P/IMPRESSORA 6 ROLOS 87002605 - CELM
BEQUER PLASTICO FLEXIVEL P/DILUICAO 50UNID 59000164 - CELM
EQUIPO SIMPLES C/INJ.LAT.59000211 - CELM
EQUIPO C/CAMARA GRADUADA INJ.LAT.59000229 - CELM
EQUIPO ENTERAL AZUL 59000270 - CELM
BEQUER PLASTICO P/DILUICAO AMOSTRA 10UNID 88002650 - CELM
PONTEIRA P/MICROAPLICADOR MOD.HAMILTON 100UNID 59000199 - CELM
PONTEIRA P/MICROAPLICADOR MOD.CELM 120UNID 59000156 - CELM
POLICLAVUMOXIL 500MG 2X6CPDS - EMS
POLICLAVUMOXIL 500MG 3X6CPDS - EMS
GEL HIDROATIVO HIDROCOLOIDE ALGINATO 85GRS SAF-GEL 1197964 - CONVATEC
OXIGEN 30MG 4X15CPDS - BIOSINTETICA
ANANGOR 50MG/ML 6FA 2ML - BIOSINTETICA
ANANGOR 50MG 10CAPS - BIOSINTETICA
ANANGOR 50MG/ML 6FA 1ML - BIOSINTETICA
NIMESULIDA GEN.GTS.15ML - EUROFARMA
MIDAZOLAM GEN.10ML/50MG 5AMP - EUROFARMA
MIDAZOLAM GEN.3ML/15MG 5AMP - EUROFARMA
MIDAZOLAM GEN.5ML/5MG 5AMP - EUROFARMA
COMPRESSA GAZE 7,5CMX7,5CM 09FIOS ESTERIL 10UNID 25/10 - MEDI HOUSE
FRALDA GERIATRICA MEDIFRAL PLUS MANTA ANAT.MED.8UNID 00421 - MEDI HOUSE
FRALDA GERIATRICA MEDIFRAL PLUS MANTA ANAT.GRD.8UNID 00422 - MEDI HOUSE
ADEFORTE 25AMP 3ML - GROSS
PRAVACOL 40MG 30CPDS - BRISTOL
AVALOX 400MG BOLSA 250ML - BAYER
NUTRISON SOYA 800GRS - SUPPORT NUTRITION
NUTRINI STANDARD 200ML - SUPPORT NUTRITION
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
193
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000061432
0000061433
0000061434
0000061435
0000061439
0000061440
0000061441
0000061456
0000061457
0000061458
0000061459
0000061467
0000061468
0000061470
0000061508
0000061511
0000061760
0000061761
0000061855
0000061857
0000061860
0000061862
0000061870
0000061871
0000061872
0000061873
0000061874
0000061875
0000061876
0000061877
0000061878
0000061879
0000061880
0000061881
0000061956
0000061960
0000061961
0000061962
0000061964
0000061984
0000062003
0000062023
0000062025
0000062026
0000062028
0000062029
0000062030
DESCRICAO
NUTRINI STANDARD PACK 500ML - SUPPORT NUTRITION
NUTRINI MULTI FIBER 200ML - SUPPORT NUTRITION
NUTRINI MULTI FIBER PACK 500ML - SUPPORT NUTRITION
NUTRINI MAX 500ML - SUPPORT NUTRITION
FORTINI MULTI FIBER CHOCOLATE 200ML - SUPPORT NUTRITION
FORTINI MULTI FIBER BAUNILHA 200ML - SUPPORT NUTRITION
FORTINI MULTI FIBER MOR.200ML - SUPPORT NUTRITION
GLUTAMIN 40SACH 10GRS - SUPPORT NUTRITION
PLURIVITAMIN 40SACH 10GRS - SUPPORT NUTRITION
PLURIMINERAL 40SACH 10GRS - SUPPORT NUTRITION
PKU 1 500GRS - SUPPORT NUTRITION
MSUD 1 500GRS - SUPPORT NUTRITION
MSUD 2 500GRS - SUPPORT NUTRITION
XMET MAXAMUN 500G - SUPPORT NUTRITION
GAMA GLUTAMIL TRANSFERASE GGT SL 60ML 8000750 - CELM
ISOCELLM II SOL.ISOTONICA/DILUENTE P/CC530 CC550 20LTS 8000620 - CELM
FIO PDS II FECH.G.OB/GIN.VIOLETA 0 70CM AG.3,64CM Z340H - J&J ETHICON
LP DRINK-LPD 400GRS - SUPPORT NUTRITION
CATETER INFUSE-A-PORT ADU.ART.7FR DESTAC.ANGIODYNAMICS 39514 - PHYSIOMED
CATETER INFUSE-A-PORT PERITONEAL ADU.ABDOM.14FR DESTAC.ANGIODYNAMICS 39105 - PHYSIOMED
ELETRODO SUBDURAL PLACA 24 CONTATO(4X6) AD-TECH (ESPECIAL) FG24G-SP10X-000 - PHYSIOMED
ELETRODO (CABO CONECTOR) 32 CONTATO AD-TECH LDC-32BDIN - PHYSIOMED
TAMPAO TRIS PH 9,5 1000ML 8200140 - CELM
CATETER DRENAGEM GERAL SKATER TRAVA 7FRX20CM 756507020 - ECOMED
CATETER DRENAGEM GERAL SKATER TRAVA 8FRX25CM 756508025 - ECOMED
CATETER DRENAGEM GERAL SKATER TRAVA 10FRX25CM 756510025 - ECOMED
CATETER DRENAGEM GERAL SKATER TRAVA 12FRX25CM 756512025 - ECOMED
CATETER DRENAGEM GERAL SKATER TRAVA 14FRX25CM 756514025 - ECOMED
CATETER NEFROSTOMIA SKATER TRAVA 6FRX25CM 755606025 - ECOMED
CATETER NEFROSTOMIA SKATER TRAVA 8FRX35CM 755608035 - ECOMED
CATETER NEFROSTOMIA SKATER TRAVA 10FRX35CM 755610035 - ECOMED
CATETER NEFROSTOMIA SKATER TRAVA 12FRX35CM 755612035 - ECOMED
CATETER NEFROSTOMIA SKATER TRAVA 14FRX35CM 755614035 - ECOMED
SIMDAX 2,5MG/ML SOL.INJ.1FA 5ML - ABBOTT
HIPERTONIC 5% 10ML - OPHTHALMOS
EQUIPO CASSETE P/CICLADORA HOME CHOICE BAIXO VOLUME 5C8302 - BAXTER
BOMBA INFUSAO COLLEGUE MONOCANAL BIVOLT 2M8151R - BAXTER
BOMBA INFUSAO COLLEGUE TRIPLOCANAL 110V/220V 2M8153R - BAXTER
ISOTHANE 100ML BR2L9100 - BAXTER
SOLUCAO ELETROLITO PLASMALYTE 500ML 2B2543Q - BAXTER
CITALOR 20MG 30CPDS REV. - PFIZER
INFUSOR PEQ.VOLUME MEIO DIA 2C1073KJ - BAXTER
INFUSOR PEQ.VOLUME UM DIA 2C1071KJ - BAXTER
INFUSOR PEQ.VOLUME DOIS DIAS 2C1075KJ - BAXTER
INFUSOR PEQ.VOLUME SETE DIAS 2C1082KJ - BAXTER
INFUSOR PEQ.VOLUME MULTIPLOS DIAS 2C1080KJ - BAXTER
INFUSOR PEQ.VOLUME SV1 2C1701KJ - BAXTER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
194
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000062032
0000062033
0000062034
0000062035
0000062081
0000062082
0000062187
0000062195
0000062196
0000062312
0000062313
0000062314
0000062315
0000062318
0000062319
0000062320
0000062321
0000062322
0000062323
0000062324
0000062326
0000062344
0000062350
0000062351
0000062355
0000062356
0000062357
0000062358
0000062364
0000062365
0000062366
0000062367
0000062368
0000062369
0000062370
0000062371
0000062372
0000062373
0000062375
0000062380
0000062401
0000062402
0000062403
0000062404
0000062405
0000062406
0000062407
DESCRICAO
INFUSOR GRD.VOLUME LV 1,5 2C1087K - BAXTER
INFUSOR GRD.VOLUME LV2 2C1008K - BAXTER
INFUSOR GRD.VOLUME LV5 2C1009K - BAXTER
INFUSOR GRD.VOLUME LV10 2C1063KJ - BAXTER
TERBUTIL 0,5MG SOL.INJ.6AMP 1ML - - UNIAO QUIMICA
TERBUTIL 0,5MG SOL.INJ.50AMP 1ML - UNIAO QUIMICA
DICLORIDRATO CETIRIZINA GEN.120ML+CP MED.10ML - MEDLEY
CETOPROFENO GEN.20MG/ML 20ML - MEDLEY
DIPIRONA SODICA GEN.50MG/ML 100ML - MEDLEY
SERENATA 50MG 20CPDS - TORRENT
KARVIL 3,125MG 15CPDS - TORRENT
KARVIL 6,250MG 15CPDS - TORRENT
KARVIL 12,5MG 15CPDS - TORRENT
RESPIDON 1MG 20CPDS - TORRENT
RESPIDON 2MG 20CPDS - TORRENT
RESPIDON 3MG 20CPDS - TORRENT
TORLOS 25MG 28CPDS - TORRENT
TORLOS 50MG 14CPDS - TORRENT
TORLOS H 50/12,5MG 14CPDS - TORRENT
TORLOS H 50/12,5MG 28CPDS - TORRENT
TORLOS 50MG 28CPDS - TORRENT
IMPLANTE P/UROLOGIA TESTICULAR GEL SILICONE 3230 - SILIMED
GERADOR ELETROCIRURGICO FORCE FX (110V) VALLEYLAB FORCE FX - COVIDIEN
GERADOR ELETROCIRURGICO FORCE FX (220V) VALLEYLAB FORCE FX-8 - COVIDIEN
ELETRODO 5,1CM COMP.TP.AG.REUT.VALLEYLAB E1003 - COVIDIEN
ELETRODO TP.LOOP VALLEYLAB E1005 - COVIDIEN
ELETRODO 7,2CM COMP.TP.AG.DESC.EDGE 50UNID VALLEYLAB E1465 - COVIDIEN
ELETRODO RETORN.PACIENTE/PLACA POLYHESIVE C/CABO ADU.REQUER ADAP.50UNID VALLEYLAB E7506 - COVIDIEN
ELETRODO N/RETR.28CM C/PTA.TP.ESP.CURVA EST.DESC.10UNID VALLEYLAB E2783-28 - COVIDIEN
ADAPTADOR P/CONEXAO PLACA E7506 GERAD.DIV.REUS.VALLEYLAB E0504-2 - COVIDIEN
ADAPTADOR MULTIPLO P/ELETRODO RET.PLACA TP.REM REUSAV.VALLEYLAB E0507-B - COVIDIEN
GERADOR FORCE ARGON II VALLEYLAB - COVIDIEN
VALVULA P/CILINDRO ARGONIO FORCE ARGON VALLEYLAB GR200A - COVIDIEN
ADAPTADOR P/CANETA P/ARGONIO VALLEYLAB E0502-12 - COVIDIEN
GERADOR P/LIGADURA VASOS 110V LIGASURE VALLEYLAB - COVIDIEN
GERADOR P/LIGADURA VASOS 220V LIGASURE VALLEYLAB - COVIDIEN
PINCA PERMANENTE LIGASURE VALLEYLAB 18CM STD REUT.LS2070 - COVIDIEN
PINCA PERMANENTE LIGASURE VALLEYLAB 23CM MAX REUT.LS3090 - COVIDIEN
PINCA PERMANENTE LIGASURE VALLEYLAB 27CM AXS REUT.LS2110 - COVIDIEN
ESTOJO LIGASURE VALLEYLAB P/ESTERILIZACAO PECA MAO REUT.LS0200 - COVIDIEN
SISTEMA FECH.ASP.TRAQUEAL TRACH CARE TRAQ./MDI ADU.BALLARD - CEI
EZULEN 100MG PO LIOF INJ FA - BIOSINTETICA
EZULEN 50MG PO LIOF INJ FA - BIOSINTETICA
IMOBILIZADOR BILATERAL MEMBRO SUP.AZUL TIPOIA VELPEAU PP 301-02 - SALVAPE
IMOBILIZADOR BILATERAL MEMBRO SUP.AZUL TIPOIA VELPEAU PEQ.301-03 - SALVAPE
IMOBILIZADOR BILATERAL MEMBRO SUP.AZUL TIPOIA VELPEAU MED.301-04 - SALVAPE
IMOBILIZADOR BILATERAL MEMBRO SUP.AZUL TIPOIA VELPEAU GRD.301-05 - SALVAPE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
195
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000062408
0000062409
0000062410
0000062411
0000062412
0000062413
0000062414
0000062415
0000062416
0000062417
0000062418
0000062419
0000062420
0000062421
0000062422
0000062423
0000062424
0000062425
0000062426
0000062427
0000062428
0000062429
0000062430
0000062433
0000062434
0000062435
0000062436
0000062437
0000062438
0000062439
0000062440
0000062441
0000062442
0000062443
0000062446
0000062451
0000062452
0000062453
0000062454
0000062455
0000062456
0000062457
0000062458
0000062459
0000062460
0000062461
0000062462
DESCRICAO
IMOBILIZADOR BILATERAL MEMBRO SUP.AZUL TIPOIA VELPEAU GG 301-06 - SALVAPE
IMOBILIZADOR LEVE BILATERAL MEMBRO SUP.TIPOIA VELPEAU PEQ.303-03 - SALVAPE
IMOBILIZADOR LEVE BILATERAL MEMBRO SUP.TIPOIA VELPEAU MED.303-04 - SALVAPE
IMOBILIZADOR LEVE BILATERAL MEMBRO SUP.TIPOIA VELPEAU GRD.303-05 - SALVAPE
IMOBILIZADOR LEVE BILATERAL MEMBRO SUP.TIPOIA VELPEAU GG 303-06 - SALVAPE
TALA C/REFORCO EXTRA P/PUNHO ESQ.PEQ.435-33 - SALVAPE
TALA C/REFORCO EXTRA P/PUNHO ESQ.MED.435-34 - SALVAPE
TALA C/REFORCO EXTRA P/PUNHO ESQ.GRD.435-35 - SALVAPE
TALA C/REFORCO EXTRA P/PUNHO ESQ.GG 435-36 - SALVAPE
TALA C/REFORCO EXTRA P/PUNHO ESQ.EGG 435-37 - SALVAPE
TALA C/REFORCO EXTRA P/PUNHO DIR.PEQ.435-43 - SALVAPE
TALA C/REFORCO EXTRA P/PUNHO DIR.MED.435-44 - SALVAPE
TALA C/REFORCO EXTRA P/PUNHO DIR.GRD.435-45 - SALVAPE
TALA C/REFORCO EXTRA P/PUNHO DIR.GG 435-46 - SALVAPE
TALA C/REFORCO EXTRA P/PUNHO DIR.EGG 435-47 - SALVAPE
TALA TECIDO P/POLEGAR/PUNHO ESQ.PEQ.437-33 - SALVAPE
TALA TECIDO P/POLEGAR/PUNHO ESQ.MED.437-34 - SALVAPE
TALA TECIDO P/POLEGAR/PUNHO ESQ.GRD.437-35 - SALVAPE
TALA TECIDO P/POLEGAR/PUNHO DIR.PEQ.437-43 - SALVAPE
TALA TECIDO P/POLEGAR/PUNHO DIR.MED.437-44 - SALVAPE
TALA TECIDO P/POLEGAR/PUNHO DIR.GRD.437-45 - SALVAPE
TALA LATERAL TECIDO POLEGAR PEQ/MED 438-03 - SALVAPE
TALA LATERAL TECIDO POLEGAR MED/GRD 438-05 - SALVAPE
DIABETIC WALKER PEQ.608-23DIAB - SALVAPE
DIABETIC WALKER MED.608-24DIAB - SALVAPE
DIABETIC WALKER GRD.608-25DIAB - SALVAPE
SANDALIA CUNHA RETRO DIAB PE HEEL WEDGE PEQ.626-03DIAB - SALVAPE
SANDALIA CUNHA RETRO DIAB PE HEEL WEDGE MED.626-04DIAB - SALVAPE
SANDALIA CUNHA RETRO DIAB PE HEEL WEDGE GRD.626-05DIAB - SALVAPE
DIABETIC ORTHO WEDGE SANDALIA CUNHA PEQ.628 - SALVAPE
DIABETIC ORTHO WEDGE SANDALIA CUNHA MED.628 - SALVAPE
DIABETIC ORTHO WEDGE SANDALIA CUNHA GRD.628 - SALVAPE
COLAR CERVICAL ESPUMA C/REFORCO INF.ALT.6CM 051-01 - SALVAPE
CINTA ELASTICA ABDOMINAL LITE PEQ.165-03LT - SALVAPE
JOELHEIRA NEOPRENE PP 541-12 - SALVAPE
COLAR CERVICAL ESPUMA PEQ/MED 020-03LS - SALVAPE
COLAR CERVICAL ESPUMA MED/GRD 020-05LS - SALVAPE
CINTA COLETE C/BARBATANA TAM.UNICO 120-00LS - SALVAPE
CINTA ABDOMINAL TAM.UNICO 164-00LS - SALVAPE
FAIXA TORACICA TAM.UNICO 177-00LS - SALVAPE
TIPOIA PEQ.329-03LS - SALVAPE
TIPOIA MED.329-04LS - SALVAPE
TIPOIA GRD.329-05LS - SALVAPE
TALA P/PUNHO TAM.UNICO ESQ.420-30LS - SALVAPE
TALA P/PUNHO TAM.UNICO DIR.420-40LS - SALVAPE
IMOBILIZADOR LONGO P/PUNHO TAM.UNICO ESQ.423-30LS - SALVAPE
IMOBILIZADOR LONGO P/PUNHO TAM.UNICO DIR.423-40LS - SALVAPE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
196
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000062463
0000062464
0000062465
0000062466
0000062467
0000062471
0000062472
0000062473
0000062474
0000062475
0000062476
0000062477
0000062497
0000062498
0000062501
0000062502
0000062503
0000062504
0000062505
0000062507
0000062508
0000062510
0000062511
0000062512
0000062513
0000062517
0000062520
0000062523
0000062525
0000062528
0000062529
0000062530
0000062531
0000062532
0000062534
0000062535
0000062543
0000062545
0000062546
0000062548
0000062549
0000062552
0000062553
0000062554
0000062555
0000062556
0000062557
DESCRICAO
IMOBILIZADOR JOELHO TAM.UNICO 520-00LS - SALVAPE
JOELHEIRA C/APOIO P/ROTULA TAM.UNICO 535-00LS - SALVAPE
JOELHEIRA ARTICULADA TAM.UNICO 536-00LS - SALVAPE
IMOBILIZADOR TORNOZELO TAM.UNICO 618-00LS - SALVAPE
SUPORTE ORTOPEDICO TAM.UNICO 619-00LS - SALVAPE
RUBBER-BAND P/EXERC.RESIST.15CM RL.2MT.AMARELO SUAVE 955-92 - SALVAPE
RUBBER-BAND P/EXERC.RESIST.15CM RL.2MT.ROSA MEDIA 955-95 - SALVAPE
RUBBER-BAND P/EXERC.RESIST.15CM RL.2MT.VERDE FORTE 955-98 - SALVAPE
RUBBER-BAND P/EXERC.RESIST.15CM RL.2MT.AZUL EXTRA-FORTE 955-101 - SALVAPE
RUBBER-BAND P/EXERC.RESIST.15CM RL.2MT.ROXO SUPER FORTE 955-104 - SALVAPE
RUBBER-BAND P/EXERC.RESIST.15CM RL.2MT.CINZA EXTRA SUPER FORTE 955-107 - SALVAPE
RUBBER-BAND P/EXERC.RESIST.15CM RL.2MT.LARANJA MAXIMA 955-110 - SALVAPE
CALAMED C/ALOE VERA 100ML - CIMED
CIMEGRIPE GTS.20ML - CIMED
VIGAMED 40MG 2CPDS - CIMED
VIGAMED 40MG 4CPDS - CIMED
OMEPRAMED 10MG 14CAPS GEL - CIMED
OMEPRAMED 20MG 14CAPS GEL - CIMED
OMEPRAMED 20MG 7CAPS GEL - CIMED
CIFLOGEX COLUT.SPR.MEL 30ML - CIMED
CIFLOGEX COLUT.SPR.MENTA 30ML - CIMED
GINKOMED 80MG 30CPDS - CIMED
ALPRAZOLAM GEN.0,25MG 2X10CPDS - BIOSINTETICA
ALPRAZOLAM GEN.0,50MG 2X10CPDS - BIOSINTETICA
EQUIPO MULTIPLICADOR ACESSO VEN.CENTRAL MULTIVYAS NEONATAL - EMBRAMED
PONTEIRA SOVEREIGN LAM.CURVA 30¦ 20GA P/FACO FLUX.OPOCR3020L - VISTATEK
LUVA IRRIGACAO 20GA REUT.OPOS20L - VISTATEK
SERINGA 10ML P/PERDA RESISTENCIA PERIFIX LUER SLIP 4637100 - B.BRAUN
CATETER CERTOFIX DUO PAED S420 G22,22 20CM 4166949 - B.BRAUN
CATETER CERTOFIX DUO PAED S520 G18,20 20CM 4167155 - B.BRAUN
REGENERADOR CALOR/UMIDADE P/TRAQUEOSTOMIA GIBECK - CNPH
EXERCITADOR RESPIRATORIO VOLDYNE 5000 HUDSON - CNPH
EXERCITADOR RESPIRATORIO VOLDYNE 2500 PED.HUDSON - CNPH
EXERCITADOR RESPIRATORIO TRIFLO II HUDSON - CNPH
OSTEOFAR 70MG 4CPDS - ELOFAR
SINVASCOR 80MG 10CPDS - BALDACCI
ALPHAGAN-P 0,15% SOL.OFT.5ML - ALLERGAN
FITA CREPE HOSPITALAR 16X50MT C35016 - NEVE
FITA CREPE HOSPITALAR 19X50MT C35019 - NEVE
AMYTRIL 75MG 2X10CPDS - CRISTALIA
CETOCONAZOL GEN.20MG/G SHM.100ML - CRISTALIA
ZINNAT 500MG 14CPDS - GLAXOSMITH
ZINNAT 500MG 20CPDS - GLAXOSMITH
ATENOPRESS 25MG 28CPDS - HEXAL
CO-ENAPROTEC 20/12,5MG 30CPDS - HEXAL
CO-ENAPROTEC 10/25MG 30CPDS - HEXAL
GLIMEPRID 2MG 30CPDS - HEXAL
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
197
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000062559
0000062560
0000062561
0000062562
0000062563
0000062565
0000062566
0000062571
0000062576
0000062577
0000062599
0000062600
0000062605
0000062606
0000062607
0000062608
0000062609
0000062610
0000062611
0000062612
0000062613
0000062614
0000062615
0000062616
0000062617
0000062618
0000062619
0000062620
0000062621
0000062622
0000062624
0000062625
0000062626
0000062627
0000062628
0000062629
0000062630
0000062631
0000062632
0000062633
0000062634
0000062635
0000062636
0000062637
0000062638
0000062639
0000062640
DESCRICAO
ATENOLOL GEN.25MG 30CPDS - SANDOZ
ATENOLOL GEN.50MG 30CPDS - SANDOZ
ATENOLOL GEN.100MG 30CPDS - SANDOZ
MESILATO DOXAZOSINA GEN.2MG 30CPDS - SANDOZ
MESILATO DOXAZOSINA GEN.4MG 30CPDS - SANDOZ
CLAVULIN BD 875MG 14CPDS - GLAXOSMITH
CLAVULIN BD 875MG 20CPDS - GLAXOSMITH
CONECTOR Y 1/2X1/2X1/2 155010090 - KLEMMEN
KIT TRANSDUTOR PRESSAO DESC.TRUWAVE PED.PX36N - - EDWARDS
CITALOR 40MG 30CPDS REV. - PFIZER
CLIP P/ANEURISMA COBALTO COD.AM - VICCA
CLIP P/ANEURISMA TITANIO COD.SM - VICCA
ELETRODO ENDOCARDICO DEFINITIVO VENTRICULAR FIX.PASSIVA C/LIB.ESTEROIDES CAPSURE Z 5054 - MEDTRONIC
ELETRODO ENDOCARDICO SENS.BIP.ATRIAL/SENS.ESTIMUL.BIP.VENTRICULAR IS1 VDD-2 5038 - MEDTRONIC
ELETRODO ENDOCARDICO DEFINITIVO ATRIAL/VENTRICULAR FIX.ATIVA POLIURET.CAPSURE C/ESTEROIDES 4076 - MEDTRONIC
INTRODUTOR PUNCAO 10FR 6210 - MEDTRONIC
AGULHA BROCKENBROUGH ADU.71CM MEDTRONIC AA MI102 - BIOCATH
AGULHA BROCKENBROUGH PED.65CM MEDTRONIC AA MI103 - BIOCATH
CATETER BALAO 1,5X15MM MEDTRONIC CR-X3S1515 - MEDTRONIC
CATETER BALAO 1,5X20MM MEDTRONIC CR-X3S1520 - MEDTRONIC
CATETER BALAO 2,0X10MM MEDTRONIC CR-X3S2010 - MEDTRONIC
CATETER BALAO 2,0X15MM MEDTRONIC CR-X3S2015 - MEDTRONIC
CATETER BALAO 2,0X20MM MEDTRONIC CR-X3S2020 - MEDTRONIC
CATETER BALAO 2,5X10MM MEDTRONIC CR-X3S2510 - MEDTRONIC
CATETER BALAO 2,5X15MM MEDTRONIC CR-X3S2515 - MEDTRONIC
CATETER BALAO 3,0X10MM MEDTRONIC CR-X3S3010 - MEDTRONIC
CATETER BALAO 3,0X15MM MEDTRONIC CR-X3S3015 - MEDTRONIC
CATETER BALAO 3,0X30MM MEDTRONIC CR-X3S3030 - MEDTRONIC
CATETER BALAO 3,5X15MM MEDTRONIC CR-X3S3515 - MEDTRONIC
CATETER BALAO 4,0X10MM MEDTRONIC CR-X3S4010 - MEDTRONIC
INSUFLADOR DEVICE MEDTRONIC CR-AC2205 - MEDTRONIC
CATETER DIAGNOSTICO JL 3,5 5FRX100CM MEDTRONIC CR-5A0084 - MEDTRONIC
CATETER DIAGNOSTICO JL 3,5 4FRX100CM MEDTRONIC CR-4A0010 - MEDTRONIC
CATETER DIAGNOSTICO JR 3,5 5FRX100CM MEDTRONIC CR-5A0001 - MEDTRONIC
CATETER DIAGNOSTICO JR 3,5 4FRX100CM MEDTRONIC CR-4A0001 - MEDTRONIC
CATETER DIAGNOSTICO JL 3,5 1 5FRX100CM MEDTRONIC CR-5A0010 - MEDTRONIC
CATETER DIAGNOSTICO JL 4,0 1 4FRX100CM MEDTRONIC CR-4A0011 - MEDTRONIC
CATETER DIAGNOSTICO JL 4,0 5FRX100CM MEDTRONIC CR-5A0085 - MEDTRONIC
CATETER DIAGNOSTICO JL 4,0 5FRX125CM MEDTRONIC CR-5A0087 - MEDTRONIC
CATETER DIAGNOSTICO JR 4,0 1 4FRX100CM MEDTRONIC CR-4A0002 - MEDTRONIC
CATETER DIAGNOSTICO JR 4,0 5FRX100CM MEDTRONIC CR-5A0002 - MEDTRONIC
CATETER DIAGNOSTICO JR 4,0 5FRX125CM MEDTRONIC CR-5A0088 - MEDTRONIC
CATETER DIAGNOSTICO JR 5,0 4FRX100CM MEDTRONIC CR-4A0004 - MEDTRONIC
CATETER DIAGNOSTICO JR 5,0 5FRX100CM MEDTRONIC CR-5A0004 - MEDTRONIC
CATETER DIAGNOSTICO IMA 4FRX100CM MEDTRONIC CR-4A0031 - MEDTRONIC
CATETER DIAGNOSTICO IMA 5FRX100CM MEDTRONIC CR-5A0031 - MEDTRONIC
CATETER DIAGNOSTICO ALI 4FRX100CM MEDTRONIC CR-4A0018 - MEDTRONIC
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
198
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000062641
0000062642
0000062643
0000062644
0000062645
0000062646
0000062647
0000062648
0000062649
0000062650
0000062651
0000062652
0000062653
0000062654
0000062655
0000062656
0000062657
0000062658
0000062659
0000062660
0000062661
0000062662
0000062663
0000062664
0000062665
0000062666
0000062667
0000062668
0000062669
0000062670
0000062671
0000062672
0000062673
0000062674
0000062675
0000062676
0000062677
0000062678
0000062679
0000062680
0000062682
0000062688
0000062693
0000062696
0000062697
0000062698
0000062699
DESCRICAO
CATETER DIAGNOSTICO ALII 4FRX100CM MEDTRONIC CR-4A0019 - MEDTRONIC
CATETER DIAGNOSTICO ALIII 4FRX100CM MEDTRONIC CR-4A0020 - MEDTRONIC
CATETER DIAGNOSTICO ALI 5FRX100CM MEDTRONIC CR-5A0018 - MEDTRONIC
CATETER DIAGNOSTICO ALII 5FRX100CM MEDTRONIC CR-5A0019 - MEDTRONIC
CATETER DIAGNOSTICO ALIII 5FRX100CM MEDTRONIC CR-5A0020 - MEDTRONIC
CATETER DIAGNOSTICO ARI 5FRX100CM MEDTRONIC CR-5A0016 - MEDTRONIC
CATETER DIAGNOSTICO ARII 5FRX100CM MEDTRONIC CR-5A0017 - MEDTRONIC
CATETER DIAGNOSTICO ARI 4FRX100CM MEDTRONIC CR-4A0016 - MEDTRONIC
CATETER DIAGNOSTICO ARII 4FRX100CM MEDTRONIC CR-4A0017 - MEDTRONIC
CATETER DIAGNOSTICO LCB 5FRX100CM MEDTRONIC CR-5A0032 - MEDTRONIC
CATETER DIAGNOSTICO RCB 5FRX100CM MEDTRONIC CR-5A0033 - MEDTRONIC
CATETER DIAGNOSTICO MP B2 4FRX100CM MEDTRONIC CR-4A0024 - MEDTRONIC
CATETER DIAGNOSTICO MP A2 5FRX100CM MEDTRONIC CR-5A0022 - MEDTRONIC
CATETER DIAGNOSTICO MP A1 5FRX110CM MEDTRONIC CR-5A0021 - MEDTRONIC
CATETER DIAGNOSTICO MP A2 5FRX110CM MEDTRONIC CR-5A0049 - MEDTRONIC
CATETER PIGTAIL 4FRX110CM MEDTRONIC CR-4A0028 - MEDTRONIC
CATETER PIGTAIL 5FRX110CM MEDTRONIC CR-5A0069 - MEDTRONIC
CATETER NIH 6FRX80CM MEDTRONIC CR-001381 - MEDTRONIC
CATETER SEPTOSTOMIA RASHKING 5FRX50CM MEDTRONIC CR-007160 - MEDTRONIC
CATETER SEPTOSTOMIA RASHKING 4FRX50CM MEDTRONIC CR-007161 - MEDTRONIC
CATETER GUIA Z2 5F 4,0 MEDTRONIC CR-ZM5EBU40 - MEDTRONIC
CATETER GUIA Z2 6F 3,5 MEDTRONIC CR-Z26EBU35 - MEDTRONIC
CATETER GUIA Z2 6F 4,0 MEDTRONIC CR-Z26EBU40 - MEDTRONIC
CATETER GUIA Z2 7F 3,5 MEDTRONIC CR-Z27EBU35 - MEDTRONIC
CATETER GUIA 2 5F IMA MEDTRONIC CR-ZM5IMA - MEDTRONIC
CATETER GUIA 2 5F LCB MEDTRONIC CR-ZM5LCB - MEDTRONIC
CATETER GUIA 2 5F MB2 MEDTRONIC CR-ZM5MB2 - MEDTRONIC
CATETER GUIA 2 5F RCB MEDTRONIC CR-ZM5RCB - MEDTRONIC
CATETER GUIA P/ANGIOPLASTIA 26FR LCB MEDTRONIC CR-Z26LCB - MEDTRONIC
CATETER GUIA Z2 5F JL 3,5 MEDTRONIC CR-ZM5JL35 - MEDTRONIC
CATETER GUIA Z2 5F JL 4,0 MEDTRONIC CR-ZM5JL40 - MEDTRONIC
CATETER GUIA Z2 5F JR 3,5 MEDTRONIC CR-ZM5JR35 - MEDTRONIC
CATETER GUIA Z2 5F JR 4,0 MEDTRONIC CR-ZM5JR40 - MEDTRONIC
CATETER GUIA Z2 6F JL 3,5 MEDTRONIC CR-Z26JL35 - MEDTRONIC
CATETER GUIA AMPLATZ LEFT 1,0 5F MEDTRONIC CR-ZM5AL10 - MEDTRONIC
CATETER GUIA AMPLATZ LEFT 2,0 5F MEDTRONIC CR-ZM5AL20 - MEDTRONIC
CATETER GUIA AMPLATZ RIGHT 1,0 5F MEDTRONIC CR-ZM5AR10 - MEDTRONIC
CATETER GUIA AMPLATZ RIGHT 2,0 5F MEDTRONIC CR-ZM5AR20 - MEDTRONIC
CATETER GUIA JR 4,0 6FR MEDTRONIC CR-Z26JR40 - MEDTRONIC
CATETER GUIA JL 4,0 6FR MEDTRONIC CR-Z26JL40 - MEDTRONIC
GUIA J 0,35X260CM MEDTRONIC CR-008631 - MEDTRONIC
GUIA METALICA 0,14X180CM GT1 MEDTRONIC CR-FLP2LJ180 - MEDTRONIC
INTRODUTOR AGULHADO TS P/CATETER 6F MEDTRONIC CR-061102A - MEDTRONIC
INTRODUTOR CATETER MULLINS 7F 67CM MEDTRONIC CR-008551 - MEDTRONIC
INTRODUTOR CATETER MULLINS 8F 59CM MEDTRONIC CR-008552 - MEDTRONIC
INTRODUTOR LONGO 7FX45CM P/ART.CAROTIDA ARROW CR-CR07745 - CORAMED
INTRODUTOR LONGO 8FX80CM P/ART.RENAL ARROW CR-CL07880 - CORAMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
199
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000062700
0000062701
0000062702
0000062705
0000062706
0000062727
0000062728
0000062729
0000062730
0000062731
0000062741
0000062742
0000062745
0000062795
0000062796
0000062797
0000062798
0000062799
0000062800
0000062801
0000062802
0000062803
0000062804
0000062809
0000062810
0000062811
0000062812
0000062813
0000062814
0000062815
0000062816
0000062817
0000062818
0000062826
0000062840
0000062841
0000062842
0000062843
0000062844
0000062845
0000062857
0000062858
0000062859
0000062891
0000062894
0000062895
0000062899
DESCRICAO
INTRODUTOR MULLINS 8F PED.MEDTRONIC CR-008532 - MEDTRONIC
INTRODUTOR PERC.C/VALV.HEMOSTATICA 5F ARROW CR-CP07511 - CORAMED
INTRODUTOR PERC.C/VALV.HEMOSTATICA 7F ARROW CR-CP07711 - CORAMED
KIT ADAPTADOR Y C/TORQUE MEDTRONIC CR-AC4003M - MEDTRONIC
KIT INTRODUTOR PERCUTANEO ART.RADIAL S/VALV.4FR ARROW CR-CL08403-A - CORAMED
STENT CORONARIANO 4,0X09MM MEDTRONIC CR-S74009X - MEDTRONIC
STENT CORONARIANO 4,0X12MM MEDTRONIC CR-S74012X - MEDTRONIC
STENT CORONARIANO 4,0X15MM MEDTRONIC CR-S74015X - MEDTRONIC
STENT CORONARIANO 4,0X18MM MEDTRONIC CR-S74018X - MEDTRONIC
STENT CORONARIANO 4,0X24MM MEDTRONIC CR-S74024X - MEDTRONIC
SONDA GASTROSTOMIA REPOSICAO TP.BUTTON COGUMELO 28FR 2,7CM BARD 000262 - - BARD
SONDA GASTROSTOMIA REPOSICAO TP.BUTTON COGUMELO 28FR 4,3CM BARD 000263 - - BARD
TUBO/EXTENSAO ALIMENTACAO BUTTON COGUMELO 28FR RETO 25CM 10" BARD 00269 - - BARD
AORTIC PUNCH 4,0MM MEDTRONIC CR-AP540 - MEDTRONIC
AORTIC PUNCH 4,4MM MEDTRONIC CR-AP544 - MEDTRONIC
AORTIC PUNCH 6,0MM MEDTRONIC CR-AP560 - MEDTRONIC
CONJUNTO DESC.BALAO INTRAORTICO 8FRX30CC ARROW CR-IAB-04830 - CORAMED
CONJUNTO DESC.BALAO INTRAOR.8FRX30CC ARROW CR-IAB-05830-U - CORAMED
CONJUNTO DESC.BALAO INTRAORTICO 8FRX40CC ARROW CR-IAB-04840 - CORAMED
CONJUNTO DESC.BALAO INTRAOR.8FRX40CC ARROW CR-IAB-05840-U - CORAMED
CONJUNTO DESC.CIRC.ASSIST.BP ADU.MEDTRONIC CR-BP80 - MEDTRONIC
CONJUNTO DESC.CIRC.ASSIST.BP INF.MEDTRONIC CR-BP50 - MEDTRONIC
CONJUNTO P/PROCESSAMENTO SANGUE MEDTRONIC CR-TK2524 - MEDTRONIC
AGULHA P/BIOPSIA MAGNUM 12GAX13CM MN1213 - - BARD
AGULHA P/BIOPSIA MAGNUM 14GAX10CM MN1410 - - BARD
AGULHA P/BIOPSIA MAGNUM 14GAX13CM MN1413 - - BARD
AGULHA P/BIOPSIA MAGNUM 14GAX16CM MN1416 - - BARD
AGULHA P/BIOPSIA MAGNUM 16GAX16CM MN1616 - - BARD
AGULHA P/BIOPSIA MAGNUM 16GAX20CM MN1620 - - BARD
AGULHA P/BIOPSIA MAGNUM 18GAX10CM MN1810 - - BARD
AGULHA P/BIOPSIA MAGNUM 18GAX25CM MN1825 - - BARD
AGULHA P/BIOPSIA MAGNUM 18GAX30CM MN1830 - - BARD
AGULHA P/BIOPSIA MAGNUM 20GAX10CM MN2010 - - BARD
KIT MONITORIZACAO PRESSAO USO GERAL LOGICAL MEDEX MX9604A - SMITHS MEDICAL
CATETER VENOSO CENTRAL DUPLO LUMEN 7FR 20CM MEDEX MXA232X20X70 - SMITHS MEDICAL
CATETER VENOSO CENTRAL TRIPLO LUMEN 7FR 20CM MEDEX MXA233X20X70 - SMITHS MEDICAL
CATETER HEMODIALISE DUPLO LUMEN 12FR 16CM MEDEX MXA232X16X12S - SMITHS MEDICAL
CATETER HEMODIALISE DUPLO LUMEN 12FR 20CM MEDEX MXA232X20X12S - SMITHS MEDICAL
CATETER HEMODIALISE TRIPLO LUMEN 12FR 16CM MEDEX MXA233X16X12S - SMITHS MEDICAL
CATETER HEMODIALISE TRIPLO LUMEN 12FR 20CM MEDEX MXA233X20X12S - SMITHS MEDICAL
KIT INTRODUTOR PERCUTANEO VALVULADO 5FR EASY GLIDE MEDEX MXI100-10-50 - SMITHS MEDICAL
KIT INTRODUTOR PERCUTANEO VALVULADO 6FR EASY GLIDE MEDEX MXI100-10-60 - SMITHS MEDICAL
INSUFLADOR P/CATETER BALAO 25 ATM C/KIT ACESS.MEDFLATOR II MEDEX MX1390 - SMITHS MEDICAL
ELETROCARDIOGRAFO 1 CANAL C/12 DERIVACOES SIMULTANEA - KLEMMEN
KIT SONDAGEM VESICAL(LUVA LATEX/SER.20ML/AGUA P/INJ./SACH.PVPI/GEL LUB./PINCA ANAT./CAMPO CIR.) - KOLPLAST
PINCA ANATOMICA ESTERIL - KOLPLAST
PERA BORRACHA ESTER.NR.12 ESTERIL - STERIFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
200
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000063016
0000063017
0000063018
0000063024
0000063091
0000063092
0000063095
0000063100
0000063532
0000063533
0000063537
0000063538
0000063539
0000063540
0000063542
0000063543
0000063544
0000063551
0000063552
0000063553
0000063558
0000063559
0000063560
0000063561
0000063562
0000063563
0000063564
0000063577
0000063578
0000063579
0000063580
0000063581
0000063584
0000063585
0000063586
0000063599
0000063600
0000063601
0000063606
0000063607
0000063608
0000063609
0000063610
0000063611
0000063613
0000063615
0000063616
DESCRICAO
KIT TUBO PVC DESC.C/2 CONECTOR ESTERIL P/HISTEROSCOPIA 03111701 - MTP
AVENTAL CIRURGICO STANDARD ESTERIL GRD.1,20X1,50 O230101 - DESCARPACK
AVENTAL CIRURGICO ULTRA PROTECAO ESTERIL GRD.1,20X1,50 O231001 - DESCARPACK
BABADOR 2X1 S/FITA O220101 - DESCARPACK
CALCICHELL 125MG 60CPDS - ATIVUS
DEKATIN 30CPDS REV. - ATIVUS
VITENON 30CAPS - ATIVUS
BORAG 30CAPS - ATIVUS
DIOVAN 80MG 14CPDS REV. - NOVARTIS
DIOVAN 80MG 28CPDS REV. - NOVARTIS
CHOPHYTOL 48FLAC 10ML - MILLETROUX
CHOPHYTOL 1FLAC 10ML F.V - MILLETROUX
APLAUSE 20MG 30CPDS REV. - MARJAN
PROCTYL 10X3GRS+10APL. - NYCOMED
CETOPROFENO GEN.25MG 30GRS - MEDLEY
CAPTOPRIL GEN.12,5MG 90CPDS - MEDLEY
CAPTOPRIL GEN.25MG 90CPDS - MEDLEY
SINVALIP 20MG 2X15CPDS REV. - SIGMA PHARMA
SINVALIP 40MG 3X10CPDS REV. - SIGMA PHARMA
SINVALIP 80MG 3X10CPDS REV. - SIGMA PHARMA
LACTIPAN 100MG 12CAPS GEL.DURA - SIGMA PHARMA
LACTIPAN 200MG 6CAPS GEL.DURA - SIGMA PHARMA
LACTIPAN 200MG/G PO ORAL 1G 6SACH - SIGMA PHARMA
CAMPO CIRURGICO STERI-DRAPE UROLOGICO 10UNID 1071 - 3M BRASIL
KIT CANULA TRAQUEOSTOMIA DESC.S/BALAO RUSCH 3,5MM 121710-035 - BADEIA
KIT CANULA TRAQUEOSTOMIA DESC.S/BALAO RUSCH 4,0MM 121710-040 - BADEIA
KIT CANULA TRAQUEOSTOMIA DESC.S/BALAO RUSCH 4,5MM 121710-045 - BADEIA
ITRASPOR 100MG 15CAPS - SIGMA PHARMA
ITRASPOR 100MG 4CAPS - SIGMA PHARMA
MICOLAMINA ESM.6GRS+LIXA - THERASKIN
ESTRINOLON 0,625MG 28DRGS - EMS
ESTRINOLON 0,625MG CRM.25GRS+APL - EMS
ROLO DENTAL 2 32GRS 100% ALGODAO 100UNID 219.821 - CREMER
CAMPO OPERATORIO ALVA PRE-LAV.10X9CM C/PLACA RADIOP.RG DUPLA EMB.PLAST.ESTERIL 5UNID 209.815 - CREMER
CAMPO OPERATORIO ALVA PRE-LAV.25X28CM C/PLACA RADIOP.RG DUPLA EMB.PLAST.ESTERIL 5UNID 206.739 - CREMER
VIAGRA 100MG 4CPDS REV. - PFIZER
ACTONEL 35MG 2CPDS REV. - SANOFI-AVENTIS
ACTONEL 35MG 4CPDS REV. - SANOFI-AVENTIS
GLIMEPIBAL 1MG 30CPDS - BALDACCI
GLIMEPIBAL 2MG 30CPDS - BALDACCI
GLIMEPIBAL 4MG 30CPDS - BALDACCI
ATENOBAL 25MG 30CPDS - BALDACCI
ATENOBAL 50MG 30CPDS - BALDACCI
ATENOBAL 100MG 30CPDS - BALDACCI
CYLOCORT 3+1MG/ML SOL.OFT.5ML - UNIAO QUIMICA
MICETAL 0,01G/G CRM.DERM.30GRS - BIOSINTETICA
MICETAL 0,01G/G SPR.30ML - BIOSINTETICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
201
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000063619
0000063620
0000063621
0000063630
0000063632
0000063635
0000063636
0000063638
0000063640
0000063641
0000063644
0000063645
0000063646
0000063647
0000063651
0000063652
0000063653
0000063654
0000063660
0000063661
0000063662
0000063664
0000063676
0000063680
0000063682
0000063731
0000063732
0000063733
0000063734
0000063735
0000063763
0000063764
0000063765
0000063766
0000063767
0000063772
0000063775
0000063776
0000063777
0000063778
0000063779
0000063781
0000063782
0000063785
0000063786
0000063803
0000063804
DESCRICAO
OMEPRAZOL GEN.10MG 14CAPS GEL.DURA - TEUTO BRAS
OMEPRAZOL GEN.20MG 7CAPS GEL.DURA - TEUTO BRAS
OMEPRAZOL GEN.20MG 14CAPS GEL.DURA - TEUTO BRAS
CREON 150MG/10000UI 30CAPS - ABBOTT SAUDE
CREON 300MG/25000UI 30CAPS - ABBOTT SAUDE
POLICLAVUMOXIL BD 400MG SUSP.70ML - EMS
POLICLAVUMOXIL BD 875MG 2X6CPDS - EMS
SECNAXIDOL 1G 2CPDS - EMS
AMOXICILINA+CLAVULANATO POTASSICO GEN.500+125MG 2BLX6CPDS - EMS GENERICOS
AMOXICILINA+CLAVULANATO POTASSICO GEN.500+125MG 3BLX6CPDS - EMS GENERICOS
BESILATO ANLODIPINO GEN.5MG 3BLX10CPDS - EMS GENERICOS
BESILATO ANLODIPINO GEN.10MG 3BLX10CPDS - EMS GENERICOS
CAPTOPRIL GEN.25MG 2BLX15CPDS - EMS GENERICOS
CAPTOPRIL GEN.50MG 2BLX15CPDS - EMS GENERICOS
CEFACLOR GEN.500MG 10CAPS GEL.DURA - GERMED GENERICOS
CEFALEXINA GEN.500MG 10CPDS - EMS GENERICOS
NIMESULIDA GEN.100MG 12CPDS - EMS GENERICOS
NIMESULIDA GEN.50MG/ML GTS.15ML - EMS GENERICOS
OXIGENADOR MEMBRANA MOD.SHUNT VENO ARTERIAL - ZAMMI
RESERVATORIO CARDIOTOMIA CARDIOVENOUS - ZAMMI
HEMOCONCENTRADOR - ZAMMI
HETERO-ENXERTO ARTERIA MESENTERICA L-HYDRO MOD.COROGRAFT - ZAMMI
TRILEPTAL 600MG 60CPDS REV. - NOVARTIS
TOBRAMICINA+DEXAMETASONA GEN.0,3+0,1% SOL.OFT.5ML - ALLERGAN
COMPRESSA GAZE 11FIOS ESTERIL 20UNID STAR F07737 - POLAR FIX
MATRIZ ENXERTO P/DURAMATER DURAGEN 5,0X5,0CM IN-ID-2201/2205 - PROMEDON
MATRIZ ENXERTO P/DURAMATER DURAGEN 7,5X7,5CM IN-ID-3301/3305 - PROMEDON
MATRIZ ENXERTO P/DURAMATER DURAGEN 10X12,5CM IN-ID-4501 - PROMEDON
MATRIZ ENXERTO P/DURAMATER DURAGEN 2,5X2,5CM IN-ID-1101 - PROMEDON
MATRIZ ENXERTO P/DURAMATER DURAGEN 2,5X7,5CM IN-ID-1301 - PROMEDON
AGULHA ASAGRIP-TIPO HUBER C/EXTENSAO 20GX19MM ASTERMED AI-2019AG - GALENICA
AGULHA ASA-GRIP TIPO HUBER C/EXTENSAO 20GX25MM ASTERMED AI-2025AG - GALENICA
AGULHA ASAGRIP-TIPO HUBER C/EXTENSAO 20GX32MM ASTERMED AI-2032AG - GALENICA
AGULHA ASAGRIP TIPO HUBER C/EXTENSAO 22GX19 ASTERMED AI-2219AG - GALENICA
AGULHA ASAGRIP-TIPO HUBER C/EXTENSAO 22GX25MM ASTERMED AI-2225AG - GALENICA
AGULHA MARCACAO NOD.MAMAR.C/2 FIOS GUIA 20GX10CM ASTERMED AI-2900-2010 - GALENICA
AGULHA BIOPSIA MEDULA OSSEA CAN.EXTR.8GX10CM ASTERMED AI-8730L-8R10-T - GALENICA
AGULHA BIOPSIA MEDULA OSSEA CAN.EXTR.8GX15CM ASTERMED AI-8730L-8R15-T - GALENICA
AGULHA BIOPSIA MEDULA OSSEA CAN.EXTR.11GX10CM ASTERMED AI-8730L-11R10-T - GALENICA
AGULHA BIOPSIA MEDULA OSSEA 11GX15CM ASTERMED AI-8730L-11R-15 - GALENICA
AGULHA BIOPSIA MEDULA OSSEA 13GX10CM ASTERMED AI-8730L-13R-10 - GALENICA
AGULHA BIOPSIA P/MIELOGRAMA ASPIR.REGULAVEL 15GX05CM ASTERMED AI-8030L-15R5 - GALENICA
AGULHA BIOPSIA P/MIELOGRAMA ASPIR.REGULAVEL 16GX05CM ASTERMED AI-8030L-16R5 - GALENICA
AGULHA BIOPSIA BIO-CUT SEMI-AUT.16GX15CM ASTERMED AI-1030-16-15 - GALENICA
AGULHA BIOPSIA BIO-CUT SEMI-AUT.18GX15CM ASTERMED AI-1030-18-15 - GALENICA
INFUSOR ACCUFUSER ELASTOMERO SILICONE 100ML/0,5ML/H W.YOUNG C0005M - GALENICA
INFUSOR ACCUFUSER ELASTOMERO SILICONE 100ML/1,0ML/H W.YOUNG C0010M - GALENICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
202
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000063805
0000063809
0000063810
0000063811
0000063812
0000063829
0000063830
0000063831
0000063843
0000063850
0000063851
0000063860
0000063861
0000063862
0000063865
0000063866
0000063867
0000063868
0000063869
0000063870
0000063872
0000063873
0000063885
0000063895
0000063896
0000063897
0000063898
0000063899
0000063902
0000063912
0000063913
0000063914
0000063918
0000063919
0000063926
0000063927
0000063928
0000063929
0000063930
0000063931
0000063932
0000063933
0000063997
0000064002
0000064003
0000064012
0000064016
DESCRICAO
INFUSOR ACCUFUSER ELASTOMERO SILICONE 275ML/2,0ML/H W.YOUNG C0020L - GALENICA
GAMAX 30CAPS - INFAN
CURATIVO HIDROCOLOIDE ASKINA BIOFILM TRANSPARENTE 10X10CM ESTERIL F72090/F72090BR - B.BRAUN
CURATIVO HIDROCOLOIDE TRANSP.EST.ASKINA BIOFILM 15X15CM F72091 - B.BRAUN
CURATIVO HIDROCOLOIDE TRANSP.EST.ASKINA BIOFILM 20X20CM F72092 - B.BRAUN
CURATIVO HIDROCELULAR ASKINA TRANSORBENT 10X10CM ESTERIL 0072788T/0072788TBR - B.BRAUN
CURATIVO HIDROCELULAR ASKINA TRANSORBENT 15X15CM ESTERIL 0072790V/0072790VBR - B.BRAUN
CURATIVO HIDROCELULAR ASKINA TRANSORBENT SACRUM 18X20CM ESTERIL 0072792X/0072792XBR - B.BRAUN
CANETA I/A S/PONTEIRA P/LEGACY 3747 - ALCON
PERFLUORON KIT 5ML 1348 - ALCON
CREME DENTAL PARODONTAX FLUOR 70GRS - GLAXOSMITH
ANFUGITARIN CRM.VAG.80GRS+1APL. - BLAU
KIT CATETER DUPLO LUMEN 7FRX30CM AR12730 ARROW CV14702 - GABMED
KIT CATETER DUPLO LUMEN 8FRX20CM AR12820 ARROW CV15802 - GABMED
CATETER ARTERIAL RADIAL 20GA AR74020 ARROW RA04220W - GABMED
CATETER ARTERIAL RADIAL 22GA AR74022 ARROW RA04122 - GABMED
CATETER ARTERIAL FEMORAL 18GA AR75018 ARROW FA04018 - GABMED
CATETER BALAO INTRAORTICO 7FRX30CC AR90730 ARROW IAB-S730C - GABMED
CATETER BALAO INTRAORTICO 8FRX40CC AR90840 ARROW IAB-S840C - GABMED
EXTENSOR 8FRX120CM C/TORNEIRA GB-08120T - GABMED
EXTENSOR 12FRX120CM C/TORNEIRA GB-12120T - GABMED
TRANSDUTOR PRESSAO LOGICAL MEDEX MX960 - SMITHS MEDICAL
KIT CATETER EPIDURAL PED.(CATETER/FILTRO/AG./SER.) AR30020 ARROW EC05520P - GABMED
MESACOL 400MG 30CPDS REV. - NYCOMED
MESACOL 800MG 30CPDS REV. - NYCOMED
MESACOL 250MG 10SUPS. - NYCOMED
MESACOL 500MG 10SUPS. - NYCOMED
PANTELMIN 500MG 1CPD - JANSSEN-CILAG
KIT CIRURGICO BASICO 10001728 - LIFEMED
SULBACTAM+AMPICILINA GEN.1,5G 20FA+DIL 3,2ML - EUROFARMA
SULBACTAM+AMPICILINA GEN.3,0G 20FA+DIL 6,4ML - EUROFARMA
ONCOTECAN 4MG PO LIOF.1FA 10ML - ZODIAC
CITALOPRAM GEN.20MG 30CPDS REV. - MERCK S.A.
FUMARATO CETOTIFENO GEN.1MG/ML 30ML - ATIVUS
FUMARATO CETOTIFENO GEN.0,2MG XPE.100ML - ATIVUS
LORATADINA GEN.0,2MG/ML XPE.100ML - ATIVUS
CLORIDRATO TETRACICLINA+ANFOTERICINA B GEN.CRM.VAG.40GRS+10APL - ATIVUS
NITRATO ISOCONAZOL GEN.10MG 40GRS+7APL - ATIVUS
VINERA 30CAPS - ATIVUS
SENAN 30CAPS - ATIVUS
SUPRAHYAL 10MG/ML 1SER.PREENCH.2,5ML - ZODIAC
TARTARATO BRIMONIDINA GEN.2MG/ML SOL.OFT.5ML - ALCON
CLAMP MANUAL HCDSOFT 10MM HCDSOFT10 - EDWARDS
MALEATO DEXCLORFENIRAMINA GEN.120ML - MEDLEY
FLOGORAL 1,5MG/ML COLUT.SPR.CER.30ML - ACHE
VALVULA BIOLOGICA PORCINA MITRAL TLPB - ZAMMI
STARFORM 120+500MG 48+48CPDS - NOVARTIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
203
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000064017
0000064031
0000064049
0000064050
0000064051
0000064052
0000064054
0000064056
0000064058
0000064081
0000064082
0000064085
0000064093
0000064094
0000064095
0000064096
0000064100
0000064101
0000064102
0000064103
0000064104
0000064105
0000064106
0000064107
0000064108
0000064109
0000064110
0000064111
0000064112
0000064113
0000064114
0000064115
0000064116
0000064117
0000064118
0000064119
0000064120
0000064121
0000064122
0000064123
0000064124
0000064125
0000064126
0000064127
0000064128
0000064129
0000064130
DESCRICAO
STARFORM 120+500MG 84+84CPDS - NOVARTIS
BUTOVENT PULVINAL 200MCG 100DOSES - CHIESI
ALENDIL 70MG 8CPDS - FARMOQUIMICA
REDUCLIM 2,5MG 28CPDS - - FARMOQUIMICA
DIPROPIONATO BETAMETASONA+SULFATO GENTAMICINA GEN.CRM.30GRS - MEDLEY
DIPROPIONATO BETAMETASONA+SULFATO GENTAMICINA GEN.POM.30GRS - MEDLEY
LISINOPRIL GEN.5MG 30CPDS - MEDLEY
LISINOPRIL GEN.10MG 30CPDS - MEDLEY
LISINOPRIL GEN.20MG 30CPDS - MEDLEY
AVENTAL CIRURGICO STANDARD ESTERIL EXTRA GRD.1,40X1,75 O230201 - DESCARPACK
AVENTAL CIRURGICO ULTRA PROTECAO ESTERIL EXTRA GRD.1,40X1,75 O231101 - DESCARPACK
AVENTAL BRANCO P/PROCEDIMENTO MANGA LONGA 1,20X1,40 STANDARD 0190501 - DESCARPACK
KIT DIU COMPLETO 1UNID - KOLPLAST
TRICOTOMIZADOR - KOLPLAST
PINCA KELLY ESTERIL - KOLPLAST
TESOURA DESC.ESTERIL P/RETIRADA PONTOS - KOLPLAST
COLETE ELASTICO TP."PUTTI" BAIXO LITE CINTURADO GRD.141-35LT - SALVAPE
COLETE ELASTICO TP."PUTTI" BAIXO LITE CINTURADO PEQ.141-33LT - SALVAPE
COLETE ELASTICO TP."PUTTI" BAIXO LITE CINTURADO MED.141-34LT - SALVAPE
COLETE ELASTICO TP."PUTTI" BAIXO LITE MODELADO PEQ.141-43LT - SALVAPE
COLETE ELASTICO TP."PUTTI" BAIXO LITE MODELADO MED.141-44LT - SALVAPE
COLETE ELASTICO TP."PUTTI" BAIXO LITE MODELADO GRD.141-45LT - SALVAPE
COLETE ELASTICO TP."PUTTI" BAIXO LITE MODELADO GG 141-46LT - SALVAPE
COLETE ELASTICO TP."PUTTI" BAIXO LITE RETO PEQ.141-53LT - SALVAPE
COLETE ELASTICO TP."PUTTI" BAIXO LITE RETO MED.141-54LT - SALVAPE
COLETE ELASTICO TP."PUTTI" BAIXO LITE RETO GRD.141-55LT - SALVAPE
COLETE ELASTICO TP."PUTTI" BAIXO LITE RETO GG 141-56LT - SALVAPE
COLETE ELASTICO TP."PUTTI" LITE CINTURADO MED.144-34LT - SALVAPE
COLETE ELASTICO TP."PUTTI" LITE CINTURADO GRD.144-35LT - SALVAPE
COLETE ELASTICO TP."PUTTI" LITE CINTURADO GG 144-36LT - SALVAPE
COLETE ELASTICO TP."PUTTI" LITE MODELADO PEQ.144-43LT - SALVAPE
COLETE ELASTICO TP."PUTTI" LITE MODELADO MED.144-44LT - SALVAPE
COLETE ELASTICO TP."PUTTI" LITE MODELADO GRD.144-45LT - SALVAPE
COLETE ELASTICO TP."PUTTI" LITE MODELADO GG 144-46LT - SALVAPE
COLETE ELASTICO TP."PUTTI" LITE RETO PEQ.144-53LT - SALVAPE
COLETE ELASTICO TP."PUTTI" LITE RETO MED.144-54LT - SALVAPE
COLETE ELASTICO TP."PUTTI" LITE RETO GRD.144-55LT - SALVAPE
COLETE ELASTICO TP."PUTTI" LITE RETO GG 144-56LT - SALVAPE
CINTA ELASTICA LOMBAR LITE MED.161-04LT - SALVAPE
CINTA ELASTICA LOMBAR LITE GRD.161-05LT - SALVAPE
CINTA ELASTICA LOMBAR LITE GG 161-06LT - SALVAPE
CINTA ELASTICA ABDOMINAL LITE MED.165-04LT - SALVAPE
CINTA ELASTICA ABDOMINAL LITE GRD.165-05LT - SALVAPE
CINTA ELASTICA ABDOMINAL LITE GG 165-06LT - SALVAPE
IMOBILIZADOR BILATERAL MEMBRO SUP.AZUL TIPOIA VELPEAU INF.301-01 - SALVAPE
IMOBILIZADOR BILATERAL MEMBRO SUP.PRETO TIPOIA VELPEAU INF.301-01PR - SALVAPE
IMOBILIZADOR BILATERAL MEMBRO SUP.PRETO TIPOIA VELPEAU PP 301-02PR - SALVAPE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
204
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000064131
0000064132
0000064133
0000064134
0000064135
0000064136
0000064137
0000064138
0000064139
0000064140
0000064141
0000064142
0000064143
0000064144
0000064145
0000064146
0000064147
0000064148
0000064149
0000064150
0000064151
0000064152
0000064153
0000064154
0000064155
0000064156
0000064157
0000064158
0000064159
0000064160
0000064161
0000064162
0000064163
0000064164
0000064165
0000064166
0000064167
0000064168
0000064169
0000064170
0000064171
0000064172
0000064173
0000064174
0000064175
0000064176
0000064177
DESCRICAO
IMOBILIZADOR BILATERAL MEMBRO SUP.PRETO TIPOIA VELPEAU PEQ.301-03PR - SALVAPE
IMOBILIZADOR BILATERAL MEMBRO SUP.PRETO TIPOIA VELPEAU MED.301-04PR - SALVAPE
IMOBILIZADOR BILATERAL MEMBRO SUP.PRETO TIPOIA VELPEAU GRD.301-05PR - SALVAPE
IMOBILIZADOR BILATERAL MEMBRO SUP.PRETO TIPOIA VELPEAU GG 301-06PR - SALVAPE
IMOBILIZADOR MEMBRO SUP.TIP.VELPEAU ESTOFADA PRETO ESQ.PEQ.301-33PR - SALVAPE
IMOBILIZADOR MEMBRO SUP.TIP.VELPEAU ESTOFADA PRETO ESQ.MED.301-34PR - SALVAPE
IMOBILIZADOR MEMBRO SUP.TIP.VELPEAU ESTOFADA PRETO ESQ.GRD.301-35PR - SALVAPE
IMOBILIZADOR MEMBRO SUP.TIP.VELPEAU ESTOFADA PRETO ESQ.GG 301-36PR - SALVAPE
IMOBILIZADOR MEMBRO SUP.TIP.VELPEAU ESTOFADA PRETO DIR.PEQ.301-43PR - SALVAPE
IMOBILIZADOR MEMBRO SUP.TIP.VELPEAU ESTOFADA PRETO DIR.MED.301-44PR - SALVAPE
IMOBILIZADOR MEMBRO SUP.TIP.VELPEAU ESTOFADA PRETO DIR.GRD.301-45PR - SALVAPE
IMOBILIZADOR MEMBRO SUP.TIP.VELPEAU ESTOFADA PRETO DIR.GG 301-46PR - SALVAPE
IMOBILIZADOR LEVE BILATERAL MEMBRO SUP.TIPOIA VELPEAU PRETO PEQ.303-06PR - SALVAPE
IMOBILIZADOR LEVE BILATERAL MEMBRO SUP.TIPOIA VELPEAU PRETO MED.303-05PR - SALVAPE
IMOBILIZADOR LEVE BILATERAL MEMBRO SUP.TIPOIA VELPEAU PRETO GRD.303-04PR - SALVAPE
IMOBILIZADOR LEVE BILATERAL MEMBRO SUP.TIPOIA VELPEAU PRETO GG 303-03PR - SALVAPE
IMOBILIZADOR LEVE MEMBRO SUP.TIPOIA VELPEAU ESQ.PEQ.303-33 - SALVAPE
IMOBILIZADOR LEVE MEMBRO SUP.TIPOIA VELPEAU ESQ.MED.303-34 - SALVAPE
IMOBILIZADOR LEVE MEMBRO SUP.TIPOIA VELPEAU ESQ.GRD.303-35 - SALVAPE
IMOBILIZADOR LEVE MEMBRO SUP.TIPOIA VELPEAU ESQ.GG 303-36 - SALVAPE
IMOBILIZADOR LEVE MEMBRO SUP.TIPOIA VELPEAU DIR.PEQ.303-43 - SALVAPE
IMOBILIZADOR LEVE MEMBRO SUP.TIPOIA VELPEAU DIR.MED.303-44 - SALVAPE
IMOBILIZADOR LEVE MEMBRO SUP.TIPOIA VELPEAU DIR.GRD.303-45 - SALVAPE
IMOBILIZADOR LEVE MEMBRO SUP.TIPOIA VELPEAU DIR.GG 303-46 - SALVAPE
TALA C/REFORCO EXTRA P/PUNHO PRETA ESQ.PEQ.435-33PR - SALVAPE
TALA C/REFORCO EXTRA P/PUNHO PRETA ESQ.MED.435-34PR - SALVAPE
TALA C/REFORCO EXTRA P/PUNHO PRETA ESQ.GRD.435-35PR - SALVAPE
TALA C/REFORCO EXTRA P/PUNHO PRETA ESQ.GG 435-36PR - SALVAPE
TALA C/REFORCO EXTRA P/PUNHO PRETA ESQ.EGG 435-37PR - SALVAPE
TALA C/REFORCO EXTRA P/PUNHO PRETA DIR.PEQ.435-43PR - SALVAPE
TALA C/REFORCO EXTRA P/PUNHO PRETA DIR.MED.435-44PR - SALVAPE
TALA C/REFORCO EXTRA P/PUNHO PRETA DIR.GRD.435-45PR - SALVAPE
TALA C/REFORCO EXTRA P/PUNHO PRETA DIR.GG 435-46PR - SALVAPE
TALA C/REFORCO EXTRA P/PUNHO PRETA DIR.EGG 435-47PR - SALVAPE
TALA TECIDO P/PUNHO PRETA ESQ.MED.436-34PR - SALVAPE
TALA TECIDO P/PUNHO PRETA ESQ.GRD.436-35PR - SALVAPE
TALA TECIDO P/PUNHO PRETA ESQ.GG 436-36PR - SALVAPE
TALA TECIDO P/PUNHO PRETA ESQ.EXGG 436-37PR - SALVAPE
TALA TECIDO P/PUNHO PRETA DIR.PEQ.436-43PR - SALVAPE
TALA TECIDO P/PUNHO PRETA DIR.MED.436-44PR - SALVAPE
TALA TECIDO P/PUNHO PRETA DIR.GRD.436-45PR - SALVAPE
TALA TECIDO P/PUNHO PRETA DIR.GG 436-46PR - SALVAPE
TALA TECIDO P/PUNHO PRETA DIR.EXGG 436-47PR - SALVAPE
TALA TECIDO P/POLEGAR/PUNHO PRETA DIR.PEQ.437-43PR - SALVAPE
TALA TECIDO P/POLEGAR/PUNHO PRETA DIR.MED.437-44PR - SALVAPE
TALA TECIDO P/POLEGAR/PUNHO PRETA DIR.GRD.437-45PR - SALVAPE
TALA TECIDO P/POLEGAR/PUNHO PRETA ESQ.PEQ.437-33PR - SALVAPE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
205
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000064178
0000064179
0000064180
0000064181
0000064182
0000064183
0000064184
0000064185
0000064189
0000064191
0000064195
0000064196
0000064197
0000064198
0000064213
0000064214
0000064215
0000064216
0000064217
0000064218
0000064219
0000064220
0000064221
0000064222
0000064223
0000064224
0000064225
0000064226
0000064227
0000064228
0000064229
0000064230
0000064231
0000064232
0000064233
0000064236
0000064237
0000064238
0000064239
0000064243
0000064244
0000064245
0000064246
0000064247
0000064248
0000064249
0000064250
DESCRICAO
TALA TECIDO P/POLEGAR/PUNHO PRETA ESQ.MED.437-34PR - SALVAPE
TALA TECIDO P/POLEGAR/PUNHO PRETA ESQ.GRD.437-35PR - SALVAPE
TALA LATERAL TECIDO POLEGAR PRETA PEQ/MED 438-03PR - SALVAPE
TALA LATERAL TECIDO POLEGAR PRETA MED/GRD 438-05PR - SALVAPE
APARELHO ELAST.P/ROTACAO INT.MEMBROS INFERIORES PP 518-62 - SALVAPE
APARELHO ELAST.P/ROTACAO INT.MEMBROS INFERIORES PEQ.518-63 - SALVAPE
APARELHO ELAST.P/ROTACAO INT.MEMBROS INFERIORES MED.518-64 - SALVAPE
APARELHO ELAST.P/ROTACAO INT.MEMBROS INFERIORES GRD.518-65 - SALVAPE
PANTURRILHA VENAFLOW TAM.UNICO OR0-A0010 - SALVAPE
SISTEMA VENAFLOW TAM.UNICO OR0-P0003 - SALVAPE
OMBREIRA C/ORIFICIO P/BOLSA GELO 334-00LS - SALVAPE
OMBREIRA C/BOLSA GELO 334-10LS - SALVAPE
JOELHEIRA CRIO C/ORIFICIO P/BOLSA GELO TAM.UNICO BILATERAL 534-00LS - SALVAPE
JOELHEIRA CRIO C/BOLSA GELO TAM.UNICO BILATERAL 534-10LS - SALVAPE
DIGITALA PAR BEGE PEQ.450-03BG - SALVAPE
DIGITALA PAR BEGE MED.450-04BG - SALVAPE
DIGITALA PAR BEGE GRD.450-05BG - SALVAPE
DIGITALA PAR PRETA PEQ.450-03PR - SALVAPE
DIGITALA PAR PRETA MED.450-04PR - SALVAPE
DIGITALA PAR PRETA GRD.450-05PR - SALVAPE
DIGITALA UNID.ESQUERDA BEGE PEQ.450-33BG - SALVAPE
DIGITALA UNID.ESQUERDA BEGE MED.450-34BG - SALVAPE
DIGITALA UNID.ESQUERDA BEGE GRD.450-35BG - SALVAPE
DIGITALA UNID.ESQUERDA PRETA PEQ.450-33PR - SALVAPE
DIGITALA UNID.ESQUERDA PRETA MED.450-34PR - SALVAPE
DIGITALA UNID.ESQUERDA PRETA GRD.450-35PR - SALVAPE
DIGITALA UNID.DIREITA BEGE PEQ.450-43BG - SALVAPE
DIGITALA UNID.DIREITA BEGE MED.450-44BG - SALVAPE
DIGITALA UNID.DIREITA BEGE GRD.450-45BG - SALVAPE
DIGITALA UNID.DIREITA PRETA PEQ.450-43PR - SALVAPE
DIGITALA UNID.DIREITA PRETA MED.450-44PR - SALVAPE
DIGITALA UNID.DIREITA PRETA GRD.450-45PR - SALVAPE
SANDALIA CUNHA ANTE PE DIAB ORTHO WEDGE PEQ.628-03DIAB - SALVAPE
SANDALIA CUNHA ANTE PE DIAB ORTHO WEDGE MED.628-04DIAB - SALVAPE
SANDALIA CUNHA ANTE PE DIAB ORTHO WEDGE GRD.628-05DIAB - SALVAPE
COLAR CERVICAL ESPUMA PROTECTOR PEQ/MED 020PRT - SALVAPE
COLAR CERVICAL ESPUMA PROTECTOR MED/GRD 020PRT - SALVAPE
CINTA COLETE C/BARBATANA PROTECTOR TAM.UNICO 120-00PRT - SALVAPE
CINTA ABDOMINAL PROTECTOR TAM.UNICO 164-00PRT - SALVAPE
TIPOIA LITE PROTECTOR PEQ.329PRT - SALVAPE
TIPOIA LITE PROTECTOR MED.329PRT - SALVAPE
TIPOIA LITE PROTECTOR GRD.329PRT - SALVAPE
OMBREIRA C/ORIFICIO P/BOLSA GELO 334-00PRT - SALVAPE
OMBREIRA C/BOLSA GELO 334-10PRT - SALVAPE
TALA P/PUNHO PROTECTOR ESQ.TAM.UNICO 420PRT - SALVAPE
TALA P/PUNHO PROTECTOR DIR.TAM.UNICO 420PRT - SALVAPE
IMOBILIZADOR LONGO P/PUNHO PROTECTOR ESQ.TAM.UNICO 423-30PRT - SALVAPE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
206
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000064251
0000064252
0000064253
0000064254
0000064255
0000064256
0000064257
0000064258
0000064263
0000064264
0000064265
0000064266
0000064267
0000064268
0000064269
0000064468
0000064469
0000064470
0000064471
0000064472
0000064473
0000064474
0000064475
0000064476
0000064477
0000064478
0000064479
0000064480
0000064481
0000064482
0000064483
0000064484
0000064485
0000064486
0000064487
0000064488
0000064489
0000064490
0000064491
0000064492
0000064493
0000064494
0000064495
0000064496
0000064497
0000064498
0000064599
DESCRICAO
IMOBILIZADOR LONGO P/PUNHO PROTECTOR DIR.TAM.UNICO 423-40PRT - SALVAPE
IMOBILIZADOR FIXO JOELHO PROTECTOR TAM.UNICO 520-00PRT - SALVAPE
JOELHEIRA C/ORIFICIO P/BOLSA GELO PROTECTOR TAM.UNICO 534-00PRT - SALVAPE
JOELHEIRA C/BOLSA GELO PROTECTOR TAM.UNICO 534-10PRT - SALVAPE
JOELHEIRA C/APOIO P/ROTULA PROTECTOR TAM.UNICO 535-00PRT - SALVAPE
JOELHEIRA BARBATANA ARTICULADA PROTECTOR TAM.UNICO 536-00PRT - SALVAPE
IMOBILIZADOR TORNOZELO PROTECTOR TAM.UNICO 618-00PRT - SALVAPE
SUPORTE ORTOPEDICO PROTECTOR TAM.UNICO 619-00PRT - SALVAPE
TALA TECIDO P/PUNHO PRETA ESQ.PEQ.436-33PR - SALVAPE
CINTA COLETE LITE ELASTICO C/BARBATANA DURALUMINIO MED.121-04LT - SALVAPE
CINTA COLETE LITE ELASTICO C/BARBATANA DURALUMINIO GRD.121-05LT - SALVAPE
CINTA COLETE LITE ELASTICO C/BARBATANA DURALUMINIO GG 121-06LT - SALVAPE
CINTA COLETE LITE ELASTICO C/BARBATANA FLEXIVEL MED.125-04LT - SALVAPE
CINTA COLETE LITE ELASTICO C/BARBATANA FLEXIVEL GRD.125-05LT - SALVAPE
CINTA COLETE LITE ELASTICO C/BARBATANA FLEXIVEL GG 125-06LT - SALVAPE
TAMPA P/TROCATER 5MM S/TORNEIRA EJ-880P - B.BRAUN
TAMPA P/TROCATER 5MM C/TORNEIRA EJ-881P - B.BRAUN
CANULA P/TROCATER 5/100MM ACO INOX LISA EJ-883R - B.BRAUN
CANULA P/TROCATER 5/55MM ACO INOX ROSQ.EJ-885R - B.BRAUN
CANULA P/TROCATER 5/100MM ACO INOX ROSQ.EJ-886R - B.BRAUN
OBTURADOR P/TROCATER 5MM C/PROTETOR 100MM PTA.ROMBA EJ-889P - B.BRAUN
OBTURADOR P/TROCATER 5MM C/PROTETOR 55MM PTA.PIRAM.EJ-891P - B.BRAUN
OBTURADOR P/TROCATER 5MM S/PROTETOR 55MM PTA.PIRAM.EJ-894P - B.BRAUN
OBTURADOR P/TROCATER 5MM S/PROTETOR 100MM PTA.PIRAM.EJ-895P - B.BRAUN
TAMPA UNIVERSAL MULTIPORT C/TORNEIRA EJ-901P - B.BRAUN
TAMPA PREMIUM 10/12 C/TORNEIRA/ADAPTADOR/REDUTOR 5MM EJ-902P - B.BRAUN
CANULA P/TROCATER 11/100MM ACO INOX LISA EJ-903R - B.BRAUN
CANULA P/TROCATER 11/150MM ACO INOX LISA EJ-904R - B.BRAUN
CANULA P/TROCATER 11/100MM ACO INOX ROSQ.EJ-905R - B.BRAUN
CANULA P/TROCATER 12/100MM ACO INOX LISA EJ-920R - B.BRAUN
CANULA P/TROCATER 12/100MM ACO INOX ROSQ.EJ-922R - B.BRAUN
OBTURADOR P/TROCATER 11MM C/PROTETOR 100MM PTA.PIRAM.EJ-910P - B.BRAUN
OBTURADOR P/TROCATER 11MM C/PROTETOR 150MM PTA.PIRAM.EJ-911P - B.BRAUN
OBTURADOR P/TROCATER 11MM S/PROTETOR 100MM PTA.PIRAM.EJ-912P - B.BRAUN
CLIP TITANIO SMALL-MEDIUM CHALLENGER (SM) 8CLIPS PL-572T - B.BRAUN
CLIP TITANIO MED.CHALLENGER 8CLIPS PL-569T - B.BRAUN
APLICADOR SEQ.CHALLENGER P/CART.MEDIUM LARGE 10MM PL-506R - B.BRAUN
APLICADOR SEQ.CHALLENGER P/CART.SMALL-LARGE (SM) 5MM PL-512R - B.BRAUN
CLIPADORA CLIP MED.CABO AZUL PL-504R - B.BRAUN
CLIP TITANIO MED.CART.6 CLIPS AZUL PL-567T - B.BRAUN
CLIPADORA CLIP MED.GRD.CABO VERDE PL-503R - B.BRAUN
CLIP TITANIO MED.GRD.CART.6 CLIPS VERDE PL-568T - B.BRAUN
CLIPADORA CLIP GRD.CABO LARANJA PL-528R - B.BRAUN
CLIP TITANIO GRD.CART.6 CLIPS LARANJA PL-561T - B.BRAUN
AGULHA P/INSUFLADOR VERESS DESC.14G D.2,1 C.120MM EJ-995 - B.BRAUN
AGULHA P/INSUFLADOR VERESS DESC.14G D.2,1 C.150MM EJ-996 - B.BRAUN
PERNEIRA SCD P/COMPRESSAO MEMBRO INFERIOR COMP.ATE JOELHO KENDALL MED.N/ESTERIL PAR 73022 - COVIDIEN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
207
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000064600
0000064601
0000064602
0000064603
0000064604
0000064605
0000064606
0000064607
0000064608
0000064609
0000064610
0000064611
0000064612
0000064613
0000064614
0000064615
0000064616
0000064617
0000064618
0000064624
0000064630
0000064631
0000064632
0000064635
0000064637
0000064638
0000064640
0000064641
0000064645
0000064646
0000064647
0000064655
0000064656
0000064657
0000064658
0000064750
0000064752
0000064753
0000064754
0000064755
0000064756
0000064757
0000064774
0000064776
0000064784
0000064785
0000064786
DESCRICAO
MEIA ANTIEMBOLICA PEQ.COMP.CURTO ATE COXA T.E.D. 3071 - COVIDIEN
MEIA ANTIEMBOLICA MED.COMP.CURTO ATE COXA T.E.D. 3310 - COVIDIEN
MEIA ANTIEMBOLICA GRD.COMP.CURTO ATE COXA T.E.D. 3634 - COVIDIEN
MEIA ANTIEMBOLICA PEQ.COMP.LONGO ATE COXA T.E.D. 3222 - COVIDIEN
MEIA ANTIEMBOLICA MED.COMP.LONGO ATE COXA T.E.D. 3549 - COVIDIEN
MEIA ANTIEMBOLICA XP COMP.REGULAR ATE COXA C/CINTO T.E.D. 3306 - COVIDIEN
MEIA ANTIEMBOLICA PEQ.COMP.REGULAR ATE COXA C/CINTO T.E.D. 3039 - COVIDIEN
MEIA ANTIEMBOLICA MED.COMP.REGULAR ATE COXA C/CINTO T.E.D. 3144 - COVIDIEN
MEIA ANTIEMBOLICA GRD.COMP.REGULAR ATE COXA C/CINTO T.E.D. 3221 - COVIDIEN
MEIA ANTIEMBOLICA XP COMP.LONGO ATE COXA C/CINTO T.E.D. 3320 - COVIDIEN
MEIA ANTIEMBOLICA PEQ.COMP.LONGO ATE COXA C/CINTO T.E.D. 3364 - COVIDIEN
MEIA ANTIEMBOLICA MED.COMP.LONGO ATE COXA C/CINTO T.E.D. 3449 - COVIDIEN
MEIA ANTIEMBOLICA GRD.COMP.LONGO ATE COXA C/CINTO T.E.D. 3523 - COVIDIEN
MEIA ANTIEMBOLICA XG COMP.LONGO ATE COXA C/CINTO T.E.D. 3995 - COVIDIEN
MEIA ANTIEMBOLICA GRD.COMP.LONGO ATE JOELHO T.E.D. 7594 - COVIDIEN
MEIA ANTIEMBOLICA MED.COMP.LONGO ATE JOELHO T.E.D. 8443 - COVIDIEN
MEIA ANTIEMBOLICA PEQ.COMP.LONGO ATE JOELHO T.E.D. 7339 - COVIDIEN
MEIA ANTIEMBOLICA XG COMP.LONGO ATE JOELHO T.E.D. 7802 - COVIDIEN
TUBO P/CONEXAO PERNEIRA SIST.COMPRESSAO SCD SEQUEL KENDALL - COVIDIEN
EXTENSOR TITANIO P/CATETER ADU.8888415612 - COVIDIEN
CEBRALAT 50MG 30CPDS - LIBBS
CEBRALAT 100MG 30CPDS - LIBBS
SELECTA 0,45/1,5MG 28CPDS - LIBBS
CARBAMAZEPINA GEN.200MG 20CPDS - EMS GENERICOS
CARBAMAZEPINA GEN.400MG 20CPDS - EMS GENERICOS
MICETAL 0,01G/G CRM.DERM.15GRS - BIOSINTETICA
ELIDEL 1% CRM.DERM.15G - NOVARTIS
FERRIPROX 500MG 100CPDS - CHIESI
SERINGA C/AG.LATERAL 03ML 25X7 PLASTIPAK 990627 - BD
SERINGA C/AG.LATERAL 05ML 25X7 PLASTIPAK 990628 - BD
SERINGA C/AG.LATERAL 10ML 25X7 PLASTIPAK 990629 - BD
SERINGA C/DISPOSITIVO SEGURANCA 10ML SAFETY-LOK 305559 - BD
SERINGA C/DISPOSITIVO SEGURANCA 3ML SAFETY-LOK 309606 - BD
SERINGA C/DISPOSITIVO SEGURANCA 5ML SAFETY-LOK 305558 - BD
AGULHA C/DISPOSITIVO SEGURANCA SAFETY GLIDE 25X8 305915 - BD
FILTRO P/REMOCAO LEUCOCITOS P/PLASMA PALL B.LEITO - CEI
ARCOXIA 60MG 2X7CPDS - MERCK S.D.
ARCOXIA 90MG 2X7CPDS - MERCK S.D.
TUBO JEJUNAL SILICONE BALLARD - CEI
TUBO GASTRO-ENTERICO SILICONE BALLARD - CEI
SISTEMA P/ADMINISTRACAO GASES - NEWMED
GAZE IMPREGNADA PARAFINADA JELONET 15X2MT 12UNID 7415 S&N - POLITEC
CATETER SWAN GANZ DEBITO CARDIACO CONTINUO SVO2 7,5F 744HF75 - EDWARDS
CATETER SWAN GANZ DEBITO CARDIACO CONTINUO SVO2/CEDV 7,5F 774HF75 - EDWARDS
CLORIDRATO VERAPAMIL GEN.80MG LAR.30CPDS - TEUTO BRAS
BESILATO ANLODIPINO GEN.5MG 20CPDS - TEUTO BRAS
BESILATO ANLODIPINO GEN.5MG 30CPDS - TEUTO BRAS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
208
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000064787
0000064788
0000064789
0000064790
0000064792
0000064793
0000064794
0000064795
0000064796
0000064797
0000064798
0000064799
0000064800
0000064801
0000064802
0000064803
0000064804
0000064805
0000064806
0000064807
0000064808
0000064809
0000064810
0000064811
0000064812
0000064813
0000064814
0000064822
0000064823
0000064830
0000064831
0000064832
0000064833
0000064834
0000064839
0000064840
0000064845
0000064846
0000064854
0000064855
0000064861
0000064866
0000064868
0000064869
0000064870
0000064872
0000064873
DESCRICAO
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 5MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 6MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 7MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 8MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 9MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 10MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 11MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 12MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 13MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 14MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 15MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 16MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 17MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 18MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 19MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 20MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 22MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 24MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 26MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 28MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 30MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 32MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 34MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 36MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 38MM AGA-AMPLATZER - BIOASSIST
PROTESE AMPLATZER SEPTAL OCCLUDER CIA 40MM AGA-AMPLATZER - BIOASSIST
CLORIDRATO PROPRANOLOL GEN.40MG 40CPDS - TEUTO BRAS
PROTESE CARDIACA AMPLATZER PFO OCCLUDER 25MM - BIOASSIST
PROTESE CARDIACA AMPLATZER PFO OCCLUDER 35MM - BIOASSIST
PROTESE AMPLATZER MUSCULAR VSD OCCLUDER POS-INFARTO (CIV) 16MMX10MM - BIOASSIST
PROTESE AMPLATZER MUSCULAR VSD OCCLUDER POS-INFARTO (CIV) 18MMX10MM - BIOASSIST
PROTESE AMPLATZER MUSCULAR VSD OCCLUDER POS-INFARTO (CIV) 20MMX10MM - BIOASSIST
PROTESE AMPLATZER MUSCULAR VSD OCCLUDER POS-INFARTO (CIV) 22MMX10MM - BIOASSIST
PROTESE AMPLATZER MUSCULAR VSD OCCLUDER POS-INFARTO (CIV) 24MMX10MM - BIOASSIST
AVENTAL CIRURGICO SMS AZUL 48G ESTERIL ACSMS - LIFETEX
AVENTAL CIRURGICO SMS 48G TAM.G ESTERIL ACSMSG - LIFETEX
CAMPO CIRURGICO IMPERMEAVEL AZUL 50G 1,70X1,0MT P/USO IND.ESTERIL CCI - LIFETEX
CAMPO CIRURGICO IMPERMEAVEL AZUL 50G 2,0X1,40MT P/USO IND.TAM.G ESTERIL CCIG - LIFETEX
CAMPO CIRURGICO IMPERMEAVEL 0,70X0,70MT P/OFTALMO.C/BAG 30X30CM/ADES.HIPO.ESTERIL COFB1 - LIFETEX
CAMPO CIRURGICO IMPERMEAVEL 1,0X1,40MT P/OFTALMO.C/BAG 30X30CM/ADES.HIPO.ESTERIL COFB2 - LIFETEX
KIT CIRURGICO LIFESAVER PLUS NR.01 P/CIR.PLASTICA PEQ.PROCEDIMENTO LP01 - LIFETEX
KIT CIRURGICO LIFESAVER PLUS NR.19 P/MAO/EXTREMIDADES LP19 - LIFETEX
KIT CIRURGICO LIFESAVER NR.26 P/URO.LP26 - LIFETEX
KIT CIRURGICO LIFESAVER PLUS NR.32 P/QUADRIL/COLUNA/FEMUR LP32 - LIFETEX
KIT CIRURGICO LIFESAVER PLUS NR.34 P/CARDIO.LP34 - LIFETEX
KIT CIRURGICO LIFESAVER PLUS NR.36 P/NEURO.LP36 - LIFETEX
DIPIRONA SODICA GEN.10ML - MEDLEY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
209
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000064874
0000064877
0000064878
0000064879
0000064880
0000064881
0000064882
0000064883
0000064884
0000064885
0000065018
0000065058
0000065063
0000065064
0000065065
0000065087
0000065092
0000065102
0000065108
0000065109
0000065110
0000065111
0000065112
0000065113
0000065114
0000065115
0000065116
0000065117
0000065118
0000065119
0000065120
0000065125
0000065126
0000065127
0000065128
0000065129
0000065130
0000065131
0000065142
0000065143
0000065148
0000065150
0000065152
0000065154
0000065156
0000065166
0000065167
DESCRICAO
DIPIRONA SODICA GEN.20ML - MEDLEY
KIT CIRURGICO LIFESAVER PLUS NR.39 P/CABECA/PESCOCO LP39 - LIFETEX
KIT CIRURGICO LIFESAVER PLUS NR.42 P/CESAREA LP42 - LIFETEX
CLORIDRATO CIPROFLOXACINO GEN.250MG 7CPDS - MEDLEY
KIT CIRURGICO LIFESAVER PLUS NR.45 P/ARTROSCOPIA LP45 - LIFETEX
KIT CIRURGICO LIFESAVER PLUS NR.46 P/LAPAROSCOPIA C/ABORDAGEM PERINEAL LP46 - LIFETEX
CLORIDRATO CIPROFLOXACINO GEN.250MG 2X7CPDS - MEDLEY
CLORIDRATO CIPROFLOXACINO GEN.500MG 7CPDS - MEDLEY
CLORIDRATO CIPROFLOXACINO GEN.500MG 2X7CPDS - MEDLEY
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.120ML - MEDLEY
AGENTE HEMOSTATICO "HELITENE" 0,5GRS - DABASONS
FRESH TEARS LIQUIGEL 10MG/ML SOL.OFT.15ML - ALLERGAN
PLACA LOMBAR ANTERIOR 30GRAU 28MM SC-12PA - PROMEDON
PARAFUSO PLACA LOMBAR ANTERIOR 30MM/5MM SC-12VPA50 - PROMEDON
BOTOX 100UI PO LIOF.1FA - ALLERGAN
PINCA BIOPSIA ELETROCOAG.AUTOC.2,3MM 230CM 226122230 - G.F.E. DO BRASIL
MANOPLA UNIVERSAL AUTOCLAVAVEL 620000 - G.F.E. DO BRASIL
PINCA BIOPSIA GASTRO PED.DESC.U160P - G.F.E. DO BRASIL
PINCA CORPO ESTRANHO CESTA BRONCO 1,8MM 120CM 161184/120 - G.F.E. DO BRASIL
PINCA CORPO ESTRANHO CESTA GASTRO 2,2MM 180CM 3522LLC - G.F.E. DO BRASIL
PINCA CORPO ESTRANHO COLONO 2,2MM 230CM 3522LLG - G.F.E. DO BRASIL
PINCA CORPO ESTRANHO GUILHOT.GASTRO 2,2MM 160CM 22522160 - G.F.E. DO BRASIL
PINCA CORPO ESTRANHO GUILHOT.COLONO 2,2MM 230CM 22522230 - G.F.E. DO BRASIL
PINCA CORPO ESTRANHO JACARE LONGA BRONCO 1,8MM 120CM 18618120 - G.F.E. DO BRASIL
PINCA CORPO ESTRANHO JACARE LONGA GASTRO 1,8MM 160CM 18618160 - G.F.E. DO BRASIL
PINCA CORPO ESTRANHO JACARE LONGA GASTRO 2,2MM 160CM 22622160 - G.F.E. DO BRASIL
PINCA CORPO ESTRANHO JACARE LONGA COLONO 2,2MM 230CM 22622230 - G.F.E. DO BRASIL
PINCA CORPO ESTRANHO DENTE RATO BRONCO 1,8MM 120CM 18818120 - G.F.E. DO BRASIL
PINCA CORPO ESTRANHO DENTE RATO GASTRO 1,8MM 160CM 18818160 - G.F.E. DO BRASIL
PINCA CORPO ESTRANHO DENTE RATO GASTRO 2,2MM 160CM 22822160 - G.F.E. DO BRASIL
PINCA CORPO ESTRANHO DENTE RATO COLONO 2,2MM 230CM 22822230 - G.F.E. DO BRASIL
PINCA CORPO ESTRANHO TESOURA GASTRO 2,2MM 160CM 22922160 - G.F.E. DO BRASIL
PINCA CORPO ESTRANHO TESOURA COLONO 2,2MM 230CM 22922230 - G.F.E. DO BRASIL
PINCA CORPO ESTRANHO TRIPE C/GARRA GASTRO 2,2MM 160CM T221222160 - G.F.E. DO BRASIL
PINCA CORPO ESTRANHO TRIPE C/GARRA COLONO 2,2MM 230CM T221222230 - G.F.E. DO BRASIL
PINCA CORPO ESTRANHO TRIPE GASTRO 2,2MM 160CM T221322160 - G.F.E. DO BRASIL
PINCA CORPO ESTRANHO TRIPE COLONO 2,2MM 230CM T221322230 - G.F.E. DO BRASIL
KIT RETIRADA BALAO INTRAGASTRICO BIBKILLER - G.F.E. DO BRASIL
ALCA POLIPECTOMIA CRESC.2,2MM 230CM 3222G - G.F.E. DO BRASIL
ALCA POLIPECTOMIA ROTATORIA CRESC.2,2MM 230CM D3222G - G.F.E. DO BRASIL
ALCA POLIPECTOMIA ROTATORIA CRESC.2,2MM 230CM D3322G - G.F.E. DO BRASIL
ALCA POLIPECTOMIA CRESC.PTA.ISOLADA 2,2MM 230CM 3022G - G.F.E. DO BRASIL
ALCA POLIPECTOMIA ROTATORIA CRESC.PTA.ISOL.2,2MM 230CM D3022G - G.F.E. DO BRASIL
ALCA POLIPECTOMIA CRESC.PTA.ISOLADA 2,2MM 230CM 3122G - G.F.E. DO BRASIL
ALCA POLIPECTOMIA ROTATORIA CRESC.PTA.ISOL.2,2MM 230CM D3122G - G.F.E. DO BRASIL
ALCA POLIPECTOMIA OVAL 2,2MM 230CM 342215G - G.F.E. DO BRASIL
ALCA POLIPECTOMIA OVAL 2,2MM 230CM 342216G - G.F.E. DO BRASIL
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
210
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000065187
0000065199
0000065200
0000065219
0000065220
0000065221
0000065224
0000065225
0000065235
0000065237
0000065238
0000065243
0000065245
0000065249
0000065250
0000065251
0000065252
0000065253
0000065254
0000065255
0000065256
0000065258
0000065259
0000065271
0000065272
0000065273
0000065274
0000065278
0000065279
0000065280
0000065281
0000065282
0000065287
0000065288
0000065290
0000065292
0000065293
0000065294
0000065295
0000065300
0000065302
0000065304
0000065305
0000065306
0000065309
0000065310
0000065311
DESCRICAO
ALCA POLIPECTOMIA OVAL PTA.ISOLADA 2,2MM 230CM 342206G - G.F.E. DO BRASIL
ALCA POLIPECTOMIA HEXAGONAL 2,2MM 230CM 372206G - G.F.E. DO BRASIL
ALCA POLIPECTOMIA HEXAGONAL 2,2MM 230CM 372207G - G.F.E. DO BRASIL
ALCA MUCOSECTOMIA CRESC.C/MANOPLA FIXA 2,2MM 230CM D3422161MG - G.F.E. DO BRASIL
ALCA POLIPECTOMIA CRESC.2,2MM 230CM 652240G - G.F.E. DO BRASIL
ALCA POLIPECTOMIA CRESC.2,2MM 230CM 652260G - G.F.E. DO BRASIL
ALCA POLIPECTOMIA CRESC.PTA.ISOLADA 2,2MM 230CM 6522401G - G.F.E. DO BRASIL
ALCA POLIPECTOMIA CRESC.PTA.ISOLADA 2,2MM 230CM 6522601G - G.F.E. DO BRASIL
AGULHA ESCLEROSE 1,8MM 180CM T2518C4 - G.F.E. DO BRASIL
AGULHA ESCLEROSE 2,2MM 180CM T2522C4 - G.F.E. DO BRASIL
AGULHA ESCLEROSE 2,2MM 230CM T2522G4 - G.F.E. DO BRASIL
AGULHA ESCLEROSE C/CONEXAO 2,2MM 180CM T2522SC4 - G.F.E. DO BRASIL
AGULHA ESCLEROSE C/CONEXAO 2,2MM 230CM T2522SG4 - G.F.E. DO BRASIL
AGULHA ESCLEROSE DESC.2,3MM 180CM ET272630C - G.F.E. DO BRASIL
AGULHA ESCLEROSE 2,3MM 180CM T272610C - G.F.E. DO BRASIL
AGULHA ESCLEROSE 2,3MM 230CM T272610G - G.F.E. DO BRASIL
CATETER SPRAY AUTOC.1,8MM 230CM 47185G - G.F.E. DO BRASIL
ESCOVA LIMPEZA SIMPLES BRONCO 3MM 120CM 41181A - G.F.E. DO BRASIL
ESCOVA LIMPEZA DUPLA BRONCO 3MM 120CM BS41181A - G.F.E. DO BRASIL
ESCOVA LIMPEZA DUPLA GASTRO 5MM 180CM BS41221C - G.F.E. DO BRASIL
ESCOVA LIMPEZA SIMPLES GASTRO 5MM 180CM 41221C - G.F.E. DO BRASIL
ESCOVA LIMPEZA DUPLA COLONO 5MM 180CM BS41221G - G.F.E. DO BRASIL
ESCOVA LIMPEZA SIMPLES COLONO 5MM 230CM 41221G - G.F.E. DO BRASIL
CATETER STANDARD GFLEX 200CM 1843 - G.F.E. DO BRASIL
CATETER PTA.AFILIADA GFLEX 200CM 025" 1844S25 - G.F.E. DO BRASIL
CATETER PTA.AFILIADA GFLEX 200CM 035" 1844S35 - G.F.E. DO BRASIL
CATETER DIABOLO PTA.METALICA GFLEX 200CM 035" 1848 - G.F.E. DO BRASIL
CATETER STANDARD ENDO-FLEX 200CM 035" 4322118FD - G.F.E. DO BRASIL
CATETER PTA.AFILIADA ENDO-FLEX 200CM 035" 4422118FD - G.F.E. DO BRASIL
CATETER PTA.METAL ENDO-FLEX 200CM 035" 4522115FD - G.F.E. DO BRASIL
CATETER PTA.METAL REDONDA ENDO-FLEX 200CM 035" 4722118FD - G.F.E. DO BRASIL
CATETER DIABOLO ENDO-FLEX 200CM 035" 4822118FD - G.F.E. DO BRASIL
PAPILOTOMO DUPLO LUMEN RADIOP.GFLEX 6FR 20MM 520DL - G.F.E. DO BRASIL
PAPILOTOMO DUPLO LUMEN RADIOP.GFLEX 6FR 30MM 530DL - G.F.E. DO BRASIL
PAPILOTOMO UNICO LUMEN DIABOLO GFLEX 6FR 20MM 7520/3CR - G.F.E. DO BRASIL
PAPILOTOMO PRE CORTE GFLEX 5FR 20MM K18320 - G.F.E. DO BRASIL
PAPILOTOMO PTA.AFILADA GFLEX 5FR 20MM K18520 - G.F.E. DO BRASIL
PAPILOTOMO DUPLO LUMEN ENDO-FLEX 7FR 20MM K1052220DLS - G.F.E. DO BRASIL
PAPILOTOMO DUPLO LUMEN ENDO-FLEX 7FR 20MM K1052230DLS - G.F.E. DO BRASIL
PAPILOTOMO PRE CORTE ENDO-FLEX 5FR 20MM K1031820 - G.F.E. DO BRASIL
PAPILOTOMO PTA.AFILADA ENDO-FLEX 5FR 20MM K1051820 - G.F.E. DO BRASIL
PAPILOTOMO STANDARD UNICO LUMEN ENDO-FLEX 5FR 20MM K1051820GW - G.F.E. DO BRASIL
PAPILOTOMO STANDARD UN.LUMEN ENDO-FLEX 5FR 30MM K1051830GW - G.F.E. DO BRASIL
PAPILOTOMO UNICO LUMEN DIABOLO ENDO-FLEX 5FR 20MM K1071820/30CR - G.F.E. DO BRASIL
PAPILOTOMO AGULHA ENDO-FLEX 5FR 20MM K11018N - G.F.E. DO BRASIL
PAPILOTOMO FACA ENDO-FLEX 5FR 20MM K11018SP - G.F.E. DO BRASIL
PAPILOTOMO P/BII ENDO-FLEX 5FR K11218 - G.F.E. DO BRASIL
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
211
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000065312
0000065313
0000065314
0000065315
0000065316
0000065335
0000065336
0000065344
0000065352
0000065353
0000065354
0000065356
0000065357
0000065358
0000065363
0000065364
0000065367
0000065368
0000065369
0000065374
0000065375
0000065376
0000065377
0000065378
0000065379
0000065380
0000065381
0000065382
0000065383
0000065384
0000065385
0000065387
0000065391
0000065392
0000065393
0000065394
0000065395
0000065404
0000065432
0000065438
0000065448
0000065449
0000065452
0000065510
0000065516
0000065519
0000065520
DESCRICAO
PAPILOTOMO P/BII ROTAT.ENDO-FLEX 6FR K11322 - G.F.E. DO BRASIL
PAPILOTOMO INVERSO P/BII ENDO-FLEX 7/5FR 20MM KBII20/30CR - G.F.E. DO BRASIL
PAPILOTOMO DIABOLO ENDO-FLEX 7/5FR 20MM K7520/3 - G.F.E. DO BRASIL
PAPILOTOMO DIABOLO ENDO-FLEX 7/5FR 30MM K7530/3 - G.F.E. DO BRASIL
PSEUDOCISTO PANCREAS 10FR CYSTO10FR - G.F.E. DO BRASIL
CESTA EXTRATORA CALCULO BILIAR MULTIPLO 2,3MM 50MM 161225 - G.F.E. DO BRASIL
CESTA EXTRATORA CALCULO BILIAR MULTIPLO 2,3MM 60MM 161226 - G.F.E. DO BRASIL
CESTA EXTRATORA CALCULO NITINOL STANDARD 4 FIO 2,3MM 50MM 141225 - G.F.E. DO BRASIL
BALAO EXTRATOR 5FR 200CM 9MM 134000 - G.F.E. DO BRASIL
BALAO EXTRATOR CALCULO TRIPLO LUMEN 7FR 200CM 14MM 134010 - G.F.E. DO BRASIL
BALAO EXTRATOR CALCULO TRIPLO LUMEN 7FR 200CM 18MM 134020 - G.F.E. DO BRASIL
CESTA EXTRATORA CALCULO STANDARD 1,8MM 50MM 18650 - G.F.E. DO BRASIL
CESTA EXTRATORA CALCULO STANDARD 2,3MM 40MM 22640 - G.F.E. DO BRASIL
CESTA EXTRATORA CALCULO STANDARD 2,3MM 40MM 22660 - G.F.E. DO BRASIL
ESPIRAL CATETER 195CM 120261 - G.F.E. DO BRASIL
MANOPLA 120000N - G.F.E. DO BRASIL
ESPIRAL CATETER 210CM 120527 - G.F.E. DO BRASIL
ESPIRAL CATETER 100CM 120627 - G.F.E. DO BRASIL
MANOPLA TP.CATRACA 120500 - G.F.E. DO BRASIL
CESTA EXTRATORA CALCULO P/LITOTRIPSIA 2,6MM 50MM 122265N - G.F.E. DO BRASIL
CESTA EXTRATORA CALCULO P/LITOTRIPSIA 2,6MM 60MM 122266N - G.F.E. DO BRASIL
CESTA EXTRATORA CALCULO P/LITOTRIPSIA 2,6MM 70MM 122267N - G.F.E. DO BRASIL
CESTA EXTRATORA CALCULO P/LITOTRIPSIA 2,6MM 80MM 122268N - G.F.E. DO BRASIL
PROTESE BILIAR 7FR 5CM 20107005 - G.F.E. DO BRASIL
PROTESE BILIAR 7FR 7CM 20107007 - G.F.E. DO BRASIL
PROTESE BILIAR 7FR 9CM 20107009 - G.F.E. DO BRASIL
PROTESE BILIAR 7FR 11CM 20107011 - G.F.E. DO BRASIL
PROTESE BILIAR 7FR 13CM 20107013 - - G.F.E. DO BRASIL
PROTESE BILIAR 7FR 15CM 20107015 - - G.F.E. DO BRASIL
PROTESE BILIAR 8FR 5CM 20108005 - G.F.E. DO BRASIL
PROTESE BILIAR 8FR 7CM 20108007 - G.F.E. DO BRASIL
PROTESE BILIAR 8FR 11CM 20108011 - G.F.E. DO BRASIL
PROTESE BILIAR 10FR 7CM 20110007 - G.F.E. DO BRASIL
PROTESE BILIAR 10FR 9CM 20110009 - G.F.E. DO BRASIL
PROTESE BILIAR 10FR 11CM 20110011 - G.F.E. DO BRASIL
PROTESE BILIAR 10FR 13CM 20110013 - - G.F.E. DO BRASIL
PROTESE BILIAR 10FR 15CM 20110015 - - G.F.E. DO BRASIL
PUSHER 7FR 180CM 20007001 - G.F.E. DO BRASIL
DILATADOR BILIAR 7FR/5FR/3FR 40MM X00753 - G.F.E. DO BRASIL
DRENO NASO BILIAR 9FR 250CM 207301 - G.F.E. DO BRASIL
FIO GUIA TEFLONADO Z-FLEX 025" 400CM 21525400 - G.F.E. DO BRASIL
FIO GUIA TEFLONADO Z-FLEX 035" 400CM 21535400 - G.F.E. DO BRASIL
FIO GUIA TEFLONADO 035" 400CM 3CM 21035400 - G.F.E. DO BRASIL
MANOMETRO C/SERINGA INFL - G.F.E. DO BRASIL
FIO GUIA SAVARY P/DILATACAO ESOFAGO 200CM 311100 - G.F.E. DO BRASIL
KIT BASICO GASTROSTOMIA 16FR 306516 - G.F.E. DO BRASIL
KIT MEDIDOR P/COLOCACAO BOTTON - G.F.E. DO BRASIL
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
212
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000065559
0000065560
0000065571
0000065572
0000065573
0000065574
0000065575
0000065576
0000065577
0000065579
0000065580
0000065581
0000065582
0000065583
0000065584
0000065585
0000065603
0000065604
0000065605
0000065607
0000065617
0000065618
0000065619
0000065620
0000065621
0000065626
0000065629
0000065673
0000065674
0000065675
0000065676
0000065677
0000065678
0000065691
0000065692
0000065693
0000065694
0000065695
0000065696
0000065697
0000065698
0000065699
0000065700
0000065701
0000065702
0000065703
0000065704
DESCRICAO
AGULHA TRANSBRONQUICA+B4 0,6MM 12MM T2518A12 - G.F.E. DO BRASIL
AGULHA TRANSBRONQUICA+B4 0,6MM 15MM T2518A15 - G.F.E. DO BRASIL
AGULHA SUTURA CILIND.ATRAUM.PH-0 12UNID ACUFIRM PH.338.0 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PH-01 12UNID ACUFIRM PH.338.01 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PH-02 12UNID ACUFIRM PH.338.02 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PH-03 12UNID ACUFIRM PH.338.03 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PH-04 12UNID ACUFIRM PH.338.04 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PH-05 12UNID ACUFIRM PH.338.05 - CIRURGICA FERNANDES
AGULHA SUTURA CILIND.ATRAUM.PH-06 12UNID ACUFIRM PH.338.06 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA BLUE LINE ULTRA FEN.CAN.INT.6,0MM SIMS-PORTEX 100.812.060 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA BLUE LINE ULTRA FEN.CAN.INT.7,0MM SIMS-PORTEX 100.812.070 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA BLUE LINE ULTRA FEN.CAN.INT.7,5MM SIMS-PORTEX 100.812.075 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA BLUE LINE ULTRA FEN.CAN.INT.8,0MM SIMS-PORTEX 100.812.080 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA BLUE LINE ULTRA FEN.CAN.INT.8,5MM SIMS-PORTEX 100.812.085 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA BLUE LINE ULTRA FEN.CAN.INT.9,0MM SIMS-PORTEX 100.812.090 - CIRURGICA FERNANDES
CANULA P/TRAQUEOSTOMIA BLUE LINE ULTRA FEN.CAN.INT.10,0MM SIMS-PORTEX 100.812.100 - CIRURGICA FERNANDES
SONDA ENTERAL RYLES EST.RX 8FR-105CM C/PESO S/EXTIL.GRADUADA SIMS-PORTEX 400.180.080 - CIRURGICA FERNANDES
SONDA ENTERAL ADU.10FR-109CM C/PESO/GUIA/INJ."Y" BIOSEARCH CF7143 - CIRURGICA FERNANDES
SONDA ENTERAL RYLES ESTERIL RX 10FR-105CM C/PESO S/ESTIL.GRAD.SIMS-PORTEX 400.180.100 - CIRURGICA FERNANDES
SONDA ENTERAL RYLES EST.RX 12FR-105CM C/PESO S/ESTIL.GRADUADA SIMS-PORTEX 400.180.120 - CIRURGICA FERNANDES
DRENO TORAX PVC RX C/FURO 20FR 6 FURO 45CM ADU.SIMS-PORTEX 200.810.200 - CIRURGICA FERNANDES
DRENO TORAX PVC RX C/FURO 24FR 6 FURO 45CM ADU.SIMS-PORTEX 200.810.240 - CIRURGICA FERNANDES
DRENO TORAX PVC RX C/FURO 28FR 6 FURO 45CM ADU.SIMS-PORTEX 200.810.280 - CIRURGICA FERNANDES
DRENO TORAX PVC RX C/FURO 32FR 6 FURO 45CM ADU.SIMS-PORTEX 200.810.320 - CIRURGICA FERNANDES
DRENO TORAX PVC RX C/FURO 36FR 6 FURO 45CM ADU.SIMS-PORTEX 200.810.360 - CIRURGICA FERNANDES
SISTEMA COMBINADO SPINAL 27G/AG.TUOHY/CAT.16G SIMS-PORTEX 100.491.716 - CIRURGICA FERNANDES
ENXERTO BIFURCADO PTFE - BIO MINAS
PINCA BIOPSIA S/AG.RADIAL JAW 3 160CM 1534 - BOSTON ENDOSCOPY
PINCA BIOPSIA S/AG.RADIAL JAW 3 240CM 1536 - BOSTON ENDOSCOPY
PINCA BIOPSIA PED.RADIAL JAW 3 1578 - BOSTON ENDOSCOPY
PAPILOTOMO DUPLO PTA.CURTA FIO CORTE 20MM ULTRATOME 3080 - BOSTON ENDOSCOPY
PAPILOTOMO DUPLO PTA.CURTA FIO CORTE 30MM ULTRATOME 3082 - BOSTON ENDOSCOPY
PAPILOTOMO P.CORTE TP.ESTIL.TRIPLO LUMEN MICROKNIFE XL 3281 - BOSTON ENDOSCOPY
PAPILOTOMO C/BALAO EXTRATOR PTA.LONGA STONETOME 30MM 3515 - BOSTON ENDOSCOPY
PROTESE PLASTICA MONTADA BILIAR FLEXIMA 7FRX5CM 3920 - BOSTON ENDOSCOPY
PROTESE PLASTICA MONTADA BILIAR FLEXIMA 7FRX7CM 3921 - BOSTON ENDOSCOPY
PROTESE PLASTICA MONTADA BILIAR FLEXIMA 7FRX10CM 3922 - BOSTON ENDOSCOPY
PROTESE PLASTICA MONTADA BILIAR FLEXIMA 7FRX12CM 3923 - BOSTON ENDOSCOPY
PROTESE PLASTICA MONTADA BILIAR FLEXIMA 7FRX15CM 3924 - BOSTON ENDOSCOPY
PROTESE PLASTICA MONTADA BILIAR FLEXIMA 8,5FRX5CM 3925 - BOSTON ENDOSCOPY
PROTESE PLASTICA MONTADA BILIAR FLEXIMA 8,5FRX7CM 3926 - BOSTON ENDOSCOPY
PROTESE PLASTICA MONTADA BILIAR FLEXIMA 8,5FRX10CM 3927 - BOSTON ENDOSCOPY
PROTESE PLASTICA MONTADA BILIAR FLEXIMA 8,5FRX12CM 3928 - BOSTON ENDOSCOPY
PROTESE PLASTICA MONTADA BILIAR FLEXIMA 8,5FRX15CM 3929 - BOSTON ENDOSCOPY
PROTESE PLASTICA MONTADA BILIAR FLEXIMA 10FRX5CM 3930 - BOSTON ENDOSCOPY
PROTESE PLASTICA MONTADA BILIAR FLEXIMA 10FRX7CM 3931 - BOSTON ENDOSCOPY
PROTESE PLASTICA MONTADA BILIAR FLEXIMA 10FRX10CM 3932 - BOSTON ENDOSCOPY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
213
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000065705
0000065706
0000065720
0000065721
0000065722
0000065726
0000065729
0000065730
0000065731
0000065732
0000065733
0000065734
0000065735
0000065738
0000065739
0000065742
0000065743
0000065744
0000065745
0000065746
0000065755
0000065756
0000065757
0000065765
0000065766
0000065768
0000065770
0000065772
0000065774
0000065776
0000065780
0000065782
0000065784
0000065786
0000065793
0000065801
0000065802
0000065809
0000065810
0000065820
0000065821
0000065822
0000065823
0000065824
0000065825
0000065826
0000065827
DESCRICAO
PROTESE PLASTICA MONTADA BILIAR FLEXIMA 10FRX12CM 3933 - BOSTON ENDOSCOPY
PROTESE PLASTICA MONTADA BILIAR FLEXIMA 10FRX15CM 3934 - BOSTON ENDOSCOPY
INSUFLADOR (SERINGA) P/BALAO DILATACAO CRE ALLIANCE 5060-05 - BOSTON ENDOSCOPY
INSUFLADOR (PISTOLA) P/BALAO DILATACAO CRE ALLIANCE 5062 - BOSTON ENDOSCOPY
FIO GUIA HIDROFILICO BILIAR PATHFINDER 0.018" 5159 - BOSTON ENDOSCOPY
INSUFLADOR PNEUMATICO P/BALAO RIGIFLEX 5320 - BOSTON ENDOSCOPY
FIO GUIA HIDROFILICO BILIAR RETA JAGWIRE 0.035" 450CM 5658-01 - BOSTON ENDOSCOPY
FIO GUIA HIDROFILICO BILIAR ANGUL.JAGWIRE 0.035" 450CM 5659-01 - BOSTON ENDOSCOPY
FIO GUIA HIDROFILICO BILIAR RETA ST.JAGWIRE 0.035" 450CM 5660-01 - BOSTON ENDOSCOPY
FIO GUIA HIDROFILICO BILIAR RETA JAGWIRE 0.038" 260CM 5662-01 - BOSTON ENDOSCOPY
BALAO DILATADOR ESOFAGICO C/GUIA FIXA CRE 6-7-8MM 180CM 5833 - BOSTON ENDOSCOPY
CONECTOR STANDARD 7FR 300CM GOLD PROBE 6007 - BOSTON ENDOSCOPY
CONECTOR STANDARD 10FR 300CM GOLD PROBE 6010 - BOSTON ENDOSCOPY
CONECTOR STANDARD 7FR 210CM INJECTION GOLD PROBE 6015 - BOSTON ENDOSCOPY
CONECTOR STANDARD 10FR 210CM INJECTION GOLD PROBE 6016 - BOSTON ENDOSCOPY
ALCA POLIPECTOMIA GIR.MINI STAND.OVAL ROTATABLE 20MM 195CM 6183 - BOSTON ENDOSCOPY
ALCA POLIPECTOMIA GIR.MICRO OVAL ROTATABLE 13MM 195CM 6182 - BOSTON ENDOSCOPY
ALCA POLIPECTOMIA JUMBO OVAL SENSATION 30MM 240CM 6265 - BOSTON ENDOSCOPY
ALCA POLIPECTOMIA STANDARD OVAL SENSATION 27MM 240CM 6267 - BOSTON ENDOSCOPY
ALCA POLIPECTOMIA MICRO OVAL SENSATION 13MM 240CM 6269 - BOSTON ENDOSCOPY
BALAO P/DILATACAO BILIAR MAX FORCE 4MMX4CM 180CM 6734 - BOSTON ENDOSCOPY
BALAO P/DILATACAO BILIAR MAX FORCE 6MMX4CM 180CM 6738 - BOSTON ENDOSCOPY
BALAO P/DILATACAO BILIAR MAX FORCE 8MMX3CM 180CM 6742 - BOSTON ENDOSCOPY
STENT DUPLO J P/ENDOPIELOTOMIA 14-7FRX30CM RETROMAX M0061451510 - BOSTON UROLOGY
STENT DUPLO J 4,8FRX24CM PERCUFLEX PLUS M0061752520 - BOSTON UROLOGY
STENT DUPLO J 4,8FRX26CM PERCUFLEX PLUS M0061752530 - BOSTON UROLOGY
STENT DUPLO J 6FRX22CM PERCUFLEX PLUS M0061752610 - BOSTON UROLOGY
STENT DUPLO J 6FRX24CM PERCUFLEX PLUS M0061752620 - BOSTON UROLOGY
STENT DUPLO J 6FRX26CM PERCUFLEX PLUS M0061752630 - BOSTON UROLOGY
STENT DUPLO J 6FRX28CM PERCUFLEX PLUS M0061752640 - BOSTON UROLOGY
STENT DUPLO J 7FRX24CM PERCUFLEX PLUS M0061752720 - BOSTON UROLOGY
STENT DUPLO J 7FRX26CM PERCUFLEX PLUS M0061752730 - BOSTON UROLOGY
STENT DUPLO J 7FRX28CM PERCUFLEX PLUS M0061752740 - BOSTON UROLOGY
STENT DUPLO J 7FRX30CM PERCUFLEX PLUS M0061752750 - BOSTON UROLOGY
STENT DUPLO J 7FRX28CM CONTOUR M0061802340 - BOSTON UROLOGY
KIT BAINHA P/DILATACAO RENAL 8-30FR AMPLATZ M0062602500 - BOSTON UROLOGY
FORCEPS NITINOL GRASPIT 2,6FRX8MMX90CM M0063204000 - BOSTON UROLOGY
CESTA EXTRATORA CALCULO DORMIA 4FIOS 4,5FR 16MMX90CM SEGURA HEMISPHERE M0063801160 - BOSTON UROLOGY
CESTA EXTRATORA CALCULO NITINOL 4FIOS 2,4FR 12MMX90CM ZERO TIP M0063901000 - BOSTON UROLOGY
FIO GUIA 0.014" 300CM FLOPPY RETA CHOICE 12116-01 - BOSTON CARDIOLOGIA
FIO GUIA 0.014" 300CM FLOPPY J CHOICE 12116-01J - BOSTON CARDIOLOGIA
FIO GUIA 0.014" 300CM INTERMEDIATE RETA CHOICE 12117-01 - BOSTON CARDIOLOGIA
FIO GUIA 0.014" 300CM INTERMEDIATE J CHOICE 12117-01J - BOSTON CARDIOLOGIA
FIO GUIA 0.014" 300CM STANDARD RETA CHOICE 12118-01 - BOSTON CARDIOLOGIA
FIO GUIA 0.014" 300CM STANDARD J CHOICE 12118-01J - BOSTON CARDIOLOGIA
FIO GUIA 0.014" 300CM EXT.SUPORT RETA CHOICE 12119-01 - BOSTON CARDIOLOGIA
FIO GUIA 0.014" 300CM EXT.SUPORT J CHOICE 12119-01J - BOSTON CARDIOLOGIA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
214
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000065828
0000065829
0000065830
0000065831
0000065832
0000065833
0000065834
0000065835
0000065977
0000065978
0000066032
0000066033
0000066034
0000066035
0000066036
0000066037
0000066038
0000066039
0000066184
0000066185
0000066186
0000066187
0000066188
0000066189
0000066190
0000066191
0000066192
0000066193
0000066194
0000066195
0000066196
0000066197
0000066198
0000066199
0000066200
0000066201
0000066202
0000066203
0000066204
0000066205
0000066206
0000066207
0000066208
0000066209
0000066210
0000066211
0000066212
DESCRICAO
FIO GUIA 0.014" 182CM FLOPPY RETA CHOICE PLUS 12132-01 - BOSTON CARDIOLOGIA
FIO GUIA 0.014" 182CM FLOPPY J CHOICE PLUS 12132-01J - BOSTON CARDIOLOGIA
FIO GUIA 0.014" 182CM INTERMEDIATE RETA CHOICE PLUS 12133-01 - BOSTON CARDIOLOGIA
FIO GUIA 0.014" 182CM INTERMEDIATE J CHOICE PLUS 12133-01J - BOSTON CARDIOLOGIA
FIO GUIA 0.014" 182CM STANDARD RETA CHOICE PLUS 12134-01 - BOSTON CARDIOLOGIA
FIO GUIA 0.014" 182CM STANDARD J CHOICE PLUS 12134-01J - BOSTON CARDIOLOGIA
FIO GUIA 0.014" 182CM EXT.SUPORT RETA CHOICE PLUS 12135-01 - BOSTON CARDIOLOGIA
FIO GUIA 0.014" 182CM EXT.SUPORT J CHOICE PLUS 12135-01J - BOSTON CARDIOLOGIA
INSUFLADOR P/CATETER ENCORE 04526-01 - BOSTON CARDIOLOGIA
KIT INSUFLADOR P/CATETER 04527-01 - BOSTON CARDIOLOGIA
FIO GUIA 0.014" 300CM RETA PT 12154-01 - BOSTON CARDIOLOGIA
FIO GUIA 0.014" 300CM J PT PLUS 12154-01J - BOSTON CARDIOLOGIA
FIO GUIA 0.014" 300CM EXT.SUPORT RETA PT 12155-01 - BOSTON CARDIOLOGIA
FIO GUIA 0.014" 182CM RETA PT PLUS 12160-01 - BOSTON CARDIOLOGIA
FIO GUIA 0.014" 300CM ESQ.J PT PLUS 12155-01J - BOSTON CARDIOLOGIA
FIO GUIA 0.014" 182CM J PT PLUS 12160-01J - BOSTON CARDIOLOGIA
FIO GUIA 0.014" 182CM EXT.SUPORT RETA PT PLUS 12161-01 - BOSTON CARDIOLOGIA
FIO GUIA 0.014" 182CM ESQ.J PT PLUS 12161-01J - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FR5,0 WISEGUIDE 16320-03 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FR4,0 WISEGUIDE 16320-02 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FR6,0 WISEGUIDE 16320-04 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FL3,0 WISEGUIDE 16320-05 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FL3,5 WISEGUIDE 16320-06 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FL4,0 WISEGUIDE 16320-07 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FL4,5 WISEGUIDE 16320-08 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FL5,0 WISEGUIDE 16320-09 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FL6,0 WISEGUIDE 16320-10 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F AL1 ST WISEGUIDE 16320-103 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F WG AL3 ST WISEGUIDE 16320-118 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FL4 WISEGUIDE 16320-123 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F WG RCB SH WISEGUIDE 16320-126 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F WG LCB SH WISEGUIDE 16320-127 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F 100CM SH WISEGUIDE 16320-129 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FL3,5 ST SH WISEGUIDE 16320-132 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FL4 ST SH WISEGUIDE 16320-133 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FL5 ST SH WISEGUIDE 16320-135 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F MP1 SH WISEGUIDE 16320-138 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F WG MP2 SH WISEGUIDE 16320-139 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FL4P WISEGUIDE 16320-15 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F AR1 WISEGUIDE 16320-17 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FL4-M WISEGUIDE 16320-176 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F AR2 WISEGUIDE 16320-18 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F AL1 WISEGUIDE 16320-19 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F AL2 WISEGUIDE 16320-20 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F AL3 WISEGUIDE 16320-21 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F AL.75 WISEGUIDE 16320-22 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F AL4 WISEGUIDE 16320-23 - BOSTON CARDIOLOGIA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
215
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000066220
0000066221
0000066222
0000066223
0000066224
0000066225
0000066226
0000066227
0000066228
0000066229
0000066230
0000066231
0000066232
0000066233
0000066234
0000066235
0000066236
0000066237
0000066238
0000066239
0000066240
0000066241
0000066242
0000066243
0000066244
0000066245
0000066246
0000066247
0000066248
0000066249
0000066250
0000066251
0000066252
0000066253
0000066254
0000066255
0000066256
0000066257
0000066258
0000066259
0000066260
0000066261
0000066262
0000066263
0000066264
0000066265
0000066266
DESCRICAO
CATETER GUIA P/ANGIOPLASTIA 8F VR1 WISEGUIDE 16320-230 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F VR2 WISEGUIDE 16320-231 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F VR SC WISEGUIDE 16320-232 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F VL2,5 WISEGUIDE 16320-239 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F RCB WISEGUIDE 16320-24 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F VR1 SH WISEGUIDE 16320-247 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F VR2 SH WISEGUIDE 16320-248 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F VR SC SH WISEGUIDE 16320-249 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F LCB WISEGUIDE 16320-25 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F IM 100CM WISEGUIDE 16320-26 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FCL3,5 SH WISEGUIDE 16320-268 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FCL4,0 SH WISEGUIDE 16320-269 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F EL G WISEGUIDE 16320-27 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FCL3,5 WISEGUIDE 16320-272 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FCL4,0 WISEGUIDE 16320-273 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FCR3,5 WISEGUIDE 16320-279 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FL3,5 ST WISEGUIDE 16320-28 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FCR4,0 WISEGUIDE 16320-280 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FL4,0 ST WISEGUIDE 16320-29 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F Q3,5 WISEGUIDE 16320-293 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F Q4,0 WISEGUIDE 16320-294 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F Q4,5 WISEGUIDE 16320-295 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F Q5,0 WISEGUIDE 16320-296 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F Q3,5 SH WISEGUIDE 16320-297 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F Q4,0 SH WISEGUIDE 16320-298 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F Q4,5 SH WISEGUIDE 16320-299 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FL5,0 ST WISEGUIDE 16320-31 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F WG MP1 WISEGUIDE 16320-38 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F WG MP2 WISEGUIDE 16320-39 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F BR1,0 80CM WISEGUIDE 16320-40 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F Q4,0 90CM WISEGUIDE 16320-407 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F MP HS WISEGUIDE 16320-41 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FR3,0 WISEGUIDE 16320-442 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F RC4,0 SC WISEGUIDE 16320-448 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F RC3,5 SC WISEGUIDE 16320-46 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F VL3,5 ST WISEGUIDE 16320-464 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FR3,5 SH WISEGUIDE 16320-468 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FR3,5 SH WISEGUIDE 16320-47 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FR4,0 SH WISEGUIDE 16320-48 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FR5,0 SH WISEGUIDE 16320-49 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F ART3,0 WISEGUIDE 16320-496 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F ART3,5 WISEGUIDE 16320-498 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F 3,5 SH WISEGUIDE 16320-499 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F ART4,0 WISEGUIDE 16320-500 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F ART4,0 S WISEGUIDE 16320-501 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FL3,5 WISEGUIDE 16320-52 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FL6,0 WISEGUIDE 16320-520 - BOSTON CARDIOLOGIA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
216
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000066267
0000066268
0000066269
0000066270
0000066271
0000066272
0000066273
0000066274
0000066275
0000066276
0000066277
0000066278
0000066279
0000066280
0000066281
0000066282
0000066283
0000066284
0000066285
0000066286
0000066287
0000066288
0000066289
0000066290
0000066291
0000066317
0000066318
0000066326
0000066327
0000066328
0000066329
0000066330
0000066336
0000066337
0000066366
0000066367
0000066368
0000066369
0000066370
0000066371
0000066373
0000066374
0000066375
0000066376
0000066377
0000066381
0000066382
DESCRICAO
CATETER GUIA P/ANGIOPLASTIA 8F FL4,0 SH WISEGUIDE 16320-53 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FL4,5 SH WISEGUIDE 16320-54 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FL5,0 SH WISEGUIDE 16320-55 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F AR1,0 SH WISEGUIDE 16320-66 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F AR2,0 SH WISEGUIDE 16320-67 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F AL1,0 SH WISEGUIDE 16320-68 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F AL2,0 SH WISEGUIDE 16320-69 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F AL3,0 SH WISEGUIDE 16320-70 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F VL3,0 WISEGUIDE 16320-71 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F VL3,5 WISEGUIDE 16320-72 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F VL4,0 WISEGUIDE 16320-73 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F VL4,5 WISEGUIDE 16320-74 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F VL5,0 WISEGUIDE 16320-75 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F VL6,0 WISEGUIDE 16320-76 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F VL3,0 SH WISEGUIDE 16320-77 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F VL3,5 SH WISEGUIDE 16320-78 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F VL4,0 SH WISEGUIDE 16320-79 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F VL4,5 SH WISEGUIDE 16320-80 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F VL5,0 SH WISEGUIDE 16320-81 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FR3,5 ST WISEGUIDE 16320-91 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FR4,0 ST WISEGUIDE 16320-92 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FR5,0 ST WISEGUIDE 16320-93 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOPLASTIA 8F FR3,5 ST WISEGUIDE 16320-95 - BOSTON CARDIOLOGIA
KIT PRISMA M100 PRE/POS DILUICAO - GAMBRO
CATETER GUIA P/ANGIOPLASTIA 8F FR4,0 ST SH WISEGUIDE 16320-96 - BOSTON CARDIOLOGIA
GARROTE PNEUMATICO 2 SAIDA C/PRESSAO AUTO-COMPRES.2000R II - GER-AR
GARROTE COMPLETO NR.6 114,00CMX17,00CM 154/6 - GER-AR
EQUIPO C/FILTRO AR BACTER.MICRO ROLETE CAM.FLEX. - EMBRAMED
EQUIPO C/FILTRO AR BACTER.MICRO ROLETE CAM.FLEX.C/INJ.LAT. - EMBRAMED
EQUIPO C/FILTRO AR BACTER.MICRO ROLETE CAM.FLEX.FLASH BALL - EMBRAMED
CICLADOL 20MG EFERV.10CPDS - CHIESI
CICLADOL 20MG EFERV.6CPDS - CHIESI
GINO DERMAZINE CRM.VAG.30GRS+6APL - SILVESTRE
ACICLOVIR GEN.400MG 30CPDS - MERCK S.A.
CATETER BALAO OCLUSAO HYPERFORM 4X7 MICROTHERAPEUTICS 104-4470 - SYNCROFILM
CATETER BALAO OCLUSAO HYPERFORM 7X7 MICROTHERAPEUTICS 104-4770 - SYNCROFILM
SISTEMA LIQ.EMBOLIZADOR P/MAV KIT ONYX 18 105-7000-060 - SYNCROFILM
SISTEMA LIQ.EMBOLIZADOR P/MAV KIT ONYX 34 105-7000-080 - SYNCROFILM
SISTEMA LIQ.EMBOLIZADOR P/ANEUR.KIT ONYX HD500 105-8101-500 - SYNCROFILM
INJETOR PRECISAO ONYX MICROTHERAPEUTICS 103-0304 - SYNCROFILM
VORTEX MIXER ONYX MICROTHERAPEUTICS 103-1205-002 - SYNCROFILM
SISTEMA AQUEC.ONYX MICROTHERAPEUTICS 103-1206-002 - SYNCROFILM
FIO GUIA HIDROFILICO X-PEDION 10X200 MICROTHERAPEUTICS 103-0605-200 - SYNCROFILM
FIO GUIA HIDROFILICO X-CELERATOR 10X300 MICROTHERAPEUTICS 103-0601-300 - SYNCROFILM
CATETER BALAO OCLUSAO HYPERGLIDE 4X15 MICROTHERAPEUTICS 104-4112 - SYNCROFILM
DEXAMETASONA GEN.ELIX.120ML - MEDLEY
FOSFATO SODICO PREDNISOLONA GEN.1MG/ML SOL.ORAL 100ML - MEDLEY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
217
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000066383
0000066385
0000066390
0000066396
0000066464
0000066465
0000066466
0000066467
0000066468
0000066469
0000066470
0000066471
0000066472
0000066473
0000066474
0000066475
0000066476
0000066477
0000066478
0000066479
0000066480
0000066481
0000066482
0000066483
0000066484
0000066485
0000066486
0000066487
0000066488
0000066490
0000066491
0000066492
0000066493
0000066494
0000066495
0000066496
0000066497
0000066498
0000066499
0000066500
0000066502
0000066503
0000066504
0000066505
0000066506
0000066507
0000066508
DESCRICAO
NITRATO MICONAZOL GEN.CRM.VAG.80GRS+14APL - MEDLEY
IMUNOGLUCAN 1FA 5ML - INFAN
PSEUDOCISTO PANCREAS 6FR CYSTO6FR - G.F.E. DO BRASIL
ESTABILIZADOR TORNOZELO LONA DL270 - DILEPE
CATETER ANGIOGRAFICO 5FR FR3,5 100CM IMPULSE 16391-01 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR FR4,0 100CM IMPULSE 16391-02 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR FR5,0 100CM IMPULSE 16391-03 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR FR6,0 100CM IMPULSE 16391-04 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR FR4,0 MOD IMPULSE 16391-05 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR AL3,0 IMPULSE 16391-100 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR MPA-1 IMPULSE 16391-117 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR MPA-2 IMPULSE 16391-121 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR MPA-2 125CM IMPULSE 16391-122 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR MPB-1 IMPULSE 16391-142 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR MPB-2 IMPULSE 16391-146 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR SON1 80CM IMPULSE 16391-150 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR 100CM SH IMPULSE 16391-151 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR SON2 80CM IMPULSE 16391-152 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR SON1 100CM IMPULSE 16391-161 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR SON2 100CM IMPULSE 16391-163 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR CAS1 100CM IMPULSE 16391-171 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR CAS2 100CM IMPULSE 16391-173 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR RADIAL IMPULSE 16391-174 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR RCB IMPULSE 16391-190 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR LCB 100CM IMPULSE 16391-195 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR IM 100CM IMPULSE 16391-201 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR FL3,5 100CM IMPULSE 16391-21 - BOSTON CARDIOLOGIA
TALA C/TECIDO P/PUNHO C/POLEGAR DL552 - DILEPE
CATETER ANGIOGRAFICO 5FR PIG 125CM IMPULSE 16391-215 - BOSTON CARDIOLOGIA
TALA C/TECIDO P/PUNHO MINI-TALA DL580 - DILEPE
TALA AMPLA C/TECIDO P/PUNHO DL590 - DILEPE
CATETER ANGIOGRAFICO 5FR FL4,0 IMPULSE 16391-22 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR 125CM IMPULSE 16391-220 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR FR4,0 125CM IMPULSE 16391-225 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR FL4,5 IMPULSE 16391-23 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR FR5,0 125CM IMPULSE 16391-230 - BOSTON CARDIOLOGIA
TIPOIA SIMPLES DL620 - DILEPE
CATETER ANGIOGRAFICO 5FR FL5,0 IMPULSE 16391-24 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR IM 125CM IMPULSE 16391-240 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR FL6,0 IMPULSE 16391-25 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR MP KIT FL4/FR4/PIG RETO 110CM IMPULSE 16391-300 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR MP KIT FL4/FR4/PIG 145 110CM IMPULSE 16391-301 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR MP KIT FL4/FR4/PIG 155 100CM IMPULSE 16391-302 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR PIG 110CM IMPULSE 16391-40 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR PIG145 110CM IMPULSE 16391-41 - BOSTON CARDIOLOGIA
TIPOIA IMOB.MEMBRO SUPERIOR DUPLA ALMOFADADA DL650 - DILEPE
CATETER ANGIOGRAFICO 5FR 155 110CM IMPULSE 16391-42 - BOSTON CARDIOLOGIA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
218
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000066509
0000066510
0000066511
0000066512
0000066513
0000066514
0000066515
0000066516
0000066517
0000066518
0000066519
0000066520
0000066522
0000066523
0000066524
0000066525
0000066526
0000066527
0000066528
0000066529
0000066531
0000066532
0000066533
0000066534
0000066535
0000066536
0000066537
0000066538
0000066539
0000066540
0000066542
0000066543
0000066544
0000066545
0000066546
0000066547
0000066548
0000066549
0000066550
0000066551
0000066552
0000066553
0000066554
0000066555
0000066556
0000066557
0000066558
DESCRICAO
CATETER ANGIOGRAFICO 5FR AR1,0 100CM IMPULSE 16391-84 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR AR2,0 IMPULSE 16391-86 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR 5F IMPULSE 16391-89 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR AL1,0 IMPULSE 16391-96 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 5FR AL2,0 IMPULSE 16391-98 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR FR3,5 IMPULSE 16599-01 - BOSTON CARDIOLOGIA
COTOVELEIRA NEOPRENE DE105 - DILEPE
CATETER ANGIOGRAFICO 6FR FR4,0 100CM IMPULSE 16599-02 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR FR6,0 IMPULSE 16599-04 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR FR4,0 IMPULSE 16599-05 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR AL3,0 IMPULSE 16599-100 - BOSTON CARDIOLOGIA
JOELHEIRA CURTA SIMPLES NEOPRENE DE180 - DILEPE
CATETER ANGIOGRAFICO 6FR MPA-1 IMPULSE 16599-117 - BOSTON CARDIOLOGIA
JOELHEIRA CURTA C/ORIFICIO NEOPRENE DE230 - DILEPE
CATETER ANGIOGRAFICO 6FR MPA-2 IMPULSE 16599-121 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR MPA-2 125CM IMPULSE 16599-122 - BOSTON CARDIOLOGIA
JOELHEIRA LONGA SIMPLES NEOPRENE DE300 - DILEPE
CATETER ANGIOGRAFICO 6FR MPB-1,5 IMPULSE 16599-142 - BOSTON CARDIOLOGIA
JOELHEIRA LONGA C/ORIFICIO NEOPRENE DE320 - DILEPE
CATETER ANGIOGRAFICO 6FR SON1 SH IMPULSE 16599-151 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR SON2 SH 80CM IMPULSE 16599-152 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR SON2 SH IMPULSE 16599-153 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR RCB IMPULSE 16599-190 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR SON2 IMPULSE 16599-163 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR RADIAL IMPULSE 16599-174 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR KIMNY IMPULSE 16599-180 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR RCB IMPULSE 16599-190 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR LCB IMPULSE 16599-195 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR IM IMPULSE 16599-201 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR FL3,5 IMPULSE 16599-21 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR FL4,0 IMPULSE 16599-22 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR FL4,5 IMPULSE 16599-23 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR FL5,0 IMPULSE 16599-24 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR 125CM IMPULSE 16599-240 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR FL6,0 IMPULSE 16599-25 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR MP KIT FL4/FR4 PIG RETO 100CM IMPULSE 16599-300 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR FL4,0 PIG IMPULSE 16599-301 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR PIG IMPULSE 16599-40 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR 145 IMPULSE 16599-41 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR PIG 155 IMPULSE 16599-42 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR 145 IMPULSE 16599-500 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR MP IMPULSE 16599-501 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR MP IMPULSE 16599-502 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR FR3,5 IMPULSE 16599-504 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR AR1,0 IMPULSE 16599-84 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR AR2,0 IMPULSE 16599-86 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR AR IMPULSE 16599-89 - BOSTON CARDIOLOGIA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
219
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000066559
0000066560
0000066570
0000066575
0000066578
0000066579
0000066595
0000066605
0000066606
0000066607
0000066608
0000066609
0000066610
0000066611
0000066612
0000066613
0000066614
0000066615
0000066616
0000066617
0000066618
0000066619
0000066620
0000066621
0000066622
0000066623
0000066624
0000066625
0000066626
0000066627
0000066628
0000066629
0000066630
0000066631
0000066632
0000066633
0000066634
0000066635
0000066636
0000066637
0000066638
0000066639
0000066640
0000066641
0000066642
0000066643
0000066644
DESCRICAO
CATETER ANGIOGRAFICO 6FR AL1,0 IMPULSE 16599-96 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR AL2,0 IMPULSE 16599-98 - BOSTON CARDIOLOGIA
BASTAO ALUMINIO DOBRAVEL TAM.UNICO DB223 - DILEPE
BOTA IMOBILIZADORA P/TORNOZELO CURTA.DL041 - DILEPE
COLAR CERVICAL PHILADELPHIA CURTO DL181 - DILEPE
COLAR CERVICAL MIAMI DL185 - DILEPE
TECNOTECAN 40MG SOL.INJ.1FA 2ML - ZODIAC
CATETER GUIA P/ANGIOGRAFIA 7F FR3,5 WISEGUIDE 19500-01 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F FR4,0 WISEGUIDE 19500-02 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F FR5,0 WISEGUIDE 19500-03 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F FL3,0 WISEGUIDE 19500-05 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F FL3,5 WISEGUIDE 19500-06 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F FL4,0 WISEGUIDE 19500-07 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F FL4,5 WISEGUIDE 19500-08 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F FL5,0 WISEGUIDE 19500-09 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F 100CM WISEGUIDE 19500-123 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F LCB SH WISEGUIDE 19500-127 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F 100CM SH WISEGUIDE 19500-129 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F MP2 SH WISEGUIDE 19500-139 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F AR1 WISEGUIDE 19500-141 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F AR1 WISEGUIDE 19500-17 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F AR2 WISEGUIDE 19500-18 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F AL1 WISEGUIDE 19500-19 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F AL2 WISEGUIDE 19500-20 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F AL3 WISEGUIDE 19500-21 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F AL4 WISEGUIDE 19500-23 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F VR1 WISEGUIDE 19500-230 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F VR2 WISEGUIDE 19500-231 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F VL2,5 WISEGUIDE 19500-239 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F RCB WISEGUIDE 19500-24 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F VR1 SH WISEGUIDE 19500-247 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F LCB WISEGUIDE 19500-25 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F IM 100 WISEGUIDE 19500-26 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F FCL4 SH WISEGUIDE 19500-269 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F FCL4 WISEGUIDE 19500-273 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F FL4 ST WISEGUIDE 19500-29 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F Q3,5 WISEGUIDE 19500-293 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F Q4,0 WISEGUIDE 19500-294 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F Q4,5 WISEGUIDE 19500-295 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F Q5,0 WISEGUIDE 19500-296 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F Q3,5 SH WISEGUIDE 19500-297 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F Q4,0 SH WISEGUIDE 19500-298 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F FL6,0 ST WISEGUIDE 19500-32 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F MP1 WISEGUIDE 19500-38 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F MP2 WISEGUIDE 19500-39 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F BR1,0 80CM WISEGUIDE 19500-40 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F MPHS WISEGUIDE 19500-41 - BOSTON CARDIOLOGIA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
220
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000066645
0000066646
0000066647
0000066648
0000066649
0000066650
0000066651
0000066652
0000066653
0000066654
0000066655
0000066656
0000066657
0000066658
0000066659
0000066660
0000066661
0000066662
0000066663
0000066664
0000066665
0000066666
0000066667
0000066668
0000066669
0000066670
0000066671
0000066672
0000066673
0000066674
0000066676
0000066677
0000066678
0000066679
0000066680
0000066681
0000066682
0000066683
0000066684
0000066685
0000066686
0000066687
0000066688
0000066689
0000066690
0000066691
0000066692
DESCRICAO
CATETER GUIA P/ANGIOGRAFIA 7F FR3,0 WISEGUIDE 19500-442 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F FR3,0 WISEGUIDE 19500-443 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F RC3,5 SC WISEGUIDE 19500-46 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F FR3,5 SH WISEGUIDE 19500-47 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F ST WISEGUIDE 19500-470 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F FR4,0 SH WISEGUIDE 19500-48 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F WISEGUIDE 19500-49 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F ART3,0 WISEGUIDE 19500-496 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F ART3,5 WISEGUIDE 19500-498 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F ART4,0 WISEGUIDE 19500-500 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F FL3,0 SH WISEGUIDE 19500-51 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F FR4,5 WISEGUIDE 19500-514 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F FR4,5 SH WISEGUIDE 19500-515 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F FL3,5 SH WISEGUIDE 19500-52 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F FL4,0 SH WISEGUIDE 19500-53 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F FL4,5 SH WISEGUIDE 19500-54 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F FL5,0 SH WISEGUIDE 19500-55 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F FL6,0 SH WISEGUIDE 19500-56 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F AR1,0 SH WISEGUIDE 19500-66 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F AR2,0 SH WISEGUIDE 19500-67 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F AL1,0 SH WISEGUIDE 19500-68 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F AL2,0 SH WISEGUIDE 19500-69 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F AL3,0 SH WISEGUIDE 19500-70 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F VL3,0 WISEGUIDE 19500-71 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F VL3,5 WISEGUIDE 19500-72 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F VL4,0 WISEGUIDE 19500-73 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F L3,0 SH WISEGUIDE 19500-77 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F L3,5 SH WISEGUIDE 19500-78 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F VL4,0 SH WISEGUIDE 19500-79 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 7F VL4,5 SH WISEGUIDE 19500-80 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F FR3,5 WISEGUIDE 19815-01 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F FR4,0 WISEGUIDE 19815-02 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F FR5,0 WISEGUIDE 19815-03 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F FL3,0 WISEGUIDE 19815-05 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F FL3,5 WISEGUIDE 19815-06 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F FL4,0 WISEGUIDE 19815-07 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F FL4,5 WISEGUIDE 19815-08 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F FL5,0 WISEGUIDE 19815-09 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F FL6,0 WISEGUIDE 19815-10 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F IM 85CM WISEGUIDE 19815-122 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F IM 110CM WISEGUIDE 19815-123 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F IM 110CM WISEGUIDE 19815-138 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F MP HS SH WISEGUIDE 19815-141 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F AR1,0 WISEGUIDE 19815-17 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F AR2,0 WISEGUIDE 19815-18 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F AL1,0 WISEGUIDE 19815-19 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F AL2,0 WISEGUIDE 19815-20 - BOSTON CARDIOLOGIA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
221
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000066693
0000066694
0000066695
0000066696
0000066697
0000066698
0000066699
0000066700
0000066701
0000066702
0000066703
0000066704
0000066705
0000066706
0000066707
0000066708
0000066709
0000066710
0000066711
0000066712
0000066713
0000066714
0000066715
0000066716
0000066717
0000066718
0000066719
0000066720
0000066721
0000066722
0000066723
0000066724
0000066725
0000066726
0000066727
0000066728
0000066729
0000066730
0000066731
0000066732
0000066733
0000066734
0000066735
0000066736
0000066737
0000066738
0000066870
DESCRICAO
CATETER GUIA P/ANGIOGRAFIA 6F AL3,0 WISEGUIDE 19815-21 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F AL4,0 WISEGUIDE 19815-23 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F VR1,0 WISEGUIDE 19815-230 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F VR2,0 WISEGUIDE 19815-231 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F VR SC WISEGUIDE 19815-232 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F VL2,5 WISEGUIDE 19815-239 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F RCB WISEGUIDE 19815-24 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F LCB WISEGUIDE 19815-25 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F IM 100CM WISEGUIDE 19815-26 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F FL3,5 ST WISEGUIDE 19815-28 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F FL4,0 ST WISEGUIDE 19815-29 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F Q3,5 WISEGUIDE 19815-293 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F Q4,0 WISEGUIDE 19815-294 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F WISEGUIDE 19815-295 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F FL5,0 ST WISEGUIDE 19815-31 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F MP1 WISEGUIDE 19815-38 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F MP2 WISEGUIDE 19815-39 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F BR 180CM WISEGUIDE 19815-40 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F MPHS WISEGUIDE 19815-41 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F FR3,0 WISEGUIDE 19815-442 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F IM 90CM WISEGUIDE 19815-446 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F RC35 SC WISEGUIDE 19815-46 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F FR3,5 SH WISEGUIDE 19815-47 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F RADIAL WISEGUIDE 19815-470 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F RADIAL WISEGUIDE 19815-472 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F FR4,0 SH WISEGUIDE 19815-48 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F ART3,0 WISEGUIDE 19815-496 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F ART3,5 WISEGUIDE 19815-498 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F ART4,5 WISEGUIDE 19815-514 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F FL35 SH WISEGUIDE 19815-52 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F FL4 SH WISEGUIDE 19815-53 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F 3,0 WISEGUIDE 19815-536 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F 3,5 WISEGUIDE 19815-537 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F ML 4,0 WISEGUIDE 19815-538 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F MR 2,0 WISEGUIDE 19815-545 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F MR 3,0 WISEGUIDE 19815-546 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F MR 2,0 SH WISEGUIDE 19815-548 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F RADICAL HT FX WISEGUIDE 19815-555 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F RADICAL ST FX WISEGUIDE 19815-556 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F KIMNY WISEGUIDE 19815-583 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F ALI SH WISEGUIDE 19815-66 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F ALI SH WISEGUIDE 19815-68 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F AL2SH WISEGUIDE 19815-69 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F VL3,0 WISEGUIDE 19815-71 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F VL3,5 WISEGUIDE 19815-72 - BOSTON CARDIOLOGIA
CATETER GUIA P/ANGIOGRAFIA 6F VL4,0 WISEGUIDE 19815-73 - BOSTON CARDIOLOGIA
CATETER P/ATERECTOMIA ROTABLATOR 1,50MM ROTALINK 22768-003 - BOSTON CARDIOLOGIA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
222
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000066871
0000066872
0000066873
0000066874
0000066875
0000066876
0000066880
0000066950
0000066951
0000066952
0000066953
0000066954
0000066955
0000066956
0000066957
0000066958
0000066959
0000066960
0000066961
0000066962
0000066963
0000067054
0000067091
0000067092
0000067093
0000067099
0000067100
0000067101
0000067110
0000067115
0000067116
0000067117
0000067127
0000067164
0000067165
0000067166
0000067167
0000067168
0000067169
0000067170
0000067171
0000067172
0000067173
0000067174
0000067175
0000067176
0000067177
DESCRICAO
CATETER P/ATERECTOMIA ROTABLATOR 1,75MM ROTALINK 22768-004 - BOSTON CARDIOLOGIA
CATETER P/ATERECTOMIA ROTABLATOR 2,00MM ROTALINK 22768-005 - BOSTON CARDIOLOGIA
CATETER P/ATERECTOMIA ROTABLATOR 2,25MM ROTALINK 22768-006 - BOSTON CARDIOLOGIA
CATETER P/ATERECTOMIA ROTABLATOR 2,50MM ROTALINK 22768-007 - BOSTON CARDIOLOGIA
CATETER P/ATERECTOMIA ROTABLATOR 2,15MM ROTALINK 22768-015 - BOSTON CARDIOLOGIA
CATETER P/ATERECTOMIA ROTABLATOR 2,38MM ROTALINK 22768-016 - BOSTON CARDIOLOGIA
FIO GUIA P/ATERECTOMIA ROTAWIRE ROTABLATOR EXTRA SUPPORT 23239-001 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR FR3,5 IMPULSE H74916599012 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR FR4,5 IMPULSE H74916599022 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR FR3,5 PIG IMPULSE H749165991172 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR MPA-2 IMPULSE H749165991212 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR SON1 IMPULSE H749165991612 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR SON2 IMPULSE H749165991632 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR FL3,5 IMPULSE H74916599212 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR FL4,0 IMPULSE H74916599222 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR PIG IMPULSE H74916599402 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR FR3,5 PIG IMPULSE H749165995042 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR AR1,0 IMPULSE H74916599842 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR AR2,0 IMPULSE H74916599862 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR AL1,0 IMPULSE H74916599962 - BOSTON CARDIOLOGIA
CATETER ANGIOGRAFICO 6FR AL2,0 IMPULSE H74916599982 - BOSTON CARDIOLOGIA
POLIMOXIL 500MG 21CAPS - LEGRAND TARJARDOS
AZITROMICINA GEN.600MG PO SUSP.15ML+DIL.9ML - EMS GENERICOS
AZITROMICINA GEN.900MG PO SUSP.22,5ML+DIL.12ML - EMS GENERICOS
CEFALEXINA GEN.250MG/ML SUSP.100ML - EMS GENERICOS
MICROCATETER PROWLER 10 MP 150CMX0,015" 2MARCAS 606051FX - J&J CODMAN
MICROCATETER PROWLER 10 J 150CMX0,015" 2MARCAS 606051JX - J&J CODMAN
MICROCATETER PROWLER 10 MAX 150CMX0,015" 2MARCAS 606051MX - J&J CODMAN
VALERATO BETAMETASONA+SULFATO GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.0,5+1+10+10MG/G CRM.DERM.20G - EMS GENERICOS
VALERATO BETAMETASONA+SULFATO GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.0,5+1+10+10MG/G POM.DERM.20G - EMS GENERICOS
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.0,4+0,05MG/ML XPE.120ML - EMS GENERICOS
MALEATO DEXCLORFENIRAMINA GEN.0,4MG/ML XPE.120ML - EMS GENERICOS
TRUFILL DCS HEL/FIL 2MMX3CM 635F00203 - J&J CORDIS
CATETER POWERFLEX P3 7F/12X20/110CM 420-2020L - J&J CORDIS
CATETER POWERFLEX P3 7F/12X40/80CM 420-2040S - J&J CORDIS
CATETER POWERFLEX P3 7F/12X40/110CM 420-2040L - J&J CORDIS
CATETER POWERFLEX P3 5F/4X20/110CM 4204020L - J&J CORDIS
CATETER POWERFLEX P3 5F/5X20/110CM 4205020L - J&J CORDIS
CATETER POWERFLEX P3 5F/5X20/135CM 4205020X - J&J CORDIS
CATETER POWERFLEX P3 5F/5X40/110CM 4205040L - J&J CORDIS
CATETER POWERFLEX P3 5F/6X20/80CM 4206020S - J&J CORDIS
CATETER POWERFLEX P3 5F/6X20/110CM 4206020L - J&J CORDIS
CATETER POWERFLEX P3 5F/6X20/135CM 4206020X - J&J CORDIS
CATETER POWERFLEX P3 5F/6X40/80CM 4206040S - J&J CORDIS
CATETER POWERFLEX P3 5F/6X40/110CM 4206040L - J&J CORDIS
CATETER POWERFLEX P3 6F/7X20/110CM 4207020L - J&J CORDIS
CATETER POWERFLEX P3 6F/7X20/80CM 4207020S - J&J CORDIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
223
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000067178
0000067179
0000067180
0000067181
0000067182
0000067183
0000067184
0000067185
0000067186
0000067213
0000067216
0000067217
0000067219
0000067220
0000067221
0000067222
0000067223
0000067224
0000067225
0000067226
0000067227
0000067228
0000067229
0000067230
0000067231
0000067232
0000067233
0000067234
0000067235
0000067236
0000067247
0000067248
0000067249
0000067250
0000067251
0000067252
0000067253
0000067254
0000067255
0000067267
0000067268
0000067269
0000067270
0000067315
0000067316
0000067317
0000067318
DESCRICAO
CATETER POWERFLEX P3 6F/7X20/135CM 4207020X - J&J CORDIS
CATETER POWERFLEX P3 6F/7X40/110CM 4207040L - J&J CORDIS
CATETER POWERFLEX P3 6F/7X40/80CM 4207040S - J&J CORDIS
CATETER POWERFLEX P3 6F/7X40/135CM 4207040X - J&J CORDIS
CATETER POWERFLEX P3 6F/8X20/80CM 4208020S - J&J CORDIS
CATETER POWERFLEX P3 6F/8X20/110CM 4208020L - J&J CORDIS
CATETER POWERFLEX P3 6F/8X40/80CM 420-8040S - J&J CORDIS
CATETER POWERFLEX P3 6F/8X40/110CM 420-8040L - J&J CORDIS
CATETER POWERFLEX P3 7F/9X20/135CM 420-9020X - J&J CORDIS
STENT PERIFERICO MONTADO PGENES OPTA PRO 10X19 80CM PG1910PPS - J&J CORDIS
STENT PERIFERICO MONTADO PGENES OPTA PRO 7X24 80CM PG2470PPS - J&J CORDIS
STENT PERIFERICO MONTADO PGENES OPTA PRO 8X24 80CM PG2480PPS - J&J CORDIS
STENT PERIFERICO MONTADO PGENES OPTA PRO 10X25 80CM PG2510PPS - J&J CORDIS
STENT PERIFERICO MONTADO PGENES OPTA PRO 10X29 80CM PG2910PPS - J&J CORDIS
STENT PERIFERICO MONTADO PGENES OPTA PRO 7X29 80CM PG2970PPS - J&J CORDIS
STENT PERIFERICO MONTADO PGENES OPTA PRO 8X29 80CM PG2980PPS - J&J CORDIS
STENT PERIFERICO MONTADO PGENES OPTA PRO 9X29 80CM PG2990PPS - J&J CORDIS
STENT PERIFERICO MONTADO PGENES OPTA PRO 10X39 80CM PG3910PPS - J&J CORDIS
STENT PERIFERICO MONTADO PGENES OPTA PRO 6X39 80CM PG3960PPS - J&J CORDIS
STENT PERIFERICO MONTADO PGENES OPTA PRO 7X39 80CM PG3970PPS - J&J CORDIS
STENT PERIFERICO MONTADO PGENES OPTA PRO 8X39 80CM PG3980PPS - J&J CORDIS
STENT PERIFERICO MONTADO PGENES OPTA PRO 10X59 80CM PG5910PPS - J&J CORDIS
STENT PERIFERICO MONTADO PGENES OPTA PRO 6X59 80CM PG5960PPS - J&J CORDIS
STENT PERIFERICO MONTADO PGENES OPTA PRO 7X59 80CM PG5970PPS - J&J CORDIS
STENT PERIFERICO MONTADO PGENES OPTA PRO 8X59 80CM PG5980PPS - J&J CORDIS
STENT PERIFERICO MONTADO PGENES OPTA PRO 9X59 80CM PG5990PPS - J&J CORDIS
STENT PERIFERICO MONTADO PGENES OPTA PRO 10X79 80CM PG7910PPS - J&J CORDIS
STENT PERIFERICO MONTADO PGENES OPTA PRO 7X79 80CM PG7970PPS - J&J CORDIS
STENT PERIFERICO MONTADO PGENES OPTA PRO 8X79 80CM PG7980PPS - J&J CORDIS
STENT PERIFERICO MONTADO PGENES OPTA PRO 9X79 80CM PG7990PPS - J&J CORDIS
CATETER POWERFLEX P3 7F/10X20/110CM 420-0020L - J&J CORDIS
CATETER POWERFLEX P3 7F/10X20/80CM 420-0020S - J&J CORDIS
CATETER POWERFLEX P3 7F/10X20/135CM 420-0020X - J&J CORDIS
CATETER POWERFLEX P3 7F/10X40/135CM 420-0040X - J&J CORDIS
CATETER POWERFLEX P3 5F/4X20/80CM 4204020S - J&J CORDIS
CATETER POWERFLEX P3 5F/4X20/135CM 4204020X - J&J CORDIS
CATETER POWERFLEX P3 5F/5X20/80CM 4205020S - J&J CORDIS
CATETER POWERFLEX P3 5F/6X40/135CM 4206040X - J&J CORDIS
CATETER POWERFLEX P3 6F/8X40/135CM 420-8040X - J&J CORDIS
CATETER BALAO MAXI LD 9F/14X40/110CM 4161440L - J&J CORDIS
CATETER BALAO MAXI LD 11F/16X40/110CM 4161640L - J&J CORDIS
CATETER BALAO MAXI LD 11F/18X40/110CM 4161840L - J&J CORDIS
CATETER BALAO MAXI LD 12F/22X40/110CM 4162240L - J&J CORDIS
STENT AUTOEXPANSIVEL SMART 10/80/120CM C10080MV - J&J CORDIS
STENT AUTOEXPANSIVEL SMART 6/60/120CM C06060MV - J&J CORDIS
STENT AUTOEXPANSIVEL SMART 6/80/120CM C06080MV - J&J CORDIS
STENT AUTOEXPANSIVEL SMART 8/20/80CM C08020SV - J&J CORDIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
224
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000067319
0000067320
0000067321
0000067322
0000067325
0000067326
0000067327
0000067328
0000067329
0000067332
0000067415
0000067417
0000067431
0000067434
0000067435
0000067436
0000067441
0000067442
0000067443
0000067444
0000067445
0000067446
0000067457
0000067461
0000067462
0000067463
0000067464
0000067466
0000067468
0000067473
0000067474
0000067484
0000067485
0000067486
0000067487
0000067488
0000067491
0000067492
0000067493
0000067494
0000067498
0000067499
0000067500
0000067501
0000067502
0000067506
0000067508
DESCRICAO
STENT AUTOEXPANSIVEL SMART 8/40/80CM C08040SV - J&J CORDIS
STENT AUTOEXPANSIVEL SMART 8/60/80CM C08060SV - J&J CORDIS
STENT AUTOEXPANSIVEL SMART 9/80/120CM C09080MV - J&J CORDIS
STENT AUTOEXPANSIVEL SMART 7/80/120CM C07080MV - J&J CORDIS
INTRODUTOR AGULHADO TS P/CATETER 5F MEDTRONIC - MEDTRONIC
INTRODUTOR AGULHADO TS P/CATETER 7F MEDTRONIC - MEDTRONIC
INTRODUTOR AGULHADO TS P/CATETER 8F MEDTRONIC - MEDTRONIC
INTRODUTOR AGULHADO TS P/CATETER 9F MEDTRONIC - MEDTRONIC
INTRODUTOR PERC.C/VALV.P/TERMODILUICAO ARROW - CORAMED
AGULHA P/BIOPSIA MAX CORE 20GAX10CM MC2010 - - BARD
SONDA JEJUNOSTOMIA 8FR 90CM 307368 - G.F.E. DO BRASIL
SONDA JEJUNOSTOMIA 10FR 110CM 301431 - G.F.E. DO BRASIL
KIT PROTESE BILIAR PUSHER+CATETER+FIO GUIA+PROTESE - G.F.E. DO BRASIL
CREME DENTAL SENSODYNE P.TOTAL 90GRS - GLAXOSMITH
CREME DENTAL SENSODYNE ORIGINAL 90GRS - GLAXOSMITH
COREGA TABS 4CPDS - GLAXOSMITH
COMPRESSA GAZE 10CMX10CM 13FIOS 500UNID C22213 - NEVE
COMPRESSA 7,5CMX7,5CM 13FIOS ESTERIL C/FIO RX 10UNID C24113 - NEVE
COMPRESSA 7,5CMX7,5CM 13FIOS ESTERIL C/FIO RX 20UNID C25113 - NEVE
CURATIVO ALGODONADO ESTERIL 10CMX15CM (RAIO GAMA) C30010 - NEVE
CURATIVO ALGODONADO ESTERIL 15CMX30CM (RAIO GAMA) C30030 - NEVE
FITA AUTOCLAVE 19MMX30MT C36019 - NEVE
FITA MICROPOROSA HIPOALERGICA 10CMX10MT C33010 - - NEVE
CATETER VENTRICULAR P/HIDROCEFALIA C/BACTISEAL - - J&J CODMAN
CATETER PERITONEAL P/HIDROCEFALIA C/BACTISEAL - - J&J CODMAN
KIT CATETER P/HIDROCEFALIA C/BACTSEAL - - J&J CODMAN
IMPLANTE P/DURAMATER ETHISORB DURAPATCH 2X3CM - - J&J CODMAN
IMPLANTE P/DURAMATER ETHISORB DURAPATCH 4X6CM - - J&J CODMAN
IMPLANTE P/DURAMATER ETHISORB DURAPATCH 6X14CM - - J&J CODMAN
SECNIHEXAL 1000MG 2CPDS - HEXAL
SECNIHEXAL 1000MG 4CPDS - HEXAL
SONDA DORMIA EST.CALC."RX" P.CILIND.115CM 3FR 6FIOS P/UTERERORENOSCOPIO FLEXIVEL RUSCH 341.402.03 - CIRURGICA FERNANDES
GERADOR FLUXO WHISPERFLOW CPAP CARADYNE - CNPH
LOTEPROL 5MG/ML SUSP.OFT.5ML - BAUSCH+LOMB
NEBULIZADOR GRANDE VOLUME HUDSON - CNPH
SUPORTE P/SERINGA P/BOMBA COLLEAGUE 2D0300 - BAXTER
EQUIPO MACROGOTAS P/BOMBA COLLEAGUE C/INJ.LAT.FILTRO 15MICRAS AZC9697 - BAXTER
EQUIPO MACROGOTAS P/BOMBA COLLEAGUE C/INJ.LAT.S/FILTRO L.LOCK AZC9698 - BAXTER
METRONIFLEX 500MG INJ.BOLSA VIAFLEX 100ML AZB3421 - BAXTER
BOLSA COLOSTOMIA DRENAVEL TRANSP.OPACA RECORTAVEL 19/64MM ACTIVE-LIFE 1150626 - CONVATEC
CELESTRAT 2+0,25MG/ML XPE.120ML - UNIAO QUIMICA
CODEX 7,5MG 12CPDS - UNIAO QUIMICA
CODEX 30MG 12CPDS - UNIAO QUIMICA
UNI CLONAZEPAX 0,5MG 20CPDS - UNIAO QUIMICA
UNI CLONAZEPAX 2MG 20CPDS - UNIAO QUIMICA
ECRAN C/GRADIENTE VERDE LUMAX 35X91CM (PAR) - CONTROLLER
ADAPTADOR CANULA CARDIOP.15' 38,1CM DLP/MEDTRONIC 14000 - MEDTRONIC
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
225
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000067509
0000067510
0000067511
0000067512
0000067513
0000067514
0000067515
0000067516
0000067517
0000067518
0000067519
0000067520
0000067521
0000067522
0000067523
0000067524
0000067525
0000067526
0000067527
0000067528
0000067529
0000067530
0000067531
0000067532
0000067533
0000067534
0000067535
0000067536
0000067537
0000067538
0000067539
0000067540
0000067541
0000067542
0000067543
0000067544
0000067545
0000067546
0000067547
0000067548
0000067549
0000067550
0000067551
0000067552
0000067553
0000067554
0000067555
DESCRICAO
ADAPTADOR P/CANULA ARTERIAL 1,5MM DLP/MEDTRONIC 16215 - MEDTRONIC
ADAPTADOR P/CANULA ARTERIAL 2,0MM DLP/MEDTRONIC 16220 - MEDTRONIC
ADAPTADOR P/CANULA ARTERIAL 2,5MM DLP/MEDTRONIC 16225 - MEDTRONIC
ADAPTADOR P/CANULA ARTERIAL 3,0MM DLP/MEDTRONIC 16230 - MEDTRONIC
CANULA CARDIOPL.PERF.ANTEROGR.15X38,1CM DLP/MEDTRONIC 12010 - MEDTRONIC
CANULA ARTERIAL 18FR DLP/MEDTRONIC 82018 - MEDTRONIC
CANULA ARTERIAL 20FR DLP/MEDTRONIC 89020 - MEDTRONIC
CANULA ARTERIAL 20FR DLP/MEDTRONIC 89120 - MEDTRONIC
CANULA ARTERIAL 22FR DLP/MEDTRONIC 84022 - MEDTRONIC
CANULA ARTERIAL 22FR DLP/MEDTRONIC 89022 - MEDTRONIC
CANULA ARTERIAL 22FR DLP/MEDTRONIC 89122 - MEDTRONIC
CANULA ARTERIAL 24FR DLP/MEDTRONIC 89124 - MEDTRONIC
CANULA ARTERIAL C/MOLA 8FR DLP/MEDTRONIC 77008 - MEDTRONIC
CANULA ARTERIAL PED.RETA 8FR DLP/MEDTRONIC 75008 - MEDTRONIC
CANULA ARTERIAL RETA 10FR DLP/MEDTRONIC 75010 - MEDTRONIC
CANULA ARTERIAL RETA 16FR DLP/MEDTRONIC 70016 - MEDTRONIC
CANULA ARTERIAL RETA 18FR DLP/MEDTRONIC 75318 - MEDTRONIC
CANULA ARTERIAL RETA 20FR DLP/MEDTRONIC 73620 - MEDTRONIC
CANULA ARTERIAL RETA 22FR DLP/MEDTRONIC 73622 - MEDTRONIC
CANULA ARTERIAL RETA 24FR DLP/MEDTRONIC 73624 - MEDTRONIC
CANULA CARDIOPL.ANTEROG.5FR DLP/MEDTRONIC 50005 - MEDTRONIC
CANULA CARDIOPL.RETROGRADA C/BALAO 15FR DLP/MEDTRONIC 94725 - MEDTRONIC
CANULA PED.ARTERIAL C/MOLA 10FR DLP/MEDTRONIC 77010 - MEDTRONIC
CANULA PED.ARTERIAL C/MOLA 12FR DLP/MEDTRONIC 77012 - MEDTRONIC
CANULA PED.ARTERIAL C/MOLA 14FR DLP/MEDTRONIC 77014 - MEDTRONIC
CANULA PED.ARTERIAL C/MOLA 16FR DLP/MEDTRONIC 77016 - MEDTRONIC
CANULA CAVA UNICA ARAMADA 34/38FR DLP/MEDTRONIC 92338C - MEDTRONIC
CANULA CAVA UNICA ARAMADA 34/38FR DLP/MEDTRONIC 93438 - MEDTRONIC
CANULA CAVA UNICA ARAMADA 34/38FR DLP/MEDTRONIC 93438C - MEDTRONIC
CANULA CAVA UNICA ARAMADA 34/48FR DLP/MEDTRONIC 92348 - MEDTRONIC
CANULA CAVA UNICA ARAMADA 34/48FR DLP/MEDTRONIC 93448C - MEDTRONIC
CANULA CAVA UNICA VENOSA 28/36FR DLP/MEDTRONIC 91228C - MEDTRONIC
CANULA VENOSA 5FR DLP/MEDTRONIC 50015 - MEDTRONIC
CANULA VENOSA ARAMADA C/PTA.METAL 16FR DLP/MEDTRONIC 69316 - MEDTRONIC
CANULA VENOSA ARAMADA C/PTA.METAL 18FR DLP/MEDTRONIC 69319 - MEDTRONIC
CANULA VENOSA ARAMADA C/PTA.METAL 20FR DLP/MEDTRONIC 69320 - MEDTRONIC
CANULA VENOSA ARAMADA C/PTA.METAL 22FR DLP/MEDTRONIC 69322 - MEDTRONIC
CANULA VENOSA ARAMADA C/PTA.METAL 24FR DLP/MEDTRONIC 69324 - MEDTRONIC
CANULA VENOSA ARAMADA C/PTA.METAL 24FR DLP/MEDTRONIC 69424 - MEDTRONIC
CANULA VENOSA ARAMADA C/PTA.METAL 28FR DLP/MEDTRONIC 69328 - MEDTRONIC
CANULA VENOSA ARAMADA C/PTA.METAL 28FR DLP/MEDTRONIC 69428 - MEDTRONIC
CANULA VENOSA ARAMADA C/ANGULO 32FR DLP/MEDTRONIC 67532 - MEDTRONIC
CANULA VENOSA ARAMADA C/ANGULO 34FR DLP/MEDTRONIC 67534 - MEDTRONIC
CANULA VENOSA ARAMADA C/PTA.METAL 12FR DLP/MEDTRONIC 67312 - MEDTRONIC
CANULA VENOSA ARAMADA C/PTA.METAL 14FR DLP/MEDTRONIC 67314 - MEDTRONIC
CANULA VENOSA ARAMADA C/PTA.METAL 16FR DLP/MEDTRONIC 67316 - MEDTRONIC
CANULA VENOSA ARAMADA RETA 18FR DLP/MEDTRONIC 66118 - MEDTRONIC
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
226
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000067556
0000067557
0000067558
0000067559
0000067560
0000067561
0000067562
0000067566
0000067567
0000067568
0000067588
0000067613
0000067614
0000067627
0000067629
0000067632
0000067648
0000067649
0000067650
0000067659
0000067660
0000067672
0000067673
0000067674
0000067675
0000067688
0000067689
0000067690
0000067693
0000067694
0000067695
0000067696
0000067697
0000067698
0000067699
0000067700
0000067701
0000067702
0000067703
0000067704
0000067705
0000067706
0000067707
0000067708
0000067710
0000067712
0000067713
DESCRICAO
CANULA VENOSA ARAMADA RETA 36FR DLP/MEDTRONIC 66136 - MEDTRONIC
CANULA VENOSA ARAMADA RETA 36FR DLP/MEDTRONIC 66236 - MEDTRONIC
CANULA VENOSA BIFASE OVAL MC2 32/40FR DLP/MEDTRONIC 91263 - MEDTRONIC
ESTABILIZADOR TECIDUAL OCTOPUS 4.3 MEDTRONIC - MEDTRONIC
OXIGENADOR MEMBRANA ADU.MEDTRONIC 95217 - MEDTRONIC
OXIGENADOR MEMBRANA ADU.MEDTRONIC 95247 - MEDTRONIC
POSICIONADOR CORONARIANO STARFISH MEDTRONIC 28800 - MEDTRONIC
KIT MONITORIZACAO VAMP PLUS C/TRANSDUTOR PXVP2260 - EDWARDS
SHUNT RETO PVC CS1015A12 - EDWARDS
VASCUSHUNT SILICONE C/VALVULA T3103AS - EDWARDS
PINCEL P/ENDODIATERMIA 20GA DESCARTAVEL 3314 - ALCON
CONJUNTO P/PROCESSAMENTO AUTO TRANSFUSAO 84-1 - MEDTRONIC
CONJUNTO P/SEQ.PLAQUETAS - MEDTRONIC
GEL P/ULTRASSOM ECG BIOGEL 5000GRS 005B - BIOMED
LUFTAL MAX 125MG 10CAPS MASTIG. - BRISTOL
ACESSORIO P/TRANSFERENCIA SOLUCAO 1PTA PERFURANTE TRANSOFIX N 409084 - B.BRAUN
NEOZOL 30MG 7CAPS - NEOQUIMICA
NEOZOL 30MG 2X7CAPS - NEOQUIMICA
MICROMOLA PLATINA 2MMX2CM SIST.10 SOFT HELICAL MICROPLEX 100202HC-S-V - CMS
CANULA ARTERIAL 22FR 7,3MM 23CM JOSTRA A22-2107 - MAQUET
CANULA ARTERIAL 24FR 8,0MM 23CM JOSTRA AS-24 - MAQUET
INTRODUTOR PUNCAO (INPUT TS 5F 11CM C/VALVA ROXO) MEDTRONIC 051102A MI010 - BIOCATH
INTRODUTOR PUNCAO (INPUT TS 6F 11CM C/VALVA VERDE) MEDTRONIC 061102A MI006 - BIOCATH
INTRODUTOR PUNCAO 7FR 6207 - MEDTRONIC
INTRODUTOR PUNCAO (INPUT TS 8F 11CM C/VALVA AZUL) MEDTRONIC 081102A MI008 - BIOCATH
MICROMOLA PLATINA 2MMX3CM SIST.10 SOFT HELICAL MICROPLEX 100203HC-S-V - CMS
MICROMOLA PLATINA 2MMX4CM SIST.10 SOFT HELICAL MICROPLEX 100204HC-S-V - CMS
MICROMOLA PLATINA 2MMX6CM SIST.10 SOFT HELICAL MICROPLEX 100206HC-S-V - CMS
MICROMOLA PLATINA 3MMX4CM SIST.10 SOFT HELICAL MICROPLEX 100304HC-S-V - CMS
MICROMOLA PLATINA 3MMX6CM SIST.10 SOFT HELICAL MICROPLEX 100306HC-S-V - CMS
MICROMOLA PLATINA 3MMX8CM SIST.10 SOFT HELICAL MICROPLEX 100308HC-S-V - CMS
MICROMOLA PLATINA 3MMX10CM SIST.10 SOFT HELICAL MICROPLEX 100310HC-S-V - CMS
MICROMOLA PLATINA 4MMX4CM SIST.10 SOFT HELICAL MICROPLEX 100404HC-S-V - CMS
MICROMOLA PLATINA 4MMX6CM SIST.10 SOFT HELICAL MICROPLEX 100406HC-S-V - CMS
MICROMOLA PLATINA 4MMX8CM SIST.10 SOFT HELICAL MICROPLEX 100408HC-S-V - CMS
MICROMOLA PLATINA 4MMX10CM SIST.10 SOFT HELICAL MICROPLEX 100410HC-S-V - CMS
MICROMOLA PLATINA 5MMX15CM SIST.10 HELICAL REGULAR MICROPLEX 100515HC-S-V - CMS
MICROMOLA PLATINA 5MMX20CM SIST.10 HELICAL REGULAR MICROPLEX 100520HC-S-V - CMS
MICROMOLA PLATINA 6MMX15CM SIST.10 HELICAL REGULAR MICROPLEX 100615HC-S-V - CMS
MICROMOLA PLATINA 6MMX20CM SIST.10 HELICAL REGULAR MICROPLEX 100620HC-S-V - CMS
MICROMOLA PLATINA 7MMX20CM SIST.10 HELICAL REGULAR MICROPLEX 100720HC-S-V - CMS
MICROMOLA PLATINA 7MMX30CM SIST.10 HELICAL REGULAR MICROPLEX 100730HC-S-V - CMS
MICROMOLA PLATINA 8MMX20CM SIST.10 HELICAL REGULAR MICROPLEX 100820HC-S-V - CMS
MICROMOLA PLATINA 8MMX30CM SIST.10 HELICAL REGULAR MICROPLEX 100830HC-S-V - CMS
MICROMOLA PLATINA 9MMX30CM SIST.10 HELICAL REGULAR MICROPLEX 100930HC-S-V - CMS
MICROMOLA PLATINA 2MMX4CM SIST.18 HELICAL SOFT MICROPLEX 180204HC-S-V - CMS
MICROMOLA PLATINA 2MMX8CM SIST.18 HELICAL SOFT MICROPLEX 180208HC-S-V - CMS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
227
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000067714
0000067715
0000067716
0000067717
0000067718
0000067719
0000067720
0000067721
0000067722
0000067723
0000067724
0000067725
0000067726
0000067727
0000067728
0000067729
0000067730
0000067751
0000067752
0000067753
0000067754
0000067755
0000067756
0000067758
0000067761
0000067762
0000067763
0000067764
0000067765
0000067766
0000067767
0000067768
0000067769
0000067770
0000067771
0000067772
0000067773
0000067774
0000067856
0000067857
0000067858
0000067860
0000067914
0000067935
0000067936
0000067940
0000067948
DESCRICAO
MICROMOLA PLATINA 3MMX4CM SIST.18 HELICAL SOFT MICROPLEX 180304HC-S-V - CMS
MICROMOLA PLATINA 3MMX8CM SIST.18 HELICAL SOFT MICROPLEX 180308HC-S-V - CMS
MICROMOLA PLATINA 4MMX6CM SIST.18 HELICAL SOFT MICROPLEX 180406HC-S-V - CMS
MICROMOLA PLATINA 4MMX10CM SIST.18 HELICAL SOFT MICROPLEX 180410HC-S-V - CMS
MICROMOLA PLATINA 5MMX12CM SIST.18 HELICAL SOFT MICROPLEX 180512HC-S-V - CMS
MICROMOLA PLATINA 6MMX15CM SIST.18 HELICAL SOFT MICROPLEX 180615HC-S-V - CMS
MICROMOLA PLATINA 5MMX20CM SIST.18 HELICAL REGULAR MICROPLEX 180520HC-R-V - CMS
MICROMOLA PLATINA 6MMX20CM SIST.18 HELICAL REGULAR MICROPLEX 180620HC-R-V - CMS
MICROMOLA PLATINA 7MMX30CM SIST.18 HELICAL REGULAR MICROPLEX 180730HC-R-V - CMS
MICROMOLA PLATINA 8MMX30CM SIST.18 HELICAL REGULAR MICROPLEX 180830HC-R-V - CMS
MICROMOLA PLATINA 9MMX30CM SIST.18 HELICAL REGULAR MICROPLEX 180930HC-R-V - CMS
MICROMOLA PLATINA 10MMX30CM SIST.18 HELICAL REGULAR MICROPLEX 181030HC-R-V - CMS
MICROMOLA PLATINA 12MMX30CM SIST.18 HELICAL REGULAR MICROPLEX 181230HC-R-V - CMS
MICROMOLA PLATINA 14MMX30CM SIST.18 HELICAL REGULAR MICROPLEX 181430HC-R-V - CMS
MICROMOLA PLATINA 16MMX30CM SIST.18 HELICAL REGULAR MICROPLEX 181630 HC-R-V - CMS
MICROMOLA PLATINA 18MMX30CM SIST.18 HELICAL REGULAR MICROPLEX 181830HC-R-V - CMS
MICROMOLA PLATINA 20MMX30CM SIST.18 HELICAL REGULAR MICROPLEX 182030HC-R-V - CMS
MICROMOLA PLATINA 2MMX4CM SIST.10 3D MICROPLEX COMPLEX 100204CC-V - CMS
MICROMOLA PLATINA 3MMX7CM SIST.10 3D MICROPLEX COMPLEX 100307CC-V - CMS
MICROMOLA PLATINA 4MMX10CM SIST.10 3D MICROPLEX COMPLEX 100410CC-V - CMS
MICROMOLA PLATINA 5MMX12CM SIST.10 3D MICROPLEX COMPLEX 100512CC-V - CMS
MICROMOLA PLATINA 7MMX18CM SIST.10 3D MICROPLEX COMPLEX 100718CC-V - CMS
MICROMOLA PLATINA 8MMX20CM SIST.10 3D MICROPLEX COMPLEX 100820CC-V - CMS
MICROMOLA PLATINA 10MMX26CM SIST.10 3D MICROPLEX COMPLEX 101026CC-V - CMS
MICROMOLA PLATINA 4MMX10CM SIST.18 3D MICROPLEX COMPLEX 180410CC-V - CMS
MICROMOLA PLATINA 5MM12CM SIST.18 3D MICROPLEX COMPLEX 180512CC-V - CMS
MICROMOLA PLATINA 6MMX15CM SIST.18 3D MICROPLEX COMPLEX 180615CC-V - CMS
MICROMOLA PLATINA 7MMX17CM SIST.18 3D MICROPLEX COMPLEX 180717CC-V - CMS
MICROMOLA PLATINA 8MMX20CM SIST.18 3D MICROPLEX COMPLEX 180820CC-V - CMS
MICROMOLA PLATINA 9MMX23CM SIST.18 3D MICROPLEX COMPLEX 180923CC-V - CMS
MICROMOLA PLATINA 10MMX26CM SIST.18 3D MICROPLEX COMPLEX 181026CC-V - CMS
MICROMOLA PLATINA 11MMX28CM SIST.18 3D MICROPLEX COMPLEX 181128CC-V - CMS
MICROMOLA PLATINA 12MMX31CM SIST.18 3D MICROPLEX COMPLEX 181231CC-V - CMS
MICROMOLA PLATINA 13MMX32CM SIST.18 3D MICROPLEX COMPLEX 181332CC-V - CMS
MICROMOLA PLATINA 14MMX34CM SIST.18 3D MICROPLEX COMPLEX 181434CC-V - CMS
MICROMOLA PLATINA 16MMX39CM SIST.18 3D MICROPLEX COMPLEX 181639CC-V - CMS
MICROMOLA PLATINA 18MMX44CM SIST.18 3D MICROPLEX COMPLEX 181844CC-V - CMS
MICROMOLA PLATINA 20MMX50CM SIST.18 3D MICROPLEX COMPLEX 182050CC-V - CMS
FIO GUIA .014"X185CM RETO HIDROFILICO MDS - CMS
FIO GUIA .014"X185CM ANGULADO HIDROFILICO MDS - CMS
SULFATO GENTAMICINA GEN.80MG/2ML 1AMP 2ML - NEOQUIMICA
GEL P/ULTRASSOM ECG BIOGEL 300GRS 003F - BIOMED
CONJUNTO DILATADORES 20/24FR (JCDS) - E.TAMUSSINO
CATETER ARTERIAL FEMORAL 20GA AR75020 ARROW FA04020 - GABMED
EXTENSOR 12FRX60CM C/TORNEIRA GB-12060T - GABMED
SLING (FAIXA) STRATSIS TF (KIT) COOK STFK-8-2X40 - HANDLE
COMPRESSA GAZE 7,5CMX7,5CM 13FIOS C/FIO RX 500UNID C22113 - NEVE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
228
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000067952
0000067962
0000067963
0000067965
0000067967
0000067968
0000067969
0000067970
0000067974
0000067975
0000067977
0000067979
0000067980
0000067992
0000067998
0000068000
0000068001
0000068170
0000068171
0000068172
0000068174
0000068175
0000068179
0000068180
0000068181
0000068213
0000068214
0000068215
0000068328
0000068329
0000068330
0000068331
0000068332
0000068333
0000068334
0000068339
0000068340
0000068341
0000068342
0000068343
0000068344
0000068345
0000068349
0000068369
0000068377
0000068380
0000068382
DESCRICAO
AGULHA P/PUNCAO - GRIFOLS
CESTA P/EXTRACAO CALCULO URETERAL - GRIFOLS
CATETER NEFROSTOMIA - GRIFOLS
CONJUNTO NEFROSTOMIA NEPHROSOFT 5KITS - - GRIFOLS
STENT URETERAL DUPLO J OPTIPUR - GRIFOLS
STENT URETERAL DUPLO J OPTIFLEX - GRIFOLS
STENT URETERAL DUPLO J OPTISOFT - GRIFOLS
CATETER DUPLO J P/TRANSPLANTE RENAL OPTISOFT - GRIFOLS
GUIA TEFLONADA - GRIFOLS
GUIA NITINOL - GRIFOLS
CATETER BALAO ANGIOPLASTIA PERIFERICA P1 PTA - GRIFOLS
CATETER P/ANGIOGRAFIA CENTIMETRADO - GRIFOLS
ELETRODO FO-FORAMEN OVALE KIT C/2 AD-TECH FO04K-SP05X - PHYSIOMED
PAPEL CREPADO BRANCO 40CMX40CM PROTECT PAPER F07703 - POLAR FIX
DRAMIN B-6 10AMP 1ML - NYCOMED
FLOGORAL 1,5MG/ML COLUT.TRADIC.150ML - ACHE
TRANSPULMIN 13,33MG/ML XPE ADU.150ML - ACHE
MENOPUR 75UI PO LIOF.1AMP+1AMP DIL.1ML - FERRING
DORMONID 7,5MG 20CPDS - ROCHE
DORMONID 7,5MG 30CPDS - ROCHE
LEXOTAN 3MG 30CPDS - ROCHE
LEXOTAN 6MG 30CPDS - ROCHE
IVERMEC 6MG 2CPDS - UCI-FARMA
IVERMEC 6MG 4CPDS - UCI-FARMA
PENTALAC XPE.120ML - UCI-FARMA
CITALOR 80MG 30CPDS REV. - PFIZER
LIPITOR 40MG 30CPDS REV. - PFIZER
LIPITOR 80MG 30CPDS REV. - PFIZER
EXTENSAO REUT.RETA P/CANETA ELETROCIR.34,3CM COMP.N/ESTER.VALLEYLAB E1504 - COVIDIEN
TROCARTER VERSAPORT V2 5MM ROXO VERSAPORT AUTO SUTURE 179094 - COVIDIEN
TROCARTER VERSAPORT V2 5-11MM VERDE VERSAPORT AUTO SUTURE 179095P - COVIDIEN
TROCARTER VERSAPORT V2 5-12MM PRETO VERSAPORT AUTO SUTURE 179096P - COVIDIEN
TROCARTER VERSAPORT V2 5-12MM LONGO PRETO VERSAPORT AUTO SUTURE 179097P - COVIDIEN
TROCARTER PONTA ROMBA 10MM TP.HASSON BLUNTIP AUTO SUTURE T10BT - COVIDIEN
TROCARTER PONTA ROMBA 12MM TP.HASSON BLUNTTIP AUTO SUTURE T12BT - COVIDIEN
CARGA P/GRAMPEADOR ENDO GIA UNIVERSAL 45-2.0MM CINZA DESC.AUTO SUTURE 030426 - COVIDIEN
CARGA P/GRAMPEADOR ENDO GIA UNIVERSAL 60-2.5MM BRANCO DESC.AUTO SUTURE 030412 - COVIDIEN
CARGA P/GRAMPEADOR ENDO GIA UNIVERSAL 30-2.0MM CINZA DESC.AUTO SUTURE 030416 - COVIDIEN
CARGA P/GRAMPEADOR ENDO GIA UNIVERSAL 30-2.5MM BRANCO DESC.AUTO SUTURE 030418 - COVIDIEN
CARGA P/GRAMPEADOR ENDO GIA UNIVERSAL 30-3.5MM AZUL DESC.AUTO SUTURE 030419 - COVIDIEN
CARGA ARTIC.P/GRAMPEADOR ENDO GIA UNIVERSAL 45MM-2.5MM BRANCO DESC.AUTO SUTURE 030454 - COVIDIEN
CARGA ARTIC.P/GRAMPEADOR ENDO GIA UNIVERSAL 45MM-3.5MM DESC.AUTO SUTURE 030455 - COVIDIEN
PINCA ROTICULATOR 5MM P/LAPAROSC.ENDO GRASP AUTO SUTURE 174233 - COVIDIEN
TOBRAMICINA+DEXAMETASONA GEN.3+1MG/ML SUSP.OFT.5ML - ALCON
GRAMPEADOR LINEAR 12MM DESC.ENDO GIA UNIVERSAL AUTO SUTURE 030449 - COVIDIEN
ACICLOVIR GEN.200MG 25CPDS - SANDOZ
DOXICICLINA GEN.100MG 20CPDS - HEXAL
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
229
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000068384
0000068385
0000068387
0000068388
0000068389
0000068390
0000068391
0000068393
0000068394
0000068396
0000068403
0000068406
0000068407
0000068408
0000068411
0000068413
0000068415
0000068417
0000068418
0000068419
0000068420
0000068421
0000068424
0000068425
0000068426
0000068427
0000068428
0000068430
0000068431
0000068432
0000068433
0000068437
0000068443
0000068445
0000068447
0000068448
0000068455
0000068456
0000068458
0000068459
0000068460
0000068482
0000068483
0000068484
0000068489
0000068490
0000068492
DESCRICAO
LORSAR HCT 50+12,5MG 2X15CPDS - HEXAL
CLORIDRATO FLUOXETINA GEN.20MG 20CAPS - SANDOZ
DIMETILIV 40MG 20CPDS - EMS
DIMETILIV 75MG/ML GTS.15ML - EMS
DIMETILIV MAX 125MG 10CAPS GEL - EMS
FLUCOCIN 150MG 2CAPS - EMS
INFRALAX 300+30+125+50MG 30CPDS - EMS
CLORIDRATO TERBINAFINA GEN.250MG 14CPDS - EMS GENERICOS
CLORIDRATO TERBINAFINA GEN.250MG 2BLX14CPDS - EMS GENERICOS
DIPRIVAN 20MG/ML EMU.INJ.1FA 50ML - ASTRAZENECA
REOPRO 10MG 1FA 5ML - ELI LILLY
XATRAL OD 30CPDS - SANOFI-AVENTIS
CATETER IMPLANTAVEL BROVIAC 4,2FRX71CM BARD 600060 - POLITEC
CATETER IMPLANTAVEL BROVIAC 1 LUMEN 4,2FRX71CM BARD 600520 - POLITEC
METALYSE 40MG PO LIOF.1FA+SER.DIL.8ML - BOEHRINGER
MICARDIS HCT 40+12,5MG 14CPDS - BOEHRINGER
MICARDIS HCT 80+12,5MG 14CPDS - BOEHRINGER
FLUCOMED 150MG 1CAP GEL DURA - CIMED
HIDROMED 25MG 20CPDS - CIMED
HIDROMED 50MG 20CPDS - CIMED
PROPRAMED 40MG 20CPDS - CIMED
PROPRAMED 80MG 20CPDS - CIMED
VALERIMED 50MG 20CPDS - CIMED
CAMPO OPERATORIO DELICATO PRE-LAV.10X9CM C/FIO RX/ETO EMB.SIMPLES ESTERIL 5UNID 212.969 - CREMER
CAMPO OPERATORIO DELICATO PRE-LAV.25X28CM C/FIO RX/ETO EMB.SIMPLES ESTERIL 5UNID 199.031 - CREMER
BETAMETASONA GEN.ELIX.120ML - MEDLEY
SULFATO TERBUTALINA+GUAIFENESINA GEN.0,3MG XPE.100ML - MEDLEY
SULFATO SALBUTAMOL GEN.0,4MG XPE.120ML - MEDLEY
CLORIDRATO SERTRALINA GEN.50MG 30CPDS - MEDLEY
DICLORIDRATO CETIRIZINA GEN.10MG 6CPDS - MEDLEY
DICLORIDRATO CETIRIZINA GEN.10MG 2X6CPDS - MEDLEY
ELETRODO ENDOCARDICO BIP.FIX.PASSIVA SOLOX - BIOTRONIK
CATETER DIAGNOSTICO DECAPOLAR (5F/6F) MULTICATH (VARIAS CURVAS) - BIOTRONIK
CATETER DIAGNOSTICO DEFLECTIVEL QUADRIPOLAR 6F VIACATH - BIOTRONIK
CATETER DIAGNOSTICO DEFLECTIVEL DUODECAPOLAR 6F VIACATH - BIOTRONIK
CATETER DIAGNOSTICO DEFLECTIVEL DECAPOLAR 6F VIACATH - BIOTRONIK
KIT CATETER DUPLO LUMEN P/HEMOD.PRE-CURVADO 11,5FX15CM XTP-116IJSE MEDCOMP - MEDCORP
KIT CATETER DUPLO LUMEN P/HEMOD.PRE-CURVADO 11,5FX20CM XTP-118IJSE MEDCOMP - MEDCORP
KIT CATETER LONGA PERM.DUPLO LUMEN A.FLUXO 12,5FX28CM PL-28 MEDCOMP - MEDCORP
KIT CATETER LONGA PERM.DUPLO LUMEN A.FLUXO 12,5FX32CM PL-32 MEDCOMP - MEDCORP
KIT CATETER ASH-SPLIT LONGA PERMANENCIA C/FLUXO INDEPEN.14FRX40CM MEDCOMP ASPC40-3E - MEDCORP
SEVOCRIS 100ML - CRISTALIA
CLORIDRATO AMBROXOL GEN.6MG/ML XPE.120ML - CRISTALIA
CLORIDRATO AMBROXOL GEN.3MG/ML XPE.120ML - CRISTALIA
DENYL 20MG 14CPDS - CRISTALIA
DENYL 20MG 4X7CPDS - CRISTALIA
NEURAL 25MG 3X10CPDS - CRISTALIA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
230
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000068493
0000068494
0000068495
0000068503
0000068504
0000068505
0000068506
0000068508
0000068509
0000068510
0000068512
0000068513
0000068518
0000068520
0000068521
0000068526
0000068531
0000068532
0000068536
0000068544
0000068546
0000068548
0000068788
0000068790
0000068792
0000068793
0000068794
0000068796
0000068797
0000068799
0000068800
0000068814
0000068815
0000068816
0000068838
0000068843
0000068844
0000068846
0000068875
0000068878
0000068879
0000068880
0000068881
0000068882
0000068883
0000068884
0000068885
DESCRICAO
NEURAL 50MG 3X10CPDS - CRISTALIA
NEURAL 100MG 3X10CPDS - CRISTALIA
VITADERME 50GRS - CRISTALIA
FLUXON 25MG 30CPDS - NEOQUIMICA
FLUXON 75MG 30CPDS - NEOQUIMICA
NAPRONAX 550MG 10CPDS - NEOQUIMICA
NEOCEFLEX 500MG 8CPDS - NEOQUIMICA
AMOXICILINA GEN.875MG 2STPX7CPDS REV. - EUROFARMA
CEFADROXILA GEN.250MG/5ML SUSP.ORAL 100ML - EUROFARMA
FINASTERIDA GEN.5MG 30CPDS - EUROFARMA
TAMIRAM 500MG 3CPDS - EUROFARMA
FINASTERIDA GEN.1MG 30CPDS - EUROFARMA
AMOXICILINA GEN.400MG/5ML SUSP.ORAL 100ML+SER.DOSAD. - EUROFARMA
VELAMOX 250MG/5ML SUSP.ORAL 150ML - SIGMA PHARMA
LANZ 30MG 2X7CAPS GEL.DURA - SIGMA PHARMA
GLI-ALCOOL 70% C/GLICERINA 2% 1000ML 0401 - RIOQUIMICA
RIOHEX 2% DEGERMANTE PUMP 500ML 0646 - RIOQUIMICA
RIOHEX SCRUB DISPLAY - RIOQUIMICA
SISTEMA P/DRENAGEM 100ML MEDIASTINAL (SDM) - ZAMMI
ENALPRIN 5MG 30CPDS - ROYTON
ENALPRIN 10MG 30CPDS - ROYTON
ENALPRIN 20MG 30CPDS - ROYTON
EXTENSOR SIMPLES 20CM EXTENSET AZC9614 - BAXTER
EXTENSOR SIMPLES 40CM EXTENSET AZC9615 - BAXTER
EXTENSOR SIMPLES 60CM EXTENSET AZC9616 - BAXTER
EXTENSOR SIMPLES 120CM EXTENSET AZC9617 - BAXTER
EXTENSOR 2VIAS CURTO EXTENSET AZC9677 - BAXTER
EXTENSOR 2VIAS LONGO EXTENSET AZC9678 - BAXTER
EXTENSOR 4VIAS LONGO EXTENSET AZC9682 - BAXTER
EXTENSOR 1VIA C/FILTRO 0,22 MILIPORE EXTENSET AZC9685 - BAXTER
EXTENSOR 1VIA C/FILTRO 0,22 MILIPORE INJ.LAT.EXTENSET AZC9686 - BAXTER
EXTENSOR MICROVOL.91,4CM (36") PRIME 0,33ML 2N3345 - BAXTER
EXTENSOR MICROVOL.152,4CM (60") PRIME 0,50ML 2N3348 - BAXTER
EXTENSOR MACROVOL.ALT.FLUXO 152,4CM (60") PRIME 2,14ML 2N3349 - BAXTER
BESILATO ANLODIPINO GEN.5MG 20CPDS - SANDOZ
BESILATO ANLODIPINO GEN.5MG 30CPDS - SANDOZ
BESILATO ANLODIPINO GEN.10MG 20CPDS - SANDOZ
BESILATO ANLODIPINO GEN.10MG 30CPDS - SANDOZ
TELA TITANIO 206X123X0,3MM 1,5MM W.LORENZ 01-7250 - INTERMEDIC
PLACA ANGULADA 6FUROS MEDIA W.LORENZ 01-9228 - INTERMEDIC
PLACA ANGULADA 8FUROS MEDIA W.LORENZ 01-9229 - INTERMEDIC
PLACA "V" 9FUROS 2,0/2,4MM W.LORENZ 01-9235 - INTERMEDIC
PLACA MATRIX 2X4 REGULAR 2,0/2,4MM W.LORENZ 01-9274 - INTERMEDIC
PLACA MATRIX 2X4 LONGA 2,0/2,4MM W.LORENZ 01-9276 - INTERMEDIC
PLACA MATRIX CURVA 2X4 LONGA 2,0/2,4MM W.LORENZ 01-9277 - INTERMEDIC
PLACA MATRIX 2X6 REGULAR 2,0/2,4MM W.LORENZ 01-9278 - INTERMEDIC
PLACA MATRIX 2X6 LONGA 2,0/2,4MM W.LORENZ 01-9279 - INTERMEDIC
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
231
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000068886
0000068887
0000068888
0000068889
0000068890
0000068891
0000068892
0000068893
0000068894
0000068895
0000068896
0000068897
0000068898
0000068899
0000068900
0000068901
0000068902
0000068903
0000068904
0000068905
0000068906
0000068907
0000068908
0000068909
0000068910
0000068911
0000068912
0000068913
0000069216
0000069217
0000069218
0000069219
0000069220
0000069221
0000069222
0000069223
0000069224
0000069225
0000069226
0000069227
0000069228
0000069229
0000069230
0000069231
0000069232
0000069233
0000069234
DESCRICAO
PLACA MATRIX CURVA 2X6 REGULAR 2,0/2,4MM W.LORENZ 01-9280 - INTERMEDIC
PLACA MATRIX CURVA 2X8 REGULAR 2,0/2,4MM W.LORENZ 01-9285 - INTERMEDIC
PLACA PONTE "Y" 3FUROS 1,5MM W.LORENZ 01-2653 - INTERMEDIC
PLACA PONTE RETA 4FUROS 1,5MM W.LORENZ 01-2654 - INTERMEDIC
PLACA PONTE RETA 5FUROS 1,5MM W.LORENZ 01-2655 - INTERMEDIC
PLACA PONTE RETA 6FUROS 1,5MM W.LORENZ 01-2656 - INTERMEDIC
PLACA PONTE CURVA 4FUROS 1,5MM W.LORENZ 01-2664 - INTERMEDIC
PLACA PONTE CURVA 6FUROS 1,5MM W.LORENZ 01-2666 - INTERMEDIC
PLACA PONTE PARALELA 12FUROS 1,5MM W.LORENZ 01-2668 - INTERMEDIC
PLACA COMPRESSAO RETA 4FUROS 2,0/2,4MM W.LORENZ 24-1052 - INTERMEDIC
PLACA COMPRESSAO RETA 6FUROS LONGA 2,0/2,4MM W.LORENZ 24-1056 - INTERMEDIC
PLACA COMPRESSAO RETA 8FUROS 2,0/2,4MM W.LORENZ 24-1058 - INTERMEDIC
PLACA COMPRESSAO ORBITAL 6FUROS 2,0/2,4MM W.LORENZ 24-1068 - INTERMEDIC
PLACA COMPRESSAO ANGULADA 6FUROS 2,0/2,4MM W.LORENZ 24-1064 - INTERMEDIC
PLACA COMPRESSAO ANGULADA 8FUROS 2,0/2,4MM W.LORENZ 24-1066 - INTERMEDIC
PARAFUSO H.T.2,4X6,0MM W.LORENZ 91-2406 - INTERMEDIC
PARAFUSO H.T.2,4X8,0MM W.LORENZ 91-2408 - INTERMEDIC
PARAFUSO H.T.2,4X10,0MM W.LORENZ 91-2410 - INTERMEDIC
PARAFUSO H.T.2,4X12,0MM W.LORENZ 91-2412 - INTERMEDIC
PARAFUSO H.T.2,4X14,0MM W.LORENZ 91-2414 - INTERMEDIC
PARAFUSO H.T.2,4X16,0MM W.LORENZ 91-2416 - INTERMEDIC
PARAFUSO CRUZ 2,7X06MM 91-2706 - - INTERMEDIC
PARAFUSO H.T.EMERGENCIA 2,7X8MM W.LORENZ 91-2708 - INTERMEDIC
PARAFUSO H.T.EMERGENCIA 2,7X10MM W.LORENZ 91-2710 - INTERMEDIC
TELA LACT 20X20F W.LORENZ 915-2430 - INTERMEDIC
TELA PRE MOLDADA ORBITAL ESQ.W.LORENZ 915-2808 - INTERMEDIC
TELA PRE MOLDADA ORBITAL DIR.W.LORENZ 915-2809 - INTERMEDIC
TELA S/FURO 100X100MM 0,75 W.LORENZ 915-2834 - INTERMEDIC
FIO CATGUT SIMPLES AMIGDALA 3-0 75CM AG.2CM CS13130 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES GASTRO 3-0 75CM AG.2,5CM CS14130 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES GASTRO 1 75CM AG.3CM CS15101 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES GASTRO 0 75CM AG.3CM CS15110 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES GASTRO 2-0 75CM AG.3CM CS15120 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES GASTRO 3-0 75CM AG.3CM CS15130 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES GASTRO 4-0 75CM AG.3CM CS15140 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES GASTRO 2-0 75CM AG.2CM CS23120 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES GASTRO 3-0 75CM AG.2CM CS23130 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES GASTRO 4-0 75CM AG.2CM CS23140 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES GASTRO 5-0 75CM AG.2CM CS23150 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES GASTRO 0 75CM AG.2,5CM CS24110 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES GASTRO 2-0 75CM AG.2,5CM CS24120 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES GASTRO 3-0 75CM AG.2,5CM CS24130 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES GASTRO 0 75CM AG.3CM CS25110 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES GASTRO 2-0 75CM AG.3CM CS25120 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES GASTRO 3-0 75CM AG.3CM CS25130 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES GASTRO 0 75CM AG.3,5CM CS86110 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES GASTRO 2-0 75CM AG.3,5CM CS86120 - COVIDIEN(POLYSUTURE)
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
232
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000069235
0000069236
0000069237
0000069238
0000069239
0000069240
0000069241
0000069242
0000069243
0000069244
0000069245
0000069246
0000069247
0000069248
0000069249
0000069250
0000069251
0000069252
0000069267
0000069268
0000069269
0000069270
0000069271
0000069273
0000069274
0000069275
0000069276
0000069277
0000069278
0000069279
0000069280
0000069281
0000069282
0000069283
0000069284
0000069285
0000069286
0000069287
0000069288
0000069289
0000069290
0000069291
0000069292
0000069293
0000069294
0000069296
0000069297
DESCRICAO
FIO CATGUT SIMPLES FECH.GERAL 1 75CM AG.3,5CM CS26101 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES FECH.GERAL 0 75CM AG.3,5CM CS26110 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES FECH.GERAL 2-0 75CM AG.3,5CM CS26120 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES FECH.GERAL 2 75CM AG.4,0CM CS27102 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES FECH.GERAL 1 75CM AG.4CM CS27101 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES FECH.GERAL 0 75CM AG.4CM CS27110 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES FECH.GERAL 2-0 75CM AG.4CM CS27120 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES FECH.GERAL 1 90CM AG.5CM CS29101 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES FECH.GERAL 0 90CM AG.5CM CS29110 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES FECH.GERAL 2-0 90CM AG.5CM CS29120 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES FECH.GERAL 0 75CM AG.3,0CM CS85110 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES LAC.FECH.GERAL 0 1,5M AG.4CM CS87110 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES LAC.FECH.GERAL 2-0 1,5M AG.4CM CS87120 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES AMIGDALA 2-0 75CM AG.2CM CS13120 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES CUTICULAR 4-0 45CM AG.1,5CM CS52140 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES CUTICULAR 5-0 45CM AG.1,5CM CS52150 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES UROLOGIA 4-0 75CM AG.1,5CM CS22140 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES UROLOGIA 5-0 75CM AG.1,5CM CS22150 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 2-0 75CM AG.2,0CM CC13220 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 1 75CM AG.3CM CC15201 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 0 75CM AG.3CM CC15210 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 2-0 75CM AG.3CM CC15220 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 3-0 75CM AG.3,0CM CC15230 - COVIDIEN(POLYSUTURE)
SPIROCTAN 25MG 30CPDS - BIOLAB SANUS
FIO CATGUT CROMADO GASTRO 4-0 75CM AG.3CM CC15240 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 1 75CM AG.5CM CC19201 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 0 75CM AG.5,0CM CC19210 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 2-0 75CM AG.5CM CC19220 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 2-0 75CM AG.2CM CC23220 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 3-0 75CM AG.2CM CC23230 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 4-0 75CM AG.2CM CC23240 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 5-0 75CM AG.2CM CC23250 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 0 75CM AG.2,5CM CC24210 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 2-0 75CM AG.2,5CM CC24220 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 3-0 75CM AG.2,5CM CC24230 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 4-0 75CM AG.2,5CM CC24240 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 1 75CM AG.3CM CC25201 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 0 75CM AG.3CM CC25210 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 2-0 75CM AG.3CM CC25220 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 3-0 75CM AG.3CM CC25230 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 4-0 75CM AG.3,0CM CC25240 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 1 75CM AG.3,5CM CC86201 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 0 75CM AG.3,5CM CC86210 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 2-0 75CM AG.3,5CM CC86220 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO 0 75CM AG.5,0CM CC99210 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO UROLOGIA 4-0 75CM AG.1,5CM CC22240 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO UROLOGIA 5-0 75CM AG.1,5CM CC22250 - COVIDIEN(POLYSUTURE)
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
233
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000069298
0000069299
0000069300
0000069301
0000069302
0000069303
0000069304
0000069305
0000069306
0000069307
0000069308
0000069309
0000069310
0000069311
0000069312
0000069313
0000069314
0000069315
0000069316
0000069317
0000069318
0000069319
0000069320
0000069321
0000069322
0000069323
0000069324
0000069325
0000069326
0000069327
0000069328
0000069329
0000069330
0000069331
0000069332
0000069333
0000069334
0000069335
0000069336
0000069337
0000069338
0000069339
0000069340
0000069341
0000069342
0000069343
0000069344
DESCRICAO
FIO CATGUT CROMADO UROLOGIA 6-0 75CM AG.1,3CM CC81260 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO FECH.G.GIN/OBST.2 75CM AG.3,5CM CC26202 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO FECH.G.GIN/OBST.1 75CM AG.3,5CM CC26201 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO FECH.G.OB GIN.0 75CM AG.3,5CM CC26210 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO FECH.G.GIN/OBST.2-0 75CM AG.3,5CM CC26220 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO FECH.G.OB/GIN.3-0 75CM AG.3,5CM CC26230 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO FECH.G.OB/GIN.1 75CM AG.4CM CC27201 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO FECH.G.GIN/OBST.2 75CM AG.4,0CM CC27202 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO FECH.G.OB/GIN.0 75CM AG.4CM CC27210 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO FECH.G.OB/GIN.2-0 75CM AG.4CM CC27220 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO FECH.G.GIN/OBST.0 90CM AG.4,0CM CC97210 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO FECH.G.OB/GIN.1 90CM AG.5CM CC29201 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO FECH.G.OB/GIN.0 90CM AG.5CM CC29210 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO FECH.G.GIN/OBST.2-0 90CM AG.5CM CC29220 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO LAC.FECH.G.OB/GIN.0 1,5M AG.4CM CC87210 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO LAC.FECH.G.OB/GIN.2-0 1,5M AG.4CM CC87220 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO FECH.G.GIN/OBST.1 90CM AG.5CM CC59201 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO TEC.FRIAV.1 75CM AG.9,0CM CC89201 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO GASTRO-TEC.FRIAV.0 75CM AG.9,0CM CC89210 - COVIDIEN(POLYSUTURE)
FIO CATGUT CROMADO TEC.FRIAV.2-0 75CM AG.9,0CM CC89220 - COVIDIEN(POLYSUTURE)
FIO NYLON TRANC.PRETO 1 8X60CM S/AG.NPT301 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PRETO 0 1,5M S/AG.NP15010 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PRETO 2-0 1,5M S/AG.NP15020 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF. PRETO 3-0 1,5M S/AG.NP15030 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF. PRETO 4-0 1,5M S/AG.NP15040 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PRETO 0 2,5M S/AG.NP25010 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PRETO 2-0 2,5M S/AG.NP25020 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF. PRETO 3-0 2,5M S/AG.NP25030 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF. PRETO 4-0 2,5M S/AG.NP25040 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 0 45CM AG.2CM NP43310 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 2-0 45CM AG.2CM NP43320 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 3-0 45CM AG.2CM NP43330 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 4-0 45CM AG.2CM NP43340 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 5-0 45CM AG.2CM NP43350 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 6-0 45CM AG.2CM NP43360 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 2-0 45CM AG.2,5CM NP44320 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 3-0 45CM AG.2,5CM NP44330 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 4-0 45CM AG.2,5CM NP44340 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 4-0 3X45CM AG.2,5CM 3NP44340 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 0 45CM AG.3CM NP45310 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 2-0 45CM AG.3CM NP45320 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 3-0 45CM AG.3CM NP45330 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 3-0 3X45CM AG.3CM 3NP45330 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 4-0 45CM AG.3CM NP45340 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 2-0 45CM AG.4CM NP47320 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 2-0 3X45CM AG.4CM 3NP47320 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 3-0 45CM AG.1,5CM NP52330 - COVIDIEN(POLYSUTURE)
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
234
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000069345
0000069346
0000069347
0000069348
0000069349
0000069350
0000069351
0000069352
0000069353
0000069354
0000069355
0000069356
0000069357
0000069358
0000069359
0000069360
0000069361
0000069362
0000069363
0000069364
0000069365
0000069366
0000069367
0000069368
0000069369
0000069370
0000069371
0000069372
0000069374
0000069375
0000069376
0000069378
0000069379
0000069380
0000069381
0000069382
0000069383
0000069397
0000069398
0000069399
0000069400
0000069401
0000069402
0000069403
0000069404
0000069405
0000069406
DESCRICAO
FIO NYLON MONOF.CUTICULAR PRETO 4-0 45CM AG.1,5CM NP52340 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 5-0 45CM AG.1,5CM NP52350 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 6-0 45CM AG.1,5CM NP52360 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 4-0 45CM AG.2CM NP53340 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 3-0 45CM AG.2,5CM NP54330 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 4-0 45CM AG.2,5CM NP54340 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 5-0 45CM AG.2,5CM NP54350 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 3-0 45CM AG.3CM NP55330 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 2-0 45CM AG.6,0CM NP69320 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 3-0 45CM AG.6,0CM NP69330 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 3-0 3X45CM AG.6CM 3NP69330 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 4-0 3X45CM AG.6CM 3NP69340 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 3-0 45CM AG.2,4CM NP84330 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF. CUTICULAR PRETO 4-0 45CM AG.2,4CM NP84340 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 4-0 3X45CM AG.2,4CM 3NP84340 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PLASTICA PRETO 5-0 45CM AG.1,65CM NP82350 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PLASTICA PRETO 6-0 45CM AG.1,65CM NP82360 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PLASTICA PRETO 4-0 45CM AG.1,95CM NP83340 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PLASTICA PRETO 5-0 45CM AG.1,95CM NP83350 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PLASTICA PRETO 6-0 45CM AG.1,95CM NP83360 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.VASCULAR PRETO 5-0 75CM AG.1,5CM NP12350 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.VASCULAR PRETO 2-0 75CM AG.2CM NP13320 - COVIDIEN(POLYSUTURE)
FLUMAZEN 0,5MG/5ML SOL.INJ.5AMP 5ML - - UNIAO QUIMICA
FIO NYLON MONOF.VASCULAR PRETO 3-0 75CM AG.2CM NP13330 - COVIDIEN(POLYSUTURE)
MIDAZOLAM GEN.15MG/3ML SOL.INJ.5AMP.3ML - UNIAO QUIMICA
FIO NYLON MONOF.VASCULAR PRETO 4-0 75CM AG.2CM NP13340 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.GASTRO PRETO 0 75CM AG.2,5CM NP24310 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.GASTRO PRETO 3-0 75CM AG.3CM NP85330 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.FECH.GERAL PRETO 0 75CM AG.4CM NP27310 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PRETO FECH.GERAL 0 1,5MT LAC.AG.4,0CM NP87310 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.MICROVASC.PRETO 10-0 13CM AG.0,5CM NPM5010 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.MICROVASC.PRETO 8-0 13CM AG.0,65CM NPM6580 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.MICROVASC.PRETO 9-0 13CM AG.0,65CM NPM6590 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR BRANCO 4-0 45CM AG.2CM NB43340 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR BRANCO 4-0 45CM AG.1,5CM NB52340 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PLASTICA BRANCO 3-0 45CM AG.1,95CM NB83330 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PLASTICA BRANCO 4-0 45CM AG.1,95CM NB83340 - COVIDIEN(POLYSUTURE)
FIO ALGODAO AZUL 0 15X45CM S/AG.AA510 - COVIDIEN(POLYSUTURE)
FIO ALGODAO AZUL 2-0 15X45CM S/AG.AA520 - COVIDIEN(POLYSUTURE)
FIO ALGODAO AZUL 3-0 15X45CM S/AG.AA530 - COVIDIEN(POLYSUTURE)
FIO ALGODAO AZUL 4-0 15X45CM S/AG.AA540 - COVIDIEN(POLYSUTURE)
FIO ALGODAO GASTRO AZUL 2-0 75CM AG.2,5CM AA24520 - COVIDIEN(POLYSUTURE)
FIO ALGODAO AZUL GASTRO 2-0 3X45CM AG.2,5CM 3AA24520 - COVIDIEN(POLYSUTURE)
FIO ALGODAO GASTRO AZUL 3-0 75CM AG.2,5CM AA24530 - COVIDIEN(POLYSUTURE)
FIO ALGODAO GASTRO AZUL 4-0 75CM AG.2,5CM AA24540 - COVIDIEN(POLYSUTURE)
FIO ALGODAO GASTRO AZUL 0 75CM AG.3CM AA15510 - COVIDIEN(POLYSUTURE)
FIO ALGODAO GASTRO AZUL 4-0 3X45CM AG.2,5CM 3AA24540 - COVIDIEN(POLYSUTURE)
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
235
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000069407
0000069408
0000069409
0000069410
0000069411
0000069412
0000069414
0000069415
0000069416
0000069417
0000069418
0000069419
0000069420
0000069421
0000069423
0000069424
0000069425
0000069426
0000069427
0000069428
0000069429
0000069430
0000069431
0000069432
0000069433
0000069434
0000069435
0000069436
0000069437
0000069438
0000069439
0000069440
0000069441
0000069442
0000069443
0000069444
0000069445
0000069446
0000069447
0000069448
0000069449
0000069450
0000069451
0000069452
0000069453
0000069454
0000069455
DESCRICAO
FIO ALGODAO GASTRO AZUL 2-0 75CM AG.3CM AA15520 - COVIDIEN(POLYSUTURE)
FIO ALGODAO GASTRO AZUL 3-0 75CM AG.3CM AA15530 - COVIDIEN(POLYSUTURE)
FIO ALGODAO AZUL CUTICULAR 2-0 45CM AG.2,5CM AA44520 - COVIDIEN(POLYSUTURE)
FIO ALGODAO BRANCO 0 15X45CM S/AG.AB510 - COVIDIEN(POLYSUTURE)
FIO ALGODAO BRANCO 2-0 15X45CM S/AG.AB520 - COVIDIEN(POLYSUTURE)
FIO ALGODAO BRANCO 3-0 15X45CM S/AG.AB530 - COVIDIEN(POLYSUTURE)
FITA ALGODAO 1MMX80CM S/AGU.FC500 - COVIDIEN(POLYSUTURE)
FITA ALGODAO 2MMX40CM S/AGU.FU500 - COVIDIEN(POLYSUTURE)
FIO SEDA TRANC.PRETA 2 15X45CM S/AG.SP402 - COVIDIEN(POLYSUTURE)
FIO SEDA TRANC.PRETA 1 15X45CM S/AG.SP401 - COVIDIEN(POLYSUTURE)
FIO SEDA TRANC.PRETA 0 15X45CM S/AG.SP410 - COVIDIEN(POLYSUTURE)
FIO SEDA TRANC.PRETA 2-0 15X45CM S/AG.SP420 - COVIDIEN(POLYSUTURE)
FIO SEDA TRANC.PRETA 3-0 15X45CM S/AG.SP430 - COVIDIEN(POLYSUTURE)
FIO SEDA TRANC.PRETA 4-0 15X45CM S/AG.SP440 - COVIDIEN(POLYSUTURE)
LECTRUM 3,75MG 1FA - SANDOZ
LECTRUM 7,50MG 1FA - SANDOZ
FIO SEDA PRETA TRANCADA GASTRO 1 75CM AG.3,0CM SP15401 - COVIDIEN(POLYSUTURE)
FIO SEDA GASTRO PRETA 0 75CM AG.3CM SP15410 - COVIDIEN(POLYSUTURE)
FIO SEDA TRANC.GASTRO PRETA 2-0 75CM AG.3CM SP15420 - COVIDIEN(POLYSUTURE)
FIO SEDA TRANC.GASTRO PRETA 3-0 75CM AG.3CM SP15430 - COVIDIEN(POLYSUTURE)
FIO SEDA PRETA TRANCADA GASTRO 3-0 3X75CM AG.3,0CM 3SP15430 - COVIDIEN(POLYSUTURE)
FIO SEDA PRETA TRANCADA GASTRO 0 75CM AG.2,5CM SP24410 - COVIDIEN(POLYSUTURE)
FIO SEDA PRETA TRANCADA GASTRO 2-0 75CM AG.2,5CM SP24420 - COVIDIEN(POLYSUTURE)
FIO SEDA PRETA TRANCADA GASTRO 3-0 75CM AG.2,5CM SP24430 - COVIDIEN(POLYSUTURE)
FIO SEDA PRETA TRANCADA GASTRO 4-0 75CM AG.2,5CM SP24440 - COVIDIEN(POLYSUTURE)
FIO SEDA TRANC.VASCULAR PRETA 4-0 75CM AG.2CM SP13440 - COVIDIEN(POLYSUTURE)
FIO SEDA PRETA TRANCADA FECH.GERAL 1 75CM AG.3,5CM SP26401 - COVIDIEN(POLYSUTURE)
FIO SEDA PRETA TRANCADA FECH.GERAL 0 75CM AG.3,5CM SP26410 - COVIDIEN(POLYSUTURE)
FIO SEDA TRANC.CUTICULAR PRETA 3-0 45CM AG.2CM SP43430 - COVIDIEN(POLYSUTURE)
FIO SEDA TRANC.CUTICULAR PRETA 4-0 45CM AG.2CM SP43440 - COVIDIEN(POLYSUTURE)
FIO SEDA TRANC.CUTICULAR PRETA 5-0 45CM AG.2CM SP43450 - COVIDIEN(POLYSUTURE)
FIO SEDA TRANC.CUTICULAR PRETA 2-0 45CM AG.2,5CM SP44420 - COVIDIEN(POLYSUTURE)
FIO SEDA PRETA TRANCADA CUTICULAR 6-0 45CM AG.1,1CM SP41460 - COVIDIEN(POLYSUTURE)
FIO SEDA PRETA TRANCADA PLASTICA 6-0 45CM AG.1,6CM SP82460 - COVIDIEN(POLYSUTURE)
FIO SEDA PRETA TRANCADA ODONTO 3-0 45CM AG.2,0CM SP53430 - COVIDIEN(POLYSUTURE)
FIO SEDA PRETA TRANCADA ODONTO 3-0 45CM AG.1,7CM SP82430 - COVIDIEN(POLYSUTURE)
FIO SEDA PRETA TRANCADA ODONTO 4-0 45CM AG.1,7CM SP82440 - COVIDIEN(POLYSUTURE)
FIO SEDA TRANC.ODONTO PRETA 3-0 45CM AG.2CM SP53430-E - COVIDIEN(POLYSUTURE)
FIO SEDA TRANC.ODONTO PRETA 3-0 45CM AG.1,7CM SP82430-E - COVIDIEN(POLYSUTURE)
FIO SEDA TRANC.ODONTO PRETA 4-0 45CM AG.1,7CM SP82440-E - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF. GASTRO AZUL 3-0 75CM AG.3CM PP15630 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.GASTRO AZUL 2-0 75CM AG.3CM PP15620 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.AZUL GASTRO 0 75CM AG.2,5CM PP24610 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF. GASTRO AZUL 2-0 75CM AG.2,5CM PP24620 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.GASTRO AZUL 3-0 75CM AG.2,5CM PP24630 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.GASTRO AZUL 4-0 75CM AG.2,5CM PP24640 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.FECH.GERAL AZUL 0 75CM AG.3,5CM PP26610 - COVIDIEN(POLYSUTURE)
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
236
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000069456
0000069457
0000069458
0000069459
0000069460
0000069461
0000069462
0000069463
0000069464
0000069465
0000069466
0000069468
0000069469
0000069471
0000069472
0000069473
0000069474
0000069476
0000069477
0000069478
0000069479
0000069480
0000069481
0000069482
0000069483
0000069484
0000069485
0000069486
0000069487
0000069488
0000069489
0000069491
0000069492
0000069493
0000069494
0000069495
0000069496
0000069497
0000069498
0000069499
0000069500
0000069501
0000069502
0000069503
0000069504
0000069505
0000069506
DESCRICAO
FIO POLIPROPILENO MONOF.FECH.GERAL AZUL 2-0 75CM AG.3,5CM PP26620 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.FECH.GERAL AZUL 0 75CM AG.4CM PP27610 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.FECH.GERAL AZUL 2 3X50CM AG.7,5CM PP48602 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.CUTICULAR AZUL 4-0 45CM AG.2CM PP43640 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.CARDIOV.AZUL 6-0 60CM AG.2X1CM 2PP11660 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.CARDIOV.AZUL 7-0 60CM AG.2X1CM 2PP11670 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.CARDIOV.AZUL 8-0 60CM AG.0,9CM 2PP11680 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.CARDIOV.AZUL 7-0 75CM AG.2X1CM 2PP81670 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.CARDIOV.AZUL 8-0 60CM AG.2X0,6CM 2PP81680 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.CARDIOV.AZUL 8-0 45CM AG.2X0,6CM 2PP91680 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.AZUL CARDIOV.4-0 75CM AG.1,5CM 2PP22640 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.AZUL CARDIOV.4-0 75CM AG.1,3CM 2PP81640 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.CARDIOV.AZUL 6-0 75CM AG.2X1,3CM 2PP82660 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.CARDIOV.AZUL 7-0 60CM AG.2X1,3CM 2PP82670 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.CARDIOV.AZUL 5-0 75CM AG.1CM 2PP21650 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.CARDIOV.AZUL 2-0 75CM AG.2X2CM 2PP23620 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF. CARDIOV.AZUL 3-0 75CM AG.2X2CM 2PP23630 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.CARDIOV.AZUL 2-0 75CM AG.2X2,5CM 2PP24620 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.CARDIOV.AZUL 3-0 75CM AG.2X2,5CM 2PP24630 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.CARDIOV.AZUL 3-0 90CM AG.2X3CM 2PP25630 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.CARDIOV.AZUL 3-0 75CM AG.3,0CM 2PP27630 - COVIDIEN(POLYSUTURE)
FIO POLIESTER VERDE 0 15X45CM S/AG.PL710 - COVIDIEN(POLYSUTURE)
FIO POLIESTER VERDE 2-0 15X45CM S/AG.PL720 - COVIDIEN(POLYSUTURE)
FIO POLIESTER VERDE 3-0 15X45CM S/AG.PL730 - COVIDIEN(POLYSUTURE)
FIO POLIESTER CARDIOV.VERDE 0 75CM AG.5CM 2PL19710 - COVIDIEN(POLYSUTURE)
FIO POLIESTER CARDIOV.VERDE 2-0 75CM AG.1,5CM 2PL22720 - COVIDIEN(POLYSUTURE)
FIO POLIESTER CARDIOV.VERDE 3-0 75CM AG.2X1,5CM 2PL22730 - COVIDIEN(POLYSUTURE)
FIO POLIESTER CARDIOV.VERDE 2-0 75CM AG.2X2CM 2PL23720 - COVIDIEN(POLYSUTURE)
FIO POLIESTER CARDIOV.VERDE 2-0 75CM AG.2X2,5CM 2PL24720 - COVIDIEN(POLYSUTURE)
FIO POLIESTER CARDIOV.VERDE 3-0 75CM AG.2X2,5CM 2PL24730 - COVIDIEN(POLYSUTURE)
FIO POLIESTER CARDIOV.VERDE 4-0 75CM AG.2X1,3CM 2PL81740 - COVIDIEN(POLYSUTURE)
FIO POLIESTER FECH.ESTERNO VERDE 5 4X75CM AG.4,7CM PL88705 - COVIDIEN(POLYSUTURE)
FIO POLIESTER ORTOPEDIA VERDE 2 75CM AG.4CM PL27702 - COVIDIEN(POLYSUTURE)
FIO POLIESTER BRANCO 5-0 3X75CM S/AG.3PLB750 - COVIDIEN(POLYSUTURE)
FIO POLIESTER BRANCO 6-0 3X75CM S/AG.3PLB760 - COVIDIEN(POLYSUTURE)
FIO POLIESTER BRANCO ESPEC.VALVULA 5-0 75CM AG.1,0CM PL91750 - COVIDIEN(POLYSUTURE)
FIO POLIESTER BRANCO ESPEC.VALVULA 5-0 75CM AG.1,5CM PL92750 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL CUTICULAR VIOLETA 3-0 45CM AG.1,9CM 133030 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL CUTICULAR VIOLETA 4-0 45CM AG.1,9CM 133040 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL CUTICULAR VIOLETA 5-0 45CM AG.1,9CM 133050 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL CUTICULAR BEGE 3-0 45CM AG.2,4CM 143030 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL GASTRO VIOLETA 2-0 70CM AG.3CM 151020 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL GASTRO VIOLETA 3-0 70CM AG.3CM 151030 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL GASTRO VIOLETA 3-0 70CM AG.2CM 231030 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL GASTRO VIOLETA 4-0 70CM AG.2CM 231040 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL GASTRO VIOLETA 0 70CM AG.2,6CM 241000 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL GASTRO VIOLETA 2-0 70CM AG.2,6CM 241020 - COVIDIEN(POLYSUTURE)
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
237
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000069507
0000069508
0000069509
0000069510
0000069511
0000069512
0000069513
0000069514
0000069515
0000069516
0000069517
0000069518
0000069519
0000069520
0000069521
0000069522
0000069523
0000069524
0000069525
0000069526
0000069527
0000069528
0000069529
0000069530
0000069531
0000069532
0000069533
0000069534
0000069535
0000069536
0000069537
0000069538
0000069539
0000069540
0000069541
0000069542
0000069543
0000069544
0000069545
0000069546
0000069547
0000069548
0000069549
0000069550
0000069551
0000069552
0000069553
DESCRICAO
FIO POLYCRYL GASTRO VIOLETA 3-0 70CM AG.2,6CM 241030 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL GASTRO VIOLETA 4-0 70CM AG.2,6CM 241040 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL GASTRO VIOLETA 3-0 70CM AG.3CM 251030 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL UROLOGIA VIOLETA 4-0 70CM AG.1,5CM 221040 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL UROLOGIA VIOLETA 5-0 70CM AG.1,5CM 221050 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL FECH.G.VIOLETA 0 70CM AG.3,7CM 261000 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL FECH.G.VIOLETA 1 70CM AG.3,7CM 261001 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL FECH.G.VIOLETA 2-0 70CM AG.3,7CM 261020 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL FECH.G.VIOLETA 3-0 70CM AG.3,7CM 261030 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL FECH.G.VIOLETA 0 70CM AG.4CM 271000 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL FECH.G.VIOLETA 1 70CM AG.4CM 271001 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL FECH.G.VIOLETA 2-0 70CM AG.4CM 271020 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL FECH.G.VIOLETA 0 90CM AG.4,8CM 281000 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL FECH.G.VIOLETA 1 90CM AG.4,8CM 281001 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.OFTAL.PRETO 10-0 30CM AG.2XCE6,5 NP5510 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.OFTAL.PRETO 10-0 20CM AG.0,65CM NP5410 - COVIDIEN(POLYSUTURE)
FIO SEDA TRANC.OFTAL.PRETA 6-0 45CM AG.0,65CM SP6060 - COVIDIEN(POLYSUTURE)
FIO SEDA TRANC.OFTAL.PRETA 7-0 45CM AG.0,65CM SP6070 - COVIDIEN(POLYSUTURE)
FIO SEDA TRANC.OFTAL.PRETA 8-0 45CM AG.0,65CM SP6080 - COVIDIEN(POLYSUTURE)
FIO SEDA TRANC.OFTAL.PRETA 4-0 45CM AG.1,2CM SP48440 - COVIDIEN(POLYSUTURE)
FIO SEDA VIRGEM OFTAL.AZUL 8-0 45CM AG.0,65CM SV6580 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL OFTAL.VIOLETA 5-0 45CM AG.0,8CM 601050 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL OFTAL.VIOLETA 6-0 45CM AG.0,8CM 601060 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL OFTAL.VIOLETA 7-0 45CM AG.6,0MM 601070E - COVIDIEN(POLYSUTURE)
FIO POLYCRYL OFTAL.VIOLETA 8-0 30CM AG.2X0,6CM 601080 - COVIDIEN(POLYSUTURE)
FIO CATGUT SIMPLES OFTAL.6-0 45CM AG.2X0,65MM CS6560 - COVIDIEN(POLYSUTURE)
FIO POLIESTER OFTAL.BRANCO 4-0 45CM AG.0,79CM PL7940 - COVIDIEN(POLYSUTURE)
FIO POLIESTER OFTAL.BRANCO 5-0 45CM AG.0,79CM PL7950 - COVIDIEN(POLYSUTURE)
FIO POLIESTER OFTAL.BRANCO 6-0 45CM AG.0,79CM PL7960 - COVIDIEN(POLYSUTURE)
FIO LINHO CIRURGICO TORC.OFTAL.3-0 15X45CM S/AG.LC830 - COVIDIEN(POLYSUTURE)
FIO LINHO CIRURGICO TORC.2-0 15X45CM S/AG.LC820 - COVIDIEN(POLYSUTURE)
FIO LINHO CIRURGICO TORC.0 15X45CM S/AG.LC810 - COVIDIEN(POLYSUTURE)
FIO LINHO CIRURGICO TORC.1 15X45CM S/AG.LC801 - COVIDIEN(POLYSUTURE)
FIO LINHO CIRURGICO TORC.GASTRO 1 75CM AG.3CM LC15801 - COVIDIEN(POLYSUTURE)
FIO LINHO CIRURGICO TORC.GASTRO 0 75CM AG.3CM LC15810 - COVIDIEN(POLYSUTURE)
FIO LINHO CIRURGICO TORC.GASTRO 2-0 75CM AG.3CM LC15820 - COVIDIEN(POLYSUTURE)
FIO LINHO CIRURGICO TORC.GASTRO 3-0 75CM AG.3CM LC15830 - COVIDIEN(POLYSUTURE)
CERA P/OSSO HEMOSTATICO TABL.2,5G CO1000 - COVIDIEN(POLYSUTURE)
FIO ACO MONOF.2-0 3X60CM S/AG.FA920 - COVIDIEN(POLYSUTURE)
FIO ACO MONOF.0 3X60CM S/AG.FA910 - COVIDIEN(POLYSUTURE)
FIO ACO MONOF.1 3X60CM S/AG.FA901 - COVIDIEN(POLYSUTURE)
FIO ACO MONOF.FECH.ESTERNO 0 4X45CM AG.2,5CM FA54910 - COVIDIEN(POLYSUTURE)
FIO ACO MONOF.FECH.ESTERNO 1 4X45CM AG.4CM FA57901 - COVIDIEN(POLYSUTURE)
FIO ACO MONOF.FECH.ESTERNO 4 4X45CM AG.4,8CM FA88904 - COVIDIEN(POLYSUTURE)
FIO ACO MONOF.FECH.ESTERNO 5 4X45CM AG.4,8CM FA88905 - COVIDIEN(POLYSUTURE)
FIO ACO MONOF.FECH.ESTERNO 5 4X45CM AG.5,7CM FA89905 - COVIDIEN(POLYSUTURE)
FIO ELETRODO MARCAPASSO 3-0 50CM AG.MP930 - COVIDIEN(POLYSUTURE)
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
238
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000069554
0000069555
0000069556
0000069557
0000069558
0000069559
0000069560
0000069561
0000069562
0000069563
0000069564
0000069565
0000069566
0000069634
0000069635
0000069636
0000069639
0000069640
0000069641
0000069642
0000069655
0000069679
0000069680
0000069681
0000069711
0000069712
0000069756
0000069757
0000069758
0000069759
0000069760
0000069761
0000069762
0000069764
0000069765
0000069809
0000069810
0000069811
0000069840
0000069841
0000069842
0000069845
0000069849
0000069850
0000069851
0000069852
0000069854
DESCRICAO
FIO ELETRODO MARCAPASSO 2-0 60CM AG.MP920 - COVIDIEN(POLYSUTURE)
FIO ELETRODO MARCAPASSO 2-0 60CM 2XAG.MPU920 - COVIDIEN(POLYSUTURE)
KIT OBSTETRICIA CATGUT SIMPLES 0 3X75CM AG.KO110 - COVIDIEN(POLYSUTURE)
KIT OBSTETRICIA CATGUT SIMPLES 2-0 3X75CM AG.KO120 - COVIDIEN(POLYSUTURE)
KIT OBSTETRICIA CATGUT CROMADO 0 3X75CM AG.KO210 - COVIDIEN(POLYSUTURE)
KIT OBSTETRICIA CATGUT CROMADO 2-0 3X75CM AG.KO220 - COVIDIEN(POLYSUTURE)
KIT CESAREA C/CATGUT 4XAG.KC120 - COVIDIEN(POLYSUTURE)
KIT CATARATA (NYLON 10-0/SEDA PRETA TRANC.4-0) 2XAG.KD5510 - COVIDIEN(POLYSUTURE)
KIT CATARATA (NYLON 10-0/SEDA PRETA TRANC.4-0) 2XAG.KS5510 - COVIDIEN(POLYSUTURE)
KIT CINEANGIO AG.CK660 - COVIDIEN(POLYSUTURE)
KIT VALVULA CARDIO-VASCULAR POLIESTER 2-0 AG.VOK-720 - COVIDIEN(POLYSUTURE)
KIT VALVULA CARDIO-VASCULAR AG.VMK-720 - COVIDIEN(POLYSUTURE)
KIT VALVULA CARDIO-VASCULAR POLIESTER C/AT.AG.VMK-720ATE - COVIDIEN(POLYSUTURE)
ONXEL 30MG 1FA - DARROW
ONXEL 6MG/ML 17ML - - DARROW
POSIDON 100MG 10FA - DARROW
INCEL 10MG 1FA - DARROW
INCEL 50MG 1FA - DARROW
VANCEL 150MG 1FA - DARROW
VANCEL 450MG 1FA - DARROW
TEOMUC 25MG/5ML XPE.PED.120ML - BIOLAB SANUS
LANZACOR 50MG 14CPDS REV. - NEOQUIMICA
LANZACOR 50MG 28CPDS REV. - NEOQUIMICA
MALEATO DEXCLORFENIRAMINA GEN.2MG/5ML SOL. 120ML - NEOQUIMICA
TOPAMAX SPRINKLE 15MG 60CAPS - JANSSEN-CILAG
TOPAMAX SPRINKLE 25MG 60CAPS - JANSSEN-CILAG
CLOTRIMAZOL+ACETATO DEXAMETASONA GEN.CRM.40GRS - MEDLEY
NITRATO MICONAZOL GEN.LOC.CRM.30GRS - MEDLEY
DIPIRONA SODICA GEN.500MG 3X10CPDS - MEDLEY
DIPIRONA SODICA GEN.500MG 25X4CPDS - MEDLEY
DIPIRONA SODICA GEN.500MG 24X10CPDS - MEDLEY
AMLOVASC 5MG 20CPDS - HEXAL
AMLOVASC 10MG 20CPDS - HEXAL
CLORIDRATO CIPROFLOXACINO GEN.250MG 14CPDS - SANDOZ
KAMRHO-D 300MCG SOL.INJ.1FA 2ML - PANAMERICAN
AMOXICILINA+CLAVULANATO POTASSIO GEN.500MG 100CPDS - - RANBAXY
AZITROMICINA GEN.500MG 3CPDS - RANBAXY
AZITROMICINA GEN.500MG 2CPDS - RANBAXY
DRENO TORACICO PVC 38FR - CPL
BESILATO ANLODIPINO GEN.10MG 30CPDS - RANBAXY
BESILATO ANLODIPINO GEN.5MG 30CPDS - RANBAXY
CEFALEXINA GEN.500MG 10X20CPDS - - RANBAXY
CLORIDRATO MINOCICLINA GEN.100MG 9CPDS - RANBAXY
CLORIDRATO MINOCICLINA GEN.100MG 30CPDS - RANBAXY
ACECLOFENACO GEN.100MG 12CPDS - RANBAXY
ACECLOFENACO GEN.100MG 24CPDS - RANBAXY
DIAZEPAM GEN.10MG 20CPDS - RANBAXY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
239
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000069855
0000069856
0000069857
0000069862
0000069869
0000069873
0000069874
0000069877
0000069878
0000069879
0000069880
0000069886
0000069887
0000069890
0000069891
0000069892
0000069893
0000069894
0000069957
0000069958
0000069961
0000069999
0000070157
0000070158
0000070167
0000070168
0000070394
0000070395
0000070396
0000070397
0000070398
0000070406
0000070407
0000070408
0000070409
0000070417
0000070418
0000070419
0000070420
0000070422
0000070423
0000070424
0000070425
0000070426
0000070427
0000070428
0000070429
DESCRICAO
DIAZEPAM GEN.5MG 20CPDS - RANBAXY
CLORIDRATO DOXICICLINA GEN.100MG 15CPDS - RANBAXY
GLIBENCLAMIDA GEN.5MG 30CPDS - RANBAXY
LOSARTANA POTASSICA GEN.50MG 14CPDS - RANBAXY
SINVASTATINA GEN.80MG 10CPDS - RANBAXY
CLORIDRATO AMITRIPTILINA GEN.25MG 20CPDS - RANBAXY
CLORIDRATO AMITRIPTILINA GEN.75MG 20CPDS - RANBAXY
CLORIDRATO PAROXETINA GEN.20MG 20CPDS - RANBAXY
CLORIDRATO PAROXETINA GEN.20MG 30CPDS - RANBAXY
CEBRILIN 10MG 30CPDS - LIBBS
MEMBRANA PERICARDIO BOVINO (RETALHO) 66CM - CARDIOPROTESE
AMLOCOR 5MG 30CPDS - TORRENT
AMLOCOR 10MG 30CPDS - TORRENT
LAMITOR 25MG 30CPDS - TORRENT
LAMITOR 50MG 30CPDS - TORRENT
LAMITOR 100MG 30CPDS - TORRENT
CETOCONAZOL+DIPROPIONATO BETAMETASONA GEN.CRM.30GRS - EUROFARMA
CETOCONAZOL+DIPROPIONATO BETAMETASONA GEN.POM.30GRS - EUROFARMA
PINCA ENDOSCOPICA BABCOCK ENDOPATCH 10MM 10BB - J&J ENDO
ENDOPOUCH RETRIEVER P/CIRURGIA LAPAROSCOPICA POUCH - J&J ENDO
CARGA 45MM P/GRAMPEADOR ETS (AZUL TEC.ESPESSO) 6 LINHA 6R45B - J&J ENDO
BROCA P/CRANIO ADULTO 14/11MM ACRA-CUT 200-271 DGR-O - - RAZEK
NOVALGINA 500MG/ML FR.VIDRO 10ML - SANOFI-AVENTIS
NOVALGINA 500MG/ML FR.VIDRO 20ML - SANOFI-AVENTIS
CLIP ANEURISMA TITANIO PERM.STD YASARGIL AESCULAP FT40T - B.BRAUN
CLIP ANEURISMA TEMP.STD PHYNOX FE891K - B.BRAUN
KIT ANESTESIA RAQUI G25 ENVELOPADO 405719 - B.BRAUN
KIT ANESTESIA RAQUI S/AG.ENVELOPADO 405720 - B.BRAUN
KIT ANESTESIA PERIDURAL G17 SIMPLES C/SERINGA 405721 - B.BRAUN
KIT PERIDURAL CONTINUA C/FILTRO 405722 - B.BRAUN
KIT ANESTESIA PERIDURAL/RAQUI S/AG.ENVELOPADO 405723 - B.BRAUN
AIRCLIN 0,5MG/ML SPR.NAS.15ML - ACHE
SONDA ENDOTRAQUEAL PVC "RX" EST.S/BAL.IVORY LEITOSA EXTRA MACIA 2,5MM SIMS-PORTEX 100.105.025 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.S/BAL.IVORY LEITOSA EXTRA MACIA 3,0MM SIMS-PORTEX 100.105.030 - CIRURGICA FERNANDES
SONDA ENDOTRAQUEAL PVC "RX" EST.S/BAL.IVORY LEITOSA EXTRA MACIA 3,5MM SIMS-PORTEX 100.105.035 - CIRURGICA FERNANDES
AGULHA P/RAQUI SPINAL S/INTROD.25GX2" 50X05 DESC.UNISIS S255 - CIRURGICA FERNANDES
AGULHA TUOHY EPIDURAL/PERIDURAL 19G 90X10 3" UNISIS T199 - CIRURGICA FERNANDES
TUBO CORRUGADO CONEX.FEMEA 15/22MM EST.CON.SWIVEL SIMS-PORTEX 100.594.000 - CIRURGICA FERNANDES
ENXERTO PRO OSTEON 200 BLOCO INTERPORE 2BE003 - TECHNICARE
PLACA RETA 6 FURO LONGA SIST.2,0MM LEIBINGER 01-08207 - TECHNICARE
PARAFUSO 2,0MMX9MM SIST.2,0MM LEIBINGER 01-08409 - TECHNICARE
PLACA RETA 6 FURO 12MM SIST.1,7MM LEIBINGER 54-05109 - TECHNICARE
PARAFUSO 1,7MMX6MM SIST.1,7MM LEIBINGER 52-17206 - TECHNICARE
PLACA RETA 6 FURO LONGA SIST.1,2MM LEIBINGER 54-06206 - TECHNICARE
PARAFUSO 1,2MMX6MM SIST.1,2MM LEIBINGER 59-12106 - TECHNICARE
PLACA P/MENTO 8MM SIST.PAULUS LEIBINGER 01-13513 - TECHNICARE
PLACA RETA 6 FURO SIST.2,3MM LEIBINGER 54-15046 - TECHNICARE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
240
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000070430
0000070431
0000070432
0000070444
0000070447
0000070449
0000070450
0000070453
0000070456
0000070457
0000070458
0000070459
0000070461
0000070462
0000070463
0000070464
0000070465
0000070466
0000070467
0000070468
0000070473
0000070474
0000070476
0000070477
0000070483
0000070520
0000070525
0000070526
0000070527
0000070528
0000070529
0000070530
0000070531
0000070532
0000070533
0000070534
0000070535
0000070536
0000070537
0000070538
0000070539
0000070540
0000070541
0000070542
0000070543
0000070544
0000070545
DESCRICAO
PARAFUSO 2,3MMX8MM SIST.2,3MM LEIBINGER 52-23148 - TECHNICARE
PLACA RETA 6 FURO SIST.2,7MM LEIBINGER 56-20008 - TECHNICARE
PARAFUSO 2,7MMX8MM SIST.2,7MM LEIBINGER 52-27808 - TECHNICARE
IMPLANTE RECONST.DURAMATER 2CMX10CMX0,3MM W.L.GORE 1MVP300 - TECHNICARE
MALHA DINAMICA 40MMX40MMX0,3MM LEIBINGER 5400344 - TECHNICARE
RECONSTRUTOR BONE PLAST.BASE SULF.CALCIO 12,7GRS INTERPORE BP020SPF - TECHNICARE
RECONSTRUTOR ABOBODA TP.DISCO LEIBINGER 12-00114 - TECHNICARE
DISTRATOR ADDPLUS 12MM 17-26MM 6GRAUS ULRICH CS 2251-12-17 - TECHNICARE
BARRA CIRCULAR TIT.6,35MMX6CM INTERPORE 6006 - TECHNICARE
ARRUELA PRESSAO TIT.6,35MM INTERPORE 6100 - TECHNICARE
FIXADOR TITANIO P/PARAFUSO POLIAXIAL INTERPORE 6101 - TECHNICARE
PARAFUSO POLIAXIAL TIT.5,5MMX30MM INTERPORE 6105 - TECHNICARE
PARAFUSO MONOAXIAL TIT.5,5MMX35MM INTERPORE 6121 - TECHNICARE
PARAFUSO DUPLO TIT.CABECA HEXAGONAL INTERPORE 6203 - TECHNICARE
GANCHO LAMINAR TIT.5,5MMX6,5MM INTERPORE 6210 - TECHNICARE
CONECTOR TRANSVERSO TIT.AJUST.INTERPORE 6305 - TECHNICARE
CLAMP CONECTOR TRANSVERSO TIT.AJUST.INTERPORE 6306 - TECHNICARE
CAGE RETO CERVICAL TIT.4MMX12MMX12MM SIGNUS PO41212 - TECHNICARE
CAGE RETO LOMBAR TIT.TETRIS 8MMX11MMX24MM 0GRAU SIGNUS T0811 - TECHNICARE
CAGE ANGULADO LOMBAR TIT.TETRIS 8MMX11MMX24MM SIGNUS 4GRAU T40811 - TECHNICARE
HEMOSTATICO MICROFIBRILAR AVITENE PO 0,5GRS BARD 101001 - TECHNICARE
HEMOSTATICO MICROFIBRILAR AVITENE SERINGA 5MM BARD 101074 - TECHNICARE
HEMOSTATICO MICROFIBRILAR AVITENE COMP.35MMX35MM BARD 101008 - TECHNICARE
CELOCORT CRM.30GRS - LEGRAND TARJARDOS
YASMIN-30 21CPDS - BAYER
HEPATILON 150ML - KLEY HERTZ
FLEBO EXTRATOR VENOSTRIP 10UNID AESCULAP 5523184 - B.BRAUN
VALVULOTOMO 2,0MM INSITUCAT AESCULAP 5521106 - B.BRAUN
VALVULOTOMO 2,5MM INSITUCAT AESCULAP 5521114 - B.BRAUN
VALVULOTOMO 3,0MM INSITUCAT AESCULAP 5521122 - B.BRAUN
VALVULOTOMO 3,5MM INSITUCAT AESCULAP 5521130 - B.BRAUN
VALVULOTOMO 4,0MM INSITUCAT AESCULAP 5521149 - B.BRAUN
VALVULOTOMO 4,5MM INSITUCAT AESCULAP 5521157 - B.BRAUN
ENXERTO VASCULAR UNIGRAFT K DV RETO 16MM/30CM AESCULAP 1104160 - B.BRAUN
ENXERTO VASCULAR UNIGRAFT K DV RETO 18MM/30CM AESCULAP 1104187 - B.BRAUN
ENXERTO VASCULAR UNIGRAFT K DV RETO 20MM/30CM AESCULAP 1104209 - B.BRAUN
ENXERTO VASCULAR UNIGRAFT K DV RETO 22MM/30CM AESCULAP 1104225 - B.BRAUN
ENXERTO VASCULAR UNIGRAFT K DV RETO 24MM/30CM AESCULAP 1104241 - B.BRAUN
ENXERTO VASCULAR UNIGRAFT K DV RETO 26MM/30CM AESCULAP 1102192 - B.BRAUN
ENXERTO VASCULAR UNIGRAFT K DV RETO 28MM/30CM AESCULAP 1102206 - B.BRAUN
ENXERTO VASCULAR UNIGRAFT K DV RETO 30MM/30CM AESCULAP 1102214 - B.BRAUN
ENXERTO VASCULAR UNIGRAFT K DV RETO 32MM/30CM AESCULAP 1102222 - B.BRAUN
ENXERTO VASCULAR UNIGRAFT K DV RETO 34MM/30CM AESCULAP 1102230 - B.BRAUN
ENXERTO VASCULAR UNIGRAFT K DV RETO 36MM/30CM AESCULAP 1102249 - B.BRAUN
ENXERTO VASCULAR UNIGRAFT K DV RETO 06MM/60CM AESCULAP 1104063 - B.BRAUN
ENXERTO VASCULAR UNIGRAFT K DV RETO 08MM/60CM AESCULAP 1104080 - B.BRAUN
ENXERTO VASCULAR UNIGRAFT K DV RETO 10MM/60CM AESCULAP 1104101 - B.BRAUN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
241
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000070547
0000070548
0000070549
0000070550
0000070551
0000070552
0000070553
0000070554
0000070555
0000070556
0000070557
0000070558
0000070559
0000070577
0000070581
0000070590
0000070591
0000070600
0000070601
0000070602
0000070603
0000070604
0000070605
0000070606
0000070608
0000070609
0000070610
0000070612
0000070613
0000070614
0000070617
0000070618
0000070619
0000070620
0000070621
0000070622
0000070623
0000070624
0000070625
0000070626
0000070627
0000070628
0000070629
0000070630
0000070631
0000070636
0000070637
DESCRICAO
ENXERTO VASCULAR UNIGRAFT K DV RETO 6MM/100CM AESCULAP 1104403 - B.BRAUN
ENXERTO VASCULAR UNIGRAFT K DV RETO 8MM/100CM AESCULAP 406049 - B.BRAUN
ENXERTO VASCULAR UNIGRAFT K DV BIF.14X07MM/40CM AESCULAP 1104527 - B.BRAUN
ENXERTO VASCULAR UNIGRAFT K DV BIF.14X08MM/40CM AESCULAP 1104551 - B.BRAUN
ENXERTO VASCULAR UNIGRAFT K DV BIF.16X08MM/40CM AESCULAP 1104560 - B.BRAUN
ENXERTO VASCULAR UNIGRAFT K DV BIF.16X09MM/40CM AESCULAP 1104578 - B.BRAUN
ENXERTO VASCULAR UNIGRAFT K DV BIF.18X09MM/40CM AESCULAP 1104586 - B.BRAUN
ENXERTO VASCULAR UNIGRAFT K DV BIF.20X10MM/40CM AESCULAP 1104608 - B.BRAUN
ENXERTO VASCULAR UNIGRAFT K DV BIF.22X11MM/40CM AESCULAP 1104624 - B.BRAUN
ESTROGENON 0,625MG 28DRGS - SANVAL
KIT DUPLO J 4,7/22 32ML BARD 777400 - SYNCROFILM
KIT DUPLO J 6,0/22 32ML C/FIO GUIA BARD 777600 - SYNCROFILM
KIT DUPLO J 7,0/22 32ML BARD 777700 - SYNCROFILM
SONDA GASTRICA ESPECIAL FOUCHET NR.32 - EMBRAMED
BOLSA CONVEX DREN.TRANSP.GRD.PRE-CORT.15MM 12951 - COLOPLAST
BOLSA CONVEX DREN.TRANSP.RECORT.15-43MM 46938 - COLOPLAST
BOLSA CONVEX DREN.OPACA GRD.RECORT.15-43MM 46948 - COLOPLAST
PLACA CONVEX FLANGE 40MM PRE-CORT.15MM 46745 - COLOPLAST
PLACA CONVEX FLANGE 40MM PRE-CORT.18MM 46746 - COLOPLAST
PLACA CONVEX FLANGE 40MM PRE-CORT.21MM 46747 - COLOPLAST
PLACA CONVEX FLANGE 50MM PRE-CORT.25MM 46755 - COLOPLAST
PLACA CONVEX FLANGE 50MM PRE-CORT.28MM 46756 - COLOPLAST
PLACA CONVEX FLANGE 50MM PRE-CORT.31MM 46757 - COLOPLAST
PLACA CONVEX FLANGE 60MM PRE-CORT.35MM 46765 - COLOPLAST
PLACA CONVEX FLANGE 60MM PRE-CORT.41MM 46767 - COLOPLAST
PLACA CONVEX FLANGE 60MM RECORT.15-43MM 46769 - COLOPLAST
BOLSA CONVEX TRANSP.GRD.375ML RECORT.15-43ML 12596 - COLOPLAST
BOLSA CONVEX TRANSP.GRD.375ML PRE-CORT.18MM 12992 - COLOPLAST
BOLSA CONVEX TRANSP.GRD.375ML PRE-CORT.21MM 12993 - COLOPLAST
BOLSA CONVEX TRANSP.GRD.375ML PRE-CORT.25MM 12994 - COLOPLAST
CURATIVO HIDROCOLOIDE 10X10 ESTERIL COMFEEL PLUS 3110 - COLOPLAST
CURATIVO HIDROCOLOIDE 15X15 ESTERIL COMFEEL PLUS 3115 - COLOPLAST
CURATIVO HIDROCOLOIDE 20X20 ESTERIL COMFEEL PLUS 3120 - COLOPLAST
CURATIVO HIDROCOLOIDE 4X6 ESTERIL COMFEEL PLUS 3146 - COLOPLAST
CURATIVO CONTORNO 6X8 ESTERIL COMFEEL PLUS 3280 - COLOPLAST
CURATIVO CONTORNO 9X11 ESTERIL COMFEEL PLUS 3283 - COLOPLAST
CURATIVO HIDROCOLOIDE SACRAL 18X20 ESTERIL COMFEEL PLUS 3285 - COLOPLAST
CURATIVO ALIVIADOR PRESSAO 7CM COMFEEL PLUS 3350 - COLOPLAST
CURATIVO ALIVIADOR PRESSAO 10CM COMFEEL PLUS 3353 - COLOPLAST
CURATIVO ALIVIADOR PRESSAO 15CM COMFEEL PLUS 3356 - COLOPLAST
CURATIVO HIDROCOLOIDE TRANSPARENTE 5X7 COMFEEL PLUS 3530 - COLOPLAST
CURATIVO HIDROCOLOIDE TRANSPARENTE 10X10 COMFEEL PLUS 3533 - COLOPLAST
CURATIVO HIDROCOLOIDE TRANSPARENTE 9X14 COMFEEL PLUS 3536 - COLOPLAST
CURATIVO HIDROCOLOIDE TRANSPARENTE 15X20 COMFEEL PLUS 3542 - COLOPLAST
CURATIVO HIDROCOLOIDE TRANSPARENTE 5X25 COMFEEL PLUS 3548 - COLOPLAST
SUCCITRAT 100MG 1FA - ARISTON
SUCCITRAT 500MG 1FA - ARISTON
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
242
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000070646
0000070647
0000070648
0000070649
0000070650
0000070651
0000070654
0000070740
0000070747
0000070748
0000070753
0000070754
0000070755
0000070757
0000070758
0000070759
0000070760
0000070761
0000070762
0000070770
0000070777
0000070778
0000070779
0000070780
0000070781
0000070782
0000070784
0000070785
0000070786
0000070787
0000070788
0000070789
0000070790
0000070791
0000070792
0000070793
0000070794
0000070795
0000070796
0000070797
0000070798
0000070799
0000070800
0000070802
0000070803
0000070804
0000070807
DESCRICAO
GENOTROPIN 36UI 1FA - PFIZER
FORADIL 12MCG 30CAPS S/INAL. - NOVARTIS
CETACONAL 10CPDS - PHARMASCIENCE
CETACONAL 30CPDS - PHARMASCIENCE
COMPLEXAN 30DRGS - PHARMASCIENCE
MICONIL 30ML - PHARMASCIENCE
ESPARADRAPO TM 10CMX4,5M 02245 - MEDI HOUSE
MARCAPASSO EXTERNO CAMARA DUPLA 3085 - ST.JUDE
CABO EXTENSAO LIVEWIRE TC 150CM DAIG 50W 402508 - ST.JUDE
CABO EXTENSAO LIVEWIRE TC 300CM DAIG 100W 402509 - ST.JUDE
ELETRODO TEMPORARIO C/BALAO 5FR 401624 - ST.JUDE
APLICADOR INS.NOVOPEN 3,0 DEMI - NOVO NORDISK
LIMBITROL 12,5+5,0MG 20CAPS GEL DURA - - VALEANT
VIRAMID 6GR 1FA 100ML - VALEANT
CATETER ABLACAO QUADRIPOLAR LIVEWIRE TC 7F MED SWEEP 2-5-2MM 402275 - ST.JUDE
CATETER ABLACAO QUADRIPOLAR LIVEWIRE TC 7F XLS MED SWEEP 2-5-2MM 402275 - ST.JUDE
CATETER ABLACAO QUADRIPOLAR LIVEWIRE TC 7F XLS LRG SWEEP 2-5-2MM 402276 - ST.JUDE
CATETER ABLACAO QUADRIPOLAR LIVEWIRE TC 7F XLS MED CURL 2-5-2MM 402277 - ST.JUDE
CATETER ABLACAO QUADRIPOLAR LIVEWIRE TC 7F XLS LRG CURL 2-5-2MM 402278 - ST.JUDE
ACETABULO METALICO AESCULAP - B.BRAUN
CABECA FEMORAL CERAMICA AESCULAP - B.BRAUN
CABECA FEMORAL METALICA AESCULAP - B.BRAUN
CABECA P/PARAFUSO FIXACAO TORACO-LOMBAR AESCULAP - B.BRAUN
CABECA P/PARAFUSO POLYAXIAL COLUNA AESCULAP - B.BRAUN
CAGE TITANIO P/COLUNA AESCULAP - B.BRAUN
CAMISA P/HASTE PROXIMAL FEMUR AESCULAP - B.BRAUN
COMPONENTE BASE TIBIAL LC AESCULAP - B.BRAUN
COMPONENTE BASE TIBIAL LCR AESCULAP - B.BRAUN
COMPONENTE BASE TIBIAL PS AESCULAP - B.BRAUN
COMPONENTE BASE TIBIAL REVISAO AESCULAP - B.BRAUN
COMPONENTE FEMORAL JOELHO LC AESCULAP - B.BRAUN
COMPONENTE FEMORAL JOELHO LCR AESCULAP - B.BRAUN
COMPONENTE FEMORAL JOELHO PS AESCULAP - B.BRAUN
COMPONENTE FEMORAL JOELHO REVISAO AESCULAP - B.BRAUN
COMPONENTE PATELAR AESCULAP - B.BRAUN
COMPONENTE TIBIAL POLIETILENO LC AESCULAP - B.BRAUN
COMPONENTE TIBIAL POLIETILENO LCR AESCULAP - B.BRAUN
COMPONENTE TIBIAL POLIETILENO PS AESCULAP - B.BRAUN
COMPONENTE TIBIAL POLIETILENO REVISAO AESCULAP - B.BRAUN
CONECTOR LATERAL COLUNA AESCULAP - B.BRAUN
CUNHA FEMORAL REVISAO AESCULAP - B.BRAUN
CUNHA TIBIAL REVISAO AESCULAP - B.BRAUN
DISPOSITIVO ARRUELA P/HASTE UMERO AESCULAP - B.BRAUN
ENXERTO OSSEO GRANULADO 10GRS AESCULAP - B.BRAUN
ENXERTO OSSEO GRANULADO 5GRS AESCULAP - B.BRAUN
ENXERTO OSSEO P/COLUNA CERVICAL AESCULAP - B.BRAUN
HASTE FEMORAL CIMENTADA AESCULAP - B.BRAUN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
243
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000070808
0000070809
0000070810
0000070811
0000070812
0000070813
0000070814
0000070815
0000070817
0000070818
0000070819
0000070820
0000070821
0000070822
0000070824
0000070825
0000070826
0000070830
0000070831
0000070832
0000070833
0000070834
0000070835
0000070836
0000070837
0000070838
0000070839
0000070840
0000070841
0000070842
0000070844
0000070846
0000070848
0000070849
0000070854
0000070855
0000070856
0000070860
0000070865
0000070866
0000070867
0000070868
0000070878
0000070879
0000070880
0000070881
0000070889
DESCRICAO
HASTE FEMORAL N/CIMENTADA AESCULAP - B.BRAUN
HASTE FEMORAL REVISAO AESCULAP - B.BRAUN
HASTE INTRAMEDULAR PROXIMAL FEMUR AESCULAP - B.BRAUN
HASTE INTRAMEDULAR FEMUR ACO AESCULAP - B.BRAUN
HASTE INTRAMEDULAR FEMUR TITANIO AESCULAP - B.BRAUN
HASTE INTRAMEDULAR RETROGADA FEMUR AESCULAP - B.BRAUN
HASTE INTRAMEDULAR TIBIA ACO AESCULAP - B.BRAUN
HASTE INTRAMEDULAR TIBIA TITANIO AESCULAP - B.BRAUN
HASTE INTRAMEDULAR UMERO PROXIMAL AESCULAP - B.BRAUN
HASTE INTRAMEDULAR UMERO RETROGRADO AESCULAP - B.BRAUN
KIT ACL P/RECONSTRUCAO LIGAMENTO AESCULAP - B.BRAUN
LINER ACETABULAR CERAMICA AESCULAP - B.BRAUN
LINER ACETABULAR POLIETILENO AESCULAP - B.BRAUN
LINER INTEVERTEBRAL AESCULAP - B.BRAUN
OBTURADOR TIBIAL AESCULAP - B.BRAUN
PARAFUSO ARRUELA P/HASTE RETROGADA FEMUR AESCULAP - B.BRAUN
PARAFUSO BASE TIBIAL AESCULAP - B.BRAUN
PARAFUSO CORTICAL TITANIO P/BUCOMAXILO AESCULAP - B.BRAUN
PARAFUSO BLOQUEIO DISTAL P/HASTE PROXIMAL UMERO AESCULAP - B.BRAUN
PARAFUSO BLOQUEIO P/HASTE INTRAMEDULAR FEMUR ACO AESCULAP - B.BRAUN
PARAFUSO BLOQUEIO P/HASTE INTRAMEDULAR FEMUR TITAN.AESCULAP - B.BRAUN
PARAFUSO BLOQUEIO P/HASTE PROXIMAL FEMUR AESCULAP - B.BRAUN
PARAFUSO BLOQUEIO P/HASTE PROXIMAL UMERO AESCULAP - B.BRAUN
PARAFUSO BLOQUEIO P/HASTE RETROGADA FEMUR AESCULAP - B.BRAUN
PARAFUSO BLOQUEIO P/HASTE TIBIAL ACO AESCULAP - B.BRAUN
PARAFUSO BLOQUEIO P/HASTE TIBIAL TITANIO AESCULAP - B.BRAUN
PARAFUSO COBERTURA P/HASTE INTRAMEDULAR FEMUR TITAN.AESCULAP - B.BRAUN
PARAFUSO COBERTURA P/HASTE PROXIMAL FEMUR AESCULAP - B.BRAUN
PARAFUSO COBERTURA P/HASTE RETROGADA FEMUR AESCULAP - B.BRAUN
PARAFUSO COBERTURA P/HASTE INTRAMEDULAR FEMUR ACO AESCULAP - B.BRAUN
PARAFUSO DESLIZANTE P/HASTE PROXIMAL FEMUR AESCULAP - B.BRAUN
PARAFUSO P/ACETABULO METALICO AESCULAP - B.BRAUN
PARAFUSO P/HASTE REVISAO AESCULAP - B.BRAUN
PARAFUSO P/REFORCO ACETABULAR AESCULAP - B.BRAUN
PINO ANTI-ROTACIONAL P/HASTE PROXIMAL FEMUR AESCULAP - B.BRAUN
PINO INTRAMEDULAR FEMORAL AESCULAP - B.BRAUN
PINO INTRAMEDULAR TIBIAL AESCULAP - B.BRAUN
PLACA TITANIO P/BUCOMAXILO AESCULAP - B.BRAUN
PROTESE INTEVERTEBRAL INFERIOR AESCULAP - B.BRAUN
PROTESE INTEVERTEBRAL SUPERIOR AESCULAP - B.BRAUN
REFORCO ACETABULAR AESCULAP - B.BRAUN
LOCAO OLEOSA INF.ACIDO GRAXOS ESSENCIAIS DERSANI BABY ORIGINAL 50ML - SANIPLAN
VACINA MENINGOCOCICA CONJUG.C SER.0,5ML - BAXTER
AMOXICILINA GEN.200MG PO 100ML+DOS. - MEDLEY
AMOXICILINA GEN.400MG PO 100ML+DOS. - MEDLEY
CLORIDRATO NAFAZOLINA GEN.0,5MG/ML 30ML - MEDLEY
COMPRESSA CIRURGICA P/ESCOLIOSE 13FIOS ESTERIL 3UNID.TAYLOR 102ESE1047 - CIRURGICA BRASIL
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
244
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000070890
0000070906
0000070908
0000070909
0000070910
0000070920
0000070922
0000070925
0000070926
0000070927
0000070931
0000070932
0000070933
0000070939
0000070940
0000070941
0000070942
0000070943
0000070945
0000070949
0000070951
0000070952
0000070953
0000070957
0000070959
0000070963
0000070966
0000070967
0000070968
0000070969
0000070980
0000070983
0000070984
0000070985
0000070986
0000070988
0000070990
0000070992
0000070996
0000071001
0000071002
0000071009
0000071010
0000071015
0000071016
0000071017
0000071018
DESCRICAO
COMPRESSA MONTADA 13FIOS 20UNID.TAYLOR 102ESM864 - CIRURGICA BRASIL
METILDOPA GEN.250MG 2X15CPDS - BIOSINTETICA
CODATEN 50+50MG 20CPDS REV. - NOVARTIS
ESTRADOT 50MCG 8SIST. - NOVARTIS
ESTRADOT 100MCG 8SIST. - NOVARTIS
AGULHA BIOPSIA AUTOMATICA P/FIGADO/PROSTATA/RIM-TSK ACECUT 18GX200MM ACE18GX200 - TECHNES MEDICAL
SUREFUSER A - INFUSOR LENTO DR.POS-OP.100ML/02 DIA-2,1ML/HR - TECHNES MEDICAL
CURATIVO C/FILME ADES.5CMX5CM 100UNID POLYMEM 203 - RECOMED
CURATIVO C/FILME ADES.10CMX13CM 60UNID POLYMEM 405 - RECOMED
CURATIVO C/FILME ADES.15CMX15CM 60UNID POLYMEM 606 - RECOMED
CURATIVO C/FILME ADES.10CMX32CM 12UNID POLYMEM 3412 - RECOMED
CURATIVO C/ADES.TELA.HIPOALERG.5CMX5CM 100UNID POLYMEM 7203 - RECOMED
CURATIVO C/ADES.TELA.HIPOALERG.10CMX13CM 60UNID POLYMEM 7405 - RECOMED
CURATIVO S/ADESIVO 8CMX8CM 60UNID POLYMEM 5033 - RECOMED
CURATIVO S/ADESIVO 10CMX10CM 60UNID POLYMEM 5044 - RECOMED
CURATIVO S/ADESIVO 13CMX13CM 30UNID POLYMEM 5055 - RECOMED
CURATIVO S/ADESIVO 17CMX19CM 30UNID POLYMEM 5077 - RECOMED
CURATIVO S/ADESIVO 10CMX32CM 12UNID POLYMEM 5124 - RECOMED
CURATIVO PREENCHEDOR CAVIDADE 8CMX8CM 40UNID POLYMEM 5733 - RECOMED
CURATIVO POLYTUBE 9CMX9CM 30UNID POLYMEM 5335 - RECOMED
AMOXICILINA+CLAVULANATO POTASSIO GEN.1G 10FA - EUROFARMA
PIPERACILINA SODICA+TAZOBACTAM SODICO GEN.2,25G 10FA - EUROFARMA
PIPERACILINA SODICA+TAZOBACTAM SODICO GEN.4,50G 10FA - EUROFARMA
LIDOCAINA GEN.2% S/VASO.25FA. 20ML - HYPOFARMA
HYTAMICINA 40MG/ML 100AMP 2ML - HYPOFARMA
DICLIN 2MG+0,035MG 21CPDS REV. - MERCK S.A.
CLARITROMICINA GEN.500MG 10CPDS REV. - MERCK S.A.
CLARITROMICINA GEN.500MG 14CPDS REV. - MERCK S.A.
MELOXICAM GEN.7,5MG 10CPDS - MERCK S.A.
MELOXICAM GEN.15MG 10CPDS - MERCK S.A.
GRAMPEADOR ENDOSCOPICO LINEAR CORT.ETS HASTE R.L.+10CM 45MM S/CARGA LONG45A - J&J ENDO
CETOCONAZOL+BETAMETASONA+SULFATO NEOMICINA GEN.CRM.30GRS - EUROFARMA
CETOCONAZOL+BETAMETASONA+SULFATO NEOMICINA GEN.POM.30GRS - EUROFARMA
ATACAND HCT 8/12,5MG 2BLX10CPDS - ASTRAZENECA
ATACAND HCT 8/12,5MG 3BLX10CPDS - ASTRAZENECA
REUQUINOL 400MG 30CPDS REV. - APSEN
SAIZEN 8MG PO LIOFILIZADO 1FA+DIL. - MERCK S.A.
OVIDREL 250MCG 1SER.PREENCH.0,5ML - MERCK S.A.
BETAMETASONA GEN.0,5MG/5ML ELIXIR 120ML - EMS GENERICOS
METILDOPA GEN.500MG 3BLX10CPDS REV. - EMS GENERICOS
METILDOPA GEN.250MG 3BLX10CPDS REV. - EMS GENERICOS
DUPHASTON 10MG 14CPDS REV. - ABBOTT SAUDE
DUPHASTON 10MG 2BLX14CPDS REV. - ABBOTT SAUDE
KIT CATETER ASH-SPLIT LONGA PERMANENCIA C/FLUXO INDEPEN.10FRX18CM PED.MEDCOMP ASPC18P-XL - MEDCORP
TRIATEC PREVENT 10MG 15CAPS - SANOFI-AVENTIS
TRIATEC PREVENT 10MG 30CAPS - SANOFI-AVENTIS
DERMAFREE 1FR 15ML - DELTA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
245
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000071019
0000071020
0000071021
0000071022
0000071024
0000071027
0000071030
0000071035
0000071039
0000071040
0000071041
0000071042
0000071043
0000071044
0000071045
0000071047
0000071048
0000071049
0000071084
0000071085
0000071093
0000071096
0000071112
0000071117
0000071139
0000071143
0000071144
0000071147
0000071155
0000071156
0000071157
0000071158
0000071159
0000071161
0000071164
0000071165
0000071166
0000071167
0000071168
0000071170
0000071171
0000071173
0000071179
0000071181
0000071182
0000071185
0000071186
DESCRICAO
LISOCLOR 200/12,5MG 30CPDS - NEOQUIMICA
VERTIGIUM 10MG 2X25CPDS - NEOQUIMICA
GESTROCON 0,625MG/G CRM.VAG.25GRS - NEOQUIMICA
FLAVONID 500MG 30CPDS REV. - NEOQUIMICA
IMPLANTE P/RECONST.MAMARIA REDONDA ESPUMA POLIURETANO 30610 - SILIMED
IMPLANTE P/RECONST.MAMARIA REDONDA LISA 10512 - SILIMED
IMPLANTE P/RECONST.MAMARIA REDONDA PITANGUY/REBELLO 30615 - SILIMED
IMPLANTE P/RECONST.MAMARIA ANATOMICA TEXTURIZADA 20644 - SILIMED
FIO CATGUT CROMADO PLASTICA 45CM AG.1,6CM P1643T - J&J ETHICON
FIO MONONYLON LAC.FECH.G.OB/GIN.PRETO 0 120CM AG.4CM L886T - J&J ETHICON
DRENO BLAKE 10FR HUBLESS S/TROCARTE 2226 - J&J ETHICON
DRENO BLAKE 15FR HUBLESS S/TROCARTE 2228 - J&J ETHICON
DRENO BLAKE 19FR HUBLESS S/TROCARTE 2230 - J&J ETHICON
DRENO BLAKE PLANO 10MM S/TROCARTE 3/4 CANALETADO 2213 - J&J ETHICON
DRENO BLAKE 10FR HUBLESS TROCARTE 1/8" FLEXIVEL 2227 - J&J ETHICON
DRENO BLAKE 15FR HUBLESS TROCARTE 3/16" FLEXIVEL 2233 - J&J ETHICON
PLACA GEL 10CMX5CM MEDGEL 1240-016I1 - SILIMED
PLACA GEL 30CMX2CM MEDGEL 1240-011I1 - SILIMED
SONDA P/ALIMENTACAO ENTERAL PED.EST.PEDI-TUBE 6FRX51CM C/PESO S/FIO GUIA - COVIDIEN
SONDA P/ALIMENTACAO ENTERAL PED.EST.PEDI-TUBE 6FRX91CM S/PESO S/FIO GUIA C/INJETOR LATERAL - COVIDIEN
EQUIPO P/INFUSAO SOLUCAO EV-HART C/CAMARA FLEXIVEL REVERSIVEL LUER LOCK 110.122 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO EV-HART C/CAMARA FLEXIVEL MICROGOTAS REVERSIVEL LUER LOCK 110.123 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO EV-HART AIR REVERSIVEL LUER LOCK 160.108 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO EV-HART AIR MICROGOTAS FILTRO 15MICRAS REVERS.L.LOCK EL.AR IS.PVC 160.174 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO C/INJ.LATERAL CAMARA FLEXIVEL REVERSIVEL LUER LOCK 220.102 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO C/INJ.LATERAL CAMARA FLEXIVEL MICROGOTAS REVERSIVEL LUER LOCK 210.149 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO C/INJ.LATERAL CAMARA FLEXIVEL MICROGOTAS 2,40M INJ.REVERS.LUER LOCK 220.106 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO C/INJ.LATERAL CAMARA FLEXIVEL REVERSIVEL LUER LOCK ELIMINADOR AR 220.101 - HARTMANN
TARVEXOL 6MG/ML 1FA 5ML - SANDOZ
EVRA 3ADES. - JANSSEN-CILAG
EQUIPO P/INFUSAO SOLUCAO C/INJ.LATERAL CAMARA FLEXIVEL MICROGOTAS FILTRO 15MICRAS 210.120 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO C/INJ.LATERAL CAMARA FLEXIVEL FILTRO 15MICRAS REVERSIVEL LUER LOCK 210.118 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO C/INJ.LATERAL CAMARA FLEXIVEL 1,80M 210.129 - HARTMANN
NOVASUTIN 25/12,5MG CRM.VAG.BG.60GRS+APL - BLAU
EQUIPO P/INFUSAO SOLUCAO C/INJ.LATERAL AIR FILTRO 15MICRAS REVERSIVEL LUER LOCK 260.141 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO C/INJ.LATERAL AIR REVERSIVEL LUER LOCK 260.128 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO C/INJ.LATERAL AIR MICROGOTAS REVERSIVEL LUER LOCK 260.129 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO C/INJ.LATERAL AIR MICROGOTAS FILTRO 15MICRAS REVERSIVEL LUER LOCK 260.130 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO C/INJ.LATERAL AIR FILTRO 15MICRAS REVERSIVEL LUER LOCK ELIMIN.AR 260.144 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO C/INJ.LATERAL AIR FILTRO 15MICRAS REVERS.L.LOCK ELIM.AR ISENTO PVC 280.109 - HARTMANN
EQUIPO C/CAMARA GRADUADA MICRO-HART 50ML TUBO 8F 310.149 - HARTMANN
EQUIPO C/CAMARA GRADUADA MICRO-HART 150ML REVERSIVEL LUER LOCK 310.142 - HARTMANN
EQUIPO C/CAMARA GRADUADA MICRO-HART AIR 150ML REVERSIVEL LUER LOCK 360.104 - HARTMANN
EQUIPO C/CAMARA GRADUADA MICRO-HART AIR 150ML FILTRO 15MICRAS REVERSIVEL LUER LOCK 360.114 - HARTMANN
CONEXAO P/ADM.SOL.POLI-HART 2VIA C/INJ.LAT.REVERSIVEL LUER LOCK 410.141 - HARTMANN
CONEXAO P/ADM.SOL.POLI-HART 2VIA REVERSIVEL LUER LOCK 420.103 - HARTMANN
CONEXAO P/ADM.SOL.POLI-HART 2VIA REVERSIVEL LUER LOCK FOTOSSENSIVEL 410.164 - HARTMANN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
246
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000071188
0000071190
0000071194
0000071196
0000071198
0000071202
0000071203
0000071204
0000071206
0000071214
0000071215
0000071216
0000071217
0000071218
0000071219
0000071221
0000071222
0000071223
0000071224
0000071225
0000071226
0000071230
0000071232
0000071234
0000071236
0000071237
0000071239
0000071240
0000071241
0000071242
0000071243
0000071244
0000071245
0000071246
0000071248
0000071249
0000071250
0000071251
0000071252
0000071253
0000071272
0000071273
0000071274
0000071278
0000071282
0000071362
0000071367
DESCRICAO
CONEXAO P/ADM.SOL.POLI-HART 2VIA NEO REVERSIVEL LUER LOCK 410.130 - HARTMANN
CONEXAO P/ADM.SOL.POLI-HART 3VIA 420.133 - HARTMANN
CONEXAO P/ADM.SOL.POLI-HART 4VIA REVERSIVEL LUER LOCK 410.140 - HARTMANN
CONEXAO P/ADM.SOL.POLI-HART 4VIA C/INJ.LAT.REVERSIVEL LUER LOCK 410.137 - HARTMANN
CONEXAO P/ADM.SOL.POLI-HART 4VIA NEO REVERSIVEL LUER LOCK 420.106 - HARTMANN
EXTENSOR P/CATETER REVERSIVEL LUER LOCK 5F TUBO 120CM FOTOSSENSIVEL 510.162 - HARTMANN
EXTENSOR P/CATETER REVERSIVEL LUER LOCK 8F TUBO 20CM C/TORNEIRA 520.118 - HARTMANN
EXTENSOR P/CATETER REVERSIVEL LUER LOCK 8F TUBO 40CM C/TORNEIRA 520.119 - HARTMANN
EXTENSOR P/CATETER REVERSIVEL LUER LOCK 8F TUBO 120CM C/TORNEIRA 520.121 - HARTMANN
EXTENSOR P/PERFUSAO 3F TUBO 120CM REVERSIVEL LUER LOCK 520.116 - HARTMANN
EXTENSOR P/PERFUSAO 3F TUBO 120CM FOTOSSENSIVEL 510.157 - HARTMANN
EXTENSOR P/ALTA PRESSAO 5F TUBO 120CM 520.126 - HARTMANN
EXTENSOR P/ALTA PRESSAO 5F TUBO 120CM CONECT.MACHO REVERSIVEL LUER LOCK 530.113 - HARTMANN
EXTENSOR P/OXIGENACAO 20F TUBO 2,00M LATEX 530.139 - HARTMANN
EXTENSOR P/CISTOSCOPIA 1VIA 540.108 - HARTMANN
EXTENSOR P/LAPAROSCOPIA 540.117 - HARTMANN
EQUIPO FOTOSSENSIVEL KIT-HART C/INJ.FILTRO 15MICRAS 110.165 - HARTMANN
EQUIPO FOTOSSENSIVEL KIT-HART REVERSIVEL LUER LOCK 110.176 - HARTMANN
EQUIPO FOTOSSENSIVEL KIT-HART C/INJ.REVERSIVEL LUER LOCK 110.177 - HARTMANN
EQUIPO FOTOSSENSIVEL KIT-HART C/INJ.MICROGOTAS FILTRO 15MICRAS 110.166 - HARTMANN
EQUIPO FOTOSSENSIVEL KIT-HART C/INJ.FILTRO 15MICRAS REVERSIVEL LUER LOCK 110.169 - HARTMANN
EQUIPO FOTOSSENSIVEL KIT-HART AIR C/INJ.160.162 - HARTMANN
EQUIPO FOTOSSENSIVEL KIT-HART AIR REVERSIVEL LUER LOCK 160.156 - HARTMANN
EQUIPO FOTOSSENSIVEL KIT-HART AIR FILTRO 15MICRAS REVERSIVEL LUER LOCK 160.158 - HARTMANN
EQUIPO FOTOSSENSIVEL KIT-HART AIR REVERSIVEL LUER LOCK ELIM.AR ISENTO PVC 160.153 - HARTMANN
MEIA ANTIEMBOLICA PEQ.COMP.REGULAR ATE JOELHO T.E.D. 7071 - COVIDIEN
EQUIPO FOTOSSENSIVEL KIT-HART 150ML REVERSIVEL LUER LOCK 310.153 - HARTMANN
EQUIPO P/NUTRICAO ENTERAL NUTRI-HART 2VIAS 910.147 - HARTMANN
EQUIPO P/NUTRICAO ENTERAL NUTRI-HART AIR 2VIAS 960.107 - HARTMANN
COLETOR SECRECOES ESTERIL P/TRACHEA CARE MULT-HART 920.113 - HARTMANN
EQUIPO P/MEDICAO PRESSAO VENOSA CENTRAL EV-HART CAMARA FLEXIVEL 2VIAS 60CM PV-HART 15MICRA 910.146 - HARTMANN
EQUIPO P/TRANSFERENCIA SOLUCAO TRANS-HART AIR 960.104 - HARTMANN
EQUIPO P/TRANSFERENCIA SOLUCAO TRANS-HART AIR P/BOLSA NUTRICAO 960.106 - HARTMANN
EQUIPO P/TRANSFERENCIA SOLUCAO TRANS-HART AIR P/BOLSA NUTRICAO FOTOSSENSIVEL 960.150 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO NUTRI-HART MINIMAX 2VIAS 170.166 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO NUTRI-HART MINIMAX 2VIAS ENT.AR 170.111 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO EV-HART AIR MINIMAX ELIM.AR ISENTO PVC 170.112 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO KIT-HART AIR MINIMAX ELIM.AR ISENTO PVC 170.158 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO EV-HART AIR MINIMAX FILTRO 15MICRAS ELIM.AR ISENTO PVC 170.110 - HARTMANN
EQUIPO P/INFUSAO SOLUCAO KIT-HART AIR MINIMAX FILTRO 15MICRAS ELIM.AR ISENTO PVC 170.157 - HARTMANN
GIAMEBIL 6CPDS - INFAN
GIAMEBIL GTS.10ML - INFAN
GIAMEBIL XPE.60ML - INFAN
STENT PERIFERICO AUTO-EXPANSIVEL PHILON - BIOTRONIK
CAMPO CIRURGICO INFERIOR 1,50X1,50MT C/FENEST. "U" 0,30X0,60MT 10001496 - LIFEMED
VI-FERRIN GTS.20ML - ELOFAR
SOLUCAO PADRAO(NA/K/LI)P/FOTOMETRO CHAMA FC-180 8000800 - CELM
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
247
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000071368
0000071369
0000071374
0000071375
0000071384
0000071388
0000071389
0000071390
0000071391
0000071392
0000071393
0000071395
0000071396
0000071397
0000071398
0000071399
0000071400
0000071401
0000071402
0000071403
0000071404
0000071405
0000071406
0000071407
0000071408
0000071409
0000071410
0000071411
0000071412
0000071413
0000071414
0000071415
0000071416
0000071417
0000071418
0000071419
0000071420
0000071421
0000071422
0000071423
0000071424
0000071425
0000071426
0000071427
0000071428
0000071429
0000071430
DESCRICAO
SOLUCAO PADRAO(NA/K)P/FOTOMETRO CHAMA FC-280 8000820 - CELM
SOLUCAO PADRAO(LI)P/FOTOMETRO CHAMA FC-280 8000810 - CELM
MALEATO ENALAPRIL+HIDROCLOROTIAZIDA GEN.20+12,5MG 30CPDS - BIOSINTETICA
MALEATO ENALAPRIL+HIDROCLOROTIAZIDA GEN.10+25MG 30CPDS - BIOSINTETICA
BUFFERIN CARDIO 81MG 30CPDS REV. - NOVARTIS
MYFORTIC 180MG 120CPDS REV. - NOVARTIS
MYFORTIC 360MG 120CPDS REV. - NOVARTIS
ACETATO HIDROCORTISONA GEN.CRM.30GRS - ATIVUS
EXPANSOR TECIDO VALVULA REMOTA RETANGULAR SUP.TEXTURIZADA 2081X - SILIMED
EXPANSOR TECIDO VALVULA REMOTA SEMI-LUNAR SUP.TEXTURIZADA 2082X - SILIMED
EXPANSOR TECIDO VALVULA REMOTA ANATOMICO POLO SUPERIOR SUP.TEXTURIZADA 20760 - SILIMED
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 2,00MM 08MM 38080-0820 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 2,00MM 12MM 38080-1220 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 2,00MM 15MM 38080-1520 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 2,00MM 20MM 38080-2020 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 2,00MM 30MM 38080-3020 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 2,25MM 08MM 38080-0822 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 2,25MM 12MM 38080-1222 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 2,25MM 15MM 38080-1 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 2,25MM 20MM 38080-2022 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 2,25MM 30MM 38080-3022 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 2,50MM 08MM 38080-0825 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 2,50MM 12MM 38080-1225 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 2,50MM 15MM 38080-1525 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 2,50MM 20MM 38080-2025 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 2,50MM 30MM 38080-3025 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 2,75MM 08MM 38080-0827 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 2,75MM 12MM 38080-1227 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 2,75MM 15MM 38080-1527 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 2,75MM 20MM 38080-2027 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 2,75MM 30MM 38080-3027 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 3,00MM 08MM 38080-0830 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 3,00MM 12MM 38080-1230 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 3,00MM 15MM 38080-1530 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 3,00MM 20MM 38080-2030 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 3,00MM 30MM 38080-3030 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 3,25MM 08MM 38080-0832 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 3,25MM 12MM 38080-1232 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 3,25MM 15MM 38080-1532 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 3,25MM 20MM 38080-2032 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 3,25MM 30MM 38080-3032 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 3,50MM 08MM 38080-0835 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 3,50MM 12MM 38080-1235 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 3,50MM 15MM 38080-1535 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 3,50MM 20MM 38080-2035 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 3,50MM 30MM 38080-3035 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 3,75MM 08MM 38080-0837 - BOSTON CARDIOLOGIA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
248
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000071431
0000071432
0000071433
0000071434
0000071435
0000071436
0000071437
0000071438
0000071439
0000071440
0000071441
0000071442
0000071443
0000071444
0000071445
0000071446
0000071447
0000071448
0000071449
0000071451
0000071452
0000071453
0000071454
0000071457
0000071458
0000071461
0000071462
0000071463
0000071464
0000071465
0000071466
0000071467
0000071483
0000071484
0000071485
0000071497
0000071503
0000071507
0000071508
0000071512
0000071513
0000071514
0000071515
0000071516
0000071517
0000071578
0000071579
DESCRICAO
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 3,75MM 12MM 38080-1237 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 3,75MM 15MM 38080-1537 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 3,75MM 20MM 38080-2037 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 3,75MM 30MM 38080-3037 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 4,00MM 08MM 38080-0840 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 4,00MM 12MM 38080-1240 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 4,00MM 15MM 38080-1540 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 4,00MM 20MM 38080-2040 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 4,00MM 30MM 38080-3040 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 4,50MM 08MM 38080-0845 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 4,50MM 12MM 38080-1245 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 4,50MM 15MM 38080-1545 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 4,50MM 20MM 38080-2045 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 4,50MM 30MM 38080-2044 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 5,00MM 08MM 38080-0850 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 5,00MM 12MM 38080-1250 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 5,00MM 15MM 380801550 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 5,00MM 20MM 380802050 - BOSTON CARDIOLOGIA
CATETER BALAO ANGIOPLASTIA CORONARIA QUANTUM MAVERICK 5,00MM 30MM 380803050 - BOSTON CARDIOLOGIA
KIT DESC.P/AFERESE HAEMONETICS P/MCS+ - CEI
KIT DESC.P/RECUPERACAO SANGUE INTRAOPERATORIA CELL SAVER - CEI
ELETRODO ENDOCARDICO DEFINITIVO ATRIAL/VENTRICULAR FIXACAO ATIVA SILICONE CAPSURE C/ESTEROIDES 5076 - MEDTRONIC
RESSINCRONIZADOR VENTRIC.C/MARCAPASSO DDDR P/TRATAMENTO INSUF.CARDIACA INSYNC III 8042 - MEDTRONIC
ELETRODO ENDOCARDICO DEFIN.ATRIAL/VENTRIC.FIX.ATIVA SILIC.CAPSURE C/ESTEROIDE OVER THE WIRE LV 4193 - MEDTRONIC
CATETER BALAO P/VENOGRAMA 6215 - MEDTRONIC
ADAPTADOR C/DUPLA ENTRADA BIPOLAR IS-1 2872 - MEDTRONIC
ADAPTADOR C/2 ENTRADA UNIPOLAR IS-1 5866-38M - MEDTRONIC
NAPRIX A 2,5+5MG 30CAPS - LIBBS
NAPRIX A 5+5MG 30CAPS - LIBBS
NATIFA 1MG 28CPDS - LIBBS
NATIFA PRO 1+0,5MG 28CPDS - LIBBS
SIBLIMA 60/15MCG 24CPDS - LIBBS
GANCHO P/SONDA CRAWFORD 254B - PETROVICH
OSTEOTOMO KERRISON - PETROVICH
SONDA P/URETRA - PETROVICH
SISTEMA RESSINCRONIZADOR VENTRIC.C/MARCAPASSO DDDR P/TRATAMENTO INSUF.CARDIACA SIST.ELET.INSYNC III - MEDTRONIC
ELETRODO EPI-MIOCARDIO UNIPOLAR FIXACAO ATIVA TP.FISGA 35CM/53CM 4951 - MEDTRONIC
CATETER TERAPEUTICO MARINR CURVA 40/60 2/5/2 7F 110CM MEDTRONIC 75302 MT005 - BIOCATH
CATETER TERAPEUTICO CONDUCTR CURVA 40/60 S/S 7F 110CM MEDTRONIC 786022 MT015 - BIOCATH
CATETER DIAGNOSTICO QUADRIPOLAR DEFL.MARINR CURVA 40/60 7F 110CM MEDTRONIC 72302 MD205 - BIOCATH
CATETER DIAGNOSTICO QUADRIPOLAR SOLOIST JOSEPHSON 2/2/2 6F 110CM MEDTRONIC 442216J MD101 - BIOCATH
CATETER DIAGNOSTICO DECAPOLAR MARINR CS 2/2/2 7F 90CM MEDTRONIC 043302M MD208 - BIOCATH
PIROXICAM GEN.GEL 30GRS - ATIVUS
PROPIONATO CLOBETASOL GEN.CRM.30GRS - ATIVUS
PROPIONATO CLOBETASOL GEN.POM.30GRS - ATIVUS
OSTEOFORM 70MG 2CPDS - SIGMA PHARMA
OSTEOFORM 70MG 4CPDS - SIGMA PHARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
249
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000071583
0000071584
0000071585
0000071586
0000071590
0000071594
0000071595
0000071596
0000071597
0000071598
0000071599
0000071600
0000071601
0000071602
0000071603
0000071604
0000071605
0000071659
0000071661
0000071666
0000071667
0000071668
0000071669
0000071670
0000071674
0000071675
0000071676
0000071679
0000071680
0000071681
0000071682
0000071684
0000071685
0000071686
0000071687
0000071688
0000071689
0000071690
0000071691
0000071692
0000071693
0000071694
0000071696
0000071697
0000071698
0000071699
0000071702
DESCRICAO
TORAGESIC SL 10MG 10CPDS - SIGMA PHARMA
UNIGYN 1G 4CPDS - SIGMA PHARMA
UNIGYN 1G 2CPDS - SIGMA PHARMA
GYNAZOLE 2% CRM.VAG.5GRS+1APL. - SIGMA PHARMA
CRANIOFIX SISTEMA FIXACAO CALOTA CRANIANA TP.BONE FLAP PEQ.11MM AESCULAP FF100T - B.BRAUN
TALA LONGA C/REFORCO EXTRA P/PUNHO PRETA ESQ.PEQ.425-33PR - SALVAPE
TALA LONGA C/REFORCO EXTRA P/PUNHO PRETA ESQ.MED.425-34PR - SALVAPE
TALA LONGA C/REFORCO EXTRA P/PUNHO PRETA ESQ.GRD.425-35PR - SALVAPE
TALA LONGA C/REFORCO EXTRA P/PUNHO PRETA ESQ.GG 425-36PR - SALVAPE
TALA FUNCIONAL CURTA P/POLEGAR DIR.PEQ.431-43PR - SALVAPE
TALA FUNCIONAL CURTA P/POLEGAR DIR.MED.431-44PR - SALVAPE
TALA FUNCIONAL CURTA P/POLEGAR DIR.GRD.431-45PR - SALVAPE
TALA FUNCIONAL CURTA P/POLEGAR DIR.GG 431-46PR - SALVAPE
IMOBILIZADOR AXILO PALMAR TAM.UNICO 316-00LS - SALVAPE
TORNOZELEIRA NEOPRENE SEMI-AJUSTAVEL PEQ.612-03 - SALVAPE
TORNOZELEIRA NEOPRENE SEMI-AJUSTAVEL MED.612-04 - SALVAPE
TORNOZELEIRA NEOPRENE SEMI-AJUSTAVEL GRD.612-05 - SALVAPE
HEXOMEDINE 1,0MG/ML SPR.50ML - SANOFI-AVENTIS
VISCOAT LARGE 0,75ML 8161 - ALCON
FENTANIL 50MCG 5AMP 5ML - JANSSEN-CILAG
FENTANIL 50MCG 5AMP 2ML - JANSSEN-CILAG
TYLENOL DC 500MG 20CPDS REV. - J&J CONSUM
TYLENOL DC 500MG 25BLX4CPDS REV. - J&J CONSUM
TYLENOL DC 500MG 4CPDS REV.F.V - J&J CONSUM
STOCRIN 600MG 30CAPS - MERCK S.D.
DICLORIDRATO CETIRIZINA GEN.10MG 7CPDS - SANDOZ
DICLORIDRATO CETIRIZINA GEN.10MG 14CPDS - SANDOZ
LISINOPRIL GEN.5MG PLAST.BCO.30CPDS - SANDOZ
LISINOPRIL GEN.10MG PLAST.BCO.30CPDS - SANDOZ
LISINOPRIL GEN.20MG PLAST.BCO.30CPDS - SANDOZ
PONTIN 500MG 24CPDS - HEXAL
PAREXEL 6MG/ML SOL.INJ.FA.25ML - ZODIAC
DRENO BLAKE 19FR HUBLESS TROCARTE 1/4" FLEXIVEL 2232 - J&J ETHICON
TECNOMET 2,5MG 2BLX10CPDS - ZODIAC
CETOCONAZOL GEN.SHM.110ML - MEDLEY
CLORIDRATO METOCLOPRAMIDA GEN.4MG 10ML+CTA.GTAS. SOL. ORAL - MEDLEY
CETOCONAZOL+DIPROPIONATO BETAMETASONA+SULFATO NEOMICINA GEN.CRM.30GRS - MEDLEY
CETOCONAZOL+DIPROPIONATO BETAMETASONA+SULFATO NEOMICINA GEN.POM.30GRS - MEDLEY
DIPIRONA SODICA GEN.500MG 4CPDS F.V. - MEDLEY
DIPIRONA SODICA GEN.500MG 10CPDS F.V - MEDLEY
DESALEX 5MG 10CPDS - MANTECORP
AMPICILINA GEN.500MG 24CAPS - SANDOZ
NALDECON DIA 3X8CPDS - BRISTOL
NALDECON DIA 25X4CPDS - BRISTOL
VIDEX EC 400MG 30CPDS - BRISTOL
VIDEX EC 250MG 30CPDS - BRISTOL
VECASTEN 4MG 20CPDS REV. - MARJAN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
250
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000071703
0000071704
0000071709
0000071710
0000071711
0000071712
0000071713
0000071714
0000071715
0000071716
0000071717
0000071718
0000071719
0000071720
0000071721
0000071725
0000071727
0000071728
0000071730
0000071731
0000071732
0000071733
0000071738
0000071740
0000071743
0000071744
0000071745
0000071746
0000071747
0000071748
0000071749
0000071750
0000071770
0000071772
0000071774
0000071775
0000071789
0000071798
0000071811
0000071814
0000071822
0000071823
0000071824
0000071827
0000071828
0000071842
0000071844
DESCRICAO
RINIGRAN 0,05% INF.GTS.10ML - LEGRAND TARJARDOS
RINIGRAN 0,10% ADU.GTS.10ML - LEGRAND TARJARDOS
AERODINI 100MCG/DOSE SPR.200DOSES - TEUTO BRAS
CEFALEXINA GEN.500MG 8CPDS - TEUTO BRAS
CEFALEXINA GEN.500MG 40CPDS - TEUTO BRAS
CETOCONAZOL GEN.200MG 10CPDS - TEUTO BRAS
CETOCONAZOL GEN.200MG 30CPDS - TEUTO BRAS
CLORIDRATO PROPRANOLOL GEN.40MG 30CPDS - TEUTO BRAS
CLORIDRATO PROPRANOLOL GEN.80MG 30CPDS - TEUTO BRAS
DICLOFENACO DIETILAMONIO GEN.10MG/G GEL DERM.60GRS - TEUTO BRAS
PARACETAMOL GEN.750MG 200CPDS - TEUTO BRAS
PARACETAMOL GEN.500MG BL.TRANS.200CPDS(EMB.HOSP.) - - TEUTO BRAS
PARACETAMOL GEN.750MG 20CPDS - TEUTO BRAS
CREMEDERME POM.20G - BUNKER
GASTROFLAT MAX 10CAPS GEL - BUNKER
FORADIL 12MCG 60CAPS S/INAL. - NOVARTIS
FLUCOZIX 150MG 1CAP - LUPER
TRACONAX 100MG 4CAPS - LUPER
FLAZAL 30MG 10CPDS - NEOQUIMICA
FLAZAL 6MG 20CPDS - NEOQUIMICA
RESFRYNEO 400MG 20CAPS - NEOQUIMICA
RESFRYNEO SOL.ORAL 100ML - NEOQUIMICA
DICLOFENACO SODICO GEN.100MG 10CPDS - RANBAXY
AVICIS SOL.CAPILAR 100ML - GALDERMA
LISADOR 500+5+10MG 16CPDS - FARMASA
M.M XPE.120ML - FARMASA
DESCON 20CAPS GEL - FARMASA
DESCON SOL.ORAL GTS.20ML - FARMASA
DESCON SOL.ORAL 120ML - FARMASA
CONMEL 500MG 50X4CPDS - FARMASA
CONMEL 500MG 25X8CPDS - FARMASA
COMPRESSOR AR CA-245-S 110/220V 7000030 - CELM
EQUIPO PLEXITRON MACROGOTAS C/2 INJ.LAT.ENT.AR FILTRO 15 L.LOCK AZC3227 - BAXTER
ALBUMINA SERICA HUMANA 20% 1FA 50ML+EQUIPO - BAXTER
LEXAPRO 10MG 14CPDS - LUNDBECK
LEXAPRO 10MG 28CPDS - LUNDBECK
BONALEN 70MG 4CPDS REV. - UNIAO QUIMICA
ANFUGINE CRM.VAG.80GRS+1APL. - BLAU
KIT CIRURGICO LIFESAVER PLUS NR.49 P/ANGIOGRAFIA FEMURAL/HEMODINAM.LP49 - LIFETEX
PERNEIRA IMPERMEAVEL AZUL 50G C/FITA HIPO.ESTERIL(PAR)PT - LIFETEX
UXALUN 50MG 1FA - SANDOZ
TUBO ASPIRACAO/OXIG.PVC SILICONIZADO 2MT P.G.C. - EMBRAMED
TUBO ASPIRACAO/OXIG.PVC SILICONIZADO 3MT P.G.C. - EMBRAMED
PROMETAZOL 20MG/G CRM.30GRS - SANVAL
PROMETAZOL 25MG 10CPDS - SANVAL
PROSTAMAN 50MG 20CPDS - UNIAO QUIMICA
DOLO MOFF 10MG 50CPDS - - UNIAO QUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
251
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000071845
0000071846
0000071847
0000071848
0000071849
0000071850
0000071851
0000071856
0000071860
0000071861
0000071862
0000071863
0000071864
0000071866
0000071867
0000071868
0000071869
0000071888
0000071889
0000071894
0000071897
0000071898
0000071899
0000071900
0000071901
0000071905
0000071912
0000071913
0000071914
0000071915
0000071946
0000071947
0000071948
0000071957
0000071958
0000071959
0000071960
0000071961
0000071962
0000071963
0000071964
0000072018
0000072019
0000072020
0000072021
0000072022
0000072023
DESCRICAO
DOLO MOFF 30MG 50CPDS - - UNIAO QUIMICA
DOLO MOFF 10MG/ML SOL.INJ.50AMP 1ML - - UNIAO QUIMICA
WARFARIN 5MG 10CPDS - UNIAO QUIMICA
DEPRESS 20MG 28CAPS.GEL. - UNIAO QUIMICA
HISTADIN D 5+120MG 12DRGS - UNIAO QUIMICA
FLUCISTEIN 20MG/ML XPE.100ML - UNIAO QUIMICA
DIAZEPAM GEN.10MG/2ML SOL.INJ.50AMP 2ML - UNIAO QUIMICA
CLOMIPRAN 10MG 20DRGS - UNIAO QUIMICA
DROPROPIZINA GEN.3MG/ML XPE.120ML - UNIAO QUIMICA
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM ULTIPAQ 10 2MMX2CM MICRUS FSR100202-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM ULTIPAQ 10 2MMX4CM MICRUS FSR100204-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM ULTIPAQ 10 2MMX6CM MICRUS FSR100206-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM ULTIPAQ 10 2MMX8CM MICRUS FSR100208-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM ULTIPAQ 10 3MMX2CM MICRUS FSR100302-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM ULTIPAQ 10 3MMX4CM MICRUS FSR100304-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM ULTIPAQ 10 3MMX6CM MICRUS FSR100306-20 - RADIOMED
MICROMOLA P/ANEURISMA CEREBRAL PLATINUM ULTIPAQ 10 3MMX8CM MICRUS FSR100308-20 - RADIOMED
FINASTERIDA GEN.1MG 30CPDS REV. - MERCK S.A.
DRAMAVIT 100X4CPDS - LUPER
EXTENSAO 30" 76CM P/RESERVATORIO CASSETE 50/100ML C/LUER MACHO/VALVULA ANTI-SIFAO 21-7045-24 - - JG MORIYA
VFEND 200MG 1AMP - PFIZER
VFEND 200MG 14CPDS - PFIZER
VFEND 50MG 14CPDS - PFIZER
ASTRO 500MG 3CPDS - EUROFARMA
DIPROPIONATO BETAMETASONA+FOSFATO DISSODICO BETAMETASONA GEN.1FA - - EUROFARMA
DIPROPIONATO BETAMETASONA+FOSFATO DISSODICO BETAMETASONA GEN.1FA+SER - EUROFARMA
BISUISAN PO 25ENV 5,5G - COSMED
FRALDA INF.PEQ.14UNID KARICIA 00400 - MEDI HOUSE
FRALDA INF.MED.12UNID KARICIA 00405 - MEDI HOUSE
FRALDA INF.GRD.10UNID KARICIA 00410 - MEDI HOUSE
MONITOR P/GLUTARALDEIDO 1,5% 60UNID 3983 - 3M BRASIL
MONITOR P/GLUTARALDEIDO 1,8% 60UNID 3987 - 3M BRASIL
MONITOR P/GLUTARALDEIDO 2,1% 60UNID 3989 - 3M BRASIL
FINASTEC 5MG 30CPDS REV. - NEOQUIMICA
NASOFELIN 1MG/ML SOL.NAS.ADU.10ML - NEOQUIMICA
NASOFELIN 0,5MG/ML SOL.NAS.INF.10ML - NEOQUIMICA
CLOMIPRAN 25MG 20DRGS - - UNIAO QUIMICA
FLOMICIN 100MG 12CAPS - NEOQUIMICA
FLOMICIN 200MG PO LIOF. 4SACH 1GR - NEOQUIMICA
AMPICILINA GEN.250MG/5ML 150ML - NEOQUIMICA
AMPICILINA GEN.250MG/5ML 60ML - NEOQUIMICA
CETOPROFENO GEN.100MG 2X10CPDS - MEDLEY
ADESIVO CIRURGICO 2,5CMX10MT MEFIX M310250 - NEVE
ADESIVO CIRURGICO 5CMX10MT MEFIX M310500 - NEVE
ADESIVO CIRURGICO10CMX10MT MEFIX M311000 - NEVE
ADESIVO CIRURGICO 15CMX10MT MEFIX M311500 - NEVE
ADESIVO CIRURGICO 20CMX10MT MEFIX M312000 - NEVE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
252
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000072024
0000072025
0000072026
0000072027
0000072082
0000072083
0000072084
0000072136
0000072137
0000072142
0000072146
0000072147
0000072148
0000072149
0000072150
0000072151
0000072152
0000072153
0000072154
0000072155
0000072156
0000072157
0000072159
0000072202
0000072205
0000072209
0000072213
0000072215
0000072218
0000072223
0000072224
0000072225
0000072231
0000072235
0000072236
0000072237
0000072242
0000072246
0000072247
0000072253
0000072260
0000072273
0000072274
0000072275
0000072290
0000072292
0000072293
DESCRICAO
ADESIVO CIRURGICO 30CMX10MT MEFIX M313000 - NEVE
ADESIVO CIRURGICO 5CMX2,5MT MEFIX M310570 - NEVE
ADESIVO CIRURGICO 10CMX2,5MT MEFIX M311070 - NEVE
ADESIVO CIRURGICO 15CMX2,5MT MEFIX M311570 - NEVE
CIFLOGEX COLUT.MENTA 100ML - CIMED
MEBENDAZOL GEN.100MG 6CPDS - CIMED
MEBENDAZOL GEN.20MG/ML SUSP.30ML - CIMED
DAFORIN 20MG 30CPDS REV. - SIGMA PHARMA
NEUTROFER FOLICO GTS.30ML - SIGMA PHARMA
VECURON 4MG 10FA+DIL - CRISTALIA
VECURON 10MG 10FA - CRISTALIA
BIOFLAC 15MG 5AMP 1,5ML - CRISTALIA
DUOFLAM 6,43+2,63MG 1AMP 1ML - CRISTALIA
PARKIDOPA 250+25MG 3X10CPDS - CRISTALIA
CAPTOPRIL GEN.12,5MG 3X10CPDS - CRISTALIA
CAPTOPRIL GEN.25MG 3X10CPDS - CRISTALIA
CAPTOPRIL GEN.50MG 3X10CPDS - CRISTALIA
ANFORICIN 50MG 25FR 10ML - CRISTALIA
FIBRINASE C/CLORANF 10GRS - CRISTALIA
FIBRINASE C/CLORANF 30GRS - CRISTALIA
METRONIX 100MG CRM.50X50GRS - CRISTALIA
MINEROLEO 100% 100ML - - CRISTALIA
NEURAL 100MG 20X10CPDS - CRISTALIA
UXALUN 100MG 1FA - SANDOZ
AGUA OXIGENADA 10VOL.90ML ALMOT. - ICAR
CATETER GUIA CORONARIO 4FR SCITECH - CMS
INSUFLADOR (SERINGA MANOMETRO) MDS - CMS
EXTENSAO BOMBA PRESSAO 1200PSI 10" (25,4CM) MDS - CMS
CONJUNTO DUPLO J PIGTAIL R.PORCO BCI MEDICAL 28CM CH4,8 9454 - - BADEIA
LISINOPRIL GEN.5MG 30CPDS - TEUTO BRAS
LISINOPRIL GEN.10MG 30CPDS - TEUTO BRAS
LISINOPRIL GEN.20MG 30CPDS - TEUTO BRAS
DESINFLEX RETARD 100MG 20CAPS - DIFFUCAP
D.T.I.100MG 1FA - MEIZLER
D.T.I.200MG 1FA - MEIZLER
DAUNOCIN 20MG PO 1FA - MEIZLER
PLURAIR 50MCG SPR.60DOSE - LIBBS
ONCODOX 50MG 1FA - MEIZLER
ONCODOX 10MG 1FA - MEIZLER
PROCIMAX 20MG 28CPDS - LIBBS
SALSEP SPR.50ML - LIBBS
VIGAM LIQUID 1G 1FA 20ML+EQP - MEIZLER
VIGAM LIQUID 2,5G 1FA 50ML+EQP - MEIZLER
VIGAM LIQUID 5G 1FA 100ML+EQP - MEIZLER
PROPRANOLOM 40MG 2X20CPDS - OSORIO DE MORAES
SORUM 30ML - OSORIO DE MORAES
THYLOM 200MG/ML 15ML - OSORIO DE MORAES
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
253
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000072294
0000072295
0000072296
0000072318
0000072319
0000072320
0000072321
0000072322
0000072323
0000072324
0000072325
0000072327
0000072328
0000072329
0000072330
0000072331
0000072332
0000072333
0000072334
0000072335
0000072336
0000072337
0000072338
0000072359
0000072360
0000072361
0000072362
0000072424
0000072425
0000072426
0000072427
0000072428
0000072429
0000072430
0000072431
0000072432
0000072433
0000072434
0000072439
0000072440
0000072441
0000072442
0000072443
0000072444
0000072445
0000072446
0000072447
DESCRICAO
THYLOM 750MG 2X10CPDS - OSORIO DE MORAES
THYLOM 750MG 50X4CPDS - OSORIO DE MORAES
THYLOM 750MG 4CPDS F.V - OSORIO DE MORAES
SONDA AGT PVC S/BALAO NASAL RUSCH 3,0MM 100181-030 - BADEIA
SONDA AGT PVC S/BALAO NASAL RUSCH 3,5MM 100181-035 - BADEIA
SONDA AGT PVC S/BALAO NASAL RUSCH 4,0MM 100181-040 - BADEIA
SONDA AGT PVC S/BALAO NASAL RUSCH 4,5MM 100181-045 - BADEIA
SONDA AGT PVC S/BALAO NASAL RUSCH 5,0MM 100181-050 - BADEIA
SONDA AGT PVC S/BALAO NASAL RUSCH 5,5MM 100181-055 - BADEIA
SONDA AGT PVC S/BALAO NASAL RUSCH 6,0MM 100181-060 - BADEIA
SONDA AGT PVC S/BALAO NASAL RUSCH 6,5MM 100181-065 - BADEIA
SONDA AGT PVC C/BALAO ORAL RUSCH 3,5MM 111780-035 - BADEIA
SONDA AGT PVC C/BALAO ORAL RUSCH 4,0MM 111780-040 - BADEIA
SONDA AGT PVC C/BALAO ORAL RUSCH 4,5MM 111780-045 - BADEIA
SONDA AGT PVC C/BALAO ORAL RUSCH 5,0MM 111780-050 - BADEIA
SONDA AGT PVC C/BALAO ORAL RUSCH 5,5MM 111780-055 - BADEIA
SONDA AGT PVC C/BALAO ORAL RUSCH 6,0MM 111780-060 - BADEIA
SONDA AGT PVC C/BALAO ORAL RUSCH 6,5MM 111780-065 - BADEIA
SONDA AGT PVC C/BALAO ORAL RUSCH 7,0MM 111780-070 - BADEIA
SONDA AGT PVC C/BALAO ORAL RUSCH 7,5MM 111780-075 - BADEIA
SONDA AGT PVC C/BALAO ORAL RUSCH 8,0MM 111780-080 - BADEIA
SONDA AGT PVC C/BALAO ORAL RUSCH 8,5MM 111780-085 - BADEIA
SONDA AGT PVC C/BALAO ORAL RUSCH 9,0MM 111780-090 - BADEIA
MANDRIL GUIA RUSCH P/INTROD.SONDA ENDOTRAQUEAL CH6 FLEXI-SLIP METAL FLEX.503700-006 - - BADEIA
MANDRIL GUIA RUSCH P/INTROD.SONDA ENDOTRAQUEAL CH10 FLEXI-SLIP METAL FLEX.503700-010 - - BADEIA
MANDRIL GUIA RUSCH P/INTROD.SONDA ENDOTRAQUEAL CH12 FLEXI-SLIP METAL FLEX.503700-012 - - BADEIA
MANDRIL GUIA RUSCH P/INTROD.SONDA ENDOTRAQUEAL CH14 FLEXI-SLIP METAL FLEX.503700-014 - - BADEIA
KIT CANULA TRAQUEOSTOMIA DESC.C/BALAO RUSCH 3,5MM 121610-035 - BADEIA
KIT CANULA TRAQUEOSTOMIA DESC.C/BALAO RUSCH 4,0MM 121610-040 - BADEIA
KIT CANULA TRAQUEOSTOMIA DESC.C/BALAO RUSCH 4,5MM 121610-045 - BADEIA
KIT CANULA TRAQUEOSTOMIA DESC.C/BALAO RUSCH 5,0MM 121610-050 - BADEIA
KIT CANULA TRAQUEOSTOMIA DESC.C/BALAO RUSCH 5,5MM 121610-055 - BADEIA
KIT CANULA TRAQUEOSTOMIA DESC.C/BALAO RUSCH 6,0MM 121610-060 - BADEIA
KIT CANULA TRAQUEOSTOMIA DESC.C/BALAO RUSCH 7,0MM 121610-070 - BADEIA
KIT CANULA TRAQUEOSTOMIA DESC.C/BALAO RUSCH 7,5MM 121610-075 - BADEIA
KIT CANULA TRAQUEOSTOMIA DESC.C/BALAO RUSCH 8,0MM 121610-080 - BADEIA
KIT CANULA TRAQUEOSTOMIA DESC.C/BALAO RUSCH 9,0MM 121610-090 - BADEIA
KIT CANULA TRAQUEOSTOMIA DESC.C/BALAO RUSCH 10,0MM 121610-100 - BADEIA
COLETOR URINA SIST.FECHADO C/VALVULA ANTI-REFLUXO CAM.PASTEUR FLEX.BIO URINE - MEDICAL BR.
COLETOR URINA SIST.FECH.VALV.A.REFL.BIO BAG - MEDICAL BR.
COLETOR URINA SIST.ABERTO BIO COLLECTOR - MEDICAL BR.
DRENO SUCCAO SANFONADO 2.4MM(3/32")CAPAC.600ML BIO VAC - MEDICAL BR.
DRENO SUCCAO SANFONADO 3,2MM(1/8")CAPAC.600ML BIO VAC - MEDICAL BR.
DRENO SUCCAO SANFONADO 4,8MM(3/16")CAPAC.600ML BIO VAC - MEDICAL BR.
DRENO SUCCAO SANFONADO 6.4MM(1/4") CAPAC.600ML BIO VAC - MEDICAL BR.
DRENO SUCCAO SIST.MOLA 2.4MM(3/32")CAPAC.400ML BIO DRENO - MEDICAL BR.
DRENO SUCCAO SIST.MOLA 3.2MM(1.8")CAPAC.400ML BIO DRENO - MEDICAL BR.
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
254
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000072448
0000072449
0000072453
0000072454
0000072455
0000072461
0000072462
0000072463
0000072464
0000072465
0000072466
0000072478
0000072479
0000072480
0000072481
0000072482
0000072483
0000072484
0000072485
0000072494
0000072495
0000072524
0000072525
0000072526
0000072527
0000072528
0000072529
0000072530
0000072531
0000072532
0000072533
0000072534
0000072535
0000072536
0000072537
0000072538
0000072539
0000072541
0000072542
0000072549
0000072550
0000072551
0000072552
0000072553
0000072572
0000072575
0000072589
DESCRICAO
DRENO SUCCAO SIST.MOLA 4.8MM(3/16")CAPAC.400ML BIO DRENO - MEDICAL BR.
DRENO SUCCAO SIST.MOLA 6.4MM(1/4')CAPAC.400ML BIO DRENO - MEDICAL BR.
OXALIPLATINA GEN.50MG 1FA - EUROFARMA
OXALIPLATINA GEN.100MG 1FA - EUROFARMA
IRUXOL 0,6U/G+0,01G POM.DERM.50BGX30G - ABBOTT
KIT OLM MONITORIZACAO PRESSAO INTRACRANIANA CAMINO 110-4B - DABASONS
KIT OLM MONITORIZACAO PRESSAO INTRACRANIANA CAMINO 110-4G - DABASONS
KIT OLM MONITORIZACAO PRESSAO INTRACRANIANA CAMINO 110-4HM - DABASONS
KIT OLM MONITORIZACAO PRESSAO INTRACRANIANA/TEMPERATURA CAMINO 110-4BT - DABASONS
KIT OLM MONITORIZACAO PRESSAO INTRACRANIANA/TEMPERATURA CAMINO 110-4HMT - DABASONS
CONJUNTO INSTRUMENTO P/PERFUR.P/APLIC.KIT CAMINO INTEGRA NEUROCARE INS-5HND - DABASONS
CONJUNTO VALVULA P/HIDROCEFALIA BAIXO PERFIL MEDTRONIC 9003-A - DABASONS
CONJUNTO VALVULA P/HIDROCEFALIA BAIXO PERFIL MEDTRONIC 9003-B - DABASONS
CONJUNTO VALVULA P/HIDROCEFALIA BAIXO PERFIL MEDTRONIC 9003-C - DABASONS
CONJUNTO VALVULA P/HIDROCEFALIA BAIXO PERFIL MEDTRONIC 9003-D - DABASONS
CONJUNTO VALVULA P/HIDROCEFALIA BAIXO PERFIL MEDTRONIC 9003-E - DABASONS
CONJUNTO VALVULA P/HIDROCEFALIA BAIXO PERFIL ULTRA-PEQ.MEDTRONIC 22011-L - DABASONS
CONJUNTO VALVULA P/HIDROCEFALIA BAIXO PERFIL ULTRA-PEQ.MEDTRONIC 22011-LL - DABASONS
CONJUNTO VALVULA P/HIDROCEFALIA BAIXO PERFIL ULTRA-PEQ.MEDTRONIC 22011-M - DABASONS
DIOSMIN 500MG 30CPDS REV. - ACHE
DIOSMIN 500MG 60CPDS REV. - ACHE
DRENO TORAX RADIOPACO PVC 10FR BIO KIT - MEDICAL BR.
DRENO TORAX RADIOPACO PVC 12FR BIO KIT - MEDICAL BR.
DRENO TORAX RADIOPACO PVC 14FR BIO KIT - MEDICAL BR.
DRENO TORAX RADIOPACO PVC 16FR BIO KIT - MEDICAL BR.
DRENO TORAX RADIOPACO PVC 18FR BIO KIT - MEDICAL BR.
DRENO TORAX RADIOPACO PVC 20FR BIO KIT - MEDICAL BR.
DRENO TORAX RADIOPACO PVC 22FR BIO KIT - MEDICAL BR.
DRENO TORAX RADIOPACO PVC 24FR BIO KIT - MEDICAL BR.
DRENO TORAX RADIOPACO PVC 26FR BIO KIT - MEDICAL BR.
DRENO TORAX RADIOPACO PVC 28FR BIO KIT - MEDICAL BR.
DRENO TORAX RADIOPACO PVC 30FR BIO KIT - MEDICAL BR.
DRENO TORAX RADIOPACO PVC 32FR BIO KIT - MEDICAL BR.
DRENO TORAX RADIOPACO PVC 34FR BIO KIT - MEDICAL BR.
DRENO TORAX RADIOPACO PVC 36FR BIO KIT - MEDICAL BR.
DRENO TORAX RADIOPACO PVC 38FR BIO KIT - MEDICAL BR.
DRENO TORAX RADIOPACO PVC 40FR BIO KIT - MEDICAL BR.
KIT DRENAGEM MEDIASTINAL FRASCO C/EXTENSAO/DRENO/CONECTOR 10 A 40FR CAPAC.2000ML BIO SYSTEM - MEDICAL BR.
FRASCO REPOSITOR P/DRENAGEM MEDIASTINAL 250 A 2000ML S/EXTENSAO BIO KIT - MEDICAL BR.
ABILIFY 15MG 10CPDS - BRISTOL
ABILIFY 15MG 3X10CPDS - BRISTOL
ABILIFY 20MG 10CPDS - BRISTOL
ABILIFY 20MG 3X10CPDS - BRISTOL
ABILIFY 30MG 3X10CPDS - BRISTOL
FILINAR 5MG/ML XPE.PED.120ML - EUROFARMA
BUSONID 50MCG SUS.AQUOSA NASAL 6ML 120DOSES - BIOSINTETICA
FELDENE SL 20MG 5X2CPDS - PFIZER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
255
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000072591
0000072592
0000072593
0000072594
0000072595
0000072596
0000072600
0000072601
0000072602
0000072603
0000072604
0000072605
0000072606
0000072607
0000072608
0000072610
0000072611
0000072612
0000072613
0000072614
0000072615
0000072616
0000072617
0000072664
0000072665
0000072666
0000072781
0000072783
0000072787
0000072788
0000072789
0000072790
0000072791
0000072792
0000072793
0000072838
0000072839
0000072840
0000072841
0000072842
0000072843
0000072844
0000072845
0000072846
0000072847
0000072848
0000072849
DESCRICAO
NUTRIFLEX LIPID PLUS BAG 1250ML 3547752 - B.BRAUN
NUTRIFLEX LIPID PLUS BAG 1875ML 3547736 - B.BRAUN
EZETROL 10MG 10CPDS - MERCK S.D.
COLAR CERVICAL ESPUMA MED.051-14 - SALVAPE
COLAR CERVICAL ESPUMA GRD.051-15 - SALVAPE
TERMOMETRO DIGITAL COMPACTO MT 1671 TER-BL001 - SALVAPE
APMED XPE.240ML - CIMED
BABYMED AZUL 45GRS - CIMED
CALAMED AER.120ML - CIMED
DEXMINE XPE.120ML - CIMED
DEXMINE 0,25MG+2MG 20CPDS - CIMED
CIMECORT CRM.30GRS - CIMED
NEBACIMED POM.15GRS - CIMED
METFORMED 500MG 30CPDS - CIMED
METFORMED 850MG 30CPDS - CIMED
NORFLOXMED 400MG 14CPDS - CIMED
PROPRAMED 40MG 40CPDS - CIMED
SINVASTAMED 5MG 30CPDS - CIMED
SINVASTAMED 10MG 30CPDS - CIMED
SINVASTAMED 20MG 2X15CPDS - CIMED
SINVASTAMED 20MG 10CPDS - CIMED
AZIMED 500MG 3CAPS - CIMED
FLUCOMED 150MG 2CAPS - CIMED
MYLICON 15ML - JANSSEN-CILAG
CONCERTA 18MG 30CPDS - JANSSEN-CILAG
CONCERTA 36MG 30CPDS - JANSSEN-CILAG
CAMPO CIRURGICO PORTA CABO 0,30X0,30MT TAM.P 10001720 - LIFEMED
CAMPO CIRURGICO PORTA CABO 0,50X0,50MT TAM.G 10001716 - LIFEMED
CETOPROFENO GEN.50MG 24CPDS - MEDLEY
PANTOPRAZOL GEN.20MG 7CPDS - MEDLEY
PANTOPRAZOL GEN.20MG 14CPDS - MEDLEY
PANTOPRAZOL GEN.20MG 28CPDS - MEDLEY
PANTOPRAZOL GEN.40MG 7CPDS - MEDLEY
PANTOPRAZOL GEN.40MG 14CPDS - MEDLEY
PANTOPRAZOL GEN.40MG 28CPDS - MEDLEY
TRISORB 3+1+2MG/ML SOL.OFT.15ML - ALCON
NUVARING 11,7+2,7MG 1ANEL VAGINAL - SCHERING PLOUGH
PUREGON PEN 300UI 1CARP.0,480ML+6AG. - - SCHERING PLOUGH
PUREGON PEN 600UI 1CARP.0,840ML+6AG. - - SCHERING PLOUGH
PAREXEL 6MG/ML SOL.INJ.1FA.50ML - ZODIAC
TIRA COLESTEROL ACCUTREND 25UNID 11418262205 - ROCHE DIAGNOSTICA
TIRA COLESTEROL ACCUTREND 5UNID 11538144208 - ROCHE DIAGNOSTICA
TIRA GLICOSE ACCUTREND 25UNID 11447475173 - ROCHE DIAGNOSTICA
TIRA TRIGLICERIDEO ACCUTREND 25UNID 11538144208 - ROCHE DIAGNOSTICA
CONTROLE TRIGLICERIDEO ACCUTREND 11538152190 - ROCHE DIAGNOSTICA
CONTROLE COLESTEROL ACCUTREND 11418289190 - ROCHE DIAGNOSTICA
CONTROLE GLICOSE ACCUTREND 11284878190 - ROCHE DIAGNOSTICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
256
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000072863
0000072864
0000072867
0000072879
0000072880
0000072940
0000072945
0000072946
0000072950
0000072951
0000072952
0000072953
0000072954
0000072956
0000072957
0000072958
0000072962
0000072963
0000072965
0000073050
0000073062
0000073063
0000073064
0000073065
0000073066
0000073067
0000073068
0000073069
0000073070
0000073072
0000073073
0000073074
0000073075
0000073076
0000073077
0000073078
0000073079
0000073080
0000073082
0000073178
0000073179
0000073180
0000073181
0000073247
0000073251
0000073253
0000073254
DESCRICAO
LANCETA ACCU-CHEK SOFTCLIX 200UNID 3307484001 - ROCHE DIAGNOSTICA
LANCETA ACCU-CHEK SOFTCLIX 25UNID 3307492001 - ROCHE DIAGNOSTICA
TIRA KETO-DIABUR GLUKETUR 50UNID 10647705187 - ROCHE DIAGNOSTICA
ENBREL 25MG PO LIOF.4ESTOJOS(1FA/1SER.PREENC.DIL.1ML/AG./ADAPT./2LENCOS) - WYETH
FLUDARA ORAL 10MG 15CPDS - BAYER
ALGODAO ORTOPEDICO 20CMX420GRS - - NEVE
SOLUCAO CONTROLE ACCUSPORT BM LACTATO 2X4ML 11447335190 - ROCHE DIAGNOSTICA
EQUIPAMENTO COMPLETE ACCU-CHEK 03144852001 - ROCHE DIAGNOSTICA
PLAKETAR 250MG 30CPDS REV. - BIOLAB SANUS
CELESTRAT 2+0,25MG 15CPDS - UNIAO QUIMICA
DORMIUM 5MG/ML SOL.INJ.5AMP 10ML - UNIAO QUIMICA
DICLOFENACO SODICO GEN.25MG/ML 50AMP 3ML - UNIAO QUIMICA
TIRA QUALITATIVA TROP-T SENSITIVE 10UNID 11621904193 - ROCHE DIAGNOSTICA
TIRA CARDIAC TROPONINA T 10UNID 11894307193 - ROCHE DIAGNOSTICA
TIRA CARDIAC MIOGLOBINA 20UNID 11893840193 - ROCHE DIAGNOSTICA
TIRA CARDIAC DIMERO D 10UNID 12241528196 - ROCHE DIAGNOSTICA
SERONIP 50MG 28CPDS REV. - UCI-FARMA
MAALOX MENTA 3X10CPDS - SANOFI-AVENTIS
MAALOX CER.3X10CPDS - SANOFI-AVENTIS
EBASTEL D 5CAPS GEL. - EUROFARMA
CATETER TEMPORARIO P/HEMODIALISE DUPLO LUMEN ADU.RETO 11FRX15CM JOLINE KDL11P150 - HTS
CATETER TEMPORARIO P/HEMODIALISE DUPLO LUMEN ADU.RETO 11FRX17,5CM JOLINE KDL11P175 - HTS
CATETER TEMPORARIO P/HEMODIALISE DUPLO LUMEN ADU.RETO 11FRX20CM JOLINE KDL11P200 - HTS
CATETER TEMPORARIO P/HEMODIALISE DUPLO LUMEN ADU.CURVO 11FRX15CM JOLINE KDL11P150C - HTS
CATETER TEMPORARIO P/HEMODIALISE DUPLO LUMEN ADU.CURVO 11FRX20CM JOLINE KDL11P200C - HTS
CATETER TEMPORARIO P/HEMODIALISE TRIPLO LUMEN RETO 12FRX15CM JOLINE KTL12P150 - HTS
CATETER TEMPORARIO P/HEMODIALISE TRIPLO LUMEN RETO 12FRX20CM JOLINE KTL12P200 - HTS
CATETER TEMPORARIO P/HEMODIALISE TRIPLO LUMEN CURVO 12FRX15CM JOLINE KTL12P150C - HTS
CATETER TEMPORARIO P/HEMODIALISE TRIPLO LUMEN CURVO 12FRX20CM JOLINE KTL12P200C - HTS
CATETER P/HEMODIALISE LONGA PERMANENCIA 14,5FRX24CM JOLINE KLDS420 - HTS
CATETER VENOSO CENTRAL MONO LUMEM 24GX13CM VENOSELD 331132H - HTS
CATETER VENOSO CENTRAL MONO LUMEM 20GX20CM VENOSELD 331200H - HTS
CATETER VENOSO CENTRAL MONO LUMEM 18GX20CM VENOSELD 331208H - HTS
CATETER VENOSO CENTRAL MONO LUMEM 16GX20CM VENOSELD 331206H - HTS
CATETER VENOSO CENTRAL MONO LUMEM 14GX20CM VENOSELD 331204H - HTS
CATETER VENOSO CENTRAL DUPLO LUMEM 4FRX15CM DUOCATH 332014 - HTS
CATETER VENOSO CENTRAL DUPLO LUMEM 7FRX20CM DUOCATH 332027 - HTS
CATETER P/PUNCAO ARTERIAL PEBAX 3FRX6CM MICROSELD 305063 - HTS
CATETER P/PUNCAO ARTERIAL PEBAX 4FRX11CM MICROSELD 305114 - HTS
CATETER TEMPORARIO P/HEMODIALISE DUPLO LUMEN ADU.CURVO 11FRX17,5CM JOLINE KDL11P175C - HTS
CATETER VENOSO CENTRAL DUPLO LUMEM 5FRX15CM DUOCATH 332015 - HTS
GLIMEPRID 1MG 30CPDS - HEXAL
GLIMEPRID 4MG 30CPDS - HEXAL
CATETER GUIA ZUMA JL4,0 7FR MEDTRONIC Z27JL40 - MEDTRONIC
CATETER GUIA ZUMA JR4,0 7FR MEDTRONIC Z27JR40 - MEDTRONIC
CATETER GUIA ZUMA 7FR EBU 4,0 MEDTRONIC Z27EBU40 - MEDTRONIC
CATETER GUIA ZUMA JL3,5 7FR MEDTRONIC Z27JL35 - MEDTRONIC
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
257
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000073255
0000073258
0000073259
0000073262
0000073263
0000073264
0000073265
0000073266
0000073267
0000073269
0000073271
0000073272
0000073274
0000073275
0000073277
0000073281
0000073283
0000073286
0000073364
0000073384
0000073614
0000073617
0000073618
0000073619
0000073658
0000073660
0000073662
0000073663
0000073664
0000073667
0000073670
0000073671
0000073672
0000073673
0000073686
0000073687
0000073688
0000073689
0000073691
0000073692
0000073693
0000073696
0000073697
0000073698
0000073717
0000073776
0000073809
DESCRICAO
CATETER GUIA ZUMA JR3,5 7FR MEDTRONIC Z27JR35 - MEDTRONIC
CATETER GUIA JR6,0 6FR MEDTRONIC - MEDTRONIC
CATETER GUIA PK1M 7FR MEDTRONIC Z27PK1W - MEDTRONIC
CATETER GUIA PK1M 8FR MEDTRONIC Z28PK1W - MEDTRONIC
CATETER GUIA JR3,5 6FR MEDTRONIC Z26JR35 - MEDTRONIC
CATETER DIAGNOSTICO JL4,0 5FR MEDTRONIC 5A0089 - MEDTRONIC
CATETER GUIA ZUMA JR4,0 6FR MEDTRONIC ZM6JR40 - MEDTRONIC
CATETER DIAGNOSTICO JL3,5 6FR MEDTRONIC 326235 - MEDTRONIC
CATETER DIAGNOSTICO JL4,0 6FR MEDTRONIC 326240 - MEDTRONIC
CATETER DIAGNOSTICO JL4,1 6FR MEDTRONIC 6A0011 - MEDTRONIC
CATETER DIAGNOSTICO JR3,5 6FR MEDTRONIC 326335 - MEDTRONIC
CATETER DIAGNOSTICO JR4,1 6FR MEDTRONIC 6A0075 - MEDTRONIC
CATETER DIAGNOSTICO MPA2 6FR MEDTRONIC 6A0024 - MEDTRONIC
CATETER DIAGNOSTICO PIGTAIL 5FR MEDTRONIC 5A0069 - MEDTRONIC
CATETER DIAGNOSTICO PIGTAIL 6FR MEDTRONIC 326100 - MEDTRONIC
CATETER NIH 7FRX110CM MEDTRONIC 327100 - MEDTRONIC
CATETER BALAO 2,5X20MM MEDTRONIC X3S2520 - MEDTRONIC
CATETER BALAO 3,5X10MM MEDTRONIC X3S3510 - MEDTRONIC
KIT INTRODUTOR PERCUTANEO ART.RADIAL S/VALV.20G ARROW - CORAMED
GENTEAL 3MG/ML SOL.OFT.10ML - NOVARTIS
AGULHA HUBER PORT-A-CATH RETA 19GAX25MM DESC.21-2021-24 - - CIRURGICA FERNANDES
AGULHA HUBBER PORT-A-CATH CURVA 20GAX19MM DESC.21-2287-24 - - CIRURGICA FERNANDES
AGULHA HUBER PORT-A-CATH RETA 20GAX25MM DESC.21-2013-24 - - CIRURGICA FERNANDES
AGULHA HUBER PORT-A-CATH RETA 22GAX25MM DESC.21-2005-24 - - CIRURGICA FERNANDES
SONDA DELEFOSSE PHILLPS CH12 C/BUGIA CH01 RUSCH 252.600.12 - CIRURGICA FERNANDES
SONDA DELEFOSSE PHILLPS CH14 C/BUGIA CH02 RUSCH 252.600.14 - CIRURGICA FERNANDES
SONDA DELEFOSSE PHILLPS CH16 C/BUGIA CH02 RUSCH 252.600.16 - CIRURGICA FERNANDES
SONDA DELEFOSSE PHILLPS CH18 C/BUGIA CH03 RUSCH 252.600.18 - CIRURGICA FERNANDES
SONDA DELEFOSSE PHILLPS CH20 C/BUGIA CH03 RUSCH 252.600.20 - CIRURGICA FERNANDES
SONDA BUGIA P/DELEFOSSE ROSCA FEMEA METRICA CH01 RUSCH 277.100.01 - CIRURGICA FERNANDES
SONDA BUGIA P/DELEFOSSE ROSCA FEMEA METRICA CH03 RUSCH 277.100.03 - CIRURGICA FERNANDES
SONDA BUGIA P/DELEFOSSE ROSCA FEMEA METRICA CH04 RUSCH 277.100.04 - CIRURGICA FERNANDES
SONDA BUGIA P/DELEFOSSE ROSCA FEMEA METRICA CH05 RUSCH 277.100.05 - CIRURGICA FERNANDES
SONDA BUGIA P/DELEFOSSE ROSCA FEMEA METRICA CH06 RUSCH 277.100.06 - CIRURGICA FERNANDES
CAMPO CIRURGICO EST.STERI DRAPE 121X132CM AD.24X48CM "U" FENEST.ORTOPEDIA MCD D1015 - CIRURGICA FERNANDES
CAMPO CIRURGICO EST.STERI DRAPE 40X40CM AD.12X11CM "O" FURO 6CM OFTALM./CIR.GERAL MCD D1020 - CIRURGICA FERNANDES
CAMPO CIRURGICO EST.STERI DRAPE 48X38CM AD.12X11CM BOL.COLET.FLUIDO OFTALM.MCD D1025 - CIRURGICA FERNANDES
CAMPO CIRURGICO EST.STERI DRAPE 91X83CM AD.59X83CM CIR.GERAL MCD D1051 - CIRURGICA FERNANDES
CAMPO CIRURGICO EST.STERI DRAPE 121X129CM AD.12X11CM OFTALM.MCD D1060 - CIRURGICA FERNANDES
CAMPO CIRURGICO EST.STERI DRAPE 60X91CM AD.60X7CM C/FURO URO./GIN MCD D1071 - CIRURGICA FERNANDES
CAMPO CIRURGICO EST.STERI DRAPE 213X304CM AD.15X18CM MCD D1195 - CIRURGICA FERNANDES
CAMPO CIRURGICO EST.STERI DRAPE 50,5X35,5CM AD.35,5X35,5CM IODADO MCD D6640 - CIRURGICA FERNANDES
CAMPO CIRURGICO EST.STERI DRAPE 76X59,5CM AD.59,5X59,5CM IODADO MCD D6648 - CIRURGICA FERNANDES
CAMPO CIRURGICO EST.STERI DRAPE 76X45,5CM AD.59,5X45,5CM IODADO MCD D6650 - CIRURGICA FERNANDES
COLAR CERVICAL ESPUMA C/REFORCO EXTRA PEQ.ALT.7,5CM 051-02 - SALVAPE
KIT ANESTESIA PERIDURAL S/AG.C/SERINGA VIDRO 405726 - B.BRAUN
VASCASE 1MG 28CPDS - ROCHE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
258
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000073810
0000073811
0000073812
0000073813
0000073814
0000073830
0000073898
0000073901
0000073902
0000073903
0000073904
0000073905
0000073906
0000073907
0000073908
0000073909
0000073910
0000073911
0000073912
0000073913
0000073914
0000073915
0000073918
0000073919
0000073920
0000073921
0000073932
0000073942
0000073943
0000073946
0000073947
0000073948
0000073970
0000073971
0000073972
0000073973
0000073975
0000073976
0000073977
0000073985
0000073986
0000073990
0000073993
0000073994
0000073995
0000073996
0000074032
DESCRICAO
VASCASE 2,5MG 14CPDS - ROCHE
VASCASE 2,5MG 28CPDS - ROCHE
VASCASE 5MG 14CPDS - ROCHE
VASCASE 5MG 28CPDS - ROCHE
VASCASE PLUS 5+12,5MG 28CPDS - ROCHE
METALYSE 50MG PO LIOF.1FA+SER.DIL.10ML - BOEHRINGER
EQUIPO P/BOMBA INFUSAO EQM LP LF2001-1000000805 - LIFEMED
MAREVAN 5MG 3STRX10CPDS - FARMOQUIMICA
BENEGRIP 25BLX6CPDS REV. - COSMED
BENEGRIP 6CPDS REV.F.V - COSMED
DORIL 500+30MG 25BLX6CPDS - COSMED
DORIL 500+30MG 6CPDS F.V - COSMED
ENGOV 25X6CPDS - COSMED
ENGOV 1X6CPDS F.V - COSMED
LACTO PURGA 5MG 25BLX6CPDS REV. - COSMED
LACTO PURGA 5MG 6CPDS REV.F.V - COSMED
PEPTO-ZIL 25X6CPDS - COSMED
PEPTO-ZIL 1X6CPDS F.V - COSMED
APRACUR 25X6DRGS - COSMED
ATROVERAN COMPOSTO 30MG 25BLX6CPDS - COSMED
ATROVERAN COMPOSTO 30MG 6CPDS F.V - COSMED
FLUVIRAL 25X6CPDS - COSMED
HEMOSTATICO ABSORVIVEL CUTANPLAST STANDARD 70X50X10MM 20UNID 517050 - MEDICALTEC
HEMOSTATICO ABSORVIVEL CUTANPLAST SPECIAL 70X50X1MM 20UNID 538050 - MEDICALTEC
HEMOSTATICO ABSORVIVEL CUTANPLAST FILM 200X70X0,5MM 20UNID 577020 - MEDICALTEC
HEMOSTATICO ABSORVIVEL CUTANPLAST DIAL 30X30X10MM 20UNID - MEDICALTEC
FORMOL 37% 1000ML - D.G.L
SAL FRUTA ENO 30CART 2ENV 5G - GLAXOSMITH
SAL FRUTA ENO LAR.30CART 2ENV 5G - GLAXOSMITH
FLUIMUCIL XPE.PED.120ML - ZAMBON
FLUIMUCIL XPE.ADU.120ML - ZAMBON
FLUIMUCIL SOL.NAS.GTS.20ML - ZAMBON
PANTOPRAZOL GEN.20MG 7CPDS REV. - EMS GENERICOS
PANTOPRAZOL GEN.20MG 4BLX7CPDS REV. - EMS GENERICOS
PANTOPRAZOL GEN.40MG 7CPDS REV. - EMS GENERICOS
PANTOPRAZOL GEN.40MG 2BLX14CPDS REV. - EMS GENERICOS
BACLON 10MG 20CPDS - UNIAO QUIMICA
CLORIDRATO CLOBUTINOL+SUCCINATO DOXILAMINA GEN.XPE.120ML - UNIAO QUIMICA
UREADIN 20% 200MG/G CRM.DERM.50G - - MEDLEY
CELERG 2X10CPDS - LEGRAND TARJARDOS
CELERG XPE.120ML - LEGRAND TARJARDOS
CIPROCILIN 500MG 2X7CPDS - LEGRAND TARJARDOS
FERRINI 3X10CPDS - ATIVUS
FLORINY 20CPDS - ATIVUS
FLORINY 100ML - ATIVUS
TIOCONAZOL+TINIDAZOL GEN.CRM.35GRS+7APL - ATIVUS
REDSAI STRESS 60CPDS REV. - BUNKER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
259
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000074033
0000074036
0000074042
0000074043
0000074044
0000074045
0000074047
0000074056
0000074066
0000074067
0000074070
0000074071
0000074072
0000074073
0000074080
0000074081
0000074082
0000074083
0000074084
0000074085
0000074086
0000074087
0000074088
0000074090
0000074098
0000074099
0000074112
0000074113
0000074114
0000074115
0000074116
0000074117
0000074119
0000074120
0000074121
0000074123
0000074125
0000074126
0000074127
0000074129
0000074180
0000074181
0000074182
0000074184
0000074186
0000074187
0000074196
DESCRICAO
REDSAI STRESS 30CPDS REV. - BUNKER
VACINA MENINGOCOCICA CONJUG.C 1FA+SER.+2AG. - WYETH
FRASCO DRENAGEM 300ML S/ALCA ALMOTOLIA BICO RETO TAYLOR 990018-BRT - CIRURGICA BRASIL
FRASCO DRENAGEM 300ML S/ALCA ALMOTOLIA BICO RETO AMBAR TAYLOR 990018-BRA - CIRURGICA BRASIL
FRASCO DRENAGEM 300ML S/ALCA ALMOTOLIA BICO CURTO TRANSP.TAYLOR 990020-BCT - CIRURGICA BRASIL
FRASCO DRENAGEM 300ML S/ALCA ALMOTOLIA BICO CURTO AMBAR TAYLOR 990020-BCA - CIRURGICA BRASIL
BISTURI DESC.NR10 AO 24CM STYLLE - CIRURGICA BRASIL
CANULA P/TRAQUEOSTOMIA METAL LONGA NR.00 A 06 STYLLE 1169L - CIRURGICA BRASIL
FRASCO DRENAGEM P/ALIMENTACAO ENTERAL 300ML C/ALCA ESTERIL DRINK TAYLOR 011E - CIRURGICA BRASIL
FRASCO DRENAGEM P/ALIMENTACAO ENTERAL 500ML C/ALCA ESTERIL DRINK TAYLOR 0123E - CIRURGICA BRASIL
EQUIPO P/FRASCO ALIMENTACAO ENTERAL ESTERIL TAYLOR 0122EQ - CIRURGICA BRASIL
SISTEMA DRENAGEM TORACICA MEDIASTINAL 500ML S/EXT.LAC-MEDICAL 0781-500 - CIRURGICA BRASIL
SISTEMA DRENAGEM TORACICA MEDIASTINAL 100ML S/EXT.LAC-MEDICAL 0781-1000 - CIRURGICA BRASIL
SISTEMA DRENAGEM TORACICA MEDIASTINAL 2000ML S/EXT.LAC-MEDICAL 0781-2000 - CIRURGICA BRASIL
TELA INORGANICA 10X10CM MARLEX 01921010 - CIRURGICA BRASIL
TELA INORGANICA 101 A 400CM MARLEX 0192101400 - CIRURGICA BRASIL
TELA INORGANICA 10X20CM MARLEX 01921020 - CIRURGICA BRASIL
TELA INORGANICA 15X15CM MARLEX 01921515 - CIRURGICA BRASIL
TELA INORGANICA 15X20CM MARLEX 0121520 - CIRURGICA BRASIL
HEMOBLOCK 250MG/5ML 5AMP.5ML - SIGMA PHARMA
TELA INORGANICA 30,5X30,5CM MARLEX 0192305305 - CIRURGICA BRASIL
HEMOBLOCK 250MG 2X12CPDS - SIGMA PHARMA
HEMOBLOCK 500MG 2X6CPDS - SIGMA PHARMA
ONDANTRIL 4MG 10CPDS REV. - SIGMA PHARMA
PROFLOX 500MG 14CPDS - SIGMA PHARMA
PROFLOX 250MG 14CPDS - SIGMA PHARMA
POSTEC 2,5MG+150UTR POM.DERM.10G - APSEN
TALA METALICA C/ESPUMA 26X25 D07510 - POLAR FIX
TIOCONAZOL+TINIDAZOL GEN.20MG+30MG CRM.VAG.35G+7APL. - EMS GENERICOS
LORATADINA+SULFATO PSEUDOEFEDRINA GEN.1+12MG/ML XPE.60ML - EMS GENERICOS
PANTOPRAZOL GEN.40MG 2BLX7CPDS REV. - EMS GENERICOS
PANTOPRAZOL GEN.20MG 2BLX7CPDS REV. - EMS GENERICOS
CLORIDRATO AMBROXOL GEN.3MG/ML XPE.INF.120ML - EMS GENERICOS
CLORIDRATO AMBROXOL GEN.6MG/ML XPE.ADU.120ML - EMS GENERICOS
CLORIDRATO TETRACICLINA+ANFOTERICINA B GEN.25+12,5MG/G CRM.VAG.45G - EMS GENERICOS
CETOPROFENO GEN.50MG 24CAPS GEL. - EMS GENERICOS
DICLOFENACO DIETILAMONIO GEN.10MG/G GEL 60G - EMS GENERICOS
FLUCONAZOL GEN.150MG 1CAP GEL. - EMS GENERICOS
FLUCONAZOL GEN.150MG 2CAPS GEL. - EMS GENERICOS
AMOXICILINA GEN.400MG SUSP.100ML - EMS GENERICOS
CELERGIN 0,25MG/5ML+2MG/5ML XPE.120ML - EMS
CELERGIN 0,25+2MG 20CPDS - EMS
DERMATISAN 0,5+1+10+10MG/G CRM.20GRS - EMS
ESTRINOLON 0,625MG 21DRGS - EMS
LEVOFLOXACINO GEN.500MG 7CPDS - EUROFARMA
LEVOFLOXACINO GEN.500MG 10CPDS - EUROFARMA
SELADOR HEMOSTATICO KIT ANGIO-SEAL 6F 610120 - ST.JUDE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
260
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000074197
0000074198
0000074199
0000074200
0000074201
0000074202
0000074203
0000074204
0000074208
0000074226
0000074227
0000074237
0000074238
0000074239
0000074243
0000074244
0000074245
0000074246
0000074249
0000074250
0000074251
0000074252
0000074253
0000074254
0000074255
0000074256
0000074257
0000074258
0000074259
0000074260
0000074261
0000074262
0000074263
0000074264
0000074271
0000074272
0000074273
0000074274
0000074275
0000074276
0000074277
0000074278
0000074279
0000074280
0000074281
0000074282
0000074284
DESCRICAO
SELADOR HEMOSTATICO KIT ANGIO-SEAL 8F 610122 - ST.JUDE
GUIA HIDROFILICA REGULAR ANGULADA STANDARD 0,35 150CM 408005 - ST.JUDE
GUIA HIDROFILICA REGULAR STRAIGHT STANDARD 0,35 150CM 408006 - ST.JUDE
GUIA HIDROFILICA REGULAR J STANDARD 0,35 150CM 408007 - ST.JUDE
GUIA HIDROFILICA REGULAR ANGULADA STANDARD 0,35 180CM 408009 - ST.JUDE
GUIA HIDROFILICA REGULAR STRAIGHT STANDARD 0,35 180CM 408010 - ST.JUDE
GUIA HIDROFILICA REGULAR ANGULADA STANDARD 0,35 260CM 408011 - ST.JUDE
GUIA HIDROFILICA REGULAR STRAIGHT STANDARD 0,35 260CM 408012 - ST.JUDE
GUIA HIDROFILICA REGULAR ANGULADA STIFF 0,35 180CM 408017 - ST.JUDE
INTRODUTOR HEMOSTATICO ULTIMUM 12CM 4F 407840 - ST.JUDE
INTRODUTOR HEMOSTATICO ULTIMUM 12CM 5F 407842 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 5CM 4F 406351 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 5CM 5F 406353 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 5CM 6F 406355 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 8,5CM 4F 406255 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 8,5CM 5F 406256 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 8,5CM 6F 406257 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 8,5CM 7F 406258 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 12CM 4F 406249 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 12CM 5F 406250 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 12CM 6F 406251 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 12CM 7F 406252 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 12CM 8F 406253 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 12CM 9F 406347 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 12CM KIT RADIAL 5F 406652 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 12CM KIT RADIAL 6F 406653 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 12CM KIT RADIAL 7F 406667 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 23CM 5F 406660 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 23CM 6F 406661 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 23CM 7F 406663 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 23CM 8F 406665 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 23CM KIT RADIAL 5F 406656 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 23CM KIT RADIAL 6F 406657 - ST.JUDE
INTRODUTOR HEMOSTATICO MAXIMUM 23CM KIT RADIAL 7F 406668 - ST.JUDE
SERINGA 1ML S/AG.DESC.INSULINA - INJEX
SERINGA 3ML S/AG.DESC. - INJEX
SERINGA 5ML S/AG.DESC. - INJEX
SERINGA 10ML S/AG.DESC. - INJEX
SERINGA 20ML S/AG.DESC. - INJEX
SERINGA 60ML S/AG.DESC.BICO SLIP - INJEX
SERINGA 1ML C/AG.13X4,5 DESC.INSULINA - INJEX
SERINGA 1ML C/AG.13X4,5 DESC.TUBERCULINA - INJEX
SERINGA 3ML C/AG.25X7 DESC. - INJEX
SERINGA 5ML C/AG.25X7 DESC. - INJEX
SERINGA 10ML C/AG.25X7 DESC. - INJEX
SERINGA 20ML C/AG.25X7 DESC. - INJEX
OXSORALEN 10MG 30CAPS - VALEANT
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
261
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000074285
0000074286
0000074287
0000074288
0000074290
0000074291
0000074292
0000074294
0000074295
0000074296
0000074297
0000074298
0000074299
0000074300
0000074301
0000074304
0000074305
0000074306
0000074307
0000074308
0000074309
0000074310
0000074312
0000074314
0000074315
0000074316
0000074317
0000074318
0000074319
0000074320
0000074321
0000074322
0000074323
0000074324
0000074326
0000074327
0000074344
0000074345
0000074347
0000074348
0000074349
0000074350
0000074351
0000074352
0000074353
0000074354
0000074355
DESCRICAO
ELETRODO EPI-MIOCARDIO DEFINIT.BIPOLAR/UNIPOLAR FIXACAO P/PARAFUSO IS1 5071 - MEDTRONIC
CATETER TERAPEUTICO MARINR CURVA 55/75 2/5/2 7F 110CM MEDTRONIC 75402 MT006 - BIOCATH
CATETER TERAPEUTICO MARINR CURVA 40/60 5/5/5 7F 110CM MEDTRONIC 75305 MT016 - BIOCATH
CATETER TERAPEUTICO CONDUCTR CURVA 40/60 F/S 7F 110CM MEDTRONIC 786042 MT003 - BIOCATH
NUTRIDRINK MULTI FIBER CHOCOLATE 200ML - SUPPORT NUTRITION
CATETER SWAN NECK TENCKOFF SN T2 (ESQUERDO) 8888412007 - BAXTER
CATETER SWAN NECK TENCKOFF SN TW (DIREITO) 8888412015 - BAXTER
CATETER TENCKHOFF 47CM 2 CUFFS 8888411447 - BAXTER
CANULA ARTERIAL 8FR 2,6MM 23CM JOSTRA AS-08V - MAQUET
CANULA ARTERIAL 10FR 3,3MM 23CM JOSTRA AS-10V - MAQUET
CANULA ARTERIAL 12FR 4,0MM 23CM JOSTRA AS-12V - MAQUET
CANULA ARTERIAL 14FR 4,6MM 23CM JOSTRA AS-14V - MAQUET
CANULA ARTERIAL 16FR 5,3MM 23CM JOSTRA AS-16V - MAQUET
CANULA ARTERIAL 18FR 6,0MM 23CM JOSTRA AS-18V - MAQUET
CANULA ARTERIAL 20FR 6,7MM 23CM JOSTRA A20-2107 - MAQUET
CANULA VENOSA 12FR 4,0MM 22CM JOSTRA HKV-2212B - MAQUET
CANULA VENOSA 14FR 4,7MM 22CM JOSTRA HKV-2214B - MAQUET
CANULA VENOSA 16FR 5,3MM 22CM JOSTRA HKV-2216B - MAQUET
CANULA VENOSA 18FR 6,0MM 22CM JOSTRA HKV-2218B - MAQUET
CANULA VENOSA 20FR 6,7MM 22CM JOSTRA HKV-2220B - MAQUET
IMUSSUPREX 50MG 5BLX10CPDS - GERMED
MALU 0,15+0,02MG 21CPDS - SIGMA PHARMA
ELETRODO P/ECG ADU.MEDITRACE 1000UNID - CARBOGEL
MINIMA 0,06+0,015MG 24+4CPDS - MEDLEY
PYLORIPAC IBP 4BLX7CAPS+7BLX2+2+4CAPS - MEDLEY
DICLOFENACO COLESTIRAMINA GEN.70MG 2X10CAPS - MEDLEY
DICLOFENACO COLESTIRAMINA GEN.70MG 14CAPS - MEDLEY
PYLORIPAC IBP 2BLX7CAPS+7BLX2+2+4CAPS - MEDLEY
BINKO HEXAL 80MG 20CPDS - HEXAL
BINKO HEXAL 120MG 20CPDS - HEXAL
CLOPIXOL 10MG 20CPDS - LUNDBECK
CLOPIXOL 25MG 20CPDS - LUNDBECK
CLOPIXOL DEPOT 200MG 1ML - LUNDBECK
CLOPIXOL ACUPHASE 50MG 1ML - LUNDBECK
DICLOFENACO POTASSICO GEN.50MG 20CPDS - TEUTO BRAS
ALERFIN 100MCG 120DOSES - CHIESI
AZITRIN 2CPDS - DELTA
AZITRIN 3CPDS - DELTA
LINCOVAX 600MG 1AMP 2ML - DELTA
ALENIA 6+100MCG 60CAPS C/INALADOR - BIOSINTETICA
ALENIA 6+200MCG 60CAPS C/INALADOR - BIOSINTETICA
VASOGARD 50MG 2X15CPDS - BIOSINTETICA
VASOGARD 50MG 4X15CPDS - BIOSINTETICA
NUTRISON ENERGY MULTI FIBER 500ML - SUPPORT NUTRITION
VASOGARD 100MG 2X15CPDS - BIOSINTETICA
VASOGARD 100MG 4X15CPDS - BIOSINTETICA
NUTRISON ENERGY MULTI FIBER PACK 1000ML - SUPPORT NUTRITION
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
262
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000074415
0000074416
0000074432
0000074438
0000074439
0000074440
0000074442
0000074595
0000074596
0000074597
0000074598
0000074599
0000074623
0000074624
0000074625
0000074626
0000074627
0000074694
0000074696
0000074708
0000074774
0000074775
0000075194
0000075195
0000075715
0000075730
0000075747
0000075933
0000075979
0000075980
0000075981
0000075982
0000075984
0000075985
0000075995
0000075998
0000075999
0000076000
0000076001
0000076002
0000076003
0000076004
0000076005
0000076006
0000076007
0000076008
0000076010
DESCRICAO
COLETOR URINA SIST.FECH. - P.SIMON
SISTEMA P/DRENAGEM PNEUMOTORAX - P.SIMON
ALLESTRA 75+20MCG 21DRGS - ACHE
NAROPIN 10MG/ML SOL.INJ.5AMP 20ML - ASTRAZENECA
NAROPIN 10,0MG/ML SOL.INJ.5AMP 10ML - ASTRAZENECA
NAROPIN 2MG/ML SOL.INJ.5AMP 20ML - ASTRAZENECA
NAROPIN 7,5MG/ML SOL.INJ.5AMP 20ML - ASTRAZENECA
COUMADIN 1MG 30CPDS - BRISTOL
COUMADIN 2,5MG 30CPDS - BRISTOL
COUMADIN 5MG 30CPDS - BRISTOL
MAXCEF 1G SOL INJ SIST FECH 10FA+10BOLSAS FLEX. 100ML DIL - BRISTOL
MAXCEF 2G SOL INJ SIST FECH 10FA+10BOLSAS FLEX. 100ML DIL - BRISTOL
TRACTOCILE 7,5MG/ML 1AMP 0,9ML - FERRING
TRACTOCILE 7,5MG/ML 1AMP 5,0ML - FERRING
CLORIDRATO IRINOTECANO GEN.40MG 1FA 2ML - EUROFARMA
CLORIDRATO IRINOTECANO GEN.100MG 1FA 5ML - EUROFARMA
FLUMAZENIL GEN.5AMP - EUROFARMA
ESCOVA TUBULAR 3MM P/LIMPEZA MATERIAL AI5004 - - AMERICAN INSTRUMENTS
ESCOVA TUBULAR 15MM P/LIMPEZA MATERIAL AI5015 - - AMERICAN INSTRUMENTS
TROCATER 5MM C/PTA.PROTEGIDA S/ENTRADA GAS AMERICAN INSTRUMENTS AI1927 - AMERICAN INSTRUMENTS
APLICADOR CLIPS ENDOSCOPICO 10/11MM 20CLIPS TITANIO M/G CONMED 530 - PARTNER'S
TESOURA MONOPOLAR ENDOSCOPICA CURVA 5MMX32CM CONMED 60-6035-001 - PARTNER'S
BESILATO ANLODIPINO GEN.5MG 30CPDS - MERCK S.A.
BESILATO ANLODIPINO GEN.10MG 3X10CPDS - MERCK S.A.
SONDA/TUBO TRAQUEAL PVC C/BALAO RUSCH 3,0MM 112480-030 - BADEIA
VEROTINA S 90MG 4CAPS - LIBBS
ERRADIC UG 7BL.ERRADX3BL.OME - LIBBS
MAXCEF 500MG 1FA+DIL - BRISTOL
EQUIPO C/CAMARA GRADUADA MICRO-HART AIR 50ML FILTRO 15MICRAS 360.120 - HARTMANN
FIO NYLON MONOF.CUTICULAR PRETO 2-0 3X45CM AG.3CM 3NP45320 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.CUTICULAR PRETO 4-0 45CM AG.6,0CM NP69340 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.VASCULAR PRETO 5-0 75CM AG.1,3CM NP11350 - COVIDIEN(POLYSUTURE)
FIO ALGODAO FECH.G.GIN/OBST.AZUL 0 45CM AG.3,5CM AA56510 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.AZUL MONOF.CARDIOV.7-0 60CM AG.0,9CM 2PPS1670 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.PRETO CARDIOV.8-0 45CM AG.0,6CM 2PN91680 - COVIDIEN(POLYSUTURE)
FIO SURGYCRYL GASTRO VIOLETA 3-0 70CM AG.2,5CM 244030 - COVIDIEN(POLYSUTURE)
FIO SURGYCRYL GASTRO VIOLETA 4-0 70CM AG.2,5CM 244040 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL UROLOGIA VIOLETA 0 70CM AG.2,7CM 341000 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL UROLOGIA VIOLETA 0 70CM AG.3,7CM 361000 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL CUTICULAR VIOLETA 2-0 70CM AG.2CM 531020 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL CUTICULAR VIOLETA 3-0 70CM AG.2CM 531030 - COVIDIEN(POLYSUTURE)
FIO POLYCRYL FECH.G.GIN/OBST.0 70CM AG.3,5CM 561000 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.OFTAL.PRETO 9-0 30CM AG.2XCE6,5 NP6590 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.OFTAL.PRETO 8-0 30CM AG.2XQE6,5 NP6580 - COVIDIEN(POLYSUTURE)
FIO ACO MONOF.FECH.ESTERNO 1 4X45CM AG.2,5CM FA54901 - COVIDIEN(POLYSUTURE)
FIO ACO MONOF.FECH.ESTERNO 6 4X45CM AG.4,8CM FA88906 - COVIDIEN(POLYSUTURE)
KIT CINEANGIO CKT660 - COVIDIEN(POLYSUTURE)
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
263
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000076011
0000076012
0000076013
0000076014
0000076016
0000076017
0000076018
0000076019
0000076020
0000076021
0000076022
0000076023
0000076024
0000076025
0000076026
0000076027
0000076028
0000076029
0000076030
0000076031
0000076032
0000076033
0000076034
0000076035
0000076036
0000076037
0000076038
0000076039
0000076040
0000076052
0000076068
0000076071
0000076077
0000076144
0000076145
0000076146
0000076147
0000076148
0000076149
0000076150
0000076151
0000076191
0000076193
0000076194
0000076195
0000076196
0000076213
DESCRICAO
FIO NYLON MONOF.PLASTICA PRETO 6-0 45CM AG.1,65CM NPXF82360 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PLASTICA PRETO 5-0 45CM AG.1,65CM NPXF82350 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PLASTICA PRETO 6-0 45CM AG.1,95CM NPXF83360 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PLASTICA PRETO 5-0 45CM AG.1,95CM NPXF83350 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PLASTICA PRETO 6-0 45CM AG.1,5CM NPXF52360 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PLASTICA PRETO 5-0 45CM AG.1,5CM NPXF52350 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PLASTICA PRETO 4-0 45CM AG.1,5CM NPXF52340 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PLASTICA PRETO 3-0 45CM AG.1,5CM NPXF52330 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PLASTICA PRETO 3-0 45CM AG.2,4CM NPXF84330 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PLASTICA PRETO 4-0 45CM AG.2,4CM NPXF84340 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PLASTICA BRANCO 6-0 45CM AG.1,1CM NBXF81360 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PLASTICA BRANCO 5-0 45CM AG.1,95CM NBXF83350 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.BRANCO PLASTICA 4-0 45CM AG.1,95CM NBXF83340 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PLASTICA BRANCO 5-0 45CM AG.1,5CM NBXF52350 - COVIDIEN(POLYSUTURE)
FIO NYLON MONOF.PLASTICA BRANCO 4-0 45CM AG.1,5CM NBXF52340 - COVIDIEN(POLYSUTURE)
FIO SURGYCRYL CARDIOV.VIOLETA 4-0 70CM AG.1,7CM 204040 - COVIDIEN(POLYSUTURE)
FIO SURGYCRYL CARDIOV.VIOLETA 5-0 70CM AG.1,7CM 204050 - COVIDIEN(POLYSUTURE)
FIO SURGYCRYL CARDIOV.VIOLETA 6-0 70CM AG.1,3CM 114060 - COVIDIEN(POLYSUTURE)
FIO SURGYCRYL FECH.G.GIN/OBST.VIOLETA 0 70CM AG.4CM 274000 - COVIDIEN(POLYSUTURE)
FIO SURGYCRYL FECH.G.GIN/OBST.VIOLETA 1 70CM AG.4CM 274001 - COVIDIEN(POLYSUTURE)
FIO SURGYCRYL FECH.G.GIN/OBST.VIOLETA 2-0 70CM AG.3,6CM 264020 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.OFTAL.AZUL 10-0 30CM AG.2XCE5 PP6510 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO MONOF.OFTAL.AZUL 10-0 30CM AG.2X1,6CM PP7510 - COVIDIEN(POLYSUTURE)
FIO POLIPROPILENO OFTAL.AZUL 10-0 30CM AG.1,6CM PP8510 - COVIDIEN(POLYSUTURE)
EQUIPO P/MEDICAO PRESSAO VENOSA CENTRAL PV-HART PED.920.124 - HARTMANN
OXIMAX 200MCG C/INAL.30CAPS - MANTECORP
OXIMAX 400MCG C/INAL.30CAPS - MANTECORP
OXIMAX 200MCG 30CAPS REFIL - MANTECORP
OXIMAX 400MCG 30CAPS REFIL - MANTECORP
ALITRAQ BAUN.6ENV.76G - ABBOTT
PEPTAMEN PO BAUN.24X430G - NESTLE N.C.
PEPTAMEN JR.LIQ.BAUN.24X250ML - NESTLE N.C.
SOYFEMME 150MG 30CAPS GEL. - ACHE
CIALIS 20MG 2CPDS REV. - ELI LILLY
CIALIS 20MG 2X2CPDS REV. - ELI LILLY
LEVITRA 5MG 4CPDS - BAYER
LEVITRA 10MG 4CPDS REV. - BAYER
LEVITRA 10MG 1CPD - BAYER
LEVITRA 20MG 4CPDS - BAYER
ALIVIUM 50MG/ML 30ML - MANTECORP
FASLODEX 50MG/ML SOL.INJ.1SER.PREENC.5ML - ASTRAZENECA
GEODON IM 20MG 1FA+DIL - PFIZER
IMPLANTE FACIAL NASAL "L" LISA 71 - SILIMED
IMPLANTE FACIAL NASAL "L" LISA 73 - SILIMED
IMPLANTE FACIAL NASAL "L" LISA 72 - SILIMED
IMPLANTE FACIAL NASAL "L" LISA 74 - SILIMED
LEVOXIN 500MG 3CPDS REV. - APSEN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
264
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000076214
0000076217
0000076245
0000076246
0000076247
0000076248
0000076249
0000076251
0000076252
0000076254
0000076255
0000076258
0000076259
0000076261
0000076262
0000076263
0000076264
0000076265
0000076266
0000076267
0000076268
0000076269
0000076270
0000076271
0000076273
0000076274
0000076275
0000076276
0000076277
0000076278
0000076282
0000076288
0000076290
0000076291
0000076292
0000076295
0000076296
0000076298
0000076299
0000076300
0000076301
0000076302
0000076303
0000076453
0000076463
0000076467
0000076468
DESCRICAO
LEVOXIN 500MG 10CPDS REV. - APSEN
PERCOF XPE.120ML - EUROFARMA
KIT CATETER ACESSO VENOSO CENTRAL PERIFERICO SINGLE LUMEN PICC 3FX60CM VP3S MEDCOMP - MEDCORP
KIT CATETER ACESSO VENOSO CENTRAL PERIFERICO SINGLE LUMEN PICC 4FX60CM VP4S MEDCOMP - MEDCORP
KIT CATETER ACESSO VENOSO CENTRAL PERIFERICO SINGLE LUMEN PICC 5FX60CM VP5S MEDCOMP - MEDCORP
KIT CATETER ACESSO VENOSO CENTRAL PERIFERICO DUPLO LUMEN PICC 4FX60CM VP4DT MEDCOMP - MEDCORP
KIT CATETER ACESSO VENOSO CENTRAL PERIFERICO DUPLO LUMEN PICC 5FX60CM VP5DT MEDCOMP - MEDCORP
ESPASMO FLATOL GTS.20ML - LEGRAND OTC
FLATOL MAX 125MG 10CAPS GEL MOLE - LEGRAND OTC
PREVIANE 21CPDS - LEGRAND TARJARDOS
PREVYOL-2 0,75MG 2CPDS - LEGRAND TARJARDOS
CHASSI C/ECRAN P/MAMOGRAFIA LUMAX 18X24CM - CONTROLLER
ECRAN DENTAL LUMAX 15X30CM (PAR) - CONTROLLER
CLORTALIDONA GEN.12,5MG 4BLX15CPDS - EMS GENERICOS
CLORTALIDONA GEN.25MG 4BLX15CPDS - EMS GENERICOS
CLORTALIDONA GEN.50MG 3BLX10CPDS - EMS GENERICOS
PUNCH DERMATOLOGICO DESC.NR.02 - KOLPLAST
PUNCH DERMATOLOGICO DESC.NR.03 - KOLPLAST
PUNCH DERMATOLOGICO DESC.NR.04 - KOLPLAST
PUNCH DERMATOLOGICO DESC.NR.05 - KOLPLAST
PUNCH DERMATOLOGICO DESC.NR.06 - KOLPLAST
PERIDONA 10MG 20CPDS - UCI-FARMA
CETOCONAZOL+BETAMETASONA+SULFATO NEOMICINA GEN.20+0,5+2,5MG/G CRM.DERM.30G - EMS GENERICOS
PERIDONA SUSP.100ML - UCI-FARMA
FEXODANE 120MG 10CPDS REV. - UCI-FARMA
FEXODANE 180MG 10CPDS REV. - UCI-FARMA
NISTATINA+OXIDO ZINCO GEN.200MG/G POM.60GRS - MEDLEY
CETOCONAZOL+BETAMETASONA+SULFATO NEOMICINA GEN.20+0,5+2,5MG/G POM.DERM.30G - EMS GENERICOS
CETOCONAZOL+DIPROPIONATO BETAMETASONA GEN.20+0,5MG/G POM.DERM.30G - EMS GENERICOS
CETOCONAZOL+DIPROPIONATO BETAMETASONA GEN.20+0,5MG/G CRM.DERM.30G - EMS GENERICOS
FLUITEINA 200MG 16ENVX5GRS - - EMS
LANSOPRID 15MG 2X7+21CAPS - MEDLEY
ADOLESS 0,060+0,015MG 28CPDS REV. - FARMOQUIMICA
INICOX 15MG 5AMP 1,5ML - - FARMOQUIMICA
ABRILAR 7MG XPE.100ML+CP.MED. - FARMOQUIMICA
BLOCO SILICONE SUPER MACIO 1200-010 - SILIMED
BLOCO SILICONE MEDIO 1200-080 - SILIMED
EXPANSOR TECIDO VALVULA MAGNETICA INCORPORADA REDONDA SUP.LISA 809 - SILIMED
EXPANSOR TECIDO VALVULA MAGNETICA INCORPORADA RETANGULAR SUP.LISA 819 - SILIMED
EXPANSOR TECIDO VALVULA MAGNETICA INCORPORADA SEMI LUNAR SUP.LISA 829 - SILIMED
EXPANSOR TECIDO VALVULA MAGNETICA INCORPORADA REDONDA SUP.TEXTURIZADA 20809 - SILIMED
EXPANSOR TECIDO VALVULA MAGNETICA INCORPORADA RETANGULAR SUP.TEXTURIZADA 20819 - SILIMED
EXPANSOR TECIDO VALVULA MAGNETICA INCORPORADA SEMI LUNAR SUP.TEXTURIZADA 20829 - SILIMED
LEXOTAN 2,5MG/ML GTS.20ML - ROCHE
VACINA CONTRA PNEUMOCOCCOS 0,5ML - MERCK S.D.
BAMBEC 1MG/ML SOL.ORAL 100ML - ASTRAZENECA
LANTUS 100UI/ML 1FA 10ML - SANOFI-AVENTIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
265
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000076469
0000076470
0000076471
0000076472
0000076474
0000076475
0000076476
0000076477
0000076478
0000076479
0000076480
0000076481
0000076482
0000076483
0000076552
0000076556
0000076557
0000076558
0000076559
0000076560
0000076562
0000076563
0000076564
0000076595
0000076597
0000076599
0000076600
0000076601
0000076603
0000076604
0000076607
0000076608
0000076610
0000076611
0000076612
0000076616
0000076617
0000076618
0000076637
0000076638
0000076658
0000076659
0000076720
0000076732
0000076733
0000076735
0000076737
DESCRICAO
LANTUS 100UI/ML 1CARP 3ML - SANOFI-AVENTIS
LANTUS 100UI/ML 5CARP 3ML - SANOFI-AVENTIS
LANTUS OPTISET 100UI/ML 3ML+SIST.APL - SANOFI-AVENTIS
LANTUS OPTISET 100UI/ML 5X3ML+5SIST.APL - SANOFI-AVENTIS
FRASCO P/DRENAGEM TORACICA S/EXT.FR.TOROZAMM 1000ML - ZAMMI
FRASCO P/DRENAGEM TORACICA S/EXT.FR.TOROZAMM 2000ML - ZAMMI
FRASCO P/DRENAGEM TORACICA C/EXT.TOROZAMM 250ML - ZAMMI
FRASCO P/DRENAGEM TORACICA C/EXT.TOROZAMM 500ML - ZAMMI
FRASCO P/DRENAGEM TORACICA C/EXT.TOROZAMM 1000ML - ZAMMI
FRASCO P/DRENAGEM TORACICA C/EXT.TOROZAMM 2000ML - ZAMMI
KIT P/DRENAGEM TORACICA 250ML - ZAMMI
KIT P/DRENAGEM TORACICA 500ML - ZAMMI
KIT P/DRENAGEM TORACICA 1000ML - ZAMMI
KIT P/DRENAGEM TORACICA 2000ML - ZAMMI
ASSERT 50MG 20CPDS - EUROFARMA
CARDIAC CONTROL - DIMERO D NIVEL I/II 3526038196 - ROCHE DIAGNOSTICA
CARDIAC CONTROL - MIOGLOBINA NIVEL I/II 11937545193 - ROCHE DIAGNOSTICA
CARDIAC CONTROL - TRONPONINA T NIVEL I/II 11937553193 - ROCHE DIAGNOSTICA
CARDIAC PIPETES 11622889190 - ROCHE DIAGNOSTICA
REDOXON ZINCO 1G 10CPDS EFV. - BAYER
MANGUITO P/GARROTE NR.6 105,00CMX12,00CM 151/G6 - GER-AR
CLORIDRATO METFORMINA GEN.500MG 30CPDS - RANBAXY
CLORIDRATO METFORMINA GEN.850MG 30CPDS - RANBAXY
MICONAL 100MG 4CAPS - DIFFUCAP
MICONAL 100MG 15CAPS - DIFFUCAP
ATURGYL 0,5MG/ML 15ML - SANOFI-AVENTIS
PURAN T4 200MCG 30CPDS - SANOFI-AVENTIS
RUPAFIN 10MG 10CPDS - BIOSINTETICA
LOSARTANA POTASSICA GEN.50MG 14CPDS REV. - BIOSINTETICA
LOSARTANA POTASSICA GEN.50MG 28CPDS REV. - BIOSINTETICA
FORMOCAPS 12MCG 30CAPS - BIOSINTETICA
FORMOCAPS 12MCG 30CAPS C/INAL. - BIOSINTETICA
IMPLANTE P/UROLOGIA PENIANO AJUST.3109 (PAR) - SILIMED
IMPLANTE P/UROLOGIA PENIANO AJUST.3111 (PAR) - SILIMED
IMPLANTE P/UROLOGIA PENIANO AJUST.3113 (PAR) - SILIMED
EXPANSOR TECIDO VALVULA REMOTA LONGIT.CURVO SUP.LISA 830 - SILIMED
EXPANSOR TECIDO VALVULA REMOTA LONGIT.CURVO SUP.TEXTURIZADA 20830 - SILIMED
EXPANSOR VALVULA REMOTA TECIDO PANTURRILHA SUP.LISA 880 - SILIMED
FEMOSTON 1+1/10 28CPDS REV. - ABBOTT SAUDE
FEMOSTON CONTI 1+5MG 28CPDS REV. - ABBOTT SAUDE
NUTRIFLEX LIPID PERI BAG 1250ML 3547701 - B.BRAUN
NUTRIFLEX LIPID PERI BAG 1875ML 3547710 - B.BRAUN
VASELINA POM.500GRS 0259 - RIOQUIMICA
RIOZYME PLUS 500ML 0554 - RIOQUIMICA
RIOZYME PLUS 1000ML 0555 - RIOQUIMICA
RIOZYME PLUS 5000ML 0557 - RIOQUIMICA
ESCADERM 200ML - HELIANTO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
266
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000076739
0000076747
0000076751
0000076752
0000076753
0000076754
0000076755
0000076757
0000076758
0000076759
0000076762
0000076763
0000076764
0000076765
0000076766
0000076777
0000076792
0000076793
0000076809
0000076810
0000076811
0000076812
0000076813
0000076814
0000076815
0000076816
0000076817
0000076818
0000076819
0000076820
0000076821
0000076822
0000076823
0000076824
0000076825
0000076826
0000076827
0000076828
0000076829
0000076830
0000076831
0000076832
0000076833
0000076836
0000076837
0000076839
0000076840
DESCRICAO
SUREFUSER A - P/ANESTESIA INFUSOR LENTO DR.POS-OP.100ML/02 DIA-2,1ML/HR - TECHNES MEDICAL
FIBRA OPTICA C/PIC/CAUTERIO INFINITECH 3311 - ALCON
ERITROMAX 3000UI 1FA 1ML - BLAU
ERITROMAX 3000UI 3FA 1ML - - BLAU
ERITROMAX 3000UI 6FA 1ML - - BLAU
ERITROMAX 3000UI 9FA 1ML - - BLAU
ERITROMAX 3000UI 12FA 1ML - BLAU
PROVIVE 10MG/ML EMU.INJ.FA 10ML - - MEIZLER
PROVIVE 10MG/ML EMU.INJ.FA 50ML - - MEIZLER
PROVIVE 10MG/ML EMU.INJ.1FA 100ML - MEIZLER
SONDA P/VITRECTOMIA 2500 CORTES ACCURUS 1067 - ALCON
KIT COMPLETO P/VITRECTOMIA ACCURUS 1500 3867 - ALCON
KIT COMPLETO P/VITRECTOMIA ACCURUS 2500 1066 - ALCON
PINCEL P/ENDODIATERMIA 20GA PTA.FINA 3871 - ALCON
KIT P/INJECAO OLEO SILICONE VFI 3025 - ALCON
R-STENT EVOLUTION CORONARIANO ORBUS - CMS
TIRAS OPTIUM POC 50UNID 5150 - ABBOTT
TIRAS POC OPTIUM 100UNID 5151 - ABBOTT
ENXERTO VASCULAR VASCUGRAFT PTFE 5MM/50CM AESCULAP 1103015 - B.BRAUN
ENXERTO VASCULAR VASCUGRAFT PTFE 6MM/50CM AESCULAP 1103017 - B.BRAUN
ENXERTO VASCULAR VASCUGRAFT PTFE 7MM/50CM AESCULAP 1103018 - B.BRAUN
ENXERTO VASCULAR VASCUGRAFT PTFE 8MM/50CM AESCULAP 1103019 - B.BRAUN
ENXERTO VASCULAR VASCUGRAFT PTFE 6MM/70CM AESCULAP 1103027 - B.BRAUN
ENXERTO VASCULAR VASCUGRAFT PTFE 7MM/70CM AESCULAP 1103028 - B.BRAUN
ENXERTO VASCULAR VASCUGRAFT PTFE 8MM/70CM AESCULAP 1103029 - B.BRAUN
ENXERTO VASCULAR VASCUGRAFT PTFE 10MM/70CM AESCULAP 1103030 - B.BRAUN
ENXERTO VASCULAR VASCUGRAFT PTFE 6MM/80CM AESCULAP 1103033 - B.BRAUN
ENXERTO VASCULAR VASCUGRAFT PTFE 8MM/80CM AESCULAP 1103035 - B.BRAUN
ENXERTO VASCULAR VASCUGRAFT PTFE ARAMADA 6MM/50CM AESCULAP 406088 - B.BRAUN
ENXERTO VASCULAR VASCUGRAFT PTFE ARAMADA 7MM/50CM AESCULAP 406117 - B.BRAUN
ENXERTO VASCULAR VASCUGRAFT PTFE ARAMADA 8MM/50CM AESCULAP 406089 - B.BRAUN
ENXERTO VASCULAR VASCUGRAFT PTFE ARAMADA 6MM/70CM AESCULAP 406090 - B.BRAUN
ENXERTO VASCULAR VASCUGRAFT PTFE ARAMADA 7MM/70CM AESCULAP 406118 - B.BRAUN
ENXERTO VASCULAR VASCUGRAFT PTFE ARAMADA 8MM/70CM AESCULAP 406091 - B.BRAUN
ENXERTO VASCULAR VASCUGRAFT PTFE ARAMADA 6MM/80CM AESCULAP 406092 - B.BRAUN
ENXERTO VASCULAR VASCUGRAFT PTFE ARAMADA 8MM/80CM AESCULAP 406093 - B.BRAUN
ENXERTO VASCULAR VASCUGRAFT PTFE CONICO ARAMADA 4-7MM/70CM AESCULAP 406094 - B.BRAUN
ENXERTO VASCULAR VASCUGRAFT PTFE CONICO ARAMADA 5-8MM/70CM AESCULAP 406095 - B.BRAUN
LISINOVIL 5MG 30CPDS - HEXAL
LISINOVIL 10MG 30CPDS - HEXAL
LISINOVIL 20MG 30CPDS - HEXAL
ITRAHEXAL 100MG 4CAPS - HEXAL
ITRAHEXAL 100MG 15CAPS - HEXAL
OMEPROTEC 40MG 7CAPS - HEXAL
AMIDALIN MEL/LIMAO 20PAST - SANDOZ
CITALOPRAM GEN.20MG 30CPDS - SANDOZ
QUADRIHEXAL CRM.20GRS - HEXAL
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
267
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000076861
0000076862
0000076863
0000076864
0000076865
0000076866
0000076867
0000076868
0000076869
0000076870
0000076871
0000076872
0000076873
0000076874
0000076877
0000076891
0000076892
0000076893
0000076894
0000076896
0000076897
0000076898
0000076899
0000076900
0000076901
0000076962
0000077009
0000077010
0000077011
0000077012
0000077013
0000077028
0000077029
0000077030
0000077031
0000077032
0000077033
0000077034
0000077035
0000077036
0000077040
0000077043
0000077044
0000077045
0000077046
0000077047
0000077048
DESCRICAO
FLUXENE 10MG 28CAPS - EUROFARMA
TROK-N POM.10GRS - EUROFARMA
TROK-N CRM.10GRS - EUROFARMA
TROK POM.10GRS - EUROFARMA
TROK CRM.10GRS - EUROFARMA
ZETRON 150MG 30CPDS - LIBBS
ESPASMO DIMETILIV 20ML - EMS
CLORIDRATO RANITIDINA GEN.300MG 5BLX4CPDS REV. - EMS GENERICOS
LISINOPRIL GEN.5MG 2BLX15CPDS - EMS GENERICOS
LISINOPRIL GEN.10MG 2BLX15CPDS - EMS GENERICOS
LISINOPRIL GEN.20MG 2BLX15CPDS - EMS GENERICOS
LISINOPRIL GEN.30MG 2BLX15CPDS - EMS GENERICOS
VALERATO BETAMETASONA GEN.1MG/G LOC.DERM.50G - EMS GENERICOS
VALERATO BETAMETASONA GEN.1MG/G SOL.CAP.50G - EMS GENERICOS
ANOXOLAN 1MG 20CPDS - NEOQUIMICA
AZI 500MG 5CPDS - SIGMA PHARMA
E-TABS 400UI 30CAPS GEL.MOLE - SIGMA PHARMA
E-TABS 1000UI 30CAPS GEL.MOLE - SIGMA PHARMA
LANZ 15MG 2X7CAPS - SIGMA PHARMA
VELAMOX BD 875MG 2X7CPDS - SIGMA PHARMA
ZAARPRESS 25MG 2X15CPDS - SIGMA PHARMA
ZAARPRESS 50MG 2X15CPDS - SIGMA PHARMA
ZAARPRESS 100MG 15CPDS - SIGMA PHARMA
MEROXIL IV 500MG 10FA - HALLER
MEROXIL IV 1000MG 10FA - HALLER
CONECTOR P/SERINGA INJECAO CONTRASTE LPDCT 160 - MEDRAD
OPTIRAY 350 1FA 50ML - COVIDIEN
OPTIRAY 350 1FA 100ML - COVIDIEN
ULTRAVENT RDS KIT VENTILACAO 10UNID - COVIDIEN
INSULINA ANALOGA NOVOMIX 30 FLEXPEN 5X3M - NOVO NORDISK
INSULINA ANALOGA NOVOMIX 30 PENFILL 5X3M - NOVO NORDISK
LINHA ALTA PRESSAO 0,56CMX0,3MM 1200PSI BIL-05605 - BIO-DATA
LINHA ALTA PRESSAO 0,76CMX0,3MM 1200PSI BIL-07605 - BIO-DATA
LINHA ALTA PRESSAO 1,20CMX0,3MM 1200PSI BIL-12005 - BIO-DATA
LINHA BAIXA PRESSAO 0,56CMX0,3MM 600PSI BIL-05603 - BIO-DATA
LINHA BAIXA PRESSAO 0,76CMX0,3MM 600PSI BIL-07603 - BIO-DATA
LINHA BAIXA PRESSAO 1,20CMX0,3MM 600PSI BIL-12003 - BIO-DATA
MANIFOLD 5VIAS BIM-15005 - BIO-DATA
CONECTOR Y 3VIA C/LOOER ROTATIVO BIY-75001 - BIO-DATA
KIT INSUFLADOR 30 ATMX380PSI (MANOMETRO+RETIFICADOR+CONECTOR+TORQUE) BIF-3001/BIF-3002 - BIO-DATA
FIO GUIA P/DIAGNOSTICO "J" TEFLONADO 0,35MMX160CM BIGJ-035150 - BIO-DATA
TROCATER ROSQ.5,0MM C/PTA.PIRAMIDAL PROT.P/BAINHA C/VALV.TP.JANELA 14.1199 - EDLO
DIMEZIN 40MG 20CPDS - TEUTO BRAS
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.0,4+0,05MG/ML XPE.VD 120ML+CP.MED. - TEUTO BRAS
BENEUM 300MG 30CPDS REV. - TEUTO BRAS
TIRA REAGENTE ONE TOUCH ULTRA 50UNID 020-771-01 - J&J LIFESC
CARBOCISTEINA GEN.20MG/ML XPE.100ML - TEUTO BRAS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
268
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000077049
0000077055
0000077057
0000077058
0000077059
0000077095
0000077096
0000077097
0000077098
0000077099
0000077100
0000077101
0000077102
0000077103
0000077105
0000077106
0000077107
0000077111
0000077113
0000077115
0000077116
0000077117
0000077118
0000077119
0000077120
0000077121
0000077122
0000077123
0000077124
0000077125
0000077126
0000077127
0000077128
0000077129
0000077130
0000077131
0000077132
0000077133
0000077134
0000077135
0000077136
0000077137
0000077138
0000077269
0000077281
0000077331
0000077332
DESCRICAO
CARBOCISTEINA GEN.50MG/ML XPE.100ML - TEUTO BRAS
SOLUCAO CONTROLE ONE TOUCH ULTRA 020-429-05 - J&J LIFESC
LANCETA ULTRASOFT 25UNID 020-490-02 - J&J LIFESC
SISTEMA SUSPENSAO C/1UN TVT ABDOMINAL BLUE 810041A - GYNECARE
SISTEMA SUSPENSAO C/1UN TVT BLUE 810041B - GYNECARE
FIO VICRYL RAP.ABS.CUTICULAR INCOLOR 3-0 70CM AG.2,4CM VR9940G - J&J ETHICON
SONRIDOR 12CART 2CPDS - GLAXOSMITH
SONRIDOR 5CART 2CPDS - GLAXOSMITH
TELA VYPRO 30X30CM PVML1 - J&J ETHICON
TELA VYPRO 15X15CM PVMM1 - J&J ETHICON
TELA VYPRO II 15X15CM PVM2M3 - J&J ETHICON
TELA VYPRO II 10X15CM PVM2N3 - J&J ETHICON
TELA VYPRO II 12X10CM PVM2P3 - J&J ETHICON
TELA VYPRO II 11X6CM PVM2S3 - J&J ETHICON
RENU PLUS SOL.M.USO S/FRICCAO 120ML - BAUSCH+LOMB
RENU PLUS SOL.M.USO S/FRICCAO 355ML+120ML GRATIS - BAUSCH+LOMB
RENU PLUS SOL.M.USO S/FRICCAO 500ML - BAUSCH+LOMB
PEPTAMEN 1,5 24X250ML - NESTLE N.C.
PEPTAMEN 1,5 SF 6X1000ML - NESTLE N.C.
ABSORVENTE ELA MAXI C/ABA 08UNID - PROCTER
ABSORVENTE ALWAYS BASICO 08UNID - PROCTER
ABSORVENTE ALWAYS BASICO C/ABA 08UNID - PROCTER
ABSORVENTE ALWAYS NORM.COMP.C/ABA 08UNID - PROCTER
ABSORVENTE ALWAYS NORM.COMP.C/ABA BU.08UNID - PROCTER
ABSORVENTE ALWAYS ULTRA COMP.C/ABA 08UNID - PROCTER
ABSORVENTE ALWAYS ULTRA COMP.C/ABA BU.08UNID - PROCTER
FRALDA PAMPERS INSTANSEC PEQ.14UNID - PROCTER
FRALDA PAMPERS INSTANSEC MED.12UNID - PROCTER
FRALDA PAMPERS INSTANSEC GRD.10UNID - PROCTER
FRALDA PAMPERS INSTANSEC E.GRD.8UNID - PROCTER
FRALDA PAMPERS INSTANSEC PEQ.48UNID - PROCTER
FRALDA PAMPERS INSTANSEC MED.42UNID - PROCTER
FRALDA PAMPERS INSTANSEC GRD.34UNID - PROCTER
FRALDA PAMPERS INSTANSEC E.GRD.30UNID - PROCTER
FRALDA PAMPERS INSTANSEC EE.GRD.28UNID - PROCTER
FRALDA PAMPERS BASICA PEQ.12UNID - PROCTER
FRALDA PAMPERS BASICA MED.12UNID - PROCTER
FRALDA PAMPERS BASICA GRD.10UNID - PROCTER
FRALDA PAMPERS BASICA E.GRD.08UNID - PROCTER
FRALDA PAMPERS BASICA PEQ.42UNID - PROCTER
FRALDA PAMPERS BASICA MED.42UNID - PROCTER
FRALDA PAMPERS BASICA GRD.36UNID - PROCTER
FRALDA PAMPERS BASICA E.GRD.28UNID - PROCTER
ESPECULO VAGINAL ESTERIL C/DUCTO ASPIRADOR TAM.MED. - KOLPLAST
FITA MICROPOROSA 100MMX10MT C/CAPA 02752 - MEDI HOUSE
REMERON 45MG SOL.TABL.30CPDS - SCHERING PLOUGH
REMERON 30MG SOL.TABL.30CPDS - SCHERING PLOUGH
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
TABELA TISS
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
269
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
0000077333
0000077342
0000077343
0000077344
0000077345
0000077346
0000077347
0000077348
0000077349
0000077350
0000077351
0000077352
0000077353
0000077363
0000077366
0000077369
0000077370
0000077416
0000077417
0000077423
0000077425
0000077428
0000077429
0000077430
0000077431
0000077432
0000077433
0000077438
0000077439
0000077442
0000077443
0000077444
0000077445
0000077446
0000077447
0000077448
0000077449
0000077450
0000077451
0000077452
0000077453
0000077454
0000077455
0000077456
0000077457
0000077458
0000077459
DESCRICAO
REMERON 15MG SOL.TABL.30CPDS - SCHERING PLOUGH
CANULA CPAP NEONATAL NR.00 HUDSON - CNPH
CANULA CPAP NEONATAL NR.01 HUDSON - CNPH
CANULA CPAP NEONATAL NR.02 HUDSON - CNPH
CANULA CPAP NEONATAL NR.03 HUDSON - CNPH
CANULA CPAP NEONATAL NR.04 HUDSON - CNPH
CANULA CPAP NEONATAL NR.05 HUDSON - CNPH
MASCARA FACIAL NR.00 HUDSON - CNPH
MASCARA FACIAL NR.01 HUDSON - CNPH
MASCARA FACIAL NR.02 HUDSON - CNPH
MASCARA FACIAL NR.03 HUDSON - CNPH
MASCARA FACIAL NR.04 HUDSON - CNPH
MASCARA FACIAL NR.05 HUDSON - CNPH
CATETER TOTALMENTE IMPLANTAVEL VENOSO PAKUMED - CNPH
CATETER TOTALMENTE IMPLANTAVEL P/HEMODIALISE DUPLO LUMEN PAKUMED - CNPH
CONJUNTO INTRODUTOR PAKUMED - CNPH
AGULHA PTA.LAPIS P/PORT SFN PAKUMED - CNPH
NEURONTIN 300MG 10CAPS - PFIZER
LEGIFOL 50MG 10FA - PFIZER
ZERO CAL PO 1000ENV 0,80GRS - HYPM
ZERO CAL 12X100CPDS - HYPM
ZERO CAL GTS.24X25ML - HYPM
ZERO CAL SAC.CICLAMATO 100ML - HYPM
ZERO CAL SAC.CICLAMATO 200ML - HYPM
ZERO CAL ASPARTAME 100ML - HYPM
FILTRO P/ADM.INFUSAO ANESTESICO PERIFIX 0,2 4515501 - B.BRAUN
ADESIVO P/FILTRO PERIFIX PIN PAD 4515510 - B.BRAUN
CATETER BALAO OCLUSAO HYPERGLIDE 4X10 MICROTHERAPEUTICS 104-4113 - SYNCROFILM
CATETER BALAO OCLUSAO HYPERGLIDE 4X30 MICROTHERAPEUTICS 104-4132 - SYNCROFILM
ANALISADOR URINA URISYS 1100 3617548001 - ROCHE DIAGNOSTICA
TIRA P/CALIBRACAO URISYS 100 50UNID 11379194263 - ROCHE DIAGNOSTICA
REFLOTRON PLUS 01UNID 3012573001 - ROCHE DIAGNOSTICA
REFLOTRON PLUS ACESSORIO 01UNID 11037587001 - ROCHE DIAGNOSTICA
REFLOTRON PLUS PIPETA 32UL 01UNID - ROCHE DIAGNOSTICA
REFLOTRON PLUS APLICADOR 01UNID 11248561001 - ROCHE DIAGNOSTICA
REFLOTRON PLUS CAPILAR 5X100UNID 10997

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